1161 Lexington Ridge Ct6 9l 70
2005 RESIDENTIAL BUILDING PERMTI' APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
? "70
?
New Construcflon Reoulrements RemodeNteoair Reauirements Office Use Oniv
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maxunum lol caverage albwed) 7 set of Energy Calculations for heated addflions Tree Pres Plan Recd _Y _N,
2 copies of plan stwwing beam 8 wirMow sizes; poured found design, etc. 1 sRe survey for additions & decks Tree Pres Raqulred _ Y_ N
7 set af Energy Calculations Addifion - indicata il on-sife sep6'c system On-sife SepGc System _ Y_ N
3 copies of Tree Preservatlon Plan R lot platted after 711l93
Rim Joiffi DetalOptions selection sheet (buildings wiN 3 or less uni4s)
Date -> l 0, l O 5 Construction Cost
SiteAddress /l61 ?.Ex/n?GTON /elD6t. C"j` Unit/Ste #
tiou of Work '?^ b w t-Q ? F't t -
Descri
P4nS - _711A
Sr`-&Lj S
p -rrr Wo0"'l?00,T3 I Ul Okb ?.'I- ra o
Multi-Family Bldg Y_ N Fireplace(s) _ 0 ?l 1 _ 2
PropertyOwner S? ?i?WR214 Ft %A-OGG Telephone #(!oS 1) 95--k Co S53
&51 1 7oT S!
Contractor O
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet '• New Energy Code Worksheet
(q submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have yov previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
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 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. ? ?'-
: n
J EN w,4w- 6 K???G r,
Applicant's Printed Name
U ??A_L?ft ?
Ap icanYs Signature ?
L "-- -
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of_plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
O OS 03-plex ? 11 10-plex
? 06 04-plex ? 12 72-plex
Work Types
O 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation oeo_'-
Census Code q34_
SAC Units
# of Units
# of Bldgs
Type of Const Yf?
Occupancy R ? MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
? Fireplace _P R.I. ?LOAir Test )0 Final
-2Q Insulation
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex ? 20 Pool
? 16 Fireplace ? 21 Poroh (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch(screen/gazebo)
1K 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
- ,
? 30 AccessoryBldg
? 31 6ct. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Glve PCA handout to applicant
REQUIRED INSPECTIONS
Final/C.O.
FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
/--E'e
? IOT
EA066664-02
Business Name
City of Eagan
Department of Building Inspection
Occupancy Group
TEMPORARY CERTIFICATE OF OCCUPANCY
R-3
Permit Number EA066664
Construction Type V-N
Owner Address 1566 Murphy Pazkway
Eagan MN 55122
Buitding Owner Millerville Inc. Zoning Planned Develovment
Building Address 1161 Lexing[on Ridge Ct
Permission is hereby granted to occupy the above described premises on a temporary basis, subject to completing and correcting
any and all noted discrepancies, on or before 08/30/2005.
Failure to comp[y shall be subject to penalties as prescribed by law.
REQUIREMENTS:
Mus[ completc lower levcl stucco by AuRust 30th, 2005.
ZV A;04"
Building O)Jricial
lssued Date
6 q Z-2 G
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.
(gsa.s6
Date (O I ? I n S
Site Street Address 4ExI146 %ma R I 1a6 Unit #
PropertyOwner Telephone# (lLSI)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: J? Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener ang/ wro ater
_
heater at the same time. !f you are instaUinn on! a water softener an /oi water,
check the
do not complete this section. Move to the next section and/
heater
I
,
appliance(s) you are installing. u`JUN p
l ?
@ O?S ?
Y
_Septic System Abandonment
Water Tumaround (add $125.00 if a 5!8" meter is required)
Other:
_
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
S? ? o
Total $
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 approved plan in
the event a plan is required to be reviewed and approved.
-j E6 t.0 At2a ?I_c.c.866 1 2A.' ??
ApplicanYs Printed Name App canYs Signature
Siteatldress &/ Lot-2,? Block i Subd.L-CyiNGrvrJ Ki D66
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 conshucted 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 MANUFACTURER MODEL BTU'S VENTING TYPE
water Heater aDF M 04-tir /YI /T?5d L?6??S No 000 3 H PL/
Furnace i/ Be-QN.r ?0 V44403(-Q (DO 113? 0 u0 Z" P?(,, ,
Dryer IL/6,J rvtort-,?- D7 .Zy D 5 Z5 I
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YeS No
Kitchen kitchen Q,?Fh?ov IJFS(-D I 00 3n0
Bathroom1 I?ov0-?,- `roa?.
?
Bathroom 2
,
Bathroom 3 v
Bathroom4 c?pv-A cEO ?
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oIRECT A7M05
? 62. (?ooM V' flc'Rr ?1 G c-0 %Kl ( o o - )P 1 30'1901) ?
MAKE•UP AIR MODEL TYPE CFM's
v-ro 4'tV- f? vw-v..1 A f r-,- i5ri 118
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
<?4 ,'Y Z,A
-a?T-
Date
Signatur?A LL f?JILLf
N/
Compa yName
` This form is the responsibility of ihe General Contractor.
6`loct@ I ue c? v+
6-2AW4-RESIDENTIALBUILDINGPERMITAPPLICATION
? City OfEagan
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reauiremenis RemodeVReoair Reqmrements
3 regisiered site surveys showimg sq. fl of lot, sq, fl of twuse, and afl roofed areas 2 copies of plan
(20 k maeimum lot coverage atlowed) 1 set of Energy Cakulations for heated edditions
2 copies of plan shaving 6eam ffi window sizes, poured found design, etc 7 site survey for additrons & decks
1 set of Energy Calculations AddtKon - indicafe rf on-site septic system
3 copies oF Tree Presmation Plan rf lot plafled afler 711M
Rim Joist Detail Options selection sheet (bldgs with 3 or less umts
R o.9J
t5frxs tlse OnW
CelkaF$urteyRec4. _Y?
3FEEPfCYAIffiiRBCd . .. _Y _.N
Tree:Presi?tlirEd,,,;Y ' N
DtFSi183ep6e5psiem _Y.....N
1/t.-- I .% 6 4
?
Date 3
f??
? Rtruction Cost ? ??v
Q i C?o
_
Site Address ?
1 UniUSte #
l
Description of Wark '(1Q"0 C?j ???1
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 ? 1_ 2
Owner /v&11ee-Q1
t
P :p0 Telephone#(?1?)
roper
y
Contractor ?
Address City
State M. Zip ??7i?i?'elepLone#(?la
COMPLETE TH AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 _ Mmnesota Rules 7672 .
Energy Code Category . Residential Ventflation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _r/ Y_ N If so, 25% plan review
fee applies.
Licensed Plumberm2e?) i'?!`l"'N1r21?
Mechanical Contractor , ?'?-e- `J
Sewer/WaterConfractor V'e..lrr-????_
Telephone #(} 4-32,023L9
Telephone#(VZ. 3A Llo?.7
Telephone#([d3 H'2??
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 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. _
?
m
-?,?r? l , . IV1, i \t.e.r
ApplicanYs Pri te Name Applicant's Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex 0 16 Fireplace ? 21 Porch (3-sea.)
JX 03 01 of IV plex ? 09 07-plex ? 17 Garege ? 22 Porch(Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
X 31 New
O 32 Addition
O 33 Alteration
? 34 Replacement
Valuation &?-6w
Census Code A-21
SAC Units C/
# of Units G/
# of Bldgs
Type of Const T
Footings (new bldg)
V
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof A_ Ice & Water A Final
A Fratning
? Fireplace ,4 R.I. Y AirTest tFinal
?k Insulation ?
Approved By: _
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 E)Q. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Oemolish Foundation ? 45 Fire Repair
? 37 Demolish 8uilding` ? 43 Reroof ? 46 Windows/Doors
`Demolkion (EMire Bldg) - Give PCA handout to applicant
Occupancy 3- 3 MCES System
Zoning P0 City Water
Stories Booster Pump
Sq. Ft. ? PRV !u6
Length Fire 3prinklered
Width .??
REQUII2ED INSPECTIONS
? FinallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs Air/Gas Tests Final
_ Siding _ Stucco -)L Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
Base Fee V ? ?5?7 r
Surcharge
Plan Review $li'"r-N,y, /5h,*.r,t
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
Permi[ Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoflware Version 3.6 Release 1
Data filename: C:?Documents and Sefzings\bmurphy\Desktop\Energy Calc_10-14-04 PlansU 3.rck
FROJECT TITLE: Lexington Ridge Unit 131
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
WINDOW / WALL RATIO: 0.15
DATE: 10/19/04
DATE OF PLANS: 10-14-04`
DESIGNER/CONTRACTOR:
Tim Fulley AIA
SALA Architects, Inc.
COMPLIANCE: Passes
Maximum UA = 788
Your Home UA = 526
i 33.2% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont or poor
Peri meter 2-Value R-Value U-Factor
Ceiling I: Raised or Energy Truss 1587 38.0 0.0 40
Ceiling 2: Cathedral Ceiling (no attic) 393 38.0 OA ll
Walls - Upper. Wood Frame, 16" o.c. 3468 19.0 0.0 169
Window 1: Above-Grade: Wood Fnme:Double Pane with Low-E 425 0.340 145
Door ]: Glass 172 0.320 55
Walls - Basement:
Solid Concrete or Masonry:Interior Insulation 865 0.0 11.0 58
Window 3: Above-Grade: Wood Frame:Double Pane with Low-E 52 0.340 18
Floor 1: Slab-On-Grade:Unheated 40 5.0 30
Insulation depth: 3.5'
Fumace 1: Forced Hot Air, 92 AFUE
A'u Conditioner L Electric Central Air, 14 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0335 0370
Includes FoundaNon Windows> 5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specificaiions, and other caiculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in RES checkVersion 3.6 Release 1(formerly MECchec4 and to
comply with the mandayry requirements listed in the RES checklnspection Checklist.
Builder/Designer ? ?? r Date_I
? ?
Surveyor's Certificate
SURVEY FOR : Millerville Homes
DESCRIBED AS : Lot 13-16, elock ,, LEXINGTON RIDGE, City of Eagan
Dakota County, Minnesata and reserving easements of record.
Drainage ond Utility Easement ?
f?, 066t ee t/;S Q
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N ? e' srw, sEwER 2+06 L NGTON RIDG URT
N 990. -L.P._ -
I'll,
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n ?
997
1
90.4 0.5y
fi" DIP WATERMAI .
_-___ - _-_ - - - - ___-_-_-___-
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(D[k 5O0) a6" TEE
?wN89'40'S "E 53. * 99-3 °HYDRAN?-
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pcw w/o 11.83- 992. 11,83 Tow homes ?
6
?? Townhomes Proposed N I m
Propoeed 6.00 °.i' ?.00
(FB) PO I
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Garage Garage ? I J
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? cpn sa . 1157 1 i53 fs 1
Propose cn
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cw 993
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Townhomes
I S89'40'S4"W 53.00 > PropoaedeS Proposed p N89'40' "E 53.0 11
2-story
Im O 'oa 2-Story (FB) o p I
I
i' ?0 27.33f4 o o JS 27.33 i>
I 86.83 "Cn °eC?` 13.00 13.00 a°u` 86_83 ___I__
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LOT SQ. FOOTAGE = 14,256
HSE SQ. FOOTAGE = 9
349
,
Lu
LOT COVERAGE = 65%
PROPOSED ELEVATIONS Unit 13 w o
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? BENCHMAR
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Top of Foundption = 993.3 993.3 ?
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, e REGIS7 ?
EREp3?s ?
Garage Floor = 992.9 992,9 LqND
Basement Floor = 984.3 984.3 , sURVEyp,q eos
Aprox. Sewer Service = 976.6/15&16/977.0/13&1 0;; y137$ '?g'MIN
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Drainage Directions =
Denotes Offset Stake = • scaLE: i inch = 30 feet Rear - Garage Side-
JOB N0:
' HEREBY CERIIFY 7HAT THIS IS A TRUE AND CORRECT REPRESENTAiION 04R-594
H
EDL UND OF 7HE BDUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PUftPORT TO BOOK: PA
GE:
PLANNING 6NClNEERING SURVBYING SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN.
2005 Pin Oak Drive /
Eagan, MN 55722 DA7EZQ/2
?' /24 CAO FILE:
Phone: (651) 405-6600 F E . LINOGREN, LAND RVEYDR Lex- Rid
9e
Faz: (651) 405-6606 INNE TA LICENSE NUMBER 14376
w?
AUTOMATED BUILDIMG COMPONENTS, INC.
COMPONENT PLANT
May 9, 2005
Lexington Ridge Townhomes
Millerville
Attn: Aaron Topp
Unit A, Lot 7K 13
1161 Lexington Ridge
Eagan, MN
I have inspected the floor mxsses in this unit and find them to meet the required
specifications.
c"?a-'L-o?
Chuck Schultz
Sales Rep.
Automated Building Gomponents
__- -- I
?
-d P?U
P.O. BOX 7 • MONTROSE, MINNESOTA 55363 • TEL.'I63-675-7376
GEX!/YG TdA( ,Q/06E COIIKT - ------ -?'/6/ -c.,A-14lNc, TON "QioGE ?
svr ??aon
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ALddk fS ATT/?•Cr`i?/.% T-J
.TflE WRL.L IVO X
aAAG lNG 6E REP`P.
8"? Od/?. W?'L ?-
1 heroby certify Yhat this plan, specification,
oz repozt was prspared bp me or under mq
dixect supervisioa and that I am a dulp
8egistered Piofessional $ngineer undeT the
laws of the SiQia of Minnesola
Dnte Reg. No.
, .
Date: 5/19/2005 Revision Date: 5/19/2005
Site Ir?formation
Address 1: 1161 LEXINGTON RIDGE CT
Address 2:
City: EAGAN MN County:
Application Irifortnation
Business Name: MILLERVILLE
Contact Person: RAY MILLER
New Construction
Project #:
Lot: Block:
Subdivision:
MN Contractor License #:
Office Ph: Fax: 651-686-8098 Cell Ph: 612-723-7137
Address 1: 1566 MURPHY PKWY
City: EAGAN State: MN Zip Code:
i? ? P1tiY 2 ? 7005
House Details ?--' - ?_--_ ?
Square Feet: 4426 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4 ?J
Ventilation : Balanced
Total Ventilation Capacity : 174 cfm.
Minimum Continuous Ventilation :75cfm.
Intermittent Ventilation: 99 cFm.
Combustion Appliance
Water Heater: Power Vent Input BTUs: 50,000 Independently Vented
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 60,000 Independently Vented
Other Combustion Appliances
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 Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 300
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Round Rigid Required: 4 inches or Insulated Flex: 5 inches
7/ v
?LLr??tJl?L?
Applicant Name (print): Signature/Date: ,& Zd
Code Official (print): Signature/Date:
rr? Inne PP.,r?n,.mr Innd (MP ua, i
Address: 1161 Lexington Ridge Ct Zip: 55121
Lot: 13 Block: 1 Subdivision: Lexington Ridge
THE FOI,LOWING ITEMS WERNJWERE NO'P COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final rade - 6" from siding
Permanent steps - arage
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retaining Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder tliat roof test caps from the plumhing system have been rcmoved.
• Tum off watcr supply to the ouuide lawn faucets before freere po[ential exists.
• Call the City's E^b ncenng I?epartmenf at 551-575-5646 prier ?o werking in riaht-of-way or in,talling
irrigation system.
J BIIILDING INSPECTOR:
CONTRACTOR:
Millervillc
1566 hlurphy Parkway
Eegan MN 55122
Address: 1161 Lexington Ridge Ct
Lot: 13 Block: 1 Subdivision: Lexington Ridge
THE FOLLOWING ITEM$ WERE/WERE ]VOT COMPLETE AT FINAL INSPECI'ION ON
Zip: 55123
/ & /j D
Yes No Comments
Final rade - 6" from siding x
Permanent ste s- gara e
Permanent ste s- main ent X,
Permanent drivewa
Permanent as ?
Retainin Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb dama e iC
Porch x'
Lower level finish
Deck x'
Fire lace k
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• C211 the City's Engineering DeparUnent at 651-675-5646 prior to working in rightof-way or installing
imgation system.
y BUILDINGINSPECCOR:
CONTRACTOR:
Millervilte
1566 Murphy Parkway
MN 55122
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1161 Lexington Ridge Ct
Lot: 13 Block: 01 Addition: Lexington Ridge
PID:10- 45150- 130 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
J Edward Kellogg
1161 Lexington Ridge Ct
Eagan MN 55123
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA082259
03/18/2008
ePermit
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Oct 04 2014 10:12AM HP Fax page 10
Use BLUE or BLACK Ink
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� Permit Fee' `�-�. i
3830 Pilot Knob Road � � j,, J° i
Eagan MN 55122 � Date Received: � �
Phone:(65i)675-5675 I I
Fax:(651)675-5694 I Staff: I
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� 014 RESIDENTIAL BUILDING PERIUIIT APPLICATION
. � r�� � ''_-�f�'
Date. f ` / SiteAddress:l� ��� �l� ���ij �G�e1 `��" ► Unitll:
Name: �i�Gi�/�t��h2 ,��y��- �I'• ��° Phone: �'1�S^z° �y'� {Z�"� �°.
Resident/
Owner Address I Cily I Zip: �''-�'�!'h?L �!"5� �'L'7�-G
Applicant is: Owner 'y Contrador
Type Of WOrk Description oiwark: _��+— �%�-«-t��"''/�
Construction Cost: �y`f�`� • � MuNi-Family Building:(Yes��!No�
Company:� �i�►Jz-,c��C.%��yi���� ��-- Contact: /_:.3��.e�'�
ContraCtor Address:��' V�T.�S��%t,.� �..!✓ i�,"`� �Co�.-��% Ciry: �j4°�r��Jr�"r
State:�`YInT Zip:S��7��b�? Phone: i�('Z?Z3d 3�/�mail'J3f� ' r,��:�y�����'
L,icense#:[7�=CL��;�?4' '� Lead Certlficate#: s(✓� ` �/'Z-��"" /
If the project is exempt frorn lead certification, piease explain why: (see Page 3 fo�additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in the last 12 monlhs,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 Plurnber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Pians and supporting documents that you su6mit are consTdered t�o 6e publlc lnformat/on. Portlons of
the lnformatfon may be classitied as non-public it you provide speclflc reasons that would perntit the City to
cortclude ihai the are trade secrets.
CALL BEFORE YOII DIG. Call Gopher State One Call at(651)454-0002 for proteclion against underground utility darnage. CaN 48 hours
before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
I hereby acknowledge that this informalion 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 appli�ation for a permit, and work is not to start without a permit; that the work will be in
accordance with lhe approved plan in the case of work which requires a review and approval of plans.
Exterlor autho�ized by a building permii Issued In accordance wlth the Mlnnesota State Bullding Code must Ise completed wlthln 18U
d e lt Iwuenco, �
X �__,..-��I'!�✓fi�C�J1'I�.► X ``��, ,
Applicant's Printed Name Appllcant's Slgnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168159
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 1161 Lexington Ridge Ct
Lot:13 Block: 01 Addition: Lexington Ridge
PID:10-45150-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
J Edward Tste Kellogg
1161 Lexington Ridge Ct
Eagan MN 55123
(651) 592-7251
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature