723 Hay Lake Rd NBLDG. PERMIT ti0.
4e
_'
61-3210 ? Bldg. Permit
01-3422 Plan Check ? .? LD
01-3445 Surch./hdm.
-
_ ?
j7?
`-
01-3446
SAC/Adm. I
Ij?
01-2155 SurchargE
17-3860 Road Unit o2 ?0 v
?
20-2275 SAC y 7(i !?.? ?
20-3865 Water Conn. 4z) J ?
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep. I
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ? `f ? =J ?
11-3855 Park Ded.
TOTAL
CASH RECEIPT
? , . . .
?CITY OF EAGAN
. 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E I9
reecerveo k 'r
FNOM
AMOUNT $ I
? CASH ? CH6CK
7., ? 3 " 7') (
`
FUND I CODE I AMOUNT
Thank You
BY
" UVhite-Payers C
Yellow-Postin
Pink-File CoK
BUILDING PERMI
CITY OF EAGAN ?,2?53
3830 PNat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 •
T Receipt I?
WG/GAR ??..,..,... $72.000 .,_._ OCTOBER 10 86
SiteAddress 723 NO HAY LARE RD Erect ?I Occupancy R3
Lot?14 Block 4 Sec/Sub. FAWN RiDGE Remodel ? 2oning R
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
¢ Name BZ?RF. OAK BLDRS IiYC Move ? Length 47
=
; 11461 GOLDENROD ST NW
Addres Demolisfi ? Depth 46
° s
c?t
COON RIR"S 757-8157
pr.
O
sq. Ft
y l
= o Name SAME ApProvA
oQ Address Assessment
City Phone Water 8 Sew.
? Q
W Police
W Name
i
? = re
F
x Z5 Address
o
i ? City Phone Eng.
Pianner
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
MlnnesOta Statutss and Citv of Eaaan nrdinanr.aa Council
gldg. Off. 1
APC
Signature
!ft i, ?
A Building Permit is issued to: ISUKlt t
a!I work shali be done in accordance with all
Buitding Official
Permit $ 349.00
Surcharge 36. QO
Water Conn. ?IU u. u u
Water Meter 63.50
Road Unit 290.00
Tr. PI. I56. 0U
Var. Date
I TO?l qL I jY9 •
on the express condition that
City ot Eagan Ordinances.
? I P*rmN No. I PsrmM Holder I DaM I Tsl*phone N I
Gd
Plby.
Disp.
S
Name
- Phone - ? ?
Address
- Phone 7? ?; /17
:S
)NTRACT FEE
APPLIES
ES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNI[TURE OF PERMITTEE
Mult. Add-on
Comm. Repair .
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
.?,a-Water Closet - $3.00
.?_Bath Tubs - $3.00
-.3Lavatory - $3.00
?Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - 53.00
?LLaundry Tray - $3.00
-?Floor Drains - $1.50
_?.Water Heater - $1 50
Whirlpool - $3.00
_?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'n
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?_Rough Openings - $1.50 - -S?
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOl
..r
, PERMIT # C1 7
PLUMBING PEAMIT RECEIPT # L
C17Y OF EAGAN --?
3830 PIIOT KN08 ROAD, EAGAN, MN 55122 DATE: ! r? 1?k U
PHONE: 454-8100
' BLDG. TYPE WORK DESCRIPTION
eciSub Res. New
c Ciry ' MECHANICAL PERMIT
CONTRACT PRICE:
Site Address
Lot Block _
y Name '
.S Address
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Sec/Sub
_ Name
; Address
p City ? : •a,
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outldts #
Other
, M BTU
M BTU
M BTU
M BTU
CFM
?
FEE
S/C:
TOTAL•
#
RECEIPT # ' L
DATE: / - _?_ - '? ?
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
A Comm. Repair
? Other
FEES
1 r-- 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 - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/INO 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
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
? CONTRACT PRICE 0? PHONE: 454-8100 ?
I Site Address
/ BLDG. TYPE WORK DESCRIPTION
Lot 4
- Block Sec/Sub
?
? R? ? New
"
? m Name Mult Add-on
Address Comm. Repair
_c City Phone ,l; Other ?
FEES ?
c Name
? RES. HVAC 0-100 M BTU -$24.00 7
7
Address ADDITIONAL 50 M BTU - 6.00
3
O
City ?.?-- P one -? `' (RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
GAS OUTLETS
MINIM
M
1 PER PERMIT
50 EA
-
(
) - 1.
U
.
. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
' Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12
00
Air Cond. M BTU , .
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM $ STATE SURCHARGE PER PERMIT - .50
,
pp) PERMIT PRICE GOES
D
Gas Piping Outlets # BEYOND $1 p
Other ?
FEE:
S/C: ' T R ITT
TOTAL•
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122
Site Address
Lot y ?j
? Name _
.g Address
c Ciry _
? Name _
; Address
O City -
Sec/Sub
Phone
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CON00 - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.Oa
STATE SURCHARGE PER PERMIT - .50
(ADD $60 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
PERMIT ii
RECEIPT #
DATE:
BLQG. TYPE WORK DESCRIPTION
Res. New
Muit. Add-on
Comm. Repair
Qther
RES. PLBG_ ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whlripool - $300
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT) 4-Softener - $5.00 "
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN Remarks '
Addition FAWN RIDGE ADDITION Lot 14 Blk 4 Parcel 10 25800 140 04
owne? street_ 723 No. Hay Lake Road 5tate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Qate
STREETSURF. ^:2 1981 229.35 11.47 20
STREET RESTOR. 1984 499.46/- 49.95 10
GRADING 1981 61.26- 4.08 15
SANSEWTRUNK 19$1 205.44- 10.27 20
SEWER LATERAL 7 1981 1.65
Sewer Lateral 25/ 1 1.18 20
WATERMAIN
WATER LATERAL 17 -7 $1 A 2.18 20
WATEF AREA 10.27 20
W t r Lat ral 1981 1.38
STORM SEW TRK 1985 557.79- 37.19 15
STORM SEW AT - 1984 222.51- 22.25 10
CURB & GUTTER
SIDEWALK
STFEET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
?-
' INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE:
? 3830 Pilnt Knob Road ?Permit Number:
Eagan, Minnesota 55123 Date Issued:
i (612) 681-4675
i SITE ADDRESS: i o tP 14 PILOC-1k= q APPLICANT:
! 7213 WAY L.AkE kD N FiUSN
j FAWN R[qBE (017) 886•-801.5
PERMIT?4YTYPIE:
TYPE QF WORK:
OESCRYF'1'2UN
ar•r+ARK?? REcEiP'r #
Control No. 0864
li k11 t 1 Ml:i
A013 L9
07 /34 /92
tIME)THY P
NEW
IN'iY'Atl, .',TRiAS
?-_- -=-------? ,_ _ _ --------?_?..--_...--.?.?
Permlt No. PormR Holder Date Talaphone *
SM!
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapeat}on Date insp. CommeMs
Faotlrq}s I ?
?G+a o/?-- ? 6/L
Foundation
Framing
Roofing I
Rough Plbg.
Rough Htg. I
Isul.
Fireplace
Final Htg.
Orsat Tes[
Fnal Ptbg. Plbg. InspecSw - Notlfy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pc Disp.
CITY OF EAGAN
3830 Pilot Knob Road
i Eagan, Minnesota 55123
(612) 681-4675
I? SITE ADDRESS:
i,rj'r f F\k ! i<tl N
I ril1T•f 4: k I1??1
PERMIT SUBTYPE:
ft ? ..
?-'JCORD
PERMIT TYPE:
Permit Number:
Date Issued:
tt t 04r: , APPLICANT:
M]NNt `t11A FX1FNIt?R'
f Ei.' ) N?? 3• h s, ?14j
TYPE QF WORK:
fst! 1 1 il ! IVlf
?I+1,' ? h Fi h
NHf i: /??:?
k F.1' A 1C !t
(:,F•,i RIf'] 1r1N ;iDlM1;
Permit No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
FoundaUon
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. inspector - Notiiy Piumber
Const. Meter
Engr.IPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
r? -
/ / /! .yA
VI
? CITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 27199
Eagan, MN 55121
Zoninp:
SEVUER SER1/ICE PERIIAR
PERMIT NO.:
DATE:
IVo. of Unlts:
Owrnr: Oak BIL'
/1dd?ess: Slta Addron:
Plumber.
1 Miw b?swpllr wllfi !IM ply of E6@00
OldiNwaN.
By
Date of Insp.:
Connwctlon Qwrpr
Acc«,r+c aposir:
P'ermM FN:
Surcharpe:
Misc. CMrgm
Total:
Dote Paid: -
cirv oF EAGAN o WATER SERVICE PERMIT
3830 Ptlot Knob Road
P.O. Box 21199 PERMIT NO.: ? 12-'
Eagan, MN 55121 DATE
Zoning: nI No. of Units: 1
Owner. Rurr Osk B] ?'>-^ .
Address:
SiteAddess: 723 North Agy Lak e i?oc,c' 1,14 r4 Fava Rici
gQ
Plumber. Stall Plumbing „
Meter No.: Connection Charge: _500 _ OODd
Size: Account Deposit: 15 _ 0&"
Reader No.: Permit Fee: 7?]
1 agree to comply wlih !he City of Eagan Surcharge: 40?d_
Ordfnances. Misc. Charges: 1 56 _ t)0 TT
Total: 5r'l...a w
BY
Date of Insp.:
Date Paid:
Insp.:
, crrY oF eaGAM • WATER SERVICE PERMIT
zBM PIldt Knob Road
P.O. Box 21199 PERMlT NO.: - 8121,
Eagan, MN 55121 DATE: 10-311-PN6
2oning: r'1 No. of Units: 1
OWner. Fur [1ak R1 rira
Address:
Site Addess: ? T'orth Rao T-Uv v,...a T, c „i. ,._ ... ,
? SiZ6:
' Reader No.: V? 7 11
I ayrea to comply wNh the
By ,4;?, Date
Date at Insp.: 1 t? Ingp
--?
Ett9rges: 7 5r, npTd-zP
63 5 ?3???.
• ' ` CASH RECEIPT •
CITY OF EAGAN
-3830 PILOT KNOB ROAD
EAGAN, MINNES/OTA 55122
1
[ DA E "` u 1? 19' i
RECEIVED /??/ q? * `
FROM
AMOUNT sF
v / &_DOLLARB
?oo
E] CASH -'-ELCkiECiCJ
Fow
?? ? xs3 ?-4 .
?.???
?
FUNO CODE /MO T
? .
loa w
o l
Thank You
N° 67906
Whita-Payere Copy
Vellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
12753
N°
3830 Plbt knob Road, P.O. Box 21-1 99, Eagan, MN 55121.
-
PHONE: 454-810 0
., 2
BUILDING PERMIT 7
Receipt (?
7o be uaed tor SF DWG/GAR Est Value $72,000 Date OCTOBER 10 19 8 6
SiteAddress 723 NO HAY LAKE RD Erect Occupancy R3
Lot14_ Block 4 Sec/Sub. FAWN RIDGE Remodel ? Zoning R
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
w Name BURR OAK BLDRS INC 47
Move ? Length
z
11461 GOLDENROD ST NW
Address
oemoiish ? Depth 4
I
? S
0
Ciry COON RAFAQS 757-8157 Int
mpr.
q. Ft.
?
Install
o Name SAME Approvals Fees
04 Address ASS255m6nt Permit $ 349.00
'¢- ciry pnone waterBSew. Surcharge 36.00
?
- Police Plan Review 174.50
Name
w
W 1- Fire SAC 575.00
1
a? nddress Eng. WaterConn. 500.00
a w city phone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 10/9?sfi
gldg
Off PI. 156.00
Tr
information is corre 1-end a ree to comply with all applicable State of .
. .
Minnesota Statute and Ci ?of EaganOrdinances. APC Parks
Var. Date Copies
Signature of Permittee ??
• 00
Total ?
A Building Permit is issu d to: BURR OAK BLDRS INC on the express condition that
all work shall be done i accordance with all applicabl tat/ e of Minne5ota Sta tes and Ordinances.
Building Oificial
REQUEST FOR ELECTRICAL INSPECTION /eeq-ooooi-[o/s
Sea inetructione lor completirp fhis 1wm on beek oi vellow copy.
"X" Below Work Covered by 7his Request
Nfl'AAAdI psp.l TVDe ol8uil0in8 1 Aooliencea WirW I Equipment Wired I
Bulk Milk
M Fee ServiceEntrerweSiza X Fee Feedere/5ubfeeCam b Fae Cirwits
/ Oto200qm s Oto30qm s Otn30Am. s
Above 2 D Am?y 31 to 700 Amps 1 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_Am s
Transiormer5 rri ation Booms „f0 Partial.'Other Fee
I I LSigns I I ISVecial Inspection ?5
Xem?rks
This repuesl wid
18 months from
C 64841
RaqiTest Oatb Fire No. flouph-i"Inspection ?
rl? ?b - ?/ Required? fleatlv Nuw %Will Notily.InsOec-
?o yes ?No Ior When Feady
? Licansed ElecVicaLContractor 1 hareDy request inspecfion of above
Owner elaciricel work Insialled et:
Streex Atldress, Bo or Raute No.
.e3 a Ke Ro?,a( City
?a an
ection o.
I Town ip Nama or No.
I HanBe o. Cou?it1y
lJ
Occ pnntIPRINT) Phone No.
urr Da.?.
Po ¢r Supplier
-F-
?
?l Address
?
,
o
? r ? n
E/I le?cal Contractor
?dlR?t d ICompeny Namel
LC7LCl-rc C? Contrar,tor's License No.
a-
Mailinp Address (Cmhactor or Owner akine Ins ailation)
W Co d?? Bu?^?svrl?e?
00
Au or' eA Sipnet ( nvactor/Owne Makine lnstalletionl Phnne Number ?v-96i/
MINNESOTA STATE BOApp OF ELECTRIGITY TMIS INS7ECTION REUVEST WILL NOT
dripps•Midwev 8l49. -Adom N-191 BE ACCEPTED BV THE STATE BOAND
1821 Universitv Ave.. St. P.O. MN 66100 UNLESS PflOPEN INSPECTION FEE IS
Phona 16121 642-0800 ENCLOSEU.
This request void
16 nwnths from
D 96830/ ??-
Raquest Uate o' pequiredPInsVer.tio qeady Now ?H'I II NotifY Inspec-
?Yes When Peady
Ltcensetl ElecVical ConVactor 1 hereby request insDaction of above
ri,.. electrical work instelled et
u V•?••c?
SUeet Address, Box or Route No CifY
'p
Y
/
ec ?an o. Township Name o . an9e No.
Cowily
Occupant Pfll TI )- one
Ph
o
Power $upplier AAdress
Ele t( al CoMrac or ICompanv N? Contr r.tor's License Na.
?
^ o
tion)
r or Owner Making Instaila A%
Mailinp A ress 1 b act
?L? V
Authma gnam,e ICO ractor/Owner Maki Ins[allaiionl
? Phune Number? /
X7
[l'Tl1N NFll11CST WI11 NOT
MINNESOTA BOARD i?CTPICITY ??? ???z?i?J' _ BE ACCEPTED BY THE STATE BOARD
GriB9s•Midwey BI - om Nd91 ?UNLESS PAOPEfl INSPECTION PEE IS
1827 Universitv Peul. MN 56104 D/ ENCLOSED.
Phone`I6. 2-OB00 .
?/62REQUEST FOR ELECTRICAL INSPECTION JV% ee-00001-06
._r. See instructions for comoletirg this torm on beck oi Vellow cocV.
?:
? 96830 "X" Below Work Covered by lhis Request
FA? Nap. Tvoe ot 0uiltlinp Applinntee W1md Equipment WireA
I I I I Duolex I I Water Heater I I Lightiny Fixtures J
Cominercial Bidy. Fuce Silo Unloadnr
Industrial Bldg. AirmaConditioner Bulk Milk Tank
Farm olnnr oeci v -tnFr ISpor,ityl
p Fee ServicaEnhenceSize tt Fee Feaders/Sublendere N Fee Circuits
0 to 200 Am >5 0[0 30 qm ps 0 to 30 l?in
Above 200 qmps 31 to 100 qmps 31 to 700 qm s
Swimming Pool Atwve 100_Amps Above 100_P.mps
Transiormers Irtigation Booms Partial-" er Fee
Signs ? I ppecial Inspection ?S
/ar
?. «a?.,ca'
Insoector. ne.eby
-aftilv thet the above
Final spection has baen
/1.2 /i' ? ? 7_ 21 - mada.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT IaV06 RD, EAGAN MN 55122
851-681-4675
New Conetructbn Peaulremante
• 3 registered site surreys showing sq. iL of lot, sq. fl. of twuse; and II roofed areas
(204'> meAmum bt coverage albwed)
• 2 copies of phan showing beam & window s¢es; poured tound design, etc.)
• 7setofEnergyCalculatbns
• 3 copies of Trae Preserrdibn Plan tl bt pletletl afler 7/1/93
• RImJoISlDefailOptbnsselectionsheet(bbgswith3orlessuntts)
DATE & & (o .2,
SITE ADD
TYPE OF
APPLICANT k)0-r00G /-r yri,r/1(`
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 9?SpOcY / LYn (',l/ .?? AuF S?i CRYv_LSTATE 1 c?c ZIP .??
TELEPHONE # R?.? ?1104WD CELL PHONE # 619-266" 74d FAX # 9!12 -'Y d? L*
PROPERN OWNER _ I 1 ?'YI 0Gtnn &sh- TELEPHONE #(OS?"U/
?
-------------- ------------ ------ ------------------------------- ------------ --------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLT ES 7670 CATEGORY 1 MINNESOTA RULFS 7672
0 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater
?r'o. of Baths
Air Conditioning
Heat Recovery System
HemotleVHqQph ReauiremeMs
• 2 cropies of plan • 1 set of Energy Calculations for heated atltlilbns
• 1sle survey tor exlerlor addttions & dacks
• IMicate B home served by septic system for adtltlbns
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Phone #
Phone M
$ 113-7s
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read thls application, state that the infor
wiTh all applicable State of Minnesota Statutes and City of Eagan Ordin
Signature of Applicant
......... .---•------°-----.......r_......?._..-°-..._..._a_..._....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
IULTI-PAMILY BLDG _ Y ?N
VALUATION <t- 6?6,00
corcect, and agree to comply
Not RftYW0_
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 06plex O 13 1Eplex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 76 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti
? 03 01 of _ plex O 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Poroh (screened) ? 36 Mufti
? 05 03-plex ? 11 10.plax ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Inierior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WlndowslDoors
? 34 Replacement "Demolition (EMire Bldg only) - Give PCA handout to applicant
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo 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 (newheplacemen[)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
PERMIT #'
l ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date v? /I -Z_ / 199"Z Yaluation of work lsv
Site Address: _723 nl NaH Lak e, Ra
STREE STE /
Tenant Name: (commercial only)
Lor iq eLar --?- weo. v.I.o. r
Descri tion of work: 1rl 5+a1[ a 5et af 5-tz% cS }0 2cNi s,a dooc.
The applicant is: M Owner ? Contractor ? Other coes«;be>
Name T,mot Phone &g(D SoIS
Property LAST ST
Owner Address 723 n( Ifati 1.aYie, ?d- _
STREET STE /
City £aq3v% State Mn4 Zip 55«-3
Company 5 e1? Phone
Contractor Address License # Exp.
City State Zip
Company , Phone
Archi tect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read`this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
r
Signature of Applicant:
? OFFICE USE CNLY BUILDING PERMIT TYPE
? O1 Foundation ? 05 Apt. Bldg O 09 Basement Finish ? 13 Comm/Ind New
? 02 SF Dwg. E3 06 Garage/Accessory O 10 Swim Pool 0 14 Comm/Ind Add
? 03 Two family 0 07 Fireplace ? 11 Res. Add. O 15 Comm/Ind Rem
O 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch O 16 Public Fac.
;XOS S F /W??C - /1& S?4;.s ?o r?•r o{6o?se ? 17 Agricultural
WORK TYPE
0 31 New O 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demotish
GENERAL INF ORMATION
Lonst. (Actual) Basement sq. ft. MWCC System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft. Fire Sp,rinkler
Length On-site well . Census Code 331
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTIONS
? Site P footing. ? Framing 17 Insulation
p Mallboard Eff F inal O Draintile ? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Hater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Qther
Total:
velLmc;m: s
SAC 96
5AC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 14 B L 0 C K: 4 APPLICANT:
723 HAY LAKE RD N MIMNESOTA EXTERIORS
FAWN RIDGE (612) 493-5500
PERMIT SUBTYPE:
sF (misc.)
TYPE OF WORK:
BUILDING
021666
08/12/93
REPAIR
DESCRIPTION SIDZNG
FINAL
F-
?
?
G'I'TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
? ?Z r i7
ll j7 /
BUILDING ?j
021686
08/12/93
SITE ADDRESS:
P.I.N.: 10-25800-146-04
SIDING
1-din4 Permit Type
lding?Glo,rk Type
DESCRIPTION:
?
SF (MISC.)
REPAIR
`J
?C??t..???Z ?
REMARKS:
FEE SUMMARY:
8ase Fee
Surcharge
Lic. Search Fee
Total Fee
723 HAY IAKE RD N
LOT: 14 BLOCK: q
FAWN RIDGE
VALUATION
$72.00
$2.50
$5.00
$79.50
$5,000
CONTRACTOR: - Applicant - sT. LIC. OWNER:
MTNMESOTA EXTERIORS 14935500 0002877 BUSH TIM
8600 JEFFERSON HWY 723 HAY LAKE RD N
QSSEO MN 55369 EAGAN MN
(612) 493-5500 (612)
f
I hereby aeknawledye that Z havt read this app2icetien artG state that t.h$
InfQrmatian 3s correct and agre,e t.o eomply with a11 a.pplls?able Sta£s af Ptn.
5tntutes and City n# Ea9an OrdinaInoes,
L
APPLICANT/PERMITEE SIGNATUfiE
ISSUEO . SIGNATURE
?
PERMIT #
REACTIVATE'_
C5? / 6 ? ?
C?I OF EAGAN ?
19911BUILDING PERMIT APPLICATION?
68i-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit
f is requested, but not picked up by last working day
o
month in whtch re uest is made or lot chan e is re uested once ermit is issu d.
Date Valuation of work G?- C
Site Address:?? ? ?? y
STREET £UfTE !
Tenant Name: (commercial only)
.
LOT 14- TBLA)CK ? SUBD.??
? P.I.D. M
?
Descri tion of work:
?
The applicant is: ? Owner ? Contractor 6 Other (Describe)
Property Name
LAsT Phone
"
F,Q ,
OWner Address ?15 ???
STREET
Cit STE R
y State Zip
Company Phone
Contractor Address License # MNRESIDEMIAI?? ?3
City State Zip
ArChiteCt/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber Processing time for
sewer d water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with al .9a
Eagan Ordinances
r pplicable State of Minnesota Statutes and City of
.
Signature of Applicant:
41S
OFFICE USE ONLY
- , i
BUILDING PERMIT TYPE
? O 01 Foundation ? 06 Ouplex 11 11 Apt:/todging ? 16 Basement Finish
? O 02 5F Dwg. O 07 4-Plex ? 12 Mu1ti. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? IS Comm./Ind.
O 04 SF Porch O 09 12-Plex 0 14 Flreplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
O 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish . ? 37 Demolish
13 32 Addition 934 Repair O 36 Move
GENERAL tNFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) ist Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering _ Variance
REQUIRED INSPECTIONS
? Site ? Footing
? Mallboard O Final
0 Framing
? Draintile
? Insulation
? Eireplace
Permit Fe 'e?}"U'
Surcharge
Plan Review
License
MWCC SAC
City SAC
Yater Conn.
Water Meter
Acct. Deposit
SJW Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Tatal:
voiuat;«,:
SAC %
SAC Units
1986 BOILD7.NG PERMIT APPLICATION - CITY OF EAG9d
N9TE: ALL COATRACTORS MfJST HE LIC@iSED iiITH THE CITY OF EAGAN
SIBGLE FMIILY DTaELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLRIPLE DiiBLLINGS - RESIDENTIAL 9EBT9L OBITS FOE SALS QNITS
INCLODE 2 SETS OF PLANS, CERTIFIC9TE OF SDRYEY - CHECH WITH BLDG. D&PT.,
1 SET OF ENERGY CALCULATIONS
COPMRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
'? ZC•1?C?
To Be Used For: Single Fdmily Valuation: Date: 10-07-86
Site Address 723 N. Hay Lake Road
Lot 14 Block 4
Parcel/Sub Fawn Ridge
Owner Burr Oak Builders, Inc.
Address 11461 Goldenrod Street N.W.
City/Zip Code Coon Rapids, MN 55433
Phone (612) 757-8157
Contractor Same
Address
City/Zip Code
Phone
Mch./Engr.
Pertinen
Address Spring Lake Park
City/21p Code
Phone 41
(612) 780-1920
OFFICE DSB ONLY
Erect ? Oceupaney R 3
Remodel Zoning R I
Repair Type of Const
_
Addition # of Stories
_
Move Length 4-1
_
Demolish _
Depth _
4(0
Int.Impr. _ Sq Ft
Install _
APPxovALs FsFs
Assessments Permit 349,
Water/Sewer Sureharge 310,
Police Plan Review I14 .?
Fire SAC 51.5.
Engr Water Conn 5 co,
Planner Water, Meter r0-6. so
Council Road Unit Z9 0,
Bldg Off Treatment Pl ( S(o.
APC Parks
Varianee Copies
YOTAI. ?
HOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOliEOBNER MDST DESIGNATS WHICH ADDRESS
IS DESIRED. NO CHANGES iTILL BE ALLOiIED ONCE BIIILDING PERMIT IS ISSQSD.
23x3& =6 Z6 xsB-
1z?, 2nJ ==50dx s?=
ZZx22- ¢?4xc2 =
46024
l7 4c>J-
sa o?
`I123Z
.
PC;OBE BuRQ oA,?
ENGiNEfR1NG ?QHSlll71N6 Eti6IHEf!tS,
pLANHE9S and LAND SUAYEYO!!S BvILDEDS ItiC.
COMpANY, tNC.
lC00 GST liSYS S7RE_7, EL'Ak?JiLL_°, LIIHHE_`GT7. b:=?7 PH J1=2-Z000
?'L•'T?Z7112 CtZz e O? C-5ZrL7"?
?aqc1 ?7e:?cr?pcicn• L0T 14, BLOCK 4, FAW?1 RIGGE,
, DAKOTA CcuNTY, MINNESOTA
`
(24i,sI N g2,8F ?n_
r
?.?
?- Z
?` . 1 ?oyoSED
-y ?_ W ?? W ?E6631
?
Za.3f
CR4i_°)
945.? ?
?14
/od"l.i
DWa.iMAG?'-- AKJ G
uTILITY EASEMG?.;T
5 A
'
.1 Z
N ? \
1
?31 D ?t W Q ,
l?
? BARR?E °;1 ?
l
51 ?
? O ;A?•L
\ U L--
cI?UDD pEvo-rEs ?xisr?r?? EcEUa-r10ti;1
Cq¢-7,a ) pENOTES PROPOSEC' EC.EVA71oh!
INDlG4TEv DIF'cECTIOti OF
SURFACE ORA/NA6E
94-7•33 = F/A.'ISh'EL 19ARQ6E FLGCR
ELEVATlOil1
- S''i' F2rrUT B?/(.OINC
SE7EAGk L/NE
:o: 15
3.9Z'S
?
1
ir- -
J 6,l
(yg4.9) 32-_1 5 S,.E u- ?
N 'i5° 01 SLfiK
E
sc44.E . P" = 30'
I her:by cartify that thia ia a t:',,e and cc:rrct rapraantitior Cf a trut of
land as aho+m'and described hersoa.• Aa preparsd by me on this 32D dsy of
196L .
?? lfinn. Res. Ho. /GvBS'
O
CUMM. N0.
f'lanniny Desiqn Tnc.
1611 Hiyhway iC) N.E.
Minneapolis, MN 55432
b l2-- I f30-1920
flinnesota State Ener-gy L"ode Calculakians
Hased on Chapter 5?f the Model Eneryy Code
198:3 Editian -- Adapked 1/1/84
f,;'' Oo-mcar : HFiUNNEFY CUMM. N0: 86631
f`rySite AddrE_ss:
Contraetor: BUFtFt qFa4: NUILUERS PI'?c?nce
Pldy. Class: A1 A1 for Sinyle Family/I)uple:;
F12, r'esidential ._ =>tories
Over 3 stor i es
Uther ' ,r,y. 6EYJEF"tAL Ihlf-OFi11ATTUN
Nnte: "fhe :
c rctinn desiynatinns ("Sec tion A", "5ection P" etc.) are for
u-" r??nvc=nie?ncc in calcul;a{:inn s only, and are not rela'ked from one sei: of
? calculation5 below Lo the ne::t.
.3s..
?.. " . .
y. 4lal.
1. Pld ls F='erimeter ;: Wall hieigFits, _ Ar'Ea
_ ground to eave
5ect i on A: 120 14.12 - 1694.4
Section F'i : 56 E3.83 494.4E3
, S'ect-1.on C 1) -- 0
Section D: 0 O
°
? (3ross Wall Area -. = 2188.88
{.i+l
-.. . , . .
.., Building dimensions • Flour ur
'Ceiping.
R}:.
Lengtfi
,. Width
-
, Area
..
.-.3i,w..
Secticm
.
Fl :
??y
??
. J(?,
= 1
S1J.:. ,
'.d;
Sectian
E :
27
2 _
- C
54
' Section C : 0 0 C)
Section U : "
r ceilin area = 1:.'iib
10 8 l nor o y
_. Rim Joist• F'er-irneter == 176
F'loor .inisi :2 by (B", 1V", 12" or 16")): 10
Rim Joist Area -= 146.6666
4. Uoors
Area: 37.0 T'hicl::ness (inches):
Fi=rimeter (feca}); i)
I"ype of constructi.ori:
5. Total door-'s periineter:
6. Windnws
/
fYl.
9'%-f". "t`"..
? ?;'tt`M?
?a i3
?
Manufac:turer-:
LJ factor:
0.52
i : State approvrd: YES
Type Heiy_tit ,. Length .. Number- = Total
? (inches) (Tnches) of gla,s SyF=t
uni ts
BASEMENT UhJ I T 14 27 S' 5.25
.t?
^'
CASFhIE:N.I'
"3?6
217
4
2O
+• C:ASEMEN7 40 :?V '; 16.67
C:A SEh1ENT bC! :'.ii 7 7i8, _;:'
C:A:iEhlF:ihJ"f 4i1 24 4 26.67
CASLI°IE:NT 40 :=4 4 3=
C! q
h..,
, .
o
. o
?i
U
o Q t? 0
:1 .
. fl f? il -
?.yr (.1 f! fl Q
. y h=
..'4t°.. . - t 1 l) ' t:j Qi
•
4
7. Window ylass area (aqFt) 158.92
TYPe F{eight. ,. Leriyth ,, lyumber = I"oL-cjl
(feet) (ieet) unit=s SyF't
B. Fatio I:)oor-: 6.85 _ ._ 41.1
9. Atri.um: D i.] i? 0
?
, iu. r-ireFi:,cm area
?: .. . UJidth: ii IieiUht:
• -
- Cf
lotal Sy F=t ?_
_
r
?s
11. E:;posed Foi..indatinn
Heiyht area F-l: 0.67 F'erimeter area F1: 1413
Jq ( t area /1 = 99.16
.
x ,i .
E_:;pose:d F-ounc9atinri . .
:
Hcight area I?: 0 Per'imeter area.8c 'U ,
;iq I` i area B = (i '
.
. 12. :iy F't U factor U s: A
,
;
,
? LiY'C7Ss Watl <31"-L"'cl 2100.BB
.? . mi ni.t!?, . .
> Winc.low area 150.92 i,i.;i'% 82.64
.>7?
'
? f='<it.i
o d????r
?
ar_?_3 ?Y]
.1 t?.47 19,??2
?;
? ;. .
.
. .
;;V
: F1tr ium arG+a ii 0 0
. {:im joist area 146.66666667 0.041 6.01
lloor area 3I.E3 0.7.4 E5.29
I'lIIBPlflL'(_' <31'F?d ll (1
.
0
E:;;posed F"ound. 99.16 0.14 13.E3E3
? Framinq ar-E=a 218.888 0.095 20.79
.
equal s
?
? T'otals fur net wall: 1486.3453 3?;:' 0.04: 63.91
,.?,
?.
HA@.4
SECII1060
!+.
?y
? ?., . .
?L
ti
S1YID
?8EC]'IO[i
?M
6K f ?r3
ry
?ta
?
4
,
2taD uAa,p,
a
? 4Y
? .
?1:..)'.)..
C,
' .
.
, f .
T
{
t« l i?
x
z £1 .
R1H
r ' JoI9B'
?F
?
. t
$r p
! .
?
•
b
..
€
P?
f
?
?
f
,
lo re+1,Ut IIVi,LUL/111UH.r R VALUS UACiIE
?wnaa4 Ate caa? .6a
Ltcter@oe at?Aa ??-j $18?A9? 19 0? e
Enats??tdan ?G?e?
Sh?eehflng "Z ??
sdaAng
OUCeQd9 alr Qdlifl . al1 . . .
R 86BRL '2. ai[9 ? •
--°?-----?
fln96de a!e 4l@m .6S
intetivr aefll
oeud RQ MM(0a5d (FeamAng)t! oI. a
3hemehing -2 ,cyx:1
3ld9nd >(o_, ? (Y,g
?
Oug9@de nfr fAlno _ .l7 *
;e
tt ioEAL+?
Hnolde atr Bttre Rs ;be
Heaeeelec aelQ ' .
Hntulatflort QHmfl9 D U o? o
3laeokh4ng ?
?ate¢@or amfll eovetted
?Rec?e@ae ?flr &dflm e:&!=m
R fiotA@. .: .
flazeeanr eie faam R, ,sa :
tasulatflvo , ` .
I`?.UO • , ?
_ 1.1 lnch eode auud R=1.88 ?.(Rlm U m a m
Jaise)
31iem¢h&ng
Exter6oz we&fl eo?er4ng r/a eO'?.?
? s
??tCeeivt olr fflim R,
R TOtA6 flntestnr e6t &llan Rs .68
Insvlatlon tjtOh ,
Poundaelon
(Fdn.) U m
¢aterlor ale ellm R9
W tv6ni.
?--?Expoged 9lueh :
:,
Y
Y
H
3
8
a
s
°v
?
.,
i,
4
s
n
T
;o
C
?
„
r
?
'
I
r
e
i,
?
t
s
I
1
4
't
2
3
3
9
7
7
: 9
3
S
1
? - - - - -- - - ?- - -- - - - - - -
-
4 ? -
-
eI WII AY??
?
-
-
-
- U
1 -
?
3 -
_ - °
m 1
s ?
q
X _
-
- - ?
- -
- - -
- _
- -
- -
_
- - -
-
- -
?t2caJ? - - -
I
.
- _
-
- °
° 1!? - - -
- - -
?
7 1
7 -
-
-
- -
-
!??LE
,qf .
Ll
?
-
_
_
_
_
- - -
- - - - - - - - - - - ? - - -
- - -
-
--
-
- .h a - - - - -
- ? 2 " - - - - - -
- - - - - -
- - - - , - 1
1 r? - 1 7 0
- - -
92
?
-
- -
-
-
-
-
-
-
-
-
-
-
?
? - -
? - - -
I -
I -
t -- - - - - - - - - -
--
-
? -
? ? - - - -
? - - - - - -
0 - - - - - -
9 . '
? - - - - - - - -
t
°
g
+
-
-
-
-
-
-
-
- -
-
-
-
-
-
-
-
-
-
-
- -
-
-
-
- -
- -
- -
-
-
-
?
0
-
-
-
-
-
-
-
- - - -
-- - - ?-_-- --_-- -- - _ - - - - - - -_ - - - ? ?
: f V? M^Y
?
(
.'r?
ri1iA
li?r
? ?. .
0
0.
? d !
t
??'1?!iE ,? •
C?BB.?ib ,
• ,
A8r FiBm 0.88
?e J6oUU 9nsu0a¢8on ?4 oUU o 4 oju J?o9e '
°?6 Ce908ng .9G
. 0.68 AOr ffOBm a.68
. OU24 U p ?. o1J?l
??v??V Ft:nt. nu(Jr un c,1tFiEannL cEA`ttim
r7lialiia
/li ?!9 fl?4?sa ?? Rnm9na
?`-
U.66
?
.
? . '
fl YAI,IIE
6€aL?reo
ut,4aPia ear ooim
Ca8@In
do6ce ?s?io?8
On$mia?0an
Aor snmcW
AvoP de^_k8np
Bn?uBaQBon
e,oa o e-vp roo?
Uve90de alr F0i?
;?' 6oea0 R . ? .
? ?-
°? ?"f! •
nH inP9@traeBnn ,? cfm/IIne?1 Pnnt of crsc? . • ?
+?r??e190 JUqP• 11ffOBer.9r.lnn U.5 [fm/9q?0are ?evt i{r daor and m8rolmum ende reiu0rpmero@
re48deio@0a8 dnnr 7nP00tral9on OC.O eim/GQneaB Paot vP ea-ack ,
•r
12".'<tnncrnte h6arc4: nn Vn??I?Elan 9,.97 A Z.R 4 • ,
12" znnr.rotn blor.k IipsanlaEed cmrs9 Q.16 R 9.9 .
1.2",I1 ghe:+@ laif t biock m,Jt n 1.1
.
QZ" 60gloc?+eO?he bl?ck O?vsm&?esd cor?s fl.12 q B..S '
!ttlo^::'qlas9 9 O.B.Di roOEh aearmy Bnda:a 54
ib19:g0,9aq s .53 ?
Bp9s g0ags A .41 • .
:er.9vr oeal?s ,7n?B e?Ilings m?P9? (iar@ A Vgpdr tinrrllr ?IP.Bd perm ms?.?.
r?4s•rler mus2 be nn 4he Ynslde ( ?nat2r9 9idei ef i?r19.
i?rr0ers oP tlle pvlyetllglene tla?ro BBIm Iosvi nu fl valeee.
n -1JL_--.:-, -------- ??_ ?--'_'°_--- . _---?---==- - --
?,,.... .nuane.m,a?r?rrrs+a?
s . .
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*Xnw.: PAYMFTTP OF FEE AT TIME OF
APrrscATIoN nos rOr aoNsizWM
APPROVAL OF PIIiPffT.
naSPEMoN oF sF.WEt ArID/at MMM
INSTar.raMONS WIIS. NOif SE SC]HM-
C1LID OM'iL PERNffT AAS BEEN
APPROVID.
ja3 (Please Print) -
1) PROPERTY ADDRESS :'etX-,% /)d ?yj?
LEGAL DESCRIPTION: c
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING S1RL'Cl[JRE, DATE OF ORIGINAL B[JILDING PERMIT ISSOANCE: .
(Mon Year)
PRESEDTP 7ANING/PROPOSID L'SE:
0 CONAERCIAI./REPAIL/OFFICE
Q IPID[.'STRIAL
n INSTIZi'TIONAL/GOVII2NMENp
2) ?
SINGLE FAMILY
r-I R-2 DUPLEX (Twn Units)
? R-3 TOWNEi00SE (Three + Units) ( Dnits)
? R-4 APARITENT/COPIDOMINILTI ( Units )
tuArE:f4kkP 5':e6D Sec..? l
AoDxESS: /Q,iC y Z .,? ,q=v
ciTSr, sraxE, zzP:,S?= p
PxorE: ry y _ -24
o 0
3) ? r ?•
rmrE:
ADDRFSS: ut,131t1,Q -y) (J
ciTSr, sxATE, s?' -?-?-,.? 4- 1-, ?0
-3
PHOW ?L. oZ /-ZZs7 MASTER LICENSE# Qo?7
4)
oa o i?°
'NAME:?L?i-
F,oDREss:
CZTY, STATE, zZP:
PHONE:
rlumoers iacense:
Active
Expired
Not recorded
StaTT In1t1a1
5) " lr' ' :a ? • ??
)z]_ CONNEGTZON Zt7 CITY SEWER YSd' ` .??
CpNNID?`?'ION ? CITY 4ATER O?IYm2 '.
C J
6)
'? • •?• Q PLEASE HOLD APPROVID PERhIIT FC)R PIQC-L?P BY ONE OF ABVf
PLEASE MAIL APPROVFD PERMZT TO 1. 2,t?l 4, AB(3VE
A (Circle one)
. -.:,
. FOR -CITY USE ONLY
PERMIT # ISSUED '
8%z 2--
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ?C'•S ?4 WATER PERMIT (INCLDDE SLRCHARGE)
$ 43 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCL[.'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?,Slr [1 ACCOUNT DEPOSIT - SEWER
$ $ ?Si!} ( ACCOONT DEPOSIT - WATER
$ /?TJ $ WAC
$ J 7S 0-7) $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ G' U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ SZ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F I YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSLED BY THE ENGI[VEERZNG
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY:
TITLE:
DATE:
?
I
H
sueo.
?
CITY USE ONLY
BL
?--7LZ
1999 PLUMBllvH PEft1411T ($UIDEN'PIAL)
CITY OF £AfiRN
3830 PILOT KNOB RD
EA6AlV, MN 55122
(651) 6$ t -4675
Please complete for: S single family dwellings
D townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ S0.0
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if ezistin dwellin 30.00 x = $
Water doset 3.00 x = $ '
Water heater 3.00 x = $
Water softener if dwelling under consvuction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --> ----> ----> $ 3 z?u
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------- -------------- ------------------- ------------------ ---
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsi6ility to notify the property owner that the City of Ea9an assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: ( 2
OWNER NAME: : -T- v?o t? ? ?
INSTALLER NAME: ??94
STREET ADDRESS:
C ITY:
IR C?
RECEIPT #: ? gV s-
RECEIPT DATE: 1 ' ` ' `r ?
PERMIT# -79
TELEPHONE #: CoS 1 Co SCo SO ?S
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE: Z :
SI ATURE PERMITTEE
-7g /7 n
2007 RESIDENTIAL MECHANICAL rExMiT nrrLrcaTioN
City Of F.agan
3830 Pifot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits arc required for eacN unit
` Date
SiteAddress 71? ??-(l I ???????c 0 EqVol 1 F--U
it#
o
Property Owner Telep6oae # ( C/ JI) 68IU
Contractor Ron's Mechanical, Inc.
StreetAddress 12010 Old Brick Yard Road. c;ty Shakopee
State MN ZiP 55379 Telephane#.( 952) 44578585
BondRLI 561164 F,xpires: _$'13-07 '.
The Applicaot is _ Owner ? Contractor Other
Fire repair (replace burned out appliances, duetwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelliog unit - $ 50.00
? furnace _Additional /-\Replacement _ New
air exchanger
? air conditioner
heat pump,
other
?,tate Surcharge $ .50
Total $ _E)D
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is bomplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pertnit, but only an application for a permit, and work is not to start without a pe t; that the work will be in acwrclance with th?.,
approved plan in the case of work which require w and approval of plans.
1_l Y`?. ?Y rc3. U
Applicant's Printed Name Applicant's Signatu '?' ?? IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
723 HAY
FAWN RIDGE
PERMIT SUBTYPE:
SF (MISC.)
REMARKS: RECEIPT #
INSPECTION RECORD Control No. 0864
PERMITTYPE: euzLoiNG
Permit Number: 001119
Date Issued: 0 7/2 4/g Z
LOT: 14 BLOCK: 4 APPLICANT:
LAKE RD N BUSH
(612) 686-8015
TYPE OF WORK:
DESCRIPTION
TIMOTHY P
NEW
INSTALL STAIRS
? ?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
723 HAY LAKE RD N
LOT: 14 BLOCK: 4
FRWN RIDGE
DESCRIPTION:
IN3TALL S7AIR3
Building Permit 7ype SF (MISC.)
Buildingl.,Work Type NEW
t
t
L
J
BUILDING
001119
07/24/92
REMARKS:
RECEIPT R G 0,400 g3
FEE SUMMARY:
8ase Fee $15.00
Surcharge $.50
Total fee $15.50
CONTRACTOR: OWNER: - Appl3cant -
BU3H TIMOTHY P
723 HAY LAKE RD N
EAGAN MN
(612)686-8015
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State qf Mn.
Statutes and City of Eagan Ordinances.
?
APPLICA RMI E TURE ISSUED B: SIGNA
Control No. OOo 6/I
?+
Use BLUE or BLACK Ink
Ask.
I For Office Use p I
Permit
City of Eap
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - - - - - - - - -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: J Z lA r4C~ v9 r ~l G~1 U Phone:
- Resident/
Owner Address / City I Zip: 7,73 LJ 4n t j lef 1C, Ed -i k4-
Applicant is: Owner V Contractor
Type of Work Description of work: k e, li~`
~
Construction Cosf ~ ~ Multi-Family Building: (Yes / No
Company: On W, U J it 4 ~~i~!(Ttact: N(L.e-
Contractor Address: w~e-/I wa-v_- S City: D-e- I,g-nc)
State: Zip: - ,;7' Phone: 9!!Q - .~;?Q Q - 3 -7
License B P )~7 'J L'{ I C Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ky c)
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
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.oopherstateonecall.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 U c E-C 0_e~_Q__N x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133415
Date Issued:10/12/2015
Permit Category:ePermit
Site Address: 723 Hay Lake Rd N
Lot:14 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-140
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 -
Timothy P Bush
723 Hay Lake Rd N
Eagan MN 55123
(651) 686-8015
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature