2053 Bluestone LaneParcel Files Cover Sheet
Unique ID: 1898
2053 Bluestone Lane
101670235008
. _ _ ..._ . . il.
CITY OF EACiAN .!l Remarks ?'r± Accoi n !
Addition G?.C'..3x' G''C7R8 r7' Lofi ?a Rik-.-..-.-..$ ?..,PaTCeI l ?1 ? Q2 ?? ?5Q ?
? 20 3 Blueotane nr. E?an?? 55, 2
Owner ' . ' Street
' 5t'ate! ,
Improvement Date Amount , Annual Years Pdyrrtient Receipt Qate
STREET SURF. ?
I
STREET RESTOR. I '
GRI4DING
' ,
I' I
I'
'
SANI SEW TFiUNK - 1
?. I
SE
WER LATERAL
972
00
1304.
. ? I
.
WATERMAIN .
WATER I;.ATERAL 972
WATER AflEA
STO'RM 3EW TRK
'I
STORM SEW LAT
?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WA ER CONN. I i II !
BUIL.DING PER.
SAC
PARK •
EAGAN TOWN S H I P
BUILDIN[3 PERMIT
Owner ---L?--?61.-'-?.ew!,"-- --••---•----
w
Address (preseni)
; -- ?------ -
Builder ._--------------------------- -------------- ------------- ---
Address ---- - ---------•--------------------------•-------------- ---------------------- -
DESCRIPTION
N? 1203
Eagan Township
Town Hall
Dafe _??/r?./G-?---------- ----- ?-
Sioriesl To Be_Use3 Fcr Fron3 I Depfh
-- -----
?
/
p ACI-1 ,(? --- w --- ?---- Heighf Est. Cost Permit Fee Remarks
- --- ---
- I ----- ?S y"d
LOCATION
Street, Fioad or other DescripTion of Location Lo! f:lock ' Addiiion or Trac2
I
-- y??--
_? - - ----
r.
? ?'? - ?3 ? - 3 M - ?-- 3 t - y? a?
/Ci.Q-?- _--
This permif dces not auihorize the use of straets, roads, alleys or sidewalks nor does if give fhe owner or his agen2
the righi fo creafe any sifuation which is a nuisance or which presen4s a hazard to the health, safety, convenience and
general welfare to anyone in the communi3y.
THIS PERMIT MUST BE KEPT O THE/1PREMISAE WHILE THE WORK IS IN PROGRESS., - -upon
This is to ceriify, fhai_-___has permission to erect a_.9 Q.?/?.t+oC?
-- - - !w ••--------'? - •
2he above described premise subject to the provisions of ihe Buildir.g Ord'anance for Eagan ownship adopte April 11,
1955. ?
. '....°°-"' -•- '-'•- •
.......-
° -.ai-•---l4,+Nf?r!--•-----------------
?rs!"'?C
Per -.......... ... -
1
Chairman of Tnwn Board ---._._
-' • -"' •
" -"-"""'-'--""-"' •""""""-"'-' - -
Building Inspecior
A .g-
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcbon Reauirements RemodeUReaair Reauitements
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and ali roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sRe sunrey for additions & decks
1 set of Energy Calculafions AddJt"ion - indicate if on-site septic system
3 copies of Tree Preservation Pian if tot piatted after 711/93
Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units
Date ?_l a 7/ 03 Construction Cost
Site Address ? G LaJt,_ Unit/Ste #
' • / ' ?+-?---';:?'? ., '^'?-.+r "?r'T
Description of Work
Multi-Family Bldg _ Y LC` N Fireplace(s) _ 0 1 _ 2
Property Owner ?-e ?- Telephone # { (? S
Contractor i!?_kT--P ?-, `o - G r'?i a,?r
Address ?lU0 e? •d/oo? ?(4?atl- C;ty d'jla o H, .
State Zip 5324 3 / Telephone # ( 9 Sa) 9 S
COMPLETE THiS AREA ONLY IF CON" TRUCTING A NEWt BUILDINt`s `
- Minnesota Rules 7670 Category l Minneso#a Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • Naw Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone
Sewer/Water Contractor Telephone D ? ?? 0 T ?
Tpl MAY 2
I hereby apply for a Residential Building Permit and acknowledge that the infa B 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.
r
.-
? p cant's Printed Name Appli t's Signa e
i -i-s . a-5'
oft use a?nr
_ Cert of SunM Recd
_ Tree Pres Plan Recd
_TreePres Nat Reqd
_ On-site Septlc System
OFFICE USE ONLY
Sub Types
? 01 foundation ? 07 05-piex ? 13 16-piex ? 20 Pool 0 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ?` 21 Porch (3-sea.) ? 31 Ext. Rit - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage E7 22 ParchlAddn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex 13 18 Deck ? 23 Parch (screenigazebo) C1 36 Multi Misc. '
? 05 03-plex ? 11 10-plex ? 19 Lower Level ` ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_LY or _ N C] 25 Miscellaneous
Work Types
? 31 New ? 35 Int Irnprovement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Mave Bldg. ? 42 Demotish {Foundation} ? 45 Fire Repeir '
? 33 Alteration ? 37 Demolish (Bidg)* " ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Denolitlon (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC: Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footinga (new bldg) FinaUC.O:
Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC `
_ Drain Tile Other
Roof Ice & Water Final
- - Pool Ftgs
Air/Gas Tests Final
Framing ? _
Siding _ Stucco _ Stone
Fireplace _ R.I.
- Air Test Final
- Windows (new/replacement)
Insulation - Retaining Wall
--
----- APPraved By , Building Inspectar
Base fee - --- -- -------- --- - --- - --- -- -------------- -- ---- - ---
-
Surcharge
Plan Review
MC/ES SAC;
City SAC
Utility Connection Charge .
S&W Permit & Surcharge
Treatment Plant .
License Search
Copies
Other
Total
?
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
(50 !
?.
?
Date-z7// 0 3
Site Address? n 62, LF Jl /,? ? 5 TC3G?,, Z " Unit #
Property Owner ? Telephone # (&5-j
Contractor
S
A
4 d
treet
ddress 44
?A= City
State Zip Telephone # (65 3 51Z
The Applicant is Owner 4/ Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
_ air conditioner
th
? °
o
1?
er IcJOy
State Surcharge $ .50
Total $ ? l7-
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 work wi e' accordance with the
a ved plan in the case of work which requires a review and approval of pla .
-r?
Applicant's Printed Name pplicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commerciaUindustrial buildings
mulri-family buildings when separate permits are notyuired for each dwelling unit
Date / _6,3
Site Address Unit #
Tenant Name (if applicable) ??MeJAJ Previous Tenant Name
Property Owner S Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
Newconstruction UndergroundTank _Instail ?Remove
Interior Improvernent Call far inspection during installation/removal of tank
Processed Piping
Nature of Work: '
Permit Fee S50.50 Mdnunum Fee (includes State Surcharge)
Conixact Value $ x 1% - $ Permit Fee
• If permit fee is $1,000 or less, add $.50 ? $ State Surcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Tatal Fee
I hereby apply for a Commercial Mechanical Pernut and acknowledge that the informafiion is comcplete and accurate; that the work
will be in conformance with the ordinances and codes af the City of Eagan and with the Mechanical Codes; that T understand this is
not a pernut, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordauce 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:
4 city oF eagan
March 7, 2003
PAT GEAGAN
Mayor
TSCHIDA BROS PLUMBING
PEGGY CARLSON
1036 FRONT AVE
CYNDEE FIELDS ST PAUL MN 55103
MIKE MAGUIRE
MEG TILLEY RE: 2053 BLUESTONE LANE
INSTALLATION OF BOILER
Council Members
TO WHOM IT MAY CONCERN:
THOMAS HEDGES
This letter is to notify you that the property owners at 2053 Bluestone Lane reported to
Ciry Administrator the City's Inspection Division that Tschida Brothers Plumbing installed a boiler in their
home last year without obtaining the proper permit.
There are several code violations associated with this installation and the Citv is asking
Munlclpal center: that vou apqlv for a permit bv Wednesdav, March 19, 2003, and resolve these
3830 Pilot Knob Road V101atiOriS.
Eagan, MN 55122-1897
Phone: 651.675.5000 Z'our anticipated cooperation is appreciated. Please call me at 651-675-5677 if you have
any questions.
Fax: 651.675.5012
TDD: 651.454.8535 Sincerely,
LY'
Maintenance Facili
3501 Coachman Point Scott Peterson
Eagan, MN 55122 Building Inspector
Phone: 651.675.5300
SP/j s
Fax: 651.675.5360
TDD: 651.454.8535 cc: Shaun & Angela Smith, 2053 Bluestone Lane, Eagan MN 55122
Dale Schoeppner, Chief Building Official
www.cityofeagan.com
THE LONE OAKTREE
The symbol oFstrength
and growch in our
communiry
_ _-
RMA xoME sERVICES nvc. ' RESIDENTIAL
? Home Depot Installed Sales
'3200 cobb cTaiieria Pkwyo, ste. #2100 SUILDING PERMIT APPLICATlON
Atlanta, GA 30339 ' C1TY OF EAGAN
763-542-8826 3830 pILOT KNOB RD - 55122
Bc-20268257 651-681-4675 Now Cortstructlon ReauinmsMs RemodeURao*ReouMnb
• 3 reg'sbered sfte suneYs shawin9 sQ. ft of bt, sq. ft ot house; anll roofed areas • 2 copie9 of pten
(20% rtaximum bt ooverage albwed) . 1 set af EneW Calaulations tor heated addi6one
. 2 copies of plan showing beam & window siass; poured found deslgn, ebr.) . 1 site swaey for wdKia edditiais & dedca
. 1 set of Energy Cakwabm . Indieabff harie sened Dp septc aysten ior addkiM
• 3 oopia of Tree Pmservation Plan if lot pbried afier711193
. Ran Joist Detail Options selectiai sheet (bidga wi1M 3 or less unils)
`
DATE 3? - _SUSLA VALUAION 5,S3(0
JOB SITE ADDRESSQS?,?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER%ndst lCi
TYPE OF WORK ' ,SA% - , - FIREPLACE(S) _ 0 _.._ 1 _ 2
APPUCANT ?. ? PHONE# ?•???•CGO?/'?
ADDRESS .WaAnV'l)ZIP CODE ;5!;7/_X r
PAGER #
CEII PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Emelope Ca{culations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone #:
Plumbing System Includes: , Water Softener _ Lawn Sprinkler Fee: $90.00
? Water Heater _ No. of R.I. $aths
_ No. of Baths
Mechanical Contractor.
Mechanical System Includes: Y Air Condidoning
_ Heat Recovery System
Sewer/Water Controctor.
All above information must be submitted prior to processing of appiieaGon.
Phona #
Fee: $70.00
Phone 0
Do
I hereby acknowledge that i hove read this application, state that the information is corr , and cigree to com;?j
with all applicable Stote of Minnesota 5tatutes and City of Eagan O dinor?ces.
Signature of Applkan
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required
Upaaaa 1ro1
OFFICE USE ONLY •
,
f
O 01 Foundation ? 07 05-piex O 13 18-ptex C] 20 Pooi ? 30 AccessoryBldg
O 02 SF Dwelling 13 08 OB-ptex O 16 Fksplace fl 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
O 03 01 of _ plex 0 OS 07-piex 017 Gmge Ct 22 PofctVAddn. (4-sea.) ? 39 Ext. Atf - SF
0 04 02-plex ? 10 08-plex 13 18 Deck 0 23 Pbtch (scx+eerled) 0 36 11AWti '
CJ 05 03-plex D 11 1{)-piex 019 LcwWLevel O 24 S6o?m Daniage
O 06 04-PIex CI 12 42-plex Pibg_ Y or .,,, . N ? 25 NWcoganwus .
CI 31 New E3 35 IM Irnpmvemerd O 38 Demofth (Inferior) O 44 ` Sk#ng
O 32 Addition t .- [] 38 lrkone EOdg. O 42 Den'ioosh (Foundation), O 45 , Fim Repeir
O 33 AiGeration .. .1
4fl 37
Demo#iah ?p i
O 43 Ft?roof ? 46 ?
WtndowsfDoars
O 34 Replacemerrt VMcilition ?M odg ony ;?M*PC1! h&*utJo ?ap?cant
Valuation Occupancy ? MC/ES System
Census Code Ztm? ?'? ?N'?i
SAC Units Stories '?e`r purtfpr
Nbr, of t1nks ? . • ? `t Sq. Ft
Nbr. ?pdgs lehgth Fire Sprintdered ?
Type of Const Width
REQUIRED 1NSPECTIUNS
Footings (new bldg)
? Fiaal/C.O.
Footiags (deck) Final/No C;fl.
_ Footings (adftm) ? Phuribiag
Foundation
? H'VAC
Drain Tile
Roof Ice & Water Final {dter
.^ Framing Pool _ Ftgs _ Air/Gas Tcsts ,.,_ Final
` Fireplace RI. _ Air Test _ Fimt _ Sid'ung Stucco Sioae
„ Insulation ? Wandows (wvv/nplacemtnt)
aPProved By ? Bufftling tnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC ,
City SAC
Water SuPPlY 8 Shxage
SSW Permit 8 Surcha?rge
Treatment Plant
Piumbing Permit
Mechanical Permit
I.icense Search
Copies
Other
Totai
i
,
t
- Elder-Jones
Bui(ding Permit Service, inc.
- _ -" 1120 East 80th Street
. Bloomiagton, MN 55420
" Phone: (952) 345-6047
Faz: (952) 554-4909.
?
To whom it may concernrn: jNe at Elder-Jones Building permit Sersrice, Inc. are ac#ing as an agent for RMA Home 5erSrices,
Iaic. If there are aay questions, or if tlie perrnit has to be picked up in person, please give us a call
at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed,
envelope for your convenience.
Tllank you, . ?.J °
Kara Benson ext. 147
,
Eider-Jones Building Permit Service, Inc. *
1120 East 80th Street ° Bloomington, Minnesota 55420-1488
952-854-2854 0 FAX: 952-854-4909
?evelopment fees and municipal regula?ory refor
Legislation advances $o governor''s desk
Rrmi Sronc
Atcer a series of fies acid staru, Ie7isiaaon
promoted by the residential eonstnic-
tioti and developmcnt iniiusrry is
hcadrd co che governor's desk.Thr
biL. }-:iF 1310/SF 7205,11,f},ored hy
Rep. Rorj Abrams (R-Xtituietonl:a)
aiid 5en. Doug 1ohcison (DFL-Tovvcrl,
vvas aznended significantly an bath the
HuuSe aiid Sezinte Yloors and sc:ut to
conFerence coininitce-r before finall}'
approved by che LcgisIacare.
The Housc adc{ed lafiguagc co
limic pernuc fees for tninor residenrial
improvemenc-s ro $15 or 5 percent for
somc projeres with i:ibor costs under
$500_The Senate added lanrua-e tc>
acid.ress building stani3ards, l-iomc
improvemcnt ant{ ve:ndnr Nti•ar=_:antie?.
an.<{ requires a supzr majoricy for
zuning changes from residenti:il co
c.ommcrcial or industrial, but a simple
nujority for aIl arher zoning or.dinance
adaptions or clianges.
Rep. Mary Liz t-iolherg added
iniportant eleventh hour changes to
the bill as she worked on die Uill iri
c.onferencc couzmitcee.Municiyalirics
are -iven adciitiotia1 time to adjust
budgcts acid accounauk srandards to
cc?mply «it11 tlie fer Iec6011s Of che
bill.Tlie effective da.te for die niitior
resideutial fee linutarioru :und chc:
developmenc fee managEment
procedures isj an. 1 .2002,
The bill rc:quires municipalirics to
reportall constniction and cievelopment
fees co tlie Dcpartmr•iic ofAd.tniniscra-
tioii, starcin,2- April 1, 2003_The report
wil[ also collect intorniation relating
w die costs to chc uiunicipalits; for
perfiornutiL
g c.onstruction :uid dcvelop-
ment reiatec{ activities. It is cxneme(e
iniporGUZi fur e:ities co .icrurately
report all thc costs rclatcd co these
activitics as it is likely d-ic indusrry
?rzll
be luokuio- co tiie reports as "proof"
chaE cities are malung money oEf'che
bac.ks ofdevelopcrs and builders.Tlic;
LMC auci several cicies believe the
reporc wiIl show char, in iilost c:tses,
the city taxpayer is suhsidizins; new
developnient anc{ coustcuaioit
accivitics chrough thr cit; 5eneral fund.
44,
Comganents of the bili
Section 1- Repeti.five Plan Check- Pee
gives directiou
Rsr(e»trrk7ng. This section i
to the Departnicat ofAciiTUnistration
to crc:atc rule;s rentrctuiS repetitive Flan
review fees.EffecriveAug.1,20111_
Sedzon Z - Process Pipiiiq
Sturtdards. TIus section directs die
conmussioner of acinriiustration to
work H=ith che comnussioner of Iabor
and inc{ustry co develop ame:ndnieuts
to thc: riiechaiuril rode c>f tlic scate
building code to unplcmenc scsndards
for process pipinn. EfEeccit•eAug. 1,
2t)E)1.
requurcs muriicipal buiIuing offcials to
enforce Einal in[erp?'C'C1TiOt1S uiicil the
intcrprrtation is rocisidercd fur
adopcicin as par.t of the scate UtIt;({1L1g
codc. E;if:CLive Aug. 1, 2001.
Srrtion .i - Prrmit Frr Limitatiorc
oJ'Minor Residetuial Insproresnents.
This s.^.c*_ion limics permit fees to Si5
or 5 percent, wluchever is nreater, for
iniprovement, insrallarion, or replace-
ment vFa resideiitial iixture or
appliar_ce cnac does iioc modify
electric or gis service, has a labor co,t
uf 370 0 c:r lrss, and is donc by tiie
lionteo%t•Ticr or a liceiised conrractc>r.
E'r£arciv: Jan. 9, 2003.
Srrtion 6-Aaxri:tal Re.pori.
Scarting April 1. 2003, municipaliaes
shall reporc intormation relative eo te.e
mvenue aue{ "penditures co thc llepc.
Section 3 - Nationn! Model
rylinimum Statr Buildi.n; Code
Prc-encpts Loca( Ordiuauces. The biIl
prohibits irninicipalities fioin adc>pting
orciitiuices or requiring chrough
cievelopment agrf:ements any prnvision
thac is niore restrictivr th:ui the buitdin-
code whcti reg.tlating componen[s or
systemti of resic3ential structure. Eu
laiiguaye provides that the sectioli will
noc prolubic nnmicipalities from
adopcing planuing, zoning, or subdivi-
sion ordiuacices unless thev conflict
with stacc building cod:: pravris7<>ns
re-ulacing componena or systems oi a
residential structurr.'I1ie latgusg: allu-s
Iocai governments to adopc more
rescrictive provisions if necessicateei b}'
loc:Ll nc:plCJalC:ll CUIlil.ltlOlli an3
approved by the stlte builciing officaal.
Effeccive Au?. l, 2i)(ll .
Srction 4 - Interpretiverluthority.
This sectiort gives the stace binciins;
interprctanve authority over disguces
<trising froni local buildin- c:odc
interprecacion. A covnmitcee made up
ofrive builctin- ofhciaL, acid t-,zo
conscrucriou in(lustn representaaves
will make t1he tinal iiiterpncation. It
ofAdminisma tion.This infozmaCion
will uiclude a3.( conscruction and
dc:vclopmeut related fces collectr;d
from huilders, developers, and subcon-
crlaorc.Tlle LMC may be consider-
ing atncndiug tliis secann in 2002 to
require the repora to r.eflect a tliree or
five year avrra ;e co arcount for the
c-,•c:lical tiaturc of construcrion
actieirizs and fee coltecrion and
,l?xgeiidicure.
? Secfien 7- Loccrl Zicerrse Prohih-
fted. This section c1a.L-itiLx exiscin, lavr.
it states municipalities may not ?
reqLure a state liceriied buildrr to pay
a Iocal iee relate3 to licensure or
mnistr,+tion. Effectivc: Au,. 1, 2001.
Seuiots & - Bici(ding Statzdards.
This section identiiies building
)canciards :s the stace vU3IdlIly code u1
effecc ac the cime of constntction or
rcmodeiu:g. Effieccire dar• after fuial
enacrnienL.
Section 9- LGarralities hy Ycndc)rs•
Tius secr.c:n amends che warr.uitl' law
to requirc; chac che dNvrlling shall be
fi-c:'. OY c1CtZCC.I' C:SU$f:d b)• non-cnnipli-
Cnntinued on page T
May 23, 2001 - -- Page 5
,
PROM-RMA HOhRE DEPOT AHS A
7635428227
T-928 P.001/001 F-768
LBUI`?D POWIER OF ATTORNEX
?
COUNTY OF _ f?&-)
STATE OF iv1INNESOTA
KNOW ALL PEt)PLE BY THES£ PRESENTS:
THAT 1, Todd naniel I.ewis, a resident of gA/n,"E' f County,
NCUnesota ("Principal"), and a liceerassed contractor of RNfr1 Home Services, Inc.,
DBA Hame Depot Installed Sales located at 646 Mendelssohn Avenue North, Golden
Valley, MN 55427, having alicense number of BC- 20268257, do hereby appoint,
name and constitate Elder-Iones Building Permit Service, Inc. ("Agent") as my true
and lawful attorney-in-fact and da authorize and grant said attorney-;n-fact far me and
in my name, place and stead rhe power cv execute, acknowledge, sign and deliver (in
such fcsrm as may be required by the municipaiity) a germit application, ar any other
instrument(s) whjch may 6e necessary and appropriate, in order to obtain the proper
permit(s) from the Cicy of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed ta the Agent by this LiYriited Power of Arxamey are
limited solely to the exgress powers delineated herein and apply solely to che Work.
This Limited Power of Artorney shall expire and automaticatly be revoked on the tG
day 2002, which date is one year from the executzon hereof. Further, the powers conveyed by this I.imited Power of Actorney rnay be revoked by Principal
at any time by express revocatian and shall also be revoked by the Principal's death,
disabiliry, incapacity or incompetence.
IN WI'3'NESS WHERF-OF this Limited Power of Attamey is executed this
i:*= aay of s,,,,?- . zooi.
l J ,J , 1 ?
Todd Taartiel Lewis
?WQRN' TO A?1D SU'BSCRIBED BEFORE ME by Todd Daniel ]Lewis an
this day of -:J? Nk o , 24tit,,,
a .,ewvw+rNm
tZ71itc in fo e State af Mituleso SURTpN.T. BROWH
NTAar Pueuc-MMesora
My Commission Expires: urawakim bow iM•??, zon
s ?
196816.r3
Received Time Jun, 7, 2:56PM
JUN-07-2001 15:43
,73
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2006REc.?IDENTIAI. B?ILDINGPERMIT APPLICATION
City Qf Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
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New Construction Requirarrtents RemodsUReDair Requierrents 1*661 ?5e 4?it?
3 registered sRe sunreys shawirog sq. ft. o# lot, sq ft. of houw: and alE taofed areas Z copies of plan shffsving tootings, beams, joisfs car2 of fi#?aey i'wd Y :.,. N
420"? maximum lot coverage allawed) f set of EnErgy Ca?ulations for heated additions Ttee
2 cdpies af plan sbowing beam & windaw sf3es; Poured found design, etc. 1 siEe sutvey fior additiaris & decks ?rse F?s Requ?! Y
1 set af Energy Galculations Additibn - rrrdicate if an-sife sepffc system ? sde S?#iC ?ySt?tr3 ;. ? Y
3 copies of Trea Preservafion Plan if iof ptaEted aftar 7I1193
Rim Joist Detail Options selectian sheet (buiidings witb 3 ar less units)
Mirtnega5co mechanical ventillYian form
Date
Site Address ,AO 53 ?? s" L-?'1 ?
, Cunstructivn Cost
6li0 /lW Uni#ISte #
4
Description of Work r Ti! aon(2
Multi-FamiTv Bldg ! Y _jj?'N Fireplace(s) ZU i 1 _ 2
Progerty Uwaer S6a 111 -P&E(A Telephuae #
CtlI1tTaCtdTP ? cuw ?
A dtYYC3S
SEate C1ty
Zip Teiephone # E )
CBMPLETE THIS AREA {3NLY IP C4NSTRUCTING A NENt BUII.DING
- Minxaesa?ta Rules '?67Q Gategc,r?- l Minne?ta Rules 7672
Energy Code Category
• ResidentEal VentiEation Category 1 Worksheet • New Enesgy Code UVorksheet
(d submissron type} gubsritted Submitted
s Energy Enveiope Calculations Submittec3
in the last 12 months, has the City of Eogon issued a permit Por a similar plan based an a master pian?
_ Y _ N If yes, date and adtiress of master plan:
Licensed Plumber
Mechanical CQntractor
Sewer(Water Contractor
Telephone # (
Telephone # (
Telephane # ?
I hereb}- appl}- for a Residential B' 'Permit and ackno edge that the information is complete alnd accurate;
that the uJork will be in canfarmance wi - d codes af the City of Eagan and the State af MN
Statutes; I understand this is nnt a permit but only an application for a pemut, and work is not to start withaut a
pernut; that the work w-ill be in accordance with the approved plan in the case af work which requires a review and
approval of plans.
Applicant's Printed Name
„ ..
?
Appticant's Signature
BO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 80 Accessory Bldg
? 02 SF Uuelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 af _ plex ? 09 07-plex ? 17 Garage ? 22 ParchlAddn. (4-sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 10 08-plex 13 18 Deck ? 23 Porch (screenlgazeba) 0 36 Multi Misc.
? 05 03-ptex ? 11 10-plex ? 19 Lawer Levet C7 24 Starm t?amage
? 06 04-plex ? 12 12-plex ? 25 Misceilaneous
Wurk Tvpes
? 31 New 0 35 fnt improvement ? 38 demotish tnterior C3 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 DemoGsh Building* 0 43 Reroof ? 46 1NndowslDoors
D 34 Replacement *Demctitian (Entire 8ldg) - Geve PGA handout to appficanf
DeSG[iptiOtl: Water Damage Yes
Vatuaticsn E}ceupancy MGES System
Plan Review 100°lo ar 25°l0
Census Code Zoning City Water
SAC Units 5tories BQOSter Pump
# af Units Sq. Ft. PRV
# of Bldgs Length Fire 5prinklered
Type of Const Width
REQUIRED INSPECT IUNS
T Footings (new bldg) _ Sheetrack
_ Footings (deck) , FinallC.t3.
? Footings (addition) _ FinaUNo C.t}.
Foundatic>n HVAC
Drain Tile tither
Roof _ Ice & Water _ Final _ Pccrol F'tgs Air{Gas Tests Final
_ Framing _ Siding _ Stuc;c;o Lath _ Stane Lath _Brick
_ Fireplace _ R.I. _ Air Teht _ Finai _ Wintiows
_ Insulation _ Reiaining Wall
Approved By:
Building Pnspector
Base Fee
Surcharge
Flan FZeview
MCIES SAC
City SAC
Utility Cannection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Uther
Total
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2006 RESIDENTIAL PLUMBING PERmiT aPPUCaTioN
CITY OF EAGA(V
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Pisase complete for modifications to existing residential dweilings.
? / ? ? I
D
ate
Si
Add
S /?j
tt/? ?
treet
ress
te Unit #
Property Owner w1tJ41Ml 1 Telephone #(?rj
. ?
Contractor
Telephone #
Address t City t? IL State Zipjam
The Applicant is: _ Owner V Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Peras-built: - $ 10:00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
n
other: D
101
Ve" - JUN 0 4 2007
$ 15
00
Water Softener
Water Heater .
_ new V replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebulld $ 30.00
State Surcharge $ .50
T
l $ ??•?
ota
I hereby apply tor aResidential Piumbing Permit and acknowledge tnat tne intormation is compiete ana accurate; mat me
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand thi5 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 plqn in the event a plan is required N be reviewpct,2md,appRved.
i4pplicant's Printed Name I Applicant's Signature
4 [5.GD