4340 Lex Pointe Pkwy? CASH RECEIPT
CITY OF EAGAN '
3830 PILOT KNOB ROAD
.
EAGAN, MINNE9QTA 55122
DATE 19 ?
F11DM
AMOUNT S - ?
8 DOLLARS
loo
? CASH ,kCHECK
FOFI
BY
C 471 0 m,,,e--PByws Copy
Yelwo-pogtwig Copy
Pink-Fib Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN ?
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE ?`-
CHIP # WATER PERMIT #
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
_ PRV _ BOOSTER PUMP
SITE ADDRESS '' PERMIT REOUESTED
LOT ' '- BLOCK SEC/SUB
? SEWER ? WATER _ TAPS
APPLICANT: 44,
ADDRESS: r"` ' f " 4A +° r'? 4- ? COMM/IND r? RESIDENTIAL
CITY, STATE ZIP
', .
PHONE: ? _ ? ?? ? •'a '? ,` ? NEW - EXISTING
I PLUMBER:
CITY, STATE ?! . •'„?r?
PHONE:
QWNER: -
ADDRESS:-
CITY, STATE
PHONE: -
-.I AGREE TO COMPLY WITH CITY OF
ZIP EAGAN ORDINANGES:
ZIP
SIGNATURE WHEM METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMI7 IS PROCESSED.
,J' r
SEWER & WATER PERMIT ?
CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897
OFFICE USE ONLY
METER # Tf S°t a10 7/ PERMtT DATE 1 f i21 P, 1;
CHIP #6 6 7Z 57 g-? WATER PERMIT # 111 I!
METER SIZE °? B.P. RECEIPT # ^4^ 10
ISSUE DATE ? O B.P. RECEIPT DA7E 7?f
_ PRV - B005TER PUMP
SITE ADDRESS'7`
LOT _Z?BLOCK --2-SECISUB
APPLICANT: 4 A-t A di - 2j1- .
CITY, STATE
PHONE:
PLUMBER: -?di ..:
ADDRESS:
CITY, STATE -
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
PLEASE ALLOW TWO WORKING DAYS FOR
ENGINEERING DEPT. APPUCANT AND PLUO
ZIP ?--L
ZIP
ZIP
PERMIT REQUESTED
X-SEWER _XWATER - TAPS
- COMM/IND
0AL RESIDENTIAL
4 NEW
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
ATURE Wli N ME SUED
0
NG. FOR STORM SEWER PERMITS, CONTACT
BE NOTIFIED WHEN PERMIT IS PROCESSED. .?
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
Address
City _
Name .3 r1 1:? l r?veyo;
3 Address #4L ; ? 223awol
0 Cjty ,iyar?
BLDG.TYPE
Res. v?
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS {MINIMUM - 1 PER PEFiiVlln
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
WORK DESCRIPTION
New
Add-on
Repair
- $24.00 ' - 6.00
- 1.50 EA.-
TYPE OF WORK
Forced Air !•' 75, 2-;?) '• PlM BTU
'Boiler -? ;,-`' 7' M BTU
? Unit Heater M BTU
Air Cond. M BTU
? Vent CFM
; Gas Piping Outlets #` '' r . , • , .: ? ,•
? Other
FEE
S/C:
TOTAL•
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50'o?
(ADD $50 S/C iF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
OF EAGAN
? r • g?
,A?
fgextif irafe nf (IDrrupanry
Citp of (Eagan
arpttrtmPttt of gwImng jwtrtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cerrijying that at the time of issuance this structure was in compliance wilh tlte various
ordinances of the City regulating building construction or use. For the fo!lowing:
use a.fi,nu S'F DWG/GA.R Bwg. Fbml;, No. 17313
oa„pmxy T* R3/Ml Zon;ng Disvia PD/R 1 rya comc VN
ow,er or audaing ERIANi 130.9IN HCIM Aaare. 4466 WOMCU DRIVE. F.AC',AN
swwine nmrm4340 I.FXINWM POINiE ?ity L 13, B2. IFNDUICN POIlM 3RD
.
n,te: APRIL 33, 1990
euuaing OMcW
-
POST IN A CONSPICUOUS PLACE
. _ .. ?. .
CITY OF EAGAN -A 1 7313
• 3830 Pilot Knob Road, P.O. Box 21-199, Eaga? MN 55121
PHONE: 454-8100 - ,
BUILDING P?RMIT Recei?t # f ?? ?
To be fised for SF DWG/GAR Est. Value ;?.000 Date NOY 17 1989
Site Address 4W
Lot 13 Block _
Parcel No.
¢ Name _
W
o Address
City _
A.waav&vn N1M1L c"i
_ Sec/Sub. LEXING'f014 POINTE
3RD
OFFICE ?
USE ONLY
Occupancy R-3 M-Z FEES
pD R-1
Zoning
L Tt{ORSON (Actual) Const v-N Bldg. Permit 636.00
EDCEHl70D DR (Allowable) v'N 49.50
Phone
1 Name S?
?0
` Address
? City Phane
Name _
Addres5
City _
I hereby acknowlege thal I have read this application and stale that the
inlormation is correct and a ree to comply wiih all applicable State of
Minnesota Statutes and City'?t Eagan Ord,inar?es.
Signature of Permitee -" ` A
A Building Permit is issued to: ?I11N L TEi0R60?i
on the express condition that aIl work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial - -
? of s1o`ies Surcharge
Length
? 4
Plan fleview 3I8.00
100
?
Depth SAC, City •
S.F. Totai - SAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn "0•00
On Sile Well Water Meter 90•?
MWCC System ?
3
City Water ? Acct. Deposit 0• ?
PRV Required _ SIW Permil Zo•?
Booster Pump - S/VJ Surcharge 1•00
228 • 00
Treatment PI
APPROVALS Road Unit 340•00
Planner
Council -
_ Park Ded.
BIdg.Oft. _ Copies
Vanance - TOTAL Z ,%7• 50
Permk No. Permit Holder Date Telephone ?k
WiTER
SEWER '
PLUMBING
I
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
FowingS i
FoundaUon
Framing
Rooling
RoughPlb9•
Rough Ntg. y ?
Isul. J ?
Fireplace
Final Htg.
Final Plbg. - ?'-
Consl. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
weli
Pr. Disp.
?- ? CITY OF EAGAN
j? 38 0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHONE:681-4675
ERMIT ]'. ?' '? :_ _ Receipt #
FINISH Est. Value Date-----IW
Site Address 4340 LEXINGTOid POINTB !'M
Lot 13 Bfock 2 Sec/Sub.LEXING'TOti POTVCE
Parcel Na,
Name L8S'T8R GRAPSTROM 3R
Z Address 4340 1.E]CINCI'Ol? POINTE Pi?tdY
o? SACAl1 lyN Zp 55123
Phone 4%-4645
a? Name sAME
? AddfESS
Cilty ZIp
Rhone
? ucense #
I hereby acknowlege that I have read this applicatioq and state that the
information is correct and gr to c¢?npfy i alllaoplicable State of
Minnesota Statutes and Cit?oagar?Q?rdina?,
Signature of Permitee
A Buiiding Permit is issued to: LESTBR GRAtSOM, i.TR
on the express condition that all work shall be done in accordance with all
Building Official ' "" - ? t
'G01 72
199;L._
OFFICE USE ONLY
FEES
accupancy 35.00
2oning
(Actuaq Const - Surcharge • ?
(Albwable) - plan Review
# ol Stones -
Length _ LKSM
Depin - snc, ciry
S.P. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Waier Conn
On Site Well - Water Meter
MWCC System _
City Water ACCt. Deposit
-
PRV Required _ S!W Permit
Booster Pump - S!W Surcharge
Treatmenl PI
APPAOVALS Road Unit
Pianner - park Ded.
CounCil - 1.00
BIdg.Off. _ Copies
36• 50
Vanance - TOTAL
Permit No. Permit Hoider Date Teiephone #
5/VV
PLUMBING ? 75`
HVAC
ELECTRIC g..?y?4? L'??z2CrzrJ7'-e.o`? ? 1?v2 ?v ?
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing •,r ?t
Roofing
Rough Plbg. - s-Q ?4
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter _ j
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final - L ?/jr?j /T'- v 02
Well
Pr. Disp. ? G - yl
?.• -.... - -
oarE: 11/20/89
.'
4340 LEXINGTOH PION'fE PKTdY, L13, B2, LERINGTON POINTE 3rd
9,E:
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
?
Your SewAr & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Piumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 11/20/89
r
?
RE;I 4340 LEX114GTON E'O1NTE PKWY, L13, B2, LEXIHGTOH P01N?E 3rd
xx Your Sewer & Water Permit for the above property has been campleted. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: ,
j
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Piease pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHaNE, ELECTRIC, GAS, ETC.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN N2 17313
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
' PHONE:454- 8100
BUILDING
PERMIT Receipt #
TobeLsedfor SF DWG/GAR EsLValue $99,000 Date NOV 1 7 , 7g$?
Site Address 4340 LEXINGTON POINTE PKWY
Lot 13 Block 2 Sec/Sub. LEXINGTON POINTE OFFICE USE ONLY
Parcel No. Occupancy R-3 M-1 FEES
PD R-1
Zoning
w Name BRIAN L THORSON (Acfuat) Const V-N Permii 646 _ OO
Bldg
; Address 4466 WEDGEWOOD DR (nilowable) V-N .
49
50
o .
Surcharge
City EAGAN Phone 454-0644 u of Stones
44 ? plan Revrew 318. 00
Lengih
0 Name SAME Deplh 46 ?
?
100.0
SAQ Cit
i Address S.F. Tolal
- y
SAC,MCWCC 575.00
? CIfY Phone S F. Footprints _
580
00
i
W
C
On Site Sewage - .
a
er
onn
I-
ww Name On Site Well 90
00
W
M
ss Addr2SS MWCCSystem -
xx .
ater
eier
aw Clly PhOf10 QtyWater x[ Acct.Deposit 30.0
n
20
00
PRV Required - _
S/W Permit
I hereby acknowlege that I have reatl this application and state tha[ the Booster Pump - SNJ Surcharge 1.00
miormalion is correct and a ree to comply Vlh all apphcable State of
MinneSola Statutes and f Eagan Or n CeS. Treatment PI 228.00
SignaNre of Permiiee ? APPROVALS Road Umi 340.00
A Bmidinq Permi[ is i55ued to. RR T AN i TH(1RS(1N Planner - park Ded.
on the express condiUOn thal all work shall be done in accordance with all CouncA
applicable State of MRmnesota Statutes and
C
ity of Eagan Ordinances. Bmg.0f1 Copies
y
?
8uilding OHiaal I'?lfl QA/L 1?
v Variance -
0
TOTAL 2,967.5
CITY OF EAGAN
H0201 7 2
3830 Pilot Knob Road, P.O. Box 2 1-199, Eagan, MN 55121
PHONE: 681-4675
C ?7 l 7l? 31
BUIIDING PERMIT Receipt #
7obeusedror BASEMENT FINISH Est.Value Date MAR 3 ,1992
Site Address 4340 LEXINGTON POINTE PKWY
13 LEXINGTON POINTE
Lot Block Z Sec/Su6. OFFiCE USE ONLY
FEEs
Parcel No. JKD occuvancy - 35
00
Z .
Bk1g. PBrmit
onmg _
N2fpe LESTER GRAFSTROM JR (Apuap Const - Suidiarge .50
w qddrm 4340 LEXINGTON POINTE PKWY (?10"'?la) plan peview
=
?odes
? (?^jty EAGAN MN 7jP 55123 i n9 h ??
-
Phone 454-4645 Depih - SAC, City
cc Name SAME S.F.TOtal - SAC,MCWCC
S.F Footprints
? ?df8S5 On Site Sewa
e Water Conn
_
g
?^,j{y Z'jP On Sne Well Water Meter
? Phone =
MWCC slem Daposil
Acct
p Cily Water - .
V Vcef1Se # PR4 Requiratl _ S/W Permit
I hereby acknowlege that I have read this ap licatio and state th the Booster Pump - SiW Surcnarge
intormation is correm and •gre
to cQftnply it all licable S te of
?
Minnesota Statutes and Ci of a ar,QYdinan Treatmen171
Signature of Permitee U APPROVALS Road Unit
A Building Permil is issued to: LESTER GRAFSTROM JR Pianner - park Ded.
on the express conddion that all work shall be tlone in accortlance wrth all Councd -
1
nn
applicable State of Minnesota Statute
s and City of Eagan Ortlinances. Bldg Off. _ Copies
.
I
Building Oflicial ??1 ? 1)?I??L? Variance - TOTAL 36.50
REQUEST FOR ELECTRICAL INSPECTION `""""i
J, esooom-07
? See inskm-lio?ro for compleMg this lortn on back of yellow copy %
?
C? 12195 ? "X" Below Work Covered by This Request ?nn??? ?
ew Ad TypaotBmlding ApplianCeSWiretl EqwpmBniWVetl
- Home Range Temporary Service
Duplex Water Hea[er ElectriC Heating
Apt. Bwlding Drye Other (Specity)
Comm./Industriai urnace
Farm Air Contlrtioner
Othar (speaty) Canirector§ Remarks
Compute lnspection Fee 8elow:
# Other Fee # ServiceEniranceSize e Cirourtsffeetlers Pee
Swimming Pool 0[0 200 Amps to 100 Amps
Trensformers A6ove 200 _ Amps Above 700 Amps
SIgf15 Inspector's Use Only T TAL
Irrigation Booms i
Special Inspeciion
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN t MONTHS.
I, the Electrical Inspector, hereby
f Rouyn-m
carh
y that the above inspection has
been made. F,,,ai
f
s-?/-y
OFFICE IISE ONIY
TM1is repueSl voitl 18 mOnthS IrOm
9.5/ 9 ?
Y
12195 O
W
, e
ReQUest ale Fre oughin Inspectio
eqwred>
u Reatly Now
NotAy Inspector
,
? ? No When fleatly?
I ' en nir t ? owner here6y request inspection of above electrical work at.
Jao ad el, OT'N .? ?
J City ?
tion N. Townshi0 me 94No Range No Counry
? P i (P INT1
L V r! ", T
Power ppii r
? Address
?'
Elecinc ontractor (COmpany Name? ? Con clor? e No.
Mailin qo re ss comractor or Owner Making Installation)
NulM1OnzeO SignaWre lGmtraqor,
ar Makinq Installanon)
n Numbe
?
MINNESOiMSnAE BOARD OF ELECTRICITY O ? THIS INSPECTION REOl/E5T WILL NOT
GHg9n-MiOway Bltlg. - qoom S173 BE ACCEPTED BV THE STATE BOAFD
1821 Unlversi[y Ave., SG Peul. MN 55100 UNLESS PROPEF INSPECTION FEE IS
Phane (812) 603-0B00 ENCLOSEO
REQUEST FOR ELECTRICAL WSPECTION
bo See inscmaions for complatmg Ims lortn on back oi yellow copy
"X" Below Work Covered by This Request
8-00001-OH
ewl Adtl Rep? Typeof8mlding ApphancesWired EquipmeniWiretl
Home Range Temporery Serwce
Duplex Water Heater Electnc Heating
Apt Butlding Dryer Other (Specdy)
Comm./Industnal Fumace
Farm Air Contlitloner
Otherlmeafy?
L
Compute Inspecnon Fee Befow Comractor'sRemerYc.??
T15rn'?• 1
x Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
? Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers ? A6ove 200 _ Amps 100 _ Amps
Signs inspecmr's Use Onty 7 TOT?AL
I Irnqation Booms
Speciallnspection
Alarm/Communication THIS INSTALLATION M ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHI NT ?
I, lhe Electncal Inspector, hereby
certify that the above inspecllon has
been made. Rough-in
?-
OFiICE USE'JNLY
This reGUesl wia 18 monlhs Irom
p 43452 ,?-
Reques?Q/ ? Dafe?
Q i{
l! 7 f? Fre No Fough-in InSDection
RQqpiretl
VYes i- No
? Reatly Now /?40Ji11 Notily Inspeclor
?rllVnen ReatlY'+
I? hcensed contractor Aowner hereby request mspecfion of above electncal work at
JoC Hdaress r eeL Box ar Roule No i
,0 nQ?on???t kw
? Cily
Sec?io? No Township Nam- e pr?
I Ranqe No Couny
Om/uPanl (PRIpITi /? ^ ?
/.,d57t(' l?r T om Phone No
Paxer SuppAe, Anaress
Elsclncai Co Ira ta iCOmpany Namei
orn ) £,r
w?' GonVaclor5 L,cense No
MeiM1ng Atldress IGOntrdcroI or Owner Making installetion)
D
?
C
B Making Insldlldtion)
FWO Ale, I
R- ----- PM1One NumDe?
q6?rS
MINNESOTA STATE BOARD OF EIECTRICITYTHIS MSPECTION REOUEST WRL NOT
Gnggs-MlJway Bldg - RoomS-1)3 BE ACCEPTED BV THE STATE BOARD
1821 Unrversity Ave. St PeW. MN,55106 UNLESS PROPEF MSPECTION FEE IS
Phone(61P) 6iY-0800 ENCLOSED
6514590967
10130%2006 07:43 6514590967 RUMPCA SERVICES INC
? '7S? ?
RUMPCA SERVICES, INC
1048 HAST[NGS AVE., ST PAUL PARi{, MN 55071
651-459-2896
FUEI. BURNING EQUIPMEN1' SAFETY TEST REPORT
ORTHSTATTESTI2ECORD
PAGE 01103
TXPE 4F HEAT:
parced p?,ir?
?.• ,,u
Cnavity Flot Watet_ Forced Hot Water
_
Steam Unii Heater_ Space Iieate[_ other_.
TYPE OF F[3EL: GaX
GAS AESIGN CONVERSION
srand or Make Le ?c? M?e
Model OW- ? Model
Seriai O?o5l17a0 Max.BIURating
Input Make o£Pumace
$quipment veuting type: Atmospheric_
' Induced Pan X Other_
r0+a
i
nmey-
Iotal SN input of alI venteQ ps appliauces per ch
PVC
s B v Oder
Cl
M
Type of Chimneylkurnace: _
as
ssonry__,_
Typeo£ChimneY/WaterHea[er: MasOray_ ClassHXl Ofher PVC_
Type of Liner. None-g_ Metal_ CIaY Tile_ ?
Si
?
Combush'ble Air Snppl :
? u
o .?
YesZ N/A_ Recommeuded_
Fllter aize?G k?S x Igrition type ??
Safety& Operatinu ConVOI Tests: Yes No
PiloUklame Safegwud dperawg Properly V ?
Limit (s) ?mdng ProPu?Y
All System Controls Operatiuog Propeciy
Imtial
Stack Tempecahue _P
pxYBen
Cazbon Dio)aide
Cacbon Monaxiae °/dppm
Gas Mamfold Pressute FTigh Fire
Cras Manifold Ptessuee Low Fire _
Have above corrections bcen made (if needed):
Fuel AualvsisMue Gas Anelvsis Y?, No
Vemts P[nperly Without Spillage
Flanoe Stsys InsidelDoesn't Roll Out V _
Bnrner Ligh[s SmootblY ? -
Flnal
1?°JfJppax
3,s
.?.? No_
Name of Licensed Contractor: Itumoca Services. inc. Address:
Vi?specnon Yes No
Fuel Piping System-OkaY ?? -
Vent Systems--DAaflhood, \
Comaector, Vent CbimneyaY ?l -
\
Heating unit-Okay ?V -
Phom¢ M 651-459-2896
Person Doing Test(Ria
Forua Ztevised 09/09/03
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constmction Reauirementa
• 3:egstereG site surveys showirg sq. tt of;ci, sq fl, of house, anM all roofeU areas
(20 a maximum lot coverage allcwed)
• 2 cooies oi plan showug beam 3 vnndow srzes, pouretl found desfgn, atc.)
• 1 set o( Energy Calculatrons
• 9 copies of Tree Preservation Plan dtot piatted aNer 711i93
• Rim Joist OeWA OpUons selecuon sheet (hldgs vnlh $ or less umts)
DATE 7, ( l - O (?_
SITE ADDRESS 13 ` O
TYPE OF WORK dZ 'e- 6?04'T ?
APPLICANT lgr-05
STREETADDRESS ?75 FC) 1L?d((1 ?T CITY ?? ''^.?°`?STATE ZIP S Sb??
TELEPHONE # 9 P7 d=?? (?c?S p6 CELL PHONE # fAX #
PROPERTYOWNER ?TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9or`J MINVESO"1'.1 RULES 7670 GV'Ct:GORY I 1[]AA " "
(J submission type) • Residential VenUlaGon Category 1 Worksheet Submitted . Ne ??g??V?rl?lg e?
i?
• Energy Envelope Calculations Submitted
?IUI 1 2 2002
Plumbing Contraetor: Phone R __ ____________-
Plumbing sysrem includes: _ Water Softencr Ia?m Spriiil:ler By ?
Water Hcatcr _ vo. of R.I. Baths
Vo. oFBaths
Mechanicai Confractor:
N[cch.ulic>il scstcm includes:
Sewer/Water Conhactor:
_ Air Conditionin,
Hcat Rccoccn• Scstciii
Phone #
Phone #
Pcr. Si0.00
--------------------------------------------------------------•-----------------------...---------•°---------------------
I hereby acknowledge that I have read this applicotion, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Or i nces.
Signature of Appflcanf
OFFICE U5E ONLY
RemodeUReoairReQUirements
• 2 copies of plan
1
. 1 set of'_neny Calculations `or heatea a0aiticrs
. 1 sde survey for ex:encr atltldions 8 Cecks
. I(Micate rf home served hy septic system for adaitions
VALUATION ?/Ovv
t
MULTI-FAMILY BLDG _Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
?
n. rt lccc ?' , C-t
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated d102
.. . ? •-
SINGLE FAMILY DWELLIHGS
2 SETS OF PLANS
3 REGISTERED STTE SURVEYS
1 SET OF ENERGY CALCS.
1989 BIIILDING PERNIIT 9PPLZCATION
CITY OF E9G9N
I q3 11
MITLTIPLE DWELLINGS
2 SSTS OF PL9N3
HEGISTERED 3ITE SORVEY3 -
(CHECg iiITH BLDG DIO.)
1 SET OF F.NERGY C9LCS.
MULTIPLE DWELLINGS HENTAL UNITS FOH SALE IILTITS
COMAtERCIAL
2 SETS OF 9RCHISECTURAI.
8 STHOCTIIRAL PLANS
1 SET OF 5PECIFIC9TIONS
1 SET OF ENERGY CALCS.
# OF DNITS
NOTEs IDDRES3F5 FOH CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGN9TE iiHICH ADDRFSS
IS DESIRED. NO CHANGES WII.L BE ALLOiIED ONCE BIIILDING PERMIT I3 ISSDED..
SEWER & AATER PERMIT FEES 1ND ACCOtTNT DEPOSIT FEES WII.L BE INCLDDED ftITH TBE BOILDINfi
PEAMTT FEE. PROCFSSING TIME FOR SEWER 9ND YATER PEHHITS IS Tw0 DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LIC6N3ED PLOlBER.
PENALTY 9PPLZFS WfiEN: PERMIT IS NOT PAID FOR IN S!ME MONTH IT S3 REQOE3TED.
LOT CHANGE IS HEGDESTED ONCE PEAMIT IS ISSIIED.
To He Used For: i Valuation: T7 Date: ftiPf9f3fQ
r
Site bddress
Lot ? Block ?
Pareel/SubdOr
Owner
6ddress
City/Zip Code
Phone
Contractor 'd-AA 4 -.-"
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 0
oceupaney R-5 M-1
Zoning 'PD R-I
Aetual Const V-N
Allowable V-
0 of stories
Length ?
Depth 4e,
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City vater
PRV required _
Hooster Pump _
APPROV9LS
Planner
Council
Bldg. Off.
Varianee
FEES
Bldg. Permit
Surcharge ?
Plan Review
?, oa
31
SAC p City
a
100099
SACp MWCC 579- o?
Water Conn 8 o po
Water Meter o Oa
Acet. Deposit 3pAo0
S/W Permit 20,00
S/W Sureharge . a&
Treatment Pl. p?p, 9m
Road Onit e,o0
Park Ded.
Copies
3iTETOTAL
Penalty
TOTAL G 4. %?
= - `
VAL uA-11 a o
.. ? ?-. ,? ..
Y
;
x 6 ?.P_.?-p ? .. . ?
1 `I ? z2. : 3o s
??h-r??iT =
I '/ZX 12 =
2 X(o %
1Y '2?0=
IyoLi
la?
??
?Li 4 '2. X5a= 22l00
._ ,, , . ..
W370
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SCALE: I"=30'
LEGAL DESCRIPTION; LOTlM-,BLOCK2., LEXINGTON POINTE 3rd ADD.
ACCORDING TO THE RECORDED PLAT
N THEREOF DAKOTA COUNTY,MINNESOTA
?
?
_ - P p,RKw Py ?
pp?N?E?--?a•?s"°'w
N? 6-67"IZ"E
SITE PLAN FOR:
THORSON HOMES
/?i16u7!'O OO
V ^is
L9Y? 11 o W Z
o?0ti _ ?' ? N l0
?
?? ly
0
\Y f N ?
?
P
c
4'/ dpti
??•o'? B ? ? ?y
9
5 ?
LOT 14 ? o
w LOT. 13
NiV? .s •-- H,-?',., -?,=, 'iA,ia'1 ?/ '- V
._.s-
?Y -
ate
EAGAhU EAIGINEERIIVG DEPT
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HU8 SET
y83,yi DENOTES EXISTING SPOT
ELE VATI ON
(9-mi?)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I henby certify thaf ihis swvey, plan or
roport wcs prspund by me or under my
direct supervision and thot I am a duly
Reqisfered Land Surveyor undw the
Laws of ihe State of Minnesota
PRoYoscD ?VLLj5ftfNENT-4'LEVFL- NO W^.LK-)T
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSEDFIRST FLOOR ELEVATION= 98?-
PROPOSEDBASEMENT FLOOR ° 9 77•
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PIANS
8rndley J.
Rt9. No. 15235
Date???? ?q-???
aCull: Tyqo A1
T. ?. ? .. '? .
t??ltHer)
ot.?r?oa???
(Sino1,e,FamSty 8 Ouplex)-_ 1,?,Type A2 (Residentiai
(3 stories qr ess
(0•rer J storiea)
r. ?
„- .
: ?6c?ltldlny PR'r?lfi!!?h ft. ?-1 .
..1lel?l'? ht/ ht reii ? ?y `7to? ?iq"
1•2,•..?t?eir?)
V?-
. 8u11d1'nq ?'f?i?ai0n!'r.l? ,'?Q ? x(N)??lo • 1-?`.`T?o ft.Z roof'S floor •rN
.:;,??p?f???•?'brp,t?.o Y.yllr.af r1A,1o1st - Floor joist size (2 x
.cf. . ' '; . ?w? ' Z .
x Perimeier • Rim??st Si'+N ft
t ,. ?1?fi .,? ?fl. ?CtOr? . ?
YYPi?oi'
, 1?knufactunr t ?.S p ' '
. Totel doo.p'! piNOltAr ?"31'Z ft
. WindQw?? .!1ltqfl'u.t8?t \??0?-c? ?
., ? ??ttor rrvE
SIZE
??+ o
' X -S Z.
?pca
AR:A (F:.zI
EACH
1.-Yo
?.-7o
?o.o
,
Stats approved,'?J , .
?
"lUMCER Of
UNITS
`:1
?
z
z
T07AL FEE7 2
. !?' G. . ? le?
?Z
?Lo , o0
M
4. ?ota) ft.2 61n• -,?k . C6 R
ftrepiace 'Arta; M1dth x heiaht • ?_ x -?- ¦ ? Ft.Z ?
11. Expafed foy*%tlon: He1qbt x Perlmeter??x__'-? S,__ • ft.Z , t
ErI0f1.01!: ??.gEGi}lAfp FOR ALL kEN COflSTRUCTION, MA3QR REMODELIMO AMD BUILDI'1G5 sEillG j
?? MIKiMAL CODE ALLONAMCE, 15 USED.
, . J. ' ? ?•.F:.
,,,,,t?• E ?, • • ,: ? c•? .s
'! ?rYi:'
?i .
..?.? ,. , , ??? 1; ?. ? ? ` •,, '?, ...y e?:' ' r
? } 11 1 i' Y ' i" I?I ?(r/???.h?4 ?.i(? ??'lYn' ?1??1Z'F: hI?I??•MJ t U r. ?r?`.'?. . ?. . ? . .. . . . -. r .H ?l?'!.?i?liiMR i?S'?I?0.•? fi.ICl;MI.I!??ilYL?_?cLV?W _ . '.i i I' r
?S
.a. ? ?u? u?.9r?ass ar??i ?Yfid. , . , _,?
?,•.. ,
' ,.r.ost Mat1 area f,;•Z
T•;:' Mtndoa area A Z\`? ft.2 U windows ¦ ., 45 3 U x A¦
Rin? folst drts A ft.2 U rim jolst ? • d'4 U z A s ?`?'
? poor area A ft. 'J door area A, .. \'?Le3_ U x A •? ?.
?r Z
'i.
Ftreplace area A (!E)- f:. U rireplace ¦ p- U xA • 8--
Exposed foundation A 0 foundatlon ¦ .\\1 U r. A•_
Framing area A O,Z ft.2 U franing area •-09 U x Aa Z'4•3
Net wall area A ?`\ ?o 4, •`t. 9 wall = m CD'4k -a U xA A $-4,.a`??? . . . . . ... . . . U x A • -?.?o?..o?
?
Gross r+all area x'0.11 (A-1 stngle famiTy S eL;.;=x • allowable U x A/Code
. ' (13. aDove)
x 0.23 (A-2 other residentia'.;
x .23 ;O[her buiidin9:'
x .28 (Over ; stor;e,) _
Alf ? H Must De larger than
a nz- x U Ccde Z2? 138 aDove,
t+5. Ctiling framing area (Af) ,. ?quals 10°= nf ca:119n area?` ==-? or the same as)
ft.
1;tA. Gross ceiling area •(L) -Q Ll x!a}'?(r, ? k A, `7 (o 2
.
Z
;jS3 Joist area (A{) • 10" ceiling area =-4,`1ft.
?SC. Yet ceilino area (Ac) (15A - 156) - ?7?1 ft.Z
,?.
i U Ceilfng x A C• x?????,.? = Z?.?fo
U framing x A f* e o???'4 x_
5Q. :QTAL U x A .......................................
t ?
Ce111ng area (15A) x 0.026 (A-1 single `amill S duplex - code aTlowablt U x A ,
T
x O.C33 (A-2 other reside^:iai)
i
' x 0.C6 (other)
8o H Must be l.arqer than 150 (above)
? (o x ?fcodel; ? F (Or Lhe 'Same as)
f?: •
--
?,
; .
NOTE: Use U and a values obtained f••om nrs l, 3 and 4.
a.. .
PERMIT# l0 5o I
?
RECEIPT DATE:
MIDENTIAL PLIJM$INfl PERM1T APPLICATION
crrY oF EALsAN
S$SO PII.OT KNOB RD
EAHAN, MN 55122
651-6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
HOLBROOK,KATHY
4340 LEXINGTON POINTE PARKWAY
SITE ADDRESS: EAGAN, MN 55123
- (651) 683-9219
.5?
OWNER NAME:: _ I(; q? p"7 a 1'3p o 2 _ TELEPHONE #:
, (AREA CODE)
INSTALLERNAME: NOfuC1"-iualo TELEPHONE#: IZ D?Z7" r633
STREETADDRESS: 21?6 S 6Ayt721Cy ik?, so , (AREACODE)
CITY: STATE: M?! ZIP: SSy(A'
Piace a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
?
Add-on, modification or alteration to existinq dwelling unit, including: f5.°0
$ -59;00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: t'S.e.Oa.G2 LJca1eX_ ?2?
Septic System, new/refurbished - $ 225.00
• includes County & Consultinq Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ ?r, SO
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this appliration, state that the mformation is correct, and agree to complywith all appiirable Ciryof Eagan ordinances. It
is the applicanYS responsibility to nofify the property owner that fhe City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/righ4of-wayleasement.
SIGNATURE OF PERMITTEE
Updaled 1101
CITY OF EAGAN
to 111 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMIIY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 or lot chan e is re uested once ermit is issued.
Date ' - q Z Valuation of work
?Site Location: '431-lo LP)tc`n 46 n P?.
STREET STE iF
Tenant Name:
LOT 13 BLOCK SUBD. P.I.D. #
Descri tion of work: F1?115?n o+tiPr dt 4m,l iooA^ wi ?'+?e 4«
The applicant is: IZ Owner ? Contractor O Other (Describe)
Name fonn 2S Pf . 3 ?• Phone
Property LAST FIRST
Owner Address o LpX 1?Ww\ P4. pkwY
STREET STE N
City Eaq ayl State Mr'? Zip S 5«3
Company Phone
Contractor Address License #
City State Zip
Company Phone
Architect/
Engineer Name Regi strati on #
Address
City State Zip
Sewer & 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
W'th all applicable State o Minnesota Statutes and City of
correct and agree to comply
2
Eagan Ordinances. n
Signature of Applicant: oU
4 .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory 0 11 Res. Add./Parch
? 02 Single Family ? 07 Fireplace ? 12 Comn./Ind. New
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add
? 04 Multi-fam. T.H. 09 Basement Finish ? 14 Comm./Ind. Rem
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
19 90 New
? 91 Addition
? 92 Alterations
? 93 Remodel
? 94 Repair
O 95 Tenant Finish
? 96 Move
? 97 Demolish
? 99 Undefined
..w?» r.. +? ?•':.s<..e+?"?"
? 16 Agricultural
? 17 Building Move
0 18 Demolition
? 20 Miscellaneous
GENERAL INFORMATION
Occupancy
Zoning
Const. Actual)
(A1 owable)
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
11 Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
0 Footing
? Final
MWCC System .
City Water
PRY Required'
Booster Pump
fire Sprinkler
Census Code
SAC Code
Assessments
EJ Framing O Insulation
? Draintile ? Fireplace
Permit Fee -35, o?
Surcharge .,se
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Road Unit
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies J. o .
Other
Total : 34.JO
V.tmt;on: $ -
5AC %
SAC Units
TRI°LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
THORSON HOMES
LEGAL DESCRIPTION: LOT-Q-,BLOCK.2, LEXINGTON POWTE 3rd ADD.
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=30'
?
P ARK? Py ?.
041
oN P ? ".x?o'.?
?EX?N ??tiy og? 2? E R?3? ?o.oo qa.,Q
N? 6 ,
C`18ti 1? ? v?
?
?
Z o `?qasw? ??' CT
O 1 b\ ZZ ? , 1A G
c ??? ? 1 0
_ ? oSE
(935 ?)
5 ?
LOT 14 -
_ o
w 1
.? ` LOT. 13
04 ?
(H 79
?v? .r
72.90
38'24,.E
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
y"s! DENOTES EXISTING SPOT
ELEVATION
( 9-m i-)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINACaE DIRECTION
I haeby cerfify that this survey, plan or
report +rua prepond by ms or unAer my
direct suparvision and that I am o duly
Reqisfersd Land Surveyor under fM
Laws of the State of Minnesofa
PRoPoS6D ?vlLYf?etME/JT'4?Lt?P?-niu?»LKWT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 9?s ti
PROPOSED FIRST FLOOR ELEVATION = 9ae-
PROPOSE08ASEMENT FLOOR = `???•'e
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL MOUSE PLANS
/! t??^/c.-.,........,
Bradley J. Sw ' n. Req. No. 18235
Date '
oa?
O? 5 RESIDENTIAL BUILDING PERMIT APPLICATION
` City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??U °c
New Construction Reauirements RemodeUReoair ReouiremenGS Offlce Use Oniv
3 registered si[e surveys showing sq. ft. of lot sq. ft. of house; antl all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%, maximum lot coverage allowed) 1 sel of Energy Calcula6ons for heated additions Tree Pres Plan Recd Y _N
,
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 sHe survey for additions & decks Tree P2s Required _Y _ N
1 set of Energy Calculafions Add'N'on -indicafe ifon-site sepfic system Onsita Septic System _Y _ N
3 copies of Tree Preservatlon Plan if lot platted afler7Ml93
Rim Joist Detail Optlons selection sheet (6uildings wilh 3 or less uni45)
/
Date 0?-f' ` vv
Canstruction Cost /? /??V
Site Address OUl?LeJ UniUSte #
5S
dw ?
k lg 4
/ w)
Description of Work '`
' 4
Multi-Family Bldg _ Y ?L N
T Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Telephoue#(?6,) ?//?/? ?/
Cantractor 9
Address
6
555 City
?
y
State Zip Sc3 Telephone#(as?, jLQ607
!
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Cetegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet
(J submission lype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approv of plaivs.
Applic t's Printed Name Applicant's ignature
75?3?
2006 RESIDENTIAL MECHANICAL PExMiT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condo5 when peRnits are required for each unit
30- so
Date 10 / 16 ( 2006
SiteAddress 4340 Lexington Pointe Park Way Unit#
Eagan, MN 55123
PropertyOwner Kathy Holbrook Telephone#( 6 5 1 ) 683-9219
Contractor Rumpca Services, Inc.
StreetAddress 1048 Hastings Ave. cih, St Paul Park
State MN ZiP 55071 Telephone# ( 651 ) 459-2896
Bond #: 9319539 Expires: 9/04/07
The Applicant is - Owner X Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
X furnace _ Additional X Replacement _ New
air exchanger
X air conditioner
heat pump
other
_
_V
State Surcharge UU
$ 50
Total g 30.50
I hereby apply for a Residentiat Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Jason Rumpca Pt` ?
Applicant's Printed Name Appli t's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117932
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4340 Lex Pointe Pkwy
Lot:13 Block: 2 Addition: Lexington Pointe 3rd
PID:10-45072-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Sue Lameyer
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 -
Guy D Bailey
4340 Lexington Pointe Pkwy
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature