716 Hay Lake Rd N* . . ' rf ?ti .. _ . . ,.r ? .. . ,?. . , . _ . _ . . .. , . . . . . . .. , .
r- ---:-t±
? 3830 Pibt Knob Ro dI P.O. BoEx?2G-A1 9, Eagan, M N 55121 12540
PHONE: 454-8100
P
BUILDING
ERMIT Rece;pt #
Tobeusedfor ~ SF WIG/GAR Est.Value 'S61?00L) , Date SEPTEMBEK 2 19 86
Site Address 716 NO HP.Y LAK$ RD
OVERNILL
7
2 Erect
FARM 2NA C?
? Occupancy k3
pp
Lot
alock
secisun. odel Zoning
Parcel No. Repair ? Type of Const `jp
Addition ? No. Stories
Q G
RAND OAKS DEVEL CO n?ove ? Length 4,4
= Name
1881
SUNRISE C:T
oemolish
?
Depth 4 g
o Address
AN
A?
?
52 9 Int. Impr. ? Sq. Ft.
City
'
"
Phone Install O
Name SAJiE
Address
City Phone
Name
Address
City Phone
Assessment _
Water & Sew.
Pol i ce
Fire
Planner
Fees
Permit -
Surcharge
Pian Revie
Water Conn.
Water Meter
Council?972791 RoadUnit ?7v.v??
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 156.00
information is correct and agree to comply with all applicable Stete of
Minnesota Statutes and City of Eagan Ordinances. APC PBrks
/ ? , Var. Date Copies
Signature ot Permittee ? ' ?1 Total ? ? ?a
A Building Permit is issued to: I GRAND UAKS ;.iEV CL CD on the express condition that 11 all work shall be done in accordance with all applicqb?e State of MinnesotA Statutes and City
of Eagan Ordinances.
MnMt Na PemnN Molder Dde Te"hons M
77 l 1 /
wombMy
H.yJ.C. r?'Z ?a ?-
-
Softenw
Inspectlon Date Insp. Commenb
Fooling• I
? 11
??
FF?9 ?
RooOny
Rouyh Pibp.
Rouyh Hfy. Insul. #'
E
Fk"lace
FMaI N,q. _ .b 01_
Final Plby.
Bldq. Final ,
ce?t. ooc.
Deek Fly.
Dqck Fmq.
Ylfell
Pr. Dbp.
PERMIT #
PLUMBING PERMR
RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE;
CONTRACT PRICE- PHONE: 454-8100
Site Address -1 L_ L` k ? BLDG. TYPE, WORK DESCRIPTION
Lot ? Block ? Sec/Sub ???
Res. x New ?
m Name Mult Add-on
? Address ? Comm. Repair
c City Phone Other
Name 10. FIXTURES TOTAI
Water Clos
t -$3
00 S-?
m
c
Addreqs -
e
-
T-Bath Tubs - $3.00
_
p City Phone ? ?vatory - $3.00
?
Shower - $3.00
TKitchen Sink - $3.00
FEES
COMM/INd FEE - 1°i6 OF CONTRACT FEE
Urinal/Bidet - $3.00'
?-Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE - $10.00 Floor Drains - $1.50
-
MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 ??
STATE SURCHARGE PER PERMIT - •?
ADD $
50 S/C IF PERMIT PRIC
GO
S Whirlpool -$3.00
-
.
(
E
E ?
Gas Piping Outlets - $1.50
BEYOND $1,000•00) SoRener - $5.00
Well - $10
00
.
?_Private Disp. - $10.00
f -! -- Rough Openings - $1.50
SIGNATURE OF FtERMITTEE FEE
STATE S/C: ' S ?-
?
FOR: CITY OF EAGAN GRAND TOTAL: ?
?
. , ' MECHMIICAL PERMIT
CITY OF EAGAN
_• 3830 PILOT KNOB ROAD, EAGAN,
Site Address i
Lot I Block
m Name _
? Address
c City
L Name
c Address ?
O CitY
TYPE OF WORK
Forced Air 'G' M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Plping Oudets # ?
Other
PERMIT #
RECEIPT #
MN 55121 DATE: ___?
BLD(3. TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New k
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
- ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CONO. 0-24 BTU - 12.00
? L J ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA•
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMMIIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
{ADD $.50 S/C IF PERMIT PRICE GOES
BEYQND $1,000.00}
FEE - ' -?
S/C:
TOTAL•
r l
?
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
3830 Pilot Knob
P. O. Box 21199
Eagan, MN 5512
2oninp:
Owner;
Addrcss:
Site Addren:
Plumber:
SEMIER SBtVECE PERMIT
PERMIT NO.:
DATE:
No. of Unita:
1 yM te amply MrMb fV Gg ef hp¦ Connsction Qforge: 45 1 n r?
OeJieenas. AmourM Depoait:
Permit Fee: t t? e L!;ia '
BY Misc. CM?pes:
Dote of Insp.: Tatat:
Insp.: QaN Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Kno6 Road
P. O. Box 21129 PERMiT NO.:
Eagan, MN 55121 DATE:
Zoninp: - -
No. of Units: ,
-
Owner. - -- - - :8
Address:
5ite Address: ' IL
Plurnber.
AArter No.: Connectfon Chorye: _ `".•
Size: Account Deposit: i 3. L!t?*,tr
Reoder No.: Pennit Fee:
.
1 qM te smply wilh tiN City of Eayaw Surchorge: ?' ?nct
OrJlseneN. Miac. Choryes:
r„
Total:
BY Dote Pnid:
Dote of Inap.: Irpp,;
CITY OP EAGaN ' WATER SERVICE PERMIi
3830 Pilot Knob Road 7938
P. O. Box 21799 PERMIT NO.:
Eagan, MN 55127 DATE: 9-18-86
Zonirg: _ Rl- No. of Unin: 1 .
pw,br; Grand Oaks _
Addrass:
Sih Addrcss: 715 North Hay Lake Road L7 B2 Overhill Far*rn! II
Plumber.
Meter N
Size: -6
1 aym to sae* whM Nr CM7 ch Eayse
OrAinesw.
BY C'?-_ n,-
Dota of Insp.: /!-
3 .? .Ul
Connecria, p,u,ye: 500.OOpd
Account Depostr: 15.OOpd
pemue Fee: 10.00pd
Surcharge: . SOpd
Misc. Choroes: 156.00pd TP
Totol: 63 _ 5()Prl mPtPr
Data Poid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121A, 1Yp 12540
PHONE: 454-8100
BUILDING PERMIT Receipt#
TobeuseAfor SF DWG/GAR Est.Value $61,000 Date SEPTEMBER 2 79 86
SiteAddress 716 NO HAY LAKE RD Erect• L? Occupancy R3
lot 7 elock 2 Sec/Sub. OVERHILL FARM 24Ib?nodel ? Zoning pII
Parcel No. Repair ? Type of Const. yri
Addition ? No.Stories
$ Name GRAND OAKS DEVEL CO Move ? Length 44
1881 SUNRISE CT Demolish ? Depth dR
; Address Int. ImPr? Sq. Ft.
° cih, EAGAN phone 452-8934 Install ?
SAME
? Name
_
$ ¢ Address
? City Phone
??
F w
Name
Atldress
? W City Phone
Assessment_
Water & Sew.
Police -
Fire
Eng.
Planner_
Council _
Permit $ 316.0(
Surcharge 30.5(
Plan Review 158.0(
5nc 575.0(
Water Conn. 500 . 0 (
WaterMeter 63.5(
RoadUnit 290.0(
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 9/2/86 Tr.PI. 156.0(
information is conect and agree to comply with all applicable State oi
Minnesota Statutes and City of Ea Ordi ances. APC Parks
Signature oi Permitt Var. Date OOp;esO?
aL U25J
A Building Permit is issued to: GRAND 131RS OEV)EL CO on the express condition that
all work shall be done in accor ance with all ap ic f, State e Statutes and City of Eagan Ordinances.
BuilaingOtticial ?"?2£Z? --------
40
This repuest void 101f61R1o
ie moozns rfom .
C 43082
? 7YY:.c
Request Oate
jO Fire No. Rough-in Inspec?ion
Requ retl?
?Ready N? "I Will Notify, InsPec-
h
??
? %Y¢s_ ?NO or W
en Ready
15e,icensed Elec[rical Convactor I hereby repuest inspection oi above
? Owner elec[ricel work installed at
Streec Address, Box or Poute No. Ci
/ ? )
ac,on o. Townshi0 Name or No. Range No. Cowttv
O cup nt IPPINT) f Phone o.
r SupPlier Address
W
407P
? ?r w?l C?gfnbactor FC Nem I
? C/pon?7trar or'/s 1License No.
WI<?
L fC . l V??
Mailing AdJ ess (Contrac r o`r Owner MakiInstailation
. J !r?? 43
Authorixed ature ontqac / r M king Installa[ion) P1??/? b
?`
LJ
MINNESOTA STATE BOAPD OF EIECTRICITY ' THIS INSP CTION PEQUEST WILL NOT
C+ri98s-blitlwey Bltle. - Noom N•197 BE ACCEPTED eY THE STATE BOARD
1821 University Ava., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-a0007A4
?. , See inslructione for comoleting this form on beck of Veliow eoOV. C?7? ?eS
r ainRp "'J!" Be/ow Work Covered by 7hrs Request
?,ls4AAdj Rep.1 Type ol 8uiltlinp I AGPlinncee Wiretl I Equiumenl Wired I
CE
Mi
M Fee ServiceEntranceSize k Fee Feaders/SUbleeders N Fee Circults
Oto200qm s 0 to30Am s 0 tn30Am s
Above 200 qmps 31 to 700 qmps 31 to 100 Amps
Swimming Pool Above 700_Am s Above 100_Am 5
Transiormers Irrigation Hooms Pertial.bther Fee
? I -- LSigns I I 'Speciallnspection 'S s
Nerrerks TOTAL FE
nal
!o- ?,1 ?.ns ,ha E?a?,.,«,
? Ipector, hereby
cartify Ihat the above
P(?F l ir oection hee eeen
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsW dlon Renuiremente
• 3 registered site surveys showirg sq. k. af lot sq. ft of house; aM all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing 6eam & window sizes; poured fouM desgn, etc.)
• 1 set of Energy Calculations
• 3 wpies of Trea Presenation Plan it lot platted after 711193
• Pom Jaisl Detail Options selection sheet (bidgs with 3 or less units)
DATE 4.4u5k 2 b0o??-
RemodeVReoair Reouirements
• 2 copies of plan
. 7 set of Energy Calculalions for heated addRions
• 1 site survey kr extedor addlGore & dacks
. Indicate'rf home served 6y septic system for edditbrks
VALUATION 4s o o ,
SITE ADDRESS MULTI-FAMILY BLDG _Y /!L N
TYPE OF WORK ? i4? I v1,? FIREPLACE(S) X 0_ 1_ 2
APPLICANT
?
STREETADDRESS rt/. Y Ga16 /
114 f oC CITYav1 STATE//b/ZIP
TELEPHONE # 6? 1 ?y0s d3.?? 1
7CELL PHONE #4 $/ -d6D-6a 9 7 FAX # -?
PROPERTY OWNER dAIler'' /fe???' ?`??'?"??'?' TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJL,ES 7670 CATEGORY 1 MINNESOTA RUI.ES 7672
(4 su6mission type) . Residential Ventila6on Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniractor: __
Plumbing system includes:
Mechanical Contractor.
Mcchanical system includes:
Sewer/W ater Contractor:
_ Water 3oftener
_ Water Heater
No. of 13aths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, staie that the information is correct, an gree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan
Signature of Applicant ,
------°°°--------°----"---°°°--'°°----°-'--°--°°°------"--°--..-.•..---°...._-°'-------°-°---------------'°-------'-------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Phone #
l.awn Sprinkler
No. of R.I. Badis
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?
6c:? l /9 , 0
Ids a
HO'YE: ALL CAPTRACTORS MOST BE LICENSBD itiTH THB CITY OF EAGAA
SINGLE F9AffLY DWELLINCaS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWII.LINGS - BESIDSNTIAI,
INCLUDE 2 SETS OF PLANS, CEB
1 SET OF ENERGY CALCULATIONS
C014lERC7AY.
RENTAI. UNITS FOR SALS DNITS
OF SURPBY - C$ECg WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS 9ND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ?
To Be Used For: Valuation: ?`?
Site Address
Lot Block
-7'-
Parcel/Sub ?
Owner G? A?-"
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect X
Remodel
Repair
Addition
Move _
Demolish _
Int.Impr. _
Install
APPSOYALS
Date: 'R- Z2-4;6
Oceupaney T 3
Zoning
Type of Const
# of Stories
Length g
Depth A b_
Sq Ft
P`SE3
Asseasments Permit
Water/Sewer Surcharge 30+ O
Police Plan Review l5 $
Fire SAC ?
Engr Water Conn
Planner Water Meter ?
Couneil Road Unit O
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAi, t D 9
?
z1?g
HOTE: ADDHESS6S FOR CORNER LOTS - CONTAACTOR/HOMEOWNEH MOST DESIGH9TB AHICH ADDRE3S
IS DSSIEED. NO CHAAGFS WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED.
SURVEYOR'S CERTIFICA.TE : GRAND OAKS DEVELOPMENT C0.
?
yA Y L, A KE.
Ro
A D , .
N
ao
a
o ro r? - o
M
I
1 54.7
g
Q I ?
?
0
M
7•51
-
(941,5)
K??? ? ?
!rd
5 ?
1944.. R N
GAR.?"M, I
p a I (944.5 ? \?`N I
N) ? 22.00 \ 4.00
(ti PHOUOSfD ' I
. 11 ? I 50.37 N\\ Se \ fp ?
? I 50 40.00 N ?
I (944.5) j (944.5
/y? I
W I ?- P
N °I ,
N1' 1
o °' ? 7
4 ° I L 07- i
O a 1? ORA/NAGE' p I
O ; 10 ? P£R PLA7'n ?ILIrY fqSEM1?yT I
? L ??
,-. . h - ---t ? 5
ao 4 ---
1 ?
N 830
371P2 w
? DENOTES PROP05ED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
.X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROP05ED ELEVATION
v
BY:
HAROLD C. PETERSON, LAND SURVEYOR
PtINNE50TA LICENSE N0: 12294
30
944.8
442•O
945.2
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, 61ock 2, OVcRHILL FARF9 SECOND ADDITIOIl, according to the recorded
plat thereof, Dakota County, Plinnesota. (THIS LE6AL DESCRIPTIofJ WILL
BECOME VALID UPON FILING OF :THE PLAT OVERHILL FARM SECOMD ADDITION.)
N
FEET
FEET
FEET
FEET
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACNMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER h1Y DIRECT SUPERVISION,
THIS 12TH DAY OF JULY , 1986.
SIGNED: JAMES . ILL, INC.
NOTE: GRADES SNOWN WERE TAKEN FROM
THE GRADTNG PLAIJ FOR OVERHTLL FARM
SECOND ADDITION, PREPARED'; BY MINNESOTA
VALLEY SURVEYORS INC., LAST pATED
MARCN 28, 2986.
PROJECT NO.
86900
FILE NO.
FOLDER
BOOK / PAGE
i
, ,.
a ~
b
ao 10
a ?
i
I
11.1
'to^
rJ I
o
?
,
,
/l
96 00 ??l9so,o) SCALE: 1 INCH
PROPOSED GARAGE FLOOR
PROPOSED LOWEST FLOOR
PROP05ED TOP OF BLOCK
JAMES R. HILL, INC.
Planners / Englneers / Surveyors
8200 Humboldt Arsnue South•
Bbomington, Mn. 55431 812-864-3029
. . . r . . . : } . r .5 ; .
' COMpU7 ... . ' -
ATTON '
EXTEkIOR ENVELOPE AVCRAbE U
, ' ?
.
GRAND DAKB DEVELOPME .. .
NT COMPANY ,
MODEL q AFEA U... U X AREA
ti .
ftEQUIFED
?
1. TOTAL WALL AREA 1800 X .il -
2. TOTAL ROOFrAREA. 1196 X. 026 (:TD096
AC;HIEVED
AREA '. U U X AREA
A. WINDOW AFEI-1 186.66 . •5 93•='
B. DCiOR AREA Z9.8 .077 3.0646
C. SLIDE GLASS AREA 13.44 .40 6.451i
D. FIREPLACE AREA 0 v o
F. WF:LL FFAMC AREA 280 .041 7•-6
F. NF7 WALL AREA 1164.1 .049 57.t7409
G. RIM JOIST AREA 119.52 .04_?6 5.211072
H. FOUND WItSDOW AREA 0 0
1. FOUND AROVE GRADE 46.48 .135 13.0249
-i;. TOTAL WALL AREA 5804 ?•50226
J. SKYI.ITE 0 0
K. ROOF FkAME 119.6 .032 3.8272
L. NET ROOF AREA 3076.4 .025 26.91
4. TOTAL kOOF AREA 1196 VU?57372
SUM 1.+2. 229.096
SUM 3.+4. 216.2390
?
?
n'! ?M*4***trk*At*k**t*kAY4YAt44##*t#4*k
P` V "
C 1 T Y O F E A A i? *?CnTT m?°E? oo ?
? APPROVAL OF PERMIIT.
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
INSPDC.TION OF SEWM ArID/OR FFiTM
IPISTALLATIONS WII.L NOT BE SC'HM-
UI,ID UN17.L PERI•IIT HAS BFTSI
APPROVED.
.. "'R'Xt'X'RYt!!'R!t?R Y)! 1 Yl All'J?Rlll[fA?i414 Y? R Slrltl
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTZON:
IF EXTSTING SIRCCZL'RE, DATE OF ORIGINAI, BtJILDING PERMIT ISSt'ANCE: ." ?
?
Nnn Year
PRFSEN!' ZANING/PROPOSID L'SE:
q cOL?NERcuw/RErAIr,/oFFzcE
Q INIDCSTRIAi,
[I INSTITL'TIONAL/GOVFR,'NT
2) ?
ADDRESS:
CITY, STATE, 2IP:
PHONE:
? R-1 SINGLE FAMILY
Q R-2 DL'PLEX (2wo Onits)
R-3 'It7WDII-IDUSE (Three + Units)
R-4 APARTP'EN'P/CObIDOMIflILT1
3) •' u c ?.
NAME:
. ADDRFSS:
i CITY. STATE, 2IP:
PHONE:
MASTER LICENSE# o?/Q'? ,W k
4) X*_k• • • TI5('
NAME:
ADDRFSS:
CITY, SPATE, 2IP:
PHONE:
( Onits)
Units-)
Active
EScpired
Not recorded
St I711t1d1
•5) ? ? e.• - i d: . ?. , : a ?? a• -
? ?CONNECPION 10 CITY SEWER CpNNECTION 1b CITY WATER ? OTHER '.
I +w
6) ?'? ~''?• [? PLEASE HOLD APPROVED PF.RMIT FY)R PICK-C'P BY 0NE OF FIBOVE
PLF.ASE MII, ApPROVID PERMIT ZU 1, 2, 3, 4, ABOVE
h ? ? •, (Circle one)
7)
01%?
C ------
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
$ $
$ $
$ ?S Oa $
$ $
6 .1rO0•co U $
$ .S7S•GC? $
S $
$ $
S $
$ $
$ ?SG 'o U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?J aZ Y' S--2) $ ,Z/ i O d TOTAL
Z f oj
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSL'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:'
FOR C11°Y USE ONLV
SEWER PERMIT (INCLODE SL'RCHARGE)
WATER PERMIT (INCLUDE SORCHARGE) ..
WATER METER/COPPERHORN/OCTSIDE READEft
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRC'NK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRC'NK SEWER
LATERAL BENEFIT/TRUNK WATER
TITLE: .
DATE:
?. 7 ? ?? ?tac?h? ?9
r« - ,? ? ? via ve I o+ ;?L
HEAT LOSS CAICULATION -V21_.0 YEMP. DIFF.
cUMT. wm. 17 rrn VI rQ 00t TvP, cenr,,,ai,,, /VL Q
City - wkwot. SH.m s.h
Dmiw Ylalk. Irr.
smo ------ Int
Gili
City -- .
ry
Floor
and Arr
Me W?M?
wl M M?Mm
OI M Me. W
L 1? LM?Ih.
L?K? A?Y.
}I
!O
?J' O 0
?
Ca111l. Btu
Inf ia,aucn p
Gwu 00-1 O 00
e.P.W.a l3a.
Net eap. wall 3
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airng x a 2 0
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IN37
2006 RESIDENTIAL BUILDING rExMiT arrr.icnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenb
3 registered s"rte surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(20% mvcimum lot coverage allowed)
2 copies of plan showing 6eam & windowsizes; poured found desigq etc.
i setof Energy Calculalions
3 copies of Tree Preservation Plan if lof platted after 711/93 -
Rim Joist Detail Options selecUan sheet (buildings with 3 or less units)
Minnegasco mechanial ventila6on form
RemotleVReoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calcuhalions for heated addNons
1 site survey for additlons & decks
Add'rtion - imlkate if onsite septic system
,-4-1o.00
office Use O
CertofLSu'rveyR6a1
T2CP[e,4`P?tRetd "_:Y,^!J. T2ePtes't#e4uued .??Y? =:N
pR-?IteSeplieSysCefn „.:!=Y. N
5164• u?.'? wi3i - Jhl
Date E? C
onstrucGon Cost
SiteAddress / /p-, ?
Z Cq {LZ. /6? ?, UniUSte #
Description of Work -b "L (,, k
Multi-Family Bldg _ Y x N Fireplace(s) ? 0 _ 1 _ 2
Property Owner `P c3,17 11v 7T - De, f-' il" Telephone ( E S 1) O ?
tt V l !a L?. , . 4-1
Contractor i c) j.,y- ya,2t"c.'<?A-F P??U??
Address I
City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
? submissiantype) Submitted
. . Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # Q
Telephone #
Telephone #(
q?,? E ? d[E
Y 0 5 2606
)
I hereby apply for a Residential Building 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
5tatutes; I understand this is not a permit, but only an application for a permit, and wor? is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of wor w ch requires a review and
approval of plans.
p ? 1
/? v /
Applicant's Printed Name Applic t's Signature
DO NOT WRITE BELOW THIS LINE
I - ,
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Poo!
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex )< 18 Deck ? 23 Porch (screenlgazebo)
? 05 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Worit Tvues
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
.? 35 Int Improvement ? 38 Demolish InteNor ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Glva PCA handout to applicant
D@SCrIptiOn: WaterDamage_Yes
Valuation
Plan Review /%4- 100% or
Census Code y3?1
SAC Units '-
# of Units 'r
# of Bidgs -
Type of Const
143
Occupancy ' -3 MCES System ?
25%
Zoning City Water
Stories - Booster Pump `
Sq. Ft. 3G,5 PRV -
Length ?C Fire Sprinklered -
Width .?G
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
_ Footings(addi6on)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Fixu11
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review ?
MC/ES SAC ,
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Sheehock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Au/Gas Tests Fina1
_ Siding _ Stucco Laffi _ Stone I,ath _Brick
_ Windows
_ Retaining Wall
Building Inspector
?
,
?URVEYOR'S CERTlFOCATE ? GRAND OAKS DEVELOPMENT C0.
i4A ?Y LA ?K _ `
'?' Ro.4 D
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0
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DnAINAce R - PLAr j ? l/T!L/TY EASfM£NT I
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1 I5 /
a0 a: h --? _?_? J
? ? N 83° 37 `p2 h
v I '_ `; ;- ?,w 96.00 ?' (9sao?_
--?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30
O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 944.5
.X000.0 DENOTES EXISTING ELEUATION PROPOSED LOWE57 FLOOR = 942. 0
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 45.2
. ?
FEET
FEET
FEET
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 7, Glock 2, OVERHILL FARF1 SECOND ADDITION, accordinn to the recorded
plat thereof, Dakota County, Plinnesota. (THIS LEGAL DESCRIPTIOPJ WILL
BECOME VALID UPON FILIWG OF :THE PLAT OVERHILL FARM SECOPlD ADDITION.)
AND OF THE LOCATIOIV OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS,,IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P9Y DIRECT SUPERVISION,
THIS 12TH DAY OF ,]ULY , 1986.
SIGNED: JAMES- . ILL, INC.
NO7E: GRADES SI10WN WERE TAKEN FROM
THE GRADING PLAtI FOR OVERHILL FARM
SECOND AQDITION, PREPARED. BY MINNESOTA
VALLEY SURVEYORS INC.,. LAST DATED
MARCH 28, 1986.
PROJECT ND.
86900
FILH N4,
FOI.DER
DY:
HAROLD C. PETERSON, LAND SURVEYOR
h1INNESOTA LICENSE N0: 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Numboldt Avenue South•
Bbomington, Mn. 55431 812-884-3029
BOOK / PAGE
Use BLUE or BLACK Ink
For Office Use I
Alhbk- I
,0305
City of Eap I Permit
I Permit Fee: V a~ I
3830 Pilot Knob Road I Z-J t Z
Eagan MN 55122 1 Date Received: 1
Phone: 651 675-5675
Fax: (651) 675-5694 1 Staff: 1
- - - - - -
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: - - (G Site Address: N 4,ek_, Napo aj
Tenant: t- 4-L c (1-o n_ VA Suite
s-
Name: ~-!L C7-- -;I kA--"J U- Phone: 4, 1 Z - (o SS . 3 11
RESIDENT I OWNER
Address ! City / Zip: N TL
Name:
License
i
Address: City:
CONTRACTOR
State: Zip: Phone:
I
{ Contact: Email:
j PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
E -jy_ Other: _Q { mnnr?_ tuts (VIC Other:
Description of work: Q vyh~~(r b\ I ~y~r~y.o~ ,r
i DESCRIPTION
i
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.org
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 re vie nd approval of plans.
X ~ZL- '7 y N' C
x ~ -
Applicant's Printed Name Applicant's Sign e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
LEDGER MUST BE ATTACHED WITH
eleA/c461k,
r---- ----,-- -1--
M NIMUM (2) 3/8 X 4" LAGSCREWS
WITI-FWASIVYrLW
4
PROVIDED WITH ILLU VIINATIONIN1
THE-1-1VMEQIATth-1 ;C. NITY Or THE TOP LANDING.
DECKS SHALL NOT BE SUPPORTED BY
CAKTILEVERED I -JOIST HOUSE FRAM 'JG
WITHOUT SPECIFIC
WALKING SIMS
TRFATED WOOD M4Y REOUIRF SPE'M
.:ir 1114161 0
ThAN
FIARDVVAR:
FLASI-E CONTACT YOUR
TION.
0
SlIMROPRIM OR MORE -t
RIPAMI HAM:Aft IMIU VAL NT 6
1 e : -
JE EN 11 To 3r MOVE TR
‘"ri IS REWIRED QV AT
E OF THE STAIR&
Ell
1
• F.7.:! -IT AND EMESNNIED S H THAT
A 4
CIAMETER
r
Y NOT
.616
_4 wrinsTIMMor
immorw0r,iti ,001111L
tS
(a)
4
+ /0" /61 0.C.
• 1 0 1-
/4 -kJ, le,
i, .
DATE: 1 '
BouNNG 1, ,,E( --,TIONS DIVISION
i .
j
1
APPROVED Pit...M*143 MUC r
-RMAfr4 ON J1/403 S
r
A
p re 16
3 -
4
le 42"
- yr" wkie,
HA Kira!
Use BLUE or BLACK Ink
r----------------�
� For Office Use �
' � Permit#: �� / ��� I
C��J �� ����� I Permit Fee: �� I
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: � �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: v_r'� �v y,� Phone: ���a � `// ( `a�/Y�
Resident/
Owner ' Address!City/Zip: �I� �t� n .,�� r S �
Applicant is: Owner Contractor
� ' �� /
= ' Description of work: �� �
TYI���of;Worit�� �
;� Construction Cost: y°a�- � Multi-Family Building: (Yes /No��
tia ,� /
r�� Company: ������ L��,s�,7'�r��/r��v, Contact: Soa-� /�r'��t`-7/�
Contrac'tor ��� Address: S�� �S�I�� s�,� � c�ty: I�r��^v_ �—
' State: � Zip: S`�°� � Phone: ,���Y'���EmaiL �� �r-��,,dGn.v-C� !'r�q,<f c-as--�
' License#: �����,Z `� � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
t1�(3:TE,h{�?�ans anaf��uppbr�ingr�;dacurr��r�ts tl�a#uYQU subr�trt�re°��nsidered ta�e perbl�c in`fi�rm�trar� P.,ar,fions`�of
N i � F t ,. � ��, �
.#�e�r�format�c�n�nay b'e���"ass�fie�'�sanort,,;���blic if yo`;prc�via�e sp.e`c►fic r�`asdns thaf'uidula�p��`r�r't,f�ie City to
,����a�� ,, h��N.W:,,co�i��u�le#ha�#h�';:are traale secr.ets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
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 wor thorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 1$0
days o rmit'
X X �O dt �Q�`9�.�o(Z�-�
Appl' nt's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136763
Date Issued:05/31/2016
Permit Category:ePermit
Site Address: 716 Hay Lake Rd N
Lot:7 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-070
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Greg Junge
716 Hay Lake Rd N
Eagan MN 55123
(651) 202-7144
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136763
Date Issued:05/31/2016
Permit Category:ePermit
Site Address: 716 Hay Lake Rd N
Lot:7 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-070
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Greg Junge
716 Hay Lake Rd N
Eagan MN 55123
(651) 202-7144
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
To_ 16516755699 __ From: 7637108061 _ _ __ _ _9-15-16 4:22pm p.. 1 of 1
Use BLUE or BLACK Ink
I
For Office Use
City of Eaall Permit#: �� 7 Ca
Permit Fee: / ° 3
3830 Pilot Knob Road f
Eagan MN 55122 Date Received: (:)/—I'C.-l io x
Phone:(651)675-5675
Fax:(651)675-5694 a Staff:
--7/ lity_t/ Lig-KG Rel a L
2016 RESIDENTIABUILDING PERMIT APPLICATION
Date: 9/15/2016 Site.Address: - ', . : : •• l
" Unit#:
•
e. f�� 763-442-4790
Residentl Naml l� �o .\ 1/16 Phone:
Owner Address/City/Zip: _ i - e _
Applicant is: Owner ✓ Contractor -7/eo 1-(L-19-76
4i iv,
Type of Work
Description of work: replace existing overhead garage door on attached garage.
•
• Construction Cost: 1200'00 Multi-Family Building:(Yes /No ✓ )
company: AA Garage Door LLC
Contact Deb Nyasende
Contractor
Address: 562 Lundy LN city Hudson
State: WI Zip: 54016 Phone: 651-702-1420 Email: dave@aagaragedoor.com
License#: Lead Certificate#: NAT-671642
If the project is exempt from lead certification,please explain why:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
I Fire Suppression Contractor:
Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE'YOU DIG. Call Gopher State One 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.aonherstateonecall.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 wit 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 Minnesdth Stale Building Code must be completed within 180
days of permit issuance. ;
xDeborah Nyasende .
ct /'' ; %� ;?x L-i ✓//,)
(,+�.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143999
Date Issued:07/07/2017
Permit Category:ePermit
Site Address: 716 Hay Lake Rd N
Lot:7 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Greg Junge
716 Hay Lake Rd N
Eagan MN 55123
(651) 209-7144
Evergreen Construction Copany Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144653
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 716 Hay Lake Rd N
Lot:7 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Greg Junge
716 Hay Lake Rd N
Eagan MN 55123
(651) 209-7144
Evergreen Construction Copany Inc
1200 Centre Pointe Curve, #175
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature
r
For Office Use
E AG A N
eceiveo Permit Fee:
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 R . 1
NOV 1 4 2019 Date Received. 11
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 By. Staff:
Olnidlnoinsiections it cit ofeaian.com .. J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
11.14.19 716 N Haylake RD
Date: Site Address: Unit#:
Libra Deadwood LLC 651.402.9828
Name: Phone:
Resident/ 29650 Faith Ct. Cannon Falls, MN 55009
Owner Address/City/Zip:
Applicant is: Owner Contractor ..
g . 1 , . ,
It
6()elf-NO Pi A c9
Deck Re-surface, replace decking, railing and fascia
Description of work:
Type of Work $3,000
Construction Cost: Multi-Family Building: (Yes /No I/ )
JLA Construction LLC Jared Anderson
Company: Contact:
14401 Ibson Ave Nerstrand
Address: City:
Contractor
M 55053 952.224.6213 info@pa-construction.corn
State: Zip: Phone: Email:
BC638143
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
The property was built in 1986
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non •ublk it •u• •vide -, ific reasons that would•, 1 the C to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wwwgoonerstateonecall org
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.
Jared L Anderson
x x
Applicants Printed Name plicant's Signature
DO NOT WRITE BELOW THIS LINE 7,6 i1 ,1 Ll9 1. E 1a KI• I _. - q 9 1 J
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
— Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair _ Windows _ Demolish Foundation
ix Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation S _ Occupancy ;57A-6, I MCES System
Plan Review Code Edition 2oj$ g45.^40 SAC Units
(25%_ 100%7 ) Zoning 12---1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 113 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final /C.O. Required
Footings (Addition) p< Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector--Cl- Q (� f /�
^€- \,J e_IAC. KCS;I rd S t.--`;cL
RESIDENTIAL FEES > �f
Base Fee %J� N "3Wow
Surcharge / / �C 0( s� F� '-"
Plan Review
MCES SAC tet, I 0
City SAC ,/(fig il/s .C,6 •' sj'/tO
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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