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4353 Jasper Dr? V C'1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I ?1. . Iiti .i?l It [iR ? i l. ;Ai: !ik<< Vi. 41! I PERMIT SUBTYPE: . , M r I ,,.,:...,.',? •?.. 1 b Ft i- ?l t: 1? : PERMIT TYPE: H?? F f 1? f Mti Permit Number: Date Issued: ; APPLICANT: TYPE OF WORK: R(1#)F"TNo, MFIf ltA1Ji1 1+F PnrR ( itUl1F'INo i ?, ? ? Permit No. Permit Holder Oate Telephone M ELECTRIC PLUMBING HVAC Inspection Data Inap. Commenta FOOTINGS , FOUND FRAMING ROOFING ROUGH PLUMBING " PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSA7 TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL Y OF EAGAN Remarks * Cedar Grove Acquisition Cr ition C.FI3?$?vF ?4 Lot l( Blk 1 Parcel 10 16701 160 !17 Owner Street 4353 Jasper J? State ?9?• 1"?N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 1266.95 84.46 1 0 -e Oo o? ? STREET RESTOR, GRADING 5AN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 5.2 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT ' CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL ?-4-? -{ yBUILDINC PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Now Construction Reauirements RemodellReoairReauirements • 3 registered site surveys showing sq. R of bt, sq. ft ot lause; an?ll mofed a2as . 2 copies of plan (20% maximum bt coverage aWwed) . 1 set ot Eneryy Cakulationp for heated aOd'N'ons • 2 copiea of plan showing beam & window sizes; poured found design, etc.) . 7 sile survey fa exleriw additlons & dedcs • 1 set M Energy Cakulations . Indirate'rf home served by septic system tor additions • 3 copies of Tme Preservation Plan if bt platted after 771193 • Rim Joist Defall Options seleaon sheet (bklgs with 3 a less units) DATE 0 (1 . , 1 I +h I ci ( JOB SITE AD IF MULTI-fAMILY BUILDING, HOW MANY PROPERYY OWN TYPE OF ITS? APPLICANT Ei i^A 4/jP r')VMQ?/`? 11'2zll' E(V'QS&LL PHONE# ADDRESS ZIPCODE S3 PAGER # CELL PHONE # FAX # NFW RESIDENTIAL BUILDING ONLY- PILL OUT Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventila6on Category 1 Woricsheet Sut - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor: Phone #: Plumbing System Includes: _ Water Softener _ Lacvn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Fee: $90.00 Mechanicai CoMroctor. ?I P C S J-k (OC`) C14 aV' Phone 4k Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Aecovery System Sewer/Wafer Contractor: Phone N All above information must be suhmitted prior W processing of application. I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Or ances. Slgnature of Appllcant ? Certificates of Survey Received = Tree Preservation Plan Received _ No equired _ Updated 7701 VALUA[ION O*d= rp ? Vf f Renewal By Andersen ` ?50-73rd.Ave. NE Fridley, MN 55432 763-502-4777 #MN20130983 RESIDENTIAL ILDINC PERMIT APPLICATION cirr oF eacaN 3830 PILOT KNOB RD - 55122 651-681-4875 NewConsWction Reauiremenh • 3 regislered site surveys shaxing sq. ft af lot, sq. R of house; an?ll roofed areas (20%mazimum bt eoverage albwed) • 2 copies of plan showing beam & window s¢es; poured found design, eic.) . 1 setof Energy Calwlatlons • 3 capies ol Tree Preservatlon Plan N lol pMed atter 717193 . Rim Jaist Detail Optlons selection sheet (bidgs wilh 3 or less unils) DATE 1'1, JOB SITE ADDR RemodellReoairReauiremeMs . 2 coPies of plan . 1 set W Energy Calwlatlons for heated additione • lsitesurveyforezteriaaddifioris8decks . Indicate N hame serred by septic system for add'Nons VAW/{ION ? lSOST IF MULTI-fAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?`G.'(V ?UUf;}loN TYPE OF WOR w FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PHONE#15a '34S'•(D0q? ADDRESS PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sub ??? - Energy Envelope CalculaNons Submitted + MINNESOTA RULES 7672 ZU Z 0, - New Energy Code Worksheet Submitted ?_ - Plumbing Contractor. Phone #: -?- y Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 ! _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical CoMractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above infortnaGon must be submitted prior to processing of applicatlon. I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan rdinances. n Slgnafure of Apptlc J?? I,Q<Ii•UDN?? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 1/Ot EAGAN TOWNSI-iIP N? 977 BUILDING PERMIT Ownex D? ??-=s>..C _.. Eagan Township Address (present) ._??c? c_ .AO:f? - - ..?.?..?-?-??...:..<.?f.?-+..-.? ?• Town Hall - Builder .. - -?-??- - -.. . _ ...- - ---?---- ? - 917 ? .1..3 --- ___.--- ...... .... . .. . . ? Daie ..... ---- - - -....-- -_.- - ? --- Address ---- - - - -- ---- --- -- ------'- --- --- ---- ----....------....._ _- DESCRIPTION Siories 'lo Be Uaed For Froni Depih I He;ghi Esi. Cosi Permif Feel Remarks ? llpwl I-°-U e?CW -"-'-- - _ __ ,-i n ?r n ?i-C3 -»4&OCATION S2reeS, Road or oiher llescripiion oi Location Lof Block Addifion or Tract ??- .i -.l-'T-9 I ? 17 This permit does nof auihonae Yhe use of slreeis, roads, alleys or sidewalks nor does ii give the owner ox his agent the righi fo create any situation which is a nuisance or whieh presenis a hazard io the healih, safety, convenience and general welfare io anyone in ihe eommunifp. , THIS PERMIT MUST BE KEPT O THE PREMISE,}VHIhe THE nWOR OKrto S eredinance M a for OGR ? Eaa? Eg 5.`' owns„h` ! . ? y ? This is to cerlify, ihPi..?:!? - ----?'?Olon?f the Buildin?il a? upon the above described rernise subiect fo the pr dopfed April 11, 1955. ?+ ?pf ........ .. ..._. _.................. Per ..... _ ..... ...'"Chairman of Tnwn Soard ... . .. .?- -......- - .. .-- - . 6 Building Inspecior Q• de CITY of EAGAN N4 3604 ti ........ .... .......?s ....-- .................................... .........-....... oWAe= Addsess (Preseal) ..T.......?......... E:.c.< ............................. BUILDING PERMIT Bullder ................... .'........................................................ .... Add:ess .............................................................................................. DE3CAIPTION 3785 Pi1oY Knob Road Eagaa. Minaesota 55122 454-8100 Dels ...... .l.Q..-3...75- Slaries To Se Uted For Fron! Depih Height Eel. Cos! Pesmt! Fea Asmarks LOCATION / 3. Sd Stseel. Road or oiher Deecripiion of Loaa2ion I Lo! Block Addition os Trae! -1 / e , .,& y Thh permit does not aufhorise the use of sireefc, roads, alleys or eidewalks nor does it glva the owner o[ 6b agent ffie right !a creafe anp ailuation which ic a nutsanee or wbich presenls a hasard !o the heelfh, safefp, convenienes and geaesal welfara !o anpone in the community. THIS PERMIT MUST BE,?/KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGAESB. This is !o eeslitp. !6al.-y.?.-..................... ...............haspermission !o ereet s...... ......... I::.:";W ......... -upon the above described premise subjec! !o the provisions of all applicable Ordinanaes foe the Cilq of Eegan -, --24, ' I-Qe ........................... ............."---Y .............. .............. Per ....._._'--.._"...."""'-..........-" ""'-'.................................................. Ma or ? BuIIdinp Iupeelor J-5 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 i I Foir 0lfieeLse ? I ? Permit#: ? ? ( ? I Permit Fee' r n ? ? I ? Date Received: I I ? I ? Staff: I i 2008 RESIDENTIAL BUILDING PERMIT APPLI Date: Tenant: Site Address: 4 Suite #: S ? Phone: N RE5IDENT I OWNER ame: Address / City / Zip: Applicant is: _ Owner Contractor TYPE OF WORK tion of work: Descri p C, Construction Cost: iJ56! O _ Multi-Family Building: (Yes _/ No ? CONTRACTOR NameNewr Llfe Con4raC41ng InC License #: 6030 Old Cedar Ave. S SQe. 179 tBlW,sM6i51;A25?fiN ' ' °23 eaa8s ?j 651-274-6943 Fau: 952405-6106 State: Zip: M?i : Phone: DavId JOh(180n Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Suhmitted (4 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 8 Water Contractor: Phone: NOTE: Pfans and supporting documents thai you submit are considered to be public information. PoRions of fhe informaflon may be classified as non-pu6lic if you provide specific reasons that would permit fhe City to fVew Ufe C conclude that the are frade secrets. e? WaA)(Q-iAAWn1J Ebmplete and accurate; that the work will be in confortr ?0 ShcdiL16ndj202"93§pj onry an application for a permit, and work is not ?- I;6.??4&p1eW:p95"()r?"lgork which requires a review and appr I o emaii: newlifeeontracting@yahoo.com x David Johnson x ApplicanYs Printed Name Applican s Sic TION )1- with the ordinances and cotles of the aty m irt wj? permR; that the work will be m Page 1 of 3 PLi3MBING (RESIDENTIAL) ? /SSz Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 1 / z 3 / v.3 BRITTON, STAN Site Address 4353 JASPER DRIVE Unit # EAGAN, MN 55122 (651) 905-0815 Property Owner ,zlephane # ( ) Contracior ??13L? ???ING Co. (612) 827-4033 Address City • State ip Telephone # ( ) The Applicant is _ Owner -Y-- Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. AI[erations Ta Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair , rebuild $ 30.00 _ Lawn irrigation system _ Water softener x Water heater $ 15.00 x replacement _ additional MAY O 1 2003 $ .50 State Surcharge gy i5.50 Totai $ I hereby apply for a Residential Plumhing Permit and acknowledge that [he information is complete and accurate; that tne worx wiii be in conformance with the oLdinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernilt, but oniy 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. Je.? No?bi? Applicant's Printed Name A s Signature 52 q 53 MECH.ANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Smgle Faznily Dwellings Townhomes and Condos when pertnits are required for each unit 4 3o..s1) Date ( / 2?5/ 03 Site Address ??? 3 j* p?c?y SJrve, Unit # Property Owner v"aw1 r(+4oy?\ Telephone #(&J 1) G05- 0315 Contractor Bumsville Heating & A/C, Inc. 12481 o e s an ve. So. Street Address MW 5P3T8=1122 City State Zip Telephone # ('T';V The Applicant is _ Owner ? Conhactor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger " air conditioner other IJI nPr, State Surcharge $ .50 Total S ? I hereby apply for a Residential Mechanical Pernvt 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 with the Mechanical Codes; that I understand this is not a pemut, 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 oFwork which requues a review and approval ofplans . 7 ApplicanYs Printed Name App i nt's 5ignatu e RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 II 3 .? S New Constructlon Reauiremems • 3 registered site surveys showirg sq. N. of lot, sq. N af house; and all roofed areas (20% mazimum lol coverage allowed) • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 set ol Energy Calculations • 3 copies of Tree Preservation Poan if bt platted after 711193 • Rim Joist Dehail OpGans seleclion sheet (bldgs with 3 or less units) DATE yl?d/D2 I ' RamodeUReoair Reauiremenis . 2 copies of plan • 1 set of Energy CaIcWaGons for heated additions • 1 sAe survey far extenoredditions & decks . Indkate if home served hy septic syslem lor additions VALUATION ? S11 , bfJ FAMILYBLDG MULTI Y pN SITEADDRESS _ - TYPE OF WORKR?E 120 0 6= FIREPLACE(S) _ 0 _ 1_ 2 APPUCANT I`0 NtfL ?ESTt?¢p'11 0 1`-122 STREETADDRESS'P-O !50 __ k -7 4-4 CITY AppL.e\'ftt_E'rSTATE ZIP 2EI22 TELEPHONE 0!9Z 43S I932 CELL PHONE # 6(2 3BS `7 "7"7 i FAX #efsz 0"Ifg I2s I PROPERTYOWNER (? 131/ 11771D rj TELEPHONE# 'IF2 foe- Z"12`l COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1':1 RliLES 7670 CATIGORY 1 _ MINNESO'1'A RULES 7672 (4 submission type) • Residential Ventilalion Category 1 Worksheet SubmiKed • New Energy Code Worksheet Submined • Energy Enveiope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Nicchaniril sys[em includcs: Air Conditioning Hcat Rccovcry Systcm Fee: $90.00 ? ? I1 i Psor??e?k C ;670.00 Sewer/Water Contractor. t- 'Phone # I hereby acknowledge that I have read this application, stote that the information is ct, agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Appltcc}nt?-?Q"-?.••.._ OFFICE USE ONLY _ Watcr Sofiener _ Water Heater _ _ No. of Baths _ P}ione # laali Sprinkler iVo. of R.I. liad Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 Elder-Jones Building Permit Service, Inc. ? ? 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concem: We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal By Anderson. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kaza Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East BOth Street' Bloomington, Minnesota 55420-1498 952-854-2854 °FAX:952-854-4909 ?-? ?? - - -- ? r- I.,zl:,-.(rl,'''- , -. SEP 2 0 7 U6/ V f/ LVI11 1t1U 1L: JII rA.i 104 a/1 4460 1(r1Y1$pAi, HY 9PIllE1(JCIV re al ifflmmw 7une 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, NIN 55122 To Whom It May Concern: Elder Jones is authorized to pull huilding permits for Renewal by Andersen Please allow Elder Jones to provide this service for us in Eagan. This auchorizaticm is valid fvr any date beyond 616101; until a Renewal by Andersen manager expressly revokes it in writing to the City_ I reqncst tlus authorization be accepted expeditiously, as to not delay in the processing of avr building pcrmits any fu.rthor. Plcasc cail mc if thca-- arc auy questions. I can Ue contacted at 763-502-4706. Your immcdiate attention to this mattcr is appreciated. Sincerely, Oymond R. &Rau nstallation Manager Renewal by A.ndemen Corporatian ('.c: Kara-F.ltier.Tnnec s c?eC4 -GC ??GY c?s s a.? J GHADA M. EL C,p?qAL NM?inn ?c ea0te M' OMnmraslon Evpup,yn. J7,ZppS VAI UUL! Ut1Z Received Time Juo. 7• I:OlPM : CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 Base Fee Surcharge Total Fee PERMIT BUILDIN6 027518 05/10/96 SITE ADDRESS: 4353 JASPER DR LOT: 16 BLOCK: 1 CEDAR GROVE 4TH P.I.N.: 10-16703-160-01 DESCRIPTION: (RQOFING) Buildin?Permit Type Fsuildir??j rk Type C e n s u s._C°. d, e ti ? , {i , ? ? ? •i.r??? ?'" SF (MISC.) REPAIR 434 ALT. RESIDENTTAL PERMIT TYPE: Permit Number: Date Issued: OR`7 . ! .+ REMARKS: FEE SUMMARY: vaLunTZON $29.25 $.50 $29.75 CONTRACTOR: I I $aee OWNER: - Applicant - KETTAVONG NHEUANG 4353 JASPER OR EAGAN MN 55122 (612)452-2585 I hereby acknawledge that;I;,have read thie aRplicatiop and state that the inforfnaCion`is corr'ect?an$ agree to com'ply°withall epplicable Stiate a'F Mn. Statuxes. and C;itx af E.agarn Qrd.inan,ces. A ? ?, ?wzs?. m lP?fl m? APPLICyiJ lPERMIT E SIGNATURE -ISSUED BY IG TURE ?? ? CITY OF EAGAN ? r? (? y?? lqgli 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauiremenls ? ? ? 3 registered slte eurveys 2 eopies oF plans (inctude beam & window sizes; poured ind. design; etc ) t energy wlculations 3 mpies of tree preservatlon plan H lot platted eRer 717/93 raquired: _ Yes _ No DATE: DESCRIPTION OF WORY STREET ADDRESS: LOT ? BLOCK RemodeVRenair Reauirements ? 2 copies of plan ? 2 ske surveys (exterior additions & decks) ? 1 energy celculations (or heated additions CONSTRUCTION COST: AILTI A VG AIfitEUA IUG Phone #: PROPERTY Name: i - OWNER rinat Street Address: Jr C PLR hY City: ? J State: ?1dI_ Zip: 2?- CONTRACTOR Company: nQ G? Phone #: 2 Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalry applies when address change and lot 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. Signature of Applicant: mY,p OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No .3(,d (-l 1)" ? ko -- k - H ?- , MASTER CARD /Z'/ OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Con}ractor Owner BUILDING PLUMBING 6L_o_ ? CESSPOOL - SEPTIC TANK WELL ELECTRICAI HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well _ FOOTI NG SEPTIC FOUNDATION CESSPOOL FRAMING 73i? TILE FIELD FT FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD I PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: r---------------- For Office Us- CltJ o1 EapR _ Permit#: 1 I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 ` I t'I Rece' ed: I 1 Date I Phone: (651) 675-5675 Fax: (651) 675-5694. 1 Staff: I L---- ----------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICA ION Date: V 3t < < Site Address: _ Stan Britton Tenant: 4353 Jasper Drive Suite Eagan, MN 55122 RESIDENT / OWNER Name: 6519050815 hone: Address / City / Zip: CONTRACTOR Name: lelORR1 M PI I IMBING-C+O. License ®I~/ ! W1 Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New Replacement _Repair _ Rebuild _ Modify Space - Work in R.O.W. Description of work: rev"z vver G few i PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) C_ Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ f I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x jeffi~em I,- - iyoax t x Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In< _Air Test- Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA137908 Date Issued:07/28/2016 Permit Category:ePermit Site Address: 4353 Jasper Dr Lot:16 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-160 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 - Stanley D Britton 4353 Jasper Dr Eagan MN 55122 (651) 428-3479 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153015 Date Issued:11/14/2018 Permit Category:ePermit Site Address: 4353 Jasper Dr Lot:16 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-160 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 - Stanley D Britton 4353 Jasper Dr Eagan MN 55122 (608) 808-7284 Comfort Heating & Air Conditioning Llc 12239 Nicollet Ave Burnsville MN 55337 (952) 217-4060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163667 Date Issued:09/09/2020 Permit Category:ePermit Site Address: 4353 Jasper Dr Lot:16 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-160 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Stanley D Britton 4353 Jasper Dr Eagan MN 55122 Estate Claim Services Llc 6701 Penn Ave S, Suite 201B Richfield MN 55423 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature