668 Lexie CtAddress 668 Lexie Ct Zip 5512 3
Lot 23 Blk 1 Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: l 1 d a Yes No Inspector:
Final grade (6" from siding) V/
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish f
Deck f
Please verify with the builder the removal of toof test caps from the plumbing sys[em and the shutoff of water suppty to
the outside lawn faucet before freeze potential euists.
Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
f CITY l1SE ONLY
L ? ? BL
SUBD.
RECEIPT# I aa /&6
RECEIPT DATE Q' I" D O
PERMIT # ? 9q(1 D-
2000 PLUNBING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PILOT ZCNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES '
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ c?"!
Floor drein 3.00 x = $ 4D
Gas piping outlet ` minimum -1 3.00 x $ 3. aa
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ , oZD
Laundry tra 3.00 x $ cyv
Lavato 3.00 x $ S c?
Septic System newirefurnisned • requlres MPC lic. 75.00 x = $
SeptiC System abandonment 30.00 x = $
RPZ new installationlrepair/rebuild 30.00 X = $
Rou h o ening 1.50 x $ I-S
Shower 3.00 x = $ ao
Underground sprinkler If dwelling is under eonstruc[ion 3.00 x = $
Under round sprinkler rf existing dwelling 30.00 x = $
Water cbset 3.00 x S = $ 5. oU
Water heater 3.00 x = $ ? Da
Water softener H dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Suroharge .SD --> -> -> $ 50
Tot01 -> -a $ ,O
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. '35 ?
------------------------•------------------------------------------------------°.... __------------•--------------------------------------
I heieby acknaNedge that I have read this appliption, state ttiat the infortnation is cortect, and agree to compty with all applicable City of Eagan ordinances.
tt is the applicanYs responsihilRy to notify the property owner that the Cky of Eagan assumes no liability for any damages pusetl by the City during its
normal opewtional and maintenance activiGes to the faalities constructed under this pertnit within City properly/rightcf-way/easement.
SITE ADDRESS: !.llc 9 Cydlc? /--
OWNER NAME: : /u/CI /7 P.5r TELEPHONE #:
(AREA CODE) '
INSTALLERNAME:
STREET ADDRESS:
cITY:
SIGNATURE OF PERMITTEE
2::: L-nc- /If!ff STATE: ?'? ZIP: 7?537'?
CITY USE ONLY
LOT BL PERMIT #: ? ( q O I
SUBD. ? CA- RECEIPT #: (P ?
RECEIPT DATE: aI - O a
2000 MECHANICAL PERMIT (RESIDENTIAL)
nace: /-'?v - DZ]
Complete this section on[v if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/accupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
Complete this section onlv if you are remodelin¢, addine to, or re?airing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
_ Fumace
_ Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee
State Surchazge
Total
Reminder: Ca[I for inspections
SITE ADDRESS: ?!I/ ? Ze•e,
$ 30.00
.50
$ 30.50
OWNERNAME: //(/0-z /?? /??A ?--5 PHONE#:
(AREA CODE)
INSTALLER NAME: PHONE #: /L f?-
STREETADDRESS: Z/z,?/? (AREA CODE)
CITY: f?5?'i G7? C? .?-P STATE: ?K ZIP:
CITY OF EAGAN
3830 PILOT IINOH RD
EAGAN NA7 55122
651-681-4675
SIGNATURE OF PE TTEE
?
. . . . . ..Y :fi?
, i
y i
r
IE,V:Nxi_';`tri;, 7{yy ;
y '
kmi e `
F;i?M.? ^. ? lRIJ! {; Y' ?y41r?{l-lE?=S CL•q•t?i'?'-'LN7'?':['..:"P', "
, i.r?`.q 9r.'Pt? ?WS Lc_Y.S:f:' O1' Tr37
13051 907 x L68 LE:{ i.E r T Y' 1: kFYi A
',?S'E,;; .a:;;•?l E?t',?3 !'=?"??, t:T'. ;(?tJ.t70
9M.. t*;,S t_F:.YV- CY
; r??I,.y ?,rc?f? t?rf:.cS i?':{I'-- r:T
9i)iC' „ t k:
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??L:i:"v 900
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. . ? ,_ . ? . ?
' .?_
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EACAN
y"-1 3830 PILOT KNOB RD • 55122
J 651-681-4675 ?
New ConshucHon ReaulremeM?
? 3 regisfered fMe surveys showing iq. ft. of lof, sq. H. of house
and Siji rooled areaf (209 maximum lot coveraae albwed)
> 4 copies of plans (ahow beam i window sizes; poured ind. design; ete.)
> 1 set of energy calculafioro
D 3 coples of hee preservaNOn plan 91ot piaHed atfer 7/7/93
DATE: CC..I 2 q I q G .
DESCRIPTION OF I
STREET ADDRE55:
IOT: -2 3 BLOCK: ` SUBD./P.I.D.B:
RemodeUReooir Reaulrcmenri -( O ?S 4 9
2 copies of plan
1 sef of energy calculaltons for heated addlNons
1 sRe survey for exlerior addiHons 6 decks
CONSTRUCTION COST: $ Z 3GI OL)0.00
Name: M Q??rf7S • Phone #:
PROPERTY ' Last FUst
OWNER Street
City
Stcte:
Zip:
3B? - 3,8?., a
?t (s
Company: Phone #: ?t C?_ 9?' 9U"?" 1
(area code)
CONTRACTOR ?,V 1
Sheet Address:-3?3q ?-?? 7` • S- License # Exp.
ci}y ? h.I,t?2.Qa00 ? l S State: -UAQ Zip: .55?ks_
ARCHITECT/ I'eV1pL,1?a.l??Gl.?
ENGINEER Company: Name: e
• Telephone #: area code ( 6'`^j 1)
Street Address: RegistraHon ik:
City
State:
Zip:
Sewer 3 water Iicensed plumber freaulred for new conshucHon onh): ? yU"' '` A"v'? C'A I
PenaNy applies when address change and lot change I: requested once permR is issued. 0 "76%? ?
1 hereby acknowledge that 1 hwe read ihis appileaNon, state that fhe info on is cortect, and agree to comply wHh all applieabl
State of Minnezota Statufes and CNy of Eagan Ordinences. n----) e ? n
Slgnature of
Certificates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
r1 U
OFFICE USE ONLY
No
?o ?j lot Required
0-A-,t/?.,x? V a? U l?
?n-z S 5 ?{-
OCI j 5
'Qo
,0// q
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
)K 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ?, 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demoiish (interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GE NERAL INFORMATI ON
Const. (Actual) 5 • N
(Allowable) ?t?
UBC Occupancy 2 -?U
Zoning (? - I
# of Stories ?
Length (o?
Width -4?2-
APPROVALS
Basement sq. ft.
Main level sq. ft.
`?L D LAI sq. ft.
Ca,dn, sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
314
I Sao
? 5"0 0
I 2 f? b
? 7 0
22Z(o
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
la I
Ol
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
S I ?t'?-
Valuation:
15-00 DC I S =
15 C) UXSe4
I ZL
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(se= lst?le o?? r?1:-a^ ???i? R44-WS'h Att.f.; Hc ll'?Ml
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ioz allo•.:ahle p? :::entages)
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r. j'>[al Hi:??ew 4 Acor A[ca :n 4;. 1'pFtt
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C. Frcr+ 5[!t+ ! diVidr_ :,ox A 017lndOW 1s G>or
P.rea) r.y bcx B(tutal aiall aiaa) tlmes loo
cq,jala the w:Vdo'd en3 dooC r.L'ea ae a
p?ccv::t o[ Wall area (bon C)
_ ' . ?..?.. . _.
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3 1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILOING PERMIT APPLICATION
PROPERTY LEGAL.
DATE OF SURVEY: S 3 " ??
LATEST REVISION: 167- Z-(2 ' "?2
DOCUMENTSTANDARDS
zco
?
• Registered Land Surveyor signature and company
Bwlding Permit Applicant
? • Legal descriplion
?yyg??? ? • Address
m?q/o • North arrow and scale
p/,a ? : House type (rambler, walkout, split w/o, spld enVy, lookout, etc.)
? Directional dreinage arraws with slape/gredient %
a .
Proposed/ebsting sewer and water sennces 8 invert elevadon
? .
Streetname
? ?
y ? • Dmeway
? ? • Lot Square Footage
V? ? • LotCoverage
ELEVATIONS
Existing
/
? Sewer service (or Proposed)
V ? :
Properry comers
? .
Top of curb at the driveway
* ?
? ? • Elevations of any ebsUng adjacent hamea
? q ? Adequate footing depth of structures due to adjacent ubliry Venches
Prooosed
?? ? ? Garagefloor
? First floor
?
? ? .
lowest exposed elevation (walkouthvindow)
pd' o ? • Property corneis
? e ? • Frant and rear af home at the foundation
PONDING AREA1if aoolicablel
? d ? • Easement line
? W/ ? • NWl
? ? ? • FIVVL
? ? ? • Pond # designation
? ? ? • Emergency Ovefiow Elevation
DIMENSIONS
ta ? ? • Lot GnesBeadngs & dimensons
G?/ ?? • Right-of-way and street width (to back of curb)
?K ?? • Proposed home dimensions induding arry proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
?? ? • Show all easements of record and any Ciry utilNes within thase easements
m/?? • Setbacks of proposed structure and sideyard setback oi adjacent exdsting structures
? ? • Retaining wall requirements, rf any I-)
Reviewed:
1 Date
Mareh 1989
cruOSUocvnnrtFM
?? **
* PIONEEFI
* B?1g1?feBPl
* * 7? *
uHo
Lu+o wumcxs.
Certificote of Survey for:
LOT AREA = 18,291 SF
HWSE AREA = 2.424 SF
COVERAGE =13R
HOUSE TYPE = 2 STORY L.O.
9284
EVpN DRIVE
?-
?-
? - - M
41.06
N07•2g'54"E
?
22 " ??%c
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: E.G. RUD & SONS, INC,01 IZONTAL
AND NOTE: BUILDING SEE ARCHITECTUA?RP ANS FOR BUILDINGAAND?ATION
OF STRUCTURES ONLY
FOUNDATION DIMENSIONS.
NOTE: S?RVEYOR'CTHEISUITABILTY OF SOILS TOESU PORTLT EDSPECIFIC HDUSEY 1HE
PROPOSEO IS NOT iHE RESPONSIBILITY OF THE SURVEYOR.
PROPOSED HOUSE Fi FVATION
LOWEST FLOOR ELEVATION: 9y2.5
TOP OF BLOCK ELEVATION: 931,3
GARAGE SLAB ELEVATION: 926.7
TOB (PLOOKOUT ELEVATION: % ZS 17
X OOO.CO 7ENOTES EXISTING ELEVATION
NOTE: THIS CERiIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ?
THOSE SNONRJ ON THE RECORDED PLAT. 000.00 ) DENOTES PROPOSEO ELEVATION
DENOTES ORAINAGE AND UTIUTY EASEMENT
NOTE: CONTRnCTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTIDN
?- DENOTES MONUMENT
N07E: BEARINGS SHOWN ARE BASED ON AN ASSUMED DAT1M DENOTES OFFSET HUB
v-
WE HEREBY CERTIFY TO MANLEY BOTHERS CONSTRl1CTI0N THAT THIS IS A TRUE AND CORRECT REPRESENTAION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 23, BLOCK 1. OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT
UNDER MY DIRECT SUPERVISION THIS 3 DAY OF AUGUST, 1999. ,
SCALE : 1 INCH = 40 FEET
RFCFlVE:CI QCT 2 2 'iggg
SHOWN. AS SURVEYED BY ME OR
PIONEER
_ l
o.
P.A.
2422 Enterprise Orive
Mendota Heights, MN 55120
(651) 881-1914 FAX:681-9488
E-moil: PIONEEROPRESSENTER,COM
625 Highwoy 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
E-mail: PIONEER20PRESSENTER.COM
CONSTRUCTION
m
?eE
V
f EOING-LR'EEliING DEPT.
?
- BOPCOFMPIPE
? ELEV.=924.64
A=37'48'21"
' - - _ ' R=22.00
14.52
LT ?
7sr ?49
?d.-
MANLEY-.PBROTHERS
Cit of aau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use0.0p
Permit #:
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address: 44' O
Tenant:
Suite #:
owner
k fi
Name: Aviv Phone: . -S /S-3 Y
Address / City / Zip:
. ®r{
Name: ` License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New(replacement ditional Alteration Demolition
j
Description of work: 1 2 ,a -____e
cal eq t�requirl s..
lease i . a :. r info on ermittecl
P+brm
v ry
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under/Above ground Tank ( Install /
Other
_Remove)
i x
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge
includes State Surcharge = $ TOTAL FEE
$100.00 Residential New,
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
= $ Surcharge
= $ TOTAL FEE
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 ap..ve. plan in the case %f work which requires a review and approval of plans.
�ifua�
licant's Printed ame
x
Applicant's Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA141281
Eagan,MN 55122i Date Issued: 03/03/2017
(651)675-5675
of E
Site Address: 668 Lexie Ct
Lot: 23 Block: 1 Addition: Oak Bluffs
PID: 10-53400-01-230
Use:
Description:
Sub Type: Siding& Windows/Doors Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Andrea Bosela 651-278-7467
Fee Summary: Day Care Inspection $50.00 1221.4216
Total: $50.00
Contractor: Owner: - Applicant -
Paulette Bosela
668 Lexie Ct
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149573
Date Issued:05/29/2018
Permit Category:ePermit
Site Address: 668 Lexie Ct
Lot:23 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Paulette Bosela
668 Lexie Ct
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature