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4509 Hay Lake Rd SINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I t! 1 H(4 I 3830 Pilot Knob Road Permit Number: °' '?'?'? ??' Eagan, Minnesota 55122-1897 Date Issued: ? Fr 16 191 (612) 681-4675 , SITE ADDRESS• ' " '"" °' °"" " ' ? t? f? ?I Ei I, f?1' K ? ?1Y I AKE Fckl OV1 1•11 C l 1 r nkM 2NO APPLICANT: f II?f?i tDF' Cn?7Flftt 1Mi ! £, '1 .' I i; 12 " N F, t PERMIT SUBTYPE: 1'.. TYPE OF WORK: ?ru Vt <cr.Rlt'rtnN cf,A;) INSPECTION .. . .. ,? ? Permit No. Permit Holder Deta Telephone k ELECTRIC PLUMBING HVAC Inapectton Date Inap. CommeMa FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG . FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL IN ' CITY OF EAGAN 3830 Pilot Knob Road ' Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , " , ?1'•_'I i<tl t I 1 t rll•.f? 'idlPERMIT SUBTYPE: . ;•? a TION PERMIT TYPE: Permit Number: Date Issued: .:.t?.t 040 ti 4 i3i t?t f. r4ii i I nI Nfy 0.1tt8: Ca wroIi:;/96 I AI 1FRRTIOH AtM Di r'R ',IATRS APPLICANT: t ? l .' ? ?t !, :.` 1 =1 i TYPE OF WORK: Ist ',CEt 11, 1 100 Permit Na. Permft Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date InBp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING 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 OECK FT(3 - - ?? -- - --- --- DECK FINAL l`? - !/ _ _ _ . - - --- - o- •r • CITY OF EAGAN Np 12779 3880 Pilot Knob Road P O Box 21-199 Esgan MN 55121 . , . , , PHONE: 454-8100 BUILDIh1G PERNAIT f Receipt # To be used tor S F DWG/GAR Est. vaiue $61, 0 0 4 Date OCTUBER 17 19 86 Site Addess 4509 SO HAY LAKE RD Erect ? Occupancy R3 Lot ? Block 2 secisub. OVERHILL FAR-M Remodel ? Zoning Rl Parcel No. 2NU Repair ? Addition ? Type of Const No. Stories j/ Name GrZAND OAKS DEVEL CU Move 0 Length 44 ; 1331 SUNRISE C1' Demoiish ? Depth a 8 10 Address City EA Int. Impr. ? "A'" Phone 452-6934 I ll ? t Sq. Ft ns a I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee % " Assessment _ Water & Sew. Police Fire Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 SAC ? 7 5 . Ui) Bldg. Off. 10/17/8 Tr. PI. 156.00 APC Parks Var. Date Copies Total $2,089.00 A Building Permit is issued to: GRAIdD OAKS ilEVr J.OPt-•1t.IJ'i' CC all work shall be done in accordance with all applicable State of Minnesota Statutes and Building on the express condition that City of Eagan Ordinances. -G 1 I w.mx No. I P.rmn How.r I Date I Tslaphone k I g. Final t. oce. :k Ftp. :k Fmp. u Dlsp. Cities itv 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# PLUMBINGS PERMIT RECEIPT # ' CITY OF EACiAN • 3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Address J r`' BLDG. TYPE WORK DESCRIPTION Lot `_l Block 1 Sec/Sub ? Res. New ? Name \ Mult Add-on 49 Address ? Comm. Repair c City Phone ` Other ' - NQ FlXT URES TOTAL Name Water Closet - $3.00 $ _ 3 Address ? - ?Bath Tubs - $3.00 p Gity Phone Lavatory - $3.00 S 3 hower - $ .00 ? Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTR,4CT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 -1 MINIMUM - RESIDENTIAL FEE _$10,00 1 Fioor Orains - $1.50 MINIMUM - COMM/IND FEE - 20•00 :1 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.OQ (ADD $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets -$1.50 ' BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE SlC: FOR CITY OF EAGAN ' GRAND TOTAL• PEFiMIT # • MECHANICAL PERMIT RECEIPT # - - CITY OF EAGAN i 3830 PILOT KNOB ROAD, EAGAN, IIAN 55121 DATE: ?- CONTRACT PRICE t_ ; i PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/Sub ? •; Res. ` New ? ? Name Mult Add-on ? Address Comm. Repair c Ciiy Phone pmef Name ? c Add p ress City Phone - TYPE OF WORK Forced Air ' M BTU Boiler M BTU Unit Heater Air Cond. M BTU M BTU Vent CFM Gas Piping Outlets # ? Other FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 AQJL-QN AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 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) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD It EAGAN, MINNESOTA 55122 DATE 19 RECHI V fLD , FROM AMOUNT $ I ? ? CASH & ooLLwRs ,oo ? cKECK i ? ror?. + BY White-Payers Copy Yeilow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT tiO. _ ? .' .-/:: ? i 01-3210 Bldg. Permi_ 01-3422 Plan Check 01-3445 Surch./hdm. 01-3446 SAC/Adm. 01-2155 Surcharge I7-3860 Road Unit 20-2275 SAC , i 20-3865 Water Conn. ' 20-3868 Water Trmt. 20-3716 Water Meter ? 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? CITY OF EAGAN SEWER SMeCE pptllMT 3830 Pilot Knob Road P. O. Box 21139 PERMIT NO.: Eagan. MN 55121 DI1TE: Zoninp: `'1 No. of Units: 1 Ownsr: Cranc: Address; - Sita Address: 4505 `'c';t5, .,a-" jA 1ce Toace 'i.; 72 Cyerhi? TFar-.n I I Plumber. V3?Tev 'i•--'h?`?h - _7 , , ? ;$_5 1?}O.C?!3pc1 1 pne to esrn* wNh tV Ciyr d Eaoae Conrnctian Charps: 1•7 1; OLjL OraimneM. /lcwunt Deppsit: "10Pa Ptrmk Fee: SueCharpe: S r?rr' By Mtsc. CMrpes: Dote of inap.: Totcl: Irop.: Date Paid: CITY OF EAGAN WATER SERVI CE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: F 11 No of Units: ? 1. . Owner. _,?gE&Rd Address: Site Addess: 4:509 South Eft., Eak-e p nd 1A ? 2 eV,- _?t ?l: ?:arr*-H Plumber: j?.IS.?y Pl:im,04r Meter No.: Conneetion Charge- Size: Reader Na.: 1 agree fo comply with fhe CNy of Eagan Ordinances. $f' Date of Insp.: Account Deposit: 15 . Permit Fee; Surcharge: . Misc. Charges: . Total: Date Paid: Insp.: CITY OF EAGAN 3630 Pilof Knob Road P.O. Box 21198 Eagan, ?11:+1 ??b21 Zoning: ? WATER SERVICE PERIIAIT PERMIT NO.: 8.093 DATE: 10-21-86 No. of Unib: i Owner: -{;.?kd Oak' Address: Site Addess: Plumber: ' Meter No.: rge: . Size: " , ? fi?nll????? . ? Reader No., M?t i ee:,.,, I agree to comply wiih'the CitWfWgbHnl11`&lr&?ft6'„" ?. ._ Ordinanc REQV??a? 1 a`T?vvP?t? I 1/ 1 Date Paid: 3- . r meter By ? Date of Insp.: Insp.: BUILDING PERRAIT Receipt 1271J )sf_s--? SF DWG/GAR $ 61 ,000 86 OCTOBER 17 Ta be used for Est. value oate 19 SiteAddress 4509 50 HAY LAKE RD Erect '[ Occupancy R3 Lot 4 elock 2 Sec/Sub. OVERHILL FARM Remodel ? Zoning R1 zND ParcelNo Repair ? TypeoiConst. V . Addition ? No. Stories a i GRAND OAKS DEVEL CO Name Move D li h ? ? Length 44 th dR D Address 1881 SUNRISE CT emo s Int. lmpr. ? ep Sq. Ft o ciry EAGAN phone 452-8934 ?nstall ? o Name SAMF. 0 u a Address a ? Ciry Phone ?Q F w Name -z ? a Address i w City 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 antlfaity o( Eagan Ordinances. Signature of Permitte?IE gz&;A6:ir , ` r A euilding Permit is issued to: GRA 1D OA DE' all work shall be done in accordance with all applicabl tate of Building Oflicial ?._ CITY OF EAGAN A1 p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v' PHONE: 454-8100 Assessment Water 8 Sew. Police Fire Eng. Planner Council Bidg. Off. 10/17/8 APC Var. Date Permit $ 316.00 Surcharge 30.50 Plan Review 158. 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156.00 Parks Copie- Total $2 ,089.00 Co on ihe express condition that Land Ciry of Eagan Ordinances. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ? /rr ?/ 0 Soe inslructions lor completiM this form on 6eek o1 yellow copy. ?r, 'Z n n r; "X" 6elow Work Covered by This Request S NerAAAdI ReD.I Tvoe ot BuilEinu 1 Aooliances WiraE 1 Equiumant Wired I Ik M Pee SarvlceEnhanceSi:e p fee Feedere/5ubleeaers # Fee Circuitg 0 to 200 qm s 0 to 30 Am s a a6oo 0 t2 30 Am s Above 200 qm z5 31 to 100 Amps 31 to 100 A 5 Swimming Pool Above 100-Am s Above 100_Am s Transiormers Irrigation Boomis Partial-bther Fee u I s'9is I I Isuecial Inspection tS4j,p?/ I - Nemarks ?3i TOT FEE ? _ _ lLlf y d•' ••• / Me Elacvicel ?i!'1 ? r /( ? nspactoq he?eby -rtily that the ebovo Findl ale ' ypection has been i da. I ? ? This rnquest void ?/ ? lC ? / (/` /•S "' 18 months`/rom / ?O COQ y T C-n 3 0 0 5 Haquest Date /- ? _ ? Fire No. Roup0-in Inspection Repu red7 ?1'es ? No ?Ready Now?W?ll NolifY ??sPec- lor When Peatly ?Licensed Electrical Contractor 1 hereby reqaest insDeetion oi ebava Owner alectrical work instelleE et: te No. y Q Stree Address, or ? 1Y , L- ection o. I Township Name or No. anBa No. Countv O uont (PRINT) rzl? CD Phon No. we Supplier 9 ACdress / WV Ele t ical (C?an[ract (CO a y/ ?/ya//p?1? n ?1/ ,/' Comrec/l9 r s(}??ice se No. ?Y?/ ! ^ Mailing Addrese IContractor r Owner Making Instailati 1 ? 77 Authoriz ' nature atractor ner Makinp Installationl ? Phone u?m?ber , ? MINNESOTA STATE BOARD OF ELECTRICITY 7Mi5 INSPECTION NEQUEST WILL NOT Gtipps-MidwaY BItl9• - Aoom N•191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Peul, MN 65106 UNLESS PPOPEN INSPECTION FEE IS Phone(6121692-0600 ENCLOSEO. • CASH RECEIPT • ? - . GTY OF EAGAN 3830 PILOT KNOB ROAD ts4- OOLLARS ?oo E]CASH FICHECK Y IY? 69510 White-Payers Copy Vellow-Posting CApy Pink-File Capy EAGAN, M I N N ESOTA 55122 Thank You BY Z5fj CIl'Y .r.lF 1i`f'd:;,1t. !..'.AFiH:f.ERs s.i TI_C't1.";:NFll... NCe :450 BAT'Ea 09/13/96 T'7:Nii_: 0a403:I. :(D: i+iAME.^ FiL5A1! M C;F11?::1:5Tf_:N31=1?? 3210 900:! 4509 t..IA1' L4: iiD 34,.75 205 9009. 4509 ¢iAY l...r; IiiJ 0,.50 Jc 7n'?;:_t.. 4it_•r.`fPi.?]r; r?inl7Uf1::; .G ..;.i.:? CF:i:)6424'i' t;SI::R ICJ;; P.ANC`.' ??X/n>K%k7KYF>R?(•\RyFZ!>X?1'.W?'! ?h't!<?K 'M h"`?:aY:%n ?::k?'<'?'iY?h" "r.YFW 'MY:yFY?YS PERMIT ? CITY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 028829 09/13/96 SITE ADDRESS: 4509 HAY LAKE RD S LOT: 4 BLOCK: 2 OVERHILL FARM 2ND P.I.N.: 19-56151-040-02 DESCRIPTION: ,ApD DECK STAIRS /P3ui;1dln`q_-.Permit Type 8F (MISC. ) t:Building Wn,r,k Type ALTERA7ION Census Code 434 ALT. RESIOENTIAL } i ` f - ? '. REMARKS: FEE SUMMARY: VALUATION $1,000 Base Fee $34.75 Surcharge $.50 Total Fee $35.25 CONTRACTOR: OWNER: - Applicant - CHRISTENSEN SUE 4509 HAY LAKE RD S EAGAN MN (612)452-1437 I hereby acknowledge that I have read this application and state thet the information is oorrect and agree to comply with all applicable 3tate of Mn. ? StaCut'es and,City o'f' Eaga;n brdinar?eee.. ? APPLICANT/PEFiMITEE SIGNATURE 'ISSUED Y: IGN URE ! New Construdion Reauirements CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered sile surveys ? 2 eopies ot plans (inGude beam d window sizes; poureC ind. design; elc.) ? 1 energy calcutations ? 3 copies ot tree preservetion plan H lol plaHed aRer 711153 requlred: _ Yes _ Na Remotlel/Reoair Reauirements 4??s ?4? ? 2 copies of plan 91,3 ? 2 site surveys (exterior addRions 8 decks) ? 1 energy calculations tor heated addilions DATE: g- ??--I? CONSTRUCTION COST: DESCRIP710N OF WORK: csF S-Foar S -? ?: ?eCl? S?ET ADDRESS: ,/ yc`?? . LO`?? LOT 'A BLOCK a SUBD./P.I.D. #: PROPERTY Name: Phone #: OWNER ua+ Street Address• `"AZ' :?Q>k S' KO-,A ran LC6Ze zc? ' City: State: z;p: ??a3 CoNTw?CroR Company: Phone Street Address: License #: City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address- City: 5tate: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 1 hereby acknowiedge that 1 have read this applicaiion and state that the information is correct and agree to comply with all applicable State of Minnesota SWtutes and CiN of Eagan Ordinances. Signature of Applicant: OFFICE USE QNLY CertiBcates of 5urvey Received Tree Preservation Plan Received _ Yes No _ Yes _ No ?t??'? • . _-_. RfECENL ?D SEP 10 1996 --------------- OFFICE USE ONLY BUILDING PERMtT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o" 20 Public Facility n 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelfaneous n 05 SF Misc. 0 10 = plex 0`115 Deck WORK TYPE n,31 New ? 33 Alterations ? 36 Move la'"32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water i UBC Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. 4 3'? Depth Footprint sq. ft. SAC Code ? I Census Bidg ? Census Unit d APPROVALS Planning Building i\4 rS Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total Valuation: $ °k SAC SAC Units Q ? 0 O . s ce19TIr-IcArc GftAhIU UAK5 UEVELOPMLP1( C0. ? ? L_ 30 t. ? n l67,g3 ?. , . 4? , . . , • ? O N87°030S71, . ,_,. . e .. ... .. M 10 •: ?.. . .. . ?-...`,y., ?' ` .. ::48:3p... , , • ` ?.,.?.. tA ? ?? -• .. 33 ?6 \ :.. . -_-'. ......? . Iey ?? ? Q ?OT ..: r-y-. _ .? ?? Q ? 26.0 ? - -? I to ? N 4 `-' wkw2z 41 : 0 / g ? ?9 SS. S) ?,...y.. a v -? N ,:. ?. ? &_ a 25.67 O ? IOD -?avanrAC? a urrr.m? ? N 10 EIISEMENT' PER PUT:"?\ i ZI n 22.0 s' .PltdPbS?b 1 is':; ?? CS" ,'; Q a N .:? °n oR=. waY 0 J 2233/ (955.5 ;I\?.. d oI I M ?' ?0 co i .? I 48.06 -'V • 33.00 ???9?3,0? I 150.77 N T7°53'24"E ? ? i rN ao 4 DENOTES PROPOSEb SURFACE bRAINAGE 0 DENOTES IRON MONUMENT SET SCAI.E: 1 INCII ? 30 FEET • .X000.0 DENOTES DENOTES 1ftON MONUMENT FOUND EXISTtNf ELEVA7ION PROPOSED GARAGE FLOOR - 955-8 FEET (000.0) DENOTES PROPOSEU ELEVATION PROPOSED LOWEST PftOPOSEU TOP OF FLOUR ULOCK - e) 53vo = FEET FEET i IIEREDY CERTiFY TO GR11ND OAKS UEVELOPMENT C0. TF1AT THIS IS A TRUE AND CORRECT REPnESENTATION OF A SURVEY OF THE nOUNUARIES OF: Lot 49 Dlock 2, OVERHILL FARM SECOND ADDITION, accord9ng to the recorded plat thereof, Oakota County, Minnesota. (THE LEGAL DESCRIPTIOfJ USED ON TIIIS SURVEY WILL DECOME VALID UPON FILING THE PLA7 OVERHILL FARP1 SECOPJD ADDITION) AND OF TIIE LOf,ATION OF A PROPOSED DU1I.DING, IT DOES NOT PURPORT TO 5110W IMPROVEMENTS. OR ENCROIICIIMENTSo IF ANY, TIICREON. AS SURVEYEO DY h1E. OR UNbER t1Y b112ECT SUPERV15101•I, 71115 IbtN Ul1Y OF OCYUBevt., 19[ko. NOTE: GRADES SHOWN WER GRADING PLAN FOR SECOND ADDITION, MINNESOTA VALLEY LAST DATED MIIRCH E TAKEN FROM THE OVERHILL FARM PREPARED BY SURVEYORS, INC., 28, 1986. bROJECT N0. 86282 F1LE NO. ' FOLDER BOOK / PAt3E SIGNED: JAMES R. NILL, INC. . 1 DY: IIAROID C. PETFRSUN, LAPIb SURVE PIINNESOTA LICENSE N0: 12294 JAMES R. HILL, tNC. Planners / Englneers / Surveyors 8200 Humboldt Avenue South eioolnington, Mn. 65431 812-884-3028 y? Gj G?a L, RESIDENTIAL BUILDING I? < Permit Application y75- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reouirements RemodellReoair ReauiremeMS Office Use OnN 3 registered site surveys shawing sq. ft of IoL sq. ft. oF house; and all roofed areas 2 copies of plan Cert of Survey Recd (200h meximum lot coverage albwed) 7 setof Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey (or addilions 8 decks Trce Pres Not Reqd lsetofEnergyCalculations Addifion-indicateHonsitesepticsystem _Onsite5epficSystem 3 copies of Tree PreservaGon Plan it lot plalfed after 711193 Rim Joist Detall Options selecGon sheet (bldgs wAh 3 or less units Date S -?" ? vU" / 03 ? Construction Cost ??, *;f?? " Site Address S,? 1aAA,_-_?mA UniUSte # Description of Work Multi-Family Bldg Property Owner Contractor Address State Fireplace(s) _ 0 _ 1 _ 2 Telephone # ( RMA HOME SERVICES INC. I IOME DEPOT INSTALLED SALES 3200 COBB GALLERIA PARKWAY ATLANTA, GA 30339 763-542-8826 - BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet . New Energy Code Worksheet (4 submission type) Submitted Submilted • Energy Envelope Calculations Su6mitted ? Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( ph (nl I hereby apply for a Residential Building Permit and aclrnowl'&ge-that_Eheinfortna#dn 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 permit, but only an application for a permit, and work is not to start without a pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approv 1 Aof plans. .Q,r)5bcJ Gt.t A _?g ApplicanYs Printed Name _ 4' _ N ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundafion ? 07 OS-pVex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New 'O 35 Int Improvement ? 38 Demolish (Interior) ? 44. Siding ? 32 Addition ? 36 Move Bldg. ?_ 42 De'molish (Foundation) . ? 45 Fire Repair ? 33 Alteration ? 37 Demolish {Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 RCp18Cement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const _ Width REQ[3IRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. __ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Total Building Inspector Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Installed Siding and Windows LIMITED POWER OF ATTORNEY CviJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa(es loc2ted at 660 Mendelssohn Avenue North, Golder. Valley, NIN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order tb obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attomey are limit6d solely to the express powers delineated herein and apply solely tu the Work. This Limi*,ed Power of Attomey shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the executfon hereof. Further, the powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the PrincipaPs death, disability, incapacity or incompetence. IN WI"I'NESS WHEREOF this Limited Po«?er ef Attomey is e.xeciitcd this 21 st day of May, 2003 D . avid Katz S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200? Notary P ic in for the State o eorgia h2y Commission Expires: January 21, 2006 39681b.v3 Proudly sold, furnished and installed by RMA Home Services, Inc_, a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79-DEPOT RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Construction Reauiramants • 3 registeretl site surveys showing sq. R. of IoC sq. ft. of house; and all roofed areas (20% maximum lot coverage allawed) . 2 coGies of plan showirg beam 3 windcw sizes; poured found design, etc.) • 1 set of Energy Calculations 0 : J copies of Tree Preservation Plan if lot platted aRer 711793 ?/?/ ? DATE O• T? ? ? RamodeUReoair Recuirements • 2 copies of plan • 1 ut of Eneryy Calculatlons for heated additions • 1 srte survey for extenor additions 8 aecks . Indicate it home served hy septic system for additions VALUATION ?? d BO SITE ADDRESS '?SoY / MULTI-FAMILY BLDG _Y _N .61 TYPE OF WORK .C? ?? ,? v?er'1J?'T??/,lXz_ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT?11?ss'ss ?,F??F?j+p?? STREETADDRE55 CITY?iGlG' STATFi?ZIP TELEPHONE #?6tS?L/g?CELI FAX # lGS 1m? /?g/ PROPERTY OWNER TELEPHONE # ?1" ----------------------------------------------------------------------------------°----------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[I\\FSOT:\ RULES 7670 C:\'CI?:GORY l R[ (J submission type) . Residential Ventilatlon Category 1 Worksheet Submitted • D?er?C?f • Energy Envelope Calculations Submitted I C I. JUL 0 8 2002 Plumbing Contractor: _ PlumUing system includes: Mechanicai Contractor: ?'[cch.uiico-il svstcm indudes Sewer/Water Conhactor. _ Water SoFtcncr ?Vater Heater No. of 13aths _ Air Condilioniitg HeaL Rccoccn' Svstcin Phone # -----°-•-------------°-----°----------•-•--°----------------------------------------•----°-------._...._....------°- I hereby acknowledge that I have read this applicotion, state that the information is correct, ana ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan Signa}ure of Appll OFFICE USE ONLY Rim Joat Detail Opfions seledion shee[ (bidgs with 3 or less uniS) L ? _ Plione # [awn Spnnkler No. of R.I. Baths Phone # Fcc: 570.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 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 0 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 17 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (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 only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footinp (new bldg) FinaL?C.O. _ Footings (deck) FinaLNo C.O. _ Footings (addition) _ Plum6ing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs AivGa; Tests Ficval _ FraminP, _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (neta:4eplacement) _ Insula[ion _ Retaining Walf Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector DA;...? },?. f`- ,i •. i .. i ,.... r.r_ c', ... ,';.?:-? ?,a.?? ' . :, I:A ? ,.•:- ?. ?:... ..,, ._ ?.=:?7? _..•.; ;..A,,,.. ;•. .?:.?,..,?? .,_... _..:r I. ?,.i¢i(lr .r?:...r(.).:; ?? ??...i.,t ...?._i ..: _.J'. ,?? ri( r: -. . .. ... .. ..... ,. .. ... , ,.... _. .; .,, _.. . ", .' '' ? ? ....:.. ...........:.?_?, ..!??i??.?r??f, . .) . ..,? .. .,.i tt. ,. ) "2.:> t ..... \' . ....... ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 'PERMIT TYPE: Permit Num6er: B U I L D I N G 030982 Date Issued: 10 / 16 / 9 7 4509 HAY LAKE RD S LOT: 4 BLOCK: 2 OVERHILL FARM 2N0 P.I.N.: 10-56151-040-02 DESCRIPTION: ild Gensus Code (GAS) rmit Type FIREPLflCE rk. Type NEW . 434 AIT. RESIDENTIAL t. .?'?.. ?ri fe p,„t ;'.M t? {t REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee ? $50.00 $.50 $50.50 CONTRACTOR: _ Applicant - ST. LIC OWNER: FIRESIDE CORNER'INC 16332561 2009091 CHRISTENSEN SUE 2700 N FAIRVIEW AVE 4509 HAY LAKE RD S ROSEVILLE MN 55113-0847 EAGAN MN 55122 (612) 633-2561 (612)452-1437 rx. . . . .: T?herebyacknowledge tfiat I have read' this appl3oation ?and state that, tMe inPormat3an is oorrect and agree to comply,w3th a'll applicabls State p'F Mn. ? 3tatutea and City ofi Edgan Ocdinances, _ALy n APPLICANT/PERMITEE SIGNATURE - IS ?: SI DA?T I1? I- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: A ? PERMIT FEE: 550.50 DESCRIPTION OF WORK: 1\ CONSTRUCT ffW FI?REP A E ` ALTERATIONS TO EXISTING INSTALL GAS INSERT ONLY STREET ADDRESS: _ INSTALL GAS LINE ONLY OTfER: ?E o ?A lt..s-" (?o LOT b? BLOCK SUBD./P.I.D.#: ?- APPLICANT: (circle one only) OWNER (? C0NTRACTOR1 \ 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. PROPERTY Name:?? TfSh1 5e4 ski e- Phone #: `7`SZ - l ¢37 OWNER w, RU. Signature: Street Address: `r 5 ? 9 ? • ? ? ?? ? ?-`-'? l? ? 6 City: G?A q p? State: l? Z]p: ? S 1 Z Z L l V`?P ??a7 ?* /,3j -ZS 6 FIREPLACE Company: Phone#: INSTALLER e Street Address;,?SZ License #: CiQ? V C L.L ? Stste: ?I ?rJ Zip: 3 S?zz GAS LINE Company: Phone #: II+ISTALLER Name: Signatw Street A Ciry: _ State: Zip: OFFICE USE ONLY BUII.DING PERNIIT TYPE 0 14 Fireplace WORK TYPE ? 31 New o 33 ARerations ? 32 Addition o 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. , ii?.,..._ .._:._..__ __. I ;... . _.._ ....,.. _ aore: ALa. coWeACAsa-L SIBGLE FAlIILY DiiELI.IBGS ? jz?2 LICENSSD iiITH THS CITY OF EAGAA INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DSiBLLIHGS - RSSIDSNTIAL RENTg[, pgITS FOH SALB ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SORYEY - CHEC[ WITH BLDG. DEPT., 1 SET OF ENEBGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND & STRUCTURAL PLANS, SET OF To Be Used For: S cf Valuation: Site Address ?? (?"r ,? ? 43fa.wl,Q.VI¢?( - .?.? Lot ? Block ? Parcel/Sub O /1,).Q/L?I.t.Xy ? NL Owner Address City/Zip Code Phone Contraetor a&_ Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone 0 Co l ? DOO Date: lo - I b <X)L Ereet \// Occupancy ?-, 3 Remodel Zoning ? Repair _ Type of Const SZ Addition # of Stories Move Length Demolish Depth ? _ Int.Impr. Sq Ft Install APPROYAIS FE&S Assessments Permit 31(0. Water/Sewer Surcharge ? Police Plan Review Fire SAC S"1S, Engr Water Conn ? Planner Water Meter (pZ),so Council Road Unit Z9 0. Bldg Off ?0• l 8? reatment Pl I r-(o. APC Parks Variance Copies SOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOWNER lIOST DESIGNATE WHICH ADDRESS IS DSSIRED. NO CHANGFS WILL BE ALLOiiSD ONCE BIIILDING PERMIi IS ISSOED. EX7EkI'OR ENVELDPE AVCRAGE , 'U' COMPUT ATTON " • GRAND OAKS DEVELOPME NT COh1PANY MODEL q AFEA U. U X AREA kEQUIFED 1. TOTFlL WALL-AREA 1800 X .I1 193 ;. TOTAL ROOFARFA 1196 X. 026 31.096 ACHIEVED AREA U U X AREl1 A. WINDOW AREA 186.66 . .5 9::?.7•' D. DGOR AREA Z9.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .40 6.4S1:' D. FIFEPLACE AREA 0 0 0 E. WF:LL FRAMG AREA 180 .041 7.78 F. NFT WALL AREA 1164.1 .049 57.0409 0. RIM JOIST AREA 119.52 .0436 5.211072 H. (=0L'ND WIhDOW AREA U 0 C' 1. FOUND ABOVE GRADE 96.48 .135 13.0240 3. 70TAL WALI. AREA 1800 105.5026 J. SKYLI7E ' 0 0 0 I'. ROOF FRAME 119.6 .032 3.8:72 L. NET RDOF AREA 1076.4 .025 26.91 4. 70TAL ROOF AREA 1146 30•7372 SUM 1. +2. 29. 096 SUM 3.+4, 2I6.2:S98 ,. URVEYOR'S CERTIFICATE ' I L- li j ? 16763 F? io Q ?11 ? O ct N N 48,30 IM I IN M LOT ? ? 260 4 E .7 ?9ss.s? ??- ? 7 I rv L 25 . 22?? ? ? I --------- C955.5) ?I ?m Im I 10 ? N -- 48.06 o) 150.77 N 77053'24"E •S) 30 ? O ?I Q M Q Q1 Z 30 1 ?_ ?/ i ? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 95 S.8 FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = q 53,0 FEET . . (000.0) DENOTES PROPOSEU ELEVATION PROPOSED TOP OF BLOCK = 9 51,0 •?- FEET I tIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CD. TFIAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF T11E [30UNDARIES OF: Lot 4, Block 2, OVERHILL FARM SECOPJD ADDITION, according to the recorded plat thereof, Oakota County, Minnesota. (THE LEGAL DESCRIPTION USED ON THIS SURVEY WILL BECOME VALID UPON FILING THE PLAT OVERHILL FARP1 SECOND ADDITION) ArJD OF TIIE LOCATION OF A PROPOSED DUiLDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS. OR ENCROACfIMENTS, IF ANY, T1IEREON. AS SURVEYED 8Y ME, OR UNUER P9Y UIRECT SUPERVI5IDN, TIiIS IbTu UAY OF OCtubEYt., 198?. NOTE: GRADES SHOWN WER GRADIN6 PLAN FOR SECOND ADDITION, MINNESOTA VALLEY LAST DATED MARCH TAKEN FROM THE OVERHILL fARM PREP{IRED BY SURVEYORS, INC. 28, 1986. pROJECT NO. 86282 FILE NO, ' FOLDER o? I M? IO ? ???- - -- -- 33.00 ? HAROLD C. PETERSON> LAND SU PIINNESOTA LICENSE N0: 12294 JAMES R. NILL, INC. Planners / Englneers / Surveyors 8200 Humboldt Avenue Sauth BlooMington, Mn. 65431 812-884-3029 ?ORAINAGE 6 UT1LflY IM EASEDIEM PER PLJIT?\ I 7- BOOK / PAGE .?` -' •- 33.f6 ? ml N I lo ? i xz.o y AaoPOS?o' ' z o ?# N ,. L? ` GRANU UAKS UEVELOPMENf CU. N 87°03'57"E SIGNED: JAMES R. HILL, INC. DY: C ? C(TY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTfON *TOTF: PAYMhW OF FFE AT TIME OF APPLsCATIoN noFS Nam CONsriUM APPROVAL OF PERNIIT. rxseECrIor7 oF sEWM nrro/ox Fu+M itiSmarTaTTONS WII.L NM BE SCHED- UIM UNl'a, PERNIIT.HAS BEIN APPR(7VID. - x,enxxx«?nnexsn,.raexx?.s?eax===arxarr?nneane . P ease Print - 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: IF ElTSTING STRCCif'RE, DATE OF ORIGINAL BIIILDING PERMIT ISSL'ANCE: . ? Nbn Year} PRESENT ZONING/PROPOSID L?SE: 0 CO,nIERCIAL/REfP.IL/OFFICE Q IfIDL'STRIAL Q INSTI'IL'TIONAL/GpVERIzgN'r NA6'JE:- i?d? l.7 ? R-1 SINGLE FAMILY ? R-2 DL'PLEX (ZWo Onits) ? R-3 70WNiOUSE (Three + Units) ( t?nits) Q R-4 APARTMENT/CODIDUMINICTI ( Units) ADDRESS: . CITY, $'Pp,TE. 2IP: PHorrE: 'qS`a gq 3 3) ' u r a?• NAME: ADDRFSS; CIT"1, STATE, 2IP: PHONE:? .-a La- I MASTER LICENSE# 4) • • i5• [vAME: ? ADDRF,SS: CITY, STATE, 2IP: PHONE: k Active F?cpired Not recorded Stainitial .5) CONNE(.'TION mCITY SEWIIt ? NNECTION 2C? CITY WATER ? OTHER_ ??? 6) M. .. ? i. r r. u• - 0 ? /PLSASE HOLD AppROVFD P?T FOR PICK-IP BY ONE OF ABOVE j7f PLEASE MAIL APPROVFD PERMiT TO 1, 2, 4, ABOVE ? ? I n ; (Circle one) , FOR CITY USE ONLY PERMIT # ISSCED Pd w/Bldg. Permit FEES: s //,D° $ SEWER PERMIT (INCLODE SURCHARGE) $ ? WATER? PERMIT (INCLUDE SL'RCHARGE ) $ Lt%'3• s-2 $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ _ /5-1 ? $ ACCOUNT DEPOSIT - SEWER s ,/ ?5-'G? $ ACCOONT DEPOSIT - WATER $ SoO . U Z31 $ WAC $ h 75??' $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TR[!NK SEWER ASSESSMENT $ $ LATERAL BENEFZT/TRONK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ I?7^? `Q Z7 $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL ? 7s?s RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC ROADWAY" MUST BE ISSOED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : ? ' HEAT LOSS CAICUTATION -2-00 TEMP. DIFF.. cwtomw N+rm ?zYG1 V1 ? ?Oi ? a 1 I Tra C,arauaton ? CitY -- DaIw Nam StnM _ City and DoorrGwkaoe and Nr FI 4 a Mo w?are n? M wNm OI M Me. W L ?? LinNl h. I CMY I? . n. `'- -f 2 3 m ? t' ? o + F0.rw. ,??"`< Colf. Btu Infdtration ? Gl"' O OO Exp. „rau f 3 a ? Na e:a. wan 3 Int. wall c«rr,y 40 x o Z o Fba ToUI Btu. IXFI.I 0 ?Roomllwn hg Width 1 0 INi t Windo snd Dowrs -Gadu p and Ar N tio. w?mn wpw? O? M pI M Ne. si L L?I h. 0/ pr? Aw U. M. Y I - Zv v CoN. Btu Inliltration 401 / (00 Gim 901 / 00 Eap. wall x } I N?N eap. wall a In1. wall ceilNn g x a go a LAO f Iar Teul Btu. ?S?I RoomrLm h q Widlh Q W mAnwc aM Ooort-Gadc aOr and Arr Nn ?wiuw? ' nl'?hq `s, M LMMN M. A N" 0 cod. Btu Inlihra?ian ? G4" / SO SlXJ Exp. w+ll ? L/ yc NMt erP. wall Int, wall cba?y y. o Flo?r Topl Btu. i 2(o O6' Wbdow? Stam SM IMaIb . la. Gilhq IM. Fbor Lawdn r o wieM b H.+d+t wMdow? ana ooon-aodc.o..nd Ar. Me. WItlM N Mw M LMA111. AnM . 1. ? -? -- ? - CoN.. Btu Infihntbn yQ_ Gb. r ? Exp. wsll (pX g NN acP. wall Z(y Int. rwll Gitirq u I Floor ? ZV ToulBtu. bTCl.i a;";Raamllrn A 10 WidM ?O !Ni t Wie?dow? d Doon -Godup wd ArM Ne. WINn a 11?1/? Ns.M L LIMNh. AI? 3 - CoN. Btu ln,m..?? o v Glm Exp. wNl 2p Not exp. wsll ?{7 Int. wdl c.iroo Ux /U 00 3 3vc2 Floo. /OO Toul 8tu. I ?J(0 7? 1ST€1.1 LIu, tn e.?? 1LaqlA /'? Widlh ? CO MMd?f? Window? Doat-Gadup wd Ar» • Mw. «?/1? INy1?? Ib. N LUrI h. A rl. 3(. ? cod. ow I/1f 1tUa11D11 GIM Exp. roll Not wP. wNl lm.waa Giiww I ?- X cw« q roui ew. I 41-R44 , :• ? - HEAT LOSS CALCULATION 20° rtEMP. DIFF, oomw wm. T„a Cmwrucom M? wi?eow. storm s.o DwMr Namn. NNIb . Int. . ` Straw -•---- Gilhq ' IiN. ChY f bOr Rooml Laqth S• S Widlh I (s ?Miaht Win}lows and Daon-GsdaP and Iu N No W?a? M?N?? No. el LNwI lt. M? Cwl. Btu Inf dtration Glau Eap. wallS. X Nat aap. wall tf 4 -7 Int. wall Coil,ng Fwa 7 Toul Btu. FI.= Room 1 Laqth Width lfo INf t Windows and Duort-Gmdcpeand Arw MO e? M?M ?M^M No. N a?ry. A?. 1 2 4 .'t co.f. em ?nHnrnwn 7XJ- d GWt Ewp.wsll p? NeN eap. wall S . In1. wall Ceiis^9 2 x L SZ 3 S p l°"r / 3 TmN Blu. 0 ?3r 2??oom I LwqM I g WidtA 11 • S?Midm ? Wurlnwn nwl Doao-Gadcaa and Aw •?? ww. el .n? 46.61 L Lwr111. N?n ? A. Y .. f:oM. Btu In/iltraruon Gla.? E=p. w.il S. ? a3 No *rP. wall 93 Int. wall ?l"V r f ; 3 Fbrr ao7 Toul Btu. 1 447k/ Noom I Laq1A WidM NNdrt Windowt and Doorf-Gadup snd MY a we. a Lwrw n. A... n. Cwf. Btu Inf iltntbn Glw Exp. wall NN oxp, wall Int. vwll ??irig Floar Total Btu. ? FI.I RoomI LNqtA WWIh INi t Window? and Doors-Cra?kp? wd Arr Ne. WWM « ?Ywlh AN? ?. 7 Caf. 8tu Intikntion Glqt Exp. wall Not exP. +¦v0 Int, wall Giling Fbw TotalBtu. FI.I Roanl Lmyth WidMh t WMidom rd Doon-Gduim od Arr Ian. «•?M WyIN IN. M ?MA1 h. A M l`aw. Btu InfiMatoon G4s Erp. wsll Not ssP. wsll IM. w111 ?ling Floar II Tool9tu. 43, W7 C°v?v?Pc -+2d- 3 EUlo -- ? V 1 ?1'iL? /c-e T t? t hefto?- Jos s ? S , '- 2004 RESIDENTIAL BUILDING PERMIT .4PPLICATION City Of Eagan ? ?3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?- 3S New Cons6uc6on Reauiremems RemodellReoair Requirements ? e?3d ? ? Us ? ?'-..?_ r, 3 regis(e2d site surveys showirg sq. ft of lot sq. ft of house; and ?II roofed areas 2 copies of plan ??t of 5uney RecU -_Y,1h,_N (20%mauimum lotcoverege allowed) 1 set of Energy Calculafions for hea6ed addilions Tiee Pras Plan Recd . ` Y, '_N, 2 copies of plan showiig beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks ?Pf.e?qmred N, lsetofEnefgyCakulatlans Add'rtlon - indicateffonsltesepticsysfem site'Sap`S?,Sy5t?}j?' 3 copies of Tree P2servatlon Plan'rf lot plalled after 711193 Rim Joist Delail Options selection sheet (bldgs with 3 or less uniLs Date -5 / PR / c)cf Construc[ion Co Z4?L2;221 0? Site Address UnidSte # Description of Work 40()y T(chj Multi-Family Bldg _ Yk-N Ftireplace(s) _ 0 7V l _ 2 PropertyOwner Telephane #( ) Contractor Address "((L City State Zip S5024 Telephone # ( CE( Sc7q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • ResidenGal Ventilation Category 1 Worksheel • New Energy Code Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( 9?O" #( ) I hereby apply for a Residential Building Permit an aclcnowledg?tha?ath Ih formation is complete and accurate; that the work will be in conformance with the ordi and codes of t City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an app ic it, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval ofplans. • ApplicanYs Printed Name ? plicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-piex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types b 31 New ? x 32 Addition ? ? 33 Alteration ? ? 34 Replacement Valuation ? Uo U. Census Code 3 q SAC Units # of Units # of Bldgs Type of Const v 14 ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage x 22 Porch(Addn. (4-seaJ ? 18 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage Pibg_Y or _ N ? 25 Miscellaneous Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth Footings (new bldg) ? Footings (deck) Footings(addition) Foundation Drain Tile Roof 1C Ice & Water ? Final Framing KI Fueplace >< R.I. _L0 Air Test >d Final X Insulation Approved By: Base Fee Surcharge Plan Review l 3(,: .?? 1 MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total J-?nci??es ? ec?c ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs •Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy F2? -3 MCES System Zoning 12'' City Water REQUIRED INSPECTIONS _ Final/C.O. ? FinaUNo C.O. _ Plumbing HVAC ' Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector XS- Y. = 9 72-?D .oD r Permit Number REScheck Compliance Certificate Checked By/Date 2000 IECC REScheckSoftware Version 3.5 Release 1 Data filename: C:\Program Files\ChecklREScheck\CHANBERS.rck TITLE: CHANBERS CITY: Dakota STATE: Minnesob HDD: 7491 CONSTRUCTiON TYPE: Single Family DATE: 05/18/04 DATE OF PLANS: 05-10-04 COMPLIANCE: Passes Maximum UA = 378 Your Home UA = 331 ' 12.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1304 44.0 0.0 35 Skylight 1: Wood Frame:Double Pane 10 0.440 5 Wall 1: Wood Frame, 16" o.c. 1413 19.0 0.0 67 Window 1: Vinyl Frame:Double Pane 156 0.440 69 Window 2: Vinyl Frame:Double Pane 18 0.440 8 Door I: Glass 77 0.142 11 Door 2: Glass 42 0.142 6 Wa112: Wood Frame, 16" o.c. 528 19.0 0.0 32 Wall 3: Solid Concrete or Masonry:lnterior Insulation 596 11.0 0.0 55 Floor 1: All-Wood Joist/Truss;Over Unconditioned Space 1124 30.0 0.0 37 Floor 2: All-Wood JoisUTruss:Over Outside Air ] 80 0.033 6 COMPLIANCE STAT'EMENT: The proposed building design described here is consistent wi[h the building plans, specifications, and other calculations submitted with the permit application. The propbsed building has been designed to meet the 20001ECC requ'vements in RES checkVersion 3.5 ase 1(formerly MECchec)) and to comply with the mandatory requiremeuts listed in [he REScheckInspection Checklist. ? Builder/Designer Date- Ve ?? . REScheckInspection Checkiist 2000 IECC REScheckSoflware Version 3.5 Release 1 DATE: OS/I S/04 TITLE: CHANBERS Bldg Dept Use ? Ceiliogs: [) ? 1. Ceiling 1: Flat Ceiling or Scissor Truss, R44.0 caviry insulation ? Commen[s: I ? Above-Grade Walls: [] ? L Wall 1: Wood Frame, 16" o.c., R-19.0 caviry insulation ? Comments: [ J ? 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation ? Commenu: [] ? 3. Wa113: Solid Concrete or Masonry:Interior Insulation, R-11.0 cavity insulation ? Comments: ? ? Windows: 1. Window 1: Vinyl Frame:Double Pane, U-factor: 0.440 ? For windows without labeled U-factors, describe features: ? # Panes Frame Type Thermal Break? [] Yes [] No ? Comments: [] ? 2. Window 2: Vinyl Frame:Double Pane, U-factor: 0.440 ? For windows withou[ labeled U-fac[ors, describe features: ? # Panes_ Frame Type Therma] Break? [] Yes [] No ? Comments: ? ? Skylights: [] ? 1. Skylight 1: Wood Frame:Double Pane, U-fac[or: 0.440 ? For skylights without labeled U-factors, describe features: ? # Panesi Frame Type Thermal Break? [] Yes [] No ? Comments: ? ? ?oors: [ l ? 1. Door 1: Glass, U-factor: 0.142 ? Comments: [] ? 2. Door 2: Glass, U-factor: 0.142 ? Comments: ? ? Floors: [] ? l. Floor 1: All-Wood JoisUTruss:Over Unconditioned Space, R-30.0 cavity insulation ? Comments: [] ? 2. Floor 2: All-Wood JoisUTruss:Over Outside Air, U-factor: 0.033 ? Documentation mus[ be su6mitted verifying the overall assembty U-factor. ? The U-Factor must be developed in accordance with accepted engineering practice. ? Comments: ? ? Air Leakage: [] ? Joints, penetrations, and all other such openings in the building envelope that are sources of air ; , S C CRT II- iCA T C GRnNu onKS uLvELuiIiIErrr co. L- l i r EACAR9 • 1 ... .. . ?I-V? 30 16T. 63 O TI??S P 10 , _......__ . 33.16 ? Q CY) Q °C ; ?"' NI I 10 ? Q LOT ? 0 V% 1; O 1 /Ny 1 Q N 4 01 ' 0 ? g vWi 4 `T' r? g &= 22.0 a •;'?s'?F'I#OPbS? in Q? • ? ? °rL i'??.+.::??.. . •.. Q ' `r /t?A/N:i=?:'?'??;??''. : • ? ? ? 25.67 q? / s?,?•?t-1?ORi WAY "' . FX'?:,`?'?ti1C_-? (?? (955?5 '???- L`Ei?- 6.190yo ?e?no WC d ? c,? _ I M ?- N p ?? Rz?? ?`Re place NIL"j Q tEASEMEArr avaNACF a urrcrrr ( ? s%„ s .? , ? - s<4 srey, ??'.?. 10 ? _ N 10 PER PL/IT?\ n ? • ` ? • 33.00 / •• 48.06 lgy?.n) 150.77 N 77°53'24"E ? `? 30 ? --4 DENOTES PROPOSED SURFACE DRAINAGE O DENOTE5 IRON MONUMENT SET SCAIE: 1 1NC11 - 30 FEE7 • UENOTES iRON MONUMENT FOUND PROP05ED GARAGE F100R - 95S-8 FEET .X000.0 DENOTES ERiSTiNG ELEVATION PROPOSED LOWEST FLOOR - 953i0 FEET (000.0) bENOTES PnOP05EU ELEVATION PROPOSED TOP OF DLOCK e 9 S? ,L FEET .. . f IIEREDY CERTTFY TO GRAND OAKS dEVELDPMENT C0. 7}IAT THIS iS A TRUE AND CORRECT REpRE5ENTA?ION OF 11 SURVEY OF THE [lOUNUARIES OF: Lot 4, Dlock 2, OVERHILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THE LE6AL DESCRIPTIOW USED ON THIS SURVEY WILL l3ECOME VALID UPON FILING TFIE PIAT OVERNILL FARh1 SECOPaD ADOITION) AND OF TIIE I.OCATION OF 11 PROPOSED DUiLp1N(i, IT DOES NOT PURPORT TO 511UW 1MPROVEMENTS. OR ENCROACIIMENTS, IF ANY, TIIEREON. AS SUf2VEYED DY ME, OR UNbER I9Y UInECT SUPERVIS10F1, 71115 IbTN UAY 0(" OCTOBEtL, 198(o. NOTE: GRAbES SHOWN WER GRADING PLAN FOR SECOND ADDITION, MINNESOTA VALLEY LAST DATED MI4RCH E TAKEN FROM THE OVERH1lL FARM PREP/IRED 9Y SURVEYORS, INC., 28, 1986. aROJEC7 NO. 86282 FILE NO. ' FOLOER 800K / PAGE SIGNEU: JAMES R. HILL, INC. .I ... D Y : U,i 1 .; ' ,,,?1r +' ?,/?•{, JiN-....:.., IIAROLb C. PE7ERSUN, LAtID SURVEYOR piINNESOTA LICENSE N0: 12294 JAMES R. MILL, INC. Planners / Englneers / Surveyors 8200 Humboldt Avenue South Bloolnington, Mn. 65431 812-884-3029 w ti ? 'r 2006RESIDENTIAL. PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please cornplete for modifications to existing residential dwellings. FE? I Date 07 ..Tames & Susan Chambers Site Street Address 4509 HAY LAKE ROAD SOUTH Unit # Eagan,MN 55123 6514521437 Property Owner Telephone # ( ) Contractor Norblum P1,(,(,mb( n (i Telephone# ((o11) g2?'y0?'3 /address rnQ;r`h-100 A"'?. 1 City M DIS State m P?1 Zip ly:?j 0R The Applicant is: _ Owner V Contractor _Other Septic System ` New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are lnstalling onlv a water sofrener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5!8" meter is required) Other: / Water Softener Water Heater - $ 15.00 i - _ new ? replacement Lawn Irrigation _RPZ _PVB ^new _repair _rebuild $ 30.00 State Surcharge $ 50 , ? 5U Total $ • I hereby apply for a Residential Plumbing Permit and acknowledge that the Information is complete antl 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 amit, work is not to start without a permit and work will be in accordance with the approved pian in the event a plan is re i d to be reypewed and approved. jeffre!j 1.. Nor,hlor-q ) ApplicanYs Prin d Name icant's Signature ?D? ?(p zoo7 RESIDENTIAL PLUMBING aeRnniT aPPLic,aTioN CITY OF EAGAN ° 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. Date o Z 1 0 91 0 7 Site Street Address 4509 SOUTH HAY LAKE ROAD Unit # Property Owner SUE CHAMBERS Telephone #( ) Contractor GENZ-RYAN Telephone# (952 ) 767-1000 Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 The Applicant is: _ Owner & Occupant X Licensed Plum6ing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-buiit $ 10.00 Fire Repair (replace burned out fxRures, etc.) $ 90.00 This fee a lies when extensive lum6in re airs are made to a buildin . Alterations to existing dwelling ^y 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. !f you are insta!ling onlv a water softener and/or water heater, 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 _Water Turnaround (add $136.00 if a 5/8" meter is required) ? n?n ? Other. D ? G FEB 1 4 2007 K 1,:'ater So?tener Y:a4ar Heater $ 15.00 _ new x replacement _Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 15.50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this isnqt a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance wi h tt- appr plan in the event a plan is required to 0 revie d and approved. Applic , ed HYTie App canYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4509 Hay Lake Rd S Lot: 004 Block: 002 Addition: Overhill Farm 2nd PID:10- 56151- 040 -02 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Elec 952- 445- 2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com - Applicant - Owner: Susan Christensen 4509 Hay Lake Rd S Eagan MN 55123 Final inspection requ $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA076684 02/13/2007 ePermit ed. cal Inspector, î ÿþ þý þýýü ûúû ùüüýýñõîêïíüù ìåæ ñêþ ó îàîì þý üûúù ø ÷ ö õ ø ôü þ þù ó òü ó ñü ðþ ý þ ÿ þù ýïîí ý ììîì ë þ ê õþ õú÷ ðÿ éîèèì ÷ù ü ñþ éîèèî öõõô óò ùùþ ã âëúþüó á þ Þþó øñþó ÷ ñõþúìîþúþ ë ü ÿþ þðöîî ïîíäàä ñ úþõ ñþñþæ þñþùùþþþ ñþñ óþ þþ óùúõñþþùùþ þ ð þ þü þøúÿþ þå þ è ùùþß ó þü ü ú þü PERMIT City of Eagan Permit Type:Building Permit Number:EA114372 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 4509 Hay Lake Rd S Lot:4 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-040 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 . Jeff Granowski 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 - James P Chambers 4509 Hay Lake Rd S Eagan MN 55123 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118212 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 4509 Hay Lake Rd S Lot:4 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-040 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 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 - James P Chambers 4509 Hay Lake Rd S Eagan MN 55123 (612) 401-4433 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142353 Date Issued:04/27/2017 Permit Category:ePermit Site Address: 4509 Hay Lake Rd S Lot:4 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - James P Chambers 4509 Hay Lake Rd S Eagan MN 55123 (651) 452-1437 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142935 Date Issued:05/24/2017 Permit Category:ePermit Site Address: 4509 Hay Lake Rd S Lot:4 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - James P Chambers 4509 Hay Lake Rd S Eagan MN 55123 (651) 452-1437 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145653 Date Issued:09/19/2017 Permit Category:ePermit Site Address: 4509 Hay Lake Rd S Lot:4 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - James P Chambers 4509 Hay Lake Rd S Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature