925 Jefferson LaneCASki RECEIPT . •,",
. .
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE • ? / ? 19 9D
RECENEo T
F?
AAAOUNT S ? .?( ? w
J rr '"v
& OOILAHS
lm
p CASH ? CHECK
FO, ? !?a ?i-rw?..a'' / 7 5'
C 6301
Whne--Peyem GDpy
Yelbw?-Pbsling Copy
Wnk--File Copy
Thank You ?/BY
DATE: 2/16/90
4138 LANTERN LANE. L18, 84, COUNTRY HOl.LAW
RE: 592 AUT[fMN OAKS COURT. L.4. B3, COUNTRY HOLLOW
925 JEPFERSQN LANE, L11. $2, 1.ER1NGTON POIAIT 3rd
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TQ
CALI PUBLIC WORKS (454-5220) FOR YOUR PERMANeNT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
?.3 reasons:
f r, ??}
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or accupancy affowed untii further notice.
COMMERGIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
COtdTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
I
Secretary, Building Inspections Dept.
?' --- , CITY OF EAGAN 175 14
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100
BUILOIN(v OERMIT Receipt #
To be used for SF DSdG/GAlZ Est Value : 1 of', CQC) Date gE$ 13 , 1990
Site Address 9
1-4---11 Block
Parcel No.
Sec/Sub.
W Name Juv !f l I,l.t:& KO?S
Address 18133 CEDAR AVE S
0 City FARMINGTAN Phone 433-2001
F Name S?
t
O
'KI Address
U City Phone
?
W
Name
?
?? Address
a W City Phone
Building OHicial _ OFFICE USE ONLY ;
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with 'all applicabie State ot
Minnesota Statutes and Ciry of Eagan Ordinance$:
Signature of Permitee ? ?? ? ? ?' 'A ??`"---
A euilding Permit is issued to: 'JOE KI I.1.ER BQHM
on the express condition that all work shall be done in accordance with all
appiicable State oi Minnesota Statutes and City of Eagan Ordinances.
Occupancy g 3 M-1 FEES +
Zoning PD R"'j
(ActuaqConst V? BIdg.Permit 66i.?Q a
(Allowable) Y-N
Surcharge 53.00
# of Stories
Plan R
i
429•00
Length ev
ew !.
Depth ?
3
SAC, City j
100000 +
S.F. Total - SAC, MCWCC 600•00 1
S.F. footprints -
C 62?•? ?
On Site Sewage Water
onn _
On Site Well
? Water Meter ?•? 1
'
MWCC System ?•?
City Water ?_ Acct. Deposit j
PRV Required _ S!W Permit 30•oo J
Booster PumP
-
S/W Surcharge i
'50
-
252.00
?
Treatment PI
APPHOVALS
Road Unit 3SS.O0 ?
Planner - Park Oed.
Council _.
?
O Copies
?
V 3
225.50
arian
oa - TOTAL ,
. Permit No. Permit Holder Date Telephone #
Vi(,ATER
SEWEF
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I ?/?? cj ?/ •
Foundation
framing
aoor,ng s
Rough Plbg. ,4 - C
Rough Htg. > / O 619
3 f g /
lsul. j'9'
Fireplace ?
?
3--,v--
Final Htg.
Final Plbg. -?
Const. Meter Plbg Inspector -Notify Plumber
Engr.lPlan
Bldg. Final y z -?-p
Deck Ftg-
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Ad&ess
Lot BloCk _
? Name
? Address
c city
_ Name
c Address
O CitY
MECHANICAL PERMIT
CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 551
Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?
Other
FEE
S/C:
TOTAL•
PERMIT # `
RECEIPT # -?
DATE
For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
Res. New '
Mult Add-on
Comm. Repair
aner
FEES
HVAC 0-100 M BTU - $24.00
RES
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA:
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
FiEMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
• " CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 454-8100
Site Ad jss /01 1-) I.L
Lot Block
Name
? Addr?
a
c Cidy "
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE ;12.00
MINIMUM - COMM.IMD.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50,S/C PER EACH V,000 OF PERMIT FEE)
PERMIT #
DATE:
Res. v NeW
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES
3Wa??loset _$3.00 $ TOT
Bath Tubs - $3.00
?
Lavatory - $3.00
Shower - $3.00 -
_
? Ktchen Sink - $3.00 3
UrinaU1lidet - $3.00
00
T
$3 ?_
Laundry
ray -
.
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3.00
-
-? Gas Piping Oudets - $1.50 ??
(MINIMU6A -1 PER PERIYIIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-?
Rough Openings - $1.50
U. G. Sprinkler System - $12.00 ---?-??
PERMIT FEE:
STATES S1C:
GRAND TOTAL: ?
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pi4ot Knob Raad Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
?, ! F' E N, .`, r) r4 1 A hl t'
? # X;iidt.fUN h'UiNtf. :iRf:#
` PERMIT SUBTYPE:
I I 1 N I,
0( K r
LPPLICANT:
?01 0 100
TYPE OF WORK:
' ? E'IjIR
r•? t 1 ?r I.?si ;? i;ilUF/??1(?NM 11AMA(.i)
F-
?
L
Permit Holder Date Telephone #
PLUM8ING '
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 7Q?
C
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING I
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG Ff1YAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MA1NS
CONOUC7IVITY
7EST
HVpROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
a'• v-.? 0
(litr#iftra#P of (ftrupartry
Citp of (f agan
MPpMx'hltPtlf Af Wliftitto ABpPl'ttDti
This Certificate issued pursuant tv the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of tiie City regulating building eonstruction or use. For the following.•
u. ck.&,. `,F IW/GAR Biag. M,n,;, No. 17514
OccupMY TyPe R3/M I Zoning District PD/R-1 Type Cnnst. VN
Oxmer of Building MMUM HCMES pddrm 18133 GMAR A8E S, ERCCIUN
Hwla+ng tiaaT= 925 JEFFLRS(lN LANE ?.ocaiity L 1 I, B2, IXRUICN POIIM 3RD
•?`?,
nete: APRIL 23, 1990
Builldins Officiall''
POST IN A CONSPICUOUS PLACE
SEWER'& WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
925 JEFFERSON IaANE
PERMIT DATE :: f ]. h ? •r'
WATER PERMIT # 11725 SEWEA PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS ? ? -
LOT -LLBLOCK 5EC/SUB
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHC?NE:
PLUN'SSER:
ADDRESS:,
CITY, STATE ' ?. " ZIP ,
PHONE:
'
OWNER: .
ADDRESS: ,
-=- • t- . `1 ` ; ..?
=--
'' -
T
CITY, STATE -
'' ZIP
PNONE: - ;
PERMIT REQUESTED
'x SEWER WATER - TAPS
- COMM/IND YRESIDENTIAL
NEW - EXISTING
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
925 .rErFERsaN LA
PERMIT DA7E / 16 ? `: 1',
WATER PERMIT # SEWER PERMIT #
METER # ? .tt B.P. RECEIPT # ?01
B.P. RECEIPT DATE ?3 4 Qn
METER SIZE
ISSUE DATE
:ADDRESS -L?-BLOCK • SECISUB
,.
,STATE
ZIP
-- - ; ;
BER:
ESS:
STATE - '.4 ZIP
? .?
CITY, STATE , i? rtZ1`T?11?ZIP ?:?(
PHONE: '
PLEASE ALLOW TWO WBRKING DAYS FOR PROCESPNi
ENGIMEERING DEPT.
- PRV _ BOOSTER PUMP
PERMIT REQUESTED
?. SEWER ? WATER - TAPS
- COMMIIMD __X RESIDENTIAL
? NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METE SUED
iAA SEWER PERMITS, CCINTACT
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122 ?7,/Jr
J / 651-687-4675 ?
New Construetion ReauiremeMS RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft of lot sq. 8. of twuse; and all roofed areas . 2 copies of plan
(20% maximum lol coverage allawed) . 7 set of Emrgy CalcWations for heated additions
. 2 coples of plan showing beam 8 window sizes; poured found design, etc.) . 1 site suney for exteriw additions & decks
• 1 set of Energy Calculatiom . Indicate if home served 6y seplic system for additions
• 3 wpies of Tree Prpservatbn Plan'rf lat platted after 711193
• Rim Joirt Defal Optbns seleclion sheet (bldgs wifh 3 or less units)
DATE q T?tNO( GO
°? VALUATION 700'
JOB SITE ADDRESS ?Io?.5 T?P/?oh 62,,e_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER JOGc, lk?so4,l
TYPE OP
APPLICA
REPLACE(S) _ 0 X 1 _ 2
PHONE# XS/ ea7 ?S ?g
ADDRESS 9,;s JP-6?&/)'a,. lSNP 49 sK ZIPCODE SS/a
PAGER #
FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
I+ee:
$70.00
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. ?
Signature of Applicant
CEtL PHONE #
Water Softener
Water Heater
No. of Baths
Phone #:
L,awn Sprinkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
CITY OF EAGAN ND 17514
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING FERMIT PHONE: 454-8100 Receipt # ?6,3 d/
Tobeusedlor SF DWG/GAR Est.Value $106,000 Date FEB 13 ,19-90
SiteAddress 925 JEFFERSON LN
Lot 11 Block 2 Sec/Sub. LEXINGTON POINTE
Parcel No. JRD
w Name JOE MILLER HOMES
o Address 18133 CEDAR AVE 5
City FARMINGTON Phone 431-2001
a Name SAME I
?Q Address
? Ciry Phone
?
ww Name
?a Address
a? W City Phone
I hereby acknowlege iha[ I have read this apphca[ion and state that Ihe
inlormahon is wrrecl and agree to comply wnh:all applicable State ol
Minnesola StaWtes and Cny of Eagan Ordmances.
Signafure of Permrtee '
A Bwiding Permit is issued ta: JOE MILLER HOMES
on Ihe express condi6on tha[ all work shall 6e done in accordance with all
applica6le State of Minnesota Statutes and Ciry of Eagan Ordmances
Bwlding Official _ ?]aL) ?
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zonmg PD R=1
(Actuap Const V-N Bldg Permit 661.00
(Allowable) V-N
Surcharge 53.00
# ol Stones
481
Plan Review 429.00
Length
Oepth 35 SAGCiry 100.00
5 F. Total - SAG MCWCC 6oo• oo
S.F. Foolprinis -
625
00
On Site Sewage _ Water Conn .
On Sne well - water Meter 90.00
MWCC System ?
Acct Depoat
30.00
City Watar
PRV Reqwred _ SfN Permit 30•00
Booster Pump - Sryy Surcharge • 50
Treatment PI 252.00
APPROVALS RoadLinit 355.00
Planner - park Detl.
Council
BIdq.Off. _ Copies
Vanance - TOTAL 3, 225.5
?
REQUEST FOR ELECTRICAL INSPECTION
? See i"mcLOns tor wTpleLng ihis form on back ot yellow mpy
M 3 0 9 9 5 %X" Below Work Covered by This Request
`?...-. Ee-ooooi-os
?°/
..?.
Rep TypeofBwlding AppiiancesWired EquipmentWVed
Home Range Temporary Service
Duplex Water Heater Elecinc Heahng
Apf Buiiding Dryer Load Management
Comm./lndustri2l FUrnace Other (Specdy)
Farm Air Condi6oner
Other (specify) CoMractor5 Remarks R
(Y
te lnspechon Fee Below: ?SM?'
Other Pea # ServiceEnirance5rze Fee # CirwitslFeetlers Fee
mming Pool
Z 0 to 200 Amps o ta 100 Amps'
sformers Above 200 _ Amps Above 700 _ Amps
S Inspecror's Use Only \I ?OTA??
ation eooms
cial Inspection
?
rmlCOmmun?cation THIS WSTALLATION MAV BE ORDERED ISCONNECTED IP NOT
er Fee COMPLETED WITHIN 76 HS. ?
Electrical Inspector, here6y R°uqn-?? o [,?' ^
that the above mspection has
ade.
made. F,nai oa?e
•u`F
IISE ONLV esl voitl 18 months imm
XW
y
?0995
m
Request Da?9.,.
n
5(? ire No. Rough-in InSpedion
R
ired? NOTICE: Vou Musl Call Electncal Inspeclor
i A Rough-ln InspecLan
i
/
?? ( V
O N s Requiretl
es
o
I p licensed contractor $ owner hereby request inspeclion of above electrical work at:
Job Adtlress (Sheat, Boz or Foute No.)
as '?J F sol-l c,,,Vz?r- Qry
Sechon N. Township Name or No, Farcje Na County
oTf
Occupant (PRINn Phone No
- 9SYq
a
PowerSuOPher Adtlress
-rl
19
Elecmce
l Cmtroctm ?COmpany Name) Comracror5 Llcense No.
S
Mailing Atldress (Contractor or pwner Makm9 Installation)
Authonzetl Si n VactotlO/wner?a kin In alletmn
9 ='f2 fJc7 ?l'Z . , . . Phone Number
&/ ` ` -5
MINNESOTA STATE BOAPO OF ELECTRICITY it-P THIS INSPECTION FEOUEST WILL NOT
Griggs-Mltlway Bltlg. - Room &1'!3 ? BE ACCEPTi BV THE STATE BOARD
1821 Universiry Ave., SL Paul, MN 55104 1 I ? / UNLE55 PPOPEF INSPECTION PEE IS
Phone (612) 602?0800 ?• - N S h ENCLOSED.
yGa
06487/,4/
fiequest oate Fire N.
3/ 1/ 9 0
Rough.n lnspection
Re w?etl>
ves G Ho
? fieatly Now WJI Notiy Inspector
?nen aeao-y?
I licensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress (Sfreet Bor ar Raute No ) Qry
925 Jefferson Lane Eagan
SMion No. Towns?i0 Name or No Range No County
Dakota
Occupant(PRINT) Phone No.
Joe Miller Construction Co. 431-2001
Power Suppber Adtlress
Dakota Electric Farmington, MN 55024
Elecn¢al Gonlracmr (COmpeny Neme) Conlreotore Licanse No
Midland Electric Inc. 041610
Matling Atl@ess (COmrector or Owner Making Inslallatwn)
14055 Grand AVe So, Sui te E Burnsville MN 55337
Authori?e IGOnVdctouOwner Mdkmg Fstalldli n? Phone NumOer
flR _.
MINNESOTA STATE BOAPD OF ELECTPICITV THIS INSPECTION FEQUEST WILL NOT
Griggs-MlEway 81dg. - qoom 5-173 BE ACGEPTED BY THE STATE BOARD
1621 Unlveqlty Ave., 51 Paul, MN SS10J UNLESS PROPER INSPEGTION FEE IS
Plwne (612) 644-0800 ENCLOSED
REQUWadh*---LECTRICAL INSPECTION
7 ? See instmnions for complatm9 ihis lorm on Dack oi yellow copy
Q. „a? /WCX ?U
? al/? -F H 7 "X" Be/ow Work Covered by This Request ?"-"
ew Atld . TypeofBuiltling ApplianceSWiretl EqwpmentWired
Home Range Temporary Servica
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./Industnal Furnace
Farm Air Contlitioner
Other (spenly) Contmctor's Femarks
Compute Inspection Fee Below*
# Other Fee # ServiceEntranceSze Fee # Qrowts/Feeders Fee
Swimming Pool 0[0 200 Amps to 100 Amps
Transformers Above 200 _ Amps Apove?t00? Amps
SignS inspecmr's Use Only ? T TAL
IrrigaUOn eooms
Speaal Inspection
Alarm/Communicacion THIS INSTALLATION M OR Efi OV6CONNECTED IF NOT
Other Fee COMPLETED WITHI NT
I, the Electrical Inspector, hereby R°ugh-in Date
certify that the above mspection has
been made F,,,ai ate
JiL(/
OFFICE USE ONLV
TM1is requesl voitl 18 months Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
NewConsWction Reauirements
• 3 registered site surveys showmg sq. R. of lot, sq. ft of houu; and all roofed areas
(20% maYimum lot coverage allowed)
• 2 wpies of plan shovnng beam 8 window srzes; poured found design, etc.)
. 1 set of Energy Calculahons
• 3 cropies of T2e Preservatian Plan rf lot platted afler 711193
. Rim Joist DeUil Options selecUon sheet iWdgs wiN 3 or less units)
DATE
SITE ADDRESS 9d,5
TYPE OF WORK I't 0• A?M!TF
APPUCANT
RemodeVReoairReouiremeMS / ?" ? ?
. 2 copies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey (orexterior additions 8 decks
. Indicate iF home served 6y sephc system for addibons
J C?? ?
VALUATION Cj! G G?`
MULTI-FAMILY BLDG _Y 4ZIV
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS `L 7C00 / S" /!7tf Gf/ CiTY
TELEPHONE # 7G3-5%/"63C5y1CELI PHONE # 6.1,2 ^2& -?/SS FAX #
ZIP?j'SAI/
PROPERTYOWNER Zr;Ari `(4r7 d1l ll TELEPHONE# 651-637- 95?9
----------------------------------------°-----------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUL.ES 7672
(4 su6mission type) • Residential Ventilahon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelape Calculations Submitted
Plumbing Contractor: ________ _ Phonc #
Plumbing system includes: _ Water Softener Iawn Sprinkler Fee: $90.00
Waler Heater _ No. of R.I. Baths
No. of Baths
Mechanical Controctor. Phone #
Mechviical sys[em includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhacfor: Phone #
-----------------•----------------...-----°--------------------------------------°--------------------------°--....-°-
I hereby acknowledge thai t have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf I ,,,c- _
------_-------- --------------- ------------- --------- --- ----- ____...---- _----- ------ ---------- -'----
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
FERMIT
CITYzOF EAGAN
3830 F?ilot Knob F1oad
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDTNG
@33812
08/26J98
SITE ADDRESS:
925 .]EFFERSON LANE
LOT: 11 BLOCK: 2
LExINGTON POINTE 3RD
P.I.N.: 10-45972-110-02
DESCRIPTION:
REROOF/STORM DAMAGE
BuApermit Type 570RM DAMAGE
Ba?i3?Type REPATR
A34 ALT. RESIDENTTAL
?i? i?t?tk ?%w nx ?`?# f _ n
? s??
? Rrmm
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - s1`. Lzc. OWNER:
AA AMERICA'5 BEST INC. 17070100 20139703 KENDAL JOHN
2900 INTERLpCHEN DR 222 926 JEFFER50N LANE
SPRING PARK MN 55384 EAGAN MN 55122
(612) 707-0100 (651)687-9549
APPLICANT/PEFMITEE SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 .??
? - 2-
681.4675 L
New Construetion Reauirements
? 3 registered site surveys
? 2 copies of pWns (inGUde beam & window saes; poured fid. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
7PTION _ Yes _ No
DATE: DES OF WORK:
STREETADDRESS: 9aS
LOT: 1 l U BLOCK: SUBD.IP.I.D. #:
RemodeUReoair Reauirements
? 2 copies oi plan
? 2 sde surveys (axterior adCkions 8 decks)
? 1 energy ealculations for heated add'Rions
CONSTRUCTION COST; '-la S 3. -
-
(
t '
Name:
P,l'
?(/tc, I
l Phone k
PROPERTY 1.sst First
OWNER
Street Address:
Ciry State: Zip:
Company:?? 1,V-)L. Phone #: 9C)"')-000
CONTRACTOR
Street Addr ess: ??0? ? i? I ?I
(? ?, I--? 6'l ? ?.? ?j ?
? License #-tD I39 yTd ?
City ??Y/ n-e, (j)OAt- State: Yolki Zip: 5-J 380
ARCHIT'ECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new consWction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the informa0on is Correct and agree to comply with all applicabl
State of MinnesoW Statutes and City of Eagan Ordinances.
Signature of Applicant:
VV - -
OFFICE USE ONLY CerGficates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No ,_ Not
OFFICE USE ONLY . BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 5F Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATtON
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Siories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
O 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq, ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 .Swim Pool
20 Pubiic Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
% SAC
SAC Units
? „., ... 3
. qb 1
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) L SET OF SPECIFIGATIQNS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CDNTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED,
PERMIT MUST SHOW A LICENSED PLUMBER.
f EB 1 2 RESo
To Be Used For: Valuation: I T- V Date: C:9 - 90
Site Address "1a5 ?h ( OFFICE USE ONLY
I D ?, ooa -
Lot ? Block FEES
D 3 M I
Parcel/Sub ?
Oconer
Address
City/2ip Code
Phone
Contractor
Address ??
City/Zip Code
Phone ID,
)'
Arch./Engr.
Address
City/Zip Code
Occupancy -
Zoning pp g-I
Actual Const Y-N
Allowable \I-tq
# of stories
Length 1lB,
Depth 35'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump _
APPROVALS_
Planner
Council
81dg. Off
Variance
S1dg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Paxk Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Phone #
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T RI - LAN D C O.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
wir?l - - ?
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? LOT
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LEGAL DESCRIPTION: LOT II ,BLoCK-?-, LFXINGTON POINTE 3RD
ACCORDING TO THE RECORDEO PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
S89°55'24'
14.54
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SITE PLAN FOR:
MILLER CONSTRUCTION
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EAG-kid
LEGEND
o DENOTES IRON MONUMENT
o OENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby cartify that this survey,plan or
report was prapcred by me or under my
direct supervision and that I am a duly
Reqistsred Land Surveyor undsr ihe
Laws of the State of Minnesoto.
Bradley J. S son, Mn. Rep. No. 15235
Date - Z -/ ?4 J,
o N ?(li
P?N ? N I M ?%
0?
Scale: I"=30'
PRoPo' Puu.f?Fl+`Nr-nio WlVi?vT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 981 °-'
PROPOSED FIRST FLOOR EIEVATION = _3$.7?.
PROPOSED BASEMENT FLOOR ' 17,111
ELEVATION
NOTE' VERIFY ALL FLOOR HEfGHTS WITH
FINAL HOUSE PLANS
Use BLUE or BLACK Ink
r
For Office Use I
Permit
Cinan
of EaRd Permit Fee:
3830 Pilot Knob Road t
Eagan MN 55122 Date Received: '
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
nn 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l~- Site Address: `4_1t1___9_- Unit
Name: L; JJ A tr Phone: to-I
Resident/ G
Owner Address / City / Zip: ! a S
Applicant is: Owner Contractor
Type of Work Description of work: q1,J-
Construction Cost: Jb Multi-Family Building: (Yes / No )
Company: MOLLtS f---Contact: L_-
Contractor Address: R Y3 V J City: A} Lz.. yoc.C~[~ca
V_V
State: lVtl~- Zip: j_/ Phone: tal - 7 -s- 00=c
License _eC 3Y3,4t-17 Lead Certificate
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. m /t
x vS x / C
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138767
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 925 Jefferson Lane
Lot:11 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Eyob Abraham
925 Jefferson Lane
Eagan MN 55123
(651) 340-8684
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature