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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