921 Jefferson Lane. n-'r-'?=•r . _
CITY OF EAGAN S=C? 17969
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5?.i21 ? E;`?
PHONE: 454-8100 ?_:
BUILDING PERMIT g? DWI"R Receipt #
9 0
Tn be used for Est. Value f 7 8,0 r 0 0 Date a1 Tn 6 . 19
Site Adiiss
Lot
Parcel No. _
W Name c d m
t Addres
o _.. ---KAV
OFFIGE USE ONLY
?. Occupancy 9-3• M-1 FEES
Zoning pot-_R-i $
°i7 (Actuai) Const VU Bidg. Permit
--
?
(Allowable) V? har
Sur
e
Phone r or Scories g
c
Pian Review
895-029$ Length
oeptn sAC, city
Phone
I hereby acknowlege 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 ot Eagan Ordinances.
Signature of Permitee
bc: _ _ .... _ .. . . . 6 dt !! 1i0lIE8
with all
S.F. Total _
S.F. Footprints -
On Site 5ewage -
On Site Well ?
MWCC System
City water n
PRV Required -
Booster Pump _
APPROVALS
Planner -
Council -
BIdg.Ott. -
Variance -
SAC, MCWCC
Water Conn
Water Meter
30
Acct. Deposit
30
S/W Permit
S/W Surcharge
Treatment PI ?y
•
Road Unit
Park Ded.
Copies
?
•
TOTAL
Permit No. Permit Holder Date Telephone #
?yATER
SEWER
PIUMBING
H.V.A.C.
ELECTRIC ?Ir00? ? 0 ?
Inspectton Date Insp. Camments
Footings 1 `O 2
?
Foundation '
Framing
floolirnj
Rough Pibg. ? v
Rough Ht9. -a? ?v ? ,6 Y
isui.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector- Notify Plumber
EnqrJAlan
Bldg. Final 0 7 Q61
Oeck Ftg.
Deck Final
weli
Pr. oisp.
?
V
' CITY OF EAGAN
? 3830 Pilot Knob Road
f Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: 1 "
Jill I
,'IM l.RNt
t'1PERNHT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
fti) < < <, l m?,
1! .' I 40q
A4/'3N/96
I flil, i 1 r+ (;.
APPLICANT:
. ?: ? ?? , ,??t . i M 1 • ??:
f 1,' ?116 <j - t')d!i
TYPE OF WORK:
I tNAr
? .
.,
?. ? ?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inepectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
AOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ,
BSMT R.I.
BSMT FINAL
DfCK FTG 57?l
G
u.v
DECK F:"dnL • NK7 I ---
- - -
-
?
F
ON
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
t ??. i i•! < <i ? I? ( t ?ISi?
PERMIT SUBTYPE:
„? , JI
I <<AM 1
itttf,ii Ita f?l {:?,
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
(?. !. r ri ? i 1? 4i i
TYPE OF WORK:
1N '.111 AI 1uN
F 1 N Ft I
„ 1 U.k,
?sF; t MfiFt?. •. f I'AIt A l t 1't• I+M l l:r AFt1 f+t 011 11+1 11 l• illc FtN `i 1' I tlplc I N
! i 1. l i,' tI Ai L44111l
? I
J
Permk No. Permit Holde? Date Telephone #
SNU
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspeetbn Dete InBp. Comments
Footings I
Foundation
Framing j; .-I
Roofing
Rough Plbg. • ? ?
Rough Hlg. ? 3 si v
Isul.
Flreplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
( S l?,J
weu
OF - G. iR/sP. ?L6.
Pr. Disp.
r
I
9ft?
,? .. ?
? P ..
x
Q.kn#i#txaft jaf (Oxrupaury
Citp of Cagari
igrpwAatnt# af Buahtg 3trpprfinn
This Certi/'rcaie issued pursuant ta the requiremertr of Section 306 of the Urriform BuiJding
Cade certifying that at the rime of issuanae this slructure wvs in compliurreae wzlfc the various
ordinarrces of the City reg7eiatyrg buildixg construction or use. For !he following.
Usr Qastibotion SF DF1G/GAR 81dg. Rnoit Na 17969
R- PD VN
OC-Pavty T? r*? P. . ?C , SAVAGE, !fN
AAA- 3RD
? ? ?? • *
Datc NOVEMEER 27, 1994
o?,u
POST 1M A COHSPICUOUS PIACE
SEWER & WATER PERMIT OFFICE?U§E ONLY
CITY OF EAGAK METER ?qA '? /1 ti pERMIT DATE ? f
3830 Pilot Knob Rd. r---?--?-?
Eagan, MN_55122-1897 CHIP #? 'Z* 'S-D WATER PERMIT #
METERSIZE RAQ& B.P. RECEIPT#
ISSUE DATE 190 B.P. RECEIPT DATE 6/6; 9t;
- PRV _ BOOSTER PUMP
SITE ADDRESS '121 J.;FFF:RSON I,ANE PERMIT REQUESTED
LOTL.?BLOGK SECISUB ='c-dN-tn, Fa-?- ?.:f- 1?• r
_ .i
, STATE
NE: "0
ABER: ' ,l f - 1; ?I-.i c? >Io
,
RESS: 9
, STATE •-?? ,l.?,?? ;r-y`"?? „?, ZIPs ;- ? 7?
VE:
- SEWER = WATER _ TAPS
- COMM/IND - RESIDENTIAL
-- NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
, STATE -7A ?rl; ? f.l,,. • ZIP `- z
NE: ??.75 _:23
; ? ? ?? . .
?, .
(SE ALLOWf(YO`*Q? ?KING t?AY5 FOR PROZESiING.'FOR STOi? SEWER PERMRS, CONTACT
INEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
_. __. . .. _... ? f ._
CITY OF EAGAN NO 17969
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN ?? ?
00
BUILDING PERMIT SF DW G/GAR PHONE: 454-81 Receipt ?
Tobeusedior Est Value $78+000 pa1e JUNE 6 1990
Site Address 921 JEFFERSON LANE
Lot lZ Block Z SeGSub. LEXINGTON PTE 3
Parcel No
.
w Name G& M HOMES
? Address P.O. BOX 152
° CitY SAVAGE Phone 890-2523
o Name SAME 895-0298
,
p
O Address
U
? City Phone
?
ww
Name
?? Address
iw City Phone
I here6y acknowlege that I have read Ihis application and state ihat ihe
information is correct and agree to comply wdh all applica6le State of
Mmnesota Statmes and City ol Eagan Ordnances.
SignaWre ol Permitee
A Building Permil is issued to: G& M HOMES
on me ezpress contlihon thal all work shall be done in accordance wnh all
apphcable Sta1e ol Mmnesota tamtes and Ci of Eagan Ordinances.
6uilding Otlicial ?
?
OFFICE USE ONLV
Occupanry R-3, M-1 FEES
Zoning PDe--R-1 $ 541.0(
(ACtual) Canst Vn.- Bldg Permd
(Nlowabie) Vn- Surcharge 39'0(
# of Staries 351.0(
. Length 46 Plan Review
Depth 49_ - SAC, Ciry 100.0(
,$.F.TOtal - SAC,MCWCC 600•0(
S.F. PootOnms - 625.0(
On Si[e Sewage _ Water Conn
On Ste well - Water Meter 90.0(
MWCC System X)L- AGd Deposit 30.0(
Ciry Water XX_
PRVRequired - S/WParmit 30•0(
Booster Pump - S/W Surcharge • 5(
252.00
Treatment PI
APPHOVALS 355.00
Road Unit
Planner - park Ded
Council
etdg Off. _ Copies
$3,013.rJj
Vanance _ TOTAL ,
_Z/(p/9,5' REQUEST FOR ELECTRICAL INSPECTtON
067867 ?' See nsfmolione for completmg this torm on paok or yellow oopy
"X" Below Work Covered by This Request
E6-00001-08
(g 91S.7-s
?.;r..
ew Add Rep TypeolBmldmg `ApphanCesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC HeBHng
Ap[ Bmlding Dryer Load ManagemeM
CommJlndustrial Fumace Other (Specify)
Farm Air CondiUOner
Othar (speoiryl Commctor's Remarks -y} /?
Compute Mspechon Fee Below??°??--" "? '` ?"" """?'
# Oiher Pee # Service Enirance Srze Fee # Crtcwls/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahova 100 _ Amps
SignS . Inspema?'s Use Only Q
6 TOTAL
Irrigation 6ooms Li?• G //0
Speciat Inspection
Alarm/Communication THIS INSTALLATION O Ef(ED/DISCONNECTED IF NOT
Other Fee COMPLETED WITH ON
I, ihe Electrical Inspector, hereby R°°9n-m f Date ? ? yJ ?
certify that the above inspection has
beenmade oate
OFFICE USE'JNLY
This requesl voitl 18 monlhs Irom
,jyCe/y? ?4I, Xs?-
Ao °°
?
a67867
,
2 ?
•
Request D te Fire o Rough.ln Inpseceon FeQwretl InspecYOn Othe? T?an Rough-ln
?Vtlo must w'I?nsDector when reaayI ? qeaEy Now ? Wdl Noh/y Inspeclor
Yes ? Na Date Reatl
I',5clicensed contractor L) owner hereby request inspection of above electncal work at:
Job Adtlress (Slreet Bo or R ule No 1 Ciry
Sechon o T shi ame or No Range No Coun(y
OccupantlG T?
a PM1One No
Power Sup er Adtlress
EiecVmal Go ctor ?Go , any Namel Conlrector5 Lioense No
M2ihn0 Atltlr2551GOnV80IDr 0l OwnBr Mdkin In6telldtion)
Q a
Amhorrzed Signature i w r Mflking nstallaLOn) PM1One Number
105e Ar-? 1536 -!3
MINNESOTA STATE BOi ELECTHICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Hoom S413 BE ACCEPTED BY THE STATE BOARD'
1821 Unrverslly Ave.. SL Peui. MN 55100 UNLESS PROPEF INSPECTIpN FEE IS
Flrone (612) 663-0800 ENCLOSED
-
6ddress: 921 JEFFERSON LN Lot12 Blk Z Sec/Sub LEXINGTON POINTE 3RD
These items were/were not complete at the time of the final 3nspection.
Date: NOV 27 1990 Yes No Ins ector:
Final grade (6" from siding) y
Permanent steps - garage VI/
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck ?
Pleasa verify with the buildar the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lavn faucet be£ore
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s'7 v . v C7
New ConsWction Renuirements RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft of lot sq, ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lotcoverage allrnved) t setof Energy Calcula4ons for heated addilions Tree P2S Plan Rerd _Y _ N_
2 copies of plan showing beam & window sizes; poured (ound design, etc. 7 site survey for addifions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calculations AddNion - indicate ifons7te septic system Onsite Septic Sysffim _Y _ N
3 copies of Tree PmsenaGOn Plan if lot platted afler 7l1/93
Rim Joist Detail OpGons selecGOn sheet (bWgs with 3 or less units
Date /t04" ? l ?y
Site Address G?F9 a?- Construction Cost 7?G ?
a_,_[, UniUSte #
Description of Work 4
Multi-Family Bldg _ Y-X N Firepiace(s) X 0_ 1 _ 2
Property Owuer Telephone #(1(S6 -?i B6" 7d5?f
Contractor
Address
State n,?,? /
City `/?/?. _
Zip ?,?yo6 Telephone #(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan6 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informatiori iy?• ?te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applicafion for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in tt;e c1ase of work which requires a review and
approval of plans.
??EFf ?) rEi'-?,Q
ApplicanYs Printed Name
PERMIT
? CL3k3.5
CIT Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025001
(612) 681-4675 Date Issued: 12 / 3 0/ 9 4
SITE ADDRESS:
921 JEFFERSON LANE
LOT: 12 BLOCK: 2
LEXINGTON POINTE 3RD
P.I.N.: 10-45072-120-02
DESCRIPTION:
REMARKS:
BASEMENT FINSSH
ALTERATION
uC q]?-!J r?fLi Ij
,- ..
Building-Permit Type
Building Wo,rk Type
? A.
?
\\\<y j,j%..
?
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $36.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
?
OWNER: - Applicant -
BELL WILLIAM
921 JEFFERSON LN
EAGAN MN 55123
(612)897-1707
T hereby acknowledge that I have read this application and state that the
informat3on is correct and agree to comply with ell applicable 5tate of Mn.
3tatutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
-? oo& Ivr U
ISSUED B SIG RET??
J
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: L oT: 12 BLOCK:
921 JEFFERSON LANE
LEXINGTON POINTE 3RD
PERMIT SUBTYPE:
BASEMENT FINISH
PERMIT TYPE:
Permit Number:
Date Issued:
2 APPLICANT:
BELL
(612) 897-1707
TYPE OF WORK:
BUILDING
025601
12/30/94
WILLIAM
ALTERATTON
INSPECTION
FRAMING ., .
INSULRTION .,
OU6H SN PLBG FINAL
REMARKS: SEPARATE PERMZTS ARE REQUIREO FOR ANY PLUMBING OR ELECTRICAL WORK
F
L
?
?
t - w R
CITY OF EAGAN
1994 BUILDING PERMITAPPLICArION
681-4675
SINGLE & MULTI-FAMILY ??? ?
2 sets of plans, 3 registered sit surveys, 1'c'0py o energy
calcs. i: ?. _ 2 3 1"19, 4
COMMERCIAL 2 sets of architectural & structu at.P]aos,._I_SS1 of
specifications, 1 copy of energy ca c.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date be48m8?R.-/ Val uati on of work
Site Address: 99) `I EFFEES7 ?fiY1?
STREET SUITE p
Tenant Name: (commercial anly)
LOT SLOCK ? SUBD.J
?
7e
iL P.I.D. #
?
..?
C?2Xer-
k 60:7 21, 120 2 a
Descri tion of work: as-rtiLn?!
The applicant is: M Owner ? Contractor 0 Other (Describe)
Name 33 El_L V?IILI_1Hm Phone ?S?-7?3S1f?
Property LAST FIRST 0o,1
Owner Address '12 1 _7E r FEr-6 r) rv /-f)Yi IL
SiREET STE #
City L-6lb= State Mo Zip
Company ?5 E--L F Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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 Ordinantes.
Signature of Applicant:
?
? ,.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
921 JEFFERSON LANE
LOT: 12 BLOCK: 2
LEXINGTON POINTE 3RD
P.I.N.: 10-45072-120-02
DESCRIPTION:
66ilding-,permit Type
?Buildirig?Ub.r?k T y p e
g? Gensus ,?Cad.e
?
v
:[
DECK
NEW
434 ALT. RESIDENTIAL
:..."?
REMARKS:
6e0559'f.:i!-
BUILDING
027404
04/30/96
FEE SUMMARY:
ease Fee
Surcharqe
Lic. Search Fee
Total Fee
$45.00
$.50
$5.00
$50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
WECH CONST. MICHAEL 14691945 0006202 BELL BILL
8251 208TH 5T W 921 JEFFERSON LN
LAKEVILLE MN 55044 EAGAN MN
(612) 469-1945 (612)896-1962
11
I hereby acknawlsdge thaC Z have-read Chis appl3cation end state that the
information is correct and agree to comply wzth all applicable State of Mn.
SCatutes and City af t agan Ordinances.
-
APPLICANT/PERMITEE SIGNATURE ISSUED BV: IG TURE I
i-4404 CITY OF EAGAN $?O.J O
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) MW4_11
681-4675
? 3 registered sRe surveys ? 2 copies ot plan
? 2 eoptes of plans (include beam 8 window sizes; poured fnd. deslgn; etc.) ? 2 sNa surveys (ezleHOr addkions 8 decks)
? t energy plcutations ? 1 energy eekulations for heated additions
? 3 copiea of tree preservation plan if lot plalted after 7l1/93
requhed: _ Yes _ No
DATE: CONSTRUCTION COST: -4,141119 DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _11 BLOCK I_ SUBD./P.I.D. #:
PROPERTY
OWNER
CaNTRACTOR
Name:
vsr _ T Fwet
Street Address:
City: T49? State:
Phone #:
Z`-7
/27r-2 Zlp:
Company: Phone #: S'l S'"/ 9yT?
Street Address: License #:
co i/? state: ZiP: ="y
City:
ARCHITECTI Company:
ENGINEER
Name:
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is Issued.
Phone #:
Registration #:
State: Zip:
Penalty applies when address change and lot
I hereby acknowiedge that I have read this application and state that the informafion is corcect and agree to comply with all
applicable State of Minnesota Stahrtes and Cily of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY R E ??,?', I? ? VE ? ?
i
Certificates of Survey Received _• Yes _ No lJ"!\ 2`. <p G`
Tree Preservation Plan Received _ Yes _ No ________.._e?,,,,,, ?
. ?
SINGLE FAMILY DitELLINGS
2 SETS OF PLANS
3 HEGISTEItED SITE 3DRYEYS
1 SET OF EAERGY CALCS.
1'1kQ
Jf"V-H[JILDIPG PE1M2T APPLICATION
CI?'Y OF EAGAN
79 4
lATLTIPLE DllELLINGS
2 SSf3 OF PLAtiS
BfiGI5T6RED 3ITE SDAVEYS -
(CHECg HTfH BLDG DIV.)
1 SET OF BBBRGY CiLC3.
(OT@4ERCIAL
2 SETS OF ABCHIiECTUHAL
6 SYHDCTQftIL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DiiELLINGS AENT9L ONITS FOR SELE IIRIT3 i Og IINITS
BOTEs IDDAES3ES FOE CORNER LOTS - COATRACTOR/HOMEOWNEA !lOST DFSIGBATE NSICB IDDRFSS
IS DFSIRED. NO CHAliGFS AII.L HE ILLOWED ONCE HOILDING PERlIIT IS L430ED.s
SESIER 6 W9TfiR PEAMIT FEES AHD ACCO[RRTT DSP0.SIT F6S.4 WII.L 8S INCLDDED iTIT9 T6E HIIILDINQ
PEiMTT FEE. PROCFSSING !D'!E FOR SEWE9 APD Ii9TER PETMI15 I3 Ti10 DAYS ONCE A PEAMIT HAS
HEER CAMPLETED INDICATIAG A LICENSED PLOlIDER.
PENALTY @PPLIFS WfENs PERMIT IS NOT P@ID FOR IN S9ME MONTH IT IS AEQIIESTED.
LOT CBANGE IS AEQUESTED ONCE PERMIT IS ISS[TED.
o Be Used For: Valuation: Date: 90
V/1
Site Address OFFICE OSS ^`^ T
Lot L2 _ Block a
Parcel/Sub ?-j-j oitire 3r"j A-bD •
Owner a, 'ti/
Address ?? O , i?oX /3 -Z,
City/Zip Code ShrfAA?e i"/ sS37,F
Phone 390 ? 9'9S-0.;29 fr
Contraetor 5Alv7c=
Addreas
City/Zip Code
Phone
Arch./Engr. _
Address
City/21p Code
Phone If _
Oceupancy n-3 M-1
2oning P D P-1
Aetual Const V-N
AlloWable V-N
0 of stories
Length N6?
Depth 147-
S.F. Total
Footprint S.F.
On aite aexage
On aite well
MNCC System ?
Citq vater t?
PRV required _
Booster Pump _
APPROVAIS
Planner
Couneil
Bldg. Off. ? (01(o
Variance
FEES
Bldg. Permit -9A DO
Sureharge 39,0 0
Plan Review /, 00
SAC, City 1'00,DD
SAC, MWCC 660,00
Nater Conn ZS,DO
iTater Meter p,DD
Acet. Deposi
D
t 3p,0
S/W Permit OAo
S/il Suraharge i?
Treatment P1 . ,oo
Road Unit ,3,!;5, 0J
Perk Ded.
Copies
SOBTOT9L
Penalty
TOT6L
/ Y .
? t
d
zz,c2z- y84 x ?5= '72?v l3sm,Z
2& X4o=- 1 oq?
6 ? '1 = 4Jzt
log2 x ?i = 1 siys
lsr Fl.ooR
?mT- iv?2 X S/? 55/a2
r?
? .
,.'
MINNESOTA S?ATE E:7ERCY rODE CALCULATF'ONS
BASED ON r,HnPTER 5 OF 1`NE
MODEL NERGY CODE - 1983 EDITION
Adop:iun Effectlve 1J114
Lt--/,,/
'_or 12, BL.cc.K 2
)wner
;ite Address
Phone ^ata
:ontractor Phone
Suilding Classification: Type A1 (5ingle Family 8 Dupiex)
(Other)
3ENERAL INFORMATION
i. Building Perimeter
(Over 3 stories)
Type A2 {Residential
(3 stories or ess
?, uall height (ground to eave) ft.
2
3, 1, x 2. (above) gross wall arga /8 2? ft.
3. Building dimensions (L) Zj?. ? x (u) C'`v ft.Z roof 5 floor area
5.Square fcot area of rim joist - Floor joist size (2 x/a ? ) ?tp
? x Perimeter = Rim joist area ?/Z ? ?
-2
6 . Docrs - fii°e: .3 7, -7 ?Z
/ ?1
ThiCkness ? 3?in. U
/ factor •
Perimeter ' ft.
3?4
Type of LonstrucLion y?ef
Manufacturer ;# -_
7. 7ota1 door's perimeter ? 7. 7 8 ft
8. Windows: Manufacturer le State approved C/!•?
U factor •?-7
TYPE 5I2E AREA (F:.Z) NUMBER Of TO?AL FEET Z
cprH UNITS
f?e? S??rfG%? auc./G
t? /333 --
P
-
L
ai^i S/b' /.3 ? 3 02 .? G• 6.
'
aC?Z $•r? Z /7.75
.
,a •-
-- - F°?•a -/, o r 3 5 8 / ? 5. 8 7
.
- ._
Total ft.Z Glass 7•3> 25 5•3"7
g
2
.
?ireplace area: Width x heiaht = x = Ft.
2
11. Exposed foundation: Height x?erimeter x ' Ft.
;)P;?LETION OF THIS FORM IS R`QUIRED fOR ALL NEW COflSTRUCTIDN, MAJOR REMOOELING AND BUILDI'rG5 BEING
1)VED WHERE ERERGY, OTHER THAN THE MINIMAI CODE ALLOI•IAMCE. I5 USED.
/(./ vF ft.
Framing area =.10% of gross wall area.
13. Gross wall aren :*.2
.
i/7• 33
Windo« area A :2_. Z
- ? 9S fi. windcws =, v-7 'J x p= v7
Rim joist area A / Z o, a, z U rim ioist =J x A=
Door area a 3-7. -77 door area =U X p= 5 a?
,
--
f'. U rireplace = U xA_
Exposed foundation A 96 cv f*.' U foundation =cS U x a= 7• 6?'
Framing area A /z/z , 2
f?- 'J `ramina area GS U x A= //•?j?
tvet wal l area A /.2 75 - oo ?t. Y wal l= .O j U x:, ?
(tIo: -;;„l . . . . . . . . . . U x a
:4. Gross wall are x 0.11 -1 single family ; du-;ax = allowable Ux A/Code
(13. above) .
x 0.23 (a-2 other resiCentia'.;
x .23 ;r,ther buildings;
x .28 (Qver• i stor•;o?)
A 6TUH Must be larger than
x ?' Ccde ac?'O'6? ?. 136 abnve
:5. Ceiling framing area (Af) _quais 10°, of area ( or the same as)
:5A. Gr055 C?i11nS -rP-3 = (L? ?& t /p X Iw?Z&,0-, 6 = // cL ft.2
58 Joist area (Ap) = 10" ceiling area = _ // p ft.Z
iSC. "tet ceilinc area (.aC) (15A - 15B) = 9 90 ft.Z
u ceiling x hC= `?9c7 x 7
-
U framing x A f° _ O x__Q?p
.
,5D. -0T4L U x A ................................... .. ,2 • C
'6. Ceiling area (15 x 0.026 (A sinyle `anily 3 duclex - code aliowzble U x A
x 0.033 (A-2 other r2sidzc:ial)
x O.C6 -(other)
BoUH Must be laraer than 1FD (above)
a(15'?) / _/?? X U(coael= C F (or the same as)
N 07 :: Use U and A values ootained `-o^ nr?; !
. 3 and 4.
3
L CITY USE ONLY
? BL ?
%
SUBD.
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Receiar #: 3&0 93
DATE: /Z/3 S
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower x 1 =
Water Closet ' 1 - 3. 00
Bath Tub x =
Lavatory x = ? _ nn
Kitchen Sink 1 x =
Laundry Tray x =
Hot Tub/Spa x =
Water Heater x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE a? so'50
?r
TOTAL
SITE ADDRESS: 921 Jefferson Lane
OWNER NAME: William Bell/Jennifer Eiben
INSTALLER NAME: Village Plumbing, Inc.
STREET ADDRESS: 2999 Yorkton Ind. Blvd.
CITY: Little Canada
STATE: MN ZIP: 55117-1072
PHONE #: ( 612 ) 482-9169 ? ?? r-
?S
9o-o5s
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
CERTIFICATE OF SURYEY FOR:
G a M HOMES
LEGAL -DESCRIPTION; LOTI2-,BLOCK-2-, LEXINGTON POINTE 3RD ADD.
ACCORDING 70 THE RECORDED PLAT
??. THEREOF DAKOTA COUNTY,MINNESOTA
1 ?
SCALE: I"=30'
LOT II
9?'7
Ntsv?j- u7
UTIIIT?AsENT IO (o
r RAINQ?LOT 12 N
1 9
I M
5I ?.
a y?
A?
18.5w"-p
Ffzof?-'Uo _
F{ouL6
?
Iq?
- -?-
? I
J
W.V. O-
R=205.37 ? 00 40.89 N
FFERSON
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereEy csAity fAat ihis_survey,plon or
report was prepared by me or under my
dirsct supervision and ihat I am a duly
Reqistered Land Surveyor under the
Laws of the Stcte of Minnesota.
W
(? Top_ 9t?u`'
33.50
LANE
?
F1
v _. _. .
?AGLS1V
.,
Dd'+lc 8,
F;kopoSaD SPLIT ENTfZY - Alo WALKOJT
INVERT ELEVLITION AT SERVICE ExTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 9
PROPOSED FIRST FLOOR ELEVATION = `iW
0 -?
PROPOSED BASEMENT FLOOR ° q82 3
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS Bradley J. $naon, Mn. Rep. No. 15235
? /. ,
Date: ,?,. /J'?
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÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161778
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 921 Jefferson Lane
Lot:12 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Bill C Leung
921 Jefferson Lane
Eagan MN 55123
(952) 888-4889
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171054
Date Issued:07/28/2021
Permit Category:ePermit
Site Address: 921 Jefferson Lane
Lot:12 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Bill C Leung
921 Jefferson Ln
Saint Paul MN 55123--260
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature