Loading...
4571 Hay Lake Rd SCASH RECEIPT -'? ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 R6C61V6D ? t FROM ?.a4AMOUNT $ , & 40LLARS +oo ? CASH ? CHECK FOR ? 1 J J ./''• ,f? /? ???j J ? FUND CODE pMOUNT L 0 ts L u G J 7 y'? : v U J J? 2) Z Z?' G L) 91/ys 03 Thank You i ? ; ? f.??. ._: 63g07 BY , I White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEI V ED FRpM AMOUNT $ I & OOLLARS f0•Q E] CASH 0 CHECK ` _•? i i • POR =?'? i J. •• t FUND COOE ANOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy - -.,aairilY Addition /OVERHILL FARM Owner //!wj?Z , f 4571 St Hay Lake Road 5treet 10-56150-090-02 5tate Improvement Date Amount Annual Years Payment Receipi Date STREET SURF. l Z 1981 310.74 15.54 20 -2 l7. 5[o CO //5D a.Z STREE7 RESTOR. 1984 3243.64 64$.73 $ /eZ Jr D ? S? 2 GRADING 983 1985 1769.51 353.90 5 /o bl, 7/ 4fzg Z I SAN SEW TRUNK 575 1981 359.28 17.96 20 ?. y.'Z. Q /Sn 27 89QtSEWER LATERAI & W3t. x1985 55n1 ,15 Z10 i.? i 5 ,00, s 0 ffsQ 2- 27 $i z.su sEa? TRx rAT BErr 1984 372.17 U. 81 15 a 97. 7 o 1'M 2-9, WATERMAIN WATER LATERAL 71 1981 172.42 $.()2 20 Q. 0 e? ?IS-0 WATER AREA 1981 359.28 17.96 20 B//S ID t Q Z7 . STORM SEW TRK I 1984 714.39 47.63 15 671, S3 6o //,S'b ? z7l?t STORM SEW LAT ?, 7I ?, 198/+ 128. 33 8.56 15 ' dd (I eO ?? f G eSQ* SS L& Sexv e )t 198 ; CURB & GUTTER I SIDEWALK I STREE7 LIGHT WATER CONN. BUILDING PER. SAC PARK Slie? '? MECHANICAL PERMIT RECEIPT # ? az7 CITY OF EAGAN 3830 PILOT KNOB RDAD, EAGAN, MN 55122 DATE: / CONTRACT PRICE: PHONE: 454-8100 i Site Address ' 5 % / S u f 4;, ! ` BLDG. TYPE WORK DESCFiIPTION Lot f Block Sec/Sub _ Res. New Name Mult. Add-on m Address ' Comm. Repair ?h c City - ? Phone - er Name FEES A RES. HVAC 0-100 M BTU -$ ADDITI NAL 50 M BTU 24.00 6 00 3 O ddress City 'Phone O - (RES. HyAC INCLUDES A/C ON NEW . _ CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PEFirA1T 1 50 EA - ( ) - . . TYPE OF WORK COMM/IND FEE - ia/o OF CONTRACT FEE Foreed Air M BTU APT BLDGS. - COMM. RATE APPLIES ` Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & G Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ ? MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - PER T PR E O .50 I MI IC GOES Gas Piping Outlets # YOND $1ppp) BE Other FEE: SIC: SI EE TOTAL• I FO : CITY OF EAGAN ?•-----?---?- . BUILDING PERMIT To be used ror, SF CITY OF EAGAN q t? ot Knob Road, P.O. Box 21-199, Eagan, MN 55121 92 PHONE:454-8100 Receipt # 70 19 Site Address 4571 80 fiAY LAKE Rll Erect O X Occupancy g 3 Lat9 Block _ 2 Sec/Sub. OVERHILL Ftl"i j;opdel El Zoning H> Parcel No_ Repair ? Type of Const. Addition ? No. Stories a Name BLILIE CO?ti7STRUCTION CO Move ? Length a? Z S _ I CT Demolish ? Depth 3 Address Int Im r? 54. Ft 0 ?'?i1tjH+' P ? City - 'Phone 454-1438 Install ? Water & Sew. Police Fire Eng. Planner I hereby acknowledge that I have read this application and statethatthe Bl9. off. 5/118 6 information is correct and agree to comply with all applicable State of MinnesoYa Statutes and City of Eagan Ordinances. APC Signature of Permittee i o/ A.? Var. Date iHSTRUCTL CO Surcharge 35.00 Plan Review 171.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. Pi. 156,00 Copie Total $2, 1 4, if J A Building Permit is issued to: BZ+ILIE CO - 0&V on the express condition that all work shall be done in accordance with all appjicable State and City of an Ordinances. 1 I PrrmN No. I awmtt Holda. I o.to I TNephons M I Piby. Occ. Ftg. Disp. MECHANICAL PERMIT • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PRICE: Site Address - Lot _j ? Name ? Addre ? City L Name - ?Y c Address ?p City< ?? -,?--?-- Phone` TYPE OF WORK Forced Air M BTU 2 Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # ? / S o Other ' FEE ? S/C: TOTAL• 00 II PERMIT # RECEIPT # DATE: ??_ '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 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMMIIND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYQNq $1,000.00) , SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CONTRACT PRICE Site Adc?r,ess 51-6 Lot Block '?v- , 'i ? Name ? '% " .51 Address 6; c City Name ? 3 Address o ciri ? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S!C !F PERMIT PRICE GOES BEYOND $1,000.00) OF PERMITTEE FOR CITY OF EAGAN PLUMBING PERMIT GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PHONE! 454.8100 PERMIT # RECEIPT # DATE: _ BIDG. TYPE WORK OESCRIPTION Res. New Mult Add-on Comm. Repair Other NO FIXTURES ? Water Closet - $3.00 TOTAL s ' ?Bath Tubs - $3.00 ? Lavatory - $3.00 ,LShower - $3.00 1 ? ? Kitchen Sink - $3.00 ' Urinal/Bidet - $3.00 _ I Laundry Tray - $3.00 / Floor Drains - $1.50 ' Water Heater - $1.50 Whiripool - $3.00 / Gas Piping Outlets - $1.50 ' Softener - $5.00 weli - $10.00 Private Disp. - $10.00 ? " Rough Openings - $1.50 FEE t' 3TATE S/C: GRAND TOTAL: Phone r BUILDING PERMIT ? Ta be used for CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # ;1,OOU Site Address 4571 a NAY LAKE RY3 Lot " Block l SeciSub.?')VERHILi. FAJM 1S' Parcel No. W IName ?? & ? p?ExSON 3 Address 4571 S IiAY WIPCE RU ° City EAGl1N Phone 4 54-017 C ! o Name DAVII? SP(1NSEL ?Q Address 450 S HAY LAKE ItD ? City LAt°AN Phone 4 Sb-G81 R Name _ Address Phone I hereby acknowlege that I have read this applfcation and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: j'^v EU on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official . OFFICE USE ONLY Occupancy - FEES Zoning - (Actual) Const - Bldg. Permit ??•? (Allowable) - Surcharge • ?' # of Stories Lengih 2iW6 Plan Review Depth SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ _ City Water Acci. Deposit PRV Required S.NV Permit Booster Pump - S,'W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council ? ' Bld9 ? _ Copies 1°?'? Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Dete Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr.lPlan Bldg. Final Deck Ft9. Deck Final Well Pr. Disp. CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: Esgan, MN 55121 DAT'E; Zonirg: No. of Units: - Owner: Address: SJte Addresv PlumbGr. 1 Mm h, tIr wft !M G!y of le"w OdiMnew By Dote of Irup.: 67 S [M..rl Pem+it FM: Surchorpe: Misc. Charpes: Tdd: Date Pold: ? CITY OF EAGAN INATER SERVICE PERMIT 3830 Pilot Knob Road I P. O. Box 21 i99 PERMIT NO.: ' Eegan, MN 55121 DATE: Zo+ir+D: - No. of Units: ,, - pwns?: /lddrass: ? SHr /lddrcst: 457? YuuLi' - : _ ?, -- ;r' ? ---?.. - - - Plumber. -71 - Meur No.: ConnecHon Chorye: ? Slze; Accou,n Oeposit: Rsodar No.: Permit Fee: 1elm le oowplp wllr tlr Qhr oi LAW¦ Surcho?pe: OrilMwas. Misc. CFarpm TotoL• By pote Poid: Oote of Irup.: Insp.: ; CITY OF EAGAN 3830 Pilot Knob Rwd ; P. O. Ba.; 21199 ' Eagsn, MN 55121 Zonlnp: i Owner, llddrom Sits Addross: - l T ' Plumbar: 7 t - Meftr No.: 37° LZ2 Stza: c f? ee oa.vy whh +b. I nsp.. wwrEx sEvIcE PERWr PERMIT NO.: DATE: ; , No, of Units: 'on5t. L9 B2 E'verhill Farm ' - e i ion Chnrge: ,gWcA0il?t ?Nposir• ? Fw ? Total: m, -Dote Paid: g." 6 - g? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE:454-8100 BUILDING PERMIT Receipt N N2 11892 Tobeusedfor SF D47G/GAR EslValue $70,000 pate 19AY 5 ,1986 SiteAddress 4571 50 HAY LAKE RD Erect 13 Occupancy R3 Lot 9 Block 2 Sec/Sub. OVERHILL FARM 1$Wnodel ? Zoning &l Parcel No Repair ? Type of Const. Vn . Addition ? No. Stories BLILIE CONSTRUCTION CO Move ? Length 47 ? Name ? Demolish ? Depth 38 ; Address ? ? mpr. Int. Sq.Ft. Ciry Phone 454-1438 nsta I ? o SAME Name 0 a Address : ? Ciry Phone .Q w w Name z ? Address a W City Phone I hereby acknowledge that I have read this appl Ication and state that the information is correct antl agree to comply with all applicable State of Minnesota Statutes and of Eagan Ordinancesn. ? 5ignature of Permittee ' '?, G"P A euilding Permit is issued to: BLILIE CONSTRU ON all work shall be done in accordancev all 'licable State f Min s8uilding Official ? Assessment Water & Sew. Police Fire _ Planner Council Bldg. off. 5/1/86 APC Var. Date Permit $ 343.00 Surcharge 35.00 Plan Review 171.50 SAC 575.00 Water Conn. 5 0 0. 0 0 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies ? T..._I 4 G! 1-)'S . V O CO on the express condition that 5tet-utes and Ciry of Eagan Ordinances. S? CITY OF EAGAN N9 16695 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ?? f?\ ? ? L f C G• ? 7 ? To be used for DECK Est Value $1,000 Date JIJNE 23 , 1989 Site Address 4571 S HAY LAKE RD Lot 9 Block Z Sec/Sub.OVERHILL FARM 1S Parcel No. W IName MIt & MRS PETERSON ?zc o Address 4571 S HAY LAKE RD City EAGAN Phone 454-0701 o Name DAVID SPONSEL I gp Address 4567 S HAY LAKE RD ? City EAGAN Phone 456-0818 ? W Name ?,-? Address aw City Phone I hereby acknowlege that I have read this application and 5[ate that the iniortnation is correct and a ree gto comply with all applicable State oi Minnesota S[atutes and Ci " f Ea aq?prdinarl6es. Signature of Permitee ?? %?:jh?se?? A Building Permit is issuetl to: 11AAVID SPOPSEL. on ihe express condition that all work shall be done in acwrdance wilh all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building O(ficial Occupancy Zoning (Adual) Const (Allowable) # ofStaries Lengih Depih S.F. Total S.F. Footprints On Site Sewaga on site wan MWCC System Ciry Waler PRV Required eooster Pump APPROVALS Planner Council 81dg. OH. Variance OFFICE USE ONLY _ FEES 24ct6 lZx4 Bldg. Permit Surcharge Plan Review SAQ City SAG MCWCC Water Conn waler Meter Accl. Deposit SNJ Permit SNJ Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 26.OD .50 wr. .50 Z7.OD ?3ydO /SS M 5 614 8L 9 i3 ,9 Request Date y, - ?_ y? O Fire No. Rough-in Inspeclion Repuired? VReatly Now ? Will NotiFj Inspeclor Wl P 0 7 W Q O ? Ves J?Tlo ian ea y IX licensed contractor O owner hereby request inspection ot above electrical work at: Job AGtlress (Stteat B? or RoNe No.) ? ? Ciry ? <4-G f1 tJ ,s ? t s, / Section No. Township Name or No. Range No. Counry 1-k ? OccupaM Ptrome No. yt ? J -P h „5 d ? Power $upplier Mdress Electn onVactor (COmpany Nama) ` ContractorB Lbense No. Maling AAtlress (COntracfor or Owrrer Ma?klingrI7anlallation) 127 s??J iC /Y L-1-- /-G V Gb //2 Aufh ' gn (Contr tMaki stalla[ion) PhOrre Number Y MINNESOTA SA BOARD OF ELECTNICRY THIS INSPECTION FEQUE57 WILL NOT Griggs-Mitlwey BWg. - Hoom &173 BE ACCEPTED BYTHE STATE BOAFD 1821 Univeniry Ave., &. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS PM1Ore (812) 643-0800 ENCLOSED. 8'/`??/?p ;EeQUESToFO REP EOTIRI?CAo b?SPECTION ?- ee-aoam-o7 ? ? 56 14 s `X" Below Work Covered by This Request e Add Rep. Typeof6uilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Oryer Other (Specity) Comm./Industrial Furnace Farrn ' Alr Conditioner Other (specify) Comrector5 qemarks: Compule Inspection Fee Below: # Other Fee # ServiceEMranceSize Fee # Circuits/FeeOers Fee Swimming Pool o to 200 Amps 0 to 100 Amps Transforrners Above 200 _ Amps Above 700 _ Amps SIgnS Inspec[or§ U. Only: TOTAL Irriga[ion Booms f Special Inspection AlartnlCommunication (?. Other Fee y I, ihe Electrical Inspector, bereby ce tif th t th i i b Romyndn oam y a e a ove r nspect on has heen made. Final OFFICE USE ONLY This request wid 18 montha Irom 1il II III?I RE4UEST FOR ELECTRICAL INSPECTION Minnesota State Board of Elec[ricity 1821 University Ava., Rm. S-1 8, t. Paul, MN 55104 *I2 5 5 34 4* ahone (st2) saz-oeoo ?j??(o °?-'- g Home Duplex Api. Bldg. Other: New Addn Commercial Indusirial Farm Remod Re ir Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other. Dryer Ran e Elec. Heaf Tem . Service "X" above the work covered 6y fhis requesL Enler remarks in Pois space and on the bock of the white copy only. wire whi.r.lpoo7. Calculate Inspection Fee - 7his InspecM1On Request will not 6e occepted wifhouf the correct fee: Ofher Fee # $ervice Enha?we Sae Fee S Grails/Feeders Fee Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps $}reet Lig./(raffic $ig. Above 2( 0 Amps Above 100 Amps Transformef/Genefotor INSPECTOH'SUSEONLV L Sign/Outline Ltg. Xfmr. q Alarm/Remofe Control ) 0 f Swimming Pool N?e dahs smrod I hereb cerfi thot I;n: eckd e I al ins ? Irrigation Baom Rovgh-In ' - 4 Do C?^ Special Inspedion ? ? Investigo}ive Fee Final dktl ? 1 THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS 2 5 5- 3 4 4 41 _7A??j7?/ T OFyFlC/g??USE/?Q NLY?his requesr vaid 18 manths fmm validallon dote prinkd in V Ih?is?o/yw& v? n I?•An ?,. OD ? PLEASE PRINT OR TYPE l?'AeR.U.1.YX ' Re9 CP?b 1/ 96 Rough-i inspetlion reqoired2 ? Yes 0 N. Impedion Other Than Roogh-In: p Ready Now 0 WII Call ?You musl coll ihe iapedor when reodyj Dale Ready: `? I, 55 licensed conhodor ? owner hereby request inspedion af fhe a6ove eleciri<al work of: kb Address (Sheel, Box, or Raok Na.) Ciry Zip Code 4571 So. Ha Lake Rd. Ea an 55121 Secrion No. Tawnship Name or No. Ronge No. Pire Na. Counry nqknt-n Oaupon} PMne No. Power Svpplier Addren • W. Farmin ton Elednml Confmcror (Company Name) onhanor 4cwsa o. Mmkr Lic. No. (Plant Elect Onlyi Joos Electric Co. CA00961 Mailing /ddmss (Contmcror or Owier Performiig Inaialianon) 3980 Beau D' Rue Dr. Eagan MN 55122 AuManzed Siqnowra (CoNmcror ar O»nr Fedorming Ins ion) Phone No. EB-OOOOlA-106195 STATEBOMOCOEII?SiEUCT10NSONBACKOFYELLOWCOPY'????QQ, This reques[ void ` e months from _C7? ? 082139 Reques't Oale ? Fire o. FouPh-in Insper,[ion 'I , ?? ?? R.epuired? nN ?HeadY Now Will Notify.lnVpe.o- ? ?O "? ?es r When Nead ?'licensedElecVical Contrector , I hereby request inspection of above BOwner electncal work installetl aY Sveel Add,.ss, 6oz p[ Rwie o. CitYi! ecuon o. Township Name mQP- flange No. County Oc. nTt RWTI FeIVL? Phe Nn. - [ ?r P r POIi r ?? Atldr EI Con actor ompany Namel var.tor's License No. ' 6 -7 ? MailinB' ?Adress 1 tractor or Own r Making Instailau,m) ?33 L aYC.? .QU[horized na r ?Contracmd ner aki 1 stalla[i n) Phone Nom?bqe.r - U `- ? ? Ok1 p MINNESOTA S E BDAA? OF ELECTNICITY THIS INSPECTION flE4UEST WILL NOT Grie9s-MiAwey Bldg. - Floom N-191 BE ACCEPTED BY THE STATE eOARD UNLESS PROPER INSPECTION FEE IS .1821 University Ave., St Paul, MN 56104 Ph -w (812) 29Z2117 ENCLOSED. ,-. 1?' .?.._...' _.?._ ... . . . REQUEST FOR ELECTRICAL INSPECTION EB'°°°°'-°" 'V C;01 " See instructions tor completing this torm on back o1 Vellow cooV. ?-7 ? 82139 " X"" Below Work Covered by This Request tld ?ep. Type o1 BuilEing Appliancea Wired Equipmen! Wired Home Ranye Tempoiary Service Ouplex Water Heater Liyhtiny Fiz[ures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Siio Unloader Industrial BIAy: Air Conditioner Bulk Milk Tanlc Farm innr Soea v Umc, (sp,.tfy) t yr Specify O! er Othcr Compute Inspection Fee Below p Fee ServiceEntrencaSize tt Foe Faeders/SU0leederx # Fee Circuits 0 to 200 Am s 0 l0 30 Am s L . 0 to 30 Am s Abave 200 Ainps 31 to 100 qmps - 31 to 100 Am s Swinvning Pool Above 100_Ainps Above 100_Am s Transformers Irrigation Boorr?s Partia6'Other F Signs Speciallnspection $ ? TOTAL F Rem3rks - ?// t? ?P Pough-in ?..... ?ye I. tha ElecVical ? Inspectoq here6y certify that the aAove Final ) C ' ???rtw ?? - spection has been a du v ? i Q . Tfiis requesl voitl 18 monltie trom RESIDENTIAL BUILDING Permit Application City Of Eagan 1 3830 Pilot Knob Road, Eagan MN 55122 io,)- %--- Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reoui2menls RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofetl areas 2 copies o( plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allaved) 1 set of Energy Calculations for heated addiGons Tree Pres Plan RecG _Y _ N 2 copies of plan showing beam & window sizes; poured found tlesign, etc. 1 site survey for additions & decks Tree P25 Reqd _ Y_ N lsetofEnergyCalculations Addifion - indicateNon-sifesepticsysfem On-siteSepticSystem _ Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Defail Options selection shcet (Wdgs with 3 or less units Datelc? / 17 Site Address ??e? / 0-3 ConstructionCost ?5?n0• Od -1*1 {I' L.a/z f?UCtc!` 5 UniUSte # Crr1 /?7rv .55 /c73 Description of Work Multi-Famity Bldg _ Y? N Fireplace(s) _ 0 J'?1 _ 2 Property Owner IjebiZ"{ L , Telephone # Contractor Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet ('J submission type) Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a buiiding in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Y_ N If so, 25% plan review Telephone #( ) Telephone Telephone M,li QFf?Y I hereby apply for a Residential Building Permit and aclrnowledge that the inforWkiaxtis=csmi?tete-and=hccurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /?d)ia L , /,?ei-sov? ?&, x, Q?Gla? Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *DemoliUon (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footmgs (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector *?***?************Y%Y?FxxxFxrxnn????...... CITY OF EAGAN CASHIER: JS TERMINAL NO: 012 DATE: 04/14/00 TIME: 10:15:03 ID: NAME: THOMAS & DEBRA PETERSON 3210 9001 4571 HAY LAKE R 2155 9001 4571 HAY LAKE R Total Receipt Amount: ?)e3-71 181.25 5.00 186.25 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN r. •? 3830 PILOT KNOB RD - 55122 851-681-4875 ? 3 reglalered flfe surveya ahowlnp eq. tt, o( lot, aq. M. ol house antl gp rooled areas C2QX, maximum lot coveraae ailowa0f > 2 coplea oi Plans (ahow beam & wlndow alzes: poured Intl. tlesign; etc.) ? 1 se10l anergy catculaflona ? S coples ol hee pretervatbn plan II lot plalted aHer 7/1 /99 DAlE: Ar)Q I L / U i 2 D a p DESCRIPTION OF WORK: STREET ADDRESS: LOT: --1- PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER yS7r OLoG 't SC2EcN So. N,9 V LAL-G BLOCK: ? SUBD./P.I.D. A: dv Goo D Name: 1"C T02 So4,/ %I-foMAS Phoneg: Gd!- `i?`/-d7d? Lasf Flrst Sheet Address: `7/S 7 / Clly E'AG P9nJ D4O State: m A--, zip: 6_?F ? 2 3 Company: S EL F Phone i: (area code) Slreet Address: Lkense N Exo. Gy Sfpte: Company: Name: Telephone M: ( ) Skeef Cfly State: Zlp: Lp: Sewer/water licensed plumber (H fnstallina sewer/waterl: Phone #: (? an app6cabie State I hereby acknowledge ttwf I hwe read this appikalbn, sfate Mat 1he Infortnatbn fs cortecf, and 7777 of Minnesota Slafutea and Ctty ot Eagan OMinances. ?? ? Signafure of Applk ant: OFFICE USE ONLY Certificates of Survey Received _ Yes V No Tree Presenation Plan Received _ Yes _ No Not Required ? O ? Z 9 ,?z?' -90. l??l Y 29 ? 186.25 C'allec? 1??11/bD 2 caples W plan HYY% 1 set of energy cdculaHOns for heated addlHOna 1 aite wrvey tor exferlor adtlitlons A decka CONSTRUCTION COST: P'3 2 ? 1-4 ReglshaHon #: OFFICE USE ONLY . ?: BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Aft - Mutd ? 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex A 18 Deck ? 23 Poroh (screened) ? 36 Mutti ? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof X 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Inte(or) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code _[P # of Stories sq. ft. No. of Units - Length sq. ft. No. of Buildings ? Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) UBC Occupancy M in level sq. ft. sq. ft. ? MC/ES System City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ?•? Engineering Variance Permit Fee Valuation: $ O m 0 Surcharge Plan Review License MC/ES 5AC / ?fJ? L E'F a t/? / City SAC Water Conn. Water Meter Acct. Deposit 4, / Z.?L- S/W Permit S!W Surcharge - --- - - Treatment PL Park Ded. -. 9 S"?2 D TrailsDed. 343•00+ Oth@f 35 • 00+ Copies 171 •50+ i 575-00} Total: 5 0 0• 00+ 63•50+ SAC Units 290 • oo+ % SAC 156•00+ 2134•00# • .GoT ?t3La?/C Z ?v'?,?l.?l F?ar? r ?•¢-?Sf' PLOT PLAN Scale -1 inch -20 feet y '1"_.._. ,7W :{ Q = :?,:::- - -- - - _ - - - - _- '-r : - ' -- - - _ . :' i -- " - - - ' - 1 ' _, - -- ___ - - - - -- = ? _ _ -- S _ __ : _ - - -- - - - - - )loz _-- __ r -' ? ?i8 -- - - - -- TEE -- = .. S .? ?8 1 ? -- - - - ? - - - - _. )yo _ _ = 7-7: - =, - ? ?: _ - - - - - -- - :.,.. = - - -" - '--- -- - _ -. y -- : - ? - ` :_i ?- - _- -_ ? --? t - _ ?_ "' - - .: ;. - - - - - . - - ' - -- ,w - RNE ?"I?.-, : -:.t---t--?-' `?" • _}-'}--?-''-?? ? ??`?.: _-? -? Must show location of streets, lot and proposed buildings, give lot di are to be staked before appraisalis requested.) --?`-?-•r---r-n---r-^-r""n (Lot corners and buitding site - ? .,, ,. _. ... . . .:.. . , 4 , ^-v .:?,. .. ?.. _ ..:?. .r . . . " .. ,F .:<l? , (. .d .•-? w' _ r+ ._ i" ?r . .Li.'... YJ .?...'.-.. . 4}r' %'} . .._ ...... .-. .. ?l. ..: t; .. r. . .?- ? 1 1986 BOZLDING PERlIIT 9PpLICAYION - CITY OF EAGAN HORB: ALL CO9TRACrOES MIJST BB LICENSSD IiITH THE CITY OF EAGAN SIBGLE F9lIILY DHELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[ILTIPLS DiiSLLIAGS - 9ESIDENTIAI, gENTAI, ANITS FOB SALS DNITS INCLUDE 2 SETS OF PLANS, CSHTIFICATE OF SDRVER - CHI?CB iiITH BLDG. DEPT., 1 SET OF BNERGY CALCULATIONS COrMERCIA[: INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address 45 ? / S-. J4? t4 Lot ? Bloek -a & STRUCTURAL PLANS, SET OE 7UCCO • Valuation: : 1?4= Pareel/Sub (,)VPi, yi// Owner 4 44 yG7ti- Address City/Zip Code Phone Contraetor (3 Address City/Zip C o d e C 0?-•' Phone Cf 5 ?r- / L( 3 ?j Areh./Engr. Address City/Zip Code Phone 0 Date: '--f z S ' 9(O Erect ? Occupancy R-3 Remodel Zoning Repair _ Type of Const Addition # of Stories Move Length Demolish _ Depth 3 Int.Impr. Sq Ft Install APPROVAL3 FSES Assessments Permit 5r Water/Sewer Surcharge 3?5" Police Plan Review /7l.50 Fire SAC S7S Engr Water Conn }SG?O Planner Water Meter 6'3 ?°_ Council Road Unit ? Bldg Off- Treatment P1 ? APC Parks Varianee Copies iOTAL ':;? 13r NOTE: ADDRESSES EOR CORHEB LOTS - CONTRACiOR/HOMEOfiNfiR MQST DSSIGNATE iIHICH ADDHfiSS IS DESIRED. NO CHANGFS ftILL BE ALLOiiED OACS BIIILDING PERMIT IS ISSOSD. 1Z ?czz = Z?'? I z x ? ? _ \ ClZ ?X18 ° t4?- ? k \3 = Z 4 x ZZ = vyZV ? \ Z - -, t? (?ZqrD--f c'o . :? n- )1&C 3 }99' e ; )ozs O ??QZS g$ s ? } 90 ? (4)EQ - ' .(?oT 9 .Cg1c>c?L '? (9!/'-e-I r PLOT PLAN Scale - i inch - 20 feet _ .__ _ __. . _ _ .. . _ _r ... __ ,... .. ... ._. . ?_ 1-. 't(-[ ? •f,' ' 'i ''? K ' ? ? -^j'' ,.?rt . .. ?+_ ' . ?. ? .. __ - -.. _.. _.__ .__.. ... _ ..._.. .., .. . , Must show location of streets, bt and proposed buildings, give lot dir are to be staked before appraisal is requested.) :- p r7 :=-T:'?-'•?'•.?t+•."i ? ' (lot corners and building site a? ,?r .?M::' ?? r dE:'J 'S•.i':,r, . ? : ;L • .,? . ,. _ _ . . ?• ? ? ? y • ? , ? ..y. ? ? ? e? ? f . w EXTEi?1O? f.tNELOFE IIVEPAGE "b: COtaPUTATiO7t ?, s . . r . . ,. ? ''• i°-•ea ? . ... ? A T 014NEib .. . . ?,.. . '. , _ ?,,.. SITE ADDRE55 ?. . r, CONTRACI'OR •?1/E ?fT ' DA7E 6?'/EY P}IONE. 5W ?:.,. F4? 2. ?. .. Determi#e mrNing square footage of each. Tota}•expds d Vu1fi area ..... .2252.33 sq. ft TQtal roof/cei}in? area „ sq. ft x •? _ ?, . au x , TQtal exposed wati arsa aboye floor a. Total wa71 wipdow area :..........:...... . ,224 b. Total door area .....,....,....................... 37,17- c. Total sl iding g}ass. door irea .... . . . . ... . .. . .. .. . -7370- - d. Tot31 fireplace:t?ral:l area....... . :.......... . ?p e. Total wal.l Pramirtg arek (average lOA) ............. ,)03,z; f. Total net:'irall area abovd floor .................. / g. TotaT riar joist ar4 . .. .................... S o ? Total ezposed faundatzcn area = 96.33 h. Total foundation window area ...........:......... - i. Toal net foundation area abcve grsde ............ Deternine "U" value of each wall segment. a. _') 21o g IV„ ' 6. 7 7 X "U" C. ?JQ X „u„ d. ag X llull e. ???•.Z X ,iu„ 93 sc> N .0 9 = -29 f. /SOS.o3 X Hu° (6-2B 9. /30 x IOu° •s?! _ ?.2g i. 90,33 x„?„ 3.........:;y ..........................Totai If item 013 is tlte same as, or less than item ,u,l, y-h3ve-fiet ihe intent Of SOC 6008(c)2. .. . 1 . ?^ ' . .. . . . ; . . . . •'r . .. .?':.-?. . :? .' 1 ! ?.• a . . ' ' .J ?1' .. ' _ . ? 1 . , Y. i .. ' ' ' . ' . 4 . 1 .i? • ; ?' •, Total exposed ronf/ceiting area = /30 ? • • " Tetal skylight area............................. - k. Total roof/ceiling frzming area (average lOS):.. /?p, y 1. Total net insutated roof/ceiling area........... 1173, (. ' Determir,e "U" value for each roof/ceiling segment. , j X liull _ ? k. ?.30.,?/ X"U" , 02G = 3 39 ?. ? . 1: //73•G x ,.ui. 4................................... Total .'7 '.? .?? . If total of 14 is the same as, or less thzn.=2, you have met the?intent of S6C 6006(c)l. - Alternate 8uildirg Env=lop2 Design io utilize the total envelooe systen ra.?od, the values?established by the sum of 4t2ms '3 and ;'4 shali not be greater than the sum of items A1 and a2. + z. 33. 90 s. ?27, + a. ,3?. ??? _ ?6a,Of ; , - ,' .C-.` _..? ?H•?,,, ? ? r.. d-' , , ? ??' .; ±l? ? , . %J,• r,r:' .:?GOu. ?.-A.?{j? ?$?7: ; ? '. _. ' i?? . . ??.. C. ? ? a . Venced .... . ; : .. , . ? xoor/csiiiNC • • ? f? ?"? Conalruction a-V,tuc 4 .. air fi 3 r? 1. Intcri r lm 0.61 ' . S? ylr,i;??.'ri?? 3. /O? 6r&,'1L#T5 • ?Il,?l? ;'1•,~?,ii41?I??(?? 4. Extcrior air Yilm (.^•tti1) U? .G Totai 3q ? tleec floca up • FIG. MS • t I . ! 1 Y.eaE iloti up vented ? FIG. M6 ? 1. Interior ai film 0.61 2. / 3. 4. Er.tczior air?lm still'?? Tutal Tusidc air tilm / 0.61 0 • - Z. . 77. ? A. ? 5. Outsid .ir. Film 0.17 TOta ` . . t . -. ?: . Ii.olc:' Usc additionnl shects if more spacc iS nui?-t a.?e ??.1v t,> ' .. ?• aeodecl for details and calculutions. Hast ' • • - . flow uP • • . ? lT.f., ?07 . • ?' ? . ' ? ? .. Y? ? T . ?_ _ . ? p` _...-. :.. _ . VME•: 'uicc 15% of cymqttc va11 Ii'r? fer' F . lsame constSti+etfon ! ? ( - -----0 BASIC ? VALL `?` ---? ?.:. Tnpvieta OF• FAdrLE . i'1AI.L ,_u ??41.y a? .•,?? ti,. ??? ?.: ? ,. . .. ? ?'?. - ?+ ' . r? . ' .. . . ,.. ? " ... . i '. . _ *': ° - • ?. ?,, • " ? Con?iruet4en ?-?aloc '- ; .. r 1• ? f ? ;i 4. z j a {?;?j !_(Fl1LG z ' ' T? - -?z 6. Extcri---r air film = G.17 ----- ?;L,i 10-91 Q.r ,69 i. Intcrior air fi'.n; 0.68 2. I', wv 3• '''L--------- ? ?fo 4. Z z 7/4;, Znl ?. GoG arir! _ ; 5. i ?.Z 6. Sxterior ir fil.r+ 0•17 zocdl z3,o3 a- ,oy ; S?tL ?Se?C: 1 ?car,»'zcx i-/.. 1. , Intezior air film _ 0.68 2. ./3Q1 010 3. / '.kf" v /.B8 4. 2 cr " ?.OG 5. 6, SRterior ir film 0.17 Totol 4= , oy 1. Intcrior air fil.m O.GB 2. /" 7PsArTY S. ?G 3. /?' 4. " S. 6. Exterior air film 0.17 motal 7 ?9 !C= ./!V SLAH ON GRADE • • r • ? - ? ,c , fIG. #3 i, ? v '..K ?-•-.??? • , • ,a - ~ J(( ? . ' ? /[I • ?. I(I FIG. I{4 f O = ? • ,. K?/ll _ 1rr = u, _ NOTE: Indicate ty,oo, "•^•" vnlue, deqth and:;., plaecnent oi Snsulation. 1989 B[JILDIPG PERMIT iPPLICATION CTTY OF EAGAN SIIiGLS FAMILY DiIELLIHGS 2 3ET3 OF PLANS 3 HEGISTERED SITE SDRPEYS 7 3Ef OF ENERGY CALCS. 1?49S MULTIPLE DWELLINGS 2 SEfS OF PL?N3 REGISTSAED 3ITE 3DRVEYS - (CSEC% III'1'8 BLDG DIP.) 1 3Ef OF EAERGS CALC3. COYMRCIAL 2 SETS OF IRCHI'lECTiTEtAL 6 STAOCTORIL PLAN3 1 SEf OF SPECIFIC9TIONS 1 SEf OF F.NERGY CALCS. MULTIPLE DWELLINGS RENT6L UNTfS FOH SILB ONITS # OF UNTTs 60TEr IDDAESSFS F08 CORNER LOTS - COPTRACTOA/HOMEOHNER !lOST DFSIGNITE 1iHIC6 IDDRFSS IS DFSIRED. 80 CSAN6FS AILL HE ALLOiTED ONCE BUILDIIiG PERMIT I3 I35DED.. 3EWER d i1ATEA PE18iIT FEFS AND ACCOUNT DEP03TT F6FS itII.L BS INCLSIDED WITH THE HOILDIN6 PERMIT FEE. PROCESSING TIME POR SEWEA AND AATEA PESIiITS I3 TWO DAYSIONCE d PERMIT 8AS BEEB COMPLETED INDICATIPG A LICENSED PLtAMHSR. PENALTY APPLIFS WUN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANCE IS REQOE3TED ONCE PERMIT IS ISS[JED. .JUN 2 0 1989 To Be Used For: Yaluation: ) oo0 Dates Site Address 1 5 FW-Q Lq14.1- Rfl Lot ? Block Z Pareel/Sub j6?1?N?u?af?1? Owner hAix- , ?n, 1?-rtC_SLS.aa'l Address 45? \ 'S u,i? City/Zip Code CALtitr,] 55 sz7, Phone -A.54 -d`l61 Contractor Uot11 S`pa„9s?_ Address 4S1.7 5 NA4 IRkS NA City/Zip Code SSIZ Oecupancy 2oning Aetual Const Alloxable 0 of atories Length 24xiG Depth 12 x J S.F. Total Footprint S.F. On site sewage On site well _ MWCC 3ystem _ City water _ PAV required _ Hooster Pump _ - lPPA0V9LS Phone 8tt Planner _ Council Areh./Engr. Bldg. Off. ?b/2?/ Variance Address City/Zip Code F'EF.S Bldg. Permit a(0,00 Surcharge i.5b Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aect. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Fark Ded. Copies ,50 SOBTOTAI. fenalty SOTAL Phone A ; ^ ? ?j -?'I ;JaLs \/oLS )162. diia ,LoT 9 ,- ? -;-? -_ --- _- -?- -_ -- -_ = -_ - Lw imy_Z,a, t3Lo?K L Ov'.C,G4// r4roAr PLOT PLAN Scale -1 inch - 20 feet - - - - -- - _ - - - - - ,._ ?-- _ = --_ -- - -- _ _- _ - r ,?_ \('? G 5 ? 5 ? )9, - -- - ? T- .r ry? ?- ?T (4 ._ ; ? = --- ? - . - - - ?.r . t ..;.: . .. - - - + ..._ - .,.. 77 . ? _ - . . -.__ .. " - - . _ ' 1 Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisal is requested.) . . _. .F,_„-n,'. ",3j.k .;r,y, ?s....,?, .,`.'.'?'.- `••?:.?.. Y.'::.. r x-'M"' 7?te?.,- . xy?..?`_=_.1?_: _.x,. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION . •• * ***rr*+e** ** * *,e*+r ** **?* x+**,r*+r:***,rx P ease Print) ? 1) PROPERTY ADDRESS: ?15- 71 1 /7 /? p, /V LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF E7QSTIAIG S'IRL'C.`lVRE, DATE OF ORIGINAL BL'ILpING PII2MIT ISSCANCE: . PRFSEr7r ZONING/PROPOSID USE: Mon Year} 0 MNRCIAL/RETAIL/OFFICE r-7 INIIJC?STRIAI, n INSTIT[]TZONAL/GpVERIZENT rAME: ADDRESS: CITY. STp.TE. ZIP: PHONE: 2) 1?? 3) ' u r ?• / / N11D9Ea?/Y/Cf?h?/./ P l/ aDoREss: Azir i CITY. STATE, ZIP:_ l?ro??v?: ?i?ff PxorE: /5 P2 MASTER LICENSE# 32 36 4) ??• • • i?- NAME: ADDRESS: CITY. STATE, 2IP: PHONE: ( Onits) ( Uni.ts) Active Ecpired Not recorded Staff u,,tial '5) _ ° ? • ?• : ? • aa - ?? ? CONNECTION TO CITY SE,WE12 Z Cp?,TION TO CITY WATER ? pmm 6) ?? •' ??[? PLEASE HOLD APPROVID PERMIT FC)R PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVID PMiMiT TO 1, 2, (9 4. .A&7VE (Circle one) ' 7) r.sr.... M R-1 SINGLE FAMILY Cj R-2 DOPLEX (1t,o L?nits) ? R-3 7OWDIIIOL?SE (Three + Units) ? R-4 APARTi?RW/CONDOMINICT4 ? rt ep-? 3,/ _ *ATF': PAYMF'NT OF k'EE AT TIME pg APPI.ICATION DOES N02 COD1S`PIT(JTE APPROVAL OF PERNIIT, INSPEXTION OF SENE2 ANID/OR NL9TII2 INsTALLAmzoNS wu.r, NOr EE scHED- ULID UNPII. PEE2bffT AAS BEQ9 APPROVID. ?- _. . FOR CITY USE ONLY _ PERMIT # ISSUED ?7S,f 3 Pd w/Bldg. Permit FEES: $ $ /1n "J?') SEWER PERMIT (INCLODE SURCHARGE) $ $ /?? -? O WATER PERMIT (INCLUDE SURCHARGE) $ $WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ???'O C% ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ J OC+ • c?-c, $ WAC $ ?S 7S . Cr Z? $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 152 $ V?? ? C) TOTAL 6 Z 3 ??s 7 RECEIPT RECEIPT DOES UTILITY CONNE CTION REQDIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F__j YES TF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOL LOWING CbNDITI0N5: APPROVED BY: TITLE: DATE: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -%-7o'?e New Construction Reaui2men15 RemodeVReoair Reauirements Office?.WseDnl?e 3 registered site surveys showirg sq. R of lot sq. ft of house; and all roofed areas 2 copies of plan CeirfcTSurvey Recd? ? Y (20%mazimumlotcoverageallowed) 7setotEne CakulationsforheatedaddiGons TreePresPlao'Recd ' 'YN. 2 copies o( pWn showing beam & window sizes; poured found des'gn, etc. 1 sile surveyfor addNOns 8 decks iTee Pres Re"quved 1 set of Enert?y Calcula4ons Addrtion • ind?cate if onsRe sepfic system pp s¢e Sepllc?System Y ;???i 3 copies of Tree Preservation Plan H bt plaqed after 711/93 Rim Joist Detail Options selection sheet (bldgs wifh 3 w less unl6 Date 21 SiteAddress co D?l Construction Cost ?P y`{ o Z13Kt (Y UniUSte # Description of Work -7EL7 /'? c/t Multi-Family Bldg _ Y Y\ N r Fireplace(s) _ 0_ 1 _ 2 Property Owner ?t L? /-C T?/' So lf Telephone #(65-1 Contractor J?C?70 /zT ,Coo Ivc? ?NC Address State A 33(, W /? LJP,TL-?C ?%. Zip 6,?57 o7 City 57. ?i.?"l Telephone # (6,$/ ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Mirmesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submiked Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #(; ; I'); i ri i?J i2 ', Telephone fl )- - . - . I I' . I hereby apply for a Residential Building Permit and aclrnowledge that the information. is _complete_arid accurate; that the work wil] 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 pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /a eq ZEaic d, C. r &,P'lir PrXj Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 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 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish Building• O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entfre Bldg) - Glve PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ SNcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC UtilityConnection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 411? City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)675-5675 Fax:(651) 675-5694 ---------i ? r-t y I ? Permit I Parmit Fee: ? I ? Date Received: !1 ? I Staff: •---t 2008 RESIDENTIAL BUILDING PERMIT APPLICA Date: Site Address: Tenant: ?EP.O 2 2008 RESIDENT I OWiVER Name: / {{r{7 PP ?cl'.SU h _ Phone: Address / City / Zip: q S -7 I S- A-E-7 Applicant is: _ Owner ?Contractor TYPE OF WORK vi n d(??z aeDlacewe kT Description of work: c , Construction Cost: Multi-Family Building: (YesNo ? CONTRACTOR Name: ?f???FY7'c ? v KS _ License #: ? 0 SSt US (o 1? s-j?7 / C? vVigGe br Address: _ State: Al/li Zip: City: 6 Q 1"L S' Contact Person: J 6 '7 Phone: -16 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submi55ion type) • Energy Envelope Calculations Suhmitted In the last 72 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: °NOTE: Plan§ and supporting documents thaf you submit:are considered?to be publfc lnformabon- Pordons of `. ' " fhe informaU'on m?ay be classified as-non pub11v ifeyau provide spec?c reaso'ns that would permit the Cliy?to , conclude thaf the 'aretraile secrets. I hereby acknowledge lhat this information is complete and accurate; that [he work will 6e in conformance with the ordinances and coAes oi tne c:iry or Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X V ?-?- ApplicanYs Signature age 1 of 3 LS I F 2007 RESIDENTIAL PLUMBING aERnniT aPPLicaTioN J S? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existinca residential dwellinas. Date o 2/ 0 11 0 7 Site Street Address 4571 SOUTH HAY LAKE ROAD Unit # Property Owner OEB PETERSON Telephone #( 651 ) did_n7(11 Contractor GENZ-RYAN Telephone# (952 ) 767-1000 Address 2200 W HWY 13 Clty BURNSVILLE State MN ZiP 55337 The Applicant is: _ Owner 8 Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned outfixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alteratlons to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are lnstallfng oRly a wafer softenei and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are insql ling. _Septic System Abandonment _Water Turnaround (add $136.00 if a 518" meter is required) Other: Water Softener X Water Heater $ 15.00 _ new x replacement _ Lawn Irrigation _RPZ _PVB _new _ _repai?, wilu $ 30.00 State Surcharge $ .50 7ota1 g 15.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start wi`hout a permit and work will be in accordance with the approved plan in the event a pian is requireP to e review and appkoved. KIM RENVILLE ApplicanPs Printed Name pplican na re City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F _ 15Of _ _ _ ' _ _ _ _ - _ i ?(fl¢?;? I ? Permit #:(;/ ? I Permil Fee; ? I / ,( ? Date Received: I ? ? Staff: C I ?-? L 2008 RESIDENTIAL BUILDING PERMIT APPLICATI'P'N I III DEC 08 2008 Date: 12 S O O Site Address: ?l 5-7 l Tenant RESIDENTIOWiJER Name:T()m Phone: LOSI- NSq Address / City / Zip: 41? / 1 Lal 9-d Applicant is: _ Owner V1,Contrador TYPEOFWORK -P, ;? /.)/P?l'.?/0!/L/ C Descriptionofwork:renl , Construction Cost: --3S0O Multi-Family Building: (Yes No)L) CONTRACTOR ?P Name: ?aj-),'1gifKT ?X //7 ()ILicense #: ?vSSS 695 Address: 1 I 5 ?Ee-"C f !/ilvlf- Ciry: goSP ? r State: _Ll _N Zip:, SSI ?? Phone:[D_5/=67R5? -?40 d v Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: -':`NOTEi'P(ans and supporting tlocuinents that you submit are cons?de?ed+to 6e publrc informapon.,,: PorUOnslof >. ` the idformation m`ay'be classifieii a's non putilic`if you provrtle spocific reasons that would perrnit the Crty:;to ,- , conciutle_that ihe `"'are frade seerets . I hereby acknowledge lhat this information is wmplete and accurate; that the work will be in conformance with the ordinances and codesof the City of Eagan; ihat I understand this is not a permit, bul only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X W'u-? x /? IicanYs Printed Name ? App icanYs Signature LI/ Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4571 Hay Lake Rd S Lot: 9 Block: 2 Addition: Overhill Farm 1st PID:10- 56150- 090 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Thomas Peterson 1 145 Edmund Ave St Paul MN 55104 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA091816 10/28/2009 ePermit      ï  ÿ    þõ  ÿ þ  ÿ þþýûýþ     üÿÿ ûõþìøèÿü ãå ì÷ ï  ë    ú  ýüûúùø  ÷ ø  ä üúùø  õúùø Þ    ø ä  ü ä ííãüø ù Ýÿ ýÜü  ÷  ïøå ï  ì ìï ï ù Üü  ï     û ï éäìï ùáðü ïü û  ø  ø    ÿé ä ûïö       Üü ûù ó ÿ ð ïùìï é  ÷ æÛæééí ÷ü  ýüì ÿ  ê ü æÛæéé  öô ú óò øø  Þóÿ ì ï úìï       éíïüå â òôý üòôí èçíë ì  ûù ó ÿ ì  ì å  ì  øø     ì ì ðï     ÿ ïøùóì  øø û ý   ðò  ý ü  äùð ÿ ã  é øø á ï ýÿ ü ü ùýÿ ü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132141 Date Issued:07/27/2015 Permit Category:ePermit Site Address: 4571 Hay Lake Rd S Lot:9 Block: 2 Addition: Overhill Farm 1st PID:10-56150-02-090 Use: Description: Sub Type:Residential Work Type:Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas Peterson 1145 Edmund Ave St Paul MN 55104 (651) 454-0701 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature