4233 Diamond DrCITY OF EAGAN ?O
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 8952
• PHONE: 454-6100 u
BUILDING PERMIT Receipt
To be wed for WOOD STOVE Est. Value $ 1 r 500. Dat e A PRIL is , 19_8_4
Site Address 4233 DIAMOND DRIVE Erect
?
Occupancy
Lot 6 Block 8 S,„/Sub. CED GROVE 2 Alter ? Zoning
Parcel No, 10-16701-060-08 Repair ? Fire Zone
Enlarge ? Type of Const.
or Name CERALD A JARRETT Move ? # Stories
Z Address ABOVE
Demolish
?
Length
City Phone 454-5076 Grade p Depth -Sq. Ft.
o Name _
v? Address
I- City -
LW Name _
H
xG Address
u
<W City -
Phone
I hereby acknowledge that 1 I
the information is correct a
State of Minnesota Statutes
Signature of Permittee _
A Building Permit is iss to
all work shall be done i aca
read this application and state that
gree to comply with all applicable
Citv of Eagan Ordinances.
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
on the express condition that
Statutes and City of Eagan Ordinances.
Building Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
Inspection Deft Insp. Other
Footings
Foundation
Framing
Rough Pibg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final
Water Describe Location:
?
Wall ur?')h ?.?u C c
/
/
?
C ?7? ? O?'
Sewer p
G
trr
r
O
Pr. Diisp• ?d.ze?
" u? Btf `
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3834 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
fill I 1 b 114 G
TYPE OF WORK:
i , PfAV V,!" . III NII01A & IIIIIII, Pf I'I Af f MI NT
Permit No. Permit Holder Data Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks Cedar Grove Acquisition
Addition Cedar Grave #2 Lot 6 Blk 8 Parcel 10 167o1 060 o8
Owner `4-' ! , f / P . ' ' I Street 4233 Diamond Dr. State Eagano T 55122
lin .
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 9'R 5 1966 95 94-46- 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL (ok 1972 1304-00 2.1 2 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ?L„?)
BUILDING PER.
SAC
PARK
BUILDING PERMIT
N° 8982
Receipt # Ll-,%b v
To be used for WOOD STOVE Est. Value $ 1,500. Date APRIL 18 19 4_
Site Address 4233 DIAMOND DRIVE Erect [ Occupancy
Lot 6 Block 8 Sec/Sub. CED GROVE 2 Alter ? Zoning
Parcel No. 10-16701-060-08 Repair ? Fire Zone
Name GERALD A JARRETT
Address ABOVE
City Phone 454-5076
o Name SAME
8U Address
City Phone
F
ww Name
t
i? Address
City
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
« PHONE: 454-8100
Phone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Gmde ? Depth Sq. Ft.
Approvals Fees
Assessment
Water 8 Sew.
Police -
Fire
Eng.
Planner
Council
Permit Z].UU
Surcharge 1 - 00
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that 1 hove read this application and state that Bldg. Off.
the information is correct and gree to comply W10,v oil applicable
State of Minnesota Statutes City of Eago -6 dironces. APC Total
Signature of Permit
A Building Permit Is Issu to: G RETT on the express condition thm
all work shall be done n acco one wit I op IcI I a of Minne ota Statutes and City of Eagan Ordinances.
Building Official (??2
CITY OF EAGAN
CITY OF FAGAN Include 2 sets of plans,
Y U l7 1 Certificate of Survey-&
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used Fdr r 1! W! Valuation Date
Site Address 4W-13 /A/rLo.?Q V-Kldle-
Lot (0 Block X Sec./Sub. Ca 4U Y
Parcel z0 - /6-)N-0 400-0?
Owner: 6-94,4-e-D 4, tT19,4&77-
Address: ya{?3 Q1,4Ao,-D OAw/e?
City/Zip Code: 5S!>a-
Phone #: ys?/ SG%(o
Contractor: ?LcJt%
7
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
OFFICE USE ONLY
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge _ Type of Const.
Move # Stories
Damllsh Front ft
_
Grade Depth ft
APPROVALS FEES
Assessments Permit • (JU
?4ater/Sewer Surcharge /• py
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
AFC
EAGAN TOWNSHIP
1PUILDING PERMIT
Owner V-
Address (pr sent) 7` ...............--- ....'..............
Builder Z
Address --- ..n...L?--??-......
DESCRIPTION
M ].002
Eagan Township
Town Hall
Date ....y --------..
Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks
q ? df&f-q
x14 ? s
v LOCATION V
Street, Road or other Description of Location I Lot I Block I Addition or Traci
This permit does not authorize the use of streets, roads. alleys or sidewalks
the right to create any situation which is a nuisance or which presents a hazard
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN
This is to certify, that ..............................................................
the above de ed remise subject the provisions of
1955. __1^?/`/
-------...... ............ ..`..".._
Chairma of Tnwn Board
C>Ul
nor does it give the owner or his agent
to the health, safety, convenience and
PROGRESS.
has permission to erect a ..............................................................upon
the Building Ordinance for Eagan Township opted April 11,
Per -----.. ?- :.. _.....' .... ...:...:... ..............----...............--------
99 'ding Inspector
EAGAN TOWN S H I P No 629
UILDING PgRMIT
Owners.... _ ...... ._ .???r. ?' _ 1 Eagan Township
Address (present) ... ..... . ...... ../-lG.'. - Town Hall
Builder ' - - - ?%
----------------- ........_ ...... ESL: .. ....,._........ _.. _....
.- .,.
Address - Date -- .....
----- ..----....__.....-----..._...--..._-------------------------------------- - -
DESCRIPTION -
Stories To Be Used For Front Depth Height Est. Cost Permit Fee - Remarks
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 PT, TH RE I$&-WHILE THE WORK IS IN PROGRESS
.
??. yy
This is to certify, th V .?1....4o....has permission to eiec! .Crr17?_..'LUCe!Gk'.?L'------ ...............upon
the above described premise. subject to the provisions of the Building Ordinance.-. njl ip adopted April 11,
1955. - X
_------ :.......... Per j .. p. ..__-
Chairman of Town Board - -
. _ -_ 1 Ins actor
REQUEST FOR ELECTRICAL INSPECTION
4-0409 0, see instructions for complatmg this lorm on back of yellow copy
M X" Below.Work Covered by This Request
6'TM` EB-00001-08
ew Adtl Rep, Type of Building Appliances Wired Equipment Wired
X Home Range Temporary Service.
Water Heater Electric Heating
ilding
Apt. Dryer Load Management
4 t
Andustrial X Furnace Other ( Specify)
X Air Conditioner
ecify) Contractors Remarks:
A/C and furnace wiring, 1 inspectio
Compute Inspection Fee Below:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs. Inspector's Use Only TOTAL
Irrigation Booms z O . 5?
Special Inspection o
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in f Data
cert
y that the above inspection has
been made. Final Date _ G
OFFICE USE ONLY
This request void 18 months tram
0404 9 s?` vw
Request Date Fife No, ough-In Inpsection Required! Inspection Other Than Rough-In
10-20-94 YOumustcallinspectorwhenready) ? Ready Now? Will Notify Inspector
? Yes MC No Date Read
jjj?ensed contractor ? owner hereby request inspection of above electrical work at:
Jab Address (Street. Box or Route No.) City
4233 Diamond Hrive Eagan
Sermon No. Township Nams or No. Range No. County
Dakota
Occupant (PRINT) Phone NW) 726-8528
Rosalind Jarrett H 454-5076
Supplier Address
Electrical Contractor (Company Namel Contractors License No.
Burnsville Electric Inc. CA00342
Marling Address (Contractor or Owner Making Installahonl
117 Belmont Rd. Apple Valley 55124
Aumer d atu (G nI in rOwner Mann In Ilaf Phone Number
- 688-6002
MINNESOTA STAE BOARD' OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 5510a ?N UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0808 ENCLOSED.
S l `1 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 a0b -1
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelfReoair Requirements Office Use Only
3 registered site surveys showing sq. it of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Reod -Y -N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N
1 set of Energy Calculations Addition - indicate if on-s#e septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date / ;I- / ?1- / 03 Construction Cos ?94) zd7 9
Site Address a-,33 / p y7 d ( > ? Unit/Ste #
L= !9-?J v
Description of Work
Multi-Family Bldg
_ Y _XN Fireplace(s) _ 0 1 _ 2
-?
Property Owner ( o S)4- Lj n i> SH fZIL? Telephone # ((o S/) -7
3 - .3 eJ 7 Z
Contractor 3 ?? /(-P-,
Address
0-S7 ?
7 City I-/r/0
/
?y?//
State /i' , Zip JCJ ( Telephone # (lob //) 0??6 ??" ?
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Category 1
• Residential Ventilation Category I Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information ?b?ycnmplete-anc?acsurat?;
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 appro?Ian in the case of work which requires a review and
approval of plans. I
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Applicant's Printed Name Applicant's Signature
2000 FIREPLACE PERMIT APPLICATION
" ? 75? CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:.// Description of Work:
X
6o. 50
11-11-00
Alterations to existing
Install gas line only
Job address: 1/2 33 P/,y m on e Ll)J-,
Lot:
Block:
Applicant (circle one only):
kO z
First
?+s OnG( or.
Construct new fireplace -Gas -Masonry
Install pas insert only
Other
Subdivision/P.I.D. #:
Owner Contractor
Name: ?_or reif- "
PROPERTY Last
OWNER L12-,33
Street Address:
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Permit Fee: 1!60.50
Phone #: G5-1 SLS`f -507/
City E q-j0l'1 Stater Zip
Company: 664/1'41e Z LEI fPQ/« S j hG Phone #:& 2 7yZ -.S7?S
yJ o / (area code)
Street Address: // r lnrAC7C/C rer,
city State: Zip:
Company: d(-
Street Address:
City
Phone #:
(area code)
State: Zip:
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 City of Eagan Ordinances.
tgnature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
(jp3 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S-7o.03
New Construction Requirements Remodel/Repair Requirements Offioeys6 only
3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and 211 roofed areas 2 copies of plan Cart of. Survey Real _Y _N
(29%rradmum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pros Plan Recd _Y _.N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required.. _Y _N
I set of Energy calculations Addition-indicate Non-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost
Site Address '{a 3 D 14 M zl J -) Unit/Ste #
Description of Work P , -e _S S L J i n?) d e?
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 - 2
Property Owner L/ ,Aj /
TAP kC_7_T Telephone #
(t??f) 5 ?/ ?d ?l0
Contractor rry
Addre ?/?/YIrG 1 City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan? _Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
N If so, 25% plan review
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.
1? s 1,/X/D
Applicant's Printed Name
Aj?licant's Signature
OFFICE USE ONLY
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 Parch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25. Miscellaneous
Work Types
? 31 New to 35 Int Improvement ? 38 Demolish interior ? 44 Siding
? 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
Valuation ->, 060 6 ° Occupancy P _'3 MCES System
Census Code L/3 q Zoning - t City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V r1 Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) -;Lo Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof i Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests _ Final
Z? Framing _ Siding _ Stucco _ Stone _ 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
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 029211
Date Issued: 11/13/96
4233 DIAMOND OR
LOT: 6 BLOCK: 8
CEDAR GROVE #2
P.I.N.: 10-16701-060-08
DESCRIPTION:
136il.din -,Permit Type SF (MISC.)
Suilding ,ib,rk Type REPAIR
?Cens'US t'ode? , 434 ALT. RESIDENTIAL
REMARKS:
WINDOW & DOOR REPLACEMENT
FEE SUMMARY:
VALUATION
Base Fee $249.75
Surcharge $8.50
Total Fee $258.25
$17,000
CONTRACTOR: - Applicant - ST. LIC
MASTER'S TOUCH INC 18810821 0008316
10732 UPTON AVE S
BLOOMINGTON MN 55431
(612) 881-0821
I
OWNER:
JARRETT ROSALIND
4233 DIAMOND OR
EAGAN MN
(612)454-5076
I hereby acknowledge that I ,have read'thi5 application and state that the I
information is correct and agree to comply with all applicable State of Mn.
Statutes Viand City of Eagan,O'rdinances;
c
APPLICANT/PERMITEE SIGNATURE ISSUED BY. S U E
I w _. ,
`i'
j.2-1'r El T ?,lic NT
lip a. r.?....rt.,
A
I CITY EAGAN ?
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Now construction Renuirements Remodel/Renalr Reoulrements
4 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 d decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan 9 lot platted alter 711193
required: _ Yes _ No
DATE: I I- $ - CONSTRUCTION COST: a2? ?? 1q, ?d?, ??
DESCRIPTION OF WORK: {?E-1rl,lzrJ ChKif ery 57?trrL Aim, -w-- ?j w4"yow/roefz [Z€p ?,I
STREET ADDRESS: 'iA 33 D / A-we QD plzf /VC /
LOT BLOCK J SUBD./P.I.D. #:r I{?
PROPERTY Name: TA (2-F-1. j- )2a SA Lt u) Phone #: 45 " s07 6
OWNER POP
Street Address'- `? 33 +? rar ?oti,? -P,z-
City: ? State: Mf4 Zip:
CONTRACTOR Company: yyAsTyjis -Tpvcw , two Ph ne #: 2'31-02-11
3/?l/S7
Street Address: t 0732-URFWJ A- S `License # 83ib
City: $L 0-1A.tWL-r-oIr State: Mi'J Zip- SS`O/
ARCHITECT! Company: Phone M
ENGINEER
Name: Registration #•
Street Address-
City: State:
Zip:.
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are 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
applicable State of Minnesota Statutes and City of Eagan Ordinances. ??` ' 2
Signature of Applicant: --r ttc ?(J?`/
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received -. Yes - No
4411
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
''{� / 2013 RESIDENTIAL B ILDING PERM T APPLICATION
Date: `-r/✓ 5-��- Site Address: -idg \O/V�
Unit #:
CAO
Name:
dlL,f.E' / Phone: 67--'41' ~ Se),‘
Address / City / Zip: 04,2'33 ♦ './l'. Q
Applicant is: Owner Contractor
Description of work:
Construction Cost:
Multi-Family Building: (Yes / No
Company:/"" \/ 0/�`✓�CYY '�iG��®.�' /A4 ntact:
Address: .22/ /// j 4" City: /► \ /=s�
76 - 431.
State: / A Zip: 6—.S":304 Phone:
License #:Ae----G►3,2-,42 ( Lead Certificate #:6 j —/c27L <3•3
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:
'Phone:
Sewer & Water Contractor:
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
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 .jermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
Exterior work authorized by a builjting permit issued in accordance with the Minnesota S
days of permit issuance.
x
Applicant'
rinted Nam
olOsesew
x
Applicant's nature
st be completed within 180
Page 1 of 3
1 c,Vn oh.e/ &V
DO NOT WRITE BELOW THIS LINE
1107&'2
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition Move Building
A' Alteration Fire Repair
Replace Repair
Retaining Wall'
DESCRIPTION
Valuation
Plan Review
(25% 100% �/ )
Census Code
# of Units
# of Buildings
Type of Construction
.1.000
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck) •
Footings (Addition)'
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73
79Y
/@10
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire .building - give PCA handout to applicant
ZP -2
l
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
4- Final / NoC.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests _
Siding: Stucco Lath Stone Lath
Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use d
City i In of Ea Permit 1
Permit Fee: I
G, 1
3830 Pilot Knob Road I 1
Eagan MN 55122 1 Date Received: 3--13
Phone: (651) 675-5675 1 I/),- l
1 Staff:
I
Fax: (651) 675-5694 1 - - - - - - - - - - - - - - - -
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
~y)) y~ ~n
Date: - 173 Site Address: 'T~-3~ 010, M p VIa 0 V%
Tenant: Suite M
Resident/Owner Name:(, Phone:
Address/ City/ Zip: 8-
Name`: l,'_( _ License 0,1E;60
Address:2~3bo cjoy~ - N city: ~dti1 ,
Contractor
State Zip: ~l Phone:
Contact: Email: M)ONYt C.7 VT S (9 W)eL t • e-6
Type of Work - New Replacement _ Repair _ Rebuild Modify Space - Work in R.O.W.
Description of work n aV Zvb cQ a, -S~n
RESIDENTIAL
Water Heater
Water Softener Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
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.goi)herstateonecall.org
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.
G~~ 1 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
&
~'bS Use BLUE or BLACK Ink
r-----------------
I
I For Office Use
ROD Perm it
City of EaRd I Permit Fee: I V~ 5 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: l3
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
- Name: o S L / /J TT Phone:
Resident/ i e- -:J ~2Mn~
Owner Address/ City/Zip: 171a,38 S/s'~7 U)~ C f7 q~~ ~N JAS ~a~
Applicant is: Owner Contractor
Type of Work Description of work: 6w~ L D
Construction Cost: Multi-Family Building: (Yes / No )
F Company: Contact:
I
Contractor ! Address: City:
State: Zip: Phone:
License 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:
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
? 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.org
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.
xZ~J2S -~Jk'Z4C i T x
Applicant's Printed Name App 'cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162310
Date Issued:07/08/2020
Permit Category:ePermit
Site Address: 4233 Diamond Dr
Lot:6 Block: 8 Addition: Cedar Grove 2nd
PID:10-16701-08-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Rosalind E Jarrett
4233 Diamond Dr
Eagan MN 55122
(651) 454-5076
Apollo Heating & Air
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature