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