4356 Lex Pointe PkwyCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS: 3'".n. : i r}j w
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PERMIT SUBTYPE:
. I , ! ; I , I I
APPLICANT:
iII I iif:l•411
(t?lt?? 63.1 -1k?4?'
TYPE OF VYORK:
?,r :?c? rwr F ???t
' I 000101 t N
r r NAl
i 1141
Nr W
f,Vi
?
?
0
CCORD
PERMIT TYPE:
Permit Number:
Date Issued:
W I I I i NA
91: 79?4
N/?yh
Ofy/I
Pertnit No. Permit Hotder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date inap. Camments
FOOTI NGS
FOUND
FRAMING
RODFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR 7EST /! //
FINAL PLBG
FINAL HTG - - - -- -
ORSAT
TEST
BLDG FINAL
BSMT R.I. -
BSMT FINAL
DECK FTG
DECK FINAL
INS]
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADQRESS:
;, , .i ? ,, ???ir?ii? E•r;.,;
lE."xtlVtxi11N Pt11N71t 3Rll
PERMIT SUBTYPE:
yuU6lt ! N
I I.' t f1.liRk IRr i!$!>! f#f IF!p
ON RECORD?
PERMIT TYPE:
Permit Number:
Date Issued:
t J:rtF?',1nF rnaNFH r"i:
i ?. 1. t r, " , t tl4.'
TYPE OF INQRK:
ili ,. ; i i i „lv fir1',
F4htA1
. , . ..
N I t) 1_t
f>rJit!?INii
s: rs0 .1 1)
06 /INl9c;
i
Permit No. Permit Holder Date Telephone #
ELEC7RlC
PLUMBING
HVAC
Inepection Date Insp. Cammente
FOOTINGS
FOUNb
FAAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST (( fl
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? CASH RECEIPT • ?
CITY OF EAGAN
3830 PILOT KNOB'ROAD
EAGAN, MINNE50TA 55122
DATE ( 19 , ?
iECENED 1 .? t. i . .
FROA1 AMOUNT 3 /
& DOLLARS
,ao
p CASH Cl CHECK
t ?: !
C
Wmita--Para.s copy
yellow-poserio COvv
Plnk-FNe Copy
Thank You
sv - _ _ ?-
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS _
LOT - BLOCK
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # ' ? ? ? { -• SEWER PERMIT #
METER # B.P. RECEIPT # - $77.3
READER # B.P. RECEIPT DATE 7J;,' k?
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
h
APPLICANT:
AQDRESS: 2
CITY, STATE MU ZIP `- •`?~?-
PHONE:
PLUMBER: :_ ?..'t f? «Y? . Y ? ?,, ; ? • ', , . i ., ?
ADDRESS:
CITY, STATE
PHONE: ZIP
OWNER: _
ADDRESS;_
CIT1f, STATE
PHONE: -
ZIP
PERAAIT REOUESTED
- SEWER - WATER - TAPS
- COMM/IND _ RESIDENTIAL
,k NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS _
LOT ?T?-BLOCK
' OFFICE USE ONLY
PERMlT DATE 1 "5/ 89
WATER PER IT iL SEWER PERMIT #
METER # B.P. AECEIPT # t, 2 ?3._
READER 4t; ? B.P. RECEIPT DATE 7An
METER SIh .?
ISSUE DATE-.7 - PRV - BOOSTER PUMP
APPLICANT: R• S. Yy% a
ADDRESS: ;
l
Tt? ? E ? 'S ,
CITY, STATE wr
^- ??- NO
ZIP
PHONE: 'A gO -6h w
PLUMBER: LAL-e---1 A&t . 1' ? k?t ?u c
ADDRESS: t a'(-S6 Z('AJFZ GA.) AU f \2
CITY, STATE 5Ct0 C, ZIP-5 sts?
PHONE: ? `k ' 7? n
OWNER:
PERMIT REQUESTED
-L` SEWER WATER _ TAPS
COMM/IND --1k RESIDENTIAL
-4?NEW - EXISTING
I AGREF. TO COMPLYWfTH GTY OF
EAGqI4 OpDINANCES: -?
l
ADDRESS: SIGNATU WHEN MET I D
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. - ;
W"
0 . . .
? Name
? Addre:
c City _
m
c
3
O
Name _
Address
`.,•`.•? ",° ` °•• ` BLDG.TYPE
Res.
F,T.,E HEAT I;JG & -:I? Mutt
R'l-10DE I;;?,AND Comm. -
.994 -000 aner
PhnnP
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL:
MECHANICAL PERMIT
CITY OF EAGAN
- 3830 PILOT KNOB ROAD, EAGAN,
PERMIT # -"
RECEIPT #
DATE:
For Office Use Onfy:
WORK DESCRIPTION
z-
New '
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA.
COMM/INO FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
- 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
?1I FOR: CITY OF EAGAN
" . - ." . . i.... . . - . .. ' _ _ . . _ .. . . . _ .,. 1
PEFiMIT q %L2?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address % 7' '
Lot ? 2 Block ?- SeciSub
f •? . 1 ?'-
? Name
m
? Address
c City Phone ?`? ??'•`•
Name
c Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X, New X Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES
? Water Closet - $3.00 TOTAL
$ '
? Bath Tubs - $3.00
' Lavatory - $3.00
? Shower - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
? Fl
i
$1
50
D
'
j s
ra
ns -
.
oor
'Water Heater - $1.50 `
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
? -"
(MINiMUM - 1 PER PERMIn
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: '?
STATE S/C:
GRAND TOTAL: ' '
CITY OF EAGAN '
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
.
Located at pru- v
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
j-? _? -
?rS
cy- ,an 42 6;c 7"?I vss G-?/ ?I ui 67,
?.rr
When corrections have been made, please
call 454-8100 for inspection.
Date r ?2
Inspector Clty of Eagan
DO NOT REMOVE THIS TAG
. • -_ - _ ,. -... 7R _ . .. .:-?:a..: 'M, \
• 1 '
(tprfifiratt uf (Orrupaug
titp of (leagan
Frpartnpn? of luitdittg JWtrtina
Tlris Certificaie rssued pursuant to the requiremerrts of Section 306 of the Unijorm Buildirtg
Code certifying that at the time of issuarrce this structure wns in compliance with the various
ordrnances of the City regulating building canstruction or use. For the following:
u: a..fiatk. SF URgM ffiag. Perm;t rb. 16735
oa„p-y rya R3 /M i zm;ng awala H]?,? I ryPe c- VN
o.v,xr or euilaiqgg R4I HL1ES naaras -
B?nBnddre? 4356 TFXTTt:'n"N ArnxrF ty T.17_ R?_ TF.XTAt?V NiF:
? n.u: Q?? 28? 1?89
Bulding ?ciak-
POST IN A CONSPICUOUS PLACE ,
CITY OF EAGAN
.? ??.,,J? 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-5100
BUILDING PERMIT Receipt #
r,, ti,. ....,..?t ?... ?? .' ? ild? / ?_.. R ?..• v..?..., t 1?'? ? ?'..-.!? n..a,. .! I) V 4
Site Address Lot Block
Parcel No.
4
Name ?•?""
Address
City Phone
r¢
? W Name
W W
H
Address
a W 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 of
Minnesota Statutes and City of Eagan Ordinances.
A Building Permit is issued to: t' a'! ! i- . ,,
on the express condition that all work shall be done in accordance wi1
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Oflicial
1.??? 15
OFFICE USE-ONLY
.a i- FEES
Occupancy It? ;
Zoning Pi? R--
(Aetuaq Const .Y=?• Bldg. Permit 644, ?
(Allowable) ?-?4'
Surcharge SQ. ?
# of Stories -
Len th
9 ? Plan Review 32Z.00
Depm 37' sAC, ci,y 100.4Q
S.F. Total - SAC, MCWCC 575.0
?
S.F. Foatprints
On Site Sewage -
_ Water Conn
58(y. G:J
On Site Well Water Oeter 90.0
J
MWCC System AX 30.00
Ciry Water ?y
Acct. Deposit
-
PRV Fiequired _ SNV Permit 2 0•00
Booster Pump - S/W Surcharge
o
1.0
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner Park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL
Permit No. PermR Holder Date Telephone #
WATER !/ ?rC? G2 _C..?-c _• - C . ?/? ?7
SENlER
PLUMBING G!S? .
H.V.A.C.
ELECTRIC ?'G? • ? C ', ?L' ? ? ?
Mapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing 6aajC t1.io rrr G t-
Rough Plbg.
R.gh Ht9• ?.d
ls,l. U?c--
Freplace
Fnal Htg.
Final Plbs. ap /Ql?' `?!!?
Const. Meter Plbg. Inspector- Notify Plumber
Engr./Plan
Bidg. Fna1 ??ZB? 3 Q,s
Deck Fig.
Dedc Fnal
Well
Pr. Disp.
BLDG. PERMIT NO.
?..I- 1 ? o
01-3210 Bldg. Permit ?c 44 ?-?
\r 01-3422 Plan Check
J 01-3445 Surch./Adm. I
?
01-3446
SAClAdm.
--?`?
15
? 01-2155 Surcharge
75-3860 Road Unit
? 20-2275 SAC
20-3865 Water Conn.
? 20-3868 Water Trmt. J J 3 n<?
20-3716 Water Meter c' `r'
lrj 20-2252 Acct. Dep.
20-3713 Water Permit I pc,
? 20-3743 Sewer Permit 10 00
79-3866 Sewer Conn. C C,
28-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PEftMIT
To be used for SF DWG/GAR Est. Value
000
Receipt #
N° 16735
I --? -3
19$.9
Site Address 4356 LEXINGTON POINTE PKWY
Lot 17 Block 2 Sec/Sub LEXINGTON POINTE
Paicel No. RD
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD R=1
w Name RSM HOMES. INC
? Address 16670 FRANKLIN TR SE STE 230
? City PRIOR LAKE Phone 440-6900
Name _
Address
Phone
w W Name
'
'0 Address
aw City Phone
I hereby acknowlege that I hav e:
informauon is correct antl agr to
Mmnesota Stalutes and Qt of qa
Signature of Permitee
A Building Permrt is issy¢d to. R*M HOMES, TNG
on the e:press condition that all work shall be done in accordance wRh all
apphcable State ot -Minnesota Statuies and wCyiry? o,f1Eagan Ordinances.
BuildingOtficial
iphcati and state that ihe
wdh fflf applicable State of
(Actuaq Const y-N Bldg. Permn 644. 00
(Allowa6le) V=N Surcharge 50.50
# of Slories
Leigih 64' Plan Review 322.00
Depth 37? SAQCity 100.00
S.F.TOtal - SAC,MCWCC 575.00
S P Footpnms -
On Sde Sewage _ water Conn 580.00
On Sifa Well - Water Meter 90.00
MWCCSystem xx Acct Oeposn 30.00
City Water X[_
PRV Reqmred _ SIYJ Permn 20.00
Booster Pump - SHN Surcharge 1.00
Treatmem PI 228.00
APPROYALS Road Unit 340.00
Planner - park Ded
CouncA
BIdg.O(f. _ Copies
Vanance - TOTAL 2+980.66
J (-?
c
f? $ 7 0 8 /'
? •
7
Request Oflta Fre No. Ro -0n InspeCtlon
Ra retl9
O Reatly Now ,q? wili Noery Inspecmr
?
/? Wh
R
d
J / lJ Yes ? No en
ee
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Pddre% (Street, Box or Roide No.) . Ciy
Seclion Na Township Name or Na Range No Comrty
OccupOT1'? ?
?? ? Phone No.
Power Su er.
'e e??l
Tdress ^
EleCtrical Conhacbr (COmpany Name License No.
Canhact
? / i .??/ •`.-. /
( ? ??
MaifingAd/tlre? (CanhactororOwner akin Installation)
7
75-
?
?
Y/
? (
" ?
Aullqr¢etl naWre (COnlractorlOw MaWng? IlaLOn) Phone Number
lONNESOTA STA7E BOAND OP ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway 81tl9. - Rodm 5713 BE ACCEPTED BV THE STATE 80FRD
1827 UnlvercXy Ave., SC Paul, NN 55104 UNLESS PROPEfl INSPECTION FEE I$
Plwne (672)862-0BOD ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
/..: ? See insVUCiwns Iw complelirg Ihis lorm on Cack ol yellow ropy
597 O 8 'X° Below Work Covered by This Request
41111 EB-00OO1-W
U09,7953
Ne% Atld Rep. Type of Building AppliencesWired EquipmeMWired
Home Range Temporary Service
? Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Fartn Air Conditioner
01her (specity) ' Conhactor5 RemaMS:
Compute Inspection Fee Be/ow:
# other Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspec[or5 Use Only: '(pTpL
IrrigationBOOms 6,U 76
Special Inspection
Alarm/Communication
OtherFee
I, the Elecirical Inspector, hereby
certity thatihe above inspection has
been matle. Rough-m
Final
v?
o e
OFFICE USE ONLV
Th"' requesl wk 18 months finm
a-
P
2 ? 6 9 7L
17
_
'
RequestDate Fre No. Rough-inlnspechon
uired, ???jjj
? Reatly Now yl WAi NoUly Inspec[or
? 'Nh
R
tl
7
r Yes ? No en
ee
y
I licensed contractor ? owner hereby request inspection of above eleclrical work at:
,bb AGdress (Stree( Bm or Fouse No.)
?vAe City
?
SecLOn No Township Name r No- Range Na. CauMy
f ?d'- ?
eL?G[XJW
Occupant(P n phone No.
PovrerSU/q Ler
?/y/`?-rl?Cif<l?'.'/I'?.C/W?-i Atltlress
Elecincal Confractw (COmperry Name)
??L C or's Licensa No.
Meiling A4 ess (COnirac1or or Ovmer Making Irisiallation)
ANtarrs naNre (Ca ractm er Makirg I llon) P rie umbar
MINNESOTA STATE BOAHD DF ELECTHICRY iHIS INSPECTION REOUEST WILL NOT
Griggs-NiEVrey BWg. - Xoom S173 BE ACCEPTEO BV THE STATE BONflD
1821 UnNersity Ave., SL Peul, NN 55109 UNLE55 PROPER INSPEC710N FEE IS
Phane(6f2)842-0800 ENCLOSED.
2-H97
REQUEST FOR ELECTRICAL INSPECTION
ji? Sea insVUIXions tor completing ihis brm on back ot yelbw copy.
X" Below Work Covered by This Request
EB-00001-0]
y Y?-1-
e
Nent, Atld Rep. 7ypeof8uiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (specify) Contracror§ Remarks
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEnirance5ize Fee # Crtcuils/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
SIgf15 Inspecbr§ Uae Only: TOTAI _
Irngation Booms
?
Special Inspection
Alartn/Communication
Other Fee
I, the Electrical Inspector, hereby
h R°"gn-in oate
e above inspection has
been
ade Fnal r Dal
e '
-
OFFlCE USE ONLY . i
This request voitl 18 months from
??,aa3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New Constructbn Heaulremanta
• 3 registered sfte surveys showv?g sq. ft. of lot, sq. H. of house; and II roofed areas
6i
(20% maoamum lat coverage aiiowed)
• 2 copies of plan sFwwing beam & windaw s¢es; poured tound desgn, etc.)
• lsetolEnergyCakulatbns
• 3 copfes ot Tree Presenation Plen tl bt platled atter 717/93
• Rim,bisf Detall Optbns selection sheet (61dgs wM 3 or less unds)
DATE
2.5
qemotleVHeoeh NenuiremeMe
. 2 copies W plan
• 15etofEnergyCalculatbnsforheffietladdilbns
. 1 site survey lor exleAOr addilbns & decks
. Indkate tt Frome seNed by septic system lor eGtlOions
VALUATION ? !140a4o?
SITEADDRESS y3s? %oi.,4r Pa?k?•i, MULTI-FAMILYBLDG _Y ?
TYPE OF WORK ?.2 ro .?-- •v. .,.,? FIREPLACE(S) _ 0e_ 2
APPLICANT ?.w.a.?:?4.,,, ?"„-? .
STREET ADDRESS (Z /b?ito CITYu. ncLJ'i1?'rz STATE /`9»- ZIPS5
17-
TELEPHONE #952-777- 6959 CELL PHONE # FAX # 9s2 - Sn3-- &FsS?6,
PROPERTYOWNER Ko,,:m TEIEPHONE#4S/- 683-005e
--------------------- -------------------------------- --------- ------- ------ °----------------
COMPLETE THIS SECTION FOR NNEWN RESIDENTIAL BUILDINGS ONLY
*11.
Energy Code Category _ MINNESOTA RULFS 9670 CA1'EGORY 1 MINNFSOTA RIILFS 7672
(4 submission lype) . Residential Ventilation Category 1 Worksheet Su6mitted • New Enargy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: ____
Plumbing system includes:
Mechanlcal Conhacfor:
Mechanical system includes:
Sewer/Wafer Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone ti
D ??ee: $90.00? ?
GC;
-------° °--------------°---------°------------°°----°-°°-----°----------------°°--------------°-----------°-
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Mlnnesota Statutes and Cify of Eagan Ordinances?
?..??
Signature of Applicanf (? ti'?l!(/1'ISC>
...._---...... ------............... _._ ...................___..._..._..._...Y..._?e.._...__.__
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Recsived _ Not Required _
Uptlatad M02
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
?
PERMIT
?
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: suz LoztiG
Eagan, Minnesota 55122-1897 Permit Number: 028085
(612) 681-4675 Date issued: g 6 J 18 / 9 6
SITE ADDRESS: ?ej-4¢.e-a 6. Po. 2 79 7 ?
4356 L.EX POINTE PKWY
--11a?y? k
It? ? Y?,c? iB •
-r
LpT: 17 BL0CK: 2
LEXINGTON POINTE 3RD a, &Pu,,, L? (,'? 6 l lR lci?
P.I.N.: 10-45072-170-02
DESCRIPTION:
8A5
t:... .4
-'
Permit Type
Type
FIREPLACE
NEW
434 AIT. RESIDEN7IAL
q?h
'-?,?'u"?'",o,. ?as„ '?'a?::`?`?6'" _ ?"??'?;rs'??aw•°3b ?k?"? ?? ??
REMARKS:
REPLACES B.P. 27974 OATED 6f18J96 - SAME PERMIT # ZS5UED TO TWO ADDRESSES
FEE SUMMARY:
Base Fee $25.00
Surcharge $.60
Tota], Fee $25.50
CONTRACTOR: - Applicant - 5T. LTC.OWNER;
FIRESIDE CORNER INC 16931092 0001068 BURIAN KEVIN
2700 N FASRVZEW AVE 4356 LEX POIN7E PKWY
ROSEVILLE MN 55113 EAGAN MN
(612) 633-1042 (612)633-1042
? T hereby rack,naMr3?dgL ?tt?
SGa'?ute?.
?.: ° ?,.. .? ..,.?..e .e.
APPLICANTlPERMITEE SIGNATUFiE
4d'th?.spapp?,.??d?,?an-atid Ct?e
! c_atrrp.ly vi<i?li ?i,I?: a'PPl?c?bla, StaCe a'? Iqri..°
ISSIJED 8Y 5 NATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
0 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: w [o/lf,? ?
DESCRIPTION OF WORK: ZINSTALL bE1p( FIREPLACE: WOOD BURNING
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY !N EXISTING FIREPLACE
OTHER:
AFtEA TO BE INSTALLED IN:
STREET ADDRESS: 'L-JD ?
LaT 111 BLOCK
APPLICANT: (circle one only)
?
ds?so
V GAS
SUBD./P.I.D. #:
OWNER
CONTRACTOR
t 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.
PROPERTY
owNeR
FIREPLACE
INSTALLER
Name: ? V? 1 14 ? ?? I J Phone #: Go 3??S 8
usr rwe*
Signature: -
Street Addres
City: ?
14
Company:
?
State:s? Zip:s-5-'?? 2 `3
e- Phone #: ti? 3-zs ?/
. ? G
? 6 8
Street ddress: 1-3 License#- J a
City:Z,.jt2n53 5tate: 44-ld-a Zip&)
GAS LINE Company: Phone #•
INSTALLER __ !r^
Name:
Signature:
Street Address-
Cfty: State:
Zip:
UNDERGROUND SPRINKI.ER SYSTEM
PLUMBING PERMIT
Date:
?
Date -7// 8'/9/
Receipt # ioaa ;??
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit wilt be required, as well.
? Ebstiniz residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
ivlay require payment of water permit, piumbing permit, WAC, and waier ireatmeid
plantfees.
y"
(Address to be s nklered) ?
Homeowner/Plumber:
Phone #: d' ?P 5k- 2S:L
Street Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor:
Phone #: 0 -of
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit all applicable City of Eagan Ordinances
6 _a
cc: Engineering Department
Permit #
1
1989 BIIILDING PEHMIT 9PPLIC9TION - CITY OF EAGAN
3INGLE FAMILY DWELLING3
l(elis (3ff)
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCOLATIONS
NOTE: ADDRESSFS FOH CORNER LOTS - CONTRACTOR/HOMEOHNBR MOST DESIGNATE WHICH ADDRFSS
IS DFSIRED. NO CfiANGFS WILL BE ALLOWfiD OD1CE BIIILDING PERMIT SS I3SUED.
M?JI.TIPLE DWELLINGS RENT9L DHITS FOR S9LS UNITS I OF ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORPEY - CHECg WITB BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COP4IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND i SET OF ENERGY CALCULATIONS J U N 2$ 1989
To Be Used For: l rAYYt` Valuation: Date: w-3140?
Site Address y34)6 l.exi N400 Pt
Lot 1-1 Block a
Parcel/Sub r.zKije&o ?t 3g
Owner
Address RSMHOMES, IAIQ
City/Zig Code PRFORLAKE, MN56,97$
Phone Wo "6%0
Contractor
RSM HOMES !NC
Address 18870 PAANKl,1N TR S.E, $TE 2.4p
-` ', FAIOR'Lf . MN 55972
City/Zip Code
Phone qqa - 6ic0
Areh./Engr.
RSM HOMES !NG
9ddress 18870 FRANKL/N TR SE STE 23e
PR/OR LAKE, MN 55372
City/Zip Code
Phone # I {qtl -(ol00
' IOlODD"
Oecupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-1
R -I
V-N
V-N
-?-
?
FESs
Bldg. Permit 41W++^?
Surcharge S045D
Plan Review Z,a?
SAC, City foe1oo
SAC, MWCC S']S.oa
Water Conn SSo,oo
Water Meter 40.00
Aeet. Deposit 30,00
S/W Permit 20,00
S/W Surcharge 1,40
Treatment Pl. 22FS,OP
Road Unit -3 ? no
Park Ded.
Copies
TOTAL a 4?0
On site sewage_
On site well
MWCC System ?
City water e?
PRV required _
Booster Pump -
APPROYALS
Planner
Couneil
Bldg. Off.
Varianee
Council
NOTS: Sewer & Water Permit fees and aQCOUnt deposit fees will be ineluded in the building
permit fee. Processing time for aerrer and water permits is two days once a licensed
plumber has applied Yor a permit at City tiall.
?. _
G A (Z_4ll-C
?---- ? :
-Z2.. yC.'?`?
? s rh r,
loV Z6 = ?o
3yY35= Slqo
Zx30= ?o
I?I S? X I?- = Zo3+??
?-l uk5e--
1^
( 1rs-0
c3 al r y
_.----
??16y?5p?
1a0-760
r
T'RI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE „ PLAN FOR:
RSM HOMES
LEGAL DESCRtPTION; LOTIZ,BLOCK2,.L.FXINGTON POINTE 3rd A00.
ACCORDING TO 7HE RECORDED PLAT
? THEREOFDAKOTA COUNTY,MINNESOTA
?----_._._ _ _?---------_- _
LEXINGTON POINTE PARKWAY
.....? .,.?,....? ?'? .?? ... . _ . A? 31
, . .. .. . L=80.70 µv
C"9.s)l,Y5°30'16„
Btl•ft
O k
`^ "'
SCAL.E: I"=30'
/4za'm N
F?oeoPoseo
Hause
LOT
18
14.03 0
By ?
?
D a
0 J 1 LOT ? ?
N (7 I u)
0
? Z
Z DRAINAGE 6 UTILITY EA9EMENT-w.
I vAa.
1
in
m
?
D
9°so'2r"w
LEGEND
Do DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
979.4-1 DENOTBS EXISTING SPOT
ELEVATION
(971.2)DEN4TE5 PROPOSED SPOT
EL.E VAT I ON
?- DENOTES ORAINAGE DIRECTION
t Mnby cerflty lhat thls aurvsy,plan or
report w4s prapared by me or under my
Qirscf supervfsion and thaf I am a tluly
liaqistared Land Surveyor under ths
Laws of the State of Minnesota.
DEPT
PRCPOSED S°L!T LEVEL WALKQUT
(NVERT ELEVATlON AT SERVICE EXTENSiON=
PROPOSED GARAGE FLOOR ELEVATION = '9B2'7-
PROPOSED FIFtST FLOOR ELEVATION a IM. ¢
PROPOSED BASEMENT FLQOR s n' Z
ELEYAtIOM
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradlsy J. e'(ison, Mn. Rep. No. 15235
- ? ?
Date ' 6n " ?..-, g`%_ --
'. . M.
exTeiuau eNVeWri: nveiincr „u" Co:aru•rn•rcon
R.5. M . OvlMtg --
si•rc nDow
comTanrro
DATE 6(aa ftcl
Oetermine Norkiny square footaqc oC cach.
1. 'COtal expo5ed •.+all area ....... /,%? O,O sq. ft. x .IL = 3-46
2. Total roof.ceilinq area ....... /;?38.0 ?y• f[. x •025
Total exposed aall area above flooc = /,P6 O.O
a. Total wall vindow area ....................................
b. Total door area-••• ....................................... y?3• G
c. Total slidinq ylass door'arca ............................. .?2. 2-
e1. Total Lireplace .+all area ................................. O
c. Total wall framing area (avecage 10e) ..................... Lyb. O
f. Total ner wall area aMve floor ........................... LyoY.B _
g. Total rim joist area ....................................../79.e
Total exposed Eoundation area = /U'•i
h. Total foundation window area .... .......................... O
i. Total nct Coundntion are above yradv .....................
Determine "U val ue of each wall segment.
x ?.u,. , sr = SG•?
b. 9K3.1, x .,U.. , agic
C. 32. 2 x nu° . ss = iJ>
a. p x ..u„ ? p = d
e. /74 -n g .?u..
f ?! ..U.. ??---
... 179 s? ;.:
-- ,.u•• . os? -
- - 9.3 _ . _.
? o,.
O------ • •??•• o .. ' .. O. _-
+J
[?iioNe h/?.? -,gnP s's"o
] ... . .. . ...........................ToCal
IC item pJ is the samc as, or lesn than iwm ql, you havo iaot 1.11c iiiCunt
oC SuC 6006(c)2. v(µ, -o' y G- .94.r,.,Y/. //f?36? ?""? D?dCe
-?+?-? ? 5!3 c Eio n G?c) L
Total exposed roof/ceiliny arca = /338• ?' __ ,
j. T4ta1 skylight area ....................................... O
k. Tocal root/ceiliny frarniny acaa (avcrayu LO'e) ............. /3 3-&
1. Total net insulatcd roof/cuilinq arca ..................... 'o .
pptormine "U" valuc for cach roof/ceilinq scyment.
j, O x°u° O = d
k. 13f7.b' X..,,.. , o?s = 3•y
Z x..U.. o;S. 3
4 .............................:.......Tota1 = .-P8.J
If iotal of N4 is the same as, or less than #n2, ?you have met thc intent of
SBC 6006 (c)1. --7,0„ ? S/ <ZS-7> ? c'?-.!? 1(??•??'?"'t?`
..?,..C...,? s 9 c G oo 46
lt ernate Building Envelope Design
To utilize the total envelope system meth«1, the values r_stablish_3 by the
sum of i[ems N3 and 44 shall not bc greater thon tlie sum c: items kl and 02.
+ z. 33-5 = a?7/
a. . 2 * a.
Z C2'Z 7• />
O
For Office Use j
Trf- Permit 71T71
City of En I (
I Permit Fee. 20Q v
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I L~ I
Fax: (651) 675-5694 1 Staff: (rte
t.
2009 RESIDENTIAL BUILDING PERMIT APPLICATION (Iz-tet,1
Date: _ 1,2 Qq Site Address: G~~ V 1 t ~'C 5 f\ Zit Y
Tenant: rr' n_ r l VSr-_l t (1 I A V_ trl_f1 Suite
RESIDENT / OWNER Name: -)e U'i Y\ ~I~t a u (j Y^i Ca Phone(46t)
Address 3 i
/ Cit / Zip: r~co~ P}~ _ N
Applicant is: \1 Owner Contractor
TYPE OF WORK Description of work: ~C o (ft- Cie~
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. i
i~
Applicant's Pri ted Name licant's Sign e
Page 1 of 3
JUN 1 " 2009
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 300 Occupancy - MCES System
Plan Review Code Edition SAC Units
(25%_ 100% Zoning City Water -
Census Code c~ 3Y Stories Booster Pump
# of Units Square Feet - PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) /Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water ^Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee -30
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies G /
TOTAL
Page 2 of 3
TRI-LAND CO
SURVEYING . SITE „PLAN FOR
SERVICES RSM HOMES
1260 YANKEE DOODLE ROAD
- - EAGAN, NIMESOTA 55126
LEGAL DESCRIPTION: LOT-a,BLOCK_2-, LMNQMN ffl A l VD' '
ACCORDING TO THE RECORDWL PLAT
THEREOF RA 5 OTA , COUNTY, 14NNEW, A ~
"ONS DIVISION
LEXINGTON POINTE PARKWAY
i .L=80.70 ''p
ftr~ )l~z5°g0,I6..
' s
R
"mss ~ ~ ~ ~ Ir?
SCALE.. I"=30'
1G.03'm
LOT 44` j JE D
By
~ G
W allx1P F3a
t
0
LOT , EN EERiYd DEPT
a 17 J°
Lp .
2 CIRAIMIM s uriLrrr eaMME z
ar
97bf1 p+ 77.4r
(f%-1 89°80'21"W 92.59 "a )
6PROPOSED SPLIT LEVEL WALKOUT
IN ELE AT SERVICE EXTENS{OIW'.....~--
--E6E VATION
oe DENOTES IRON MONUMENT PROPOSED f3ARAGE FLOOR ELEVATION
e DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION • ¢
47f.V DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR '
ELEVATION ELEVATION
(".2)DENOTES PROPOSED SPOT
e✓ DENOTES D AIINAGE DIR=ION Nom: VERIFY ALL FLOOR HEISHTS WITH
FINAL HOUSE PLANS
I rw* oo"Ify that this surve an or
report was prepared by me orY, PI
under my
direct supervision and that I am a duty @radley J. SVKSM, Mn. Rea No. ON35
a a Registered Land Surveyor under the M, ~y
.(,a_
9 Laws of tM State of Mt~esata Date:
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA099260
Date Issued: 05/26/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4356 Lex Pointe Pkwy
Lot: 17 Block: 2 Addition: Lexington Pointe 3rd
PID: 10-45072-02-170
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Janet Mason
122 West - 3rd St
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Hales- Comfort Sj-stems Kevin D Burian
122 West 3rd St 436 Lei Pointe Plavy
Hastings NIN 55033 Eagan NIN 55123
(651) 437-0338
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use I
IA I
City of Ea Permit#: >
Ed I jT~ j I
I Permit Fee: y~
3830 Pilot Knob Road V'_ 11--' Eagan MN 55122 ~p11 I Date Received:
Phone: (651) 675-5675~~ ; staff: ;
Fax: (651) 675-5694 l 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 47 ✓ S6 4JC_7Xl JU 7-6A) rl27L- 29 Unit
NfwwA A) Phone:
RESIDENT /
OWNER Address/City/Zip: C~Ny~~
Applicant is: Owner Contractor
~ J ~A 57
TYPE OF WORK Description of work: yylNGy4J ~E~li4~Ic~l ~o~~ V15^/., S
Construction Cost:
Multi-Family Building: (Yes / No
Company: n►E 4qV&1Gc711 Contact:
3`1.3g%. yV't_
CONTRACTOR Address: City;
State:' L/t Zip: J0o2if Phone: ~lJor 3 6-7Q0
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil ing Code must be completed within 180
days of permit issuance.
x leoY.yy x
Applica 's Printed Name Applic s Signatur
Page 1 of 3
100490
Use BLUE or BLACK Ink
r-----------------
I For Office Use
MY of Wan I Permit 935 ;
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5654 I Staff. l
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: t E~:Q a Phone:6
5/
RESIDENT.!
OWNER Address/ City/ Zip: L
Applicant is: Owner Contractor
,r a k_,Zz
✓ C 1f t~C~
yTYPE OF WORK Description of work: CL
Construction Cost: v Multi-Family Building: (Yes / No-
Company: ontact:~C,
CONTRACTOR Address: ~1 a S City: r VN y~~ \
State: V\ ~ Zip: _~5_S Z>3 _;7 Phone: 9-f Q 7!`' 7 - 4L'259
License iT: Lead Certificate A \ a 3~~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting 'documents that you submit are co sidgred to be public infonnadon. Portions of
the information may be classified as non-public you
~ provide ~pecltlc reasons that would permit the City to
conclude that"the ,are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the vork will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit iss 7ce: .
1
x . c~- Y`a x
Applicant's Pxihte-d Name Applicant' Signature
Page 1 of 3
City of Emil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
ApR192016
Use BLUE or BLACK Ink
For Office Use I I -
Permit #: / -36o/ ( -A
Permit Fee: iq''JJ..
Date Received: L1/1 7'I (6l'
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name:
1.1e. iMexit-K;T:t..1
Address / City / Zip:
Applicant is:
Phone:
L /35-6 te)C4•47+:1---H,
Owner47 �� �
Contractor
Cek. 1-74S
Description of work: t c cot L4-i.,rc us - P/u K. 6;141 /pcc..fii,„ ¢o r�
Construction Cost:
Company: :` / r,—
Address: 13 3 S
Multi -Family Building: (Yes / No )
Contact: Com( 14-4-+- 1sc ,`c,�
City: it4 inc Voir
��
State: �Zip: `ta7 Phone: fZ t?s,8/ST Email: ed�eti ap c
License #: L to 2 ") 9 5-3 Lead Certificate #:
..........________.........
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
ire Suppression Contractor: Phone:
NOTE: Plans and supporting documents,that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B 'Id' • Cod. mus be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
4-1
SUB TYPES
Foundation
/ Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ()
Census Code
# of Units
# of Buildings
Type of Construction
ti
DO NC WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Firleplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
2' Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
P0
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
x. Final / No C.O. Required
x HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings _Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ FootingsBackfill _ Final
Radon Control
Fire Suppression: Rough In __Final
Erosion Control
Other:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
)6fil pod
0-6014°
TOTAL
r
L
00
t/(
age 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136142
Date Issued:04/26/2016
Permit Category:ePermit
Site Address: 4356 Lex Pointe Pkwy
Lot:17 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-170
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Kevin D Burian
4356 Lex Pointe Pkwy
Eagan MN 55123
(651) 683-0058
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:EA136374
Date Issued:05/10/2016
Permit Category:ePermit
Site Address: 4356 Lex Pointe Pkwy
Lot:17 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-170
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 -
Kevin D Burian
4356 Lex Pointe Pkwy
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I buiidinglnspections@citvofeagan.com
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: 10'30-17 Site Address: 4356 Lexington Pointe Parkway
Tenant: Suite#:
Name: C41Q_<t _?/LL2_- / 1° tJ/ kS Phone:
Resident/Owner
Address/City/Zip:
Name:Silver Tree Plumbing & Heating, LLC License#: MB0005441
Address: 1335 Mendota Heights Rd City: Mendota Heights ,./,/ �
Contractor ' tO- i'(J.4LJ/
State: MN Zip, 55120 Phone: 651-
Contact: Jenny Norell Email:Jennyn@silvertreepandh.com
New X Replacement _Additional Alteration Demolition
Type of Work• Description of work: Install Dryer Vent& Combustion Air
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for Information on,permitted screening methods.
RESIDENTIAL COMMERCIAL
—Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Permit Type —
Air Exchanger —Gas Exterior HVAC Unit
Heat Pump _Under/Above ground Tank ( Install/ Remove)
-Other Dryer Vent&Combustion Alr
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$60.00 TOTAL FEE
COMMERCIAL FEES / �--
t
Contract Value$ bbd x.01
$60,00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 /
_$ Surcharge
If the project valuation is over$1 million, please call for Surcharge 6 .. (9 0
g =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeapan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start with,ut a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of pl.ns.
Jenny R. Norell x i f fr '4 /
Applicant's Printed Name Appli'i'`'s STs� -
vFQR OFFICE USE
Required Inspections: Reviewed By Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146521
Date Issued:10/30/2017
Permit Category:ePermit
Site Address: 4356 Lex Pointe Pkwy
Lot:17 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Kevin D Burian
4356 Lex Pointe Pkwy
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
3185 Terminal Drive - Suite 200
Eagan MN 55121
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164635
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 4356 Lex Pointe Pkwy
Lot:17 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Kevin D Burian
4356 Lexington Pointe Pkwy
Saint Paul MN 55123--193
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature