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1803 Bluestone Dr E Parcel Files Cover Sheet Unique ID: 1859 1803 Bluestone Dr E 101670623008 II CITY OF EAGAN .ry Remarks Addition CM=9*M all. / Lot 23 ~tlk Parcel 11 166 .30 68 Owner Street 18032, , Sluestoiigg briv.e S tel' t i 'I Improvement Date Atraount Annual 'Years P b nt Recall it 'I Date STREET SURF. STREET RESTOR. GRADING i SAN SEW TRUNK 61 1970 $.18 2208 28 P 'i * SEWER LATERAL 1971 20 I WATERMAIN * WATER LATERAL 1971 1,615.00 80.75 20 WATER AREA * STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT i I _ WATER CONN I 23d.00239 , I, BUILDING 5 21 70 PER - SAC 260.,00 239 R-7-1 -70 PARK This request void 1,,.21 / 7 ~9__2 9~ 18 months from ^ D 66144 q,3, 42, [Request Date Fire No. Rough-in Inspection ,r Required? Ready Now Q Will Notify. Inspec- ❑ Yes ❑ No for When Ready 0 Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City Section No. Township Name or No. Range No. County k~ •qKv 4 Occupant (PRINT) Phone No. /C M t-- L S' '{✓_.3c~ Power Supplier Address t3 711 ,GC c fi /C Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) ~S M C. Author}~e11 Sgn~ture (Contractor/Owner M Icing In tallation) Phon,{e Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St, Paul. MN 55104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 1 See instructions for completing this form on back of yellow copy. D` -H6144 ."X" 'Blow Work Covered by This Request ev4Addj Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other (Specify) I Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An s Above 200 Amps 31 to 100 Arnps 31 to 100 Am s Swimming Pool Above 100Amps Above 100-Amp's Transformers Irrigation Booms Partial-Other Fee Signs Special Inspection $ TOT E Remarks ` w Rough-in Date I, the V s Inspector, hereby 4t` certify that the above Final Date nspection has been made. This request void 18 months from TM41T OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PERMIT NO. 26 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 7343 Concord Blvd. E.. So. 5t. Paul 55075 a plumbing Permit for: (Owner) Cedar- Grave Construetim at 18p3 E. Bluestme Dr 23-8-7 , pursuant to application dated May .14, X97® r Fee Paid: - 120,00 Dated this 21 St day of May T 197 0 . building Inspector TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PERMIT No.: 2~ The Board of Supervisors hereby grants to 0'dar Cr'v C'onstnmtion Co, of 73'+3 C;32i.;or1 Blvd. Sc,. S`4. Fain 75 a ?^.F?s^,.ting Permit for: (owner) C-,dza: Greve Construction CO- at 1203 E. Blul!~tore 23-87 pursuant to application dated MaY 1?_p 1970 Fee Paid: 420.00 Dated this 21-t day of MI-Y , 1972. Building Inspector CITY OF EAGAN i, A SHI.i.R" JS TERMINAL i+!0," 7"58 DATEu 07/x:9/99 TIME: W2034' 10: NAME u E.E. .7f?(:':I::S, INC. ' ,~._,Gr , ,..r ,:,.,.1 ONE '+r . ,r... :a a i.1.~ 5 ':'.:I. s`1 900i f:.I ; 205 `::lrii;::l. .ti C:tl...01---STONE -ri•.00 34RE 900i 003 BLIMESTONE 274.33 Total Receipt Count: CR1.:1. 4 °:x`9.1. USER .l-Da JAN • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ` 3830 PILOT KNOB RD - 55122 ( ~j 651-681-4675 New Construction Requirements Remodel/Repair ReauiremeMs ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (220% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam & window sizes: poured fnd. design: etc) T site survey for exterior additions & decks ➢ 1 set of energy calculations 3 copies of tree preservation plan I lot platted after 7/1/93 -9S i DATE: C1' Q CONSTRUCTION COST: DESCRIPTION OF WORK: 1 X Z7- A O b 17) 6 STREET ADDRESS: LOT: 7-1 BLOCK: SUBD./P.I.D. #:'(2-, p L) # I Name: Phone 1 7- 3 Z.6 Q PROPERTY Last First OWNER Street Address: G 1 L V F S10. City L) State: _ W Zip: Company: 0 ~`S ! Q phone D (area code) CONTRACTOR Street Address: U 2 T License # Exp. L2NI-Zeao City rl/1 ,in -T" State: M N , zip: O Z. 41-- ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer& water licensed plumber (required for new construction, only Penalty applies when address change and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application, state that the informatio c e and gr to co ly with all applicabi State- of Minnesota Statutes and City of Eagan Ordinances. + Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No JUN Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage )Y, 22 Porch/Addn. (4-sea. ❑ 03 1 of_ plex ❑ 08 6-plex l7 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ - 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. 35~ Census Code y3~ (Allowable) Main level sq. ft. 3-r2 SAC Code t~J UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint 'sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee H~R,G?S Valuation. $ , ,0_ J Surcharge 1 N,Gn Plan Review ~t~Nc33 ~as~ryew-t License 2 x16= 3yZ # ~6 = d $PD MC/ES SAC City SAC Water Conn. /~1cc~'~1 p0~' Water Meter Z 7, X16 3d'~ X 5. WSJ Acct. Deposit ~,7✓ $Dg S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: 7/ i SAC Units %o SAC s MINNESOTA ENERGY CODE ' E 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Applwt Name Phone ~ C Date Statement of Compliance: Building Official Use b + App -cant dress The proposed building design represented in these I 4 V documents is consistent with the building plans, r^ specifications, and other calculations submitted Building Ad ress: with the permit application. The proposed (S building has been designed to meet the { s requirements of the Minnesota Energy Code. Applicant/Engineer MINIMUM REQUIREMENTS for "Cookbook" Option: Entry Doors 1-3/4" solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19 door or equivalent (Mina 7'h" top plate to sheathing) Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44** Floor over R-24 wood or vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling--no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. **Insulation Performance at Winter Design Conditions Window and Door Area i' 100 x .35`1 ° _ % W1ND U-VALUE : --14 e As % of Exposed Wall Area Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC or ASHRAE 1993 Handbook PodndatlonWindow/Door Area MAXIMUM WINDOW U-VALUES Check Well WALL TYPE MAXIMUM WINDOW AND DOOR AREA % OF EXPOSED WALL AREA 't'ype; Used 12% id% l6% 18% 206/16: 22% _24%: 26% 2$% 30% 32%0 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.4 0.41 0.36 0.33 0.30 0.27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0. 0.32 0.29 0.26 0 24 0.22 0.21 0.19 0.18 0.17 TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 :48 2 0.37 0.34 0.31 OM. 0.26 0.24 0.22 -00-T IF 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 EO2 9 0.18 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 0.23 2 0. 21 This table contains interpolations of the values in the Energy Code, Part 7670.0475, Subp. 2. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. 2/5196 ®RK WN 1-2 FAMILY RESIDENTIAL BUILDINGS PACKET MINNESOTA ENERGY CODE E 1-2 Family Residential Buildings SUMMARY OF BASIC REQUIREMENTS ROOF/CEILING, WALLS, FLOORS: • Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR meet U-Value criteria as outlined in Exterior Envelope U-Values Worksheet. OTHER ENVELOP . C'gmgi A • Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline. • Foundation walls must be insulated with R-10 minimum from top of wall. • Loose fill insulation installed must provide the required performance at winter design conditions. EFFECTIVENESS OF REQUIRED THE MAT INSULATION: • Building design must meet Category 2 requirements for vapor retarder, air leakage and wind wash barriers, and ventilation. DUCT INSULATION-AM SEALING: • Insulation for ducts encased in cement or within ground must be R-5. Insulation must be installed on bottom and side of plenums. • Ducts installed in attics, garages, exterior walls or unheated crawlspaces must be R-8, minimum. • Return air ducts conducting air into a furnace through the same space as the furnace must be sealed continuously airtight. • For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints must be sealed. HVAC PIPE INSULATION: Insulation Thickness, Inches Pipes 1" and Pipes System Runouts* Less 1-'/," to 2" Heating '/2 1-'/z 1-'/z Cooling (Suction) % *Applies to runouts not exceeding 12 feet in length to individual terminal units. SERVICE WATER HEATING: • Either the first eight feet of both inlet and outlet pipe must be insulated with %2 inch thick pipe insulation or heat traps must be installed. • Energy requirements for swimming pools and spas are in Part 7670.0710, Subpart 5, page 55 of the code. MATERIALS AM INSULATION INFORMATION: • Materials and equipment must be identified so that compliance can be determined. Completed insulation receipt attic card must be supplied near access opening. • Manufacturer manuals for all installed equipment requiring preventative maintenance for efficient operation must be provided. • Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly marked on plans. This is a summary only. Other requirements may apply. See the Minnesota Energy Code 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. d u MINNESOTA ENERGY CODE All Buildings SUMMARY OF BASIC CATEGORY 1 AND CATEGORY 2 BUILDING REQUIREMENTS FOR INSULATION PROTECTION, AIR TIGHTNESS, AND VENTILATION MINIMUM: All buildings must meet the following minimum code requirements: VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operable windows) are relied on to provide necessary year-round ventilation. If one or more of the Category 1 measures below is incorporated into the residential design, however, a residential mechanical ventilation system as specified below must be installed. VAPOR RETARDER: A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the warm side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code requires a vapor retarder to be installed only on rim joists that are susceptible to condensation from moisture diffusion. AIR BAR_MER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into exterior ceilings, walls and floors. • Plumbing and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that is located on an exterior wall. • Air sealing must be done at all dropped ceiling areas, chimney flues, ventilation ducts, and other fire stops that penetrate the vapor retarder. • Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated). • Joints in the building envelope must be sealed, including around window and door frames, between wail cavities and window or door frames. • Tested air infiltration rates must not exceed 0.34 cfm/square foot of operable sash crack for windows, 0.5 cfm/square foot for residential doors and 1.25 cfin/square foot for commercial doors. WIND WASH RARRTF.R• An air-impermeable barrier must be installed at the attic edge (baffles must be rigid material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows. OPTIONAL: Category 1 Buildings meet all requirements as listed above plus the following: RESIDENTIAL MECHANICAL VENTILATION SYSTEM FOR RFSIDENTTAT IRUILDINGS: A system that, by mechanical means, is capable of introducing and distributing outdoor air to all habitable rooms and removing indoor air at a rate of not less than 0.35 air changes per hour or IS cfm per bedroom plus another 15 cfm, whichever is greater. AIR LEAKAGE BA RTF.R: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into the building envelope: • Electrical boxes and fan housings must also be sealed. • All rim joists, band joists, and where floor joists or trusses meet outer walls must be sealed. • The top of interior partition walls that join insulated ceilings must be sealed. • Joints must be sealed between wall assemblies and their rim joists, sill plates, foundations, between wall and roof/ceilings, and between separate wall panels. WIND WASH BARRIER: All exterior joints in the building envelope that may be sources of air leaks must sealed. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 61=96-5175 or 1-800/657-3710. P 30 0 30 Feet Oi 69.25 1 ask ~ y G~ 916 CO / 6 (96 4 '/4~ J ..y` 8.00 X45 f ~ • (9 Building footprint is approximate and accurate to within = or - ten feet EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: 5/13/70 Number: 39 Billing Name:Cedar Grove Construction Co Site Address: 1803 E. Bluestone Drive Owner Same Billing Address 7343 Concord Blvd. E. South Saint Paul Plumber: Stein, Inc. Minnesota 55075 Location of Connection Meter Size Connection Chg. 20.00_;„ 3 5/21/70 Meter No. Permit Fee 10-0012d 5/21/70 Meter Reading Meter Dep. Meter Sealed: Yes_ Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence x Multiple No. Units Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Cedar Grove Construction Company Please notify the above office when ready for inspection and connection. -x EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE : 5/13170 NUMBER 590 (Lot 23, Block 8, Cedar Grove #7) OWNER: fedar, Grove Construction Co.Address 1803 E. Bluestone Drive PLUMBER __Stein. Inc. TYPE OF PIPE Cast Iron err.. r DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 200.00 pd 5/21/70. Permit Fee 10.00 pd 5/21/70 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota-County, Minnesota By Cedar Grove Construction Company Please notify when ready for inspection and connection and before any portion of the work is covered. L - EAGAN TOWNSHIP BUILDING PERMITS 2240 Owner `C ~~~.....~5?` -~/4~......(4 . Eagan Township Addre (present) ..'4v Town Hall Builder S/ _Z i -7 v Date Addrs DESCRIPTION. Stories To Be Used For Front Depth Heigh! ``Est. Cos! 'Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lo! Block Addition or Tract i 9 4 IF`8 . 7 C. ,s6 This p rmit does not authorise the use of streets, roads, alleys or sidewalks nor does It give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES . This is to certify, that...~D .........................has permission to erect a.. 3............ . C,.~~ _upon the aboNe described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11, 1955. .................r? Per- 2c......... C man of Town Board 1S Building Inspector MASTER C Z3 -g5`7 LOCATION /8~✓ wao OWNER STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING Z s 26 PLUMBING 9 L CESSPOOL - SEPTIC TANK I~ WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER B- OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION L _ A s00 ! CESSPOOL FRAMING $ TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING . OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING / WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION OBSERVED. EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. ❑ ACCEPTABLE SUBSTITUTIONS OR COMPLETION OF CERTAIN IMPROVEMENTS DEVIATIONS. WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 Use BLUE or BLACK Ink r For Office Use TA -7 ~S,?/ 1114 Ea~ j Permit I I City of Ea I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1C ///I Phone: 4-/5 ;1 " 3 0 RESIDENT / OWNER Address/City/Zip: /~d L=. ~JL6,,5f 7_(J ✓J(f- 4R. Applicant is: -)C Owner Contractor TYPE OF WORK Description of work: Og G~ IQ d 0 F r-~ ocJi°' Construction Cost: /CJC7C1 Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. 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 / gl-7CL '0C-X k S X Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink . r________________-, I For Office Use � ' j Permit#: ��b� j Clty of �� -�� Permit Fee: 3830 Pifot Knob Road I �— I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (65:1)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: G:: Name:��C/�/�I ��– /�J�/��-� Phone: �SI� 7S�^J�OU =Res►dent/ ' / �� Owner �� Address/City I Zip: f �� . ,�G�C��d/✓� �� . ,', Applicant is: x Owner Contractor Type of WOrk , Description of work: ��D� �G/�L./�CG� G�) (7 ��pa 4`�S �i o� Y r;: ,� . ,; Construction Cost. �aC�O Multi-Family Building: (Yes /No/� �.:�� . �� , �� ,, _��, . :< Company: Contact: COt1tCaCtOC Address: City: �4 State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE•;Plans'�nd supporfing;docur►i°ents:that you sutimit are consialered�to be public information. :Portionsof =' the mformatiQn may be classifieal as non publ�c if ypu prov�de specrfic°reasons that would permit:the City to : conc/udle thaf`fhey are:fratle secrets „ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wuvw.qopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p�ans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi g C mu t be completed within 180 days of permit issuance: ��/C��C� �C�l�� . ApplicanYs Printed Name App icanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147818 Date Issued:02/07/2018 Permit Category:ePermit Site Address: 1803 Bluestone Dr E Lot:23 Block: 8 Addition: Cedar Grove 7th PID:10-16706-08-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - P Kulhanek 1803 Bluestone Dr E Eagan MN 55122 (651) 318-8784 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature