1035 Briar Creek Rd
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot•Knoh Road
P. O. Box 21199 PERMIT NO.:
Eager, MN 55121 DATE:
Zoning:. No. of Units:
Owner:
Address:
Site Address:
Plumber:(s=n r> i. u
Mater No.. Connection Chow:
Size: Account Deposit:
Reader No.: Permit Fee:
I erne to comply wuh the city of Eeye■ Surcharge:
Oidiwemeee. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: - _ - insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilok Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner. 2'"( aR3~'
Address:
Sit, Address: 1C'3-' Briar_ C$'£"kik .'d
I agno to comply wkb the CRY of Eagan Connection Charge:- 27) - 00,11c6
ordli"Rew Account Deposit: 15 _ 01)(7,
Permit Fee: i _ c'1t`^:''•
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.:- Dote Paid:
y CITY OF EAGAN ""z a
3830 Pilot Knob Road, P.O. Box 21-199, Eag~q, MN 55121
• PHONE: 4548100
BUILDING PERMIT Receipt ,
To be used for Est. Value a' ',.I Date 0C T01 G r 19 fS 3
Site Address Erect Occupancy R
Lot Block S c/Sub. Remodel ❑ Zoning
Parcel No. ~i Repair ❑ Type of Const.
Addition ❑ No. Stories
7777 Move ❑ Lengths
~ Name
Demolish ❑ . Depth A 2
3 Address - Int Impr. ❑ Sq. Ft.
b City Phone Install E]
Approvals Fees
o Name
70
V Address Assessment Permit $ ? 2 n - (I
City Phone Water & Sew. Surcharge 32..5 0
Police Plan Review 164.00
w Name Fire SAC 5-2
$ * 00
U0 Address Eng. Water Conn. t}
iW City Phone Planner Water Meter 67j • 00
Council Road Unit 280. 00
{
I hereby acknowledge that I have read this application and state that Bldg. Off. {9/1 f ~ T. Pl. 132.00
the information is correct and agree to comply with all applicable;
State of Minnesota Statutes and City of Eagan Ordinances. APC Parks a
Var. Date Copies
Signature of Permittee Total ' 1° 0 124 ` 0
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
Permit No. Permit Holder Date Telephone #
Plumb'w4-- G t o ~0 7- ~`j
H.VA.C. f Ne Jt~ b ' L " - ~GLZ
w
Electric
Softener
Inspection Date Insp. Other
Footings I 3
Footings ll
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Insul.
Fireplace
Final Htg.
Final Plbg. F s A,?k
Final i~/9 ~%j - S✓
Cert/Occ.
Water Describe Location:
Well
Sower
Pr. Disp.
t
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address l~ Lot Blk. Tract
4. Owner t~L~.~ ~GvG
i 5. Contractor Phone
6. Address
7. City zl'ft- State Zip r - sr
i
8. Building Type: Residential Q~ Commercial ❑ Institutional ❑
9. Work Description: New '0 Add ❑ Alter ❑ Repair ❑
14. Describe Fuel Type
11. No. Equipment BTU - M. Ea. No. Equipment CFM
Forced Air ~rlfT
Air Handling:
Mfg.
Boilers Mech. Exhaust
j Mfg.
i Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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 : % yam' - F y _ - f. , 'j 's
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt PLUMBING PERMIT Permit No. `
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prh legibly Tot.
1. Date 2. Installation Cost
1
99
3. Job Address Lot d Blk. t Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool /Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
CITY OF EAGAN Remarks
Addition LEXINGTON SQUARE Lot 28 Blk 1 Parcel 10 45075 280 01
Owner Street 1035 Briar Creek Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009701 10-12-84
EWER LATERAL ben trk 1986 173.65 11-58 is 173.65 C010045 1-28-85
WATERMAIN 68.33 4.56 1 68.33 C010045 1-28-85
1986
WATER LATERAL
WATER AREA -1986 286.43 C010045 1-28-85
STORM SEW TRK 1986 501.2 33.42 501.29 C010045 1-28-85
STORM SEW LAT 97 1986 513.81 34.25 V15 513.81 C010045 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
iibad unit $280.00 56304 10/9/85
WATER CONN. 500.00 " •
BUILDING PER. 11084
SAC 52-9-00
PARK
CITY OF EAGAN N°_ 1 10 8 4
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 4548100 Receipt #
To be -sad for SF DWG/GAR Est Volue $65,000 Data OCTOBER 7 9__8.5__
Site Address 1035 BRIAR CREEK RD Erect lat Occupancy R3
Lot 28 Black 1 Sec/Sub. LEXINGTON SO Remodel ❑ Zoning RI
Parcel No. Repair ❑ Type of Const. V
_ Addition ❑ No. Stories
BARSNESS CONSTRUCTION INC Move ❑ Length 36
w Name 7614 165TH Demolish El Depth ¢2
Address Int Impr. 13 Sq. Ft.
City LAKEVILLE Phone 431-1240 Install ❑
SAME Approvals Fees
Name
A` Address Assessment Permit 328.00
LC City Phone Water 8 Sew. Surcharge 32.50
Police Plan Review 164.00
Name Fire SAC 525.00
uZ5 Address Eng. Water Conn. 500.00
<W City Phone Planner Water Meter 63.00
Council Road Unit 280.00
1 hereby acknowledge that 1 have read this application and state that Bldg. Off. 9/16/85 Tr, Pt 132.00
the information is correct and agree to comply with applicable APC
State of Minnesota Statutes an of E n Or ces. Parks
Var. Date Copies
Signature of Permit.-- Total $2, 024.50
A Building Permit Is issued to. BARSNESS CONSTRUCTION INC on the express condition that
all work sholl be done in accordance with all icable State of Min Statutes and City of Eagan Ordinances.
Building Official r . (
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 6776
P. 0. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 10-10-85
Zoning: _ Rl No. of Units: l
Owner: Barsness Const.
Address:
Site Addros; 1035 Briar Creek Road L26 B1 Lexington Sq.
Plumber: Colle a Cit Plumbing
Meter No.: c^ Connection awge: 500.00ud
Size; sly - Account Deposit: 15.OOnd
Reodlif No.: a AQ K N Permit Fee: 10.0013d
I prw ga tb. CRY of Eagan Sunarge: SOpd
Ordlr Misc. Charges: 132.00pd TP
v TAI: 63.00p d meter
BY Data Paid:
Dote of Insp.: 49.4 9 1- Insp.:_
This request void b
18 nths fawn
,M 4 6. U U
Request Fire No. Rquph-in Inspe [ion /a
/ Requ red? []Ready will Notify InsPac-
r 71e, 19 Yes ❑NO for When Raatly
® Licensed Electrical Contractor 1 hereby request inspecuion of above
❑ Owner electrical work installed at:
Street Address, Box or Route No. City
/ U 3 S !3 Ri9R c EEi /e v 6 Hnr
ection No. Township Name qr No. Range Nq. County
P19-""I- V f
Oc.u"nt (PRINT) Phone No.
r 5/Yg e v/Vs 3 /-/a YD
Power Supplier Address
rot ~c c r- r1/. Y46
Electrical Contractor (Company Na~,.mye) Con an s License No.
GNi G - is d ~v~9/
Mailing Address (Contractor or Owner Making Instailationl
/ - v , nosy v~ Gov. /yi S oS~
Authorized Signet re lcOm ctodOwner Making Installation) Phone heather
49 Y6 /-I?- Y~
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldp. -Roam N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1827 University Ave., St Paul. MN 66101
Phone 1612) 297-2111 ENCLOSED.
G REQUEST FOR ELECTRICAL INSPECTION EB OOeDt 04
See instructions for completing, this fpm an back of yelloar copy- /
B3,-8 1 V "X". Below Work Covered by This Request
Mv4Addj Rep- Type of Building Appliances Wired _ Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm (her lSpec.fy) Otber(Specify)
t r puoty ter Other
ompute Inspection Fee Below
If Fee Service Entrance Size a Fee Feeders/Subtsedere R Fee Circuits
0 to 200 Amps W0 to 30 Amps O to 30 Am
Above 200 Am 31 to 100 Annl s 31 to 100 A
Swimming Pool Above 100- Ammi Above 100 _Amps
Transformers Irngation Boons p Partial%Other Fee
Signs Special Inspection
Remarks / N 5 r~ LC W~ //y ( T O r Si tCI.SO TOTAL FEE C a1
Rough-in Date
1 a Elec
• rrsF9 ter, hereby
yf(it, that the above
Final Darte rrpeetion has been
Y/ D node.
Tllbtepuest"ItI18monthahmm -
&5STq /5.50
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date _ f I _Aj- I Gel
Site Street Address 0.15 ' ~ L4•Je24-k Y& Unit #
Property Owner Telephone # (4 5l) - JA-1-1-
Contractor A-) Telephone # 13 e0
Address .3& 20 e-ekcQ_ ve& City State vin, Zip S 1
The Applicant is: _ Owner !Contractor -Other
Alterations to existing dwelling $ 50.00
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment i ,I
-Water Turnaround (add $121.00 if a 5/8" meter is required) !!'l AUG 18 2004 l'
Other:
BY
V /Water Softener -Water Heater $ 15.00
- replacement _ additional.
Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
1'I. # .~~EU C.Yr t~ .4J ~JL.Qt~ 2~YCd~
Applicant's Printed Name Applicant's Sig ature
915,54
2/B4
/ CITY OF EAGAN
Il n APPLICATION FOR PERP41T
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPETY- ADDP.ESS:
LEGAL DESCRT__'yTICN:
(LOt/Block/S~:bcivisicn or Tati Parcel I.D. Ntr..ger)
} I"r =IS :G SI^.-'i;C'.^M, DX1-- O_FCRT_Gi^AL c`UILDLT:G :~;ST IS~~l\C
PRES= : =X;/P?,OPCSE] USE: . J:
R-1 SD:GLE F Pu.I:,Y
❑ R-2 DUPT= (71%0 Llm=)
❑ R-3 M.'LMCUSE (ma= i L-ITTS) ! r 1_S)
❑ ''n--) AP?R?`M1T/CC:1]G.m;j-tI ( UN I_5)
❑ MC!%E°.CLAL/R= L/Or 1CE
❑ 1NDL'ST4LAL
❑ L\STTML'PIONAL/GGVER~nr,LN; n
2) APPLIC=-%T (PLEASE PRINT)
ADCRESS:
C=' ST,=-, ZIP: Log 2Vlf~F' .+1G1t~1
PHONE:
3) PU:%mER (PLEASE PRIM )
NAv!E: / FOR CITY USE ONLY
ADDRESS: ~~j G t~IS /I ~41 PLUMBERS LICENSE:
J~ etive
CITY, STATE, ZIP: 6h ~ ~ Exp* ed
PHONE: PLUMBER LICENSE N t of Record
4) OCCUPANT/C*.•~:ER _ ~5~~~S(PLEASE PRINT) arr inic
NAME_
ADDRESS:
CITY, STATE, ZIP: CGG U /I j °<Il~
PHONE:
5) INDICNTE WHICH PERti1IT IS BEM G RDQUESTED:
CONVECTION ZU CITY SEWER
P COMIE TICK TO CITY WATER
❑ CMER (PLEASE DESCRIBE)
6) 12mi -m az:
❑ PLEASE f?OLD APPROVED PER+ILT FOR PICK-UP BY ONE OF ABOVE
❑ PLEASE MIL APPROVED PER'-LIT TO 1, 2, O 4 ABOVE
(Circle one)
7) SIG ATLRE: DATE: Jd
SUN . - : a ~•n • a•
aye ~'i~H~Ir ix a I 61RPi, u: a u5
~ R oliMf►~s i~ i s Ews~a a ~ rspa:~,r ~ s s~saa:~a ~ Ye~~1lyfj~ ff a ~s ~=a~,
saa
FOR CITY USE ONLY S
PERMIT ISSUED
FEES: $ SE!IER PERMIT (INCLUDE SURCHARGE)
$ I67•5'U WATER PERMT_T (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
cc,
$ l cl0 ACCOUNT DEPOSIT - WATER
$ WAC
$ S ~S C2 Ci SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE?:-R
$ LATERAL BENEFIT/TRUNK WATER
$ ~3) t' WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ -7 Sy AMOUNT PAID/RECEIPT $ -L/ S
pad s~ Tel
7
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS: %
t'
APPROVED BY:
TITLE:
DATE: /v
w.w~ts~scloromw
si4 ww Rw w.a /!1 w was w.~w ■tm/l sfm w a
1 ~ PD-
oF oty eagan
3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST
EAGAN. MINNESOTA 55121 Mayan
PHONE: (612) 454-8100 THOMAS EGAN
JAMES A SMITH
JERRY THOMAS
DATE: October 25, 1985 THEODORE WACHTER
COUM4 Memoer,
THOMAS HEDGES
City AamnstMtW
EUGENE VAN OVERBEKE
SPECIAL ASSESSMENT SEARCH City Clerk
I
RE: Lexington Square
UNIVERSAL TITLE INS CO Lot 28 Block 1
!14500 BURNHAVEN DR #159
BURNSVILLE MN 55337
1
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement yW= Beginning Original Amount Balance Due
NONE
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of-Improvement Approximate Date of Completion Approximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or its
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideration
of any nature whatsoever, any claim against the City or its emplovees rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121.
-Very truly yours,
SPECIAL ASSESSMENT DIVISION
THE LONE OAK TREE ...THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITY
'i^y.{Xai~,+ n 'ate , 1.'~s,' S3 1
< y it 7985 BUILDING PERMIT;;APPLLICATION =CITY 40F T GAN
ff.'s. r zb yw ,.Ax ka° "Ji 324x' YE a` R "P. 6` °x'3+ $ w 1^ . {A> ~Y'*~- yam, e'; M.
a
rir OTE '7~LL%CONTRACTORSk MUST °BE IUXENSED WITH,-, ITYff OF ` GAN.
F M„ s+4
"i OW
a v 5rSwK ~NCLUDE -2SETS QOFFePLANS .
Pt 5.,{.~H .-uyc. V"t'Y' v a tu~&a i Mw ,a s~.4*. F
CERTIFICATES' OFt Sum <<
SET DF ,ENERGY CALCULATIONS
F t r ~y i~.f c ~a w7~'~~'" ~ fir" YM?~`at bxr x Sq~ yob ~ a,
1'o Be Used For aAleuation
r~Se Address, z.
O'UFFICE USE ONLY
c 1 k " 'f3s`.'ak' ^J, t U m {n isms {`aV ` hi, y'd JS
Lot Block ~3e6t/Sub rect Occupancy,~q
v,s' p' r .i.mo act vRemode7. ~'3a+^ Oning wW'* _
u Parcels . r s r, P= w L, s x $
x „Repair, s~ ype.,bflzonst
" fix,,. Enlarge -of„Stories ¢
u; n
.er I mow.. #r y
,.,Move
Own e,ngth;s~'
th fir rck a
W444 dress. - sd i`{vGrade 5 pFt H= a+, <A .F ~vu~
3'r s r r r, ! 1 ' 1 + 2yi M. M1 k , , rtY
~ ll_~City/41p !Code ~W- dux 1
N'^
~#~ya one S. PROVALS
xa T' e a y..n'~i att qa Ikea
Contractor ~sx t
~Assessments > ermi~~`
` `Water/Sewers» -z ~'Surchar e - Z
Address '.~~Police `P an Review H 14~oA
Fire ,7 ?'c'SAC as`~"a { °'>q Y/ Zi
AI W
I 11
p Code
t~~EngrWater~Conn
N 3 € }Planner t Waterimeter' r(o a
Phone t''. „Council Road" Unit ' a-
r s r .,xx
Bldg Off
"Arch /Engr. zAPC _ Treatment Pl 32 k' ~
Variance
s
, Address °~TAtw da J. ~n ~~~j$ xv
v'r: F x F k``
sCity/Zip =Code.. r' a w +v n aft
Phone A
<n a wt ~ 3G, js h 4~ ~ ~~>r i~ yra r0
r i ",''~'Ia`C + r.~ 'tSo t'ub. r'y>•w ,y. t k`br e>- a%~E. r ~f+tt 3~', ~2~ ,~~r A~` ik 5.3
i
w v } § Y Sa ` a xb i+v v^ i, ,'t`ys y ~ t by 'f~ ~ M >r
YR~a,e.~
a m^y tc ° y„" Y ~wlt'•M
"MmK
_
q Y rr _ _ tk cy~x« w-F w S.~L°+iz_ r + :isr `W ~,•'1 iF'
~I Fr{ ~Y 9v 5 ;Y~ 9
q-703S^
f..N' < ✓ I' ~ YMJ AYaRF+..~' k'iF t,,*? p L$. 9?Yr X S"P„ sky uG ~S~ ~tf-~^S~r{`14 !'?'M S ~ '
.fig - ? 4e say .ra,.Us a 1 a 7 3 " a` ss+ x $c,r a ,}.y w n Y.,. i
~ - ~ Y ~ wan ~ r,y 7N irk p4i ei ~~~z 4
x m "R e1n h F T t F" Ye # .rK. w-3s &&w t"
't"
r
_ -~.._ur wr. .~"'`a~ fit`., .t. aka~r,~'t'~t!~s ~ .i~£~' u"~°. f* a ~~r,''.;~.'+~-,n b.
22.x2~~ ~g~t~ C2
~42~2
I
Y
328.00+
32.50+
164-00+
525°00+
500-00+
63.00 +
980-00+
I 132°00+
21024.50*
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER p n
r SITE ADDRESS ,J~y 41A I' d96-5,C K ~ L'S AXY
CONTRACTOR 9AZU, A ~9-01 Cdc S.~DATE 0 PHONE ya
Determine working square footage of each.
1. Total exposed wallarea sq. ft. x .17
2. Total roof/ceiling area 149 sq. ft. x .05
Total exposed wall area above floor = .~G
a. Total wall window area... h"
b. Total door area ............~~7►. 'y
c. Total sliding glass door area
d. Total fireplace wall area 1-6-16
e. Total wall framing area (average 10;)........ 1-711
f. Total net wall area above floor
g. Total rim foist area., *0
Total exposed foundation area 77
h. Total foundation window area -
I. Total net foundation area above grade........ • 72_
Determine "U" value of each wall segment.
a. /O 3, / x "U" SS S~ • 7
b. 377 X "U" . yS = 7_..0, 7
.o
a. 5~0 x "u" . 6-r = Z-
d. X "U" , 69" _ , 7r
e. X "UK 11 e 9) a L5.1--
f. l 3G 34 x "u" , o~ SSA
9. x "u" , 038 5,
h. X "Un
1. 77, X "U" 0, X5 _ /Qr
3 ..................................Total =
If item 03 is the same as, or less than item 01, you have met the
intent of SBC 6006 (c)2.
Total exposed roof/ceiling area
Total skylight area
k. Total roof/ceiling framing area (average 10%)
1. Total net insulated roof/ceiling area.......
Determine "U" value for each roof/ceiling segment.
X nun
k. „4n x "v"
7
X "U"
Total 1..
If total. of 04 is the same as, or less than 02, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established
by the sum of items M3 and N4 shall not be greater than the sum of
items P1 and N2.
1. + 2.
3. + 4.
I
v
~i Sa 1 • ~ l1V~
4
WESGaTT RD AV pcM
8 4,0l.
a p Ew4T 97.8
ry9~, 9 F~.. b9"i.b
4+9~SJ N wlWe.rns P1PEl-INE LO. I
N EAhEMENT PER bcY-,
NO , ~ 00 7 j (p ,
4-1
E ~
k CO
Q 0 sue` ` .3 3 tC'a' N O
0 a0 .
O y i PROPOSED CN -~I M
O M I : ~ uoog~ - •
~ 1$ ~ ' 1 GJk2A4.EZ
r w Ig to 9oaa '
y l8 NORTI{
~ ~~e r ZZ f i~g \I SaAt,.E l"t so'
ALL a s=immp A44uMED
~7 99y 9 L m IS P OBttcrr" jams MOpvMwr
c..~ 397.3 0
Cr+S? 8~~.t
{.t ?s 12 t ~ E98,o
• R = 43 0 3e•e~. _
N SVP GJM~j
N e~.~s 37t a+ 14
4Q C--- 2~£ Kam. Q D~~
DESGRtPTloht
L OT Z$ j $L.+OGk► ~ ~
LtxlN4TOK ~sQVAit6
OA►1c.oTA touNTY~
M IN NESeTA
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: eM O 11. 1401 r '
Lelloy Bohlen
Registered Land Surveyor No. 10795
x`v33 -6 - zs
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
-7 3830 PILOT KNOB RD, EAGAN MN 55122
l 651-681.4675
New Construction ReaubemeMs Remode9Reoelr Reaulrems
• 3 registered site surveys showing sq. ff. of bt, sq. ft. of house; and gp roofed areas • 2 copies of plan
(2fit maxhnum bt coverage allowed) • I W of Energy Calcutahonsfor heated addHbns
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & docks
• 1 set of Energy Calculations • Indicate If home served by septic system for additions
• 3 copies of Tree Preservation Plan 9 lot platted after 711193
• Rim Joist Detail options selection sheet (bogs with 3 or less units)
DATE !n- 2-~ - C2 VALUATION 4~J
SITE ADDRESS - s Cc e~ TI-FAMILY BLDG _ Y -kN
TYPE OF WORK ~F,IREEPLAACE(S)f~e-_ I _ 2
APPLICANT
STREET ADDRESS Zq SB CP Sk '7-11 NE' -H-) CITY 1 ~ -STATE -~-T~I
TELEPHONE # (CSI--A'31-9` ?R CELL PHONE # FAX # 105 -L\23-()49
PROPERTY OWNER t~~ TELEPHONE # lnS\ -y5Z" \C>7
COMPLETE THIS SECTION FOR uNEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ Tr
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • E - e ubmitted
• Energy Envelope Calculations Submitted MAY 2 4 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkl m: 90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. 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 Ordirla c
Signature of Applica
. Y
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
"7o2kg1
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address / BAP1164 CIC~ I Unit #
/ /
Property Owner JO O [We Telephone # ( 467 ~J7 "62;6`/
Contractor
Street Address City {L~/' ~.VtW G
State 104) Zip Telephone Qt2
Bond Expires:
The Applicant is Owner X Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
_ air exchanger
air conditioner -New XReplacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an applipation 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.
Applicant's Printed Name AP 'cant's Signature
Use BLUE or BLACK Ink
1-----------------m
l For Office Use 1
Permit#
My of Eap
I Permit Fee: do~ l
3830 Pilot Knob Road t
Eagan MN 55122 t Date Received:
Phone: (651) 675-5675 t l
Fax: (651) 675-5694 i stagy
INFLOW & INFILTRATION PERMIT APPLICATION
_4 Plumbing / Sewer & Water
Date: ) t~l Site Address: L O S A r o r C e e 10/
Tenant: Suite M
V.a,--mr,z«„--..w m
ESIDENT/ OWNER Name:Oib Is- Phone:t,J 1 - 411 y - S S
s
R-Ti
Address ! City / Zip: t3 3 S t 3 n r t? ¢ R~ I
r
Name: e i s n 1" 1 h i z S e r v ,`C L :r-tic- License* 0C ~'y
CONTRACTOR Address: U 1 ? a CRY:
State: t'rl V Zip: S S 1 Phone:
Contact: r K£ Email: _tY) K~t e ht-, s r. b
a
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
t
Other:
Other.
DESCRIPTION Description of work: jt) „ 1,"A
( (
m., .
[FEES R r 4 C h i c vi" f -c -
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ {ta f Ct~
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.ckvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicants Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124586
Date Issued:07/07/2014
Permit Category:ePermit
Site Address: 1035 Briar Creek Rd
Lot:28 Block: 1 Addition: Lexington Square
PID:10-45075-01-280
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Kelly Meyer
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 -
Daniel L Tayerle
1035 Briar Creek Rd
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144749
Date Issued:08/08/2017
Permit Category:ePermit
Site Address: 1035 Briar Creek Rd
Lot:28 Block: 1 Addition: Lexington Square
PID:10-45075-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel L Tayerle
1035 Briar Creek Rd
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145027
Date Issued:08/21/2017
Permit Category:ePermit
Site Address: 1035 Briar Creek Rd
Lot:28 Block: 1 Addition: Lexington Square
PID:10-45075-01-280
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 -
Daniel L Tayerle
1035 Briar Creek Rd
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146343
Date Issued:10/20/2017
Permit Category:ePermit
Site Address: 1035 Briar Creek Rd
Lot:28 Block: 1 Addition: Lexington Square
PID:10-45075-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Daniel L Tayerle
1035 Briar Creek Rd
Eagan MN 55123
(651) 454-5254
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
For Office Use
%, 0 , Permit#:
EAGANPermit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(c�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
•
Name -7.(2„-y),87 Phone:t / '
Resident/ `` 1
OWtler F Address/City/Zip: l03'52rg-a-.r 2 lt�l/7 /0/11-6:5/2
Applicant is. m Owner Contractor•
m . ...._.._. . _. . . _.
p
Type of Work
Description of work: L'Rp i6�.(�,e, oo
�
a j Construction Cost: Multi-Family Building: (Yes /No )
•
Company: rne4- ID �� hyo Contact:
�f, 7 ��u� G ew' (/L(/
Contractor Address: t City:
5". ta,7 (e3 535 y77`{
State: bk) Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
( Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE;Plans and supporting documents that you submit are considered to be public in formation. Portions of the information may be
classified as non-•ublic if ou •rovide s•ecific reasons that would •ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeaqan.com/subscribe.
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.
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.nopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval,of plans.
cZU� �, 1C1 f��l' x
App icant's Prined Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172184
Date Issued:09/17/2021
Permit Category:ePermit
Site Address: 1035 Briar Creek Rd
Lot:28 Block: 1 Addition: Lexington Square
PID:10-45075-01-280
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daniel L & Debra Tayerle
1035 Briar Creek Rd
Saint Paul MN 55123--254
Three Rivers Contracting Llc
2676 47th St East
Inver Grove Heights MN 55076
(651) 214-6640
Applicant/Permitee: Signature Issued By: Signature