4325 Jessica CtAddress a 3 2 S . r F s s T r a Co, u Zip 55123
I.ot 22 BI$ I $ub lexington pointe I4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT TFE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass v?
TraiVwrb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze po[endal exises.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
'S -t- w ? L4 C) c)
2000 BUILDING PERM17 APPLICATION
? CITY OF EACAN
3830 PILOT KNOB RD - 55122
?- u 3 00D 851-681-4875 q3000
ygyu conshucnon eeaulre menta --p, f,n ,? --1- I 3 o q
,.
D 3 reglateretl Yte wrveya ahowing aq. ft o( bt, sq. lt. Of house
and go rooled areas t70X mmdmum lot eovertwe ollowadf
> 2 coples ol plans (ahow beam 8 window aizea; poured 1nd, tledpn; etc.)
> i set of eneryy calCUlotlona
? 3 cqflea of hea preservatbn plan If lot pldtleO alfer 7/1/93
DAiE: l??ePG?a1aDU
(RESIDENTIAL)
$ 5????
nl?ed Q-21'00
aemodet?Reoax aeaulremenfa 2 copies W plan ?
t sef ol energy calculaHau tcr heatetl addidona
t site wrvey for extedor additbns & decka
CONSTRUCTION COST:
DESCRIPTION OF WORK: N4&J L?onSY,e4c? ?/e??
STREETADDRESS: .T sSfca
LOT: ? BLOCK: _Z SUBD./P.I.D. M:
Name: Phone t:
PROPERTY Lasf Firsi
OWNER
Streef Address:
City
State:
Zip:
Company:-/hoA- So.f Ile.nes. l?+c. Phoneu: 63/ A'5*'Dd"'e1
(area code)
CONTRACTOR
Sheef Aqdress: 5W4Wodc? 2>i¢ i'VZ Licsnse #/3/ 7 ?p.3 a 'W/
Cliy 6--4 ptn State: /Y}.f Zip: S.ri•?3
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regishatfon i:
City
Siate:
Zip:
Sewer/water licensed plumber (if installina seweNwater)* .sw/a/ ./,29Y /'/+? ?k4l* C'414 1A4 I hereby acknowledge lhat I have read Ihis app4calion, sfaTe ihat the infomwHon is cortect,
and agree to comply wilh an applloable State
of Minnesota Statufes and City of Eagan Ordlnances.
Sig(tahlf9 OI AppI1CCIM:
OFFICE USE ONLY SEP ?'?1
L?
Certificates of Survey ReCeived ±\ Yes _ No ' 2 6 ZO?Q
Tree Preservadon Plan ReCeived _ Yes _ No ][? Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.)
V 02 SF Dweliing ? OS 06-plex Cl 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? DS 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
ORK TYPE
?
31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) [3 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code D/ # of Stories .2,_ sq. ft.
No. of Units / Length sq• ff•
No. of Buildings Width ? Footprint sq. ft.
Const. (Actual) T
-
- Basement sq. ft. 19gre Census Code
(Allowable) 77-
47 Mai level sq. ft.
? ! MC/ES System
UBC Occupancy ? 1-?Ll eiq. ft.
? 31.T9 _ Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
13 Stucco/Ston e
APPROVALS
Planning
Building ? Engineering
Variance
.
? 31 Ext. Ait - Multi
? 33 Ext. Aft - SF
? 36 MuRi
t
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
COpiBS
Total:
SAC Units
°k SAC
Vaiuation: $ ?-
??? ? G
??gZ,J G?UE-L
?-
?31F?sY
Ga,Fa c?
z lLa
y?gdqo mc
?
*'PIONEEFI
* angTneeri
* * *
*
iuuo ruxHnts• i.osc?_ rxairecrs
Certificate of Survey for:
L07 AREA = 11,419 SQ.FT.
HOUSE AREA = 1907 SQ. FT
COVERAGE = 16.6 %
23
(VACANT)
-36-.0T - -
N89'06'23"E
2422 Enterprise Drive
Mendoto Heights, MN 55120
(651) 681-1914 F/U(:681-9488
625 Highwoy 10 N.E.
Bloine, MN 55434
(872) 783-1880 FAX:783-1883
THORSON HOMES
4325 JESSIr COURT, EAGAN
? ??? ?
.
.? ?Y
? 'Jate -
_ :i ;F.AGA1tiT E7?'.7GUqFER=C'c AEPT..
?
1.02 ? \ ss
zs/? ?
xsn.o
3
4'S7'08"E
BA
PROPOSE O HOUSE ELE VATION
NOIE: PROPOSED GRAOES 5170WN PER GRADING PLAN BY: LOWEST FLOOR ELEVATION: 7 3•7-
NOTE: BUILOING OIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERIICAL LOCATION
TOP OF BLOCK
ELEVATION:
?-3
OF STRUCTl1RE5 ONLY. SEE ARCHITECILAL PLANS FOR BUILDING ANO
FOUNDATION OIMENSIONS. g
GARAGE SLAB ELEVATION:
NOTE: NO SPECIFlC SOILS INVESTIGATON HAS BEEN COMPLEIED ON 1HI5 LOT BY hiE
SURVEYOR. 7XE SUITABIl1TY OF SOILS TO SUPPORT ME SPEGFlC HWSE TOB @ LOOKOUT ELEVATION :
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOIE: THIS CERiIFICAIE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN % 000.00 DENOTES EXISTING EIEVATION
THOSE SHOWN ON THE ftECOROED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
NOIE: CONTRACTOR MUST VERIFV DRIVEWAY DESIGN. --- DENOTES DRAINAGE AND UPLITY EASEMENT
- DENOTES URAINAGE FLOW DIRECTION
NOiE: 6EARINCS SHOWN ARE BASEO ON AN ASSUMEO DANM T- DENOTES MONUMENT
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A .
SURVEY OF THE BOUNDARIES OF:
LOT 22, BLOCK 1, LEXINGTON POINTE FUURTEENTH ADDITION
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 14TH DAY OF SEPTEMBER, 2000. _
REVISED 9-19-00 MOVE HSE SIGNED: elONEER ENGI E NG, P.A.
SCALE : 1 INCH = 30 FEET '
BY: ?
31 99514.11 BAT J n C. Larson, L.S. Reg. No._19828
` RECEIVED SEp 2 6 2000
L)PAxm kc'k 0
21 V ?6?a? T1aafKvAPa -'? FT?carr
LOT SURVEY CMECKLIST FOR RESIDENTIAL
. i JBUILDING PERMIT APPLICATION
? PROPERTYLEGAL: ?/GT/ ?G 131a,%f / !?-;YLNGT,i?
n DATE OF SURVEY:
?
w s-??-
LATEST REVISION:
?
o DOCUMENTSTANDAROS
Y
g
o a
? ? • Registered Land Surveyar signature and company
?'?a ? : BuildingPermitApplicant
d y ? Legal description
s? ? • Address
? : North arrow and scale
y House type (rambler, walkout, split w/o, spld entry, lookout, etc.)
?? ? • Directional drainage artows with slope/gredient %
Er' ? ? Proposed/epsting sewer and water services & invert elevation
? ? Streetname
a? ? ? . Driveway
m" ? ? • Lot Square Footage
m/? o • LotCoverage
ELEVATIONS
/ Exdstinq
? g ? Sewer service (or Proposed)
m/y a : Property corners
?p ? • Top of curb at the driveway
?? ? • Elevations of any exis6ng adjacent homes
? m-?o Adequate footing depth of structures due to adjacent uElity trenches
Prooosed
/
d o ? • Garegefloor
V?
;
/ ? • Firstfloor
0
1 ? • Lowest exposed elevation (walkouWaindow)
m' ? ? • Property comers
1/0 ? • Front and rear ot home at the foundatlon
PONDING AREA (if aoolicaWe
? o ¢/ • Easement line
? ? m/ • NWL
a ? chI . HWL
? ? d
/ • Pond # designation
? ? ?
?" • Emergency Ovefiow Elevation
/4V/
DIMENSIONS
Q/ ? ? • Lot GneslBearings & dimensions
a/ ? o • Right-of-way and street width (to back of curb)
cy ?? • Proposed home dimensions induding any proposed decks, overfiangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footlngs)
m/ a? • Show ad easemenLs oi record and any City utiGUes wilhin those easements
co/ ? p • Setbacks of proposed structure and aideyard setback of adjacent ebstlng structures
?[a' ? • Retaining wali requirements, if any
Reviewed:
Wrr,,999
CRAKkSLDOPNMT.FM
• t
?? =e\
NNL?Fvl^ 41^-? r• VY nY?Vr
BASED OV ?HA 7EN v OFVT
HO ENGY COD [T
Adop:lwn Bffeetlv• l/1/ 4
0
)wner `
;Jte Aearess_
" •i?,e
:ontractor ---
suildinq Classiflcetlon: Type A1 (Stnale Fa:nily 6 Ouplex)
(Other)
;ENERAI INFORHATION
147
I. Building Perlmeter \'41-4k ft.
(Orer 3 staries)
AZ (Residential
(3 storles ar, ess
ual) height (grounQ to eave) l`t ft•
. 2
3. 1. x 2. (above) gross walt oroa 2--4,f`,cE:, fc.
1. 8uilding dimenstons (L) ?? x?k) • 1 ft.2 roof S Ploor•area
S. Sawre fcat area of rim Jo1st - ,Fljr i0pertmeter (2 aim (o ? 2
st area a a_?`?..`? ft
x
6. Doors - Area ?? • `?
TAic ness ? n'? n. attor
' 7yPe at Construct on
Mawtacturer ?- ?
7. Total door's perlmeter ?Z. Z ft
? Stats approved r5\,
8. Windo++s: Manufacturer
U fattor .. 5z
2
T`IPE StZE AR.A (f:.2) 'AJMBER OF TaTAI FEE7
EACH UNITS
?}.(v0
x -g 40 7
CL
-
C? - O . 3c . oo l Zu.. u:
9, total ft.2 Glass
10? Flreplace area: Width x heiahi X._ ?_..-' Z?? •. F?.2 2
11 . Exposed foundation: Hetght x Perimeter -.---Ft.
:)MPLETIOM OF THIS FORN IS REQUIRED FOR ALl NEiI C01151RUCTIODI. MAJOR REMODELING AND BUiLOINGS BW
1]vED wHERE ENERGC. OTHER THAY TME NINIHAI CODE ALLONANCE. IS USED.
v?• r
'?"l.;•
Phane ^atr _
.?hOn!
7, : Franiny area - 101 of gross wall area.
.3,. ,
Gross wall area
VlinGOa area A .-1k 21 t.2 U. windows J x A*
Ri@?joist area A ft.Z ' U rim joist U x A- bc
?
poor area A ?-?-z -r ft.? 7 door area U x A•
Fireplace area A f:.2 Urireplace U x a• °%,\?
Exposed foundation A ?.q -4k f!.- il foundation U Y. A• 1?'-..?.?
Framing area A ft.2 J franing area • ?v?t U x A•
Net wall area A 1-?91 "z,e?\ •`t. u wall u x:, • ?'??.??
(iIa: -„-?.L . . . . . . . . . . U x a
- --?
T
1. Gross wall area x 0.11 (A-1 single family S d?:.:=x • allowable UA A/Code
(13. above) .
x 0.23 (A-2 other resiCentia:;
x .23 !OLher Duilding:;
R .2E (Ovei• 71 stor•ie;)
BTUN Must De larger tnan
A x U Ccde. 138 ;bdve
i. Caiting framin9 area (Af) aquals 10' nf ce;ling area or the same as)
iA. Gross ceiling area - (L) ?Cd x !'a , ?? ¦ \T?q (? ft.2
IB Joist area (Af) ¦ 10'; ceiling area \1 ?? y, co c ft.Z
2
it. Ne! Yceilina area (Ac) (15A - 158) • \\(?(?-» 'q- ft.
' U cei 1 ing x A cu `2?:^ x \\
U framin9 x A f- d C?',?4 x_ Z-
iQ. 'Q?AL U x A .......................................
i. Celling.area (15A) x 0.026 (A-) sinyle `amily S duplex - code la loaable U x A -
x O.C33 (A-2 other reside.^.tial)
x O.C6 (other) ` BaUH Nust be larger than lE0 (above)
A(15a) R C? zU (coae) = F (or the same as)
;
"tOTE: Use U and a values obcained f-•or^ nps 1, 3 and 4.
,
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tn[erva?1 •?°$ {Y411) U
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ar.hln?
?he Z. o?
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Si?tn; . ? a _ ?n ? 04 a
3uea(4p air illm .11 ?
3 T07'AL 35
inside air EiIA .6A y
int.:lor :+iil
?lscud R? ?3Bc77 (Fruatng) U'
?
F.
?11l?[f?Sng 7-.0(a ,
4tdfns .`'/ . •. .
Outttde air illn .17 ` Oq
. \.(? .
: OTAL ? O . CNQ
LnsiCe air f:im R' .69
Incerwr w11 .45
insultt.iqn 00 (V?11 ) : + ?• ,
Z . ;
Sheathfna` " Z •da
Ext?ttol?Ya11 .overing , &s."X
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n • .? 1 i^ ' ?+ . O'??
t;CMft9F ?1? f11114
s rorAL a3 -o ?
lnttrtur air [Ila Z• .63
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--? i? ir,ch tufr uuud R=1.98 (Rim U ? ??
•
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3/9 Y?i1
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;
, '14` "kxt';'Moe val l coverina. •?'?
` Lxttriat air [tlm liN ,il
0 4
1 + a mrAL ?4 4 (
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Intsricrair i:ln A' .68
' ?? :S.o lnsulaCfor. o0
Fou++a.cCon
? Z-.ko (Fdn.) U• i[ •
`' xt•rtor air [lla li¦ .17
f -\\ e roreL R _9 5
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t'?•-??._. r.rsCe
' r • : ? f ' F,'d?
)?
J
m
Inside oir fi'
Leiiing 1
Joist (stud '.
Inaulatfon !
Air SpiCf
Root de:kin9 -
Insulatlon
Bullt-up rvot _
Outsido sir fiT
Total R
Rv U-
R `IALUE
CE1LIyG
0.61
lindow 1nf11traticn .5 cfm/11nea1 foot of crack
tqtidential door 1nf11tratlon 0.5 cfm/sQuara faot ar dcor and mtninur code requirement
*++-nsidential door infiltration 11.0 cfVlineal `oot of crack
Ip 12" cono•ett block no tnsu1ation i.47 R 2.1
}p 12" cancrete block insulated cores a .26 R 3.8
,? 12" light.rtipht bloCk +.72 R 3.1
;b 12" tiqhtwlght block id'suiated cores * .12 9 8.3
• ;;?= .
1:l single ylass ¦ 1.13: witA storn wlndox..'54
Jdoubla, ylasf • .56 •
f trfple glass • .I1
. ?
,
I %)1 exterior walis and ceilings must have a vapor 5arrier (C.10 perm P3:.).
,;apor barN er aust De on tM inside (heste9 slde) of wall.
Aayor barr4ers of the polyethelene thfn film have no R value.
?• .
? 0.61, Afr ftim_ 0.61
3\ .-1 5 [nsutation 44 . o ?
?'43b
,-
? . ? FO.E1
3'7 .9 ?T
?oz?4
Joist ,
A
teitiny . 5 ?
Air F11m 0.61 ?
Totai R
u?A .o
F!.4T R03F OR GdTHEDRA! CEICIPIG
U1Ta ue
FR,;M I NG
- , a.
? ^I CITY USE ONLY
L "BL I
sueo. ???
V ?
RECEIPT #:
RECEIPT DATE: I O-L-7'n V
PERMIT# U ?y.5 9
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OE EAGAN
3830 PILOT KNOB RD
EAGP.N, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
8ath tub $ 3.00 x ?. _
0
$ 4910
Fioor drain 3.00 x = $
Gas piping outlet " minimum - 1 3.00 x = $ , p
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ 3.ba
Laundry tray 3.00 x $ .OD
Lavatory 3.00 x = $ a,00
Septic System new/refufiished "requires MPC Ilc. 75.00 X = $
Septic System abandonment 30.00 x° _ $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rough openin 1.50 x 3 = $ 4,50
Shower 3.00 x $ 3,
Undef found Spflnkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $ ,D
Water heater 3.00 x f = $ 31U8
Water softener if dwelling under eonsWetlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> --> ---> $ .50
rotal -> -> --> ---? S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
ihereby adcnowledge that 1 have read this apPlication, stete thet the inforrnation is corred, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS:
1 ' \
OWNER NAME: : ?SIM_.V ?Ll?vnRAJ TELEPHONE bJ I 4S4 ^004o ?o
(AREA CODE)
-LvOCI L
INSTALLER NAME: ICS?-U Waq--? TELEPHONE #: (G I a- S 42 f2
(AREA CODE)
STREETADDRESS: QlL.
CITY: STATE: ZIP= 55423
? (,*to
SIGNATURE OF PERMITTEE ,
(1o j v? 1 444-\
CITY USE ONLY
• PEitNIIT #: RECEIPT DATE: C) I
MIDENTlihL MgCE"Cl4L PERMIT APPLICATiOft
crrYog EtsAiv
S$SO PILOT IiAOB iiD
K?sAx MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? t - L4
?
SITE ADDRESS:
TELEPHONE
OWNER NAME: ????? ii;0,(Si:Dn
INSTALLER NAME: Ie?Ie. _? 7I,/f??'o I.U? TELEPHONE #:
STREET ADDRESS:
CITY:
Place a check mark next to the oermit.work tvoe
(ARE)
QC;A
ACODE)gyl •qa1,1
(A
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Totai I E JAN 5 2001
Reminder: Call for inspections. BY -.-......J
S NATURE OF PERMITTEE
Updated 1/Ol
01/10/01 {{`ED 14:45 FdY 6124320894 LAMPERT APPLEV,ILLEY
` UtC. tl. LuuU o: ionm -°--- --
.
2926 LONE OAK CfRCLE ST. PAUL MN 55121
TELEPHONE: (651) 454-3610 OR 1-800-488-3610
FAX (651) 454-6556 MAIN OFFlCE
FqX (6541) 4544765 TRU55 OFFICE
D?REG7 # (651) 688-3607
Zoai
VfLLAUME INDUST RIES, ING.
Manufactr?res of EMineeTed Ro of S Flmr Tnisses ,.
Fm
?b: ?.y?? Fram: LORI
Fa=651- y05- 9 y3 7 Pagov 5
' ' Phe.le-, Dat? Ka .
tte: 7 cc:
, ? Urgent ? Fer ReMew o Pimasa Cemrnan! ? Pleasa Roph ? Pl.aam RacYUo
? otnerfGoneral ? ER9• Repe?r Crmwings
? Sealod Ens. Drawie9
? LaYout lefe. 4 Raviaa! tlauTnS Paifams ? Sales.lnfo.
araaar??cs. f? fl ? T(-10?25? N
-T2..._?,_ S7A?$-?igfl9??
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taLIET im
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F14lf?'n99.99?ti.?
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20 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.
('k ,nv.12S?
Date --/_ / _>13 ! ?7'?
Site Street Address ? l ?/e 5? /cl? Unit #
PropertyOwner C?/%,2/<5'??J7?S-d A/ Telephone#
rtJ Telephone # a4j
Contractor 1.57 /9'J
?
Address /?aa('J EPl City ,?,?S U/L4, State.&A? Zip LS
The Applicant is: _ Owner X Contractor _Other
Alterations to existing dwelling $ 50.00
_Add 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:
-4Water Softener _ Water Heater $ 15.00
4 replacement _ additional.
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
StateSurcharge -- - --- $ .50
-
?
?- ,. . ._
I JAN
4
?
0
rotal
2005 $
I hereby apply for a Residential Plumbing Permit and acknowle0geAhat-ttae-infarm tion 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 jpo?z rdance ?'t h the approved plan in
the even a plan is requreto be reviewed and approl ?
;?>,?c?'e ?
Applicant's Printed Name ApplicanYs Signature
$/S 51
Use BLUE or BLACK Ink
r
I For Office Use
; Permit ~S ✓ I
City of EaRd I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
Q 013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - ! Site Address: CA- Unit
a l
' u
Name: Phone: tP~°~~ oc 1P
i Resident/
I Owner Address / City / Zip:
Applicant is: Owner ontractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes No
v Company: ?Q~AkOJ L, W Contact:0„y19~
Contractor Address: City: 4
State: Zip: Phone:'_
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of s
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. I
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.org
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 " suance.
X 4AAV x
Applicant's Printed Na a Applicant's Signa ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119730
Date Issued:12/16/2013
Permit Category:ePermit
Site Address: 4325 Jessica Ct
Lot:22 Block: 1 Addition: Lexington Pointe 14th
PID:10-45098-01-220
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.
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 -
Scott W Christenson
4325 Jessica Ct
Eagan MN 55123
Pavel Enterprises Llc
3935 71st Ct E
Inver Grove Heights MN 55076
(651) 353-4783
Applicant/Permitee: Signature Issued By: Signature