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4381 Lex Pointe Pkwy Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit /00. ` j CIla of EaV I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL /BUILDING PERMIT APPLICATION Date: Site Address: / /L° f o ivt~ o~/Lwa Unit M Name: /4'14 (q 1 a t1 Phone: RESIDENT / 1-1 OWNER Address/City/Zip: 7_> A11X 55'6)3 Applicant is: Owner Contractor ] f TYPE OF WORK Description of work: r. ) w t---Oow fj ~l d Construction Cost: V/, coo Multi-Family Building: (Yes / No Company: -T .6 4a Q c) kL C Contact: -,Toe 11eLe Q CONTRACTOR Address: Soy eo~/~~5 Y' ` L10006-J S L City: ~ State:r't zip: 5-60'7 Phone: 5 !?Y3-,6-1F39 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.gol)herstateonecall.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 withou 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 plan x x iY Applicant's Printed Na Applic is Sign fur Page 1 of 3 ELE4TRICAL PE-RMIT #I00352 CITXVIEW ELECTRIC RELEIPT #101505 DATE: 5/23/9] SITE ADDRESS 4381 LEXINGTON PQINT PARKWAY DATE: 5/23/91 Unit# Permit# 13025 B 1 Sect.ISub. LEXINGTON POINTE 3AD .,,, IN$PECTION DATE INSPECTOR OTHER FRAMIN6 RDU6H PL86. ROU6H HT6. INSUL FlREPLACE flNAI HT6. FINAL PLBB. UMR FlMAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SEWER & WATER PERMIT cmr oF EaGaN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 12/27189 4 SRE LOT CI7Y, Sl PHONE: OPFICE USE ONLY i 2/ 2 7/ R9 METER # PERMIT DATE CHIP # PERMIT # 1 11 ?+2 METER SIZE B.P. RECEIPT #" R 2 2 ? i._ i 7 l 1•'1 ISSUE DATE B.P. FiECEIPT DATE _ PRV - BOOSTER PUMP PERMIT REGIUESTED - SEWER WATER - TAPS - COMM/INb "-'? RESIDENTIAL ZIP /`?? -S XX NEW - EXISTING PLUMBER: 'U ADDRESS: ? %y •< r j yAt CITY, STATE - ' ^r,Yt..,n ? - I?? ZIP . PHONE: OWNER: - ADpRESS:_ CITY, STATE PHpNE: - '} (; / u ZIP Lawn Sprinkler Meters are to be lnstalled ' Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. : 1 IlGREE TO CQMPLY WlTN ClTY OF EAGAN ORDINANCES SIGNATURE WHEN METER 15SUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 3 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE --7'89 . SITE ADDRESS .' " ?f f• - • - LOT -?= BLOCK _,4_SEClS APPLICANT: 1 .. CITY, STATE' ir? PNONE: - b q ! - - ? PtUMBER: ADDRESS: ZO CITY, STATE PHONE: ^ 9 " OWNER: ADDRESS: CITY, STATE ZIP ' PHONE: SIGNATtIRE W ETER SU 0 PLEASE ALLOW TWO WORKINCi DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEVYER PERMIT3, CONTACT ENCiINEERING DEPT. OFFICE USE ONLY Z 2/z 7/8 9 ? METER # 3 dl' PERMIT DATE CNIP # o/ •3 6? pERM1T # - 11162 METER SIZE ck B.P. RECEIPT # C 5?_ ? 7 i212i!69 ISSUE DATE -? - Z I - 9V B.P. RECEIPT DATE _ PRV - BOOSTER PUMP PERMR RE(]UESTED XX SEWER ''x WATER _TAPS - COMM/IND XX RESIDENTIAL ZIP -3 XX NEW EXISTING I Lawn Sprinkler Meters are to be Installed ` Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ZIP I AGREE TO COMPLY WITH CtTY OF EAGAN ORDINANCES ?:. . -..?.. ; . BUILDING PERMI CITY OF EAGAI 3830 Pilot Knob Road, P.O. Boz 21-19 PHONE: 454-8100 Site Address ' 431B1 LEXINGTON Lot 2 Block 1 Sec/Sub. Parcel No. W IName ER1AN TRORSON H(K+ 3 Address d?? ?DGEWOOD DQ ° EIlGAN City Phone Eagan, MN 55121 Receipt # POlNTg OFFICE USE ONLY Occupancy FEES zorring P2flr1 (Actual) Const V-N- Bldg: Permit ?-? lAllowable) V-N Surcharge 40'00 ?F Name s*" ?? Address ? City Phone Name _ Address I hereby acknowlege that I have read this application and state that the inlormation is correct and agree to comply with aU appticable Stale of Minnesota Statutes and City;ef"?tagan Ordinances. ? r Signature of Permitee A Building Permit is issued to: BR1AN THORSON HOMES on the express condition that all work shall be done in acco?dance with all applicable State of Minqesota Statutes eqd City of Eagan Ordirtances. Building Official # of Stories `I Z Plan Review 275.00 Lergth Depth 48-' SAC, City 100•00 S.F.Total - SAC, MCWCC s?s.? S.F. Footprinls - On Site Sewage _ Water Conn Sfin. an Oo Site Wefl - Water Meter 90•00 MWCCSystem 49-- , City Water ?_ Accl. Deposit ?4-? PRV Required - 5/W Permit 20.00 Booster Pump - SM! Surcharge 1•00 Treatment PI ZZ$ •00 APPROVAIS 34 Road Unit 0•00 Planner - Park Ded. Council skig. on. _ cop+es Variance - TOTAL 2.829.00 Permit No. Permit Holder Date Telephone # WATEFi [,? ? ' ?,CL? ' ,-??>;?• SEWER PLUMBING H.V.A.C. EIECTRIC ??r??' ?„• ?? • t i 2 ?' l C/e r c? l/G ? ?,`? e*O Inspection Date Insp. Comments FooUngsl ?Z 7 f u Foundatwn Framing Roo(ing Rough Plbg. - G 1' , /ffl# • -. Rough Htg. 47 - lsul - - v - ti F???lace Final Ht9. Final PIb9. Consl. Meter Plbg Inspeclor - Notify Plumber Engr./Plan Bldg. Finat Oeck Ftg. Deck Final well Pr. Disp. r -,# fger#iftrate of (Orrupttnry Citp of eagan ???? ? ltdiatno jwprtton This Cenifcate issued pursuant to the requiremenJS of Section 306 of the Uniform Building Code cern; fying that at the time of issuance this structure was in compliance with the various ordinances of rhe Ci[y regulating building comtruction or use. For 1he folfowing: ue c1lufficAdod SF DX/GAR Boae. termu ro. 17401 oaw.," TYx R3/)41 zona awm PD/Ri rya co.. VN Owner of BuildingBRIM IHORSM HOMM Addreu 4466 WMOWM UM• FAGM nau: MTT. 11, 199(}- POST IN A CONSPICUOUS PLACE PRICE: Site Address Lot ? Name _. ? ? . m Address c City j a*,iPhone ? - ? Name ?%?.? . .? t .- , c Address -_ ? • O Ciry *hon'e 3 FEES COMM/INO FEE - 1°,6 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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) PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # RECEIPT # ? DATE: ? - '30 " I' BLDG. TYPE WORK DESCRIPTION .v Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL 4-Water Closet - $3.00 S _ • '? ?Bath Tubs - $3.00 " Lavatory - $3.00 _L_Shower - $3.00 ' I_Kitchen Sink - $3.00 - Urinal/Bidet - S3.40 4_Laundry Tray - $3.00 Floor Drains - $1.50 /•('-?J ?Water Heater - $1.50 Whirlpool - $3.00 -_L_Gas Piping Outlets - $1.50 i• - - (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 FEE: FOR CITY OF EAGAN STATE S/C: GRAND TOTAL: , ' . _..._ . . . ? . _ . n -, . .. _ . PERMIT # _ MECHANICAL PERMIT CITY OF EAGAN RECEIPT # - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE: )NTRACT PRICE: PHONE: 454-8100 ? ? Nan W Add c City ? Name _ c Address O CitY - TYPE OF WORK ForcedAir 1+)Id 75, )`).) :"AlrBTU '--'l:i Boiler M BTU Unit Heater M BTU Air Cond. ori!.; ,,u:. M BTU Vent. CFM Gas Piping Outlets Other BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other FEE: ?L• S/C: • TOTAL• $ T ? FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA5 OUTLETS (MINIMUM - 1 PER PERiIAIT) - 1.50 EA. COMM/IND FEE - 14/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PEFiMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: RESIDENTIAL BUILDING PERMIT APPLICATION CITYOFEAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conslrucllon ReauiremeMs . 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; and all roofed areas (20% maximum lot coverdge allowed) • 2 copies of plan showing beam & w(indow sizes; poured (ound design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Opfions selection sheel (bldgs with 3 or less units) DATE / - N-&! JOB SITE RemodellRepair Reuuirements • 2 copies of plan . 1 set of Energy Caiculations for heated additions . 1 site suney for ezteriw addRions & decks VALUATION (EXCLUDING LAND) #SSY>D, 17p.LO Cullfd ' 1 f , 1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 3r-1an °k /klad:ne 0u: SrnaYl TYPE OF WORK 'Pnri:n I ti3ase me-1' F.`Yt;Sk FIREPLACE(S) X0 _1 _2 _3 APPLICANT 'Rrwnr% ?u?srne?rl PHONE# 6s?-6??-irU ADDRESS PAGER # CELL PHONE # wa ZIPCODE 5S1a3 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fce: $90.00 Fce: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, da agree to all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Appllcant - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ MINNESOTA RLILES 7670 CATEGORY 1 - Residential Ventilation Category 7 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water SofLener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery Syslcin Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex V19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous l? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Oemolition (Entire Bldg only) - Give PCA handout to applicant Valuation o20 D? -?- Occupancy 1e"3 MC/ES System Census Code Zoning /0 City Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ?O Framing r Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ FinaUC.O. -ea?, Final/No C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved Byao - , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN N2 17401 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est Value $50,000 Date 19191 , 1982 Srte Address 4381 LEXINGTON POINTE PKWY Lot Z Block 1 Sec/Sub. LEXINGTON POINTE oFFICE USE ONLv Parcel No. 3rd Occupancy R-3_M-1 FEFS 2onmg PIL$-1 = Name BRIAN THORSON HOMES (ACtuapConsl Bldg Parmit 550_00 V-N w 3 AddreSS 4466 WEDGEWOOD DRIVE (Allowable) - V-_ 40.00 ° Ci1y EAGAN phone 454-0644 # oi Stones _ s?rcna?9e PlanReview 2?5.?? Lenglh 4? o Name same Depih 100•00 49, SAQCq i ¢ 0 Address S.FTOtaI y - , SAqMCWCC 5?5.?? `- Cily Phone 5 F. Footprints - W t n C F? On Site Sewage a er onn 580 o_ - F W Name On Site Well nn 90 _ - Water Meter ?? Addre55 MWGC Sysfem xx- 0 Acct Deposit 3 QQ aw Clty PhOne CilyWater . .,. _ xy- 20 00 PRV Fequired . - S/W Parmil I hereby acknowlege that I have read this apphcation and state Ihat the eooster Pump - SrW Surcnarge 1.00 mformabon is correct and agree to comply wdh I applicable S[ate of Minnesota Statules and Crt agan Ordina e Treatment PI 228.00 SgnaNre of Permitee ? APPROVALS Road Umt 14 _ f1(1 A ewldinq Permrt is issued to: _ BRIAN THORSON HOMES Planner - park Ded on the express condition that all work shall be tlone m accordance with all Counal apphcabie State of Mi sota StaN City of Eagan Ordi ces. gld9. ppf Copies ? ? ? Building Otficial «A Variance - TOTAL 2,829.00 ?? 9 / 7 v v C/'??00 12286 Repue 1 Date 1 ? Frte o ough-in Inspection eawretl? Ready Nrnv ? Will Notify Inspector ? • O 7 Yes ? No When Featlyl I icensed contractor ? owner hereby request inspection of above electrical work at: Jo0 Atltlress (SVeet. Box ar ule No,) ? Ci ? ? SeMion N. Township Nam or No nge N. Couny OccuD T) V ? %? Phone No Po • g z qGdress Elecv Contrector (COmpany Name) GontraclorS 4cense No. ? O MaiLn A Oress ICOmrector or Gvner Making Instalia[ion) Aulhan ed &qnature IConVactor ner Ma4inq Installallon) ? Phona Number MINNESOi BOARD OF ELECTqICITY U ? THIS INSPECiION REQUEST WILL NOT G ggs-Mltlwey Bldg. - Poom S-173 BE ACCEPTED BY THE STATE BOAPD 1821 Universky Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS ,'hona(B1P) 862-0800 ENCLOSED 09190 (0" - 12Z 86 REQUEST FOR ELECTRICAL INSPECTION ? See mstmMians for wmpleting Ihis brm an Oack of yellow copy X" Below Work Covered by This Request E8-OOOObO] ew d Rep TypgofBuildmg AppliancesWired EquipmeniWued • Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial Furnace Farm Air Conddioner Omer (soecry) Conirector's Femarks Compute Inspechon Fee Below: 8 Other Fee # ServiceEmranceSrze Fee # Cucuits/Feetlers Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps o_ Amps Signs inspeaor'sUSeOnly TOTA S Irrigation Booms Special Inspecnon Alarm/COmmunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Eledncal Inspecto5 hereby certify that the above mspection has been made. Rouyn,o oai1 ? Finai ? OFFICE USE ONLV This request voitl 18 maMhs from .?^ EB-o00o1-0a ?' REQUEST FOR ELECTRICAL INSPECTION `,i ? f0, LOmN12Lr5 Ihi6 fWnu 00 beCk ?f YBIIOW c0PY ' 5¢P?OSI?IlCti9n6 ? "X" Below Work tovered by This Request ew Add Rep TypeolButlOing AppliancesWired EqwpmeniWired I _ --- -- Home Ran9e Temporary Service Duplez Water Heater Electnc Heating ?Apt Budding Dryer Other (SpecAy) ___?COmm.llndustrial Fumace I I Farm Air Conditioner I ?inertsyeatvi Gomracror's Remarks Z v e W lJ? Z? -1( Co _-- _> . a mpute Inspection Fee @elow. # Other Fee # SermceEntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 m 100 Amps Transtormers ? Above 200 _ Amps ove 100 Amps SignS ? Inspec?ors Use Only ' L - - OTLA Irriqa0on Booms I ? G ? y? ?, I` - ,?7 lJ Special Inspechon Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT IOther Fee L COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rough-in oa?e cer[ify Ihat Ihe above inspecuon ha5 been made F,,,ai 4 4 oa? ]Q ?-O/' ? OFFICE USE ONLY ?- ? This reGUest voitl 18 monihs irom Recuesl Dare Fne o Rough-in Inspeclton Reqwretl? ```??,??? ? Ready Now p[wJl Nolity Inspector n Read ? 'h ? ??' L.L Yes No = y e i Ilicensed contrector ? owner hereby request mspection of above electncal work at: aoe noaress l5veei Box o/r ao?me N/o i ?- /? / l.?- (? /?.f/ (3 / ?/y?/1.? Ae'llbT Gy Seccion No Townsnip Name or No Range No C unry upantlPRINTI ? ? Phona No 1 T)?U Powar Suppiier Rtltlress Elermcal Comrzcbr (CompanV Namel Conlractor5 License N. Maihng AdOrle?ss fCOntraclor or OwnerMeWng In61011a1ion) (?(? A ] L ?-?\ . l _.?. \ ? ? ?l Ful "ieu Signeture fCDniracbnOwn Making In dalleoo ) rn2??.? rLI 1 k? PM1One Nu bB/ q _ 35 MINNESOTA STATE BOAR EIECTRIQTV THIS INSPECTION REOUEST WILL NOT Gnggs-MiAway Blag - Hoom 5-173 8E ACCEPTED BV THE STATE BOARD 1821 UnlveraHy Ave. 51. Paul. MN 55104 UNLE55 PROPER INSPEGTION FEE IS Phane (612) 6G2-0800 ENCLOSED RESIDENTIAL 5 ( b4 ?(`J BUILDING PERMIT APPLICATION ( CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-687-4675 New Construaion ReauiremaMs . 3 registered site surveys showing sq. ft. of lot, sq. R. W house; and all roofed areas (20% mazimum lot coverage allawed) • 2 copies of plan shmving beam & window sizes; poured found desgn, etc.) • 7 set of Energy Calculatiorts • 3 wpies of Tree Preservation Plan M lot platted after 711/93 • Rim Joisl DeWil Options seledion shee! (bldgs with 3 or less uniLs) DATE Fi Gi 16 JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? " v PROPERTY OWNER?EC 1 M\ ?U 1 ?1^S?IXx \ TYPE OF WO APPLICANT ADDRESS ? PAGER # t Le (CCA FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# 05-,A - F£s)-42aSS r . 114C- /Sb h) ??6Y1i,'1? ZIPCODE-SSNA CELLPHONE-LpIa,-_W'frs I FAX# NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGOR ?(check one) Residential Ventilation Category 1 Worksheet Fn;! - Energy Envelope Calculations Submitted 1 1 2002 _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Piumbing Contractor. _ Plumbmg System Includes: Mechanical Contractor: Mectianical System Includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fcc: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofAppllcantQn ,?VvlfI?" Water Softencr _ Water Heater _ No. oF Baths RemodellRaoair Reauiramenls . 2 mpies of plan • 1 set of Energy Calculatbris Por heated additlons . • 1 sile survey for e#erioradditions & decks • Indicale if home served by seplic system for additions VALUATION <I)5 (?lQ-1 ? Phone #: Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 ?r rr6i CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "G FOR CITY USE ONLY PERMIT # RECEIPT # S ? DATE: S?pswTxAS,i PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & q,.<. . .. . . ..., .. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------°- WORK DESCRIPTION NEW CONST _ ADD ON .? REPAIR _ OWNER NAME: d*&.? IAIiYi4Al ? SITE ADDRESS: 'YTBl'?..?X?:ve??__;??????? IAT: 02 BLOCK SUBD. INSTALLER: G14t7?1-+;6 //fro'-yh!c ADpRESS: l?.r.?J?itd??+? /mr?. CITY: i??i ?V? ZIP: J-J-/tz PHONE #:?,? FEES ADD-ON MINIMUM 5, HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL: 1IGNATiA OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDVSTRIAL BUILDINGS, AYARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: AIIDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CITY OF EAGAN SINGLE F9MILY DWELLIRGS 2 3ETS OF PLANS 3 REGISTEAED SITE SIIRFEYS 1 SET OF ENEBGY CALCS. 1989 BBII.DIHG PERMIT APPLICATION C Y OF GAN MUL PLE DWELLINGS 2 3Ef5 OF PLANS HEGISTSAED 3ITE 3IIAVEY3 - (CHECB iTITH BLDG DIO.) 1 SET OF ENEHGY CALCS. C014dERCIAL 2 3ETS OF ARCHISECTIIRAL & STHDCTQRAL PL9N5 1 SET OF SPECIFIC6TION5 1 SET OF ENEEGY CALCS. lIITLTIPLE DWELLINGS RENTAL UNTT3 FOH SALE II9ITS i OF WiITS NOTEs ADDRESSES FOE CARNER LOTS - COATRACTOR/HOMEOSiNER MQST DESIGNAiE WHICH ADDRESS ZS DESIRED. NO CHANGES WII.L BE ALLOWED ONCE BUILDING PERMIT I3 ISSIIED.. SEWER 6 WATER PERMIT FEES AND ACCOQN'f DEP03TT FEES HII.L BE INCLIIDED WITH THE HDZLDING PEiMTT FEE. PROCESSING TIME FOR SEWER APD WATER PEAMIIS IS TWO DAYS OHCE A PERMIT HAS BEEP COMPLETED INDICATING A LICENSED PLUlBER. PENALTY APPLIFS WHEN: PERMIT IS NOT P9ID FOR IN 3AME MONTH IT IS REQIIESTED. LOT CHANGE IS REQUESTED ONCE PEAMTT IS ISSIIED. a 5 ,a% ^ n Cl ( // F ? ? ' To Be Used For:? Site Address '1/3$'/ Lot _a Block Par cel /Sub'lo, Owner 9ddress City/Zip Code Phone J} S?1f ^- D 6'/ (- Valuation: 70?[7?? ? Date: Occupancy Q-3 111-I Contraetor ?d-k ann 0 -') Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # 2oning PD R ^ I Aetual Const V• rl Allowable V - N # of stories - Length ? Depth k4?? S.F. Total Footprint S.F. On site aewage On site well MWCC System ? City water ? PRV required _ Booster Pump _ APPR0o9LS Planner Council Bldg. Off. Var iance t/$ S g( A,) Bldg. Permit 55a10a Surcharge o1 a o Plan Review 7. '15, d, SACO City ooloo SAC, MWCC 7.S 5,pt? Water Conn 5,90,00 Water Meter o,o° Acet. Deposit 2?0.t,o S/W Permit 2a.00 S/W Sureharge e.0° Treatment P1. Z79tcO Road Unit No?,oo Park Ded. Copies SUBTOTAL Penalty TOTAL 9..A1G.0") V.q L U AT I0 I?.I ------------------ G ?R AG? ts,@? ?'? ? ?-a x 2 2. = ?-I y oW i j="- '6S+%T. IHz x a6= Joa2 I? X L} _ 3z I IZy K (4 = 15f) 3& ISl' &vvv%-, = i?2.,4 ? ?9$3L . . ' .? -? )wner M1nnLSU+ :i te Address Lo -i Z F""a"k I A 1 L v J Y ? Y V V Yti ? V? ? • p,V GNA TEN. OFVT ? ERGY CODE - DL710N_-_?f oclon EEfte[iv+ l/1! 4 -- . ' - ? Phone ^ ?+ l,.?xiN?--rox? ??o, •.rnane :antractor Type A2 (Residentlal ;uitEing C7assiN cation: Typ? A1 (S1n91e Fa?ily 3 4uplex) - (3 storles ar ess (Other) (Over 3 stories) nENEr2Al INFORHATION (. Building Perimeter wall height (ground W eave)"Z'~19 ft. ,- p, 3. 1. x 2. (above) gross walt orga. . Building dimenstons (l) ;?? ? x?uy ?? .t.2 roaf s floor area 3 i. Squan fcot area of rim jotst -?Fo?ar xjPerimeter `Zaim o?st area ? Zo, oft2 , _Tf_ , 6. Doors - Area -- • Thic ness ?? n. actor z-? ft: • _ Type ot Construct on .pe C'??-?:• erlm?ter ??-°- 1?• 9 L.__ Manufacwrer ? ? , 7. Total door's perlmeLer ?Z ..??_.- ft 8. 1lindvws: " Manufacturer C o _ State approved U facur 7TPE r - ,? ,• _ ?-Y-; ? - ? .. a\. A-e SIZE t?^ • ?? ? ?4Z -- k? Z ?,1 O ?r Yco AR;A (f:.2) EACH _ ? • ?- -? . `t i?: !VUMBER OF T07AL FEET UNITS _- I ?•?? .' 9. Total ft.z 61ass \ ?LO a ,?---? Pt.2 106 f1replaCe area: W1dth x heiaht • ??- x '? 11. Exposed foundneton: Meight s Perimeter - 5 x THE O MIFOR NINAL L CONEW OE A?LOHANCEIO IS USEDR aEM00ELING ANO BUILOI'IGS BEING )MPLETION S REqUVED 1 JvED vHERE ENERGY am1ng area • l0Y of gross Nall area. G,bss wall area Ylindow area A atm Jotst area A poor area A Z ft. lzo• c tt.2 ? 1 • ??-?t.` - 2 f^. F{replace area A ? ` ?. C'7 f C? ' Exposed foundation A ? L Framing area A A r'?ft. net wall area A . t. ° . . . " (t?g; '1:.l f'••Z I, wlndows z A? U rim joist ¦ .. O'`, U x A' r 7 door area ??•? U x- A¦ . ?- U Flreplsce U x a U faundation • _\\ U x A i franing area •..o`?, U )t a' ?J wall =_. ?'?? U z . . . . . . . . U x A = --c= ll area x 0.11 (A-1 singie family S dt4*°x • allowable U aA/Code t; Gross wa (13. above) • ' x 0.23 (A'Z ather resiCenti3'.; x ,23 (0[her buildings: A ,28 (qve,• ; stor+e:) 7UH Must De larger than ? ?\ (o„? , 139 3bave _ A l: ccde. ..._.?--- ? or the same as) ;. Cailing framin9 area (Af) e4uals 10: af c_;Xini zea tt.2 li 5.t. Gross ceilin9 area a « \\? ? ?t.Z 98 Joist area (Af) - 10': ce111ng area s _ .gp ft.2 5G. yet ceiling area (AC) (15A - 156) •?? U ceiling x A c' ? = e C- U framing x A f¦ O Z??x-- -QTaI U x A ....................................... 50. . - 6. Ce11;ng area (15A) x 0.026 (A-1 sinyle `ami1Y S duplex - code a11o-4ab1e.U x A z O.C33 (A-2 otAer reside.^._ial) x 0.06 (other) gTUN Must be targer than 150 (above) OF (or the same as) . C)? ? _.... ?_ ? NqTE: Use U and a value, obtained f-•om nPs 1. 3 and 4. •,, . ,. _ -,:.i . * . + ?LY ; .. SECSZOM . r" ?, . sTUIn sacrton . . y4x . . ' , , ???• " . ?;. "- ' 2ND uALL SEGi:?N ? ;g j. ? ` I BLN ' ]QIST : . : . . , i tl:,'s y: 3 ? ?. ,. . L'4 . . . ? . f? . = - . i?..; ?.rC.y ?, r.?t'.r.•?S•.:5 d i t'y..' ' '.p. .;?.?rf ??N' i{PL ; ?!?"E 5?:; , ? =;.,:?r ,_., ? •;?:? .9r, 4?;. ?:: tak44M'• iit? 5? . . ' ' 4°S' I < ' C? Ietaetee raiR ? Y . ' ?±;_ ;: :: . (W*11) 6'?'• ? ,.:. ^ ?A.^1 ?!OSUixtt?.t1 , ? , t ? aa .. ??,?3re ? 1:3 kSChLnR ? r. w'r s??t?R ?• ? ?0?7 • ., . t i = . 04? : ..? 1? e?, . ? ;,uCside air :llm ? • :17 , :?i R TOTAL Zo? . O ? : )tfy , lnside sir Eilm ' r %y V (, in[a:for wiil 1 • ` ?? ? ? ?s-ud v ?•yQ? ? ? ? ? g R? (Framing) U . F . . ;I ,?. - I 6L I h e• Ch i n 'y Slding I?' OuC?IQ• air tiln ' '.17 TOTAL O Inside air t:lm Re .68 1 .. :1? . ?. . ' .i In[*rior +.aii iniulatton `qi•PO (1ia111 ? ¦ .=, ,''r R • , ? • , . Shaathtng Z .aa Exterlor v411 coverin4 Extarlar air filir. n"'•.1i Od? E! '!+ s roreL. Z3.o3 - ' ^I lntcriur air tii:n ?' .68 "•;i` :r.suln:lon ! I tiq•0o .. ? . T t? ir,ch wtt +uua R=1.88 (Rim ? s j{ • JO{SL) L. ?r ?4 aY1 ?h S ato?h g f ter?or wall cuveetad •?? ' = Bxter[or air ftlm R* .17 f R MTAL ,. ? lntarfoc air C:la R' .66 [nsululor. 4-?,oCi 1?LY Ce?c?eicFoundat{un (Fdll:) 'U ? ?a , I 1'7 xtartor air filn R?'•17 . ?. 4r! ??_ . ` ....... F roTAL ; ...? ? ! I ?tspuftd 3luck I r,rqee . ,. ;;#! f ? .? t _ _ _ _ ..._ . .. ??'I F?y?p1v/?J ' `? ?'. ?S, +? ?: .Da??7 2??.5?? F?. ?.. ?, ??? `:, .., `: (?M 'f,; ?''F' J',t:?'• 7',' ?` ? .?!%.. 7? i''ril . . . • . ? ??'. . atr tilin. 0.61 ? .,:?;;_?.;• ? ? ?. 3\.'1 5 Iniulation 44 .o 316 Jotst ;:? .. -Tp, teili. ng 116 , ' ? • '. , q ? • • y,: .. O.fl A1r Film 0.61 ?', `c' • 3? .9 3 Total R ; _ , • `. - ' ? ? ,0?,_(-P4 u??' ?.; . ?. . Inside Air fi Ceiling Joist (stu , insulation _ Air sptte _ Root detkinq , InauldLion R YALUE CEIIING , 0.61 Bu1lt•vp roof Outside:alr t Totsl R u 'l.indoa infiltratlcn .5 cfm/11nea1 foot of crack "tqsidential door infiltration 0.5 cfm/square foo; or dcor and minimuc coEe 4)n-residential door infiltration 11.0 cfm/lineal foct of crack 11" concrete blotk no 1nsu9ation ?.41 a 2.1 12" cancroto blotk- insulated cares =.26 R 3.8 -j ),b 11" Tiglir.+eight block . •.32 R 3.1 )b 12" ligntweight btock irfsulated cores =.12 Q 8.3 .:,.J.sinyle qtass • 1.13: wtth,stom Ntndaw .54 ? y double glass • .56 J?`1 tripl• glass • .41 iYl ;t k11 axterior walls and teillnys must have a vaaor barrie?' (C. :ipor barrier must be on the inslde (heated slde) of wall. ,,.. ;... ?0 pp: barrierd ot Lht polyetbalene thfn film have no Rvalue. ? ?- r?,. . ?• ?..,, 4 F!.4T ROOF OR C.ITHEORAL C"IlI; -R 1Ta T u-e ? . FRAMtli6 requtrement 10 perm . `TRl-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 CERTIFICATE OF SURVEY FOR: THORSON HOMES LEGAL DESCRIPTION: LOT? ,BLOCK I, LEXINGTON PO!NTE 3RD ACCORDING DAKO?RECORDED PLAT THEREOF COUNTY, MINNESOTA Scaled"= 30' q7(o \?N . . a? r c, ? \ ?, 9T4 OI ! (r?cy \ 97400 P \ , ?\ Q ???Q 9?u \ \ O ? 6? . ( ^ \ /Ol ? Y \ (? ? , ?^ / 09 A'N ° T 996.47 0977.4 > ?? E?TG1RT.-? rRZNG1 \ LEGEND ?oP?4.Ft> >'i'c_?r Enrr?y - ?? ,.+?kw-r INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARA6E FLOOR ELEVATION=? a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =`-'4 97&.17 DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR ELEVATION ELEVATION (ne,`=) DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 heraby certify that ihis survey,plan or rsport was prepored by me or under my direct suparvision and that I am a duly Reqisterad Land Surveyor under ths Laws of the Stata of Minnesota. Bradley J. t*dnson, Mn. Req. No. 15235 Date - 12 1 i % r`I I t4• •-i-?' i I v' ?JO\ 9?ys?8 O ?2 \ 59, LOT 2 ? ?4v ? •?5 .0(o5??? AY > °? \ \ 1 6?°3354 , ? PERMIT# I RECEIPT DATE: RXstnENrliv. PLUMuv? PEWr ?PIIcAnox crrYoF EAsm 3830 PILOT KNOB itD EE18NkA, Al1V 55122 651-681-4e75 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for irrigation system SITEADDRESS: N3V LtX??4`Fdrt po,`nqe / urkwa OWNERNAME:: R?y[ri -t'JIa??n,p }Ju?S?''I??1 TELEPHONE#: SI L>SI'?5?? (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: ei TELEPHONE #: AS I , (AREACODE) Place a check mark next to the ermit work t e STATE: /n M ZI P: Sr/a 3 New residential dweliing unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 . abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • waterturnaround Nature ofwork: ?,,4 °lii 'S«Sev?.cr.? 'F:N?SLa Septic System, new/refurbished - $ 225.00 • includes County & Cansulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge thal I have read this appliration, state that the information is correct, and agree to complywifh all applicable Ciryof Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ils normal operational and maintenance activities to fhe faGlities constructed under this permit within City property/ri9ht-of-wayleasement. ? SIGNATU E OF PERMITTEE Updated 1101 s a _ . ?jq l,c ? 2007RESIDENTIAL BUILDING rERMrT arrLrcnTroN ? ? `? ' ? ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcGon Reauirements 3 registered site surveys showirg sq. R of lot, sq. ft. of house; and all roofed areas (20°k maximum lot coverage allowed) 1 Soils Report if proposed building is w he placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 set of Energy Calculalions 3 copies of Tree Preservation Pian if lot platted after 711193 Rim Jois[ Defail Optrons selecGon sheet (buildings with 3 or less unrfs) Minnegasw mechanical venlilation form RemodellReoair Requirements Of6ce Use Onlv 2 copies of plan showing foo6ngs, beams, joisis CeA of Survey Reod _ Y_ N 1 set of Energy Calwlations for heated additions Soils RepoA Y_ N 1 site suNey for additbns 8 decks Tree Pres Plan Read _Y _ N Addition - indcafe if on-site septic system Tree Pres Required _ Y_ N On-siteSepticSystem _ Y _N oB -Z o &J? Plans are considered nublic information unless vou state theV are trade secret and the 1'eason. Date 2 / 30 1 0 Construction Cost 16o,fl4?2 ? Si[e Address ' UniUSte # ? Description of Work bWi?? U/v?/1 al-aU/t,01 UQ? QA/U .SC /i°e1W,,,;1/,t/ 406^CA Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2 PropertyOwner li?j- -? , e,? ?,/! S GY1Q,j2_ Telephone # (65/ UC ?` 4' & ?7 aOSy` 893(? Contractor ,oti ,GfeI I6 /. 41y-1 / Address ?,71, `vT.zlvi' f-- City? G/? State &,( J Zip C?A :5 Telephone # ?,a ) a2 70 ?(AI71 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Energy Code Category . Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted . Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor . Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan 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 app4Appli in the ase ofwork which requires a review and approval of plans. Applicant's Printed ame cant's ignature 7 ? "z17 DO NOT WRITE BELOW THIS LINE " 'i Sub TVpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck Iff 23 Porch (screenfgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-piex ? 25 Miscellaneous Work Tvpes D' 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant D@SCI'iqtion: WaterDamage_ Yes Valuation Z?? Qi).m Occupancy R- ? MCES System Plan Review 1 DD% or 25% Code Edition 1- QC (0 Census Code Zoning p_ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. z,:) PRV # of Bldgs Length /lo Fire Sprinklered Type of Const Width ZU REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock ? Footings (deck) t-i- FinallC.O. ? Footings (addition) f as'% fooT=.-r'S Zo FinaUNo C.O. _ Foundarion HVAC Drain Tile Other Roof I? Ice & Water N Final Pool Ftgs Air/Gas Tests Final ? Framing -/,U a o,17 ?? Siding Stucco Lath Stone Lath Brick _ _ _ i Fireplace ? R.I. -fct£l?CSt }S, Fina _ Windows _ Insulatioa _ Retaining Wall Approved By: 7Q MA A, f - , Building Inspector , ----------------- -------------- - --------- BaseFee ---------------------------- -----------------------°----------- ----------: ---- -------------- ----- aeC? - 3? ?c7a E?) 0 Fh4-T ree- Surcharge Pf R i Z" X/(0 17J boU' c? an ev ew MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total fRl-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 LEGAL THORSON HOMES DESCRIPTION: LOT? ,BLOCK I , LEXINGTON PO•NTE 3RD ACCORDING Tt-IFIARECORDED PLAT THEREOF COUNTY, MINNESOTA ft?EVIEWD 7/n 8UILUIR1(; INSPECTIOWS- Scale: I "= 3d . ? i ?Iir q?2?, O' /? ? \ `S9 1 _ C) i• j ? LOT? <F??N ? \oN ? r r i, I 1"A c, .? <???rJ V? h 0 g? ?b\ 994r4? p?Po V 9q / V ?Q ? j 3 9 An, ? p i ? ?? 990 47 9114 ? p ;? ? .69 _-?? LEGEND Feo(-?<:.r-L-) Ir ENrPI'l - k)',i..HIKG?, INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= 9?v.n DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = a?-71?- ELE VATI ON E LE VAT I ON (n?`-)DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby certity ihat this aurvey,plan or report was prepared by me or under my direct supervision and that I am a duly Repistered Land Survtyor under the Laws oi the Stote of Minnesota. Bredley J. ?iy6nson, Mn. Req. No. 15235 Date? . ? . J ory? 0 ? `3S4„ o ? ? M CERTIFICATE OF SURVEY FOR: NOTE ? VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 12/27/89 DATE: 4357 •L6X1tiG1'ON POINTE PKiIY.. L8, Bl, LERINGTON PO1NT6 3RD ? RE? 0 RX 4381 LBRINGYON POINT6 PKiiY., . . Yp u?r Sewer & Water Permit for the above property has heen completed. It will be held at the ?dblic Work§rGarage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBCIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. r _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at.City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. ? WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. I CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: i2/a7/a9 RE.ra' . 4357 f.EX1NGTON POINTB PKWY.. 1.8. 81. LBEINGTON POINTS 3RD xg •• + IS!, _ Your Sewer & Water Permit for the above property has been completed. It will be held at ihe F'ublic WorksrGarage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBp(C WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has 6een completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. -REQUIRED BY LAW. CONTACT COMMUNITV DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS , _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundahoa _ HVAC Dnin Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Fraxning _ Siding Stucco Stone _ Fireplace _ R.I. Air Test Final Windows (new/replacement) _ _ Insulation _ _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector o•? 550•00+ 40•00+ 2 75•00+ 964?00r 2 )8 2 9• 0 D*+ 550•00+ 40•00+ 277•00+ 1)964•00+ 2,829•00=?'- PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA107537 Date Issued: 10/16/2012 of 3 a R Permit Category: ePermit Site Address: 4381 Lex Pointe Pkwy Lot: 2 Block: I Addition: Lexington Pointe 3rd PID: 10-45072-01-020 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Valuation: 7,660.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Wenzel Heating & Air Conditioning Bryan W Huisman 4145 Sibley Memorial Hwy 4381 Lex Pointe Pkwy Eagan MN 55122 Eagan MN 55123 (651) 894-9898 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------'� I For Office Use � C� � Permit#: I � 1 J�'� I lUy Ol L�� I mi : ` ��a� � Per t Fee 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (657)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �� " ►a ��1 `s �"'ar�t 6sl- �o��f,�'d �'..�' Name: � �1 ' Phone: ��esid�ntl� � �� Q� �.� .`�, fio �d%� � /�� w� �a Q OWI1�C . ' Address/City/Zip: /Y q � %�t ' Applicant is: Owner �Contractor ' Description of work: �C�� '' d /`T , TYpe of Work Construction Cost: ��v� Multi-Family Building: (Yes /No�, ° Company: �d�w�dn� �rQ ��rS `��C��`�¢ont ct� 's�� I / J Address: ` �.59.3 �X�JO!'d �� City: �/'�- h �va C�ntr,ac#ar , t� °°'�� h,�,��`�`� N(� s� �.��f- � d � ��d �` � � State: Zip: Phone: Email: -S s ��'�'''a H�( � �f'n�e ��e `' License#: �� ,�Ot� � l� �� 7� �r 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 supportiny document�that you submit are cansidered;to be public information. Portions of ` the information may be cfassified as��r�on-public�f you,pr,,pvide�s,pecific�r.easons that�wc�Uld permit the Ci#y to �� ..°:°��onclu„de'�t�aat fh�e ;are trade�secret�: 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.qopherstateonecall.or4 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 Building Code must be completed within 180 days of permit issuance. X J 1 `e.(/'�fi� �O�r f�►d�1 t� X Applicant's Printed Name ApplicanYs Sign ure �_ Page 1 of 3