Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
651 Lexie Ct
Address 651 t, e x i e C o u r t Zip 5512 3 IAt 17 Blk 1 Sub Oak Bluffs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcutb damage Porch Basement finish Deck Please verify with the builder the cemoval of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. While - Ciry Copy Yellow - Residen[ Copy Pink - Contractor Copy E) :? city oF eagen PAiRICIA E AWADA Mavor October 17, 2000 PAULBAKKEN BEA BLOM9UIST PEGGY A. CARLSON SANDRA A MASIN CERTIFIED MAIL - RETURN RECEIPT REOUESTED Councii Members MR KEVIN MANLEY THOMAS HEDGE$ 10778 ALISON WAY Ciry Atlminisirator INVER GROVE HEIGHTS MN 55077 MR TROY ASLESON 17699 LANDMARK CT LAKEVILLE MN 55044 RE: 651 LEXIE CT ?.. - - _- _ - I LOT 17, BLOCK 1, OAK BLUFFS Dear Kevm and Troy: On September 21, 2000, I met with Carl Anderson, Engineer for Instant Testing, and Troy Asleson, Job Supenntendent for Manley Homes, to perform a final inspection and grant a Certificate of Occupancy for 651 Lexie Court. Carl reviewed the footings and soil erosion problem and did not feel the deck and house footings would be a problem based on the photographs taken and boring samples. It was agreed that slope protection would be provided to meet the minimum 3:1 protection. As of this date, no protecrion has been provided. We are, therefore, asking that you provide slope protection no later than November 1, 2000. Failure to comply with these requirements may lead to further action by the City Attorney's OfFice. If you have any questions regarding the above, please do not hesitate to call me at 651-681-4679. Thank you. Sincere rry Zelenka Building Inspector TZ/js ce: Doug Reid, Chief Building Official Dale Schoeppner, Assistant Building Official Mike Dougherty, City Attomey MUNICIPAL CEN7ER THE LONE OAK TREE MAINiENANCE FACILITY 3501 COACHMAN POINT 3830 PiLOT KNOB ROnD THE $VMBOL OF STRENGTH AND GR04VTH IN OUR COMMUNIN MINNESOTA 55122 EAGAN EAGAN. MINNESOTA 55122-1 B97 . PHONE (651) 6814300 PHONE' (651) 681-4600 FAX (651)681-4612 EqudlOppoduflilyEmplOyBr FAX:(651)681-4300 TDD (651) 454-8535 `MVw.Cih/OfOagOn.COm TDD (651) 454-8535 *?****?***?*?****************?********* CITY OF EAGAN CASHIER: JS TERMINAL NO: 681 DATE: 09/15/00 TIME: 10:14:12 ID: NAME: MANLEY BROTHERS CONSTRUCTION 3210 9001 651 LEXIE CT 60.00 2155 9001 651 LEXIE CT 0.50 Total Receipt Amount: 60.50 CR137326 USER ID: JAN 2000 BUILDING PERMIT APPLICATfON (RESIDENTiAL) $60 ?O -, cinr oF EAcaN ' 3830 PILOT NNOB RD - 55122 851-681-4875 w ? 3 reglstered site wneYS ahowlnp fq fl. of lot. sq. lt. of house 2 coples of plan antl gfl roofed areas 12096 maWmum lof coveroae Wtowedl 1 set W energY cdcWallais for liaaled addillons > 2 coples of Want (show beurti & `Mndow slxes; poured fnd. tleslgn; etc.) 1 site survey for exteAOr adOlXOns R decks > 1 set of energy calcWallons a 3 copies of tree preservatlon pian M IW platted aRer 7/1193 DATE: UIzi) IOO CONSIRUCTIONCOST: 2500•0,0 DESCRIPTION OF WORK: De C K. STREET ADDRESS' LoT: 11 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER BLOCK: I - SUBD./P.I.D. Y: OAK !h I?L& - Name: SUYV? QS COV1,601(?f Phone#: last Firsf Sfree1 CHy Stafe: Zip: ComPany: Man ley g r o S. Phone #: ? 2?j (7' ??11 b (area code) Sheet Address: Ucense A ExP• City State: Company: Name: Telephone C ( ) Sheet Address: Registratlon #: Cliy State: Sewerhnrater Iicensed plumber (If Ins sllina sewer/waterPFrone #: I herebY ackrawWdpe 1ha1 I have read this aPPOc°N°n, atafe Ma11he of Minnesota Statutes and City of Eagan Ordinances. gignature of Certificates of Survey Received _ Yes OFPICE USE ONLY No Tree Preservatlon Plan ReCeived ,_ Yes _. Zip: Zip: W cortect, and qgree to compiy wHh a0 opPficable Stat OFFICE USE ONLY .; BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-piex ? 05 03-plex p 11 10-plex ? 06 04-plex O 12 12-plex woRK nrPE p 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Parch (3-sea.) ? ? 17 Garage ? 22 PorchlAddn. (4-sea.) O t! 18 Deck ? 23 Porch (screened) ? ? 19 Lower Level ? 24 Storm Damage Pibg _Yor_N ? 25 Miscellaneous ? 20 Pooi ? 30 Accessory Bldg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bidg)• ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code D/ No. of Units -? No. of Buildings -? Const. (Actual) ? (Allowable) UBC Occupancy --3 Zoning R- I # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC W ater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building ug Engineering Valuation: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 31 Ext Alt - Mulfi 33 Ext. Aft - SF 36 Multl ? SAC Units 9'o SAC ? ..is rF::F,u:r,Ai... r:o: 998 r.rWWnr.; T1Mi.::: 10::1.54 ? i-0?.url;ur,'r'IUN ?i(t:?i_;, i?,1t?LFV 8R?.11'IitF2.- i':^.nL WL) E:i51 L.f:iXTG C:'f 30.00 3r;.0 900t. 601 LEX:i.t:. r1 17609.75 ::iFSC,4 9379 651 LF-xtE r.r ioa„ao 3422 `?ni;.f. r,:;i L..F!:X'.i.E C't' t ??C?*?6.:?4 2875 9220 e;.,i. LF_X:I? CT ;.n8:3,00 34 hE 900i W LEXI:I:' f'i T H.00 ;'i,{S '=!ttpi 651 LF_'X:[I_ r;'T 0,50 3743 S.itRO 6`ii. LF;:X'f F' t ' ` . .: I .;D.(7U 2?•:rj 9007. 6'SJ. LFn.f.F_ Lr i05,,00 355 9F>33 (:.i:L L.F.n:CI". l:;1 492.C)0 cK245;4 >:;A a),Nrzr.iie: iI!.i?:n: 7D: JAN >r:K f:,pNT7tillt Yk ?at'??=m>'c7,i>F3:1Y?n:;ti?(1%?k>'6'k3k?:r"?=?i;hl?'Y7KMYnX?n<%; %??'?hti?XC , rfY i1F- FAC'>'dN `?<Jn NUt . u i ._ ,•??"[I:!+., 1i t:'i?... . DFi I F; i]"'../'I f ii DD i I}yl=.:t W0055 M;1NiE:: M9Nl._Fry E:Prl1FE-:'a C(]i.STRl1CTICiN ,s?>i.: 9PPn 6;11 t.i..xIr: c:r :_ia.on 3713 3220 65i. t.UX1E '.l ::ip.an ,06S:i ;nr'i0 . f Cotal. F;rt.eip*. Pmriumt f, 59!73 i.59 4. r,R:t24s:a _ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? cirY oF EAcaiu 3830 PILOT KNOB RD - 55122 ? jZ? Cl J v? ? 651-681-4875 Naw CondnicHon ReaWremeMa Remodol, D S repislered sHe wrveys showinp sq. R o1 bf. tq. M. of hane and gR rooted areas QD'16 mmAmum lot eovaraae allowedl ? 2 codes o1 Mrnu (ahow beam d wlrWOw sizes: PoureC Ind. desipn: etc.) > 1 set ol errerpy ccdculaXOna D 3 copies of hee presenatlon plan M [at platfed afler 7/1/93 DATE: 0 1 ipj U DESCRIPTION OF I STREET ADDRESS: LOT: --L-]_ BLOCK: ? SUBD./P.I.D. M: PROPERTY OWNER CONTRACTOR 2 coplea ol plan t set a eneryy ealcwanons ror nearea addlnnoni t rro wrvey ror exreaw aacfln«u a aecw CONSfRUCT10N COST: ?? Name: a0 O_-rAj?' ti Phone #: Loyt Fhaf Street Clly Zip: ,e.: (area code) IJcenseYo00.s 3131 a Exp. 2doQ qN State: LP: 55Lld g ARCHtTECT/ ENGINEER Company: t- c9 y)C ? Name: Telephone , Sheet Address: ?fl d ? . ?? LL_r41^,V_ State: SewerJwater Iicensed plumber mr\- zIP5S IQ,) ?"ne I herebY acknowled9e ttwl I have read thB nPPlicaNon. date ttwl ihe infortnatbn b cortecf. and agree to WY wiTh a0 oPP@cable Stah of Minnesofa Stafutes and Cify ol Eagan Ordinances. ('o / a-?y ?c,C? L.L r Signalure of Applieanh ?-- OFPICE USE ONLY Certificates of Survey Received ?'JYes _ No State: P;g 9 Tree Preservation Plan Received - Yes - No _iO Not Required _40 OFFICE USE ONLY r BUILDING PERMIT SUBTYPES O Ot FoundaUon O 07 05-piex ? 02 SF Dwelling O OB 06-piex 03 01 of _ plex O 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-piex O 11 10-plex ? 06 04-piex O 12 12-plex WORK TYPE ? 31 New O 32 Addition O 33 Alteration O 34 Repair ? 13 76-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi O 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 19 Lower Level ? 24 Storm Damage Pm9 Yor_N O 25 Miscellaneous O 20 Pool O 30 Aixessory Bldg. O 36 Move Bldg. ? 43 Reroof O 37 Demolish (Bldg)' O 44 Siding 0 38 Demotish (Interior) O 45 Fire Repair O 42 Demotish (Foundation) 0 46 Windows/Doors • Gfve PCA handout to applicant for demotition permit GENERAL INFORMATIO SAC Code p? ,# of Stories No. of Units No. of Buiidings T Const. (Actual) ? (Allowable) UBC Occupancy ? Zoning Length W idth Basement sq. ft. M in level sq. ft. sq.ft. sq.ft. MISCgVtoUne S INSPECTIONS x f3Qx4L APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Oeposit snM Fermit SNV Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: ?t)L, -?? -?L ,? L 0 -t0? ? ? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance . ? Valuation: 03456- / s'?- a y t-Yi 6k7v / 5")- 0V -? 59 ?'<No / 2 3 S- k 5'`/ _ ?,Jrn.44-k 22j ?4? ?oZ 0VE? 73???0 r 0,0 'y ? SAC Units % SAC fNcheck COMPLIANCE REPORT [innesota Energy Code [Ncheck Software Version 2.0 Iinnesota Department of Public Service .-612-296-5175 1-800-657-3710 :OUNTY: Washington >TATE: Minnesota :ONE : 2 :ONSTRUCTION TYPE: Single Family )ATE: 1-25-2000 )ATE OF PLANS: 1/25/00 PITLE : ?ROJECT INFORMATION: 4ode1 :OMPANY INFORMATION: 4anley Bothers Conasruction Permit # Checked by/Date '-OMPLIANCE: PASSES Required UA = 519 Your Home = 513 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value ------------- IIA ----- ---------------------------------- CEILINGS ----------- 1533 -------- 44.0 -------- 0.0 42 WALLS: Wood Frame, 16" O.C. 343 19.0 2.0 18 WALLS: Wood Frame, 16" O.C. 1495 19.0 2.0 77 WALLS: Wood Frame, 16" O.C. 1143 19.0 2.0 59 GLAZING: Windows or poors 155 0.350 54 LAZING: Windows or poors 338 0.350 118 LAZING: Windows or poors 153 0.350 54 OORS 39 0.350 14 LOORS: Over Unconditioned Space 99 24.0 4 LOORS: Over Outside Air 14 24.0 1 SMT: 8.8' ht/8.2' bg/8.8' insul. --------------------------------- 1251 ----------- 10.0 -------- -------- ------------- 72 ----- LIANCE STATEMENT: The proposed building design represented in these ments is consistent with the building plans, specifications, and other ulations submitted with the permit application. The proposed building been designed to meet the requirements of the Minnesota Energy Code. ildei/Designer Date '? ', ' CDC?o `r%? 6 oo1?x NEW HOME FIELD INSPECTION ENERGY CHECRLIST PAGE 2 MINIMUM REQUIREMENTS (CATEGORY 2) OPTIONAL (CATEGORY 1) NSULATION: ] Vapor barrier installed ] Interior foundation wall: ( ) Vapor barrier installed ( ) Insulation installed: R- ( ) Moisture barrier installed ] Attic insulation installed: R- ] Attic card posted with proof of bags installed ] Floor insulation installed: R- ] Wall insulation installed: ( )R-19 ( )R-21 ( ) R- rIND WASH BARRIERS: ] Wind wash barrier instalied at attic edge ] Overhangs (cantilevered floors and bay windows)have wind wash barriers fECHANICAL: [ ] All exterior joints in building envelope sealed ] Ducts running outside conditioned space sealed and insulated with minimum of R-8 7 Returns in same space as furnace sealed ] Ducts in unheated spaces ] Water heater has pipe insulation or heat traps installed ] Furnace AFUE: ] Central Air SEER: [ ) Residential mechanical ventilation system installed (Mandatory if one or more item in this column is checked) ---NOTES TO FIELD (Building Department Use Only) ------------------------- . "• NEW HOME FIELD INSPECTION ENERGY CHECRLIST MINIMUM REQUIREMENTS (CATEGORY 2) ?OUNDATION: ] Exterior foundation wall insulation installed: R- ] Slab-on-grade insulation installed: R- ] Ducts in slabs have R-5 insulation bottom and sides ?ENETRATIONS: ] Window and door frames sealed ] Framed wall openings into attic sealed ] Other joints in wall sealed ] Dropped ceiling air-blocked OPTIONAL (CATEGORY 1) [ ] Foundation rim joist sealed airtight [ ] Upper story band joists sealed airtight [] Ceiling poly sealed to top of interior partition walls ] Plumbing penetrations sealed ] Exterior walls behind tub and shower sealed ] Plumbing vent stack sealed ] Chimney flues sealed at ceiling ] Perimeters of all grills and registers sealed to vapor barrier ] Electrical service sealed ] Recessed light fixtures sealed ] Wire penetrations into attic sealed ] Telephone, cable TV penetrations sealed ] Fans sealed where vapor barrier penetrated [ ] Electrical boxes sealed to vapor barrier [ ] Fan housings air sealed . ` LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION i? PROPERTY LEGAL: 7 y . / CsL /-s ? Xlar n DATE OF SURVEY: ' ?`? ' ? H w LATEST REVISION: 2- 2-Z' Ou ? C? 0 DOCUMENTSTANDARDS og O a ? ? - Registered Land Surveyor signaNre and company ? ? • Building PermR Applicant ? Legal description ? p ? : Address d ? • North arrow and scale ? • House type (rambler, walkout, spfit w/o, splR entry, lookout, etc.) vY ? e • Directional drainage arrows with slope/gradient % ? Proposed/existing sewer and water services 8 invert elevadon a o : Street name o/fa ? . Driveway ?,? p? ? o o • . Lot Square Footage Lot Coverage ELEVATIONS / Edstina yY?a ? : Sewer service (or Proposed) r??e ? . Properry comers m? ? Top of curb at the driveway ? • Elevations of any ebsting adjacent homes ? p? ? Adequate footing depth of shucWres due to adjacent utiliry Venches Prooosed ?? ? • Garagefloor ? o Firstfloor ?f ? ? • Lowest exposed devaUOn (walkauVwindow) V?? ? - Property camers V ? ? • Front and rear of home at the founda6on PONDING AREA (if aoolicadel o m/ ? • Easement line ? ? • NWL ? ? • HWL ? r9? ? • Pond # designation ? ?? • Emergency Overflow Elevation Pa'?t ? • yp o • ?( ? ? • ?o • ? • ? o • DIMENSIONS Lot 6neslBeaAngs & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requinng permanent footings) Show all easements of record and any Ciry u0liUes within those easements Setbacks of proposed structure and sideyard setback of adjacent epsting sVUCtures Retaining wall requirements, " any Reviewed: March 1989 CMKLBLDGPRMT FM CTfY USE ONLY LOT l_? BL 1 PERMIT #: SUBD. l1(JVtI RECEIPT #: Cv Z OO RECEIP'I DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT PINOS RD EAGAN MN 55122 Date: 651-681-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construciion and not owner/occuoied. • HVAC: 0-1D0 M B T U ADDITiONAL SO M BTU • Gas outlets (minimum of one required @$3.D0 ea.) $ 30.00 6.00 State Surchazge Total .ao .50 Complete this section oniv if you are remodeline, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair _ Other Furnace _ Air exchanger Reminder: Cal1 for inspections Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 SITEADDRESS: Ze.?? 6kr-74_ OWNERNAME: PHONE #: ) ?JjAyLX ?(GfiCLyt,/'G.E,C. PHONE #: _ - 770? d 7 TC/ INSTALLER NAME: ? (AREACODE) STREET ADDRESS: ,z!?Z (/C/? CITY: STATE: A4-v- ZIP: SIGNATURE OF PE ITCEE CITY USE ONLY -} L ? BL RECEIPT#: C? II /?'I /OO SUBD. RECEIPTDATE: OO PERMIT# ?O n .--z!-' 8000 PLUM$INfi PERM1T (MIDENI7lkL) ' crrY oF ensRrr 3830 Paor KNoe Ru EA6AN, MlY 55122 831-8$1-4675 Ptease complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Alterations to existing dwelling - minimum fee Descri4e: $ 30.00 I Bath tub $ 3.00 x 3 = $ 9°a Floor drain 3.00 x $ 3• ? Gas i in outlet ' minimum -1 3.00 x a.. _ $ G- d0 Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ I 79- 00 Laund Va 3.00 x $ , "70 ' Lavato 3.00 x 5 = $ - L70 Se tic S stem new/refurbished • re uires MPC Uc. 75.00 x = $ $e tIC S Sf@RI abandonment 30.00 X = $ ? RPZ new installatianlre airlrebuild 30.00 x = $ I Rou h o enin 1.50 x = $ /-.SO I Shower 3.00 x 3 = $ -0-0 ? Under round s rinkler if dwailin is under construwon 3.00 x = $ i Under round s rinkler ifexisen dwellin 30.00 x = $ I Watercloset 3.00 x = $ 1,5- Water heater 3.00 x = $ ?• ? W ater soRener if dwewn under consvuceian 5.00 x = $ Watersoftener ifaxisnn dwenin 30.00 x = $ Watertumaround 30.00 x --- _ $ State Surchar e .50 --> --> ----> $ •50 Total -> -> --> .-'-> 5 (o .Ob Reminder. Call for inspections of alteretions, i.e. water heaters, water softeners, etc. -------------------•-----••-......------------.._........----------------------------......----......---........---------------•---•-°----.. I hereby acknowledge thal I have read this appliptlon, sfate that the informalion is corcec4 and agree to wmply with all applicable City of Eagan ordinances. It is the applimnt's responsibiliry to notify the properly owner that Ne City of Eagan assumes no IiaEility for any damages caused by the Ciry dunng its normal opera6onal and maintenance activitles to lhe facilitles constructed unCer this Dertnit within City properrylright-of-way/easement. • i I t - 14 ? SITE ADDRESS: OW NER NAME: : TELEPHONE #: (AREA CODE) INSTALLER NAME: E #: (AREA CODE) STREETADDRESS: C/Gr /Z/79/Tv-c-- --_- CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Reauiremenfs RemodeUReoair Reauiremenls Office Use Onlv 3 registe2d site surveys shovring sq. ft. of lot, sq. R af house; and all rooTed areas 2 copies of plan Cert of Survey Reoi _ Y _ N (20%maximum lot covarage allowed) i set of Energy Calculations for heated addilions Tree P2s Plan Recd _Y _ N, 2 copies of plan showing beam & window sBes; poured found design, etc. 7 stte survey for additbns & decks Tree Pres Requifed _ Y _ N 1 set M Energy Calculations Addftion - indicate Non-sde septic system OnaRe Septic System _Y _ N 3 copies of Tree Preservation Plan'rf lot pleded after 711193 Rim Joisl Defatl Optlons selection sheet (buildings wiN 3 or less units) Date O / SiteAddress 6S? a? (.GXL(f « Constructioo Cost Zd ,O?= O UniUSte # Description of Work Multi-Family Bldg _ Y-?_ N Fireplace(s) _ 0_4 1 _ 2 Property Owner ?p ik-0 Telephone #((p5 61 ct? ? Contractor ?kw Address (rySli CrC-JCl 6 State 11A !%/ C-T - City Zip Telephone#(60) ??? CLQI ?( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionlype) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planE _ 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 Residenrial 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 approved plan in the case of work which requires a review and approval of plans. 13RAo ?p02 , -IS YWx- IK(?.? ? ^ 0 r? ?np? ? ?, Applicant's Printed Name ApplicanYs Signature ? ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 08 04-plex ? 12 12-plex PlbgX! or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair x 33 AfteraSon ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolitfon (EnUre Bldg) - Gfve PCA handout to applicant Valuation ? eDD Occupancy MCES System - Plan Review/,//-/Y--- 100% or _ 25% Census Code Zoning D /) -1 City Water ? SAC Units - Stories - Booster Pump - # of Units ? Sq. Ft. "- PRV _ # of Bldgs - Length - Fire Sprinklered '- Type of Const ?-? Width - REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ _ Footings (deck) ? FinallNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing Stucco Stone Siding Brick ? Fireplace 10 R.I. I Air Test j Final _ _ _ Windows Insulation - Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector I oSo G 2005 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. s Datek l 3o / ?- c- Site Street Address LE-k l? C'r Unit # Property Owner Pk) P-h b,k-.R- R,,) Telephone # (C'n ? 1-("6 6 Contractor ? ",-) o?i"4 (Zs' Telephone # (IoSI ) VO 6 Address bS ? LE< t? GT- City ? ?&A-P1 State ?Yl ^r Zip Srl Z 3 The Applicant is: ?/-Uwner _ Contractor _ Other Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If vou are installina onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 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. bvxo NJO,??AA-(4?, ??SZVIv? ? , S- ApplicanYs Printed Name ApplicanYs Signature :** * # Pll']NI * a? #** * Certificate of Survey for: iterprise Drive i Helghts, MN 55120 881-1914 FAX:881-9488 ANLEY BROS. LOT AREA = 12,758 SF HOUSE AREA = 2,505 SF COVERAGE =20R HOUSE iYPE= 2 STORY W.O. ? 14 ? ?- - ($a-?•°) LEXIE COURT P e?a S7s 61 8?QUMRED 13 ? N85'18'55"E 69.19\ i o ? EASEMEN7 PERTIP AT , 17 ? 'o ? .- I 915.0 I x ? 914.1 ? 915.3 16 (VACANT) W a rM O " ?? ? ? ? `? ELEV. 922 91 - -- Z ? 915.4 I o I :2 i ? ? I r sis. 625 Highway 70 N:E. ' Blaine, MN 55434 (612) 783-1880 FAX:783-1883 E-moil: PIONEER20PRESSENTER.COM CONST: - W 17.2 1:0 9. N t? = T 0 n4 18 ' BENCH MARK ---------- TOP OF PIPE ELEV.=920.56 ?o ? Z LLELEV.-911.6 9 ,.7 n PROPOSED ELEC. N DRIVEWAY 7ELE. --- ---J CATV, o T "' 922.3 " ?qz z.v) S87016'590E szo., 73.57,jm00^ q?- .. ? ° ?;?• Ik /' I ??XIE COURT °pO ? ?(°o ? NOTE: PROP05ED CRADES1'SpON2i'+P,f7Z;?CRIfpI??LA??G, RUD • NOTE: BUILDING DIYENSIONS SMONN ME fOR HORIZONTAL AND VERTICACLOCATON OF STRUCTURE$ ONLY. $QE ARCHI7ECTUAL PLANS POR BUILDINC AND FWNDATION DIMENSIONS. NOTE: NO SPECIFIC SOIlS INVESTIGATION HAS BEEN COMPlETEO ON 7Hi5 L0T BY 1HE SURVEYOR. THE SUITABILI7Y OF SOILS TO SUPPOftT 7HE SPECIFIC HOUSE PROPOSEO IS NOT THE RESPONSIBILITY OF THE SURVEYOR. 919.2 °, 919.4 0 R.4 `?S 99S?S? 1?. PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 01[{0_.1 TOP OF BLOCK ELEVATION: 01VII. I GARAGE SLAB ELEVA710N: °f Z- Z. 'I TOB 0 LOOKOUT ELEVATION: NOTE: THIS CERTIFlCATE DOES NOT PURPOR7 TO 5li0W EASENENTS OTHER THAN X 000.00 DENOTES EXISTINC ELEVATON TMOSE SHOWN ON iHE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVA710N NOTE: CONtttACTOR MUST VERIFY ORIVEWAY DESIGN. --- DENOTES ORNNACE ANO U71t17Y EASEMEN7 --? DENOTES DRAINACE FLOW DIRECTION NOTE: BEARINGS SHOWN ME BASEO ON AN ASSUMED DAIUM ---0- DENOTES MONUNENT $ DENOTES OFFSE7 HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Oi' THE BOUNDARIES OF: LOT 17, BLOCK 1. OAK BLUFFS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 24 OAY OF NOVEMBER, 7999. REVISED 12-3-99 fLIPPED HSE SIGNED: PIONEER ENCINEERING, P.A. REVISEO 2-9-00 NEW HSE SCALE : 1 INCH * = 30 FEET REVISED 2-22-00 NEW ORAFT ?cJ!1 ?(', RECEIVE1.1 M!`;R y;'?ilU1 er: , ?t c?..` i56 99419.78 JMM MARK D. GEFF , L.S. Reg. No. 25313 PLMIMENS. lINp?E /JtpYRCTS T r*? 908.0 (9LW-A) ¦ 12 ? ?' ? ?? 9?• `i? 0 15 1 911.1 G, N ? x 913.6 ? 912.9 0 2.50 ? ? 914.3 , n rk .** * * PIONEER * eng1naer * * 7? * LANO PIMWENS• 2422 Enterprise Drive Mendota Heights, MN 55120 (651) 881-1914 FAX:881-9488 E-moil; PIONEEROPRESSENTER.COM rciwuurecrs 625 Higbway 10 NtE.' 8loine, MN 55434 (612) 783-1880 FAX:783-1883 E-mail: PIONEER26PRESSENTER.COM LEY _BROS. _CONST. V:,: Certificate of Survey for LOT AREA = 12,758 SF HOUSE AREA = 2,505 SF COVERAGE =209 HOUSE TYPE= 2 STORY W.O. 14 651 LEXIE COURT po?o?Io 'D 12 13 N85"18'55"E 69.19\ \ ,-'Ai. C- (-? 9 -7.1) I ° ---'" - Fl)RAINAGE & U7ILITY < I EASEMENT PER PLAT 51 17 N ? dN- ? .-. ? 915.0 I x I 914.1 915.3 16 NT) (V W i s o ? BENCH MARK N ? i ? ELEV? 922P91 ? Z I ? '----- -?- ? 915.4 ? ?q 15.Co? 2.50 ? ?- --j 15 1 911.1 t 908.0 X x 913.6 I 1 914.3 I n -----74- a il 919.71 i (9z3.y)? T 9 1.7 (9zz,-?z, v tO ? 0) PROPOSED ? L _ EIEVEn971.6 N DRIVEWAY ° TELE. + -------J CATV. 2 ? o „ 922.3 920.1 S87'16'59"_E 73.57 "n oo ? ?,n l "o ? ? ,? ;?XIE COURT °pO i NOTE: PROPOSED'CRAbESI5HOYM?PyER.a.GRAD1?iGf?^L'A?1 B E:G. RUD ? NOTE: BUILDINC DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTCAL'LOLATION " OF STRUCiURES ONLY. SEE ARCHITECTUU. PLANS POR BUILDING AND FOUNDAnON DIMEN90N5. NOTE' NO SPECIFIC SOILS INVESTICATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. TNE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HWSE PROPOSED IS NOT 7HE RESPONSIBILITY OF THE SURVEYOR. N ci M r j 9,2.9 18 W 17.2 b N ? t0 = r ? O 920'7 Z BENCH MARK ----'--- TOP OF PIPE ,-' ELEV.=920.56 919,'r? ?919.2 °? 919.4 0 9S ?Sp rl° PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: TIP-L TOP OF BLOCK ELEVATION: °I 2 yI GARAGE SLAB ELEVATION: 01 Z TOB 0 LOOKOUT ELEVA NOTE: THIS CER7IFICATE DOES NOT PURPORT TO SHOW EASEMEN75 O7HER THAN X 000.00 DENOTE$ EXISTING ELEVA710N iHOSE SHOWN ON iHE RECOROED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVATION DENOTES DRAINAGE AND UTIUTY EASENENT --- NOTE! CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. -?- DENOlES DRAINAGE FLOW DIRECTION NOTE: BEARINCS SHOWN ARE BASED ON AN ASSUMEO DANM • DENOTES MONUMENT -a- OENOTES OFFSE7 HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 17, BLOCK 1, OAK BLUFFS DAKOTA COUNTY, MINNESOTA IT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 24 DAY OF NOVEMBER, 1999. REVISED 12-3-99 FLIPPED HSE SIGNED: PIONEER ENGINEERING, P.A. REVISED 2-9-00 NEW HSE ? SCALE : 1 INCH = 30 FEET REVISED 2-22-00 NEW DRAFT RECEIVED P9AR 3 32000 BY. a iuu MARK p, GEFFZRS4L.5. Reg. No. 25313 1 nn?.n PERMIT City of Eagan Permit Type:Building Permit Number:EA119290 Date Issued:11/21/2013 Permit Category:ePermit Site Address: 651 Lexie Ct Lot:17 Block: 1 Addition: Oak Bluffs PID:10-53400-01-170 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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: 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 - Travis W Hansberger 651 Lexie Ct Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature For Office Use ; Permit#: 7-3..)0 E AGA N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsCu�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: (.13/ 2 X C C U C Unit#: ..._ .._ •�.. m . _ Name:. . -_ ... ��.w....•_. �a �h 71--(2hS�t r Qr Phone:4,5 / - 3 '/7/6 Resident/ / d/� Owner Address/City/Zip: 63 / L, C• e ev t a h 771/1-1 Applicant is: Owner Contractor Description of work: ser.'i vv„ =r 'rN < eec) Type of Work p �� e X�6s� �d a y,.� Construction Cost: Multi-Family Building: (Yes /No " ) r.. w�. - _...•e •, .w.-_.. w��w.___... ..� .. .•... ... . .... w� .� . .... ..M .. Company:, aAr,r((( 5[�vCCa ��i t),Cc� Contact: 7rv,='.fi Contractor Address: g 700 SO 4' 4 oc So v f\ City: ( 1L 5 StateMPO Zip:55 y)Sv Phone:eid7,za,`{.-,1vrs Email:..5-Z,.>LeV '-‘R.)(1114,31/'Cc) License#: Lead Certificate# If the project is exempt from lead certification, please explain why: l/L.,7 c 643 — Ale t Z` / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: • NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non •ublic if •u•rovide s•ecific reasons that would •ermit the Ci to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x / lel L>kV( _5 .o . 7th eZ. Applicant's Printed Name Applicant's Signature C ill(&It b For Office U e , ''Jvi t 1 , , EAGANF " 10' 8 ::::ee: 7...JiC �. n Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspectionsecityofeaoan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: (cs 57 2 X fP ea€.u.^ t Unit#: Name: ea'U. P kkan 5 Det`. C(' Phone:k 5f c2(.1)3 /7R, Resident/ Owner Address/City/Zip: L.s 1 Lex ie Co r e E<;)j ri P1/ Applicant is: Owner X Contractor Type of Work ` 7 A Description of work: Rep�it rvID,si lre +n k ro5 G ri` Frac\� up per• G�\-(tet,6' (-(a ii- Construction Cost/ 57 l 33 3� l Building: (Yes /No k ) Company: Drs tune(f'y Si.Oecc!, S et) CrS / L C Contact: _ /6 i1'1 Beri 4r z r Contractor Address:,Q-7-6 A- --7-61-/ h'✓� --o o 1-A - City: -/�7,r7 a/Oc lid State:fui�✓ Zip: 5-CYO 6 Phone: C/c -7(2c1-`/a6uEmail:5 t ac-Cc'Lye Oc i-r&?;1. Cc)14" License#: 3 C ! S"17/3- Lead Certificate#: Pekij i r a If the project is exempt from lead certification, please explain why: j�ti.. Lb Js-c (,j 2s 6 c�t\' ' Y1‘.. ©CSG _not�i c ufrt y / Mac A ,r,4-ecJ"(Peas 6 .V 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x -o/-r)./.S" y��,ine. x .--�„,. Applicant's Printed Name Applicant's Signature C51 2& CI. iyq-5g7 M (WRITE BELOW THIS LINE ,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 _ 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 /000 ' Occupancy Inc. -/ MCES System Plan Review / Code Edition ;1i0/;j ' SAC Units (25%_100% 1/) Zoning g -r City Water Census Code 4'3'f Stories Booster Pump '� #of Units / Square Feet PRV #of Buildings .---/ Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) 4t' Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice,4 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 ,k" Insulation . Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced WallsErosion Control Shower Pan Other: Reviewed By: �/ , Building Inspector RESIDENTIAL FEE VAPIR. 0isoltr i,t gitAit 09d - \ Base Fee f i, - J Surcharge /24 Aida# 744 ,c% / WOu) b e Plan Review V3 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 3@ ;tt3I TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165716 Date Issued:11/17/2020 Permit Category:ePermit Site Address: 651 Lexie Ct Lot:17 Block: 1 Addition: Oak Bluffs PID:10-53400-01-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Raghavendra R & Swetha R Nayak 651 Lexie Ct Eagan MN 55123 (248) 885-5297 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170889 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 651 Lexie Ct Lot:17 Block: 1 Addition: Oak Bluffs PID:10-53400-01-170 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Raghavendra R & Swetha R Nayak 651 Lexie Ct Eagan MN 55123 (248) 885-5297 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature