4537 Hay Lake Rd SCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNE50TA 55122
DATE 19 ? RQGQIVEO - •
FROM
AMOUNT $ I
{
DOLLARS
1 oo
0 CASH F-I CHECK
Fow
White-Payars Copy
Yellow-Posting Gopy
Pink-File CopY
Thank You
? ?-?" ? B Y
CITY OF EAGAN Remarks ? ?r
Addition Oti?erhill Farm ist Addition Loc pt: 3 eik 2 Parcel
Owner Street 4537 S. HakY Lake R08.C1 State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Z 8 Paid unde r 1 1&
STREET RESTOR. jg? ]:'J?1??02 358.80 - 5 11-9- 3
GRADING 0 L440o y
SAN SEW TRUNK 1981 P81d Llrid@ OI'1. 1ri8.1
pi C@1
zffizoEWER LATERAL X ,69
412 _
?08 O OD ?S'
IWSAN SEW TRK LAT BEN 198 _
-
118. ----
7.0 15 118.84 C008343 8-4-83
WATERMAIN
WATERLATERAL 5*73 1981 PBid unde OT1 1ri81. rcel
WATER AREA 1981 Paid unde OT'1 B
STORM SEW TRK 9 198 95.12 26.34 15 395.12 C008343 8-4-83
STORM SEW LAT -r. g 1')5
1984
70.98
4.73
15
70•98
t1
88?-*S1,9jT, _.
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDIfVG PER.
SAC
PAFK
?
Receipt ? -- i?
. ??
?
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
pa
fill in numbered spaces S/C
TyFe or Print /egib/y
Tot. ,? -
1. Date 2. Installation Cost `?? " ?
3. Job Addressy? 37 Lot ? Blk. 2Tract ? cc_; .-A
- -t-
4. Owner' !
? ? ;_
5. Contractar/ -7! ( ',6 C,<- - " Phone y ?
6. Address
r
7. City-'? . State Zip
8. Building Type: Residential O Commercial O Institutional ?
9. Work Description: New ID Add ? Alter O Repair 0
10. Describe _f?' ' ? ??" F . `??iL'?%? '•?
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tuhs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-6100
t
BUI?.:DING PERMIT
Te 6? ns" inr
3795 Pik1 Kwob Roed '
Site Addreu
Lot Black Sec/Sub.
Pcrcel #
m Nome
W
? Address
$? Name
?F
?? Addross
f- r:.., e?---
I hereby ocknowledge rhot I have read fhis opplicution and stote that
rhe information Is correct and agree to comply with oll- opplicable
State of Minnewto Stotutes and City of Eagon Ordinonces.
Sipnoture of Pertnittee
N Building Permit Is issued to:
oll work shall be done in occordonce with oll oppliooble State of Mir
Bultdinq Officicl
MN SS 12!
Receipt .# •
Erect ? Occupancy
Alrer p zoninq
Repalr p Flm Zone
Enlarge p TYpe of Const.
Move ? # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.
ApProvals Faet
`
Assessment Permit
Water & Sew. Surchnrge
Police Plan check
Firo SAC
Enp. Woter Conn.
Plonner Woter Meter
Council Rood Unit
Bldg. Off.
/1PC Totol
on the express condition Ihai
sota Sfatutes and City of Eaqon Ordinorxes.
Permit No. Parmit Holder Misc. Permit No. Holder
Plumbiny r? ? _ ilI (
?,
H.V.A.C. ?A?Qm 1 r?6 7v
WeII
w.".
Disp.
Sewar
Ekctric
Ir?apection Qate Insp. Other
Footing?
Foun?tion
Fnminy R
-g
Rouqh Plbp.
Rough HVA
Inwlation
Final PI6g.
?
XLY
Final HVAC
Dd
Final . 67- ?
Water Dewi6s Loestion:
Wsll
Sewrr
Pr. Disp.
? J
Re ceipt PLUMBING PERMIT Psrmit No. '•
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print legibly Tot ???? •=-- J`
1. Date 2. Installation Cost
?
3. Job Address Lot .,`. Blk. Tract
^
4. .. r . , ,
Owner . . ±?
5. Contractor Phone '" -
6. Address
7. City . C State ? Zip
?-
8. Building Type: Residential ?l Commercial O Institutional ?
9. Work Description: New 1? Add ? Alter ? Repair ?
I 10. Describe
I 11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
' Lavatory Softner
snovwer weii
,
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
ReceiptMECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit Na.
Fea
S/C ?
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Bik. - Tract
4. Owner
5. Contractor Phone
6, Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No, Equipment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree ta
comply with all ordinances and codes governing this type of work,
Signed: for
Rough Flnal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
t ,
CITY OF EAGAN - • - ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
y y y PHONE: 454-8100
? BUILDING PERMIT Receipt ?
Tob Evysedfor ?`-'` ??:?s; . ?•Oi;;E? Est.Value -i 5+u"} Date
Site Address "" '17 i..??-.1: i2U
Lot Block Sec/Sub. OYERf! I Li. KAf;"i l yT
Parcel No.
s Name "AFi
= Address • ? ? ' ? y ? '` s:
° Ci#y " Phone 4
, o Name i)AROLD BROCKt!A';
o` Address 125 UAKUTA
U? City '?? ' : t ?.L1ON Phone ',37-4533
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 _
A Building Permit is issued to: ?•?''? {'?`` ?'f ,'??' "?`
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
Ciry Wafer . (Allowable)
PRV Required # of Stories
Bopster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
69•00
Engr./Assess. Permit
Planner Surcharge 2.50
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
?,.
TOTAL
Permit No. Permit Holdar Date Telephons it
Plumbing
H.V.A.C.
Electric
Softener
Inspeetion Date Insp. Comments
Footings I
Footings II
Foundation
Framing /Y '04
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 Remarks 1?! •'t
Addition Overhill Farm ist Addition Lot Pt• 3 Bik2
OwnerL.( Lf 'M )1J I? Street 4539 S. Hay Lake Road
EAGAN NIN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 Pe,id de l. &1 E
STREET RESTDR. -1984 ?L?tq 353,$0,_ -
GRADING 1985 195-74 5
, ?
Q
2 fj
SAN SEW TRUNK 7 181 PSid unde OT'i lriel pt rcel
ffi4-443EWER LATERAL X 30e'12.69 60$.53 0
40
1L5AN SLW TRK IAT BEN 198 118.8 7.92 15
WATERMAIN
WATER LATERAL 5 7.0 1981 PSld unde ori inal Cel
WATER AREA 1981 Paid unde ori inal C@1
STORM SEW TRK 1? 1984 395.12 26.34 15
STORM SEW LAT -]"rk ? j 1984 70.98 4.73 15
88?-* c X 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 140 11-22-82
WATER CONN. 420.00
BUILDING PER, 7671
SAC
PARK
OF EAGAN Remarks dllpl@X
Additio OVERHIL?FAMM NLot 3 eik -
I owner Street 4537-39 S. Hay Lake Road
10-56150-030-02
' Improvement Date Amount Annual Years Payment Rece' Date
STREETSURF. 1981 310.74 15.54 20 264,1 Z011 1 2-1 -$
STREET RESTOR.
GRADING
SAN SEW TRUNK
.575 17.96 2 . l}0 A011 1 2-1 -8 3
SEV4fER LATERAL
WATERMAIN
WATER LATERAL • 42 • 146.56 A011 1 2-1 -S
WATER AFEA S. 20 0.40 of 11
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
480
WATER CONN 84O.OO
BUILDIN ER.
SAC 1050-00 it T
RK
. ?
BvILDING
3745 Plbt
MN $5121
7 "J d; 7 1
Receipt #
It
Sife Address E
t
rec (] Occupancy
Lot Black Sec/Sub.' ' Aiter ? Zoninq
parcel # Repair ? Firc Zone
Enlarye ? Type of Const.
oc Name
v
M
# Stories
Z o
e ?
? Address Demolish ? Length
r;.., ow.,..r '• ? '' Grode I-l Deoth Sa. Ft.
p Name Approrals
Z?'
u? qddress Assessment
~ Cit Phone Woter & Sew.
G°` Police
Nome
FZ
Firo
?? /lddress Eny.
<W P
Ci Phone lonner
I hereby ackrrowladga that I have read this opplication ond stote that Council
gldg. Off.
fhe information is torrecf and agree to comply wiih oll opplitable
Stote of Minnesota 5torutes and City of Eogon Ordinonces.
APC
Siynature of Permittee
-)urcnarge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Totol
A Building Permit is issued to: on the express conditian thni
all work shall be done in actordance wirh oll cpplicoble State of Minnesota Statutes cnd City of Eagon Ordinances.
8uitdinq Officict
Parmit No. Permit Holder Mise. Permit No. Holder
Plumbing 3'? 3 ?
H.V.A.c. 33$? ?? ?< << .,
w.n
water
Disp.
Sevrer
ENctric
In"ction pate Insp. pther
Faotings
Foundation '
Framing .O ?
Rough Pib¢
Rough HVA
Inwiation Z
Final Plbp. .1 _
Finsl HVAC ?? -F3
Final
Water Dasaibe Lacation:
Ylfell
5evver .
Pr. Disp. . ,
Receipt PLUMBING PERMIT
_ CITY OF EAGAN
Parmit No.
--T--
Fee
Fill in numbered spaces S/C
Type or Pr+nt legiMy
Tot.
1. Date 2. Installation Cost
3. Job Address 1 Lot ? Blk. 'Tract
4. Qwner -- ?
5. Contractor ? Phone
6. Address • ?
7. City State Zip
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Description: New 0 Add El Alter O Repair ?
10. Describe
I 11.
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tutu p
5e
tic T
k
Lavatory p
an
ftner
S
Shower o
Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
5igned : for
Rough Finat
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved GITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
, CITY OF EAGAN '
Fst
Fill in numbered spacea S/C
Type or Prinr legibly 7ot.
1. Date 2. Installation Cost
3. Jab Address ? Lot 3 Bik. -- Tract `4. Owner
5. Contractor Phone
6. Address '
7. Gity State Zip
8. Building Type: Residential Gommercial O Institutional O
9. Work Description: New Ln Add O Alier O Repair ?
tU. Describe
11.
Type
No. Equioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
i
Mfg. r
andl
ng:
8oilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
GaS, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type af work.
Signed : for
Rough Ffnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN SEWER SERYICE PERMIT
8795 PEfoi Knob Roaa PERM{T NQ.: .
Eagan, MN 35122 DATE: . ,
Zoning: No. of Units:
pwner:
Address: _
Site Addte
Plumber:
1 ogree to eomplp wkh the Cily of Eagoe
OrdinanCea.
By
Dote of Insp.:
Connection Chcrge:
Account Deposit:
Permit Fee:
Surtharge:
Misc. Charges:
Totol:
cirv of IEA"N WATER SERVICE PERMIT
3795 P31ot Knob Road PERMIT NO.:
Eagae, MN 55722 DATE:
Zoning: _ No. of Units:
Uvner.
/4ddress: ? , -
Site Address:
Plumber: '' • .
Meter No.: Connectian Charge:
Sixe: Actount Deposit:
Reoder No.: Permit Fee:
i agree to wmpy wtth the City of Eegon Surchorge:
Ordinaeees. Misc. Charges:
Totcl:
B Dote Paid:
Y
aL 1-_
INATER SERVICE PERMIT
CITY OF FJ1&AM
3795 PiloF Keo6 Road PERMIT NO.:
Eoyar 1N 65122 DATE:
Zoning: - i No. of Units: -
ner
O
:
w
Address:
Site Address: . , . „ .?-
'
P1umbPr:
Meter No.: Connection ChQrge:
$pze; Aocount Deposit:
Reader No.: Permit Fee:
I egroe M eomplr wiN+ t6e City of Eogan Surcharge:
Ordinoaces. Misc. Chorges:
Totol:
8y Date Poid:
SEWER SERVICE PERMiT
CITY OF EAGAN
3793 Pilot iifnob Roed PERMIT NO.:
Eogan,.-!'N 55122 DATE:
-
Zoning: No. of Units:
Owner.
Address:
Site Address:
Plumber.
r
1 agree M eemplp wiM the Cihr of Ea9an Connection Charge: .
Ordinenees. Accaunt Deposit:
Permit Fee:
5urcharge:
By Misc. Chorges:
Date of Insp.: Tctal;
1„e.,. Dote Paid:
CITY OF BAGAN WATER SERVICE PERMIT
3795 PiIM Knob Rood PERMIT NO.: 4518
Eagan, MN 55142 DATE: 12/24/82
Zonin9: R7TNo. of Units: 1 tlpl PY
\?ie,; Dakota Suilder)s
)rcss:
Ste Addreu: 4539 o Ha y iaka Rd 13 B2 ()verhill Fa_rm I
pimye,; Prior I.ake Exc.
eter No.: 2 'IL? A /9- 5-4,? Connecrian Charge: 420. 00 Pd_
Size: S /f -14 w ?11 AccouM Deposit:
Reade No.: n 3 L 3 0,57 D S! Permit Fee: 10.00pd
I agese te eomply wIM Ma Ciry ef Eagen Surchorge: .50 Dd
Ordinenom Misc. Chorges: 60.00 nd met(
By
Date of Insp..
Totol:
Data Paid:
qqU'ji't/ REQUEST FOR ELECTRICAL INSPECTION EB-o°""'....
?. ?
' See inshuctions for completing thisform on back ot vellow copy. 1114 bq
J?j "X" Below Work Coverbd by This Request
Neia Fd Rep. Tyve oi Builtling Appliancns Wired Equiument Wired
Home Range Temporary Service
Duplez Water Heater Lightiny Fiztures
Apt. 8uilding Dryer Electric Heatin
Commercial Bidy. Fumace Siio Unluader
industrial Bldg. Air Conditioner Bulk Milk Tank
Falm Other oeci v 7herl5nocifyl
ther verlly Ot er Othe,
ComUUte lnspection Fee Below
k Fee Service EntrenceSize p Fea Feeders/SU1bfeeders p Fee Circuits
iIO:0 U to 200 qm s 0 to 30 Am s 0 to 30 Am s
Ahove 200 qmps 31 to 700 Amps 31 to 100 A
$wimming Pool Ahove 100_Amps A6ove 100_Art>>s
Transtormers Irrigation Boorcs O Partial'Olher Fee
Signs Speciallnspection n L
S TO FEE
Hema?ks ? ?...? . ( _ ?Gl? A ir `
Rouqh-in
? V!/??Y spectoq heroby
rtily lhet the above ?
Final ns0action hes Geen
/ w.l,tn made.
This reQUest voitl 18 month6 irom
Tniz reauesc youe ?/?0 ?i.L' ? ILI a?
18 rtpnths fram ?{
A 1 1.ri 1 9 L 'b (h b? bJ L+r1?;11 q'dnw, l'{ 1.. S. av
Feque-F Oa[e ?
? Fire No. Rouph-in InsUection
Re
q
u retl?
?Ready Now W?II Notity Insoec-
X
-11 ?
t, ?.)v1 1J E - ?
p
(
;p.?es ?NO
?r When Ready
6?y\Imansed Elec[rical ConVacmr I harebV request ins0ection of above
U Uwner elactrical work installed at
Sveet Atldress, Box or oute No. Ci1v
a- _3 `'
ecLOn o. Townshio Narmb or No. Fange Nu. Coun
Or,c n? 1 IN i Phone No.
Po Su pli Address
? -J
Elecvi al Convactor ICompapy Namel . C nnacmr's License No.
Mailine A
ddress (Contrec
r or O
?qer Makiny Instai
tionl ?
?
?
h
Auth ized Sign ure IContra or Owner aking Installationl P one umber
MINNESOTA STATE BOAND OF EIECTNICITV THIS INSPECTION NEQUEST WILI NOT
G,iggs-Mitlwey Bldg. - Poom N-191 BE ACCEPTED BY THE STqTE BOAND
1821 Vniversity Ava., St. Paul, MN 56704 UNLESS PflOPER INSPECTION FEE IS
Phone (672) 297-2117 ENCLOSED.
hi eQes ad t-1T L3 r r3z, ovEs1ANl
18nqnthsfrorr?
w 056153 ?
33QZo
3s,oo
Re ues[ Date
J Fire No. Fouph-in Insoection
Repd7
?ReaAy Now [L?.Wii"I Nntifv
lnsPec-
?
? /
07 AV es ? N. ,
tor When Ready
Licensed ElecVical ConVactor I hereby reQUest inspection of above
? Gwner alectrical work instellad ar
Street Addrass, Box or floute N.
Sc?
r? City
J
.7
ecbon o. Township Name ar ange No. County
Occupam IPRINTI
DAK044 1,21-095; Phon¢ No.
Power Supplier
?,?? 1 ? AAtlress
A3
?/?/h ??-Fa ??
Electrical %END
F'NE
K 1 cm,,,e,,a,• ?ce.r=e No.
ENNOC -
Mailin9 Addres
LE?111AMj"0 ?.
APP -50 36
Authoraed Sqqpqtq{j?1 O nt
Q? n B Ins[allationl
Phone Number
I
MINNESOTA STqTE BOAND OF ELECTHICITY THIS INSPECTION PEQUEST WILL NOT
Griges•Midway Bldg. - Noom N•791 BE ACCEP?ED BY THE STATE BOAflD
UNLESS PROPER INSPECTION FEE IS
1827 Universi[Y Ave., St. Peul, MN 55704
..?___ ,—' ..o, .,.,. ENCLOSED.
HEQUEST FOR ELECTRICAL INSPECTION
, See instructions for completing this form on beck of yellow coOV•
'X" BeU446l 53red by This Request
EB-00001-04
y:
33 ct t' O
Ada Neo. 7vae of euiiainy Avoiianc«s Wired EquipmeN WIreA
Home Range Temporary Service
Duplex Water Heater ighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Indusirial Bldg. Air Conditioner Bulk Milk Tenk
Farm Oiner cer,, v Oiner, iSUer:fyl
t er pec?(y Other Othuar
Compute lnspection fee Below
N Fee Service Entrance5ize # Fee Fanders/Sableatlars N Fae Circuits
0100 U to 200 Am s 0 to 30 Am s - fbo0 0 tn 30 Am s
Ahove 200 qm )s 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial%Other Fee
Signs Speciallnspection "b
S
`
J
T
t
flemarks ?
) . O?A
?Er ??
RouBh-in te
1, the Elactnwl
7 Inspectoq heroby
certily that ffie above
Final
? inspection has been
J made.
inu..muom vnin la mnnihs from
CITY OF EAGAN
3795 PiIM Keob Raad Eagon, MN 55142
Np 7672
PHONEa 454•8100
BUILDING PERMIT Receipr # --?/ /4 Iv
To b utad ferl/2 DUPLEX 6 GAR Esr.value $52,000
5ue nddreu 4539 So. Hay'Lake Road
Lor 3 Block 2 5ec/subO+'erhill Farm let
Porcet # 10 56150 030 02
W IN.,e Dakota Builders
z Addreu 10220 WC^176th St.^c
p Numa _
f
?U Address
Fr:...
Nome _
Mdress
I hereby ackrqwledge thot I have reod fhis applicotion ond stote thaf
the inlormution is corre[t and agree to comply with oll opplicoble
State of Minnewto Statutes and City of Eagan Ordirwnces.
Sipnnture of PertniMee
A Buildfng Pertnit is iaued to: Da1COt8 Buildera
all work sholl 6e done in accordance with all oppli tate of i
Buildirq Offlcial
Erect ?C Occuponcy R^3
Alter ? Zoning R-2
Repair ? Fire Zone NA
Enlarge ? TYpe of Const. V
Mova ? .# $lories
Demolfsh ? Length 36
Grade ? Depih A2?-Sq. FL-
Approrols Feer
Assessment _
Water 8 Sew.
Police _
Fire
Eny.
Plonner _
Council _
Bldg. Off. -
APC
Permif Z259. UU
Surcharge 26.00
Plon check 144.50
SnC 525.00
Woter Conn.420.00
WoterMeter bo.nn
Rood Unit .240.00
ra,i $1704.50
_ on the express Conditlon 1hm
ond City of Eagon Ordirwncea.
CITY OF EAGAN y! 1516 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONE: 454-8100 p? IC 3?
Receipt# t7`i" J
Tobeusedfor 4-SEASON PORCH Est.Value $5,000 Date JUNE 9 ,1988
SiteAddress 4537 S HAY LAKE RD
Lot 032 Block 2 Sec/Sub. OVERHILL FARM 1ST
Parcel No.
z Name 141RIE BARNES
Address 4537 S HAY LAKE RD
? z City EAGAN Phone 454-0355
¢0 Name DAROLD BROCKMAN
0Q Address 325 DAKOTA
? City VERMILLION phone 497_4331
Name
City
I hereby acknowledge that I have read this application and state ihat the
information is correcf and agree to comply with all applicable State ol
Minnesota Statutes antlfeiiy9of Ea9ary0rtli.ry4nces. JJ
Signature of Permittee / / a!L? A /C/??L'
A 8uilding Permit is issuetl to: DAROLD BROCKMAN
on the express condition that all work shall be done in accordance with aIl
appliwble State of.(M?i?n?IHne,s?ot{a? StatI ( utes ?and Cily of Eagan Ordinances.
BuiltlingONicial_JJLL ?.
? ?
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtuap Const
Ciry Water _ (Allowable)
PRV Requiretl _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
FoOtprinl S.F.
APPROVALS
Engr./ASSess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC,City
SAC, M WCC
W ater Conn.
Water Meter
Road Unit
Treatment P1
Parks
TO7AL
66.00
2.50
68.50
(gprt't#trttte uf Orrupttnry
Citp of eagan
19rpttrimrnt uf luilding 3nsprrt'can
Tbit CMificate ruued pu+suaut to tbe frquirementi of Sation 306 0/ tix Uni(orm Building
Cale cati fying that at thc time of inuancr thit thutture was in rompliana with tlx variour.
adinaivreJ of the City ngulating btriJding tontt+rution or utr. For tbe fallaving:
1/2 DUPLEX F, GAR 7671
oomPai lYw R3 TY'wc?`m V PimZon. NA zomo$ uwn R2
G..,f,Wd;,eDakota Builders ?dd,,,10220 W. 176th St., Lakevil
B„e„R..4537 So. Hay Lake ot 3,Block 2,Overhill Farm
b& m???? Road ? lst
`r1L Ja-uary 27, 1983
ftw?eomcw g"
?il ?Y .? CWMCVW? N/.G
?B? .. . LRxOiu u.4.n.
CITY OF EAGAN
3795 Pllot Knob Raad Eagan, MN 65122 NO 7671
PHONE: 454-8100 -
BUILDING PERMIT Receipt # a/ ??
T -
. ,.
Te ba wed Mrl/2 DUPLEX fi GAR Est. Value $529000 pute No vember 22 , 19-U-
9te Address 4537 So. HaY Lake Road Erect g]( OccuPoncv -
Loe 3 Block 2 Sec/Sub.Overhill Faim let Airer ? Zoning ?
parwl # 10 56150 030 02 Repair ? Fire Zona N
Enlarpe ? Type of Const. v
c IN.,. Dakota Buildere
Z Address 10220 W. 176th St.
9 ernei. ene 1e1n
0
ot
uaS
Name Owne1
Addrett
City -
Name _
Address
I hereby acknowledge thot I have read this applicotion ond stare that
the informotion is correct ond ogree to camply wlth all applicable
State of Minnewta Stotutes and Ciry of Eagan Ordirwnces.
Sigmture of Permittee
A Building Permit Is issued to: Liat
ell work shali be done in accordnnce with
Building Official d
Move ? # Stories
Demolish ? Length 36 Grade ? Depth 42•5 Sq. Ft.-
AOprorab Fees
Assessment _
WaMr & Sew.
Police -
Firo
Enp.
Plonner -
Council _
Bldg. OfE _
APC
Permit L87.UU
Surcharge 26.00
Plan check 144.50
5nC 525.00
Water Conn 42Q.0
WoterMeter 60.00
Road Unit 240.00
Tmoi _$1704.50
F on tha ezpress condltion fhnt
Minnewte Stptutes ond City of Eopon Ordirwnca.
4-7 co -I ?
£ CITY OF EFIGAI3 Include 2 sets of plans,
1 sit
e plan w/elevations &
BUILDING PIIiNIIT APPLICATI?7 set of energy calculations.
Lt&V&
Zb Be Used For I ? Du EY Y-&r valuationDate I?-I7
sit.e Aaaress: 4 53? l-I-a ? l.aK? f2o ?,1 OFFICE USE CNLY
Lot 3 slocx ?2 sec./subovFrWl {-a-ewA l9-?r.,rct y.
Parcel #: 16 S(oIl?O 03O dZ Alter-
Repair -
owner: Enlarge -
MovPddress: (d z zcD `?? e
W ? l1? SV ? bennlish
City/Zip Code: L?LkEvi'tlE SSoq cl- Grade _
Phone #: y 3 5' 7L((T APPROVALS
Contractor: Q L.+--.) A_E Q- '
Pddress:
City/Zip Code:
Assessments
Water/Sewer
Police _
Fire
Phone #: Eng' -
Planner
Arch./Enq.: SAtEt4 0.ttiSOV\? Council
Address:
City/Zip
Phone #:
Bldg. O
P.PC
Code:
4*1
occupancY
zoning ? - _
Fire Zone
Type of Const.
# Stories
Front 36 __ ft.
pepth ft.
F'EES ?
Pexmit 98!?
-
Surcharge _13?6
Plan Check /y y ?
sAC sa s ?
Water Conn. .?-
Water Meter
Road Unit ?
Tom -i r?0 c stD
3/,???
??s??
?? ,?
?3?5
?/
. •???? CITY OF EAGAN Ir?lude 2 sets of pl.ans,
Ul L 1 site plan w/el.evations &
BUILDING PERMPP APPLICATION 1 set of energy calculations.
C1 ? OOC7
Zb Be Used For?"z ? kP`£X ?- Gc_ t- valuation Date lH-7 -r2-
sit.e Aaaress: 453q 50, 4ayhLctV? koQ(? ? OFFICE USE ONI.Y
Lot ? slocx ?2 sec./subNFrl,i'I l?arw?AsErect -
?__ occi.ipancy .3
Parcel #: (0 S to ? S O 03b 0 Z Alt-pr 2oning ?
_I Repair Fire Zone
Ovmer: Enlarge 'iype of Const. ?T
Nbve # Stories
Address: t D ZZO (,() ? ?7(0 k- aA- ? Demlish Frant 3 ft.
City/Zip Code: / aV F U i? ? ?L SSoy q Grade Depth 15-1 ft.
Phone #: `t3-7 - 7(1 ( I APPROVALS FEES
contractor: c.OKE c-
Address:
Ci.ty/Zip Code:
1'hone #:
Arcn./Eng. : sA--S-JE 4a v,,gv r\
Address-
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
En9 •
Planner
Council
Bldg. Off.
APC
Permit ?Zf39
Surcharge RI, ?
Plan Check ? ?f y
SAC
water Conn. e---,
Water Meter 6e? -?'
Rcad Unit Aj/(} Zu-
TO'1.'A?L ? ???
gi r7q?
2007 RESIDENTIAL MECHANICAL rEeNnT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675
Please complete for. single famity dwellings & townhomes/condos when permits are reyuired for each unit
SD- s d
Date '? l IO l ?b
Site Address ?C( Unit #
Property Owner L! Z + J K - ?'T9 $ T ? ? Telephone # S??/ ?
Contractor
, W.
screer naaress 3451 W. Bumsville Parkway ?ity
State BUITISVIlIE, MN 55337 ziP Telephone #( )
Bond #: ?? `.3 S? y I? 3-7 Eapires: U
T6e Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appllances, ductwork, etc.)
This fee applies when extensive mechanical repairs are made to a building. $ 90.00
Add-on or alteration to exlsting dwelling unit $ 50.00
1 furnace _Additional --Veplacement _ New
1 air exchanger
air conditioner
heat pump
other =
Statc Surc6arge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Cod
permit, but only an application for a perniit, and work is not Co start wi[hout a it; tha[ the woi
approved plan in the case of which requires a review and approval of plan . ?k S " V?a_i(Do 1
Applicant's Printed Name ApplicanPs Signature
? Ret ?r?da4ice?i
FEB 2 2008
U
B
° ?25q2
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 / `? ?
851-681-4675 l
I
New Construction Reouirementa
• 3 registered site surveys showing sq. fl. of IW, sq. ft. of hause; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showirg beam & window s¢es; poured found design, etc.)
• i set of Energy Calculatians
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist DetaB Options seleclion sheet (bldgs with 3 or less unib)
DATE
ADDRESS 1??y??•e..
i OF WORK q-53 7 Zt.
APPUCANT cda? ???? Exiodors,
MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Rapids, MN 55433 CITY STATE_ZIP
TELEPHONE #7`2S- a1Cia ) CELL PHONE # FAX # 755-53%n
ROPERTYOWNERf TELEPHONE#I13 '??aey
------------------------------------------------------°----------,---------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 i T???S r
(d submission type) . Residential Ventilation Category t Worksheet Submitted •? o rk<
• Energy Envelope Calculafions Submitted p J UN 2 8 2002
Piumbing Coniractor.
Plumbing system includes:
Mechanical Contractor:
Ntechanical sys[em includes:
Sewer/Wafer Confractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
-----------° °- •---°---°--------°---°----°----° -------------------°-------
I hereby acknowledge ihat I have read this application, state that the inf ?rr
with ail applicable STate of Minnesota Statutes and City of Eagan Ordi a c
Signature of Appltcant
------- ----- _..----- -----'---'------ ------ °---- --------- --------
OFFiCE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
RemodellRewir Raauiramenls
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site suney for ezterinr additions & decks
. Inditate if home urved by sep6c syslem kr additions
VALUATION ? I5I L?4
.
Phone # L
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $70.00
-°-------------°----------° °-----
on is correct, and agree to comply
Not Required _
Updated 4f02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex P1bg_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 (81dg)• ? 43 Reroof ? 46 WindowslDoars
? 34 Replacement "Oemolition (Entire 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
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
2oof _ Ice & W ater _ Fiual _ Pool _ Ftgs _ Ait/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
RESIDENTIAL -g
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWetioa Renuiremants
• 3 registeretl sile surveys shovrirg sq. ft. of lot sq. fl. af house; and all roofed areas
(20%maximum lol coverage allowed)
• 2 copies of pian shawing beam 8 window s¢es; poured found design, eta)
• 1 set of Emyy Calcufatias
• 3 copies of Trae Preservetion Plan H lot platted aRer 711/93
• Rim Joist Defail Options selectian Sheet (bldgs with 3 orless uniLs)
DATE
ADDRESS
OF
MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
I Cedar ValNap Exteriors, Ir??,
APPLICANT 8820 2illa ?
STREET ADDRESSC Coon Raplds, MN 55433 CITY STATE_ZIP
TELEPHONE # ? ,?J AR '? ? CELL PHONE # FAX # ?"J,5 - 53 9L?
1 OPERTYOWNERC// rl) MY ,I . TELEPHONE# ClJ9-`1??
V V J
????????????????????????? ---------- ---------------------------
j ? ????????????? ??????
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO"fA HULES 7670 CATEGORY I
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _
Plumbing sys[em includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
-----------------------°-------°-----------------°-----------°°-------
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Applicant
OFFICE USE ONLY
Fee:
Fee: $70.00
is corrpgt, and agree to comply
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
_ Water Sottener
_ Water Heater
No. of Baths
MINNESOTA RUI.ES 7672
• N BBf
1?L?Lt uuLC
Ill JUN 2 8 2002 ?U
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conclitioning
Heat Recovcry Sys•tem
RemadellReoairRenuiremeats ?-
. 2 copies of plan
• t set of Energy CalCUlaUons tur heated additiom
. i site survey for exlenor addilions & decks
• Indicate if home served 6y septic sysfem for additlons
l G?
VALUATION ?: I?? •
Phone #
Phone #
Updated 4/D2
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. 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 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (lnterior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg 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
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roo[ _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Firrplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ 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
Capies
Other
Total
Building Inspector
Determine working square footage of each.
1. Total exposed wall area ..... I'189.LoZ-? sq. ft. x ,1g ° Z2.1
2. Total roof/cei l i ng area ...... q Z 1. 8 sq. ft. x .0 4 ° 36 =.
Total exposed wall area above flaor = Ii.ol Z-
a. Total wall window area ..................:........ 13 Z•?
. b. Total door area ................................. ?
c. Total sliding glassdoor area .................... d: Total firepiace wall area .........................
e. Total wall framing area (averagelC'.)...:........ fJ2.7L0
f. Total net wall area above floor ................. IZ 39.84
g. Total rim joist area............................. 1017
Total exposed foundati on area = ?1 D ??-oZ h. Total foundation window area.....................
-
9. Toal net foundation area above grade ............ ?1p, LoZ
Oetermir.e "U" value af each wall segment.
a. 13Z.A x isuit .55 = '12?SZ
b. 58 x "u" .139 = 8.0LO
c. q 4 g " u'l r? = 2Z
d. - X "U" ° -
e. 13R,'lto x"u" 1IU = 13,217
f. 1239.8q x 'lu"
g. I 0'7 X,tull , DqZ
h. - X "U" _
;. '70.Loz. x 11u.1 , ??9 = 33.iz
3 ........:...............1,'18?f.,Lo2..Tota1 = ZIO•o5
.
If item 4 ' !3 is tne same as, or less tnan item P1, you have met tne intent
of 58C 6005(c)2.
Total exposed roof/ceiling area
: _. _ _._ .. . . _.
_' ? • Total gross roof/ceil ing area = qZl , a>. ' -
_ ., - . • -- _ __... _ :. _ _ :
.... ?5-- .
? _. j. Total skylight area ....................
? .. k. Total roof/ceiling framing area .......... ,. •
' 1. Total net insulated roof/ceiling area....... ?.q ,IpZ
.
Determine "U" value for each roof/ceiling segment.
`J
k. 92, 18 . X„u„ . 0 35 = 3,zz
7. 8Z9lc>Z x tiuil ,ca3 = 2y?z?S
' _ .. a ................... 9.W.:a ........Totat = 28,?
? If total of #4 is the same as, or less than #2, you have met the intent af
56C G006(c)i.
To utiifzed the total envelope system method, the values.established by the
sum of items #3 and 04 shall not be greater than the sum of itens $1 and #2.
1. _ .. + 2. _
3, + 4. _
? '- MATERIALS Therm. Eesistance
Psxterior Air r7
52ding Naterial l4S
Sheathing 1, Z
• Insulation - I 4
SheetroCk ?NS
Interiox Air ,LoB
Studs Lo57 Rim 1,88
Conc, Blks. I Zg_
,
4`?
` -/
?
. ?
t:
?
Go
N
i .
;g d'
I
I
?
?- -
u1%
m
?
Ex?ST 9L4.Z
138.31 '
N 89'44' !5" W
Im?
N I
?
?I
?
I
i
T
Fi N,. 939?9 i
11i
N ~
M?
04
N? ;
,
z ,
. .
N?%
----°-O?tilo"TCj -IP?hI-:MDtiIUMEnC1
/ ? ' =-_1?ESt-RIt?'T1o?.(
__ __------?1Q'?T.... _ADOIT?a?:.I ?
Dtau:67A e--oUNT.Y?
MI t.1wJE,joT
b 9
i
H AY AKE
.. qqa?'?, C4RAVEL
t . Te..r,_Ro
.,,,
?r
?,7.
1,? ,
1FZ&
, .
? ; 942 S ?
N PRo p?? N
"NIT''j J. 7
Io.S
? O E
? j
Vi S
?
9
?.
?
?
?AY? ,?.,
?39•'I?
39?-
, w q
0
/ q x?5
i J
? I
1 ,g,. 1 ?33 17
•
(p942.?1? : _- .
a ?D;osr= e
.:V41T- ?S7
? 74'3.9J 10. S
2S,S2 ? 1 ? ?r o
? r
: rZ
„
.._•
?
,
??,•,-
u?????1 ?
?
?
?
?
?
- - -?- ---
?
?
? d'
?
?
; ,?? M r 92 ?n
?._ yZg 4,S
, r
I hereby certify that this'survey was prepared by me or
under my direct supervision and that I am a duly Registered.
I,and Surveyor under the.laws of the State of Minnesota.
Date:HovFansER 22'19o°L )
=? .' .
- LeRoy H: -OBohlen
Registered Land Surveyor No. 10795
?
1988 SUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 13141
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY C9LCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNZTS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
Fdr-C.ld- /
To He Used For: Valuation: Iq U??, h-6 Date: b' 9" fY?
Site Address ?152 Z 5G? ,t ?,aFc QlJ
r.ot 032 siock Z
Parcel/Sub C/EEgHILL FA?M 14'r
Owner AAr i ?r L7Arhe.s
Actaress '15-37 ,SGa H,ayLAY4 /2D-
i
City/Zip Cade
or'rlol? u6r: VNLY
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
Phone C1.?.Ss
Contraetor A62Ard) L9t6CY, Mii1v
Address .OA /r, r.4
City/Zip Code Mnr
Phone .3 7 - ?w ? Za?
Areh./Engr.
Address
City/Zip Code
APPROVALS
Oecupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Permit 60(p,
Sureharge ?2-?
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone IF
-i-..
7987 BIIILDING PERMIT APPLICARION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICAYES OF SQROEY, 1 SfiT OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR COfiNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIG9ATE HHICH ADDRESS
IS DFSIRED. NO CH9NGES NILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED.
MQLTIPLE D{iELLINGS - RSSIDENTIAL RENTAL UAITS FOR SALE DBITS
INCLUDE 2 SETS OF PLANS, CERTIFICARE OF SORVEY - CHECK WITH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
COi`Il9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ?
?
To Be Used For-) k
&"
Site Address
& STRUCTURAL PLANS,
SET OF
Valuation: ATUO b , ? Date: ?041 o Ili
?- /
Lot 03 Z- Block
Parcel/Sub
Owner
Address
s
City/Zip Code
Phone
?
Address ?p / `kz?6
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4l
2
On Site Sewage Occupancy
MWCC System 2oning
On Site Well Type of Const
City Water _ (Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
9PPROYALS FEES
Assessments
Permit Su
Water/Sewer Surcharge 2.
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL j,3 •s
L k BL ? CITY USE ONLY
L
SUBD. Ovei'kI II 1 UfIVI jS7 -_
RECEIPT #:
RECEIPT DATE: ? .0
PERMIT #
5000 PLiJM$INfi PERMTP (fiE,SIDEbTPIAL)
crrYoF EA?ssrr
S$SO PILOT KNOB RD
EE?fiAA, MN 551 Ef
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTI IRFS EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $ ?
Laund tra 3.00 x = $ ?
Lavato 3.00 x = $ !
Se tic S stem newlrefurbished • re uires MPC Ilc. 75.00 x = $
Se tiC S tem ' abanaanment 30.00 x = $ ?
RPZ newinstallatioNrepair/rebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $ ?
Shower 3.00 x = $ ?
Under rounds rinkler ifdwellin isunderconswccion 3.00 x $
inkler if e¦isUng dwellin
Under round s r
30D0
x
$
W ater closet 3.00 x $
Water heater 3.00 x $
W ater softener If dwelling under eonatructlon
5.00
x m
$
W ater softener if existln dwemn 0.00 x $
Water turnaround 0.00 x -- - S
State Surchar e $ .50
Totai $ 30.SD
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------- 7 ------••-----• •------
-
-------------------••---------•-•---•-------------- - --------• ----•
- to c -- omply -•wi---
N all applirable City of Eagan ordinancxs.
-
-agree-
-wrr-ect. and-
- that-
-I- have• re atl- -Nis appli-
-retion,- state- thal- the informatian is-
I-hereby acknowledge-
It is the applicant's responsibility [o notify the properry owner that the Cily of Eagan assumes no Iiability for any damages mused by ihe City during its nortnal
operational and maintenance activiGes t2Shp facilitl@?.nstruG,454_S!ndefJ111.§.R?rmit vrithin City propertylright-of-wayleasemenl.
SITE ADDRESS:
OWNERNAME:f
INSTALLER NAM?.
STREET ADDRESS:
CITY:
FOSTER,JOHN
4539 hiAY LAKE ROAD SOUTH
EAGAN, MN 55123
(651) 335-7323 TELEPHONE #:
(AREA CODE) - - -
TELEPHONE #:
(AREA CODE)
STATE: ZIP:
SIG ATURE OF PERMITTEE
10f31 gloe-u a_
00cf-hi?I tarti+nI$+
MEMO TO: DOIIG REIDi CHIEF BIIILDING OFFICIAL
FROM: THOMAS A COLBERT, DIRECTOR OF PDBLIC RORRS
DATEs NOVEMBBR 7, 1991
SIISJECT: IATS 1-7i SLOCR 2, OVERHILL FARM i8T ADDN
IITILITY SERVICE REMOVAL REQIIIREMENT WITH BIIILDING PERMIT
ISSIIADiCE
The above-referenced lots were origina2ly platted and are currently
zoned as R-2 Duplex/Twinhome lots. Accordingly, two sets of sewer
and water services were installed to each platted lot to
accommodate each of the individual dwelling units.
It is my understanding that the potential exists for a single-
family house to be built on these lots where only one set of
services would be activated. In such situations, the City requires
that the second set of services be abandoned in accordance with
City Code 3.20,'Subdivision 3(copy enclosed). This requires that
the services be disconnected at the main in the street which
requires excavation within public right-of-way. Correspondingly,
a separate permit for work within public right-of-way must also be
acquired in conjunction with the building permit issuance to ensure
that the appropriate performance and warranty bonds are submitted,
that construction and restoration are in accordance with City
standards and that our record plans can be properly modified.
I would appreciate it if you would put a specific notation on each
of the above-referenced lots regarding this requirement and to also
help to ensure its application to any other similar situation
throughout the City. Your cooperation and assistance in this
matter will help to inform the property owner/builder of this
requirement early in the process so that it can be properly
budgeted and scheduled as well as protect the City's infrastructure
system. ease let me know if you have any questions or concerns
regardi g his matter.
?
Director of Public Works
cc: Wayne Schwanz, Superintendent of lJtilities
Mike Foertsch, Assistant City Engineer
Enclosure
Cities Di
ntrol
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SEC. 3.20. RDLBS AND RBGOLATIONS RELATING TO FATSR
SERVICB.
Subd. 1. Deficiency of Watec and Shutting Off
Water. The City is not liable foi any deficiency or failuce
in the supply of water to customers whethes occasioned by
shutting the water off for the pucpose of making repai=s or
connections or by any other cause whatevec. In case of
fice, or alarm of fire, water may be shut off to insure a
supply for fixe fighting. In making zepairs or construction
of new works, water may be shut off at any time and kept off
so long as may be necessary.
Subd. 2. Repaic of Leaks. It is the
responsibilfty.of the consumer or owner to maintain the
service pipe from the curb stop into the house or other
building. In case of failure upon the part of any consumer
or owner to repair any leak occurting in his service pipe
within twenty-fout (29) hou=s aftec oral or wsftten notice
has been given the ownei or occupant of the premises, the
watez may be shut off and will not be turned on until a
reconnection charge has been paid and the water service has
been repaiied. When the waste of water is great oi when
damage is likely to cesult from the leak, the watec will be
turned off if the repair is not procee8ed with immediately.
Subd. 3. Abandoned Services Penalties. All
service iastallations connecte8 to the water system that
hbeen ave shall o be a dieconnected a at the o mainBeS
for further se The
ownet of the premises, served by this service, ahall pay the
cost of the excavation. The City shall perfo=m the actual
disconnection and all pipe and appurtenances temoved fcom
the stceet right-of-wey shall become the propeity of the
City. When new buildings are erected on the site of o18
onea, and it is desired to increase the o18 water service, a
new permit shall be taken out and the regular tapping charge
for shall
peasn s to cause os allow anylservice pipeliofbe
hammeced or squeezed togethet at the ends to stop the flow
of water, oc to save ezpense in improperly removing such
pipe fcom the main. Also, such improper disposition thereof
shall be coirected by the City and the cost incu[ced shall
be bozne by the person causing or allowing such wotk to be
performed.
Source: City Code
Effective Date: 1-1-83
Subd. 4. Service Fipes. Every service pipe must
be laid in such manne= as to prevent iupture by aettlement.
The service pipe shall be placed noY less than seven feet
?
43
(4-30-84)
CC.3 , P>Z r
Council Minutes
January 18; 1983
OVERffiLL PROPERTIES - WAIVER OF PLAT
0 cl, Uv
,Ci-'I, 0? 2,?
The application of Overhill Properties, Inc. for waiver of plat to divide
twin home lots into individual ownership was submitted. Mr. Dehler was
present and the Advisory Planning Commission, at its meeting on January 11,
1983 recommended approval, subject to certain conditions. After discussion,
Egan moved, Smith secondPd the motion to approve the application subject to_
the recommendation of the Planning Commission, including compliance with all
applicable ordinances. All voted yes. R 83-2
SEE PLAT FILE
MAPAGEMENT APPLICATIONS - CONDITIONAL IISE PERMIT
The application of Management Applications and Innovations, Inc. for
conditional use nermit to allow more than three amusement devices at the
former A& W Restaurant at 399$ Sibley i4emorial Highway was submitted to the
Council. Tom Truax and Dave Maddis were present. The Advisory Planning
Commission recommended approval subject to all conditions provided in the
Amusement Device Ordinance. Smith moved, Thomas seconded the motion to ap-
prove the application, sub,ject to the same conditions. All voted yes.
BETI7C BASSfiTP - EAGAN HILLS HFST PLAHNED DEVFS.OPMEtiT AMENDHENT
The request of Betty Bassett of the Eagle's Nest Home for amendment to
the Eagan Hills West Planned Develooment to allow a change in the proposed use
and allow R-2 as underlying zoning was submitted to the Council. The staff
recommended the Council continue consideration of the amendment until the
February 1, 1983 meeting and upon motion by Wachter, seconded Egan, it was
resolved that the application be continued vntil the February 1, 1983 meeting.
All voted in favor.
OFF-SAI,E GIQUOR LTCENSE POLICY CfiANGB
AND
HGH OFF-SALE LIQUOR LLCENSE
The request to consider a change in the liquor license policy to a11ow an
additional off-sale liquor license in the Cedarvale area and also the applica-
tion of MGM Liquors for off-sale liquor license were, upon motion by Waonter,
seconded Egan, continued unt11 the February 1, 1983 meeting. All voted in
favor.
8
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121367
Date Issued:03/27/2014
Permit Category:ePermit
Site Address: 4537 Hay Lake Rd S
Lot:032 Block: 02 Addition: Overhill Farm 1st
PID:10-56150-02-032
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 .
Gary Robideau
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 -
Kimberly A Wilson
4537 Hay Lake Rd S
Eagan MN 55123
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136427
Date Issued:05/11/2016
Permit Category:ePermit
Site Address: 4537 Hay Lake Rd S
Lot:032 Block: 02 Addition: Overhill Farm 1st
PID:10-56150-02-032
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kimberly A Wilson
4537 Hay Lake Rd S
Eagan MN 55123
(763) 221-2549
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174277
Date Issued:01/13/2022
Permit Category:ePermit
Site Address: 4537 Hay Lake Rd S
Lot:032 Block: 02 Addition: Overhill Farm 1st
PID:10-56150-02-032
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kimberly Ann Wilson
4537 Hay Lake Rd S
Eagan MN 55123
Residential Heating & Air
7454 Washington Ave S
Eden Prairie MN 55433
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature