949 Jefferson Lane? CASH RECEIPT ? .
CITY OF EAGAN ?
3830 PILOT KNOB ROAD .
EAGAN, MINNESOTA 55122
DATE
aMOUNr s ? O
? CASH
C 949VO
? CHECK
8 DOLLARS
lm
whi,e--Payers Coar
Yelbvo--PpSting Copy
Pink-Fde CoPY
Thank You
BY
,
i -
? RE:
X
_,Your Se{ver & Water Permit for 1he above property has been completed. It will be held at the
PubF Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
Ci4LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
1
l
DATE:
.
949 JEFFERSON LN (TOP VALUE flOMES)
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
I WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
. . .. .. , . .L ... .... -?.v '?':?. . . . . ' , . .
` -
CtTY OF EAGAN • ;
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I.IR69
, - PHONE: 454-$100
BUIL ING PERMIT Receipt
' SF UWG/GAli $80.004 AtICUST 16 40
To be usg or Est. Value Date i9
Site PCdgress '
Lot Block
? Parcel No.
cc Name
; Address . .
o _ 4402036
City Phone
=o Name -
0
,Q Address
f
I hereby acknowlege that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
Sec/Sub.
OFFICE USE ONLY
Occupancy R-3• M-1 FEES
Z
i PO R-i
on
ng ,
$ S50•00
(Actual) Const Vft- Bidg. Permit
- - -
-
(Allowable) VIL- Surcharge 7W.
Oo
---
# of Stories "f , 0Q
Length 42-- Plan Review
1?•?
Depth 4? SAC, City
S.F. Total - 000 00
S.F. Footprinis SAC, MCWCC
On Site Sewage _ Water Conn
On Site Well x? Water Meter 90. ?.
MWCC System
X?
Acct. Oeposit .t,,,So. oo
Ciry Water - 30
?
PRV Required _ S/W Permit •
Booster Pump S/W Surcharge .50
252.00
Trealment PI
APPROVAL5 355.00
Road Unit
Planner - park Ded.
Councii r?
?
81dg.Otf. _ Copies •030•00
Variance - TOTAL
? Pehnit No. • Permit Hoider Oate Teiephone k
WATER ' Y p? 9O
SE'WER
PLUMBING j10
2d'«
? SO
9r9 o
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I ?? A;?19 A?
Foundation
Framing jp
Roofing e,
Rough Plbg. 4 d
Rough Htg. L -/
Isul.
Fireplace
Final Hig.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engi.lPlan
Bldg. Final ?d = 3 O
Oeck Ftg.
Oeck Final
well
Pr. Disp.
.,..--?
? t ..??.
F site
m Name
? Address
c City
? Name _
3 Address
O CitY -
TYPE GF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
\ For Office Use Only: ?
MECHAlfICAL PERMIT PERMIT # ;
CITY OF EAGAN RECEIPT #
3830 PILOT b(NOB ROAD, EA{iAN, MN 55122
PHONE 454-8100 DATE:
BLDG. TYPE WORK DESCAIPTION
Sec/Sub R? New
i
Mult Add-on
Comm. Repair
? . Otl?er ?
OIl@
c
f M BTU
M BTU
M BTU
M BTU
CFM
/
FEES
RES. HVAC 0-100 M BTU - ?
$24.00
ADDITIONAL 50 M BTU - i
6.00
(RES. HYAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (AAIN1MUM -1 PER PERMIT) -
COMMlIND FEE -1'/e OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES 1.50 EA.
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MIMIMUM RESIDENTIAL FEE - ALL ADD-ON dc ?
REMODELS - 12.00
MINIMUM COMMERCIAL FEE -
STATE SURCHARGE PER PERMIT ?
20.00
50
""- -
(ADD $
50 S!C PER EACH $1000
00 OF PERMIT FEE) ,
.
. ?
PERMIT FEE:
S/c: c
TOTAL:
$IGNATURE OF PERMITTEE
FOR CITY OF EAGAN
....
Office Use Oniy
CITY OF EAG/[N PERMI7 # _
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE , PHONE 4548100 DATE: J
Lot
m
?
?
c
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
1AD"50 S!C PER EACH $1.000 OF PERMIT FEE)
BLDG. TYPE WORK DESCRIPTION
Res. >C-- New
Muft. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00
Bath Tubs - $3
00 $ ?
?
.
Lavatory - $3.00 ?
Kitchen Sink - $3.00 Urinal/Bidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50 ??-
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
?
nuklulluA _ 4 DCO DCR1AITI
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S/C: ?EGRAND TOTAL: ?? 5O
3830 Pilot Knob Rd.
Eagan,,MN 55122-1897
s?
? ' ,-J?
DATE - ,9 AUG:IS'I iC,, 1t}9e
;44 JErr-EqsoN t.t?NE
StTE ADDRESS
LOT ` BLOCK t SEC/SUB LEX1NGTOid PJtNTE 3FT,
APPLfCANT:
ADDRESS:
CITY, STATE ZIP
PHONE: M nk i u dnrn. ' , . . .
CITY, STATE
PHONE: _
1 AGREE TO COMPLY WITH CITY OF
OWNER: 111)p VAtA)F HQim}'S EAGAN ORDINANCES
ADDRESS: ?•Q• BOx Zbl
CITY, STATE P21pR LAlC ? . Mts' ZIP 55372
PHONE; 154;,? 2P-6 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR ST
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE - AUGUST 16, 1990
METER #
CHIP #
METER SIZE
ISSUE DATE
dFF1CE USE ONLY
METER # -q37 (d) 71!Yg PERMIT DATE ub/21/9Q,
CHIP #,'a_-,:9 ?6 ? PERMIT # 11592- -
?Vl B.P. RECEIPT # C 94qn
METER SIZE
ISSUE DATE ?? ""?? B.P. RECEIPT DATE 08 10 0
_ PRV - BOOSTER PUMP
SITE ADDRESS '"V' ? --FFLi2SON LANE
`
LOT 5 BLOCK 2 SEC/SUB
' APPLICANT:
? ADDRESS:
3?:.D
? CITY, STATE ZIP
PHONE
JxPLUMBER:
ADDRESS: 1200 i i2TCifR!? N
?
CITY, STATE BURN?VTLL•E-.LN ZIP ?,?337
PHONE: 890 90S4
? OWNER: TO° VALUL'
` ADDRESS: P•n • BOx 161
:
CITY, STATE pgIdR LAKE, ZIP -5 s''"
?
PHONE: , .
PLtASt ALLVYY 1 mrv ¦rvnnnv v? s... - .+.. ....--,
SEWER PERMITS, CONTACT ENGINEERING DEPT.
1`? _--------- -_-__ _--?-_-__ ?: . ------ --
_ PRV
_ COMMlIND "RESI
? SEWER ? WATER
K NEW - EXISTING
Lawn Sprinkler Meters are to be I
Ahead of Domestic Meters on Wat
Credit WILL NOT be given for Deduct
PERMIT REQUESTED
_SEWER ? WATER -TAPS;
_ COMM/IND ` RESIDENTIAL'
? NEW - EXISTING -
Lawn Sprinkler Meters are to be Installed.
Ahead of Domestic Meters on Water Line. '
Credit WILL NOT be given for Deduct Meters.
Y
PERMIT DATE 06121 / af)
PERMIT # i 1592
B.P. RECEIPT # c 94g8
B.P. RECEIPT DATE -?nLl?Lafi
OSTER PUMP
PERMIT REf]UESTED
COMPLY WITH CITY OF
SI6NATURMigN METER ISSUED
454-5220 FOR INSPECTIONS. FOR STORM
- - l? -- `i?
,
. Ter#.iftra#e uf (O.rrupartry
.. ° Citp of (gagart
]Rv,vwtmd uf Buitding jmpertirnc
M Cem1ka(c issuedPwsuant lo the regmrements of Saclion 306 of lhe Unijorm Building
Code cemfjixg lhat at t1u ?'urre of issucncse rhisstructure xas in canplianm wiAi 1he niriour
ordi,ra,rces of the CUy n,°Sula4nS bru7ding c+vnowcdoR or uv- For the foflowing,ux a.urlatimsp INc,:w eac. nc ra. l8Z6-9
°°"'°-'7 Ty°` OMI-- zDaing°aaia _M_,4R, Ty'PMC,M Vi1i
Oreer af Ay-
POST IV A CONSPICIfOUS PLACE
CITY OF EAGAN ND ? 8269
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55127
PHONE: 454- 8100
(??
/Q
BUILDING PERMIT Receipt #
C
?
?!
'7 ?
To be used for SF DWG/GAR Est Value $80+000 Date AUGUST 16 19 90
Site Address 949 JEFFERSON LANE
Lot 5 Block 2 Sec/SubLEXINGTON PTE 3
. OFFICE USE ONLV
PafCel No. Oaupancy R=,3 M-1 FEES
TOP VALUE HOMES Zoning PILR-1
550.00
= Name (ACluap Const Bidg. Permd
VA
;
z
P.O. BOX 161
Address
(Allowa6le) -
yn-
40.00
°
O
PR Surcna.9
e
I
R LK phone 440-2056
Crty xolstories _
Plan Remew 357.00
Lenglh 4,2_
F Name SA? oepm snc
ary 100.00
? ,
4i6r---
0,04 Address SF.TOtal - 600
00
SAC,MCWCC .
"- City Phone S.F. Pootpnnis _
l
C
W 69%
n0
On Sile Sewage a
er
onn
_ -
F
`
WW Name on sne weii
w
i
M
QO
?0
?V AddfQSS MWCCSystem -
eier
a
er
XX- -
P Acd.DepoSi! 30.?0
dW City Phone GtyWater xx_
30
OD
PRV Requiretl - SIVJ Permit .
I here6y acknowlege that I have read Ihis application and state that the Boosrer Pump - SNJ Surcharqe .50
mlortnanon is correct and agree to comply wrth all apphcable State ot
Minnesota Statutes and City Ead an Cyd
m
a
npes. Treatmenl PI 2 52 _ 00
?
?
?
V
SignaWre of Permdee "y'„O APPROVALS Road Unit 355. DO
A Building Permit is issued to: TOP VALUE HOMES Pianner - Park Ded.
on the express condition thal all work shall be done in accordance with all Coii^cil 50
applicable State of Minnesota Sta es and City ol E?gryn Ordmap?es. Bldg. OIL Copies .
030.00
$3
Bmlding Olficial L _ variance
TOTAL
,
?
Q? REQUEST FOR ELFCTRICAL INSPECTION ^EB-OO?oa
?7/
? ( $eainslrudions for vrompl* Ihis lorm on back oi yellow copy
?
01562 "x° Below Work Covered by This Request ?.?,•.
e Add. Rep. Typeof8uilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Hea[er Electnc Heahng
ApL Buildmg Dryer Other (Specity)
Comm/Intlustriat ' FUrnace
Farm Air Conddioner
Other (specdy) Conlractor's RemaBs
Compute Inspection Fee Below:
#. Other Fee # ServiceEnirenceSze Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps Q
lciApo
0 to 100 Amps
°
TransfOrmers Above 200 _ Amp Above 0_ Amps
? Slgns Inspecmr's Use Only ? TOT?
Irnganon Booms J ?J, It ,S
SpeCial Inspechon
Alarm/Communicanon THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Ri oa f
???
certe.?ihat the above ins ection has
'1 P
been made Final . Da[e
OFFICE USE ONLY
This requesl voltl 18 months IIom
7//%/9'? I L95`S(10
a 01562 =0, $15LT °°
Request Date Fire No Rough-in Inspec0on
Pequired7
? Raetly Now ?WJI Notdy Inspecror
Whan Reatl
'+
7 Yes ? No y
I;?'licensed contractor ? owner hereby request inspection of above electrical work at.
Job Atldress (Stmet, Box or qame No )
' -
'
-
#? Clry
2 J
0
1
,
SecOOn No TownsNp Name or No Range No County
Ocwpant IPRINT)
Ua 0 0,16.r Phone No
yYO- ,? o
Power $v001?er /
c?o ? Cl?C , Atldress
Gt1?? ?r
?ovl
Elecincal Convactm cOmpany Name)
t2 ? z5l
?
L
c CoMrador5 Lwense No.
o ?
2 6
Z
e , IV 0
o
Matlin AtlOressO (ConVactor or Ownar Makmg Instal lion/)
?
Authorrzetl Sgnatur (COnVac ner Maki nslallaDO Phone NumbeLr/
MINNESA STRTE BOARD OF ELECTRICITY I-Ir THIS INSPECTION REQUEST WILL NOT
GMggs-Mldway Bltlg. - Room S173 BE ACCEPTED BY THE STATE BOARO
1821 llnivemlty Ave., 3t Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Vlrone (812) 642A800 ENCIOSED
8111V/90 REQUEST FOR ELECTRICAL INSPECTION
fl? See inslructions lor camplBhng ihis fortn an Oack of yellow copy EB-00001-08
dlo
Rr O 15 5 9 -"X" Beiow Work Covered by This Request
ew dtl Rep 7ypeolBmlding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eiectric Hea4ng
Apt Building Dryer Other (Speaty)
Comm./Industrial Fwnace
Farm Air Condihoner
Other(spectyl ConVaaor§ Remarks
Compute Inspection Fee Below.
Ocher Fee S Service Entrance5ize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 A s
Transformers Above 200 _ Amps Aoove 100 Amps
Signs Inspecto.'s Use Only TOTAL r7
Irngation Booms /
Special Inspection
aiarm/Communicaeon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTFIS.
I, the Electrical Inspector, here6y Rough-in oeie
cerhfy that the above inspection has
been made. F??ei o
OFFICE USE ONLY "
This request witl 18 monihs from
Ii /7v C.? lli 46O
a 015 5 9,? g? e,, ?°
hequest Date
n i2 No ough-in Inspecbon
fleqmredP
5d Feaay Now p Will NoM1ry Inspector
When ReaOy?
(/ GYes No
IKlicensed contractor ? owner hereby request inspection ot above electrical work at,
JoC AOtlraw ?SVea6 Box or Route No I
7 r<s'oI?
Lqlt?e Qry
'e57cr c4
Obon NO
' Township Name or No Range No Couny
o 4-
Q
l
q
<
u
Qccupant(PRINT)
i
? 7
s'
ote Phone NO
wc? - a o??
q .
o
Pawer SupPlier
) 64(9?-q E/PG. Atltlreu
r&? /'/-'!ih
"
Eleclr¢al Contrecior (Company Name)
d ? ?ICC?ri c
.L? Convactor§ License No.
Maihng Mtlress fContractor or Owner Making Installabon)
Authonzea S naWre ( NractoqOwner Ma InstallaUOn) Gnone Number
y3-s =3? ? 6
MINNESO A STATE BOAqD OF ELECTR RV THIS INSPECTION REOUEST WILL NOT
Grlgga-Mltlwey BIEg. - Hpom 5113 BE ACCEPTED BV THE STATE BOAFD
1821 Unlveralty Ave., St. Paul, MN 55104 l1NLE55 PFOPER INSPECTION FEE I$
Plp. (612) 642-0800 ENCLOSED
Addreas:949 JE['FERSON I,ANE Lot 5 Blk 2 Sec/SubLEXINGppN ppINTE 3gp
These items were/wera not complate at the time of the final inapection.
DA1Ea 0!.70BE_R 23, 1990 Yes Na INSPE!'IOR:
Final grade (6" from aiding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent dYivaway
Permsnent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finiah J
Deck
Please verify with the builder ehe removal of roof test capa from tha plumbing
system and the shut-off of water aupply to the outsida lawn faucet before
freeze potential exiata.
White - City copy Yellow - Resident copy Pink - Contractor copy
. RESIDENTIAL
d-i BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction ReauiremaMs
• 3 registered site surveys showing sq. ft of lot, sq. ft. of irouse; and all roofed areas
(20% macimum lot coverage allowed)
. 2 coples of plan showing beam & windaw saes; poured faund design, etc.)
• 1 set of Errergy CalcWations
• 3 copies of Tree Preservation Plan if lot platted afler 711193
• Rim Joist Detail Optbns selection sheet (bldgs with 3 or less uniGs)
DATE
( (S,?) 5
RemodellReuair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additbns
• isitesurveyPorezterioradditions&decks
. IMicate if home served by septic system for additions
j1 v
• ?
VALUATION 30
SITEADDRESS "lq"1 ?•2??C.?? MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2
_
? --
APPUCANT URC.
STREET ADDRESS ; 49 Soutd Owasso Bivd.
TELEPHONE # ? Liltle Caaada, MN 55117
tc{?1 -+A 8C( - l4 Cn iv
l
CITY STATE_ZIP
FAX # (C-?I)
PROPERTY OWNER TELEPHONE# l6 O 3
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • ResidenUal Ventilatlon Category 1 Worlcsheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculadons Submitted
Plumbing Contractor: __
P'.umbing system includes:
Mechanical Contractor:
Mcchanical systcin includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of
OFFICE USE
and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Hcater _
No. of Ballis
_ Phone #
I.awn Sprinkler
No. of R.I. I3aths
Fce: $90.00
Phone # \
?? itF'erc'•?t $70.00
?D '
Ph8 e '
Updated 4/02
? y l kc) E 1
1990 BUILDING PERM APPLICATION
CITY OF EAGAN
SINGLE FAMZLY DWELLINGS
MULTIPLE DWELLINGS
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 SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT 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 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: Valuation: ?? Date:
? Site Address ?/ / ./ea"J?'7?1rd L??
Lot S Block 2
Parcel/Sub L-EXING70N'?6INM 3RD
v Owner ?•(Gr5//j,,?if?
Address ? ?15F3
City/Zip Code
Phone
-IC Contractor
Address
City/Zip Code /'?%dl dcz?cP? SS 3-
7,2
?
Phone y7d?????
Arch./Engr.
Address
City/Zip Code
Phone #
^^^?OFFICE USE ONLY
/ C/VV
FEES
Occupancy R-3 M-(
Zoning PD R-I
Actual Const V- N Bldg. Permit
Allowable V-N Surcharge
# of stories Plan Review
Length y2' SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
On site sewage_
On site well
MWCC System
City water ?
PRV _
Booster Ptunp _
APPROVALS
Planner
Council
Bldg. Off. /1Q'
Variance
^ : :
COMPtERC IAL
Acct. Deposi
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
.55(? Do
'?/O, 00
357, o 0
O D, DO
/v00,OD
Z56 ",o?
D, oJ
t 30.00
30, oJ
,50
5Z y, o0
35.5 oD
. SO
(il .
. . .e"
vALuA-r1o?v
G?2AGE
ZZ X Z4 = 52g . ;.
Z x5?/2 = (Ii)
---
51 7 x 15= r7r?55
BSrmr'
2yx36= b'64 >e ly= 12??1?,
-H DU S E-?_
3(' X Zy = 964
(6xl?l =z2y
l 3 X 4 ; SZ
pin7 - ??
?Y s-YZ
s9zi1 '
c .
9 ci o6-L
ENERGY CODE DESIGN BY ACCEPTABI.E PRACTICE
'ib Determine 03npliance with the Minnesota Energy Nde
(Section 602 of the State Amended 1983 Model EnercN Code)
.
This form is cnly applicable tn detached one-and two-family dwellings. The requirements herein
are based rn Table No. 6-11 in lieu of the criteria specified in Sectirns 602.2.1, .2 arx3 .3.
Building Address
contractor or
Buildinq Elelnent
Oeilings
Walls (exterior)
rj ,5 Loc.K Z, LE.xi N 6,-fON Pbi ?1TE 3RD ADs Q.
Floors (over unheated spaces)
*Windavs (in bldgs w/o
sliding glass door)
*Windows (in bldgs with a
slidinq glass door)
Fburdation Walls
Slab-cn-grade floors
**Doozs (1-3/4" metal faced)
anve,r
"R" Values Area (sq ft) 8 of E7ct. WaLls
Design_40 Req'd 38
Design2, Req'd 20 I9il'to
(w/o fdn)
Design2l•lOReq'd ZO
Design Req'd 12
(glass)
149,4 Design2.(0Req'd 10
(glass)
Design{, {a Req'd 5(when insulating full depth of
foundatirn wall)
Design Il •2 Req'd 10 (when insulating only tro frost
depth and Eootinys extend belaa)
Design_jL,e?,_Req'd_(See Figure No. 3)
Design-L&2-_Req'd 3
* All winclows sha11 be double glayed or have storm windows
** CUnventional doors other than metal require a storm door
CEItTIFICATION
I hereby certify that I have oonplebed the abwe information and that it aeplies with the
Minnesota
Signature
BCSD 3-89
OC/SM/659s
Date O'7 AtJG. °/o
FPPW"-
L ? f? BL CITY USE ONLY RECEIPT#:
?j?!`
SUBD.L /T? Y . RECEIPT DA'fE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflaw preventer for underground sprinkler system
FIXTURES EACH N-0--
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
HotTub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - t 3.00 x
Rough Openings 1.50 x
Water Softener ' for dwellings under construction 5.00 x
Water Softener ' for existing dwelling 20.00 x
U.G.Sprinkler "fordwellingundarconst. 3.00
?.G. Sorinkler ' for existing dwening 20.00
Alterations " to existing residence .
Water Tum Around 20.00
Private Disposal System ' oak cry iie. 75.00
(new and re(urbished systems)
Private Disposal Systems' abandonment 20.00
STATE SURCHARGE
TOTAL
.5Q
2o T?
I hereby acknowledge that I have read this appliptian, state that the infortnation is corteU, and agree ta comply with all applicable Ciry
of Eagan ordinances. It is the applicaM's responaibGily to notify the property owner that the City of Eagan assumes no lia6il'ity for any
damages pused by the City during its nortnal operafional and maintenance adivities to the fadlities canstructed underthis pertnit within
City properiylright-of-way/easement.
SITEADDRESS: ? ?y C?
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
? uws
73zt-`7 poflcN(Ct
TELEPHONE #:
STATE: ZI P: 3L( 3
SIGNATURE OF PERMITTEE
METRO 1875 PLAZA OR.
SURVEYORS swrF 200
/NC. Certificate of Survey for EAGAN, MM. 55122
(612)452- 7850
TOP VALUE HOMES
LEGAL DESCRIPTION: LOT 5,BLOCK? , LEXINGTON POINTE 3RD
ACCORDING TO TH RECORDED PLAT
THEREOF COUNTY, MINNES07A
SCALE:I"=30'
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.:AGA2V ZINGENEERING DEP7
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
97SRz DENOTES EXISTING SPOT
ELEVATION
(97B4) OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hreby c*rtity TAat fAis surwy, plon or
report wos prepared Dy ms or under mr
direef suparvision and ihat I am a duly
Repistersd Land Survtyor under fhe
Laws of ths State of Minnesota
34
? DRAiNAGE 8 UTILITY EASEMENTS 5
LOT 5 ?
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INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION
PROPOSED FIRST FLOOR ELEVATION = 2-
PROPOSED BASEMENT FLOOR = 976.R
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
Brodley J. 4*snson, Mn. Rep. No. 13235
Date
METRO
SURVEYORS
INC.
RECEIVEO AUG 2 9 1990
Certificate of Survey for
TOP VALUE HOMES
1975 PLAZA DR.
SUITE 200
EAGAN, MN. 55122
(612)452-7850
LEGAL DESCRIPTION: LOT 5,BLoCK? , LEXINGTON POINTE 3RD
ACCORDING TO TH RECORDED PLAT
THEREOF COUNTY,MINNESOTA
SCALE:I"=30`
84°30'00" yy
79 34
51
I DRAINAGE 8 UTILITY EASEMENTS 5
? ? LOT 5 N
?
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5!
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al uo??,,''
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-?a-?l`1?S.89°50'21 El 79.00 990'-
N
? JEFFERSON LANE"?)?y_ p??"??i `?
I;AG
- AbJ
LEGEND
o DENOTES IRON MONUAENT
a OE110TE5 W000 hIUB SET
979-z DENOTES EXISTINf3 SPOT
(979-1-3 DENOTES ELEVATION
PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
- /lAIS0
I Mnbp certify tAat tAis iwwy,plan or
report ww prepared by me or under my
direct supervisian and fhat I om a duty
Reqistersd Land Surveyor undw the
Laws of the State of Minnesota
DEYi,
- - ?
IA%ENT fiEV/iT1Q4 AT SERVIGE EXTENSIONE-
PROPOSED GARAOE FLOOR ELEVATIOH • 52?.
PROPOSED FIRST FLOOR ELEVATION • °9'
PROPOSED BASEMENT PLOOR •
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
Bradtey J. ,Wenson, Mn. Req. No. 15235
Dote '.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 949 Jefferson Lane
Lot: 5 Block: 2 Addition: Lexington Pointe 3rd
PID:10- 45072- 050 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Mary B Hart
949 Jefferson Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA091333
09/28/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129892
Date Issued:03/23/2015
Permit Category:ePermit
Site Address: 949 Jefferson Lane
Lot:5 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Jeffrey Norblom
1465 Selby Avenue
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary B Hart
949 Jefferson Lane
Eagan MN 55123
(651) 402-6267
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150004
Date Issued:06/18/2018
Permit Category:ePermit
Site Address: 949 Jefferson Lane
Lot:5 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary B Hart
949 Jefferson Lane
Eagan MN 55123
MNP Mechanical LLC
452 8th Ave SW
Lonsdale MN 55046
(952) 292-9238
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175720
Date Issued:04/12/2022
Permit Category:ePermit
Site Address: 949 Jefferson Lane
Lot:5 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Mary B Hart
949 Jefferson Ln
Saint Paul MN 55123--260
(651) 402-6267
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179492
Date Issued:10/06/2022
Permit Category:ePermit
Site Address: 949 Jefferson Lane
Lot:5 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Mary B Hart
949 Jefferson Ln
Saint Paul MN 55123--260
(651) 402-6267
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature