917 Jefferson LaneDATE: 1/19/89
917 J6FFERSOH Lp., Lll, D2. I.E7C1NG'fON Pt 2ND
`SX You?tgwYer 8 Water Permit for the above property has been completed. It will be he{d at the
; "Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAtL PUBUC 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 a:cupancy allowed uMil 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 DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN 4N POLICY.
Secretary, Building Inspections Dept.
DATE: 1/20/89
7 JBF!'BRSOIi 1.N. , Lll. 32, LBlC1NGTOH PT 2ND
XX YouNSeWer 8 Water Permit for the above property has been completed. It will be held at the
• Nblip Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CArt PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
i
Your Sewer & Water Permit for the above property cannot be oompleted 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 City Hali. Meter size must be
confirmed by Bill Adams or Diric House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
5ecretary, Building Inspections Dept.
CITY OF EAGAN
3830 Pilot FCnob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for Est. Vaiue •? ? k, WK'
Receipt # -E
Date 19 (49
.
Sitp Address? 917 JEFI' W tt•,:+.)n LIN
4-ot I I Block 2 Sec/Sub. LLXIjyGr0h' pOTNT)
Parcel No. 4041
W Name t` ? ri itu.Hh:i
3 Address '1-16 1$0711 8T L
0 City ??-10R LAK`' Phone
Name _
Address
Name _
Adcl,ess
City -
Phone
I hereby acknowlege that I haue read this application and state that the
informalion is correct and agree to cvmply with all applicable State of
Minnesota Statutes and Cily of Eagan Ordinances.
Signature ol Permitee
A 6uilding Permit is issued to: •` ??? on the express condition ihat all work shall be done in accordance with all
applicable State of Minnesola Statutes and City of Eagan Ordinances.
Building Otticial -
Phone
OFFICE USE ONLY
Occupancy R-3 n-?. FEES
Zoning PD
(Actual) Const -Y--N Bidg. Permil 600• 0C.
(AUOwahle) ViN Surcharge l45.5U
# of Stories - ??
?
Length 6{? Plan Review -
Depth SAC. City 100.00
S.F. Total
SAC, MCWCC 5 7 3.(10
S.F. Footprints _
?' 30
?
On Site Sewage _ Water Conn .
On Site well Water Meter gV -00
MwCC System xx 30.00
City Water ]O( Acct. Deposit
PRV Required _ S/W Permit 20.00
Booster Pump - SrVY Surcharge 1,00
Treatrnent PI 228.00
APPRUVALS Road Unil 225.00
Planner - park Ded.
Council _
Bldg. Oif. _ Copies
Z ?'6?. SD
Variance - ?
TOTAL
r. - --,.
? 3830 Pilot Knob
To be
Site I
Lot _
oc, ' ?;•'? ; / .;tt: ?
Biock -'• Sec/Sub.
OF EAGAN
0. Box 21-199, Eagan, MN 55121
VE: 454-8100
W Name ?' S N ?5 _
3 Address 5516 180r11 : xL'
0 City PRIO? LAiM Phone 460-6900
o Name SAn
? City Phone
WW Name
? ; Address
<W City Phone
I hereby acknowlege that I have read this application and state that the
in(ortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: ?'? ?` ''L- ? G?
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 OtfiCial
OFFICE USE ONLY
Occupancy R-3 h=1 FEES
Zoning i'IJ
(Acfual) Const .?? Bldg. Permit . Oa
(Albwable) 50
45
.
Surcharge
# ot stories -
Length Plan Review 3?.OQ
Depih SAC, Ciry '- 100•00
S.F. Total - MCWCC 575.00
SAC
S.F. Footprints - ,
On Sita Sewage
_ 550.00
?Nater Conn
On Site Well - Water Meter rQ• t'0
MwCC System 30. GC'
City Water Acct. Deposit
PRV Required - S/W Permii 20•00
Booster Pump - SiW Surcharge i•?+
Treatment PI 22 &• 00
APPROVALS Road Unil ?2-? • ??
Planner - park Ded.
Council ?
BIdg.Oif. _ Copies
$ J4. 5 J
1
Variance - ?
TOTAL
Permit No. Permit Holder Dats TNephone #
WATER
SEWER
PLUMBING , ?L
. ?
H.V.A.C.
ELECTRIC
Inspecdon Date Insp. Commsnta
Footings I ? ' q lz_
F«ndan«, -Z { D
Framins
?5
D? .
t? /_ ?c y? s f
Roofing
Rough Plbg-
Rough Htg.
ls,l.
Freplace
FnalHlg. y:- . - 3-ff?9 Cs{r?s?
Fnal Plbg.
Const. Meier Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Dedc Flg.
_Dedc Final
weli
Pr. oisp.
5 .
,• PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN _ - ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8700 For Office Use Only:
Site Address
Lot Block Sec/Sub
m Name s? r?N 5`+1 LLZ
? address ' 2 "18 1 RHO
c city . '4 i? ?' ;
BLDG. TYPE WORK DESCRIPTION
Res. New
M ult Add-on
Comm. Repair
Other
qS NC FEE3
Name .
M, I RES
HVAC 0-100 M BTU - $24
00
?
c Address .
ADDITIONAL 50 M BTU .
- 6.00
p Ciry Phone =? ^? -`? 9?31 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
TYPE OF WORK
?
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air M BTU APT BLDGS. - CaMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
: Air Cond ?M BTU $ MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent
G CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000
as Piping Outlets # ,
)
Other
-
FEE ,
SIGNATURE OF PERMITTEE
S/C:
??
TOTAI» ??' FOR: CITY OF EAGAN
?
BloCk
C Clty ..'-I i,?} ! l.
Name
3 Address
( p City
IYIII\IIVIVIYI ? I1L?71VL1+1
, MINIMUM - COMM/IN
STATE SURCHARGE PE
(ADD $.50 S/C IF PERM
?I BEYOND $1,000.00) SIGNAT,dRE OF PERMITTE
FOR: CITY OF EAGAN
I
3930 PILOT M
SeclSub
Phone
FEE
APPLIES
- $12.40
- $20.00
- .50
PERMIT # '
RMIT
iAN RECEIPT #
?
:AGAN, MN 55122 DATE:
TYPE
X
,?Na
:. ONLY - COMPLETE'
FIXTURES
!r Closet - $3.00
Tubs - $3.00
tory - $3.00
ver - $3.00
en Srnk - $3.00
iI/Bidet - $3.00
dry Tray - $3.00
• Drains - $1.50
!r Heater - $1.50
Ipool - $3.00
FOLLOWING:
TOTAL
?
?
„
IIGE UUES aonener - ao_w
? -? Well - $10.00
? Private Disp. - $10.00
? Rough Openings - $1.50
FEE: - -' `'
STATE S/C: ?
GAAMD TOTAL: ?? ? 1,
w . +r i
(Etr#i#irate of COrr??aury
Citp of (Eagari
arparimpnz o# lirild'mg ihcsprr#imt
This Certifecate issued pursuant to ihe requir1ements of Section 306 o,f the Uniform Building
Code eertifying ilrat at the time of issuance this structure was in eomplrance with the uarious
ordinances of the Ctty regulating building construction or use. For the following.
use cj.,?j5oiuon S F DWG/ GAR Bldg. Pbmnit No. 16062
R3 /pI 1 z
T
okui«
o-
i
-, PD consL
T VN
a
y
ya
ng
on
RSM HOMES 5516 ype
180TH ST., PRIOR LAKE
owmorauaaing ?mss
swflding naa?em -9 17 JEFFRESON LANE i,.a,I;ty L 1 I, B2, LEXING TON POINTE 2ND
i
r o„e: MARCH 2/t., 1989
(.' ains Offie
POST IN A CONSPICUOUS PLACE
SEWER 8 WATER PEAMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan,, MN 55121 `
U •
SITE ADDRESS _
LOT kk BLOCK
OFFICE USE ONLY
PERMIT DATE W2119
WATER PERMIT # 10240 SEWER PERMIT # 113 7"
METER # B.P. RECEIPT # 90586
READER # B.P. RECEIPT DATE i/ 14/ -439
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
APPLICANT:
ADDRESS: R • S . ?M NO ?
CITY, STATE
PHONE: y '4
C) ' (05CO ZIp SS3? a
PLUMBER: LSyt3J*- j?
ADDRESS: I a 611 1 Z'a ec. J A? ?? _
CITIf, STAT?
PHONE: i
SJ.- ZIP
OWNER: ??AL'\r.t P 6 I?ati`,'LG rJ?" 1 _
ADDRESS:
CITY, STATE
PHONE: ZIP
PERMIT REDUESTED
_ SEWER x WATER - TAPS
COMM/IND
-)-4 NEW
?
_ EXISTING
TO COMPLY WITH CITY OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PHOCESSING. FOR STORM 5EWER PERMITS, CONTACT
ENGINEERING OEPT.
SEWER & WATER PFJiMIIIT ? OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE ?/ ?' •} /`z ?
3830 PIIOt K110b Rd. " WATER PER IT 10=? 4? SEWER PERMIT # 113 7 9
P.O. BOx 21199 METER # 9 B.P. HECEIPT # 90586
Eagan, MN 55121 . REqpER # ? 70 B.P. RECEIPT DATE x 119/ 39
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS Q Z?IW"R-SOQ L-0
LOT kk BLOCK ?SEC/SUB LGX?'
APPLICANT: "0 VV%IC IS.
,
ADDRESS: 54 k k
CITY
STATE VJTL?0--- UJk ?.f Zip 563-7 a
,
PHONE: ?'AA C - ?500
PLUMBER: L??tY-3J?
ADDRESS: ? ? ??S "Z?a ec.o
CITY, STATE
PHONE: L5 ZIP ?ss 3-2??
OWNER: l .fJA?M? P? Ac7?•' C-CtJ
ADDRESS:
CITY, STATE
PHONE: ZIP
PERMIT REC#UESTED
-L SEWER `' WATER
_ COMM/IND ?
-1<- NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EA ORDM7,
/; ? 2
.5 _ ItrL?e?cs1
91G N METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMDfS, CONTACT
ENGINEERING DEPT.
_ __._--y- --. - - -- --?? _ -
CITY OF EAGAN N? 16062
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700 Receipt # 905 SCp
io be used for SF DWG/GAR Est. Value $91,000 Date ?- 15
t , 1982
Site Address 917 JEFFERSON LN
Lot 11 81ock 2 Sec/Sub. LEXINGTON POINT]
Parcel No. ZNI
w Name R S M HOMES
3 Address 5516 180TH ST E
° City PRIOR LAKE Phone 440-6900
o Name SAME
,
?? Address
Ciry Phone
?
ww
Name
?? Address
a W City Phone
ation and sta[e that the
I here6y acknowlege #i1ot ead t ydin?s.
informahon is correct to c all applicable State of
Minnesota Slawtes ana Signature of PermRee
A 8vilding Permit is ison the ezpress condrti or k shall be done in accordance wrth all
applicable Stale oi Minnesota Statutes and City ot Eagan Ordinances.
Bmldmg Otticial
OFFICE USE ONLY
Occupancy R-3 IL--l FEES
zoning PD
(ACtual) Const V-19 Bldg. Permit 600.00
(Allowable) V-N
Surcharge 45.50
# ol stories -
(
Plan Review
300.00
Lergth yD!
Depth 32' SAG Ciry 100.00
SF.Total - SAC,MCWCC 575.00
S F. Fo0lpnnls -
On Site Sewage _ Water Conn 550.00
On Srte well - Water Meter 90.00
MWCC System 7(R 30
00
City Water AccL Deposil .
PRV Reqmred _ SiW Permit 20.00
Boosler Pump - SNJ Surcharge 1,00
Treatment PI 228.00
APPROVALS RoadUnit 325.00
Planner - park Ded.
Council -
BIdg.ON. _ Copies
864.50
2
vanance - ro7nL ,
[E 9 9 0 5.?
Fequest Date r ' Fl No. RougMn Inspacton
Re9wred+
ReaAy Now ? W?h
?fir
n R
tl
Ves ? No e
ee
Y
I? licenscg contractor ? owner hereby request inspection of above electrical work at:
Ja0 AdOrese (SYreet, 6ox or R ule No.) Ciry
Section No. Tovmshi Name or No. Rarige No Counry
Omupan4RINT)
/ S. M. Phone No
Powe?uppher
1 Addrass
EleIXncal ConVactor (COmpaiy Name) ? Con ore Licanse No.
c// ?S 3
MaNrg Pdtlie (Camraciw m Ownm Making Installatlon)
Authonzfeqq?Sgnature (COnt ctor/Owner M,akin9 q Instal Phone Nu e/r?.
??? ??C/i??? / - ?/?' ? -3(
MINNESOTA STATE BOAND OF ELECTPICIT/ THIS INSPEGTION qE0UE5T WILL NOT
Grigg>MlOway Bltly. - Hoom &173 BE ACCEPTED BY THE STATE 80ARO
1821 Unlversily Ave, St. Veul, biN 55109 UNLESS PROPER INSPECTION FEE IS
Phona (612) 661-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eeaoomo1
? See insWCtions lor wmpleting Ihis fortn on back oi yellow copy
U^ 5i6a
g gp 5-7- 'X" 8elow Work Covered by This Request
ew Add Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Tamporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./indusirial Furnace
Farm ' Air Condinoner
Olher (spaciy) CoMracfa5 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fea # CqcuilslFeeders Fee
Swimmmg Pool 0 to 200 Amps 2.-- 0 ta 100 Amps -
Tfansformef5 A6oVe 200 _ Amps Above 700 _ Amps
SIg03 Inspectora Uae Onty. TOTAL Qy,.
Irrigation Booms
Special inspeclion
Alerm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify thatthe above inspection has
been made. Rough-m
F,rai yn aa?e? ?
Date
OFFICE USE ONLV
Ths requast voitl 18 montns irom
? ? 5 8 9 8 Z
Hequeet Date' fve No.
1 Rough-in Inspa an
U ireE9 ppp
? Reatly Naw pl Will Notity Inspecfor
R
d
??. Wh
?
•?? - f Yes ? No
7 en
ea
y
I licensed contrador ? owner here6y request inspection of above eledrical work at:
Job Addre ?Sireet, Box or Route No ?
-7 City
?cC
c
I
S G ?
l rl
Seclion No Town9hip Nartre or No Rarpe No County(?
N'
OccupaM (P IN
,C /rl . Nern't ? S Piqm No
Power lier Addrese .
C
4rrn
r
Elecin I Contractor (Compeny NamB)
?cqr?L oL9?? Coritredor5 nse No.
-3
Mall? rebs (COntrector or Owr?er Maltiig Insdell 6on) ? 3. o? ? ? .
G7 ? CI
Autlpnzq SignaNre (COn aclor er Mekng Insnallab6ay
? ??'VL??CL? Phone ber
MINNESOTA STATE BOAqD OF ELECTi11CRY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlEway Bltlg. - Raom 5473 BE ACCEPTED BV THE STATE BOARD
1827 VnNeraHy Ave., St Paul, NN 55109 UNLESS PflOPER INSPECTON FEE IS
P1ww (672) 642-0800 ENCLOSED
//?REQUE5T FOR ELECTRICAL INSPECTION eaooom-m
,See instructlons lor compleeng ihis brm on back of yalrow copy
?
? `X" Below Work Covered by This Request
R 485998
ew Add Rep. TypeofBuildinq AppliancesWired EqwpmentWired
Home Range Temporary Service
c Duplex Water Heater Electric Heating
Apt Building ?ryer O[her (Specity)
Comm./Industrial Fumace
Farm ' A?r Conditioner
Other (spenly) Coni Remarks
Compute Inspection Fee Below:
# O?her Fee # ServiceEntrance Size Fee # Crccuits/Feeders Fee
Swimming Pool 0 to 200 Amps a to 700 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SIgfIS Inspeclor5 Use Ony TpTAL
Irrigation Booms
? /z J
Special Inspection
Alarm/Communication
O[her Fee
i, the Eledriral Inspector, hereby
certirythattheaboveinspectionhas
been made. Rough-in
Final oane
oate
[ - E a
OFFlCE USE ONLY
This reques[ voi0 16 manths (rom
BLDG. PERMIT N0. 0 CO -2)'
D 4- 11 131o c.?-a I _P'ot n-Fc rano
01-3210 Bldg. Permit LpOU 00
013422 Plan Check 3 0? oU
?
01-3445 Surch./Adm.
013446 SAC/Adm. 5 ? 5
01-2755 Surcharge 4,5 5 ?
75-3860 Road Unit 3 oZ?J 00
20-2275 SAC a)
0-3865 Water Conn. 5'rJ C? 00
t
03868 Water Trmt. °1 a a ? V
0-3716 Water Meter G b OC)
20-2252 Acct. Dep. 3 v oU
?
- 20-3713 Water Permit } cD do
?
20-3743 Sewer Permit tn 0O
79-3866 SewerConn. 1 C o 00
283855 Park Ded.
TOTAL ?_64 'So
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
/ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
C
New Construdion Reamremenis
3 registered sife surveys shaxing sq. ft of lot, sq. 0. of house; and all roofed areas RemodeVReoair Reamrements
2 copies of plan CS?i?ce lHe'Odv
?rl[ 6f
; SumY Re4d.
"-Y .'- N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions T7ee.Pies?PlaA FQct#:
est?
i
I
d Y"_ N
Y
2 copies of plan showing beam & window sizes; poured found design, etc 1 stle survey for addiiions 8 decks
hc sysfem
dicate if onsife se
i
Add'Ai reePr
equ
(e
.;
Oi1-3i?eSepGcSystem -
Y_;N
1 sel of Energy Ca?ulahons p
on -
n ...
3 copies of Tree Preservahon Plan if lot platted after 7/1193
Rim Jaisf Detail Options selection sheet (bldgs wNh 3 or less unils
Date /3/ Construction Cost
Site Address ?? C /J UniUSte #
Descriprion of Work ?N J? il w 6AJ LI-2J?"'? f
Multi-Family Bldg _ Y XDL Fireplace(s) _ a 2
O Telephone #(?i? )??
wner
Property
t
Contractor .
Address 363D (-J" City ?????
State Zip Telephone # M-1) t V-0 ?rb
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ NUnnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25176 plan review
fee applies.
Licensed Plumber Telephone #( r
LS
Mechanical Contractor Telephone
0 T Ld
Sewer/Water Contractor Telephone j
I hereby apply for a Residential Building Permit and acknowledge that the
that the work will be in conformance with the ordinances and codes of tt
Statutes; I understand this is not a pernut, but only an application for a pel
permit; that the work will be in accordance with the approved plan in t
approval of plan .
V?lS\??
Applicant's Printed Name Applicant' ignahu
information is complete and accurate;
? City of Eagan and the State of MN
nit, and work is not to start without a
q?p? /orhich requires a review and
? c
RESIDENTIAL
BUILDING PERMIT APPLICATION
J CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
Now Coneauctlon Beaulrements
• 3 repislered slte surveys slwwing sq. ft ol lot, sq. N. of house; and ? roofed areas
(20% maxtlmum bt coverage albvred)
ma
• 2 copies ol plan showing beam & wuWow sizes; poured fountl desgn, etc.)
• 1 set of Energy Cakulations
• 3 copies ol Tree Presenation Plen il bt plefled aker 711193
. Rim ,bist Detail Optbns selectlon sheet (bldgs wXh 3 or less unHS)
DATE
SITE ADDRESS
NPE OF
APPLICANT
M, q 5
RemodeVRepalrReau6emeMe
• 2 copies of plan
• isetofEnergyCakuletanslorheateCatlagbns
• tstesurveyforezlarbraddttlons&decks
. Indlcate N home sened by septic syslem Por adOflions
VALUATION
MUL?I-FAMILY BLDG _ Y ?` N
r;chr 6wj-)--46er
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS lZ2y-7 /Ui cd qTy P,.-s,,YLt STATE MiULP 5?533_'7
TELEPHONE # (qS2)_7d?' (0*151 CELL PHONE # FAX # $06 - FM
PROPERTY
TELEPHONE #6S1 q6 S- G I Q3
COMPLETE THIS SECTION FOR %NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(q submission typa) • Residential Vantilation Category 1 Worksheet Submitted • Ne Workshee
• Energy Envelope Calculations Submitted
rT f??(, ?
Piumbing Conkactor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
JUI 2 2 7?J0
Fee:
t Submitted
it Ilf?
Fee: $70.00
------------°-°-----------------°-°-----°°-------------°---------------------------------------------------------
I hereby acknowledge that I have read ifils application, state that the Information is correct, and agree To comply
with all applicable StaTe of Minnesota Statutes and Ciiy of Eagan Ordinances.
Slgnaiure of Applicant pla!k.s hw??
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
? i
7989 HOILDING PEERIIT APPLICATION - CITY OF EAGAN
SIAGLE FAMILY DWELLIIQGS
iuV ?P IL
1 '
1\
. t y
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, t SET OF ENERGY CALCULATIONS
DiOTE: ADDRF.4SES FOR CORNER LOTS - COriTA9CTORfHOMEOWNSR MUST DESIGN9TE WHIC$ ADDAFSS
IS DFSZRED. NO CAANGES WILL BE ALLOidED ONCE BtTILDING PEAMIT I3 I38DED.
MOLTIPLE DFTELLINGS R13NTAI. IINITS FOH SAI.E DBITS # OF U9ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg i1ITH BLDG. DEPT.9 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENEGY CALCULATIONS
?', oeo
To Be Used For: -? -lValuation: Date: t^k6-1601
?
Site Address c1.V-7 JC?-c,,.? 0 cW,?_ OFFICE USE ONLY
Lot. U Bloek Occupaney R'3 /V7_1
Zoning
Parcel/Sub Actual Const y/y
v Allowable f//lf
Owner # o£ stories
Length (c 0
Address 5?((o ?$O-ts" :S? ? Depth 34
n S.F. Total
City/Zip Code YmLiow- S-S?a-- Footprint S.F.
Phone yko "r.:?480 On site sewage_
On site well
Contraetor MWCC System r/
City water ?
Address PRV required '
Booster Pump _
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone 8
;?& lex"' C
APPHOnALS
Planner _
Couneil
Bldg. Off. ?j?18
Varianee
Council
FBCsB
Bldg. Permit
Sureharge 5'S, Sb
Plan Review 3 00
SACt City /po
SAC, MWCC 57S
Water Conn SSO
Water Meter 90
Aect. Deposit 3 U
S/W Permit z D
S/W Sureharge /
Treatment Pl.
Road Unit 325
Yark Ded.
Copies
TOTAL
NOTE: Sesrer & Water Permit fees and accouat deposit fees will be ineluded in the building
permit fee. Procesaing time for serrer and water permits is tWO days once a lioeneed
plumber has applied for a permit at City Aall.
R - -,
35k ?-v ?. ?oa
3?k ?? = si8
/ I
y
I 3s 2_ k YS
A? v ? k
C. 6 1 Z L?8
?94Y
2?k z `7 = 1?° a- // >
Co t... Cr
?33
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EXTBItIUR F.NVG[API: AVIiItAGf-. "U" CO;iPU7'ATIO11
UWNEIi
SL'fL' AUDItL•'S5
CONTRACPOR ?S,/YJ•
DATE d I 16 f gjq PIIONL '?* f',P"0
Determine workiny sqnace footage of each.
1. 'fotal expoycd •.+ail arca ....... /760.0 sq- ft. x .11 = 3•(?
2. Total roof.ceiling arca .......1238.0 sq. ft. x •025
Total exposed wall area above Eloor =/?L O.p
a. Total wall vindoa area .................................. ./O.X
b. Total door area ........................................... f 3. G
c. Total sliding qlass door'area ............................. .?2. y
J. Total fireplace wall area ................................. O
c. Total wall framing area (averaqe lOt) ..................... 17,6. D
f. Totnl net wall area above floor ........................... 14V0y,8
g- Total rim joist area ...................................... /7y, /
Total exposed foundation area
h. Total foundation aindov area .............................. O
i. Total net foundation area above gradc ..................... /p.0,G
Determine "U" value of each wall seqment,
a. /03,91 x 1.U.. ,?s' ° ?56•f
b. S/3.(w X .. U.. , OPt ° . -7. y
c. .3z. a x '•u•• . ss m /77
a, p x °u'• d = d
e. 176•o x ..U.. ./02 ?% --
t._-ZYo9(46_ x ..U..
??. /7Q.f!.__._ :•: °o•? . asa. ?, 9•3 .._.
? }, --O ------ '• '.,?'. _ _o . . __..._ • ... ?. . . _
J....... ........ ..................Tot31 = I?J.S•Z.'--
i
IC item M3 i.^, thc samc as, or lcw: than item N1, you have me-r. r.lic knCent
oc SbC 6006(c)2. Y&m 40 1 r175- .i) e-
-e-?95/7c bo04?)2
Total exposed rooE/ceiling- area = /338• p _
j. T4ta1 skyliqht arca ................... . .................... O
Y.. Total rooC/ceiling Eraminy irea (avcraye 10'0 .............
1. Total net insulated roof/cuilinq arca ..................... ,o .Al_,
pi;tcrminc "U" valuc for caeh roof/ccilinq scymenr,.
J. D x°u^ O d
k. /3,7.8 X..U.. , o?S a 3• y
.. 1.1190 y y x..U.. , o,,2/ _C;'s'. a
4 ............................ . ......Total = :FOeg•7
If total of i!4 is the same as, or less than 112, you have met tlic intent of
SBC 6006 (c) 1. Cq&„ it e- c niwi^w-` 1 (-e3•r)
s9 < G ov L (t'/ "
Alternatc Building Envelope Design
To utilize thc total envelope system methal, tLe values establish-d by tlte
sum of items R3 and N4 shall not he greater than tiie sum e; items 01 and 02.
+ 2.
a. /7r. z + a. Ze.7 = ?o3•p .
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WEATHERSTRItS
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TYME GF CONfTRUCTION INSULATION ^
Windew Dean Rofenew
1
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WIND OWS •nd DOOItS -CRACKACF and AtiA *'
?
? ? WIND OWS and DOORS -CRACK A6e ed AREA '
No. WIa?M
ef WM M?qM
N Palms
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Na dM
dow Ny
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40
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bi..d e. h. E 0. R. x. tir. W. A. lNLr wNn R. ?imd w. N. E D. R u q. fes. W. A. t..d.r ..•.
I a ? U I?16 R... L«.ir ?._..? wraxi 1 NW.l? R i3t() . Roa. 4no, rrath Hemotii ?
WIND OWS and DOORS-CRACK A6E En/ AAfA WIND OWS and DOORS-CMCKA6B and AREA
Nw w?an
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R'?w WIdM 2O F1?ly?t F'Zj R!`?'AjF= Reew L+eqM'.??.7 WidfA MemiqA!'
WINDOWS and DOORS -CIUp GGE and AtfA WIND OWS aRd DOORS -CRAGU6E &nd A0.FA '
Tw;dn,
No. dmM M?IaN
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TN.1 Hw uW Nw
ltaguirod . H. E D. IL w . ir. W. A, Leadw ane R utnd . k. F. D. Il w Iq. W. A. leadw ene
?, " A „ D14
----
TIONS DEPARTMENT OF BUII_DINGS
•KVA
6ui? ME OF CONSTRUCTICN INSULAi10N
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isnylh 3-1 Wid111
A Haiq?} 115 R ees t?aY16 H?iy6h
MCI( A6E and ARFA WINDO WS 4nd OOORS CRACK /165 dnAREA
lli na
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q. h.
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Rr;+irad iq. N. E D. L x q. iw. W. A. lwder m* Rpuind . H. E D. R er p. iro. W. A, Loader ma
p, I Ile" 1Opfh WIdM Mdqht W. Resie' lanqth wdfA Neiq6e _
WIND OWS .nd DOORf -CMCI U6E an/ AREA WIND OWS .nd DOORS-CRACKA6E and ARFA
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of V" Arw
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of "II0 Nei I Ne.
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WINDOWS aud DOORS-CqAC KA6E ad AtFA WINO OWS .n d D0014S -CRACKA6F and A0.EA '
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C3FU -1-OT-41- Lf9,24(D
TRI-LAIVD C4.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
RSM HOMES
LEGAL DESCRIPTION: LOTiL,BLOCK2, L FXWCTON POWTE 2nd
ACCORDING TO THE RECORDED PLAT
THEREOF n4KOTA COUNTY, MINNESOTA
e
.. 9?
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ry
v
9'1'D in ?- ?
LO1 i to.)
?
10' I s 5 ?
? W LO
?- II N
ZW ? ?
9e?+ N
90? o w ? / 6.8'
LOOKOUT
0p 2 !
WIND
EIEV. 9821
+ ?l
20' I TOPBI.K WfOEI.EV.
I ?`2' W I 9B3.OL _
985.62
I GAR WiNDO`M
2O.PROPOSED i ? 51LL
HOU9E 962.12
Scale:l"=30' ^ I in Zo' ?;-
i
M i I _1, ?1
ry, I i- I p'•?'1 l gg
34
17.72'Q
5
?ro, o
O' L ? b
0
,yoj ' 19' ?? °,.J'!- •- -
p_7°04'01" L=98.OQ??.R_789?5?,4N t??s?'?
40 C.
JEFFERSON LANE
LEGEND PR?p OSED SPLIT LEVE L W/ WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 986.6
? DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 987.1
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR = L)e3 i
ELE VATION E LE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGNTS WITH
FINAL HOUSE PLANS
I hxeby certify that ihis survey, plon or
report was prepared by me or under my %_??"?? ?a ?r{?.?... ___
direct supervision end ihat I am a duly Bradley J. nson M Req. No. 15235
Reqistered Land Surveyor under fha ?-? J
Laws of the State of Minnesota. Date ? I 1-';` N?i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117732
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 917 Jefferson Lane
Lot:11 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-110
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 .
Aaron Hippe
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 -
Mark A Keller
917 Jefferson Lane
Eagan MN 55123
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119516
Date Issued:12/03/2013
Permit Category:ePermit
Site Address: 917 Jefferson Lane
Lot:11 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-110
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Mark A Keller
917 Jefferson Lane
Eagan MN 55123
(651) 341-9320
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------
I � � I
I �9(� �
' j Permit#: �!� / ��� �
�lt� 0� ���I�.Il ; �o�:,��� ;
Permit Fee:
3830 Pilot Knob Road
I �y
Eagan MN 55122 I Date Received: � b � j
Phone: (651)675-5675 � �
I Staff: i
Fax: (651) 675-5694 � -- �
1_.�������������_�_J
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
y L/ (�, r--- / -_
Date: � / I7 Site Address: !l 7 � 0/7 �—+� Unit#:
Name: / \a�t"� ��� Phone:
RESIDENT/ a /_
OWNER Address/City/Zip: !1� �� S'On G4K�C. �S'4n_ i'��
Applicant is: Owner �Contractor
TYPE OF WORK Description ofwork: ���Q�f�- qn1'ts�._ �c.r"
Construction Cost: /` O� Multi-Family Building: (Yes /No,�}
Company�+t�v�•+L��(�LJ� �A�� Contact:�BJ1� �
CONTRACTOR Address:��e0 � �Z.,�' �� �/� City: �7t�✓'✓14�'�!�
State:�� z�p: �'S�3 3? Phone: l S2� ��?�1tJ�sg
License#: !J�— �bg �83 Lead Certificate#:/U��3 2 2S^ �
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:
����� ��� � �. ,
� � , �
t �
?� 3� ¢ �
��,FyY����„�� A � .%��'���ffi0'43 ���4 a:� .,
.a.. �,e,�':�:.'�.e.,.:.r�"< .war4.n,z�.�.„w,fi,�,'�-§rx` �,;;��a.��. .�..,. ;�e .�a...�`�.;.� �„ n�rz... <.��+s���4,'�..� �
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x���,ciJCdl� ���u7�
Applicant's Printed Name Applicant's Signat
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140528
Date Issued:12/28/2016
Permit Category:ePermit
Site Address: 917 Jefferson Lane
Lot:11 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 A Keller
917 Jefferson Lane
Eagan MN 55123
(651) 341-9320
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature