4318 Jessica Ct; ?ESIDENTIA ?p-
r BUILDING PERMIT APPLICATION I
"? ? I l-?x?n9?h poinfC' ?qHl A dd, 3830 PILIOT KNOB RDN 55122 'VI ,Ap / `
651-687-4675 r ?o ?J ? '
NewConstructionReauirementa RemodeVRepairReauirements pp? y? 551 ? ?DI 50
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20°k maximum lot coverage allowed) . 1 set of Eneryy Calculations for heated additions ?
• 2 copies of plan showing heam & window sizes; poured found design, etc.)
• 1 set oi Energy Calculalions
?lqU ?D . 1 site survey for exlerior additions & decks ?
. Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted aNer 7/1/93
• Rim Joisi Detail Options selecGon sheet (bldgs with 3 or less uniGs) Y/ .H}' 1_Chh
g-7 0 ?
DATE August 1, 2001 VALUATIO N (EXCLUDING LAND)
JOB SITE ADDRESS 4318 Jessica Court
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER mhnrcnn Hnmac? TnG,
TYPEOFWORK New Cnnctrnrtinn FIREPLACE(S) _0 y1 _2 _3
APPLICANT mhnrcnn unmPa, TnC! PHONE# 6S'1_454_0644
ADDRESS 4466 Wedgwood Drive Eag,sn ZIPCODE 5512i
PAGER # CELL PHONE # 612-810-3597 FAX # 651-405-9437
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category -x MINNESOTA RUI.ES 7670 CATEGORY ? I,
(check one) - Residential VentilaUon Category 1 Worksheet S i d n LI
- Energy Envelope Calculations Suhmitted n
I I
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
PlumbingContractor:Ravmond E. Haeg Plumbing, Inc. Phone#: 61 -R6h-60q2
Ylumbing Systcm Includes: n1a Water Softener nia Lawn 5pruikler Fee: $90.00
P, VVater Heater ? No. of R.I. Baths
3 No. of Ballis
Mechanical Contractor. K] ave uPati nq R Ai r rnnrl; t; nningPhone # 952_441_g211
Mcch.mical System Includes: _X Air Conditioning rec: $70.00
nla Heae Recovcry System
Sewer/WaterContractor. gaymnnrl F_ Haag Plnmhing., rnc, Phone# 612_866-6092
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordina es.
Signature of Appllcant -?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required , XT
Updated 1f01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
W 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ ple x ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
pp 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation 27c5,?Qe? o ?U Occupancy /C `"3 MC/ES System
Census Code LD (" Zoning )0_ City Water
SAC Units Stories o2 Booster Pump
Nbr. of Units j Sq. Ft. doa PRV
Nbr. of Bldgs I Length J 8 Fire Sprinklered
T
f C ?
ype o
onst Width 4!?5_
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Fina!
? Framing
Fireplace -PR.I. __?'AirTest /'Vinal
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
_ HVAC
_ Other
_ Pool Ftgs AidGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By uKJ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
?t S?2t i
/3dGK5 ?C '
7"07, a7Geva)
??J2d4GG
- SXL(o ? mO
7 lj o?LL?O G?
Total
Address 4318 .T e s s i c a C o u r t Zip 5512 3
I.oi 5 Blk I $ub Lexington Pointe 14th Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
, .
Date: Yes No Inspector: ?L
Final grade (6" fr siding)
Pennanent steps (gazage)
Permanent steps (main entry)
Petmanent driveway
Petmanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test pps from t6e plumbing system and the shutoff of water supply to
the outside lawn faucet beforo freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sptinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractot Copy
RESIDENTIAL
:$70 ?
BUILDING PERMIT APPLICATION
cirv oF eacaN .?
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Raauirementa
• 3 2gislered site survays showing sq. ft of lol, sq. ft. af house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam & windax sizes; poured found design, etc.}
• t sel of Energy Calculations
. 3 coDies of Tree Preservation Plan M lot platted aRer 711193
• Rim Joist Delail Options selection sheel (bldgs wilh 3 or less unils)
DATE ? I I ? I6 ?-
RamodellReoair ReauiremeMs
• 2 copies of plan
• 1 set ot Ene'gy Calculations for heated additions
• 1 sitesurveyfarexterioradditlans8decks
. Intlicate if hane served 6y septic system for atlditions
VALUATION 11. ut)t)
SITEADDRESS T3/8 ?4.S5iCPr 0ak,T' MULTI-FAMILYBLDG _Y -e
TYPE OF WORK U EC K FIREPLACE(S) _ 0_ 1_ 2
LKtr.a£ vp o90.\-q1dA7 3?3
APPLICANT ?? S Ir1AWk?4.?cJr?'?p ??4 A?a.?te? 5E. Mtrno
STREET ADDRESS t Yl b? kN?s Wonp iC•Rd CITY E/+6A-0 STATE AN ZIP r2-
TELEPHONE# 65l -49V-10 Ba. CELLPHONE# 6 fZ -7o4-?6dd? FAX# a5l '92(f -9d
?
PROPERTY OWNER ?I '_ Haw wXp TELEPHONE# 6 S 1- 9O5 -_57b/
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 N7?;,?(?)
(d submission lype) . Residen6al Ventilation Category 1 Worksheet Submittetl •Anergyl?
• Energy Envelope Calculations Su6mitted
Ip? SEP 1 9 2002
Plum6ing Confractw:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Wafer Confractor.
_ Wa[er Softener ?
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicard
OFFICE USE ONLY
Phone #
Iawn Sprinkler l
No. of R.I. Baths
Phone #
Phone #
Fee:
$70.00
and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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Certificute of Survey for: THORSON HOMES
431e wALtrr nwcE oaove. ¢AcAw
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1M1E NFAEBY CERiIFY-t0 1HURSON MOMES 1HAT bNS IS A lAUE AHD
CORRECT NEPIESENiA710N OF A SUPVEY OF 7HE BOUNUAPIES OR
oaOco a5c5u?=extESOTx I?INGTON POIPt7E FOURfiEENTH 140D1110N
IT OQE$ NOi WflPONT 70 SilOW iMPR6VFMENIS OR EN(71ROAtxMENTS, EXCEPi A9 SHOMH.
AS SUFVEIID 8Y ME OR UNOEN YY OWECT SUPERN57@I R115 YBTM UAY OF APNB„ 2000.
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p apQ NAUeF ELEV4110N
Lowesr n.oae EEvAnarr 973.5
ToP aF Bloat EIEVAnM: 182,3
6ARACE SLA6 fLEVATION: W'2,
T06 9 LOOKWT EcEVAtIaV:
r aav.oo oerorts oosr?e ut"Ioou
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D01D1L7 W4WIACC 09 U11UIY FASDAW
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COVENACE = 7 %
HQUSE TYPE3WAtKW7
WOt1EER FNq 't'?AI?I?/ P.A
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HO ERGY COD - 0083 [TION----';'
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;1te Address
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:ontractor??.:
:ullding Class/tication: Type A1 (Sinyle Fanily 6 DuD1ex
(Other) (0rer 3 staries)
iEHERAI INFOR?1ATION ILI?
I. 8utlding 7erimeter ft•
Phone ^atr
.Phone
Type A2 (Residential) _`
(3 stories o?ssj
?. Wnlt height (grounQ to eave) 1`1 ft.
. 2
3. 1. a 2. (aDova) gross ti+all 4fso ft. ( I`?'1
1. Building dimensions (L) ?? x(N) ft.Z roof S flaor area
i. Square fcot area of rim jolst •`F?1? rxJperimeter `Zaxm, o?st area ft2
?'F t -? ?? ,? z- _ •
6 . poors - llrea ?-t - `t
TM c ness l -l- n. attor ?, ft.
Type at Wnstruct on - e-? -??rimeter /?,
ManufacLurer
. --
7. Totsl daor's perfineter ft
-8. utndo++s: Manufacturer
U factor .. 5 z
TYPE
SiZE
--- x -? ?
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AR:A (f:.2)
EACH
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Stdte approved f''?i t?
"1UMBER OF TOTAL fEET 2
UNiTS
l4 _ \\Z?.?o
to-
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g Total ft.Z Glass ?- C, 5 , '4-e, 2
101. flreQlate area: WidLh x hejaht ¦x -1-' '?-`A - Ft.
2
11 . Exposed foundation: He19ht x Derimeter / x -?1 ? IKt-q ft.
?HE D MINRMAL L CONE-vi OE A?LOHaMCEIO IS USEDR RFJMODEIING AND BUELDI'iGS BEIM
,FOT?HERS REQUIRED
i JVEO MHERE ENERGY
2, : Frainting area • lOS of gross wali area.
31, Gross aall area f'••2
2
W{ndow area A z(.,.5 .-lk Zft.
' i: wlndows y x p
Rim',1olst area A Z?q q ft.Z U rim joist ? o0-4? U x A • `\. bc
poor area A ?
?--? -t -T ft.?
7
door area ?-
o\2-?_
!1
x
A
•
Fireplace area A f:.z U rireplace U x a •
Expased foundation A ?-A -ck f*.- il foundation U r A ¦ L? 4f.4
Framing area A ft.? J franing area • ???? U x A ¦
tvet wall area A ?-q`??al\ `t. 'J wa11 U x A • ?:????
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. Gross wall area x 0.11 (A-t single family S du;.;-x • altowaDle lJ . A/Code
(13. above) .
x 0.23 (a-2 other resiCentia'.;
x .23 !O[her Duilding;`
A .2E (Ovei• i starie:)
BTUH ?!ust be larger than
A x l: Ccde. Z(?5. 7?? . 138 ,bave
, Cailin9 framin9 area (Af) aquals lOt nf casiino ares or the same as)
A. Gross ceiling srea ? (L) ?C? x ('a \Tl q ft.Z
; Jotst area (Af) ¦ 10' ceiltng area -_ ft.Z
?. Ye! Ycetlino area (Ac) (15A - 158) • \\ (? G-,_ 4 ft. 2
U Ceilin9 x A c* _ r7??\C*-. x A '
U framin9 x A f* d pz? ?a- x_
). :Q1AL U x A .......................................
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. Ceiling.area (15A) x 0.026 (A-1 sinyle `am11y S Cuplex - code la lo-wable U x A x O.C33 (A-T other reside^Lial)
x O.C6 (other) i
Bal1H Must be larger than 150 (abuve)
A(TSa1 ? ? x?(corie)" F (or the same as) i
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!IOTE: Use U and a vtlues oDteined fr•or* oCS 1, 3 and 4.
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lnslde atr fila .64
tncr:toc •+sil ..45
??scud A- g?'7 (Framlng) U' F.
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Sidfns .`7'
Outside air iiln .I7
,: "OTAL `Q C1% (3
Inslae atr t? lia R• .69
Inc&rLor wi1 .45
insulaCfon \?.op CVa11 ) .: + ?•..
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Totat R 'g :i _ Rc-)
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dir Spact _
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Total R
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CEtLIMG
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lindov infilGratles .5 cfm/lineal foot ot crack
tqtlGential door 1nf11tration 0.5 ctm/squara foot ar dcor and min9nur tode requirement
*n-nsidential door infiltration 11.0 cfa/lineat `oot of crack
!0 12" cono•ete block no insu'lation =.47 R 2.1
? 12" concrete Elock lnsulated cores =.26 R 3.8
? 12" lighr.Miphs block +.32 A 3.1
!b 12" l tyhdmlgt?t blotk trTsulated cores .? .12 R S.3
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:1 stayle glass * 1.13; witlt storsa wlndow .54 ,
t. doutil* qlass • .56
;1 irfple qlass ? .41
. :
311 exterior walls and ceilings must have a vapor barrier (C.10 perm glix.).
:ipor Oarr1=r nust bt on tht tnside (heeted side) of wall.
;rtvor barrters of tht polyethelens thin ftlm have no Rvalue.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
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BUILDING PERMITAPPLICATION
PROPERTYLEGAL: zzld?,?
y DATE OF SURVEY: ?f- 26- ?i
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LATEST REVISION:
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DOCUMENT STANDARDS
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/? ? • Registered Land Surveyor signature and company
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? • Buiiding PertnRAppikznt
l
? • Lega
description
/ ? ? • Address
?'' ? ? • North artow and scale
U/'[] ? • House type (rambier, wa&out, spNt w/o, spCd entry, bokout, etc.)
-13'/ ?
?
1 ?
? • Directional drarcnage arrows with sbpelgradient %
P
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6
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51 • ropose
e
s
ng seweran
water serv
ces 8 invert elevation
/ ? ? • SVeet name
9' ?
? ? ?
? •
• Dmveway
Lot Square Footage
/? ? • LotCoverage
ELEVATIONS
Existina
? ? ? • Sewer service (or Proposed)
ra/? ? . property comers
vl'? ? • Top of curb at the driveway and property line eMensions
?) ? ? • Elevations of any exissting adjacent homes
raI ?? • Adequate footing depth o( shuctures due to adjacent utility trenches
w 0 ? . Watenvays (pond, stream, etc.)
Prooosed
[R//
10
?
• Garage floor
H ? ? . Firstfloor
? ? • Lowest exposed elevadon (waBcouTlwindow)
?? ? • Property comers
GF' ? ? • Front and rear of home at the foundadon
PONDING AREA (Naon4cable)
/
ei' ? 0 • Easementline
Q/ ? ? • NWL
12??? ? • HWL
? • Pond # desqnation
cd' ? ? • Emergency Overtbw Elevation
DIMENSIONS
?-/? ? • Lot lineslBearings & d'enensbns
lv/ ?? • Right-of-way and street width (to back of cur6)
?Y ?? • Proposed home dimensions indudmg any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. aq structures requiring pertnanent footings)
4'? o ? • Show all easements of racord and any City utilitles within those easements
r?"J ?? • Setbacks of proposed structure and sideyard setback of adjecent existing shuctures
?? • Retaining wall requirements, H any
Reviewed:
Name /1 " - ' ' / Date
2422 Enterprise Drive
?* 1f Mendota Haights, MN 55120
* PIONEEIa (651) 681-1914 FAX:681-9488
* UNO 9RMY(RS • PNL FNDIp.RS E-moil: PIONEEROPRESSENTER.COM
* 6flg 17B6 625 Highway 10 N.E. v,? '+as
* Bloine, MN 55434 a?
* * * (612) 783-1880 FAX:783-1883 ? s,?.a..
E-mail: PIONEER26PRESSENIER.COM (? 7 ? :
Certificate of Survey for: THORSON HOMES ?,`'
4318 . , 97i7 ; 9
WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A 7FiUE AND AO`J O 6 RLC?D 9M
CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
963.1
LOT 5, BLOCK 1, LEXINGTON POINTE FOURTEENTH ADDITION EDGE OF WAT[R
DAKOTA COUN7Y, MINNESOTA _t ?a?
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, ??r^ r? p
AS SURVEYED BY ME OR UNDER MY DIRECT SUPERNSION THIS 26TH DAY OF APRIL, 2000. • 4
-
? ?? 903.7
NOTE: PROPOSED GRAOES 9VOVM P[F GRAOING PLAN BY: •h 10
?f? ? O?Oc I\
NOTE: BUILpING UIIIENSIONS $HOVM ME FOR HORI2ONTPL RNO VEATCRL LOCAIION N
^el; '1 / 9s2
OF $iRUCNFES ONLY, 5EE ARLYIITECNAL PUNS FIXi BUILOING AND ?
FOl1NpAT10N OIMENSIWS Od ? ?' ^ q1?9C?
NOTE: NO SPEQFlC SqLS INVESTGAi1IXi Hp5 6EEN COMPlEiEO ON THIS LOT BY 1ME 917.3 ?? 2\ 2T q POND JP 50
SJN?EYOR. T1E SUITABIUTY OF $pILS i0 SUPPORT iHE $PEpFlC HOUSE U ? ???6 \ A NWL=JG3.G
vROP05Ep IS NOT 1HE REWONSIBiUTY OF TME SUR?.fYOR. N y ?8 \ x97z5 FPGi? HWL=968.0
NOIE iH15 CEATFlCATE p0E5 NOT PUFPpRi TO SHOW EASEAIENTS OIHER THAN 4?}S? •" ? ` 973.5 A?9TJ-
THOSE SHOYM ON iHE fiECOflDEO PLAT. e'/9.a JS r ? \ \ T;? __________,_``
rvoT: c014mAcroa uusr VERivr oaiWwnr ocsw. BENCH MARK SCI LT
NOTE: BEARMGS SHOMN ME BAgD pN Ary ASSLMED OANM TOP OF PIPE -- ------- !?-? dLNC?
ELEV.=976.93 4 ?? ? r
'.?<1.,'`?a?J'..r. _l .s7z.a1
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PROPOSED HO SF VAT10N
lOWEST F100R ELEVATION: °) -7 3,5
TOP OF BLOCK ELEVATION: C) 8z-I
GARAGE SlA6 ELEVATION: 9s I,Z
TOB 0 LOOKOUT ELEVATION:
% 000.00 OENOlES EftlSTING ELEVA71pN
( 000.00 ) OENOTES PROPOSEO ELEVp110N
OENOTES ORAIlIAGE 0.ND UTLItt ERSEMENT
OENOTES DRAINACE ROW OINECPON
? oeNOres uwuucnr
e oEr+ores oFFSEr Hue
I
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895.]
,911- 11
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /Q�
Permit #: l I (14n C `�
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
(ttl I Site Address: f3 / C� Unit #:
Resident/
Owner
Name:-cx-ko..vC t'� 7 �I,�.t Phone:
Address / City / Zip: 4 19 �' �.- /Mk 912
C.<r
r
Applicant is: Owner )t Contractor
T e of Work
Yp
Description of work: t ��L� 6)69111)
,
Construction Cost: `lot S 0 • "-) Multi -Family Building: (Yes / No K)
Contractor
Company: k./- 5.. &t1 F C-011 'T/ C4A L_ Contact: 2LiP &A--
9
Address: F/ 1 3 ! -zi- City: 0 ,vvv-0--- /
State: Zip: r 70(3 Phone: 6/2- Z Z. —HO
License #: '4 )-() .73 q 1 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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.
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.
cat); s ik,jr e5
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
4/lb`
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
'JUL 2 9 m4
Use BLUE or BLACK Ink
For Office Use "� +� 'j
Permit #: a `� J
gr
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 — /Y Site Address: II 7 / Ter , Unit #:
Resident/
Owner
Name; i tG Lef e /, -4- ere ll & t tAiez rpt Phone:. -0.6-1—,2) C-- '3'
Address / City / Zip: J/ij 3err%e"" 6t,.
Applicant is: Owner ki.Contractor
Type of Work
Description of work: i »i f/t ea ,g)e.T e ei-,E' ^fi,
Construction Cost: 4i Multi -Family Building: (Yes / No N )
Contractor
Company: 1n;JA .n- 2.,.! Contact: 3ttU%C�s
Address: d e1 eF e P % J-:%�✓ at city: r J T L �t - J' R� '._
State: AV/Zip: fre//' Phone: E'! 7Qf.--;1.11 Email: <e?4-lfeyer4h'y40eif'c '-w.vc,
License #: /J C q d 7'7 ( Lead Certificate #: !0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
9001 D
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the. City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must eomp}eted within 180
days of permit issuance.
x t di /&ee--/ 4'
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
)( Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% , )
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
Ismo
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
)( Framing
X Fireplace: Mough In %Air Test
')( Insulation
Sheathing
Sheetrock
Fire Walls
Braced Wall,cpt_
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
1*
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
710 ZOO 15,`(()
Page 2 of 3
Date:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
flECEIVED
AUG 18 2014
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee:
Dale Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: I/31 g 5cct
J
Tenant: Suite #:
Resident!Owner
Name: JG T I I i t lac_- -I-Sarah'7 -0 Phone:
Address / City / Zip: q313t3 5(.s1 Ca
' •
Contractor
e #: 61/6512
NName:°�Gb ?a,,,,/,19A8,M�-tJb�� 4-LiceLL2k_
Address: 061 N ~ ! • City: v}`
State: MA)Zip: 557.114 1 Phone: 6.S1_ - 3 '15- 005 i
Contact: CC( Or LA (\{ tEmail: l..(� i�J ti/l (,� ( � t �/t• -
Type of Work
New Replacement Repair Rebuild Modify Space` Work inj,,� R.O.W.
_ _ _ _
Description of work: f I (1 I6 bagmen+L644h = c� (� j W "r W;& ��►rOrwr' M
Permit Type
RESIDENTIAL
Water Heater
Water Softener
Fixtures ( Main / X Lower Level)
Lawn Irrigation ( RPZ 1_ PVB)
Add Plumbing
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes 55.00 State Surcharge)
Turnaround* (includes $5.00 State Surcharge)
and $5.00 Slate Surcharge) 00
TOTAL FEES $
(includes $5.00 minimum State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $200.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.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 permil, 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 pia
LaraLsh
App cants Printed Name
x
Applicant`s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA125966
Date Issued: 08/08/2014
Permit Category: ePermit
Site Address: 4318 Jessica Ct
Lot: 5 Block: 1 Addition: Lexington Pointe 14th
PID: 10-45098-01-050
Use:
Description:
Sub Type: Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
- Applicant -
Owner:
Michael L Howard
4318 Jessica 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
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA130685
Date Issued: 05/08/2015
Permit Category: ePermit
Site Address: 4318 Jessica Ct
Lot: 5 Block: 1 Addition: Lexington Pointe 14th
PID: 10-45098-01-050
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & 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) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
- Applicant -
Owner:
Michael L Howard
4318 Jessica Ct
Eagan MN 55123
(651) 905-3761
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