4388 Lex Pointe PkwyBUIL&ING1PERMIT
To be used far $F t
CITY OF EAGQN f•`.? 18092
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'PHONE: 454-8100 G ? '7 0
I
Receipt #
GAR Est. Value $97,000 Date JULY 3 , 1990
Site AdcYess
Lot Block Sec/Sub.
Parcel No.
? Name rvr us??wr•s ??r?
W
15133
? Address
o FAIMYGM -
Name -"-`-
Address
City
Name
Address
Citv Phone
1 hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ?
! JOE lRLI.Ex HM$
A Building Permit is issued to:
on Ihe express condition that all work shall be done in accordance with all
applicaWe State ot Minnesota Statutes and City ol Eagan Ordinances.
Building Official ?- '
OFFICE USE ONLY
Octupancy 8?3 *- 1
?ing PD IF-1
(Actual) Consl ? Bidg. Permit
(Allowable)
N of Stories
Length
Depih
S.F. Total
S.F. Footprints
On Site Sewage
a, site weu
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
CounCil
Bldg. Off.
Variance
?
-w
-xx-
FEES
626.00
?. so
Surcharge
407.00
Plan Review
100000
SAC, City 6?.00
SAC, MCWCC
625.00
Water Conn
90.00
Water Meter
3o,.oo
Acct. Deposit
30.00
5NV Permil
•50
S/W Surcharge
232.00
Treatment PI
335.00
Road Unit
Park Ded.
Copies ?
TOTAI ? ?
. Permit Na. Parmit Nolder Date TeNphone #
WATEIR 1505
SEVYER
PLUM8ING
H.V.A.C.
ELECTRIC
Mspsdlon Date Insp. Comments
Footings I
?a 4 O.,8 ?
Foundation '
Framing
Roofirig
Rotgh Plbg. lep
Fiough Htg.
lsui. 3
Fireplace
Final Htg. ?
Fnal Pibg.
Const. Meter Plbg. Inspector - NoGty PI ber
Ergr./Plan
eldy. Firtal
Deck Ftg.
Deck Fnal
weli
Pr. Disp.
t. _
4 i
(gex#t#trate uf (Or.r??aury
Citp o# tagatt
Mppar#artcf p# wui[Diag 31wwPrtimx
7his Certifiaate iuuad purxuant to the requirenrents ojSecnion 306 of the Unifarra Building
Code certifYinS thal at the liirte ajissuance this slrrrclure xKrs in cornpliancae with the Harious
andinanars of the Ciry regulAng building cons&mWon or use. For rlre folfowing:
ux aNSM-6- gg ,¦CIGM swg. hk ra. 18092
0-"VAYTfrW Zoim °aa Tipcc- 3m -
p,rmor&mwm .vE MI'TIR.it F»MFS A&bw 1R13'l (R!]A,R AID? S. FIRMn1ffi+I
g,mlcrwsAddrm T.1I A3 iRYT'At:'iC'N pf1TN7'W. 3R1]
Duc-? SEBMDM
77y ??
BuadinE OQ;" •
POST M A CONSPICl10US PLACE
For OfNce Use Only:
? • M ECHANICAL PERMIT PERMIT # - `y
-
CITY OF EA(3AN r
RECEIPT #
3930 PILOT KNOB ROAD, EAGAN, MN 55122 ?
? CONTRACT PRICE: PHONE: 454-8100 DATE:
! Site Address ' `. BLDG
TYPE WORK DESCRIPTION
' Lot 1 Block Sec/Sub .
.
Res. New
Mult Add-on
F m Name - .
- : Comm. Repair
c Address
City ? ,
Phone`i,'-r Other ?
FEES
1
' c NemB
`
? RES. HVAC 0-100 M BTU -$24.00 ?
A
DI
I
NAL
T
Address -?
? D
T
O
50 M B
U - 6.00
O CitY Phone ", (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIA?UAA -1 PER PERAAIn - 1.50 EA.
TYPE OF WORK COMMJIND FEE -1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
Boiler M BTU TaWNHOUSE & CONDOS - RES. RATE APPLIES
UnR Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON & ?
Air Cond.
M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHAHGE PER PERMIT - .50
Gas Plping Oudets # (ADD $.50 S/C PER EACH $1000.00 aF PERMIT FEE)
Other
PERMIT FEE: ?
? ??- ?
- ' - - - - 4 -
S/C: • SICaNATUFiE OF PERMITTEE ?
TOTAI: FOR: CtTY OF EAGAN
CONTRACT
PRICE
Site Ad?ress
Lot
? Name _
? Addre s
? City?
lOLUMl31P1(11 f'CKM17 For Office Use Only
CITY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ?
PHON 454-8100 DATE: ??? S v
BLDG. TYPE, / WORK DE$CF?BTION
Blodc $ec/S ?s. ?? New j/
? Muit. Add-on
? - Comm. Repair
- or;j _ Other
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLOGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SJC PER EACH,$1,000 OF PERMIT FEE)
CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES TOTA4/
Water Closet -;3.00 $ ??
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00 '
Kitchen Sink - $3.00
?-
UrinaVBidet - $3.00
? Laundry Tray - $3.00 ?
Floor Drains - $1.50
Z Water Heater - $1.50
Whirlpod - $3.00
Z Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
?
U. G. Sprinkler System - $12.00
PERMIT FEE: • W
STATES S/C:
GRAND TOTAL: 3 •.SS
CASH 'RECEIPT ` I
GITY OF EAGAN 3830 PILOT KNOB ROAD •
?
EAGAN, MINNESOTA 55122
DATE -7 ~ "T
Wceweo
f,?CHECK
O CASH .?
/
1
C 8701
Whk.-P8y- Cop,
Yellow--Poseng Copy
Pink-?ile Cop,,
& DOLLARS
,ro
Thank You ?
BY
SEWfftANATER PERMIT
CITY OF EAGAN 3830 Pilot Knob Rd.
Eagan, M,N 55 1 22-1 897
?
o '
DATE J•und 22, 1990
4?-?-
OFFICE USE ONLY
METER # PERMIT DATE 1;1106190
CHIP # PERMIT # 11505
METER SIZE B.P. RECEIPT # C t 7G 1
ISSUE DATE B.P. RECEIPT DATE 07.'()51
? - PRV - BOOSTER PUMP ?
/1388SITE ADDRESS 44eJ?- i. e 1: ing t o a P e i n t e P a r k w s Y PERMIT REOUESTED
LOT 1 BLOCK 3SEC/SUB Leaington Pointe ?rs
--X-SEWER --.;,-WATER - TAPS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
ZIP
PLUMBER: Tom Hesaian Plumbitctg
ADDRESS: 121 It a d wo o d D r.
CITY, STATE 1XjE$1??XJ1$4XHXA . V' MIP 5 5 0 Z 4
puntip• 432-6898
OWNER: ane Mi ],1 ar Hnrcit,,
ADDRESS: 18133 C n d a r Ao.a . 5
CITY,STATE Farmington, M.,+ Zip 55024
PHONE: 411 -2..1] t5 t
- COMM/IND ` RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
C[edit WILL NOT be.given for Deduct Meters.
L J :
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
)ERMITS, CONTACT ENGINEERING DEPT.
SEaIYER &rYVATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE J.une 22, 1990
OFFICE U5E ONLY
METER # ?37 S?O Z ? I PERMIT DATE ` '' L ? 90
CHIP # G I?o o?. ?903 PERMIT # i i 505
METER SIZE B.P. RECEIPT # G
ISSUE DATE S? " 7"QD B.P. RECEIPT DATE 07/(' `
_ PRV _ BOOSTER PUMP
)P3 Y'g .
SITEADDRESS -4-_"&t i.exinaton Pointe Pazkway
LOT I BLOCK 3 SEC/SUB L e x i ngt o n P o i i? t e 3 r d
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
PLUMBER: IT ?nm Hesaian Plumbin
ZIP
ADDRESS: 121 R e d wo o d D r.
CITY, STATE x11?1????*4.XIQIIiA , V, Mt?ip 55024
PHONE: 1 +32-0898
OWNER: -lie Miller Aomes
ADDRESS: 18 l 3 3 C e d a r Av e. S.
CITY,STATE Farmington, MN Zlp>;024
PHONE: - ; t -- ? r101 ? ,
.
PERMIT REGIUESTED
SEWER ? WATER - TAPS
COMM!IND
X NEW
?.? RESIDENTIAI.
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
n C dit WILL NOT be.giyen for Deduct Meters.
, } •, `_
I AG EE TO COMPLY WIT?,CITY OF
EAt3iAN aRDINANCE ?
SIGNATURE WHE
PLEASE ALLOW TWD WORKING DAYS FOR PHOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORAA
SEWER PERMITS, CONTACT ENGINEERING DEPT. .: ??!
w wffl-
CITY OF EAGAN = * ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
ILDING PERMIT PHONE: 454-8100
B
1
??•r L'1..
U
CHIHHEY b Receipt #_
? .
To be used for gI REpLpCE Est. Value Date OCT 24 , 7 g 41
Site Address 4?3U I-RYINCroN P
AINTF PMN
Lot I- Block ? Sec/Sub. ??
LEXINGTON
? OFFICE USE ONLY
Parcel No. OCCUpancy _ FE ES
Zoning -
W ?Y O??
Name ? (Aciual) Const Bldg. Permit ZS??
-
; Address _ 4388 I.EXINGtaON POI1+iTE PKYY (Allowable) - Sp
.
? Surcharge
City EAGAN Phone 434--2593 # ot stories _
Plan Review
Length _
o Name SAM
Depth
SAC
Cit
Z - ,
y
o
¢ Address S.F. Total -
u SAC, MCWCC
? City PhOnB S.F. Footprints -
t
W
C
On Site Sewage _ er
onn
a
r
?
Name
On Site Well -
Wat
Meier
W er
?? AddfeSS MWCC System
= Acct. Deposit
¢
a W City Phone ciry water _
SN
P
i
PRV Required _ erm
Y
t
1 hereby acknowlege that I have read this application and state that the Booster Pump - S1W Surcharge
information is corcect and agree to camply with all applicable State ol
Minnesota Statules and City o( Eagan Ordinances.
i Treatment PI
Signature of Permitee APAROVALS qoyd Unit
A Building Permit is issued to: ?J?"REY aL$EN Planner - Park Ded.
on the express cork9ition that ail woric shali be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ cOP'e5
?
8uilding OHiCi81 ?: ' '` Variance - TOTAL 15.50
Permlt No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRiC
Ihspection Date Insp. Comments
Faotings I
Foundation
Framing
Rooling
Raugh Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
61dg. Final
Oedt Ftg.
Dedc Final
Well
Pr. Disp.
7 - - A - - - -
INSPECTION RECORD
? CiTY OF EAGAN PERMIT TYPE:
'i 3830 Pilot Knob Road Permit Number:
, Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
Control No. 0239
sef Z 6 9
04/t4/92
SITE ADDRESS: LoT t I ef OcK APPLICANT:
43e8 LEx PurNTE PKwv oL :?EN aEFF
LEXIN61?1?N POIM1'E 3Rp (612) 464--25$1 PEWJ SUBTYPE: TYPE OF WORK: NEW
-- - - - - - - - - - -
? f+t'MARKS: Rf(:E1PT ![:19294
Permlt No. Permk Hotder Dme Telephone M
SlVN
PLUMBING ,
HVAC
ELECTRiC
ELECTRIC
Inspection Dats Insp. Cnmmeots
Footings I .
Fourxiatian
Framing
RooRng
Rough Plbg.
Rough Htg.
Isul.
Flreplaoa
Ffnal Htg.
Orsat Test
Flnal Plbg. Plbg, InsNector - Nofity Plumber
Const. Meler I
EngrJPlan
Bldg. Final
Dedc Ftg. l?J S 4?, {?JjJ /Ye
Dock Final i-? S?-- ? z? q? ???
weu
Pr. Dlsp. &
CITY OF EAGAN Np ? 8?92
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDINGPERMIT PHONE: 454-8100 Receipt # r
?
To be used for
$97,000
Site Address -43ft9' LEXINGTON POINTE PKWY
Lot 1 Block 3 Sec/Sub.LEXINGTON POINTE
Parcel No.
w IName JOE MILLER HOMES
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
Name 'kulm
Address
City Phone
Name _
Address
City -
Phone
I hereby acknowlege ihat I have read this application and state that the
iMOrmaLon is wrrect and agree lo comply wdh all applicable State of
Minnesota StaWtes an ity of Eagan Ordinances
Signalure oi Permitee P
A Buildin9 Permit is issued to: JOE MILLER HOMES
on the express condition that all work shall be Gone in accordance with all
applicable State of Minnesota Statules and City of Eagan Ordmances
Building ONicial
OFFICE USE ONLY
Occupancy R-3 M-i
Zoning PD -R-1
(AcWal) Const -V--u` Bidg. Permit
(Allowable) YN Surcharge
# ol stories
Lenglh
oepth
S.F. Total
S.F. Foolprints
On Sile Sewage
0o sta waii
MWCC System
Cily waler
PRV Reqmred
BOOSter Pump
APPROVALS
Planner
Council
em9. ai.
Variance
FEES
626.00
4R.50
461 Plan Remew 4n7 _ n0
54' SAQ City 100. 00
- SAC,MCWCC 600.00
WaterConn 695-00
- WaterMeter 9n-00
xX_
X7C
Acq. Deposit
30_ n0
ShV Permit an _ n0
- SM! Surcharge . 50
Trealmenl PI 252. 00
Road UnR 35 - n0
- Park Ded
Copies
- TO7AL 3,164.00
90 9??60
?
65733,C/` 3 ? $Cv7O°
. ,`
Repuest Dale
$ 1 4 9 0
/ / rte o Roughrn InspecLOn
Reqmretl'
? Reatly Noill NoOfy Inspector
w W
l
Yes G No hen Ready
Ahcensed contrector rJ owner hereby request inspection of above electrical work at:
Job Atltlress (Slreet, Box or Route No 7 piry
4388 Lexington Point Parkway Eagan
SeHion No TownsM1ip Name or No Range No CouMy
Dakota
OccupanllPRINT, Phone No.
Joe Miller Homes 431-2001
Power Supplier AtlEress
Dakota Electric Farmington, MN 55024
Eleclrmal Conlractor (COmOany Name) Conlractors license No
Midland Electric Inc. 041610
Mail;ng qotlress (GOnVaMor or Owner Making Insiellalion)
14055 Grand Ave So, S uite E, Burnsville MN 55337
Aath ure ICoNractonOwner Makin InstallaIion) Phpne Number
MINNESOTA STATE BOAflO OP ECECTPICIiY ? THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitlway BICg - poom &173 eE ACGEPTEO BY THE STATE BOARD
1821 UNVereity Ava., St. Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS
Chone (613) 602-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? See myruclions foPcomplatinq this form on back of yellow wpy
R 6 5 7 3 3 X" Befow Work Covered by Thfs Request
8-0 001.0'!
n
T??O
e Atld Rep TypeofBmlding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Butltling Dryer Other(Specity)
Comm./Industnal Fumace
Farm Air Conditioner
Other (spemy) GonVaclor's Remarks
Compute Inspection Fee Below:
Other Fee # ServceEntranceSize Fee # Circuits/Feetlers Fee
R Swimming Pool 0 to 20Amp 0 t 100 Amps
i Transformers Above 200 _ Amps _ Amps
SIgnS Inspecta's Use Onry
Q
7 TOTAL
trngaiion Booms ?
.
Special Inspeclion
AlarmiCommunication THIS INSTALLATION MAY qE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHI -1 , ONT ?
I, the Electncal Inspecfor, hereby
f Rou9h-in ? ? °? 7
certi
y that the above inspecllon has
been made. F,nel
.9f „ o e
-?
OFFICE USE ONIY ? This request voitl 18 months iram
CITV OF EAGAN NO 19842
3830 Piket Knab'Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 ( tl bU
Receipt
CHIMNEY &
To be used for FIREPLACE Est. Value Date OCT 29 ,1991
Site Address 4388 LEXINGTON POINTE PKWY
Lot -L Block _3- SeGSub. LEXINGTON POINTE OPFICE USE ONLY
PafCel No. 3RL) Occupancy - FEES
Zomng
W NBme JEFFREY OLSEN (ACtua1) Const Bldg Permit z5.00
; AddreSS 4388 LEXINGTON POINTE PKWY (Allowable) _
- $0
.
p City EAGAN phane 454-2593 a oi Stones Surcharge
-
Plan Review
Lenglh _
o Name SAME Dep[h - SAQ City
i
¢
0 Address S.F.TOtal -
0 $AC,MCWCC
? City PhOnB S,F. Pootprinis -
t
??
C
On Sita Sewage a
er
onn
_
.
? W Name On Srte Well - W
M
t
t
_z
Address
MwcCSysiem a
er
e
er
2 ??? Deposit
a Qlfy PhOne City Water _
PRV Raquued - SNJ Permit
I hereby acknowlege that I have reatl this apphcaUOn and slate thai the Booster Pump - S/yy Surcharga
informahon is correct and agree to comply with all applicable State of
Minnesota Slatules and City of Eagan Ordinances. Treatmant PI
?
Signature of Permitee ??;? APPROVALS Roatl Unit
A Building Permit is issued to: ? 1EFFREY OLSEN P1e""a' - Park Ded.
on the ezpress condilion that all work shall be done m accordance wrth all Cauncd -.
applicabla State of Minnesota S
tatute
s
and City
of Eagan Ortlmances. &dg. Ofl. Copies
p
?
1
/
Building Oflicial ? ?? ? 1 lIA I?lll Variance - TOTAL 25.50
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reouiremenls RemodeVReoair ReouiremeMs
3 registered site surveys shuwirg sq. ft of lot, sq. ft of house; and all roofed arm 2 copies of plan
(20% mmdrnum bl coverage aliowed) 1 set of Energy CalwWtions fa heafed additions
2 copies d plan showing beam & window sizea; poured famd design, etc. t site survey tor additions & decks
1 set of Energy Calwlations Addition -indicate Ilon-sMe septic system
3 copies of Tree Preservation Plan fl bt platted after 711/93
Rim Joist Detall OpUons selectlon sheet (bldgs wBh 3 or less unbs
L/
Date 2` / oy -7?
Site Address
r? t-)
Construction Cost
'J Unit/Ste #
?
Description of Work 6?5 Ft 4344L '
Muld-Family Bldg _ Y _ N Fireplace(s) _ 0 2
Property Owner ?Ll L8?- Telephone #( ?-V) V?-Y'Z )W
Contractor I?.a L 5 -? ?is 14
naaresg 3bSO c.A I-P
State M'f
Li 13
Zip 9;))7 ?U
ciry C7 lLLL
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Woricsheet • New Energy Code Worksheet
(J submission type) Submftted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
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 stazt without a
permit; that the work will e in acco dance with the approved plan in the e of o k ' h requires a review and
approval of pl N1 ?
0 ' j
Applicant's Prin ed Name ApplicanYs 1 gna e ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55922
651-681-4675
New Construclion Reauirements
• 3 registered site survays showirg sq. %. o( lol, sq. R. ot twuse; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc )
• 1 setof Ener9y Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Defail Opfions selection sheat (bldgs with 3 or less uniLS)
RsmadellReoair ReauiremeMS i
• 2 copias of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey far eMerior additions & decks
• Indicate if home served 6y septicsystem tor additions
DATE y-02 ' Q Z VALUATION / Iv670" 0?
JOBSITEADDRESS ¢Z>geq Ltsclnn7iricj Pf' I &tf
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER d(C-l h
TYPE Of WO
APPLICANT
ADDRESS
PAGER #
A1
CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE#? I " aO 33
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted ? q m 1?
u
Plumbing Contwctor:
Plumhing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
k_b)
2 2002
MINNESOTA RULES 7672 ViUt - New Energy Code Worksheet Submitted 0
_ Water Sofiener _
_ Water Heater
No. of Baths
Air Conditioning
Heat Rccovcry 5ystem
P'ee: $70.00
Phone #
All above information must 6e submitted prior to processing of application.
I hereby acknowledge that i have reod this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ance
Signature of Applicant
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
INSPECTION RECORD I Control No. 0239
CITY OF EAGAN PERMITTYPE: euiLoiroG
3830 Pilot Knob Road Permit Num6er: 000259
Eagan, Minnesota 55123 Date Issued: 0 q/14 /9 2
(612) 681-4675
SITEADDRESS: LoT: i BLOCK: 3 APPLICANT:
4388 LEX PQINTE PKWY OISEN JEFF
LEXINGTQN POINTE 3R0 (612) 954-2593
PEg"TSUBTYPE: TYPE OF WORK: MEW
1-
?
REIVARKS: RECEIPT NC18294
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT I C°" °"°. 0239
Date Issued: 09 / 19 / 92
PERMITTYPE: BuILDING
Permit Number: 000259
438$ LEX POINTE PKWY
LO7: 1 BLOCK: 3
LEXINGTON POINTE 3R0
DESCRIPTION:
Bu`ilding Permit 7ype DECK
Suilding Wnrk Type NEW
8uilding Le(igth 22
Builtfing Widtlr4-- 14
iI vjrj
•
`a7iJ°
REMARKS:
RECEIPT IFC18294
FEE SUMMARY:
Base Fee E25.00
Surcharge $.5o
7ota1 Fee $25.50
CONTRACTOR:
N R - nppllcanu -
?WOL??EN JEFF
4388 LE7( POINTE PKWY
EAGAN MN
(612)464-2593
I hereby acknowledge Chat I have read this appl3caCion and sCate that the
infarmatian is correct and agree ta eomply with all applioa6le State of Ptn.
Statutes and City of Eagan Ordinancss.
L-
APPLICANT/PERMITEE SIGNATURE
6 ISSUE : SIGNATURE
PERMIT #? ?
?
` C t?ZS
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
a s ?o
APR ? ?01 RECA
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.
Penatty 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 `? / fL Yaluation of work °`
Site Address: 5'3" _? ??'/^- • ,?°.,,,._rz
STREET 8TE /
Tenant Name:
LOT _L BLOCK ? SUBD. P.I.D. Y
Descri tion of work: -43
The applicant is: -)U Owner ? Contractor O Other (oe.«ibe)
Name Phone
Property LAST FIRST
Owner Address
STREEi STE ?
City ?'? -?-- Stdte Z i p s1i z-3
Company Phane
C011t1'8Ct01' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name RegistraLion M
Address
City State 2ip
Sewer fi 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 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation 0 05 Apt. Bldg 0 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Mu1ti-fam. T.H. [X 08 Deck O 12 Comn./Ind.
WORK TYPE
VI 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Fin{sh
? 36 Move
GENERAL INFORMATION
? 37 Demalish
? 99 Undefined
Lonst. (Actual Basement sq. ft.
(Allowable; Ist F1. sq. ft.
UBC Occupancy R_13 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint 5q. ft.
length a 2' On-site well
Depth !VOn-site sewage
APPROVALS
Planning Building
Engineering Variance
REOUIRED INSPECTIONS
? Site ? Footing O Framing
? Wallboard Final ? Draintile
? Insulation
? Fireplace
Permit Fee Q3,00 wweeta,:
Surcharge , Sv
Plan Review
License
MWCC SAC
C1ty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge '
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
s
? 13 Public fac.
? 14 Agricultural
? 15 Miscellaneous
MWCG System
City Water
PRV Required
Booster Pump
fire Sprinkler
Census Code • ?c?
SAC Code
Assessments
SAC Y
SAC Units
,A
,
a
?
1 ;
• ? . ? <
?
1
I
?
1
• i
?
I
? _..
'
? ?'
-/? 2 s
L?
'
? T
(
;
,
,
` 1991 BIII INIPtI APPL IICATION
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
CZTY OF EAGAN
MTLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECT[IRAL
REGISTERED SITE SURVEYS - & STRUCTURAL PtANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY 9PPLIES fJHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST 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 PLUM$ER.
i
?12E PIAPV- £
To Be Used For: Valuation: Date:
?.??? G?^I7ar. ,?T
Site Address
Lot Block J
Parcel/Sub
Owner
Address
City/Zip Code
Phone .2
Contractor 1-
Address
City/2ip Code ? j?z?
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
agrees that all woTk shall he done in accordance with
(S ature of Contractor)
USE ONLY
FEES
Occupancy Bldg. Permit as n°
Zoning Surcharge So
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site vell Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copfes
Sooster Pump _
SOBTOTAL
APPROVALS Penalty
Planner Lot Change
_
Council TOTAL oZS•?
Bldg. Off.
Variance
jY FOR FIRCptAeE - 2457,zo cccA+eA411?
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? o2Ci ° Uu *
? 48•5 U+
4UY* W+
700•OUr
6 2 5 •OU?
9U•UU+
60°5U-
2?`L•UU+
s?s5-uu+
5164 - UUs
_., . _.,
I D ln'1e-
1990 SIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIDNS
3041
MULTIPLE DWELLINGS
2 SETS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
? JUN 2 71990 IPI
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLIES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED 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.
To Be Used For:
Site Address ?
N?3
Loc ? Block
Parcel/Sub ?eXV
Ocaner
Address
City/Zip Code _
Phone
Contractor
Address -221
City/Zip Code ? nm?
Phone L?3, - aw \
Arch./Engr.
Address
City/Zip Code
Valuation: Date:
OFFICE USE ONLY
occupancy R-3 N1??
Zoning ?
Actual Const Y-1J
Allowable
# of stories
Length ?-
Depth ,5'4 ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?/
PRV _
Booster Pump _
APPROVALS
Planner
Council /' • ,
Bldg. Off. Z9
Variance
FEES
Bldg. Permit
Surcharge 46 '$b
Plan Review 100
SAC, Gity I pb,00
SAC, MWCC 6f1p,,?p
Water Conn (y 52 ,?
Water Meter 90'00
Acct. Deposit 30,CO
S/W Permit ODb
S/W Surcharge 160
Treatment Pl. 25Z.00
Road Unit 00
Park Ded.
Copies
SUBTOTAL
Penalty ?
TOTAL
Phone #
G Arx?,?
??xz2- y??3
63s3 X ?y = Sy32
?l
2c.y??z II`t`
1 z?! Gr = rl 2
Sr 1c ? ? G?I
1332 K ?s? lqrrl?o
?'svnT = + ? ?' 2
I XI u -?- ib
2 ?? - ?Y
_----
?35?
a ? gy`(
1jn - sZo
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MNJNESOTA 55122
CERTIFICATE OF SURVEY FOR
MILLER CONSTRUCTION
LEGAL DESCRIPTION: LOT I,BLoCK 3, LEXINGTON POINTE 3RD
THEREOF ?T,qQW RECOCOUNTY,MINNESOTA
t?
SCALE: I"=30'
?
GTO
, N
• '4O
?NT
?
?
?
I ?
?
25
0)
t I ,,?•1?-? !
/9`
? ? ? e ` ?? Rp GE
I ? sGP
No,,s? ?
. ?
oZ
y) 10?m q`ft'? u Z3.g,
0
a i ? 9i
z LOT I Bt'
q3 `
? I DRAiNAGEa
? 25 ? UTILITY EASEMEN-A?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTINCa SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
l hareby certity that this swvey,plan or
report was prepcrsd by me or undsr my
direct supervision and ihat 1 om a duly
Repicfered Land Surveyor undK fhe
Laws of the State of Minnesota.
i1?l a+M 4al
?
i&AXA&E
q?g.o
G DEPT
70.00 b-144<a-r7-
?NVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION= 7A ?
PROPOSED BASEMENT FLOOR = 974 0
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J.
Dofe -
Rep. No.15235
A
` .
" .. - : •,?,
One or Two Family
CITY OF BUILDINff DEPART[•fENT
EXTERIOR ENVII,OPE AVERACiE "Ull C019PUTATION
(To be suhmi.tted with building permit application)
Dwelling :A_ Ovraer
All Other
Contractor ? ?/GLE? ?O?Sr
??tplFAl?X JF
LINEAL FEET OF
EXPO5ED VlALL
OPAQUE WALL CONSTRUCTION:. "lltt Value x Area
&ite Addresa{ ??--cT I , hLock'?
L_F?iY)ca.na\l?ivt4? 7??eY?, Ab C? ll?
'IQ
Date Phone
above grade - 2 5?,O• 00 4A
TOTAL EXPOSED WALL AREA SQ. FT.
t
i 19?4?1? ull .043 x s@
ne
e
i ,
reference - 0'???''' x Sq,
from ?1Z1/yl ??p???.0 s 8q.
attached Ux SQ,
sheets nun x S@.
u ? x SQ.
WINDOWS s "U" Value x Area
FT. IB .ZO. , d(U)(A)
FT, ,L = 9 •14 (U) (A)
FT._ 132.So= 5.31 (u)(A)
FT. _ (U)(lq)
FT. _ (U)(A)
FT. _ (U) (A)
Malce & Type " CS/fl +lUn x SQ. FT.
?}..80= ?l9,s0 (U) (A)
u n npn x Sg,. FT. _ (U) (A)
u n nUu x`JQ. FT. _ (U) (A)
n n npn x SQ. FT. = (U) (A)
DOORSS "U" Value x Area
t•talce & Type ?jLII?SVL, ?lull
- •14- x sq.
Ii npn
n _ PA -I7n 14-7 x sQ
.
n n uUa x Sq.
n n _ nUu x SQ.
ToTALS Z;ZO-CO SQ.
AYERAQE "U"
TOTAL (U)(A) VALUES 1979S10
?
DIVIDED BY TOTAL VYALL AREA 232-0100
??8 f
AVERA4E "U .? lesa for 1&2 family e ling e
ROOF/CEILINas
TOTAL AREA: Z(pp
FT. 9,OD = (OiSLO (iT)(A)
?r.?-_??'(u)(a)
FT. _ (U)(A)
F'T. ISB•$(O (U)(A)
Detail reference liQll pOLf x SQ. FT. f2(PQ = 264?U)(A)
from liUll x SQ. FT. = (U)(A)
attached sheeta. $lUll x SQ. FT. _ (l()(A)
Describe openings 1,Ult X SQ. FT. _ (U)(A)
in roof. nUn x 3Q. PnT. _ (p)(A)
TOTAL (0) (A) VALUES DIVSDED BY TAVj Z410
?,? 2(O. Cul'a>
TOTAL ROOF/CEILIN(3 AREA f2(pp •dZ1
AVERA4E "U?? ,025 or ventilated roofe. -
„
, ,-
, .`•," ?i ? ,,, ;
1?.5 X ? 34+39+??-91?) _? 2?Zo_oo?
??7? (34t3¢+¢lvt4lv, _ ; lo7.zo ?-
?. . .,. .
; . ,.
in? So1s7 :
: 83 ?(l (34 f 34- t 4ln 41? _
_ WldDDws
IloX3(v =
laX3tv =
24 X 3ln =-
2¢X4-B ?
Zox4a =
x ,4 =
S,o
S• ? ?( t(? ^
0-7 x 4 =
?
?
.? ;
?
--
•j
; 144.50 3° sn• w/s?• _ ' 28,00 ? - ' ? ?, ?
? ..
Z? 57?. 5E2- ?. ?. Z?•do? ' j '
o ,
(v- PATIO
,,
. :
? ,. , . .
,
??5 ??q?? i z37- 0.o? _ . . , .. zlax9? = 1191v . .
L?SS ?'o?lc, lo7.zo ? . ??? 8xB = 64 .
?1 ?' 1 N1 I 3 Z
I zlvo,oo ?
., 11 wnw's 475. Sa
„ . D??e' y 9 ?, oo , '_----- . ,
IS4¢ ?
.... ? ? Za? ;
. ; . . , ,
--YIALL SECTION--
' 'Determining ,Ull valuae at Rooft Wall# Rimi and Conc, $lock
ROOF/CEILINa
1.) Interlor Air P'ilm
z.) 5/81, ayn. Ba.
3.) Insulation
4.)
5.) Extierior Air Film
(sTZLt, )
R VALUE
0.61
.56
4f, o0
.61
nlTd n 1/R= 'POTN, (R)= 4-.S-i7g
WALL
6.) Interior Air Fi1m
7,) P ayr. Ba.
S.) Inaulation
9.) .J'?urLT-PrTF_
10.) ASasonita Siding
11.) Exterior Air Film
R VALUE
0.68
. tF5
19,00
l. 61.
.17
fipn n llP=. 61i TOTAL (R)= Zj.O J
RII1
12.) Interior Air Film
13. ) Inaulation
1tE,) 211 Fir Riro Joiet
15.) Lvlc.1'-
16.) Masonite Siding
170 Exterior Air Film
(R) VALUE
0,68
1q/vl7
1.88
?,6?
.17
nUll = 1/R= , nrJ? TOTAL (R)= Z?
,_L. T
__--
._._.
FOUJiDATION
18.) Interior Air Film
20: i C-r/ ytp-wmt?
21.) 12l' Concre te Blocts
22.)
23.) Exterior Air Film
R VALUE
0.68
//, o0
1.28
.i7
npu = 1/R= r 0](p TOTAL (R) = 13,17
65?/_?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/5 _Sd
Date_?, lzy_/ D-i/
Site Street Address Unit #
Property Owner Telephone # (4$0 ?1511-46013
Contractor W Telephone # ((e6j )OL5 -/3 0
Address 3& ?C7 w0o• City State Ivt n, Zip 23
The Applicant is: _ Owner ?ontractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5I8" meter is required)
Other: $ 50.00
Water Softener ? Water Heater
? replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ /5.5D
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
/Y1 ffr2y :I?f"OVel2_? ?ah?
ApplicanYs Printed Name Applicant's gnature n7 7 T Q S'?
JUN 2 3 2004
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4388 Leg Pointe Pkwy
Lot: 1 Block: 3 Addition: Lexington Pointe 3rd
PID:10- 45072- 010 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Surcharge - Based on Valuation $3K
BL - Base Fee $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
$1.50
$88.50
$90.00
Owner:
Sherry Y Lee
4388 Lexington Pointe Pkwy
Eagan MN 55123 -1931
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA076377
01/10/2007
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115445
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4388 Lex Pointe Pkwy
Lot:1 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Joan Ciesler
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 -
Sherry Y Lee
4388 Lex Pointe Pkwy
Eagan MN 55123
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156622
Date Issued:07/10/2019
Permit Category:ePermit
Site Address: 4388 Lex Pointe Pkwy
Lot:1 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-010
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 -
Sherry Y Lee
4388 Lex Pointe Pkwy
Eagan MN 55123
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature