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745 Hay Lake Rd NCA5H RECEIPT -' - CITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 18 AMOUNT $ I E] CASH U' CHECK DOLLARS ?oo 01 PUND CODE AMOUNT ? Thank You BY White-Payera COPY Yellow-Postinp Copy Pink-File Copy BUILDING PERMIT To be used tor ?r ???' ? ?'?-`•_'. 14436 Receipt Est.Value 4.(?t)(; Date DF:CLeiBEp lU 19 d7 SiteAddress 74' %") "aY 1.A+YE RD Lot - r" Block 1 Sec/Sub. FA" ;'. 1:.::," 1 5 i Parcel No. W f Name SCHS {;UNCT Z Addr.ess 1334 bT S 3 o Cityl :'.h!rAN Phone 45?-535: .8 Name 5Ar, ?•. ? ` Address P City Phone ?Q "W F W Name Address t? Q WZ City Phone I hereby acknowledge that 1 have read this application and state that the information is correCt and agree to comply with all applicable State of Minnesotfl St4jutes and City of Eagan Ordinances. Signature bf Permittee A Building Permit is issued to:_ti`1N5 CU.":51 r,? i;7l'r+ i:U on the express condition that all work shall be done in accordance with all applicabld' State of Minnesota Statutes and C(ty of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 OFFICE USE ONLY On SRe Sewage Occupancy R3 MWCC System ? Zoning 'l i On Site Well (Actual) Const Yrc City Water A (qllowable) Vn PRV Required A # of Stories Booster Pump Length 38 Depth 44) S.F. Total Footprint S.F. APPROVALS FEES ? 447.50 EngrJAssess. Permit Planner Surcharge 4t •? Council Plan Review 223•75: BIdg.Off. SAC,City 100.00 Variance SAC, MWCC 525•00 ' Water Conn. S? 5. 00 ' Water Meter ? 1 • V0 Road Unit U0 TreatmentPl Parks TOTAL $2,415.25 BLDG. PERMIT N0. 01-3210 B1dg.-Permi p1-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 5urcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 4:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 5ewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? CASH RECEIPT . CITY 4F_ EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I !k DOLLARf ?oo ? CASN ? CHECK ; _. ? 1 l I 1 _? !?\ . I 1... '- l I 1 l..? •?J RUND COOE qMOUNT ? 11\ 0 ? V • ? V Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition FAWN RIDGE ADDITION Lot 24 Blk 1 Owner street 4485 Fawn Ridge Trai 1 745 No. Hay Lake Road le) a5?foo o/ an. NW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Ffo( 1981 22 11.47 20 STREET RESTOR. g 1984 4 - 49.95 10 GRADING ' 511 1981 61.26- 4.08 15 SAN SEW TRUNK 2 1$1 2Qrj.44- 10.27 20 SEWER LATERAL 1 33,07- Se e ' 1 81 23.57- 1.18 20 WATERMAIN WATER LATERAL 1981 [E3.(7- 2.18 20 WATER AREA 205,44- 10.27 20 Water Latera - 1981 27.68- 1.38 STORM SEW TRK 1985 557. 79- 37.19 15 sroRnn sEw T- 1984 222 . 51- 22.25 10 CUR6 & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ,-C HnY i nr a rzu N FANN I{ [[)ltE PERMIT SUBTYPE: i.; 1 ttll I 1 «f H« H:' Q t3 t'. f.+ b4/7.9Jyl , APPLICANT: TYPE OF WORK: R f_ I' A 1 H ( Etl.ltit l ?li 1 UI `-, 1'1. l f'Y 1 ?)!+f (t0 13t'' I Nfi ?., ? Psrmit No. Permlt Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Dato Insp. Comments FOOTINGS FOUND FRAMING ROOFINa ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL .__ . .; . . ,? ,,. ?. . . :Y?•ar' . . ? .., -... . .. ? . .. , . PERM MECHANICAL PERMIT , CITY OF EAGAN RECEI 3830 PItOT KNOB ROAD, EAGAFf, MIM 53922 DAT'E: TRACT PRICE PHONE: 454-8100 Block y Name Laenz-ciydq' F'cxtt 49 Address A74b Sout-ts Robet c City ROSenioUnC, ii.{ Phone Name _ ? Address p CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU 11/l BTU M BTU M BTU CFM -? FEE: S/C: TOTAL: 1986 G ?-"'X?XK D WRK QPGF?I?PTION , Res . N Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 GAS OUTLETS MINIMUM 1 P M T U? - ( ER PER I ) - 1.50 EA. COMM/IND FEE - 19'a OF CONTRACT FEE APT. BLDGS_ - CaMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON & - - REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) SIGN TURE OF PER ITTEE I .00 FOR: CITY OF EAGAM ? ar?.....,?. ? - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PH ON E: 454-8100 BUILDING PERMIT Receipt # 7o be used for Est. Value Date Site Address Lot Block Sec/Sub. Parcel No. ¢ rvame 3 Address ° City a Name .o ? ? Rddress ? City Phone ¢ W Name W = Address u W City Phone 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. Signature of Permittee A Building Permit is issued to:______ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. B".di'z?] Orticial - -- -- - -- OFFIC E USE ONLY On Sfte Sewage Occupancy MWCC Sysiem Zoning On Site Well (Actuaq Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bidg. Off. SAC, City Variance _ SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holdsr Date Tslephone * Plumbing H.V.AC. ?J D ? Y O Electric Li &'1(? v Softener Inapection Data Insp. Comments Footings I %3 u? Footings II Foundation %y . Framinq c{ L Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. ? Final Plbg. BIdg.Final ??`,, ? (,,/??r Pc ;•,. -n hc? ? C@rt. OCC. zi Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (ter#ifirate uf (Orrupttnry titp of tagan igpparWPilY 0f liltiXbttlo l1twPttim Tlris Cerlificate issued pursuant ro 1he requirementr of Section 306 of the Unijorm Building Code cenifying tJrat at the time of issuance thrs structure was in compliance with the various ordinances of the City regu/ating building construction or use. For the following: uN chwisc"M SF ffiae. Permit rro. !4486 Occ„p„-y Type RY3p? Zanim nnvip +)/? 7y)pr?c comn ? V;, ?'IICf Of BUlbltlg ?? : 1.J`i Bmlding Address , _ ! 1' , .'!L t_ POAFi ?] ty j24e : I -,:Ia?:;. ., ? Daa: - Bwlding Officisl POST IN A CONSPICUOUS PLACE PERMIT # Site Address Lot Block Sec/Sub m Name ? Address • c City - Phone - Name • . '. . u . . _ c Address p Ciry Phone FEES COMM/IND FEE - 196 OF COMTRACT FEE MINiMiJM - 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) , SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAFI, MN 55121 DATE: PHONE 4548100 BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES Water Closet - $3.00 TOTAL Bath Tubs - $3.00 . ' - Lavatory - $3.00 Shower - $3.00 ' ? ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 TLaundry Tray - $3.00 - Floor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 / Gas Piping Outlets - $1.50 ' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• CITY OF EAGAN Permit No:1 ?41,4 Date: 4030 Oiloi Knob Road B/P No: L'159 Oate: '-2?- - 7 ' P'O. Box 21199 • Eagan, My V5+121 Owner. • ?bna?nst . ?SiteAddress: _ 745 LTO•'lay L?ke Road 1,24 3S_ Fa:wm P,f 9,;re - Plumber: ?- C Pium'cin& MWCC: - 724 . COFct Zoning- . City Chg: 1'10 .OQ^^ - . No. of Units: ACC?. Dep: `?? • OvPd Permit Fee: 0• QoPd I agree to comply with the City of Eayan ' Surcharge: • P Ordinances. Misc.: gY SEWER SERVICE PERMIT lot Knob Road Meter No: _ z 21199 Reader No: MN 55121 , Size: Date: Conn. Chg: - 25 • 00Fd Zoning: Acct. Dep: 1.5-00;d No. of Units: Permit Fee: ?_ ? .!)0?c' Surcharge: •?042 .' 1 agree to comply with the City of Eagan ; Tr. Plant Ordinances. Meter. ? ? - MISC: ?1' ?,.Tiir• By WATER SERVICE PERMIT ' - - - - - - - -. __-- - -- _ ? CiTY OF EAGAN Permit No: 9 316 Date: 1 3830 Pllot Knob Road Meter Non 7 b7 3773 Size; 4?lr `` oCf< .O. Box 21199 Reader No: a Date: aban, MN 55121 y wner. ;o;.ts ':;ork L. iteAddress: o 'Tay ake Voad 3'4 r 1 ?lumber. rl 'Conn. Chg: -?--? •'?'-'si? R ng , r (?I!'17111C I'???I ? Acct Dep: 1' • Q?`:?4---??.,, .Odk?. 910W. Permit Fee: ei rrr ? fclC - GAS Lic, Surcharge: ?'?•? 1 agree cornply wlth the City of Eagan Ba/d ;Tr. Plant eter. , -,Misc.: By WATER SERVICE PERMIT I CITY OF EAGAN N° 1 4 4 8 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8700 aeceipt ?? cJC/ x ? Tobeusedfor SF DWG/GAR Est.Value $84,000 Date DECEMBER 10 19 87 Site Address _ Lot 24 BIOC4 Parcel No 1 Sec/Sub.FAWN RI?GE 1ST ? Name SONS CONST I zAddress 1334 ST ANDREWS ? City EAGAN Phone 452-5355 ¢ Nan 0 ? Q Add P City City I hereby acknowledga that I information is correct and : Minnesota Statutes and Cit Signature of Permittee _ A Building Permit is issued 1 on the express condition iha applicahleStateolMi/nye?yc Building OffiCial_ _ t /' 745 NO HAY LAKE RD Phone n and state that the applicable State of and Cgyy of Eagan Ordinances. OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCC System X Zoning Rl On Site Well _ (ACtuaq Const Vn City Water X (Allowe6le) Vn PRV Required X # of Stories BoosterPump _ Length 3$ Depth 40 S.F. Total Foofprint S.F. APPROVALS FEES $ 447.50 Engr./ASSess. Permit Planner Surcharge 42.00 Council Plan Review 223.75 Bldg. Off. SAC, City 100.00 variance SAC, MWCC 525.00 Water Conn. 525.00 water Meter 67.00 Road Uni[ 39.5 00 Treatment Pi 180.00 Parks TOTAL $?,415.25 REQUEST FOH ELECTRICAL INSPECTION es-ooooi.HHos ,) Sea instmclion5 1or completing this form on back of yellow copy. ?j ? 6`G 6 "X" Below Work Covered 6y 7his Request ?tJav.jAdd? Nep.?"' Type ot BuilEing ? Aootiencea WireA ? Equiumenl Wved (?1 Home flanue Temoorarv Service tioner p Fea ServiceEMrenceSize a caa Feede,s/SUbteetlers a FPA ci.?wcs U to 200 qmps 0 to 30 Am to 30 Am P A6ove 200 Amps 31 to 100 Amps 31 to 100 qm s Swimming Pool Above 700_-Amps Abave 100_Am)s Transiormers Irrigation Booms Pdrtial' L ? LSigns ? I ISpecialinspection TOALFE Perryrks _ . !. ? . . / . ? certity Ihet the aba% inspection has been maea. mie requosc Vaa Thus request void /? CJd /p 18 rmnths irom 'Y' " D 9 9 6 6 t,2 sz HeQu -[/jDa}e ? fire No. RouPh-in Insucr, on ReqmreA ? . ReaAV Ni? Will NoLlv InsPec ? j O D es ?No [or When Ready icensed ElecVical Coniractor I hareby request inspection oi above Owner electrical work installetl at: Sv¢at Address. Boa o Rou e No. 75?5" ,i?f??Llw " City ectron o. Townshi0 Name or No. Range No. County D ? OcvvUnntIPRINTI Sc??s Phune No. ? J Power Supolier Address ?A? p??`?1/?? .j.?? / ?'?lAq! O El Con?ractor ICompany Namel / ? X AI Contractor's Lirense No. e c ? w, IC Mailinp Atldress (Convactor or Owner Making Instailation) 3 Ja w AuthorixeA Si natu IConhac r?0 ne akin nstallationl Pho Num b er / q Jz- v., MINNESOTA STATE BOAflD OF/EyECTflICITY THIS INSPECTION PEQUEST WILL NOT Griggs•Midwey Bltlq. - Room FN91 BE ACCEPTED BY THE STATE BOAflD 1821 Universitv Ava.. St. Peul, MN 55104 UNLESS PFOPEP INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. : RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 NewCOnaVUCtlonBeaulrementn • 3 regMereG sOe surveys shaxing sq. ft ol bt, sq. fl. M house; and II roofed areas (20% manimum bt coverage albwed) . 2 coples of plan showing Deem 8 wlnGOw sizes; pourad rourM design, em.) • 1setMEnerqyCakulatbns . 3 copies W Tree Preservatbn Plan H bt platletl aRer 7/1/93 • Rim ,bisl Deteil Options selectbn sheet (bMgs wim 3 or lass units) DATE 7I2/lJZ SITE ADD NPE OF AULTI-FAMILY BLDG _ Y -vg' FIREPLACE(S) _ 0 k'l _ 2 APPLICANT TOP GUN, INC. STREET ADDRESg?ii #n ? ` CITY STAiE _ZIP TELEPHONE # RQGERR- MNQSg3r4jj09& ?k3 YZ-k'- 4559 FAX # 7103 Lf2F's- &-&2-(, PROPERTYOWNER Q? 0-uXatAaLA TELEPHONE#(lc51) 41614 -5 -7 y5 --------------------- ------------- ------ ------------------------------------- -----------°---- COMPLETE THIS SECTION POR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I Mr6ju OTA (J submisaion type) • Residential Ventilation Category 1 Worksheet Submitted • ?`Go*ubmitted • Energy Envelope Calculations Submitted L u o a 2002 Plumbing Conhacior: Plumbing system includes: Mechanical Conhactor. _ Mechanical system includes: _ Air Conditioning _ Heat Recovery System . Phone ri Sewer/Water Contractor. Phone M Fee: $70.00 ---------------------------------------°---°-°--------------°-------°-------°-------------------------------------- I hereby acknowledge that I have read This application, state that the infoyTIation is correct and'agr?ee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinc(rMs. 45 1( Signature of Applicanf i ?? L ? OFFICE USE ONLY I H -?- 71 IZ3- HemodeVReualr Beaulrements • 2 coples ol plan . 7 set of Energy Cakulations for heatetl add'Aions • 1 s8e survey lor exterbr adtl8bns & decks . Indicate H home served by septic system lor ead'Abns ? ? ya, 7 s VALUATION '9&6Q0. 'o _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Axessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Aft - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Eut. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl O OS 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage O OB 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Atteration ? 37 Demolish (Bidg)' ? 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 ' r }^ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered - Type of Const Width ? ,- , REQUIRED INSPECTIONS _ Footings (new bidg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finel _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A'v Test _ Finaf _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & 5torage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Perrnit License Search Copies Other Total . CITY OF F_AGAh CASHIER: 15 TERMINAL k0: 33 DATE: 04/24/97 7IMF: 14:42:21 IG s NAME: TOP GUN fi00FING 3210 9001 745 HAY LAF:E RD 68.25 2155 9001 745 HAY LAKE FIl 1.00 r e Tota7. Receipt Amount: 63.25 CR07281.0 USEfi IU: 1AN ??kk?%?X?#X?#Xc?c?cXcXc?c?# #X?X?%??kX?#??c?kXc?%Xc?X?CXc?c ?c?cXc?k#?c PERIVIIT CITY OF EAGAN 3830 PilotKnob Road Eagan, Minnesota 55122-1897 (672) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUTLDING 829856 04J29J97 SITE ADDRESS: P.I.N.c 10-25800--240-01 DESCRIPTION: ? Y.'. . 745 HAY LAKE RD N LOT: 24 BLQCK.: 1 FRWN RIpGE (ROOFING) Permit 'Type a'.46 ?rk Type K b ? ? L ??L SF (MT5C.) F2EPAIR • 434 ALT. ftESI[IENTIAL Wa 4A ?v rgY!? d-m? ?.1. ?g^x? ?? ,LC9X? rk_: L.31P4?Z??'`?.2? REMARKS: FEE SUMMARY: 6ase Fee Surcharqe Total Fes VALUATIQN $62.25 _. .?.. w. 1 , 0 @ $53.25 $2, 000 COtNTRACTOR: - Applicant - ST. LSC OWNER: TOP GUN ROQFING 14284559 0003388 ALEXANDER DANA 5014 PARRISH AVE IVk 745 HAY LAKE f2U N ftQGERS MN 55374-9009 ERGAN MN 55123 (612) 428-0.559 (61.2)456-5745 Z herehy, ?C.e?rd ?Kitt t , `iutormiatkarT-is c?orr?qd 4gr0A € wyAV?s??h ,???r?? p G:?'J Oir W6JC•FMe?-y?"eY4 4? ? kd t 4`q- i ? _. .?. .. .,..........__.,r ,.. . . ,°nai.,......._ .tir_, -a. „a__._ ..a«a P?_ _...? .. ?? APPLICANT/PERMITEE SIGNATURE --'ISZIUED Y: GNATURE 1q1ff& CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ?? . ll SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuati o n of work r ? Site Address: c L (X STREET ? SUITE # Tenant Name: (commercial only) LOT Z? SLOCK ?_ SUS P.I.D. # Descri tion of mork: The applicant is: 0 Owner O-Contractor 0 Other (Describe) Name ?- Phone?'1c{ r Property LAST , ST Owner ? y lz?_ qddress STREET STE q City Q.r1 5tate Zip 55?'_)2? Company Phone Contractor TOP Aw rroM • az??s._ Address ?? aT? ? License #?? Exp. Hlll AAIMRi1 M c 19? i ? AN d63748009 City 5tate --- Zip - . ? ' Company --'? Phone Architect/ Engineer Name ? Registration # . Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two once area has been approved. 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. Signature of Applican,?•`? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE ? 31 New 0 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? _s;te ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. tatal Footprint Sq. ft. Un-site well On-site sewage Building Variance ? Footing ? Final ?. ' •'?i' iu. r '? .•^aYk. ? 16 Basement Finish 0 17 Swim Pool 0 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Cade SAC Code Census Bld9 Census Un9t Assessments ? Framing ? Insulation ? Draintile 0 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1, Road Unit Park Ded. Trails Ded. Copies Other Total: vatuet;m: $ SAC % 5AC Units / ._ ? 1987 BDILDING PERMIY APPLICATION - CITY OF BAGAN SINGLE FAMILY DWELLINGS INCLODE 2 SETS OF PLANS, 3 CERTIFICAYSS OF SORVSY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR CORNEfl LOTS - COHTRACTOR/HOMEOANER MUST DESIGIVATE WHICH ADDRESS IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BOILDING YERMIT IS ISSOED. MOLTIPLE DWELLINGS - RESIDENTIAL RENTAL i7NIT5 FOR SALE OBIIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECB HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhIIg:RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: G r+.? Valuation: Site Address #Ag I/.,te Lot Zy Block / Parcel/Sub FAW/J 4/?C? Owner SOits C6Uer ? Address 1'?37 Jr f?/?4i2Crf City/Zip Code S7T/2Z Phone L/rL ^ 5-?3 S S Contractor Cd'irST Address ST A&,Ufe4d City/Zip Code L 4G.,44., ?)-4 t Phone -qr? - J--3 rs Areh./Engr. Address M4 ST 41"bV-eWJ City/Zip Code ?A&A A, S S /t ?- Phone # yA? - 5?3 S r ? Date: S/ r. vrr? ?yoyw On Site Sewage_ MWCC System ? On Site Well City Water ? 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 2 ?p APC Varianee Occupaney fz`3 Zoning P?- 1 Type of Const (Actual) V-N (Allowable) V-N al of Stories Length _ Depth 40 S.F. Total Footprint S.F. FEFS Permit 4Y71 so Surcharge 4 z , °o ! Plan Review 223, 7S' SAC, City 1D0, 00 SAC, MwCC 525.01) Water Conn zS DO , Water Meter ?r?. co' Road Unit D O Treatment P l Parks Copies TOT9L GARA6C-:. zoxzo= UOoX/ 2 = yBaU- BSMT z.(? X zl ? sU6 xru_ r1 Gyq aJ`JR 3No Ist- FL,-? orQ, 26X 21 = 5LI&, Z?x I E - 3?a zxln 20 q? Y-L+q = y07y9 Zur? i,.,-Vdz.- ISK zZ = '-2 K ?LC: _ I K & x ? ? Sf6 x yy_ 3018`l ,.-_---- ?f 3 ?r? ?- ~ . ? E1(TERIOR ENYELOPE AVERAGE "U" COMPUTATION Du11ER: !?r lS Cbr.lYr; CD,. I - ADDRESS: 407 Zq Li LOGK I Fr4 WA/' itl?frE Ar- LONTRACTOR: SON J (&V sr Co DATE: _jp-,5_grj PHONE: 462-5355 . • DETERMIflE NORKINf SOUARE FOOTAGE OF EACH: 7. TOTAL EXPOSED WALL AREA,,,,,,,, sq ft x"U" .il . 251.57 ?. TATAL ROOF/CEILING AREA,,,,,, . sq ft x"U" .026 1. TOTAL E%POSED uALL AREA CAItULATI0N5: Total exposed wall area.above floor,,,,,,,• sq ft a) ?` Tota1 wall windaw area: 9lazed...... _ 122 aq ft x"u° .59 • ?1.98 glazed....... sq ft x "U" . b) Total door area ,,,,,,,,, 2D sq ft x"U" ,??. e 2,g0 e) Total sliding gia;s door area: - qlazed...... aq ft x "U" 23.20 - glazed...... sq ft x "U" ' d) Total firepiace wall area sq ft x"U" . e) Total wall framing area (Avera4e 10)........... sq ft x"U" .10 • 22•Q?O f) Total net wall area aDove . floor (Insuleied)........_ IIeG'f sq ft x"U" g) Totai rim Jolst area....., 1210 sq ft x"U" Tota) foundatlon rrea (Exposed) ,,,,,,,,..-- sq f[ h) Total foundation • window area ............. sq ft x"U" . f) ,Total net foundatton area above grade........ yq ft x"U" 1011 ? 3•78 22g7 TOTAL a) thru 1) ? I q7•'?-F'j .f Item N; Is the same as, or less 2 F{CAR 1.16008 A and 0. than ftem pl, you have met the Intent of Psge 1 4. TOTAL EXPpSED ROOF/CEIIINf, GALCULATIQNS: Tota) exposed - roof/cellinq area.....,.. I 2?1 ' sq ft ' J) Total skylight area......!. sq ft x"U" ? k) Total roof/ceillnq framing area (Averaqe wo ...... 12-? sq ft x"U" .o271c . 3•?-}? 1) Total net insulpted roof/celiing area....... 1122 sq ft x"U" .02 • ??-Lo.:`1'? 4• , TOTAL j) thru 30.38 If total of A Is the same as, or less tkan 02, you hava met tha intent o 2 MCAA 1.16008 A and 0. I ALTERNATE BUILDING ENVELOPE DESIf.N To ut111ze the total envelope system method, the values establtshed by the sum of items /3 and N4 shall no[ be greater thAn the sum of (tems NI and 02. 1. + 2. ? 3. + 4. ? t E.R T I F I C A T I 0 N 1 herehy certify that I have calculated the "U" factors and "R" values herein and that the bu(Idinq here destrlbed meats or exteeds the State of Mlnnesota Enerqy Conservation Act. M S gneCUfe (oate) , Page 2 __.. -- ?j .?5 ??1? i ' ' ? ? • ? ?..?. ?!l v YR1-L ANM"?'#???? SURV?Y? SIYE PLAN FOR ???.7?, '?dN?S C:?lu%I U?? 465:5 NICOL$ It ?._ EAGAN, IAINNE x •, ?' ,,? .v1 T 00 fti?-.,w RicE?? F'iiLS r.: ? ' ?, .... I , ''Ybj' ? F+•, I. , ,. , : . . 1 ? ? ?` i . S /' • ? r -' ....., . .??,?? .._ ,. ,. .._._. .». . •- --_'_ o ? ? e? 30 ? ?. M q?? I . , ? > x . ? i , O,at ' ?iv v qo' ___--- , , .. ? ? ay _ 14,z pa. IT-- h FI'xuPERrY Ptse2wP7?rdW ,. !. uT vti qBLoe?. f?•1??,r,U•??3/cC'C.e ? ?yJ/J R/cCGC dA14or?? a?F?ri?R ^ ? ' ' i ? ?,?'' r• • ' . , ? . ? ?. , o nENorE: iRo ?l I` ' ??h.?; ?;' • ?G?r?i? . ,'w.g ' ?? O tll arwur" °?wt? IDtNOTEB ELK . " e- 0(r.NOT94 VERIFY ALL ?LGW i1S1qMU WYt ?WIrL H0o" MI.AiIi/ • ' ?' . . APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION . --- . . . , ? N01'E: PAYtgldf OF FEE AT TIME OF .. . .'` ? RPPLICATiON DOFS NOT CON- ? i SiT1iT1'E APPAGVAL OF PETt[4T. w ; nasrDCri«a oF sONM arn/ox vmgx :. ; xrsrniar.TtaRs wna. Nar sE scmcn.rn ; ,*t I1NiZL PER6IIT Wti5 BM APPROVID. ? R+it:t?a?f?sat?:»ii:ei??+,ery::wew+:ik oF ecigan (PLEASE PRINT 1) PROPII2TY ADDRFSS: LEGAL DFSCRIPTION; IF EXISTING STRL'CT[JRE, DATE OF ORZGINAL BUILDING PERMIT ISSUANCE: ' Mont Year PRESENT ZONING/PROPOSID USE: R Q COfM7ERCIAL/RETAIL/OFFICE I?/i -1 SINGLE FAMILY Q INDLSTRIAL ? R-2 DC?PLEX (3t,ro Cjnits) ? INSTIT[JTIONAL/GOVERNMENT ? R-3 TOWNHOL?SE (Three.+ Units) ( Lnits) . Q R-4 APARTMENT/CONIDOMiNILM ( Onits) 2) NI.MME: ADDRFSS: IC) ?- Q CITY, STATE. ZIP: ll„??; ,Z Q `J . . - ?i e.. ?M . S' f PHONE: '/(0/- 101) 9 (P For City Use 3) w NAME: ? Plumbers License: ADDRESS: 5 (Q Active Expired p CITY, STATE, ZIP: PHONE: L??e ? 'a a q(p MASTER LI -. .O S 7. CENSE # a?? ? Not recorded St Ia T1?1t1a1 4) ?n"li ? ?hp o ?• ? NAME: ADDRESS: CITY, STATE. ZIP: '? - - PHO[VE: -? 5) s u?• rs'+ ?.?u? o?c .,e1?7?u?3 t?.3i CON[QECTION TO CITY SEWER CONNECTION TO CITY WATER O dl'HERR 6) ?? ? G-?-,-?J ? • ?m- m ml /g/? a ? *?**?*,******?*******?*???*****?**********??*??***************??********??****************?********? ,*k THE GOLD COPY OF THE pERNffT WSLL BE SENP DIl2ECIZY TO PUBLIC WRKS TO FACILITATE METER PICK-CiP. ;i .*k PI.EASE NU-OW RKU WORKING DAYS FOR PROCFSSING. SOMEONE FROM THM CITY WZLL CONlACI' YOi7 ZF 7HQ2E * * ARE ANY PROSI,ENIS. ? ?*?*?**?******?*?*+********+r******?***********,r***?***************++***?*x***********??,r****?**+*?*; FOR CITY USE O,NLY PERMIT # ISSUED Pd w/Bldg. Permit c $ $ $ $ $ $ ? z s.? S ?rz.5 •?O $ $ $ $ $ FEES: .? , $ %D•S? SEWER PERMIT (INCLUDE SORCHARGE) $ WATER PERMIT (INCLODE SURCHARGE) $ WATER METER/COPPERHORN/OOTSIDE READER $ WATER TAP (INCLODE CORPORATION STOP) $ SEWER TAP $ /SIYG? ACCOUNT DEPOSIT - SEWER $ 9 tJ ACCOLNT DEPOSIT - WATER $ wAc $ SAC $ TRONK WATER ASSESSMEIVT $ TRLNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRLNK SEWER $ LATERAL BENEFIT/TRLNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ I:5 % $ ,j /• TOTAL yo.a.?;-- i e n z RECEIPT #- RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING NO DIVISION. LIST AS A COIVDITION. SCBJECT TO THE FOLLOWI[VG CONDITIONS: APPROVED BY: TITLE: DATE: r Use BLUE or BLACK Ink � ForOfficeUse---�r.—___i �� O�L� �n j Pertnit#: �oZ.� �D� i � �a � � Permit Fee: �� 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: �1�..�/ j Phone:(681)675-5675 I i Fax:(657)675-5694 � Staff: /j'��i I I 1 �.----------------., 2014 RESIDENTIAL BUILDING PERMIT APPLICATIQN Date• Site Address• Unit#: k �� Name: Daniel Verdeja pnon,�: 651-246-3696 �� —7� (�r , ��+�1� Address/City/Zlp: __ l'7.� �- `�G�l.1 �_ �� ' Applicant is: Owner X Contractor ° oescription of woric: Tear off and reroof house and attached garage �� f � Construction Cost: �5,OQ0.00 Multi-Family Building: (Yss /No_X } , � `r ,� company: MC Exteriors Inc Contact Moises Cabrera ;; � ��t� t�ddress: 274 New Brighton Rd �;ry: New Brighton , 4 t �' state: MN Z;p: 55112 Phone: ��-221-0084�m�;�: moises@mcexteriorsinc.com �x i „ �� ;;,; �icense#: BC646606 �ead cert��icate#: NAT-67157-1 If the project is exempt from fead certi�cation,please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DING In the last 12 motrths,has the City of Eagan issued a permit for a similar plan based on a master plan? �Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: phone; Sewer S Water Contractor. Phone: �� : ��x '�� Ar'=� ' � � �� _.,� ' ,�. �� s� <� �. � , � r ' 3 � �,. � t� � � � s a �� .. ., ..�,.� � ,. > �. .4 �� .�nw, �: � r �.. ,�� _. ��.�� „r� ��. .w CALL BEFORE YOU DIG. Gall Gopher 3ta�One Catl at(651)454-0002 for proteetion against undergmund utility damage. Call 48 hours before you intend to dig to rec:eive locates of underground utilities. www.aoaherstateonecall.ora I hereby acknowledge that this infortnation is complete and accurate;that the work will be in conformance with the ordinances and cades of the Ciry of Eagan; that I understand this is not a permit, but only an applicafion for a permit, and work is not to start without a permit; that the work wiA be in accordance with the approved plan in the case of rwrk which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin Code must be c�mpteted within 180 days ot permit issuance. x i "'b l S.e� �b rr� x ApplicanYs Printed Name Applica t' ig Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172229 Date Issued:09/21/2021 Permit Category:ePermit Site Address: 745 Hay Lake Rd N Lot:24 Block: 1 Addition: Fawn Ridge PID:10-25800-01-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory P Gamboni 745 Hay Lake Rd N Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature