4500 Hay Lake Rd SBLDG. PJERMIT N0.
u Ix
L Cj_U U 7, iTGc. .
01-3210 Bldg. Permit(;' ?, -
01-3422 Plan Check z c ?i
01-3445 Surch./Adm. 7 ?_-
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit 20-2275 SAC S ? y 7 S
20-3865 Water Conn. 5--i i".20-386$ Water Trmt. 1 S? k...
20-3716 Water Meter
20-2252 Acct. Dep. ?, ?_? ? • -
20-3713 Water Permit c?-
20-3743 Sewer Permit
79-3866 Sewer Conn. o ?
11-3855 Park Ded.
?3?7 7
TOTAI,
CASH RECEIPT
t f
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE 19
?
RECEI V ED
FROM
AMOUNT ?
F-I CASH
? CHECK
FOR ? r
BY
& OOLLAR6
1 oo
White-Payers Copy
Yellow-Posting Cppy
Pink-File Copy
Thank You
?
O
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. TYPE OF WORK:
tt?i t ? t+ t Mto
N.??. "4
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---------------- - - `' - - ---__. -------- -? ?.-
PermN No. Pertnft Holder Dab TMWphone N
ELECTRIC
PLUMBING
HVAC
InepecUon Dah Insp. Comments
F0071NGS
FQUND
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
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL 'S ylf 1 ?
.?
,t
(Itr#ifiraft of (Orrupttury
titp of (Eagan
Eppartntrai a# lutlding JWrrtinn
This Certificate issued pursuant to the requiremerrts of Section 306 ojthe Uniform Building
Code certijying that at the time of issuance this structure wQS in conipliance wrth the various
ordinances of the City regu/ating building construction or use. For rhe fallowing.-
Uae Clauifiwrion -'t D?ICAR Bldg. Aermit No. 13460
Oau{rocy Type R3 Zoning pietrict ,lype Camt.
, _-
OwuttafBWdi06 Add=-)
&„7d;n ,,,dQrcs Loc,lity Lio, P,3Y
.?i2 ?:.s .".
Wu:
Huildins Officist
POST IM A CONSPICUOUS PLACE
CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
' PHON E: 454-8100
SO
Site
BUILDING PERMpIT Receipt#
To be used for Est Value Date ,19
Lot Block Sec/Sub.
Parcel No:
s
W
2
3
0
r-
a
,o
z?
v<
s
?
¢
v
WW
h?
z:
Name
A rlrlroac
Name
City
A Building Permit is issu
all work shall be done in
Building Official
On Site Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ Type of Const
City Water _ (Actuan
(Allowable)
# of Stories
Langth
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
_ Phone Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
_ Phone Planner _ Water Conn.
Council _ Water Meter
iat I i Je read this application and state Bldg. Off. _ Road Unic
reCt and agree to Comply,with all applicable APC _ Treatment P7
ites and City of Eagan Ordinancea Variance _ Parks
Copies
TOTAL
1: 4 6 4
I
i to: on the express condition that
ccordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Parmit No. Permit Molder Date Telephone it
Plumbing
H.V.A.C.
Electric 01-1/O
Softener
Inspeetlon Dats Insp. Comments
Footings I p ?.( S. E COIAs?
Footings II
Foundation
Framing IP
?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Vli
y
69
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
?
' , o . ., . . . .. . ' . . __ _ . . . . . `. . . '. ?i t ???'?rr'-. ..
PERMIT #
• • ' , MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
- ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `j.%
CONTRACT PRICE: • , ? " PHONE: 454-8100
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/S Res
w
N
E a
. ?
e
?
°
' Name Mult. Add-on
-
?a
Address Comm. Repair
h
O
c Ciry .? Phone i t
er
,
FEES
Name
RES
HVAC 0
100 M BT
24
00
m .
-
.
U -$
i
c Address ? ADDITIONAL 50 M BTU - 6.00
p
City
'?Phone ?
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION) ?
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. •
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU ' APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
i M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20
00
A
r Cond. M BTU .
.
$TATE SURCHARGE PER PERMIT
Vent. '
CFM - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ i? BEYOND $1,000)
Other
FEE: F
•
J
- r
S/C: .
i )_
, _
SIGNATURE OF PERMITTEE
,
TOTAL:
FOR: CITY OF EAGAN
Cities Digital Qualitv 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.
? PERMIT # 1:1 '7/
• PLUMBIHG PERMlT
RECEIPT
3830 PILOT CITY OF EAGAN
KNOB ROAD
MN 55122
EAGAN
,
COM ,
,
DATE:
TRACT PRICE; PHONE: 454-8140
Site Address BIDG. TYPE WORK DESCRIPTION
!o!
81ock SeclSub Res
New X
b .
?
Mult
Add-on
.
m Name ` Comm. Repair
?a Address _ Other
c City Phone RES
PLBG
COMPLETE THE FOLLOWING:
ONLY
.
.
-
NO. FIXTURES TOTAI
Name ?_;j__Water Closet - $3.00
. ? Bath Tubs - $3.00
3 Address L
3
00
avatory - $
-
_
_ p City
Phone vs,
Shower - $3.00
Kitchen Sink - $3.00 '
• 'FEES Urinal/Bidet - $3.00
'COMM/IND FEE - 19io OF CONTRACT FEE ?-Laundry Tray -$3.00
'APT. BLDGS - COMM RATE APPLIES i Floor Drains - $1.50 .
'TOWNHOUSE 8 CONDO - RES. RATE APPLIES -k Water Heater -$1.50
'MINIMUM - RESIpENTIAt FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20 .00 -.j Gas Piping Outlets -$1.50
S7ATE StJRCHARGE PER PERMfT - . 50 (M!NlMUM - 1 PER PERMin
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
_I Rough Openings - $1.50
SIGNATURE OF7PERMITTEE FEE:
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL• 2
>>,
?-
$631 Dats: 4--14-87 i
CITY OF EAGAN Permit No:
3830 Pilot Ktwb Road Meter Na Size: " A
P.O. Box 21199 Reader No: Date: ? d` ?
Eagan, iNN 55121 I
Owner.
/4 ?RO So. t?a La??e Poad L16 B3 Overhill Farn? II ?
Site Address: ? ;
I. _:?.. r,l
Conn. Chg: 525. 44pd 1?,? `e .?4+? n9:
Acct Dep: ? `.OOnd I ?p??? • -?-
Permit Fee: 16 GN$ OC.
. 5?,? of
Surcharge: ?'?? Ia?ly witt? the City Eagan
Tr. Plant 1 c';) . ??t, `. e-
Meter.
- ?
Misc.: Br
WATER SERVICE PERMIT
?o.
! CITY OF EAGAN SEWER SERVICE MIT
?
1 3830 Pflot Knob Road :
? P.O. Box 21199 PERMIT NO.: 4-i4-87
' Eagan, MN 55121 DATE:
Zoning: F11
ran ? ?s No. of Units:
Owner.
Address:
. . ..G . - - - - _
; Site Address:
-
i ,
y MUffb
lig
a
Plumber
?
.
. .. .
525 00pd
?
1 agree to comply with the City of Eagan
Connection Charge:
. .
Ordinances. Account Deposit: J'
? s
Permit Fee:
` Surcharge: _
gy Misc. Charges:
? Date of Insp.: Total: .
? Insp.: Date Paid:
CITY OF EAGAN Permit No: v631 Date: ?14-87
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date: ?
Eagan, MN 55121
_ `=rdC!t3
SiteAddress: "-'' " i:n a=s? .
Plumber. Va le , glumbin
Cann. Chg: 5?5•60pd
Acct Dep: 3'O'lpd
Permit Fee: 1"). 00pd
Surcharge: - 50pu
Tr. Plant V`: !J . Oopc'.
Metec 62 - j
Zoning: -
Na. of Units:
I agree to comply with the City of Eagan
Ordinances.
R1
WATER SERVICE PERMIT
CITY OF EAGAN N° 13 4 6 0
38$0 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR
4500 SO HAY LAKE
Site Address
1,.. 16 .
Parcel No
Est. Value $72.000
Receipt # 7 -2`4 24-M
Date APRIL 13 19 87
3
Sec/Sub. OVERHILL FARM 2NI
: Name GRAND OAKS DEVEL CO
= Address 4521 SO HAY LAKE RD
o City EAGAN phone 452-8934
ZalName SAME I
0? Address
P City Phone
w I City phone
I hereby aCknowledge that I have read this application and atate
that the Information is coffect and agree to complywith ell applicable
State of Minnesota Statyft and City.o1 Ea4an Ordinances.
Signature of PermittfieV
A Building Permit is issued to: GRAND all work shall be done in accordance with all
Building Official
OFFICE USE ONLY
OnSiteSewage Occupancy
?
MwCC Systam Zoning
On Site Well _ Type of Const
Ciry Water X (Actuaq
(Allowable)
# of Staries
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
CounCil
BId9 Off.
APC
Veriance
FEES
_ PBfmit
_ Surcharge
_ Plan Review
_ SAC, Ciry
_ SAC, MWCC
_ WatarConn.
_ Water Meter
_ Roed Unit
_ Treatment P1
_ Parks
Copiea
TO7AL
R3
R1
V
V
50
i.
$ 405.50
36.00
9(19 _ 75
]00.00
525.00
575_Op
67 _ f70
305 (l0
i?9n nQ
5
_ on the express condition that
and City of Eagan Ordinances.
?/tt g,/Sr7 REQUEST FOR ELECTRICAL INSPECTlON Ee-ooooi-os
/ See instructions foi comDleting this form on back ol vellow capy.
D'?1 "R' ' Be/ow Work Covered by 7his Request
Add fleo. Type ot Building ApDliancee WireE EquiymeN Wired
Home Range Ternporary Service
Dupiex Water Heater Liyhtiny Fixlures
Apt. Buildmg Dryer Electric Heaun
Commercial 81dg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Fafm Otn, SOer.i y 11hfrl5pnci1yl
t .r uccify [?cr Oth?..?
Campute Jnspection Fee Below
N iee ServiceEntrance5ize 11 Fee Fexders/5ublaeders N Fee Circulls
0 to 200 qm 0 to 30 qm s 0 to 30 Flm s
Above 200
Amps 31 to 100 qmps q? 1 to 100 A s
q
ning Po Above 100_Amps Above 100_Am s
TransYormers Irrigation Boortis Pdrtial-Other Fee
Signs Specialinspectlon $ /
TOTA
NeerNrks S L F?fq? /
A?
HouBh-in Date
^7 ihe Elechical
? ?? / I spector, neraby
CBII?,y lhBt 1118 AbOVO
F;nel + r
Jr insPe.iio? hes been
maee.
? /
TMerequeslvolAlBmoMhaftam ?` ?
This repues[ void
18 monchs imm f O ,/) 40
D '3182 OC?
Request Date Fire No. qeQUphe' InsVection E]pcaAy Naw ??/ Will Nmify, Insoec-
- Z es ?No ' /? Inr Whe:n Feadv
? licensed Elec[rical ConVactor 1 hereby repuast insoection oi ebove
Owner elecVical work insialled at
SVeet AdAress, Boa or flou[e No. CitV
L/sc40 ,
ecimn o. TownshiD Name or No. Range No. Counly
Occouantl%iINTI Phone No.
d'myrj Ns.;L - s- ?r 3
Power Sapplier Address
O L
Electrical Conhactor ICompany Namel ConVer,tor*s License No.
o s-s--
Mailinp dress ICOn[ractor or Owner Making Insta lationl
7 7 3
Au[ho - ed SiBnamre ICoMractor/ ncr Makinu I??stallationl Phone Number
,9- 9U-
MINNESOTA STqTE BOAND OF ELECTRICITV THIS INSPEGTION NEQUEST WILL NpT
Grig9s-Mitlwev BIAB• - Aoom N-191 . BE ACCEPTED BY THE STqTE BOARD
1821 Univarsitv Ava.'. St. Peul, MN 56104 UNLFSS PROPEN INSPECTION FEE IS
Phone(612)fi42-O800 ENCLOSED.
1N5YL+'(:'1'lUN KE(;UKll
CITYOFEAGAN PERMITTYPE: suzLozNs
3830 Pilot Knob Road Permit Number: 0 2 5 7 2 4
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 06 / 9 5
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOTs 16 BLOCK: 3
4500 HAY LAKE Rp S BRIESE STEPHEN
OVERHILL FARM 2 (612) 688-6493
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
?
?
?
?. ?
CITY OF EAGAN
3830 PildhKnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4500 HAY LAKE R? 5
LQT: 16 BLOCKo 3
OVERHTLL FARM 2
cRvlb
?d?l?
B ILDING
025724
06J06/95
DESCRIPTION:
B.ull.dit?g=;Permit Type DECK
?BUilding 14qprk Type NEW
rT
fo.3
$
? e
"4
? i! ?D
NJ
??.£ t3 F $ m?--•.af
.i:tk.
{ ,?w" Y4 §!T ?1M M r?-°? '? ?
?:s
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7ota1 Fee
VALUATION $1,200
$30.00
$30.50
-
APPLICANTlPERMITEE SIGNATURE ISS ED B SI
GIL HTUR ?
CITY OF EAGAN
?`?" 3830 PILOT KNOB RD - 55122
J ?-? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
/ 681 -4675
-?"-3 o s?
? 9 regiateretl aite surveys ? 2 copies of plan
? 2 copies ot plans (Indude beam 8 wirnlow sizes; poured fitl. design; etc.) ? 2 ske surveys (exlerior sddRions 8 dacks)
? 1 energy celwletions ? 1 energy calwlationstor heated add@ions
? 3 copies M 1ree prcservetion plan if lot platted aRer 7/1193
required: _ Yes No
DATE: ? 3J _ /99s- CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: '
?LOT / BLOCK 3_ SUBD./P.I.D.
PROPERTY Name: r ?rn Phone #:
QWNER „"• ?`•
Street
City: State: --495?- Zip; Ssias
CONTRACTOR Company: Phone #:
Street Address:
City:
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration *
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is corcect and agree to compiy with all
applicable State of Minnesots Statutes and City of Eagen OrdinanCes.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
License #-
State: Zip:
C??C?G?I[?D
MAY 3 0 t995
---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
n 05 5F Misc. 0 10 = plex
WORK TYPE
v?-31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt.lLodging ?
? 12 Multi Repair/Rem. o
? 13 GaragelAccessory ?
? 14 Firepiace ?
r,?15 Deck
? 36 Move
0 37 Demolition
.---? ,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ 8asement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. ?
_ Footprint sq. ft. SAC Code ?L
Census Bldg i
Census Unit /
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
CRy SAC
Water Conrt.
Water Meter
Acct. Deposit
5/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $ /Ze?v ?
4/o SAC
SAC Units
S.I' RV E Y O R' S C E Fi T I F 1 C A T C GRFlND OAKS UEVELUPMEN( CU.?-
# 449
; °.
NORTH HAY LAKE ROAD
M ? .
N
an Ie
? E
(a4a.o) .-65.87 R 6944.29., I.- N 60.36
; 30.57 13.80; o =
30 G=0054'03" 0
I
o W 10
5
zs.o N
? -
O
O
Z
.
2 A?1 .,I.??R w;: ry \ R
?, y.p= r ey \Q \ O OD
m V /
--
L4T
O ? ' to ?o C452. 1^ I g .
? h
~ _1 .
n ? n . ?.bl I
_ `" 49.17
p?nq c9'?.s) 148.46 S 89058' 37" W
?CI) M --'
? N I
O?
a
? • I
, .,.. ... .-.:
,.I ,.. 30
u
?
--i- DENOTES PROPOSED SURFACE dRAINAGE
O DENOTES iRON MONUMENT SET SCALE: 1. INCII ? 30 FEE7
• UEPIOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9523 FEET
.X000.0 bF.N07ES EXISTING ELEVA710N PROPOSED LOWEST FLOOR = 949.5 FEET
(000.0) UENaTES PROPOSED ELEVATION PROPOSED TOP OC BLOCK = 952.7 FEET
. .
1 HEREDY CFRTIFY TD GRANU OAKS DEVELQPMENT C0. TI1AT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY Of TFIE fiOUNUARIES OF:
Lot 16, Block 3, OVERNILL FARM SECOND ADDITIOPI, according to the
recorded plat thereof, Dakota County, Plinnesota.
NOTE: GRAUES SHOWN WERE TAICEN FROM
TIiE GRADING PLA11 FOR OVERHILL FARM
SECOND ADD[TION, PREPARED BY MINNESOTA
VALLEY SURVEYORS INC., CAST DATED
MARCH 28, 1986.
ANO OF TIIE LOCATION OF A PROP05ED BUILOING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR ENCROACIIMENTS, IF ANY, TI4EREUN. AS SURVEYED 8Y ME, OR UNDER MY DIRECT SUPEftVISIOPI,
TIIIS IST UIIY OF APRIL , 1987. ?;.
aROJECT NO.
87 201
FILH NO.
' FOLDER
SIGNED: JAMES R. HILL, INC. -
OY:
HAROLD C. PETERSON, LAMb SURVEYOR
PtINNESO7A LICENSE N0: 12294
eooK / paoS
JqMES R. NILL, INC.
Pianners / Engineers / 5urveyors
8200 Humboldt Avenua 6outh
BlooMlnBton, Mn. .65431 812-884-3029
? r .
w q{ q
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
****1 **1** ** * **f"/[ri'>'tYNYlkal}yyyy***1?
*R7PF: PAYMEm OF FEE AT TIlM OF *
APPI.ICATION DOFSS D10T CnN,STI7STIE *
APPROVAL OF PERhffT. *
. ?
INSPDCiZON OF SE.SM AAID/OR FIATM
rNsrnr.ramrpNS WnZ NOr gE SCHED- *
ULID [7NPIL PERMIT AAS BEQV
APPROVFD. r
.. *****t**+#****s******:*,r:?,r*:,r**:***
P ease Print)
1) PROPERTY ADDRESS: S ? Z" ? ._
LEGAL DESCRIPTION: L /(o 6 3 ••-
Lot Block Sub ivision or ax Parcel ID
IF EXISTING STRi:CIL7RE, DATE OF ORIGINAL BL'ILDING PII2MIT ISSL'ANCE:
i
PRFSENP ZONING/PROPOSID USE: (hbn Year) ..
El COANERCIAL/RETAIL/OFFICE -1 SINGLE FAbIILY '
Fl IND?TSTRIAL ? R-2 D['PLEX (7F.o IInits)
n INSTI7[)TIONAL/G0VER*0,Tr ? R-3 TOWN30USE (Three + Units )( L?nits )
q R-4 APARTMENT/CONIDOMINILTI ( Units)
2) ?
NAME:
ADDRFSS:
CITY. STATE, ZIP:
PHONE:
PIF
3) 1• ??. v For City Use _
Plumbers License:
ADDRFSS: /? /b . Active
i CITY, STATE, ZIP: Expired
? Not recorded
PHONE: Y9a a ia ? ru,sTEa LIcErrrsE#
st Inicial
4,
•.• • • ia•
NAt?:
ADDRESS:,
CITY, STATE, ZZP:
PHONE:
'5) ? 11
vi a: • ?• : a • a? - ??
D-eONRE??ION TO CITY SEWIIt--CJ-W-N-M=ION TO CITY WATER ? p'I'FTEI2_
6)
1n /1 Z ; (Circle one) rl? g CITY OF EAGAKf
'-•?[l PLEASE HOLD APPROVID PERMIT FY)R PICK-OP BY ONE OF ABpVE
'Cl-M-EASE-PAIL APPROtJID PERMIT TO 1, 2, (?D 4. AHO\7E
.-
FOR CITY USE ONLY
a
PERMIT # ISSL?ED
, ?
Pd w/Bldg. Permit FEES:
$ S--2:) $ SEWER PERMIT (INCLUDE SURCHARGE)
$ 5 D $ WATER PERMIT (INCLL'DE SORCHARGE)
$ Lr 7'G'? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ `0-7-` $ ACCOUNT DEPOSIT - SEWER
$ Lf-D $ ACCOLNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
S $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
7,-2 Va?
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN P[]BLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
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?rEX7ERI0R ENVELOPE AVERAGE .'U' CDMPUT ATTON
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GkAND tlAKS DEVELDPME NT CQMPRNY •
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MODEL Q AF:EA U.. U X AREA
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REQUIRED
1. TOTFlL WAI.L AREA 1F300 X .11 190 -
TOTAL ROOF AREA 1196 J(. U26 31.096
ACHIEVED '
AREA U U X AREA
A. WINDOW AFE.(-1 186.66 . •5 `? Z . -_ `
B. DCiOR AREA 1_719. B .077 ?. 0 646
C. SLIDE GLASS AREA 13.44 .40 6.'1517
D. FTREPLACE AREA 0 0
F. WAt_L FRAME AREA 1E?0 •041 '•'O
F. NFT WALL ARL`A 1164.1 ,049 57.0401?
L. RIM JOIST AREA 119.52 .0436 5.211072
H. FOUND WINDDW AREA 4 0
1. FOUND AEOVE GkADE 96.48 .135 13.024E1
31 TO7AL WALt AREA I800 105.5026
J. SKYLI7E 0 0 C)
IC. RODF F?tAME 119.6 .032 3.Et:7? '
L. NET ROOF AREA 1076.4 .025 26•41
4. TOTAL ROOF AREA 1196 30.7372
SUM 1 . +2. 229. 096
SUM 3.+4. 216.2348
'SURVEYOR'S CERTIFIC?iATE GRANU OAKS DEVELOPMENr CU.
# 449
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SIGNED: JAMES R. HILL, INC.
BY:
h114ROLD C. PETERSUN, LAPID SURVEYOR
hiINNESOTA LICENSE N0: 12294
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--?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IfION MONUMENT SET SCALE: 1 INCfi = 30 FEET
* UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 952.3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 949.5 FEET
(000,0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 952.7 FEET
I FIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENT ATION OF A SURVEY OF TtIE DOUNDARIES OF:
Lot 16, Block 3, OVERHILL FRRM SECOflD ADDITIOfl, accordina to the
recorded plat thereof, Dakota County, P1innesota.
AND OF TIIE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS.
OR ENCROACIIMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISIOPl,
TIIIS IST DAY OF APRIL , 1987.
NOTE: GRADES SHOWN WERE TAKEN FROM
THE GRADIN6 PLAN fOR OVERHILL FARhI
SECOND ADDITION, PREPARED BY MINNESOTA
VALLEY SURVEYORS INC., CAST DATED
MARCH 28, 1986. '
PROJECT NO.
87201
FILE NO,
' FOLDER
8200 Humboldt Avenue South
Bloofnington, Mn. 55431 812-884-3029
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JAMES R. HILL, INC.
Planners / Engineers / Surveyors
1999 BUILDING
3s9 9 1
New ConsWCtion Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4675
Remodel/Reoair Reauirements J
? 3 registered site surveys showing sq. ft o/!o; sq. ft o/house
and aroofed areas (10° maximum lot eovereae allowed)
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
• 3 coples ot tree preservation plan if lot platted aker 7l1193
DATE: S '?S - ` QI
DESCRIPTION OF WORK:K`
STREET ADDRESS: '"1
LOT: -Be BLOCK: 3
Name: J\??ZJ1v Phonep: es }r ?AD`?? \ l?
I?at Fmt
PROPERTY
oWN'ER
COA"I'RACI'OR
ARCHITECT/
ENGINEER
i?) So 1??? vNt?- CLL)
city state:
Street AddrJJRI GH '- W.AV ROOFING
c;n,
?•
2 copies of plan 7
1 se[ of energy calculatlons tor heated adtlitions
7 site survey for exterior additions 3 decks
CONSTRUCTION COST:
ovk"NaQ CSUBD./P.I.D. #: O\J-e-Y V„-Q Q ?--Cl Vyy\ ? y?OJ
1200 E.79zh Street
(612)853-0049
Phone It:
Z;P: SS? a3
license #CT?A':l?Fap.
Company: Phone #:
Zip:
Registration k:
StreetAddmss:
city
State:
Sewer & water licensed plumber required for new constructlon onlvl:
Penatty applies when address change and bt change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
is correct, and agree to comply with all applicable
Tree Preservation Plan Received _ Yes _ No _ Not Required
RECEIVED
MAY 2 6 1999
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 peck 0 23 Porch (screened)
? 04 2-plex O 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool [3 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
D 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
f.l 34 RRpair C] 3A 11?mnlich (IntPrinr) C] 42 Rarnnf
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation:
% SAC