4336 Jasper Drcirir oF EAGaN - ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 122:.1
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor REROOF Est value $1 ,18 6 Date JULY 2 ,1986
ci*o eaa- 4336 JASPF:R 17R E t O O
rec
Remodel
? ccupancy
Zoning
Repair ? Type of Const
Addition ? No. Staries
Move ? Length
demolish ? Depth
Int. Impr. ? Sq. Ft
Install ?
Address
I herebyacknowledgethatl
information is correct and ,
Minnesota Statutes and Ci1
all
Assessment _
Water & Sew.
Police
Planner
Council
Bldg. Off. 7/2/6 b
APC
Permit -f "' • -*"
Surcharge ?
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Ti.*?l !?21.50
the express condition that
Ordinances.
I I PermR No. I PermN Molder I Date I Telephona ti 1
I'Roofin9 II I II Av .c -F '1-1 ] 49 6714• '
Hty.
Pibp.
Final
Occ.
Dbp.
CITY OF EAGAN Remarks CBd2Y' Grove Acquisition
Addition Cedar Grove #2 Lot 27 elk ? Parcel 10 16701 270 01
Ownek v??-?' r, -" Street 4336 Jasper DY'. state- Eagan, r+IlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985
STREET RESTOR,
GRADING
SAN SEW TRUNK
#. SEWER LATERAL R 1304-00 52.16 25
21
WATERMAIN
3?. WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC . f
PAR K
EAGAN TOWNSHIP
BUILDING PERM1T
..__..'..._....__
Ownex .1?y 49
. . .................... ...
..a'S -
°-+? - t..X----? ??.
Address (presen!) .... P.
Builder -..._..... ...---------- --__.----....... ...
Address -- -.. .. ............ .-- -.......------
N° 978
Eagan Township
Town Hall
Dafe ._5 /??b.j.....,.. .
Stories Tn Be Used For Froni Dep1h Heighf Esi. Cost Permii Fee Aemarks
' O
O V F?-rJ `?.?-/U _
1-U3
°--y--•C{Z ?- ?.l.t-s x 6--ogP S' - -- - '-- " ? ?
This permii does not aufhoxize the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agent
the right fo creafe any sifuafion which is a nuisance or which presenis a_ hazard fo the healih, safety, convenience and
general welfare ia - anyone in the communiiy.
THSS PEAMIT MUST BE ICEP , 6NTFiE PRE?IISE WHILE THE WORK IS IN PAOGRE55. ?
This is fo cerlify, ihaf__.L.:..:. e____...... haspermission fo erec! ...??._..___....upon
the above described premise subjeci to the pzovisions of the Building Ordinance for Eagan Township adopied April 11,
1955. ',y? v ?
....._........... ........
----..........
_....-----
Chairman of Tnwn Soard • Suilding Inspeclor
4 • 06.
CITY OF EAGAN -
; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N2 12221
s
PHONE. 454-8100 ?r
&y
BUILDING PERMIT Receipt# 3
7o be used for REROOF Esl Value $1 ,18 6 pate ? TUT,ti' 2 , 19 _8-6_
SiteAddress 4336 JASPER DR Erect ? Occupancy
Lot 27 Block 1 Sec/Sub CEDAR GROVE 2NDRemodel ? Zoning
Parcel No Repair ? Type of Con9t
. Addition ? No.Stories
p JEFF ANDERSON Move ? Length
W rvame D Iish ? D th
a
io
u?
?
?a
W W
?z
aw
$?E
Address emo ep
Int. Impr. ? Sq. Ft
city Phone 454-1313 instau ?
SAME Approvals Fsea
Name $20
50
nadress Assessment .
Permit
Ciry Phone Water & Sew. Surcharge 1.00
Police Plan Review
Name Fire SAC
Address En Water Conn
g. .
Ciry Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?dg.Off. 1.,/2?86
intorma6on is correct and agree to ply o? th all ,pp'cable tate of
Minnesota Statutes and CityD Ordi APC
/? ar.
SgnaWre ot Permitt ee +
A Building Permit is issued to: JEFF ANDERSON
all work shall be done in accordance wrth all app6cable,S4ate o}Mmnesota Sta i
Tr. PI.
Parks
Copies
TOtal $21.50
- on the ezpress condition that
Eagan Ordinances.
Building Official
'6?3b(o ,. 7D bd
? 2004 RESIDENTIAI, BIIII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
- - --- - -- - - --Telephone#651-675-5675---FAX#-651-6755694--- ---------
-
New Construction Reguiremenfs RemodeUReoair Reouiremenfs
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addiGons
2 copies oF plan showing beam & window sizes; poured found des n, etc.
i set of Energy Calculations ? 1 site survey for additions & decks
3 copies of Tree Preservafion Plan if lot platted after 7/1/93 AddNOn- i/ro'Icate if onsite septic sysfem
Rim Joist Dehail OpGons seledon shcet (bldgs witli 3 or less units .
Date 1? /A /0 ?j ConstructionCost_ ? (01?9 co ? a
SiteAddress Unit/Ste #
Description of Work `kCLl -
- lr
Multi-Family Bldg _ Y_ N Fireplace(s) _ p_ 1 _ 2
Property Owner ?QaZ?,Gt. VLI,f lC?li?l/?7Iy)
Telephone # (
KMA HUMh SExVlCr;S, 1NC:.
Contractor Home Depot Installed Sales
Aadress 3200 Cobb Galleria Pkwy.Ste. #200
State Atlanta, GA 30339
- 763-542-8826 BC-20268257
)
City
ZiP Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - MWnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
(J submission lype) • Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
. Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies _ Y _ N If so, 25% pian review
.
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply, for a Residential Building Permit and aclrnowledge that the informa g?t is co e i ?s?rate;
that the work will be in conformance with the ordinances and codes of the City o agan 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; that the work will be in accordance with the approved plan in e case of work which requires a review and
app v 1 ofplans.
p icant's Printed Name Applic t's Signature /???
Installed
Siding and Windows
LIMITED POWER.OF ATTORNEY .
Cvi}NTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of ItMA Home Serviccs, Inc., DBA Home
Depot Installed Sa1es loca±ed at 660 MendelssolLn Avenue North, Go?den Nral?ey, tvIl`T
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Ina ("AgenY') as my hue and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Powe: of Attcrriey are
limited solely to the express powers delineated herein and appl_y solely to the Work.
This Limi*ed Power ofAttorney shall expire and automatically be revoked on the 21st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
azry time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN Wi'INESS WHBREOP this Limited Power of Attorney is eteci.rted this
21st day of May, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 2003.
i
?? ?? ctt-?, -a---_
Notary PCaic in for the State of eorgia
My Commission Expires: 7anuary 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
/
1986 BQILDING PBifliIT APPLICATIOH - CITY OF EAG68
NOY6: ALL CONTRACTOES MOST BE LICBNSBD IiITH THE CITY OF EAGAN
SIAGLfi FAMILY DflELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MIII.TIPLS DiIELLIHGS - H&SIDENTIAL
INCLUDE 2 SETS OF PLANS, CSA
1 SET OF ENERGY CALCULATIONS
9ENTAL 09ITS F06 SALS QNITS
OF SQRVEY - CHECB iiITH BLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
\
To Be Used For: Valuation
Site Address 4396 flSPLR
Lot A ? Bloek/
Pareel/Sub `?"'a'• ?\
Owner ??' f? ?"I NDE 25 e nl
Address 4336 J-AS P£ 2 D(Z,
City/Zip Code &(rAN, SS?Z2--
Phone 45`t' - ( 3 (3
Contractor _
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone S
Date: 7r
Erect Oceupancy
Remodel Zoning ?L
Repair ? Type of Const ?
Addition _ It of Stories
Move _ Length
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVAI.S
Assessments Permit INf,Z
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off ?. _t q'6 Treatment Pl
APC Parks
Variance Copies
TOYAL
NOTE: ADDRESSES FOA CORNER LOTS - CONRRACTOR/HOHEOiiNER lSII3T DESIGNATB WHICH ADDRESS
IS DSSIRED. NO CHANGES iIILL BE ALLOiiED ONCE BOILDING PSRMIT IS ISSDED.
L BL CITY USE ONLY
? I
SUBD. mt'(+
s
RECEIPT #: D)I /J
RECEIPT DATE: 1 0-2 ?-"1
PERMIT # J O
1999 PLUM$INfl PEiMTf (fiESIDENTIAL)
crrYoF Etssx
3830 PaoT xaos gn
£l4fiAN, MN 551 E2
(651) 691-4675
Please wmplete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
r--- -----------------..._
rsain iuu ?..,-.-?.'v?
?a x -_T = T $
Floor drain 3.00 x = $
G2S i in Outlet ' minimum • 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dweilin 30.00 x = $
Private Dis osal S stem new/refurbished " re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new instailation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkier if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ ??
Water softener if dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Total --> --> ----> ---->
O. SO
$
Reminder: Cali for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-
-
-
- .
- ordinances_
- Ciry-of Eagan-
----------------•----------------• •---------- ---..------------ ------------------------- ----------- ----
-
- to-comply-
- with -all applicable-
-is-
-cortect-, -and-agree-
•thal the -infortnation-
I hereby acknowledge that f have read this- appli-cation- ,- siate.
It is the appliranYS responsibiliry to notify the property owner thal the City of Eagan assumes no liabilily Tor any damages caused by the City during its
normal operalional and maintenance aclivities to the faciliUes constructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS: , ANDERSON, JEFFEREY
I 4336 JASPER DRIVE
OWNER NAME: : EAGAN, MN 55122
(651) 405-1839
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: NnpBl nne oLUMatnIG nn TELEPHONE #:
' (AREACODE)
? _
STREETADDRESS: (Gic) - ?7 - n 03 3
CIn: E02NNEalf nILIS, MA1 '55408 ST ZIP:
SIG " OF PERMlTTEE
CITY USE ONLY
LOT ?L BL 1 PERMIT#: / 1DC) Z
SUBD. RECEIPT #: I 3? 753
RECEIPT DA7E: 5 - G' U
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: 4 -'<0 - O 0
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodelin?, adding to, or re airin an existing single-family dwelling,
tormhome, or condo. Please indicate if it is a new item, alteration, or repair.
L.
_ New _ Alteration _ Repair X
_ Furnace ? Air conditioning
_ Air exchanger
Reminder: Call for inspections
SI"I'E ADDRESS: Y3 3 &
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
OWNERNAME: U??l??S'I ? PHONE N: &s1 - YOS"?.QT_
(
INSTALLERNAME:?or,vlKSjdp_ r? ?qdlT PHONE#:?3?-??'
(nxen cooe)
STREET ADDRESS: It) SI f? ? AI D v' M? n.-?aD?. b?
-r--
CITY:
CITY OE &AGAN
3830 PIIAT I@IOB RD
EAGAN lIId 55122
651-681-4675
STATE: li . ZIP: ?37
,44 " /(- d: ?z 4?
SIGNATURE OF PERMI E
CITY USE ONLY
LOT a7 BL ? RECEIPT #: ?15a17
SUBD. 0_-'IX.A/C RECEIPT DATE: Zf ?_Iffg
1997 MECHAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 6814675
60< <? ?
Complete tlus section anly if you are installin¢ HVAC in sinEle familv. townhome or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL Sn M BTU 6.00
• Gas outlets (minimum of one requ'ued @$3.00 ea.)
• State Surchazge: " .50
• TOTAL:
Complete this section onlv if vau are remodelinQ, adding to, or repairine esisHne sinele familv
dwellings, townhomes, or condos.
X Aace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. - Other
A.4inim:un f e applies .o all retucdel or adc-ons of exisang residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: Sz?o ?YTsi ? ?l /?A%`-d? • S,?c?
- Z!33?-
)OA .
PHONE #:
?
PHONE #:
STREET ADDRESS: ? 6 - ?U a i` {tt a?U.??.'• 61u /J-
CITY:
STATE: /,f l1 ZIP: 52; --'13 7
/CQ'(?" / ??
SIGNATURE OF PERMI E
90?"?-
City of Ea?an
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651) 675-5675
Fax: (651) 675-5694
------------------
i Far Ofiic'e.Use ?
/ I
j Permit#: 7 '*o I
? Permit Fee: ?
? Date ReCeived'
I ?
I 5[aff: L l/ ?
I ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
--• o,?/ ?5r_a6o-9?i9
/ Phone:
N
RESIDENT / OWNER ame:
Address / City / Zip: ?33/0 ?J-wni? ?e e5u-.lyiQIf/ AN .
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: E/?? 2GlaDl-F
Construction Cost 10? 10?, ?/&? Multi-Family Building: (Yes No ?
A? ITJ??7s ?IZA!S'S License
CONTRACTOR Name:
aaare55: ?LA& f/
_/
Q?Ev state: /yN zip: :!33469
Ciry:
Phone: 1743' "??y ?o &4?/ Contact Person: A11V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 5ubmission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a simiiar 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 supporiing documents thaf you submit are considered to be public informatlon. Portions of
the informatlon may be classified as non•public i/ you provide specilic reasons fhat would permit the Ciry fo
conclude that the are frade secrets.
I hereby acknowledge that this iniormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ot
Eagan; that I understand this is nol a permit, but only an application lor a permit, and is not to start wnhout a permir ihat the work will 6e in
accordance with the approved plan in the case of work which requires a rewew and appr al of plans.
X _--
ApplicanYs Printed Name ApplicanYsiSign u're
Page 1 of 3
Site Address: //a56
?? ??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4336 Jasper Dr
Lot: 27 Block: 1 Addition: Cedar Grove 2nd
PID:10- 16701 - 270 -01
Use:
Description:
Sub Type: e - Fixtures
Work Type: Replace
Description: Second Floor
Meter Size Meter Type
Comments:
Fee Summary:
Jason LaBelle
700 Prior Ave N
St Paul, Mn 55104
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Manufacturer
Contractor: - Applicant -
Home Depot Plumbing Contractor - Jason LaBelle
40805 Forest Blvd.
North Branch MN 55056
(651) 645 -5040
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
Serial Number Remote Number
Owner:
Jeffrey L Anderson
4336 Jasper Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA081736
01/22/2008
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107112
Date Issued:09/25/2012
Permit Category:ePermit
Site Address: 4336 Jasper Dr
Lot:27 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-270
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors-New/Replacement
Description:House
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, 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 -
Jeffrey L Anderson
4336 Jasper Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
City of Eaaau
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:
Staff:
-7Z' i3
013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1124/2a)"...3 Site Address: "i 33(10 J45C r.
Tenant:
Resident/Owner
Contractor
Type of Work
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 $200.00 ito 5/8" meteris required)
$105.00 Septic System New ($10.00 per as built) (include;; County fee and $5.00 State Surcharge)
TOTAL FEES $
Address / City / Zip:
Name:
Suite #:
PhonnnetosJ/QS - 10-39
Appliance Connections Inc.
12850 CheSTnurBtSKt
Address: — hakoptea, MN 55379 City:
952-445-4803
State: Zip: / Phone:
Conta : .I, i /► ( Email:
License #: CIS 7 _ t'm
New Replacement __ Repair _ Rebuild Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn irrigation (___ RPZ / _ PVB)
____ Septic System
___ New
Abandonment
___ Add Plumbing Fixtures ( Main / Lower Level)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 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 . • proved plan in the case of work which requires a review and apval of plans.
n R
Applicant's Print- • Na e
App
icant's Signatu
FOR OFFICE USE
Reviewed By:
Required Inspections: _Under Ground ___Rough -In Air Test
Date:
Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130663
Date Issued:05/07/2015
Permit Category:ePermit
Site Address: 4336 Jasper Dr
Lot:27 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-270
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jeffrey L Anderson
4336 Jasper Dr
Eagan MN 55122
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:EA139116
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 4336 Jasper Dr
Lot:27 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-270
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jeffrey L Anderson
4336 Jasper Dr
Eagan MN 55122
Clear Choice Restoration
2722 Hwy. 694, Suite 100
St. Paul MN 55112
(612) 259-7177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153852
Date Issued:01/29/2019
Permit Category:ePermit
Site Address: 4336 Jasper Dr
Lot:27 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Jeffrey L Anderson
4336 Jasper Dr
Eagan MN 55122
(651) 260-9819
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature