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948 Jefferson Lane Use BLUE or BLACK Ink I For Office Use / I City of j Permit ~ r~ / I Eqdfl Permit Fee: t 4?7c 20 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION (J~ ll Date: 10 Site Address: Tenant: Suite RESIDENT/OWNER Name: FD-4 7D? tl&e'- Phone 4 -Address / City / Zip: / "~Pf CT Applicant is: Owner _X Contractor TYPE OF WORK Description of work: ! f~' °7- Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name&n!!N Q. r%~1 ~ Cy" S(~ License f7 Address: [ l p d1o City: 7z'.v State: A^f Zip: Phone: d-ff-(~-Wz Contactfl/^ C4, 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? t, _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.gopherstateoneGall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ns. Applicant's Printed Name Applic nt' Signature Page 1 of 2 a U OU9 FEB 1 2 Z6iJ E,1 TSC~~ DO NOT WRITE BELOW THIS LINE ~~A I SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior Alteration - Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ) Occupancy Y~~, ~i MCES System Plan Review Code Edition - 1--o d 7 SAC Units (25%_ 1000/.) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) 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 RESIDENTIAL FEES Base Fee Surcharge G 1 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 I . -,?SH.RECEIPT ??? CITY OF ?.rAGAN ' 3830 PILOT.KNOB ROAD ' EAGAN, MINNESOTA 55122 0 DATE 19 r+ECXr4Sn FnoM aneourn $ ? ooLu?Rs ,m ? CASH Q CHECK v 11n2 9 "1 - 1 J _? 1'? I I,/ Y Li /v ? Thank You ? ? BY I ? n r; ??? I wnae-PareraCopy ? YN?^D CoDY Pink-File Copy DATE RE:94S JBFFIRSON LANE. L3, B4, I.BXIYIGTOl1 POIl1'fE 3rd 4436 HJMILTON DRIVE, L9, 113, LEXINGTON POINTE 3rd xx Your Sewer g 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 folbwing ,reasons: ?Your Se%4er & 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 Dir1c House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. r- Secretary, Building'Inspections Dept. _ . . . . , s? , . . CITY OF EAGAN , -42 16685 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' ; PHONE: 454-8100 - ` BUILDICa.PERMIT Receipt # ' 7 - I To bevsed for $F ?/GAR Est. Value =75,000 Date AM Z , 19 Site Address 948 JEPFERSM LN SeciSub. LA)IM`M POitM Lot 3 Block " 4 OFFICE USE ONLY ` PdfC@I N0. ?3 !!1 Occupancy FE FS IPD R-1 Zoning W Name ?? ?$??ri? (Actual)Consl y? BIdg.Permit 5???? ? AddreSS 1374 $T ?pQ? BL? (Allowable) Y n r S 3*.50 0 Cit ??N Phone 452-5355 Y # o( Stories ?9 urc ge a Plan Review Z?'? Length o Name '8AME Deplh City SAC 100000 :i . O Q Addl'eSS S.F. Tolal - 575.00 U SAC, MCWCC ? City Phone S.F. Footprints Water Conn sW•oo On Site Sewage _ ? ? W Name on site weu - water Meter 90•00 Address MWCC System U-- ?.? i W City Phone Gly water ? +??• Deposit S/W P it 30•00 PRV Required _ erm I hereby acknowlege that I have read this application and state that the 8ooster Pump - S/W Surcharge 1•00 inlormation is correct and agree to pomply wfth all applicable 5tate of Minnesota Statutes and City of Eagan OrdinanCes. Treatment PI 22e•00 Signature ol Permitee APPROYALS Road Unit 3?,00/ ??'I? A Building Permit is issued to: $()j? ? Planner - Park Ded. ? on the express condition that all work shall be done in accordance with all Councii applicable State ot Minnesota Statutes and City of Eagan Ordinances. gidy. pff, _ Copies ? Building OffiCial - ? Variance - TOTAL 2,793.30 Fermit No. Permit Holder Date Telepho?x k WATER 2 C SEWER PLUMBING H.V.A.C. ELECTRtC Inspection Da1e Insp. Comments Footirgs I Foundation Framing RooGng Rou9A Flb9. Rough Htg. ls,l. Fireplace Final Hlg. Final Pibg. lz? Const. Meter Plbg. Inspector - Notity Plumber Engr.lPlan BIOg. Final Dedc Ftg. Dedc Fnal weu Pr. Disp. ~ PERMIT # ' • " MEGHANICAL PERMIT 9 CITY OF EAGAN RECEIPT # - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: m Name ? Bra • ?n Address 1471 c City$D&MOM 550! ? Name JsoI1.' c Address 437( o C;ryF,ea+an. r 551: TYPE OF WORK Forced Air Boile? Unit Heater Air Cond. Vent Gas Piping Outlets # FEE: C'Z-2 • S/C: TOTAL: a? •? s• ? L • ,:.z:-?'c::?:?__b:,. sLoG. nrPE Fies. XXXXX Mult Comm. Other Phone WORK DESCRIPTION New Add-on Repair . ?, ? si FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 2-5355 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA$ OUTLETS (MINIMUM - 1 PER PEFiiVllT) - 1.50 EA. ? -. ?y yo COMM/IND FEE - 146 OF CONTiAACT FEE s? M BTU M BTU M BTU M BTU CFM ? rr i. oLukao. -%.vrvnw. rv1 i c r%rrur-O TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ? (ADD $50 S/C IF PERMIT PRICE GOES BEYdND $1,000) ? SIGNATU E OF PERMI EE FOR: CITY OF EAGAN ^ ..... PERMIT # ^ PLUMBING PERMIT RECEIPT # -J C CITY OF EAGAN ?.? '?'` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT'PRICE: PHONE: 454-8100 Site Add?ess 'J4,1-3 e erSOr ',arie Lot ? Block S?c/Sub BLDG. TYPE WOFiK DESCRIPTION Res. New -+ _ EX rit; O?1 a p nte rQ ._ Mult. Add-on ? Name "t " ' ? Comm. Repair 5glU A ? 'es er ve Addre-s- _ Other c City '?`or e Phane '" ?Og RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL ? Name ' ons ' ?nS ?11C OII IWater Closet - $3.00 S 3 '"_ c 1 ? ' . n rew BI-fff- Address -?-Bath Tubs - $3.00 t - $3 00 L ?, ? ar' `? ?` ? ava . ory o Ciry '-? Phone Shower - $3.00 _LKitchen Sink - $3.00 ? FEES Urinal/Bidet - 5100 , J COMM/IND FEE - laib OF CONTRACT FEE ?Laundry Tray -$3.00 ? APT. BLDGS - COMM RRTE APPLIES __Floor Drains -$1.50 -? TOWNHOUSE & CON00 - RES. RATE APPUES Water Heater -$1.50 %-,T' MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 / = MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00 BEYOND $1,000.00) Well - S 10.00 , . . - Private Oisp. - $10.00 -?Rough Openings - $1.50 , SIGNATURE OF PERMITTEE FEE: ? - STATE S/G: -' FOR: CITY OF EAGAN ? GRAND TOTAL• ? '? Ea w 6 fter#iftratP n# (IDrrupanrg titp of Cagan 1h.parlplPttY Af S1tffibtltg JWPtfiDti Thrs Certificate issued pursuant to the requiremenu of Section 306 ojrhe Uniforni Building Code certifying that at the time of issuance iJtis structure was in compliance wrrh the various ordinances of the City regulaung building constructron or use. For the following.• [. a;rfi. SF DWGI= ? e?. ee?t rro. 1fi885 Oa,?upancy Tqpe ?'rl i Zoning Detria PD/R I Type Const. VN Owner of BwMing Sm 02M• pddress 1374 ST. AN[7R3d FZ-VD, F.M.AN Buildiny Address ? '`? 1'?• l.ocalil?-a &4• IEMUIM FQ= 3M Drte: su,' 28. 1%9 J, ? POST IN A CONSPICUOU5 PLACE SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN.55122-1897 DATE 1U['x 19, 19e`? METER # CHIP # METER SIZE ISSUE DATE PERMIT DATE 8/4 /8?- PERMIT # 10711 B.P. RECEIPT # C 3237 B.P. RECEIPT DATE e/ 2189 PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT=BLOCK 'SEC/SUB LEXINGICN POINTE 3RI.) AD'? . SEWER WATER - T APPLICANT:'• `)N ADDRESS: ? _i Z ST ??Raq BLVti - COMMlIND - RESIDEN' CITY, STATE ?,'kGAN "N ZIP 55123 NEW - EXISTING PHONE:_ 452-5355 PLUMBER: I"- OLLI''BING ADDRESS: 5910 ??TM AV=- CITY, STATE W'i'IIJFTEW itl ZIP 55";'.i i PHONE: 652'2.933 OWNER: _ ADDRESS: CITY, STAI PHONE: - ZIP Lawn Sprinkler Meters are to be Ins Ahead of Domestic Meters on Water Credit WILL NOT be given for Deduct M I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STO SEMIER PERMIT3, CONTACT ENGINEERING DEPT. ',.,?..., SEWER 8 WATER PERMIT OFFICE USE ONLY CITY OF EAGAN l? 8/ a i t;9 3830 Pibt Knob Rd. M?R # °? ? SO? ?? PERMIT DATE E8Q8?1, MN 55122-1697 ?IP # PERMIT ? 10? 11 METER SIZE !Zf c B.P. RECEIPT # ?- 3237 ISSUE DATE 4? B.P. RECEIPT DATE 8/2/89 DATE J'.1L1 l7, _ PRV - BOOSTER PUMP SITE ADDRESS 9'? =?'_1??1?'r`" ??' PERMIT REGIUESTED LOT ,3BLOCK 4SEC/SUB LEXINGRON POTNrE 3'-U) ?D. ? j ?! SEWER ----'W'ATER - T APPIJCANT: DM OL-CN ADDRESS: 1211 B`I' ANL7R&vv 3L ifO - C MM/IND RESIDEN' CITY, STATE Zlp 5512' :? ? NEw - EXISTING PHONE: PLUMBER: ?qc PrA1MFAT?W-' ADDRESS: 5210 Q1ESM AVE CITY, STATE NORTHFIELD MN ZIP 55U,, i PHONE: 652-2933 OWNER: - ADDRESS:_ CITY, STATE PHONE: - ZIP PLEASE ALLOW TWO WORKING DAYS FOR PROCES3ING SEWER PERMITS, CONTACT ENGINEERING DEPT. Lawn Sprinkler Meters are to be In; Ahead of Domestic Meters on Water Credit WILL NOT be given for Deduct M I AGREE TO COMPLY WRH CITY OF EA ORDINANCES . S NATURE WHE ETER ISSUED CALL +154-5220 FOR INSPECTIONS. FOR STORM ? S ?K 1 Retewal By Andersen 350-73rd Ave. NF fridley, MN 55432 763-502-4777 Ntvm2c; so5s03 RESIDENTIAL $ q 9 . a-?_- ?? NG PERMITEAA ?PLICATION ,? FV_ 330 PILOT KNOB RD 657-681-4675 NewConslructionReauirements • 3 registered site surveys showing sq. o sq. N. f ho e; and all roofed areas (20% maximum bt coverage allowed) • 2 copies of plan shaxing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of iree Preservation Plan it lol plaHed aker 711193 . Rim Joist Detail Optlans selection sheet (bidgs wAh 3 or less unifs) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? •55122 -?"ol?Ujl ? <<V ?tt RemodellReoairRepufrements 5? ?I . 2copiPSWplan ?34-? = -- -- • 7 set of Energy CalalaUons for heated additions . 1 sfle survey (or eztedor additions & decks VAIUATION (EXCLUDING LAND) Z9'I() 11?7 PROPERTY OWNERb ?AYr9.?' TYPE OF WORK ' FIREPLACE(S) _0 _7 APPLICANT?&ZC_J'I "_. ONE # GSQ.?4S-?OO? tADDRESS ZIPCODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plucnbing System Includes: Mechanical Contractor: Mech:unical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water HeaCer _ No. of Baths Air Conditioning Heat Recovery System Phone Iawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Applican n _ Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Tobeusedfor SF DWG/GAR Est.Value $75,000 N4 16885 Receipt # C =-3 '?) ?0 Date AUG 2 , 19_$_9 Site Address 948 JEFFERSON LN Lot 3 81ock 4 SeGSub. LEXINGTON POINTE Parcel No. 3RI ,a? Name SONS CONSTRUCTION o Address 1374 ST ANDREW BLVD City EAGAN Phone 452-5355 o Name SAME I g? Address City Phone Name _ Address Phone I hereby acknowlege that I have re tion and state ihat the information is correct and ee lo Mth? w a ll applicable State of Minnesota StaNtes and SnnaM1Va nf Pormnuu X 1 3 L.i A Buiiding Permn is issued to: ?11-114z) k"Vns ixUCIlUIV on the ezpress condition fiat all work shail 6e done m accordance with all appiwable State ol Minnesota Statutes and C?ity ? Yofy ?Eag?an Ordinances. Building Otficial ? APl QI'd ? OFFICE USE ONLY OccuOancy R-3 M=1 FEFS Zonin9 PD R=1 (AC1ua1) Const V-N Bldg. Permrt 528.00 (Anowable) V-N Surcharge 37.50 B o1 Stones - 264 00 Lenglh ? 1 Plan Reviaw . "eplh 46' SAQ City 100.00 S.P. Tolal - SAC, MCWCC 575.00 S F. Faotpnnts - On Sne Sewage _ Water Conn 580.00 On Site wall - water Meter 0 9010 MWCCSystem XX__ 30 00 Qry Water XX Acct. oeposit . PRV Reqmred _ SnN Permit 20.0 0 Booster Pump - SM! Surcharga ? 1.0 7reatmenl PI 228_ () (1 APPROVALS Road Unit Plannar - park Ded. Council BIdg.Oft. _ Copies Variance - TOTAL 2, 793.50 BLDG. PERMITNOA(n 92S- (?.+ 3 110,- IL.9 i P-lP 2 rc4- Q() S7 I/1 013210 Bldg. Permit OD 01-3422 Plan Check ?O va 01-3445 Surch./Adm. 7 01-3446 SAC/Adm. ? 01-2155 Surcharge 3 -7 7 ? 75-3860 Road Unit 3(I GO 20-2275 SAC n 20-3865 Water Conn. `gc5 Csv, 20-3868 Water Trmt. -? L; 20-3716 Water Meter 0 crb 20-2252 Acct. Dep. 3p CO 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. /,Cv ? 28-3855 Park Ded TOTAL ? 7 ?7 •3 15 0 ??/9? ?EQUESToFORoEL ECTRI?CA?LtiNSPECTION '"X" B`elow Work Covered by This Request Ee-ooaai-oe ew? TypeofBmldmg AppliancesWired EqwpmentWired Home Range Temporary Service - Duplez 1,4pt Builtling Water Heater Dryel Electric HeaUng Other (Specily) Commllntlustrial Fum ce Farm 4peo ir Condinoner --YY-- ? Otner [syemfp Campute Inspechon Fee Below GonVacrors Femarks ' z Other ? Fee h SermceEntrance S¢e Fee # Qrcmts/Feeders Fee Swimmmg Pool _ 0 to 200 Amps 0 to 100 Amps I Transformers Above 200 _ Amps Ahova 100 Amps Signs Insoac+ors usa oniy TOTAL i _ _ Irnganon Booms C(? ? Special Inspection ? A larm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONN CTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector. hereby Rou9ro'in Da?e certrty that the above inspedion has been made F,c,ii oa?e OfPICE USE DNLV This request voitl 18 montns irom -- J (0/ Yd-- p 12 4 2 2 ? / Uta // / ?/5 v° , -?' Request Date Fre No Rough-in InspecM1On ReqmreC'+ , / dy Now ? Will Nottly Inspector R Wh d ' Ves en ea y If_4certged coNrector F? owner hereby request inspechon of above electncal work at. Job Atlares Ve t Box or Roule No i G City YL, S ecUOn No ITownshp me r Range No -ouory-_ Occupan FINTI phone No ?/ Power OPM1er Atlaress -- ? --- ---_ Elac(nc or ICompa `Name? ? ?-?,?? n' ( ? Gont?aclor's Dcarwe N. Mai ing Atltlre (GanVactor ol Owner Mekm non? Nu? r etl na ?i nVacto^Owner Making InstallaUOni . Phone Numb?.( ? iI (// JS MINNESOTA STATE BOARD OF EIECTFICITY THIS INSPEGTION REOUEST WILL NOT Griggs-Mltlway Bltlg - Room 5-173 BE ACCEPTED BV THE STATE BONPD 1821 Umvarsity Ave. St Paul MN 55104 UNLE55 PROPEF INSPECTION FEE IS Vhone(6tY)642-0800 ENClOSED 8'?3/?8 9 5 - 1 REQUEST FOR ELECTRICAL INSPECTION ? See m&?MW'wns for crompleting ihis brm an back of yellow copy. X" Below Work Covered by This Request 9.??'" e e Add Rep. TypeoBUdding AppliancesWrred EquipmentWiretl Flome Range Temporary Service Ouplex Wafer Heater Electric Heating Apt. Building Dryer O[her (Specify) Comm.Andustnal Furnace Farm Air Conditioner Other (apeay) CanirflctorS flemarksCompute Inspection Fee Below: # Other Fee # ServiceEnVanceSize Fee # Qmuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abwe Amps Sig05 Inspactor§ Use Only 0C) TOTAL Irrigation Booms W 7 S Special Inspection Alarm/Communicahon Other Fee f I, the Electrical Inspecto5 hereby tif th tth b i h R°uqn-m Y' f cer y a ove mspect e a on as been made. Fnal oe OFFICE USE ONIX ? This request witl 18 monMS irom l I? 4 9 0 7z.3A" ? v 2? Request Dale ? F e No Roughan Inspectwn 8-29-89 Pequlred? ? Ready Now Will Nolily InspeGtor W 9 Yes ?NO henReatly Xicensed contractor ? owner hereby request inspection of above electriral work at: Job AdEress (Sheet, Bw or Roule No ) Ciry 948 Jefferson Lane E a an Seclion No. Township Name ar No. Range No County Dakota Ocwpant (PRINn Phone No. Sons Construction 452-5355 PowarSUppber AOtlre9s Dakota Electric Farmin ton MN 55024 Electrkal Contracmr (COmpany Neme) Cunvactor5license No. Midland Electric Inc. 041610 Mailing AOtlre3s (Conlrador or Owner Making Insta118fron) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 lwllwrlz Nre (Cmhaclor/Owner M Ila ekng 1 iron) Phona Numther ? 892-6688 MINNESOTA STATE BOAND OF ELECfAiCRV ? THIS INSPECTION REQl1EST WILL NQr Grigga-Mitlwey Bitlg. - poom S173 BE ACCEPTED BY TME STATE BOAFD 1821 Unlveralty Ave., SC Peul, MN 55109 UNLESS PpOPEP INSPECTION FEE IS Phone (872) 642-0800 ENCLOSEO 2009 RESIDENTIAL BUILDING PERMIT oate: 1-22 -G'G! 7enant: suice #: RESIDENT/OWNER Name: ROS 4r? V,- r"?om lJ?7V,'2 e- / Phone: lcS?-??Z'-Z?1S?3 MkIM23 ?)Z AddresslCity/Zip: lk: Applicant is: _ Owner V Contractor TYPEOFWORK ? 1'em&d ?`?x S4?'? Description of work: v>i 9V? L-?, 1, , ? Construction Cost Multi-Family Building: (Yes No ? CONTRACTOR Name: ?c?+f? _T°Y_ License#: 2(9S2°7S7</ Address: 1&sC) 2 /C/' 1 1'I r4 ' p -? L7,SC??? ? r,/-v' M rV? Z ? • ' k G, ip: State: t City: ? 2& ?y t P h Contac erson: !JC Phone. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 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 ffi Water Contractor: Phone: NOTE:_Plans and supporting"docoments that you sobrriit areconsidered to be pudlic.in,formatinn Porfions nf i? ,?, , ?: : the mformation may be classrfred asl non public rf you prowde specif?c reasons thaf would permrt the Cify to :- -?ii, ;`?lrpconGude-ihai?tie :are.fradesecrets: _ „ ,r .?. .. ; I hereby acknowledge that this information is complete and accurate, that the work will be in confortnance 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 acwrdance wRh the appmved plan in the case of work which reqwres a review and approvat ox ?G,/i, 2 ( Vj?,,. X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ?----------------- ? Permit #? S D a j ? Permii Fee: ? I ? ? Date Receive . ? .IAN 2 2 2009 1 APPLIGATION SiteAddress: Cy? JeffAV ta,q L ti- kcs ",7 1 f? ? r DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage \( Single Family ? _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous ? Accessory Building WORK TYPES lJ0 dr'1. _ New _ Interior Improvement _ Siding _ Demolish Building' Addition _ Move Building Reroof Demolish Interior y Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair Egress Window Water Damage `Demolitfon of entire building - gi ve PCA handout to applicant Valuation ??, Q(7 Occupancy MCES System Plan Review j? Code Edition SAC Units (25% 7D0%?( ) T 7 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Ffre Sprinklers Type of Construction -V67_ Width REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (beck) _ Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final ? Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Reviewed By: _ Sheetrock Final / C.O. Required ? Final / No C.O. Required ? HVAC Other: _ Pool: _Footings _Air/Gas Tests _Final _ Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ?'t. t', vt7 U4?!?' e- / C) TOTAL ?f OD-r- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4675 New ConsVUCtlon NeaulremeMs • 3 registeretl sile surveys showing sq. fl. of bt, sq, fl. of house; and all roofed areas (20% maximum bt coverage albwed) • 2 copies W plan sh(ywing beam 8 windaw sizes; poured tountl design, etc.) • 1 set ot Energy Catulatans • 3 copies W Tree Preservation Plan tl bt platled aRer 711/93 • Rlm,bistDetallOptionsselectionsheet(bIdgswflh3orlessuntts) DATE ?d l I U?? o? FIREPLACE(S) _ 0 _ 1 _ 2 SITE ADDRESS `7 q u?/`C AIWP1/ 142 MULTI-FAMILY BLDG _ Y Z?N NPE OF APPLICANT A-Ul I' lCGt-- - - STREET ADDRESS CffY 1r47ii STATEWZIP Jr$?? r TELEPHONE # qS2-911'0`60 CELL PHONE # IOI22" (,'lo6 -T`I M FAX ti qT,;Z"9700L PROPERNOWNER TELEPHONE# 0I-qSo? ----- ----------------------------------- -------------- -------------------°--- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULFS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code WoAcsheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: MeChaniCal ConhaCtor: Mechanical system includes: Sewer/Wafer Conhacfor: Water Softener _ _ Water Heater No. of Baths Air Condilioning Heat Recovery System RemotleVReoalr Reauirements . 2 copies at plan . 1 set W Energy Cakulatbns for haatetl aad'Abns • 1sMesurveybrexlertoradditbns&decks • Indicate tl home served by septic syslem for addit'ans _ Phone # Iawn Spruikler No. of R.I. Baths Phone # Phone # ? 1'?f -)s Fee: $90.00 Fee: $70.00 I hereby acknowledge mat I have read this applicatlon, state that the inform with all applicable State of Minnesota Statutes and City of Eagan Or In e Signalure of Applicant ---.......................... _......... --------__»._....e..._..._..._.?.___.._._...?.._ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ VALUATION ?? ODO 2002 ? ----- - Not Required _ Updated 4102 { fldey'-Jone5 ., ? Building Permit Service, Inc. ? ?.:.s_ _ - ... . 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concem: We at Elder-Jones Building Permit Service, Ina are acring as an agent for Renewal By Anderson. If there aze any questions, or if the pemut has to be picked up in person, please give us a call at the number above. If the pemut can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East 80th Street ' Bloomington, Minnesota 55420-1498 952-854-2854 'FAX:952-854-4909 R?SIL???`1'?AX.; CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOS ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # %(?' S S 3 S PCrDATE: PLEASE COMPLETE IIPPtR PORTION ONLY FOR SINGLE FAMILY DWELLII3GS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _V_ ADD ON REPAIR ! OWNER NAME : 'V z SITE ADDRESS: L LOT: ? BLOCK -4 SUBD. INSTALLER: ?????? ??t''`????? C?•. ADDRESS: 91-)- IfJj &79 ??""" crTY: ?aia,?eu6 zir: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ /:?? STATE SURCHARGE: .50 TOTAL: $ e-670 SIGNATURE OF P ITTFE ? r Q 7f PHONE #: Dud FAMFfMCTAY./rNTlIIS1`RTAI.': PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEYARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: _ FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMZT FEE. PZGCESSEC Y!Pi14G = ?23.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: ( S I GNATIJRE ) CITY OF EAGAN ev ;. i .::t 1989 BQILDING Pfi&!TT APPLICATION - CITY OF EAGAN SINGLE FAMILY DNELLING3 I (*Is INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRFSSE4 FOR CORNER LOTS - CO1PfRACTOR/SOMEOSiNER MOST DESIGNATS i19ICH ADDRFSS IS DESIRED. RO CH9NGFS NILL BE ALLOFIED ONCE HIIILDING PERMIT IS I3SUED. MULTIPLE DWELLINGS 8SN1'AL DNITS FOR SALfi Q9ITS f OF UNIT3 INCLUDE 2 SETS DF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COMAERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JuL 2 p ?ggg To Be Used For: R-3 Valuation: 461-,999 Date: 7_1(;-ria Site Address 948 JEFFERSON LN 2 3 M -1 FS&3 Lot 3 Block 4 Parcel/Sub LEXINGTON POINTE 3RD OFmer DON OLSON Address 7311 ST ANDRE_w BL.VD City/Zip Code EAGAN hIIV 55123 Phone 452-5355 Contractor cnNS CONSmai mrpr7 Address 1374 ST nmREw B•w i City/Zip Code F.ACAN NIIQ 55123 Phone 452-5355 Areh./Engr. BRIAN AUSTING (DRAFTSP'LAN) Address 1374 SY PNDREW BLVD City/Zip Code gpGpN M 55123 Phone # 452-5355 ?51 Gw " Oceupancy Zoning Actual Const Allowable lk of stories Length Depth S.F. Total Footprint S.F N _401_ _ ?h• On site sewage_ On site well MWCC System ? City water -;;7, PRV required _ Booster Pump _ ePpaoveLs Planner _ council Bldg. Off. Variance Council Bldg. Permit Sureharge 3 ?,SO Plan Aeview a64.o0 SAC, City 1a0, 00 SAC, MWCC o0 Water Conn 8a,0 0 Water Meter q0,00 Acet. Deposit ,oJ S/W Permit .2o,Gn S/W Sureharge 00 Treatment P1. aDD Road Unit un_oa Park Ded. Copies TOTAL I-jr1q-1, 40 NOTE: Sexer & Water Permit fees and accouat depoait fees rr311 be ineluded in the building permit fee. Processing time for serrer and rrater permits is two days onoe a lic:enaed plumber has applied Por a permit at City Fiall. Ft :. VA LU,4-TIOIV &AVA&Er Z 2 XZo = y y2? x l,s 6 6 i • R?M E?-?- 2?Y ?S? y6`6 (b'X -32= 1uUy x ?y= iLI(,,iL ?I o usE 2 ulz = zy g5n7T_ loyy ? ? ,. EXTBRIOR.BNVBLOPE BNBAGY CODH COMPUTATiON WOAKSHBBT 2b Determine Ooapliance with the Minnesota Fhergy Oode (Sectian 502 of the State Amen8ed.1983 Modsl Energy Code) Project Title Al?? ?.1 E Site Address `'?48 LF??r?s.-.,?1 i.; FAc A r? M?} 55 1z3 I. EXPOSED WALL CALCULATIONS AM *up VAW/E ALM X OUp A. Opaque Fiall 1. Masonry/Concrete ' d. g = b. x a C. g s 2. t cn Wa Grade) a. ? x o O7 ? 5• Z,5 b. , x ,..? . 3. WoW Fraiae 8. Insul,ated A[ea - 17 • x . ?4 = 31. b5 b. FLatuing Area (AVe. 158 at 16" OC) 14.6,6 x , l o c. Framtng Area (Ave. 10i at 24" oc) x = 4. Periphesal Floor Edge/Rim Joist , a. 17-0. 0 x .,o4-_ = 4.8 b. • x . B. Glazirtq l. Windaws 8. 170051_E N ur1C? (o. 0 5 x .36 _ 4+. I b. 'St_?Dihl'tASS D?Ae x 2. DoorB X ? C. Doors 1. Wood a. Solid?pdj?,?-? r?oofL b With ? .?-co'i s . 0(0 ? 2.2 . stacm oor x m 2. Metal s" • 3. Overhead x s 4. Other x • D. TOTAL VAIL AM, sq. ft ..................... E. TDMI. o£ ARFA x"U" ......................... ............ .............. 1 ZO • Z II. EOOF/CEILING CALCULATIONS A. imof/oeiii.ng Ineularea Ares 889 x . o z - z? • 33 8. Aoof/Ceiling Framing (Ave. 158 at 16" x) _ x ? ?? F=?? (Ave. 108 at 24" oc) ? X . DL?lo 0 2-?3 D. D light kY S E. TDTAL Fi00E'/rEII+iNra AIiFA sq. ft........... ... ?.? F. RO'IRL OF ARFA x "[I" . . . . . . . . . . ....... . . . . . . . . . . . . . . . . . . . .. . . . . . . ..... . 2-4. D!o III. BUILDING ENVELOPE RSQUIREMENTS A. ncposed wa]1.: B. Roof/Ceilirg: TpMI, AIiFA F307UIM "U" ALLOWABLE (FLm I.D 6 II.E) (Fraa V.) - (Atea x"[i") 21o x . Il = 133. ? x . 07.C. a 7.°5-Lo9 C. TO'MI. ALLONIIiBLE BUILDM FNVIIAPE ('POtal of A& B above) ... 158 -'7 `i IV. ACTUAL BUILDING ENVELOPB ACTUAL (Area x "0") A. Exposed Wall (FtCm I.E) iZ0• Z. B. Roof/Ceilirg (Fram II.F) ?k. o(o C. TOTAL ACISJAL BUILDIIdG ENVELOPE (Total of A& 8) ............ ?44 Z(?, `(lbeu eode rpuirwent: it less than IIt.c) V. REQUIRED "U" VALUES 4?,LdS F?OF/CE Detached one arcl two family dwellings .11 .026 * Multi Family Residential euildings .238 .033 (3 stories ar less in height) * All Orher construction zypes (3 sbories or less) .238 .06 * All Other ICcnstructirn Types (MOre than 3 stories) .28, .06 ' Based on 8007 heating degree days (lals/St. Vaul) lldfust •U• values accordingly for other laaLions CE&TIFICATION i hereby certify that I have crnpleted the above infornatior? ard that it ocaplies with tl Minnesota State Energy Code. - ,.-, _ BCSD 3-89 CC/Rhl/6574 .. TRI=LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 SITE PLAN FOR: SONS CONSTRUCTION LEGAL DESCRIPTION: LOT 39 gLOCK 4, LEXINGTON POINTE 3RD ACCORDING MKMRECORDED PLAT THEREOF COUNTY, MINNESOTA ? JEFFERSON _ II a LANE ?- -? - I SCOIB: I"= 3d ...r_ . 26' Q 26' O L -_ _- ? ;.:::... ?EYMWE LEGEND Data _ EAGA1V o DENOTES * DENOTES DENOTES OENOTES ? DENOTES -- 0 ?i --- 22• A 'v I GAR. 18' i?PROPOSED '? HOUSE ? O aD N 15'O q?hx? L3T o I? Iz I IRON MONUMENT WOOD HUB SET EXISTING SPOT ELEVATION PROPOSED SPOT ELEVATION DRAINAGE DIRECTION l hereby csrtify tAat this survey,plon or report wos prspared by me or under my direet suparvision and that I am o duly Repistsred Land Surveyor undor the Laws of the Stote of Minnesota PROPOSED FOUR LEVfL WALKOUT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 89 ?' T PROPOSED FIRST FLOOR ELEVATION = 482' PROPOSED BASEMENT FLOOR = 1773 ELEVATION NOTE * VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Brad ley Date - ep. No.15233 Use BLUE or BLACK Ink For Office Use I City of EaEdn I Permit 7 ! I I I Permit Fee: 67,60 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I j Fax: (651) 675-5694 Staff- - - - - - - - j 2010 MECHANICAL PERMIT APPLICATION Date: 7- jG Site Address: c' q q, c~TT Z'ilc b~ Tenant: Suite RESIDENT I OWNER Name: _PC6 lbe~ Phone: Address/ City/Zip: CONTRACTOR Name: 7s~_ -T 7C~ License* i Address: 32`17 7 C-7(~~ 7 l City: C ~L z.- State: Zip: _SS G Z 7 Phone: S / 4 2 k- S' Z Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE /Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed -Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install Remove) Other fo l clF i 70.11 f 3' 11} When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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.-gopherstatoonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x vCrl C41' x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: Under Ground - Rough In Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r I I For Office Use 411100 I Permit#: C) Ad G1 City of EaE ' Or l Permit Fee: o0 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 l I Fax: (651) 675-5694 I Staff: 2012 MECHANICAL PERMIT APPLICATION Date: 2 7 /-Z Site Address: `7 y9 J e-e L Tenant: Suite M RESIDENT / OWNER Name: 8 e;,$ e.-4 y e-~I-VnP_- ~ Phone: 65 4 S z - 2S S_3 Address/ City/ Zip: Name: ~ , k 4 -7- ~ lac r: <e 5f C-1s"'l-- he_ License ~ y t t CONTRACTOR Address: 32 0 77 C 7 l C~ City: 6'111/1 State: M AI Zip: Phone: ~;79 2 /C~~~ifef'ec/1R~'L~S1ee.eE~e/,art Contact: ~n•~✓c- Email: New Replacement Additional /Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE -Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) f Other C-,-!( I "O e 4G f G RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ X11% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Dca0 I e / VC°x-1x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink r � For Office Use 11/!!111 ::::e: C r124 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspectionsCa�citvofeaclan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 40,41,41 Name: /‹.1'15 le J � t✓�! e �� Phone: �vim/ ` atS ( G C ent/ �/G / • s wne Address/City/Zip: j -%� %� �1✓ 7 D 0 K� /'U Applicant is: Owner Contractor lye . k Description of work: 6"' f v Construction Cost: //,0(3 Multi-Family Building: (Yes I No 5. Company: ,0c, /ZCC Contact: /�..J f � fz./) Address: /2 7 /11a�G- City::/7/7„6,) C-)C� Ct0! GOC �7+% f9'7,0G eirtc lC Statey/ Zip: c-S-,)C(/ Phone: 763 'r' 7 Email �'c�dtf h/Crcf/r�Y1 License#: c� / C / .,r Lead Certificate#: ��/9Q 7/ 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: ns and' up o : u tion onion ' a fon"maybes l ® .pub /e ®, o #cific ® S of ' ®4.. ity 1/6 are tra eecre. .. .N .. .. 4044 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no • - - t a permit; that the work will be in accordance with the approved ' the case of work which requires a review and as• - = • . : �` x �!1/ `�179 Ems/ f its` I x —.Nom Applicant'‘Printed Name pplican ' Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA166877 Date Issued:02/10/2021 Permit Category:ePermit Site Address: 948 Jefferson Lane Lot:3 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Robert W Jr Dettmer 948 Jefferson Ln Saint Paul MN 55123--199 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176706 Date Issued:05/27/2022 Permit Category:ePermit Site Address: 948 Jefferson Lane Lot:3 Block: 4 Addition: Lexington Pointe 3rd PID:10-45072-04-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Robert W Jr Dettmer 948 Jefferson Ln Saint Paul MN 55123--199 (651) 253-0039 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature