4579 Hay Lake Rd Sa+
.. 1 ' 1 V'f 1
3830 Pilot Knob Road, P.
' •A PHOI
BUILDING PERMIT ' '
To be used for BAsOdNT 4INISH Est. VaIue ;Site Address 4579 $ tliY LUZ RD
Lot 11 Block 2 Sec/Sub. 0"RHi? FAI
Parcel No.
'EAGAN .
3ox 21-199, Eagan, MN 55121
454-8100
Receipt #
lM ? ?b
0';0
18275
?- l ?
OFFICE USE ONIY
W Name MARK A T1?O?S01?
3 Address 4379 S HAY 1.AKH RD
° City EAGAN Phone 452-4187
o Name SAME
Address
? City Phone
?
W W Name
?
? ; Address
a W City ' Phone
I here6y acknowlege 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 agan Ordinances.
??? rl ia. .
Signature of Permitee
A Building Permit is issued to: HARK A TH&OWN11
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City o( Eagan Ordinances.
Building Official _- - ?
Octupancy _ FEFS
Zoning _
35
00
(Actual) Const _ Bldg. Permit .
{Allowahle) - Surcharge ; •W
* oi Stories _
Lenglh _ Plan Review
DePth - SAC, Cily
S.F. Total -
SAC, MCWCC
S.F. Footprints _
On 5ite Sewage _ Water Conn
On Siie Well - Wa1er Meter
nnwcc sy5tem _
_
City Waler Acct. Deposit
PRV Required _ SJW Permil
Booster Pump - S!W Surcharge
Trealment PI
APPROYAIS Road Unit
Pianner - park Ded.
Council - -
B1dg.Oft. _ Copies
? ? ?
Variance - TOTAL
• Permit No. Permit Holder Date Telephone #
WATER
Sf WER
PLUMBING
H.V.A.C.
ELECTRIC I? 0
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Hooling
Rou9h PIb9.
Rough Htg.
Isu1.
Freplace
Finai Htg.
Fnal Pibg.
Const. Meter Plbg. Inspector - Notify Piumber
Engr./Plan
Bldq. Final ? •? ? - ry?,Q
Deck Ftg.
DeCk Final
Well
Pr. Disp.
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN
PRICE PHONE 454-8100
Site Address
? rvan
? Add
c Chy
?
?
?
Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
. TOWNHOUSE 8 CONDO - F1ES. RATE APLLIES
MINIMUM - RESIDEMTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
55122
Res. 019-
Mult.
Comm.
Other
For Office Use nly
PERMIT #
RECEIPT# ') c
DATE: 8 ? 7 s ?
WORK DESCRIPTI<
New
Add-on x
Repair
RES. PLBG. ONLY - COMPLETE THE FaLLOWING: •
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs -:3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - s1.50
INhirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMI'n
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
rll? ' .sJ
STATES S/C: .
GRAND TOTAL: A • 5
`:?
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ??1"i T-4
' PHON E: 454-8100
BUILDING PERVPT Receipt # !
To be used for :'-k.duCE Est. Value $i r000 Date OCTOUR 4
Site Address 4514 SWTV, F',AY L.lIQ A1?
Lot 2 2 elock L Sec/Sub. OVSUIfi.1. rARiN 1SI
Parcel No.
ir Name MA1C THOlB?SO111
; Address '?'.79 90trn'• li..AY 1rAi.I EtD
° City aAL:APJ Phone 452-4137
a Name _
.o
0 i Address
? City _
a
W Name
W
= Addre
a
W City-
?wledge that I have read this application and state that the
correct and agree to comply with all applicable State of
Signature of Permittee
Building
O FFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
21''00
Engr./Assess. Permit
• 50
Planner _ Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL ?
CITY OF EAGAN Remarks
Acidition OVERHILL FARA'I 1ST ADDN Lot il 01k 2 parcel 10-56150-110-02
OWnei ' Streef 4579 S. Ha.y L1ke Roa.d State 6L.1 IZ3
Improvement Date Amoun# Annual Years Payment ReceiPt Date
STREET SURf. ryt$ ? 1981 3310-74 15.54 2 on'- 1 . S?U 2111-4
STREET RESTOR. &6 ,qf, -71 ?O ?/ 3'.2-P 31i1g4
GRADING PHI 1985 1216.13 2 .2 ? -2 . ? (Te /S-Z i•
?
SAN SEW 7RUfWK 575 1981 359.28 17.96 20 9
'gB? SEWER LATERAL $ 3 80.84 756.16
i11?-SAN SEW TRK LAT BEN 1984 255 . 78 17.05 15 / b
' WATERMAIN
WATER LATERAL ", 1981 172.42 $.62 20 Q.'jD O//S? 3 i• ??
WATEFi AfiEA 5710 ls$I 359.28 17.96 ZO ol- j . •?oZ 3 /? ?o
STORM SEW TRK $1`y 19?1t 490-98 32•?13 15 ? ' ?T
STORM SEW LAT - )3 198?4 8.20 5. 88 15 7 0, lD ??/?6 &gL
3
s9?*SS L & Services 19$S E `
CURB & GUTTER
SiDEWALK
STREET LIGHT
WATER CONN, 500.00
BUILDING PER, 11451
s,ac 525.00
PARK
?
.?- .
@llILDIkG PERMIT
To be used for :a F
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
6is, UUO
1986
Site Address 4 57 y SO HAY LAKE RD Erect ft Occupancy R3
UV1:FiHZLL F
Lot.I I elock 2 Sec/Sub A331iSR&0%bI ? Zoning R1
.
Parcel No Repair ? Type of Const. ?
. Addition ? No. Stories
¢ Name (;C'RP'ORATE C:ON5TRUCTION IN(' Move
? ? ?ength 4?
Demolish ? Depth d h
; Address ? 4 b 6 ?? ?:DGWOOD DR I
I ? F
S
a nt
mpr. t
q.
City t1Al:1kti phone 454-0694 Install ?
o Name Approvals Fees
t¢ Address Assessment Permit ?- 331.00
City Pnone Water & Sew. Surcharge 34 . 50
? Q Police Plan Review 1 b8 . 50 ?
LLI
W Name Fire SAC 575.00
?
F
¢ Z Address Eng. Water Conn. 501D. 04 1
dg W City Phone Planner Water Meter 63 . 50
Council Road Unit z' a 0. 00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 1?14/6 Tr. PI. 132.00
information is correct and agree to comply with all a pplicable 5tate of
Minnesota Stafutes and Ciry of Eagan {,lydinances. APC ParkS
? •
Var. Date
Copies
Signature oi Permittee
' Tot81 $ 2, U`J' 0. G ?)
A Building Permit is issued to: LURPO?tA2E CUI'! STRUC`' I Uti I f:l: on the express condition that
all work shall be done in accordance with all applicapl e State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
ti?? <i
Receipt #
' PwnR No. PwmF1 Holdw Date Telephan N
Plumbfny (t ??J &d t.
H.V.A.C.
eWettic Z
SOMMlf
Impectfon Dale Insp. Commenb
FooNngs 1 1 ?46 p
FooUnys ll
Foundatbn
Frsminy
poofin9
Rouyh Plbp.
Rouph Ntq.
Imul.
Fkoplace
Flnal Hty. 3?{r .N
FInalPlbp. -34 79"S/
Bldq. FMeI
GA. Oee.
Deck Fty. .t. ?
Dock Frmy. 3 . ?_ .
WNI
Pr. Obp. .
?
PERMIT #
RECEIPT #
DATE
i
CITY OF EAGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
?
1. Bidg. Type: Res N/ Gomm
3. Total Bid
6. Contractor
7. Contractor
?
Inst 2, hlew "
Job Address ??_
FEE
S,C
TOTAL
Alter
NO. FIXTURES NO. FIXTURES NO. FIXTURES
f Water Closet - $3.00 ! Laundry Tray - $3.00 -Well - $10.00
=Bath Tubs - $3.00 ? Floor Drains - $1.50 _,--Private Disp Syst - $10.00
-L-Lavatory - $3.00 ?Water Heater - $1.50 .?Rough Openings w/o
-Shower - $3.00 -Whirlpool - $3.00 Fixtures - $1.50
1 Kitchen Sink -$3.UU ? Gas Piping Outlets -$1.50
-UrinalfBidet - $3.00 -Softener - $5.00
COMM./IND. RATE - 1°!o QF TOTAI BID PRICE PLUS $.SQ STATE SURCHARGE FOR EACH$1,OD4 OF FEE.
Signed: for
Approved Iriepections: Date Rough Insp. Date Final Insp.
Reoeipt MECHANICAL PERMIT Penmit No.
CITY OF EAOAN
„
F«
Fill Jn numbsnd 4mm S/C ' -
Typs or P?rini /rpiWy T
'
OL
1. Om ;? - 2. Irutallstion Cost S .,
3. Job Addras a`.'?•" .-'' Lot Blk Tnct
.
4. Owrnr
5. Ca?tractor '' ".ecC t'eati _ .. ' ' ?Phone
S. qddre: ?'t'75 Pioneer Trail
941-4211
7. Gty I:<i?r-, State
8. Buildiny Type: Residential 0 Commercial D Institutional ?
9. Work Description: New fl Add ? Altar O Repair ?
10. Dasaibe Fuel Type
11.
No•
1 EquipmBtlL 9TU - M. Ea.
Forced Air No. Eauiament CFM
A
Mfg. . , • , ; ir Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas. P'iping Outlets ?
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with al1 ordinances and codes governing this type of work.
Signed : for
.
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit wfien numbered and approved.
Approved _ CITY OF EAGAN 454-8100
. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 58121
? „ ' PHONE: 454-8100
BUILDING PERMIT Receipt #
7U be used for w',, Est. Value j?•' Date APRIL 1 r.
Site Address `•,'' ollki L
Lot Block 2 Sec/Sub.
Parcel
oc Name ».. _. _ ,...,.. ... ...? ?. ?...--
W 4579 . . • . . ! L
3 Address`
° City ' Phone
?:wrr?:r«*:?3 '"WCti
. o Name
o? Address 4341- ' fl'' 97'
U? City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:_
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewaqe Occupancy
MWCC System Zoning
on sice weu (acruaq con$c
City Water (Allowable)
PRV Required * of Storles
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit `
Planner Surcharge '
Council Ptan Revfew
Bldg. Off. S,4C, City
Variance _ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks ?
TOTAL
Permit No. Permit Holder Date Tslophone #
Plumhing
H.V.A.C.
E lectric
Softener I
Inspection Date Insp. Gomments I
Footings I I
Footings II
Foundation
Framing I
Roofing II
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
46,40
Deck Final
Well
Pr. Disp.
CITY OF EAGAN slym SERVICE PERMIT
3830 Pilot Knob Rwd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZoninO: '" No. of Units: OWfIfI: _ "vrPnrz'- .• '-Qr_ at
AddrQ53: ` 4 _
Site Addross: - '440'
Wumber.
-l. 5•'. ?: _
1wpm h aw'Iy w11b Hw Gly of Eoyo¦
Oerlwom&
By
Dote of Irop.:
IDO . !;t.
ConMCtlon Chaegs: 4 , c
Accaunt Deposit: ' Penrdt Fer -
Surchorge:
Mitc. Charom
Totol:
Doft PoW:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Koob Roed
P. O. Box 21199 PERMIT NO.:
Esgan, MN 5517,1 ? pA7E;
Zonlrg: _ No. of Units: .
Owner:
Addrsss:
Sita Md?eas: 4579 S" -' .: . 3 k e P.d.
Plumber. r
Meter No.. CAnnection CJ+arpe: 0 p('
Size: Acoount Deposlt: ? r'•
ReodN No.. Permit Fee:
Iasm h eomplp wkb !M Ciey d Eo"¦ Surchorge:
OMINOUS"& Mlsc. CMrpss: ' ". 00&j TP
TOtCl:
BY Dah Paid:
Dote of Irup.: I ?
rap.:
CITY OE EAOAN WATER SERVICE PERMR
3830 Pilot Knob Road ,,
`P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DA7E: "
' zonlnD: - - No. of unin:
;p,,,r»,. (43rnorate Gonst.
Address:
Site Addreas: ?;57 So.?-Iav La':c 2_0_ i_i 1P' i`verh :11 , r-•
VIurt1blr F''t 1+L`1(i'i(; E.
rr,
.,. n,.. -
;Mehr No.: 0 ion Charpa: ? ? Slu: o L peposit:
Reoder No.:?t? o ?IQ$
I yme to
n epir wuh ??C?1t1?32? ??;? Ets. ?
,di...aa, ED ? ? 132.OOnd ''p
,p OfO?' A 63_ 5l? _ mPt.-?•
Br ? Dot* Paid: ,
Date 4,f Insp.: - Imp.:
,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. PHONE:454-8100
BUILDING PERMIT Receipt #
To be used lor BASEMENT FINISH Est VaWe $1, 500 Date AU(
Site Address 4579 S HAY LAKE RD
OVERHILL FARM 1S
Lot 11 81ock Z Sec/Sub.
OFFICE USE ONLV
PBfCBI NO. Occupancy - FEFS
Zornng _
W Name MARK A THOMPSON (ACtuaq Const
35.00
eldg
Permit
o Address 4579 S HAY LAICE RD (Allowabie) -
.
-
1
00
City EAGAN Phone 452-4187 :v ot stones .
Surcharge
-
Plan Review
Lengih _
o Name S?1ME Depih SAC
Qt
i
$¢
Address
S,F Tolal -
,
y
-
SAC, MCWCC
" City PhOn2 5 F. Footpnnts _
Wat
C
On Sne Sewage er
Onn
-
r- ww Name on sne weii W
w
xt 57
AddreSS
MWCC System -
aler Meter
-
aw CltY PhOnO CAy Water _ Accl. Deposit
PRV Required _ S/W Permit
I hereby acknowlege tha[ I have read this application and s7ate that Ihe Boostar Pump - SiW Surcharge
intortnatwn is correct antl agree to wmply with all applicable State of
Minnesota Statutes and Cayp
?f
?
a
g
an
Ordma
nces. Treatment PI
/
/
/?
?
?
?
?
Signature ot Permitee? ' /?°%/•Z'^? APPFOVALS Road Unit
A Building Permit is issued to: MARK A THOMPSON Planner - park Ded.
on the express condition thal all work shall be done m accordance with all Councd
apphcable State of M
(in?nesota StaWtes and Crty
of Eagan Ordmances. Bldg Oi1. _ Copres
,
/
1?(K1?1?OId I??I
Budding Official ,,
c
Vanance
_ TOTAL 36.00
N°_ 18275
" qS! S
1990
T?<REQUEST FOR ELECTRICAL INSPECTION
so
??See instruchons br comolebig this iwm on baek of yellow copV. ?
?- ""X"" Below Work Covered by Ttiis Request ;s
? ? -y?
d fleo. Tvoe ol Buildina Aooliancas Wired Equipment Wired
8 Fea ServweEntrenceSize N Fee Pexdars/SUbfeeders k Fae • Circwls
0 to Z00 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swinvning Pool Abave 100-Amps Above 100_Am s
Transformers Irrigation Booms ? Partial.' Fee
Signs SUecIallnspecUOn
Remarks
I. 1he1WCusc4°f
Inspec[oq hereby
cerbfy thet the abova
inspection has been
made.
Thb requaet
This request void
1?8 months irom
ID? nQ.°r1p,; A h. % 54"
Nuw R.KII NoUfy Inspec-
mr When Ready
[j Licensetl Elecvical Contrecmr 1 heraby request onspection of aCOVe
? Owner elachical work installed ab
Sveet AddFess, Box or Houte No. 4,
5 C it? ? I
_ fV
e uon o. Towns Nam r No. anee No. County
/
Occ ntIPflINJ) ?
G ii
; ,: Phone N<?y
r?
? ?
Power $ her Address
ElecVy,EBC t y ??rry? ?rtfeY"` '
l,L Y?tOCi?. LAi?E ac{o s Lieensc No.
Mailune Add! VA???i r'Makiha I h?il
1`?lle
Authonzetl SignaIDre ICOnlractor/Owner Makinp Installatwnl Phone Number
MINNESOTA STATE BOARD OF ELECTftICITV THIS INSPEGTION HEQUEST WILI NOT
Griggs-Midwey Bide. - Aoom N-191 BE ACCEPTED BV THE STAiE eOARD
1821 UniversitY Ave.. SL Paul. MN 56106 UNLESS PpOPEP INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED.
5??/90
U 33565
REQUEST FOR ELECTRICAL INSPECTION
? See insivc?on4 !a iompleting Ihis fortn on pack oi yellow copy.
'X" Below Work Covered by This Request
??e?'?? EB-00001-0]
.?.
ew iXdtl Rep. Type of Building AppliancesWued EquipmeniWiretl
Home Fiange Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Olher (Specify)
CommJlndushrel Fumace
Farm Air Conditioner
Olher(specAy) ConVactor5 Remar
Compute Inspection Fee Below,
# Other Fee # ServiceEnhanceSize Fee # CrtcurtsJFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps a Amps
Signs Inspector's Use Onry TO?TA/L?
Irngation Booms ?(/
Special Inspeciion
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the ElecVical Inspector, hereby Rough-in oa?e
certify that the above inspection has
been made. F,,,ai oe
OFFICE USE ONLV
TM1is reqvest void 18 monIDS fmm
91/,q/9 tJ C+ 95 15
C? 33565 -
Repuest Date Fire No qough-in InspecM1On
Reqwred?
? ReaCy Now ?WII Nony Inspector
When R
O
'
Yes ? N. ea
y
I i] licensed contractor O owner hereby request inspection of a6ove electrical work at:
Job Atltlress (Slreet Box ot RoWe No ) Ciry
SecUOn No Township Nama or No Range No Counry
?
Occupanl(PRINT)
?" S?,J Phone No.
s<sa - ??s?
Power Suppliar AtlOress
/?
EIecVical Conlracmr ICOmOany Name) Convaclor5 4cense N.
Matlmq Atltlress (ConVacmr or Owner Makmg Installatwn)
Aulhonietl SignaW ICOnVactoHOwner MaWng Inslallabon) Phone Number
+? ?w
MINNESOTA ?ATE BOqRD OF ELEGTqICITY ? THIS INSPECTION FEOUEST WILL NOT
Gr189s-Mltlway BIEg. - Raam S113 BE ACCEPTEO BY THE STATE BOAFO
1521 UnivemMy Ave., SL PauL MN SStOG UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N? 15678
BUILDING PERMIT PHONE: 454-8100 Receipt #?S -V-.f
?
To be used (or FIR: hACE Est. Value $1,000 Date OCTOBER 4 ,1988
SiteAddress 4579 SOUTH HAY LAKE RD
Lot 11 Block 2 Sec/Sub.OVERHILL FARM 1ST
Parcel No
: Name MARK THOMPSON
; Address 4579 SOUTH HAY LAKE RD
° City EAGAN Phone 452-4187
O
zi-
O0
UQ
1-
Name_
Address _
CItY _
r
ww Name_
Fw
iz., Address
aw CitY_
I hereby acknowledge that I have reatl this apphcaUOn antl state that ihe
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and C?ty Eagan Ordma ces ?
Signature of Permittee _ --
A Bwlding Permil is issuetl to __-
on the express condrtion ihat al I work shal I be done in accordance with all
apphcable State of Mf?mnesota Statutes and City of Eagan Ordinances.
BuildingOfficial
?
OFFICE USE ONLY
On Site Sewage _ Occuoancy
MWCCSystem _ Zoning
On Site Well _ (ACtuap Const
City Water _ (Allowable)
PRV Reqwretl - # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 24.00
Planner SurCharge .50
Council Plan Review
BIdg.O1L SAC, City
Vanance SAC,MWCC
water Conn.
Water Meter
Road Unit
Treatment P1
Parks
24
SO
TOTAL .
CITY OF EAGAN N0 14 8 51
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT' PHONE:454•8100 Receipt #?r
Tobeusedfor IIECK Est.Value $1,000 pyte APRIL 18, 19 88
Site Address
4579 SO HAY LAKE ROAD
Lot11 Block 2 Sec/Sub.
Parcel No
a Name MARK & LAURIE THOMPSON
= Address 4579 S0. HAY LAKE ROAD
o City EAGAN phone 452-4187
o Name CARPENTERS TOUCH
,
oa Address 4340 E. 190TH ST.
? City PRIOR LAKE phone 440-4225
W W Name_
Fw
x,?-? Address
Q W City-
I here6y acknowledge that I hav is application and state that lhe
mformation is correct and ree to m I rth all appllca6le Sfate of
Mmnesota Statutes an iry an
Signature of Permitt =
A Building Permit is issued UARPE ERS TOUCH
on the express condition th allworkshallbedoneinaccordancewithall
apDlicable State of Mmneysota Statutes nd City of Eagan Ortlmances.
Bwldmg OHicial
OFFICE U5E ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (Actual) Const
Ciry Water _ (Allowable)
PRV Requiretl _ # of Stories
Booster Pump - Length
Depth
S.F. iotal
Footprint S.F.
APPROVALS
Engr/ASSess.
Planner
Council
BId9. OH
Variance
FEES
Permit 24.00
Surcharge •5?
Plan Review
SAQ Cify
SAC, M WCC
Water Conn
Water Meter
Road Unit
Treatment P1
aar4t,copies 1•00
TOTAL 21..50
-
CASH RECEIPT
? GITY OF EAGAN ?
P. 0. BOX 21-199
EAGAN, MI E TA 55121 ?
??DATE ?? 19 ?
AMOUNT
? CASH
B_DOLLARS
?oo
? CH•
rrm[a-layers wVY
Veliow-Pozting Copy
Pink-File Copy
, 1988 BUILDING PEAMIT APPLICATION - CITY OF EAGAN
?SINGLE ,FAMIL DWELLINGS
INCLUDE 2 S S OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDR SSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS SIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE D ELLINGS RENTAL [JNITS FOR SALE IINITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.t
1 SET OF NERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATSONS
To Be /Used For: 0{,c.{z?`
? Site Address Ll'S 79 S H?,
Lot ?L- Block A
Pareel/Sub ovsrh 111
Valuation:Af"-l--
Owner ' ?.air1L lhaen.s.xnv,
Address 1572 ,S L(au jak[ -) _
? ?/ .Y"ta orr.
On site sewage_
MWCC system _
On site well _
City water _
PAV required _
Booster Pump _
City/Zip Code &u,Aac.?
a
Phone ysa - y?ga ' APPROVALS
Contractor ?F,,,,n}rr< To?c.G? Engr/Assess
Planner
Address 'f 3yD ? 190-h1. S'f" Couneil
B1dg. Off.
City/7.ip Code iovfor La(c. 5-5372 ' Variance
?
Phone y?O -
Areh./Engr.
Address
City/Zip Code
Date:
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
Il of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit z q'.9-0
Surcharge
Plan Review
=4 !5 SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies ?L
TOTAL a S. S_i
Phone U
o= *
`_37^C0+
?4-50+
168°50+
:75^G0+
5-0-:,0+
63-50+
29C°C0+
132°C0+
2r?90°50=k
,
/s
?
7985 BUILDING PERMIi APPLICATION - CITY OF EAGAN
NOTE: 9LI. CONTRACTORS MIU3T BE LICENSED MITH Tf1E CITY OF EAGAN
COlQ1ERCIAL SIAGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: `5f- CI,.((a. A(Z,Valuation: (o6,QDC7 Date:
Site Address u (..pxe {(p?
Lot ? Block 2
Parcel/Sub ?P??+???
Owner C1YG 0_ r^COhf[. ''?C
Address
City/Zip Code C.?5Rti M'V? Sf??3
Phone ?Sq - 06?K
Contractor zt n..r
ss,
Erect x
Remodel ,
Repair ?
Addition
Move ^
Demolish
Int,Impr. ?
Install _
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
FEES
Assessments Petmit
Water/Sewer Surcharge
Police " T Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council oad Uni.t
Bldg Off .. eatment P1
'
APC Parks
Variance Copies
TOT6L
v
Z(o x 38 - ??8 x s8 = 5? 30 4
?Ixg - `12 x44-"
ZZ& 22
484- x (2 -
Son8
Ip X ?? = ICX? K? ?C)O
.
CP-7Ot)U
SURYEYOR'S CERTIFICATE'
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CORPORATE CONSTRUCTJO.N
OVERHILL M ROAD
_ 140.00 N89047'10"E
10 25.83 ?
M
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?w 0 43/•4
I
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3?
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ol lo
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10
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-1-._30.00 48.33 "
140.00 N89047'10"E
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DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1
INCH =
30
FEET
O
• DENOTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 40,o FEET
X000
0 DENOTES EXISTING ELEVATION PROP05ED LOWEST FLOOR = 9 3?.'L- FEET
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 404 FEET.
I HEREBY CERTIFY TO CORPORATE CONS7RUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY aF THE f30UNDARIES OF:
Lot 11, Block 2, OVERHILL FARMS 1ST ADDITION, accordina to the
recorded plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SH04! IPIPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERYISION,
THIS 12TN DAY OF OG-ro6E4L, 1985.
SI6NED: JAMES R. HILL, INC.
c
DY:
HAP.OLD C. PETERSOIJ, LAND SURVEYOR
MINt4ESOTA LICEWSE NO. 12294
PROJECT NO. BOOK / PAGE JqMES R. HILL, INC.
85962 planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus South
FOLDER Bbotnington,Mn. 55431 012-884-3029
. . . „U„ ?or?PUTnTioN
?---
ExtERIOR ENVEi-OPE AVERAGE
.? i" A.? •.; ?
041NER Ph10NE
SDATE
S1TE
CONY??TOR, of each. 3f?i
foota9e
= ?= - t?
e workin9 SQuare Sq, ft. x
petermin ?? = ..l.?z•?=.Q.Z. ,'?;.
area Sq, ft.
} Total exPosed wa11 • ?? 7z
•
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Z tal exposed wa 11 area above .?? ?
oW area. • • ' . .....
• ' ? . 1--?? -
a ao' S?s ? door area • • • ' ' .. . :
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Tota?? net w area , ... • '
g, Tot rim 30iSt qoundaC.ion area
?;'??.is`•, , lotal exP°S?d
? Window area. • • • r?de .. • • • • "'
dation a?,ove 9
!,;! h. 'fotal R ti qoundation area all se9ment.
Toal value cf each w
petermi ne 3 3--
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..Total ha?? met the intent
t?.,: . , . . . • • ' ' ' ' ? , . ?
••••'"'. than item 91 ? you
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of SBC 6006(c)2.
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J. Total skylight area ............. ....... ... . -
k. Total roof/ceiling framing area (average 10%)... /37. Z
1. Total net insulated roaf/ceiling area...........^L??, -
Determine "U" value far each roof/ceiling segment.
J. X uUil ° .
k. 1.)7,2 x"u" . 026 = 3 3/
x „U„ oaz = .2si9
A. ............................TO'Cdl
r.. ,.
If total of k4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
A1ternate Building Envelope Design
Tp utilize the total envelope system method; the values established by the
Lvfii.:.M1^ ' .
sum of items #3 and #4 shall not be greater than the sum of items ql and P.
+ z. 33. 07 ? 2s? s5
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PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Swgle Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
IVisso
Date '?2 / C;? (n / d 3
Site Address lLtxQ Unit #
Property Owner fi9Q j" K T)"j UJn,s D I'L Telephone #Vs?
Contractor
Address ?2 'A `?Q \A \ ?`l `!? V \C.LJ Pc V ('., City n,ke?j
state 'M zip SSb '1 Telephone # (q5-'j) Z&`i - L?999
The Applicant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
AI[erations To Existing Dwelling Unit, I¢cluding $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild 1$ ? 30.0^v
Lawn irrigation system ?
_
r r n
27
;
r??,
0
Z J
_ Water softener -?.'
water heater $ 15.00
By
replacement _ additional
$ .50
State Surcharge
Total ? ?
I hereby apply for a Residenrial Plumbing Permit and acknowledge that the inforniarion is complete and accurate; that we work wiu
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; 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 wMch requires a review and approval of plans.
ApplicanYs Printed Name Appli t's Signature
alil
???0 ?/
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122 lot Ot
651-681-4675
New Construction Reauiremants RemadelfReoair ReauiremeMs
• 3 registered sile surveys showing sq. ft. of Iot, sq. R. of house; and all mofed areas • 2 copies ol plan
(20% maximum lot cover.ge allowed) . 1 set ot Energy CaIcWaUons for heated addNOns
• 2 copies o( plan showing heam 8 window sizes: poured found design, etc.) • 1 site survey for extenor addilions & decks
• 1 set of Energy Calculations . Indicate if home served by sephc system for addNOns
• 3 copies o( Tree Preservatbn Plan'rf lot platted after 717/93
. Rim Jolst DBGiI Optiorrs seleclion sheel (bldgs with 3 or less units)
DATE U-N
JOB SITE ADDRE:
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF WORK
APPLICANT ?
ADDRESS 44-
PAGER #
HOW MANY UNITS?
VALUATIO
:1-i- FIREPLACE(S) ?_ 0 ?_ 2
?I\]. PHONE#((0
?)?Z?- {CP(3
)L ZIPC?ODE?
CELL PHONE #?(p?l?, FAX # ll9S1124jZ° ?Yn
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Piumbing Contractor: _
Plumbing Systcm Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contwctor.
_ Air Conditioning
_ Heat Recovery 5ysLem
All above information must be submitted prior to processing of application.
Phone #
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 Or a ce . /
5lgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Rece' ed _ Not Required _
Updated 2002
Phone #:
_ Water Softener _ Lawn Spiinklcr Fcc: $90.00
_ Watcr Heater _ No. of R.I. Baths
_ No. of Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 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 ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Foorings (deck) _ FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
• 1 • • • ? ? I • ' • 1?1• • I? • 71• •
•CM' • • • ?? • ?• •?y7i? 1 11 ?I ? ? ;.
• ? 1 •
CITY OF EAGAN
APPLICATION FOR PERMIT SEWERR ADID/OR WATII2 CONNECTION
1) PROPERTY AMRFSS: 46TI -
LF7GAL DESQ2IPTION: 9 ? JL,
(Lot Block Subdi.vision or Ta?c Parcel I.D. Number) ?
IF EXISTING STRC'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE:
(Nbnth Year)
PRESENT ZONING/PROPOSID LSE: fR_3 -1 SINGLE FANIILY
-2 DUPLEX (Tro Units)
TOWNHOL?SE (Three + L'nits) Lnits)
-4 APARTMENT/CONIDOMINIC'M ( L'nits )
CON][?ERCIAL/RETAIL/OFFICE
INDL'STRZAL
INSTITUTIONAL/GOVEE2PMENT
2) /?
?: An a n ?eA ? ? (' A nn'1rf. 1 , k $;..,., JA _
ADDRESS:
CITY, STATE, ZIP:
PHONE:?
31 • ?: ?•
I,-)-
[vAME: RAYMOR3D E. NAEC; Ps?? AnnREss: 7226 Cedar Avg. Fo.
ciTY, STATE. zzp: Richfietd, MN. 55423
PHONE: ?.._.MASTII2 LICENSE # 04(t1
For City Use
P1Lmibers License
C7 rctive
Q Expired
O Not Record
StafT Initial
4)
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) ? ?' • a?• ? ??
CON[?CTION TO CITY SEWER ?('J' ONNECTION 'IO CITY FP1TEft
? OTHER (Please Describe)
6) i? ? •i
? PLEASE HOLD APPROVID PERNIIT FOR PICK-LP BY ONE OF ABJVE
d PLF.ASE MAIL APPROVID PERN1iT M 1, 2, 3, 4, ABOVE
(Circle one)
I__?u 1_._ ? t - a? -?. -
F 0 R C I T y U S E O N L Y `
PERMIT y ISSUED
t
rrE5: $ ?? (;-c-
$ /D • .S-Z)
$
S
S
$ ?•5 ? crj E:
$
S .-?60 • C,-C
$ --Jl_7G Cc c'"
$
S
S
$
$ /-3c • Cr ? .
$
S
SE'.'lL?.?. ni.??1T7' (I?1CI..:i:.. JU.?..^.?3a?.RCG1
WATER PERI'1IT (I21CiU?E SIIRCHAi2GL)
WATER METER/COPPERHORN/OUTSIDE READ£R
WATER TAP (INCLUDE CORPORATION STOP)
SE;vER TAP
ACCOUNT DEPnSIT - 4IAT°R
WAC
SP_C
TRGNK WATER ASSESS?SE:IT
TRli:IK SESIER aSSESSi•IEDiT
LATERAL BEDIEFIT/TRUNR SE:dER
LATERAL BENEFIT/TRUDIK IVATiR
WATER TREATMENT PLANT SURCHARGE
OTHER: _
TOTAL
'S P.IIIOU::T PAZD/RECEI?T
45''5_20 7
DOES UTILITY CONIVECTION REQUIRE EXCAVATION ZN PUBLZC RIGHT OF WAY?
0 YES IF YES, THEN n"PERMIT FOR W0RX WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
F_7 NO ENGINEERZNG DIVISIDN. LIST AS A CONDI-
TION.
S[;EJECT TO TEiE FOLLOWING CO*iDITI0N5:
APPROVED BY;
TITLE:
DAT°: ?/T Ie?
1990 BVILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTN IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:??FM%OT Flw t$l-1 Valuation: ' J?40 0? Date
Site Address 9/S7$ SG. A" 69zr' '
Lot ? Block
Parcel/Sub ?"00 wt J"" I At
Owner 4 HDixnPS oAJ
Address VS"75 $e, WAy (.?¢/C,•.'sc.u,
City/Zip Code 6-A&yW $S/3?
Phone 7pa- V/,P7
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
8-11 •crD
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const B1dg. Permit
Allowable Surcharge /t •'a
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ 5/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
-
Planner
TOTAL ?
Cauncil
Bldg. Off.
Variance
v
.
Cr+"y bf EP-9 Ow
:E?Speclnww DpPt
r
Itt kousr &t q579 ?u?
r^ 4' y? /? p
(`NPOIr? B?. 0? VP l o.? ?y 4I
CrD pr4 Lc+KtvwC
U.4 , v,P
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1)• W,
VEY4R'S CERTIFICATIE ' 'cORPORATE CONSTRUCTIO.N
?
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OVERHILL
? 140.00
30.00 -- - 48.33,
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N89°47'10"E
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ir 26.0 /
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? 140.00 N89047'10"E
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O
DENOTES PROPOSED SURFACE DRAINAGE gCALE: 1 INCH = 30 FEET
p DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR = 9 40. o FEET
o DENOTES IRON MONUMENT FOUND PROPOSED LOWEST FLOOR = 9 3-7,'L- FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF BLOCK = 9 404 FEET.
(000.0) DENOTES PROPOSED ELEUATION
I HEREY SURVpYAOF T?ESdOUNDARIESHOF:TH15 IS A TRUE AND CORRECT
REPRES
Lot 11, Block 2, OVERHILL FARMS 15T ADDITION, to the
recorded plat thereof, Dakota County, Minne
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOY! 1hiPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREO. AS SURVEYED DY ME, OR UNDER MY DIRECT SUPERVISION,
THIS IZTN DAY OF OC-roaFa-+
SIGNED: JAMES R. NILL, ir+I-.
Ca???,Pc -
BY' LAND SURVEYOK
HAROLD C. PE7ERSOIJ,
MINWESOTA LICENSE NO. 12294
PROJEC7 NQ. BOOK / PAGE JqMES R. HILLy INC.
85962 Planners ! Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue Seuth
FOLDER Bioomington,Mn. 55431 a12-8e4-3029
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???q ;1=
2005 RESIDENTIAL BUILDING PERMIT APPLICATION 0,6
?
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConStNIXinn Reauirements RemodeUReoair Reouirements O(fice Use Onlv
3 regislered site suneys showing sq. fL of lot, sq tt. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y _ N
(20% mazimum bt coverege allowed) 1 sel ot EneBy Cakulations fot heated additions Tree Pres Pian Recd _Y _ N.
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N
1 set of Energy Calcula6ons Add'Mon - indkate if onsifa sepfk system On-sit8 SepGC 5ystem _ Y _ N
3 copies oiTree Preserva6on Plan'rflot platted after7/1/93
Rim Joist Dehail Optbns selectian sheet (buildings with 3 or less units)
Date ol Construction Cost _ f?,
Site Address UniUSte #
0La k e 12 . S.
Description of Work t
Multi-Family Bldg _ YAN replace(s) 0 t 2
Proper[y Owner/9-9 I Telephone # Q? 1) y??- `/ f9'7
«?-•
Contractor i ,
?
Address ? p hd c City
State Zip'} Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Cetegory . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
suhmission type) Submiited Submitted
. • Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar planZ
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/ W ater Con tractor
Telephone #(
Telephone
Telephone
N If so, 25% plan review
*FR 2 3 2005 ?UJ1
S
I hereby apply for a Residential Building Permit and acknowledge that the inform 'P' omplete 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
permit; that the work will be in accordance with the
pp , val of plans.
pplicanYs Printed Name
an application for a permit, and work is not to start without a
annroved-nlan in the case of work whicWrequires a review and
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 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 ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteratian ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Oemolition (EnNre Bldg) - Give PCA hantlout 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 Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _
_ Final Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan f2eview
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA106170
Date Issued: 08/15/2012
Permit Category: ePermit
Site Address: 4579 Hay Lake Rd S
Lot: 11 Block: 2 Addition: Overbill Farm 1st
PID: 10-56150-02-110
Use:
Description:
Sub Type: e -Water Heater
Work Type: New Description: Water Heater
Meter Size Meter Tyke Manufacturer Serial Number Remote Number Line Size
Comments: deb Larson s s I s Zo9tn st
Lakeville, mn 55044
952-469-6999
Fee SUn1111ary: PL -Permit Fee (WS &lor WH) $55.00 0801.4087
Surcharge-Fired $5.00 9001.2195
Total: $60.00
Contractor: -Applicant - Owner:
Drain Pro Plumbing Mark A Thompson 8815 - 209th Street W 4579 Hay Lake Rd S
Lakeville MN 55044 Eagan MN 55123
(952) 469-6999
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.
ApplicanvFermitee: signature issued By: signature
Use BLUE or BLACK Ink
r-----------------,
I For Office Use~n
Permit W
(ion
City of EaRd e
Permit Fee.
3830 Pilot Knob Road I c I
Eagan MN 55122 Date Received: o a
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: _
2013 RESIDENTIAL BUILDING PERMIT A~P/PLI TION
Date: Site Address: 4"'t Unit
Name: V ,Wone:41S T..a04 4 IA
Resident/ ~,Jf
Owner Address / City / Zip:
Z) 7
Applicant is: Owner Contractor
Type of Work Description of work: .
drip
Construction Cost: Multi-Family Building: (Yes / No )
Companym " v/ %;"3 &lJlQf" ontacte;N0J:
~a~~l
Contractor Address:3 _City:
State: Zip: Phone:
CJI
License / Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(~xa 6~~ ~C.- M N H
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:
F NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.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 wit a pproved pl a case of work which requires a review and approval of plans.
erio o aut r' d by a di permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of a 1t 1 ante.
e
x x
plican rinted Name pplicanVs Si ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE I J~ 50 a~
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
L
WORK TYPES kL I f ~ rL 1 r~154f4617"
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 19 {a Occupancy MCES System
Plan Review Code Edition SAC Units
(2w0/o;a 00°!o) Z(ining, City Water
Ccnsias Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length, Fire Sprinklers
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
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
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 00,9
Surcharge 3t
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
7
Treatment Plant !L(ro X
Copies
TOTAL
Page 2of3
~
VEYOR'S'dERT[FICATE CORPORATE CONSTRUCTION J ~ ~ !
I a M C.~,~ .
OVERHILL M ROAD
140.00 N 89 47 1 a
937. I r 30.00
_ N o
10
0
It Q 25.83 sow
30 i / w W 0
,•~.r
az v
Z ~ 22.50
PR D Y~ ~a 26.0 c 0
DRtAY 7,,'G~ h " t{~
J 0 say. xt 2233 0
kc) I 10
0
I0 'S 1
10
30DO 46.33 r
140.00 N89°47`10"E
30
i
_ DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEET
p DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR = R4+5• a FEET
~ DENOTES IRON MONUMENT FOUND PROPOSED LOWEST FLOOR 93? . FEET
(aoo(000..0 a} DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = c )4o,4- FEET.
,
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 11, Block 2, OVERHILL FARMS 1ST ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
SUPERVISION,
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOTORPURPORT TODiRECTIMPROVEMENTS
' OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, U 14Y
THIS ivr" DAY OF OC'roe~.
SIGNED: JAMES R. HILL, INC.
V
BY:
HAROLD C. PETERSON, LARD SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK PAGE JAMES R, HILL, INC.
85962 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55434 612-884-3029
4
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114595
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4579 Hay Lake Rd S
Lot:11 Block: 2 Addition: Overhill Farm 1st
PID:10-56150-02-110
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 by law in ALL single family homes .
Fireplace:1,LOWER LEVEL, 6000C-IPI
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 -
Mark A Thompson
4579 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:EA114777
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4579 Hay Lake Rd S
Lot:11 Block: 2 Addition: Overhill Farm 1st
PID:10-56150-02-110
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 .
William Krech
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 -
Mark A Thompson
4579 Hay Lake Rd S
Eagan MN 55123
(612) 452-4187
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: 11976
3 Permit Fee: I • 1°9
Date Received: Id-- t ` /
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address
Unit #:
Resident/
Owner
Type of Work
Contractor
Name:
Address / City / Zip: 4/57? . `
Applicant is:
Owner ✓"Contractor
Phone‘5?"" A6?/7
Description of work: ,�
Construction C
C 6-)--/Aineel--
: *19/ 6)(106
Company/ f' /Lr+r4 %/��G Contact jep �'
J �
Multi -Family Building: (Yes / No x)
Address:
State:
License #:
City.
Phone:a51 _ ( r. -34/3
Lead Certificate #: i j9'j-' o g 73 1_
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
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 �classifiedas°non-public if you provide=s l is reasons th twould�permit the City to `.
conclude that they are trade secret
CALL BEFORE YOU DIG. Call Gopher State One CaIIat (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st- • ithout a permit; tha the work will be in
accordance with the approved plan in the case of work which requires a review and ap• . - • •fans.
xterior work uthorized by a building permit issued in accordance wi • = ildi• Co •• pl-
d within 180411 I I FrArj—°,4
days • permi issuance.
e Minnesota State
7
cant's Printed Name
icant's �" ature
Page 1 of 3
g571 //ty C.zLc i
DO NOT WRITE BELOW THIS LINE
1/9705‘
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
t Alteration Pire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100°/0
Census Code
# of Units
# of Buildings
Type of Construction
Gtomi
11311
1
1
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season) Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) Miscellaneous
Pool Accessory Building
Occupancy
Code Edition
Zoning,`
Stories
Square Feet
Length i
Width
Siding
Reroof
Windows
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window Water Damage
*Detnolitionof entire building— give PCA handout to applicant
007
RSC
MCES System
SAC Units
City Water
Booster Pump
P RV
Fire Sprinklers
Meter Size:
Final / C.O. Required
)lr_ Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests
Siding: _Stucco Lath _Stone Lath _
Air Test _Final Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee "73
Surcharge
Plan Review 4,7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies y e 01.9Y
TOTAL
Page 2 of 3