Loading...
712 Hay Lake Rd N,- BLDG.. PE,RIIIT N0. -7 1 .. ,Jia 01-3210 BYdg.Jier'mit, ?. 01-3422 Plan Check 01-3445 Surch. /Adtrtt?Ae 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 Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? CASH RECEIPT - ?. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, PJrNNESOTA 55122 . ^ DATE 19 / RECEIVED FROM AMOUNT ? I ? ec ooLLwwa ioo ? CASH ? CHECK FUND COP6 AMOUNT Thank You BY ? ' White-Payers CoPY Yellow-Posting Copy Pink-File CopY INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: `-" ""' "'l 3830 Pilot Knob Road Permit Number: I`' H i,? ; ; •?? j?? .t Eagan, Minnesota 55123 Date Issued: ? (612) 681-4675 SITE ADDRESS: , ; , APPLICANT: 3 ri ra?? Ii. PERMIT SUBTYPE: ,? q TYPE OF WORK: III • , 1: i t tii-, n r Li i1NI 1 r,?., 1,?' iiErk) II I „i I "I, I jf nrt i N1, I I, r? .101 A i i'IN I I I I NnI Permit No. PermR Holder Date Telephone N S/VN PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commants Footings I Foundation Framing k5" 93 ? ?? Roofing Rough Plbg. Rough Htg. l5ul. Fireplace Flnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Deck Final weli Pr. Disp. PERMIT # h _Z • ' ' . PLtSMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DA7E: CT PRICE: PHONE: 454-8100 Site Address ^J Lot I, Block ? Sec/Sub 1 F. ? Name g Address i I c City j . ._ ?i - Phone u -• ? Name 3 Address p City Phone 'i'-L, .. ? y : ` FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE S CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.OU MINIMUM - COMM/IND FEE - $2U_00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PEfiMIT PRICE GOE5 BEYDND $1,000.00) I RE F PE T S GNATU O RMIT EE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION R s. New ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI I_Water Closet - $3.00 $ I Bath Tubs - $3.00 _-4-Lavatory - $3.00 '-< Shower - $3.00 I_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 I Laundry Tray - $3.00 F4oor Orains - $1.50 '- ?Water Heater - $1.50 - Whirlpool - $3.00 i_Gas Piping Outlets - $1-50 ' (MINIMUM - 1 PER PERMin Softener - $5.00 ` Well - $10.00 Private Disp. - $10.00 S_Rough Openings - $1.50 v ' FEE: STATE S/C: ' )? ?? . ; . , "- Ttrtt#ira#t uf (Orrupttrtry titp of eagan Eppartinpttt pf llt'db* 3uptYlDii This Cerlifrcate issued pursuant to the requiremeRts of Section 306 of the Unijorm Building Code certijying thut at the time of issuance this structure was in compliance with the various ordinances of !he City regulaAing building constrrrction or use. For ihe following: ux cbn&=tk, _V eldg. Permit No. 13535 ooc"w°`r Trv° zonine DWW .. Tyye coust. a POST IN A CONSPICUOUS PLACE Uate: PERMIT ii PLUMBING PERMIT CITY OF EAGAN 3830 PILQT KNOB ROAD, EAGAN, MN 55122 Site ? Name _ ? Address c Ciry ? Phone v _ Name _ 3 Address O CitY -? 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 RECEIPT k DATE: - BLDG. TYP,,,E WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - S3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 {MINIMUM - 1 PER PERMin - ? Softener - $5.00 - Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN _ . 1 TOTAL: `? CITY OF EAGAN 3535 ? 13830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 PHONE• 454-8100 BUILDING,,PENMIT Receipt # To be used for Est. Value Date f`? 1 .19 Site b HAY 1.AKE Lot Block Sec/Sub. Parcel No. ` m Name 3 Address ° City Phone ` ,o Name ? 3 Address P Gity Phone Address City _ Phone I hereby acknowledge that I have read this application and state that the informatfon is conect and agree to comply with all applicable State of Minneaota Statutes and City of Eagan Ordinances Signature of Permittee A Building Permit is Issued to: all work shall be done in accordance with all apalicable State of I OFFICE USE ONLY On Site 5ewage ? Occupancy ' MWCC System _ Zoning ? On Site Well Type of Const T_ Ciry Water _ (Actual) ? (Allowable) u # of Stories Length Depth S.F. Total • Footprint S.F. APPROVALS FEES Assessments Permit ` J Water/Sewer _ Surcharge Police _ Pian Review 5 Fire _ SAC, City , u Engr. _ SAC, MWCC Planner _ Water Conn. -? , Council _ Water Meter J Bidg. Off. _ Road Unit APC _ Treatment P7 Variance _ Parks Coples roraL on the express condition thet nnesota Statutes and City of Eagan Ordinancea Building Psrmit No. Psrmit Holder Date Tslephono 7t Plumbing rr9, ' r - H.v.ac. G Electric Ll? Softener Inspsction Datg Insp. Comments Footings I , ?L ? Footings II Foundation Framing -11-r7 6;_ Roofing Rough Plbg r-647 Rough Htg. ig?i. ss? Flreplace Final Htg. Z ?Q Final Plbg. ? 7 6_ Bldg. Final ?/irsr,?Lt?Jj Cert.OCC. Temp. LP Deck Ftg. Deck Frmg We r fl Site ? rvame _ ? Address c City _L_ Name _ Address TYPE OF WORK Forced Air t Hester Cond. Gas Piping Outlets # Other MECHANICAL PERMIT RECEIPT # 7 L CITY OF EAGAN 7 • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE . 00 PHONE: 454-8100 Sec/Sub BLDG. TYPE WORK DESCRIPTION ? New X Res. Mult Add-on ? Comm. Repair Phone - - ?? ? FEES RES HVAC 0 00 M TU 2 . -1 4.00 B -$ r ADOITIONAL 50 M BTU - 6.00 ? one?? - (RES. HVAC INCLUDES A/C ON NEW - - _ CaNSTRUCTION) GA5 OUTLETS MIN M M ( I U - 1 PER PERMIn - 1.50 EA, COMM/IND FEE - 1% OF CONTRACT FEE a-7-M BTU .O APT. BLDGS. - COMM. RATE APPLJES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL AOD-ON 8 M BTU REMODELS - 12.00 M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES ? • 6 BEYOND $1,000) , FEE • S ? ? SlC: SIGNATURE OF: RMITTEE TOTAL: FOR: CITY OF EAGAN ; CITY OF EAGAN Permit No: Date: 3830 Pilot KAob lroad Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Conn. Chg: Acct Dep: 525•00Ad 15. OOpe Permit Fee: I0• OOpd Surcharge: Tr.Plant • SQpd •?() p 0, Meter. 67 c • ' : ? I?f?' ? ial Misc.: q Zoning: _ No. of Units: I agree to comply with ihe City of Eagan Ordinances. ey WATER SERVICE PERMIT cinr oF eaGAN - SEWER SERViCE PERMIT 3830 Pflot Knob Road P.O.'Box 21159 PERMIT NO.: '' F' Eagan, MN 55121 DATE: ? Zoning: Rl No. of Units: Owner. Grand Oaks Address: Site Address: , 7_1' _ ='q• _"ia . Lake F°ad L6 B2 Qverhill. Farrn II I ayree to comply w(th 1hs City ol Eagan Connection Charge: S? 5_ M)ud_ 1' Ordinances. - Account Deposit: Permit Fee: ? ? - ???-- SurCharge: BY Misc. Charges: Penal t3? ' ` an"d- Date of insp.: Total: Insp.: Date Paid: lot Knob Rosd K 21199 MN 55121 ' to comply wRh the CRcgOAW - of Insp.: k No. oi Units: Eic, ioo.ooPa • Surcharge: Misc. Charges: --4 Total: ' Date Paid: CITY OF FAGAN Permit No: , ? 2? Date: 5-• I' -?" 7 3.* IFNlot Knob Fload Meter No: 395 ?6 LrY Size: 5 8" Ro`A P.O. Box 21199 Reader No: 0 3P 91197- Date: Eagan, MN 55121 Owner.`? ' I Oaks Site Address:-71y__.,? .?_: r•T T Conn. Chg: 525. tlp .-1I'll'" 1tg?i?q?ir.. P1 Acct Dep: 15. ;? ??, , . 1?T?`y btif ??rnt : ?- Permit Fee: Surcharge: I?tee`to comply with the Ctty o1 Eagan Ts. P4ant ,, ' Ordlnances. Meter. ? 7 ? _ ?- Misc: Y WATER SERVICE PER RESIDENTIAL f BUILDINC PERMIT APPLICATION ? CITY OF EAGAN I I?'? S 3830 PILOT KNOB RD - 55122 651-681-4675 NawConsbucGon Reouiremenfs • 3 registered site wrveys showirg sq. R of bt, sq. fl of house; endZll roofed ereas (ZO% maximum bt coverage albwed) . 2 apies of plan showing beam 8 wiiMOw sizes; Poured (oun0 design, etc.) . 1 set of Energy Cakulations . 3 mpies of T2e P2servation Plan rf bt platled afler 7H193 . Run Joist Detail Optrons selsctlon sheet (bldgs wIM 3 w less units) DATE O JOB SITE ADDRESS 7Z IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWNER C Gt TYPE OF APPLICANT ADDRESS PAGER # - POO 'F _ FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# r-dG/'i IIPCODE 5535.? CELL PHONE # ^Al?= FAX # 11,03 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water CoMractor. Phone # Phone # Fee: $90.00 ' Fee: $70.00 PJI above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. Signafure of Applicant _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventllation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener _ Iawn Spruikler _ Water Heater _ No. of R.I. Baths _ No. of Baths CA-) _ Air Conditioning _ Heat Recovery System RemodellReoairReauiremeMs . 2 copies of plan . 7 set ot Energy Calailations lar heated addiGOns • 1 ske survey for exlerior edditiore & decks . Indcate if iwme served by seDtlc syslem iw additions VALUA(ION `' 7 SDU Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updatea t/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex 0 04 02-plex ? OS 03-plex ? 06 D4-plex ? 37 New ? 32 Addition ? 33 Alteration ? 34 Reptacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) O 24 Stortn Damage ? 25 Miscellaneous 13 30 Accessary Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mulfi O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 37 Demolish (Bldg)• O 43 Reroof ? 46 WindowslDOOrs 'Demolition (Entire Bldg only) • Glve PCA handout to applicant Occupanc.y MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered - Width REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings(addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other FranunB _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulatlon _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-plex O 13 16-plex ? 08 06-plex ? 16 Fireplace O 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Oeck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Pibg_Y or_ N Fina]/C.O. FinallNo C.O. _ Plumbing HVAC Building Inspector I • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIN OTA 55122 , I]ATE 19 ? o dZ AMOUNT $ & DOLLARE 00 ? CASH El K 7/d ?o >'Z74g 1?r FUNO COOE pMOVNT a/ d Thank You N° 73419 White-Peyers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN (v° 13 5 3 5 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING_ PEFiMIT PH ON E: 454-8100 Receipt •-7?? a 7 To be used for SF DWG/GAR Est. Value $66,000 Date MAY 1 ,1987 SiteAddress 712 NO HAY LAKE RD Lot 6 Block 2 SeGSub. OVERHILL FARM 2N] Parcel No, a Name GRAND OAKS DEVEL CO = Address 4521 SO NAY LAKE RD ? Ciry EAGAN Phone 452-8934 , o Name 5AME ?< Address ? City Phone a w w Name _ I hereby acknowledge that I have reatl this application and state thattheinformationiscorrectandagreetq complywithallaDPlicabla StetC of Minne8ota Statutesand Cit?ANEaoen Ordinances Signature of A Building Permit is issued ta ' ??vu uaxca uev ?u all work shall be done in accordance with all applicn e of Building Otticial OFFICE USE ONLY OnSiteSewage Occupancy R3 MWCCSystem X Zoning R7 On Site Well Type of Const Ciry Water X (AChaq V (Allowable) y # ofStofies - ' 44 Length Depth 4$ S.F. Total Faotprint S.F. APPROVALS FEES $ 384.50 Assessments Permit 3T --0O WateUSewer _ Suroharge . Police _ PlanReview zo2 ?5 Fire _ SAG City i(1f1 _ flp Engc _ SAC. MWCC 59 S_ flp Planner _ WaterConn. S95 np Council _ WaterMeter ?7 nQ Bldg Off. _ RoaC Unit „n 5 n0 APC _ TreatmentPl QC) ?p Variance _ Parks Copies TOTAL A7T-4 11-75 on the express condition that nryqsota Statutes and City of Eagan Ordinance& r Y - n ? NL ?'e" ° ? ?.S'u ilequBSt Date - Fri, Pough-in Inspaction I Fequire0? D Reatly Now Will Notity Inspector Ves ? No han Faatly? Iklicensed contractor ? owner heraby request inspection of above electrical work at: Job AOtlress (Slre¢t Box or Rou)No Ciy, L . t Seclion No. Township Name orN . Renge No. County Occup IIPRI i Phone No. . n ? Pc er Sup01 ? ' Atltlress Eiecmcal ConVactor (COmp am CoMractor's Llce o. Mailing Adoress ICOnKacw or Owner Maki In all5liory ?/? IAmnonzea . a re i nv mrOwne Making Instaii l I ppp Pnon um //?? v Y MINNESOTA STATE BOAZ OF ELECTRICITV Gri9ga-Midway 91dg. - Poom 5473 1821 Univerpiry Ave.. SL Paul. MN 55104 Vhone (612) 602-0800 --- THIS INSPECTION REOl1E5T WILL NOT BE ACCEPTEO 6Y THE STATE BOARD UNLESS PROPEF INSPECTION FEE IS ENCLOSED. REOUEST FOR ELiCTRICAL INSPECTION esoooo.oa l ? See inshuctiore tor complating ihis form on back of yellow copY? =??a5?s 1R9 711 'X" B&w Work Covered by This Request ?? e Atld Rep. Type of Building AppliencesWired EquipmentWirad Home Range Tempaary Service Duple. Water Heater Elactric Heating Apt. Building Dryer Other(Specify) Comm.Antlustrial Furnace Farm Air Condition r OAer (syecily) ComracMs Remark . . Compute Inspecfion Fee 6elow: / `" ?G ` # Olher Fee # Service Enirance5ize Pee # Cimuits/Feetlers ' Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector's use only: 70TAL / Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY ORD E?DI$CONNECTED IF NOT Other Fee COMPLETED WITHIN 1 THfll . ? I, the Electrical Inspector, hereby certity ihat ihe above in5pection has been made. Rocynm ? / 4 oeie/y 2, 7 / < aie OFiICE USE'JNLV This requesi void 18 momns trom , REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os Ii, See instruetions for comDleting this torm an back ol Vellow copV. ?.3?3 1 "X" Below Work Covered by lhis Request And xeo. Tvoe of euneing Aooiiancea wiroa eauiu.,e.i Wi.en Home Range Temporary Service Duplex Water Heater Lightfny Fixtures Apt. Building Dryer Electrlc Heatin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm omr. oaci v (suc, I rv) I 1.1UCGIIV Otr1Gf nlhL, ompuie lnspection Fee Below p Fee Service Entranee5ize M1 Fee Feaders/5ub(eeders k Fex Circuits Z,[I(J 0 to 200 qmps 0[0 30 qm s 39CO 0 to 30 Am s A6ove 200 qin ps 37 to 100 qmps 31 to 100 Am s Swimming Pool A6ove 100_Amps Ahove 100_Amps Transrormers Irngation Boorns ,.$O Partia6Other fee SignS Specialin5pection -^ T emarks OTAL Ft? 1Llw eUy Nough-in D.te I, tha Elactrieal Inspactor, hereby cartity thxt the above Final Dat inspection hes been mede. " 68 t0isrepunlvolElBmontirelrom ? This request void&/?y ?J` f//9 / 78 manths (rom X? D 3 2 31 Raques49ate . Fire No. Rouph-In InsUecI ion 2^ S- V"&? Required? OFeaAy Nuw ill Nutity Inspec. ??,r Wh R Yes ?NO ¢n ? eady Lice.ns¢d Elecvical Con[ractor 1 hereby request inspection of above Owner electrical work installed et Street Address, Box ar Route No. 7l z /U & r City g ;i an ection o. Township Nam r No. Range No. County Occvpant(PRINT) 1 ? Phone No. - C.7/ r 4q VS Z - &- 7 3 Power $upplier c)ZM? ,OZ6? Atltlress Electrical Con[ractor (Company Name) 19 Cnntr.ecmr's License No. ' J S - D?-1I ykS Mailing AJress lContractor or Owner Makinq I -- n iailationl 2 c) N w i 4,75 r2 Signat e ation) Phone Nomber Z2 kCio-6 3 4, y MINNESOTA STATE BOAqD OF EIECTNICITY THIS INSVECTION REQUEST WILL NOT Griggs-Midwey 91dg. - Poom N-191 BE ACCEPTED BY THE STATE BOAND 1827 UnivarsitvAVe.. St. Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ,5/j&REQUEST FOR ELECTRICAL INSPECTION ee ooom-0? C ? See instmctbns fw completing this form on back oi yellow cropy. C J G$/ ? 9?1 9 2 5 X" Below Work Covered by This Request ew ep. TypeofBuiltling ApplianrasWirad EquipmentWired Home Range 7emporary Service Duplex Water Heater . Electric Heating Apl. Building Dryer Olher (Specity) Comm./Industrial Furnace Fartn Air Conditioner Other (specity) Conhectak merks: Compufe Inspection Fee Befow: # Other Fee # SarviceEnVanceSize Fee # CimuRsiFeetlers Fee Swimming Pool 0 to 200 Amps o to 100 Amps TransFOrmers Above 200 _ Amps 00 Amps Signs InspectorB Use Onry: 7p7pL ? Irrigation Booms Special Inspection Alarm/Communication Other Fee - ? I, the Electrical Inspector, hereby certify that the above inspection has been made. Aough-in ?. oa?e^ ? OFFICE USE ONIV This reQUesl vaid 18 months trom ''- --- _. . ??? 5?/? 89 C !9 &11 f? 9 9 2 5 ? ? ? % Request Dale _ Flre No. qagh-in Inspection Required? ? ReaGy Now ? Will Nolly Inspeclor ? lP ? Yes ? No Whm ReaOy? 1 1-1 licensed contractor )(owner hereby request inspection of above electrical work at: Jab AEdress (Street, Box or Route No.1 Ciry .i Cl ? OL ? Secdon No. Township Name or No. Fange No. Cou OcwpaM (PflIIJn c a,, ),e Phoi» No. F?? ?'3(0 8? Power ppLe?r/ ? C I 4 AGdreas PG r C A.a . Eleancal Comrador (COmparry 01 ContractorB License No. Mailirg Atltlre s(COntrador w Qmer Meking Inatalla n) Authonzetl gneture niraclor/Ovmer Making Install Phone Number MINNESOTA ATE BOARD OF EL qICRV THIS INSPECTION REQUEST WILL NOT Grigg&A1Wway eltlg. - Room &1 BE ACCEPTED BV 7HE STATE BOARD 1821 Unlversky Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 6,12-0800 ENCLOSED. ntQUEST FOR ELECTRICAL INSPECTION EB-OUW1.04 ? 1 See instrvctions tor c(mpletinp this torm on Deek of yellow ?oP?. 00a0? 9? ' 15289 . X" Below Work Covered by 7his Request 0.dtl Bep. TyDe of BuiitlinB Apolinnms Wired Equiun+eni Wired Home Range Temporary Service Duplex Water Heater Lightinp Fixtures Apt. Building Dryer EleCtric Heatin Commercial Bldy. Furnace Silo Unloade.r, Industrial Bldg. qir Conditioner Bulk Milk Tank Farm Otnrr oeai v Otnnr ISnwciiy) [ er Sueufy ther 01h,r LulljNUie 111suecuwi ree ueinw k Fea Sarvice EnL0nce5ize b Fee Fextlers?5ubleetlars a Few Circuits 0 to 200 qm s 0 to 30 qm s 0 tn 30 Am s Above 200 qmps. 3t to 700 Amps 31 to 100 A $wimming Pool Above 700_Am s Above 100_Amps Transiormers Irn tion &?orc,s I Partia Fee Signs ? SUeciallnspection S S Memarks ` - I irJif71? 1 * RCfJVYIiOYIY Z/ T ?jcE Nou6h-in - ' Da?e / 7.. 1. t al / insoe.io., ne.eny Final ? artily tAat the above 'b insaection has been mede. Tnb reQuest vo1018 montM irom Tnis rauest „ola 78 mon[hs from C 15289r ;. ? f ?- 7 rO i-e , /? i irn-,n Requpst ete ` ?J ?? ? ? F re No. Rough-in Inspec[ion eq ired? ?Ready Nuw Wili No1ify, Inspec- Wh R ? ?N es or en eatlv Licansed ElecVical Conhactor i hareb rey queat inspection of abova ? Owner elechical work instelled at: Street Atltlress, 8ox or Route N. . l CilyF a 1 an I . eclion o. Township Name or No. anBe o. Counly Gfq A Occu?n? PRINTI -- 1 Phone N 8? -836 ? Power swone. Address Elecvical ConUactor (Company? e) G, e Contr,?ac?ols Ly?ense N7 ' <i:. ?; 3 Mailin?AdJress ( ont a<tor or Owner Maki B I st ? Ilation) ^^ i J ? 9 s J ? AWh etl Sign wre (Cont ctor O ner Makin Installaiionl P one NumD r 52-? 53g MINNESOTA STATE BOAPO OF ELECTflICIiY I THIS INSPECTION PEQUEST WILL NOT Grip9e-MiAweY 910g. - Noom N-197 BE ACCEPTEO 6V THE STATE BOAflD 1821 Universitv Aye., S<. Faul, MN 55104 UNLESS PPOVEH INSPECTION FEE IS PA- 16121 297-2111 ENCLOSED. INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozNG 3830 Pilot Knob Road Permit Number: 021598 Eagan, Minnesota 55123 Date Issued: 07 / 29 / 93 (612) 681-4675 SITEADDRESS: Lo`r: e BLOCK: 2 APPLICANT: 712 HAY LAKE Rp N RHEIN CONST C0, RANDY OVERHILL FARM 2N0 (612) 461-3336 PERMI PoU?BTYPE: TYPE OF WORK: NEw pESCRIPTION (INCL 6'x 12' DECK) INSPECTION I,FOOTZNG D. . FRAMING ,. 'INSULATION FINAL ? - ? _ _ ? CITI'( OFEAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 - (INGL 6'x 12' DECK) ldiriT Permit Type SF PORCW ldirrg,W'qrk Type MEW DcGUpai?Z7?1-1 R-3 BUILDTNG 021596 07J29/93 SITE ADDRESS: P.I.N.: 10-56151-060-02 PERMIT 712 HAY LAKE RO N LO7: 6 BLOCK: 2 OVERHILI FARM 2Np DESCRIPTION: $uitding L?engt#a"( Bu3lding 4Jidth r. I ft U j` 12 16 ?-?;?? ?n - ?? , ??? REMARKS: FEE SUMMARY: Base Fee Surcharge 7ota1 Fee VALUATION PERMIT TYPE Permit Number: Date Issued: $10,000 $117.00 $5.60 $122.00 CONTRACTOR: - RHEIN CONST C0, RANOY 8600 237TW ST E LAKEVILIE MN (612) 461-3336 Appiicent - sr. Lzc. OWNER: 14613336 0003311 BAILEY ED 712 HAY LAKE RD N 55044 EAGAN MN 55122 (612)688-8368 I heraby aclsnowladge that 2 hawe raasf thiz appXication and state t?hat the ? infarmation is caCrect and agre.e trt comply wi'th a13: appl;icoble Stat€; of Mn. Statutes and City o'f Eagan Ordin:anaes, L _ c APPLICANT/P MIT SIGNATURE ISSUED B. SIIVATUR REACTIYATE ?(?'(?:22, ??/ED CITY OF EAG14N PERMII` 1593 BUILDING PERMIT iff L APPLICATION ? I 2 Z. DO 1993 681-4675 .? C!i ,??f I, ri SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date qlq / zZ /93_ Valuation of work AB(9tJda- 5ite Address: 7/L /v a 4?2y LA-Kr_ ??. STREEi SUITE / Tenant Name: (commercial only) IAT (i ? SLOCK Z SIISD. P.I.D. M Descri tion of work: f?6l2Cb}- The applicant is: ? Owner Contractor ? Other (Descri6e) Name 13A4 L£? P16 Phone ?3C.9 Property LAST F1R5T Owner pddress 7/2- L A-k-f eij, STREET . STE / - City State AA tl . Zip.5?42 Company N-N b'1£1£iA) dnlstnwG76A3 C,?, Phone 4% 3334 Contractor Address F60 D 237'?-cS} -?, License # 11 Exp. (4 City l,?i?-?--?- State 01/V, Zip ?m ¢-4- Company Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this applicatio and state that the information is correct and agree to comp 1 applicable St e of nnesota Statutes and City of Eagan Ordinances. i f Signature of Applican't--_ ? OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 6? Base iifei?t%Ffinish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 13 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. eg 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. , O 05 SF Misc. 0 10 Multi. Add'1. 0 15 Deck ? 20 Public fatility 0 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC 6ccupancy IL 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump #? of Stories Footprint Sq. ft. Fire Sprinkler Length I 2. On-site well Census Code ? Depth On-site sewage SAC Code ? APPROVALS o Planning Building Assessments Engineering Variance REGIUIRED IN . , SPECTIONS A t-Sa C XDZ,? ' ? Site Footing ? Framing ?Insulation O Wallboard ?Final ? Draintile ? fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Il 2, ° ° S.oo ?°?- 6 alwcion: = 25_D_?_ ?9i 86 y0 .r----?---- ?6 SAC % SAC Units ?? ( F-Y O R' S C E R T I F 1 C A T E aRnrio nnrs nEVELnaMEnr co . M NOR?TH HAY LAKE --- ROqp ? o S 83°26' 14.99 44"E?? `_ ' .. 96.46 R_ 1944.29 d=2050133" 0 ,.o s ? ^ -- m ;. ,: 0 9Y7,n) N ? l O .r - 5 ^ nl ?. . •.y -? ' 22.0 ? ' / 39.35 ?- ?` W g ? N GAR./N ? 4.0 0 0/ ? c ? PRHOUSEO h ? Z ? ?-- ? 40.0 ? 29.34 . _ J tc) ?-- ? a W '?T \ 1 q?u WIP P ? ?M N ? I? , , 30 /,.?? Y 1 Y J . 3U_X LOT 6 0? vi m 5 (D (D I ORAiWAG£ B UTIL/r? 10 ? ? ?JfASE:1l£N7' PfR p?Ar ? L N ?_ ? ' 93.01 S 83°37'22" E (9s).o) -?- ? 1> ? 30 SIIEET 2 UF 2 SfIEETS PflOJECT NO. BOOK / PAGE 87275 FILE NO, FOLQER _ N ? ? O ? JAMES R. HILL, INC. Planners / Engineers / 5urveyors 8200 Humholdt Avonue South Biootnington, Mn. 55431 812-884-3029 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPE: PAYMETTP OF FM AT 17ME OF APPLICATION DOES NOT OONSPIITJPE APPROVAL OF PERNIIT. Tt,tSaEr'r'rON OF SEWM ADID/Ot FTATII2 . II1S'1'Ai7ATTQN$ wnZ NW $$ $?ED- ULID UMII. PF.RNIIT AAS BEM APPROVID. `* ?TX'** **t* *'R **X'# Rf Yt1YiRltYYtfFrt* *'k't*'Rilr P ease Print) ? 1). PROPERTY ADDRESS: LEGAL DESCRIPTION: •- IF EXISTING 51RCCiVRE, DATE OF ORIGINAL BL?ILDING PERMIT ISSL'ANCE: i PRESENf 7ANING/pROPOSID LSE: (Abn Year q corNERcIAL/xErazLioFFic:e Q IbIDL'SIRIAI, n INSTI'ILPfIONAL/GpVII2NMEN'p El-R-1 SINGLE FAMILY ' Q R-2 DC'PLEX (Tao Units) ? R-3 7MM0USE (Three + Units) ( C?nits) p R-4 ApARTHWp/CONIDOMINIUM ( Units ) 2) ? N11ME: ?I?4N7' D?k/?CSAwDREss:_ CITY. STATE, ZIP: PxorE:- 4/ 5'2, P93 • 3) • u ?: ?• - NAME.- V?4-L.1--?-' y ?_.•-. : For City Lse . , Plumbers License: AnDxFSS:_ l9 i o C2?Xe? A-N - .?ctive 2 CITY. STATE. ZIP:_ c7d'L?? Av?/ -S 3 S U ? Not recorded ? P xorE:_ y da a ? a/ rAsTER LIcINSE# .21 st?tial 4) •. • i?• NAME: ADDRESS: CITY. STATE, ZIP: PHONE: .5) u v ? ? r: •?• :? • y? . B?corn?crzorr To ciTc sEwEa o-EersWrioN Tv ciTr suaTER p oTHEa_. 6) ° •' ? -K--PLFASE FiOLD ApPROVID PERMIT FOR PICK-UP BY ONE OF AHOVE C3 PLEASE MAIL APPROVID PEEIMZT TO 1, 2, 3, 4, ABOVE (Circle one) ,/ l' 7) r ru•• "7`- Q ?-Xi3t r4it/ ` FOR CITY USE ONLY PERMIT # ISSL'ED ?17z7 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLDDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC S G• 7_ SD Z? $ SAC $ $ TR['NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERA L BENEFIT/TRL'NK WATER n•?' L) `$ I $ 9 WATER TREATMENT PLANT SURCHARGE $ $ [/, C OTHER: ???LCI $ $ TOTAL .?.eiA ?i?F_c•t_, ? ?}' (/ ? / 1V 7) s- ^ _ ( 7 3 ? z 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A COIVDITION. SLBJECT TO THE FOLLOWING CO[VDITIONS: APPROVED BY: TITLE: DATE : S/?-E/f 7 U•* 3N4•SU+ ? 33•00+ ? 792•?7v ? ? b25•DU+ 525•U0+ ? 67•00+ ` 305•OU+ ? 180•OUY ' 2+511•'15k ? ?? f3.s3S ? . . [V'D 0,1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CERTIFICASES OF SUSOEY, 1 SET OF ENERGY CALCQLARIOHS NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEORNER MIIST DESIGAATB WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSOTsD. MITLTIPLfi DiiEI,LINGS - RFSIDENTIAL RfiNTAL IRVITS FOR S6LE D$ITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0+MRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: S rt- Valuation: ?'000 Date: -'?- -3. O ^C1 -I Site Address L (o R Z Lot _ Block-71o? A,1• ? C?s.?ta-fCt Parcel/Sub Owner ) G?? Address City/Zip Code Phone Contractor ???b rA-AS Address City/Zip Code Phone 7 $^2. ??j ? ? Arch./Engr. Address City/Zip Code Phone Ik OFFICE USE ONLY > On Site Sewage_ Occupancy MWCC System Zoning ?1 On Site Well Type of Const City Water ? (Actual) ]Z (Allowable) ? dl of Stories Length ? Depth ? S.F. Total Footprint S.F. APPROVALS FEESS Assessments Permit -389'? Water/Sewer Sureharge 3-2>. Police Plan Review tLU ,u Fire SAC, City Oc). Engr SAC, MWCC 525 Planner Water Conn 525- Couneil Water Meter b'7. Bldg Off Road Unit 30 5. APC Treatment Pl ? gp. Variance Parks Copies TOT6L ?? SURVEYOR'S CERTIFICATE GRFlND OAKS UEVELOPMENT C0. -4- DENOTES PROPOSED SURFACE DRAINAGf_ O DENOTES IRON MONUMENT SET SCALE: 1 INCfI = 30 FEET • DENOTES IRON MONUMENT fOUND PROPOSED GARAGE FLOOR = 95a o FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 92?7 2 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BI.OCK =?? FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT TIiIS I5 A TRUE AND CORRECT REPRESENTATION OF A SURVEY DF THE DOUNDARIES OF: Lot 6, Block ?, OUERIIILL FFIRP1 SECOPID AGt',ITION, accordina to the recorded plat thereof, Dakota County, P1innesota. AND OF THE LOCATION OF A PROPOSED 6UILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS, OR ENCROACIIMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P9Y DIRECT SUPERVISION, THIS DAY OF , 1987. S1GPlEU: JAMES R. HILL, INC. dy: / J/.vL'(-j':?f_ ?...?•, l A?3'J?al,e11lel\? n OLD C. PETERSON, L,4ND SURVEYOR SHEET 1 OF 2 SHEETS PiINNESOTA LICENSE N0. 12294 PROJECY NO. BOOK / PAGE JpMES R. HILL, INC. 87 275 Ptanners / Engineers / Survey,ors FILE NO. 8200 Humboldt Avenue South FOL,DER Bbomington,Mn. 55431 612-e84-3029 SURVEYOR'S CERTIFICATE 0 M S 83? que n` i i i - .? L J , - J GR/?PID OFlKS DEVELOPP9EfIT C0. NOR?TH HAY LAKE R qp 99_ i ' z"(3.46 R=1944.29 o d=2050'3310 ? n W 3 N 51? ?)97,7i; ? 22,0 0 N GAR.?Lf) p L`7? 22.o a.? 0 0? ?Y N PROPOSEO ? Z HOUSE ri 26.51 N o,..? Ip 345 ? 0 M ? M ? M N 2 ( vN lc? co ` 40.0 h (, ni tarl -? l -L 29.3" LOT 6 5 ? ORAIryqG£ B U77LlT? '?y ? ??£ASfMENlP£lPPLA7' y S N `L? ' 93.01 S 83° 3 27 2" E-- (9sl.o)I ` I SHEET 2 OF 2 SHEETS PROJECT NO. 87275 FII.E NO. FOLDER , , - 30 3p a ? X Q J Q? I° OD - N z o ?? ? n ? 30 BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldi Avenue Sauth Biootnington, Mn. 55431 612-884-3029 . °EX'TERIOR ENVEIOPE AVERAbE U COMpUT ATTON GRAND DAKS DEVELOPME NT COMPANY '• MODEL Q AFEA U. U % AREA ti . kECIUIFED ' 1. T07FlL WALL AREA 1800 X .11 199 ;. 70TAL ROOF AREA 1146 X. 026 31.096 ACHIEVED AREA U U X AREA A. W I IVDOW AREA 186.66 .5 9?? •7' B. D60R AREA 1-19. 8 .077 3. 0 646 C. SLIilE GLASS AREA 13.44 .40 6.4512 D. FIREPLACE AREA 4 0 o F. WALL FRAME AREA 1 E30 .041 •.?? F. NET WALL AREA 1164.1 .049 G. RIM JOIST AREA 119.52 .0436 5.211072 H. PCUND WINDOW AREA ? 0 u 1. FOUND AEOVE GRADE 96.48 .135 13.0249 ;i. TOTAL WALL AREA 1800 105.5026 J. SKYLITE ' d 0 I'. ROOF FRAME 119.6 .032 3.9272 L. NET ROOF AREA 3076.4 .025 26.91 4. 1"OTAL ROOF AREA 1146 Z,0•7372 SUM 1. +2. 229. 09h 5UM 3.+4. 216.2390 ,, *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 785 DATE: 08/17/00 TIME: 07:05:17 ID: # NAME: RANDY RHEIN CONSTRUCTION CO 3210 9001 712 HAY LK RD N 83.25 2155 9001 712 HAY LK RD N 1.50 Total Receipt Amount: 84.75 CR136017 USER ID: JAN Z q 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I 3830 PILOT KNOB RD - 55122 851-881-4875 New ConthucMOn Reaulremenh - Bemodel/Reoait Reaulrem6el€ > J reyiiltered tlte wrveya ahowiny aq. (L of lol, sq. lt. of house and gl rooled areaa fT0% mmdmum bt croveiaae allowetlf ? 2 caplea W plmns (ahow beam 8 wlntlow alzes; poured tntl. deslpn; etc.) > 1 aet o1 enerpy caleutatlona n 7 capiea ol preservatbn plan if lol plaHed after 7/1 /9J DATE: a / ? 4?- / cg? DESCRIPTION OF WORK: STREET ADDRESS; LOT: ?9 lZ 2 copias ot pian 1 set ol energy calcWafions tor heated additlona 1 aNe survey ror axtedor addlNOna & decks CONSTRUCTION C05i: f- aKo o? BLOCK: D SUBD./P.I.D. N:1 VII2h-lq;, I I F& r V?, ? Name: 6,0'(I.PL. 4 Phone /: Gs`? / r PROPERTY tast Flrst OWNER Street CIN E694 104'1/1 I - - - State: V44,,4 Zip: ?5/ 2' 3 ? ?. '333 4- Company: . (area code) CONTRACTOR streer aactress: 4SCsco ucer,se # ?L ( Paca.3 3 < ? t Cliy ?-6E1 I?'"Z u tl?.? state: ZiP; ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheet Address: Regishaflon III: Cify Sfate: Sewerfwater licensed plumber (if instailina sewerfwatarl: Phone #: Zip: I hereby acknowledpe Mwt I have read ihis appgCaHon, afate thaf ihe InfortnaNon is cortect, and agroe to comply wHh 09 appAoable S1ate of Minnesota Stalutes and City of Eagan Ordinances. ? / Signalure of Applicani?- - OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes _ No REcEj?D AUG 16 2000 Not Required BY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundatlan 0 07 05-plex ? 13 16plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi ? 42 SF Dweiling ? OS 06-ptex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 F_xt. AR - SF plex ? ? 03 01 of 09 07-plex ? 18 Deck ? 23 Porch (screened) D 36 Muki _ ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex aitg Y or_ N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bk19• WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demotish (Bldg)" O 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq• ft• of Units No Length sq. ft. . No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupency sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS IN5PECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit SNU Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 4/S SD Date -?z_ 63 SiteAddress ']la'( e- Unit# Property Owner /?PC L/ 13Q,/p,y Telephone # V/.V Contractor oo/'Ql/7 Add / '?/ e °W City / ress /Y/ L 1 State Zip ? Telephone # (? ) L//, ?9 -Wlf The Applicant is _ Owner Contractor _ Other Septic System New _ Refurbished Submi t 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelliog Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.D0) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system h t W f V W er ater so tener ater ea $ 15.00 additio l ment l Yre p _ na ace State Surcharge ? JUL ], 52003 $ 50 rocai I 3y_ ? ? .- -- - $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not ro 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. SczJ7L ??Crl?el'9' ?/?P ?6 /??" ApplicanYs Printed Nam Appl' t's Signature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: singie family dwellings & townhomes/condos when peanits are required for each uni[ Date SiteAddress *VI Unit# Property Owner KW w Telephone # ( ) GM2 ? Oa Contractor lY 1 , , St tAdd ? ?l Io??- b V//i TWCit WmUVoVIJ ree ress { • yd y [, State r ? ?V 1 Zip ? Telephone # Bond #: Expires: 6 ? The Appiicant is _ Owner ? Contracror _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ? Replacement air exchanger ? air conditioner _New k7 R eplacement other State Surcharge $ 50 '? ? $ Total ? • I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the app ved pl?n in the case of work which requires a review and approval ?VlY?1?i?i ?rt 1?S Applicant's Printed Name 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits aze not required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicable) Previaus Tenant Name Property Owner Telephone # ( ) Cantractor Street Address City State Zip Telephone # ( ) Band #: Expires: The Applicant is _ Owner _ Conuactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector PYI't111C FCCS: 570:50 Clnderground [ank installfltiunlremova! 550.50 Minimum (includes Sta[e Surcharge) or Contract Value $ x 1% _ $ Permit Fee • IF ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ermit fee is over $1,000, add $.50 For every $1,000 aermit fee $ Total Fee [ hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that [ 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. ApplicanYs Printed Name ApplicanTs Signature Approved By: , Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 712 Hay Lake Rd N Lot: 6 Block: 2 Addition: Overhill Farm 2nd PID:10- 56151- 060 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Edwin 0 Bailey 712 Hay Lake Rd N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA089103 05/11/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA114272 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 712 Hay Lake Rd N Lot:6 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-060 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 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 - Edwin O Bailey 712 Hay Lake Rd N Eagan MN 55123 (651) 688-8368 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature '111` City of Eaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3 Site Address: A. i 6c C / Unit #: Name: J /764/f 1.r /ef Phone: -&r 36 Address / City / Zip: 7/( /769/=-4 Applicant is: Owner Contractor Description of work: f + 4ce ___% dyf Construction Cost: 000 Multi -Family Building: (Yes / License #: /.3C 6 3'd2'/ Lead Certificate #: //e3 2 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Mechanical Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 3a/%%G 7l9,04 Applicant's Printed Name icant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127303 Date Issued:09/26/2014 Permit Category:ePermit Site Address: 712 Hay Lake Rd N Lot:6 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-060 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 - Edwin O Bailey 712 Hay Lake Rd N Eagan MN 55123 (651) 688-8368 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159548 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 712 Hay Lake Rd N Lot:6 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Edwin O Bailey 712 Hay Lake Rd N Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173858 Date Issued:12/08/2021 Permit Category:ePermit Site Address: 712 Hay Lake Rd N Lot:6 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nancy A Bailey 712 Hay Lake Rd N Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature