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
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L7,SC??? ?
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ip:
State:
t
City:
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2& ?y
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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