2042 Diffley RdEAGAN TOWNSHIP
//?? ? ??? A BUILDING PERMIT
Owner -_C..L.ak?!...,.'.-- G:rW ,
- ----------------------------------------
Address (present) ....-
Builder
Address ------------......---------- .............------------------------......----......---
N° 781
Eagan Township
Town Hall
Date .../
..........
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
r l
LOCATION
`Sireer, ttoaa or orner tlescrtnlron or Location Lo! Flock A.auinonn, or tract
zs sF , f ?-?v .?t• ?' y
n -r
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
?r
This is to certify, that ..._t_.......r-°`..'4 ±! --a._dd.................... has permission to erect a------- ---------`---._.......... .................... upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township a opted April 11,
1955.
y----- - ? ....................... Per .---...----£ - ?----- t
Chairm0my Tn?'6 Board Suildin Insgecfor
This request void 18 months from
C 7115 2
705 /?jL
..a ..-.
Requiretl7 ?p ?Reatly Now Will Notify. Inspec-
S /1 7 /R7 ?Yes r%No tot When Ready
?l` Licensed Electrical Contractor I hereby request inspection o1 above
? Owner electrical work installed at:
Street Address, Box or Route No. City
D' fle Road Eagan
ecuon No. Township Name or No, flange o. County
Dakota
Occupant (PRINT) Phone No.
Mari) DeFran w-348-5026
Power Supplier Address
g P, Newport
Electrical Contractor (Company Name) Contractors License No.
Ailira Flartrir. 040445
Mailing Address (Contractor or Owner Making Installation)
1953 Shawnee Road Eagan
orized Signatu 1 ctor/Owner Making Installation)
Aul' Phone Number
Timoth S. Phil li s 452-1565
MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigg.-Il y Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone (6121 942-OROD ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eay-oooot-/oa/
See instructions for completing this form on back of yellow copy.
5 2' . "X- Be/ow Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equipment Wlied
Commercial Bldg. Furnace Silo Unloader
n industrial Bldc. Air Conditioner Bulk Milk Tank
p Fee Service Entrance Size M Fee FeadersrSubfeederb N Fee . Circuits
. 0 0 to 200 Amps 0 to 30 Amps 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 700 A I
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms , 5 Partial-'Other Fee
L 'Signs i ' 'Special Inspection E
Renwrks 17368 15.50 TOTALI -Da
Rough-in ante 1. the Elec cal
412111 411-1 Inspect or, hereby
Certify that the above
Final , 6Lf inspection has been
?(/ made.
PERMIT #
PLUMBING',PERMIT
`? ll
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - V?
nunu?. AMA Bann
Site Address
Lot ?'_
Name
Addre:
-
c City
Phone
PLBG. ONLY -
Name
c Address i \
p City ?- Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE 8+ CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets -
(MINIMUM - 1 PEI
THE
WORK DESCRIPTION
New
Add-on
Repair
PERMIT)
Yv V" -'D 1V.VV
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE SIC:
GRAND TOTAL:
CITY OF EAGAN Remarks Cedar Grove Acquisition
Addition Cedar Grove #2 Lot 2 Rik 4 Parcel 10 16701 020 04
Owner , Street 201.1'2 Co. Rd. #30 State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985 1266.95 84.46 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL n 1 972 1304-00 52.16 2
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3S?V$
I CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
? 3 registered site surveys showing sq. ff. of lot, sq. ft. of house
and all roofed areas (207, maximum lot coverage allowed)
D 2 copies of plans (show beam R window sizes; poured fnd. design: etc.)
D I set of energy calculations
? 3 copies of tree preservation plan ti lot platted after 7/1/93
DATE: JI - to - r' l ?l
Remodel/Reoah Reaufremenh
2 copies of plan
I set of energy calculations for heated additions
I site survey for exterior additions a decks
CONSTRUCTION COST. AI- 11+.53
DESCRIPTION OF WORK:
STREET ADDRESS: LOT: lam' BLOCK: SUBD./P.I.D. #:
Name: W I" NGIQ\ A R8X tlU O Phone #:
PROPERTY Last First
OWNER , `? fY t
Street Address: ?[ J7 a a1 t t l e?A
?a
City ?Q1 State: M Ill zip: .6.131
1
1u? Q 761-0,59
(area code)
CONTRACTOR
Street Address: 4/1 Al t GD 11 L ? >? UP • ? . License # ?Ojkq&-k:s Exp. V ?V'v
city ? SV 1 t State: zip:.??33'7
ARCHITECT/
ENGINEER
Telephone #: area code ( )
Name:
Street Address: Registration #:
City State: Zip:
Sewer & water licensed plumber (reauked for new construction ant v):
Penalty applies when address change and lot change Is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the Informailon I c cI, and agree to comply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes 'f No
f'
a .
Tree Preservation Plan Received Yes No Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113162
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 2042 Diffley Rd
Lot:2 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-020
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Jessica Harris
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 -
Michael Hill
3631 27th Ave S
Mpls MN 55406
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA118644
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 2042 Diffley Rd
Lot:2 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Joann Zinken
9320 Evergreen Blvd Nw Suite B
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Michael Hill
3631 27th Ave S
Mpls MN 55406
(651) 387-9919
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(612) 321-5597
Applicant/Permitee: Signature Issued By: Signature
House heating test record
Owner HeAiric
Address Z-0 (Z fid Apt
City r45A4,
Heat loss Date htg. inst
Sold by CenterPoint Energy
Installed by CenterPoint Energy
Electrical work by CenterPoint Energy
Heat type FA 0 Space heater
Gas line by,
Unit heater Other
Gas design
Make CrT GC Model,OMA1 Z400
Serial no. L(!) 3 Argot 2
Input lb p *0
Controls
Thermostat Heat plug
Valve Imo"' 1
Limit rpc-4._
fflO1Z0�30 w Energy
Limit setting I CPO
Fan setting ''?`
Pilot type
Pilot make
Pilot model
Pilot timing
Pressure:
o fire 3 _,jam-ts
Percent CO2
G•g
Input CFH 150 Do Percent 02 0.Z.
Stack temp -76.. Percent CO z, M
Conversion
Vent Size
Kind of liner/size 1'
Draft hood `�+%Q Regulator
Filters: Size 161e2ne 1/Number
Chimney locations: side
0 Outside
Chimney construction
Wiring Test tag r"
Lighting Inst Date tested 11- 20-I3
Company testing CenterPoint Energy
Tester's name "Acy(b
CNP 235 (11-2008)
'
_ I
i
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I For�ee tlse � '
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3$3Q Pii4t Kncrb Raad �ECEIV�D � i II
Eagan lUlN 55122 ��L� ,� 7�1� � Date Received: - _ � ,
Phone:(�651}G75-56Z5 4 � I
Fax:(ss�t�s���ss� E sc��: � il
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� 2014 RESIDEN'fIAL BUIL.I�ING PEI�MIT APPLICATIflN �� � .� �
Date: Site Address: Unit#:
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�`°� ��` '�� tVarne: .��''`�S1 C �. �t�.'C`l� S "'�'(\1C,�v,�:1 �l�� Phona. �'`�l��$�—`�°1�"!
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_ � .('1�n���k.� �adress�c�ry�zi�: `�
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:.
��` ' Appticant is: _,__Owner �Gontracior
k .
���,tpeO�'V��1'lS. �escriptionofwork: ��'Ml�_�E'fl� � �'CCJ�.�`tl '�,_.'���"�� °
* � F: = � �
;,s _.,; .� Canstruction Cost; '�����• 8 O f�ultf-Family Building:(Yes_1 Na �!) ;
���� ��� Gom�anv: ��4�Yti'1 YY�►�ti�S ��G�� ���act: ��.0.YY1 �f1�1�S ;
h:;� : � t ��� . �1,��3` �',�.r}� � '"�"" lv 51-'-�o�-�'��!C� �
�y �� Adc�S: `�tcY: ������_" �
�4��r�,�� fi , •� _ lo.�"/-~ �lf-� �/,,, _�� J �/ ,
�� 1s� � '
'�'� ` •= ��a._.� p: ���7 Phon�: Email: �G�'/'/�'JJ� ! Y+U�° i
i �` �
;, �.. 6/'�, t , F
= � License#: �����a� L.ead Gerfificate#: �
If the project is exempt€rom iead certiflca€ion,please exp#ain avhy:(see Page 3 for additional information}
� �r
GOME'LETE TFiiS AREA t)NLY IF Cf)N57RUCTiNG A NEW BUlLDIIdG
in the last 12 manths,has the Ci#y of Eagar�is�ued a permit for a similar plan based�r�a master ptan?
_Yes iVo if yes,date and address of t►master pian�:
Licensed'Plumber; Phone:
Mechanica(Cantractor: Phone: �
�
Sewer&Water Gantractar: Ahone: 1
1V"07'� Pians ahds.c�AFortin�dot�utxtents that y�ru si�bmit at�eo�t�►d�red to be pub:lic infor�`atron,:Pa��at��f
#�eih�'or��$Ion m��b��I�.�ffteci as'n�i�pt�bilt�rf you�p��trld�s�Zec�t/cj�r"e�son5 ti�i`�t'tn+otild pernrif the�i���a.
t '�t"�.'yrz {`s�'ff1{t��L'�'#'�' t. S�t A� :fi�"+l.S��1`L4a+
CALL BEFORE YC1U D(G. Cap Gapher Stafe dne Cati at(651)454-OQ02 for protedion against underground utility damage. Call 48 Moues
before yau(ntend fo dig to receive locates of und�rground utii�ies. www.sTVtsherstateanecall.ora
i hereby acknowiadge that this lnformation is compiete and accurate;that the work will be in confotmat�ce wifh the ard#nances and codes of the City of
Eagan;that I understand ihis is nat a p@rrnit, but only an appJication for a permit, and work is not to start without a permft;tha#the work will be in
accardanca with fhe approved ptarr in the casa ofi wnrk which requiras a review snd apRroval of plans.
Exferior work authoMzed by a buUdFng permlt tssuad in accordance with the M#nnesota State Butiding Gade mvst be completed wlthin 18U
days of permlt issuence. � '
x�.�,..., �.<f I x � �x /�� �
Appficant's Prtnted Name `r Appt[canfs Signature
Page 1 of S
+' ���� V y/ ��l� �� fq
` DO NOT WRITE BELOW�THIS LINE � cY''7 l `�/
��f
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_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES �(Z �"�°��.�
_ New _ 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
Valuation � � � � Occupancy � MCES System
Plan Review � Code Edition
�''�.��tc�`�-c:� SAC Units
(25%_100%�) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final
Framing � Drain Tile ���I"t"1.��—
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed B �
Y� 1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge �,,��
Plan Review �
MCES SAC `��`�
City SAC
Utility Connection Charge �i
SB�W Permit 8� Surcharge � � �
Treatment Plant �
�
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129364
Date Issued:02/04/2015
Permit Category:ePermit
Site Address: 2042 Diffley Rd
Lot:2 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Michael Hill
3631 27th Ave S
Mpls MN 55406
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
Citi of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
/Z5. 9 -74
Permit Fee: - Q q
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite #:
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.
xutU�cU��
Applicant's Printed Name
x
ApplicafttJs Signature
Inspections:
aground
Name: 6wI &Vial (S Phone: '5-7- ).1k1'Resident/Owner
Address / City / Zip: 6 2- c (f ' ` Qc9a,in
Co tor.
Name: 1- (CoNek %UVSt( C WA 7111c License #: ill 8 CO Ci Z 7.3 (C
Address: 1 (7 ) 44 1 5.-3t.. /'v`f? City: %Gitgd (e
State: l tl v Zip: 59 Yro Phone: & (2- Z 3 (2 &/
Contact: JCtPAC a Email: j 'A-FiztVLf lC (4+ (G plc- l , (Oil
ypeY®*
New Replacement Additional Alteration Demolition
Description of work:
NOTE Ram e ♦ d ®hinted mechanicald)' d to be screen"
od x th a }I Inspector for i "" n an a creening methods
Pr�tpe
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pumpnr�
Under/Above ground Tank (_ Install / Remove)
Other fi`ViT -C�j 1
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
I I -v c G"` t Per 4-)44 1(
to an existing unit, includes State
includes State Surcharge
542(4, ,
Surcharge
= $ TOTAL FEE
$100.00 Residential New,
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
= $ Surcharge
= $ TOTAL FEE
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.
xutU�cU��
Applicant's Printed Name
x
ApplicafttJs Signature
Inspections:
aground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164922
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 2042 Diffley Rd
Lot:2 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michael John & Dana Marie Bennis
2042 Diffley Rd
Eagan MN 55122
(952) 261-6791
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature