717 Hay Lake Rd NBLDG. PERMIT N0.
t
01-3210% Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
101-3446 SAC/Adm.
01-2155 Surcharge
,17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
R
/
?
?--?c? - "T/I
GASH RECEIPT
• ?'?=? CITY OF EAGAN
,
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
: DATE 19 '
RCCEIVlD
FROM
AMDUNT. $
' 's . .
E] CASH 4 CHECK
roe
BY
196r 1
- ' White-Payars Copy
Yellow-Posting Copy
Pink-File Capy
Thank You .
CITY OF EAGAN ? §0 ?
' -• T8301Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
' PH O N E: 454-8100
BUILDING PERMIT Receipt # To be used for Est. Value Date ,19
Site Address •`'' OFFICE USE ONLY
• ' ' '? ? ??" ` ?`?? On Site Sewage ? Occupancy
Lot Block Secl5ub. MwCC System _ Zoning ?
P81'Cel NO. On Site Well , Type of Conat
City Water ' (Actual)
a Name (Allowable) `
Z #? of Stories ?
; Address ' Length
0 City Phone Depth
S.F. Total
, Q Name Footprint S.F. ? q Address APPROVALS FEES
? City Phone Assessments _ Permit ,
F Q WaterlSewer _ Surcharge
?W W Name Police _ Plan Review
_ ? Address Fire _ SAC, City
? Z Engc _ SAC, MWCC
4 W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thatthe information is correct and agree to compiywith all applicable APC _ Treatment P1
State of Minnesota Statutes and Citv of Eaaan Ordinances. Variance _ Parks
Signature of Permittee TOTI
A Building Permit is issued to: on the e
all work shall be done in accordance with all applicable State of Statutes and Ciry of
Building Official
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? ? r .• L, ?
? • , PLUMBING PERMIT PERMIT k X / 6
RECEIPT ?
' CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE PHONE: 454-8100
Site Address
Lot ? Block y Sec/Sub
? Name
Address '
c City ; Phone
Name
c Address
O City Phone ?3 • ? )
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.OU
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMiT PRICE GOES
BEYOND $1,000.00)
SIGNATURE O?
? PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. A 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
1_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
!tFloor Drains•- $1.50
Water Heater - $1 50 ?
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 '
FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
?
? CONTRACT PRICE
? Site Address 1.1 -1
? Name
?a Addre:
?
c Ciry 1
Name _
? c Address
' p Ciry ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ?
Phone
?• ! M BTU ? .
M BTU $_
M BTU $_
M BTU $.^
CFM $_
Piping Outlets # ?
FEE:
S/C:
TOTAL:
BLDG. TYPE
? WORK DESCRIPTION
?
Res. New
-
Mult Add-on
Comm. Repair
Other
FEES ?
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - ?
6.00
(RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n -
COMM/IND FEE - 1% OF CONTRACT FEE 1.50 EA. ?
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS I- RES: RATE APPLIES ?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNA URE OF PERMITTEE
FOR: CITY OF EAGAN
i . A ,
(gertifiratt nf Orrupanry
titp of Cagan
EPpubttPttY Df W11Itftp 3WPtttDtt
Thrs Certiftcate issued pursuant to 1he requiremenls of Section 306 of the Uniform Building
Cade certifying that at the tfine of issuance this structure was in corrzpliance with the various
ordinances of 1he City regielating buildiRg construetion ar use. For the following:
u. ci.o?uan `" QOGAR eW& Ft,m;t No. 13%7
oocup.ncy 7ype R3 V
zuoing o;svia ' 7ype comt.
Owna at Huilding `x?AM QW W.''1.7 q?s 452 1 ? ? i !S".i ? M. ?'?11'i
6mldins Addrm 717 ?,T), RV i :'&, , my ? ? ? ? ? OVEMiM, FAEM ZiD
Oclau-' j t t r,37
Deoe:
Budding Official
POST IN A CONSPICUOUS PLACE
3830 Pi1ot Knob Road vr.» 1_n vLn v I VG r G111f11 1
P.O, B`ox 21199 PERMIT NO.: 1 0054
Eayan, MN 551?1 --' '?'??
j DATE:
Zoning: No. of Units: 1Owner.
-rann aks
Address:
SiteAddress: III No. Hay Lake Roau Ll E4 Gverhi?1 rqm TT
/ - z v-t,"/ 75704 1'DJ.0()pd
I agroe to comply with 6e Gty of Eagan Connection Charge: 1)(}Td
Ordinancss. Account Deposlt: 41 np4
Permit Fee: i {1 110p,."
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Ingp" Date Paid:
-•- . . . ,--., r- , - - >- .. --?.?.,vi'_ ?^_ , - . -- - - - --?5ti?'?`,.-?°
OF EAGAN Permit No: Dat? 7'" 2 I-8 ?
Pilot Knob Road Meter No: giZe:
bx 21199 Reader No: Date:
n, MN 55121
?nn. Chg: S?.5 . OOpd
Zoning: ^
ct Dep: ` p No. of Units: `
rmit Fee: U. (Y", rcharge: ' pu I agree fo complr with the Clty ol Eagan
Plant P(' Ordlnances.
ater. _ Q. 0Opd
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: J???'?5 Date: 7-2 1_r;7
3830 Pilot Knob Road Meter No: 3 U / q,3 e? dz Size:
P.O. Bax 21199 Reader No: Date: ?p3,?Z
Eagan, MN 55121 - ?
(luinnr - - •
Site Address: /I/ ?o• ::ay I,ake Road I1 B4 Overliill
Conn. Ch 5. 00pcl RomAiAV
Acct Dep9. . ?? -
Permit F T?r'???EPN?H - ECT? -?
Surcharge: ' a t?il?r with the Clty oi Eagan
Tr. Plant ' ? ???? r nsnces.
Meter. • ?
i?
Misc.: g
WATER SERVICE PER64
?
CITY OF EAGAN (v! 13 9 4 7
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
?j
BUILDING PERMIT' PHONE:454-8100 Receipt # / ?.lO./
Tobeusedfor SF DWG/GAR EstValue $71,000 Date JliLY 20 19 87
Site
HAY LAKE ROAD
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCCSystem ? Zoning R1
OnSiteWell TypeofConst
?
-?
City Water (ACtuaq
-
(Allowable) ?
# ofStories
Length 52
DeDth 40_
S.F. Total
Foo[print S.F.
Lot 1 Block 4 Sec/Sub. OVERHILL FARM 2NI
Parcel No
a Name GRAND OAKS DEVEL CO
z Address 4521 SO HAY LAKE RD
0 Ciry EAGAN Phone 452-8934
,o Name SAME
?Q Address
? Ciry Phone
Address
City _
I hereby acknowledge that I have read this application and state
that the information is conect end agree to complywith all applicabla
State ot Minnesata Statut89Tnd Cityqf apgan Orclinances.
Signature of
A Building Permit is issued to: b1"'
all work shall be done in acco w ce with all
Building Official
APPROVALS FEES
Assessments Permit $ 402.00
-
-
WaterySewer _ Surcharge 33
.
50
Police _ PlanReview 201 _00
Fire _ SAC,City 100.00
Engc _ SAQ MWCC 525.00
Planner _ waterConn. 525.00
Council _ WaterMeter 67-00
BIdg.Oft _ RoaAUnit 305_00
APC _ Treatment P7 1 RO _ 00
Variance _ Parks
Copies
70TAL ? 0
'0 on the express condition that
nnesoAStatuses and City of Eagan Ordinances
C
:?/?///g? REQUEST FOR ELECTRICAL INSPECTlON • ee-ooooi-os
p ry?
1 See instruciions tor comoietina this brm on back ot yellow co0v. 7 ,?s .2 O
D, "X" 8elow Work Covered by lhis Request
! AAd NeD. TYpe of Builtling AOplinnces Wired Equipment WireA
)k,j I Home Ranye Temnorary Service
ndlistrial
N Fea ServiceEnlrence5iie h Fea Fender5/5ublee.tlers k Fee Circults
(Z. CL) 0 to 200 qm ps 0 to I O A m u 2 3 0 tn 30 Mn s
Above 200 qinps 31 to 100 Amps 31 to 700 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Booms Partial,'Ot r Pee
L ? ?Signs ' I ISpecial Inspection Remarks TOTA F
I, tne Elecviwl
Inspector, hereby
certify that the ebove
inSDection ha5 Ceen
mede.
Tla repuest voiC
This reQUesl void
18 months Irom
D 12 2 71,c
'g?g w
I Request Da1e '- ' Fire No.
(1? ? ' (` ?/
a RouPh-in InsVer,tion
Required? Oqeady Nuw ill Notify Insaec-
?Yes ?No ???? When qeatly
Licensed Eiecvical Convactor I hereby reQUest insDection ot above
?
Owner elechicel werk installad e<:
Street Address, Baz or Boute No.
t-7.,1). q y Aq E iI Ciry
G-? an
e.cbon o. Townsnip Name or No. Range o. County
OcctIPFlINTI
uu n
?Yr1'/''L-1 6Cr S Phane No.
Pow¢r $uDVlier AAdress
,D pKoi E1-Eer9,95
Electrical Contractor fCOmoany Namel
E!'Tvi?(C ?nC.. Contraclor's license No.
Dyr ?S'- 3
Mailinp AdJress IConvactor or Owner Maki G Ins[ailationl
7&7S W. AIW l 3- Scrcx.Y 6,-e
Aot ized SiB^ ture ICOnhactor/O er Makiny Installationl Phone Number
? -5
MINNESOTq STATE BOAND Of ELECTNICITY THIS INSPECTION NEQU[ST WILI NOi
Griggs-Midway 81dg. - floom N•191 BE ACCEPTED BY THE STATE BOARD
1821 Universilv Ave.. 51. Peul. MN 55104 UNLESS PNOVEP INSPECTION FEE IS
Phone(612)642-OBOO ENCLOSED.
5/.3/g cj REQUEST FOR ELECTRICAL INSPECTION +% e13-00001o7
? 56e insvuctions 1or completing thia brm on back of yellow copy. U ?o j`/ ,50
? 81980 "X" BeIouTWolk Covered by This Request
ew Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. Building Dryer Other (Speciy)
Comm./Industrial Furnace Humidifie'r
Farm ' X Air Conditioner
Othar (specity) CoriVecl0r5 Remarks:
Job #20483
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cirouits/Feetlere Fee
Swimming Pool 0 to 200 Amps j 0 to 100 Amps 4.00
Tfansformer5 AbOVe 200 _ Amps Above 100 _ AmpS
SIgnS Inapedor§ Use Only: I TOTAL
Irrigation eooms ??(, UG) 15 . 50
Special Inspection
AIarMCOmmunication
Other Fee
I, the Electrical Inspector, hereby
if
h
h Rough-in oa?e
y t
cert
at t
e above inspection has
been made. Final oa?e
OFFICE USE ONLV
rs 'equast wq 18 months from
5/.?/ff y s o
E 89980 ?,i /?W ?v S ?
?
Request DaYe ire No. Rough-In Nspeccion
Requiretl4 ? Reatly Nav 14 Will Notiy Inspectar
? Yes No Mlhen Re9dy?
IEKlicensed contractor ? owner here6y request inspection of above electrical work at:
Job Adtlresa (Streat, Box w Route No.) . Ciy
H L ke Rd Ea an
Section No. Townsbip Neme or No. Range No. CouMy
Dakota
Occupan[(PHIM) Phone No.
Mark Kurfman 456-5475
Power Suppller Address
Electrical ConVaclor (COmpeny Neme) Coniracla5 License No.
040445
Mailing Address (COnlractor or Owner Making Inslellation)
Aumon
zd.naWra (Con r/ er Makin Installetbn) Pbone Number
r 452-8886
AIINNI%Q=TA?d'$1/*&CTRICITY a iH1S INSPECiION REpIIEST WILL NOT
Griggs-Mitlwey Bltlg. - Poo??1T3 BE ACCEPTEO BYTHE STATE BOARD
1821 Untversity Ave., SC Paul, MN 55109 UNLESS PPOPER INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
RESIDENTfAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAIV MN 55122
651-681-4675
New Constructlon ReuuiremaMs
• 3 registered site surveys showing sq. ft. ot lot, sq• ft. of house; and ?II roofed areas
(20% maximum lot coverage allowed)
• 2 copfes of pfan showing heam & window s¢es; pou2d tound design, etc.)
• 1 set W Energy Calculations
• 3 copies of Tree Preservalion Plan if lot platted afler 711193
• Rim Joist Delail Options selec[bn sheet (bldgs with 3 or less unils)
DATE 5 ??n J ?
SITE ADD
TYPE OF
APPLICANT
kwa
tULTI-FAMI4Y BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS RiY ?ppn Y1w vrw.
MN ? CITY STATE_ZIP
TELEPHONE # -I?T 7JS-a3(NELL PHONE # FAX #--7bZ?--755-92>10
PROPERTYOWNER_ U ? Q, VI SL. TELEPHONE#I?/FJI ? IOO???nSS?
-------°------------------------------------------------------------°-°----------------°---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residentfal Venlllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calcutations Submitted
Plumbing Contractor: Phone # __
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00
_ Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System Z
Sewer/Water Contractor: Phone ARAft-V-01 -----------•-----------------------•--------°-°-----...--°-------°----------°-°°--- ------------•
I herelay aCknowledge that I have read this application, state that th i ormation is ect, and
with all applicable State of Minnesota Statutes and City of Eagan O di a ces. ""
Signature of Applicant
OFFICE USE ONLY
(:?? 0 Q ?s
RemodeVReoalr ReauiremeMs
• 2 capies of plan
• 7 set of Energy Calculations for heated add'Aions
. 7 stte survey for exterior additbns & decks
• Indicate'rfhomeservedbysep6csystemtoradditions
VALUATION ? ? ? ? v, `?t5'?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 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 Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demalition (Entire Bldg onl» - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Uni1s Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ` FinallNo C.O.
_ Footings(addition) _ 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)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plart 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
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^IOPF': PAYMM OF kEE AT TIIM OF ?
apPLscATiorr noFS ror corb-riTum ?
APPROVAL OF PERNILT. 31
-----------------------
, P ease Print)
1) PROPERTY ADDRESS: •_
LEGAL DESCRIPTION: '•-
IF E7QSTING SlRCCIL'RE, DATE OF ORIGINAL BI7ILDING PERMiT ISSL?ANCE: . ~
i
PRFSENP ZONING/PROPOSID L?SE: (?n Year
q corllMIAL/xErxILioFFicE
IDIDCISTRIAL
? INSTI2[PPIONAL/GOVVE.R:RNNgT7r
--EyR 1 SINGLE FAMILY '
? R-2 DUPLEX (ZWO Units)
? R-3 'IOWNiOIISE (Three + Units) ( Chv.ts)
? R-4 APARTMENT/COAIDOMINIC.T1 ( Units)
2)
NAME:
ADDxFSS: ??2 f ? ?lc? Cf<
CITY, STATE. 2IP: ?-
PxONE: V<- 1?9 ?
3) u r ?•
- NAME:
?ADDRESS:
i
CITY, STATE, 22P:
PHONE: `f°?Z Z/ Z 1 MASTIIt LICENSE# 2/0 7i(i'L
4) •• • ? i?•
NAME: ? .U D C.t-? c, '•.
ADDRESS: •
CITY, STATE, ZIP:
PHONE: .
Plumbers License:
Active
Eycpired
Not recorded
Sta Initial
•5) '? v ? ?• •?• :? ? - ??
-`ct r??,-rioN TO crrsr sEwm CT-eemm=onr M cixY wATEa Q onma_
6) u • • r
Q PLF,FISE $OLD ApPROVffD PERMIT FC)R PICK-C?P BY ONE OF ABpVE
?E MAIL APPROVID PFIiMIT ZU 1, 2,3 4. AHOVE
, ?„ ,_ • (Circle one) '
nvsPncz2otv oF SEWER ArID/Ct MAIM
IIaSTA?ATTOA15 ['7ILi• NdP BE SC?HED-
tn m UNrII. PEPMT HAs BEEN
ArrxovED.
I 7? ? 3 - ?'7
FOR CITY USE ONLY :
PERMIT # ISSLiED
?7d J
Pd w/Bldg. Permit FEES:
$ 16 -5-7) $ SEWER PERMIT (INCLUDE SURCHARGE)
$_ Z4 ',Sb $ WATER PERMIT (INCLODE SPRCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ (J Z 5-' ,--U $ SAC
$ $ TRL'NK WATER ASSESSMEIVT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ fd CI•C/ -o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?`t 4 ? (lTJ $ TOTAL
?
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PIIBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE EIVGINEERING
AS
ION
O
. .
A C
NDIT
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
/ ???
712-
??
?l? ' .
.?
SINGLE FAMILY DWELLINGS
PERFIIT APPLIC9TION - CITY OF EB
INCLODE 2 SETS OF PLANS, 3 CfiRTIFICATBS OF SOHVEY, 1 SBT OF ENfiRGY CALCOLATIO&S
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiiNER MIIST DESIGPAiE WHICH ADDRESS
IS DFSIRED. NO CffANGfiS WILL BE ALLOWED ONCE BUILDING PfiRMIT SS ISSDED.
MfILT2PLE D6iELLINGS - RFSIDENTIAL RSNTAL i1NITS FOR SALE OBIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SDHVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To He Used For: Valuation: -7 1,CtDO . Date:
?
Site Address OFF:
Lot ? Bloek ? ao-Q On Site Sewage_
MWCC System ?
Pareel/Sub SL? On Site Well
City Water ?
Owner
Address
City/Zip Code
Phone
Contractor (-? f(,A,rJ Zj Q11-?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
9PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Oceupancy
Zoning R I
Type of Const
(Actual) ?
(Allowable) zv--
# of Stories
Length S ?
Depth 40
S.F. Total
Footprint S.F.
FEFS
Permit 4uZ,
Surcharge 35.$O
Plan Review 20. l.
SAC, City 1(30.
SAC, MWCC Sz5 .
Water Conn SZS
Water Meter ?Z .
Road Unit
Treatment P1 IYw.
Parks
Copies
TOT9L :L p
S, O
Phone #
i`
AREA U U X AfiE/1
A. WINDOW AREA 166.66 .5 9.;.37,
B. DGOR AREA 39.6 .077 ?1.0646
C. SL-IDE GLASS AREA 13.44 .40 6.,?S1;
D. F I REPLACE A'r2LA '• 0 V o
F. WF:LL FRAMG AREA 180 .041 i-:B
F. NET WALL AREA 1164.1 •0ny 5 7-04 '-'9
G. RIM JOIST RFiEA 114.52 .0436 5.211072
H. FOUND WINDOW AREA U
1. FOLIND AHOVE GkADE 96.48 .135 1ZS.024[1
:i. 70TAL,. WALL AREA 1800 . ? 105.5026
J. SKYLITE ' d 0 C)
K. ROOF FRAME 119.6 .032 :s•Q=7?.
L. NET ROOF AREA 1076.4 .025 26.91
4. TOTAL ROOF AREA 1196 --lo•7372
o,• EX*EkIOR ENVELDPE AVGRAbE .'U' COMPUTATION
GRAND 0AKS DEVtLDPMENT COhiPANY °' •'
MODEL Q. AFEA,;°'.U. U X AREA
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kEQUIFED ' ,1. TOTAL WALL AREA 1800 X.11 193
2. TGTAL ROOF ARF:A 1196 X.026 31.096
ACHIEVCD SUM 1.+2.
SL1M 3. +4.
;t29. V9h
216.239tJ
SURVEYOR'S CERTIFICATE ! GRAND OAKS DEVELOPMENT C0.
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCRLE: 1 INCH = 30 FEET
0 DENOTES IRON MONUMENT FOOND PROPOSED GARAGE FLOOR = 9v3.3 fEET
X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9`/0,5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED 70P OF 6LOCK = cJ-l3.7 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TNAT TNIS IS A TRUE ANb CORRECT
REPRESENTATION OF A SURVEY Of THE BOUNDARIES OF:
Lot 1, Block 4, OVERHItL FARP1 SECOND ADDITIOPl, according to the
recorded plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROUEMENTS.
OR ENCROACHMENTS, IF ANY, 7HEREON. AS SURVEYED BY ME, OR UNDER P9Y DIRECT SUPERVISION,
THIS 137N DAY OF JuLy , 198-7.
SIGNED: JAME?_ .,HILL, INC.
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HAROLD C. PETERSON, LAND SURVEYOR
SHEET 1 OF 2 SHEETS MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
( 8? 403)
Planners / Engineers / Surveyprs
FILE NO, 8200 Humboldt Avenue $outh•
FOLDER Bbomtngton,Mn. 55431 e12-e04-3029
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PROJECT N0. BOOK / PAGE
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JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
BlooMinflton, Mn. 65431 812-884-3029
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 717 Hay Lake Rd N
Lot: 1 Block: 4
PID:10- 56151- 010 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Perm
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Addition: Overhill Farm 2nd
PERMIT
City of Eaan
Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Hugh C Cheme
717 Hay Lake Rd N
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA080913
11/06/2007
ePermit
cal Inspector,
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113283
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 717 Hay Lake Rd N
Lot:1 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-010
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 .
Pat Addy
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 -
Hugh C Cherne
717 Hay Lake Rd N
Eagan MN 55123
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145062
Date Issued:08/22/2017
Permit Category:ePermit
Site Address: 717 Hay Lake Rd N
Lot:1 Block: 4 Addition: Overhill Farm 2nd
PID:10-56151-04-010
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Hugh C Cherne
717 Hay Lake Rd N
Eagan MN 55123
(612) 695-0180
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature