904 Jefferson LaneDATE: 3/27/89
?
'9n4 .IEFFESSON LN.. L1, B4, LEXING'[Op PT 2ND ADD
? ? . . I
'? q Sewer 8 Water Permit for the above property has b@en coFnpleted. ft will be held at the
?' P?? lic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
eALL PUBUC WORKS (454-5220) FOR YQUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the folbwing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or oCCUpancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE QIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIG, GAS, ETC.
- REQUIRED BY IAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Depx.
DATE:
3f27/89
' 904 JEFPSRSOH LN.. L1, D4. L8x1NGTON PT 2tlD ADD
? F?:
Xx ',j Your Sewer & Water Permit for the above property has been completed. It will be held at the
?. P_ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
6ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size musi be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) befare issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY OEVELUPMENT DEPARTMEN7 FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
BUILDING PERMIT
To be used for -' =' ??'?`•' ?'?• ???
Est. Value z 69, 000
Receipt #
162i 3
t9 -?`.
Site Address 904 JEFFFE}2ISOr' LN
Lot ? Block 4 SeclSub.LEXING'Ct)G'? P0111TL
Parcel No. ZND
W Name R s ;: HOAfES
o Address 5516 18J'TH S 1 E
City = klat? LAKE Phone 440-6900
o Name SAt;r.
ir
00a Address
cc City Phone
Name -
Address
CIty -
Phone
I hereby acknowlege that I have read this applicatibn and state that the
informalion is correct and agree jo comply with all appticable State of
Mifnesota Statutes and City pi Eagan Ordtnances.
Signature of Permitee
A Building Permit is issued to: R S M t" 0' V[?S
on the express condition that all work shali be done in accordance with all
applicable State of Mfnnesota Statutes and Ciry of Eagan Ordinances.
Building Ofticial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 UO
OFFICE USE ONLY
Occupancy R-3 H- I FEES
Zoning PL
(Actual) Const YN Bidg. Permit 5Uiv .+. C•
(Albwable) V? `4
Surcharge 34.50
# ot Stories
j b'
Plan Review 2 ? ? ?
Lerigth
Dept, 48' snc. citi 100.00
S.F. Total - gpC, MCWCC 575•00
S.F. Footprints -
580
00
On Site Sewage _ Water Conn .
on sae weu water nnete? 90.00
MWCC System xx 30.00
City Water ? ?? ???t
PRV Required - S/W Permit ?? • ?
Booster Pump - SrW Surcharge 1•00
Treatment PI 1 Z8. U(:
APPROYALS Road Unit • nC.
Pianner - Park Oed.
Council ^
BIdg.Otf. _ Copies
Z? r4H. 5?
Vanance - TOTAL
BA? ?TI'? 1/16/90
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
iMIT Receipt #
To be used tor
Site Address Lot Block Sec/Sub.
Parcel No.
... t !
Name -
Address
CIty _
Name -
Address
Phone
'F?? Tl; a'-•?J,?:',
? r r.
Phone
I hereby acknowlege that I have read this application and state that the
infurmation is correct and agree to comply with all applicable State of
Minnesota Staiutes and City of Eagan Ordinances.
5ignature of Permitee A Building Permft is issued to:
on the exwess condition that all work shail be done in accordance with all
Building
OFFICE USE ONLY
Occupancy • • ^• .- ?-? FEES
Zoning ?^{'
(Actuaq Const V'??3 Bldg- Permit 5cV• VQ
(Atlowable) '?'T
Surcharge 34. ?l?
# ot Stones
Length b I Plan Review 250.0c
Depth SAC, Ciry 1 i L? . ZJl)
S.F. Totat - MCWCC S? s- nt'
SAC
S.F. Footpnnfs - ,
On Site Sewage _ Water Conn
Qn Site Well
t
MWCC S
-uY Water Meter
em
ys
W
t
C+ *_w Acct. Deposit
er
a
ty ,
PRV Required - S/W Permit
Booster Pump - S?'W Surcharge
Treahnent PI 2
APPROVALS Road Unit -' `
Planrier - Park Ded.
Council
BIdg.Off. _ Copies ,
?
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
PLUMBING
?..? ?? , ?i?/Cr C ?Y? ^' ? /?/8'? 5J
H.V.A.C.
ELECTRIC
3/7O
`J7
Inspection Date Insp. Comments
FoofingS I ? ' o ? [, ?•
Foundation ?
1hS ? ??eW4
Framing
Roofing
Rough Pibg. xso?
Rough Htg.
Isul. Lt 1? vy
Fireplace
Final Hig.
Final Plbg.
Const. Meler Plbg. Inspector - Notify Plumber
Engr.lPlan
B{dg. Final
Deck Ftg.
Deck Final
Well - / ?-
Pr. Disp.
?/
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ?!,6.
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - 1
ONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address I "FF" '
Lot Block - Sec/Sub
m IName :_?rns:rlllf-;i->>+
? Address S 1 R' n
c City S 4 , Phone
? Name -
3 Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping OuUets #
M BTU
M BTU
M BTU
M BTU
CFM
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000)
- $24.00
- 6.00
1.50 EA.
- 12.00
- 20.00
- .50
FEE
S/C:
TOTAL:
BLDG.TYPE
Res. Y
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 146 OF CONTRACT FEE
? APT. BLDGS. - COMM. fiATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
_ REMODELS
n: ,'ll
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT q
, PLUM8ING PERMIT RECEIPT t?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '?? •`'
CONTRACT PRICE PNONE: 454-8100
Site Address '? ?• ? ' ' "
Lot Block SeciSub
? Name
? Address
c City Phone
Name •'` „ ?? '?? ?
? Address
p City Phone
FEES
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20_00
STATE SURCHARGE PER PERMIT - .50
(ADD $.SU S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNAT6RE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New
Mult. Add-on
Repair
Comm
.
Other
RES. PLBG. ONLY - COMPLETE TH E FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 S
Bath Tubs - $3.00
_Z Lavatory - $3 00
Shower - $3.00
?Kitchen Sink - $3.00 '
UrinaVBidet - $3.00
?Laundry Tray - S3.00 .?
? Floor Drafns - $1.50 1 ?
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
weu - $10.00
Private Disp. - $10.00
?7 Rough Openings - $1.50
FEE: >` ? '-'-
STATE S/C:
GRAND TOTAL• _,22 -6L
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i i i. slW t l1lal'
I? d lii, jI{ f'(I('1 i l .'NIl
PERMIT SUBTYPE:
11 il„i tWfl
PERMIT TYPE:
Permit Number:
Daie Issued:
- " ° ""
li l (a I t APPLICANT:
c !
! b ! .' 1 1tki+1 1 TYPE OF WORK:
1- 1 ti .i
2 ? ?? ..
i
? . . . ._ . : . - . _. _. .- J
?. ? --_ ?? ??--------' ?? ? ? ? ? ---
Permk No. Permit Holde? Oato Telsphone #
ELECTRIC
PLUMBING
HVAC
Inspection Deb Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DEqC FINAL ?.?
I -
, . . .
? •?, ; ' ... : ? `? ..
(Etxfiftrate uf (Orrupanty
titp of (Eagan
Drpartmrn# nf gu1Ding Jwrrtinn -
This Certifrcate issued Pursuant to the requiremenls of Seciion 306 of the Urriform Building
Code certifying that ut ihe time of issuance this structure was in compliance with the various
ordinances of the Ciry regulating building construction or use. For the following.•
use Classificatioo SF M/CAR Bwg..Pprniit No. 16919
occuw-r ryx R3 /M 1 zoning nist;ct PD rya conN VN
o„ner or aWiaing R34 H'.S ,,,w,, 5516 180II1 ST E. PRICIR IAKE
Locslity i y B49 '?i? POINTE uNu
Building rWdress 904 JEE I- i•
nau: MAY 26,1989
Building Ofticiy ?' -
PQST IN A CONSPICUOUS PLACE
S?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
WATER
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PEFMIT DATE j/ 2 7`r 8q
o y La
SITE ADDRESS
LOT I BLOCK __q__SEC/SUB L? 4'0rj0J Pt
APPLICANT:
ADDRESS: Sh{ ? -
CITY, STATE Pf1-ko? L tk-'f- NO ZIP'-ss 2?1 1.
PHONE: 440 ' 6500
PLUMBER: LA?Lt-'?' A- ?I
ADDRESS: GA49 Z i ?
CITY, STATE "CA
PHONE: 14_A0i2. YVIJ ZIP 5
f1q_'TC00
'SPv?? i4s I`?lA.
, STATE
SEWER PERMIT #
B.P. RECEIPT # , 1243
B.P. RECEIPT DATE 3/ 23 / 89
PRV - BOOSTER PUMP
PERMIT REOUESTED
SEWER ? WATER - TAPS
_ COMM/IND ? RESIDENTIAL
? NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EA7A11 ORDiNPNCE
;
oz 1
/
SI ATURE WHE ETER ISS ED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIA SEWER PERMITS, CONTACT -? I
ENGINEERING DEPT.
_. _'[// /?'v•4(?a.rl7 L ?. I t'? ? .. ?' ... _ "_.S_..._-._. . ar'f - - .??_?.r_.._
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pildt Knob Rd.
P.O. Box 211951
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE -3/17""t)
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #-" 1245
READER # B.P. RECEIPT DATE 1,123%gfa
METER SIZE
ISSUE DATE - PRV _ 800STER PUMP
: ADDRESS j O `{ °-_?O A) L J
?BLOCK
LICANT: ? L I/_SEC/SUB
"S M"v% t'orV&Y.-z,
RESS: 5 5 ( h 180t-Si "E .
', STATE PR-
iNE: Li 144 - ?c7)r1- IJJC-t-
- 6rt00 ZtP ??-
MBER: LK r 1
V-C- ?? &_r' ?`llrv?'?li?J
c
RESS:
', STATE
?NE: ?- V\AQ ZIP '?+JSJ C?
JER:
STATE ZIP
PERMIT REQUESTED
? SEWER -K WATER _ TAPS
- COMM/IND V RESIDENTIAL
X NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDiNANCES:
d?_?'.?r.?,e.???-- ?115R? c?on?r g!
r
SIGNATURE WHEN METER ISSUED
W TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
DEPT.
CITY OF EAGAN N? 16219
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
c
BUILDING PERMIT Receipt #
Tobeusedtor SF DWG/GAR Est.Value $69,000 Oate MARCH 23 , ?989
Site Address 904 JEFFERSON LN
Lot 1 Block 4 Sec/Sub. LEXINGTON POINTE OFFICE USE ONLY
Parcel No. ZND occuPancy R-3-ML-1 FEES
PD
Zoning
w Name R S M HOMES (Aqual) Const V-N gtd9, pgrmit 500. 00
o AddresS 5516 180TH ST E (Allowable) V-N h
S 34.50
City PR70R T.AKF phone 440-6900 uois+ories -
36, urc
arge
Plan Review 250.00
Lengih
p Name SAtSE Depth 481 Qty
SAC 100.00
,
O?
< Address S.F.TOtal - ,
7
nn
o
,
City Phone
S F. Faolprints
_ SAC, MCWCC
Water Conn •
580.00
On Sre Sewage _
?
$w
Name
OnSteWell
-
WaterMeter
90-00
?
_-
Address MWCC Svstem ??
30
00
XX Accl. Depostl .
<w City Phone cny waier SiW Permit 20.00
PRV Requued -
I hereby acknowlege that I have r d this applicat6n and state ihat ihe BoosterPump - S:W Surcnarge 1.00
informahon is correct and agree compb ith ?I apphcable State of
MinnesOta StatUtes and Ciry an Of i Ce
E Treatment PI 228.00
Signature of Permitea APPROVALS Road Unit 340- 00
A Bmlding PermR is issu to: R S M HOMES Planner - park Ded.
on the ezpress condition that all work shall be done in accortlance wnh all Councd -
applicable Sta1e of
innesota StaNtes and City
t Eagan Ordinances.
M
o Bldg OH. _ CoPles
?
, /
y
? 2,748.50
11 /1 ?JAl?. ??.LI
Budding Oflicial
?f
Variance
-
70TAL
REQUEST FOR ELECTRICAL INSPECTION eeaoomo7
? ? See insftmctwns for complenng ihis form on back of yeilow cropy. ? s??/J
? 9?J 10 2 "X" Below Work Covered by This Request
e Add Rep. TypeofBUdding AppliencesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other (Specify)
4 Comm./Industrial Furnace
Farm ' Air Conditioner
Olher (speciy) Contractorg Remarks?
Campute lnspecfion Fee Below:
# Other Fee # Senice Ent2nceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? ? 7 o ta 100 Amps $r"(-
Transfortners Above 200 _ Amps Above.140 _ Amps
Signs Inspectwk Use Only: TpTAL
y
Irrigation Booms 77cw 77
?
Special InspeCtion ?
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tif
th
t th
i Rough-in oa??,7/?
cer
y
a
e above
nspection has
been made. F„ai
OFflCE USE ONLV
This request voM 18 moMhs kom
? iV/0 5'6-115 '
i
Request Deta
•? { /?' Fre No R in InspecNOn
R 9
? Reatly Now?Will Notity Inspeclor
o
Wh
R
Yes ? M. en
eatlY
I licensed contractor ? owner hereby request inspection of above electncal work at:
Job Atltlress /(S?treep Boz or Route No ) City
Seclion No. Townshlp N e or No Range No Counry
Occupant (BfLNT)
/tSM Phone No.
PowerSU rer
??-I?G- Atldress
LMG 7?C
Electncal ConUeclor (COmpany Name)
/fq s -e 11 `f.?..?.-e Comracror5 Lkiense No.
MaOmg Atltlress (COntrador or Owner Makng InstalWbon)
-7 - 75-- Gc,? /-?A 13- ?4c?C
?/Y7i7.
Aulhonz igneNre (CoobacrotlOwner Melting Install n)
' <1.11- . hpne Number
? -6/ 3
MINNESOTA 5TATE BOAHO OF ELECTFICfTY THIS INSPECTION REOUEST WILI NOT
Grlggo-MWway BIEg. - poom 5.113 BE ACCEPTEO BY THE STATE BOARD
1821 Univeralty Ave., SL Poul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(fi12) 6412-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION
? Sea instm4tions lor wmplebng ihis form on back oi yellow copy.
? 9 91Q, 1. "X" Below Work Cavered by This Requesf
? ^EB-00001-0]
y / /?/?
?
e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heahng
Apt Budtling Dryer Other (Specify)
Comm./industrial Furnace
Farm Air CondRioner
Ofher (speaty) Contractar§ RemarksCompufe Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cirails/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspedor§ Use Only:
? TAL 5 C
Irngation Booms ?
?^ ? ls `-
Special Inspection
Alarm/Communicanon
Olher Fee
I, the Elechical Inspector, hereby
if
h R°uen-in oaw
cert
y t
at the above inspection has
been made. Finai D.
OFFICE USE ONLV
Tliu; request wW 18 monNs hom
is
-s/i7/0/ )i?
N ?99101
Fequest Dala -- - Fire No Rough+n Inspec:lion
Requirad?
? Reatly Now?WAI NoM1ly Inspedor
Y ? Ves C No When Reatly'
i71 licensed contractor p owner hereby request inspection of above electrical work at:
IF
,bb Mdress (??? or Po 1 rye-zsv 9 I za, 1 -L
G CHY
Section No Township Name or No. Renge No Counry
Occupanl INn
/??s 49. P1pne No.
Power v
Wer y
?
' ndaress .
C
?c
G
Electncel Conhacior (Camparry Name) ?
?????r Contreclor9 4cense No
Mmling Address (Conireclor or Ownel Malting Inslallation)
7675- ! u
Aullwnxeb' igneWre( w/Own@rMeWnglnsiella9n) Plf N mber
V
MINNESOTA STpTE BOAHD DF ELECTRICRY
Griggs-Mitlway BIEB• - pwm S1T3
1821 ilnlverslty Ave., SL Paui, MN 55100
Phone (812) 642-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE S7ATE BOAHD
UNLES$ PROPEH INSPECTION FEE IS
ENClOSED
REQUESTFORELECTRICALINSPECTION EB-00001-07
I? Sea,?ions lor cromplellng Ihis torm on back of yellow copy
C? 14 0 5 9' "X" Be/ow Work Covered by This Request
ew Atld Rep. TypeoBunding AppliancesWned EqwpmentWiretl
PIZ Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL 8wlding Dryer Other (Specify)
Comm /Industnal Fumace
Farm Arc Condrtioner
Olher (speaty) Conirador's Femarks
Compute /nspecbon Fee Below:
# Other Fee # ServiceEntranceSize Fee # Clrcwis/Feetlers Pee
Swimming Pooi 0 to 200 Amps o to 100 Amps
Trensformers Above 200 _ Amps Above 0_ Amps
Signs Inspecto.'s Use onry (
? TO7AL
trngaUOneooms QJ' f-, ?
Special Inspec[ion
Alarm/Commumcanon THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rmyn-m r oare
cerlify that the above inspection has
been made. Rnai
Ir- ? ...f'
OFFICE USE ONLY
Th¢ request mi0 18 months trom
14059
?
Request Date
U
3
- F e No Rough-inlnspBChon
Feqwrea?
?SAeaOy Now ? WA1 Notiy Inspeclot
Wh
R
a
'+
L
v ? Ves KNO en
ea
Y
I glicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltleass (SVeet. Box or Routa N
O se rso Zall?c Ciry
Section No Township Name or No Pange No. County
A? Y1q
Occvpant(PR?lJ?T/)? Phone QNo. `
/ JJ
Power Suppber ,
n
/
9
il? patlress
?-(
cC
l
,7 c?
Elecmcal ConRa tor ICOmpani
f,? Cqmractor's License N.
oYa?y
Mailin9 Adtlress (ConVaclor or Owner Making Ins Ilation) (
Authorrzed $gnaWre (COnlr oriOw Maki Nil. n) Phona NumEer
MINNE501i STAri OFELECTPP'Ty ` THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Poom 5473 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave, SL Paul. MN 55104 l1NLE5S PflOPEfl INSPECTION FEE IS
Vhone(61T)6/2-OB00 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION
/ ? Sea insiructions fof cnmplenng this form on back oi yellow copy.
P 5 2 5 5 8 :X" Bektw Work Covered by This Request
r
• E&y000H01-07
e AMS Re'p: ^ TypeofBmldmg ApphancesWiretl EquipmenlWired
g Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Olher (Specity)
Comm./Industnal Furnace
Farm Air Conditioner
Other (speaN) Convactor5 Remarks
X Basement
Compute Inspectlon Fee Belaw:
# Olher Fee # ServiceEntrence5rze Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Abov 0_ Amps
SigtlS Inspecror5 Usa Only: TOTAL 19
5?
Irrigation Booms [y .
,?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspecror, hereby Rough-in Date
certify that the above inspection has
been made. F,nai oare ?D
OFFICE USE ONLV
This request wid 11 monlhs from
52558 9°°
Request Date Fr o. ough-in Inspechon
1? 18? 90 Requiretl> ? Reatly Now %I Wiil Notify Inspecror
? Yes N No Whan Ready?
IE licensed coniractor ? owner hereby request inspection ot above elecirical work at:
Job AtlEresa (Streel, Box or Route No,) Cify
904 Jefferson Lane Eagan
Secllon No Township Name or No RaMe No County
Dakota
Occupant (PFINT) Phone No
Homes by Chase $95-5337
Powar Suppliar Atldrese
Dakota Electric 4300 W. 220 St., Farmington, MN
ElecVicel Coniractor (COmpany Name) CpMradoYS License No.
Joos Electric Co. 427298
Meilmg Atldress (COnhactor or Qwner Making Installation)
201 W. Travelers Trail , Burnsville, MN 55337
Ilqrix ignaWre (C r actor Making Irc.talWhon) Phone NumEer
895-8525
Iy1?NNESTATE BOANU OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
GNB9%- dmY Bltlg. - poom S-173 BE ACCEPTED BYTHE STATE BOARC)
1821 Unlverstly Ave., SL Vaul, MN 55700 UNLE55 PROPER INSPEGTION FEE IS
Vlane(812)642-0800 ENCLOSED
BLDG. PERMIT NO.
? Z 1 GI
07-3210 Bldg. Permit Y% UC
01-3422 Plan Check Jd CU
01-3445 Surch./Adm. -71
01-3446 SAC/Adm.
? 01-2155 Surcharge f
? 75-3860 Road Unit -Z4 U co
? 20-2275 SAC S (-rg :??S
20-3865 Water Conn. 5, C) cc
0-3868
1? WaterTrmt. 00
20-3716 Water Meter c (-' C?b
20-2252 Acct. Dep. 3U co
20-3713 Water Permit C
'L'
20-3743 Sewer Permit CC'
79-3866 Sewer Conn. C)C,
28-3855 Park Ded.
TOTAL ? ? ry ?
J? RESIDENTIAL
. . .
BUILDING PERMIT APPLICATION
CITY OF EAGAN
J?1 ?3830 PILOT KNOB RD, EAGAN MN 55122
A
651-681-4675
New Conetruction Reauirements
• 3 registered sile surveys showing sq. ft. of lot, sq. tl. of hause; aM all roofed areas
(20% maximum lot coverege allowed)
• 2 copies of plan show(ing beam 8 window saes; poured found design, etc.)
• 1 sel of Energy Calculations
• 3 coples of Tree Preservation Plan if lot pladed after 711193
• Rim Joist Detail Optlons seleIXion sheet (bldgs with 3 or less units)
DATE 5"1`bLL
SITE ADDRESS
TYPE OF WORKIG
APPLICANT?
STREET ADDRESS ?
TELEPHONE #?S
PROPERTY OWNER
?ULTI-FAMILY BLDG _Y -6 N
FIREPLACE(S) _ 0 _ 1 _ 2
TELEPHONE # (CN' V`YOAL) `?
----------------------------------------------------------°°-----°-°-----------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RIJI,ES 7670 CA'1'F.GORY 1 MINNESOTA RULL:S 7672
(d submission type) • ResidenGal Ventilalion Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Suhmitted
Plumbtng Contractor: ____
Plumbing systcm includcs:
Mechanical Contractor:
Mechanica] system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
-------------------------°------------------------------------°---------------------------°----°-----°---------------
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan di I nances
?_
L
n
Signature of Applicant , ? ?_
OFFICE USE ONLY
WaLer Sottener
Water Healer
No. of Ba4,s
RemodeVReoair Reauiremenls ?
• 2 copies ot plan ?- ?
• 1 sel of Energy CalculaGons for heated additions
• lsitesurveyforexterbradddions&decks
• Indicate if home served hy septic system for addNOns
_ Phone #
Lawn Sprinkler
No. of R.I. 13aths
VALUATION
ree: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
-?EIT4 OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45071-010-04
DESCRIPTION:
4
?
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
904 JEFFERStlN LANE
LOT: 1 BLOCK: 4
LEXINGTON POINTE 2ND
Bui xcting
,Building
Permit Type
Wark Type
"`e {
'3-
?) ?
DECK
REPAIR
:'-
t
/1
.....?..1?...... ,1l? .?jC `..?.?t*-...... ?? .,it ?.
CkO03
BUILDING
925794
06/12/95
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ALLIED BUIlDIN6 CONT 18847747 0003078 HAYS DAVID
2334 WELLSWOOD CURVE 904 JEFFERSON LN
BLOOMINGTON MN 55431 EA6AN MN
(612) 884-7747 (612)686-4873
I hereby acknowledge that.I have read this
informatian is correct and agree to comply
Statutes and City of Ea n Ordinances.
L
C9?'Y?U ?-- '?
APPLICANT/PERMIT SIGNATURE
application and state that the
with all applicable 5tete of Mn.
A
ISSUEIDBV 13IGNATURE
.1
1NSYl;(:'1'lUN 12ECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P.=.N.: 10-45071-01e-04 APPLICANT:
LOT: 1 BLOCK: 4
904 JEFFERSON LANE ALLIED BUILDING CONT
LEXINGTON POINTE 2Np (612) 884-7747
PERMIT SUBTYPE:
DECK
F
?.
TYPE OF WORK:
BUILDING
625794
06/12/9S
REPASR
?
?
?
f
15 CITY OF EAGAN
494 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construelion Reouirements Remodel/Recair Reauirements
? 3 registerod aite surveys ? 2 copies of plan
? 2 copies of plana (include beam 8 window saes; poured fid. desfgn; eta) ? 2 sRe surveys (exterior add'Rions & decks)
? 1 energy calcutationa ? t energy celwlations for heated additiona
? 3 copies ot tree proaervation plen if lot pletted aRer 7l7193 ?
roquired: _ Yea _ No
DATE: L//z /9 t- CONSTRUCTION COST: l 2 00 "
DESCRIPTION OF WORK: r Q,? 14-cg der ccw e. g r?a, ? w 6 ,t 4ekts rty4. ra4 cec
STREET ADDRESS: 90 y je a.- '4n:1C
LOT BLOCK ? SUBD./P.I.D.#: ? ??
PROPERTY Name: /44v 5 Phone #: (P86- y873
OWNER
W
Street Address• Sd V
City: _ State: Zip:
CONTRACTOR
?
Company: ??? ?
?w. Icf?4r.
??+?
Phone #: ?k`? 77`??
Street Address: Q38 W ?ectikwao c,? C- License m 30 7$
City: State: Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #*
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penafty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agr to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
1, • "
1989 BIIILDING PEffi4IT APPLICATI4N - CITY OF EAGp
SINGLE FAMILY DWELLING3 / ? I I q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY
NOTE: ADDRffiSES FOR COANER LOTS - CORTRACTOR/HOMEOiiNEH MOST DES
IS DESIRED. AD CHANGES WILL BE ALLOWED ONCE BIIILDING PSRMIT
MULTIPLE DiIELLING3 ESNTAL O1QIT5 FOR SALfi tlNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIAVEY - CHECS WITH BLDG. ]
CALCULATIONS
COP4IEACIAL
?
?
00 u
? -. 0
5U0•Oll+
34•50+
25U°UU+
1964•00+
2048•5U*
500•OU*
34•50+
25C7•UU+
12 964•OD+
2,748'S0*
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS
- ?0$I o oa
To He Osed For: C'4V,%., Valuation: ? Dates
v---
Site Address `lDg Je%'A4W J OFFICE USE
Lot ? Bloek
Pareel/Sub `Q.'Vcial?*p?,J c)A&:Q
Dwner R,S. (v-., NOvMX.?
Address 6`?j ( So t5oj--,,,, `?j? . c-.
City/Zip Code PR?pw LG-v,? Mz
Phone 440':m?ao 56?7)-
Contractor jAVVIE-
Address
City/Zip Code
i
Phone
Arch. /Engr. SAw??
Address
City/Zip Code
Phone #
3 iSBS
Oceupaney Q-3
Zoning =-???
Actual Const
Allowable ???
# of stories
Length 3 6
Depth .33
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
Bldg. OPf.
Variance
Couneil
FE6S
Bldg. Permit
Surcharge 3 y,s'o
Plan Review z5 O
SAC, City /p0
SAC, MWCC S ?5
Water Conn 0
Water Meter O
Aeet. Deposit 30
S/W Permit ZO
5/W Surcharge
Treatment P1. 2 z
Road Unit 3 ya
Park Ded.
Copies
TOTAL _
? s A '11-'
NOTE: Serrer & Water Permit feea and accouat deposit fees srill be ineluded in the building
permit Pee. Processing time for serer and irater permits ia tvo days once a licensed
plumber has applied for a permit at City Flall.
1- 1
>
??er
-.??k zC : ?8Y
SS59. 2-
300
3
?.0 o°
Y1
? s.
3 y' s TA.•;iZArLo 'PL4qv,
E:tTGRIOIi F.NVE[.OPE AVlilillC.E "U" CY)APU7'ATI017
GWWGR 1\J. ry"
stTL ADDItL•'SS ?04 ?Q????SpJ LN _
CoaTrsncrore 'e S M 1-b Mf 5IS)C•
OATE PIIONL•' 'iqd "6 IOC}
Determine working square footagc oC cach.
f. Total net aa11 area above floor ........................... 13 2g•?
g. Total rim joist area ......................................' 11 Z.o
Total exposed foundation area = gg,o
h. Total Eoundation aindov arca .............................. O
i. Total net foundation area aWve qrade ..................... $4.0
Determine "U" value of each wall seqment.
a- IgB.N X ,.U,. 155 70. (v
b- Yo?B x ..U.. .o7(p ° . 311
C. 3l. z X..U. . SS = 17•z
1. Total exposed vall acca ....... //r98.0 s?{• ft. x •ll =/pj(p•8
2. Total rooE.ceilinq area ...... J10q. 0 sy. ft. x •025 = 7(o
Total exposed wall area above Eloor = l?i 98:0
a. Total vall vindow area .................................... IcaS •y
b. Total door area ........................................... /JD•8
C. Total sliding glass door'area ............................. . g Z
d. Total Lireplace vall area ................................. O
C. Total vall framing area (average lOt) .....................
a o x ..U.
e. X ..u»
x ..U..
t.: O .. ..,?..
.' 8g,o ....
o = o
.oy
. oy7
o - ?
.. .
. 0 83 7 y
1 ?..
3 ................................._...Totai
?-
IC item p) is tlic same as, or Lc:::: than itum Al, you hwt: m.rt chc intanl
ot suc Goor,(c)2. g(u.,, -j 3 V7?V. f.) G, $t+? '0 !?/64•8? '"`?{ ?t
s t R G o 00 4 C?? 2
;?{cw4
Total exposed rooE/ceiliny acea = !1 D 4? O__
J. T9ta1 skylight area ....................................... O
Y.. Total roof/ccilinq framiny aroa (avcrayu 10'#.) . .. ...... . .. . _ 110 •?_
9 9 a!(?_
1. Total net insulatcd roof/ccilirnq arca.....................
Detetmine "U" valur: for cach roof/ceilinq seymenr.,
j. n X,.U.. p = p
k. 1I0•X..U,. ,62.5 = ?.$
t. ?93.` x ..U.. . oa/ _ ?0•8
4 ............................ . ......Total = .7 ?• G
If total of M4 is the same as, or less than 42, you have met ttic intent oE
SBC 6006 (c) 1. 0CLS.f.) LVa"^'*'Z
Altecnate Buildinq EnveLope Design ?
To utilize thc total envelope system method, [hc values establish•23 by thc
sum of items 03 and 114 shall not bc gteater than tiie sum o` items kl and 92.
, 1. If3?. B' . 2. Z7.? _?1?{•'f
]. 174'` + 4. Z3•?r = zn3.Z
p?,Ee-.,??.? ? 1 ?- ? 2 C ? N . ?f 7 ? a..t..?a ?3 t " `? ; .?Zc 3. z? •
-l?e.F ?Lt.e ...?t++JF • 1 .Eo itwa -P.+1 uAZ"
O
, ., ,
SINGLE F9MILY DWELLINGS
2 SETS OF PLANS
3 REGISTEAED SITE SQR9EYS
1 SET OF ENEAGY CALCS.
1989 HUILDIHG PERPlIT 9PPLICATION
CTTY OF EAGAN
IC' 21g
MOLTIPLE DiIELLINGS
2 3ETS OF PLANS
HEGISTfiRED 3ITE SIIRYEY3 -
(CHECH iTlTH BLDG DIV.)
1 SET OF EHERGY CALCS.
!lULTIPLE DWELLINGS AENTAL DNITS FOR SALE IINITS
COPIIMERCIAL
2 SETS OF 9BCHIiECTURAL
& STHUCTIIRAL PLANS
1 SEf OF SPECIFIC6TIONS
1 SET OF ENEaGY CALCS.
# OF DNITS
NOTEs ADDRFSSFS FOH CORNER LOTS - CONTRACTO&/HOMEOiiNER MOST DESIGN9TE iiHICH ADDRFSS
IS DESIRED. NO CHANGES WILL BE 9I.LOiTED ONCE HIIILDING PERMIT I3 ISSDED..
SEWEA 8 ii6TER PERMIT FEES 9ND ACCODNT DEP03IT FEES iIILL BE INCLUDED WITB THE BUZLDING
PEMfIT FEE. PAOCFSSING TB+IE FOA SEWER ARD YiATER PERMITS IS TWO DAYS ONCE k PERMTT H9S
BEEN COMPLETED INDICATING 9 LICENSED PLOMBER.
•?ENALTY APPLIFS NHEN: PEflMTT IS NOT PAID FOR IN S6ME MONTH IT IS REQIIESTED.
LOT CHANGE IS REQOESTED OHCE PERMIT IS IS3IIED.
To Be Used For: Valuation: Date: /-? -/? a
Site Address
Lot __,/ Block L-
Parcel/Sub?
Owner ?
6ddress Ki m ToN C9
City/Zip Code c)y?
Phone /r N .K -
Contraetor
Address :/ /a?
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Oceupaney
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sexage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
APPAOVALS
Planner _
Couneil
Bldg. Off.
Varianee
FE&S
Bldg. Permit ?C
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aeet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTOTAL
Penalty
TOT9L
Phone #
?
ry
135 ?S'??
. • HE.?T LOSS. CR.LCULAT!OV? ?_:: , Di:i'-i2TidEN1%Ol
ca;ic r r::ips .'?.S.H.V.,E.I' Coo=Guctioa iVc..
i
1C'irdowt Coors:? ?Rc(crcncc? Out`.?-\C1A int. Vlall "i ?eili?g
1es-No Ycs-No I'19•
c7/ 'I-(cieht
+r..dows a,ci Door,s-Crac:;agc.znd;AiCa: .. , , .
t•. ii?il? .
tin 1`ar:c 1[eih:i-? ?n: uL
u( PSn: J,!'iKlif? " L?neal R_
`nf Cr?ck ? nrea
-a? (t
-
I ,
,. . i .
I I COCf. ? LIR'
Int;?iraUoa .37 . . . S? ?U?
?--
Glass .. _ ' I 37 ? ??
FCp. N't??
Ntt CSP. SVdll ' . . ^. . - "
; locr
io?al ntu.
?
Rcqui:ed sq. ft. a2er3re'a ?t.
E.D.R. 6r,sq: ina.'W.A.,Lt
/ i•l.? „e/7Lff :RoainI LcngiS': /S''W;dch `.Mf HeiAc :'CS
Windows and DcoreLL?Cracka;?c zncl A:*ca, :.,
W I?tp Hc:ght : Na. ot =
:I:
r Llncal [t.
-
' cen ? .
.
:
:u a. ?
nck
cC.
I
3 i Co: E. 3.u
?- ? ???)
..
C:a. }Y.',Ii
iio
--?ili:,•; I Z// I Z.? ?j?
ioor I I
°cta! i tu. I ?f//S
:?cqciccd sq. ft. E.D.R. or :q. ins. W.A. Lcadc;• area ?
---_ -- ? '
/''? ?//?? Rwm ?L:ng;S /Q v!i'th ilcigot
\t'inuo.v: and Doors-Crackagc and Arcz ?
p: 1: HelRy: No of L?neni [[.
---? ?' o[ nn o^ ?g.^,te' o[ crncY.
.??"? i
-n. n.
S O 32. i
-72
%v1
--- ?-? Z 5 ? i -
P: __ir=a s? it. E.D.R. c - ao. `.i, .5.. L?_acce --n> ? --
,?i,
GITY O:' !liiF;rlS\^:.
I I
T-of'.'I ?11oor ?I-----Kind
FLJ L/V4?''7 R.:= I L,n
Vlir.dor;s and Doors--Crx?;
r n r ii?.ei.v
IaF.l.r:a?
G?zss
F.%n. Vi.'1ll
TlCt Gin. Y:Ld
Flooi .
Tcm1,E
FI
? ?_
7 I 2
i
fc. E.D.R. or 3q. ii,- W.; . Le:.-i,,: - c .
?J? a?„ I /g
- = and Doors-rra-l:: ;- ; .; :ir,:
io_zc?
_ ln:i[iacion _.
t
_ ?ni. wall ------- ?
Cciling ---
rlaor
'Gatal "'.u, _
Rcquircd :q. ft. E.17.R. or :
RomI
?o•n?? ar,c; !?n,r,
n??,.?z,[r,?
i
--
:?s
--? - -;
/rCn
v
f?
5 -' ---`?
1q5. ?i/.:`? I-Utr!C CLC :
< . [ c c.: ... ., i
?--
?
_
Ir.filtratiav
------
I
_
-
Gie,sa
--
Eap.
i'rct c.p. wall
wall
CcilinG
? --' ?--------'-- -
7
----' -- --?
----- '-?----
; focr
?I ?
? i !
-
. _.
-----------._----
. ... - - -
---- ? - --
----- -
_
1' -. -.'_---- ----'- -_
---._'-.'-----
I?GSS "':LCUL4T, O"!-S
T ! r? ? f i.V.L
cist:i.^.s !? Guidc
19-
?-_----
? Rao:n ? Lcn;,?: lr; i
. . _ ..ai6: ' _ _ _' ?i.?? [v"•?•??-? _
" . . .. . . 1.? . , .
Gci'.'1 i":""i:i. GF . BUIi,DITIGS , cM' J,-.
I t ! ? ?• 1 ?I
Irt. J:ai) Cei?;r?g Tioof Floor ?I -Yind ?.ppi:ccf
I
ard gocr-Crackagc and Arca' .
( ..,, „r t.ii,?.,i n. tir ?
.. .. . ?? :n ? . ?.;l,
. u n. ?. ?. . , ? eq :. , . ? .
I
.
.
-'----?_---i _1
-- --? -,
-
---?__-
-,_.',,=",_------
-------
,,,_i:,
j 2-
7
25
I.ri!_
,
-!Z_?•_
_? tq_il_ .ll=__or >q. ir:sW-:1^-Lcd=r arcz ' .--
'C?? a nu Ar;:a
'.W,.11_;L. A
._,.
e? c :e
? ? -
7
-c
--
/
G_
? ?r
(
? i
??? I
?
-
_
--
- -
-
- -
9
_
----?-`--?-?--
- -----
_ wOr
Ccef.j P±•.
- °---- - ----- ---'-- Coef.) Ctu
? ... : ?
- --- --- ----? --? I--`-
?
' .-.. . ... ?
- ----------- '^ I
- - -- ------- ?- ?-
'' :?•',•?' ' ?
- ? ---------?-- -?-----------?----?--
. i
--- - ---- - - ------ ---?-
-?; --- - - --- l": :.
_ -t --- -- i , . ---
. . ? . -'
......... .. . . ..,.-, . '_.?..._
- . .. .,. . ..,. ,..
_ . _ . . . . . ....... . .? .._?__. .,.on
?.?.. ? .. ?..
r't.l " ? Rr.am I Lcngin . Wid;h i ici:;h!
Wiadows and Dcurr?Crac'nage and Ar cz ?
iiei6nv . ?o. Linen;:c
t:o I ot'len ' ntv.o: _?..i??? ofovk ` Ar?n?.
oq
? ---? '--
? ?
I? ??--?
---
---
?
-?-
?
L?I -I
-- --
Cucf.l li:u
I--
--
-
I
IrLfuatio.^. 1 _
I
7
Ci?,,• / ZJ,
?
w..!!
Eip.
tdt: exo. v;ail 77,/S i
r-,oor-
L--
Total ;3:u. i---
ReG::i-ed :q. ft:&D.R. o: ;q. ins. W.A. LcaCcr area i
Tl.! F.oo; ; I Lcr:?tii ?(-1:iqht
Uiindows and Daers-C:acL-nGc and Ar,a ---
-
N. o? J?*n !cl?1?i ^;o.ot
I?a' p:.ne I 1!?`:IU ?:.Inexi
I af c? ci hrcy I
i fl I
I-- ? - ? ? --?
?
ICo?i. 3:u
f
Il'c2 e :p. wal!
:1.1 !. •N all
Rece:i_d :c: ft. £.D.^n. or so. ins. W.A. I.eadz. a:ea ? -
Roc:r. 1 L.encth. . 'r?i?:h ? : 4Ci,-ht
ana?LCCreI--CraeE:agc and Ae ca ?
-i -
=n?na aL:c!a No. c. -!,.o-t r..
\o. I c:^c=.al c[c^.^e I:¢.^.ta I o[crcci: '
:?. ![.
'
I f
I I ? I I'
t
lf5Iteatir,n ? ?
?
(?nr?.l Pi?l+?
V-?--
?
--
?
-
i`:ct czp. wall
? ?
i
-
?nt.'.,,11 -
? -i---
Cciling
-rlaur ;- ? ! ?-?-----
ai
>n. in+. `711,
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residentiai dwellings.
Datel?
/ ll f
_
_ ?'
Site Street Address W Unit #
?
, sci 11 1avx Telephone
Pro
ert
Owner
1? af\1(
y
l,
p
,
Contractor , W Telephone # ??
SWte?_ Zip?
Address ' ? City
The Applicant is: _ Owner _ Contractor _Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes Counry fee
$ 100.00
Per as-buiit $ 10.00
Alterations to er.isting dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing oniv a wafer sofiener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other.
_ Water Softener /_ Water Heater $ 15.00
new _?, replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
L $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete ana accurate; mac me
work will be in conformance with the ordinances and codes of the Ciry 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
accord ce with the ap roved plan in the event a plan is required to rev ew?d an rov
,??? : .??? ? ??CIEMED
ApplicanYs Printed Name Applicant's Signature U'U ,IUN 2 0 2007
Lq. l ? ? ??
89-019
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
RSM HOMES
LEGAL DESCRIPTION: LOT-i-,BLOCK 4,I FXWGTON POINTE 2nd
ACCORDING 70 THE RECORDED PLAT
THEREOF, DAKOTA COUNTY,MINNESOTA
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? Date
EAGAIV ENGIIVEERIIVG DEPT
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES ORAINAGE DIRECTION
I hsroby carfify that thfs survey,plan or
report was prepared by me or under my
diract supervision and that 1 am a duly
o Reqistered Land Surveyor undsr ihs
Laws ot the State ot Minnesota.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 985.$-
PROPOSED FIRST FLOOR ELEVATION = 9es.5
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
1 /?),14 --/
Bradley J. enson, Mn. Req. No. 15235
Date :
1"?1\1o
Use BLUE or BLACK Ink
r
I For Office Use I
City of Ea~~~ I Permit#: ~
I / l
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
20'13 RESIDENTIAL/ BUILDING PERMIT APPLICATION
Date: O 2) Site Address: _6 ~l Te g~~5~~ o,,j ' Unit
Name: 5' V- SC 17 c; SRr Phone:
Resident/
Owner Address/ City/ Zip: U Lt ,f -e Kl G 1,J
Applicant is: Owner Contractor
Type of Work Description of work: Re ►^aa-F
Construction Cost: lsoo, rjJ Multi-Family Building: (Yes 1 Nov"
)
Com an : F/obra S,5;ve. CuxS4-1. thaj )4-o 44 50) Id"Co~??
p Y n q ntact: YVJ- H gG olu~i-
COntraCtor Address: J Into t ye- City: "-",A.1 Vc r- ~jro lie
State: Zip ~~7 Phone: ( j' Z Y ILI$ - 3 91 0
License Lead Certificate AVR4- C1 4 5~ Z4
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be 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.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.
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 0 4J_ /EG fi x
Ap licant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143145
Date Issued:06/05/2017
Permit Category:ePermit
Site Address: 904 Jefferson Lane
Lot:1 Block: 4 Addition: Lexington Pointe 2nd
PID:10-45071-04-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Steven L Schnaser
904 Jefferson Lane
Eagan MN 55123
(651) 442-1998
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature