4282 Jasper Dr
y Use BLUE or BLACK Ink
y-----------------,
y For Office Uses y
Permit
I rC~ tL/
City of t~~~ 1 y Permit Fee: i
{
3830 Pilot Knob Road I I
1
Eagan MN 55122 Date Received: 1
y I
Phone: (651) 675-6675' y l
Fax: (651) 675-5694 1 staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Ja - 3 U - ) V Site Address: $ a S P-e r YJ r ' v -
Tenant: Suite
RESIDENT I OWNER Name: t' h e e C Phone: (y S) - 13 - a r 3 9
Address /City 1 Zip: a S0. S r -S / a ';1-
CONTRACTOR Name: e s J a VN P j b; n,3,'-e. -r~ ; Les 'rye License O 5 `i 5 1 S
Address: 2 U - a0 ~ a a I a City: Q ~Q,,
State: M Aj_ Zip: S s > a a Phone: S I _ G $1 $ s
Contact: r%,l Wq- Email: 0 r 1 r, -car
TYPE OF WORK _ New _ Replacement ..Repair _ Rebuild , Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ / : PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
_ Abandonment e i fit . P P'-
RESIDENTIAL FEES:
$55.00 nimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ S 5 '
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 0--)i K S G'~ 1 ttz x I'Y1
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
BUILDING PERMIT
12301
Receipt #
To be used tor 3-SEASON POREst value $6,500 Date JULY 17 ,1986
Site Address 4282 JASPER DFt Erect Is Occupancy R3
Lot1Q Block 3 Sec/5ub. CFIIAR G aauF= ?NIgemodel O Zoning Idl
Parcel No Repair ? Type ol Const y--
. Addition ? No. Stories
W N a m e .70;tiIV T. BAt7EK Move ? Length 20
1
Z
SA14E Demolish ? Depth
2
Address I
t I ? Ft 7 A n
S
o 454-3561 mpr.
n q.
ciry Pnone Install ?
IZ
ot
U4
¢
?
CITY OF EAGAN (?1
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ;?2
PHONE: 454-8100
? W Name
? ? Address
i Wz
City Phone
I hereby acknowledge that I have read this appiication and state that the
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A euilding Permit is issued to: ? JOHN T BAUF..R
all work shall be done in accordance with all applicable State? o# Minnesc
Building Official - -;4. ,
Name SAME
Assessment
Water 8 Sew.
Police
Fire
Planner
Council
Bldg. O
APC
Var. Date
Permit aaz • Du
Surcharge 3.50
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Parks
Copie
Ti.f-l •
on the express candition that
an Ordinances.
PnmH No. Pwmit Holdsr Dab TNephwro M
Plumbiny
H.V.A.C.
EIeChiC ?-' C?
SoftMer
Inspectlon Date insp. Commenls
FooUnysl
Foodnqs II
Foundsdon
Fnminq
Rooflng
Nouph Plbp.
Rouph HtQ.
Insul.
Firoplace
FInM Hty.
Final PlUy.
Bldp. Find ?;, ? ?_!? , ,? • ; r? tJZ ? /e ?7 G ?-f .
CNt. Occ.
Deck Ftq.
Oock Fmp.
Wdl assodc. Locatbn:
Pr. Disp.
CITY OF EAGAN
8795 Pilot Knob Road Eegen, MN 55122 N2 4 816
PHONEs 454-8100
BUILDING PERMIT $S
p??10 Receipi # ?0081
,
,
To be used for S{?{ne nn NnnceEsf. Value Date 24, , 19 7R
Site Address 42$2 Jaspex Ui, Erect ? Occupancy T
Lot BIocK Sec/Sub. Alter p Zoning it 1
Parcel # Repair ??- Fire Zone 3
Enlorge p Type of Const. v
a Name Je'in B 8uf r Move ? # Stories
Z
9 Address u2g2 Jaspet Ur. Demolish ? Front ft.
i-...- V o" ..n n ?___ 4S4_"1Sf.1 Grade I-l DeDth ft.
A Nome ?? ?aft- T-r
ou AddreSt ' 1 r
u ''FfiS !'G -:;U?'3
1- t^a., ati,,.,e
Name
I hereby ocknowledge thot I hove reod this application and state that
the information is correct ond ogree to comply with oll applicable
SMte o4 Minnesota Stotute;-and Ciry of Eogon Ordinances.
F /
Siynoture of Permittee `'? • : :'?-:-r. , L ? ? --' , ? Y t?'?/
?Panelcraft Inc
Assessment _
Woter & Sew.
Pol ice
Fire
Eng.
Planner
Counti I
Bldg. Off. _
APC
Permit ' n
Surchorge
Plun theck
SAC
Water Conn.
Wnter Meter
Total 7 n _ S(1
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with oll oppliwble Stote of Minnesofa Stututes and City of Eogan Ordinances.
Building Official ' ?
PwsR # OaN Ifwwd hewMtM
Plumbing
Mechanicol
INSPECTIONS DATE INSP.
Raqh-M
Final
Footings Dote Ir+op. Dote ' Irop.
Foundation Plumbing
Frome/ ins. Mechanica I
Final
Remarks:
CITY OF EAGAN Remarks CedBx' Grove ACCxl,lisitiOri
Addition Cedar Grove #2 Loc 10 aik 3 Parce? 10 16701 100 03
Owner sveet 4282 Jasper Dr. state Ea.gan,MN 55122
cp-t ;
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 885 ],?$5 126b.95 $ . E l?S
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWEFI LATERAL (111 1972 1304.00 52,16 2
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. G ! I
.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUlLDIIVG PERNIIT
Addsess (Preseni)
Builder
Address
DESCRIPTION
N° 616
Eagan Township
Town Hall
Dafe ??/T ?-?-?---------..
Siories To Be Used For Froni Dep1h Heigh! EsY. Cos2 Permi! Fee Aemarks
/ - /LX.LG1uvl Y , A /?
This permiY does noi aulhorise the use of slreels, roads, alleps os sidewalks noz does it give the ownes os his agen!
the xigh2 !o creale any sifuaSioa which is a nuisance or which presenis a hazasd 20 the healih, safely, convenience and
genesal welfare Yo anyone in the communifp.
THIS PERMIT MUST B? KEPT , N TH . REMISE WHIL£ THE WORK IS IN PROG SS.
.?rY?'
This is !o ceriify, ---- has permission !o ereck a._ _..? .............................. upon
the ebove desaribed premise subjeci !o the provisions of the Building'?Ordina???-???!? hi adopled April 11,
1955. --
...'_._.. u-...ng'....... ............
___ .... .. ........----------- ?----,---------------- -----.....-----__-- .. Per
Chair............
i.! ??
man of Town Soard ecSor
EAGAN T01lVN S H I P
BUILDING PERMIT
DESCAIPTION
N° 851
Eagan Township
Town Hall
Date ... 0_L..42 .......................
SYOries To Be Used For Froni Depth Heigh! Esf. Cosi Permif Fee Remarks
I/ v LOCATION
SSree1. Road or oiher Descriplion of Localion Lo3 Block Additioa or Trac!
This pesmit does not aulhorise the use of sireefs, roads, alleys or sidewalks nox does it give the owner or his agen!
the righf !o creale anp si3uation which is a nuisance or which presenis a haaard io the healih, safeiy, convenience and
general welfase !o anyone in the eommuniip.
THIS PERMIT MUST BE KEP'r / BON THE PAEMI3E WHILE THE WORK IS IN PROGRESS.
..
This is So eexlifp, iha2..#'>._.aSh.l.4?c±erl........................ has permission !o ereci a.""""__" """""'__. -------------- upoa
!he above deseribed premise subjecf fo the provisions of the Buildiag Ordinance for E n Townslip adop3ed April 11,
1955. /
--"` •"••.-?a,,?,•J-----"" - -
Chaisman of Tnwn Boazd
.t?7 4, e
Per ------------------ -.. ? ?-u-- ..?.~-'.-- c!?!C.?
{ /3vilding Inspecior?
..:.
CITY of EAGAN
BUILDING PERMIT
Owna: Q(•?':. ?_...../....--........_..--°---..).-'-°?-
Address (presen!) ..... z0..? SJG.'?Sp?? ................. .... ............ !!?..?.
Huildar ...................... Jtl?42.J7f...P................. -.......................... ....
Addreu --' ...........................................................................................
N4 3870,
3795 PiloY Knob Road
Eagaa, Minnesofa 55122
454•6100
Dals ??rl..'..?..f..?.
6tories To Be Used Foz Fsonf Depih Haigh! Esl. Coa! esm Aemsskm
jee, r''Aqe'
or
ex ft?lp 1(
/d I --3 I ?'-/yode T?-
This permiY doea nof aufhoriza the use of sireeie, roads, alleys or sidewalks nos doea ft giva the owner os hk agan!
the sigh!!o eseate anp situafion whiah is a nuisance or which presents a hasard !o the healih, safety, eoaveaience aad
ganeral melfate !o anpone in the communiig.
THIS PERMIT MUST BE?/gEPT ON PREMISE WHILE THE WORK IS IN PROGAESB. /
1'his is !o certify. 2hal----Y.O. ?h.......?.£v.e.r-------..........has pe:mission !o erect a-/.1------- ..?.r?}! p
......... ..._..'u on
the above described premis b}'e,ai Yo the provisions of all applica rdinaaee for !he aa.
"'_...........? ............. ...... ..?.l7?l.. ...r.t7i..-.?..'-'......._.... Per ......... . •""""..........................
. ... . ..... . .... . . . ........
G Mayor Buildiag InspaciOs
' CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -N 12301
PHONE:454-8100
BUILDING PERMIT Receiptp d
7obeuaedtor 3-SEASON PORESt.value $6,500 oate JULY 17 ,1986
SiteAddress 4282 JASPER DR Erect 99 Occupancy R3
Lot1Q Block ; Sec/Sub. CF.DAR AROV F. 7NOemodel ? Zoning R],
Repair ? Type of Const.Vn -
Parcel No. Addition ? No. Stories
? Name JOHN T. BAUER tviove ? Length 20
i S?E Demolish ? Depth 1 2
o Address Int. Impr. ? Sq. FL?n
city Phone 454-3561 nstau ?
o I Name SAME
i 1-
0
s Address
a
? Ciry Phone
a
W
Name
F Address
i w City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee alL; _/nr
A euilding Permit is issued to: f JOHN lT BAUER
all work shall be done in accordance with all applicable
Minnesota
Assessment _
Water & Sew.
Police
Fire
Planner
Council
BIdg.Off. 7/16/86
APC
Feee
Permit $62.50
Surcharge 3.50
Plan Review
SAC ,
Water Conn.
Water Nleter "
Road'Unit
Tr. PI.
Var. Date Copies •
Total $6649
on the express condition,tat
Sta tes an iry pt Eagan Ordinances. ,
Building Official
cIn oF Er+caN
3795 iile! Kneb Reod Eegae, MN 55122 N2 4816
- PHONE: 454-8700
BUILDING PERMIT APPLICATION Receipt
000
5 # 10081
$
.
,
To ba uaed fer S idino 2 Honcp Esf. Value D01e May 240 19 78
Site Address 4282 JaSDer Di. Erect ? Occupancy T
Lot 10 Blx? Set/Sub. CC' 2 Alter ? Zoning Rl
Parcel # Repqir a( Fire Zone 3
Enlorge ? Type of Const. V
w Ny?e Johfl Bauer Move ? #'Srories
9 x Address 4282 Jasper Dr. pe,,,ol;sh ? Front tt.
ciry Eagan phone 454-3561 _ Gmde ? Depth ft.
p I Name ?e.leFa€ ?as
o' Addmsa
u? n... MP S oti,,,,. 1-6628
Nama _
Address
I hereby ackrrowledge that I have read this application and stare tFwt
the information is mrrect and agree to mmPly with all apPlicable
State of Minnewta StotKtSs-and Ciry of Eagan Ordinances.
Signature ot PermittAif' I ?n? &?O -
A Building Permit Is issued t; panelCTaft IIIC
cll work shall be done in rdance ith alI ppliwble State
Buildirg Official -- -*A,?2/_C.,
Assessment -
Wuter & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bidg. Off. -
APC
Fees
Permit -1$.-QQ
Surchurge
Plan check
SAC
Water Conn.
Water Meter
Tmal _?_n 5n
on the express mnditian that
Statutes ord City of Eogan Ordirwnces.
6 ',;;Z 0REQUEST fOR ELECTRICAL INSPECTION / es-ooooi.oa
' Sea insM1uctmns tor completvg this torm on beck af Yellow copy. ?/ `S '7 ? 2
?? nrpini - ?"X" Below Work Covered by This Request ?? ? ??
lI1ewAFddl Rep.1 Type ot Building I Applioncee w+raa . I Equipmenl W,red I
Lia,tlno F
Silo Unlo
Bulk Milk
her
M Fee ServiceEnhanceSiza d Fea Fexders/Subieeders N Fea Gircuits
0 to 200 qm s 0 to 30 qm s 0 to 30 Am
Above 200 qmpSl 31 to 100 Amps 31 tp 100 Am
Swimming Pool Above 100_Amps Above 100_P.mps
Transiormers Irrlgation Booms s Pdrual,'Other Fee
Signs Special Inspection 5'v0TOT FEE
Aemsrks
Rouen.in V?e?? ?. th-Ilf ct
f Inspector, herebV
f^" ^) certify that the above
Fnal mapection has bean
r ? mede.
Thisraqueelvoitll8montMtrom
/
-
This request vold ?5- d (, b S? U ?
18 monphs fmm
o 068304 L?.? 0 793? 0?-l T?t_„/
Renuest Oate Fire No. Rouph-in Insyect?on
/ ReqmreA7 WeatlY Now ? WiII NnUfv, InsPec-
- ? ?Yes ?NO tor When Ready
Ej Lrcensed Elec[rical Contractor I hareEy request mspection of above
A Ownar elactricel work instailad at:
SVeet Address.Aox or Route Ny- Crty
ecuon o. ownship Name or No. . Range No. Counry
r
Occu nt P W7) Phone No
.
/?/?
a ?
J /
3?
? r CiC (i?
7nwer 5 OVl,er ^
SJ.? Atldress
Electncal Contractor IComoany Namel Contrar,tor's License No.
Mailine Atldress IContractnr or?wner Ma kine Instail.tionl
V }1
) 1
Authori ed nam Contrac[or?Owner aking Installauonl Phone Number
34- 3M
MINN A STATE eOAND OF ELECTPICITY THIS INSPECTION 0.EQUEST WILL NOT
Grig idwny Bltlg. - Noom N•791 BE ACCEPTED eV THE STqTE BOAND
UNLESS PflOPEH INSPECTION FEE IS
1821 UnivarsityAve., St. Peul. MN 56104
ENCLOSEO.
Phone (612) 297-2111
/?r5
4381
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions for mmpleling Mis lorm on loack ol yellow copy
"X" Be/Qyy Work Covered by This Request
????}A EB-00001-08
?-
?.?;? ,
e Atld Rep 7ypeofBwldmg AppliancesWiretl EquipmeMWired
Home Range Temporary Service
Duplex Water Healer Eledric Heating
Apt. Building Dryer Other (Specity)
Comm./Industnal Furnace
Farm Air Conditioner
Olher (syxdy) ConVactor' Remarksn
Compufe Mspection Fee Below: ` ?U
?'?? U n
# Other Fee X ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 0_ Amps
Signs Inspector5 Use ony ? TOTAL ?
IrngahonBooms 1,?.UV (l"J' '?
Special Inspecuon
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electncal Inspector, hereby RougRin oaie
certiy that the above inspection has
heen made. Final
OFFICE USE 9Np
TM1is repuest voitl 18 monihs Imm
3 1 g?? ?
/0
Reque Date
? FirMo Fjoughin Inspeciron
Feqwretl+
'
eady Now ? Will Nollty Inapecta
WhenReady'
0
6 ?1
es _ o
censed contractor ? owner hereby request inspection of above electncal work at:
Job Ap01 t_ !? BOa or Route No 1 l? ?
i'?
?J oi Cyy-?
L 5..?
SeMion No Township Name o, N. Raige No. b
?
Occup t(P INT) Phone No
Power SuDD6er Aptlres4 .
Elec r al onVaclor 1 ompany Name Contractor5 Lrcsn9a No.
lv?ailing Ap tlr S (GOnVaMOr Owner Making Insiall
Au1M1 iie?Sig aWrel?actor?Owner?ln,IlaLOn) e O^ ^ ?
MINNESOTA STATE B A?pPELl?THIGITY THIS INSPEGTION FEOUEST WILL NOT
Grppn.Midway BICg. (n S1]3\ BE ACCEPTED BY THE STATE BOARO
1831 UnlvereM1y Ave., auT?uds?+00 UNLESS PROPER INSPECTION FEE IS
PMne (612) 642-0800 ENClO$ED
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConstrucHon ReaulremeMs
? 9 registered sRe surveys ahowing sq. lf, ot lol, sq. tt. of Aouse
and all rooled areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam 6 window sizes; poured Ind. deslgn; elc.)
? 1 set of energy calculaNons
? 3 coples o( hee preservaHon plan B loi platted aHer 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
?a .?A?
Remodel/Reoair Reautrements
2 coples of plan
1 set of energy colculaHons for heated addMlons
1 sMe rvrvey for exferior additions i decb
CONSTRUCTION COST: ?aod
LOT: I U gLOCK: 3 SUBD./P.I.D. #: CI C? U..ti G( U J--t" --"- a-
Name: ? ?/?F%'? ? ?? Phone #: 4??I-'`+6?7l
PROPERTY Last Fimt
OWNER ?Street Address:
city ????a,? state: IV57.t/ zip:
Company: C9?"iES 1?d6 Phone #:
- (area code)
CONTRACTOR
Street Addreu: License # a74S Exp. 3 d?
Ciy A6n^l State: zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: RegistraHon #:
City State: Zip:
Sewer & water Iicensed plumber (reauired for new construcNon onlvl:
Penalty applies when address change and lof ehange is requested once permR Is Issued.
I hereby acknowledge that I have read this appllcaNOn, state that fhe fMormation is conecl, and agree to comply wHh all applicabl
State of Minnesota Stafutes and CNy of Eagan Ordinances.
Slgnature of Applicant:
?
OFFICE USE ONLY =BY'
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes _ No _ Not Required
-
r
!
DaTE S-Z3-?8
8[TILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan
1b be used foz
?
site /?"`'1C
1 set
. ol
Valuation -?.5000
L_t Block See. Sub.
/ 0 3 G G =?-
Oamer ,??,yil( Ry4U-E?
AddYess llZ.B'L Ti9SF"E?P D??d??
?C r9-A/
Contractor pf/iVE_! G?
AddYess 't?,lS E• G?
Arch. /ESig.
Address
Parcel Number
Telephone ?15-AZ- 356, /
Telephone 7v/- Le,Zb'
Telephone
OFFICE USE
Erect
Alter
itepair _
Enlarqe
move
nemolish
Grade
OFFICE USE
Date of Approval & Eaitial
Assessment
olater/sewer
Police
Fire
Eng.
P1anPer
pouncil
Aldg. Off.
A.P.C. _
OcCnpancy _
Zoni.ng /?
Fize ?Ane .?
Type of Const.
$ of Stories
Front
Depth
FEES
PeYmit
Surahar9e a
rian Check __ m^ `
SAC
Flater Conti •
47ater Meter
TOTAL
/C 30
1986 BOILDING PERlILT APPL2CA?ION _
90TE: ALL CONTR9CfORS MQST BE LICENSED IIITH THE CITY OF EAG9N
SIAGLS F9FIILY DiiELISHGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MfJLTIPLE DiIELI.IDIGS - RESIDSNTIAL R6NTAL OrTITS FOR SALE DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C014MERCter_
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used F r: ?Se-Q San p., rc.h Val
c'F D e- C }(
Site Addres yaSC:1 -?-n soe.r nr_ .
11?
: 0 0 Date: 7- /5-?'(0
Lot 1Q Bloc,--- yq! r?
Parcel/Sub
Owner -Ij? (y11T ?a u er
Address y-j ga Ta;:j APr p Y-,
City/Zip Code
Phone y5 q - 3 h lc /
Contraetor yT„ {, 14 c,, u'P r
Address SQ,m o_ a 5 a h ode-
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone U
Ereet ? Oecupaney 9 3
-
Remodel Zoning ?
Repair ? _ Type of Const --7-A1
Addition # of Stories
_
Move Length zo_
Demolish Depth
Int.Impr. Sq Ft i?07
Install
APPH09ALS FEES
Assessments Permit k? ' S A
Water/Sewer Surcharge 3 C-
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg OffJ /b Treatment P1
APC Parks
Variance Copies
TOTAI, o .??i"Z)
NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATfi iiHICfl ADDRESS
IS DESIRED. HO CHANGES SiILL HE ALLOWED ONCE BUILDZNG PERMIT IS ISSOED.
MASTER CARD
IOCATION -1
Z
OWNER
STRUCTURE AND
LAND USED AS
Permit
BUILDING
PL11M81NG
No.
Issued Issued To
Contractor Owner
CESSPOOL - SEPTIC TANK
V?ELL
ELECTRIGAL
HEATING
GAS INSTALLING
$ANITARY SEWER
OTHER
OTHER
Ifems Approved
(Initial)
Dafe
Remarks
Distance From Well
FOOTING $EPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELI
$ANITARY $EWER
Violations Noted
on Back
COMMENTS:
If /s-so
S1? ?Z PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are requ'ued for each unit
wig-tcAr, Jervrvirien
p
Date 03 4282 JASPER DRIVE
EAGAN, MN 55122
Sit¢ Addr¢ss (651) 686-4952 URIt #
Property Owner h bWe- Telephone # ( )
NORBLOM PLUMBING CO
.
Contractor
(612) 827-4033
Address City
State MINNFAPni !S, MN .S54O8ip Telephone# ( )
The Applicant is _ Owner ? Contractor _ Other
Septic System New Refurbished 5ubmit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ reb '
$
30.00
_ Lawn irrigation system
JAN 5 ?nnq
ULI
_ Water softener ? Water heater
B
? $ 15.00
_ replacement _ additlonal y
-
$ .50
State Surcharge
Tota? g 15. 55-0
I hereby apply for a Residential Plumbing Perrnit and aclmowledge 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 with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a pernvt, and work is not to start without a permit; that the work will be in accordance wrth the
approved plan in the case of work which requires a review and approval of plans.
?
?, lA NG-?-ocVA
ApplicanYs Printed Name anP ign e
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA088205
Eagan, MN 55122 . Date Issued: 02/17/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4282 Jasper Dr
Lot: 10 Block: 3 Addition: Cedar Grove 2nd
PID 10-16701-100-03
Use
Description:
Sub Type: e- Siding & Windows/Doors Construction Type:
Work Type: Siding & Windows/doors
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Fee Summary: BL - Base Fee $6K $132.75 0801.4085
Surcharge - Based on Valuation $6K $3.00 9001.2195
Valuation: 6,000.00
Total: $135.75
Contractor: -Applicant - Owner:
Lighthouse Custom Homes Sammy R Mckay
14800 Galaxie Ave 4282 Jasper Dr
Suite 102 St Paul MN 55122
Apple Valley MN 55124
952 985-0585
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
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA090965
Eagan, MN 55122 . Date Issued: 09/01/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4282 Jasper Dr
Lot: 10 Block: 3 Addition: Cedar Grove 2nd
PID 10-16701-100-03
Use
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Ashley Orman
130 Plymouth Ave N
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Standard Heating & Air Conditioning Sammy R Mckay
130 Plymouth Ave. N 4282 Jasper Dr
Minneapolis MN 55411 St Paul MN 55122
(612) 824-2656
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Date:
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received: 1 a / -V
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Tenant:
! 3 Site Address: Y• v P$'\ if f
Suite #:
Resident/Owner
Contractor
Type of Work
Name: /72-0/6 C! (, 5Cti6CA0
Address / City / Zip:
Phone:
Name: 'C0-'/ttA6
e cense #: P/ ` 0 3?/
Address:/ j6)%
State: Zip: 6
Contact: 6l ,7L—
City: &t,42--
Phone: f& -Q' 7F- 39 4' ��,,,f4, _
Email: c.7 rt,Kgelitt G4 ILtI1t JYv� 67 (60
New X Replacement Repair
Description of work: fie -v%, 16
Permit Type
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Rebuild
Modify Space _ Work in R.O.W.
ecov t/ct t wP 7 s 14,t
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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 Grct + Q (yct
Applicant's Printed Narrfe
x
Applicant's Signat
FOR OFFICE USE Reviewed By:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Date:
1.41
C!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use/e (�
Permit #: r0 -/ 9 7
Permit Fee: 10'
�ii�
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: / i ro/c(f'c' cvraiikp
Address / City / Zip: L TASP 12
Applicant is: Owner Contractor
Description of work:
Construction Cost:
Resident/
Owner
Type of Work
Contractor
Qg7-fr%ga9r) lQ n7c?CL
Phone:
Multi -Family Building: (Yes / No
Company: r JZLn7I6-S CON$TX CCTV Contact: Tr?7 IAM -C/167
l
Address: ??-2N - �L l 5 i City: fi EL` t PL A'1-#16
State: ni,v5
Zip: boll Phone: /5;2'13,7 229/
License #: &CC 33 / 977 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
&IL: /,;)`6 / 3 15 I)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.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
days of permit issuance.
x OrK1 CArrt6 $ x
Applicant's Printed Name
Applicant's Signatur
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
DO NOT WRITE BELOW THIS LINE
2-tD:&D
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
4- Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
3�
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In
,- Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
'og95 7
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
-f
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
_Air Test Final Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
—�' Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
88
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113466
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 4282 Jasper Dr
Lot:10 Block: 3 Addition: Cedar Grove 2nd
PID:10-16701-03-100
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 .
Carol Foss
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 -
Michelle M Scullard
4282 Jasper Dr
Eagan MN 55122
(651) 493-2128
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature