731 Hay Lake Rd NCITY OF EAGAN Remarks Addition F'AWN RIDGE ADDITION Lot 12 RIk 4 Parcel 10 25800 120 04
Owner Stree ? 1 State Eagan, MN 55123
, 731 No. Hay Lake Road
Improvement Date Amoun nnual Years Payment Receipt Date
STREETSURF. ?,2 1981 229.35 11.47 20
STREET RESTOR. ilt 19$4 499.46- 49.95 10
GRADING j ?/ 1981 61. 26 - 4.08 15
SAN SEW TRUNK 1981 205.44- 10.27 20
SEWER LATERAL 77 1981 33. 07- 1.65
1981 23.57- 1.18 20
WATERMAIN
WATER LATERAL 19$1 43.67- 2.18 20
WATER AREA 126, 1981 205 .44 - 10.27 20
Wat--Pr Lat-,L--rql -9 1981 27.68 ? 1.38
STORM 5EW TRK 1985 557. 79' 37.19 15
sTaRnnsE -nZp r^ 1984 222.51- 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PAR K
MECHANICAL PERMIT PERMIT # ' J
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 (,•; ;
CONTRACT PRICE: PHONE: 454-8100 DATE:
; Site Address TYPE WORK OESCRIPTION
BLDQ
.
Lot 81ock Sec/Sub
Res. New
-
Mult Add-on
i m Name
- • Comm. Repeir
i ? Address .
c
City
Phone , Other
FEES a
Name '•' RES. HVAC 0-100 M BTU - $24.00
c Address - '' ADOITIONAL 50 M BTU - 8.00
p City Phone (RES. HVAC INCLUDES NC ON NEW
CONSTRUCTION)
T
0
A ?
) - 1.5
GAS OUTLETS (MINIMUM -1 PER PERMI
E
.
? TYPE OF WORK COMIAAND FEE -196 OF COIdTRACT FEE ?
' Forced Alr M BTU APT. BLOGS. - COMM. RATE APPLIES
Boiler
? M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ?
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON 6
E
S
0 -
?
?
' - 12.0
REMOD
L
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 '
Vent CFM STATE SURCHARGE PER PERMIT - .50 ?
, Gas Piping Outlets # (ADD a50 S/C PER EACH $1000.00 OF PERMIT FEE) s;
Other
PERMIT FEE
` :
?'
Sic: SI 17T
?3 9d
TOTAL: FOR: ITY OF EAGAN
CITY OF EAGAN ! ?,23s3
? 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 _
PHONE: 454-8100
BUILDING PERMIT Receiptq
To be usedtor SF DWG/GAR Esc vaiue $118, 000 Date JULY 28 ,19 86
Site Address - 731 NO HAY LAKE RD Erect EK Occupancy R3
Lot---12- Block -4_Sec/Sub. FAWN RIDGE Remodel ? zonin9 RI
Parcel No. Repair ? Type of Const y_p
Addition ? No. Stories
¢ Name KEYLAND HOMES Move ? Length 55
= 3471 w?,73RD Demolish ? Depth d4
o Address Int. Impr. ? Sq. Ft
c;ty JORDNV Phone 435-3323 Install ?
a
SAME
m
o N Approvab Fees
a
e
?°,? Address Assessment Permit $ 478.OQ
? city Pnone Water & Sew. Surcharge 59.00
?¢
v liALLQUIST
W W Name Police Plan Review 239. 00 ?
00
575
?? Address 50 W 80TH Fire
Eng. .
SAC
Water Conn. 500.00
gE c;ty BLMGTiJ phone $31-1875 Planner WaterMeter 63.50 `
Council Road Unit 290.00
I hereby acknowledge that i have read th is application and state that the S 3 0 8
Bldg
Off Tr. PI. 156.00
information is correct and agree to comply with all applicable State oi .
.
Minnesota Statutes and City of Eagan Ordinances. APC ParkS
' Var. Date Copie
%i -? I I ?'. 1
Signature of Permittee /
,
? ?
Total ?54
S
A Building Permit is issued to: KEYLAND HON1 on the express condition that
all work shall be done in accordance with all applicable ?tsite of Minnesota Statutes and City of Eagan
? Ordinances.
Bullding Otficial - ' 1 ` -
A
? o
?
?p o
g
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g
?
r ?
g ?
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$ a
s
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8
:
y ,. _. . ?' . . '. _ . '±t. . . . . . . .A '
PERMIT # ''..' ? -? . {
MECHANI CAL PERMIT RECEIPT # 41
CITII O F EAGAN '9/r g G
CONTRACT PRICE 3830 PILOT KNOB R
P ONE OAD, EAGAN, MN 55121 DATE:
: 454-8100
Site Address
Lot f.? Block k?
Sec/Sub BLDG. TYPE WORK DESCRIPTIOM
- '
N
? ew
Res.
y Name Add
-on
Mult
7a Addre
gs
i
R
, Camm.
r
epa
c City f?'? Phone p
mer
Name FEES
?
c ? Q./CAJ
Addr? LkA&C 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 oa
y 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
STATE SURCHARGE PER PERMIT - 20.00
-
50
Air Cond. M BTU .
V
t (ADD $.50 S/C IF PERMIT PRICE GOES
en CFM BEYONO $1,000.00)
Gas Piping OuUeb # -L
Other , .
FEE ? S So ?i:-• ?'?
S/C: io 510NATURE OF PERMITTEE
u+
TOTAL•
FOR: CITY OF EAGAN
.!f . 4 L. "'ui , ?•
? _ '+,.•_ . .. .,. .
5 Y
7
PERMIT #
PLUMBING PERMIT RECEIPT #
CRY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ? New
m Name MufL Add-on
? Address ' ? ? Comm. Repair
c City Phone Other
Name ? ? " ' ? ?•, ' NQ. FiXTURES
Water Closet - $3
00 TOTAL
$
c Address .
_?_Bath Tubs - $3.00
p City ?• `Phone -LLavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
?
FEES Urinal/Bidet - $3.00
COMM/tND FEE - 1% OF CONTRACT FEE L,aundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE - $10.00
?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 Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
-, r .
Private Disp. - $10.00 ,
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C
n
,
• '
FOR: CITY OF EAGAN GRAND TOT AL
. 3
." . ... _ . . . .. . . . -.- w.: 1 ? . : ? '_ . {. a ' 1... . .. . . ' .e' ..
CITY OF EAGAN i,?? 18036
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for D= Est. Value $1.0m Data JU 21 . 19 90
SitB A[?@SS "4 ^`Owaa nw: wwa swwv
Lot ?` Block Sec/Sub. OFFICE USE ONLY
Parcel No. occuPancy - Fees
?? ??Ni? Zoning
i=S.00
W Name (Actual) Const - Bldg. Permit
?
I AddreSS (Aliowable) - '
o ? Surcharge
City Phone # oi srories -
Plan Review
SASIC BIJILDBRS Length -
Name Depth - SAC
ciiy
?s Address S.F. Totai ,
=
sAC, Mcwcc
? Clty PhOfl@ S.F. Footprinls
Water Conn
?
On Site Sewage
_
W Name On Site We11 - Water Meter
?
s= Address MwcC systam -
? 2
`W
City Phone
city water Acc1. oeposit
S/W P
i
PRV Required erm
t
_
I hereby acknowlege that I have read this application and glate that the Booster Pump - SM/ Surcharge
information is correct and agree to comply with appli ble State ol
Minnesota Statutes and CkY of Eagan Ordin jarpesf Treafinent PI
l r
?
;
Signature of Permitee APPROYALS Road Unit
A Building Permit is isSUg? to: US1C WJ1LMRS Planner - park Ded.
on the express condition Ihat all work shall be done in accordance with all Council
applicable State ot Minnes yf Statutes and Ci of Eagan Ordinances. gldy, pff, _ Copies
Sze. 50
Buitding Official ?{ ? -'`- ` ?J? Variance - TOTAL
'
?
PermR No. Permft Holder Date Telsphone #
WATER
SEWER
PlUM81NG
H.Y.A.C.
ELECTRIC
Inspw tion Date Insp. Commants
Foo6rgs I
Foundatian
Freming
Roofing
Fipgh PIb9.
Rough Htg.
Isul.
Freplace
Final Htg.
Final Plbg,
corcyy. meter Plbg. InspeCtor - Notily Plumber
ErgrJPlan
Bldg. Final
L
Deck Ftg.
Deck Final ,,?ll
wei
t
-r. asp.
' OF EAGAN
Pilot Knob Road
No..
to eomPly wilb tlw CiFy of Eegan
Connectton Chotye: , y 5 - ?(1i?ct
Accourrt Deposlf:
Permit Fee:
Surchorge:
Misc. Chorpss:
Totnl:
WATER SERVICE PERMIT
Connection Chorge:
Aocoimt Depoatt:
Pertnit Fee:
SurcharQe:
Misc. Choryss:
Totol:
Dote Poid:
)F EAGAN WpTR SERVICE PERMIT
ibt Knob Raad
ox 21199 PERMIT NO.:
MN 55121 D/1TE:
_ No. of Units:
nm rocovlr •NeM eb. cMy of
Box 21199 PERMIT NO.:
i, MN 55121 DATE:
No. of Units: '.
r "r.yl.arad 33omes
Add?
to aanpy wi11? tM iby ei aye¦
of irnp..
/,ddress: -231,I "?nrth FTaj, Sake Rnac; I.I? >',!s ^atan F:iclgp
RESIDENTIAL
yyy? 9 BUILDING PERMIT APPLICATION
4k CITY OF EAGAN ¢
3830 PILOT KNOB RD - 55122
New Construction Reauirements 651-681-4675 RemodeVReoair Reouiremenh C411cd
• 3 registered site surveys showing sq. fl. of IoL sq, k. of house; and all roofed areas • 2 copies of plan
(20%maximum IM coverage allowed) . 1 set of Energy Calculations tor heated additions
• 2 copies of plan showing 6eam & window sizes; poured found desgn, elc.) • 1 site survey for extenor addilions 8 decks
• 1 seI of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted afler 7/1193
• Rim Joist Detail Opfions selection sheet (bldgs wiN 3 or less units)
DATE 2 ' ?2- 1"' P
JOB SITE ADD
VALUATION (EXCLUDING LAND) 1`?'30 000 `?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER `VGc" ' 1 ' I Z
TYPE OP WORK .Q ? OGJ -
APPLICANT VtAkA2 d S C
ADDRESS1_J U_ L?G(C(f1.Jd0l,, 4ff Gte4G1A
PAGER # 6I2- ?2Z - SIFS CELL PHONE # 6??-7Z? -p 23
IEPLACE(S) _0 _1 _2 _3
PHONE# GSr-I???-?6S`I
ZIPCODE SSI2?
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETE
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Vlechanical Syslem Includes:
Sewer/Water Contractor:
_ Watcr Softener
_ Watcr Heater
No. of Baths
Air Condirioning
I Icat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone #:
Lawn Spnnkler Pee: $90.00
No. of R.I. Baths
Phone #
Fec: $70.00
Phone #
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
p 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
PV 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation ?
°
Census Code ?
-
?
SAC Units 1v?
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
Fueplace R.I. Air Test Final
Insula[ion
T
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
?
REQUIRED INSPECTIONS
Final/C.O.
? FinaUNo C.O.
1/. Plumbing
? HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
O[her
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved Byad_, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 LawerLevel
? 12 12-plex Plbg_Y or _ N
BUILbING PERMIT
To be used for DECK
CITY OF EAGAN NO- 1
$O36
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100 Lj,^y 1
L L l/
$1,000
Receipt # L"-r
Da1e dUNE 21 , 1990
Site Address 731 NORTH HAY LAKE ROAD
Lot lZ Block 4 Sec/Sub. FAWN RIDGE
Parcel No.
w Name FRANK POTOCNIC
Address SA?
o
City 452-4092
Phone
o Name BASIC BUILDERS
?Q Address 2810 145TH ST W
? City ROSEMOUNT phone 423-3114
?
ww
Name
Address
g W Citv Phone
I hereby acknowlege thal I have read Ihis a plication and state thal Iha
information is correct and agree lo comqy wilh appli b State ot
Minnesota Stalutes a ry of Eagan Ordii a lce .
SignaNre of Peimitee
A Building Permil is is to: BASIC BUILhHRS
on the express conditio that all work shall be done in accordance with all
applicable State of Minnes tatutes and City of Eagan Ordinances.
Building Oflicial
s
Occupancy
Zoning
(ACtual) Const
(Allowable)
8 olSlones
Lengih
Depth
S.F. Tolal
S.F. Footprinis
On Site Sewage
On Site Well
MWCC System
Ciry Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
81dg. OH.
Variance
OFFICE USE ONLY
_ FEES
$25.00
_ BIdg.Permit
• 50
- Surcharge
Plan Review
- SAQ City
- SAC,MCWCC
W aler Conn
- WaterMeter
Awt Deposit
S/W Permit
- 5/W Surcharge
Trealment PI
Road Unil
- Park Ded.
-- 1.00
Capies
$26.5o
- TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12363
PHONE: 454-8100 ??
BUILDING PERMIT
Receiptp "?
7o be used for SF DWG/GAR est. value $118, 000 oate JULY 28 , 19 86
SiteAdCress 731 NO HAY LAKE RD
Lot 12 Block' 4 SecISub. FAWN RIDGE
Paroel No.
Name KEYLAND HOMES
Address 3471 W 173RD
Ciry JORDAN phone 435-3323
o Name SAMF
0 a Address
a
? Ciry Phone
Erect ? Occupancy R3
Remodel ? Zoning RI
Repair ? Type ol Const. y-g
Addition ? No. Stories
Move ? Length F6 . .
Demolish ? Depth • Q
Int. Impr. ? Sq. Ft.
Install ?
Aoorovals Fees
Assessment_
Water & Sew.
Ga HALLQUIST Police
_ w Name Fire
¢i Address 5001 W $OTH Eng.
`W ciH BLMGTN pnone 831-1875 Planner-
I herebyacknowledgethat I have read this application antl statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci o gan Ordm nces.
Signature of Permittee ?
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all applicable 9(av of Minnesa
Council
Bldg. Of
Var. Date
Permit $ 475.00
Surcharge 59.00
Plan Review 239. 00
SAC 575 00
Water Conn. 500, 0 0
Water Meter63,50
Road Unit 290. 00
Tr. PI. 156. 00
Parks
Copies
Total 52,360.50
on the ezpress conditlon that
Ciry of Eagan Ordinances.
8uilding
'kolBUILDINC P RESIDENTIAL
RM T PPLICATION
CITY OF EAGAN
3830 PILOT 651 881 48 5? MN 55122
Naw ConsVUCtlon Beq lu remenm
• 3 registered slle surveys shaxing sq. tt. of lot, sq. fl. of house; and ?II roofetl areas
(20% mazlmum bt Coverage albwed)
• 2 capies af plan showing beam & wintlow sizes; paure0 found design, etc.)
• 1setMEnergyCabuletans
• 3 copies of Tree Preservatbn Plan if lot platled aner 711/93
• Rim Jolst Detall Options seleclbn sheat (bldgs wilh 3 or less untts)
DATE C ?o /Qa-
RemotleUAeoatr Neauirements
• 2 copies ai plan
• 1 set of Energy Cakulatlons for heatetl additions
• 1 site suneytor e#erioratltlRions 8 decks
. Indirate If home served by septic sys[em lor addRbns
VALUATION
FAMILY BLDG _ Y k?N
IPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS ld-d.`i `? IU 1 c le,fi?,lie`_
TELEPHONE #°la'?a?--(A3I CELL PHONE #
A?c. STATE MN ZIP - '?7
Fax # 9d"?-26-p?- 91-2?
PROPERN OWNER 1'Y'o.?+l. P8? D c,r? ? L TELEPHONE #'OJ ? ? ??"?° ?z
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MTNNESOTA RUI,ES 7670 CATEGORY 1 ?t
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted j7!yVTT2rksl
• Energy Envelope Calculations Submitted 3 200?
Plumbing Contractor: ____
Plumbing system includes:
Mechankai Confractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
_ Phone # L
Iawn Sprinkler
No. of R.I. Baths
_ Phone #
_ Phone #
Fee: $70.00
°------------------------------°----°-----°-------------------°-----°------°----------------------°---------------
1 hereby acknowledge that I have read this application, state ihaT The Info otion is correct, and agree to comply
with all applicable State of Minnesota Stcrfutes and City of Eagan Ordina ce .
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
_ No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 07 Foundation ? 07 OSplex 0 13 16plex ? 20 Pool
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Poroh (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 09-plex ? 18 Oeck ? 23 Porch(screened)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous
? 31 New
? 32 Addition
0 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
? 30 Accessory Bldg
O 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDaors
"Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Boaster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina7/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ 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
36-3 -
1986 BOILDING PEHtIIT APPLZCATI08 - CITY OF EAGAN
BOYSa ALL CO9TRACfOBS HQST HS LICENSBD HITB THE CITY OF E9G9N
$IHGLB F9lIILY DflELLINGS
INCLODE 2 SETS OE PLANSt 3 CERTIFICATES OF SUAVEY, 1 SFT OE ENERGY CALCULATIONS
MOLTIPLE DiiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEA'
1 SET OF ENERGY CALCULATIONS
RENTAL i1NTTS F08 SALS ONITS
OF SORVEY - CHECg AITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:S"- Z ation: /?
Site Address ?7.3 / /?? ? OFFICS 0,
Lot ? Block Ereet ?
Parcel/Sub
Ownkr
n n
Addresa 3[/ 7?/ 7 j-,i
City/Zip Code
-Phone
Contraetor '??yY, a
Address
City/2ip Code
Phone
Aroh./Engr. (
Address :!fe'
City/Zip Ca
Remodel _
Repair _
Addition _
Move
Demolish
Int.Impr. _
Install _
Date:6? ' 2-SVol7
Occupaney le Is
Zoning rp-'Q/
Type of Const ?
1k of Stories
Length ?
Depth ?
Sq Ft
aPeaovALs FEEs
Assessments Permit 3?76_
Water/Sewer Surcharge 59 _
Yolice Plan 8eview ZST
Fire
S1lC j?
.
Engr Water Conn '500
Planner Water Meter G'.47- M
Council Road Unit
Bldg Off 4_ Treatment Pl / S7o
APC Parks
Variance Copies
TOT9L
I
Phone 9 rl 3 / - ???5
,
0
NOTEt ADDEfiSSSS FOR CORNER LOTS - CONTRACYOA/fl0lIEOUNER MUST DE3IGNAYE WHIC$ ADDRESS
IS DESIRED. NO CHANGES WILL HE 9LLOWED ONCE BQILDING PERlIIT 13 ISSQED.
?Z 70
27Z
9 al e)50
.
?.SU3iVEYOR'S' CERTIFICATE "' 1 Y.EYLANU IIUIIES'
, ?.
I ( 7 i `
? 11 1
1 1 L' `
t? w
1 N7g'13?j3
_r
?qqz 5) ° ?, ? -- 1
1 ' 10 pINAG6 PgR
EpSE 4P At ,
DR M6Nr
1 Zg 11 ?? ? 1? ? ?-?
?_..
0-T
°,.
N m y?
.-,? ? _?:??? ? ?
tp m
° °1
w . ? Za? pPpsEO ?o
1 p ?HOuse
25.0
?p pA
/ V
1 ? PftEWAY3
0
?D-oo
1 O ?/ 8VG o0 tS
1 2y a ...0?1?5°?? 55u? ?/I
c?q5. Y ?KE sopj?)
4- zs - p NoR1H N%
?
?
--r-- DENOTES PROPOSED SURFACE URAIPIAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 PEET
• DENOTES IRON D10NUMENT fOUND PROPOSEU GARAGE FLOOR = 9yB,3 FEET
R000.0 DENOTES EXISTING ELEVATIDIJ PROPOSEU L041EST PLUOR = 9y0•(- FEET
(OOU.O) DENOTES PROPDSEU ELEVATIUN PROf'OSED TOP OF ULOCY. = 99?,9 fGET
A
I"IIEREpY CERTIFY TO KEYLANU IIDh!ES THAT TII1S 1S Fl TRUE AflD CORRECT REPRESEN7ATlON OF
A Sl1RVEY OF TIlE 60UWUhRIES OF:
Lot 12, Block A, FAWN RIDGE, according to the recorded plat thereof, Dakota
County, Minnesota.
ANU OF THE LOCATIOW OF A PROPOSED BUILUItIG. IT UOES NOT PURPORT TO 51101d IFIPROVEP1ENTS
OR EPICROACfIMENTS, IF ANY, TfIEREON. A5 SURVEYEU UY ME, OR l1NUER MY DIRECT SUPERV151011,
TIIIS 22ND UAY OF I--,P2HL, 1986.
NOTE: SIGNEU: J I S R. fIILL, INC.
GRADES SHOb1N ARE TAKEN FROP1 THE
GRADING AND DRAINAGE PLAN FOR FA41N G'? "
RIDGE ENGINEERDING I?OMPANYPARND BY LAS 06E OY:
DATED PIARCH 20TH, 1985. IIAROLU C. PETERSON, LAND SURVEYDR
,
PRUJECT NU. UOOK / PAGE JqMCS R. MILL, INC.
86555 ,
" - Planners / Engliieers I Surveyors
FILE NO. 0200 flumboldt Avonu• Boulh
FOLQER ' uiooi„iiipion, Mn. 5a431 012-004-8029
'
,
. , ..
,
"II" COMPIITA"fION
EXTERIOR-ENV[LOP_ - _.E AVFRAGf.
.
.
OWNE R:
nnrr ?, .
_`- -
-- -__.?__--- -------?
?> .
SITE ADDRESS: PIIONE:
CONTRACTOR:?????I?D
?
. Determine working square foota9e of each
1. Total exposed wall area..... ft. x_.11
2. Total roof/ceiliny area..... ?518;,' sy. ft. x.026 = .?
Total exposed wall area abovc floor= ,'.2
a.
Total ,
wall window area ...........................................
?
b. Total door area ..................................................
c. Totat sliding glass door area ....................................
d. Total fireplace watl area ....... .... ........................... --
e. Total wall framing area (average 10N) ............................
f. Total rim joist area ...................................:.........
g. net wall area above floor .....................................
h, wall area above floor .....................................
i. walt area a6ove floor .....................................
j. frame wall area at foundation ...................................
Total exposed foundation area=_f
k. Total foundation window area .......................
1. Total net foundation area above grade .............. -? -?i
Determine "u" value of each wall segment
(e.g. window, door, eacfi separate wall section)
a. X U.,_?_
b. x ??u"
C. ? X IIV I 111
?
-T?
d. _ X Hull ?- _ --
e. X ?lull
f, o? a X loull ----t-?-+-+-
9. X loull
?
n. x liu„
i. X itut,
•
,
,
kr.
J. ? 11u0
If item Y3 is the same.
k, ? X "U"
~?- as, or less than item.:.
o
ql
h
t the
, y
u
ave me
;a
X"U" intent of SBC 6006 (0,2
3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.Total M
I7cterior Envelope nverage "U" Computation
Page 2 of 4
Total exposed roof/ceiling area
m. 9bta1 skylight area ............................
n. Total roof/ceiling framing area (average 10e)...
o. Total net iitsulated roof/ceiling area...........
s' Determine "U" valuc for each roof/ceiling segment
M. ' g uUu ? _
n. g'lull , z'ad-- _ ?, Lp
o. x ..U??
a ........................... Total. - ?J
If total cf #4 is the same as, or less t:han #2, u ha met the intent of
SHC 6006 (c) 1.
Alternate Building Enve].ope Design
2b utilize the total envelope'system method, the values established by the s•sm of
items #3 and 44 shall not be greater than the sum of
+ 2.
3. + 4. _'?"z ,
g
c
y%
r ?t:ry ?
' T?...
!.
.
`? .'.: .. . .. '.
- PLAN *?r
? LwF 4 t- FT, FxposED WALL
W,0 - I
PULL 1 '
c>-e-t -? 1?11,1+ -R1
1= V l. lr 2.. t.
?? ?.E+?LAGE ;
? SGt. PT, S1C.POSeD WALI.. AzEA
t3Loc?C;'? i???-> K , S =
X S =
w.o. : -- x g = -
,
T: uLLI x 8
Fu LL 2i k S
I
, P/ ? r
TotA lr = ?P?
¦sQ.;t, ExaoSE.D
? w owrs ib
??53 -k11i ?t1?1
?34-.1 5
r7l? .
GEI LIUq
? DooR.s
? ?ATl0
le°• _. 1
?6
?
DRS ,
?.? •
r ?.
EFjsM4 Uui+S LJ
?g
?
' VnLt •r:rr.??i,N ,
sME: U::c I,z..ol-_opwtur wall arca tor
fraw: r.on::rruct iun
!'dqft Tt:O
Con:?trucl inn 1;-vn lu,:
2 .
1. ?llll?:.i_,f•- ?i`??---I?_i_!m... ??<<:"!
. •?:.?? ? ..__----- - - ?
?
" "...._ _..... .
_ ---
3. tIDCIlCS SJ(C ?..??nd
4?
•`, • -??-1-D?r?C(?- _.... ..... _- -- -• --- . . _. ..(OZ,
b. F:r.luriur air filia ? 0.17
_^..-----..___ ._.._....-- ••-----...___?....._..__...._
'fUli?l ?Z?2,'l
.
U= 08
,
INSu?•
1. TntrrLcir air :ilin 0•611
3. ?.?=?i?ssz?--------------?3.a
a.
5 . ? tD.?b_. - - •- __-- -- - .. . .. _ ..4!Z
G. ExCcrior. air filn ? 0•17
Tutal ' ZO- q
V=•OS
1. In' iyi?,ilr film 0.?,11
a.
3. ?Klt2-------------?---?----- --.__l.$q
4. __.??i??tlS...._--••°- --._.__ __?i-.-Qa
5. ---r,t- IRfNC?_----- _ --• ----.__. ____.la.Z
Extrc•ioc nir f.ilm _ >>
-...?,rotat 22.3li
v=.o9
'
1. I.a r? r? r_ a f r. f i 1!s_ o. c,n
..._ _._. _._.. ,... _.. -----.._
2 . --------- ---..._... - ------ ?--_..._ ..---?-
l.
A . ...._.....--
5. _._-----
-
G. l::ctcriut: ,?ir I?ilri 0.1'!
Z, 13
U - .•'7
rj_ (;tonu
. • . • ? ?
.
= ?!/:?- . . • ?:
L'( " ? 6 • • 11
,., .?
a
.
'. ..._ ? ,. .;.. ;'
y
• ? j ;;;
„
- k . ? • ?+?
•? ?
FIG. NO irt S • ,' ,k???r ?
77
lu ll ?. `i? s /!(
?-
r _ ri - -
tio'PE: Indlcntc ty,)c. "k•' valua, dePth nncl
' placenent of insulation.
?
tIG, i3• o ;?
? ?.?
• ? ?• :
?, .
ROor/ceiLxuc
. , r- ?
,VEZT
T-Ul L-U2 ..
:.nted Hea[ flov ?
up - . , •
. FIC. 65 , '
.? . ? • ..
Const? n , R-Valuc
Intcrior air film , .0.61
2.
3. 1d15(JL-_._ 44.OD
4. Extcri.or air filn (still) 0. 61
- To" rz 4s8o
. . . . . . ?? ,oZ ,•
FA?4+N r ' . ' , , 1. Intc,rior nir film 0.61 `
2
3. .
+? s 1?5uL 38.3s .
d. Txtcrin: zir tiln (e.til
•?:-??------ q'otal
. . .. u =.oz4v
Go?t.sr?'?cri ey?.,, •'
1. Tnside air film 0.61
2.
3. . . •
4. '
5, put,ide air film 0•17
ToWl
?'i!'?'!?'? ? • ' ? •
l. Tnside air film 0:61
4. .
3.
4.
,
S. Outsidc air filia 0.17
• Total . . '
1. Ynside air filcn • • 0.61
2- ' .
-- ---------------
3. ' 4' 0. 17
g, qutsl.dc oir filin
Total
. .:. ' ..
. • . : • ?.
Ttotes Uso additionol sheets if more apaco i:
, .peedeQ for Setails and calcu2ations.
, . .
. . :
?
i
• ? L@ L@ ? ? . .
?kect Ilov np• • , ?? ?•vented •
. ? , ,TSC. 16.: . . • . ' ' . . . .
...... ?? r . .--.. .
.
• '. .?' . .
' bTQ:i`V'I?.'? ' ' . •
w? ? • ? •
• tIGaC
ilov up • ?
. ? .• • '
Xzt;. !7 ' . • .` ••
%
.
• .
.. .
. , ?.
I\!/?.?\V?Y?V1• y? ??{./?.?i.A 1IJM1?L11fw
.?L? ????'??'.?.• ??? ?-??
i
,
2/84
CITY OF EAGAt3
APPLICATION FOR PERtiIIT
• SEWER AND/OR WATER CONNECTIOAI
(PLEASE PRINT)
1) PROPEF2T^f AI]DP.ESS: Ea
T.Ff AT DESCRI°TIC^I: '. j ' °i " . ? a
(Lo t/Block/Subdivision or Tax ?arcel 1. . NL:,bzr)
? IF ?--:iET=:c sTRUc^^E, naT--- oc oR:cr_ar,L :.Uz=r:c ;ssUa?:C7-:
PDE.C.L7r Z:^`II:4:/P??OPOS??J" L,SE_
?G R-1 SI?iGLF. "zP,n : SLv _
? R-2 DUPL-{ (Tti? []DTITS)
? R-3 ZCi,.NL-?CUSE ('I?= - L:ZTS) ( Wi I':'S1
? i2-4 t;c:..c'?"=-"P/CC_'DCS-S:Ii?M ( IJi;I'?'J1
Q CCY'?SE°.CL?L/RL•':AIL,/Or 'ICy
? -m'JliSTa=
? ID;STIT'[,TIOyAI,/GGVa7ZPnE?.'P
2) APPLIC.JiT (PLEASE Pnf;ii)
NAME: ?????`1Y1?
ADDRESS:
CTT`_', ST?T'E, ZIP:
PHONE: ? ?? - ?f7?rLICt7
3) pa7-ffiER
ruAME: PLEAJE PRINT)
'Me Ch FOR CITY USE OYLY
ADDRE55: or?r no ? 1•? i I 1 .
? 5,.? -
C
?-{
3 PLUHBERS IICEYSE:
,
Z
V?
_? ? Active
CITY, STATE, ZIP: Expired
PHONE: ?j ? rra l
o, PLUMBER LICENSE N ?i Not of Record
? lnttia
4) OCCUPAN'P/C7V'CIER C??G ?l?tRS?PRf;li) , c l
NPt?:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) iIdDIG+TE SVHZCEI PERf+1IT IS BEING REQUESTID:
EA CO:v'NECTION T"J CITY SD7ER
? CONNEr,:IO:I 'IO CZTY F7ATEF2
? 0`71ER (PLLASE DF_SCRIIIE)
6) Ii:DIG, -,z. C.1E:
El PI,EASE f?OLiJ APPP,pVm PER+IIT FOR PSCFC-UP BY CNE OF R&'VE
CR PI.E'iSE Db4IL APPFtGR1EU PFRtitIT 'CJ 1, 2, (D 4 AF,C7VE
(Circle one)
7) SIaTAT[JRE: DAT'E:
?l ?l PF+4?!lfY.?i? i ri ?co:ayea a? ? ye rasra ?r as ea rsFSa? :a a a? f.e/Fi?-?!s?i? ? a f? iE? ??
?' ' .. . . . . .
FOR C I T Y U S E ON;,Y •
PERMIT " ISSUED
L ?
FEES •, $ ? %?? " 5`Z!
$ ? /Cy ^ fo
$ $
S
$ /7, U--n
$ 1-5-,O Zl
$ C)
$
$
$
S
S /? v r
SEi^iE.°, PER31IT (I`ICLi;D: SURC`.i?RGE)
WATER PERU1IT (INCi,uDE SliRCHA<2Gc,)
W[aT£R METER/COPPERHDRN/OOTSIDE RE:,DER
WATER TAP (ZNCLL'DE CORPORATION STCP)
SE;vEY TAP
7?._.=0SI_ - :.?3
AC^OliNT D.°POSIT - 47AT°R
WAC
SPC
TRUVK WATER ASSESSi1E:IT
TRli21K SEZ4ER ASSESSMEPiT
LATERAL SENEFIT/TRUNK SE;4ER
LATE:2AL BENEFIT/TRLTNK WATER
OTHEP, TP
$ TOTAL
$ ArIOL'NT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN n"PERMIT FOR ;90RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TAE
[_] NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED SY;
TI:LE:
DAT° : /a (?,
r
A ?
: -
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIYLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTiIRAL PLANS
1 SET OF ENERGY CALCULATIONS (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 DF PERMIT IS REQUESTED, BUT NQT PICKED UP BY LAST WQRKING ?AY
OF MONTH IN WHICH REQUEST 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 ISSUEA.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
-J uN 1 s REco
To Be Used For:
Site Address /a/ }
Lot J?L Block __?L
Parcel/Sub
Owner Y.?9/1 L
Address L l ry't?? N'A?/ -?W"E ??Y..
City/Zip Code
Phone Ys?'Y0 / '?;L'
Gontractor !//1z-!/'F4Ld-
Address o2
(?l(J
City/Zip Code y?v?-
Phone yF-
Arch./Engr.
Address
City/Zip Code
Valuation: {c? (/(?L-' Date:
OFFICE tSSE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit QMO
Allowable Surcharge _-A?
# 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_ 5/W Permit
On site well 5/W Surcharge
MWCC System _ Treatment P1.
City water Road Unit
PRV Park Ded.
Haoster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off. 6r& 'ZU
Variance
Phone 0
.
t ?i[HYOt"I'SCCRTIFICA•rE
g6•23 .
n ?
?
1 ... N?g°13?13 E.
? to pRpiN?ENr j4p?At
pE
25 , EA`'? ?
oT
24.
N
-: ` ?"
? u? . ?°O
(,92O.o /
1 Q? ? / PRNpt
@
?
?ppSE?"= cp ? a
? pq?PY.,, u 210 ?
l
? ,01
$
,
`KEYLAtID I101'IC5
• o?t> r ?
11
`
w
0
0
N
LP
o?`? ? N
Ai ``•
x ?z
?-
1 01
f
?
g6.00
1 z
CqqSo .?- N?5 ?KE%
'2Emseb cpAC?Ei 3 _
??--?-? 1 NoRTN N%
i
--? - UENOTES PROPOSED SURFACE UnA1PIAGE
O UENUTES 1RON MONUMENT SET
w DENOTES IRON hiUNUMENT FUUNU
XUUU.U UENOTES EXISTING ELEVATION
(UUU.O) UENOTES PROPOSED ELEVATION
/?-
SCALE: 1 INCII = 30 CFET
PROPOSED GARAGE rLoois = 9ye,3 1"EET
PROPOSED LUIdEST FLUQIt = 9yO• f^ FEET
PROPOSED TOP OF ULUCK = 99?,7 FEET
?
I"HEflEOY CERTIFY TO KEYLANU NOh?ES TII/IT 11115 15 A 7RUE AIIU CUItRECT REPRESENTA710N UF
t1 SURVEY OF TffE 80UtJU11R3E5 UF:
Lot 12, Block 4, FAWN RIDGE, according to the recorded plat thereof, Dakota
County, Minnesota.
.
l1tJb OF TIIE LOCA7)O14 OF A PROPOSED BUILUING. IT UOES IdOT PUlif'OR7 10 SIIU41 1PIPROVEP1E11T5
OR ENCROACHMENTS, IF ANY, TIIFRE0N. AS SURVEYEU [lY F1E, OR UPIDER htY UIRECT SUPERVIS10tl,
TIIIS 22ND UAY OF 4--PQ1 L , 1986.
NOTE: SIGIIEU: . J?At1 S R. II1lL, 1NC.
GRADES SH04JN ARE TAKEN FROP4 THE
GRADING AND DRAINAGE PLAN FOR FA41N
RIDGE APOITION, PREPAREO BY PROQE
ENGINEERING COMPANY, INC., LAST DY:
DATED MARCH 29TH, 1985. IIA(tOLU C. f'ETERSON, LAIiU SURYEYOR
,
F?
rnoJEcr No. OOUK / PAGE 86555 JAMCS R. I-i{LL, INC.
,
" f'lanners / Engineers / 5urveyqrs
FILE NU, 8200 Huroboldt Avenue BouUi
rOLDER Uiootnlnqlon, Mn, 65431 012-0134-3029
,
?
PERMIT #
RECEIPT DATE: 81
RESIDEPTIAL PLUM$INCi PEPoMiT APPLICATION
CrrYoFEAs"
s83o Paor iuvo$ Rn
PA6M, MA 5512E
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALIER NAME:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
STREET ADDRESS: /42
CITY: 41.140,r'
Place a check mark next to the aermit work tvoe
TELEPHONE #:
(AREA COOE)
TELEPHONE#: y.- r,: -,?,? r - 74 (p & D
STATE: /'l A,) ZIP: SSZ-376
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: `MU,) ?
I.
Septic System, new/refurbished - $ 225.00
• fnciudes County & Consulting Inspectar feas
• requires MPC license
d
,.
F?B 2
6 Zo
State Surcharge e
Y $ .50
Total
- ------
Reminder: Be sure to schedule inspections of alteratlons, i.e. water heaters, water softeners, etc.
I herehy acknowledge that I have read this 8pplication, state that the information is cortect, and agree to co with all appiicable City of Eagan ordinances. I[
is the applicanPs responsibility to notify the property owner that the City of Ea9an assumes no liability f any ages caused 6y the City during ils normal
operetional and maintenance ac6vilies to the facilities constructed under this permit withi iry prope ylright- - ay/easement
?
SIGNATURE OF PERMITTEE
Updated 1101
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115318
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 731 Hay Lake Rd N
Lot:12 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Audrey Flattum
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 -
Frank J Potocnik
731 Hay Lake Rd N
Eagan MN 55123
(651) 452-4092
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131895
Date Issued:07/13/2015
Permit Category:ePermit
Site Address: 731 Hay Lake Rd N
Lot:12 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-120
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 -
Frank J Potocnik
731 Hay Lake Rd N
Eagan MN 55123
(651) 452-4092
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature