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750 Hay Lake Rd NCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ON RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: 4111: 750 ,,, ?? ? ?;?? ? , ? ?vi? PERMIT SUBTYPE: 1; !! 1, ? i N w. 11: b APPLICANT: r ?. 1,- ) ?i!.d A c I TYPE OF WORK: i I ra A t m Permit No. Permit Holder Date Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final ? Well Pr. Disp. CITY OF EAGAN f? t n 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 454-8100 BUILDING PERMIT Receipt # To be used for 5r' ywU, 5ite Address 750 NO _ot 2 Block 3 , 'arcel No. w Name RSi•1 HO 3 Address 1$ 30 8 ° PRIOR City -14one a Name SA`9E i I.- o¢ Address ~ City Phone ? W Name _z _ a Address i W City Phone 12893 .7 $62,000 Date 86 Erect In Occupancy x3 DGE 2ND Remodel ? Zoning R1 Repair ? Type of Const11 Addition ? No. Stories Move ? Length -46 LVD Demolish ? Depth 4..6- Int Impr. ? Sq. Ft Install ? 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 Pkof Eagan Ordinances. Signature of Permitt e`e ' A Building Permit is issued1W all work shall be done in accordance with all Building Official Assessment Permit ? ? 1-7 . v v Water & Sew. Surcharge 31.00 Police Ptan Review_ 159.5b Fire SAC 575.00 Eng. Water Conn. 500. 00 Planner Water Meter 63.50 Council BIdg.Off. 11/20/8 Road Unit 290. 00 Tr pi. 156.00 Var. Date Copiera Total $2+494.00 on the express condition that Statutes and Ciry of Eagan Ordinances. ? PormN No. PwmN HoldK Dtle TNephone Ik PIumSW++y ? 5 7 H.Y.A.C. Sff- a ..?, n;u Elecbic ? . 3Q /• // ??r "G , i is 7 l?g; o c SoMsnK Inspectlon Dsb Inap. Commonh FooHnps I Footlnya11 Foundaibn Fnminq RooNny Rouyh Plbp• Rouyh Htp. Insul. F{replsee Final Hty. Final Pibp. -? Bldq. Finai Cort. Occ. Deck Ftp. Deck Frmp. W4001I Pr. Dbp. • . PERMIT # 251-=' 5 7 ? PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?i CONTRACT PRICE PHONE 454-8100 Site Address '2Sb '' !-9 ''' k= r' v BLDG. TYPE WORK DESCRIPTION Lot ? Block ? Sec/Sub 44 -? - Res New ? . ? m Name A'?`" Mult Add-on ? Address %t • Comm. Repair c Ci1y r°c ,4"., Phone Other Name ?•i" = NO. FIXTURES TOTAL ? W t 3 Cl 0 s ?, er a .0 oset - $ . 3 Address ? Bath Tubs - $3.00 O City Phone ? Lavatory - $3.00 ! Shower - $3.00 T Kitchen Sink - $3.00 " FEES ? COMM/IND FEE - 1% OF CONTRACT FEE / Urinal/Bidet -$3.00 Laundry Tray - $3.00 MINIMi1M - RESIQENTIAL FEE _ $1p,pp T Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 / Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Wh???? ??'? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 ` I BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 = ' 66s?? C_ Rough Openings - $1.50 SIG TURE OF PERMITTEE FEE ?? ? STATE S/C: ' FOR CITY OF EAGAN GRAND TOTAL• `? 7? n PEFiMiT # o Z'(/ s` v MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE J? CONTRACT PRICE PHQNE: 454-8100 Site Address Lot Block ? Sec/Sub BLDG. TYPE WORK DESCRIPTION . Res.? New . ? ? Name ? (_ '' • j, ? „ - Mult Add-on .c Address - ? + Comm. Repair c Ciry ,_.L4` Phone Other Name FEES RES ' . HVAC 0-100 M BTU - $24.00 c Address • ? ? '? ? ` ?? -- - ADDITIO.NAL •- 50 M-BTU - 6 00 . ? O CitY Phone ` .? ? (RES. HVAC INCLUDES A/C ON NEW i CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU ? APT. BLDGS. - COMM. RATE APPUES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES MlNIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Pi i O tl # (ADD $.50 S/C IF PERMIT PRICE GOES p ng u ets BEYOND $1,000) O ther $ , FEE i -t ? S1C: SIGNATURE OF PERINITTEE TOTAL• ? FOR: GTY OF EAGAN CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 19 . REC6IVED FROM AMOUNT $ a ooLLwres ,oo E]CASH C]CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY BLDG. PERMIT tiC2,. 01-3210 Bldg.C P.?ermi _;,c-`? 01-3422 Plan Check 01-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water MeteY Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL I CITY OF EAGAN ? 3830 !'7lot wnob Road ! P.O. Box 21190 i Eagan, MN 55121 ' Zoning: ''.I r,r-,l 7Owner. -'!' Yon'Es Address: Site Addess: 7 50 ? '? • '' Plumber: Meter No.: ? I Size: .12 Reader No.:v 61 / 't I agree to comply wffh the ip CITY OF 3830 Pila WATER SERVICE PERMIT PERMfT NO.: P, 6 • ? . DATE No. of Units: ? Lake Road T,'_' 7 Ridge II luab inry -Al ion Charge: Te d1gg+R?4?g?F 15. 0Opd 1Q. t)0 Cl EL?t,Fb1?,? ?g? . 5 0 L? ?tJ1RE???ha 156.00 rl TP 63.50nct mete P.O. Box 21199 PERMIT NO.: 14" Eagan, MN SSD?1 DATE: ` -19 86 - Zoning: No. of Units; awner. RSM HOmeS Addross• Site Plun I agree to compiy Ifth !he Cify of Eagan Ordinances. Connection Charge: 475, flOnr, Account Deposit: _ 15. QOpd Permit Fee: - 1Q . QQod Surcharge: - Misc. Charges Total: f cinr oF EaGnN WATER SERVI CE PERMIT 3830 Pilot Knob Road P.O. BOx 21i90 '- PERMIT NO.: r? J 6 - 1 Eagan, MN 55121 DATE: f Zoning: ?S No. of Units: -L . ?,z go?es Owner: ? Address: SiteAddess: 754 "To. iIay Lake road ?,`? 13 Fawn _T?ic:ye IY Plumber. =ake Side '2Iumhin g ? Meter No.: Connection Charge: 5?'l -?, ^?'? Size; Account Deposit: IS . 0?)pc; ? Reader No.: Permit Fee: 1'•? . 0?1X' ! 1 agree fo comply wlth the City of Eagan Surcharge: •50pe ! Ordinances. Misc. Charges: F S E, 00pd TP ' I TotaL• 63.50pd metQr BY Date Paid: ; Date oi Insp.: Insp.: i k --r - / a - F_7 - . Tnis request void ///S/g 7 18 months trom ? C '"-7?.21 &I 515w ' 7l0 X- Aga o Peduest Dete p /? ? J Fire No. Nouph•iMnsVection Neowred? [:)fleatlv Nuw,?Oill Notily InsVec- t Wh N /? ?AYes ? No ar an eady M-Licensetl Electrical Contractor I herebv reQUest inspecfion of above ? Owner eleetrical work installed at: Street Ad/dress, Box or Raute No. /5 ? - ? )cc-k,?? kldtl iv etuun o. TownshiD Neme or N061 anee No. Counly Occ4o' n (P NT) P1,o ? ??';j P Supplier Atldress 076 e lrical Cantrector Co Y Neme/l]A /? Co ??rnc/}or s i nfs?e N? ( ailin Address IContrec - r or Owner Making Instailation). ? , c 37 S ? Authorize ' nature IC tr ctor? r kinp Installation) Pho?e Number / (!/J MINNESOTA $TpTE BOARD OG ELECTqICITY THIS INSPECTION REQUEST WILL NOT Gripps-Midwey BId9• - poom N•791 BE ACCEPTED BV THE STqTE BOAND 7827 Univeraitv Ava.. St. Peul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phene f8121 662.0600 ENCLOSEO. 51 ?7 qEQUEST FOR ELECTflICAL INSPECTION Ee-OpOOU7-05? , See instructiene Ior tompletinp this torm on beck of Vellow copy. &/ 9 7/T C 7y?'? 1 "X" Be/ow Work Covered by 7his Request . AdCI Aeo. Tvoe of Huildina Aoolionces WireC EquiVment Wired Electric p Fee SeeviceEntreneeSite d Fee Feeders/SUbleeders # Fae Circuits U to 200 qm 5 0 to 30 Am s ? 0 to 30 Am A6ove 200 qmJzs 31 to 100 Ainps 31 to 100 Am Swinunin Pool Above 100_Am s Above 100_E+m s Transformers Irrigation Booms PartiaL"Other Fee Signs Special Inspection $ TOTAL F? eme rks ? ????? ` the ElechicaT InsDector, heraby ( certilY that the nbova Finel inspection has been r reaua„ This rnquesl voiA te moncns aum [ 630641_a a3 ?. e i.o. ..s.a.,.o. ? ? ? J/ e?rred7 ?No ?Ready Now ?II Notif¢ InsDec- t7' ???0 'yQYas t r When Reedy $jrLice.jsed Electrical ContraCtor I heraby requeat Inepaction o1 above Owndr eleetrlcal work InstelleA et: Street Adtlress, Box or Pou e No. ?n C Faaa'z eclion o. Townshi0 Name or o. en0a o. County Otrl WT?)/? ? • 1 Phon No. ^? ([ P SupoHer Address E ac rical Comractor 1 m Nama C ntra tor' Licansa No. t eilin Address IContra or or Owner Mekinp Instellet' nl S ? 5537 Authorizep SiBnature ntrect r wne AakinB ?nstallalionl Ph e u er ? MINNESOTA gTpTE BOARD OF ELECTNICITY TMIS INSPECTION HEQUEST WILL NOT 4ri9Ye-Midway Bldq. - Room N-781 BE ACCEPTEO BY THE STATE BOAND 1671 Univarsitr Ave.. Bf. vaul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (672) 842-0800 ENCLOSED. ' REQUEST FOH ELECTRICAL INSPECTION Ee-ooooi-os ? See inatruetfonn for completinp thin form on Eeck of vellow eapV• ,. ?r-(? FA "X" Be/ow Work Covered by This Request Nft4P.dtllAeV71 Tvoe ot Builtlinu 1 Aootinnees Ylind 1 Equipment Wired I 71 fee ServlceEntrenCBSiie k Fea FBadars/Subfaedare # Foe Circuita Uto200Ams 0 to30qms Otn30Am Above 20 _qm ?s 31 to 100 Amps 31 to 700 A Swimmin Poal Above 100_Am s Abov 100_Am Transformer5 rn tion Booms Partial-'Other Fee Signs SUecial Inspection g.? TOTAI FE emerka Ell 1. ihe ElectriaM' Inspactor, hareby certily thex the ebovs inepectian hss baen meda. CITY OF EAGAN A'- ? 3830 Pilot Knob Road, P.O. Box 21-194, Eagan, MN 55121'v 12893 PHONE: 454-8100 / 1?7 - BUILDING PERMIT Receipt ii ?? wv 7obeusedior SF DWG/GAR Estvalue $62,000 Date ,19 86 SiteAddress 750 NO HAY LAKE RD Erect ? Occupancy R3 Lot Z Block 3 Sec/Sub. FAWN RIAGE 2ND Remodel ? Zonin9 Rl Parcel No. Repair ? Type of Const V Addition ? No.Slories a RSM HOMES Mave ? Length 36 i IN,,, Demolish ? Depth 46 o Address 18308 MURPAY LAKE BLVD Int Impr. ? Sq. Ft. Ciry PRIOR LjKhprte 432-2440 Install ? o Name GAMF. i ?°, a Address ? Ciry Phone .Q F W Name Z ? Address z a w City Phone I hereby acknowledge that I have read this application and state that the information is coryect?rylagree to comply with all applicable State of Minnesota Statutesia ?Ci\of Eaaan Ordinances_ Signature of Building Oflicial Approvale Fees A Building Permit is issu6dto: x51i all work shall be done in`accordance with all Assessment Permit $ 319.00 Water & Sew. Surcharge 31.00 Police Plan Aeview154,50 Fire SAC 575.00 Eng. WaterConn. 500.00 Planner wate`rcAeter 63.50 Council RoadUnit 290.00 BIdg.Off. 11/20/8 Tr. pi, 156.00 APC Parks Var. Date Copies Total 52, 094.00 on the express condition that Statutes and Ciry ot Eagan Ordinances. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWCtion RenuiremeMs • 3 registered site surveys showing sq. R. ol lot, sq. R. of house; and atl roofed areas (20% mazimum lot wverage allowed) • 2 copies of plan shovring beam 8 wiridow sizes; poured found design, etc.) • 1 sel of Energy CakWations • 3 copies of Tree Preservallon Plan if lot platted afler 7/1193 • Rim Joisl Detail Options selection sheet (bldgs wiU 3 or less units) DATE 7/1/ GU 2, 14-'?_ . a? RemodeUReoair Reouiremems . 2 copies of plan . 1 set of Eneryy Calculations for heated additions . 1 site surveylor exterior addiGons 8 decks • Indicate if home served hy septic system tar additlons VALUATION ?p ? ? b ?O SITE ADDRESS 7S_0 & ?g ?,?k" MULTI-FAMILY BLDG _ Y N TYPE OF WORK 2 v o?:.? s FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ? ? STREETADDRESS lo 1 `/ 'aS ?jO ST - CITYI STATE n ZIP ??9Z TELEPHONE # 3 CELL PHONE # FAX # _?6 2 - 3Z2y PROPERTYOWNER M? (t"- `-? V- TELEPHONE# ?E(o - 7y9 .................................................... ------------------- ------------------------ COMPLETE THIS SECTION FOR'°NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUL1:S 7670 CA'1'EGORY 1 MIN NESOTA RULES 7672 (J submission type) • Residential Ventllalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: __ Phone # Plumbing syslem includes: _ Water Softener _ Lawn Sprinkler I'ce: $90.00 Water Heater No . of R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Condiuoniiig P'ec: $70.00 Heat Recovery System Sewer/Water Confractor: --------------------------------- --------------------------------- -------- ------------------ O I hereby acknowledge that I have read this application, state that th in ree to comply E with all applicable State of Minnesota Statutes and City of Eagan din Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ UOdated 4/02 OFFICE USE ONLY ? 01 Foundatlon ? 07 OS-plex ? 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiSon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (EnHra Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wail Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAc Water Supply 8 Storage S&W Permit & Surcharge Treatmer.t Plant Plumbing Permit Mechanical Permit License Search Copies Other Tota I Building Inspector ??0 -77 ' I, 2004 RESIDENTIAI, BUIDING PERlla'P AppLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 - - ---- - - - - - -Telephone # 651-675-5675-- - FAX # 651-675 5694----- -- - New Constmction Reauirements 3 registered site surreys showirg sq. ft. of lot, sq, ft of house; and all roofed areas RemodeUReoair Reouirements (20% mazimum lot coverage allowed) Z?P??s of plan ' 2 copies of plan showing beam & window sizes; poured found des' n, etc. ? set of Ene?gy Cafculalions for heated additlons 1 set of Energy Calalalions ? 7 site survey for additions & decks '- 3 copies of Tree Preservafion Plan if lot platted after 711/93 Add'rtron - indicate if on-sde septic system RimJOlstDehilOptionsselectionsheet (bldgswitlh 3orlessunits Date 13 / "?_ / Ol_ Site Address -1 17?i -) A I Description of Multi-Family E Construction Cost _ T) 21 (00q, oo UniUSte # Property Owner 1?r F?n o Q Cf l? Telephone # ((grjl ) (p`?(p i<MA HUME SE1ZV1C:ES, 1NC. Contractor Home Depot Installed Sales Adflress 3200 Cobb Galleria Pkwy,Ste. 4200 state Atlanta, GA 30339 - 763-542-8826 BC-20268257 C;ry ZIP Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category '- M'?esota Rules 7670 Cateeorv 1 Minnesota Rules 7672 (4 submission lype) .• Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Submif[ed SubmiUed • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y fee applies. _ Licensed Plumber Mechanical Contractor Sewer/Wpter Contractor Telephone #( Telephone N If so, 25% plan review ? n r7h 1 S t t'" a1 - I hereby apply, for a Residential Building Permit and aclmowledge that the info u ution is co accurate; that the work will be in conformance with the ordinances and codes of the Ci gan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a permit; Ippllvathat the work will be in accordance with the approve7pl the case of work which requires a review and l of pl cant's Printed Name App anYs Signature - - - - ? nu epiace(s) _ U _ 1 _ 2 OFFTCE USE ONLY Sub Types ? 01 Foundation --- 0-- 07 05-plez- - -- -- - 0--13 18=plex ----- O-.20 Pool------- O-- 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?. 31 Ext. AIt- Multi plex ? ? 03 01 of 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. AIt = SF _ ? 04: 02-plex . ? 10 08-plex ? 18 Deck ? 23 Rorch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex C 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 Building ? 42 Demolish Foundatlon ? 45 Fire Repair ? 33.Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appiicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width - REQUIRED INSPECTION$ Footings(new bldg) _ FinallC.O. Footings(deck) _ Final/No C.O. Footings (addition) . ..,, Plumbmg.. , e ;e:., • , _ : Foundation , .. ,.: . _ HVAC Drain Tile Roof Ic0 & Water Other Pool _ Ftgs _ Air/Gas Tesu Final Final ' Framing _ _ Siding _ SWcco _ Stone _ Biiok R.I. Fireplace _'AirTest _Final _ Windows _ Insulation _ Retaining WaIP Approved By: , 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 Installed- - Siding and Windows ZIMITED POWER.OF ATTORNEY c;uuN i r ur c:Ons STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENT5: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es loc<±ed at 660 Mendelssohn Avenue North, Go?den Valley, r.N 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessazy arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). - The powers conveyed to the Agent by this Limited Power of Attcrr.ey are limited solely to the express poyvers delineated herein and. apP,1_y,solely to the Work. This Limi*,.ed Power of Attorney shall expire and automatically be revoked on the 21st day of Ntay, 2004, which date is one year from the execution hereof. Further, the powe:s conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WiT'NB3S WIIEREOF this Limited Power of A±±e!-ney is execi.rted this 21st day of May, 2003 Dav atz SWORN TO .AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. NotaryPh&ic in for the State of eorgia b4y Commission Expires: January 21, 2006 3968t6.v3 ' Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: La r: 2 B L 0 C K: 3 APPLICANT: 750 HAY LAKE RD N MYERS GLENN FAWN RIDGE 2N0 (612) 454--4319 PERMIT SUBTYPE: TYPE OF WORK: DECK ryEW BUILDING 023208 04/04/94 ?... _ . _ : ? i ' PERMIT Ge-arcp-76 y-U -g L4 ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 2 0 8 (612) 681-4675 Date Issued: 0 4/ 0 4/ 9 4 SITE ADDRESS: 750 MAY LAKE RD N LOT: 2 BLOCK: 3 FAWN RIDGE 2ND P.I.N.: 10-25801--026-03 DESCRIPTION: Bualdzn4lpermit Type DECK Bui3ding W3xI?k Type NEW \ s l? J ??geon. REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.56 CONTRACTOR: OWNER: - Applicant - YERS 6LENN 50 HAY LRKE RD N FlGAN MN 55123 612)454-4319 I hereby acknawletlgs t(tat i have read this applrcation it?tf s taCe that tfto J information as corr2et dnd agree tca comply with all applicabYe State, o'f Nkn. Statutes and Gity ofi EaSan Qrdin•ances, ?? E Aj?? Lru1n RoJ,l r3i2 APPLICANT/PERMITEE IGNATURE 455UED W. GNAT E. ? . CITY OF EAGAN -, ' 1994 BUILDING PERMIT APPLICATION ! 25201 681-4675 , 3 Q SINGLE & MULTI-FAMILV - -----J 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, i 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 perm9t is issued. oate 'M4N qy Valuation of work $ ?4C)(le(10 site Address: LRIC? R`1??. j?RGR?1 30 ';LL1 ? STREET SUITE A Tenant Name: (commercial only) IAT ? SLOCR ? SUBna AwN Rzp=U P.I.D. , ? D5 ol o Descri tion of work: O{JS??U ?CZOrv F The appl i cant i s: al Owner ? Contractor ? Other (Describe) Name M?t,PNS GLENN Phone 45'-? -4314 Property LasT FIRSi Owner pddress Z SO 4N?ji LNKE RD t?. STREET STE # City ENCiJ\1? state '" lN zip 5F'1a3 Company Phone Co ntractor Address License # Exp. 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 days 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 Applicant: OFFICE USE ONLY r BUIL DING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging if&BasECnent FirrM ? 02 SF Dwg. ? 07 4-Plex 13 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? s; te ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 0 Footing ? final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 0 Insulatian ? Fireplace Permit Fee I vei„ati,,,: Surcharge Plan Review ! icer.ss MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: S SAC % SAC Units . ?RO?E ENGINEEil1NG COMPRNV, lNC, l - IG00 FAST 1461h STREE7, RsM NvMEs ? plRt?NiNO EK61NEfA5 EAS und LAHA illNVEY085 BUftNc.VILLE, 111HHE.OTA 5.`.!37 P" A=2'Iooa CeTZZtZCCY?? 40ur??49 Y ?eesc7 Lo7 2, Bl11CK 3, FAWN R1O? ?D ADOITIOiII, 120 ; cT-?o2i on: , . AqKO-rA CovN7Y, MINN5S07A /,, ? n4 s pENOTES EXI6TIN6 EL6VATIOf•1 -_. (9z4.o ) DEN07ES PROFOSED ELEVATIOf.! ? l?$ 5? ?s-- INDICA7E5 DIRECT/oA/ OF SuRFACE DRA/NA66 3p' FRONT 6011-DIN6 SETA4CJC I.iIJE LLV / ? e f1 o e ? A Ji- ti`?? 3 Q a o,? ? t? \ '1 . y 1n, ? ?y? ?'e y?, \\ ????a f?1?' ? r} ` - ? . y5•?7 %j?,3J ? O? V-j? v". ` ? V? 9°'oe h?v! 5 51 . % ?tv, 9Z4.33 =F!/V/SNED 6AkA6E FL?R E?E?AY/oN .2g99? ?23/ T'L6entation I heriby cartify that thia ia ?, t:ue and ccrreOt mP o?? day?of f Aa preparad by m4 on this land as tho+m'and deacribed heraon•• iil.?a/?,.,aE?- ? 19?• ?iinn. l?ea, Naars' SCALE ? I" _ -34' HCXD1:::- L- 7,S 1986 BOILDZBG PERKIS APpLICATION - CITY OF EAGAN POTE: ALL COMfRACIOBS MOST BS LICfiNSED 1iTITg THE CITY OF EAGAN 3IAGLE FAlQLY DWELLINGS ov7 'As. ,! INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DiIEI.LIIiGS - RfiSIDENTIAL BIIiTAI, pgITS FOR SALB ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOROEY - CH6CK WIT$ HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COlIliERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SpECIFICAT20NS AND 1 SET OF ENERGY CALCULATIONS, - $2,000 LANDSCAPE BOND To Be Used For: _ J(=-z-) Valuationc ? Date: Site Address Lot 2. Bloek ? Parcel/Sub Owner Address ^??•? ? ; ? , pq1pR Fy??. City/Zip Code ?AK$, PAAf "- VLVp Phone . Erect ? Oceupaney ?.3 Remodel Zoning Repair ? Type of Const _:z_ Addition # of Stories Move _ Length 3(? Demolish _ Depth ¢(0 Int.Impr. _ Sq Ft Install APPR09ALS ggES Contractor , I C. e MURPHY LqKE BLVD. Address 18mPRION ' . 5372 City/Zip Code Phone Areh./Engr. Address I? MNOMES, INC. . City/Zip Code IOR LAKE, MN. 55372 Phone 0 Assessments Permit 3 l?, Water/Sewer Surcharge 3 ?. Police Plan Review 15°1 5-` Fire SAC 5-7 S, Engr Water Conn 5001 Planner Water Meter $O Couneil fload Unit Z p, Bldg Off Treatment P1 I?. APC Parks Variance Copies TOTAL ?- 90iEz ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER liOST DESIGNATE WHICH ADDRESS IS DESIRSD. NO C96NGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUSD. I rXTERIOH LJlVELC:.2 AVGRAGE 'U ' C01 i°UTATIO;( Ol-1NEli SITE ADDRESS ? ? .? -... COWTRACTOR/?S?r?J?,,,?,s DATk Aetermine working square Poota&O of eaCh. 3O?'???C 1. Total exposed wall area ,.., /&?i.0 ?q, 2. Total roof/celling area ....1/,g yi? Sq. ft, x,? Tatal exposed wall area apoye #'loor = ?yv.a • a. Total wall vrinCovr 4rea , , , , , , , , , , , , , , , , , 9.?•?! b, Total door area ........,, . . . . . . . r ? ..' :,.Si.L.-7.-.?.+.. . c, Total 51141ng glass area d. 'Potal #'ireplace rrall area ,,,,,,,,,,,,,, ' C. Total wall framing area (average 1Dx},.. / 5.p f. Total net v+all area apove floor ,,,,,,,, y,. G. Total rim joist area ..........* ...I .... lotal exposeq fcundation srea F I,. v h • 7'otal foundation i•rindow area . . . , . . . . . O i. Total aet foundatiori drea above g:ade Determine 'V value of each wall Segr,tept. a. ?. i x „U ,: "5;) a b, X "U'; C. _'?/• ?l x ti ?:: •? ; F ? ; ? x u?! ?? ? . U •? _,?,, .,,. ? X ? Uu x ??U?: 9. /9.?, s )( 1' U" s. ? h. o X ;'p' d F " c? 1 . ? X '' U " 3 . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . ?Total s /63• ? . ? if 1tem N3 is the same as, ar lesa than item #1, yvu Aave met t?le intent of SBC GOo6(c)2. P --? ('i4 s ? cp? " " (a " V. ??) -),--<-? A?'-. -"-Gr-,..f ? 5 -!2C G 0 0 (r ?c.) ,-.?, t ?J C/ } Total exposed rooP/ceiling area J. :otal akyllght area .. ....... ..,. ? k. Total roof/ce111ng f1^atning zrea(average 10`+ iinz ?^ 1. Total net lnsulated roof/ceiling area Dexermine "U' value fqr each rooF/Ceiling segri#nt• '. ... G x I.U4 v s a , k .1L x ,. U" 3 ? _....-_'_ ;{ i, u 4 ........ " ................... ...?.....Total • .?s,o ?" Y ?ao? L?? A,s CL.J' O/G/?• S?c fiao If total o: 1+4 is the same as, or less than F2, you have met the lntent of SHC 6006(c)1. Alternate Buiiditia Envelope Deslt,n To ut111ze ehe total envelope systera nethad, the valueS BStSpj1sheQ by the sum oF items N3 arid q4 shall not be ereater than the stua, ot' itcias bi nna ti2. 1. + 2 3•=0'+4 ?/ •L-jj /J 4 a? l / 1.. [ ?,' ,? ' aosE ?NGINECRING COMPANY, tNt. < 1Cp0 EAST 1461fs 57REE7, RsM /-ioMEs COHSUL71H6 EH61HEfAS PLAHNEAS ond LAHD iUAVEVOtlS 8[]RNSVILLE, YINNESOTJI 5-337 PFl 4=2'3009 CALPrz zAcczze ?S'? Ye!f DC4cr482{on,; LOT 2, BLOCK 31 FAWN R/D6E ZND AOD/T/OA/, p4Ko7A covNn; MrNNESOTA ? J` ?? kc? Cf- O_oD pENOTES EY.I67IN6 E LE VATIOt.1 , (9Z4:o ) DEI.IOTES PROFOSED ELEVqT1oN f?- INDICATES D/RECT/o%/ OF SuRFqCE DRNh/FI6E ? \?? ?? bg ? .pl p ?r1 \ ? / 10 • ?e A ? ??rn 9Z4.33 = F/N/SNED MRAGE FLODR ELEVqT/oA/ t9?23 j' Iher:by cartify that thia ia a t:ue and correQd bp sontthisn ?i?_ daycof f l+nd as eho+rn'and deacribed hereon.• Aa prep Y m ?t."d3Eiz- , 19 S6 . - ? ?iinn. ?5s L 5' ?e ?Py.E ?? AO ? G• 30' FROn/T Bwt.DIN6 sETMCK L/NE ? ,? dtiR? o ($Zk?,o ? (yt? 6 ? X? / ,b°° ? .- •r \ ? R: ?- \ ?aefv ? ryVi• ?'y a? ?•?(• ?? \ / 3boo i -7- /1-10 z \ ? i? ??,(5 3J Itta. KD.,/Gog'b' $CQLE % I" ° 30' *ATF': PAYMF,NT' OF FEE AT TIME OF Arri.icATIoN ooFS Nar oONstzT[rIE r,rrxovr,L oF PrEruT. nasPECTIorr oF sEWEx AND/OR VAM INy"j'A7TA7'30I15 WIIS. 1V0'P ffi?,' $(Z'ED-- pLID UNiM PERMIT AAS BEQN - APPROVID. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?,.xx-xxx-xxx xx=,.xx i P ease Print ?1) PROPERTY ADDRESS: LEGAL DESCRIPTION: oc' orurax earce IF E}QSTING STRC'GZLTRE, DATE OF ORIGINAL BLILDIM PERMZT ISSCANCE: - (hbn ear -- PRESEDTr ZANING/PROPOSID L'SE: COMMERCIAL/REPAII,/OFFICE ?`R-1 SZNGLE FAMILY ' ? IAIDL'S'tRIAi, Ci R-2 DUPLEX (7.Wo IInits) ? INSTITS?TIONAL/GOVII2I09NT ? R-3 TOWNHOOSE (Three + Units) ( L?nits) R-4 APARTMEN'P/COAIDOMINILTI Units ) 2) NAME: ?T??_ ? i ? s ?S'P;?r. _ • L?sr{?? ADDRESS%?yL9 CITY, STATE, zIP:_ ?l.qy?r?s c, L2? i ?S 37 g PxoNE:7G a o 3) ? i: ?• NAP'lE. ADDRESS: C ? U CITY. STATE, ZIP: PH0NE: gy?f -76 U o MASTER LICENSE# ?p?,387 htiv Active Expired Not recorded t?tial 4) •? • ia- RCAS?.': _ ADDRESS: CITY. STATE, ZIP: SS37Z PFIONE: SFaJ - a2S?S°8 ?' '5? " a? ' ?' : o • a? • ?s - -- E?-_CONNECPION 1O CITY SE,'WEF2 X;FKCpNNE(,TION 770 CITY FATER 0 OTfER ' 6) '? ' •? Q PLEASE HOLD APPROVFD PERMIT FC)R PICK-PP BY ONE OF ABWE PLF.ASE MAZL APPROVID PII2MiT 70 1, 2<1?4, ABOVE ?r ? , (Circle one) : fOR CITY USE ONLY PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ SEWER a PERMIT (INCLUDE SURCHARGE) $ $ /Q•?? WATER PERMIT (INCLODE SURCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ S 6--D ACCOONT DEPOSIT - SEWER $ S ?S ?o-o ACCOLNT DEPOSIT - WATER $ ,tj Oc, G' O $ WAC $ S 7 S,6 d $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ S I' o- Z) TOTAL RE;CEIP^1 ?- nECEIFi DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC El NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS O O . A C NDITI N. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 4L. a?,? TITLE: DATE: ???? /?/,? ( ******?****?***************???*?*?**«** CITY OF EAGAN CASHIER: SS TERMINAL NO: 718 DATE: 09/22/00 Z''IME: 14:22:39 ID: NAME: KCJ ENTERPIRSES INC 3212 9001 750 N HAY LK RD 30.00 2155 9001 750 N HAY LK RD 0.50 3212 9001 4437 CNMN RG CR 30:00 2155 9001 4437 CNMN RG CR 0.50 3212 9001 3623C ST FRC WY 30.00 2155 9001 3623C ST FRC WY 0.50 Total Receipt Amount: 91.50 CR137818 USER ID: JAN L _ SUBD. BL - ? { f 1"aWh +?.?daP, J CITY USE ONLY RECEIPT #: RECEIPT DATE: PERMIT # 2000 PLtJABING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAC,aN, ta7 55122 651-681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permks are required for each unit ? backflow preventer for underground sprinkler system FIXTURES ' EACH J/ TOTAL Afterations to existing dwelling - minimum fee Describe:-RipLNCSi $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet " minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ • Lavato 3.00 x = $ Septic System new/refurblshed `requlres MPC Ife. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installatioNrepaidrebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under wnstruction 3.00 x = $ Under round sprinkler irexisnny dweiting 30.00 x = $ Waier closet 3.00 x = $ Water heater 3.00 x = $ 3• Oo Water softener if dwelling untler aonstruction 5.00 x = $ Water softener n exissin9 dwemng 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> --> $ .50 Total -> -> -> -a $ Reminder. Call foc inspections of alterations, i.e. water heaters, water softeners, etc. J 30` TO -------------------------------- =• ------------------------------------------------------------ •-•-------------------------------------- •-- I hereby aGcnowiedge thet I have read this application, sWte that the iMormation is corred, and agree to comply wi[h all appliwble Cily of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during fts normal operetional and maintenance activkies to the facilities constructed under this permit wi[hin City property/right-of-weyleasement. SITE ADDRESS: ?/ OWNER NAME: :}?/2STt/J LS//?7SL? TELEPHONE L's-I (AREA CODE)??? INSTALLER NAMEK?'?7 t R- TELEPHONE #: c--,s-I ? STREET ADDRESS: cmr: SK-AILt Use BLUE or BLACK Ink - - - - For Offr U~o Permit i J I City of Ea Rd~ ~ Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: ~Z 2~ Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: Z 3 Site Address: i Tenant: Suite RESIDENT / OWNER Name: f i -e. MA C__ Phone: Address / City / Zip: CONTRACTOR Name: 179e f c- License Address: 4 w City: 14- State: /940 Zip: 5 3^d S7/y Phone: Contact: Email: .0A ~Ifiep TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.popherstateonecall.org 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; th t I understand this is not a permit, but only an application for a permit, and work is not to start witho a permit; that the work will be in accordance with the in case f w rk which requires a review and approval of plans. x "l b~ir x Applicant's Printed Na a Applicant's Sign ture FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test ~In-floor Heat Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink I-- For Office Use I I Permit I L City of Eajan I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: Z I Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 INFLOW & FILTRATION PERMIT APPLICATION Plumbing I Sewer & Water ~tt&~ Date: ~ Site Address: ~ ~km ~ Tenant: ~~G~►~ Iv(~ Gc>X S Q Suite 17- Name: fw/VtIE poG C~ Phone: RESIDENT / OWNER Address / City / Zip: Name: ~~cM~~ ~ftoP -~r MA J'a G4S "License r Address: [13$02. ULAJ''E `T City: l ~ CONTRACTOR I State: M0 Zip: ~So?~ Phone: ~o`a t - `PISS li Contact: Email: ~G~v2 Gi? 1~J~nnc. rte( Pu"` _ GF''„' PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK # Sump Pump Repair Repair Other: /K~khk{ ~~5uj,~p Other: y Description of work: ~t~S~4t-~- ~t= Dr-T-,, 0'`'t--' DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeacian.com/inflow, or City Hall at A3 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 r to ion gainst underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w w. stat necall.or I hereby acknowledge that this information is complete and accurate; that t e w r will e i nformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an li i n f r r it, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o or hic r it s a review and approval of plans. x ~kAT-r V_*0y X Applicant's Printed Name Appli n re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA114068 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 750 Hay Lake Rd N Lot:2 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-020 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 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 - Charistine D Higgins 750 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 For Office Use �% i i ;„� ::: 105 a�: 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: buildinoinspections(a�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/25/2018Site Address: 750 North Hay Lake Road Unit#: Name: Cynthia Diaz Higgins Phone: c1 52-113 IS'I Resident/ 750 North Hay Lake Road owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Install Vinyl Lap Siding Construction Cost: $4,000 Multi-Family Building:(Yes /No X ) Company: Maintenance Partners LLC Contact: Marcus Middleton Contractor Address: 1730 New Brighton Blvd.#112 city. Minneapolis State: MN Zip: 55413 Phone: 952-220-6727 Email: marcusmiddleton247@yahoo.com License#: BC638935 Lead Certificate#:IV i-T I - Z If the project is exempt from lead certification, please explain why: House was Built in 1987 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: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the informaton;maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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.gopherstateonecall.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. x ittRCvc ➢dd k4tZtt. J x Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173615 Date Issued:11/19/2021 Permit Category:ePermit Site Address: 750 Hay Lake Rd N Lot:2 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christine Diaz Higgins 750 Hay Lake Rd N Eagan MN 55123 (952) 412-7869 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174138 Date Issued:12/29/2021 Permit Category:ePermit Site Address: 750 Hay Lake Rd N Lot:2 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christine Diaz Higgins 750 Hay Lake Rd N Eagan MN 55123 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature