1154 Lexington Ridge CtJUN-20-2005 MON 04:45 PM LITTFIN TRUSS CO
FAX N0. 9524731245
P. 02
! / .5-1 ?; /g {??1 ?? 49e C l .
F'AF:(ftfCAT6R OF ROOF & FLOOR TRUSS SYS7EMS
555•j Fl71KFf3 AVENUE pOX GS6 WCNS7ED, MINNESOTA 55395
Junc 20, 2005
i,ampert I.umUer
Eric Bergum
14555 Galaxie Ave.
Appic Vallcy, MN 55124
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Lcxiugton 1:idgc'Iowntiomcs
DifRcyRoad at Lexington Way
Eagan, 1yfN
Dcar Gric:
At ihe above-referonced Uuilding project, type "F" and typt "B" trusses arc installcd such
that in onc location, ihe spacing on one side of zach truss is 24" and on U7e other side is
28° resulling in thc xFfec:lal tnisses carrying a maximum of 26" of roof/cciling 1oad.
No rcpair is requirt(i for eilher of t]ie iwo affecteci lniss types.
Sincerely,
i •r•ir?rr? M..
• ??G-?l„?
Itobcrt L. '1'ibUits, P.L.
Stnictural Enginccr
C hcreby ccflify thae this plaii, spccificalion or rcpori
was prepared by nic or medcr my dire.ct snyoivisio)i
and that I am a duly I,iccnsed Professiansl Enginccr
nndcrA- laws ofthc Statc pfMinnesDta, ?'-
/ Rnherf i
?, ?? dfOS
Dare: LicenscNo. 12469
I'snc.: Truss Drawings
C.C: Miilcrviilc, Inc., Attn: Aaron
WiNST'tD 370-485-386I MPNtJWA7"f'S 886-878-T/37
N7iNPiEAP6LIS 952-473-2551 IITTF-1-91 r•nx 952-473-1245
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AUTOMATED BUILDING COMPONENTS, INC.
COMPONENT PLANT
June 21, 2005
Lexington Ridge Townhomes
Millerville
Attn: Aaron Topp
1154 Lexington Ridge
Eagan, MN
I have inspected the floor trusses in this unit and find them to meet the required
specifications.
61" JAJ
OT-7
Chuck Schultz
Sales Rep.
Automated Building Components
P.O.BOX7 • MONTROSE, MINNESOTA 55363 •TEL.763-675-7376
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Nov ?7 04 08:33p Jerry Palms 6123793736
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-STRUCTURES i %!7 ?,ll tlil? ioni '71Jy CT
Jerry Palms P.E. q ?6LJ lL?
Struclvral Cngincror Y
416 Hennepin Avenue East
Mmneapolis MN 55414
612 1376 0393 ! Voicc)
6121 378 3736 (Faz)
, <InirmiecMranlrum
MEMORANDUM
LEXING70N RIDGE TOW NltOMES
DIPFIEY ROAU nT LF.XINGT013 WAY
EncnN MN
SALA #U407u
STRUCTURES #0408-2
November 8, 2004
Jeff Wheeler
Plan Review
City of Eagan MN
Dear Jeff:
At your request, I have reviewed a foundation condition which you observed during a site
visit at the above refcrenced projecL Thank you for bringing this foundation condition to
my attention, since I am not always able to anticipate actual construction conditions in
the field.
/JL
Bescrintion: The particular Fondition wh'sch you observed is to be found on the
foundation plan ior the Typ units. Towazd the upper left-hand part of the plan, there
is a shoR stretch of 24 inch wide footirg where ? piers are located. As you observed
it, ihere is a significant vertical footing steprmediately under the pier which is the
"lowesf" of the tliree on the plan. 41
Evaluation: Fortunately, the posi load on the pier in question is of moderate size. ln any
case, the vertical footing step is braced on one side by the concrete foundation wa(1. As
lonb as the 24" wide horizontal footing extends underneath the vertical step Footing, the
post load in question will be adequately supported.
Sincerely.
Jerry Palins PE
Stnictural En-ineer
sTr.ur°rui.rs
I Lereby rertiiy dhat Ihic pl.in, specd¢a-
tiOn or reporl was pwpared by mr, Or
uud?r nry din•rt supt°rvisnn and tlwF I-un
er.r
.1 duly g??tered ?xo wl? -?
i?ia.
M1Q+l
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1?? a P) ? a cL I S+-w Co1 t? 8? t3P-
2,6?p4 ffESIDENTIAL BUILDING PE T APPLICATION
K? City Of Eagan M'P -
830 Pilot Knob Road, Eagan NIN 55122 Q P_
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslrudion Reauiremenis RemodelfReoair Reauiremenls
3 registered site surveys showing sq fl of lot, sq. R of Muse, and all roofed areas 2 copies of plan
(20% maximum lol coverege allowed) 1 set of Energy Calwlahons for heated additions
2 copies af plan shaxmg beam & wmdow srzes, poured found design, etc. , t site sumey for adddions 8 decks
1 sef of Energy Calculalions Adddion - md?icate if on-site sep6c system
3 copies of Tree Preservahon Plan rf lot plafled afler 711193
Rim Jorot Detail Options selecfwn sheet (bldgs wiih 3 or less unds
" s9"_1 '% 1__
,
?95
S9c?
9
S?fxe+ks:tk
Cerio#$u??y?Reed
T[?e PreB F?=R?d ?.
it?€ Pres t?eiNired . .
C?[-sits Sspiic System .
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Date
I
Site Address l ?
W \?k / 6+
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S4 (?.lY\q 11'? 7F
Z IR' 4 ConstruMian Cost
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_-1 Unit/Ste #
Descriptiou of Work Yp-Aj Cp VV51 ?o V-"' ? ds ?.
Multi-Family Bldg 'e-f'y _ N Fireplace(s) _ 0 ?1 _ 2
PropertyOwner Pu,\g.irJ? Telephone#(IeiZy~I?3 -7J3_J
Contractor Ai `w?
Addresa
State M e2
.N.) City
Zip ?Telephone # ({Q1f 2, 3 '"" 3 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
zinnesota Rules 7670 Cate¢orv 1 _ NiLmasota Rules 7672
Energy Code Category . Residential Ventllation Category t Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
. Energy Envelope CalculaGons Submitted
Have you previously constructed a building in Eagan with a similar plan? d' Y_ N If so, 25% plan review
fee applies.
Licensed Plumber ? Ci11/Y1C.tO ??UV?I? `?Cf Tefephone #(`t?- 45.,4
Mechanical Contractor Ili Telephone # ,1, :2&-S?7EJJ
SeweNWater Confractor lfQM P20 i LS Telephone #_$3¢9k - 22Zf2
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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. _
M \--' Kl
Applicant's Prin ed Name Applican 's S' iature
OFFICE USE ONLY
Sub Types . _.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-pfex ? 16 FirepVace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
,X 03 01 of,,tplex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_vor_N ? 25 Miscellaneous
Work Types
X 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 48 ,Windows/Doors
? 34 Replacement
'Demolition (Entire Bidg) -Caive PCA handout to applicaM ?
Valuation 91 0" ' Occupancy l? `3 MCES System ---
Census Code Zoning City Water
SAC UnRs Stories .?2 Booster Pump /-t?
# of Units o/ Sq. Ft. o?G?h PRV 1410?
# of Bldgs Length t/y 3 Fire Sprinklered NU
Type of Const QL Width xy J-
REQUIRED INSPECTIONS
?
Footings(new bldg) ? FinaUC.O.
_ Footings(deck) _ FiuaUNo C.O.
Footings (addilion) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof * Ice& Water ? Pinal Pool Ftgs _ Air/Gas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace ?- RI. ff AirTest )(Final Windows
? Insulation
, _ Retaining Wall
Approved By: kni/
-u ilding Inspector
Base Fee v V v
Surcharge
Plan ReviewS'.,•9,i,yn, /P/,Av
MC/ES SAC 24-%
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
Permi[ Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSofrware Version 3.6 Release 1
Data filename: B2ofB2-B2.rck
tPROJECT TITLE: Lexington Ridge: Unit "112" OF "132-132" ComhinationJ
/I,?Y rov ????8 ?r
COiJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE_ Multifamily
WINDOW / WALL RAT[O: 0.13
DATE: 09/09/04
DATE OF PLANS: 9-1-04
DESIGN ER/CON TRACTOR:
Tim Fuller, AIA
SALA Architects, Tnc.
COMPLIANCEPasses
Maximum UA = 905
Your Home UA = 581
35.8% Better Than Code (UA) ?
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 1955 38.0 0.0 49
Skylight 1: Wood Frame:Double Pane with Low-E 9 0.400 4
Walls - Upper: Wood Frame, 16" o.c. 3320 19.0 OA 168
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 376 0340 128
Door 1: Glass 90 0320 29
Walls - Basement:
Solid Concrete or Masonry:In[erior Insulation 1583 0.0 11.0 101
Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 50 0340 17
Door 2: Glass 108 0320 35
Floor 1: Slab-On-Grade:Unheated 48 5.0 36
Insulation depth: 3.5'
Floor 2: All-Wood JoisdTruss:Over Unconditioned Space 480 0.0 30.0 14
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 14 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade W indows and Glass Doors 0334 0370
Includes Foundation Windows > 5.6 ft2
Skylights 0.400 0.000
Floors Over Unconditioned Space 0.029 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1(formerly MECchec4 and to
comply with the mandatory requuements listed in the RES checkInspection Checklist.
Builder/Designer ? ?j?^ Date I' ? °''O4
• . - Surve?or's Certificate
SURVEY FOR : Millerville Homes
DESCRIBED AS : Loc ,&z, Block 1, LEXINGTON RIDGE, City of Eogon
Dakota County, Minnesota and reserving eosements of record.
VIEV1/ED
By $?--
Date 2,/3UCA
EAGAN ENGINEERING DEPT.
LOT 8
Proposed
Tob=991.0
z
Proposed
Townhomea
9'pcw N/o
1f54
Garage
Dralnage and Utility Easement
san
O7
ALL EROSION
VKET OR SOD
PROPOSED ELEVATIONS
Top of Foundation = 992.0
Garage Floor = 991.6
Basement Floor = 983.0
Aprox. Sewer Service = 976.6
Proposed Elev. _ <::::D
Existing Elev. _
Droinage Oirections =
Denotes Offset Stake = •
HEDLUND
PLANNING 6NGINEEWNG SURV6YING
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Faz: (651) 405-6606
3:1 Maximum Slopes
or Wall W111
Ba I=tvquorea ?
WA'fER SERVICE CURB STOPS AT EASEMENT IiNE (T'P)
W/BOX COVER CASTING
7 W=g71.5
-o I B W=970.0
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3733 T -903.?
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13. 0 o«w 982.5 B W=978.0
0 27.33
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Garage
INSTALL
S1LT FENCE
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- 7,5981
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= 4,280
567o ?
RF01Sr ?:9m
SURVD•;?
1`j37s
SCALE: 1 inch = 30 feet
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BENCHMARK,
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MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garoge Side-
I HEREBY CERTIFY 7HAT 7HIS IS A TRVE AND CORRECT REPRESENTA110N
OF THE BOUNDARIES OF 1HE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT A5 SHOWN.
nnh / / mO¢
D. LINDGREN, &*O SURVEYOR
)TA LICENSE NUMBER 14376
N0:
04R-589
BOOK:
Lex-Ridge
Lri m w w
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? J 22.50 22.50
10 00 1 6.?
1.83 991 5 ? 991.5
F A ?
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N+? ? 89'40'S 'E 91.0
I COURT
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COVERAGE _
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Permit Number
REScheck Compliance Certificate cneokea ByiDace
2000 Minnesota Energy Code
REScheckSofrware Version 3.6 Release l
Data filename: C:\Documents and Settings\bmurphy\Desktop\Energy Calc_10-14-04 Plans\2.rck
PR0IECT TITLE: Lexington Ridge: Unit 2
i?10JIL GT
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
WINDOW / WALL RATIO: 0.13
DATE: 10/19/04
DATE OF PLANS: 10-14-04
i
DESIGNER/CONTRACTOR:
Tim Fuller, AIA
SALA Architects, Inc.
COMPLIANCE: Passes
Maximum UA = 931
Your Home UA = 598
35.8%Better Than Code (UA) ?
Ceiling 1: Raised or Energy Truss
Skylight 1: Wood Frame:Double Pane with Low-E
Walls - Upper: Wood Frame, 16" o.c.
Window ]: Above-Grade:Wood Frame:Double Pane with Low-E
Door 1: Glass Walls - Basement:
Solid Concrete or Masonry:Interior Insulation
Ploor 1: Slab-On-Grade:Unheated
Insulation dep[h: 3.5'
Floor 2: All-Wood JoisUTruss:Over Unconditioned Space
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Cenkal Air, IA SEER
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
1955 38.0 0.0 49
9 0.400 4
3861 19.0 0.0 191
426 0340 145
198 0320 63
1042 0.0 11.0 74
78 5.0 58
480 0.0 30.0 14
Proposed and Maximum U-Factor Averages
Proposed Manimum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.334 0.370
Includes Foundation Windows > 5.6 ft2
Skylights 0.400 0.000
Floors Over Unconditioned Space 0.029 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit applicahon. The proposed building has 6een designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1(formerly MECchec,? and to
compty with the manda ry requirements 1`ted in the RES checklnspection Checklist.
Builder/Designer Date_ ???___
Address: 1154 Lexington Ridge Ct Zip: 55121
Lot: 2 Block: 1 Subdivision: Lexington Ridge
THE FOLLOWING ITGMS WERE/WERE NOT COMPLETE AT F[NAL INSPECTION ON 9 l??0 S
Yes No Comments
Final rade - 6" from R4iug ),? 5:? L) GLo fl-z :1J %
Permanent steps - garage
Permanent ste s- main ent
Permanent driveway
Permanent as
Refaining Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb damage
Porch
L
Lower level finish
Deck ,?o
Fireplace ` g
?9
• Venfy with your builder that roof test caps from the plumbing system have becn removed.
• Turn off water supply to the outside lawn faucets before freezc potential exists
• Call the City's Engineering Dcpa_mnent at 651-675-564E prier to wor!ang in righk-of-way or installing
irrigation syslem ?
? BUILDINGINSPECTOR:
CONTRACTOR:
Millerville
1566 Murphy Parlcway
Eagan MN 55122
site address: lCSN 4t41670/ /?,W CV Lot Z- Block / Subd 4,,CAAt,-1)'4 d2iDAr
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTIJRER MODEL BTU'S VENTING TYPE
Water Heater N? M ? ?oH s Z ?
Fumace .3 ro pin ?3?ou yo dT Z t! fn JC
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen ?u
MJ a?+ ? 62-?SgSS 350 ?
Bathroom 1MF"i L. t.?. w? e? AKejo Xr
Bathroom 2 ? r OlAI J 6?i4 U'"A `?v V
Bathroom 3 f y4ST o
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S 4ENTING
DlreecT ATMOs
? OD2cal 3
MAKE-UP AIR MODEL TYPE CFM's
\/ - i? C? ah+ //lr
I hereby acknowledge that the above information is correct and agree to comply with Iha Minnesota Energy Code and City of Eagan
requirements.
- ? SPP f - 8 a
Signature Date
/17LC?,??r???- /?rc..
CompanyName
' This tortn is the responsibility of the General Contractor.
Date: 9-8-05 Revision Date: 9/9/2005
Site Information
Address 1: 1154 LEXINGTON RIDGE
Address 2:
City: EAGAN County:
Application Information
Business Name: MILLERVILLE
Contact Person: RAY MILLER
OTfice Ph: Fax: 651-686-8098
Address 1: 1566 MURPHY PKWY
New Construction
Project #:
Lot: Block:
Subdivision:
MN Contractor License #:
Cell Ph: 612-723-7137
City: EAGAN State: MN Zip Code: 55122
House Details
Square Feet: 3922 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 154 cfm.
Minimum Corrtinuous Ventilation :75cfm.
Intermittent Ventilation: 79 cfm.
Combustion Appliance
Water Heater. Power Vent Input BTUs: 75,000 Independently Vented
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 80,000 Independently Vented
Other Combustion Aapliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust EQUiqment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 350
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Round Rigid Required: 5 inches or Insulated Flex: 6 inches
Applicant Name (print): 1? i,r.?Lr?? ? u-¢ Signature/Date: ? 9 /e-
Code Official (print): Signature/Date:_ ?
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�
` Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
�• � ' /a701�� i
}� �� n���ll Y°""" � Permit#: �
6 L � ; ��13�.���," � �C I
� Permit Fee: �v` I
3830 Pilot Knob Road ��� 1 � �Q��} 6� � ,�C��j
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � i i
��;_.____ staff:
Fax: (651)675-5694 i________________!
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 09/16/2014 Site Address: 1154 Lexington Ridge Ct
Tenant: Suite#:
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� �_ �.������� Name: Tom Bassett � Phone: 571-214-3174
��� � � � � � �
� „ � �`� = Address/City/Zip: 5232 Besslev Place,Alexandria VA �22304
Oct 04 2014 10:11 AM HP Fax page 7
Use BLUE or BLACK Ink
� For OfBce Use �
� j Permit#: / � ` �° � I
C1ty Of �e��ii � . _��.. �
Permit Fee:
3830 Pilot Knob Road � /��/' �
Eegan MN 55122 � Date Received: / T� �
Phone:(651)676-6675 I I
Fax: (651)675-5694 I Staff� 1
I I
`���'���.���������J
014 RESIDENTIAL BUILDING PERMIT APPLICAT(ON
�a ;� /�
Date: �G � � Slte Address; �� � i 1�� ��°r'�'''7��`'�j� Ca'-cwT Unit#:
IVame: � I��K�/r�rt ,�?X�i� ��°�� Phone: 1�2`'��f'/ �f'S �°°
ResldenV
Owner Address I City 1 Zip: �-f'_!?�j� �. ��y-L-
Applicant is� Owner 'V Contractor
Type of Work Description of work, _����— � I'�-�
Construction Cost: ��7� 7 7� Multi-Family Building:(Yes�/.No�
/� � �--�
Company:�jAT4S ��^���%L'H � ��--- Contact: ��-�.e>�
C011tl'1CtOC Address:�'��� �'�='.�S}�'-'ii.•� �/ ���r`� �C'C '=S�� City: ��'�ir�s-r-'"0`�
State:�Zip:S���/7 Phone: �('L7y34 3�/'l Ernail:l��=�,��J���'�C�i��r�
License#.�17c=-L��,� 7�+ 3 Lead Certlflcate#: �Lr�T°l� �/`2�-3;'� �
If the project is exempt from lead certlfication, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW BUILDING
In the laat 12 months, has the City of Eagan issued a perrnit for a similar pian based on a master plan?
_Yes _No li yes,date and address of masier plan:
Lioenaed Plurnber: Phone:
Mechanical Contractor: Phone:
Sewer&Weter Contractor: Phone:
NOTE:P/ans and supporting documents tl�at you submit are consldered fo be publlc Informatlon. Portions o!
the/nforrnattorr may be class/fled as non public if you provide spec/f!c reasons that would permlt the City to ,
conciude thet the are trade sec�ets.
�
CALL BEFORE YOU �IG. Call Gopher StaEe One Call at(651)454-p00Z for protection againsl underground utility damage. Call48 hours i
before you intend 2o dig to receive locates of underground utilities. www. o herstateone ILor ',
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the crdinances and codes of the City of ,
Eagan; that I understand this is not a permit, buf only an application for a permit, and work is not to start without a permit; lhat the work will be in I
accordance with the approved plan in the case o(work which requires a review and approval of plans. I
Exterlor authorized by a bullding permit issued In accordance with the Mlnnesota State Building Code must be completed wlthln 180 �
da �t�a� „
� '
� L�
x x -
Applicant's Prirrted Nama Appllcant's Signature
Page 1 of 3