941 Jefferson Lane0 CASH RECEIPT .01
CITY OF EAGAN j
3830 PtLOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 1_SL
i
aECEIVED T.,
Fao?. ,
AMOUNT Is
? ? ?/ k-,Dl
& DOLIARS
?m
O CASH ? CHECK
4 /
FUND I OaIECT I ' I I AMOUNT
Thank You
BY
C 7??? ?' ?,
??ft cow
?.? 491-?, DATE: 05/02/90
..
? RE:
941 JEFFERSON LN
x Yq& Sewer & Water Permit for the above property has been completed. It will be held at the
Pubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
AALL 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 occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTtLITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
05/02/90
RE: 941 JEFPERSOH LN
X Yodr 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 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 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 (Ptumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
- -x .?• CITY OF EAGAN "?s 17794
3830 P11ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100
16.DING PERMIT Receipt #
To be u?ed,?r.j, SF 17i1G/GAR Est. Value $?9?
1
Site Addressi 941 JEMR30N LN
LEXIHGT01i POINTE
Z
7 OFFIC E USE ONLY
Lot
Block
Sec/Sub.
PefCel N0. 3mv Occupancy R"3 M-1 FE FS
PD
W Name NA?LY ?s Zoning
(Actual) Cons1 V-K Bldg. Permit ?95??
o Address 13613 H!?SHBURN AYE S (Albwable) Y?? 45`00
City SURtiSVILLE Phone g90"2604 +r or scodes Surcharge 386'00
Plan Review
length
o
Name S?
Depm
SAC. City
I00.00
?4 Address S.F. Total - ?•?
SAC, Mcwce
? City Phone S.F. Footprints -
C
w 625.00
r-
On Site Sewage
_
ater
onn
? W Name On Site Well Water Meter ?•?
?
3? Address MwCC System 30 ? pp
? Acct
Deposit
i W City PhOne Ciry water .
S/WP
i 30??
PRVReqwred _ t
erm
I hereby acknowleg e that I have read this application and state that the Boosier Pump - S/W Surcharge •50
information is corre ct and agree to comply with all applicable Slate of 252.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 355•00
A Building Permit is issued to: W/IKELY HO!!8S Pianner - Park Ded.
on the express cond ition that all work shall be done in accordance with all Council
applicable State ol Minnesota Statutes and City of Eagan Ordinances. eldg. Otl. _ C°P1es
??
.109
Building Otficial ? V??e - TOTAL
Permit No. Permit Holder Date Telephone k
WATER 5 ,? 9D
SENLER ?
PLUMBING
H.V.A.C_ ? S • ? . ??7 D
ELECTRIC (pcro
Inspection Date Insp. Comments
Footings I 4-)
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. `Sf ?d QG(?-
Isul. ?
Fireplace
Final Hig.
Final Plbg i
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final l
?
Deck Ftg.
Deck Final
wea
Pr. Disp.
-?-,?
CONTRACT PRIC :
Site Address • ` `'
Lot Blx
m Name ? Address
c City
Name
?
c Address
O CitY
TYPE OF WORK
Forced Air
Boller
Unit Heeter
Air C.ond.
Vent
Gas PiDina Outlets #
L?
MECHANICAL PERIMIT
CIT1f OF EAGAN
3530 PILOT KNOB ROAD, EAGAN, MN S:
PNANF• fl5d_p1fM
J
? M BTU
M BTU
-
? M BTU
M BTU
_..:,
CFM
PERMR FEE:
SIC:
TOTAL:
BLDG. 7YPE
Res. ?
M ult
Comm.
Other
For Office Use Oniy:
PERMIT #
RECEIPT # '
DATE: "
WORK DE8CRIPTiON
New -?-
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - S24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MWIMUM -1 PER PERMIn - 1.50 EA.
COMMIIND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MIMAAUM RESIDENTIAL FEE - ALL ADD-ON A
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
FOR: CITY OF EAGAN
?.. r , f'LYM?iIIrl? !'CIiM? 1 For
' CITY OF EAGAN PERMIT # _
RACT 3830 PILOT KNOB ROAD, EAGAN, fIAN 55122 RECEIPT#
ICE PHONE 454-8100 DATE: _
Cay
FEES
COMM./IND. FEE -1% OF CONTRACY FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
BLDG. TYPE WORK DESCRIPTION
Res. _?. New Const.? '
Mult. Add-on ?
Comm. Repair <d
ar,er
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL ?
? Water Closet - $3.00 $
_4 Bath Tubs - $3.00
.4-4 Lavatory - $3.00
Shower - $3.00 "
Kitchen Sink - $3.00
UrinaUBidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1,50 / sio ?
VYhirlpool - $3.00
:77:: Gas Piping Outlets - $1.50
(MINIIAUM -1 PER PERMIT-NEW CONST. F
SoNener - $5.00 ?
Well - $10.00
Private Disp. - $10.00
R,_ Rough Openings - $1.50
U. G. SprinWer System - $12.00 ? ?
PERMIT FEE:
STATES S/C: _L5)
;?, ,, GRAND TOTAL:
..?,._,._.,,?.?.. .._...._...__.,..._.......r..._.?._.?.__.....?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?? ?•?
Eagan, Minnesota 55122-1897 Date Issued: ? • ??
(612) 681-4675
SITE ADDRESS: APPLICANT:
'4 A 1 F f t? `; (11 N {. A fil r
I V .i.1Hl0 1O M P r1 .1 N11 ipf+
PERMIT SUBTYPE:
? ? • i :? , ?t
II ,-11 Mr,
i11ic,11 !N P 1_t:G
I; C, r f? Md '? 1
t (; 1 . , 1 +1 ? , • j , .
TYPE QF WORK:
i W,111 n r i $Oy
I T N F3 1
` Fdi:`?t ' LI'AF?IIIF F'P`fiM1 i', Fi t}IIII;f'f1 }t,t 1 1 f?=Ifi11 i1! F. !`'I IIMI;lI'?l??
?- _
? ?-
.. . .. .... , y ?'?'? . . .. -?
.. ;.. :. ?,.?. i ? ? :. ..- .. .? : ..va.._'.5
. _ .. . .;. . . . . _ ....
? :?. . . . . ,. .. .. . ; . . ' . ?. ... :?? ?
Permit No. Permit Holder Date Telephone k
ELECTRIC LffdfA
PLUMBING y 6 91- pa51
HVAC
Inspectlon Dete insp. Commenta
FOOTINGS
FOUND
FRAMING
[
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ?
INSUL
GYP BOARD
FIREPLACE '
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDGFINAL
BSi41T R.1.
BSMT FINAL
DECK FfG
DECK FINAL
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
i 1114 1•1 Da I j
PERMIT SUBTYPE:
,.•;
EM 1 1 Hti `.
1 01 :
'%I.IN I.ANI
'atrt?
4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
r iNAt
Permn No. Pe?,,,n Hoiaer Date Telephone 7t
snN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dste insp. Commerrts
Footings I
Foundation
Framing
Roofing "
Rough Plbg.
Aough Htg.
Isul.
FireplaCe
Final Htg.
Orsat Test
Fnal Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. S/2 Apy Q
Deck Final
Well
Pr. Disp.
. . , . ? - . y.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS •-
? ?
Correction Notice
L _. .
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?r _ fJ-H J SC f - ' [-'G! . - y
AfeL'f'
Go????no ?-s
When corrections have den made, please
call 454-8100 for inspection.
DateL//
Inspector City of Eagan
DO NOT REMOVE THIS TAG
• .a
o Iv-? `
(gPr#if iratp uf
1 citp ot eagari
; r}mrhtcent af ludd'mg Jwrninn
This Certifrcate r'ssued pursuant [o the reyuirernents of Seetion 306 of the Unijorm Building
Code cerrifying that at the tinre of issuance lhis strucrure was in compliance with the variour
ordinairces of the City regulating burlding corrstructioR or use. For the following:
um cimcmoKm SF IWIGAR Blag. Pe,o,;, rb. 17744
ooC„P-Y T,M R3/M I Z..M D.,,,,, PD T,,a CDM,,, VN
o--0r e„am ., HOMES n,aa,, 13613 WA4IB[1M ANE S, B'VII tE
awim? naa? 941 '' N LANE t,c,,my L7. S2, IEMVGZQd POIl+TIE 3R[l
n.a: .)[M 28, 1990
Bmld'mg
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN - METER # PERMIT DATE05/02 f 9G
3830 PiIQt Knob Rd. 11167
Eagarl; MN 55 1 22-1 897 eHiP # PERMIT #
,x.. , METER StZE B.P. RECEIPT # " 7 57 ]
DATE ?` 05/02IyU ISSUE DATE B.P. RECEIPT DATE `? Z.L?LU
_ PRV - BOOSTER PUMP
StTE ADDRESS 941 J!7PE'EcSOIi l.N
LO7 7 BLOCK 2 SECISUB LEXINGTON POIlQTS 3RD
APPLICANT:
ADDRESS:_
C(TY, STATE
ZJP
PHONE:
?-
' PLUMBER: ADDRESS: - '
CI"fY, STATE ZIP PHONE:
' OWNER: WAKEi.Y HOWS
Af]DRESS: 13613 KASH3URN AV E, 5
' CITY, STATE RURNSVILJ-r ZIP S 91417
PHONE: P90-2604 uF 868--6459
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. Ci
' SEWER PERMITS, CONTACT ENGINEERING DEPT.
??_.. . ,....:??_...,
PERMIT REGIUESTED
? SEWER - WATER .- TAPS ?
- COMMIIND - RESIDENTIAL;
? NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for beduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN URDINANCES
11
SIGNATURE WHEN METER ISSUED
54-5220 FOR INSPECTIONS. FOR STORM
SEWER & WA7ER PERMIT + OFFlCE USE ONLY
CITY ?7F EAGAN METER # JV3 !?? ?? 1 PERMIT DATE05/02 /9C
3830 Pilot Knob Rd. cHtP #(5/ 4 3 D ro $r,3 PERMIT # 13367
Eagan, MN 55122-1897
METER SIZE RC'K_ B.P. RECEIPT # G 7 571
ISSUE DATE f-" 9d B.P. RECEIPT DATE 5 q 90
DATE C5/0219G
941 3EFFERSt7N L[d
SITE ADDRESS
LOT 7 BLOCK 2 SEClSUB LE%INGTON POII3TE 31tD
j .,
APPLlGANT:
ADDRESS:
. 4
STATE
-CITY ZIP
,
PHONE:
/?
/
?'
?
` pLt)MBER: 1 It ? •
??
1
f ; ADDRESS: _Z?
CITY, STATE ,:?.?# ? ? : ? r ''%Y'',• ? ZIP
? pHONE:
_ PRV - BOOSTER PUMP
PERMIT REQUESTED
SEWER -/WATER - TAPS
i
?
_ COMMIIND ? RESIDENTIAL
1!'-NEW - EXISTING M71
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters,
.
_R_ tidAi(ELY ki0ME5
ESS: 3 3613 WASHBUkN F?VE S
STATE B NGV7t t E _ZIP 54117
1 AGREE TO COMPLY WITH CITY OF
ESIGNATURE WH METER ISSUED
! ALLOW TWO WORKING DAYS FOR PROCESSINP,a. CAI.L 464-5220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT?
? / `' _
CITY OF EAGAN N9 17794
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # C ' -`- -7 1
Tobeusedfor 3F DWG/GAR Est.V
,000
Site Address 941 ,TEFFERSON LN
Lot ? 7 Block 2- SeGSub.LE_XINGTON POIN
Parcel No. 3RIJU
w Name WAKELY HOMES
o Address 13613 WASHBURN AVE S
City BURNSVILLE Phone 890-2604
o NBme SAMF. I
?¢ Address
`- City Phone
?Q
Ow Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state ihat Ihe
inlormalion is correcl and agree to comply wiih a plicable S1ate of
Minnesota Statutes and Ciry oi Eagan? O?rdiqnan es.
Signalure of PermRee ? `? V "
A Building Permit is ssu to: WAKELY HOMES
on the express cron that all work shall 6e done in acwrdance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Bmlding Oflicial
OFFICE USE ONLY
Occupancy R-3 M=1 PEFS
Zomng PD
(Actual) Const V-N Bldg Permit 595. 00
(Allowable) V-N
Suroharqe 45.00
;v of siones - 386
00
Length 46' Plan Review .
Depth 46' SAG Qry 100.00
S.F.Total - SAC.MCWCC 60o-no
S F. Foatpnnis _
On Sta Sewage _ Waler Conn 625.o
0
On Site Well - Waler Meter 9n- nQ
MWCCSystem M_
XX
Acct. Deposil
30.00
City Water
PRV Requirgd - S1W Permil
?
30.0
Boosler Pump - SiW Surcharge • 5o
Trealment PI 252.00
APPROVALS Road Unil 355.0
0
Planner - Park Ded.
Council --
Copies 1.00
Bldg. OIL _
Vanance - TOTAL
0
3,109.5
?,g...?.
REQUEST FOR ELECTRICAL INSPECTION 3ti.'" ,,?'ee-aoom.os
???i c,,?a 9 S
fl? ;? 4 7 7 5? Sea msVUCLOns for rqm0?tin9 this lorm on back of yellow cop% i
NA 5C-/? _? Z
"X" Be?:? Work Covered by This Request %"N
ew Atltl Rep TypeolBmlding AppliancesWired EqmpmentWVed
Home Range Temporary Service
Duplex Water Heater Electric Heahng
Apt. Bwlding Dryer O[her (Specity)
Comm./Industrial Fumace
Farm Air Condili0ner
Other (syeaN) Conhacmr; Remarks?
Compute Inspection Fee Be/ow.
# Otner Fee # ServiceEnVanceSize Fee # Circuds/Feeders Fee
Swfmming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps ve 0_ Amps
Signs Inspector'sUSeOnly: %OO TpTAL?
Irrigafion Booms J?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee J COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspectot hereby
ti
h
b Rough+n oate
cer
y t
at the a
ove inspection has
been made. Final
-39'-?
OFFICE USE DNLY ?
Tlus request vol0 18 monlhs Irom
p /s `= 4 Cl- i?, d ys
,147757 ? f a ? , lf-?-. 3 a -,-s -sz-
Reduest Dare ?-
Z/- L/
'7 ? F No flough-m Inspecaon
HeqwrBtl> ,?,['
G Ves y?VO
XReatly Now ? W ill NoL1y Inspector
when Reatly?
I)< licensed contractor Downer hereby request inspection of above electrical work at:
Job Atltlress (SVaet. 9ax or Route No
l
je?'P
C
I Pty
? ?
9
J
,
4-sd?.
A. ,
-
SecUOn N. Townsliip Name or No Range No CouMy
Occupanl PRI ? Ppone No.
Power Sup Ler
? AtlEr /
i
Elec lnc clor ompany Name)
7 ectors Lwense No c l
Y
- z
.7
C7
-r
,-
)
Mailing Aeeress IConvaaor or Owner Makmq Inslallatwnl
/z -7
Fulhoriz ure (Conva wner ng InsWlla?ion? Phone Number
MINNESOTA ATE BOANO OF EIECTNICITY THIS INSPECTION REOUEST WILL NOT
Grigge-MlEwey BIEg. - Room S113 BE ACCEPTED BV THE SWTE 80AFD
1821 Umveirery Ave, 51 Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone161Y) 6424800 ENCLOSED
O??yysCU ?REQUEST FOR ELECTRICAL INSPECTION
? b 10- See instruchons lor compleLng ihis fomi on back of yellow copn
"X" 8elow VE'ork Covered by This Request
'" ?eoo - 0
??i ???lo??
,1i",
Ne . Type of Building Appliances Wired Equipmant Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
T Apt. Building Dryer Load Management
Comm./Industnal Furnace Other S ec'
Farm Air Conditioner
Other (spaclfy) Comractofs Remarks. c ,C ,?( ? L
YVaqx_i? WR!` IC.1/ei
Compute Inspection Fee Below:
k Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Amps ove 100 -Amps
SI n5 inspeqors Use Only. ITLOTAL
Irrigaiion Booms ?•? yC?, 5 O
S ecial Inspection
AIarMCommunication TNIS INSTAlLA710N MAY D DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MO THS.
I, the Electrical Inspector, hereby
certiry that the above inspection has
been made. R°ugh-in ?
? o"a y"
oata .
OFFICE USE ONLV
This request witl 18 monfis irom
0
?9?
y
1
0
3
6
6
Request Oe?e
L
('? Fire o F gT-In Inspacbon ReqWretl
(VOU mu catl inspecrory;?en reatly) Inspeaion Ot?erT?an R ugh-In
? Reatly Now AI Not?ry Inspecmr
/
?
Z Ves U No Da?e ReaE
I icensed contractor ?owner hereby request inspection of above electrical work at:
Jo Atltlr?ess3 ( (Si/rae( Box or Roule No.) _ \
'{?-6i V...??A c?dN LJq? Qry EAG??
Sectlon N.
I Townehlp Neme or No
Range No
Counry /??? .;??
O/'r6W i
YT
Occupant(PRINn
S(-a-T'T- Phone No
Power Suppller Atltlress
Eletmc
a
l Com
ra
cror (COmpa
ny
Na
me) tofa Lmense No
CoN
rac
/
?
?
?
?
?
[
?
GnW?c?tYC 11?-GC..Isy.?"i'?. ?n/C-1 ?
M
?TVQ i?
Mellmg Atltlress (COntraclor or Owner Meking Insta Lon)
'-( 33 KcpEk wItid Ttc+9zL EAGr-? SSia1
Authorize gnat e(C Vac rlOwner a Inatellelion) Phone NumOer
,"fs? - 3 .?
MINNESOTA 4TATE 80KR0 OF ELEGfTPICITV THIS INSPECTION REOUEST WILL NOT
6tlgge-Midwey Bleg. - Boom &128 BE ACCEPTED BV THE STATE BOARD
1821 Univenlty Ave., SY. ieul, MN %70i UNLESS PROPER MSPECTION FEE IS
Phone (812) 842-0800 ENCLOSED.
5/0/so
? :, 5 a
REQUEST FOR ELECTRICAL INSPECTION
li? See mstruchons br wmpleting this form on back of yellow copy.
1-14
"X" Below Work Caverea' by This Request
M% EB-00001-07
" cl &027
e Add Rep. TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer O[her (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
OtherlsPeciyl ConVaclor5 RemerksCompute Inspechon Fee Below:
# Other Fee # SarviceEnvanceSize Fae # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Amps
51 S Inspecmr§ Usa Only
IRI ation Booms
Special Inspechon (p 3. Sc7
Alarm/Communication
Other Fee
?
/1512
I, the Electrical Inspector, hereby Rough-in ate
/?.
certify that the above inspection has
been made. Final oate
f 7 aos(p' 1111,71,
OFFICE USE ONLV
This request witl 18 montlis hom
49/So r C?cYOo?7
417 5 0 C-,O?
ReqUesi Da[e F No Rough-in Inspedion
R ????
M
9
?
O Reatly Now
a Will Noifij Inspector
d 29 19
0
Ves
Y f ? No J? Whan PeaUy?
I CA licensed contracfor ? owner hereby request inspection of a6ove electrical work at
.fob Atldress (Street, Box a Roule No ) City
941 Jefferson Way Eagan
SecLOn No Township Name or No. Rarge N. County
Dakato
Occupam (PRINT) PMne N.
Jim Wakely Construction
Power Supplier Atltlress
Dakato County Elec. Farmin gton,2Mn.
EleCincel ConVactor (Comparry Name) Conhactor$ Lirense M.
Lein Neating and Elec. 042468-6
Malling PUtlreas (COnVeclor or O.mer Making InslalfaLOn)
6525 E. 170th St. Prior Lake, Mn. 55372
Aulhoyr
`? nature (COnirecto?e'M Inslall i Plwne Number
;
`?#JI
v
447-2490
MINNESOTA STATE BOApD OF ELECTRIGITY? -- THIS MSPECTION REQIIEST WILL NOT
GriggyMidway Bltlg. - Hoom S1]3 , BE ACCEPIED BY THE STATE BOAFlD
1821 UniveraHy Ava., St. Paul, MN 55100 IINLESS PROPER INSPECTIOIJ FEE IS
Plqri¢ (512) 6424800 ENCLOSEO
------------------
i
j Permit #: ? j
? Permit Fee: /?' O I
? Date Received: ID?? j
I Staff:
I
20 8 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U SiteAddress:
Tenant: Suite #:
RESIDENT / OWNER Name Ct( Phone:
Address / City / Zip:
A
li
t
O
(/ C
pp
can
is: _
wner
ontractor
TYPE OF WORK Description of work:
jU
Multi-Family Building: (Yes No ?
Construction Cost
CONTRACTOR Name: c-cc_ License #:
Address.
5 S" U 3?
?/b
>+
/
MN
C>
--
Zip:
City:
State:
Phone: ContactPerson: J!"t GsI?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 1 Worksheel • New Energy Code Worksheet
Category Submitted Submitted
(4 SubmissiOn type) • Energy Envelope Calculations Submitted
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 suppo`ingdocuments.ihat you submif "are considered to be:pubiic infor`fnation.-? Pvrtiohs' oi;.'
•
. ,
fhe,iitlormatfon inay !ie classibed as nnn puBfic ifi you provrde specitrc reasons fhat Hiouid permrt;;the Cify to.v"
'co»clude tti'at the' "'are trade'secrets.
I here6y acknowledge Ihat this infortnation is complete and accurate, that the vrork will be in conformance with the ordinances and codes of the City of
Eagan; ihat I undersland this is not a permit, but only an application for a permit, and work is not to star ithout a pertnit; that the work will be in
accordance with the proved plan in the case of work which requires a review and approval of pla s.
X ?un-?J? X
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT# r? a
RECEIPT DATE:
EOOE RUIDENTIAL PLiJMBIA6 PEM1T ?PPLICATION
crrY og EAsM
s$so Pv.or Kvoe ftu
EAse?x, Mu ss i 2$
651-681-4675
Please complete for:
sire aDDRess:
single family dwellings, townhomes and condos when permits are required for each unit,
6ackflow preventer for irrigation system
?k -le
l' tC,vv?-?
M N
OWNERNAME:: TEIEPHONE #: LOS " 0' Z,(POl
(
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
1 (AREA CODE)
STREET ADDRESS: U-e-
CITY:
STATE:
ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? P.dding fixtiireG to Iower lavels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: newinstallation/repaidrebuild $
30.00
lawn irrigation system U 5 2042 u
- JUi 0
SY
ReplacemenUadditional: _ water softener _ water he $ 15.00
State Surcharge $ .50
$ 50.58
rotal ?
I here6y acknowledge that I have 2ad this applicatlon, state that lhe information is correct, and agree W compiywith all applicable Cityof Eagan ordinances. It
is the applicanPs responsibllity [o notify the propeAy ownerthat the City of Eagan assumes no Iiability for any damages caused by the City during ils normal
operedonal and mainlenance activities to the facilities consVUCted under this permit within City pro beAy/¢ght- - ay/easemept.
SIGNATURE OF PERMITTEE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
I
• CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 '3 (Q
651-881-4675
New Cons7uctlon Aeaulrements RemodeURe fpa r pepulrements ?
• 3 repistered stte surveys showing sq. fL of bt, sq. ft. M house; and II roofed areas • 2 copies ol plan
(200/6 maximumbtcoveragealbwetl) • lsetafEnergyCalcumllonsforheatedadd'd'ans ? 4 (D .Q
. 2 copies of plan showing 6eam & window sizes; pouretl fountl tlesign, etc.) • 1 site survey for exterar adtlnions & deda
• 1 set of Energy Calculatlons • IMkate 0 homa Sarved by septic soem fir ade'rtbns
• 3 coples af Tree Preservatlon Plan A lot plattetl afler 7/1193
• Rim Joist DeNdil Optqns Seledlon Sheet (bldgs with 3 or less unlls)
DATE M-K ?r` 3. 2.?002 VALUATION ?O, Ger) `L
SITE ADDRESS 94l ??????N LActit= MULTI-FAMILY BLDG _ Y kN
NPE OF WORK Ati>Mcx-t FIREPLACE(S) _ 0 1C 1_ 2
<5AS
APPLICANT 'RoR?L-=RRz, Cn<g.??r?rt-1z4 f1?1L I.-?s.? Zo72-69 31L9L
STREETADDRESS 1239 1-fL-? I-,w& CIN?3r.t?uL_ STATEH N ZIP
TELEPHONE#6SI-Cffi-So5( CELLPHONE# &51-295'118 35 FAX#
PROPERNOWNER ' i ?gu_ TELEPWONE#{a5l- fs88' 210
--------------------------° -------°-------------------°---------°--------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIN6S ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) • Residential Ventilation Category 1 Worksheet Submtttetl Submitted
• Energy Envelope Calculatlons Submkted ? AY 0 6 2002
Wumbing Conhactor:
Plumbing system includes:
MeChanical ContraCtor.
Mechanical system includes:
Sewer/water Contractor:
, Air Conditioning
_ Heat Recovery System
Iawn Sprinkler
No. of R.I. Baths
Phone ti
Phone #
131i5lo's-
Fee:
Fee: $70.00
I hereby acknowledge That I have read this application, state that the information is correct, and agree to comply
with all applicable Siate of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant f V? ??
Phone #
_ Water Softener
_ Water Heater
No. of Baths
--_...... _.... °......... _............ ---°...... '-.... _.
OFFICE U3E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-piex
? 05 03-plex
? 06 04plex
? 31 New
* 32 Addition
? 33 Alteretion
? 34 Replacement
? 20 Paal
? 21 Poroh (&sea.)
* 22 Poroh/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
?
30 F
Accessary Bidg'
? 31 Ext. Aft - Mufli
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ;* 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
"Demolltion (Entire Bldg only) - Give PCA handout to applicant
Valuation /?o et;0 Occupancy /Z -3 MC/ES System _
Census Code W3q Zoning r /7 City Water _
SAC Units f Stories .7-- Booster Pump _
Nbr. of Units f Sq. Ft. 357 PRV _
Nbr. of Bk1gs ? Length 9-1 Fire Sprinklered _
Type of Const ? Width 12
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
Footings (deck) ? FinaUNo C.O.
Footings (addition) Plumbing
?
FoundaHon = HVAC
Drain Tile er
Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests _ Final
? Framing j Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air Test Final s(new/replacement)
?- Insulation _
_
_ Retaining Wall
lyf,b?R
Approved By
Base Fee
Surcharge
Plan Review
MC1ES SAC
cicy sac
W ater Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OSplex ? 13 16-plex
? 08 OEplex O 16 Fireplace
? 09 07-piex O 17 Garage
? 10 08-plex O 18 Deck
? 11 10-plex O 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
Building Inspector
!7 "t'J •-? ? ?? d
3G .U C? fJi.Yrq?r?.? ?s•.?; 3yoCZf???'' ?-
??3 , 1 f /S?360 12?
?pr ?'L/Z .34o.t?J C?J?1
r-
-?
.
;
Form for use with Minnesota Rules part 7670.0475, Subp. 2
1& 2 Family Residential "Cookbook" Method
SITE ADRESS
M
941 Sef?erson L.ahC City
EA avx
BUILDER /J?? -
/ ? 4 ? ?= ` Date
?A1<'"
21'J 2L9C? ?.
Minimum Criteria:
Rim Joist: R-19 insulation Foundaton Windows: Insulated glass, 1/2" air space, wood or vinyl frame
Entry doors: I3/4 inch solid wood with storm or better
ST'EP 1 Window & Door Area I I STEP 2 Calculste erea as a percent of walt
Total Window & Door Area in Sq. Feet Box A(window & door area) divided by Box B(total
WINDOWS (including Foundation windows): wall area) times 100 equals the window and door area
Dimensions Qnty. Area as a peroant of wall area (Box C),
7.o x 4.75 ti•-- (06.5
4.0 .4.o I 16
7,0 x
x
x
x
x
x
X
X
x
DOORS:
x
x
X
Total Area of
Window & Doors
1 0-7 A
Total Wall Area in Sq. Ft.
Wall Total Perimeter Height Area
I-71
I Ia' G"
Z 80. 5'
21' I-7' 9" 372. 75
13' Z29 .15
Totat Area
ofwall
88Z•?5 n
aox A 16-3 X ioo = Eo9 % c
Box B q? 5. 25
S'TEP 3 Design Features
ASSEMBLY OPTTON '
FRAME WALL;
STANDARD FRAMING ? , .
ADVANCED FRAMING -
CAVITY INSULATION R• ? $
SHEATHING: LESS THAN R-5 ?
R-5 OR MORE
WIIVDOWS (except foundation windows):
U-FACTOR U•.3t'j From the table, determine the maximum percent winnow
& door area for the design options selected and enter the
value in box D below:
=(0/OD
Box C must be less than or equal to Box D
V
Assembly R and U-Factor Forms
ASSEp¢BLY)
w.A .
Material (Deecdbe) Thf<kaeea R-Value
?,^
[ntedor Fllm Coefficient , L8
L" K bd. " r
Zx6 "Y i" .87
METALSIDI+V 6- '- •6?
Exterior Film Coefficient . (-(
Total Assemply Thermal Resiatance cl.7 Z,
Assembly U-Factor (1 /Total R) J0 3
ASSEMBLY •
C?, ??n a? {ru55
Matedal (Descrlbe) Thickneee R-Value
Inledor Film Coefficient .68
? .ed. ZIt
.4T
2x 3i" 4.3X
$a-It.r, .. . 8 ? 30
Sxterior Film Coefficient
• ? ?]
Total Assemply Thermal Resistance ar.b S
Assembly U-Factor (1/Total R)
.02€?
ASSEMBL
N?1? ? InSN
•
Matedal(Descdbe) Thlcknese R•Valae
Intedor Film Coefficient
• ?p $
2
5 t" baft i atu . 5 s" 1 b
PI wood l,ew'?h?n " •R¢
Me}4 S?c?ir - .(? I
Sxterior Film Coefficient • ? ?
Total Assemply Thermal Resistance 2p 8 ?t
Assembly U-Factor (1/TOtal R) .0'}8
xsi c
ASSEMBLY
CCi??rl tl?in5ul? -
Matedal(Deecrtbe) Thickneae R-Valpe
Intedor Film Coefficient
Tn5.( lZir . Q;
Exterior Ftlm Coefficient . 1 -7
Total Assemply Thermal Resistance 41. ?)
Assembly U•Factor (1/Total R) .024
ASSEM9LY
Wal Z $r?cl< l?eqe
MateNal(DesMbe) Thickneee R-Value
Intedor Fllm Coefficient
. 6 $
y .l?d- .4?
r, Z" bait- . 15 Z?? I e
pi Wood 5k . 3i4° •q4
g,-ic k 3Z" .il
Ezterior Film Coefficient
• ? 7
Total Assemply Thermal Resistance 2 0•
Assembly U-Pactor (1/Total R)
VI
.
? Exterlor Envelope Thermal 'IYansmittance Worksheet
SITEADDRESS CITY -
.?
NAMB EF PBRSON COMPLETING FORM DO W t,? DAT6 '7 Z p O?
U 1 ? J
Asaembly Area (Sq Ft) U-Factor U-Factor x Area
Insulated Area
Framing Area ?
V, Skylightsl
0
Other
?
a
'v
v Totals
I AverageU-Factor: ? 8•74 *?' 338 r
Required U-Factor (from Energy Code):
5 •?t• • (3 Z 9'
Z 3 59. Ft. . 0 28
(6) 338 sSA•
(C) . OZ
(D < .C
8.1
.64
74
Insulated Area2 7$(o , 8?-t L . 048 37. $
Framin Area2 q(p {'tZ . 103 9•9
Winrlnwe1 10-7 "ftt • 3,5 37.43C
a
3 F?
b
o A
w
TotaiS
Average U-Factor; ?_ S 5. I5, ? Q
Required U-Factor (from Energy Code)_
?(9) •I10
(t B5.1s
If (C) is greater than (5, or (C) is greater than (E), revise the design as necessary to meet the envelope criteria of the
Energy Code.
1) U-Factor for skylight and window must be detertnined by the Nalional Fenectration Rating Council Standard 500-91 or ASHRAE 1993
Handbook of Fundamentals, Chapter 27, table 5. '
2) Thermal Transmittance of opague components (induding inlegraily insulated masonry and metal atud framing) -- use part 7670.0450,
subpart 4.
VII
\11?
'CITY QF EAGAN
3830wPilot Inob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
Base Fee $35.00
Surcharge .50
Total Fee $35.50
SITE ADDRESS:
P.I.N.: 10-45072-070-02
PERMIT a_,W32
941 JEFFERSON LANE
LOT: 7 BLQCK: 2
LEXINGTON FOTNTE 3RD
DESCRIPTION:
&I'2di?nq?».,?ermit Type
uildin9 ???4,r,k TYPe
T r?
?'•.hPi? Et °AFae:Y?"`?.
PERMITTYPE:
BuzLozrvs
Permit Number: 0 2 5 8 9 6
Date Issued: 0 6/ 2 8/ 9 5
BASEMENT FINISH
AL7ERATTON
s?2 ??1c ?
3a
4
REMARKS:
SEPARATE PERMTTS REQUIRED FOR ELECTRICAL & PLUMBING
FEE SUMMARY:
CONTRACTOR: - applicant - sT. l.IC. OWNER:
R 0 CONST 14523575 0004988 KLUEGEL SCOTT
980 3TONY POINT RD 941 JEFFER50N LANE
EAGAN MN 55123 EAGAN MN
(612) 452-3575 (612)688-2169
?
. . J
' I heretiy a6kn`ouledg'e. th?a-t -7 :have r.e,ad thris.applicatiu?n andst,a,te tk5io't
information Ss 'correc, t :and ayreetcr-_ camply with 'a21 a0cpl,%oable, State -if Mtl.
StaCute`s antl Czty o'f Eagan Ordinances.,'
AW A.W
ISSUED Y SIG URE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: p.z.N.: 10-45e72-07e-e2 APPLICANT:
LOT: 7 BLGCK: 2
941 JEFFERSON LANE R 0 CONST
LEXINGTON POSNTE 3RD (612) 452-3575
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISW
BUILpZNG
025896
06J28J95
ALTERA7TpN
INSPECTION
FRAMING .. .
INSULATION „
ROUGH SN PLBCr FINRL
REMARKS: SEPARRTE PERMITS REQUIRED FOR ELECTRICAL & PLUMBING
,
i
c
?
CITY OF EAGAId 3S S?
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) e? •? (?
687-4675 ?Q,?,k•'?'?C
New Construc[ion Reaulrements RemodeVReoair Reauirements
? 3 ragistared site surveys ? 2 copies of plan
? 2 copies of plans (Indude beam S wirMow sizes; poured fid. design; etc.) ? 2 site surveys (eMerior addrtions & dedcs)
? t energy calalations ? 1 energy calaladons for heated addiUons
? 3 copies of tree preservation plan if IM platted aRer 711l93
required: _ Yes No - a b
DATE: 6 ' ? ? - `} S CONSTRUCTION COST:
DESCRIPTION OF WORK: ?? ?? ? s l, I`Pa s r wc -c ?t
STREET ADDRESS: ?Q -F-52?f
LOT 2 BLOCK SUBD./P.I.D. #:
? Sc °-? 6 2-2-
PROPERTY f ?-<.
Name: Phone #:
OWNER
?40 """
QfsoL'i
L
Street Address*
City: CaS a? State: A-t -?- Zip:
CONTRACTOR Company: IZ - ?• l.., m ?4 ?/ o w Phone #:
Street Address: 9 s`C?) Sim4 J?'C (2d License #: 419 2rcl<'
Ciry: Cz r a-?.
. State: ?-. Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #*
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalry applies when address change and lot
I hereby acknowledge that I have read this apptication and state that the information is coRect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY I? `C (? I? ??I/ ??
Certficates of Survey Received _ Yes _ No ? ??y z p?995
Tree Preservation Plan Received _ Yes _ No _______________
eITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date issued:
c?2, Js
BUILDING
023661
05f20/94
SITE ADDRESS:
DESCRIPTION:
941 JEFFERSON LANE
LOT: 7 BLOCK: 2
LEXINGTON POSNTE 3RD
l'~ v
Bi43lding"-2ermit Type DECK
"Auilding L16rJc Type NEW
;
1?.
1
?-
(i ?
_irul ,-x"
,
(5
LJ L..? ..?
Ci-
.? ...._ , ..
REMARKS:
FEE SUMMARY
Base Fse $30.00
Surcharge $.50
Total Fee $30.59
CONTRACTOR:
?
OWNER: - Rpplicant -
KLUEGEL SCOTT
941 JEFFERSON LANE
EAGAN MN 55123
(612)332-6326
I hereby aoknawledge that I haue read this application and state thaC tha
information is correct and agree to comply with all applicable 5tate of Pin.
Statutes end Gity of Eagan Ordinances.
?
J APPLICA
/ /PE IGNATURE
c
ISSUED Y: SIGN E
, I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Kno6 Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612)681•4675
SITE ADDRESS: APPLICANT:
LOT: 7 BLOCK: 2
946 JEFFERSON LANE KLUEGEL 9COTT
LEXINGTON POINTE 3RD ? (612) 332-8926
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
euzLnxNG
023661
05/20J94
INSPECTION .. . .•
FOOTING5 FINAL
F-
L
? ? . • - , i ?.i
?.. . i
y ,. ..
?
?
, ? .. . ?
?--. ,
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
1$ 3 0. SZ)
7H!E-CEPVED
1 3 i9?§
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of arch9tectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address 9s changed or 3) lot change is requested once permit
is issued.
ate ?1`? Valuation of work
r
te Address: qy? 4?._'&o?
STREET SUlTE 0 I
Tenant Name: (commercial only)
LOT ? BLDCK Z ' SUBD.
k
#
P.I.D.
;
Descri tion of work:
The applicant is: ID Owner ? Contractor El Other (Descri6e)
Name K?V'ee.Z? S C;-? Phone (aO8'Z1(oy
-
Property LAST ?-
r FIRST
Owner qddress T?Vrp-rS e), L,,_?,
STREET STE #
City ?G-c.V. State Zip ff Zl
Company Phone
Contractor Address license # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area 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 applic ble State of Minnesota Statutes and City of
Eagan Ordinances.
A AL
Signature of Applicant:
I ,
L ? gL 1- ? CITY USE ONLY RECEIPT
? 7rS? ?Jr
SUB@??• G?Z. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray a? ??
Hot Tub/Spa `D
Water Heater
Floor Drain
Gas Piping Outlet * minimum -1
Rough Openings
Water Softener
Private Disposal " Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations "' to existing
Water Turn Around
EACH NO.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
TOTAL
.50
'a p.Su
SITE ADDRESS: ?? I J ? e rjJ-\ Tr `, I
OWNER NAME: P D- C a-, s?•Vo ?%o-
INSTALLER NAME: 1-Jt .1'.r;c- 12 /i+ r. <See .%c, 1 Ts? c -
STREET ADDRESS: 9G u/ J eSrre"°_ rr
CIIY: 1-1 , e. G.? rc ??s 4 J- STATE: ZIP: S S U 7-?
PHONE#:(Gi2) C910- 92-rL
?T(?"NAl'QF?E"aF-PF-RTJf/?
x
x
x
x
x
x
x
x
x
x
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANG E IS REQUESTED ONCE PERMIT IS ISSllED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
49O p0°
To Be Used For: Valuation: ? Date: `t-
l
Site Address
Vl
Lot ? Block I
Parcel/Sub VY
Owner ?.
Address I 36 13
City/Zip Code ey,..,.Jj? h'+. S S 331
Phone ????? ?j (. d 1
Contractor
Address
City/Zip Code S'3 3 ?
Phone cg'c1DC``?- ??Sj
Arch./Engr. <-?< oicv-z.-
Address
City/Zip Code
OFFICE USE ONLY
FEES
n
Occupancy y?'_/
Zoning
?
Actual Const
- Bldg. Permit
Allowable I//!/ Surcharge
# of stories P1an Review 3P6,
Length ?J(o SAC, City /OD
Depth yl4 SAC, MWCC (000
S.F. Total Water Conn 42S
Footprint S.F. Water Meter ? D
Acct. Deposit 30
On site sewage_ S/W Permit 30
On site well S/W Surcharge .SO
MWCC System ? Treatment P1. S
City water 4/ Road Unit sSS
PRV Park Ded.
_
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council
Bldg. Off.
Variance ~
Phone #
lS I' d- '
Xz? ,
6 .?-
2`ZZ- rr ? 5 c
i z.
,
. . ..
zo
/
J
,
mo"?
.
EXTERIOR ENYELOPE AYERAGf 'U' COMPUTATION
\ . ? 4 y .f (r
? V
ONNER '
SITE ADORESS
CONTRACTOR L!4I4fIv_/SLrJ? DATE PHONE SV- 26fl4
Determine working square foota9e o/ each.
1. Total exposFd wail area .,. ... I 92'?-7 f sq. ft. x •11 . ?_Z
2. Total roof/ce?ling are,+. ... ...o,d s0• ft, x .025 • o.ou
1ota1 exposed rrall area above floor ¦ J21_6 0?7C
a. Total wail window area ................... .,......
b. Total door area ................................. ?.N. ?/
?
c. Total sli6ing ylass door area ................... 4 O-? ?-
d. Total
.,•.••?
fireplace wall area.................
10%)
-
e, Total wall framiny area .(average
.,.••••?•.?
f,
Total ,
net wall area above floor .................
Z
??
Total rim 3oist ar•ea ........................... -
y.
Total e,,;posed foundation aiea =
h. Total
...,
foundaticn window area,. •??• f
i. Toal net foundation area above grr.,.;e ............ G'?
? De.termine "U" value of eacli ti:dl segment,
a. ( ? 6 :?__... X RUa
D.?Z.?°?1 ! X DUd
x •u^
d • r- x
E. ?92.?.7 x
f, (4?9.z9 x
9. 1z4S? x
n. ? z
,
7_
. s
, S3l . ztor
IIIVIM I
11• -Oct3 { 8-_.._.??
"?,
•U• ?04? • S9.S?
.U. ? 4f . .?_
--?
.u. `- ,
i. & 3' OZ) X "U" .'1? • S.ig
3.,,.......1.9.2/,:Dr .................Total a
lf item 13 is the sam2 as, or less than iiem ll, you have net the intent
of S8C 6006(t)2. "
??
? Totai exposed roof/ceiling area • I Zo o.od
j, Toca1 skylfqht area .............................
k. Tota1 roof/ceilinq fremSng area (average 101) ... .1
1. Tota' net'insulated roof/ce{11ng ana..........., h a o 0 7_
Determine "U' ralue for each roof/te111na segment.
J, X "U' ? •
k. X "U" ¦
t, C200.40 z•u' . OZS' . 30.e0
a .............. I? ....,.....Total . .a o
.
if total of le 1s the same as, or less than 12, you have met the intent of
SBC 6006(c)1.
Alternate Bu1?ding Envelope Design
To utilize the totai envelope system method, the values establishEd by the
sum of items 13 and 14 sha11 not be greater than the sum ot items /1 ard 02.
t. 21 2•27 _ • p,-) e.oe • 24-2.z7
3. (83•38 +a.__I v .a1) • 213,3P
WF.PJA CO. PLAN SERVICE
LD ANDEReON
ARCMIT[C?UIYL 09816NIN0 ANO rL6MN1l10
3397 Uppsr 717ln Str"t
AYPN VaINy, Mlnneaots
R"fMnen
us-ssse
OHim:
433-3775
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TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
CERTIFICATE OF SURVEY FOR:
WAKELY CONSTRUCTION
LEGAL DESCRIPTION; LOT? ,BLOCK-Z-, L xiN TON POINT 3RD
ACCORDING 70 THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
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JEFFERSON
LEGEND
o pENOTES IRON MQNUAAENT
o DENOTES WOOD HUB SET
DENOTES EXISTIN6 SPOT
ELE VAT ION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hareby csrtify fhat tAis survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Reqistered Land Surveyor undsr ihe
Laws of The State ot Minnesoto.
F? ? ?DEPT
PROPO$?p SPI.IT ENTRY - NO WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLQOR ELEYATIOR = 9
PROPOSED FIRST FLOOR ELEVATION = 964 4
PROPOSED BASEMENT FLOOR
E l.E VATI ON
NOTE'. VERIFY ALL FLOOR HEiGHTS WITH
FINAL HOUSE PLANS
Bradley J. 5v(Wsy4, Mn. Req. No. 15235
Date-
TRI-LAND C0.
SURuEYING
SERVICES
CERTiFICATE OF SURVEY FOR:
LEGAL DESCRIPTION? LOT? ,BLOCK-2-, l EXINGTON POWTE RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
18V5 PLAZA DRIVE
EA6611, MINNESOTA 55126
WAKELY CONSTRUCTION
1:
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTlON
I hereby certify that ihis survey,plan or
report wes prepcred by me or under my
direct supervision and that I am a duly
Reqistered Land Surveror under the
Laws of the State of Minnesota.
. ...•F: .. •
PROPOSED SPLCT ENTRY - NO WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEYATION= `1B'??
PROPOSED FIRST FLOOR ELEVQTION = 964 `?'
PROPOSED SASEMENT FLOOR ' `?gO4
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
r?
Bradley J. Srqriiyd, Mn. Re9. No. 15235
Date -
JEFFERSON
LANE
KLLJ?GEL HOUSE p TIO
941 JEFFERSOh IAhE) EP?-AN
714 SQ.F - 25TORY ?
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TRI-L.AfVD C0.
SURVEY.IIVG
SERVICES
18'P5 PLAZA DRIVE
EAC?1, MINNESOTA 55126
LEGAL DESCRIPTION; LoT7,BLOCK_??, LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOT,4 COUNTY,MINNESOTA
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CERTIFICATE OF SURVEY FOR:
WAKELY CONSTRUCTION
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I"=30'
S89050'21"E 84.47 ,
?
JEFFERSON
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
LANE
PROPOSEp SPLIT ENTRY - NO 1NALKOU? I
INVERT EI..EVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 9-
PROPOSED FIRST FLOOR ELEVATION = 904-.4 ?
PROPOSED BASEMENT FLOOR = 98° 4
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that this survey, ptan or
report was prepared by me or under my
direct supervision and that I am a duly
Repistered Land Surveyor under the
Laws of ihe State of Minnesota.
Bradley J. Sv{?yif, Mn. Rep. No. 15235
Date ? 3 L? u
N
8
1
.
?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172291
Date Issued:09/23/2021
Permit Category:ePermit
Site Address: 941 Jefferson Lane
Lot:7 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-070
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 -
Scott J & Kathryn A Kluegel
941 Jefferson Ln
Saint Paul MN 55123--260
(651) 783-6215
Weld & Sons Plumbing
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature