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742 Hay Lake Rd NCITV OF EAGAN Remarks Addition FAWN RIDGE ADDITIDN Loc 6 aik 5 Parcel 1?1?SQpp 060 05 Owner Street 742 Nn H y T.akP Rnarl State Eagan, MA1 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1981 229. 35 ' 11.47 20 STREET RESTOR. - 1984 499.46 - 49.95 10 GRADING / 1981 61.26 - 4.08 15 SAN SEW TRUNK 205 . 44 ? 10.27 20 SEWER LATERAL 7 1981 33.07- 1.65 23.57- 1.18 20 WATERMAIN WATERLATERAL 43.67- 2.18 20 WATER AREA <- 205.44 - 10.27 20 Water Lateral $- 27.68 / 1.38 'ff STORM SEW TRK 1995 557.79-/ 37.19 15 STORMS ' 1 222.51/ 22.25 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5AC PAR K MECHANICAL PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ Site Address 742 tiay Iia}:e Lot Block Sec/Sub ? Name FREDRICY.SO_Td IiI:ATI21G & A.C. a? ? Address 4030 ;3eau D' :2ue Dr. c City Eagan Phone 452-277 (D .aiic ------- -- Address - 742 lia --- y Lake O CitY ??gai1 Phone ? TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. ton_ _M- BTU Vent CFM Gas Piping Outlets # Other FEE: 12' S/C: TOTAL• 12. BLDG. TYPE WORK QESCRIPTION Res. Y New Mult Add-on Camm. Repair Other FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.44 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 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 i MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERKAIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES n ' FOR: CITY OF EAGAN Lot P _ Block ? PERMIT Site Address " CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAM, MN 55121 --, ? PERMIT # ' RECEIPT # DATE: , Name ill r c i11 B Address c City Phone Name ; Addrass ? ? Y• ? p City " Phone ` FEES COMM/IIUD FEE - 1% OF CONTRACT FEE MINIMUM - RESIpENTIAL 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) ? . ? 44- ! r FOR: CITY BLDG. TYPE WORK DESCRIPTION Res. Ntew Mult Add-on Comm. Repair NO. FIXTURES ' Water Cfoset - $3.00 ' Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ` Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? [.aundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 WeN - $10.00 -7_Rrivate Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: TOTAL ? .> ' L L' -? = R'r:AC'r1VATED FOR FAMILY RO(IRTY OF EAGAN .,., 1'2&)"S 63830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i.. 12365 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used lor 5F DWG/GAR Est value $67+ 40 0 Date * JULY 2 a 19 85 Site Address 742 NO HAY LAKF. RD Erect 16 Occupancy x 3 Lot 6 Block 5 Sec/Sub. FAWN R I DGE Remodel ? Zoning R1 Parcel No. Repair ? Type ot Const UA Addition ? No. Stories ¢ Name X EYLA1dn HO?tES Move ? Length 42 3 Address 3?4 1 4ti 173RD Demolish ? Depth 48 o -;;??r??R? _ Int. Impr. ? Sq. Ft Icity . Phone Install ? o Name SAME AI 0 ? Address Assessn ~ City Phone Water & W W W !.1 n ? W < Police Name f?A•I•QUIST Fire _ 1 hereby acknowtedge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance;3. . i Signature of Permittee KEYLAND HOi•'!ES A*Building Permit is issued to: all work shall be done in accordance with all applicable State of Mjnneso Planner Council Bldg. Off?? Permit S 334.00 Surcharge 33.50 Plan Review 167• U 0 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290. 0U Tr. PI. 156. UO Var. Date I Co Total on the express condiUon that Statutes and Qity of Eagan Ordinances. ti.. 1laodw--I.! I II AM 'M11 •&Wzi •6» I c%r'"F/J 07U Zfl- W- f - // 11 '61H Iou1dII ? ' u i 7 Inw? •61H 4anod '64W 46nob ? '. " ?'??'l?P/?3 ? r'"'''J `r,2?,G( ?-z ?°? G ? ?v"•"??, -S ? ? M-w4d-M1 ? OWa I iOPIoH llw+ad I 'oN NWwd ? ' ?I . -?- ? •, . , - 1 CONTRACT PRICE: Site AddreSs Lot ? ? • Block ? Name ? Addre c City ! ? L Neme 3 Address a ? o c;ty P? ° f TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other PERMIT# MECHANICAL PERMIT RECEIPT # - CITY OF EAGAN " 3w d3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 BLDG TYPE WORK DESCRIPTION . Sec/Sub a-Z- - ? R XC ? N a es. ew M l Add No r I -on u t C 1?.?. Phone `/v ? SJ? 5? omm. Repair O ther FEES ? RES. HVAC 0-100 M BTU -$24.00 t /4- Phone `v 3;- 37 ? 2 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 400 >' -7 i ?S OUTLETS - 1.50 EA. , M BTU COMM/IND FEE - 1°rb OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU MINIMUM - COMM/IND FEE - 20.00 M BTU STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES / 1 SL? BEYOND $1,000.00) FEE S/C: SIGNATURE OF PERMITTEE ? ev- TOTAL: FOR: CITY OF EAGAN C1TY OF EAGAN SEWER SERVlCE PERMR 3830 Pilot Knob Road P. O. Box 21 :99 Eagan, MN 55121 Zonirg: Ownar: Ilddress: Site Address: , •.?rrt'? '-'ryt,- ? Plumber: 7 1 pm M e-eMlp wilh !IN Gl1r of Ehsa OrdiAe By Dote of Insp.: I nso.: CITY OF EAGAN 3830 Rilot Knob Rosd P. O. Box 21:89 EaganR MN 55121 ? Zonina: _ Ownwr. "Addresm S1ts Address: ?'Plumber. Metar Nc,.. j Stu: Raoder No.: I csme ts amplp via IM Gty Of impa OrdtN By Date of Insp.; CannecFion GFarpe: +lccourit Deposit: i ti ' •' ' ` Permit Fee: Surchorge: MFac. Chcrpes: Totui: Date Paid: m - CITY OF EAGAN WATER SERVICE 3830 PiMt Knob Road x 1 PERMIT NO.: 791', P. Q. Bo 21 99 , y f- MN 55121 Eagen DATE: _ , Zoninp: _ No. of Units: O I wner: ?. Mdresa: , ,• ,,- - '"4 •,nrtt :?- 7,alke Rr: ? t"3? Slte Mdroas: ? Mumber: pG AAeter No.• '! Lo- ('t j MFW'I, 3. 0{}Dc' - ize: 622 Y tg e .. . ?;One 4 N,-: r .o..s eo eo.?Ph w11h 1r. Cih? oF uncha ' ? Q s ,6 d TI '3. 50nd meter n_ P PERMIT NO.: DATE: _ No. of Units: t ^? i Cor+nectlon CFwrpe: ...._;y...:? ?.??' Acoount DEposit: Pem+k Fee: Surchorpe: _ Misc. Chorpes: _ Totol: - Dots Paid: WATER SERVICE PERMIT PERMIT NQ.: Di1TE: No. of Units: gy l/ Date Paid: Dnte ot 1nsp.: lrnp.: to-(D - ?bb ntuutsi run tLet-inwNL irvbrtLi?uw See inshuctions lor complatiM Ihis brm on back oi yellow copy. 4W rgrj 'I d R "X" Belaw Work Covered by This Request a AAtl , - Typa ol BuilCing AOOlianeea Wiretl - Equipma-I Wired Home Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building ryer Electrie Heatiii Commercial Bldy. d -Pill-nace Silo Unloadzr Industrial 81Ag. Air Conditioner Bulk Milk Tank Farm tnr.r Pec77 ?her (SnncOv) 1 .r uecify ther Olher nn Incnnrrinn Cna Rc/nui _ Vp ? rServiceEnhenceSixe Uto200Am s Above 200 qm>s H Fee Fexders?Subfeade?s 0[o30qm s 31 to 100 Amps b Fee Circults Otn30Am s 31 to 700 A s Swinxning Pool Above 700_Am s A.bove 700_Amps Transiormers rrigation Booms ti Partial.'Ot ee Signs SUecial Inspection qJ, ?y, O (J TOTAL E Bemerk5 „ ?• // Date Pouph-in ? ?. . the E ' 1 Inspector, hereEy Fi on has been nal D^)e ??s oecti ? • Cg?? f/r ae. I rnla reoueat voW 18 monlha trom This 18 m S ' /' R,-? 1 hereby request inspeclion of above ? Owner elecirieel work imtelled a[: Street AtlylreV, Boz or R ute No. r?u i/- CitY w i ?. ecuon o. Towns io ame or No. Hanee No. Cow V I OccupentlPRI I Phone No. Power Sup ier ? ? v Adtlress ElecVica C nvacmr ICOmDany Name Con[rar, r's Licenqe Np 0 ? MaI ' tl r ( onvactor or Owner MakinB staila fion) ? Authorize Sig mre (C w r aki Inst ation) ? Phon Number ? d ! MINNE606 STATE.11f1pP0 Of ELECTN'fCITY THIS IYJSPECTION NEQUEST WILL NOT Gripgs-Mitlwev Bidg Noom N•191 BE ACCEPTED BY THE STpTE BOARD 1921 University Ave., 5t. Paul, MN 55104 UNLESS PflOPEN INSPECTIpN FEE IS Phone (6121 297-2111 ENCLOSED. This request voltl 78 monihs from a CX O ( 0 D L.U L Q,.' &'. 4"5 ?/CCLL`1Z_ i GG4 Aequesr Date Fire No. qou8h-in Inspe tmn epwred? ?Reatly Now [F}YMTf?tify Insper //Y R /J ?16 es ?No 1or When qsady &-1:7cdnseo4lectofal Contractor 1 hereby raquest inapection of ehove ?Owner elecvieal wwk instelled at: Sireet Atldress, Box or Poute No. ' CitV ection o. Townshi0 8 or No. anBe o. Coun L? Occupunt(P ? PAone No. Power S.ooite. Atltlress Elecmcal n emr (Company Namel Comract s License No. JLf / y (/ / Mailin A dre (Connactor or Owner Makine I tailation) ? { /y J ?-/v i OY? AuMorize Signat re (COntr lor Owner Making I al tion) Phone u b er S MINNESOT.S STATE BO4AI5rOF EIECTRILTfY THIS INSPECTIDN NEQUEST WILL NOT Grippe-Midwey Bldp. - Room N-181 BE ACCEPTED BY THE STATE BOAND 1821 Universf[v Ave.. Et. Paul, MN 56706 UNLESS PNOPEX INSP€CTION FEE IS Phonef6121662-U800 ENCLOSED. 1,2141e& REQUEST FOR ELECTRICAL INSPECTION ? See instruelionc ior tompleti?q Ihis /orm on beck ot yellow capy. /?Eps'-o (? p i-os (Y? Q r-L; 9 •Q ?, "X"' 8elow Work Covered by This Request NawlAAdl Reo.l Tvoe uf 8uildina 1 Aoolianeee Wired 1 Equipmenl Wired I I Water oner M Fae ServiceEntraneeSize # Fae Faeders/Subleadera # Fee Circuits oto 200 Am s 0 to 30 Am s 0 tn 30 Am A6ove 20 _qm ps 37 to 100 Amps 31 to 700 Amps Swinvnin Pool Above 100-Am s Above 100_Am s Transformers mgation Boorcs Partiaf- Other Fee Signs I I ]Speciallnspec[ion ?5 ? TOTAL E . Tl . ?.v A..OV. Noueh-in ' uote ? I . ? i I ?j? 1, tba EI hic. ?l _ e // Inspactor, reby certily ihat the ebove Final insDeetion has been This r/ybuest vold & / /ff y? 18 rtqn[hs (rom . ''?`S / C 42548 Yr. /( RequireC? ??, " OHeatly Nuw C5'W?TlI NotifV. Inspec- //'? Ckg-s- ?NO tor Wh¢n Reatly ? Licensed Elecvical Contrec[or - I hereby repuest insDea[ion of ebova ? Owner elecVical work installad ar Street Address, B r Pout o. Z /? 44.,e C /6 Ciry tri?46C/ cu n o. Township Name or No. an9e No. ounty Occup ' f (PRINT) Phone No. 6 ?l?.Z L,?q/RD ower SupPli¢r Atldress c'cal?fon[rac[ (COmpany Name) Convacior's License No. l? n h! ailing AdJress IContraM r or Ownar aking Instailationl e ff AuMori e i nature (Go 1 r O r Making Installation) I Phone Number I J y" MINNESOTp STATE BOAf?D/uF ELECTXICIiY THIS INSPECTIDN PEUUEST WILL NOT GriB9s-Midwey Bltle. -?6om N-191 BE ACCEPTED BY TME STqTE BOAND 1821 University Ave., SL Vaul, MN 65104 UNLESS PFOPEN INSPECTION FEE IS Phone 16121 297_2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee/-o'? i-oa Ip See insLUCtions lor completirq ihis 1Mm on beck of VBllow copy. ( 7 ?? 4 2548 X" Below Work Covered by 7his Request PyftAAddi Reo. TvVe of BuilAing Aooliontee WireO Equiymenl Wired Fixtures Commercialg. Fumace Silo Unloader Industrial 81dg.Bld Air Conditioner Bulk Milk Tenk [.„„ Othnr pe(:i Y thfrl5uncify) N Pee Sarvice EniraneeSize p Fea Faxders/Subfeeders # Fee Gircuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am> Above 200 qmpy 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_/am s Transiormers Irngation l3ooms Partia6'Other Fee Signs Sp3ecialinspection ^ S Perrwrks ? LN OTAL F?¢ r ???a?.-•?? (/v? Me EleNieiff j{?• .d ? Inspector, haleby -erUly tha[ the ahove Final has bean 1 TMS re0ueat vole CITY OF EAGAN • ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N° 12365 BUILDING PERMIT PHONE:454-8100 Receiptp u 7o be used lor SF DWG/GAR Est. Value $ 67 ,000 Date JULY 28 19 86 SiteAddress 742 NO HAY LAKE RD Erect ? Occupancy R3 Lot 6 Block 5 Sec/Sub. FAWN RIDGE Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. lZp Addition ? No. Stories ? REYLAND HOMES Move ? Length 42 W Name Demolish ? Depth dR a Address 3471 W 173RD Int.lmpr. ? sq. Fc. ciry JORDAN phone 435-3323 Install ? io Name_ $ ¢ Address - Ciry_ Assessment_ Water & Sew. Permit $ 331.00 Surcharge 33-50 Plan Review 167.00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies 2 , 119 . 00 Total Phone ? W Name HAI,T.QUIST 13 Address 5005 W 80TH aW c;ry R7.M.mNphone 831-1875 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ot Minnesota Statutes and City Eagan Ordin nc s. 'Signature of Permittee ?'t. zic"' @- A Building Permit is issued to: KEYLAND HOMES all work shall be done in accordance with all applicable State of ?v?ifjfS?sc Building Official /?st? Police - Fire Eng. Planner Council Bldg. off. 6/30/86 Var. Date on the express condition tliat ;. C,Pqm . JUL 15 REC'I 2005 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 f113.-75 "lau - Lot? - Q(`'- New Constmaion Reauirements RemadeVReoair Reaulrements Oflice Use Oniv 3 registe2d s?1e surveys showing sq. tt. of lot, sq. ft. of house; and all roofed a2as 2 copies of plan CeR ot Survey Recd : _Y _ N (20%maximumbtcove2geallowetl) lsetofEnergyCalculationsforheatedadd@ions TreePresPlanRecd- _Y,•_( 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey tor additions & decks Tree Pres Required !.` ? ? _ Y_ N 1 set of Ener9y Calculaflons Addifion - indicate Ron•sde septic system Onaile Septic System , -_ Y_ N 3 copies of Tree Preservation Plan'rf bt platted after 717193 Rim Jolst Demtl Opfbns seledion sheef (buildiigs wiN 3 or less units) Date 0-7 l? l,2? Construction Cost S-00 , 0 0 SiteAddress M? ff,qy /qXF UniVSte # Description of Work TN?z'Bi? ?3ridF cx?aw.U0 Pclc) ? Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _)? I _ 2 PropertyOwner T)CAiA L-6 ?- T?E2E- w 6llGm3o2?T G'E d ? Telephone#(4S/ )(¢f}(o-05:V 4s/-75t2 Contractor z?//-49F2le-eGf11 P1 QC,Q£At'rON Address 6S2n2 yvLASorJ ?lrt/ b. /Va2'r-4 City C'SAtL'-[z)AL`?t State IV/ v ' Zip ;a/ ;4R Telephone # ((oS( ) '? ?5 - 900 0 Corv?Acr?e6s?v fS'FtwG COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submiried Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N7 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 star[ without a permit; that the work will be in accordance with the approved plan in the case of work e uires a review and approval of plans. rigIL T ??$ ??? ?onrAL)J X2vr) L3DeS-!-I- JUL 1 4 200. n Applicant's Printed Name Applic Ys ignature ? ? OFFICE USE ONLY Sub Types O 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 Porch/Addn. (4sea.) ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous Work Types ? 31 New ,',?. 32 Addition ? 33 Akeration ? 34 Replacement Valuation 5 vo Census Code SAC Units # of Units # of Bldgs Type of Const ? _ Foo[ings (new hldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Width REQUIRED INSPECTIONS FinallC.O. FinaVNo C.O. _ Plumbing HVAC Other ?y Pool X Ftgs Air/Gas Tests Final _ Siding Stucc? Stone _ Bnck Windows _ Retaining Wall ? Approved By: ? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ? - . ? 30 Accessory Bldg ? 31 Ex[. Alt - Multi ? 33 Ent. Alt - S F ? 38 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 48 Windows/Doors 'Demolltlon (Endre Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered eDoZ ENGINE?E?INC ``"=u`?,"a E?i6iHE?$S. . ? P:AH?iE9S nnd lAHD SUAYEYORS CflMPANY, INC, ? fGC? LL`i fibh SinE=?? B;)44=Y1L'_r, YINHET:::a 5??7 PY 1_2-?CC?O C4!e JP"Z ZjZ G Z-S c? ..?cri??-??. • h?- r?; = r ,o •. ./ ? 1JC_'K'? ' -?'?.'? L?? iC-=; ?_ j-i?: --?---?,--- ?,?:<: ?-, C? 41 M ?. ?? ? r c M d' 1 (qz o'. .:,, (.' CJ ??`I ,- V' c ?? C•? Z By ? Date -?ZL IFAGAN MWED-4/ D1EF'8: ?y ?`C.. :.1? ?J'E?i:Z±= _ G? _:' " "•,?' ? ? ? =Lc.1 pT,._.? ?? ?`G`c-,c` , ,•?? ? c.?, ? FO ? vy' A,o ? nn ?'?c I l5?f..1.?!`a??? /? ?oiil ?Li.? /?1??VV?I? Fe1r12 T-!de wotvs15? (070 Na A2'A ..3M 3s•. U'z1o_-[ r ?Z APFFeK /0 r? 11? -rale $?t,lGcr T? " her:by eart:fy that thjs is a t:_e and earract rapraontitian of a trae? of .axndCas shovn;=19r?d? cr?bed he^aaa.. Aa prepared by me on this "t d:y of 1 ? ,- 4 JKGID tD 4o }?L • ?'? ?I'???=co Hfnn. l[sg. ?Io. 16695- ?? . 10, kA yozk pc-?13 L Q, m.F, svCO L'C, nV-5 I 5 I ?1t t o i, Lo 0 /r'K[rrlum, Y? ? ?_...._. ? L? m ? ,Yv (CQ?,?C' A?z&sS 7 ?a l?ld eT?l 1? Lo,? ?? . POOL PfRMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: ?ld f?bq,-rP Scc tri fnn??r5 1 ? ? GENERAL 1NFORMATION o z'd u ? ? ? Applicant - name, address, phone & fax numbers, signature ? ? Property owner name IOr O ? Legal description and address of property ? ? ? North arrow, scale (1" = 30' or 40') and date f? ? ? Location and name of all streets adjacent to property ? ? O Site Plan drawn to scale showing location of house, pooi and other existing or proposed structures ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existinsa ? ? ? House wrners ? ? 0 ProperGy corners ?,?d ? On property lines at point of ineasured dimension to pool (see below) ? fd' ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proaosed ? JZJ ? Finished pool deck corners 0?? Top of retaining walls (if any) and at each different elevation (if it changes) ,Ed ? ? Pool bottom (or max. depth) DIMENSIONS Existina ? ? ? All propertyllot lines Proaosed ? ? 0 Pool ? Z ? Pool plus integrated deck/patio S3 ?? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: ? y? Name Qate 6:FORMS/Pool Petmi[ ChecklisV06-02-04 ., ? 1986 HOILDING PBRlQT APPGICATION - CITY OF EAGAB BO?E: iLL COtiTRACIORS MOST BS LICSNSED i1ITH T9S CITY OF EAGAN SI6GLS FAFIILY DiIELLINGS INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS MDLTIPLE DWELLIPGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CE[i 7 SET OE ENERGY CALCULATIONS COl41ERCIAt; RENTAL DNITS FOS SALS ONITS OF SIIRYEY - CBECg WITH BLDG. DEPT., INCLUDE 2 SE2S OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? To He Used For: Valuation: ? Date: CJ ? S ? Site Address w Lot Parcel/Sub Ownler Addres City/Zip Code .,Phone '?3 Contraetor Address City/Zip Code Phone Arch./Engr. Address Tef?-6 City/Zip Code ?- a Phone $ Erect Occupancy ? Remodel Zoning Repair _ Type of Const ? Addition # of Stories Move Length ? Demolish Depth Int.Impr. Sq Ft install APPROVA[S FEES Assessments Permit 334 Water/Sewer Surcharge 33 , Sb Police Plan Review Fire SItC Engr Water Conn ? Planner Water Meter' ? Council Unit ?y0 Bldg Off ? eatment P1 APC Parks Variance Copies iOTAL ? , ;?y= NOT6z ADDRESS83 FOR CORNER LOT3 - CONTRACTOR/HOIiEOWNER MOST DESIGNAYfi fi&ICH ADDRSSS IS DESIRED. NO CHANGES HILL HE ALLOHBD ONCE BOILDING PERMIY IS ISSOED. ?x 2zn 2d ? ?y? ? /z =- /UX /O0 ?????-0 00 1 rROa? ENGINEfRlNG ``"SV`T'"° EH6iHEs9S, . PLAHHf9S and LAHD SURYEYOf1S COMPSNY, INt. % SCCO E_`7 i461S 57AE=?, BLP.4nllLLE, YtHHE_GU !1=7 p!i 1=2-.CGO e?r?Z?Z cra?? o? cS3l??r? c? J '"i'Av? ---?-?-- ??c? ) • N C: ? 1 Cn{2O. .?J o? q2r,ol j 6? 1 S ?; == I • -:./ ;o.ne L'??.9 Zo.J ??qt I a2.D.Cl? N ??N II! ,1B.O0 ?Q'jZ.D', ?wi ZZ ? Iu 1 °o.s y V +?- ?=',?'_%?•=i-- ?:?' i 0.C? 0 < C -?Y ? ? i • ?\ ?Z?.l?'DL t-?: ?°_? ,_?= El..c•If?T,L? C ?.:zFAc, t?v G ?.,^Gt ?? ?27.?_To? ??r??s?.r_ ?ACAr.r= F!rmrc ' ? ? ??5 ?heriby cartify Lhat thia ia a t:,:e and earract rapraaerttitiort of a traei ot nd a: :hovrs'and deeeribed hertfln.- Aa preparnd by me on t`t3a IZ? day of J? ?? ,Q . , 19?r0. ' 1 - ?c-yK? *0 4?` ?-kr • ?1,?5?'?- /?""'? Hian. 1!eE. No. /?oBS r 9 EX RIOlj. EIJV[LOPt: AVf.RAGf[ "11° COMPIIT/17ION ? . Pa??e 1 of 4 ? OwNER: nnrr: -- -------- ---- - __ z?-_?-?? SITE ADDRESS: PIIOplE - CONTRIICTOR:?IOhQ` ??S --- -------- Determine workiny ;quare fnotaqe of each l. Total exposed wall area..... o?? sq. ft. .11 = -- x ----1 f q- -- ---- -- ? 2. Total roof/cei 1 i ny area. .,.._ F1:. x .026 = Total expused wall area aGove Iloor= -- ? ?_. a. Total wall window area ................. .................. . b. Total door area ................... ---? ............... c. Total slldin ? .? . .' ." ." . . "' " " 9 91ass door area .............................. . ..... --- d. Total fireplace wall area............ --- .......................... e. Total wall framing area (averaqe ]0").,,,, " ............ Total rim joist area.... ....... . . . . . . . . ." " ??- ............. ..................... ? g• net Vrall area a6ove floor ............................... h. ' wa]1 area above floor,,,,,,,,,,,,,,,,,,,, i• wall area ahove floor.... n?.......... .................. . J. trame wall area at Foundatzon ....................... ?? -? - 7ota1 exposed foimdation arc,,,= LKO k. Total foundation window area....................... ? 1. Total net foundation area a6ove grade .............. -' -- ? ? Determine "u" value oP each wall seymenC • (e,g, window, (ioor, eacli sepanzte o-iall ser.Cion) X U„ „ ? --' `ek---- --? ?------ e. 38 x ------?--- --LI ??_? c._ 4o X ------q?-- = ---LL?_ ?. _ x ,lu,l _ e. !'? x IV ------0?----?----f ?--- ?31_ x „u I , --=-¢4-= ----s---- 9 X h. X liuii _ X „ull _ ?. x u,? _ k. X %l, _ 1,`-?0? •--- X ??U"._ _'-___?3-_-- 3 ........ ...................... ...ToCal ._!? _. ii' item N3 is the sam as, or less than item #1. YOLI have met the InCent of SDC 8006 (c y??:rior Envelopa Average "ll" CompuL'aCion Page 2 of 4 1o1a1 exposed roof/ceilin9 arca M. Total skyli.qht area............................ + n. Total roof/ceilingEramin9 area (averayc 102),.. o. ToLal net insulaLed rooC/cciling ar.e:a........... . Uetermine "U" value for each roof/ceiling se9ment M. x .1ul. ^.?,? n. ? x --u-- ?'?? --v- p, 1 lo '; "u„ OL ? 9 ................ ......... Total = Tf total 'of 1E9 is L-he same as, or less i;han {EZ, yuu have iueC tlie inLenL- of S6r.600E> (c) 1. . A2ternatc Bizildinq Snve)_ope Des.i.qn 'Po vtilize the total envelope 'syst-em method, the values esCaulishecl by C1ie s;im of i.tems 113 and 44 shall not be 9reater than Clze siun of iteros If1 and Ik2. I. ?_r_D. S •?• z. Z7 3' ---Lq_5.L(e + n. , ?. _..._ ? p • • , 'P-Al.r, f.?:r.•??IOtas U:.r j,,1.._0( rpp(!un unll nrcn for ? frnm,: r.cnu;frucllun 1- sic nM, eir. 91 yc:al Arzcli L" •i `n': . , -? , ----? -----? 1'GPVIF IJ OF FItAt1E IJAI.f. J ;.?- -.•- -----? -------?a .•__ --•?--°•-{I? ! .1y„ .?.:', c•c,n• ArIii:l i;.n N...vnluw __ .. . .- i,... _.. . . _ . ._. . . ... .___...__ ... __. _u. 1. im:li", ti. q ??. j.,.a.??11n _. ... . .loZ., b. sr.l.-_rii,r .10 r (t;n? -- ' .. -- _- ._... .. ..._------ ---- - ---- ?Z, Z7 U=.ag 1NSu(- • 1. )I1?:?•I'Ii?L' ;tll' ?1lili _.'_......._...... Q.fif{ .. . _ ._...._._?_____._.._. 3. a. 5. ??D.?n?b...__ ..._ .... ........... . ....?iZ G. Ext.criot aii iiLa ?i??,ezi Z,o?q (?=•?S '"? ` R? i. ?; ,?, ;,i< <uI„ .- ,_n 2. -------- 3. a. 5. ..__?fl?fNC?_...._.. .._. _.._..._.._ _...----?Co.Z 6, t:xCr.rfor nir Cilm 0.1.7 ,POC;iL v=.o9 t. 1. i. n. 5. 6. ti; ?ri t•,r af r fil?, n.Gn I.Z".._rnNG•...?c..? _...._...12$ . 'Z" _54j.yo ----- ???,?:?? 13 u =191 of !iLAll t?pi ?:1?1U1': Ilj IkA n_ • ?. .. _ ........ _. . _ ._...._........._. _....__ .__'_..?_...... ? ._5??.. ?II '... ' . • .. . .,y \ . / /•? /?v . ? . ??' . ? p !!1 ? ' . " • - /11 un =.. ti • . , ? ! /rl r?i << • :> _! ?.. iii ... ;IC?•CG: IndL?.nt.?? ly,?c. "'.1" •:aluc, dcuCh nnd pl.iccnvn[. of , _. . , , . . ? I?;I ? Li tiE4 c- FT, FXposEo itpt9p-+Z(o13Z ,.?..u?E I;? 132 Q , (32 =ULL li','?? =uLLZ.; -- = t FZ.?{? ??I.ACE ; .-- 21M? 3? kKl F-E 1::uLL'il /3' FULL jZ - PLAQ #*? 332y" WALLr StLP'OSEb WA LL. AR.EA x - S = (ece _ )C S = G?o ' x 8 = , -74v X g = IoS(D k 8 _ ?C - -13z To -?-A L. = f R I? F-KPOSE--D GEI L11JG ZGx4o - 1 ago W DwS ?i zf3(e Tht-t- Ny- ? Z44q n 7o(vo Z8Q4 ?i ? f3SM4 U0 i+S 2 S I?AT I D DIZ.S , ?° 1 4a D oo ?.s r'? e ?•v zp ? 38 15 :_ = . . , • L?yj'' Conntru?,tlon A-Vnluo Intcriar air filn . 0.61 ? (l;` -:1 1aL4? ??-- ------ -- - -? rI-, 3. I I I4. £xCcci.or air filn (still) O vLrr ,? ' - --- t y • 2 4s 80 SL02 ?. ? • . . . . . Hea[ f.lov 1. Intorior nir t.tlrn 0.61 tnted 2. ??--- up . . 6?Y?' . 3. 1 qsuL. _ 38.35 . ' • 4. Y:xCCrin_ aic 1'ilm (5h?.1r???.G? ? • • . ------------Potal gic. as? . ? . ? .. . . . . ? u = .ozq. .' CO.l,1rRVCT/ Tnsldc ait: filin 0.61 2, r . 3 , . ? q, putsidc ..ir film 0.17 ------- 1b1a1 I!-c[ Ilov up? ; ,.vented . ? TSG_ 96.? . _. • . • . . ' ,.?' •:•? . • ti0:7-VI2;MD .? . . ' . Hcnt . , - Ilov up • ' . ... • . .. • 1'I ,_ P7 ? • ' ''' ` ?'?C?9•-? E 1_ Insidc air fi.lin 0:61 4_ • S. outsidc air filin 0.17 - aotai Ynsidc air Pilm v•O1 2- 4- ----- 3. • - . _ . -- --- ?. Oa ic film 0.17 Tota1 YJUtc: Vso addition3l sheets iF morc --paco i: ? necclccl tor dctails and calculations. RESIDENTIAL BiTII.DING Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConsWction Reauirements RemodeliReoair ReQUirements OKce Use Onlv 3 registe2d site surveys showing sq. R. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y_ N (200/o maximum lot caver.ge allowed) 1 set of Energy Calculalions for heated additions Tree Pres Plan Recd Y_ N 2 copies of plan slrowing beam & window s¢es; poured found design, etc. 1 sile survey for addl6ons 8 decks Tree Pres Reqd Y_ N 1 set of Eneyy Calculations AddPo'on - iiMkate Karsde sep6c sysfem On3ite Septic System _ Y_ N 3 copies of Tree Preservalwn Plan if lot ptatted after 711193 Rim Joist Deiail Options selection sheet (bidgs wBh 3 or less units Date /0 /-R i a m3 Site Address 7ya Construction Cost 23 873 _ /n Lo/YQ UniUSte # Description of Work iQ6-5lp+E Multi-Family Bldg _ Y_X N Fireplace(s) _ 0_ 1 _ 2 Property Owner DOAJ /'TRt ?LP-07- Telephone # ( ) ContracYor zAnaG? Address State W/i1//CSolq R'? AlE City /" N Q Zip ?r7Z Telephone # (7/p3 ) 79S' &9?176 COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ilding in Eagan with a similar plan? _ Y _ N If so, 25% plan review P7 o?Rn 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 in the case of wark which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 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) - 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 (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test Final Windows (new/replacement) _ 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 Building Inspector ? . 1 ? ? I • II ? . II ? 2/84 CITY OF EAG?N I ? !r? / APPLICATIODI FOR PERMZT 'lllll • SE4dER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPEr1I'Y ADDRESS: 7.F?',Ar. DESCRIPTZCN: LoT 4 L?L? S-' FC (Lot/Block/Subctivision or Tax Parcel I. . Ntrrber) i IF- WXss-_.G sTRecr:.*RE, DaTE OF oF-TcuIAL E;;zLDr::? TS.]UAi.G:: an-, P°-rSa'?' .,.^„7TF:/P??OPOS`TJ L'S: ? R-1 SL;GI.:, r?uSL'. • . , ? z-z ccrpT?..=?: (TNa L?:;zms; ? R-3 'LCf.v??CUcg (m7-?o.1 + L'::ITS) ? L'NI^_S) ? ic-4 AP=.n?'*TM'?:T/C'..ZLi.L7rII;,?i ( UTiITSi ? CQti2,IERCI.AI,/F2E:-'?II?Cc:'IC."-._.' Q L.'OI;ST?,I.?I. Q NSTI:L'PSONAI,/G0VZRN1=`T 2) APPLIC--?iT (PLEASE PRllii) IS?ftE: ?P,yLi9?vD l?forr? eS ? ADCRESS: CT-"1"L, STATE, ZIP: ?Oy ,y.? ?.r//i? 5 g"" 5-L PHOiNE: ypL - G? f C 3) P?m=, (PLEdSE PH1NT) FOR CI1Y USE O4LY - ADDrZESS: PLUMBERS LICE4SE: Active "l ' CITY, STATE, ZIP: Expired -/ ac. ? PHONE; ?95?'G77X PLUNBER LICENSE Q Not of Record ar nitia ¢) p???/Orv1,TER (PLEASE PRINT) NAME : ADDRESS: CTTY, STAT'E, ZIP: PfIONE: 5) IIVDIG'1TE Id[-IZCH PER,'LIT IS SEING REQUESTFD: (3'CONNECTION T'J CITY SErIER ? COCINECTIQN 'IC CITY WATLR ? di[M (PLLASE DFSCf2IIIE) 6) IL:DIG,.c C:+E: ? PL.aSE F?OLD APPROVFD PER?1IT FOR PICI:-137 BY ONE OF AE(Z/E PI.Fi'1SE :-TRIL APPROVED PFR?LiT TJ 1. 2. C 4 ABOVE (Circle one) 7} SICMTL°RE: ,? DATE: ?"?5 d y MR?! Aal+YlfoA ? i e? lYga?! ?tlnsv»:r:s a/ I? s rFSa:a:? a at ?a 4larrai? a? S 1s ?si??sa? ? FOR C I T Y U SE ON:,Y ? PE2MIT °- ISSUED prEs: $ SEi^iER ni7MrT (I,TCLJLE JUP.C?IIP.GE) $ WATER PERMIT (I`:CL'JDE SliRCHA2Gc,) $ 4'? ?•SZ? WATER METER/COPPERHORN/OUTSIDr. REnDr.?, $ WATER TAP (INCLUDB CORPORATION STCP) $ 5:::•dEF TAP " $ -rC0i;:?r .._?C0S= $ ACCOUNT DEPOSIT - 4IATER $ iC50•CJ0 Wi,C $ 0 G9 SP.C $ TRliVK IQAT°_R ASSLSSi'IEi.'T $ TRu:]B SEL•7ER ASSESS'??E?iT ' ' $ LATERAL BENEFIT/TRUNK SE:dER $ LATERAL BENEFIT/TRUNK WATER $ /S7n O D OTHER T? $ TOTAL $ SZ) AMOUNT PAID/RECEIPT 4 7 ?S DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGiIT OF WAY? ? YES IF YES, THEN A"PERMIT FOR 'rIORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI:LE: ' DATE : no 4l*id al?s womie Memo R Se oa Some w!e w ? w ?sa Fs? ?l.? ?k? w ?i? ??f7 ?k? wE ? s? ?i? w.a f4? w iJ? w ? / < PERMIT # RECEIPT DATE: *- Il' -'! -o I U.SIDENTIAL PLiJM$IN6 PERMiT ?PPLICATION crrYog EAsM 3$30 PILOT KNOB RD EkHM, MN 551EE 651-681-467s Please complete for: SITE ADDRESS: y55p- ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system OWNERNAME:: ?Qti-S?S1? TELEPHONE#: C9 51 l9 (o_GS3t \ (AREA CODE) INSTALLERNAME: ?-??CS?ELEPHONE#: f 50? . l STREET ADDRESS: (AREA CODE) CITY: 1 " V-As 0 /Yv-" STATE:MIJ ZIP: (Ct-i 9 Place a check mark next to the permit work type New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 , Total $ rQ-5O Reminder: Be sure to schedule inspections of ai#erations, i.s. water heaters, water softeners, etc. I herebyacknowledge that I have read this application, s[ate that the information is cortect, and agree to complywith all applica6le Cityof Eagan ordinances. It is the applicanPs responsibility W notiTy the property owner tha[ the CiTy of Eagan assumes no IiabiliTy for any damages caused by tyte City during its normal operational and maintenance activities to the facilities consVUCted under this permit within City property/right-of-wayleasement. ? SIGNATURE O ERMITTEE Updated 1/01 CITY USE ONLY PERM[T #: "1 SS-3 q RECEIPT DATE: -U RESIDENTIAL MECHANICAL PERMTf Ai'PLICATION crrY oF EAsAv 3$30 fILOT KNOB RD gflBkN b1A 55182 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: l SITE ADDRESS: OWNERNAME: INSTALLER NAME: AQC?l9 91?--""'\GSl ? TELEPHONE #: STREET ADDRESS: -;4-U?4 `J 1 LI CITY: TELEPHONE #: ?• ?0 5 l-' 6 ?'J (AREA GODE) 5 I •5?23 ?9Zto (ARFa cooe) STATE: ZIP: !Ej--j0 W1`C1-I-'?S Cl- o.-6nr4 mor4 ncvt M thu nn?mi4 wnr4 hinn New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or aiteration to existina dwelling unit $ 50.00 I ? • furnace replacement • air exchanger • air conditioner • other Natureofwork: Gl? ?C? G State Surchar e $ 50 $ 6U 7otal Reminder: Ca/l for inspectinns. Aan?'_ SI TURE OF PERMITTEE UpJated I/01 CITY l1SE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCLAL MEC}IlkNICAI. PE$MIT APPLICATION CITY OF £Ae6AN S$SO i'ILOT KftOB ftD EFtfi", MN 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (LMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENAiVT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK T1'PE: New conshucrion , Interior Improvement _ Processed Piping Specify Nature of Work PHONE#: - (AREA CODE) STATE: ZIP: _ Install U.G. Tank Remove U.G. Tank When installing/remnving undergrnund tank, calf 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. Fees: 1% of contract ptice OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1% = $ (Base Fee) S[ate surcharge TOTAL $ calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERbIITTEE Updated 1/O1 - 2004 RESIDENTIAL BUILDING PERMIT APPLICATION - City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemodeUFieoair Reauiremenis 3 registered site surveys shaving sq. ft. of lot, sq. ft. of fwuse; and all roofed areas 2 copies of plan (20°k maximum lot coverage allowed) 1 set of Energy Calculetions for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks f set of Energy Calculations Add'rtion - irMicafe ilon-site septic system 3 copie.s af Tree Preserva6on Plan if lot plaHed aNer 711193 Rim Joist Detail Options selection shcet (bWgs with 3 or less units Date 0 / D(o l? Co truction Cost Site Address ? ? UniUSte # DescriptionofWork A?p/?//r' 16?JC /o%??Ditl ?'\ RRENT ? SyClST/?''?G ?JZc-zz 5lZE WK/6? Multi-Family Bldg _ Y ZC N Fireplace(s) _ 0 ? 1 _ 2 Property Owner ?JC)N,Qt? f7'{?-?/ r ?f7- Telephone #((o? t'l CosY - 7SS-?7 Y Il Fia Contractor ro g Address City State Zip Telephone # (, ) 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 (q submissiontype) Submiltetl Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar planZ _ Y ? N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 10 2004 i- T 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 pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? 4 ? ???,d9G,b ?!? G?/???.c? ?-__-? ApplicanYs Printed Name Applicant's t?2ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ping_v or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 X- 32 Addition ? 36 O 33 Alteration ? 37 ? 34 Replacement Valuation C9"0 Census Code 3? SAC Units # of Units # of Bldgs Type of Const Vn1 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length /u , Fire Sprinklered Width ? to Footings(new bldg) ?[ Footings (deck) ?v Footings(addirion) Foundation Drain Tile RooF Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing AVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Bnck _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total cqu'0 7d AffAOaIE ? ENGiNE??ING C`NSIlL7iH6 E?161HEi95. _ Nz P:AHHf95 aad IAHD CoMnr?NY, t?tc. 1CC0 ELT liSLl 57HE?':. BLRHIYIL'_t. WHHE_0?1 !!=?? .'? C?j-?Z?'ZCtz?? ?acc? .1'"xscri.o=;?T• ' ^- ?J ? ?, ? • ? ? , ^ ? . . ?-- ?,? c?. J 'G .r . . , .- _• - 1i/?t=-c_??-. C?. ?_'- / , ? _ _ •'?- ?Qe?' j 4A\,, ?? f? - GZ:a. O; 2?, _ ?.` r 1at. ` MO M C: ?- M c ? v ? \ , . G ' -?,- 4? ? \ `\'\ . n,.?Z.?'j=Te? ?•ti_ =; ?AE!!.r,,c_ F4. F w 32c-r/04 ? ,"lX? b. ' rer:by caM417 =hat ttiis is a t:_e and car:xct rapr_aentitian of a trie; of .and a: ¦hown'and denc^ibed hertcn.. Ae prapared by me on this I` ?'? dty of /?.n?4•., 19??(p. ' jksc-D 7 o pi Hinn. lleg. No. 1660S v ROS? ? ENGIN6ER1NG ? 1GC0 E.LT I4S1S 57nE--?C:,NSU171HC3 EH61HEURS, ` CLIMPANY, lAiC. pLAHNE9S nnd LAHD SiIRYEYOnS BL'P.H=YILLE, 4WHE_CTa '6ZZ7 P!: 1=2-m CGO . eerZz?'z ?A?o?? ?.?•?.-- ?,' ..1._`.=.•---r ?,,?y,,c•. ./? ??C?.?' 4?'+`i L/:? t - `,d-C'd:' ?f12G.01 ' -" M ?) N` C'" G? (?l Q 1 ? C),cc < ? C 1(? C h C' t7 / \. ? l: \ \ \`` ? - - `` .??TE`C.,', c , -?-_'C.'• " =vt i ???•?7=Tcr ??,?_-; ;?a?n?:?=_ ?:??? ? ?. / -? ? ., ??' ?+- ' her:by eart:ty =hat t5ia ia a t:_e and ear:YCt rapraent:tion of a trsc: of -1nd Q s•ha+ns' and de?e^ibed he^aan.. Aa praparsd by sse on t:sis aj?. af ?.n, 1 - JKC-iJ '1'D c`o?-?,L . Hinn. Eeg. llo. 160S5- v - c. ? ? ? lll ?o { ? i U.tlr. 1I 64?? I? a20?? l ` I r? ~ ;-3.?s_? I / L???. ? ^-> . N City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 742 Hay Lake Rd N Lot: 6 Block: 5 Addition: Fawn Ridge PID:10- 25800- 060 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Patrick Tacheny Exteriors 127 East County Rd. C #7 Little Canada MN 55117 (651) 490 -0211 ctures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $90.00 Owner: Donald Armborst Jr 742 Hay Lake Rd N Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA079596 09/04/2007 ePermit 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 h all applicable State Issued By: Signature úÿ ÿþ þýý üûûú ùýýìÿúïíè âíöóÿ äâ þýö ýüûúùø ÿ üýø ÷ ôö ôö üéü ý ôüòû óòôüòû ýÛ ý û ääã ëþò æðêäêä õù ýü æêãêã ôîó öòñ øø òû Ü ääãý ñùóô ë ô ÿ ôð àãßâãâããã ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA119127 Date Issued:11/15/2013 Permit Category:ePermit Site Address: 742 Hay Lake Rd N Lot:6 Block: 5 Addition: Fawn Ridge PID:10-25800-05-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald Armborst Jr 742 Hay Lake Rd N Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature