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4145 Lexington Way49 oc, Z, 5 «o RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructkn Reaulremente • 8 regislereC sAe sunreys ehowing sq. N. N lot, sq, tt. of twuse; and all roofetl areas (20% maximum bt cOVerage allowed) . 2 copies of plan showing 6eam 8 wineow sizes; poured found Cesign, etc.) • 1 set W Energy Cakulatbns • 3 coples W Tree Preservatbn Plan tl bt plattetl afler 7/1193 • Aim ,blst Detail Options selectlon sheet (bags wilh 3 or less untts) DATE ? - 7 , O Z SITE TYPE 6WORK APPLICANT A ? STREET ADDRESS TELEPHONE #732-7074959 CELL PHONE # 7ULTI-FAMILY BLDG _Y FIREPLACE(5) &:-6 _ 1 _ 2 rn ' STATEi _LP?fZ FAX #5S2 -92?10-? PROPERTY OWNER ???.( !L or?? ?s ?! TELEPHONE i -------------------- ------------------ -----° °-----------------------------------------°----- COMPLETE THIS SECTION FOR "NEWM RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 MINNFSOTA RULES 7672 (4 aubmission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing ConMacfor: ____ Plumbing system includes: Mechanical Conhaetor: Mechanical system includes: Sewer/Water Contracior: _ Air Conditioning Heat Recovery System Phone ri Phone # Fee: $90.00 Fee: $70.00 -------------------°-----------------------------°°-°-°------------------°°-------°------------°°°--° °------- I hereby acknowledge that I have read this application, state mat the Information is correct and ply wiTh all appllcable State of Minnesota Statutes and City of Eagan Ordlnances. SignatureoPApplicant ........... _......... _.... _ .................. _._......... _...-?--?------------------........_..-_... OFFICE USE ONLY -----?- i B„ ._ ..?` Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ucaared uoz u Water Softener Water $eater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths fq 2'e? 5- pemoAeUReaelr ReauNemenis • 2 coples ot plan • 1 sat of Energy CalcuFatbns for heatetl atlditans . 1 stte survey for exterior atlddbns & decks • IMirate A homa served by septic syslem for addAbns VALUATION 9795 Ptlot Knob Raed Eaqan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # r_ ?_ ..._? ?_ ?, .,_? "- ? ^ - Site Address Erect ? Occupanq Lot Blotk Sec/Sub. Alter ? Zoning parcel # Repoir Q Fire Zone W Name _ 3 Address U p Name _ ?? Addreu f !`i... I hereby acknowledge thot 1 heve reod this application and state thot the inlormation is rnrrect and ogree to comply with olf appticobte Stote of Minnesoto Statutes and City of Eagan Ordinances. Enlarye ? Type of Const. Move ? .,? Stories Demoiish ? Length 6rode q Depth Sq. Ft.- ADDrovalf Fees Assessment Water 8 Sew. Police Firo Eng. Planner Council Bldg. Off. APC Permit _ Surcharge - Plon check _ SAG Water Conn. Water Meter Road Unit _ Total Sipnoture of Permittee I A 8uilding Permit Is issued to: on the express tondition Ihnr alI work shall be done in accordance with all opplicoble State of Minnesota Statutes and City of Eagon Ordinances. Building Officiol Parmit No. Permit Holder Misc. Permit No. Holder Plumbing N.V.A.C. Well Water Disp. Sewer Elactrie inspection Date Insp. Other Footings Foundation Fwming Rough Plbp. Rough HVAC Inwlation . Final Plhg Final HVAC Final Weter pa,cri6e Location: Well Sewer . Pr. Disp. Raceipt =__1 `7 I? PLUMBING PERMIT CITY OF EAGAN Permit No. 3-7(-^ ? Fee ? Fill in numbered spaces S/C -?- ' c Type or Print /egib/y Tot. -- >U t. Date 2. Installation Cost hI a '?\ I,u? 3. Job Address /"-:-• Lot i? Blk. TractS 1!M ???? 4. Owner t-- IQD?'M?4 5. Contractor (7) C.v d? cc ? Phone ?cI 6. Address C/ 7. City - <a /• C4 r?\ State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description. New ? Add ? Alter ? Repair O 10. Describe o (?U Ll /"• ?? ? 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bathtubs p Se ticTank _ Lavatory p Softner _ Shower Well _ Kitchen Sink _ Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: , ?*L!I , 7 . I I/ ,1for Roupn Final Inspections: Date Insp. Date -?6 i7- J?isp. ? This is your\permit when numbered and approved. ? -- " Approved CITY OF EAGAN 454-8700 ?? CITY OF EAGAN Remarks Addition W. Schmidt Addition oc 2 ai 1 Parcel 10 66500 020 Ol owr, 1 . agan, 55123 e??L2 'Lex ngt?? ? Street State ' .F?..;. , Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TFUNK SEWERLATERAL WATERMAIN '+t WATERLATERAL bG'?j 1982 1633.00 108.87 15 WATER AREA 1982 335.00 22.33 15 * Services 1982 15 STORMSEWTRK 1018 1986 2227.50 148.50 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 335.00 2$229 I2-21-81 BUILDING PER. SAC PARK CITY OF EAGAN 3795 Pi1M Knob Rond Eagan, MN 55122 N°_ 5877 PHONE: 454-8100 BUILDING PERMIT Receipt #p To be ufed for Est. Value Dote , 19 Site Address Erect p Occupancy l.ot Block Sec/Sub. Alter ? Zoning Pqrcel # a Name ; Address - - ? _.. ^ ? Name _ ,o 0' Address Name _ Address Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth k. Appro vals Fees Assessment Water & Sew. Police Fire Eng, Planner Council Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge that I have read this application and state thot Bldg. Off. the information is correct and agree to comply with oll applicable State of Minnesota Stotutes and City of Eagan Ordinances. APC Total Signoture of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable Stcte of Minnesota Statutes and City of Eagon Ordinances. Building Official PwmM jk Da1r lmed ParnikTaa Plumbing Mechanicol INSPECTIONS DATE INSP. Rough-In Finol Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. MecFwnical Finol ? Remarks: / CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ RacsIvee P11CM AMOUNT $ I & DOLLARS 1 oo ? CASH r-I CFiECK FOR Z{ FUNG COOE AlAOUNT Thank You ? By White-Payers Copy Yellow-Posting Copy Pink-File Copy WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagon, MN $5122 DATE: Zoning: - No. of Units: O wner: Address: .._n .'.: Site Address: . 3 ; ' Plumber: Meter No.: Connection Chorge: - Size: ? , Account Deposit: , Reader No.: Permit Fee: I agroe to eomply wifh fhe Citg of Eagun Surcharge: Ordinanees. Misa Charges Total: gY Dote Paid: Date of Insp.: I^SP•: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5 877 " PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt .# ?2-3411 To ba used for Tool Shed Est. Volue 1,000.00 Date June 16, 19$qy Site Address -L+1G5 o X1Ylgtori Erect M OccuPancY R3---- Lot 2 elock 1 Sec/Sub. W. Schmidt Addt. Alter ? Zoniny Rl Parcel # a Name Floyd RodTriyer i 4145 So. Lexington Addre o lagan 4=3453 -- City Phone p Name _ ?a Address c r ,-:... Name _ Address I hereby acknowledge that I have reod this opplication and state that the infnrmation is correct and agree to comply with all npplicable State of Minnesota Statutes and Citv/-mf Eo9an Ordinonces. Signature of Repair ? Fire Zone III Enlarge ? Type of Const. V Move ? .# Srories Demolish ? Front 10 ft, Grade ? Depth 16 ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg, Off.6 12 g0 APC Permit v.vv Surcharge • 50 Plan check SAC Water Conn. Water Meter Road Unit Toral 6.50 A Building Permit is issued to: 1v1, tGO(llt[yx'e on the express candition that all work sholl be done iri occordorxe withAplj' applitable $ta of Minnesota Statutes and City of Eagon Ordinonces. Building Officiol /G ? ? V ? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/el.evations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For ??_ Valuation 0,? Date 4- 2 n Site Address : G-NC :' 7L i? ? rT'?? + ? OFFICE USE ONLY Lot -2 slock sec. /sub. ? i?cl?t ?? ? d?'r!rEr?ect i? occupancy Parcel #: ?D ?6?l? l3 n,7D p? lter Zoning Repair Fire Zone ? Enlarge 'I? of Const. Owner: ???ry?P ?j,-, 1y,-?.?.?• , Viove # Stories ? Address: f`f-f- Denolish Front ft. City/Zip Code: U Grade Depth ft. Phone #: -4/- 2-1V -3 Contractor: DLOr'LE!f' Address: City/Zip Code: Phone #: Arch./Eng.. Address: City/Zip Code: Phone #: Assessments Pernti.t Water/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water.Meter Council Road Unit ? Bldg. Off. APC APPROUAI,S FEES ??' 'I?'PAL ?27 BUILDING PERMIT To be uted Foe DFCK cirr oF E+G,e?N 9795 Pllot Knob Rood Engen, MN S5123 PHONEs 434-8100 Est. Volue N? 7206 Receipt # a` 9d 1/ Dote Site Address `?1`f7 au. t&D[ulgc cm tive[1ue Erect ? Occuponcy Lot Z Bixk 1 $ec/Sub. W SCIITAdt AdditionAlrer ? Zoning Parcel # 10 66500 020 Ol Repolr ? Fire Zone a 9 ,o Z °V ul F- Flovd Rodmyre Enlarge ? Type of Const. Name Move p # Stories Address 4145 So. Lexington Ave., De,„,iis, ? Length 12 Citv F-qPm 5 517 1 _ Pr,o. 454-3453 Grode p Depth 14 Sq. Ft.- Nome -OWner Approvols Fees Address Name _ Address Assessment - Water 8 Sew. Police Fire Eng. Plonner _ Council _ Permit - Surcharge - Plan check _ SAC Warer Conn. Woter Meter Road Unit _ 1 hereby acknowledge that I hove read this opplicotion and stote thaf gldg. Off. the informotion is correct ond agree to tomply with all opplicoble APC Total ?12•? State of Minnewta Stotutes and 'ry of Eagon Ordinunces. Signoture of Permittee /K04L ???p A Building Permit is issued to: ?'o "' ?" on the express tOnditlon Ihm all work sholi be done in accordance with oll applimble Sto f Minnesot/yr'?tatutes ond City of Eagan Ordinorxes. Building Officiol Q EAGAN TOVV'NSH I P BiJILDING PERMIT Owner .•-----...!?.Y .-°---------? -?- -?,?J.---?----... ? ----- Address (present) .__c?-?....._..l,??r'?"-g?z-?.!_?:.?.t"_,."..?..?.-.Q..G"''?` ? Builder ...`^?.v"W '?..r...-°L! O Address DESCRIPTION N° 1_078 Eagan Township Town Hall Dafe Siories To Be Used For Froni Depth Heigh! Esi. Cos! PermiY Fee Remarka 'd.•-?-, c?_ --l d ? y, ? :i I ? 9? ? l ?/?/• dv 61 LOCATION SfreeY, Road or oYher Descxipfion of LocaYion Lot Block Addiiion or rac! This permii does noi auoriae the use of siree3s, roads, alYeys or sidewalks nor does it give the owner or his ageni the right !o creaie any siiua3ion which is a nuisance or which presents a haaard !o fhe health, safe3y, convenience and general welfare Yo anyone in the communifp. THIS PERMIT MUS BE KEPT'f? Pp ovissonoif I he Buiding Ordinan ce fo PROGRESS. This is to cerYify, that..?.......... ... ... p p n the above described remise sub'ec! to he 1, Eagan"Township ad pie ril 1 1955. / ?-`-.-?M- .... Per ............. ?.f.....:'?ti!?..! ---------- ..-°-•-- ...._.. .°° .. ................-----•••- 9 P •°------....___....°- hairman of T wn Board Buildin Ins ecior ? ? ,B. ? - C R E TI NOTICE ? ?- DATE: ???? ? Address .dz,cez? Site Name ?,. Owner/Agent Telephone pwner/Agent Address Ordinance Nos. and Corrections - Correct By ? Ea Dept. of Inspection 37 Pilot Knob Rd. Eagan, Minnesota 55122 asa-si 00 bept.: Owner/. Owner/Agent Ordinance Nos. and Corrections - Correct By ,. Telepho .qfS ? /1 .. ? _?- . -' ?. _ ? _ _ • (1/7 f-- For reinspection Eagan Dept. of Inspection 3795 Pilot Knob Rd. Eagan, Min sota 55122 454-810 -g? de1?/- Dept.: oa-e?? 2tJQ-z? .??? /9/. Ordinance No. 114: Pemut No. WELL CONSTRUCTION AND ABANDONMENT 91-9086 WELL PERMIT DAKOTA COUNTY PUBLIC HEALTH DEPAItTMENT ENVIRONMENTAL HEALTH SERVICES SECTION WATEK QUALITY MANAGEMENT iJNIT 14955 Galaue Ave., Apple Valley, MN 55124 Telephone: (612)891-7556 WHEREAS, the NON-TRANSFERABLS PERMITTEE/DBA: Gary's Well Drilling, Inc. ISSUED TO #10417 ADDRESSZ 21220 Mushtown Road REVIEWED BY JL, Prior Lake, MN 55372 has submitted a permit application, has paid the sum of one hundred ($100) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal-_the_-well(s) described herein: A_.ahandoned well(s) with a casing diameter of 4 inches, depth(s) of 259 feet and completed in drift will be permanently sealed. The well(s) shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The well is located in the municipality.of Eagan as follows: Well Location: Property Owner and Well Owaer and Address (if different) Address (if ditferent) 4145 Lexington Way Floyd Rodmyre Eaqan, irII1` NoW, THEREFORE, Gary's Well Drilling, Inc. is hereby permitted and authorized to permanently seal the well(s) described and located above for the periodlTuly_1991 to July 1992 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this lst day of July, 1991. ATTEST ENVIRONMENTAL HEALTH SUPERVISOR &NME AL HEALTH DIRECTOR ? i . 41JNt rl, r98o C(T-Y aV CAG aN `IV o v O?S Yo v P LEASc= r 5suL' 1'i) CoVEQ THE CoNSTitvCT?oN NG pep- - -rNE ,4l-M cr4 C b $?TE L oc. prTtaN ? ? 13vILI,(OVG ?EkMiT- OF TNE STOIZACrE S+tETcNE s RrvD ?Fg E- 13Li i L b I nr G tiu 4LL f3E oF C aN S TfZu cTioj) w r Tt-F L a C CdNCRE7- t FLOOfZ, , ASi'NALT T:2N Mt" FOOT?N? S? SN ?ni G LL S , -THA.?K yov? rl.oYi> )?c), MY2C- (4Ik/S Sp .LE?C oU G'mN Qd? , FA(,A.N 1 4Va3 I " - a' .. ??? . --- - r - - - - - ---- ----- - -=- ------------- --rt---- ?---- ---------- - -- ----- .___------ _-_ --------------- ---- ------ - ------------?-- - ------ -- - __ _.._. __. - - i ------- --- ----- _ - -- ? - -- - ? --- -- ?- - -- -- - --- ----?--. _.- --- -- - _ -- --- --?--- ----- ---- ------- _. --}--- ---- -- -- --_.-..._ - -- - - ---- - }--- ? --- -------- - - ---- - - -- - -- - -- -- -- - --- _ - - --- -- i- --- -- -- --- - Z - ? -- - - - - - -- - - ? - --- -- i - ? : -- -______ - - ---- ? ---- -_------ 9 - 9 o : ---- -- - ----- -- -- -- - - ?---- [ ---- . ----- -- -- - - --- - ------- - - _ 1- - --- ------- _ _X -- --- .b--- ._ _. -- _. ----- - ---- ----- ? --- i-- - - -o ---_. ??-?--- . - -- - - - - ? - - ---- -- - - -.. - ---?--- - ---- ---- - -- -- -- ----- ------ - -?- ? ? --- - - -------.. . -- ---??_- ( -- - ---_ - -- i --- - - --- - - _ _ _ -------------? --- ---- -------- - ---- -- ---- ?-- -- --.----T---- -- - --- ----- -- ----- - - - - - - - t - - - -- --?- - ----- - -- -- - - ---- --- --- ............ ---------' --------- - _ . _ -.L__ -- OJ6 _ Rov¢. t.? _ - - ----- ---- ---- -- ? ' - --- - -- ---- - -=- _ aP6?t?.a s. -- _ _... -. _ --- -__ ----- -- --__... - - _ - --- - --- --- - - - - ------- - --- - -- --- ------- -------13' i °,4PPa ox .----- - ----- ------ - ------_ --- - ---- ---------------.-?.-._------ . a -- ------ --- --- -----. - ---------------------- - - ---- C! a - ---- - ----- ? l ?1 t-° -- - - - -- - - _ __ __ - t - ---- ---- _ .--- -- -_. --- - -- - ---- -- - -- -- - ? _ __ __ _ ? ? ? t . .. _ .._ . .,.._ , :h4* "ruxS?"+.,s5lC-x.''s.t.?4^M., R^ - : ? : ? ?.t?. . . .- . ,. ._ _- .^. : ? Y ti ? w+ Y ? q y . x . . ... . " 5? .. i .. i ?y .. * ' ?. i; I M ?+. NoiM /ine a{ $oufh 745.9 eef vf 5E4 o{Sf.4 / 660. 0 47 a 0 i ? S O ? 2 8LOCK ---- ` --- ?, pti ?o __.LcCATiQ_?- -oF-STbRAGE ---------------- 6/O 170.0 S? 0 q? ? ? 41,ys? ? ? ? ? 660.0 - V So„?h /,?e o?Norfh 243. j{eef o?Sovfh 745.9 fe/o{ SE¢ ?N • , ? r 3/C, t N O . t . ? line o 5ee. 2 2 ? r. z 7, R, 2,3 ? ? ., n. ? N ? N N v ? 0 qu ? ? -,. h W fl 1.? ??9 -__-_'__ -Ml?T?- I-; • tI?•j?N'?l'??? ? ? ? ??,? , 2?'S ?r?r:?? 1 ? ' • _ ?? YYa?\ • \ . Z1y • , ?1J ?• ? . ?O I O •Z . _ ? ? _, ;, 1 ?,a f? s -4 COMMl.4'l+f1TY OF,2? - ` = JOY CH?IRCFI r . x '1ADD I T I,N ° l s, .. ' ?/l-T• ? ?=? ??1 '? f • 9? Z 1d? I ` ' a J . ' - ? ? wwvvi?'r? •?r.n J ? . » ? O . ?? olt-7? , ? °s ? ?,'/,•° . : ?, • . 0 31- 7o ? EAGkN ."?;.. ?• j+a r Ss 2 xf e ? i ' '• ENANGELICAL? , .. ? UM t COVENANT CHURCI? gCHMIDT 'a. ? W. - N= --- - - p p r?"'3s' ' • % .a -- raicLd -?-----1.40.0'------ ? 1 h4M t -? i 3 J 1 OY.M 1 - -------------- ----?----;- ? --?. b10-77 ??2-.S¢ 1 M?.w i , . 40. :30 COUMTY i 6b?oo oad Q I MEMO TO: DIANE DOWNS, IITII,ITY BILLING CLERR FROM: EDNARD J. KIRSCHT, SR. ENGINBERING TECHNICIAN DATE: JUNE 19, 1990 SUBJECT: STREETLIGHT BNERGY COST FOR PLAT AND PARCEL NOIB. 02200-010-77f 02200-031-76; 02200-011-76; LOT 11 BLOCR 1 N. SCHM=DT ADDITION; LOT 2t BLOCR 1t W. SCHMIDT ADDITION; AND 02300-012-54 This memo is to inform your department to start to invoice the energy costs with the next scheduled utility billing to the property owners of plat and parcel No's. 02200-010-77; 02200-031- 76; 02200-011-76; Lot 1, Block 1, W. Schmidt Addition; Lot 2, Block 1, W. Schmidt Addition and 02300-012-54 (see attached sketch). The streetlights were installed under Project 572 in conjunction with the upgrading of Lexington Way, and Dakota Electric is currently billing the City for the energy costs. . Edward J. Kirscht Sr. Engineering Technician cc: Thomas A. Colbert, Director of Public Works Michael P. Foertsch, Assistant City Engineer Attachment EJK/jf PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107395 Date Issued:10/10/2012 Permit Category:ePermit Site Address: 4145 Lexington Way Lot:2 Block: 1 Addition: W Schmidt PID:10-66500-01-020 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Floyd J Rodmyre 4145 Lexington Ave Eagan MN 55123 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I I For Office Use City Olf Permit#: I~0-S I 111100 Rd I Permit Fee: 0" I I I 3830 Pilot Knob Road Eagan MN 55122 Date Received: 4 j Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: C Y Site Address: Tenant:_ D Suite Name: Phone: 9j~, I Resident/Owner 1 Address / City / Zip: Name: License Address: City: # Contractor 4 State: Zip: Phone: Contact: Email: Type of Work ; - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. I Description of work. RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener i Permit Type Septic System Add Plumbing Fixtures Main Lower Level) ~ s New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x lccant's Printed Name e~nat re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: � R Use BLUE or BLACK ink -----------------, �� ,� � , � � For Office Use � �� . � �'u-� �,.�. � �°.... ' � � �tJ��'Vv"� � � ��E� �� '� ��l.l 1 � � I Permit#: � � r ��4 � Permit Fee: � � 3830 Pilot Knob Road � � ° � � Eagan MN 55122 ` '`� " i Date Received: � � • __._.___.:_�._�.__�.__._.__._.--_.. � Phone:(651}675-5675 � � Fax:(651)6T5-5694 i Staffi � I__��___� �_______J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:�0 I � Site Address: � a Unit#: ��/�� Name:�i t � _ t't�'�J -.1./0 l r4N Phone: Residentl . , 1 (7yyfter Address/City/Zip: � t--�- LcJ 0.. Applicant is: Owner Contractor Typ�of Wo1'k Description ofvwork: � �+c,,6. ww� �,_,f�ht d� ( Construction Cost: Muiti-Family Building: (Yes t No_) Company: �j��A.c�e..�r'� �j•--� �G��25 Contacf: �t� ,�r_�.So.�+ Ct)11t1'8Ct01' Address: �n 2..3� (.J...�,_�...� ��a L� N City: �� lld,�� State;��lj�Zip: ' t'L - Pho :(e/2-�L?�^�i 3��ai1: !'c�J� bI wn.��,.��- bu..1�t wtt. �i�„ lp'S`1 J�O�� •GoAh ' License#� l.ead Certificate#:N 141 -F�z 3t�,�p " i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information} ��3��, n_, 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 documerrfs that you submi#are consederetl to:be perblic�n�rmation. Fortions of the information may be classitled as n�mpublic,if you provide speci�c r+�asarrs fh�t would permit#he Clty#� cc�nc/ude that#hey are trade secrets. . CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 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 with the approved plan in the case of v✓ork which requires a review and approval of plaru. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x,,,�� l�F�icrz s ea,� X�o,i�-� Applicant's Printed Narr�e Applicant s Signature Page 1 of 3 • �//`f� �,�in�� G�� / �b'"a0� DO NOT WRITE BELOW THIS LIN� SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Aiteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Aiteration (Multi) _ 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 �� --( MCES System "' Plan Review Code Edition --!��' SAC Units --- (25%_100%� Zoning �,—! City Water -� Census Code � Stories Booster Pump _ #of Units � Square Feet ^ PRV -- #of Buildings � Length "' Fire Sprinklers --- 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 Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls '� Other: Reviewed By: , Building Inspector � RESIDENTIAL FEES �`p..lX/j f�ii ci✓jyjy � �� /�p ✓ Base Fee / 7� `� �� . Surcharge � a� Ul/�y,/�G w,5 j��j .,�-- Plan Review // 7 MCES SAC _�� City SAC � Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � . '� �a�lGt�iv f il,� la �� `� �� . �� i3�€�,oso� ��N�v�soT� m��x�r��ca�.A��Fv��, �� ca��s z� �Itttttblllg L�#�D��ChOW 'p��icatiy vented(other than fa��-assisted)gas r�r oi1 appliance �£Rf`!?1E,,,�& Remodeling Estimetor Air�andition�t�g ��. .. ,, : , ' ' •- ,�- • �tmaspherically vent�d�a�c�r oil appliances t�sin�a cammon /'r, '4, €�ce:763-497°22� 4145 MacKenxie Court WE as or ai] a�p(iai�ces and sc�li�i fuel applit�nce5. � Uirec�763°d9�-7&19 E�.1tQ S�.MiChael,MN 55376 Fax:763-A97-4263 ldalcharv�bdplqmbers.cam . � www.bdplumbc�s.com Tab1e 5(?t.3.3(2) ,(�v/�,i /nJ ��{ Procedure to Determir►e Makeup Air Quantity far Exhaust Equi�ment in Exisfing Dwellings {Refer t�Item S in Sectian 501,3.3 to determine applicability o�t�is table) One On� ar multiple One �r muttipte afmas�hericaily tvlultiple po�ver vent ar dirert fan-assist�d venfed �as or atmos�herically vent appliances �ppliances and oil appliance or venEeci gas or oil or no c.o►nbustion power vent c�r direct'one solic� fuel appliances �r s�ti�i appliances� vent appliancesg applianceC fuei appliancesD 1, Use the Appropriate Golunu�to Estimate House Infiltration � G ��, �'� a) pressure t'actor {cfinls fl 0.25 0;]S O.I Q 0.05 b}conditioned flocir ��,�� area(s£� (inclt�din�unfinished.basements} Estimatec� House Infiltratian (cfm}:, , [la x IbJ �� or Alternative Calculation (by using blower doar test)E c)convcrsion factor Q.75 0:�5 0.30 4.15 �i} CFIv150 value (from blower door test) Copyri�lat C�}2009 by th�T�ev�sor ot'SfaSUt�s,Stat�af Mznnesata. �ll Rights Reserv�d, , �v -` / ��.. 27 MI€�NES�TA ;��ECNAi�ICAL AND FUEL�AS CQDES 1346.t1�41 Esfiirnatett �-Iausr, tnfiltration {efm}: [ic x� 1dJ �� ?. Exhaust�apacih,: ` �,� �1��„1 �0°l0 of exhaust rating=Exhaust /�rfcNa•�✓ . ��pacity(efrn): //oo/J (not a�plieable if recirculatiz�g system or if powered makeup air is electrically interlock�ti with exhaust}, 3. Makeup Air Requireinen# a}Exh�ust Gapacity (frotn abpve) �� b}Estimated Hause Infiltratian (frpm above) �E�� Ivlakeup Air Quantity (cfm): [3a-3b] " �� {if vatue is ne�ative, na rrtakeup air is ne�ded) 4. For Makeup Air dpenin� Sizing,refer tc�Tabl�SOI.3.2 AUse thi's coiumn if there are at�er than fan-assisted or atn�osphericaliy vented�as Qr oil appliances ` or if there are na con�bustio�� applianees, �Use this column if there is one fan-assisted aP�lzance per veziting system. Other thazi atmospherically vented ap�liances n�ay alsa be included, �Use this colurrzn if ih�re is one atrnaspherically vented(�ther than fazz-assisted)gas or oi1 app[iance per venting system Qr one�olit�fuel applianee� °Use this column if there are multiple atmosphe��icalty vented gas or oi!appliances usin�a cammc�n vent or if there are atmasphericalty venteci gas or oil appliances an�i soiid iuel app]iances. EAs an alternative, the Estimated Nouse Infiltration may be calcnlated by p�rfarminb a blo�ver door test and mu(tiplyin�the conversion factor Esy the CFM50�alue. Table 501.3.3�3) Copy�ight�2049 by the 7Zez�isar af Stahtfes,State of A�innesoia. All Rights ft�s�rv�d: From:7634974263 ll /l4/2014 12: 17 #3B5 P.002/003 Use BLUE or BLACK Ink ---------------, � For Office Us�� I Clty of��a� � � � Permit#� � I d�i I ! 3830 Pilot Knob Road � Permit Fee:_ _,__M,_ � Eagan MN 55122 1 � Phone:(651)675-5675 � Date Received i Fax:(651)675-5694 � I � Staff: � �.��.��_____�___�J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Dafie: 11'�� Site Address: L�� -�X�(lOj��l �i��G�l� � Tenant: Suite#: ±ResidentfOwne Name ��'�t�l�`� �--G�,��4r1 L �^>�Cl }�___.�. Pnor,e.f l,'r.'� ,� -��]fi�1��I CJ_ € Address/City/Zip: �- ` �� ` � � � � �..�..� ......._.�_..�___-__-u�.,� ...w,._� ...; � Name:_ B&D Plumbing,Heating&A/C �� -�'cense#: '^ 4145 MacKenzie Court NE City: 3 Address: Contractor 5 - € � St.Michael,MN 55376 j State:_ phone:763-497-2290 'i ?� Contact _.,.�,, _..�..�...,.n.�. . �..,._._,_.�..._........ .... ___�y_�_.�._....�,.�.�.._.,_.__�.._.�.,...�� .Y_�_:.. ..__.___ ,..,...... ..: ; :i � T New _Replacement _Additional �Alteration Oemolition Type of WoCk { Description of work: �'ti� t' - b1." N' � �1 � v � � N Roof mounted and ground mounted mechanical equipment is required to be screened by City ; I, �': Code. Please contact the Mechanical lnspector for�nformat�on on,permitted screening methods II _ ._�� ...�.�_._..::�..��...:....�..R..:�...��.._..�;:r....,.w:..,..,_..,,__�.,:.,.._.,:._..:,.:��.....� __...,_. '� RESIDENTIAL � COMMERCIAL ' � _Furnace � _New Construction _Interior Improvement Permtt Type � —Air Conditioner Install Piping _Processed ( Air Exchanger � !Gas _Exterior HVAC Unit t Heat Pump � _Under/Abode ground Tank �Install/_Remove) ; �w_. _ ..._..��.—Other � - --�---- v.,,._.__.._.......,.....��_...N.. ,.,y,..�..._.._____�.-�-.r..___�,�..._._..,_. _ . 1 � ; RESIDENTIAL FEES ; $60.00 Minimum Add or alterafion to an existing unit(includes$5.00 State Surcharge) , ` $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.o� : ; $55.00 Permit Fee Minimum ; $70.00 Underground tank installation/removal =$ Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =g Surcharge *'If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *""If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accuraEe;that the work will be in conformance with the ordinances and codes of the C�ty 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 Ihe approved plan in the case of work which requires a review and approval of plans. � ;� X��Gti 4��. 11��.�.�,I (��'� l �`� k. ApplicanYs Printed Name App�canYs Sigi ure FOR OFFICE USE '; _ Required InspecGons: ' Reviewed By: ' Date: Underground ' Rough In _Air.Test �as Service Test 1n-floor Heat Finaf 'HVAC Screening �: °t�': From:7634974263 ll /l4/2014 12:18 #385 P.003/003 Use BLUE or BLACK Ink i----------------i � For ONice Use I I �� C�� I Permit# � Y � ' ' � �, � � Permit Fee: f 3830 Pilot Knob Road i � Eagan MN 55122 I Date Received: � Phone: (651) 675-5675 j I Fax: (651)675-5694 � Staff� -------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l^ { - f �" Site Address:�i L�� L�.xin�� iN��,�j Tenant: Suite#: ,_.._� ............�...._.a._..,,.,...�,�.k.._...._.�......_�._,_- ..J___�.....�__ �..,�._..�._...�..,.,w. _.�..._�__....__.__... ' Name:`�'' `1��5 � W�J��°l LJG��i�,��, Phone: 1.�� '��" 7 �( l.1 ' ResidentlOwner � I �'� : ` Address/City/Zip: LI �`7 ) ��X)►�}C� )� 4�i�'n ��'1 ,t2 � ..��_._,_��—�._. .�..��..�.,�....�__�—��-�__,___.__—__.__�___.. . � Name:_ License#t: B&D Plumbing,Heating&A/C COntraCto� � Address: 4145 MacKenzie Court NE ,_City: � St.Michael,MN 55376 � State:_ phone:763-497-2290 , ' Contack :,,,:. :� �,,...,� -#..�.r._._..�._.r_w..�. - �...�,_..._.,.....�....a,_.�� _._..,_..�_.�._,.�._..._�.,��..--�...._.._.�.._..__..__r.,_�_..._..�------- Type of Work ,� —New /�Replacement _Repair _Rebuild _Modify Space _Work in R.O.W � Descript�on of work: L�i� 1�'.1�1 �.t'1'�Q(,�� E , Y1�..1��C�t(� ��C��X' �/lf/�� .1�� ,.,... ,,.._,.......N.e...,�._._� ._—�...e.�..w..�..� �_...._ ....,.�.-�--�� ..�.,�..x._x�y- _._._.. v...,.� �, � ._.., ` RESIDENTIAL ��—�~"��~��Y � �c.`-f-.}�,�,s�,�- � �Water Heater � ` � Water Softener Lawn Irrigation(_RPZ/_PVB) � — Permit Type � `• Add Plumbing Fixtures(�Main/_Lower Level) 4 _Septic System , � � _Water Turnaround ��S�n r s _New � �iu;�'�;�✓y��iS� �' ; w_... ......... `�.,�.—_Abandonment _ ��.� _ �� 1-�v;i.�S�LG.✓ S ..�_r....�.y.��.vJ.��.�..�........�.a.,�,.,.-......�.�.,..._...��...._....._�_.�..._..a....._,.._»....._. �RESIDENTIAL FEES: ; $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes$5.00 State Surcharge) ;,' $60.00 Lawn Irrigation(includes$5.�0 minimum State Surcharge) ; $60.00 Add Plumbing Fixtures, Septic Svslem Abandonment,Water Turnaround"(includes$S.Oo State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) " �. $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 1. CALL BEFORE YOU DIG. Call GopherState One Call at(651►454-0002 forprotecfion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge tfiaf this information is complete and accurate;that the work will be in coniormance with the ordinances and codes of the City of [agan; that I understand this is not a permit, but only an application fo�a permit, and work is nol 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. .. 1 �� , � 'i �Ic,��.� X pp icants r�n e ame ApplicanYs Signature FOR OFFICE U.SE Reviewed 8y:`; Date: Required lnspections:; Under:Ground `Rough=ln Air Test Gas Test ` Final Meter Related ltems: : Meter Size . Radio Read Staff:. >'; �; Use BLUE or BLACK Ink r----------------i � �,. , . I For Office Us� � ��' � �I J �-7 (� Permit#: / �� / � ,�7 Clty of �� I Permit:Fee: � ' � � �4�� 3830 Pilot Knob Road � �_ G�/JC,^ I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 R�CEIVED i i Fax: (651)675-5694 NOV 0 9 201� � Staff: I �----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: "� , Name��5--`'3.---�U�—�,�b(rk� �..,��.� Phone:��- �'Q/-�'z�� R�'sldt:nt/ (�yy��r: Address/City/Zip: �a Applicant is: Owner �Contractor ' � • � ,l � �� Description of work: �E� �" S�-f�.✓tc��.+.. ( t��t�- Ty��'�f�p'� Construction Cost: ` Multi-Family Building: (Yes /No Company: " Contact: � .�� on.l � Address: �1�� ,,,�„a„w��c,�e.i� L...h1 City: _��I� �O��CaC'C4t` � ! State:�,�Zip: S`�'/2� Phone: (�(L-� Z7 b '�� i�� b�wt-1K� '" � ' License#:�Lp,,Z��Lead Certificate#� �"' " " � + If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: � - Phone: N�?T�:F�a��:�r��l�p�rt�"ng dvct�e��s t�f yvu su�rr�a#��r�e corrs��d t�t ibe p�c i��irr�a�t�n For�`��c�f t�e��f�r�atiQ�r�ay be''ciass�t'iec�a�s;�or�:public if yror�prc��ae�it�c.rea�ri�t1��t�vir�d perr��t tt�e C�ty to c��#t��1s�hat t� ��a�e s�rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x /�D f'C"�Js6'r�.� x �� C� Applicant's Printed Name Applicant's Signature Page 1 of 3 `"l I�"�� --��!`,•'�G��1��D'O NOT WRITE BELOW THIS LINE ��-� R SUB TYPES ` � 1 _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ 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 ,t . � �' , ". : . � . �T�- ' . ,. . i DESCRIPTION ' Valuation �� ' Occupancy , ,:� � : MCES System �-- I Plan Review � Code Edition G/�"� SAC Units -- (25%_ 100% ✓) Zoning ,f�„--�/ City Water — Census Code � Stories �� :� ---= �,Bopster Pump — #of Units / Square Feet k�p . : PRV —' � #of Buildings' j Length �� .Fir+e �uppression Required � Type of ConstruCtican �� Width . �� . _ . _ , .. , � w� _ , t � REQUIRED INSPECTIOfv�,S�' " , ,'; , , . , Footi�gs (New Building)` , Meter Size: �°�" Footirf�s fDeck) .. : . � • u = Final/C.O. Req�uired . � � Footings(Add.ition) `. � ° � � Final/No C:O.Required .� Foundation � � $ HVAC Gas Ser`vice Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES f�°�t �i �� "'r Base Fee / 3,� 7�� r ao l�!' �R�K � Surcharge Plan Review �'(„ �4� MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL . � , .. ;w, . Page 2 of 3 �� , � � �� "�� . �. i�* � ` :;a k�' � A � /�}�. � � � ��'eri t�, �+1�„y� � { i --�. � � � �� ;� �, -- i . - ..h � �. :- .� � � � _� .� �. ..� �. .� .� �y � �� t � ,M„M,, ,r,,,M„ �.:y.M.. .�,a:..�..�....�r.�.. % � � ;�" 8"�7; G.. � � . � � �'"�� "� '��,.'��3 a�s .. �� . � � � � : ..�'� � tt � r � � C'�"R � . - c � � � � � � '� � z '� �' �� ` "`r e ' � � � � � �� ti � � � f `:�� °° �` �°° �. t � � � •�� ' .� ' '�''� . � (� � �' `�� o � � � � � � T�� ` - � � � � � �` s��, o �s_ '�, �+ � � N "' � � � � , v� � �-t «A y .;� e ` � ; � � � (� X i � � f � � � �;. O .,4� ° � t�; L t �" � � "�+' `� ' �[ ��.� � � �` �w � � 1�'�'� � 3 +�� ,�.r � � � ,`��e``� � �,.� � . � a '4�. � r}t � �y M � � �1°�' #�,. /+ � T ♦i.� � . t � atr.+ i +!�"��` � �'V. ¢�� 'k , a0 � �4 � F o 1 1 � � � � R �t ""* ..r�.:�� i � � � ��,� � � � ,�/y{��,y,� `��a § i , � � rlli � r'� f'YF t �#�i� 4 f . . � �Ml�y � �µ� � # k � }�� e � � y„� ""` � # � � "� � �� x � * � �� .� � � � � � � � �� .� � ,� � � � .�. �.,..�. .......� �.�..�. � s�� *� .�"� `� , �� '��'� . ��•� � � � � �� , k f �� q�4 .y,u.��'�`' � � � , :.,.5 ".� s � � �,, �"" .` � � � � �=� r `I� : � �. �', � •�� f �� f n � \ � �� i � v� �. � ��, ` , �.�, � �. : �� `�� .. . � �.�' � m '► � i 3 � ;,+r � � � ; r x , � � � i e y- ` «'"� , y � � � �� # v^ � �� • ' �C� '\ � ,�� o � � ;+ _ � � � �� ;`� l � ° � :� ��.y � � i , f a �t � � ,�, �� f�•r ' R!,� � . �� }�� . A��. . i -� , .� J �(J �y: � ♦ �.� �y,,.r. mkwNeu .,.�+lmrr ,�y+�Mr� +a.�.�.r++irir .. ? ! V � �� ,� � ; � • .�,�,�...• �"��'�� t� t a esa � ss"'�e►'a� • s a • m # + s � . � � �; � R! i r� � t{tit�+� i i +,:« �rYa +L2 Y �w�� ._ ti,.� ,� ,i s � r.r r a�* � • r x t : y PERMIT City of Eagan Permit Type:Building Permit Number:EA169520 Date Issued:05/28/2021 Permit Category:ePermit Site Address: 4145 Lexington Way Lot:2 Block: 1 Addition: Fox Forest 3rd PID:10-27477-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Christopher S & Colleen M Dolan 4145 Lexington Way Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature