4304 Jasper DrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128888
Date Issued:12/12/2014
Permit Category:ePermit
Site Address: 4304 Jasper Dr
Lot:15 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Jeremiah J Leiviska
4304 Jasper Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
sU1LDING 'ERMIT
ClTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eaqsn, MN 55121
PNONE: 454-8100
Receipf
RAISE
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Slte Addrsn
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oca, vanev
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. Rspair ? 1'ype of Comt.
Parcel No.
Enlarge ? No. Storiea .-
„ Movs ? Length
Name h ? h
Demolis Dept
? Address Grsde ? Sq. Ft.
City Phone Install ?
I
Nsme
uu
3 Addreu
0- Citv Phone
Name _
Addrou
tt+at I
and state fhat
Sipnotws, of
-,. .L._ .,:; :? It IL Z
Asussment
Water b Sew.
Police
Fin
Eng.
Planrrr
Council
BIdy.Off.
APC
Var. Date
Pertnit
Surchorqo
Plan Review
SAC
Water Conn.
Wotar Meter
Road Unit
Parks
Total
A BuUdiny Permlt Is lssuad fo: on the expnesa caditlon
dt work sholl be, dons in oooordanet with all opplicablo Stcta of Ivtin'ne;ota Sfatutea ond Gry of Eaqan Ordinances.
ewfdino offwol
I!?ni
-j
Pwmit No. Pwmh Holder Dd* Tela hon? ft
Plumbhq
H.V.A.C.
ElocWc 7 yG 3 ; ?? ?"s? 6?s?
son«».
Imptction Date Insp. Othw
Fvotinyt
Foundation
Fnminq ? NS?? .? ? ? ? y ?
Rooting
Rouqh Plbp.
Rouyh HVAC
Inwlation
Find Plbp.
vIS G ?or L,?-
Final HVAC
Final
Cwt/Ooa.
Water Dasni6e Location:
YYsll
Saror
Pr. D'ap.
7- _
? CITY OF EAGAN
3830 Pi{ot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHON E: 454-8100
BUILDING PERMIT Receipt#
Ta be used for Est. Value Date ,19
Site Address
Lot Biock Sec/Sub.
Parcel No.
a Name
3 Address
a City Phone
,o Name
v a Address
f, City Phone
City
have read this application and state
Signature
A Building P(
all work shall
Building Offi4
nittee
issued to:
e in accordance with all applical
OFFICE USE ONLY
On 5ite Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
Ciry Water _ (Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bidg. Off.
APC
Variance
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ Water Conn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Gopies
TDTAL
on the express condition that
)f Minnesota Statutes and City of Eagan Qrdinances.
Parmit No. Permit Holder Dats Telaphons *
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final PIb9.
Bldg. Final
Cert. Occ.
Temp, LP
Deck Ftg.
Deck Frmg.
wen
Pr. Disp.
CITY OF EAGAN Remarks - C2d3Y' Grove Acquisition
Addition Cedar Grove #2 Lot 1-5 Bik 2 Parcel 10 16701 150 09
Owner 64' Street 4304 Jasper Dr. State Eaggan.MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ?
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 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.
BUILDING PER.
SAC ?
PARK
CITY OF EAGAN N2 14 0 6 9
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
` PHONE:454-8700 ?j'{ /lO ? n
BUILDINGPERMIT Receipt# lCo b
To be used for SWIM POOL Est. Value $10, 000 Date AGGDST 20 ? 9 87
SiteAddress 4304 JASPER DRIVE
Lot 15 Block 2 Sec/Sub. CEDAR GROVE 2ND
Parcel No.
: Name FRED HERKOL
z Address SAME
? Ciry Phone 454-6858
p Name PACIFIC POOLS
0Q Address 6922 SSTH ST
1- City OAKDALE Phone 770-1313
0
w w w Nan
i z. Add
a W City
I hereby acknowledge that I have read this application and state
that the infortnation is correct and agree to comply with all applicable
State of Minnesota Stalut6eBpd CltR( Eagan Ordine?Dees.
Signature of Permittee u
A Building Permit is issued to: PACIFIC POOLS
all work shall he done in accordance with all a[lolicable State
OFFICE USE ONIY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
OnSlteWell _ TypeofCons[
Ciry Water _ fAC[uap
(Allowable)
n of Slories
Length
Depth
SF. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $93.50
Water/Sewer _ Surcharge 5.00
Police Plan Review
Fire _ SAG, City
Engc SAC, MWCC
Planner WaterConn.
Cauncil _ Water Meter
61dg.Off. _ Road Unit
qPC _ Treatment P7
Variance _ Parks
Copies
`-
TOTAL T98750
on the express condition that
Statutes and City of Eagan Ordinancea
Building Official 6AC.-?-uL?
S
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
PNONE: 4548100
BUILDING PERMIT
*. ?. ....a &, RAISE GARAGE
Receipt #
N_ 10153
_<?/ i73
SiteAddresf 4304 JASPER DR
La 15 eiock 2Sec/5ub. CEDAR GRV 2
Percel No.
W Nama FRED J. HERKAL
? nddreas SAME
city Pnooe 454-6858
A ? I Name
u Address
Cltv Phone
Name _
Atldrass
City -
Phone
Erect ? Ocwpancy
Remodel
? _
Zoning _
Repair ? 7ype of Conet.
Enlarge ? No. Stories _
Move ? Length _
Oemolish ? Depth
Grade ? Sq. Ft.
Asxssment
Water 6 Sew.
Palica
Fira
Enp.
Plonner
Countil
F•a.
Pertnif
SurcFnrga • 50
Plan Review
SAC
Woter Conn.
Wafer Meter
Rood Unif
I herc6y ackrawladqa that 1 lava reod thit aPPlicohon nnd sfote that Bide. p ff. 4/2 5/8 5 perks
the Intormotion is correct und ogree to comply wirh all opplicobla APC Total1? J_ z 'v u-
Stata of Minnewca Sra[uees^o Iry of Ei?.
? y r? var. oa?
Sipnotum of Permittw ? a 4l
A Buiidinq Pem,ir is issued ro: FRED J. HERKAL on eha exprass ea,ditwn ihoi
all work shall be dons in ocaordanro with oll appijeaple State oj'Ahn{iesoto Statutes nnd City of Eoqan Ordfnancet
8uildinp Offidat
EAGAN TOWN S H I P
oWner (
Address
Builder
Address
LiILDING PERMIT
N° 624
Eegan Township
Town Hall
Dale ?. ..........
/
5tosies
. To Be Used For Froni DepSh Heigh! Esf. Cos! Permi! Fee
? Remarke
-
This pexmit does not aufhoxise the use of sfreeis, roads, alleps or sidewalks nor does if give the owner or his agent
the righ! !o creale any situation whiah is a nuisance or which presenls a haaard !o the heallh, sately, eonvenience and
general welfare !o anyone in the eommuniYp.
THIS PEAMIT MUST??PT Q? THr'N?** F,_THE WORK I5 IN PROGRE?S?S).
This is !o cerYify, !ha .. 2?.Td.? . A-`...?' as permission fo exec! ........................upon
the above dascribed premise subjeci !o the psovieions of the Suilding inape Tow ap adopfed April 11,
%
1955. ? . "_.....__........_...
....._"..._.._..____._..._'._.._.._.._........._..._.......'._...._ _.._..._ Per ?. ... __ ...... _ ..?. ..__. __...'_"._...._...
Chairman af Town Board ' uilding InspecYor
EAGABV TOWNSHIP
BUILDING PERMIT
Ownex ----.---- -- ------ ------------ ?----------- '-----
Add:ess (preseni) ._.._?._...
...... ?- i
? ... . . ... ...................... -.--
$uildes ......... A.-C?V-1 --- ------------------------------------------- -- ,
Address ---- ....._._._..------------------------ ----'-..----- ....................'
DESCRIPTION
N° 894 .
Eagan Township
Town Hall
Daie t?
.°--------?--....--°-------------------
Siories To Be Used For Fron} Depth Heighf Esf. Cosf f Permif Fee Remarks
? C?o . d
" - LOCATION
5ireef, Road or olher Descripfion of Locaiion Lo! Black Addiiion or Trae!
As_ xx aL
This permil does not auihorize ihe use of sfreels, raads, allays or sidewalks nor does if give fhe ownes or his agent
ihe righiio creaSe any siluaiion which is a nuisance or which presenls a hasard !o fhe healih, safeiy, eanvenience and
generaI welfare io anyoae in ihe communiSq.
THIS PERMIT MUST BE I?PT N THE PRE ISE WHILE THE WORK IS IN PROGRES$.
This is io cerlify, thaf ..
....?? `_____ ___ _ _________ __ _____ _ _._..-------- has permission !o exect a........... 9 ........._... ._........, upon
!he ebove descri6ed premise su eci !o ihe provisions of !he Building Ordinance for Ean To ship adoptad April I1,
1955. !,? //jj? ,
........................ -------' "'.."-'...-........ Per ??J?i !/?+t??c?. GCG?CJ
..-?---.._.___... ------°'--°------------°-i .............._................_..-----
Chairman of TnwnnBoar Bd uilding Inapeafor
REQUEST FOR ELECTRICAL INSPECTION es-00001-06
0 SBa insnVttmns IOr COmpIBtl09 tllls form On beCk of yBllow copy.
D 333 91 "X" Below Work Covered by Thrs Request
AAd PeO Type of Bmlding Appliances Wved Eqwument Wved
Home Range Temporary Service
Duplex Water Heater LighLny Fixtures
Apt. Bmlding Dryei Electrvc HeaLn
Commercial Bidy. Furnace Silo Unloader
Industnal 81dg. Afr Condrtioner Bulk Milk Tank
Farm onhHr oe?.i v ihcr ISnc?.itvl
t ,r Sueu(y Other Other
Compute Jnspection Fee Below
k Fee Service EnbenceSixe N Fee Fexders/Subtaeders H Fee Crrcaits
0 to 200 Amps 0 to 30 qm s 0 m 30 Am>
Ahove 200_qmps 31 to 100 qrnps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 700_AmPS
Transfortners Irngation &wrris I Q Parual.'Other F e
Signs SpeciallnspecLOn
5
pema.ks ,Q _ 3o.?lQ TOTAL FEE ,,,, 0L
c?
Rough-in Datn
I, the Electricpl
ifI3pBCt0I, helOEy
LBrldy ihBL Lhe ebOVB
Final ( ?9^? inspect4on has been
Thla reaueat voi018 montlu irom
This reqvest voitl d/?
18 monNs Irom O J O
D 3 0 3 914?s -'o?
7& 7&o
Request1t31e , ?J°
? Fire No. Rough-in InsUetlron
Hepwred?
[-]Ready Now?Will Noufy Inspec-
tor Wh
n H
tl
j ?Yes ?NO e
ea
y
?4censed Elecvical ConVactor I hereCy requast mspection of abova
Owne' elaelrical work installetl et:
$Veet AAdress Boa or ute No. U(Y
J 5 e Y'
e uon o. Township Name r No. RanBO No. County
-L-
Or.cu nt IPRINTI
/
l Phone No.
ri !J
Pow¢r po
lier Address
S
Elec ical Contr3ct ICom any Na
me
Cnntractor's l.icense Nn.
/
I 5 5 r, 0 3
Madine p.ddress IConVnictor or Owner Makinp Instailauonl /
da ?Y
Author¢ed or? wne? Makmg Installatinn) Phone Number
MI ESOT ATE eOAND OF ELECTqICITV THIS INSPECTION qEQUEST WILI NOT
Gripes-Midway Bltlg. - Noom N-191 BE ACGEPTED 9Y THE STATE BOARD
1821 Universitv Ave. St. Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
PhOne (612) 642-0800 ENCLOSEO.
S-?a - FISs REQUEST FOR ELECTRICAL INSPECTION
' See ins<ructions for completirq this'torm on baek of vellow covY.
A-• n7QR? Q "X" Below Work Covered by This Request
Ee-00001-0-0
ice
I I 1 I Industrial Blda. I I Air Conditioner 1 I Bulk Milk Tenk I
A Fee SarvieaEMrenca5lze # Fea Feetlers/Subfeaders p Fea Circuits
U to 200 Am s 0 to 30 qm s 0 tn 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 Amps
Swimming Pool Above 100-Am Above 100_Am '
Transtormers Irrigation Booms ParLaVOther Pee -
I I I Sigu I I ISpecial Inspection 1 5`Q
?
Ne?erks dNV
Th=.?uiaz,a:
,e monms r.atri"i_4
A 0 7 9 6 3 9
Nequ?t Date ?? Fire No. Rouph-in InsuecUOn
Heqwred?
?Aeady Nuw RXWiII Notrty lnsPec
??
rrc ?Yes ?No arWhenReady
? Licensed EI¢ctrical Convactor I heraby repueat inspecAOn ot abova
laOwner electrical work installad ar
SVeet Address, Boa or Roate No.
bPeR Cav
G,
G
ecOOn o_ Township Name ar No. Nang¢ No. Coumy
v 4
OccuparyLIEBYJiT??o ?
? ? Phone P1o .
Power SupD??
. Address
p4L.
Electncal Connactm ICompany Namel Contractor'S License No.
Mailinp Address ICOntraclor or Owner blakine l^s<ailaboN
Au nz ure 1 nva tor Owner M ing Ins I L Phona Number
?- -
THIS INSPECTION flEaUEST WILL NOT
MINNESOTq g7pTE BOARO OF ELECTIIICI eE ACCEPTED BV THE STqTE BOARD
Gripgs-YiAwav Bp/p, - Rpom N-181
IINLESS PNOPEN INSPECTION FEE IS
1821 Univarsity Ave., St. Paul, MN 56t04
Plore (612) 2972111 E NC LOSED.
` 0 City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-or---------------- I
? F.O?ce Us'e ?
? Permit#:
? Permit Fee:
? Date Received: D j
I ?
--- ? ? - " I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
pC e Phone 7 7 2 7-7)
N
RESIDENT / OWNER ame:
Address 1 City ! Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work:?-lL1? Q
w V
Construction Cos[: Multi-Family Building: (Yes No
CONTRACTOR Name License #:
r •
AddresPesideMi81 MN lic.#20249486
2478 Hiltwood Drive. St. Paul, MN 55119
Cb_ _ 5[ate: Zip:
PnoGb3vid Johnson -Cell: 651-274$94&ct Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(q submission type) • Energy Envelope Calculations Submitted
In the lasi 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:
MechanicalContractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documentsYhat, you submit are considered to be public inforrrration. Portions of
the information may be cfassiffed as nori public if you provide §pecific r'easons tfiat would permit the CNy to
conclude thaFth'e ` are frade secrets:
I hereby acknowledge that this information is complete and accurete; Ihat [he work will be in conformance vrith the ordinances and codes of the City of
Ea9an; thal I understand this is not a permit, but 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 rewew and appro 1 plans ?
X 7..?oV+rSDil x
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
TasDPr -br
?
?
'7
n
j
/
i
/ BuildinQ and 2onina Compliance
Check the appropriate box below, and attach required documentation:
(Applicant must check one)
The building in which this salon is located is new construdion.
'-/ 3L) t I J-4 sf-e '- -D -
? - ? Z G1?1 i ?L ? ,
?
1. Applitant must attach a copy of the signed, dated Certiflate of OccupancY issued 6y the Cty or County in which the huilding is
Iocated. obtain signature 6elow:
2. Applicant must attach statement from Zoning Official that salon is in compliance with zoning ordinances, or
Date
Title
Signature of Zoning Official
Telephone Number
Print Name of Zoning Official City or County Name
The building in which this salon is lacated is an existing building. The Applicant has made improvements
or changes to the salon which require building permits and zoning approval.
1, ppplitant must attach a copy of the Building Permits issued by the City or County in which the building is located.
Z, qpplicant must attach statement from Zoning Official that salon is in compliance with zoning ordinances, or obtain
signature below:
3.
Signature of Zoning
Title
Print Name of Zoning OfFicial City or County Name
Date
Telephone Number
J The buiiding in which this salon is located is an existing building. No euilding Permits or Zoning Approval
were,required by the City or County in which this salon is located.
Title Date
Signature of Zoning Official .
? i rn t lc, -Nicl z iec.(t Ccu 't. rt G, S'1- L 7 S-
City or County Name Telephone Number
Print Name of Zoning Official
Draw a Diagrem to
v RESIDENTIAL C '-LLZ
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675 i
.
New Construction ReaulremenU
• 3 registered site surveys showirg sq, ft. of lot, sq. 8. ot house; and all roofed areas ?
(20% maxlmum lot coverage allowed) 5 ? Z? ? LJ
• 2 copies ot plan stwwing beam 8 vnndow sizes: poured tound design, etc.)
• 1 set of Energy Calcu1a6ons
. 3 copies of Tree Preservalion Plan d lot platted after 711/93 T'F
. Rim Joist OelaA Options selectlon sheet (bldgs wdh 3 or less units)
NC>I- rt ? ??? ?,,, Y Is
DATE
SITE ADDRESS . _L-t?%
TYPE OF WORK rir
APPLICANT `,r
r brILi
STREET ADDRESS nU ?-l U' I
TELEPHONE # -6 UVCELL PH NE /
PROPERTYOWNER
COMPLETE FC1R "NEW" RESI NTi
Plumbing Contractor:
Plumbirg system includes: ?
Mechanical Contractor:/ _
Mcch?mical systcm?'ludcs:
Sewer/Water Contwctor: _
?
MINNFS RLtLES 7672
- i?"9
• New'E?rgyCodeWoiksheetSu6mitted
7J7 IV ?
;
Phone #
Phone #
P'ee: $70.00
I hereby acknowledge ihat I have read this application, state that The information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eac% 6n O inances.
SignafureofAppllcdatY=`J"?'
___------------------
__________._- _---- ..._
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updaled 4102
/
Energy Code Category _ ?II?'N H:SOTA RULES 7670 CATEGOR
'
(J submission type) • Residential Ventila6on Category 1 Worksheet
. Energy Envelope Calculalions Submitted
Water Softener _ Lawn Sprir
_ Water Heater No. oFR.I.
No. of Baths
Air Condiuoning
_ Hcat Rccovery Systein
? CQ- STATEWIZIP0&-
FAX #
• 2 copies of plan
• 1 set of Errergy
. t sife survey for
. Indicata if Irom9
O -1`
;alicvlaGans forheated additlons
ezterior addAions & decks
served by septic system foraddHians
?? ? UV 6L
MULTI-FAMILY BLDG ? _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
TELEPHONE #
BUILDINGS ONLY
??<< r t a-?1
c4-Q0 t f /(9 ?
- -Fee: $90.00-
i
OFFICE USE ONLY
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 13'I19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New 13'? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout ta appli cant
Valuation t? 000
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const ?
Occupancy pi-3
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System ?
City Water ?t5
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
/ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? FlarrunB Siding Stucco Stone
Fireplace R.I. Air Test Final Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By A414 4h?-e- , Building Inspectar
Base Fee 9, o a
Surcharge 1, o O
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total $? - 70 6 a
f) CITY USE ONLY
RECEIPT DATE:
I PERMIT #: j.3-qU
8008 RESIDEPTIlkI. M£CH"CAi. PEiMIT APPLICATIOR
crrYoF $neM
3830 Pu.oT KNOB itD
gABAA MA 551 EE
e51-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: -? '
SITE ADDRESS: _/_A312iLl JC-
V i ?/ -2,
OWNER NAME: ahex-f-.I ?d-rY1? TELEPHONE #: ,
WSTALLER NAME: - - - - - - - - VONE #:
Wohlers Southside Htg. & Air, Inc.
STREET ADDRESS: i 6950 W. 146'h St., 4106
Apple Va11ey, MN 55124
, (952) 431-7099
CITY: _ ------• -- - J ZIP:
Place a check mark next to the permit work type
C03 ( q9'-( (oq QS
Add-on, modification or alteration to existina dwelling unit $ 30.00
• fumace replacement
• air exchanger
• air conditioner .
• other
Nature of work: =r1:±a1.., 1'`)f'_Y'1 CYIC`ce=?_-
-?-an ry,c? ? C L-T 3n.
State Surchar e $ .50
Total
4)"j,??-r?,
SIGNATURE OF PERMITTEE
tlo2
. ??.
7Z/-/?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
. ? 1 SET OF ENERGY CALCULATIONS
To Be Used For: Ln;3q-A6U Valuation: ?-. Yj[) Date: p9%4 PQZ ?
Site Address: LA -6bL-l af-69e9- (YrZ OFEICE OSE ONLY
Lot: Block ?- Sect/Sub ? Erect
? Remodel Y\
Parcel It
Owner `E(LtO 5 k}e%kR`
Address y3o?l S ?Sp2Q ??
City/Zip Code 4e.1?1??y ?Yr A? S??z
Pnone L1SL-1-6S5q? ) ? 1455`-b5-tx>
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone /F
Repair
Enlarge
Move
Demolish
Grade
eavunvetc
Occupancy
Zoning
Type of Const
1! of Stories
Length
Depth
Sq Ft
Assessments Permit L09
Water/Sewer Surcharge $°
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Parks
APC Treatment P1
Variance
TOTAL I ?. LrO
?
i
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLi1DE 2 SETS OE PLANS, 3 CERTIFICATSS OF SIIRVEY, 1 SET OF ENERGY C6LCQLATIOHS
HOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEONNES MQST DESIGAATE AHICH ADDRESS
IS DFSIRfiD. NO CHANGES WILL BE 9LLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL iTF7ITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL_PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
'?GVC"i!'Ou?'41O &
To Be Used For:?? Valuation:
Site Address v3d K
Lot Block ?
Parcel/Sub
Owner /w
Address a ffSi??/?
City/Zip Code ;Feew
Phone ( S y" 66?T?-
Contractor
Address S7
City/Zip Code
Phone 9
Arch./Engr.
Address
City/Zip Code
Date:
On Site Sewage_
MWCC System `
On Site Well _
City Water _
APPROV9LS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FE&S
Permit 613,52?'
Surcharge S,oo
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL 98-
Phone 4k
?r?la1 ' So So
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! /
Site 5treet Address j.??T Unit #
?
Property Owner Telephone #0e57) 99Y 6 9aS-
Contractor Telephone # ( )
Address ? City State Zip
The Applicant is: C6wner _ Contractor _ Other
Alterations to existing dwelling $ 50.00
?-Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If v_ou are installinq onlv a water softener anoUor water
heafer, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
-
State Surcharge il $ .50
, G-q- ,i
??.SO
S
Total $
- - _...__ _?._......_..?.. . _.._ ...e
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanY Printed Name Ap icant' nature
Use BLUE or BLACK Ink
r
For Office Use
I
Permit#: -7
City of Ea a~ I Permit Fee: ° J~ LIC
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
-
2010 RESIDENTIAL BUILDING PERMIT APPLICATION 7
Date: / Site Address: 7' ° '`r t w N
Tenant: Suite M
RESIDENT/OWNER Name: hL 1 Phone: (w S I ) ~F S' 1 - ~f S 1
Address / City / Zip: P t- c J
Applicant is: O
wner Contractor
4
TYPE OF WORK Description of work: ~c.. DS 7 'r-
1 P n.
Construction Cost: 6,30,0 Multi-Family Building: (Yes / No-<)
CONTRACTOR Name: 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 4No 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.
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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in ormance with the ordinances and codes of the City of
Eagan; at I understand this is not a permit, but only an application for a permit, and w not to start wi permit; that the work will be in
acco ace with the approved plan in the case of work which requires a review and appro l o plans.
CC i
LJ/Yt ca 7 X -
x 6/404/,_ e
Applicant's Printed Name Applicant's Si e
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164879
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 4304 Jasper Dr
Lot:15 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jeremiah J & Kathlyn J Leiviska
4304 Jasper Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177282
Date Issued:06/23/2022
Permit Category:ePermit
Site Address: 4304 Jasper Dr
Lot:15 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Peter Jakubowski
4304 Jasper Dr
Eagan MN 55122
Nmc Exteriors & Remodeling
14505 21st Ave N, Suite 226
Plymouth MN 55447
(763) 244-2961
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177475
Date Issued:07/05/2022
Permit Category:ePermit
Site Address: 4304 Jasper Dr
Lot:15 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-150
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Peter Jakubowski
4304 Jasper Dr
Eagan MN 55122
Nmc Exteriors & Remodeling
14505 21st Ave N, Suite 226
Plymouth MN 55447
(763) 244-2961
Applicant/Permitee: Signature Issued By: Signature