4552 Hay Lake Rd SCITY OF EAGAN Remarks
Addition OVERHILL FARM 1ST ADDN Lot 5 Rlk 1 Parcel
owner St,aet 4552 S. Hay Lake Road State
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Z 1981 310.74 15.54 20 264.1 _A03.2097
-6
4-
223
STREETRESTOR. 1984 [2155.86 431.17 S
GRADING 1985 I o-
SAN SEW TRUNK 5 1981 359.28 17.96 20 0.40 A0120 4-12-8
8924EMVER LATERAL x 56. 3h 3]
2 7 • 3 2 Z
!w-BAN SENi TRK LAT BEN 1984 247.36 --
16.49 15 247.36 C008340 8-4-83
WATERMAIN
WATERLATERAL 19$1 172.42 8.62 20 146. 6 A0120 4-12-8
WATER AREA 1981 359.28 17.96 20 30.40 ~ ~
STORM SEW TRK ?a 1964 474.81 31.65 15 474.81 C008340 8-4-83
STORM SEYV LAT --f'rk gU' 1 4 5.30 5.69 15 85.30
882- * ,r 1985
?
CUR9 & GUTTER
SIDEWALK
STREET LIGHT
24o.oo 32E7_ 1-18-83
WATER CONN, 42o.0o 33967 1-18-$3
9UILDING PER. 77 5
s,ac 2 .00 " "
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECQIVED
FROM
19
AMOUNT Is I
& DOLLARS
?oo
? CASH r-I CHECK
FOR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
//;
? `? B Y
PERMIT # ?
MECHANICAL PERMIT RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?-
CONTRACT PRICE: PHONE: 454-8100
? Name `-
? Address ?• '
c Ciry
Phone
Name
? -
c Address
O City - Phone i
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
E
FEE
S/C:
TOTAL:
.a
.?
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INGLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHrAI'n -
C
T
CT FEE
i 1.50 EA.
COMM/IND FEE - 19
o OF
ON
RA
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
REMODELS - 12.00
M COMMERCIAL FEE - 20.00
iURCHARGE PER PERMIT - .50
S1GNRE E
FOR: CITY OF EAGAN
?
Receipt L Lf 1 r?- PLUMBING PERMIT Permit No.
CITY OF EAGAN -
Fee '
? Fil1 in numbered spaces S/C
Type or Print /egib/y Tot. •
1. Date --11 -'3 2. Installation Cost
UVC -i i .
3. Jo6 Address e :i Lot ' Bik. I Tr8CtF3r'° iSr
4. Owner
Vivant Bros. Const.
5. Contractor liargue Phone
6. Address :? 147 Uakgreen Ave.;:o .
7. City St11Iwater State '•?'? Zip S=7)o?
8. Building Type: Residential GQ
9. Work Description: New ((.?{
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter O Repair ?
No.
{-- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
i 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
Fough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?"L-
Receipt.-- MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
Fee
` Fill in numbered spaces S/C
TyQe or Print legi6ly .
Tot.
1. Date ;V`? 153 2. Installation Cost
r_'
3. Job Address
Lot 5 Blk. Tract
,
4. Owner
5. Contractor ? ?- Phone aG `1 1`75 97
6. Address ?Y_?Lti
7. City f??G li t''F'?f State 10 l . Zip Si `f Z3
8. Building Type: Residential :Cl Commercial ? Institutional O
9. Work Description: New ? Add ? Alier ? Repair ?
•.
10. Describe qiC.ti, ,eJ 1?1 •?o
I " r `-1J' - Fuel Type {- )'-+`,- L -
11.
No,
X Equjpment BTU - M. Ea.
Forced Air ? No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances end codes governing this type of work,
Signed : for
Fough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ,
- '
Permit No. -
Fea '
MECHANICAL PERMIT
CITY OF EAGAN
, ?.
FiII in numbered spaces S/C
Type or Print /egib/y Tot. ? 1. Date 2. Installation Cost - `
3. Job Address-?-? Lot ? Blk. ? Tract
4. Owner _ : ? ? ; . r-? ? • '- . . , -- ' ?
5. Contractor - Phone
6. Address
?
7. City _ State
Zip-
8. Building Type: Residential .0 Commercial ? Institutional ?
9. Wark Description: New 0
10. Describe
11.
Type
No, Eauipment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
V
--?- Gas, Piping Outlets
L
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
Add 17 Alier O Repair ?
CITY 4F EAGAN
• 3795 Pilot Knob Road Eogow, MN 55122
' PHONE: 454.8100
BUILDING PERMIT "Receipt #
T4 6a issed br Est. Volue aate • 19
Site Address Erect E3 dccupancy
Lot Blotk Sec/Sub. Alter ? Zoning
Porcel # l'' Repofr ? Firo Zone
Enlorge Q
Name Move ?
Address Demolish ?
o Name - ''; • S- CQP S t- .? AVP°v°l'
u? Address St_ ?st Assessment _
?- ?,... - ,,,? --- A= i - - Woter & Sew.
Nome _
Address
Council _
I hereby 4cknowledge that I have read this application and state that gldq. Off.
the intormotion is torrect and agree to comply with all opplicable APC -
Stote of Minnesoto Statutes and City of Eagon Ordinonces.
Signoture of Permittee +
A Building Permit ls issued ta. on the express wndition
oll work shall be done in accordance wlth all opplicable Stote of Minnesota Statutes and Clfy of Eapon Ordinantes.
Building Offlciol
Type of Const.
#' Stories
Len gth
Depth Sq. Ft.
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Police _
Fire -
Enfl. _
Plonner
Totcl
Ihnt
60sP-, ek,4 -3q (03-
- z-? -?s 3
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9
H.V.A.C. 3`t I lIg , 2 - t43
weu
Water
Disp.
S?wer
Electric
Irypection Date Insp. Other
Footings . ?
Foundation
Freming s
Rouqh Plbq.
Rouqh HVAC
Inwlation
Final Plbo. f .6 -d
Final HVAC 101-718
Final .
Water Deuxibe Location:
Well
, ,.
Sewer
Pr. Disp. ?
CITY OF EAGAN
:' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 15 ^: Or ?
PH ON E: 454-81 OD ?
BUILDING PEMIP"CE & Receipt ?
To be used for Est. Value ?` i??{•?'?' Date
SiteAddress : H.'s :.;FF; RD
Lot ' Block 1 Sec/Sub.
Parcel No.
a Name
? Address 4.552 S i??:.5" Lii?KE ID
° City A" Phone 454-0608
. o Name `aA. .
? ` Address
P Citv Phone
Name
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City ol Eagan Ordinances.
Signature of Permittee
A Buitding Permit is issued to:_ ';?' TAli P 4AF-"5-1TL _
on the express condition that all workshall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site 5ewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of 5tories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit 34.00
Planner _ Surch2rge 1•0c
Council _ Plan Review
Bldg. Off. _ SAG City
Variance SAC, MWCC
- •Water Conn.
Water Meter
Road Unit
Treatment Pi
wwr, copy . Kn
TOTAL ?S.__'
Permft No. Permit Holdsr Date Ulaphone it
Plumbing
H.V.A.C.
Electric
Softener
Inspectfon Date tnap. Comments
Footings I
Footings II
Foundation
Framing Q
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
Fireplace ?%?
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• PLUMBING PERMIT
CITY QF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address ?" ( ,, ? _S' , /?4
Lot ?- Block ?
? NameS t'i F7z-
Address MS? ?6'4L.f /'J 4
.,
? City Phone
Name KL'141 » Rr;-+j
3 Address VSc L Sc? , ,yq ? !
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMlIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
I SIGNATURE OF
FOR: CITY OF EAGAN
PEFiMIT # '
RECEIPT # , -
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on k
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
?Water Closet - $3 00 $
Bath Tubs - $3.00
?Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - 51.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: ?
SEVHER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Reed PERMIT NO.:
Eagan, MN 95122 DATE:
zoninp: No. of Units:
4wner:
Address:
Site Address:
Plumber: --
1 ogree ta emnply wN6 tbe Ciryr of Eagon ConnecHon Chcrge: ,
?
Ordinantes. Accourrt deposif:
Permit Fee:
Surchorge:
By Misc. Charges:
Date of insp.: Total:
I nsp.: DaM Pa1d:
R SERVICE PERMIT
WATE
CITY OF' EAGAN
3795 Pilot Keob Road PERMIT NO.:
Eogan, MN 55122 DATE: ,
Zoning: No. of Units:
Qwner;
; Address: . , S - .. . - -
Site Address:
Plumber:
AAeter Mo.: Connect;on Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree tu wmPlr witfi !fia Ciiep of Eogan Surcharge:
Ordinances. Misc. Charges:
Total:
BY Dote Paid:
? Dote of Insp.: Insp•'
(grrtifirtt#t af (Orrupttnrij
Citp of Cagan
3Brpttrfinent n# iguilDing 3nsprrtinn
Tbif CMiftCqlC 17311ClI pqTSN4fU 10 IIX f[9HJILpiCAIJ Of Serrion 306 of the Unr(orm Building
Codr crrtifring that at the timt oJ irtswntt tbit ttrruturt wat in coxtpliunn witb the vatiaw
ordinanar of tlnCity regulating 6riilding ronttrurrion or ult. For the follouung:
?cjdfi?m SF DWG/GAR WdFhm,No 7765
o-? rYa R3 pyv.cm.wowoV w,.Zon NA i„m,xwMa Rl
.?__._...__ Brian Haenzel ....._.
Road By lst
a."?o? March 21, 1983 kk?
BUILDER: VIVANT BROS. CONST.
CITY OF EAGAN
3795 Pilet Kno6 Road Eegan, MN S5144 N9 7765
PHONE: 454-8100 ---?' -
BUILDING PERMIT ' Receipt
.
To 6e wed for SF DWG/GAR Esr. Voiue $60,000
pate January 18
, 1983
Sire Addrcu 4552 So. tiay Lake Road Er«r Occu nc
Y R-3
Lor S Block 1 Sec/Sub, Overhill Farm ist Alter p Zoni 9 R-1
Parcel # 10 56150 850 O1 Repoir ? Fire Zone NA
v
E^iarya ? Type ot Consr.
W Nome Brian $ Annette Haenzel Move ? # Stories
; Addross Demolish ? Length46.5
C? 447-6497
Phone Grade
?
Depth 48
Sq. Ft.-
? N Vivant Bros Const Aporovab Foos
o ame
82 Address 2420 lOSth St, East
F- r;,„Inver Grove Hts?..__ 451-3483
Neme _
Address
I hereby ncknowledge thot I hove reod this apDlicorion and stote thaf
fhe informofion Is eorrect ond ogree fo comply with all npplicable
Stale of Minnewto Stotutes and Cify of Eogan Ordirwnces.
Sipnolure of Pertnittee -
A Building Permil Is issued fo: -
oll work shall be done in accordonce
Vivant Bros
Assessment _
Wafer 8 Sew.
Police
Fire
Erq.
Planner _
Council -
Bldg. Off. _
APC
Permit 010.vv
Surchorge 30.00
Plan check 156.50
SAC 525.00
Woter Conrf}zo • 00
Woter Meter 50 _ On
Road Unit 240 00
Toral 1744 . 50
ttSY. on tha expreu conditionlhni
of Minnesota Statutes and Ciry of Eoqon Ordinances.
Bulldinp Officiol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N? 15906
; y 3 ?
BUILDING PERMIT ' PHONE: 454-8100 qeceipt #??9 '1•
To be used for SASEMENT Est. Value $1, 500 Date NOV 28 ,1988
Site Address 4552 S HAY LAKE RD
Lot 5 Block 1 Sec/Sub. OVERHILL FARM 1S7
Parcel No.
cName BRIAN D HAENSZEL
w
z Address 4552 S HAY LAKE RD
0
City EAGAN phone 454-0608
OFFICE USE ONLY
On Site Sewage _ Occupsncy
MWCC System _ Zoning
On Site Well _ (Actual) Const
Ciry Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
a Name_
.o
? a Address
? City_
w
z
a
i
w
Name
Address
Clty-
I hereby acknowledge that I have read this appliwtion antl state 1 at the
information is correct and a9ree to compry with all applicabl ate ot
Minnesota Statutes and C?it[y ol Eag r? ance?
Si9nature of Permiltee
A Building Permit is issued to: BRIAN D_HAEN$Z$L
on the ezpress condition t hat al I work shal I be done i n acwrdance with all
applicable State of ?nnesola Statutes and City of Eagan Ordinances.
Building Official
APPROVALS FEES
Engr./Assess. Permit 34.00
Planner Surcharge 1.00
Council Plan Review
Bldg. OfL SAC, City
Variance SAC,MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
fvdcac COPY _ Sn
TOTAL 35.50
?r?/ ?/(?? ?(P REQUEST FOR ELECTRICAL INSPECTION EB-OOWl-04
/-v ?' 0 Sea inslmcliens br completing this torm on beck ol Yellow copy. /?
C 27220 "X" Below Work Covered by lhis Request ?U qsa i
Nav, AAtl Ne0 ' Type ot BuilGing Apoliancea WireA Equipmenl WireA
Home Range iemporary Seroice
Duplex Water Heater Lightiny Fiztures
ApL Building Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm otnnr paci v tnFr 15nnr.ify)
1 9I VCCIfy O1hCf OIhL'f
Campute lnspection Fee Below
M Fee ServicaEnhanceSize tl Pee Fexders/5ubfeeders N Fee Circuits
0 ro 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 37 to 100 qmps 31 to 700 A s
Swimming Pool Above 100_Amps Ahove 100_Am s
Transiormers Irngation Boorc?s Partfal-Other Fee
Signs Special Inspection '
_
TOTAL FE
?
N
ama rks
r,??
?-
!1
RougA-in Date 1, the Electricel
Insoeclar, heraby
certily thet the above
Final ?fC'l ingpeclion hes been
? F 7 mbae.
TMe requeal voiE 78 months irom
This reQuest void7, G_? ( _
18 mnrthe from ? ?F ? v? sa
' C 27220L.. g ? yG
HequeSt Date Fire o. ' spec?ion
Notify. InsPec-
`
?D ? epuired? ONeatly Now [?W?orillWhe n Reatly
Yes ?NO
V?Licensed Electricai ConVactor I hereby request inspection ot ebova
? Owner elactncel work installed aC
Streat Address, Box or Route No. 4cjs Q S,',',? ?K`C ? City
?OT S rQcx I Dve?e??cc ?A?err,
ecbon o. Township Name or No. flanye o. Cowuy
O oant I?INTI Phone No.
?? ?,es sa ? ??
r Supp
lier Address
,/
1
?/?- ?l /l
ec rical ConVactor (Conezrri/ v Namel
5p?en Contrn'S Liccnse No.
0 r,me glS-3
?.
Mailing AdJress (Contract or Owner Making Instailation) )/?
/J
.
\ ltil "?C_
Aut?o re (ConVactof/Own akinB installal' n) Phune Number
MINNESOTA STATE BOAPO OF ELECTRICITV ? THIS INSPECTION FEQUESf WILL NOT
Griges-Midwey Bldg. - Room N•191 BE ACCEPTEO BV THE STATE BOARD
1827 lJnivarsity Ave., St. Veul, MN 55104 UNLESS PqOPEN INSPECTION FEE IS
ow....e Ie121 957.2111 ENCLOSED.
5/--iA0/ K6 csf"JO? /
2 5 614 4 /
y/?i
. ,
Request Date
/ ? ? ? ? Fire No. Rough-in Inspaction
RaquireA?
?eaAy Now ? Will Nolity Inspeclor
h
d
?
(S ?Yes No enRea
y
W
17 licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SYreet, Box or Foute No.)
,L Ciry
19 P?
Section No. Tovmship Nama or No. Raige No. Couny
'D
OccupaM ?PryIINn t /. `
I ' ? ? /v .J ? e I PMne No.
Povrer Supplier Atldress
Eleclrkel Con (COmpany Name) ?
dacloy"
? c
4
kj L 1
e o7? CqMraclorH License No.
6 410 `'t G e-l -
3
-
-
I
?
1 -
Mailing Addres (Con[ractor or Owner Makiig Installation)
12-7 c T
AWw' re?COMractrn erMaki nsfalletion)
' . Phone umEe
?'? ? -7 y
MINNESOTA SRfE BOApD OF ELECTi11CRV THIS INSPECTION REQUEST WILL NOT
Gtlpga-MiEVrey BWg. - Poom 5773 BE ACCEPTED BYTHE STATE BOARD
1827 UnNersiry Ave., Sl Peul, MN 55104 UNLESS PqOPER INSPECTIIXJ FEE IS
Phoz (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r-% eaooom-m
q ? Sae insWCtiona lor completing [his (orm on back af yellow copy,
?
E°? 56144 'X' Below Work Covered 6y This Request
ew Add Rep. Type of Building AppliancesWired EquipmeniWired
" Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer O[her (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher (specity) Contractor$ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 ro 200 Amps o to 100 Amps
Transfortners Ahove 200 _ Amps A6ove 700 _ Amps
SignS Inapector5 Use Only: TOTAL
Ircigation Booms
Spedal Inspection !D '
Alarm/Communication ?
Other Fee S
I, the Electrical Inspector, hereby
certiy that the above inspection has
been made. Rough-in oare
Fnal ? LA"f ??
OFFlCE USE ONLY
This requesl vdd 18 moniha hom
Thisrequestvoida-?? DUE?k t ?? ?Pn.? !S? 3?5??
18 months from . J7 t 00
Date of this Request Fire No. T 17425
I, as G3-Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri.
caI wiring installed at: ?+
GqgqrJ
Street Address or Route No. ?s?`_? ?1 ?City
?
Section Township _ Range County AAI-,74 .
Whichisoccupiedby 11)0a1f1c-(Name of Occupant)
ls a roughin inspection required on this joh? No ? Yes 10 Ready Now O Will CaII,9-
Power Supplier Address
Electrical Contractor? Contractor's License No. _
(ComDany Name)
MailingAddress_ ?Pao50?_-V4_?aa? D ?
(Electrlcal Gontra or or Owner Making This inslallatlon)
Authorized Signature ? ?Phone No.??
(Ele rical Can tor or Owner M ?g Thls Installatlon)
.????? ???? ?o?i? This inspection request will not?be accepted by the. (° State Board unless proper inspection fee is enclosed:
minnnsoca ocace ooaro or neccnciry
, Griggs Midway Bldg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
- R"tQUEST FOR ELECTRICAL INSPECTION
CHgCK BELOW WORK COVERED BY THIS REQUEST
EB-00001-OZ
:33 L-I.S?{ ?
;T 17425
Type oi Butlding New Add. Rep. Check Appliances Wired Fm Check Equipment Wired Foi
Home ? ? ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Wa[et Heater ? l.igh[ing F?tums ?
ApL Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm List List
Other O O ? p?heis?
F?e
te 1 Others
?
Here
COMPUTE INSPECTION FEE BELOW
Service En[rance Size: u Fce Feeders@Subfeeders: x Fee Circuits: # Fee
0[0 100 Am s. 0[0 30 Am res 6 5 0[030 Am eres
101 ta 200 Amps. _pp 31 to 100 Am eres 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Pa?tialorotherfee C
Signs Specia] Ins ection Minimum fee $5.00
Remarks
?
TOTAL FEE Or'
I, the Electncal Inspector, hereby certi tka th has been??
(Rough-in) Date
(Final) Date 5
This request void
18 months from
REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
See instructions lor comDleting this lorm on Dnck of vellow coov.
IlO 1-1
E1(+lJ j 1 ""J(" Below Work Covered by 7his Request
Adtl Rep. Type oi 0uileina AOpliancea Wired Equiumem WireA
Home Range Temlxorary Service
Duplex Water Heater Lfyhtiny Fixtures
Apt. BuilAinq Dryer Electric HeaUn
Commercial Bldy. Pumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank -
Farm tne, aet:i v omcl isne??fy1 ,YN/Nt(J
t Ar Suc?:i y ther Oth.r 0 l
Compu[e lnspection fee Belnw
p Fea ServiceEntrence5ixe b Fen Featlars/Subfee.ders k Fne Cimuits
0 to 200 qm 5 0[0 30 Am s ? tn 30 Am ?s
Above 200_qmps 31 to 100 Anips 31 to 100 A s
Swinming Pool Above 100-Amps Abave 100_AmV+
Transiormers Irrigatioq8ooms Partial.Other Fee
Signs SUecial Inspection $C!, `
TOT FE
Pemarks /1.
.+ .. ? ..?J ?
rrle•' " / ' ' 1
, flouph.in • '/ ? / • the E .
nspectoq neraby
carti}y thnt the above
Final ( D'nte inypection has been
l? ? a mada.
Tnia revuest voi01B montlu Irom
This reQUes[ voitl// ?p%p+? ?'S%//?//
18 months Imm O O ? r T
E 14031 L,?al
RPnuest Date Fire No. Fouph-in Inspection
flequireA?
?Ready Now Q Will Nmify_ Inspec-
? ?-. ? - /• ?Yes ?No [nr When ReadY
F] Licensed Eleclrical Conuactor I hereby requast inspec[ion ot above
p(Owner elactrical work installeA at
Street AACress. Box or Route No.
1fS?sz So_ IIAY LAKE R4. CitV
45116;1?j
ectmn o. Township Name or No. flanfle No. . County
iwa 7-A
Occupant (PflINT) ??
13R1?? l?? /?e zec Phonr Nc.
yS?{-
Power Supolier Adtlress
o { 6lEC T/?1C, 1-' GT&
Pd A'' -
, ,
,
Electrical ConVactor (Company Name) Comractor's License No.
Q2i,4J D. 1,4j?JS zf c.
Mailinq Address (°--•---'--r Owner Making Installat.on)
`ISrZ So /fay L4ir4. /LP. FR64^' /nJ SP7-3
Authorized Sipn.vure ?O er Makina Installationl
- Phone Numher
61z- qs`?-oGad?
MINNESOTq STpTE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Grie9s•Midwey Blde. - Aoom N-791 BE ACCEPTED 9Y THE STqTE BOARD
56104 UNLESS P0.0PEH INSPECTION FEE IS
iffi7UniversilvAVa..51.Pau1. MN ENCLOSED.
on,,.,e 19111 aaI.rwnn
CITY OF 4:AGAN
ltJ
BUILUING PEIdmIT APPLICATION
Include 2 sets of plans, .
1 site plan w/elevations &
1 set of energy caJ_culations.
0
Zb Be Used For v? Valuat?.on (? O°a Date
?.. _
Site Pddress Rowd m-
Lot slock sec. sub.a?<?l?u Fwf?w-5 ??
Parcel #: 10 5f01S6 OSo o ?
Owner: k) Ugh 'k 1+hne1TC 'e617-.4 +
Address: -
City/Zip Code:
Phone 7-?Y9Z
Contractor•
Pddress: ZuaS? ? bC?`?5? JU,ST
City/Zip Code:
Phone #: ){91=?i
Arch./E[1g.: p,T1 ? ?? I`?S T?1/4M SZ{'JiC{
Address: ?)u.i"VtSUAt
City/Zip Code:
Phone #:
OFF'ICE USE ONLY
Erect ? Occupancy
Alter Zoning j
Repair Fire Zone
Enlarge _ Type of Const. _
Nbve # Stories
Dainlish Front y(?S ft•
Grade Depth iyf( ft.
APPIiOVAIS FMS
Assessumts Pexmit
fdater/Sewer Surchar9e 919
Police Plan Check ? s
Fire SAC -r-v
glq, Water Conn. y?a
Planner . Water Meter JQQ_
Council Road Unit °ot y0 ?
Sldg. Off.J- 3-
APC
=AL O(W C 5b
_.o,.?c.?.,..-.-.--__.__...._...._.._._?..___.,._...._x_ ..,.,.._...
Sy0
? g ?1 ? d
RESIbgNfIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction ReaulrenteMs
. 3 iegislered sRe surveys strowing sq, ft. of lat, sq. ft of Muse; arW all roofed areas
(20% maxMum lot coverage allowed)
• 2 copies of plan sMwing beam & window s¢es; poured found design, etc.)
• 1 set of Errergy Calculatare
• 3 copies of Tree Preservatbn Plan'rf lot platted after 711/93
• Rim Joist Detail Optbns selection sheet (Wdgs with 3 or less unBs)
DATE
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY O
TYPE OF WO
APPLICANT '
ADDRESS \9
PAGER #
FIREPLACE(S) _ 0_ 1_ 2
4f.'--? PHONE# I05I•o?Qq•4_T1-2T_7r-
3t?s_'QViAC.YYV\1 ZIPCODE raS1??
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 n M? n
(check one) - Residential Ventilation Category 1 Worksheet Sub ?(??
- Energy Envelope Calculations Submitted D
MPY 0 8 2002 U
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted ?
Plumbing Contractor: _
Plucnbing 5ystem Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orc i ances.
Signature of Appllcant
_ Water Softener
Water Heatcr
No. of Baths
7/ 7s"
RemodaVReoair Reaulrements
• 2 copies of plan
• 1 set of Energy Calculations far heated addilions
• lsitesurveyforexterioradditians&decks
• Indiwte'rf lwme sened by septic sysfem for additions
VALUATION 9,000 C,0
Phone #: L_?
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
_ Air Conciitioning
Hcat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OrFICt USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-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 Plbg_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 Alteratlon ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entlre Bldg only) - Give PCA handout tp applicant
Valuation Occupancy MC/ES System
Census Code Zoning ? City Water
SAC Units Stor'res Booster Pump
Nbr. of Units Sq. Ft. PRV •
Nbr. of Bldgs , Length. , f ire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesis _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insuladon _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
"••• "•••••-•i iuv 1L.JV rm 104 oi1 4400 1tCCIL`TIAL ]S!'ACIlltSI(`JlSfl
re al
7u„a 1, Zaor
eity ofHasm
3836 Pilot &tob Road
Eagan, MN 55122
To Whom It May Concern;
IIder Jones is authorized to pnll building permits for Renawal by Andeisen_ Please allow
Elder Jones to pmvide this seryicc for ua in Eagan. 'Ihis suthpriyacicm is valid for any
date beyond 616101; until akenawal by Anderscn manager expressly revokes it in writing
to the City.
I request this aut}iorization hc aaccpted expeditiously, av to not delay in the processing of
our building pcmuits any furthcr. Plcasc caII mc If thclc arc anq qnesciona. I can lxi
contacted at 763-502-4706.
Your imm9diatc attention to this matter 9s appreciated.
Sinceiely,
ymond R. Rau
nstallation Manager
Renowai by pudpscn Corporatian
MDUU2/UU7
C'.c: Kara_F.i[ie,r 7nnpa
GkADA ??
MO?ry pElic
yy M??Ota
00"?m°n°" E+nYN.kn. at? zu0s
0
Received Tiu Jun. 1. 1:01PM
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS qo 4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS li OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used ror: &fi^Fi-J7 /'/-'ISH. Valuation: / S 00 Date:
Site Address ySS2 -qo. MV IRK4 /2x
Lot 5 Block ?
Parcel/Sub 0vEizl4itLFa1lin F?RfrpD/JiTla-'
Owner P21ff?' p. lri}f-,'SzEG
Address So. Yk)l 120•
City/Zip Code F-4617w{ M/i ;SIZ-3
Phone ySV-d6ob'
Contractor /rJonP_lES piE7L guit0oc25
Address 1(,5-93 GRLE.Jq 14L.
City/Zip Code ASi,)tou.JT /y7.j
Phone 932 - 7y96
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
On site sewage _ Occupancy
MWCC system _ Zoning
On site well Aetual Const
City water _
_ Allowable
PRV required Ik of stories
Booster Pump ?
_ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 3y',
Planner Surcharge
Couneil Plan Review
Bldg. Off. n pg SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies -?
TOTAL
IVANT
ROTHEftS
,
VIVANT BROTHERS CONSTRUCTION
2420 East 105th Street
Inver GroveIIHeights, Minnesota 55075
PF}oht- '7S I- 3L1$3
,-,?-, -
?--- =
-SS.S1- -,-
s'i ur:l?j )s
?YIS eb,,_wT ?'?)
? ),9T
b31 k ?
I
Gene ?vant
)451-3483
Ronald Vivant
(612) 432•6047
PY,DPoScA S1=1oa1' 17 14 3
i
$?A-I 2 1 `? " 3a
i ?
?esckip?`iah!
? ?T S ?Ik, J
?- _
Pr PvSj
,,
.
- - - - - -? i--- -
A; 4 r??
?
a-w, Ro ?.?
iivk s'v'rfi<a
???1
. A0j°"v"'"'• M ? EXTERIOR ENYELOPE 1+VERAGE "U." COMPUTATION
' OMt1ER YiYI fthn?rre ?fXlen 2rl '4 8-ISZ.?
SITE ADORESS
.
.
,
(/
65
?ST
C e
DATE * $- IQ-8Z
PNDNE
sp?gpc p
.
.
*.
Oeieranine "U" value of each wa11 segment.
a. I9I. 2 x"u"
e. 39 x "u°
c.
a.
4y
x ???,?
, 55 - 94.I1o
• i3q = 5.2
x «u„
e. 153, 08 X°U" ? 10 = ! 5.38
?. 138'?.92 x "u" .0 = IoZ.3Z
I111 10? i ?•Lo
9. /lO X NV
?
h. 1 X "U"
i, Q2.q X "U"
, qtcq - `13.33
3 . .............. ..:...Total ° ZN •
If ltem 03 is the same as, or tess than item 11, you have met the intent
of SBC 6006(c)2.
Determine r+orking square footage ot each.
1. Total exposed v+all area ...... ZoZy'q sq. ft. x .18 ` •3
2. Totai roof/cetling arca ...... IDIa$ sQ. ft. x .04 ° Z•?Z. _.
Total exposed wall erea above floor ? ?17 92
.........................
a. Tota1 wa11 windorr nrea..
b. Total door area .................................
c. Total siiding glass door area ....................
d: Total firep7ace vra]1 area ........................ --
e. Total Kall framing area (average lOt)........... __j,_53•S?
f. Total net wa11 area above floor ................. -13 8't. 2.
g. Total rim joist area ............................ 140
Total exposed foundation area Oll
?
h. Total foundation windovr area..........
1. Toal net foundation area above grade............ Z.?'
7oL1 exposed roof/cciTing aroa 1 DLoB ' . : 7ota1 gross roof/ceiling area ? ? ??? • '
Totai slSylight area ........................ S
. k. Totsl roaf/ceiting framing area .........,.. lOlc
1. Total net insulated roof/ceiling area....... 9 S
Oetermine "U' value for each roof/ceiling segment.
- 3: . 0 ... x wus
_
k. • lOlo X "U' .035 W 3.11
1. ci 54 x•u• ? ?3 = Z 8. toz
I O Lo 8 Tetal
. . ........ ,
- 4....................
• If total of !4 is the same as. or less than !29 You have met the intent ot
_ SSC G006(c)l. To utittzed the total envelope system method, the vatues established by the
sutn of items 03 and /4 shall not be greater tAan Lhe sum of iteGts I1 and /2.
- ?, • + 2, '
3. t 4. '
][AtI12A1,3 w •
tzterlor Air
---- -3iQina ltatarial
_ sh?at?i7?
. " Inss.lstion .
Sdse4rodc
iateriax Air
StioIIs
- Riw
Cono. Slks.
Yhorw. 8esistanoe x
.19
19
oF
3830 PILOT KNOB ROAD. P.O. BOX 27199
EAGAN, MINNESOTA 55121
PHOfVE: (672) 454-8100
JULY @$, !(*G
MS. CAROL LEONARD
DAKOTA COUNTY AUDITOR'S OFFICE
DAKOTA COUNTY GOVERNMENT CENTER
1560 HWY #55 WEST
HASTINGS MN 55033
Re: Tax Parcel 10-56150-012-00
SeCOnd Addition)
Dear Ms, Leonard:
Enclosed is a copy of the
Addition that was approved
15, 1986. The plat shows
been incorporated into Lot 5,
As of this date, the final
County but will be in the
up the split of this parcel.
If you have
this office.
Sincerely,
BFH BLOM9UIST
MWnr
THOMASEGAN
.NMES A SMIfH
Vc Eu60N
7HEODORE WACHTER
Council Membars
1HOAM5 HEDGES
Ciry Mminislmtor
EUGENE VAN OVERBEKE
Cny Cienc
(LOt 5, Block 1, Overhill Farm
final plat for Overhill Farm Second
by -the Eagan City Council on July
that the subject tax parcel has now
Block 1, Overhill Farm Second Addition.
plat has not been recorded at Dakota
iear future. I trust this will clear
further questions, please contact Dale Runkle of
iDykstra
Planning Department
/jbd
enclosure
cc: DaVid Dehler
THE LONE OAK 1REE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Wq// MECHAIVICAL (RESIDENTTAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Famity Dwellings
Townhomes and Condos when permits are required for each unit
t&O5-D
Date
Site AddressT??'?`G\?(
\J Unit #
Property Owner Q'
N-A Telephone # ((051
) HO ? - 3 ??Z
STANDARU HEATIN6 & AIR CONDITIONING CO.
'
c
ontractor
Street AddresINNEAPOLIS, MN 55408-2996 City
State Zip Telephone # ( )
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwel?iug unit $ 30.00
? furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total F
Ani ?? •? ; ?.,; I 'i??
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the inforr+uation is complete and
be in conFormance with the ordinances and codes of the City of Eagan and with thp%kTechwanical_Codes _tk
pe t, but only an applicarion ermit, and woik is not to start without e'that the work w'
app d plan in the case of w r whic requires a rev w and approval of p ns.
?
Applicant's Printed Name ApplicanYs Signa?
that the work will
rstand this is not a
cordance with the
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please wmplete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Talephone # ( . }
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Pgrm.S.L Fao e145Q xfi°7M.'sm F:.:, (:iC:u4'cs Sffi:c SGrZV31'goj .
ConhactValue $ x 1% _ $ PermitFee
• If permit fee is $1,000 or less, add $.50 => $ State Surchazge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and aclmowledge that the information is coxnplete and accurate; that the work
will be in conforroance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a perxnit, but only an application for a pemilt, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
?
?
- -----------
? ForONrce?;llse ? `? ?
I
j Pertnit#:
? Perznit Fee:
I
? Date Received:
t ?
I ?
I 5taff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -a-4--Oe Site Address:
Suite #:
RESIDENT / OWNER Name: ?dm AdLJ"k110 Phone:
nddress / City / zip:
Applicant is: _ Owner ? Coniractor
TYPE OF WORK Description of work:
&9AlC-s
?
Construction Cost: Multi-Family Building: (Yes_/ No ?
CONTRACTOR Name: Q/n2UT License #: r?? ?-q?&76 S
Address: ??? QQ ? ?fT[ L _
City: &X&fl7v Statexx?Zip:
Phone: ?67-rgW- E)Cl n GontactPerson: ?G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
Category Submitted Submitted
(q Submisslon type) • Energy Envelope Calculations Submitted .
In the last 12 munths, has the City of Eagan issued a permk for a similar plan hased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.; Porfions of
the info'rmation may he classified a§'non public if you provide specific reasons that would permit the City to,
'concludethat the V are trade secrets. I hereby acknowledge thal this information is cnmplete and accurate; that the work will be in
Eagan; ihat I understand this is not a permit, but onty an application for a permd, and wo.
accordance with the approved plan in the case of work which requires a review and approval!
XX_
Applicant's Printed Name Applica?
h the ordinances and codes of the City of
without a permd; that the work will be in
Page 1 of 3
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
For otn j=
n I Permit
City of Ea V
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I _ 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10 Site Address: 145,5a S. 4'~4 La~ V-3
Tenant:
~ma5 Ma~~l 1~.~f 1i F1.
Suite
RESIDENT/ OWNER Name:
Tll
oyn06 Phone: (6I qqq `l (74(P
Address / City / Zip: t4 55 V-3 E an s to
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: De_64,'
Construction Cost: , j 00 . oo Multi-Family Building: (Yes No )
CONTRACTOR Name: S eW License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last Z12nonths, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes c If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.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 nwith 'the approved plan in the case of work which requires a review and approval of plans.
Applicant's Pri ted Name Applicant's Sig ture
Page 1 of 2
DO NOT WRITE BELOW THIS LINE 7Z~
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
I
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ew Occupancy ac- MCES System
Plan Review Code Edition SAC Units
(25% 100%--z Zoning City Water
Census Code y 3y Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction- Width All
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) JIV- Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: - Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 103
Surcharge
Plan Review 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
)C 6d, 7L
s
f ~ q
~i
~ ' ~ ^ i LL ~ 177 T
i!7 a ATP - iV
i
13 v I
d' .16" _
f ~ r
~ a
9 ~ r
_ 7
L-4 t
LLJ
00
f
e ~
f
T
~~z
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA101040
Date Issued: 09/19/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4552 Hay Lake Rd S
Lot: 5 Block: I Addition: Overhill Farm Ist
PID: 10-56150-01-050
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimnev flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Heath and Home Technologies Mari C Mccann
2700 N. Fairview Ave 4552 Hai Lake Rd S
Roseville MN 55113 Eagan MN 55123
(476)16-332 X61
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115276
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 4552 Hay Lake Rd S
Lot:5 Block: 1 Addition: Overhill Farm 1st
PID:10-56150-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Mary C Mccann
4552 Hay Lake Rd S
Eagan MN 55123
(651) 276-3697
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
, , Use BLUE or BLACK Ink
r-______---
I For Office Use ���i��
' � � Permit#: / �����O � l� �'
Clty of ����� � ����
� Permit Fee: ���" � �
3830 Pilot Knob Road � � I
Eagan MN 55122 � � Date Received: y ` G -
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERlVIIT APPLICATION
Date: Site Address: Unit#:
Name: ��/� � L��r,�z ���I L/�✓� Phone: �r��'' ?�P- 3��7
Address/City/Zip: 7 � sr� �L�' "- � � �` ,�,�/,
Applicant is: Owner Contractor --
Description of work: � � �/15� v {'o�Z C-'�
Construction Cost: "7' � 0 � Multi-Family Building:(Yes /No�)
Company: CO ►Y l���5 1 �S Contact: (,vl��Ak f(/L G�.l�t�SS
rec��� �-'/I/L?� /
Address:_l ��� ���J/1��v �c./� _City: � l- /`�� �--
f� ,- .(�a�
State:�Zip: � � d%Z Phone:��9 �Ocs�2 EmaiL� !LG-� �02�/�fL�'z[0�/� �-
, ��s��,�t� v�«r� �c-
License#: C O� �;Z-�% Lead Certificate#: ►
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1��e5� �j���; � �,, �� '
COMPLETE THIS AREA ONLY IF CONSTRUCTItVG A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan b�ased on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.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 iplans.
Exterior work authorized by a building permit issued in accordance with the Minnesot I:a�e Building Co m e co pleted within 180
day f permit issuance. ,�^ �,��_.-- - �,/�
x �,������� � /��G�a� '� -y�
pplicanYs Printed Name p canY's Signature
Page 1 of 3
,.,
�,���- ��' ��� DO NO WRITE BELOW THIS LINE ��r��� �
SUB TYPES �
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage � Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (ScreenlGazebolPergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Buiiding
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building�
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION { j �
Valuation � �`'� '*� Occupancy ` MCES System
Plan Review Code Edition R r t�'` SAC Units
(25%_100%�) Zoning ��,,. City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: ��`` , Building Inspector
RESIDENTIAL FEES
Base Fee �t'��'���`
Surcharge � �
Plan Review ������
MCES SAC �
City SAC �
Utility Connection Charge � ,r� � ;,�"�` � ' � // � ��
f�
S&W Permit 8�Surcharge
Treatment Plant � ��� g� f� � � l �� �-#�„�
Copies � �" � �` °�_
TOTAL �M �`'�'
��t� ��age 2 of 3
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Report,Name: Printed: 4/14/2015
Inspection Results City of Eagan Page: 1
Inspection Results
EA09�374-a552 Hay Lake Rd S
Permit Type: Building
Sub Type: Deck
Date Inspection TYge Inspected By Result
08/18/2010 Footings Terry Zelenka Partial Inspection
they had 3-24in footings for a future,porch owner is to have stamped plans on site for finaL'
08/24/2010 Framing Mike Lence Partial Inspection
Ledger board only.
Jeffrey Wheeler
From: bill@cornerstone-designbuild.com
Sent: Tuesday,June 30, 2015 10:12 PM
To: Jeffrey Wheeler
Subject: 4552 Hay Lake road So. Permit# EA130686, Engineering answers to framing questions
Follow Up Flag: Follow up
Flag Status: Flagged
--------Original Message--------
Subject: Re: Ruhland residence, project#5.189
Date: 2015-06-30 17:01
From: Ryan Mack<ryanmack@hanson�roupmn.com>
To: Bill Nichols<bill@cornerstone-desi�nbuild.com>
Bill,
The continuous header will not affect our wall bracing engineering and does not need to be re-framed.
A MTS12 twist strap would be an adequate substitute for the pair of framing angles.
Q r��a i�a�. 7�� 1�a�>� �� T�� �o X�,p:,�,q y��,�r
Thanks, �/
Ryan
*
*
*
Ryan Mack, PE,SE, LEED AP�
Structural Engineer
The Hanson Group LLC
Cell: (612) 214-1220
www.hanson�roupmn.com [1]
3407 Kilmer Lane North Suite#4
Plymouth, MN 55441
On 6/30/2015 1:20 PM, Bill Nichols wrote:
> Ryan,
>
1
> I have a few questions:
>
> My inspector wants to know if it was acceptable for us to have built
>the"Porch end wall"with a continuous header rather than with three
>separate headers divided by studs, as your drawing shows?
>
> In Refere nce 2-S1;
> My carpenter neglected to overlap the new top plate to the old,
> however he did inset the header into the existing structure (Same as
>floor, Ref 1-51)So, I'm hoping that satisfies your intent, and I
>don't need to add the A34 angle, as it would be difficult to install
> it properly on both sides of each plate intersection. If not, would
> it be acceptable to install it on only one side,or use a different
> bracket, like the MTS12 twist strap, or even a flat strap that would
>fasten underneath the plates?
>Attached are some photos
> Feel free to give me a call for more clarity Thanks Bill Nichols
>Cornerstone Design Build Inc
>651-699-0032
>
>Sent from my T-Mobile 4G LTE Device
Links:
[1] http://www.hanson�,roupmn.com/
2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132916
Date Issued:09/10/2015
Permit Category:ePermit
Site Address: 4552 Hay Lake Rd S
Lot:5 Block: 1 Addition: Overhill Farm 1st
PID:10-56150-01-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Mary C Mccann
4552 Hay Lake Rd S
Eagan MN 55123
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143467
Date Issued:06/16/2017
Permit Category:ePermit
Site Address: 4552 Hay Lake Rd S
Lot:5 Block: 1 Addition: Overhill Farm 1st
PID:10-56150-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas J Ruhland
4552 Hay Lake Rd S
Eagan MN 55123
(651) 276-3697
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176209
Date Issued:05/05/2022
Permit Category:ePermit
Site Address: 4552 Hay Lake Rd S
Lot:5 Block: 1 Addition: Overhill Farm 1st
PID:10-56150-01-050
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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 -
Thomas J & Mary C Ruhland
4552 Hay Lake Rd S
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature