4313 Lex Pointe Pkwy
Use BLUE or BLACK Ink
I For Uffce Use I
j Permit
City of EaEdfl
Permit Fee. ~JI
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Id Site Address: V 3/ X~t car </rky
Tenant: Suite
RESIDENT / OWNER Name: I linyt 1 6- "S4e1 Phone: O J f 4D,Pj> 72
Address / City / Zip: Y3/ 3 Atz "SLDvt L6u
Applicant is: Owner _4 Contractor
TYPE OF WORK Description of work:
Construction Cost: / Multi-Family Building: (Yes No )
CONTRACTOR Name: v'I hf6/ayt~ 4ftl5 t(tiG License -2&74 -7eel
Address: 31 ~ lllk-~j R&A City: T
State: Wx/, Zip: 9r 2- Phone: f13V 0164--
Contact:r Email: Pry gays
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
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.
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.ciopherstateonecall.oM
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 to start without a permit; that the work will be in
accordance with the approved Ian in th, se of work which requires a review and approv a
x l l , r~fd~
Applicant's Printed Name A icant's Signature
Pagel of 2
PERMIT # .
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site
? Name ?
? Address _
c Ciry
? w ..
Name '-'/ 1-7
6
Address 4%
0 City
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air COrld. y° M BTU
Other
RECEIPT# ES DATE: .?s'
BLDG. TYPE WORK DESCRIPTI ON
Res. New
Mult Add-on - ' ?
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC IMCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMI'n - 1.50 EA.
CaMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMOOELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
FEE ---
r
S/C: ' f a SI6NAT,E OF PrERMITTEE
TOTAL•
FOR: CITY OF EAGAN
f i,y O-? e;A?l
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value Date
Site Address 4313 LT:;:. PQTN?E PTi'WY
Lot 1= Block 3 Sec/Sub. LEXINC7'aN P?>;.?+Tr
Parcel No.
c Name CaLLi-:C'>:. :." ; Y CUNSr
z Address 6570
'
? w-12-'2 1i
Cityt'-"I';.i•. Phone
o Name
.
? ` Address
P City Phone
U¢
?y W
Name
W
_ E
Address
Q W City Phone
,
I hereby acknowtedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minneaota Statutes and City of Eagan Ordinances.
Signature of Permittee
{C Building Permit is issued to:
on ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City o( Eagan Ordinances.
Building Qf}icial
OFFICE USE ONLY
On 5ite Sewage Occupancy "'j m-1
MWCC System Zoning
On Sfte Well (Actual) Const -
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Totel
Footprint S.F.
APPROVALS FEES
Engr./Assesa. Permit 530.00
Planner Surcharge "• 50
2 `5 ' w
Cou ncil Plan Revlew
Bldg. Off. SAC, City 100•00
Variance SAC, MWCC 5.0J• OC.
Water Conn. ? 50• 00
Water Meter 67.00
Hoad Unit 325•00
Treatment P1 204•00
pel%:;opy .5e
r
TOTAL 2 ,36.00
'
BLDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-A 55 Surcharge
75-3860 Road Unit
20-2275 SAC
4 20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
TOTAL ?_
? CASH RECEIPT ?
CITY PF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
"ECE"E° ?- ? " ?_• I_. c_ U ?? . ? L, ? l J? /!-C
` L .
FROM C•/
AMOUNT L .
DOILARS
,oo
O CASH 0 CHECK
Whlte-Payare Copy
, . , . .. Ye11ow-Postln9 CoPY
Pink-File Copy
Thank You _
?
e,r
Control No. O 9?
INSPECTION RECORD
CITY OF EAGAN PERMiT TYPE: @u f i t? t M%
3830 Pilot Knob Road Permit Number: A M}1?64
Eagan, Minnesota 55123 Date Issued: *e / i4/92
(612) 681-4675
SITE ADDRESS: 1.07f Is sLoe K: a APPLICANT:
4:413 l.El( PQIMTF RKWY STRABHAHE OENNIS
I ! i- Y 1 NA1011 POiMTE (612) 808--7233
PERVIT:PUBTYPE:
TYPE OF WORK: NLVu
.?,
_ ? t•.?.
PermR No. Permk Hoider Dsb TNeplwne R
SlYY
PLUMBING
HVAC
ELECTRIC
EIFCTRIC
Inspeclbn DdM asp. Commante
Footings I
FOUndetiOn
Framing
Roolin9
Rough Plby.
Rough Htg.
ISUI.
Rreplace
Final Fitq,
Orsat Tast
Final Pibg. PIEp. InapecfM-Nolity Plumber
Const. Meter
Enqr.IPlan
Bldg. Finel
De6k Ftg.
DeCk Ffn81
weii
Pr. Disp.
a 1- ` `
(terfi#iratir of (Igrrupanry
Cirp of eagan
Epparfmpttf nf ludbatg JWtriinn
This Certificale issued pursuant to the requiremenu of Section 306 of the Unijornt Building
Code certifying thar at the time of issuance thrs structure was irt compliance wilh the varrous
ordrnances of tlre City regulaiing building construetion or use. For the following.•
Ux Clmifintion --'=c-urU! %-*°; Bldg. Rrtnit No. 1'?-?
pCCapaocy Type iy l Zaniag Diatritt Type Conu
Ownero[&c7ding -•:A.?3x,? !?: pddren
?lildltl8 A?RS 4313 Il'.1'.1.1T: - '..?•?? , Y a7.) , . . . ' ???11..
L.OCJII[y
DW: ??4FkbuT 211, 1986
Bwlding 0t5cia]
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
• ' PH ONE: 454-8100
BU'
L
I0G
4
D
PERMIT Receipt #
To be used for Est Value Date 19
,
Site Address ' • OFFIC E USE ONLY
Lot Block Sec/Sub On SRe Sewege Occupancy
. MWCC S
atem Zonin
Parcel No. y
i
w g
On S
te
en (Actuaq Conat
s i;I•? jT
Name ? • City Wete? x (AllOwabl9)
z AddreSS ? h PRV Required # of Stories
Booster Pump Length
0 City Phone "31'.. I fA 1
Depth
¢
o Name S.F. Total
.
? ? Address Footprint S.F.
M
?
_ City Phone APPROVALS FEES
? u ?
yj W
Name Engr./Assess. Permit
. ? y
Planner Surcharge
Address
cc=
t W
City Phone
Council
Plan Review .
.
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ^ --- Water Meter
Road Unit
A Building Permit is issued Treatment P1 '
on the express condition that all work shall be done in accordance with all
appticable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
• ' Permit No. Permlt Holdar Dat* Talephone #
Plumbing ?/•'?? ? 7" r? . ,` ?iC? ?
H.v.ac.
Electric
Softener
Inspection Dats Insp. COmment8
Footings I lC
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. f
Isul. n
Fireplace
Final Htg.
Final Plbg.
Bldg. Final ?
Cert. OCC. ?
.L
Temp. LP
Deck Ftg.
DeCk Final
Well
Pr. Dlsp.
PERMIT # T
?
? • PLUMBING PERMIT :. -' •
CITY OF EAGAN RECEIPT
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE : WORK DESCRIPTION
Lot Block SeciSub Res. New
Mult. Add-on
? Name Comm. Repair I
? Address Other ?
c C+tyPhone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3
00 $
Name .
3
Address Bath Tubs - $3.00
t
00
L
$3
, _
ava
ory -
.
O City Phone Shower - $3
00
? .
L-Kitchen Sink - $3.00
FEES Urinal/8idet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12. U0 Whirlpool - $3.00
MINIMUM - COMM/1ND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - . 50 (MINiMUM - 1 PER PERMIn
(ADO $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S1C: ?
FOR: CITY OF EAGAN GRAND TOTAL: I
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
? Name ' 1'.-2 1 ,' .
? Address 5 F
c Ciy Phone 2 `l?v
Name
..
Forced Air ?
M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets # ?
Other
FEE:
S/C:
TOTAL:
eLDG. n,rP/E
Res. ?
Mult
Comm.
Other
PERMIT #
RECEIPT #
a_
WORK DWRIPTION
New `-/
Add-on
Repair
FEES ?
RES. HVAC 0-100 M BTU -$24.00 ?
ADDITIONAL 50 M BTU - 6.00 ?
(RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFsM17)
- 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE ?
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 t
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
r i _ --- "r ?•.. • .._=?'__J.y----?+, v-'y v- ,, v? -'?r •-tl ??.--
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN Permit No:
3830 PilA Knob Road Meter Mo: '?O ??{D /"7 /
P O' B°x 21199 Reader No:
Eagan, MN 55121
Owner. . . ? ?R' ?•? c?i.o: ?t.
Site Address: 4 3 i; Lexin ton Po{nte Parkwa
Plumber Staz ?1 ?nnF,'.n.,
?r
Conn.Chg: '50•Oi";:'`•'
Acct. Dep:
Permit Fee: ? • P
Surcharge: P
Tr. Plant ' ` • P?
Meter. ' . ' ?D?c;
Zoning: F?
No. of Units: _
te
! agiee to comply with the City ot Eagan
Ordinances.
By C ?
WATER SERVICE PERAAIT'-/h,,? 19(6 ?. .
CITY 0f EAGAN Permit No: Date:
3830 Piloi Knob Road B/p No: Date: CIMb ? qp
P.O. Box 21199
Eagan, MN 55121 .
Owner. 'w^'Ueie i:ity Canst.
Site Address: `" LexiRr,ton ''-inf F' 1 " 11
nnwCC: 550.40pd Zoning,
? 00. On.,,}
City Chg: "- No. of Units:
Acct Dep: i •00r''?
,_;, ,C: fC I agree to comply with the Clty oi Eagan
Permit Fee: Ordinances.
Surcharge: '
Misc.: By
ppm
CITy OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Owner.
Site Ad
SEWER SERVICE PERMIT
r
Permit No: oate:
Meter No: Size: -
Reader No: Date: _
5`'4.'d,`.'pc,
Conn. Chg:
Acct. Dep: .
Permit Fee: 10.
Surcharge: Tr. Plant
Meier.
Date: - ''
Size: ?LS`? oc C
Oate: - - ?
--------------
i,IS ;3 ::exii? tan
Zoning: _
No. of Units:
I agree to comply with the City ot
Ordinances.
CITY OF EAGAN N° 15 4 2 5
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHO N E: 454-8700
BUILDI
G P "?
N
ERMIT Receipt# O 7
To be used for SF DWG/GAR Est. Value $$9, 000 Date AIIGUS f 9 ,1988
Site Address 4313 LEXINGTON POINTE PKWY OFFICE USE ONLY
Lot 15 Block 3 Sec/Sub. LEXINGTON POINTE OnSiteSewage _ occupancy R-3 M-1
MWCCSystem X Zoning PD R-1
ParcelNo. V
N
On Sita Well _ (Actuaq Const -
a
COLLEGE CITY CONST
Name
Cirywater X
(Allowable)
V-N
i 6970 151ST ST W
Address PRVAequired _ #of5tories
;
°
CityAPPLE VALLEYphone 431-1211 Booster Pump _ Length 66'
Depth 4
_
s
o Name SAME S.F.Total
? Q Address Footprint S.F.
? City Phone APPROVALS FEES
? w
Name Engr /ASSess. Permit 530.00
44
?=
-
Address
Planner
Surcharge .50
x
c W City PhOne Council Plan Review 265.00
a Bldg. Off. SAC, City 100.00
I hereby acknOwledge that I have read this applicahon and stale that the Vanance SAC, M WCC 550.00
mlormation is correct and agree to comply with all applicable State of Water Conn. 550.00
Mmnesote Statu[es an y f, gar?prdinance s
?
Water Meter
67.00
a
Signature of Permittee Road Unit 31r1.Q0_
A ewiding Permit is is ed ro: QOLLEGE CIT-Y--CONST Treatment P1 204.00
ontheezpressconditionthafallworkshallbedoneinaccordancewithall guareCo
PY .5
applicable State of Minnesota Statutes and Cify of Eagan Ortlinances.
TOTAL 2.636.00
Building Otficial?
.
Thisrequeslvoid
16 mpnths lrom Q/hlA./gP (?/?l? .Cff ?
O O' ? ? ?1 7
E 13284 - ? , ' ?`' I ?
Re?ues? Date
? F? No. ftouph-in I ection
ke?yyu'?re
u s ?Na
?Ready Nuw ill Notity Inspec-
Inr When ReadY
0-11,.d Electncal Contraclor I hareby request insOaction of abova
? Owner elactrical work installed at:
Street AdCress, Box or floule Noy. Cny d?
ectmn o. Township Nam or No. Ronge No. Count
OccuuAntIPRINT) Phone No.
/
?
?
?
LA /LM1?C
!
CJ
Power u00
?? ? Atltlrass
n
ntraclor ICOmp ny N
m
el?
Ele ry
c?a
l ?P
a Conhacmr's License No.
//
?
J
/
/
f?y
C ig" 9 !2
Mailine re s (Conva, r or Owner Makinp Instai aUOn)
Az?
Authon natur on cmr? wn r M i g ns[alla?ionl ?m Number? ^
b /
MINNESOTA STATE BOAPO OF ELECTflICITV TMIS INSPECTION flEUUE$T WIL? NOT
Gri99s-Midway BId9. - paom N-191 BE ACCEPTED BY THE STATE BOAAD
1821 Universitv Ave.. St. Pxul. MN 551 UNIESS PqOPEA INSPECTION FEE IS
Phone1612169ROBOO ENCLOSEU.
REQUEST FOR ELECTRICAL INSPECTION . Ea-ooooi-os
^/ /
? Sae instrucpons tar complebng this torm on beck of yellow ropv. N? ??! n
E'-1 L 8 0 ` "X" Below Woik Covered by 7his Request
avy 1 Rep. Type oi Bmltl,nB APPhUncee Wued Equiument WireA
Home Fange Tempoiary Service
Duplex Water Heater Llyhtiny Fixtures
Apt. BwlAmg Dryer Electnc NeaUn
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg Air CondfLOner Bulk Milk iank
Farm ome, oer,i y OTnia 15nun,?y1
t ar SuncAY Other Othi;r
ompute lnspection Fee Below
M 14, ServiceEntranceSize b Fee Fenders/Suhfeaders b Fee Grcu,ts
U to 200 qm s 0 ta 30 Am s 0 tn 30 An+ s
Above 200 qmj,y? 31 to 700 Amps '" 37 to 100 A y
Swimming Pool Above 100 -Am s Above 100_Amps
Transrormers Irngation 8oortis SO ParLal.'Othcr Fee
? 1 1 Signs ISpecial inspection ^ DI
?
Rema.ks - s5-Y Si TOTAL f? O?
- _ / • ? 1 C
I.the Ela?ltriET
Insoector, heraby
cerldy thnt the nbove
Final ^?tn inspection has baen
made.
vo1E 18 monlb fmm
19-9 v?? $ ? 0,scl
2 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each uni[
?J
0
t?
Date
l..ex Po?n-k Nw
y
Site Address {
?
Unit #
Property Owner Telephone #(6D51 ) 1p?t3G 7 ra,33
Contractor ?,-
St
t Add E
-6
4
6
J ? Cit
ree
ress n
U
r)
U(- y
5tate Ml? Zip 5?u Telephone #((ocbl(C-f?
Bond #: Expires:
T6e Appticant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furna
e Addi
i
?
c _
t
onal
Replacement ?D
_ air exchanger
_ airconditioner _New _Replacement
other
State Surcharge $ .50
Tota? s 3b.5L
I hereby apply for a Residential Mechanical Pernut 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 with the Mechanical Codes; that I understand tlils is not a
pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approvaWp?}ans.
ApplicanYs P nted Name App icai t's i at e
? ? F tB 2 4 2005
2004 COMMERCIAL MECIIANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindushial buildmgs
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip TelepLone # ( )
Bond #• Expires:
The Applicant is _ Owner _ Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "see 6elow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
p¢Cllti[ F¢05: $70.50 Underground fank installatioNremoval
$SOSO Minimum (includes Sta[e Surcharge)
or
ConuactValue $ x 1°/a = $ PermitFee
• If ep rmit fee is 51,000 or less, xdd $50 =:1 $ Sta.z Sarcharge
If nermit fee is over $1,000, add $.50 for ?
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pernut and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlris is
not a permit, hut only an application for a pernut, and work is not to start without a permit; that the work will be m accordance with
We approved plan in the case oF work which requires a review and approval of plans.
Applicant's Printed Name
ApplicanPs Signature
Approved By: ,Inspector
RESIDENTIAL
(-' BUILDING PERMIT APPLICATION
`-? CITY OF EACAN
`\
? ? 3$30 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
NewConaWction Reauirementa
. 3 regatered sile surveys showng sq. fl, of lot, sq. ft of frouse; and all mofed areas
(20%maximum lat coverage allawed)
• 2 copies of plan showiig beam 8 vrindow sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservatlon Plan il lot platted after 711193
. Rim Jo'st Detail Options selecGon sheet (bldgs wiM 3 or less uniCa)
DATE J?`Z7' 0,--.2-
RemodeURaoairReaufremenb j ? ?I ?
. 2 coDies af plan ?
. 1 set W Energy CaICWa6ons for heated additions
• 1 sile survey fOr exterior addNOns 8 decks
• Indicale if home sened by sep6c system for adtlilions
-7 Qd
VALUATION ?-
SITE ADDRESS ?1_3 /_3 Zex???l?i? MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ge- ADdi- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE #
CELL PHONE #
PROPERTYOWNER Qi91715 Sh.qr?t ------ TELEPHONE#
---------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
'}'? ?????
Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY l _ ' I FwE7
?Go e o
(J submisswn type) • Residential Ventilation Category 7 Worksheet Submitted gy
• Energy Envelope Calculations Submitted UN 14 2002
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor.
Ntcchanical system includcs:
Sewer/Water Conhactor:
Air Conditioning
Heat Recovcry System
Phone #
Phone #
P'ec: $70.00
------------------°---°------------°----------------°- ---------------°°---°---------------°----°-°-------
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 OrdinanceA ?
Slgnafure of Applicant
orricr: usi: o
Watcr Softcner
Water Healer
? No. oF Baths
Phone # L
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required - updated 4i02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
Lor: is BLOCK: 3
4313 LEX POIN7E PKWY STROSHpNE
LE%INGTON POIN7E (612) 688-7233
PERMIT SUBTYPE: TYPE OF WORK:
DECK
Control No. 0946
BUILDING ...
001264
08/14/92
DENNIS
NEW
?
PERMIT
CITY OF EAGAN
X 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Base Fee $25.00
Surcharge $.50
ToCal Fee $25.50
BUILDING
@01264
08/14/92
SITE ADDRESS:
4313 lEX POIN7E PKWY
LOT: 15 BLOCK: 3
LEXINGTON POINTE
DESCRIPTION:
Buildin_g Permit Type DECK
Buzldinq'WOrk 7ype NEW
UBC Occupancy R-3
Buiiding Length 20
9uilding Width , 15
/
v`l(:L, L.?
REMARKS:
(?, b z CD +o --3
FEE SUMMARY:
CONTRACTOR:
PERMIT TYPE:
Permit Number:
Date Issued:
OWNER: - Applicant -
5TROSHANE DENNIS
4313 LEXINGTON PTE PKWY
EAGAN MN 55123
(612)688-7233
I hereby acknowledge that I have read this application and state that the
informat3on is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
?
APPLI ANT/PERMITEESIGNATURE ISS ?D,BY: ATURE
Control No. 0946
PERMIT #
REACTIIfp?E '
I I L 4
CITY OF EAGAN
1892 BUILDING PERMIT APPLICATION
681-4675
'AVS 1 I RECo
m,?&f ? - 14
SINGLE 6 MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural b structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last.working day
of month in which re uest is made o lot chan e is re uested once ermit is issued.
Oate 9,2) Valuation of work cgyou
Site Address: ,2i?e
SiREET SUITE N
Tenant Name: (commercial only)
IAT BIACR SUBD.Ze} i/I?? pr yl P.I.D. N
Descri tion of work: ck-
The applicant is: a Owner ? Contractor ? Other (Oeseribe)
Name S'iros h?nN , U. n/J fs Phone (v&r- 2d 31
Property ?AST ?IRST
Owner pddress ?3/3 ZE f
SiREET STE N
City State /5?) tJ Zip SS 1a3
Company Phone
Contractor Address License N Exp.
City State Zip
Company Phone
Architectl
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
BUILDING PERMIT TYPE
O 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
9131 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
11 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
!,T 15 Deck
? 35 Tenant Finish
? 36 Move
.
, , .
op ? ,1 ..
? 16-Ba3t-mfft`Fiirish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
13 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
2oning
# of Stories 5q. Ft. total
Footprint Sq. ft. Booster Pump
Fire Sprinkler
Length
Depth a?• On-site well
, Census Lode y?
,s
On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site .
Footing O Framing
O Insulation
? Wallboard ? Final O Draintile ? Fireplace
Permit Fee 25 ',o° v.i,,,t;,,,: g
Surcharge I
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Nater Meter ,
Acct. Deposit
S/M Permit _
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN •
SINGLE FAMILY DWELLING3
INCLU 2 S TS OF PI,ANS, 3 CERTIFICATES OF SURVEY, 1 S T OF ENERGY CALCULATIONS
NOTEs ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS B OF ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4tERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: , G"M"?
r
Site Address h 14om J
Lot f? Block ?
Parcel/Sub`<? N ?Ie,?u
Valuation: Date• p "O? '0'6'
JU;h?CI
0 i YI ? C/
OFFICE O5E ONLY
On site sewage Oecupaney ? 3 M_l
I•bICC system ? Zoning
On site well Actual Const V- ht_
City water Allowable V-N
PRV required Il of stories
Hooster Pump _ Length
Depth 14 6
S.F. Total
Footprint S.F.
Owner/2e n") ij YOJ nq» e
Address/,5a y f? Yr I--)
City/Zip Codep"[j )q n
Phone 7 /
Contractor?o//e5c C ? -o n1i
Address
c-
City/Zip Code.
Phone ? -?
Arch./Engr. J4+'+l c +1 C on?i
Address
City/Zip Code
APPROVALS
Engr/Assess
Planner
Council
Bldg. OPf.
Variance
EEES
Permit 530,0
D
Sureharge UU,SD
Plan Review Z 0 0
SAC, City ?
SAC, MWCC ?
Water Conn 550, cp
Water Meter 60.ao
Road Unit 3-2 c, bn
Treatment Pl 2-p4. w
Parks
Copies
TOTAL
Phone #
1. V4L u Arn0N
GA R A{,.? • ? •;, • • - s
.-?? -
2/,?'Zc
13 x I?
gs ?rn7-
Z??cL4(o?
H buSF
r-
13sm-?
' - y2o
: zy?
?b'lXl?-?33g
?zs2X
iTsz
2L
?r
?Z-7y9 = ?Z 6 2-3-
?8 2 3G
?..: r
88- I 31
TRI-LAND CO.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL
Scaled"= 30'
SITE PLAN FOR:
COLLEGE CITY
CONSTRUCTION
DESCRIPTION: LOT 15 ,BLocK 3, LEXINGTON POINTE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
?_. . . i
14
9'(9N
0
91gA0\6?$?i''
5\ LOT
(5 I9?9 h? Q
i
tnN og ? 41 \ ? 61,
0•
Q? \ ? 0 q6 m? ?\
V ?? Q??V`?6 'LO •?
?Oy ? ? \ ?`? .a G?aPG? \3 ?
\ 2\
i
*'4 1 -,
0 5 'M\
LeGeND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I harsby eertify fAat this survey,plan or
rsport was prepared by me or under my
direct auperviaion and that I am a duly
Reqistsred Land Surveyor under fhe
Laws of the State of Minnesota.
9g0?
?
.... Y =i •
\ - IV DOP
?\ GpFt 9?g
i
DEPT,
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 'ff'-
PROPOSED FIRST FLOOR ELEVATION = a"L-PROPOSED BASEMENT FLOOR = % r+ •- ?
EI.E VATI ON
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brodley 6"wenson, Mn. Req. No.15235
Date
G
9 9+Z
-- . I
EXTER10ii ENVELOPE AYERAGE "U" C011PUTqf10N
? ? !r (/ ..f ? CI h G?
OHNER ,
S1TE ADORE55 ??`?Q r/? w`f
CONTRACTOR oL- DATE S' -2 •,P" PNONE
Determine working square footage of each.
Z049 _,.(L_ ° zz2
1. Total exposed wall area ........ _. sq, ft. x
sy. ft. x
2. Total roof/ceiling arca ...... 1'
7ota1 er.posed wall area above flonr = 2olq
a. Total wall window area .............. :............ 2 S 7
b. Total door area ................................. s_4-4_
e. 7ota1 sliding glass door area ................... 40 ?
d. Total fireplace wall area ........................ e. Total wall iraming area (averagelOX)............ I
f. 7ota1 net wall area ebove floor ................. 114 z
g. Total,rim joist area ............................ t31
Total-ekposed toundation area ? °10
0
l
1. Toalnetutoundationnarea eabove ?grade ?.......::... 9 0
Determine "U" value of each wall segment.
a. X "U" , .3Ab ° ?-
b. ?4- X "u" ,Iz 8 - b ? -
C: 'X
. -- "U"
d _ x
.
^
nu. ,
\S5 X
e. "U" .09
2
° ...?=--
f.^ l 3?12 X "U" •043 `
9 1?1_ x PVII o?I s .7
-------
`) - -O x MUN _ n
1. q o x„un , o a
n l1d?,; • ?
3 ............1 :0 41 ........:............Tota1 . 1
lf item 03 1s the same ast or less than item B1s you have met the intent
of SBC 6006(02.
?
, .
Total..expased roof/ceiling area a ( 33 3
J. Tatal skylight area.............................
k. 7uta1 roof/ceiling framing area (aaerage 10%)... ?•?,,
1. Total net insulated roof/ce111ng area........... ?lqq
Determine 'U" value for each roof/ceiling segment.
J. -? Z MUII
v
k. x «u„
1. x MuN
4 ..................................Tota1 n
If total of 14 is the same as, or less than 12, you have met the intent of
SDC 6006(c)1.
Alternate Building Envelope Deslgn
,04- 5-
0
2z . z(0 ,'e F:)
To utllize the total envelope system method, the values established by the
sUm of ltems i3 and 14 shall not be greater than the sum of items Ol and P2.
L
+2
P
3. + q
a
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?
NINDOW AREA S
Typo OI' Wl NDPW i
46/0 'o %NSvL dFA55
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AIl
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.,...._. 59 IN S UL-e.c"'
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,u,rncr.
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:
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LOT LL BLOCK E
5UBDC2?. ?,? •
RECEIPT # -5 95 DATE -440aD
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 3- ,?a -9s Commercial
Residential (boulevards)
-A_ Existing residential
Area/address to be irrigated, "X3/3 .<<zeiti??`OH ??, &0 ,. .??. ?
Installer:,?J ? N br :s s?ros !2 a K? Owner Cg Plumber ?
Street
GPM
GPM
City, state & zip code: Za r a ti f2la Phone #: (4-2- / Qk'- 7,;)33
Owner
Street
City, state & zip code: Phone #: 6A,? - &lFse-7a33
IRigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the appltcanYs responsibility to notify
the property owner that the City of Eagan assumes no Itability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this
peimit within City property/right-of-way/easement.
,
ApplicanYs signature
Approved by:
Date:
PRV ? Yes ? No New service ? Yes ? No
Meter Size & Cost
Fees due: jD :f?a- Calculated by: _
'T u 5 17 1/ ,(3 /?Z o
2`-/Zj.-7
Title
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protectlve Inspectlons at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee onlv if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 per connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(noc
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt wili be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Biiling Cierk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
C:f.TY t1F E:RC,AN
i"ASH:I:E'ir Ja 1'EF;ifTNAI_ N0t 699
Lh1T£ia 08/1':S/3=7 l":iilrr ioe34;(l'1
IU ?
NP.ME; F;LI._T._F.D r-IRrS.r.r;e7 INC.
300 9001 4501 nn!: PnND h 60.00
205 son:i. 4501 naF: POtdD r u,.so
3210 aooi. 2Lle, LAfLNF.L.IAN 60.00
2155 9001 L:t.iG (..Ar:l\EL1AN . 0.50
3e10 9001 ast:s i...Ex r-?r Picw 60.00
@M 900:i 430 1_FX 1''T rF;IAI 0,50
1
To+a1 Reru.i.pl, (tmoun+,p Il3:1..50
CF.' .i. M4 C73
LJSE%i 7:I'!a :IAN
P<?;C?'1FMYk)`.':k4C?'57?+?YF>KA(M:,%i?? iti?nMXiri:hlk.M 'Ma`(ht* 'M.w.Y<9FYn'?7.9F1k
_. . _?. .. ? . _ ? . .??
?J?
1999 FIREPLACE PERMIT APPLICATION
C[TY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
v?
Date: ?
Descnption of Wor : ? Construct new fireplace Y Gas _Masonry
Other
Job address: C
Lot: ?6 Block: 3_
Applicant (circle one only): Owner rc
PROPERTY
OWNER
FIREPLACE
NSTALLER
.
GAS LINE
INSTALLER Street
_ Install gas insert onlv
Subdivision/P.I.D. #:
Alterations to existing
Install Pas line ondv
Pernrit Fee: $60.50
Iv'ame: ??` ?S/1(X? {'? C n ? ?
Last ---• /
Street Address:
?
City ? State: M&e Zip:
Campany: FA'?PS(`` P:? ?(°)?YIpY??p7'??1`rYL'?/?Phone A
-T ? (acea code)
Street Address: L_3 [)J V V_/r
c,ry I?IAr Y}?--U1'
City
State:
Zip:
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 a City of Eagan Ordi ances
rL ?
? ?`? ?V' ? \v
?II IE? ? LF3 ? ,J Signamr
Pho??/
? Zip 7
Phone #:
(azea code)
APFLIC?ATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTION
IZfR-1 SINGLE FAMILY
oF (zciqcan
1PT.F.ASF. PRTNT
1) PROPERTY ADDRESS:
LDGAL DESCRIPTIOn
IF EXISTING STRWTURE, DATE OF ORIGINAL BUILDING PERMZT ISSUANCE:
PRESENT 7ANING/PROPOSID LSE:
Q COPM'IEf2CIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q INSTITUTIONAL/GOVERNAENT
2) NANIE:
AonREss: ro v'l11 -
CITY, STATE, ZIP:
PHONE:
.., ..
tNOTE: PAYMENf OF FEE AT TIME OF ?
; neriscaTTON ooFS rxrr coN- :
? SPITL/lE APPR6dAL OF PER141T. .'R
• +
? INSP?ClICRI OF SFSVHt ISID/Wi WER ?
? IP1S1'ALIATIOKS WIId. NJT BE SCFDUIID f
,*k [RPl'IL PYTtlIIT AAS BEFS] APPROVID. t
4iiSff4YktiffM4ff;4fti4ifiil(Yf?i'14?ftfY
Nkmt Year
? R-2 DOPLEX ('iWo Cnits)
Q R-3 TOWNHOCSE (Three + Lnits) ( Lnits)
Q R-4 APARTMENT/CODIDOPIINIOM ( L'nits)
3) N71ME: J- p 1 yLt!A
ADDRESS: ? ), „ i ?
CITY, STATE, ZIP: RI VI4 c, in , I/!/ f 0
S^S?
pxonE: <;, Sc y",A I-I q MASTEE2 LZCENSE
lj Active
Expired
Not recordec
st Initi
4) 11190-lffl?A• =zl•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ? .i. a, ?:u :_ ?. :a?i•i?3? ae
17-11 ` CONNECTION TO CITY SEWER dCONNSCPION TO CITY WATII2 O OTHER
6)
***********?+*****+***????**?****?+**********?r*??**,r++***??********?**********?**?***,?**********?
* 7HE GOLD COPY OF THE PII2MIT WIIS, BE SErIP DIRECIZY 1O P[JBI,IC WORKS TD FACILITATE P9E'PEEt PIQC-L'P.
* PLEASE ALTAW 1WD WORKING DAYS FOR PROCFSSING. SON'IDONE FROP4 'IM CITY WILL CONPACT YOL IF THEEtE s
a
* ARE ANY PROBTEMS. i
,??«?*+*?****?****,k-w?**?*******?**,r**,r?*,r**??+***+*?**s*******************+*******«?**??+*****,r,e****>
FOR CITY USE ONLY PERMIT # ISSDED •
?-r. •
Pd w/Bldg. Permit FEES:
$ $_ SEWER PERMIT (INCLUDE SURCHARGE )
$ $_ WATER PERMIT (INCLUDE SURCHARGE)
$ 6 $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$- r`5?/) • ?D $ wAc
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRIINK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?? $:5-I< <1-O TOTAL
s' P 6 -s- 7 9
RECEIPT RECEIPT
DOES DTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK SdITHIN POBLIC
Q ROADWAY" MUST SE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
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Coat:actore - Pleaee retum ttvs torm aher wlring ell sitea listed
Dakota IIectric Assoctadon, ATTN: Michael Hoy, 4300 220th Stree
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463•6241, 5) Don Hoyd 463-6235.
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PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA088774
Eagan, MN 55122 . Date Issued: 04/17/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4313 Leg Pointe Pkwy
Lot: 15 Block: 3 Addition: Lexington Pointe
PID 10-45070-150-03
Use
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Nicole Whitley
2200 W Highway 13
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Gem Ryan Plumbing & Heating Dennis G Stroshane
2200 West Highway 13 4313 Lex Pointe Pkwy
Burnsville MN 55337 Eagan MN 55123
(952) 767-1000
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:Building
Permit Number:EA129443
Date Issued:02/11/2015
Permit Category:ePermit
Site Address: 4313 Lex Pointe Pkwy
Lot:15 Block: 3 Addition: Lexington Pointe
PID:10-45070-03-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Matthew H Mcelroy
4313 Lex Pointe Pkwy
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151465
Date Issued:08/27/2018
Permit Category:ePermit
Site Address: 4313 Lex Pointe Pkwy
Lot:15 Block: 3 Addition: Lexington Pointe
PID:10-45070-03-150
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley P Mischke
4313 Lexington Pointe Pkwy
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
Sewer & Water Contractor:
EAGAN
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810
(651) 675-5675 l TDD: (651) 454-8535 l FAX: (651) 675-5694
build i nq inspections(a)_cityofeagan . com
r For Office Use Permit #: /62 / /
Permit Fee:
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/29/2020 Site Address: Unit #:
Cc_
Resident/
Owner
Name: Brad Mishke
Phone: 6513287408
Address / City / Zip: 4313 Lexington Point mace Eagan, MN 55122
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: replace skylight
Construction Cost:
$1595
Contractor
Multi -Family Building: (Yes / No ✓ )
Company: Aline Roofing Contact: Rod Engebretson
Address: 6171 189th Ln NW city: Anoka
State: MN Zip: 55303 phone: 6128497706 Email: aline.rod68@gmail.com
License #: BC032753 Lead Certificate #: NAT-108369-2
If the project is exempt from lead certification, please explain why:
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:
Phone:
Fire Suppression Contractor Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webslte at www.cltvofeaaan.com/subscrlbe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www. aooherstateonecall.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.
xRodney Engebretson
Applicant's Printed Name
Applicant's Signature