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4352 Lex Pointe PkwyELECTRICAL PERMIT #H66187 MECHANICAL PERMIT DATE: 6/7/91 KELLY ELECTRIC, INC. RECEIPT: 101704 6/7/91 $15.00 SI7E ADDRESS 4352 LEXINGTON PdINTE PARKWAY Unit # Permit # 13806 L 16 B 2 Sect./Sub. LEXINGTON PO NTE 3RI} _ ,,. ' HEATING-463-7824 ADD- INSPECTION INSPECTOR DATE COMMENTS ' SEWER & WATER PERMIT CITII OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 ? SITE ADDRESS LOT LOCK ?SEC/SUB APPLICANT: ADDRESS: CITY, STATE PHONE: , PLUMBER: __ - : ?- •-.` ADDRESS: CiTY, STATE PHONE: OWNER: ' - ' ' ADDRESS: CITY, STATE PHONE: - PLEASE ALLOW TWO WORKING ENGINEERING DEPT. OFFICE USE ONLY PERMIT DATE WATER PERMIT # " L-2 SEWER PERMIT # METER # B.P. RECEIPT # •?? n?_ 3 B.P. RECEIPT DATE 1./ ??? 1`-!f ,+ METER SIZE 5/ Q fP ne-t( ISSUE qATE ."n a _ PRV - BOOSTER PUMP PERMIT REQUESTED SEWER ? WATEFI - 7APS - COMM/IND VRESIDENTIAL ?. NEW EXISTiNG 1 AGREE TO COMPLY WITH CITY OF ? Zlp EAGAN ORDINANCES: SIdNATURE WHEN METER ISSUED ZIP ; YS FOR PROCESSING. FOR STORM SEWER PERMtTS, CONTACT ,' SEWER i WATER PERMIT OFFICE USE ONLY CITY OF EAGAN '? 3830 PilOt KnOb Rd PERMIT DATE ,,) , ; . . P Box 21199 O WATER PERMIT # SEWER PEAMtT # . . Eagan, MN 55121 METER # B.P. RECEIPT # S 1 READER # B.P. RECEIPT DATE LL2- 4W METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT _.$LOCK SEC/SU6 , , T SEWER ? WATER - TAPS APPLICANT: f?' ??- ADDRES3: _ COMNUIND RESIDENTIAL CITY, STATE ZIP PHONE: r ? NEW - EXISTING PLUYBER: ADDRESS: 1 AGREE TO COMPLY WtTH CITY OF CITY, STATE ?. = ZIp EAGAN ORDINANCES: PHONE: + .. , ? - --?:" . ,?? ! ,/• ? ; _ / : ; : , OWNER: ' ADDRESS: ? SIGNATURE WHEN METER ISSUED CITY, STATE ZIP ` . PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERM(TS, CONTACT ENGINEERING DEPT. . , , r•.,., . ....:?,?,.Q Nh. RF.At,TIVA''FF? 'rOit BASIIMENT 07/05/90 Dn?,xta 456-5632 CITY OF EAGAN ????07 9M%ot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DiiG/G Est. Value 1107.000 Date_ _-IAN Site Address 4N Lot 16 Block Parcel No. W Name JOSEPH M MII.L?A CONST o Address 18133 CLDAR AVE S City F?ING"H Phone 431-2001 o Name SAME Name Address City ' Phc I hereby acknowlege that I have read this application and scate thal the information is correct and agree to comply with all applfcable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee - - A Building Permil is issued to: J05EPI# M!lILL.LR CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otficial 19-9D_ OFFICE USE ONLY Oaupancy ?3 M-1 FEES Zornng PD R-i (Actual) Const Bldg. Permit 664.00 (Allowable) V N ? S3 ? Surcharge . # of Stories 56' Plan Review 432 • 00 length Depth 36' SAC,City 100•00 S.F. Total - SAC, MCWCC 600*? S.F. Footprinis - t W C 625.00 On 5ite Sewage _ a er onn On Site well Water Meter 90•00 MWCCSystem XX 30.? City Water X2C Acct. Oeposit PRV Required _ SNV Permit 30.00 Booster Pump - SiW Surcharge 1.00 Ttealmenl PI 2 52 • 00 ? APPROVALS Road Unit 355. ? Planner CouncYl Bldg. OK. Variance 'D 17465 f . Park Ded. Copies TOTAL 3,232.50 1 Permit No. Permit Holder Date Telephone # W$TER 3 ' PLUMBING ?/ G?"? ?Jr` • l? O nisk. H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footing5l lLg Foundation Framing Z - 7& gb ? Foofing Rough PIb9 ??"?C? z•jl 4'G? _C? Rough Htg. isui. c rd' 13 <<<- i?s fireplace Final Htg. ? Final Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr.?Plan Bldg. Final Deck Ftg. oeck Finai g - ?,s ?? Os weu %15ya u.byr,E Pr. Disp. t7?? r 1N?L ` ? ' . . ,, "., . . I? (9rr#i#tratr uf (Orrupariry titp of (tagan Mrparxrnpnf a# 3iidibing jwprtiun This Certificate issued pursuant to the requirements of Section 306 of 1l?e Uniform Building Code certifying that at the time of issuarsce this structure was in compliance with the various ordinances of tire City regulating building construction or use. For the following.• U. cjfi,,.6n. SF DWG?GA.R Bag. hrm,t No. 17465 .. o-„pe„y rype R3/AS 1 zo.j„g nistW PD/R I ryx c? VN '. o»ner or Buda;ng JEE bi[,tFR MM'S Addren 18133 iE1lAR AVE S. FAMCDUM Buil?? Aildrew 4352 IEERICN POINf MqqtityL ]6. B2, IEXIICICN POINIE 3ItD n,e: APRII. -23, 1990 : POST IN A CONSPICUOUS PLACE CONTRACT PRICE Site Address Lot Block _ m Name ? Addrg c City _ ? Name c Addre 03 Cih+ - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. ? Gas Piping Outlets # - • r-. ,r . _ . y,q r . . PERMIT # '. MECHANICAL PERMIT ? RECEIPT # ? CITY OF EAGAN -? ?•,• ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE PHONE: 454-8100 For Office Use Only: TYPE WORK DESCRIPTI BLDG . ON ? Sec/Sub . Res. New Mult Add-on Comm. Repair Other _ Phone FEES 00 RES HVAC 0-140 M BTU - $24 . . ADDITIONAL 50 M BTU - 6.00 Phone "- (RES. HVAC INCLUDES A/C ON NEW STRUCTION CO ) N GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1 50 EA . . COMM/IND FEE - 196 OF CONTiiACT FEE M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES I M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU $ MINIMUM COMMERCIAL FEE - 20.40 STATE SURCHARGE PER PERMIT - .50 CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES i BEYOND $1,000) ? FEE J. - ' SIGNATUFE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN , CITY OF EAGAN For Office Use Oniy PERMIT# Z -f-5 RECEIPT# 9e?'?/9CO DATE: _?. -4, ? 5; C2 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE PNONE 4548100 Site Ad jess BLDG. TY Lot & Blodc S u Res. Mult. 11Name Comm. - ? m _ , - _ , _ Other FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLUES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SUACHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $,000 OF PERMIT FEE) i 1. - Add-on Repair RE3. PLBG. ONLY - COIVAPLETE THE FOLLOWING: MOV FIXTURES W Cl 3 00 $ TO ater aset - $ . Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3 00 - . . Kitchen Sink - $3.00 UrinaUBidet - $3.00 ? Laundry Tray - $3.00 - ? Floor Drains - $1.50 - ? Water Heater - $1.50 ? Whirlpool - $3.00 v ? Gas Piping Outlets - $1.50 ? (MINIMUM -1 PER PERMM Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? ? Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: = ' STATES S/C: s GRANQ TOTAL: _? ??. ? ?i? l} I •. ,?c? ?g,.?,???? P?''?' ?`? v,?,??..` ? ! DATE: 1/30/91 BECEIPT: C11913 SITE ADDRESS 4352 LEXINGTON POINT PARKWAY Unit # Permit # 12 16 I L 16 B 2 SectJSub. LEXINGTON POINTE 3Rn DALE BOTSFORD(HOMEOWNER)-450-1868 INSPECTION INSPECTOR DATE COMMENTS , . _ ?K CITY OF EAGAN N2 17465 ,. -. -- 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 ?? ? S BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $107,000 Date- 1AN 96 , 79_99- Site Address 4352 LEXINGTON POINTE PKWY Lat 16 Block 2 Sec/SubLEXINGTON POINTE . OFFICE USE ONLV Parcel No. 3RD Occupancy R-3 M-1 FEFS PD R-1 Zoning W Name JOSEPH M MILLER CONST (Actual) Const V-t1 Bltlg. Permit 664.00 ; AddreSS 18133 CEDAR AVE S (Aliowable) V-N 53 5 0 0 .?ona? a 9 . City FARMINGfON Phone 431-2001 x ot smnes 56, Plan Review 432.00 Lenglh o Name SAME Depih 361 SAC Ctl ? 100.0 i Address S.F rotal , y 600 ? SAC,MCWCC .0 " CIIY PhOf12 S F. Footprints - water Conn 625.0 0 On Sne Sewage _ F ?w w Name On Site Well M W t t 90. o0 w AddreSS MWCCSystem ? er a e er qcet Deposit 30.00 aw Clty PhOnB Cny Waler ? 30 0 n PRV Requued _ SN? Permit . I herehy acknowlege that I have read this application and state ihal the Booster Pump - SiW Surcharge 1.00 inbrmation is correcl and agree b comply wrth all applicable Stale of Minnesota StaWtes an iry of Eagan Or ances. Treatment PI 959-0 Signature of Permite APPROVALS poad Umt 4 S S_ n(1 A Building Permit is issued to: -jj Planner - park oed on the express condrtion tha II work shall be tlone in accordance wrth all Cauncil applicable State of Minnesota Statutes and Cit y o f Eagan Ortlmances. Bldg. Oft Copies I ??? 1 ??? 1 BuildingOlficial ?41AfA i yyyyyy?I Vanance - TOTAL 3,232.50 . ? . ._ ? CASH RECEIPT CITY OF EAGAN ; 3630 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 D„E / 1- ?q ,o? i AMOt,NT : a oauws o c,AsH ? cHEac it .? -W ,;,( / (0/ ud vz Z:)•.._. Thank You C 6015 clm ??"co" 9/ /0/70(o =°' ?/ co a 6 187 ? Requast Date Fre No ough-in Inspection Re9mretl'+ / jXRsaOY Now ? Wdl NoL(y Inspector ?/ ? Yes ?i No Wnen Rea0y9 Viicensed contraaor ? owner hereby request inspection of above electncal work at: Jo0 nJOress (SVaet. Box or Route No ) Ciy S,z C i•rFa roN c N w • iV S ion NO Township Name or No. Raige No Counry C+ - OccupaM IPRINT) , Phone o. Power Suppl?er Atltlres4 Electncal GoMrac[ar (Company Name) Conlrecior5 License No Mailing AOtlTess onvactor or Owner MaWng Ins a?ion) ? 3 v /t' ,iY S,S ?/3 author nature ontro or/Owner Makmg InslallaLOn) PMne Number MINNESOTA STp E BOAFD OF EIECTPICITY THIS INSPECTION PEOUEST WILL NOT Grigge-Mltlway BWg. - floam 5113 BE ACCEPTED BY THE STATE BOARD 1821 Univeralty Ave., St Paul, MN 55100 UNLESS PflOPER INSPECTION FEE IS Phone1612) 862? ENCLOSED ?/?/S/ REQUEST FOR ELECTRICAI INSPECTION EB-00001-08 ? a, ? See instmcnons for canplenng this lorm on back of yellow copy M In? ?"X" Below Work Covered by This Request 667.87 e Adtl Re . ' TypeofBmldmg ApphancasWUed EqmpmentWired Home Range Temporary Service Duplez Water Heater Electnc Heatinq Apt. 8uilding Dryer Olher (Spacify) Comm./Industrial ' Furnace Farm Air Conditioner OUer (specAy) Comrador5 Remarks Compute Inspechon Fee Below: 8 Other Fee # ServiceEniranceSize Fee # Circuils/Feedera Fee Swimming Pool 0 ta 200 Amps 0 to 100 Amps TrensfOrmerS Above 200 _ Amps 10 Amps SignS Inapectorb Use Only 7p7pL .5-0 Irngalion Booms ??J • ov ? sp Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouan,ri Dete certiy that the above inspection has been made. F,nai oere ? OFFICE USE ONLY ? This repuesl voitl 18 months Irom o 98?5(1 G 3 3 715 ($' °° Raquest Date ? Fre No Rough-in Inspacfion Feqmratl7 - ow O Will NatityInspeaor Wh F d '+ ? Yes ? Na en y ea I[i licensed conUactor 0 owner hereby request mspection of above elecirical work at: Job A00 5?1t S?Veet' 6ax or Roule No J /? z ' L S Qty ? /? / L J J /!/[S ?OW f7, ??+' O Secoon No Township Name w No Ranqe No . Coun ,/ ?FQ7W t (PRINT) o °s?oA D Phon No SG - G? z. wer Supplier Atltlress nc ConV lor (Com ny Name) b D t4Itl S' a i+j CunVadorS Lrcense No. ailm dtlress ConVactor or er MIaki g Installation) z ?" 6w? - - AWhonzea aNre IConll ner n? PhonB `Numb(e/r ?? v / MIAESOTq STATE BOAPD ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Grlgge-MlCway Bltlg S173 BE ACCEPTED BV THE STNTE BOARD 1821 Unlversity Ave., 5t Veul, MN 5510J UNLESS PNOPER MSPECTION FEE IS Phane(612)60P-0B00 ENCLOSED Q1?? /Sv REQUESTFOR ELECTRICAL INSPECTION ee.ooam-m v? ( ? See instmclions br completing Ihis form on back oi yellow copy 70 C0 js 33715 "X" Below Work Covered by This Request ?4.w;+r/ ew AdQ Fep ^ TypeofBwltling AppliancesWVed EquipmenlWired Home Range Tempora?y Service Duplez Water Heater Electric Heatinq Apt Building Dryer Other (Specify) Comm.llndustrial Fumace Farm Av Condihoner Otner (specily) Conlr Ramarks Compute Inspecfion Fee 8elow: ? # Other Fee # ServiceEnlranceSize Fee # Circuits/Peeders Fae Swimmmg Pool 0[0 200 Amps 0 to 100 Amps Transtormer5 Above 200 _ Amps Abave 100 _ Amps SignS Inspecmr5 Use Only 7 TOTAL 9 Irngalion Booms ?• ? }?? Speciai Inspection Alarm/Communication THIS INSTALLATION MAY BE OROEHED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NTHS. ,/ I, the Eleclrical Inspector, hereby certify that the above inspection has been made R°°qn-in , ?, 1 oal o -? OFFICE USE ONLY , Ths repuest void 18 monIDS imm -- 0 6 4 7 9ZI6 /?2 Request Oate Fire o ugh-in InspecYion 2120190 e wretll ? ReaOy Now Will NoOty Inspector n R e ? ves ?NO en ea y Aicensed contractor ? owner hereby request inspection of above electrical work at: Job Atlaress (SVeet. Box or Rou[e No I Ciy 4352 Lezingfoa lointe P¢ickw¢y E¢y¢n SecOOn No iownship Name or N. Range No Counry !7¢kota OccupantlPRINT, Phone No- (?ii2ea Coaetaucfion Co. 431-2001 Powe: Supplier Atltlress Dakota Uectn.ic 7¢2mingfor+, l'1N 55024 Electr¢al Conlraclor (COmpany Name) ConVacforS License No 11-i.d2¢nd f2ect2ic Irzc. 049610 Mailing ntltlress IContractor or Owner Makinq Inslallabonl 94055 /z¢ad AUe So, Sui.te E. 13u2a 055337 Aut?onz re(ConhacmvOrmer Ma<in Insfailallon) ? Phone Numbei 8g2-6688 MINNESOTq STATE BOAqD OF ELECTflICITY THIS INSPEGTION qEQUEST WILL NOT Gtlggs-Mltlwey Bltlg. - Room S-173 BE ACCEPTEO 6V THE STATE BOARD 1821 Univerafly Ave , SI. Paul. MN 55104 UNLE55 PqOPER INSPECTION FEE IS Phone(81Y) 642-0B00 ENCLOSED. ?/?.??y p REQUEST FOR ELECTRICAL INSPECTION op See msVUCtronsior completing ihis lorm on back of yellow copy LJ 06479 "X" Below Work Covered by This Request EB-00001-07 ew Add Aep TypeofBuilding ApphancesWVed EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building \ Dryer Other (Specify) Comm.llndustnal Fumace Farm Air Condrtioner Oiher ppemfy) Controcior5 Remarks Compute /nspection Fee Below: # Other Fee S Service EntrenceSize Fee Jt Cvcuits/Peetlers Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps hanstormers Above 200 _ Amps Abo o Amps SignS inspector§ Use Oniy: ? TOTAL Irngation Booms SO Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby til th t Ih 6 h Roughan qe?. y cer a e a ove inspection as 6een made. F,nai oa? K? OFFICE USE ONLV This request voitl 18 months Irom S'-}-4 5?- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWCllon Reauirements • 3 regislered sde surveys showirg sq. ft. of lot, sq. R. of Iwuse; and all roofed areas (20% mazimum lof cove2ge allowed) . 2 copies of plan showing 6eam 6 window saes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted aker 7/7193 • Rim Joist Detail Optians seleCtion sheet (bldgs with 3 arless units) DATE Y 11L4 IG 2 RemodeVReoair Reauiremenls • 2 copies of plan u v? • 1 set of Errergy Calculatiore tor healed additions • 1 site survey forezterior additians 8 decks • IMkale if hane served by septic sysfem for addNOns dU VALUATION 6000 SITE ADDRESS 1-135 a l2X1na7 2n 0'/ ' ?A(/ MULTI-FAMILY BLDG _Y _N T TYPE OP WORK e- c)o FIREPLACE(S) _ 0_ 1 _ 2 T APPLICANT STREEf ADDRESS AUe Iv . - CITY ( vrwK STATE_ZIP TELEPHONE # CELL PHONE #n I a.'G -?IOy FAX # PROPERTY OWNER 2) 07-6 E C) C0( TELEPHONE # COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • ResidenUal Ven6lation Category 1 Worksheet Submitted • Ne ubri • Energy Envelope Calculations Submitted ? D ?I 1 4 2002 ?J Plumbing Contractor: Plumbing system includcs: Mechanical Conhactor. Mechanical system includes: Sewer/Water Contractor: Air Conditioning Hea1 Recovery System Phone # Phone # Fcc: $90.00 Fcc: $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 Ordina?. Signature of Applicant ? - OFFICE USE ONLY Water Softener Water Heater _ No. of Baths _ Phone # . Iawii Sprinkler No. of R.I.13aths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4I02 1 rAW • ' lqcQ 0 A98q'SQILDING PEHMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 I dI (16 *5 INCLUDE 2 SETS OF Pf.ANS, 3 CERTIFICATES OF SURVEY, 1 5ET OF ENERGY CALCULATIONS NOTE: ADDRFSSFS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNHR M03T DESIGN9TE WHICH ADDRESS IS DESIRED. NO CH9NGFS WILL BE ALLOWED ONCE BIIILDING PERMIT I3 ISSDED. MITLTIPLE DiIELLINGS RENT9L ONIT3 FOR SALE iTNIT3 t OF iJNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WZTH BLDG. DEPT., t SET OF ENERGY CALCULATIONS COMA4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?AN 2 j RECO To Be Used For: 'zf 1t lValuation: ??--? Date: '" %(? Site Address 4!S::) .f(/L1/Y Lot 1(10 Bloek Parcel/Sub Owner Address City/Zip Code Phone Contracto t L? Address ?ll r D ( City/Zip Code /07.oco? Oecupaney 93 M _i Zoning P'D R - I Aetual Const Allowable ?F of storie Length Depth S.F. Total Footprint S. On site sew On site wel MWCC System V City water PRV required Booster Pum // APPROVALS Phone '7? Planner Couneil Areh./Engr. Bldg. Off. Varianee Address Council City/Zip Code Phone S F6F3 V" N Bldg. Permit ?y.DO v- N Sureharge 5?O s ?2 3 ?o F. age_ 1 ? P _ ?ZAJ S 9' ? Plan Review .00 SAC, City UL O.OO SAC, MWCC •00 Water Conn D0 G251 Water Meter 90,? Aect. Deposit 3c?,a0 S/W Permit 90,00 S/W Sureharge 1.00 Treatment Pl. ?52, DO Road Unit 355.OD Park Ded. Copies TOTAL 4 3 .?1 NOTE: Sewer & Water Permit fees and aocount deposit fees will be included in the building permit fee. Processing time for sexer and xater permits is two days once a liaensed plumber has applied Por a permit at City Hall. vw, VA L? L( A-Ci o4 x22 ? 14 914 X /,5 _ r) 2 w GS+'hT, ?"s x 3y = s5m o ? (00 3xiy ? 14 ?- 952 K ?y = I 3325 ?IornS?' ? ISt F4e?? 6sm-r -? P 2X?? Iz. ?3/a? - Z ND i..0a?K 3N %c2S`c- i 4 ?c 7 -.=- 9-S'o 1D ..?--- ?6o xSo='7`3000 -.---- 106 6?? I TF21-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MINNESOTA 55126 CERTIFICATE OF SURVEY FOR: MILLER CONSTRUCTION LEG,4L DESCRIPTION: LOT j6 9 BLOCK-2-, LEXINGTON POINTE 3r4 ADD, ACCORDING TO THE RECORDED PLAT SCALE; I'*=30' THEREOF DAKOTA COUNTY,MINNESOTA LEXINGTON POINTE PARKWAY m ? ? qp' 0. ?. i 9?>?=5°23'19" R=840.00 79 I ? O N.Y. p q 7 ?pt0 o I O I P? p N O N ? ? ? m py 15.4w ?--- ?9a32) d^ q?o.s? ?R.FIDO(? 6Pot. FfooP- °?a " A ? 982.62 qBZ.53 k5 j I!. r.7 L7? ? ?.Z 0( N V IO-?o ?D I 12. 1`1 "P 5 W I ? b qi q ? )'oy? 5 LOT 16 M LC)T 1,5 1?-"RNIryqGE g UTILI7Y E ?? - ? A?SEMENT N N85000'06"W 91.31 .s ? FIE ? ?? ? ? V11 .?rGI2dL:?FING LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ?- DENOTES DRAINAGE DIRECTION I henby csrtity fhat ihis aurvey,plan or rsport was prepcred by me or undar my direct supervision and fhat I am a duly Reyistered Land Surveyor undsr fhs Laws of the State of Minnesota. ? DEPT i PROPOSED FULL BASEMENT - NO WALKOUT INVERT ELEVATION AT SERVICE EX'(ENSION= PROPOSED GARAGE FLOOR ELEVATION = yg3 ? PROPOSED FIRS7 FLOOR ELEVATION= PROPOSED BASEMENT FLOOR ' ?75 Z ELEVATION NOTE ' VERIFY ALL FLOOR HtIGHTS WITH FINAL HOUSE PLANS /3 ???- ?.r--?------_ Bradley J. S enson, Mn. Rey. No. 15235 Date ! 1 /? - i D N121/4 MINNESOTA STATE ENERGY CODE CAICULATI0N5 BASEU ON CHAPTER 5 OF THE oQ r MODEL ENERGY CODE - 1983 EUITION Adoption Effective 1/1/ ? ,7r- ?1,NNA? . n ? Owner Slte Address Contractor Phone Date 3;e5] A D8 A) . Phone Building Class(fication: Type 111 (Single Family G Duplex) Type A2(Residential) (3 stories or less NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories) GENERAL INFORMATION 1. Bufiding Perime[er x ft. , 2. Wall heigh[ (ground to eave)/\ f[. ' 2• 3. 1, x 2. (above) gross wall area 1i,J 4 L? ft. 4. Building dimensions (L) X(W) =?ft.Z roof 6 floor area 5• Square foot area of rim joist - Floor joist size (2 x 0 ? ) ??"I X Perimeter - Rim joist area ftZ 12 6 Doors - Area a 9 Thickness in Type of Construction - Manufacturer 7. Total door's perimeter ft. - ft. 8. Windows: Manufacturer ?i State aPProved U factor TYPE S12E AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS 9. Total ft.2 Glass Io 10. Fireplace area: Width X height = X = Ft.2 11. Exposed foundation: Neight X Perimeter 0 (p / X ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL NE CONSTRUCTIOPJ, PIl1JOR REMO ELING AND BUILDINGS BE htOVED WHERE EPJERGY, OTHER THAN THE P11N111AL CODE ALL04lANCE, IS USEO. U factor?? Perimeter Framing area = 10% of gross wall area. ' Gross wall area . ? WindoYi area A ft.2 kim joist area A (r ?! ft.Z 2 Door area A ?'jft. (7O - ... Z ,JjC1pZWe area A J'a ft. Exposed foundation A ft.2 Framing area A e/,_12- ft.2 Net wall area A -ft. 1.2 13 74&`/,--50q ft.Z U windoYis = •?? U x A = P'00 U rim joist = ,0 U x A = R,lolo U door area = / 14 U x A =IAZ U fireplace = ,4 7 U x A =Iv,45 U foundation U x A =?, flD U framing area =•?? U x A = ZZ.Z?7 U wall U x A ? ? (138) 70TAL . . . . . . . . . . U x A ° Z 'l&t s 14. Gross wall area x 0.11 (A-1 single family & duolex = al'lowable U x A/Code (13. above) • x 0.23 (A-2 other residential) x .23 (Other buildings) x .23 (Over 3 stories) BTUN Must 6e larger thai q x U Code.. z5 , D-°F. .13B above 15. Ceiling framing area (Af) equals 10% of ceiling area ? or the same as) / 2 15A. Gross ceiling area =(L) x(W) ft. 156 Joist area (Af) = 10"n ceiling area = ft.2 15C. Net ceilin9 area (Ac) (15A - 158) = jia ? ft.2 U ceiling x A C_ ?011-4 x U framing x A p= i0 "7 x_?L- 15D. TOTAL U x A ........................................ ? . O 16. Ceiling area (15A) x 0.026 (A-1 single `amily 5 duplex - code allowable U x A x 0.033 (9-2 other residential) x 0.06 (other) ? BTUH 14ust be larger than •150 (above) p(15.q) ?i -4 W x U(codel = ?J.p 2 OF (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and tha[ the bullding here descrlbed m eets or exceeds th e State of Minnesota Energy Conservat ion Act. te Signature ?. ? w VgA7 • i 8'. 23x Z?v C?'-oss Gvlk?L ,5, AX M _ k)-7,4xf,d ll ? ? 3g _ I(ep u,-?x?g ? x l? V J =6X4 ?7 4)<4 8 11I 3 x 11 33 --. ax3? ,J 11 ? k ? = zl w•?x?g I I z?. ZZ ?, . 3 o2w/su 3z ', Z ?Ae, pr? 21 ci? v rn r . ; _. U Y71WL I.HLI,ULN11UIl.) WALL 5EC]ION Y •? 51'UD SECfION SECT1oN. RiM JOIST R YALUE U VALUE Inalde air Eilm .68 ' Intertoc wall .45 (Nall) U . ? + Insuletlon Shcathing Z'00 Slding - (Ai Outslde air Ellm 17 R TOtAL Z3- 03 10'I3, Inslde air fllm .68 lntertoc M3IL :?j #* stud R= A:::34 0057 (Ftaming)U: ? . Shea[hing , ?10(jo Slding •? 7 ? ?? . ?-- Outside air Elln .1I s totAL Inside e!t Eilm R= ,68 Intertor ++all Ine:la[ton (Nall ) U + R • ji1 z t?? , I? Exterlor ?+'1II co Extetlor air ftlm R e.l) R TO?AL Interior air Itlm R= .68 Insulatlon t? Inch soEt wood R-1.88 (?ajst) U•?_ Slieatlilng 7-0 ? 1 d? I --/ Exterlor vall covrrtng 4?1 Ex[ettar air kLlm R= ,)] , K TOtAL z? ? 40 Lntetlor air Elln R= .68 [nsulntlon 11'0d FodnJa[lon ?? ZD E:c:etlor air tiln R= .17 F TO?AL 1'b 4 I 3 -Exposed Bluck ?. \\'-g r a d e ? (Fdn.) U ? A = 3. tOZ(o ,-_ • CElltllf gITH YEIITEU ATTIC SPACE ABOYE . . R vTILUE R GIILUE - FRAM(IIG . `I CE[LING ? 0.61 Air Film 0.61 lnsulatlon ? . 00 ' . Joist Ceiling FLAT ROOF OR CATIIEURAL CEIL[NG ' R'Yalue R 'lALUE FRAIiItIG CEILiIIG 0.61 0.17 Inside a1r f11m 0.61 Ceilina Joist (stud) InsulaNon Air space "- Roof decking InsulaHon Oullt-up raoF outside A1r film 0.17 Total R ? U R ? - 41ndow Inflltration 5 cfm/lineal foot of crack ' tesldential door 1nf11tration 0.5 cfm/square foot ar door and minlmum code requlrement ; •lon-resldential door inflltration 11.0 cfm/11nea1 'foot of crack , 0.61 Z•?b • i OZ3 Air F11m 0.61 Tota) R 1 ?- if ' ?oZZ Jb 12N concrete block no {nsulation =.47 R ' 2.1 16 124 toncrete block insulated cores =.26 R 3.8 Jb - 12" 1lghtwelght block =.32 R 3.1 , Jb 12" 1lghtweigiit 61ock lnsulated'cores - :12 R 8.3 • 1 31ngfi glass = 1.13; with storm tvlndow .54 ^ • 1 double glass = .55 J trlple glass = .41 , 41) exEprlor walls and ceilings must have a vapor 6arrier (0.10 perm max.)+ , lapor barrier must 6e on the lnside (heated side) of rrall+ Iapor barriers of the polyethelene thin film have no R value. . ' 1 4. I . ? . , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 mwZNmEw FOR CITY USE ONLY PERMIT RECEIPT # I? DATE: R$S?DES?TTAmI;;: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINCLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON 4sm-6• t REPAIR (? )-/nr5/? OWNER NAME: 1Jm E `t- -T:7>?'l5 ro 2b SITE ADDRESS: L1352 I-cXlNG7aN -?'i'E ??rwv LOT: A BIACK -.e-, SUBD. INSTALLER: ?-a?' ?? ? ?/1%EDu'//E? ADDRESS: CITY: A' ZIP: sslIg COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAo ADD-ON MINIMUM 15.00 _ SHOWER 3.00 _ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMI7M - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 o% SUBTOTAL S 1,5 ST. SURCHARGE .50 % TOTAL: S 1,5 CQ?JMERGZAL AI:: PLEASE COHPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _______________________________ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAPI FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) ^-f r U-/ fi'6q 4it ff 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS ?2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS # OF RENTAL UNITS # OF FOR SALE UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. T,e-se me N -)' To Be Used For: N(LSaaxf Valuation: Site Address 43.j2, 1.Efiu6hN A,Z42 EKwlI Lot 1? Block 2 Parcel/Sub L-vXlo(r'fON 9DIPip? 3PaQ LV pa'N ? .? ? Owner ? ? Address 43.i 2 47KIMGTON pC+xk City/Zip Code VA44t-'? 55123-F?3/ Phone (612) y5-6- 963? Contractor -Si¢fl•ae Address City/Zip Code Phone Arch./Engr. 51"'e Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F i f }) U ° ' J U L 0 3 RECO ?Qa c Date: lti 3 ]yq0 OFFICE USE ONLY On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPRDVALS Planner _ Council Bldg. Off. 50/3 Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL CITY OF EAGAN 3830 PIIAT &NOB ROAD EACAN, iIN 55122 PHONE: (612) 454-8100 WMNI?Pi,??? SID$$T'A'xF?i: ? ......::.....::..::... . .. FOR CITY USE ONLY PERMIT # RECEIPT # O O DATE: ? 7 g PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR _ OWNER NAME: lo9 It'. LSOTS FD42 1) SITE ADDRESS: 425A leX.'nalU» A:n't 494"LI7 LOT : lb BIACK Z SUBD .--?. INSTALLER: YAj?m;na4an PlNM&nS N treA4j-l?4 ADDRESS: o-Vl?.jV Oh; VPpn A41e AUe, LJ. CITY: }'42millQtol'l ZIP: .SSD?2? PHONE #: `y.2y ?en _1(CD ('eelG/,.. FEES ADD-ON MINIMUM $15.001-- HVAC 0-100 M STU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUSTOTAL: $ L5Zo-'6 STATE SURCHARGE: .50 TOTAL: $ ?S, SD / ?.2 GNAT R^ F PERMITTEE ?/ cz. o0 COMM?R?.TAT.f?IVDU5`!`1?TA?i;? PLEASE COMPLETE THIS PORTION FOR ALL C0HASERCIAL/ZNDUSTRIAL BUILDINGS, ,..: .... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WkIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. CONTRACT PRICE: OWNER NAME: SSTE ?,nARESS: --- ---,-,•--- LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH 51,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 1991 B ING PERMIT APPL TION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIP DWELLINGS COMMER AL ?2 SETS OF PLANS 2 SETS OF 2 SETS OF CHITECTURAL ?3 REGISTERED SITE SURVEYS REGISTERED E SURVEYS - & STRUC PIANS 1 SET OF ENERGY CALCULATIONS (CAECK WI LDG. DEPT.) 1 SET OF ECIFICATIONS 1 ET 0 ENERGY CALCULATIONS 1 S T OF ENERGY CALCS # F RENT UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WliICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL gE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. -DTo Be Used For. ?G ? ` Valuation: - ?' Date: 7? ?¢I Site Address q351 ?xrryyCw ?'?P P? Lot I ? Block Z Parcel/Sub e4' Owner `I),dP F, *40i0 Address q ?SZ LCv[INCL„; t' E4_ P ? City/Zip Code ???(?J , ?A13 5512 3 Phone ?. 4 4;6 '5 63 Z Contractor Address City/Zip Code Phone Arch./Engr. KA Yi`e Address City/Zip Code Phone # IISE ONLY FEES 00 -;d' Occupancy Bldg. Permit ' Zoning Surcharge ?.ra Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. ' City water Trail Ded. PRV Copies Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL •da Bldg. 0£f. Variance agrees that all work shall be done in accordance with (Signature of Cont actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. .-LAND C0. SURVEYING SERVlCES 1875 PLAZA DRIVE EAGAN, MINNESOTA 55126 CERTIFICATE OF SURVEY FOR: MILLER CONSTRUCTION LEGAL DESCRIPTION: LOT & ,BLOCK-2-, LEXINGTON POINTE 3rd ADD, ACCORDING 70 THE RECORDED PLAT SCALE:I"=30' THEREOF DAKOTA COUNTY,MINNESOTA LEXINGTON m Y^ PO{NTE PARKWAY ? =5°23'19" R=gA ?? o w... 7 ? ? K) ? Gl ? 6nR. Fj oop. a q82.53 '^5 s' i!. (.7 OI N ?xOpos6v `, NevsG ti ? lT ?r,7 ?L t - 0 ? 0 o N 0 m M ?, 1 ? a ?F ? 0.6 ? Sn ?R. FIDOR y g2. L2 4A"'? , n. ? ?' 983. ) 30? D?c?C w ?sb.1 q ? xuw L ? ?}?` I ? ? LOI? 16 M LC)T ?5 ?% - ? N85°00'06"W LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SP07 ELEVATION ? DENOTES DRAINAGE DIRECTION I henby carti}y ihat this survey,plan or report was prepored by me or under my direct suparvision and that I am a duly Reqistered Land Surveyor undsr ths Laws of the Stote ot MinnesoTa. 91.31 3 ? L .?.., ? ? . _ ._._ - r t.rai; 1.4 FmY ? (A: L? ? D F.<T I IN ?ERT EDLEV TIONAA? SERVICE EX fENSIOON PROPOSED GARAGE F1.00R ELEVATION = ? PROPOSED FIRS7 FLOOR EI.EVATION = PROPOSEDBASEMENT FLOOR ELEVATION NOTE ' VERIFY ALL FLOOR HtIGHTS WITH FINAL HOUSE PLANS ?1d---- Bradley J. S enson, Mn. Req. No. 15235 Dote ?/-/,; - ?6 Use BLUE or BLACK Ink r For Office Use I I City O1 Lrlna i n Permit E ~ ~ ~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Q~n I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 Unit Name: ~_rlnt ~lszil.~ Phone: { Resident/ Owner Address / City / Zip: z,S ' Applicant is: Owner -Lzcontractor Type of Work Description of work: Construction Cost: ~g Multi-Family Building: (Yes / No Compa Contact: Je i t Contractor Address: to City: State: Zip: !9'~/2.~ Phone: qS " I-(Z 77 1 License #:TG (o s 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: w~. , .u 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.gooherstateonecall.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 m e completed within 180 days of permit issuance. c 1 ` r x tC " j2Z( '/t 1 e( x 7 A Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137356 Date Issued:06/29/2016 Permit Category:ePermit Site Address: 4352 Lex Pointe Pkwy Lot:16 Block: 2 Addition: Lexington Pointe 3rd PID:10-45072-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Obsa Abdi 4352 Lex Pointe Pkwy Eagan MN 55123 (651) 808-3355 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137600 Date Issued:07/12/2016 Permit Category:ePermit Site Address: 4352 Lex Pointe Pkwy Lot:16 Block: 2 Addition: Lexington Pointe 3rd PID:10-45072-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Obsa Abdi 4352 Lex Pointe Pkwy Eagan MN 55123 (651) 808-3355 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature