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4546 Hay Lake Rd S
CiaSH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19'? i, R6C[IVGD FItp41 li JI' AMOUNT $ I 1 ? .? & DOLLARS too ? CASH \Q GHEGK _ (i j ;' " F O R f_ a_,_' G{ J(1) PuNO cooE nrnouNr Thank You ' Bv . . . . ? ?: ,? White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition OVERHILL FARM 1ST ADDN Lot 4 Rik 1 Parcel Owner T ?. • Street 4546 S. Hay Lake Road State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, gZ 1981 310.74 15.54 20 248.62 A013988 6-6-84 STREET RESTOR. 1994 2116.88 423.38 5 1693.51 " " GRAOING 198 1154.83 /5 . Z00 %ZFf I .Z SAN SEW TRUNK 515 1981 9. 28 17.96 20 287.44 A013988 5-6-84 i??*SEWER LATERAL ?1 , ? y F ? 05 3 O. « 2S eOD ?/ 2 ' LSAN SEVY TRK I.AT HE1?1 1984 _ . 89 _ 16.19 15 226.70 A013988 6-6-84 WATERMAIN WATERLATERAL .513 1981 172.42 8.62 20 137.94 A013988 6-6-84 WATER AREA 1951 359.28 17.96 20 287.44 A013988 6-6-84 STORM SEW TRK 'g 198lt b6b.23 31.08 15 435.15 A013988 6-6-84 STORM SEW LAT _ 7-r ?,, 1 4 83.75 5.58 15 78.17 A013988 6-6-84 88Z-*SS/L e CURB & GUTTER SIDEWALK STREE7 LIGHT ROAD UNIT 250.00 37978 8-11-83 CONN. 4SO.00 it tt 13UILDING PEA. 11376 ! SAC t? n PAF K I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I DOLLARS I oo ? CASH ? CHECK FOR ? YVhite-Payers Copy Yellow-POSting Copy Pink-File CopV Thank//^IY u ' `?? B Y Receipt y? 1 UJ PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot, ? t. Date 2. Installation Cost 3. Job Address LotQ(_Blk. TrficlC' 4. Owner .r ?-n , •? I?,l 5. Contractor Phone 6. Address 7. City _ F State 74j-) Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add O Alter ? Repair ? . 1 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory A- Softner Shower We I I Kitchen Sink Urinal/Bidet Ot,.,er 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 f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cIrr oF EAcAN . 3795 Pqe1 Knob Resd Eegan, MN Si1Z2 PHONE: 454-6100 BUILDING PERMIT Receipf ?t T. e. ...A #~ I . c.. v:,,._ : 67,000 n...e .?,c? ust 11 ,o _ 3 Site l?+ddress ?a'"' """`•• Ll?r LJpL\C Lor ? Block x ?/Sub, OverY Parcel # 'LO ?6150 040 01 oc Nome Tt'in Ci.tv '+or:e 3'ride ! i Addrow ?70) E. 156th St. 9 Riirnnvi 17 e 41 S- Erect ? Occuponcy -` ? Alter ? Zoning ";+1 Repoir ? Fire Zone Enlarge p Type of Const. v Move ? # Stories Demolish ? Length Grode ? Depth Sq. Ft. 0' N? ,...._ ? o Addreu Cit Phone u WW Nome H ?? /lddress <W Ci Phone I hereby ucknowledge that I hove reod this application ond state thaf the inlormotion is correcf and ogree to comply with all opplicoble Stote of Minnewta Stotutes and Ciry of Eagon Ordinonces. Assessment _ Water 8 $ew. Police Fire Enp. Pfonner Council Bldg. Off. _ APC Permit • - Surchorpe Plon check ? SAC r^ Water Conn. 45 Water Meter r '_' ??? ? Road Unit ? , Total 'r I: ...,'i Sipnoture of PermiKee . . , , , . _ , _ ;;iildei's I A Building Pe?mit Is issued to: on the express condition thnt otl work sholl be done in accordorxe with oll opplicoble State of Mjnnesoto-Statutes ond Cify of EoQen Ordinonces. Buildinp Offfcial ,:.. Permit No. Permit Holdar Misc. Parmit No. Holder Plumbiny H.v.ac. w.n Water Disp. Ssvwtr ? Elsctric W Z 1(0?0? ?a? 115?Oh. )/-q ?? liupectfon Daroe Insp. Other Faotinps m Foundatfon Frominp RouQh Plhy. RouQF? HVA Inwlatlon Final Plbg Finel HVAC • Final Waftr Describs Loeatiom Well Sewer -- ? Pr. Disp. / Receipt ?c? r 4 PLUMBING PERMIT Permit No. CITY OF EAGAN r? •? ' Fee 1 Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date T- 2. Installation Cost 3. Job Address Lot Blk. ? Tract 4. Owner 5. Contractor f ` Phone 6. Address L??r? l' 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 1 10. Descri6e 1 11. No. Fixtures Water Closet' No. Fixtures Cesspool/Drainfield Bath tubs ? $eptic Tank Lavatory Softner c Shawer i f- Well Kitchen 3ink UrinaUBide,t 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 454-8100 Reaeipt MECHANICAL PERMIT Parmit No. ^ ? L. . ; . 4. Owner - ' 5. Contractor ii?c.A I 6 Phone O 1?`t 6. Address i NyOJ ?-l?r.r• ?,?c1L ?.?. 7. City T; o r State Zip .? 1 8. Building Type: Residential C? Commercial ? Institutional ? i 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel Type '\.)c+'?V t 11. h , • CITY OF EAGAN Fee FiII in numbered ? spaces S/C Type or Print /egibly • Tot. 1. Date 9 ? 2. Installation Cost 3. Job Address ''?; Lot Blk". i •-'>> ? Tract No. ? EqJpment 8TU - M. Ea. Forced Air 7 ?`-?(' No. Equipment CFM Handlin Ai : Mfg. c+ a r r e- f r g Boi lers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the a6ove information is true and correct, and I agree to comply wi4h 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 ' CITY OF EAGAN s, ,,,? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?,,,,, 4 t„f 4.Y BUIIDING PERMIT PHONE: 681-4675 Receipt# G 016948 ? ? , To be used for Est. Value Date -??'? 31 , 1992- ? .? Site Address 4! Lot 4 Block Parcel No. N8ff19 +sw?a?w. aa.aniu l w Address 4546 a HAY WCE RD ? CitY EAMAN [yN ZP cc Na111E R w yAnn WNa i W iM 0 Address 2217 ROGBRS CT ? Cfty ME[lDOTA HSICHTS M!i Zp Phone 457-011 3 8 License # I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Stalutes and City of E9gan Ordinances Signature of Permitee A Building Permit is issued to: K W DAHM CO'A1ST CQ IltC on the express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Building OHicial ' - Occupancy Zoning (Actual) Cons1 # of stories Lengih Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System Ciry Water PRV Required Booster Pump APPROVALS Planner Council 91dg. Off. Variance OFFICE USE ONLY eldg. Pwrnk Smharc3s Plan Review FEES 2S•00 .30 SAC, City SAC,MCWCC Waier Conn Water Meter Acct. Oeposit S1W Permit S/W Surcharge Trealment PI Road Unit Park Ded. Copies TOTAL 25.50 PsrmN No. PermR Molder Date TeNphone N S/W PLUMBING HVAC ELEcrR?c ELEcTaic Inspsetion Date Insp. Comrtmnts Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Freplace ? 2 7- Z - G U'?- d Lv? SO Q 74 Final Htg. Orsat Test Final Plbg. Plbg_ Inspector - Notily Plumber Const. Meter EngrlPlan Bldg. Fmal Dedc Ftg. Deck Finai Wsll Pr. Disp. ? CITY OF EAGAN 1NATER SERVICE PERMIT 3834 PilAt Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 5512i DATE: Z°ni^4' No, of Units: Owner: _ 'Itain City HOme Pride Bldrs Address: - Site Addrcss: Plumber: _ Metar No.: _ 5iu: Reoder No.: . I e9ew to aoinphr wilh e10 Ciry of Eooee Ordinenpi, By Date of f nsp.: Connection Charge: Account Deposit: _ Pe?mit Fee: Surchorge: _ Mist. Cho?ges: _ ToMI: Data Poid: TY OF EAGAN SEWER SERViCE PERMIT 33 Pilpt I:nob Road 0. Box 21199 PER1V11T NO.: gan, MN 55121 pATE; ning: No. of Units: - I 'r1Er: - -- :Tlin ?.i r-., ?tUc:nEq T%r/C]?' i3 (iI'4 Address: -4546 SO $ayLakQ_ Rd L4 $1 Overhil l F'trn 1 at ber: =1 ?? '.4ecl?anical - i i-33 379 78 -- ioo. 00 egroe w eomPy whh rM Ciry of Ea9an of Insp.: : TELfPNOIrtE Gonnectian Charge: CITY OF EAGAN 3833T Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: ' " ?` Owner. 'I'W j T Addmsr. ) te Add Plumber. ' -. . Mater No.. ?ft di ?I Acwunt Deposit: _ Permit Fee: Surcharge: Misc. Cfwrqes: Totcl: Dote Paid: WATER SERVICE PERMIT PERMI7 NO.: DATE: . No. of Units: - m Chorpe: 450.00 pd Deposif: 15 . ca ? ?d R der rmit Fee: 10•00 p`? I 1 ageN to? n urchorge: .51) pd Oriinaeas. Jj-`"rs ?- Miac. CFwryes: 00.00 pd ripeenr Total: ? er l ooce Paid: Date of Insp.: Insp.: CITy pg FACAN Include 2 sets of plans, / 1 site plan w/elevations & ? gUILDING PERMiT APPLICATION 1 set of energy calculations. 4b Be Used For Valuation --?- bO-G _ Date 8/%?F? sit.e Adare55 4S ?} (s Lok*?- P-o0 oFFzcs usE oNLY Int ? Block Sec./Sub. e2ve,'`; %/Lfasrsi/Erect 'Occupancy -3 Parcel #= l. U jCo ?. S? ?? b O t A1ter Zoning ? ?/ Repair Fire Zone Qaner: h'c.^a, %,? zLlEnlarge _ TYAe of Const. Nbve # Stories Address: DEnolish Front Iy( ft. City/Zip Code: /?v??S?;/?,? ???"n•S-S33? Grade Depth a(a ft. Phone #: Contractor: Acidress: SX City/Zip Code: ?o ,%. SS 33 7 Phone #: y 3s- Y ?49 Y' ' PSCI1./.,.+y. ?r?a??/ ?t+/? ???'L+U Address_ /ko y' /'Ir /?? Lr. e. City/2ip Code: Phone # = sl;??O - S?er 3.c? [9ater/Sewer Police _ Fire brIg . Planner Council Bldg. Off. - APC Surcharge Plan Check I? sAC 5as Water Conn. ,5-0 Water MetPS / a Road Unit 950 ? TOTAL gd ?' CITY OF EAGAN N° 8376 3795 PiIM Knob Raod Eagan, MN $3124 • PHONE: 454-8100 BUILDING PERMIT Rete+Pt To ba und fer SF DWG/GAR Egt,yalue $67,000 DO2e August 11 _ 19 83 Site Addreu 4546 South Hay Lake Road Erect Occuponcy R-3 Lot 4 elock 1 Sec/Sub. Overhill Farm ist Alrer ? Zoninq R-1 Parcel # 10 56150 040 Ol Repotr ? Fire Zone NA V . Enlarge ? Type of Const. W Nome Twin City Home Pride Builders Move ? # Sro.ies ; Address 1009 E. 156th St. Demolish p Length 66 ° Ciumsville Phone 435-8428 Grade ? DePth 26 Sq. Ft.- p Name O''Tlei AvPreralf Fees Zu °u1 ? Nome _ Address 1 hereby acknowledge thot I have read thit apDlicotion ond state that fhe informofion is corre[t ond agree to comply with all opplicnble State of Minnewta Statutes and City of Eogon Ordinonces. Assessmenr - Woter 8 Sew. Police - Flre Eng. Vlonnef - Council _ Bldg. 0{f. - APC Pertnit }}4. V V Surchorge 33.50 Plan check 167.00 5qC 525.00 Woter Conn. 450.00 Wnter Meter 60.00 Rood Unit 2$0.00 Totol $1819.50 Signoture of Pertnittea in ity Home r e Builders A Building Permit is issued to: all work shall be done in accordarxe wifFtf'oDP?icable taj of Minnewtn tter,rP, Buildinp OfFlcial ? ?/ i. J r„ ei ., ? _ On the lxpreu COnditiOn ihni ond City of Eogon Ordinances. CITY OF EAGAN °--_, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?0 2 0 0 4? 4 PHONE:681 -4675 BUILDING PERMIT Aeceipt # C 016948 To be used for FIREPLACE Est. Value Date JAN 21 , 7g92-- Site Address 4546 S HAY LAKE RD Lot 4 Block 1 Sec/Sub.OVERHILL FARM iS oFFICE USE ONLY FEES PafC81 No. Occupancy - gld9. Parmit 2$.00 Zoning _ Namg DARRELL SCHMIDT (ACWaI) Const - Sufthart7e .50 Z AddfBSS 4546 S HAY LAKE RD (Allowa0le) - Plan Review Q CI(y EAGAN MN Z.Ip # of stories m L ?? eng - Ph0(18 Devth - SAQ City pc N2rtle K W DAHM CONST CO INC S.F. Total - SAC, MCWCC O AddreSg 2217 RO('iER$ CT S.F. Faot rinis Site Se a e O Water Conn U n w g _ Ojry MENDOTA HEIGATS MN 7JP OnSiteWell waterMeter ? PhOf10 457-0113 MWCC System = qcct Deposit g ???Y We?a, , - ?? a PRV Required _ S/VJ Permil I hereby acknowlege thal I have read Ihis application and state that Ihe Booster Pump - SiW Surcharge information is correct and agree to comp?Iy with all applicable State of Minnesota Statutes an ' of 8gan r6i A e? L Trealment PI SignaWre of Permitee l APPROVALS Road Unit A Building Permit is issued to: K W DAHM CO T CO INC Plannar - park Oed. on the express condition that all work shall be done in accordance with all Cuuncil applicable State of Min esota Statules and C ity ol Eagan Ordinances. eldg. ON. _ Copies y ? ?/ BuiltlingOtfiCial 1'k? ? IIId1 Variance - TOTAL 15.$0 This request void L`[ ?E, I? 0VF-k-Kl Lt ,? ia montns trom ? C"J` 27669; "I 3`tS'Sz 3a.oo Request Daie Fire No. popu red7lnspection []Ready Nuw WAII Notify Inspec- / Yes ?NO ?tor When Reatly ?Licensed C?ectri?l Contr.ctor 1 hereby repuest inspection of ebova ?bwner electrical work installed at: SVaet Adtlress, Boz or Route No. " - Citv J l e ion o. Townshio Name or o Range o. County OccuDanY1PRINTI - Phone No. Power upplier Adtlrass Elecvical Contractm (COmpanY Name) Contrector's License No. )oie? C t'i/L/C Mailine tldress (Contrector or Owner Meking-Installation) 191- 77 Auih ? d Si e IC act ner MakinB Installation) Phone Number G5 iz?y 11NNESOTq ppqp OF ELECTNICITY THIS INSPECTION flEQUEST WIIL NOT Grip9s-Mi ay Q. - Roam N•781 gE ACCEPTEO BY THE STqTE BOAXD 1821 Uni+er ? Ave., St. Paul, MN 55104 EUNLESS NCLOSEOOPER INSPECTION FEE IS REQUEST FOR ELECTRICAL INSPECTION oN EB-00001-03 Sea instmctions for comolatin9 this form on beck of vellow copv. 027669 ? ?' 4 g'^-J 2 "X" -L'efcw Work Covered by 7iris Request -3 New Add Pep. Type of Builtline AoPluonces Wired Equipmenl Wi, ? Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Elec[ric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ot er peci y the, ISVecifyl [ er UecitV thor Other Compute Inspection Fee 8elow - k Fee ServicaEntranceSiza tl Fee Fenders/SVbtaedars k Fex Circuits 0 to 700 Am s 0 to 30 Am s 0 to 30 Am s ? 701 to 200 Amps 37 to 100 Amps 37 to 700 qm s A6ove 200 qm s Above 100_Am s Above 100_Amps Transiormers Remote Control Cira t ?`30 Partial/Other Fee Signs Special Inspection $ (<00 T Remarks .-?,, OT E6. 'ClU l ?- Rough-in ( Dat¢ the icel '? nspectoq hareby certily thet eha xbove Final f' te Da inspection hes been ?.?% m0tle. This rapuest void 1 F .......rA.- f...... a3?9A REQUEST FOR ELECTRICAL INSPECTION ? See insVUCLOns for complating !his forrr. on back of yeilow copy. P?'iR(1.7 ? x„ eeioW?vrarx covered by rnis Reauesr R? EB-00001-08 ? -? s ?- ew AdtljRep.j? TypeofBuiltling ± t --- AppliancesWired - - EquipmeniWired Hi ome ______________ Range Temporary Service i 1 Duplez Water Heater Eleciric Heating _ ? Apt. 8uilding Dryer Other (Specify) __- iComm.llntlustrial Fumace -- I Farm Air Conditloner _-- I ? prher(specity) COnVectora RemeBS'. lA / S C . Campule Inspec(ion Fee Below: . . . # Other ? Fee kT ServiceEnVanceSize Fee # CIncUita/Feeders Fee _ - Swimming Pool -TO b 200 Amps 0 to 100 Amps ITransformers fAbove 200 _ Amps I Above 100 _ Amps Signs inspectorb use Onry: TOTAL Irrigation Booms ?•? Speciallnspection ? AiarmiCOmmunication i j -------- UEHt TNIS MSTAlLAT10N MAY BE OR D DISCONNECTED IF NOT --- 10ther Fee i r COMPLETED WITHIN 18 MONT 1, the Electrical Inspecior hereby Ro?yn-m ? oate , certify that the above inspection has F;?„ Date been made. OPPICE USE ONLY Tnis request voio 18 manlhs imm " ?c3 9'-- IM5t ? p 56072 0 Request Date Pire No:- Rough-in Inspection Required? ? Ready Now YWill NoNy Inspeclor ^ h ? ves ? Na When Ready? Ilicensed contracror ? owner hereby request inspection of above electrical work at: Jab Address (Sree!, Box ar Fouie No., City 1 45 4 S. SI l?Uil`? Seaion No. Township Name or No. Range No. Co?•p{??? 1 c1/ Occu ant (PRINTI g_6 PhOn2 NO Power Supplier qtlerass Elecincal Conlrador ICompany Name) Conlractor's License No. M%A- %4iverrv E?eirw-, lnc. . Yo4s aol Maiiing Atltlress ICOmr cror or Owner Mavi Installauon) a6?s ? ?a?? f?N ss?a , Authori pa ndNre tGon actor wner M king InS?al1 f6ti0n) ?C_? PhonO Numbet 3aQh_ MINNESOiK!lATE BOAqD OF ELECTRICITV THIS MSPECTION FEQUEST WILL NOT Griggs-MlOway BIGg. - floom S413 BE ACCEPTEO BY THE STATEBOARD 1821 Univereity Ave.. 5f. Paul. MN 55104 UNLESS PROPER MSPEGTION FEE IS Phane(612)661A600 D ENCLOSED. ? 6 . q V? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4? o0 New Conslrudion Reauirements RemodelAtaoair Reouiremenis Office Use Onlv 3 regislered sfle surveys shovnng sq. ft. of bt sq. ft. of house; and all roofed areas 2 copies af plan ? Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of EneTgy CalculaCans for heated additions No Tree Pres Plan Recd . _ Y_ N. 2 coples of plan showing beam & window s¢es; poured found desgn, elc. 7 site survey fir addiUons & Aecks ? Tree Pres Requi2d Y? N 7 set af Energy Calculations Addition - irMkate i/ai-sRe sepfk sysfem On-site Seplic System _ Y_ N 3 copies oi Tree PreservaUon Plan if lot platted efter 711193 Rim Joist Defatl Options selection sheet (bu0dings wAh 3 or less uniLS) Date 06 / 0 9 / 2oOS Constructioo Cost )bZ00 Site Address Nsy(o NkY LMcE- P-ol-b sciu-T-{} Unit/Ste # 11 N Description of Work _ DeGk Multi-Family Bldg _ Y V N Fireplace(s) _ 0? 1 _ 2 PropertyOwner }?,2R D PA-LT:E45E? Telephone#(Zq,?v) g?S'-?cil0 Contractor S2 )F Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissionrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( ) Telephon #,?,??`,' , Telephone I hereby apply for a Residential Building Permit and acknowledge that the informkio`"i's Vomplete 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 plan in the case of work which requires a review and approval of plans. -- 13R 0 r41,7 9A-E)e- Applic t s Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex &S 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AReration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolltlon (Entlre Bldg) - Give PCA handout to applicant R ES S t -3 Valuation Occupancy em ys MC Census Code ?/3 y Zoning City Water SAC Units Stories eooster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. ? Footings (deck) ?g FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice& Water Roof Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ _ ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 1 - ? . CERTIFICATE OF SURVEY S 8s° ok' .36" E - ?r . .. 41 _ 43,00 V) .? . . --t?--- ? DRRINAGE AND UTlLITY EASEMENT i ? ? L-o r' 4 ?? n, ?? X . o aLocx kl) i . ? W W I I ^ , ?: V , 9110 Y ? ? s 87.2, 2 ?---- 13.5 '? G'RR } PROP.,ISED ? r3.5 01 ? n j HoUSE N I ` 9 ? 22 N 44 p I g 88 5-. ? . b19 I O q > ol E-XiSnNG Q ky? L-:LEVAITIJN ra ` ._ 9 93.00 DEN(JTES fROF'OSED- m- !rNl`;/dA:"f?> !dt.I?r1Tl?)N • ??i'?l? HAY LAKE ROAD ??.q ? . 4'' ? Ilri?l • ce!1111? 14it1 I 0 LaPl ?i. O?UI?f 1? (?VP:NIIIIL PARhi rIK I' Pl?lliln?l, ?LI...,fu C??un[.. ?i:inry,?tu, ,i-col;li;W I.n 'he plntChcreof OIl ???t' Hfl(? ??! i.... -.il-•?. ;1!i?l I?•ni i::;c ?I ?.?1i?`.lri:?it'i'??.? I :1i1cj :<ni'vro !' I ii?i?P!' Ifl("..i AWB t1r !{Lt1t o I um .??Iti . .. llated Chi.s ^Znr1 !ia; o I -- I.. .iacnbsot:, nr,<?OC.a'i<t•g. ."Jo. 7734 >R 8Y GRJ SCALE - I= 30T' o DENOTES IRON MON. BEARINGS ARE ASSUMEO DAT4JM Prepared Cor;,v • ? ' : JACO(3SOPI SURYEYORS . `.?:..'I+.on+e `rid, i;?iil?l?•r•: LAKEVILLE, MINN. 5504*1 '. liiit'n•:-; i I l,_. MN PHONE 469 - A 328 S 5 67 RES(bF",`71AL ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Raauiremenla • 3 registere0 site surveys showing sp, R, of lol, sp. H. of house; and all roofed areas (2Uqo maximum lot wverage alloweC) • 2 copies of plan showing beam 8 window s¢es; poured found desgn, elc.) • t set of Energy Calculatbns • 3 copies ol Tree Preservation Poan if Io1 platteG after 711193 • Rim Joist Detail Options seiec[ion shee[ (bldgs vnth 3 or less units) DATE I?.S.Q4•Or-'1, M'6 as- RemodeUReDair Reauirements • 2 :opies of plan . 1 set of Energy CalculaUOns (cr heateA aCditions • 1 site survey for exfenor adCitions d decks • Indicate if home served by septic system ior atlditbns VALUATION 9.9$OOR SITE ADDRESS WS"JIn S &vlo,Y,a_ *toad MULTI-FAMILY BLDG Y X N TYPE OF APPLICANT STREET ADDRESS TELEPHONE #(a5l.alo4411T C RENEWAL BY ANDERSEN, INC. 1920 COUNTY ROAD "C" WEST ROSEVILI.E, MN 55113 FIREPLACE(S) _ 0 _ 1 _ 2 STATE _ ZIP AX # PROPERTYOWNERSi,d ?ra1?2.L,1SeJ4, TELEPHONE#ln5l-9DS•?9?n -----------------------------------------------------------°---------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yfINNES01'A RGLI:S 7670 C:1"CEG(>RY 1 NIIN\ESO"I':1 RliL1:5 7672 (v submission rype) • Residential Ventilatlon Category 1 Worksheet Submitted • New Enerqy Code Worksheet Su6mitted • Energy Envelope Calculatlons Submitted Piumbing Contractor: Plumbing system includes: Water Softener _ Water Heater _ No. of Baths Mechanical Conhactor: Mcchsuiicail svstem includes: Sewer/Water Conhactor: -- Air Condiuoniug Hcat Rccovcn Systcm Phone # ------------°-------------------°------------°----...-----°------°°-------------°---------...------°-------------- I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature af Applicant OFFICE USE OtiLY _ Phoiie # _ Lawci Sprinkler Fee: $90.00 No. oE R.I I Bad}s ? j SEP 2 3 2002 !?'!, Phone # i? - i•u Fee: $70.00 g I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ******?***??****?*******?*??*?***?**?** CITY OF EAGAN CASHIER: JS TERMINAL NO: 678 DATE: 08/16/00 TIME: 12:44:44 ID: NAME: BRAD J FALTEYSEK 3210 9001 4546 HAY LK RD 83.25 2155 9001 4546 HAY LK RD 1.50 Total Receipt Amount: 84.75 CR135996 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? d-516 CITY OF EACAN 3830 PILOT KNOB RD - 55122 851-681•4875 ? 3 reybfered slte wneya showing sq. H. al lot, aq. 8. of houae anH gp rooled areCS (2076 maxlmum bt coveraae alloweN a 2 coples of plana (show beam & window aizes; poured Ind. deslgn; etc.) > 1 set of energy cdculaMOru > s copie: a tree pretenanon plan n la Wanea aner 7n /va DATE: j3'-A?-&:) DESCRIPTION OF WORK: STREET ADDRESS: BLOCK: I_ LOT: 11 Name: Fi?)4e vSe k 1.Zr G aQ Phone #: ?51 -?05 - 39lb PROPERTY Las Ftrst OWNER SheetAddress: yS-'-llv S 214y olcJee Cliy 19ar aa --? State: Lp: Company: /y/ Phone A: (area code) CONTRACTOR 5freet Address: License i Exp. City State: Z1P: ARCHITECT/ ? ENGINEER Company: Name: Telephone #l: ) Sfreef Address: Regishaflon t: ? CNy State: nP: Sewer/water licensed plumber (H lnstallina sewerlwateA: Phone #: I hereby acknowledpe Ihat I have read Ihis applkation, dWe fhaf Ihe infomatton is coned. and agree to comply wiTh aq applicable State of MlnnesoM Sfaiufea and CNy of Eagan Ordlnances. Signalure of Applicant OFFICE USE ONLY Certificates of Survey Received 2 copies a pian 1 set of energy calculatlons for heWed additlons 1 site aurvey br exterlor addiflona & decks a S CONSTRUCTION COST: N ?D?O _ Yes _ No Tree Preservation Pian Received _ Yes _ No _ Not Required RECEIVED AUG 16 2000 BY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? OS 06-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of = pla;t ? 09 07-plex O 18 Deck l:'! 23 Porch (screened) ? 04 02-piex ? 10 OS-plex ? 19 Lower Level O 24 Storm Damage ? 05 03-plex ? 11 10-plex Plhg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex O 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (FoundaUon) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories No. of Units Length No. of Buildings Width Const. (Actuai) Basement sq. ft. (Aliowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? 31 Ext Alt - Multi ? 33 Ext Alt - SF O 36 Muki sq.ft. sq. ft.? Footprint sq. ft. Census Code MGES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC 1992 BUILDING PERMIT APPLICATION CITY OF EAG ? REQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SEfS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF'ENERGY GALCS. # OF UNITS RENTAL FOR SALE COMMERCIAI 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE D$ LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: 4Ja v,v ; w 'lc-Valuffiion: qEO0 ? p Date: J- a I-!?- Site Address FFICE U E ONLY Lot Block Parcel S b ( ? I - Occupancy Bldg Permit / u ; rj Zoning Surcharge ? O 6Z ? Actual Const Plan Review wner Q 2?C S c ?-? Allowable License Fee n # of stories SAC, Ciry Address y 5 tl6 S. f-(a ? 1 L?, h? Q c/ Length SAC, MWCC ?/ ? C" Zip a Depth S.F. Totai Water Conn. Water Meter Footprint S.F. Acct. Deposit Phone S/W Permit On-site sewage ' S/W Surcharge Contractor CU vy?- Cor?S-t, Co,T n-site well Treatment PI. Address ? JD Ra Q{z.s C-C7 MWCC System Ciry water Road Unit Park Ded. n City/Zip Ike ,vd ?? kl I? Vvr 11? PRV eooster Pump Trail Ded. Copies Phone H5 ?- a 113 License APPROVALS SUBTOTAL Penalty Planner Lot Change Council TOTAL Arch./Engr. Bidg. Off. variance Address City/Zip Code Phone # . Sewer/W for sewer once area FEES Processingtime agrees that ail work shali be done in accordance with all epplicable State of Minnesota Statutes and City of Eagan Ordinances. 2/84 CITY OF EAGAN ? rIPPLICATION FOR PERiMIT -` SEWER AND/OR WATER CONNECTZODT (PLE,ISE PRIHT) i? PP.OPEFtrY ADDRFSS: L-Ole?r- iZ?.?c•? -?'u w r/7 r FraL DES=tirTc:r: do T 4?3La c tt ! o vt z/ i LL (IAt/Block/SubcLivisicn or Tax Farcel I.D. Niunber) i: E{I57_ :G ST."RCCP'RE, DAT' 01' CRIGi :AI, riiIi.C2:`iG =-.= _TSSL:?.N`:: ? P?_°Sa-7 u5'. , ?• Td'R-1 SuiGL:3 FA'4II.Y ' v--- -- • 0 R-2 DUPLEX ('Iti•,lO [,nIZTS ) ? R-3 'IC7.tiNHCt;SE (THREc + LNITS) ( UNI"_'S) ? -R-4 ApAR'I^"P/CC:MCi-L:IU:I ( U.II:S) ? CONVERCIAI,/'F2F,TAZL,/OFFICE ? LMUSiRSr'1L ? INSTIT[,TIGNAL/G0=\'?'v'P 2) APPLIGnV'T (PLE;.SE PRI9i) ?r [> H ? ?CJ't2 .,( ADDRESS: CITY, STA'!'::, ZIi : - PHONE: j) pLLPoIBM (PLEASE PRItiO r??: FOR CITY USE CHLY ADDRESS: llc^? PLUHBERS LICE45E: = Acti ve CITY, STATE, ZIP: 0(3 cr 2..1,5-?iY Lt ,5'-5'9 F7 = Ezpired - MAb it. ? PHOiVE: ?`7'Lo» ?,B/,a8 pLUNBER LICENSE # d"j j ? Not of Record arr initia 4) OCCUPP."I'/CJyiIER lrLcnZt rxinr) NPlME: r02 .'S?J?tr ADDF2E55: CITY, STATE, ZIP: PHONE : 5) INDIC= WHICH PEPhLiT IS BEIi?G REQUESTLJ: ? ?lECI'ION TO CITl S?^1ER L rCOL`N?IFK.KZ'ION 'IO CITS' 4JATIIt ? CITI&'R (PLEASE DESCRIBE) oi l:aulc?,?i: U::L: ? PL :',SE F:OLD r1PP44VID pER,titIT FOR PICN-UP BY ONE OF ABOVE ? PL£.aSE RIi:IL APP?20%7D PFR•1IT 'Ib 1. 2, 3, 4 ABCTJE (Circle one) 7) SZG.'%ATLitE: Dr1TE: 1q ai s?:ss:i:a ?!??:????-1li? F O R C I T Y U S E O N L Y PERMIT °: ISSUED FEL'S $ IC7 -5 6 $ iv.SD ? S $ ? 1-5Vv $ /:; •cTL7 S S S $ $ $ t , SE:•1[.? nz'oMTT SliRCI'At%G?) (:. WATER 'PEI2r1IT (INCLUDE SURCI?ARGE) WATER METER/COPPERHORN/OUTS= REaDE3 WATER TAP ( I.ICLUDE CO4?ORAT=O:I STOP ) 5EWLR TP_? ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WAmrR wac SAC TRuNi: rvaTER a-?SJFSSLSt.NT TRli:lf: SESdER ASSESSi1EiVT LATE°.AL BENE°IT/TRUNK SEZ+7ER LATERAL BENEFIT/TRUNii WATER OTHER $ TOTAL $ kMOUNT PAID/RECEIPT ; 44 Wp3 DOES UTZLITY CONNECTION REQUIRE EXCi1VATI0N IN PUBLIC RIGHT OF WAY? = /"1'ES ZF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWRY" MUST BE ISSUED SY THE ir J NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TIIE FOLLO:dING CONDITIONS: APPROVED BY: TITLE: ?DATE: +f'- i i.:' `7 : r ?,.. ? • EXTERIOR ENVELOPE AVERAGE "U° CDMPUTATION ONNER - S I TE ADORE55 -- DATE PHONE 431'-. £34 ?f3 ' ' ' _.,_ ?C,--F?c?.d( I• CON7RACTOR J??fYI?--? Determine workfng square footage of eaCh. ft. x Total exposr,d wa11 area SQ' 1 . SQ. ft, x___,.?5 • .zO a.oa j 4 L area ili F ?} ? ` ,,...,,_ , . n,) /c.e 2. Total roo . s> Total exposed rra11 area above floor •?Z? r?- F,x; ' a, Total wail window area............. f .............• ..:•. b. Totai door area ......................... 4 _ .> . ?- c. Tota1 sli6ing ytass door area ...•.,,..,•••,••..• - ' d. Total fireplace +•rait area.,.,.•, .• •.?• .•' ...-?-..-? ?-- .. 10%) 9 1? ' •?o ;; ...,.... : . Total wall frarniny ure?a (average ? ao e ? . f, Total net wall area above floor .,,.,..,.•...•• ......••.••...• g. Total rim joist rrea ........... Totai cxposed foundation ar?A 77 7Z ..._ 5 ? /a ( ,_ _,___. __._ h. ToCai founCatio^ 0ndow area ..................,. __ ••• da.2? f? , ra; _ ,.,,•• i. 7oa1 net foundaticin area above gro,I ; ? . Determ'rne "U" value of eacli segment. a , G. ?,£ ! x „uH . b..___3 7.X n U n X ????? . S 5 • 2 2.D/ e . 4 c. eL __. _.-_- ........... . . . . ..._--.. .' n ? • _? ' y II 1P - V I1 d• e. X „Un r. Nsz.4e x "U" x "Ue Xl'Up t.^ l• 7.. L__ _._?_x"U ° - . a4__- • 46 061 .o? • 3 S? ? ----- y-f + 5".77 .?7 s 1..52 3 ..........Tota1 ................ lf item 13 is the sama as, or less than item Ol, you have aaet tt?e tntent of tBG 6006(c)2. . e ^? e ..'"?.f? ..4,. [.yt .' 'otat exposed roof/ceiling area = ? J Q 4 ?• '',? j. Total skyliqht area.. •.....r..• •.............. ? k. Totai roof/ceiling Framing area (avera9e 10Y)... l, Totai net insulated roof/ceiling area,..,....... r/aa_.clv., Determine "u" value for each roof/ceiling segment. ; X Rull ? k. 1, f-? f??.GtJ_. X"Uu .OS' • S'7•'LO a ..............1(.44.cc........... Tota1 • ' .z ? !f total of 04 is the same as, or less than 02, you have met the intent, of SBC 6006{c}1, ? Alternace Buildtng Envelope Oesign " To utilize the total envelope system method, tne values established by the sum of items 93 and.14 shall not be greater than the sum of items 41 anQ 02. 1. z?D.4i7 _...__.?__ + 2,__?7.zt' + ?37•?? 3. f] 3 S 3 + 4. s>-L c' _? 3C.'73. tiea rnei«H L.r,e Bumsville, Minnesota 0 . ' ' 8963063 WGF'JA CO. PGAN Sl:xvicL ED ANOERSON AHCMITHCTl1RAL OE6IGNING IqVO PtANNING ottice: (?Y?z,t.:: ?;TM,y 7 ottice: Burnwiue, Minnesola 8944636 ? ?t. [ . . '':? A.S.{v -- -- --- -- -- ----- Luidc Ne. .. ; ? Ra(vance Ou4 W?11 Int. Wdl Cs?ie? Roof Flwr Ki IO,a.a ? lseph --Widt6 j j Hai`hk y, I R(„2 /?'r' / Room :rsekave and Aru CJu. " • "-- - -s-`- i Esp. wall / Q Akt?aP: wap ?,- ,lai?,..?{E r ceirn: a, s .? < 7 oi?ed sq. h. ED.R.'oi sq. ins. W.A. t?+Jrr .ts? .... $T(?• :'Yo? 7 = C?f Ti+E4?•eEo RoomILcngth /D Width 1indows and Doors-Cnckayc and Arca UU lb4nt M?. H LIn.J f? A?.. ?f I.w? .?f 1.w? 11f??? d vuY p. fl CoeE. Stv (L E.D.R or iq. ins. W.A. Leader aru = G? ? - cFr? f2.EOv?2 a, Room ILength / Widlh nd Doors-Cnckayc ;nd Aru 1 ' 1 2. equ7rtd .Q. ft. ED.R er ,q. ia.. WA. ls+dcr arca Io+ulalion Ho.+ i? ? - --- ? Windo.v? ,nd Doon-Cuck.ee .nd Are. • \rldlm, M4 .fpw1 Mds\1 M. ot ofpw, 11lsI• 4wu1 fL Aru *9 U6Y N.II • Cocf. Btu 1a611ration e . Class O /,'l ri r?J Fmp. wall /%' ' Nct c:p. wall 9 S ;:l 112t.++*N ' I Z !; ceirnQ Floor Toul Biu. ? 5 fi` 1 R.au;teJ ,a. 0. ED.R. or .y. ins. W.A. L,..dn aw• ? ?sk Z?reIr 6l9':7r CFH' F1.1 114 /y {C/;, Room ILrnsth / V/idth / Hcisht ' Qli.d.,... ,i5d Doon--Cnctiatc and Arca x. . Mn?n ".r.•.. .r.... N.. .t u???. Lln..l fL. .r<..ek Ar.. .4. rC ? ?,7 rJ t! , / r' Coe(. Htu In6ltration ? . Glus Eap. wall i Nd e:p. wall .?/..R7 i UL«.tl J, 'I r Ceiling Floor ' Tetal Blu. " RcQuirsd sq. It. E.D.R. or sq. im. W.A. Leadcr are• 6e. 7 = cxv ?/ q.?A Room LenQth ? Width /a HeiQht ' r F1.1 VA..i...... ..d I?e...._Crackaee -nd Area •? Ma ?i?? •f ??w? Ndl?l ?f ??w• N?. • Ilf?b Llw.• IL ?NI?1Y •r?• q. Il 1 CotO 81Y ' In51tralioa chts • ? Esp. wall Net c.p. wall y ? /,y 11116IMSH ' 4, -/ S ' CcilinQ 14 ? '. Floor Total Bw. Rcquircd s9. it. E.D.R. or tq. im. WA ltader area 6.9 7 - Cxry Fi ' ?pfY??1100 .. Construction No. Ou Ho.+ A Ledi _- ^ ? Floor K?od av 'i lo?. W,II eling Roof •?? Rc(?r?nce l. WJI C. 19_: • ? ' Room Lcnsth ' WidCh ` Heishe ? a. Room?lcnatA Width 1.2 Ftci`hl 9 ' ' F1j ? • .':'? ' Windows and D?oorr-CraekaQc and /lrca . =?aow$ ,na ?;*-cr.Cti.« .na a«. ,,..?,\VIdth MO'kL Mw.l te.. L At.• u if ... tk q. IL •f pw? •1 pw. 1!" ,. ? y _ ?' .7? . Gd. Bm ' n6ltntioo ? ;lou ' ._ .._._. .C' 0..?? :sp. wall `!ct c:p. wall - wt?a+all r i:. .` f :cilinY -c?J? , r+ ? YI?. •f /&wv .f Nw• N•. o1 ' Urbi• 4w..1 fL ?f n.<R Aru N. !l . .. , • Ceet. Bw Infiltntian .-? cjass . Fip. wall Net cxp. wall Inl. wall " . .. Cciling ------ ? '?? . . rotai BIU •?r f' Tolil BW. i . t?y???cd .q. f?. ED.R.'or ,q. W.A. L.?.d« ,?e= Requircd aq. ft. E.D.R. or sq. ini. W.A. Le?dar area j? ? ' C?rf 7?EGwi fEO / 7c CFH RE?JU%?EG ? '? ?U- G?' ..F. . aL', $lU• T?YvB-7 .= . . Wid h Hciqht ` h t ? Room ?Lcng?h Fl ,. , Fl. RoomI Length Width t H-ig • rc c ,nd A a Cracka 4 ' i Windo.vs and Doort--Cnciagc and Aru Window, ,nd Doon h - r. .i g Li ,,..I fL w... WId1\' MJt?I N?. ?f Llw.d fl A... N?. w a h ?f p.• i x.I, ?! P?n• . il[Fl• ?f eratY ?C. ft - N?. •! p•w? ?f O?w• 11[??• d sr.[Y q- fL . , , . CoCF. ' BW Coc(. Btu ? ?n?i?Ualion ? . . ?nb?ttal?on Cltu :Iau _ - 1 rItp. wall . I . 3p. wall r+<< <=D. «.u v<< <.P. w.n ini. w.n ??. w.u .'",eiline ' - CeilinH - . . ..,. >?;n floor 7 1 7 f7oor. . . Toui Biu. Tot,l Btu. ? Lrad<r arRa A W i _ R er tQ, in?. W.A. l.a?dcr arc+ D (L E ;rCd s 2 . . ,,. R?qa?rsd ?d. h. E.D.R. or sq. ' . . . Q rqm 2 . b . 7 = C.rtf .c d?.eE ` ? u = 66• eo ? ?TU ? GB. ? - cfrr R.c?Ju? d h ht i N Rmm JLcngth Width Fl Hc;g6t R?m ?„Bih Wi t fl.1 e g . vrindows +nd Door,?_Crackaec and Arca Windors and Doors-Crac4age +nd Arca n? •r u...? ?? w... w'ulk Hd[nt N?. d Ue..l lt. Au• „? waa •f pw. HArn? .f pn? tl???• •t?nct f? ?C. ?. •f y.+• ?f f.n• I???u •f <r.rk .?. tl . 1 CoeE. Beu •. ? CocL Bm In6ltraliou . :? _ n611ntiou . • ,.,. ?1?'..., Gla ss . •u .:. ? ' . 6p• ?rall • . - - p. wall a J ct cip. wan Nci asp. ?vall 5 Mi?? l0t `?i-3 t..Wall . Flon. ' , . ail?n? loor tq„t«d sy. h. ED.R or sq. ie.. WA. Lr.d.r .r.. !<$.7= C[IlIn{ FI. - ? Rcquired w. !1. e.D.R. or .a in?. WA. Ls+dar +na t$? ;a 7 4 tketwuL Pr;aQ. iS?aT-s_ Jo?? ?gjV+ x??Ako-r ELIE CARRIER LOAO INFORaIATION QENTER OPTION 1 OP*ION Z OPTION 3 1. Summertlesigndegrees._............ (90, 95, 100, 105, 110 or 115) Qf 90, 105, 110 or 175. Item 2 N.AJ 2. Dailyrange(0°-35°) .................. 3. Winteidesign tlegrees ................. (Precede a minus number with M) 4. Numberofwindowpanes .............. (1, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Stormwindows?(VorN) ............... ? I.. . J I _J 6. Wintlowsweathersiripped?(VOrN) ..... . 7. Four wintlow areas starting with N or ? ? # F #1 F 41 N#25#30N20tt25N#; Max per sitle Ex 999 sq, tt ) 71 N r NE 5 rs F ? 72 r SE 73 r SW 74 r NW b ## ## ?# 8. Shatletlwindowarea ... ..... ...? ?? ? (0 or sq. fL Enter 0 if not appllcable. Mas: 999 sq. ft.) 9. Doorarea ............................? (0 or sq. ft. Max: 999 sq. ft. If 0. Items 10 8 11 N.A.) AI 10. Doorweatherstripped?jYorN)...._..,? 11. Stormdoors?(YorN) .............. .. ## ?? ## 12 Firsistory perimeter................... ;L # 13. Second story perimeter .. .... .......... 14. Thicknessofwallinsulation . ....I Y 19 I ? ? (0, 2, 4 or 6" fiberglas. Enter MA for masonry; R values, enter R,then value. Ex: R19) ? 15. Basement perimeter . (O or linear ft. If 0, Items 16. 77 & 28 N.A.) 16. Basemeniheated?(YOrN) ........ ...... I-I-J pf N, Item 17 N.A.) ---- --? 17 Percent above grade (Ex: 5°b = 5) ?? 18. Area of roof with exposed heams or studioceiling .. ..I C) q#I I ppl I k#I (0 or sq. it. Ii zero, Items 19, 20 8 21 N.A.) 19. Wootlor fiber .. .... ... . (W for wootl, Fforfiber If W, Item 20 N.A., If F, Item 21 N.A.) 20. Thickness otfiber .................... (1.5, 2 or 3" or R values) 21. Insulation ...................... ...... ? (Y, N or R values, Y assumes 1:5") OP*ION 1 OPTION Z OP*ION 3 22 Area of ceiling untler ventetl roof or unconditionedspace .................. (0 or sq. ft. Ii 0 Item 23 N.A.) 23. Thicknessof Insulation (G, 3, 6. 12 or 18" of fiberglas or R values . Ex: R30) 24. Areaoffloorsoverunconditionetlspace (0 or sq. fL If D Item 25 N.A.) 25. Thickness otinsulation ................ (0, 3 or 6" fiberglas, or R values) 26. Area of floors over open or vented space, orgarage ............................ Ntt H# pN (0 or sq. ft. If 0 Item 27 N,A.) 27. Thickness ofinsulation ..... ........... ? (0, 3 or 6" of fiberglas or R values) 28. Basementarea ....................... OL40 # I #I q (D or sq. ft. If Item 15 is 0 skip this enlry.) 29. Total heated area ..................... (sq. ft.) 30. Perimeterotconcreteslab ............. (0 or linear ft-) (if 0, Item 31 N.A.) ?---? 31. Thicknessofslabinsulation............ (D, 1 or 2") _ 32. Desired summer indoor tempera[ure swing.._..... ..._ .................. ## riq qN (Value between 1 antl 6 inclusive.) 33. Desiredwinterinsitletemperature 34- Ductlocation ......................... Q ? p (AT = attic, BA = basement, SL = slab. CR = crawl space, CO = conditioned space) (If BA, SL, or CO, Item 35 N.A.) 35. Thicknessofinsulation ................ (0, 1 or 2". Use 2 for 1" rigitl.) ..REPEATDATA?.......... ................. ? 5 ?'? pN ## Y or N "CORRECTIONS?•• ... . . . . . . . . . . . . . ... ... . If theie are no corrections required enter If there are corrections to the data. enter question number, #, the new tl2ta, and hh. E no 9ur he? correCtions, enterN# only. ad # ?# yg # #k gp ? ## COOLING B.T.U.H. Q EOUALS 6!5 AT (5? °F B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. EQUALS -"3`3 AT?I F B.T.U.H. AT °F B.T.U.H. AT °F "REPEATTHEANSWERS"(VorN)......... Ap gg qp 'SAVEYOURDATA?.• .................... ?q aq ap V or N: or VRsa will save your data antl goes to 6eginning for new Analysisor NRrtH will not Save data but goes back to beginning for new Analysls. JOB NUMBER ......................... ? If ynu want to savc your dat2 CLIC 2ssigns ? Job Numbci "STRUCTURECHANGES?.............. ... If there are no Changes requiretl enter ap. If therc are chenqes m ihe data. enter cucstion number. k, the new tl, ta. and Bk # an p pp p pg Ex'25#R30## If no furiher changes. enter pa oNy. xa yp nMINCSN OPPORTUNIN HOME 3-78 F•rintea in u s a. 83e-039 2004 RESIDENTIAI, Bi7ILDING PERMIT APPLICATION City Of Eagan c 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 sr7 0.0 0 New ConsWCtlm Reaui2ments RemodeVFteoair Reauirements ffMa`V(5n 3 registered site surveys shwring sq. R of lot sq. ft of house; and all roofed amas 2 copies of plan (20% maximum lot toverage albwed) 7 set of Energy Calculations for heated addNOns a^ i{ 4?. r 2 copixs of plan shaxing beam & window sizes; poured found design, etc. 7 site survey for additions & decks isetofEnergyCalcu?tlons Add?ion-indicateHon-sifesepficsystem #??feSe ? ? V-- 3 copies of Tme PRServation Pian iF lot platted aflar 111193 Rim Jast DetalOpfions selection sheet (bldgs with 3 or less units Date _D? / CL /? Construction Cost ?t-t' G Site Address V • UniUSte # ECIOM, tbl Description of Work l,?) id I na Multl-Family Bldg _ Y )? N btireplace(s) _ 0 2 Property Owner d,.JYQd WnCi Ta{ ???? ??,5rjL Telephone #(,06 1) Q CY5- LT? I n Contractor i '? - ? Address State City /? ?,/? Telephone #??) `?1 O? - V"I In Zi p COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 - . Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations SubmiNed Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Telephone #( Telephone #( N If so, 25% plan review Sewer/Water Contractor Telephone #( u ? " - - 111 1 1 lin nIN 2 8 2004 I hereby apply for a Residential Building Pernut and acknowledge that the informa n is complete an aci?ate; that the work will be in conformance with the ordinances and codes of the City o ?? MN Statutes; I understand this is not a permit, but only an application for a pernut, 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 plazvs. E)i'cLd-U . FCl ,l +t-t 1S-ffi? - ApplicanYs Printed Name ? ---- Applican Signature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt-SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34ReplBCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units # of Units # of 81dgs Type of Const Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered ?. . ., _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ,.. _ 2006 RESIDENTIAL MECHAIVICAL PERMTI' APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single Family dwellings & Wwnhomea/condos when pelmits are requireA for each unit Date _ --) / Z g / Q? Site Address y5 y6 ?j? T ? 41C Q ?d • S Uoit # a n? SS 2 Property Owner 3 rc, a E-.T Telephone #(65 /) fa 5- 3e?10 Contractor S J p2 f?'o f ??? , I-W c_ Street Address /(J 'G ? ?< ?°? ,1 ?}`?'? W t City l?l { d?o S State Zip 5?vY? Telep6ooe# (?07 ) 7?I ?Ol Q? g Bond#: Expires: I 0-1 The Applicant is _ Owner 20- Conhador _ O[her Add-on or alteration to eiistiog dwelling unit $ 30.00 _ fumace _AddiGonal /-IoReplacement _ New air exchanger L° air wnditioner ? heat pump other State Surcharge $ .50 Totel s 3o. s? I hereby appty for a Residential Mechanical Pemilt and aclmowledge that the infornietion is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechenical Codes; that I understand this is not a permit, but only en application For a permit, Md work is not to start wi[hout a pertnit; iha e work will be in accordance wit6 the approved plan in the case of work which requires a review and approval of plan _- I ?rrv ? 111d \ ? . AppiicanYs Printed Name Appl' t's Signature Use BLUE or BLACK Ink I I CityI Q Parrett ak I of Lap I 1 3830 Pilot Knob Road i Permit Fee: j Eagan MN 55122 I I Phone- (681) 6754675 Data Received: Fax: (951) 675.5994 ; staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: ' Suite RESIDENT16WNER Name; P Address / City / Zip: CONTRACTOR Name: MIL_.BERT COMPANY INC.dba ULLIGAN _W_ATER Address: 1801 50T" ST EAST Clty:..: INVER GROVE HIM state:' MN zip: 55077• Phone: 65,1 .451-2241 Contact: BILL.MMBE~t'~ . Email: TYPE OF WORK New Replacement _ Repair Rebuild _ Modify Space _Work ip,R O,yy, Descrl lon ork•, PERMIT TYPE Rd IDENT/AL Water Heater ,,ZWater Softener Lawn trrigatign L RPZ PVB) Add Plumbing Fixtures L Main / _ Lower Level) Septic System Water Turnaround New -Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Hater, Water Softener, or Water Heater=s Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $6.00 State Surcharge) $55.00 Add Plumbing FixtuNs, Septic System Abandonment. Water Tumaround• (includes $5.00 State' Surcharge) ' 'Water Turnaround (add $166.00 If a 5V meter is required) $105.00 Septic System Ne~ ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, eta) (Includes $5.00 State Surcharge) TOTAL. FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 Flours before you intend to dig to receive locates of underground utilities.- I hereby acknowledge that this Mf~rrnatlon Is complete and accurate: that the work will be In conformance with the ordinances and codes a'f the City of Eagan; hat I understand this Is riot a pennit but any an application fora smik accordance with the a p , and work is n.& P stag w(thout a permit that the work will be in proved pia~r in the coss of work which requires a rsvlsw and approval of + Applicant's Printed Name x Applicsnt's,Signature v . FOR ` F _E SE Rev ewe. B tb ~Req . re I sp. d' p i • i Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - i I For Office Use 1 I 1 Permit 0R I b City of Ea I I I I Permit Fee: 1 3830 Pilot Knob Road I Date Received Eagan MN 55122 : I Phone: (651) 675-5675 I I I Staff: _ _1 Fax: (651) 675-5694 L INFLOW & INFILTRATION PERMIT APPLICATION C)/~ Plumbing / Sewer & Water Date: 12-2 /1 Z Site Address: Tenant: Suite Name: RM Fir TE 5~ Phone:~s 1-~~5-~l%l~ RESIDENT / OWNER Address / City/ Zip: NA-Y LAII_ ~ PUAb Name: kA License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: ,2_,A reGi- 5,)AA p AL ,)M,4 4y6wcp DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.org 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 whic equires review and approval of plans. x B R,+d FA-L,T t i'S E t x 67 Applicant's Printed Name Applican signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough-In -Final 4, City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: t P tr 161 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address 47:4(pS. Nay Lake Rd Unit #: Name: Egad F81 Sems. Phone:cosi (los 7),I Address / City / Zip: 4546 Ha)! Laxci Id L 1QQO 5Sf 3 Applicant is: Type of Work Contractor a(1 Owner Contractor Description of work: FgrtSS Wi nclOW Construction Cost: Multi -Family Building: (Yes / No Company: Contact: Address: City: State: License #: Lead Certificate #: Zip: Phone: 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: 1.© 3 Licensed Plumber: Phone: Mechanical Contractor: Phone: $ Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 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 trail. Fa 1+. - Applicant's Printed Name x .' Applicant', 'gnature Page 1 of 3 4'5 /‘e4w 4-61 DO NOT WRI E BELOW THIS LINE SUB TYPES Foundation Fireplace 7'Single Family Garage Multi Deck 01 of Plex Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage emolition of entire building — give PCA handout to applicant Occupancy t71/1.—/t MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests — Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 62-0 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117282 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 4546 Hay Lake Rd S Lot:4 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-040 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 . Jeff Pelant Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brad J Falteysek 4546 Hay Lake Rd S Eagan MN 55123 (651) 278-2161 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature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c&R0# 2A12% ;';&C0,* #B.&)X2V;VK&30A& 0%2&C*&> > &50?#&FI&&;;8'WY040,&FI&&;;8W( JK;8L&WW!9<':8 6&.2E2@A&0$%, Q#2*42& .0 &6&.0X2&E20*& .+1&0BB#+$0 + ,&0,*&1 0 2& .0 & .2&+,H E/0 + ,&+1&$ EE2$ &0,*&04E22& &$ /B#A&Q+ .&0##&0BB#+$0@#2&> 0 2& H&F+,,21 0&> 0 ? 21&0,*&N+ A& H&Y040,&ZE*+,0,$21M )BB#+$0, T52E/+ 22 &>+4,0 ?E2611?2*&"A &>+4,0 ?E2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176391 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 4546 Hay Lake Rd S Lot:4 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-040 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Andrew Beskar 4546 Hay Lake Rd S Eagan MN 55123 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177863 Date Issued:07/21/2022 Permit Category:ePermit Site Address: 4546 Hay Lake Rd S Lot:4 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-040 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew Beskar 4546 Hay Lake Rd S Eagan MN 55123 (612) 432-2657 Advantage Construction Inc 18750 Buchanan St NE Wyoming MN 55011 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature