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4580 Hay Lake Rd S? CASH RECEIPT . . . CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 f DATE 19 armclEivcn FROM • ? AMOUNT ' I DOLLARS 1 oo ? CASH ? CHECK FOR 4 41 8 .`'2"' BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I i? I I ? PERMIT SUBTYPE: , 'i.i 1 r f? ?+. 0 te ss O o I ts Ftl iIt k. : :coRn PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: fir 1.1 ,; i VII , r,N kiUltftilMf; ?.?H +,ti n fAN/ty/9B f' f1 ! 1! i utNci /wrr+uowt ?- ? .?? _.__------------------------------------? Permit No. Permft Holder Date Telephone # ELECTRIC PLUMBING HVAC Inapection Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG . FINAL HTG ORSAT TEST /?- BLDG FINAL e", 4F <- ? BSMT R.I. l -- 1 BSMT FINAL DECK FTG DFCK FINAL • --- - - --- - , ? ? ? CITY OF EAGAN Remarks ,4ddition OVERHILL FARM 15T ADDN Ldt 8 elk 1 Pa?cel 10-56150-080-01 Owner U1?- V h??? F?-'uC ? 1V• Ci Street 4580 S. Hay Lake Road 5tate Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$j 310.74 15.54 20 S7REET RESTOR. 198? 2204.64 440.97 5 GRADING 1985 1202.81 240.56 SAN SEW TRUNK 1981 359.28 17.96 20 E1AfER LATEFiAL Wat L X 1 5 3739.43 147. 2 8 OPM SEW TRK LAT BEN 1 252.98 i6.s?7 15 -- WATERMAIN - - WATERLATERAL 1981 172.42 $.62 20 WATER AREA 1981 359.28 17.96 20 STORMSEWTRK 19$4 /tg5.60 32•3rf 15 STORM SEW LAT --rrk 19$4 $7.23 5.82 15 S/L & Services X 1985 - - CURB & GUTTER 51DEWALK STREET LIGHT R 260.00 #43468 5-21-84 WATER CONN. 470.00 9UILDING PER. 469092 sac $525.00 PARK ? r- ' CASH RECEIPT •?"°. ? ; CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 2 ? JI 19 weceivcc FROM / / ?i ?CA?J _ .? : . AMOUNT f 00 E) CASH Q CHECK ,._? !! ?1 '-?,? ?: ?v /+ ? ; C ? ' Gv? !,G l•U cL:/ FuNO CODE AMDUNT i 5 / .. , • y, ^ ? 1 ? Than p u . -t BY ? White-Payers Copy Yellow-Posting Copy Pink-File Copy - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I?i?l I?11 I f I t 141•: M 1': I PERMIT SUBTYPE: CTI B Fii III F ;C4RD PERMIT TYPE: Permit Number: Date Issued: ; APPLICANT: ?1 '•'?1 4 TYPE OF WORK: fIl `.'C'.it t N f 1110 til?IIUIN?i 0A `36 I N f. RF?F'A1F7 .!?h t I 7"S/PAf' iA ? , .. ?. - ? ? Permit No. Pertnit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR 7EST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG DRSAT TEST BL.DG FINAL BSMT R I. BSMT FINAL DECK FfG DFCK FINAL 5i d;„, i /v -?Sl-4c u? ? j h I MECHANICAL PERMIT RECEIPT # 7c? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site m IName 1 F1-_J. B Address `~??•'?= `. 41 c City _ r` ,t BLDG.TYPE Sec/Sub R? ? Mult r , Comm. Other WORK DESCRIPTION New 0 Add-on X Repair ? Name I' ? ? c Address p City C Phone `A - TYPE OF WORK Forced Air M BTU Boiler M BTU ? Unit Heater M BTU Air Cond. _X__ M BTU ? Vent CFM Gas Piping OuUets # aner s_ FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL App,pW 8 REMODELS MINIMUM CaMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) - $24.00 - 6.00 1.50 EA. - 1200 - 20.00 - .50 IF 4hNl v. G FEE / • ? S/C: SIGNATURE OF PE ITTEE TOTAL: ?G /f ? FOR: CITY OF EAGAN Receipt PWMBING PERMIT Permit No. CITY OF EAGAN • Fm Fil1 in num6ered spaces S/C Type or Print legib/y Tot. -?57) 1. Date 2. Installation Cost r; ? r • 3. Job Address' -, Lot Blk. Tract 4. Owner 5. Contractor Phone` 6. Address "? ? C=. 7. City State Zip :-? 8. Building Type; Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter O Repair O I 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Trdy Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ipt ? Y J`l 7 MECHANICAL PERMIT Permit No. Y(C' 7? CITY OF EAGAN ? ? ? Fee ' FiN in numbered spaces S/C Type or Print /egibly Tot 1. Date 2. Installation Cost c-, c) 3. Job Address -4'?v t Lot Y Blk. ract ?sJ 4. Owner 5. Contractor r` ?- 6. Address 5 , . . _t- Phone /? ? )6 ? ?1 7. City State NJ Zip ?> 8. Building Type: Residential ? Commercial 0 Institutional ? 9. Work Description: New g Add O Alter ? Repair ? 10. Describe `?`- ? ? • __ "'r ' Fuel Type 11. No. 7 Equipment BTU - M. Ea. Forced Air ?/ (' y ( `, No. EQUipment CFM Air Handling: Mfg. C'k Boilers E Mfg. Mech. xhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to /`s and codes governing this type of work. ?e oomply with all or inan Signed: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN ?T . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N10' 90Q2 ' • ?' PHONE:454-8100 ? BUILDINQ ,PEA?MIT. : Receipt ?'3 y ? !r Te b, Ywd fer SF DWG/Gr:'r?. Est. Yolue $ i:7 r 000 dot e A1AY 21 , 19 84 SiteAdd?gss ` 4580 IiAY LAi:}, x;OAD ' Erect R3 occupancy ` Ot lock Sec/Sub, -561 S O ? O- O ? ? Aiter ? Zoning Parcel No. - t . b Q Repair ? Fire Zone `? - ,? ?il??K AI,II;?R 1 Y Enlarpa ? Type of Const. ? ? N?e Z 40 RUSF,LL 11VE SO. Move p ?k Stories Addres a City s zC=i1FIELI: Phone 1;61-268 De^olish Grode ? ? Length_? Depth $q, Ft. A Name SAi•1F AS ;?LBOVF ?? Addresa 1- City Phone Gity Phone Assessment Woter 8 Sew. Pol ice Fire Enp. Plcnner Council Permit '- •vv Surchorge 43.5 Plon check 9 ' O 5AC 52 5*. 0 0 Water Conn. 4 7 0. U 0 Water Meter 6 3•0 0 Road Unit 2 C. G.(' l. I hereby acknowledge thot I have reod this applicotion and state thot Bldg. Off. the inlormation is correct ond ogree to comply with oll epplicoble APC Totel ? 5tate of Minnesota Storutet?ond Ci,ty oE Eaqon Ordinonces. y i Sipnature of Pcrmittea ? ? ? A Building Pertnit is issued to: on the sxprcss condition tFat pll work shnll be done in accordance with oll applicable State of Minnewto Stotutes ond City of Eapon Ordinances. Buildinp Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbin9 of O Dfikc r,,9- 7 ak H.V.A.C. W 0 L Y Wdl Water Disp. Sawsr Ekctrie tn, Inspection Date Insp. Other Footinps o Foundation Fnming Rouqh Plbp. ? ?y ? Rouph HVA D inwletion ° Final Plbg. ? Final HVAC Final L r D Wster Deu?ibe Location: YVsll Sewer Pr. Disp. 1 CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING RFRM17'. fieceipt # ? To be used for ' Est. Value ?• 1 + "??' Date ? - Site Lot Block Parcel No. ? c Name ,.z.. -. „- ? . - - - - . ; Address '+g?"? ,. ? ,7 , • • ?.4KF F?OA` _ 0 City AiN Phone °Co Name ~ ~? ? ? Address ? City Phone Address City Phone I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minrresota Statutes and City of Eagan Ordinances_ Signature of Permittee ?: . .l( ;--?•F - A Building Permit is issued lo: on the express condition that aIl work shall be done in accordance with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ I Sec/Sub. nV8RH1LL PAk14 15'1 Ak OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zonin9 On Slte Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. OH. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 ParIC9. on t @ B TOTAL 19 2 1• ?; ? ?' . Permit No. Permit Holder Date Talephons it Plumbing H.V.A.C. Electric Softener Inapectfon Date InsP. Comments Footings 1 Footings II Foundation Framing Roofing Rough Plbg, Rough Htg. laul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. -04T DS. 'f;oi, F ? Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 5-?I-84 43456 a0n? to ee?py wilh tiN Cihr of Eye¦ of Insp.: SEWER SERVICE PERMIT ? %:. PERMIT NO,: DATE: . No. of Units: Connection Cha*De: Permit Fee: Surcharpe: Misc. Chorges: -, Total: Dote Paid: CITY UF EAGAN ? 3830 Pilot Knob Road WATER SERVIC E PERMR , P. O. Box 21159 • PERMIT NO.: Eagan, MN 55121 DATE: ' Zoni?g: -, ' No. of Units: Owner. ASAY'k 11Z bCPty Add?ess: - - Sste Addreas; 4580 F1a v Lake roac:i z,F -L1 Overh 1 Farm 1 Piumber. We er :c: rcncc? . °.,,r AAeter No.: Connection Chorge: 470.00 j7 Siu: Atoount Depos(t: ? 15.11t, Reoder No.: Permit Fee: `• n . ym fo oomPly wuh tM Citp of Eayen Surchorge: .-ill pc' Onu1O°0w Mtsc, Chorges: 63.00 nci rte t0 Totol: By Date Pcid: Date of Insp.: Ir?s : ' p. r CfTY OF EAGAN 3830 Pilot Knob Road g . P n WATER SERVICE PERMIT t ox • . . 1199 Eagan, MN 55121 PERMIT NO.: Zoning: DATE: No. of Units: Owner; Address: ? e IWdross: ; umber: ' " . IVieftr No.: , :^. 1 ? '6onnection Chor ?. -- ze: r r ; .- - -?k'?count Depostt: Reade No: ? ? ? . it Fee: ?? Ph? wima !IN Cit r DI'?lMIICp, ? PCI10fgE: Mfsc. Chorpes; ? ? Total: BY :OL te Pofd: Oote of Insp.• Irup.: ' CITY OF EAGAN Include ?_ sets of plans, ? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set c{ energy calculations. 'Ib Be Used For ?•- 1 I' I Valuation Date site adaress ys fici OFFICE USE ONLY r,ot g alo& I sec./sub. Frect X_ a:cupancy R-3 Parcel #: SCo1Sd- C?7o - 0 f Alter zoning R-I Owner: Address: 714oi RqsrJ) A rr_ St, City/zip Code: Phone r : NI - vZ? ?'X Contractor: _ ?:.r' ,M' r'5 Pddress: City/Zip Code: Phone # : Arch./Eng.: kon^e3 Address: City/Zip Code: -? Phone #: Repair Fire Zone N A Enlarge 2ype of Const. ? Move # Stories Denolish Front SZ ft. Grade Depth 3rj ft. water/Se,aer Surcharge Police Plan Check Fire SAC Ehg. Water Conn. Planner Water Meter Council Road Unit Bldg. Off.3" AFC TarAt b? 7, ti5 2 .SD 3o,c 2 4. = 72c? x 54 = 3 gg8o (?x 12= i°i2 x ?4- ` 103?? 22 x z2= 4?4? l i = 5324. 3on ? ` 7?ox 41 = 3l?So ? 552 ??,oc? (l C(SSL/ REQUEST FON ELECTRICAL INSPECTION E8-00001-04 ? See in4ructions for comoiatine this lorm on back -) ot Yellow coOY• A? i?7 Fi f! 5 "X" Below Work Covere4 by 7his Request NpA Addl Nep. Type oi Building APPliOnCn! Wired EquiUmenl Wired ?I-lome Range Temporary Service Duple.x Water Heater Liyhtiny Fixtures Apt. Buildinc? Dryer Electric Heatin Commercial BIAg. Furnace Silo Unioader Industrial Bldg. Air Conditioner Bulk Milk Tanl< Farm Otna, oeafv o:heir (SUOr.7ry) ther Veclty ther Othcr ComUUte lnspectron Fee Below p Fae ServieeEntrBneeSize p Fee Fxeders/SUb(enAers u Fee Circuits U to 200 Amps 0 to 30 Am>s IS, 7,5 0 fo 30 Am s Above 200 qmps 31 to 100 qinps 31 to 100 Am s Swimming Pool Above 100_Amps Above 700_AmPs Transiormers Irrigation &>oms 50 Pdrtial%Other Fee Signs Speciallnspection $ n TO EE Nem?rks SQ' g ? ? Fough-in Da{??? ? cal nspactor, hereby certity that the above Final D" ? ? - s ection has been m e. Thic repuesl roia 18 monihs tmm . od u ?YSg? rtwnths from d???515 L g13 J,wh.: t I-A, &--? ,tp (f y .ct q9-sa Renuest Date ? ?y (`? S Fire No. Rouuh-in Insyection RnUwred? ?ReadY Now?Will Notily InsVer tor Wh R ? I ?/]Yes ?NO t;n eadY r-I Licensed EiecvicarConlractor I hereby request inspectian oi above .?!.Owner ` electrical work instelled at Street Address, Bo n or Fnu/te No. 4 < ) Ciiy 1 44 .; ?/ C... {?. ecuon o. Town ip Name or No. Range No. Count Occupant(PRINT) P h one Nn. I 1_ {?JW [ ? /J O ? ?VO Power Supplier Atlaress + I?G Elcal Coniractor ? COmpany Name) Convac's License No. 5 W vw Mailin0 Atltlress Con hacmr or Owner Making Instailationl 45?-? L Cq 5s??3 ' Auffiorized SiOnature onvactor Owner Making Installa nl Phone Number F:6 (-A MINNESOTA STATE BOANO OF ELECT0.ICITV TNIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldg. - Room N•181 BE ACCEPTED BY THE STqTE BOAPD 1827 UniversitV Ave., St Paul. MN 55704 UNLESS PNOPER INSPECTION FEE IS Phone (812) 297•2111 ENCLOSED. yl?5/$? REQUEST FOR ELECTRICAL INSPECTION ea-a i-os y See instmctions for comoleting this torm on back ot ?- ^ ?? ? O ? vellow coov. ? ? "X" Below Work Covered by 7his Request Aen x,o. Tyoe or euiiaias aaoi--oca. w,,ea i - tinu F ? ?ommercial tlldy. Fumace ? I Silo Unlo?ider Industnal BIAg. Air Condrtioner Buik Milk T:.nk . Servica Entrance Size ? 30 qmus [0 100 Amns 3 Ci ; r\,a A ? r r A--,, 5 flouBn-in ' - ?nle 1. thn cal Insoectoq heraby Final pA?e certify that the above . inspectian has bee. ?' ? mede. This request void la monms r.om D 6bZ02 Si- L n c'/ I I Re9uireti? -"-".._.. IQHeadY Now oWJI NotifY Indysoec I -? S- 0 0 ?? ?N Wh fl ? Licensed Electncal Coniracmr 1 hereb y repoest insoection of ebove ?Owner electrical work ins1a11nA ar? S[reet AAAress, Boz or Route No. City S?' O S qc_- ??'- Ki ?c e r, ection o. Township ame or No. Fange o. Cou Occupanc IPqINTI Pho e Nn. I rnGr ? ?l?.-? l? q5a-65(. Powep?? ? AdAress ? LL Electrical Contractor IComuany Namel Convacmr's Lir.ensa Nn. Mailing Atldress ICon[ractor or Owner Making Instailationl Au orize Si . ture ICon cmdOwner Making Installatlon? Phnne Number ?`Sa asr ? MINNESOTq STATE BOAR OF ELECTflICITV TMIS INSPECTION REQUEST WILL NOT Griggs-Midway BIAg. - qoom N•191 gE ACCEPTED eY THE STATE BOANO 1821 Universitv Ave.. St. Paul, MN 56100 UNLESS PROPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. CITY OF EAGAN ??7 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1?1 ? 9092 • PHONE:454-8100 BUILDING PERMIT. Receipt # y Vol if/ Te M wed fw SF DWG/GAR Est. Value $87. 000 Dote MAY zl , 19 84 SiteAddrese 4580 HAY LAKE OAD Erect Occupancy R3 Lot 8 Block 1 Sec/Su6. A n??STlfer 0 Zoning Rl- Parcel No. 10-56150-080-01 Repoir ? Fire Zone N A MARK ALBERTY Enlar9e ? Trpe of Const. V c Name Z Address 7401 RUSELL AVE SO. 9 City RICHFIELD phona 861-268 0 Zu °u? H Name SAMR Aq ASOILE City _ Name _ Address Phone City Phone I hereby acknowledge that I hove read this application and state that ihe informotion is wrrecf and a9ree fo wmply with oll opplicoble Stute of Minnewto Stotuteiand Cif,v oj Eooao Ordirances. Signofure of PermiMee A Building Permit Is issued to: all work sholl be done in accordonce wj oll Building Officiol Move ? # Stories Demolish p Length 52 Grode ? Depth 35 Sq. Ft.- Aovrovals Feea Assessment - Water & Sew. Police - Fire Eng. Pianner - Countil _ Bldg. Off. - APC Pemit Y J?Y.VV su,cna.9e 43.50 PIur1 check 197.00 snc 525'.00 Water Conn. 4 7 0. 0 ? WaterMeter 63 00 Rood Unit 260 _ 00 rorol $1, 952.50 _ on the eXpress condifion thm City of Eagan Ordinances. CITY OF EAGAN N o 14 8 4 4 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE:454-8100 ?f? i O BUILDING PERMIT Receipt# ??` To be used for ' DECK Est. Value $1,000 Date APRIL 15, ,1988 Site Address 4580 SOUTH HAY LAKE ROAD Lot 8 Block 1 Sec/Sub. OVERHILL FARM 1S'. Parcel No. c Name MARK ALBERTY = Address 4580 SOIITH HAY LAKE ROAD ° City EAGAN Phone 452-0514 o Name SAME ? Q Address r City Phone ?a W W Name rw i? Address a W City Phone I hereby acknowletlge that I have read this application antl state that the inbrmation is correct antl agree to comply with all applicable State oi Minnesota Statutes and City of Ea an Ordinances. Signature of Permi[tee A Building Permit is issuetl to:_-MARK ALBERY on the express contlition that all work shall be done in accordance with all applicable Slate of Min;n?e]s?ota Statutes /a Jnd City of Eagan Ordinances. Building Official_!C- - OFFICE USE ONLY On SRe Sewage - Occupancy MWCC System _ Zoning On Site Well _ (ACtuap Const CiN Water _ (AllowaGle) PRV Required _ # of Stories Booster Pump Length Depth S.F.TOtal Footprint S.F. APPROVALS Engr./ASSess Planner Council BIdg.Ofl. Variance FEES Permit 24.00 Surcharge .50 _ Plan qeview __ SAC,Ciry SAC, MWCC Water Conn. Water Meter Road Unit Treatmem P1 earxscopies _ 7 -00 TOTAL ZS-SQ- , EXTERIOR EPJVEP:.GFE AVERAGE "`U ` COPt?BTATI4:1 MNER r'1 A R K E K k I sTI E A 1 L ET? SITE ADDRESS 44S &o I-4?,4 Lc.k<, Rp EqsAN Mnr Ss1a3 _ I CONTRACTOR r'IAYLk L?Cz RTDATLS - IS'- F?PEONE E61'-2601? : Determine vrorking square footaoe of each. 1. Total exposed wall area .... a CJU0 sq. ft. x,11 2. Totai roof/ceiling area ... 90C) sq. ft. x.a2'6 Total exposed wall area above floor = IB?a.S a. Total wall vrinCOrr area .C.?: .Z:? . . . . ( ?S -? b. Total door area ........................ (2) .0 c. TotaZ sliding glass area ..... •....... d. Total fireplace orall area . e. Total wall framing area (average 10%) ... T?I.? f. Total net wa1Z area above floor ........ y1 g. Total rim joist area .................. 18 . Totai exposed foundation area = 9 ? h. Total foun3ation t•;indow area 1.':S: .. l0-?6 I. Total net foundation area above grade . A6.-7 Determine "U' value of each wall segment. a.165.a x "U" b.? x ',ur; c. X "U` - D. X "U" m e. X''U" _UL_ = ta.( 7 f. x ,tUt: _o32 = 3-3 P,. 187.5 X "U'' .. h. lo.b(- X :,U,: I. X NUl, ? ? -•?? - - a ?•?I , 3 .................................... .......Total ° 12 "'C2-3 If item #3 is the same as, or less trian item #1, you have met the intent of SBC 6006(c)2. }? • Total exposed roof/ceiling area = ?10 Q ?. Total akylight area .......... ... k. Total roof/ceiling fram3no 2.rea (average 10°, O 1. iotal net insulated roof/ceiling area ....... Ic? Determine "U` value for each roof/ceiling segment. i x ilU ir z k. C( L? n"U'` -'0a3 = ?, De1 x ,:U,? . oa = 16.3y 4 .........................................Tota1 If total o° P4 is the same as, or Iess than f2, you have met the Sntent of SBC 6006(c)L Alternate Buiiding Envelope DesiE,n To utflize ihe total envelope system method, the values established by the sum oF items N3 ar.d #4 shal1. not be greater than the sum,of items ml and ti2. I. ?aC) + z. a3_L4 _ )411.4 3. r??.s3 + u. /S.4f3 = am. -,? 6 . ? ?? .. _Q 9.}1,7 ??F ?T ? ?; 9 N88°53'o9"w ??ST ? ? 94 r ,,??" aVER..µ?L` 0 h1 3 Y' tA . M Np 00 ? z 0 ? , I M^9 z >- q ? ( . Ly ? I ? J ? 5L (A - - I FsTy4) I i < ? o? Q 0i I i J -o x m ? ? ?P e^ gdM? ? q a? -41 ?• .?r V.oAo 3 '. 7 s??.7 933, 9 D Z f ? to 0 -- ? t ?yAfLA4? ? . ?_„r w ! h?? %N ? r! i 942, o ; o ?--- ?? 0 - ?,q -' 9,34 30 ? 49?,,f'? y \?• ?,?... 941. ? ,33 q4i r ? 143.co fJ 0904"f' 1o'E --? ? NDQ..TH L>LA?LE : tins •lj0' ALL 6EAttliJ6+ A++IJN\6G o pEWOTFij Itt.01J M0I4LSMENT DE*e?imp^r towt {..oT a i 8 L-oG W. 1 I OVEfLH11.t- PARM FJfL+T AOVtTlowi) C)AbLO'fA coutitTY, (4At w1N E.Sa"FA I hereby certify that thie survey wae prepared by me or under my direct aupervieion and that I am a duly Registered Land Surveyor under the laws of the State of Minneeota. D at e: M q.4 1'7 .0 t g°4 t. ?-6? LeRoy . Bohlen Registered Land Surveyor No. 10795 ' •. •0 -ToP M, H, cf 3 ,19 ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Rewiremenis 3 regisiered site surveys showing sq. fl. of IM, sq, ft. of house; and all roofed areas RemadeVRepair Reouiremenls 2 copies of plan 6e!?N ? t?FSw?eY ??g? ,.. "? -N (20%maximumlotcuverageallawed) lsetofEnergyCalculationsforheatedadditions 3CeeFres(?ieti;Recd _'! _N 2 copies of plan showing beam 8 vrindow sizes; poured found design, etc. . 7 sile survey for addAions 8 decks Tt80 PrQSRequieed ,,,,, YN isetofEnergyCalculalions Adddron-indicete'rfon-sResepficsystem Dti-s?t032pt??.3yslet3! _Y-N?- 3 copies of Tree Presen2fion PWn if lot platted after 711193 Rim Joist Detail Options selection sheel (bldgs wilh 3 or less units Date L_/ O? Site Addresa "Irg 0 I 0` S o'?T? t a? y Construction Cost ?0 I?t Q I?04 d IInit/5te # Description of Work a? CQCS? - Multi-Family Bidg i _ YN Fireplace(s) ? 0 _ 1 _ 2 Property Owner ? 0.? ? N hl Aj6 2Y4Y Telephone #((o Sl )452- oSlq 6S 0 - Cantractor Address State Cit3' Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Mimiesota Rules 7672 Energy Code Category , Residential Ventllation Category f Worksheet • New Energy Code Worksheet (4 submission type) Submitted SUbmitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Conhacto? LO Telephone #( Telephone #( Sewer/Water Telephone #( I hereby apply for a Residential Building 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 State of MN Statutes; I undezstand this is not a pernut, 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. C'Iark AIber-y D" ZA 6 i Applicant's Printed Name Applicant's 5ign re OFF'ICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex [3 05 03-plex ? 06 04plex Work Types ? 3'I New A 32 Add'Rion ? 33 Alteration ? 34 Replacement ? 07 OS-plex ? 13 16-plex ? 20 Pool ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-p1ex ? 17 Garage x 22 PorcNAddn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch(screenJgazebo) ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous VV,4 ? 35 ? 38 ? 37 Valuation 5!2v Census Code 1?3t/ SAC Units - # of Units ? # of Bidgs Type of Const ? ? 30 Accessory Bidg ? 31 Ext.Alt-Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. c?- Int Improvement ? 38 6emoiish Inter'tor ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) -Give PCA handout to appllcant Occupancy /2 ° 3 MCES System ? Zoning /2`1 CityWater Stories Booster Pump Sq. Ft. ? PRV ? Length ?- Fire Sprinklered ` Width q _ Footings (new bldg) Footings(deck) ?C Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Franwtg f Fireplace )?- RI. 44AirTest YFin Tncnlation Approved By: Base Fee " Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W PeRnit & Suroharge Treatment Plant License Search Copies Other Total REQUIItED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector F? /404t ` ? _Q ?usr 94 Fiu 941,7 ' p??r y OVE¢..4?Il.L. R..o4C ?.,a0 p M NS$°53'o9"W m c"?•,? 94`-4 9 r.,?.r 933, 9 O ? ? 3 i ?4 M . Np 00 ? z 4 7 Q ? ?- I ?J ???? ? Q J ? 5L _ _ I FH r 9q?'c ? 947.0 yys.9 N oCT H *LALE : 1"s ?jC? pL.L B,EAtLIlJWj o OEIJOTGj IR.Otd D iZKll-L ?ARM ptR?iT AGGtTtot.i? OA1LOT4 C.o V atT ?f, M 1W N E+o-r A I hereby certify that thie survey was prepared by me or under my direct supervision and that I am a duly Registered Land Survsyor under the laws of the State of Minnesota. Date: Mq? 1-7f tgg4 t j <" "? LeRoy . Bohlen Registered Land Surveyor No. 10795 p tl i ,,• . ., ? .? 0 Z 0 M ,? 9x ?4a¢Ae? : Q _? > O ?0 I h`? "N I i 942,0 7RC??? ??? ?? 24 - - - - ? ?T 143.00 N 09°4'i' Io' 9.34 3o'nn?N. O • N c?, ? r 94L I . ? p? \ i ?O v ? - - e ? --? ? ; 6? J ?,?" D C? GU .< t W\K./ /• P'T ToP nn, H. 93 ,ta r yi Q 0 ti, ? J Q? ? P ? 30 0 C'' 2?, LA - Er,e.iLt towi ?,.,OT ? BLOGK 1 ? 1\ ? I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION co City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ?? ?C)? Telephone # 651-675-5675 FAX # 651-675-5694 Na+r ConsWCfion Reauirements RemodeVRenair Reauiremenls Office Use OnN 3 registered site surveys showing sq. ft of lot, sq. tl. of house; and all roofed areas 2 copies of pWn Ced of SurveyRecd _Y_ N (20%mazimumbtcove2geallowed) lselofEneigyCalalatbnsforhealedadditions Tree Pres Plan Recd _Y _N, 2 capies of plan shaxing beam & windowsizes; poured found design, etc. 1 site surveyfor addifions & decks Tree Pres Required - Y _N isetofEnergyCalculations Addifion-imlicatei(onsdesepticsystem On-siteSeplic5ystem _Y_N 3 copies of Tree Preservafion Plan if lot platted after 711193 Rim Joist Delail Options selection sheet (bldgswBh 3 or less uniGs Date I / Z? / Oa" SiteAddress 45ga S• RG? ConstructionCost 7-7(>?3 ru UniUSte # Description of Work .Ci r-C, w?? ? GJ ts.y Multi-Family Bldg _ Yk N Fireplace(s) 0 _ 1 _ 2 PropertyOwner MGN? ri ( 1OtrVI Telephone #*5' ) 308 -143$ Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Energy Envelope Calculations 5ubmitted Have you previously constructed a building in fee applies. nm-? ?5 m Licensed Plumber Mechanical Contractor Sewer/Water n with a similar plan? _ Y _ N If so, 25% plan review Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN Statutes; I understand this is not a pernut, but only an application for a pemut, 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. MGrk Albe,r?y \-MCi QXt&n ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY sun rypes ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeho) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Damolition (Entire Bldg) - Give PCA handout to applicant ez 67 9,0 4 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) FinaUC.O. Footings (deck) X FinaUNo C.O. 7?C Footings (addirion) <?4y &,f5?1vi} _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Brick Fiteplace _ R.I. _ Air Test _ Final Windows ?C Insularion _ _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 2? (S96)Z-0 -- -- '?r ? -,7o 0 ?.?.? J 1988 BIIILDING PERMIi APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 114 q ? ?+ ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES NOTE: ADDRESSES FOH C4ANER LOTS IS DESIRED. NO CHANGES WILL MULTIPLE DWELLINGS RENTAL 9 7 SET OF ENERGY CALCULATIONS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CE FICATE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATI COhII4ERCIAL INCC.UDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SP IFICATIONS AND 1 SET OF ENEEiGY CALCULATIONS \ ?? To Be U ed For: EJc? L Valuation: t,00(D Date:If - 1,4 '$8 Site Address ?SSb S_ huy L4.k R? Lot 9 Block / Parcel/Sub ti i1hn n, ? - Owner mCt1^k TZ 1d764\) Address '45wb `J L-?O' \Q City/Zip Code ?- Mh 5S?13 Phone 445a- 0 51? Contractor C? w in.? r Address City/2ip Code. Phone Arch./Engr. Address City/21p Code Phone 4 OFFICE USE ONLY On site sewage_ MWCC system _ On site well _ City water _ PAV required _ Booster Pump _ Occupancy Zoning Actual Const Allowable !k of stories Length Depth S.F. Total Footprint S.F. APPROVALS Engr/Assess Planner Council Bldg. Off. Variance ?- c4S, -5v MUST DESIGNATE WHICH ADDRESS FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? ? ? ? ? V) 0 ? ?- ? I ? ? ; ~s ---?-?-- ? ? ? ? ? 0 0 7Q ? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdbn Reauiremams RemodeVReoair Reauiremenls 3 regisfered sAe surveys showUg sq. R of bt, sq. fl of house; and a0 roofed areas 2 mpies af plan (20% macimum lot coverage allowed) i set o( EnertJy Calculations for healed additions 2 copies of plan showing beam & xmxlow sizes; pou2d found design, etc 1 site survey for additions & decks 7 set of Energy Calculations Additlon -indicefe if on-ake SepNc system 3 copies W Tfee Pmservation Plan if IM plaued after 711193 Run Joist Detail Options seWon sheet (bldgs wiTh 3 a less unils . Date Ao / 04 Construction Cost IZOQ ID Site Address 4?`?S? ift CT4?l Lk- r 4(- ? . UniflSte # Description of Work ? 6A S -f° Su"0044" '1'"I OOe' O? hDVf ( SPe C+?l'!V?-QH"1 - o Multi-Family Bldg _ Y? Ftreplace(s) L(, 0 _ 1 _ 2 Property Owner VItJL +- Krtsfie /'t'7 bh:? Telephone #65( Contractor Address City State Zip Telephone ti ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING - Tvfinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheat • New Energy Code Waksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ fee applies. Licensed Plumber Mechanical Contractor Sewer/water Contractor Y_ N If so, 25% plan review Telephone #( Telephone ? ? !??)?I? Telephone I hereby apply for a Residenrial Building Permit and acknowledge that the info**tion is Lbifiplete anq accurate; that the work will be in conformance with the ordinances and codes of the City of?e'3tMrte 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 appmval of plans. n's-fit ApplicanPs Printed Name App icanYs Signature 49 OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-ptex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 AddiGon ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ?< 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout ta applicant Valuation o c O Occupancy MCES System Census Code ?21 y 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) FinaVC.O. Footings (deck) _x FinaUNo C.O. ? Footings (additien) 661M 5[q/yJ90&:r _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: J--j , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai _6aq-? 15?9-m ??? ?_ , . ? J AN.MT*,**?TMT+P)I`TMT*TT*M*T M:N**.kiM1X ***.0M*TM^`T CST'Y (:1F L"::ArAN CASN:I:E:R- > TERMTN(-11_ N(]? 24TlA7k=: 08/28196 ?7:MF:; 13a:1.7;3L- II: ;, NAME, MN I-XTER:CORS 7:td!' 320 9001 4580 I°IAY I...AF.f:= l`t 74.75 21..:i5 9001 4580 1-IAY I_AI<'ti Fi L„`,'iU 7ot:a7. Receipt (-1maurvt: 76,25 cRorr3ai.n lJS!_h .T.Dg NANCY CITY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 4580 HAY LAKE RD S LOT: 8 BLOCKs 1 OVERHILL FARM 1S7 P.I. N. : 10-56150--080-01 BUIL NG 028691 08/27/96 DESCRIPTION: builtling-` Census Cod SOFFT75(FACTA Permit Type SF (MISC.) tJork Type REPAIR 434 ALT. RESIOENTIAI h?;ffi •;??~E 4y?f? 0 REMARKS: FEE SUMMARY: 6ase Fee 5urcharge Total Fee VALUATSQN $74.75 $1.50 $76.25 $3,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: MINNESOTA EXTERItlRS INC 13915514 0002877 ALBER7Y MARK 8600 JEFFERSON HWY 4580 HAY LAKE RD S OSSEO MN 55369 EAGAN MN (612) 391-5514 (612)452-0514 ( Z hereby acknowledge that Z have read this applicatian and state that the I information is correct and a;gree to comply with all applicable State of Mn. Statutes arrd City ot Eagan r7rdinances. L APPLICANTlPERMITEE SIGNATUfiE PERMIT ISSUED B SIG TUFEr ?J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t f-f •-`' 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConstruCion Reauirements RemotlaVReoair Reauirements ? 3 registared site aurveys ? 2copies of plan ? 2 copiea of plens (indude beam & wiMOw sizes; poured frM. design; etc.) ? 2 sile surveys (exterior addRions & decks) ? 1 energy plculatforts ? 7 energy calculations tor heatad addftions ? 3 copias of bee preservation plan if bt platted aRer 7l1193 requrced: _ Y?es No 'nl DATE: ? CONSTRUCTION COST: ? Z/ 7 U v DESCRIPTION OF WOR4 STREET ADDRESS: ?V I " GLOI,lK PROPERTY 01NNER CONTRACTOR ARCHITECTI ENGINEER Name: Street ,AffT FINBi Ciry: - State: Company: Phone #: ?`? --611 V Zip: s? Phone #: -39/-sS/ V Street Address: License #: Ciry:_? S Stit? 5tate: T? Zip•-S-Sg(--?:, Company: Name: Phone #- Registration #• SIrCGI A44Iess City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. i hereby adcnowledge 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. ? Signature of Applicant: OFFICE USE ONLY Cettifirates of Survey Received Tree Preservadon Pian Received _ Yes _ No Yes No ? uvBu.f?.i.a. #: I?•? ?+.,•//? ?L / ?/' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-piex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations o 36 Move ? 32 Addition 9(34 Repair ? 37 Demolition iatlVEEKl4L IIVFUFl1111E? I IC3N Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth I\j ]d019_14-9 Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS 5ystem City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License 3 MCNVS SAC City SA.^. Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units i. ?.. , 2/a4 ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODJ (PLEASE PRINi) 1) PROPEE2TY P.IJDR£SS: AA i) 1_&0 rFrar DESCRI-15rzcrr: IJL??:A l 1-9T (Lot/31ock/Subdivision or Tax Parcel I.D. Nisnber) li E'S;^_"_`_:G S=L'CP':2E, DAT;: 0_' ORIGi:AL 'ciiIiDI:IG F=_•!Im I=:2,2=: ? P.4E=--;' U5E: &'F-1 SUiGI.E r^k*,t-?.y ? R-2 DUPLE.Y (?SCO Wi ITS) [3 R-3 TCInTII3Ct;SE (TF?2E"" + [UITS) ( i7[q7mc) p R-4 ApAR'Ii^.F--T/CONDa%LLSmr,,l ( Wi ITS) Q COPMERCIAL/REPAIZ,/OFFICE p LML'STRIAL Q INSTITUTIONAL/GCV??NNT 2) ApoLICpVT (PLEASE PRINT) NA?IE: 113E / < ,24 ADDRESS: CITY, STATF.', ZI?: - PHOtNE: 3) p1131,8ER PLEASE PRINT) FOR CITy USE OHLY ??- ?E2I<E riPC?'Cffi..^/' iL £XC C v ADDRESS: I 1 r : pLI1HBf,(iS LICEHSE: i 60 . pI) l Active CITY, STATE, ZIP: ?2" 5 s/? 3 . ? ? Expired PHO iQE: ?iS"i?„ Gu/ya? `IS Y36PLl1M8ER LICENSE k ? Nord arr initia 4) OCCJPANT/C(NNER ?YLGA:t'YH1N1) NAhfE' '1- ?. ADDRESS: CITY, STATE, ZIP: F4 6 /f - ? PFiO:IE: 0 S) INpICA'I'E WtiICH PEIS BEIIdG RFQ(JESTEp: ON 'In CITY SEFIER PPMITCCOV 'Ib CITY WATER ? CJI'fM (PLE'.ASE DESCRIBE) b) L'Jlll(???i: U::t;; ? PI,°..aSE f?OLD APP?20VEp PERtiLIT FOR PICi:-UP BY ONE OF 116= ? PZ.EaSE N41IL APPR(7V-M PER:%LiT 'I-0 1, 2, 3, 4 AWIE n (Circle one) 7) SI=0-'RE: DATE: al1l?A?i?ll??s.?f?llRl!s . .. . .. . . . .- .• . .. ?_??# i iYf i?:SS:a ia a R II!l?:ri?rl?}O f?f ??tS?iiE?tr se F 0 R PER`4IT " ISSUED I T Y U S E O N L Y FEES: $ io• s ° $ , ? Sa $ $ $ $ $ $ S vrsz?3°. ?Y/ S S $ $ $ . E;'.L._. '?D DL`A11T^` 1 IT1i C.; .T.,:D r.U.DCF'!22Z1? . 1 :-.`. J ...) WATE3 PERf1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TaP (INCLUDE CORPORATZO;I STCP) SEWEo 'pao ACCOUNT DEPOS IT - SEi:'ER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK ?4ATE.°. ASSESSMENT TRliNK SESVER ASSESSMENT LATERAL BENEFIT/TRUNK SEL9ER LATERAL BENEFIT/TRUNiC WATER OTHER $ TOTAL $ AMOUNT PAID/RECF,IPT ,'a, DOES UTILZTY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLO:•7ING CONDITIONS: APPROVED BY: TITLE:??.? ??? DATE : Z - / 2 --9z1p 2% OW" MU+w= wW?W wM MA8 wc8W s4mp =M s04 wawtW 300 as+w.W OcM OaMwwim ??????W.?????????????????>Y•??????*??????F? C:tTY OF C(SGAN CA`itd:f.l': h^ S 1 Gfi14SNAl_ N0 ° 89 Dfi7E: 08/+.9/96 7.T.ME:: ileP6:36 NAMFr. t1ARE; !-tt..R[:RT'Y 3PlU '?OUi. 4580 5 hIAV L..KI R 149.75 2155 9001 45SSC1 S NAY LF: F' 4.50 Tok.it Rereipi: Amount? 154.25 CRf:163003 LlSf:::R Ib: tQAi4CY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4580 HAY LAKE RD S LOT: S BLOCK: 1 OVERHILL FARM 1ST P.I.N.: 10-56150-080-01 DESCRIPTION: (SIDING/WINDOW) Buildinj,,Permit Type SF (MIBC.) .',Building Work Type REPAIR CensUs Coda ?434 ALT. RESIDENTIAL i1 L.n_ . ,.,,. „'?,?..J?..... 5s`"? PERMITTYPE: auxLoxNs Permit Number: 028584 Datelssued: ' 08/19/96 REMARKS: FEE SUMMARY: VALUATION $9,000 Base Fee Surcharge Total Fee $149.75 $4.50 $154.25 CONTRACTOR: OWNER: - Applicant - ALBER7Y MARK 4580 HAY LAKE RD S EAGAN MN 55123 (612)452-0514 I hereby aoknowled.ge that I have readthis appSication and state that the infarmatton is correct and agree to comply wit'h all applicable State of Mn. ` ? Statutes and City of Eagan tlrdinances. ? APPLICANT/PERMITEE SIGNATURE *AruI I ? ,A, ?I rn.zl- /f SU?D B: SIG AT RE. CITY OF EAGAN 3830 PILOT KNOB RD - 55122 IM64,996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdlon Reauirements RemodeVReoair Reouirements ? 3 regbtered sHe aurveys ? 2 eopies of plan ? 2 copies of plans (MGude beam 3 wirWaw sizee; pouted tnd. design; etc.) ? 2 sNe surveys (exterior additiona 6 decks) ? 1 energy calculatloro ? 1 energy ealculations fw heated eddilions ? S wpks of free prcaervaHon ptan H lot pistted aRer 7/7/93 required: _ Yes _ No I:t DATE: CONSTRUCTION COST: + I° ?O - DESCRIPTION OF WORK: 5' 81, k''?S `" STREET ADDRESS: Z-S 8 b S LOT BLOCK SUBD.IP.I.D. #: O.?Wy..JL fAT! PROPERTY Name: 01IVNER un `m°, Street Address- 4'S?b S k? , L-c- ?- -y' City: C4? State:?"`!`? Phone #: 4Sz °SI `) Zip. Ssi z,3 CONTRACTOR Company: ?. .?_ c?s Phone #: Street Address: City: State: ARCHITECTI Company: ENGINEER Name: License #: Zip. Phane #: Registration Street Address, City: State: Zip: Sewer 8 water licensed piumber. . Penalty appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this applica8on and state that the information is conect and agree to camply with alt appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates ot Survay Received ? Yes No Tree Preservation Plan Received Yes No BUtLDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish o 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. 0 10 ,_ plex a 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move o 32 Addition o 34 Repair ? 37 Demolition CENERAL INFORMATIDN Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copiss Total: Valuation: $ °k SAC SAC Units 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)? ?? a? CITY OF PJIGAN V 3830 PILOT KNOB RD - 55122 ? 3"a- ?? 851-881-4875 ' d- ? U-Q (? New Can?fiucMOn Raaulremenh a 3 reglatered slte wrveYS alwwlnp aq.14 W bf? aQ. ft. ot houae antl ? roofetl areas (2096 mmcimum lof coveraae allowem s 2 coples of plana (ahow beam 8 wlntlow sizea; poured 1nd. tlealgn; efcJ i 1 sef ol energy caleWOllonE a 3 copiea of trea P?eeervaMOn Plan M bf plottetl afler 7/1 /93 DATE: ? Oc,'? C?O DESCRIPTION OF WORK: STREEf ADDRESS: 2 copiea W plan i sef ol energy calculatbns lor healad addltlona t sNe wrvey ror extedor addllbna a decka CONSiRUCTION C05T: `a LOT: ? BLOCK: ? SUBD./P.I.D. 9: C?'J-??! w..? ?Ci.?( vv? ??? ?or?rm OWNER Name: A ? h P r"? y I' ?r? Phone i: ?is l' y s Z.' ? S I? Lcst FIM Sheet Address: ? 5$ ? ? ?? 1 cuv E srat?: ?v? zip: SS t z Company: Phone #: (area code) COMRACTOR Sheet Addreas: ?e? ? ?. City State: ARCHITECT/ Name: EN6INEER Company: Tetephone M: ( ) Sheei Address: ReglshaHon Y: Cliy Sfate: ZO6. Gb Sewedwater Ifcensed plumber (j( Installina aexrerlwaterl: Phone #: Lp: Zlp: I hereby aeknowledge Mwf I have read thls appllcaNon? srate ttwr me mronrwnon ? correc?. and agree to comply wHh all aPPO? ?e of Minneaotq Stahites _and CHy of Eagan OMinances. j OCT I ? SlgnatureofApplfcanY. ? 2000 ;- _. : __?/?} OFFICE USE ONLY ? ` - Certificates of Survey Received _ Yes _ No ? Tree Preservation Plan Received _ Yes _ No _ Not Required 3,?.???? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE O 31 New ? 32 AddiGon l? 33 Alteration 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 78 Deck ? 23 Poreh (screened) O 19 Lower Level ? 24 Storm Damage Plbg _YOr_N ?F 25 Miscellaneous O 20 Pool ? 30 Acxessory Bidg. ? 36 Move Bldg. ? 43 ? 37 Demolish (Bidg)' ? 44 ? 38 Demolish (Interior) ? 45 ? 42 Demolish (Foundation) ? 46 ' Give PCA handout to applicant for dei GENERAL INFORMATION SAC Code ? No. of Units ? No. of Buildings ?_ Const. (Actual) S-a? (Allowable) UBC Occupancy Zoning R ?! # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Reroof Siding Fire Repair W indows/Doors nolition permit sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. AIt - Multi 0 33 Ext. Alt - SF ? 36 MuRi 3` D? Permit Fee a-o - 4O_- Valuation: $ ld c) Surcharge ? Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ? Total: H ?- "Ko SAC Units % SAC `7or-39 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 oG ? New Cwislrudion RequiremeNS RemadeUReoair Requirements _._ ............. dffce U5e0n .. W 3 registered site surveys showing sq. R. of IW, sq. fl. of house; and a11 roofed areas 2 capies of plan (2D°k maximum bt coverage allowed) . 1 set of Energy Calculatiom for healed additions firCePreiPfniJ Resd ?,Y _t? 2 xpies of plan showing beam & windowr sizes; poured tound design, etc. 1 sile survey fa additiore & decks Iree Pras TieUUitEd isetofEnergyCalculations Additian - indicafe'rfonsifesepticsystem D3t?sileSepLcSysiEA3 CJ'. 3 copies of Tree Preservation Plan d lot plaried after 7/1193 Rim Joist Defail Options selection sheel (buildings with 3 or less unAs) Date / ? / d S Construcrion Cost o o a _ Site Address tA ati Lc, lce, -? t?? ?i • ' UnitlSte # DescriptionofWork e---h1aor r. Q. 2,r\?r4 V(, Y-h?cO?c„L ?cr?r?om •,y?s}u„'? - Multi-Family Bldg _ Y_ N Fireplace(s) ? _ 0_ 1 _ 2 4 tt.u., rv o Property Owner r'1 A ?? Te phone #(GS t) $Z - O S I edi Si- 3a - 1`F38 Contractor b? rve.r Address 5csw? c, c s cLb o\,,, t St Zi City hone #(6S1) 4 5 Z- O s I Q- Tele a e p p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene?gy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheat (J submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Conhactor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building 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 State of NIN Statutes; I understand this is not a permit, but only an app]ication 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 ' h re uires a review and approval of plans. DFHUH rnar V, AUb?AV ? AUG C' 3 5 D' Applicant's Printed Name Applicant's Signature ?^_ il OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garege ?!? 22 Porch/Addn. (4sea.) ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lawer Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 1* 32 Adddion ? ? 33 Alteration ? ? 34 Replacement Valuation c7L71'? Plan Review 100% or Census Code ? SAC Units # of Units # of Bldgs Type of Const _ Foolings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain'I11e Roof Ice& Water Final Width REQUIRED INSPECTIONS FinallC.O. ?C FinallNo C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final F*aming _ Siding _ Stucco _ Stone _ Brick Fireplace ` U. _ Air Tesi _ Final _ Windows +L Insulalion _ Retaining Wall T ?7 Approved By: T L , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext.Alt-Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish Intarior ? 44 Siding 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 37 Demolish Building` jk 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered L??r•?"?° ???o rzoufq ??KO/Co? ?q o-rvf ri?wf Yi h Gv Cy P? ;2-6 u3?= ?,?W ? ?o x 2i 3%_- S---- ? Q ?-k ? .370? _?_-- ,g,7va Permit Number RF.Scheck Compliance Certificate 2000 TECC REScheck Sodware Version 3.6 Release 2 Data filename: Untitled.ick PROJECT TiTLE: 4580 So. Hay Lake Rd. CITY: Eagan STATE: Minnesota HDD: 7981 CONSTRUCTION TYPE: Single Facnily WINDOW / WALL RATIO: 0.16 DATE: 08/03105 DATE OF PLANS: 8-2-2005 PROIECT DESCRIPTION: remodel 1- enlarge entry way 2- enlarge upstairs 6edroom 3- proch across front ofhouse 4- new roof DESIGNER/C ONT RAC T OR: Donald Sponsel COMPLIANCE: Passes Maximum UA = 50 Your Home UA = 46 8.0% Better Than Code (UA) Checked By/Date Gross Glazing Area or Cauity Cont. . or poor Psiisnst -Val -..a? LIlg 31:F.act4t iJ$ Ceiling l: Flat Ceiling or Scissor Tmss 114 40.0 0.0 3 Wall 1: WoodFrame, 16" o.c. 40 19.0 0.0 2 Wall 2: Wood Frame, 16" o.c. 40 19.0 0.0 2 Watl 3: Wood Frame, 16" o.c. 104 19.0 0.0 6 Wa114: WoodFrmne, 16"o.c. 72 19.0 0.0 4 Wall 5: WoodFrune, 16" o.c. 72 19.0 0.0 4 Wall 6: Wood Ftame, 16" o.c. 104 19.0 0.0 2 Window I: Wood Frune:Double Pane with Low-E 18 ' 0.350 6 Window 2: Wood Frune:Double Pane with Low-E 18 0.350 6 Window 3: Wood Frame:Double Pane with Low-E 6 0354 2 Window 4: Wood Frame:Double Parne with Low-E 6 0.350 2 Door L' Glass 21 0.330 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other ralculations submitted with the pennit appliration. The proposed building has heen designed to meet the 2000 IECC requirements in REScheck Version 3.6 Release 2(banerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspcction Checklist. Builder/Designer (' ) (IMI, CJ?LAAk Daze RFScheck Inspection Checklist 2000 IECC RESchedr So$ware Version 3.6 Release 2 DATE: 08/03/05 PROJECT TTTLE: 4580 So. Hay Lake Rd. Bldg. Dept. Use [ 7 ? l [ l Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Tmss, R-40.0 cauity insulazion Comments: Above-Grade Walls: 1. Wall 1: Wood Frarne, 16" o.c., R-19.0 cavity insulation Comments: 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: 3. Wall 3: Wood Fiame, 16" o.c., R-19.0 cavity insulation Comments: 4. Wall 4: Wood Frune, 16" o.c., R-19.0 cavity insulation Comments: 5. Wall 5: Wood Frame, 16" o.c., R-19.0 cavity insulation Commrnts: 6. Wall 6: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: 1. W indow 1: W ood Frmne:Double Pane with Low-E, U-factor: 0350 For windows without labeled U-factors, describe Eatures: # Panes_ Frmne Type Thecmal Brqk? [] Yes [ ] No Comments: 2. Window 2: Wood Frame:Double Pane with Low-E, U-fictvr: 0350 For windows without labeled U-factors, describe katures: # Panes_ Frame Type Thamal Break? (] Yes [ ] No Comments: 3. Window 3: Wood Frune:Double Pane with Low-E, U-factor. 0.350 For w'rndows wtthout labeled U-fictois, describe €atures: # Panes_ Frame Type Thermal Break? [] Yes [ ] No Comments: 4. Window 4: Wood Frartte:Double Pime with Low-E, U-Setor. 0.350 For windows without labeled U-5etors, describe featuces: # Panes_ Frame Type Theanal BreaK? [ ] Yes ( ] No Comments: I ? Doors: [ ] ? i. Door 1: Glass, U-6tctor: 0330 ? Comments: i ? Air Leakage: [] ? Joints, peneuations, and all other such openings in the building wvelope that are sources of air ? leakage must be sealed. [] ? Recessed lights must be l) Type IC raYed, or 2) installed inside an appropriate airtight assembiy ? with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a ? 3" deat:nce finm insulation. ? ? Vapor Retarder. [ ] ? Required on the warm-in-winter side ofall non-vented framed ceiFings, walls, and fioocs. ? ? Materials Identification: [] ? Maierials and equipment must be installed in accordance with the muiuficturers installation inatructions. f l I Matexials and equipment must be identiSed so that compliance can be detamined. [ J ? Manu&ctura manuals br all installed heating and cooling equipment and service water heating ? equipment must be provided. [] ? Insulation R-values and glazing U-fidors must be clearly marked on the building plans or specifiwtions. ? ? Dud Insulation: [] ? Ducts in unconditioned spaces must be insulated to R-5. ? Ducts outside the building must be insulated to R-8.0. ? ? DuM Canstruction: [] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), ? mastic-plus-embedded-Ebric, or tapes. Tapes and mastics must be rated I1L 181A or iTL 181B. ? Exception: Continuously welded and locking-type longitudinal joints and seams on duds ? operating at less than 2 in. w.g. (500 Pa). [] ? The HVAC system must provide a means fDr balancing air and water systems. ? ? Temperature Controls: [] ? Thermostats are required firr each separate HVAC system. A manual or automazic means to ? partially restrict or shut offthe heating and/or cooling input to each wne or floor shall be provided. ? ? Service Water HeaHng: [] ? W ater heatess with vectical pipe risers must have a heat trap on both the inlet and outlet unless the ? water heazer has an integrai heat trdp or is part o£a circulating system. [] ? Insulate circulating hot water pipes to the levels in Table 1. I ? Circuladng Hot Water Systems: [] ? Insala[e cirwlating hot wazer pipes to the levels in Table 1. ? ? Swimming Pools: [ ] I All heated swimming pools must have an onloffheater switch and require a oover unless ove,r 20% ? ofthe heating energy is from non-depletable soturzs. Pool pumps require a dme clock. ? ? Heating and Cooling Piping Insula8on: [] ? FIVAC piping conveying 6uids above 105 °F or chilled 8uids below 55 'F must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Woter Ptpes. I nsulation Thiclm ess in Inchcs bv Pipe Sizes Heffied Wa[er Non-Circila T ( F U 1„ tinp? Runo utc 25" i I " ring M 2 0" inc nd Runo ut O 2„ s ¢fllDerature n t° ) 170-180 0.5 Up to 1. 1.0 1.5 t 1.5 o . ver 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table l: Minimum Insufadon Thicknes.s for HVAC Pipes. Fluid Temp. Insul a[ion T hicknes s in Inches bv P ioe Sizes Pi i S T " R 1" d L 1 25" t 4„ 2" 2 511 t n ne vstem wes Heabng Systems Rane( F) 2 unouts an ess . o . o Low Pressure/Tempecatuce 201-250 1.0 1.5 1.5 2.0 Low Tempecature 120-200 0.5 1.0 1.0 1.5 Stearn Condensate (f)r €ed water) My 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 aznd Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO F1ELD (Building Department Use (hdy) \/a~~~ 2god. Use BLUE or BLACK Ink For Office Use / I 0") g03 City of Ean I Permit 11! p Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 r I Date Received: } Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 26S j 2o 12- Site Address: Lk ,3o SO 4C, L V~?- RA Tenant: Suite Name: 1' O r k ALSe-r LY Phone: ~Ds 1 --'4 s z- os i t RESIDENT / OWNER Address/ City/ Zip: y S $O Sc . t4 5512z Name: , ' an k A` 6C,rt ~j License a CONTRACTOR Address: J $O So 1cve- d City: [n State: I ~ Ar Zip: SS 123 Phone: 65 1- q 5 2. bS 14 t Contact: Email: KA`bea^k. o ~Ma~ t (~o TYPE OF WORK New - Replacement _ Repair Rebuild x Modify Space -Work in R.O.W. Description of work: f~e~rNlo~ld Q,GA- L -00M (W s a'r-5 RESIDENTIAL Water Heater Water Softener Lawn Irrigation L- RPZ / - PVB) PERMIT TYPE Add Plumbing Fixtures Main Lower Level' ~r Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) i $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x MA9,Y, ~LSSPTY x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink F-For---------------- Office Use ` j Permit j City of aaH 2. ; CL I Permit Fee. I 3830 Pilot Knob Road -7 --7 ^ Eagan MN 55122 r j Date Received: 1~ j Phone: (651) 675-5675 I I Fax: (651) 675-5694 4 Staff: S~ ---------------~-J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit ~d Name: ,F.elS71~ ~G,t4 Phone: RESIDENT l 1,14 OWNER Address / City l Zip: V Jq~44) It Applicant is: Owner Contractor Description of work: 04771"0'41- TYPE OF WORK my Construction Cost: ji~ Multi-Family Building: (Yes / No X) Company: A) CsUiC 1-70A) COs. Contact: Uifll 16 C6ie'd.,4/11 CONTRACTOR Address: lz4s- iGG y 1746-, City: State: AV, Zip: 6AY/e,5- 206- Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 7;;L47 AWPIA)C, /27/P IMP,~s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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 classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ~~L~N t5 C~~ x t Applicant's Printed Name Appli nt's Signature Page 1 of 3 DO NOT WRITEJELOW THIS LINE ~~~Z•1 SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy R -s; MCES System 10 Plan Review Code Edition 2 c!SAC Units (25%_ 100%_!C) Zoning -1 City Water Census Code 3 y 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 OCIPow Base Fee 3 ?i ( C3 Surcharge Plan Review ~j► MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114092 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 4580 Hay Lake Rd S Lot:8 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-080 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 F Alberty 4580 Hay Lake Rd S Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143775 Date Issued:06/27/2017 Permit Category:ePermit Site Address: 4580 Hay Lake Rd S Lot:8 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark F Alberty 4580 Hay Lake Rd S Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149991 Date Issued:06/15/2018 Permit Category:ePermit Site Address: 4580 Hay Lake Rd S Lot:8 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 F Alberty 4580 Hay Lake Rd S Eagan MN 55123 (651) 452-0514 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155041 Date Issued:04/25/2019 Permit Category:ePermit Site Address: 4580 Hay Lake Rd S Lot:8 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Mark F Alberty 4580 Hay Lake Rd S Eagan MN 55123 (651) 452-0514 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175170 Date Issued:03/17/2022 Permit Category:ePermit Site Address: 4580 Hay Lake Rd S Lot:8 Block: 1 Addition: Overhill Farm 1st PID:10-56150-01-080 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark F & Kristie Alberty 4580 Hay Lake Rd S Saint Paul MN 55123--303 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 941-2685 Applicant/Permitee: Signature Issued By: Signature Shoreland Overlay District: 25% max lot coverage allowed. Lot is 14,537.25 Sq Ft 25% of lot is 3,634.3 Sq Ft TOTAL IMPERVIOUS: 3,105 SQFT Based on County Records House 1,089 Garage 484 Driveway 492 Proposed porch 237 Front porch 227 Front walk 252 Concrete Pad 201 Fire pit 201 Total: 3,183 or 21.89% C u C C Lf Cz ) 0 0 Over 15 Feet ' to Property Line I PORCH: 237 SQFT I I I L----- - - - - -- REVIEWED FOR CODE COMPLIANCE n EAGAN DQualle 03/09/2022 10:13:10 AM BUILDING INSPECTIONS PAD: 201 SQFT r--------- - - - ----------------� I I I � I I I I I I � � I HOUSE:1,414 SQFT I ' ------------ I ' I I Driveway is -492 SF, do not count what is in ROW I I PAVER SIDE I � I --- II WALK: 252 I j E\---------- -- I SQFT I I I I I I I � 'I � N I I FRONT I FIRE PIT PAD: � J i i SQ�H. 227 201 SQFT LL o f Not an accurate survey or plat, > numbers adjusted by 00 L---------------- T �, i planning department L-- - �---------- -, based on county records. Not To Scale Ail 3320 TERMINAL DR. EAGAN, MN 55121 -FICE: (651) 455-9371 WWW.GNBMN.COM LIC# BC636785 I Z 0 er- N < LO 00 w W LO W TITLE: PORCH ADDITION I REVISIONS 1 PROPOSED PLAT 1 SCALE: 3/32" = 1' 0 PAGE: 7