709 Hay Lake Rd NT . .t?i"Yl.•T . : . - , - ... . . . - .. . i?, ? 3830 Pilot Knob Ro d! P.O. Bo 2G?
-1 9, Eagan, MN 55121N2 12334
. PHONE: 454-8100
BUILDING PERMIT . - Receipt #
To be used for SF ` DWG'/GAR est vaiue $73,000 Date .TULY 2 9 ,1 s 8 6
SiteAddress 709 NO HAY LAKB RD Erect 12( Occupancy R3
Lot.-3 Block 4 Sec/Sub. OVERHILL FARM 66Nadel ? zoning pp
Parcel No. Repair ? Type of Const vEi
Addition ? No. Stories
? Name GRAI4D OAKS DEVEL CQ Move O Length 50
; Address 18$1 SUk?1RI5C CT Demolish ? Depth ??
° city EAGAN Phone 452-8934 Int.lmpr. ? Sq. Ft
Install D
$ ¢ Address As5essment
? Ciry Phone Water & Sew.
?
?
N Police
? W ame Fire
c W Address Eng.
Ciry Phone Planner
i noFovr a?niwwleuyo uiM iiiauC reaa LnlsaNNncauun ana 5iaie LnaiuiC gldg. Off.
information is correct and agree to comply with all applicable State of
of Eaga rdances. APC
Minnesota Statutes and City i /
Signature of PermitteeTAL.e l/ Var. Date
A Building Permit is issued to: URAND D£VEL CO o
all work shall be done in accorHzfnce with all applicable,State of Minnesota Statutes and City of Eagai
Permit $ 352.00
Surcharge 36050
Plan Review 176.00
SAC 575.00
WaterConn. 500,00
Water Meter 63 . 50
Road Unit 290 . 04
Tr. PI. 156.00
Copie
Total ? ? .00
condition that
TNaphone #
. .. „ . . .-
.
? PERMIT #
PLUMBING PERMIT RECEIPT #
I CITY OF EAGAN 6
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
i
.
CONTRACT PRICE PHONE 454-8100
Site Address 1 1 v ' 4 BLDG. TYPE WORK DESCRIPTION
y
Lot? Block
Sec/Sub
X
? c • 14. 1 1 New
m Name C% Mult Add-on
s - ? ,
Address Comm. Repair
: '
?
/
c Cily Phon . 6
, Other
Name FIXTURES
?W
r Cl
et - $3
t
00 TOTAL
$
'
?
Address ` a
e
os
.
TBath Tubs - $3.00
- ?
?-
S
p City Phone ?Lavatory - $3•00
- ? -
Shower - $3.00
? ?
-
FEES =Kitchen Sink - $3.00 J
COMM/IND FEE - 196 OF CONTRACT FEE
MINIM
M
S TUrinal/Bidet -$3.00
-i-?undry Tray - $3.00
- RE
IDENTIAL FEE _
U $1p.pp
Floor Drains - $1.50 ti
MINIMUM - COMM/IND FEE - 20•00 I Water Heater -$1.50
STATE SURCHARGE PER PERMIT -
$
/
I •50 Whirlpool -$3.00
?-
(ADD
.50 S
C IF PERM
T PRICE GOES Gas Piping Outlets -$1.50 ? r
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
? ?---
C?' Private Disp. - $10.00
?Rough Openings - $1.50
' '
SIGNATURE OF PERMITTEE FEE
STATE S/G -` "
• -' J?
FOR: CITY OF EAGAN GRAND TOTAL
PERMIT #
MECHANICAL PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
RICE oWnuF• dce_21nn
Site Address r . ? 1
Lot Block
? Name
.. ? Address ., . . , ,
c City ? f <<<? Phone -4?
BLDG.TYPE
Res. X
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
Name FEES
L
3 Address RES. HVAC 0-100 M BTU - $24.00
Q Clty L
' PhOne ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CONO. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% 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
Vent CFM. (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1.000.00)
Other
f FEE
? S/C: SINATURE OF PERMfTTEE
? TOTAL:
FOR: CITY OF EAGAN
INSPECTION RECORD
;'rl i I [? i MFi
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I SITEADDRESS: APPLICANT:
? I r 1? i f / 5 ji f-: I I ?+? . r?? i', 1 A f'? 1''i
i ?FFtNtt1 iAtrlq :N n (t, I:•) 93 3, 19 4 1> ?
PERMIT SUBTYPE:
TYPE OF WORK:
! I; -r[Nr", I I I•? NAI
f ?
?
?
....?.
Permit No. Permk Holder Date Telephons #
ELEC7RIC
PLUMBING
HVAC
Inapection Date Inap. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL _ 10 ,.4-7
??
TY OF EAGAN
30 Pilot Knob Road
0. Box 21199
gan, MN 55121
sWER sUVacE PemR
PERMIT Nn .
Site /lddress; 70 p rth
l T-?
L-k -
Plumber.
I *5M go seveOt1 wim !w Gh of 16200 Connecflon Chongs;
aen.
Accoune Deposit:
Pemtilt Fee:
By Surclwrps:
Datr of Inap.: Misc. Chonpes;
Insp.: Total:
Doro Paid:
CITY OF EAGAN
3830 Pil
w
ot Knob Road
P. O. Box 21199 ATER SERVICE PERMtF
Eagan, MN 55121 PERMIT NO.:
Zanin?; ,
DATE:
O+rner: No. of Units:
Add?ess:
SiTQ ApfilSS:
;
Plu116QR
Meter No..
Size: Connection Qarge; ? -
R°ade? No.: Atcount DePostt:
?* ? !n Ckf' of Erq.¦
??M Permit Fee: i
r
'
. Surchorge: , =>n
?c
Mise. CFarpes; ? ;?" •,,'
gy Torol:
- r
Date of Insp.:
Dee'e Paid:
Imsp.:
CIT
Y OF EAGAN
3830 Pilot Knob Road . WATER SERVICE PERMtt
P. O. 8ox 21199
Eagan, MN 55121 ? n,? -
PERMIT NO.:
Zaning: _
DATE:
Owner: ... . (: ,J',; S No. o# Uniis:
Address:
Site lldd?eas:
Plumbar.
Meter No.:
?te: ?? -
p
?
Reoder N0.. i
?
WertU4F41
• ''
d"opmw
tooly whh th. Ciry of
O
"
?
r
ian
Q
Aft
6
{ rfles: 1
ey
Tatcl: ?'? .5??? ?eter
Dote of 1nSP
•. - ? Pofd:
'- --
/0 ^./ - F6
p1/?9/ ?? REQUEST FOfl ELECTRICAL INSPECTION 10 ea-ouoot.oa
It Sea instruc[io-s for completinp this brm on back ot yellow cooY. ?
43051 "'X"" Below Work Covered by 7hrs Request
AAd NeO. TVpa ol BuilEina Ap0liuncee Wiretl EquiUment Wirpr]
Home Range Temporary Service
Duplex Water Heater Lightin Fixture5
Apt. BuilAing Dryer Electric Hea[m
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm tnr, aeo, v einF,(snuW)
Mnr uecity Other 01hi-r
Compute Inspection fee Below
N Fea ServiceEnhenceSixe # Fee Faxdere/SUbieeders' p Fce Circults
0 to 200 qm s 0 to 30 Am s 0 ia 30 An! s
Above 200 Am ps 31 to 100 Amps 31 to 100 qm
Swimming Pool Above 700-Amps Above 100_Am s
Transformers Irngation 13ooms Partia6'Other Fee
SignS Speciallnspection "
$ '•
? ? \
TO
A
Nertvfrks j? ?.
L FEE,,?p ?J.
!w ffUJr
Rough.in ? ? Oate th2?Elecvical 71
?
j,;aFti(f ,
Inspector, hereby
certify thnt the above
Final ? p, i i??
'a?
?
? nauection hes Eeen
meda.
•hh reaueat volU 18 montM fram
Thiy repuest void 9,4?y/?'-?
78 mo4lhs Irom,. h
C 43051 Sec.6ve?rti.l\
Fequ t Date
- / ? ? Fire No. qough-in Insuection
Repu retl7
Ses ?NO ? 'nSPe`
Ready NuwVWill Notify,
tor When Heady
5KLicensed Electrical Convactor I hereb re
y puast insvaction of ebove
? Owner elattrical work installed at
Sueet AAdre s, Boa or R te No. ,/? Cit
r LZ4 Y
ecUOn o. Township Name or No. Range No. Counry
ant IPRINTI
(rA r S Ph ne No.
?-5?3-8R3
-JWwer SuOPlier Address
I ctrical Convactor ICom n amel . ?..-??
r
? Convar.mr's Icense No.
p
.U_
e -
? co O s?
Mafling AtlJrass IConiract or Owner Making Insiailationl
? w
Authorized 5? awre 1 on ect r wn -Ma ny InstallaiioN
-
j
?p??
? Phone Nvmber
;
-
,?
?; I
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT
Grigga-Mitlway Bldg. - Hoom N-197 BE ACCEPTEO BY THE STATE BOAAD
1821 University Ave., St. Paul, MN 55104 UNLESS PPOPEN INSPECTION FEE IS oA....e Ia191 047JHt ENCLOSEO.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0 12334
PHONE: 454-8100 ??/,23
BUILDING PERMIT
Receipt q ??
7o be used for SF bWG/GAR Est. Value $ 73 ,000 Date JULY 29 ,19 86
SiteAddress 709 NO HAY LAKE RD Erect L? Occupancy R3
3
Lot Bbck 4 OVERHILL FARM 3?4ifibdel ?
Sec/Sub. Zoning pn
Parcel No Repair ? Type of Const. Vg
.
Addition ?
No. Stories
a Name GRAND OAKS DEVEL CO Move ? Length S?
z
Address 1881 SUNRISE CT Demolish ?
? Depth-
F
S ?2
Int. Impr.
o
Ciry EAGAN Phone 452-8934 Install ? q.
t
-a
o
Name Approvals
SAME Fees
$a Address Assessment Permit $ 352•
? Ciry Phone Water & Sew. Surcharge 36.5(
Police Plan Review 176.0C
iui Name Fire SAC 575.0(
?j5 ,4ddress En 500.0C
WaterConn
g. .
a W Ciry Phone Planner Water Meter63.SC
OC
Council
Iherebyacknowledgethatlhavereadihisapplicationandstatethatthe Bid9 OK 7/29/8
6
information is correct and agree to comply}+' ith all applicable State of
Minnesota Statutes and CiN of Eaoa?rtlYnances. APC
Signature of
A Building Permit is issued
all woik shall be done in ai
Building Official _
with all
Var. Date
?
Road Unit 290.0(
Tr.PI. 156.0(
Copies
Tota? $2,149.0(
on the express candition that
Ciry of Eagan Ordinances.
T
?_D
41? City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i-- -.--- -,-- -- i
?
? Pertnit Fee: ?
I c? ?
? Date Received:
I ?
? Staff: 1 -----_ J
2008 IUiECHANICAL PERMIT APPLICATION
Date: Site Address: --? oq N- "-A 0`y •
Tenant:
Suite #:
???c5 Phone:(aSj
C?,
e?dV
N
J
F1?
RESIDENT(OWNER --
_
am
-
1
Address / Cit?/ Zi ? N ?G- La tt? b +-0
CONTRACTOR Name: _ Dan Wohlers Southside Htg. & A/C. License #:
Address: 6950 W. 146' St., 4106
Apple Valley, MN 55124
Ciry:_ (952) 431-7099 tate: ZiP
Phone: Contact Person:
TYPEOFWORK -New _'/-Fteplacement _Additional _Alteration _Demolition
-`
L v- S oc? T?T L"k`
-
Description of work:
.?Blij?jfhTI?Plf?rl?J?Edt6..:
'•"
:?'E ?lT?1'l?D?fLf7iYCT}?It??`R(f9?b4f(?it"dE?o
?
!
?`4?eC?i??i'ar?brpt??o%Rf?e? :
A
???7±T??'Crrrt'?;Yh+a ,
W?C+?3"4
.
?
a-.
a .?..
1tt?iGt?
RESIDENTIAL COMMERClAL
PERMIT TYPE ? New Construc[ion _ Interior Improvement
Fumace -
Air Conditioner Install Piping _ Prceessed
Air Ezchanger
- - Gas _ Exterior HVAC Unit
` HVAC units must 6e screened
_ Heat Pump Under / Above ground Tank (_ Install /_ Femove)
Other " When installinglremoving tank(s), call tor inspection by Fire
Marshal and Plumbin Ins ector
AESIDEMTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 Stste Surcharge)
$90.50 Fire repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
a??So TOTALFEE
$
COMMERCIAL FEES:
$70.56 Underground tank installationiremoval OR Contract Value $ X1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- It Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State SurChafge
$7,000 Permit Fee (i.e. a$7,007-$2,OOD Permi[ Fee requires a$1.00 surcharge).
$ TOTAL FEE
I herehy acknowledge that thfs informffiion is complete antl accurale; that the work wiil be in conformance with ihe ortlinances antl coaes ot tne cny oi cagan, mac
I understand [his is not a permi[, bu[ only an application for a pemnit, and vrork is not to start without a permit; ihat the work will be in accortlance wi[h the approved
plan in the case of work which requires a review and approval of plans.
x c?. Ua.-*)???
ApplicenYs Printed Name ApplicanYs Signature
2004 RESIDENTIAL Bi7ILDING PERNIIT APPLICATION
City Of Eagan 00
3830 Pilot Knob Road, Eagan MN 55122 ?? ?-
Telephone # 651-675-5675 FAX # 651-675-5694
New ComWCfion Rewiremenls RemodeVReoair Reaui2menls
3 regislered si[e surveys shwuing sq. R of b4 sq. ft N house: and all raofed areas 2 copies of Dlan
(20% maximum bt covemge allrnved) t set of Erreigy Calculations tor heated additions
2 copies of plan showing 6eam & window sizes; poured found desgn, etc. t site survey for addNons & decks
1 set of Fseigy Calculations Addition • indicafe if on•site septic system .
3 mpies of Tree Preservation Plan R bt platted after 7M/93
Rim Joist Deieil Options selection sheet (bldgs vritli 3 or less uniLs
Date Construction Cost 7 ?00(/U-
Site Addre :70QL( LIU LC Y .P ?p a n UniUSte #
C/ ?-
Description of Work IQCI V,G lx3 iVl(10uj S "-- ?, A 1 Y?? ?\
Multi-Family Bldg _ Y yN Fireplace(s) _ 02
PropertyOwner M ges -1 /Cc]X r/1P 00 y,1tS Telephone#((?
Contractor se ? t
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivliffiesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Woricsheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #{
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclaiowledge that the informa ' n-ia??urate;
that the work will be in conformance with the ordinances and codes of the City o 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 start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
11S ? `
? nvwV
App icant's Printed Name A 1'cants Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Poroh (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Leve! ? 24 Storm Damage
O OB 04-plex ? 12 12-plex Plbg Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish FoundaGon O 45 Fire Repair
? 33 Alterafion ? 37 Demolish 8uilding* ? 43 Reroof ? 46 Windows/Doors
? 34 Reptacement •DemolFflon (Entire Btdg) - Gfve ACA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & WaYer _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , euilding 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
%n-UU)K:!(:i6YF:?(:'M'?:k%t
CL'i`d C1P 1=r,t,F?i•
CiltShl.i.EFi;; s Tf.i:RT4.f.fdi4L "20; 19
iifi?i':.n 08/C)"r'/`'9i T':i'i;!'r.:c 0:,4702
;I: e
NnMr.I: !:lpXANi.:'. A .UPtV.f.S
3;?:i(J 59001 709 I-IAY I_.f;l:!:= l4ii 50.00
c:k."i 9001 709 FI(1Y L.(-1KF.? ("t:'•.i fi.!:J*:?
3130 `):lfl:i. 709 H1V i..Ai"= F(1.! 0,25
. . . y. _. -. ?T?r?.9; Ji i?ii??_q27.?.;'; HI„?.,t.l?7FC 50.75
Ci"?.??r?,..?.G:'
n.i.?Il P I''f.i 1}.fi. I??1?' A >
I?JI::.I l JJ •`CY
a?.y.??;r ?:9n:?1::?:;?:?t>X'J,<Y,tY,:.k?.???';?:.;???g'?;>k%'F?nk::;<;:i#'•k:'?V:>g:X;?;i?R:M1F
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
709 HAY LAKE Rp N
10T: 3 BLOCK: 4
OVERHILL PARM 2ND
P.I.N.: 10-56151-030-04
DESCRIPTION:
Building?Permit Type
;Building Wi?r..k? Type
Census Cads
'?..
:.
DECK
NEW
434 A'LT. RESIDENTIAL
4. i ? l?fr {j4?
lE..
Ll 1..: i V j J
BUILDING
030575
08/06/97
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPY $.25
5urcharge $.50 Total Fee $50.75
Subtotal $50.50
CONTRACTOR:
.
OWNER: -
DAVIS
704 HA
EAGAN
(612)933-3946
Applicant -
JAMES
Y LAKE RD M
MN 55123
p I
S heretsy acknowledge thaC I havs read.this dppliaation and state that.the
a6?ateMn
informa,tion is corr;ect and agre*=to cdtn{sly v i.tM a3.,?':.=appla?0
? Statutas snd City af Eaga6 OrdiKances.`_.
AP?' ?i,?/? ?ru?n ?Po,,rl f
? UCA / R SIGNATURE - ISSTEB Y: S A E
30646997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ff(?. q?
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
681-4675
Naw Construction Reauirements $efiodeUReciair Reauiremerda
? 3 registeretl site surveys ? 2 copies W plan
• 2 copies of plans (indutle beam 8 wlndow saes; poured ind. desgn; etc.) ? 2 ske suneys (exterior adCkions & decks)
? 1 energy calwletians ? 1 energy calculations for heatetl add'Rions
? 3 copies Mtree preservation plan H lot platted after 717/93
requiretl: _ Yes _ No DATE: 2 ?' CONSTRUCTION COST:
DESCRIPTION OF WORK: ._ClG?dLL/P?
STREET ADDRESS: ';O_ S ) A??? ???CP ?CCf
LOT ? BLOCK SUBD./P.I.D. #: Q?eA,?\` TaS`M 1A WAVoN
PROPERTY
OWNER
CONTRACTOR
Name: ?oc??5 ??.?PS Phone #: (Acl"
Street Address: -fQ-? 37S
City:
Company:
Street Address:
City:
State: mn) Zip:
State:
ARCHITECT/ CompBny:
ENGINEER
Name:
Phone #:
License #:
Zip:
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new Construction only): . Penalty applies when address change
and iot change are requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all applicahle
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificatesof5uiveyReceived _ Yes _ No AUu 0 1 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY:_,?,!
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ?
0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ?
0 04 SF Porch o 09 12-plex ? 14 Fireplace ?
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New o 33 Aiterations ? 36 Move
32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
I
_?•
._.- : a
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies /
Total:
°/a SAC
SAC Units
v1 Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
fY o!t' s C L"• F1'r I I' I C A'C' G GRAND OAKS DEV[LOPMEfIT H401
-N 89058'37" E 80.00 - (53c °)
ORAINAGE A 7777L!]y Eq5t7(Qyr S ?
? PFR PLqT'
I
I I L 0 T ' I 3 I
Q? I M
c\i
,,.
I ?46, v
-lia_ro- (45°v) s5?o) .re.s ,
? f 46.0
?--?
I PROPOSED I ?
I-- o
W
HOUSE
3 0 / op
?
• r\ a' ry 29.33 ^ I e
?
? j .0 j N O \l
I
' o 0
- ? i ' °/Gart. FJ p
zz.o _LO.zs. y i
-? y
qS 0. ?
b 5 ?? I' J
o J N!
.. a•:o-y
ll .
gg,p/ R=1884.29.4e 2o4034 , < o
O
M
• _ HAY LAKE ROAD m
?.:
Sheet 2 of 2 sheets ?-?-
hftOJBCT 110. OODI( / AA(3E
86816
P1L9 fJO.
'FOLDER
JAnnrS n. HnLL, iNC.
Pl4nners / Cnalneers / 5urveyora
020U Iluutbaldl Avenue 9aulh..'. .
UloolUlnptou, htn. 50431 012-004-3020
olYXi *:?V:F**'1'(?%};fi1;(:j:k)?k**:$**'I,C*7;t*YSY*%hiY.;:**'!„7(k>k'h'<1iM
crrv c,r r_Ac,AN
CASN:LIcft: JS T'L"RMTNAl. nG: 748
pcl'Y::a 043/30;99 12t1E: 1.3^03.13
ID;;
Nr^,Nfl::. RTGNT' NA`i' (?(7pF :[t!G INC.
300 9001 4825 F'OI..JI'<. :JGA:IO 125.25
2155 9001 4825 F[)UR :3f':Ga3[J :i,OCI
32:.0 9001 709 Ht=iS' I...li F1! K? 111.25
205 9001 709 IdAY LK firl U 2n50
'.Ul;a:l Fi=`CCip; Fmottnt: 242.00
CF: I. W6g
USf:::k TD^ 31N
?F&<YS?,t 'M Yk:?t.nm?');:'M?X?%k%X'?'gc>X'MA't1kh? 5kM%k>Y?)R>%ik7Y. 'M?'::KNc?:9R:::
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
-s 651-681-4675 -3
ulremen
D S regMered sXe suneya showing sq. ti. M lot, sq. H. ol hause
and gll roofed areaa (2045 masimum lot Coveraae allowed)
? 2 copies of plans (show beam a wlndow sKea; poured Md. design; etc.)
? 1 set of energy calculaNons
> 1 coples of hee presenallon plan II lot plalfed aMer 7/7 /93
DATE: % ' -?J - g?
DESCRIPTION OP WORK: rt
STREET ADDRESS:
- `? C? ?( Q ?' R Q ---c.'1?
LOT: ? BLOCK: SUBD./P.I.D. VVnV-?
PROPERTY
OWNER
last
Fkst
Sheet
City _F' C?l ? V. ? State: /
.?
#: Uld 55-7-?6-27
CONTRACTOR
Sfreet
Ci1y
ARCHITECT/
ENGINEER Comp
Telephone #: area code (
Itemodel/Reoah Reaulremenls
c ?
2 copies of plan
7 sef of energy calculallona for healed addHions
i sRe survey tor exferiw addXbris 6 decks
COST:
i (urea co e)
Ltcense # r! e!2L?Exp• _ ]Z76
State: Zip:
Name:
Sfiee9 Address: Regisfration #:
City State:
Sewer 3 water Ucensed plumber (reauired tor new conshucNon onN):
PenalFy applies when address chonge and lot ehange Is requested once permH is hsued.
Zip:
1 hereFry acknowledge thaF I hwe read ihls applicafion, sfate 1Nat }he IMormaFbn h correct, and agree fo eomply wRh all appiicabl
Stafe of Mlnnesota Stafutes and City ot Eagan Ocdlnances.
? Slgnature of ApplicanY. ---cia?
OFFICE USE ONLY
Certficates of Survey Received _ Yes
No
Tree Preservation Plan Received _ Yes No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex 13 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
-O 03 1 of, plex O 08 &plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
a 04 2-plex ? 09 7-plex Q 14 Apartmertts ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
?0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair
{] 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 l I . ? 5"?
Valuation: $
.
5AC Units
% 5AC
Y 1986 BIIIL ING PERlILT APPLICATI011 - CITY OF EAGAN
NOTB: 9I.L CONTRACTORS MOST BS LICSRSSD iIITH THS CITY OF EAGAA
SINGLS F9NIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE fttiR[.t_TSCC _ BMIDENTIAI.
INCLUDE 2 SETS OF PLANS, CEA
i SET OF ENERGY CALCULATIONS
COMMCIAI:
RII1T9L DHITS FOR SALS ONITS
OF SDRVSY - CHECB SiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
7
T
B
U
d F '
?0
o
e
or:
se Valuation Date: - -
Site Addreas Q OFFICS DSE ONLY
Lot ? Block 4 ? Ereet ? Oceupaney R?
Remodel Zoning
Pareel/Sub Repair _ Type of Const ?
Addition # of Stories
Owner ? Move _ Lengtri
Demolish Depth
Address Int.Iarpr. _ Sq Ft
Inatall
City/Zip Code -
Phone
Contra
Addres
City/Z
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
APP80VALS FS6S
Assessments Permit $
Water/Sewer Surcharge ,
Police Plan Review 1?,0
Fire SAC SJ r
Engr
Water Conn _
sr!ln
Planner Water Meter a!z'
Couneil Road IInit
Bldg Off Treatment P1
APC Parks
Varianee Copies
TOT9L ?
NOTE: ADDRESSES FOR CORNB6 LOTS - CONTR6CTOR/HOMEOiiNER MQST DESIGHATE WHICH ADDRESS
IS DESIRED. NO CHANGES WII.L HE ALLOWSD ONCE BOILDING PERMIT IS ISSUSD.
S'URVEYOR'S CERTIFICATC
GRAWD OAKS ULUELOPhiENT CU•
YC) 1
rdoTE:
THE LEGAL DESCRIPTIOrd USED OPJ THIS SURUEY
WILL BECOP1E VALID UPON FILING THE PLAT OF
OVERHILL FARM SECOPJD ADDITION.
x
n tEv B?EL)
. Yypyr _Mf45Nq
?
.._.._. G?Y
--? DENOTES PROPOSED SURFACE DRAINAGE
SCALE:
1 INCH =
30
FEET
O
? DENOTES
UENOTES IkON MONUMENT SET
IRON MONUM[NT FDUND PROPOSED GARAGE FLOOR = 95Q3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPDSED LOWEST FLOOR = q90 fEET
FEET
(000.0) DENOTES PROPOSED ELEVA7ION PROPOSEU TOP Of BLOCK = 95n.9
I HEREdY CERTIFY TO GRAND OFlKS UEUELOPMENT C0. 71iAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUIdVEY OF THE UOUNUARI[5 OF:
Lot 3; Block 4, OVERHILL FARM SECOND ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
AND OF TIiE LOCATION OF Fl PROPOSED DUILDINf. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR ENCROqCfIMFNTS, IF ANY, THEREOfd. AS SURVEYED aY ME, OR UNOER P1Y DIRECT SUPERVISION,
iiiis /yt±, onv oF jzjy , 198('.
SIGNED
NOTE: GRADES SI10WN WERE TAKEN FROM
THE.GRADING PLAtJ FOR OVERHILL FARM
SECOND ADDCTION, PREPARED BY MINNESOTA
UALLEY SURVEYORS IlIC., LAST DATED pY
MARCH 28, 1986. '
Sheet 1 of 2 sheets
PROJEC7 N0. BOOK / PAGE
86816
FILE NO.
FOLDER
JAMES R. iILL, INC.
IIAR01_D C. PETCRSON, LFlND SURVEYOR
p1INNCSOTA LICENSE N0: 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue Sauth
Bloolnington, Mn. 55431 812-884-3029
FU..-
? V L Y 0 I3 `5 C? 1R T I C' I(G ??. `l? !:. GRAND OAKS ?EVELOPMEPlT #401
/ .
-N 89058'37" E 80.00 - (536,0)
/ Sp ORAlNAG£ 6 f/77L/7y £ASEb(QPr 5 1
? PER PLAT ?
I L 0 T I?
I 1
3
co
m
?.
I 1946.0 946,01 I
r1-
. -r -- '
? 2S .0 '-{ - -
1 p PROED I
? I I
HOUSE W
30
24.33
? o
p 4.33 N N' `i
? O
? 4 0
.. i ? ? KzGAR/M ?
22.0 -18.25-
? ? - ?R?q;-•?; -- ? _?
1° 5? ?5
+ O
? N
? p ..,..,
n ?
(54G• ? 8&0! R=1884.29. Q= 2o40 34 J
0
m HAY LA KE ROAD
,:
. t
Sheet 2 of 2 sheets 1
, JAIY,E{,/ R. {-IfiwLI INC¦
1'lanners / Enrjlneers / 5urveyora
0200 IUiniboldi Avenue eouth- . '
llloolulnplon, htn. 60431 012-804-3029
SL1RVEYOR'S CERTIFICATE
GRAIdU OAKS UEVELOPh1EN( CU.
Z?b /
fJOTE:
THE LEGAL DESCRIPTI0r1 USED OPJ THIS SURVEY
w'ILL BECOP1E VALID UPON FILING THE PLAT Of
OVERHILL FARM SECOPdD ADDITION.
?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCII = 30 FEET
• UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 950.3 FEET
.X000.0 DENOTES EXISTING ELEVATIOIJ PROPOSED LOWEST FLOOR = 993•9 FEET
(000.0) DENOTES PROP05ED ELEUATION PROPOSED 70P OF BLOCK = 9so,9 FEET
I HERE6Y CERTIFY TO GRAND DAKS DEVELOPMENT C0. TFIAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUItVEY OF THE QOUNDARIES OF:
Lot 3; Block 4, OVERHILL FARM SEGOND ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
AND OF TIIE LOCATION OF A PROPOSED 6UILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEPIENTS.
OR ENCROICIIP1FNTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P9Y DIRECT SUPERVISIaN,
TIIIS /ytb DFlY OF fc, iy , 198G.
NOTE: 6RADE5 SHDWN WERE TAKEN FROM
THE GRADING PLAN FOR OVERHILL fARF1
SECOND ADDTTION, PREPARED BY MINNESOTA
VALLEY SURVEYORS TtJC., LAST DATED
MARCH 28, 1986. '
Sheet 1 of 2 sheets
PHOJECT N0. BOOK / PA(3E
SIGNED: JAMES R. PILL, INC.
13Y:
HAROLD C. PETERSON, LAND SURVEYOR
PiINNESOTA L]CENSE N0: 12294
JAMES R. HILL, INC.
86816
FILE NO.
' FOLDER
Planners / Engineers / Surveyors
8200 Hum6oldt Avenue South
Bloatnington, Mn. 65431 812-884-3029
', ?,?y U n v' G'Y orrs cGnTlr' ICA rr G GRAND OAKS DEVELOPMEhlT #401 . N
' ' • ??3y ) -N 89058'37" E 80.00 - (936•°
? ? -
.• ? 51 ?.IORAlNAG£ 8 fmi riv eacrucur S ?
PEF PLAT
? L 0 T '
? I
3
. co I ? m
I C?
?s.7o_ (45ao) ?
? as.o
I / i
` PROpOS
E D
0 /
HOUSE I
O ? 1
W
• ?, L`' N
0 24.33 m ? =
4.33 vNi (V `N
O
? Q
Ir ? pIGAR/?f
-
?
? 0
0
? }-
=-a______
22.0 _18.2$-
_ -- ? y. . I
I
k? --?
?
b
N J
M N
/
g8,01 R=f884.29. d= 2040 34"
0
• _ m HAY LA KE ROQD
M
F;
Sheet 2 of 2 sheets
af10J6CT NU. flOQK / pAOI!
86816
P1LH tlU. .
' FOLDEIi
' JAMCu R. 1-I1L.L., INC.
I'lanners / Gnriineers / Surveyora
8200 IlUnlbaldt AVeiius 8outfi- •
f3loolnlnqlon, Mn. 60431 012-884-3049
.
ExTERIOR ENVELOPE AVEFAGE U COMPUTATTON
' GRAND tlAKS DEVELDPMENT CQh1PANY{'' \
MODEL a. :..AFEA;' v'.U. U X AREA
?
kEOUIFED
1. TOTFlL WALL AREA 1806 X.S1 ll?
2. TOTAL ROOFAREA. 1196 X.U.b 31. 96
ACHIEVEp A. WINDOW AREA
B. DC'iOR AREA
C. SLIJE GLASS AREA
D. FIREPLACE AkLA •
F. WALL FFAMG AREA
F. NFT WALL AREA
L. RIM JOIST AREA
H. FOUND WIhDOW AREA
1. FOUND APOVE fiRADE
?. TOTAL WALL AREA
J: SKYLITE
IC. RODF FRAME
L. NET ROOF AREA
4. TOTAL ROOF AREA
AREA U U X AREA
186.66 .5
39.0 .077 ?_.U646
13.44 .40
0 v o
1A0 .041
1164.1 .045' 57.040'>
119.52 .0436 5.211072
U 0 L'
96.48 .135 13.0249
1800 6.50 2' 6
0 0 cl
119.6 .032 3.9:72
1076.4 .025 26.91
1196 ? 7372
SUM 2.+2.
SUM 3.+4.
?.096
?•!-8r. 2398
L.J
. ?
?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*A'PE; pAYMFTTf OF FEE AT TIMG OF
nprLscATIoN noES NOr corszzzcnE
APPROVAL OF PERMLT,
INSPEClSON OF SEWQt ArID/OR FP.TFR
I2 r.ramrONS WII,L NOT BE SQgD-
UIED qNi'IL PERMIT HAS IIFEN
APPROVID. P ease Print
----------------------------------
1) 4ROPERTY ADDRESSc
LEGAL DESCRIPTION:
IF EXISTING STRCCiL'RE, DATE OF ORIGINAL &!ILTJING PERMIT ISSCP,NNCE: .
i
PRFSENr 7ANING/PROPOSID CSE: (Nbn Year
q coLcr1%L/xErAIr,/or-FicE
Q irroc?sTRIAL
INSTI'IL'TIONAL,/GOVEE2Nhg,'NT
? R-1 SINGI.E FAMILY
Q R-2 DUPLEX (1Wo L?nits)
? R-3 7.DWPII300SE (Three + Units) ( Lnits)
E] R-4 APARZ'MENT/CONDOMINIDM (: Units)
2)
NAME:
ADDR£SS:
CITY, STATE, ZIP:
PHONE:
-d'9,
3) u rm-•
NAME:
_ ADDRFSS:
? CITY, STATE, ZIP:
FHONE:
MASTER LICE[d]SE# o?IO711'I ?p
M Active
Ecpired
Not recorded
St?tial
4) ??• • • • i. X: .
NAME:
_ ADDRESS:
CITY, SPATE, ZIP:
PHONE:
5) i? v ? r •?• 42 :D •??e• a,
CONNECPION TO CITY SES9IIt CONNECTION ZO CITY WATER ? pTl-Et '
6) ? ?r• ?• o r ? PL,E1aSE HOLD APPROVED PII3MIT FOR PZCIC-CTP BY ONE OF AWVE
? PI.EASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE :
(Circle one)
7) r ? u• / O C?ic ?'7i
FOR CI1"Y USE ONL
PERMIT # ISSUED
7i?7
Pd w/Bldg. Permit
$
S
s 63 - ?;-b
c
$
$ /,`7-' 4 0
$
s 5bn•o 0
$
S
c
c
$
$ ?,5 lv • O ?
$
FEES:
$ It
$
S
S
S
s
$
S
$
$ - .
$
$
$
1
l
.
SEWER PERMZT (INCLLDE SORCHARGE?)
WATER PERMIT (INCLDDE SL'RCHARGE) -
WATER METER/COPPERHORN/OL'TSIDE READTIR
WATER TAP (INCLL'DE CORPORATION STOP1
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRCNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SELVER
LATERAL BENEFIT/TRt!NK WATER
WATER TREATMENT PLANT SL'RCHARGE
OTHER:
$ L>-? TOTAL
3 .
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATSON IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: la /??o
EAT LOSS CALCULATION 10 ° TEMP. DIFF,
cwewn.wm._ C7YCin? QGFS V rrv.?+rM
, y rn ?
? - ? YV1Q Nf? W ?enn tM?
D?Nr N?m? . WNk. Nr.
S?rwl ----- Giliey Iti.
? -• ileor
wmpows ma uoor?-cneka? ?nd ArM -,?
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t?? ,•,.S ,?
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Inldtw?ion
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EYp. f7jtL
No1 lsp. wall
r?d Arr
IN. wwo IM. LYn1 h. ?.
m 80- 1-7
Cwf. Mu
IMiqration O
Grr f S
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Nw o.p. wiu 3 _._.
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fbor
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let. wall
Gibn9 2 X/Z. S 1• (OD
1. loir ?
iomi ew. I /050?
'fi i.l _ f) Room f l«oh i--R wiM 1.3.l?'w.ww Sl
wmrkwrc aM Ooors-Gack a md Arw
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Erp.wall a?.SXR
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uiima 3. l7? ? 3 a--
Fbnr ?
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y
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? ?
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Gr. 38 S'I T?D
Exp. wdl
!Mt acp. wNl
IM. wall =
Gilirp ?. S
Fba 7, orn
re. W.0" w. r a.
/
? 3 I
• ?
l11f1hIat1D11 (J
Grs 02 -12)
Fm0• WAII )
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IM. wNl
?lwq 3 O ?--
fber y %
ioui nu. 1 Z?,4'7 4 1 TouI Mu. I ?f ?db
- 6Fy11Z_ L
' '. H/E?AT LOSS tAICULATION 20 ° TEMP. DIFF,
???c.? ? Tvo. ?u?n -I ? ??? ? /'?lua'T; .?cA v Q
ckv --
Orlr
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ckv -
rd Doors-Gmdcaw ard Arr
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'
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? •SX
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?
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c«rng ?a x C;t, as
Fbq 2- 1 o
Toul 8w. 13'773
{ ?.?'F ?[jq?_RoemllengtA WNM {o INI ?t
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NO a N ?? ke. N lYwl N. AZ
h.
cow.
?
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1-24
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wd A?M
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inrnr.« to(O
?
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winAnm ,rr+ ooo..-asek «W /vr windawm aee om.-Qdi...na Ari.
w? wM'?" . ^wM? `...? ?+rMwu?' .?i.
?
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c?8
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bilvw
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?
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53 139 Sr
y RES[DENTIALBUILDING
Permit Applicatiou ??)Wq(p
' City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122 c_,Q.?? /h-???
Telephoue # 651-675-5675 FAX # 651-675-5694 ? 81I z/&?
New Conswdion Reouirements /RemodeUReoair Reauiremenu Office Use Oniv
3 registered site surveys showing sq. ft. of IaC sq. ft. of house; and all roofed areas '?/ 2 copies of plan _ Gert of Suney Recd
(20% maximum lot coverage allowed) ?/ (set of Energy Caiculatiorisiorheated addilions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured tound design, etc. \/1 site survey (or addi6ons 8 decks Tree Pres Not Reqd ,
1 set of Energy Cakulalions Addflion - irMicate if omsite sepGc system _ On-site Septic System
3 copies of Tree Preserva6on PWn i( lot platted after 711193 '
Rim Joist Defail Op6ons selection sheet (bidgs with 3 or less units
Da[e -:& _ l_/ l Q_ onstruction Cost 00 !')
C
Site Address O 9 l4,»?li / ??
/ UniUSte #
/
Description of Work If??K ??, J?
"/ n
5 C-4. So
Multi-Family Bldg _ Y2( N Fireplace(s) ? 0 _ 1 , 2
Property Owner Dc ?v j
Telephone # ((?61) 62*
Sl - qU
j
t
,
a
,
Contractor )I Ah `?Ac w .' -
c,
i
Address (J q c.. City 4k)li .-,
State Zip /Z3 Telep6ane #
COMPLETE THIS AREA ONLY IF C
Energy Code Category Minnesota Rules 7670 Cateeorv
• Residential Ventllation Category
(J submission type) Submitted
• Energy Envelope CalculaUOns S
Licensed Plumber
Mechanical Coniracfor
Sf
Sewer/Water Contractor
New Energy Cade Worksheet
Submitted
Teiephone #qO 3.2
Telephone #(
I hereby apply for a Residential Buiiding 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 start without a
permit; that the work will be in accordance with the approved plan in the case of work which reqaires a review and
approval of plans.
20kanP ?.?o??IS
pplicant's Printed Name
24,Z ? a/ L /7
Af 'cants Signature
BUILDING
? ndL
"ktbt 0 7 2003
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage )kT' 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
? 32 Additian
? 33 Alteration
? 34 Repiacement Vaiuation ?a0
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type o.f Const
_ Footings (new bldg)
Footings (deck)
?c Footings (addition)
,K Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) .? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entlre Bidg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning y City Water
Stories
Sq. Ft. `
Length
Width
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
Plumbing .
HVAE
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
_ Retaining Wali
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 ?
P?-??--
25 ? x S V _ ?3,
00,44io :ja
MNcheck COMPLIANCE REPORT
Minnesota Enerav Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-7-2003
COMPLIANCE: PASSES
Reauired UA = 321
Your Home = 316
1.7$ Better Than Code
--------------------------------
CEILINGS
WALLS: Wood Frame. 16" O.C.
WALLS: Wood Frame. 16" O.C.
GLAZING: Windows or poors, Above
DOORS
DOORS
Area or Cavitv
Perimeter R
Value
__ 1560 _ _
_ 44.0
1200 19.0
800 19.0
Grade 350
84
42
?
?
I Permit #
I
I
I Checked bv/Date
I
Cont. Glazina/Door
R-VaYue U-Value
0.0
2.0
2.0
0.320
0.350
0.350
FLOORS: Over Unconditioned Soace 256 40.0 0.0
COMPLIANCE STATEMENT: The oroposed buildina desian described here is
consistent with the buildina plans, soecifications, and other calculations
submitted with the oermit application. The proposed buildina has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer Date_<?__
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_ 1-iIAY LAKE ROAD ?
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Sheet 2 of 2 sheets !.
, hn? o?ec W). lHooic i rA01:
86816 I
PILH 110.
' roLacR
;IAMES R. HILL, INC.
1'Ipnnors / Cil[jinners / 5urveyore
OROU Ilurnboldl /lvenue 8outh •
[Jloalnfnpton, hTn. G6431 012-804-3028
I
V-1'. 4
iVE:YO1I'S (,;L-H I It-IlrAI L-
ciznNu onr.s uev11uPHer11 co.
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rdoTe:
TFIE LEf,AL DESCRIPTION USED OPI THIS SURVEY
WIIL [3ECOPIE VALID UPON FILING TFIE PLAT 0F
OVERHILL FARM SECOPdD ADDITION.
Ft EVf$Ep
..?.aw irwYk,?
? DENOTES PROPOSED SURFACE DRAINAGE
O DEPIOTES IRUN MONUMEN7 SET SCALE: 1 IMCII = 30 FEE7
• UENOTES IRQN MONUM[NT FOUND PROPOSED GARAGE FI.OOR = q50,3 FEET
.X000.0 I)ENO'iES EXISTING ELEVA7101J PRO('OSCD I.OI•IEST FLOOR = qy37 FEET
(000.0) DEIV07'ES PROPOSED ELEVATION PROPOSED TO(' OF BLOCK = 950,7 FEGT
I IIEREDY CER7IfY TO GRAPID 0/1K5 bEVELOPMENT C0. TIIAT 711IS IS A TRUE AMU CORRECT
REPRCSENfATION OF A SUIlVEY OF TIf[ BOUNDFlfIIES OF:
Lot 3, Block 4, OVERHILL fARM SECOND ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
AND OF TIIE LOCATION OF /1 PROPOSED I3Utl_DINf,. IT DOES NOT PURPORT TO SIIOIJ IMPROVEPIENTS
OR [IJCROICIIPIENTS, IF ANY, T'HCREOtq. AS SUIdVEYEU BY ME, OR UfdU[R P1Y UIR[CT SUPERVISIOId,
1-111s Iv%' onv or- ;I?,ly , 198(,.
NOTE: GRADES SI10WN WERE TAKEN FROM
7FIF fRAOING PI_Ap FOR OVER?+iLL FAaPi
SECOND ADDITION, PREPARED OV MfNME50TA
VALLEY SURVEYORS IIJC., I.AST DATED
MARCII 28, 1986.
Sheet 1 of 2 sheets
PflOJECT N0. BOOK / PAGE
SIGPIED: JAFIES R jIILI_, INC.
DY:
IIAfdOLD C. PCTfRSOPI, LAIID SURV[YOR
P11NNE50'(A LIC[PISE ND. 12294
JAMES R. HILL, INC.
86816
FILE NO.
FOLDER
Planners / Engineers / Surveyors
8200 Humbotdt Avenue South
Bloolninglon, Mn. 55431 012-884-3028
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115686
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 709 Hay Lake Rd N
Lot:3 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-030
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 .
Amanda Hanson
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 -
James F Davis
709 Hay Lake Rd N
Eagan MN 55123
(651) 688-9032
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature