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730 Hay Lake Rd NCITY OF EAGAN Remarks Addition FAWN RIDGE ADDITION Owner Ik 5 Parcel 10 958(1(1 pln ns street-730 No. Hay Lake Road state Eagan, MN 55123 4501 Whitetail Way Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 229.35 11.47 20 STREET RESTOR. 1984 499.46 49.95 10 GRADING 1981 61.26 - 4.08 15 SAN SEW TRUNK ^ 1981 205.44 , 10.27 20 SEWER LATEAAL '2 7 19$1 33. 07- 1.65 49 1981 23 .57 -" 1.18 20 WATERMAIN WATER LATERAL 1981 43.67- 2.18 20 WATER AREA 19$1 205.44.- 10.27 20 Water Lateral '' 1981 27.68, 1.38 STORM SEW TRK ? 1985 557 . 79 , 37.19 15 STORM 5 L r- - 1984 222.51- 22.25 10 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN ? 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t? ? PHONE:454-8100 BUILDING PERMIT Rece;nc # To be used for S F DWG/GAR Est Value $55,000 Date SiteAddress 730 NO HAY LAKE RD Erect Lot 1 Parcel No. Biack 5 Sec/Sub. FA RI DGE Remodel ? Repair ? Addition ? a Name KELCRIS Move ? = Addre 1020 E 14bTH ST ss Demolish 0 ? o city BURNSV%k§ 432-8131 Int.lmpr. Install ? 12261 198 6 Type of Const. V*? Length .Vv 36 . Depth 41) Sq. Ft o Name MCAPPEL Approvals Fees = 0 ,j ? Address Assessment Permit ? 2 98• 00 ~ City Phone Water 8 Sew. Surcharge 27.50 ? W Name pROHE ENGR Police Fire Plan Review 14 9.00 SAC 575.00 _= Address 1000 E 146TH ST Z Eng. 500.00 water Conn. ` c'. BURNSV3?? 4?12-3000 W ? Planner 63.50 Water Meter Council Road Unit 290 ? ?0 I hereby acknowledge that I have read this application and state that the gldg. Off? S? Tr. PI. 156.00 information is correct and agree to comply with 0 applicable State of Minnesota Statutes and City of Eegan Ordinances. APC Parks Var. Date Signature of Permittee • 1? 1A'?- Copies - TOt81 ', U59. uo MCAPpEL A Building Permit is issued to: on the express condltion that all work shall be done in accordance with all applicable State oi Minnesota Building Of(icial r Statutes and City of Eagan '? --? Ordinances. 11 1 PMmft No. I Pnmk Holder I Data ( Tohphora N I 7 Plby. Mt9. Htp. Final Occ. Disp. PERMIT # ' . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTAACT PRiCE HONEA54-B100 Site Ad?ress 111r c , gLp(;,, npE WORK DESCRIPTION Lot ? Block S Sec/Sub ? ? New es. a Name Z:Z ? M Add ? -on ult ?g Address ??? r ? Comm. Repair c City. ? n Phone -Z' 6 Other 4 -/4 Name d " FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ?5 l?1/ z? GAS OUTLETS - 1.50 EA. Forced Air ? M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PEFiM1T PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE SIGNATURE'OF P R EE / S/C: ?c' TOTAL• FOR: CITY OF EAGAN PERMIT # ' • PLUMBING PERMIT RECEIPT # s ? CITY OF EAGAN 3830 PI °? LOT KNOB RO AD, EAGAN. MN 55121 DATE: CONTRACT PRICE 32 PHQ E 454-8100 Site Address f v ' f r' 0 V' r2 v BLDG. TYPE WORK DESCRIPTION LatBlock SeclSub J Res. New ? Name • ?Z ? 1 Y ^ ?' '" ? Mult Add-on Address ? ? UO ? " ' s " ^ `` ` '" ?• Y_ Comm. Repair c City ;3t?'3- Phone Other Name NQ. FIXTURES T AL 00 ?Water Closet - $3 3 Address . ? Bath Tubs - $3.00 0 City/?uo Phone ? Z 4/ 3 -4 Lavatory -$3.00 Shower - $3.00 Kitchen Sink - $3.00 Z FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE _ $10,0p Urinal/Bidet -$3.00 --J-Laundry Tray - $3.00 -1-Floor Drains -$1.50 MINIMUM - COMM/IND FEE _ 20,00 / Water Heater - --$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outle4s - $1.50 BEYOND $1,000.00) Softener - $5,00 Well - $10 00 . Private Disp. - $10.00 ? :z' __ t .t.? -7/T y ? ?c .•- Rough Openings - $1.50 _ SIGNATURE OF PERMITTEE FEE a? ' SG ?D ? STATE S/C: GRAND TOTAL ?? ? C FOR: CITY OF EAGAN - CITY OF EAGAN *0 17931 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # To be used for DECK Est. Value =? ,000 Oate MAY 29 , 19 90 7? R ?Y ? ? Sile Addrfess ?AWN 8YDGE 191 OFFtCE USE ONLY Lot • Block Sec/Sub. PafC@I N0. Occupancy - FEES ? DAYID BRIGQS Name zoning (Actual) Const - - Bidg. Permit 25oOD o Addf2SS ? ? ?Y ? ? -- (Allowable) - ?rchar e . ? City EAGAX Phone 681-177Y # ot stories g - Plan Review Length _ F Name $AME oepm - s,ac, city t O OK Address S.F. Total - SAC Mcwcc U c , City Phone S.F. Footprints - Water Conn ? On 5ite Sewage _ 825 Name a, s+te weu _ Water Meter W _m Address newcc syslem - ua Acct. Deposit ? W City Phone ciry wafer - S11N Permit PRV Required _ I hereby acknowlege ihat I have read this application and state that the Booster Pump - S/W Surcharge iniormation is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. 7reatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAnD BRiM Planner • - Park Ded. on the express condition that all work shall be done in accordance with all Cancil -- applicable Slate of Minnesota Stalutes and City of Eagan Ordinances. gldy, pry. _ Copies -?? Building Official Variance - TOTAL • Drie WATER Foundation Fnal . CITY OF EAGAN ?R ?Vl? P?? 3830 Pilot Knob F?oW , P. O. Box 21199 PERMIT NO.: ' Eagan, MN .ri5121 pATE- ? zw,ing: `. ? - No. of Unita: OWIbr. E'`'C , I4ddrcss: - Sire Address: ?, '`,orth i:LLi !<5 rrawa Li,dze •- Plumber c'-rmOti Plumhinry "0IM to es?pyr wll6 liw Clti of Eefow OrdiMwqm ? By i Date of Insp.: i. Insp.: f ft innispy w+% ti» cit, ef E.9.a COnnedion Chorpe: -' ^ "- AcoourM Deposit: `n Pem* Fee: Sureiwrpe: Miac. CMrqes; Totoi; Dafe Paid: I.3VITY OF EAGAN WATER SERVICF P?ff 830 Pelot Knob Rmad p.'D. Box 21199 PERMfT NO.: . ; E Zoning: sgan, MN 55121 DATE: 1 ?. _ i r. . No. af Units: Ownsr: /1ddress: SIM Addrcss: '-rh '?a l.ake No:;d 7-' ?'? Iai;-n F,idre Plumber: :,.u t _ '•' :. ureb i21 - Meter No.: lilll ? - Size: S " oc/ 5Gn Reoder No.: u? ?? • tl,l . 0 0 z, :: ?J pr; I "ne to eoMPb wia !w C,ky of ??ELE Or?1" 7 71 B Date of In ?e Paid: sp.: Insp.: CITY OF EAGAN Np 17931 •- 3830 Pibt Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 e ? BUILDING PERMIT Receipt # eW JJ To be used for DECK Est. Value $1, 000 Date MA7t 29 , 19-9-Q_ Site Address 730 N HAY LAKE RD Lot 1 Block 5 Sec/Sub. FAWN RIDGE 15T OFFICE USE ONLY Parcel No. occupancy - Fees Zoning - w Name DAVID BRIGGS (Actual) Const - BIdg.Permit 25.00 o Address 730 N HAY LAKE RD (Nlowable) - 50 Surcharge . City EaGAN Phone 681-1775 ?vof srories - Plan Review Len9th _ ? Name S?E Deplh - SAQCity t g¢ Address S.F. iotai - Sa0. McWCC ? City Phone S.F. Footprints _ Water Conn On Site Sewage _ ? W w Name On Site Weli - W r M ter ? ?? Address MWCC System - a e e iw Clty PhonO CiryWater _ qcct. Deposit S!W P i PRV Required - erm t I hereby acknowlege Ihat I have read this application and state lhat the Booster PumO - S/VJ Surcharge information is cnrrect and agree to wmply wilh all applicable Slate ol Minnesola StaWtes and Ciry of Eagan Ortlinances. Trealment PI Signature ot Pertnitee APPROVALS qoatl Unit DAVID BRIGGS A Building Permit is i5sued to: Planner - parkDed. on the express condition fhat all work shall be done in accordance with all Council applicable State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Builtling Ot(icial I ? Variance _ 7p7qL 25.50 BUILDING PERMIT Receipt N 7obeusedfor SF DWG/GAR estvalue $55,000 oete JULY 11 1986 730 NO HAY LAKE RD m R3 Sde Address Lot 1 Block 5 Secisub. FAWN RIDGE Parcel No. a I Name KELCRIS w o Address 1020 E 146TH ST city BURNSV?r- 432-8131 o Name MCAPPEL = $ ¢ Address Ciry Phone ? w Name PROBE ENGR =a nddress 1000 E 146TH ST `W c;ry BURNSV? 432-3000 I here6y acknowledge that I have read th is application and state that the information is correct ande?g ree to comply with app icable State of Minnesota Statutes and CiNlof EAoan Ordlna? / Signature of Permitlee /-? A Buiiding Permit is issued to: MCAP EL all work shall be done in accordance with all applicab`le?tate of Building Oflicial ? e CITY OF EAGAN t?' 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ?`? 2 12261 PHONE: 454-8100 Erect Occupency Femodel ? Zaning pn Repair ? Type of Const. Irn Addition ? No. Stories Mave ? Length 36 Oemolish ? Depth 40 Int. Impr. ? Sq. Ft Install ? Aoorovals Feea . Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 7/9/86 Var. Permit +' Zya.uv Surcharge 27.50 Plan Review 149 . 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156. 00 Parks Copies Total $2.059.00 on the ezpress condition that and Ciry of Eagan Ordinances. RESIDENTIAL S)? 02 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-881•4875 Naw Construetlon RenulremeMe • 3 iegistered sile surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas (20% macimum lo[ coverage allowed) . 2 mpies of plan shovrirg heam & window sizes; paured faund design, etc.) • 1 set of Energy Calculatlorks . 3 copies of Tree Preservation Plan H lot plaNed after 711193 • Rim Joist Detail Options selection sheet (Mdgs wifh 3 ar less units) DATE ?10"2 SITE ADDRESS TYPE OF WORK APPLICANT il? /e6?5?Y'1' 1 ! O Lr RemodaVReoair Reauirements . 2 copies of Dlan . 7 set of Energy Calculations for heated additlorks • lsitesurveyforextenoradditlons8decks . Indicate if home served by septic system for addltbns V LUATION ar '3 ?-Oo'o v MULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS ?9 46?'- cAv CITY ?5`?`/ ? STATV ZIP? TELEPHONE #9X' ?'??da3 CELL PHONE #?/v7Mi/L?Q??Yr-_ FAX # Ff-279011 PROPERTYOWNER fYlP?i./P?I TELEPHONE# -ir--. COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSO"1'A RULES 7670 CA717iGORY 1 (J submission tWe) • Residential Ventilation Calegory 1 Worksheet Submitted . Energy Envelope Calculations Submittad Plumbing Contractor: _ Pluinbing systein includes: Mechanical Contractor: Mcchanical systcm includes: Sewer/Water Contractor: _ Air Condiuoning Heat Recovery System Phone # Phone # --------------------------------------°-----------°--------------°--------°--------- I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan OrdinancgV ? ? Signature of Applicarrt OFFICE USE ONLY _ Water SofCener Water Hca[cr No. of Baths _ Phonc # Lawn Sprinkler No. of R.I. Balhs ree: $70.00 --- ° --- ° ------------------ rec,t,-qnd agree to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement "Demolition (Entire 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) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p]umbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total ? 1985 BUILDING PERIiIT APPLICAYION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAHILY DiiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS 11-? & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY`? SPECIFICATIONS AND 1 SET OF 7 SET OF ENERGY CALCULATIONS ? ENERGY CALCULATIONS' - $2,000 LANDSCAPE BOND To Be Used For: -q,rl, k?.?,?-?, t Valuation: Date: 7/y??? New ?uSfr? %oA Site Address f ? Lot _jW 81ock ? ParcellSub fi(,V ( Owner ? .? zc%Z i S Address 0a (? E • /y(/, ? City/2ip Code 9v2yv 5 1P /??vU SS 37 Phone Contract Address City/Zip Phone ?LL aL>>/ Areh./Engr(-P1-1C-)-. L4 Address e r4ti 1Z/?J??u /,A YY? Occupancy Zoning Type of Const !1 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off -- Treatment P1 APC Parks Variance Copies TOTAI. y ip Code S!l/ ? iU-.?S337 Phone # zc? ?c71? = Ar-J''`-12.= . , 0o ROBE CDHSUlTIHO EHdIHfEAS . NGINEERING PIpHHE9S and LAHD iUAVEY085 COMP[iNY, INC. 1000 EAST 1461h STREET, BUANSYtLLE, YIHHESOTA 55337 PH 432-3000 CerLZi?`Z cccZe? ? Ye c? j?c4at ?e..icr? 2iost • LOT l? $(,OCK 5, FAWN R/DGE, DAKOTA COUNTY, MINNESDTA R? , R? N?R?N NAY1,AK rq 9¢yr, ? ? N NORTH SCAtE = l" = 30' o N S o- _ . r i ? `o ? ,,p w Q4g?, o a o ? 1 6RR ? 1 2,0 p g4=Op + W ?Sso ? ? o ? i 1 ? o4'B?l7r? e ? i 1 r? tfk- , m 1= ? r= `i_f DENOTE-S EX15771,V6 El£VAT/ON C Ne•7 ) D6NOTE5 PROPOSfO ELEVAT/OAl r 1NDICATES DIRECT/Oti! OF SIIRiACE DRA/NA6E 949.0 = F/N/SNED 6qRA66 FLOOR ELEV,QT/ON ? I LOT? '. 5?zf ?`- DRA/NA6E ,qNO UT/G/TY EASE'N/E,Ur 9.0 77.94 ?•' =• g': 5 87° 07' z5r W ( 950. a) 1 ? 1 1 1irv ii ? -? , L 30' FROAIT 8uIC.D/AJ6 SETQACK L/dl6 I her:by cnrtify that thin ia a true and correct rspreeentation of a traM of land a• shown'and deacribed heraon. As praParnd by me on thii - 5 n4 aar ot /riswt , 1914 . • ?+? Hinn. ltes. No. //,e8s PfINIP(llP[ "U".VALUE AND .R-FACT02 AT ROOF, {dALL, RIPi AND CONCRETC BLOCK ''(J"-I IIz= .oZs -rb-rAL (IZ)=v.sgd _RooF j C.?.IL?NC, tR? VALL IQ I11-(ERlo? AIR FJLM .6( ?O s0 &cP. eo, ? , s9 ? fNSULAj?oN yy.oo O EXj?R10(? AlR FILM (5-(ILL? ?-? '•?`? WALL ... (R) t/ALlE QQ INlERIof= AIR ?I?M , 6? G) 11-L" GYP. BD. - . . Y: z ?oN ?i,?= tr?su?A T 19.oc? . . O ? p ? ?3L// ?jJI?Y?NTC ? • ? Q? . ,67 ii eVIEr-lor Fl1R F?Lt1 ? lI 15 rOI?:T.-?r? ?.06 . 0 ' . T. 00 . CY= 11 R = .oa3 ToTAL (lz?? RIM .? . • ? ? C?) VA?U? ' iz U?7?1'?lorc (??R FluI ' 6k iNsULATioN . ! 9. 60 CV 2 Flt- Rirl .?DisT 3?1a . u• f5f;sor?ITE sro?N? ?. , ?O ? ?Q ?--XjZEtziOr- AIF_ FILM 47 ?'?'' _ ?/R=.o?1 TaTPL (iz)-S:7d _foJN1?ATio??? (t?) vn?u? ? 0 iN Tel7 tZ Auc FILM . •. 68' ' O • cariC-, SLK, /•??. ?? ?XjEf?la? AlR FiIM • •17 ?-_ ?i Un _ ? / [Z = ?7 ToTP.? ??? /4• ?? . Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must tiave a minimum P.-£actor of F-38. , CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION D10TwE: PA7DSMT7r OE FEE AT TIIM pF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PE2MIT. INSPDCPION OF SETM ADID/OR 41ATFR IIYSTALLATIONS WIIb NOT BE SCHED- ULFD TJNPII, PERMIT AAS BFEN APPROVID. • x,.,.xx.xx?x,.=x,.,.xx,. ?,.x?x=x?x?,.,. ?,.?xx P ease Print 1) PROPERTY ADDRESS: 730 .?,Ia_u' Z? •. LEGAL DESCRIPTION: -ui<??C'•,/?P .- (Lot Block Subdivision oi?7?ax Parcel ID IF E7QSTING STRCCiL'RE, DATE OF ORIGINAL B[JILDING PERMIT ISSC'ANCE: " - i PRFSE[U ZONING/PROPOSID USE: (Mn Year) 0 CA+'A7ERCIAL/RETAIL/OFFICE Q INDL'STRIAI, n INSTITL'TIONAL/GOVERNAg,'67T 2) ? ? R-1 SINGLE FAMILY ? R-2 D[;PLEX (Ztao L?nits) ? R-3 7i7WNiOC?SE (Three + Units) ( Onits) ? R-4 APARTNE3JT/CODIDOMINICTM ( Units) NAME: ADDRESS: ye) CZTY, STATE, ZIP: PHONE: • 3) • ? ?: ?• ?ME. ? For City Use . Plumbers License: p,oDREss: I.:?LGi? L?i'Sar? LQa? Active Expired i CITY. STATE, ZIP:_ IVot I'ecorded PHONE: ??f0 -os-.S-f- MASTER LICINSE# p019 - 76141 L Sta Initial 4) . ?iuu•:.? 1131_111 NAM: ADDRESS: CITY, SfATE, ZIP:_ ?ic-?^?S' hi ??ir? /'??// c5?•?-? 7 PHONE: `7?.3a2 - ?/3Y •5) ? v i a• ?• : ? • a? - a?? WCONNECrION TO CITY SEWER Qq.CONNECTION Tq CITY WATER ? OTfmt '. . 6) ? r• c• i- ? PLF.P,SE FIOI,p ApPRpVED PEE2hIIT FOR PICK-OP BY ONE OF ABOVE 5!QPLEASE MAIL APPROVID PEFtMIT TO 1. 2. m 4, ABOVE e _ Al (Circle one) 7) r? u• ' ?-??c_ ,????.?«- ? c/- / Z FOR CITY USE ONLY -PERMIT # ISSL'ED fo 4?,----] Pd w/Bldg. Permit FEES: ? $ $ rD • S? SEWER PERMIT (INCLUDE SORCHARGE) $ $ ?d'S Q WATER PERMIT (INCLUDE SC'RCHARG,E) .. $ $ ' WATER METER/COPPERHORN/OL TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ p-Q ACCODNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ",5-00 -oo g wAc $ ?7S, OU $ sAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $- 156 $ WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ (1Z S--Z) $_ TOTAL . 1?N?7`7 RECEIPT RECEIPT DOES LTILITY CONNE CTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MDST BE ISSLED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY• TITLE: ?c+ DATE : /f , 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan (03? 3 y- 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodeVReoalr Reauirements ?' Use 0+ 3 registered sRe surveys showing sq. R of lot sq. R of house; and all roofed areas 2 copies of plan CeR o$SwveyReci `? _Y "N (20% maximum lot coverage allowed) 7 set of Energy Calculations for healed addilions T1ee PrCsWn Recd Y N 2 copies of plan showing beam & windovr svzs; poured found design, etc. 1 site survey for addNOns & decks Ttee PwesRwq"wred + ^- Y'7J 1 set of Energy Calculetions Addi6on - indicate If on-sife septio aystem ?X z.?,..?: 3 copies of Tree Preservation Plan'rf bt platted afler 717193 Rim Joisl Detail Opfans selection shcet (bldgs wBh 3 or less unAs Date Oy/ 2 r l d SiteAddress 730 Construction Cost 00 ,0o UniUSte # ?q i?76l/ S'/ 2 Description of Work ???i7(G<Gin C1 S-/GT B-47 Multi-Family Bldg _ YXN Fireplace(s) _ 0 2 Property Owner /L{ /n did ? ??P Li E r- Telephone #(?S7 Contractor Address CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Ru1es 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previovsly constructed a building in Eagan with a similar plan2 _ Y fee applies. Cicensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone N If so, 25% plan review Telephone I hereby apply for a Residential Building Permit and acknowledge that the info*ptifln is complete and?accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the Sta e of MN Statutes; I understand this is not a pern-ut, 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. A-h nd Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch (screen/gazeba) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Lavel ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_vor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'DemoliUon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinallNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water Final Pool _ Ftgs _ Au/Gas Tests Final _ _ Franilng _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Au Tes[ _ Final _ Windows _ Insularion _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Building Inspector 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMZLY DWELLINGS 2'SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTZPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUESY' IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ?. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: ((/ ?d Date: Site Address 7,30 N• dGV ?,?. ??• ,?- Lot ? Block l -?-Qlam ?y??lYY2. ?Mr?? n?o. I,aoz.l?^ 7524 Parbel/Sub A(jr /"W ''PIer,LSe %EaU2r Owner ?? -- ,. ` :c? r ? 4a ` Address City/Zip Code Phone _6tll - 177? Contractor _5,J , Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # OFFICE USE FEES Occupancy Zoning z S-- Actual Const Bldg. Permit Allowable Surcharge :S o # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge _ MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL J Council Bldg. Off. Variance / ? JR101BG HO E 31HEEAS C PIRNHEflS and IAHD 9URVEYOlIS ENGiNEEt?1NG COMPANY, INC. i ^1000 EJ157 1461!t STREET. EtlRNSVILLE, YINNE507A 55337 pH 432-5000 r ?`aat -Q'92"kP-8-:fon' LoT l, BLOCK 5, FAWN R/P6E, ' L14KOTA COUNTY, M/NNESOTA . RoAD ? . NoRTN NAY% 94sFY- ? `d2; . 55„ E ?qq .o N 75e ol NORTH ? N q5,33 0_ - r ScACE = 1" = 36' $ ?? W (949.v 1 ? ? 9`??° T 2°•0 ?L`tEiJ DENOTES EXI5T/416 E[£VAT/ON ( Ne•7 ) DENOT65 PRORoSED ELEVqTiDN INDICATES DIRECT/ON pF SURfACE DR,q/NA6E F/AIISNED 6qRA6E FLOOR EcEUATioAl 1fr . 1 ..' o 0 . ? : DRAII(A6E AND UT/[/TY 615EM,(/7, f 1 6PR 1 , pRoP°?D 10 ¢e.?) N I 0 O - 1 9;s (wfs ?) I.V (948.1) ? - LOT 1 - --? I i. IT 5 B7° 07' 15''W ( 950. e) ? 1z m n r= N H W 0 N ro e ? 1 ?v ,rvI .„ i ; ?- 30' FRONT BUILD/A16 SETBACK L/AlE I hereby ceMity that this ia a truc and corrnct rapneentation of a tract ot land at sha+m' and deacribed heraon.- Ae prepered by tnn on thia 5n4 d:y ot M? , 19 86 . • /,? ?,? Ninn. Rea. Ho. /ac85' d2ESIDENTIALBUILDINGs ` ' . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requiremen4 3 registered sfte surveys showing sq. k. oi lot sq. ft. of house; and ali rookd areas (20 % maximum lot coverage allaved) 2 copies of plan showing beam & window sizes; poured found desiyn, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan'rf lot platted after 711193 Rim Joist DeTail Opfions selection sheet (buildirgs wifh 3 or less unils) Minnegasco mechaniqlvenfilationform RemodeilReoair Reauirements 2 copies of plan showing foo6ngs, beams, joisLs 1 set of Energy Calculations for heated additions 7 sde survey for addifions & decks Add'rfion - indicate if on-site septk sysfem ?- ?' 7 Office Use onN CedofSurveyRecd Y_N Tree Pres Plan Recd -'_ Y' N. Tree Pres Required :'._Y _N On-siteSepticSystem -_Y "_N Dete 0 '?j / !4 / Coostruct,on Cost 1400 Site Address -7,-Ir,) UnitlSte # Description of Work Multi-Family Bldg _ Y? N Fireplace(s) _ 0 ?1 _ 2 Y Property Owner A Ya/j0d 6,11_ kel/ ?T .fj/' Telephone#(4`j/) QD?IZ/Z Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Ru]es 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; 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. `)!m ApplicanYs Pr ted Name Applicant s re DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? OS 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage X 18 Deck ? 19 LowerLevel ? 20 Pool ? 21 Porcfi (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Mul[i ? 33 Ext. Alt - SF ? 36 Multi Misc. WOfk TVpCs ? 31 New ,14 32 Addition ? 33 Alteration ? 34 Replacement ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg) - Give PCA handout to applicant DeSC1'IptlOw. Water Damage _ Yes 6;2- Valuation (Zel) Occupancy / -3 MCES System - Plan Review 15? 100% or 25% _ Census Code 1-13(/ Zoning ND City Water SAC Units "-"- Stories Booster Pump # of Units Sq. Ft. / v2o PRV - # of Bldgs ?_ Length Fire Sprinklered ? Type of Const ? Width / G REQUIRED INSPECTIONS Footings(new bldg) Sheetrock ,4f Footings(deck) _ FinaUC,O. _ Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. Air Test t Final Windows _ Insulation Retaining Wall i Approved By: r , Building Inspector 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies / o- aT V Other Total (CHSUlTIH6 EHdINEEAi , ?(rIGINE?ilING PIANNEAS ond LAHO 9U8VEY0lIS ,. COMPANY INC. ? 1000 EAST 1461h STREET, BtlRH5V1LLE, YIHHESOTA 35331 PH 432'3000 j?eqat l2e4cr4;e2ion: LOT r, BcoCK 5, FAwN RioGE, • DRKOTA COUNTY, M/NNESOTA . RoµO NoRTN NAY?? 9Ns°??! o .) `8J , o oI 55-- E ? N y5 5 3g o_ - r N o RT H SCALf : !" = 30' 0 1? to w ? o- ? ?yys.9) 11 ` (9? ??i8_7J DENOTES EX/5T1A16 ELFV.qT/ON ( 94E.7 ) DENOTES 'PRaPOSED ELEVAT/ON INDICATES D/RECT/ON OF :SURFACE DRA/MAGE 749.0 = F/AlISHED 6qRA6r FL00l2 ELEI/fiT/ON Z ` r- , ?N 1 t-? l.? O _a a , N_ \ C DRA/NA6E iqND u7'i4/7r EsisEnEur . ? , w-? Zo 0 _- ? 0 6RR ?6.0 1 , 0 ? ? 0 t m ag.?) ? :V1 ? .. 1 ? M ? r N / w LoV f r? ' ?`?'^ f \ Y ? I - -_ ? " ?953A) 77.94 (yso.e) s a?° o?• zs'w , 1 1 ? ?1< ? 1 I 1 L 30' FROA/T BUiLO/AJ6 5E7",64CK L/AJf I hersby ceMify that thia in a true and corrsct representatioa of a tract of land a= thcxn'end deacribed hernon.• Ae preparnd by me on thf¦ `nA dar of 19 86 . • /,?'`? Ninn. ltea. Ho. /?o8s AUG-29-2011 07:44P FROM: TO:6516755694 P:1/1 Use or BLACK Ink I For Office Use °~br ertnk.!!: S City Of 1 Eap 1 Permit Fee: _ I 3830 Pilot Knob Road I I Eagan MN 55122 i Oslo Received: Phone: (651) 675.5675 I I Fax: (651) 67S-5694 j Staff: j 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - - I Site Address: V-44'1 Unit M I L t Name; M~ . \i Phone: (oSl _ c-~~ a3~ RESIDENT / OWNER Address / City / Zip: (~3 Applicant is: Owner Contractor TYPE OF WORK Description of work: AJf4.C 1; Yt?~_~P~ °a yert DY C .►~C1aa[. Construction Cost: C~2S-m Multi-Family Building: (Yes No X) Company: Kline Corp. ,ntact: It) d4 DBA: Practical Systems CONTRACTOR Address: 434213 Shady Oak Road :ity: State: Hopkins, MN 55343 952-933-1868 x P05 License Lead Certificate N A , 53 5'1(c - 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 S 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 K you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU Pig Call Gopher Stets One Coll at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utllities. 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 Wlth the approved plan In the case of work which requires a review and approval of plans. Exterior work suthort od by • building permit lsaued In accordance with the Minnesota State Building Code must be completed within 180 days of permitt1 Issuance. X_ V Applicant's Printed Name Appllc I s SI wre Page 1 M 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118428 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 730 Hay Lake Rd N Lot:1 Block: 5 Addition: Fawn Ridge PID:10-25800-05-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 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 - Matthew K Siebke 730 Hay Lake Rd N Eagan MN 55123--302 (651) 226-6261 Sandau Construction 9925 Lyndale Avenue South Bloomington MN 55420 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use 40111P City of Eaaafl Permit#: 47710 Permit Fee: l 3830 Pilot Knob Road Eagan MN 55122 Date Received: Vii--`5 / 7 Phone: (651)675-5675 / Fax: (651)675-5694 Staff: C—/ !?tel 6/1 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 44ae.1)/4 Phone: �S /-07, -^C .0 - =ent/ �/_, N Address/City/Zip: 736 y La) e\�! E-'<,'CGrI 4424- 54-) 3 Applicant is: Owner i/ Contractor / / or s« Description of work: /• LC 1, 21its5 �r� �(/L J 11/� — ,�Gt/�25ff"-- . Construction Cost: D_-O> Multi-Family Building:(Yes /No 444:4r:L., Company: Sgs 4,4 keit' jf' jc of Contact:_6d4-/udr 4.-4Jke 7 Address: Ali? �� YY t 1e �7�- City: �,�G F [ '�75/' Contractor v 3U State: /l A Zip: �d/( Phone: 6-07- J�Email: tori axe I/�Pitc1 /C1Nh01/8/yfecl d 6641 License#: '_a_"_,3_de. Lead Certificate#:,i(J4T fes/ ir^r o If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Puns A ®rn suppor#�ng do th rt are considered to be Pubic info 43*,of nforma 'n ma s lass none . ayou provide 'p citic'r#7� s that wt 1 a xn. . � nc1u ear "trade secrets �m `. r. . 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 &'Iter k' P.�af kei' x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176628 Date Issued:05/25/2022 Permit Category:ePermit Site Address: 730 Hay Lake Rd N Lot:1 Block: 5 Addition: Fawn Ridge PID:10-25800-05-010 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Rebecca Smart 730 Hay Lake Rd N Eagan MN 55123 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature