4517 Hay Lake Rd SBLDG. PERMIT N0.
? . _.?..
01-3210 B?dg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adrn.
01-2155 Surcharge
17-3860 Road Unit
, 20-2275 SAC
20-3865 Water Conn.
120-3868 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
? CASH RECEIPT
t ,
. ? CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 '
R6GEIYED
FROM
AMOUNT ? I
& DOLLARf
?oo
? CASH F-I CHECK
FOR
1 ?
BY
White-Payers Copy
Yallow-Posting Copy
Pink-File Copy
Thank You
Cities Di i?tal Quality 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 #
'' • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ?
Lot _-;t Bloc. ?ec/Sub
?.,; n
? Name IZ ? k' 1 b
? Address
c Ciy Phone
? Name
c Address
O Ciiy ? Phone ?:j?? . _ ,
,
FEES
COMM/IND FEE -196 OF CONTRACT FEE
APT. BLOGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.04)
(.. jI 1 . ? ? ? ,?;_ - --
SIGNArFURE&PERMITTEE
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New ?4.
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
___-?__Water Closet - $300 S 1
--;_Bath Tubs - $3.00 L
tl-Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
-1-Floor Drains - $1.50 / Water Heater - $1.50 -
Whirlpool - $3.00
J Gas Piping Outlets - $1.50 '
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10.00
Private Oisp. - $10.00
_:3 Rough Openings - $1.50
FEE: y }
STATE S/C:
GRAND TOTAL: ' •
' - • ' MECHANICAL PERMIT
250? ?
RECEIPT #
CITY OF EAGAN --
3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: ' -? ' ?1., •( ,
PHONE: 454-6100
? Site Address
' Lot?.Bloqk
? Sec/S b,h BLDG. TYPE WORK D SCRIPTION
Res. A New ,
?
/
? Name Mult Add-on
m
? Comm. Repair
? Address t?.Uy Ai . ,r I . (? h
O
c City `?'in c: t•A j,(... Phone _ (: er
t
FEES
Name RES. HVAC 0-100 M BTU -$24.00
, c Address ADOITIONAL 50 M BTU - 6.00
PhQne
- - (RES. HVAC INCLUDES A/C ON NEW
-=h3STRUG'fi- -
1 PER PERMI
GAS OUTLETS
MINIMUM 1
50 PA
-
n
( .
.
-
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLtES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent
Gas Pi
in
O
U
#
t CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BE1fOND $1
000)
p
g
u
e
s ,
Other
FEE U
S/C: • 'v SIGNATURE OF PERMITTEE
TOTAL: l ?
FOR: CITY OF EAGAN ?
tger#i#ira#e of (Orrupanry
titp of eagan
EppartItPtt# of glttlbttlg jwPt1iDY[
This Certificate issued pursuanl to the requirenrents oj5ection 306 of the Unifornt Bailding
Code certifying that at the #me of issuanre thu structure was in compltance with the warrous
ordinunces of the City regulating buiJding constructron or rrse. For the following:
u,. ciawrwam :;: I?1C'/($t ?. ??i xo. 13655
2ooing Diatria `-j Type C010. V
Occup-Y TyPe R3
Owoerot6wldiog'•;?:'? ?ci ??, ? (i.l pd?ess ;!?'' 1eA;' ".1?Y.i. 1ii. F?tiaAP?:
n
?(; calily'-"-, IS['? Ui'G?LG'_:? ??::Si•j'1 ?1';`i
BuildingAddrevr. I.o
Date:
Building OlCicial
POST IN A CONSPICUOUS PLACE
PERMIT # 2?O`??
MECHANICAL PERMIT RECEIPT # :"'
?v CITY OF EAGAN p t?
??c 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ??' ?_ Cf
CONTRACT PRICE'_/ :? %!? •?" PHONE: 454-8100 '
Site Addfess 2 `iT 1?"' t& '? gLDG. TYPE WORK DESCRIPTION
Lot :2- Block Sec/Su Res. ?• New
? Oc?
? Name ?1-' r - _ ? I ( r , Mult Add-on >11 ;
°-' Comm. Repair .?
Addr gs ? C;?-l il:.` .?'-(,,. •.1 J?'
c? City -? ' JPhone ? r 1 ?c Other
FEES .`?
Name RES. HVAC 0-100 M BTU -$24.00
c Address y??? ? • t..- irt l?? k? d• ADDITIONAL 50 M BTU - 6.00
p City •"?-Pho?ne (RES. HVAC INCLUDES A/C ON NEW '
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERtIIIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
? Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. X16PY'M BTU -r<5 STMINIMUM A E SUR?HARGE PER F PERMIT - 20 50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: r -? ? • ?
S/C: 11=A71 SIG F ?
TOTAL•
FOA: CITY F AGAN
, CITY OF EAGAN
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan,
13655
PHON E: 454-8100
BUILDIjVG PEFIM1t, Receipt #
To be used for ' Est Value ' Date ,19
Site Address OFFICE USE ONLY
Lot Biock Sec/Sub. 'J' y On Site Sewage _ Occupancy
MWCC System _ Zoning
ParCel NO. On Site Well Type of Const
City Water A (Actuan
a Name , (Allowable)
W
Address ? of Stories
ngth
L
3
° City Phone e
Depth
S.F. Total
, p Name Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police Plan Review
Fire _ SAG CitY
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the information is correct and agree to Comply with all applica6le APC _ Treatment Pt
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: ` on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Official
, Permit No. Permit Holder Date Telaphone #
PlLlinbing
H.V.A.C.
Electric
SofYener
Inspection Date Inap. Comments
Footings I d,
Footings II
Foundation
Framing
Roofing
Rough Plbg. $?
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
o???
Bldg. Final .
Cert. Occ.
Temp. LP 777
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
To
!- ".?-g? - ???.c : r.. ..-fti?r?n-',,,.r.+" -.ror-.' ,se, - - • .?.- _ 'nn" c. rr'?$F?•-- •-rrr.-
"f' .b? .
CITY OF EAGAN k * ? ,? ??? ? ?r
3830 Pilot Knob Road, P.O. 8ax 21-199, Eagarr, MM 55'121
£.• PHONE: 454-8100
IVj',a'RP-RMIT ? Receipt #
ad for DECK 5TLP5 F?r Val"o S Snn n.,,., r?r i n ..,n,
l.ot 2_ 8lock ?2 Sec/Sub.
Parcel No.
W Name RICIC PATRASl
3 Address 4517 S tiAY LAM RD
° City L'AGAN Phone 454-O85Q
,o Name S?
z t-
COJ ¢ Address
? City Phone
r-
U¢ hl?mn
Address
CIty -
Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: RICK E'ATR/tU
on the express condition that all work shall be done in accordancs with all
applicable Siate of Minnesota Statutes and City ol Eagan Orcfinances.
Building Official
Occupancy
Zoning
(Acluaq Const
(Allowable)
# of Stories
Lenglh
Oepth
S.F. 7otal
S.F. Footprints
On Site Sewaga
Ofl $1t8 wBll
MWCC System
cay water
PRV Required
Booster Pump
APPROVAIS
Planner
Council
Bldg. OH.
Variance
OFFICE USE ONLY
- FEES
Bidg. Permit
Surcharge
Plan Review
SAG City
SAC, MCWCC
Water Conn
Waier Meter
Acct. Deposrt
SNV Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
15.00
.SO
Is. 5a
Permit No. Permii Holder Dafe Telephone #
WATER
SEWER
PLUMEING
H.V.A.C.
ELEGTRlC
Inspection Date Insp. COmments
Footings I
Foundation .
Framing
Rooting
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Finai Pibg. Plbg. Inspeclor - Notify Plumber
Con5t Meter
Engr.JPlan
Bldg. Final
Oedc Ftg.
Dedc Final
Well
Pr. Disp.
SEWER SERVICE PERMIT
^f,^;
PERMIT NO.:
"No. of Units:
rrand Oaks
I agree to comply wMh the CItX ot Eagan Connection Charge:
flydinances. Aceaunt Deposit: -
Surcharge: -
By Misc. Charges:
Date of Insp.: Total:
Inso.: Date Paic3:-
MN 55121
08k8
_ Date 5-29-87
_ Size:
. Date:
B
inn. Chg: 525.04 . ci Zoning:
ct Dep: IS •00 d No. of Units: i
rmit Fee: 10•40Dd
rcharge; • 50 a I agree to comply wifh !he C1ty of
Plant ISO•4OP'-' Ordinances.
CITY OF EAGAN Permit No: 8779 Date: r'-29-87
3830 Pilot Knob Road Meter No: -:?,.8 3 9!C) (o Size: ?
P.O. Box 21 199 Reader No: C) 3 ? 9 ) LS-L- Datee _ [Q
Eagan,ANIN 55121 ?
Site
Fconn. Chg: L' . OQ,.,?? wju
Acct. Dep: Z ' . ()0 tfl?
Permit Fee: 1_ i
Surcharge: . 50
Tr. Plant 1'''•' • ????. EQ
Meter.
Misc.: ltU.
d P
enalt
Road Meter No: _
Reader No:
L2 Ii2 Cverl}ill raru! II
r,l
?"Aith the City o( Eagan I
t.
-• CASH RECEIPT •
• ' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN,MIN SOTA 55122
?ATE ??_19?•
REC6IVED ?`O % V •
FPOM
AMOUNT s lC? IQ (_,
O<
? CASH
s ooLLaws
.roo
I
[D-CFIECK
Fvrvo I moe I// wMOUrvT-
rJ !B'f.l?v ? ? I C?Ah 10 Ci
Thank You
N_ 73925 eV-1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN No
383OPilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PEFZMIT PHONE:454•8100 Receipt u 'I3 ?3,)
To be used for SF DWG/GAR - Est. Value $89,000 Date MAY 20
13655
19 87
SiteAddress 4517 SO HAY LAKE RD
Lot 2 elock 2 Sec/Sub.OVERHILL FARM 2ND
Parcel
a Name GRAND OAKS DEVEL CO
z Address 4521 SO HAY LAKE RD
? City EAGAN phone 452-8 34
OFFICE USE ONLY
R3
On Site Sewage _ Occupancy
?
MWCC System x Zoning
On Site Well Type of Const if_
City Water -X- (ACtuaq v_
(Allowable)
# ot Stories
Length bR
Depth 37
S.F. Total
FootDrint S.F.
o Name_
?a Address
P City_
¢
w
z
5
z
W
Name _
Address
City _
I hereby acknowledge that I have reed thia application and state
that the information is cortect and agree to complywith all applicabl
State W Minnesota Statutes and City f:gag Ordi n es.t
Signature of Permittee 0
A Buflding Permit is issued to: GRAND OAKS DEVEL CO
all work shall be done in accordance with all applicabl"tate of Mi
Building Ofticial
APPROVAIS FEES
Assessments _ Permit 465.00
Weter/Sewer _ Surcharge 64S0
Police _ Plan Review r29 50
Fire _ SAC,City inn np
Engr, _ SAC, MWCC 59 S_(10
Planner _ WatarConn. 575_00
Councll _ WaterMeter 47 nQ
BIdg.Off _ RoadUnit 'in5 n0
APC _ Trealment Pt i&). ?Q
Variance _ Parka
Copies
TOTAL Z 4.00
on the express condition that
nnes
,s?a Statutes
and City of Eagan Ordinancea
v
CITY OF EAGAN Np 198 17
.. 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
BUILDINO PERMIT PHONE: 454-8700 Receipt # CI.S
To be used for DECK STEPS Est. Value $500 Date OCT 18 1991
Site Address 4517 S HAY LAKE RD
Lot 2 81ock 2 SeGSub.OVERHILL FARM 2N
Parcel No.
w IName RICK PATRAW
? Address 4517 S HAY LAKE RD
City EAGAN Phone 454-0850
Name _
Address
Phone
?
ww Name
Address
aw Ciry PhOne
I hareby acknowlege that I have read this application and state that the
inlormation is correcl and agree to comply with II applicable State of
Minnesota Statutes ando?f Ea?dina e.
Signature of Permitee _ _lT?? ? ?
A euiltlin9 Permit is issued to: RICK PATRAW
on the express condition ihat all work shall be tlone in accortlance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
Occupanty
Zaninq
(ACNaq Const
(Allowable)
;k of stories
Lenglh
Depth
S.F, Tolal
S.F. Faotprints
On Site Sewaga
on sae wen
MWCC Syslem
Cily Water
PRV Required
Booster Pump
APPROVALS
Planne(
Camcil
Bldg. OH.
Variance
OFFICE USE ONLY
81dg. Permit
Surcharqe
Plan Review
SAQ City
SAC,MCWCC
Water Conn
Waler Meter
Aat. Oeposil
S!W Permil
SNJ Surcharga
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEFS
15.00
.50
15.50
REQUEST fOR ELECTRICAL INSPECTION ee?-/Qoooi?e
1 • , See inshuclions tor comDleiin9 tNis form an back of yellow copV. ?T&/
D 5 O 3 9 8 "X" Below Work Covered by 7his Request
Add fle0. TVPe of 8u0din0 ADOlinncea WireA EquiVmant WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaLn
Cortrcnercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mllk Tank
Farm otnrr oeu v tnertSnn?.?iv)
t er SUCCi(y Othcr Ouu-r
ompute lnspectron Fee Below
p Fee Se1viceEntrance5iza H Fea n?ers t! Fue Circwts
0 to 200 qm>s 0[0 3n
2
A
Above 200 qm )sI ps 60
31 to 1
'Am s
Swimming Pool Amps
=00-- Above 100_Amps
Transiormers t
rt?s Partial,Othe
Signs ction S O? 'IV
TOTAL
emarks
Ey
,0 G
HouBh-in Dale 1, tha Ele •
Inspectoq heroby
ceruly thet tha nbove
Final ? ? ? Dnte ? inspeetion hes bean
s A\ mede.
mla raquest voiG 18 monlRa Irom
This reques[ void (./
?p0 eq?/ /
/
??e,hs51?3984,?>
,
ve-z;
Ranuest Uate ire No. Nouph. in Inspection
Required?
eady Now ? Will Notify, InsVec-
L ElyeS N. [or When Feady
mLicenspd Eleclrical Con[ractor 1 hereby request inspection of ebove
? Owner electrical work installed at:
Sveet Address, Bax or Hoate No. Citv
E
)
JI ?b .
ecLOn o. Townshin Name or No. Range o. Cowqy
AilltYaT?l
Occupant IPqINTI
C Phone Nn.
- D
Power Supplier AAdress
Elec ical ConVac or (Company Nrl Contrnctor's License No.
?
U ?S
U
Mailing AAdress (ConVac[or r Owner Makinp Ins[aila[ion)
ls??/ /l. ?
Authori< igna[ure (COnvaanr w e! k n0 In allution) P one N mber
,
MINNESO STATE 80 D OF ELECTHICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-M' ay Bldg. oom N•191 BE ACCEPTED BV THE STATE 90AND
1827 Universitv Ava., t. Paul, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
Phone(672) 642-OBW ENCLOSED.
,?,/,Z2/F 7 REQUEST FOR ELECTRICAL INSPECTION
Il, See instructions for completing this form on back of vellow copy.
,,D`12_(' O "X" Below Work Covered by Ihis Request
EB-00001-06
' '-71IFel ;?/
ex FA'd ReB. ' Type ot Building AoPliantea Wiretl Equiyment Wired
Home Range Temporary Service
Duple.x Water Heater Liyhtiny Fixtures
Apt BuilAing Dryer EleClriC Heatui
Commercial Bldy. Furnace Silo Unlonder
Indusirial 81dy. Air Conditioner Bulk Milk Tunk
Farm om«, soe,:i v oin,:, isno?,?v?
? - UC.c:lly lll(;I (]thn!
(.'ompute lnspectlan Fee Below
M Fee ServiceEntrence5iae » Fee Fexdars?5u?faeders p Fee. Circuitg
1 2Cj 0 ro 200 qm ?s 0 to 30 Am s i . ? 0 tn 30 F?n! >s
Above 200 qmps 31 to 100 qmps 31 [0 100 Am •
Swimming Pool Above 100_Amps Above 700_AmPs
Transiormers Irrigation Booms ? Partia6Other Fee
Signs Speciallnspection
`'
S?
Nem?rks ., i 0 `
!?- TOTAL FEE
/
flouBh-in
? P ?. Ine eIactrioe?
Insoeclor, hereby
catlily thet the above
Final D:& ?? ?? apection hes been
• ea.
(tib reauast voiC 18 montM from
This rapuest void
18 mon, hs /mm ?
D 12220
Nen??est D te ' ire No. Rouph-i Insoeclion
Hequiretl?
?Ready Nuw?Will Nntify Insoec-
?o
Wh
ft
J ?es ?NO r
¢n
eatly
? licensatl Elec[rical Contractor I hmeby repuest inspection oi ebova
Owner electrical work installed at:
MINNESOTA STATE eOAND OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Grigps-Midwey-eldB. - paom N491 BE ACCEPTED BV THE STATE BOAND
1821 Universitv Ave.. St Peul. MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
RESIDEIdTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB R0, EAGAN MN 55122
651-681-4675
New Construction ReauhemeMs
• 3 registered stte surveys showing sq. N. of bt, sq. ft. of house: antl AR roofed areas
(200/. maximum bt coverage albwed)
. 2 coples of plen show'ug beam & window sizes; poured foune desgn, etc.)
• isetofEnergyCatculations
• 3 copies of Tiee Preaervatron Plan M bt platted atter 7l1/93
• Rlm,b(st Detall Optbns selection sheet (bWgs wM 3 or less unils)
DATE 7-Z7, ` 02
u remams 'tJ ?. ?6
. 2 coples of plan
. 1 set of Energy Calculatans for heatetl addHbns
• lsitesunreylorexterioradditions&tlecks
. Indkete X home served by septic syslem Por addilbns
VALUATION*
IULTI-FAMILV BLDG _ Y ? N
FIREPLACE(S) _ 0 X 1_ 2
APPLICANT "C,,1/1C
STREETADDRESS_ /22y7 A?nl1/1ei- AL18 S. CITY$ur Svi/IR STATE19MLZI?fr?'?2
TELEPHONE # M " -b959 . CELL PHONE # FAX #
PROPERTYOWNER ??Pfj?d?Ii P?/f3?iCflt?ld TELEPHONE# ?SI %SV"&'
---------------------° ------------------------------------------------------°----------------
COMPLETE THIS SECTION FOR ••NEWH RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTLES 9670 CAT'EGORY 1 MINNI
(4 submission type) . Residential VeMilation Category 1 Worksheet Submitted • New
• Energy Envelopa Calculations Su6mitted
Plumbing Conhactor:
Pluxnbing system includes:
Mechanfcal Conhpctor:
Mechanical system includes:
Sewer/Water Contractor.
?
?PPh?:=nf
ones
#
I hereby acknowledge that I have read this applicatlon, state that the Information is
with all applicable State of Minnesota Statutes and CiTy of Eagan Ord{,nqnqes. _
Signature of
.JUI 2 2, 2002
Fee: $70.00
?------------------
agree to comply
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Recefved ? Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Phone #
OFFICE USE ONLY
.
0 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Flrepiace ? 21 Porch (&sea.) ? 31 Ext. Alt - Mutti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 D&plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof 0 46 WindowslDoors
? 34 Replacemerrt •Demolkion (EMire Bldg only) - 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
N6r. oF Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.L _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
lqilq
1991 BIIILDING PERMIT APPLICATION
CITY OF BAGAN
SINGLE FAMILY DAELLINGS HULTIPLE DWELLINGS C0MMRCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RFNTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. ,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 1JCv\ 57EP-S Valuat ion: Date:
Site Address r7QGl Le ?? -
? OFFICE IISE ONLY
Lot ? Block FEES
?S
Occupancy Bldg. Permit
e
2oning Surcharge -??
Parcel/Sub Actual Const Plan Review
e
`? Allowable SAC, City
Owner ?
IL # of stories SAC, MWCC
?1
Address ?S/7 S-TrG{V Length
Depth Water Conn.
Water Meter
'' S.F. Total Acct. Deposit
City/Zip Code C:z4Ltq? S S1 ?-3 Footprint S.F. S/w Permit
'f S/W Surcharge
Phone On site sewage_ Treatment Pl.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water Trail Ded.
Address J?/?-/YIE PRV Copies
_
Booster Pump
City/Zip Code .56-M67 _
SUBTOTAL
APPROVALS Penalty
Phone J`14?v1E Planner Lot Change
Council TOTAL ,5 S
Arch./Engr. N/J Bldg. Off.
Variance
Address 'q / ?
City/Zip Code Ai/A
Phone # A) / l+
Sewer/Water Licensed Contr.
?? -'?/agrees that all wotrk shall be done in'accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
o•*
51 •5ot
2•00+
53•5U*
53•5U+
• ' 12•5U+
E5•00-r
0•*
<<65•UU+
44•50+
23z•Sii+
625•UU+
5Z7•UIUT
6?•DU+
305•OD+
7f3U•00+
2, 444•UO.?
s,x ?P /3
6 S S
v 1987 BOILDING PERMIT APPLICATIOH - CITY OF EAGAN
O?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIROEY, 1 S8T OF ENERGY C9LCOLATIOHS
iIOTE: ADDRESSES FOR CO&NER LOTS - CONTRACTOR/HOMEOiINER MQST DESIGHATS WHICH ADDRESS
IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BDILDIPG PERMIT IS ISS[JED.
MOLTIPLE DWELLINGS - RSSIDENTIAL RENTAL pNITS FOR SALE ODiIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMNIl?RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS!
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Ta Be Used For:
Site Address
s `O'
q S" I -? 5 11ir-.,-4 /
Valuation: O IrcoV
Date: s' Z a &7
0
Lot ? Block ? On Site Sewage_
? ?J?]., CC System ?
Pareel/Sub eN?$,tJ? On Site Well
Q,? City Water ?
Owner /???
J? t
?
Address
CityfZip Code
Phone 9PPROV9ZS
Contraetor Assessments
Water/Sewer
l'? J /?
Address ? ?$ '( S Z1 S. <e ?q' Police
Fire
City/Zip Code Engr
Planner
Phone Council
Bldg Off
Areh./Engr. APC
Variance
Address
City/Zip Code
Phone ? - Occupancy
Zoning ?
Type of Const
(Actual) ?
(Allowable) -17-'`
dk of Stories
Length (n8
Depth
S.F. Total
Footprint S.F .
Ffi6S
Permit b5,
Surcharge 44.!?E
Plan Review
SAC, City loo.
SAC, MWCC SZS,
Water Conn SZS,
Water Meter
Road Unit 305.
Treatment Pl 180.
Parks
Copies
TOTAL
?
i i Ei i i C . i i b i i E i
:i
- 21CX1"ERIDFi ENVCLC+F•E
AUCF;F•SCif: 'IJ'
CC1MFU7'A
'7'TC!IU
31
4; GRAtVU t:l(ii<;13 llEVCLCSPMEIVI' i:CJMF'AN 5'
.J i
61 riovEi_ , AhEH u vaLuE t.i x rarEa
r,
0;
41MAk I MUM ALLOWED kiY Ci:]DE
1+'il
i l i l"O"fF1L 4JF-1LL.. AhLA 2294 .17 389.48
1'e. ?
13I TOl'At_ f;Cii:il= AI;EF-1 952 .05 47. 6
141
1:; I 7'01 AI_ ALL.i'iW ED 437.50
]. &raL"I-12 EVED
1?I
181 WALL AREF1
1 9;
20:wIiuvnws 222 .5 111
211DOor-t;:; 40 .077 3,.08
22ISLTD[_ GLASS 39 .46 1E3.72
23;FIRF_I='L..AC'L-" 30 .25 7.:3
241 WALL FFthtMF 1RLh 229.4 .041 9. 40'azl
2511=(II'1 ,30IST 124 .0436 5.4064
26I1=OUND AF20VE CiFiF=iDE 04 .0769 6„45%
271 IVET WAL_L NiN'.Ef=t 1523., u . t>;:78 57. E,o7b£3
291
291 IQIHL UIry LL '.':LCr',,:'r'_:91.
'0i
=1 i RUOF iiI':Er=`H
321
33154-::YL1'fE i> i:; U
341r,oOi- FhAME 95.2 .0._,?,' 3,0464
351I.IE:T 1700F 856.8 .0227 19.44936
361
37I 1"C1Ti-1L FiC7 0F 2::.49576
38 ;
39; l"U"f'HL ACFIIEVkD 241.734E
401
49 1I"lARCiTh,l 7:h1 EXCESB (JF i:Cil)L 195.045=
421
43;": I•IARG3:IV II'd LXCG:S Ei 44.I561I.G
A iFt r ;, A i; i:: ;
t;
• 21CY.TER]:OFi EIVVI_LCIf-''E AVERAUL: 'U' L'OI`1F='UTra TION
,
&GFtAIVil (7AK:S 1}E:VELL7F'rIEIVT Cf]I 11='AN
Y
51
b I f1UliEl_ 3 AFik Fy U VALUE U X(-1REFi
71
al
9:MHx iriuri At_LOWED S Y C:C7DE
10;
i. 1!"fu'fAL WALL F;F:'L-"A
12: 2294 .17 389.98
i.- ;-ra-r HL reoOr wRr_A 952 .05 47.6?
141
i:i : 7'(]TAL flLL.QWED 437.58
16I ACHTEVED
i?1
181 WAI_.L AREA
1'J !
^O I W]:NUOWS '?;?2
? .5 1. 11
:?i,noor:? an .0r77 _,.oa
2213LIDL I:71._AS.S" 39 .48 1£3.7:'
?:= { FIF<EI"=L(•1CL 30 .25 7.5
2141 WAL.L FFiI-i`hiE r-1REF7 229.4 .041 9.4054
2511={Iht JC1I;cil' 124 .0436 5.4064
261 FUUND ABOVE C-iFiADE 04 .0769 6.4596
2711VET WAL_L f'iREA 1525.6 .0378 57.66768
281
291 'I'07AL_ WEry I..L :::19.2391
30;
:11 RODF AREA
_?; '
3315k;YL1TE b 0 O
34I ROl!1= N'RAh1E 95.2 .032 3.0464
35I tdET ROOF
. 856.8 .0227 19.44936
.>b
1
37I TL]TAL FO OF 22.49376
'; Ei :
341 1'U'fAL_ ACI-ISL.VED 241.7:48
401
4111°IAP,6IIU IIU EXCE=SS OF COI:)E 195.8452
42;
431"/. I*IARCiIIU Thl EXCE5 5 44.75642
`SURVEYOR'S. CERTIFICATE ? GRAND UAKS UEVELOPMENT C0.
9 -6o ,
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- PROPOSED SURFACE DRAINAGE '
O DENOTES IRON MONUMENT SET SCALE: 1 INCIi = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOS[D GARAGE FLOOR = 95 4,3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWES7 FLOOR = 94(-•6 fEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 95 f.7 FEET
i HEREBY CERTTFY TO GRANO OAKS OEVELOPMENT C0. TNAT THIS IS A TRUE ANU CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, Block 2, OVEP.HILL FARP1 SECQfID ADDITIOiI, accordina to the recorrfed
plat thereof, Dakota County, Piinnesota.
ANU OF TIIE LOCATION OF A PROPOSED 4UILDING. I7 DOES NOT PURPORT TO SlIOW IMPROVEMENTS.
OR ENCROACIIMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER h1Y DIf2ECT SUPERVISION,
THIS I9T14 DAY OF MA`( , 1987. •
NOTE: GRADES SFIOWN WERE TAKEN FROM
TFIE GRADING PLAN FOR OVERHILL FARP1
SECOND ADDITION, PREPARED DY MINNESOTA
UALLEY SURVEYORS ItJC., LAST DATED
MARCiI 28, 1986. '
PROJECT N0.
87 314
FIIE NO.
FOLDER
BOOK / PAQE
ia
51GNED: JAM R HILL, INC.
IiY:
HAROLD C. PETERSON, LAPID SURVEYOR
P1INNESOTA L1CEN5E N0. 12294
JAMES R. HILL, INC.
Planners / Engineers / Survey,ors
8200 Humboldt Arenu• South•
Bbominaton, Mn. 55431 912-884-3029
?.,? , 1- '-? \. `o
,,fS4
2)
NNE
ADDRESS
CITY. STATE, ZIP
PHONE
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECT{aN
---------------------------------------
P ease Print
? 1) PROPERTY ADDRESS: ?=I -? le?e,? Lk ee
LEGAL DESCRIPTION: 2 Rj Z n?y? •-
%-/-vca/ auc7a1v151on or 7'dX YdTC21 lll $) ..
IF E7ffSTING SZRT-IGZLiRE, DATE OF ORIGINAL BL?ILDING.PERMIIT ISSL'ANCE: --
, lNbn Year?
'- -
FRESENf ZONING/pROPOSID LSE:
Q COi",JERCIAL/RETAIL/OFFICE
Q ITIDLSTRIAL,
[] INSTI'Ii'TIONAL/GOVFRDA7ENT
SINGLE FAMILY
R-2 DOPLEX (ltao CTnits)
R-3 1UWNHOC?SE (Three + Units) ( Units)
? R-4 APAR'IMEN'P/CObIDOMiNIC'M ( Units )
• 3) u c?•
_ NAME: V
ADDRESS:
; ciTY. srATE, zzP:
MASTER LICQdSE#
4) ?• • ?..?,i??
NAME:
_ ADDRES5:
CITY, STATE, ZIP:
PHONE:
G.
: Dlry(R3: PAYMFDTr OF FJE AT TIME OF
F ArrLxcATzorr ooFS Nar aONSizTUTE
; APrROVp,r. oF PERMIT.
`. iNsrnMoN oF sE`VM Arm/Cx WATEa
'. INRrT?TATrONS WiLi. NCYf HE S(HED-
: ULII) UNTII. PERMIT HA.S BM
: APPROVFD.
Active
F?cpired
Not recarded
Sta Inltial
5) n v ? ? r• wi• : a • a? - ??
Q_-EC?NNECSION 10 CITY SEWER NNDC7PION m CITY WATER 0 pnM _
6)
`? ' ?'• [? PLF.ASE HOLU AppgOVID PERMIT FY)R PICK-C'P BY ONE OF ABOVE ---`- _-
?E MAIL APPROVM PERMIT TO 1, 2.(D 4. AHOVE .
?, n I , (Circle one) •
F'OR CITY USE ONLY -?
PERMIT # ISSL'ED
Pd w/Bldq. Permit FEES:
$ Ie" -5-b $ SEWER PERMIT (INCLODE SURCHARGE)
$ IC ' ? $ WATER PERMIT (INCLLDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ IS 5-Z) $ ACCOUNT DEPOSIT - SEWER
$ I S^,U-r- $ ACCOUNT DEPOSIT - WATER
$ t,-Z? d ZJ $ WAC
$ Z S' ?D $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ qG - U O OTHER :
$ $_ TOTAL
-'7=3 ?s 7 73 9j s r
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
? YES IF YES, THEIV A"PERMIT FOR WORK WITAIN PLBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
5UBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: &t__?u
TITLE:
DATE: ?Z? /? 7
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0q d ~ 3(13H
Use BLUE or BLACK Ink
For Office Use I
City of Eajan j Permit
I I, I
3830 Pilot Knob Road Permit Fee: Y '
Eagan MN 55122 Date Received:
Phone: (651)676-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater J Site Address: '°"I t T~ r Unit
I
Name: 1 ch 4d 64? LZt Phone: ' "fS11 - Wo
Resident/ i
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description ofwork =1- ~1~( e5
e sic
T
ype of Work '
Construction Cost: , ao Multi-Family Building: (Yes / No
E -
{
Company: (3~ CC)nS+ CL nr Contact: 1 I~CCl
i Address: 5(6.' 1 Nlftl t cd ye 'N City:
Contractor - 6X-4-c -
s State: N Zip: S50&~ Phone: (2),51-029-1115190
License s-;;! ~ -f Lead Certificate #:N#qT°- (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 " b~~i
public information.
Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
Ww conclude that they are trade secrets. v
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.aooherstateonecall oro
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 _ L ~ a rckl x
Applicant's Printed Name Applicant'seSignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128175
Date Issued:10/28/2014
Permit Category:ePermit
Site Address: 4517 Hay Lake Rd S
Lot:2 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Patty Arneson
7803 Drake Rd
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Richard L Patraw
4517 Hay Lake Rd S
Eagan MN 55123
(651) 492-8962
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135591
Date Issued:03/24/2016
Permit Category:ePermit
Site Address: 4517 Hay Lake Rd S
Lot:2 Block: 2 Addition: Overhill Farm 2nd
PID:10-56151-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Richard L Patraw
4517 Hay Lake Rd S
Eagan MN 55123
(651) 454-0850
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
For Office Use
t � . , Permit#: ifibf
EAGAN
Permit Fee: / C2'6 sLO
, Date Received: 7-1 V
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 �E�'IEV
Itt
(651)675-5675 TDD:(651)454-8535 I FAX(651)675-5694 Staff:
buildinginspectionsCa?citvofeagan.com MAY 0 7 2016 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 05/07/2018 Site Address: 4517 South Hay Lake Road Unit#:
Name: Rick and Michelle Patraw Phone: 651-454-0850
Resident/ 4517 South Hay Lake Road Eagan MN 55123
Owner Address/City/Zip:
Applicant is: x Owner Contractor 1
y r
Type of Work
Description of work: demolish and rebuild existing deck
Construction Cost: $7'606 Multi-Family Building:(Yes /No x )
Company: self Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification,please explain why:
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 X 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 inhumation. Portions of the 1:dprmation may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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(851)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00aherstateonecall.orq
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 ••that the work will be in
accordance with the approved pia, in case• wo which requires a review and approval of plans.
/2/ i.,eiLiZ x if cJ I oxuirix J
plica is Printed Name Appl�'s Signature
DO NOT WRITE BELOW THIS LINE 44 S 11141 LLIAL Vim' s .4 / (7'?./&
..
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi . , Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
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 41 6 9' ao Occupancy 772 -1 MCES System
Plan Review Code Edition Ub1✓12.c'/C SAC Units
(25%_100% 'P ) Zoning 12 -I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length / 9 Fire Suppression Required
Type of Construction V T3 Width 7 c,
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
)6 Footings(Deck) Final/C.O.Required
Footings(Addition) )C. 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: I `u ilk ill'K 17 ii- ,Building Inspector
RESIDENTIAL FEES
Base Fee .1,1 i SIA % jz W •4 3 51 • f
Surcharge 1
pec fit_. 2- 5Q. i /
Plan Review
MCES SAC
City SAC eg />r"• Oo . • 1-r-
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. ,""t9 /40,Y
'SURVEYOR'S CERTIFICATE ' GRAND OAKS DEVELOPMENT CO.
\, 1)0
: c.7,,N ,, ,-))
6 CP
,..
e sob - 4) 6'0; ` . .
\-Eisx- ,,....----- :), -.IS ,e't ,;'*''OVI3St. ''':' 1.100
\f" r`o / 0 .4% vli' li) — A
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•. • t. p ,
i v
Q
0 go .v � Si 8 \ —"^} Co
vi. v44 p., a.c o T1
1.1 11 a
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2.� :141t .. % 1)'
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Q 2 V7 321 . 00 • , \
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,vim
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---4---- .DENOTES PROPOSED SURFACE DRAINAGE ••
O DENOTES IRON MONUMENT SET SCALE : 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 954.3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 944,. FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 95*.7 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 2, Block 2, OVERHILL FARM SECOND ADDITION, according_ to the recorded
plat thereof, Dakota County, Minnesota.
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 IoJT14 DAY OF MA`( , 1987.
SIGNED: JAM R HILL, INC. jr)
NOTE: GRADES SHOWN WERE TAKEN FROM
THE GRADING PLAN FOR OVERHILL FARM �r�� ���/ Arrri�
SECOND ADDITION, PREPARED BY MINNESOTA
VALLEY SURVEYORS INC. , LAST DATED BY:
MARCH 28, 1986. HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC
87314
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 612-884-3029