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773 Hay Lake Rd NCASH RECEtPT •? -CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVBD ' , • PROM arnouruT & ooLLwws ,ao ? CASH qCHECK poaR r '1174 e r ?. ? White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You -IT--- -r--?.--,-----;? BLDG. PERMIT N0. 01-3210 Bldg: P`e'rmiE 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 01-2155 Surcharge j17-3860 Road Unit 20-2275 5AC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 17-3855 Park Ded, /'2O,( G ->Ici G v TOTAL CASH RECEIPT . • CITY OF EAGAN Y 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 • AMOUNT I $ & ooLL,?ws ,on ? CASH E] CFFECK FOR ? i?? ?f . . l ti. ? ; ._ . FUND COOE pMOUNT .? 1 J Thank You - -?'f e,r White-Payers Copy Yellow-Posting Copy Pink-File Copy "w°"' 3830 Pilot BUILDING PERMIT To be used for CITY OF EAGAN Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 Receipt # 13809 Est. Value Date ,19 Site Address Lot Block Sec/Sub. Parcel No. ac Name W 3 Address ? City Phone °C Name .o z ?- os Address ? City Phone Name City that 1 have read this application and state Eagan OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Weli _ Type of Const City Water _ (Actuay ' (Allowable) # of Stories Length Depth _ S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit WatedSewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Council Bldg. Off. _ Water Meter _ Road Unit APC _ Treatment Pt Variance ?.opies Signature of Permittee TOTAL A Building Permlt is issued to: on the express Cortdition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Tslephone i? PJumbin9 ? ?s`1 /r?6 x,,%?, H.V.A.C. ??.? /sJ 7 Electric Softener Inspectfon Date Insp. Comments Footings 1 Footings II Foundation -- Framing AQ ?y?Erj ?jf9,rG? / ? Roofing v _ ?,,, ?S - Rough Pibg. /647 ? Rough Htg. 'o rsui. Fireplace Final Htg. Final Plbg. .? Bldg. Final Cert Occ. .so•?/ ?r ?, Temp. LP Deck Ftg. s Deck Frmg. Well Pr. Disp. t' . a 1 fEtrfifirate of (Orrupttury Citp of (Eagan aPpwdt[pttf u# l1dIbtttg 3wPtftatt This Certificate issued pursuant to the requiremenls of Section 306 af the Uniform Building Code certifying lhat at 1he time of issuance this structure wes in compliance wrth the various ondinances of the City regulating building construcrion or use. For the following.• uae Cless;ficado SF DF1G/Gfi' R3 &dg. ftr6t No. 13609 RI v Occupaxy Typ Owner of Build? &n7dingAddtm _. --' ---- --- [,pplitY Deta _ Buddn Officisl ? ?? 1987 POST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 Site Address Lot Block ? Se ub ?n ? Name ? Addres c City i ?.+_ Phone - ? Name i ' 3 AddressL 4 p City _ PhOUt t ?1.1 -i 11.4 FEES COMM/IND FEE - 1°rb OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATUfj? F PERMITTEE ? V PERMIT # RECEIPT # DATE: - ' 1? -`' ' 1 , BLOG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES Water Closet - $3.00 TOTAL Bath Tubs - $3.00 ? • ?" ?Lavatory - $3.00 ?_Shower - $3.00 ?• " _-Kitchen Sink - $3.00 3- " Urinal/Bidet - $3.00 __?_Laundry Tray - $3.00 %' - _L--Floor Drains - $1.50 ? . SD --I-Water Heater - $1,50 ?• <<) Whirlpool - $3.00 _+_Gas Piping Outlets - $1.50 ? • ? ? (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _t ]?__Rough Openings - $1.50 FEE - " ?-? STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ' ?, • ,'? ,? MECHANICAL PERMIT ,? ? CITY OF EAGAN RECEIPT # ?K > 1. 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Jur.e ].7 ? Name K?eve Heatdng F. i .g Address 13075 Pioneer Tri c City `--'d:'-•i Prs'iric? Phone ? Name Cor rate Construction 3 Address 4466 liedgewood p City Eaga n 454-0644 - TYPE OF WORK Forced Air d2,000 13TU Lenn6ycgTU 24.00 Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. r;i tchen itoo d42_1.N?CfAh; ? FEE: S/C: TOTAL: BLDG.TYPE Res. ? Mult Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ` GAS OUTLETS (MINIMUM - 1 PER PERMM - 1,50 EA. COMM/IND FEE - 1% OF CONTRACT FEE . APT. BLDGS. - COMM. RATE APPLIES ? TOWNHaUSE & CONDOS - RES. RATE APPUES MINIMUM RE5IDENTIAL FEE - ALL ADD-ON & ? REMODELS - 12.00 ; MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIL (ADD-$.50 S/C IF PERMIT PRICE -C.'OES BEYOND $1,000) -? i SIGNATURE OF P MITTEE FOR: CITY OF EAGAN . -?:_- cmr oF E?GaN 3830 Pilot Knob-Rftd -. SEWER SERVICE PERMIT P.O: Box g,119o Eagan, W 95121 PEqMIT NO.: 2onin ' g: DATE: Owner. :.orForB No. of Units: 1 tP nnat Addresg; -- SiteAddress: 77 k L14 B1 Plumber. Itsin?nd rAn{dge TT_ E_ v., eft 5-I5-87 73534 I agros to compfy wllh qm Clty o} Eagan ioo.oopa Connection Charge: _ s? c n n O?dinsnces. .re ,a ? r Account Deposlt: ?- Permlt Fee: Surcharge: BY Mtac. Charges: I Date of Insp.: Totel: I ??$p" , Date Paid: '?°r`r ? _ ?+At?.-?.?--• - -? ? •.?, -. . _ . . SSIiY/?? YT. lyw ; CITY OF EAGAN Permjt No; 876£ S•-22--R7 ? 3830 Pilot l?wb Rodd Meter No: ? P.O. Box 21199 Reader Na Si2e: Eagan, Mh.b5121 pste. Owner.'-U-" .s•.. :t.?. nst SiteAddress: 773 :lort?i ?? =- L av a P Plumber._ Ranmo;,ri_ . g„sd 114 R1 ra?,., r{a T , . z e- Chg: S OQ Zonin lep:-_ '- ?. 30pd No. of Unit,s: Fee: - ? 't]ncl ?u????arge: c.?vpa I agree to comply with the City o( Eagan Tr. Plant- 1,?0 OO?I Ordinances. Meter. ? Misc.: B Y WATER SERVIGE PERMIT _ -- - --- --- - : CITY OF EAGAN `. ? Permit No: 7 F P, 7 - - 3830 PIIot h?!?ab Road Date: Meter No: Size: " RocK P.O. 9ox 11199 Eagan, MN 55121 Reader No: pate; i . Owner. Site Address: Plumber ? 7T T Conn. Chg: S25 Co t'E, f z Acct. Dep: 15. Permit Fee: lti . n Surcharge: ' • ? ?[ Tr. Plant I'? 0 U' ???a°"?PlY M?Rh the City oi Eagan rdinances, Meter. ? Misc.: B ? . y WATER SERVICE PERMIT RESIDENTIAL 41?'? -] - 9-5 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55722 651-681-4675 v Construction Reouirements RemodaVReoair Reauirements 3 registered sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas . 2 capies of plan (20% maximum lot cwerage allowed) • 1 set of Energy Calalations for heated addNOns 2 copies of plan showing 6eam & window s¢es; poured found design, etc.) . 1 site survay forezterior additions & decks 1 set of Energy Calculations . Indicate if home served by sep9c system for addNOns 3 copies of Tree Preservation Plan'rf lot plaUed after 711193 Rim Joist Delail Opfions seleciion sheet (61dgs with 3 or less uni6s) ? 4TE VALUATION )B 51TE ADDRESS I ? MULTI-FAMILY BUIIDING, HOW MANY U ITS? ;OPERTY OWNER PE OF WORK ? O -F IREPLACE(S) _0 1_2 3 'PLICANT?I,?I Tfv- ? PHONE # (&? ?J C(???-%q b )DRESS VAL" I ZIfPC?,ODE?J,L? \GER # CELL PHONE # FAX # 16:A-_?-SQ-CA:AC?j NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =_nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted , MINNESOTA RULES 7674 - New Energy Cade Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: \techanical System Includes: Sewer/Water Contractor. _ Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. SignaFure of Applicant A l, :rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Watcr SoRcner Water Heatcr No. of Baths Phone Lawn Sprinkler No. of R.I. Baths Updated 1f01 OFFICE USE ONLY 01 Foundation 02 SF Dwelling 03 01 of _ plex 04 02-plex 05 03-plex 06 04-plex 31 New 32 Addition 33 Alteration 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Mu1ti ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demofish (Foundation) ? 45 Flre Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors *Demolltion (Entire Bldg only) - Give PCA handout to applicant duation Occupancy MClES System _ :nsus Code Zoning City Water _ kC Units Stories Booster Pump _ ir. of Units Sq. Ft. PRV _ ir. of Bldgs Length Fire Sprinklered _ pe of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings(addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Fiual Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By ise Fee ircharge 3n Review './ES SAC ry sac ater Supply & Storage :W Permit & Surcharge eatment Plant imbing Permit ;chanical Permit :ense Search rpies her ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 18 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N Building Inspector dal CITY OF EAGAN (va 13 6 0 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used tor SF DWG/GAR Est.Value $$8,000 Date Receipt MAY 12 SiteAddreas 773 NO HAY LAKE RD Lot 14 Block 1 Sec/Sub. FAWN RIDGE 2ND Parcel No, ? Name CORPORATE CONSTRUCTION INC 3 Address 4466 WEDGWOOD DR ° City EAGAN Phone 454-0644 .ao Name z 0< Addre ? City _ ww Name w i? Addre 5 _ w Cih'- Assessmenta Water/Sewer Police Fire Engr. Planner Council I heieby acknowledge that I have read this application and state I 81dg. Off, thattheintormationiscorreCtendagreetocomplywithallaDPlicable APC State of Minnesota Statutes a it,y Joj?Ey??(yan Ordinances Variance Signature of Permittee_??/ ? A Building Permit is issued to: CORPORATE CONSTRUCTION INC all work shall be done in accordance with all applicab State of Minne$pta Building Official ? OFFICE USE ONLY On Site Sewage Occupancy - MWCC System 7 Zoning On Site Well _ Type of Conat Ciry Water X (AC[ual) (Allowable) # ofStories Length Depih S.F. Total Footprint S.F. APPROVALS FEE$ Permit _ Surcharge _ Plan Review _ SAQ Ciry _ SAC, MWCC _ WaterConn. _ WeterMeter _ Roed Unit _ Treatment P1 _ Parks Copies TOTAL 1987 R3 R1 _v- V 50 ?I $ 461.50 9'in _ 7 5 inn nn 5 9 5 _ (lfl S95_00 67.00 305.0 0 lAO.OQ $7-?43B-M on the express condition.that Statutes and City of Eagan Ordinances. :? ,?%j9.1//ff 9 REQUEST FOR ELECTRICAL INSPECTION ?ee- 1?' ? ? ? See insimqiona (or completirg this form on back oi yellow capy. J• // 0 95890 `7C" Below Work Covered by This Request e Atld Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Wacer Heater Electric Heating Apt. Building Dryer O[her (Specity) Comm./Industrial Furnace Farm ' Air Conditioner ONer (apecify) CoMractar's Remerks: Compute Inspecfion Fee Be/ow: # Other Fee # ServiceEntrence5ize Fee # GircuilslFeetlare Fee Swimming Pool 0 to 200 Amps a l0 100 Amps Transformars Above 200 _ Amps Ahove 700 _ Amps Signs Inapeclw§ Use Onry: 7pTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspeaor, hereby RO19 °a cenify that the above inspeciion has been made. Fnai 081a ? ° OFFICE USE ONIY This requeat wb 18 monUS Irom ?f?? % ? 5/?K M 9 89 0 /-i Repu? D e . ? CF Fire Na. Rough-in Ineped' n Requiretl? ? Yes ? No ? Ready Now ill Notity Inspedw Nfien Reatly? I p licensed contractor ? owner hereby request inspection of above electrical work at: JOb Atldr¢ss (Siree?, Box Rou1e .) . 3 , a,6 ? Ciry 8.4on No. Township Name or N. pynge No. Coun 0-& CL O ant (PRINn ?en i h i ?-?- Phone No. Y5?-6326 Power u lier ?/? ,, ?. E?GP S/?? Mdress ElecVkel Contractor (Compeny Name) Contractw§ Lieense No. Mailirg Atltlresa (COnirector or O.mer Makirlg Inst?n) -773 rV dz., o Authoriz nature (COntractor/ r Making Installetion) P?one Numlaer MINNESOTA STATE BOAHD DFECECTHICRY THIS INSPECTION REQUEST WILL NOT Grigge-MlEway BWg. - Room 8,173 BE ACCEPTEO BV THE STATE BOAPD 1821 UnivaraHy Ave., St Peul, MN 55100 UNLESS PqOPER INSPECTION FEE IS Phone (612) BC2-01I00 ENCLOSED. ?v//a?15 7 D 9 REQUEST FOR ELECTRICAL INSPECTlON . ee-oaooi-os 1 Sae inslructions lor com0leting lhis lorm on beck oi vellow copy. ""1('" Be/ow Wwk Covered by 7his Request Ad R.P. Type olBuilEinB Apptioncea WiroE Equluoient WireA Home Ranye Temporary Service Duplex Water Heater LiGhtiny fiztures Apt. Buildinq Dryer Electric Heabn M Cominercial Bldy. umace Silo Unloader Intlustrial BIAg. Air Conditioner Bulk Milk Tenk Farm Otne, per.r v 01n,., ISnec?ivl 1 er Speci(y tho, Oih,r ompute lnspection Fee Be/ow M Fee SefviceEntrenCB$ixB H Fee FeetlaFs/Suhf¢nders U Fre Circults 0 to 200 qm s 0 to 30 Am s .O 0 tn 30 Am Above 200 qmpy 31 to 100 Amps 37 to 100 A s ? Swimming Pool Above 100-Am s Above 700_Am s Transiormers Irngation &ooms Partial.bther Fee Signs Special Inspection $ TO \ Rertnrks ?D TA EE QJ r • Nouph-ln Finel ? r O'ue p ?-?D ?7*?'}-.?_ ? d? ? ?p Electtic Inaoe .eby certlly thel the above inspectian has bean .ae. ThiereQueatvoldl8montlmimm V ?` "'?? "•--?' "?? This repuest void?//s/S 7 18 mpnths from ??6 -7 c, Sveel Ad res Box or oute No /t?'D ' d?0 a.-0?? ??e0 City E: * 9 eciron o. Township Name or No. Ranea No. County Occyg?nt (PRINy Phone No. ? Pawer 5 plier AAdress Eleclrical al Contractor ICOmuany Namel K'MIUCK ELECTAtG Contractor's License No. 402R Ma?im??.sy l?? r wner Making Instailation) 2 , r ay W 1 iB r cto e stallationl Phone Number MINNESOTq STATE BOA0.D OF ELECTNICITY THIS INSPECTION HEQUEST WILL NOT Gripas-Midwey Bldg. - Aoom N-191 BE ACCEPTED BV THE STqTE BOAND 1821 Universitv Ave.. St. Peul. MN 56104 - ' UNLESS PHOPEX INSPECTION FEE IS Phone16121642-OBOO ENCLOSED. M"`°•"°° °°"^?°' i hereev equest insoeccion of ebave ? Dwner electrical work installad et: 798$ HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FDR CORNER LOTS - CONTRACTOR/AOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS lk OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL ? INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SFECIFICATIOt3S AND i SET OF ENERGY CALCJLATIONS f?y' cl?j To Be Used For: .VELK Valuation: Date: M MAY 2 5M8 Site Address ? fi• ? OFFICE USE ONLY Lot I ?t Block On site sewage_ A ? MWCC system Pareel/Sub AZ, On site well _ I I ?/,,,? City water Owner (?(JiyvI , /d-c?- PRV required _ ,?+i? ?y Hooster Pump ? Address i7 3'v • FFA `( ??KE7 n D C3ty/Zip Code LJ?-? ??1a3 ??I Phone `t SC?/ " & Z5 ,}?(0 APPROVALS Contractor Engr/Assess ? P1 Address City/Zip Code Phone Mch./Engr. _ Address City/Zip Code Phone If anner Council Bldg. Off. Variance Occupancy Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES , '?uren ge ? Plan R iew I SAC, Cit SAC, MWC U " Water Conn Water Meter Road Unit Treatment Parks Copies TOTAL URVEYOR'S CEATIFICATE• S. , 6.? PR HpuSE p / / ,31'y+aE . -50 ? q? 10 \ 1?2 06 5 j? '-- ?o ? ,-'?lp 1 r9 / ' /' ' 'u+ ?[`• 1? -50'-33 % I i-? r 6r.p L_ V 1 , l•? y 1? r ' g LO ? s 1 .,. . `?.. . ? ^ 9. 05 `' , ,. -;- 1 ,,. / . ?.. L. ?..? i ? CORPOftATE CONSTRUCTION 1 1 ? r 25 ?, S 4) ? ? ??? • \ " .-/ Pn". pY N pµNE? ? GAR 'o _z? ?J10 0 4B i j r' ' 11 r 11 I.T4o?„?? l2?' g3 . 1 ? o 25 1 V DENOTES PROPOSED SURfACE QRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCII ? 30 FEET • DENOTES IRDN MONUM[NT FOUND ? PROPOSED GARAGE FLOOR r 9z8.8 FEET 1(000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ti 9z?•o FEET (000.0) QENOTES PROPOSED ELEVATION PROPOSED TOP OP DLOCK FEET ? I HEREBY• CERTIFY 70 CORPORATE CONSTRUCTION T HAT 7HIS IS A!TR UE y1ND . CORRECT REPRESENTATION OF A SURVEY OF THE 6011NDARIES OF: Lot 11, I31ock 1, Fi',11i f',I!?GE .'.'r'r nnPITIO ti, acccr(ling to the recorded plat tkerenf, Dakcta County, h !inr.esrta. AND OF THE LOCATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SI10W IMPROVEMENTS ; OR ENCROACHMENTS, IF ANY, THEREON. A5 SURVEYED 8Y ME, OR UNDER MY DIRECT SUPERXISION; TNIS 2ND DAY OF APfzil- , 1987. PROPOSED GRACES SHOWtI IIERE TAKEiI FRGI1 THE GRAi?IIIG, DRAItlAGE AIID EROSIOtJ COilTROL PLAPI FOF FAWia RIQGE 20 Af7DITI0hf, PREPAREr A[3Y PROQE EiIGItlEERI(IG CO., IfJC., LAST CF{iEC JUNE G, 1986. SIGNED: ,1AME?R. HILL, INC. ? L.; ?! G!(.4.y+r!!c- ?,? ??•'s''?r+ BY: ?. IinROLD'C. "rETERS"uN, LAND SUnVETOn MINNESOTA LICENSE N0. 12294 PROJECT N0. BOOK / PAGE ,JAMES R. HILL, INC. 8720e Planners / Engtneers / Surveyors F1LE NO. ' 8200 Numbaldt Avenue South? FOLpER B{oaminqton, Mn. 65431 s12-884-3029 CITY OF EAGAfV APPLICATION FOR PERMIT EWER AND/OR WATER CONNECTION ? .?"`.? Q ?c.?• ??.r-? ' 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: e *1[YJw-: PAYMFTIr' OF kEE AT TIME OF APPT.TCATION DOFS 1V02 CONSPITSTTE APPROVAL OF PIItNIIT. INSPDLTION OF SEFM ADID/OR FATII2 TT1ST'AT7.ATTONS WIIS. NOT.BE SCHm- ULID UN1ZL PERMIT flA5 BEEN APPROVID. Lot Block Subdivision or Tax Parce ID IF EXISTING ST12=ME, DATE OF ORIGINAL B[IILDING PERMIT ISSL'ANCE: ' PRFSENP ZONING/PROPOSID L'SE: (t"bn YearJ ? CONYmERCIAL/REPAIL/OFFICE Q IIIDL'STRIAL n INSTIT[PI'IONAL/GpVERNMENr 2R-1 SINGLE FAMILY ? R-2 DOPLEX (7tao Dnits) ? R-3 TUJWNfiOIISE (Three + Units) ( Onits) ? R-4 APARTTa]T/COPIDOMINIOM ( Units) 2) N)1ME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) -- NAME. Oe yM??D-C'rW'Af gTL'SO, INC ADDRESS:_ 7295 C'o.l AV9 $6 . CITY, STATE, ziP: Richfiel _ MN_ 55?? PH0NE: MASTER LICETISE# riunu7er5 L1C2I15E: O Active F?cpired I J. Not recorded Staff initial 43 =m a cn- NAME: ADDRF.SS: CITY, STATE, ZIP: PHONE: 5) u ?• • ••?• : a • n? :,. ? CONNECPION TO CITY SEWII2 aCONPID(.TION RU CITY WATER ? OTIMR_. 6) ?• r [3 PLFASE HOLD ApPRpVID pERMIT FOR PICIC-L?P BY ONE OF ABOVE LEASE MAIL APPROVID PERMIT TO 1. 2 3. . ABJVE n , (Cir e one) FOR CITY USE ONLY PERMIT # ISSLED C 7 G ? Pd w/Bldg. Permit $ $ $ fv 7 < cti t FEES: $ SEWER PERMIT (INCLUDE SORCHARGE) $ Al'i - S? WATER PERMIT ( INCLODE SL'RCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER S $ WATER TAP (INCLI'DE CORPORATION STOP) $ $ SEWER TAP $ ? S^•O?J $ ACCOUNT DEPOSIT - SEWER $ ??^•? $ ACCOL'NT DEPOSIT - WATER $ ljrZ S ?I? $ WAC $ 4, ? .? • ?l D $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ 0o•? Z) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /qo27oL7 $ 2 r, cl--D TOTAL 7 ?s:3S? RECEIPT -7?7 ?Z RECEIPT DOES UTILITY CONNEC TION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MOST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: c`7 /LZ1z 7 ? 7987 BQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CfiRTIFZCAYES OF SORVEY, 1 SBT OF ENERGY CALCQLATIOAS NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOWNEH MIIST DESIGRATS iIHICH ADDRESS IS DESIRED. NO CH9NGfiS HILL BE ALLOWED ONCS SDILDING PEAMIT IS ISSOSD. M[TLTIPLE DWELLINGS - RFSIDENTZAL RENTAL QHITS FOR SALE ONI4S INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SDRVEY - CIiECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMRERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: (J(?„? Valuation: GC'300C?) Date: Site Address Lot Bloek ? Parcel/Sub Owner Address 4(/ City/21p Code L-Ae ,(ti SS;2.3 Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On Site Sewage_ Occupaney MWCC System ? Zoning K I On Site Well Type of Const City Water (Actual) 3[ (Allowable) S:: li of Stories Length Depth ? S.F. Total Footprint S.F. APPROVALS FEFS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Permit 6( .-L3 Surcharge 441 Plan Review '1-3p. SAC, City IoO. SAC, MWCC S25. Water Conn 52E- Water Meter b7. Road Unit 309. Treatment P1 {?10 Parks Copies TOT9L QZ=- T Z G = 7 60 X- = 4 j 2-40 S-7& x E8 - 3 3 408 ?? << = (0 CC) x ?4 4 - 2-9 0 4- 2z-x 2 ?- ??04 J t T 9%3G o -SURVEYOR'S CERTIFICATE %? i ?.-r ?.; i ii i? \ N?4° ?3t 2 O 25 1 ? -.*_ DENOTES PROPOSED SURfACE DRAINAGE O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH ? 30 FEET • DENOTES IRON MONUMENT fOUND PROPOSEp GARAGE FLOOR = 9Z8.3 FEET X000.0 DENOTES EXISTING ELEVATION PROP05ED LOWEST FLOOR = 9zb•o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9z 9.2 FEET I HEREBY CERTIFY TO CORPORA7E CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 14, f3lock 1, FAF'I! RI!'GE 0c!r nDEIITIOFI, accarding to the recorded plat tYer•eof, Da.keta County, Minnesota.. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. A5 SURVEYED BY ME, OR UNDER MY DIRECT SUPERYISION, THIS 2NO DAY OF APRIt , 1987, PROP05ED GRACES 5H04JN l•(ERE TAKEfl FRC1P1 THE GRADIIIG, DRAItlA6E AflD EROSICfi COilTROL PLAM FOP, FAIti'id RIRGE 2(;D ADDITIOP:, PREPARED E3Y PR06E El1GIflEERING CO., IfJC., LFlST CATEf JUPiE E, 1965. SIGNED: IA?1E?R. HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGH JAMES R. H1LLs INC. 87208 Planners / Engineers / Surveyors FILE N0. . 8200 Humboldt Avsnue South FOLDER Bioomineton, Mn. 65431 e12-8e4-3029 CORPORA7E CONSTRUCTION N O s s? 25 ? ? ? 30- ? ??a .,o 7? eo ? CI,v , Cities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. H r.N??rE s_ R p r?? NO lML A ' ? ? ' --• ..? , i ?'f ,:'`''', Lw o Adopttun rettv? 1111114 :XVrVer Phone ^D??icciS :1te Addnss Y :ontrettor C-C:5oe C-o luilding Classlficatlon: Type A1 (Stngle Family 8 Duplex) ? Typt A2 (Residentlal - (3 stories ar est: •(Other) (over 3 stories) ' 'sENEAAL INFORlIATION i. Building Perlmeter ?!S-(e ft. ?. Ya11 heiyht (ground W eave) ft. Z 3. 1. x 2. ..(aDove) gross wai l area Z?-O F-1 fc. ? 9g.5 ??. 3. Building dlmenslons (L) 40 x(N) 30 _• I,?,94.5 ft.z roof s i. Spuare fcot area of rim jotst - Floor joist size (2 x lo ? ) ?.O? x Perimeter = Rim o st area -1? ¦ \?O 2 ft 6.Doors - Area Thtc noss n. actor Type ot Construct on??\ C?? Menufacturer e,a ? Q 7. Total door's perimeter 3 Z. Z g, ft 8. Windows: lUnutacturer tNn e r c o State approved (h (o U factor . 5 c) irvE SiZE AR.A (F:.2) !VUMBER OF TOTAL fEET Z EACH UNITS ;., C-?s. wa-g, ?.az 4 Z?.ce4, .:,. . ,, W ac.., q,? tb 4 n . l Z 2So4o 14. -74 ,KO3C \z.ra9 L \ Z.SQ ?r.`,'': ?.??.n . ee/c? C110. oc) : .,a,.p. . ,; ,. i! Fy, total ft.2 61ass ?\\ .,4 ? • ,101- Flreplate area: Hidth x heiaht ? -e? x ?-• ?- Ft 2 t " 11 . Exposed foundaNon: Helght x Derimeter ,-`'? x \`le • ?? ft.2 :314PlfTION Of THIS FORM IS REOUIRED FOR All NEU COt15TRUCTION, MAJOR REMOOELIN6 An0 BUIIDt!+GS SEIp 1)YEO kNERE ENER61fo OTNER THAV THE MINIMAI COOE ALLONANCE. IS USEO. ? ...._. . . . _ ??,;,. Vi SC. ,. ,. ?• i50. i: :r ?9 ?r+?t. • 109O1!:;g??ts rqs: w)1 .ra z?o 9C5 f..2 ;:; .. blind0?? &rea A ft.2 1: wlndaws • . SO 'J x A• Rim Jaist area A ?3„0 o ft.Z U rim joist a •04 U x p, 5. ?s Door area A_ - ?-1 1-? ft.? ;1 door area a -a' 3 U , q. r. q --=--•--- - ' ? ? Fireplace area It ?3- f..z U r i repl ate - ?3- U x A• Exposed foundation A ?a a f*,- U foundation • ,\\ U x A? ?• L? Framing area A it.2 J franing area •. OGt U x A? ?q t Nef wall area A se?p.b\ •`t. U wall = _OQ3 U x%+ . . . . . . . . . . U x d Gross wall area x 0.11 (A-) single family S du;;=x y allowable U.c A/COde (13. ebove) . x 0.23 (a-Z other resiCentia'.; x .23 ;Other building,? x .2E (Qver ; stor;o,?) UH Must be larger thaq: a Z Z O?j x U Ccde .. -?? --- ???. ?? . 138 ibnve --? C211ing framing area (Af) aquals 10': of c_.iliro area - - or the same as) Gross ceiling area ? ? 4,5 4 (?) 4o x c,) .3? • 1Z9-4,ft.2. Joist area (Af) ? 10" ceiling area ft.2 k ,.N Yet ceilina area (AC) (15A - 158) p? ft_Z U ceiling x A c¦ ? o2?_x U framing x A f- , o L?4 X_ _2? TQTAL U x A ,., ? ..................................... Ceiling area (15A) x 0.026 (q-1 singte .`amily S Cuplex - code allowable U x A x O:C33 (A-2 other residz.^.:ial) x 0.06 (other) A(15?1 ?? 9x BoUH Must be larger than 15D (a6ove) ?fcodel" _c??F (or the same es) ? 3-3 . b b 'I NOTE: Use U and a vtlues obtained f••om nps i, J and 4. I StCl21w ;?. snD SLCTION 2ND uALL $ LC? i :Mi R!M Ja15T :.'?.'.. Id. U ? I ???, • ..?. 5 .!` •9 Ji?01 [etert4C rait •??! (M41 1) U • ? + ?' ^ ° ?` • ?; stdtnR . ? rau.;ae 8,r tttm .17 3 TOTAL ,,. Instdr air Eilm ? ; V L, i?nt.:tor •atil k= a=M$'' (Friming) U rk • ?i'?. h *a [hing Z.o? Sldfns .4`7 ' til I?r OutsIC• air illn .17 =,i.w .. . : OTAL ? C? In?tae alr tilm Ra .68 , cnt.t tor ,.ail .45 ?1 +e infUlsCiOn Sheathtng Z. °a ;`•? Ex[erior v4l) .ov* ring Ex[tlrlar a/r Clhr. ? ^ , ?? • ? ?' t 4 IO'CAL Z3 . 0 2 lnc*riur air (ilT 1 1 : ton ' ?g•o0 . . r.sI; . = i t? ir,cA su[t vuud Ril.aB (aiM U Joist) a A• : l, r 3/y 5hraihing • 1??1 L.p L:(tlT70C 4a11 cuvertng . "? ` ixterlot air flim Ra .17 ? ? ? I it TO'CAL i Z?*?`Q ct i , . . ? Int.rtor air t! ln R' .6€ • ?5,? lnsvls:lor. . . . ? . ,.:t? ? 1?'LY Car«.? Foundatiun ?-•?o (Fdn.) U s?¦ : t? ?}D? xt?rlor •ir ftln a',.17 l ?' q F 5 ?-L_ • , F TO?AL ? i, --- - , ?f<pused 3LucK \ r.rate PERMIT City of Eagan Permit Type:Building Permit Number:EA115229 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 773 Hay Lake Rd N Lot:14 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-140 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . James Geisen 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 - William Hill 773 Hay Lake Rd N Eagan MN 55123 (651) 452-6386 Twin City Roofing Construction Specialis 72 Ivy Ave W St Paul MN 55117 (651) 636-9640 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142707 Date Issued:05/15/2017 Permit Category:ePermit Site Address: 773 Hay Lake Rd N Lot:14 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-140 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - William Hill 773 Hay Lake Rd N Eagan MN 55123 (612) 249-0856 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144443 Date Issued:07/26/2017 Permit Category:ePermit Site Address: 773 Hay Lake Rd N Lot:14 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-140 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - William Hill 773 Hay Lake Rd N Eagan MN 55123 (612) 249-0856 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature For Office Use E .AG1\ NJ° :::: x e (tJ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 t 018 Date Received: /0_iG„r (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinainspections a(�.cityofeagan.com L _ 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /VP Site Address: '7 7 /MI` z-/ /6; Tenant: /j�'L /7'/L6, Suite#: Resident/Owner Name: /Z/7L � / G /� - Phone: �-5 -30 8/k 0 Address/City/Zip: 11 COMPARE CONOMONED WATER License#: �/JC/ yya/i Name:—9450 146wwwie .... ... { ELAINE MN 55449 Contractor d Address: City: State: Zip: Phone: 762 - 7 ?°! �1Sz-r Contact: A � Email: Type of Work —New !Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work- RESIDENTIAL w�.��-.�..�...,w�,.� Water Heater \/Water Softener Lawn Irrigation(—RPZ/—PVB) Permit Type Add Plumbing Fixtures( Main/—Lower Level) Septic System New Water Turnaround Abandonment i RESIDENTIAL Water Heater, Water Softener, or Water Heater and Soften FEES: $60.00 Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add PlumbingFixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 6) 00 CALL BEFORE YOU DIG. Call Gopher State One .....a 1. '6 )4-5 2 for . . cti _,in_t Underground n ti tours . e-y— ..) Call at(651)454-0002 fprotection against underground utility damage. Call 48 hoursfbefore you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email upate on the City's website at www.citvofeagan.com/subscribe. 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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: