928 Jefferson LaneCASH RECEIPT ?
°
CITY OF EAGA,. N
3830 PILOT KNOB RQAD • -
EAGAN, MINNESOTA 55122
onle I / is ?/
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?O L ??• ? 1i/ / ? ?r ?''i ??.i?? _: ?? ( ?
AMOUNT S ? ' ; , ?f? ?`• ?'
8 DOLLAAS
'oo
O CASH @'CHEGK
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i I
BY
C 4915 W,,,?? ?„
Yelkwv-?tlrig rop,,
PiMc-FNe Cqpy
Thank You
. _? ?
7-
DATE: 1/23/90
RE: 92$,JEFFERSON LANE, L$, B4, LEX.INGiON POINTE 3rd
xx 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 TO
(LCALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
:Your Sewer & Water Perrnit for the above property cannot be completed for the following
ieasons:
' 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 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 ON POLICY.
Secretary, Building Inspections Dept.
DATE:
1/23/90
RE: 9243 JEFFERSON LANE, L8, B4. LEXING'tON POIN?E 3rd
xx 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 TO
;CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
V ?our Sewer & Water Permit for the above property cannot be completed for the following
asons:
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 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.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICYr
Secretary, Building Inspections Dept.
? , •„ . . , . .
:•.p '?. CITY OF EAGAN 41
D 17348
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4
O
PHONE: 454-81 00 ?
BUILDING PERMIT Receipt #
,
To be u d ior 5F MG/CAR Est. Value $76,000 Date i]EC 1 ,? g_g?
Site Addres5 928 JEFFERSQN LN
Lot -8 Block 4_ Sec/Sub. • OFFICE USE ONLY
Parcel No. RD Occupancy R-3 -11 FE ES
PD Jk
Zoning
=1
W Name LIMROD CU:iTQ:S HOlyE5. I1?1C (Actuary Const ?N Bldg. Permit 532.00
? AddrBSS 280$ wRDM AVE (AUowable) ?N 00
38
Surcharge •
City lSOUNDS VIE61 Phone 784-2556 # ot stories
Plan Review
266.
?
Length
o Name S?E Deptn 421 sac
ciiy 100.00
.
0 Address S.F. Total - 55
0 ¢ SAC, MCWCC ?s.?.+
CIl}/ Phone S.F. Footprints -
Water Conn g???
On Site Sewage _
F
?
?W Name on site wen
-
W
t
M
?
?
_? AddreSS MWCC System _XX_ a
er
eter ,
3
i W CItY Phone City Water ? ?t. Deposit 0•?
20•00
PRV Required ^ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge 1•?
information is correct and agrae to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ord+nances. Treatment PI 228.00
S nature of Permitee _
?9 _ APPROVALS
Road Uni1
340,?
A Building Permit is issued to: LINROD CUSIXM 13OW$. Planner - Park Oed.
on the express crondition that all work shall be done in accordance with all Council
applicable State oi Minnesota Statutes and City of Eagan Ordinances. gldy, pry. _ Copies
8uilding Ofiic'ral ,
Variance
-
TOTAL
2,800.
?
Permit No. Permit Holder Date Telephone #
WATER 9 t; •1?',Yt ?c ? ??'•" ? ?/?7G'
SEWER
PLUMBING
H.V.A.C.
LAL
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation ?
Fr2ming
RooIing
Rough PIb9. - 5 - '• ` \
Rough Htg. ??l9?9Q ?? s So .Ay?
Is,l. LL - z -2- 90 - ,G'
Frepiace
Fnal Htg. .2 L ? d?f-?p ? . ' •
Final Plbq.
Const. Meter .
Pibg. Inspeclor - Notify Plumber
EngrJPlan Z-? ?C ? ?? S c? c?rrPc F?c.. s hd
Bldg. Final 3 ?
/
Deck Ftg.
Deck Final
Well
Pr. Disp.
' •
MECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? •?'
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot " ?
Eil?k
Sec/Sub
' .
? .T ? Res. New
Name Mult Add-on
c
Address Comm. Repair
c
City
Phone Other
Name 1
3 Address '
p City
? TYPE OF WORK
Forced Air M BTU
I Boiler M BTU
? Unit Heater M BTU
? Air Cond. M BTU
? Vent. CFM
Gas Piping Outlets #
i Other
FEE:
S/C:
TOTAL•
,??_-.?? --__?--- ----- - - ° -- - -
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES I
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & .?
REMODELS - 12.00
MINIMUM COMMERCIAL FEE ?
- 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES I
BEYOND $1,000) ?
?
j
?
SIGNATURE OF PERMITTEE ?
FOR: CITY OF EAGAN
T"
' CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Ad ss ' - ' ?
Lot
? Name ?A_rsu rµ'
m
? Addres?js
y `,y ?C,
? CitY
? I Add
c? Cfty
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.54 S/r, PER EACH $1,000 OF PERMIT FEE)
PERMIT # Z?
RECEIPT
DATE: _=/
woRK
MuR. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
PW. FIXTURES
2 w
ci
c
$3
00
t ' TOTAL
$ 6
00
-
.
a
er
ose _
J Bath Tubs -$3.00
_Z lavatory - $3.00 _ • U C?
Shower - $3.00
? Ktchen Sink - $3.00
3 U[ ?
UrinaVBidet - $3.00
? Laundry Tray - $3.00 3 • OU
Floor Drains - $1.50 ? S a
? Water Heater - $1.50
Whirlpod - $3A0
-
? Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMI'T)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?4 Rough Openings - $1.50 •
U. G. SprinWer System - $12.00
PERMIT FEE: 3M
STATES SlC:
GRAND TOTAL: "? ? ? ?
GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , „ I,
N I. ANt
? PERMIT SUBTYPE:
i .
TYPE QF INORK:
tII ,i Pi 11 1 11114
? INSPECTION .• . ..
INSPECTI
REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
.., „I ' ! :1 , ?t ? 1'f nl !
( o1 .' ) wsN Or !3i3
Permit No. Permit Holder Date Teiephone A
SNV
PLUMBiNG
HVAC
ELECTRIC
ELECTRIC
InspecUon Date Insp. Comments
Footings I
Foundation
Freming
Roofing
Rough Pibg. I
Rough Htg.
Isul.
Rreplace
?u
Fnal Htg.
Orsat Test ,
Finai Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Dedc Ftg.
Dedc Final
We11
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN ? PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: l„ l APPLICANT:
t ? I kki H t HNi
PERMIT SUBTYPE:
TYPE OF WORK:
I II I I ;I i 1 NiI '. I I II ' MNI
Permit No. Permlt Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg-
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Conat. Meter
Engr./Plan
Bldg. Fnal
Deck Ftg. 5 x
Deck Flnal
Well
Pc Disp.
e a ?. -J,
A
? (gerttft4 ?te uf (Orrupartxy
Citp of (Eagan
Erportmpni nf Iuild'mg Jmpprtinn
This Certicate issued pursuant to the requirements af Sectton 306 of the Uniform Building
Code certifying that at the lime of issuance this structure was in compliance with the various
ordinances of Jhe City regulating building constnrction or use. For the followrng.•
usecakmsmuon SF DWG/GAR edg. Pe,,,,;t No. 17348
OccuW-Y TYPe fo/lq ' Zonin8 ?w PD/RI TYPe Const VN
Owner of Building LITIIM CUSLYM MM ¦ IlVC.AMe,, 2806 ARI]!1N AVE., Ml[JtID6 VI0+1
Ba'{ding A s 928 '? IAA ?litY? , B4, LMMG= ??E 3RD
Daa: ? ?? 19%
Building cial
POST IN A QONSPICUOUS PLACE
.:.:h...?
2R? ?n
SEWER b WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
EagBn, MN.55122-1897
DATE _ ,?"/ 7 ?
USE
MET'ER # PERMIT DATE 1/2-1/90
CHIP # PERMIT # 11184
METER SIZE B.P. RECEIPT # C 40,15
ISSUE DATE B.P. RECEIPT DATE 12/1 -v)
- PRV - BOOSTER PUMP
: ADDRESS " -'' ? ?°?.S U••J ?N
? BLbCK -1-SEC/SUB - "X ,.... ? ; ..,, ?7 /? •.?-7 F
? ____ 3ed
PHONE:
f
OWNER: _ -`-•?..??. ! ? <,..-,c?_g ??•., c
ADDRESS: -]:) ? ti ? ?`, .. ? . ? . ' ? , ?
CITY, STATE ' ZIP -- ?
.-PERMtT REQUESTED
? SEWER ? WATER _ TAPS
- COMM/IND _ RESIDENTIAL
?- NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I/LGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
: ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEER{NG DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE - , .i.cJ p7? 7?
? OFFICE USE ONLY
METEq .t `f 3 5 I3 / 03 PERMIT DATE 1/2? 190
CHIP #61 3 7100 Z2 PERMIT # 1 l.1.f34
METER SIZE B.P. RECEIPT # 4915
ISSUE DATEa-27 I 1 d B.P. RECEIPT DATE 12 1/ 89
_ PRV _ BOOSTER PUMP
SITE ADDRESS
LOT `X_BLCCK i SEC/SUB ?' -?' ? ? ? ?? i .• •??
? ' - 3F'W
APPLICANT: C:- ? ? ? •. Y / , r ??.y,. ?- -?? `
ADDRESS:
CIIY, STATE'?'L "S ZIP ==---
PHONE: ?-
PLUMBER: t.?l n.5• ti
ADDRESS: ? U "'` - ? -.? l %
CITY, STATE ZIP
PHONE:
.
OWNER:
ADDRESS: e )
CfTY, STATE ZIP J
PHONE: (-
?ERMIT REQUESTED
- S EWER !ATER TAPS
- COMM/IND `--' RESIDENTIAL
_"EW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water line.
Credit WILL N07 begiven for Deduct Meters.
1 A(3REE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 1645220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
- CITY OF EAGAN N2 17348
3830 Pilot KnoB Road, P.O. Box 21-199, Eagan, MN 55121 J
BUILDING PERMIT PHONE: 454-8100 Receipt # b a `C i(p 1,5
)
To 6e used for SF DWG/CAR Est. Value $76, 000
Site Address 928 dEFFERSON LN Lot 8 Block 4 Sec/Sub.LEXINGTON POINTE
Parcel No. RD
w Name LINROD CUSTOM HOMES, INC
3 Address 2808 ARDAN AVE
0 City MOUNDS VIEW
Phone 784-2556
iF Name SAMF.
o° Address
U? City Phone
r
ww Name
?
Address
aw City Phone
I here6y acknowlege [hat I have read this applicaUon and state that the
inforcnacion is correct and agree m ty with all a pl ble State of
Minnesota Statules antl Cdy oi ga mances. /
SgnaWre of Permitee
1989
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zomng PD R-1
(Actuap Const V--N Bidg. Permit 532.00
(Allowable) V? Surcharge 3$.00
# ol stones
46'
Plan Remew
266.00
Length
Depth 42 ? SAQ Qry 100.00
SFTotal - SAC,MCWCC 575.00
5 F Footpdnts -
OnSiteSewage _ WaterConn 580.00
On Ste Well - Water Meler 90 _ 00
MWCCSystem xx_
Aul Deposit
3?•??
CiryWater g?
PPV Reqwrad _ SIVJ Permit 20.00
Booster Pump - SMl Surcharga 1.00
Treatment PI 228.00
APPROVALS Road Unil 340. 00
A Bwlding Permit is issued to: Planner -
L TOM HOMES. I C ParkDed.
on Ihe express pondihon ihat all work shall be done in accordance wilh all Council
applicahle State of Minnesota Statutes and City of Eagan Ordinances. eldg Off. _ Copies
Building OHicial :Oli A_qjr' 1? Variance ? TOTAL 2+80D•00
m
M 35358 g
Request Date
n ire No. Rough-i specnon
Reqwre r NOTiCE: You Must Call Eledncal lnspecror
If A Rough-In Inspection
l?j??-?'l? ?[}Yes ?NO IsPeqmretl
IIA licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlCress (Street, Box or R te No.)
e, Qry
E c?=n
Seclion N. Township Name or No Rarge No Counry
w V
Occupant?PRINT) .(? Phone No
PowerSuppher Addrese
Eleclncal pontractor (COmpany Name) `
b%fts Q.? d ? O ?. Con[ractor5 Ucense No.
" l V W
Maihng Atltlress (COnVaIXOr or Owner Making
Installatron
o ?s1o?
?-
, -?
?
M
a7 s
Authonzed Sgnature (COnlractoAOwner Makmg Installa on) Phone Numb r
aa -a 333
MINNESOTA STATE BOARD OF ELECTHICITV ? 1 ?\1.? ?• IIS INSPECTION PEOUEST WILL NOT
Griggs-Mldway Bltlg. - Room S193 BE ACCEPTED 8V THE STATE BOARD
1821 UnivereiTy Ave., St. Paul. MN 55100 UNLESS PflOPER INSPECTION FEE I$
Phone(612) 642-01100 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION "`?"`??- ee- o
? See insWCnons for wmpleting this lorm on back of yellow copy ? ?/M 35358 X" Below Work Covered by This Request
ew Add Rep TypeofBUilding'- AppliancesWired EqmpmeniWired
Home Range Temporary Service
Duplex Water Heaier Electric Heabng
Apt Building Dryer Load Management
Comm./Indus[rial Furnace Other (Specdy)
Fartn Air Conditioner
Olher ispecify) Contractor§ Remarks??
?v
Compute Inspecnon Fee Be7ow:
# Other Fee # ServiceEnirance5ae Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Sig11S Inspector5 Use OnN ? TOTAL
Irrigation Booms / 1? D ,? - p
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certifythattheaboveinspectionhas
been made. Finai oare
OFFlCE USE ONLV
TTis requeat void 18 moMhs irom
-
In
9
Raqueet Oale
1 _ p' ?O
U Fire R -?n Irispection
qVGV?ed9
? Re2tly Now ??I
Notify
G?
? hen
IIkensed contractor ? owner hereby request inspection of above electrical work aC
Job Aatlress Bhee[, eox ar Fame No ) Ciry
928 JEFFERSON LANE EAGAN
Sechon No
Township Name or No
Range No
Counry
I DAKOTA
Ooaupam (PFINT) Phone No
LINROD CUSTOM HOMES
PowerSuppher Atltlress
DAKOTA ELECTRIC FARMINGTON, MN.
Elecincal ConVaclor (Company Name) Conhador's License No
MIK-LYN ELECTRIC CO., INC. A 40329
MaJing Adtlress (Convactor or Owner Making Installanon)
1305 JEFFERSON HWY.,CHAMPLIN, MN. 55316
onze igneture (C vamorlOwnar ek q inst I Phone Number
? 421-7714
MINNESOTA STATE 60?OF EIECTRICITY ? THIS INSPECTION REOl1E5T WILL NOT
Gtlggn-Mitlway BIGg. - m 5473 BE ACCEPTED BV THE STATE BOARD
1821 PMne (612) g66I-0800SL Peul, MN 55104 g O- O O H UNLE55 PROPER INSPECTION FEE IS
ENCLOSE?
??./? REQUEST FOR ELECTRIC LPECTION ea-oaom-m
? See instmdions for compleLng ihis form on back of yellow copy A
??d
"X" Below Work Covered by This Request '????
C? _`
11?97 ?
ew Atltl Rap Typeol8utltling ApplianceSWired EqmpmentWirBd
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speaty)
Commllndustnal Furnace X LIGHT FIXTURES
Farm Air Condi6oner
Olner(spemty) ConVacrorS Remarks
Compufe Inspection Fee Below:
# Other Pee # ServiceEniranceSae Fee # Qrcmts/Feeders Fee
Swimming Pool 0 to 200 Amps o ta 100 Amps
Transformers Above 200 _ Amps Abov Amps
Sgns Inspecmrs Use Only TOTAL
Irnganon Booms ?? 6 0. 5 0
Special Inspection
Alarm/COmmunicanon TMIS INSTALLATION ApAY BE H RfD DISCONNECTED IF NOT
Other Pee COMPLETED WITHIN 78 M
I, the Electrical Inspector, hereby Rough-in , . t oaes ill 0
certify that the above inspection has
6een made F,,,ai ? A` oate
OFFICE USE ONLY
This raquest vmtl 18 momhs imm
CITY1 OF EAGAN
3830 Pilbt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
f •.+
PERMIT TYPE:
Permit Number:
Date Issued:
, ?
?6/
6uz?oING
022158
10/05/93
SITE ADDRESS:
P.I.N.: 10-45072-080-04
928 JEFFERSON LANE
LOT: 8 BLOCK: 4
LEXIN6TON POINTE 3RD
DESCRIPTION:
,- ?(GAS)
Bu'ilding'-Permit Type
Building bYO?rk Type
?
<
? -\
i ?
r
- . •\ti ??
V,
?
FIREPLACE
NEW
i ?n ? !?
?C?1 C? ??J
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - APPlicant - sT. LIc. OWNER:
HEAT-N-GlO FIREPLACES 18900758 0002960 KLOEWER JEFF
3850 W HWY 13 928 JEFFER50N LN
BURMSVILLE MN 55337 EAGAN MN 55123
(612) 890-0758 (612)454-6719
I hereby acknowledge that T have read this applicaCion and state that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and City of Eagan Ordinances.
?
I
_wi f?. 1 rll??_ l, t?_
APPLICAM/PERMITEE SIGNATURE ISSUED Y. 5 NAT E
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: s BLOCK:
- 928 JEFFERSON LANE
LEXINGTON POINTE 3RD
PERMIT SUBTYPE:
FIREPLACE
?
?
PERMITTYPE: guzLoiNG
Permit Number: 022158
Date Issued: 10 / 0 5/ 9 3
4 APPLICANT:
HEAT-N-GLO FIREPLACES
(612) 890-0758
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
f?. xlir.; ? .?'1 , ii,lt; h
?
t ?
.,
, ? .
' I(I 1 I i
?
?
REALTINATE.?
PERMiI' i
711*4
CITY OF EAGAN 1
1993 BUILDING PERMIT APPUCATION
681-4675
AMILY
SI 2 sets of plans, 3 registered site surveys, l copy of energy
calcs. .
2 sets of architectural 5 structurat plans, 1 set of
7 specifications, l copy of energy calcs.
Pena1) when permit is typed, but not picked up by last working day of month.
lot change is requ ested once permit
3
d
)
or
in ws made, 2) address is change
request
is i
Date /U Valuation of work lq-
Site Address:
sr t wcTe r
Tenant Name: (cortmercial only)
IAT BIACK ? SUBD. Y.I.D. N
<wi
Descri tion of work: Z tb o fm"
The appl icant i s: ? Owner ? Contractor ? Other (Dsccribe) .
Name 161 0`eU) YU JP?? Phone ?/5'k 6 - Z/L
Property LAST FIRST
Owner Address lZ?)Lta?, iia) (--'1 -
TREET ITE r
State l?tl&l Zip _???
Lity
Company Phone
ljrf1t4 License Exp.
Contractor Address
State
LL_ ZiP
__
City
Company Phone
Architect/
Registration #
Engineer Name
Address
. City State iiP
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
d this bl
nofnMinnesotahStatutesnandmCitynofs
t
iSt
l
i
d
k
y
a
e
icae
app
th all
agree
to comply w
and
correc
t
Eagan Ordinances.
5ignature of Applicant: ? u-
? CIYY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
928 JEFFERSON LANE
LOT: 8 BLOCK: 4
LEXINGTON POINTE 3RD
p.I.N.: 10-45072-080-04
as c? s ?
BUILDING
023679
05/25/94
DESCRIPTION:
r ..
Building•Permit Type pECK
Building Work Type NEW
>> `
\ t\
.? . /,
-VJLi ?
REMARKS:
V.
FEE SUMMARY:
Base Fee
Swrcharge
Total Fee,
$30.00
$.50
$30.50
CONTRACTOR:
OWNER: - Applicant -
KLOEWER JEFFREY
928 JEFFERSON LANE
EAGAN MM 55123
(612)452-5600
I hereby aoknowledge thet I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
IL
l?/Y1.?,?0l, l ?-?-'?`-'-` Y
APPLI ANT/PERMI EE SIGNATURE
nNia A'QA ?
ISSUEDBY SI NATURE'
I
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITEADDRESS: Lor: s BLOCK:
928 JEFFERSON LANE
LEXINGTON POINTE 3RD
PERMIT SUBTYPE:
DECK
F
L
PERMIT TYPE:
Permit Number:
Date Issued:
a APPLICANT:
KLOEWER
(612) 452-5600
TYPE OF WORK:
I I
. i., ,
BUILDING
023679
05/25/94
JEFFREY
NEW
?
?
,?o.?a
cinr oF EAGaN f?G [?OMG?
1994 BUILDING PERMIT APPLICATION
681.4675 r?AY 19 1?94
-------------- I
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
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 ULL?_ / 13l /(oIGL]_. Valuation af work
Site Address: 're_A??f"_"_Ic.trv
STREET SUITE #
Tenant Name: (commercial only)
LOT U BLOCK SUBD.
J P.I.D. #
Descri tion of work: 4d-di rlY-, 6 C- i4 x2-22
The applicant is: "*VfOwner ? Contractor ? Other (Ueseribe)
yS4 '':4_1 1- 1
h
WLC"
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g
??c?
w
n P
one
Ifz11.I
,
Name
er :jPk?l
c
Property LpST FI5? L.62-SCeGO
Owner (?
Address ?? a't"F?-VSaY-\ Lat.,Q-- CWzY&I?
STREET STE #
City C GIc'\state N-A NJ Zip SSI 23
Company 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 haz 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 Ordinances.
Signature of Applicant: 1P•?.VL?? I??-?'?'?
Scale: I"=30'
-?-
L.?: ?
.?
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA.:..
? .j ;.
,`E\ERS oN
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R=143.32
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1989 B[1ILDIHG PERMIT 9PPLIC6TION
CTTY OF E6GAN
IV1,541
SINGLE F9MILY DWELLINGS MULTIPLE DWELLINGS COHAlERCIAL
2 SETS OF PLANS 2 3Ef3 OF PLANS 2 SETS OF 9RCHIiECTURAL
3BEGISTERED STTE SORVEYS @EGISTSAED 32TE SOR9EYS - 8 STEDCTIIRAL PL9NS
1 SE1' OF ENERGY CALCS. (CHECS iIITH HLDG DIY.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALC3.
MULTIPLE DWELLINCaS AENTAL QNITS FOR SALE IINTTS / OF ONITS
DTOTEs ADDRE5SFS POH CORNER LOTS - CONTRACTOH/HOMEOfiNER !lOST DESIGNATE iiHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOHED ONCE BIIILDING PERMIT I3 I3SDED..
SEWER 8 N9TER PERMIT FEES 9ND 6CCOONT DEP0.5IT FEES i1II.L HE INCLIIDED,WITB THE SOILDINf3
PERMTT FEE. PROCESSING TIME FOR SfiWER AAD W9TER PERMITS IS TWO D6YS ONCE A PERMIT H6S
BEEN COMPLETED INDICATING A LICENSED PLUNIDER.
PENALTY APPLIFS WM: PEAMIT IS NOT P9SD FOR IN SAME MONTH IT IS REQIIESTED.
LOT CHANGE I3 BEQIIESTED OHCE PEEMIT IS ISSIIED.
NOY 2 9 19&9
/? ?±?CT
To Be Used For: S'in?,'F?in/t y.C l Valuation: .??/?Date:
Site Address 9pp T?F<E?56/v .lnv
Lot (J ?Block -?t
Pareel/Sub L?x,.U47111,v7E,3'aA,0
Owner
Address ?-$6P /f,eDAA-' /9vc--
City/Zip Code 6uND.; 1/1sEcu 55112
Phone
Contractor _Sf}/vIE
Address
City/Z1p
Phone
? 6, DOl7 - .... _.,.. ...,.
Occupancy R-3 M -l
Zoning PD R-l
Actual Const V- M
Allowable V-I-1
# of stories
Length ?
Depth 42.
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City vater =
Code
PRY required _
Hooster Pump _
APPROV9LS
Planner
Arch./Engr. AJ/lN
Address 04?e611ELdIN? 4,r-
City/Zip Code
Couneil
Bldg. Off.
variaacg
FEF.S
Bidg. Permit 532.00
Surcharge B,OD
Plan Review Z ?OD
-
SACO City 100150
SAC , MWCC 5 75?a0
Water Conn ?00
Water Meter D;ao
Acet. Deposit 30,00
S/W Permit 20.00
S/W Sureharge 1.00
Treatment Pl. 228.00
Road Unit a4o.oo
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL •O
?SI / `&1
Phone B 79 4 - 8'$9oZ
vALuATIoN
?
R ?
GAR,a,?
?
z2Xz2_`faq xis=
SSY11T,
2o x yp = 800 .
lDX(?= ?o)
'740 K I1{ = 10360
Isr
?DJ?4o = Sv?
Ixi2= i2
z4x 1?= ?3?
12 yt 7 ? ?? `I?
- ?--
(gox 50 = 56? ooa
?
756?. o
11
.. ?. ?'jsi(. 5.... . .., .. . . ' , . . ` '
? ?,' , ?•. ?, ? EXTERIOR ENVBLOPE AVERAGE ^O° CO[+IPUTATION ?, - , ; . . • ? .
' •..? ,•" (To be submitted with buildinq permit application) • ? 1
1 .
One or two family dwelling `? owner.- '
All other
-
Site Address L oT 8, 15w?_ K y,
L?c
?NG7o
N
Poi+? 3eQO anr Rt_, .
f
u a n r, ?J u in F°.
'(7ontractor? Date / R 9 Phone
.
LINEAL FT. OF
+ + # +
• + + + abobe grade = lin. ft
+
gXPpggp wu,I,
- -- - -
TOTAL EXPOSED WALL AREA
ppAQ08 VPALL COZiSTRUCTIOr:: "U" value x area
(V)
(A)
oUw x sq. ft. ,
. t 1' ! rf 14 QCC1 "U°
l X sq. ft. /jjOG ° Zd,f7 (U) (A)
DeEail reference _,
"U",ov7 x sq. ft. Iy2u,4s' ° G?94 (U) (A) .
_ froin . .lUo .0Y4 X sq. ft. (U) (1?) ,
attached sheets I?z,...„ ;. ,? ,, "U" • LO x sq. ft. lSl G 7 = lS, Z L (U). (A)
?x sq. ft. (U) (A)
. "Ulf x sq. ft. _ (U) (A)
WINDOWSs "U" value x area
'
lf
" `
_ (U)
(A)
Make & type x
U sq. ft. .
? • sq. ft. '1`'.i•'. ° ll?l.?l (U) (A)
n » C 17t nUn x sq. ft. ° (U) (A)
"U., x sq. ft. _ (U) (A)
DOORS: "U" value x area
"
"
f
°
(U)
(A)
'
-S type
Make
• " I ?t
x
U
"U" x
sq.
sq.
t.
ft. 32' ?.GL/
(U)
(7?)
. °Uu X sq. ft. U
(
) (A)
M
n ?T}?w5 ?J! 7//?.?(' $Q. ft. ?
1y (V) ?A
(A) VAWEg z? ?. ? sr a
?? (n) , ? v AVG. DIU" . . .?
DIVIDSD HY TOTAL SQALL AREA Z.J DUClU
?
Avq. "U" . Value, Stata. Code
? ? k
1t00F/CSILINGi • . . ' 2 7 1
'e"' . .
• / 5
TOTAL AREAs I l"/?. UU sq.
ft.
^U° X
S
ft
(d)
(R)
;;
?
Detail•reference
f1'OID iI44c , /r. Si?L nUu ? ? X Q.
8Q. .
ft. (D?
(U) (A)
(A) -."xi
? -
q ?^ f ?te
ets
?
•
h
R
h
d
?.
"" ?I ' X
?1
sq.
ft. II9.W U
,
.
.
?
.s
e
c?g
e
attae " _ • (U) (A)
' Describe openiaqs x
"U
n sq. ft.
° (U) ' (A)?
is s'oof x
"o sq: ft.
. TOTALS 1l 72. C, U Sq. ft. 3'/ • 09 (U.
_ ?8 .
TOTAL (U) (A) VALUES =' . UZ?I AVG. "U^ .
DMDED BY TOTAL ROOB/
CSILING AISJ1 k6Au9• "U" Value, State Code, Vented
.lO,Avq. "U" Value, State Code# Unvented
, . ' .?, .
..«?.:.:."
MINN8S0'PA ENERGY CODE MAXIMUM
STU LOSS THIS BUSLDING
21110,10 SQ: FT. OPAQUS WALL 64,? Z , V
1171,00 8T. CEILING
sQ, rT. vrrvENT czc. @, 1o -
TOTAL BTU TASS/HR./SQ• FT./ '
pEGREB OF TEMP • DIFF'ERENTIAL ° ?i• 'i .7. l
. ' :
? .
mxxs svxLn
BTU LOSS
U'(--
' :
Z,, 1 .
rI
(9 . '.?
3 4
rxMr?a?n ?: . . ?
: HOMB D@810N ?
• .. .?, . . r+
' • . PLAN SERVICE ?
? ._ . •? ' ? . i.
.
;
WALL SECTZONS
- NOTE: Use lOt of opaque wall area for
frame construction ,
--
?
t:
71ALL
RIF
FIG. #1 ?^',_,. • . '? ,., FRAtdS P7ALL
E ;'. y{ . .
S.
t?
?a:?? -
FIG. # 2
:>..
11
:Floor sll
?
«j FO'JNDATION
" ?JALL
.?
.:;
•i.:
st
??.
n,.
sV; O.e•.
?r
. 4•'t'`•?
• •.
'.
.'A -°e /1'
SLAB ON GRADE
i
. . ? .
.
I . O ? v y?
a •
0 , ?e
ryi . C`. ? ?. C9
Y? 1
- --lJ
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o . -
•.°111---
' o
? . 4.?
. . Q .Y?.
:o - 0.
6
, nUn v 2
R . . ''f
< 3?'
Constxuction R-Value R-Valu;
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
5.
6.
1.
2•
3.
4.
S.
6.
? 1.
3D ' 3.
E) 4.
5.
6.
I
,. , ..
NOTE:
I'
0.68.4
0.17,
"A
1 .x
uUn ° = "U" °
?-
-:
? :K,.,
0:68:
.
,..r
0.17;
Total
,
^Oo a i °i8N7 "U" = 1 fl
rl'.°
?
0.17
Total
nUo a 1 v?W %ntUn DO
interior air film 0.68 0:68
A
I??'C4n??,?
Exterior air film 0.17 0.17
TOtal
nUn a 1
a i?() iiUu
3 1
v ' ..1
:f;?.i
ry?ry3 .
'i- • - ? ? ' ? ??
? _ . . . .
?
? ?
--- ? a . • : , , .•
o
. i
' '
fll
_ • • . .? : ?
?
. III . •p °. • .. . _` _?
,
Indicate typa, "R" value, depth an8
placement of insulation.
? • `av'?''. ?
P00!/CSILINO
?
\
r?.
s;
?i
ii
iR
?;
?Gr'
Vented.
_ Fic. # ls C
FIG. # 16?
4
Heat Flaw Up
FIG. + 7 .
? .'
.,
i•
`t>. : w ??t; •.
? ??' H26. ? 8 •
; .' : v g<
f.: - --? --
,. ' . ?:
Eeat
Flow IIp
?
. . .. ,
? . :..
--'• ... ?:.;:c<.?.--•--
' . I
nVa . ?
Oonstruction
1.
2.
3.
4.
1.
2.
3.
4.
5.
1.
2.
3.
4.
' ; "{•..r . .
3 t.+ ? ?..1• n'?
?I
? .
R-Value R-Valuet
k
Interior air film 0.61 0.61 .
7
Nc '
1
sir
Exterior filra (st}11) 0.61 - 0.61
Total
?
IIUO m ? 9 ICi I „yp 1 0 .l j ?
Interior air film ' 0.61 .,? 0.61 '
}
cora cepth l' ' , ,1 N- 3 8
Exterior air film (still) 0.61 0.61.
Total (e, b
1 ?
"U's
;.;
Interior air film 0.61 0.61 '
Exterior air film (still) , 0.61
Total
0.61, '
-?.
1Y ?
1 • ? ?
1
nUn e v
"U" ?
•
',
1. inaide air film 0.61?i
0.61
2.
3.
4.
5. Outside air film 0.17' 0.17 °.'
1bta1
' 1
??
1 ••
epn
?, e
p
UN r?r :
,?
ft '
• . .elx`?vV.:. +?Y.
NOTEs Use additional sheeta iP more space'le
needed Por detaile and calaulakioas•
uHeat Flow Op Vented
.• . ? . - ? W16i Uflu Yuocaa.ary-n?rw?ca va augaw ... q.....?..??? ?•.-._'? -• ?__'
DESCRIP'!IOl1 '. ? . ,- . •. UDi2T S4 FT/UDIIT..:• ;.
r .'
F? . .
'',•i?-:-u:. ?:h`aej:?
:yJ?': r?• • ??
?".
Ys,. ?.:P,?:?i"•...??
.?_.
. . . •. : ? . '> 'S? ? ? .
q.uo
g, 3
•s'4 0
TpTAI, WINDOW SQUIIRB FSST
" '?,•. f
"Um RdLed @
`= -?'`?3Fi,' • . . . ?. ,
' • En
? ??
y DDOZ9 With IASUS8LEd GS889 Figure Glasa Area With Windorra
Entry lfiits With Side Litea List Side Lite Only Separately-Double Door Eqmls 2_x.Single?
:. -v -
DESCRIPTION UNIT TSC ?FT/UNIT TOTAL''84?F'P ;.?
?
a
;;j,
:
. F' .
!
. TOTAL DOOR SQUARE FEET 4
.?7•7y ? .
? i noor ^v" Rat3ny ? e 2
Side Lites ?
- ------? • ;
QTY DESCRIPTION SQ FT/UNIT TOTAL SQ FT
,'
S1de' L3te "U« ?
- -RaiHd - ? s
di. TOTAL SQUARE FEET S U(, ..5? -j:•,?
;
`;. . . . . .. , . . . .. . . .?..?
.
' Yatio Doors . ?
;
;f • . ?r§
QTY
...?
., . -
1
.. ...
.
:
a
•i .?= ..
.,
ffiSCRIPTION
ti
.
'V" 'Aated . , ?r'?
UlIIT QTY S FT UNIT TOTAL S4 F'P
TOTAL PATIO DOOR SQ011R8 'YEET
?'4?... . :. . . . .. : :
iQ/f?i6d ?
HOME CHiSiGN
!
PLAN BiKRVICE '
. •
,,..
,? ? -?- - ---- --
,
?? ... ., . o-:SF' ?.• _'..? ..,:'.. . . . . . . ' _?F."A • "?,8
;?? , ' ?? .'?i.°..':,''+.;:i:?1???Y."r': ' • ma. "• . ` k?
. -.:??; - . ..eY.:•y;. . .. ..f.;,;1 ? . $
z=c^??Y;i.„H?MB
y'„ ; r.? . ... : . • . WALL AND CBILING AREA OOMPUTATIONS :'?? • , ? ; '
.y t:? `'4'?.; i''.•: •?,4:?..''. .-", , . ,;?x.:r _ .7'y?,.
?t,.y'?'Y,?^;Fyk'?v4• .. : . . . . :..:.:..::, . . '?, . .
?? _.. PLAN'bicavrat.
4, .?.r,iy,_:.i , ;.?.; . . •. .' ,' nb 8leura Stud Wail Area . ".' : ..
,:; . ._: ',?:?:. ?irv.... , ". ; ... •. . IG1P'.OO..;ca?,..>_. ,;...,.-
?x: •. ?
••..sq.^,•
?;•..Standard stud wall incl, plata- •,0 • sq. ft./lin, ft. x.? 00' lin, ft, aalln.,
Xnee:atud wall incl. platess¢;r8f sq. ft./lin. ft. xj'/ lin. ft, wa11-Zy?,RU,eq. ft, wall?
Ot1?er.stud rvall incl. p1Ft.esa sq. ft./lin. ft. x lin. ft, wall- sq. ft, wali
... Other stud wall incl, pletes= sq. ft./lin. ft, x lin, ft. walla eq,,ft. wall?
r; . TOTAL • .Ie?e . ' ? 1
Stud And Plate Area
n Total sq. ft. stud wali area includinq knee wall area sq, ft,
:i lOt total stud wall arejtg sq. ft. atuS and plate. This percent alla+ed by atatA,
Rim Joist .. ; ,
kI . ; . . . ? .?
.i.tn. ft. rim joist fGt. x? aq, ft./iin. ft. z'3m jo18t asq. ft..rim Joiat "
: Lin: Et. rim joist x sq. ft./lin. ft. rim joiat a sq. ft. rim joiet i
>i Lin, ft. rim joist x sq, ft./lin. ft, rim joist = sq, ft. rim joiet ,.i
.:? .
t; • .. . ;,;a
8xposed Sasement Block
,I Inchee above grade x.0833 x /S! lin. ft. wall -s4. ft, block ? i
Irtolfes above grade x.0833 x' lin. ft. wall - sq. ft, block '
;i inches above qrade x.0833 x lin. ft. wall a sq, ft. block ?.!
i-InCheH above qradH x.0833 X lin. ft. W811 - sq. ft. blOCk .,p ? '
? inchea above grade x..0833 x lin. ft. wall ? sq. ft. block --`.
Iaches above qrade x.0833 x lin. ft. wall ? sq. ft. block
Inches above qrade , x.0833 x lin, ft.•wall ? sq. ft. block
?'? • Net well Areas Is2. G` ,
i
70ta1 etud wall area Sasement block area ' • ;+??
:i Lesa w4dowe J yy; Plus azea aell
" ?^,?:•,
Leea doors Less windowa
i Lesa gatio doors Less doors
? Less stud and plate ico Less fireplace
? Lesa fiseplace ----• TOTAL BASEMENT BLOCK AREA 152, (e
TOTAy • , y? : i c / • ,
' . .F"
r
. Ceilina Joist or Cord . ,
: Nimber of cords or joists ? x a?(' _ lenqth - /.?,t')' total lin. ft. x.125 -'?sq. :f
Nwnber of cords or joiats ? T x2'„ 'length = T;_) total lin. ft, x.135 a • sq.'.f
Number of corda or joista x,"i lenqth =/G b total lin. ft, x.125 - sq. f-
i o - Sys,ao ?. 4e8,13
Ceilin4 As'ea
. ?,
y''t,.CA11111q N3dth x c8111Hg letlqth a ' .7 sq. ft. Ce111riq • ^' i:?
F=+'iCellia4 N1dth: x ce111ri4 len9th ? sq. ft. C811inq
, ryY?,: ?.??... •-:":",?.:s:yr;n
?
.!7 r sq. tt, inaulated ceilinq???.YRx
;.ft, ceiling less sq. ft. cord !`A 1' -
;-: Sq:.;,ft. ceilinq less sq. ft, cord s sq. fE. lnaulated ceilinq':
•. f?*'. : ' :
.
FIRSPLACB ' • `:r,
;?` . . • '
i?•: ..?:, ' . . , . • ' . . . , .....?;'i`.??,:`S'^I
;y Opening width x openinq height • ? sq. ft. fireglace,'•" ,:.. ,
. :•: '?ti..J.??r ?e
.,
..
;::;N'`"`"' ..-•--. .._.? __.. -- __?_._._.__.?,.,. --- --- . _;".- '?.ii;
;....
..
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.. ..
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t?. . . y_ ? ._,?
C .'
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. . ,.:
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1 \?6`"1
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 4 651-675-5694
41 -1o po
New ConstNCtion Reauirements RemodeVRepair Reauirements Office Use Onir
3 registered site surveys showing sq, ft. oi l04 sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y_ N
(20%maxunumlotcoverageagowed) lsetofEnergyCalculaGonsforheaEedadditions TreeP2sPlanReai _Y _N,
2 copies of plan showing beam & window s¢es; poured (ound design, etc. i sife surveyforadd'Aions & decks Tree Pres Required _Y _N
7setoFEnergyCalwlations Add'fion-indicateifon-sifesepticsystem On-siteSeptkSystem _Y _N
3 copies of Tree Preservation Plan N lot plafled aRer 711l93
Rim Joisl DetaJ Options selectlon sheet (buildings with 3 or less uni[s)
Date !5 Cons uction Cost ?? ? v?
Site Address ?.Q Unit/Ste #
Description of Work Q Q W s(\Ac, A A S LAO (n'--1?/
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ Z I
Pro
ert
Owner Telephone #6s') 7/
p
y
RENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD "C" WEST
Address ROSEVII.LE, NIN 55113 City
State 651-264-4777 Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cafeeotv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted - . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl in the case of work which requires a review and
approvobf plans. ^ 1 n
ApKicant`s Printed Name .q'pplicant s Signature
??.?e,saa iuv ic.o? r? tOO D/t •440D '
?rr?t, ?r attuntcntur re ?,? . ?.?, . -
. runa t 2007 - Cuy of Eagn "
3836 PiIcrt Knob Raad '
PAM MN 55122
. To VVhom k May Concerrt:
Etder 7ones is authorized to pto
Ei b??g ?ts forRene,,xal
dor loncs to pnoR•idc this scr'vic? for ua in byAndDv°I'- mease cow
sen .`thia eu8iatizatitm is vatid far ?y
date beyond 06101: untii a?`onewal by AaderFAign
W the City- ?Ear m?s1Y revokes it tn ariiting
?? ?is autho3szation bc accepted-expedi?ousT . as W uot delay in te- ?..'
? Ponmixs aaY fvxdcz. E2casc caII mc ifthc? u+a dng af
contachxl az'f63 502-470b_ a?Y qttcutona.. I'can lxi
Your immqdiabe attcntion to tWs mattcr ls ar?_ ' . .
Sinoeialy,
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astalIarion Managcr
Rcnowa( by Andason CorPvratiott
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Received Ti?e Jun. 1- 1'01PM
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TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
LINROD CUSTOM HOMES
LEGAL DESCRiPTION: LOT_$..,BLOCK4 , LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
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LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
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PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION = --b -/
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby cerfity that tAis turvsy,plan or
rsport was prepared by me or under my
direct supervision and fhat I am o duly
Reqistered Land Survtyor undar the
Laws of the State of Minnesota
Brodley J. $"r}wn, Mn. Req. No. 15233
Date ? ? ? Z'?` ? %-?
Scale: I"=30'
Use BLUE or BLACK Ink
For Office Use G I
~ Permit#:.~~ 009
City o Ei ((d ~ a r
Permit Fee. 1
3830 Pilot Knob Road I ii
Eagan MN 55122 Date Received: 1~ 5
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: 92 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ( olk- Site Address: q7? Q1n I A.) t~a5ltA Unit
Name: Phone:
Resident/ Gj @
Owner Address / City / Zip: t C7 GtJ< 5V.,1 )/J Coe
Applicant is: Owner /K Contractor
Type of Work Description of work: CC f `y°0(-
Construction Cost: Multi-Family Building: (Yes / No 1)
Company: J C 0 K K l/',- ~C'6, Contact:
Contractor Address: 308 p S City: P.
State: ISO r
Zip: J V Phone:
I ff
f License _ b LOG G I -L, Lead Certificate
t
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
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.oro
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. ""k
x_ I t,11 dAL&-N x .
Applicant's Printed Name Applicant's Signat
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165426
Date Issued:11/02/2020
Permit Category:ePermit
Site Address: 928 Jefferson Lane
Lot:8 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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, Mark Anderson at (952)
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 -
Matthew J & Heather M Thaller
928 Jefferson Ln
Eagan MN 55123
(952) 210-6710
4front Energy Solutions
3230 Gorham Avenue, Suite 1
St. Louis Park MN 55426
(952) 933-1868
Applicant/Permitee: Signature Issued By: Signature