2054 Copper Lane
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA096730
Date Issued: 10/29/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 2054 Copper Lane
Lot: 43 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-430-08
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Alex Blaylock
13972 Ember Way
Apple Valley . MN 55124
952-323-6392
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Artisan Plumbing & Remodeling David Weisgurt
13972 Ember WaN 2054 Copper Lane
Apple Valley NIN 55124 Eagan MN 55122
(612) 70-892
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA089389
Eagan, MN 55122 . Date Issued: 05/28/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2054 Copper Lane
Lot: 43 Block: 8 Addition: Cedar Grove 4th
PID 10-16703-430-08
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Tyther Contracting David Weisgurt
10159 James Avenue NE 2054 Copper Lane
Otsego MN 55362 Eagan MN 55122
(763) 295-3000
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
? 1?"Gea?????7 r ? MECHANICALPERMIT RECEIPT#
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: _
Site
Phone
Nan
k c Add
i' p City
9 v
BLDO. TYPE WORK DESCRIPTION
Res. x New
Mult Add-on x
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
%.vrva i nu%.. i iVrv )
• ?
-
TYPE
- GA5 OUTLETS (MINIMUM -1 PER PERMI'n -
OM
D
1
O 1.50 EA._ _
OF WORK -- C
M/IN
FEE -
F CONTRACT FEE
%
Forced Air 66,000 M BTU APT BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. 30,800 M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM 7 PERMIT PRICE GOES
/
Gas Piping Oudets # 1 BEYOND $1
000)
Other
FEE:
?? . S/C: • S? SIGNATURE
RP17t'
TOTAL: =
5???
? ?
.1 ? FOR: CITY OF EAGAN
CITY OF EAGAN Remarks * CedBZ' Grove ACqui83.tioll
Addition CEDAR GRUVE #4 Lot 43 Blk 8 Parcel- 10 16743 430 08
Owner DU!I;'L ' ,,.r!1.., N{h)I&t%treet 2054 COpper I.ane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 2rj Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: ';'Ii 11.' jNt' i
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
R; Pnirt
( waoF 1 Nt. )
Cff;1.. ft I F' NAll iU
-------- ------ ---------
Permit No. Permit Holder Date Tefephone N
ELECTRIC
PIUMBING
HVAC
Inspection Date Insp. Commenta
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 QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:
a 11 i ANF:
I i 114k Uhtivi 04
PERMIT SUBTYPE:
? APPLICANT:
.I
t f, h 1 { [I fi .!
I $0'•- i'lAti Idf V1tt•ftI? 1'tY fs!! 1 A17AM'.:
TYPE OF WORK:
- - - - - - - - - - - - - - - - -
?
J
Permit Holder Qate Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING I
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ?
i
INSUL
GYP BOARD I
FIREPLACE
FIREPLACE
AIR TEST ,
FINAL PIBG
-
-
- ?I
FINAL HTG I
aRSAT
TEST
BLDG FINAL
DOMESTIC
M ETER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TES7
HYDROSTAl1C
TEST
BSMT R.I.
BSMT FINAL
QECK FTG
!
DECK FINAL
o
(?KJ
EAGAN TOWNSHIP
BUILDING PERMIT
DESCAIPTION
N° 1816
Eaqan Township
Town Hall
-..................
Date .--Vz° /,/ ....
Siories To Se Used For Fron! Depih HeighY £s!. Cosi Permi! Fee Remarks
This pexmit does nof aulhorise the use of sfreeta, roads, alleys or sidewalks nor does it give the owner os his agen!
the righi Yo ereale any siiuation which is a nuisance or which presenfs a hazard !o the healih, safeip, eonvenience and
general welfare Sa anyone in the communify.
THIS PEAMIT MUST SE EPT N THE PRErIISE WHILE TFiE WORK IS IN PROGR?ESySZ
. -This is fo ceriify. - _...._.".. ...._.._..._ ...... ....... has parmission ta ereet a._._._.fKN' ."' ."_ ...... ................_upon
the above described premise subject io e provisioas of the Building Ordinance for Eaqan To ship opled April 11,
/f/? ? Q
'-'....._ ./
'-'----------------,NF-?(r?,?. ---'_'-L...w`?"^:'-'-............... Per ............. .... ....k?`^?7..?..u-......_.??:'.`Q... ..P..?'?-"---'---'--
? Chai an of Tnwn Board Buildin Ins ecloz
4• Q
U U LOCATION
, - Eagan Township
Dako3a Counfy. MinnesoLa
Applicalion fot Bailding Permfit
Type of build?ng or woxk toniemolafed. Circle eorrect desaripiions.
,-
--?
' ResidenYialJ Cemmereial Indus3ria] Oiher----- ----- ----- _._
Euild i Enlarge Aller Repair Insfall Move Wreck Other......
-- Dimensions--'-`'rf--?--?--=?s---------`---- Cos4-,_Q.------_-'_-...----
Defails or remarks_.___ .
?5,??..C_.:4_?.:1.?_._..?4-? _ ?....(? . __
?.._...._._.__ _....
Lacation
PERMIT NO.
Dale .......
Nunber SSree! Beiween whai cross stxeefs Sise Esf. Valuation
?o-;V ?)e2-7?z-% , ?'?' v'?' '- " 4j-?/ e") a
Loi Bl c' Addi3ion RearrangemenE or Traci
l
_______'""""""_""----'
Owner _,? ?=------------------:-??Sr-?`-Zz - ----
_"""""___' Address ------
_"-' --- --- - '? - . .?'----'--
? 1 ,.? ?,2Ctir??-- --
Confrac2or ------?--,.. -- - -----°--------------------........ AddTess .. ?......---- ----- ."----....--...._......._....-__-
'--"'- ------
Y
7?? ? The undexsigned hereby makes apnlicafion for a permi! !o
- -' ' do work as herein spnaified, agreeing Yo do all work in sfriei
'"-""'.'.""'-""""'
Total fee eollecxed. accordance with ihe building ordinanae adopfed April 11, 1955
by ihe Eagan Township Board of Supervisoas.
PermiP fees are no! '
refuadahle. ??-
._.--- '- ' -.. ___'_ _...._"--.......
Sisned
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RESIDENTIAL
BUILDING PERMIT APPLICATION
?????? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675 170 QQ
Naw Construction Reuuirementa RemodellReoalr Reauirements
• 3 registered site surveys showing sq. ft. of IM, sq. ft. of house; and all roofed areas • 2 copies oF plan
(20%maximum lot cove2ge ailowed) . 1 set of Energy Calculations (orheated additians
• 2 copies of plan showing beam & wintlow sizes; poured found design, etc.) . 1 site survey tor exterbr addilions & decks
• i set of Eneryy Calculations . Indicate rf home served Cy septic system for additians
. 3 copies of Tree PreservaGOn Plan if IW piatted after 7/7l93
. Rim Joist Detail OpGons selection sheet (hldgs wilh 3 or less unils)
DATE ? 9 ? VALUATION
JOB SITE ADDRESS 0
If MULTI-PAMILY BUIL ING, HOW MANY,, U'NITS?
'L\ b4U 2 ?v-Q 15 q VYO
PROPERTY OWNER r
TYPE OF WORK N/? . ?w FIREPLACE(S) _ 021 _ 2
APPLICANT U U -e (LS V ) d4T=s PHONE# -76 5 - ?6L3
ADDRESS ?3y'?? ?ST PlYvOk-T ZIPCODE
PAGER # CELL PHONE # FAx # 9b3 - S 5 3-0 9'9--2
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNE50TA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA 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. Baths
? No. of Baths
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All above information must he submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that t inforrr
with all applicable State of Minnesota Statutes and City of Eagan r inanc
Stgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _
is correct, and agree to comply
Updated 1101
?
? CITY OF EAGAN FERMIT
PERMIT TYPE:
3830 Pilot KnOb Road Permit Number: 033129
NG
L"'lagan,Minnesota55122-1897
(612) 681-4675 Datelssued: 09/02/98
SITE ADDRESS:
P.I.N.e 10--16703-430-08
zmsu covpEe LAne
L07: 43 BLUCKa 8
CEDAR GROVE #A
DESCRIPTION:
BU:,???'t?S;fi'§",jPermit Type
?.
B<?4?•d„1 ri 'g.?4Jark Type
.Ven;s?s:. ?ade''
yY. . - ? ?.6Pp
o nlt
?.
'k
aS
,p?
£ ? a?ya4?m _?A°"£n'a= _
A
I7E:CK
NEW
434 AL7. RE5TDENTIAL
&4 {yi
q ?tttif .s. G'?flitH #I6 Fia
" 4484 ?en .m
Z:p0
REM#RP:REVIEWED BY BILL AppMS.
FEE SUMMARY:
Base Fee $50.m?3
Sur-charqe
Total Fee $5?.5@
n ? _Y
.ae6? IPI'?
''5L'15' i%
q^g•? ?„" aap'?i?? isit'»ai q?",a;? yg???
COITRACTOR: OWNER: - Applicant -
WEI56URT DAVSD
2054 GOPPER LANE
* EAGflN MN 55122
(651}452-1067
?#ier,eby ackntswled_ge_ that,:I haue'read tNts :ajip?.i.c'atinn sta.ti!t tha tp th`e
„ < ?n?acmat?an ?s cor<rect and= agre•e Cn qqrsip,Cy'_c.witt1 °011ap 03 i'ca6'k e,"w-tr?tw
? tatu.tes:and y
ED BV. SIGNATUfi-
APPLIC NTlPERMITEE UFE isst
I /
, . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ciTsr oF Rr?aax
3830 PII.OT KNOB RD - 55122
. - ? 31 a g 681_4675 ?
Neew Construetion Reauirements RemodeVReeair Reauirementa
? 3 registered sde surveys • 2 copies of plan -CJ-L?e-g
• 2 wpiea of plans (inGuAe beam 8 window saes; poured fnd, design; etc.) ? 2 site surveys (ezterior addrtions & tlecks)
? 1 energy caleulations ' ? 7 energy qlwlatione for heated addRians
? 3 copies of tree preserva6on plan N bt platted after 7l7193
required. _ Yes _ No
DATE: R' CONSTRUCTION COST; /,00 O
DESCRIPTIO F WORK: S? X R ?ec?, oFF f'coy-T ?oo r
STREET ADDRESS: ZCLa!4 C o?P c 1- 1z _
LOT: •?3 BLOCK: ? SUBD./P.LD.#:
Name: WC IS CT t k &T -il-p, Vml) Phone tl: , 65 y - 06
PROPERTY I-asc Firsc
OWNER
CONTRACTOR
StreetAddress: 2-O (?QpOpr Lf.1
City ffA G-r4 tJ State: m N Zip: ?? I Z Z
Company: Phone #:
Street Address:
City State:
Zip:
ARCHITECT/
ENGINEER Company: k42E I F Po T-
Name- Ai / /
Phone #: fa/A $'c'1 g- 676 0
Registration #:
Street Address: 1V i C o //C'-T -&V Cl W
City Su2wIS uMcZ State: rn rJ Zip: ??? ?.-7
Sewer & water licensed plumher (new construction onry):
and lot change is requested once permit is issued.
Penalry applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is Cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY??
License #
u-;avrse_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 5F Misc. El 10 _-plex
WORK TYPE
,1+'? 31 New ? 33 Afterations
? 32 Addition 0 34 Repair
GENERAL INFORIMATION
Const. (Actual) _
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building -44
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS 5ystem
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
?L
Permit Fee
Surcharge
Plan Review
License '
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
O 11 Apt./Lodging ?
0 12 Mutti Repair/Rem. ?
? 13 GareyelAccessvry ?
? 14 Fireplace ?
J( 15 Deck
Valuation: $ ?
% SAC
SAC Units
A n Lo -r- Y?' - ?I
,
I
- - - - - - - - - - - - - ---
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2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Reaulrements
? 2 coples o1 plan
DATE: i5-3 1- °C' CONSTRUCTION COST: 1 V Oc) • O
DESCRIPTION OP WORK: F\occ{ If multl-}amily bidg., how many units4
IMDICATE THE FOLLOWIfdG EQUIPPAEfiR TO BE REPLACED AND BY WHOFA:
_ Plumbing _ Homeowner Qr Contractor Name
_ Mechanical _ Homeowner gl Contractor Name
"Note: If somebody other than me homeowner is performing plumbing or mechanicai work, they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: 10SZ-I 0 no t, L.w\ ?T%cyftv?) t7'1 1J .s'5 1 ZZ
LOT: ? BLOCK: _g SUBD./P.I.D. #: Cedar 6ror?
Name: Phone#: L-,S- I-LSa-106 `7
PROPERTY L. Flrsr
OWNER
Sheet Address: 2o5Z{ don4e r Lx-1
CIty it A'C°?rt-t-]i Stafe:)Y) rJ Zip: ZZ
Company: F Phone #:
(area code)
CONTRACTOR
StreetAddreu: llcense# ExR
Ciry State: ZIp:
ReP)(ace Oq RpeT-, SheeT oQGc? 506,6 e lV ecxk (':qli
? V
I hereby acknowiedge fhaf I have read this application, stafe thaf the informafian is cortect, and agree to compty wilh allapplicable State
of Minnesota Staiutes and City of Eagan Ordinances.
Signature of Applicant ??
-1c 'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
2054 coPpeR LArdE
LoT? 43 tILncK: 8
CEDflR (3ROVE #4
p.I . fd. : 10-16703-430-08
DESCRIPTION:
?
F ??
.U
.
SF (m T5C.}
t2EPAIR
434 ALT. RESTDEN71'FlL
(RQOFING)
ormit T,ype
*&k rYPP,
x T? ,
2%
.&? im'D
BUILDING
029905
m5/06/97
REMARKS:
FEE SUMMARY:
f3ase Fee
SwrcPiarge
1'otal. rec
CONTRACTOR:
' T hsr'eby a'tkHaol?d;r??,
?inforitratxon` c!
Statki=e.? ai ii?i C?,tYF?5g`?,n 4rtaO???? ?
APPLICANT/PERMITEE SIGNATURE
VAi_I,iATSQfJ
$34e75
$^a6.25
$1,000
OWNER: - Applicant -
WEISGURT DAVTO
2N?",si COPPER LN
EAGAN MN 55122
(617)452--1067
-- ?a ,m?, ? •'??
0{,t/] w fnl?
'ISSUED B . 51 R
r?
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
681-t675
ttuetion Reauiremems RemodeVReoai
• 3 registered ske aurveys • 2 eopins M plan
? 2 coples oi plans (inGude beam & window aaes; poured fid. desipn; etc.) ? 2 site wrveys (exterior additlons & tlecks)
? 1 energy calculations ? 1 anergy celwlatiora for heatetl adtlaions
? 3 copies of free preservation plan H lot plaHed aRer 7J1193
repuired: _ Yes _ No '
DATE: 5-- 7 CQNSTRUCTIQN GOST: I C0O ?
DESCRIPTION OF WORK
STREETADDRESS:
LOT ? BLOCK ? Sl1BD.iP.1.D.Z4L ? ?'-?
PROPERTY
OWNER
w C?.S0-,iJKT
Name::IZ? -D Phone #: 45??71 0 to7
.Cltr82t
?.
M6T
City: State:l:}?'Y Zip: ::?? I 9,
CONTRACTOR Company:
Street Address:
Phone #:
License #:
City:
ARCHITECT/ Company:
ENGINEER
Zip:
Phone #:
Name: Registration #:
Street Address:
City:
Sewer & water licensed plumber (new construction oniy):
and lot change are requested once permit is issued.
Penalty applies when address change
f fiereby acknowledge that t have read this applicatian and sNate that ihe information is correct and agree to comply with all applicable
State of Minnesota 5tatutes and City of Eagan Ordinances.
OFFICE USE ONLY
CeRificates af Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
State:
State: Zip:
- Not Required
K SL)
i? 4a3o
3? 1538
?? a i oa
SJ a09L1
qCLd,V-,r),,o
t?r , FLt??.n
Ln C a y ?
1?,.? ?Rd , Ec??a?
(?a.rbl? Ln , En5 a.n
L n, Ea?an
l.n
£? a.n
--
QJ ?k35? bn?x P?
aa3o CrnAcad.
Ow"?-
, \o h n LO
Octo id,
?c?i IGn J?MIC?-
l? M c?}t?? ?(la y a s? L?'v
nc.-L
?rn P?hinsor-?
PL-?-
S1?aXk
??'?, '- 9rsiy
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????
148 Gea`
? 12428
7922
&
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8
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-
Requesl Data Fire No. poughin Inepwion
3131 /89 ' R Yesa7 ?'j No
D ? ReaaY Now M When Reatly?w
I 1? licensed contractor ? owner here6y request inspection of a6ove electrical work at:
Job AEEress (SVee1, Box or Route No ) Ciry
2054 Cuppen Lane Eagan
SeIXion N. Township Name or No Renge No CouMy
Dahota
Occupent(PRINT) Phone M.
unt 452-1067
Power Supplier Address
Eleclncal Contraclor (COmpany Name) ConiraGOr§ Ucense No.
Centna,i,he Inc. 042661
Mailing Addrea (COntrector or Owmr Mekirp Installa0on)
7402 Wa hin xan Ave. Eden Pnainie MN 55344
AuIM BE gnaNre (, nt or rg In IflGOn) Phoire Number
r -" 941-1044
MINNESOTA Sfp7E BOARD OF ELECTRICITY THIS INSPECI'ION REOUE5T WILL NOT
Grlggs-MlEway Bldg. - Paam S113 BE ACCEPTEO BV THE ST.4TE BOARO
1821 Unlversity Ave., St. Poul, MN 55109 UNLE55 PPOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEM
I)1111?g/gt) REQUEST FOR ELECTRICAL INSPECTION ?,,,Ee-ooo1-07
? See inatlucAOns for compleUng this form on back of yellow copy. J1 J7
12 4`2 g X" Below Work Covered by This Request
e Add Rep Typeof6uilding AppliancasWiretl EquipmentWited
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speaty) Coniraclork Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircunslFeeders Fae
Swimming Pool 0 to 200 Amps 2 0 to 100 Amps
hansformers Above 200 _ Amps Above 100- Amps
SignS Inspector5 Use Only TOTAL
Irrigation Booms ` j? i.)O 15. ?
Special Inspeclion ?
Alarm/Communication
Other Fee
I, the Electncal Inspector, hereby RO1gh-'" oa?e
certifythattheaboveinspeCtionhas
been made F,nai
OFFICE USE ONLY 1
TTis reques[ wiE 18 manths irom
? '. ?
J,q I ?q
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Cons6uclion Reouiremenis
3 regislered site wrveys showing sq. h of lot, sq. ft. of housa; and all roofed areas
(20%maximum lotcoverage allaxed)
1 Soils RepoR if proposed bwldmg is lo be placed on disWrbed sal
2 copies of plan shovnng beam & vnndow saes; poured found design, e[c.
1 set of Energy Calculations
3 copies of Tree Preservation Plan rf bt platted atler 711193
Rim Jdst Detail Ophons selection sheet (6uildings witlh 3 or less units)
Minnegasco mechanical ven6lahon form
C°
RemodeUReoair Reauirements O(fice Use OnN
2 copies of plan showing footings, beams, joisLS Cert oF Survey Rerd Y_ N
lsetofEnergyCalculahonsforheatedaddNOns SoilsRflpat _Y _N
1 site survey for addi4ons & decks Tree Pres Plan Recd _ Y_ N.
Addifion - indicate if arsite sepgc sysfem Trce Pres Required Y_ N
On-site Septic System _ Y_ N
Plans are considered oublic information unless vou state thev are trade secret and the reason.
Date /? / Construction Cost U(?v I
?
Site Address ? ?() PP -ex / UniVSte #
Description of Work
i
Mul6-Family Bldg _ Y --N, Fireplace(s) _ 0 _ 7 _ 2
.
Properly Owner Je 1s CL ?
)2 J
Telephone #( )
Contractor
Address / f
City
W
State Zip Telephone # ((ps'jj' yS ? - 6 ?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheel
(q submission rype) Submitled
• Energy Envelope Calculalions Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
i hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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. -- -
v
Applicant's Printed Name ? Applicant's Signature
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Use BLUE or BLACK Ink
r I
I For Office Use
0OF
Permit j
I ,
411100 ,
City of EaF ,
I Permit Fee: ~
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: - C)0/~Siite Address: PL2a~ l f
Tenant: I✓`~T77-4 1
-r I _&1_' Lt_` c ) Ca` Suite
RESIDENT / OWNER Name: 8ft 16 4- P_=( CH F LC E W E,45a 4-"Phone:
Address / City / Zip: c;WS _ E- 16A -IJ M
Name:- License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
New Repla ement Additional )!~_Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump j Under / Above ground Tank Install Remove)
Other s r^ ^ e ,`al.d~-`fJ
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aopherstateonecall.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.
x -:PiIw_LLF_ LOE~SG0_e~~- x
Applicant's Printed Name Applic nt s Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
City of Etan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK In
For Office Use / Q�
Permit#:
Permit Fee: /4:2 �,
Date Received: 5 S-1
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "1 —(0 1 CP
Resident/
Owner
Type of Work
Contractor
Site Address:
Unit #:
Name: l(A`Y-'lie=-f A66-1, or -i— Phone(rrA 40 + '1--
Address / City / Zip: ('q `bla. Lf\) C 3(1 ( '3IV2-
Applicant is: Owner Contractor
Description of work:
Construction Cost:
-P4V,nts-uJidto � wqd- 01
Multi -Family Building: (Yes / No )
Com panyEle 6,31A rUCP i - {iC./'Contact: /T T. f)) —"
Address, 3
State
M11`.) rS431I Zip: 3 Phon1e`i>, �i J I
License #::.� C_
V`- City:
Lead Certificate #: t\f 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 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.
Applicant's Printed Name
x �
Applicant's Signature
Page 1 of 3
00--5(.(
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining WaII
Z- fiCi0 NOT WRITE BELOW THIS LINE
l
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation 0,C)0
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
V3
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: TD v‘A
Siding
Reroof
Windows
p 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
T4zC
tin 142c/s
TL- 1
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
rO Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 3a) • Zs -4- ec
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175032
Date Issued:03/09/2022
Permit Category:ePermit
Site Address: 2054 Copper Lane
Lot:43 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-430
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
David & Richelle Weisgurt
2054 Copper Ln
Saint Paul MN 55122--203
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature