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4139 Lexington Way Use BLUE or BLACK Ink F F - or - O-ffi-c-U-se I e ~y Permit* e~~ I I City of EaVan Permit Fee: 3830 Pilot Knob Road Q , I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 i staff: (J_LD I Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ° 0 Site Address: (3 1 UK~ ~hA. 1^-~~Y , ~ 5.SJZ -1 Tenant: Suite RESIDENT / OWNER Name: Pee p` RctMSPhone: 6 7l' / np, Address / City / Zip: 32r0 9G ? Applicant is: x_ Owner Contractor TYPE OF WORK Description of work: b O wwm - ~ra.r.e 1~•,. "~'r^ .t- Dpi Construction Cost: -74 D So Multi-Family Building: (Yes / CONTRACTOR Name: &49- a,y ocw,., 9 0,, &c4LSL License Address: City: State: Zip: Phone: Contact: Email: 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.aopherstateonecall.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 pla s. x x Applicant's Printed Name Applicant's Signature Page 1 of 2 Pe le-- 94 #mJ~ DO NOT WRITE BELOW"fHIS LINE CA -S-UB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration - Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant - DESCRIPTION Valuation 7"/ 0*6 Occupancy MCES System Plan Review Code Edition 6V SAC Units (25%_ 100%-Le" Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings- Length Fire Sprinklers Type of Construction -/j Width i REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector 44 V woo RESIDENTIAL FE KS Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: ??0 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: -4139 1. to r:ttJl1 t I r1N n.:14 PERIIAIT SUBTYPE: TYPE OF WORK: 34H.1 INSPECTION .. . .A -1 J Permit Hoider Date Telephone # SEWER/ WATER PLUMBING 5' / yr 33'771-7 HVAC inspeotion Date Insp. Comments FOOTINGS 6 V40 . FOUND y / FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATWG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OASAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL CTTY UF E.AG,AN (:;A'iFi:CEfia ,, TI':fiMINAL NDe 7E12 PA7Es 22l07/98 1'IMF:a 0.42103 Tlta ru,rr_: r.,.EoF.r.,e: c nnURF_FC C0iN3T INC 2256 9001 4:139 I...E.XTNGTtlN 5,086.46 Tot,a7. Rereipt Aincxtn+,: SyOo[,.4t r.R10033i. UTEf: '1p; NANCY Y?t1XyF>k?F?Y,t:f yF3F*%?%k 'M 'M%K7F'?C 'M7k>Y?lk 'MXt$:a<?(tit%F?;:Yn>K*1X*?kJXik ? CJTY-AF EAGAN PERMIT 3830 Pnot Knob Road PERMIT TYPE: BPermft Number. U'CI.pIP!6 Eagan, Minnesota 55122-1897 03 41 61 (651)68i-4675 Datelssued. 12 107 j98 SITE ADDRESS: 4139 LEXINGTOiI WAy LOl`> u: tSLCiCh:: 1 h'0>: i=C1ftES'i f4DI77T.[qN P<I,N,a 10-2i'475-020-01 DESCRIPTION: sL,1?idi.nAqrmit rvpe sr owG 8011d.{ng WQJ;-Type NEbJ bC QCCUparrcv ".. R-u Construetiean Typt. V5 ,l Zaning i' auiid'znq i.enqth 57 ? BuiidS.ng Width ? 40 stories : -fi. Code - AJar?1 L- r=,ar?. otrflr.FI ?ti?? \ 1 l ?a •_?'? ?L9t` :i F,,"?`^? n; _.?t"`?r_ .....?r ?`::'-j --? ?...".U,°.,_; ?Zd t L REMARKS: PLA61 F?tV+'CEWED :7 fi DJ PI.UMIER FEE SUMMARY: i3Y t:RflIG Nt'1VAi,ZYh:. TS VALUATT,pN Fasn 1=ee F'lari Rrv,iek,, Surcharge SAC 9F1C ? 9AC Un1s.:s Subtotal 5.1.,q47.1!S $94@.71 $106.00 $ 'L,N0 0.00 100 1 - 3.49 3.96 $?i;?.Ulm0 trISC. FEF.,; ---'---' ------------- ToCat Pera ?6„?86.46 CONTRACTOR: _Apoi;ca„-, t_ -- , i ? 1, T c OWNER: rrAurzEP coNsr c,vc, sr_Or,GE 189489e4 0003315 rF:oRre mauHER corvsrrUcTZaN 204 W TRAVEI.GRS 7R 15 201 W. TF2,QVELER5 l'f. BURNaVCLI.C MN 56337 BlJ14iVS11TLLE mN 55337 1 6?121 89A-8904 (67.21894--8904 I herebv acknowkedqe Chat T fra+sa read trtzs informaCa.on i.s correct arrd agree tq r:4mply 4 tutew ar?d L"i?y at Ea?dr? L- Qrdinarices. RMITEE SIGN appl.zcati,ran attd state that Ghe aLCl a11 apPlicable State ofi Mn. SUEO BY SIGNA URE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ctTSr oF EAawx ? L-I?' 1, (o 1 3930 rnar ?roB xn - ssiza g? y? esi.ab7s cc?Q.?Arg ( a - ?- 9e? New Construction Reauirements RemodaVReoair Reauirements ? 3 registsrod aite surveys ? 2 mpies of plans (inUude beam 6 window s¢es; poured fiC. design; etc.) ? 1 energy calwlations ? 3 copies of iree proaervation plan H bt platted after 7/1/93 %Wired; _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: '!Jf,y) ??? ? Phone# I.ast ?? ?I(? ?iL? F'ust ?. LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHI7'ECT/ ENGINEER Street Address:I U 1 r'7 7Rt'JP ) L-j`?,`h l UX.hC I SP:V 1 1 I c'q' E. stau: N zip: ne tl"? NC`'- License # I ? 1 ?5 City ?1q,3?V ca? Shte: mw_ Zip: Name: Registration #: ? 2 coviea or wae ? 2 ske surveys (extenor additiona & deeks) ? 7 energy akulations for heated additions Phone #: Az= 6-Cl, Street Ciry State: Zip: Sewer & water licensed plumber (new construcdon ony : 1 S . Penalry applies when address chang and bt change is requested once permit is issued. . 7 ?ZI ?7 I hereby acknowledge that I have read this appiication and sfate that into ' n Is c? and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. e ( m1)-X Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) • ' CITY OF EAGAN ' 514 I r I 3830 PII.OT KN?OB RD - 55122 lo ?e }o 681 New Construdion Reauirements ? 3 registeted sde survays ? 2 copies ot pians (inGude beam d window sizes; poured Pnd. tlesign; etc.) ? 1 energy calculations ? 3 copies ottree preservation plan rf lot platted aRer 711/93 reqyireq: _Yesl- No _ 1 DATE: !vv yvl ??dl'^ L. DESCRIPTION OF WORK: (5) STREETADDRESS: `i ?3a LOT: 2- BLOCK: ` LU- firnrr%i Le? I ng ?o COST; MO- ) 000 SUBD./P.I.D. #: Narne: I r"" 'V ? ad Ve PROPERTY Lasi F. oWNER ?2?1 ? Street A ess: City rYyOv1 V Company: 4Y Q CONTRACTOR a Street Address: 121119 , d ? Cicy dJvY?r`BV1 ARCHITECT/ ENGINEER ComQany: Name: Stree[ Address: Phone #: Rcgistration #: City State: Zip: ? Sewer 8 water ficensed plumber (new construction only):?VY?? Penaity applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is co ect and agree to comply with all applicabl State of Minnesota Statutes and City, of Eagan Ordinances. T Signature of Applicant: ? OFFICE U7'Yes LY RECEIVED Certificates of Survey Received N NO U 2 7 1998 Tree Preservation Plan Received - Yes ` Nat Required $}(';94- State: _ _1=,1 Zip: J??3I RemodeVRaoair Reawrements( a? 't ? ? 2 copies of plan ? 2 site surveys (exterior ad e ons 8 decks) ? 1 energy wlculations fa eated addidcns Phone #: ?"I2 . 6110 . ? 123 4 Stale: / " An a tO{'\ Zip: ?331 ?nJ2 • '?q9' (A23 L:cense # OFFICE USE ONLY BUILDING PERMIT TYPE ? 1 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE >K31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) S- "' Basement sq. ft. ?99 MC/WS System (Allowable) 5'At-Main level sq. °"? ft. o°) City Water UBC Occupancy ? - - irl? sq. 2 ft. Fire Sprinklered Zoning T 1 akeAZ,t-sq. ft. D PRV # of Stories 'Y sq. ft. Booster Pump Length 5 7 sq. ft. Census Code. o/ Depth , L v Footprint sq. ft. SAC Code a] Census Bldg Census Unit APPROVALS ' Planning Building ? En gineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI: ti -7?a-S (.-0O '-I b. -t 1 tnvn_oo Valuation: 2o9?i x r?; 2cxi? x s? ? y? qo?x?6= ( g 2I1, ?.{ z7 °"" 3 r, ?-e s- /13, 346 51] 1 !o L/ 141 43 2--- /S,9l,;L .'s-0 % SAC SAC Units Page 1 ECTERIOR ENVELOPE AVERACE "U" COHPUiATION Wner 11a' `A`^d I PvAty Address'711U fifdoAIL a• 't'rh-wIlk?one AZ- V"' .(/I1-4 (,egal Descripcion of Property: Loc 2 Block I AddiCion Tor "?W+ Date Site Address lo1 _LV)??nApl 6N _I Lxm AVER4CE LINEAL FEET Or E\POSED 4ALL AREA ABOVE GRADE PERHIi N0. iq. o S. S& l o?. 02 Maio lcvel 18L1.33 8•0 I41 L4 L04 Lineal ft. of Eramed wall above grade 21?5.ox heigh[ of wall ?. O 1 1• O Rim jois[ area D ?? 22 Lineal ft. af rim q1 (?. 33 x height oE rim ?• ? JJ Lover 1eve1 Oti1 ??1G?- s 3?? Lineal ft. of Eramed wall aCove grade x height of wall Linezl ft. of masonry wall above grade v x height above grade e?t.l T?AGIL ° TOTAL wall area abave grade including vindavs and doors ?L WIhDOI:S: Area x "C" value 0 x??U•• ?L)(A) F[ A Tlake S CyPe ., . . ft. O X .?U.. (U)?A) ? .. Fc.x ?u(0)(n) sq: f t. La x U.. _ (ti) (n) - „ . (C)(n) ec 32 22., x „?. (u) (n) ,• fc. IG.CsCa X "U•• (tt)(n) fc. 3 OCD x "U.. (L)(A) sq. fc.x ..U-, (l)(A) , . sq f[. x .?.(l:)?A) . . fc. x ..?.. (U) (A) (U) (A) fc. 'aG'l X .U(L)(A) ., Ec. ?j?x U?(lt) (A) ft. x ..U.(L)(A) ., fc. 4 .D x „?,? _ ?L•)(A) . x aU?? ?L')?AJ f[. f- (o J LQ .. „ . _ - _ fc.-'Lt'J.? 56 X ,?. (c)(A) ? 294.3`lcv l°15.Cn1 .3l DOORS: Area x "U" value 3D FKEI?IG-? sa. k 5 N ei. 40.03 x"U" a e cype , • 3 0 ?ERV? 2 sq. fc. 40.02, xu• ,Oq °'? (oD2 (u)(n) ?? 3 o sq. fe.? .e71 x"U?-a I, 9?G1 (u)(n) sq. fc. x CU)(A) -T " " ??•? zs.u3 value li OPAQUE G7ALL CONSTRUCTION; Area x FRAlED WALL ([o[al area less opening, framing Qembers in De[ail :e£er- yall, rim }015[ area 6 masonry) en<e from 2DOI C)-7S (U) (A) ft sQ. actached Framine members in wall sq, . ft. x"U" .II ° N?.?gLo (11)(A) sheets Rim ioist area s4• sq ft• L°- 3 x 1u ? 1=-6 '43[0 (`''(A) Ec. u S8 °li" • Ie4:' (U)(A) . Hasonrv area eAovP eradP 3995 01 22.51 TOTAL Wall Area IncluAln R ID3 TOTAL (U)(A) 5 Gindovs 6 DooCS . ratnL (u) cA> vnwes 514, (i = nvc. ^0° •? DLVIDED SY i01'A6 RALL AREA AVERAGE "U" ltinimum .11 or less for 1 S 2 family dvellings Yinimum .23 or less for all ocher buildings NOTE: Zf averaRe "U" values as calculaced above do noc meec [he EnerRV Code reauirements, the "Alerna[e Envelope DeslFn" as indica[ed on Page 5 may be used. wcc)n cC (??. E?t- k a. ? = s51 I I Za x S.-I : Ic-pS. 3 -I S3 . D-I Z? 'Ff-cr? klbI45 GGM 20[04 - 2W l?i • 34 GGM ?(e0 - ZW C?^?- - ?Ia.GY.7 ?c.r? z8c.4 - 3W Z`l,ol cc-r-? GGF1 Zgt?} - 3 W 2.°I . o i " - ° GGM ZSCaQ 1. Co l 4 33 ccnq za3z , ea,.? N zaao -aw `t,oo GGH - Z&'7 2 - ?vl*? 33.G?0 C?n3. 14p)/2 = 4s.82 l I"I,c? xl.o = Il?.?, (t?.zSx4?l,?2 = 40.54 (?'I,33k4•l)(2- 40.s4 2o . S& ?1 . ? Page 2 . i7ALL SECTIO`!S •NOTE:• UsC LOZ of opaquc vall area ' for framinq members ft-Velue FRAHINC riET!BEftS ZN l2ALLS Tap View Exceriar air fiLm '17 ,.?? ?f ?li!'/',G • 20 ??j Sheathing SOEC YOC•d lt"„dry vall .45 ? .66 ?In[eriot air film V v I ? _. !A TOTAL R - 8•?7 U=1/A U= .II FRAitEi1 NALL Sheaching Exteriar air film •17 Siding ?10 6acc Snsulation 19.0 .45 L," dtv wa11 .68 Ineerioi air film . 5l Shea[hin 1.88 -??-? 1 " sofc wQod M -o? - In .68 Interior air film ---?- TOTAT R 21 'v1 U = 1/R U - _ • Dil RIM iOIST ARE> Exceriar air film •? Siding . •-- U = 1/R = ?S TCTAL P. u • ?? HASONRY {7ALL .17 ?---- Ex[ezior ai[ £ilm 12" <onueee block I "- Insulation Interior air film 68 TDSAL A „ e „o • - a ?04 PaRe 3 POO° CF.ILING Oucside air film .61 Znsula[ion 1* D ?" Drywall .45 Incerior air film _ .61 TOTAL A - ???, U - 1/R U - •O ._.__ .. .'__ . ? Outside air film .61 Insulation .45 15" Drycrall Incerior air fiim U - 1/R Outside air film - .61 TOTAL R ? U = .17 BuiltyPsnnfinr .33 Insula[ian ? l#aod decking ? Interior air film .61 TOTAL v ? ? i U?1/R U? ROOF/CCILING: TOTAL AREA: " " sq? ft• x sq f[. (ll) (A) ?O rence E IS7 PLR+. U . O (U)(A) e Decail re NO P?'?.• 7 Qx •?? ,?- s 9• f[. 133?. - (U) (A) from above. Describe openings + ,. „ sq. s fc. f[ (U) (A) v roof i U x q. . ?????A? ? ..Ull x sq. f[. CU)(A) ?. x sq. fc. (U)(A) sq. Ec. ZOTALS fc. ?• ?! ?^ (U) (A) TOTAL (U) (A) VALl7ES A?L7A./? ` o Oq1? Avr. ••V•• ULVIDEO BY TOTAL FOQF/ `Ti•/s?f nN Iiv CEZLLNC: ARFA WII AVEWGE "U" .02 For vencilaced roofs 033 for all ocher <onscruc[ion _ ced ahove do not meet che Enp.ergy Code requirements, the YOiE: if average "U" values as calcula "Alcerna[e Envelope ?esign" as indicated on Page 5 may 6e used. Page 4 ? ;?Ii.. A 7.5 Slah on grade Extexior air film •92 4" olyvood S 3F" par[icle board ,66 Insulation In[erior air film .92 R - U - 1/R u ° Insul:.cion shall have a cinimuc R-Value of 7.5 and musc excend horizoncally (as illuscrated) or vercicallv a dis[ance equivalen[ [o the desiEn fros[ line; [ha[ Ls: Zone 2= 3 feec 6 inches Insulacion shall have a minimwi R-Value of 7.5 around'[he perinic[e! of slab on grade floors. Page 5 THE TOTAL ENVELOPE CALCUL{TION MF.TNOD The regulaclons stace chac alcccnative overall "U" values for building sections are permissable if it is shown thac che cocal building envelope heac loss/y,ain does noc exceed thac of a onlylchehwallsRandhroof/ceilin? cti[erlaonassuminyu[hncX[he6remaindetiofe[he,buildinP ?etsdeL reXulatien Lequirements. A. Tocal heac loss ae desiRned (valls nnd roo:/celling) eN/hr. dep.ree F. Malls -, Uo o` AvecaRe "U" af • vall assem6ly x average vall area eq. fc. ? Raof/CeilinR - UoAO - Average "U" of ceilinF x average ceiling area sq. f[. ? TOTAL B. to[al heac loss if designed co meet the reRula[ion minimum (valls and roofJceiling) tialls - Uo a a Kinimum required sa. E[. ? "U" value of va11 x average vall area ? Aoof/CeilinR - Uo o? Yinimum revuired "U" value of ceiling x average ceilinR area sq. ft. - TOSAL ? . V ? w ? U 6 ? ? ? ? ? ? ? ? 0 ? ? V Gq 6 F Z ? 0 ? ? a O ? ? ? ? °w N 7 0 N ? ? ? ? ? ? ? ? ? 0 ? lOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, splR w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient °k • Proposed/exdsting sewer and water services & inveR elevation • Street name • Driveway ELEVATIONS Exis6na ? O ? • Sewer service (or Proposed) ? ? ? • Properiy corners ? 0 ? • Top of curb at the driveway ? ? ? • Elevations of any existing adjacent homes Prooosed ? ? ? • Garage floor ? ? ? • Firsi floor ? ? ? • Lowest exposed eievation (walkouUwindow) ? ? ? • Property corners p ? ? • Front and rear of home at the foundaGon PONDING AREA (if aoplicable) ? O ? • Easement line ? ? ? • NWL O 0 0 • HWL ? ? ? • Pond # designa6on ? 0 ? • Emergency Overflow Elevation DIMENSIONS ? ? ? • Lot lines/Bearings & dimensions ? ? ? • Right-of-way and street width (to back of curb) ? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) ? ? 0 • Show all easements of record and any Ciry utilities within those easements ? ? ? • Setbacks of proposed structure and sideyard setback of adjacent exisdng structures ? ? ? • Retaining wall requirements, if any Reviewed: / Date .( , January 1998 CRAIGt WdBLOGMRIT fM CITY USE ONLY LOT C4- BL L RECEIPT #: /D 9!?WO SUBD. RECEIPT DATE: 5 Zl?/?/ MECHANICAL PERMIT # 5 f 3 7 1999 MECfiANICAL P£ftM1T (ft£SID£NTIAL) crrY oF F-aeAx S$SO PILOT KHOB iiD Er4fiAP MH 55122 Date• (ss, ) 6e1-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. . uvqC: n_innMnTLT 2-LeJaoX '75;000 3%0lL. ; 30.W ADDITIONAL 50 M BTU 6.00 ?• Gas outlets (minimum of one required @$3.00 ea.) State Surcharge .50 Total $ J 1S, Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ew Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. Furnace Air exchanger Other $ 3 0. 00 State Swcharge .50 Minimum Total Due $ 30.50 SI1'E ADDRESS: _ Air conditioning OWNERNAME: ??eoraF MRUrer L6n)5-(! PHONE#: !f (AREA CO?E) INSTALLER NAME: KI ?C' V- i n1 q?F- ?C PHONE #: l' -??. ,..? , (AREA CODE) STREET ADDRESS: CITY: FAe1 STa ?? f 2 STA L BL SUBD. APPROVED BY: INSPECTQR MECHANICALPERMIT#: 19491HECft.+k1VICRL PERMIT (COblME$CIAcL) CITY Of EAH14N 3$30 PILOT KNOB RD EAsA1v, huv 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: I% oF contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRAC7' PRICE x 1 % PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of oermit fee due on all permiu.) TOTAL ----------------------------------- _----___------------------------------------------------------------ ----------- SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLI): INSTALLER; ADDRESS: CITY: CITY USE ONLY RECEIPT #: RECEIPT DATE: ZIP: PHONE #: - (AREA CODE) PHONE #: - (AREA CODE) STATE: SIGNANRE OF PERMITTEE CITY USE ONLY L % BL ? SUBD. 909- 7J4Zt4J- RECEIPT #: °i &5535 RECEIPT DATE: 9 - ( -11 O 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT I@70B RD EAGAN, NAt 55122 (612) 681-4675 Please complete for: ?;-single_family -dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Water Closet 3.00 x -50 Bath Tub 3.00 x ?2 _ !-&-0 Lavatory 3.00 x L = ?a, Qo Kitchen Sink 3.00 x 1 _ 3.&0 Laundry Tray 3.00 x 1 = 3• aa +IaF%WSpa r.;sC__ 1-J • ti wo. h? 3.00 x Y ca: s Water Heater 3.00 x 1 = ? Floor Drain 3.00 x I = s. ? Gas Piping Outlet ` minimum Rough Openings 3.00 1.50 x x ? _ 3•&0 • O D Water Softener `for dwellings under construction 5.00 x ?_ = 5• e'° Water Softener ' far existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterati0n5 " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC lic. 75.00 = (new and returbished systems) Private Disposal Systems `nbandonment 20.00 = STATE SURCHARGE .50 TOTAL (P5v I hereby zcknowledge thst I hsve read this epplication, state that the inforrnation is correct, and agree to comply wRh sll applicsble City of Eagan ordinances It is the applicanYS responsibiliry to notify the property ownar that the City of Eagan assumes no liability for any damages caused by the City during its nartnal operational and maintenance activities to the facilities constructed under this pertnit within Ciry propeRy/right-of-way/easement. SITE ADDRESS: OWNER NAMEAZ-q'c(,-)- INSTALLER NAME ??pxr.?)? i\?.rn"M CTELEPHONE #: q3,1??111 STREETADDRESS: I5(xN1 ??lk t n rl???tr?ak ?n?-?S CITY: STATE: 1Y1? ZIP: -h1 SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 . ? R?ja, i ?? December 17, 2001 \I ? Mr. Gene VanOverbeke City of Eagan Eagan, MN Re: Fox Forest Second Addition Subdivision I recently became aware that one of the co ditions incladed in the staff report for this ?C piroject was the payment of $6,722 in storm sewer trunk assessments that were deferred when the project was assessed in 1985. ? ?A? ?`. It was defereed under 5pecial Assessment Policy #82-4 which has the following ? C\ objective: \? OV "To recognize the existing residential use of lazge lots (5 acres or less) and its limited potential of future subdivision into smaller pazcels with subsequenC higher percentage of developed surface area." The justification description includes: "If an existing residential dwelling unit is maintained and used in that category, it is unlikely that lhe existing use would change in the foreseeable future." I folly understand that if this had been a tradition "sobdivision", that such costs would be payable now. However, this is not the case in this transaction. No new lots are being created with this subdivision - it is a change in property boundaries only. The land involved in the exchange in this case is clearly not developable. It has very extreme topology - as basically it is nothing more than a deep ditch. It also has limited access and services would not be economical. The Vogt family explored many development options before sclling the laud to me. It sold to me in an "arms length" transaction and clearly the price reflected that it was not suited for development!! In addilion, the lot that it is being assigned to also qualifies under the "large lot" policy that is also not likely to be devcloped further - it is fully platCed land at this point. Page two Nothing about the nature or use of the land wIll change with this subdivision. We did rezone just to eliminate a"non-conforming" lot that previously existed, and platting the whole area was recommend by the City as the best way to accomplish this task. It should not have triggered the assessment in our opinion. I recognize that this was included in the staff reports, but I was not aware of this until the discussions regarding the development contract. That is why this issue is being raised now. Having a resolution before the end of the year is very important to this transaction. In light of these facts and circumstances, I do not believe that this should be considered a subdivision for these purposes, and this assessment should not be collected at this time. Thank you. Peter M. 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' , ~ ~ , ~ . . ~ ~ ' . } fi t i . • ~ ~ ~ ~ r ~ ~ ~ ~ 1 S ~ ~ UES~RIP ~ION ~ s ~ ~ ~ , ~ E ~ ~ a ~ 3 ~ F i r~ ,f r ( ~ j i.; i n ~ ,r ~ ! ~8 I r , x r ~ ~ ~ . , , 0 ~ , p ~ ~ j, ~ ~ ~ . ` ~ , ~ . ~ f ! ~ 1~' t~~ I - 2 ~ -~a , j' y!' Lot 2, Bfock l, FOX FOREST ADDlTION, according i~ r~ ~ ~ I / f ~ ~ ~ ~ , . , ~ , ~ , , ° ' O ~ '~,.W , , ~ , ~ ~ t ~ ~ . . - i"" . ~ , . . , ~ . , , . ~,'r ~l ,r ; ~ E to the recar~ed plaf thereof, Dakota County, Minnesota. F ~ , , ~ 1 , , ~ , ~ ~ 1 1 ( ~ ~ ~ „t' ! f I f J;, r I - ~ ~ °~i " `v. \ b~qy " y,r'~' , - , ~ . . ? , ; . F , ~ : ,,,,r 1 d" ~ 1 ; / ' x w,u ~ 'y ",~wn ~ ~ ~ ~ i ' f , f ~j ~ , , : I ~ j f i ~ . 1't~ r , , , ~ <t ~s` , ~ : ;c , r ; : U w - ; ~ , ~ ; ti ~ , ~ . , ~ , ~ r ; , o . , y-...... ~ (t 4~ jl i " I ~ { ~ ~ ti' f ~ f ~ ; uM~ ~ "J 1 , ~ , t ti , , . ~ % i i j ~ ~ ~ W`~F"~ ~ / ~ , , . / ~ ~ . ~ ! ~ I i ( a ~ ~ ~ ~ ~ a' . ~ ~ ~ ~ I~ ~ ~ € ~ ~ . . . . . 4.~' ~ ~ . . ~ ~ ~ . . - : / . . t ~ 1 !Y ( ; / ~ . '''b.~ ! ~ / r / / ! ~ ,f ,ey / f: ~ ~ ' ~i ' ~ , ' ~ , ~ . z ( ' 1 f ~ ; ` a ji~ ~ ~ : ~ ~ f ?r f `~`"a..~ ~ ' . . . . . . ~ , . . , 'w.",~„` ~ O ~ . . ~ ~ ' rf f . ' ' ° i ~ r . i ~ / _ _ . i~~\ ~ . r ~ f ~ f y'd~ r~ ~W `1.. n l ~ ~ ~ ~ i ~ , . ' ~ ~ ( w ° ~ ~ u~ ~ •r~ ~ ~ u~ . . . . . ~ ' - ~ ka . . f' ~ . e i ~ ~ ~ ,~p ~ ~ ; ; ~ ~ 1 / ~ ~ ; T~ ; ~ ~ ~ ~ ~ ~ ~ , ~ ~ , ~ ~ ~ ~ , . ; ~ ~ w~..~ ~ ; ir ~ ~ t ( ~ ~ I ~ r~""" ' ~ ~ 0 Denotes iron~'~ pipe set ~rith a' plastic ~ ' j~ ~j S ~ ~ ~ ~ r i ( w , ~ ~ ~ ~ , ~ a j j ' ; l ~ ~ ~ ~ ~ ~ plug ~ stamped RIS iQ943. ` ~ ~ f ~ : . r ~ . , , ~ 1~ ~ ~ ~ ~ sd'' ,0~ ~ ! ~ _ _ ~ , . , _ _ ( ~ ; ~ / / ~ , r' r' ~ ~ F t f ~ ~ Denotes iron pipe found. ~ ~ ~ ~ ~ ~ ~ ~ ~ I 1 rr ` ~ ~ ` ~ , ~~I / ~~1~~ ~ f' ~ l . : ~ . . - , ~,,...-~-`'~`.~'~j.~ t ! ~ ~ ~ . f ia:~'a u, ; _w.._._.__ ~ Jr ~ / ,r f` I ,f r ~ , f , ~ ~r , ,a ~ ~ . . . ~ ~f ~ JI f . Jr . . . ~ . .,A , ~ ~ f.w..,~-~`"° ~ ~r ~ N x sa2.so Denotes Exieting Elevation ~ ~ ~ ~ ~ ~G 2 - { . . . . . f " J r .v~ ! I . . ~ . I . / ! . . .~,I . f f l ~ f r ~ F r ~ . . ~ ~ ~ .~w ~ ~ ~ / . ~e ~ f V . . w.~,~~~~~~~~~""'~ ` o „t~ Denotes Surface Drainage u~ ~ ~ ~ ~ f ~ ~ ~ ~ ~ J,,,.~..`"".~~--~...~_`~.~..."`~'',,' ' ' ~z>w~~° tn Contours kaken from Site Plan 't~ ~ ~ ~cu ~ ~ ~ ~ " . ~ . . . ~ f~ . ! ~f Jr` f . ~y . . f ~ A ( ,.r"~ . 1;r' ~ q ~ ~ ~a ~ ~ • ~ , . ~ ~ ' ~~.I ~l / . / 3 ~r.~ . . I M . _ J ~ ~ „„w ~ ~ ~ ~ ~ ~ ~*t ~ ~ . . . . t~ ~f I r , ~ ~ ~ . < , ~ ~ / ~ , ~ , i ~ r ~_M_ _ , . ~ r ~ ~ ~ ~ , , ~ r , ~.~,....ti.~ ~ ' . ~ ,....'"r„.'"'~,,,, ~ , ~ ~ ~ ~.a ~ ~ ~ ~ , ~ . v M . ~ , , -I ~ ; f ( ~ , , , ~ , , , ; , , ~ . ~e.. I , w / ~ ! ~ ~ , 980.60 ~ , ~ . Bench Mark= ~ ~ ~ ~ ~ ~ ~v. .r_. w.._ ~ , ~ 4th Sanitarv Sewer MH ~ ~ ~ ~ f ~r ~ ' ~ ~ , r , , ~ ~ , . ( r , , ~ ` ~ irom Ditflev on Lexinaton ~~,~C~' Q„~w~, ~A ' ' I ~~w~e ~ f' / a ~ A ~o ~du ~ " ~~i~ I~:~~ ~ ~ ~ ~ ~ i ! f. ~ , ~ ~ ~ ~ . ( ~ ~ , : ; I ~ ' ` , : ; , ! ~ " ' ~ ` w~~ HOUSE TYPB: WO ~ ~~~k,,~,~w..~,W.u„~„~ W ~ ~ I ~ ~ n , ~ ~ ~ . ~ C ~ ~..~r ~ ~ ~ ~ PR4PO5ED H~USE ELEVATIONB: ~ ~ ~ ~ I ~ ' I,~ - ~ ~ i ' , ''d ~ ~ ~ ~ , ~ ~ Mk GATtAGE' FLOOR ELBVATION = 959.87 ~ 3~ $ ~ I ~ ~ . ~ ; ° % ~ ~ ~ ~ 4 ~ . ; ti 1 ; ~ 5 ~ , : , ' 0 ' ~ ~ , t~ r ~ r ~ " ` ~y ` ' °45'4Q"W 327.00 ~ FII~ISHED FLOOR ELEV = 954.33 ~ ; ~ ~ ~ LO~EST~FLOOR ELEVATION = 944.00 ° ~ ~ ~ , , S~9 33 ~ ~ ~ , ~ . ~ ~ \ , ~ i ' , , ; ~ ~ ; ~ , PROPOSED ; " ~ROPOSED ~ ~ BENCHM ~ ~ ~ ~ ~ , ~ ~ . PROPOSED ~ ~ ~ ~ ~ \ , r'~ SANITAftY SEWER WATER NATER ' j"' DRAINAGE & UT ~ ~ ~ ~ I ~g \ . i ~ . I . . 't ~ ~ \ . . ~ 1 3~ _ . ~ . . ~ EASEMEN PLAT r~, l. a ~ _ J , , ; ~ .~ti' ~ ~ " . . ~ . , . , , ..`1, ~ ~ . . ~ ~ ~ ~ ' ' ' ~ l~ ti ~ ~ , "a ~ .1 ~ . : ~ , _ ~ ~ ~ t ~ 1 }t ` ~ " _ " ^ .r- :~..pk-1~ - - - _ - ~ , ~ : - . ~ ~ ' ~ , \ ~ ~ ~ ~ y, . _ 1 . . - - . ~ ~ . . ~ ~ ' ' ~ . ,.__...:.._.1. .~p, 4 : ~ ~ ~ ~ ~ ~ ~ , - : : ~ : PROP.aSEO ~RIVE.WAY . , , _ ; ~ . ~ ~ ~ _ ~ ~ ~ . ! ~ ~ 1 ~ ~p•~~I ~ ~ ~ - ; 1 ~ R~ d .i ~ , ~ ~ y , . . . . 5 ~ ~ _ _ - f 1 - L _ . ~ _ - , . , - - ~ , _ ~ _ - - , f ~ 4 .~w+~a~. ~ { . ~ ~ ~ ~ . , , ~ ~o r . : , ~ r; s~ ~o w s~ ~ ~ 1 ` ~ . . . 55 ~ ~ ~ ~ . . ~ 1 ~ . ~ ~ ' ~ ~ ~ . I ~ \ , ~ ~ ~ , ~ , ~ ~ . ~ ~ ~ ~ , , ~ ~ ~ 1 1 ~ ~ t ( ~ ~ ('i ~ 1 ~ ~ Q ~ ~ ~ ~ I ~ ~ ~ \ ~ b ~ ~ ~ , ~ , ~ ~ ~ , i ~ ~ ~ 1 1 1 ~ ' t; ' i ( ' ~ ~ ~ E \ \ ~ ~ ~ ~ ~ ~ `~'s ~ t 1 c.~ i ~t ~ ~ o" ~ ~ ~ ~ C~ . . . . . . ~ ~ ~ iQ ~ 7Y' ~ ~`y ~ 't i ~ ~ i i ~ , ti a , 1 t0 _ , t~ U'~3 \ `i ~ ~ r ~li i~ n n ~ i ~ i" n r ~ I r~ ~ _ ~ ~ ~ ~ ~ : ' . . . . . . ~ 4 A ` f ~ I ~ . ~ 'i, e. I ~ 1 1 I I ~ . I ! a ~ tt i~ i I _ ~~t ~ , ti ~ ~ ~ , , , _ ~ _ w ~ 5 ~ ~ ~ l / ~ I I I ~ L ~ ~ ( . . . . ~ V V ~,t ~ } ~I ~ ` } ` i ~ ~ ~ 1 . _ l.~.J ~ ~ ~ ~ ~ a i ~ ~ ~ ~ ~ , Y .~~tl„ . ~ . ~ . . ~ . ~ . . ;CO . ~ ~ . ~ . ~ ~ . . . . . ~ . . . . ~ ~ ~ ~ ~ O) t~ ~ ' ~ r ~ m ~ ~ ~ ~ O'i m ~ ~ ~ a a co ~ ~ ~ ~ 0 ~ U . : . . ~ . C7 ~`s S ,l~"'•~ ~s~T~ ~ Y~ ~ ~ ~ . _ . ~ . . _ . . ,T. ,i . ~ L . ~ ~ . ~ . ~ , i. , : t- . . . . . . . . . ~ ~ . ! ~ ~~t~~ ~ ~ ~ ~ _ ~ m ~ ~ , ~ . . . . ~ fi . . . . ~ , Q~ ~ . . . . . . . W. ,i ~ . . ~L . . . . . ~ . . ~ . ~ . ~~....u . SMEET N0. . . . . . . . . ."..~s-1 . . . r 0 1 oF ~ 0 0 ~ m ~ .v~.~ cn z W,,,W~,: , ~ a rs , ~ l- _ D I nr Office Uses I My 0 Eap i Permit t 3830 Pilot Knob Road Sy 2 4 2009 Permit Fee: Eagan MN 55122 I 1 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: t 2009 RESIDENTIAL //PLUMBING PERMIT ' APPLICATION Date: ~g 0A 1 Site Address: Ljullnelfmn W Tenant: Suite RESIDENT / OWNER Name: ~C Phone: ! 7a d T Address /City 1 Zip: &C' G.~lS b`2 i CONTRACTOR Name: T P i Uj1jQp i '1A License + Address: v~ E Su±b-n ~L U urn City: s,d ffr1 State:Q rv Zip: Phone: 112• '0169 --~A1 a Contact Person: clks6n TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri on of work• ; PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures `7r" RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment , rrl~oC G in RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment , Water Tumaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 N a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 hereby aclmoWedge 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 1 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 ewwith the approved plan in the case of work which requires a review and approval of t~. x X V'W Applicant's Printed Name Ap nt's lgnature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test -Gas Test -Final rte( . . Use BLUE or BLACK Ink r----------------� I For Office Use � � • I � �� I C�4� Ol L��11 � Permit#: � i � --�� Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Dat�� / �l , Site Address:�� / ��) '-`' � Unit#: � Name�� ..,�E �� Phone:�� --l� l ^ �� l Address/City/Zip: �� F`'� �� "�� g C�-� � Applicant is: Owner ontractor 1'� � �►1 S ff� o ti� ��'�--- � a / �.� sl�^� �7,' f�-s�°'� � Description of wArk:! � ��"` �2'�' � �a A� Construction Cost: ��v� � Multi-Family Building: (Yes /No Compan�Y� �� U"t,��'L� �` Contact: �� Address:6�� ZC Cit :��'`'c'�� . .; _ : �� y �` State:�� Zip: �� Phone: t��L EmaiL• � � � License#: �'"' '�`t� Lead Certificate#: � L�C�=-- 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: � . ' � �_. �� , CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.qoqherstateonecall.ora 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 Bu' 'ng Co be completed within 180 days of permit issuance. X ��9-�' �� f/��l� X ` ApplicanYs Printed Name Applic Ys Signa ` Page 1 of 3 Use BLUE or BLACK Ink . . r________________� I For Office Use � � ' , � � � �/ �� C�b �l �� Permit#: � / �� ` �� Permit Fee: /!��C�J� � 3830 Pilot Knob Road � . Eagan MN 55122 � Date Received: �� " C� I Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: ��'� � I I ,--�. - 201� RESIDENTIAL BUILDING PERMIT APPUCATION Dat . � Site Address: Unit#: ._.: � � � . .;, �F� ��.. `G-�°'�,�� Phone:�( �. ��1 .e_ � ,/�� Name: Address/City/Zip�� -�'� �( Applicant is: Owner Contractor � � ��. Description of work� B��"�'� �[.e�' �'G (� � /" `�`� �'"a �.�j�r�,._-�-� � f�'3 - Construction Cost: Multi-Family Building: (Yes /No_) jZ.i � Company��L�`�� f� ", ( ..(�� . Contact:��'�� L �� : G�L� �v � 5 `'� ��,:�.�--��--��-d��,'G �'� � � Address: �� '� , "` State: �� Zip: Phone: Email: � License#: c:�r''' ��'� Lead Certificate#: � �l�- 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: V�� Phone: Sewer&Water Contractor: Phone: 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.qoaherstateonecall.ora 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 pertnit issued in accordance with the Minnesota State Building Code must be completed within 780 days of permit issuance. X ��`��'� �� J�v�' ( X Applicant's Printed Name App ican ' ign r Page 1 of 3 � �1 �� x�� v��-� � ,/l�. � . DO NOT WRITE�LOW THIS LINE ��Z �� SUB TYPES _ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family) `�` Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) T�'" _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building' _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation _ Replace � Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �`�� Occupancy ��%,�`��'�''Y�°� MCES System Plan Review " Code Edition ��..�'��AC Units (25%_100%�) Zoning � �?,�/')js—City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width ;� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) �( Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain ' �^� , Fireplace:_Rough tn Air Test _Final � Sidin • Stucco Lath Stone Lath _Brick � Insulation Window Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �V � , Building Inspector RESIDENTIAI.FEES � Base Fee �. Surcharge � � Plan Review �- � ��,'�`�` � � .. MCES SAC �� 0� City SAC � ��''�'��` ��""� Utility Connection Charge � ��`�� '� ��°� / � /� r� ,� �:��"��, � �� S&W Permit�Surcharge � ,� � �'""�� a, � Treatment Plant Copies �� TOTAL ///�� Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169019 Date Issued:05/12/2021 Permit Category:ePermit Site Address: 4139 Lexington Way Lot:1 Block: 1 Addition: Fox Forest 3rd PID:10-27477-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Peter M & Janice L Ramstad 4139 Lexington Way Eagan MN 55123--151 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173886 Date Issued:12/10/2021 Permit Category:ePermit Site Address: 4139 Lexington Way Lot:1 Block: 1 Addition: Fox Forest 3rd PID:10-27477-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Peter M & Janice L Ramstad 4139 Lexington Way Eagan MN 55123--151 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature