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4293 Jasper DrPERMIT # MECHANICAL PERMIT RECEIPT # : CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ONTRACT PRICE ,? PHONE: 454-8100 m Name _ ? Address c Ciry _ ? Name _ 3 Address O CnY - TYPE OF WORK Forced Air 7J M BTU Boiler M BTU Unit Heater M BTU Air Cond. ;'-`% M BTU Vent CFM Gas Piping Qutlets # a FEE: _ ?. - S/C: _ TaTAL: _ >- , BLDG. TYPE WORK DESCRIPTION Res. ?New Mult Add-on Comm. Repalr ; Other FEES RES. NVAC 0-100 M BTU -$24.00 nnnrrinK ini cn tie oTi i s? --•--••---••- -. GAS OUTLETS (MINIMUM - 1 PER PERFAI7) - COMM/IND FEE - i% OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 1.50 EA. - 12.00 - 20.00 - .50 E MIT,?EE ? SIGKATURE Xzzwwel FOR: CITY OF EAGAN ? r+i??+ -71:?ilf5 lY' e-, ?/Y l?? 1&? X_Aj INSPECTIaN RECURD CITY OF EAGAN PERMIT TYPE: ?10 11 c} z Nr; 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?• . ? .i .,;. i t ?'?i i•' . i i ? 1 4' f }I { t i 7 "'? ' ?+ t} '? PERMIT SUBTYPE: 11 1 t 1 14 1 ; TYPE OF INORK: r t"aYR SjilttF 1 NF'*) Permit No. Permft Holder Date Telephone N ELECTRIC PLUMBlNG HVAC Inspecilon Date Inep. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPIACE AiR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG dECK FINAL CITY OF EAGAN Remarks Cedar Grove AC4l11Sj.t,10ri _ Addition Cedar Grove #2 Lot 12 Bik ,5 Parcel 10 16781 120 OK Owneri?l? - • L ` ? ?'"?-?-T Street 4293 Jasper Dr. State Eagan,MN 55122 Cx/1 1.1 G.Qi Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?8lJ. 1985 1266-99 84-46 15 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER IATERAL ? 2 1 ? 2 ? 6 2 P d WATERMAIN # WATER LATERAL 1972 WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. gU1LOING PER. SAC PARK . ' EAGAN TOWNSHIP BUILDING PERMIT ............................. Owner ...!.... ...°-----..._.. ---.`.:Q'.`.-,? Address (pseeent) .... ................ Buildez ......_. ........................................................ ...---------' Addreas N° 2221 Eagan Towaship Town Hall S-S-....7p aeie ... ... ........................... Sioriea To Be Used Fos Fron1 Depih Heighi Esi. Cos! Pesmi! Fee Aemar4s ?? .l a?i??? " ' I LOCATION Sireei, Roaa os o2ner Deseripxloa oi Loeatton I Lo2 Slock Addifion or Traat Thia permiY does not authorue the use of sfxeels, roads. alleys or sidewalka aor daes it give the ownar oe Lia egen! the righ! !o creaSe any siluafion whieh is a nuisance os whieh presenfs a hazard !o the healih, safefy, coavenience and general welfare !o aapone in !he communitp. THIS YERMIT MUST SE KEP ON THE P?EMISE WHILE THE WORK IS SN PROGAESS. _ This is to earlifp, lha1--,.?'..... ....._... ....................... hes permisaion !o ereoY a.4;?.- --°°--° - ,E.-.4.°??......_upoa the above described premisa subje !o the provisioas of the Building Ordinanee for Ea an T wnship adopled April 11. 1953. ..................(.? t?s.?........./??t.x..../..?P<:?......................... Per ...................._-?.?........ v Chaifman of Tnwn16Board ? Buildin Ioa ecioz EAGAN TOWNSHIP ? BUILDI G PERMIT N° 2484 Ownec „?,l??ti.........? .. .. P_. . ? , Eagen Towxship Address (P=esen!) ..... - _ .'. ...?./....'.??G/"? Town Hall 91 ....?.....!? Builder ... .. . - ........... .......'??? .^?..??..? YL Addrese ................................'--•................-......................................... / DESCRIPTION $loriae To Be Uced For Fson! Dapfh HeighS Eal. Cos! Permi! Fee Remaske IO L o3 os LOCATIOIi This pesmit dodi ao! 'aulherfsa the uea e3 alreele, roade, ellept or sidewalka nox does 1s glvs the owner or hls egtn! the riqh! !o creale aay a!luasiaa whieh ia a nulsanee os w6ich praseate a hesard !o the health, safelp, eenvanteacs and genaral welfere !o aayoae in the oommux!!p. _ TIiI$ PERMIT MUST BE EP ON THE P EMIS ILE THE WORK IS IN PRO ESS. . Thls ia !o eerrify. thal...Y.4.?.:1....:'l.?.. :-:chas Permieslon !o erect a..?y? .. the above deearibad pramie eubjee! !o the pso sions of the Su nanc9'. !or Ea$ ?y P en T ne ado !ad April 11 18b?? ` , -?l......d• ••e!.?Z .... ...........• ..... .1r?41 ....... . ... ... .. ............................... Per .................... ..... . C atrman of Tnwn Soerd Huilding D . ... Ins ector EAGAN TOWNSHIP .--BUILDING P.ERMIT Address (Presen!) Q._ .? ............. --', - BuildeT .'__..."_"""..._..j--.._--.._'..."'_"_"""_'...__'.... Address ---------------------------- ....... .------------ --------- DESCRIPTION N° 626 $agan Township Town Hall 5fories To Be Used For Fronf DepSh Heigh! Esi. Cos! Permii Fee Remazks This permii does noi aufhoxize the use of sixeels, roads, alleys or sidewalks nor does ii give the owner or his ageni the righf 2o create any situation which is a nuisance or which presenis a hasasd !o the healih; safefy. convenience and general welfa:e to anyone in the communify. THIS PERMIT MUST VEPT N T RE ISE ILE THE WORK IS IN PROGAESg . ----_...... This is fo cezfify, f . ;,?f? .. . [!?___?Jhas permission fo exec! a? w?u .--Z7 ------ __..... , upon the above desaribed premise suhjeci So the pxovisions of the Building i?ce fo own ' adopied April 11. 1955. ._._._ . . . .__----------------- .__._ ........ Per _... _ __ . ._.. _ ?? . ......,_. _. .. .... Chairman of Town Board i ing Inspector ?/?5//REQUEST FOR ELECTRICAL INSPECTION ? See inetruNns tor completing ihis form on 7ack ol yelbw copy. P 2 4 2 2 5 `X" Below Work Covered by This Request EB-00001-01 ^ y,3a L/ -1- ew Add Rep Type of Building AppliancesWired EqwpmeMWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Other (Speaty) Comm./Industrial Furnace Farm }( Air Conditioner Olher (specily) Conireclor5 RemarksCompute Inspecfion Fee 6efow: Job 20868 # Other Fee # ServiceEniranceSize Fee # Cimuils/Feedere Fee Swimming Pool 0 to 200 Amps 2 0 to 100 Amps .00 hansformers Above 200 _ Amps A6ov 0_ Amps Signs Inspectorg Use OnN: ? ? TOTAL Irrigation Booms l J?Q(? 1 S. 50 Special InspeCtion Alarm/Communication Other Fee I, the Electrical Inspector, hereby certifythattheaboveinspectionhas been made. AouBn-in Fnal Date o ? OFFICE USE ONLY This request void 18 monttls from 7/aVl8? 90-7?z-?r-- 1112 - ` ?,,lL _ 1?7?fs°,' ? 24225 "" Raquest Date Rre No. Rough-in Inapectlon Required? ? Reatly Now GXWIII Nohfy Inspeclor 7/18/89 ? Yes Na When Peatly'+ IEK licensed contractor ? owner hereby request inspection of above electrical work at: ,bb AtlOress (Street, Box ar Rou[e No.) Gry D E n SecOOn N. Townahip Neme or No Range No County } Dakota Oecupanl (PRINn Phone Na. Glen Lau hlin 454-1519 Power Supplier AEdress Electncal ConVactor (Company Name) Coniractor§ Liceree No. Hi ' 040445 Mailing Atltlress (CoMapor or Owner Makirg ImtalWlion) Autiwriz?O.,"Wre ` oMraci r M ig In a1laM1On) ? Phone Number 452-8886 MINIEE?d?A S?A?'?d'Klip?'(?EYLECTfi1CRV ? THI$ INSPECTION REOUEST WILL NOT Grlgga#iWwey Bltlg. - Room S173 BE ACCEPTEO BYTHE STATE BOARD iB21 Universlly Ave., St. paul, MN 5510C UNLESS PROPER INSPECTION FEE IS Mrone (612) 842-090U ENCLOSED. "MoliIii"" REQUEST FOR ELECTRICAL INSPECTION 'e`9'4 EB-00001-08 S nsVUdions for completing this lorm on back of yellow copy ? W 60135 '/ ? ? w/f?IP' Below Work Covered by This Request ??? ew Add Rep TypeofBuiltling AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Elechic Heatmg Apt. Buildmg Dryer Other.(Specity) ? Comm./Indushial Fumace Farm Air Conddioner Olher Isyecity) Coniractor5 FemaM1S (?M I'l ?Q tFJ 70 10?j Gt12Cy,i r Compute Inspecnon Fee Below: S?f?, CMp,&( Hzf AEri SOeic{r) # Other Fee # ServiceEnlranceS¢e Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 20D _ Amps Above 700 _ Amps Signs Inspector's Use Only I T2TAL Irrigation Booms ? /i,TO Special Inspection y Aiarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT 01her Fee f,VD COMPLETED WITHIN 18 MONTHS. I, ihe Electncal Inspector, hereby certily that the above inspection has 6een made Roupi F,,,ai oere oata OFFICE USE JNLY This request voitl 18 monfis Irom K 0135 ? c ?V Request Date Fire No. ?t Rvugh-in Inspeciwn Reqwretl'+ ` ?- ? Ready Now ?N'ill NoOty Inspeciw ? Wh R tl > YeS o en y ea i I 'censed contractor O owner hereby request inspection of above elecirical work at: .bb AOtlress (Sireet Bax or Raute No , ?)Lq3 3AsP6k OR?u? cM EAG,4A) SecLOn No Township Name w No Range No County ^?„ OI'I?-lJ 1.? OccupanntlPRINTI G O` V l.?.i) ?l ?E1A?-Aj Phon No. PowerSupplier Atltlress 3DO4 MA(',?FU_ , ' ' N?wPbK? Jftu s,sb35 EIecV¢al/ConQlracto?r7(,C?o'm6pany ?N'a/met)! TM ! Conrcac/tor?5 License No ( c/T??/V Mening AEpress ICOniractor o? Owner Making Ins?allai Y.33 R?o?,£, w?o t?4cc, ?.4Gf?,? r?N ? l}7? Aulnonze0 nat ?Co ra or/ r ng InstalWUOnI Pnone NumOer ys".z 3p3 MINNESOTA STATE BO fl0 OF ELECTiiICITY THIS INSPECTION REQUEST WILL N044Y) ,Fp Grlgga-MlOway BIEg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 5S 1831 Universily Ave., 51. Paul. MN SSIOd UNLESS PROPER INSPECTION FEE IS Phone (812) 6624,800 ENCLOSED ?Q q?cs (oaso-?- 2005 RESIDENTIAL BUILDING PERMI'f APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 # qq.zs New ConsWClion Reouirements RemodebReoair Reauiremenb Office Use Onlv 3 iegstered site surveys showing sq. ft. of lot, sq. fl. of house; and all mofed areas 2 cop'es of plan CeR o( Survey Recd _ Y_ N (20°k manimum lot caverage allaxed) 1 sel of Energy Calwlalions for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showiig beam 8 window s¢es; poured found design, etc. 1 sile survey for addrtans & decks Tree Pres Required . - Y_ N lsetofEnergyCalculations AddMion-indiceteffon-snesepficsysfem On-sileSeptlcSystem _ Y _N 3 wpies of Tree Preservation Plan i( lol plafled after 711193 Rim Joist Defail Options seledion sheet (buildings wilh 3 or less units) Date Construction Cost ?I I ? ^ Site Address ilnitlSte # Description of Work / Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 I Property Owner V\ ! v cf Q Telephone # ?s Contractor Address ?CO City State Zip Telephone # ( ?S 4 COMPLETE,3HIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Cetegory 1 Worksheet • New Energy Code WoAcsheel (Jsubmissionlype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge 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 the State of MN Statutes; I understand this is not a perrnit, 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. ? V'v Applicant's Printed Name r- ApplicanYs Signature ; ? CITY?OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDIN6 031091 11/07f97 SITE ADDRESS: 4293 JASPER DR L07: 12 BLOCK: 5 CEDAR GROVE #2 P.I.N.: 10-16701-120-05 DESCRIPTION: :?"?+?-• (ROOFINl3) Building ,P,ermit Type 9railding We'?rk, Type SF (MISC.) REPAIR 434 ALT. RESIDENTIAL s".» REMARKS: FEE SUMMARY: Base Fee 3urcharge Total Fee VAIUATION $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - ppplicant - sT. Lzc OWNER: UEVEI EDGE CONST INC 14454909 0006863 LAUGHLIN GLEN 9190 W 123-1J2 ST 4293 JASPER DR SAVAGE MN 55378 EAGAN MN ('612) 445-9909 (612)454-1519 ? . -. e • - .t t#le I heac.eisy aaknawledge ttv-at,-1 halve=read Girn;an,d, sG'ate-YCh.a 3nformation is correct and agree to comply with ell epplicable State af Mn. ? Statutes snd Gity° ofE&geruo=Ordinoone-es. APPLICANTIPERMITEE SIGNATURE ou R.or 1ry? - IsSti€ ?: s??' ? 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) MAS CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4fi75 New Canstructian Reauiiements Remodel/Reoair Reauirements ? 3 registered sRe surveys 4 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) • 7 energy calculatians ? 3 copies of tree preservation plan if lot platted after 711l93 required: _ Yes _ No DATE: I I'-7 CC DESCRIPTION OF WORK: STREET ADDRESS: "T 293 LOT _LL_ BLOCK , Q • 2 wpies of plan ? 2 ske surveys (eMenor additions 8 decks) ? t energy plculations for heated atltlihons COST: SUBD./P.I.D. #: I??? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: StreetAddress: City: Company: Street Address: #: s 1^4 • Zip: Phone#: License #: W3 City: 5tate: Zip: 5Z$ Company: Phone #: Registration Street Address: City: State: Sewer & water licer.`ed plumber (new construction only): and lot change are , equested once permit is issued. Zip: Penalty applies when address chance I hereby acknowledge that I have read this application and state that the information is corr .ct and agr to c ith all applicabi=_ State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received Yes No State: 1 Vil\,-- Tree Preservation Plan Received - Yes - No - Not Required ? ? ? ? i ?--- i I I i ? T/Q ? ? ? I ?I ? v I ? ? I ? ? i ? I ? - ? Zy?< ---)0 ?311 . ? ,I ' ? -- - - I3a.c K Fr v p1 -i, 75 ' - ---- ?5 / ? 'i i i I i I I t ? I ? I ? I U ? ICo 4, ? ? 1 i i i i -?1y?--- ? ? i I ,??.2=....-„_ o?-?-?'e`v' I ? I ?? ? 3 n ? 1 . MASTER CARD r1 `J LOCATION JASA,* Q - 41I ./ ?- Permit No. Issued Issued To Coniractor Owner BUILDING 70 4:S ed? PLUMBING CESSPOOL - SEPTIC TANK VJELL ---- - ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I C? • Items Approved (Initisl) Date Remarks Distance From Well FOOTING FOUNDATION FRAMING ?? ?D•? SEPTIC CESSPOOL TILE FIELD FT. FINAL ELECTRICAI H HEATING DEPT OF WELI GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER t-I ' Violations Noted on Back COMMENTS: v' W v _ x,, ForOffice Use f fit) Permit #:~C~ City of Ear :mot Permit Fee: 3830 Pilot Knob Road - I Eagan MN 55122 Date Received: , I Phone: (651) 675-5675 C I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - Site Address: Tenant: Suite RESIDENT/OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: ~i aAaF hi L Construction Cost: Multi-Family Building: (Yes /NO- CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: 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 (1 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 they 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 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. is x Applicant' r ted Nam Applicant's gnature Page 1 of 3 DO 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 Alteratio Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION !J-490 Valuation Occupancy MCES System Plan Review V1.0- 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 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC -~f 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 Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge f/ul' 9 ?v~~ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4293 Jasper Dr Lot: 12 Block: 5 Addition: Cedar Grove 2nd PID:10- 16701 - 120 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Lighthouse Custom Homes 14800 Galaxie Ave Suite 102 Apple Valley MN 55124 (9523 985 -0585 PERMIT City of Eaan Permit closed without required inspection(s). Letter sent to applicant on 4/3/2009. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Glenn Laughlin Jr 4293 Jasper Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA084086 07/08/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Ja,n, 12.2016 9:56AM City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone; (651) 675-5675 Fax: (651) 675-5694 Date: )IZ1(o JAN 1 2 2016 No. 1247 P. o1 ACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 293 `L5pt:ir Unit #: r • Resident/ Owner.� Name: S ltz- s. i..., Phone: ((si') ' 5-'-I ^ IC(' ,,,.)sr Address / City / Zip: (42°13 a:14,i 1f A y• o.a� 5 17 Z - Applicant is: Owner, Contractor Type of Work • moo, �/ Description of work: ..' . � i- ..s ... , .4...s.1-‘1 I aut. kwtII iw,ss - p ' Ir. o.,..) 4y5. rv, cJ Construction Cost: S© 0 Multi -Family Building: (Yes I No - ) Contractor Company: �^nJJµ1'+-'Z ,SL1.4y--1" SIS 14.10.%Contact: Address: 110 O 4.1114,41A,, D. 13 L City: Pe, *At- CAI . I State: zip: S S6 (3 Phone:�z t -31� Email: ' 6 1•c License #: 1Bt1?i4 1 $S Lead Certificate #: Nos'f — F I-mai-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)' In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? 1 yes, date and address of master plan: _Yes ..No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE ,Plans and.suppotting4ocuirpents_t+had ypu ubi p1 ,are, considered to be publ p Information:' Portions,pf `'the Information may tie •classlfie► a„s ,p p-publlc Ifyou vi prode specific rea sons.that would' permit; the City to ; cont Jude that ytilts'"aide ffrade•sieciits:. • 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.gooherstateonecall.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. Applicant's P n d Name Applican Signature Page 1 of 3 cP 1 Jan. 12. 2016 9:56AM I DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of_ Plex WORK TYPES New Addition 4...Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Porch (3 -Season) • Porch (4 -Season) _ Porch (ScreenlGazebo/Pergola) _ Pool Interior Improvement _ Move Building Fire Repair Repair (25%_ 100% \I ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final is Framing Fireplace: Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls • Reviewed By: _ Siding Reroof Windows No. 1247 P. 2 _ 1-3/7 co Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building` Demolish interior Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy MCES System Code Edition t SAC Units Zoning City Water Stories Booster Pump Square Feet PRV .--.-._.,._.._�.__..,... Length Fire Sprinklers Width Air Test Final Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: ,Footings _Air/Gas Tests _Final Drain Tile -Y` Pfrt i `t /O fi% l l , Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall; _ Footings Backfill _ Final Radon Control Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL l( Page2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148146 Date Issued:03/08/2018 Permit Category:ePermit Site Address: 4293 Jasper Dr Lot:12 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Glenn Laughlin Jr 4293 Jasper Dr Eagan MN 55122 (651) 245-6172 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153374 Date Issued:12/14/2018 Permit Category:ePermit Site Address: 4293 Jasper Dr Lot:12 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Polly L Laughlin 4293 Jasper Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155577 Date Issued:05/22/2019 Permit Category:ePermit Site Address: 4293 Jasper Dr Lot:12 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-120 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Polly L Laughlin 4293 Jasper Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature