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777 Hay Lake Rd NCASH RECEIPT • CITY 4F EAGAN 3830 P1LOT KNOB ROAD EAGAN, MINNESOTA 55122 14 -2 I ,J BY ? C White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You -; , BLDG. PERMI'T N0. / /, •'?' ' _^??/ ?' . ?. / / f 3210 01 .?? ) . . Bld - P t . . ??. - g . ermi - j 01-3422 Plan Check ; ?. 01-3445 Surch./Adm. 0I-3446 SAC/Adm, 01-2155 Surcharge , 17-3860 Road Unit 20-2275 SAC ?t 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. ' 11-3855 Park Ded. TOTAL ' ? :-- ? -- CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, M I N N ESOTA 55122 DATE 19 ? REC6IVED FROM AMOUNT $ I & DOLLARS ?oo ? GASH []'CHECK FOR / I ? FUNU CODE AMOUNT r Thank You 0 -( BY White-Payers Copy Yellow-Posting CopY Pink-File Copy ? CITY OF EAGAN ? ? ?J ?O11 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt tt To be used for SxDWG/G AR Est Value $74,000 Date JA[JUAR Y 14 ? g 87 Site Address 777 ?VO HAY LARE RD Erect L? Occupancy Kj Lot_13 Block 1 Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning K1 Parcel No. Repair ? Type of Const V Addition ? No. Stories W Na? PIETSCFI CONSTRUCTIDN CO Move ? Length 46 = 18956 .TORDAN TR Demolish ? Depth dk 3 Address Int. impr. ? Sq. Ft. o r errwtrTrrr x Z o Name _ ? Q Address ? r';,., Water 8 Sew. - Police Permit - Surcharge Plan Revie ?Ic h W Name Address 9 W City Phone f hereby acknowledge thet I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ? J• -?/=?' ???,l; ,! G?-? ? Fire Eng. Planner Council Bldg. Off. APC Var. Date Water Conn. 52$ • Water Meter 67 • ao Tr. PI. 180.0 Parks Copies $2,357.7 Total A Building Permit is issued to: `"jr'A.-"-Jn CUNS 1 s2UCTI0 %.v on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ? PermN No. Permit HWdK Dats TNephone 0 Plumbirtq , H.V.X.C. ENctrlc SOMMM Inspeetfon Dds Insp. Canmwnls FooUnpsl ? Footlnysll Foundarion Fnminy Rooflny Rouqh Plbp. Rouyh Hty. _ ImuL Firsplaee Final Hty. Finsl Plbq. . ? Bldq. Final c.n. ooc. y/c •1 ueo( y-?Y• r) .?r -!?i Icr-Owec oeck Ptp. Stl? p,.? s,.. sirc- Deck Frnq. Wall Pr. Dfap. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 i Site Address Lot ?2- ? Name ? Addres ?. c Ciry ? ? Name _ ? Address : o city ? F PERMIT # RECEIPT # -3 7 ? DATE: 2 I Z! 3-7 BLDG. TYPE WORK DESCRIPTION SeciSub Res. K New X ? Mult. Add-on Comm. Repair Phone Phone i FEES I COMM/IND FEE - 1% OF CONTRACT FEE ' APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPUES 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) I FOR: CITY OF EAGAN Other FES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL I Water Closet - $3.00 S __4__Bath Tubs - $3.00 i Lavatory - $3.00 I Shower - $3.00 3 - i Kitchen Sink - $3.00 ?S ? Urinal/Bidet - S3.00 --4_Laundry Tray - $3.00 _i Floor Drains - $1.50 -4--Water Heater - $1.50 Whirlpool - $100 __?-Gas Piping Outlets - $1.50 ?• i? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 _??_Rough Openings - $1.50 ?• ? v FEE: Z7<,o STATE S/C: + s0 GRAND TOTAL• ?- 7 ? 41 PERMIT # ., , MECHANICAL PERMIT 7'l = '-` =77 qTY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAO, EAGAN, MN 55121 DATE ? CONTRACT PRICE PHONE 454-8100 Site Address /Z < I; LW, I-L f BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ? Res. ? New ? Name ' Mult Add-on ? Addressr ' •"-k1'' -i . .- ? _ Comm. Repair c City Ai-St/ll ril Phone - Other 3 ? O Name City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 7- , _'. . ?•,/770- 1 Phone " M BTU M BTU M BTU M BTU CFM ? FEE - - ,, S/C: - • ^ ;? ?. . _ '? • . .?ic:- .. ? ? TOTAL• 7 ?r FEES RES. HVAC 0-100 M BTU -$24.00 AQDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 72.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. 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/G IF PERMIT PRICE GOES BEYOND $1,000.00) _ _' - --- - i - r , SIGNATURE OF PERMITTEE FOR CITY OF EAGAN a . V (I.er#ifir?tt uf COrrupaMry Citp of Cagan Drpartatptti nf liuilding JWrriinn This Cern'frcate rssued pursuant to 1he requiremenu of Section 306 of the Uniform Building Code certiJying thar at the ttme of issumece this structure was in compliance with the vnrious ordinances of the City reguladng building construcrion or use. For the jo!lowing.• Use Qa1sifiaAOn I Bldg. Pumit No. . ?.: pavpaocY Type . `? zoning Dwxwt ? t Tra COUSL 0..: .3ULY 15, 1987 Maing offie.i POST IN A CONSPICUOUS PLACE CITY OF EAGAN SEWER SERVICF-P RMIT 3830 Pilot Krtob Road 6? P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ? Zoning: No. of Units: ? Owner. ?'?erscli cor.st Address: Site Addi "o`) r.i 1 agree to comply wRh the City of Eagan Ordinances. By Inn, r??} Connection Charge: US n!l Account Deposit: Z : 17`1 Permit Fee: nn Surcharge: Misc. Charges: ? j CITY QF EAGAN ? 3830 Pilot iCnob Road WATER SERVICE PERMIT P.O. Box 211v3 PERMIT NO : ,.i ?- Eagan, MN 55121 . 2oning: -- i ? DATE: Owner. - ;24Atsc-?1 C * No. of Units: - i Address: SiteAddess: Z77 x° e16:_._? (' t i' ? Y e Plumber. - tL • r, - E ?'? ' 3J-?E ? T Meter No.: Connection Char e: g Sixe: Account Deposit: ?3,- Reader No,: Permit Fee: ? ? I agree to com PlY M?Rh the Cily of Eagan -T' •?' i Surcharge: ; Ordinancas. • ? Misc. Charges: ; •_ ; ,?n t ?' I? TotaL• I By Date Paid: 63 ? Date of Insp.: Insp.: ? ? Ci ..%uAN -?-ly WATER SERVICE PERMIT 38:.o Pllot Knob Road ' . ` P.O. Box 21199 PERMIT NO.: ?_ ., Eagan, MN 55121 DATE: / 7 1 Zoning: i,I No. of Units: 'ic,z«" ro,;sr Owner. Address: 7'7' N Llcl\' T<1F ?' T'.i? 11 5 ri1WT1 1 T Site Addess: Plumbec `'nn; elc - •c Meter No ?3 74- k ,S'q 1to e 1`ri tion Charge: Size: " o CJ<. ?rcc??;?sit: ???e?? . 7 . Reader No. O7DT ``Z?° $4tnrP ??I?? Ca {? it(?.,? I agree to compl ith t ? LE?i?9tlfCh?Pge: ? i. Ordinance QU , tlpm) ?'?f ?? ,•? ?r ta7: By Date Paid: Date Insp.: J ? ?7 Insp.: J I RESIDENTIAL ? BUILDING PERMIT APPLICATION cirv oF eacew 3830 PILOT KNOB RD - 55122 651-681 4675 rConsWCtion Reauirements 3 registered site surveys showing sq. R. of IW, sq. fl. of house; and all roofed areas (20% matimum lot coverage allowed) 2 copies of plan showing beam & wiMow sizes; poureA found design, etc.) 1 set of Energy Calculations 3 copies W Tree Preservatlun Plan If lot platted afler 711193 Rim Joist Deisil Options selection sheet (bidgs wilh 3 ar less units) are 9 r L?'' 0 I )B SITE MULTt-FAMILY tOPERiY OWNI PE OF WORK 'PLICANT )DRESS 1GER # CELL PHONE # FIREPIACE(S) _0 _1 _2 3 ?PHONE # , ?- C 1 IIV ZIPCODE 511?- FAX# Li 5 1 "aq a-n!,C6 NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Enargy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes; Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone #: Lawn Sprinkler No, of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 above informafion must be submitted prior to processing of application. ereby acknowledge ihat 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 Ordinan Signpture of Applicant `- ?? U U;rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ HOW MANY U , -1;- rn" _ Watcr Softener Water Heater No. of Baths 9 I 5? - ":?5 RemodellReoair ReouiremeMs • 2 copies of plan • 1 set of Energy Calculations for heated additiom • isitesurveyforaxlenoradditions&decks • Indicate'rflwmeservedbyseplicsystemforadditions VALUATION $-?, 5O0 Updated 1/01 OFFICE USE ONLY 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ent. Alt - SF 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 3torm Damage 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg onl» • Give PCA handout to applicant iluation Occupancy MC/ES System :nsus Code Zoning City Water kC Units Stories Booster Pump lr. of Units Sq. Ft. PRV )r. of Bldgs Length Fire Sprinklered pe of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundafion HVAC Drain Tile Roof Ice & Watet Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By ise Fee ircharge an Review 3/ES SAC ty SAC ater Supply & Storage :W Permit & Surcharge eatment Plant ambing Permit ;chanical Permit :ense Search >pies her rtal Building Inspector CITY OF EAGAN - 13089 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 N0 PHONE: 454-8100 BUILDING PERMIT Receiptp To be used for 5F DWG/GAR Est Value $74,00 0 oate JANUARY 14 ? 9 8 7 SiteAddtess 777 NO HAY LAKE RD Erect ?l Occupancy R3 Lot 13 Block 1 Sec/Sub.FAWN RIDGE 2ND Remodel ? Zoning Rl Paroel No. Repair ? Type of Const. V Addition ? No. Stories ? Name F'IETSCH CONSTRUCTION CO Move ? Length 46 z 18956 JORDAN TR Demolish ? Depth dR ; Address ? ° cjry LAKEVI7?y?'y 469-5938 Int.lmpr. ? S Ft. 9 1e Install i o Name SAME APPrmals Faea $ a Address x ` Ciry Phone 0.13 Name F. ? Address i w Ciry Phone - 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. .?L Slgnature of Permitte?(?' A euilding Permit is issued to: P TSCH CONSTRUCTION all work shall be done in accordance with all aoolicable Statdof Minnrcn Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date CO Permit $ 412.50 Surcharge 37.00 PlanReview 206.25 saC 625.00 Water Conn. 525.00 water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies Total z.357.75 on the ezpress condition that and City of Ea9an Ordinances. 8uilding Official '? ,- ? U 1987 BUILDING PBRMIT APPLICAYION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IHCLi1DE 2 SETS OF PLANS, 3 CfiRTIFICAT6S OF SIIRVEY, 1 SST OF ENERGY C9LCOLATIOAS AiOTE: 9DDRESSES FOB CO@NEH LOTS - COHTBACTOR/HOMEOSiNER MIIST DESIGHAYE WHICH ADDRBSS IS DESIRED. NO CHANGES WILL BE ALLOWSD ONCE BDILDIAG PSRMIT IS ISSOED. MOLTIPLE DiiELLINGS - RESIDENTIAL RENTAL 08IYS FOR SALE iJlIYS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SQRVSY - CHSCK i1ITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONa7ERCIAL INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address Valuation: 11"p'e1W hiAUlvkc OFFI, ,.ot 13 Block L R o_ Parcel/Sub ?? f ? ??D Owner Address Ti City/Zip Code Phone ?-/?l'r- Contraetor /Al /i . ?• Address l, City/Zip Code Phone Mch./Engr. Address C1ty/Zip Code Phone 0 „ n q Date: On Site Sewage MWCC System ? On Site Well City Water ? APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Oceupancy '•3 Zoning R•I Type of Const (Aetual) Iz: (Allowable) SL # of Stories Length q(o Depth 4c)_ S.F. Tota1 Footprint S.F. P'SFS Permit I Z 50 Sureharge Plan Review Z SAC, City ?00 • SAC, MWCC SZS, Water Conn 525. Water Meter 407. Road Unit ?5__ Treatment P1 Ip p. Parks Copies TOTAL ;;Z3 S ?• S F> ZG x 3? _`? 3Cp x SF? _ l2x.rL?" 3IZx?I4` 2ox ZZ- - 44-4-0 x12 ` .S4 Z88 ("3-7 Zg S 2.80 732?co . r s - PROBE' ENGtNEERlNG ??HSUlT1H6 EH61HEf55. PIRNHE9S cnd IAHD SUAVEYOfIS COMhflNY, lNC. 1000 EA57 I46it1 STREEi, BCIRNSVILLE, YIHHESO7A 51337 PH 432-S06U C?r?i?i ca?e Szc?-Ye c? Zagc7 17escr?.??icn• ( e?T 13. F3(_oC,? 1 Z N`J A-04? tTt O'?. \ M?ti?ScT-A '?° ScT-rdAc? Lh.lt .? / / 1 - • q24.i) a?kZp? A'? ? ? ° tdqe ? ZS 0 ? G 1 9`6 0 ?? S ? O . ? Q ?. 0 ' `O `!..\ 9. Q$r?.? S h A Oa ?'- , i C2?? ?RZlo.4 ? DENOTES DENOTES DEN.OTES OF SURFACE DRAINAGE Se-ALc ? "='30 CIL8.S3 = FINISHED GARAGE FLOOR ELEVATION I her:by caMify that thia ia a t:ue and carrect repreaentatioa of a tract of land as ghown'and deacribed hereon.• Ae prapered by me on thia tZn4 d:y of. xinn. lea. xo. iLoBs <<s.(o 1 N ea°zs o8"w ?-- ..._. EXISTING ELEVATSON PROPOSED ELEVATION ? CITY OP U=W!QE, Page 1 ' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION „?- / ? i ` • %?'?' r Add J Phon aner resa agal Descripcion of Property: Lot/-A Block " Addition,AfMJf?i?? r;2?' Date?:. ite Address / '/2j ? AVERAGE LINEAL FEET OF ,. , EXPOSED WALL AREA ABOVE GRADE PERMIT N0. ain level , • . . ? _ ? ? . ??f `` - T.ineal ft, of framed wall above graLt oZ? x height of wall, im joist area Lineal ft. of rim?? x height of rim i//• -- _?1J7•? i ower level // Lineal ft. of framed wall above grade'lA/,S?x height of wall p? Lineal ft. of masonry wall above grada(??_x height above gradg ?? ? TOTAL wall area above grade including windows and doors : 'INDOWS: Area,x "U•' velue / ? '.ake & tYPe ? /?n14,?'?'l?al6e fi.?4 2n,sul' ft. . , x nUn R (U) (A) : it ?-aoxa? sq. ft. /o R :?u???? a y? (U)?A) I u ?? r-??Y / n sq. ft. P37 X uU:9, vG '" F? (U) (A) , n u !_ ,?»C /?C _ i sq. ft. P ?3 X aU° (U) (A) I n n o'- 10.?[ G U sq. ft. /G.GG g°Un . t/G,°`(II) (A) i n n 3-g4x le p sq. ft. 3o g roUnYy (U) (A) n u 2- 2qx 41:L ?8(j• fi. /Y X u1Tu S/G (U)(A) ? n . n . 2- 24x H1 sq. £t. /4 g uUii, yG ^m .?r4?/ (U)(A) , If 3- oZYx 31?. sq. £t. /? x nUn ' 4G ° d-'-`d? (U) (A) o n A'(Yk 34 i. sq. ft. /?Z- x aUn .y4 ?, S,>`?, (l1) (A) It n sq. ft. x fluff yG (U)(A) ea. ft. X(U)(A) ft. 3.70 nUn (11)(A) n M sq. ft. X nUu (U) (A) u sq. ft. X ifU„ . -(U) (A) ?i n eq.. ft. T x uU'?? ° (U) (A) n of. sq. ft: X nUi(U) (A) 8q. f.?. X (U) (A) i00RS: Area x "U° value p 'J ? U?PW m .l03 fake & type P ?. 7 (l 8 ?i _(U)(A) ^(]n r l.i?l2?UO?G. ?ra Gbo2 $Q. 3 (U)(A) - 89 ft : ?????X nurr .? O ?? t? . Tw/Sd%n?EA I?(zTf4I OD?C ?aX G• ?" 9q ft. , X ??V?? • .? 32 -(U) (A) aq . ft. _ a ?fUll a --?--(U) (A) )PAQUE F?ALL CONSTRUCTION; Area s "U" value FRAh1ED WAI.L (total asea, lee• ' opening, framing membatc?c Yn )e[ail refer- wall, rim joisC area & ?pottry) ` .` ' ° " ance from , ..: _ ... ..-- ._... . •;;. _... . .'_` n n ittached sq. ft. x oU„. (U)(A) iheets ? FraminR members in.wall sq. ft. /9 f/C?x U-by, (U)(A) Rim ioist area sq. fC,?„_/f? .-p, x"U" '=? r(U)(A) Masonry area above Yrad? sq. £t. x"C". ?lij (t+) TOTAL Wal,•1 Area IRCluding Windows $ Doore TOTAL <U?(A) - . -. < COTAL (U) (A) VALUES r?1•? ]IVIDED BY TOTAL WALL AREA kVERAGE "U" Minimum .ll or lese for 1 S 2 family dwellings Minimum .22 or lese for all other huildings ' !IOTE: If average "U" values as calculated abdve do not meet the Energy Code requirements, the "Alernate Envelope Deaign" as indicated,on Page 5 may be uaed. G dse 10% of?opaque wall area , %fbr framing.members R-Value FRAMING MEMBERS IN WALLS , . Top View Exterior air film. +17 -- Sidi nR Sheathing ' soft wood .? ? , _ :. . . , ..... ?'. dry wall ........ . , .. .45 Interior air film '68 ' -- I ' T ! ?7? OTAL R U? 1/R ua ? , . FRAMED WALL Exterior air film .17 Siding Sh hi ? ea[ ng batt inqulation • ?p „_? : _ drv wall -- ,45 Interior air film .68 - . - ' - - TpTAT. R `U? 1/R ' . U? .v? ,.., _ .-?. _ RIM JOIST AREA .. , Exterior air film 17 ?---- Siding ? ?.._..?- Sheathin6 zff . , i??? sof vo d ' ' Z _1.88 . ? ? . .68 . Interior ali fym . ,,. . , . ? -'TOTAi. R =; . ... ... ? . . . . " . . . . U _ I/R _.,. _ . _.. : ... Y ..::. . .. :... „ . ' :.'. . .:. ... . .... .::. . i . ... ..: rAsoNxY wnLi . .:..n. . Exterior air film •17 " 12 concrete block I l l 529 / . nau at on i ?Inteziox air film ? .68 ,. . , _ ..,. ?- . o-.;:. ... . . .:. .,, ,, • _ ; i;. . ? TOTAL R _ u-Iia %D U_ 1 11 APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION *XYL93": PAYMF.Nf OF k'EE AT TIME pF aPPLscaTIoN noFS Nvr coxMTM APPROVAL OF PII2NRT. INSPF7CTION OF SEFM ADID/OR WATFgt 1T14TATTATTON$ [rUL NO1' $$ $¢ED- ULID UNfIL PERMLT HAS BF:F21 APPROVID. --------------------------------- P ease Printl ^^ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: If' EXISTING SiR[:Cii'RE, DATE OF ORIGZNAL BC'ILDING PERMiT ISSL'ANCE: - - ? PRESENP ZONING/PROPOSID LSE: (Pbn ear) q COP'MERCIAL/RE1'AIL/OFFICE F7 IPIDL'STRIPS, C] INSTITi'TIONAL/GpVERNMEN'p I? R-1 SINGLE FAMILY r-I R-2 DCPLEX (7tm Onits) C] R-3 7UWNHOUSE (Three + Units) 0 R-4 APARZ'MEN'p/COAIDOMINILTI ( Onits) ( Units) 2) ?•• ri NPDE: ADDRESS: CITY. STATE, ZIP: . PHONE: 710`7 ??7.J a 3) • u i: w• ?ME: For City C?se .. P1LUnbers License: aoDREss: Active i CITY, STATE. ZIP: t,..+v?.i? h[< <!/7 ?.. ' ?Pired Not recorded PxorE: SEL? - 373v MASTER LICENSE# 30°.j0K - st?tial 4) ?ar • ? ia?• ' NAME: _ ADDRFSS: . . CSTY. STATE, ZIP: PHONE: . 5) n v? r• •?• • o • a. u--tiMa, ? CONNECI'ION M CITY SEWER FVI CpNMDCTION TU CITY WATER ? pT!-glt '. . 6) ?? • ?- ? ? 7) PLEASE IIOLD AppROVID PERMIT FOR PICK-C?P BY ONE OF AHOVE rF.ASE MAIL APPROVID PERMZT TO 1, 2, 4, ABOVE ; (Circ e one) 9-7 FOR CITY USE ONLY PERMIT # ISSL'ED , q 13 Pd w/Bldg. Permit FEES: $ $ . G.? Sv $ $ $ (0 7. G"C7 $ S $ SEWER PERMIT (INCLODE SURCHARGE) WATER PERMIT (INCLUDE SORCHARGE) .. WATER METER/COPPERIiORN/OL'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ C%li $ WAC $ (??S•G C) $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ ???• nn $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ l3F7. G U $ j%. e77% TOTAL _ G% 9 53 '7 t? 3'7 I RE CEIPT RECEIPT'# - DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE E[VGINEERING AS CONDITION . . A SUBJ ECT TO THE FOLL OWING CONDITIONS: . APPROVED BY: TITLE: DATE: ? ??-?? ? ??0 ? 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please crnnplete for. single family dwellings & tovniliomes/condos when permits are required for each unit Z?F)"50 Date c 7 / a^:; / 0 7 -7-7-7 f7-AyZ/P1(Q+ lWR l A144fy Unit # A?m e Site nddress Proper[y Owner ?? 0 IJ ? c? ?h y /?qb.o ev Telephone #( ) Contractor I/ !' ! ? 1'!?'? `???•C?"?- .sr??C . Street Address We-sT- City -??'`P/C State /9'ff?'?i?'C.SO 7:4L Zip $'5077 Telephone# ( 4S_1 ) aA 7-?Y3 Z Bond #: Expires: T6e Applicant is _ Owner ? Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or afteration ta existing dwelling unit $ 50.00 _ furnace J?dditional Replacement _ New air exchanger ? air conditioner heat pump other !r{'v*< 64.0 4 1< t/'Er?f sN L ReLc,c,vk. A?l State Surcharge $ .50 Total ?? 00 Ccr- - 63 6. $ I hereby appty for a Residential Mechanical Permit and acknowledge that the infoanation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permiT, tha[ the y?qrk will be in accordance with the approved planKthe case of work which requires a review and approval of plans. _. ? ApplicAnt's Name ApplicanPs Signature 2007 COMAMRCIAL MMCHANICAL PERMIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone #i 651-675-5675 Please complete for commercial/industrial buildings multi-famity buildinRS when senarate permits are not required for each dwetlinR unit Date Site StreetAddress Unit # Tenant Name (itapplicable) Previous Tenant Name " , . .. . . ,. ' . . . . y , .. ? - . Properfy Owner TelepLone # ( Contractor Street Address City State Zip Telephone# ( ) Bond#• Expires:• : . .. .. , -. ' . ' The Applicant is _ Owner _ Contractor _ Other Work Type New Consfruction _Interior Improvement Install Piping Processed ?'LGas Exterior HVAC Unit** _ _ **HVAC units must be screened UndedAbove ground Tank Install Remove - When installing/removing tank(s), call for inspection by Fi re Marshal and Plumbing Inspector Nature of Work: Permit Fees $70.50 Underground tank insUlladon/removal , $50.50 Minimum (indudes Sta[e Surcharge) - - • or Contract Value $ x 1% Permit Fee - - , . , , , • , . -$' _ -l :,..'.' . F : State Surcharge . To calculatesurcharge IFPermit ee is Iess than?S,1,000, surcharge is 50 cents. If ?'ree is > $i,0`Ild,'snreharge iad'ea'ses by $.50 for each $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit - Fee requires a $1.00 surcharge). $ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in confarmance with the ordinances and codes of the City of Eagan and with fhe Mechanical Codes, 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 wiR be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name - ApplicanYs Signature Approved By: - ' ' , Inspector . Date: Aequired Inspections: _ U.G. _ R.I. _ Air Test _ Gas Service Test _,Infloor Heat Final 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouiremenis 3 registered stte wrveys showing sq. fl. ot bl, sq. fL of house; and ail roofed areas (20% maximum bt coverage allowed) i Soils Report d poposed builtliRq is to 6e placed on disWr6eC soil 2 copies ot plan showing beam 8 wiridow sizes; poured found desgn, etc. 1 sef of Energy Calculalpns 3 copies of Tree Preservation Phn'rf lot platted after 711/93 Rim Joist DeleH Options saleqion sheet (6uildings wiN 3 or less uniis) Minnegasco mechanical ven6lation fam RemodellReoair Reauirements 2 copies of plan shavirig footings, beams, jdsLs i set of Energy Calculations for heated additions 1 site survey for additions & decks AdtlRiort- indicate ilon-sife sepfic sysfem -7g/ ?f c , OfAce Use Onlv Cert of Survey Recd _ Y _ N Soils Reporl _ Y _ N T2ePre5.PIanRecd _Y _N. Tree Fres Required _ Y _ N On-site5epticSystem_ _Y _N Plans are considered ublic information unless ou state the are trade secret and the reason. ? ( 600 `?'b Date / e2/ Construction Cost r Site Address 7 7-7 ?41-'G Uuit/Stc # Description of Work cw-l K'Aol.e?` ae-Yv`??e.?t5 Multi-Family Bldg _ Y_?(,,N F'ueplace(s) _ 0 _ 1 T 2 Property Owner ?e lj ?7 K?^f?vl Tetephone #( GSl )-?1 b? .' cla /7 COOt['BCtOI' ? i-vLw Address 2?? City S. .St /?ii.- J ?--- State -A/f ?) Zip 55t>7 S Telephone #(6 5-1 ) LtS- 1693 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Wwksheet • New Energy Code Waksheet (q submission type) Submitted SubmKted • Energy Envelope Calculations Submitted In the lasi 12 months, has The City of Eagan issued a permiT for a similar plan based on a masier plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Tefephone #( Telephone # ( I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a pemut, 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 apprpval of plans. l??y41G•c.. ``?(eoSiMu pplicant's Printed Name p CEONI?n ? Applicant's Signature JUL 0 2 Z007 I-) DO NOT WRITE BELOW THIS LINE Sub Tvoes Q 09 Foundation %? 02 SF Dwelling ? 03 01of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ig 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 LowerLevel ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (&sea.) O 31 Ext. Alt - Multi ? 22 Porch/Addn. (4•sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) 0 36 Multi Misc. O 24 Storm Damage . ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoars 'DemoliNOn (Entlre Bldg) -Diva PCA handout to appliwnt DCSCfIDH011: Water Damage _ Yes Valuation Bb • Co Plan Review 700% or 25% Gensus Code N 3 L( SAC Units # of Units # of 81dgs Type of Const _y8_ Occupancy F--3 MCES System 2ooing fz? 1 City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof lce & Water Final ? Framing - Fireplace _ R.I. _ Air Test _ Final ?p Insulation Approved By: ?ilding Base Fee surcnarge Plan Review MCIES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Ptant License Search Gopies Other Total ? 07 05-plex ? 08 06-plex 0 09 0)-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex REQUIREDINSPECTIONS _ Sheetrock FinaUC.O. ,>0 FinaVNo C.O. p HVAC Other ? Pool Ftgs Air/Gas Tesis Final _ Siding _ 5tucco Lath _ Stone Lath _Brick W indows Retaining Wal} Inspector Ca De ?- ? C ?? 2007RESIDENTIAL BUILDING rERMrr nrrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-673-5675 FAX # 651-675-5694 New ConSWCfion Reauirements 3 r¢gistered site surveys shovring sq. R of lot, sq. fl. of house; arM all roafed areas (20% mazimum lot coverage allowed) i Soils RepoA if proposed building is W he placed on disWrbed soil 2 copies of plan sfwwing beam 8 window sizes; poured fpuM design, etc. i set of Eirergy Cakulatians 3 capies of Tree Presarvatlon Plan'rf IM platled afler 717/93 Rim Jast Dehail Options salection sheet (buildings wilh 3 or less units) Minnepasco merhanical ventilation form RemodeUReoair Reauiremenls 2 wpies ot plan showing tooimgs, beams, jois4s 1 set M Eneqy Cakulafions for heated add'NOns 7 site survey for additions & decks Addm'on - indicare if wr-site seAtlc system Date (P / g Cl / aIW -7 Constructioo Cost .* ? v i GU<D Site Address -777 A) /?Lu.,. kqK C, li% UnitlSte # Description of Work 6jdi11 $k ?, - 4$C,i,`l, G14-i- 6? 6 hvt t- ULN Ge.r Multf-Faroily Bldg _ ?_ Y-%- N Fireplace(s) _„ 0 _ 1 _ 2 Properly Owner `??0? 'J 1't (.,??u^ Telephone #((05 l) '?'1 O J-?'f a 1 1 Contractor Ti}c.,? Cuvibtr.,c};?? Address aCSi> j City IOa- 1 State M Zip SSU7 S Telephone#(Egt > aas -I0c(3 Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J submission rype) • Residentlal Ven6lation Category 1 Waksheet • New Energy Cade Worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a pertnit for a similar plan based on a masTer plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Plans are considered public information unless vou state thev are trade secret and the reason. qc_ oc) C??k ol 7.6 l/ Olfice Use Onlv CeRofSurveyReW _Y _N Soas Raporl _ Y _ N Tree Pres Plan Recd _ Y _ N. TreePresRequiretl _Y N Ori-site SepHc System _ Y _ N Telephone #( ) Telephone # ( 1 hereby apply for a Residential Building 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 tfie State of MN Statutes; I understand this is not a permit, but only an applicarion for a pernut, 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 app oval of plans. kk/'1/L'G Z i &?, J Yy%,o pplicanYs Printed Name Applicant's Signatute DO NOT WRITE BELOW THIS LINE Sub Tvaes O 01 FOUndation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 1:1 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-pleu ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebofpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 t,ower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tyues ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 0 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Damolldon (Erktra Bidg) - Give PCA handout to applicant Descriotion: wacer oamage _ ves ? Valuation 51 Zslo • Occupancy MCES System Plan Review - 100% or ? 25°h Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) ! Foundation _ I7rain Tile R4of Ice & Water Final _ Framing ^ _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utiiity Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other total REQUIRED INSPECTIONS _ Sheeuock _ FinaUC.O. FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final ?Q Siding _ Stucco I.ath ? Stone Lath -Brick _ Windows ! Retaining Wall Buiiding Inspector P/01, Fe 6 ;qo?? <?D.60- 2007 RESIDENTIAL PLUMBING aeRnnIr aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellingsl Do not combine inside and outside plumbin on the same application; se arate a lications and ermits are required. Date -7 / A(f I 6 I s ' Site Street Address 7 IV lA.? L&.4k Unit# Property Owner t{ k ITqq Telephone # ( ) y Contractor L.Lcre 47 h0. Telephone # (?lz) s? qG ":r-210 Address te alil I,J*.("? r cl City I.,i AA Le..RaS State M n Zip 65e19 The Applicant is: _ Owner & Occupant 0e.6censed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee ' $ 100.00 Per as-buift $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling , $ 50.00 _ Add plumbing fixtures to main level lower level. ;This fee includes installation of a water softener and/or water heater at the same time. li you are installing onlv a water sokener and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $136.00 if a 5/8" meter is required) _other: ?fiwCP ?'&ta.[p ) Water Softener _ Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation 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, but only an application for a permit, work is not to start without a permit and work w=,- a plan is required to 6e reviewed and approved. Applicant's proved plan in the event ?n,?rr? SIYI??? Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115925 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 777 Hay Lake Rd N Lot:13 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-130 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 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 - Robert L Hutton Jr 777 Hay Lake Rd N Eagan MN 55123 (612) 865-0913 Twin City Roofing Construction Specialis 72 Ivy Ave W St Paul MN 55117 (651) 636-9640 Applicant/Permitee: Signature Issued By: Signature SMOKE DETECIORS ARE REQUIRED ON EVERY !- • 4 r HOUSE AND IN EVERY SLEE'ING ROOM AI. I' HALLWAY LEADING TO-A-SLEEPIN_G ROOM 0 8RXISm3ARE RIMMED FOR air OR PLUMBING WORK. RE Si OP SOFFITS AND ALL -OTHER DEAD SPACES. E Ate itob --)p I g 2118 4 PERMIT City of Eagan Permit Type:Building Permit Number:EA144355 Date Issued:07/24/2017 Permit Category:ePermit Site Address: 777 Hay Lake Rd N Lot:13 Block: 1 Addition: Fawn Ridge 2nd PID:10-25801-01-130 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 - Robert L Hutton Jr 777 Hay Lake Rd N Eagan MN 55123 Evergreen Construction Copany Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Email: buildinginspectionsalcitvofeaoan.com Commercial Plan Submittal: eplansOcitvofeagan.com Date: For Office Use �" Permit* /b2" /S' Permit Fee: CU 0 ' ® Date Received: Staff: L 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION 3o Site Address: 777 AkiZ44 %f ci /n a Tenant: Suite #: Resident/Owner Contractor Permit Type Type of Work Name: R b6 i! 4-u Address / City / Zip: 7 7 1 ixi®it4' - Phone: 6,12 - bye- - o L /(i oa4 i Name: 1 •+� j) a� f l;lj License #: N`UC)03L/ 3 7 Address: 'if-° 17 City: L A Ketu ( k.. State: WA Zip: 53 7'7 Phone: 2-9 95 "// 9 3 Contact: C.."-Lift.- le/Lk-Oat Email: •5 C K. U (ALA Feafr4it0` rl e 77r RESIDENTIAL /► Fumace /C. Air Conditioner Air Exchanger Heat Pump Other New A Replacement Additional Alteration Demolition Description of work: FA f A /4C e L Ale J P O! a► RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge TOTAL FEE 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. 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 w,1(k 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 go a t L• • g f //& x Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Final Reviewed By: Date: