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760 Hay Lake Rd NCASH RECEIPT k CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . ' DATE 19 RECEIVgD FROM - •? AMOUNT $ ? E] CASH Q'CHECK FOR a Y & DOLLARS foo White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT N0. ;r 7LS? ? , ! ? / c? r.- • --r' ?- `? ? ` 01-321(T /Ikd `?ermit - •?, . ! ?. g. 01-3422 Plan Check , 01-3445 Surch./Adm. --- 01-3446 SAC/Adm. 01-2155 Surcharge 1> >= 17-3860 Road Unit F 20-2275 SAC 20-3865 Water Conn, s? 20-3868 Water Trmt. 20-3716 Water Meter - 20-2252 Acct. Dep, 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewez Conn. -+ 11-3855 Park Ded. TOTAL CASH RECEIPT ?? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R[C41vRn . ? FROM AMOUNT $ I , Zlc DOLLARS os 7 ? CASH [JCHECK i '. ?OR i FYND CODE pMDUNT r? Thank You BY ' White-Payers Copy Yellow-Posting Copy Pink-File Copy VARkrAl CITY OF EAGAN 3,830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?30 17-D np'}- PH ON E: 454-8100 eceipt # BUILDING PER ^ S4.ar4Ca( _4.CA r4.,W Y?;q. To be used for Est. Value Date ,19 Site Address Lot Block Sec/Sub. ' On Site Sewage MWCC System Parcel No. On Site weU City Water a Name W 3 Address 0 City Phone °C Name .o ? ? Address Iff City Phone Address City _ Phone I hereby acknowledge that I heve read this application and state that the informetion is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee APPROVALS Assessments Water/Sewer Police Fire Engr. Planner CounCil Bldg. Off. aPc Variance h occupancy Zoning Type of Const (ActuaD (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Surcharge Plan Rev(ew SAC, Ciry SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt TOTAL R3 A Buitding Permit is issued to: on the express condition that all work shall be done in accordance with all applicable„State of Minnesota Statutes and City of Eagan Ordinancea Building Official _ Permlt No. Permlt Holder Data, TNophons x Plurobing & 61 H.V.A.C. Electric ( c ?,?,i. Softener Inspection Dete Insp. Commenb Footings I Footings II Foundation ? Framing C.64-12 no4- - -C-- Roofing Y7 - P Rough Plbg. . ? • Rough Htg. Isul. 7 Y4 Fireplace Final Htg. ) 3 Y 17P Final Plbg. ? ?• / ? Bldg. Final Cert Occ. 3 $ Temp. LP ec Ftg. b, I?Z - Deck Frmg. Well Pr. Disp. •' s.. . fEtrti#iratt af (Orrupanry Citp of (Eagan arpttrimmi uf Wunfin* impPriiun This Certifcate issued pursuant to the requirements of Section 306 of the Unijorm Building Code certifying thnt at the time of issuance this strucrure was in compliarrce with the various ordinances of the City regulating building cautruclion or use. For the following., Use Clagifiauon '?'/Cl i' Blds. Fbrmit No. i..• ?-Y ?'P? ? Zonieg Distrid . Type Cqoek V• S O?LS?:K : ?: ? _ • ? 4F,? ? i I?':{lf?'ri U'i`??- , tir owncr ot' Buitain8 ? Addrm BuMne,wa= I am ty '3, Dift: BuMua Oicid POST IN A CONSPICUOUS PLACE PERMIT # • • . , PLUMBING PERMfT RECEIPT # • qTY OF EAGAN 3830 PILOT KNOB ROAD, EACaAN, MN 55121 DATE: _ SRe Lot. Name • 'J • ? Address t c City _ Name 3 Addre p CitY - FEES COMM/IND FEE - 1% 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) OF FOR: CITY OF EAGAN 7 BLDG. TYPE WORK DESCRIPTION Res. New ' Mult Add-on Comm. Repair Other ? NO. FIXTURES TOTAL ? Water Closet - $3.00 $ Bath Tubs - E3.00 ? Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Ftoor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 I Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 - Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ..:4 . .. . . - , . . . -. . . . a. " _' . : ).. . . . , . . .. .?','?}. PERMIT # MECHANICAL PERMIT RECEIPT # 1-67 3830 PIL OT KNO ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address - Lot " Block Sec/ b BLDG. TYPF/ WORK DESC?IPTION P Res New . . Name ? Mult Add-on Address ? ?- _ Comm. Repair ?. c ? CityA2t J12.LLT Phone 3 Other I? Name 2725 FEES RES. HVAC 0-100 M BTU -$24.00 R c !a--= Address s???? ? - ?'?? ADDITIONAL 50 M BTU - 6.00 ; O (RE$, HVAC INCLUDESAlC_4N NEyV CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 5 EA TYPE OF WORK - ( ) - 1. 0 . COMM/IND FEE 19' OF CONTRACT FEE Forced Air M BTU rl cx ?a) - o APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMaDELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S1C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other $ FEE '5z5' S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Permit N?'L?, a F??' Date:7 -7? 3830 Pilot Knob Road Meter No: 3Y 71,9 3(, Size: '-SZE P.O. Box 21199 Reader No: 2 14 Date: Eagan, MN 55121 Owner. ;'r>.1S ro[15t. SiteAddress: 760 i1o. }:ay Laice Road L3 B3 Fawn P_ic'.?-,^ IT Conn. Chg: UOpd .? Ri%M3ning: . '. Z Acct. Dep: 15 _ i a?y?c?? i Permit Fee: ?? c ore ??Tr?? . ?aZ' Surcharge: 1 a twith the City of Eagan Tr. Plant- ? ?_? ;; , j? Meter, c ? /,,,_ WATER SERVICE PERMIT ( OF EAGAN Permit No: 8864 oate: I Pilot Kr?ob Road Meter No: Size: ?ox 21199 Reader No: Date: an. Mt?1 55121 - So?is ,,onst. Fs?an Bi?d g e II nn. Chg: -'-'-5• 0?'= r. Zoning: -? ct. Dep: 15. QQ?d No. of Units: 1 rmit Fee: ?-0• ??Opd rcharge: • 5opd I agree to comply with the Ciiy of Plant 1?0 •?%Q?f' Ordinances. ?ter. WATER SERVICE PERMIT ???-s? CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21195 PERMiT P10., Sons Const. No. of Units: agree to comply wRh the Cky of Eagan of Insp.: Connection Charge: Account Deposit: - Permit Fee: Misc. Charges: CITY OF EAGAN (v2 13 715 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121 ' PHONE :454-8100 ,. ,j ?caq` ' B UILDING PER MIT . Receipt # ?/7 i To be used for SF DWG/GAR Est. Value $77,000 Date JUNE 3 19 87 Site Address 760 NO HAY LAKE R? OFFICE USE ONLY Lot 3 3 Block FAWN RIDGE SeC/Sub 2ND On Site Sewage Occupancy ? R3 . MWCCSystem Zoning Rl ParCCI NO. On Site Well Type of Const v Gity Water X (ACtaal) ? Name SONS CONSTRUCTION CO (Allowable) -v- z 4606 Address LENORE LN L n9Sh ries 50 ? City EAGAN Phone 452-5355 oeotn GR F Total S . . , p Name_SAMF. FootvrintS.F. Address APPROVALS FEES ? City Phone Assessments _ Permit $ 423.00 Water/Sewer _ Surcharge ?R Sp W W Name Police _ Plan Review 2?t 5n ? z i- Address Fire - SAQ City .1e8.,Q? o? Engr. SAC,MWCC cS nn aw City PhOne Planner _ WaterConn. 525 nn Council _ Water Meter 67_0? I hereby acknowledge that I have read t is application and state BIdg.Off. Road Unit ?_??-.-GO thattheinformationiscorrect agree ply f lapplicable APC _ TreatmentP7 +00 State of Minnesota Statute ? City ? g n r es. variance _ Parks ? . Copies SignatureofPermittee' TOTAL 49_,?775_nn A Buitding Permii is issued'to: SONS ONSTRUCTION CO on the express condition lhat all work shall be done in accordance with all appli State of Minnery;q?ta ?St? and City of Eagan Ordinance& Building Ofticial Y REQUEST FOR ELECTRICAL INSPECTION ee-ooo/oi-Cos ? See inshuetiona lor comoletine this form on beck of vallow copy. 7qS?F' / ""1('" Below Work Covered by This Request AAd ReD. I Tyoe of 6uilJinB APOliancea riireC EpuiVment Wired ?7Q 1 Home flange Tempprarv Service• M Fee Serviea EnVenceSixe p Fee Fexders/5ub(eeders k Pea Circuita U to 200 qm 5 0 to 30 Am s 0 tn 30 Am s Above 200 qm lsi 31 to 100 Amps 31 to 100 Amf? Swimmin Pool Above 100_Am s Above 700_Am s Transformers Irngation Booms Partial-'Other Fee L.L._ LSigns I I ISpeciallnspection 'S./F.STJ Rema?ks 1{ TOTA EE .ta.o?! nel i, me eieoe.loal ioevectoq hereby certify that the above insoection has Oean mia reauast wm 18 This requast void G•/?/8 7 78 rtqnths tmm C sg9Y1.?? p-? 7Y S& 5w Y- Request Date 1 ??(', ? fJ7 ll ? Fire No. RouOh-in? Insuection Nequrted. []Raady Nowk?Will Notify InsOec- Wh l jf D5Yes ?NO or en fleady UP'Licensed Electrical Contractor 1 hereby requeat inepection at ebove ? Owner elactrical work inatalled et: Stre?Address, Box o Bou .NO. ?? 6? Cit?? eclion o. Township Name o. No. PanBe No. Cofunly '/7?..?A ??{?+ // OccapaM (PNINT) ?n ?? 4AIS C- ,A•V /! ?/?t/- ?? ? ? Phon¢ No. _ YL5 5 Power Supplier v rr? 6Z66 c Atldress aV z?o Electrical Contractor ICompany Namel t?=!L'Z??? Contracmr's Licvnse No. o £t-,?j z /-s" Mailing Atldress (Contracror m O ner MakinO fnstailation) Auffio n mre (C n[ractor Owngr Maki g Installationl Phon NumCer - ?.3Z -6 MINNESOTA STATE HOAND OF ELECTRICITY . THIS INSPECTION PEQUEST WILL NOT Griqpe-Midwev Bldp 4<Room N-791 BE ACCEPTED BY THE STATE BOANO 1827 UniveraitV Ave., St. Peul, MN 65104 UNLESS PNOPER INSPECTION FEE IS Phonel6721842-0800 ENCLOSED. RESIDENTIAL 5 2? f7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KP{OB RD, EAGAN MN 55122 651-681-4675 ) New Conetruetbn BeuulremeMS pemotleVHeoeir Neaulrements . 3 registered si[e surveys showing sq. k. ot l06 sq. It, of house; and ?II rooted areas . 2 copies of plan ?-(20% maximum bt coversge albwed) . 7 set of Energy Cakulatbns for heated addltbns • 2 copies of phan slwwing beam & window s¢es; poured tound tlesign, etc.) . 1 stte surrey for e#erior adaAions 8 decks • 1 sat ol Energy Cakulatbns . Indicete N home served by septic sy&tam for additions • 3 copies oi Tree Preservation Plen B lot platted afler 7/1193 • Flim Jois1 Datail Optbns selectlon sheei (bltlgs wiM 3 or less units) DATE VALUATION SITE ADDRESS zze-?,K__ /) MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) X 0 _ 1_ 2 APPLICANT STREET ADDRESS CITY &.,1-' STATEfY97 ZIP???'/{? TELEPHONE # qS??Yq/-? CELL PHONE # FAX # ?Sa? - f? PROPERTY OWNER lJ / ?'Yl //P? ? TEIEPHONE #'1- --------------------°----------------------°---------- -------------------------------------- COMPLETE THIS SECTION FOR uNEWo RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (J submission type) • Residentiel VentilaGOn Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Conhac}or: Plumbing system includes: Mechanlcal Confracfor: Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System I hereby acknowledge ihat I have read this application, state that the with ali applicable State of Minnesota Statutes and City of Eagan Ord Sl9nature of ApplicaM Fee: $70.00 is correct, and agree to comply OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkle No. of R.I. Baths Phone # Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwellirtg ? 08 06plex 0 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Muki ? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 72-plex Plbg_Yor_ N ? 25 Miscellaneaus ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (EMire 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundadon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fracning _ Siding Stucco _ Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I ? :?3 1 7 1987 BDILDING PERMIT APPLIC9TION - CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SORYEY, 1 SST OF ENERGY CALCULATIOHS NOTE: ADD&ESSES FOR CORNEH LOTS - COHTRACTOR/HOMEOWNER MQST DESIGRATE WHICH ADDRESS IS DFSIRED. NO CH6NGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED. MUI.TIPLE DWELLINGS - RSSIDENTIAL RENTAL QN'iTS FOR SALE UBIITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIR9EY - CHECK HITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IERCI6L INCLUDE 2 SETS OF ARCHITECTUBAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: y7GrnL Valuation:-63?iz`e- Date: ?7 Site Address ?/J ?Ay Z/r? z IZJ Lot 3 Block 3 Parcel/Sub rAW.i 12/Ae Z N? Owner Soivs CGNS7RkuT/??? Q1 Address G.Eirane City/Zip Code SS/a L Phone `lS;? - S7S i Contractor S6Nl Cc,V s ,- Cd. Address 66 Leiroi.e G4s.? City/Zip Code S 5'/1 Z Phone '-/r1 - S3.i s- Arch./Engr. 5R/,f N Address 464 leNon P City/Zip Code SS-l a - Phone 9k ?-lS ? - S3SS On Site Sewage_ MF1CC System e On Site Well City Water ? APPROVALS Assessments Water/Sewer Po13ce Fire Engr Planner Council Bldg Off APC Variance Occupaney A'?'-.3 Zoning IQ_/ Type of Const (Actual) (A1lowable) ? 6 of Stories Length ? Depth ?!N S.F. Total Footprint S.F. FEES Permit Surcharge + ? . so? Plan Review ; e/ ?- c? SAC, City ioc.`" SAC, MWCC Water Conn Water Meter 67 " Road Unit 5- ' Treatment P1 )Q,p. o' Parks Copies TOTAL a?. ?. ?d X ?? ?,•.o ? ?-?' _ d? - ,311" .;: C?l : 'y .r .'' _ ? 318 S< `N 402 ?. s g o E' 76 i /a \ _; TRl-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: S ONS CONST. LEGAL DESCRIPTION; LOT.L-,BLOCK 3lFAlY.Y 41,06F z?ORDD/Tla.f' ACCORDING TO THE RECORDED PLAT THEREOF v2162791 COUNTY,MINNESOTA v;'?y0.0 ?• j R9. ,? •., ? ?p1 . • ? : ?ai o pr ( . S00 ? N? ?'I' S?•SS /.- ?•' 1 . E?;st??5 Novse ?pb6ck-/o7s 0 . ?/ hi 04? /?? ,e5' \ ?1+1 , •M?u ? \ a ti6 ?.- ? vri . a Q °?? o y ? \ Y 10 1 01+ o \ ,.. ?µ 1 \ Jo ` ? ?s ??,YS ly?y0, 1 Lto s ? ? ? tes't .SCAL£ ? /"•30" L_ END INVERT ELEVATION AT SERVICE EXTENSICIN o DENOTES IRON MONUhENT PROPOSED GARAGE FLOOR ELEVATION • U??, a DENOTES WOOD HUg SET PROPOSED FIRST FLOOR ELEVATION ., . ioo*o DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =' 0 O ELEVATION ELEVATION ' DENOTES PROPOSEO SPOT ELEVATION ,?- DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I M:nby c?rtify thaf ihb surwy,plan or rept waa preparsd by no or unAer my direct suparvision and fhat I am a duly Raplstsred Land Surveyor unda the Laws of ihe State of Minnesota Brcdley ?Monsan, Mn. Roq. No.1523b Dote•_ 5121184 EXTERIOR ENVELOPE AVERAGE "U" COMPI)TATION OUyCR: VARA.TON, Sammy & Lawana J. SI7E AppRESS: 760 N. Hay Lake Roa.d, Eagan, Minn 55123 NTRACTOR: _ SONS CONSTRUCTI0N r0. DATE: PHONE: 452-5355 DETERMINE GIORKINf SOUARE FOOTAGE OF EACH: TOTAL EXPOSEO b1ALL AREA,,,,,... sq ft x"U" .11 ,:. TOTIIL ROOF/LEILING AREA,,.,.... ? 2? 4 sq ft x"U" .026 . 3 Z•6 i. TOTAL EXPOSED IJALL AREA CALCULATIONS: 7ota1 exposed wall area above floor ........ sq ft a) Total wall window area: 9lazed...... ? 32- sq f[ x 11U.1 • r7 -7,5$ qlazed...... sq ft x "U" ? 9.zo b) Total Aoor area ,,,,,,,.. 40 sq ft x"U" Z 3 ? c) Total sliding glass door are a: vlazed...... 40 sq f[ x"U" .58 = 23.ZC) qlazed...... sq ft x"U" a d) Total fireplace wall area sry ft x"U" . e) Total wall framinq area , (Averaae 10) ... .... .. .. sq ft x"U" .1 O I Cn . 1 O f) Total net wali area above floor (Insulated)....... 1491 sq ft x"U" . 04 = 58,04 q) 7o[al rim Joist area...... ( j"L sq ft x"U" Total foundatlon area (Exposed).,........ sq ft h) Total foundatlon window area............. sq ft x"U" I) Total net foundation area above qrade........ sq ft x"U" ? I'1 7? ' TOTAL a) [hru I) iTo 50 If item H3 Is the same as, or less than item N1, you have met the lntent of 2 :dCAR 1.16008 A and 0. Page 1 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PAYMFNf OF FEE AT TIME OF APPLICATION mES NOr CONMMM APPROVAL OF PEE2I+II'P. nvsPnc-rzoN oF sEM r,rro/ox WXM It•srar.ramrONS WIId, NQT BE S(HED- UI.ID UNTII. PERhffT AAS BEM APPROVID. , P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ' '•- IF E7QSTSNG STRCMRE, DATE OF ORIGZNAL B[JILpZNG pg2MiT ISSCAb]CE: ' ? PRFSII71 ZONING/pROPOSID L'SE: - (?n Year} .. q M"ZMcIAw/xErAIr,ioFFice Q irrot?sTxxrAr., n INSTITOTIONAL/GOVERNMENT R-1 SZNGLE FAMILY Q R-2 DL'PLEX (ZWo IInits) ? R-3 ?UWNiOLISE (Three + Units) ( Units) R-4 APARTMENT/CODIDOMINiUM ( Units) 2) E? - -y- ? .l?G-?,.v^ ee. / ! ! ADDRESS: CITY, STATE, ZIP: ? PxoNE: ys/- ,r9 s?O 3) u i: ?• NAP1E: ADDRESS: i CITY, STATE, 2IP:_ 2-'=:c1 4i v, PHONE: L/Sj;Z - l Q'I .D_ MASTER LI(ENSE# 3,2 4) ••• ? • ia- ?e NAME: ADDRFSS: CZTY, SPATE, 2IP: PHONE: Active EScpixed Not recorded Sta Lutial 5) ?? r• ? r• ?• : a ? - ?? ? CONNEC.TION 1b CITSC SEWER CONNECrZON 1C1 CITY WATER r-I OTHER '. . 6) '? •' ??' 00 PLE.n,SE HOLD APPROVID PERMIT FOR PICK-IIP BY ONE OF ABpVE ? PLEASE MAIL ApPROVID PEf2MIT 70 1. 2. 3. 4. VE I (Circle one) 7) r n u• • ? ? F'4R CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLLDE SURCHARGE) .. $ ? 7'0-0 $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ d ZS •(l!? $ WAC $ 4,2 S' «Z? $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S 7?00 $ 37, U?/ TOTAL 75- RECEIPT RECEIPT DOES OTILITY CONNEC TION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSLED BY TAE ENGINEERING AS ONDI ION . T . A C SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: tiI TITLE: DATE: CITY USE ONLY L? BL I RECEIPT#: SUBD. ? 0,4? RECEIPT DATE: --i ?- 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . singie family dwellings ? townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH N?. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 7 3.00 x = Rough Openings 1.50 x = Water Softener ' for dweilings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = AltefatlOflS ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cty iic. 75.00 = (new end refurbished systems) ' ? °u Abandonment Private Disposal Systems 20.00 = STATE SURCHARGE .50 TOTAL 70'1?;o I hereby adcnowledge that I have read this application, state that ihe information is correU, and agree to comply with all applicable City of Eagan ordinences. It is the appliwnYs responsibility to notify the property owner that the City of Eagen essumes no liability for any damages caused by the City during fts nortnal operational and mairrtenence activ@ies to the fadlitles conslruGed under this pertnit within City propeRylright-of-wayleasement. SITE ADDRESS: 160 Ua% Hcty ?ciKe OWNER NAME: kerhn 61a6%ey INSTALLERNAME: k?Suik ?-SOAS TELEPHONE#: STREET ADDRESS: cirv: NFkiv? STATE: ?U ZIP: ??I's SIGNATURE OF PERMITTEE 1988'BDILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMiLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESZRED. NO CAANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL [TNITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SURYEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS n To Be Used For: vco?es Valuat ion: Date: Site Address i6b N. ktA\/ I-A?L )C'9. ? OFFICE USE ONLY /aov Lot 3 Block ? On site sewage Oecupancy MWCC system _ Zoning Parcel/Sub On site well Actual Const Owner City water PAV required _ Allowable # of stories Booster P.ump _ Length Address Depth S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit ?yP? " J ? _ '?'• ?? ? ? Planner Surcharge .3 v / Address ; ° • .f* -r - Z Council Plan Review -- j Bldg. Off. SAC, C1ty T City/Zip Code ./ b-'- v+; ;?' --f:r. 175 Variance SAC, MWCC Phone Water Conn / I Water Meter / I Aoad Unit % 7 Areh./Engr. Treatment P1 ? Parks Address Copies ? TOTAL City/Zip Code Phone 11 TRI-LAND C0. SURVEYING SITE PLAN FOR: SERVICES SOIVS CONST. . 1260 YANKEE DOODLE ROAD ,; . EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT2-, BLOCKI-, 640W M&E 41 ! - ACCORDWG TO THE RECORDED PLAT THEREOF vAAbrA COUNTY,MINNESOTA ' ' Y ?.o .. . -\'? ? • , . . ? 0I43p0 , O.1 SQyb/ eFlifil, - ?? • ,,,., ' `.. ?a.o , . , s.6 ? N.tjr?Sd.SS ' ?, -:. ,? ' E i.t?•5. ??? w- ? , -, \y Nwet 1?p 514- io'S ? •\ y7,,; ??a,• \,.o ' ? N - y ' Nb. s N,? 1 ? ? i / o DENOTES e DEN07E5 roob DENOTES OENOTES ? DENOTES 1 IwebY cerNly 1haf thls sirWY.Plan or reDort wm prepand by fm or undsr my direef Nupsvbion aM eAO1 I om 0 duly Repistsred Land Surveyor undo the lars of thg Stme of Minnegotu Bradloy ?Monion, Mn. Rey. No. Oate : _. 6121190 fl . ?' DRAINAGF DIRECTION NOTE: VERIFY AI.L FLOOR MEIf3MT3 WITH I FINAI. HOUSE PlANS , i La gL ? CITY USE ONLY RECEIPT #: 7?9ds c?"? ??S 9 7SUBD. JA.wx. ? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit FIXTURES EACH ?Q TOTAL Shower 3.00 x = M/a±er Glose! 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Meater ; 3.00 x Floor Drain 3.00 x = Gas Piping Outlet " minimum - 7 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cry. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations ' to existin9 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL -?- 2D•??-v ? rt C0.lled b 5 ?an SITE ADDRESS: OWNER NAME: Y'k 'if'' ?Nahmna,y INSTALLER NAME: ??6ucNe ? Sm.is STREET ADDRESS: 64' 1Z+bL cirY: kms PHONE #: ( 6 ?Z STATF• ?Iw 7113' 5?943 OFFICE USE ONLY ,L _ BL _ RECEIPT #: SUBD. 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are M required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: an: PHONE #: SIGNATURE: OPFICE USE ONLY METER SIZE: DATE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: ? , .? CJ ? bM LEN FORCE IM L.El1 FORCE 1- 2 7.18 -3812 5- 8 & 27 3455 2- 3 8.34 -3751 6- y g,40 2335 3- 4 8.34 -3151 7- 1 9.27 3455 h 5 7.15 -3812 JT REACT MIN 8RG 5 15 85. 3. 5D" 1 3 S ? ? 'g? MM FMM ? 8 ?? JT 1 PLATE 4 OOX S 75 JT PL.l?TE 3 4 OOX 25 JT PLATE 2 . . 1 SOX 3 0 . 5 4. QOX 8.75 . . 0 4 1. 50X 3. 00 6 3. OOX 5.25 7 3. OOX 5.25 • TQP 2X4 MSR SRF, - aLt pt-n,IL ro 'itov,FY rxvss Fb 2100 E 1.8 BOT 2X4 MSR SPF, ro A nca.olGhT'L ?,c,,,a,,t• Fb I850 E i. ' d 12 ? a , 3 H'EB 2X4 DF1-.5 L #3, DESIGM LOAD TOP LL- 40. PSF• ''--- '? F?'r TDP OL= 10. PSF '?2°CDY 80T LL- 0. PSf 2 PL`U 5cq6 C,, . BOT UL- 10. PSF OUR OF LOAO INC 1.15 SPACINC 24.0 IN Q/C ADDITIONAL LOAD JT LBS iqBR PLF `aK ? - ? ,, -.. .- NDNE NDNE 7 - F T b 0/A SPAN 27- Q- 0 sr. ??, ?a•a o.. ?-.zyt.a tE.C CNB - .33' A7 H CATE JOB iD SDNS, SHEEi OF ? ? ? b DAKM WOOD TRUSS Ld INC. BISN1FCN, NOHTX DRROTq )01433405] C)G io C,?- S G iL" , ?GiO ) L d.U ST /ca 7?G NO ,(I ? s 0/R SPAN 27- D- 0 ffr, INLHES, ie•s) scuE• , z7en, a CITY USE ONLY PERMIT #: RECEIPT DATE: RUlDENTIAl. MEL'RAMCiA. PERMff AP'PLICiATIOR Ci1'Y OF f:ElHA1Y 3$30 fII.OT KROB RD EABAN l!A 551 EE 651-6$1-4675 Please complete for: D single famiry dwellings townhomes and condos when permits are required for each unit Date: 3 7 I ?'Y ! C-) 1 SITE ADDRESS: OWNER NAME: I - (&6-260Z INSTALLER NAME:Crw---.? TELEPHONE #: S I- (AREA CODE) STREET ADDRESS: Z.UkS 146 `? S?- • V.1 • ?- O•-i?:" T,Z?_5 CITY: STATE: ? ZIP: ?250 Ptace a check mark next to the aermit work tvue New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement . air iaa air conditioner . Nature of work: State Surchar e f(?'_ I? l I?? I? ?$ .50 rocai JUI. 31 cUUt it,I!S '' I Reminder: Call for inspections. BY _ SIGN?K OF PERMITTEE Upda[ed 1/Ol CITY USE ONLY PERMIT #: APPROVED BY: RECEIPT DATE: INSPECTOR COMbI£RCI!!1. MEGH!lAICi4I. PERMIT ihPPLICAeTION CITY oP Eksm 3$30 PILOT KAOB !tD gAGtx, Mrt 55122 651-691-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STTE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) CTI'1': STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of con7act price OR $50.00 minimum fee, wirichever is greater. Underground tank removallinstallation = mininmm fee Contractprice: $ xl%=$ State surchazge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATCTRE OF PERMITTEE Updated 1/Ol _?9(00 5 ?I15. Go 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION c? CITY OF EAGAN 3830 PILOT KNQB ROAD, EAGAN MN 55122 - 651-675-5675 Pfease complete for modifications to existing residential dwellings. Date ?_ / 3 1 Site Street Address Unit # PropertyOwner?)`?`(Y? Telephone# ((41') ai? Contractor Champion ?1-885 1348 Telephone # ( ) Address 9670 bodd Rd #100 City State Zip The Applicant is: _ pwner ?COntractor _Other Septic System _ New ^ Refurbished )ubmit 2 sets of p{ans and MPC license incfudes County fee $ 100.00 Per as-built $ 1000 Alterations to existing dwelling $ 50.00 _ Adtl plumbing fixtures. This fee includes installation of a water softener and/or water heaSer at the same time. If you are insialfing onlv a wafer softener and/or waLer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System A6andonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other: ? W t S ft a er o ener _ Water Heater $ 15.00 _ new replacement _ Lawn Irrigation _RPZ P _new repair rebuild $ 30.00 _ - State Surcharge 007 $ .50 Total $_?S O I hereby apply for a Residentia! Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, hut only an application for a permit, work is not to start without a permit and work will be in accorclance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name 1 ApplicanYs Signature -?59+3 15 9) c7 15ectl-s      úìú      ÿ  ÿ þýüüýüü     ûÿÿ ð÷ëíòÿ ññí öò    ïññ    ú  þýüû úíý ë ùû ú÷ö  íý ë Úý     úóÞýó  äýüõ  ÿþ   úÿìðï è   ï  õ óíìòú ó çïïææ ùû  þýä  íãçïæðæ ðï  ø÷ö ú õô úú  Û é  ëá ó õûô ðåóü åîé  ò÷ í ó õ÷ïï  õ÷ïï ñ ìîïè îïï äü  ö ä ä  ä  úú    ä äøó    óú öä  úú üþ  øõ  þ ý   ø â  æ úú ê óþ  ý ý þ  ý To: Page 2 of 2 20'13-11-01 t7:'1 '1:38 (GMT) From: Mike Aubart Use BLUE or BLACK Ink r r For Office Use r I 1 • ; Permit city of EaeaIl I Permit Fee: J I 3830 Pilot Knob Road j 1 Eagan MN 5512E Phone: (651) 675.5675 I I Fax: (651) 675-5694 1 Staff: ' 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: k~% 1 13 Site Address: _760 k* 4 i 14V,,d '55 1 Z nit Name: --r1 G 7 Z^--- Phone ! 4 0 1 r0 ResidenU Owner Address / City / Zip: Applicant is: Owner Contractor Description of work; --QI~c Type of Work Construction Cost: D??• Multi-Family Building: (Yes -A/ No 'Z--) Company: Ck_22'i NSi L_S~✓~~t1'~~^'~rontacl: -rJc ,rt_ Address: ~(?_~Lw G~21y1--=--? City v Contractor State: iY1 fV _ Zip: 1 Z S - Phone: License _AL-rr'gGT Lead Certificate v_ . . - 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 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public N you provide specHk masons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gooherstateonecalLocr I hereby acknowledge that this information is corndete and accurate: that the worts 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 authortsed by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Apel;ranl PrinMd Name Applicant'm Signature Page 1 of 3 To: Page 2 of 4 2013-12-13 16:03:21 (Qm-r) 411,1/kCity ofEapo Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 From: Mike Aubart Use BLUE or BLACK Ink For Office Use Permit ": t -0 15,'1 Permit Fee: Received.!lN^^:a��-----..._.._._ Date Received. =t" - Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: a Resident/ Owner Name: J j ill 1 Z, Phone: Ci 5-... - 02 /6 - 7 WO _ ^� - ( L Address / City / Zip: ! !,(� NI , v ill. A ([,G ZC�—Sig( _c1_ J fj / Z 3 Applicant is: _.___ Owner %G Contractor / J of Work Description of work: —YG? L 1..-._._ ± nd0 (4�TType ___L —.---------------- , f Construction Cost: &`i/ c`f I Multi -Family Building: (Yes _.—._, / No ....X } Contractor Company: CYtr int 5i at. I -LO me. I .viI t/ Contact M l& A r 'ice Address: S 3 J-I.Ltd5(2yt � . r City: W GL5_D..{ s,r ___(2o - 7 State: til NI Zip: 5 S i L S Phone: to 51 ' Pii k- 92'/ License #: 6C, t4j.i.L4 q Lead Certificate #:___—_—_---- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, ___Yes I No If Licensed Plumber: Mechanical Contractor, Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: _ 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 bade 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.aooherstateonecall.oroc 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 Building Code must be completed within 180 days of permit issuance. A.ppticant's Printed Ncme x - Quit ti. Applicant's Signature Page 1 of 3 For Office U e iI .� ii -14 i Permit#: �!��I__� ° ``..- `"• Permit Fee: / �� I Date Received: r5. I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 REC1EVED ti IT' I (651)675-5675 1 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: ......:-...44I I buildinginspectionsacitvofeaoan.com AUG 15 ?o18 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/14/18 Site Address: 760 N Hay Lake Rd Unit#: Jason Maack & Renee Mellum 612-710-5982 Name: Phone: Resident! 760 N Hay Lake Rd .--F C) Owner Address I City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: New Deck Construction Cost: 5,906.16 Multi-Family Building: (Yes /No X ) Outdoor Spaces Design and Build Co. Jon Hassenfritz Company: Contact: contractor Address: 19205 Harappa Ave City: Lakeville State: MN Zip: 55044 Phone: 952-457-0597 Email: jhass415@gmail.com License#: BC689582 Lead Certificate#: NAT-F168253-1 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: NOTE:Plans and supporting documents that you submit are considered to be public information. Portiions 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. 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.citvofeaoan.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 conforma - 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 is no • st- without a permit; that the work will be in Alaccordance with the approved plan in the case of work which requires a review and appro al plan x 3oNa5 564/6 12.1-1-z_ x AIP Applicant's Printed Name Appli ants S',.!na ure 11 AL DO NOT WRITE BELOW THIS LINEL,- LjC l �(-7/ -7Z $UB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) f Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi )O Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES Q New _ Interior Improvement _ Siding _ Demolish Building* (_ Addition _ Move Building _ Reroof _ Demolish Interior _ 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 0 3 3 v.v. _ Occupancy j i2 C - 1 MCES System Plan Review Code Edition iv/1/)z"1S SAC Units (25%_100%)6. ) Zoning •f7 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: (p Footings (Deck) Final/C.O. Required C 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: / Li vi 1c 1' ,9 , Building Inspector RESIDENTIAL FEES , �Z �'< I q 2-- J4• / � Base Feel;"--r- / �,� �5 Surcharge 5-7-p: SS / f " Plan Review j /S• i'V 3'9- it MCES SAC n jL � v= � G� ��n � F�IZ r`�T`' �� City SAC `��µ� Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ..._..._ . . . . . ' _-7&671/11- LeW-6. 1d /V , � .� 7 r . TRI -LAND CO. PLAN FOR: SURVEYING SITE SERVICES SONS CONST 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 • LEGAL DESCRIPTION; LOT 3 ,BLOCK 3 , FAMY 'rays zee Aatlencyr ACCORDING TO THE RECORDED PLAT THEREOF DAWA COUNTY,MINNESOTA �Mo �x ° i /'� s 1r ign 0d 't� Dr �3 `�f Q• N r � . tir • `•• 1ar�0 0 s g S. 00 NIN tre OS ZV • 1�� < / \ Ids �p 84(k-/075" r G- O \ adi ��Pik b rp6 z61 - ( 41 44I i -� o \ >z X •4° ~ V� s \O " \1 aii0 \ 1 -011 a D .. \ 4<\ .ot - 71 '.1'!• 111 . ,.. .ac-,,\ X.4 9,, \ %\ --5't-IY0c.\ I • gal \°'— -� • 1 %ol ‘'\\ . atO . "i . 1:� of 0-14 - 'I'3 ,o, # 0-�. \Al* \ teem . SCALE ../.41v-50, LEGEND INVERT ELEVATION AT SERVICE EXTENSION- o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION■ 11Z,5 • o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION al O 3 t low%) DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR r ELEVATION DENOTES PROPOSED SPOT ELEVATION .— DENOTES DRAINAGE( ON � DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I here certifythat this st rvsy report was preared by me or under my /'' direct supervision and that I am a duly Bradley . i en son, Mn. Reg. No. 15235 Registered Land Surveyor under the ' Laws of the State of Minnesota. Date: sleileo