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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