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912 Jefferson Lane?..? --??----?-- - =?-T-. rX) fio tnvrzx. A}'i> :.-.. CITY OF EAGAN .. :? &? 3830 Pilot Knob Road, P.O. 8ex 21-199, Eagan, MN 55121 ?'? PH QN E: 454-8100 BUILDING PERMIT Receipt ? To be used for "4{ /G-AR Est. Value $111•000 Date bFpT 6 ,19 ? Site Address 912 ,TEF'RsO;x °.14 Lot s Block 4 Sec/Sub. pti?nTB Parcel No. o? Name CGLLEGE CZTY CUIISTRUC'."I01i = Address 6970 1515'i ST o CityAi LF VAl.I.EI"Phone 1 -I:1?1 o Name SAVE , ? ? Address ? City Phone ?- ¢ "W Name W F _ z Address . ? w W= City Phone I hereby acknowledge that I have read this application and state that the informatiort is correct and agree to comply with all applicabie State of Minnesota S4atutes and City of Eagan Ordinances. Signature ol Permittee A.Building Permit is iSSUed to: CUDiS? 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 OFFI CE USE ONLY ? On Site Sewage Occupancy R-3 H-1 ? MWCC System Zoning On Site WeU (Actuaq Const City Water (Allowable) d-N I PRV Required # of Stories I Booster Pump Length 40' Depth 341 S.F. Totel Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? j "•00 Planner Surcharge ' ?? • ? Council Plan Review 311)3•04 Bldg. Off. SAG City 100.00 Variance SAC,MWCC 55C.00 ' WaterConn. " $C•00 Water Meter 67• ? Road Unit 325.00 Treatment P1 204.00 Parks 2 76C. SU TOTAL , ON ' %b CITY OF EAGAN ? , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ti ? PHON E: 454-8100 ? BUILDING PERMIT Receipt# To be used for Est. Value Date ,19 Lot ? Block 04 Sec/Sub. LUIAGT; ?" 70IliT1 Parcel No. ¢ Name ALLEGE CITY CQM$'CVJCTEON = Address 6970 1515'T :4T ? CityAPP"?F "fiUZY Phone 6314211 ? Al?mta :>?.`:i'• Phone Name _ Address of OFFI CE USE ONLY On Site Sewage Occupancy K"3 M": MWCC System ? Zoning pA On Site Well (Actuaq Const Y"{; City Water x (Allowable) V""! PRV Required # of Stories Booster Pump Length Depth 34' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 6 Planner Suroharge ??• ? Councii PlanReview 3?'S•Qu 81dg. Oit. SAC, C ity I00•00 Variance SAC,MWCC 5j'0•CO Water Conn. 550• Vti water Meter 67 . vfi RoadUnit 325•CO TreatmentPl iU?k•?}Q Parks 2,766.50 roraL Permit No. Permlt Holdar Dats Telapfione # Plumbing H.V.A.C. Electric Softener InspBCtion Date Insp. Comrttents Footings I Footings II Foundation Framing Roofing Rough Plbg. y I! ??? Rough Htg. Isul. il Fireplace Final Htg. Final Plbg. Bidg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final wen Pr. Disp. MECHANICAL PERMIT CITY OF EAGAN . 3830 PILOT KNOB ROAO, EAGAN, MN PRICE PHONE: 454-8100 Site m rvame - _ -? . - ? Address c City ? Phone ..." PERMIT # RECEIPT # G DATE: ' For Office Use Only: BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair ? Name FEES HVAC 0-100 M BTU RES 00 - a24 c Address . ADDITIONAL 50 M BTU . - 6.00 HVAC INCLUDES A/C ON NEW (RES p City Phone . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 50 EA - 1 . . TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE ; Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADQ-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ' BEYOND $1,000) Other R FEE ? SIGNATURE OF PERMITTEE S/C: ? TOTAL- ?'?? FOR: CITY OF EAGAN CONTRACT PRICt: Site Addresg Lot Block m Name ?o Address c Ciry Phone Name 3 Address p City Phone FEES COMM/IND 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 $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ; ....? _ _ ' ? ?. •.? ? ti„?.. SIGMRTURE OF PERMITTEE PLUMBING PERMIT PERMIT # CITY OF EAGAN RECEIPT ?k <- 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: PHONE: 154-8100 BIDG. TYPE WORK DESCRIPTION Sec/Sub Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FI?(TURES TOTAL ? Water Closet - $3.00 ? ? Bath Tubs - $3.00 Lavatory - $3.00 !._._Shower - $3.00 ' Kitchen Sink - $3.00 UrinaliBidet - $3.00 Laundry Tray - $3.00 ' ?TFloor Drains - $1.50 ? Water Heater - $1 50 ? Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PEN PERMIn Softener - $5.00 Well - $10.00 _ Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: I ? Ter#ifirate uf (Orrupanry s titp ot eagan Opputmrni nf sudding ]Wprtirnt This Certificate issued pursuant ro she requiremenu of Section 306 of the Dnijon,t Building Code certrfying that at the tirne of issuance this slructure was in compliance with the various ordinances of the Cuy regulating building construction or use. For the foUowing.• u. cjs=. SF MIGr.:? ?i W4. Pern,;, No. 18876 Occupancy Type Owner of Buildin dete: {fMw. 28, POST IN A CONSPICUOUS PLACE GITY QF EAGAN 36a0 Pilo1 Knob Road P.O. Box 21199 ' Eagan, MN 5S721 Owner. Site Address: 91? .)? : _ -?-•??..-?.; ,-.?.. Permit No: 9911 Meter No: Reader No: Date: i Size: ? Date: Conn. Chg: 5 Sf}.-QOr?d Zoning: F'1 Acct Dep: 15-0fl;+,4 No. of Units: 1 Permit Fee: 30-0 " Surcharge: --- - 50??, _ 1 agree fo compty wilh the City of Tr. Plant Ordinances. Meter. 1 ?'T? P.O. Box 21199 Eagan, MN 5512°t' Site Address: Date: ?on I,ane 7.3 T `s !,exi,nginn Pointe TT 55;1.? f MWCC: ? ? Zoning• City Chg: ???' No. ot Units: ? Acct. Dep: I agree to cornply with the City of Eagan Permit Fee: Ordinances. Surcharge: SEWER SERYICE PERMIT CITY OF EAGAN Permit No: 1111 Date: 3830 pilot Knob Road Meter No: 0 Size: Of P.O., Box 21199 Reader No: DT' lQ 36`0 O Date: •? 7- Rd" Eagan, MN 55121 Owner. r?,Z ;A a r;r? r.,nar Site Address: a1,) qnFfnrcn,nl?anp j'? T? ir I F' •'' 'C] "i ? t Plumber. ^+?,- D???m}?{nn Conn. Chg: _4-5.,Z,?:%? Zoning: Acct Dep:_? No. of Units: ' Permit Fee: Surcharge; ,;;,:.s•., I agree to camply wi h theCity oi Eagan Tr. Plant Ordinances. Meter. ' ? ?' 1,..' Misc.: By vrwm PIb ?, - BLDG. PERMIT NO. - -3210 Bldg. Permit 01-3422 Plan Check 07-3445 Surch./Adm. 01-3446 SAGAdm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. . 20-3716 Water Meter , 20-2252 Acct. Dep. G-3713 Water Permit 20-3743 Sewer Permit 79-3866 SewerConn. 28-3855 Park Ded. C) c cP-{j'`E 00 / o? GO TOTAL ?? NO CO UNTIL APPROVED CITY OF EAGAN BY S& W 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15578 PH ONE: 454-8 100 ? BUILDING PERMIT Receiptx t 7o be used for SF DWG/GAR Est Value $111,000 Date SEPT 8 - 1988 Site Address 912 JEFFERSON LN OFFICE USE ONLY Lot 3 Block 4 Sec/Su6. LEXINGTON POINTE On Sae Sewage _ Occupancy R-3 M-1 ND MWCCSystem X Zoning PD ParcelNo. V-N OnSitewell _ (ACtuaqConst a Name COLLEGE CITY CONSTRUCTION Cirywater X_ (Allowable) V-N z W Add?ess 6970 1515T ST PRV Requiretl - # of Stories o CityAPPLE VALLEY phone 431-1211 Booster Pump _ Length 60' Depth _34, p NamO SAME S.F. Total , ?a Addfess FootprintS.F. ? City Phone ppppOVALS FEES ? W W Name Engr./ASSess. Permit f110.00 W z Planner Surcharge 55.50 i Address Councd Plan Review 305.00 a w Ciry Phone Bldg Off _ SAC,City 100.00 1 hereby acknowledge that I have reatl ihis applicatwn antl slate that the Variance SAC, MWCC 550.00 mformation is correct and agree to comply with all applicable State of Water Conn. -5-5 0.00 Minnesota Statutes and Ciyy of Eagan rdina es {1 Water Meter -67 _ on - Signature ol Permittee[J? -- Road Unit 1.25....00 A Bwlding Permd is issued to: COLI.EGE CITY CONST Treatment P1 20"0 on ihe eapress cond ition that all work shall be done in accordance wrth all Parks apphcable State of Minnesota Statutes and City of Eagan Ortlinances. f? - 2 766 50 , _?.•?-A Building Official-ll 1H7 11 ?.??s_-_--- TOTAL , . ? ' ' REQUEST FOR ELECTRICAL INSPECTION z+''"`?q ee.oooo, oe n(? (? ? See mstrumions for completing tNS form on beck of yellow copy. ?'?' fYGa S 9 "y" Ralmu Wnr4 (:mior<rl hv Thic RanuaLt .:y? ew Add Fep TypeoiBunding ApphancesWired EqwpmentWired Home Range Temporary Service Duplez Water Heater Electric Heanng Apt. Builtling Dryer Other-(Specify) Comm.llndustrial Furnace Farm Air Conditioner Olner (sVeody) Coniractorg Remarks Compufe Mspection Fee Below. # Other Fee # ServiceEmranceSae Fee # Circwts/Feeders Pee Swimming Poal 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps Above 100 _ Amps Signs Inspecwr's Use Onry ? ? OTAL ? IrrigationBooms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED'1011§6ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in r oete certrf that the above ms ection has Y P been made. Flnai oate ?y ?16 OFFlCE USE ONIY This requesl voi418 months Irom 56 L5 °? 8 ? ? 5 0' Req¢;,.?¢ Fre No, Rough?in Inspeciron Reqwred7 ? Re dy N ? Will Nottly Inspector ? Yas ? No `Nhen Reatly? I L, licensed contracbr ? owner hereby request mspection of above elecVical work at Job Atldress ISlreet Bov or Foute No I City / ? , J /?V /?? /./'CY Setllon No Township Name or No Range No County Occ^upan? IPRMTI,I l.?i?V /N N I' / I ? Pltone No. ` `/ ` ??./ ry / /?7?(" Powe: Supplier Atltlress Eiectncal CoNractor (C'omOany Nam/e?) Contrecto?r's /Lmense^N?o Mailin9 ndaress (Gonvactor or Owner MBMng Installeban) /ft- U2% J/-t .ST. ,4ccL /rW 6S10cl AulM1Onz nature ?or?0 er Making Installatmn) PM1One Num r 01 V -7 ( ? -- -- - , I , MINNESOiA STATE BOAflO OF ELEGTRICITV ? THIS INSPECTION REQUEST WILI NOT Gdgge-MlOwey eltlg. - Room 5413 ! I. 8E ACCEPTED BY THE STATE 60AP0 1821 UMVersNy Ave., 5\. Paul. MN SSlOA ?YU VNLESS PROPER INSPEGTION FEE IS Phane (614) 803-0800 ENCLOSED 9/?C' REQUEST FOR ELECTRICAL INFPECTION EBq-0?0/0Q0?1/-p6 V? 1 ? See inshucttons lor compreting Mrs lorm on back ol Vellow coOV. E 38424 "X" Below Woik Covered by 7his Request FAcI Rep, Typa of Bmltlmg Oo????cm Wrtetl Equipmen? Wved Home nge Tem{>orary Service Duplex Water Heater Lighhny Flxtures Apt. BmlAing Dryer Electnc Heatin Commercial 81dy Fur e Silo Unloader Industnal BIAg. ; fr Condrtioner Bulk Milk Tank Farm omel oer.? v ti, ??h<,r Isno?:,fyl t nr Sueciry [her Ofhur ompuie Inspection Fee Befow p Fe ServiceEnirancaSize H Fea FeaJers/Subleedei,s ? Fee Circwts 0 to 200 Am s 0 to 30 qm s uB 0 to 30 Am s Above 200 Amps 31 to 700 Amps tQ 31 to 100 Am s Swunming Pool Above 100_Amps Above 100-AmPs Transrormers Irrigation eonms tJ Pdrtial,'Other Fee Signs Speciallnspection TO7A Ae?+v?rks r ` ' J Noueh-m G-? the EI xl ?nscne.ecv cervty that tha abava Final --" ' P D e ?- inspecUOn hes been ?aa. ThlnraqueslvaEl8mon11ielmm , ??2. ? a months (rom o ` E 38424 Hequ ? Date Fi e No. Rough-in Insuectwn RzqurteA? ?ReaAy Now ?W?II No?ify Inspec- ?? a/?` Q Yes ?NO ior When Neatly LicenseA Electncal Contractor 1 hereby request insoecLOn ol above Owner elechicel work installed ai: Street Ad e?? x or ou Cit P ecUon TownshiD Na or No. Range No. Cou. ? ?J o A Occuo?lP N'[.I? Phone No. Power 5 p0liar!/ ?CO Address Electncal Coniractor IComDany Nemel P f A e. ?/[r ? ' ?L ?4 Copue dr'S Le No. ??! Mailinq dJress (COMract or )w akin8 ?nsta il3 t?on) y 64 / J J 3 O 6 Author¢ tl S? atur ntracto ? w Ma ing Installavnnl Pho[ne N?ujmbe?r/ !? ?y 6 L +Gdf,/ U MINNESOTq STL(fE BOAflD OF ELECTPICITV TMIS INSPECTION REQUEST WILL NOT Griggs-Midway Blde. - poom N•791 BE ACCEPTEO BV THE STATE BOAHD 1821 Univarsitv Ave.. S<. Peul. MN 651D4 UNLESS PflOPEN INSPECTION FEE t5 e?...ee (9191 Ra9-OROD ENCLOSEp. RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reouiremenb • 3 rcgistered site surveys showirg sq. ft. of lot, sq. ft ot house; and all ruofed areas (20°k maximum lot caverage allowed) • 2 copies of plan showing beam 8 vnndow sizes; poured found desgn, etc.) • t set of Energy Calculations . 3 copies af Tree Preservatlon Plan d lot platted after 711193 • Rim Jomt DetaB Optbns selection sheet (bldgs with 3 or less unAs) DATE Vl' I` Qa SITE ADDRES TYPE OF WO APPLICANT STREET ADDRESS `Z?t? W !`i ` \ G . TELEPHONE #9"&-3? 0-)6-7 CELL PHONE # PROPERTY ?ULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 FAX # ZIR-/'4 ------------------------------------------------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIV NESOTA RULFS 7670 CATEGORY 1 (d submission type) • ResidenGal Ventllation Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ____ Pliunbing systein includes: Mechanical Confractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery Syslem JUL O 1 2002 TEIEPHONE # Phone # Phone # Fee: Pee: $70.00 -----------°°------------°--------------------------------------------------°------°-------------------°------°---- I hereby acknowledge that I have read this application, state that ihe information is co ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga s. `0? Signature of Applicant ....-------- .._----- ____.w------ ----------- _.._------- --'-__- ____----------- -'------------ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Watcr SoFtener Water Heater No. of Baths Ptione # L Iawn Sprinkler No. oF R.I. 13aths a x -7. 7 s RemodeUReuair Reauiremenls • 2 copies of plan . 1 set of Eneryy Calculations for heated additions • i sile survey far eztenor additions 8 decks . Indicale'rf twme served by septic system foradCitions VALUATION ??. DOD CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT RNOB ROAD EAGAN, MN 55122 PERMIT # f ? PHONE: (612) 454-8100 RECEIPT pDATE: ??p?t?'xP:Zmi PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACA UNIT. ------------------------ ------------------------------°------°------°------- WORK DESCRIPTION ? FEES NEW CONST ADD ON ? REPAIR _ OWNER NAME: CALVI 1J 1,R-M µE SITE ADDRESS: qIo( __CE.FFE?4S :.^T:? BL.^,CR 4 SU&D.?i• ?. ? DAKOTA INSTALLER: !°7R7!%'^3 AN7 GOOLING w- ROAD ADDRESS: EAUAP•e. Utii 55122 CITY: asa-asoo PHONE # ZIP: ADD-ON MINIMUM $15.00 HVAC 0-100 M,BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $IA-0 STATE SURCHARGE: .50 TOTAL: SIGNATURE OF PERMITTEE, ?? sls 3 ? ? gqHI4WIAI?PLEASE COMPLETE THIS PORTION FOR ALL COTRfERCZAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. r?5,nn pon?ggD prp±ur_ - $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) $ APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION . .. , , , ? N018: PAYM2IP OF FEE AT TIME OF APPLICATI@7 DOFS NOT CON- ? ? SlITLT1E AF+PAOVAL OF PIItMIT. ? : t IIySPDClION OF SESVQt APID/OR FATII2 ? ? ILbTALIATIONS WIIS. WT BE S'crxRrm [!NPIL PIItbIIT Ws5 BEFS] APPROVfD. : c1tv #ifSf4lWklilZfff4f44?li4#t441?lM1rH?M! OF cC1gan (PLEASE PRINT 1) PROPERTY ADDRFSS: Lb]GAL DESCRIPTION; IF EXISTING STRL?CT[)RE, DATE OF ORIGINAL BLILDING PERMiT ISSLANCE: Mnt Year PRESENT ZONING/PROPOSID DSE: Q CONIIIIERCIAL/RETAIL/OFFICE Q INDC?STRZAL a INSTITLTIONAL/GOVERNAENT SINGLE FAMILY ? R-2 DL?PLEX ('iko Units) ? R-3 TOWDIIiOLSE (Three + Units) ( Units) Q R-4 P.PARTMENT/COrIDOMINiL'M ( Units) 2) ? bIAME: ? 'e L ' VL ADDRESS: G?zff- ~ ,S CITY, STATE, ZIP: PHONE: For City Use 3) . , ;?. NAME: plumbers License: Active ADDRESS: Expired CITY, STATE, ZIP: 14 Not recordec PHONE: MASTER LICENSE #? < Sta Initia 4) 1[e.wn?dSJR?i • ,'? ?L7+?'?1'd'? NAh1E: ADDRESS: CITY, STATE, ZIP: PHONE: 5) s ?, a •?• • o Mill dCONNE(_TION TO CITY SE.WER ?V CONNECTION TO CITY WATER O 0'PF]ER 6) -2 7 ***:e*?******??**?«*****?,4?xs??+*******?***?*?***?+r?**+*?*************?****+*****?*?*********?*******7 * THE GOID COPY OF 'iilE PII2PffT WIIS, BE SIISP DIRDC.'12,Y TO PUBI,IC WORKS TO FACILITATE METE[2 PICK-OP. .? PLEl1SE ALSAW 'iFA WORKING DAYS FDR PROCFSSING. SOmIDONE FROM TflE CITY WZIS, CONi'ACP YOiJ IF 7IME y * ARE ANY PROST,EbLS. y ?*+?******?******?+****+*#*+****,rx****?***+****??**,r**w***,e***,r+******,r*****«*******?*+***,e********; FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ?D •?j? SEWER PERMIT (INCLUDE SURCHARGE) $ $ //9•S? WATER PERMIT (INCLUDE SPRCHARGE) $ 4 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ ?5C v'J S wAc $_ l? so o? $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRU[VK SEWER $ $ LATERAL BE[VEFIT/TRU[VK WATER $ $ WATER TREATMENT PLANT SURCH ARGE $ $ OTHER: $ $ S? ? U TOTAL f 72- Z 3 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MOST BE ISSUED BY THE ENGINEERING DIVIS ION. LIST AS A CONDITION. SU BJECT TO THE FOLLOWING CONDZTIONS: ' APPROVED BY; TITLE: DATE : , • i 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 Iff'5 '1$ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE B[TILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE IINITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO[+AfERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS Rffa SEP /// 0OO t ? To Be Used For:? Valuation: Date: r_ - ? • Site Address Lot Block i Parcel/Sub4 ` r, ? • , Owner/?'; , ?/" Address ?- .^ ? City/Zip Code., /. Phone Contractorr _? J? - ?'-j'„ ?• s?: l Address City/Zip Code n Phone Areh./Engr. ? -: ?, r ?, ? •; Address City/Zip Code On site sewage Occupancy MWCC system ?' Zoning ? On site well Actual Const City water Allowable Vj1/ PRV required # of stories Booster Pump _ Length -7 0- Depth 3Y S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit a Planner Surcharge Sz SD Council Plan Review 303' Bldg. Off. SAC, City /60 Var3anee SAC, MWCC 7TO- Water Conn SSo Water Meter (01) Road Unit 3zS Treatment P1 ? 05/ Parks Copies TOTAL ?t Phone # . es ?. 4- ? _?- 2a?-3O = ??D?F/? - /?/?d• s 3 t?.-r z ? = ? ?a GGr ?rx.3o 1-2X?z y ` k' ' = rszs? ? e _ ? lr 1'- ? ., , . , I , ' 041NER S1TE ADURE55 9/02 ? c- ?ei-r •un hg_ coninncroa eoct,CGF.. G!TY ?,oA(f,1 ` DATE ? PHONE ? _?I ?? - I a11 ?.., petermine working square foatage of each. 1. Total exposed orall area ...... Z,,-?ot}- sq. ft. x_,_? 2. Total roof/ceiling arca ...... ($'10 sq. ft. x.,04?0 E!".KIUK tf', LVYt RYtH/WC °U" 4VI` 'INIlUfi. - , . , ?. ? Total exposed wall area above flour a a. Total wall window area ........................... 'Z 7,3 b. Total door area ................................. c. Total sllding glass door area ................... O d. Total flreplace wall area ........................ ? a • e. Total wall framing area (average lOx)...:........ 1-7 O . f. Total net wall area above floor ................. IZ ?o g. Total rim ,?oist area ............................ 1?12. ' Total-eicposed foundation area ? 10 4- . h. Total foundation wlndow'area ........ ....... o 1. Toal net foundatlon area above grade .......::... Io?_ Detennine'U" value of each wall segment. , a. "I z •?'3 X "UK . I t1r S?J p x NUN ? 1 Z.Q [) ° 7 Q`? C: I pUe p a C d• ? X„Up ? e V e? 1 1 0 /1 NV,, / ?q z, p!A- f. ?ZIG'O X°U" 043 y. Iq Z z fiu° n. z pu„ i. x °u° .o?- ° 7. 137 'o ? o ,o-r ? B.zZ 3 . . .. . . . . 0 0 0 0 0 0 0 . . . 0 6 0 * 0 . .. •.64-006.I0tal / u.? If item 03 is tlie same aso' or less tlian item 11. you itave met tiie intent of SaC 6006(c)2. r `.? • ?.i -, Total..exposed roof/ceiling area = 17 8.C J. Total skyliqlit area.....:....................:... o k. Total roof/celling framing area (average lOZ)... 11 g 1. 7ota1 net.insulated rooF/cetling area..:........ -Z Oetermine "U" value for each roof/ceiling segment. xpull o e o . k. (18 x•ull'_ .od- = 7•IZ t: 'IL'oZ x°un 3D , 24- 4 ........... .................... ...Tota1 lf total of 64 is the same as, or less than 12, you have met the intent of SUC 600&(c)l. • , Alternate euilding Envelope Design 7o utilize the total envelope system method, the values established by the' sum of ltems 13 and i4 shal,l not be greater than the sum of ltems 61 and 12. 1. + 2. _ 3. + 4. ° . K MD U, VALU6 ANAI--(515 OF LcP-5_ NJQ e-, [_AZED /{RLAS . -- ? WI NDGW ARE-A : TYPIi oF W1N.oaW ; TN! N.ViNDOW QuITS' HAVL $LCnJ TisraP FOQ. "R'=VA&.Ki, 7NAY Atc aa 414190 ABoV f 440 /N4y 61 AJSIi;4(>O ^ pCai4N ClA/L) VA6.elC OF s Z•`I INCL.MQiNf? A?R KlLMS, fDOfwfjLZZ3 ?'fOeTA4• ? = Zz 3 FoUNDAT,WwiNOOw ARrA: TyPE oP WlvDOW : TNE VVJNOOW U+J$+'s/44Vf. f3LUJ TESrCDFoRpQ` YAL"C,,TNLYARI Ili I.IrT<O AA%*VAL AYL M4y' gr aSlIC?NLOA (?6SIfrI?[?ARL? VALLAk Or- *$°w ?uG1.vD/A/C? Al4 ??L +ns . Uq Z_ ???jL • ?? a? FOOrAC,R. i KOOTACIC a O SL?oIN(; CiLass DboR AR.&A: TYPL OM1 D000,: c4 f) 1,q95 000(t3 Nl•VL 6LR04 7t.ST40' FoR"lZ= V.1L-Kry TN[Y ASL y Lt,16D /+GbVL AtJAD M':y 04 H.56i4N1t12 A W18l6f4G5APt) VAI-NG o1CI7Q,"ar 144LYA/M4 Ai0 FitMS Uqy • v 11% s 1/ Fv°ri.4c- =n_ DooR ARaA: YYPe oF DovR : pOOCZ UNIYS NqyL PjLLN TGlTCp ANO RouNC To HRVit A+d VAL416 bp '1.E3I JNCA.NQINf? A'A IIa.Mi, FODTAf.r IL= sPECrAL.s ; rypL : FaRM E•1 !??lNb? i ?YE•'30 l?? SrNEa? . . ? ANprU. ?ALU,? A?1Al.Y315 OF??1{t ??xk -?`.. --•- _. ? ? ? JOiST/ Fv.AM,?oG A4E?, , •R*- vA L u E --- •(0( 1NT;?RIoR AI f2 iILM 3?L goFrwoav ,f Gr Y PS•4M N/ALLPaA40 I NTER ?oa, A'R F??rq ? TOTAL "R?.i VAI.U.E. LA., a 11K.01 a ? / . - ' ° •L??-? , ToTAL FoorA46 INSwl.A7E' ARtA bCrWGtN T)4L J015'j'S ^R' - ?ALU.e • .4,/ IIWTEKIOR AIR rit,M Q-?' bu.'u??Ns u. L n 7, oN C R• ??? _,&?GyPSLIM WAL1.DwtR.D .•- • VAPQ2. DaOtQIL4. ; •?,? INTEKIoP, AM fiLM 4,:!?30ToTA L'R,--:' YALu.L ,', ? I u?.?, , I /R.,,, : 1 / S • ?? = u ?? " F1 ie/nnbR. TpTAL fnorace. --- e? % ,. 1\• Al-IV LI? VA{- L.[l ANHL'(JIJ Vt. LYAS. L SE.G7 fQNS . .. . ,.? ? - " . Fj... VA L L,.E _b`L.IareR?uR AIR Fr?N1 ??c''ra.sctin wwcI-oonev Sorrrvovo ; !' Z.OfB t.' Z-SHt??N?N4 iJiC.?? ----..._c? ? Sio?uC? • L., VAAO4 6A09MR •I ArLR10R n11r. f/L.M ?OrAL' R..+; VwLuc '%1 •I/O-ti • 1 iI o.'d3 s .v z a' TorAL PmrAuc 1-70 ?NSU.LATE-D A?Z[A B&TWLa?q STLA DS "R"- vALu.L •bI jUfQ¢IOR /??A /??.M ?4S 4Ypsunn WpLa.6oa¢o ' ?q.c ?M I{ISLLI,AT ION [R,,? ) Z.O?C7 ? SH6? 7)o /H4 .b? AP s?oiu4 ?L.i ? . ^ Yn. Po Ie. raARa., c a. araR.iqlt AiP- rI?.M 7-_ Z•I1FTOT AL KIwL YAlHC. ?,•u`.. 1 1 z2.Tb. ? NLi iWN14fty ToTAL. rooraaR. ?Z?cO UwrC?!'o.V?5,queo_ i? / ,• M-ANO u. VALu? . AN,ae.Ysl!P oi_ w<„r scGnows RIM c7o,sT ?MLn; .., vnL uE _ •bl _INif-Rlo2 ,112 f+LM ., ?1.,3 ¦ J /R.? ? ? '24-? : . ? O , Foun? p q-r IoN ?1?A1.? AR6^ CAWv?- C?RAor?.D „FZ„ vA L u. E. ' ( ? iNTERlOR Al1Z HL-?1 «r rr ? o? $_ c.o? a r rc p?oc?c 1.0 O ???N??.?I,;,,4 (R. ? " E1CTLKiOQ, AIrL FI?.M l2'I?3 TOTAL F?w4 JqL u.? ?? ?. 1l? d l41a . '?pTAL ?7T??, } c? Idaht.? ?o?rvriRt p?tc?'3t7•???l,ucp 1? l, ??• _ UlAT?ON (R•?? SN ca r ?N ! U Z i-?? ?- L?P :' , . •?'? ?z sioi,?c_ _ . , ?- SoFrwoop ? ? • _L„? I'h." ??(TfltloR /?IJC ? ? O 1. _)WS 19 zn ?. 11-A'1 ora??q..?? ?4ra.?.c i oQ_in13 UK/.`I, ? TRI-LAND C0. siTE PLAN FOR: SURVEYING SERVICES COLLEGE CITY 1260YANKEE DOODLE ROAD CONSTRUCTION EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT-3-,BLOCK 4?I FXINGTON POINTE 2nd ACCORDING TO THE RECORDED PLAT THEREOF• DAKOTA COUNTY,MINNESOTA ? JEFF?RSON LANE 983.9 a5929'5 ? - y O ? W. ? I Z Dewawny O o . .?. O GARAUE N ? ?•- O W PROPO$£G ? ? ? ()J '? Nou56 rn I ? i 5 43 " B? it _'?i uGiiv?L: RING DEPT SCALE: I'=30' e7a.s ,? ¦ LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET 9639 DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hreby coRity thaf this survsy,plan or report was preparsd by me or under my direet supervision and ihat I om a duly RspistereA Land Surveyor under tAe Lawt of the State of Minnefota. PROPOSED SPC,rt CNTkY W/O INVERT EI..EVl1TION AT SERVICE EXTENSION= ?•9 - PROPOSED GARAGE FLOOR ELEVATION= 9,5 PROPOSED FIRST FLOOR ELEVATION = 9A?•? PROPOSED BASEMENT FLOOR = 98Z•4 ELEVATION NOTE ? VERIFY ALL FLOOR MEI6HTS WITH FINAL HOUSE PLANS Bradtey 94wensan. Mn. Req. No. 18235 Date : `I 1 ,Ig3 \ 4VV/111)III iMliN 11" r1V1 I.1 Tv -nT rAuA" r-4 14 11 1-.I-Y!'l-•)n YU r 11111:11111 a. 2012-05-0714:52 » 651975 5694 P 212 wee DLue or t$LA%;K Ink l lorOfftCCUiQ--------- I I Permit 0: v City of Faun ; 3830 Pllot Knob Road I ~•rrnn F.~: Fagan MN 55122 Date Recelvod: Jz~"T(Z Phone: (661) 675.5675 i Statf: I Fax: 65II675-5694 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION bate! _ Site Address: lYl Tenant: Suite; tv, Name: fvv( hone; Address / C' / Zip: C1.1'YLk CLS, e 0 1,, Name: r!~ License 0: E~E _0 1~ 1 ' c Address: U,6 4~ City: Y .jf State:.- Zip: Phone: ~G D 31 a r Contact: Email' MY" Oki, New Replacement -Repair Rebuild Modify Space r. Work in R.O.W. r t w r ` LL .,r Debcrt ion of work: i, Wig ire Z 1 1C~.i... I' RESIDENTIAL i ' N Water Heater `S ~L. Lawn Irrigation L RPZ Water Softener / PV8) Zif7~-,RKRa'[,3Mn Add Plumbing Fixtures Mein I Lower Level Septic System ) ,,niy►, , L ti=' New Water Turnaround Abandonment RESIDENTIAL FEES: $80.00 MInImum Water Heater, Water Softener, or Water Heater mid Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic Systern Aban , Water Turnaround' (Includes $5.00 State Surcharge) `Water Turnaround (add $189.00 if a 5/8" meter is required) $106.00 S b is S tey~m New ($10.00 per as bulk) (Includes County fee and $3.00 State Surcharge) TOTAL FEES $ -CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. xom.gQphorstateringyall.oi'o I hereby admWiedge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of Ne City of _Eageo~aLLunAerxtaod lhis is AOt-3.tJeenitrbut-onl} an_application fnc s t>N.-AAd rwrYr irrflet~ stor~vitAout~ peR that tl+e~vork vAlHbe in- - now arioe with ft approved plan in the case of work whlch requires a review and approval of plans. x.~~~s('SY1 ~~DYI T_ x Applicant's Printed Name Applicant's gna ,.r": 14.~, FOR'OpFlt~ USE Rtivlewed'By;::,<: .KR4UIrid pecclone: uriiyer c;round Ratigh In _Alr Test Gas Test Final' 2012-04-30 16:40 65119755694 Page 1 p,~ PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA105224 Date Issued: 0710312012 itj of 0n Permit Category: ePermit R Site Address: 912 Jefferson Lane Lot: 3 Block: 4 Addition: Lexington Pointe 2nd PID: 10-45071-04-030 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 952-435-2442 Fee Summary: PL - Permit Fee (WS &/or WI) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Tony's Appliance MARK S SCHMIDT 2090 County Road 42 West 912 Jefferson Lane Burnsville MN 55337 Eagan MN 55123 (952) 435-2442 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155980 Date Issued:06/11/2019 Permit Category:ePermit Site Address: 912 Jefferson Lane Lot:3 Block: 4 Addition: Lexington Pointe 2nd PID:10-45071-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mark S Schmidt 912 Jefferson Lane Eagan MN 55123 (651) 724-8449 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168324 Date Issued:04/19/2021 Permit Category:ePermit Site Address: 912 Jefferson Lane Lot:3 Block: 4 Addition: Lexington Pointe 2nd PID:10-45071-04-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark S & Susan D Schmidt 912 Jefferson Ln Eagan MN 55123--199 (651) 724-8449 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173338 Date Issued:11/08/2021 Permit Category:ePermit Site Address: 912 Jefferson Lane Lot:3 Block: 4 Addition: Lexington Pointe 2nd PID:10-45071-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark S & Susan D Schmidt 912 Jefferson Ln Eagan MN 55123--199 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature