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4521 Hay Lake Rd Si BLDG.,,PERMIT ti0. • ' c:; ? / `, s(; . "CX- ? . _. L?C%? \ ' 01-3210 J?ldg.ermit ? -? . 01-3422 Plan Check 01-3445 Surch./tidm. 01-3446 SAC/Adm. 2,C 01-2155 Surcharge -? V 17-3860 Road IInit 20-2275 SAC 20-3865 Water Conn. S 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. r.) 11-3855 Park Ded. " I >IC kic TOTAL . ? ?, . . ± CASH RECEIPT CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 . ? RECHIVED FROM I. . f AMDUNT 5 I I & DOLLAR! ?oo ? CASH 0 CHECK BY UVhite-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You Cities Digital Quali trol The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. • PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 ? Site Address `t J-4 l J ?a ; Lot ? Block ? Sec I ? Name d ? Address ? `' ? • c Ciry Phone ? Name '-- ? 3 Address ? p City Phone i PERMIT # RECEIPT # DATE: _ ? BLDG. TYPE WORK DESCRIPTION ub*' Res. New M ult Add-on Comm. Repair ' Other FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIOENTIAL 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) ? n ?--- ! 31GNATURE OF PERMITT ?- I , FOR: CITY OF EAGAN ? 1lJO. FIXTURES ? TOTAL Wetef ClOSet - $3.00 s i Bath Tubs - $3.00 Lavatory - $3 00 3 _ . Shower - $3 00 ' 1 . _ ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 T- Floor Drains - $1.50 -T- Water Heater - $1.50 Whirlpool - $3.00 _L-Gas Piping Outleb - $1.50 Softener - $5.00 Well - $10.00 -,_Private Disp. - $10.00 Rough Openings - $1.50 ' FEE STATE S/C GRAND TOTAL: ' A . l E 2G Na 12783 3830 Pilot Knob Road P.O. Bo 1 9, Esgan, M - N 55121 - PHONE: 454 8100 BUILDING PERMIT Receipt a To be used for SF DWGtAR Est Value $76,000 Date OCTOBER 20 ,19 _86 Site Address 4 521 SO HAY LAKE RD Erect Occupancy R3 Lot 1 Bloc k 2 Sec/Sub. OVERHILL FARM Remodel ? Zoning R 1 Parcel No. 2ND ADD Repair ? ? Type of Consk y Addition No. Stories a = Name GRAND OAKS DEVEL CO Move ? Demolish ? Length Depth o Address 18 f31 SUNRISF C'" Int Impr. ? Sq. Ft. City EA "A,'j Phone 4 S 2- 3 9 3 4 Instal I O o Name SAME Approvals = $ ¢ Address Assessment ~ Ciry Phone Water & Sew. ¢ ' ? Police ? w W Z Name Fire ? a Z ¢ ui Address En g. rin. oti..,.e I hereby acknowledge that I have read this application and state thatthe Bld9 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC. Signature of Permittee . ! ? ?? _ Var. [ A Building Permit is issued to: GRAND OAKS DEVEL all work shall be done in accordance with all applicable 5tate of Minnesota S Permit 3b1.00 Surcharge 38.04. Plan Review 1$0.50 SAC -575' Od Water Conn. 500.00, Water Meter b3. 5 0! Road Unit 290.00! Tr. PI. 156.00 Parks Copies Total 2 . 4 . 0 CO on the express condition that ?tutes and City of Eagan Ordinances. . Psrmlt No. Permk Ho{dw Dat* TNephons N Pwml)l,9 a . H.V.A.C. 7 9 Electric Son«,.. Inspsctlon Dah Inep. Commsnb Footlnqs l Footlnqs 11 FoundaNon Framiny Rooflny Rouyh Plbp. Rouyh Htp. / Imul. Finplace FInN Hty. Flnal Plbp. -,s /, • Bldp. Ffnal Cert Occ. Doclc Fty. Declc frmp. Wdl Pr. Disp. PRICE: PERMIT # ? 'J MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CC PHONE: 454-8100 Site Address `i • ) I . i +', , ` Lot Block x ? Name m AddfeSS .. c City Phone ? Name Address p City Phone` i TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM ! FEE: S1C: TOTAL• ? DG TYPE WORK DESCRIPTION ?? ??C??Y7 ) ? J Res. ? New ?' Mult Add-on Comm. Repair aner FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMMlIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) r !' ' )_c_ip-: ? r.iv SIGNATU E OF PERMfTTEE FOR: CITY OF EAGAN CITY OF EAGAN 147 94 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDINCw PERMIT Receipt # To be used for ' Est. Value Date ,19 Site Address _ ' Lot ` Block Parcel No. ? Sec/Sub OVF,Rti1LL F1;; a Name ., .. r;.'? ; . Z Address ° City Phone °` Name o oQ Address ? City Phone Name Address 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 and City of Eagan Ordinances. Signature of Permittee • f, , . , . :"r'. `/?:. i.(? A Building Permit is issued ta - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Stalutes and City of Eagan Ordinances. Building Official_ OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks ? TOTAL Psrmit No. ParmR Holder Date Telephone it Plumbing H.V.A.C. Electric . Softener Inspaction Dats Insp. COmm@nts Footings I Footings II Foundation Framing 1? 6 ?. A. Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: " - Zoninp: No. of Unita: Owrler: Addreu: - Site Address: 4521 Plumber: v„ 1 , `' i':Lu,"!? ir,•, ? opm tY me mpy whb ihe CRY of NPM WflroctIon 0xvge: I'._I'iL V?aMwOw AcO{JM DEpositi Per?nR Fea: . SUICFIOrQl: i By Misc. Chorpas: Dote of Irup.: Total: insp.: Dote Paid: ' OF EAGAN 1NATER SERVICE PERMIT ? pilo! Knob Road Bax 21199 PERMIT NO.: in, MN 55121 DATE: n9: . No. af Units: Addess: 4eter No.: Connection Charge: -ize: Account Deposit: - leader No.: Permit Fee: agree to comply wNh the City ot Eagan Surcharge: Irdlnances. Misc. Charges: - Total: IY Date Paid: Insp.: ^F EAGAN ..a30 Pllo! Knob Road WATER SERVIGE PERMIT ;P.O. Box 21199 PERMIT NO.: - - - - ?? y ? ?Eagen, MN 55121 DATE: l ;Zoning: No. oi Units: ? y 'Owner. ;Address: ?Site Addess: - 571 ou - , 4 ,Plumber: + Y La?!.Ffijr _ er arm Meter r'vo/.: 3 ? ' ctiqn?? Size: ??'' ?vc/( ?w4FQ R31 : Reader No.: 19 I agree to comply wltfi 1Ftie chq ;Ordlnances c . ?'1?W f?? . f rges: . Vi i ?' ' "~^ ? Date of Insp.: Total: DatePald: • p? n:eter Insp : Y?b . 9 ("9 ?1 RESIDENTIAL 1?_ q 5-3$q BUILDING PERMIT APPLICATION ? 9[a,?5 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 5-? 657-687-4675 NewConatrucibn ReaufremaMs RemodeVReoair Reauirements . 3 registered site surveys slrowing sq, ft. of lot, sq. ft. af house; aiM II roofed areas • 2 coDies of plan (200/9 mazimum lot coverage allawed) . 7 set of Emigy Calculatbre for heated addNOns • 2 copies o( plan showing heam 8 window sizes; poured found design, elc.) . 1 site survey for exlenor addNOns 8 decks • 7 sel of Energy Calculations • Indicale H home served by septic system far additlons . 3 copies of Tree Preservation Plan'rf lot platted after 711193 . Rim Jdst DeUil Opfions seledion sheel (Mdgs w@h 3 ar less unils) DATE __-) - JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER &L, Jnh TYPE OF WORK RP.rDO ?C FIREPLACE(S) _ D_ 1_ 2 APPLICANT -T-I vrs Loh S? PHONE# 71?3 ADDRESS S`?/ -2 II3t, c "j? ZIPCODE PAGER # CELL PHONE #?Id, 309 S// O Sz, FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing Systcm Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Fee: $90.00 Phone # Fec: $70.00 Phone # All a6ove information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to Comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant - _ Water Softener _ Water Heatcr _ No. of Baths O° VALUATION 3000 `` So Phone #: Iawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/Ot OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plax ? 04 02-plex O 05 03-plex O 06 04-plex ? 07 05-plex ? 13 16-plex ? OS 06-plex O 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex 0 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) O 23 Porch (screened) ? 24 Stortn Damage, ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) O 44 Slding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (EnUre Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Plumhing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace R.I. _ Air Test _ Final _ Siding SNcco Stone Insulation Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SSW Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. _ FinaUNo C.O. HVAC Building Inspector II ?1`i '•?,b REQUEST FOR ELECTRICAL INSPECTION klft ee-ooooi-os N' If Sea inatruetiona lor comDletinp this form on Ceck oT yellow copy. c"'?(}('? 7 "X" 8elow Work Covered by This Hequest (? S y ?J.4Addl AeD.I 7voa of BuilGino 1 Aoolleneea Wirod 1 Epuiumen[ Wlred ? M Fee Service EntrenceSize b Fee Fexdars/Subfeetlere N Fee Circults U to 200 qm s 0 to 30 qm s 0 to 30 Am s Above 200 qmps 37 to 100 qmps 31 to 100 Anlw Swimming Pool Above 100_Amps Above 700_Am s Translormer5 rrigation Booms Partial-"Other Fee L? I Signs ?I Specialinspection ? ? i-? $ [? TOTAL FEE Bemerks .,"'? „ / _ ( , LSI io ? 1, the Electrical Insoector, hereby rortify ihat the ebova ?spection has beBn This reque5l vuiA 1B rtpnths (rom ( `/ / ?f % G = ? / 6 k /7 / ?"(? _ , c C 6 3 0 0 7 ? i, ? a4?v,?-l a??",? ??. g ? Peques[ Date C/ _ Fire No. Nouph-in Inspection Ra uire d? ?Reatly Now?Nlill Notify, tnsPec- - ?} es ?NO tar When Heady -'Kcensed Electrical Contrnctw 1 hareby request inapection of abova ? Owner elec<ricel work installed !,t '.` Slree Atldremss, Boz or qo t No. / ^ ? ? C' ? e tion o. Township Name or No. ange o. County ccyonnt P INg) . Phon r Iz-S ow SuOVlier L Atltlress e e rical Contractor 1 mpa Name) 51? ( --L- Mailin Atldress (Contractor r Owner Making Instaila11& 7? ? 3 C? Authori Signa e Contrac r ner M»king Installation) P u m ber /r ? / L/ ? ` MINNESOTA STATE BOARD OF ELECTRICITY THIS 1 SPECTION NEQUEST WILL NOT Orippe•Midwav BIOp. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1827 Univeraity Ave.. St. Pnvl, MN'56700 UNLESS PFOPER INSPECTION FEE IS Phone (6721 842-0800 ENCIOSED. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT N2 12783 Receipt # ('2 7o be used tor SF DWG/GAR Est. value $ 7 6,0 0 0 Date OCTOBER 20 , ig $(Z SiteAddress 4521 SO HAY LAKE RD Erect ? Occupancy R3 Lot 1 Block 2 Sec/Sub. OVERHILL FARM Remodel ? Zoning R1 Parcel No ZND ADD Repair ? Type ot Const. {J . Adtlition ? No. Stories a Name GRAND OAKS DEVEL CO Move ? Length z Address 1881 SUNRISE CT Demolish I I ? ? Depth Ft S a City EAGAN phone 452-8934 nt mpr. Install ? q. o Name SAME i ? ¢ Address ? City Phone F w Name 3 Y 0 Address a w Ciry Phane Si9nature of Permittee ? Assessment I hereby acknDW ledge that I have read this application and state lhatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and C)))of Eagan Qr inances. Water & Sew. Poiice Fire _ Planner Council BIdg.On.10/20/8f APC Var. Date Permit $ 361.0( Surcharge 38.01 Plan Review 180.5( SAC 575.0( WaterConn. 500.0( WaterMeter 63.5( RoadUnit 290.0( Tr. PI. 156.0( Copies 7otal $ 2, 16 4. 0( A euilding Permit is issued to: GRAL D OAI S DEVEL CO on the ezpress condition that all work shall be done in accordance with all applicable §Pate of MinnesotasStatWks and Ciry of Eagan Ordinances. Building Official CtTY OF EAGAN (v° 144a, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r-? BUILDING PERMIT PHONE:454-8100 Receipt# ? ?- Tobeusedfor GARAGE Est.Value $5,000 Date OCTOBER 9 1987 Site Address 4521 SO HAY LAKE RD Lot 1 Block Parcel No. _ Sec/Sub. OVERHILL FARM a Name GRAND OAKS DEVEL CO w Address 4522 SO HAY LAKE RD o City EAGAN Phone 452-8934 2 _¢ I Name S? I V V Address ? City Phone WW U? ¢_ aw Name_ Address City_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comOlY with all appiicable State ot Minnesota Statutes and City?gan O es. Signamre of Permittee A Building Permit is issued€6` _"RAN OAKS DEVEL CO on the express condition that all work shall be done in accordance wif h all applicable State oi Minnes ta Statutes and?City.o?9f Ea?gan Ordinances. Building Official___???-? ?-dL_!_____ OFFICE USE ONLY On Site Sewage _ Occupancy MWCCSystem - Zoning On Site Well _ (ACtuap Const City Water _ (Allowable) PRV Required # of Stories Booster Pump Leagth 18 ' DePth ?01 - S.F. Total Footprint S.F. _ APPROVALS Engr./ASSess.___- Planner - ____ Council BIdg.Off. ------ __ Variance -__ FEES Permit Surcharge Plan Review SAC, Ciry SAC, MWCC WaterConn. Water Meter Foad Unit Treatment P1 Parks TOTAL $58.50 2.50 ?bl .-oo z OF EAGAN SINGLE FAMILY DWELLINGS IHCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQBVfiY, 1 SET OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANEH MUST DESIGNiTE WHICH ADDRfiSS IS DFSIRED. NO CHANGES WILL BE 9LLOWED ONCE BIIILDING PERMIT IS ISSOED. M[?LTIPLE DWELLINGS - RESIDENTI9L RENTAL i1P1ITS FOR SALE iTAiITS INCLUDE 2 SETS OF PLANS, CEETIFIC9TE OF SDRVSY - CHECK WITH BLDG. DEYT., 1 SET OF ENERGY CALCULATIONS CKoyw 14,13;L00.0 INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: a,ti, Valuation: 5ULIOeR Site Address 1-6u s' OFF Lot -?- Hlock 7- On Site Sewage_ MWCC System Pareel/Sub rJ1 On Site Well _ n? Owner a? (? ? City Water _ '11 n E ? lC Address City/Zip Code ? ?('PNJ Phone ? Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone ll 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: Oecupancy Zoning Type of Const (Actual) (Allowable) 11 of Stories Length Depth S.F. Total Footprint S.F. FEES M - f R-i V-N f S(' ZO, Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 5&So ? v_C--. .- JXXZo = 3GoX lz= tI32o , . aURVCYOFi'S CCRTl1=1CATC ,-I ??-,- ?-' ao 135.00 /- _ ciznriu onxs uLvELui'MLirr ca. N 58055'15"E 30 -.- 2a_o0 - ----- 30.0'0 i 0 % _ ?,;?.OO--??1 ?• u? a - ? 10 v ' 22.0 ;. , L ?n 'PROPOSED N DRIVEWAY 3 ? ?i ?2 p IL? ? V W ? 4r a' Q LOT? ? ?? ; o Z °v \o= Z O 0 ? P 24.0 J I O ? ? o - ? - io g? ao io I 1o (51 J io so l?___ _ IM M?-- l ? ? 17 30.00 ?4I ? ? 135.00 S 58° 55' 15W ? M ? H AY L A KE ROAD Q ?1 rt I x ? ? - DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 IPICII = 30 FEET O • UENOTES UENOTES If1UN MONUh1ENT SET IRON MONUMENT FOi1ND PROPOSED GARAGE FLOOR = 95 ?,3 FEET XOOO.U DEPIOTES EXISTING ELEVA7ION PROPOSED L641ES7 FLOUR = gyG•(- % FEET FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSEU TOP 0F fiLOCK = 95 z, i IIEREQY Cf_RTTFY TO GRAND OAKS UEVELOPMENT C0. TIIAT TIIIS IS A 7RUE APaD CORRECT REPRESENTATION OF A SURVEY OP TIIE f30UNUARIES OF: Lot l, Dlock 2, OVERHILL FARM SECOND ADDITION, according ta the recorded plat thereof, Dakota County, Minnesota, (THE LEGAL DESCRIPTION USED ON THIS SURVEY WILL BECOME VALID UPON FILING TIiE PLAT OVERHILL fARM SECOND ADDITION) AIIU UF 711E I.OCA7TON OF 11 PRCPOSED BUILDING. TT [J(1CS NOT PURPORT TO SIIO4J IMPROVEPIEPl1'S Olt EPICROACIIDIFNTS, IF ANY, TIIEREON. AS SURVEYED OY ME, OR UNDER MY UIRECT SUPEItV]SI01I, TIIIS UAY OFocTo???, 198L. IJOTE: SIGNED: JAMES R. IIILL, INC. GRADES SHOWN IJERE TAKEN FROM THE ? GRADING PLAN FOR OUERHILL FARM SECOND ADDITION, PREPARED 6Y f;? MINNESOTA VALLEY SURVEYORS, INC., aY' LAS7 DATED MARCH 28, 1986. ?IIAROLf) C. PETERSDM, LANU SURVEYDR PiINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAQE JqMES R. t-11LL, INC. 86285 Ptanners / Engineer•s / Surveyars FILE NO. 8200 Humbotdt Avenua South FOLDER 9loolninglon,Mn. 55431 812-884-3028 ` o •?:? 361•+ 3g•+ 180•5+ 575•+ 500•+ 63•5+ 290•+ 156•+ 008 21 164•*+ 1986 BQILDING PERlIIT APPLICATIOH - CITY OF EAG9N NOTE: ALL COATRACTORS MOST BE LICENS6D SiITH THS CITY OF EAGAN SI9GLE F9lIILY DWELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DHEI.LIYTGS - RESID@1TIAL RENTAL D9ITS FOR SALS ONITS INCLUDE 2 SETS OF PLANS, CE$TIFICATE OF SDRVEY - CHECB IiITH BLDG. DfiPT.9 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: S? Valuation: Site Address Lot ? Bloek o? ?A, Np Pareel/Sub ? C{? 2 Owner Address City/Zip Code Phone Contraetor r , n? Address ? City/Zip Code ?{? ? Phone Arch./Engr. Address City/Zip Code Phone # 7?e, a2b ` . / ? ?? Date: ?7• ?Jo Erect ? Oecupaney F- 3 Remodel Zoning F-1 _ Repair Type of Const SZ: Addition # of Stories Move _ Length Demolish _ Depth Int.Impr. _ Sq Ft Install AYPHOVAI.S FEES Assessments Permit 3(01 Water/Sewer Surcharge -?$. Police Plan Review 180.-12 Fire SAC 515• Engr Water Conn Soo. Planner Water Meter (o-t) .SO Council Road Unit 2y6. Bldg Off Treatment P1 IS(c. APC Parks Variance Copies TOT9L 2I(o4. sI NOTS: ADDRESSSS FOR CORNEH LOTS - CONTRACTOR/HOMEOiRiER [iQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CH9NGFS iiILL BE ALLOWSD ONC6 BIIILDING PERMIT LS ISSOED. 4 88 , ,. Z4? 21I- ? 57? x s8 7 33 4?a ;, . q x? = 32 x sa = I?Sco 22x22 = $64 x (2 ? 5808 I 4 xic? - (40 ? g? I 120 I?.x?g = 532x qa-= Z3?o8 ?? x Zq- "? Z?Fo x 44 = t o'S6 o 32 n. 44 = 1 qoS 5? ? IC) :SURVEYOR'S CERTIFI ..-,- ?-•. ? I ao Ni L_\/ I ? /?_.. TAKEN FROM THE OVERHILL FARM PREPARED BY SURVEYORS, INC., 28, 1986. ? ? n / - - e.Q?s A m ---- -- `? Q 10 ? ? ?o7 22.0 ? N o ?\M:PRO S'ED ? I J O ? ?/I Y ? I 1 . o ? LOT? ' . ? ??? ; ? o M ? ' °• NN ? ? M I ? M Z p, nv o0 Z Q 0 I ??? ° 24.0 5: I O O Q ? ?• 'i`-°-' 'J O 4 I i RO IO lo gi ?o Ml IO ? --- J - ?n ?- t p ? 0 I, 1 ? . • ?? 0 ". 28.00 -" " 30.00 _: S 58°55'15" W ti ? J? 135.0 ? (ti 30 Y ? _ 30 I M 0 ? HAY LAKE ROAD _ N ?-- ,17ENOTES PROPOSED SURFACE DRAINAGE O UENOTES IRON MONUFIENT SET SCALE: 1 IPICII ? 30 • L)ENOTES IRON MONUMENT FOUNO PROPOSED GARAGE FLOOR = 9523 .X000.0 OENOTES EXISTTNG ELEVATION PROPOSED LOWEST FLOOR = 9q4•6 (000.0) DENOTES PROPOSED ELEVRTION PROPOSED TOP OF OLOCK = 95 Z' I IIEREDY CERTiFY TO GRAND OAKS UEVELOPMENT C0. TIIAT TFIIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TVIE I30UNDARIES OF: FEET FEET FEET FEET Lot 1, Block 2, OVERNILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THE LEGAL DESCRIPTION USED ON THIS SURVEY 4lILL BECOME VALID UPON FILING TFIE PLAT OVERFIILL FARM SECOND ADDITION) AfIU OF TIIE LOCATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEPIEMTS. 011 ENCRDACIIMENTS, If ANY, THEREUN. AS SURVEYED RY ME, OR UNDER P9Y UIRECT SUPERVISION, 111I5 13Y41 OAY OF oCTugs'e.R. , 1981e. NOTE: GRADES SHOWN tJER GRADING PLAN FOR SECOND ADDITION, PIINNESOTA VALLEY LAST DATED MARCH PROJECT NO. 86285 FILE NO. ' FOLDER ; A T C GRAWU UAKS UEVELUPI4EN'f C0. ? 135.00 N 58055'15"E SIGNED: J/1MES R. HILL, INC. /? ? ?... DY: '1 l?e??1•" '? ?, ?i,?..?f«.L:,lr?,,,ei?.?.. IIAROLD C. PETERSON, LAFID SURVEYOR P1INNESOTA LICENSE N0: 12294 BOOK / PA(3E JAMES R. i-IILL, INC. Planners / Englneers / Surveyors 8200 Humboldt Avenue &outh 6looMington, Mn. 55431 812-884-3029 / CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ;*iOTF: PAYMFM OF kEE AT TIME OF : p,rPrscATzorr noFS rOr ooWzWM : APPROVFIL OF PIItMIT. : INSPDCTION OF SEWM APII]/OR WARII2 ; T1ISTAT.iATTQN$ WnL IVD'j' $E $(HID- ; ULE9 [)NflZL PIItMIIT.HAS BFM : APPROVID. C (P ease Prin 1) PROPERTY ADDRESS: •- LEGAL DESCRIPTION: Lot Block Subdivision or ax Parcel ID ) IF EXISTING STf2LCiL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSL'ANCE: ' ? ' (Mbn Year} PRESEP7f 7ANING/PROPOSID L'SE: [] CA'?NERCIAL/REPAIL/OFFICE r-1 IPIDCSTRIAL n INSTIZ[.'TIONAL/GOVERNNENp . ? ? ? ? R-1 SINGLE FAMILY R-2 DOPLEX (4tao Units) R-3 70WNiOC?SE (Three + Units) R-4 APARTMENT/CObIDOMiNZLM. . ( Units) ( Units) 2) ? NAME: Z?? a 4 _ / " • ADDRESS: - CITY. STATE, ZIP: PHONE: ySo? -C??J 3G For Cit Us • nn 3 ) u ?: y ? • V • y e . ?• d.(?JGQ.? n - Pltunbers License: ADDRFSS: A Active ? CITY, STATE, 2IP: . PHoNE: y9a -a 1a ? MAST ER LICQNSE# a-7- A I--1 Not recorded I-..1. s??tlai 4) OLaM4Y_\:1V ? ^?17i• NAME: ADDF2E5$: CITY, STATE, 2IP: PHONE: 5) ? v? ? a: •?• • ou. •?? u:..tiua? ? CONNECfION 1V CITY SEWII2 Ej CONVF7C.TION TO CITY WATER 6) ? v -• r C] PLF.ASE HOLD APPROVID PERMIT F'OR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVID PERMIT TO 1. 2.?4. ABOVE . j7 ?- /] 11 _ (Circle one) FOR CITY USE ONLY PERMIT # ISSDED D 9.S Pd w/Bldg. Permit FEES: $ /o - z c) $ $ 8 $ $ $ $ $ S $ $ $ $ $ 500. U ? $ S ? 7 S o-o $ $ $ $ $ $ $ $ $ $ $ A S ;.? y SS d $ TOTAL ,-7 6, -(D RECEIPT RECEIPT DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[)BLIC Q ROADWAY" ML?ST BE ISSL'ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING C'ONDITIONS: APPROVED BY: SEWER PERMIT (INCLUDE SORCHARGE) WATER PERMIT (ZNCLUDE SL'RCHARGE) .. WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCO[JNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRPNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SDRCHARGE OTHER: TITLE: DATE: i? 1 71 L i?(? .2 , `.? r. MEAT LOSS CAICUlAT10N ° YEIMr. Dlff. ?7' cmm. wT. ? ???o v/, Tro. oe?wr? i a h ?+i Gq' -- Drlw Wmr. wwb . MM. ? -- ? Ma A/M 1 ' ? Iwlikwtion a0 me) Gim p O ? Eao. wall' I 17. X 9?f Nw eRa. well 30 -3 Im.wNt Giliny o h c-? Z ;)-v fba !d? ? To41 9tu. n - ? ? I fl.l Roanll&, WiMh ( wW,dD".W a?.-a.ilL. «a ??.. ? ? I?ilt??tion 61w E¦p. wM? NW f?P. Myll . . ? 777. wn..wi L 36 w. ww N. ? - f To8 O a- . ?tu MMlhr?tl0? O 00 Gbs ? O 2 E+w. rwll )3 0 NM wR WNl ba v MI[. ?nll CoNW4 I -?4k ? flsar Taal Mu. fU ,ic.hr MIWIh ? oa A. o ? Mdipntion GYs Eq. wMl x 3 w.¦a.wa /83 173s Mt. wp ewuq 3 / ? ibsr l ZB?v _TaN Stu. a ta1N au. ? ? _ r ?1177 re? 8 oM a = mailm S' P rui3a+L, ?lwaa SS wisr? ?3 ww wwMnrs aM om?? «ie An. wiMase oearddrWwr b. -CrukM 6 ao? o ? Cow. ft IM?hrat?on 7 G4.? ? SQ ¦p. wll ?- / Nw no. «.n 33 1 IM. wll c«wn. K x r 33? z sia+? 73 z ?wi ?w. o Saa- w. ? IMibMiOn G1M Ep.wMl NR R0. WWI b1t. "ll Gtxq )c /3 ? iMa Tew lw. I q(o 't ?.: ;. HEAT LOSS CALCULATIOtd ° TEMP. Dlff. 4NoM. wm. vra? r?? D? K.s ?v . .?-- Drlw Abmr . Blrwt -•--- CNV - - Troo c«wre?.n T' y' % 1r«ieo.n itone !? wow . U11. CAliUrr Iw. Fber Window and DoorrGKkap and A?w Mo ?Y'?t? +? ?ti ?M? N w Me. M L M lMM h. 1 iq ? In}IILIaIwn Gya ExD. wall ?7 NMI oap. wNl 62 .. r) Im. wau Gil+nq o. S O. 7 110 ? Fbw ! O yy0 r.. wra wa w. h. . cadl ? IMikrriien GMs Erp• ?11 fIM Yi. wrN Inl. wll Coiliq Floor T ?? 1 Z ToW ltu. I _ ?' fl.l''°'?,." Roanll l4 Wid?h I t FI.I 1loanl ? Windowaand Oua?-Cnekap and A?M WMdow? rd Dmn-dadk?M Md Arr ? w.wa ? N w. w uw e?. c, D ?-O ?11 Inlin.stbn 2u c? o0 Gyr I ?:? T ?7 E¦p.wNl xg Nal oaP. wNl Ml. iwll GihnO ? Nlr J -Tmd !w. ' FI.I Noan L?n A wi01A Ni 1 WuwkWA aM Ooa?-0dc? ? Md Arr ? ??.? . w?M M. M 1 BY ?1I?I?IIa?lOfl Gi+a E¦o. wu No nP. w?ll Int. Mrll Gil? Flon Toul DIu. w. w..? ? Inf iln?ti0n 61? E¦o. wN? Nw nv. wMI IM. rMl Gilin? Flw TmN fl.l ??Il MAd?A 1 ?? MlYidm nd DOOn-0aM N Am w ww? M w ? IMiMrNwn G?rs EtP. wNI INt at0. MW1 IM. MII GHiry floor ToW hu. - 1 ?- ?. i -? ? : i. ' _ . J I . • -: ?- O Lw , ' 71 ?? b 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $?? . r-O New Construction Reauiremenfs RemodellReoair Reouirements Offce Use OnN 3 registered site surveys showirg sq. ft oi lot, sq. N. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _Y _ N (20%maximum lot coverage albwed) 1 set of Eneqy Cakulations for heated additions Tree Pres PWn Recd _Y _ N, 2 capies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiUOns & decks Tree Pres Required Y N 7 set of Energy CalculaGons AddRion - indicate if on-sRe septic system On-site Septic System _ Y_ N 3 copies of Tree Preservafion Plan if lot platted aRer 711l93 Rim Joist Detail Options seledion sheet (buildings with 3 or less units) Date015 /_Q"5-- Con uctionCost -;??7/i do0, ? Site Address qSa ( ?ou W?- /'«ti Z44 '<-Ol UniUSte # G?V Description of Work ?pT???? ?,? ? o c? ? h ? I`r?w\ `?^'•' n" Multi-Family Bldg _ Y'AN Fireplace(s) _ 0 2 Property Owner pp Ip An ti(iv s vtJ Telephone #( ) Coutractor Address 7Sp City State Zip- - Telephone # (&-f) ?$ c3 -70a0 ? i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING .e,4;,J. - - - - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan8 _ Y _ N If yes, date and address of master plan: Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building 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 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 pl in the case of work which requires a review and approv?a] ? Pl? ? a ` f "? ApplicanYs Printed Name Appli anYs Signature OFFICE USE ONLY Su6 Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ 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 ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Damolition (Entlre Bldg) - Gi ve PCA handout to appliwnt Valuation Occupancy MCES System Plan Review 100% or 25% 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 Ice & Water Final _ Framing _ Fueplace _ R.I. _ A'u Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4521 Hay Lake Rd S Lot: 1 Block: 2 Addition: Overhill Farm 2nd PID:10- 56151- 010 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Robert J Johnson 4521 Hay Lake Rd S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA092001 11/12/2009 ePermit 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. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA125756 Date Issued:08/01/2014 Permit Category:ePermit Site Address: 4521 Hay Lake Rd S Lot:1 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-010 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Kim Moore 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 - Robert J Johnson 4521 Hay Lake Rd S Eagan MN 55123 Bulldog Contractors Llc 21663 Cedar Ave Lakeville MN 55044 (952) 985-5458 Applicant/Permitee: Signature Issued By: Signature ��l l�� L�� S CITY OF EAGAN DEPARTMENT OF BUILDING INSPECTIONS ��-��t �-�� k � �k Y �'� Correction Notice '��'��j�' d r.�� ..r�...��'� � � , I have inspected this structure and these premises and have found tne following violations of city codes: � � �-��o� �m�-f-� �� '' � e`�i`c� �'Q<-� �a � � osf �o �c��_ �oe�' • ��l a.�t� �i rr�-- � �d�� f� 'a�' l�e� ��` � �/.S � � � �r�,� c�a� �e � ,. , ��s , r �� t �i� When corrections have been made, please call 651 -675-5675 for inspection. Date �/�7'�� jj/�— � , Telephone# 651-675-5 �� Inspector DO NOT REMOVE THIS TAG ICP 2-10028 • � � Use BLUE or BLACK Ink � . r----------------� • � For Office Use � ' � � Permit#: �� , Cit of �a �� ; . � �� Perrnit Fee: 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: �� ',�� Phone:(651)675-5675 I I Fax: (651)675-5694 i Staff: i ----------------,.�� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION C'^ �� Date: Site Address: Unit#: �� L^ � r � � � � � �_; � �� Name: �� S�� '��`� Phone: �� `�� S v�-- ( � _ 't'1 L�G � Address/City/Zip: �� ' � �� Applicant is: Owner �ontractor �� ' R�vV1 c3Y� � �2c laC.� �2�-�a .��n 4/ 5 i� S�a Description of work: p a-r.2. � ��Y CefYl S-��Uc+�c�Y� •'ti`� ` �� '"�- ;��,�� t�x. r'S � � � � � � � `' ` �4. Construction Cost: Multi-Family Building: (Yes /No � x� � T, � Company:�C�"'� � h L' ' Contact�b N �- � 1 a y�t� ��6 u �►v�l�,,��v `�n Lc, -� ��,��, Address: � � PZ . City: , o r � � � � 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 No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: ��;�'��a�f��r d��y�u s��'��+��`tra:ke��f�t!�� F��a��:of ; �'�'�t�ta r��e c�f��s��'�ac�'�� e�b��.�`��pt��1'e��9�r��t��i��t�e��,tc� � ,° z , � � :� ,�'�:�.t� t��.�c;��ts.: �„� � 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.qoaherstateonecall.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 ��v� � 1��1.�- X ApplicanYs Printed Name App ica s Signature � Page 1 of 3 DO NOT WRITE BELOW THIS LINE � �� C�� ' ' SUB TYPES �`�I c` � `� � + _ Foundation _ Fireplace _ Porch(�eason) _ Exterior Alteration(Singte Family) � Single Famity _ 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 �� Occupancy ��,r� MCES System Plan Review Code Edition = F t SAC Units (25%_100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing �/; Retaining Wall:�Footings�;Backfill�Final b Sheetrock � Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control � other: fT/\ f�,�,�i��(fi./� Reviewed By: ��, Building Inspector RESIDENTIAL FEES Base Fee �f"" �'" �Surcharge � �,'� �� t� � � �( �� , � � Plan Review � � . MCES SAC � �� City SAC Utility Connection Charge �.�•�' ��*�� " �� S8�W Permit 8�Surcharge �� ' ,� � `�.� �'`� PI �� ,� Treatment ant �.. "��` � 1—y Copies � Cb �E5� �--��E�- � �"l� � � � TOTAL ��.f ��X '� Page 2 of 3 � i� ��a��.. LOT SURVEY CHECKLIST FOR RETAINING WALL BUILDING PERMIT APPLICATION Address: �� uGf.9,/�Q,� 1�- � Applicant Name: ��,�/�" �b�rs'�p/1 DATE OF SURVEY: �f Z6�/� LATEST REVISION: m � c � **Permits required for Retaining Walls 4 feet high or greater. Y a � O z a DOCUMENT STANDARDS �❑ ❑ • Registered Engineer signature and company � • Building Permit Applicant �° ❑ ❑ • Address Jd" ❑ ❑ • Legal description ,e'� ❑ ❑ • Lot lines/Bearings&dimensions � ❑ ❑ • North arrow and scale � ❑ ❑ • Street name � ❑ ❑ • Show all easements of record and any City utilities within those easements �'' ❑ ❑ • Setbacks of proposed structure and side yard setback of adjacent existing structures ELEVATIONS ❑ ,� ❑ • Property corners ❑ �' ❑ • Top of curb at the driveway and property line extensions(only if wall is within 30 ft. of curb) ❑ �' ❑ • Elevations of any existing adjacent homes ,y7° ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ �0' ❑ • Waterways(pond, stream, etc.) ❑ �'' ❑ • At the foundation of the building and/or nearest structure PONDING AREA(if applicablel ❑ f�`' ❑ • Easement line ❑ �' ❑ • NWL ❑ fd` ❑ • HWL ❑ ,� ❑ • Pond#designation ❑ �` ❑ • Emergency Overflow Elevation ❑ � ❑ • PondNVetland buffer delineation Y � . Shoreland Zoning Overlay District Y �$ • Conservation Easements RETAINING WALL INFORMATION �` ❑ ❑ • Location of Retaining Wall on property � ❑ ❑ • Top& bottom elevation at each end of wall and any change in elevation in between �' ❑ ❑ • Type of material(i.e. modular block, boulder, etc.) �7` �] ❑ . Directional drainage arrows with slope/gra ' % Reviewed By: Date � ��r G:FORMS/Building Permit Application-Retaining Walls Rev.5-4-09 ' : � �J f� V � 1( 0 � ' � C � f� T' � � I �A T � Giin��lU UAKS ULVCLUPh��i r co. �-3�.�'�� o� � ��;- �� ,� 40 �� L_l/ I � o / 135.00 N 58°55'15"E �� y 30 °' '" �-- Ze.oo - - 30.00�-_ � � �'� , s.00--�- �' � /_ � —�.�-_"�.— --. � ' � 'o � r...._ r � Q O ��r � i � 2 2.0\ ""� : a- Q �t�Y ' cr � I ��'„p � M/� .>PROPOSED 3 O I � � O �� ` � � J N C�� N W� DRIVEWqY - �� '�l �^�� tn � r"�' 20 �� :��-,�:a � � � � � 6.0 ; `��-- � o �� E..�T'�`� \\ � . o W WW � � o Y I < , /.�-� M �� ' • �'� � ' M Q 0 0 � j��} � z � ��o= M p . Z � Q'� '` � �'� � �O °- � p �' �i � �� °� 24A � 0 � � p ;1 v�,,.. � Q O ��' � o ..�---- �o $) Z - �: 10 � �M M� � 10 30 • � l'� `'��. � � � �, �� o i, �� o � , � � ,�.� � • �_. .`--28.00 "" " 30.00 �: � � � �� ^, 135.00 S 58°55'15"W ; �i �-- � ( M o � M HAY L AKE ROAD � --� .DENQTES PROPOSED SURFACE DRAINAGE O UENOTES I�tUN MONUh1ENT SET SCALE: 1 IMCII = 30 FEET � UENOTES IRON MONUMENT FOUND PROPOSEU GAR/1GE FLOOR a q5 L�'� FEET .X()OO.0 DENOTES EXISTING ELEV/�7ION PROPOSED L04JEST FLOUR = yc,�:. . � FEET (U00.0) DEN07ES PROPOSEU ELEVATION PROPOSEU TOP OF aLOCK a y5 z . % FEET I IIERCQY CFRTIFY TO GRAND OAKS UEVELOPMENT C0. TIIA7 TfIIS IS !1 TRUE /1ND CORRECT REPRESENTATION OF A SUI�VEY OF TiIE DOUNUARIES OF: Lot 1 , Block 2, OVERHILL FARM SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THE LEGAL DESCRIPTION USEQ ON THIS SURUEY WILL BECOME VALID UPON FILING T►fE PLAT OVERHILL FARM SECOND ADDITION) A�IU U� 711E LOCATION OF A PRCPOSED (3UILDING. IT O�ES NOT PURPORT TO SfIUIJ IMPR�VFPIENI'S OR ENCRUACIIh1FNTS, IF ANY, TIIEREUN. AS SURVEYED DY ME, OR UNDER MY UIRECT SUPEItV1SI0��l� TI I I S �3-�►a U/1Y OF o��3�� , 19&,. tJOTE: SIGNEQ: JAMES R. NILL, INC. GRADES SHOWN WERE TAKEN FROM THE GRADTNG PLAN FOR OVERNILL FARM � ' � . SECOND ADDI7TON, PRE.PARED BY � � �j �� "`��t„� � P1INNESOTA VALI.EY SURVEYORS, INC. , DY; �'��*r�"� `' �"�•�� `�""��'y��`"'� � LAST DATED MARCH 28, 1986. IIAROLt) C. PETCfZSUN, LAPII) SURVEYOR • PIINNESOTA LICENSE N0. 12294 PflOJECT N0. BOOK / PA(3E �AMES R. I"�ILL� INC. 86285 Planners / Engineers / Surveyors FILE NO, 8200 Humbaldt Avenue South � FO L D E R 8lootnington� Mn. 55a31 8�2-884-3029 �� PERMIT City of Eagan Permit Type:Building Permit Number:EA145210 Date Issued:08/28/2017 Permit Category:ePermit Site Address: 4521 Hay Lake Rd S Lot:1 Block: 2 Addition: Overhill Farm 2nd PID:10-56151-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Robert J Johnson 4521 Hay Lake Rd S Eagan MN 55123 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature . Use BLUE or BLACK Ink • For Office Used 1 i'l' City of Eapll Permit#: IL/}09,2)_� Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: al-‘‘.2i- /7 Phone: (651) 675-5675 Staff: Fax: (651 - 94 L7f J 2017 SIDENTIAL PLUMBING PERMIT APPLICATION Date: \l ' (D f Site Address:40. t if .../ • IVL .4i� ' Ilk �1,�p Tenant: (v,ub o ,L1 A '#' r uiwr, ) \¢(lz� Suite#: Name: --r.�1 411' 1 IYr Y\ lr- Phone: /0 / t , i‘ { W� - r,(s� 141 Address/City/Zip: -4-ift ��e �l�f , (/ it or ls``�ii{'F,� � � � s Name: Y U 1�� 1-, ( / ifq �J CLI. i License#: ti"-:(..7 � }+u ksfls ;44r r rr ll O L ,\ , ELLS City: \ I (t)Oke :rut�r• r Trimel Address: l/r 4Itit7'{r� + tt ti trF U1\vl I r. l :, *ti ki sr, Ic t�`'r+ State: YI Zip: -in Phone: l�'` ��'r��—f :k5 5,tj k s ,,;,Al i1.f p�'arkitd .114 Contact:1,,,,X\•1' M l 4 ' Email: LA..., II Q cd l • A (Ju+ Mrd -4Y rt WK, New Replacement Repair Rebuild Modify Space Work in R.O.W. }Id OQ�Otti ,;..,�inF,,{tks� aGa�,tfrCsa Description of work: F ',,,,004,0,4,44 RESIDENTIAL ' ItitoWater Heater fiii Water Softener r,";;!ti it{vi -;;, , , t t _Lawn Irrigation( RPZ/ PVB) 4 • 'if&4z' ,p Add Plumbing Fixtures ( Main/ Lower Level) ' ; ,_c r t e fm —Septic System — r •r r' rt '• 2 l t New Water Turnaround gi'a{;+ rit wirr7 ito:AA.,,,,ta4 __Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add $280.00 if a 3/4"meter Is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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,orq s 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 wit the approved pl n in the ca of work w 'ch requires a review and approv.l of plans. 4 we- • l ( / 10, .4 X •�l x Applicant's Printed Name Applicant's Signature - }}yt�''t�r{,c+ 1{.3f�f '!r!��t° �.s�{ +6Wit� i "# ,�tih+.Q:i��' i�Jt:.�; 5,-pY3i•)}�T.3!*.� .-+°Y2i}1.��+i 4�V �� ,'tt�� .f� _`�'t:. :.D 'F:.- i,p : y � i�'! ( � � .--'f`�!i �.}�1Y nRi. ��vlr��Yl) 3 �S:t��U1,, :Y h�..to {�S�}ll� V '.��++. � ��{� �� t•It cF, . 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