4266 Jasper Dr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
City O~ ~~oin Permit#: 3 b I Permit Fee:
3830 Pilot Knob Road I / / I
Eagan MN 55122 Date Received: _q ~ / / 6
Phone: (651) 675-5675 RECEIVED I I
Fax: (651) 675-5694` I Staff: I
SEP 2 7 2010 "I ' - - - - - - - - - - - - - - - - '
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ! `0l7 /0 Site Address: 7o?~(p ~~SPC- Del UL-
Tenant: Suite M
RESIDENT/OWNER Name: MA-i2CC Phone: 4 (,Y3,0W3
u~- G~a•aa/-ylq ~
Address/ City/zip: 0& ;J,jSPC 0121 VE
Applicant is: /7 c/ Owner Contractor
TYPE OF WORK Description of work: IIJ5 -A--ioti t pP_.v wA%C_ (N [365E r\e--Y
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: 5 C L f License
Address: City:
State: Zip: Phone:
Contact: Email:
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:
~I
Sewer & Water 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 the 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.
X ftir sPUeBccK xZrl~ S,~
Applicant's Printed Name Applicant's S ature
Page 1 of 2
NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
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
Valuation 15 Occupancy MCES System
Plan Review Code Edition 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 I L4 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation V HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings ^Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In _Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC "?Go ~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Use BLUE or BLACK Ink
For Office Use
I ~ 03a ~
MAY 1$ 2010 I
City of Ea(iEodn 1 Permit#:
Permit Fee: ~`7~ F
3830 Pilot Knob Road 1 I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I Staff: C
Fax: (651) 675-5694 !
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: LI1 I '
Tenant: Suite
~y Lk V--
RESIDENT / OWNER Name: l G Phone: ` L11
v l t
Address ! City / Zip: - ` v
CONTRACTOR Name: license #
Appliance Connections I
Address: 31 _ .tAdfit
rv
State: Zip: Cb,,,k6j*e MN 55379
Contact: Err9- 62445-4803.
TYPE OF WORK -New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / - PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter.is required)
L
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) t~ /
ll
TOTAL FEES $ 4'
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.ora
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 fora permit, and work is not start without a permit; that the work will be in
accordance with approved plan i the case of work which requires a review and approval of plan
x L X
Applicant's Printed Name Applicant' Si nature
FOR OFFICE USE Reviewed By: Date;
Required Inspections: Under Ground Rough-In Air Test' Gas Test Final
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPE
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
t ,iI ?i I 1 1 ra
+A.A I `1v+
lot?? / 4 4
SITE ADDRESS: ? 01
i?(yl: ?•t.+?V1. .'?V11
I PERMIT SUBTYPE:
TYPE OF WORK:
MAfil
II; 1; 1 i I J Nw, I I I; I ranI
APPLICANT:
i a 1,° 1 bts;; - 4lfart;s
?
?;
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Pian
Bldg. Final
Deck Ftg.
Deck Final 95-
Weil
Pr. Disp.
CITY OF EAGAN Remarks Cedar Grove Acqua.si
Addition Cedar Grove #2 Lot _ 12 Rik
Owner Street
IIIDO L
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? 1985 1266.95 84.46 15 1266.95 C009263 8-27-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 127 1 52.16 2 P•
WATERMAIN
? WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREE7 LIGHT
WATER CONN. 1 ?
BUILDING PER.
5AC
PARK
EAGAN T01l1/NSHIP
BUILDING PERMIT
Owne: .... ?`..g...... /?. -----°--- ---.'._......._ ......../...?..'........
Address (presenl)
--------------- f
Buildez ---------- g/--------.....---'--
o - --- ....--- ---- -
Address .-----...._- ..............------------._-°-'--------...
N° 835
Eagan Township
Town Hall
Dale . : ......--.----------.--.--
Slozies -- To Be Used For -- FronS Depih Heighf Esi. Cosf P
erm
ii Fee l Aemarks
{.ov?-•?--7/`.
4 4 ?'S^ .7-?f ??i?? -
?
- - i ? J _..,p_ /1?"-GfC/
I ?Q.C•G v
// U LOCATION
Sireef, Road or other Descripiion of Localion Lo! Block Addifion or Traei
/ i- 3 Cv. JX pr- _-1-- .
This permii does nof aufhorize the use of sYreeis, roads, fllleps or sidewalks nor does if give the owner os his agent
the righf !o creaYe aap siiualion which is a nuisance or which preseifls a hazazd fo the healfh, safetp, eonvenience and
general welfaxe fo anyone in the commuaiiy.
THIS PERMIT MUST BE EPT N TIiE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o ceriify. Shal....-.----_----- --------' .. ."---._.has permission to erect a- -------- -"-' -_---......'- ---'-'-' . _ ..._'-- upon
the abave descri6ed psemise subjecf 2o e provisions of the Suilding Ordinanee for Ea? Towns p adopied April 11.
1955.
."..............
............"........`....C.`.".=.='.-.---........---- Per ---- ----?-p-
'-----......V'? ......../ . . . . .............................
Chairmaa oQf Tnwn Boerd Buildiny Inspeeior
.?-% ?. 16.
EAGAN TOWNSHIP
BUIL 1 PERMIT
oWna: ?' .?:... . .... ?` '?'..
. .......... _
.
-
Addsess (Pleseni) ...... ,f.sj? 2.K?
-? .r. - - - .: - ' ...
Suilder
Address
DESCRIPTION
N° 545
Eagan Township
Town Hall
DsSe ----'/--?`/.'_"--".............
6tories To Be Used Fos Fron7 Depih Heighi Esf. Cos! Permi! Fee Re azka
This permif does aoY authoriae the use of slreeis, xoads, alleys or sidewalks nor does it give !he owner or his agenl
the righ!!o creafe any situation which is a nuisanae or which pxeseals a haserd fo the healih, safely, convenience and
general welfare So anyone in the communiSy.
THIS PEAMIT MUST E ON P M_I $ V?HILE THE WORK I5 IN PROG,r/gg? 5S./ ?T, C
This is 2o cerlify, fh$ .??.?K?f.6t.??-_has Permission o erec! a._.st(!,.1.k?4'''- -....._'--".......--_--__".upoa
the above desazibed premise subjecf !o the provisions of the Building rd" e f 7a• o ship adop2ed April 11.
1955.
...?-f.fi.__.__'.: _._..."_..... .? .
...._'.... ......' ......................_.._......._._. Pez? ... _ ___._....._._.'...'_."......
Chairman of Town Soard ' Suil ' peclor
1§? Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
f`?
F-oi'--Offic-e-U-se ----------- I ?
F
j Permit#:
i Permit Fee: ?
? Date Received: ? j
-? - -- " I Statt:
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ?2tv"' J a sp er
Tenant:
Suite #:
RESIDENT / OWNER Name' , r`a'r ? U r e L? Phone: lSJO3 Q? ?
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work(y?A ? ?T'??'?3
' wV
Constmction CosL Multi-Family Building: (Yes No ?
CONTRACTOR Name License
. •
nddresResideMiaV MN lic.ai20249486
2478 HilMrood Drive. St. Paul, MN 55119
C?mte-v5,-z343442-f-ai?o`4 3304v09 State: Zip:
PhoQdvid Johnson - Cell: 651-274-4%&ct Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Cateqory 1 Worksheet • New Energy Gode Worksheet
Category Submitted Submitled
(4 Submission type) • Energy Envelope Calculations'Submitted
In the last 72 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 supporfing documents that, you sabmit are Considered fo be public inforrriation. Portions of
ihe information may 6e cfassified as non-public i1 you provide specifid reasons that woutd permit the City to
concfude that the are trade secreis:
I hereby acknowledge that [his intormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is no( a permif, 6ut only an application for a permit, and work is not to start without ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro i plans ?
x 1.) .JOi, nSDf? x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
? CITYeOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: BuzLoYNs
Permit Number: 024190
Date Issued: g 7/2 2/9 q
SITE ADDRESS:
P-:I.N.: 10-16701-120-03
DESCRIPTION:
PERMIT
4266 JASPER DR
LOT: 12 BLOCK: 3
CEDAR GROVE 2N0
) ild..
Buing-Permit Type
?Building Wor.k Type
l ?
1 \1
?
DECK
NEW
GfC ?????
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
SPURBECK MARK
4266 .7ASPER OR
EAGAN MN 55122
(612)683-0683
? 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 Mn.
Statutes and City of Eagan Ordinances.
? -
a* N` "?
APPLI ANT/PER jvw MITEE IGNATURE ISSUED RE
14iqo
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
40 0 .-? o
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urve s, uc??2 nergy
calcs. 3 i1? 1
5
,
1994
COMMERCIAL 2 sets of architectural & structur _plans,1set of
specifications, 1 copy of energy c _ _ .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date IS Valuation of work ?1((?•02
Site Address:y ou266.74s0?r Driv<
TREET SUITE #
Tenant Name: (commercial only)
LOT I I BLOCK ? SUBD. n? y,??? ? ,py
r?U/W ??lLli P.I.D. #
Descri tion of work: D eck
The applicant is: (3'Owner ? Contractor ? Other (Deseribe)
Name SP(aR E)EcK Y1114RK Phone 6a'3 -06 -3
Property LAST FIRS, 3•?-oq??
Owner qddress qZa5 pe r Q r; uc
STREE STE M
City EIRGW rv State M ru Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
l
f A
J
?
Signature o
pp
icant: •
jLz
rlArK SPNrblcK
4266?"wsQer Dr?oe SqSPER DRIVE
?.w,an, M» n. 5 SI Z Z
7'
5.11
133 `
6
$z
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Naw Construction Reauirements Remodel/Reoair Reouirements C?
? 3 registered site surveys ? 2 copies of plan M31.J4oC.rs4;Zy r9ti s1D(1JC.
i 2 copies of plans (include 6eam & window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks) 2
? 1 energy calculations ? 1 energy calcula6ons for heated additions
? 3 copies of Vee preservation plan if lot plattetl after 7/1/93
required: _ Yes _ No
a0
DATE: A? u T9 CONSTRUCTION COST; S? 7S9 ^
l?1 ooi ol- L jg c? 3 st.lGt er- Nojrr 6s/Y?,?yL
DESCRIPTION OF WORK: r.?n ..)i _,.b.,.i ..,., r2a,J- a!- /i..rrt
STREETADDRESS: ?f 7- ( lo f-r4 sP61L--l 2,«ig - r4 c..a'%J M.r SSI Z.Z
r? j -e 4 ?
LOT: I? BLOCK: 2;1 SUBD./P.I.D. #: CR.--0, 6-
Phoue
------------
PKOPERTY L"t ?------ Fi"t
(AV"vl:lt s-P FJ}_ ??vr
Strect Address: ?' eZ ?i ?o---??-------? -- --------------------------------------
c«y ?g??-------------- st,ce: M cJ ------- ziP'
. a G' .- N/ZA? dtTS F?[ Phonc #: ??Q---
(;om r.uny.:V 1?•fL? 1"?'-?!-2
? - ---,-?------------? ?
CON'I'RkCfOlt sLEM
Stree[ Address:_Z 1 o I_? J.?l;p ??.!_%jF.- r/Ol License # oQ1JeW3 EXP.3-a1 _aovo
(;irv ' 1S1?iw? _?1__? L [ - ---- _ State: _N ?J ------- Glp" ay?-----
ARCHITECT/
EVGCiVEER
Plionc #:
Rennstiatioii tl:
Strcet Address:- ---------------- ----------- ----
City .......... -----............. --- Sta[e: ----- ------- Zip:
Sewer & water licensed plumber (new construction only): .
change and lot change is requested once permit is issued.
Penalty applies when address
I herehy acknowledge that I have read this application, state that the informatio s correct, and ?gree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
ay
Tree Preservation Plan Received _ Yes _ No _ Not Required
=BY:
1999 BUILDING
35i(_0 o
New Construction Reauirements
4-- ai Sr2
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 L+
651-681 -4675
RemodeUReoair Reauirements
• 3 registered sile surveys ahowing aq. fL of /o!, aq. R ol Aouse ? 2 copies ot plan
and a!1 roofed areas (20% maxlmum lot eoveraae allowetl) ? 1 set of energy calcula6ons for heated additlons
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additlons 8 decks
? 1 set of energy calculations
? 3 copies of Vee preservation plan it lot platted aRer 711193
DATE: 7` /O CONSTRUCTION COST: Ll 76-7 S- 4-6
DESCRIPTION OF WORK: 1CQM0C-e
STREET ADDRESS: ?a ?0 ? J a 5?l?- ?Or
I
LOT T8 BLOCK
d 3
?/ ???
?
? # Z
: •
: SUB [K
D.IP.I.D. #:
LL
? -
Name: Phone #:
PROPERTY Fmt
OWNER
Sheet Address:
City
Comp
CON'CI2AC1'OR
Streer
City
ARCHITECT/
ENGINEER Compa
Name:,
Sa-eet t
C'n _
S[ate: Zip:
Phone #:
licenso tl Qw 399 % Exp.
i
tat _ Zip:
_ Phone #:
_ Registration li:
State:
Sewer & water licensed plumber (reauired for new eonstructlon onlv):
Penafty applies when address Change and lot change is requested once permit is issued.
Zip:
I hereby acknowledge that I have read this application, state that the information is c ct, and agree to com ly with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
_?
Signature of Applicant': . ? - V,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
1200 E.79th Street
I? ?? ., I 2 IS??? , I
_?
ILI?.._------- -? ?
LQ VJ 0/ PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
nete/';;VD3
Site Address ?C2 A'?-'Unit #
Property Owner G Telephone #( 9 )i'o.??'-
)
2
Contractor
/
Cit
Add
y
ress
State h', Telephone#
The Applicant is _ Owner ? Contractor _ Other
Septic Sys[em New Refurbished Submit 2 sets of plans and MPC iicense $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, lncluding $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water soflener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
4-1 Wa[er soF[ener _ Water heater $ 15.00
? replacement _ additional
$ 50
State Surcharge
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the mTOrmanon is compiece ana accuraie; mac me wurn wni
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is noi 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 wnh Uic
approved plan in the case of work which requires a review and approval of plans. n
S,i?ure
Apphcant's 'Printed Na&e Appricant's (/
~ 0 v
D 1 r
r~
~ Permit ,j
City of Ea a~
V I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: y
-
2008 RESIDENTIAL BUILDING PERM T APPLICATION
Date: Site Address: 7 ,
Tenant Suite
41 U
RESIDENT/OWNER Name: Phone: kJJ-/ P9'
Address / City / Zip: & . yYl I`7 •/a 10"I
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 9 1A
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License 17 7 X
Address:
City: 11tz State:hl~ Zip: g!;
Phone:(Qr41 f -~O zl-g2 6 Contact Person:
61
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 may be classified as non-public if you provide specific' reasons that would permit the City to
conclude that the are trade secrets.
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 of to start without permit; that the work will be in
accordance with the appX/M lan in the case of work which requires a review and approv pla s.
x JU_vL,, x
Ap plicant's Prin a Name Lpplic s igna e
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085450
Eagan, MN 55122 . Date Issued: 08/20/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4266 Jasper Dr
Lot: 12 Block: 3 Addition: Cedar Grove 2nd
PID 10-16701-120-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
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:
Home Depot At Home Services Mark J Spurbeck
656 Mendelssohn Ave. N 4266 Jasper Dr
Golden Valley MN 55427 Eagan MN 55122
(763) 542-8826
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
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
Permit
inn
City of Ea a
Permit Fee:
3830 Pilot Knob Road I (Z
Eagan MN 55122 I Date Received:
Phone: (651)675-5675,
Fax: (651) 675-5694 I Staff: j
2012 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: ` I I;L Fee: $60.00
nn ~ City Sewer City Water Repair Disconnect
Description Of Work: I~--pAj„ UP Z AN 66[.T1DN OFPtPPC
Street Address for Proposed Work ~ZP~u ~/g5(12 ~2
Name: Phone: OD i-35y`y6g6
OWNER Address/ City/ Zip: JASAM- k rGQWIN 551D
Applicant is: Owner Contractor
Licensed Pipelayer Master Plumber Property Owner
Name: ~J1~~19N ICJ - I LQ ~J5Ti2T.GSC Phone:
Address/ City /Zip: OP7q PP Jai 5 % P&L 551114
Pipelayer Training Certification Card or Master Plumber License 0G1i X, p"
i
I acknowledge that the information is complete and accurate and 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.
U~=y CIAQTST
Applicant (Print Name) Appli nt's Signature
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113191
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 4266 Jasper Dr
Lot:12 Block: 3 Addition: Cedar Grove 2nd
PID:10-16701-03-120
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 .
Elizabeth Hess
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 -
Mark J Spurbeck
4266 Jasper Dr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132619
Date Issued:08/25/2015
Permit Category:ePermit
Site Address: 4266 Jasper Dr
Lot:12 Block: 3 Addition: Cedar Grove 2nd
PID:10-16701-03-120
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.
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 -
Mark J Spurbeck
4266 Jasper Dr
Eagan MN 55122
(651) 683-0683
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature