945 Jefferson Lane
Use BLUE or BLACK Ink
For Office Ussp
Permit ! j
City of Ea UUL1 ,
Ed I Permit Fee: ! I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 4 1
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L
Date: ~U Site Address: c G~
Tenant: Suite M
RESIDENT / OWNER Name: C4A"2!o 1kS1 Phone:
Address /City /Zip: !~i C
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 1Jf
Construction Cost: 35 1 . 000 , Multi-Family Building: (Yes / No
CONTRACTOR Name: XP~l i 66License#:
Address: ~[d c AC City: Q/C-!~aC ZA41LO
State: Zip: Phone:
Contact: Email:LGt~sA[~~ C'_O~1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII'48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and w of 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 ap r f la s. ~Rul~, zielyz x x
Applicant's Printed Name Ap is i9nature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch 3-Season Storm Damage
Single Family - GarageL 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 ~e,::7,,p Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100% f/) Zoning AD City Water
Census Code k3~( Stories / Booster Pump
# of Units Square Feet 3~z PRV
# of Buildings Length Fire Sprinklers -r
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / 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 I'l Y, e*--
Reviewed
FEE
Base Fee JVX/
Surcharge of
Plan Review 7"
MCES SAC ~3 90~1
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
945 Jefferson Ln
4 season addition & Deck
Legacy remodeling
07/23/10 (submitted 7/15/10)
Rusty 763-856-9210
rlear@legacyremod.com
open permits
None
Zo7dD
2, Lexington Pointe 3rd
LoK
10633
2127
Existing
House 1021
Garag
e 484
Acc 75 (6.5 X 11.5, per pictometry) /Z,s ~no/~iLA
Allowable 547
Proposed 154
Shoreland overlay? NO
MAC? NO
Show acc structure on the site plan
Upsize 1 footing at the deck to 16"
Bearing of addition headers at the house wall
4375#, pocket in to the house wall
Joist spacing at the deck ?
12" or 16"??
Trex decking
Provide eval report
ESR 1190
Braced wall lines
Structural sheathing??
8' wall height
Right side OK with 24" wide panel per 602.10.5
Left side OK with 24" panel per 602.10.5
Gable end does not meet the exception
Left a message 7/23/10
9O-031
T RI - LAND C O6
S RVEYlN~ CERTIFICATE OF SURVEY FOR:
SERVICES qq5~ Ln.
MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 6 ,BLOCK 2 , LEXINGTON POINTS 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF D KOTA COUNTY, MINNESOTA
EAGAN
RED I :WED
BY:
I /O
r, ATE:
t7J.!1LDING ii,~,:':t' : CTIONS DIVISION
N $o O
F
L i IAj 01 152
~6 C97~ )
' SCALE ,I 30
I 5
N I ~ 1
N LOT 6 i
11 lx / A(r ro Vol'
q
ot
N -Sub/ EM
S t sx ty
~ 101 ~2 psi ? ~p ~ ~ ~ ~ ~
~ . L978. a { 6.5Z ~ L- O ~ r
OAS), i
L -i P+roposep j
I Haus6 N J
R'
Il..I
a
,dry ,
/B.5l~ (982.8 ~ ~ t8.5Z C
o ~
I
9
0~ I o
z mL_ - - - - - o
0 (46(61,w A
~ggo_ ~ 2r gi
89950' 21" q8 S '21" E 82.03 ~ovl'
Ae q$~N
.JEFFERSON-- L..AANE r,
By
- .r
LEGEND PROPOSED SPLIT ENTRY - WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= f"2 L
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION 7-
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and that I am a duly Bradley J. Sys en son, Mn. Reg. No. 15235
Registered Land Surveyor under the
Laws of the State of Minnesota. Date
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt # _ f f-1 ? 'N
Est. Value =7Z.? \ Date ?B 21 , 19 ?
Site Address 945 .?&F
Lot b Block 2
Parcel No.
W IName JOE MI LI.ER 80lIES
9 Address 18133 CEDAR AVE S
0 City F?HING'fOH Phone 431-2001
,a Name g?
?? Address
'- City Phone
Name _
Address
Phone
1 hereby acknowlege 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. r
Signature of Permitee
A euilding Pe{mit is issued to: JOE MILLER HOl?8
on the express Condition that all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
8uilding Ofticial .
CITY OF EAGAN ""Q 17532
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 , f "J
OFFICE USE ONLY
Occupancy R-3 H' 1 FEES
Zoning pb R-1
{Actual)Const V-N Bldg. Permit 514.00
(Allowable) V-N 36.00
Surcharge
8 0l stories
h
L
41
Plan Review
334.00
engt
Depth 461 SAC,City 100•00
S.F. Total - SAC, MCWCC 600•00
S.F. Footprints -
w
625.00
On Site Sewage _ ater Conn
On Site Well Water Meter 90•00
MWCC System xx
30.?
City Water XX Acct. Deposit
PRVRequired _ S/WPermit 30•00
Booster Pump - SrW Surcharga • 50
252.00
Trealment PI
APPROVALS Road Unit 355.00 ?
Planner
-
Park Ded. !
COU(1Ci1 --
BIdg.Ofl. _ CoPies
Variance - TOTAL 2.966. 50
?
` Permit No. Permit Holder Oate Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC nlG? 7' ?_ 'L-C ? r?• , ?/ ?I?1L? Cl???
Inspection Date Inap. Comments
Footings I
Foundalion
Framing
Roofing
Rough Plbg. +f -
Rough Htg. S Q
Isul.
9Q
311
Firepl2Ce
Fnal Htg. . ?
Final Pibg. • ?
Const. Meler Plbg. Inspector - Notify Plumber
Engr./Plan ?
Bldg. Final
Deck Ft9.
Deck Final
Well
Pr. Disp.
1'P ? M Yk
TerttfirafP uf (Orrupttnry
titp of Cagan
Epparimmi of lutIding Jmpcrtinn
77iis Certifecate issued pursuant to the requirements af Sectivn 306 of the Unijorm Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of rhe City regulating building construction or use. For rhe jollowrng.•
u. SF DF1G/GAR Nag.,?rWt No. 17532
O-p-7 TyM R3/M I Zoning Disina PD/K) Tra CMSL VN
Own" of B„M;,,g .R'E MI= H24'LS Addrm 18133 MAR AVE S. FKTffA1GM
B„ad;.g a,dd,,. 945 JMM?.90?I i.At? L-fity Ib, B2, =U" POIIJIE 3R?
Z r -`., . nete: APRII. 23, 1990 '
? Bw7diog Offidd-
POST IN A CONSPICUOUS PLACE
. _ . _ , .. ._ . .. -. . . . . - , ,.:.._?. r
SEWER & WATER PERMIT
CITY OF EAGAN -
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ?"" ` ? ? ? •O
SITE ADDRESS 'Jy':) `1t'1' i"'
LOT 6 BLOCK l SEC'SUB
APPLICANT: s0E MILLER H?OMIBS
ADDRESS: 18133 CEDAR AVE
CITY, STATE FARMINGTQN
PHONE: 431-2001
OFFIC USE ONLY
METER# Al-IT130 14 PERMITDATE 2/22190
CHIP #? Cfd? ?`o PERMIT # 11237
METER SIZE 17/7 0 B.P. RECEIPT # C6455
iSSUE DATE ''30^ ?QOB,P.RECEIPTDATE
?-
ZIP
e
ZIP
(2
F
ZIP
- PRV -
tD
?w . SEWER
- COMM/IND
4 XNEW
X WATER
b ?
EXISTING
Lawn, Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Wafer Line.
Credit WILL NQT be qiven for Deduct Meters.
1 I AGRE O COMP Y WITH CITY OF
T` EA ORDI A ES
I -` ? SIGNATURE WHEN METER ISSUED
N E:
ASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FQR INSPECTIONS. FOR STORM
f •
ER PERMITS, 9ONTACT NGINEERIM DEPT. . I -•
?'„ .,.«.: _ .
7? ' . V ?
' _ _ ? _.__ _-s -_ --- - - - - - -
STATE
CITY OF EAGAN N0- 17532
3830 Pilot Kno6 Road, P.O. Boz 27-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT
Tobeusedfor SF DWG/GAR EscValue $72,000
Site Address 945 .7EFFERSON LN
Lot 6 Block 2" Sec/Sub.LEXINGTON POINTE
Parcel No. 3RD
w I Name .IOE MILLER HOMES
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
o Name SAME
;ia Address
? City Phone
N Name
Address
City Phone
I hereby acknowlege Ihat I have read this application and state that the
information is correct and agree lo compl witYtall a plicable State of
Minnesota Statutes and/,C?ity o?f E?aga?n OrM tres.
SgnaWre of Permnee.lLS?
A euilding Permit is issued to: .IOE MILLER HOMES
on the express condition Ihat all ork shall be done in accordance with all
applicable State of Mmnesota Statutes and City o(Eagan Ordmances.
Building Otficial Y
Receipt # L- te n
Date FEB 21 , 19 90
OFFICE USE ONLY
Occupancy R-3 M=1 PEES
Zoning PD R=1
(ACtual) Const V=N Bldq. Permit 514.00
(nllowatle) V-N
Surcharga 36.00
8 of Stones -
45'
Pian Review
334.00
Length
Depth 46 ? SAC, City 100.00
S.F 7olal - SAC, MCWCC 600.00
S F. Footprinls -
625
00
OnSireSewage _ WaterConn .
On Sita Well Water Meter 90.00
MWCCSystem XX
30
00
Ciry Water xx qcct Daposil .
PFV Reqmred _ S/W Permit 30.0
0
Booster Pump - S/W Surcharge • $0
Trealment PI 252.00
APPROVALS Road Unil 355.00
Planner - Park Ded.
Council
Bldg Olt _ Copies
Vanance - TOTAL 2,966.50
T : . ) 4
i
SINGLE FAMILY DWELLINGS
1NK34R
1990 BUILDING PERMIT APYLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
COMMERCIAL
.
2 SETS OF PLANS 2 SETS OF PLANS 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 SPECIFICATIOrS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
?# OF RENTAL UNITS
_tt 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 CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHA1vGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERI4IT MUST SHOW A LICENSED PLUMBER.
FES 2 0 Reco
To Be Used For:
Site Address %Ifo ?
j
Lot ?t'? Block e
Valuation: -?? Date: irX
?-7, ?J OFFICE USE
/ ??
Occupancy R-3 M-i
Zoning PI7 -
Actual Const V- N
Allowable V- N
# of stories
Length ?/Jr
Depth ?}(o
Farcel/Sub??j/}'/?(.Q
O1sne r
Address
City/Zip Code
Phone
Contra
Addres
City/Z
Phone f"f"f)/ p{[221
arch./Engr.
Address
City/Zip Code
S.F. Total
Footprint S.F
On site sewage_
On site well
MWCC System ?
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off
Variance
FEES
Bldg. Permit 'S14.00
Surcharge '%'00
Plan Review 3 ,OO
SAC, City (-OD-Dc7
snc, Mwcc D.
Water Conn ,DO
Water Meter 921CP
Acct. Deposit O.O?
S/W Permit 3D,oo
S/W Surcharge ,,SJ
Treatment PL O
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL `.I L?n Q
Phone #
. UA L ,!kN? ?
G AfZAGi
ZZx2Z= y8(4x 15=?2?0
Bsrn-r-;
38 x24 ,- gi2
lox?= 90
I boZ X!y= fL? 028
Is-I' FLnp2
I 01) x 50= Sd SS'0
9 1 (a38
/,. . . +:
CITY OF BUILDING DEPARTh1ENT
EiCP}:RIOR ENVMOPE AVF:RAGE "Ull C014PUTATION
'(To be submitted with building permit applicatlon)
One or Two Family Dwelling Owner
All Other LG Fz? I,.EXIx ?7th Site Addreea
I Contractor ?oe
';,Epd //'?/GLE,? CoklS1? Date Phone
LIticAL FEET OF li •?- i ?
E1Q'OSED FJAIS, SEE t ? o,P? ?T? ft. above graap - ZlOSS,00
TOTAL `r:iC'OSaD :'dALL AR'r'.A SQ, FT.
0?A-.U3 i'!l,LL CJt:S'PF.U:'PIOI;: "U" Value x Area
-rgAN7E liUll •043 x 3Q,
Detail G?owe. °u° . o7<v x s2.
re?erence
nUII .OQ-p
x
SQ.
rom
f
"U"
x
S2.
attached nUn X SQ
sheets .
ilUit x Sc.
';!I[:DO'ldS: "Ull Value x Area
Make & Type llfSVL• x
n n nUu X
u n nQn g
n n
DJORS: "Ut' Value x Area
itUtt X
FT. A052•Z0. W.6-1- (U) (A)
FT. 9(P•48= 7•33 (U) (A)
FT. 1I9•5L= 4•7S3 (U) (A)
FT. _ (U)(R)
FT. - (U)(A)
FT. - (U) (A)
SQ. FT. /.oo = 93•&8 (u)(n>
SQ. FT. _ (U) (A)
SQ. FT. _ (U)(A)
SQ. FT. _ (U)(A)
?iu:ce & Tyoe ?iTL.- 1AISvL. ,lUll • 14 x SQ.
n u YsIT/ o nun . 47 x S:Z.
n n nU n x SQ.
n u nUu x SQ.
TOTALS Zogg.oo SQ.
AVERAQE l'U"
ToTAL (u)(a) vALnES 153.47? _
DIVID.sD BY TOTAL 1'lALL ARF:A ZOSg,oo
.073 ?
^
AVEkA(3E "U'' ,115 r less for 1&2 family dwellinge
ROOF/CEILIN(i:
TOTAL AREA: IOOZ ?
FT. 4 .bo = &.Wn (U)(A)
FT. Z•oo = 9-74,(U)(A)
FT. _ (U) (A)
FT. - (U) (A)
r'T. /S3•`F'? (U)(A)
Detail reference ilUto •dZl x SQ. FT. MOZ = Zl•01- (U)(A)
from ilUto x SQ. FT. . (U)(A)
attached sheets. liUll x SQ. FT, _ (U)(A)
Describe anenings liUll x SQ, FT. _ (U)(A)
in roof. IOUll x SQ. FT. - (U)(A)
TOTAL (U)(p) VALUES DIVIDLD BY Zf.?¢, = Tr?L? IOOZ ?? Z?-?- CV??>
'fOiAL R0o?/CEII Ii;G A1;EA /Opz.? •OZ? ?
AVERpGE "U ,025 for ventilated roofs.
? .
d VoRK
?s ?x?fl u-aq??
14. 5o X( 38+38 + 34+3,f) =
5WceT ''
2, 088• 00 *
Co??e .
.?7x ?38+38t-34t34? = 9(v.?8 ?
„n To1sT
. 97,X (38t38+34+34? = I?q•SZ 4-1
WWDow
Ibx&= 4•v X 4 = !&•cc?
ZbX 36,= 5,(7 1( lo = 30, o0
Z4x 3&_ (o•o x 4= Z4•oo
ZaX48 '° &•T X 4= Z(o. 80
Z4x 4g = S•o X 4= 3Z• O°
128• So *
D,,RS
3=
2g STC• 55EP-
= 28, o0
= 21. o0
- 4Z•oo
91. ae -?-
VeT EYr!?F-b lJo-t- Eet w9i-5
(?' leoss w4u. - 2,088. o0
?ess co,Jc. qb.i-8
?r bo/• 119•SZ
?,
$0
wDw'S !z8•So "4W
r r Dc?o2? S ql • vo ---?'
r
?sz
zo ?-
,
.
24 ?c ? s = 9iz
9 X Io = 9 0
r,ooZ.?
.;:
'?
1991 B LDIN?G PERMIT?APPLIC ION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MIILTIPLE DWELLINGS
COMRCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - 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.
To Be Used For: 1) ? C lt Valuation: %gtg?- Date: S/G/?'jl
Site Address 'i y'i S4.F F4 RsovJ
Lot ? Block
Parcel/Sub L?t?[,ihltrc??1 4?tpiPTi ?4
owner 2D, tJ fPff- LA
Address qy1 J9, OLF4vt SoPJ "AJC
City/Zip Code 9 (A ro A rJ , M n1 ?9 S! 13
Phonf?l(,?')-G61N (L>% ?Ha-?o33
\. / -
Contractor ? ;- 1- F
Address
City/Zip Code
Phone ?
Arch./Engr. ?
Address -
City/Zip Code ?
Phone #
OFFICE USE
Occupancy M ' 2-
Zoning
Actual Const
Allowable
# of stories
Length I'Z K 2
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ? S
Variance
FES
Bldg. Permit 25,00
Surcharge 15z>
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
,i,PiL?, agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
TRI°LAND C0. CERTIFICATE OF SURVEY FOR:
SUR!/EYING,
SERVICES MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 6,BLocK 2, LEXINGTON POINTE 3RD
ACCORDING 70 THE RECORDEO PLAT
?r THEREOF DAKOTA COUNTY,MINNESOTA
I
N 849
3O-O
I?
s? g-u r;ur-q (97 5 > SCALE':1"=30'
FASE ? 5
° j LOT\6 i Lo
M ? ?xq? \ ^xy0 I o')
? ?laxpt??a I cv
I Z2 ?? I T '7
1Q 91 T9 Q ?8.52?? ?? i t
55,
5? I 5
L L_I ? I pj[vPo$Cp •? I I
' W Nou55 N ' -
pl i4
? w?I I Q ?
Uau. -N ? w
, ,.
lB.sir?? I ??913k . a ( 982.9 . a, T
Mu, , •
. ? _.., ..?• .: .
- .. ?' Q I ,. . '.qB2':
O 0
z"'L- ' ----?m
Z. .
(9gp_= y..21.5- 9B1£
q? ,Nq'S 89°50'21" . E 82.03
An q? y N
JEFFERSON LANE _
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdron Reauirements
3 regislered site surveys shaxing sq. fl of lol, sq k of house; and all roofed areas
(20% maximum lot coverage allowed)
2 wpies of plan shaving beam 8 window s¢es; poured found design, etc
1 sel of Energy Calculations
3 copies of Tree Preservation Plan if lot platled afler 7!1l93
Rim Joist Detail Opdons selection sheet (buildtngs with 3 or less unifs)
RemodeVReoair Reauirements
2 copies of plan
1 set of Energy CalculaUons for heafed adddion=.
t site survcy (or additions & decks
Addifion - indicate Aonsde sepfic system
o-v
4-?
?S
/6•4,)
CeatidStin+eyRecd .';.. ^Y'.,,;-YJ
TTA9PI?¢?;Af?t?tLC6ri ':' ?,Y,._h1,
Free:Are.a,Re?iuired:::;':':;':,,,,.Y ?...? Od
6hsiteSepde?ysieia":;? €?_Y ?_N
Date I /1:7)_ /y??
Site Address ??S t)p?ty?6C
n Construction Cost
U'1 Unit/Ste #
Descriprion of Work QAoe, orl ? Guc-4-
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 V?1 _ 2
Proper[yOwner CIIQ.(vl )Lh
, 1+ , 0MV401l Telephone#((en)
- 1.
Contractor ? 6:z ?on ?01 d' (5ell-r /
Address
State J
Cit3'
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ ?mesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ? %,'
.? ?
??e?-y 1 ? I-? ? -?? ?i ?] [? ? ;
I . CF? , ? ?5 ?Applicant's Printed Name App icant's 5i n e ?' ° ?
OFFICE USE ONLY
Sub Types R '
? 01 Founda6on ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 DB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex P 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
¢8 31 New ? 35 Int Improvement ? 38 Demolish Interior _ ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Dernolition (Entire Bidg) -Give PCA handout to applicaM ' '.
Valuation o? ?bg>• ^
Plan Review -100%or-25%
Census Code'
SAC Units
# of Units
# of Bldgs
Type of Const Y/3
Occupancy R-3
Zoning
Stories
Sq. Ft.
Length
Width
?
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
]LO Footings(deck) to FinaVNo C.O.
_ Footings (addition) _ plumbing
_ Foundafion I-IVAC
_ Drain TIIe Other
Roof _ Ice & Water _ Final Pool
Ftgs
Air/Gas Tests Final
_ Franting _
_
_
_ Siding _ Stucco
Stone
Brick
_ Fireplace _ RI. _ AirTest _ Fiaal _
_
_ Windows
_ Insula[ion _ Retaining Wall
Approved By: 2?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totdl
Dec?
.
+01
?____-___----_-_-i
I Fo7O?cg',`15se
? Pertnit#. &6? ? j
? Permit Fee:
? Date Received. ? Jv 1
I Staff: I
I
2009 RESIDENTIAL BUILDING PERMITAPPLICATION
Date: ? J U Site Address: ??4 ?)_ j L '--j ,
Tenanf:
Suite #:
RESIDENTlOWNER Name: C-?`? I(,?<JW L Phone. ?? Z lp ?? cf
Address/CitylZip-
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s: _
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TYPE OF WORK Description of work: 1?, ? ?v v(Z
Construction Cost: ? J?J o Multi-Family Building: (Yes No ?
CONTRACTOR Name: License #: (all
Address:
St
t
-_j Zi
a
e: 1
p:
City:
Phone: q3-7- Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1_ Minnesota Rules 7672
Energy Code . ftesidential Ventilation Category 1 Worksheet ? • New Energy Code Worksheet
Category Submitted Submitted
(V submission type) • Energy Envelope Calculations Submitted
In the last 72 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 arQ considered to be publiq information. Portrons, of.,
'
the Crty Co y
the rnformatron may be classified as non-public i{ you pro"vrde specific reasons that worild permrt
?conclude tltat they are trade secrets
I here6y acknowledge that this information is complete and accurate; that the work will be in conforcnance with the ordinances and codes of the Gity of
Eagan, that I understand this is not a pertnit, but only an apphca4on for a permit, and work is not to start without a permit; that the work will 6e in
acwrdance with the approved plan/ ?m the case of work which requises a review and approval o/f pfans
?? / ////, ? /
X
Ap icpl ant's Printed Name ApplicanYs Signature
Page 1 of 3
I R
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLA2A DRIVE
EAGAN, MINNESOTA 55126
CERTIFICATE OF SURVEY F4R:
MILLER CONSTRUCTION
LEGAL DESCRIPTION: LOT 6,BLoCK? , LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
?r THEREOF DAKOTA COUNTY,MINNESOTA
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E.A'laAN ENG-"xNEEiiit'vTG DEPT
LEGEND PROPOSED SPLIT ENTRY - WALKOUT
1NVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=?L
o DENOTE5 WOOD HU8 SET PROPOSED FIRST FLOOR ELEVATION
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR
ELE VATION E LE VAT) ON
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby csrtify fhat ihis survey,plan or
rsport was prepared by me or under my
direct supervision and thct I am a duly
Reqistered Land Surveyor undsr the
Lawa of the Stote of Minnesota.
-? ''?•?16'.,,y,•
Bradley J. Snysnson, Mn. Rep. No. 15235
Date '
JEFFERSON.:.... L,AN'.
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
TRI-LAND C0. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES MILLER CONSTRUCTION
1875 PLAZA DRIVE
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LoT 6,BLOCK? , LEXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
A° N JQn o
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LEGEND PROPOSED SPLIT ENTRY - WALKOUT I
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= y
? DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION
"
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =17 11
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersby cenify that this survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Re9istered Land Surveyor undsr fhs
Lows of the State of Minnesota.
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
;->
?
Bradley J. Swenson, Mn. Req. No. 15235
Dote
- - - - - - - - - - - - - - - - -
f I For Office Use
"`f }
City of Permit '~J L
Eap I Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: J
Phone: (651) 675-5675 I l
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: U Site Address: 'C E i~~v RS Ij L
Tenant: Suite
RESIDENT / OWNER Name: -g~T~J I L~C~ (o L-7" Phone: z- lp c1
Address/City/Zip: Lti.
Applicant is: Owner ✓Contractor
TYPE OF WORK Description of work: ~J C2
Construction Cost: c)J~ Multi-Family Building: (Yes / No
(;911111
a cf
CONTRACTOR Name: License 1111116
Address:
City: - ~ J l ~ k-> State: /f~-J Zip:
Phone: "f3 -7-- Contact Person: Q /44~ 5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet 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 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
J
X Fti K A-> L' `fCv-2s~J X a
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090616
Eagan, MN 55122 . Date Issued: 08/11/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 945 Jefferson Lane
Lot: 6 Block: 2 Addition: Lexington Pointe 3rd
PID 10-45072-060-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements 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.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Clayton Holt
1920 County Road C West 945 Jefferson Lane
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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
Use BLUE or BLACK Ink
r
City of Ea : I e~,~ ~(e7
non Permit
I Cc-
Rd I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Jy~~o~Q \ l 64 C=E-4i
Tenant: Suite M
RESIDENT / OWNER Name: Phone:
Address/ City/ Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: 14c", ~ Cam, License#: dz~a c
c~~S
Address: 7-~-S 4 o, City:
State: 41" Zip: C Phone: 261~3 -EIS6 ^g21C)
Contact: ~~~i~a Email:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo rs no o 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 ppr s.
X_ x
Applicant's Printed Name '----Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161805
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 945 Jefferson Lane
Lot:6 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-060
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 -
Clayton Holt
945 Jefferson Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174698
Date Issued:02/14/2022
Permit Category:ePermit
Site Address: 945 Jefferson Lane
Lot:6 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-060
Use:
Description:
Sub Type:Water Heater
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 -
Clayton & Cheryl Holt
945 Jefferson Ln
Saint Paul MN 55123--260
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
