2038 Bluestone LaneParcel Files Cover Sheet
Unique ID: 1891
2038 Bluestone Lane
101670210007
CITY OF EAGAN Remarks Ced.ar Grove Ac s3.ti Il
Additiort Cedar Grove #3 Lot 10 Rlk -- 7 ParceJ ' 10 16709 i
Owner Street 2038 Bluestone Pf. lAY`'k- State II?
I.
Improvement Date Amount Annual Years Payment ? Receipt Dat
STREET SWRF.
STREET RESTOR.
GRApFNG
,
SAN SEW tRUNK '
_ I
# SEWER LATERAL c?j?4-?F
,? ? 1 g72 1 anl? _ n? ?? _ i h o'i? 625.0 z I -aa].3979
-
- ,
,
WATERMAIN - '
# WATER CATERAL 1972 WATER AREA '
STORM SEW TRK '
I
T
STORM SEW LA
?
I
CURB & GUTTER I
?
SIDEWALK
STREE7 LIGHT
WATER CONN. I
13UIL.DiNG PER.
SAC .
PAR K
EAGAN TOWNS1-rIP ?
N. 1412
? BUILDING PERMIT .
Owner ..?G?!...../..... -. . ...... =-•-•-.•--••- •-.•---•------ ' Eagan Township
Address (Presen!) ._,?GhQ.: ?• :•-??f•-••.`?:= ----'---- Town Hall
Builder --•••-•• •------J 4 .. ............... . ............................................. --.
Dale -----
._.. f...../ • ?•-- ---------••••-.
Address ......-•----•-..._..-•-----•._...__..--•----•--•--•------- .
DESCRIPTION
I
, • LOCATION
; Siree2, Road or oiher Descripfion ot' Location I Lot Block Addiiion or Trac!
- 7 - ? O /3-e
' :? (a ?- Llv
This permit- does not suthorize the use_ of streefs, roads, alleps or sidewalks nor does it give the owner or his ageni
!he sight to cregte anp situation which is a nuisarice or which presents a hazard to the heal#h, safety, convenience and
general welfare !o anyone in the coxrimunity. '
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE TFiE WORK IS IN PRO G?RESS.?
?'his is !o certify. t3?at. ?.:.???•------??-?"°-=-••-- C?-•---• • ------•--has permissioa to erect a•--•?C- -----• s._L?? `?,?`---------- ------------uPon
the above described'prernise,subject #o the provisions of !he Building Ordinance for Eag?ownship'adopted April 11,
- 1955. /??
.--•-•............... 2?'....??-k:------° ... --•--• Per --••---- f?[_z f?t .....???C_ .???-' ---
? -• ••--•• ..............
Chairmari of Tnwn Board BuiIding Inspector
5tories To Be Used For Froni Depth Height I Est. Cos! PermiY Fee Remarks
( cQ-? •
/ ?i ?
F. _
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
.LP -3 a oSC,
,
Date 4j
Site Address ? Unit #
k& e s f- t.a k, e
Property Owner be('a!(`QV, S Telephone # ( (ps\ ) qSca-'
Contractor ???
Street Address i5b5 ?Ov)jok City
State m? Zip Telephone #(fO5v
Bond #: Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?Replacement
air exchanger
? air conditioner _New ?Replacement
other
State Surcharge $ .50
$ _?U 50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 approva} of plans.
? c . ?---°--+
twNL
Applicant's Printed Name App icant's Signature
2005
?' ', ,a LJ
?.,
'? . _-------
?_._...____ -- -
. _ ___---
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when separate permits are notxequired for each dwelling unit, :
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Tetephone # ( )
Contractor
Street Address City
State Zip Tetephone # ( )
Bond #: Expires;
The Applicant is Owner Contractor Other
Work Type
_ New Construction Underground Tank _ Install _Remove **see below
fnterior Improvement lnstali Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing inspector
Pel'mit Fees: $70.50 Underground tank installation/remova!
$50.50 Minimum (includes Stafe Surcharge) `
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ermit fee is over $1,000, add $.50 far
every $1,000 pgrmit fee $ Tatal Fee
I hereby apply f"or a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
2004 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.
Date 10
Site Street Address xm -)?1ue,?1 vne •Ln ? Unit #
Property Owner :00Y ) a C S Telephone #(Wd,)? ID 1"3 I I?I
Contractor ` S Telephone # ((e5? ) 3(o5' 1164d
Address
DWJ
1 - City
State?l? Zip DL 3
The Applicant is: _ Owner ?C Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ new _ repair ^rebuild $ 30.00
State Surcharge $ .50
r-
Tota1 NOV 0 i 2 04
I hereby apply for a Residential Plumbing Permit and acknowled t_t t P?nf?rma io 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.
Ij J ' JUA Applicant's Printed Name Applicant's Signature
_ JS- 5o
?K?k?k?k•.?'K%??K?K:???:?K??'??K?K???KSK??k?Y??????K?K?K?K?????:K
C;:#:TY ClF EAGAN
CfaS4-1:1:E1;:,-, 9 TERt°fTNIAl... Nt:Iti rai
DAf'Ei; 07t24-/98 T1:MI:"„ ic :58:r?.?
it? a
NAME. B:tt]RF;ST!"1ANIt CC :[NIC
321.0 9013:4. 2038 BL_UES-"?"'C7P. 50. (:)Cl
21.55 900i. 2038 5.-'l..:UE.??a7'0i4;. Iia':,afJ
Ta+,a1. F'ecei.??-t Amoun+» 50?50
CR09;2t•:,9
1.1Sf.-::R 1:T:! n
1
i CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
, (612) 681-4675
SITE ADDRESS:
P e T. e hJ >> 10--16702-100-07
PERMIT
PERMIT TYPE: BUx t, p zNG
Permit Number: 032621
Date Issued: 07/23/9$
2038 BLUESTqNE L.ANE
LQT: 10 BLOCKs 7
cEDAR GRovE #3
DESCRIPTION:
REMARKS:
PLAN FtEVIEWED BY BILL BRIJESTLE.
FEE SUMMARY:
Base Fee $5&1 a00
S u r c h a r 9e ?._..,._.? .?,....?, 4 5 0
Tatal Fee ?$50.50
? yvrvinF?t.ivrs:
BJQRKSTRRND GQ., ZNC. 14520769
? 4116 DIAMaND DR
FAGAhI MN 55122
(651) 452-0769
APPLICANT/PERMITEE SIGNATURE
DECK
NEW
434 ALTa RESIqENTIAI.
VVVIVGR.
??CA?OLIS DQUG
2038 BLUES7C}NE LRNE
EAGAN h1N 55122
( 651. ) 452-5589
I---'1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAQrAN
3830 PILOT KNOB RD - 55222 A
681-4675
New Construction Requirements RemodeURepair ReQuirements
? 3 registered site surveYg ? 2 copies of pian
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy catculations ? 1 ener9Y calculations for heated addif n
ros
? 3 copies of tree preservation pian ff 1ot platted after 7/1/93
required: _ Yes ` No
DATE: CONSTRUCTtON COST;
_ f' . . . . . . . . . . . . .. . . . . . . . ; DESC IPTION OF WORK: ZxQ?:JC
T ET ADDRESS: c?Q ???
LOT: < <% BLOCK: ?I SUBD./P.I.D. #:
), ) *?
Name:?L (.l?i°"4!/-? :?Ll (7 Phone #:
PROPERTY Lasc First
OWNER
Street Address: r-,Q10R
r L+
Cih' State; 2ip:
Company: "v°cz Ks41ft,f-,,,.? (1- . cQ Phone #: 45? d "" Q'7
CONTRACTOR ?/` /
Street Address: "7`'l?? ?1 ?Q ? Q ?j? License # ??p-](,0
City :. A 6 1o I J State: Zip:
s
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registrarion #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penatty applies when address chang
and 1ot change is requested ance permit is issued.
I hereby acknowledge that l have read this application and state that the informatian is correct and agree #o camply with ail applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
?r---
Signature of Applicao?"'? -
-w-__----------
' OFFICE USE ONLY ? ?_? ? .i ? i ? ?.'?•I ? :I?' ?
?I Certificates of Survey Received Yes No .1UL 14 1998 w
?
Tree Preservation Plan Received Yes No Not Repuired
?.._.._._.._ ?..__-.?.:...•..., _ _ __ - _
?
BUILDING PERMIT TYPE
O 01 Foundation CI 06 Duplex
? 02 SF Dwelling ? 07 4-piex
O 03 SF Addition ? 08 8-plex
0 04 SF Porch 0 09 12-plex
O 05 SF Misc. ? 10 --plex
OFFICE USE ONLY
0
? 11 Apt.lLodging 0 16 Basement Finish
? 12 Multi Repair/Rem. 0 17 Swim Pooi
? 13 Garage/Accessory O 20 Pub{ic Facili#y
? 14 Fireplace O 21 Miscellaneous
015 Deck
WORK TYPE
p 31 New
? 32 Addition
13 33 Alterations
? 34 Repair
[7 36 Move
? 37 Demolition
GENERAL INFORMATI4N
Const. (Actuai) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
4ength sq. ft.
Depth Footprint sq. ft.
APPROVALS
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census B{dg
Census Unit
D<
l
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License MCMIS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit .
S/W Pemnit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies '
Total:
% SRC
SAC Units
C:tTY OC` CAGAi`d
CASH1:Efti: 36 TERT'iINA}.. N0: 690
DA7E;; 12l07/99 T:Cfi4E„ 002n s3
II? -.
NAMk. ? D1ORf.S fRANIi (:t:l . Ii`.C
' 3210 9001 2038 BLLiESTONC 03„25
205 9001 2038 Fff...LIESTONE: 3.50
I
? 'i'cti; al. Rece:i.p+. AttRount : W. i'S
?i CK20454.
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Sods Trstiny
Crvr% fr A lunKlpol
EyRZL'!'!!y
------? - - ,?
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6875 -i:ri9hnt-y 0,C5 M.F.
MrRaV/V)sJ?.
ENGINEE?ING, fNC.
Sllnscf 44066
---- Enyineers ? Sur veyar-s ----- . ,
Moz#gage Loan Survey
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EaGAN
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13EVIEWE'ou'h .
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7?
?- ?- 1 n? W,d?. 75?
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Loss LoT 6N ? j- Q,
L. t vri i 7-ot7" 10 h
Acc4W0.ble G,42, 7.
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?ro? o s ed ? olal,??o n 7? jo ?
Th%s is Q trcC cnd c&-red rcorrsenio1,47r, c?ra surrc?y e?fhe f?ourdaries ?'1?ie Imd ofiore dt.su'lbed orx.'a?'? l?if%? a??11 ?ll?l
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it ary, ,rtrear , ao^,,' ol' risrnrr orcr?ocfim?nf.s ,?? ?ny, t?arr, c,' Ofl 3011? ?lJ. r7!3 S?VP(; KMOt? ?I(? oT :lY:t7l?'C) kz'7 !Yllfl 4 l110!`}? I?cr r.cw
Min Fv?ra aR tht o??r!y vr 7d nn l?oLil?1q•? arsriined rzre ??b ?fiB,?;vcti• o{'sa+ch ?n ?ye or an.I c?fStr' r'nl?rFSi ocr v? rti by :? r?nSt.?t
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svL=t rr*o.-t3??? ./fij uirdirsAvd md ayCted w moncmenls nvrcian ,daced ,4- lfie vtrpau ?l ts?Qb/s`:rn? !? ??tcs ar xy maer's.
,
SJBUR.gAN E1VG;N£E0i4; , XG.
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3830 PILO7 KNOB RD - 55122
651-681-4675
??
New Construction Reau;?ements RemodeUReooir Reauirements
? 3 registered sBe surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan
and cll roofed areas (20q mcximum lot c„Qveraae allowed) 1 set of energy calculations for heated additions
? 2 copies of plans (show beam b window sizes; poured fnd. desigm etc.) 1 sHe survey for e?cferior additions 3 decks
? 1 set of energy calculations
? 3 copies of tree preservation plan ff lof platted affer 7/1/93
??
DATE: ?qI CONSTRUCTIDN COST:
DESCRIPTION OF WORK: ?' ?? -
StREET ADDRESS: ao?o ?Ul I•(.QCS ? ?-! /
?
LOT: ?_ BLOCK: ? SUBD./P.I.D. #:
Name: Phone #: ?? y? -
,?---
PROPERTY last Fir
OWNER
Streef Address: av3 'e
City ? State: /'I/?Zip: ?S?vZs?
Company: 6 vi ?Gf (A., IIX• Phone#: ?- 55 !Q
?i(area code)
CONTRACTOR Street j?y /,?,,,/?/ )?v/?/ Address; ? ??/ / ?C //"?.[ ??/r,??,?/?/ ?6 License # O p?
? 7? Exp.
City ?li{-,?f7?5 State: Tp: Lc??
ARCHlTECT/
ENGINEER Company: Name:
.
Te9epitri ?e #: ai cE? a:3u2 ? j
Streel Address: Registration #: _
City State: Zip:
Sew+?r 8 water licensed plumber (reauired for new construction onlv
Penalty applies when address change and lot change is requested once permltis issued.
a '
i hereby acknowledge that 1 have read thts application, state that the' information i oRect, and agree to omply with ali applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
,
Stgnature of Applic t:
y-?.?.??
OFFICE USE Y -
sCertifcates of Survey Received Yes No DEC 0 7 1999
Tree Preservation Plan Received Yes No Not Required ??.
1999 BUILDtNG PERMIT APPLICATIQN (ESIDENTIAL)
CtTY OF EACAN pVA . -7 5
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.)
? 02 SF Dwel4ing ? 07 5-plex ? 12 12-piex ? 17 ' Garage ? 22 Porch/Addn. (4-sea
? 03 1 of _ plex ? 08 6-plex : ? 13 16-piex E3 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartments 13 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex C] 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr [7 39 Gas Line On ly [3 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas lnsert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* 0 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. Census Gode
, (Allowable) Main 1eve1 sq. ft. SAC Code
UBC Occupancy sq. ft. Na of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. Gity Water
Width Footprinf sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding Engi neering Variance
Permit Fee `?) 9 , Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Sureharge
Treatment PL
Park Ded. •
Trails Ded.
Other
Copies
Total:
SAC Units
% $AC
?
? EAGAN TOWNSHIP
BUILDING PERMIT
owae= --- ''?.' ??n.?"`?
---•--• • -- ---•-•--•---•-•.•---•••• •--•-••-•-••---------••-••-----•---...-••----_-•
Address lPreseni) -•••°-?'a---`'?-•-8--•---•-•... - ••-•-••--•...--------•'-I-`•'¢?--?tY?f•
Builder ____.._
Address ..._.
...•-••-•----••••----•-•••---•--•---•----•--••--••---•-•---------•--••-•••-----
DESCRIPTION
N° 3078
Eagan Township
Town Hall
Date --•-/---?- ??--i? ??--•----•-.......
5tories To Be Used For Front Depth Heigh! Esi. Cos! ' Permi! Fee Remarks
0.-?--?^"-/7:,? Y-y°?`.`?
l/ "y?? p' ,°` (OrS? Cs `???c.`k"? ?i?-,..-?--
LOCATION (a •?C'?
Streei, Road or olher Descriplion of Localion ? Lot ? Slock ? Addition or Tract
? ? ° ? I @.c?'?`' ..?`'?" ?
This permit does not suthoriae the use of stseeis, roads, alleys or sidewalks nor does i! give 3he owner or his agent
the righ! !o cresie any si2uation which is a nuisance or which presents a hazard !o !he health, aafety, convenieace and
general welfare !o anyone in ihe community.
THIS PERMIT MUST BE KEPT PT THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that---?••-••-???°'?""'?_..--•-•--••-•----.haspermission to erect a---:?-?:?:_ ?._..----- ?`?`??5......._upon
!he above described psemise subjec! to the provisions of the Building Ordinance for Eagan Towaship adopfed April 11,
1955.
? ? P :..? ? ? ? ._
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Chairman?n Bq?rd Building Inspecior ?
$?
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LOCATION $?VGS?D?Ie p D? C ?i? OWNER
STRUCTURE AND
LAND USED AS G7,? /9 ?? ?l
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
_
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING _
GAS INSTALUNG
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date
FOOTING p +- -^
FOUNDATION
FRAMING oj
FINAL
ELECTRICAL
HEATING
GAS JNSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
_ z{
COMMENTS: _
Remarks
Distance From Weli
SEPTIC
CESSPOOL
TILE FtELD FT.
DEPTH ?
OF WELL
Violations Noted
on Back
CQMPLIANCE INSPECTTON REPURTS . _ .`
ro N vSO cNtv aa mm cf +aeRvN vKaTroNS
PERMIT NO. QATE 4F INSPECTttNV
CONDITIONS OF CONSTRUCTION AT THfS 1NSPECTtt31V
a NO EVIDENCE OF NC7N-CQMPL1,+JCE ? Nt'}N-COMPLIANkCE. BUItDER DOfS N('?t
OBSERVED. IMTEND TO COMPLY.
? ACCEPTA$1E SUBSTITUTIONS OR
DEVIATIQNS. CUMPLET{QN 4F CERTAIIN iAAPROY€MEIUTS
D W{LL BE DELAYED BY CONDITIbNS 8fYf3N0
CONTROI.
a NON-C(?MPUANCE. BUIIDER Wlll CC}MPLY
WITHOUT QELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
«
? REINtSPEC710N REQUIRED DATE OF REINSAKTION
I REINSPEGTION RfVEALED
j
I
i
CERTI FICATION - i certify thet I have carefuliy inspected tlte ehare in which I hwe no interest presarft ar prospective, and that 1 hare reported heein
all signi#icant conditions otiserved to be at vaniance with ardina+ms of the Town of Eagan, approveti plans and secificatians, snd any spacific require-
ments for off-site improvements relating to the propertY inspected.
i
? ALL IMPROVEMENTS ACCEPTABCY COMPIETED
BUII.DING {NSPEGTOR DA3'E
COMMENTS:
23
S3 462- RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE jGJ'_50I?-1 -O c
RemodellRepair Requirements
. 2 copies of pian
. 1 set of Energy Calculations for heated additions
. 1 site survey for exterior additions & decks
. Indicate if home served by septic system for additions
VALUATION a(v?
SITE ADDRESS Z3? ??l?l?.....f? ?olVt?. C?'(?.._? MULTI-FAMILY BLDG -Y *PN
.--,, _ , _ _ --? _ . _ . ? . . - - - ? • - -
TYPE OF WO
FIREPLACE(S) _ 0 _ 1 _ 2
APPIICANT ?• kk[t'M.R, Z ZAAM:Cd S4Xk-S
STREET ADDRESS 3t'?W C.g1p? &o?\-e_Y ? 0?.
,? • CITY M"I.?4' Y!i0% STATE 6tcl, ZIP30
539-
TELEPHONE 040t t&3?S1(a CELL PHONE # FAX #
5$2AA
PROPERTY OWNER 5:k? 'DkCg?A.C(? t'%S TELEPHONE #(.?J I* ysa'?.SS007
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M1NNl.SO'1'A RULES 7670 CA1'F:UORY 1 VIINNESOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Ptumbing Contractor: ____________________________________ Phone #
Plumbing sysLcm incltides: Water Softener Lawn. Sprinkler
Water Heater No. of R.I. Baths
_ Na of Baths --
Mechanical Contractor:
'Vlcchwiical svslcm includc;:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.
\ON,
rt, ?
'ee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appiication, state that the infor ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
Signature of Applicant
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
Air Conditioning
Heal Recovery Systcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
" OF'FICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level O 24 Storm Damage
? 06 04-plex 0 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 WindowsiDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy h4C/ES System
Census Code Zoning ' City Water
SAC Units Sfories Booster Pump
Nbr. of Units Sq. Ft: ° PRV
Nbr. of Bidgs - Length - Fare Sprinklered
Type of Const Width .
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
! Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation
? HVAC
Drain Tile
? Other
Roof ____ Ice & W ater _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final
? Frarrung _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insulation _ Retaining Wall
------------------------------------
-
- Approved By
----------------
-
-- , Building Inspector
---------------------------
Base Fee ---
- ---------- ------------
----------------- ---------------
-------------------
-
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search `
Copies
Other
Total
1
?
installed
Siding andl*WUspOWER OF ATTORNEY -
UNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA. Home Services, Inc.; DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City ofEagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 30th
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shail also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this
rA day of M k`F , 2002.
David . z
A SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30t" day of LMZay,7
.?..J
?.
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
R_ qo-0e
Jq3 I 1?
2406 RESIDENTIAL BrjJILDINC.r PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Raad, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; attd all roofetl areas
(20% maximum lot coverage atlowed)
1 Soils Report if proposed buifding is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured fountl design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical venfi(afion form
RemodelJFteaair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site suroey for addi6ons & decks
Addition - indicate if on-site sepfic system
22d1(o
?01, 0?)
6?ice"X3se Onlv
?ert oi Survey Ret? ` ?? `T N
Soits R?po,r?
Tree Pres`?'lar±
7ree Pres Req4?red Y ?i.
On?iteS?pticSystem, , =Y„N;
Date
Site Address 10 j 6-7 Construction Cost '7, 3 2-0
? 13 d tu 9-6 ctit Unit/Ste #
Description af Work
Multi-Family Bldg _ ?1 ?i
Y_ N Fireplate(s) _
0 _ 1 ^ 2
Property Owner vR ;r- Telephone # ( IN #76
1 " .
Contractor .
Address f!? ?`?
State l7??-
Zip ?c5 G?rS'? City /??Ct%G?- '
- '
Telephone # (/PS7)
COMPLETE THIS AREA ONLY IF CONSTRUCTI`NG A NEW BUILDING
- Minnesota Rules 7670 Categorv 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
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephane # (
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 perrnit, and work is not to start without a
permit; that the work will be in accordanee with the approved plan in the case of work which requires a review and
approval of plans. ,.? . '
,
4 l?. c. 17) ? ?t ?t? G??
Applicant's rinted Name Applicant' 'Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112801
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 2038 Bluestone Lane
Lot:10 Block: 7 Addition: Cedar Grove 3rd
PID:10-16702-07-100
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Dick W Ament
2038 Bluestone Lane
Eagan MN 55122
Perfect Exteriors of MN Inc
321 1/2 Walnut St, POB 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature