761 Hay Lake Rd N
Use BLUE or BLACK Ink
I
j Permit ! Z j
City of Edelan
a
I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 SAY 04 ZQfO 1 Date Receiv : L ;
Phone: (651) 675-5675 1 l
Fax: (651) 675-5694 1 Staff: ;
2010 RESIDENTIAL BUILDING PERMIT APPLICATION ~G
Date: _ V-1 A 010 Site Address• N , A L/Q O RD,
Tenant: Suite
RESIDENT / OWNER Name: K~v iii V ~ J Phone: 65'1 - &8- 8ra ` /
Address / City / Zip: to /4 LAIC
Applicant is: > Owner Contractor
TYPE OF WORK Descriptionofwork: 1,)E W i)r--('4e'
Construction Cost 2,rvD - DD Multi-Family Building: (Yes No j
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
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 classed as non-public if you provide specific reasons that would permit the City to
conclude that the 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 pgrmit, 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 ltd approval of pl .
x k'fYl.Al 6' r 1r x
Applicanrs Printed Name Appli nttg Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation - Fireplace - Porch (3-Season) _ Storm Damage
_ Single Family Garage - Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of _ Plex T` Lower Level _ Pool - Miscellaneous
_ Accessory Building
WORK TYPES
_ 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 A
Valuation Occupancy MCES System
Plan Review Code Edition y)+9A/7 SAC Units
(25%_ 100%__Y) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge _7
!
1 _ ~l q
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of2
KEYLAMD 0
ROBE ,y M~
ENGINef11ING `°"SUtTI"a aHC3AND
ptAN"EAS and LAND 3UAVEYOAS
Z4
~
COMPRNY1 INC. --~W
1000 EAST 146CI STREET, BURNSVILLE, UINNESOTA 5!337 PH '432-31000
C4Cr'Z z`z ctzZ e ~ L -9 ~ ~4
~~c~ - ~?Cr c~ZOn. LOT /7, BLOCK FAWN R1D6E ZND ADD/T/OA/,
D4ffOTA C0UAI7"Y MINIVE'SOTA
CYZ!=? DENOTES EXI5771N6 ELEVATION
(923.0) DENOTES PROPOSED ELEVA770AI
INDICATES D/RECTIM OF SURFACE DRA/NA6E
923.33. FINISHED . C LACE FLMR FLEVA-MA/
,tiA (yes s~
0WAIMASE AND
h -
0 UT/LI TY EASEMENT
0 '
Zo. b) 646
5 1 ~~6 S oo, ~
o
\ SCALE : I" s 30~
t I ,N'i ~ ~ s7 5-'Lb
cci ~ t t p s. sa I'~ ti Cd p ~92oioa
R4 N
b. oo th' . M
0
Z2.oo 10,
92Z./)
25
l500
E 30' Fico"T BUILDING
c92!, 4~ i $ET6AeK LINE
I hersby certify that the , a e and correct representation of a tract of
land as shown' and descr hereon.. As prepared by me on this ~ `4 day of
fE r-'~,e'l 1911
Minn. Rag. No. /G08:5-
BUILDING PERMIT
To be used for Est. Value
Site Address
Lot Block Sec/Sub. '
Parcel No.
s Name
W
3 Address '
° City Phone
a Name
0
k ? Address
? City Phone
b ?w Name
W
_ ? Address
u
? W City Phone I hereby acknowiedge that I have read this application and state
that the information is conect and agree to comply with all appiicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
CITY OF EAGAN
3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
13555
Receipt #
Date ,19 '
OFFIC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well Type of Conat
City Water = (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharye
Police Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ PaAca
TOTAL _
A Building 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 Ordirtances.
Building Official
- Parmit No. Permit Holdsr Data Telephone ?
PP.jmbing ?(s-.?(f ?jc° , •? ?,_ ?
H.V.fIC.
Electric 516 7
Softener
Inspsctlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. a
r
Rough Htg.
Isul. ???? Ip °
Fireplace
Final Htg. 77
Final Plbg. ,Q
Bldg. Final
cert occ. 3
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
.-.i•
(g.er#i#iratip of Orrupanry
Citp of (Eagan
Bppalttttmt Af Nltn* 3tiS}1P1'tiOtl
Thrs Certificate issued pursuant to the requirementr of Section 306 of the Uniform Building
Code cerlijying that at the time of issuance this structure was in compliance wrth rhe various
ondihances of the City regulating building coristruction or use. For the following.•
." ?'rl?'
lJet ChsA6ution ?i/Bldg. Elrmit No.
OocupanCy Typt m Zppi? ?? - i 57
oW,? of e?ft A? i445?i ?;"17.??t?',
avwme naa?, ?ry L 17, P t , ?c?,irv P:1??`:: T;,
• , , ; ??'_'o'
ate:
swum oacw
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
' (612) 681-4675
SITE ADDRESS:
?'• i 11AY ! AR f Frf) N
C 1AlJh! kll?i?F :'N1?.-~
PERMIT SUBTYPE:
I <« ?
Frt ??r F
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
pPPLICANT:
< < .?
i +, 1 .' ? ??r;ts rsr, / ?
TYPE OF WORK:
l31?t! t1lN!
H ? t 0 8 i.
*.-, J-,-:I /94
t ! V 1 hl
?i f rt1 nr tI) ra
INSPECTION
i ; nl;! ] 11 1, D• .
! 11 ' 11; :, ? i lirl DffE INSPTR.
{;(1111iii It•I ?'1 tS?, i I:.?:?i
!iU.MAfi?.'i: A`.t F>AFtAI l' t'f V M l i 1?. f?F liI p t k1= 11 1 1?!: ANY 1'I tt MH I Nti UF2 t l{?? IR If,RI. l4O I? V.
INSPECTI
Permit No. Pertnlt Holder Date Telephone Ik
ELECTRIC y'd ,00,e5
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMTA1
ssnnr FiNnL
1
OECK FTG - _
DECK FINAL
r
?l/v7c :
- -
ii,-
ic.t? i
_
n
- -- -
CITY OF EAG
3830 Pilot Kn
'?.P.O.Box211!
Eagan, MN '5!
Zoning•`r
Owner.
i Address: _
' Site Address:_
? Plumber. _
? I agree to com
Ordinances.
I
I By
? Date of Insp.:
? Insp.:
? CITY OF EAGAN Permit No: 8717
Date:
? 3830 Pilot Know Road Meter No:
-P.O. Box 2",109 ' aE32A_ Size:
Reader No: a Date;
?
Eagan, NWN 55121 3
?bwner. `'ey13nd Homes
?iteAddress: ?1 i+orth Ha i,ake P,oad L].,T P1 Fawn nidrye II
?Plumber. L ? Mechariical
1 onn. Chg: -525 . ?Opd ???,.
cct. Dep: _?. c upd • ?1
ermit Fee: •0 o
urcharge: . 50p- ?• LLC?I*.iC - Gr'.S Efic
:r. Plant jOU• UUiK ?ae?to c rr?? with the City oi Eagan
`/1]
eter.
Br
WATER SERVICE PERMIT
PERMIT NO.: 9867
DATE:
No. of Units:
wlth the City ot Eagan Connection Charge: - S25_ t1&?_
Account Deposit: - 1 S_ O(h,ri
Permit Fee: - 1 tl (?n ??t
Surcharge: 5nri;1
Misc. Charges:
Totat:
, .. CITY OF EAGAN nj2 13 5 5 5
38?10 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHON E: 454-8100 Receipt #/ ?-7 ?
To be used for SF DWG/GAR Est. Value $67 , 000 Date MAY 4 ,19 87
SiteAddress 761 NO HAY LAKE RD
Lot 17 Block 1
Parcel No
Sec/Sub. FAWN RIDGE 2ND
a Name KEYLAND NOMES
Z Address 14450 BURNSVILLE PARKWAY
, o City B'VILLE phone $94-2636
U¢IName SAME I
o? Address
i- City Phone
¢
?W Name HALLOliIST
Hz' Address
a W City Ri.M(:TN Phone 831-1875
I hereby acknowledge that I have read this application and state
thettheinformationiscorrect dagreetocomplywithallapplicable
State of Minnesota Statute d Ci y of F,ag?rd' anees.
?
Signature of Permittee ? /i? ?' rscY
A Building Permit is issued to: KEYLAND HOMES
all work shall 6e done in accordance with ap licable State ?P
Building ONicial
:l
OFFICE USE ONLY
On Site sewa9e Occupancy R3
MWCCSystem X Zoning R1
On Site Well Type of Const v
City Water ? (ACtual)
-
(Allowable)
?
# of Stories
Lengcn 42
Depth 48
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit $ 388.00
Water/Sewar _ Surcharge 4 i- K)
Police Plan Review 194.00
Fire _ SAC, Ciry 0.00
Engc SAC, MWCC v?,c nn
Planner WaterGOnn. c?t nn
Council _ Water Meter 7 0?
81tlg. OfE _ Road Unit 305-?,n
APC Treatment P1 t8a
0
Variance .
_ Parks
Copies
TOTAL $ on the express condition that
nne{ota Statutes and City of Eagan Ordinances.
I Yv?`?/C?'J REOUEST FOR ELECTRICAL INSPECTION """ es-oaooi-os
jl? See instructions lor compleliny Ihie fortn on back oi yellow copy.
0?0/9(P X" Below Work Cavered By This Request
Ne Adtl Rep. Type ot Building ..Appliances Wired Equipment Wiretl
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apl Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Conlractor's Remarks', /
gM?• 'YIrS
Compute Inspection Fee Below: t-?
# Ofher Fee . # Service En(rance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100.-Amps
Slgns Inspector's Use Only: f
/ 1 j' T L S'p
Irrigation Booms /
Z
Special Inspection
Alarm/Communication THIS ?NSTALLATION MAY BE OR ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ONTHS.
I, the Eledrical Inspecror, hereby
certify that the above inspection has
6een made. Rough-in ?Jo
Final
n oaie? r
o ?
OFFlCE USE ONLY . •
This request void 18 moMhs from
0-1 ao
?
D rl? /.27
a..?
9 ZiI .??4- 07! -I y0
Reque Da Pire No. ougRln MspecGOn Requir
(YOU mu all inspector when reatly) Ins ection Other Than gh-In
qeatl
Now ill Notity Inspecbr
y
Ves ? No Da[e Reatl
I? licensed contractor 4wner hereby request inspection of above electrical work at:
Jab Fddress (Street 9ox or Houte No.)
k
-W
76N
4 City
a
e
.
. a
Section No. Township Name or No. Range No. Gounry
Occupant (PRINn PM1One Na.
CUer
Powe SupPlier Atltlress
ElMncal ont dor (COmpany Nflme) ConVaclor's License No.
rn e-0 L-41 f ?1 .
Mailing AO s Convactor or Owner Making Instellation)
V
Authonzetl Signalure (ConisacmrlOwner Making Installafon) Phone Numbet
MINNES A STATE BOPRD OF ELECTRIqTY
I THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bitlg. - Room S128 II I? I I I I I I I II II II I I II II BE ACCEPTED 6V THE STATE BOARD
1821 Unlversity Ave., SL PaW, MN 55100 ? UNLESS PROPER INSPEGTION FEE IS
Phnnn /fi121 fi42-00.1N1 . , ? . FNCI OfiFO
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
027081
02/23/96
SITEADDRESS: P•I•N.: 10-258e1-17e-e1 APPLICANT:
LOT: 17 BLOCK: 1
761 HAY I.AKE Rp N VERBA
FAWN RIDGE 2ND (612) 688-8679
PERMIT SUBTYPE: TYPE OF WORK:
SASEMENT FINISM
KEVSN
ALTERATION
INSPECTION
FRAMING ,. .
INSULATION „
ROUGW IN PLBG FINAL
REMFlRIGS: A SEPARATE PERMST IS REQUSRED FQR FINY PLUMBING OR ELECTRICAL WQRK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 687-4675
51TE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number;
Date Issued:
761 HAY LAKE RD N
LOT: 17 BLOCK: 1
FAWN RI(lGE 2ND
P.I.N.: 10-25801-170-01
DESCRIPTION;
e BASEMENT FINTSH
ALTERATTON
434 ALT. RESIDENTIAL
?js +-a?-;!61M?
3015i%
ao5da3s
BUILpING
027081
02/23J96
REMARKS:
A SEPqRflTE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRSGAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$.50
$50.50
CONTRACTOR: OWNER: - p, p p 1 i c a n t-
VERBA KEVIN
761 MAY LAKE RD N
EA6AN MN 55123
(612)688-8679
C'
? T h
??- &,?
f APPLICANT/PERMITEE SIGNATURE
.!/ /
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEF?MIT APPLICA710N (RESIDENTIAL)
681-4675
RemodellReoair ReauiremeMs
A?0•-n
CA vz,( z-)j
? 3 registered ai[e surveys ? 2 copies of plan ? 2 coples of plans (indude beam & window sizes: poured (nd. design; etc.) 1 2 ske surveys (exterior addRlons 8 decks)
? 1 energy calculatlons ? 1 energy calculations foi heated additions
? 3 copies of kee preservaiion plan N bt plalted aRer 717/93
required: _ Yes _ No . n?
DATE: ;;? - ?-D ' ?I G CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
? n
LOT _?L_ BLOCK I SUBD./P.1.D. #:
PROPERTY Name: 1???? o?R -??11141 Phone #:
OWNER "., `"'. . n
Street
City: &a.aZ
CONTRACTOR Company:
ARCHITECT!
ENGINEER
Street Address:
City:
Company: _
Name:
Registration
Street Address•
City:
State:
Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
I herehy acknowledge that 1 have read this applicaNon and state that the infortnation is correct and agree to comply with all
applipbie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
License
State: Zip:
Phone #,
5tate: 221,2n . Zip: '?
Tree Preservation Plan Received _ Yes - No
OFFICE USE ONLY
?
..
p.
»„ _ ..
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging -?r' 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-pfex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
Q 31 New e-er 33 Alterations a 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCM/S System
(Allowable) Main leve l sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Y3?
Depth Footprint sq, ft. 5AC Code
Census Bldg ?
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Pfan Review
License
MCNVS SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
SlVI! Pertnit
S/W Surcharge
Treatment Pi.
Road Unk
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
1987 BDILDING PERMtT APPLICATION - CITY OF EAGAN Y?
SINGLE FAMILY DWELLINGS
INCLIJDE 2 SfiTS OF PLANS, 3 CEHTIFICATES OF SQBVSY, 1 SBT OF ENERGY CALCQLATIOBS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHATfi HHICH 9DDRESS
IS DFSIRED. NO CHANGES WILL HE 9LLOWSD ONCE BIIILDING PSRMIT IS ISSDSD.
MOLTIPLE DWEI.LZNGS - RBSIDENTIAL RENTAL OPITS FOR SALE DBITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOEVEY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For I luation:J?? z" o ?ate: - Z 7- a 7
?
Site Address -7, / /V 42 . 4 OFFICE IISE ONLY I
Lot ? Block On Site Sewage Oceupancy
MWCC System 7 Zoning (Z•1
Pareel/Sub y` .?.c" ? On Site Well Type of Const
`
City Water ? (Actual)
Owner (Allowable)
' 8 of Stories
Address Length
1,
?
Depth
7
City/Zip Code S.F. Total
rint S.F.
Foo
tp
Phone
F
?
APPROV9L3
Contraetor Assessments Permit
? Water/Sewer Surcharge 33?
Address Police Plan Review 1G4 .
/Zi
C
t
C
d Fire SAC, City 0D -?
'
7
p
i
y
o
e !
-
Engr SAC, M47CC 5
Planner Water Conn
Phone Council Water Meter (P'7.
Bldg Off Road Unit
Areh./Engr. 1...-e..?.s? APC Treatment Pl t O•
Variance Parks
Address Copies
TOTAL ? S (?
City/Zip Code
s,
Phone
;, 5 -g
4? - fo4o 3
Y
'Zr) x 2?-? 6+-q-0 x 12 ?2 C7
.
(o
f ?
M x? - 8 c:?o
I '-
(oCO q-oa
IaoBC
ENGiNEO1NG
COMPANY, INt.
f000 EAST 146LS 57REE7,
CDHSULTIH6 EH61HEfRS .
PIANNEfiS and LAHO iURVEYOR3
BURNSViLLE, IIIHMESOTA M337 pH 4=2-3000
CtTZZ}Z CGt?e
c??7/'e [.?
GOT /7, BLOCK l, FAWN RID6S 2N0 ADD/T/oA/,
DAKoTA CDVAV rY, MINNESoTA
DENOTES EX197-/N6 ELEVqT/cW
(923.0 ) DENOTE$ PROPO$Ep ELEVqT/O/U
,wt,!' 1N0/CATES DIRECT10A1 OF SURFACE DRA/NA6E
h?
< Q
0 ?
?
? I1
L. 1
r J
\ h
923.33 - FlNI?.ryED . 64KA6E FllbK EC.EVAT/ON
DRA/ATABE AND
UT/U7Y EASEMEMT
i
\
1 ? ?a
1 ? \ \ 6, sO ??„F
\
1 `
j-<\
t ,J L _ ? 1
1 NfM \?f ,
ti LoT 1-7
O q N?
tu 1 P&R7SEDm /
? C(1 1 ? D??? S9o Iq
J? o M .3325- ?
a 1 ftl?.? ?l ? / r
?:y+qki 2v.oo J CA'QAF-` 8I
\ '? ?' zZ.oo
?
1' _ r r 2_r ?
5
o0N ?
-? kA
N g ?? l5'
?92%•f, 0 ..-r 10
JD
1922 11N
HaMEs
ScAtF : I" - 30'
? V
99p_od
0 P
?
0
i
?
a i9zi.64'?
a
?
• 30' A:',2ONT 9v11-DIN6
SETB9CK L iNE
I har:by cartify that thia is a t:ue and ccrrect rnpneentitian ot a trac! of
land as showri and deacribed herean.• Ae preparad by fie on thii ?rrw "day c!
19 $-7. .
Hian.
(p1v 5)
l.5. xo. ?Gasfx
t Ur 9
• ?...?,
Ez Uaioa ENyrLort. nvrrinsr. °11° coMrurnrIoN
OWN4R: nnrr:
• ----- ------- ----- ---- ?'-?-B?S -_____
SITE ADDRESS: PIIONF:
CONTRACI'OR:?I? Oh S ?
Determine workiny squarc footaqe of each
1. Total exposed wall area..... ft. x .11_= z??•s.
2. Total roof/ceiliny area..... 40 sy. ft. x_02G 7:1
Total expused wall are(i albvc I'loor=
a. Total wall window area..... ,.......................................
b. Total door area ................................................. '---?W
c. Total sliding ylass door arr.a ...........................
.........
' Total fireplace wall (irea,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
.......... _
e. Total wall framing are,a (average 10%) ............................
f. Total rim joist area .............................................
9. net wall area above floor .....................................
h• ' wall area above floor ................
i. wall area a6ove floor.... .,:' ...............................
....................
j. frame wall area at foundatior). " .................... .............
- -
Total exposed foundation area= _L&(Q__
k, Total foundation wlndow arca ....................... .?
1. Total net foundation area above grade ..............
Deternrine "u" value of eacli wall segmenC
(e.g. window, door, each separate wall section)
X 11 Ul,_ .? ?- - - ??--
b. x ,lull ,31 :=-_)1•1
C. 40 x r
-
?9-
----?s?
d. ------ x 'lu„ _
e'-- 177 7,-.._ x " u?? --??---
f.__ X „U„ _?4- =
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A
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119126
Date Issued:11/15/2013
Permit Category:ePermit
Site Address: 761 Hay Lake Rd N
Lot:17 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Julie Chouinard
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin G Verba
761 Hay Lake Rd N
Eagan MN 55123
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119240
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 761 Hay Lake Rd N
Lot:17 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-170
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin G Verba
761 Hay Lake Rd N
Eagan MN 55123
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
StO6 E6vlTct)r�
WALIUNG SURFACES GREATER GUARDRAILSHE"
ABOVE AREA BELOW REQUIRE
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
L'ECt4S SHA!_I_ NOT BE SUPPORTED BY
C .LE FRED I—JC T HOUSE FRAMING
t7UUT SPECIFIC ENGINEERING..
ST PE AT TACI ILO W'Tlri
V 3" X 4" LAG SCREWS
14 W/ SU RRS EVERY 16*
;falls oi tour cr more risers shall have a
graspable handrail between 34" & 38"
rrmcasured vertically from the nose of the tread.
TR—ATT—r1 nay r7—'"AL
F.
c f ."1" YOUR LUMBER
SUPPLIER FOR MORE INFORMATIQN.
.pc) FJ1E. 28-02
yEAP
„PKLI ,3 m -t- r2 (Tifr
EAGAN
11—VIEWED
iZ
BE PROVIDED WITH ILLUMINATION IN
'ATE_ ViCIP I Y OF THE TC 56iNG.
ACTIONS DIVISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156856
Date Issued:07/22/2019
Permit Category:ePermit
Site Address: 761 Hay Lake Rd N
Lot:17 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin G Verba
761 Hay Lake Rd N
Eagan MN 55123
(651) 688-8679
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature