The URL can be used to link to this page

936 Jefferson Lane 03/18/2011 FRI 10:12 FAX (~44z/44a Use BLUE or BLACK Ink j Permit fl: CIV of Eajan I i ~ • ~ S r I Parmlt Fea: 3630 Pilot Knob Road _ Eagan MN 55122 CT i Date.Racolved: Phone: (651) 675-5675 f Stalf. I Fax: (651) 675-5694 i I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Deft; 1 S111eAddr*92: !i 5 ~Je,TTP ' fir C.rCa,LV 'tom d' ` ~j° ate` Tenant: Suits 0; I RESIDENT 1 OWNER Name: 6 044E C nk M Phone: L 1' ~y+ `t Address i City / Zip: Applicant Is: Owner _ Contractor TYPE OF WORK Description of work iCirf"bt~1 V7 - i'1 ICat`I f Construction Cost: cc) Multi-Family Building. (Yes No CONTRACTOR Name: CIAC Q C7rr~C_1 _ 1~ I laerrse#: C~ I cJ Address: - y " i 1 s~~`flrw 1C - city: State: M KI Zip: f 5,51 Q%5 Phone ~ Contact: MkLViglf. & :E 1 Emall: r[lir4hrl~,!°_, I CI ` .CC, .t C1 t COMPLETE THIS AREA ONLY IF CONSTRUCTING A SM BUILDING In the last 12 months, has the City of Eagan laaued 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: 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 m revolve locates of underground uttlltles. www.oooherstateonecall.2!R I hereby acknowledge that this Infomration Is oomplete and accurate; that the work will be in conformance with the ordnences and codes of the City of Eagan; that I understand this Is not a permit. but only an appl1Gallon for it permit, and work Is not to start wi ; that the work will be in accordance with the approved plan In the ca3 ce of work which requires a review and approval plane. Applicefirs Printed Name App ant's Ojg&ture Page 1 of 2 03/1$/2011 FRI 10:12 FAX Ln X003/OOa DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Stone Damage Single Family Garage _ Porch ("eason) Exterior Alteration (Single Family) _ Multi Deck _ Porch (ScreenjOw abolPergole) Exterior Alteration (Multi) _ 01 of _ Flex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Bulldlog" Addition _ Move Building Reroof _ Demolish Interior 7, Altoratlo _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall •Dwwlldcn of antis building - give PCA herWout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25°/u_ 100%~j ~ 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) Shestrock Footings (Dock) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water -Final Pool: -Footings Air/Gas Tests `Final Framing Siding: Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter size: Radon Control Erosion Control Reviewed BY. Building Inspector RESIDENTIAL FEES Base Fee 601,4 Surcharge Plan Review, MCES SAC City BAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL: Page 2 of 2 ? CASH RECEIPT ? CITY OF EAGAN • 3830 PILOT KNOB ROAD ? - EAGAN, MINNESOTA 55122 oare 1e ?'y ? FIEceNEO FA M L/ AMOUNT $ • & DOLLARS • 100 ? CASH `C7 CHECK f ,fzc...? C • ' f ': ..• While--PaYers CoPY YeNOw-Postlng Cppp PiMc-File Copy Thank You BY 0?=3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC , . 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. ,., , TOTAL --3; 3 '?' ri , > r" . .? DATE: 7 j l l f 89 ? FjE? 934 JEFFExSON LANE, L6. H4, LEXINGTON PQ1Ni 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 CJLL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Y6ur Sewer & Water Permit for the above property cannot be completed for the following j riosons: 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 LOCAI UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMEMT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Oept. ° • ?.. ` DATE: 7/11/89 :4936 JEFFERSON I,ANE, l,fi, B4, LE%1NGTORlP()1NT 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 ?ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following / teasons: i 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 OMLY: 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 UTILI7IES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNfTY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. " - ? CITY OF EAGAN -4t. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 3UlLDING PERMIT Receipt # fo he used for 710GA:. EGt_ ValuP %77.0W Oate AVe 1.0 19 A-9 Site Address '. 4 ''<1MG'TOtI MI1?TE Lot ` Block Sec/Sub. 3R? OFFICE USE ONLY PdYCBI N0. Occupancy ?'`'? ?l'?1 FEES ?n 11'1I Zaning 536 Q4? x Name 7 (Actual) Const y-3T Bldg. Permit . W 3 nv. ;.. Address' (wlowable) V--ZL- Surchar e 38.5C ° City Phone ':54"•9383 ^ # of Stories _ g 268 60 ' 5? P?an Review Len9th o Nakne `" - Depm 384 sAC ciry 104.rt1 Z , o Q AddrBSS S.F. Total - s? 1• u SAC. MCWCC ? Clt)I Phone S.F. Footpdnts - ? Water Conn 5-? , 00 On Site Sewage _ Vj Name ' On Site well - water Mecer 90' ? y W s= AddrBSS MWCC System ? 30, ...: a W Cit PhOne Y Ciry Water /+cct. Deposit rmit S/W P 20 . .'• J PRV Required _ e I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge i•' information is corcect and agree to comply with all applicable State of ? "' 22 r Minnesota Statutes and City of Eagan Ordinances. Treatment PI ••. ?. ... . . Signafure of Permitee APPROVALS Road Unit ? CH 1 3 40 A Building Permit is issued [o: " Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gby, pry. _ Copies Building OffiCial Variance - TOTRL ? •' Permit No. Permit Holder Date Telephone # WATER ?c A-a SEWER ? PLUMBING 1?ft-14 . H.V.A.C. ELECTRIC Inspection Date Insp. Commenta Footirgs I l z Foundation Framing p 2 ? Roofing Ra9h PIb9. ? Rough Htg. Is,l. ?' z s Fraplace Fnal Hlg. - -?1 Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Ergr.IPlan Bldg. Final D Deck Ftg. Deck Final Weil Pr. D+sp. , PERMIT # ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ Site ? Name AW l OtIK? n5 firI m c City : ^rri?C r n'' Phone , Name c Addre O CitY ; ' TYPE OF WORK Forced Air Unit Heater I Vent ' Gas Piping Outlets # ? Other M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION ?s Res. New •? M ult Add-on Comm. Repair •? Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERF COMM/IND FEE - 146 OF CONTRACT FE APT. BLDGS. - COMM. RATE APPIIES - ALL ADD-ON REMODELS - $24.00 - 6.00 - 1.50 EA. 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 914 , Name _ .% Address c City - PERMIT # MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE PHONE: 454-8100 For Office Use Only: TYPE BLDG WORK DESCRIPTION . ? Sec/Sub Res New M ult Add-on Comm. Repair Other Phone _ Name ? c Address p City Phone TYPE OF WORK Forced Air M BTU 1-6 Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CF M Gas Piping Outlets # Other FEE: 5,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 PERMIn - 1.50 EA. COMM1tND FEE - 146 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.Q0 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES 6EYOND $1,000) Sy???` F ERMITT FOR: CITY OF EAGAN 7 , , . , r, .1 .. . ? ? PLUMBING PERMIT For Offtce Use Onty ' CITY OF EAGAN IPERMT# °?- CONTRACT PRICE Site Addc ss Lot = ' ? Name _ ? Addres? c City _ Name ' ? Addrem ? cRy - 3830 PILOT KNOB ROAD, EAt3AN, MN 55122 1 RECEIPT# 454-8100 FEES COMM./IND. FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S1C PER EACH $1,000 OF PERMIT FEE) 0 DATE: Res. New _ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES ? T TAL W Water Closet - $3.00 -T Bath Tubs - $3.00 $ L-0- - - - -? Lavatory - $3.00 -7 a o Shower - $3.00 ? IGtchen Sink - $3.00 ?- UrinaVBidet - $3.00 --? Laundry Tray - $3.00 ?. cJzj, -T Floor Drains - $1.50 --)u 1 - 7- Water Heater - $1.50 7_13 17 Whiripool - $3.00 -? Gas Piping Outlets - $1.50 - ? -? (MINIMUM -1 PER PERMIT) Softener - $5.00 weu - $10.00 Private Disp. -510.00 -? ??T Rough Openings - $1.50 PERMIT FEE: ? W STATES 5/C: GRAND TOTAL: ?'? CITY OF EAGAN - 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice -? - ? Located at I have this day inspected fhis structure a these premises and have found the followi violatio ?s of city codes governinsan I) C?-,-t " ii7 p ,.?'.9FS "g o When corrections have been made, please call 454-8100 for inspection. Date Inspector Clty of Eagan DO NOT REMOVE THIS TAG e (ger#i#iratt of Mrrupanry titp of (Eagan EFps#ttlPttf of l1Tt1bTttQ JnjWQtttDlt This Certificate issued pursuant to the requlrements of Section 306 ojthe Unijorm Building Code certifying [hat at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use ClateiCratian SP nCME 'j. Bldg. Rrmit Mo. 1677 1 Oocupancv Type R-3 ! 11 l Zoning Disuia PI)! y- n'? C.oasl. VN OwnerofAuilding "IM Addrcss'? ()-I= 1(A9 $'MTF' Buildiug Address I?. [ucsliry Date: _ Building Off[w POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDrA=-SS `? 3? ? F Fr +-esw•? ?- r N f_ LOT BLOCK G SEClSUB ?-F{??"?'??+ F?orv7 3RG Aoa? ? 0 APPLICANT: MFltu ADDRESS: * Pv )Box 11 BER: ESS: ? ??8 CA??uSFL uJAy STATE K?SEMut11Ji IuN ZIP iE: .423 - 3730 =R: kA ESS: Po BoK IC,4 4 STATE r-, ZiP ' r'Y? IE: ASA - 93Y;? SEWER & WATER PERMIT CITY OF EAGAN ' 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 PERMIT DATE WATER PERMIT #?'? ?1 g METER # READER # METER SIZE ISSUE DATE 5533"? SEWER PERMIT # B.P.RECEIPT#..:,' 9,273 B.P. RECEIPT DATE 71 f;? ?;, y - PRV - BOOSTER PUMP PERMIT REQUESTED IUN _X_ SEWER ? WATER - TAPS - COMM/IND -RESIDENTIAL _y_ NEW - EXISTING I AGREE TO GOMPLY WITH CITY OF EAGAN ORDlNANCES: . -. ------?' v` SIGNATURE WHEN METER ISSUED OFFICE USE ONLY PERMIT DATE 7' I ., SEWER PERMIT # B.P. RECEIPT # 2877 B.P. RECEIPT DATE 2??. ?_4"9 7_ PRV -BOOSTER PUMP PERMIT REGIUESTED ?t. ?. SEWER X WATER - TAPS WATER PERI METER # __!? `RE7IDER # ? METER SIZE ISSUE DATE Q 3(0 , ?-FFF.,¢s.o?? 1-?N E , SITE ADDR?SS LOT ? BLOCK Q SEC/SUB APPLICANT: ADDRESS: Po V04 1049 CITY, STATE R49fKJlUE _ MN ZIp 5?331 PHONE: d'S4- `7 3b3 PLUIuIBER: MkTfW+? boilr-5 ADDRESS: I AGRE TO:?OMPLN WITW CITY OF CITY, STATE EAG O?f1NAIa1CES: ?? 32c,-$F#vldUlJi, AAN ZIP ~<?'?= ? , . PHONE: 423 ` t..r OWNER: ?h?it2o ?uS??r.t ?luMr? _f ?Jc ADDRESS: • W?px 1644 SIGN WH R tSSUED CITY, STATE ?• ZIP PHONE: cl3 t -:? PLEASE ALLOW TWa WORKING DAYS FOR PROCESSING. FOR ST M SEWE RMITS, CONTACT ENGINEERING DEPT. - COMM/IND ? RESIDENTIAL ? NEW - EXISTING CITY OF EAGAN N? 16771 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 /I 9 0/7 t'1 BUILDING PERMIT To be used tor SF DWG/GAR Est. Value $», 000 Site Address ` 936 JEFFERSON LANE -- Lot 6 Block 4 SeclSub. LEXINGTON POINTE Parcel No. Y w Name METRO CUSTOM HOMES, INC. 3 AddressPO BOX 1049 ° Cily BURNSVILLE Phone 454-9383 .o Name SAMR ?a Address ? City Phone ww Name SAME tz-, Address aw Ciry Phone I hereby acknowlege tha[ I have read this application and state tha[ the information is correct and aqree to comply with all applicable State oi Mmnesota Stawtes and gan dinances. Signature of Permdee A Bwldmg PermR is issued t: METRO ^vUSTOM HOMES on the eapress contlihon that all work shall be done in accordance wrth all apphcable State of esota Sjt,atW nd Q At of E/agan O ances BuAdmg Otticial Receipt # 3RD \ OFFICE USE ONLY O upancy R-3 M-1 FEES Zoning PD R=1 (ACtuaq Const \7_N- Bldg. Permit 536.00 (Allowable) V-N- Surcharge 38.50 8 oi Stones - 268 00 Lengih rj3! Plan Review . oepm 38-L- snc, ary 100.00 S.FTOtaI - SAQMCWCC 575_00 S F. Foolpnnis - On Site Sewage _ Water Conn 5$0 .,,p.p_ On site Well - water Meter 90.00 MWCC Syslem 7C]L Acd. Deposit 30.00 City Water ?_ 20.00 PRV Reqwred _ S/W Permrt Booster Pump - SM/ Surcharge 1 n(1 Trealment PI 2 7 R_ 110 APPROVALS Road Unit 340.00 Planner - park Ded. Council - Bldg.Off. _ CoPies Variance - TOTAL 2, 806 _ Sn ?//?/ayy9 REQUEST FOR ELECTRICAL INSPECTION ee-ooom-o7 ? See inslruclwns for compleling tlns form on back of yellow wpy L? 3 4 9 4 6- ?'7C" Selow Work Covered by This Request ew Add ep. TypeofBwlding AppliancesWiretl EquipmerrtWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm /lndustrial Furnace Farm Air Conditioner Other (specify) CoMracYOr9 Remarks' Compute Inspection Fee Below: # Other Fee # ServiceEnfranceSize Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps Signs InspeclorS Uae Onry: L IrrigationBOOms ?JiUU ? Special Inspeaion Alarm/Communication Other Fee I, the Eledrical Inspector, hereby tif th tth b i Rough-in oare y cer a ea ove nspectionhas been made. Final oata OFFICE USE ONLY This requasl vwtl 18 rtantha irom 9/s y 9?ao? P 3494?i?? Requesc Dete Fire No. Rin Irispeclion ulretl'+ ? V ee e ? No ? Reatly Now ? W II Nohy Inspeclor When Ready7 1 ' ensed contractor wner hereby request inspection of above electrical work at: JoG Veet,?oz or ule N.) r ?? Ciry ?^? / Secbon No Township me or Ranga No. Couny / lJl?f c_. Occ ni (PRIN Phw(e N0. Nv Vower Su Mtlress ' FJecirical Coniractor (Company Name) ConVaclorla kanse No. 9 Mai s a qn) - 14540 ` PENNOCK LANE Aut?har¢yd $qya?yre?GoY ? pi c?yr/p.qIeIDM6Wfi'g sai 1?'?' l"lLAar. i ? p?pn¢ Number NINNESOTA 5fATE BOAPO OF ELECiqICRY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway BIEg. - Hoom 5173 BE ACCEPTED BY THE STATE BOARD 1821 UniverNry Ave., Sl Paul, NN 55104-- . '' UNLESS PROPER INSPECf10N FEE IS Vlione (M216q2-0600' ENCLOSED fc? /Ad,/? (?. REQl1EST FC1R ELECTRICAL INSPECTION ? See mshuctmns for wmplatmg ihla rorm on back oi yelbw copy P . 51007 X" Below Work Covered by This Request ?' EB-00001-0] ? 9,3 ^ e A Rep. TypeoFBUilding AppliancesWired EquipmentWired Home Range Temporery Service Duplez Water Heater Electric Heahng Api. Building r D O[her (Specify) Comm./Industrial -Al urnace Farm Air Conditloner Olher (speaty) Conirador8 Remarks Compute Inspection Fee Befow: # Other Fee # ServiceEMrance5ize F # Circuits/Feeders ee Swimming Poal 0 to 200 Amps o to 100 Amps icjzc Transiormers Above 200 _ Amps Above 100Amps SIgfIS Inspechor5 Use Only. x TOTA g? Irrigati0n Booms fx ) eaal Inspection Sp u Alarm/Communicahon O[her Fee 1 ' I, the Elecirical Inspector, hereby if Rough-in oai J? cert y that the a6ove inspection has been made. Final oate 0 OFFICE USE ONLV This requeet voitl 18 monNs frwn ?cy/a8/89 f? 51007,c? 93? i Req? ate ?' ? ne No. Rough-in Inspectlon Requi . es ? No ? Rea[ty M. F}WAf NotHy Inspec[or When Ready? f nsed contrector ? owner here6y request inspection of above electrical work at: Job @tld?(Seet, BoM Fo le No) / Cily ? SecLOn No. Townshi eme or Rarge No Counry Occ nt (PRINi) ? 0/m o Pho e No S PowerS I r Pdtlress Eleclricel ContraGOr (Compairy Name) ENDRICK ELECTRIC Contr or§ L nse No. O q MaiLn9 Ad Y`4jF300'PMlT0=tANE Aul i r InEbv;#21,45124 Phone Number NINNESOTA STAiE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Gnpga-Mieway BIEe. - poom 5173 BE ACCEPTED BY THE STATE BOARD 1821 Unlversiry Ave., St Feul, MN 55104 UNLESS PFOPER INSPECTION FEE IS PMne (812t 86I-0800 ENCLOSED ? SINGLE FlMILY DSiELLIPGS 2 3ET3 OF PLANS 3 REGISTERED SITE SDR9EY3 1 SET QF ENEAGY CALCS. 1989 HIIILDIAG PEAMTT APPLICAiION CITY OF E G9N 7 60+1 lSTLTIPLE DNELLINGS 2 3ETS OF PLANS BEGISTfiRED 3ITE 3UAVEI3 - (CHEC6 1iITH HLDG DIV. ) 1 SET OF E6ENGY CiLC3. MULTIPLS DWELLINGS BSNSlL UNITS FOR S9LE iWI'fS E OF DNITS 80TEs IDDRES3E.4 Fbx CDAAER tAl3 - COBTRlCT08/HOMEOWNEA liQST DESIGN9Tfi iiSICH iDDRFSS IS DFSIRED. NO CHANGES AILL HE iLLOfiED ONCE HUILDING PERMIT I3 L450EB.. SEHER 8 N9TER PfiidMTT FEE3 AND ACCODPT DEPQSIT FEES iiII.L Hfi INCLQDED WTfH THE SOILDINQ PERMIT FEE. PSOCESSING TIME FOH SEWEA 1ND WATER PERHITS IS TfiO DAYS ONCE A PERMTT 6!3 BEEt( CO!'lPLETED INDIC,TI[iG A LICEN3ED PLttRBER. PENALTY IPPLIFS WHENs PERMIT IS PIOT PAID FOR IN SAME MONTH IT IS REQOESTED.JUL 0 5 1989 LOT CHANGE IS REQUESTED ONCH PEAMIT IS ISSUED. ? To Be Used For: SwJ6Lg? iaMue.Y Yaluation: ?`° Date: 71rl?59 Site Address q36 JEFfi6"oN L"f- Lot ? Bloek 4' Parcel/Sub . L.RiNbTON PorNr 3mA !tw, Owner MF•T2r) C%WSMML tblu" -Fkc, r Address i'O-7?&x IbAq CitylZip Code ?J(LtSSJ? Mcv SS?? Phone 4S4-Q3$3 Contractor _ V&Mo austom- ? -?Na• Address t0m ' City/Zip Code???due.?t ?vw SS337_ Yhone Arch./Engr. _ Address City/Zip Code Phone # ?^' ? J o ! OFFICE USE Oceupaney -3 lYl ") Zoning Pp R-I Aetual Const V-N Allowable V-ty 0 of stories Length 53` Depth 3B' S.F. Total Footprint S.F. On site aewage On site well _ MWCC System ? Citp vater ? PR9 required _ Booster Pump _ APPHOVALS Planner _ Couneil Bldg. Off. ?5j-7o nariance COtEiERCIAL 2 SETS OF IACHIiECTURAL 6 STSDCTURAL PL1NS 1 SET OF $PECIFICATIONS 1 SET OF ENERGY C9LC3. FEES sldg. Permit 53b.00 Surcharge 39,5o Plan Review Z 68,00 SAC, City 100104) SAC, MWCC 515,03 Nater Conn 5800D flater Meter 90,00 Acet. Deposit 3u,o? S/W Permit 20,03 3/W Surcharge aa Treatment Pl. 228.00 Road Unit 3410100 Park Ded. Copies SDS?OTAL Penalty TOTAL a VAL U a, ) 0 NI ??4 RAG 22 x 22 = ?84 3 x ?s'?z = (y`? `i3s x tS = G5-76) ? ?I 25 x 38 = 9 So ? X 1? I us2x ?y: 14-j2y A akse. 3`rn'R' e I og2 3 K 151/2= 1 ? 1?f2= 12 I Ilo xs'ps 5S5Dc? ? b-???C RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conatruction Reauiremenla • 3 regislered site surveys shovnng sq R. of'ot. sq. k. o( house, and all mofed a2az (20°b maximum lot coverdge allowed) • 2 wpies of plan showing beam 8 window srzes; poured lound tlesgn, etc.) • 1 set of Energy Calculafions . 3 co0ies of Tree Preservatbn Plan if lol Flatted after 711193 • Rim Joist Oetail Options selechan shee! (61tlgs vnth 3 or less uniLs) DATE &W/% 459?)L SITE ADDRESS ?-?C9 ,??tl T"PISC)D? TYPE OF WORK MULTI-PAMILY BLDG _Y _N _ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS cOklIll 7M CO le19 C`? ? CITY ? ,,H STATE !ti?ZIP?a? TELEPHONE #Q?a/oSG7fr CELL PHONE # FAX # PROPERTYOWNER??e?? K?.a,- o TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI.V\USOT.\ RCLF:S 7670 CA"ftiGOR1" 1 MI\\`ESO"C\ RCLL•S 7672 (J submission type) • Residentlal Ven[ilation Category 1 Worksheet Submitted • New Energy Ccde Worksheet Submitted • Energy Envelope Calculations Submitted Plumbfng Contractor: ___ Plumbing systcm includes: Mechanical Conhactor: 'Mccliviical svslcm includcs: Sewer/Water Conhactor: :1ir Condiuoning - Hcat Rccovcry• Systcm Phone # Phone # ?-s- Fee: $90.00 Fcr. 870A0,,. I hereby acknowledge thot I have read this application, state that the informatio is correct, and agree to comply with all applicable State of Minnesota Stafutes and City of Eagan O r n Signature of Applican OFFICE USE OYLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodeVReDair Recuiremenh . 2 copies of plan • 1 sel of Eneryy Calculalions lor neatea addAwns • t site survey lor extenor addiGons 8 decks . Indicate if hame served by septic system'or aGEihons VALUATION Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 laa1 °t I 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) c? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? (P o 651-681-4675 New ConafrucMOn Reauirements D 3 regislered alte aurveya ahowing sq. fL oi bt, aq. M. Of houte antl Qu rooted areaa (20% rtw)dmum lof coveroae allowe? ? 2 copies of plana (ahow beam 9 window sizea; pouretl fntl. tlesign; etc.) ? 1 aet W energy calcWaXOns ? 9 coples of hee Preservalion Plan tl lof plalled a1Per 7/1/93 DATE: o 7 DESCRIPTION OF WORK: STREEf ADDRESS: LOT: "a BLOCK: q SUBD./P.I.D. #: 2 coWes d plan 1 sef ot energy caiculafions for haafetl aCtllHans 1 ane wrvey tor extedor atldltioru 8 Hecks CONSTRUCTION C05f: i rrX ii1''m Name::&M J--&i Phone#: PROPERiY s Rrat OWNER Sheef Address:q') LO-af?h?? city E242.? stcre: zip: 1651C:512.-??) (area code) CONiRACTOR --- - Sheet Address: ? LlCense # Exp. City State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sireet Address: ReglshaNOn Y: Lp: """? b CNy State: Zip: N?? h Seyver/water licensed plumber (fi installirw sewer/water): one #: ?? 4??u I-L? Ll I hareby acknowledpe thaf I have read ihis applicalion, slate fiwt 1he iMortnafbn is cortecf, and agree lo comply wNh atl appGcable Staie of INinnesota Stalufes and Cily of Eagan Ordinances. Signalure of Applicanh OFFICE USE ONLY ? 2 g 19?9 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required - ? -- i ----- ?i ? Permit#: Uv ???? I I permit Fee: ? Date Received: ? I Slaff: r_ 411 ? - L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: k-Ii3-08 _SiteAddress: Tenant: Sufte #: biPiA0 Phone: ? RESIDENTfOWNER Name: 1b6 . Address / City ! Zip: ? ? CONTRACTOR Name: License#: l?.0 71 -PX4 ? Champion Address: 3V0 Dodd Rd. #100 City: State: Zip: _ QQV Phone: Contact Person: 4d1 5(3 1 g:L) TYPE OF WORK _ New IZReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: 'S PERMITTYPE RESIDENTIAL ?? Water Heater =water Softener Lawn Irrigation _Add Plumbing Fixtures ? RPZ /_ PVB) Main _ Lower Level) _ Septic System _ W ater Turnaround D?2 ?? LI u? D New -Ab ndonment JUN 1 8 2008 RESIDENTlAL FEES: gy __ $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (Includes $.50 State $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround` (includes $.50 State Surcharge) "WaterTumaround (add $136.00 If a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) FEES $ I hereby acknowiedge tha[ lhis Infortnation is complete and accurate; that the vrork will 6e in conformance with the ordinances and wdes of the Clty oi Eagan; that I understand fhis is not a permil, but only an application for a permit, and work is not to slaR without a pertnih, that the work will be in accordance with the approved plan in the rase of work whlch requlres a review and approval of plans. ?r x ApplicanYs Printed Name ?l Applican£s nature R 32z?s ? y- TR1-LAND CO. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 SITE PLAN FOR: METRO CUSTOM HOMES LEGAL DESCRIPTION; LOT 6,BLOCK 4, LEXINGTON POlNTE 3RD ACCORDING 70 TNE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA JEFFERS4N _ LANE 150 N? Scale: I"=30' 15' Q ... ?^ . 0 e z - ?0 - ?03 ,.?S89°0'21"E 76,00 ,,. - -- W.V. 0 ? r----- ?j o ol ) o I? N . ? e?o PROPOSED L_I0 0l ? HOUSE 61i GAR n ? --: ,50 8'* 0?. I ? I I + t 4 I w ? LOT 0) ? 6 ? o ? I ? I Z . N89°50'21"W 76.06y ? •.?,.?.•.?•:•:••.••_ ... . : F, !: :• :? ; ?.. ?'•? LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION :;+: ?• -:_?AGA?.c'? . . . : ?< i ... ... DEPZ' PROPOSED SPLIT ENTRY WALKOUT INVERT ELFVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= 985?` PROPOSED FIRST FLOOR ELEVATION = 98G' PROPOSED BASEMENT FLOOR = 9BZ- ELEVATION NOTE: VERIFY ALL FLOOR HEI6HTS WITH FINAL HOUSE PLANS 1 hereby certify that this survey,plan or report was prepared by me or under my direcf supervision and ihat 1 am a duly Reqistered Land Surveyor undsr fhs Laws oi the State of Minnesota 8radley J.nson, Mn' Req. No. 15235 N 4? _ Date • PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA098961 Date Issued: 05/09/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 936 Jefferson Lane Lot: 6 Block: 4 Addition: Lexington Pointe 3rd PID: 10-45072-04-060 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Jane A Holm PO Box 188 936 Jefferson Lane Cedar NIN 55011 Eagan MN 55123 (763) 444-0292 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: EA105072 Date Issued: 0612512012 itj of 0n Permit Category: ePermit R Site Address: 936 Jefferson Lane Lot: 6 Block: 4 Addition: Lexington Pointe 3rd PID: 10-45072-04-060 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Bama PO Box 188 Cedar, MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Sowada and Barn Plumbing Jane A Holm PO Box 188 936 Jefferson Lane Cedar MN 55011 Eagan MN 55123 (763) 444-0292 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. Applicant/Permitee: Signature Issued By: Signature f t i Use BLUE or BLACK Ink For Office Use / J` 1 o f Eap Permit I Permit Fee: I 3830 Pilot Knob Road Z91~ Eagan MN 55122 Date Received: f Z j Phone: (651) 675-5675 I Staff- Fax: (651) 675-5694 1 _ I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Dater 6/25/2012 Site Address: 936 JEFFERSON LANE, EAGAN MN 55123 Unit Name: JANE HOLM Phone: 651-340-0634 RESIDENT / -OWNER Address/City/Zip: 936 JEFFERSON LANE, EAGAN MN 55123 ? Applicant is: Owner X Contractor Description of work: BATHROOM REMODEL - LOWER LEVEL TYPE OF WORK ' Construction Cost: $5810.00 Multi-Family Building: (Yes / No X } Company: CREW2, INC Contact: BRIAN MARSHALL `4 2650 MINNEHAHA AVE MINNEAPOLIS CONTRACTOR ' Address: City: State: MN Zip: 5 5 4 0 6 Phone: 612-276-1672 NAT-26342-1 License BC318360 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) HOME WAS 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: 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, j 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 1 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. x BRIAN MARSHALL x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous 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 V~ Occupancy MCES System Plan Review Code Edition ^ SAC Units (25%_ 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 / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock X Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review IIf! MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge 2,0 1 "goo Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA108797 Date Issued:01/11/2013 Permit Category:ePermit Site Address: 936 Jefferson Lane Lot:6 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-060 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Jane A Holm 936 Jefferson Lane Eagan MN 55123 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114096 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 936 Jefferson Lane Lot:6 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-060 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 . William Krech 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 - Jane A Holm 936 Jefferson Lane Eagan MN 55123 (651) 246-9274 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121774 Date Issued:04/14/2014 Permit Category:ePermit Site Address: 936 Jefferson Lane Lot:6 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Beth Janohosky 207 150th Street W. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Jane A Holm 936 Jefferson Lane Eagan MN 55123 (651) 246-9274 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166538 Date Issued:01/19/2021 Permit Category:ePermit Site Address: 936 Jefferson Lane Lot:6 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jane Ann Holm 936 Jefferson Ln Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166720 Date Issued:01/29/2021 Permit Category:ePermit Site Address: 936 Jefferson Lane Lot:6 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jane Ann Holm 936 Jefferson Ln Eagan MN 55123 (715) 386-8667 Croix Crystal 3440 Yoerg Dr Hudson WI 54016 (715) 386-8667 Applicant/Permitee: Signature Issued By: Signature