Loading...
4513 Hay Lake Rd SBLDG. PERWIT N0. 01-3210 erm 01-3422' ?Plan Check 01-3445 5urch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. f I TOTAL CASH RECEIPT CITY • QF "EAGAN DA3830TE PILOT KNOB ROAD . , . ' , RECCIVED /ROM ? AMOUNT $ - 1 I EAGAN; AAINNESOTA 55122 ? 19 ?-? ? CASH ? CHECK 00 DOLLARS ROFF _ I C Thank You BY t ? White-Payers Copy Yellow-Posting Copy Pink-File Copy 11 - • -,& fgtrfiftratt nf (Orruvanry titp of (tagan arparfmrnf n# luflbfing 3tcapitrftnrc This Cenificate issued pursuant to the requiremenu of Sectron 306 of the Uniform BuildJng Cod'e cenifyrng that at the tinre of issuance this structure was in compliance with !ke various ordinances of the City regulatirrg building construction or use. For the following: Ux Clasifintion ??/(-4 ? ' BldS. RKmit No. -- O-pory Typc R3 Z?miog piaujcl Type Coost_ `. Owuer af Bmlding Addrns ?C ? ?• ' RL. BIY?lOg F?L?QiC65 . . . . LOCalI[S' nnp • D90C: Bwlding Officiel POST IN A CONSPICUOUS PLACE •` ' • 3830 Pilot Knob R d! P.O. Bo 2G-Ai e, Eagan, MN 55121 N Q 13253 BUILDING PIERMIT PHONE 454-8100 Receipt# --- r i Site Address ` Lot-3_ Block Parcel No. 0 z 3 0 " Demolish - Int, Impr. . Instali Depth Sq. Ft ? o Name Su"i£ 0 ? Addres9 ~ City Phone OAKS DEVEL CO Phone information is correct and Minnesota 5tatutes and C Signature of Permittee- A Building Permit is issued to: all work shall be done in acco Building Official read this application and state thatthe to comply with all applicable State of with DEVEL Assessment Permit `' ' • •• • ? ? Water & Sew. Surcharge 46. SO Police Plan Review 139.50 Fire SAC 625.00 Eng. Water Conn. 525. 0 0 Planner Water Meter 67.00 Councii Road Unit 305.00 Bldg. Off. Tr. PI. 1$0.00 APC Parks Var. Date Copies 0 r-•-, ? . on the express condition that City of Eagan Ordinances. Permft No. PermN Holder Daio TNephone M Plumbiny ? 7 H.Y.A.C. ?? 75 7 -~ CC1.LL. . ' ? J /71?%' Electric a 'g r Sokener - InspecNon Dsts laep. CommHtb Foodnysl Footinys 11 Foundatbn n Fnmlny Roollnp Rouyh Plbp. Rouyh Htq. Inoul. Flreplsce Flnal Hty. Z Flnal Plby. Bldp. FMaI CM. Occ. DoWtg. Dec Frmy. WNI Pr. Dbp. VJ • . .' G PUIMNIING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address _ 'I ? t ` > H - , L?,, Lot 3 Block a Sec/Sub m Name v4 ? Address ? • ? ` - c City S ? Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - a10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE - I BIDG. TYPE WORK DESCRIPTION ? I Res. ? New M uit Add-on Comm. Repair I Other NO. FIXTURES TOTAL ? a Water Closet - $3.00 s ? 'I I Bath Tubs - $3.00 a Lavatory - $3.00 ? i ' Shower - $3.00 I ' Kitchen Sink - $3.04 ? Unnal/Bidet - $3.00 i k_Laundry Tray - $3.00 I Floor Drains - $1.50 E Water Heater - $1.50 I Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 ? Softener - $5.00 I Well - $10.00 I Private Disp. - $10.00 ? Rough Openings - $1.50 FEE ' I srarE src: I GRAND TOTAL• ` ? . , r cnrvn ? » ? ? ? ?r • . • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE : 1 1..._ ? 1 J f j? , 1, T PRICE; PHONE: 454-8100 Site Address y •" i : ' _ }? Y Lot - Block 34 I m Name _ ' -b Address c City _ ? Name 3 Addre 0 City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other BLDG.TfPE WORK DESCRIPTION ?R,,e? . New ? ?A"ult Add-on Comm. ? Repair ' Other - FEES RES. HVAC 0-100"M BTU - $24.00 ADDITIONAL 50 M'BTU - 6.00 - - ? Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) _ G#S OUTLETS (MINIMUM - 1 PER PERMIT). - 1.50 EA, C(?JMM/IND FEE - 1ft OF CONTRACT FEE ?- _ _ ___ -?++-:•• M BTU ??I •?' APT BLDGS. - COMM. RATE APPLIES M BTU TOWNHOUSE 8 CONOOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - AlL ADD-ON & M BTU REMODELS - 12.00 M BTU MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIT - .50 CFM ?- _ (ADO $.50 S/C IF PERMIT PRICE GOES 1 • ` ? BEYOND $1,000) -•.. FEE: S/C: SiGNA?iURE OF P RMI7TEE TOTAL• ? • ? FOR: CITY OF EAGAN CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road e.: P.O. Box 21199 PERMIT NO.: Eaqan, MN 55121 DATE: '- 74--" ' ? 2oning: - 1 No. of Units: ? Owner. rr?t:i Gaks - ? 1 agree to oomply wUh fhe Clty of Eagan Connection Charge: S? 5- O??T- Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: L I nsp ?4 74 ITY OF EAGAN Permit N2-24-E7 ' o: Date: ? 830 Pilot Knob Road Meter No: Size: ? O. Box 21199 Reader No: Date: agan, MN 55121 wner. "rund ('akz 3 iteAddress:`'' So. . ay Lar`?. `?°^u '.'? 22 Overhi Farm II ? Conn. Chg: 1- ; ,Ot)j,c, Zoning: kl Acct Dep: ,5•00Pd No. of Units: ? Permit Fee: 1J.'JOpd Surchar9a ' 5 00d I agree !o comply wiM the CRy af Eagan Tr. Plant I?' l•??? `' `^ Ordinances. Meter. F'' ;)() „ : Misc.: gy WATER SERVICE PERMIT CITY OF EAGAN Permit Na 3," Date: 3830 Pilot KnoS Road Meter No: 376,65q?! F Size: !Q1 "Ro-c ?C P.O. Boz 21199 Reader No: 0 ro T41 QY.$? Date: -7 - a - ? 7 Eagan, MN 55121 Owner. Site Address: '= 5 So. 13ay :.akE F'.oad 1.3 A2 Uverhill Farr•: i? g. ?, ? .i i eS t, . Ch 5? . 'IV r°?? DeP: 1r tri ? t? ?. t Fee: t A??? iarge: r-n ?grdl?'to omp1Y with the City of Eagan int D Ordinances. By??k-? WATER SERVICE PERMIT - - -- ? CITY OF EAGAN N° 13253 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, nnN 55121 PHONE: 454-8100 BUILDING PERMIT Receiptq :74> ?y7 7obeusedfor SF DWG/GAR Est.Value $93,000 Date F EBRUARY 2 3 ,19 87 SiteAddress 4513 SO HAY LAKE RD Erect Cy Occupancy R3 Lot 3 Block 2 Sec/Sub. OVERHILL FARM 21510nodel ? Zaning Rl Repair ? Parcel No Type ol Consc Ij . Addition ? No. Stories c GRAND OAKS DEVEL CO Move ? Name Length 52 i 4521 SO HAY LAKE RD Demolish ? Depth dr o Address Int Impr. ? EAGAN 452-8934 Sq. Ft. phone City Insta11 ? . o Name SAME APProvals Fees _ z $ c Address s ? City Phone a F w Name ox ? Address z a w Ciry Phone Iherebyacknowledgetha have read thisapplication and state thatthe iMormation is correct and ree o comply with all applicable State of Minnesota Statutes and C7iry a . Or ances. Signature of Permittee"'* A Building Permit is issued to: RAND OA DEVEL CO all work shall be done in accordance with all applicable te 6 Minneso Building Official ?? - Assessment _ Water S Sew. Police - Fire Eng. Planner_ Council _ Bldg. Off.- APC Var. Date- Permit Surcharge 46.50 Plan Review 239. 50 SAC 625.00 Water Conn. 525.00 Water Meter 67 . 00 Road Unit 305.00 Tr. PI. 80.00 Copies___?? 0 on the express condition that Ciry of Eagan Ordinances. c7" REQUEST FOR ELECTRICAL INSPECTION jIft rEys?ooooi-os ' See instructiona tor eompleting this form on back of vallow copv- lic-Ij 7 o= C ?? 12q "XC" Below Work Covered by 7his Request ACd 'BeO: 7Yae of Building AOVliantea Wirod Equipment Wi.ed Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tdnk Falm thNr pect v ther ISn?rifyl i.r Ueci y Ot er Other Compute Inspectron fee Below M Fee ServiceEmranca5iza tl Fae Feetlers/5ubfeeders N Fea Grcu:ts -- U to Z00 qm s 0 to 30 qm s 0 co 30 Am s Above 20 _qmpy 37 to 100 Amps 31 to 100 A s Swimming Poot Above 100_Am s Above 700_Am Transtormers Irn acion Booms -?"n Partial.'Olher e Signs Special Inspection $2Z /}? OT emarks ? ? f /f• " A EE T/ flouph-in ?ate ?, the Electrical r Insoeclor, he,aby Final Date eertify that the abova spection has been • ri j.z--3'?' ea. ' Tla roqueat volC 18 montlia from ? nonths frl L J? 92 ? ??cr1:00 ?_2 I•••? ••?• I Re?ppu?iredi•• ?4•,??? I0lieadv Nuwl NofitY InsPec"I y,?.?es N. or Whan Ready eS,?kensed Electrical ConVaclor i hereby reQUest inspection ot above ? Owner elactrical work insfelietl et Street Addres5. Box or Route City ecuon o. Township Name or No. Range o. Cowiry Occ nt INTI ??'-r?'L?? 5m Phon No. Powe upplie J Address Ele ical Conuac[or ICOmpany Namel 7C ??' Convacmr'S License No. 01 rVT- Maiii BAddrIConv ctor or Owner Makine Ins[ailati l ? /?? z,/ ?? AuMorized ' na e(C nh cmr/?Dne 1,?st3llationl P??ber ?y??• _ MINNESOTA STATE BOARD OF ELECTqICiTY THIS INSPECTION NEQUEST WILL NOT Gripgs•MiAweY Blda. - Mom N-791 BE ACCEPTED BY THE STATE BOAND 1821 Universitv Ave.. St. Feul. MN 66704 UNLESS PROPER INSPECTION FEE IS Phone I612) 642-0800 ENCLOSED. , 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?-? Date G/ I rC ?T I? Site Street Address Unit # 9?13 Property Owner Telephone # ( ) Contractor Rm(hl GI C.j Telephone # (;?3 ) 7P(? 7;7 7 Address & City 3(zr'A, -Q- StateAA-1 Zip S5`? The Applicant is: _ Owner _216ontractor _Other Alterations to existing dwelling $ 50.00 _ Add piumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 51.8" metiBr is required) 1 ('? Other: U-2 ?1 ??'T? ?DCcJ?fo F[k.u+, ? '??nQ"1 -2 "ly' _e Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge .--1 ? n $ 50 Total ?? MAR ? 4 2005 g J, ? I hereby apply for a Residential Plumbing Permit and al&nawJedge-1#?et?ihformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Applicant gn ture RESIDENTIAL ' - BUILDING PERMIT APPLICA710N CITY OF EAGAN 3830 PILOT KNOB RD, Fr4CAN MN 55122 C? 659-681-4675 NewConatrucNonReauirements RemodeURawirReaulrements . 3 registered site surveys showirg Sq. fl. of lot, gq. fl. of house; and all raofed areas • 2 coDies ot plan (20% maximum bt coverage albwed) . 1 setof Energy Calculations far heated additions • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 sRe survey far e#erior addftinns & decks . 1 set of Energy CalcWatlons . inclicate it trome served by sepd"e system for additlans • 3 wpies of Tree Presenation Plan'rf bt plffited atler 711193 . Rim Joist Oetail Optlons selection sheel (61dgs wiU 3 ar les& unRs) DATE R - N -02 VALUAiION I'I 9 c6a-? 9?- SITE ADDRESS 4SI?f ???A (0 • S- MULTI-FAMILY BLDG _ Y gL_N TYPE OF WORK Wt (\Ib 0S FIREPLACE(S) _ 0_ 1_ 2 APPLICANT WjW • STREEiADDftESS Q94"I W1{Ak,;t RVL' S6UA CITY?r&1kK(2- SiATE mO ZIPnJ?,F?f37 TELEPHONE CELL PHONE # fAX #Q?? ?Y?"O PROPERTYOWNER LEIrY'U AvVndvn iELEPHONE#452A iq_y ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE50'I'A RULPS 7670 CATGGORY 1 MINNI:SOTA RUI.I?5 7672 (4 submission type) • Residential Ventilation Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water SoFtener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. oF Baths Mechanical Conhactor: bicctilnical systcm inciudes: Sewer/Water Controctor. Phone # Phone # Fee: $90.00 ? ?1 ------°----------------------------------°---------------°------------°--°------°---- ;"rl---------•--------- - -= ; I hereby acknowledge that I have read this appiication, state that the information is corVect, and_agree to1compiy with all applicable State of Minnesota Statutes and City of Eagan[ ?Or`""dinances`? ? 1„I Signature of Applica? F" u- '"? ?? OrPICI: USF. ONLY _ Air Condi6oning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONIY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Paol ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 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 ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-ptex Pliog_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 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUiRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other RooF _ Ice & W ater _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC Ciry sAC Water Supply & Storage S&W Permit ffi Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION GTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewConstruction Reauiremanta • 3 registerea site surveys showing sq. ft. cf !ct. sq. fl, of house; and all roofed areas (20% maximum lot coaeraqe allowed) • 2 copies of plan showinq 6eam d window sizes: poured found desgn, etc.) • 1 sel of Eneryy Calcula[ions • 3 copies of Tree Preservation °Ian if lot plaRed aRer; I1193 . Rim Joist Detail Optians selection sheet (hidqs with 3 or less units) DAiE %- 3 ` 0 _ Watcr Soltcner Water Heater No. of Bat}is SITE ADDRESS J 5Z 3 50 t'I A`I 4,AY. P ir? MULTI-FAMILY BIDG _ Y N TYPE OF WORK4WMMMW*r f P S I c` FIREPLACE(S) _ 0_ 1_ 2 APPLICANT D E' ?e.rE?JQG i ?G STREET ADDRESS 15a-3 C/ Ai? pn7(; S Tl'Ne- CITY tr ill STATEA-9A)ZIP,F?.?2- TELEPHONE # y5a-1?1/7 -756& PHONE # (o?a-??TS -9-lif3-I FAX #`rsa - 7_tfG. -Lt77 PROPERTYOWNERL,6 Y'ry 1-/c/rlvdelO TELEPHONE C (r, . t? J COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY ? StP 03 2002 Energy Code Category _ MINNESO'l':\ RUL1:S 7670 CA"I'EGORY 1 su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Ener9y Code Worksheet Su6mitted . Energy Envelope Calculations Submitted Plumbing Coniractor: Plumbing system includcs: Mechanicol Contractor: N[cchanical svslcm includrs Sewer/Water Contractor: Phone # Phone # Fee: $90.00 ['ce: :s70.00 I hereby acknowledge that I have read this application, siate that the information is correct, and agree to comply with all applicoble State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicant?/' t ? OFFICE USE ONLY i? ? . 7 s RemodellReuair Reauirements • 2 copies of plan • 1 set of Eneryy Calculatbns for healed atlaitions • 1 site survey for exterior additions 8 decks . Indicate if hame served by septic system `or additions VALUATION ?00 Pt10RL' # Laavn Sprinkler No. oF R.I. Baths Air Condiuoning -- E-Icat Rccovcry S}stcrn Certificates oF Survey Received - Tree Preservation Pian Received _ Not Required _ Updated ai02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muld ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Damolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stocies Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total S p a 9'5- RESIDENTIAL BUILDING PERMIT APPLICATION CfTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4875 New Conatructlon qeoulremenffi • 3 rBgiStOrBtl s%e suNBys ShOwing Sq. fl. al lot, Sq. il. Of h0use; and aII ro0fed ar02s (20% maximum rot caverage alrowed) • 2 coples of plan showing Eeam 8 window sizes; paured found design, eta) • isetofEnergyCakulatbns • 3 coples of Tree Preservatbn Plan 8 bt plattetl atter 7l1193 • Rim JoW Deleil Options selection sheel (bldgs wiCi 3 or less unAS) DATE Remotle4Reoair ReauhemeMe . 2 copies Of plan • 1SetOtEnergyCelculation5brheatedaddflbnS • 1 silesurveyforexlerloraddttion5&decks • Indicale d home servetl by septic system for addiflbns VALUATION 0 °7rDOTI 00 SITE ADDRESS ?fK{? )2d S MULTI-FAMILY BIDG _ Y XN TYPE OP WORK ?e 5ti? L-e no F FIREPLACE(S) ZC 0_ 1_ 2 APPLICANT L-/k r STREET ADDRESS - TELEPHONE # PROPERTY t4V i ? CELL PHONE # _ ?!a-r97 ?f%v STATELf4?N11P ?S/Z3 FAX # TELEPHONE# ----------------------- J------------ m -------------------- m ----------------------r------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULFS 7672 submission type) . Residential Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheat Submitted . Energy Envelope Calcula8ons Submitted Plumbing Confractor: ___ Phone # Plumbing system includes: _ Water Softener _ Iawn Sprinkler _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contmctor: Phone # Mechanical system includes: _ Air Conditioning _ Heat Recovery System Fee: $90.00 Fee: $70.00 SewerlWater Contractor: Phone # -------------------------------------°-----°----------------°°°-----^----------°°---------- I hereby acknowledge that I have read this application, staTe ihat ihe inform tion is correct with all appllcable State of Mfnnesota Statutes and City of Eagan Ordina Signature of Applican ---°-----°-'-----°-------------------------------_._---"'---------'---'--..._........ OFFICE USE ONLY agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex O 13 16plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 72 12-plex Pibg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repalr ? 33 Alteratan ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolitian (Entire Bldg only) - Give PCA handout to applicanf Valuation Occupancy MC1ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkleretl Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footinge (deck) _ FinaVNO C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Othar Roof _ Ice & Water i Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Smne _ Fueplace _ R.I. _ Air Test _ Fina1 _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit MeChanical Permit License Search Copies Other Building Inspector Total ? a CITY USE ONLY L ?i Bl suso. i I I I I Please cortlpiate for. I i 2000 PLUI+BINC, PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOS RD EAGAN, MIlI 55122 651-681-6675 RECEIPT#: /?) Z, I0 / RECEIPT DATE: d' I' O 0 PERMIT# -3 1 S1-( S ? single family dwellings ? townhoines and condos when permits are required for each unit ? backflow preventer for underground aprinklersystem FIXTURES ' EACH // TOTAL i Alterations to existing dwelling - minimum fee Describe:? $ 30.00 Bath tuh $ 3.00 x = $ Floordrairti 3.00 x = $ Gas pipin . outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sirjk 3.00 x = $ Laund tr 3.00 x = $ Lavato 3.00 x = $ Se tic S stem new/returbisned • requlres MPC Ilc. 75.00 X. = $ SB tIC S S Eril abandonment 30.00 x = $ RP2 i new Installationlrepairlrebuild 30.00 x = $ Rou h o enin 1.50 x = $ Shower i 3.00 x = $ Under rou d sprinkler If dwelling is under construction 3.00 X = $ Under rou d s rinkler B axisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heaCer 3.00 x = $ 3-00 Water softener If dwemnB under conauucnon 5.00 x = $ Water softener If exlsting dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcfiar e .50 -> -> -> $ .50 rotal ! _> -> Remfnde?: CaII for Enspectipns of aateralior.s, i.e. water heaters, water scfteners, etc. - - - _...••••-•••-------------------•-------••-••••-••------------------ I heroby adcnpwledge that.l have read Mls apPlication, state thet tAe inkmiatlon is corted, and eprea to mmply with all applicabla Cily o} Eagan ordinances. N'is the appliCant's respansibility to notify the property owner that the CIry ot Eagan assumea no Ifability for any damages caused by the Ciry during its normal operajional and malntenance actiyities to the fadlltles constructed under thia permit within City property/right-of-way/easement. 51TE ADDf?ESS: HvwoeN, LARAY 4513 HAY LAKE ROAD SOUTH ? OWNER Ni4ME: : EAGAN, MN 55123 . (651) 452-5418 INSTALLER NAME: STREET cirv: TELEPHONE #: (AREA CODE) ' TELEPHONE#: ?lZ 27' `'b3? , IL-- (AREA CODE) P 5 o PERMITTEE o•* 479•o0+ 46•5U+ 239•7U+ 625•OU+ \ 525•OU+ 67•00+ 305•OU+ i80•00+ 2, q6'7•0U * rh0?` 7987 BIIILDIAG PEAMIY APPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CERTIFICA2ES OF SORVEY, 1 SST OF ENERGY CALCOLATIONS HOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHAYE WHICH ADDRfiSS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BQILDING PERMIT 25 ISSQPsD. MIJLTIPLE DHELLINGS - RFSIDENYIAL INCLUDE 2 SETS OF PLANS, CEA 1 SET OF ENERGY CALCULATIONS RENTAL OPITS FOR SALE iJNITS OF SORVEY - CHECS iiITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND B T U d F '9-3 Q00 2o o e se or: Valuat ion: , Date: 0 Site Address OFFICE USfi ONLY Lot ??1 Block -2 Site Sewage Occupancy _ MWCC System ? Zoning Parcel/Sub ? On Site Well Type of Const , City Water ? (Actual) Owner (Allowable) dd of Stories Address ' Length 5Z Depth 4(0 City/Zip Code S.F. Total Footprint S.F. Phone APPROVAI.S FEFS Contraetor Assessments Permit 47'7, - ` ` Water/Sewer Surcharge 5 ? Address t Police Plan Review 23R? Fire SAC, City City/Zip Code Engr SAC, MWCC 52 : Planner Water Conn 5Z5 Phone s?_E5 3? Couneil Water Meter 67, Bldg Off Road Unit 305. Arch./Engr. APC Treatment P1 IgOr Variance Parks Address Copies TOTAL City/Zip Code Phone ll ?( ?? f. . ?. . ,. ., ..?, , g?cl 4° 112 ? . }. ? '122og SUR n OR'S CERTIFICATE , -? ` / ao ?i \ QO QO \ 'PO Q 'V F ?. \ / 01/ / ' ? 5° C i ?6 ? ? ??? • (l L' SJ, 6• .a ? O 05 ,. ? o/ O . `Ao Q ? S ? Ob r?_ I / , p6c v? v \??? ? u ' ?0/. .? OP \\ ,o pROJECT N0. 87091 BOOK / PAf3E SIGNED: R HILL, INC. BY: IAROLD C. PETERSUN, LAPID SURVEYOR PIINNESOTA LICENSE N0: 12294 JAMES R. HILL, INC. Planners / Engineers / Surveyors FILE NO. FOLDER 8200 Humboldt Avenue South Blootnington, Mn. 55431 812-884-3029 +- DENOTES PROPOSED SURFACE DRAINAGE O pENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = q 5S'.3 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 5 2. S FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =? S 5,? FEET I FIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TNAT THIS I5 A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNUARIES OF: X50?". GRAND OAKS DEVELOPMENT C0. ? N \ C`y 3p \ . 33 00 \ riL - •n 1 ?KD - 5515-5-5 V ? \ \0 Lot 3, [ilock 2, OVERHILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, P1innesota. AND OF TIIE LOC.ATION OF A PROPOSEO RUiLDING. fT DOES NOT PURPORT TO SIIOW IMPROVEMENTS. OR ENCROACfIMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION, TIIIS Iq1j1 DAY OF Feg¢vc,eH, 1981. PdOTE: PROPOSED GRADES SHOVIN WERE TAKEN FROM THE GRADING PLAN FOR OVERHILL F{1RM SECOPID ADDITION, PREPARED BY MINPIESOTA VALLEY SURUEYORS INC., LAST DATED 3-28-36. .? ?O 0 ? . s ? O .?'? \ CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ------------- P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF E7QSTING STRCCZS.'RE, DATE OF ORIGINAL Bi!ZLDING PERMIT ZSSC'ANCE: ." i (Nbn Year)PRESENf 7ANING/pROPOSID C?SE: ?E 0 CO??'ACIAL/f2E,TAIL/OFFICE Q IbIDC'3TRLAI, n INSTII[)TIONAL/GOVEt2bID7ENT _LD-R-?SINGLE FAMILY r-I R-2 DuPLEX (TWo Onits) R-3 ZOWNiO0SE (Three + Units) ( Lfiits). ? R-4 APARZT1ENT/CONID0MINIUM ( Units) 2) NAME: ADDRFSS: CITY, STATE, ZIP: PxorE: • 3) • u ?: a• ?ME•-v ,!? For City Use . Plisnbers License: AnDxPSS: /,? /b ? ed i CITY, STATE, ZIP:_ Not recorded PHONE: ?/.;t- 4 MASTII2 LICIIVSE# ?/U 7•-/j/( J S?=Elal 4) •.« • • ? i?• tuAME: ADDRESS: CITY. STATE, 2IP: PHONE: 5) ? v, ? a: • ?• : ai • a? • ?? Q-emmcPION 70 CITSC SE4JER M-QBRWTION 1U CITY WATII2 OTHER '. . 6) ? •'- • r ? PLEASE HOLD APPROyID PII211IT EY)R PICK-[7P BY ONE OF AHOVE -_.' -- - ?SE MAIL APPROVID PERMIT TO 1. 2, c 4. ABOVE . (Circle one) 7) d-7 *AT6: PAYME6TP' OF FEE AT TIME OF APPLICATION mES Wr CXXZMTM APPROVAL OF PERMIIT. itvsrncriota oF sEwat Arro/Ot WATEz INS'LA7T.ATTON$ WIId.. NO'P SE $CHED-• UI,ID UNTII, PIItMIT.HAS BFF,N APPR(]VID. FOR CITY USE ONLY. , - PERMIT # ISSCED Pd w/Bldg. Permit FEES: $ IC S--b $ SEWER PERMIT (INCLODE SORCHARGE) $ $ WATER PERMIT (INCLUDE SCRCHARGE ) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ /,? • ?' U $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S J?? ? - LrL? $ WAC $ SAC $ $ TRI)NK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ ?`? ?` ?•? $ TOTA L RECEIPT RECEIPT DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PDBLIC ROADWAY" MOST BE ISSUED BY THE E[VGINEERING Q NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOL LOWING CONDITIONS: APPROVED BY: Ne_ Cc,C?- ' 41-7 TITLE: DATE: T (o7q(j 2-1 'drf ( 3,-7 5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan (0-M N"J" 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenGS RemodeUReoair Reauirements Office Use Onlv 3 regislered site surveys showing sq. ft, of lot, sq. ft. oi house; and all roofed areas 2 copies of plan Ced of Survey ReaJ _ Y _ N (20% msximum lot coverage allowed) 7 sei W Eneqy Calculations kr heated addRions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N isetofEnergyCalculaGons AddPo'on - indkafeBOn-sifesepticsystem On-sifeSeplicSystem _ Y _N 3 copies of Tree P2servation Plan if lot platted after 111193 Rim Joist Dehail Oplions selection sheet (buildings w(ith 3 or less unRs) Date 5ite Address 45) 3 H!!., "?Le ?-?• Construction Cost ? 3f ACQO ?oJf-l-? Uoit/Ste # ` Description of Work Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2 Property Owner L-e,,, Telephone tt ( (9SI )°l o S'- _V75-y Contractor Address StBte /11nJ' , City 'RmVViSeu Zip 5-S'3p3 Telephone #(6 i2.) 34.? -'-/S 3$ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enecgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informat?@? rate; 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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S?o!•1-W ic?S? Applicant's Printed Name plicant's Signature OFFICE U5E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04: 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06: 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32:Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 7 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34-ReplaCement 'Demolition (Entire Bldg) -Give PCA handout to applicant . Valuation Occupancy MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof [ce & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final Y Insula[ion T Approved By: REQUIRED INSPECTIONS Final/C.O. ? FinaUNo C.O. _ Plumbing HVAC Other Pool _ Ftgs _ AidGas Tests _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?.? (rY10 i?lO h?.? ? L> City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4513 Hay Lake Rd S Lot: 3 Block: 2 Addition: Overhill Farm 2nd PID:10- 56151- 030 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Home Depot at Home Services, The 5169 Winnetka Avenue North New Hope MN 55428 (763) 367 -9740 Total: Applicant/Permitee: Signature PERMIT City of Eaan Surcharge - Based on Valuation $2K BL - Base Fee $2K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 tims @elderjon es.com $1.00 $69.00 $70.00 Owner: Laura F Johnson Gil 4513 Hay Lake Rd S Eagan MN 55123 9001 0801 Issued By: Signature Building EA073521 05/26/2006 ePermit 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 with all applicable State S '0 6~ -315 Use BLUE or BLACK Ink I For Office Use I j Permit City of EaEd I 3 Pennit Fee: U5 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651)676-5675 1 Fax: (651) 675-5694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 010) 13 Site Address: I C~3 Unit i Name: Phoneg3f-3),?- - ~qI Resident/ E r Owner ( Address / City / Zip: 1 f j Applicant is: Owner Contractor -ac I Description of work:Qn r Type of Work ; Construction Cost: 6,~ . Multi-Family Building: (Yes Nb;i~ I Company: 41 Contact: I G(,, t, i ( Address: 1 1 o``~dyt d-l 1V City: Contractor ` State: (M IN Zip: SJ Qaa Phone: ~15I - 0 29 " ~~'j - (3- ! License ~ l Lead Certificate #:N)4I - nss5~) - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. 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.gopherstateonecall ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x Applicant's Printed Name Applicants Signature Page 1 of 3