732 Hay Lake Rd N
Use BLUE or BLACK Ink
v'
~1 ~ Fla' d!6`rCS8
MY of Wan Permit \~fO I
I Permit Fee:
3830 Pilot Knob Road
I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 staff- I
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: 00h C.cckf_ Vd Tenant: b wce, kars+-aA Suite
RESIDENT 1 OWNER Name: DaGl l C& 7TU F S1 ~ Phone:
Address/ City/ Zip: 732
W1 1010011*
CONTRACTOR Name: Appliance ConnftGW"8,Ip, License
Address: 1313 Danta Circle City
Sh kE>AP®g',
State: MN 553 4ne:
Contact: Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: V e u e) 'l vw, Gl du
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas , Exterior HVAC Unit
_ Heat Pump _ Under J Above ground Tank C_ Install t _ Remove)
When installingtremoving tank(s), call for inspection by Fire
Other
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) e6, (go
$95.00 Fire repair (replace turned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010 $11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.aooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the worts 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 fora Perrnit and work is not to start without 'a permit; that the work will be in accordance
with the approved plan in they case of work which requires a review and approval of plans.
x1~'l t \°~Ca t~ x A
Applicant's Printed Name Applicant`s- ignature
FOR OFFICE USE Reviewed By: Dater
Required Inspections: -Under Ground _ Rough In -Air Test ____Gas Service Test ^In-ftoor Heat -Final
Exterior HVAC Screening Inspection
w'", CASH RECEIPT =r""°`?
CITY OF 'EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? ' ? ? '•
DATE 19
RECEIYED ? ' ? ,?
FROM ' / (l ' / ? j
AMOUNT ? $
I !?
DOLLARs
1 oo
E]CASH Q CHECK
UVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
?, • CASH RECEIPT ?
CITY OF EAGAN
M CASH M CHECK
FOR
..y
FUND CO E AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
& DOLLARS
T
oo
------,?
BLDG. PERMI'T NO. 7 ,
f,
?-
. ?•,? , .. _ ,.
-," ?''
01-3210 Bidg. Permi
01-3422 Plan Check
01-3445 , 5urch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
? 1 . CASH RECEIPT
CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• DATE ? 19
weceIveo
FROM AMOUNT $ I
. A ?
•
?
& DOLLARS
+oo
0 CASH C] CHECK
Thank You ? -f
BY
_. , .
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
GOLD COPY PERMIT RELEASE FORM
PERMIT # O?5 I Lf
ADDRESS
PICKED UP BX
?/ ?
CITY OF EAGAN
Addition FAWN RIDGE ADDITION Lot 2 Blk S Parcel 10 25900 020 05
Owner street 732 No. Hay Lake Road state Eagan, NIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ' y 19$1 229.35- 11.47 20
STREET RESTOR. 1954 499.46- 49.95 10
GRADING SX-/' 1981 61.26- 4.08 15
SAN SEW TRUNK 1981 205. 44- 10.27 20
SEWERLATERAL c-
1981
3 07'
1.65
Sewer Lateral i7Y 1981 23 7" 1.18 20
WATERMAIN
WATERLATERAL 1981 43.67? 2.18 20
WATER AREA ' 1981 205,44- 10.27 ZO
Water Lateral ,; J 1981 27.68 1.38
STORMSEW TRK 1985 557.79 37.19 15
STORM S T- E??,, 1984 222.51- 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUIL.DING PER.
SAC
PAR K
?
CON
TRACT PRICE: -"
' Site Address l ` -- ?• ? °?r?
; Lot -Block
?
r
?
Name • , ' . .
?
-ia
c Address °
Ciry ., _ . .
Name ' ' -
c
a,
Address - '
p
..,.
Cjty
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: "? S 1
PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Sec/Sub
? Res. New
Mult Add-on
Comm. Repair
-7-7-1 1 Other
M BTU
M BTU
M BTU
- M BTU
CFM
FEE:
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkr,Aln
COMM/1ND FEE - 1g'a OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S!C IF PERMIT PRICE GOES
BEYOND $1,000)
- $24.00
- 6.00
- 1.50 EA.
- 12.00 ?
- 20.00 1
- .50 ?
?
I
TTE
i
SIGN2EMP
F
OR: CITY OF EAGAN
y? i/?9 ? ?.??
A t % •
fUrti#irttft uf (Orrupttnry
Citp of (Cagart
Erpttrtmpnr uf IarHbm,g Jrcpprfimt
Thrs Cerltfrcate tssued pursuanr ta 1he requiremenls of Sertion 306 of the Uniform Building
Code cernfying that ar the time of issuance thu structure was in compliance with the uarrous
ordinances of the City regulating building construction or use. For the following.•
?
Uee c?.a?iuoao? ; :,.:: , ? •-= `?' Bldg. Permii rlo.
Occupecy Type R3 Z.ouiag Diwiu R I Type Cmrt_ .
Owner of Buddios
Address 7p
BU1?106 I?f? ?u? 1:5 p
Drte: txR'7., ?? !967
Budding Offwial
POST IN A CONSPICUOUS PLACE
- CITY OF EAGAN ?f- ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `? 13207
PHON E: 454-87 00
BUILDING PERMIT Receipt#
To he usntl fnr SF DWG/GAR $ 7$,O O O M,,,_ FEBRUARY 11 .,, 67
Site Address 732 NO HAY LAKE RU Erect 15 Occupancy k3
Lot 2 Block 5 Sec/Sub. FAWN RIJGE Remodel ? Zoning R1
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
Name fIEZITP.GE ENERGY HUMES Move ? Length 40
W
z
3
Address 4473 REINDEFR L?i Demolish ? Depth
°
City i:AG
AN Phone 454-4559 Int.
Installpr.
0
Sq.Ft
?
,o
o<
s
?
Phone
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit "4- ° . j "
Surcharge 39.00
Plan Review 213.2S
sAC 625.00
Water Conn. 525 . 00
Water Meter 67 • Od
Road Unit 305.00
Tr.PI. 180-00
Parks
Copies . ? ?
TOtal `
he express condition that
lherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.
information is correct and agree to comply with all applicable State of
Minnesota Statute3 and City o( Eagan Ordinances. APC
Var. Date
Signature of Permittee
A Building Permit is issued to: HERtTAGE N;tvERGY HOMEc on
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan
Building Official
I I PermR No. I PermN Holder I Dste I Telephone M I
Date
Rouyh Plby.
Rouph Htg.
Insul. ' ri ?C ? C? y5?
Firsplace
Final HtQ.
Final Plbg. -J-1??
&dq. Final
Cari. Oce.
F
Deek F1g.
Deck Frmg.
Well
Pr. Disp.
PERMIT#
Site Address _
Lot
>
? Name _
m Address
?.
c City
PIUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN06 ROAD, EAGAN, MN 55122 DATE:
ICE: PHONE: 454-8100
Zlh(r BLDG. TYPE WORK DES RIPTION
?
Block r? Sec/ ub Res. New
Mult. Add-on
-' : .
Comm. Repair
Phone
? Name
3 Address
p City Phone
FEES
'. COMM/IND FEE - 146 OF CONTRACT FEE
' APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
'(ADD $.50 S/C IF PERMIT PRICE GOES
Other ;
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FiXTURES
??Water Closet - $3.00 O J ?77 :
-L-Bath Tubs - $3.00
_011wavatory - $3.00
___aShower - $3.00
-LK0chen Sink - $3.00 3•? '
Urinal/Bidet - $3.00
--L--Laundry Tray - $100 3•?
_/--Floor Drains - $1.50 / • Sd
/-Water Heater - S1 50 ? • S?
Whfrlpool - $3.00
.1 Gas Piping Outlets - $1.50 i • ?D :
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10 00
D $1000
P n
vate isp. - .
--3-Rough Openings - S1.50 • ' ? ?
SIGNAT(JRE OF PERMITT FEE:
?- STATE S/C:
FOR: CITY OF EAGAN GRAND TaTAL: '? ?l ??
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
kCT PRICE: PHONE: 454-8100
Site
City
Block -? Sec/Sub
? Name
c Address a'
/
p City )1
Phone -
TYPE OF WORK
Forced Air ? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL:
RECEIPT #
DATE:
BLDG.TYPE
Res. ly
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CaNSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
. yCITY OF EAGAN
' 3830 Pilot Knob qdad
P.O. Box 21199
Eagan, MN 5512i
Zoning:
? Owner. lieritaR4
? Address: ?
Site Addres??
Plumber.
• ? SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: ?
Fneeg,y Homea
I agroe to comply wNh !hs Ciqr of Eapan
Ordinancea.
8Y
Date of Insp.:
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
iao.o0vs:
Connection Charge: 5? S_ QQ ??1
Account Deposit: 1-9-- oo?L-
Permit Fee: 10 - 00? :i
Surcharge: - "? ??-
Misc. Charges:
Total:
Date Paid:
Owner. ''eritage Tnerg9 Eiomes
Site Address: %32 varth Iiay Lake Road L2 135 i'awra Ridge
Plumber r- ?luxbin&
Conn. Chg: }r?5 •i?Q? Zoning: rl
Acct. Dep: I•04pd No. of Units: i
Permit Fes: 10. 40r.c'
Surcharge: • 5 0 P. `` 1 agree to compFy with tha City of Esyan
Tr. Plant I0•001'd Ordinances.
Meter. 1%7 QQT?
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN kIPermit No: 85 4 Date: 3-5-87
3830 Pibt Kno6 Road Metef No: 5 ? Size:3/S" ?/i'a c(L
P.O. Box 21194 Reader No: n 3Y-7 9417 ?3 Date: 41- 30_ fr7
Eagan, MN 55121 .,
Owner.
Site Ad
PWmber. Reizency Plum6in,g
Conn.Chg: 525.00pd
Acct Dep: 15.00pd
Permit Fee: 10 .OOpd
Zoning Rl
No, of Units: 1
Surcharge: • SOpd ' I agree to comply with the City ot Eagan
7r. Plant 180. OOpd Ord{n c
Meter. y7,nn.._
M(SC.: ?-•_?i
WATER SERVICEPERMIT
CITY OF EAGAN ?1 Q
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v
PHONE: 454-8700
BUILDING PERMIT Receiptn
To be uaed tor SF DWG/GAR Est. Value $ 78,0 0 0 Date-
13207
FEBRUARY 11 1y87
Site Atldress 732 NO HAY LAKE RD Erect IN
Lot 2 elock 5 Sec/Sub. FAWN RIDGE Remodel ?
Parce l No. Repair ?
Addition ?
:
Name HERITAGE ENERGY HOMES Mave ?
?
o
Address 4473 REINDEER LN Demolish ?
?
ciiy EAGAN phone 454-4559 Int Impr.
Install ?
o Name SAME
i
0 Q AddreSs
? Ciry Phone
a
w W Name
.
,?-?
Address
0
z
i w City Phone
Occupancy R3
Zoning R1
Type of Const. y
No. Stories
Length 40
Depth 36
Sq. Ft.
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Iherebyacknowledgethatlh this application a tethatthe Councilgldg.Off.
intormation is correct agr} ,tin ? with a ab St
AP(
Minnesota StaWtes t? r an Var.
Signature of Permittee ?
A Building Permit is issue to: HERITAGE ENE GY HOMES
all work shall be done in accordance with all aP p°licle? S?ta?te of Mr4
so S ti
Building Official -'?
Feas
Permit $ 426.50
Surcharge 39.00
Plan Review 213.25
SAC 625.00
Water Conn.52s - 00
Water Meter67..00
Road Unit 305.00
Tr.PI. 180_00
Parks
Copies
Total $2,380.75
on the express condition that
and City of Eagan Ordinances.
r
This reQUesl void
18 momhs fwm
C 57889
???d- 4' S?
0-sl?, o c,
Renues? Dale?
3 Y Fire No. Rouah- inIns{/ection
Requiretl?
[:)fleatly Nuwl Notify Inspec-
h
es ?NO lor W
en Peady
AffLicensed Electrical Contractor I he.eby reouent inyDaction of above
? Owner eleetrical work instelled al:
Street Atldress. Bos ar aute o. CitY
ctnon o. TownshiD Name or No. Range o. Cty
OccuOnntlPRiNT1 Phone No. ?
Power SupolieeZIL!5-cr. Ad ess
40
E;4icel Co t act r ICortpaNamel Contrdemr's License No.
M Jinp AdJress (Conhector Owner kinB InstatlatioN ,
?23 o u?
Authorized Signature ICOnhactor Owner Making Installetionl Phone Number
MINNESOTA STATE 80ARO OF ELECTRICITV
Gripya•Midwev Bltlp. - Noom N-191
7821 Universitv Ave.. 5t. Poul. MN 55104
Phene (6121 642-0800
THIS INSPECTION NEQUEST WILL NOT
BE ACCEPTED BV THE STqTE BOAXD
UNLESS PROPEP INSPECTION FEE IS
ENCLOSED.
81,F 7 REQUEST FOR ELECTRICAL INSPECTION EB?00001-05
'• s,
Il, See instructions lor completicp this form on back of Yellow copv.
t5,7 H 9 ""1C'" Below Work Covered by This Request
Mevv AAtl Nep. Type oi BuilCinB ACOliencea Wired Equiumenl WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fix[ures
Apt. Building Dryer Electric He2tui
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm omer aeo v einer IsneuHl
< e? ueci y ther Other
Compute lnspection fee Below
p Fee ServicaEnhaneeSixe # Fee feaders/SVbleeders b Fee 'Lircuits
? 0 to 200 Am s 0 to 30 qm s 0 to 30 Ani s
Above 200 qmps 37 to 100 Amps 31 to 100 Anvm
Swimming Pool Above 100_Amps AAOVe 100_P.m s
Transformers Irrigation 8ooms Partial-"Other Fee
Signs SVeciallnspection S 70T
Aema?ks , FA
V
Nough-in Date
cne ce1
?nsDectoq ?ereby
certify thet tbe above
'I Finel ? ;^1C?? ` -nspection hes Dean
? ? O metle.
thia reaueat vo1C 18 montM irom
United Construction Inc. RESIDEN7IAL
1725 Lake Drive West BUILDING PERMIT APPLICATION
? CITY OF EAGAN
? Chanhassen, MN 553173830 PILOT KNOB RD, EAGAN MN 55722
'5^ q Q? 651-681-4675
??
NewConstructionRaauiraments v RemodelfReoairReauirements
• 3 regislered site surveys showing 5q. k. o( lot, sq, fl. o( house; and a0 roofed areas . 2 copies of plan
(20 % maximum tot coverage allowed) • 1 set of Energy Calculations for heafed additions
. 2 copies ol plan showing 6eam 8 window sizes; poured found design, etc) . i site survey br eztenur adddions & decks
* 1 set ol Energy Calculations . Indicate if home served by sep6c system for addiGons
• 3 copies of Tree Preserva6on Plan if lot platted aRer 711193
• Rim Joist Deteil Opfions selection sheet (hldgs with 3 or less units)
DATE v? f l? Od\
SITB ADDRESS ?
iYPE OF WORK
APPLICANT
H ?A[ `
STREET ADDRESS[UM I/ab La Kr I(
TELEPFIONE #%r' ?6 -'WELL PHONE #
_ Wafer Sottener
Watcr Hcatcr
No. oF Baths
VALUATION
FIREPLACE(S) _ 0 _ 1 _ 2
ziP 55 317
v
MULTI-FAMILY BLDG _ Y X_ N
PROPERTYOWNERDo,n N1!45+0,d TELEPHONE# Ub i" q 5a-371oZ
-------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ -MIN\'LSO`C:\ 12U1,LS 7(i70 CATI,GORY 1 NQ\`NESOT:1 RliLES 7672
(v submission rype) . Residentiai Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includcs:
Mechanical Contractor:
Mcclitmical systcm includcs:
Sewer/Water Contractor:
-- Air Condiuoning
_ Hcal Rccovcry Sys[cm
Phone #
-------------------------°-•-------------------°----------°----------------------------
I hereby acknowledge ihai I have read this application, stote that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordjlancesn
Signature of Applfcanf
OFFICE U5E ONLY
FAX #
Phonc #
[ 1wn Spnnkler
No. oF R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ea 4l02
P'cc: $70.00
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire SprinKlered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg ) FinaVC.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 5tone
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
Total
Building Inspector
- 3
C?
2
NOYE: A1.[. COATRACTORS MOST BE LICfiNSEI? iiITH THE CITY OF SAGAN
SIHGLS FAlQLY DWELLING3
INCLUDE 2 SETS OF PLANS9 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIQNS
MOLTIPLE DiIEGLItIGS =,RBSIDBNTI9L RENTAL DNITS FOR SALE DNITS
INCLUDE 2 SETS OF PLANS,";CERTIFICATE OF SOR9BY - CHEC[ i1ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To se Used For: S??i _ valuation: 7?,OCDO Date: fd-%.?, 19S`1
stte aaaress -73?4- ??D - d hq LA'KG OFFICE DSB OpL.Y
Lot fP Block S
Parcel/Sub rAWW rL' ! OG G
Owner
Address
City/Zip Code
Phone
Contractorij ??t'r?'i15 F':? c4'
Address 2C-i a(D C-tg2 )-r1'*JE
City/Zip Code (?+?G k,-) ;
Phone 45 4- - q 5 S °J
Areh./Engr.
Address
City/Zip Code
Phone U
Erect ?
Remodel
Repair _
Addition _
Move
Demolish i
Int.Impr. _
Install _
Occupancy 9-3
Zoning 2 1
Type of Const SL
# of Stories
Length 40
Depth 3Co
Sq Ft
APPROVALS FSE4
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
Sd
1 7 5,
NOTS: ADDEESSS3 FOR CORNER LOTS - CONTRACTOR/HOMEOHNER lIUST DfiSIGNATfi iiHICH ADDRESS
IS DSSIRED. NO CHANGBS WILL BE ALLOiiED ONCfi SUILDING PERMIT IS ISSDED.
28n 38 =!o? ¢ x S8 -(c (-7 1 2
Io?IB ° 1&?X?? 10440
e-'Zgo
Zo x 2 2? 4¢? x c2 = ?
f
`77432
S7-po8
TRI-LAND C0.
SURVEYING
SERViCES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
HERITA&
HPERGY
LI
? ? 50 0?
? ,? N•1\?? ? /
S? ?
??
/.
/
??
13
N
SCA LE :I"=30'
PROPERTY DESCRIPTION
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LOT r- , BLOCK.?"
FAWN RIDGE
aeeordino to the neaded plot tMnof
DAKOTA Caunlr, Minnssota
LEGEND
o DEN07E3 IRON MONUMENT
e DENOTES WOOD MUB SET
DENOTES E%ISTINfi SPOT
ElE VATION
crs/j,'j DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I Mntry eertlir tAat thls surwy,plan o?
report wos prapand by me or unMr mY
direet supKVislan and fhaf I am a auiy
ReOistared l.and Surveror unNr fM
Laws of the S1Ws of Minnemota
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9radley fl.,,trensong Mn. ReaNo.IS234
Date : ,
' ? 4
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I ?So
L_ ,
PROPOSED GARAGE FLOOR ELEVATION • ¢m4f
PROPOSED FIRST FLOOR ELEVATION
PROPOSED SASEMENT FLOOR •
ELEVATION
NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PIANS
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w
.
j? ?? ? ' ? . . . . . ' . .. . .
.
archit?turoJ consultc?n#s hc.
?oos 1m sr. r[ aao. rK. 6115169 PW. i011-4e+-9"t
. EXTERIOR ENVELOPE AVERAGE "U" COMMTATlON .
Plan " 35Z -04- Date iz Z4 •oc:-
`DAJ
?
Owrter, Controctor.. PE1Z' TA%4,C Cs-+,awc*Y 1-14:m- rcs
Site Address:
IITOTAL El(POSED WALL AREA «q A sa K 31'U°• << -(q-7'-7
2)TOTAL E%POSED ROOF/tEILIMO AREA s4 ft. x"V-01"
WALL AREA CALCUlAT10NS?
TOTAL WINDDW AREA
t `2? _ 49159
20',w-.2 GLAZED
TOTAL DOOR AREA
TOTAL GLA55 DOOR AREA
TJ' 9 eq.it.r"U?, .0-7_= F?'?ile
4o Sa.fr.x'u""4i = t(c:'.40
ZNaAft6a Gl,A2E0
70TAL FIREPLACE WALL AREA
7QTAL WALL FRAMING AREA
NET INSULATED WALL AREA
70TAL RIM JOIST AREA
TOTAL FOUMDATION AFEA(EXPOSED)
TOTAL FOUNDATiON WINDOW AREA
~/A ..'° ? = N 4
143 sy.rr.x'u" :..lr? - ?4.3
4 -?69_
1Z?J sq
il
t?U?? •1?i c ?•Ca
.
.
sQ.ft.zv,
I?3 ? I
3) TOTAL
1( item 3 is the same os,oi less than Ifem l, you have met the lntertt of
2 MCAR 1.16008 A ond D.
ROOF/CEIUNO CALCULATIONSt
70tAL SKYLlGHT AREA
70TAL ROOF/CEII.ING FRAMING AREA
NET INSULATED ROOF CEILING AREA
?ia .y.ft.z'U0 .- = N//?'
?Z ! •q.it.i%,, •c24= ?4o
Idr39 sq.tr.x'U"
4} TOTAL
lt item 4 ls the some os,a less fhan 7fem 2, you Aove met the intent ol
2 MCAR 1.16008 A ond 0.
ALTERNATE BUILOING ENVELOPE DESIAN
To uti7ize the fotol envelope system meMOd, tAe wm o/ iroms I and 2 sAaA
be qreater tAan the sum ot ifems 3 ond 4.
!) +2) _
, 31 +4)-
1 hereby cerNfy tAat the 6ulidlny Aere dsscrFbed exceeds Ifw
Energy ConservaMon Act.
Stota of Mimsaoro
e I#.
,
.? _ ?titLl? f'f.? ,?.?I ?G• Csc ?sa?p • .
I"110o KcraM
??ia? .?, ,?, ??.?.
?r. •s t ?
?re+rs el ?oh .oee lob?.
? Gef'o
i?
libria Oa. Vm n ?
TOTAL 11
u = iiR • ?°
:CTION (IMSUUTED)
infrtor oir film
-b Ie. 9
)'as* 19 0
uc'cK eo .404foo-
3'O`"Ir'' b I
?ahrie? s'w f?iw? 011
TOTAL nZI • 77
Y n VR .9'4r
IST KCTIpN '' .
?n •f r;a ar /fim 0.?
, 5'" y.+-f ?.?s • 19.0
? •.?-? t ?t
,' ?•??. .?
?.v..?4. .s 1
?laia mr /ila? O li
TOT4l 11 Z'y.Zl
- u ¦ I/M • °'?-3
rioN KcnoN
?.fa. .;r rrT o ie
-._?J' 'r?r.? , o
_13wc .em-p- ',?.
MfNiOr
17
tOTAI R.ACA-150
. 0 a 1/R 'V
........>. ?
? . .
._ ......._...._. . . ?:? ..n....??+ri.?..r?. ?
tEILNC iECT10N ( INSUI.ATED)
(I kWta air /ilm 0.61
_ (t +o s" 15.64+. pw-fe, . S!o
t3 ? ?as ;}a}-,o
(+ urta;a o1r iflm fsNll) 061
• TOTAL R -78,
• U ¦ i/R .ozz
CEILNC FR/IMING SECTlON .
( Liltula ob Iilm 0.61
U '?b'?• R- . 5Io
(3 f3e.o,,.....a )?-.?5 'S3.c
(4 ioftrla air /ilm 0.61
ts Wr-iAcn.s or .nn .oea ¢.'SS
.TOTAL R M • 1'?`
y ¦ t!R •aZGa
CEILING SECTION ( INSUTATED)
( I leferlw air ?ilm 0.61
_ (Y
(3
(4 •,?..ior air +rrm (:tiii) . 0.61
. TOTAL R
1! • 1/R
VENTED
CEIUNG FRAMING SECTION _
( I,lrljgNa air (ilm 0.6t
1e
t3
(4 interia air /l!m 0.61
(5 in'cMs of soH rood
TOTAL R
JJ = 1/R
EXPOSED OEAM CEILtNB SECTION
(J lnlvlor alr l(Nn O.?l
?
(4
ts e,f.rlar .r. rr1?n 037
. TGTAL R
L • 1Nt
:i('.y:$'i"(,:ir7`.?7"rY,? Y,CkY
CzrY Or ;::Ac,AN
Js re:i;:f'!IPJAL NI4J` r'ir2,
nATE:. 09/02/99 r;.r& 0:213::02
zN
NF:ME:; CAVi..i_ !i,:
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1 f u., ?N.T,
?:i t
?..kp. 60.OiJ
2155 :7(.'0O.I. 732 Fiia`f I._•; RI.i N 0.50
3212 .`-%Ooi. 'i"?i? Hf3V L.If {1D PJ 30.00
205 `.?O(]i. 732 ;,f-7Y I._I: RLi P1 0.5(7
'i'ia;.a:L I;ecr=:i.pt Arnounl;., 91,,.00
CF 7.1E.4+,0
U:il' R It1: JC+N
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%$:?'?$Q'FYt,Y,iY.r,",Uf %?$4;`„N:;S::' ?, .;.:,,?f.: ,...a i•n,?iM1YnYn?ffk'.,n,. )r?rv?( .
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) $60 s?
? 7S72 CITY OF EAGAN /-s
3830 PILOT KNOB RD - 55122
651-681-4675
tlew ConshucMon ReaulremeMs Remodel/Reoafr Reauhemenh
? 3 ragiafered fBe surveys showing sq. tt. of lot sq. H. of house 2 copies ol plan
and gJ.l roofed arem (209 ma:imum loT eoveraae allowed) 1 set of energy cakulafbro for healed addMlom
? 2 coples of plans (ahow beam i window sizes; poured fnd. design; etc.) 1 sRe survey fw exteda addMions a decb
? 7 set of energy calculaNons
? S copfea W hee preservalion plan B bt plaMed alfer 7/1/93
DATE: d f3D I99 CONSTRUCTION COST: ? o)(V
DESCRIPTION OF WORK: i5 ? Aetve't
STREET ADDRESS: / J o2 /VU. 0`-/7/Gg .4c./?w _
LOT: ? BLOCK: 57 SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1" CWfV? Phone #: ZS_1-7 ??77JL
La? Fhst
sneet
a
City ??2 81/ ' StaFe: /p/t/ Zip: . 537c>)3
Company: ? Phone 1k:
(area code)
Sfreet Address: license # Exp.
City
Telephone #; area code (
Name:
Zip:
Stree't Address: Registrction M:
City Siate: Zip:
Sewer 3 wafer Ilcensed plumber (reauhed for new consiruction onNl:
PenaNy appliea when address change and lof change Is reqveated once permit ts hsued.
I hereby acknowledge tha11 have read fhis appllcaHon, state fhaf fhe IMormaNon Is correcf, and agree to eomply wRh all applicabl
Sfafe ot Minnesota Sfatutes and CMy ot Eagan Ordinances.
, Signature of Appllcant:
OFFICE USE ONLY
State:
Certificates of Survey Received _ Yes _ No „.„
Tree Preservation Plan Received _ Yes _ No _ Not Required ^-'c7s?D
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 &plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments Ar 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pool 0 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bidg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 5•PJ Basement sq. ft. Census Code `l 3 7
(Allowable) C -;:T Main level sq. ft. SAC Code
UBC Occupancy 11?-3 sq. ft. No. of Units /
Zoning R-- ! sq. ft. No. of Bldgs o
# of Stories - sq. ft. MC/ES System
Length - sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding ? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V1/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
?2ofJ ??
.
SAC Units
% SAC
? CITY USE ONLY
L ? BL
SUBD. ?Q Wv\ A C?o 0
RECEIPT #: q O
RECEIPT DATE:
PERMIT #
1999 PLUM$INC PERMIT (RE.StDE1vTIl4L)
CITY Of £AfiAN
3$30 PILOT KNOB RD
f.tkfiAN, MN 55122
(651) 681-4675
Please complete for: 9 single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinklersystem
FIXTURES
EACH lf
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x -" _ $
Gas i if1 Outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x r = $
Minimum fee alterations to existin dwellin 30.00 x $ C? O
Private Dis osal S stem new/refurbished ` re uires MPC rc. 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 existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water SOftener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 5
Total --> --> ----> ----> $ U
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
----'----- - ----,---
-------------------------------------...---------- -
- .
-ordin -
- ances-
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 -
It is the applicanfs responsibility lo notify lhe property owner that ihe City of Eagan assumes no liability for any damages caused by Ihe City during its
normal operational and maintenance activities to the facilities constructed under this permit wilhin City property/rightvf-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME: SA/V C TELEPHONE #:
(AREA CODE) .
STREET ADDRESS:
CITY: STATE: ZIP
?
&-dzlo -
SI ATUR OF PER TEE
f:STY C1F F_At;AN
C:ASH:f.Ffi:
DA'iF..;: 7$ 1'IE:Iit1ZNAl_
07/26/% '1"7:MG. Ntat 7..:?$
1.3;07ff,55
SIi ^
tdANE'r. 70TAI_ AT.It? .l'NC.
;32:I.0 91]p{.
2i55 9001 732 HAY L_FlKE RTY
732. HfiY LAi:l:= fiIi 60.00
0 10
01;a1 her.eiPt Amnun+,c ?•
;F:7.14 c?u%' 60. ,i0
I,Sf"R :CLt: .1AN
x'?(kc%<??k: ?#?C??X?kXc>$?kW%cBcKc:khe&cX?%?:k%<%ck?"?%c?%?:%?kcX(Xc?X
_Gas iLMasonry _
Date: -1-21-99
Description of Work: ? Conslruct new fireplace
_ Install gas insert on
Other
Job address:
Lot: ?
FIREPLACE
INSTALLER
Applicant (circle one only):
Block: Subdivision/F
Owner 9ontractor
PROPERTY
OVVNER
,
I??ame: ? U l S??. ?Y hCVN 1 Phone #: 1?
Last First . , n
StreetAddress: -13 1
City
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
I (?U
Afterations to existing
Install gas line on/v
Permit Fee: $60.50
State:
Zip:
Companv:?? Phone#:
Street Address:
State: M 0 1 Zip:
City C:
ComF
GAS LINE
INSTALLER Street
Phone #:
(azea code)
City State: Zip:
?
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
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repau
GENERAI, INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
? 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
,
CITY OF. EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^TOTF: PAYMF:DTP OF FM AT TIME OF
ArPrscArloN noFS Nar corsrsTUITE
APPROVAL OF PF.RNIIT.
INSPDCTION OF SEWI2 APID/OR FTAM
nNSrAr.ramipD7S FTII,L NOT BE SCHE9-
UI,ED UN1ZL PERMIT HAS BM
APPR(7VID.
_ _ _ _ _ _ _ _....
P ease Print)
1) PROPERTY ADDRESS : '/ 3.2 ,?w lQ A{,z_ CID • •-
LEGAL DESCRIPTION: _ I o 7? 2 d3/n? 5 awn
. Lot Block Subdivision or Tax Parctfi ID )
IF E}QSTING SIRCCIL'f2E, DATE OF ORIGINAL BUILDING pERMIT ISSL'ANCE: "
?
' (t•bn Year)
FRFSIIUT ZODIING/PROPOSID L'SE: Q CO??PJERCIAI./REPAIL/OFFICE ? R-1 SINGLE FAMILY '
? IAIDCSTRIAL Q R-2 DL'PLEX (Two Units)
? INSTIZL;TIONAL/GOVEWE]'P ? R-3 TOWN30DSE (Three + Units) ( Pnits)
. Q R-4 APARTMENT/CODIDOMINiUNl ( Units )
2) ?
NAME-_ T
ADDRESS:_ ??'PB.f
CITY. STATE, ZIP:_
. ?'n?e.r ?r-r'avr kfr
' PHONE:
?
• 3) • u c?• ME• /
?+e
?
? For City Use
..
_ s ?a, c v
?ic?
? i?N Plimbers License:
ADDRESS
?7f? `741anro? S? . Active
i CITY. STATE, ZIP:
PHONE:!
_fT ??,/ r?f.hn
?J"(c, - 9 yajv MASTIIt L
?S`/?.2_ •
ICEPISE# EScpired
Not recorded
Sta im.tial
4)
NAME:
ADDRESS:
CITY. S"PATE, ZIP:
PHONE:
•S? i? v ' 1 Y' 71• 1 •]IA • 5? U"YYP? '
• M_coNNEcrzoN Tv cIxr SEWEt [,M-wrNECrioN zo CIxst wATEa ? orHEx 6) 7?r E3 PLEASE $OLD APPROVED PFRMIT FOF2 PICK-OP BY ONE OF ABOVE '---- _
PLFASE MAIL APPROVID PERMIT TO 1. 2. 30 4. ABOVE . :
n Af (Circle one)
7)
. FOR CITY USE ONLY ? ? -
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SCRCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ U G' ACCOONT DEPOSIT - WATER
$ '52 (^,C) 0 $ WAC
$ c <<? $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ $ WATER TREATMENT PLANT SL'RCHARGE
$ $ ' OTHER:
$ $ G U TOTAL
- 7li fG `'L_
I
RECEIPT RECEIP
DOES UTILITY CONNEC TION REQOIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMZT FOR WORK SVITHIN PUBLIC
Q
NO ROADWAY" ML?ST BE ISSLED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SUBSECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138257
Date Issued:08/17/2016
Permit Category:ePermit
Site Address: 732 Hay Lake Rd N
Lot:2 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Daniel W Hafstad
732 Hay Lake Rd N
Eagan MN 55123--302
Bettin, Inc
3208 1st Street South
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141756
Date Issued:03/29/2017
Permit Category:ePermit
Site Address: 732 Hay Lake Rd N
Lot:2 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Daniel W Hafstad
732 Hay Lake Rd N
Eagan MN 55123--302
(651) 343-5521
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169948
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 732 Hay Lake Rd N
Lot:2 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daniel W & Kim A Hafstad
732 Hay Lake Rd N
Eagan MN 55123--302
(651) 343-5521
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177639
Date Issued:07/12/2022
Permit Category:ePermit
Site Address: 732 Hay Lake Rd N
Lot:2 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daniel W & Kim A Hafstad
732 Hay Lake Rd N
Eagan MN 55123--302
(651) 343-5521
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature