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719 Hay Lake Rd N
CITY OF EAGAN Addition FAWN RIDGE MITION Lot 15 Blk 4 Parcel ??1 25800 I50 04 owr,e? Street 719 No. Hay Lake Road 5tate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, F.)- 1981 229.35- 11.47 20 STREET RESTOR. Flr 19$4 499.46- 49.95 10 GRADING 1981 61.26' 4.08 15 SAN SEW TRUNK S 1981 205.44-- 10.27 20 SEWER LATERAL 77 1981 33.07- Sewer Lateral 1981 23.57- 1-18 20 WATERMAIN WATER LATERAL 19$1 43.67- 9-18 20 WATERAREA S 1981 205.44- Water Lateral 5 ^ 1981 27.6$ 1 STORM SEW TRK 1985 557. 79- 37.19 is STORM SEW AT - r' L 1984 222.51' 22.25 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK • . . . . ' ' . . , . . . . . . . , N D i•?'.'a ,_4:.. . - . PERMIT # . PLUMBING PERMIT RECEIPT # 7? dTY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION V Lot Block Sec/Sub Res. New , ? ? Name - ? Mult Add-on a? ? Address Comm. Repair ,. c City Phone Other , NO. FIXTURES TOTAL Name ? -' Water Closet -$3 00 t ? c Address - . Bath Tubs - $3.00 p City ? Phone Lavatory -$3.00 Shower - $3.00 Kitchen Sink - $3.00 I COMM/IND FEE - 1%OF CONTRACT FEE Urinal/Bidet -$3.00 Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE _$yp,pp Floor Drains -$1.50 MINIMUM - COMM/IND FEE _ 20,00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT _ .50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00 ? + Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SICaNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN ?.? 517 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '- BUILDING PERMIT Receipt# PHONE: 454-8100 5ite Address 719 NO HAY LAKE RD Erect 19 Occupancy K3 Lot 15 Block 4 Sec/Sub. gAWN RIDGE Remodel ? Zoning 12n Parcel No. Repair ? Type of Const. V Addition ? No. Stories a Name SU!`l:; CONSTRUCTIOTd CO hnove 0 Length 38 z 4 71) ZANN RD Demolish ? Depth 44- ; Address Int Impr ? Sq. Ft. ° City F:AGAN Phone 452-4721 Install ? a pU UQ ? Name SAME Approi Address Assessment Ciry t- a ? W Name- _ ? Address ??17 < W City Water & Sew. Police Fire Planner I hereby acknowledge that I have read this application and state thatthe gld . Off. 8/11/8 iniormation is correct and agree to comply with all applicable 5tate of 9 Minnesota Statutes and City ot Eagan Ordinances. APC Signature of Permittee Var. Date Permit Surcharge 32.50 Plan Review 164.00 ' SAC 575.00 Water Conn. 500 . 00 ' Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies _ 00 Total ' A Building Permit is issued to: 0 V VI'4J 1+IUV i 1 VI.Y ..... on the express condition that all work shall be done in accordance with all applicable S" of Minnesota Shatutes and City of Eagan Ordinances. Building Official ? " : __ . I IPwmit No. I wmie Howe. I D.t. I T.lannone « 1 2. .661 Commanb Houqh Plby. _ .S• ?j Rouph Hlq. ?A L6 Ntp. Plbq. FMai Occ. Dbp. . , ? . rthnni r u ., • MECHANICAL PERMIT RECEIPT # " CITY OF EAGAN !a ?? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE Site Address ? Lot Block City BLDG. TYPE; / WORK DESCRIPTION ? Res. ? New Mult l Add-on - Comm. Repair Other Name c AddresS '/ -u6 ? crU ? CO/cJ t p City P hone 5 "73 -. ? TYPE OF WORK ? S" ? Forced Air r M BTU I Boiler M BTU $ i I Unit Heater M BTU $ I Air Cond. M BTU $ 'I Vent G ? CFM I as Piping OuUets # Other FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1g'o 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 BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ' Z ` . . . . - . ' . ? . .. . .. • .a , . .. . . . '. PERMIT # PLUMBiNG PERMIT RECEIPT # CfTY OF EAGAN 3830 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE: Site ,4ddress Lot Block Sec m Name m Address c Ci1y Phone ? Name c Address p City Phone FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) / SIGNATURE OF PERMITTEE ? BLDG. TYPE WORK DESCRIPTION Res. New , Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3A0 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• FOR: CITY OF EAGAN TY OF EAGAN SWER SHlVlCE PLtMIT 30 Pilpt Knob Road 0. Box 21199 PERM?T NO.: gan, MN 55121 DATE: nina: _ No. of Units: -? 1lddress: asm h aC?llPIV 1da the Chy of s0l01 of Inap.: 100. 04pcI Cp1MCTj0/1 010rg0. :i A j AtoourM Deposir PeRnit Fee: SurcFarpe: Mtsc. Chorpes: Totoi: Dote Roid: TY QF EAGAN 30 Pilot Knob Road 0. Bax 21199 gan, MN 55121 ninp: _ mer: WATER SERVICE PERMR PERMiT NO.: D/?TE: No. of Units: Address: No.. No.. to ooinply wil6 tM Cihr ef leqaw of Irnp.. Ca+nection Chorga: /lcaount Deposit: Permit Fee: Surcfiarge: Misc. Chorpss: TotnL• Dcte Paid: Insp.: CITY OF EAGAM wAjM SR VWE pU MlT 3830 Pilot K-nob Road P: O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ? Zoniny: _ No. of Units: 1 Owner: . , ... _ . Ilddross: .JJ Si? ?Wress. . . Plurnber. Mater No.: -3 ? %hil . ., lze: C f'? rK ? ? 1 Reoder No' ? 6 ?'. .), i .,m ft evwvoy wob o. p Tl' 7 t ?eter , By Dote Paid: Date of Insp.: Insp.: / U? ???? • CASH RECEIPT • . •CITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINN OTA 55122 D/ A aECelveo / . ,f AMOVNT I$ I06 I OOLLARS ?oo ? CASH CHECK y r r ? 7 F.N. CODE AMOUNT Thank You No- 66564 ?-' VJhite-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN A'p `? 17 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v-/? 12C / ?f/G,(? 0 BUILDING PERMIT , j ( PHONE:454-8100 cteceipt# Ui? Tobeusedror SF DWG/GAR Est.value $65,000 Date AUGUST 26 19 86 SiteAddress 719 NO HAY LAKE RD Erect Occupancy R3 Lot 15 siock 4 Sec/Su6. FAWN RIDGE Remodel ? ZOning pr) Parcel No. Repair ? Type of Const Vn Addition ? No. Stories a Name SONS CONSTRUCTION CO Move ? Length 38 z 4370 RAHN RD Demolish ? Depth-4 4 o Address Int. Impr. ? Sq. Ft. City EAGAN Phone 452-4721 Install ? o ?„Me SAMg _ Approvals Feea ?°, a ? Phone Assessment Permit 4i jLiS.UU Water & Sew. Surcharge 32.50 Police Plan Review 164. 00 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63. 50 Council Road Unit 290.00 BIdg.Off. $Z11/8 Tr. PI. 156.00 0 ? ` w Name ED MELICH ui ~i Address $552 LAKE ST <W City MPLS phone 866-3500 I hereby acknowledge that I have read this appl ication and state that the information is correct and agree to comply with all applicable State oF Minnesota Statutes and CitY of41 9an Ordinances. Signature of Permidee APC Parks Var. Date I Copie 2? 1 . 00 Total A Building Permit is issued to: SONS CONSTRUCTION CO on the express condiuon that all work shall be done in accordance with all applicable S e f in esota s n City of Eag n Ordinances. Building Official ? _,?„ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os L: ? Sea inslruetiona tor tompletiny this farm an beek of vellow coOV. "X" Belaw Work Covered by lhis Request " NewlAddl Beo. Tvoe of Builtlina Aoolioncea Wirad Equipment Wirea I Y.x p Fee Service Enbance5ixe t! Fea Fextlers/SUbleeders N Fo Gircuits U to 200 qm s 0 to 30 qm s 72 01? 30 Am s Above 200 qmi? 31 to 100 Ainps 31 to 100 Am Swimming g Pool Above 100-Am s Ahove 100_Am ' Transtormers rngation Booms ,sd Partial.'Other Fee Signs Speciallnspection S Nema.ks TOTAL?F .fl)? r..f% '° //?j I. Ne Elecbicel v(/ /' Inspector, he?eEy Finel ".? certify that ihe abova inspec I [ion hes Ceen Z ?ee. mh mcueat +ma Thisrequestvoitl -!q monlh? Imm . (? 1 3703 cJC_C. FC,fl IttQc? W equ sl /te ?? Fire No. Nough-in Inspection p?red? ?Ready N. Will No'ifY Inspec- ? es No or When Reudy Licensed Elecvical Convactor I hereby request inspaction of eDOVe ? wner elechieel work installad at: Streei Atldress. Boz or Hoyle No. ? ? • ? City ? wo ?7 ecuon o. Township Name or N. flange No. Coan ? cuP+?nt INTI b t. P r??Z^?3? 7 ovr v?TIQY1 wer Her Atldress ? / Eld-cirical C rafor ICOmpdpy Na Contrecto s icense No. [ !til,?%r? ? iling Ad fG `aylo?r er Makin stailation) V ? uthora SiB^awre (Co or wn aking Installation) Phone Nu .? S MINNESOTA STATE BOAXD OF ELECTflICITY THIS Qri9B4-Midwav BItlB• - poom N-181 BE ACINCEPTEDPECTION NEQUEST WILL NOT BV THE STATE BOAflD 1821 Universitv Ave.. St. Peul. MN 65104 UNLESS PNOPEH INSPECTIpN FEE IS PhOne (612) 642-0800 ENCLOSED. ?'33 ,3 / RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, BAGAN MN 55122 851-881-4675 NawConatructbn Reaulrements • 3 regWered stte surveys strowing sq. tt. ol bt, aq. M. ot house; and a rooletl areas (20°/. mumum lot coverage allowed) • 2 coples of plen slww'uq beam & wlndow slzes; poured found design, elc.) • 16010l EnergyCalcu12ti0n5 • 3 copies of Tree PreseNation Pyn'rf bt platled aker 7/1/93 • Rim Joist Delall Optbns selectbn sheet (bldgs wM 3 or less un0s) DATE SITE ADDRESS ? • 4 lJ1 TYPE OF WORK k APPLICANT T_)??!1 UO t MULTI-FAMILY BLDG Y VN FiREPIACE(5) _ 0 _ 1 _ 2 STREET ADDRESS 1 1J i\A Lk A U f S CIT! &1STATE,&-*ZIP TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER &1LSR,rf TELEPHONE# 1173 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIIVNESOTA RiJLES 7670 CATF,GORY 1 MINNES01'A RULFS 7672 (4 submission type) . Residential VerHilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcuietions Submitted Plumbing Conhacfor: __ Plumbing system includes: Meehanical Conhactor: Mechanical system includes: Sewer/Water ContraCtor. Air Conditioning Heat Recovery System ? Fee: $90.00 ?-, 11?t ? 9 2002 ---------------------------°----------------°°-------°°-----------------°--------- gp-r? - - - - - - - I hereby acknowledge ihat I have read ihis application, state lhat the information i correct, and agree to comply wlth all applicable State of Minnesota Statutes and Clty of Eagan O' can es. Signafure of Applicanf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener ? _ Water Heater ? _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths RemodeURepalr Heaulrements . 2 copies ol plan • 1 set of Enerqy Cakulatlons for heated add'd'ans . 1 site suney for exterior adtlitions & decks • tndicate'rf home servetl by septic system for atldaions VALUATION ? ?-l 16 '!/v Phone # Updated 4102 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex Ci 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 D&plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Muki [3 03 01 af _ plex ? 09 07-plex O 17 Garage 0 22 Porch/Addn. (4sea.) ? 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 04plex ? 12 12-plex Pibg Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)` O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPEC710NS _ Footings(new bldg) _ FinaUC.O. _ Foocings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Watec _ Final _ Pool _ Ftgs _ AirJGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replecement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Revlew MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other ToWI er' $ci,?¢y ?• 1986 1?1II,ni?G P?nsY?r AP?tL _ c:rRV OF gsr,i?u 180RS: AL[. CONTBSCYOBS NUST HB T.ICSXSED VI2'H 2@$ CTYY OF RAGH , CDR9tRCZAI. SMIX Fd!ffiLY DVEt.LIB35 INCLUDE 2 SETS OF ARCAITECTUAAL INCLUDE 2 SETS OF PLANS k STRUCT?JRAL PLANSo 1 SET OF I CEIiTTFICATE3 OF SUHVEY 5PECIFICATIONS AND 1 SET OF '6 5ET OF EPIERGY CALCULATIQ:IS ENF.ACY GALCULA'TION5 $2,000 LANDSCAFE DOND 4%,S-066 To Be Usad Fors HOME ..._ .^_ Valuationt? I1ste: Sit9 Address 7.t?/?h?2 JU 0?£TC$ TC?.Ot?Y,S - Lat L Block . 44 P3r_'c'l/vttb FA wA). t L1?Ge _...? Octner ?SON:; CO;JST,Ri1L'TIOik Cc7. Av3rQSS _4:70 Rahn itoeid, Eagan, --?. City;'Ltp Cnde Eugan, Mn 5512? C'tenrxe 5l3-452-4721 Contractar SaNS CONSTRUCTION CO acldresa 4370 Rahn Road CityiZip Code Eagan, htn 55122 °hane _-_612-452-4721 Arcii.IF.:,gr. _ Ed Mei ich Adti-ass 8552 Lake Sc. Git.y/ZSp Code Miaineapolis, Mi1 PnJne 9 612-866-3500 Eraet Ocaupaney 1iemadel Zox'iing ? Aoyair Type eP CcA:et :L6( Additian 0 off Stu:•ies P9uae ° [.ergth nenolish lleptr Tnt.l"snpr, '? Sq ft Inetall &?&?YIlYZ F1dS Asaesamenta Paahnst 3? Mfeter/3euer• ? 3uroharge - Pelice Plan Review Fire SAC Engr Water Conn ? Plsnner Water Miter Counoil Road Unit ?9r> Bldg OfF' -ll- Treai:u:::nt Pl. APC Parlcs Bartano? Co?asdy --- TOTAL =o y Pit27RF.SVZ FDR CO8WO Y.(iYS - t:t36TRACY'GfidROt4.'MV!§'? NYSS' D98ICA&TE Uk€fM AD4PRES5 F."U fi7?3`ZkIM. Fe'J?CF?'u*3?',a WELI. B$ kb. .,.....?...y........?..._....... --.....,.?.......,...__.?,d...._m..?...._........ 3:: S:iSG..-D. ?? X Z,? ?iz ? ? ? Sz?? ? ? ? ?? ? 1a? ? ??' ??°? Z?n ?? ? ??" ??? S%?? ? ? y?? , ? TRO-L.AfVD C0. SllRVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 L. 07' t.3 SITE PLAN FOR ' SOiV'S CONSTRUCTION .. ..? .7 N 79013' 13" E 142.20 I T /io ?0 ? I L? 15 ? / T i 14 ? (D , oC'J W ?- ?I pN ?a?S?' ? Z Ct L ???' ??a `tl° / ?'o O Q?' ?ui . to 0 tiL i yo 89. 65 _ N p= 8°25'58° +NORTH 9Y-LAKE_.ROA D ? J N SCALE I"=30' PROPERTY DESCRIPTION LOT15-, BLOCK4 , FAWN RIf?GF ADDITION xcordinp to tha reeorded plat thereof DAKOT A comey, Minnesota LEGENO o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = 10k=0 o DENOTES WOOD HlB SET PROPOSED FIRST FLOOR ELEVATION = LO DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR 0.EVATION ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ,,?-DENOTES DRAINAGE DIRECTION NOTE. VERIFY ALL FLOOR HEIGHTS WITH F1NAL HOUSE PIANS I Mroby cerfity that this swvey,plan or rsporf was prepared by me or under my dirsct aupervision and that i am a duly Repistered Land Survtror under ihe Laws of tM SiWe of Minnesota. 8radley, xenson, Mn. Rep. No. 15235 Date ? 8 4yl86 ------- --- -------- ? _ ,: -- - - -- ---- n ?. . ., I•i ? .?.. . .. . . EXTERIOR EIVE:OPE AVERAGE '"U' CO[I?rJTAT1:0i1 OY1NER S't ,u C? ?r SI'SE ADDtF',55 & an, hlinn 55123 ? 4 . t _..__._ . . .. CONTRACTOR San°?s Cpj.""` 17AfiE,? `HQt1E`Il ?? ? . __ . . ' De.termine wcrking square £ootagz of each. 1. Total exposed wall a#°ea:sq, ft. 1 .11 2. Total roof/celling area ... . ?•1 ,Y ?sq. ft. x.o2d - Total exposed wa11 area; aqnve floor = 9 ' a. Total w8i1 windcw area ................. b. Total dcor ero& : .... ................... ? . c. Total slidl? $?# ?? '.ea , ,, ... . . . . . . . . . . °? ; _, d. Total firepl#cs ??-;- . . . . . .. . .. •- ing??;T'ea (a?verage 10%) ...? e. Total wall" fra ?t f'. Total net'asa13 area-41sove f luor ........ t .: 7'Ot81 X°'d.PS '? G].8t ?°?ta . .'. s . . a . . • . . . . . . , . . 1 ? !', r'? U Total exp¢ssB `0tiots area ' . h. Total Taundat1or3' wit9dasv area , . . . . . . . . .__ c3? 1. Total :ret faur#a?i°area ?:buve gra Determine !'tT'^ .v°alue of each wa11 segment. a. I /L.o.y x l'U,: y3 = 4'? i? b. X uUn ? ° rCy ° X vwu:f D. X "ut- : e. 7 0.2" X uu.' U d / d ,r g `,..d,e! 4 x #r h jE '"U v ? ...........................?..:...............Total ? iT ttem #3 Ss the eam8 asi or less than item N]., ycau h ;?e ?ntent ot' 58C 6006(c)2. . , ., Total axPosed r-oof/ceiling area Total skylight,area y • Y ................• k. Total roof/GeilinS`!'raminU area (average 10, li 1. iotal net insulated-reot)ceilir.G area ...... , ? Determine "U' value f,or each roof/ceiling segr,:ent. i . - .. ? ?..?. X ? .. . i? '__..:? -?. . .. . , .- .. ' k. X :Un ..?.?..:__ ? 1. x "V,: . ....... .... ......... . ... .....Total m ? , ? If total o.° N.-4 is the sari , e as,°or less than f2, you have met bhe ? S:ntent of SBC 6006(c)].. ? ` Alternate Bui-ldirrg Envelone Desir, To.utili2e che total envelope,' sy@ter neChod, the values established i by the sun of items N3.and:tl4 ahall not be Ereeter than the sur.:_oC itens ;:1 and fr2. . ? + 2, m ? 3. + 4. ? ----- ? ?. ? { . ;. ; - ? i .. CITY USE ONLY L ? BL RECEIPT#: ?I SUBD. RECEIPTDATE: ?a7 P7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings * townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge TOTAL SITE ADDRESS: _LL OWNER NAME: INSTALLER NAME:_ STREET ADDRESS: _ cirr: ? preferred I?eating & air 7643 Logan AvenUe South Richfield, MN 55423 Bus:866-7617 fax:866-0125 24.00 6.00 .50 PHONE PHONE #: 9 ZIP: ? I I 4? ??tj SI RE OF PERMITTEE cirr use oNLv L _ BL _ SUBD. RECEIPT#: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4676 Please complete for. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: . $25.00 minimum fee 2[ 1°k of contract price, whichever is greater. * Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all pertnits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (iMPROVeMErirs oNLY) INSTALLER: ADDRESS: ciTr: PHONE #: ? all commerciaUndustrial buildings. . mutti-famiy buildings when separate permits are = required Tor each dwelling unft. STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ? I W."671- r o i • • • izl• • iR mvmm . . 510 •?? s •a? •?? • • •• ?? ? ?? ? • • ; CITY OF EAGAN APPLICATION FOR PERNffT SEWEFt ADID/OR WATIIt CONNECTLON (Please Print) 1) PROPIItTY ADDRFSS: 719 No Ha?lake Rd. T•FY:AT• DFSCE2IPTION: LOt 1 S Rl k!i F`nwn A; Aro tLoc/t3locx/5una1vision or 'rax rarcel l.u. ivunwer) IF EXISTING STRC'CTURE, DATE OF ORIGZNAL BUILDING PERNffT ISSC'ANCE: (Month Year) PRESENT ZONING/PROPOSID USE: R-1 SINGI,E FAMILY ? R-2 DL'PLEX (Two Onits) R-3 TOWNEiOLSE (Three + Lnits) ( Units) , R-4 APARTMENT/CONDOMINIL'M ( Units) CONA7QtCIAL/RETATLJOFFICE INDC'STRIAL INSTITL'TIONAL/GOVIIPMv1EN1' 2) ADnxESS: CITY, STATE, ZIP: David Water & Sewer 4920 xwy 55? Rockford, pqinn. 55373 PHONE: 012 475 1869 3) ? i:?• =-Es R.C. Plumbing Richard llybo ADDRESS: Rt. # 3, Box 99 CITY, STATE, ZIP: Northfield, Minn 55051 PHONE: /,7 • ;2 D ? fg MASTER LICENSE # ? ' For City Cse Pltu rs License Active Cr Expired O Not Recarc ? Staff Initial ' 4) NAME: Don Olson Son Construction ADDRESSa 4370 Robin Rd. CITY, STATE, ZIP: Eagan, N;inn. 55121 . Pxorre: 452 4721 5) i? d • ?• • • ?? 0(CON[1ECTION TO CITY SEWER ?CONNECTION TO CITY WATEE2 ? OTHII2 (Please Describe) 6) ? • i ? PLEASE HOLD APPROVED PII2MiT FOR PICK-L'P BY ONE OF AEOVE ? PLEASE MAIL APPROVID PERAIIT Tb l, 2,? 4, ABOVE (Circ one) 7) ? - _ r-- = F O R C I T Y U S E O N L Y PERtiIIT - ISSUED 7D-3 FEES: $ - S--?--l S - A' ls? $- /U 7J - S-v . S $ $ $ $ 5 d-e . o-a $ S $ $ $ $ SE:?c.°. ?nERl1TT (I`ICLuD:. JU.R.C.:ARGG) WATER PEM1IT (ZTdCLuDE SIIRCHARGE) WATER METER/COPPERHORN/OUTSIDE READ£R WATER TAP (INCLUDE CORPORATION STOP) SE:dER TAP -c?o?_:•r _?_osi? - ?_..?? ACCOUNT D.F.POSIT - F7ATER WAC SP.C TRU,IK WATER ASSESS,lEDIT TRliNK SEWER ASSESS-ME`iT LATERAL BE:IEFIT/TRUNK SE:-_R LATcRAL BENEFIT/TRUNK ZJAT°R WATElt TREATMENT PLANT SURCHARGE OTHER: TOTAL AN10L':QT PAID/RECEIPT ? (F, 5?411?1 d 6 6 SG C DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN i: "PERMIT FOR TiJOR:C WITHIN PUBLIC ROADWAY" MUST BE ISSUED SY THE ?NO ENGINEERING DIVISION. I.IST AS A CQNDI- TION. SL'SJECT TO THE FOI.LOS4ING CONDITIONS: APPROVED BY: TI:LE: DAT°: _ !//?, /? rv øëø û ÿþýþü ÿÿ þýý üþþÿÿúèîéþ øþõðý ì ÿø û ú ùø þÝ î öõ ûîññ ìããî þ ùþù ñò æ þ êíëßþ þðöéþææñõ þæÙ ç ùõæ ÿ þô þ æõþñõæþõþ õþùæ ù ñõæçùò Û ýþ ý þù ñ á ñ æ ôþ üûþÿ þ ù üêëìé ôÿ èçç ÷ü û æþ èçëçìë öõõô øóò ùùþ ßñÿ ý î ôæþø ìþù þöÜííëßþ þðö ñæôöÿþýþôöìì êéíí æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110924 Date Issued:06/04/2013 Permit Category:ePermit Site Address: 719 Hay Lake Rd N Lot:15 Block: 4 Addition: Fawn Ridge PID:10-25800-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Feckler 719 Hay Lake Rd N Eagan MN 55123--302 (612) 964-5289 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I l City of Ea i Permit ) r 0 $ 5 I I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r Site Address: Unit e Name: 1 I LI l~~ I Phone: G I - Cl (04 -50 8'~ t Resident/ E Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description ofwork:T~Cn~ .33 cj- I i Construction Cost: S Multi-Family Building: {Yes / No Company: tx1 C rK~- (~-1 "r'nr Contact: _ I I Ck-' Address:YJ(~ q I MPWt cd 4'P city: Contractor -mil s IIf4er t ; State: Zip: S50KA Phone: E _ 'License Lead Certificate N T- ()ss'~ - 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: 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 1 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.oooherstateonecall oro 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 completedmithin 180 days of permit i ~ua~nce. x ' (1 , x Applicant's Printed Name Lnr Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119795 Date Issued:12/18/2013 Permit Category:ePermit Site Address: 719 Hay Lake Rd N Lot:15 Block: 4 Addition: Fawn Ridge PID:10-25800-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Feckler 719 Hay Lake Rd N Eagan MN 55123--302 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ri,� r For Office Use cv— ��U Eaau Permit#: ilit® 7 +City of Permit Fee 6 ,7. ' " 3830 Pilot Knob Road l Eagan MN 55122 RECEIVED Date Received: / 4 '15'_ /7 Phone: (651)675-5675 Fax: (651)675-5694 JAN 1 3 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 1 I Name: "21// 5 /,Ec /2" Phone: Gia GJa /'- * 2 1 Resident/ i / Owner Address/City/Zip: 7, 7 ,' • hiK 1--4i‘ AC44-0 *-----29 f++ ' 41 Applicant is: X' Owner Contractor �2-✓ Type of Work 1`"L-� vo�'l e i ��e cil 5/swt-+ Description of work: Yp € Construction Cost: U Multi-Family Building: (Yes /No..1Z p ip ompany: Contact: Contr or Address: City: i State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to ,�., _ ,:,._., conclude that theare 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.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 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. /� x At c,d Fete 141e r x , �-; --/L------------ Applicant's Printed Name Applicant's -ign ure Page 1 of 3 -71 9 n A t t, II"f-,� dDOT WRITE BELOW THIS LINE /q0 7V SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex y 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 / Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation /2, clo Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )C Final/ No C.O. Required F% ') Foundation Foundation Before Backfill X HVAC Gas Service Test Gas Line Air Test 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: "---11/ I , Building Inspector RESIDENTIAL FEES Base Fee SurchargePlan Review 6K- ),-/ MCES SAC 177 '�4 y, City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant ! '1i 2( 3 Copies TOTAL le'1 Page 2 of 3 Use BLUE or BLACK Ink ,- For For Office Use Permit:e:' �.Clty Ol ����� lot:9-fk Permit ev,0 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff Fax: (651) 675-5694 L 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: o)" a I - a() i 7 Site Address: 141 LIQ/ LAKb RO Tenant: _ Suite#: Resident/Owner' Name. M11=C F, � CKt.64 Phone: CDIa..�^Po q IG g 5� 1 Address/City!Zip 1. Q iJ ��........�e_ ar., ..�0 Name: CAP 11AC_. Pi_vin i', ,ti 1,i Li_C- License#: (63 t Co PI) Contractor Address: o o X 21 A jj D� City: 1�KbU l L L State: I ' vN1 Zip: Cd 4 `'f Phone: 1 a - g d a / .( Li' iContact Na740 S N V/3 o u50. Email: M 6T 3'8 5 Nal' /L.._ G./"1 New Replacement —Repair _Rebuild _Modify Space Work in R.O.W Type of Work — — Description of work: (2,(-,1•1\0062-, of ( N I'Z-0 o P-\ RESIDENTIAL Water Heater i Water Softener Lawn Irrigation( RPZ/-PVB) I — i Permit Type . Add Plumbing Fixtures( Main/ Lower Level) Septic System I E I Water Turnaround —New 1 Abandonment ..< .,.. RESIDENTIAL FEES: I $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) f $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.qopherstateonecall.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 lans. ©A- S - J , . op � j,._____________x 01yN S��`� x Applicant's Printed Name Applicant' Signet t FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related Items Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA143219 Date Issued:06/07/2017 Permit Category:ePermit Site Address: 719 Hay Lake Rd N Lot:15 Block: 4 Addition: Fawn Ridge PID:10-25800-04-150 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 - Michael Feckler 719 Hay Lake Rd N Eagan MN 55123--302 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature