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757 Hay Lake Rd N, CASN RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD . . ?EAGAN, MINNESOTA 55122 w .' •? ... . DATE 19 HECEIVED FROM AMOUNT $ I RB I oo E] CASH ? CF+ECK ? POR if- 'CA / FUNO CODE ?M ?GJ _•?l ? U v ? ?' 7S^ 7? ?-S ? Thanke2'1- B Y l7 Jw•-'? - . . ? 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? t ? 101 I I1 co" LOT ?, I8 s T ??? ? ? l .? 3 / N \ % h b , ? \? ?? ? ryP \\ ?1 \\ / ? N /esso ? ? -. i i i. -,- L_ \J I s??o °o '1 0% , s , i -- I •O N? a ? ?2 0 Q• \ lR?? Ssse 5100 4S? ` Oot,e <- (42T) i? . ?? ? i 23 ? LL, Q I Z x J ? ? 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