953 Jefferson LaneCASH RECEIPT
CITY OF EAGAN 41
3830 PILOT KNOB RQAD
EAGAN, MINNESOTA 55122
onTE +s I ?.J
aecIErveo
cKN
AMOUNT
& DOLLARS
Iro
? CASH t?CHECK
fOFt ? ? ' I ? V ? -_ I ' ?• l
? r • ? -/
?5F J?u)(,' ??71e
FUND OBJECT AMOUNT
Thank You
BY
C 6612 W,do-Payan Copy
Y@uow--aosung copy
Pink-Ftle copy
t
DATE:
03/OS/90
AE: 953 JEFFERSON LN
X l40 Sewer & Water Permit for the above property has been completed. It will be held at the
,/Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERGIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
I : Secretary, Building Inspections Dept.
??--"" '6 QATE: 03/05/90
RE:
953 JSFFERSON LN
R Ybu Sewer & Water Permit for the above property has been completed. It will be held at the
,0,r' Public 1Norks Garage (3501 Coachman Road) untii 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 follqwing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspecti4ns Dept.
. . . ..,,.•T,..... . . . . ?0` `:t .. . . . i, ti . .. . . . ..
CITY OF EAGAN 17569
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
ILDING' P?RMIT Receipt # ?
,
>e -usedfor `f '?''?'??p•" Fst. Va.ue t7'•'+?? Date MARCH 2 , 19 19
Site Addr ss 953 JE!?1PERS0N LN
OFFICE
USE ONLY
Lot Block SeciSub.L?JItIG?ON POINTE
Parcel No. occuPancy R-3 M--1
- FEFS
?1
pD
Name COLI.EGE CIlY CONSTRl1CTION Zoning
(Actual) Const V H Bldg. Permit ?s''
W
o 6970 1 S13T $T
Address (Allowable) Y N 35.
p surcnar9e
? ?ALLEY Phone 431-1211
City AP # or s?or+es ?
Plan Review 328.
o Name AM Lenglh
oepm sac
Ciry 1000
= - ,
0
t
Address
S.F. Total
-
600
45 SAC, MCWCC •
City Phone S.F. Footpnnts _
water Conn
62 S•
On Site Sewa9e _
?
? W
Name
On Site well
-
Water Meter ?
•
?
?; AddreSS MwCC System 3O*
? Acct
. Deposit
a W Cit)I Phone City Water /W P 30.
PRV Required _ ermit
S
I hereby acknowlege that I have read this application and state that the Booster Pump - S?W Surcharge •
information is correct and agree to com with all applicable State oi 252
Minnesota Statutes and City of Eagan dinances.
Treatment PI .
Signature of Permitee A ' APPROVALS Road Unit 3s5.
A Building Permit is issued to: COLJ= CiTY CONST Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State o( Minnesota Statutes and City of Eagan Ordinances. glay, pft. _ Copies '
Zt9si.
Building Oflicial '
Varianca
-
TOTAL
' Permit No. Permil Holder Date Telephone #
WATER
S€WER ?
PLUMBING
N.V.A.C.
ELECTRIC ?
Inspsction Date Insp. Comments
footings i
Foundation
Framing
Roofing
Rough Pibg. _ -T -?'/
Rough Htg. 3/13/90
LSUi.
Freplace
Final Htg. f ? ?
Fnal Plbg. . 3-, j? ?i .
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPtan
Bldg. Final
Deck Flg.
Deck Final
Well
Pr. Oisp.
. , PERMIT #
MECHANICAL PERMIT RECEIPT # ? -`
CITY OF EAGAN
. 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
:T PRICE: PHONE: 454-8100 For Office Use Only:
Slte Addrgss
; Lot Block Sec/Sub
? m Name
Address ' `
. ,
? City Phone
? Name `
c Address
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Pipinq Outlets #
?
M BTU
, M BTU
M BTU
M BTU
CFM
FEE:
S/C: _
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on ;
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
DES A/C ON NEW
C
ONS RUGTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
. ' , PLUMBING PERMIT
CITY OF EAGAN
CONTRACT, 3830 PiLOT KNOB ROAD, EAt`,,AN, MN
PRICE n ;)„pHONE 454$100
S ite
v
FEES
COMM.lIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $,50 SJC,pER EACH $1,000 OF PERMIT FEE)
For
PERMIT #
55122 J RECEIPT
BLDG. TYPE
? WORIG DESCRIPTION
Res. New
Muft. Add-an
Comm.
Other Repair
RES. PLBG. QNLY - COMPLETE THE FOLLC}WING:
NDr FIXTU RES
Water Closet - $3.00
' T_ Bath Tubs - $3.00
!? Lavatory - $3.00
ShovYer - $3.00 `
-? Kitchen Sink - $3.00 ; TOTAL
$ ?
?-
.. _ ,
?
UrinaUBidet - $3.00
?- Laundry Tray - $3.00 ?
?- Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
?- Gas Piping Outlets - $1.50 T-
(MINIMUM -1 PER PERMIT)
SofDener - $5.40
weu - $10.00
Priuate Disp. - $10.00 ?
.J Rough Openings - $1.50
PERMIT FEE: ..?-
STATES S/C:
SD
GRAND TOTAL: ? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: t„,
, r F r I f N?)u tr 1 i; ni
I i 1111, 1'IN :1'it ( h) 1 I flr11
PERMIT SUBTYPE:
d 1s1 us. r.
N RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
•,? .
( b I ..'. ) !i Fi i ?
TYPE OF WORK:
iIr .l 1; I i r i$IN
I i NH`,
111 1 tiA i
I fi AM I hlFi
M(1f11, '-.= A=,F!'Ak01il P1:I2M(1 (,, Ftf- t.lUll:l li i 11k AI+iY ! 1C:t:11t11.A1 liilkk
F
tsu I r it I wii
rs .• JI At .'a
0 ti /.•I'; /tiA
Iii1N I 1 I
N 1 Ld
It?1 I F IIVi.11111; I1)
?
J
.?.?..
Pe?mit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspectlon Dete tnsp. Commenffi
Footings I
Foundation
Framing 7
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Hlg.
Orsat Test
Final Plbg. Pibg. Inspedor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Flnal
Deck Flg. ? ;ZC' qK
? lw
Deck Final f- ? O
1
weli
Pr. Disp.
(grr#ifirttft o# (Orrupanry
Citp of (ta$an
Eppartitpttf o# luilbiitg JWPrfivtt
This Certificate issued pursuant to the requiremenu of Section 306 of the Unrjorm Building
Code cerlifying that at the time of issuance thrs structure was in compliance with the various
ordirwnces of the Cit? regulating building construction or use. For 1he joUowing:
ube cLusiradoo ? POPM Bmg. Perm;t No. 17569
o-wencr Tyve 1 zen* agr;n PD/Rl rya c? VN
o? a Bw mP= ?IY OQMT. Add,. 6970 151 ST ST. , APPIE VALTM
swl" aaa.m 953 JWERSQN LAX2h,y L4, B2. IEXIlVGM POIIdIE 3RD
?!'-? , ?"• _ a„?: MAY 2, 19960
J awim?
POST IN A CONSPICUOUS PLACE
SE'NER 6.-WATER PEF
CITY OF EAGAN
3830 Pilot Knob Ad.
Eagan, MN.55122-1897
„e
DATE 1-17-
METER #E
CHIP #
METER SIZE
ISSUE DATE
_ PRV -.
PERMITDATE 03/05/90
PERMIT # 11255
B.P. RECEIPT # C 6612
B.P. RECEIPT DATE03 02 90
4STER PUMP
SITE ADDRESS
LOT.=BL?CK SEC/SUB `-
APPLICANT: t lef e Uty l:onstr;a?. -y_. ,
ADDRESS:
CITY, STATE 'Val i c:, ZIP
PHONE: -sl-Ill?.
PLUMBER: -'+r 1 1 ?hi n?
ADDRESS: lUl? r?:? SUri: -
CIIY,STATE •.lc?.?"'?.;tUt? '4? ?5?.." ZIP ;
PHONE: =' `-4l `'
OWNER:
SEIMER & WATER PERMfT
CITIf dF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE --= % -yu
PERMIT REQUESTED
?i SEWER ? WATER - TAPS
- COMM/IND x 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.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
j
SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOFi STORM
OFFlCE USE ONLY
METEq # dl 3 ^ 0 PERMIT DATE 03105 / 9U
CHIP # Ql y 09 PERMIT # 11255
METER SIZE ? oc B.P. RECEIPT # C 6612
ISSUE DATE ?' 30 - l O B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS - = :'?11 '-`-'? • ?
LOT t-BLOCK ? SEC/SUB - ? ? et 3r?'
APPUCANT: ' - _= 'e ?- 1 ?' J ?;?r?sLr-uc =iu11
ADDRESS: ij7U 1_)15 'L St -
CITY, STATE •?:?' `&l ZIP i_; ..:: ;
PHONE: • ?? i - _ ?1 !.
PLUMBER:
ADDRESS: 1,,i?. ' .v? "??: ' =I1• _cilrlc?'
CITY, STATE i'1.>.;:. ZIP 55410
PHONE: "
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REGIUESTED
? SEWER ' T_ WATER - TAPS '
_ COMM/IND X RESIDENTIAL
X (yEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCE
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR
SEWER PERMITS, CONTACT ENGINEERINO DEP'i.
INSPECTION3. FOR STORM .
ADDRESS:
CITY, STATE ZIP
PHONE:
CITV OF EAGAN ND 17569
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING RERMIT Receipt # _?¢ G / (2
7o be used for SF DWG/GAR Est. value $70,000 Date MARCH 2 , 19 90
Site Address 953 JEFFERSON LN
Lot 4 Block 2 Sec/SubLEXINGTON POINTE
Parcel No.
w Name COLLEGE CITY CONSTRUCTION
o Address 6970 1515T ST
City APPLE VALLEY phone 431-1211
o Name S?
g? Address
? Ciry Phone
lw Name
Address
w City Phone
I hereby acknowlege that I have read Ihis application and state that the
informauon is corr n gr e to com y-vyrth all applicable State of
Minnesota Statute and Ciry gan dmances.
Signature ot Permitee
A Builtlmg Permi ' ued ta. COLLEGE CITY CONST
on the ezpress der(tlrtion that all work shall be done in accordance with all
applicable Stale ol M,i/nn?asota StatNes and Cny of?E/agan Ordmances.
Building Ohicial rn,eLl
?
OfFICE USE ONLY
Occupancy R-3M-1 FE FS
Zoning PD R-1
(ACtuap Const -Y--N eldg. aermn 505.00
(Allowable) --Y--N Surcharge 35.00
M of Slones -
Length 401 PlanReview 328-n0
Depth 44 ' SAC, City 100, n0
S.F.TOtal - SAC,MCWCC 600_00
S F Faotprints -
On Site Sewage _ Watar Conn 625. 00
On Sne well - waier Meter 90.00
MWCC System XX
30
00
City Walar XX Acct Deposil .
PFVFequued _ S/WPermit 30.00
Boosler Pump - S/W Surcharge _ 50
Treatmenl PI 252.00
APPROVAIS Road Unit 7 S 5_(lp
Planner - park Oed.
Council
50
Bldg Olt _ Copies .
Vanance - TOTAL 2.951.V0
0 060,47
REQUEST FOR - LECTRICAL INSPECTION
? See instmmions (or com IeLng this form on back of yellow copy
'X" Be/ow Work Covered by This Request
Ee-00001-07
ew Add Rep TypeoiBUiltlmg App6ancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Hea4ng
Apt Building Dryer Olher (Specity)
Comm.llndustrial Fumace
Farm Air G2nditioner
Other (specity) Contractor's Remarks
Compute lnspechon Fee Below:
# Other Fee # ServiceEmrance 5ae Fee # Cucuits/Feetlers Fee
Swimming Pooi 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Abov Amps
Signs Inspectar9 Use Only: TOTAL
$
?
Irrigation Booms y ;
3
Special Inspection
AlarmiCOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby ROUgh-in
cerOfy that the above inspection has
been made F,,,ai oa?e 5^ 2*?
OFFICE IISE ONLV /
Ths reques[ vmtl 1B manihs fmm
. , ..
?. ?
/ > v yva.?.?-
O6047
/
?a
/
.
:
Repuest Date Fl No RougRin Inspeceon
Reqwretl'+
? ReeOy Now fWJill Notify inspeqor
?? Wh
R
7
XVes ? No en
eatly
I J licensed contrector E) owner hereby requesl inspection of above electncal work at:
Job Atltlress (SVeel. Box or Route No ) Ciry
e. riso.v LA?lF jf?6 &
SMron N. Township Name or No Range N. Counry
Occupant(PRINn Phone No_
co t(?
?? r` ?
7
v
? ?rs
PawerSuOP??e? Adtlress
fLf4/?I? f?(/t?i?rGTO??
Eiecmcai Contracror (Company Name) -7-
J'J{? L<c,//c.c? Comractors Lmense No.
Matlmg Adtlress IConvaolor or Owner Makmg Inslallation)
1?i) 5
g'
t
px
6?
z _ ,
dr /i
!
Futhoraed Signa ICOnVact r Makmg Insiallanoq Pbone Number
MINNESOTA STATE BOARD OF EIECTpICITV ?J
GrigBS-MlOwey Bltlg. - Room S173
1021 Unlversiry Ave., St Paul, MN 55100 v
Plrone (612) 662-0800
THIS INSPECTION REQUEST WIIL NOT
BE ACCEPTED BY THE STATE BOHFO
UNLE55 PROPER INSPECTION FEE IS
ENCLOSEO,
REOUEST FOR ELECTRICAL INSPECTION
?
See msimcuons for compleM1ng lhis lorm on back of yellow copy eaooom-oe
q
? 6`+ q 1 q?
11 .? "X" Be/aw Work Covered by This Requesf
-Add ^ TypeofBmlding ApphancasWiretl EqwpmentWVed
Home Range Temporary Service
Duplez Water Heater Elet[ric Heating
Apt. 8uilding Dryer Load Management
Comm /Industrial Furnace Other (Spacify)
Farm Air Condnioner
Uner isueayi Gonbaclor's Remarks3
Compute lnspectian Fee 8elow:
# Other Fee # SermceEntrenceSize Fee- # Cucuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr5 use onry: ' Sm
TOT L
Irrigadon Booms O
Special Inspection
Alarm/Commumcation
THIS INSTALLATIDN MAV?@E O E D16CONN
ECTED IF NOT
Other Fee COMPLETED WITHM J8 ??NTH .
I, the Electrical Inspector, hereby Rough-in r ? DetelG^ ry y
d
certif ihat Ihe above ins ection has
Y P
6een made. Finai oete I?? ,g
OiFICE USE ONLY .
Ths request voitl 18 montM1S 1rom
/elwY 4,l
? 6 4 11,(? "' ?a?o
°°
RepueslDale
? /7?
( /? " FrteNO Roug??Inl05ec1ionReQmreO -
('IOU m call inspeclar when reatly)
Ves ? N. InspeclronOtheriha ugM1ln_
? qeatly Now WAI NaGly Inspector
Date Ready
I L? licensed contractor A<wner hereby request inspection of above electrical work aY
Ja0 tlress(SVeet Bo r oule No)
53 CAy
Setlion No Tow hi or No Range No Counly
=? PM1One No
Power Supplrer Atldress
Electncai m ctor ICOmOany Name) GonVecrorS License No
Ma.64Mtlr C Vactor ar Owner Making Installation)
Aulhv,ze ,gn ure ICoa?rac Owner ing In lation? Phon¢4Ts Nu ber /
MINNESOTA STATE BOAHU OF ELECTRICITYI THIS INSPECTION REOUEST WILL NOT
Grlgge-NlEwey BIAg - Raom 5-113 BE ACCEPTED BY THE STHTE BOAPD
1821 Univarsity Ave.. 51 Paul. MN SSIOd UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
04;L-
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete for: single family dwellings &[ownhomes/condos when pemtits are required for each unit
10?P .s)
D
t
O) / O"?- /
a
e s
??r'
S it #
U
Site Address c.
V n
P
O \
I Tele
hone #&.5I p
) O? ? 737 ?
wner
roperty p
?
Contractor 1 )) I G?.
Street Address lp S / `'C J ? ? f ? U`D ' CitY
State Zip ? Telephone # (COa 1)
Bond #: Expires:
The Applicant is _ Owner - -?-Contractor _ Other
Add-on or alteration to ex isting dwelling unit $ 30.00
f l ?R
l
ement
Additi
urnace ona
ep
ac
_
air exchanger
air conditioner _New _Replacement
other
State Surcharge $ 50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan aMechanical Codes; that I understand this is not a
but onty an application for a permit, and work is not to start wmit; that the ork will be in ccordance with the
app7 ed plan in the ce f wprk wt?ich repuires a review and approval n.l I1)
Applicant's Printed Name Mffldant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New ConatrueUon Renulremenh RemodeVReoair Reaviramenri
• 3 registered site surveys shwnng sq. ft. of lot, sq. ft of house; aM all roofed areas • 2 copies of plan
(20% mauimum lot caverage allowed) . 7 set of Enefgy Calculations for heated addfions
• 2 copies of plan showiig beam 8 vnndow sizes; poured faund desgn, etc.) . 1 site survey for euteiior addNions & decks
• 7 sel of Eneyy CalcWatioris . Indipte if home served 6y sepGc system for addAions
• 3 copies of Tree Preservetion Plan if bt pWBed aRer 717193
. Rim Joist Detad Options seledbn sheet (bldgs with 3 or less units) DATE VALUATION? ?. u.
SITE ADDRESS ? S -3 T £ l l' f 1\;561-j L IrF MULTI-FAMILY BLDG _Y _N
TYPE OF WORK P? eo F j P,d l 6 FF d a el ;;vTT, Q FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT P` d?_/Qce ?..ic A Fuy l ?
STREETADDRESS V?r3 fA?'nv,&v 0 AVFr+rVf CITY Sr??.?,-1L STATEA'-j ZIP S.S/!o
TEIEPHONE # CELL PHONE # FAX #
PROPERTY OWNER S? C L y C? f t C?" Cq,., J TELEPHONE #i?fl' ZA- 23 7?
?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RLJLFS 7670 CATEGORY 1 MINNESOTA RUI.ES 7673
(J submission type) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculallons Submitted
Plumbing Contractor: __
Plumbing system includes:
? Water Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
Fee: $90.00
Mechanical Contractor. Fee: $70.00
Mechanical system includes: _ tlir Conditioning ,
_ Heat Recovery System ? StP 1 i 2L'n' '
Sewer/Water Contractor:
Phone #
I?y?---
I hereby acknowledge 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 Ordinances.
Signature of Appllcant 7? Pr+.l ??a-'?/W
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
ssrbb
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
-)5
a 6 --`
New Construction Reuuirements
• 3 registered site surveys showing sq fl of lot, sq ft of house; and all roofed areas
(20qo mavunum lot coverage allawed)
• 2 cropies of plan showing heam & window sizes; poured found design, etc ?
. 1 set of Eneyy Calculatlons
• 3 copies of Tree Preservafio Plan if lot platted after 711/93
. Rim Joist Deta?l Oplionsction shee?(61dgs wifh 3 or less units)
DATE ?
SITE ADDRESS ?
TYPE OF WORK
APPLICANT
STREET ADDRESS
TELEPHONE # 4 3 ?S
Ramadel(Raoair ReQUirements
• 2 copies of plan
• 1 setof Energy Calculations for heated addHians
• 1 site survey for exterior adtlitions 8 decks
• Indirate if home served 6y sepfic system for additions
VALUATION
SJ ??
FAX # 36-?
PROPERTYOWNER??,??/? \ TELEPHONE#lOV 'V4 "737(0
?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI•:SO'I :A RliLES 7670 Cr1'1'k:GORY l MINNESOTA RULL'S 7672
(4 submission type) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includcs:
Mechanical Contractor:
Mcchanical systcm includcs:
Sewer/Water Contractor.
Watcr SoRener _
Water Heater _
No. oi Baths
Air Conditioning
Hcal Rccovcry Systcm
_ Phone #
Lawn Sprinkler Fee: $90.00
S? PhVne#
F : S70.00
1V ?
?
L? i `
Phone #
I hereby acknowledge that I have read this application, state that the information' -c rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature af Applfcant
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
? ,.
CI1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612)681•4675
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
PERMIT TYPE:
Permit Number:
Date Issued:
3i? S ?
BUILDIN6
024424
08J26/94
SITE ADDRESS:
P.I.N.: 10-45072-040-02
PERMIT
953 JEFFERSON LANE
LOT: 4 BLOCK: 2
LEXINGTON POIN7E 3R0
DESCRIPTION:
(DECK INCLUDED)
Building_Permit Type 3F PORCH
Iuildrng Woirk Type NEW
?
/
?
?
??Li'??? vf ?\? C;Lf
REMARKS:
FEE SUMMARY:
VALUATZON $7,000
Base Fee $90.00
Surcharge $3.50
Total Fee $93.50 =
CONTRACTOR:
OWNER: - Applicant -
GRATZ DANZEL
953 JEFFERSON LN
EAGAN MN 55123
(612)883-6221
II
I hereby acknowledge thaC I have read this
information is correct and agree to comply
5tatutes and City of Eagan Ordinances.
/ APPLICANT/PERMIT E IGNATURE ?
application and state that the
with al.l applicable State of Mn.
a4 ?
ISSUE S NATURE
INSPECTION RECORD
i CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I SITEADDRESS: LoT: a BLOCK:
953 JEFFERSQN LANE
LEXINGTON POINTE 3RD
PERMIT SUBTYPE:
SF PORCH
?
?
PERMIT TYPE:
Permit Number:
Date Issued:
2 APPLICANT:
GRATZ
(612) 883-6221
TYPE OF WORK:
DESCRIPTION
.?
6UILDING
024424 ?y
08/26/94
DANIEL
NEW
(DECK INCLUDED)
\
? , • ? ,
?
?
?
x ?
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANV ELECTRICAL WORK
CI
TY OF EAGAN
1994 BUILDING PERMIT APPLICATION 681-4675
' i44414
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, 1 copy o energy
Cal C5.
COMMERCIAL 2 sets of architectural & structu atp.]ans,.ZsEt_a
specifications, 1 copy of energy .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 8 Valuation of work
Site Address: . 953 7c-?so? Lo-,.4-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK f? SUBD. L,e7rl09J6,^ p, I. D. #
Descri tion of work: ti ecic w orC.
The applicant is: Owner ? Contractor ? Other (Descrfbe)
Name Cnira¢Z Dr,rvi e., hon -
Property LasT FIRST ?w?*?? i?rroo_&b3-?ZZf
Owner Address 953 TG`Ff'rrSon LanE &IL gsd7
STREET STE #
City State YI4 N Z i p
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architectl
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
RI-LAND CO.
SURVEYING
SERVICES
CERTlFICATE OF SURVEY FOR: ;
COLLEGE CITY
i ?
AN, MINNESOTA 88128
L DESCRIPT(ON; L07-A,BLOCKZ, 'FXINGTON POINTE_3RD
ACCOROIN? TO TH RECORpED PLAT
THEREOF? COUNTY,MINNESOTA
SCALE: I"c30'
;
"------? .,,,-,
'PCNAINA6E BUTLITY EASEMENT9 -?1- CA C'? A 1`?
LOT 4 I o R`EVIEWED
° AY
°
DATE!:72'-
? a+
'Y 3
aAg.
6^? • ' 6?` A'? ?
?
INF
? (vai , d?.?.??? LtI •
O
z8? ?gZ
?-.a a - T?.
JEFFERSON LANE
A_ ^
EQEND o s?p -svur e,.,T? v- v?nucou
RVU? ?'
(
'?
`
L
? DENOTBB IRON MONUMENT N
T AE?oanaa n7
sE
PROPOSED OARAOB FLOOR ELEVATION•_ ?? ?s _
? OEN07E3 WOOD NUB SET PROP09ED FIRSf RLOOR !LlYA710N •?
&3pgNOTES EXISTINO SPOT PROPOSE06A8EMENT fL00R •_q??
ELEVATION ELEVATIOM
k)DENOTES PROPOSEp SPOT
ELEVATION
-UENOTES DRAINAOE DIRECTION
NOTEI VERIFY ALL F1.00R HEIGHTS WITN
FINAL HOUSE PLANS
1 §%ce Mlfy tAatIhl$ sufwY,plan or s O?iG??d by ms or under my
supervlNon and Mat 1 am a duly 6ramIey J. Sw* , Mn. RsO. Na IC¢S5
nd L'and Surwyor undn the /t?of tho State o} Mlro?etota. Dofe : ,LU? r
, ? IRA
1990 BUILDING PERMIT APYLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/NOMEOWNER 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.
FEB 2 7 Reco
To Be Used For: single family dwelliMuation: =fia-yAA-ftt Date: 2-27-90
site nddress 953 Jefferson Lane
Lot 4 Elock Z
Parcel/Sub Lexington Pt. 3rd
Owner
Address
City/Zip Code
Phone
contractor College City Construction
Address 6970 151st St.
City/Zip Code Apple Val
Phone 431-1211
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE
00p"-
Occupancy fZ-3 M -I
2oning
Actual Const V-
Allowable V- IJ
'# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
Dn site well
'MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. ?ZIZ$
Variance
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
FEES
Sldg. Permit
Surcharge
Plan Review ?QU
3z$,00
sAC, city IOD, oD
SAC, MWCC O DDD
Water Conn 62510 0
Water Meter --tQmw
Acct. Deposit 30,OD
S/W Permit 3?A1?
S/W Surcharge ?O
Treatment P1. ZSZ.OD
Road Unit 356, 00
Park Ded.
Copies , 50
SUBTOTAL
Penalty
TOTAL S , ? O
?s?PV
M[V 55124
. , .?
VAL(d,4?'¢yT
.. ? .
GAR?GE
2o X Zp = yp0 K/5 = 6C74D
B5 MT.
__--?-
qO k2y= 9 60 X l4= /3qy0
l5-r Fc..,on y.Z
RSm-? = 9 ?o
zx ri= z2
99'7 x so= `t?8so
69 290
, .
EXTi- -OR ENVEIAPE AVERAGE "U'l CIX,IPUT• =pN CALUMBIA
OWNIIZ
SITE ADDRESS q S'? Se.??e.rser? k...w? e. ?c,
CONTRACTOR COLLEGE CITY CONSTRUCtION DATE 2- 27 - yo PHONE 612-431-1211
Determine working square footage of each.
1. Total exposed wall area .... 1,728 sq. ft. x.11
2. Total roof/ceiling area .... 960 sq. ft. x•026
Total exposed wall area above floor = 1, 728
= 0.08
= 24.96
a. Total wall windaw area ........................... 141.669
b. Total door area .................................. 36.667
c. Total sliding glass door area .................... 0
d. Total fireplace wall area ........................ 0
e. Total wall framing area (average 107.)............ 172.80
f. Total net wail area above floor .................. 1.291.488
g. Total rim joist area ............................. 85.376
Total exposed foundation area = 85.376 s.f.
h. Total foundation windaw area ..................... 0
i. Total net foundation area above grade............ ?
Determine "U" value of each wall segment.
a. 141.669 X "U" .346 = 49.017
b.
c.
d.
e. 172.80 X "ll" .092 = 15.897
f. 1,291.488 X "U" .043 = 55.532
g, 85.376 X "ll" .a+l = 3.5
h. 0 X $tuft --
i, 85.376 X "U" .079 = 6.744
3 ......................................Tota1 135.383
36.667 X "U" .128 = 4.693
0 X "U" -- _ --
X liUir --
0
If item 113 is the same as, or less than item 111, you have met the
intent of SBC 6006(c) 2. --
Total exposed roof/ceiling area = 960
j. Total skylight area ............. ................... 0
k. Total roof/ceiling framing area (average 107a)....... 96.0
1. Total net insulated roof/ceiling area ............... 864.00
Determine "U" value for each roof/ceiling segment.
X "U"
j. 0
k 0
96 X "U" .174 = 16.704
. .
1 864
00 X "U" .022 = 19.008
. .
4 ........................................Tota1 = 35.712 '
If total of 114 is the same as, or less than 112, you have met the
intent of SBC 6006(c)1.
Alteznate Building Envelope Design
To utilize the total envelope system method, the values established by
the swn of items 113 and #4 shali not be greater than the sinn of items
111 and f12.
1.
+ 2.
3. +
V RY • ?1
•• qN D C.L VA' 'a 1. Ani.aLY s I:p OF W. A, SccT, op/s
RI M So, S T AMLA:
"R' - VA Lue
.61 _I nItERIOR ,,12 fO L M
19.0 _6" 1 1ISUlATJON (P•19 )
2.06 25/32 5qEa T)u c, Built-Rite
.67 Lap 510i,i 4 1/2"
1.88 11Iz', 5oF rwoop
.17 _ggrF2ioR Alrt P14-01
24.39 To7 A t' ?•-?' ?A(-U.L
`'?,J ' ? ?R.? ' • ?l 24.39
TOTAI " f Ay C
FOUn! D A7 IoN WALL- ARE/, CABovi, qRAOF_D
,. R., vALu. E
.61 INfER1oR AflZ NL-?1
.85 81, Ca"CRrrr 13t.oclc
2c4 I.S. Furing
11.0 R-11 eo??=?sra=€,??aa?s?adw.f=?tt===='?
•17 rX7LR,I0Q, AIR RILM
12.63 '('OTAt ):?w4 JqLuE-
"wi. rP`L • 1/-12.63 = ?
J07AL Fmiq4L
Ibwnc•1
2of5
R?,y?JD VA' '1E A NA J-Y 515 OF ID(:;'v S A N D C: L 4ZF.L2_ /1 Ff.
VyrNDow f1fMa :
TrPli oF 1nl,NVaw;
5/8" Insulated Glass
TWe wi.+ootu uurrs //Avt Bst'n/ Tiire'O ?oK, "R=vAA.."w, tMiY Atc n% L?fitr`
ABoJ[ 940 .?NNy Dl n33iyN4g0 A 0tJ,0yW ('sArc) VwL..kt.c of "/Z a 2.89 _
Ju[LupILlC. AlR f1LM6,
?ji = ??RS? ? !/ ' .346 +fo.r?aa =
foat?s??.
FONNIJATIO" YYfNOOW /'1P-rA : TyPE oP ?n.?iN0o1? :
TAm vvjNOOw i/.jjr5/J4/E. Btu/ TtS*CD FnR *R: V^u"c, TH/.Y nNIL ws O.Tr.o AOevA- wuo
("Ar qr AbJjcyNLO A Dl?lf?n/[?wRt? VA44C O0 •[{•'Y Iu44uDIF/G/
AI.R RILM! ,
l.?i_
SLlDIIJCi CiLA55 DooR AR4A: Trv,L or L)002:
5/8" Insulated Glass
SLID/NQ ql.499 OOO/ZS ?4^JG OiR-4 763T4D Foa"R=YA&.btACy rNLY $L?N ?-I?rRr
ADO"I Nd0 ?'lAy B? A.351yN?.P A V?SIi!l4GSAPt) ?/ALHL olL'R.??? j-y"M/l"•q
A10 i1L?1S
. i/ ?h, = !/ ' 346 ? rn c4 r-
uqy
----
DooR /JRF-A : TYPG oc DooR :
Therma-Tru
pooq Un1i`rs HAYG COILLN rLsrca ^040 ROUyb ro HAvc aN
'R'-VALu• op 7.81 )urs.ao'•ry nIw aiL.Mi,
41, I/ 7.81
5PF-crAc.s ;
7-ypE •
sarcML-1 !?AUirl?y D2CF'• `5YN?.r''---. - .
------ -----
? 3 of 5
rRrAND„UY V` UE ANALYSIS OF QL/ '? SEG7IONS
SrL.i o / F,<AM,N(q
,. ;1... VALuP-
.61 TNTEKiJi? aIR FI?N
7 1
.45 1/2 GVv.Sa M WA«oo01¢a
/* 6.875 5-1/2 ?coxrvVooo
i
2.06 25/32 SHa47H+NG Built-Rite
? _.67 La'_SjoiNC, 1/211
VAFt:'f 15AaRitk-
17 Xore.LIoR nfg- I'iL- M
10.835rpTAL ' R«?; J.,?.ut-
c;,1, 1110.835 •
.092
TorAL rmrAac
In1SLLLA'rLo f1RtA BrTWcenr STLA DS
•'R" - vAI.u. I,
- _61 jUTeF104 AtR MOLM
_ .45 1/2" 4YPskM yJAL4600le.o
_ 19.0 6'_I NSUL wr ioN (R,19)
_ 2.06 25/35 ,SNLAT)fjN4 Built-Rite _
_ .67 1/2 S. i 0 I N 4 LaP -----
-- -- yAvo s. q., ¦.R.sc&.
_ .17 gAttJL+4M AM 1'li-M
22•96TDTAL KI.+#L VALNC. -71
22.96 . F. 043
TorAL roorAas
M..1 Iwwx.Rr uArc; 5,4uco_ .
4of5
K AND LL VALuE qNAI.Y515 OF THE ROOF/CEiLlu<j S?c=riv•i?•
J0i57/ FRAMiMCi ARt?,
•R•• vA tel E
.61 INTERIOR AIR FILM
. 4.375 3-1/2 56FTWOOD
.58 5I8" GyPSLsM WALtPonQD
-- -- yA-PoR Dav_4it?'..
•17 I NTER iOR. AIR Fil-M
5.735 To7AL "Rwq ?Ar-t-i-E
w1 sj/p?, Q I/ 5.735
7'oTAL FoorAG&
.-,..?-,.....-- - -
INSU.LA7ED ARtA 5EtWLL" tNE. Ja15Ts
'R' - ?AI-u.e-
.6111uTERiOQ AiR PILM
44.00 jNSk-A7ioN CR- 44 )
.58 5/8" c4ypSUM WnLL150*14t.11
VAPOR 1!•nRRic2.
•17 INTF-21olC AIR (it M
I I I ?
t .?
45.36 ro T A LOR.-h.:' Vn Lt-l. E.
U4.tL _ I/R.,,, _ 1/ 45.36 7pT^l. IaorAce.
pRlM A?1 le/M'7(?I?j FYlif/ SI.NIh _.
5of5
I'id . WdL0Z0 06-9Z-ZO
R1- LAN D C 0.
SSERVICES
55128
CERTfFICATE OF SURVEY FOR:
COLLEGE CITY
L DESCRIPTION; LOT-A,BLOCK-2-, LEXINGTON POWTE 31RD
ACCORDING TO THE RECORpEO PLA7
1'HEREOF DAKO A_ COUNTY,MINlVESOTA
SCALE: I"=30'
?DRAINAGE BUTILITY EASEMENT3 -yh
? LOT 4 I o
I ? o
t o
v-
, ? ?Do I
I ?3r ?1y ?
?'T' "? r ? ?VaA 96°}) °P1u1r 16?? 4r?I•1 r
, ri
0 _ .
? p (7F4[_ ? nR_
etR.ev. ' M
78.71 (981 X)
-. 6 ?4
.4C'.'sAN F,F3 GI1VG^I
e
,? ?q77?) I?'1?20 ` w.v. 9 . q1qi
89°50'21"E 76.00 a?b
? JEFFERSON LANE 4z
?
hEGEND
?NO ES WOOD HU?BUSET T
DENOTES EVIATION?T
DENOTES ?LE ATIOSNPOT
DENOTES DRAINAGE DIRECTlON
I ibp certity that this swwy,ptan or
r• rt was prapor•d py me or under my
dir f supervis?an and that 1 am a duly
R stered Land Surveyor under tM
?, o of the Stata of Miemesota
Paopr! s?p -saur e,.,rrev - vJnuco?+t
?NyE?RT ELEyqTION AT SERVICE EXTpNSION=
PROPOSED GARAOE FLOOR ELEYAt10N ¦`+_. 8,.± ?.?
PROPOSED FIhST FLOOR ELEVA710N ¦
f'ROPOSED BASEMENT fL00R
ELEVATION
NOTE ? F FPLANSLOOR WITH
48ro . ?.,,,y J. Swe , Me. Rea No. 1a235
Oate ?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110455
Date Issued:05/13/2013
Permit Category:ePermit
Site Address: 953 Jefferson Lane
Lot:4 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-040
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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
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 -
Federal Home Loan Mortgage Corporation
5000 Plano Pkwy
Carrollton TX 75010
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118730
Date Issued:11/07/2013
Permit Category:ePermit
Site Address: 953 Jefferson Lane
Lot:4 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Gary Robideau
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Julie Berthiaume
953 Jefferson Lane
Eagan MN 55123
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131010
Date Issued:05/27/2015
Permit Category:ePermit
Site Address: 953 Jefferson Lane
Lot:4 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-040
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Julie Berthiaume
953 Jefferson Lane
Eagan MN 55123
(651) 340-0415
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137495
Date Issued:07/07/2016
Permit Category:ePermit
Site Address: 953 Jefferson Lane
Lot:4 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Julie Berthiaume
953 Jefferson Lane
Eagan MN 55123
(612) 839-8199
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169708
Date Issued:06/07/2021
Permit Category:ePermit
Site Address: 953 Jefferson Lane
Lot:4 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Julie Berthiaume
953 Jefferson Ln
Eagan MN 55123
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature