2125 Copper Lanecirr oF EAGAN
3795 Pilet Knob Rood Ea9se, MN 55122
PHONE: 454-8100
BUILDfNG PERMIT
Slte Address
Lot 81xk Sec/Sub.
Parcel #
ec Name
W
Z A[IdfQSS
? _ , • -
NOrm
0 ? Addreu ? .
ru.. oL..--
Nome _
Address
I hereby acknowledge that I have reod this appliwtion ond state that
the inlormotion is carrect ond ogree fo Comply wifh oll applicoble
Stota of Minnesota $tatutes and Ciry of Eagon Ordinonces.
Recelpt #
Dote
_, 19
Erett 0 pccuponq
Alter ? Zonirq
Repoir Q Firc Zone
Enla?fle (j Type of Const.
Move ? # 5tories
Demolish p Length
Grade ? Depth Sq. Ft.
Approvols Faes
Assessmenf
Water & Sew.
Police
Firo
Eny.
Plonner
Cowxil
Bldy. Off.
APC
Sipnoture of Permittee
Permit
Surcha rye
Plan theck
SAC
Water Conn.
Water Meter
Road Unit
Totol
A Building Permit Is issued to: on tha express tondition 1Fxat
all work sholl be done in accordonce with all opplicoble Sta1e of Minneaota Statutes and Ciry of Eayan Ordinances.
Buildirg Officiol
Psrmit No. Parmit Holder Misc. Permit No. Holder
Plum6inp Dwn ?.c- 7 Z-? Z
H.V.A.C.
W?Ii
Water
D'np.
Sewer
Elsetrie
Irapsdion Date Insp. Other
Footinps
Foundation
Framing
Rouqh Pibq.
Rouph HVA ? Alsol
Insulation
Final Plbp. ?
Final HVAC
Final 11-16 .$` elj
Wa"r Deccriba Location:
Well
Sa+ver ?
Pr. Ditp.
Recsipt PLUMBING PERMIT Permit No. '
CITY OF EAGAN
- Fee
7j FiII in numbered spaces S/C •
TYpe or Print legibly Tot.
?.
1. Date •' ??- ?-.? 2. Installation Cost
I I
3. Job Address Lot J L`` Blk. -? Tract '
4. Owner
5. Contractor Phone y
6. Address
7. City rJ .a rv State '.? Zip
8. Building Type: Residential 13. Commercial ? Institutional ?
9. Work Description: New ? Add Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
oomply with all ordinances and codes governing this type of work.
Signed : I for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
+/-
Ir CITY OF EAGAN
Remarks * Cedar Grove Acciuisition _
Lot 14 Blk 5 Parcel 10 16703 140 05
Street 2125 Copper I,ane State Eag?, MN 55122
Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
GFiADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OP EAGAN
3793 Pllot Knob Road Eagan, MN S51S3
PHONEs 451-8100
N° 7379V
BUILDING PERMIT Receipt
Te M atad ier ADD BATEIl2XM Est. Value 1,500 Date 7-1 19 $2
$ite Address 2125 QqK= LYl Erect ? Occupancy R-3
Lot 14 Black 5 Sec/Sub. ?d-ir Gx'OV2 4th Atrer [?? Zoning R-1
parcel # 10 16703 140 OS Repair ? Fire Zone nk
Nome Doma M ROriSeTl
Addreu 2125 Coplx.T Ln
p Nome _
?
?U Address
r ri...
Nume
Mdress
I hereby ncknowledge thot I huve read ihis opDlication ond sfote ihat
the inlormotion is wrrect ond ogree to comply with oll applicnble
State of Minnesota Stotut a an City of Eagan Ord ra ce
(??A s.
Slpnoturc of Permittee-
A Buildicig Permit Is issued to:
nll work shall be done in acwrdance wih oll opplicqlolo? Stote of Mii
Enlorge ? Type of Const. V
Move ? # Stories _
Demolish ? Length W 8"
Grade ? Depth $ LV' Sq. Ft.-
Approvals fees
Assessment -
Water & Sew.
Police
Fire
Enq.
Plonner
Councl I
Bldg. Off. 6-30-$2
APC
Permit GS_U12
Surchorge l.OD
Plan check
SAG
Wafer Conn.
Water Meter
Road Unit
rotol z6_oo
on ihe express condition thm
Statutes and City of Eoyon Ordinonces.
Bulldirp Official
??
CITY OE' F,t?GAN a
4 .I
7 J Include 2 sets of plans,
. . 1 site plan w/elevations &
BUILDING P?r APPLICATION 1 set of energy calculations.
To Be Used Foro?vk- Valuatior?vf/?00 Date
Site Address: J/D,C CONi?6'/L GA> ,14t\ OFFICE USE ONLY
Lot I q Bloc7c S Sec./Sub. C'644r GroVE Erect ? OccuPancI' /n?
Parcel #: r? 110`70 3 o S Alter zoning
Repair Fire Zone
o.c?5
??? 8AJ Enlarge _ Type of Const. ?-
Address: Nbve
Demolish # Stories
Front 8 ft.
Cit
Zi
d
C
G
j
1 Grade Depth $ ft.
p
o
/
y/
e:
,p C,94,
l.w
Phone #: APPROUIILS FEES
Contractor: $<5 e?F
Address:
City/Zip Code:
Phone #:
Arch. /F3ng. .
Address:
Gity/Zip Code:
Phone 4 :
Assessrtients
Water/Szv,er
Police
Fire
Eng.
Planner
Council
Bldg. Off. jL-_ToD - ?
AFC •
Peimit c?•S j2:p
Surcharge ?
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
ZCYPAL o210
- EAGAN TOV1/N SH I P
BUILDING PERMIT
Owne: ._._L"? -•-T-c... ?. iy.p?
? ? .
Address (presen!)
Builder ........................ .
Address
DESCAIPTION
N° 850
Eagan Township
Town Hall
Dafe ... •3l 6 i?
5lories _ To Se L7sed For Froni Depth HeighY Esf. Cost Permit Fee ' Aemarks
,:2 7 77
LOCATION
Sfreef, Road or ofher Descryip?iion of Location I Lo! I Block Addifion oz Tracf
*04Z-.r?-:?- .l ,3
• _ _ ? ?y? This permi! does nof auihorize ihe use of slreefs, roads. ?eps or sideFrdl s no1C does if give the owner or hi
the righi fo create any sifuaSion which is a nuisance or which presenis a hazard !o the healih, safefy, convenience and
general welfare fo anyone in the communify.
THIS PERMIT MUST BE qKEP?T Og/ T E PREMISE WHIL£ THE WORK IS IN PROGAESS. ,
This is fo eerfify, ihaf?.;------ "_,_42has Permission !o ereef a..... ?. ? ??-
Pt..[_._F-?:..........._.... _ ._.upon
the above desc ' ?prem?isa subjec! }o the dvisions of the Building Ordinance for Eagan Township a opied April il,
1955. '
............ .. - -` t ??T--??...--------...".... Per ........ Chairman of Tnwn Board / Building Inspeclor
EAGAN TOWNSI-iiP
BUILDING PERMIT
Ownex __----(r?s.ts?`-y-.__/._/.-°'-' ..?`.7..`??-'_?-.'"-
Address (present) l'
--------------.__----- ' -- - ----- - -- ------
Builder -------- J --- ------- p??.__ ...------'-'---------------------------------'-"--
Address ---- ... .... ?d_..5.`rJ------- -- ---------- ------- ......-----------
DESCRIPTION
N° 932
Eagan Township
Town Hall
Date7ories _..?'c?'4.:. To Be Used For Front Depih Heigh! £sf. Casi IPesmiS Fee Remarks - U " LOCATION _
Sireei, Road or oiher Descsipiion of Locaiion Lo! 83ock Add3iton or 1'raet
'/? s -'2t4 . -,-v- 'e
This permif does not auihorize the use af sfreels, xoads, alleys or sidewalks nor does it give the owner or his ageai
the right io creafe any siiuafion which is a nuisance or which presenfs a hasard !o the healYh, safefy, convenience and
general wetfare !o anyone in the cammuniYp.
THIS PERMIT MUST BE T ON THE PRI;MISE WHILE THE WORK IS IN PIiOGAE S.
? •
This is to eerfify, tha2.... ... __...r? d.?/..._'__'-...has permzssion !o ereet a.......... . '------_.._ - _._."" ..................upon
!he above described premise subjeci 3o the provisions of the Building Ordinance for an Tow ship adopled April 11,
1955, ?
..----°?? ................----. Per --- -------? e'--------?L..........._-------------..
Chairman o? Tn?yvn Board Building Inspector
u /c%
?-----------------
?
? Permit #: O ? ? ? \ j
? Permit Fee:
? Date Received: ?
? I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-2Y-0p Site Address:
Tenant:
Suite ii:
RESIDENT/OWNER Name:Z-e,4Nni P.oiL Serv Phone: 65 J'
Address / City / Zip: `}. / a t.91)
Applirant is: _ Owner _ Contractor
TYPE OF WORK Descnption of work:
Construction Cost: !D . 0!?,T G+. a? Multi-Family Building. (Yes No Aj
CONTRACTOR Name:L[?. c CotiS) _ License #: ?zo Sw D S?
Address: 'y5 -7 / SY'h DJL,1e__
j j?
_
City: Lo n, rJ ) r State: kp?J . Zip. ?S?O et ?
Phone:(s I 2-?4 5-7- S7 Fi ,S~ Contact Person: ili ?Li C.r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submisslon type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE; Plans and suppwtrng_documents thaf you submif are considered,,;o be public informati?n?'oPortions of ,!:I
;?ihe mformatinn rnay b? c(assefied as non-public rf"you proveale specrfic r'easo'ns thaf would p`ernrit the Cityto
_..
ihat°theV are trade secFets ? 10?-z
( ? ?'s }?116? _ 1,.,11?( - ? `tconclude.
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 rase of work which requires a rewew and approylI of p ans.
x?. r L [ ?.?n. [? X V
ApplicanYs Printed Name ApplicanYs ignature
Page 1 of 3
G?J)
?-----------------
? For OHice Use I
j Permitli. ?J`JD D j
? Pertnil Fee:
? Date Received: ? j
I Staif.
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?( ZZ 0 Site Address:
?S2
Tenant:
?
Suite #:
(Cs I -q1;y lS6 Y-b
RESIDENT / OWNER Name. - C Phone:
Address / City / Zip: G l zS Chier--,.? Lanl'. ?Qa r-? M tJ ? I?-
Applicant is: ? Owner _ Contrector
TYPE OF WORK Description of work: V ? 611.? S
Construction Cost: 7 bC) Multi-Family Building: (Yes No Z)
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person: _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalian Calegory 1 Worksheet • New Energy Code Worksheet
Cate90ry Submined Submitted
(4 submissiOn type) • Energy Envelope Calculations Submitled
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 Conirector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporfing documents ihat you submTt are consldered to be pu6lic information. Portions oi
the iriformatlon may be classified as non-pub!!c !f you proWde speclfic reasons that would permlt the City to
conclude that the are trade secrets.
1 hereby acknowledge fhat Ihis information is complele and accurete, tha? [he wo will be i conforr?an
Eagan; thal I undersland ihis is nol a permit, bul only an application tor a permi , nd rk is no to
accordance with the a ved plan in Ihe case ol work which requires nd app al ot pla
?111
x kr, ?,CTV1 S2,t'1 ?
ApplicanYs Printed Name p icanYs Signi
iences and codes of the City of
pertnit, that the work will be in
Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use J I
Permit
IIS~~ j
City of Ea Permit Fee:
t
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I G, I
Fax: (651) 675-5694 i Staff: /
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ( Unit Z/
Name: i AI nn Con 1 Phone:
Resident/ tl ~1 t 1
Owner Address / City / Zip: Z Cy ~CQ~CAt'~ N l I~
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: 11, 000 Multi-Family Building: (Yes / No V-)
Company: garnQ, QS OI.,bO J J. Contact:
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:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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 a rov tans.
Exterior work authorized b a building permit issued in accordance with the ' n to 'ate Buildin ode must be completed within 180
days of pe mit issuance
"L .
~rh V ~
x
Applicant's Printed Name pli ant's Signatur
Page 1 of 3
Date:
City otBaiau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �[�
Permit #: /
( / I / 6
Permit Fee: iL
Date Received: S `�
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
Phone: 6?:51 —4•:;-Y39;
Address / City / Zip: e/ Z J Coeft
Applicant is: Owner X Contractor
Description of work: '.)t eO DE c k ()Go/ Q D
03
Construction Cost: /5 (�Q Multi -Family Building: (Yes / No X_)
Company: MP (Z i10 0^3 4-1-C- Contact: /27/Pit
Address: 1/ Z. 5 Co doen-- City: 4 `�
State: %41"Zip: S$/ 22- Phone: 0/2'> 3Z ` 1c.(P'‘"CO$,74 in_ ZI.0 q,
License #: 13C. 09 Lead Certificate #: /11/e9 -
If the project is exempt from lead certification, please explain why:
v04 -
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:
•
•
fr
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
I
days of
permit issuance.
x I " `i�'2. C- t Ce
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
C5 CO
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Rn,
DO NOT WRITE BELOW THIS LINE
.36q6
Fireplace
Garage
>6 Deck
Lower Level
Porch (3 -Season) Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) Miscellaneous
Pool Accessory Building
WORK TYPES
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
ie
Valuation 2 400 •v Occupancy 32_6. - 1 MCES System
Plan Review Code Edition kiln zo/S` SAC Units
(25% 100%r) Zoning )z -( City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Suppression Required
Type of Construction 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
i� 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 30 Minutes 1 Hour Drain Tile
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 Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
t 20, 7oc�
/60 sg t x` `i.� t
Page 2 of 3