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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