2069 Bluestone Dr E
Use BLUE or BLACK Ink
r
For Office Use
Permit non
City of EaEd
a I
Permit Fee:
3830 Pilot Knob Road 12-
Phone: Eagan MN 55122 I Date Received:
(651)675-5675 I I
Fax: (651) 675-5694 i Staff: 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit M
Name: _60,wP_ owl_,~d H-o w1eCSe-vt-k vr1S Phone: ~10~ J 7D a rS
RESIDENT / ~1
OWNER Address / City / Zip: 2v 6 -1 Jg/ 1A2S/ (0,J_,,7 Applicant is: Owner Contractor
TYPE OF WORK Description of work: kn, ' &
Construction Cost: (p06rd Multi-Family Building: (Yes / No )
Company: 6 ~4 0 ~S rc~ G~_a ® Yl Co act: I C6# 64- n-e-,(-
CONTRACTOR Address: ~-au -To "A_50-n, S6 4ke- City: .,//V'
State: M U Zip: 67J 530 Phone: 6 2_ - SX 3 Z (g G
License 96 2-6 -6 7-.,5 q 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
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.gopherstateonecall.oM
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 ~ "4 1~ e 0, x
Applicant's Printed Name plicant's Signature
Page 1 of 3
Parcel Files Cover Sheet
Unique ID: 1871
2069 Bluestone Dr E
101670231008
i R.
CITY OF EAGAN Remarks Ced Grove
Addition Cedar Grove #3 Lot 31 Rik Parcel 10 167 2 310 8
Owner Street state
a
Improvement , Pa'riien Receipt, Date
Date Amount Annual Years
t
STREET SURF.
STREET RESTOR.
GRADING
AN SEW T
S BUNK
SEWER LATERAL `2
1
# 2
2 300
97
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
,
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK . .I~
EAGAN TOWNSHIP
N° 1203
BUILDING PERMIT
Owner ------Eagan Township
Address (present) Town Hall
Builder
Date . / ---GY------
Address
_ DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
' / ~ _ ~ w I I ~S fi~ ~ 3r
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 THE/,PREMISE WHILE THE WORK IS IN PROGRESS.!
This is to certify, that._ has permission to erect a___9 D . ~f
upon
_-upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopte April 11,
1955.
! Per ~.e s-----------------
Chairman of Tnwn ABoarrdd Building Inspector
RECEIVED
EAGANJUN182020
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-56134
buildinginspectionsecityofeagan.coat
For Office U rim v
Pennk#: t'ab� v
Pernik Fee: . a4 -
Date Received:
Staff:
J
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 17 3- a�ao Site Address: a06 ct,L) i..e_ s-h t , E Unit #:
Resident!
er
Name: c kc ne— V"J°L' 'ttC r4— Phone: (1 "‘C° r6)O 7
Address / City / Zip:
Applicant is: Owner Y Contractor n /I �
Type of Work .
Description of work: � f ess WI'^d' Dw ' �cs .A 1- tti1 6. kcrr e>4s"h L.-w is,
Construction Cost: jj h 00 , O 0 Multi -Family Building: (Yes / No )
Contractor
Company: P Mei►`Q-- 0L-.1 5 Contact: 7041 A
7(C Cr /4 Q_ my:j�4 1 j� Address:
/ t
State: AU Zip: ES / c>D Phone: al-gig"S36)Emall: i °,-La �gycra,r(, cold'".
✓
License #: ,. 3`'l 30 13 Lead Certificate #: %T - I (49 y 6— a -
If the project is exempt from lead certification, please explain why.
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are conslder+ed to be public information. Portions of the information may be
classified as non -pubic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notifcation from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.camisubscribe.
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.
CALL BEFORE YOU DiG. CaII Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
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 1 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 ojpla
\
Applicant's Printed Name
Icanrs Signature
SUB TYPES
Foundation
Single Family
Multi
01 of _ Flex
Accessory Building
WORK TYPES
New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
DO NOT WRITE BELOW THIS LINE
006 9g/ces(o/1E E
Fireplace
_ Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
�oo
(25%_ 100%
*)
Census Code
#of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
Porch (3-Season)
Porch (4-Season)
_ Storm Damage
Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
1
_ Siding _ Demolish Building*
_ Reroof _ Demolish Interior
_ Windows _ Demolish Foundation
KEgress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
y\ Final / No C.O. Required
/ HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: tucco Lath Stone Lath Brick
Final A Windows ;t Y.
Retaining a'� _ ootings Backfill _ Final
Radon Control
Erosion Control
, Building inspector
014‘6,)-5
tA,/-YN-ou
Page 2 of 2