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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