940 Jefferson LaneRESIDENT / OWNER
Name: cpot.V0 r50n Phone: (.0la- (deg - a5 - "a0
Address / City / Zip: q4 �n tsine
CONTRACTOR
Name: Ron's Mechanical Inc License #:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip: 55379 Phone: 952 - 445 -8585
Contact: Linda Email:
TYPE OF WORK
PERMIT TYPE
New `� Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
✓ Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
Other
**When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add -
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $60.O0 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation /removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010- $11,010 Permit
= $ TOTAL FEE
City of Eagan
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Na
RECEIVED
JUN 072011
2011 MECHANICAL PERMIT APPLICATION
///
Site Address: " I'l0 T1G rl La nee
--- _.pjicant's Signature
Staff:
Suite #:
Use BLUE or BLACK Ink
Permit #:
Permit Fee: 00
Date Received:
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.gooherstateonecall.orq
I hereby ackno , dge 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 u , rstand this is of 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 . , pro s plan in th se of work which requires a review and approval of plans. •
x
IJ IA4LPJP r &.0 x LI nckletenarret,
DATE: 9/ 18/89
RE-240 JEFFSRSON LANS, L5, B4, LB7LIHGTONIiPO1N'fB 3rd
10" NORTHViEW DR1YB, L22, B3, LEXINGTON PARKYlEW
-_xY Your,?ewer & Water Permit for the above property has been completed. It will be held at the
Po1ic 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 property cannot be completed for the following
'• reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or xcupancy 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.
- RE(.UIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
a
PERMIT
SF DWC/GAR
Site Addrgss
Lot ? S Block
Parcel No. W Name ?
o Address ?
CItY !
Est.
Sec/Sub. L
M MII.LBR
EDAR AVE
'TON Phone
Zo Name sANE O-K OU¢ Address
? City Phone
?WW Name H W
? ; Address
<W City Phone
I hereby acknowlege
intormation is correct
Minnesota Statutes ar
Signature of Permitee
A Building Permit is Is
on ihe exDress conditi
I have read this application and state that the
agree to comply with atl applicable State ot
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Olficial _
Receipt # '
OFFICE USE ONLY
Occupancy R-3 11- 1 FEES ?
Zoning PD R-1 .
?
(Actual) Const v-N Bldg. Permit 600•00
(Allowable) V-N Surcharge 45.50
?
# ol Stories ?
?
Plan Review 3? • ? i
Length
Depth
SAC, City ;
100•00 '
S.F.Total - SAC.MCWCC S7g•00 ?
S.F. Footprints -
"0'00 '
On Si1e Sewage ` Water Conn
On Site Well Wa(er Meter ?•?
?
M?IfCC System
D
A ?.?
City Water xJC cct.
eposil
PRV Required _ S/W Permit 20•00
Booster Pump - g!W Surcharge 1.00
228.00
APPROVALS Treatmenl PI 00
340
Road Unit •
Planner - park Ded. '
Council
BIdg.Otf. _ Copies ;
;
2
909.50
Variance - TOTAL ,
CITY OF EAGAN ?;? 17075
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE: 454-8100 j
' Permit No. Pamit Holder Date Tekphone #
WATER C C)f r , <L[.?? . ?? 7 /c? b
SEYYER '
PLUMBING
H.V.A.C.
ELECTRIC ??/u O J ?,CC1-% ,{ '? • . . / ? O / ' ? ?
Mspection Date Insp. Comments
Footings I Y/g4y (2_e
Foundation
Framing
Roorrg
Rough Plbg.
Rougn Hfg.
Isul.
Fueplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final ?l2 ? d? f ? S
Deck Ftg.
Deck Fnal
weli
Pr. oisp.
_ - ?. - .r ?4?._.. . ? . _ _ . . -} .. _ • _-?. .
, PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE:
4TRACT PRICE PHONE: 454-8100 For Office Use Only:
' Site Address '
? Lot Block
? Name
Address
? S city
Name
c Addru
I o Citv -
I T1/PE OF WORK
` Forced Air
Boiler
Air Cond.
, Venk
Gas Piping Outlets #
M BTU
M BTU
M BTU
M BTU
CFM
BLQG.TYPE
-?Res. .
1 Muit
Comm.
Other
WORK DESCRIPTION
c
New
Add-on
Repair
FEE
S/C:
TOTAL•
PERMITTEE
FEES ?
RES. HVAC 0-100 M BTU
'' -$24.00 ?
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES k/G` O"E1N - 6.00 1
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. ?
