2868 Lexington Ave
RECEIVED Use BLUE or BLACK Ink
131
r
1
25Q
City of Eayn ; T
Permit Fee: ' 1
3830 Pilot Knob Road I
Eagan MN 5122 i Date Received:
Phone: (651) 675-5675 ll ! 1
i Staff.
Fax: (651) 675-5694 I I
2011 RESIDENTIAL PLUMBINIP PERMIT APPLICATION
Date: 14 Site Address: 1--40- kd a- So
Tenant, Suite p- j
RESIDENT I OWNER Name: Zp w1vaX Phone: ~(~tI ~~/~(!?c~
Address / City / Zip: CONTRACTOR Name:.MILBERT COMPANY INCAba iii- IGAN WATER
Address: 1801 50T" ST EAST city: INNER GROVE HGTS
.451.-2241
State: MN Zip: 55077 Phone: 651
Contact: BILL.MILBERf Email:
TYPE OF WORK New Y"Replacement _ Repair _ Rebuild _ Modify Space _ Work in,R.O.W.
Description of work: - Iv
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation t` RPZ PVB) Add Plumbing Fixtures Main / _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (inciudes$5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State, Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $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.aooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi nces 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 wi ut ermit; 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~
Wl V 1' 1 I,
x
Applicants Printed Name App icant's Sin re
r
FOR OFFICE USE Reviewed By ri Date! . '
Required Inspections Under Ground Rough-ln Air Test Gas~Test 'Final°~~'
^~?^ INSPECTION RECORD
CITY OF EAGAN PER(IAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `
(612) 681-4675
? SITE ADDRESS:
Ili F + t t'IPERMIT SUBTYPE:
'
i(If> >n 41 i.?) Ca
Iu6t +IN Avt
APPLICANT:
TYPE OF WORK:
UI. '.i N w l' i 1 liN
IHi1? '.+??1141? ? I'd•,III i? l f ??i•i
INSPECTION D • r
i ? . .. t•1 I , ? ; . . ? i , : i ? r.t 1 .
frt-MARF'::?: A %Ef'AitATf' F'!'H9+I1 1 1'. hF C111Z?rF1s 17Uk pNY I'l0.1MlitM411 Uf'i f: I(`i.IkI?.A{ IJOt+i
PermR No. Permit Holdx Date TNsphone #
ELECTRIC
PLUMBING
HVAC
inspeetlon Dab Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFlN(3
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST ? X- Uur-
INSUL
GYP BOARD
FIREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLD(i FlNAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
Addition McKee 2 Lot 14 Blk 1 Parcel 10 47751 140 01
OwnerJ'I P?.',?-±2.?. Q ???i:? -'?. _ Street 2868 SO. T.exington State E8g,3t1.MN 5.5121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. &if ?
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 68 1 00_00 3 33 -4 n pai
rl
• SEWER LATERAL
1969 -
-
WATERMAIN
* WATER LATERAL 1
WATER AR EA
STORMSEWTRK 1984 316.00 21.07 15
STORM SEW LAT
CURB & GUTTER
510EWALK
STREET LIGHT
WATER CONN. 300.00 6126 7-20--72
BUILOING PEF.
SAC 260.00 12 -20-72
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
.....
Ownes ..._'J2..?1...?..t'./.`..w.-...u...'.........................
Addrecs (Presenl) -e-
...- ..
auilaes ................................ ............................................................ ...
Addreu .--°.°--°-°°------°--°--........-°--°----°---° ...................--..............
DESCRIPTION
11T° 2540
Eagaa Township
Town Hall
Dalo .._.....................
Sio:ies To Be Uced For Fron2 Depth Heigh! Esl. Cos! Permi! Fee Remazka
I o2v 2?- ??a`"° a' 9, o-a ??
v U
os
Lo: nioax aaassion os -rrae:
1 y / 71? ?-v a?a--?
Thia permit doea nol aulhorise the usa oi aireeis, roads, alleps or sidewalke aos does it glva the ownos or Lis agent
the xighfto ereate enp siluation which is a nuisanee or which psesenis a hezard !o the healih, safety, eonvenience and
general welfare !o anpoae in the communifp.
THIS PEAMIT MUST 8£ KEP..yy ?ON HE PREMISE WFIILE THE WORK IS IN PROGRESS.
This is !o cezlify, ihal...?e.:..-_Y.......^'......................................has permisaion !o erect a..... • - -------- ... ---- . . . - - - upoo
.. . . . - -°-'---------
!he above described premise eubject fo the provisioas ot the Building Ordinanee tor agan T nship adopled April 11.
1855.
... ....?::.?:......._ ?.e`
......ma.? '. _..... Per ........_ .....................................-----....._.P....---°-......---..............
..................... Chair of Tnwn Board & ? Hullding Im eetor
EAGAN TOWNSHIP N? 46
B.UILDING PERMIT
Owner ' ....??.:_._.?..?.
•_- -
. ?
- ''? ?------'- - "'??
Address (Presen!) ----- '?'f
?_..5._.....---...a
,+.
Builder ........ ._._..?`?•'-'"'-.- --------- ----------------------?-----
Address -- ---------------------------- -------------------------------- _-----
DESCRIPTION
Eagan Tawnship
Town Hall
.
??r• jv
Dafe ...•-'-'-=._-"'?`-'------------' - ----
>foriesl To Be Used For Froni Deplh Fleight EsL Cost • Penmii Fee Aemaxks
r
tf/r?" - '.FW
..
LOCATION
?
4This permit does not auih`oxise the use of slreeYs, roads, alleps or sidewalks nor does it givel,}fie owner or his agenf
the right io creaie any siYuafion whiah is a nuisance or which presenfs a hazard !o the healih. 'safely, convenience and
general welfare fa anyone in the eommunity,
THIS PERMIT MUST SE ICEPT ON THE PREMISE WHILE TFIE WORK IS IN PROGR£SS.
This is fo aerfify, iha1------------ -------- _------------- ---------------------------- has permission !o ereci a_.... ___._--------------------------------------------- _upon
the above dsseri6ed premise ?s}eatrYdwlhe provisions of the Buildi»g Ordinance for Eagan Township adopled April 11,
1955.
....... . . - ._._...._......'._...
"_._.'.'.'_.:_.'.: __...._..x?".1.' ............................... .
,_. ko? Per _.... _._.._'__.'._.____".'.... _ ....."..._'_'.._.
Chairman of Town Bo ' Building InspecYOx
acg +
------------------
; ;
j Permit
? I
? Permit Fee: V ?
L
j Dare Received: ?
? I
I Staft: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:?SiteAddress: `"-X 1 S
I
Tenant:
Suite #:
RESIDENT / OWNER n V V(/\V V(A Phone:(O?(
Name: Yi
,
Address / City / Zip: ux ' qU)- M
Applicant is: _ Owner ntractor
TYPE OF WORK ?
Description of work: V?U L'
Construction Cost: U v Multi-Famiry Building: (Yes No ?
CONTRACTOR Name: vx Y l License #:
Address: V a L L ? 1
City: ! State: K Zip: ?
y? 5
Phone: J ?68?3ct Pereon:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Resitlential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 submissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
AIOTErPlins,?Aa,supportlr?g dQCUnients thatlydu submltsre cAt?sldered t9?e public?nformaNad. Ponrons;ot_
,
,
fha?tvould perdiif thc City to,,
peclfl c reasons
" p
Be alasslffed as?non ublte !fyou rov? e s
i?iiwmatlon
ma
th
,
,
e
,
_
iG conbiada,thatJh? aretrade s`eareis - - -
y
I hereby acknowledge ihat this information is complete and accurete; Ihat the work will he in conlormance with the ordinances and codes of lhe City of
Eagan; that I understand ihis is not a permil, but only an application for a r;A ermit and work is not to start without a permit;?al ihe work will be in
accordance with i Zro,
t?pnoved plan, in the case ot work which requires a rApplican 's Printed Nameure
Page 1 of 3
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2007 RESIDENTIAL MECHANICAL rE?iT nrri.rcATiorr
City Of Eagan ?J?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please romplete for single £amily dwelhngs & townhumcs/condos when permits are required for each unit
Date " / F/ 0-7
Site Address a6V k /TlJ
(?'??i/ c J U
Unit #
Property Owner P( e v? W A If raq Telephone #(k^i )(9el - ?? 6 2
Contractor BURNSVILLE HEATING & A/C, INC.
345 1 . umsvi e a way
Street Address SUit@ 120 City
umsvi e, 55337 n
?`7YOOOS-
7S?-
#
T
l
h
i
one
(
c
ep
State Z
p )
Bond #: y-1BS p.E rC :)L?) Expires: ?-?Z)/V 0
The Applicant is _ Owner Contractor _ Other
T
Fire repair (replace burned out apptianees, ductwork, ete.) $ 90.00
This fee applies when extensive mechanical repairs are made to a bwlding.
Add-on or alteration to exisdng dwelling unit $ 50.00
? furnace _Additional _XReplacement _ New
air exchanger
4- air conditioner d--l-Oh
heat pump
other -
State Surcharge $ '50
$ 47" Z
Total
I hereby apply for a Residential Mechanical Permi[ and acknowledge that the infortnation is complete and a curatei tha[ the work will
be in conformance wi[h the ordinances and codes of the City of 6agan and with [he Mechanical Codes; tha r?!Q? ? o
perntit, but only an application for a pertni[, and work is not to start without a pemiit; tha[ the wor Il ? c'9'rti2Ace ? t2 D
approved plan m Ihe case of work which requires a review and approval of plan . ?R I 4 Z0?$
',
Applicant's Printed Name Applicant's Signature Rv
7
' ?.
/9 w
doF
.
- --, ---- ----- -- . --
- -: -
- ,?'?.z 6?7 / - - - - - - - - - - -
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LEX/NGFrI? ???}t,,.
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
6? 3.yly-?
,o
BU?fLDZNG
025172
03/10/95
SITE ADDRESS:
P.I.N.: 10-47751-140-01
2868 LEXINGTON AVE
LOT: 14 BLOCK: 1
MCKEE 2ND
DESCRIPTION:
.:
mac souNo
"INSULA7ION
;Build3rig,Permit Type
;• Bailding b`da,xk Type
i
SF (MISC.)
ALTERATION
r_.
i,i.... . .. .. ?-..d __- "4 _.. , ? .,
?,-
i
_ ._ _ • >'•_ . ;.
REMARKS:
A SEPFlRA7E PERMIT IS REQUIRED FOR ANY PLUMBIN6 OR ELECTRXCAL WORK
FEE SUMMARY:
VALUATION $11,000
Base Fee $126.00
Plan Review $81.90
3urcharge $5.56
7ota1 Fee $213.40
CONTRACTOR: - Applicant - sT. I.I OWNER:
CITY VENTURE CORP 13793890 000391 WAVRA KEN
1313 5TH ST SE 2865 LEXYNGTON AVE
MINNEAPOLIS MN 55414 EAGAN MN 55121
(612) 379-3890 (612)941-8071
2 hereby acknowledge that T have read this application and state Chat the
infiormatS.on is correct and agree tn comply' with all applicatrle State of Mn.
? Statutes and City of E?gan Ordinances. ?
APPLIC T ERMIT SIGNAT?? -?ISSDED 131il. S GT(JAT UR???
• • CITY OF EAGAN
3830 PILOT KNOB RD - 55122
14 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -46T5
? 3 registered ske suneys
? 2 copies of plans (InGude beam & window sizes; poured fid. design; etc.)
? t energy wlculations
? 3 copies M tree pieservation plan 'rf lat platted after 7/11l93
required: _ Ves _ No
DATE: -a I Zn / (15 CC
DESCRIPTION OF WORK:
STREET ADDRESS: ? au u /-`ra in'
LOT ? BLOCK --L- SUBD./P.I.D. #I
Name: lnJa o.re, k?"l
u„ .wU
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Street
Phone #: 15? -?:2407
City: 1- 0-6 ,x i State: Zip: ? 5 I? 1
Company: L4,N1"„ rP . CoE4. Phone #: -1-71 3M
Street Address: I'? l'? 5 1 S?. 5.?. License
City: /ei .dwr'-,-nol+S State:
Company:
Name:
Zip--s54lI?
Phone #- 4-19• k -11- (n66F
Registration #• 9 ?? L
Street Address- Z" rrA'v^ l)y^' Ifa'e-,
City: State: ??• Zip: 5-5W64
l/
Sewer & water licensed plumber
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
COST: ?/0, l? q -11 , c7}.r
Penalty applies when address change and lot
is corred and agree to comply with all
OFFICE USE ONLY V FRECEQVED
Certificates of Survey Received _ Yes _ No FE B 2 2 1995
Tree Preservation Plan Received - Yes - No
Cr,•.???1 ?.-?'?
? 2 copies of plan
? 2 site surveys (exterior edditlons 8 decks)
? 1 energy celculaGons Por heated additions
OFFICE USE ONLY
y
Rt
°
?
?
Y
BUILDING PERMIT TYPE ?
?^~ •, ? _ " 'w,
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Mufti RepaidRem. ? 17 Swim Pool
0 03 SF Addftion ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
?"5 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
? 31 New -4C33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy Sq, ft,
Zoning Sq. ft.
# of Stories sq. ft.
Len9th sq. ft.
Depth Footprint sq. ft.
APPROVAL5
Planning Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?/3y
?
-L
O
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
e,n
Valuation: $ //, v4xD
°k SAC
SAC Units
r •
EAGF.N TOWNSHIP
3795 Pflot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMLT FOR WATSR SERVICE CONNECTION
Date: Julv 20. 1972
Billing Name:Edward Linkert
Owaer• same
Plumber: self
Locati? of Connection
?? 7a
?
? ?. 64d. 7V
Building is a:
Residence
i3ultiple No, Units
Commercial
industrial
Other
7/,rr -- /i .?4- Li.-'rL
Number: 895 )A'1-1 /"IC.i. --
Site Address;2868 Lexington Av. S.
Billing Address
Meter Size Connectioa Chg. 300.00 d 7/20/72
MeEer rtor;?-2/i7793 Permit Fee 10.50 pd 7/20/72
Meter Readin 3g."-/-3/ ter Dep.
Meter Sealed: Yes Add'1 Chg.
IQU Total Chg.
Inspected by
Date
Remarka:
.?....? r •? ' . ? i..:?
LLLL ?......Lf1J.
Hy:
Chief Inapector
In conaideration of the isaue attd delivery to me of the above permit, I
hereby agree to do ttm proposed work in accordance with the rules aad
regulations of Eagan Township, Dakota County, Miaaesota.
By:
Please aotify the above office when ready for inspection and connection.
/
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: July 20, 1972
OWNER:Edward Linkert
PLUMBER self
NUtiBER 1059
Address 2868 Lexineton Av. S. /,Lj-/ HC'6 -?
TYPE OF PIPE Heavv Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential I Multiple Dwelling I No, of unita
xc
Location of Connections:
Street Repairs
Total
Inspected by:
Date
Remarks•
Connection Charge $260.00 pd 7/20/72
Permit Pee 10.50 pd 7/20/72
By
Chief Inspector
In consideration of the issue attd delivery to me of the above pe=mit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Totimship, Dakota County, Minneaota
By
Please notifq when ready for.iaspection and connection aad before any portion
of the work is covered.
MASTER CARD
0
\ J
r?
L?
- ! Mck - =;?-
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLMG
SANITARV SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Disfance From Well
FOOTING oD SEPTIC
FOUNDATION ?. CESSPOOL
FRAMING --d •?' ? L TILE FIELD FT.
FINAL
EI_ECTRICAL '
TH
HEATING ? DE
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
• ?
I Violations Noted
on Back
COMMENTS:
?0 -+Lf? ?? 5 S a
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date C)_ / in_ ! ? C
Site Street Address 2eo k.P? l, _Q1U koe- `, Unit #
Property Owner a,\r llr Q Telephone #(ALt, 9-1 14?--' 1
Contractor4o vl ? u1lY C...Z7 Telephone#
Address City FCa Q State? Zip4_
The Applicant is: _ Owner ?LContractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
_
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
? _WaterTurnaround (add $125.00 if a 518" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
? State Surcharge $ .50
Total $V1-G
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the a roved plan in
the event a plan is required to be reviewed and approved. M
u?
ai, MC'?ieffer 0 2005 D
Applicant's Printed Name ApplicanYs Signature 2 J?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178328
Date Issued:08/10/2022
Permit Category:ePermit
Site Address: 2868 Lexington Ave
Lot:14 Block: 1 Addition: Mckee 2nd
PID:10-47751-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Michael & Jessika Brekken
2868 Lexington Ave S
Eagan MN 55121
(612) 232-0340
Eroof Llc
5220 Richwood Drive
Edina MN 55436
(763) 286-7742
Applicant/Permitee: Signature Issued By: Signature