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4504 Hay Lake Rd S•.. , CITY OF EAGAN t?e p ?3830,Pilot Knob Road, P.O. Bax 21-198, Eagan, MN 55121 `??. 12441 PHONE: 454-8100 BUILDING PERMIT ? Receipt # To be uaed for -`?F DWG/GAR Est Value $63,000 SiteAddress 4504 So iiAY LAKE RD Erect 13 Occupancy R3 Lot 17 Block a Sec/Sub. OV'ERHILL FAM Remodel ? Zoning i'D Parcel No. 2ND ADD Repair ? Type of Const. v*a Addition ? Mo. Stories ac Name GRI?,3D OARS DEVEL CO ? titove 0 Length 46 i 1$t?l 5U[4Y.ISL CT Demolish ? Depth 4.4 o Address City f;A GAiV phone 452-8934 Int Impr. Install ? ? Sq. Ft cc z Ut ? ? Name 5ame Address Phone Assessment Water 8 Sew. Police Fire Eng. Planner Council statethatthe gld Off. $/11/$f able State of 9' APC Var. Date EV'T."t, Co i' o e of Minnesota Statutes and City of Eagai Permit 2 • 00 Surcharge i•? Ptan Review-161. u O SAC 575.00 Water Conn. 500• 00 Water Meter 63 • 50 Road Unit 290.00 Tr. PI. 156 . QO { Parks ? Copie Total ' ? . t'tJ Ordinances. condition that Building Permlt No. Permit Holder Date Talephane k Plumbin9 U H.V.A.C. CC Eleddc C i-13 s Softe,e. Inspsctlon Date Insp. Comments Footinqs 1 Faotinge 11 Foundatlon Framing Q q-Y(p ? RooNn9 Rouyh Plbp. Rouqh Nty. ? ff 9-eJ lnsul. Fkeplace Flnal Hty. Flnsl Piby. Bldg. Finll ' . K Cert.Occ. Deck Fty. Deck Frmy. . WNI Pr. Dfsp. PERMIT # ' PLUMBING PERMIT RECEIPT # GTY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address H " L) Lot 1 '1 Block ? Name ? Address c City' ? L Name 3 Address i a City • L't kc c.t BIOG. TIPE ?WORIC DESCRIRTfON Sec/Sub0 ?...c.?l..Z ,(? ?', ` , I Res. ? New X v Mult Add-on Comm. Repair one Other rI -' ? Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MIIVIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?'-SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN NO. FO(TURES Water Closet - $3.00 TOTA S 4" ? ? Beth Tubs -$3.00 ?- Lavatory - $3.00 ? Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 T- Laundry Tray - $3.00 T- ` l Floor Drains - $1.50 = Water Heater - $1.50 Whirlpool - $3.00 ?-Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 - -- 7 Rough Openings - $1.50 - FEE STATE S/C: ' 's- GRAND TOTAL:. - . • , . • - `': j" PERMIT# / w (p y MECHANICAL PERMIT RECEIPT # - " CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE Site Address, ' Lot 1 f Block m Name 3 Addre c City _ ? Name c Addre O CitY - TYPE OF WORK Forced Air Pj M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL• BLDG. TYPE WQRK DESCRIPTION ; w Res. New ?- Mutt Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 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/C IF PERMIT PRICE GOES BEYOND $1,000.00) 1(1 L k ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN INSPE GITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: ' ? t4 ' " i;A'/ ( Ak' f P1A . rAkM :?ratl PERMIT SUBTYPE: TYPE OF WORK: I 1 f : IP CP T I Off i I ; ..11411l t tJ f' 1 N !i t i yi wr W cri A, r??:,?r:t? . , _ .. .. .. .. ?I L - - - - - - - - - - - - - - - - --. J ? O ;C4RD PERMIT TYPE: Permit Number: Date Issued: IH +/ 11" 1 /°' ' ` APPLICANT: isi Ct 1 c?,t>> ri';1-2 Fwt Permlt No. Pemiit Molder Data Telaphone # ELECTRIC PLUMBING HVAC Inspectfon 06to Insp. CommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I' GYP BOARD I i FIREPLACE FIFEPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?_ CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMiT NO.: 7.? Eagan; MN 55121 DATE: . ? Zoninp: No. of Units: Owner: /Sddross: $iT! /1dd?lBS: - fNeZ'17il1 j'a <T 11 Plumber. - AAeter No.. Comection Charpe: - . , Sise: Aroount Deposit: ' . Reoder No.: Pervnit Fee: I e?O !!M comVffi wuh !Iw C1ef of la9ow Surthorge: Ordiwwam Misc. Charpes: By Dote of Insp.: TOtOI: Dote Poid: Lr TY OF EAGAM sEYM SER1/ICE PERMR 30 Pilot Knob Rosd 0. Box 21199 PERMIT NO.: , gao, MN 55121 DATE: ninp: No. of Units: Nddress: h eePlr wilY !w CM1 of impa of I r?ap.: Connection Charsla: llooount Deposit: - - - - Permit Fee: Surcho?pt: Misc. CJ+oroas: Tota(: Dats Paid: ClTY OF EAGAN W?T? SERVICE PERMIT 3830 Pilot?::nob Rosd ., P. O?*x 21199 PERMIT NO.: - , Eagan, MN 55121 DATE: ' ZO?ing' ' No, of Units: Ownlr: ` r "'-riC. OF 1::: Addroas: Ssre Address: ? ;>ad LI7 r3 :?verhil? .S " ? rr No.: 42 w te oow?Py ?11? fl?e Ciey of ?; ' jE?,E4H? r? ? ? y a,? aore Po?a: of Insp.: Inep.: /o - J - 86 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eaw. MN 55121 Zoninp; OwrKr: Address: Site Address: ? Plumber. I - 9 n0 to eMply ?rtlh tlN Ciry' of yp,m OralMnas. By Dote of Insp.: SEINER SERVECE PERMIT m PERMIT NO.: DATE: No, of Units: Conntction Chorpe: Accourrt Qaposit: - Parmit Fea: Surchorpe; Misc, phnros; ` Totol; Daft ibld: This repuest void %5zw 96 / 18 nqn[hs from . 4 3`0 4 5 L I17, (?i 3 ?ec -ovev-h, t! Heq te Fire No. Pouph-in Inspection Req red? ?Heady Nnw?W?ll Nntify, Z71 Inspec- ? ? ?'es ?NO [or When fteatly Licensed ElecincaV ConVactar I heraby repuest ina0ection of above ? Owner electrical work installed al' Straet Address. 8 x or R e No. Y ? ?O ecLO. o. Township Neme ar No. ange No. Cowrty uant IPPIN I Pho e Nc. S a- ? Su plier ? Address ( Ele Vical Conira or omDa Name) ? Coniractor's License No. ° G? MailinB Address ICon ractor or Owner Making Instailati nl ? (3 Authoriz "i0n amre (C btr?ctor/O M:rking Installationl P ne umber I ?r MINNESOTA STATE BOAflD OF ELECTRIQTY THIS INSPECTION flEQUEST WILL.NOT Grigga-Midway Bldg. - Roam N•791 BE ACCEPTED BY THE STATE BOARD UNLESS PROPEH INSPECTION FEE IS 1821 Universitv A?e.. St. Paul, MN 55104 ' Phona 1612) 297-2111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ?- 1 See instructions for comoletin9 this larm on back ot Vallow copy. 1?? l I r ai n as "X" Below Work Covered by 7his Request I Mwv?AndI 8eo.1 TVPe of Builtling ?AOOiiancen Wiretl ' Equiument WeA Home Ranye Temporary Servicire Bulk Mi p Fee ServiceEntrenceSi:e H Fee Feedere/5ubfeeders N Fee Ctrcuits 0 to 200 qm 5 0 to 30 Am s 0 tn 30 Ani Above 200 qmps 31 to 100 Amps 31 to 700 A s Swinvning Pool Above 100-Am s Above 100_Am s dransformers Irrigation 3ooms Partial•"Other Fee I I_ISigns I I ISpecial lnspection ?S ? (?_V TOTAL F,EE?1 NertNrks TO j , /f) ?? I <'L iC floueh-in ie ? ?? I.the Elactricel 17 Inspectoq ?ereby - certify thet tha above Final peetion hes baen r Thb1epuestvoltll8montlrefrom `? -' ""/w?j'??11 3830Pilot Knob Roadi P.O. Box 2G-A1 9, Eagan, MN 55121'v o 12441 PHONE: 454-8700 I-a?g BUILDING PEHMIT Receipt # iobeusedfor SF DWG/GAR EstValue $63,000 Date AUGUST 12 1g 86 SiteAddress 4504 50 HAY LAKE RD Erect IN Occupancy R3 Lot 17 Block 3 Sec/Sub. OVERHILL FARM Remodel ? Zoning PD Parcel No. ZND ADD Repair ? ? Type of Const. I'LF} W Name GRAND OAKS DEVEL CO ; Address 1881 SONRISE CT ° cily EAGAN phone 452-8934 o Name SdIRe $ a Address ? Ciry Phone ?a w W Name ? u,, Address iz W City Phone I hereby acknowledge that I have read this appl ication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eag O dinances. Signature ol Permittee A Buildin9 Permit is issued to: RAND O S DEV CO allwork shall be done in accordance with all a pli le State of Mimreaal Building Official Addaion Move ? No. Stones Len9th 46 Demolish ? Depth aR int. Impr. ? Sq. Ft. Install ? Aoorovals Fees Assessment Water & Sew. Police Fire - Planner Council eidg.On. $/11/86 Date Permit $ 322.00 Surcharge 31.50 Plan Review 161.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156.00 Copie 2 , 099. 00 Total on the express condition that Statutes and Ciry of Eagan Ordinances. '?"-CITY OF EAGAN 3830 ?ilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT Cvz444 PERMITTYPE: euxLoiNG Permit Number: 031022 Date Issued: 10 j 2 7/ 9 7 SITE ADDRESS: 4504 HAY LAKE RD S LOT: 17 BLOCK: 3 OVERHTLL FARM 2ND P.Z.N.: 19-56151-170-03 N: , (6AS INSERT) B'uilding•,Permit Type FIREPLACE Building Woxk Type NEW > ; Census Cod;e A. ?_ .. ? F;; • * . REMARKS: 434 NLT. RESTDENTIAL P FEE SUMMARY: Base Fee $50.00 Surcherge $.50 7ota1 Fee $50.50 CONTRACTOR: - Applicant - sT. I.IC OWNER: FIRESIDE CORNER'SMC 16332561 2009091 EBERT RUTH 2790 N FAIRVIEW AVE 4504 HAV LAKE RD S ROSEVILLE MN 55113-0847 EAGAN MN 55123 (612) 633-2561 (512)681-1896 I hereby acknowledge that I heve reatl this application and state that the information is corxect and agxee to comply;witM all app1,icahle State of Mn. ; ? &tatwCSS and?City-of Eagan Ofdinances.,I_ APPLICANTrPERMITEE SIGNATURE . ie ?ISSUED B : SATLFRE k CITY OF EAGAN ? 1997 FIREPLACE PIERNIIT APPLICATION 3 1 v 681-4675 DATE: ? PERMIT FEE: $50.50 DESCRIPTION OF WORK: ? CONSTRUCT EM FIREPLACE _ ALTERATIONS TO EXISTTNG ? INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: STREET ADDRESS: - 4'5704' S , 6 y LJ41<-A LOT ? BLOCK ? SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with al] applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: Phone #: OWNER Signature: Street Address: City: ?(,?1? ,State: FIItEPLACE Company: INSTALLER 5o --Cli -k/ 91-- ciry:?2,?SV/c?c..? sta&: GAS LINE Company: INSTALLER Name: _ Signature: Street Ad< City: - Zip: Phone #: License #: 2-22 1909 ?/ ziP: J3?? Phone #: State: Zip: NI A J '? OFFICE USE ONLY BUILDWG PERMIT TYPE 0 14 Fireplaze WORK TYPE 0 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code O] REMARKS Chimney/flue must be inspected before conceafing. jl?- ? 05 .` r?c:pii o-O ClTY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NnT5': PAYMRNr OF k'EE AT TIME OF APPLICATION DOES Wr CONSTITUTE APPROVAL OF PERNIIT. INSPF,(TION OF SEWE12 ANID/OR WA'IER ItSSTAI3JATI0N5 WIIS. NOT BE SCHED-- IIIED UNTIL PERMIT AAS Sffi] APPROVID. . . " 1?}R4]fllll?F;}][9?Xif'RAiFI[F]fFiifFlfFifi?fif]fA P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXQSTING STRCCICRE, DP,TE OF ORIGINAL BL'I7,DING PERMLT ISSL'ANCE: . - i (Nbn ear} 1'RESENP ZONING/PROPOSID IISE: COf1MERCIAL/RE1'AIL/0FFICE Q It,IDCSTRIAL Q ZNSTITi'TIONAL/GOVII2TAENT ? R-1 SINGLE FAMILY ? R-2 DL'PLEX (4tao Units) ? R-3 'lUPINhiOT-ISE (Three + Units ) ( Dnits ) R-4 APaRTM=/cormorurnum (. Units) 2) ? NAME: ADDRESS: CITY, STAT'E, ZIP: PHONE: --lp9 3) u c a• NAME: _ ADDRFSS: i CITY. STATE, ZIP: MASTER LICgISE# p?1C17 1yj' (p 4) e.a •?,? ...?,ia'.? NAME: ADDRFSS: CITY. STATE, ZIP: PAONE: Plumbers License: Active Expired Not recorded 'st-aTF .5) i? v .. ? a: • a• , : a : o.a :r?. x: ? CONNECPION T0 CITY S (:ONNIDCTION TD CITY WATE4 OTFIEE2 '. . 6) ? «• o r ? PLEASE HOLD APPRpVID PEEtMIT FOR PICK-CTP BY ONE OF AB09E PI.EASE MAIL APPROVED PERh1LT TO 1. 2, (p 4. IBOVE }.? ? n ?, • , (Circle one) 7) ac . i _- FOR CBTY IJSE OIVLV PERMIT # ISSL'ED Pd w/Bldg. Permit S $ $ $ c s /S'r o $ /S "n a $ 5DC>-oU S S7S, Ob $ $ S }. FEES: - S AO,-,5-Z) SEWER,PERMIT (INCLLDE SL'RCHARGE) $WATER.PERMIT (INCLLDE SL'RCHARGE) .. $ WATER METER/COPPERHORN/OC'TSIDE READER $ WATER TAP (INCLODE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOL'NT DEPOSIT - WATER $ WAC S SAC $ TRUNK WATER ASSESSMENT $ TRf!NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ ?`J In Dci $ WATER TREATMENT PLANT SURCHARGE $ $ OTAER: $ v• 5z $ a TOTAL - ?5-5- 7,P - ??037 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CO[VDITIONS: APPROVF.D SY: TITLE: DATE: _ Z//6 ,( Y' f 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN A?- 30 PILOT KNOB RD • 55122 -? ? 651-681 •4875 h New CanahucNan ReaWremenh RemodeVReoatr Recuiremen .1 V > 3 regtslered sIte surveys shawing sq. N, ot bf, aq. H, of Fwuse and all roofetl areos (TO% maxlmum bf eoveraae alloweN > 2 coplea of plama (show beam & window sizes; poured hfd. deaign; etcJ > 1 sei of anargy calculaHona > J coples Of free preaervaHOn Plan H lot plaftd after 7/1 /93 DATE: DESCRIPTION OF WORK: O'9CS;,4 fT0vne STREET ADDRESS: . /7.!> /.! LR LOT: BIOCK: ? SUBD./P.I.D. i v vvti PROPERTY OWNER Name: elr¢ 6? Pnone u: 6 SI - 6?/ -/c?96 Los, cirsr ? - City _ .??di6e0? Sfafe: MW up: ? Sheet Address: 5';l Y -s Company: Phone #: L< 1-2- 0'7 - "! Od f (area code) COMRACTOR ?J Sheet Addresa'r?? ?//`P Licerue Ho2oe6?/i?9 7 Exp.2,6!?4L cnr wfh"? cbll%? srafe: InIv up: SS"33 7 ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Regisfralion M: Clfy 2 copies of plan 1 se1 of energy calcWaHOns for heated addtlons 1 aite survay br exteda adtliNOns & tlecks v CON5fRUCT10N COST: State: Sewer/water licensed plumber fff installina sewedwaterl: Phone #: Zip: I hereby aclcnowledqe that I hwe read lhic appiication, atate thaf Ihe infortnation is cortect, and agree to comply wNh all applicable State of Minnesota Stafutes and CHy of Eagan Ordinances. , Y Signafure of Applicant ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservatlon Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 AddiGon ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (FoundaUon) ? 46 Windows/Doors • 6ive PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 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 Capies Total: 1 ?I l ."?1 Is- sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered _ Engineering Variance Valuation: $ ? 31 Ext. Alt - Mutti 0 33 Ext. AR - SF ? 36 MuRi SAC Units % SAC a' • 7986 BDILDIAG PfiAMIT APPLICATIOH - CITY OF SAGAN NOTS: 9I.I. COATRACTOHS HOST SE LIC6eiSED fiITH THE CITY OF EAGAN SINGLE F6MLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLS DiiELLIl7GS - R&SIDSNTIAL RENTAL ilNITS FOR SALS DNITS INCLIIDE 2 SETS OF PLANS, CERTIFICATS OF SQR06Y - CHECg WITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS CONMRCIAY. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To Be Used For: Valuation: Date: Site Address ?C?'I S. OFFICE DSE ONLY Lot L7 Bloek -?3 Erect X Occupancy - ? Remodel ? Zoning A99 Parcel/Sub Repair Type of Const g?/ ? Addition # of Stories Owner Move Length 4/z7;- Demolish J Depth Address - Int.Impr. _ Sq Ft Install City/Zip Code Phone Contraetor Address City/Zip Code Phone ?{Sa- J'93 Arch./Engr. Address City/Zip Code Phone OF APPR009IS FEES Assessments Permit 3,z 2 Water/Sewer Surcharge Police Plan Review Fire SAC ? Engr Water Conn Planner Water Meter ? Council Road Unit 2170 " Bldg Off .., Treatment P1 f6 APC Parks Varianee Copies TOTAL 26 NOTE: ADDRESS6S FOR CORNfiR LOTS - CDNTRACTOR/HOHEOfiNER MIIST DESIGNATS ilHICH 9DDRESS IS DSSIRED. NO CHANGSS iIILL BE ALLOTd6D ONCE BOILDING PEAMIT IS ISSIIED. , . • "? >; ?? :. , EXTERIDR ENVELOPE AVCRAGE U COMPUTA7TDN GRAND OAk:5 DEVELOPMENT COh7PRNY `, ? MODEL Q', • A`FEA U. U X AREA . REOUIRED 1, 70TAL WALL AREA 1800 X.il k?9' ;. TOTAL ROOFAREA 1196 X.026 Ll..)096 ACHIEVED AF:EA U U X AREi1 A. WINDOW AREA 186.66 . .5 9 '•=. -1 B. DOOR AREA 39.5 .077 7.0646 C. SI.IUE GLASS AREA 13.44 .43 6•i?517 D. FI REPLACE Ar1EA 0 v o F. WP.LL FRAME AREA 180 .041 -.:>U F. NFT WALL AF2L=A 1164.1 .049 L'. RlM JOIST AREA 214.52 .0436 S.21I072 H. FOUND WINDDW AREA U C) 1. FOUND AEOVE GRADE 96.48 .135 13.024E3 3, TOTAL-WALL AREA 1800 ?•5o'-16 J. SKYLITE 0 0 C) IC. R00F FkAME 119.6 .032 3•Q=72 L. NE7 RDOF AREA 1076.4 .025 26.41 4. 7DTAl. FtDOF AREA 1146 ?•7_172 SUM 1.+2. ,. 096 SUM 3. +4. ?;?239E1 S URVEY 0 R' S C E R T I F I C A T E GRAND OAKS DEVELOPMEN'f CU. ? 52?? N 0001'23"W 68.73 N04.10 N 5019'23?? W ORA7NAG£ & UTlLlTY g I J EASfMfNT PER PLAT '?-\ I ?I QD I ? J I \ I LOT ? !7 I ? 06 - ? to I . ' 26.53 _ 17zi7:p ( 42.0 f784 /RO ppSED R HOUSE j ? ? b lli 00 o ro 24.0 a / ? 1?53, o? 4.6 i Y 1 ? 1 N? - ? GAR r., 06 9- ? - (n . 20.64 /(ry - _ 22.0 I 2l i ? ` I 959.e 4! Q ? .5p , - ry? w ? J 1 ` 5 ? 6 ? ? ? `` • I `4alD0/AiOCH . ,. T s l 3? - M 87I? R- 487 69 ?? . )011 _ ?AKE '--- - ? ROAD ; _ ? - T- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 I NCH 30 = FEET O • DENOTES DENOTES IRON MONUMEN7 SET IRON MONUMENT FOUND PROPOSEU GARAGE FLOOR = 953.3 5 950 FEET fEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED IOWEST PROPOSEd TOP OF FLOOR BLOCK ' = =9S'3•-7 FEET (000.0) DENOTES PROPOSED ELEVATION I NEREBY CERTIFY TO GRAND OAKS DEVELOPMEN7 C0. THAT THI3 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE I30UNUARIES OF: Lot 17, Block 3, OVERHILL FARM SECOND ADDI7ION, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING THE PLAT OF OUERHILL FARM SECOND ADDITION.) AfJD OF 71IE LOCIITION OF A PROP05ED 6UILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMEN7S. OR ENCROACHMEN7S, IF ANY, THEREUN. A5 SURVEYED BY ME, OR UNDER h1Y UIRECT SUPERVISION, TI1IS 11 DAY OF jI]jy , 1986, NOTE: GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR OVERHIIL FARD1 SECOND ADDITION, PREPARED_ BY MINNE50TA VALLEY SURVEYORS INC., LAST DA7E0 MARCH 28, 1986. hAOJECT N0. 86809 FILE NO. ' FOLDER BOOK / PAGE SIGNED: JAME R. HILL, INC. ? ? c? [3Y: HAROLb C. PETERSON, LAND SURVEYOR PIINNESOTA LICENSE N0: 12294 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South 81oo1nington, Mn. 65431 812-884-3029 ? /2 3 IOSS ""^' ? Dr1v Nwm. SI?MI Clty - - - - - - - - - - - - - Ma In}Iltntion NM oap. wall Int. "11 Toul Blu Ma w?w 1 s1 . M ? - - ? 62 O ? ? Inliltration Gyn f¦p. wtll Nin e?p. wNl ?60 2yi Inl. Nyll Gnng ?5?f l? v F bnw Tolml 81u. F?.I /?e eom l. n d?h w 8 w??rbws.nn ooa?-aw? ..,,... ., .. . «w M w x. ? ?w 3XXhQ Gyu E so. .wll ? MMt oxp. woll a Inl. wall Gi1xy XD Fbnr _ wvui mw. ? 7siod? 11 TOdI au. Q . gr055 ?'I-Pss 3(o,9Y ? CAICUTATICN ° TEMP. DIPF, TyM CNWMaiM AM1rsM /IOrA1 ".?w.?I f??yNu?? . 1111, ?""'7 IIU. pim M?. M. ? IMNbtlbn . OYs Erp. wll -- - ? 11M ap. wMl IM. wdl CON fi Fber Teltl ft. Cf- 10112,44 wA. z n i w+wew.ow ooo?.-enw ..? ? . ...: ,,;? . M?. ? ? Mflllnlion abs l? Eap, w?N NM ao, "N IM. wNl C?Nin? FNor TOfN se.Ml t,.rh I w? ?o wwr ?t ..??-.-...s..,..,. w.. NOWA ?? = TZt IMilptl?en ow c o? EN. rwp _ NM a0. wMl IM. wNl CNIb ?? 140 ,-.. x ?r?5? (oSo7 PERMIT City of Eagan Permit Type:Building Permit Number:EA127214 Date Issued:09/24/2014 Permit Category:ePermit Site Address: 4504 Hay Lake Rd S Lot:17 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-170 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 - Ruth A Ebert 4504 Hay Lake Rd S Eagan MN 55123 (651) 815-3630 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:EA131030 Date Issued:05/28/2015 Permit Category:ePermit Site Address: 4504 Hay Lake Rd S Lot:17 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-170 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 - Ruth A Ebert 4504 Hay Lake Rd S Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature '. Use BLUE or BLACK Ink r__--,___„—_ --, � FOf OffIC6�189 ' --- � • : � Pertnit#: � l�� �U � Clty of Ea aIl , .. � � � . i Partnit Fee: dS I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I i Fax: (651)675-5694 I Staff: � I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��� Site Address: ��CU ,��t � �'-l� �0�� Unit#: Name: �LC ��'? �� �'� � '���'�i�o 7J� Phone:!�o S 1 Address/City/Zip: ���G�� �D� Fr'"�� ��E f� �d�L�� ���'�� Applicant is: Owner ,,,,�Contractor Description of work: �l� ��-� �LZ-t�9-�}� �j r Construction Cost: ��Z ��•� Multi-Family Building: (Yes /No .� / � Company.��N ���'�-arase �1aa✓' 'co�te�:��5���� � Address:„�(.�� ��Sl�t� �d� N' . � City: ��'a/��S State��Zip: 7�� Phone� 2 7' mail: uce�s•#:�o ��oC�82— �eaa certrflcate#: /%2`= 7 2. �7�— I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ��a l.��.� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan(ssued a partnit for a slmliar plan based on a master plan? �Yes _No If yes,date and address of master plan: Ucensed Plumber. Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: • Phone: CALL BEFORE YOU DIG. Call Gopher 3tata One Cali at(651j 454-0002 for protection against underground ut(lity damage. Call 48 hours before you Intand to dip to reCefve bcates of underground utlitties. www.couherstateonecall.oro ... I hereby acknowledge that this information is complete and accurate;that the work will be ln conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an,appiicatlon for a petmit, and work Is not to start without a permit; that the work will be in accordance with the approved pian in the casa of work whlch requires a review and approval of plans. Exterior work authorized by a building pennit Issued In accordance with the Minnesota State Building Code must be ompleted within 180 days of permit issuance. . :, . � . . X / �l / _ X., � \ ApplicanYs rinted Name AppiicanYs Signature � � Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA133427 Date Issued:10/13/2015 Permit Category:ePermit Site Address: 4504 Hay Lake Rd S Lot:17 Block: 3 Addition: Overhill Farm 2nd PID:10-56151-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Ruth A Ebert 4504 Hay Lake Rd S Eagan MN 55123 (651) 815-3630 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use j i* Pe /�City of Eaaall Permit Fee: .7,2- ` �'y, 3830 Pilot Knob Road r`�C Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 1 / buildinginspections@cityofeagan.com Staff: ' JUL 151017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION i (,_.� 1 �9 Date: �-� ` Site Address F "�� YV� k-e- 6. Unit# ( Phone: Name. iJ 1,�� �._ i Resident/ P--- , Owner Address/City/Zip: yS `-4-,,\(1(i ; _ �'J ,_ t, Applicant is: Owner Contractor i i — t Description of work: �ecr.� ., Type of Work i , Construction Cost tom-=- Multi Family Building (Yes /No ) ( se,7 i Company: \��"�C' u , iej/7./(`�' e- I r le .4-t�-Contact: JGC �G2C_� �a Contractor > Address:(----:.,Lf-7K6 /be , f Trot 1t'I City: , '"C./4.4 f State: Y-l� Zip: 15,- ..-----)12..7 Phone: 6(C_re, -Lr email: c,e.,��te (�zK\itti.- ,L- € lel �6P C� J r License •# Lead Certificate#: If the project is exempt from lead certification, please explain why: I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE;Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. _ __ _ _ _ _ _ You may subscribe�to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at{651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.•o•herstateonecall.ors — ) I here,y a knowledge that this information is complete and accurate; that the work ill be in c nformance he ordinan«-s . d codes of he City of Eaga ; th t I understand this is not a permit, but only an application for a perm., and wor is o start wit out a pe j;it; -t the we k will be in acco dan with the approved plan in the case of work which requires a review an% approval pl ns. B iLikx i - , \ x Ap, lica'nt's Printed Nam• e tkpplicant's Signature -.JUS 1 ,�cc--k 'rte(e`Q.0-. Page 1 of 3 Lk-6g 14444 KK DO NOT WRITE BELOW THIS LINE /WV-5- 6 SUB TYPES Foundation _ Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi ?c' Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES C New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 34S-0 •— Occupancy \ MCES System Plan Review Code Edition Aln 2.fl I S SAC Units (25%_ 100% Zoning 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: ?0 Footings (Deck) Final/C.O. Required Footings (Addition) ,r Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: --/—`01/1 n!eE-1 , Building Inspector RESIDENTIAL FEES Base Fee t ? X/3 b aeC. (c— Surcharge ` .4 .Sly r Plan Review .-�� C`` ? eS �j'� MCES SAC City SAC Utility Connection Charge `' /S . b S f * S&W Permit& Surcharge z 3 n ,cf Treatment Plant Copies TOTAL Page 2 of 3 SURVEYOR 'S CERTIFICATE GRAND OAKS DEVELOPMENT CO. 68.73 ftmlboormapir ,Q �,� \''::'::1-‘--------;2°,414t 9 2 DRAINAGE & UTILITY S ( i----.3::14 - 15 EASEMENT PER PLAT i 1 LOT 56q 14/4 q (it4S6- ViCi- ... e Nt 17 co 1. •` \s y !, Gt--..2..f.:11_3___ 651 _ )3 1 I Pr `--' C) ;, 42.0 x17.54 1 -. +,/PROPOSED IJ • I = to HOUSE ! m N / ti r w 24.0 I (Nr-) 10 j(35l, 4.0 m (\, 1 0) i o GAR„� vt. ! CO)::4 20.64 1 N N 1-"- (n +~ _' 1. " - - 22.0 21.50 ry�M� (.) 9, 5�.b • ' —4 „low ir -o _ 41 II,' J 67C ' 1 pp 11 5' 0 61 2 R= 4876.9 LAKE ROAD -------- --- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: I INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 90.3 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 950,5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9572'2 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 17, Block 3, OVERHILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING THE PLAT OF OVERHILL FARM SECOND ADDITION.) AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS . OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 11 DAY OF lily , 198 6 - — SIGNED: JAME R. HILL, INC. NOTE: GRADES SHOWN WERE TAKEN FROM / THE GRADING PLAN FOR OVERHILL FARM ' SECOND ADDITION, PREPARED BY MINNESOTA ✓ %' , 4/6 1}9',72.----- VALLEY SURVEYORS INC. , LAST DATED BY: MARCH 28, 1986. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 ORo.JECT NO. BOOK / PACEJAMES R. HILL, INC. 86809 • Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Blootnington, Mn. 65,431 812-884-3029