740 Hay Lake Rd N` -• CITY OF EAGAN -
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?t f`! 2 12364
PHONE: 454-8100
BUILDING PERMIT Receipt # SF DWG/GAA
740 NO HAY LAKE RD x3
Site Address Erect ? Occupancy Rl
Lot 5 Block 5 seciSub. FA?itN RIDGE Remodel ? Zoning
Parcel No. Repair ? Type of Const V-tl
Addition ? No. Stories 48
? Name KEYl,AND HOMES nnove ? Length
= 3471 w 173RU Demolish ? Depth 34
o Address Int. Impr. ? Sq. Ft
City `7QRDAN phone 435-3323 Install ?
= a Name S??
o¢ Address
~ City Phone
? ? Name
? n Addre
i Wz Citv _
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and Gity'of F..#gan Ordinance;.
Signature of Permittee- J??4- r?-?•?-
KEYLANll HO 'S
A 8uilding Permit is issued to:
all work shall be done in accordance with all applicable State of Adirmeso
Assessment Permit Y '"w •%o"
45.50
Water 8 Sew.
Police Surcharge
Plan Review
Fire 00
SAC '
500.00
Eng.
Planner Water Conn.
Water Meter ?
00
Council
6/30/86 Road Unit_
13- '0u
Bldg. Off. Tr. PI.
APC Parks
Var. Date Copies
. 00
,
Total
- on the express condition that
Eagan Ordinances.
Building
?I - I PrrmN No. I Mrmit Holder I DaN I TdephoM M I
I RouyAPlby. -??-y 11,-,-7V 11 9:,93-y6 : !As. -- -
pough Htg. 9 if aPA/. -??'- iMA Je" c LeA???val - /,t
DIW.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAH, MN 55121
Site Address 1
Lot Block ?
? Name /I/'
0 Address
c City Phone
Name
3 Address"
O CitY
FEES
COMMIIND 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 GDES
BEYOND $1,000.00)
fj
FOR: CITY OF EAGAN
RECEIPT # -
DATE: CT
U
BLDG. TYPE WORK DESCRIPTION
Res. k New ?
Mult Add-on _
Comm. Repair -
Other
NO. FlXTURES TOTAL
` Water Closet - $3.00 s
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
/ Kitchen Sink - $3.00 ?
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
' Water Heater - $1.50
Whirlpool - $3.00
•
' Gas Piping Outlet,s - $1.50 ?
,
SoRener - $5.00
Well - $10.00
,rPrirvate Disp. - $10.00
2
Rough Openings - $1.50
-
l
FEE ` J `
•
STATE S/C:
GRAND TOTAL•
?
PERMIT #
RECEIPT #
Site Address /? '
Lot Block
m
?
c
`m
c
3
O
3830 PILOT
Name ff" r° 'T' K
Addr?s /1YJ I
City •!J/' , o r 1..r I-?
City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outtets #
Other
Phone ~ y S
M BTU
M BTU
M BTU
M BTU
CFM
/
FEE:
S/C:
TOTAL:
55121 DATE _
Res. X
Mult
Comm.
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
ra GAS OUTLETS - 1.50 EA.
COMM/IND FEE - loib 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)
? ,
.
.P C
?
?G I SIGNATURE OF PERMITTEE
w
FOR: CITY OF EAGAN
CITY OF EAGAN
,4ddition FAWN RIDGE ADDITION l.ot 5 e1k S Parcel 10 25800 050 Q5
owner screet 740 No. Hay Lake Road State Eagan, MIIV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. •y 1981 229.35 11.47 20
STREETRESTOR. 1984 499.46- 49.95 10
GRADING 1981 61.26- 4.08 15
SAN SEW TRUNK 19$1 205.44, 10.27 20
SEWERLATERAL ?- 2 7 1981 33.07' 1.65
Sewer Lateral - 1981 23.57' 1.18 20
WATERMAIN
WATER LATERAL 1981 43.67- 2.18 Za
WATER AREA " 19$1 2Q5.LFLF- 10.27 20
Water Lateral 1981 27.68- 1.38
STORM SEW TRK p 1985 557. 79 - 37.19 15
STORMSEW LAT- 1984 222.51- 22,25 IO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEF CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN WATER SEkVICE PERM
3830 Pibt Knob Road -
P. 0. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirg: _ No. of Units:
Owner: .
Address:
Site Address: :nYt -`- ?'a?s S ? - -
Plumber: -
Mctor No.: -
54ze:
Reoder NO.: l) .4 O[n 7"/ 4`1 ri?t??
1 ym te eoMofF w16 !Iw Cily of E? mi k
?[?4 r
Dote Pcid:
Date of Insp.: Irop.:
fo- 1o
CITY OF EAGAN WATER SERYICE PERMIZ
3830 Pilot Knoh Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zan,ag: _ No. of Units:
Ownar.
Address:
Site /lddrcas: ?
Plumber.
Meter No.:
Size:
Reader No.:
I pm io empll? wNU Iw C.itp of Eav¦
OrdiMneM.
By _
Darte
of Insp.:
(:onnedia+ Charge:
Acoounf Deposit: _
Permit Fee:
Surcharge:
Misc. Choroes:
Total:
Dote Paid:
.-. ..::?.:;
j
3830 Pilot Knob Rosd f------ ---- - - - _ ": ?
P. 0. Box 21199 PERMIT NO.:
' Eagan, MN 55121 DATE:
Zaronp: No. of Units: ?
Owner: -
Addrcss:
Site Addi
Plumber.
1 ryree to aouoply wit6 ihe phr eF iegan
Ordiuaness.
By
Dote of Insp.:
_ +.
Connatticn Chonpe:
ltcour+t Deposif:
Parmit Fee:
Surciwrfle:
hAisc. Chorpes:
TotoS:
I nep.: Doh Pcid:
?
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N2 12364
" PHONE: 454-8100
BUILDING PERMIT Receipta ?J <
Tobeusedlor SF DWG/GAR EstValue $91,000 Date JULY 28 19 86
SiteAddress 740 NO HAY LAKE RD Erect 99 Occupancy R3
5 5 FAWN RIDGE Remodel ? Zoning R1
Lot Block Sec/Sub.
Parcel No Repair ? Type ot Const. ?}
.
Addition ? No. Stories
? Name KEYLAND HOMES Move ? Length 4$
3 Address 3471 W 173RD Demolish ? Depth 4 0 Ciry JORDAN phone 435-3323 Int.lmpr. ? Sq. Ft.
Install ?
o Name SAMF. Approva
$ ¢ Address Assessm8nt _
Ciry Phone Water & Sew.
? Q Police -
F W Name_ HALLQUIST Fire
=
?
? Address- 5001 W 80TH E
g.
n
i W Ciry BL•MGTN phone 8-3 1 -I A7 S Planner-
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 it of,?n OrQi nc .
Signature of Permittee t
KEYLAND
A Building Permit is issued to: HOMES
all work shall be done in accordance with all applica6le State of 9*esc
Council
Bidg. Off. 6/ 3 0/ 8 6
Var. Date
Fees
Permit $ 406.00
Surcharge 45.50
Plan Review 203.00
SaC 575.00
WaterConn. 500.00
Water Meter 63.50
RoadUnit 290.00
Tr, pi, 156.00
Parks
Copies ? ? 0
Total
- on the express condition that
Eagan Ordinances.
Building
?? ....w, rvn ¢?[I.InN,HL IIVSYtGIWN
? 0 See instructions lor completi
ng this iwm on baek of yellow copy. g
?/ 40182 X Selow Work Covered by 7his Request
Ad d p Tvoe o1 Builaina . e.,..u......__ r:._. 1--..-.
ce
Ik
M ae Service Enhance5iza d Fee . Fentlers/SUbieatle,s N F,e Circults
0 to 200 qm 5
Above 200 qmps 0 to 30 Am s
31 to 700 qmps 1 0 tn 30 Am s
31 ta 100 Am s
Swimmin Poal Above 100_Amps Above 100_.4m I
Transtormers
S' Irrigationlboms Pattial.Ot
w-Eee
SUeciallnspection
emarks TOTAL EE,,
2 .?/11
'10/i?'
I,the Elac I
? ?idf _Inspector, he?eby
Final cer?ity thet the above
inspection hes been
(`/i pyl$ JZ" metle.
This reQl void g_ ?} a??? bL 6 S ?
18 months fmm.
C' 4 02 8 2/ ?- S, 3-
Request a Fire No. R
up?
n Ins -^
e
e ?qeady Nuw Notity Ins?ec-
es ?NO [or When Ready
en d Ele/ ical Coniractor I hereby requast inspecbon ol ebove
? Qeleebieel work insteiled eC
Street Address, Bos ot ate N. ' City
ecua? o. Townshlp me or RanBe No. Coum
OccuOant ( T? ne No.
?? ,? J
Power p 'er ?y Atldress
!J C ?
Elecvic onvactm (Compeny Nam . JJJ
Cwira Lic O
y?
Mai in ddress ? onlractor or Owner MakinB Inst r aiion)
O s .
Authorized Si n re ICon t/ wner Maki y ?tall ti ? Pho e e????
?
MINNE56i STATE BOA,RIS ELECTFICIYY THIS INSPECTION NEQUEST WILL NOT
GriB9s- tlwey eld9. Noom N•197 BE ACCEPTED BV THE STATE BOANO
1821 University Ave., St. Paul, MN 56104 UNLESS PROPEN INSPECTION FEE IS
Fhone 16121297_2111 ENCLOSEO.
CITY USE ONLY
PERMfT RECEIPT DATE:
2002 RESIDEN'f1AL M£CHAATICAL P£RMIT APPLICATION
CITY OF E!lfiAN
S$SO PILOT Kft06 itD
£AfiAA EtN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME: TELEPHONE #: k-l-?'o- an1
INSTALLER NAME: \?'?:!- TELEPHONE#:
STREET ADDRESS: AP4 L-dYlC-ti4.O IOU
CITY: STATE: ?Y ZIP: 5?1C7?
FN?InnPlace a check mark next to the permit work type T 0 II
u" ?
_ Add-on, modification or alteration to existina dwelling unit
I 30.00
$
• fumace replacement
??? --
-=
--
• air exchanger
-- - ' ?
• air conditioner
• other T
? ?
? 5 9?,0?
U
K.1_k-? ??l?`?., ?1.1 ?Be_?__.
Nature of work: A ?
? '
?
? "?- ---? -_,
-
-
State Surchar e $ .50
Tota1 $ 90
SIGN • I1"fE •
1102
PERMIT #:
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MECHAt1VICAL f'ERA3IT APPLICATION
CTI'Y OF £AfiikN
3$30 PILOT KNOB RD
£AfiA1V,141N 55122
651-681-4675
Please complete for: all commercialfindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZII':
WORK TYPE: New construction Install U.G. Tank
? Interier improvement Remove U.G. T271iC
_ Processed Piping
SpecifyNature ofPlork:
When installing/removing underground tank, call 65I-68I-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Conaact price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
Naw Conatruction Reauirements
• 3 registered site surveys showin9 sq. R. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot wverage allowed)
• 2 copies of plan showing beam & wiMow s¢es; poured fouM design, etc.)
. 1 set of Energy Calalations
• 3 coples of Tree Preservation Plan if lof platled aRer 7/1193
• Rim Joist Detail Optians selection sheet (bldgs with 3 or less unils)
DATE 06/13/02
SITE ADDRESS 740 North Hay Lake Rd., Ea¢an. MN MULTI-FAMILY BLDG-# Y _KN
TYPE OF WORK qPAM1PQQ ci.a<.+., u- • f FIREPLACE(S) _ O_ 1_ 2
APPLICANT EXTERIOR INNOVATIONS, INC.
STREET ADDRESS 9635 Humboldt Ave. S. CITY BloominQton, STATE r'Nr ZIP 55123
TELEPHONE # (952) 884-0814 CELL PHONE #
PROPERTY OWNER
Pauline Osmondson
FAX # (959) 886-5764
TELEPHONE#(651) 686-8011
-----------------------------------------------------°----------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNGSOTA RULES 7670 CATEGORY 1 MINNESOTA RUI1:S 7G72
(J submission type) • Residential Ventilation Category l Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
PlumUing system includes:
Mechanical Coniractor:
Mecliuucal system includes:
Sewer/Water Contractor:
I hereby acknowledge that I have read this application, stpte
with all applicable State of Minnesota Statutes and City of
SignWure of Appll
-----------------__?....--°--°----__?__..._.__..?
OrrICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
Waler SoFtener
_ Water Hcater
No. of Baths
RemodellReoair Reauiremants
. 2 copies of plan
• 1 set of Energy Cakulatbns for heated additions
. 1 site survey for exlenor additiom & decks
• IndipteifhomeservedbysepUcsystemforadddions
_ Phone #
Lawn Sprinkler
No. oP R.I. Badis
_ Air Contlitioning
_ Heat Rccovery Syslem
VALUATION 7>200.00
Phone #
Phone #
Tce: 9?70.00
-°--------°---°-°-- '--??-1 -('-ewc--rp,s-----
that the information is rect, and agree to?e?rnply
Ea Ordi a s. - _i
nt
I S '_1• _4_t;_
rec: $90.00
OFFICE USE ONLY
? 01 Foundatlon
? 02 SF Dwelling
? 03 07 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
p 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. ot Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Intlmprovement ? 38 Demolish(Inter,or) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bldg)* ???cant
"Demolition (Entire Bldg only) • Give PCA handaut to app
Occupancy i,AC/ES System
Zoning tiity Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
.
FinaUC.O
Footings (new bldg) -
g?y?a C.O.
_ Footiugs (deck) - pl?ing
_ Footings (addition) - ?AC
_ Foundation
Drain Tile Other
AL.Gas Tesu F?
?-
Pool Ftgs
Roof _ Ice & Water _ _
Final - Siding Stucco _ Stone
_ Fraxning Windows (new/replacement)
_ Fireplace _ R.I. _ Air Test _ Final - Retaining Wa11
. Insuladon -
p,pproved By _ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 LawerLevel
? 12 12-plex PI6g_Y or _ N
3ZEMPT
? 5r3 13 1
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-687-4675
New Conatructlon Reauirements
• 3 regislered site surveys showing sq. k. of lot, sq. fl. of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree P2servation Plan if bt platted after 111193
• Rim Jalst OefaY Options selection sheel (bldgs with 3 or less units)
DATE 'JA `02
SITE ADDRESS
TYPE OF WORK
APPLICANT'K
STREET ADDRESS
TELEPHONE # a?
PROPERTYOWNER ` l^-?C fV- ?XYN"S'(n TELEPHONE#tQ;`
-------------- -------------------- --------------------------------------- -------- -----......
---
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIATNESUTA RULES 7670 CA1"LGORY 1 MINNI;SOTA RLJLES 7672
(4 submission type) . Residential Ven6lation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
P1umUing systcm includcs:
Mechanical Contractor:
Mechanical sysYem includes:
Sewer/Water Contractor: ;
Air Condilioning
Heat Recovery SysLem
,..
MAY 10 2002
Phone # 18v -?J
Fee: $70.00
- - - - - - - ?,
Phone #'- - - -. _. .-- -_ '
---------°--------------°------------°------------------------=-----------------°-----------------°---°-------------
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan rdinance, .
Signafure of Applicant _
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Batl
RemodellRepair Reuulremenls
. 2 copies of plan
. 1 set ot Eneyy Calculations for heated additions
• i si[e survey for eztarior addHions & decks
• Indicate'rf home served by septic system foradditians
VALUATION ? 5???? •?
?
LTI-PAMILY BLDG Y
0 1 2
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Founda6on 13 07 OS-plex ? 13 16-plex ? 20 Pool O 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mulfi
? 05 03-plex ? 71 10-piex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain TIle Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au 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
L S BL 5
SUBD.
CITY USE ONLY
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT#:
DATE: y °b
Please complete for: ? single family dweliings
? townhomes and condos whe>n permits are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c =
Floor Drain 3.00 :c =
Gas Piping Outlet * mtnimum - t 3.00 :c =
Rough Openings 1.50 x =
Water Softener 5.00 x
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler • home under const. 3.00 =
Alterations ' to exisHng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
T(5TAL ZO • S-O
MEDERNECH DAUE
SITE ADDRESS- 740 HRY LRIiE Rt1FlD NORTH
ERGRN ,
OWNER NAME:? N 432-9084 w 55123
?
INSTALLER NAME- Dea
?MINNEAPOLSAMN 65O40u8
STREET ADDRESS:
CITY:
PHONE #: (
?
r
7,r_?7
STATE: ZIP:
I
OFFICE USE ONLY
L _ BL _
SUBD.
RECEIPT #:
DATE'
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675 "
Please complete for. P ail commercfalfindushial buildings.
? multi-family buildings when separate permits are IlqS required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLIOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7 IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT.
FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per
$1,000 af pgn339 fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE AODRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE:
INSPECTOR:
ZIP:
,
r
2/84
? CITY Or EAGAN
t.r? ?11t AP°LiCATION FaR PERMIT
• SEWER AND/OR WATER CONNECTZODI
(PLEASE PAIN7)
PROPERTI' A[JDRESS: N On\q LQ'm 26
7.FrAr DESC'FtIPTICN: L q-- E) ?ll? ?C 5 ??'Bn ?
(Lrot/Block/Subclivlsicn or Tax Parcel I.D.'
? I'r' EiI:='=:G STRL'CP':2E , DATEEE rJF ORIGi IAI, :iiIiDL-`:G ??-,,di
-
i [•:?,- =-:,'Y2°-'?
PPESENP ?:;.^II?ir:/-P??OPOSED C'SE: C? R-1 =?GL: FPYSLY .
? R-Z CUP= (7%'0 LT7IT5)
? R-3 Taw\00{iSE ('i'HIPT= + LZ]ITS) ( LNITS)
? i2-4 APP.t2=7T/C=Cs?r1-iIILi1 ( UNITS)
? CC1i1EE?CZAI,/RESAII,/OFFICE
Q r.'LUST?,L?L,
Q P.VSTITG"PIO:IAL/GGVERI,ME.ti'T
Z} pppj,=??u (PLEASE FRINiJ
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) PEujBER y? PLEASE PNINT) FOq CITY USE 04LY
NnhtE: IC?flCS_Yl 1 (1 ?
ADDRESS: L?.?? 3 ?yV7.?l??, PLERActiveYSE:
CITY, STATE, ZIP: NOW ?c?e G?? `7 ?37 Expired
PHOiVE:
PLUMBER LICENSE N7zoisamal Not of Retord
at nctia
4) OCCJPAN'(`/(f,]I.]ER IYLtNSt YH1NI)
?` ?C',-???..`-,ADDRESS:
CITY, STATE, 2IP:
PHONE:
511 INDICIITE FJ[-IICH PERhIIT IS BEING REQCiESTED:
(3 QONNFCtION 'PC) CITY SETr1ER
? CONNFC:IC':V 'Ib CITY ATATER
El dilm (PLL'ASE DESCRISE)
i,vul??.L t;:+r::
? PLEASE F?QID APPR(7VEp pERIVLIT FOR PZCF:-UP BY ONIE OF AB(NE
? PLEIISE b*AIL APPROVID PERAIT M 1, 2. (!? 4 ABC7VE
(Circle one)
6)
7) SIcnATURE:
DATE: e3 I ?) Ejri I?'i
.,, .. ',
? R ail?lfs.il9? ,?I !tlag?! a Aesr?isa?:?a?s,s? ?f a?iaa:i s?[!rl?J4.+R!!.!! f? af rs?s?[iltsiiee e
F 0 R C I T Y U S E O N L Y
PER^2IT '-` ISSUEO
FEEs: $- - /h - S'z:
$ , 3 S,E' '
S
S
$ /J ' o o
$ /_? I G''0
$ 57y) t) • rJ`-?
$
$
$
$
$
$ /57-.SET;iER nDR?grT (I`ICLi;DE SU°C14?RGE)
WATER PERMIT (INCL'JDE SliRCFIARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (ZNCLUDE CORpORATIOV STCP)
SE;vER TAP
ACCOUNT DFPQSIT - WATER
WAC
SP.C
TRliNK SVATER ASSESSi-?E:IT
TRliNK SE[dER ASSESS:fE^iT
LATERAL EENEFIT/TRUNK SE?•1ER
LATERAL BENEFIT/TRUNK SVATER
OTHER T/0'
$ TOTAL
$ /2 I1I' S AMOII:vTT PAID/RECEIPT
DOES UTILITY CONNECTION RF.QUIRE EXCAVATION IN PUBLIC RIG'riT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION_
SUBJECT TO THE FOLL069ING CONDITIONS:
APPROVED BY:
TI:LE:
DRTE : 16 J p 6
006sM ws MAW?MWIft AcM Me ww WV?=rE = wO +yt wsd w.+ MUM w M=006UN &ka #*W f.t W"Vta wWw sM w ?
r ?
x ? rY?? .. . 4 r..tL
414
t
f . ' `.. .. . t"?{
a `;'`" t et 986 BDILDING PSNlff'i 9PPLICSTION - CIiY OF BAGA9
,COtiTRdCIOHS"MQSi'BE LICENSSD NITH THE CITY OF EAGAB
?II.2r??RiBId.2NGS . _ .? r '3'
??? . .. . . :' .:
3STS`,pF PLSANS?s3 CERTTFICATES OF SORVEY, 1 SET OF ENERGY C&4CULATIOH3 .?
?? ?Q'a}?p &?t?p 4 d p. p. paYTM p ' `a+?:,: nM1 ?.?.Y ?ttlT? .?p .. ._:
IULLIAW?' L0?1LUq11AL`MWlllL YpY1? C pVA JAL6 MM3
??. aX?'?'Nis . - . ,•. , . ?" . :;'4?'d r`??
SBTS pFk?PLANS, ',CER2IFICAYEC OF SORYSY - CHEC[ fiITH BLDC DEpT.,
;NERGY E CIILCULATI0N8 ?; , 5
y . ? k3 ""J (ts?+z y4
•(?,ki?i?k'???F<,w?r??ef6?^? . 1? y Is ?? ,?<c.as?'
?,rh ' ? „ ??3, M1 ,,,,'" x x a, M1..:.'` T ?•,. , ' .,.. .;..` K ? cL^ ,&, Y??.
???°SET$?OF 'ARCHITECTURAL'.& ,STRUCTURAL PLAN3,
??'SP?6Ci-FICATIONS AND .1 SET OF
.CU4AT109S,
ance`eo?=BOND° '' -
. p ' • :. ;
V !'
aluation: ? Dater
OFFICB D36,ONLY
r ?4 5
S
?
;
Erect ? 1 P'
OecupanQy' S .?
.. Remodel Zoning
-
Repair ' Type of Const`.. "
? Addition S.of Stories • +
Move r: Length
1r
, ? °? Demolish
?3
. Depth s?x
-L Int.Smpr Sq Ft ?-
' Install `?
.
?
„ ,
,
r 4
HY t!'Yn u1? 1 : .F ,t N
;?
APPROVAI.S? FEF.S
' Assessments ` Permit
Water/Sewer Surcharge
' Police PlanReview
, Fire (IC '? . .
Engr ' Water Conn
Planner. 'Water Meter <E5
Council Road..Unit,
Bldg Q3 -? Treatment P1
APC Parks,, . :
Variance , Cs ,, ..
c
? ?-
af zs ?
.
?s
.:, . ; .
=
FOR;CORNBR LOT3 CONTRAC?OR/HOMEOiiNEB N II3T DSSIGNATB.iiRIC$?px
,;NO"CHANGES ifILL HE ALLOiiED ONCS BDILDING: PSRIfiIT:I3 I3SDSD:
4
d+
• s
a
-w..m?.,..wo ',?', .... -...,.,,..... . . .. . ., . ...,. . .. ....... ...... .?..v d:..s. .u.......w...:F.+Y' a .w.
/Z X
jo x /D = Ox
?
,?7
I
?
?
?
?
SURVEYOR'S' CERTIFICATE r.EYLANU IiDMES
a ? D?
.30 ?
ip,
p?- , • 20. . ?? ?'?,
/
m? r
3
o?o?
?
?J
.t.1O
o'??4e P? ?
? 9 ?R s
?
0
1?.5
?
o/
--M*-- DENOTES PROPOSED SURFACE DRAIPIAGE
SCALE: 1
]NCI{'a
30
?EET
O
• DENOTES
qENOTES IRON MONl1MEN7 SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR a 93B,3 FEET
%000
0 DENOTES EXISTING ELEVATION PROPOSEU L06lEST FLOUR - 930•6 FEET
.
(UOU.O) DENOTES PROPOSEU ELEVATIDN PROP05E0 TOP OF OLOCK = 938.1 fEET
] IIEREaY CERTIFY TO KEXLANU.k40ME5 T11AT T4115 1S A TAUE AND CORRECT REPRESENTATIDN OF
/l SURVEY Of TIIE OOUNUARIES OF:
Lot 5, Block 5, FAbJN RIDGE, according to the recorded plat thereof, Dakota
County, Plinnesota.
ANU OF TIIE LOCIITION OF A PROPOSED BUILUING. IT DOES NOT PURPORT TO SIIOIJ IPIPROVEhi[tdTS
OR ENCROACHMENTS, IF ANY, TIIERE0IV. AS SURVEYED DY 1•1E, OR UNUER MY UIRECT SUPERV]S1DN,
TIII S STH GAY OF M i+N , 1986. .
NOTE• SI6NED: JA14 R. HILL, INC
GRADES SHOWN ARE TAKEN FROM THE
GRADING & DRAINAGE PLAN FOR FAWN
RIDGE, PREPARED BY PROBE EPdGIfYEERING
COP1PANY, If1C., LAST DATED hIARCH 20, 1985.
PROJECT NO.
OOOK / PAGE
86590
,i r•iLE No.
? . FOL.DER
BY L)-Z-1r4 (? C?j`--j : ilz --
NAROLU C. PETERSON, LAND SURVEYOR
JAMES R. HILL, INC.
Planners / Englneers / Surveyors
8200 Humboldt Arenu• Bouth•
Uloominpton, Mn. 55431 612-884-3029
. i ..y,. . „ .
EXTERIOR ENV[LOPE AVFRAGE "U" COMPIITATION 33e°s
3 bmeM, +
OWNER:_ l?LYL??..iD N?HE`? Dnrf: 4-77.-.SU
SITE ADDRESS: PfIONE:
•.z.,?nC.l
CONTRACTOR: <..?
Determine working square faota9e of each
1. Total exposed wall area..... Z sq, ft. x.Ii = I
2. Total roof/ceiling area..... 17 606 sq, ft. x.026 = . J
Total exposed wall area abave floorZ- _
a. Total wall window area ........................................... 1 3s
b. Total door area.................................................. 3 8
c. Total sliding glass door area ..................................... o
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average lOw) ............................ Zaq
f. Total rim joist area............................................. 168
g. net wall area above floor ..................................... r S(oz
h, wall area above floor .....................................
i. wall area above floor .....................................
j. frame wall area at foundation ......................
7ota1 exposed foundation area= JIZr->
k. Total foundation window area ....................... Io.S
1. Total net foundation area above grade .............. ild°I
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. i 35
b. 38
X „u „ ,35 = 4?.3
x liu„ .31 = 1i,8
c. 4+? x „Ull 3S
d. - X? lluil _
e. Zo?1 X llul.
f. l0 8 X"u" ?04- _ `I • 3
s• I SLflZ x liUl. 104 _ &2.5 ,
lS,677
h. X "U" _
i. X "U" _
.] _ X Hull _
k. 10.5, x „u„ ,35 = 3.7
t. 11ac}.S x llui- o,4
3 . .................................Total = ?Co
i
If item R3 is the{5 n
as, or less than:'iten
N1, you have met.,the:,
intent of SBC 6006jc
.,,
???3
I•SCterior Envelope Average "U" Computation
Total exposed roof/ceiling area = (o'g
m. 1bta1 skylight area ............................
n. Total roof/ceiling framing area (averayc 10%)... ?
o. Total net insulated roof/ceiling :irea........... '
Determine "U" value for each roof/ceiling seqment
M. X "U" , _
n. 9-7 x IIUII 07,4
. = Z . 3
--
a. 8? f X „u" ,oz _ ?
4 ........... ................ 7bta1 = .
if total of #4 is the same as, or less 1_han A2, you have met the intent of
SfsC 6006 (e) l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values
i.tems iI3 and #4 shall not be greater than the sum of it
1. LNi I
+ 2.
3. ZDco + 4. ? Cl
ohed by the s•.im of .
?d #2.
5Z
yj
' 3'..
.S1'.
?i
PLAQ *i?
0 L.wS4L FT, EXposEp W,4LL
BLOGIL ; I?c?
?
,
PULL I
V:ul.,l. Z 1108
?? ??PLAC-E '
1ZlM: l08 ,
?3LocK;', ?a?
o . ;
1::ul.L I 4o
f:u LL Z % 108
,
. Q, ,
QtM : 1G'8
Sk;5osED
K ,S =
x8 ?
y T.?
>r.,-k
f s?
. '.,?e..4.:
}x,:
?Iv I
.?„
WA Ll.. . AP-EA
?Izz>
X.. S = ?1z?
k. ? =
?C =
K 1 = l08
TotA L == ZoRz
¦SQ.,;:t. EKPoSE.D GEI LitJq cTc,g
0
WDIArS
Z - 24z,to
(, - Z44O
(, -z444
i- izcPv
i - z4 M
3- 2k,?o
t
IZ
4p
94
4
%
i?
0 Dooes r!a
,t
3° - Zo
z8 _ ?g --
? ?ATlO
ce° -40
?35M4 U+?) i+5
? r?nia. s,r.r.?•.nt+,
[:: U^.o ?yt OI P1001iuG
^ W111 nCCn foi'
j2VI0^. CGll:il'ruct lu n
?ic
11.[.
F1G. ql 7'GPV1114 OF
• FIWtE lJAfd.
\!'LGH
1.
-------lt)
. . _?
('oii-'.t rurl inn
I'.' V n 1 u•;
l? 1U11•'L.???r.:\I?_.lilnt -' - I
---...._
!
?
...__.aT'J
,. ?rZ,?„????t _??? .,.•: . .........G.,?!_7
5 . ? t p ] 1P 40 ..... . . . . . . . _ n?YZ,
G. Flr.li..rir?r i1r f ilin ?• il.ll
._
__
_..._ _
--?- -? --- _ .... ..... . .. .....____
•?,??,?i .
..
.
tt= lo. 85
1. iutrrlnr air :Ilci
'---......._. _.. , _ q.Gtl
-----..._..
I. yi°.f??yp ?og... .. . . '-•...._..,."?S
3. _Wj ,._Ir?sui._..._......_._.__. _-•-•--
4• ??'Jtt_._.5?1Tlr?. ..___.._ .-•- --Za4V
5 . ._?a]d4i+?--
fi
6. Ext.orii>r air iiL.1 - .17
-`---
U= •?4
2. (?•? ..IN$V4... . __.... _......_...!°l?Q
. . . ... ._,_
G. J:xtrrl0r rtiC lilra
_ ...?__._.
--.- -•
__.._..
_._.?_.--.-
1?oe:?t ?? 21, 92
U = - °9
?t4GK ,
1. lu ?_?i,?t n{t fil"?.
1.
s. _...1-'_-.9?1?+ro- . ... ... ......._....?j..D__
n. , prcrFeclt.+u_ bwrv.•?sr.._...... --?.-_
5. _-•-.°---.. . _...--?---•---.._..-- -•_
0.17 ?-
st.nu Ort GaNUi:
Iq
? . ,?
• ' ? -
y ? •
._.__.._.__ .__^?.?...... .?
? _...?..... _ .. _.. . , .
• '? y' i
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ict 7 , • . • ' ?' ? .
' . ?? /!/ •
eic. un M
n? ' . _..... . ..-- ?
cP
,• f tlu'I'C: Indl?.atc l??n??, "`.t" v?ilu?:, 4not•h anc1 -
oC in•tnl.iCinn. W??t15u{.
R+
xno,r•/ceiLiuc
:nted
Hea[ flow
- up
FIG. 65*
. •• _ ,
. , .. .
Const? on _ R-Val?ic
?. Intcrior air film
2. 3l8"?z? F3P , sR
3. _LAjjUL__. ' 44•OO
4. Extcri.or aiL filn (still) 0. 61
- Tora.1 2 4s8o .
. : . ., . 0_ oZ . •
FM1?rM o: ' . ' . . '
1. xnterior nir Ptlm 0.61
2-
3. 1 r,(5yL 38. 3?
d. Txterio? eiL Liln (etil
•--:----------_?. "Pota1 2 : gq p.ls
c a.l,. Sp.&- '? c i '•1. Tnsldc air film 0.61
2. •
3. 4. I 0. 17
5, puCside air film
Total
? . • •K
L"( 1 1 \J \J . ?-/ ?
?
?Y.ecc flov up • , ? ?•vented
. ? . , TIG. 16.: . _ . . ' • . . :
. . ? -?-- • .- r-- ?- .
. r-t S 1 r 1 4) -{ 5 1
. •
1
i
F.!'?'!?'s L?' ' •
1. Tnsidc air Eilm 0:61
1- ' .
3 • -
-
a
.
5.
Outside air film o, ?.?
.
. TOta1
Insidc air Pilm
• • . •
0.61
2. ' .
3. --
4'
• g,
Oursiilc air film 0.17
2ota1
, . ? . .. • .
. No te: Uso additional :.heets i f more cpaen i
. necdecl £or details and calcu?ations.
. . . .
• ?
.
.
.. ,
. '
• '
•
v
• HQ:I-9Ct.'? ? ? ? .
w? ? • • •
? 1{t8t ,
.
'• • . flou up •
• PIr.. 07 t ?` . •' •. r' .
t?}/??\V1?1J1:?`?.,'?? •?4n•?,^? ?rJn?.c%a•c.l
?.Lr.?_?_?_ •?____? = ?Y
?? - ??r
2006 RESIDENTIAL BUILDING PExMiT arrLicnTTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
01o `O
NewCOnsWctionReouirements RemodeVRepairReouirements -
3 registered site surveys showing sq. tt. M tot, sq. ft. of house; and all roofed areas 2 copies of plan showinq footinqs, beams, joisls
(20°h macimum lol coveraqe allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found desiqn, etc. 1 site survey for additions & decks
isefofEneryyCalculaUOns - Addilion-iedicateilon-siteupVcsystem
3 copies of Tree Preservatlon Plan'rf lot platted afler 7f7193
Rim Joist Detail Options selectivn sheet (Luildings Ktifh 3 or less uni5)
Minnegasco mechanical ventilation foim _
Date / a ConstruMion Cost 3c"[O ?
SiteAddress __T? b UnidSte #
Description oiWork7 \,Dn (r J2 1 ?
rn? W/ 1n ?'J I?CS I ll `?-?'1 l? Sff )•
. ?
Multi-Family Btdg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owne Telephane #
RENEWAL BY ANDERSEN
contrsctor 1920 COUNTY RD. °C" WEST
Address ROSEVII,LE, MN 5511'3 ... c'ts
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential VentilaBon Category 1 Worksheet • New EnergY Code Worksheet
(4 submissionrype) - Submittetl Submitted
- • Energy Ernelope Calculations Submitted
In the last 12 monThs, has the CiTy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address ot master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
apprqval of plans.
pplicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garege
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.) .
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Sform Oamage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ect. Alt - SF
? 36 MultiMisc.
? 35 Int Impravement ? 38Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof . ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA handout to applicant
Descrlpt7on: wateroamage`ves
Valuation Occupancy MCES System
Plan Review 100% or 25°h
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Wdth
REQi7IRED INSPECTIONS
_ Footings (new bldg) Sheelrock
Footings(deck), FinaUC.O.
_ Footings (addifion) Fina]/No C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final -
_ Framing _ Siding
Stucco Lath
Stone Lath
Brick
_ Firepiace _ R.I. _ Air Test _
_ Final _
_
_
Windows
_ Insulation _ Retaining Wall Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
Building Inspector
••?...r,s..•.m iuv .C6.J4 rzfa ?oJ atl -g468 K?`?iC?fL dS1°?LYUK{C.7tf1Y . .
` ' ?HlUU
re
. a?
. ?AX? - - -
? of Bagm _
3836 Piiuf Kuob'RQad PaSan, MN 55122 To W6om It May Conoera_
EIderJones is autflorized to pun
b?? ' -
Eldcr Iottgs to providc this g P?ts Por R? {?y Anderaaa Pteasa stIIlaw
. datc bcyond. 616101 - uatil a?? r ua in Eagan. 7icus euth.ortzetirm is vatid for ffiry
to the Ctty_ bY Andcrsatt manapac eVfftIY revokas it in writing
I reqnest tlais a16062atiaa bc e-ocepted- Y ? ? .
ovr buiIding Potmite cmY funficr. Elcasc ?
?ntac o a? naE ?8y m nc? P?GSSiztg af
? tl at fbS-502..¢'7p6_ .. Y 4acsclona:. T can 1xi -
_ ?Y'our immI;;:diatc aitcntion to.tws matter 3s a .
. eted. ZO7on d ? -
. ?
R.1txu adon Managcr
Rettowa( by Anderson Corporatavn . ..
C'r.: Kma-Fades7nnec . .
M? ? ? . .
?
Received Tihe Jao. 7. 1' 07p}d
70, nO
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing heam S window sizes; poured found design, etc
1 set o( Energy Calculations
3 wpies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Delail Options seledion sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeURa air Re uir ments
?
2 copies of plan showing footings, beams, joists rtuf ?rveyRadd
-- ._Y?-.:
isetofEnergyCalculalionsforheatedadditions ree.P__?:PlanRecd?Y??,.
?i site survey for additions & decks ree P?sRequired Y?'q
.
= ?...
_-w.:,
-
AddiGon - indkafe H arsite sepfic sysfem .
.
.
ed,?ied 3 ay
Date 3 i L6 C
a
n truction Cost
s
SiteAddress 7 4? ? ?
)
YN ?
Q, . Unit/Ste #
7-_ .
Q
f
?
,
Description of Work cn S'c ?-?T
Multi-Family Bldg _ Y?C N Fireplace(s) 0 _ 1 _ 2
Proper[y Owner / ? ?L -t- Telephone #
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(4 submissian lype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submittad
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan he case or which requires a review and
approval of plans. ,
oXc-?
Applicant's Printed Name App icant's Signa e
DO NOT WR1TE BELOW TffiS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 AccessoryBldg
? 31 Ext. All - Multi
? 33 Ext. Alt - SF
? 36 Mulli Misc.
? 35 Int Improvement ? 38 Demolish Inlerior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCfIptI0I1: WaterDamage_Yes
Valuation ?
gm
Plan Review /?? 100°/a or _ 25%
Census Code ti3y
SAC Units
# of Units
# of Bldgs -
Type of Const Z3_
Occupancy R -:3_ MCES System
Zoning City Water -
Stories Booster Pump ;
Sq. Ft. PRV -
Length r Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Fruning -
Fireplace _ R.I. Air Test Final
? Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
? HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
?
? U 0 ?3'" 2006 RESIDENTIAL BUILDING rExnuT arrLicaTtoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 p?-Y ?^
New ConsWdion ReauiremeMs
3 registered site surveys showing sq. ft ot lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage albwed)
2copies of plan showing heam & window sizes; povred found design, etc.
Minnegasco mechaniol ventilation form RemotleVReoair Reauirements
1 set of Eneyy Cak;ulations
3 copies of Tree Preserva6on Plan if lot platted atter 7l1193
Rim Joist Dehail Op6ans selection sheet (buildings with 3 or less uniLs)
2 copies of plan showing foolings, beams, joists
1 set oi Eneyy Calaulations for heated additions
1 site survey for additans & decks
Addmon - indicate if on,sfte sepfk system
_ . ......
Offce Use OnN
Certof Survey Recd !Y N
TreeRres PlanReW Y _N,
TrCEPrCSReqUired _Y ,N
OnstlaSepticSystem '_Y _N
Date Construction Cost
Site Address `7 V 6 UniUSte #
Description of Work Q-
Multi-Family Bldg _ Y_ N Fireplace(s) _ D ^ 1 _ 2
Property Owner r
Telephone # ( )
Contractor
Address A? - City
State 44 Zip SS-34 4? J Telephone # ( `j 0 CF- 5? ^ ?-7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lasi 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N if yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
T?hAg 4% 1 70?&
Telephone # { ?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
01 ? ?'J' V? ?.sb/?
Applicant's Printed Name
a/L
Appli ant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
"W 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 6ct.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 72 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ?C46 Wirtdows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
DBSGI'iption: WaterDamage_Yes
Valuation C? Q Occupancy MCES System
Plan Review 100% or 25%
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof Ice & Wa[er Final
? Framing
_ Fireplace _ R.I. _ Au Tes[ _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinallC.O.
? FinallNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
? Windows
_ Retaining Wall
Building Inspector
??
t ??x
'?'1771
2006 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
3r.6-D
Date (;? / 16 ! Z6
Site Street Address Unit #
\
Property Owner ?a?• ?SC_? ", ?},C%,_ Telephone # ??f ) `{?7 N t ?
Contractor Telephone # ( }
Address City State Zip
The Applicant is: Y Owner _ Contractor _Other
Septic System
New
Refurbished Submit 2 sets of plans and MPC license Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installirtg onlv a water snftener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" me
ter is required}
(
J?Other:
Wafer Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 5D• 5-0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit rk is not}io-st without a permit and work will be in
accordan e with the approved plan in the event a plan is requir to vie eJ d a p4p proved.
/_?
Ap licani's Printed Name ApplicanYs Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 740 Hay Lake Rd N
Lot: 5 Block: 5 Addition: Fawn Ridge
PID:10- 25800- 050 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Todd E Tschida
740 Hay Lake Rd N
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA080770
10/30/2007
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112683
Date Issued:08/21/2013
Permit Category:ePermit
Site Address: 740 Hay Lake Rd N
Lot:5 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-050
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 .
Amanda Hanson
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 -
Todd E Tschida
740 Hay Lake Rd N
Eagan MN 55123
(651) 457-2881
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
For Office Use
:,,,,,,,i, •.,, , E AGA N Permit
-60,,,,="........ Permit Fee: 6o -0 b
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email:buildinninspectionsecitvofeagan.com staff:
Commercial Plan Submittal:eplans(ercitvofeagan.com L
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6/19/2020 site Address: 740 Hay Lake Rd N
Tenant: Suite It:
Name:Todd Tschida Phone: 651-246-1997
' n � Address/City/Zip: Eagan, MN 55123
The Snelling Company
. , Name. License#:
07ef : Address: 1400 Concordia Ave St. Paul
City:
State: MN gyp: 55104 Phone: 651-646-7381
w 1 ' contact: Nicole Email: info@snellingcompany.com
t ., RESIDENTIAL
�, '� *�4 � "�g Furnace
ti h` F"w *� £b" "�4 "q
Kj'
Jr Conditioner
1 - 04 —Air Exchanger
l ," ,- Heat Pump
sRr
_�r = Other
< • —
T New ✓ Replacement Additional Alteration Demolition
4 `*' ''x'3 }{„ 1 Description of work:
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeasan.com/subscrlbe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of
the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that
the work will be in accordance with the approved plan in the case of work '.. --...' : review and approval of plans.
X "'"01 I J ip ifyin cii2 ,;. --r--c..,•4-4._t2
Applicants Printed Name Applicants Sig . r
f
k r gra �w a + �^ i� , 4
3 �.�Wt, .. KIWI W @° w 3 n `� , -q3 4 w - ''. :-.' 'Sx€ $- fix " s W.): z
WuF.r.S[a. ...x. ...�'�.,vs.,,• mak_ L� t.. �A.�a,2Vi➢k. s .. Oris.r..A .. ..: • ���.�.711=.�.n rii�,: ��'„� � � ,s `.�
-t++s iii
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164833
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 740 Hay Lake Rd N
Lot:5 Block: 5 Addition: Fawn Ridge
PID:10-25800-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Todd E & Kathryn S Tschida
740 Hay Lake Rd N
Eagan MN 55123--302
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature