957 Jefferson Lane? CASH RE„EIPT%
CITY OF EAGAN ;
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ` i I19 r
/ECErvEO . _ i .
fNOM i .
AMOUNT
& DOUARS
lm
? CASH Q CHECK
r
1
BY
C whne--Psr?- Covr
. . : vello?osenw Copi
Pink-FUe coOy
Thank You
DATE: ; 5/iS/89
RE: 957 _jFFERSON LANE. L3* B2, LEXINCTON POINTE 3RD
xx Your 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.
0 Your Sewer & Water Permit for the above property cannot be completed for the following
. reasons:
i
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAI 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,fiTC.
- REGIUIRED BY LAW. - '
CONTACT COMMUNITY DEVELODMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 5/15189
»
RE: 95?L,'JF,FFFRS(1N LANF.? .?TBZ, LSXINGTON POINTE 3RD
Y XX Your Sewer & Water Permit for the above properry has been completed. It will be heid 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 ellowed 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 Inspections Dept.
CITY OF EAGAI
•' 3830 Pilot Knob Road, P.O. Box 21-19
' PHONE: 454-8100
BUILDING PERII?IT '
To be used for ??!$ZfT tll/I$1(
Site Address 957 ??RSON
Lot 3 Block 2 SeciSub.
Parcel No.
W Name GRLG CI$UZAR
; Address 957 JSYFo8M ldl
0 City LWAN Phone 5-8079
o Name
.?
Address
City Phone
WW Name
r
?? AddresS
< W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances. .
Signature of Permitee _ p, 4
A Building Permil is issued to: GM C=WZAR "
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
Value
?T
Eagan, MN 55121 195,03
Receipt #
OFFICE USE ONLY
Occupancy - FEES
Zoning _
(Actual) Const _ BIdg.Permit 35•00
(Allowable) - Surcharge 55t
# ol stories _
Length _ Plan Review
DePlh - SAC, City
S.F. Totai - SAC, MCWCC
S.F. footprints -
On Site Sewage _ Water Conn
On Site Well _ Water Meter
Mwcc sysiem
Ciry Water -
_ acct. Deposil
PRV Required _ S/W Pertnit
Booster Pump - $NV Surcharge
Treatment PI
APPROVALS Rpad Unit
Planner - park Oed.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 35.30
Pamk No. Permit Holder Date Telephone N
WATEH •
SEtiWER
PLUMBING
H.V.A.C.
aECTRIC
Inspection Date Insp_ Comments
Footings I
Foundation
•
Framing ?
Roofing
Rough Pibg.
fiough Htg.
Isul. q N
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspecta - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
•,,,,??,.?f?
t s:
.
To be used for CITY OF EAGAN
BUILDING PERMIT
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
SiteAddress 4N'
Lot 3 Block 2 Sec/Sub. ?XINCM PO
W Name BU'P1?.8R lfOUSiNG CQRPC3RATIQIii
o Address T
City Phone 915
Mame
Phone
rQ
U W Name _
W W
T; Address
z
a W C1tY -
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with ali applicable State of
Minnesota Statutes and City of Eagan Qrdinances.
Signature of Permitee
A Building Permit is issued to: KUl LILL, •??? "? i?? C:i; ?. i'
on the express conditiort that alf work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Occupancy Pk-3 _-M=l FEES
Zoning PU -"-
(Actual) Const V"?4 Bidg. Permit 576•00
(Allowable) V""N h
r
S L:1 . :j 1
# oi Stories
- urc
a
ge
Len th
9 49 ? Plan Review 2uS- t??
Depih 321 SAC, City 100+0:.
S.F. Total SAC, MCWCC 575• `-r,)
S.F. Footprints _
Qn Site Sewage _ Water Conn ?? ?' • n--
dn Site Well Water Meter "?`? •{''?
hAWCC System xx
,?Jf
Acct. Deposit
City Water
PRV Required _ Si1N Permit 20•00
eooster Pump - Si'W Surcharge 1• C)C1
Treatment PI 229.00
APPROVALS RoadUnit 340•00
Planner - park Ded.
Council -
BIdg.Off. _ CoPies
Variance TOTAL 1 * ? ? 1 • ?
Ay? ?6454
Permit No. Permit Holder Date Telephone #
WATER .?,?Cr' p.?.? ??s"C •???{}- . S IS C??
SEWER
PLUMBING
H.V.A.C. I755
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation ,$r
Framing Z'3 • ??
Hoofing
Rough Plbg.
Hough Ht9• G ?
Isul. 2 ?
Freplace
Fnal Htg.
Final Plbg. - /-_F`
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final
Deck Ftg. -
Deck Final
weu
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? FI 7O
CONTRACT
Site Address
? Name /,? C•FfG?vC'c.<J iic ?•l 1??
m Address I/1- !J• '77 i ???
c Ciry i•c.?r"? ?? u Phone
L Name
3 Address
p City L %e'?
I TYPE OF WORK
' Forced Air
, Boiier - - ? _ -
Unit Heater
Air Cond.
' Vent
Gas Piping Outlets #
Other
BLDG.TYPE
Res. ?
Mult
Comm.
Other
FEES
RES. HVAC 0-100 M 8TU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TCIWNHCII IRF R!:(1AIrI['1R _ GFC RATF API
WORK DESCRIPTION
New
Add-on ?
Repair
- $24.00
- 6.00
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
1.50 EA.
- MINIM#1M RESHDENTIAI FEE - ALL ADD-ON 8
REMODELS - 12.00
e? MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYDND $1,000)
SI R OF PERMITTEE /J
Al %?//i
FOR: CITY OF EAGAN
.
' MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
m Name _
? Address
c City _
PERMIT #
RECEIPT # '
DATE: r ?
For Office Use Only
BLDG. TYPE WORK DESCRIPTION
Res. ?- • New --
Mult Add-on
Comm. Repair
Other
?
Name FEES
HVAC 0-100 M BTU
RES
- $24
00
. .
c Address ADDITIONAL 50 M BTU - 6.00
p City = Phone '? %' DES A/C ON NEW
CONST UCTION)
? GAS OUTLETS (MINIMUM - 1 PER PERMIT) 50 EA
- 1
`
.
.
' TYPE OF WORK .
" COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air
, f M BTU
Y APT. BLDGS. - COMM. RATE APPLIES
I TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
i Unit Heater M BTU REMODELS - 12.00
I Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PEA PERMIT - .50
Vent CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1.000)
Other $
FEE:
' S1GN URE OF PERMITTEE ?
? r ?
. TOTAL• FOR: CITY OF EAGAN ;
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGiAN
KHOB ROAD, EAGAH, MN 55122 DATE: _
? Name
m Address a1g Wee± 1 Street
c City Bl ogM? ngt on Phone ?
? 891-
Name PA-it'!wr Hevieinit Cc
3 Address $ ' 3901 T-Intis
O Ciry 7la^c:j Phone
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLtES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. x New X
Mult. Add-on
Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TQZAL
1 Water Closet - $3.00 "? • X
I Bath Tubs - $3.00 '- •t r,
7-1-avatory - $3.00
?Shower - $3.00
KitChen Sink - $3.00 • LX)
UrinallBidet - $3.00
Laundry Tray - $3.00
?-Floor Drains - $1.50 ''-
?-Water Heater - $1.50 ? •?
Whirlpool - $3.00
?-Gas Piping Outlets - $1.50 '
(MINIMUM - 1 PER PERMIT)
SoRener - 55.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 '
T-
24.00
FEE:
STATE S/C: • 50
GRAND TOTAL• 24 .50
S
f y ,•
(Irr#ifiratt of (Orrupanry
Citp of (Eagatt
arpwbtrtt# o# iwbmg J?nmptctimc
77ris Certrficate issued pursuant to the requiremerrts of Section 3116 of the l/niform Building
Code certifying that at the dme of issuance this structure was in compliance with the vwious
ordinances of the City regulating building construction or use. For the following.-
u. cwfi.d. SF DWG/GAR ewe, rapw Na. AkWd 16454
O-AW aY TYPe R3! 'I- Zoniag L)istrict pn/ n l Type Caoel VN
Owna of Huilding ?? HOU$DU Cl"• pddWas 8901 TRMALE AVE S fMPM
B.uq Add,.. 957 WFIIL90N LAIE B2, UXNGXN PDINTL? 3RD
11, JMY 97, IINg
ewi mB o ,
POST IN A CQNSPICUOUS PIACE
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
PERMIT DA E_' ' _` "'
WATER PERMIT # 1 ) " SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE =/ A='
METER SIZE
tSSUE DATE - PRV - BOOSTER PUMP
_ICANT: '
RESS:
, STRTE ' ZIP
N E:
VIBER:
RESS:
, STATE ZIP
STATE
-,1'_`; /
N TWO WORKING
DEPT.
,
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
ZIP
PERMIT REQUESTED
- SEWER - WATER' - TAPS
- COMM/IND - RE5IDENTIAL
_ NEW
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
R PERMITS, CONTACT
PERMIT DAT1E? ?' - " ? ?
WATER PERMff # SEWER PERMIT #
METE # B.P. RECEIPT # 1 91 R
REZER # B.P. RECEIPT DATE 5 11 89
METEFi SIZE TIS
ISSUE DATE PRV _ BOOSTER PUMP
SITE AR.pRESS ? ??' ? rs!'° `1 ?•.C, n ?
LOT % BLOCK ;Z SEC/SUB
, I
, I ; . , , -;
APPUCANT: Z t;?`'' ?-
ADDRESS:
CITY, STATE ZIp
?
PHONE:
PLUMBER: _
ADDRESS: -
CITY, STATE
PHONE: -
f .
OWNER: ?, ..; , . _•, ,. e ? r ? ' -
ADDRESS:
CITY, STATE •'?)? ?-?`? '? ? ZIP
PHONE:
PERMIT REQUESTED
SEWER - WATER _ TAPS
COMM/IND _ RESIDENTiAL
NEW - EXISTING
?REE TO COMPLY WITH CITY OF
?AN ORDINANCESt
.. i _ .?f,?i'1/l?{?
PLEASE ALLOW TWO WORKING DAYS FOR P,ROCESSING. FgR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
N
• CITY OF EAGAN ?0 19503
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
if PHONE:454-8700 /? ?S/???
BUILDING PER?IT Receipt # l', To be used for BASEMENT FINISH Est Value Date- JIIL 30 ,1g91_
Site Address 957 JEFFERSON LN
Lot 3 81ock 2 Sec/Sub. LEXINGTON POINTE
Parcel No.
z IName GREG CIBUZAR
o Address 957 JEFFERSON LN
City EAGA`1 Phone 625-8079
? Name SAME
0
?Q Address
? City Phone
w W Name
? ; Address
aw Ciry Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State ol
MinnesoW Statutes an City of Eagan Ord' an .,
Signature of Permil
A Buildinq Permn is iss e to. GREG CIBUZAR
on ihe express conditio that all work shall be done in accordance wilh all
applicable State oi Mmnesota Statutes and City of Eagan Ordinances.
&+tldmg Onicial
Occupancy
Zaning
IACtwq Const
(Ailowable)
8 0l Stones
Langth
Devth
S.F. 7o[al
S.F. foolprims
On Si1e Sewage
on sna wen
MWCC System
City Water
PRV Requved
Booster Pump
APPROVALS
Plannar
Counal
eldg. ON.
Vanance
OFFICE USE ONLY
FEES
Bitlg Permit
Surcharge
Plan Review
SAQ City
SAC,MCWCC
Water Conn
Water Metef
Accl. Deposit
S/W Permit
S/4V Surcharge
Treatment PI
Road Unit
Park Ded
Copies
TOTAL
35.00
.50
35JU
. CITY OF EAGAN N? 16454
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for , SF DWG/GAR Est Value $86, 000 Date MAY 11 , ig 89
Site Ad'dress 957 JEFFERSON LN
Lot 3 Block z SeclSub. LEXINGTON POINT OFFICE USE ONLY
PelCel NO. 3RD Oaupancy R-3 A-1 FEES
PD R-1
zoning
w Name BUTLER HOUSING CORPORATION (Adua1) Const V-N BIdg.Permit 576.00
Address 8901 LYNDALE S (nllowatle) V'N S 43
00
o urcharge .
City MINNEAPOLIS Phone 881-1515 aot stories -
49 , Plan Review 289.00
Length
F Name SAME Depih 521 SAC
City 100.00
z
$a Address SFT°tal - , 575
00
SAC,MCWCC .
? City Phone S.F FootpnNS -
Water Conn 580.00
On Ste Sewage _
?
ww
Name
OnSiteWell
-
WaterMeter
90.00
ii Addfess MWCC System -XX
30
00
¢w City PhOne Gry Water ? qcct De sil
PO .
20
00
PRV Required - SiW Permit .
I hereby acknowlege that I have read ihis apphcation and state that [he 0ooster Pump - gNy Surcharge 1. 00
infortnahon is correct and agrqe to comply wtlh all apphca6le State of
Minnesota Statutes and/ y of agan nanCeS.
? 7realment PI 228.00
Signature of Permitee APPAOVALS Road Umt 340 _ 00
A Building Permit is issued m: BUTLER HOUSING CORP Pim°ef - Park Ded
on the express condition Ihat all work shall be done m accordance with all Council
applicable State of Mmnesota Statutes and C
ity of Eagan Ordmances. gidy, pry_ _ CoPi?
?f
Bwlding Official 4lHA(? 1`??/ JJ Vanance - TOTAL 2,871.00
This rc(µ"est void ?//8/9(? 7 ?/?J
?E3 montl's from
p 98074A2
Request D e Fve N vRn -?n InsUerUOn
Re ieJ?
ReaAY Now Q Will Nolrty In?pc<:
?yas Nu ?
«?r Whnn Reody
License 1¢ctncal ontr.mtor I hernby repuestinsoer.hon ot abov¢
Owncr electncal work inscalled -al
Stree[ Address, Box or Noute City
S so 4 9'L/
ecUOn o. Towns ip Name or No. R,anqe No. County
O cuunnt IPFINTI
?' Phonc No.
re
Power $uP lie N r
s 70 A?Idress
EI tnca
l
Contmctor ICompanY N
?
el Convar
to
r's
L¢Pnsc No.
?
/
/
?.
/V /!i L /'e C . ?
/
? 7
U L /
11,
Mailin AdJress ICon[ra. nr or Owner Mekin ?tallaLOnl
? ?.v /L/ t SD, ,cry ,? z
Au[ho ed Sugna[ re(C tracmr/Owner MakinH In s1x11atioN Phon,;.N mber
( U Z
MINNE50 STATE B OAflOOFITV TNIS INSPECTION flEQUEST WILL NOT
Grigqg- idway Bldg. - Room N'E-197LECTRIC BE ACGEPTED BY 7HE STqTE BDAPD
UNLESS PROPEH INSPECTION FEE IS
1921. ?ivarsrty Ave., SL Paul, MN 5510<
Phone 16121 297-2111 ENCLOSED.
q? S??Sl90 ;EQUEST FOR ELECTRICAL INSPECTION E?5 ?y Y« ?'?j°
T. -J 8 G? 4 See insUuotnons for completing this form on bnck of ye?ow copy.
?"X?" Be3w Work Ca"vered by 7his Request
New AdA fleu Type ot Bwldnp Apnliances Wvetl Equinment Wired
Home Range Temporery Service
Duplex Water Hea[er Lightiny Fxtures
Apt. Building Dryer Electnc HeaLn
Commercial Bldg, Fwnace Silo Unloader
Industnzl Bldg. Air Conditioner Bulk Milk Tanl<
Farm Oti,er i5oeci v +her (SUer, fy)
l P! SGeClfy Olher O{hrvf
Compute lnspectlon Fee 8elow
b Fee ServiceEnhanca5¢e H Fee Feeders/SUbteeders Circwts
0 to100qms 0 to30Ams Oto30Ams
107 m 200 Amps 31 to 100 qmps
E 37 to 1U0 Am>s
Above 200 qir?ps Above 100_Am s Above 100_A???VS
Transrormers Remote Control Gra ParLal%Other Fee
Signs Special h ection" $ TOTA
Reniarks
? S L FEE
Ro?iPh-in Uate
I, tha Eiectrical
Insuector, hereby
t
th
f
t th
b
Final nt? car
i
y
a
a x
ove
inspecxian has been
ihig request void
18 mmn ths hum
` REQUEST FOR ELECTRICAL INSPECTION
?
? See insimctions iw completing ihis torm on back ot yellow copy.
0 2 6 6 8 0 'X" Below Wark Covered by This Request
E&00001-0]
e AAtl Rep - Typeofewlding AppliancesWiretl EquipmenlWired
Home Range Temporary Serrice
Duplex er Heater Electric Heating
Apt. Building d r O[har (Specify)
Comm.llndustrial ace
i
Fartn onditioner
r
O[her (specily) CqnUector6 Remerks:
Compute /nspection Fee Below:
# Other Fee # ServiceEmrancaSize Fee # Cimwts/Faeders Fee
Swimming Pool 0 to 200 Amps J 0 to 100 Amps
Transformers Above 200 _ Amps Ab 0_ Amps
Slgns inspedor5 Use Only
? TOTA
L
Irrigation Booms n y
Special Inspection ?
Alarm/Communication
Other Fee So
I, the Eleancal Inspector, hereby
if Rough-in ,-/
cert
y that the above inspection has
been made. Finel
OFFICE USE ONLY
Thia request voitl 18 months ban
c,-Ir9/
r7 - ya7sco
y
tf" V Q V 0
L V
aJ
Request Dal$
/ Fi N gh-in Inspec[ion
qquiretl'
? Ready Naxll NoL"/y Inspeclor
Wh
F
d
'
l!7 Yes ? Na en
ae
y
?licensed contractor ? owner hereby request inspection of a6ove electriral work at:
,roe aearess ?s??e?, eo. « ayma no.
?
'
' c?ry
)
iv U
7
SC4 ?2
Sectlon No TownshP 'NO Range No CouMy ??
Occupant INT) , Phone No.
.?-
Power Sup r q?r¢yy ,
'
?
? t ? rJG
-
4?.%
Elecmcal Vaclor (COmpaiy Na B) ConVa License No
Ma fing Addr (COnVactor w Owrrer Malcng InSlallation)
? /- /X?'o / '- / /?' /•
lwlMnz naNre (Corrtr ctor e? a' nstatlation) / Phorie N(Wyn b?er
MINNESOTA STATE BOAHD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-MlEVray BMg. - Room &173 9E ACCEPTED BY THE STATE BOARD
1821 Utuverslty l1ve., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENQASED
0 43398 g . (;?A? -
Request Daie Fre No Rough-in Inspection
'
Req 5tl ??
ify
NotR
- zv
CNO eaay
11: hcensed wntractor ,a? owner hereby request inspection of above electncal work at:
i `
Jah Htldress (Slreel Box or P No )
957 Ory
SecUOn No Townsnip Nama or No Ranga No Counry
0 c/ajam (P
Elsie RINT) r n
113r ? ? C?
?( LGIt'
Phone N.
Power SnDpi,er)
Addres's
Elpclnc3l ConlraCtor(Company Name) ConttdC[015 L6en5B No.
d-jo rvLE b Gvr) ?L f-
Mailing Adaress ICOalmctor or Owner Making Insialialionj
AuVonzeC gnaWrclor:Owne?r Mag' ng Ins1alia?ion,
r,?-?-w^-?- Phone Number
Y? --7 `t 7 '_
MINNESOTqSTATE BOAflO OF ELECTPICITYi THIS INSPEQION P WUEST WILL NOT
Griggs-MiCway Bltlg. - floom 5-173 BE ACCEPTED BY THE STkTE 80AFD
1821 Univervty Ave. SL Vaul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(81Y) 6E2-0800 ENCLOSED
?D?/9? REQUEST FOR ELECTRICAL INSPECTION
lo See insVUCtions for compieting tnis form on back ol yellow oopy
????.illiiiiiliiil ? 'X° Below Work Covered by This Requesl
?T??k"'?ID EB-00001-08
ew Adtl Rep TypeofBmlding AppbanoasWired EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater Electric Heating
Apl Bwldmq ? Dryer Other (Specdy)
Commllndusinal IFurnace
Farm lAir Conditloner
O?he• ?syecify? Comracmr§ Remarks?-y?
Compute Mspection Fee Below. 'l 5
# Other Fee # ServiceEnlrence Sze Fee # I CirCUds/Feeders Fee
Swimming Pool O to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
_ SignS Inspeclois Use Only TOTAL ?
Irrigation 8ooms ?O
? -50
Speaal Inspecllon
Alarm,'Commumcafon THIS INSTALLATION MAV BE ORDEREO DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
f Ri ? Date
s?
cerh
y that ihe above inspection has
been made Final
OFFICE USE ONW
This oequest void 18 momhs imm
BLDG. PERMIT NO. 1 U--
L'c 1- 3 bI ocJ2 Z. L-L
01-3210 Bldg. Permit
01-3422 Plan Check
Z 01-3445 Surch./Adm.
J 01-3446 SAC/Adm.
01-2155 Surcharge
? 75-3860 Road Unit
oi 20-2275 SAC
0-3865 Water Conn.
?J
0-3868
Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
4J 20-3713 Water Permit
20-3743 SewerPermit
793866 Sewer Conn.
28-3855 Park Ded.
TOTAL
?v
cc
4059? RESIDENTIAL
• - BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAPI MN 55122
651-881-4875
New Conetructbn Reaulremente • 8 registered site survey& showing sq. fl. ol bt, sq. ft. of frouse; antl all roofed areas
(20% ma)imum bt wverage allowed)
• 2 copies of plan slwwing beam 8 whtlow sizes; pouretl found design, etc.)
• 1 set of Energy Calcumtions
• 3 ropies of Trea Preserrdtbn Plen N lot platle0 aNer 711/93
• Rim Joist Deteil Optbns seledbn sheet (bbgs wtlh 3 or less unAS)
RemodeVRecalr HeaulremeMe
. 2 copies of plan
• 15etWEnergyCalculatbnsforheatedadtlAbns
. 1 sfte surrey ror exterior additions 8 decks
• Indicate B hane servetl by septlc system tor atldttans
ppTE VALUATION
,S1TE AD¢?ESS cl S 7 _JcrTC,-S6^ Lh MULTI-FAMILY BLDG _Y X N
TYPE OWWORK 02 rcw?P W5L15, hOkS2 S- W{-,GC FIREPLACE(S),X 0_ 1_ 2
APPLICANT
5TREETADDRESS I Z Z</? /t/e'rolle? 2v, .S. CIN aurnsv•??r STATE /NN Lp ?533-q
TELEPHONE #(9G_z)'70_7 - i05-cl CELL PHONE # FAX # qS? - "70-7 - ?ta2f
PROPERTYOWNER TEI.EPHONE# GS( ?OS-Dt6S?
------------------------- ---------------------------------- --------------------- --------°-----
COMPLETE THIS SECTION POR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATF.GORY 1 MINNFSOTA RUI.ES 7672
(4 submission lype) • Residential VenUlation Category 1 Wotksheet Submitted • New Energy Code Worksheat Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
_ Air Conditioning
- Heat Recovery System
Fee: $90.00
Fee: $70.00
Sewer/Water Conhactor: Phone F
n-, p 7 - -- -------
with all a --- - - -°------- ----- - ----- - -- ----- --- - i C'f; Cfi6
rmation I'i
- - - - - `s o '
I herebY acknowled9e that I have read ihis aPPlication, state that ihe Info cr?? omply
- +_?
pplicable State of Minnesota Statutes and CItY of Eaga rdinan es.
Signafure of Applica OFFICE USE ONLY
Phone #
? Water Softener _ Lawn Spiuikler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Phone If
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
1991 BIIILANG'5 eICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
17iTLTIPLE DWELLINGS
r _ t
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIAIVS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS # OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT YICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:
lllewzq'
Site Address Ld.ytQ
Lot -4j Block ?
Parcel/Sub?/J„¢in? „j r1a,
i ?--
Owner 1
Address 9.15- 7
City/Zip Code E6 Phone M ySZ -7 t17Z I J ?15-4117q
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
.I pL 2 Sr RECo
Date: 2, ?
--"
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sawage_
On site well _
MWCC System _
City wateY _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
I.ot Change
TOTAL 951-• S-0
Sew, /Water Licensed Co tr.
?/ ' agrees that all work shall be done in accordance with
(Si at e of Contrac or)
P"?C5 Yk K?
Valuation:
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
P7.U?Y&?N?,x '
. . ... .. . :?x_<_<._..g
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: D ?
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS 6
:k.:....... . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON k ??15
REPAIR
OWNER NAME: C?e I?? V 7- C?u Z?r
SITE ADDRESS:
LOT: 3 BLOCK v SUSD, /?
INSTALLER: SdtiK'?
AD?RESS
CITY
PHONE #;, V5, Z ?
ZIP:
Z
TOTAL
3
?
3
SUBTOTAL $
?S
ST. SURCHARGE .50
TOTAL: S ? C.?_d
L't1MMERGIA;':i1VDII5T&TAI.: PLEASE COMPLETE THIS PORTION FOR ALL COhII4ERCIAL/INDUSTRIAL BUILDINGS AND
?.. ..___... ,,... ... .
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
A?DRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
? SHOWER 3.00
? WATER CIASET 3.00
BATH TUB 3.00
? LAVATORY 3.00
_ KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMiTM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
(SIGNATURE)
$
,
1989 BIIILDING PERMIT APPLICATIDN - CITY OF EAG9N
Y L
SINGLE FAMILY DWELLING3 ? S
?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSF.4 FOS CORNER LOTS - CONTRACTOR/HOMEOWNER M03T DESIGNATE WAICH ADDRFSS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUII.DING PERMIT I3 I3SQED.
M[TLTIPLE DiIELLINGS RENT9L IINITS FO& SALS QNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3iTR4EY - CHEC% WITH BLDG. DEPT,0 1 SET OF ENERGY
CALCULATIONS
COtR3ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS
To Be Used For: Valuation:-A?''Qd'.-2?Date:
Site Address c7s7fe??nn/Lidive_
?
Lot 3 Block Z-,
Parcel/Sub /-"r .vG ^o ,? -5, a`f
-T
Owner ??? rLe+C ,?/ovs,•.?.c ?-o ?,fb
?
Address
City/Zip Code
Phone _ Z-77- /25-?-?--
Contractor
Address
USE ONLY
Oecupaney R-3 M-t
Zoning P1) Iz.-l
Actual Const V-T?
Allowable V-N
# of stories
Length
Depth sZ '
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System L.-
City water
PRV required _
Booster Pump `
City/Zip Code
Phone
Areh. /Engr .%2
Address
City/Zip Code
Phone # ?{SZ ^ 7 ?-'S4
APPROVAI.S
Planner
Couneil
sidg. orF. tL/l?
Varianee
FS&4
Bldg. Permit $7?W
Surcharge Y3. 00
Plan Review 28a Ot>
SAC, City IOp,oo
SAC, MWCC LI O
Water Conn 590,0
o
Water Meter o, oJ
Aeet. Deposit .30,o
?
S/W Permit ao,aU
S/W Sureharge iv?
Treatment P1. ZeZ At
Road Unit 34a,oo
Park Ded.
Copies
TOTAL
?v &/ /
NOTE: Sewer & Water Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Processing time for serrer and vater permits is txo days onee a licenaed
plumber has applied for a permit at Citq Fiall.
VA U t-k A-T I O N
a ? .
GARa-6 E
2 2?c2(? X 15) = 858v
gsmr
?6 x 3ti = '?s'?S4
12K ?= 3?2.
2 x ?r ? (zZ)
.?-----
)19yXl4= ?LU3`
H au,:PE
8??MT = I 1-7N
..._--
?
S15W6 d"2 c6'40d0'
I
1
'ane 1. Lif- 6
CiWtVl'_R: E+U'CL_Eft IiO1.15TIVr,, CrC)kF'OI"-;ATSCIN
S1'I'f_ Flul.litF=.ti,: 957 JKE.FR..?`iIUN, LANE EA.S...T.
f.;t:3h7lF!ACi-Uf-;: IiLI'fl.Ef't I°I(:]l.!SiNfa C:ORF'QF:F11"S(JN I?F-1"I'E:5/9/89
--------------------------------------------------------
UE'1'ERMINE 4JGF1}.ING SCllJAkE FCII]'T'AGF Of- LF1CH:
1, l tJTAL. EXF'(.]5Ell 41ALL AFtEA: 1.976 SG?, FT. X . l i =
2. TOT'AL KOCIF/C,ETL_IRIG ARE.A:
A. TOTRL WAl_L W:[hIDC1W AhEA:
B. 7ClTf-1L DflUFi AREA;
C. Tlll'F1L_ SL.Ii)ING GLA5S DOCJF AFtEA:
D. TCITAL P'IF;Ef•'L.ACF WALL. AFEA:
E. ff:7T'AL. WAL.I_ FFAMIIVCi AREA (AVG. 10%):
F. fU7AL R1M JotsT AFiEA:
Li. Tf1TAl. PJET WF1l.L AREA AFOVE FLQUf-',:
' 'ft1TAL EXF'!]SED WALL AF;EFa:
N. TU'f'(1l... f=Q111UI7A'1"Tf]IV W1'IUDQW AREA:
1'. 1"tJTAI_ IVE"f F"L'IUhJDA"1"IUN AREA APCIVE C;FADE:
J. T(Ji-Fll_ C.)VC.I:H(-1NG AFF.A:
1,207 S0. FT. X .026 =
i)E-fERMINL' "l.l" VAl_lJt OF t_ACH WAI_.I_ SEGMF_N'f:
190.80
=7.80
40.00
0.nri
197.60
143.00
1,366.00
1, 976. 00
2.60
LiJ. QO
28.00
a. 190.$0 X U. 0.367 = 70.0^c
h. 37.E10 X 0.066 - 2.49
c. 40.00 X ?U? 0.367 -- 14.68
d. 0.00 x U. 0.074 -= 0.00
e. 197.60 X U. 0.090 - 17.85
f. 143.00 X U. 0.041 = 5.52
g, 1,366.80 X U" 0.043 -- 59.07
Fi. 2.60 X "LI" 0.367 = 0.95
i. 125.00 X "U" 0.140 = 17.53
_i. 28.00 X ^U. 0,024 - 0.68
_...... ... ............ .. iOTAt_ "U? = 189.04
tF STF!`1 43 CS 'T'HE yFlNIF AS, UR I_ESS 7HAtJ I"fF.M #1, YCIU HAVE MET
THF INl'tN'f t7F SflC 6006 ic):?.
217,36
31.38
P'aqe ;' C]F h
TtlIF1L EXF'USEI7 F;L7C1F'!LEILInIC-; F1F2EFl = 1,207.OU
4::. 1"ota1 skv7. iuht ar'ea: 0.00
1. lat.a] r-cioi/ceil.ing f raming area (avg iU%): 120.70
M. "I'ut<al nel_ insulate:d r-onf/ceil.ing arca: 1,486.36
L)E:TERI`1INE "lJ" VFIt_UE F'Dfi El1CW F"1L10F/CEILIIV[i SEGMENT:
4r. . Ct.00 x ?'U.. C). 367 ... 0.00
1. 120.70 x U. 0.025 -" 3.01
M. 1.086.30 X W 0.021 = 23.18
4 . . . . . . . . . . . . . . . . . . . . . . . TO'fF1L ??U": = 26.18
I't T'C]7Fal_ ?F #k4 T i THE S(aME AS, Oh I_ES:i "fH(aIV 02, YGU NAVE MET THE
IN'(EN'f ClF SF{C 6006(c:) l.
A!.."I"FF?IlA1'E BUILi)ING EI'JVE:L_OF'E DESIGPJ:
l"0 Ul'7:LIZE 'I'WE "I"OTAL. E:IVVELOF'E 5Y51"Erl METHOD, THE VAL_UES ES'CAEiLISHED
BY THC. S111N OF ITFMS #3 AND #4 SHALI, M1IQT I1E GFZEA'TF_R 1'HAN THE SUM OF
STF.MS #1 AND #<_'.
' i. 217.36 '+2. 31.38 = 248.74
---------- ----------
15.28
,_. 1EI9.05' '+4. 26.18 - J--
----------__• -------_-•__ »???.?=
I I-IF_RFBY C'.F_RTIFY THA'1' I HnVE CFILCULHT£D THE "U" FACI"ORS AIVD W.
VALIJES I-IEfiEIN AND TFiAT THE $UIL.!)IhIG HFFiE 13ESCFiTAEll MEE7S GFi EXCEEDS
1"IiE SYAI'F" OF hIN ENE.OSY CC7NSEkVATIC3N ACT.
UTLER HOIJSING OFiE'OF:ATIOIV
:
t ( % ? ?=
SIGNATIJRE:'; UEhINTS F. BUTLEFt, FRES.
DATE:
----E-- ----------
1=zqe = OF' b
WTNUOW F1hdD DC70f± 5L1-IE'DLJ!_E.
------------------------------------------------
G)UWpdTil"Y 1'Yf''E '3't7F F=AL".l'Ok WINllOW
UF'E:IUTIVV
-----------------------------------------------
1 NFl£,E:MF'hl'T 27 X 14 2.60 2.60
t F'Al"IU [)R h X 6 4Q,00 40.00
:i CASEMENT ;'C> X r'Ei 6.80 34.00
3 CASEMENT ',?U X 48 S.;iq 25.50
h CASEMENT :?V X 60 10.80 43.20
2 CASEMENT 24 X 36 8.00 16.00
0 CASEMENT 24 Y. 42 9.00 U. UO
l CASEMENT 24 X 48 ifi..:q 72„10
ii CASEMENT 24 X 60 12.60 0.00
0 DHt..F_ HIINGS 36X24/36 18.30 0.00
Ct I)E{I_E: Hl11VG S 24X24 /:'rEa 12.80 0.00
rt qBl_F HUNGS 32 X ?h 13.50 0.00
Q 0.00 0.00
0 n.Uti 0.00
O 5I1)E LTS. 1 X 1.3 6.60 0.00
--------
2:? ----------- -----
'fIITAL ------
GLA,-.iS ----------
(aFiEA: --------
233.40
DC1Qf`t SCHL-"I71.1L_E
621.1FaNT l'F Y TYP[c S S Lf-_ F'AE7"f'flk I>OC)Fi
L`.1F'ENIh.IG
------------------------------------------------
1 F'EFtL:;HTkEE _;'._C>" X h 20.00 20.00
1 F'FG1CtiTF:E:t: V-El" X 6 17.80 17.90
0.00 0.00
0.00 0.00
0.00 0.00
t].t_iq 0.00
------------------------------------------------
?'OTAL UOOR AREA: 37.E10
TOTf-!L UJ(ll_L_ WINDOW AWiFE-1: 190.80 U-VALUE
TC7'F'AL F'ATI(] DC)OR AF:EA: 49.00 U-VALUE
Tl'J"!'AL F?Ac3EME{JT WI)W AFif.:Ae 2.60 lk-VALUE
233.40
0.367
0.367
0.367
'I'fJTAI. lltJOR RkFA: 37.80 U-VALUE 0.066
F'<-Kn,e 4 OF h
l'FIRI.! FXTEFiTC)R FF;AP1m" W6aLL..:
Ih•1?ERIQR AIk -- - - -- - - - _ _ _ _ _. _ _ _ _ _ 0.6£3
S"HEEI' RUCk:: - -- '-- -- - - - - - - - - - - - - - - 0.45
1 F{E Fi('10-1?REAt':: - -- _ ._ .. _ ._ .- - - -- -- - _ _ ... _ p
STL1U _. _ ... _.. _ __ -- -- ._ _ _ ... ._ •- -_ ._ .._ ._ ._ _ -- 6.93
SHFATHiPIG -'- - - -- - ._ _.. _ _ ... _. _. _. _ ._ _ _ _. _ 2.06
i3 I D I NG - -- -_ ._. _. _ _. ._. - - - _ _ ._ _ ._ _ - - - 0.76
EXTEFIOFi AIF'i - - _ ._ __ _ _ .- •- - -• - - - - - - 0.17
T O•T ?? ?? R" VALUE -- - - -- - - - -- - - - - - - - - 1 1 . 07
1/R - "u" JALUE - -- -- - -- -- - _ _ ._. _ _ ... - - - 0.090
"I"HF".U 'iNf3Ul.Al'TOIV WT'fH 5TU11VG Ss S.R.
I hJ't'E:R T C]F: F1 I Fi _. ... _. -- - - -- -- _ - - - - - - - 0.68
SHF.E.I' RU"CFt: - - - -- _ _ _ _ _ _ _. _. _. _ _ _ _ 0.45
-FFIE:RI'1f1-BF'tLAf:: -- - -- -- -_ _. _ _. _ _ _. _ _. _ _ _ p
T N:;IJL.ldT t t]h4 - - -- - -- - - -- - - - - - - - - - 19
SNE::FiI"HIhdG -- ..- _. _ __ .- - - -- - - - - - - - - - 2.06
; r u t raG - -- - - - -- - .._ _ ._ _. _ _ .._ _. _ _ _ ._ 0.78
E. X T F.: F't 1: OFt Fl T F'c - -- - - _. _ _ ._ _ ... _. _. _ -- - •- 0.17
1"C1Tldl_. "la" VALUE -- - -- - - - - - - -- - -- - - - 23.14
1tR - "U" VALUE - _ - - - -- - - - - - - -- - - 0.043
T{{k1l! CE_Il_SNCi Mf_M?:?C{i
ZhITE.f2l0R AIFi - - - - - - - -- - -- - - - - - - 0.68
,'3HETE T ROCth:. - _ ._ _. _. _ _ _- -- _ _ .._ _ _ _. ._ _ 0.58
CiEIL.TNG MF'MEiEF' -- -- -- - •- ° ._ _ _ _ ._ ._ _ ._ _ 4.35
[NSt1l..A'fSC:IPI -- - -- -- - - - - - - - -- - - - - - 33.92
ST I LL fl I Fz - -. ._ - --. _ - -- -- -- - -- - -- - -- .- - 0.61
'I"C71 At_ "f " VALUE -- -- - - -- - - -- - - - - - - - 40.14
i!F = ??U" VALUE -- -- -- - -- - _ -_ _ - -- - - - - 0.025
l'HuU CF:.ILiN(3 INSLlI_A'1"70N
Z hI T'F F: [ I')F: AI F,' - _ .._ ... _ -- - -_ _ _ _ _ _ ._ _. _ 0.68
SHfiE:'f f-%C)CF:: -- - - - ._ _ ._ _ _ _ _ - - -- - - - .5
I Nfit II .A T T Ohl -- - - -- •- -.- _. _ ._ _. _ _ -- - - -- - 45
BTILL Alfi - -- -- -- -- -- - - - - - - - -- - - -- - 0,61
TU-fAL. "FW" VALUE -- -- -- -- -- -- - - - - - - _ _. _ 46.87
1/fi = "41" VALUE. -- -- - -- -- -- -• - -- - -- - - - - 0.021
F''aqe i 0#= 6
THRU CONCF(C:l'E= HL.DCk.:
:r PI f F.h 1 L1R AI F{ -- - - - -- - -- -- - - -- _ _. _. _ ._
C(:JPJC. L+LF;. - - -- - - - - - -. _ ._ _ _ _ _. _- -
7' hdSULA7I0h1 - - - - -_ .- - - -- - - - - -- -- -• -
SHr.;.Er RF::. ((1PT.) ._. _. ... ° -- -- -- - -- - - - - ... ..
E};TEk1UR AIFt-- - - - -- - -- - - - - - - - - -- -
7Cl'I'Fat_ "k" VAI_tJE - ._ ._ ._ _ _ ._ _ _ - - - .- - -
1/F _:: ??U" VALUE - - -- - - - -- - •- -• •- - - - -
l"HFiU IiIM JCiIa"(
0.68
i..28
5
I)
0.17
7.13
0.140
IN fEfiIOR HIFi - -- -- - - - - -- - - - - - - - - 0.68
SN:;UL_AT.T.ON -- -- - -• -- - - -. ... _ - -- - -- - - - 19
kSM J(]ISl - - - - - - -- - - •- - - - - - - - - 1.89
S'HEA'TI°IING - - _ .- -- - --. _ _ _ _ _. __ _ _ ._ -- - 2.06
SSDING- -- -- - - - - - - -- - -• - - - - _ _ _ _ 0.78
EX'T'ER1CJk AIh- - - _. ._. _ _ .._ _ _ ._ _ .- -- - -- - 0.17
Ttll"Al "R" VALUE -• -- - - -• -• - - -- -- - -- -- - -- 24.58
7. /F = "U" VALUE: - ... _.. _ _. _. _. ._ ._ -- _ - -- -- -• 0.041
fl-ikU t:!-'4N'f. @ MEMBGIt (CNCLOSEI))
TPI1'ERICiR AIFi- - - - -. _ - - - - - -- - -- _ _ _ 0.68
FIIVISH 1=L.QOFSNG -- -- - - - - - - - - - - - - - 1.^c3
LINDERL_FIYMENT- - - - - - - _ _• - - - - - - - - 0.93
F'L_YWO(:lD - - - -- -- - -- - - - - - - -• - - - - - 0
JCIIST -- - - - _ _ -- - - -- - -. _ - - - - - - - 11.88
sr+E.F.r rOcK . -- -- - .-.. ._. _. _ .._ _ _ ... ._ _ ... ... _ _ 0.58
ST I LL A I R - - - -- -- - - -- - -- - - - -- - - - - 0.61
TCJTAL °F;" V(?LUE - - - -- - - - - - - - - •- •- - 15.91
1/f;: _ "U" VAL..LJE: - - - -- - - - - - - _ _ _ _ -- 0.063
THRU CAN'T. Ctl INSUI_ATION (ENCLOSED)
IMTEFiIf?R AIF- _ _ - - - -- -- - - -- - - •- - - - 0.68
FiNISF-I F=LL7LJFiItJf.; - ° -- - - - - - ° - - -• - - - 1.23
111VDERLFYMENT- - - - - - - - - - - - - - - _. _ 0.97,
F'LYWODU -- - - -• .. _ - - - -- _ _ _ - - - - - - 0
I NSIJLRT 7 f.]N- - - - -- - - ._ _ _ _ _ _ _ - - - -. 19
S'HCGT H;UCF::- - - - -- - - - - - - - - - - - - - 0.58
S7" S LL A I k - -- -- -- - - -- -- _ _ _ ._ - - - - -- •- 0.61
1'0"I"AL "R" VALIJE - - - - - -- -- - -• -- - -- - - - 23.03
]/Ft = "U" VFlLUE -• - -- -- -- -- - - - - -- - - - -- 0.043
PagEa 6 CiF Ei
1-HF:U CAhI'I". Cd MEMNCfi (EXF'OSED)
INfi'EP.It?R A:[k- - - - - - - - - - - - - - - - - 0.68
F'TPJ1Sk-I F'L.(]ORIN13 -. ._ - - -• - - -- - - - - - - - 1.23
IJNI?FRI_AYMI_NT- - - - - - - -- - -- - - - -- -• - - 0.93
F'L.YWOCiD -- _.. .._ - -- -- - -- - -- •- - - - -- -- - - - 0
J Ll I iT - - -- - - - - •- - - - - - - - - - _. _ _. 11.88
SEIEA"fF-IING -- - - - - •- -- - - •- - - - -• - - -- •- n
50FF I T.. _ _. ._ _ _ _. _ _.. - ._ ... ._ _• .- - - -• - - t"l. 47
EX'TEF'tIOf't AIR- - -- - -- -- -- - - - - -- - •- - •- - 0.17
TOl"AL "k" VALUE - - - - - - - - - - - - - - - 15.36
1 /R = "L1" VALUE -° -- -- -_ ._ ._ _ .- - - -. .._ _ _. _ 0.065
THRU CAPJT. C INSUL.ATION (F_XTGFiI0Ff)
I N'TEFi I UF2 A I F(- - - -• - - - - - - - - - - -- - - 0. 68
1=1NI5H 1=LClURING - -• - -- - - - - - - - - - - - 1.23
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TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MIPINESOTA 55126
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LEGAL DESCRIPTION: LOT 3,BLOCK2 , LFXINGTON POINTE 3RD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
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SCALE:1"=30'
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LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD MUB SET
DENOTES EXISTING SPOT
ELEVAITION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hxsby certify thaf this survey,plan or
report was preparsd by me or undsr my
direct superviaion and fhat I am a duly
Repistered Land Surveyor under the
Laws of the Stote of Minnesota.
f'eurt.->EC? >P??T l.6vEL
CE FLOOR E EVATIONN 71.75
PROPROSED GQARA I
PROPOSED FIRST FLOOR ELEVATION = .79.40
PROPOSEDBASEMENT FLOOR = 7S•Zs
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. S*49i 4W, Mn. Req. No.13235
Dore
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113040
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 957 Jefferson Lane
Lot:3 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Pat Addy
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 -
Jeffry Wisdom
957 Jefferson Lane
Eagan MN 55123--260
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142054
Date Issued:04/12/2017
Permit Category:ePermit
Site Address: 957 Jefferson Lane
Lot:3 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Noah H Bratzel
957 Jefferson Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178765
Date Issued:09/01/2022
Permit Category:ePermit
Site Address: 957 Jefferson Lane
Lot:3 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-030
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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:
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 -
Michael D Evans
957 Jefferson Ln
Eagan MN 55123
(608) 609-9315
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature