736 Hay Lake Rd NCITY OF EAGAN
Addition FAWN RIDGF A DTTTON Lot 3 Blk 5 Parcel iQ 0,30 Qs
Owner Street 736 No. Hay Lake Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? aC 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 LATERAL ?- ' 19$1 33.07' 1.65 AS
Sewer Lateral 1981 23.57- 1.18 20
WATERMAI N
1NATERLATERAL 5-73 19$1 43.67• 2.1$ 20
WATER AREA 1981 205.44' 10.27 20
Water Lateral 5- 79 1981 27 .68 - 1.38
STORM SEW TRK 1985 557. 79 - 37.19 15
STaRM SE N-Nnggp_ 1984 222. 51 , 22 . 25 LO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
BUILDING PERMIT
CITY OF EAGAN
Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
value $70,000
..._.r-...
1`'3Q .
Receipt #i , -
,,,,,,, JULY 28 ,,, 86
Site Address 73 6 Nij 11AY LAKE RD Erect (N accupancy R3
FAWN RIDGE
Lot 3 81ock 5 Sec/Sub Remodel ? Zoning Rl
.
Parcel No Repair ? Type of Const Vg,1
. Addition ? No. Stories
¢ Name Ki%YLAND HOME$
Move
Demolisn
?
? 44
Length
Depth 4e
= 3471 W 173RD
o Address I
I ? S
F,
city 10RDA41hone 435-3323 nt
mpr.
Instan ? q.
Z o Name SAME Approvi
?°, ? Address Assessment _
~ Citv Phone Water 8 Sew.
t °C HALLQUIST Police
? W Name
500 W OTH Fire
?n Address Eng.
? W ?itY BLNrGTl$hone 831-1875
Planner
Council
P8ff1'llt " •••??OQ
Surcharge
Plan Review171.50
OO
SAC 500.00
Water Conn.
Water Meter _ ? O
Road Unit '
I hereby acknowledge that I have read this application and state that the Bld9 off 6 3 Q $ 6 Tr Pl 4
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ofi Eagan Ordinances. APC Parks
Signature of Permittee ' '?` ?` ." -? -c Var. Date Copies i 400
? Total
A Building Permit is issued to: REYLAND OM$S on the express condition that
ail work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances
Building
• PermN No. Permit Ho1dN DaH TNephone N
PloZ,blne 7 S 3? ci4 t 21 cE_ <.r;-
H.V.A.6: Cj ! 1O ?
Elechie
. - / _ ? -
Soflener /% '?j ? ?: {'iL?iL? ?' - •?1 ?`?"? ?
InspocNon Daq linp. Commenh
Foodnqs I
Footlnys 11
Foundadon
Frsmin9 ?
Roollnp
Rouph Pibp.
Rouph Hty. `r kt/ ?+1• - a v?. ??
Insul.
Flroplacs -? ?
FMaI Hty.
Ffnel Plby.
&dy. Final Q f ?, ?' ? L ? •,.
Cert. Occ.
Cyz C-e,r c11 e? a•? lfao-f, .S -/-Y?% C. p•
Dftlc Ffq. ?
Dock Frn?Q.
WNI Dsscribe Locatlon:
Pr. Dbp.
PERMIT # _
.' PLUMBiNG PERMIT RECEIP7 # _
CITY OF EAGAN ?
3830 PILOT KNOB ROAd, EAGAN, MN 55121 DATE:
ONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Block m Name
Address
c City " Phone ,
Name
c Address
0 City :.,,Phone a ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMI7 - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEY4NQ $1,U00.00)
?
^.,
FOR: CiTY OF EAGAN
BLDG. TYPE
Res. .
Mult .
Comm
Other
FIU. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
/ Lavatory - $3.00
Shower - $3.00
LKitchen Sink - $3.00
WORK DESCRIPTION
New ?
Add-on
Repair
Lsunary i ray - a3.vu
? Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
? Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.40
Private disp. - $10,00
' Rough Openings - $1.50
FEE
STATE S/C:
GRANp TOTAL•
TOTAL
S
/
?
.S ?.
?' .. ?
r .
' PERMIT #
• MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB tiOAD, EAGAN, MN 55121 DATE _
Site Addri!p
Lot ? Block
m Name
? Addr?
c Ciiy -
? Name
c Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unft Heater
Air Cond.
Vent
Gas Piping Oudets #
Other
Sec/Sub
Phone
-75+? M BTU
M BTU
M BTU
M BTU
CFM
/
FEE or ? • ? `J °`
S/C: ?GNATURE OF PERMITTEE
. ?G • vo
TOTAL•
BLDG. TYPE
Res.
WORK DESCRIPTION
New X.
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
,ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
PERMIT # f / 9 7
• • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN / II
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CT PRICE: PFIONE: 454-8100
Site Address
Lot Block Sec/Sub
' y Name
? Address ?'F.
c City Phone
Name d
3 Address
7Z4
O y
citY Phone
FEES
COMM/1ND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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
BEYONp $1,000.00)
.
/ "_7
L
SIGNATURE OF ERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Krtchen Sink - $3.00
UrinaV Bidet - $3 00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
?Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN
TY OF EAGAN SEWER SERVICE PERMR
130 Pilot Knob Road
0. Box 21199 pERMIT NO.:
, - .
gan, M!J 35121 DATE:
No. of Units:
Address:
h 0000* Wuh IM CM of y/an
of Irnp.:
V
ConrncHon CF+orps.
llcoount DePoWt: -
Pemnit FM:
Misc. Chaross: -
Totol:
Dote Poid:
10b.00pd
ilot Knob Road
ox 21199 PERMIT NO.:
NlPJ 65121 DNTE:
_ No. of Units:
Site Mdnets:
PllRnlblr
MeftI NO.: COfM1lCtiOfl Ch0fQe:
SIZl: /,CCOU/1R DlpWT:
Reader No.. Permlt Fee:
1 prN te ee plp wMr fV Gry of fqpw Surchorpe: _ .:
OAlwwow. Misc. ChoryeK: - -. :
Totol:
Bv Dote Pald:
Dote of Irap.:
CITY OF EAGAN WATER SERVICE PERM14
3830 Pilot *nob Road
P. O. $ox 21199, PERMIT NO.:
Eagan, MN 55121 DATE: .
?
Zoninp: _ No. of Units:
*Addrmen,
? Sft Mdress: 'V .ake•:oac! L?
Plurribar ! . ' -c; . ., . _ tio
C.
?i ? Ci X ?n / ? / {? ?. : p•?
lYlat?r No.: r
.ZQ: c'e, '` ? ?? ? ?••"S? -?I?:'
el-
No.: 0, ' .
.?n.. 1o eo?..l? ??Mr tii. citr oi . Su, ;P
R???'C !5. d
m tP.?
Dote Paid:
;By
4.9
Dote of I nsp.: Insp.:
&/.? p REQUEST FOR ELECTRICAL INSPECTION . EB-00001-06-'44
? See instructions for comoleting this form on beck ol vellow copV.
E2l: 6C3? 'X" Re/ow Work Covered by lhis Request
Ada Reo. Tyoe of eoiltline Aoolioncaa wirod Equii,mem wireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt BuflAing Dryer Electric Heatin
Cominercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm otne.r 5peci v C?lnerlSnecilyl
i ,r Suecily Other Othi,
ComDute lnsPection Fee Below
p Fee ServiceEnhenca5ize b Fee Fexders/Suhfeeders Circuits
U to 200 Amps 0 to 30 Am s 0 tn 30 An! s
Above 200 Amps 31 to 100 Amps M 31 to 100 qm s
Swinvnfng Pool Above 100_Am Above 100_Ampn
Translormers Irngation Booms ,-,S- "Othe r Fee
Partrall
I ? I Signs ? I ISVecialinspection ?
e?rerks 51??5? TOT EE?
- IA?
iinal
thei the Tbove
ion has been
mh reaiost+aa
- CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2
PHONE: 454-8100
BUILDING PERMIT Receipt#
7o be used for SF DWG/GAR Est Value $ 7 0,0 0 0 Date
Site Address 736 NO HAY LAKE RD
Lot 3 slock 5 sec/Sub. FAWN RIDGE
Parcel No.
W Name KEYLAND HOMES
; Address 3471 W 173RD
° citi JORDANpnone 435-3323
o Name SAME
? ¢ Address
? Ciry Phone
F W Name HALLQUIST
5001 W $OTH
??
aw Address
Ci
, BLMGTNph
831-7875
h one
12360
86
Erect Occupancy R3
Remodel ? Zoning A I
Repair ? Type of Const vfl
Addi[ion ? No. Stories
Move ? Length 44
Demolish ? Depth dA
Int. Impr. ? Sq. Ft.
Install ?
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.6/30/86
information is correct and ag5pe to comply with all applicable State of
Minnesota Statutes and Citvi6f Eaqan Ordinanpes. APC
Signature of
A Building Permit is issued to: ""l.
all work shall 6e done in accordance with all applicable
Building ONicial
Var.
Permit Y `?YJ V V
Surcharge 35.00
Plan Review 171. 50
Sac 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr, pi, 156.00
Parks
Copies
,13 .00
on the express condition that
City of Eagan Ordinances.
b
This request witl 10112J./F?
18 months twm .
C 37908 ?3.65
r, 7 Ys3
Reque*t Date No, Rouph-in.lns ec[ion
Pepuire ?
y Now QWill Nolity, Inspev
G ? es ?Na lor When PeadY
cenVd E/It'ical Con[racmr 1 heFeby reQUeat inapeclion of above
? Owner eiacirical work installed at:
Street Atldress. Box or Route No. City
ecuon o.ow?shi ame or N. RanBe No. - Coun
f
?
Occupant (P NT) Pho No.
?
Pow¢r uppli ACdre55
Elecvical o iractor (ComOany Nama) Contrar. r 's 'ce{AQ
v
,. ?
Maili B tldress oniractor or Ownar a1 , ne lnsia' tw
ol)
4VIeLel
AuMorizad ature ICo ac Owner a' Ins Ilati Phone N ¢r
??•
MIN TA STATE BO D OF ELECTRICITY TMIS INSPECTION NEQUEST WIIL NOT
Grigg •Midway Bltlg. floom N-791 BE ACCEPTED BV THE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLE55 PPOPEN INSPECTION FEE IS
Pnona 16121297-2111 ENCLOSED.
ncuvwi rVO CLCW RII.NL IIVJf [l.l IUIV «
n +a: ?, ?"?^c.
See inatructions for camvleting this lorm on baek o1 Vallow copy.
C 37908 "X" Below Work Covered by This Aequest ?
FAtl Neo. -Type o1 Building Aoulioncea WireA EquiVment Wired`.
Home Range Temporary Service
Duplr,x Water Heater Liyhtin,y Fixtures
Apt. Building Dryer " Elec[ric HeaUn
Commercial Bldg. Pumace Silo Unloader
Industrial Bldg. Air Conditioner Bidk Milk Tenk
Farm th., Deci y Other (Snerify)
t er ue"ly [ er Olhu,
omput d lnspection Fee Befow
M Fee ServiceEntrenea5ize H iea Fentlars/Sabfeetlers # Fee Circuits
Uto200Ams 0 to30Ams 0 tn30Am
Above 20 _qmps 31 to 700 Ainps 31 to 100 Am s
Swinvning Pool qbove 100_Am s Above 700_A.mln
Transformers Irrigation t3oort?s
ii?j Partial-'Other Fee
Signs Special Inspection $
TOTAL
ertr?rks ? ? ?? G?
Xough-in D?'1e4'1;.m; Aoactor, hereby
rtity thel the bove
Final speetion hes Oeen
atle. '
This reouest vo1018 montlis irom
;, 4a, id
1 B mpn[hs:Gom
,C 1554 3 B Q ,
Request Date
-1 Fire No. Roueh-in InsVe
flepwre ? nspec
Reatly Nuw
s ?NO 1or When Ready
icens¢??ecvica,KConVactor I hereby reQUest inspection of ebove
? Own¢r elecVieal work installed eL
Straet Address, Bax or Ro e No. Citv
ecLOn o. To ship Ndme or No. Rnnyc o. Cow
Occuunnt IPF )
I Phone No.
Power Su lier Atldress
?_o
Eleclrical Cnhactor ICOmpany Neme ConVar,t Li?en e No.
c.?
1 ?
Mail? B
Ad ress fCOnhacmr or Own MakinB ??s' ,ationl
?
V
' ?
Authorized Signawre (
r ctor Owner kine ??stall Y n) Phone, umber
MI Tp STAT OAND OF ELECTRICITV THIS INSPECTION qEQUEST WILL NOT
Grig9s-Midway g. - Noom N•191 gE ACCEPTED 9Y THE STqTE BOARO
1821 UniversitV Ave., St. Paul. MN 55104 UNLESS PPOPEN INSPECTION FEE IS
Phnnw 18121297-2111 ENCIOSED.
rvn Mec11111GHL lN5YtGT1UN tn-?uuvi.aa
See inshuetiens for comDleting Ihis torm on beck ot yellow coOV?
y' 4
15543 "X" Below Work Covered by This Request
Atld qe . Typa ol Building Appliances Wired Equiumanl Wired [
e Range Temporary Service
Duplex Water Heater l.ighUn,y Pixtures
Apt. 8uilding Dryer Electric Heabn
Commercial Bldg. umace Silo Unlonder.
Industrial BIAg. Air Conditioner Bulk Milk Tank
on FaP Rrlnw
M ee ServicaEntmnceSize h Fee Feeders?5ubfeeders' 1? Fee Circuits
r U to 200 Amps D to 30 qm s 0 m 30 An? s
Above 200 Annu 37 to 7 00 Amps 31 to 100 q y
Swimming Pool Above 100-Amps Above 1Q0_.AmPn
Transtortners lrngation Boorr?s PnrtiaL'Other Fee
I I 1apenai mspecuon
//? the ffscdYCa
Inspec?or, n¢.aby
Fi certify that ihe abova
nal D ? e
inspection has bean
mede.
rms mqua,t .aa 18
This requesc voitl
18 monlhs from &/a0/?E '-'// O [-?
I?0
E 20665 L 6
Requesl 9ate Fre No. Pw,Ph-in 1 spec on
Aequ red? pokeady Now Q Will Notity Insoec-
cl y¢y 'RN- IorWhenPeadY
?licensed Electrical Contuictor I hereby request inspaction ot eDOVe
? Owner electrical work installed at:
SUeet Address, Bot or ftoute No. Citv
73w -4-01?o,, rz& "'Tk)
ecbon o. Township Name or No. Range No. n
Cou
t
y
y
?
q
yv/T1?Q?1T
Occupant (PqINT)
ptivE Phone Ne.
(D?
Power SuoVlier Address
Elechical Cnnvactor (COmpany Name) Gonirar,tor?s License No.
G-6LA??(if- &La.c.ll'?l C? e til C..
Mailing q?ldress IC
nVac
O
to
r
or Ow er Making Instailation
)
1
?
?
(
?
{
? ?
?[ ?j J J I,9.nW ?1./'r7?r.?V/IK lJq/' ?[JfVV+ ? //'+N
AuMorjt d iBnature Con lo,/Owner MakinB Ilistallation) Phone Number
MINNESOTq STATE 90AflD Of EIECTqICITY THIS INSPECTION REOUEST WILL NOT
C+ri99s•Midway Bldg. - Poom N-191 gE qCCEPTEO 9Y THE STATE BOARD
UNlESS P0.OPE0. INSPECTION FEE IS
1821 Universitv Ave.. St Peul, MN 55104
Phone(612)642-0800 ENCLOSEO.
SOV 7 RESIDENTIAL
BUILDING PERMIT APPLICATION
cinr oF EAcaw
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4875
NewConatructbn Beaulrementa
• 3 replslered sile 5urveys showing sq. R of IW, sq. ft. of house; and all roofed areas
(20% maximum lot coverage albwetl)
• 2 copies of plan showing beam & wintlow sizes; poured tound design, ela)
• lwtofEnergyCakulations
• 3 caples of Tree Preservatlon Plan 0 bt plettetl aMer 7/1199
. Rfm Jolst DelaA Options selectbn sheel (bMgs wM 3 or lass ungs)
DATE ? 1'2- ') ' DZ
SITE ADDRESS 7-56 -* WA? 1akie. U tv/
TYPE OF
FIREPLACE(S) _ 0 ? _ 2
APPLICANT S e /' `F:o
STREET ADDRESS R3 kli L' PIG epn.Jr, CITy L ??Ic ?&°STATE A-W ZIP Ss t i?
TELEPHONE #?tv I 76$ W796 'CELL PHONE # ll2 q96 q(z5 FAX # l051 7-5 4?419
PROPER'fYOWNER ?i<uvt Atii '( TELEPHONE# 61Z 9& BZav
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CA1'EGORY 1 M Q?Af7$Ci?.ij?76?
(+1 submission lype) • Residenfial VenNlation Calegory 1 WoAcsheet Submitted • e? CotlehLee ,
. Energy Envelope Calcula6ons Submitted FAY 2 9 2002
Plumbing Conhacfor: Phone # _?
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater ? No. of R.I. Baths
? No. of Baths
Mechanical Conhactor:
Mechanical system includes:
Sewer/Wafer Contractor:
_ Air Conditioning
Heat Recovery System
I hereby acknowledge ThaT I have read thls application, state ihat the
with all applicable State of Minnesota Statutes and City of Eagan Oyel
Signature of
OFFICE USE ONLY
RemodellReoeU ReauhemeMs
. 2 copies ot plan
• 1 set of Energy Cakulatbns for heated additbns
• 1 site survey for eAerlor aGtlilions 8 tlecks
• Indkate R home served hy septic sys[em far additions
S/L/ 7,5
VALUATIOJ ? 11 9 , 06
MULTI-FAMILYBLDG ^Y _4
Phone #
Fee: $70.00
Phone #
is correct, and agree to comply
Gertificates of Survey Received _ Tree Preservation Plan Recefved _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 IM Improvement ? 38 Demotish (Interior) ? 44 Sidiny
? 32 Addition ? 38 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MClES System
Census Code Zpning City Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) ? Plumbing
Foundation
? HVAC
Drain Tile OtUer
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing ? Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Searoh
Copies
Other
Total
Building Inspector
1986 BOILDIBG PEAMIT APPLICATION - CIRY OF EAGAN
NOTS: ALL CONTRACTOR3 MOST BE LICSRSED iTITH THS CITY OF EAG9N
SINGLE FAMffLY DiiELLINGS
INCLUDE 2 SETS OF PLANSv 3 CERTIFICATES DF SUAVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DWELLINGS - RESIDSNTIAL
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF SNEHGY CALCULATIONS
COAAfERC'Tar:
RENTAL IINITS FOS SALS QNITS
OF SQRVSY - CHECB iiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ? uation: Date:
Site Address OFFICS DSE ONLY
Lot 3 Block ? . Erect ?
Remodel Oceupancy
Zoning ?
?"Yl
Pareel/Sub ?
Repair _ Type of Const 7V"1
Addition lf of Stories
Owner Move Length Vf!
Address J _
Demolish
Int.2mpr. Depth
Sq Ft 4-18
City/Zip Code
S _
Install
Phone
Contraetor
Address
City/Zip Code
Phone
Arch./Engr
Address ?
City/Zip Code
/
Phone #. P3 / e 74-
APPROY9L4 FEES
Assessments Permit 3-113
Water/Sewer Surcharge 35
Police Plan Review /7/. S4
Fire SAC !5175-
Engr Water Conn SC7D
-
Planner Water Meter a
'.S. 5Z
Couneil Road Unit O
Bldg Off Treatment P1
APC Parks
Variance Copies
mrAr.
NOTE: ADDRESSES FOR CORNER LOTS - CONTEACTOR/HOMEOiiNER MQST DESIGNATS iiHICH ADDRSSS
IS D6SIRED. NO CHANG&S HILL HE AI.LOflED ONCE BDILDING PERMIT IS ISSOfiD.
?X?Z?
r??`/c? ?
?oX ZZ s
??z? ? _
?) ?
?l??? 1z =
?
???
. ,
? ???ll .? ?
SURVEYOR'S CCRTIFICATE KEYLFlItlD WOMES . .
N RTH HAY LAKE ROAD -?
-
N ' I??='5°pO'OIII
I R?241.88 .
.,..._ \ •? ?.?nw?lh-illc CnAA_ 1 /ll 11- '
[? ?
K) C
2
3
roI
M
QO
O
tt
Z
(44G_?) 1
-
T-
? 20
.O
'
...
?.
' / M
GAR
N ?
p
.
22 I.
24.0
/ ?
? I
O PRGPOSED
HWSE
6
?
M
. ri /1
/ N
i
N
I
I LOT 3
DRAlNACE d UT1ilTY
EASfMENT PER PLAT
!l7Y'i.y
n
u
? •-?-?
l
M
-
3
N
M
m
o'
?
M
2
15 in _ h 5 (q48.,?)
"'r 3 9'S6'21WT 68 5 ---
DENOTES PROPOSED SURFACE URllINAGE
O DENOTES IRON MONUMENT SET SCALE: II1 INCII = 30 FEET
• DENOTES IRON MONUMENT FOUNU fROPOSED GARAGE FLUUR = 9q4.3 FEET
XOOO.U UENUTES EXISTING ELEVATIUN PRDPOSEU LOIJEST fL00R = `1y3•5 FEET
(UUU.O) UENUTES PROPOSED EIEVATION PROPOSEU 10P OF aLOCK - 9'1e..7 FEET.
' I NEREf3Y CERTIFY TO KEYLAND HOMES THAT TIIIS IS A TRUE AND CORRECT
'REPRESENTATIUN OF A SURYEY Uf THE QOUIJUARIES OF:
Lot 3, Block 5, F11WPI RIDC,E, according to the recorded plat thereof,
Dakota County, Piinnesota.
AFIU OF THE LOCllTION OF A PROPOSED 4UILUiNG. IT DUES NUT PUI2PORT TU SHOW 1MPROVEt1EW1S
OR ENCROACHMEPITS, 1F ANY, TtIEREOPi. AS SURVEYEU DY h1E, UR UtJUER MY UIRECT SUPERVISIOIJ,
Tfl1$ 161h UAY UF qpRIL , 198'6•
NOTE: SIGIq[I): JAMES R. tIILL, INC. ?
PROPOSED ELEVATIONS SH041N ARE AS
TAKEN FROM THE GRADING AfID DRAIhIAGE `
PLAN FOR FAWN P,IDGE, PREPARED [iY ?
PROBE EIJGIIIEERING COMPAI9Y, INC., ?(()"r?? ? ??•n--?
LAST DATED PiARCH 20, 1985. BY'
I A(?OlU C. PETERSON; LAIID SURVEYUId
hI1NIlESOTA LICENSE 110. 12294
PIiOJECT NO. eooK / PnGE JAMES R. HILL, INC.
86523
" Planners / Cngineers / Surveyors
FILE 140. 8200 tiumboldt Arenus SDull?
FOLDER B)oornlneton,Mrt 55431 012-004-3029
.
?
Iti?: . T
• P<?re 1 oF 4
EX R[OR ENVCLOPC nv_rrinr,r "ll" COM!`IITIITION
M ? ._.. . .. ..... .
331 -c-
OWNER: nnrr:
---- --- ------?-_Q • $t5
S1TE ADDRESS: ' . . _ pIION[:
' CONTRACTOR:??-_ 0r--[5
Determine working square fnotaqe of each
1. Total exposed wall area.....
?I`sq, ft, x.11= 1.= ?-
-
2. Total roof/ce'iliny area..... 1O4p
r Sy, ft. x_026 =
` Total 'exposed wall area afiove floor=_ ???
a. ' TotaT wall. window a"rea ......................................
b. Total'door area... 151
c: ,'Lota'1`slitling glass"door area. ..................................
: . , ................................... 3ig
d:T'ota,l fireplace wall area .................
..................... .. ,
e. Total'wall framing area (average 10%)....... . ??
f." Total"rim%joist?area ..................... .................... _ ? 72
........................ 13Z
.
g., net wall'iarea above floor ........................
h. wal,l,a'rea a6ove floor ...............
......... ..............
i. • wall' area above'floor.... _'
. ., .............................
,1. frame wall.:,area at foundation ..:..................:...........r..
.? Total exposed foundation area=--_LdKQ ?
' _ F. i ?• . . .
k. •Total founda,
t ion window area ....................... .?
1. Total net„foundation area above grade ..............
10
° `" Determine "u" value of each wall segment ?
• • (e.9. window; door, each separate wall section)
,.
,
a.?I _ X
b. 3$ _ x
?. 40 x
d.
X
e._ x
------?-
f._ 131 z „u,l _
°4= --s---
s. 1 I?S _ z „v ?r.
----r--
h. X ?lull _
i. X 'lull _
x „u„ _
k. X „u?? _
? Ito X 111 . Q?- 5.3
3. .................................Total
`! -77_1--,
.31
.
_= I11
??----=__!9 •a
l.ull _ .
If iCem p3 is the sam
as, or less.;tlfan item
NI, you havs met the
InCent of SUC.6006 (o
,;:... :
''OOO'O-orr-Snvelopo Avernge "U° Computal•ion
Tol•al exposed rooP/cezling area = 1040
.
' m'. 1btu1 skyli.ght area ............................ ?
n. Total roof/ceiling 8raming area (lvcrage 10%)... ? OT
o. Total not insulal-ed roo.C/ceiling area.,.........
I -W&L-
` •I Determine "U" valuc for eacli roof/cciling segment
Page 2 of 4
< +C1{ ??
.. . !
M. X
g
o. 13(p X „u„
4... .. ......... ......... Tot-al
If total
'of #q is the same as, or less t:han
I12, you have meh the intent of I
I
' S)iC.6006 (c) 1. •-. . ,
??
. Alternate Buildinq F.nve]ope Desiqn
tb,utilize the total enyelope'system method, the values esl•ablished by the s.un'of
' items N3 and 49 shall not be greater than th e siun of items 1{1 nd N2.
?
-F 2. Z
Z e • , : _y ?
,
3.
L?? + 4
21 2 = t 0, I;
.
-- .
o
,
?., . . . ;: ?.. ,
,?'I;
o 151 uf i???aqw? Wa11 aren tor
rnmQ conrtructlun
>
AI,f.
i:
, ,.
? F1U. M1
FIC. A2V
'rA t ?
::al
\TICIB
L
?Y
----^"lU/
? - --- ?
?
7'GPVIEI7 OF
FllAtlE lJALL
?1,?; •. , ? ?
?
•-r
0
Can:fruct inn
, ? ?Y.P._.gp_ ....-----•-...__ 9?
•
( M-.' .. .. ? ?..... ... ...?
.?.._...."""' "_',_..._.._....."'"'_'....... VJ
4 . L?.?r..fr.L'G. _. .. .. .. ... ... _._. . .?A
. .. . .. ....
;. _?.?.a.1?r.lo....... Z
_. ... _ . . ..lo
6. }:r.Lcriur air (i:m ? .._. 0.17
noial I Z, 2,7
u=.o8
INSut.
1. rnCrrt?,r ,ir !ilm
_" "__....._....._.. . (l,Gll
. .. .. ._....____.....??_..._..
3.
5 . ? ?v.w.b._. _ _ . _. .. .._.__ ._. . _ _
..4.Z
G. ExCrrior tir .
---- ?1'u1:,1 ? ZO?°?
./ . . (, •,p 5
. ?? • p ..
4-
d. , ?Qt • __ __•_---•-{?
. : ?? r. .?•j.• . .
R ti
1. Jnt??i iur `itr I'ilm _. U?611
? . ?t?.'au L......3.5YB .. .. ... ....._.._ .. _:..? 3,R
3.
a.
___-_.....
G?:(.aT??
__
.----•----- --G-?a
.''' ---?i?INC?._.._.• .--• ---..__ _.._-.!0_2.
6. F:xcr,rlor nir f.ilm t1,).7
• -
'IblaL ?--
ZZ.?
v=.o9
i. ti ?n?oc_atr ritc? 0_Gn
2. .._.
I- _. __...._ ._.....IJZ$
i
?i
.
.
? .
,
:, .
n, ...Z°_5??.vo - . _........_..----. ..?.tz..?..Q `. . ..
5 . ...._ _.. ._,_. _. ',
G. I:xlcrii?e nir I?ilw __._.._.._...._..._..__.'0.1'1? . .
....?.".--'-'----•-`-...._...___._...-------'-'-- .,
•?'o L:i? ? /2,i3 ?
?.
5L11I1 (?CI I.RAUh. . ` ... . . ,i ``. ?? ' .. . r,' .. .
L };, -L1
?V r ,• I.', ' ' , ? _+. '::. ,'/ ?'\
?. y ?;•. ? (rr .
? ,.. ? ? ., _ ,? e ? :? ? ? t1_ _'?
?
? , `, --- --------
. ./ .,.?.._...._.
4 ?..?.._......?..? ...?_...??..?.??y..
. ` .'.1?'? ...
1 I
?C
p( v
•"
° j--,-
' ? • -
f,.; ?ii .
a
w
:.
FI(:. 04
tio'PI:: Indico[e Ly>c. 'R valuu, dep?l•lt nn<t•-?
?L.oGk
1
?O ,,?
?
`-ULL
=uLL
r 1
21M=
k?l EE
W.D.
i?
?uLL?i
Fu LLl I
,.s
..
? ....
..
.;
a .
PLAQ
.
0. U. ru Er4 l.. FT, .E,+C.pos? C)
WAL L
'.
,
? ?t9o-+z??4o=
13Z.
, - ?-
,
.
' ?32
,
,.
..:.
, .. .
lN14
WA LL A2.EA-..
,
.. 1 3Z x ? .
. ?3Z X.
S . = G(0- o ?.
.
. . ' ?..:.
,. ? X 8 = 171? _ .?° L' ,
I, I37- X g^?o?
/3 z,
III: ? , . 4 . ; T
EKPaSE.D GEILIUq zGx4o ..-?.b4o
? wDArs 1? ? DooQ.s t?' _ ?
.?
zs
Z844 ?? i -?
?
hTl o DRS , ?f
Y
_ , ..
, t'
:. r.;
• ?4KCor/cezLiuc
sted
Heat flov
- up
• xa:t-va:rzn ' .
' . ? Hcac ? '
Ilov up • .
, . ? • . .. •
7zr.. P7 ? . ? .. r'
I
?
v
Cons Cruction R-Vnluo
Intcrior ai.r film
2. f3 C??f F3i? ? . ?R
3-
4. Extcri.or air filn (sC111 O.G1
} Total 2 4s8a
. : ._ % • V= OZ . ' .,
fa.??+?r c . . . .
1. Intorio?r_ ?nir -f-i.-l.,-m •- 0.61
2 ,
' ??-v1:1? • ui>
s. ??._.l?.(sul. 3$ 3'SS ' 4. F.xCcric?r air Ciln (stll
Total
. ..2
. i ..
coA.yrec'vcr?
Tnsidc air filin • 0.61 ',.
2 .
3. . , _
4.
S. Outsidc air. Film ' 0•17
- • Total .
c.C?•s E ' '..'
I. 'Snside ait filin 0:61,
2. •
4_
5. Outsidc air filin 0•17
Total
..?.n??.PIG. 15 '
1. Ynsidc- air fSlm ^ 0.61
z. .. .
3. , _ -
4.
S. Outsidc air filin 0.17
. Total
, ... • .. • . • . •.
Ytotc: Uso additional sheets if morc space
aecclca for cletails and ealcu?ations.
. ? .. '+.•
_ <, • ..+ .
.
' ' • . ?-'Y?
. •
- - ---?
1 Y.ecC Ilov up • , . ?.vented ?
• , M. 16.: : ,. . ' ' . . . .
i.
,
?s.
2/84
?1\ CITY OF EAGAN
I 1 T?
AP°LICATION FOR PERMIT
• SEWER AND/OR WATER CONNECTIODT
(PLERSE PRINT)
1) PROPII7I^! ADDRESS: ?2? N. Il ?y LaK t RC,
LF.C'ylL DE..CRSP'PICN: Lr,f ?) hl(^)cr_ 5 r('a wYl 1?I cio e
_
(Int/Block/Subdivision or Tax Parcel I:D. Nunber)
? .T't ?;IS='_:G S?^L'=?=, DA r' 0F DRT.Gi LZ1I. Zii2L:P:G :=_:;Si ISSZ:??:C.•
Z:^„IrLF:/pT?OPOS17J. L'SE: ?f R-1 SziGLE_ rA"IZLY
? R-2 CUP7;.,^; (7NO Ui'ITSi
. 0 R-3 ?`l111?.a.TCF (TL?r'= i j.?i11C) ? iJ'iilmr) .
? t2-4 P.2AftT_"..._71T/COi'ZCSlui1n1'1 Z Wi 1TS)
{] CC1`?IERCL?I,/RF71o-'?2L,/Oc^FIC::
? L?,'Dli51""'.-T-AL
? NSTI'I'C,TIO.?]AL/GCV?-h?nE?T
(PLEASE PH1N1)
Z) ApPLI=
u
NAh?: (?
RDDAESS:
C',T"I, STATf.,', ZIP: :lor4a'(1, tA °n 4
PHONE:
3) plr.,sm ?PLEASE PRI4i) FOR CITY USE ONLY
-
ADDf2ESS: ?(?{? SF- PLUHBERS LICENSE:
? Active
CITY, STATE, ZIP; Eapired
PHONE; ?y U' 'PLUMBER?? LICENSE N
d`-1 ?7 ] ? Q Not of Record
a?r niti?
g) OCCGPANT/C7vT .IE'R lr?tnst veiniJ
NArIE: ?C'a`(Yle CS Ci,? ?1C(1 ?
PSJDRE55:
CIT"!, STATE, ZIP:
PHOCIE:
5) INDIG",TE LdHICH PERi?1IT IS BEZNG REQUFSTEp:
CC.INECPION 'P'J CITY SES^)ER
? CONhIfC:IQY TO CITY SJATEP,
? 07TER (PITI,SE DESCFtIDE)
6) IP.'DIG,?M C.+E:
? PM?,$E IrOLZJ ApPP.OVm PER.'-LIT FOR PICF:-U'P BY ONE OF A&Z,'E
? PLFASE "TP.IL APPRCVEU PIIytiLIT TYJ 1, 2, (5 4 ABOVE
(Circle one)
7) SICA2[iRE: DATE: ?/ a S J G&I
sl?lb;RiR??J1/?if!!l:O?fl1??i1!!?i]RY?iM?iii?i?i:?i?R!liJ?'}R14?J?fI!
. . . . . . . . . ?.., .
Y p .
F 0 R C I T Y U 5 E O N:. Y
l
PE2MIT ° ISSUED
" 77/?
FEEs: s_ /D - Sz
$ /6 , A-o
s /,,- 3 , Sv
$
S
sE;aE? ??7MTm (INc:.::LZ suRcHaRCE)
WATER PERP[IT (INCLUDE SliRCHARGc)
WATER METER/COPPERHORN/OUTSIDE REi,DER
WATER TAP (INCLUDE CORPORATIQN STCP)
SE:vER TAP
$ Gr O
s rl n
$ c, •c)n
$
$
$
$
$
ACCOUNT DEPOSIT - WATER
wac
SP.C
TRGVK WATER ASScSS?4E:iT
TRG:dK SES4ER ASSE.SSM°.IT
LATERAL BENEFIT/TRUNK SE:,:E?2
LATE4AL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ Z 2-I c/' ?S? AMOU:dT PAIDjREC°I?T ?-
,S`?/ ? 0 D -,5 r c? P
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
F_7 NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TIO[V _
SUSJECT TO THE FOLLOWING CONDITIONS: `
APPROVED BY:
TI:LE:
DRTE:
ÿ
ÿþý
þýý ìüÿüûÿÿ
úýý ìù êëç
ñ
ôþ
åñ
þýö
üûúù
ø ÷
÷ ù
ø õ
÷
ã üÛ ã ù
ø ãûê û ü õûóú ô ó õûóú üÛ
æó ì
ý
ñàäÚ ïû
ýóñà
ó â÷üÝö ÷ áçëåëåà
õú
üûìþ é çëäëä
ôññó
ö òø
øø
óØ
ó ûóúþÝ÷
û ã ì
ñàäß ïû õàñ
ôõ
ãõñàÿþãõñ
âá
ì ú
þ ì ìí ì
øø
ì ì ê ó
þ óø
ìøøú ü
êã
ü û
ò
êÿþî
ë
øø ö ó üþ û
û
üþ û
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173324
Date Issued:11/08/2021
Permit Category:ePermit
Site Address: 736 Hay Lake Rd N
Lot:3 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-030
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Bruce L Mitchell
736 Hay Lake Rd N
Eagan MN 55123--302
(612) 916-0270
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature