757 Hay Lake Rd N, CASN RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
. . ?EAGAN, MINNESOTA 55122
w .' •? ... .
DATE 19
HECEIVED
FROM
AMOUNT $ I
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E] CASH ? CF+ECK
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POR
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FUNO CODE ?M ?GJ
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Thanke2'1-
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. . ? 34 ?hite-Payers Copy
Yellow-Posting Copy
3830 Pibt Knob Ro dl P.O. Box 2G-A199, Eagan, MN 55121 ?42, 12916
PHONE 454-8100 ? . -
BUILDING PERMIT Receipt #
To be used for Est. Value a%%,'., Date ,.,OJ:t3 c,.l 2 6
19'c>
SiteAddress 757 :+`) c}AY .t•) Erect ? Occupancy "
S
LotBlock I Sec/Sub. ? AFdi:. :: I D(; :2NJ Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
a Name G Rlaidi) OAKS DEVFI, CO Move ? Length
i „ Demolish ? Depth
3 Address l8nl SL3NRISI: CT
0 Ci F'z+{=A?J Phone 452-Y.934 Int.lmpr. ? Sq. Ft
tY Install ?
Z o Name 5?1E
? ¢ Address
Ciry Phone
?Q
UW
W W
U ?
o? _
? W
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 Ciry oi Eagan Ordinances.
Signature oi
Assessment Permit ;
Water & Sew. Surcharge
Police Plan Revie
Fire SAC _
Eng. Water
Planner Water
Bldg. Off. 11/ c o/o? Tr.
e on o?
Var.
.00 I
Copies
Total '? ' 144 ' `?
A Building Permit is issued to: v?tr?1VU UA.: `; Jl:VP:f, l:U on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otficial
...
11 I PermH No. I Pormit Molder I Dab I TNephone # I
0 Q
Plbp.
Hty.
Nty.
Plbp•
Final
Occ.
Dfsp.
? . ?, .
SiteAddress I ? I k" ki`
k
Lot Block ? Sec/Sub I'` -'
S
Name ` i
?o Address
«.
'
c Ciiy -1' - Phone ' ' - '
•'
Name
3 Addres?s:' ?• `' ? !I?'/?? F?
0 ??ry Y?/c ` Phone
FEES
COMM/IND FEE - 196 OF CON7RACT FEE
MINIMUM - RESIDENTIAL FEE - $10.OQ
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES
BEYOND $1,000.00)
?
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT RECEIPT # '
CITY OF EAGAN
3830 P110T KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
?'`' BLDG. TYPE WORK DESCRIPTION
? X
Res.
New
M ult Add-on
Comm. Repair
Other
-![O. FiX'ttJRES TOTAL
-1-_Water Closet - $3.00
? Bath Tubs - $3.00 ?
?Lavatory - $3.00 1 _
Shower - $3.00 k
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
r
Laundry Tray - $3.00
7 Fioor Drains - $1.50 '
? Water Heater - $1.50 '
Whirlpool - $3.00
I_Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.04
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
PERMIT #
MECHANICAL PERMIT
RECEIPT #
p"t,-a" i i CITY OF EAGAN
* r 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ??'•? ?-?
CONTRACT PRICE: '" ?'• ounuc. Ace_ninn
I L
Site Address
I? Lot i% Block I Sec/Sub
y Name
(a Addre
c City
.... I
c Add
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
?.T Phone - ? °
' I
-! - ? Phone
M BTU
M BTU ?
M BTU $?
M BTU ?
CFM $?
I ?
?
FEE _
S/C: _
TOTAL: ?
BLDG. TYPE WORK DESCRIPTION
?-
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
r
SIGNATURE OF PERMITTEE
oi
FOR: CITY OF EAGAN
-?-
; CITY OF EAGAN - ^?Y -
. 3830 Pflo! Knvb Road SEWER SERYICE PERMIT
P.O. Box 21198
ES98n. MN 55121 PERMIT NO.: ,^-
ZOR{Rg: , DATE: 12_ j 9_ s?
Owner. No. of Units: 1
? Addrece•
i
- l aa•ec w comply wilh the gan Connection 9 ivU . t7t)?,cl
. Ordlnancea. ?' °? Ea Char e: ? 7 S nn
?„-?=---?
Account Deposit:
Permit Fee:
gY Surcharge: ?
f Date of insp.: Misc. Charges:
? Insp.: Total: Y
Date Pafd:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pllot Knob Road
P.O. Box 21199
PERMIT NO.: -
Eagan, MN 55121 DATE:
Zoning:
No. oi Units;
j
Owner. ?:rand fi:::,.s
Add ress:
SiteAddes-• 0. 'iav LSI:e Raac' r4 1..,, T7
Meter No.:
Size:
Reader No.: -
1 agree to comply with the City of Eagan
Ordinances.
? By
j Date of Insp.:
?
Account Deposit: - 15. 0012cl
Permit Fee: - 10 OOtfj
Surcharge: _ 5Q •I_
Misc. Charges: _ 1 E; . nO--? '+T
Totat: 63.500 metei
CIN AF EAGAN
38 "? ? =-•?icnob ?toad
p O WATER SERVICE P?RMIT
. 9ox 21199 '
Eagan, MN 54121 PERMIT NO.:
Zoning:
- DATE:
raij a s
Owner: k No. of Units:
? Address;
Site Addess??r ` °
? Plumber. a
, Meter No.: ?
size: ' `( rQc
; agree to comAly wilh ih4 e?1an FeL?'_
n Surcharge: _
rdinances.
. Misa Charges:
I BY ? f Total: •- p m _r
? Date'ot Insp.: Date Paid: • ' • -
Insp.:
30 9
7 .
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121A? ?v 2 12916
16
? PHONE: 454-8100
BUILDING PERMIY aeceiptn ? (z3
7obeusedfar SF DWG/GAR Est.Value $72,000 Date NOVEMBER 28 1y86
SiteAddress 757 NO HAY LAKE RD Erect In occupancy R3
Lot 18 elock 1 Sec/Sub. FAWN RIDGE 2ND
Parcel No.
W IN,rn, GRAND OAKS DEVEL CO
o nddress1881 SUNRISE CT
ciry EAGAN phone 452-8934
i o I Name SA?1E
? a Address
? Ciry Phone
?
F W
Name
z
? Address
< W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree b comply with all applicable State of
Minnesota Statutes and Cyty of Eagan Ordinances. ,
Signature vf
A Building Permit is issued to:
all work shall be done in acca
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int. Impr. ? Sq. Ft
Install ?
Approvala Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner_
Council-
Permit $ 349.00
Surcharge 36.00
Plan Review 174.50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
BIdg.Off.ll/ta/a Tr.pl. 156.00
APC ? Parks
Var.
Copies??
Yc?.iaa•v0
ND AKS DEVEL CO on the ezpress condition that
all ag lic ate of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
flEGUEST FOR ELECTRICAL INSPECTION ES-00001-05
. _ , Sae inshuclions br?cpqvnplatin0 this torm on beck ot Vellow capV.
C! "X" Belaw Work Covered by lhis Request -
aa pep. Type ot auuaioe naouoncaa wctad Eqaiume.7 Wlretl
Home Range Temporary Service
Duplex Water Heater - Lightin Fixhues
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnaw Silo Unloader .
InduStrial BIAg. Air Conditioner Bulk Milk Tank
Farm OMeF peci V ther sPerifyl
L 9, pCCI y LFIC, O1hL+r
ompute Inspection fee Below
M Fee SarvlceEntranceSixe p Fee Fexders/SUbteeders N Fae Circuits
0 to200qms 0 to30Ams c?1 C' 0 to30Am
Above 200 qmps 31 to 100 Amps - 31 to 100 Am
Swinvning Pool Above 100_Amps Above 100_Am 5
Transtormer5 Irri ation Booms Partial"Other Fee
Signs Special Inspection S C-?
ToT F
emnrks , ?J[? .EP. a,
Nough.in m? ate '?? I. xhe E 'r
, ?S^ .In6pacbq hereby
Final Oi+a certilv Ihat the ebove
? y jnspeetion h es b een
?'. ?
nG?r made.
TMt reQUest rold 18 mantlre Irom
This reQUest void
18 months fmm
C 7 76-0 2?.?8
Nequest Date
//1
?J -
J Fire No. RougH•m InsPection
AeQUired?
Ready NuwQ
[]
Wi11 Notify Insoec-
'J{ ' MYes ?No lor When NeatlV
? Licensetl Elecbical CfonVnctor I hereOy request insoecfion of above
? Owner eleelrical work instelled e2:
Street Addres's?. Box or Poute No. J
7Sy
- ?/`k ? ) / Q
1
? ty J
/
/?""' e, h-
`?Q (..?•`L?J
ecuon o. Townshi0 ama or No. Range o. Counry . '
O u nt (PflINT) Pho N?.
r $upplier Atldress
b
E vical ConVacto nr mpanY Name) Contra to? License No.
?
-
?
? J
?S
3
d
MailinA AtlJress (COnvactor Owner Mak
-) S inB Insiallation)
3 - a-v ?
? s3
Aut orized S' ature 1 nvactor er MRkinp nstallationl? Ph e? Jv'?mbe/r? ?/
?/C??{C/?-?R
MINNESOTA STATE BOARD OP ELECTRICITY ' TMIS INSPECTION NEQUEST WILL NOTGrippa-MiAwey Blap. - Raom N-191 BE ACCEPTEO 9Y THE STATE BOAND
1827 Universitv Ave.. Sl. Paul, MN 55104 VNLESS PHOPEH INSPECTION FEE IS
oAnowt6blRa2oAOn ENCLOSEO.
. .,
1986 BDILDI9G PERIiI? APPLICATI08 - CITY OF EAGAB
DTOTE: AI.I. CANTRACTO&S MOST Bfi LICE9SBD flITH THE CITY OF EAGAA
STNGLE FAlIILY DSiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLIHGS - HESIDENTIAL RENTAL pNiTS FOE SALS QNITS
INCLUDE 2 SETS OF PLANS, CSRTIFZCATE OF SORVEY - CHECB fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COHI+IERCIAL
igatt
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: S Valuation:
Site Address / /v LG?KP/`? ?
Lot I O Block ?
Parcel/Sub A4hi
Owner IUA /0/ 4d a &/K s
Address
City/Zip Code
Phone
Contractor ?
Address j?
City/Zip Code
Phone ?
Areh./Engr.
Address
City/21p Code
Phone #
12,000
Erect ?
Remodel _
Repair _
Addition _
Move _
Demolish _
Int.Impr. _
Install _
APPROVAIS
\
Date: I - z t, < kj?
Occupancy F-.3
Zoning F-•I
Type of Const Q
# of Stories
Length (94
Depth SO
Sq Ft
Assessments Permit 549.
Water/Sewer Surcharge 3G.
Police Plan Review 1'1 4• S0
Fire SAC 51S.
Engr Water Conn ?
Planner Water Meter b3.R
Council Road Unit Zr10.
Bldg Off Treatment P1 1 5(D.
APC Parks
Varianee Copies
TOT9L ?
HOTE: ADDRESSES FOR CORNfiR LOTS - CONTR9CTOR/HOHEOWNER !lQST DfiSIGNATS pHICH ADDRESF-'-'
IS DESIHED. NO CHANGES WILL BE 9LLOiIED ONCS BDILDING PERMIT IS ISSDED.
RVEYOR'S CERTIFICATE GRANU OAKS UEVELUPMENC CU. (427)
?
REViSEO I I"II "86
-+- DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1 INCII =
30
FEET
O
• DENOTES
UENOTES IRON MONUMENT SE7
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 912,3 FEET
.X000.0 DENOTES EXISTING ELEVA7ION PROPOSED LOWEST FLOOR = q1,7.5 FEET
FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = qZZ,-7
I fIEREBY CERTiFY T O GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AN D CORRECT
REPRESENTATION UF A SURVEY OF TFIE DOUNUARIES OF:
Lot 18, Block 1, FAWN RIDGE 2ND ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL
BECOPIE VALID UPON FILING OF THE PLAT FAWN RIDGE 2ND ADDITION.)
AtJD OF TIIE LOCATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEP1ENTS.
OR EIJCROACIIMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY UIRECT SUPERVISIDN,
THIS 6TN DAY OFrlovErngFA., 198b.
PROPOSED ELEVATIONS SHOWN ARE AS TAKEN
FROM THE GRADING DRAINAGE AND EROSION
CONTROL PLAN FOR FAIJPd RIDGE 2ND ADDITION
PREPARED BY PROBE EfJGINEERING COP1PANY,
INC., LAST DATED 8-27-86:
SHEET 1 OF 2 SHE
PROJHCT N0.
86 241
FILE NO.
' FOLDER
BOOK / PA(3E
SIGNED: JA R. HILL, INC.
DY :
HAROLU C. PETERSUN, LAPlD SURVEYOR
PiINNE50TA LICENSE N0: 12294
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Blaolnington, Mn. 66431 812-884-3029
S U R VEY 0 R'S C E R T I F I C A T E GRAND OAKS DEVELOPMENT C0.
L?
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SNEET 2 Of 2 SHEETS
PROJECT NO. , BOOK / PAGE
86 241
FILE NO.
FOLDER
JAMES R. H(LL, INC.
planners / Engineers / Surveyors
8200 Humboldt Avanue South
Blooinln9ton, Mn. 85431 812-884-3029
CiTY OF EAGAN
? ****i****#*?********k#*****f*#***f?
APPLtCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*iOT3: PAYMENT OF FEE AT TIME OF *
r,Pri.icATION DOEs r(:YaONSTITLYIE ;
aprxovAw oF PEE04IT. ?
INSPncrioiv oF sEWM r,rro/ox VMM
TnLCrAT.TATTONS WIIL NI7P BE SCHID-
ULFD UNFII, PERMLT.HAS BEIN
APPR(7VID.
. ^ xxx:?xx,rrn,r+exs.nxxx:xe,ryrxye,r:xxP ease Print)
1) PROPERTY ADDRESS: ?I
LEGAL DESCRIPTION;
Lot lock Subdivision or Tax arcel ID j
IF EXISTING STRC=RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSi;ANCE:
;
PRFSENf 7ANING/PROPOSID OSE: (Mon Year)
? CmERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMiLY
Q IPIDL'STRIPy ? R-2 DLPLEX (Two C?nits)
0 INSTSTL'TIONAL/GOVa21VA= ? R-3 TOWNiOUSE (Three + Units) ( Linits)
. ? R-4 APARTMENT/CObIDOMINIUM ( Units)
2) ?
NAME:
ADDRESS:
CITl'. STATE, ZIP:
PxoNE:_
' 3) - NAME' ?- p????,, For City Use
Plumbers License:
ADDRESS: ? Active
i CITY, STATE, ZIP: . ? ExPired
Not recorded
PHONE: LICI 3? a l 02 I MASTER LICESISE# cll0 7-{?.
- St IIlltldl
4) •?• • ? i?l•
NAME:
_ ADDRESS:
CITY, SI'ATE, ZIP:
PHONE:
i,
-5) .DO • a?
Ej_Q)NNE=ON T0 CITY SEWFI2 ?NECTrnN_ ZU CITY WATER El ORfiQ2_
6} m?-
[3 PLEASE HOIJD ApPRpVID PERMIT FOR PICK-UP BY ONE OF AHOVE
_Za-TnAME MAIL APPR01)ID PII2MIT 7U 1, 2, _(:&_ 4. AHOVE
/'? 1? (Circle one)
F'OR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ lD , S--n $
$ ?? - 5-b $
$ $
$ $
$ $
$ $
$ $
$ ??oa $
S $
$ $
$ $
$ $ `
$ $
$ o O $
G?
$
- a?0•ap
$
?g?SS r
s
?
`
-
RECEIPT RECEIPT
SEWER PERMIT (INCLUDE SORCHARGE)
WATER PERMIT (INCLUDE SORCHARGE)
WATER METER/COPPERHDRN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCODNT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL SENEFIT/TRONK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHE4,1A
TOTAL DOES UTILITY COIVNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?SLIC
Q ROADWAY" MUST BE ISSUED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
Use BLUE or BLACK Ink
r
For Office Use
/
411b~ Permit 0
City of EaRd ; ~~2 7, -V 5
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 f I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~5 Unit
Name: V1,66, /v+ Phone: lo5/'gyro-3~9[~~
Resident/ e'/
Owner Address / City / Zip: l" t Z
Applicant is: Owner Contractor
Type of Work Description of work: Koo -5"J-P- " W I Aw R-
Construction Cost: 000 Multi-Family Building: (Yes / No Company: P r as f-ess V t✓ Contact: M & P. Gt,GCQ/~ -
Contractor Address: A✓A City:
State: MN Zip: f f=, ~-7 CO Phone: _(p5,-~K~'~$0~-
License ~~j Q (v l~3 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a si lii~ar plan based on a master plan?
Yes No If yes, date and address of master plan: A.
1
Lic nsed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.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; 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bull de be co ted within 180
days of permit issuance.
X --D U~ Ax
Applicant's Printed Nam A plicant`s ignatur
Page 1 of 3
V
I
For Office Use
�1� � � e e° ::::
1 LIY4-(1), E AG A N
___
: 1,--311)
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:
buildinginsoectionsa.cityofeaoan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit#:
biLL Name: VI �LN RPhone: 051/ 2-31
L
Resident/ ,{ I ` / ,s
Owner Address/City/Zip: 15 --(7 rV+ 1'A yL A A G RO-i
Applicant is: Owner Contractor
Description of work: 1.
I'� b,`vl 0 PARAC 9 l:L i 4U7L ,5 //Vf/ MA6t IIV #Uglui u Fa'cf M r.
Type of Work !)) f P iu ri /O S t� .1/ /'.eM - N... ;.
Construction Cost: 1) << (v).. Multi-Family Building:(Yes /No I)
Company: �,( Mt` rnv � JIIJ4 � JPi L Contact: ck) i�!!>� �'
Contractor Address: P. Q$ 13b) 24-02-9,9 City: APPLE L
IL ~�
State:f"1)j Zip:5‘5-'1Phone: foil 2-+) 5.�lEmail: jt'hi
bn V' e;G l tb .1 q/i w f D M
License# :(6)0 i I-z Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
IVOTE:Plans and supporting documents that you submit are considered to a public inform tion PortionsPoitionint,thsffifermatIMCMay be
classified as non-public if you provide specific reasons thatwould permit the City to corn*** they are trade semis
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.oro
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 no 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 ans.
X J6 000fe� � '- x tvi 1/3a-104
Applicants Printed Name Appli nt's gnature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
7(._ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New — Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
y- Alteration _ Fire Repair — Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 4 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150735
Date Issued:07/23/2018
Permit Category:ePermit
Site Address: 757 Hay Lake Rd N
Lot:18 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-180
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Dryer
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Vincent J Dinella
757 Hay Lake Rd N
Eagan MN 55123
(262) 498-9853
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153454
Date Issued:12/20/2018
Permit Category:ePermit
Site Address: 757 Hay Lake Rd N
Lot:18 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Jeffrey R Frank
757 Hay Lake Rd N
Eagan MN 55123
(262) 498-9853
Comfort Heating & Air Conditioning Llc
12239 Nicollet Ave
Burnsville MN 55337
(952) 217-4060
Applicant/Permitee: Signature Issued By: Signature