929 Jefferson Lane7^ DATE: 8/9/89
I -
RE, 929 JEFFERS014 LANE, L10, B2, L6XINGTOH PO1NT 3rd
R
xx Your Sewer & Water Permit far 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.
, T Your Sewer & Water Permit for the above properry cannot be completed for the following
? reasons:
?
Your SevObr & Water Permit for the above property has been completed, but the meter esnnot
be issudd or occupancy allowed until further notice.
;
COMIYiERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Metsr size must be
confirmed by BiILAdams 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 PQLICY.
Secretary, Building Inspections Dept.
DATE:
S/9/89
RE: 92g .IEFFSRSON LANE. L10. 212, LEX1IiGTON PO1N't 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.
Your Sewer & Water Permit for the above properiy cannot be completed for the following
reasons:
Your Sevber & Water Permit for the above property has been completed, but the meter cannot
be issudd or occupancy allowed untfl further notice.
,
COMAI?ERCIAL 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 - TEl.EPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
- ?
? ? ? ?•- y CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be u5ed for ?? ??/GAR Est. Value =90+wo
-s Date AUG 7 , tg a9
Site Address 929 JEM1t80l/ LN
Lot 10 Block Z Sec/Sub. LExiNG1W PoY OFFIC E USE ONLY
PdfCel N4. ?3 !s-1
Occupancy
FE
FS
PD R"i
W Name `TOSM HNIL= CMTRWTIOH Zoning
(Actual) Const V-4 Bldg. Permit 594'00
o Address 18133 CEUAR AY8 S iaio?'ablel Y '`S'?
43
2
IPARMIHGZ'OH suronarge
1-
001
City
Phone # oisiories ?
?
Plan Review 297.00
F
Name SA? Lenglh
•
Depih ?
City
SAC
1?0?
=
O
a AddreSS S.F. Total - , 57s??Q
U SAC, MCWCC
¢ Clly Phone S.F. Footprints _
Water Conn sW?
?
On Site Sewage _
?
? W
Name
On Site well
Water Meter
?'?
?
?? AddreSS MWCC System
- 30.w
??t. Qeposit
a W City Phone City Water S
P Z???
PRV Required /W
ermit i??
I hereby acknowlege that I have read this application and state that the Booster Pump - ?W Surcharge
inforrnation is correct and agree to compiy with all applicable State of 2Za??
Minnesota Statutes and City of Eagan Ordinances. Trealmont PI
Signature of Permitee APPROVAIS Road Unlt 340.00
A Building Permit is issued lo: Joi'mI?it CMTR"(''' I Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable SEate of Minnesota Statutes and City of Eagan Ordinances. gldy. pry, _ Copies
?????
Building Official ? Variance - TOTAL
permit No. Permit Molder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspsction Date Insp. Comments
Footings I
fOUnddtion
framing ^t g ?
Roo(ing
Rough Plbg. ? lr ?j
Fta,yn Hny. a y
lsul. l-?lA ale
Freplace
Final Htg. 1'I /
Fnal Plbg•
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
8kfg. Final ?
Deck FIg.
Deck Fnal
Well
Pr. Disp.
. • y „ PERMIT # -
• MECHANICAL PERMIT RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 ?ATE: ?
I CONTRACT PRICE: PHONE: 454-8100 For Office Use
I Site Address
Lot ? r _ Block
m Name
.q Addre
c City _
? Name
c Addre:
O CitY =,.
Phone
BLDG. TYPE? WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU
TYPE OF WORK
Forced Air C'f C) M BTU $..
' Boiler M BTU ?
Unit Heater M BTU $?
Air Cond. M BTU $?
Vent CFM ?
Gas Piping Outlets # ?_ $..
Other ?
FEE:
S/C:
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD a.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?`'• I ? 1`?' ? l ;i ?'L Ll'??.:/
-?---?
SIGNATURE OF PERMITTEE '
- $24.00
- 6.00
1.50 EA.
TOTAL• yL•,?I FOR: CITY OF EAGAN
? ? . . .. . // ~
PERMIT #i
PLUMBIMG PERMR RECEIPT # IJ
CITY OF EAGAN
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-6100
Site Address '( BLDG. TYPE WORK DESCRIPTION
? Lot 81ock ?ec/S Res. ' New
? Mult Add-on
? Name y'"???'-a°` ''• " - Comm. Repair
m
? Addr¢ss ' Vp Other
c Ci tY Phon? " RES. PI.BG. ONLY - COMPLETE THE FOLLOWINQ
' NO, FIXTURES TOTAC
Name -•=-TWater Closet - $3.00 $
? ! Bath Tubs - $3.00 c Addressi ? . _? ` ? f?,t.? ,,c• ? ?cJ ?Lavatory - $3.00 r
p City' Phone? ----,,_Shower - $3.00
/' Kitchen Sink - $3.00
FEES -----,-_Urinal/Bidet - $3.00
COMM/INO FEE -1% OF CONTRACT FEE -T.Laundry Tray -$3.00 -'
APT. BLDGS - COMM RATE APPUES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES L Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirfpool -$3.00
MINIMUM - CAMM/IND FEE -$20.00 Gas Piping Ouilets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD s.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10,00
Private Disp. - $10.00
--?Rough Openings - $1.50
, ... .- r; _
SIGNATURE OF PERMITTEE FEE:
STATE S/C: ' ? ?"FOR CITY OF EAGAN GRANO TOTAL: -
- (terttftrate uf (OrrupaMry
Citp of Cagan
flp}inY'friTPi11 Df B1ttIdi11Q JWPtfi1ltl
This Cerlifcate issued pursuant to the requiremen[s of Secrion 306 of the Uniform Building
Code certrjying that at the tirne of irserance this structure was in compliance wuh the varrous
ordinances of the City regulaling building construction or use. For 1he jollowing:
ux ci..fi... 5WM/GAtt BMg. Perm2;, rb. 16908
Occupency iype R3`M1 Zaniog District PD, ~I Type Conat. VN
ow..ts,,;idi.g JC?WH M. Mff.I.ER OCWT. Add. 18133 iEDAR AVE S. FARIDIGICN
e?n nmrew. 9929 IANE LocaliryL10, Bi2, IEXrCIGN PID= 3RD
MMM 29. 1989
RU&-.8 O&ff
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. ?f
Eagan, MN 55122-1897
DATE
SITE ADDRESS ?
LOT L?BLOCK
APPLICANT: '
ADDRESS:
CITY, STATE -
PHONE:
PLUMBER:
ADDRESS: ?. L
CITY, STATE
PHONE:
OWNER:
ADDRESS:
CITY, STATE -
PHONE:
OFFlCE USE ONLY
METER # PERMIT DATE #319 1A''
CHIP # PERMIT # 10722
METER SIZE B.P. RECEIPT # ? 3336
?
ISSUE DATE B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
PERMIT REGIUESTED
&EWER '??."-WATER - T
COMM/IND L RESIDEN
F?' ?? ? `-I ?,(
NEW - EXISTING
Lawn Sprinkler Meters are to be Ins
Ahead of Domestic Meters on Water
ZIP
: TO COMPLY WITH CITY OF
ORDINANCES
SIGNATURE WHEN METER ISSUED
I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
( SEWER PERMRS, CONTACT ENQINEERtNG DEPT.
SEWER 8 VIrATER PERMIT
CITY OF EAGAN
3830 Pibt Knob Rd.
Eagan, MN 55122-1897 ?•
?
DATE -?
SITE ADURESS ?f ?- ? ? r •?` -''?,T=
LOT LOCK Z SEC/8U9 ?
APPLICANT:
ADQRESS:
CITY, STAT - L?vLrit,c,i/`
PHONE: `
PLUMBER: 'k ' t '1
ADDRESS: " Z ` r'
CffY, STATE ?? a ?' ?T'- `'
PHONE: /%' -'? " -;2 V 7[.i.
OFFICE USE ONLY
METER #4 Z' ?7d a- 19 PEFiMIT DATE S/ Q? R9
CHIP # -Td-Le .7 ?- PERMIT # 10722
METER SIZE g RO B.P. RECEIPT # ?; 3336
ISSUE DATE L- B.P. RECEIPT DATE 8/8 J A9
- PRV - BOOSTER PUMP
? C" `A__ PERMIT REQUESTED
• ! `6EWER ?SWATER _ T
COMM/IND _x RESIDEN'
nINNFFi•
annaFS.q•
CfTY, STATE ZI
PHONE:
PLEASE ALLOW TWO WORKING DAY8 FOR PROC
3EYYER PERMITS, CONTACT ENGINEERNO DEPT.
NEW _ EXISTING ?
Lawn Sprinkler Meters are to be Installed
-L''` Ahead of Domestic Meters on Water Line.
Cred' ILL NOT be given for educt Meters. :
P?L-'1 ? f /1'- i ;
I AGR, E TO COMPL WITH CtTY OF i
EAGIKN ORDINANC ?
P
SIGNATURE WHEN METER ISSUED ?
E3SING. CALL 4546220 FOR INSPECTIONS. FOR STORM
? 3 - ?` i _..._._ . ` , ...:..???
CITY OF EAGAN N 0 16908
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING eERMIT PHONE: 454-8100 Receipt a C 33,3 (12
To be used for SF DWG/GAR Est. vaiue $90, 000 Date AUG 7 , ig89
Site Address 929 JEFFERSON LN
Lot 10 Block Z Sec/Sub. LEXINGTON POINTI
Parcel No. 3lu
OFFICE USE ONLY
OcCUpancy R-3 M=1 FEES
Zoning
PD
W Name JOSEPH M MILLER CONSTRUCTION (nctuap const N Bldg. Permtl 594.00
o Addr25s 18133 CEDAR AVE S (Allowable) y? Suanarge 45.00
City FARMINGTON Phone 431-2001 rof stories -
?
'
297
00
Length j$ PlanRemew .
F Name SAME oevm 44' snc, aty 100.00
?
$Q Address S.F.Tolal - SAC
MCWCC 575.00
? City Phone S F. Fwtprints - , S$O
OO
On Site Sewaga _ Water Conn .
r
ww
Name
OnSdeWell
-
WaterMeter
90.00
It: s'
0i Address nnwccSystem ?
?
Accl. Deposif
30.00
<w City Phone aywaiar _
SfW a 20
00
aaV aequued - ermit .
I here6y acknowlege that I have read this application and slate that the Booster Pump - SIw Surcharge 1.00
inlormation is correct and a ree lo comply wi(h all applicable State of
Minnesota Statutes and Ci f Eagan Ordi es. ? 7reatment ai 228.00
?
Signature of Permitee APPROVALS Road Unil 340.00
.I E MILLER CONSTRUCT70N
A Builtling Permit is issued lo:
Planner
-
park Ded.
on ihe express contlition thal all work shall 6e done in accordance with all Counal
apphcable State of Minnes
ola
Statutes antl
Cily of Eagan Ordmances. Bldg. Ott. _ Copies
,
Q
- y
Building Official Vanance _ TOTAL 2,900.0
0
1 \
G/3/?o2 REQUEST FOR ELECTRICAL INSPECTION E&/00p?01-pg
AQ r/p7?s?
? See instmctions tor wmpleLng this forcn on Deok ol yellaw copy ;?
"X" Below Work Covered by This Request
;1 53987
ew M Rep TypeotBmlding ApphancesWired EquipmemWired
Home Range Temporary Serwce
Duplex Water Hea[er Electnc Heating
Apt Building Dryer Other (Specify)
CommJlndustnal Fumace
Farm Av Conditioner
Other(eyeaty) Gontreator5 qamarks
Compute lnspecnon Fee Below:
# ' Other Fee # ServiceEntrenceSae Fee # Circuits/Feeders Fae
Swimminq Pool D to 200 Amps D to 100 Amps
7ransformers Above 200 _ Amps A6ove 100 Amps (f>
Signs Inspecmr's Use Only / TOTAL
Irngation Booms /J
?
Special Inspeaion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Othei Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9n-?n ua?e
certify that the above inspection has
6een made Finai
l
OFFICE USE ONLY
Tnis reques[ votl 18 montns from
?539
87
, , .e__
ReQuest Date Roughi Inspecnon
Reqwretl7
Reatly Now ? WAI NoLty Inspec[or
G Vas No Whan Reedy+
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job A tlress I51 el < te N ?j'?
1 -?V 1 ?
n Ciry
Seciwn No Townshi0 Name or No. Range No GounN
?
4 1 n
?-
OccupanllPqlN
i ' Q nK a r
o(? - ?
Pho NU
Power Supplier
I Atlaress
Elecincal Co ctav?6onp?ny NamE
L +r (? ??
? C C?tyra Licsnse)lo, /`?
ManmgAtl es v in jQc?flaoo ? ? J
1+?. ? ?• ?? {?
U
AuIDOrrze 5 onVactovOwner Me ng Ins[ellaUOnj ?b _ C) {
MINNESOTA STATE BOARD OF RICITY THIS INSPECTION REOl/E5T WILL NOT
Griggs-MiGwey Bldg. - Noom 5-173 BE ACGEPTED BY THE STATE BOARD
1821 UnrversM Ave., St Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
PMne (612) 66040800 ENGLOSED
P.51n
P 54°03
REQIiEST FOR ELECTRICAL INSPECTION
???§_nsWlkSions tor complehng this lortn on psck ot yellow wpy
"X" Below Work Covered by This Request
eemam-m
Me% Add Rep. TypeofBUilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Fartn Air Conditioner
Other(specdy) ConVactor§ Femarks
Compute Inspection Fee Below.
S Other Fee # ServiceEniranceSize Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps Above-100 =Amps
Signs Inspector5 Use Only. TAL
Irrigation Booms ?
rJG
:
Special Inspection
Alarm/Communication ? .
Other Fee
I, the Electrical Inspector, hereby RO1gn-m ' r Oaie G„? p,,,_p_sy
certity that lhe above inspeclion has
been made.
OFFICE USE ONLV
This request void 18 monlhs hom
?54
3
?
•
d
??
90
--
?
?
???7°
Repuest Date Fre 14o gh-in Inspection
8- 2 3- 8 9 ?rea' ? HeedY Now?wai troaN mspecta
Wh
R
'
Yes ? No en
eatly
xicensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atltlresa (Sireet, Brnc ar Route NoJ Cily
929 Jefferson Lane Eagan
Seclion No. Tamship Name ar No Range No. Counry
Dakota
Occupant(PRINT) Phone No
Joe Miller Construction Co. 431-2001
Power Supplier Mtlress
Dakota Electric Farmin ton, MN 55024
Eleclncal Cmtraclor (COmpany Nartre) ConVactor§ Licanse No
Midland Electric Inc. 041610
Mming Address (COnVacror w Owner Making InstallaGOn)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
A.honz Coniradorqwmwr Malring In Vo Ptpve Numbar
' 892-6688
MINNESOTA STATE BOApD OF ELEC7qICfTY
Griggs-WtlxraY Oft. - Room &173
1821 UnivenHy Ave.. SL Paul, MN 55104
Vhone (672) 602-0800,
U THIS INSPECTION qEOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPEGTION FEE IS
ENCLOSED
RESIDENTIAL .??
BUILDINC PERMIT APPLICATION ? LA
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Conatruction Reauiramenb
• 3 registcved site surveys showing sq. R. of lot sq. R. of house; and all ioofed areas
(20% macimum lat coverage allowed)
• 2 capies of plan showirg beam & window s¢es; poured tourM desigq etc.)
. 1 set o( Energy CakulaEans
• 3 capies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detad Options selection sheet (bldgs with 3 a less units)
DATE
RamodeUReoair Reauirements
• 2 copies of plan
• 1 set of Energy CalculaNons for heated addiGons
• 1 site survey for exterior addifbre 8 decks
• Indicateifhomeservetlbysepticsystem(oradditians
VALUATION O2 ??? ° o
SITEADDRE55 ?I2? rGf?Tz_'?OY1 Z?a? MULTI-FAMILYBLDG _Y N
TYPE OF WORK RfT'Iace /D•lv?r D' ovl /2,orcF fIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS ?Sa/ 4,vILl'-eQt e74,e S?du?
TELEPHONE # 8 Od CELL PHONE #
?)S STATE ,?ZIP
FAX # 6Y/- y.S^?/`?_S v'?/3
PROPERTYOWNER Jrt,01 S?"?CRl?- TELEPHONE# ???'/oR3 D?3o°
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MNNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: _
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Fee: $90.00
r T? n
I I
SEP 1 8 ?002 ?
Fee:
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Or 'c?fpnces. ,
Signature of
OFFICE USE ONLY
? Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. $aq
Air Conditioning
Heat Recovery System
and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
?x3o-s-o
Date
",<,GA LaA/J
Unit #
Site Address 9,? q je"Q-
Property Owner sa_,VV lTelephone #( le5I) I00 3' DO??E
Contractor
Cit
ri?I
N?L?1?/K
y
Address
?
State Zipyy)nk O Telephoneti ?5XQ( )
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, IncWding
Adding SMUres to lower levels or room additions, excluding water softener and wate ?lie?te? ?.1 ?$ 50.D0
_
_ Abandonment of septic system ? ? f ,•r?. "'? ?, `
?
Water tumaround (+ 5/8" meter if needed -$121.00) U I
1' nn ?l1
O[her:
- ??
_ RPZ _ new installation _ repair _ rebuild `$ 30.00
? Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ 50
State Surcharge
516
$
Total ?
[ hereby apply for a Residential Plumbing 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 with the Plumbing Codes; that I understand this is not a
pertnit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance witll the
approved plan in the case of work which requires a review and approval of ia
s ? ??- --.
Applicant's Printed Name Applicant's Signature
U
I I
1989 BIIII.DIBG PERM lPPLIClTION
CTTY OF EAGI
I (* 9p
SIIIGLE FAMILY Di1ELLIAGS
2 3ET3 OF PL?NS
3 AEGISTERED SITE SDBYEYS
1 3ET OF ENERGY CiLCS.
2 SST3 OF PL?N3
BEGISTfiAED 3IlE SQNVE23 -
(C9ECb 1TI1"H HLDG DIV.)
1 SE4 0f F.IiSAG2 GALCS.
COMMERCIAL
2 SETS OF 1RCHIlECTURiI.
i STHOCTtJRIL PL11NS
1 SST OF BPECIFICATIONS
1 SET OF ENERGI CSLC3.
!lOLTIPLfi Di1ELLINGS AENfAL UNITS F09 SELE OHITS ! OF DHITS
iOTEt iDDAE5SE4 FOfl CORNEA LOTS - COIPPHACTOS/HOMEOiiNEA !l03T MIGNAlE iiHICH lDDBFSS
IS DESIAED. 80 CHANGES WII.L BE ALLOUED OIiCE 80ILDIIiG PEAMIT 13 I35DED..
SEWER 8 ii1TER YEAMIT F6ES AAD lCCO1niT DEP03Ii l66S tiII.L Bfi IIiCLIIDED YITH TSE SUILDING
PERM FEE. YROCFSSIIiG lIIM POH SEHER LAD iIATSA PE9[iT13 I3 TWO DAYS OHCE l PEAMIT H!3
HEER CDMPLETED IBDICATIpG A LICEASED YLDlSBER.
PENALT3P APPLIES WMNs PEEiMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED AU6 Q 4 1983
LOT CHANGE IS AEQDESTED OHCE PEAMIT IS ISSUED.
C7
To Be Qsed For: ,? ??Ae Valuation: 1 _ Date:
C? 2 '1A8?1 " u'?
Site Address
Lot L Block 7i
Parcel/Sub OJ-Q^( ? E? / ? ? ?
Ovner
Address
City/Zip Code
Phone
ContracLor
?ddress 14 /.?. S C..QsLLAA? GGV /jc-? ,
City/21p Code
4hone y,0i - -2-CV r
Arch./Engr.
Address
City/Zip Gode
Phone +!
10 ?QDD?.. ----° ---
Oecupaney
Zoning PD R-I
Actual Const V- N
Alloxable Y -N
i of atories
Length 5B '
Depth 44'
S.F. Total
Foatprint S.F.
Oo sf Le aewage
On site weli
NWCC 3ystem
City water ?
PRV required _
Booater Pump _
aPPROVALS
Planner
Covncil ?/1
Hldg. Off.
4eriance
fFF.S
Bldg. Permit ScH,Oi'
Surcharge Ed?'I,hp
Plan Reviex ?`t .oo
3AC, Citq 100, oa
SAC, MHCC 175,100
iiater Conn S90,00
Hater Heter 40.00
icct. Deposit 3e,w
S/Y Permit ;2n,00
S/tii Surcharge J.Do
'lreatment Pl. 121(.00
Aoad Unit ,300,00
Park Ded.
Copies
SIIBTOTAL
Penaltq
:OTAL ?
?s ?'^?,l
I
G?A"R PC? E
?o ?. {.
?.''?
?2 nZZ.? y8y X I5- '7Z?o
aW K ??v = 1ost?
?-
l 25'-1 x?y: 1753?
IsT 1-?Lo0 2,
12. 5 4
Z.??? ? Z2
I 2 `6G
f
X 5D=64300
P?1?i6
uVlbllLllU UNik'llNll'llilll 2
, kX'1'F:4J.0t! E8Y67,oI'p AYE1tAd6t IIUII C041PUmA1'ION 7- J.? •
(To 60 subroitbed aith building permiE epplioatial)
vua or 7'svo Family llwelliug --. -? ONner '
411 v?hlier dite Addreee !c .`t; Ic" Z L=w, 4 p
Coittrao kor ? - ? -- J?I I J r-]P- XoNsr `
? Dttbe Pltona '
s??N?'1 l ? 3 . .
LIII$AL FF;C'C oF . \+I,, . •.
EXIIosEv vlnLL N ? 2335 8
• ??' ?+'??K' ? ft? ?lboVe gtnde a ? CO
•, . 7'oTAL EXFOSEU IrALL n1tF;n 8Q. FTO
oPAQUC WALL CotiB'lIiUU'x2u111 ItUio Yelue x Area
uetnf.l n?u ?R?3 x 9?.
re[ereltoa ° ' o7/O X 6R•
[rom ?lWl npo rGL1b X 8Q.
aEtaclied gQ•
slievE? uqu X BQ.
•, npn x dq.
Y/iltlYJlY9i IOU's Value x Arnq
Il??lce & Type jtpn_ ?LkP ?f R
UOOIl9t Yd1.40 X ATBH , i'T. lUItA)
It
8.
n „ ' nplt x eq.
n u u?u x NR.
• x 6q.
f"r. 3s f?•o9 (U) tA? ?
U)JA)
(U)(A}.
(p) (A).
Al
tUItA)
FT. ? tu)1Sn!
rT• (
e \V) (A)
Ilalce & Type flu?? ?
u u + x 8q. FT. iv ?-]???)(A)
`-'npn_ .47 x 9q. FT
u r (p) (A)
0
?? FT. ? (U)tAI
x sq. Fm._ ? (U1tA)
' . ??o?rnt,?S?•T.__ (nl
'TO'rAL (u)(n) vru,uE9 •
vlc??lq . AVEl l1UE ll n
lliViUGU UY 1'VTAL 17ALL A11EA Z3-7,,t5I8C0 AvENAUt; IOU?1?15 d?, xade tor I&2 tamily d 111 ii g '
l
vUVF/CFJILINUI
'1oTAL AllEAI 1
llolail re[eraitae
Irom
nttuel'ed slleate.
Ueoct•!be opeuiugd
1n rooi. •
xOTw (0)(A) VALUE9 bAVxllgU gY
''ro•rnL
lip, '?'14- ,
iiooF/cEtLJlid ntJEn I Z154"
.-._s
AVF;HAcIPs l'U'l'.02$ r veutl,lnEed rvote.
n n "
sRo
u?n x 9q.
@
8.
rr. zs9- _? ?, 35q( u)( n)
FT.? . . (9 1(A)
rr.- ° t9)(e)
f'T• a ?U ) /j Al
/
(U) \A)
N.rr Z(°, 34(,urA\
? dZl
r
.
46-7 -393
D??K ?}?.,?j"
(JCQO
IGI La i P?(o
6?1 ' Z 335 ??o
L? =f i l0") G7(p iG? 3
r N?ls ?
?-2-+xd(5 -
.7?4 x(0o -
z - zAx4-& =
_
?,-ZO,Coo -
? - I ca X3c.o =
3 V z4X i7Co ?
22l 5A 2= 4510
-r- I
c7,o
1 =4??zs
7.G??.?
Z'Zj+X3co =
z?? 1s
; `0M? vj:,, w/5C?l = 248, d <? a
?g 4?jlLI ?E? ??' -? ` p
?
LoQ ?P?-?o ?. ? q-z
?jl?o
?w=
=ox UAt,? ?alz?;EV 2,3IV?i &o
?? G?NU lo(p, 53
11 ?d.?1
. .. . •. --W L SECTIOg_?
Determining "Utt valuee at Roofj Walls' Rims and Cona. Hlock
ROOF/CEILYN4
1.) InterSor Air !'i1m
z.) 5/81, Qyp. Ed.
3.) Ineulstion
4.J
5.) Exterior Air Film
lBTILL)
. R VALU
0.61
.56
49'.cn
.61
IIUII a 1/R= ,pZr iOTAL (R)e ?,75
c--
, ?.
WALL
60 Interior Air Filal
7.) 1" ayp. gd.
8.) Inaulation
9. ) P?uic-r-?irE
10.) Maeonite Siding
11.) Exterior Air Film
R VALU
0.68
.k5
19.oa
Z 674
.17
"V11 n IIRa ? OT3 '1'O'rAL ?K.?= ZJT.Or
?
12.) Interior Air Film
130 Ineulation
140 211 Fir Riro Joist
15.) Auit, 7- P?7,r---
16.) Mseonite Siding
170 Exterior Air Film
A VALU
0.68
19•00
1.88
2.67
.t7
"pll a 1/Ra •640 TOTAL ?K)= z?•gT
ZE?5 FOUNDATION
18.) Interior Air Film
19.)
Zo. ) y rxIP/E>
21.) 12" Oonarete Bloak
22.)
23.) Exterior Air Film
R VALU
O.GB .
ll.cro
1,28
.17
nplt a l/Re .o7(O TOTAL (R)= 13.1?i
?-
0y-iv t
TRI-LAND C0.
SURVEYING
SERVICES
SITE PL AN F4R:
MILLER CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOTLQ,BLOCK2, LEXINGTON POINTE 3RD
THEREOF %??QT q RECOCOUNTY, MINNESOTA
N
SCALE: I"=30'
_JOZ7"JJ GY YY / V. Vl
41•r
0
/ I
?
PROPOSED
n HOtIgE
/s. (6N ?°l ? ry
o ? aPh•
---- ?' ? o ?
0= 8008' 19-r? +? ? ' ? - - - - -
R= 218.48
3103 cV ?49' 02 74. E
R= 93. 32? ?
ER
0
?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED 5P0T
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hasby csrtity that this survey, plon or
report wes praparsd by me or under my
direct supervision and thaf I am a duly
Re9istared Land Surveyor undst the
Laws of tha State of Minnesota
4
M
It
Izzo' O
40
?"ea`,w ?N
?R
?AGAN ENGINEERI}.?3Q?.a I)EP?'
PROPOSED SPLIT ENTRY
INVERT ELEVATION AT SERVICE EXTENSION-
PROPOSED 6ARA6E FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION
PROPOSED &4SEMENT FLOOR
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGNTS WITH
FINAL HOUSE PLANS
--
Bro sy J. /Sweliaian, Mn. Rey. No.13235
oare: ?GA`0,`I
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA096660
Date Issued: 10/26/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 929 Jefferson Lane
Lot: 10 Block: 2 Addition: Lexington Pointe 3rd
PID: 10-45072-100-02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Ed's Heating and Air Tolelissa J Wood
1099 Pelto Path 929 Jefferson Lane
Woodbury NIN 55129 Eagan NIN 55123
(651) 775-7490
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA106205
Date Issued: 08/16/2012
Permit Category: ePermit
Site Address: 929 Jefferson Lane
Lot: 10 Block: 2 Addition: Lexington Pointe 3rd
PID: 10-45072-02-100
Use:
Description:
Sub Type: e -Water Softener
Work Type: New Description: Water Softener
Meter Size Meter Tyke Manufacturer Serial Number Remote Number Line Size
Comments: Josh McGuire 1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Fee Summary: PL -Permit Fee (WS &lor WH) $55.00 0801.4087
Surcharge-Fired $5.00 9001.2195
Total: $60.00
Contractor: -Applicant - Owner:
Benjamin Franklin Plumbing Melissa J Wood 1424 N 3rd St. 929 Jefferson Lane
Minneapolis MN 55411 Eagan MN 55123
(612) 604-4285 X61
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.
ApplicanvFermitee: signature issued By: signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116063
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 929 Jefferson Lane
Lot:10 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Dlouhy
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 -
Melissa J Wood
929 Jefferson Lane
Eagan MN 55123
(612) 418-0448
Roofs R Us
1922 26th Ave
St. Paul MN 55122
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLAGK Ink
�-----------------
� For Office Use �
' j Permit#: � �� '� T �-
C14� Ol ����11 � Permit Fee: � � 1
3830 Pllot Knob Road � _� �
Eagan MN 55122 - r }"�x� I Date Received: i
Phone:(651)675-5675 �''�' I Staff: �� i
Fax:(661)675-5694 � ,—,— �
��.....���_�����.�����J� ���
2014 RESIDENTIAL BUILDiNC� PERMIT APPLiCAT10N ��� `�- �'�
Date: �i � Site Address: ��"/ J'Q`(T��� �"C� Unit#: �� �
Name: (�{1�t'�''f" �` fi"`~Q.11(�SSG� ��`��i�� Phone: tl�f�`����C����
Resident/ �j ��j� /`_n �
UWIt@I' Address/City/Zip: 1 � �eTT`/S�"^ """� ''� .�'L� S-S(`�
Applicant is: Owner � Contractor
Type Of WOrk Descnption of work: �- "� �C�f`'ti
Construction Cost: °��U� Multi-Family Building:(Yes J/No;�)
Company: �-1'���U�l ���r1L�(�`C-�C. Contact: �TI�- �Gv�,l
COn�"'dCt01` Address: �Pt��s G�o�``�� !�� City: � G �
� � state:l`z/V zip: =''S ���o Pnone:�1 s(�(�q'7�77/�Emai�. �2•r"r�- �,�^�(�v���r.2S� Ca ��,
Licens�#: �Gtl�a"��� Lead Certificate#: "�� I
tf the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�j�...�< <-f- �f--f�� (�1 �� �"�
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:
N07'E:Plarrs and supporting alocurr�ents'�at yaxr submit are considered fo°be pu6lic Mformation. Pvrtians o# ;
the irrformafinn may be alassiiied as non-prubl�c if yau provfc�s speciiic rea�sons t�t would perm�t�►e�ity f�
; conclude thaf the ar�e tradae secre�.
CALL BEFORE Y�11 �IG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.ora
I hereby acknowledge that this information is comptete and accurate;that the woric will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but onty an application for a permit, artd work is not to start without a pertnit;that the work wili be in
accordance with the approved plan in the case of work whict�requires a review and approval of plans.
Exterior work authorized by a building permit issued in aacordanc�with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �!`f L ��.�/ x �'�ll �
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�
�� ��'�l5 r.:� ���. _ �i/-
DO NOT WRITE BELOW THIS LINE ��"�� `�
SUB TYPES
Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Aiteration(Multi�
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
W�RK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Qemolish Interior
�Aiteration _ Fire Repair � Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give RCA handout to applicant
DESCRIPTION �---
Valuation ��- Occupancy �"�, � ! MCES System
Plan Review Code Edition `' �t1 �.. SAC Units
(25%0_100%� Zoning ��_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction ��_ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final J C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Waits Erosion Control
Braced Walls Other:
Reviewed By: L , Building Inspector
�
RESIDENTIAL FEES
Base Fee � -
�f ♦�
Surcharge � �� � ' � �
Plan Review � '� �
MCES SAC "�
_..�_ �
c�ty sac l �..,.� � �
�� �
Utility Connection Charge
S$W Permit 8�Surcharge -- .
Treatment Plant 2��,�1 � �
Copies (
TOTAL
P of 3
�--------
---------�
� For Office Use � I
I �
' I Permit#: ��� �
C�t �� �a a� � . �- �
� � � Permit Fee: � I
3830 Pilot Knob Road I �
Eagan MN 55122 I Date Received: �
Phone: (651) 675-5675 � i
Fax: (651) 675-5694 � Staff_
���__�__�_���J
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ��� �t°.��L��SG V► ��
Tenant: Suite#:
� � � r'�� � . �
- ` ��!I ��°: Name: ����✓ I � ����1�� �����A1sl Phone: �
� R#3SIC��n'�QW11�: p
_ � _ �
��` � ��r ° �'-:� Address/City/Zip: �� L�� �A � �
�� �_.::-
' �" _..: . ; Q�/� / /
� : °�� � ' Name:���[� ��'vvl � ��C License#: ►"/'l �C�GDi��
�g i
= p� �� Cit �1��✓ ���''l�Fi t1�'/l,
�,< � > ,/�� �r
� :; Address:—��V� W`�r/`�� ��� y:
� � ����� � �. p
� ` ��- �' State:�_Zip: ��(,� �� Phone: � �/ � �7��!0�
�y11�� ;� ': ^�-��_ 1 � �`� � e � /� /f f
�,,� ���� Contact: ��i�M �GL�(,b� Email: ' � � l/l � It�i� G
����;,��
i�2
�W�.�� ' �_:=:; _New ,�Replacement _Repair Rebuild �Modify Space _Work in R.O.W.
�u — �
��
� � � Description of work: � � ✓ � �.�!
� ��
�4��� a '�, � �
� �- � '���, �� RESIDENTIAL � �
m �� � rv�_-
�`"�� Water Heater
��u,�����m!�s���� �
enw��aan�,t���,��ei����r ir�'�u W8t2f.SOft@fl@f �
- � ��� Lawn Irrigation�RPZ/_PVB)
�� .�� ��'� � � � Add Plumbing Fixtures�Main/_Lower Level)�
� Septic System
,rr �� � , ::
rr ; q ' NeW Water Turnaround
�
,. _
��� Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround"(includes$5.00 State Surcharge)
"Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
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 approva lans. o
� J� �_ ��
X �i t�n �?"!G_.K-1�e x
Applicant's Printed Name A ' ant's Signature
� � � 4 ��� � ��h- � u, ��� � „
k ; ow
jy���,��,���`+,.� �� .�r' � �� :9 ��'"�, � .�' �����r���i���i �. „��:�i J�M1iN�' �,���`��� `.: {� ' ��;
7
> .�y,s,�, s- : x i , - z�.& `5 -. ._ _ } �i � . � "`�2�.;� .
��@ ll � �Il ' � `411� �111f�„� ���� �1����!`�`�f �' �'���I� ���� �, �s ; � � ' `x� ,� �
.: ��
� � � " � �
� � � �
R �.., ;
_ -
�� ��
�
�`� �
c���� e ��n�_�� .� �fi����xr��. . ., _ �r1�r���?�� k;��'A�G�-m:�t��f ��������. � ��',�, ..�� � �,�'����.........� '`�
. �� ��
�`� Use BLUE or BLACK Ink
, „ V ���
�..�✓ � i ForQfficeUse---------.I /
• � `'� � 1�1��-- '�t_..�
�,, � Permit#: �
���� �1 ����ti 6��.�j I Permit Fe�` �, �
3830 Pilot Knob Road � � � ' ��
Eagan MN 55122 �:�,- � Date Received: � � �s j
Phone:(651)675-5675 � "' I I
Fax:(651)675-5694 }, � ,� ,, , ,,.- I Staff: I
{ I I
�b..' ., ��.�� �
.� , �_�����_�r�����..��J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
f q U
Date: �0 � � �� SiteAddress: I �'-I �e�'��S�i� ��� Unit#:
�j Ir ,
Name: (�� �`/`-���(��41 t`—� �����V1 � Phone: ���'��������g
����� . �a� �`�f�.�w. � �'.�
' ��� �� Address/City/Zip: �.
; Applicant is: Owner �Contractor �
° ry Description of work: 'J✓G`��+�b�C'` ����� (�;-�i�+\ �lC��fi l�``a- l.�I G'��/
����� � �'� ��d
Construction Cost: c Multi-Family Building: (Yes /No�
Company: 1--►'��(`U�^�t� '�er-Ur1�1�� ��� Gontact: ��w 4� (�r ��►�fi� ���
:�:#�F��#�� Address: l(1��IS~(,�Ol�1a✓� �-� City: �'r�.!/Pj �9`?1v�C '��..
State:�Zip: �S�? � Phone: ��SI �fy7 �7��mail: ��iG � �nl(��l��//►�Q..S� ��
License#:��-c�� / ��� Lead Certificate#:
If the project is exempt from lead certification, please explain why: b�C �-,r� �q�9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDtNG
In the last 12 mor�ths,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:
�icensed Piumber. Phone:
Mechanical Contractor. Phone:
Sewer 8 Water Corrtractor. Phone:
Fire Suppression GoMractor: Phone:
.����P�����,�`��l�`�+C��'����'����:����'�������t��#�t�� �"�►��`'
����m��t�r��l��l���+����r��`��"�`��r����� �'������' �������
� � ;,� � � x� �'
CALL BEPORE YOU DIG. Calt Gopher State O�e 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.or4
I hereby acknowledge that this information is complete and accurate;that the woric will be in confortnance with the ordinances arui codes of the City of
Eagan;that t understand tnis 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 plaris.
Euberior work authorized by 8 building pertnit issued in accordance with N�e Minnesota State Bui i�g Code must be completed within 180
days of permit issuance.
_ �/c/ .,��..
x "��L ��""�✓ X
Applicant's Printed Name ApplicanYs ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
� Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Deck _ Porch(ScreeNGazebolPergola) _ Miscellaneous
_ 01 of_Plex � Lower Level ` Pool _ Accessory Building
WORK TYPES
_ New _ interior improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish interior
� Alteration _ Fire Repair � Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation `�Z� a'�o.�c� Occupancy �►j�.�'- 1 MCES System
Pian Review � Code Edition �/h n Zo��" SAC Units
(25%_100%� Zoning � 2� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �_ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) k Final/No C.O. Required
Foundation K HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests �Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
K Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �QW� �V1'�K�Vh , Building Inspector
RESIDENTIAL FEES � + X �� 3+� � R 5 e��,�.. �?�.�R.�,a �
Base Fee
Surcharge
Plan Review �Z o. 0� �'g. l�'T .
MCES SAC
City SAC �Z.� �4 n . 'o`a N'`1i n: m�r�1 /'�
Utility Connection Charge
S8�W Permit�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131570
Date Issued:06/25/2015
Permit Category:ePermit
Site Address: 929 Jefferson Lane
Lot:10 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-100
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
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 (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Melissa J Wood
929 Jefferson Lane
Eagan MN 55123
(612) 418-0448
Allison Plumbing
5866 Asher Ave
Inver Grove Hgt MN 55077
(651) 554-9000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
• ^For Office Use
Cityof Eaii Permit#:
•
3830 Pilot Knob Road Permit Fee.
97oa°
Eagan MN 55122 Date Received:/e:2_c 3 17
Phone:(651)675-5675
buildinginspections@citvofeagan.com Staff: �..
y J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/24/2017 Site Address: 929 Jefferson Lane unit#:
Rob & Melissa Killian 612-418-0448
Name: Phone:
i 929 Jefferson Lane
—
Address/City/Zip: Amp
_
r s
Applicant is: Owner X Contractor
Description of work: Basement Update
Construction Cost: $2,000.00 Multi-Family Building: (Yes /No X )
Allrounder Remodeling Inc. Eric Bader
Company: Contact:
r Address: 6845 Cloman Avenue City: Inver Grove Heights
Contractor s
State: MN zip: 55076 phone: 651-497-7714 Email: Eric@AllrounderHomes.com
BC689778 r
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Home Built in 1989
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:
Fire Suppression Contractor: Phone:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
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.
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.00aherstateonecall.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 appro I of pl
x
Eric Bader � Gz
Applicants Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement ^ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
1<Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation c 069 a Occupancy j,,. MCES System
Plan Review Code Edition jig/ I ( SAC Units
(25% 100% )() Zoning po City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6
Width
REQUIRED INSPECTIONS �/
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
—
Footings(Addition) 1" Final/No C.O. Required
—
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
?( Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
—
Reviewed By: 1-1,/ ,Building Inspector
RESIDENTIAL FEES
Base Fee Q
Surcharge Jetv02 `X
Plan Review
MCES SAC (1)
City SAC
Utility Connection Charge ' 219 .7-'' /
S&W Permit&Surcharge6cr6 l
5 -.7, 0
Treatment Plant
Copies
TOTAL 1.. °`C✓t
'- aa,
I Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156401
Date Issued:06/27/2019
Permit Category:ePermit
Site Address: 929 Jefferson Lane
Lot:10 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Melissa J Wood
929 Jefferson Lane
Eagan MN 55123
(612) 418-0448
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature