2061 Bluestone Dr E
Parcel Files Cover Sheet
Unique ID: 1868
2061 Bluestone Dr E
101670233008
Y
CITY OF EAGAN 10941
3830 Pilot Knob Road; P.O. Box 21.119, Eagan, MN 65121
PHONE: 4548100
BUILDING PERMIT Receipt
To be sexed fm GARAGE Ea. Value $5® 0.0C~ Date SEPTA ER 1119 B5
SiteAddrares 2061 BLUESTONI; OR ~ Erect 13 Occupancy
Lot 33 Block 8 sso~ub. CEM GR.V ~ Remodel ❑ Zoning
Repair ❑ Type of Const
Parcel No.
Addition 12 No. Stories
~.9'IsDB+lli r8ta SO11 30,r-iER Move ❑ Length
Name Demolish ❑ Depth
Address Int Impr. ❑ Sq. Ft.
City Phone 4-3691 install ❑
- 5
Name SAM Appmels won
Address Assessment Permit
City Phone Water & Sew. Surcharge • 5® a
Police Plan Review
Name Fire SAC a
s~13 Address Eng. WatterConrL
City Phone Planner Water Meter
,e
Council Road Unit
I hereby acknowledge that 1 have read this applicdtion and state that Bldg. Off. 9/11/851 Tr. PL
the Information Is correct and agree to comply with all applicable aPC Paaut<s
State of Minnesota Statutes m--,A City of Eagan i
Var. Date Cop
SWnature of PerNttae
T H. SM-RCEPFER Total $53.00
A Building Permit Is Issued to. on the express than
~ atkan '
all work slmll be done in accordance with all o "We State of S and City of Eagam Ordinances.
A._
Building Offidoi
1
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CITY OF EAGAN ~t Remarks Cedgr Grove AC ition
Addition Cedar Grove i$ Lot 33 Rik 8Parcel 10 16702 330 08
Owner -6jjhjfr't ` SrArilfb&, street 2061 Bluestone Dry, State Eagan,MN 5 122
Improvement Date Amount Annual Years Pavm rat Receip Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 1 0 .00 2.1 2 Pali.
WATERMAI N
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
i
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
INSPECTION RECORD
CITY'OF EAGAN PERMITTYPe:
3834 Pilot Knob Read Permit Number:' t
Fagan, .MinneMa 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: " t • ; y APPLICANT:
~~pt> ~ ~d ~.~t ,i.~#" R I'' ~=rid ~1 r5t is~-r~, ~ ~
C
i
PERMIT SUBTYPE: TYPE OF WORK:
i i 1ON o R t9A
i
#$00f INf
ti
r
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection - Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH'
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP
N. 12'6
BUILDING PERMIT
Owner __d Eagan Township
Address (presen#) ,,1 d2Q!f'._. ~G Town Hall
Builder -
- Dale
Address
DESCRIPTION
Stories To Be Used . For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location ` Lot Block ' Addition or Tract
This permit does not authorize 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 O;TFE PREMISE WHILE THE WORK IS IN PROGRESS
This is to certify, that.... L has permission to erect a.__j~ -e-
Th
the above described premise subject to the provisions of the Building Ordinance for Eagan !township adopted, April 11,
.1955
/
ZL( Per _C k
Chairman of Tnwn Board Buildin
~ g inspector,
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
~3830 ~ PILOT KNOB RD - 55122 ~ bY170
I jJ 651-681-4675 Now Construction Reauiromerrts Remodel/Repair Reau~ygg
• 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calmfans for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy Calculations Indicate if hone served by septic system for additons
• 3 copies of Tree Preservation Plan it la platted after 7/1/93
• Rim Joist Detail Options selection sheet (burgs with 3 or less units)
DATE Q~ VALUATION l , !
JOB SITE ADDRESS MAN
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? -
PROPERTY OWNER PhA&,~ Z~IZMIW
TYPE OF WORK 4U)_5 1A e FIREPLACE(S) _ 0 ` 1 2
D PHONE# 96ai }'`~&~19
21 11,2D . 6an
APPLICANT
ADDRESS W 5587,3 ZIP CODE
PAGER # CELL PHONE # FAX # 9N9 9 5-95~~
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: - Water Softener Lawn Sprinkler' l
_n
Water Heater _ No. of R.I. Baths
No. of Baths i
321 ~
Mechanical Contractor. Phone #
Mechanical System Includes: - Air Conditioning ee:
Heat Recovery System
Sewer/Water Contractor. Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OOrrrdi/nances.
Signature of Applicant " h - ~^----I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY -
O 01 Foundation ❑ 07 05-plex O 13 ' 16-plex Q 20 Poo( ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Parch (3-sea.) ❑ 31; fact. Aft - Mufti
❑ 03 01 of _ piex O 09 07-plex O 17 Garage ❑ 22 PorcWAddn. (4-sea.) O 33 ixxt.'Alt - SF
❑ 04 02-plex O 10 08-plex O 18 Deck 0 23 Porch (screened) 0 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
D 06 04-piex ❑ 12 12-plex Plbg,,.Y or-„_, N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg.. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 WindowstDoors
❑ 34 Replacement Vernolidon (Entim Bldg only) - 01" PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) Plumbing
_ Foundation _ HVAC
_ Drain Tile
Roof Ice & Water Final _ Other
Framing _ Pool Ftgs Air/Gas Tests _ Final
Fireplace R.I. -Air Test -Final Siding Stucco Stone
Insulation _ Windows (ncw/t+eplacemaat)
Approved By ; Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN
CASHIER: JS TERMINAI NO: 698
DATE: 05/12/98 TIME: 15.50,:06
NAME" WREN BURS INC 4
3r 10 9()01. 2061 BLUESTONE. 112.25
?155 90101 2061 BLUESTONE" 3.00
w
I
s
Total. Rece-i.; ,t Amount
p CR091.6 50
USER ID: JAN
_ ,:~K~kjK~~~k~7~:~~k:%c*~~~*%K~K~KjK}K>9;~;~:~K~~K~K~~K~K~~~%K~yK
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41 .
PERMIT
GIfi Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 031991
(612) 681-4675 Date Issued:
05/12/98
SITE ADDRESS:
2061 BLUESTONE DR E
LOT: 33 BLOCK: 8
CEDAR GROVE 3RD
P.I.N.: 10-16702-330-08
DESCRIPTION:
REROOF
B'uildinq Permit Type SF (MISC.)
Building Wdr°k Type REPAIR
Census Cade 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $6,000
Base Fee $112.25
Surcharge 3,00
Total Fee $115.25
CONTRACTOR: - Applicant - ST. LIC OWNER:
WREN BLDRS INC 18884952 0004360 KERCHIEL PHYLISS
9218 11TH AVE S 2061 BLUESTONE DR E
BLOOMINGTON MN 55420 EAGAN MN 55122
(6,12) 888-4952 (612)686-4639
I hereby acknowledge that .I have read t:hl,; rIpplicat.Lor7 and that the
information is correct and agree to compty !,)ith al appli.cnL)I State of Mii
Statutes and City of Eagan Ordinances,
r
L APPLICANTIPERMITEE SIGNATURE ISSUED : SIGNATURE
J9 I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements Remodel/Repair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: S//'?-~ ~ If- CONSTRUCTION COST;
DESCRIPTION OF WORK: STREET ADDRESS: via 61 A,6,' aT 92&
o~
LOT: .3 BLOCK: SUED./P.I.D.
Name: P Phone
PROPERTY Lasf First
OWNER Sew
Street Address:_o? 46
r SS/22
City ~ State: Zip:
Company: Gt/~L~Lv. ~~^G Phone
CONTRACTOR y~ g~ S l q 9 ok.
Street Address: License # G U
City State: Zip:S Y~2
100,
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCMS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Ilf-V
Permit Fee ! o?. o? 5 Valuation: $ ~OdD
Surcharge 3-00
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: 5. 016
% SAC
SAC Units
CITY OF EAGAN NO- 1 0 9 41
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt ?/U
To be used for GARAGE Est. Value $ 5 , 0 0 0 Date SEPTEMBER 11 19 85
Site Address 2061 BLUESTONE DR Erect ❑ Occupancy
Lot 33 Block 8 Sec/Sub CED GRV 3 Remodel ❑ Zoning
.
Parcel No. Repair ❑ Type of Const.
,
Addition IN No. Stories
GILBERT H. SCHROEPFER Move ❑ Length
Z Name SAME Demolish ❑ Depth
z Address Int. Impr. ❑ Sq. Ft.
City Phone 454-3891 Install ❑
SAME Approvals Fees
,o Name
Su Address Assessment Permit •
~ City Phone Water & Sew. Surcharge 2.50
Police Plan Review
wW Name Fire SAC
Address Eng. Water Conn.
<W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that 1 have read this application and state that Bldg. Off. 9/11/85 Tr. PI.
the information is correct and agree to comply with all applicable APC Parks
State of Minnesota Statutes arjd City of Eag Or i nces.
Var. Date Copies
Signature of Permittee Total $53.00
A Building Permit is issued to: G L RT H . ROEPFER on the express condition that
all work shall be done in accordance with all a9 cable AState inn o S tutes and City of Eagan Ordinances.
A-
Building Official
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2'SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF . CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF SET OF 'ENERGY CALCULATIONS
ENERGY CALCULATIONS:
$2,000 LANDSCAPE BOND
(~fi.P~caE
To Be Used For: Valuation: Date:
J
Site Address D OFFICE USE ONLY
Lot _ Block lltc- Erect Occupancy
Remodel Zoning,
Parcel/Sub -8 Repair Type of Const
Addition # of Stories
Owner c I VAE lk " lCH RQE E FFA Move Length
Demolish Depth
Address LUC-RMhE Int.Impr. Sq Ft
Install
City/ Zip Code ~4 C~ ~31~,. t ~'4.
Phone APPROVALS FEES
Contractor ~iP~MG Assessments Permit 50,
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone
k
TA,
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7
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan / ^
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd - Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd - Y _ N,
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - incticate if on-site septic system Tree Pres Required _ Y _ N
1 set of Energy calculations On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered public information unless you state the are trade secret and the reason.
Date 10 Construction Cost rgooo
Site Address (gyp 1 Bl wtj cme 5- Unit/Ste #
Description of Work,
Multi-Family Bldg _ Y ko'~N Fireplace(s) t0 - 1 - 2
Property Owner P L Ua^-Pr-P Telephone # ((p.S7)
Contractor Lk /p 8mff-4 ' 15' l'ut
Address I I ® LJ MG;, 3 A City
State M)U Zip %071 Telephone # (9Sa) 75T- ~ 5'33
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 76:70 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(~l submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone
Mechanical Contractor Telephone
)
Sewer /Water Contractor 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.
f,
Applicant's P ted Name Appli t'S Si ature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - Y - N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd - Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required Y _ N
1 set of Energy Calculations On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 7!1/93
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered public information unless you state the are trade secret and the reason.
Date c "7 Construction Cost ~o C,c
Site Address cs L u L- 57 v uy G -i.• Unit/Ste #
Description of Work ' S i E
Multi-Family Bldg - Y N Fireplace(s) Z O _ 1 _ 2
Property Owner C A- 2 H A -2E ti Telephone )
Contractor V,4 "TS A, rL 3 -r H L 2 s c ~ p s i
Address 110 L J , yti A r ~J S T. City -A b ~ 6-
State 0~ t~,i Zip 5 6) o -7 f Telephone # (~i S a) 5 - 3 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeo1y 1 Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone #
)
Sewer/Water Contractor 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.
_-----7
j~
0 CL
Applicant's Printed Name Appli nt's ignature
I~
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 ' Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
Demolish Interior ❑ 44 Siding
❑ 3 38
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) - Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water _ Final Pool Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath -Brick
Fireplace _ R.I. Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
_ Copies
Other
Total
Use BLUE or BLACK Ink
For Office Use 4
j Permit I'
City of Ean~tl I 05_ A r
Permit Fee:
3830 Pilot Knob Road I ' I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I ~n I
Fax: (651) 675-5694 1 Staff. 0P I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: oz& I E( A~~ Unit
Name: Phone: t7 ' - 0
Resident/ t
Owner Address/ City/Zip:
Applicant is; Owner Contractor
i
Type of Work Description of work: _RE - ~f
Construction Cost: Multi-Family Building: (Yes / No x
Contact: IV\
Company: Va &tlv_vt2-
~
Contractor Address: Y D ~o 06f[461-1 5F 5u I +c 4 City: 5 VI)
State: )AA ~ Zip: 55 . Phone: 2.5 ~ - / ~ ) 2 j
License BIIC- 14 Lead Certificate
i ~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
W €~t!) fi S d i Ty e-, 264 ~b A l1-~L~ " 5 i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
a
_Yes _No If yes, date and address of master plan:
a
}
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone: i
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
I 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.gooherstateonecall.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 plans.
Exterior work authorized by a building permit issued in accordance with the Minneso State Bui ding Cod st be completed within 180
days of~ermit issuanc p r
X v/ X
Applicant's Printed Nanje Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163034
Date Issued:08/11/2020
Permit Category:ePermit
Site Address: 2061 Bluestone Dr E
Lot:33 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Paul Hansen
3900 Riverton Ave
Eagan MN 55122
(612) 877-0029
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163035
Date Issued:08/11/2020
Permit Category:ePermit
Site Address: 2061 Bluestone Dr E
Lot:33 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Paul Hansen
3900 Riverton Ave
Eagan MN 55122
(612) 877-0029
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature