4368 Lex Pointe Pkwy0 CASH RECEIPT ?
CITY 4F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122.
F40M
?
AMOUNT
,
& DOLLARS
1 ,oo
? CASH bd CHECK
J7-
T?
U'? % ( ??'!?•'? ??.FS/ ? L.i'(/
YY
C hits--PaYerS CAry1'
Yellow.-POStinp Copy
Pink-Flle C.opy
Thank You
BY !- -,
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1697
DATE
OFFICE USE ONLY / 3189
METER #
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE
PERMIT # 1 10
B.P. RECEIPT # J '
B.P. RECEfPT DATE ?12I89
_ PRV - BOOSTER PUMP
SITE ADDRESS ,,' • ' ?. ? , , -
LOT _BLOCK SEC/SUB '
APPUCANT: ADDRESS: -t
CITY, STA7E ZIP • PHONE:
PLUMBER: - _+ l
AdDRESS:
CITY, STATE ' ZIP `
PHONE:
1 AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PERMR AUESTED
1 ?
?- SEWER WATER ' TAPS
- Cft?MM/IND ?" RESIDENTIAL
? NEW - EXISTING
Lawn Sprink{er Meters are to be Instatled
Ahead ot Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEMfER PERIYIITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE "') L - ? ,
OFFlCE USE ONLY 813189
METER ? ?i?? `2 D !?Y PERMIT DATE
CHIP ? ? 0 (P g S 3 3.5*?pERMIT # 10710
METER SIZE B.P. RECEIPT #C-12 5 5
ISSUE DATE ' B.P. RECEIPT DATE
_ PRV _ BOOSTER PUMP
I SITE ADORESS
LOT ?.BLOCK Z- SEC/SUB W JO, kT `t P
APPLICANT: l.)C-
I ADDRESS: `;-- `f ?t?1 ?; ft ?-F Aj/C
CiTY, STATE i`?. J ?l,?1.1 ZIP
PHONE: `" -f?
? PLUMBER:
ADDRESS:
CITY, STATE 1 i k ) C4
i PHONE: &.?'
' OWNER: -
? ADDRESS: _
? CITY, STATE
' PHONE: _
ZIP
PERMIT R%UESTED '
"SEWER L' WATER/- TAPS
- C,OMM/IND _VRESIDENTIAL
_?,L 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 . . /
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
51GNATURE WHEN METER ISSUED I
' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ?
SEWER PERMtTS, CONTACT ENGINEERING DEPT.
•:a - ?'. r -
:
Site Addre
Lot 2(
Parcel No
Name
CIty
.. ..:as.: .+i?. r, .. . . - -, fi,,. , . ... .?,.?:.. . . . . . -.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Phone
i hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
,
Signature of Permitee r ?
A Building Permit is issued to: DAM BROTEM
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cty of Eagan Ordinances.
Building Official
PERMIT
SF DfiG/C#i
Block
Receipt #
16368
OFFICE USE ONLY
Oceupancy R-3_*2-1 FEES
Zoning PD it-i
Y-M
622*00
(Actuat) Const Bldg. Permit
(Allowable) V-m Surcharge ?.00
N oi Stwies
46 ?
Plan Review
311 *00
Length
Depth ?
-
SAG City
100000
S.F. Total -
SAC.MCWCC 57??(p
S.F. Footprints _ 5M.00
On Site Sewage _ Water Conn
On Sile Well Water Meter ?0?
MWCC System ? ???
City Water ? ?t. Deposit
20*00
PRV Required _ Sl1N Permit
BoosterPump - $/WSurcharge 1.00
228'00
Treatment PI
APPROVALS qoad Unit ??ooo
Plann9r
Council - Park Ded.
BIdg.Olt. _ Copies
2t9a5.00
Variance - 70TAL
PermR No. Permit Holder Date Tebphone #
WATER-
w
SEWER
PLUMBING
H.Y.A.C. 9r1'?7/10
ELECTRIC lill' ?
Inspection Date Insp. Comments
Footings I
Foundation
Framin9
Roofirg
Rough Plbg.
Rough Ht9
ls,l. 9 .
Freplace
Final Htg.
Final Plbg. /-?
Const. Meter Pibg. Inspector- Notify Plumber
EngrJPlan
Bk1g. Final j
Deck Ftg.
DeCk Final
Well
Pr. Disp.
(Itr#ifiratt of Mrrupanry
titp of (Eagan
ioPpwftpitf IIf v1Lflbi1tg J?itBpPiftDtt
This Cenrficate issued pursuant to tlre requiremenu of Section 306 of the Uniform Building
Code cerlifying that at the time of issuarce this structure was in complianre with 1he various
ordinances of the Cr1y regulating building construction or use. For the fallowing.-
twchwc=dofl SE DG]C'/GAR m4. permii No. 16868
OocuPad.S' 1)'Pa R3' 1.` I Zooing D'+aUict PD! n I TYPe Camn VN
o?..r euwiJWE BF02ERS IlN-1 . Add,,. 9304 LYME AVE., SUCIl+1.
Fb.Aai naa 4368 UIIa%-ICN POIP]IE M4Y j,hV LZO, B3, LMMiCXd POII+TiE 20
D,,e: MAY 10, 1990
aw7di,g offici.r
POST IN A CONSPICUOUS PLACE
PERMIT # X
MECHANICAL PERMIT RECEIPT # ? ?
• CITY OF EAGAN - "} s
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: I54-8100 For Office Use Only:
Site Address • • • ` gLDG. TYPF, WORK DESCRIPTION
Lot Block 1
Sec/S-"ub
fies. " New
? .
? Name ' ' =-. • -?- =i. ?.? ._? Mult Add-on
A?
? Address Comm. Repair
Other
c City , Phone
N
'` `?? ?? FEES
ame •- RES. HVAC 0-100 M BTU - a24.00
; Address `j ADDITIONAL 50 M BTU - 6.00
p City Phone?" -. (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINiMUM
1 PER PERMIT) - 1
50 EA
.
-
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU - APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. FiATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M 8TU ? MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent T
CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other S
," A
FEE:
SIGNATURE OF PERMITTEE T
S! C:
? TOTAL• ? ri ' '? FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT ?
pRICE -?
Site Address "/,S L .?
Lot 2[? Block
? Add
c City
PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT#
? I Address V?a</
? City lcc,,,f,,. Phone
FEES
GOMM,/IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - CAMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
For Offlce Use Only
PERMIT # e,14 r;e 4 ;;I
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Muft. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTU R ES TOTAL
? Water Closet - $3.00 $
Bath Tubs - $3.00 ? EPZV_
-,?2_ Lavatory - !?3.00 co_
_Ae. Shower - $3•00 -?^dp-?-
Kitchen Sink - $3.00
UrinaUBidet - $3.00 •
_L Laundry Tray - $3.00 T4e ?
Floor Drains - $1.50
/ Water Heater - $1.50 4- 6_
Whirlpod - $3.00
_4 Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMI'T)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_L Rough Openings - $1.50
PERMIT FEE: ?T'?"
STATES S/C: ,-'? L?
GRAND TOTAL: 33. 5 ,'
4828 3
,?Po
Request Date Fi e No. ough-in Inspaction
Reqwred?
? Reatly Now ?II NoLty Inspedor
h
tl
fl
'
?'es ? No y
en
ea
Ig.licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Brn or Route No ) Qty
,6 L? ;
- ,; f a,
70
Section No. Townsliip Name or N. Range Counry
Occupam (PRINT) Phone No.
F?
Power lier
a ko AtlOress
El ConVaclor (COmparry NemB) ConvacmB license No
xe/YI/1/ G II` O? ?N?• ? ?• eI
Malling Atldress (Conbactor w Owner Making Installation)
S/SO S .4 , K f.. S5-3 'D
AuU
OnVaGar/Oxner Meking InslaAalion Ear
P
Num
= ?
'C0722
O
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
GrlgBe-Mitlway BWg. - Naam &173 BE ACCEPTED BV THE STATE 60AR0
1827 UnlversHy Ave., SL Paul, MN 5510! UNLESS PROPER INSPEGTION FEE IS
Phore (612) 642-0800 ENCLOSED
i7/Y9 _.
V 482$3
REQUEST FOR ELECTRICAL INSPECTION
d Sw InstrucGons br canple0ng this form on back of yelbw copy
"X" Below Work Covered by This Request
E60000t-O]
ew Add Rep. TypeofBuiltling AppliancesWrted EquipmentWired
? Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Fartn Air CondRioner
Other (spaciy) Contracror's RemaBS.
Campute lnspection Fee Befow. ?b3
# Other Fee # ServicaEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps /S•BO ? 0 ta 100 Amps VFiGO
Transfortners Above 200 _ Amps Above 100 _ Amps
Sgns Inspecror§ Use only TOTAL
trrigation Booms ,?•? ?j 3?S?y
Special Inspection
Alartn/Communicahon
Other Fee (
I, the Electncal Inspector, hereby
tit Rough-m oare? J? y
cer
y that the above inspection has
been made. odu.T/?
?(
OFFICE USE ONLY
Thia request vod 18 monlhs irom
BLDG. PERMITNO.
' Pte , 3 r?f ? '13(a 8?p ? fe P,tu)
?
01-3210 Bldg. Permit ? a Q-0
01 -3422 Plan Check 31 ?
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. ? 75
01-2155 Surcharge ? z
75-3860 Road Unit ?
20-2275 SAC
20-3865 Water Conn. 8b Cb
20-3868 WaterTrmt.
20-3716 Water Meter U
20-2252 Acct. Dep. ?
203713 Water Permit
20-3743 Sewer Permit O
?
79-3866 Sewer Conn. GZ
28-3855 Park Ded
TOTAL ?-? C1 qS I ?
CITY OF EAGAN NO 16868
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
3?5?
BUILDING PERMIT PHONE:454-8100 Receipt a 0
Tobeusedfor SF DWG/GAR Est.Value $96,000 Date AUG 1 19 89
SiteAddress 4368 LEXINGTON POINTE PKWY
Lot -24_ Block _2_ Sec/Sub.LEXINGTON POINTE
Parcel No. 3KU
Im IName ?AHLE BROTHERS INC I
? Address 9304 LYNDALE AVE S
City RL.OOMINGTON Phone 888-0840
a Name SAME I
Address
? City Phone
Name _
Address
QItY _
Phone
I hereby acknowlege thatl have reatl Ihis apphcation and state thatihe
information is correct and agree to comply with all applicable State of
Minnesota Statules and City ol Eagan Ordm ?ce?s?.-?, o
Signature ol Permile???/.?? if
A Building Permit is issued to: DAHLE SROTHERS
on fie express condtlion that all work shall be done in accordance with all
applicable State ol Mmnesota Statutes and City of Eagan Ominances.
Building OHiaal
OFFICE USE ONLY
Occupancy R-3-1I-1 FEES
Zoning PD R-1
(ACtuap Consl V'N Bldq Permn 622.00
(Allowabie) V-N Surchar9e 48.00
k of Stories
Length -
46'
Plan Review
311.00
Depth 48 ' SAQ Cny 100.00
S.F.Total - SAC,MCWCC 575.00
5 F Footprinis -
On Sne Sawage _ Wa1er Conn 580.00
On Site well warer Meter 90.00
MwCC System xx 30
00
City Watei ? Acct. DePOSrt .
PRVRaqurtetl - 5/W Permit 20•00
Boosler Pump - S/W Surcharge 1. 00
Trealment PI 228.00
AGPROVALS qoad Umt 340.00
Planner - park Ded.
Council
Bldg OH. _ Copies
Variance - TO7AL 2 945.OG
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?i 7o°a
New ConsWcdon Reauiremenb Remodelrtteoair Reawremenb 4ffioe Use Onlv
3 regislered sile surveys showirg sq. ft. of lol, sq. fL af house; and all roofed areas 2 ropies of plan CeR of Swvey Recd _ Y_ N
(20°k maximum lol coverage allowed) 7 set of Eneryy Calculafions for healed additlons Tree Pres Plan Recd _ Y_ N
2 mpies of plan showmg beam 8 window sizes; poured found desgn, etc. 1 site survey for addNOns 8 decks Tree Pres Reqd _ Y_ N
1 set of Eneigy Calculafions AddiBon - irro'icete il onsite septic system On-sife Septic System _ Y_ N
3 copies of Tree Praservation Plan'rf bt platted after 711193
Rim Joist Detail Options selectlon sheet (bldgs with 3 w less units
Date / V /
0 l O?
3 ConstructianCost
I
,
SiteAddress '7 3 L.EYL
_ ?-Dcavl ? ? ?/?w
nu y Unit/Ste #
4 ? ? J
.?
Description of Work f?" r '.Q.v
0." ? v2cn 55 'Ve
4e s{-
?
Multi-Family Bldg _ Y? N Ftireplace(s) _ 0 Y 1 _ 2
Property Owner ) G S ?PiVA pA A qEA Telephone # ( (<51 ) Co g S --7YSg
Contractor /- /p ? ?4 ?- e S ? `'?- ?? [?
Address A??° CiTy % r;uv
State /M ?k Zip Telephone # 7 7 0- S 7 ?I I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy COde CategOry , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheat
(4 submission type) Submitted Su6mitted
• Energy Envelope CalalaUons Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
#(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that e information is cotnp ete and accurate;
that the work will be in conformance with the ordinances and codes o ?f EaQan anthe State of MN
Statutes; I understand this is not a permit, but only an application for a permrt, and wor is no 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.
Applicant's Printed Name
Telephone #(
Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canatruttion ReauiremaMs
• 3 registered site surveys shomng sq. ft. ot lot, sq. ft. of house; and pII roo(ed areas
(20% mazimum lol coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculatioris
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
• Rim Joisl Delail Options seledian sheet (bldgs with 3 or less unAS)
DATE ?/ ? 3I0 z
_ Waler Softener
_ Water Heater
_ No. of Baths
IULTI-FAMILY BLDG _Y ?,N
FIREPLACE(S) _ 0 w?-1 _ 2
APPLICANT
s
STREET ADDRESS Iia /Vi ra 2?. ,?CITY 1-?o1 SU. 1a STATE/OZIP ?
TELEPHONE # I`1S '707-G°fsry CELL PHONE #/AZ6 FAX #(q 6-Z) 707-OIR-2 S
PROPERTYOWNER Dr ? ?Ue ??'1'e? TELEPHONE# IoSI C9S?B??7???g
--------------------°-°----------°-------------------------------°---------°--------------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: ___
Plumbing systcm includes:
Mechanical Contractor:
Mcchanical syslem includcs:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fcc: $90.00
Tee: $70.00
--------------------------------------°----------------------------------------------------------------------------------
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 dinances
Signafure of Applicant
OFFICE USE ONLY
RemodellReoair ReauiremeMs
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey forenterioradditions & dedcs
• IMicate if home served 6y sepUC system for additions
VALUATION ?/Ud0
Phone #
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
CZTY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D G9
DATE: o?Fl
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST _
ADD ON Yy
REPAIR _
OWNER NAME : _j C ?r
SITE ADDRESS:
LOT: JO BLOCK o'?L SUBD.
INSTALLER:
ADDRESS:?C?cJ? ?`1fb?rl? /Q??'?
CITY:L?. ST / ALYI 2IP: ??-
PHONE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 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.
_ (MINIMOM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00
_ PRIVATE DZSP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
ST. SURCHARGE .50
? gTGT1pT1AF OF PPRMI'PTEE
TOTAL: ? S. S O
C?I4fERG_kIs?.iNDUST&IAPLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.. , ?..,.._...:................ .
.
M[JLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE AODRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP.
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FDR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
? U??
, , . . .
CITY OF EA
GAN
1989 BQILDING PfiEiMIT APa
3IlJGLE FAMILY DWELLINGS l(of INCLUDE 2 SETS OF PLANS, 3 CERTZFIC9TES OF SURVEY, 1 SET OF ENERGY CALCULATZONS
$OTE: ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDR&SS
IS DFSIRED. AO CHANGFS AILL BE ALLOWED ONCE BUII.DING PERMIT I3 I33IIED.
MULTIPLE DWELLINGS 9ENT9L QNITS FOR SALE ONITS
/ OF ONIT3
INCLQDE 2 SETS OF PLANSt CERTIFICATE OF SURVEY - CHECg iIITH BLDG. DEPT.p 1 SET OF ENERGY
CALCIILATIONS
COPIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - JUL 19 1989
To Be Osed For ?• ? Ya? .?w??? ? Valuation: ? Date:
? 2-D °f^
Site Address Lk3b`b ?..•. ?ro?.
???- ..-? g(ppp-OFFICE iTSE ONLY
Lot ZO Hlock Z- Oecupaney R-3 M-I FE€S
Pareel/Sub??. Zoning p} Q-1
Actual Const V-N
Bldg. Permit
iZ2.Ci7
Allowable V-AI Surcharge $,oo
Owner # of stories Plan Review 311r p0
Length qj,' SAC, City fpO,Do
Address Depth LIS' SAC, MWCC ShS,oo
S.F. Total Water Conn 5pol
City/Zip Code Footprint S.F. Water Meter 90.
o?
Aeet. Deposit 30,00
Phone On site-sewage_ S/W Permit 20' oo
` On site well
S
t S/W Surcharge
tment Pl
T /,Oo
;?Ag
oo
- Contractor MWCC
ys
em ? .
rea ,
t
' City water ? Road Unit 3 y0,o0
\'jC0C
Address PRV required Park Ded.
R ? _
Booster Pump _ TOT9L3
City/Zip Code o-v?.?. ?
APPROVAIS
Phone ft$ -o'E.ptp Planner _
Council
Areh./Engr. Bldg. Off.
Varianee
Address
City/Zip Code
Phone 9
80TE: Serrer & Water Permit Pees and aecouat deposit fees will be included in the building
permit fee. Processing time for seuier and water permits is tvo days onee a liceneed
plumber has applied for a permit at City Aall.
VALuA-rioN
G-qRqGE
Z2x22 =y $C4
V?9- X 13 = Ca?)
gsrnT yb
?.2 x26= s?2
12?1z=
J a9? X/q= I gosa
Potisc-
I35+'hT = 12-F1 Z
2'?? = I y
? ??2 Xz? ? 3 3
1?2x13= C'?o
!l
13?8 XSti= 6'7yoo-
q z44$
5i ,? RoeN
(L,?,z.= y
,
9 5 3 yi
TRI-LAND C0. SITE PLAN FOR:
SURVEYING .
SERVICES DAHLE BROTHERS 1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOT20-,BLOCK2, LERINGTON POINTE 3rd ADD.
ACCORDING TO THE RECORDED PLAT
EREOF DAKOTA COUNTY,MINNESOTA
?FkzN?
oN ? ,
qn9 p/n/T
\4;4, E PqR
?KWqY
w? -
?sseQd
\ b
/p S.
SCALE:1"=30' G°R ?
? ?
? ,
?
?
,
/A,$0• , PIiQ '^? O.
O ` Po?tcy y ?s'e?E?
LOT 0.j
/
21 / ,, . . _. .... . . _.. . , - -
q1
4V /
L 0 T
o / LOT 19
20
/ N
/ oN
cv
1 DRAINGE 8 UTI???=EASE?NT ?
-? N84030'00"W 78.27,?? ----?`?s-E D
N89°50 21"W
8.18 By
Date
EA?'aARt Eil1UIRTEE?tIi?C D?'r
LEGEND PROPOSED FOUR LEVEL WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSEO GARAGE FLOOR ELEVATION = 980 @-
o DENOTES W000 HUB SET PROPOSED FIRST FLOOR ELEVATION = ea? ?
DENOTES EX15TING SPOT PROPOSED BASEMENT FLOOR = 972 g-
ELEVATION ELEVATI ON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEI6NTS WITH
FINAL HOUSE PLANS
I hafstly cerfity tAaf this survey,plan or
roport was prepcrad by me or under my
direct suparvision and that 1 am a duly Bradley J nson, Mn. Req. No. 15235
Reqistered Land Surveyor under tAs
Laws of the State of Minnesota Date ? ?/9?
i
`f #%7ERIDF E*VEIOPE RVERAGE "tI" fOMPU7AT10N
Ott? i R : ?a?\e. _ _ ?7v1s? +++r?w
sITe ADDRFSS: ^kJb$ ?...?rc. ??i?•. ??,•?•.• ??-?r-.•?
LONTFACTDfi: 4? DRTE: ?.'? `"B9 VrIDNE: BDO?Ia?DLr
DETERnInE UDRYIflG SDUAFE FODTAGE 0r EACH:
1. TOTAI EXFOSED ?1kLl AREA,,,,,,,, ,$-1 a sq ft x"U"
2, TOTf.I RODF/CEILINU AREA.._..., ?'Z$p sq ft x"U" .OT?(p • 33.ZS
3. TOTAL EXPOSED uALI AkfA CALCUlR7 I0N5:
Total exposed wall
area above floor,,,,,,,, sa ft
t
e) Total well wtndoN erez:
vlazed...... ,u18 s4 ft x ??U„
dl
e)
.SIs
. a'j, .8$
'--- qlazed...... - sc ft x "U" - v '
b) Total door area sq ft x"U" .?3 - y•96l
c) Totel slldin9 glzss door arez:
ola:ed...... UVO ,
- alazee......
so rt x 22•+{0
s c f t n"L' '
sc f t x
Total fireplace aall area
Totzl h•elt frE-,inq area
(Averaoe 10°)........... Wo Sq ft z "U'
t) Tctel net wzll area abeve
.
.
. oa • ? .yo
fl00f (InSIlI2tEd) ••.. ... 12-M 5G {L r" L" - 04 s S• Z
cJ 70ta1 rir. joist zrez... ... sc ft x"l'' •? ° ?0.?
Totel foundotion
frea (EzPosed).......
... hQ
sa ft
h) Totat icurCatlon
wine^..: arez......... .... se ft x'U
1} 7ota1 net foundotion
area above nrade....
....
sc ft
y "U'
.?? C
` `7•? - -
j„ TO1AL a) thru 1) _``5•
Ii ite- }3 15 the szne as, or less then ite^ fl, ycu hitl•e r•et-the intent nf
2nC O.
Pog. ]
• .
4.' TOTAL EXPQSED RDOF/CElltmf, CALCULATIOt15:
Total expnsed
roof/ceillnq erea........ 1 ? Z$ sq ft
???„ . ?1t
•- 3.'z-S
?'.. sq t : x
J) Total skylioh are ?
k) Totel roof/celilnq framing
area (Averaoe 1n9,),.... k\2-•$ sq ft x"U"
1) Total oet insulated roof/ceTling erea....... kk2o aq ft x"U" •O2 ? 7iZAD
y, TOTAL J) thru 1) ?•f?
If total of !1i Is the same as, or less than f2, you have met the intent of
2"1CA.Z 1.16008 A and 0.
ALTERt7ATE BUILDIPIG fNVELOPE DESIGK
7o utilize tfie total envelope system method, the values establlshed by the sum
of items 0 end fl4 shall not,bs greater than the sur-. of items 8 1 an d 82.
1. + 7..
i, • +- 4.
C E R T I F I C A T I O N
?
3
I hereby certify that 1 have calculated the "U" fzctors and "R"
values herein and that the buildinn here descrihed neets or exceeds the State
of Hinnesota Eneroy Conservation Act.
lqnature
/- M-M
(Date}
Page 2
,
a
aSTRUCTION Ill VAWE
4NING SECTIOH:
Intcrlor al? fllm ?.Ra
V7
nches so t weod L.ff
4i:• y.lf?:?.:: j•t?
h._? S.a: •? xterlor?a r • 7
TOTAI ? lo.5i
ui tIa• oq
vniL SECTION (INSUIATED)
--{1 interior sir filrn
.
B
5
r
.,Aa
U - 1/R - oy
1tIM lOIST SECTIDt1:
-{1 lnterlor slr fllm n•t+?+
0.) _• r,.-......, ?c.ar K .iL
C
• ?i f?l-' ti? :..1itt .
4 W" G _ C•f
or air
D
-? ?
! 1pQ ? , a
e,• °' •''•
'•d•
: `.p•.'.
a•.?•:.i;,a
------ • • Tois,L n m ??..?tr
FOUNDAT10N 1tiSULA1101i REQUIRED: ??,?? ?.Vy
Yin. ?2--15 or, entire wall DR
t'in, k0 down to'frost depth •
FOUNDATION SECTION:
1 Interior eir fi1R. ?•R?
2 • ?-F, t'.,• ?.o=
3 t.- u„c .•? - ?.:f•
L fxterior z+r filn ?• 7
,p (5
E
I.: : /Tll7>,? (F
TOTAI F - 1.1:
v - 14 ..-
SLRS 0N GR4DE
E
°e. a _A? . .' .
i , •Q' G' ' ? %??// ?/('
• ? Heated Slabs:
?,q; ..4• Unheeted Slabs: -
,. ?v • mu-, R = b.2
Q aG , eci,Q 'q, : `r q:•
,'?..•A'..., ?..'ti.*. .. G
•'; .'. ,?; ° :
q
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. ) 9
.d?• , . .d' ?.r??D
,
F
G
[,?.ONSTRUCTIfIN rl VALUL
tE1LtHf. SECTION (INSULATED):`
? Interler alr ftln D.fT
? =-. . rt t 9,
3 c?? ?a? . e.?? ?,
4{Ktcrior eir fllm still f1.R1 ,
TOTAL ft ? 4;?1
U/R?.Ok .
• ? `
CfILING FkAhINf, SECTION' .
1 Interlor eir film (?,f1 ?
2 s;.
3 t?c ?.t? . e•.?..? +4? .a
4Interlor sir i R. (still)
n. ?
incAes so t «oori ?.p(- _
tOTAI R ? ;i.t4
/
[EIIING SEf.TION (1?lSULATED):. ,
? 1 Interlor eir fi1R n.Fl
2 s'l C-, e....d ? -
3 : A D=
4 fxterior eir filr stil n• 1
1DTaL
U
. ?
H
VENTED
[EIIiwG
1 fFP+Iflf, SfCTlOt:,:
Interior eir filn '
n-f1 .
y sl?.' L «?d •??
3
i
4 Exterlor eir film st
,l ?• ?
inches sof, t v,cd 4 1-4
TOTAI R -l I_L-'
(J i ?/R s .0L
_ • ?.Fi .. _.
1 ?nside eir fi1F
? -.
3
4
5 Ouiside zii filn , n.li
SDiA: F ? , .
U a 1/R -
L?O B? CITY OF EAGAN
MEcgaxicai, rERAnT
SUBD. (612) 6814675
RESIDIIVI7AL
RECEIPT #
DATE
5 ??
PLEASE COMPLEfE UPPER PORTION ONLY FOB SINGLE FAMII Y DWELLINGS. AISO, COMPLEI'E FOR
TOWNHOMFS/CONDOS R'HEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DWELLWG UNTf.
OR'NER: S FEES
SITE ADDRESS:
L13(O /.C Yf46 16,17 fOr f"
I ADD ON E ODEL (FJIISTING
RUCfION ONLMt-C' c:nd• $I5.00
INSTALLER: E4`1(ers a G nC IrVAC: 0-100 M BTU 24.00
PHONE#: ADDI1'IONAL 50 M BTU 6.00
t?uDicF'SS: LC? /?iS ? S 1• GAS OU1'LE'1'S - MINIMUM 1@ $3 EA.
crrY: -e (/4.G1z zrn:SS/c? scrRC?uecE: $
SIGNATURE TOTAL:
J
COMMERCIAL 7? ?i IS3 ile ? ? ?'
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI/INDUSI'AIAL BUII.DINGS. ALSO COMPLEfE FOR
APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
,c.ACH DWELi.iNT. UPIIT.
R'ORK DESCRIPTION:
CON1'RACI' PRICE I FEFS
1% OF CON7'RACP FEE. I
STATE SURCAARGE IS $.50 FOR EACH i
$1,000 OF PERMIT FEE.
PROCFSSED PIPING - $25.00 F
MI1vIM[TM FEE - S25.00
? 2 ?/ - RESIDENTIAL BUILDING
DJ yv Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements . RemodeNteoair Reauiremenis Offce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(200/6 mazimum bt coverage allowed) 1 sel of Energy Calculatlons lor heated addNOns Tree Pres PWn Recd
2 mpies of plan showing beam & windax sizes: poured found desgn, etc. 1 sife survey for additions 8 decks Tree Pres Not Reqd
7setofEneryyCakulafions Adddion-indicaterfonsdeseplicsystem _On-site5ep6cSystem
3 copies of Tree Preservation Plan if lot platted aNer 711/93
Rim Joist Detatl Options selec6on sheet (hldgs wilh 3 or less units
Date q /? Construction Cost 0,v
Site Address UnitlSte #
? S
Description ot Work zA S'1 sKA r4 R,A
Multi-Family Bldg _ Y?X N Fireplace(s) _ 0 ?C 1 _ 2
Property Owner Telep6one #((oS`
Contractor
Address Z ,
City
State l ? Telep ne# ) -SS ?
O?
f C Q? l \
?- v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
JUL,
I hereby apply for a Residential Building Permit and acknowledge that the inT7rmation is comp-le e'and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
, lJ-2
ApplicanYs Printe ame ApplicanYs Signature
r
City s4ffi~'~U."sg I
~ Permit
of E
I ~
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 NO V,092009 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
` i
LC~Ccr~(c L-----------------'
2008 RESIDENTIAL PLUMBING OERMIT APPLICATION
Date: ~o Site Address: qe lL ` W 1 W
Tenant: Suite
RESIDENT / OWNER Name:( Phone: • 6 2~
Address / City / Zip:
CONTRACTOR Name:
Appliance Connections License-#: \
C
Address: 131-2 D -a„ -2 CF
City: Shakopee, MAN 5539 Mate: Zip:
Phone: 95;-"§o- ' 4Rerson:
TYPE OF WORK _ New Replacement _ Repair _ Rebuild - Modify Space _ Work in R.O.W.
Description of work: ^
PERMIT TYPE RESIDENTIAL
Water Heater y Water Softener
Lawn Irrigation T Add Plumbing Fixtures
RPZ / _ PVB) C_ Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) - -
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required) '
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductvaork, etc.) (includes $.50 State Surcharge) y0
"-TOTAL FEES $ ~ ti6V
I hereby acknowledge that this information is complete and accurate; that the Aork 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 theapproved plan in the case of work which requires a review and approval of plans.
x ~ X (~)MN hAll
Applicant's Printed Name 1"lican Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Pround Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r
I
For Office Use
41k
o L~
City of Ea I Permit#:
jut I Permit Fee: CJ~a~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Vl.~-~~ Phone:
Resident/
Owner Address/ City/ Zip: /v,,Tj ~t2L
Applicant is: Owner Contractor
Type of Work Description of work
Construction Cost: Mufti-Family Building: (Yes / No
Compan . Contact:
Contractor Address: / r/L 1 id City:
State: Zip:5'S'_!2 Phone: TS-Z- ~4 7 y77`
License Lead Certificate
I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t
s
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 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.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 fora permit, and work is not to start without 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 Sta ding Co ust be completed within 180
days of permit issuance.
x~~ ~s~s, iIr x
Applicant's Printed Name Appl cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141604
Date Issued:03/22/2017
Permit Category:ePermit
Site Address: 4368 Lex Pointe Pkwy
Lot:20 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-200
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Rory C Geissler
4368 Lexington Pointe Pkwy
Eagan MN 55123
(715) 864-6288
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
For OffiUseceUse /BLUE or BLACK Ink
W/
City Permit#:---- 12
40010. Permit Fee:
3830 Pilot Knob Road RECEIVED Date Received: /��
Eagan MN 55122 -____ _
Phone:(651)675-5675
Fax:(651)675-5694 APR 1 3 2017 staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATIONc
Date: 04/12/2017 Site Address: 4368 Lexington Pointe Pkwy
Unit#:
RoryGeissler 715-864-6288
Name: Phone:
Resident/ 4368 Lexington Pointe Pkwy/ Eagan/55123
°Wrier Address/City/Zip:
Applicant is: X____Owner ____Contractor
Shower Renovation-replacing fiberglass shower v0 Schluter Kehl membrane/shower pan,&hie(no pkimbing or electrical changes).
Type of Work Description of work:
Construction Cost: Multi-Family Building:(Yes____/No____)
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: 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:
Fire 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 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 unties. www.aopherstateonecall.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 Buil ust be completed within 180
days of permit Issuance.
x --7=0 F- ("234, x - - -- -
Applicants Printed Name Applica s Sign.
Page 1 of 3
Lf44- 1°6:fr%fK 1° e i'131
VI q2-I 77
DO NOT WRITE BELOW THIS LINE
SUB TYPES,
_ Foundation Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
e_ Single Family ! Garage — Porch(4-Season) _ Exterior Alteration(Multi)
__ Multi — Deck i Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of__Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New
— Interior Improvement _ Siding T Demolish Building*
_ Addition — Move Building .� Reroof _ Demolish Interior
pi Alteration — Fire Repair _ Windows — Demolish Foundation
_ Replace — Repair .r Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � '2./ Occupancy 9-lMCES System
Plan Review ttCode Edition 14\n Z."1$� SAC Units
C��
(25%___100° j Zoning 1)-> City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) 10 Final/No C.O. Required
Foundation __Foundation Before Backfill y7 HVAC ___Gas Service Test____Gas Line Air Test
Roof: ___Ice&Water ___Final Pool: ___Footings ___Air/Gas Tests ___Final
Framing____30 Minutes__1 Hour Drain Tile
Fireplace: ___Rough In __ Air Test ___Final Siding: ___Stucco Lath __Stone Lath ___Brick___EFIS
Insulation Windows
Sheathing Retaining Wall: __Footings__Backfill__Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In___Final
—
Braced Walls Erosion Control
—
)O Shower Pan Other:
Reviewed By: li)t44 /Mr/V/1 _,Building Inspector
RESIDENTIAL FEES
Base Fee 3 6 Sc/ ' IT
Surcharge
Plan Review . /n ,,n --71 wi Fe.eopc .
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3