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749 Hay Lake Rd NBLAG. PERMIT N0. .. t 01-3210 Bldg.. . PeXmi 01-3422 Pla$ Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT ? C1TY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATEt-? 19! w RECEIVED FROM ? AMOUN7 & DOLLARE too E]CASH Q CHECK FOR , . ? . . l.. .. Jf?? /? FUND CODE qMOUNT Thank You BY j _ 7 4 g ?. .? White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . E5 ATE 19 Receiveo ' - '-' - FROM AMOUNT $ I & ooLLwws ,oo EICASH n GHECK ft White-PaVers Copy Yellow-Posting Copy Pink-File Copy Thank You BY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PECTI4N RECQRD PERMIT TYPE: Permit Number: Date Issued: n1.1E t 0 r NN A:"i l h!, aA/i8J93 ? SITE ADDRESS. ' r " : t o ;• "0"'G1 H H 1 ' ?)y N11Y ,t?}hl It I l???f 'Pfi'? PERMIT SUBTYPE: ' ?;i.,- ? I I At;l1 3 W l "r : :1 0 ? q}. F f44! M APPLICANT: rlI Ft f 0 1,t t+ i f hi I'! I, I1 @! ! h FZ [ t. i:' l H40 TYPE OF WORK: W i.? I ! YJAI Pertnit Na Pormit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFWG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 14 FIREPLACE AIR TEST FI(VAL PLBG FINAL HTG pRSAT TEST BLDG FINAL BSMT R.I. 6SMT FINAL DECK FTG DECK FINAL OF EAGAN EM 3830 Pilot Knob Rcad, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 PERMIT Receipt # Est. Value ' Date Site Address Lot Block Sec/S u b. Z iy D Parcel No. Phone 1_ _ Phone I hereby acknowledge that I have read this applicatfon and state that the information is correct end agree to comply with all applicable State of Minneaota Statutea and City of Eagan Ordinances. Signature of Permittee OFFIC E USE ONLY On Site 3ewaye Occupancy MWCC System _ Zoninq On Site Well Type of Conet City Water _ (Actuaq (Alloweble) # of Stor{es Lenyth th D ep S.F. Total Footprint S.F. APPROVALS Aasessment8 Weter/Sewer Police Fire Engr. Planner Council Bidg. Off. APC Variance FEES _ Plen Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit Treatmerrt P1 TOTAL A Building Permit is issued to: on the express condition thet all work shall be done in accordance with all applicable State of Mfnnesota Statutea and City of Eagan Ordinencea Building Official Permit No. Psrmit Holder Date TNephone x Plpmbing a -. ,• , H.v.ac. ?- ;7? Electric Softener Inspectlon Data Insp. Commants Footings I % Footings II Foundation Framing ; c ?• Roofing Rough Plbg. Rough Htg, lsul. Fireplace Final Htg. - ? Final Plbg. Bldg. Final Cert Oca ?J Temp. LP Deck Ftg. Deck Frmg. X/? Well Pr. Disp. a 'a' (Ur#ifira#P of (Orrupanry titp of (Cagan Er}artitcpnf nf Iiuilbing JmWrriim This Certiftcate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code cenifying thar at rhe rirne of issuance this structure was in compliance with the various nrdinances of the Crty regulating building consrruction or use. For the following.• use Cksdfimtioa S" DWG/GAR Bids. K=k Nm 13367 t? v Oxupancy Type , Zoomg Distrut . Type CaM ovfm.aeuddn :,,}•??`P.i? CGP:;?"i -- Add"•+w66 td:.Duw'UOU DR/ i? GAN ?;^ ?,?? ??ty ',?.??, B1, rAWN t?TDCr 2i?iD au: etiaaing offikiil POST IN A CONSPICUOUS PLACE I CONTRACT PRICE: PERMIT # PLUMBING PERMIT RECEIPT # '71E 7F CITY OF EAGAN ., 3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE: 7 PHONE: 454-8100 SiteAddress loi.- - ? Block ' Sec/Sub -. . . ; a Namel-.? ? ? Address - c Ciry Phone ?a" ? ? Name c Address O Ciry Ph.one ., FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMfIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) t i ? -i SIGNATURE,Of PERMITTEE i BLOG. TYPE WORK DESCRIPTION Res. ? New ?? Mult. Add-on cGomm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -' ? Water Closet - $3.00 $ ' ?Bath Tubs - $3.00 7 ` = Lavatory - $3.00 Shower - $3.00 Kirchen Sink - $3.00 ? - Urinal/Bidet - $3.00 1-Laundry Tray - $3.00 ?Floor Drains - $1.50 ? . ? v Water Heater - 51 .50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 1 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 Rough Openings - $1.50 - FEE: ? a STATE S/C: ? I FOR: CITY OF EAGAN GRAND TOTAL• -2(-' G • ? a», 7777 ? MECHANICAL PERMIT RECEIPT # °LE CITY OF EAGAN PILOT KNOB ROAD, EAGAN, MN 55122 DATE: april 3 ,?. 9 C, i -, Name _..,.,.,o uon?; n„ ?, n Address 13075 Pioneer Tr ? c City Lden Prairle phone Name Corporate Address 4466 Wedge City Eagan , TYPE OF WORK Forced Air Lr,irlox 75,000 M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent ; brith irins CFM Gas Piping Outlets # Fltrn<<- VIll f FEE S/C: TOTAL: FEES ? RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ? GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - ta/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTCAL FEE - ALL ADD-ON 8 REMODELS - 12.00 ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 -? (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000) i L5.S / , j / ? .:.i.f,?/ r 1 • 5 SIGNATURE OF PERMITTEE )ti n BLDG.TYPE Res. x Other WORK DESCRIPTION New x Add-on Repair FOR: CITY OF EAGAN I CITY OF EAGAN SEWER SERVICE PERMIT j 3830 Pilot Knob Road ,)719 P.O. &Ix 21199 PERMIT NO.: Eagan, MN 551i 1 DATE: Zoning: ? No. of Units: ' Owner. Corporate Const. j Addresc ; 51te Plun I agree to comply with the Clty of Eayan Ordlnances. ?. BY Date of Insp.: '-1sp.: fOF EAGAN I Pilot Knob Road Bo* 21199 ., on, MN 55121 Const. Date: 3-2 6 _ ,. 7 Size: Date: nn. Chg: 525. t]0pd , ? ct. Dep: 15. OoTiii rmit Fee: =0. OOpC rcharge: _ . SOvd Plant 1S0,00pd Aer. 67 GlQpg 2oning: _ No. of Units: I agree to comply with the City oi Eeyan Ordinances. WATER SERVICE PERMIT GITY OF EA(3AN Permit No: 8579 oatg 32. 38 S 7 a s L 7 size: 3830 Pllot Kncb Road Meter No: P.O. Bo.x ^.119fi Reader No: DRAI 73y/ D Date: I/-/ 3-F.7- ? Eagan, MN 55121 ' Owner. ite Address: H3v Laice '-oad L? (! 71 * avi tumber ??avmoud ?'= . iiae - ?lu- - ,.? __ 5? 5 nn„? V? A ,..,, .... __ • , Connection Charge: 525 . OOpd ? Account Deposit: 15. 001>C1 Permit Fee: 10. OOpd { Surcharge: • ?opd Misc. Charges Total: Permit No: $579 Meter No: _ Reader No: -CITY OF EAGAN N° 13 3 6 7 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ? BUILDING PERMIT PHONE:454-St00 Receipt #e)1-71 7obeusedfor SF DWG/GAR Est.Value $69,000 Date P'1ARCH 20 ,19 $7 Site Address Lot 20 E Parcel No 749 NO HAY LARE RD 1 Sec/Sub.FAWN RIDGE 2ND ? Name CORPORATE CONSTRUCTION INC = Address 66 WEDGWOOD DR ? City EAGAN phone 454-0644 p Name SAME ?Q Addiess ? City Phone Uy?j W w Name F xz. Address aw Ciry Phone OFFICE USE ONLY OnSiteSewaga Occupancy MWCC System Zoning On Site Well 7ype of Const City Water X (ACluap (Allowable) # of Stori85 Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Wa[er/Sewer Police Fire Engr. Planner Council 1 hereby acknowledge that I have read this application and state Bldg. Off. thattheinformationiacorrectendagreetocompiywithallaDPlicable I APC State of Minnesota Statutes gpC)C? o?,Eagan Ordinances. Variance ? L ?Pl Signature of Permittee J? /C, A Building Permit is issued to: CORPORATE CONSTR[7CTION all work shall be done in accordance with all applicableJ$tate of Minne;alta Statute FEE$ _ Permit _ Surcharge _ Plan Review _ SAC,Ciry _ SAC, MWCC _ WaterConn. _ Water Meter _ Rofld Uni[ _ Trea[ment P7 _ Parks Copies TOTAL R3 -R1- V -v 40 48- 395.OC 34.5C 197-SC ?OE 59S OC f,7-pC -If1S OQ 7Rn 0c ?00 COon the express condition that and Ciry of Eegan Ordinancea Building Official Thi9 'tlQU05IVOid ?/// C??95014 . . ?? .. - •ic ??. u" , ? Reqmretl. [DNeady Now [] Wi II Nutitv InsPec- ? 13Yes ?NO tar When Neatly LLKicensetl Elecvical Contractor ' I hereb y.ra0uest insoection of above ? Owner alactrical work installatl et: SVeet Atldr s Boz or o le No. ? Cit? ?^? ?/ ection o. Township Name or o. ange No. County ? Oc - nt (PPZ Phone No.? ? S T Power Supplier Adtlress d ' Eleclrical ConVacmr (CompanV Neme) ontractor' License No. 3 9 Mailina 4ddress ICOntracmr or Ownar Making Instailationl uthonz iena ure n ac ner Makine Installationl Phone Number 14540 PENIVOCK LANE ' VWEP&ESMIE1BId1TbDF F11Fd1?A?GJL/1 G'! THIS INSPECTION NEQUEST WILL NOT Gripga-Midwav Bldy. - Room,Fl•187 - BE ACCEPTED BY THE STATE 60APD IlNLE55 PPOPER INSPECTION FEE IS 1837 Univsrsitv Avs.. 3t Peul. MN 66100 PMne (6121 862-0900 ENCLOSED. KEQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os / -' °/0/ / See instructiona br completi riy this form on beek ot yeliow copv. /1 "X" Below Wark Covered by This Request , ^ qsn') c} d Nep.1- Type ol Building Appliuncea Wired Equipment Wired L4 -1_ --1--14ome i- Range Temporarv Service A Ir ce N Fas Serviee EntranCeSize p Fee Feeders/5ubleeders +# Fee Ciecuits • 0 to200Am s 0 to30Am s .01 0 tn30Am A6ove 200 qmps 37 to 100 Amps 31 to 100 Amps Swinvnin Pool Above 700-Am s Above 700-Am ' Transfortners Irrigation Boorcis Partial."Other Fee ial Inspection 1, the EleclrieSf- Inspector, hereby cerliiy thal the abpva inaoection has been 458-580 5]. R Y ISt1Q-7 REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electrir,iry 1821 University Ave., Rm. 5-128, 5. Paul, MN 55104 ? Phone (612) 64z-o8oo?9 rJ Home Du`lexv Apt. Bld . bther New Addn Commerciol Indushiol Farm Remod Re air Air Cond. Htg. Equip. Wofer Htr. Load mf. I Olher: Dryer Ronge Elec. Heot Temp. Service "X" obove f6e work covered 6y rhis request. Enter remorks in rhis space and on fhe back oi the white ropy only. ki V u lM?tl?.? +A-LP Vw'l-/- t! Calculofe Inspeclion Fee - This fnspecfion Requesl will not be accepted without the correcf Fee: Other Fee # Scrvice Entrance Size Fee il Cirtuils/Feeders Fee Mobile Home Park Stall 0 fo 200 Amps 0 t0 100 Amps Street Lig./Tmffic Sig. Above 200_Amps ^ ve 100-Am s Tmnsformer/Generafor INSPECTOR'S USE ONLY s, TOTAL $ign/Oulline Lfg. Xfmr. ?? 20 .50 Alorm/Remofe Control Swimming Pool i i I herecerti IhatJ'ins e elxtriml InsmlloHan dexribed heretn on Ihe da?s siored Irrigofion Boom Rougkln ' Dme S eciallns ection p p Inves}igative Fee Firol - THIS INSTALLATION MAY BE ORDERED DISCONN €Q IF NO OMPLETED WITHI 18 MO H5. ^• // ??/C ? OFFlCE USE ONLY This request void 18 months $an vay ??k? ?d in this 6ox. 'Y 7 ? ,/??A ?QNd )1;1.0?'P• ?n ? Oo I IIII II I llifilili'll 11111111111111111111111111 I III?o?O? ??? Jlu/1AG / oc U// * 0 4 5 8 5 8 0 8* PLEASE PRINT OR TYPE a&-) Request Da1e y_i?_q--? Roughin insp«tion ,equiredR ? Yes No (ya?mus?cailIheinspecrorwhenreody) I Inspenian Olher TMn RougMn: ? Ready Now Wtll Call DateReady licensed coniractor ? owner hereby request inspecfion of fhe above electrical work at: Job Address ISneet Bm Rou?e Na.) ? L?q N.1 Ua,V? 2oad Ciy ?a Zlp Code Sxnon No. Townahip Name or N. Range No. fire No. Cwnry? { ??L? Occrupont , r Phone No. gqD-r)jEg Power Sopplier Address Elecniml Connacbr (Cwnpany Name l l`?n EI c?- Co ns?. C? . Con or Lioanse No -oo qo Masier Lic Na. (%om Elect Onlyl Moiling Address I ?? ?'?r Pghr ing I?bll ? 2? ?c,- ee?- N 55107 Authorired Si narore jConn r or Owne, Pe,hrming anion) Ph. Na. Zz? z$ 33 E6,WtA-1hK6 n 1n STA7E BOAflVCAPY - SEE INSTNUCT10N5 ON BpCK OF VELLOW COPY U ?r 6 0 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conekuctkn ReauhameMe • 3 rBglsterBd Sile SUrveyS Showing Sq. tt. of bt, Sq. it.01 house; and gll r00iBd areas (20°/> maunum bt cove2ge albwed) • 2 copias ol plan snowhg beam & window saes; pouretl found design, eta) • 1 set of Energy Cakulatbns • 3 copies ol Tree Presenatbn Plan If bt platled etter 711199 • RimJOistoetail OptbnsseWctbnsheet(bklgswim3oriessunis) DATE Z7 IZ ° ?2` SITE ADDRESS C? Y I N ` TYPE OF WORK I-Cu? ' o APPLICANT v_u.g 4 5,eTv P ?d.? sT MULTI-FAMILY BLDG _ Y _ N _ FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS 10`4 ?- TELEPHONE #?? S Yol 2 CELL PHONE # PROPERTYOWNER 6 r c- ?.e.? S r>-7 TELEPHONE # -----------------------------°-----------------------°----------------------------- COMPLETE THIS SECTION FOR °NEW,, RESIDENTIAL BUiLDINGS ONLY Energy Code Category/ ;/ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submiesion typ,e?J.%''? . Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Su6mitted ? • Energy Envelope Calculations Submitted 1,10 Plumbing Contractor: Plumbing system includes: Mechanical Conhacfor. Mechanical system includes: Sewer/Water Conhactor. _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System !.? 0i'-?-4 STATV1"( ZIP FAX # Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 --------------------°-----°---°-----------------------°----------°------------ I hereby acknowledge That I have read this applicaTion, state that the inf rmation is correct, a d, with all applicable State of Minnesota Statutes and City of Eagan Or i nces. I Signature of Applicanf -----_----__._______------------------ ---- ___--?'rc?s ??,. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ modeUHeueirReauhemeMS 03. 3- 75- • 2 copiesof plan • lsetofEnergyCebulationstorheatedatleiCnns • 1 3ite survey for edenor addmons 8 tlecks • Intlicate il hane served by septb system for atldRbns rd VALUATION ?1` b 0 to comply Updatad 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 38 Mufti ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ 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 AHeration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacemant •Demolition (Entire Bldg only) - Gfve PCA handout to appliwnt 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) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumhing Foundation HVAC Drain Tite Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical PeRnit License Search Copies Other ToWI r. . :? CtTY'?]i?.EP?? : TER2'iTk?A1.. N7* ° 94 ' , ; < < zn . ?1E?1`1?'Y _ .1`!Y'{.°:6Tr?i°'Cf?`ti?_???' r HAE L,k Sc :n13 1 2_'i? `?s3?J,'1 i'?.9 ?iA`?•Lt:'?,, `+ ? C.Sq . ; ,. . „ . .z . - . , . . ', . . k . . ?. fi Nk,tS!' _ . , ? .. . ., . .. ?'o.,r???G+kWxix .$,•a7X?Xm %,? ts SX;:t>`a46'dY Y;°J:tYt.?. ? _ , .,- . ,'. ----?CITI? OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: eurLozrvG Permit Number: @ 2 9 7 6 6 Date Issued: 0 4 J 18 J 9 7 749 HAY LAKE RD N LOT: 20 BLOCK: 1 FflWN RSDGE 2ND P.Z.N.: 10-25801-200-01 DESCRIPTION: iuildinj,Permit Type _i=Buil-ding ?bd'aar,c?Type " Census Gode' ?.._, ?. . . . . .. ?^"9T\ y 1?i'. . ? . . . .. . . . . ??% \ 5?? ?\• ? v?r? i ? REMARKS: FIREPLACE NEW 434 ALT. RESIDEN7IAL ? .-'• ? 'l " ? ? ? r ? FEE SUMMARY: Base Fee $50.00 Surcharge $.58 Total Fee $50.50 CONTRACTOR: _ Applicant - sT. t,zc.OWNER: H?AT-N-GLO FIREPLACES 18900758 0002960 RANK S7EVE 3850 W HWY 13 749 HflY LAKE RD N BURNSVILLE MN 55337 EAGAN MN 55123 (612) 890-0758 (612)686-6259 T hereby acknowletlqe that I have read_ this.application and state that xhe informaCion :is correct dnd agree to comply with all applicable Stdte of Mrv. StatuCes andCityvf 6agan Ardi:nances. -`- ? . . _ ? _ . ' . .._ . ? APPLICANT/PERMITEE SIGNATURE ISSUED B?: GNATURE CITYOFEAGAN L16'd 830 PILOT KNOB RD - SS122 0: 0765 1997 FII2EPLACE PERNIIT APPLICATTON ??? 681-4675 DATE: 4 /PERMIT FEE: $50.50 ??o S DESCRIPTION OF WORK: L-0 CONSTRUCT NM FIILEPLACE _ ALTERATIONS TO EXISTING OTFER: STREET ADDRESS: 1 LOT 90 BLOCK APPLICANT: (circle one only) _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY ? SUBD./P.I.D. #: 't OWNER CONTRACTOR a14 ° -- 1 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER Name: cS l L?? Phone #: 4$ 6- b z S? / Signature: FII2EPLACE INSTALLER GAS LWE INSTALLER Street Address: ! L- City: ?A 4??AoV State: N StrcefAddress?58Z-d CitjZ deL"\1 l L-?-? State: ? Company: Name: _ Signature: Street Add City: - zip: /' Z '67S one #;890 / License #: Z ob 70 91 Zip: Phone #: State: Zip: ,_ . OFFICE USE ONLY BUILDING PERNIIT TYPE ? 14 Fireplace W ORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. 1987 BQILDING PERI?IIIY 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IRCLQDE 2 SEfS OF PLANS, 3 CSRTIFICATSS OF S[TRVEY, 1 SST OF ENERGY CALCQLATION3 - r NOTE: ADDRESSES FOR CORNfiR LOTS - CONYRACTOR/HOMEOTiiNfiR MDST DESIGHAYB AHICH ADDRESS IS DFSIRED. ND CHANG&S WILL SB ALLOWED ONCS BQILDING PERNIIT IS ISSDSD. MULTIPLE DWELLINGS - RBSIDENTIAL RBNTAL iTAITS FOR SALS UHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOBVEY - CHECB TdITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCI9I. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFIC9TION5 AND 1 SET OF ENERGY CALCULATIONS, ? $2,000 LANDSCAPE BOND To Be Used For: NCw Valuation: p+,000 Date: T-1 &-d7 Site Address 24c? L . uAY l aee (2) Lot Zo Block ? Parcel/Sub ?„?,,,,,,, ??d9. 2,"•? Ad? Owner l..p'PO.cf(r ?p1?s?,'ry?i Address l.irC3ty/Zip Code 4n557-123 Phone CSK 06Yy Contractor S-dKlP - Address City/Zip Cade Phone Arch./Engr. Address City/Zip Code Phone B On Site Sewage` MWCC System N"? On Site Well City Water ? APPROVALS Assessments Water/Sewer Police Fire Engr Planner ' Council Bldg Off APC Variance Oceupancy ?•3 ' Zoning Type of Const (Actual) ? (Allowable) # of Stories Length 40 Depth S.F. Total Footprint S.F. FSFS Permit ? Surcharge 4- Plan Review _$D 197 SAC, City ?po. SAC, MWCC S2_5_ Water Conn GZS Water Meter (fl?. Road Unit 30 5. Treatment Pl Parks Copies TOTAL ? ?-3 } `? "o v?-7 (o (2x12 ? ??I4 x 4-4 ? C?23cn 2Dx22" (; 3 x 4? ? z'7 ? 2 ,44o x ? Z = J28 ? ? r . r g ?`? ? • SURVEYDF?'S?? CERTIFICATE CORPORATE CONSTRUCTION • ? ?? • ' C8l'6do•6.0.62 N64°24'IS"E?• 9?? ) , "• . / n xi. ? . .. J 1 i ' dDAAfNA6E A U77LlTY ? ? . [AS6M6NT r6R PLAT, 6 \? . . W I g LOT 201 in (7)1 N 11 4- r- - N 13R9 40.0 i'- N P Houe E? N ? ? w/ A •? ? Ma IA m,p? ? a g mGAP-/*M W \ ,• / ?yno? ? ? ? m .. • ?.G . 20.0 . ? ?, ? cd 2 70.76 :•' R•580.00 ? 6.00? ? p.6°59'23p N N 6403510011 E ORTHHAY?. LAKE.:. RO ?-?, DENOTES PROPOSED SURFACE DRAINAGE SCALE; 1 INCH ? 30 FEET • O DENOTES INON MONUMEN7 SET • DENOTES IRON MONUMENT FOUND PROPOSED GIIRAGE fL00R - 92'L-16 FEET %000.0 DENOTES EXISTING ELEVA710N PROPOSED LOWEST FLOOR ¦ 919•5 FEET (000.0) DENOTES PROPOSED ELEVA710N Pti0PD5EU TDP. OF BLOCK ¦ 927-•'1 FEET, 1 HEREBY CERTIFY TO CORPORATE CONSTRUCTION TNAT TH15 15 A TRUE AND CORIiECT REPRESENTATIUN OF A Sl1RVEY OF THE 60UNDARIES OF: ' Lot 20, Block 1; fAWN RIDGE 2ND ADDITION, accordi,ng to.the • • recorded plat thereof, Dakota County, Minnesota. AtID OF THE LOCATION OP A PROPOSED BUILDING. IT DOES NOT PURPOAT TO 51f04f 1FiPROVEMENTS ON ENCROACHMENTS, iF ANY, THEREON. AS SURVEYED 8Y ME, OR UNUER MY DIRECT SUPERV1510N, TfllS 2bTH OAY OF Jar4uAa.y , 1987. ' PROPOSED ELEVATIONS SNOWN ARE AS SIGNED: JAMES R. HILL, 1NC. TAKEN FROM THE GRADING,DRAINAGE:;• • ANO EROSION CONTROL PLAN FOR FAWN RIDGE 2ND ADDITION PREPARED BY G? PR08E ENGINEERING COMPANY, 1NC. BY: LAST DATED 8-21-86. NAROLD C. PETER50N, LAIIU SURYEYOR M1NI8ESOTA LICENSE W. 12294 . • PAOJECT N0, soo?c ? PnGE JAMES R. HILL, INC. 87039 planners / Enginesrs / Surveyors FILE NO. ' 8200 Humboidl Avenu• 6oulh . FOLDER • ,e?oominDlon; Mn. 66431 012-0e4-3029 . . ' MltltlhJVlw oI - BeSED ov r,HA TER OF T MODEL ERGY CODE - DITLOK_-_ Adoptlun Eff*c[lv• l!i/ 4 . )wner Phone ;1tt address :ontrLCtOr :NIC?c.? .?hOne su11d1ng Classlficatlon: Type At (51n_gle fa:nily 3 Ouplex) ?/ Type A2 (Residentiat? (3 stoHes or ess (Other) 3EHERAL INFDRlWTION (Over 1 staries) 1. 8u11ding Perimeter \ tk (o ft. LZy?; ?'? ?'. Wail height (grounC to eave) ft. 2 3. i. x 2. (aDove) gross ti+all 4rga 4,052L4 ft. }\q??. I . Building dimensions (L) 4o x(W) z(o •? Z3 ? ft.2 roof S floor area : S. SQuare fcot area of rim joist - Floor joist size (2 x to? ) to? x Ferimeter • Rim o st area ? zO.o ft2 1f- 6 . Doors - Area `t . Th1c r?ess ?3Iq"? n. actor Typt of Costruct oi n 4 r\ -rerimetv 1ce• 3z ? 15.4F,- fL. ManufatWrer?? ? 7. Total door's perimeter ? z. z tb ft J 8. Wlndows: Menufacturer ??•-C' o? State approved U factor TYPE SIZE AR:A (f:.2) 4ri1M8ER Of TOTAI fEET Z Cft C.. . ?. cqCH UNITS ?.4r, lo (,4. vk . ? Z ?c??so ? ? s9 S_?iQ So3(, 2 _ l? 59 5040__ ? 14.-1 4 q4.7?2?_ .. g. Total ft.Z Glass ? 5 `;6a a k 106 fireplece area: W dth x heiaht ¦ {? z__? FL•Z 1Exposed founda N on: Helqht x Perimeter Ft.Z :)MPLETION OF THIS FORM 1S REQUIRED FOR ALL NEY COfISTRUCTION. MAJOR REMOOELING ANO,BUIlOi.'1G5 BEING 13VED 4?HERE ENER6Y, OTHER THAY TFIE MINIP4'1l COOE AILONANCE, IS USED. ?iny airar • tO? ot ??ts Mrlti ?rra. :.. ,: a ?Y: ? 2 j _ ;ross wll ara Zo G-, 4 - f*•• `? Nindow area A ft.Z 1: velndows • a '? !1 x A ¦?,,?,q0 =i ?• Rfii joist erN A ? O ft.2 U rim joist ? . CD-A, U x A ¦__„ , . , poor area A ., ft.? 7 door area ¦ ,, ??? U x A 'c , Ftreplace arN A ? 2 f:. U _ rireplace U x a •_? Exposed Toundation A -7 ¢, f!.' 0 foundation ¦ ..\\ U x A • min ar a A f O ( 2 ft - U franing area • O`i U x A • g .., . _ ra fl -?t J= Net watl area a 14 5a.. !? ?,`t• i 'J wa 11 = „ [-j-?{ ? U x A • ?O ? 50 f (>?o -:;-..L . . . . . . . . . . U x ; C Gross wail area x 0.11 (A-1 single famil.y S du;:>x • allowable UA A/Code (13. above) ' x 0.23 (A-2 other resiCentia'.; • x .23 !0[her building:` .c ^8 (Ovet• i stor;-) .? . _ ? TUH Must be larger than ? A ?O x t! Ccde. .- `?, -- 138 above. --r-- Caiting fraAtng area (Af) aquals 10= nf c_;1;n, ;rea ? or the same as) - ?1..; 6ross ceiling area ? (L) C) x(W) ft.2 Joist erw (Af), • 10'; csiling area ft.2. Ne: ceilino are: (Ac) (15A - 156) -?k Q fL.2 il ceiling :c A c¦ 'Z x_k Q?i?;, ' ?•'? _ ?`I U framing z A f¦ _ O 4 x_???.? 0. TOTAL U z A ....................................... ?-T i.etlin9 srea (15A) x 0.026 {A-1 single `amily S duplex - code allowable U x A T? . x 0.033 (A-2 other res'ida.^.tial) • x O.C6 (other) • BTUH Must be larger than 150 (aCa've) q(I5.1) x?ftodeL pZ(o ?F (or the same as) _ Z) ?.. oQ) NOTE: Use U and a values oDtained f••om nps 1, 3 and 4. , . . ?., .. .i - 1\... . ... . ?... , • ?u SYCTIQM i sTLID sccria+ ' 2ND uALI SLGii'?K ?a , ! .; . - RlM JOIST ,r , r? ?a ,r•', . s?•. ?.. __.?.r_.. ?'. ?.; .1..} J 4 ?bi [` 1:?4 ' I }. ?' I `?! ? r ]! ;` ? l -77 Intartoe wil • . 4? ? ? ? • I • rv 6`• F K!nsuia[lvn oo i ??nthini I...S1.s i t c?-r, 0 4'?: rJutsldv- air Ellm .17 ? t 3 T07AL N lnalde air f ila ? lnt.:toc +si1 •4? ':.? ' ?/" ? scud R? ? (Framing) U ? ? • ;.? ' I ?q I ?hea[hing Z.ole 1i. Sldfns ^. ,Il OutsiC• air illn .17 ? . . ?? • ?'? :.. .'?? • J , . m -OTAL ? O . ? Q ':%? Insltle air C:lM R• .68 InterLor vail ,i inoutactcn 1C}.op (uall3 . • ??':": f;?:'I Shaathtng Exterlor vA11 :overing ? Extretor air t11m n ..1% s toTeL 2'303 z ; , .? ln[rriur air film ?! .63 :r.suln'.lon ?61.00 1? ir,th Su[r vuuJ R>1.88 (RiA1 U •.?!''...-'.`?,a \ YOISL); IL. '? C' 3/`4 S Sheac?Yhg O` 4 7/?u L''nteror wall cuvr.rina, •?O? lih Esteclor air illm Rs :I7 ? ? . ' 0 4 ? a mrAL ' ?4 4(e . : ?: ? . I ? lnt?.rtor air iiln R• .68 G lnsula:lor. -?.00 I ??Y Cer«a?, FounJatiun Z•lo (Fdn.) U •?? . b xtector air ftln a`,7 QN. I < F TOTAL 5. I I f:cpoaed 31ucK ,? r--? • rroCe . ? ,y ?P?{?'n ay,. r???•i?y y?y'?.St.?? y.??/?. ?,? e? - c -ll a ? • }4?1?'??li h?I???? ??t :?5..1'? t i ??? ...>? ? :? : AP A4r'iitm 0161 . ? 3\ .15 insulation 44 . o • . ?, ?} . 3 ?, 011 ?. 3-7 .93 ,oz(-4 Joist s Y `. Ceiliny Air F11m 0.61 ? rotat a V F!.4T aoOF oa carHEDwAl. CEiLt,+G ---FTaTue ? R YaI.UE FR,;MING CEILIriG I td i fi 0.61 ,. ns e a r 1?m Ceiiing 1 Joist (stud Insulatton dir SpaCR Roof de:kinq Insulation Buttt-uv roof Outsidt a1.r t.iiw p TotaT R I o " V pdow 1nf11tratic-i 5 tfai/tineal foot of crack ;1QRn t1a1 door, inNltration 0.5 cfm/sQuare fao: or dcor and mininur code requlremcnt e-res identiai door infiltration 11.0 cfr/lineal foot of crack ; ,. 12" conri•ett block no tnsu9ation - .4I R 2.1 r i 12" concrete block lnsulated cOrts =.26 R 3.8 12" light.KipA? black - •.32 R 3.1 . ..; 12" 11ght?etght blxk Wsutated cores ?.12 Q 9.3 , tiayle gtasi ? 1:13: wlth storirn windox .54 . ? z ?`?doubl? ?lass •..56 . ''i 1, tripl• q1as; • .81 311 euterior vells and ceilings must have a vapor barrier (C.10 perm glax.). :#por barrier aKest be on tht 4nslde (heeted side) of Nall. 44por barrters of.tht polyethelenQ thfn film have na R valuc. ;.. ;.? • a. . ? !f . CITY OF EAGAN APPLICATION FOR PERMIT =R AND/OR WATER CONNECTION !J, CN1LI •_ . '? 1) PROPERTY ADDRESS: --I l? ct T LEGAL DESCRIPTION: ase :*TOTF: PAYMH NC OF FFE AT TIME OF 't ArrtscATIorr noFS Nom CONsriTurE F APPROVAL OF PEEU+IIT. ` rNSPncizotv oF sEWEz ArID/ox MOM ; TTISTAT.TATTOIIS WIIS. NC7P BE SCFED- : = I]NTIL PII2NIIT HAS BEEP] : APPRdVID. (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRCt.ZURE, DATE OF ORIGINAL BC'ILDING PERMIT ISS['ANCE: . Year PRFSENP ZpNIi?/PROPOSID LSE: (Nbn C] CONP7ERCIAL/RETAIL/OFFICE r7 IAIDL?STRIAL n INSTI'I[."fIONAL/GpVERNMEN'P NrR-1 SINGLE FAMILY Q R-2 DLPLEX (7tao Onits) CD R-3 TOWNFiOUSE (Three + Units) ( Dnits) Fl R-4 APARTT'hNP/COAIDON1iNI(.T1 ( Units ) 2) N71ME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) ' c ?'• NAME: ADDRESS: CZTY, STATE, ZIP: PHONE: MASTER LICENSE# 41 s• M? NAME: ADDRESS: CITSt, STATE, ZIP: PHONE: Plisnbers License: Active F?cpired Not recorded StaFf-Initial 5) ? r a• • ?• : ? • ?? - a?? UrC(&NE(.TSON ZU CITY SEWII2 M??.`tION TC) CITY WATER ? OTHER_ 6) ?? • • i- ? pLEASE HOLD APPROVID pERMIT FY)R PICK-PP BY ONE OF AHOVE PLEASE MAIL APPROVID PERMIT TO 11 2(?. ABOVE n n (Circle one) ? FOR CITY USE ONLY PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ s /4 • '? C? $ $ /o - ?? 0? SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) $ /r; 7, Ga-D $ WATER METER/COPPERHORN/OC'TSIDE READER $ S WATER TAP ( I[VCLUDE CORPORATION STOP ) $ $ SEWER TAP $ I.SI$ ACCOLNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ J Z? l? $ WAC S 6 $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ / O D' C? C7 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $c? -71 / I d' $ TOTAL ' Cqo2 7, o v " /A ? RECEIPT RECEIPT , DOES.DTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC'RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: I DATE: ?Z(p ?? 7 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/$OMEOWNER M[IST DESIGNATE WHICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCOLATIONS COMA'fERCIAL ? INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUR L PLANS, ?- 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used ror: Valuation: Date: Site Address -(qq-A) Lot 2D Block Parcel/Sub Owner m rr Address City/Zip Code 1a3 -- Phone (V 69D/- (?SOa, Contraetor Address City/Zip Code Soapa,ve -TSU 7 5- Phone Arch./Engr. Address City/Zip Code Phone It 3- 01C-7? - U 3 OFFZCE USE ONLY 00 J °-° I On site sewage _ Oceupancy MWCC system Zaning On site well Actual Const City water _ Allowable PRV required l6 of stories Booster Pump ` Length Depth S.F. Total Footprint S.F. IlAPPROVALS FEES Engr/Assess . Permit Planner Surcharge , Council Plan Review Bldg. Off. 4)Z57-3/ZZ SAC , City Variance - SAC, MWCC .. Water Conn Water Meter Road Unit Treatment P1 Parks Copies I _ TOTAL . ?,$" Midwest Remodeling & CONSTRUCTION COMPANY Customer ` Address City Phone: (Hm.)a/ . 4z?. , , Salesman, '?) „) 2,r SS/? 14 , kl- W2-- (W k.) ? 'Y2 c- _ Q -:Z , ri .c ? DIAGRAM -?-- --- ; , ? ? t • . _ _ _ - --, ? , , - - _- , , r , -- - ! -- , ' - _ _ - ? -?- --?_. _ ? ----! ? ---? . - --- ? ----. PERMIT City of Eagan Permit Type:Building Permit Number:EA114056 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 749 Hay Lake Rd N Lot:20 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-200 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 . Eva Lewis Valuation: 4,000.00 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 - Li Eau Ly 749 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129927 Date Issued:03/24/2015 Permit Category:ePermit Site Address: 749 Hay Lake Rd N Lot:20 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Li Eau Ly 749 Hay Lake Rd N Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature For Office Use L� °� �° :::e: [,, E AG A N ,„ .....0 1 0.5' Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinclinspectionsCa?cityofeactan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: j Name: '"1:y `� c( t. L1 "4 Phone: ifs L _� i_1s 6 7 Resident! /` 1 Owner ; Address/City/Zip: ) i-i ) A/ /f �L 6Z r., R tt'c G,1'(11,,,L, MN S' 1 z3 U F Applicant is: ✓Owner Contractor Type of Work Description of work: (� G'( Iii - tr Construction Cost: Multi-Family Building: (Yes /No ) , Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,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: iSewer&Water Contractor: Phone: • Fire Suppression Contractor: Phone: NOTE:Plans and su••pporting documents that you submit are considered to be public information. Portions of the information maybe j classified as non-•ublic if ou •rovide s•ecific reasons that would •ermit the Ci to conclude that the are trade secrets. I websiteou at subscribe to receive cei a an electronic notificationn from Ci._. .. osedmm n up f . :: ll.:; p a eo _._. ..:i.. the City of proposed ordinances by signing for an email update on the City's Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq 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 which requires a review and approval of plans. � ' XV —Tr et.44- t. L l 2/ x 'll t Applicant's Printed Name Applicant's Signattfex PERMIT City of Eagan Permit Type:Building Permit Number:EA169369 Date Issued:05/24/2021 Permit Category:ePermit Site Address: 749 Hay Lake Rd N Lot:20 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-200 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 - Li Eau Ly 749 Hay Lake Rd N Eagan MN 55123 (917) 691-2866 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature Nov 21, 2021 Re: Permit # EA169369 To Whom It May Concern: Please be advised that the permit obtained for 749 North Hay Lake Rd for Windows is to be canceled. The homeowner has withdrawn their contract with our company. I certify that no work has been done at this address by Home Depot USA, Inc and we would like to cancel out the permit that has been submitted. If you have any further questions, please feel free to contact Phuong Huynh via email at phuonghuynh@gopermits.org. Thank you,