COMM/IND FEE - 1% OF CONTRACT FEE I
APT. BLDGS. - COMM. RATE APPLIES i
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES i
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
REMODELS - 12.00 R
MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50 j
(ADD $.50 S/C IF PERMIT PRICE GOES i
BEYOND $1,000) i
, JI FOR: CITY OF EAGAN
' PERMIT #
PLUMBING PERMIT
AECEIPT q
CITY OF EIIGAN
3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PR CE: PHO NE: 451-8100
Site Addcess ? BLDG. TYPE WORK D ESCRIRTION
Lot ? Block ' Sec/Sub
- es. New
? ?- ? ?i • .S Mult. Add-on
? Name '?' ` •r?'??^ - 4.'u Comm. fiepair
? Addre ' % '-%'? • ?? Other
c City Phone 3O "? RES. PLBCa. ONLY - COMPLETE THE FOLLOWING:
NO.' FIXTURES
? TOTAL
.P ? `'
Water Closet - $3.00 ?
? ?
Name ? a
c Bath Tubs - $3.00
Add 5 00
Lavator
- $3 •'
p Ciry?"''?'r? Phone y3I a?? y
.
Shower -$3.00
KitChen Sink - $3.00 -
FEES - 53.00
Urinal/Ilidet
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES ,
Laundry Tray -$3.00
Floor Drains -$1.50 `
TOWNHOUSE & CONDO - RES. RATE APPLIES
? Water Heater - $1.50
?
MINIMUM - RESIDENTIAL FEE - $12.U0 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 L-Gas Piping Outlets -$1.50 > ?
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND?1,000.00) Well - $10.00
' Private Disp. - $10.00
?R
h O
i
$1
5
ngs -
oug
pen
.
0
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL:
?? .
INSPECTIUN
RECURD
I Control
No. ? ,??
' CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot FCnob Road Permit Number: ?M ? F{ •`'+,
, Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
? SiTE ADDRESS: APPLICANT:
( OT: b i3lQC;Ka 4
440 .;IkFFFRSON LAlIE
I R O C(1MS1'
? I.EXIHifi7tlN POINTE 300 (612) 462-3616
PERMIT SUBTYPE: TYPE OF WORK:
fsA5Ei1f MT F"]'iViBW ALTERATI4N
Rf11nRK5 e IR@c:F iPT #
'G•e.t=C•a[ A ?? ?
'
L.3
???
J
Permit No. Pe?mR Holdar UaUs Talephone #
5NV
PLUMBING
FIVAC
EtEC'TRIC I?I
ELECTRIC
inspeCTiort Date Insp. Commefts
Foatitigs I
Foundation
Framing
Rooflng
Rough Ptbg.
Rough Htg.
lsul.
?
Fireplece
Flnal Htg.
prset T8g!
Firtal Plbg. Pibg. Irtspector - No1My Plumber
Const. Meter
EngrJPian
91dg. Flnal ? qs ?a
aeca` r-tg
Dedc Final
Well
pr. Disp.
It- • M !
(gtr#ifirate of Orr?paury
titp of olagan
Erpttrtmpn# uf %ilding Jnsprrtimt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cenifying [hu1 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.•
um ct.,ifimtion S F D W G/ G A R aiag. Pe,n,;c No. 17075
QccuW-Y T?? R3/1'11 Zoning Uistrid PD/Ri TYPe Const. VN
o,,,,,u,r s,,;iai,eJ0M MLLiEEt OONST. Addrm 18133 QDAAR AVE S. FARMVICN
B.ani,g naar. %0 JEFFER90N1 LIiHE LDcW;ty IS. Hf, LA7URV POME 3RD
_ -;
o,te: D1O{TIIMM 28, 1989
suaa;? aer?c?aYi "
POST IN A CONSPIGUOUS PLACE
SEWER b WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
ZIP ? _' • :? ' 4
NE1N - EXISTING
PERMIT REDUESTED
7:Z ,
? _,L,SEWER -1' WATER - TAPS
_ COMM/IND RESIDENTIAL
CITY, ST
PHONE:
r
ADDRESS:
CITY, STAI
PHONE: ;
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
OFFlCE USE ONLY
PERMIT OATE WATER PERMIT # • + SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
ZIP
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
- h i:.
SIGNATURE WHEN METER ISSUED
PLEASE AILOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
m
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE AdDRESS
LOT -tS ? BLOCK
ADDRESS:
CITY, STAI
PHONE: ?
PLUMBER:
ADDRESS:
CITY, STAI
PHONE: ?
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
OFFICE USE ONLY
PERMIT DATE ' f 60
WATER PERMIT # SEWER PERMIT #
METEFi # B.P. RECEIPT # ^ ?R?r1
•gekpm-# 00 j? r?i217 g,p. RECEIPT DATE
METER SIZE !?I_Z?C..?
ISSUE DATE ??,// S-h' y - PRV - BOOSTER PUMP
PERMR REDUESTED
yS.SEWER __?-WATER - TAPS
- COMM/IND ? RESIDENTIAL
ZIP
1? NEW - EXISTING
ZIP
ZIP
I AGREE TO COMPLY WITH CITY OF
EAGAN?RDINANCES:
SIGNATURE WHEN MET R ISSUED
M ? ,
(r ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. . - %
. , _ .
CITY OF EAGAN N2 17075
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100 ? Q-
BUILDING PERMIT Receipt #
)
0 U
To be used for SF DWG/GAR EsL Value $91,000 Date SEP 14 ,1989
Site Address 940 JEFFERSON LN
'S Biock 4 Sec/Sub. LEXINGTON POINTE
Lot
OFFICE USE ONLV
PatCel No. 3RD Occupancy R-3 14-1 FEES
PD R-1
2omng
w N2me JOSEPH M MILLER CONST (ACluat) Const ?!-N eldg Permn 600.00
o Addres5 18133 CEDAR AVE S (Allowable) V=N 45
50
surcharge .
City FARMINGTON Phone 431-2001 s of Stones
S?i' PlanReview 3??.00
Length
F Name SAME Depth 46' SAQCrty 100.?0
z Address S.F. rotai
575
O0
SAC
MCWCC .
? Cify Phone S F FOOtprints - ,
w
r Conn
t 580. 00
On Site Sewage _ a
e
F
??yw Name On Sne Well nn
w
c
t 90
n0
FW er
e
er
a _
x3 Address MwCCSyslem XX
Acet Deposit 30.00
aW City Phone arywaier ??
i 00
20
PRV Required _ 5!W Parm
[ .
I hereby acknowlege that 1 have read lhis application and state that ihe Booster Pump - S/w Surcharge 1.00
intormation is correct and agree fo complX wph all pplicable State ol
Minnesota StaWtes an of Eagan Ordin 6es? Treatmanl PI 228.00
Signature of Permrtee ti APPROVALS Road Und 340. 00
A BuAdmg Permn is issuetl to: JOE EPH MILLER CONST PlwOQf - Park Ded.
on the express condition that all ork shall be done in accordance with all Councii -
applicable State of Minnesota
S
atute
s and Giry
ot Eagan Ortlinances. Bldg OIt _ Copies
,
/?
I
I I
8uilding Offiaal ??i,_I_l.DA/A. 1?,I) Variance - 7p7pL
SC
2,909.
9/a;ESee QUES?T? FOfor R oELECTRICA ? LtiNSPEC W TION
P 5 4 9 4 8 X" Be/ow Work Cavered by This Request
? EB-00001-01
Ad Rep. T'° TypeofBuildmg AppliancesWired EqwpmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Other (Specify)
Comm./Industnal Furnace
Farm Air Conditioner
OMer (spepy) Contreclot§ RemarksCompute Inspecfron Fee Below:
# Olher Fee # ServiceEntranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A 100 Amps
SignS ?nspector's U. Ony TOTA
L
Irrigation Booms ? / • 6G /
?p Tw
Special Inspection
AlarmlCommunication
OiherFee . ? ,
I, the Electrical Inspector, hereby Rou9n-in
?
certifythettheaboveinspectionhas
been made. Final i .r/
(
OFFICE USE ONLY
This request void 18 monMS irom
11L-?1519
/
/ Y"riT s?
r? 54948
Requesl Date Fre No. ugh-in InspetMion
9-26-89 ?ReetlyNOw WIINOM1tylnspecMOr
Ves ? N. hen Reatly7
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, eox or RoNe No.) J e f f e r s o n L a n e c'y
940 xg$$XN3f3FgXX&XK}f Ea an
Secnon No. Township Nama w No. Range No. Counry
Dakota
Occupant (PRINT) PMre No
Joe Miller Construction Co. 431-2001
Pawer Supplier lWtlress
Dakota Electric Farmin ton MN 55024
Eleclriwl Contrector (COmpany Name) Concrectar5 Lcense No
Midland Electric Inc. 041610
Meilmg Address (COntracbr or Owicer AAalting Inslallation)
14055 Grand Ave So, Suite E Burnsville M
' (COMrectw/Oxner Makieg Inslalla?on)
r Aulho
PYwne Number
NINNESOTA STATE BOAHO OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
GrIggMliEway Bltlg. - pown 3-173 BE ACCEPTED eY THE STATE BOARD
1821 Unberslly Ave., SL Geu4 MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(81Y)642-0800 ENCLOSED
6 ??
lir /oa'?? S
Request Date
( 1_ /C?/ ?^ fire No Rough-in Inspectron
qe ired>
Ves C No
? Featly Now Will Noiiry Inspector
When ReaEy7
I icensed contractor p owner hereby request inspection o( above electrical work at:
Jo0 Address (51ree1 Boe ar Roule No ?
GIYo J'E?NVson) e- Ati£ QM1/
EO-FbFkh1
Sedion No Township Name or No Range W. CountyOAK.ojA
OccuoanVF/'[ T
i V ? LC/V V{'..?{,
Y Ph
one NOJ ;L7,11?
y
PowerSupPLer AAOress
Elaclncal Conlraclor (COmOany Name)
C?/-FLrhxcL ?ix`EC?LC ING. ConVacto?5 License No.
GAe?p?!S
Mailing Atldress (ConVactor or Owner Mabng Ins Ilatwry
V 3I O &f. W wwo TR+??t
EA64A)i Yhn>
S'S/ )L a.
Aut?orix ig Wre 1 nlr lor er a ng Installatronl PM1One NumOer
y?ra-3l3 ?
MINNESOTR STATE 90APD OF ELUPICITI THIS INSPECTION REOl1EST WILL NOT
Griggs-MiCwey BIEg. - floom S-173 BE ACCEPTED BY THE STATE BOARO
1U1 UnlversNy Ave. 51. Faul. MN 55104 UNlE55 PROPER INSPECTION FEE IS
Vhonro (612) 662?0800 ENClOSEO
Ia/i??9a-
a 60131
REQUEST FOR ELECTRICAL INSPECTION
,
? See instrpEtions for completing ihis form on back ol yellow mpy.
"X" 8e/aw Work Covered by This Request
EB-00001-08
08?? s
ew Atld Rep. TypeolBuetling ApphancasWired EquipmeniWired
Home Range Temporary Service
Duplez Weter Heater Electric Heatin9
Apt Buildinq Dryer Other (Speafy)
Comm /Industrial Furnace
farm Air Conditioner
Omer (syxiry) Connamors Remarks gRSEM6vr jc7,,i
Compufe Inspection Fee Below
# Olher Fee F ServiceEnVanceSize Fee S CirwRS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps Abova 100 _ Amps
519n5 inspecmr5 Use Only /.- - TpTAL
Irngatwn eooms ^??J CC;Y?
- ?(), S?
Special Inspection /
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee .6'13 COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9h-10 ? ?, r ?J°,,,?r ?
certify that the above inspedion has
been made. Final ?,.? ;r" o
OFFlCE USE ONLV
Tnis request wid i8 montns fmm
PERMIT
?CITY OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6erDate Issued:
BU'F I_DT_Nr
1^JA1/sz
SITE ADDRESS:
9 4 p JFrFFrtsoN LnNE
1.01'e 5 oLOCK? 4
I EXTIVGT01y POIN!"E .?RD
DESCRIPTION:
r"$uildlqg Permi.t Type
BuiSding''Woi I< Typ P
U6C Ctactrparioy
,
?
<?? +
?\4
;
E3fl5£MENT FINISH
Al.'TEF+ATSON
R-3
tt •-•r'?" , ? y-`, C?=? .?-..,;
???_?•?'??? .}? ].t
???`: 4?• I i? 1..'m3 , a? ,,.?.. _I -.? ti
REMARKS:
R;_cE 1Fr 1; e (?') lY& /
FEE SUMMARY:
8a?? Foe y:35.0 0
su rcf,a rqu
i' o t a t F'3 e
CONTRACTOR: - Appts-Cd00 - si-a t.zcOWNER;
R 0 i"C1nltiT 14523575 0804988 11C;(.F1RV;CLLE DAN
4?,R S I"(7NY P07iV'i ft6 940 JEFFER50M1! l.N
Ef1fAN ri N 551.23 FF,Gt1N i1 N 551 23
I.n72 } 45.i-357D fG12)4 52--i21 9
T. herQby acknowledge that S have reaei th3_s appl3cation and staLe thot tlye
iri7ornratirn %s cnrrect aiid aqreo to camply with ali appYScablf.- State pt Mn,
? 5tatutes aad Ca„Cy of Eagan tJrdinanres. ?
C
Rr??
?NA U11?
APPLICANT/PERMITEE SIGNATURE ISSUE BY SIG?
R
Control No. 1347
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6814675
SITE ADDRESS:
910 :s t: t?E
UxrNnraN PalNrE
PERMIT SUBTYPE:
BF1SeMEivT i=1:N;rsN
I?EMfaRfCC;; RFCtLPT 4
?
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LOT e 5 gLn c K; 4 APPLICANT:
Rson! i ANF P 0 coni;r
3Ru (si:,, 052,_S,V
TYPE OF WORK:
Control No. 1347
F1 i i i>> ?J ;.
12/0.1/92
AL'I'EN2A7IpN
?
J
• <`
PERMIT i
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
4 M6.40
NOV 2 17, RECD
r ? I „
?,?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
CDMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of ehergy calcs.
Penalty applies when typing of permit is requested,'but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address: 9' ??ff e-`so? Z. &,L ,
STREET STE /
Tenant Name• 0'Q
Lor .? eLxx suw.
Y f
Descri tion of work: 1-l" is (?a
The applicant is: ? Owner Contractar ? Other (Decerfbe)
.-? a- 157 `4
. Phone Vf,2 ` 77/9
Name kcC'a"?. /?? oz
.
.
Property UST FIRST
Owner pddress ?'??
STREET fTE /
City State Zip s s`? z 3
Company Phone
Contractor Address aA'eearn,?y?? License # t/P $? Exp.3
EAQAN, MN 65123
City State Zip
)1 n Phone
Company
ArchitecU
y
? /
•?%
'
Engineer i ? Reaistration #
Name ?
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days ce area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
"?
Signature of Applicant: i???
urrit;t uat vnLT
BUILDING PERMIT TYPE
? 01 foundation ? 05 Apt. Bldg 'E69 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory '? 10 Swim Pool
O 03 Two family ? 07 Fireplace '? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
WORK TYPE
*31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
? 13 Pubc
O 14 Agri.cu4 -ural,
? 15 Miscellaneous
Const. (Actual) Basement sq. ft. MWCC System
(A1lowable) lst fl. sq. ft. City Water
UBC Occupancy K-3 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
urr? C[Mi/, ??'
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
O Site ? Footing >1 Framing " O Insulation
? Wallboard JZ final ? Draintile E3 Fireplace
Permit Fee 3$100 Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharye
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
s
IqOffoUNTEMOo A A
rq THiOq YwOTB oBe
•t'• y:17
SAC %
SAC Units
? 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EACAN
? 3$30 PILOT KNOB RD • 55122 ?
651-681-4675
New Consfiuctlon Reauiremen}s Remo el R
? S reg(stered sHe surveya showing sq. fl. of 101, sq. R. of house 2 copies of plan
and all roofed areas (20% maximum lo} coveraae allowedj 1 sef of energy calculatlons for heated addiNOns
D 2 copies of plans (show beam a window shes; poured Ind. design; efc.) 7 sRe survey for exferior addiHons a decks
? 1 set ot energy caleulations
? 3 copies of hee preservWion plan H IW plaMed aHer 7/1/93
DATE: 1- Z 7- 6i-'/ CONSTRUCTION COST:
DESCRIPTION OF WORK: ?Pee- k
STREETADDRESS: 4VO T4r-- -4P1( SV?+ L? vc,Q
LOT: ? BLOCK: SUBD./P.I.D. #: lrj
PROPERTY
OW N ER
Name: Te f?%'x?'l t-Y Phone #:
lasf FGst
SheetAddress: OYc)
City &G K State: 141,-V Zip: 5517 3
.
Company: SH ?k
CONTRACTOR
Street
City
ARCHITECT/
ENGINEER Comoi
Telephone #: area code ( )
Name:
Streel Address: Registration #:
Cffy State:
Sewer & water Iicensed plumber (reautred for new conshucHon onN):
Zip:
Zip:
Ity applies when address change and lot change is requested once permH is Is:ued.
1 eby acknowledge that I have read thls application, sfate thoT the Informatton is correcf, and agree f?omply with all applicabl
St e of Minnesota Stafutes and Clty of Eagan Ordlnances.
Signature of Appl(cant:
?-- ?.-.- OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
Phone #:
(area code)
license # Exp.
State:
,
1989 BQILDING PfiIflM 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLIN(i3 1109145
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF EIdERGY CALCULATIONS
NOTfi: 6DDRFSSES F08 CORNER LOTS - CONTRACTOR/HOMEOWNBR MfT3T DESIGNATE W[HICH ADDR&SS
IS DESIRED. NO CHANGFS AILL BE ALLOIJED ONCE BIIII.DING PERHIT IS ISSDED.
M[TLTIPLE DWELLINGS EENT9L ANITS FOA SALE UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COhAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP 1 4 1989
c? # 00 To Be Used For: f l7 'LL. Valuation: Date: ?
Site Address y" S?•
Lot c Block
Parcel/Sub? ?
Owner
Address
City/Zip Code
Phone
i
Contraetor
Address
City/Zip Code
??
91I1000vrcivu w.
Oecupancy -2 3 M-1
Zoning D R 1
Actual Const V-??{
Allowable V-N
# of stories
Length 5y;
Depth 46
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System L'?
City water ?
PRV required _
Booster Pump _
APPAOVALS
Phone `f -5 / -
Mch./Engr. _
Address
City/Zip Code _
Phone 0
Planner
Council
Bldg. Of£.
Variance
Council
# OF ONIT3
F563
?
Sldg. Permit
Surcharge °ls ,St>
Plan Review .3r, Oo
SAC, City LQ21oa
SAC, MWCC 575.00
Water Conn ? $$o, 03
Water Meter 40,00
Aeet. Deposit 30,00
S/W Permit 20,oa
5/W Surcharge 1,00
Treatment Pl. 2z e, o0
Road Unit 340, co
Park Ded.
Copies
TaraL ? v J7. S
NOTS: Sewer & Water Permit fees and socount deposit fees s+ill be ineluded in the building
permit fee. Processing time for seaer and vater permits is two days onee a lieenaed
plumber has applied for a permit at Citq Hall.
V ALUATjo p
3Zxz2 = ?o? x Is? ?o?-?o
`I?m T
-2yyx y6: ).117
c?_---
1 1 11 x/?= 166?y
I-{ ouS `
4 6 = I
z X ? _ ?y
5-b _ `]oa
qo93q
Ono or Two
All ather
Cantractor dO&r
LIIJEAL FEET OF ?? !I '
EXPOSED Y7ALL -7?E toOFZK gE?ft.
ulrx ur' BUILlliNa llEPAIiTt•ILtIT
EXTERIOR ENYELOPE AVERA4E INII C017PUTATION
(To be.suhmttted with building permit appllcAtion)
Family Dwelling Owner
S1te Addreae LoTS, lLock'-I
LEycING.'T!'JN '1'arN'TE 3R7 ADbl11
Date Phone
above grade - 2 5ZC•00 ?
TOTItL EXPOSED VYALL AREA SQ, FT.
OPAqUE WALL CONSTRUCTION: °Ull Value x Area
124tV157 IOUll .043 x SQ. FT. ) .ZD. 77,50(U)(A)
Detail
reference jl?a& I 'lU" •070 s SR. FT. ,L = 0.14 (U) (A)
from -?)Ih "U" 1040 x 5q. FT._ 132.So= 5•31 SU)(A)
Attached ifUll x SQ. FT. _ (U)(!q)
slieete ovule x SQ. FT. _ (U) (A)
IOUIO x SQ. FT. _ (U) (A)
VIINDOWS: "Ull Value X Area
Plalce & Type eS!)!r itUot x SQ. 44. 00
FT. (09,50 (U) (A)
" ° itUll x SQ. _
FT. _ (U)(A)
u u upa x SQ. FT. _ (U)(A)
" " liUlt x SQ. FT. _ (U)(A)
WORS: "U" Value x Area
hla!ce & Type ?,7'L, jdSMr 'o11ll •14' x SQ. FT. %Op = ?0$eO (U)(A)
Do upu 117 x
M SQ. FT. 2 0= U)(A)
-
n n nQn x SQ. FT. _ (U)(A)
" " ilUto x SQ. FT. _ (U) (A)
TOTALS 7,300-00 Sq. F'T. ISSS(O (U) (A)
AYERAQE "Ul l
TOTAL (U)(A) VALUES M(dig(p ?
I
.
DIVIDED BY TOTAL {'iALL AREA 232-DiD0
03
AVE1tAQE IIU .119 less for 1&2 family
we linge
ROOF/CEILINUi
TOTAL AREAz Z(04 ?
Detail reference IIUII-- .OLf x SQ. FT. /ZLOO = Z(a? (AU)(A)
from $f0ll ' x SQ. FT. ? (U) (A)
attached sheete. olUit x SQ. FT. _ (U)(A)
Deccribe openinge liUll x SQ. FT. - (U)(A)
in roof. liUll x S@. FT. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 2,(p? 9.(fJ rY?L!? Zwc 3?Q•?f 2?D' ?U?>
e
TOTAL ROOF/CEILIfla AREA f200
•AVERA4E l'Ut ? .025 or ventilated rooTe. :
?. •
??o5s G-xPas?D G?A?L
14.5 X ( 34+34+4rv?-9?o) = Z;Zo.oo?
•(v7x ( 34 t3¢+ 9qv t44v, = 107. Zo ?
??1 ?o?sT . 83 ?(,34 ? 3?- t 4? ?-41n? = I 3Z • 80 ?
kl„1 wwS
llox30_ 1.0 x 4= Ilo. o0
ZOX3(o = 5, o X(v = 3o.op
Z4 X3lv= (v.o X 4 = Z4, oo
2¢x48 ? 63.0 X?- 98.00
ZoX / S- 0-7 /\ 4.... Z(n. go
. .. .?..: .... ..a4l4f. VO ? ' . ?. . . .'.?.?:..?- •
D?
3` 57c• W/5?-• _
Z&.
(v ° PA-r/o =
hIET Eym EA u, EQuhc.s C?KaiS w??L Z?,ZO.ov ,
G?ys ?o?lc , 0710
?? K1m 13z,go
11 Y,tDlil?s ?`?q'I$D r,47?
1.00 . 1844Zo?..
Z8,00
ZI,ao
4z,oo
q J, oo +
9-09-f
z&x Qb = 119 fv
8 x 8 = ?4
, lletcrmLtdng "U" valuse at Roof, Wall, 121mt and Couc. Hlocls
ROOF/CEILINa
I,) Interior dir F'ilm
z.) 5/81, ayp. na.
3,) Ineulation
4.1 .
5.) Exterior Air Film
(STILL)
(11) V11LUE
0,61
.56 ..
4-j•, o0
.61
itull u ,/R_ , ozl 'romni. M= 4s-76
=
VlftLL
6.) Interior Air Film
7.) 111 QYP• Dd.
S.) Ineulation
'9.) ?
?'orc.T-?iTr_
10.) htaeanite Siding
11.) Exterior Air Film
R VALUE
0,64
.45
l9,co
2,0
1.
.17
uuli = IIR=•. O`I z ToTAI, (R)=Zj..(q!
RII4
12.) Interior Air Film
13.) Inaulation
11E,) 211 Fir Rim Joiab
15. ) fv1(,T' f+Te--
16,) hiasanite Sidiug
17•) Exterior Air Film
Ii VALUE
o.6d
19,00
1.88
0.67
.17
IIpu = 1/R= .OA0 TOTAL (A)= Z¢¢1J,
I i
FOUIIDATIOIi R VALU
18.j Interior Air Film 0.68
19.)
20. )
F-!! 51K1?'1'?D
1/vo
21.) 12" Concrete Bloclc 1.28
22.)
23.) Exterior Air Film .17
upn = 1/R= ?
r•' Q](D
TOTAL (R)
=?3,/?
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
JOE MILLER CQNST_
DESCRIPTION: LOT 5,BLOCK 4, LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
_ JEFFERSON
LANE
Oa Na ??
N ? ?, Tq?. qg2.
F+?
iea..J) 589*50,L1"E 7A_00
a02'IA'
fe 0 (6i?I
8?.-- - - 8
OAI ? I?O
M
N
lq*
6AR. rep
o '
UAI2. N
_
i
.384
Scale:l"=30' 98 i
' I ? ^ ?
IV
? e N IS.S
I 1s I
? I 9
d
I M FM'p J?p ? I I
' '
S S
W
? W
LOT
o ^°?? I m
5
Z I I °z
N84955'48"W 78,29
i-.?.. ?LFY4;}-?:?.'1?1
LEGEtdD
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
9ei. av DENOTES EXISTING SPOT
ELEVATION
(ae t) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE OIRECTION
Hfi TbP OLaK
785.94
, ! .*. .
••,-. : p, s ?', . . ''.. ! ` :. „ 'n} i ;: ^, „ j?
..,... 7' ,p^ aG-.,. tr' '*7 .-..• ...,.. _
,??,...i i 1~... I. ? ..?.L•-. . ..
,.. ??
_......__"0
?2vPOSEC SP?iT`?IV'fRY ?'?'1?a1J1ti1?33?' ;`':''=-'._r"• ".
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION =
PROPOSED FIRST FLOOR ELEVATION
PROPOSEDBASEMENT FLOOR = ?• ?? L
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
1 hereDy caAify ihaf this aurvey, plon or
rsport was prepared by ma or under my
direcf supavision and ihaf 1 am a duly
Repistsred Land Surveyor under fhe
Laws of the State of Minnesofa.
,
Brodley J. t` nson, Mn. Re9. No. 15235
Dote
LEGAL
. ,.
89-132
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
JOE MILLER CQNST_
LEGAL DESCRIPTION: LOT 5,BLOCK 4, LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
JEFFERSON r,
- - -?
LANE
N q61q'4 *120.
t-?
?p - z, - W.V.
o
ar--- - -
• ?
"' I ? -1?
ix9M --
a
?R . I OP
Scale:l"=30' 9B3aa
,o
G7qR.
-1
1ap !
N,Z"V
'd'
HSF To0 H[aK
9Bi.94
" ?
?
5. I I
I L___
l6
N ?j???? a
'? 4e tl I
- I
I
1
?? ?
.
5
-
z' O
9
l2 Q (so' ?\
W
I
I
: ui
, :.:....
? to
LOT
.
. ?
.
4
5
I?
p?
I
•• •?•.
?
0 CD
z
? Z
N84°55'48W 78,29
. ,...L i°,??..'!'il i •..?:?.,:.; :..
i..i:.. .:i't•..• :... k :"?.: ii c : ?:..
?
f? ?a
t3y
Da
lz?:
LEGEND PnOFv3cv 8PL-riTFEryiv'-?iRY VAiV1?tLT?'.?AING L'EPTI
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = ?
961.3y DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR -`/ ?•2'5 ?
ELEVATION ELEVATION
(ar ±) OENOTES PROPOSED SPOT
ELEVATION
? OENOTES DRAINAGE DIRECTION
I hereby csAify thot this survey,plan or
rsport was preparsd by me or under my
diract suparvision and that I am a duly
Reqisfered Land Surveyor under the
Laws of ihe Stote of Minnesota
,
n l?
;:?i n ? '?? ? --f . . i- _
Brodley J. ` nson, Mn. Req. No. 15235
Date: I
NOTE ' VERIFY ALL FLOOR HEIGFITS WITH
FINAL HOUSE PLANS
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129463
Date Issued:02/13/2015
Permit Category:ePermit
Site Address: 940 Jefferson Lane
Lot:5 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Dave Vandevoort
780 Sextant Ave 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 -
David W Peterson
1579 Gull Lane
Mound MN 55364
(612) 669-2520
Comfortech Heating & Air Llc
780 Sextant Avenue West
Roseville MN 55113
(651) 202-7689
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145674
Date Issued:09/19/2017
Permit Category:ePermit
Site Address: 940 Jefferson Lane
Lot:5 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
David W Peterson
1579 Gull Lane
Mound MN 55364
(612) 669-2520
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
6 For Officeice
/
Permit#: / % 6(U 3 2 l��✓
City of Eatau /4'7. �3
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 # Date Received: Ak
Phone:(651)675-5675
buildinainspectionsna citvofeadan.com St? 8 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-2-17 Site Address: 940 Jefferson Ln Eagan, MN 55123 Unit#:
Name: Karen Peterson Phone: Clint 612-290-3893
Resident/ 1579 Gull Ln Mound, MN 55364
Owner Address/City/Zip:
Applicant is: x Owner Contractor
Type of Work
Description of work: demo existing deck, install new 12x14 deck
Construction Cost: $4,500 Multi-Family Building:(Yes /No X )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
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.
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.cityofeagan.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.gopherstateonecall.ora
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 witho 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+lens.
XKaren Peterson
Applicant's Printed Name App cant's Signature
Page 1 of 3
• qVQ C-K /7--1 DO NOT WRITE BELOW THIS LINE /q-6-‘ 5, -
. SUBTYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi y Deck - Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_y,New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair WindowsDemolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION 261210Valuation Occupancy iAL MCES System
Plan Review Code Edition SAC Units
(25%_ 100%X ) Zoning 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:
_
7 Footings (Deck) Final/C.O. Required
Footings (Addition) 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: Ill , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review 011/t/la,
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge or)C / c,. �i
Copies
TOTAL
Page 2 of 3
• ' : ` q? e t /v��ig 89-132
TRI -LAN D- CO. N FOR
SURVEYING SITE PLA
SERVICES JOE MILLER CONST_
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 5 ,BLOCK 4 , LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
JEFFERSON _
LANE
°
in col, qSk'R* AO.
e,614 .0S89°5O'2L"E 78.00 As
0 ii! \NN A 0
El I 41k 0
/a.0000-T-..z.-----
yiLOLK v.
I it
983.84 so L?AR. ~1 �
5,� H 98�iR4 rop ocK
Scale: I"=30' I I
I 14
1 u \\\,L.0\\P) I r "zttr S * 1 i
' iji):
,z'es,n dP 46' __. 4-0 ,z' m
in
V jite
w
r LOT ,t' I in r.:.1-
'1 o 5 I on .
•
o
z } 1
z
N84°55'48"W
78.29 °r's=)
.. l..A s .... .•,�. :r";:t.:•�•;'
P7 ''' 1 E- ILS
L.i...."�::.c' I l l's {.. =s�: E.
By
Dat;; ......___.g.t .9 '
LEGEND' P ROFOSED Si'i-rikg4 ` iiiiiim ING DEP
o DENOTES IRON MONUMENT PROPOSED GARAGE FAT LOOR ELEVAE TION= i i rte•
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
qv.si, DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = I ~''. ?1"
ELEVATION ELEVATION
(aft) DENOTES PROPOSED SPOT
ELEVATION
l.-- DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
_r____ FINAL HOUSE PLANS
I hereby certify that this survey,plan or rr n
report was prepared by' me or under my l_ 1'r,.�.. �'_ .....t‘/L.. .;,-r,;4,••
direct supervision and that I am a duly Bradley J. • nson, Mn. Reg.No. 15235
Registered Land Surveyor under the "
Lows of the State of Minnesota Date. ' 1 ?ia 9
...,..11.....11..
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151771
Date Issued:09/11/2018
Permit Category:ePermit
Site Address: 940 Jefferson Lane
Lot:5 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
David W Peterson
1579 Gull Lane
Mound MN 55364
(612) 718-3687
Weld & Sons Plumbing
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158322
Date Issued:10/09/2019
Permit Category:ePermit
Site Address: 940 Jefferson Lane
Lot:5 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David W Peterson
1579 Gull Lane
Mound MN 55364
(612) 669-2520
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170363
Date Issued:06/29/2021
Permit Category:ePermit
Site Address: 940 Jefferson Lane
Lot:5 Block: 4 Addition: Lexington Pointe 3rd
PID:10-45072-04-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
David W Peterson
1579 Gull Ln
Mound MN 55364
(612) 669-2520
Hoffman Weber Construction Inc
2155 Old Hwy 8 NW
St. Paul MN 55112
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature