4369 Lex Pointe PkwyPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128631
Date Issued:11/25/2014
Permit Category:ePermit
Site Address: 4369 Lex Pointe Pkwy
Lot:5 Block: 1 Addition: Lexington Pointe 3rd
PID:10-45072-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Phil Holmin
3432 Denmark Ave #228
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Juanita O Mora
4369 Lex Pointe Pkwy
Eagan MN 55123
(651) 683-9905
Holmin Heating & Cooling Llc
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: - 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: t/•?s..
(612) 681-4675
SITE ADDRESS: `
ti
PERMIT SUBTYPE:
,
4 '`,4fr.' .0 ",0 `' ? APPLICANT:
4, Ftt.???'t
NKtJY
TYPE OF WORK:
„:.
INSPECTION TYPE DA • DA
, i? ? ?r? , i ? • .
i ,
Permit No. Permit Holder Date Telephone N
ELECTRIC 016)101(p Yqy , ,la °v
PLUMBING
HVAC
Inapgction Dete Insp. Comments
FOO7INGS
FOUND
FRAMING G/y? /a,•- ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?
DECK FINAL J??'?9G l'L4?
? CASH RECEIPT
? •'
CITY OF EAGAN
3830 PILOT KNOB ROAD
?
EAGAN, MINNESOTA 55122
DATE ?•
"c,?
?' 19 ?
i
?
RECEIYEO '-
FROY 1..??LC.f ^y- i
nMOUnrr
D CASH
& DOItARS
tm
CHECK
J, ''J . i? I - Li(/ • ?I C? i?al.
- _ `\ . n / /I eJ
FUND I OBJECT I I I AMdUNT
Thank You
BY
C 4084 ? COP„
Pw?-Fae covr
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. ,
Eagan, MN 55122-1897 i ._
s %.
DATE '
OFFICE USE ONLY
METER # PERMIT DATE l J/4/89
CHIP # PERMIT # 10979
METEH SIZE B.P. RECEIPT #"
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
SITE ADDRESS
LOT •-? BLOCK ? SEC/SUB ,:.-
APPLICANT:
ADDRESS: ' --?-c ' :'!-?• s
CITY, STATE ? ZIP
PHONE':
PLUMBER: .;
ADDRESS; j
CITY, STATE ZIP ` ?•.,
PHONE:
OWNER:
y
ADDRESS:
CITY, STATE ZIP
PHOfVE:
PERMIT REQUESTED
- SEWER - WATER - TAPS
_ COMM/IND _ RESIDENTIAL
- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILUVOT be given for Deduct Meters.
, , . ??-
: TO COMPLY WITH CITY OF
ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORIA
3EWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PER1111T OFFlCE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 10/ 4/ $9
3830 Pibt Knob Rd/
Eagan, MN 551224 897 CHIP ? D? 7OZ' ????0 PERMIT # 1 nQ 7 9
?? METER SIZE S B.P. RECEIPT # ? 4084
C, ? ISSUE DATE ? - ? B.P. RECEIPT DATE 10 / 3/ 89
DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS ` - ' 2'?
LOT ? LOCK ! SEC/SUB ? ,:?j
il
APPLICANT:
ADDRESS: - ?-s
CITY; STATE ZIP ?
PHONE:
PLUMBE
ADQRES
CITY, ST
PHONE:
OWNER:
ADDRES
CITY, STATE
PHONE: -
ZIP
PER1111T R EQUESTED
?
?SEWER J?' WR'Tf R - TAPS
-COMANIND --<RESIDENTIAL
y:?EW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead'bf Domestic Meters on. Woer Line.
Crexrit WI OT be gven for Dedkfct?M rs.
4A, ,
J4 AOFiti TO COMPLY WITH CITY OF
` EAGAN ORDIdANCES
$IGMATUgE WHEN*VER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMfTS, CONTACT ENGINEERING DEPT.
"?- ''-""""MTY OF EAGAN
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
DWG/GAK Est value ?70,000
Site Address' ''. a°y 'A'µJIM.'aw^
Lot 5 Block • i SeciSub. _
Parcel No.
¢ Name KEYIAM HOM
o Address 14450 BURNSVIi't'
City BURN5VILLE Phone
o Name SAM
ZI'-
OU ¢ Address
? City Phone
Address
City _
I hereby acknowiege that I have read
information +s correct and agree to c
Minnesola Statutes and City ot'Eagan i
c?C
I :.4.-se --
Building Official 1
Phone
this application and state that the
imply with all applicable State of
)rdinanges.
?AM OW
iall be done in accordance with all
ind City ol Eagan Ordinances.
40 17133
OFFICE USE ONLY ?
&-3 M-1
Occupancy
PD R,--1 FEFS
{
Zoning v N 504.00 j
(ACtual) Const ; Bldg. Permit
(Allowable) -
N 35.00 ?
Surcharge
# ol Srories ?
?
Plan Review 252900-1
;
Length ? .
1? ?
Depth SAC, City
S.F. Total - SAC, MCWCC 575*00
S.F. Foolprints -
's???
On Site Sewage _ Water Conn i
on Site Well
Water Meter a
90'? ?
MWCCSystem
j
30.00
xx Acct. Deposit ?
City Water 20*00 1
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge 1*00 ?
Treatment PI 22a.? 1
AAPROVALS 3????
Road Unil ?
i
Planner
il
C - park Ded.
ounc
BIdg.Off. _ Copies ?
Z?7SS.00?
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWEF(q 3-
PLUMBING
9 so .??0°f
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation l Ct?ii /Z
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ?
Firepiace
Final Hig. /a???I NSTjJLC. _- S C
Fnal PIb9
Const. Meter Ibg. Insp tify Plu r
Engr./Plan
Bldg. Final
Deck Ft9.
Deck Final
weu d W ?
Pr. Disp. ,? r
I -
? ? ;? ?.: • ?
. ' (tex#tfirate uf (Orrupttury .
.
titp of eagan
iotpwrbnptrt nf awldittg invertimt
This Certificate issued pursuant to the requirements of Sectioa 306 of !he Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regutaling huilding construction or use. For the following.•
ux cI..r,.a. SF DWG/GAR mg, p,,.;, xo. 17133
OccupancY'[y'Pe TOA41 Zoning District PDrRi , 7ype Const ?
,. ., _.. KF:Yf ANI) FiC]Mff+:S IGG 5f 1 WV1'f 7 F AtG1V _ AAcri 11 n
?
POST IN A CONSPICUOUS PLACE 3i
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT
PRICE
Site Ad¢ress
?
?
N
C
c
?
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES, RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADO ,$.? S1C PER EACH $1,000 PF PERMIT FEE)
3630 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEI PT ;
DATE: !
Res. ? New 1
Mult. Add-on
Comm. Repair.
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N0, FIl(TURES -TOTA-0L
Water Closet - $3.00
?- $
? 7ye-
Bath Tubs - $3.00
? `'7
Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
?-
4
Floor Drains - $1.50
?- Water Heater - $1.50 5
VYhirlpool - $3.00
?- Gas Piping Oudets -$1.50 , 5 c
(MINIMUM -1 PER PERMiT)
Sohener - $5.00
Well - $10.00
Private Disp. - $10.00 3p, Z'
Rough Openings - $1.50
PERMIT FEE: J?
STATES S/C: % 5
GRANQ TOTAL:
MECHANICAL PERMIT
CITY OF EAGAN
_.0 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE: PHONE:454-8100
m Name
? Addre
C Cilly ?
? Name
c Addre
0 CitY =
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
PERMIT # ?-?
FiECEIPT #
DATE:
For Office Use Only:
BLDG. TYP WORK DESCRIPTION
- Sec/Sub`' r Res. ? New
Mult Add-on
Comm. Repair
M i
?:Lr1-?lyl? Otf18fPhone
FEES
yO RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 8.00
Phone (RES. HVAC INCLUDES A/C ON NEW
GAS OUTLETS (MINIMUM - t PER PERMI'n - 1.50 EA
?'-' RA E APPLIES EE
APT^BLDGS
FE COMM
M BTU ? .
.
TOWNHQUSE 8 CONDaS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM
r; J
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000
,
}
FEE: ?J„ f ': ,
Ca. . ?..;?., .,-?Ci.IJ??-s.kJ1. -.•yt
SIGNATURE OF PERMITTEE
S/C:
TOTAL• ?
? G"?
FOR: CITY OF EAGAN
DATE: 10/4/89
RE:- 997 P"BURY COURT. L12, 83. LSXING?ON SQ h h
4369"LEXIIVGTON P01NT PKWY, L5. Bl, I.EX. P01NT 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) uniil the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN QH.
? Your Sewer & Water Permit for the abave property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
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, CAZ! lOCAL UTlL1T1ES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
5ecretary, Building Inspections Dept.
CITY OF EAGAN N 0- 17133
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
??
BUILDING PERMIT //////
PHONE:454-8100 ')'C.? ?
?/? D7
Receip} #
To be used for SF
Est.Vaiue $70,000
Site Address 4369 LEXINGTON POINTE PKWY
Lot 5 Block Sec/Sub. LEXINGTON POINT
Parcel No R
w Name KEYLAND HOMES
o Address 14450 BURNSVILLE PKWY
City BURNSVILLE phone 894-2636
o Name SAME I
g¢ Address
? Ciry Phone
I Name
Address
City Phone
I hereby acknowlege that I have read this applicatwn and state that the
mformation is correct and agree to compy wrth all apphcable Slate of
Minnesota Statutes antl Gt Ea?ian Ortlina es.
Signature of Permdee l
A Bmidmg Permit is issued to: KEY ND OMES
on the express condtlion Ihat all work shall be done m accordance wnh all
apphcable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial I IMA1 t , _4At
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zaning PD R=1
(AMUap Const V-N Bldg Permil 504.00
(Allowable) V=N
Surcharge
35.00
8 ot Stories
3$ '
Plan Rewew
252. ?0
Lenglh
Depth 42' SAC, Ciry 100.00
S.F.TOtal - SAQMCWCC 575.00
S F. Footpnnts -
On Sne Sewage _ Water Conn SRO _ 00
On Sile well - Water Meter 90.00
MWCCSystem xx
30
00
City Water ?]L AccL Deposit .
PRV Reqwred _ S/W Permit 20.00
Boo5lerPump - SiWSurcharge 1•00
Trealment PI 228.00
APPROVALS qoadUnn 340_n0
Planner - park Ded.
CWncil
BIdg.Ofl. _ Copias
Variance _ TOTAL 2.755.00
? REQUEST FOR ELECTRICAL INSPECTION EB-00001-07
?$ae msVUClions for completing ihis form on back of yellow copy.
(0 ;3 ? 5 9 3 ? 'X" Below Work Covered by This Request
e Adtl Rep. TypeolBwiding ApphancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 6widmg Dryer Other (Specity)
Comm./Industnal Furnace
Farm Air Conditioner
OIM1er(specity) Contradofs Ramerks
UA58f??'?T '?1N?Sfj
Compute Inspechon Fee Below:
R Olher Fee 8 Service EniranceSize Fee # Cirwtls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above200_Amps Above-100-Amps
Sgf15 inspecror5 Use Only. TOTAL
Irriganon 8ooms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDER D"DISCONNECTE? IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
th
t th
t
b
h R°uyn,n oata y D
d?
i
y
cer
a
e a
ove inspection
as
6een made. F,nei
OFFICE USE ONLY
Tbis reques[ voitl 18 monihs from
/r/a5190
0 33593 c,? /iaax
op
Request Dal
// ?(^ o
7 Fi e No Rough-in Inspectlan
Feqwretl?
Yyys 0 No
? Reatly Now ill NotTy Inspector
When Reatly'
IEl licensed contractor Iqowner hereby request inspection of a6ove electrical work at:
Job Atltlress ($treet Box or Route No )
? p?- L.
?h ?? Qty
454? N,J
Secuon No Townshi0 Na e No Range No Counry n )?
.U ?v'/l U /?
Occupant (PRINT)
?• ?? ? hone No
'
Power Supplrer • Address
ElecVical Comrector (Company Name) Contractor's License No
Mailing AOtlress (Contracror or Owner Makmg Inslallelion)
uthonz 4 SiqnaWrAlCo rectorl er allation? Phone Number
U
MIN TA STATE BOARD OF ELECTRIQTY THIS INSPECTION REQUEST WILL NOT
Gri g Mitlway Bltlg. - Poom 54]3 BE ACCEPTED BV THE STATE BOARD
18 niverclty Ave, St. Paul. MN 55104 UNLES$ PROPEF INSPECTION FEE IS
Plpm (612) 642-0800 ENCLOSED
? 7 97 OFFlCE VSE ONLY This request void 18 months &«n volidation dare printed in this bon
'7G 5L/ C'-)
p?C
?• 39'
?
?cIIIIIIII?IIIIIIIIIIIIIIIIIIIIIIIIIIIII III???;13/
,
.
* 13 4 8 9 1 0 ?
?D
L 6* PLEASE PRINT OR TYPE
Requast Dote RougMn inspecM1On reqmred? ? Yes 42rNo Impenion dhn Than RooghJn. ? Reody Nowd%WCll Call
?en ,eadyi Onte aroay.
I, Alicensed contracbr ? owner hereby request inspection af ihe above electrical work at:
Job Address tStreet, Bw, w Rwrce No )
3
- Ciy
1 Zip Cade
LEkinaj
(Ov. o;n7 645,07
Secoon No. Township Nome w No Range No. Fire N. Couny
?A679
Occ,am Phone N.
Y
Power up itt .Wdress
/V^'
ElMricol Connocmr (COmpany Name) Connacror Lcenu No. Mosier Lc No. ?Planl EIeG Only)
r ?
YO
i Jf c4o a oa /p
n
Co nhacbr ar Owner PerFarmmg Inslallmion)
7 f
Iwlfwrked Signoiure nhacror a Owner P emvg Insmllanon) ore No.
/ J ?
EBOOl 8/96 arerF wneen mov - caw iusrwucnnus nu wecr no vai i nw r.nov
4???11
Ffl REQUEST FOR ELECTRICAL INSPECTION
Minnesota State 8oard of Electriciry
1821 UniversNy Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Du lex Apt. Bld . Olfi r New Addn
Commercial Industriol Farm p
17\ Remod Re air
Air Cand. Htg. Equip. Water Hh. Load Mgmt. Olher
D r Ronge Elec. Heaf Temp. Service
"X" above the work covered by lhis requesG Enter remarks in this spoce and on the back of the while copy only.
Calculale Inspection Fee - This Inspecfion Request will not be occepted wit6out the correcf fee:
Ofher Pee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park S1all 0 10 200 Amps ( 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200_ Am s A ove 100_ Amps
Transformer/Generator INSPECTOH'$ OSE ONLV TO?T
AL co
Sign/Outline Lig. Xfmr. 7
Alarm/Remofe Conhol
W
Swimming Pool
1 hereb cerli ihal peciedit ele
in5toto cri bed hercin on Ihe dales amred
Irngofion Boom xoi,,Mn oore
$
eciol Ins
eclion
p
p
Imestigalive Fee p??ol
?
THIS INSTALLATION MAV BE ORDEfiED 13 CO ED IF`. COMPLETED WITHI 18 O H5.
?3?73 fl
?? 1=016 p ?rd ? v?
Reque t Date ?
(
9 ?J R. N. F ugh-In Ins ction Reqmretl
(Vau must call mspeclor when reatly)
ElYas ? No Inspeclion Other Than Rough-In
? Reatly Now C] Will NoUty Inspeclor
Date Read
I? licensed contractor vowner hereby request inspection of above electrical work at:
Job Atltlress (Slraet, Box or Rame No.)
y s ce 'q "/
?xi Cdy
Seclian No Township Neme or No Range No Counry
0«u ant (PRINT)
IU)7? Pnon 7 /) ? _ / ?
owerSUppper Atltlress
Eleclricel Conha or (Company Name) ?
LL? I % it. Conhaclor's Llcense No
Maihng Atltlress (COnlreclor or Owner Making InsGlletion)
Autho zetl Sgnature (C niracl r w ng Installabon) Phone N er
Z-?
1?12 UNvesHy Ae?BSoPmS MN e SCOICITV IIIII III I?II I IIII IIII II? III ENOOSPROPERNSPECTONF6EIST
ne l6121 692-0800 ?
?Q? C/ ? REQUEST FOR ELECTRICAL INSPECTION ? ee-ooooi-/a.s/
^5 , Sea ins\mctlans lor complehng this form on back oi yellow copy
Y? "X" Below Work Covered by This Request •?a•
Ne Add Rep. Type of Building Appliances Wved Eqwpment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (S ecify)
Farm Air Conditioner
Other (speoify) Contretlofs Pema ?
Compute lnspectian Fee 8elow: 3 . ?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps _Amps
Sigf15 Inspecror's Use Onry TQT/? O
Irngation Booms ?
Speaal Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN i NTH r
I, the Electrical Inspector, hereby Rough-in oece
ceRity that ihe above inspection has
6een made.
Final (
-
Dale
OFFICE IISE ONLY I
This request voitl 18 monNS fmm
// %/tYy
4993
4t- 6 ? ?' , - / TSl`?d(o
? ?
Reques[ Date
10 - 31- 8 9 Fire o gh-In Inspeciron
Vestl' O No Notify
e RB&tly Now W?hen R Itl pec[or
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, 6m ar Roule No ) Qty
4369 Lexington Pointe Parkwa
Sechon No. Township Name or No Renqe No. Caumy
Dakota
Occupant(PRINT) Phone No.
Key LAnd Homes 894-2636
PowerSUpplier Address
Dakota Electric Farmington, MN 55024
Eleclrwal Conhaclor (COmpany Name) ContratlorS Llcenae No.
Midland Electric Inc. 041610
Maihrg AtlOress (COMracta w Owrier Meking IruYallatlon)
14055 Grand Ave So Su ite E B
AWhorized gionalum (COniractor/Owner Malu?g I
Iletio
n) Phone NumOar
? y 892-6688
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION HEpUEST WILL NOT
GriggaMMwry Bltlg. - Xoom S173 BE ACCEPTED BV THE STATE BOARD
1821 Univoralty Ave., St Peul, MN 55104 UNlESS PROPER INSPELTION FEE IS
Vlione (612) 842-0800 ENCLOSED.
J?/?/pg REQUEST FOR ELECTRICAL INSPECTION #Vi ee-ooom-?0j7
il? See inatructmns for mmpletirg Ihis form on back oi yellow mpy
!:)4 y yy 3 'X" Below Work Covered by This Request 0"i
ew Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired
? Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Oiher (Speciy)
Comm./IrMustrial Fumace
Farm Air Condi4oner
Olher (speciry) Conlredork Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Po01 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Abeve400 _ Amps
Slgns Inspedor5 Use Ony TpTAL
Irns ation Booms 3.
Speaal Inspection
AlarmlCommunication
Other Fee
I, the Electncal Inspeaor, hereby Roog°-'" owe%?? y.
?
certfythattheaboveinspectionhas
been made. F„? oare
p
'-C d
OFFlCE USE ONLV
Thw repuest witl 18 monlhs hom
S-3??iy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
ts ?•7_?
Naw Cooetruction Reauiremanh RenrodeVReoair Reouiremen "j
• 3 regatered site surveys showing sq. ft, of lot, sq. ft of house; and all roofed areas • 2 capies of plan
(20% maaimum lol croverage allowed) • 1 set of Energy Calculations for heated addihons
• 2 copies of plan showmg heam 8 vnndow sizes; poured found design, etc.) • 7 sNe survey for extenor addiGons 8 decks
• 1 set af Energy Catculations . Indicate A twme served by septic system tor addillans
• 3 capies of Tree Preservation Plan H bt platled atter 711193
• Rim Joist Deteil Op6ons seleGion sheet (Wdgs with 3 or less unAS)
O
DATE R-!)C? - 8 0? VALUATION to 5 E0M •?
SITEADDRESS X-?CSloel ?.TcX?tJ?s--CoW ?"S I?KV.1?C MULTI-FAMILYBLDG _Y ?.N
TYPE OF WORK-C-R-XV- ??c Kwi FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT R??.a??? ?o0???.5?
STREET ADDRESS y?`?a 1n1rt-?-C?lY4F F?? • CITYC+?2.`CSC1kL STATEVN ZIP _515qa9
TELEPHONE#963?500-I6Ff4 CELLPHONE# koYcl-XA`t'kr1 FAX#'7b3-qr1s`abarl
PROPERTY OWNER ?S'Ai?)FC+{L h'?OIZ k TELEPHONE # gKo`2- 3t1b- lAb3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF50TA RULES 7670 CATEGORY 1
(J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted
. Energy Envelope Calculatlons Submitted
Plumbing Conhactor: __
P1umUing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Contractor:
? Air Conditioning
Heat Recovery System
Phone #
Phone #
.jut 3 o zoo2
Fee: $70.00
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with aVl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant\s??
OFFICE i3SE ONLY
_ Water Softener
_ Water Heater
, No. of Baths
Phone #
_ Lawn Spiinkler
_ No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4lo2
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suxLozNa
3830 Pilot Knob Road Permit Number 025508
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 0 3 J 95
(612) 681-4675
SITEADDRESS:P•2•N.: 10-45e72-e5e-e1 APPLICANT:
LOT: 5 BIOCK: 1
4369 LEX POINTE PKWY MITTELSTAEDT BROS CpNST
LEXING70N POINTE 3RD (612) 552-1771
PERMIT SUBTYPE:
SF ADDITION
TYPE OF WORK:
NEW
DE5CRIPTION (INCL DECK)
INSPECTION
OOTINGS D. .
FRAMING D-
NSULATION FIREPLACE
SNAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELEC7RICAL WORK
1-
?
?
_ ?
PERMIT cR 4014
? CITY OF EAGAN mle
3830 Pilot Knob Road PERMIT TYPE: B u r Lo r N s
Eagan, Minnesota 55122-1897 Permit Number: 025508
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 5
SITE ADDRESS:
4369 LEX POINTE PKWY
LOT: 5 BLOCK: 1
LEXTNGTON POINTE 3RD
P.I.N.: 10-45072-050-01
DESCRIPTION:
(INCL DECK)
Bu I ilding^P.ermit Type SF ADDITIpN
Building WoK_k, Type NEW
}^
;
, :
?`?., : fl`,. - -
y .
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRZCAL WORK
FEE SUMMARY:
?
VflLUATION
$11,000
Base Fee
Plan Review
Surcharge
Total Fee
$126.00
$81.90
$5.50
$213.40
CONTRACTOR: '. - Applicant - ST. LIC. OWNER:
MITTELSTAEDT BROS CONST 15521771 0003443 MITTELSTAED7 BROS
2425 96TH ST E 2425 96TH ST E
INVER GROVE HTS MN 55075 INVER GROVE HT3 MN 55077
(612) 552-1771 (612)552-1771
I hereby ecknowledge that I have read this applicatton and state that tkte
information is correct and agrea to comply with all applicable State ot Mn.
Statutes and Gity of Eagan Ordinances.
L - -
' _? ?11rn? APPLICANT/PER I NATURE f ISSU . IG UF'@
&0i
Q? CITY OF EAGAN
198? BUILDING PERMIT APPLICATION
681-4675
REc?ENED
SIN6LE & MULTI-FAMILY ? ?, _'' ,, l??n?
2 sets of plans, 3 registere si:te'surveys;51 py of energy
calcs.
-------------
COMMERCIAL --
2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Oate Valuation of work 9Q?
Site Address: 23 CoF
STREET SUI7E #
Tenant Name: (commercial only)
LOT p BLOCK ? SUSD. P.I.D. k
Descri tion of work: S' ,?J /LG/p? ? ,???/.? -?°ss?3?? F?•rHR? r/tar I
The appl i cant i s: ? Owner Ar-Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address I
STREET STE # I
City State Zip
Company 69.4? Phone
Contractor Address ST. AC;yTLicense #34??_3 Exp.96
City 1iJv,572 6,WVg, 141 &t?5 State ZiP 6? 0:77
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit 11 applicable State of Minnesota Statutes and City of
Eagan Ordinances. '
Signature of Applicant:
?. .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
c0-03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
C(32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
I vawecsm:
? Framing
? Draintile
o00
AoRCN ? IyK?L' //of>'r Sy = C/???Z
u
.??
/o, y7z
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code 9,3r
SAC Code ?
Census Bldg
Census Unit o
Assessments
SAC %
SAC Units
. . 1?-
TRI-LAN Y N4
o $ITE PLAN FOR:
SURVE ! J
._„
SERVICEKEYLAND HoMEs
ysso Yaflcee vooae Roaa ?
EAQAK IYOMIE80TA 85126 3o,q x .
:r>
LEGAL DESCR I PT ION: Lo?r ?, a?.oc?c .-l-, !M"`M'`' PoINt9 B
TMEROF G DAKQ'??_ COC4UNTY,M NNESO'fA
W? 4j zo ?g9
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pct"°?88°5CZf"E _ 70.990d..-- -
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DENOTBS
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PRCPO$ED ' ' ... •
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PR0r0815 . . .
ELEV
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??'I ON ?T - p VERIFY NAi. FtOt18d FLPLAN$OOR Wt'TH '
Ir artit tAoltMs arwYtOlan or
rePw wft Or?A?+ b t? or undsr my
dk?at wp?rvblan Wd t?iad 1 om e dulr LarM R??eths e et?Mlnn?•sou? !M
Rog. No. td238
Dete 4
-
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0! 0
(111.33)
Re,?-kiv _:Ic-
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITEGTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATZONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
DF MONTH IN WHICH REQUEST IS MADE.
:.OT CHANGE I& REQL'ESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
IflZ.fl? /?1nnLri ?-L?
To Be Used For:6 ? Valuation:
Site Address 'Y?V7 f.? ! ,/U ? Y-) )
Lot ? Block ?
? ?? Occupancy
1-4 Zoning
Parcel/Sub Actual Const
? yI Allowable
Owner ?..=rf/?/??,:?1 d'rQK?# # of stories
Address 4:5Li"l A, l
City/Zip Code
Phonefi ?83
Contractor _
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date: I I 23A 0
OFFICE USE ONLY
FEES
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System ?
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
B1dg. Permit N/ G
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
4iater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
*szq??
FOR CITY USE ONLY
PERMZT #
RECEIPT #?-
DATE: ?02=2 9/
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?ADD ON _
REPAIR _
OWNER NAME: Ovu
SITE ADDRESS:" L+ag I L ID! U• 1'-'^
hr 2 ,
LOT: ? BLOCK ? SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: LL A? J v\ ? ?
?
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. OTAL
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
_ FLAOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15,00
U.G. SPRINKLER 3.00
SUBTOTAL S I J'
ST. SURCHARGE .50
TOTAL: $
CDMMEEtCZfiLJTF]DLISTUW; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQOIRED FOR EACH
DWELLING UNIT.
-------°_______________ _ ___ _ ____°-----°-°--°°---------°----°-°___.._
CONTRACT PRICE:
OWNER NAME:
SITE ADDKESS:
LOT: BLOCK - SUBD.
INSTALLER:
ADDRESS:
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:
(SIGNATURE)
L S BL / CITY USE ONLY RECEIPT
SUBD. / 3 ? DATE: 4 In'/??
199t, MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for; ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
'? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: \r- \ 3- C"'-l
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 20.00 _
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .5D °'
TOTAL ? c0 - So
SITE
1-\ -5\o
b?
_j (J 9 a-7_a
`?3\ "?_
OWNER NAME: ?,..ari\ w ?oc w PHONE #:
INSTALLER
\Q _
?
STREET ADDRESS: '\1 \ ur' ?? ? % \?", ??
CITY: STATE:?ZIP: Ssuv?'A
PHONE #: (?vy)---) dnW!!
SIGNATLIKE: t- VLK11f1
7-3-9-7
.?Py f??: .? ??• Y?y ???? %?. h ?:.N T' N ?• 4:}(,)N? ?ljr]: S:Y??n:M1j..?i?l'.:lAl .:liQ}Y ?!
{.! TY iJ1- Ft3Gilid
.. ?:.-'':VlYA!!?!_ ;3("i6 L-95
P'"1Tcs !l'.?!_'i ,?c)r) TIMi_4 WWRP
rp ,
i•IPiPlr .. f) ftUf+'r,
2f'.'0 9001. E365 L.EF r`l'E 1='IC 601.00
?_? ?,..
2J..?, r?.)0i 43E:5 i._GY F'!; Q,`rCl
3410 '."iOu, 16:5 LE::' f-"fE: F•N 0.50
?c:.t:ai Fir:•r?eyr,t An:i,:.enk, 41.00
rri 109120
U.'.-i'c'i; 'I.£I;, i`!,:}id;;y
3 S- G? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
/ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Zlgw ConshucNOn ReauiremeMs
? 3 regidered sMe surveys showing aq. R. of lot, sq. H. of house
and QlI rooled areas (20% maxlmum lot coveraae allowed)
? 2 copies of plans (show beam S window sizes; poured Md. deslgn; etc.)
? t set of energy calculaBons
? S copies of hee preserv on plan H lol plaNed atfer 717/93
DATE: ? o
DESCRIPTION OF WORK: ??Y?CL
STREET ADDRESS:
p
LOT: O BLOCK: I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:
Remodel/Reoah Reaulrements
6 /_ cj
2 copies of plan
1 set of energy calculaffons for heafed addBlons
i sRe survey lor exlerfw addiNOns 3 decks
CONSTRUCTION COST: Z06,
I ' - - -- - I Juanita O Mora -1
4369 Lexington Pointe Pky ?
Street Addr i??'' . Eaga" MN 55123-1927 ?
City State:.
Zip:
Company: ?^°6S Phone #:
(area code)
Street Address: License #
City
State:
Company: Name:
Telephone #: area code (
Street
City
Sewer & water Iicensed plumber (reauired tor new conshucfion onlv):
State:
Zip:
Zip:
PenaNy applies when address change and lot change is requested once permR Is Issued.
I hereby acknowledge thaf 1 have read this appilcaHon, sfate that the InforfnaHo\ Is correct, a7dto eomply with all applicabl
Stafe of Minnesota Statutes and Cify of Eagan Ordinances. ? ? ?
, Signature of Applicant: `
OFFICE USE ONLY
Certificates of Survey Received _ Yes
No
Phone #: Us/ - Z° 3
Regishatton #:
Tree Preservation Plan Received _ Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )5K- 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous
WORK TYPE
X 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 51 d Basement sq. ft. Census Code
(Allowable) S, eJ
- Main level sq. ft. SAC Code ?
UBC Occupancy 71
* 3
- sq. ft. No. of Units ?
Zoning ? sq. ft. No. of Bldgs u
# of Stories - sq. ft. MC/ES System
Length - sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ,
Planning Bu ilding ? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ / Z D m 4-6
SAC Units
% SAC
. . _.?- _ _ .n .?.... ....._.n... ...... ?..-... :.,.: n..v ' .
SEp-1Sl-L9B9 16=29 FROM ';:'4_faND H01'1ES INC. TO TIFFRN`f P.01
ytF ly ' W 17 ;08 TO 612 109ti ?'4 FROM HAUOE,E i DE ,KELI i T-898 P. 01
? `
TRI-LAND CO.
S SERVIC? ES
1260 YANKEE DODDLE RGAD
!AGAN, MINNE80TA 86126
SITE PLAN FOR-
KEYLANQ HOMES
. LEGAL DESCRIPTION: LOT.L,BLocK._!_, ??WMN POIN E 38b
AGGVKUIIV(9 1 O TRCG"v?r[7CU eL#+r-
? THEREOF COUNTYs MlNNESOTA
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?'ay UEXINC7?ON POIhiYE 2l1d ?
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NOT : VER{FY ALL FL.0uk
FINAL HOUSZ Y'"kAti$
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?
PERMIT N CITY OF EAGAN
REACTIVATE x 1992 BUILDING PERMIT APPLICATION
681-0675 093H 0 E
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ') / 2 0 /?_ Yaluation of work
Site Address: q3(v q rCrk'Ih/!?+r2) ?d • ekL"V
STREET , SU(TE M
Tenant Name: (commercial only)
LOT S BIACK _I
t()
SUSD. -/?? ??\
f/
P.I.D. ik
Descri tion Of WOP{C: FIREPLACE
The applicant is: El Owner ? Contractor ? Other (Desoribe)
Name M on-'? JUA IVPhone_ i?43-?lhb
Property LAST FIRST
Owner k-X /?
?
4
Address
STREET STE N
City State Zip J
Company ??fr0 Q 1iL Phon2- 5''/7-k/a?
Contractor Address ?A/L License #_,_ Exp.
City 1"b U7v .?G?l?-i- State l"IA? Zip ?53?y
Company Phone
Architect/
Englneer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknawledge fhat I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex 0 11 Apt./Lodging
? 02 SF Dwg. 0 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex P?14 Flreplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. ?Actaal) Basement sq. ft.
(A1 awable) lst F1. sq. ft.
UBC Occupancy P1... 2nd F1. sq. ft.
Zoning Sq. Ft. total
1 of Stories Footprin t Sq. ft.
Length On-site well
Uepth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wa116oard
gFinal
15?`Framing
? Draintile
? Insulation
O Fireplace
Permit Fee N?? I v,i,,,t;,,,:
5urcharge
Plan Review
License -- -
MWCC SAC
City SAC
Mater Conn.
Mater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Raad Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S
? 16 Basement Fin,i.sh
? 17 Swim Pool
? 18 Comm:°%Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
C1ty Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code.
SAC Code
Assessments
SAC %
SAC Units
Si_NGI.E FAMILY Di1ELLIAGS
SEfS OF PLRBS
9EGISTEAED SIT$ SpttT£YS
t SET OF ENEAGY CALC3.
1989 HIIB.DING PEBMIT APPLICATION
CITY OF EeGAN
11133
M[TLTIPLE Di1ELLINGS
2 38TS OF PLlH3
aEGISTEAED 3ITE 3DAVEI3 -
(GBEGE WITH BLDG DI9.)
f 3B1' OF 8lTEAGY CALC3.
OotmRCIAL
2 SETS OF 1RCS13ECTURAL
8 STROCTORAL PLINS
1 SET OF SPECIFIC9TION5
1 SET OF ENEAGI ClLC3.
MULTIPLE Dit£LLIHG3 AENTAL ONIT3 Fm SALS E1ITS I OF OBITS
¦OTEt 1DDRESSE4 FOa COAIiEA LOTu - CO1PfR1CPOR/BOMEOHNEA MQST DFSIGPA?E YSIC9 iDDAE43
IS DESIREA. HO CHlttG£S qII.L HE ALL01iED 0liCE Bt1II.DIA6 PEAlIIT 13 ISSaED..
SEWER i iIATfiR PERMIT F6ES j1iD 1CCbUP7 DSPOBT!` FM U1ILL SE IlvCLtTDED WITH THE HOILDINf3
PEi9iIT FEE. PROCESSING TIME FOA SE1Mli lAD YAi£R PERMIIS IS Ti10 DAY3 ONCE d PEAMIT HA3
BEEN COMPLETED ZBDICATING A LICEMED PLSIHBER.
PENALTY APPLIFS HAEN: PEAMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CAANGE IS AEQUESTED ONCE PERMIT IS ISSIJED. SEP 2 1 1989
To Be Dsed For: aluation: 704 pOQ ` Date; ?
31te Address 7J6 y?
`,oL ar Blaak ?
Oxner
Address /
Gity/Zip Code
Occupaney 71 =3 M "?
Zoning Pb R-I
3 Actual Const W'N
Allowable V_ ?4
-j 1 of stories
m, n Length 3- ? T
pth 42'
/) - S.F. Total
?L Footprinh S.F.
Phone
Contraetor
Iddress
City/Zip Code
Phone
irch./Engr
Address `
Citq/Zip Code
Phone a e-3?/
?
On aite ae?rage
On aite well
lSWCC Syatem ?
GiSy vater
PR@ required `
Booster PmP -
liF?S(1,At.S
FT.anner
Couneil
Bldg. Off.
Yariance
Z.S
F'EF3
Bldg. Permit 504,00
3urcharge s o u
Plan Reviex Z. 2,00
SAC, City
o
100.0
SAC, NWCC 5r75.ac>
Rater Conn 580, o0
Water Meter 90.00
9cet. Deposit 30.00
S/YI Permit 20,00
3/ii Surctiarge 1'00
Treatment P1. 229.c0
Hoad Dnit 34aoo
Park Ded.
Copies
SIIBTOTIL
Penalty
TOTAL 0 Ff U0
Gt/
\
VALU A-r i OQ
GARt?(7?
ZZXZc? = yLlo X 15 ?
zsfy\=
314 lc -? o .7 6 £su
1`7 X i`e 306
6 Y Ll - (.;zy ?
?
9 62.
1-1 ov,-4-.e
?
BSYVT =
? ° '/2 X I = I c?
2y? ; ly
?
?B6 xs? =
?, .. . ? .-
X (J4 = I3Ll68
461 3ao
(99
36S
S:.P 19 189 17:08 TO 612 894 7594
TRt-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE RQAD
EAGAN, MINNESOTA 55126
FROM HAUGE,EIDE,KELLER,PR T-888 P.01
SITE PLAN FOR:
KEYLAND HOMES
b
LEGAL DESCRIPTION: LOT 5,BLOCK I , LEXINGTON POINTE 3RD
ACCORDING TO THE RECOROED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
k.P0?
?.i'i?ii?1??? i ?)iV POiiV ; ?.
Is
SCALE:I"=30'
h /
Mh / co
3' / ?g?? /
f
?
2 ? *?' q :
Li
'`,fepb
H??p
/ ~\
?qt
2 nd
ay
AG[]+.V
LEGEND
o DENOTES IRON MONUNENT
o DENOTES WOOD kUB SET
971"4 DENOTES EXtSTING SPOT
ELEVATION
(9790)DENOTES PRO OSED SPOT
ELEVATION
?-- DENOTES DRAINAGE DIRECTION
1 haeby certlty tfiat this survsy,plon or
raport wae prspored by ms or undor my
direct supervision and thaf I am a duly
Reqisfmred Land Surveyor under tAe
Laws of tha Sfate of Minnesota.
' y04
/0
aNti
I?' ? ?yy?
L?l ?o ?,+
? ?
PROPOSED FOUR LEVEL ' A/oWnl&ovT
INVERT ELEVATION AT SERVICE EXTENSIOW=
PROPBSED GARAGE PLOOR ELEVATION=&
PROPOSED FIIt9T FLOOR ELEVATION
PROPOSED BASEMENT FLOOR = ??2
EL£VA710N
NOTE' VERIFY ALL FLOOR HEIGHTS WI7H
FINAL HOUSE PI.ANS
Brodlsy
Dofe :
Rep. No. I5E35
` EXTERIOR_ENVELOPE_AUFRAGE "U",.COMPl1T/1:f10N..
OWNER
nnir-i 3 -88
S?T? ADDRESS: LJ?T ??Lvc1c ? L-- ?r ;J PHO"IE: ,
CONTRAC?OR p"NTi5: .3KD PLArr # IZ -335?
Determine working square foota9e ofi each
1. Total exoosed wall area..... 1 La 6 3, q u sq. ft. x .11 = I$ Z?°? ~7
2. Total roof/ceiling arza..... 9-73 sq. ft. x .026
Total zxposed wall area above.floor=I L? L4 9,Z'i-
a
b
c
d
e
r"
9
h
i
J
Total wall window area ........................................... ? Z`i?$ ?
Total door area............................... ..................... 73 15
Total sliding 91ass door.area ..................................... ?
Total fireplace wall area ........................................ `13
Total wall framing area (average lOp) ............................. 1 4 ?-1
Total rim joist area ............................................. 3cl,, b .
net wall arez above floor ..................................... i'3o4 35`
wall area above floor................ ......................
wall zrea above floor .....................................
frzme wall zrea a:c founoat_on...................................
Total exposed foundation area= 7c 1 5
C
i
Total foundation window area .......................
Total net foundation area above grade .............. -70 11-
Determine "u" value of each wall segment
(e,g, window, door, each separate wail section)
a. ? Z -Li, $7 x liutt , ?17 = s$?CoB .
= ll 7 ?S
b. X„u„ , 31
r-_-
c X liuii
.
d. ? X liulj
'73 X llul. ! O(c7 = r1 ?? ?
?. cDs? z„u,l , 037 = 5" 1?I
g. l.5Q`L 3'5T X ??U" ? b3?
X "U" '
h.
X ?lull _
i.
i •
r.
X "U"
X liuii
1 . X 1. u 11
3
....................'......,......Total
If item 03 is the si
as, or less than_iti
nl, you have met thi
?j,? 7 intent of SBC 6006
= f s'{ I
• Total exnosed roof/ceilzng area
m. :bcal skyli.gl:t area ............................ .
a. Tota1 soo_/ce_1in, f±'aming area (;ivcra{.(e 102) , 9 - ' - .
o. =ota1 net insulatc3 roof/ceiling area. . . ... : . . . •. : - 7 S ? 7 .
Determi:ze "U" value Lor each roof/ceiling segment
.*,t . yi u U n _ ., .
P - 9"7 3 a „U,<
... g 7S?'7 x „U" , vZ= = 1-7 ls`1 ? .
4 ........................... TbtaJ.
__ to=a1 c= -- is the same as, or less i:han 42, you have met 'che intent of .
S; f' 60: 5; r l 1. . .
Altzrnste Buildir.q Enve?.ope Design
^o _tiii:a the total envelone'system method, the values established by the s•:m of '
=tams 43 z.d -4 >ha11 r.ot be greater than the sum of items 01 and #2. I-7 + 2.
3. ?y? + 4. t5??'?
PIAN # F- --3
*' LINEAL FEET EXPOSID WALL
sLOCx- 3`f + 37 -r 11, s- ,_ y?- [, , s t t-Z t 1?? = 1,4
I
lINEE: 4 0
W.O.:
FULL1: 34+37fiII,Sf YtCa,S`riz+IcorZof1.33?/.33= I`i -y CaC'
FULL 2:
FIREPLACE : i,-.? c-L u o t-D
R2M: I 4"s . lo Co
* SQUARE FEET EXF'OSID WALL AREp,
BIACK: 1 ?-t I
KNEE: CP (D
W.O..
FULL 1: ? y 3cQ (,o
F[JLL 2:
FIREPLACE:
x.s= -7o,r
x5= 300
x 8 =
x 8= t t`LI, Z"K
x 8 =
x =
RIM: t'--F 3 ? cF c.? X 1- 11# 3, ?e b
TOTAL (Lo (. 3.tiy
* SQUARE FEET E}POSED CEILII3G 7 7 ?
? WIµD6tiV5
?I - Zo3f? C.?- s= io- zo
? - -?H ya coL- = i3, 3
?? ? -- 1455 - -7 '1Y =23'3`1
"
i? -1?35 --
,-
? DpOD S
s? PAT20 DOORS
* BASIIMEN'P UNTTS
1 USE 30$ OF OPAQUE WALL ARFA FOR
F???1E CbNS`I'RUCTION
li
i -
STC
14.AvT
' j t-----?
FIG. #1 T'OPVSEW OF
FRAME WAT_T.
i?
i
? '• ?? ' I t 1 ---
?? ?y ?? r L1+ DO i
?
Y ?
l
f
/
w
R-VALIJE
l.
IN'I'ERIOR ATR FILM , I . ? .
L( _ . OCc'T
0.68
2. ?Fvs•'FS
3.
4.
5.
6. 0 R F LM •Z
1.
INTERTOR AIR FZIl4 'IDTAL ZC,•9Z
0.68
2.
3.
4.
5,
6.
Z8 .3C=
U=,035?-_
3 L ?c-Jr---
1. INTERIOR AIR FILM 0.68
2. `r_C:>t.-to , F?5Loc-jr- ?. Z8
3.
4. '
5.
6. RIOR AIR FILM 0.17 _
TOTAL -l . t 3
,-,, ? i<F
SLAB ON 6RADE
, 2 ?
r r \ , , i ?
FIG. #4
, JI1
NOTE: INDTCA" 'I'YPE "R" VAI?.UE; DEf'!'H AND PLACEMENT
OF TNSULATION
CONSTRUCTION ' R-V?
1. INTERIOR AIR FILM 0.61k
2.
3. '
4. TAL -
U _ .D2
` I' HEAT FIX)td
u 'Lip
FTC. #S
FRANIE
1, IN'i'ERIOR AIR FIiM 0:61
2.
3. x -
4. _TL
U = 0.024
CONS'I'RUCTIOM
1, INSIDE AIR FILM 0.61
2.
3.
4.
5.
T02P.L
U =
I I k_.ST LOW L'P
Ll
?
FIG. #E
J ?
?. _
VENTED
. . L?
I
?r----
? z
NON-VZqT'E'D
HEAT FI1JW
UP
F&AME
INSIDE AIR FILM
?
0.61
3.
4.
5. OUT -- -
U =
INSIDE AIR FILM 0.61
2.
3.
4. .
5. TOTAL
U =
NOTE: USE ADDITZONAL SfEf,TS ZF t!ORE SPPC=' ?S
NEEDED FOR DETAILS AND,CPT-L[T1AT?ONS •
•_G.
. - ROOF-CEILING
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127258
Date Issued:09/24/2014
Permit Category:ePermit
Site Address: 4369 Lex Pointe Pkwy
Lot:5 Block: 1 Addition: Lexington Pointe 3rd
PID:10-45072-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brian Bennett
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 -
Juanita O Mora
4369 Lex Pointe Pkwy
Eagan MN 55123
(651) 683-9905
Shelter Construction Llc
6440 Bartlett Blvd
Mound MN 55364
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
n `Permit#: �"jeet 6. z (PAI/1
Permit Fee:City of Ea�a� , .
3830 Pilot Knob Road t.
Eagan MN 55122 Date Received: 2/4/ 11
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: j"://44. ,11T,� / Phone: J�(
it
resident/ 14/5
owner Address/City/Zip: 1 K///V M,J irirt4./1/
Applicant is: Owner Contractor
Description of work: / - c'c. I .fC ef 41..l
Type of Work
Construction Cost /2O I) 1.300 Multi-Family Building:(Yes /No X
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 maybe 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.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 aaprovatof plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co e m t be completed within 180
dayso�fp.i'miti /.
x � (
Applicant's Printed Name A
►r..4cit•' ignature
Page 1 of 3
q----,, 42q �G 7' /KDO OT WRITE BELOW THIS LINE p16 -..-0_6":3
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi ) Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
r 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 c � V —
Occupancy ,"C-/Z6` I MCES System
Plan Review Code Edition /AO 2- /5 SAC Units
(25%_100% elo) Zoning 'PP City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings ! Length Fire Suppression Required
Type of Construction \1 (, Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill 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
Shower Pan Other:
Reviewed By: / 0#71 7r;1k111/f.-- , Building Inspector
RESIDENTIAL FEES in)4 ,4?d-0 /e -
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
t.,w _ r
�_ $ -19- L989 1642,9 FROM '. a_AND HOMES I NC. TO TIFFANY P.01
W.' 1'd !.trY meg B8 TO 6tz 1994•:,', 4 FROM HAWS,EIDE,KELT 4 T-989 P.01
, '------ - - TA,01., .
TRI -LAND CO. PLAN FOR:
SURVEYINGSITE
SERVICES K YLAND HOMES
1280 YANKEE DOODLE ROAD
!AOAN, MINNESOTA 561284- cx K =1--
.. LEGAL DESCR I PT ION: LOT..§...,BLOCK.....L, LEXINGTON POINTE 3RD
AGGpKVlivts I'KT "' " Y L14-r M NNESOTA
THEREOF,__OA 4 --- C
NI
---44--A ,,,,6
o`�-dayl
' o ca� () LEXINGTON POI NTE 2
nd
___._„ . 89'5021"E 70.99 -
•ov
SCALE: 1"=30' /
7ft
47 / ) i *
/
/ -1 '
— `cz- , -- q
6,-/-7
0 - : - 5 /ii )/IP‘
f �* , ,�z," "`°4. / OT 6
......
05,— I / ► ' '4 /r
- 1:/ '' ,. ,nom'
41$4., ft I " as '' 72%1 ,
efi•
64' i • 1*---„ / /
cb
- *RY/ wet ' ' / 4.44.
' ''' 744w - ;7 /:.4,0
.1$.2*/ Ati . . __. . , .(,
�� _ ick ~'`�. jas !
; pt.. ti l .
ct:
l
O
,,-/
ip r / ,u\ 1
0 ,
ica. 4 7 . . _____ _____
__ „,b. „,„,:,
______________ _ ___
. ---44,4 °R-,4.°0 ggibf--' ...).:?.- Putiot, vuktito otuto,A,
, .
Q:(k.,eb 'Ivo 4 ht,a.otku -tt m r 0 . "
:7 i 'D• I 1 EV- EWE 3
z ,-/
EG N PROPOSED . P�' _ �'� 0 •
a DENOTES IRON MONUMENT
UMW' 1D...
:DATA: -#‘'11 .
le DENOTES WOOD Nut SET PROPOSE - •
_-' , UIL�IN INSPECTIONS DEPT.
In" DENOTES EXISTING SPOT PROPOSE _ . • - .-
ELEVATION FLEW ' -
('t79 P)DENOTES PROPOSED SPOT
ELEVATIONbNOT VERIFY ALL FLC J I( 4'=` *it�'`s�
- �— DENOTES DRAINAGE DIRECTION , �
FINAL HOUSE r�AN`
I herb certify that this etym.plan or ' ty
repdirect supervision arM tWall rot I am a duly my ma ,17. unase Bradley J .7#r"), P+ s:
, _. is S 1
i Registered' Land surveyor anferr me i , ? ' "
Laws of*40 state, of Mlnrnssc;a.. Data:_ __ _ ___ _._ . ` f t 'v 0.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150798
Date Issued:07/24/2018
Permit Category:ePermit
Site Address: 4369 Lex Pointe Pkwy
Lot:5 Block: 1 Addition: Lexington Pointe 3rd
PID:10-45072-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
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 -
Juanita O Mora
4369 Lex Pointe Pkwy
Eagan MN 55123
(651) 683-9905
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155909
Date Issued:06/07/2019
Permit Category:ePermit
Site Address: 4369 Lex Pointe Pkwy
Lot:5 Block: 1 Addition: Lexington Pointe 3rd
PID:10-45072-01-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Juanita O Mora
4369 Lex Pointe Pkwy
Eagan MN 55123
(651) 683-9905
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature