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667 Lexie CtAddress 667 ,.Ax;P r Zip 55123_ Lot 14 Blk I SUb Oak Bluffs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: t, (7_oo Yes No Inspector. Final grade (6" from siding) x Permanent steps (garage) x Permanent steps (main entry) Permanent driveway X Permanent gas X Sod/Seeded grass x TraiUcurb damage X Porch x Basement finish X Deck X Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engiueering division at 681•4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Residen[ Copy Pink - Contractor Copy ?X,:ik?"Y,:?CY,<Y?'N•.Str;cYS?;Yd>;.'?rhY,«:.hi:r rki,;*y?N,:??kY.sYfiW?:?g:.;??C?;Y? f;l:T'V L1F E.AGP,N' CAUI-IT.ERa 38 PERMSNAL. Nf]^ 002 DAl'E: 02/16/00 'i):Yil':: iI]:c`W43 ID; NAPiEe MANl.F..Y L•ROTI-IFFs CpNT'Rll(.:TIUN i'252 9220 4162 JpC,C)Li r7 30.00 3210 9001 W62 JACOB 4.I? 17501.75 :3866 9379 062 JACOB C.7 it.iU.('IO ,7422 90{]1 Q62 :!ACpi+ CT 1702824 'r..'.r 75 9220 062 7Pil:OIt C7 1,007,.00 3446 9Urt:i. WE :iAC:oi; [°r !.:I.,00 2135 9r10t 402 JArr)t] LT 0,.50 174.3 192f () 4162 JACOB cr 50.00 205 .9001 062 :iAr..oB C'r i.a2.5o 's868 "1t.=.2o 062 JACOB i:r fia2.no CRi.2"iE,i,`.-) CC1NT'SNUE 1.15F.F; IDs JAN COP?SINUE v,<?Ckc?f "f.?F?X?XX? 'M7KY?m7???(ktYtY(>'d>kYnPd;k?:%k 'M>;<Yt 'MYf. 'M':???;?kYf ?MY? ?%?Wk????:788t?u?;?Y6%?#X:m??.>kXc?>1:{;8<Y,c?:%?:m?C±t CCIN'C'7.NlJf=. i;:CTY OF EAGAN r.,AS1i.T.ER;: J`; T-.F?MSNAI_ N0: IJUs Afi7E° 0206/00 TIM1=r 10^26:50 SD;, NFlNFr MANLFY RRQT'HEF::i C01'TRUC1'1fJi'! 371.G J?c?tl 062 JFlC?:lZi CT 04.00 37:13 9220 402 JqC013 C7 50.00 3865 9e20 062 JAc;7r: cr 040.00 2252 92?0 4d58 F:7Hh'N D4''t 30„00 300 9001 058 F_THAN Ci'i 1.;608.15 3866 7379 4153 f TliAh DF: a.f?O.UU :3422 9001 058 f.-TI1AN f:'.R 1,097.30 2r.'i'5 9220 409 Ef1lAN IJIi I,009.00 5446 9001 408 i: ri-inh LiR i:i.00 055 9001 fi1.58 1=THiaN Dfi O.SL? L'02W9 uyc l'r1N77NUE Jf31:k :1.1'i- JAN 4* f'.ONTINIJE" ? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) . ? tirr oF rAcaN 3830 PILOT KNOB RD • 55122 851-881-4675 -New CarulniCMOn ReaWrefnenta Remodel/Reoalr Reaulremenh D J replsfered sIte wneys showlny p. IL ot bt, aq. R. W houee Cnd g( roofed areas C10°6 rmodmum lot coveraae dbwedl D 2 eoples ot plans (show beam 3 wirWow sizes; poured hd tlealpn; eta) > t ter a eneryy calcwonons D 3 coWes d hee P servatlon pian H bt plaMad afler 7/1/93 oA,E: + / s ) roo DESCRIPfION OF WORK: N C.W \,? SiREET ADDRESS: G. Ce ?(7?.2N t?. C LOT: 4 BLOCK: SUBD./P.I.D. 0: S ? 7/,35 2 copiea of plan t set ol aneryy cdcWaflms for heated addflorn 1 qle wrvey for axfedor adc8flona d decb CONSiRUCTION COST: PROPERiY OWNER Name: ? I\ /1 sl? LS Phone M: FlRf Sheet Address: citY . Comp COIVrRACTOR Sheef CHY . Statte: store: Zip: Phone M: (area code) ? Ucense 0 zlp. 55U'? `? ARCHRECT/ 11 ENGINEER Company: 1 Cn v? r? Name: Telephone ill: ( ?? ( ) ??- Shaet Address: Regisfraflon 0: CNy State: np: 6o 13-- / LlLf'`l -L -7 3<?' Sewer/water Ilcensed plumber (if installina sewerlwater): CI. ?+? Phone #: ( I hereby acknowledye that I have read Ihis apPlicaMon, afafe thaf Ihe infomwtbn Is co rect, and agree Eo comply wHh, opp8cable State of Minnesota Sfahites and Ciy of Eagan Ordinancea. ? Slynahtte o! Applicant OFFICE USE ONLY Certiftcates of Survey Received w?,--PYes _ No ' ?- Tree Preservation Plan Received _ Yes _ No -?fd4ot Required y? ? OFFICE USE ONLY BUILDING PERMIT SU BTYPES O 01 Foundation ? 07 OSplex O 13 16-plex O 21 Porch (3-sea.) ? 31 Ext. Alt - Muid 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Fxt. Aft - SF 03 01 of _ piex O 09 07-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi O 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Demage ? 05 03plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous O 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bklg. ORK TYPE 1?1 31 New O 36 Move Bidg. O 43 Reroof ? 32 Addition O 37 Demolish (Bldg)' O 44 Siding 0 33 Alteration O 38 Demolish (Interfor) ? 45 Fire Repair s ? 34 Repair p 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATIQjV SAC Code ` # of Stories 7?,? No. of Units Length / y! sq. ft. No. of Buildin s 1 Width 2 Foot rint sq. ft. Const. (Act al) Basement sq. ft. 3 Cen us Code )0t (Allowable) Main level sq. ft. ?15? MC/ES System UBC Occupancy " y ? sq. ft. City Water Zoning j2,:U g;r sq. ft. Booster Pump PRV Fire Sprinklered ?SCELLANEOUS II?SPECTIONS Stucco/Stone 15E?„t;C.(c- APPROVALS /l Planning Building r1Z4'?? Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License /j?j/L ? ? J J' ? ' MC/ES SAC ? [? ff ? ciry s,ac Water Conn. Water Meter Acct. Deposit 15-S/W Pertnit S!W Surcharge L/ 9 f ?! p' lP Pa ktDed t PI. `f' ?? Trails Ded. Other Copies Total: SAC Units % SAC t 1l0N1'7:NUE C;]'TY (iF i2'rar;Ar.' .:i=i T'I.#iM:[Ni'd. agls 003 "s,TE:: 02/16/00 i'Ci1E.! i.C.1s'cir.,atSi. II! „ mi,1NI..c:Y RI,;f11"I-I[..IiS rr1Dl11i1.1C'{:f(.)fil. 3743 ::`ii'.cp ,f.iSfl le:'i'H(dt! Ill•' 50..00 2155 ,t)CH. 05F; F.:.7taAN I1R lt?.Uf] 366£3 W20 1100 I::'1'I-IP.N DIz 492.00 371E, 9t';,i) 4158 I':'IIIFl?J I1.4.I10 :it';.3 .`.fi[:I,I 058 FLIHflN llF•: `JIn00 3865 9i.'.33fi 115P; F.:TtiraN ?q; 840.00 i'.r'_`.ir l: rR2tl 667 LE`FTE (:I 00.00 3210 90U1 667 I..l';{7F. l:'T IV744 .1.:; ;i?W 1a:fr„9 °,6i LI-:kLP- C? 10(.1_00 3622 4001 6r,r" I..f:X:ZI:" C7 W33„70 CF,i.? K.I.`3 *% f;ON7TNU!z ilSEl"+ :I'Do JAN >%* CON7IN111_. CCII'.?17.fiUF..ET'i`.' t.f- Ehi;a,N l"ACiFI:fl=r?a Iq 1FRN.i:NH`l Nr,= OCI'i D'i(Ea 02/16l00 t':LM1.T.: i.c:l:26c51 ll.i ,, OnMFn f^ANI k-Y l;itt:11'FI!=,Rki CONllillf;Y'lfiN :3:? K .`}i?'r.'t:l 06i !_I iX! 1=: l;1' 1 y fJ,",;i`.r) . C1p 344a `.:?tiQ:l 667 I_f..-X:fE I:'1 1'LaOC) l.,.ib'S 9001 W L.L.XCL CT 0,,50 2743 ljr''r?K F,b? LF:;tTc Cl 50.00 i.'1.'..i5 w01 {;r;.i IJ:iX.LE C;i i17.00 3868 ',2.'r_C? W LI._XLF: Ci 492.00 17ti, 9VPrf F:,c,r ! rxa:r r,r W„on 3713 92?('] r.,h? t.E:XIE Cl 50.00 3E30S 9220 Gr,'r :•..r:Y.7f: .r.,"r 340.00 7'u1.k F'oc,r,i;,t Ainr.;imi;: ?Lr??,934.,0 CR .'2:; K'9 I!EI_Ir ['Ji: 3IArl ?:)?i.I:?:eCJ4?:)C?nyli T'lMT?TY[)?_T+l?)n?nTM??I?M1+TT?T??(i^A4:.?:n?r?).?Y( ??- I ADDRESS LETED BY: ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS 0C CITY BIIILDING CLASSTF2CATION: Q categoxy 1(ntand HINZMIRf CRITERIA Foundaeion InsulaCion-R10 Y7alla G Windo (See table on Slab on Grade Insulation-R10 Eor allowable Floor over unheated spaces-R24 Founda[ion Windowe 1/2" insulaCed Glass. -flood or Vinyl Frame STSP 1 Window & Door Area A. Total Window & poor Area in Sq. Feet ' WINDOWS (Including Foundatior. Windows): Mt7DOW NANUPACT[7RE NA.f` 6: F W2NDOW MA2NFACTRRE TYPB:'P ' (__?5_ 5??7..??? ML7DOY7 MW7QFACTURB O FACTOR: ! ?!S:?- R. O. QuanCiry sq.[L.Area Dimensions ?- )'(0 1 M ? N K X 1 n X ?N N x J ?/.nx/II '-(e" x X I DATE or?A category 2(muat includa veotilati wo Aoof Attlc Zneulation: reverse side perceneages) R44-With Attic No ?eel R38-14ith Actic Raisad Heel R38 & RS-Solid Rafters STSP 2 Calculata area ao a percent of wall C. Frorn S[ep 1 dividz bux A(4itndow 4 Door Area) by box B(COtal wall area) Cimes 700 equals cho window ard door arza as a percent oE wall area (L•ox C) . P'1x A?? . 1: 1 0 0 = I C= F.oF H DOORS 11 fze) , X l 0? 4bca1 -Area of Windows & 6oora B. Total Wall Area in Sq. Ft. Hall Total Height pq. Et. Area 1??-1 /o ST@2 3 Deaign Featurco FSSGFI5C( FP.A.HI[7C T':Pe: STAtIDARD FRAMING ?c[uds 16" o.c. ADVAI7CED FRNIING 6CLLd6 29" o.c. CF.VZTY INSULATTON R? SHSATHIIIG TYPS LESS Tf{AN < R-5 ? R-S > Ok h10A" U-FACTOR T? From the t3hle, (reverca 61d2) determine the maximum percent windoW 6 door area for the dzaign opciono selected and enter the t value in Box D helow baced on the window mfg. U- factor: `!-U D 1107 The : value Erom ttie labla in Box D shall b,° cqual to or greatcr than che t in Hox C . . Total Area oE Walls ??-DZG?- fC ONE- 6c'ClNO-F'AMILY RESIDEN7fAL OU]LDRJG PRESCfUF'"T7VE (COOK-HOOK) APPROACH MAXlMUM WINDOW AND DOOR AREA AS A PERCENT OF OVEftALL WALL AREA Prom Mlnn $ules part 7670 0475 olbpars item F Cavlt Extarior Wlndow U•Factor Framin Inau{alion Sheathin 0.49 0.36 0.31 0.27 STANDARD R-13 Z R- 1 13.4`Yo 17.8% 21.3% 24.3% STAIVDARD R•13 R- 5 12.4% 16.4% 19.7% 22.5% STANDARD R-15 > R• 5 12.9°h 17.1% 20,1% 23,4% STANDARD R-18-19 < R• 5 12.19'0 16.0% 18.8% $2,0% STANDARD R-18-19 R- 5 14.096 18.69', 21.8% 25.3% AtiVANC'ED R-18-19 < ft - 5 12.496 17.19'0 20.1% j3,y"/a ADVANCED R•18-19 > R- 5 14.Sqe 19.29'0 22.5% 26.1°/a STANDARD R•21 < R• 5 12.8% 17.0% 19.9% 23.1% STANDARD R•21 ZR- 5 14.5% 14.396 22.59'0 26.1% ADVANCED R-21 < R• 5 13.6°h 18.1% 21.2°/0 24.6% ADVANCED R-21 R- 5 i5.0Ye 19.9% 23.2Y, 16.9% Addit1onal Sakulated vatuea STANDARD A-17 < R• 5 11.9% 15.79'0 18.4% 21.5% STANDARD R-11 ? ft- S 13.6% 18.4Yo 21.5% 25.09'0 ADVANCGD R-17 < R• 5 12.6% 16.8% 19.6% 22,9% ADVANCED R-17 > R- 5 14,396 39.0% 22.29'> 25.1% Notea: Wlndow area equals rough opening minue Inatallatton clearances. Wlndow U-factor must be determined by either the National Fenestration Rating Couneil standard 100-91, or ASHRAE 1993 Handbook of Fundamcntals, Chapler 27, Table 5. w ' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDINC, PERMIT APPLICATION G'/C L ERTY EGA ' 14 8Z4U I ? i PROP L L h DATE OF SURVEY: 11-24' H ? W LATEST REYISION: ? C 0 DOCUMENTSTANDARDS Q ¢ O? ? • Registered Land Surveyor signature and company ? • Building Permit AppGcant m/ ? ? Legaldescriptian qap ? : Address ? . North arrow and scale ? o ? House rype (rambler, walkout, spiit wlo, spGt entry, lookout, etc.) ? DirecEOnal dreinage arrows wilfi sloppJgredfeM % ? ? . Proposed/exdsGng sewer and water services 8 invert eleva6on ? Street name ? ? o : Drrveway p ? • Lot Square Footage m/ ? ? • Lot Coverege ELEVATIONS / Exis6na ? . Sewer service (or Proposed) I' • ? ? Property comers d? ? • Top of curb at the driveway ? e' p • Elevations of any e?dsting adjacent homes ??? Adequate footing depth ot structures due to adjacent utilily trenches Prooosed ? q ? : Garege floor p/?a o • First fioor p/A ? - Lowest exposed elevation (walkouttMndow) d? o Property corners tr? ?? • Front and rear of home at the foundation PONDING AREA fif apdica ? ? &//o • Easement Ilne ? q' ? . NWL ? ? ? • HWL o ? • Pond # designatlon a ? • Emergency Overflow Elevatlon ? ? ? p'? o mz? ? m-'o ja' ? m-' a DIMENSIONS Lot lines/Bearings & dimensions Rightaf-way and street width (to back of curb) Proposed home dimensions inducfiny any proposed decks, overhangs greater than 2', porches, etc. (i.e. aq structures requiring permanent footings) Show all easements of record and any Cily uUlitles within thoae easements Setbacks of proposed structure and sideyard setback of adjacent existlng etructures ReWining waA reqi Reviewed: Maroh 1999 CRAIGIBIDGPRMf FM CITY USE ONLY I ? gL ? RECEIPT #: ??i 77 ? 1 U SUBD. aak IUF'fiC RECEIPTDATE: 11"13'0 PERMIT# 5000 i'LiJM$IN6 PERMiT (mIDEflTIAeL) crrYoF Ewswx 3830 Pu.or [cxos Rn KwsAv, Mx ss1 2$ 651-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system nvTi iocc EACH ? 41, o_v TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ , Floor drain 3.00 x = $ GeS i in OUtIEt ' minimum -1 3.00 X = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ G'as Se tic S stem newlrefurbisned • re uires MPC Ite. 75.00 x = $ S8 tIC S StEfTI abandonment 30.40 X = $ RpZ new installalion/repair/rebuild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwelling is under eonsWction 3.00 x = $ Under rounds rinkler ifexistin dwenin 30.00 x = = $ Co $ ol W ater closet 3.00 x . Water heater 3.00 x 1 = $ W ater softener if dwelling under eonstructlon 5.00 x = $ Water softener H exiscin awemn 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e 50 --> -__> ____> $ .50 Total --? --' --? -.?> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------- ------------------------------------------- ------------•----------------------------•--------------------------------------•-•- I hereby acknowledge that I have read this appliptlon, sWte that ttie information is conect, and agree lo comply wifh all applicable City of Eagan ordinances. Il is the applicant's responsibility to notlfy the property owner that the Cityof Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities consWcted under Mis permit within Ciry propertylrightof-way/easement. SITE ADDRESS: Unn ?tZX14 CA OWNER NAME: : 1 1,Qn1 e-y ?C65. CC)t?`???UCTI?TELEPHONE #: (AREA CODE) INSTALLER NAME: P1umb STREET ADDRESS: CITY: TELEPHONE#: (AREA COOE) STATE: m N ZIP: 55 3`TZ OF PERMITTEE CITY USE ONLY LOT BL I PERMIT #: S mO I SUBD. G1 'ALtd'XL i RECE[PT #: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ? ' a7 ' c6 Compfete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under consizuction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outleu (minimum of one required @$3.00 ea.) State Surcharge Total Repair _ Other Complete this secdon onlv if you are remodelina, addin¢ to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ?S?New _ Alteration -? Furnace Air exchanger Fee State Surcha:ge Total Reminder: Call for inspectiorrs SITE INSTALLER NAME: STREET ADDRESS: CITY: ?'o "?"122t? CITY OF EAGAN 3830 PILOT FINOB RD EAGAN 2MI 55122 651-681-4675 Air conditioning Other (CJ $ 30.00 6.00 6.00 .50 $ 3L-'0 $ 30.00 .50 $ 30.50 PHONE #: (AREA CODE) PHONE #: ' (,ueEn conE) 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN eso 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date4/16- Site Street Address Unit # Property Owner ? Telephone #(/) h?[J5 = 68"?} Contractor Mttl? Telephone # ((057 ) 3&3 - ,3'1C3D Address O City 5tateYkA) Zip 56d6g / Contractor _Other The Applicant is: _ Owner P Alterations to existing dwelling kL ? $ 50.00 4Z ? ?dd fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 Stafe Surcharge $ .50 Total $ !06a 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. ` Eladiu- M l-u.kou)iexJ App nic Ys Printed Name f. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION . ?2 ? 03 City Of Eagan J 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewComWCtianReauiremenis RemodeVRenairReauiremenls 3 registered site surveys showing sq. ft of bt sq. R of house; and all roofed areas 2 copies of plan (20%maeimumbtcoverageaAVrred) lsetofEnergyCalcuWtionsforheatedaddNOns T??esPlaoiReal_--?a--='-- ?.N r., 2 copies of plan showing beam & window s¢es; poured found design, etc. 7 site survey for edditions & decks lsetofEneyyCalalatlons Add'Non - Indkateifon-sitesepfksyafem ? ??- W,y 3 copies W Tree Preservation Plan if bf platled after 711193 Rim Jo'st Detail Optlons selection sheet (bldgs with 3 or less unils Date T - oN Construction Cost Site Address 4? J UniUSte # ' -? ?. Description of Work ro,i 4 `L ?i- t.l tiP.?.dl? Multi-Family Bldg _ Y YN Fireplace(s) _ 0 2 Property Owner dU` S o-v`- Telephone # ((QS / G? Contractor f> SCn Address (? l' ? .Sf. ?l.?. ,? City ?i% (/r Ile X' State -r-- Zip Telephone # (q 4l1 7'- ??] l{ 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 (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations 5ubmitted Have you previously constructed 70,' ' gira-Eagariu fee applies. ?UI = similar plan? N If so, 25% plan review Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Pernut and aclrnowledge 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 pemut; that the work will be in accordance with the approved plan in the case of w9?k which requires a review and approval of plans. , , // ApplicanYs Printed ame Applicant's OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-plex ? 06 04plex ? 12 12-plex Work Types ? 37 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screen/gazebo) lpd 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Muiti ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy Zoning IG "1 Stories Sq. Ft. Length W idth _ Footings (new bldg) _ Footings (deck) _ Footings(addition) Foundation Drain Tile x Roof _ Ice & Water _ Final Framing Fireplace 4 R.I. A Air Test X Final ? Insulation Approved By: MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tesu _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 Dwcx 12?e- 1 -?`1q`1r?- 2007 RESIDENTIAL BUILDING rExNuT arPLicnTroN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslrucfion Reauirements 3 registered site surveys shaving sq, ft, of iot, sq. fl. of house; and all mofed areas (20% marimum lol coverage allowed) 1 Soils Report if proposed buiMing is to be plamd on distur6ed sail 2 copies of plan showing beam & window sizes; poured found design, elc. 1 setotEnergyCalculalions 3 copies af Tree Preservalion Plan'rf lot plaUed aNer 711193 Rim Joisl Delail Optlons selection sheel (6uildings wiih 3 ar less units) Minnegasco mechanical venAlation form RemadelrRenair Reaui2ments 2 copies of plan showing footings, heams, jolsts 1 set af Energy Calculations for heafed additions 1 site survey for additions 8 decks A'on • rndicefe ifonsite septic syslem Plans are considered nuhlic infnrn,a+inn nnlnc. ...... ?a..a., si.- qO-(s?) d Office Use Onlv Cert of Survey Recd _ Y _ N 3oilsReporl _y _N Tree Pres Plan Recd Y N Tree Pres Required Y _ N OMsiteSeplic5yslem _Y _N - - -- -.--_....-..-.. ?••??? ...+ Oaaac Lne ale uaae secrec ana tne reason. Date ?1 / _? / o? ConstrucHon Cost /' _ z, 9?( Site Address _??j p h, ??e e t" UnidSte # / DescripHon of Work /i e/`n0-1? Mutti-Family Bldg _ Y r N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ?? ? z-? ZS Telephone # Contractor Q U i,/ AQmQWPleAy Address SZ e/ ?f Citv / Trr? n. - •- State ,w Zip 17,527" Z Telephane # 7 COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Mixmesota Rules 7672 (J su6mission type) • Residential Venlilalian Calegory 1 Worksheet • New Energy Code Worksheel Submitted Su6milied • Energy Envelope Calculalions Suhmilted 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 mdster plan: Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( J Sewer/Water Contractor Telephone #( ) i herehv anr.lv fnr a _J_ . rciiuiL auu xGKIlOW104ge TH2t the 1tlfbrit13t1Ori 1S COIY1p10YC 3Yld 3CCUI"dtC; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate of MN Statutes; I understand this is not a pernut, 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. - Z&/' ?Pf?o l/ 4 Apphcant's Printed Name App cant's Signature k ** * * PIONI * B? **]?* uuo wwrrtxs. ur+oscnrc uiwi¢crs Certificate of Survey for: LOT AREA = 12,347 SF HOUSE AREA = 2,384 SF COVERAGE =19% HOUSE TYPE=2 STORY W.O. 4_1 BENCH MARK TOP OF PIPE ELEV.=922.79 2422 Enterprise Drive Mendoto Heights, MN 55120 (651) e51-1914 Fnx:681-9488 E-mail: PIONEER@PRESSENTER.COM MANLEY 667 LEXIE COURT ' ?. .' 625 Highwoy 10 N.E. Bloine, MN 55434 II(612) 783-1880 FAX:783-1883 - E-moil: PIONEER20PRESSENTER.COM BROS. CONST. , o O? ^ .? '{) 920.1 ^ 4) ^yh v !OJ / 920.6 ? 27.3 ? 0 FT- ? I?E Vii5/ ?i x.-I?V?x \ ._ • o _ ..... . 15•40 -_--"?-- 49 00 p-_18'00'36" ? r---- 926.4 0 S87'53'09"W I ? tltNl:M MH1CIt TOP OF PIPE ELEV.=922.221 ? I NOTE- PROPOSED GRADES SHOHTI PER GRADING PLAN BY: E.G. RUD NOTE: BU!LOING DII.fEN510N5 SHOVM ARE FOR HORIZONTAL ARD VERT1f,A_ LOCATON OF STRUCTURES ONIV. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION UIMENSIONS. NOTE: NO SPEQFIC SOILS INVESTIGAl10N Hp5 BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABIIITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS N0T 7HE RESPONSIBILITY OF THE SURVEYOR. 16 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 917 t POP OF BLOCK ELEVATION: ?Z!5. g GARAGE SLAB ELEVATION: 9 z-1 .Y TOB 0 LOOKOUT ELEVATION: NOTE: TNIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 UENOTES E%ISTING ELEVATION THOSE SHOww ON 7NE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVAnON DENOTES DRAINPGE AND UTILITY EASEMENT NOTE: CONTftACTOR MUST VERIFY ORIVEWAY UESIGN. - DENOTES DRAINAGE FLOW OIRECTION NOTE: BEARINGS SHONT7 ARE BASED ON AN ASSUMEU DANM 0 DEN07E5 MONUMENT g DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 14, BLOCK 1, OAK BLUFFS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT UNOER MY DIRECT SUPERVISION THIS 24 DAY OF NOVEMBER, 1999. ? SCALE : 1 INCH = 30 FEET 9941 uxo B REC`IVED JAN 3 1 2000 OWN, AS SURVEYED BY ME OR /10NEER ENGIN gGA. r Y+^ Q?\V ? +3 • + II qQ Z! drty r----------------- I For Office Use G~5-17 City of Enn i Permit#. I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 ► I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1. j(01 1 0 - Site Address: ~,~1 ~~(d e/ ~(J 1/ Tenant: Suite M RESIDENT / OWNER Name: L Lm- ` S OYA-- Phone: I o ; Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: fi - `r i Construction Cost: g~ Multi-Family Building: (Yes / No CONTRACTOR Name: _ Budget Exteriors License (Os"tO 8017 Nicollet Ave S. Address Bloomington, MN 55420 1-877-310-1742 Zip: City: _ F: 952-887-1659 _ State: Phone: .u . , _vn: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 ~wiiitt~h the approved plan in the case of work which requires a review and ap71"~(_wz= X SYVrI/l~l'~1 Tchl.111M x Applicants Printed Name Applicant's Signature Page 1 of 3 06/1Z/Z014 THU 16: 10 FAX 61Z 9ZZ 5409 A1' p HaAtOY Plumpimg 1�009/D09 : C � � �c� �o�� 035�� '�SyC�� Use BLUE or BLACK Ink i -------i � �rFer OfFlca Usc ^ ( � � ,(� I � � i Permit#: ,� ��U � � City of�a�a� � � �� Permll Fee: I ! 3830 Pilot Knob Road i � Eagan MN 56122 I Date Rece�ved: � I Phone: 651 675-5675 � 3 � Fax:(651)675-5694 � Stalt: ---------- �-----� 2014 RESIDENTIAL PLUrVIBING,PERMIT APPLICATION , , � , � Date: � � � Site Address: �� i Tenant: � Suite#: ! a, ,� �`�� Name: v\ Phone:C��,��5�� J�� Addr�ss 1 City/Zip: ��- � ,V � q� Cny��D� � Name: �oah Ac4ula�lons.LLC License#: � � I �r�. � dba•Benjamin Fronl(in P um ��8 � I�:�3rd SI K '. ��" Address: City: ' �' � ��' , C� � � � 1�� Y ; y��, State: Zip� Phone• p 1 �°;� �' n �ruv�lit�+, � Con tact�;��Yl� Q:�c o� Email: e�n i(� �l,0 " C"� v.rv�1'a .< ..V�,� , a � '� _,_,New \ rceplacement _Repair �Rebuild �Modify Space _Work in R.O.W. ti , �: Description of work: ; "K �"";- RESIDENTIAL j ` Water Heater �Lawn trcigation(�RP /_PVB) —water 5oftener � p u Septic Sysfem _Add Plumbing Fixlures�Main/_Lower Level) New _Waler Turnaround �"��r Abandonment `r;., RESIDENTIAL FEES: I $60.00 Water Heater,Water 5oftener,or Water Heater and Softener(includes$5.00 State Surcharge) , $60.00 Lawn Irrigation(includes$5.00 minimum 5late Surcharge) $60.00 Add Plumbing Fixtures,Septic Svstem Abandonment,Water Turnaround`(includes$5.00 State Surcharge) "WaterTurnaround(add$200.00 if a 5/8"meteris required) $115.00 Seotic Svstem New($10.00 per as built)(inGudes County fee and$5.00 State Surcharge) TOTA�FEES$ CALL BEFORE YOU DIG. ��11 Gopher State One Call at(651)4540002 for protection against underground utiliry damage_ � Call 48 hours before you intend to dig to recelve locates of underground utiiitios. wwuv.�opherstateonecall.om I hereby atknowledge Ihat this information is complete and acourate;ihat the work will be in conforma�ce wlch lhe ordinances and codes o(lhe Cily of ', Eagan;that�undarsland lhls Is nol a permil, but onry an application for a permil,and work is not t sla wlthout it;that the wdl be in , accordance with the approved plan in the case of work which requires e review and approval ot plar�s II x ��flY�h 1 � � 1,�� X ApplicanYs Prinfed Namc Appllcant' I � ,�,N� �,�,�� „��, � �, �,a., �� ' ' .• � �.��;;�x: � a �."��;c,;�; a., �' ,.�. ,. y,. �,�� " ;=x,,,�K��x.:,�. � a,�.�a "��;�.�; �+ �. :^�°� ,� ll l ��37:.1� kc'�.:r.� ��Ra., .�". d� � . „w . ...�.�,. 'N.�„��' ,�"•��A"�* Kp"' .Yw�� y� �A4d�F�M.'1. �mn,u�.,�,..,N.Y Y.�J��,. ^r 1 i��.�.�,, ro,+ �? �xlM��"xFaJy6��CC��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e-E*+'Q@-+&$*+'/$9E:*+F/-9$'#'1-+*,$7+ 5J!V'0+,@+-*+-$'/-@&P-<HHJ',N*,'M D,P'.=,'AD''55"WVY-F-+'AD''55!W433"U2 GH!WI'H2"3"WV5'^H!GH!WI'J5234!J2 0'K,@,:<'-%&+P$,)F,'K-'0'K-X,'@,-)'K*7'-==$*%-*+'-+)'7-,'K-'K,'*+C@E-*+'*7'%@@,%'-+)'-F@,,''%E=$<'P*K'-$$'-==$*%-:$,'8-,' C'A*++,7-'8-9,7'-+)'M*<'C'Y-F-+'Z@)*+-+%,7L (==$*%-+S/,@E*,, '8*F+-9@,0779,)'#< '8*F+-9@, PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148154 Date Issued:03/09/2018 Permit Category:ePermit Site Address: 667 Lexie Ct Lot:14 Block: 1 Addition: Oak Bluffs PID:10-53400-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul B Danielson 667 Lexie Ct Eagan MN 55123--490 (612) 750-3170 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149182 Date Issued:05/10/2018 Permit Category:ePermit Site Address: 667 Lexie Ct Lot:14 Block: 1 Addition: Oak Bluffs PID:10-53400-01-140 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:RPZ Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul B Danielson 667 Lexie Ct Eagan MN 55123--490 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature F� BACKROW PREVENTER TEST REPORT i FOB ADDRESS (INCLUDE ADDRESS p, STREET NAME, & DIRECTIONAL), Apt/Unit p �� 45) UAGKFLOW ASSEMBLY INFORMATION (All Fields are Requlredj System Served: % r`r tTr Pei Manufacturer of Assembly: t1 -f'ti5 Model -)SAP _P Sire of Assembly: s� ;oral rr� O (OJ } `4e Location of Assembly: Floor p O, k,5' 6` C Room b Date test was performed:s? _ 6-.? ). Reduced Pressure Principle Backfiow Preventer (RP) — TEST RESULTS Check Valve N2 Shutoff Valve N2 Check Valve 02 Pressure Differential Relief Valve Closed Tight "$Yes _No Closed Tight Yes —No Closed Tight Yes _NO Initial Test Pressure Drop Acr sk Opened at 3.9 psid iCheckValv-jrl VF psrd I i Describe parts and repairs when needed y Closed Might _Yes —No Closed Tight Yes No Closed Tight __ Yes —NO Pressure Drop Across Opened at Double Check Backflow Prevention Assembly, (DC) �psid Final Test Check Valve 01 sid - — -�"—i�- Tr:sr R�suLTs "— Check Valve x2 Chock Volvo x2 ShutrNiValvex2 Closed Tight Yes ,No Closed rrgh[ _ Yes _Na Closed Tight _ Yes _No r initial Test sid sod Describe parts and I repairs when needed Closed Tithe Yes `No ! Closed Tight --- Yes —No Closed Tight Yes —NO Final Test s usid Pressure Vacuum Breaker Assely Air In Valve Faded to Open Yes __Nd Initial rest sid 0 ened at Describe Parts and ,,pairs when needed Opened at r— psrd Tr splll I'tesistant Vacuum Breaker Check Valve _---� Closed Tight _ Yes _No Pressure Drop Across rh.rk Valve x1 psid Closed Tight , Yes _No Pressure Drop Across Check Valve x1 psrd - TEST Closed Tight — Yes _ No Closed Tilht ,Yes _No f the irarguld' w,th the r-n"°3 o PERMIT City of Eagan Permit Type:Building Permit Number:EA176933 Date Issued:06/07/2022 Permit Category:ePermit Site Address: 667 Lexie Ct Lot:14 Block: 1 Addition: Oak Bluffs PID:10-53400-01-140 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 - Paul B & Cheryl D Tstes Danielson 667 Lexie Ct Eagan MN 55123 (612) 750-3170 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature