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4566 Hay Lake Rd SPERMIT MECHANICAL PERMIT CITY OF EAGAN RECEIP' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ ? Name IUCI'i, ; B Address c City ? Name _ c Address 0 City =- TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other t [Ctcv 11 BLDG. TYPE WORK DESCRIPTI Sec/Sub' 7 Res. ? New ? Mult Add-on _ Comm. Repair , Other ione ' M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL: RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) _ GAS OUTLETS (MINIMUM - t PER PERnAIT) - 1.50 EA. COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPIIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON R REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SI 7,1"1 - .4 I EE FOR: ITY OF EAGAN CITY OF EAGAN Remarks Addition OVERHILL FARM 1ST ADDN Lat 6 Qlk 1 Pefcel 10-56150-060-01 owner Street 4566 S. Hay Lake Road 5tate ? Improvement Date Amount Annual Years Paymant Receipt Date STREETSURF. 19$1 310.74 15.54 20 17. 5& p/ - 3- G STREETRESTOR. 1003,60 tf4 GRAOING 72 0`?- I•? C?0 I/ S o2 I'I.j-??o 5AN SEW TRUNK 5 1181- 359.28 17.96 20 g3 EWER LATERAL x 4 54.86 $50.97 02 S. CD / 1'13" ? I'M 74SAt1 SEW TRK LAT HEN 198 287. 85 19.19 15 93 0,A a I /-i3 - .WATERMAIN WATER IATERAL 3 1981 • 8.62 7-0, 70 o // d'.2- `13- WATER AREA 359.28 17.96 20 61• a. 0.0 ?/ ,5:3 / -/,3-d(e e STORM SEW TRK <Z14 1984 552.54 36.84 15 ao Co 1/ s'3 - r 3-S6 STORM SEW LAT -7'r k 99.26 6.62 15 :Zq, 3 47 dr -3- 4 f82-* CURB & GUTTER ? SIDEWALK STREET LIGHT WATER CONN. 500-00 n rr BUILDING PEFi. 11297 SAC PARK CITY OF EAGAN 11297 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8100 ? QUILDING PERMIT Receipf # Te re wed fer . : . Fe. v.,i.- Site Addreas Lot Block eClSub. Parcel No. W Name , ; Address -' ? City Phone ` Erect LJ Occupancy Remodel ? Zoning Repafr ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth • .? Int Impr. ? Sq, Ft. Install ? Approroh fees ? Name _ Z? ? Address Nssessment Permit ' I I u? CitY Phone Woter & Sew. Surcherge ' ti E Police Plan Review ? Nam8 Fim SAC ? 1,1? Address Enp. Water Conn. , ? tW City Phone Planner Water Meter Council Road Unit ? 1 hercby ocknowladfle rhat I hove reod fhis application ond state thot ? Bldg. Off. Tr. PI. . the inlormotion is torrect and ogree fo tomply with oll applicable State of Minnesoto 5tatutes and City of Ecgon Ordinonces. APC Parks Sipnoturc of Pertnittea Var. Date Copies , N 8ulldinfl Permit Is issued to: Total on ihe exp?ess condition ihar oll work sholl be done in accordonce wirh oll applicable Stote of Minnesoto Statutes ond City oF Ecqon Ordinonces. Buildinq Officiol Pamk No. Permk Holder Dou Talephons it Plumbino H.VA.C. ? ? ? r ? ? 7??SZI efectiric o-7 Softwmr • Irqpoction Date In?p. Other Footinys I L Footinys 11 Foundatlon Frsminy ?% Roofiny Rough Plbp. Rough Hty. ? ? - ? ? ' Insul. Flnplace Flnal Htg. Final Plbp. Flnal CKt/Occ. Wntar ??ibe Location: Wsll 8swsr Pr. Disp. Raaipt Pennit No. w ? Fee S/C I Tot NIECHANICAL PERMIT CITY OF EAGAN I1 ' f/ll in rwmbered spscat Type or Prini legidY 1. Date // ?.? 2. Instellation Cost ' 3. Job Addrsss Bik. Tract 4. Owrwr , 5. Conuactor Phone 6. Addresa ? 7. City State 8. Building Type: Residential M Commercial 13 8. Work Description: New Z Add O Alter 13 10. Descxibe 11, Institutional ? Repair ? Fuel Type _ No. Equwnmani 8TU - M. Ea. No. Equipment CFM ? Forced Air Ai H li Mfg. ng: r and 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 oorrect, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rouph Final Inspectiona: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 .- ? . ? Receipt%' PLUMBING PERMIT Parmit No. • CITY OF EAGAN F" fill in numbered spaces S/C Type or Print /egib/y Tot ? 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe State Zip i i Commercial ? Institutional ? Add O A?ter O Repair Cl 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray 4 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 454-8700 CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: Eagan, NiN 55121 pATE; -- • ' Zonlrp; - s No. of Un1ta: Ownsr: 11dd?ess: Site Address: y a ` Plumber. I .om ro e80*11, whb d. cit, .f a.?e. Con,ecria, aarge: 4' Ordimee+a. Account Deposit: Permk Fea: Surcharps: BY Mlsc. Charpes: Dcte of Inap.: Total: I^sp.: Date Paid: CITY OF EAGAN W 3830 Pilot Knob Road ATER SERVIC E PERNIR P. O. Box 77199 PERMIT NO.: -- Eagan, MiV 55121 DI1TE: _ 11- 1.5 Z°^jng: _ - No. of Units: Y . , Owner: . , _ . Addrosm Site Addmas: f' Pf umbar: Meror No.: Connection Chorps: `'fl4 . C?Op:? Siu: Account Deposit: Reoder No.: Permit Fee: .00 pc'. v I yrM te aww* wilh !IN Cih of EMP¦ Surcharge: . 5'?pc' OrJlmaoM. M ' 32 D:3pt? '1'' By Date of Insp.: isc. Choryes. Tot01: Dota Paid: Insp.: CITY QF ?'AGAN 3830 Pilo;'Knob Road WpjER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagsn, MN 55121 DATE: ZO^tr' - ? No. of Units: _ pwnsr, i??cAiullen ftosell? Addrosx Ske Address: ?566 South I?hheri;i.. FarEa PlYf11blf. TM 1 `Cr. e Mehr zia!? ion ? Si?: ?? ? r Reoder o.: it Fee: I yne fe eanplp wkh as Cit ' yrw Surcharge: . SOpd Oe?ws Mlsc. Charyes: 132.00pd TP ? Total: 63 t)i'nd e? BY Dote Paid: Date of Inap.: Irtep.: CITY OF EAGAN N2 11297 3630 Pilot Knob Road, P.O. 8ox 21-799, Eagan, MN 55127 BUILDING PERMIT PHONE: 454-8100 Receipt # ?71511?? S Te 6e wed isr $F DWG/GAR F? v,,,. $66,000 .e NOVEMBER 13 1e 85 SiteAddreu 4566 SO HAY LAKE RD erect $J occupancy R3 Lot 6 Block 1 Sec/Su6. OVERHILL FARM 1 Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. V Atlditfon ? No. Stories Neme MCMULLEN/MOSELLE & ASSOC MOVe 0 I.en9tn 52 Z Address 430 INDUSTRIAL BLVD Demolish t l l ? ? Depth 37 ? mpc n . Sq. Ft. CitY MPLS Phone 378-3981 Install ? ? ....... AoOrorals Feei tF Name su Addre i- M.,, Name _ Address City _ Phone Phone 1 hereby ocknowledge thut I have read this the inlormafion is corre[t and agree fo c State of Minnewta Stary-tea ond 6ity qK Sipnoture ol PermiMed I A Building Fermif Is issued I. MC oll work shall be done in accordance with Bulldinp Officlol Nion and state that with oll opplicoble Asussment Permit • 00 Woter 8 Sew. Surcharge 33 . 00 Polite PlenReview 165.50 Fire SpC 525.00 Enp. Water Conn. 500 - 00 Planner waterMeter 63.00 Councii RoadlJnit 280.00 81dg. Off. ]. 12 H Tr. PI. 32.00 APC Parks yar. Da2e Copies 2 .029.50 SSOC on t 7ota? he expreu conditlon thoi wto Starures and Ciry of Eaqan Ordirances This request voitl 18 n,on ,ns rrom E 43801 Y60 J 7 b ? ?/? cxJ ???...,?,. GQ Required? ,,, ? Ready Now D Will NoIify InsOec- ? ?Yes No tor When FeaAy Licansed ElecVical ConVactor I herebY request inspection oi ebove ? Owner electrical work installed et: StreeG QAiess, Box or Hout No. % J G ?F ??r City ? rctmn o. Township Name or No. Range No. Cownry Ka ? p)O Occuonnt Phone Ne. Power Supplier Address ? A `G I Cont a/?ctor'/ ?-? %-B? ? ICompany Nam? / _/ G1'f C?ract?s License No. 6 41 S? MailinB AdJress ICmtracmr or Owner Makinp Instailationl .z sA c` -Q -? ?+ SignaWre tracto Owner Making Installationl Phono Numbrir ' 6 cf Or' 6 t! 7 ? THIS INSPECTION NEQUEST WILL NDi MINNES STATE BOARD OF ELECTNIGITY Gri99s- idway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND 1821 Universitv Ava.. St. Veul. MN 55104 UNLESS PROVER INSPECTION FEE IS Phone16121602-0800 ENCLOSED. •j/a7/8? REQUEST FOR ELECTRICAL INSPECTION pEB/-?00001-06 0 See inshuctions tor campleting this form on back ol vallow coov. ? 43801 "x' eelow Work Covered by 7hrs Request Adq Xep. -Type of Building Appliancea WfreA Eauiument Wi.eA Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryei Etectric HeaUn Commercial Bldy. Furnace Silo Unlonder InduStrial BIAg. Air Conditioner 8ulk Milk Tank Farm Oth, Spec1fv O1hurl5pacrtN ther sueu?v aiher 01n, COmpUtB IllSpeCtian F@@ 8810w p Fee Service Enimnce5iza H Fee Faeders/Subieeders p Fee Circuits ? to200qm s Oto30Am s Oto30Am s Above 2D0 qmps 31 to 100 qmps 31 to 100 qm s Swimming Pool Above 100-Amps Above l00_P?mUS Transrormers Irrigation Booms U Partial,Other e Signs Special Inspection TOTA Memarks flough-in Dnte I, the E 1 1(ISpBCIOI, h@f8by 1 ,certify that ihe abave Final D'`r,'A's inspection hes Ceen meAe. . fhis reauest voltl 18 monllie iro. This equest vaitl?? ? ..? ???h{es" 47 ReQUest Date Rr¢ No. Rouph-in InscecM1On y-? fleq ired? Ready Now?[1 Will No11 fy, Inspec- -?? . S?.P. es ?NO / ?orWhenAeadY V1,Q.censed Electrical Contracmr 1 h¢rebY repuest insoeaHOn of above ? Owner alecVical work insTalled a[: Street AAdress, Box or Route No. . Clv vs? ( s ,? , . zl,?r ?? ?.?/1, c? r Occupam (PNINTI Phone No. 37g -3 Power $upplie/r 1 Addres ti''3sO f - cr + v? t?.?c?t_2 2G Cr< u,.v ,. v i connacmr or MINNESOTq STATE 80/1413 OF ELECTIIICITT Griggs-Midway 61dg. fNoom N-191 1821 UniversityAva., St. Paul, MN 55106 Phona I6121 297-2111 ?_ 3e THIS INSPECTION RE4UE5( WILI NOT BE ACCEPTED BY THE STATE 00APD UNLE55 PROPEfl INSFECTION FEE IS ENCI.OSED. REQUEST FOR ELECTRICAL I.NSEWTION , See instruciions iQt compietinp this form on haek of ysllow copy. 4 1 O /? `f 7 "X*' Be/ow Work Covesed by Thrs RequesT EB-00001-04 / Adtl Xep. TVpe ot Builtling Applianena 19ired EpuiDme-1 Nire.l Home Range Temporary Service Duplex Water Heater Lightiny Fixtures ApL Building Dryer ElecVic HeaLn Conrriercial Bidg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otntr ceury . othe. ISaer.ilyl t r Succity Ot cr Othe, omuute lnspection Fee Selow p Fee Sarvice EnlrenmSize k Fee Feeders/SUbfeedars # Fee Ci¢mts Oto200qm 0 12 30A s 0 to30Am s Above 200 Am - 31 to 100 qmps 31 to 700 Am Swimming Pool A6ove 100-Amps Above 100_Amps Transformers Imigation Boorns Partial.'Other Pee Signs Special Inspec!ion ' S .CKI 1, the E?tny Y Inspeclor, Koreby c9rtify thet the abpva inspection has baen LM I I ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EACAIV aSj( 3830 PILOT KNOB RD - 55122 851-681-4675 New ConsW ctlon ReauiremeMS RemodeVReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°h maximum lot coverage allowed) . 1 set of Energy Calculatlons for heated additions . 2 copies of plan shmviig beam & window sizes; poured found design, etc.) . 7 site survey for exterior additions 8 decks • 7 set of Eneryy Calculations . Indirale if frome sarved by septic system (oradditlons . 3 copies of Tree Preservalion Plan if lol platted affer 711193 • Rim Joisl Detail Options selection sheet (bldgs wAh 3 or less units) DATE u-a3-?a VALUATION I?P ?-?"??• ?U JOB SITE ADDRESS "VE'i? Cap• OaAdCk.ICQ D ? IF MULTI-FAMILY BUILD?ING,,,? HOW MANY UNITS? PROPERTYOWNER l?nifC4d MGYVLIJ3 TYPE OF WOR ?+,K?L WAj,eLh_1_ Z= d- ,)l UIcY1C? FiREPLACE(S) _ 0_ T_ 2 APPLICANT jQ24Zlil8SiT68t ? PHONE#jjfn'-3 7SS Goon Rapids, MN 594N ADDRESS ZIP CODE PAGER # CELL PHONE #? n Ia -R nC:5-Of 15Lt' FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNLSO'1ARULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Piuinbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conclitioning _ Hea[ Recovery System All above information must be submitted prior to processing of application. Phone # ? 2M APR 2 3 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Stqfe of Minnesofa Statutes and City of Eagan dinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 2002 ti'Vater Softcner _ Waler Heatcr No. of Baths Phone #: Lawi) Sprinlcler Fee: $90.00 No. of R.I. I3aths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additipn ? 38 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout ta applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ FooGngs (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stonx _ Fireplace _ R.I. _ Ai r Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicaf Permit License Search Copies Other Total Buifding Inspector . ? ? ,7 ? ? 1985 BOILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTSACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: New Constructimuation: $-8- Date: Nov. 4, 1985 4f0??0 _ mm,0? o Site Address: Hay Lake xoad OFFICE USE ONLY Overhill Farm Lot: 6 Block 1 Sect/Sub 1 Erect Remodel Parcel # Repair Owner John & Linda Morgan Enlarge Move Demolish Address 164 W. Moreland w., :: Grade City/Zip Code St. Paul, MN 55115 Phone 457-3954 APPRDYALS Contractor McMU11en/Moselle & Assoc. Address 430 Industrial Blvd, City/Zip CodeMpls., MN 55413 Phone378-3981 Arch./Engr. Address City/Zip Code Phone It X Occupancy R•3 _ Zoning 2,1 _ Type of Const V I! of Stories _ Length ? Depth 37 Sq Ft id?2sgssments Permit 331 . Water/Sewer Surcharge 33, Police Plan Review I (ofi Fire SAC sZS, Engr Water Conn 5L)0. Planner Water Meter (D3. Council Road Unit 250, Bldg Off q.XParks APC ' Treatrtcent Pl 13Z, Variance o 1?, -? Tm'AL D UaISD ? x 3?( ?5rc)K 54288 i2o x 4¢= 528 0 24-x22 ?- 5Z8 X ?2 = 633G C?5 CIo ¢ ?19 ? ., . EXTERIOR ENVELOPE AVEP.AGE "U" COi1PUTATIOiI OIJIJER SITE ADDRESS CONTRAGTOR IU 'ApLf al _ tl6aw DATE PHONE Determine working square footage of each. 1. Total exposed wall area ....... 1616 sq. ft. x .II - b? 2. Total roof/ceiling area ....... 1134, sq. ft. x.E5,cti7b= 2q,q8 Total exposed wall area above floor = a. Total rrall window area ............................ * ".66 b. c. Total Total door area ................................. sliding glass door area qZ.po _ ................... ' 3q,31 d. Total f ireplzce wal] area........................ _ 0 e. Total wall framing area (average 10q)...:........ !50 oo . f. Total net wall area above floor ...............:. 1003,(03 g: Total rim joist area ..................... ... fl1.b7 ? Total ezoosed foundation area''= h. Total foundation window area............... .. .. : i. 7oal n et foundatron area abcve grade ........:... - a7,b7 - Deternine "U" value cf each wail segment. a- 10°I•06 X"U° .51 = S5. 3 b. 42-00 x^u" . b 7 = 1.94 C. 34.31 -X „uii .? = 15,6)_'. - d. x .,u„?_ ------------ e. ISO {1D X"U° f. f00363 X "u^ 164. y, ?76T_ X „u,. 1'6,4 n. ? X „u„ ?- x „u„ 3 .....................................Tota1 1500 -40.15 3•sl ? Q 6?' I AS RP If item Q3 is.the same as, or less than item 11, you have met the intent of W 6006(r.)2. ' Total exposed roof/ceiling area = j., Total skylight area............ ................ k. Tatal roof/ceiling•framing area (everage lOX)... 1. Total net insulated roof/ceiling area:.......:... Determine "U" value for each roof/ceiling segment. i X f,uit ?_- _ ' - k. J?3 x „u„ 7: lb?.l X „u" 4 ................................. ,oz = zz? a2 = 2o ati 7ota1 I1, total of 04 is the same as, or less than '2, yon have met the intent of 55C 6306(c)l. Alternate 8ailding Envelopz Design io ut•i;ize the total envelope systeira r=thod; thz values estzhlished by the sum of itwns 13 and :4 shall not be greater than th_ sum of items al and R. + 2. Z?,?`D = 1a6.13 _ 168.rd-? s. l4?°FO + a. 2z & WALL CON9TRUCTION ? -? ? ? ? . ? • a e • ? ? . ?. , _ "?}? : ? Illl = \ ° . ? IIII nUn _ ff Conatruction Fig. R-Vnlve • 1. 19T• AIK ' (-ILt'n . 2, t?? • ?.Ne?r aacac- ? 3. '311i' ?oFTu3DOD :. 3 ' 4• 7-132 FSJILT-RI'TE ' 5. SIDINCa _ "b7 F1 R. 1 6• . ex7• AIR .FiLM _ - 1'7 TOTAL "R" _ 9,41 nUn = 1 ? `17- nUn Construction Fig, /f Z 1. 10T. AIR FILq , -? 2 . !Lz SN?s eoc.K. ?.._ 3. r," FG ?usu? . .no 4. Z5/3z eoi??-t?rr?. Z•O(? 5. ?s?Diuc- _ •67 Fiq. 2 6, ex7 R. FtLM . ! 7 T02AL "R" . Z'i. 03 nUn = 1 = pt} nIIn Construction Fig. ? 3 • 1. 1NT. AIP- FII-M -ba 2. 7 " FG 1u50?-, ?OC) 3. 4,. SoF'rw - I "AB ' • ° .. 4•: Z5 3Z B01?T-OffE 5. 1 •bl Fig. 3 6. cxr. A, FIuA - l1 TOTAL nRn yq .:46 upn o 1 _ :pq -nUn Construction Fig. Fiq. 4 1. Mr- AitZ FtLrN ' •65 2. lz° 6i.DCK 1.7 _ 3. Rl G ID Ii1v)L• I. OC) - = 4. C-g AtR EiLm. 6. TOTAL "R" nUn = 1 11 nn ,?: ,,o;:.,. !.?,fiy Mmenslnn whnn bnsement windows are below'gaqde with areeRalls 1 ? ROOF/CEILING CON5TRUCTIO ?ENT F2R. 5 . Fiq. 6 IIUO = 1 R ConetrucEion Fig. ' R-Valve 1. A,? ? 1 4 - f 65. 2. 4dca0 4. Iror ft. FIC.M . 5. 6. TOTAL °R" _4s P? nUn = 1 . .02'?Un construction Fig. # 6 1. ?i ? .66 2. /z hQGfC? 3'a , 3. 36 4. S ? ° 51 5. Nrlnr-Ftt al ! 6. . TOTAL °R° ' 41,-?C- uUn = 1 = _667 "IIn Conatruction Fig. 1. 2. 3. 4. 5. 6. TOTAL "R° r uUn llUn Construction Fig. 1. 2. 3. 4. 5. 6. TOTAL "R" ' _ nUn _ 1 _ '. 11 Un . • i •?• e • i WW-61 • i . . 10 . 01. .2(. ftaq• • • ff •?? ? ? ?? • ?? • ? t? ? • ? .? ? CITY OF EAGAN APPLICATION FOR PERMIT SE4JER ADID/OR WATEE2 COTIIVECTION 1) PROPERTY ADDRFSS: T,FY;AT• DESQ2IPTION: 4" .-:z- klAL/t510CK/JUD0.iV151011 Or '1'.3X YdYC21 l.U. LVIIIOUCr) IF EXISTING STRCCTORE, DATE OF ORIGINAL BUILDING PERMLT ISSL'ANCE: (Nbnth Year) PRESENT ZONING/PROP0.SID CSE: -1 SINGLE FAMILY rRR-2 DLPLEX (?.o L'nits) -3 'IbWNHOL'SE (Three + Cnits) ( Lnits) -4 APARTMENT/COAIDOAIINIL'M ( L?nits ) COMNIERCIAL/RETAIL/OFFICE IDIDOSTRiAL INSTIZS)TIONAL/GOVERNMENT t)'?A 2) .?--- IVAP'ff'.: L-Rl??,?I/f' J?/.C;/r ?£ ? ?v'?7E'?? ???C' ADDRESS: -/-- CITY. STATE, ZIP: 4, T 3 37 PHONE: oc% 3) • r.?• KL ? s&?h r> i -Z. C-?'L' : -? MASTER LICELVSE # For Ci ADDRESS: CITY, STATE, ZIP: PHONE: Plisnbe License: Actiwe Vt red Recor v% Staff t'utial 4) ? '_?? r,.iu?•a / NAME: Z tf S. r?DPMs: dL;: , czTY. STATE, zzP: PHONE : 5) D O-CONNECTION 'PC) CITY SEWRER jMfCON6IDCTION '1C) CITY WATEE2 Q O'I'fiII2 (Please Describe) 6) ? PLF.ASE HOLD APPROVID PII2MZT FOR 7) PICK-L'P BY ONE OF ABOVE CI I.EASE MAIL AP T 2p ?-.?--- 1, 2, 3, 4j ABOVE (Circle one) F O R C I T Y U S E O N L Y PER*7IT '-` ISSUED F°ES: $ S:r r*:Eo nyRn ?IT (I`ICLUD: SUP.CH?RGc) $ ?G 57? WATER PERP4IT (Ii7CLUDE SIIRCHARGE) $ C? WATER METER/COPPERHORN/OUTSZDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:JEQ TAP $ ?S<<.u =r'??'i:=."?.,...:??i_ - ?_.._? $ ACCOUNT D.F,PpSIT - P7ATER $ WAC $ SP.C $ TRli'iIK S9ATER ASScSS:?E:VT $ TRliN:C SE[dER ASSE.45?IEPIT $ LATERAL HENEFIT/TRUNK SE?•IER $ LATERAL BENEFIT/TRUNK SaATER c, ' WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ `L' APlOCJ%T PAID; RECES?T ? DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE FSSUED BY THE ? NO ENGINEERIPIG DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOt4ING CONDITIONS: APPROVED SY: 2 TITLE: DATE: EAGAN TOWNSHIP 3795 Pilot Knob Rosd 5Y. Paul, Mianesota 55111 Telephone 454-5242 PSRMIT FOR WATER SERVICE CONNECTTON Date: necember 12. 1972 Billiag Name: MarkLis G. Serres Owner• same Plumber: Wim Weierke Trenching Connection Number• 1085 &:2 6D4fLx7 O,Vv 71!S Site Address:2875 Pilot Knob Road Billing Address Meter Connection Chg. 300.00 nd 11/22/72 Acct. Dep. 15 p0 11/22/72 Meter No 22351330 Pexmit Fee10.00 pd ?12/l?d/72 ."-'50 pcL 12712772 Meter Reading Meter Dep. Q,,,, ______L_rn - Meter Sealed: Yes I Add'1 Chg, 35.00 water tap NO + 1bta1 Chg. Building is a: Residence xx, I3ultiple go. Commercial Iadustrial Other Ia consideration of ttte isaue and delivery to me of the above permit, I hereby agree to do tim proposed work ia accordance with the rules and regulatioas of Eagan Township, Dakota Coun?, Minnesota. Bv: - «-, a erke Trenching Please aotify the above office whea ready for inspection and connection. Inspected by Date Remarks: $25.00 f?E-fN'aPECTION FEE F6R INAPROPENLY INSTALLED METERS. By: Chief Inspector / EAGEiN TOWNSHIP 3795 Pilot Knob P,oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SE47ER SERVICE CONNECTION . DATE; December 72, 1972 NUMSER 1251 %b 00?'lUcj G?fa OWNER• Markus G. Serres Address 2875 Pilot Knob Road PLUMBER Weierke Trenching pypE OE PIPE heavy cast iron DESCRIPTION OF BUILDING Industriall Gommerciall Reaidential I MuLtiple Dwelling I No. of naits xx Locatian of Connectione: Connection Charge 260.00 pd 17/22/72 Acct, Dep, 2/72 Permit Fee 10.00 d 12/12/72 .50 pd 2 2/72 Street Repsirs Total Inspected by: DaCe Remarks: 8y Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordaace with the rules and ota regulations of Eagan Toc•mship, Dalcota C2;777, BYWe' ke Trenching Please notify when ready for inspection and connection and before any portion of the work ia covered. /v noqpG ol(0 7 S BEA BLOMOUIST MAYDfl THOMASEGAN MARK PARRANTO JAMES A. SMITM THEOOORE WACHTER counai rnEn+eEas April 27, 1981 URSULA SERRES 17927 - 200TH ST E WELCH MN 55089 CITY OF EAGAN ,;.?ry? ? 3']DE PILOT KNOB ftGAO' .T . ' EAGAN. MINNESOTA - b ; saizz ?PHONE 454et00 ,. ? ?.? .. ?. ;. IM?U . THOMASHEDGES CITY NDMINISTflATON EUGENE VAN OVERBEKE CIiY CLEPK Re: Final Water & Sewer-Billing, 2875-Pilot Knob Road Dear Ms. Serres: Enclosed is the final bill for water and sewer utility services as billed by the City of Eagan to the late Markus G. Serres, 2875 Pilot Knob Road. The bill is in the amount of $23.37. There is no payment required. The total bi11 will be deducted from the account deposit and the balance of $6.63 will be forwarded to you. Please make arrangements with the City to have the water meter removed from this property. To coordinate the removal, please contact Lorna Olson who is the utility billing clerk at 454-8100. Your cooperation is appreciated. If you have any questions, please feel free to contact Mrs. Olson or myself at any time. Sincerely, ' Thomas L. Hedges City Administrator TLH/hnd Encl. cc: Lorna Olson THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNI7Y. een aLomouisr MAVOfl THOMASEGAN MnRKPARRANTO JAMES A. SMITH THEODORE WACHTEF LOUNCIL MEM9EB5 CITY OF EAGAN 3796 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 PNONE 454-9100 l May S, 1981 Dakota County Government Center % Auditors Office Hastings, MN 55033 Attention: Phyllis RE: Parcel # 10 00400 040 75 Dear Phyllis: TMOMASMEOGES CITV AOMINISTNAiOF EUGENEVANOVERBEKE GITY CtEHK This letter is to verify that the existing assessments on the above mentioned parcel are to remain with the remainder of the parcel after the street right of way has been deleted. Call me if you need additional information. SincerelyZr-lf- Ann ?iv?? Goers Assessment Clerk THE LONE OAK TREE ... TME SVMBOL OF STRENGTH ANO GROWTH IN OUR COMMUNITV. ?H AT LOSS CALCULATION Customw Nam? U r V" CrtY - DMqr NatxPEi-b147JAtlLE Snon ---26 ? Citv -- t'M Rm"-Mii1M1liEi4s7° ° TEMP. DIFF.. TYOe COIIs[NC11011 Windows w.u. Gilinp Fbw _ . $fOrT $ph . lin. - IM. ?. FI.I j5,e-,Cf, pooml length J0 Wjdth d? FNight y 11 ?kFI W indows and Doors -Cnckaga snd q ru • ,.. No W?MI? nl o?n? w??9n1 ol n?n? No.of LJWIIL L nq I el c?IC\ AN1 p. fL . . Coef. Btu Infiltration ? ? fb3 Giau e.P. Wall a No exp. wall Gj --3 y Int. wall ceilin9 do 3 3D Fbor Total Btu. ? 02$"7$ ,7-FI.I yfh RoomI L h Width Hai t? Windows and Duors-Crackape and Arp No W??t? Wqn? OI IM ol • No. 01 L? Ft? Lltil ll. OI iIN? A?M ?.??. Caaf. Btu Infiltration Glsu Emp. wall Ne1 erp. wal) Int, wall Ceilmg ? IOM Windowf and Doors-Gaekap? uM Arw a3 540 Ne. WW?? et lNyM p1 M NO M l b Ll,wlit. O/ eHiY Arw q. ?? j N 2 ??oo ?{ 73? _ _ Coef. 8tu Intiltration ?e 1/71 121 Glaa Ezp, wall No e:P. wafl Int. wall Ceilirq 0 --S a Flow Total Btu. 2 7 2 V ? 2.FI.1 En Raom I Lsn !h Y Width ;Z-? Hei t Windowsand Doors-Cr?ekapeand ArM wo. Wrom OI M ti?Mn, M IM we. M L? 11M unrl M. O? OK< ?w ? ?? ? 3 2 2- / Z o ??- ly caet. eeu In/ildation i/7 / Gl.s. 2 Exp. wall Net exp. I 3 /.S Int. Wall Ceiling\ ? 6 3 0 Floo? Tntal Btu. Total Btu. ?,S`?( ?ZF 1. 1 /-J? ri'Room j Lemgth J 7J Width / a HopM e 11 7F71 Room I Lm h oZ Width f iNl t Wm(kiws anA Doas-Crocka9e ad ArM Windowa and Dows-Gackap md Arr 1290 Nr. W'??n Nrqpl No. ol M n?ne L, M. Linrl l\. e1 erv,[R AIM M. It. . Coof. Btu Infihrarwn Glau ExP. wall Net Gxp, wsll Int. wall Ceilmg U 3d a Flonr Totsl 8tu. 3615 Nn. WMtn ? M w.Yrt 01 N Ne. M L b LIvYI l-e. MtlK ?9.„. •/S ?? 0 o ?2 CoM. 9tu Inliltratwe 2 41-2 /d Gi,g /i y? E:p. wall Nat azp, wall / a ?? Int. wsll Ceilirq Floar Total Btu. 11-5 6 & f4?"4- ?JYJ° 3? ? . , ? 301 -7 0 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nm Conswcfion Reouirements RemodeVReoair Reou'vemenis 3(? ?? ?u ? rv? e?9 inq) of IoL sq. ft o( house; and all raofed areas j?P i EePigy CalcuWtions for heated additlons Me?MIT61 copies of pYan siwwing 6eam & window sizes; poured found dwign, etc. 1 sile survey lor addNOns & dedcs ? ?? 2 i set of Eneryy Cakuta6ons Additiwi -ilMicafe ifonsde sep6c system ?git?: ? ? 3 copes of Tree Preservaliai Plan N bt platted aiter 717l93 Rim Jdst Detail ODfons seladion sheet (61dgs wilh 3 or less units r). Co Date 19 / I t'/ Q - 1 truction Cost (jQ . lV 7 ! ? - Site Address y,.71S2 l0 1.1? C??L_ UnitlSte k Description of Work Multi-Family Bldg _ Y/, N Fireplace(s) _ 0 2 t O C{ ? P Q 5 ? U ? ? Telep6one # &s i) w?+ ? ? ?? llJ , roper y wner \ \ ' RMA HOME SERVICES INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. #200 City - Atlanta, GA 30339 State 763-542-8826 Telephone # ( ) BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NENf BUILDING Minnesota Rules 7670 Cate or I Minnesota Rules 7672 Energy Code Category , Resitlendai Venlilatlon Category 7 Worksheet . New Energy Cotle Worksheet - (^Isubmissiantype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ fee applies. Licensed Plumber Mechanical Contractor Sewer/Water ConTractor Y_ N If so, 25% plan review Telephone #( Telephone #( Telephone #( ?9 L? uu?sD APR 2 1 2004 I hereby apply for a Residential Building Pernut and acknowledge that the informatio comp e e 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 sfart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap val of plans. 4>? Q{?? ?d ApplicanYs Printed Name AlflDlIcLit's Signature t OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addifion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolitlon (Enfire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Canst W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final _ Fraxning _ Siding _ Srucco _ Stone _ Br ick _ 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 & Suroharge Treatrnent Plant License Search Copies Other Total Building Inspector Installed Siding and Windows LIMITED POWER OF ATTORNEY c;uuN I Y oF coBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca±ed at 660 Mendelssehn Aventie North, Ga':<'en :Ja??ey, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the instaliation, maintenance and repair ofwindows and siding (the "Work"). The powers conveyed to the Agent by this Limited Powe: of Attcmey are limited solely to the express powers delineated herein anci appi_y solely to the Work. This Limited Power of Attomeyshall expire and automatically be revoked on the 21 st day of':Vtay, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. N WI'!'NF_'.SS WHRREOF this Limited Power ofAttorney is e,.ecurtcd th:s 21 st day of May, 2003 . David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003.? ? ?.?,? r?__. C)- ? Notary PQic in for the State of`Georgia My Commission Expires: 7anuary 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PERMIT City of Eagan Permit Type:Building Permit Number:EA112965 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 4566 Hay Lake Rd S Lot:6 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-060 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 . Pat Addy 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 - Matthew A Retzlaff 4566 Hay Lake Rd S Eagan MN 55123 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130383 Date Issued:04/21/2015 Permit Category:ePermit Site Address: 4566 Hay Lake Rd S Lot:6 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Matthew A Retzlaff 4566 Hay Lake Rd S Eagan MN 55123 (651) 271-7708 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132322 Date Issued:08/06/2015 Permit Category:ePermit Site Address: 4566 Hay Lake Rd S Lot:6 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Matthew A Retzlaff 4566 Hay Lake Rd S Eagan MN 55123 (651) 271-7708 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I /L/,?°"- lam► Cityof E� all ::::e: l -7, c}6 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: 5 <�'/7 � ' Phone: (651)675-5675 Staff: �!"' Fax: (651)675-5694 MAY 1 7 2017 �'` 2017 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: "--- ' 6 'i Site Address: [, 5 1 -01,7 J - 77 V C Unit#: ,4 Name: / 1In l'i" .e, mil Phone: GJ 1-.1.7 1-770 Rash;end r y/Zip: 4,(s GG S /4r Lam,, .1,/Owners � Address/Cit°` " w, 0004 40 0„ 00 -0 Applicant is: Owner Contractor , Description of work: ti{ /tc4 Type. or Construction Cost: ���U•�") Multi-Family Building:(Yes /No �) : s� Company: -50k Foal Contact: 30k Ford COIi G Or Address: O Q,, A z( City: State: Zip: Phone: V S("3 v�� 3Ema�il: j,��1 '1'!!���Q� so 11 1 I]j.�` am '} License#: U n t 5c.t Lead Certificate#: 's eriGis If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ', TE Maps andiuPPirieling documents=tha ou :'-'17 male considers '''',':':',"1:111 �li information ions off` info ion ay b classif . oon-p is if ,provide specific i • $that woui pertn t City t• -.. c.', de that they are trade rets:' n w, x.v---1f 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be i -.nformance with the 'rdinances and ••des of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an. ork is not to start with' t a permit; t�'the work will be in accordance with the approved plan in the case of work which requires a review and a•.royal of plans. Exterior work authorized by a building permit issued in accordance with the rnnesota State Buildin• 'ode must be co` e • ithin 180 days of permit issuance. ---S x L___Qa( x 'Atli ` Applicant's Printed Name , . .li • � ignatu I- Page 1 of 3 1l6& 4')//,y G-,0: DO NOT WRITE BELOW THIS LINE ,/ig' .7'. SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation (4,132 ,, , Occupancy It, MCES System Plan Review Code Edition rSAC Units 3 m (25% ' `_100% 1 ) Zoning 'raCity 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) ist Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower PanOther: Reviewed By: , Building Inspector RESIDENTIAL FEES eiA.Ac Base Fee 0 u 4 v Surcharge Plan Review MCES SAC ,,,n, . P.24' City SAC , � e y f :°� — T Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 a( � ;C /(-- F.' ' . „ • .2 -<immow; ' • • • . 40."44r i,,,,,,, (4/ / 44 41 • . , .. ;: !: , • ',e' • / /4 ../ • . . . . .A , , . , //I' : ' ' .///'. '•. / i .• . . , , . . • ,,441 / • ; .. 16447 gilho ,••:. ,,,,saff 1: ,!::- 1I / j.R'' '� '."§ ' - •• • i '' 4 �a% 169*�1'1 A.;i ,; ��,. • ,1 's• :. . • ' r;I;l• is ...,,,,,,,,,,,.TA 1. 0•!,,, • ii�r? . 143.oo / / / . p 4 ,•! 0, • `• •mow :�a4+��.r.•. • a, %• ter+ •c ^.i c� / y � '' .•+`^ ,, ',i.E•• •a; •,ftIJJ y • • , 9,7c P • 6 „tr. ii • \ • 44,-00 • • • . 43".,„...,>A4. "+ ‘ • 4fie • . /.. .-..:: • '- N4e..... ,, ode ‘ -1, ....-- e 3 ,..., ali, . to wq, ,Jrr ver PO.oPoq .4° ' {^ © ', ,� t� a. ,e- Gs '..,: ,°.:1' ,o:yryyy.-'�:w�'`•i`':. .moi•„ • 'i 9 �Ic�Uy of • '.4'4' 1. Y�'':.,-,417titr'�; ''!• &i ' i A. ''''',11a.. / • er,,, ';`....•.': ', .:-.";-•,:-::.',14r1r:,kr,f:'!"0„1.'•. . I": '• etitil 4s• : ,.1,.:._•s„..ce„,„,./ .. •4 ,.- • , • : . 41/4 vk ii ./' •.Pt : Ai? '''..": 0 r Xa ,t4. _ ,. •cam • .. • J^ ,S '�� • Y4•.• .I / .Iii. ////// N-�.}�, R•t .�1 Yi.} • , ,:,.,...:.:• ....... .707,..'...1.,...:.;,,t,:;,:-.....i..:::,c.;..:: wa +•` • • • / • •‘••4...-7...-"I'!,...3‘ fI�C-^ ..... _.. tiAl+«'Ta oii 11 :1 = 11�1RMi i:.:- P-4-- Nt{ D . . �. 1`►1.T1t' • • -_ :: . '"MINNl �r•o-rA ::. ,. -;+1! 'r '�!- t11�+�=' � ?M�l`1!1�' .• , :" ,;q fir • - I hereby certify` that this survey was prepared•.'byc.me or • under my direct supervision and that :I am `a •duly'•Registered • Land .Surveyor under the laws of theState of Minnesota. . ' . , - pate e4icite...c...a.. lcoo 143:f re. 4400: 4444...r. - ,.: . . Le oy H. Sohlen'.• ' ' . Registered Land Surveyor-bio.= "1.079$ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156646 Date Issued:07/11/2019 Permit Category:ePermit Site Address: 4566 Hay Lake Rd S Lot:6 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Opendoor Property J Llc 405 Howard St Ste 550 San Francisco CA 94105 Kb Service Company 430 E. County Rd. D Little Canada MN 55117 (651) 748-4933 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159841 Date Issued:01/22/2020 Permit Category:ePermit Site Address: 4566 Hay Lake Rd S Lot:6 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jessica Breed 4566 Hay Lake Rd S Eagan MN 55123 (651) 983-0953 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature