704 Hay Lake Rd N0 CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 .?
xecErvec • ,,? q??; ,, 4? ? /?
RROM ?f4?...L
•'
nMOUNr
Sc ooL.LaRs
ioo
? CASH Q CHECK
ROR
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
Thank You
:
BY
BLDG. PERMIT N0.
01-3210 Bldg. Permit G'
01-3422 PLan Check
^
•
01-3445 ,
?
Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
I7-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter ?" -
20-2252
Acct. Dep. ,
20-3713 Water Permit -
20-3743 Sewer Permit
79-3866 Sewer Conn. 11-3855 Park fled.
TOTAL ' ?._;' 1 1 -) ? --
? •_.,: CITY OF EAGAN • '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `? PHO N E: 454-8100
BUILDING PERMI? Receipt ?
To be used for Est. Value Date _ ,19
Site Address ?
Lot Block Sec/Sub. _
Parcel No.
c Name ;=VF.L CO
z Address
3 C ;14
° City Phone '
o Name
0 ? Address
? Ciry Phone
Address
City _
I hereby acknowledge that I have read this
that the information is correct and agree to cai
State of Mlnnesota Statutes and City of Eag
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all
on the express condition that
i Ciry of Eagan Ordinances
OFFICE USE ONLY
' On Site Sewage ? Occupancy K'
MWCC System _ Zoning c ?
On Site Well _ Type of Const y
Ciry Water _ (Actuai)
(Allowable)
* of Stories
Length
Depth
S.F. TOtel
Footprint S.F.
APPROVALS FEES
Assessments
Water/Sewer Permit
Surcharge
"a
Police _
_ Pian Review
Fire _ SAC, City • ?
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter 4
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
Df Minnesota Statuti
? Permit No. Permft Holder Data Telsphons ?t
Pirimbing
H.V.AC.
Electric ? Z3 r?? ? i• ,?:?1.' ?? .-? ???. ?
Sottener
Inspection Data Insp. Commsnta
Footings I
Footings II
Foundation
Yn M c W,
Framing ?? Trtiss c-r c u"t" 6 ??ur?, j i? G
Roofing ?-
Rough Plbg. ?/'?• , fi:
Rough Htg.
IsuL ?,c•a7 ?
Fireplace
Final Htg. o.;,?
Final Plbg.
BIdg.Final
C@ICOCC. o-f•F ?-/j?'
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
' , ' • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
ITQAf'T DOIf?C. . i -- ? ;su?u?. •v? n?nw
? Name - , . ., ,,.
c AOdress _ • i I
O CitY ?
TYPE OF WORK
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL:
?
BLDG. TYPE WORK DESCRIPTION
?
? Res.
- New
?
Mult Add-on
Comm, Repair
Other
FEES
RES
HVAC 0-100 M BTU
24
00
.
-$
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C qN NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1
' r. ? (
-
PER PERMIn - 1.50 EA.
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM, RATE APPLIES
TflWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE
ALL ADD
aN 8
-
-
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
?
SIGNATURE OF PERMITTEE
,
FOR: CITY OF EAGAN
_ . .. .? . . -. . . . . - ?
' . . PERMIT # F7 u7
• • PLUM8ING PERMIT RECEIPT # R,
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ? ??? ?
CONTRACT PRICE ? PHONE: 454-8100
Site Address L 1• '
Lot 14_ Block ?Sec/Sub
? Name I[.li_
-
??
?,
.
Address
c City Phone
? Name `
3 Address
p City ? Phone 4S
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?
??i • v"7 ? F .. . .
SiGNATURE OFOERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. k New
Mult. Add-on
Comm. Repair
PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
_Water Closet - $300
_Bath Tubs - $3.00 i.
_Lavatory - $3.00
_Shower - $3.00 ?
_Kitchen Sink - $3.00
_Urinal/Bidel - $3.00
_Laundry Tray - $3.00
_Ftoor Orains = $1.50
' '
_Water Heater - $1.50
Whlrlpool - $3.00
-1-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
FEE: L4 4
STATE S/C:
GRAND TOTAL• `
_ _
'"CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. •' `' F? ?
Eagan, Minnesota 55122-1897 Date Issued:
; (612) 681-4675
SITE ADDRESS: APPLIGANT:
,..? . , , I r 1tU M i . ?? • ? .
; ??•„? ?.??o i i .;,I:P1 :'Pli9 (r,r.; t- ? r,,>:
PERMIT SUBTYPE:
TYPE OF WORK:
OF St, p 11? r r ON
INSPECTION D. . .•
l 5 I q$
3a9?o
Permit Holder Date TelcpNone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
! ali 7
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
- ?,
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG 0
DECK FINAL
q- • s
(gtr#i#iratit uf COrrupanry
titp of (Eagan
Etpttrtmpnt o# latidtng JnWPrtimt
This Certificate issued pursuant 1o the requirements of Section 306 ojthe Uniform Building
Code certifying lhat at the dme of issuance this structure was in compliance with the various
orrlinances of dre City regulnting building constructron or use. For the followrng.-
[n ci.,ir=,km:'" *.1+aGfGM e?. ramt No. B87`
pca,wxy TYve R3 zomng nbu? R i TAX coo&
Ownn of Bm7ding MAPID OAK.ri t7'- Addrem4 52 i'? I'm L&;k. i?T?. J?.
BW&q ,,d&= rxo -tiA5 T}? Tl'! ,owkyL 15, E3, 2ND
Datt aK z, , -;
Bw7ding Oiricia1 '
POST IN A CONSPICUOUS PLACE
4 Road SEWER SERVICE PERMIT
PERMIT NO.: 10 02 7
No. of Units:
to comply-wHh the City of Eagan Connection Charge:
?ces, Account Deposit: _
ioa.vopa
Surcharge:
Misc. Charges:
;e of Insp.: Total:
p.: Date Peid:
-.- - . . _ . .__...,.,?•-??,.?.-_._.._...._ ._._.. ._,,,z. _ - -- . >: - _ ._.,
,
OF E4GAN Permit No: 8872 Date: 7" °-g 7
Pilot knob Road Meter No: Size:
3ox 21199 Reader No: Date:
n, MN 55121
ria-ne oc1?.S
Dr
1 IU4 vo. q Lake 1.15 '33 Overhill Farm II
.1 J...... ?.
525.OOpC1 g1 !
Chg: i N Zoning: !
)eo: No. of Units: ?
Fee:
I agree to comply with the Clty o(
Ordinances.
WATER SERVICE PERMIT ?
CITY OF EAGAN Permit Na Date: 78-87 ?
3830 Pilot Knob Road Meter No; 2 70 4 -7 9 Size:
P.O. Box 21198 Reader No: 413 42 ?ff ?L6 Date: 7- 27' v-7
Eagan, MN 55121
Owner. Gr????<i :'a?:.-
SiteAddress: ?-; i?o. .ia?.* I.a -e Road T.IS ?3 ('verhill ,arr.: Y? '
Plumber ?'?a-'T `? ??22- 1
Conn. Chg: •0?:4 Before digging Aa}?jjqpa ubk?et 1--'- b
Acct. Dep: ?. TEUPHONF - E?R&US FIL i
Permit Fee: (?y
Surcharge: Qg?4lts'to with the Cily of Esgan
Tr. Plant Ordinances. ?
Meter.
?-
By
Kli
WATER SERVICE PER
CITY OF EAGAN N2 13 8 7 4
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
I?
BUILDING PERMIT PHONE:454-8100 Receipt # / 6--3p ?
To be used for SF DWG/GAR Est Value $92.000 Da[e JULY 7 19 87
Site Address 704 NO HAY LAKE RD
Lot 15 Block 3 Sec/Sub. OVERHILL FARM 2T
Parcel No.
: Name GRAND OAKS DEVEL CO
= Address 4521 SO HAY LAKE RD
? City EAGAN phone 452-8934
,o Name SAME
? a Address
: City Phone
ww Name
z? Address
? w Ciry Phone
I hereby acknowledge that I have read thia application end state
thet the information Is correct and agree to comply with all applirable
State of Minnesote Statutes,and Cltv W Eaaen Ordinences
Signature of Permittee ylLj
A Building Permit fs issued to: GRAND
all work shall be done in accordance with all
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R3
-?
MWCCSystem Zoning R7
OnSiteWell TypeolConst v_
CityWeter ?X (Actueq
--
(Allowable) ?
# of Stones
Len9th SF
Depth 34
S.F. Total
Footprint S F.
APPROVALS FEES
? 475.50
Assessments Permit ?00
WaterySewer _ Surcharge
Police _ PlanReview 937-75
Fire _ SAC, City lnn _ pa
Engr. _ SAC, MWCC 59 S_ OQ
Planner _ WaterConn. 595 QD
Council _ Water Meter 67 pp
81dg.Oft _ Roatl Umt 305 _ OQ
APC _ Treatment P7 1 Af1 _ 00
Variance _ Parks
Copies
TO7AL
2 1.25
CO on the express condition that
ot Minnesota Wtutes and City of Eagan Ordlnances.
?
This re9uesl void 51?/?'i .?. . _. / it-a
18 mpnths from ?I? F-Jo? C7' T/c1 vf
D 2J:fs
7C0...]
??? a-0
I Request ?ate??# Fre No. NouPh-in Insper.bon
Required>
r?lReatlv Now Q WiII Notify Insoec-
?
??- ['as _ ?Nn tor When fleadY
7
A Licensed Electncal Contrnctor 1 hereb rey quesf tnspection of above
? Owner electrical work installed et'
SVeet Address, BoK or Foute No.
7oCf A A
E ?l Crty
?R6-- A A)
ectmn o. ownship Name or o. HanBe No. County
OccuVa (PRINT)
N1J dRks Phone N
Z- Fs93
Powee SupOlier AAdress
DA cTA fl,6?? re s S/u
Elec cal Conhactor IComvanY Namel Conv:ar,tor's I!cense No.
?sp6.cl , o/n ,? a cl r clik.S 3
M;aihnA AdJress ICOnVacmr or Owner Making 1 stallauonl
?
7S L
j
J l/
,
w
t j
-
Auth ed Si nat e Conhactor/O er Makmg InstallatmN Phone Number
S-40-
,
MINNESOTA STATE BOAXD OF EIECTflICITY THIS INSPECTION HEQUEST WILL NOT
Griggs-M,dwey Bldg. - Noom N•197 BE ACCEPTEO BY TME STqTE BOAHD
1821 Universitv Ava., SL Paul. MN 55104 UNLESS PPOPEF INSPECTION FEE IS
Phone16121642-0800 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION ^ ea-ooooi-os
/ See inshucbens lor complabn9 Ihis form on bxck ol yellow copy. '7(jj j-C ?
??22-E;'3 "X" Belaw Work Covered by This Request
1 l+dd NeD• 'IYDe of emltlmg?- Aoobances WneA Equiument Wired
Home Range Temporary Service
Duplex Water Heater Liyhtinp Fiztures ?
ce
Bulk
N Fee ServiceEntrancaSixe M1 Fee Feedars/5abteeders N Fen Crtcmts
CZJ ? to 200 qm ps 0 to 30 qm s
Z 0 tn 30 Am s
Above 200 qrp??y, 31 to 100 Amps 37 to 100 qm s
Swimming Pool Above 700_Amps Above 100_Amps
Transtormers Irtigation Boorcis Partia6'Other Pee
Signs Special InspecLOn
s 5?k-?n
Final
. ,na
.?j?l
?? ? Inspector, Ireraby
7 ?certity that tha abova
iC(?rnspection has been
crYV oF rAcAN
f;AfiH:[=F(: S TGfiMItdAL N0: 81.8
DFlTE? 0E3/1.9/98 TlhiE: 15:36„03
in:
NAHE:
3210 9001 '784 HAY LAY,E FD 137.25
21.55 9OO:L 784 HAY I_f1KF RD 4.00
?
Total. Receipt Amoun+„ 1.41.25
C6i0964F.'F,
i.isria .r.zl", nANcv
'M9fi>k>k?'?k'%F>X1k1%?'C?$X?)k'M?Xi%7X9(•7kX(M?X$(?;PCi 8(%Y'M..l'tikik7X?M14$C$tX(
PERMIT
IF CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuaLozNe
Permit Number: 0 3 2 9 0 4
Date Issued: 0$ /19/9 s
SITE ADDRESS;
P.I.N.: 10-56151-150-03
704 HAY LAKE Rp N
LOT: 15 BLOCK: 3
QVERHILL FARM 2N0
DESCRIPTION: rNREE SEASON
re?
Bui?:d°t=3"?,Permit Type
BFeCi ft?r• k T y p e
,Z:0 41 susCade439
? -_
qu ? _ ? _ ' ??eY4rvID
tE?a•=, ' - " _
jn ? . ' ii n'p?f
tt` =Y2y4
El f 4. ?? ". A.&ge'
?"F[ M` ' 3 F, a & s?' ..?+MW y?'
?
PORCH
3F PORCH
NEW
ALT> RESIDENTIAL
Afx? Ii? E.ice O;a? ¢?t: }?'?SIE rv6Fr ??&Ik??6 ??Y_°;?? ?Mta-'u( gU`?g ?°?8
re µ
?i 5 6i?i? cav?a5 sv"'," s„ ?s p„ `c ee m?s`
v4 >
REM#RPREVIEWED BY JpE VOELS. NOTE: MIlS-SPAN FTGS TO HAE 18" BEIIS & COftNER
F7GS. TO MflVE 21" BELLS. MINIMUh1 OF 3 RAFTER TIES,SHALL BE PLACED IN BOTTOM
, 1J3 OF THE RAF7ERS (IE @ 4' O.C.) CALL 445-2890 REGARDTNG ELECTRICRL PEiiMT75
FEESUMMARY: vALuArzoN $8,000
Base Fee $137.25
Surcharge ? A - 00
7ata1 Fee $141.25
rn r T?- p-- ----?--=Applicant - ST. LIC
SRFJWTpt75TAT1E1NL7RIES 13711158 0002604
1c?? FRANCE AVE S
Gf•yLDEN VALLEY MN 55416
(412) 371-1158
I T hereb:p acl?ndwle.dge tjbat:`I havie?;- read t16
: i n?csr'm,a??an :as car?ro'ct arreq re0':to ccrffi p
StatS.tt*s anci Csty t,agart brda.rrq nces -
? ..?. .._ t / l i F •`/Y / • _ Yc'. .4 .e?
WNER:
ELCHLIN
704 HAY
EAGAN
(651)456-0163
JAMES
LAKE RD N
,MN 56123
P_ ? I
?s?-?p•?iiea?%o?-?rfd? itha't'the?,?? "
Lyr wztki. ail„ apPl?caF?IP -; S=tats oF_ IAri: ,
0 u/?
?R r V? 'V VG/ I?\ V/
SSUED BY: SIGNATURE
Wat
? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? ? ? ?? 3830 PII.OT KNOB RD - 55122
681-46T5
New Construdion Reawrements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
• 2 capies of plans (inGude 6eam 8 window saes; poured fid. Cesign; etc.) ? 2 site surveys (ezterior addkions 8 decks)
• 1 energy calculations ' ? t energy plwlations for heated add'Aions
• 3 copies ot tree Dreservation plan 'rf lot pWtted after 711/93
reQwred: _ Yes _ No
DATE: ?-/ 2- CONSTRUCTION COST; f0. DOo •?
p E?SL'RIP TION OF WORK: .3 S Crx SQnI ?f?? ?. ??nX. t o`
??
STREETADDRESS: I ? ??
LOT: BLOCK: 3 SUBD./P.I.D. #: oUrr 4-,L6
W-C-- 1Ckl i n
Name: L,()r tc 4 U? ,a s Phone #: qS l?!5 1 6'
_3
PROPERTY Last First
OWNER n
Sueet Address: )O ?! /V. 1^la? ? P
/
City Ock j ek - State: Zip: 57.5"-/2- 3
i eA.Y
3• S7/?
CONTRACTOR
ARCHIT'ECT/
ENGINEER
Street Address: 10 6 T r? -, , -c Cl.i P, S'a License #tf?p O ZK 0 4-1
City State: /'-17 ? Zip: 5 J'?lI ?
Company:
Name:
Street
City
Sewer 8 water licensed plumher (new construction ony):
and lot change is requested once permit is issued.
State:
Penalry applies when address chang
I hereby acknowledge that I have read this application and sfate that the intormation is correCt and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
Registration #: _
Zip:
Tree Preservation Plan Received - Yes - No - Not Required
ww
s
OFFICE USE ONLY
BUILDING PERMIT TYPE
D 01 Foundation ? 06
? 02 SF Dwelling O 07
? 03 . SF Addition ? 08
j2r0_4 5F Porch ? 09
? 05 SF Misc. ? 10
WORK TYPE &
? 31 New ? 33
??- Addition ? 34
Duplex O 11 Apt./Lodging ?
4-plex ? 12 Multi RepairlRem. ?
8-plex ? 13 Garage/Accessory ?
12-plex ? 14 Fireplace ?
= plex ? 15 Deck
' ly7te •TPAK FTt,s. 78 ,ss,sde IS" ¢ [jcLCj
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
-?r Cmzm L p- /'r y s
'T? f'?AUC 7i? w /3t'Lts. ??So? /?'l?Ni?vlup. Uf`
?ZS .sNAU J?lt /'e.AGL? ?v THC ?ar7a..?. /..?
Alterations ? 36 Move /
Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft. MC/W5 System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq, ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building 12 Engineering Variance
3 Oz.9<rcg-
G•= T/e C
4f , d. C ?
y
413
U(
O
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treaiment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
r ?
Valuation: $
?7zx yo = 76 L5 a
% SAC
SAC Units
=f9??
?
-IZ'x/6'_PRoPCSE0 _3 sers
pORCH f)ODRI,N
85'
Y
L
A
k
R
D
.
19
O
go'
L)r,?. wAy
SM? ;g DL: c?=0;u ;3a[[e:Y o rz:ad o.k 1
q7y;; R£9Ll.^'7 GN GyL. 1= V_,I7i: F30USC
,VELS
? SN A}?j? SL`:EFitiG riCJNL ?i?1 Lr
CQhTe?1NiNG SLEEPIKG ??+ • CEN67AU.Y
LOi.A'IE SMOKE OL•KEC7'OiS ? HAL.WAYS.
1 97'-----
?? ? -}- _
SiiE PLAN 7BY EAGAN
is?
z- ? SHCTIOfdS DFPT.
LCOq? (?ESCRIPTIeN
flveRH?? FARM 2nd aD /S'J
? W rqE R- irn4oRio&ci
7oy Na NRV LA" RID
[qGqN MN SSIZz;,
CcN'fHC1OR 'sAWDvsT I??I?.+w•t
n.e,.,.? n•. C.... i^..._.....
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
an oF eacaN
3830 PILOT KNOB RD - 55122
` U o ? 851-681-4675
Naw consrnicxon rteaWremenh aemoael/aeodr rteauremems cD CJ
D S repislered qh wneYS showlny s4 R ol bf, eQ. lt oi houte
ald 2U roOt6d CreOS (20;L nKadmum bl covemae allowe[B
> 2 coples of dmn fahow beam a window sizes: Dared Ind. deqprr etc.)
> 1 ter a eneryy cacwcdau
Y J caples of Iree rese adon plcm H IoT plalla0 aREar 7/1 /93
DAiE: ? cO
DESCRIPTION OF WORK:
SfREET ADDRESS:
? Y
2 eopies oi plan
1 eet a ererqr cacLaan«+s br hec,rea adtlrnon.
1 site wrveY lor extedOr cfdditlona & decka
2??? ?
TION COST:
LOT: -E BLOCK: --?i SUBD./P.I.D. #:
PROPERTY
OWNER
CONiRACTOR
ARCHRECT/
ENGINEER
Name: U.(? 6 5 Phone #:
Laat Flnt
Sheet Addreas:
t\
,
Clty G.?"rL ? State: Lp: J cS
Company: Phone C 1951 (area code)
sneeraaaress: 35 90 r- cc.R uc.nseo Z2i399'9xP.
1 Z7
ciri ?-sta?e: Mn zip: s5
Company: Name:
Telephone #: (
Sheet Address: RegislraBon Y:
CHy
State:
V er/w2ter IiCensed plumber (if instatlina sewer/water): Phone #:
uP:
ply wilh aq appBcable Stcfe
I ir reby ackrqwtedqa Mwt I have read flds applicalbn, atale thaf Ihe kfortnoiton ia m
of iulinneaoM Sfalutes and CNy of Eapan Ordinances.
Sipnafure ot Appikanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' '2 2
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SIIBTYPES
? 01 Foundation O 07 OSplex
? 02 SF Dwelling O 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex O 10 OS-plex
O 05 03-plex 0 11 10-plex
? 06 04-plex ? 72 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex 0 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
0 18 Deck 0 23 Porch(screened)
? 19 Lower Level ? 24 Storm Damage
wng Yor_N ? 25 Misceilaneous
O 20 Pool O 30 Accessory Bk1g.
? 36 Move Bldg. 0 43 Reroof
? 37 Demolish (Bldg)' 0 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) O 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAI INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building
Permit Fee
Surcharge - LT C) o
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 S ?l a?
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
0 31 Ext. Ait - Muiti
O 33 Ext. Ait - SP
O 36 Multi
?
?
SAC Units
% SAC
? ??
?? 1987 BIIILDING /59 q
PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF S06VEY, 1 SET OF ENERGY CALCULATIONS
AtOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiiNfiR MIIST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGfiS WILL BE ALLDWED ONCE BIIILDING PERMIT IS ISSIIED.
MQLTIPLE DWELLINGS - RESIDENTIAL RENTAL QNITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHECS FiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
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: 5 -'r- Valuation: ?DSO Date:
Site Address
Lot r ? Block ?
Pareel/Sub
Owner (50A A--P1
Address
City/Zip Code
Phone
Contractor 6,'Q*1/B QAK-S
Address I f"2. 1 S. ht.q ij/ LfG
City/Zip Code 6 A 6?
Phone '-VS Z - 4" -7 V
Arch./Engr.
Address
City/Zip Code
Phone U
OFFICE DSE
On Site Sewage_
MWCC System On Site Well
City llater ?
APPROVALS
Assessments
WaterlSewer
Police
Fire _
Engr
Planner?
Council
Bldg Off
APC
Varianee
oecupancy {Z aj
Zaning ?.?
Type of Const
(Actual) ?
(Allowable) al of Stories
Length SCo
Depth RC
S.F. Total
Footprint S.F.
FEES
Permit 4-7s. ?
Surcharge 4 °,
Plan Review 23-I- `!S
SAC, City (00
SAC, MWCC 5"ZS.
Water Conn 525
Water Meter
Road Unit 305-
Treatment P1 ( Sp
Parks
Copies
TOTAL
o•n
415 •5u+
4b•Ou+
z>v•V7+
6z5 •uu?
52'.1•uu+
67•OU+
3U5•OU+-
180•ou+-
Z,4nl•1???
2- S--ED'? `
24 QD ?r2
C-4) ?- ?3Z x 4- 4-- '"
?..
? 1 -7 ??
'
;
'
` •
, . .,r ,
,
+., ,
FXTcFtIOR ENVELDPE AVERAGE 'uCprtpu7a7T,ora
:
GRAND 0Aw:S DEVeLOPME N7 COMPANY °
MODEL q . AREA U U X AREA
?
kEQUIFED
1 Tt7TFlL WALL'AREA 1800 X .I1
.
2. TOTAL ROOF,ARFA 1196 X. 026 31.096
ACHIEVCD
AREA U U X AREFl
A. WINDDW AREA 1E36.66 .5 9z.=71
Li. DGOR AREA 39. D . 077 ?. uu4 t3
C. SLIllE 6LASS AREA 13.44 .40 6./??-L'7.
D. 1= I REPLACE Ai3(=A • p 0 0
,_. WC:LL FF:AME AREA 1E36 .041 7.70
F. NET WALL h1F:l.A 1164.1 . 049 5 7. 04 ':'`>
- G. RTM JOIST AREA 119.52 .0436 5.211072
H. 1=0UND WSNDDW AREA 0 0 "
1. FOUND AEOVE GRADE 96.48 .135 13.0240
?. 70TAL•WALL AREA 1600 ? 105.5026
J. SKYLI7E " 0 0 0
K. ROOf= FRAME 1 19. 6 .032 3.0272
L. NET ROOF AREA 1076.4 .025 26.91
4. 70TAL ROOF AREA 1196 =C'.7372
SUM 1. +2. 229. 096
SUM 3.+4. 2I6.2390
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*Xri'F': PAYMM OF FEE AT 7IM pF
APPLICATION m? ? ??
?PROVAL OF PER!-1IT.
^ tkYe'*kf[Y?Yt'fHYrXN'fRaFYtftSa'1t1t'X'RaFaFXY['A'1t'X?lt"R
P ease Print)
? 1) PROPERTY ADDRESS: 724 /PW
LEGAL DESCRIPTION: L / S^ 1 K7 3 ?"
%a,oL/ntoCK/6llDdYV1S10R or Tax Parcel ID f)
IF EXISTING STRCL'iTJRE, DATE OF ORIGINAL B(,'ILDING PERI••IIT ISSCANCE:
' PRESEDTf ZONING/PROPOSID L?SE: (Mon Year)
q coMERCIAL/x?.-rxIr./oFFic:E
r7 IAIDL'STRIAL
n INSTIZSJTIONAL/GOVERIZE]T
0R-1 SINGLE FAMILY
G R-2 DLPLEX (7D.v Units)
? R-3 TOWNEiOUSE (Three + Units)
Q R-4 APARZT=/CONIDUMIDIILTI
( Linits )
C' Units)
2) ?
NAME:_ GQa.V 1) 64
ADDRESS: vs?z /
CSTY, STATE, ZIP: pxorE:_ qS' 2-& 9 3?/
3) • i:a•
- NAME:
i
ADDRE$$:
CITY, STATE, 2IPe
PHONE:
1 z? MasTER r,icaNss# 2/ U '7 Nt
4) •?« • ? ??•
NAME: G?P?4?o5 G?tccs ?
?
_ ADDRESS: •
CITy, y'Z`ATE, ZIP:
PHONE: .
rlu[[uJeZS' L1C2R52:
}1Ct1VE
E7tpired
Not recorded
stef 7nitial
'5) n v ? ? ?: • ?: a • ? -
G-'GfNNECPION T0 CITy SEWER --Ej--e=NECTION TO CITY WATER ? pnm '. ..
6) '? •' ??• Q PLF.ASE HOLO APPRdVID PERMIT F'OR PICK-UP BY ONE OF ABOVE
EZ-=_PLF?RR MAIL APPRQt/F9 PERMTT TO 1, 2,S 4. AH0VE .
7' r ' . ? ?? ? • (Circle one) '
.F -7
??ECTTota oF SEWM AnID/ox MMEt
IPSrlILaTrONS WIIS. NOT BE SCHED-
MM Urrru. PERruT HAs B?
APPitovm.
c -
FOR CITY USE ONLY
PERMIT # ISSUED
e,? -7?-
Pd w/Bldg. Permit FEES: •
$ 16 - S-v $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE )
$ $ WATER METER/COPPERHORN/OIITSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ L1" z S` ?J ?ZJ $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
" S_ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ??? ?Z?b $
TOTAL
. 7S?3O ?
-
RECEIPT# RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PC'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLSC
ROADWAY" MLST BE ISSLED BY THE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : , ,? ?? ?
SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0.
4- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 fEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = q S 2.3 FEET
X000.0 DENDTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = Wr 4„ FEET
(000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF BLOCK = ty5 z•'1 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 15, Block 3, OVERHILL FARh1 SECOND ADDITION, according to the
recorded plat thereof, Dakota County, flinnesota.
AND OF THE LOCATION OF A PROPOSED 6UILDING. IT DOES NO7 PURPORT TO SIiOW IMPROVEMENTS,
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNOER P9Y DIRECT SUPERVISION,
TNIS 6TH DAY OF JULY , 1987.
SIGNED: ?AM HILL, INC.
/'R' 2??y'
aY: P"e'?
HAROLD C. PETERSON, LAPJD SURVEYOR
DIINNESOTA LICENSE N0. 12294
SHEE7 1 OF 2 SHEE7S
PROJECT NO. BOOK / PAGE
87401 91z3/7o JAMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO, 8200 Humboldt Avenu• 8outh
FOLDER Bbomlngton, Mn. 55431 812-884-3029
N
FYOR'S CERTIFICATE
GRAND OAKS DEUELOPPIENT C0.
X 950A _ X948 8 _
8
N. HAY M LAKE M R0AD
950A X
950.5 X ? 84.98 N89058'37"E -',? x94e.e
o , ?
`, ,
i ? ? m 5 ??
a. o
950.90 -- 4ft.m o -----??-'I• 949.21
? . ? 24.0 0 952,0 ? It
31,67
? ? \r o? ?
L_ lJ ? ? o a a GAR. / 4 I? > \
23
.67 PRHOUSED N ti'° M a? \
I L. 0 ? r32.0/ ' m E%ISTING
--i------
Q 9? X (152,0 mO x HOUSE
m
Z o a Z
_ LOT I 9507
? 15 0
\l
? 552
955.7
I '7
ORAlNAGE 8 UTILITY +
` 5 EASEMENT PER PLA7'?\ J5 ?
? in ,L v> i
?- 85.00 N88°53'09" W -
. I
SHEET 2 OF 2
PROJECT NO.
?;-7 `I41
FILE NO.
FOLDER
:ETS
BOOK / PAOE
Z 2 3/70
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Blootnington, Mn. 55431 812-884-3029
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126579
Date Issued:09/02/2014
Permit Category:ePermit
Site Address: 704 Hay Lake Rd N
Lot:15 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
David Daher
2500 Highway 88
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jon Ozanne
704 Hay Lake Rd N
Eagan MN 55123
Freedom Heating & Air Conditioning Inc
1568 143rd Lane NE
Andover MN 55304
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1N3$2=$,+
-./$%'53/4-.1 6787P7K
;*%-'!<<3-=1>9?7A?@>7A
-./$%'#*%-+(.&1- -./$%
B$%-'6==.-<<1''A>8''T*&'Q*O-' ='5''
7:#$ %& ''\[)**+ + , ''Z2.03+$$'Q/0I'!,*
456 789:(7:798\[97:8'
;<.
;-<D.$0%$(,1
=>?'@AB. Q+0.B$/%.- ,< 0>% + ,'@AB.
D 0&'@AB. 1/<'5,<.0
6.<%0+B + ,
-.,<><'- *. X\[X'9'Z%%>B/,%A
b ,+,J
=O>/0.'Q.. 8
5IB0 2.I., <' ' 3.'3 I.'I/A'0.O>+0.'<I &.'*. .% 0<'+,'/$$'?.*0 I<M''-3+I,.A'S'E$>.'I>< '?.'+,<B.% .*'B0+ 0' '
#(//-,%<1
% ,%./$+,JM
-/0? ,'I , N+*.'*. .% 0<'/0.'0.O>+0.*'P+ 3+,'78'E.. ' E'/$$'<$..B+,J'0 I' B.,+,J<'+,'0.<+*., +/$'3 I.<'KF+,,.< /'= / .'
# '9'#/<.'Q..'U\[\\UWWM:8'8W87MX8W:
E--'B3//*.&1
=>0%3/0J.'9'#/<.*' ,'a/$>/ + ,'U\[\\U7M:8'V887M!7V:
a/$>/ + , ''\[_888M88
"(%*21FK>H>>'
#(,%.*D%(.1IJ,-.1
9'')BB$+%/, ''9
1$ P+,J'T./0 3'),*'T I.' $%` ,'ZG/,,.
788'Y$* 0/* '60M"8X'T/A' /&.'C*'H
` 0*/,'FH''::\[:!Y/J/,'FH''::7!\[
KV:!L'XV!9V!"(KV:!L'!7!9:(\[V
5'3.0.?A'/%&, P$.*J.' 3/ '5'3/2.'0./*' 3+<'/BB$+%/ + ,'/,*'< / .' 3/ ' 3.'+,E 0I/ + ,'+<'% 00.% '/,*'/J0..' '% IB$A'P+ 3'/$$'/BB$+%/?$.'= / .'
E'F+,,.< /'= / > .<'/,*'-+ A' E'Y/J/,'Z0*+,/,%.<M
)BB$+%/, S4.0I+ .. '=+J,/ >0.5<<>.*'#A '=+J,/ >0.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147894
Date Issued:02/14/2018
Permit Category:ePermit
Site Address: 704 Hay Lake Rd N
Lot:15 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jon Ozanne
704 Hay Lake Rd N
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177097
Date Issued:06/15/2022
Permit Category:ePermit
Site Address: 704 Hay Lake Rd N
Lot:15 Block: 3 Addition: Overhill Farm 2nd
PID:10-56151-03-150
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jon & Maria Ozanne
704 Hay Lake Rd N
Eagan MN 55123
Great Plains Windows & Doors
6866 33rd St N, Suite 100
Oakdale MN 55128
(651) 207-4571
Applicant/Permitee: Signature Issued By: Signature