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
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.
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0 . 5 4. QOX 8.75
.
.
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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
?
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, 3
H'EB 2X4 DF1-.5
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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
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7
- F T
b
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SHEEi OF
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?
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DAKM
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BISN1FCN, NOHTX DRROTq )01433405]
C)G io
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/ca 7?G NO ,(I
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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
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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
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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
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. 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