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2046 Bluestone LaneRESIDENT / OWNER Name: � / `N � ` /0 t- Phone: 0_. n e s � UG� 5 /- ddress /City / Zip: a n 5F7 Applicant is: Owner 7 Contractor TYPE OF WORK Description of work: ! P r'o J Construction Cost: Multi- Family Building: (Yes / No _ CONTRACTOR / Company: L vl/l/f fr/Gr Contact: s I/WM / r Pf/�4.---- Address: // 57 6' F /0; ,1/z. >c).. City: PO S� ov, - j" State: /M tVZip: 57 Phone: c57 — ?c 7 �� ( License #: ‘ G / /' Lead Certificate #: Does this project require Lead Remediation? ❑ Yes 1No (see Page 3 for additional information) If no, please explain: In the last 12 months, Yes No If 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? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. ' . City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: Site Address: Applicant's Printed Name ppli � s ignature Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION f� rn /7 Unit #: Use BLUE or BLACK Ink qo 6'' .90.00 () 611- 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.00pherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit the work will be in accordance with the approved plan in the case of work which requires a review and approva !ans. Pc6" Page 1 of 3 Parcel Files Cover Sheet Unique ID: 1895 2046 Bluestone Lane 101670208007 t? Tnisre4uest voa s?-7???3b ?l 1 78 nths from ? ? ? 1 6 0 3,a- • . . .. .' *:<3 Q Li.censed Electncal Contractor 1 hereby:request inspection of above Owner elecxricai work installed at: Street Address, 8ox or Route No. Cifk " ?. a ? u ...o 4.4 V? ?? ec(ion o: Township Name or No:' ° Range No. County Occupant (PRINT) Pli6ne No. `? Power S1?ppl.ier? : `? ? Address Elec al Contractor (Company Rlame) Coniractor's License No ?/`? ?E ? Mailing Rddress (Co'ntractor or Owner Making-lnstailatioo) ? `'? 0 orized Signature (Contra ctor/Owner Making InstalTation) Phone Nu ber ? M ESfl7A STATE BOARD OF EkECtF#1CITY 'rMIS 1 SPECT{Q?V R6t1tiEST ?tiLL ?T friggs-M'rdway Bldg. - Room N-791 St ACCEPTED BY THE $'CJRTE0UARly UiVLESS PRQPEA'INSJ? , .. f 7827 University Ave., St. Rauf, IVIN 55104 ENCLO$ED . Pl,.ar.n 1672! 257-2174 Request Date '?^ Fire No. R red? - ?R?Btly Ndw l?`?hI ttW ??sP?c ? ? : ?!i ?C,/ "D '?-- es QNo tor ' Ready REQUESt FOR ELECTRICAt INSPECT10l1t Ee-oooo1 _oa 7wx?uct;?ns fior completin9 this form on back of yetlow 760capy" Befow Wal?;@"`Cov ed by Thrs Request ?J37?' ?, ew Add Rep. TypB of Buifding Appliances Wired Equipment Wired Home Range Temporary Service Dup'iex - Water Heater Lightin Fixtures Apt. 'Bui Iding Dryer Electric .Heatin Commercial Bldg. Furnace ` Silo Unloader industrial Bidg. Air ConBitioner Bulk Mitk Tank ` Farm -0ther pecrfy Other (Specify) ' Ot er SUeC+fy OY er Other . c,omnute insoecuon tee Hv,iow # Fee Service EntranceSize # Fee Feeders/Subfeeders # Fee Circuits 0 to 100 Am s 0 to 30 Am s ,00 0 to 30 Amips 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Am s Above 100?Am s Above 100 Amps Transformers Remote Control Ci[c. le- 5?0 Partiaf/Other-Fee .` Signs Special Inspection' top $ TQT FE Remarks n rJ,..,. I. w . IR 1 ? t E ?1 !« . Rough-in Da?,?r t ? e .. 4-17-1 ins ector h r 6V , e e p 'certify that the ab v Final o e pection has been ihis requesrt void . I! '? .. , . 18 months trom { This request void 18 months"firom T11111,,96431. ? ..EJec4rical Contractor I ? Owner I hereby?request ?inspecYion of a?bove ? . . . ?? electr.icai work instalFed at: ? ? . ? . . . . ? ? ? Street Address, Box or Route No. Citv 2046 Bluestone Lane Ewan ection . o. Township Name or No. Range No. County ' D81L0ta Occuuant (PRINT) Phone No. Jim Hader 454-7492 ?Power.Supplier . Address3pppNorth Maxwrell St.. NSP Newport, Minn. 55055 . Electrical Contractor (Company Name)" . . . . Gootractor'sLicense No: . . BRANTL ELECTAIC 441171 2 Mailing Address (Contracxor or-0wner Making.Instailation) 4371 P1.easant st. S.E. Prior Lake Minn. 55372 Authorized Signature (Coniractor/Owner Making Installationl.... 1011)' Phone Number 44 ?' . 7-4312 Lg1 K7, Re. u st q e Date - Fire No. . Rough-fn Inspection Required? X]. . Ready Now ?Wi61Notifv. Inspec- .1 JuM@ J, 1,q82 ? Yes ? No tor When Ready L i en sed c MINiVESOTA STATE BOARD OF ELECTRICITY THiS INSPECTION RE4UEST WII;L NOT -Griggs-Midway Sldg.'- Room N-191 BE ACCEPTED 8Y THE STATH 80ARD : UNLESSPRpPER INSPECTION FEE IS 7821 Loiversity qve., St, Paul, MN 55104 ? Phone (612) 287-2111 ENCLOSED. /??s REQUEST FOR ELECTRICAL INSPECTION ?,? Es-ooooi-oa T?r .??y??? ? tl' See instfuctions for completing thisform on backof.Yellow copy. ?` . E? s ""X'" Below Work Covered by This Request 30 Z q S New Add Rep. : Type of Building Appliances Wired EquipmentWired x Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Indusirial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) . . Other Specify Other Other Compute lnspection Fee Below # Fee< ServiceEntranceSize.. q Fee PeederslSubfeeders #. Fee :Circuits 0to100Am s 0to30Am s 0to30Am s 2,00 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 100_Amps Transformers Remote Control Circ. Q Partial/OYh Si gns Spec ia l Inspection T L Remarks lY1...??_ OTA fE ? rs 1UC:c1.W:LDLl Di II1uT.eT :SOCKE?-G Rough-in Date ? 1, the Electrical . . . ? . - . ? ? . ? . ? Inspector,hereby? iif th t Eh -Final . .? . ? ? D e ?cer y- a e-above 'nspection has been. ? j a e. This request void 18 months firom ;! ?te A?ress tJ?ab ?->?:L??ca? :?at? Lot Stock 7- / Oadar rove. __ ? Parcel .. . : I N? Addreqss .+... Lc-1r3-111 33512i 454- 2i-9t+ Name Atldrem e `) S$ . . a r,T3kP?vil1 E' el_.__ 1,15-697) 1he?eby gcknowledge that I have reW this opplicction aru! te thct the lriforvriation is caneet and agree to comply with oH ap?ili4eabie Stute af Minnespta 5tatutes cru! Gty of Ecg/or? Ordincnas. ?y -.' - SlgrWu[@ Of PBITnitte8 A Buildirtg Permlt is issuad to. ??? ?dem, atf work shatt be dorm in dcwrdorxe wlth atl cpptiaowe State af MJy Building Officlot " ??eet F? .fi ?, -- - tkcupnruy s' - Aiter ? Zonft 7_ _ Repoir p Flre Zorw - - Enlarge Q Type of Caut. Move Q Stories Derroitah p tsngth I ? Grcde p Depth s? Sq. Fi. Aoprovats Fe" Asmssrnent Woter 8 Sew. Police Fire Eno• PlGnreer Cowxil Bldg. Off. Permii #? a . '.atl Surchor? Plan : dbecic SAC Water CoAM Water Meter Rood Uni! i'otad t-ito »(YI) on !he express Conditkm tF+crt sota?=es and Gh? of Eagn BrdirweueL - ?'r- _ Psrmft 11ta k Hotder Mim Purmit No. HOder Pittmbing H.YAC. , EtecWo ID??? : c?.?.?I Ft?c? *z-? tZ-30- inw"am Date ' lnso• Ot ,er _ Footings ?? Frmnhw RoaOr PlbW . . . . .. .. . II I '.I I ?ITY Of EAGAN .t? Remarks ?'sd?' G'OV@ .AC T 'o `?'i?!? ,?ddition CBC?.? (?']?"O'CT'8 71'3 I1 ot 8 Rlla Parcet 02 080 07 ?wners? 2?7 ?1 Blai89'tOT1B ?'l.bi.?j ' ??.,?1?N' 55122 ? - Street, Statfl Il,mprovement Dgte Amount Annual Yeats ' Payment ?temipt pate STREET SURF. STREET RESTOR. I GRRDING ? "' SEWER LATERAL Q (Wo I 1972 1 1304000 I 52.16 1 25. 1!, Pd.].d I I WATERMAI N WATER LATERAL 1972 WATER AflEA STORM SEW TRK • ' STORM SEW LAT , CITY OF EAGAN o ? ?9795 Pilot Knob Rood Eogan, MN 53122 N• _ 14 3 9 PHONE: 454-8100 BUILDING PERMIT To be used for 3SEAS= PORCH Est. Volue $3o Q00 Site Address Lot 8 Parcel # - Block 7 Sec/Sub.Cedar Grove 3 io 15702 oso 07 oe Name - J7Ili Ha1dEfl 3 Address 2046 Cluestcme Iane, ° c; Eagan 55122 Phone 454-7492 Nume Gene IIdeen oU Address 9370 176th St. W., ? u? cr lakeville Phone 435-6509 u? WW Nome FW ?,?-? Address <'Z" City Phone 1 hereby acknowledga that I have read this opplication ond state that the intormotion is correct and ogree to comply with all applicoble Stote of Minnesoto Stotutes and City of Eogan Ordinontes. Signcture of Permittee )_A. ` A Building Permit is issued to: Cene II&en oll work sholl be done in accordorxe with oll o plicable Stote of r Building Officiol , -t Receipt # Date my 10 , 19 82 Erect ? Occuponcy R 3 Alter ? Zoning - 1 Repoir ? Fire Zone _?_ Enlarge ? Type of Const. Move ? # Stories Demolish ? Length-12- Grode ? Depth -U-Sq. Ft. Aonrovab Fees Assessment Permit 38.50 Water & Sew. Surcharge 1•50 Police Plon check Fire SAC Eng, Water Conn. Plonner Woter Meter Council Road Unit Bldg. Off. APC Totol so -00_ on the express condition thor lesoto Statutes ond City of Eagon Ordinances. - - - i? yocITY OF EAGAN Incl?ule 2 sets of plans, P ? Lu 1 site plan w/elevations & BUILDING PERMIT APPLICATION l set of energy calculations. 3 SFasvr?}b.Yt, k q- 0 4 / ? ? 'Ib Be Used F'or Valuation 3p , - Date ? / T Site Address C--) C' c/G S14c. USE ONLY Lot Block -2 Sec. /Sub . 4tC &J,-1-;?rect ? occupancy, ?e? Parcel #: 10 167 Q`7? C'TCa 0-7 Alter Zoni.ng & Repair Fire Zone o Owner: Address: s"> c:u yl i??/?i ?- City/Zip Code: ? Phone # : Contractor: ?'??`,rc! ? ?`??,c?•3 Address: Cit17/Zi.p COde : Phone # : ,? 3 5 " - Enlarge Type of Const. Move # Stories Demlish Front oZ ft. Grade Depth ft. APPROVALS FEES Assessments Pernlit t4ater/Sewer Surcharge ` / Police Plan Check Fire SAC Eng, Water Conn. Plariner Water Meter Council Road`Unit Arch./Eng.. Address: City/Zip Code: Phone #: Bldg. Off. APC TOTAL ?' 0 Cs rt i/90 . CITY USE ONLY LOT ? BL ? RECEIPT #: I I v `?? r?Q SUBo. -- RECEIPT DATE: I 0-ii' r/ 1999 MECHANICAL PERMIT (RESIDEv1'IA1L) .?j 95? T crrY oF f-AsArr 3$30 PILOT KNOS iiD i:A6M MN $51 2E (851) 6$1-4s?5 Date: Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U _ ADDITIQNAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea ) 0 State Surcharge: $ 30.00 6.00 .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single faxnily dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New X- Replacement _ Repair _ Other -X Furnace Air exchanger, i.e. Vanee system, etc. Air conditioning Other Reminder: CaIL 681-4675 for inspections. . $ 30.Q0 State Surcharge: ? TotaL SITE ADDRESS: o-D '-I C,Q Ln - • OWNER NAME: V 1 m t+OI i de r- PHONE #: ?OJr l 1 ?{?I '- ?"7GI o1'- INSTALLER NAME: Woh Iv4S 'SbI/Clh 5?OLf2 hLhl° PHONE #: 609)- y31'-7M STREET ADDRESS: 47 -3a pijcnYJcc? AVe-,) • CITY`. A STATE: M I? ZIP: ?5,50 SIGNATURE OF PERMTTTEE JS, FOR,4tS BLDlMECH PERMIT (RES) - 1999 CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: ,,INSPECTOR 1999 MEGiiMICAL PER4iTf (COMM£RCIAL) CITY 4F Ekem 3$30 PILOT KNOS fiD . E#fiAN, MN 551 28 (651) 6$1-4675 Piease complete for: ail commerciaUindustriai buildings multi-famiiybuiidings when separate permits are not required for each dweiling unit DATE: CONTRACT PRICE; WORK TYPE: NEW CONSTRUCTIQN INTERIOR IMPR(3VEMENT DESCRLPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 C4NTRACT PRICE x I°/a PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL ($.50 pez $1,000 of re mi' fee due on all pernuts.) SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEME1v'I'S ONLY): iNSTALLER: ADDRESS: _ PHONE #: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE PERMIT City of Eagan Permit Type:Building Permit Number:EA117566 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 2046 Bluestone Lane Lot:8 Block: 7 Addition: Cedar Grove 3rd PID:10-16702-07-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Ian Jacobsen Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas P Singleton 2046 Bluestone Lane Eagan MN 55122 Amek Construction 9555 James Ave S #228 Bloomington MN 55431 (952) 888-1200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119375 Date Issued:11/26/2013 Permit Category:ePermit Site Address: 2046 Bluestone Lane Lot:8 Block: 7 Addition: Cedar Grove 3rd PID:10-16702-07-080 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas P Singleton 2046 Bluestone Lane Eagan MN 55122 Amek Construction 9555 James Ave S #228 Bloomington MN 55431 (952) 888-1200 Applicant/Permitee: Signature Issued By: Signature • RECEIVED FEB 2 3 2018 For Office Use Permit#: iv,6 k b Permit Fee:4 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 PK1 (651)675-5675 I TDD: (651)454-8535 I FAX (651)675-5694 Staff: buildinoinspections{@cityofeagan cam 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ....A Site Address: ,:,1,044k, oik_ttlz5fonf:„ Unit#: — „ Name: Natneytne., Phone: (ela, tc)11:,-,1 Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: infii-CLO flt Arylf) (4- 411€ Construction Cost: C-11 Multi-Family Building: (Yes /No Company:Af-rif..,,V,*( V.,„V`At V\,C11 Contact: V\ Address: baci 20t 11,15 \tit ) f5e. City: Contractor crir State: H L.)Zip: ca71--04..; Phone: Z.V5i4)., 11V Email:NkNey'L„,1.. ?2 L.N4-N v,„„x7..cke,--/A4A/4.4'ltt., License#: eG 5e...; )59 F.5 Lead Certificate#: 1\„114-T- icri If the project is exempt from lead certification, please explain why: (?„,..7\ 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: Fire Suppression 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 Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagari.comisubscribe. 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. 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. v‘ww.00pherstateonecall.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 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, Luz Applicant's Printed Name Applicant's .ignIture"-- �]h � ) � C� / , . u�w`�� � /���� � DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation __ Fireplace __ Porcb(3-Seamnn) Exterior Alteration(Single Family) C Single Family __ Garage __ Porch (4-Season) Exterior Alteration(Multi) Multi — Deck Porch(Screen/Gazebo/Pergola) Miscellaneous __� O1ofAccessory Building__�|ax Lower��va| Pool __ __ WORK TYPES New 0 Interior Improvement Siding _ Demolish Building* Addition ____ Move Building Reroof Demolish Interior Alteration __ Fire Repair Windows Demolish Foundation Replace __. Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION »9 Valuation -*EP5 f96b -- Occupancy ..1„,-12 C ^�- �--/ K8��EGSymtemm Plan Review �-' em�m Code �dbion N��*a/� SAC Units __ (25% iUU% ��(''') Zoning y� �� -\ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U 13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Foodngs (Addition) � Final I No C.O. Required Foundation Foundation HVAC Gas Service Test C)aaLine Air Test Roof: Ice &Water Final Pool: Footings Air/Gas Tests Fine| Framing 30 Minutes 1 Hour (i` Drain Tile Fireplace: Rough |nAir Test Final SidinQ: StucuoLath _StoneLathBriokEF|S Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control ___ Fire Walls Fire Suppression: Rnugh In Final ___ Brm�dVVm|ks Erosion Control Shower Pan Other: Reviewed By: -7-T`kVk_ -1 \1--/�1ut Building inspector RESIDENTIAL FEES ~� ~�~�� _ ^� 0 �� ^ ^w �� Base Fee 7 («/( x -- -~~ Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page om3 1 ,1°1 For Office Use a ' ' /s 5� Permit#: Øf ! E AGA N MAY U S 2019 Permit Fee: ` g' Date Received: -3 141 3830 PILCT KNOB ROAD I EAGAN, MN 55122-1810 �� (651)675-5675�TDD:(651)454-8535(FAX:(651)675-5694 Staff: buildinginspectionsc citvofeaaan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 642cfl&\ SiteAddress: ZO+1b 134-61 k._ Unit#: s? Name: 1C/'R tQ) `i -TO 1*1 INqU•044 Phone: oo11,.."6i 11(o1 rttl sideO'Wrif .. Address/City/Zip: /6 4 W D tl &+U 1ve, Ol��tllI �S 1 7_!LApplicant is: Owner Contractor t {� Type OT Work Description of work: R>C 5C,,Akt,/ 1N r�� Construction Cost: #'l'6' i OM° Multi-Family Building:(Yes /No ) Company:• S Contact: AMCA,%o.LL Address: (0412,1, G160Olk 4 Vt_ City: &' tits wt'K.• Cora' iGtpf ' ,` 1� ` ` , State: N11`I Zip: j24 Phone: j`L' `L-22f`Emaif: 1"'Vie- �►L • 7 %1,4J. Gast\ License#: b$- 'S > '` Lead Certificate#: A�" 14 1 1- t If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting its them ou submit ire considered to:be�ptiblic Information. Portions of t Mb/. 1t on maybe classified as no '• •id If •u •tdvlde.., reasons,-, w urld tho°C to concludethat'd4"e arra • secr You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.aooherstateonecall.orq I hereby acknowledge that this Information is complete and accurate;that the work will be' *4^ a e 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 .rk is • • • : 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.1 x {AzGk.0311, %t✓ x d' Applicant's Printed Name Applicant's Signature /5537 y , I jr Dc-/Co gibLe- --611 I-6 ' DO NOT WRITE BELOW THIS LINE SUB TYPES — Foundation — Fireplace ! Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of-Piex 7 Lower Level — Pool i Accessory Building WORK TYPES — New _ interior Improvement — Siding _.__ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 4Atteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIP' ION Valuation 1g 114 /0 Occupancy pfhoLtt, ,MCES System Plan Review / Code Edition �7114/SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction —VFWidth REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfill '(� HVAC_Service Test Gas Line Air Test_ Hood Room_Ice&Water Final Pool:_Footings Air/Gas Tests Final 'it Framing 1‘,30 Minutes 1 Hour — Drain Tile Brick _ — Fire lace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath EFIS 4, insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Wails Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan at_, Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee , 1;„ ,/,' L1/f PN" Surcharge Plan Review MCES SAC City SAC Utility Connection Chargey, .., S&V1 Permit&Surcharge -7° 2 yo — L/7 / ‘I0 Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 r For Office Use %�` ; Permit#:// 5-15 a.--V" EAGANPermit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsecitvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: .-4-1,,1-1./1 /`/ Site Address: o�0�/6 /Gtr sifecoe Gf?/ Tenant: Suite#: Name: /mat Tib /' T,� Si /c/o,/ Phone: ResidentIOWner ' Address/City/Zip: o2 o e/t 6/c,e /•Yip L•d/ Name: (Tc-v-. fr 4 7 9 LLC License#: do z-/4/7,04L-/47,1 Contractor Address: /`/ 76) ��c//,D-1 /ive v] City: /65-e-.4.20- -A-77/ State: /4/,4"/ Zip: Phone: 67,32- Contact: Email: Type of Work —New —Replacement —Repair —Rebuild �Modify Space —Work in R.O.W. Description of work: Water Heater Lawn Irrigation( RPZ/—PVB) Water Softener Description )e Add Plumbing Fixtures( Main/ Lower Level) p ptic SeSstem Description: /A A —New e/ Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 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.qopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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 ca:,•f work which requires a review and approval of plans. x �1/v . ". an s •rinted ame Applicant's Signature Page 1 of 2 PERMIT City of Eagan , , Permit Type: Building 3830 Pilot Knob Rd E G A 1'4 Permit Number: EA160104 Eagan,MN 55122 --=r Date Issued: 02/14/2020 (651)675-5675 www.ci.eagan.mn.us Site Address: 2046 Bluestone Lane Lot: 8 Block: 7 Addition: Cedar Grove 3rd PID: 10-16702-07-080 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Katherine Singleton 612-889-1967 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: - Applicant - Thomas P Singleton 2046 Bluestone Lane Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature