913 Jefferson LaneCITY OF EAGAN
3830 Pilot Knob Roacl, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 ?
BUILDING PERMIT Receipt # To be used for aY DW/C:` r. Est. Value ? y6 , 00:% Date QMBL? 7 ,19
Site Add?ess 913 3EPlLR.,'C'; ["r
Loc Ic 6lock 2 sec/sub. Lr °:ZM,7c'N P01NT8
zom
Parcel No.
a Name &iM RMiE8
3 Address 5516 160?Ei S:C
° City PRIbB LAXE Phone 440-C:.:.C
Z o ?jVame SEt;.?
? ` I Address
? G*:ty Phone
?
W W Name _
F W
? z Address
? W City
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.
Stgnature of Permittee
A Building Permit is issued to:_ Ru
on the express condition that all work shall be done in accordance with al I
applicable Staie of Minnesota Statutes and City ol Eagan Ordinances.
Building OFficial
OFFICE USE ONLY
on site Sewage occupancy
MWCC System Zoning t
On Site Well (ACtual) Const ?' -
CityWater ? (Allowable)
PRV Required # oF StorieB
Booster Pump Lengih `« ?
Depth 3 (; ?
S.F. Totel
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit -' • 8• 00
Planner Surcharge 48.00
Council Plan Review 27$•00
BIdg.Off. SAC,Ciry 10(1•00
Variance SAC, M WCC 550.00
Water Conn. 550. 00
Water Meter 67.00
Road Unit
TreatmentPt 204•00
Parks
TOTAL `•v81.44
CK '°/41TY OF EAGAN .a. .?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDII*G PERMIT PHONE: 454-8100 Receipt #
To be used for :iF siriC/CrlR Est. Value $9bi000 Date ?MBU 7
I r. r) 1 13 1
,19 68 1
•
Site Address yU O FFICE USE ONLY ?
Ll:;'.:INC:TOti p0I l."SE
Lot 1': Block 2 SeclSub On Site Sewage Occupancy
• F-3 M-1;
j
.
? MWCC System ?
2oning pI)
ParCel No. Si
W
ll A
l
t
C ti-*
On
te
e ons
(
ctua
) ?
ac
Name City water x (Allowable)
W
=
Address -•526 1!tGT1: 5"' PRV Required of 5tories
?
1
?
;
0 , ,
City,' ' Phone Boaster Pump Length 2
?
Depth 39
a Name = 1; S.F. Total
,
? q Addfess Footprint S.F_
?M- City Phone APPROVALS FEES
F- W Engr./Assess. _ Permit s''8 . C1t1
Name Q? (X}
? Z Planner Surcharge • .
Address 279
00
? W City Phone Council Plan Review .
1010
OC)'
9 Bldg. Off. SAC, City . '
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
00 '
350
information is correct and agree to comply with all applicable State ol
of Ea
an Ordinances
Minnesota Statutes and Cit WaterConn. •
.
g
.
y
Water Meter ?7?? ,
?
Signature of Permittee ----- ------------------- ------- Road Unit
--?,[??
•00
A Building Permit is issued to:____ Treatment P1 _
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 4?
Buildina Of(icial
TOTAL -- ---
:
Permit No. Permit Holdsr Data Telephona it
Plumbing C% C'?i•? . ?iu*,_ -. i?L?= // ??`
H.V.A.C. 6,
Electric _ e9C
Softener
Inapectlon Dste Insp. Comments
Footings I
Footings II
Foundation
Framing ?
?o
Roofing
Rough Plbg.
Rough Htg. ?B
Isul. ?, •?> _ G
-
Fireplace
Final Htg. a.?. ?
Final Pibg.
Bldg. Final
CAfC OCC. ? 1??
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
L
.
i m Name r
7R Address
? c City SAVAC
I
I _ Name
i 3 Address
! p Ciry
r
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
; Vent
? Gas Piping Outlets !1
1 PERMIT # _
*pr
BLDG. TYPE WORK DESCRIPT'ION
_ Sec/Sub Res X New X
2ND A D' Y
HEAT I N Mult Add-on
15LAND , g60mm, Repair
NAECHANICAL PERMIT RECEIPT
CITY OF EAGAN !D
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
PHOHE: 454-8100 FOf OffiCe Use
1 ?
Phone
FEES
M BTU
M BTU
M BTU
M BTU
CFM
00
HVAC 0-100 M B7U - $24
RES
.
.
ADDITIONAL 50 M BTU - 6.00 I
(RES. HVAC INCLUDES A/C ON NEW ?
'
CONSTRUCTION)
50 EA
?
GAS OUTLETS (MINIMUM -1 PER PERMin - 1
.
.
COMM/IND FEE - 1% OF CONTRACT FEE
?
APT. BLDGS. - COMM. RATE APPLIES ,
TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 •
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
-II (ADD $.50 S/C IF PERMIT PRICE GOES
J BEYOND $1,000)
FEE:
S/C: • ^? ? SIGNATURE OF PERMITTEE
TOTAL• _" I I FOR: CITY OF EAGAN
. ' „ ' - . . . -e _ ..?.. -
• • • PLUMBIN(
3630 PILOT
Address ; (
v
•'` Block
? Sec
Name
Address I.P;Y4
City "14C Phone
ty Phone
/INO FEE - 146 OF CONTRACT FEE
_DGS - COMM RATE APPLIES
iOUSE & CONDO - RES. RATE APPLIES
JM - RESIDENTIAL FEE - $12.00
JM - COMM/IND FEE - $20.00
SURCHARGE PER PERMIT - .50
50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
_ ,.._
PERMIT k
RMIT RECEIPT #
AN = AGAN, MN 55122 DATE;
1100 <<
BLDG. TYPE WORK DESCRIPTION "
Res. ?- New .A"-
M ult. Add -on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NA FIXTURES TOTAL
" Water Closet - $3.00
? Bath Tubs - $3.00
.2._Lavatory - $3.00
? Shower - $3.00
._?Ki?chen Sink - $3.00
UrinaVBidet - 53.00
_LLaundry Tray - $3.00
^LFloor Drains - $1.50 / / Water Heater - $1 50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT)
i Softener - $5.00
Well - $10A0
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
.,
STATE S/C:
GRAND TOTAL: '
!" V a f
(gerti#tratP nf (IDrrupttnxn
titp of eagan
DrpebnM of Builbing Jtcsprrtimt
This Certifrcate issued pursuanl to the requirements of Section 306 of the Unifonn Building
Code certifying lhat at 1he time of issuance this structure was in complrance with 1he variaus
ordinances oj the City regulating building construcNon or use. For the following.•
use chnifimcion Sr- DWGf r.',,, Raa tenn;c tao. 15698
, ,-:; t r
oecua-r TYx zooing nim;a 7?w CoFA T!v'
Owner o? Bwldiaj ??? A?? -% 1 U :25C11:j SZ? ??
eMia;q naa? 913 3Ei'F'r'tal!1 I 1?? ?, L 10, B2, I?'?I:?T'!?t PCITti ::r ?.:
Diitez
' swlding ofriaw
POST IN A CONSPICUOUS PLACE
CITY OF EAC,AN
3830 PUot Knob Road
Eagan, MN 55121 Permlt Na
P.O. Bix 21199
Date:
Meter No: _
Reader No:
r
I1- I4-8&
Size:
Date: _
Owner. 7"Q- 7m?'ss
Site Address: ? 1n_Jc'`'F??sat• Tp r.
Plumber
Conn. Chg; _ 550• 00Pd
Acct Dep:_ 15 . !1Qpa
Permit Fee:
Surcharge:
Tr. Plant
Permit No:
B/P No: ` ?-kA3
Meter.
Misc.: Br
WATER SERVICE PERMIT CITY Qf §AGAN
3830 Piloi Knob'Road
P.O. Iiloz 21199
Eagan, MN 55121 ?
(lunnrTic
Sfte
Le
3ni
Zoning: _
No. of Units:
1 agree to comply wlth the CFIy oi Eaqan
Ordinances
Plumber. iake `?ide Plumbintz
MWCC: 7,5 0, nrpf
City Chg: 00 nd
.+• ^
Acct. Dep:
Permit Fee:
Surcharge:
CIIY OF EAGAN
3830 Pylot Knob Road
P.O :ox 21199
E.,agao, MN 55121
Owner.
nt
Zoning• No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
Permit No: 1'? 1 U 1
Meter No: yN 7 5yU 9
Reader No:1Q R l,.f -7
Date:`1l.-24-RP ?
i r• -. n .?
Date:
Date: 1 1 1 ,
Size:
Date:
SiteAddress:_?1? .7effors,„, T-,.,- 710 R? ia ;, t-nn ''ni?t TT
Plumber '• .'•? ;{2- -111m?-i• -
Conn. Chg: _ 550• 00nd Zoning: _
Acct Dep: 15 •(???j-" No. of Un(ts:
Permit Fee: I `%. U') ti
r. 1
5urchar e: •-??. *>:1
.
g I agree to comply wRh the Cltyr oi Eaqan
Tr. Plant ' ' ;?• ?T,(' Ordl nces.
Meter.
Misc.: BY
WATER SERVICE PERMI
NO CO UNTIL S& W OK's CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-198, Eagan, MN 55121 N? 15693
- PHON E: 454-8100
BUILDING PERMIT Receipt # ?Wo q3
To be used for SF DWG/GAR Est. Value $96, 000 Date OCTOBER 7 ,19$L-
Site Address 913 JEFFERSON LN
Lot 10 Block 2 Sec/Sub. LEXINGTON POINTE
2ND
Parcel No.
a Name RSM HOMES
W
;
Address 5516 180TH ST
? CityPRTOR T.AKF. phanC 44n_F9on
a
.o Name SAME
?a Address
: City Phone
ww Name
!:
i. Address
aw City Phone
I hereby acknowledge that 1 have re /his a licati antl slate thal the
iMOrmation is correct and agre t ompl Rh appiicable State ol
Minnesota Statutes and Cly?.of a n Or nc
Signature of Permdtee / .
A Building Permit is issued --R$ _W0I`7$5__
oniheexpressconditionth tallworkshallbetlonemaccordancewithall
applica6le State of Mmnesota Statutes and City ot Eagan Ortlinances.
BuAding _-_-_-
OFFICE USE ONLY
OnStteSewage _ Occupancy R-3 M-1
MWCCSystem X Zoning PD
On Site Well _ (ACtuap Const V-N
Ciry Water X (Allowable) V-N
PRV Required _ # of Stories
Booster Pump _ Length 42'
Depth 39'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permd 558.00
Planner Sumharge 48.00
CounCd PlanReview 279.00
Bldg Off SAC, City 100.00
Vanance SAC, MWCC SSQ.QO
Water Conn. 554._09
Water Meter _11.7_..00
Road Unit 325 QQ
7reatment P1 204.00
Parks
roTaL 2,681.00
BLDG. PERMIT NO. ? 5(-C, --13
l-u •t- ',-? i-??-C c?.•, f°c? ?2 l-c?
01-3210 Bldg. Permit J 5 d ?
01-3422 Plan Check
01-3445 Surch./Adm. c «
? 01-3446 SAC/Adm.
J 01-2155 Surcharge
? 75-3860 Road Unit
v 20-2275 SAC ? 414 ?v
? 20-3865 Water Conn. ?
' ?
? 203868 Water Trmt. '
I
?U `?
cc)
? 20-3716 Water Meter ? ? aO
20-2252 Acct. Dep.
? 20-3713 Water Permit
20•3743 Sewer Permit
? 793866 Sewer Conn.
28-3855 Park Ded.
TOTAL '? , L" ? a)
REQUEST FOR ELECTRICAL INSPECTION A. EB-00001A7
?^ C, ? Sea inaiructlons tor completing ihis Iwm on back of yalbw copy. FSJC?2 s";)
X" Below Work Covered by This Request
Ne% Atld Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range ik?e emporary Service
Duplex Water Heater Elec[ric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher(epecity) ConVactor9 Remerka:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee 8 Circuils/Feedere Fee
Swimming Pool 0 to 200 Amps 0 m 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Slgns Irepeclor§ Uee Onty. TOTAL ??
IrrigationBOOms ?? ?
Speaal inspectlon
Alarm/Communlcation
Other Fee
I, tha Electrical Inspector, hereby Rough-In oaw
certity that the abova inspeaion has
been made. F;nei oa !?
fl
OFFICE USE ONLY
This request witl 18 monthe fmm
&--2
? 6 5 90 1L lo
Raquesl Dete ?
C? Flre No. Raugh•in Inapeetion
Requlred7
? RaeGy Now IWAI Notlry inspector
, O Yes ? No When RBazy9
IXlicensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress Streeq Bwo or Ra N City
ef.,
Sectwn No Townehip N ma w No. Ranpe M. Counry/?/,?f 4G"?q
Occupent(PRI ) Phone No.
Pow Suppher ?/ ?
?
'
A(< Atltlreas
?7
+
?
Elecitlcel Contrac[or (COmpany Neme)
s/? e n CCFL6<2-y . Contractar9 Lirenee No.
fl{r q frs =3
Melling Addreas (CAnVeclor or Ownar Making In3talletion)
l?7S C,CI. W
AWhoriz SlgnaWre (Cont?yorlOwrre Meking In9 I bn) l
- ?(
- Phorib Numbor
A/ v
?
4
?
MINNESOTA SD1TE BOARO OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Grlpge?MlEway BWp. - qoom 5773 BE ACCEPTED BYTHE STATE BOARD
1821 Uniwnlry 11ve., St. Paul, MN 66109 UNLE35 PROPER IN6PECfION FEE IS
Phaiw(812) 642-0800 ENCLOSED.
a/r?//?sy 5i?or i
_ 67520-
Request DatB
/
0 re No RougM I spedion
Requl?eA
?Reatly Now ? Will Nob1y Irtspector
4
Wh
R
tl
?
; ?Yes en
ae
Y
icensed coMractor ? owner hereby request inspection of above electrical work at:
Jo0 Addresa (Streel, Bov or Roule No.)
13 .TfFfVQs0„J G.An.C CrcY
f- (c A?
Secnon No Township Name or No
I Range W.
Counry p-N?
?/T?"l) ?
pccupanl (PRINT)
.I ccki(tL) :3e Phone No.
515.?--q s"'"
PanerSupplier Atltlrees
---------------
Elechicel Contractor (Company Name) Contractor5 Ucense No.
6 itLPytCok Fil.i-.i'(tiC 1N?., 6! -
Mailiig Fddress (Contractor or Owner Mabng Inste a0on)
33 12oni,E TPIFc- EriG?
ANhoriz}? Ignuw (COMr rlQw ekingallatwn)
II? Nf6'L-VL" Phorre Num?ar
MINNESOTA STATE BOpHD OF EI.ECTRICRY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mltlway BIEg. - Room &173 BE ACCEPTED 6V iHE STATE BOARD
1821 Universlty Ave., SY. Paul, MN 55104 UNLESS PfiOPER INSPECT70N FEE IS
Phone (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION • ee-00001-07
N
.? ? See insWCtions for WmpleUng [his form on back ol yellOw copy ?
/
675z 0` " X" Below Work Covered by This Request
ew Add Rep. TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elearic Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OHher (specirly) ContrecMOr§ RemarksCampufe lnspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A 0 Amps
Signs Inspeclor5 Use Ony: TO7pL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fea
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
F;,,s] oWe
OFFlCE USE ONLY
This request voitl 18 month9 imm
,7-1I111X n
77007
, /- /0
Request Vale Fire No
t ? h-in Inepectan ?VPI
urted9 ?RaeAYNOw 1?WhenR eeC/0ector
re: ? nio
IF licensed contrpaor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet, Bo Pate No.)
73 Cn . Ciry
ae!;'0
Sedion Na. Town hip Name or No. Range No. Coumy??o
Occupan RI Phona No.
Power er /?J AdAress
?-C?/C fvl ? C. ^
C?C/ l C" y^1?./
Ekpncal ntradw (Company Nam?e),
fi( ConbaclorH Li pe No.
Malimg Atltlress (COnbacror of Owner Meking InstelleM1On)
- l,7,S-
Aulhonz SgnaWre (Co r n r Melurg Inst wn)
i4?,? Ph e Num?er
MINNESOTA STATE BOAfiO OF ELECfpICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Midway Blep. - Room 5773 BE ACCEPrED BV THE STATE BOARD
1821 Unlvenity Ave., 51 Peul, MN 55104 UNLESS PROPER IN3PECTION FEE IS
Phone(67Y) 692-0800 ENCLOSED
1, ,JrV/ ? REQUEST FOR ELECTRICAL MSPECTION « es-aoom
? ? See inslructions for crompieLrg this fortn on back of yellav wpy
X" 8elow Work Covered by This Request
e dd Rep TypeofBwltling AppliancesWved EquipmenfWired
Home Range Temporary Serwce
Duplex Water Hea}er Electric Heating
Apt. 9uilding Oryer Other (Specify)
Comm.llndustrial Furnace
Farm ' Air CondiNOner
Olher(specity) ConVaclor8 FemarlaCompute Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Girouits/Feeders Fee
Swimming Pool 0 to 200.4mps ? Z^ [ 0 to 700 Amps 3!d -
Transformers Above 200 _ Amps A6ove 700 _ Amps
SignS Inspeqork Use Only 7pTAL
IrrigationBooms 4,1S ?
Special Inspection
niarm/Communication /???• E
Ofher Fee , s-p
I, the Electrical Inspector, hereby
certifythat the ahove inspection has
been made. Rough-in
Final • os
oare '
OFFICE USE ONLY •
This requ¢si voitl 18 monihs imm
RESIDENTIAL ?3
BUILDINC PERMIT APPLICATION
CITY OF EAGAN '
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatructlon Reauiremanls
• 3 registered sile surveys showing sq. fl. of lot, sq. ft o( house; and all iaofed areas
(20 h maximum bl coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree P2servation Plan it lot platted after 111/93
• Rim Joist Detad OpGons seleclion sheet (bltlgs wilh 3 or less unifs)
DATE
SITE ADDRESS
TYPE OF WORI
APPUCANT.
STREET ADDRE
TELEPHONE ill?
RemodellReaair Reauirements
• 2 copies of plan
• 1 sel of Errergy Calculations for heated additions
• 1 sitesurveyforezterioraddi6ons&decks
• IiMicate if home served 6y septc system for addihons
ULTI-FAMILY BLDG Y
FIREPLACE( ))C 0
s?
FAX#?Sa'
PROPERTYOWli ?C ??I ? ?U?'PI.Sz-l0? ' TELEPHONE#
Energy Code Category
(J submission type)
COMPLETE fOR KNEW" RESIDENTIAL BUILDINGS ONLY
- MINNLSOTA RULF,S 7670 CATEGORY 1 MINNESO'1'A RLZES 7672
• ResidenUal Ventilation Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing sys[em includes:
Mechanical Contractor:
Mcch<mical systcm includes:
Sewer/Water Contractor:
_ Water Sottener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
P'ee: $70.00
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EaganQr;Vnan?
Signature of Appllconf
OFFICE USE ONLY
. New Energy Code Worksheet Submitted
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
VALUATION?S?> /77S-7 c-)U
? • ?,-? ?o ?? JO)
?
1988 BUILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLING3 ?? ? 1 45
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDflESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENEBGY CALCULATIONS
COP4MERCIAL
INC[.UDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS, OCT 0 6j988
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - ?/,o ae) j
To Be Used For: Valuation: -:? Date: o
Site Address 12S Lgwc-- I
Lot _IQ_ Block @k _ II
Parcel/Sub Lf-,xc,?j,; ?ph?
Owner P"n _ vv CpA't?G?
Address 55t? ?C"[J+L c5L I
City/Zip Code L01-`o•.•
Phone LtYo ^(j'-I.00
Contractor
Address
City/Zip Code
Phone
Areh./Engr. 5a?<-
Address
City/Zip Code
OFFICE USE ONLY
On site sewage_ Dceupancy L3 /W/
MWCC system Zoning
On site well Actual Const
City water c/ Allowable
P[iV required U of stories
Hooster Pump ` Length `/Z
Depth 3 _,,/'?'?
S.F. Total
Footprint S.F.
APPROVALS FEES
EngrJAssess Permit
Planner Surcharge
Couneil Plan Review 2'>
Bldg. OPf. SAC, City /Oa
Variance SAC, MWCC .550
_
Water Conn 5^.;"?J
Water Meter
Road Unit 3 2S
Treatment P1 z05,
Parks
Copies
TOTAL ,?
Phone 1F
G?
2tkz? -S z?ti/ ?
37,r zp = 7?jo
?l
L
_D uPr
? ?,v en )/o
-43*
iy k /
3 ?
rs + • . ?
_. ,?
,. .
. ?
c,wur•.ii
sc•re nuoiu:ss l3 ??p?-??.) I [',?n.1F -
' coNTancroa,?eS
DATE PIION6
Uctermine Workiny ::quare footagc o[ each.
1. Total exposed -.+all area ....... /760 ,49 sq, ft. x •<< = 3(o
2. Total roof.ceiling area ....... /,338•O sq. ft. x -025
Total exposed wall area above flooc = /2!6 O.O
a. Total wall windoa area .................................. /O?•
b. Total door area ........................................... Y?. G
c. Total sliding glass door area ............................. .?2• ?
J. Total fireplace wall area................................. O
e. Total aall fracning area (average 10e) ..................... 1q6, O
f. Tota1 net wall area above floor ........................... /yo y,B
g. Total rim joist area ......................................' /7y, /
exz•exioic r•.NVei.orr: nvricncr ,.u" ComPuT;,T?ou
Total exposed Eoundation area = 10'•0,
h. Total foundstion window area .............................. O
i. Total net Poundation area above yraeu ..................... Lo?,G
k
Oetermine "U" value of each wall segment.
a . 5?_ x .. U., . - .,2
n. y3.4. x ,.u.. , o9t ' . ?? y
c. 32Z x••u° . ss /-77
a. p x..U.. p = d
e. 47G•o x ••u•• "Z = 0??3---
r._1?,C9 __ x ..U.. •
..?.. . asj ,: 9•,3
??. /79•si----- x
9?-
,
. ,. . -
] ......................................ToGaI
If item p] is thc samc as, or lese: chan it.:m N1, yoti Iwve mat cfic ititeikt
oc suc Goor, cct z. 40(?, z) w dn(y,., ?/ ?93 6?
-v+?L.?/ J? S!i c bo p G C) 2
Totnl exposed roof/ceiliny area = /338• p _
j. T4ta1 skylight area ....................................... O
Y.. Total zooC/ceiliny f[aminy icw (avcrayc LO'+.) ............. ?3 3•.Q
10 .? _
1. To[al nct insula.tcd roof/cuilinq arc:a.....................
Detcrmine "U" valuc for cach roof/ceilinq scyment.
;, o x ..U.. p ? U
k. /?J-B x ..U?? ?•y
1. AP O ?/• L X..U.. ? p?? o o2S'? 3
4 ............................ . ......Total ° 2Pi•I
If total of R4 is the same as, or less than #n2, ?you have met tlle intent of
SHC 6006 (01. C7-2&,,, -W f/ cLB.
? s 9< G oo ???]/ '
plternatc Building Envelope Design
To utilize thc total envelope system methocl, thc valucs i:stablish•:3 by tiie
sum of items N3 and M4 shall noc be greater than tlie sum c' itema kl and 02.
« z. 3?•S = aa7/
s. /9r.2 . a. L8.7 = ?03•
Q-.?.0 (,**Z v 3. 9, L
?2
? '?••?1? ..
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAQAN
3830 PII.OT KNOB RD - 55122
(esi) e81-4e75 New Construction Reauirements ,
? 3 registered site surveys
? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.)
? 1 energy caiculations
? 3 copies of tree preservation plan if lat platted aftar 7/1193
required: _ Yes No
DATE: L?
i z7e) `
DESCRIPTION OF WORK:
COST:
S
STREET ADDRESS: "/ /
LOT: l U BLOCK: ?--SUBD./P.I.D. #:
Name: Phone #C7
PROPERTY Lut First
OWNER ? , _.. 1 .?? .... _ _ l - . n
Street Address:
CityState: /? Zip:
CONTRACTOR
IARCHITECT/
ENGINEER
e #:
License #
State: Zip:
Company:
Street
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
RemodeuReoair Reauirements
? 2 copias of plan
? 1 site surveys (exRerior adddions 8 decks)
? 1 energy calculations for heated additions
Phone :#:
Feg'stra[ion 9: _
State: Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
3
?J-
_ Not Required ? --- - "
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
s N01'E: PA3MNP OF FEE AT 1'IME OF
? APPLIG47ROPI OOES N01' CON- i
y ST27L71E APPRGVAI. OF PE[tPIIT. i
e
i INSPFJCl'ION OF SFkM A4D/OR FF+fER +
w ILSl'AiJ.ATIIXNLS WII.L NOP BE SCIDUId•D .'i
,*k [!NPIL PII+FIIT WS BF:F2] AppHOVID. ?
f e?»»>a??t??»f kksf f?»+??itkr+++??x
OF CC9CgC9i1
(PLEASE PRINT
1) PROPERTY ADDRFSS: `7,{Jl .
7BGAi• DFSCRIPTION; /D
A
IF EXISTING STRLCTURE, DATE OF ORIGINAL Bi7ILDING PERMIT ISSL?ANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q CONA7EE2CIAL/RETAIL/OFFICE
Q IAIDLSTRIAL
? INSTITUTIONAL/GOVERDA9ENT
R-1 SINGLE FAMILY
F----]R-2 DLPLEX (3t,ro [:nits)
Q R-3 TOWPIIi00SE (Three +,Onits) ( Units)
? R-4 APARTMENT/CODIDOMINICT7 ( []nits )
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
For City Use
3) •?, ;?? NpME; ,cCG?"p _ Pl ers License:
ADDRESS: 4'- Active
? Expired
CITY, STATE, ZIP: Not recorded
PHONE: ?• ' MASTER LICENSE #??a?y, 7/yi d St Initi
4) ?• ?'
NAME:
ADDRESS:
CITY, STATE, zzP: ?.?72,
pHONE:
5)
CONNEC.TION TO CITY SEWIIt'j:2--NNECTION TO CZTY WATEE2 O OTfER
6)
**********+*******+*:?***?*****:r****?***,?*******************?*****+*******?*?,?********+?**.****?**??x
t
* THE GOID COPY OF 1HE PERMIT WILL BE SET7r DIRECPLY TO PT-IBLIC WORKS ZU FACILITATE METII2 PICK-DP. ?
* PLEASE ALiAW ZF70 WORKING DAYS FOR PROCESSING. SOMEONE F'ROM Tm CITY WILL CONTACr YO[J IF 1SMIE ?
* ARE ANY PROBIEMS. ?
?******??***,?**??**************+****?**************?***???*****??,r*,e**,r**?*****,r**,r***?*?+,e*+**+*?*y
. FOR CITY USE ONLY `
PERMIT # ISSUED „
Pd w/Bldg. Permit FEES:
$ $ ?C SZ? SEWER PERMIT (INCLUDE SURCHARGE)
$
$ $
$ WATER PERMIT (INCLDDE SL'RCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ f•S?c- z; ACCOUNT DEPOSIT - SEWER
$ $_ ACCOUNT DEPOSIT - WATER
$
$
WAC
$ (!? 5 (?• (r v $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRQNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $
OTHER:
?'bv?l3
RECEIPT !1"
F a6c?
RECEIPT TOTAL
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES
?
NO IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
ROADWAY" MUST BE ISSOED BY THE ENGZNEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY'; ?
TITLE:
DATE:
.;
Cuuom. N.ew
cliv --
Orlv
SRwt
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NEAT'l055 CALCULATION
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cmr oF eacaN
3830 PILOT KNOB RD - 55122
651-681•4875 ?
9-??-?
New Coruhucfion Reaulremenh RemotleVRennir ReaulrertmflU
? S reglatereC Yte wrveys showiny fq. R d bt. s4 lf. of lause 2 copies ot plan
antl gp rooted areas (70% maxlmum bt covamae allowe? 1 tet W energy oalcWaMOns for healed addNbne
? 2 coples W plans (ahow beam A wlntlow sixes; poured fnd. design; etc.) 1 tlte wrveY ror wdedor adtliNOnt a daeks
? 1 te1 Of 6n9rpy CCIWIaHOna
n 3 Coples d tree pre nallon plan 11 bt plaHed afler 7/1 /93
pqh; ?ZI aa CONSTRUCTION COST: ?? ?
DESCRIPTION OF WORK: $E S?he T?Inal-
STREET ADDRESS:
LOT: 10_ BLOCK:
PROPERIY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
.. . eo-
SUBD./P.I.D. t:
a-
Name: .fa,4v-Js0n/ rC(Gt-cR2h PhoneU: J?51)?s _- CP5-rT
Laat Flni
Sheet Address: 91 :S ?1 E PF 0 /V /JV •
ciy E--Ac oq,- nl swte: M N zip: 5?f 0
???-/3?-?-4ia?
Company: bE&&nJ one C z-t4 77- 3a
(area code)
Sheet Address: ??J ? k?SF4f2? L?W? lJCense a Exp•
ari Md v rvD sfate: Nl Al zia: ?'??
Company: Name:
Telephone #: (
Stre.et Address: Regishaflon 1i:
CHy
State:
Sewer/wa[er licensed piumber (if insWllina sevrer/water): Phone #:
Lp:
and to compy wNh aq apPRCable Sfote
I herebY aekrawledye ihat I have read thk applkaNon, date thal lhe Wortnalion is corte;,7
of Minnesota Statules and Cfy of Eayan Ordfnances.
Signalure of ApplieanY.
FFICE USE ONLY
O
Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required
88-158
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL bESCRIPTION; LOTIQ,BLOCK2,1 EXWCTON POINTF 9nd
THEREOF ACCORDING PLAT
COUNTY, MINNES07A
977.7
? -?
5l
1
z
? 981.8
e ? ?-? ?
'..I? a
( 1 ? 1 •ZrZ1
5? ? TO ?4?
REC. ?
CORNER
WJB 984.49 m
M
983A I ?
r
to
SITE PLAN FOR:
RMS HOMES
44.68 979.8
.29 N 85°20'40" E%c9e°5?
DRAINAGE a UTI
EASEMENT I
?
982k2
\
pRppOSED
FIpUSE
I
?
5
1 ^?'r
:- .. ,
•i
I?
?
0
?
I ?
4 - '
g4.1 ?
II
24.85? s
? 2?24'21' lNL=48.00 R=160.78
R_794.54 ?U
?y?
L=33.36 ? ---? ?
JEFFERSON LA?VE ; .
?? ?
SCALE:I"=30'
LJ
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
980.o DENOTES EXISTING
(980.0) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
t hersby cerfify ihaf this survey,plan or
report was proporsd by ma or under my
direct supervision and that I am a duly
Reqistered Land Surveyor under the
Laws of ihe State of Minnesato.
Bradley J. S6fVison, Mn. Req. No. 15235
Date
FROPOStD SPLIT ENTRY W/O
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 9e5.7
PROPOSED FIRST FLOOR ELEVATION= 9e6z
PROPOSED BASEMENT FLOOR = 9822
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126190
Date Issued:08/18/2014
Permit Category:ePermit
Site Address: 913 Jefferson Lane
Lot:10 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Richard R Johnson
913 Jefferson Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127240
Date Issued:09/24/2014
Permit Category:ePermit
Site Address: 913 Jefferson Lane
Lot:10 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Granowski
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 -
Richard R Johnson
913 Jefferson Lane
Eagan MN 55123
All Craftsmen Exteriors LLC
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature