1997 Emerald Lane
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1997 Emerald Lane
Lot: 7 Block: 9 Addition: Cedar Grove 1st
PID:10- 16700 - 070 -09
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Bernhard Ringberg Jr
1997 Emerald Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
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
Issued By: Signature
Building
EA090280
07/21/2009
ePermit
A.
CONTRACT PRICE:
Site Address
Lot ? Block
? Name
w Addre
c City _
? Name ?
c Address
O Ciry
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
I
MECHANICAL PERMIT
? CiT'?OF EAGAN
3830 PILOT KNQB RQAD, EAGAN, MN 551
PHONE: 454-8100
BLDG.TYPE
ec Sub
Res.
Mult
?j ,•-, Comm.
i
Other
PERMIT #
G
DATE:
WORK DESCRIPTION
New
Add-on
Repai r
; FEES
`
RES
HVAC 0-100 M BTU
-$24
00 ?
.
ADDITIONAL 50 M BTU .
- 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) 50 EA
- 1
COMM/IND FEE - 19'o OF CONTRACT FEE . .
l' M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
M BTU $ REMODELS - 12.00
M BTU $ ' MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 ?
CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
FEE
- ?
S/C:
r SIGNATURE
E ;
.'
TOTAL• =?d(4 '?
1
FOR: CITY OF EAGAN
? M
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CITY OF EAGAN Remarks * Cedar Grove Acrruisition
Addition C.EDF?R GROVE #1 Lot 7 Blk ? Parcel 7 767no 070 ag
Owner )r ?ha v') Street 1997 Eaierald Lane State Ea441, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. F-e S 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN 5EW TRUNK
* SEWERLATERAL 1972 1 304 0 5
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ?
BUILDING PER.
SAC
PARK
ii .j1W es'XJ`J
? 7456?
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,
-/r
Fipuest Date
I
/?
O ??
? Fire No. Rough-in nspection
I
pepuiied7
p fleedy NOW ? WIII Notity Inepector
When Raetly7
2
. ti C ? Ves o
9 El licensed conhactor ? owner hereby request inspection of above electrical work at:
Job Addras?sp(S?tre?et/ , Box w Raat?a.NoJ
1p{i 1 ?rr Ciry?y ?
L /"
Secllon No. Townahip Name or No. Renga No. Counry
OccuOant(PRINnI
/7
7eD1
? Phona Na.
Qr
? 1 N
/
Power Suppliar Adtlrase
Eledrical CoMractw (Camperry Name) Conlreclork Licenee No.
Yo e!! 41
Mailirp Atltlreee (ConireGar or Owrier Malung Installation) /
A?I? Signature w er Maltirg InetelWHOn) Plw/ne NumbaQr
MINNESy/w STATE BOARD OF ELECTPICRY THIS INSPECTION REQl/EST WILL NOT
Grlgg?A6dway Bltlg. - poom &773 BE ACCEPTED BV 7HE 3TATE BOARD
1827 Univnelty Ave., Sf. Peul, MN 55106 UNLESS PFlOPER INSPECTION FEE IS
Phone (612) 802-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ^- Ee.ooom-o7
? See instrudions br compleiing this form on back ot yrellow copy. f(?P`-?? JC
uU O'
?. 7 745 6- "X" Below Work Covered by This Request
ew Add Rap. TypeolBuilding AppliencesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
Other(specHy) mractor§ Remarks:
Compute Inspection Fee Below:
# Other Fae # ServlceEntrence5ize Fee # Cirouks/Feetlera Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
7ransformers Above 200 _ Amps A6ove 100 _ Amps
S19f15 InspBttorS Use Onty: 7pT/?
Irngation Booms ? ?
j ?
Special Inspectlon
Alarm/Communication ?J
Other Fee
I, the Efectrical Inspecto5 hereby
certify that the above inspection has
been made. Rouqn;n
f
Final
e oWe
L'
OFFlCE USE ONLY
This requast void 78 momhe irom
r?
?4 s94 ? ?9 -a??„ _54-''
Reques? Date
9??Cj ^n \ Fire No. Rougbin Inspection
Fequiretl'
G Ye5 : No
eatly Now ? Will Notity Inspector
When RBatly?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atldre ?Street. Box or e No.)
?9-7 n Ciy
Section No. TownShip Name or No. Range No. nty ?'
L?
Oc nl (PRINT) ?
C)kK 1 '?' ? 1 \? ? W:'1 Pporre No.
Power Supplier Atleress
Elect c C. Vactor ICo pany Nam??? , Co racm 5 L¢Oenl
` ?
Mailing Atltl ss ConVador or ner Makinq InStallaL
?a? ?? r? s
A ibqrizea i9naWr
e i nbactodOwner Making I slailation?
rS S-
Pho?? n?, p Der -3 ?
MINNESOTA STATE BO D OF?ECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlqgs•MlEway BIE oorp 5-p3 BE ACCEPTED BV THE STATE BOARD
1821 University Ave. PauIWN5510C UNlE55 PROPER INSVECTION FEE IS
PMne (612) 602-0800 ENCLOSED.
io/s F,roL-
a 4394
REQUEST FOR ELECTRICAL INSPECTION
,P $ee insbLclions kr completing this form on back ot yellow copy.
"7(" Be/ow Work Covered by This Request
EB-00001-0e
ew Rdtl Rep.° Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other-(SpeCity)
Comm./Intlustrial Fumace
Farm Air Conditioner
Other(sVecity) Gonvaotork Remarks-
- I Sa?rs ?wit on ?
Compute Inspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuifs/Feeders Fee
Swimminq Pool 0 to 200 Amps o to 100 Amps
Trensformers Above 200 _ Amps AbovelO0 --\ Amps
Signs Inspecwr§ Use Onty: ' 'fOTAL
?
' Irrigation Booms r? / l?
Special Inspection I ?
Alarm/Communication TMIS INSTALLATION MAY BE ORD ED DI ONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RougM1-in
Finel ( oata
oare
eG -7
OFFICE USE ONLY ?
This request voitl 18 monlhs imm
EAGeA?1!I TOV!/NS H 1 P
ILDIIdC; F?ERMIT
Owaex
Address (preseni)
Builder
Address
DESCRIPTION
N° 421
Eagan Township
Town Hall
D(t --- 7? •'-/? .?---...
Siories
' To Ba Used Foz FronS De !h
p Hei hf
g Esl. Cosf Permik Fee Remarks
V ?? ?47 ( GYwi
?
LOCATION
sxreex, Hoaa or oiher Descsip2ion of Loeaiion I Lo! I 8lock I Addifion or Tsact
ie
This pexmii does not aulhoriza ihe use of iireels, roads, alleys or sidewalks n97 does ii give the owner os his agent
the righY !o creafe any siluation which is a nuisance or which pxesenls a hazard !o the healfh, sa4ely, convenienee and
general welfare !o anyone in the eommunify. -
THIS PERMIT MUST SE KEPT ON THE PREMISE WI3ILE TFiE WOAK IS IN PROGRESS.
This is !o cerlifp, fhat------------------------------------------------------------- .has permission to erect a------------------------------- ......................... ..... upon
the abov c d pie ?xn;'e?suyjgc! ;o the provisions of the Buildin4 Osdinance for Eagan Township xdopied April 11,
?--?g??(??M*d --
`.....
.... .. ........... r.---.. -----.. Per
a ... --- - ---- --- ---- -- - Building --. - InspecSor -- - ...---._._...
eas??
(
EAGAN TOWNSHIP
BUILDING PERMIT
T
Ownex ........ ?..4.....- - '-' - - ------- ------------- ?'-------....
Address (Preseni) ----LI'97-"' '-'•-------- .............'......'------------..
Builder
Address
DESCAIPTION
N° 1309
Eagan Township
Town Hall
Da2e ...... 14.l...4.!''-_'-"""--"_"
6toriea To Be Used Fos Froni I Depih Heigh! Esf. Cos2 Permi! Fee Remarks
--? ? '-
? .?(.?iH.L7•? I?
LOCATION
Street. Road or ofher Desezip2ion of Loeation I Lof I Block ; Addirion Or 1'zaef
7191 e???
This permii dces not aulhorise the use of streeis, roads, alleys oz sidewalks aor does it give the owner oz Lis agent
the righ! !o create any silua3ion which is a nuisance or which presenfs a hasard !o the healfh, safefy, convenienee and
genesal welfare So enpone in the communiYy.
THIS PERMIT MUST BE KEP ON T E PREMISE WHILE THE WORK IS IN PROG ESS. .
This is to cerlify, thaf.?l..- -."--- ?. ...._.....' "" ................. has permission io esec! a__...?_..upoa
the above deseribed premise su6je !o ihe ronisions of the Building Ordinanee for Eegan Township adopfed April 11,
1955.
" //?j} '-?O-O, /J?- p/
'_'---------------- ?i. !-.Q.......Y?":`-''?-4
1['L./L?^--?a.?...5?....._._... Per
."...... ---'
....'_ ...._' ' "" p--?P..?.l?--•••-.---.
Chairman of Tnwn Board Suildin Ins eofor
4 ' '0.
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1._f. 9.U ? I 3830 PILOT KNOB RD - 55122
? 651•881-4675
e-Q?A?.?.? 2 2b-? a
New Construction ReauiremeMs RemodellReoair Reauirements
. 3 registered site surveys showing sq. @. of lot, sq. fl. of house; and all rooted areas • 2 copies of plan
(20°h maximum lot coverage allowed) . 1 set of Energy Calculalions for heated additions
• 2 copies of plan showing beam & windorr sizes; poured found design, etc.) • 1 site survey for exterior additiore & decks
• 1 set of Energy Calculations . Indicate if hqne served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted aRer 711/93
• RlmJoistDetallOptionsselecdonsheet(6ldgswilh3orlessuniGc)
p'U
DATE VALUATION o?? 6OU
JOB SITE ADDRESS / "/7 4??NZa-- q L -
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OP WORK 6 FIREPLACE(S) _ 0_ 1_ 2
APPLICANi ' '10PHONE#,,&3 f7?-e40/
ADDRESS S? S?/7 ?,•Y?/ ?ct ???? i r. d Ie.i ZIPCODE
PAGER# PHONE ??-",'I -/J 9 ?Y FAX# 7G3 j?a-zn?
NE7V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Conhactor:
Plumbing Systcm Includes:
Mechanical Conhactor:
Mechanical 5ystem Includes:
Sewer/Water Contractor.
MINNI:SOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener I,awn Sprinkler
Water Heater _ No. of R.I. Baths
No. of 13alhs
Phone #
Fee: $90.00
_ :lir Conditioning Fee: $70.00
_ Heat Recovery System
.- __ oT
??
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informati
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
5
? agree to comply
Certificates of Survey Received _ Tree Preservation Plan D"eived ! Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
0 31 New
x 32 Adddon
? 33 Alteration
? 34 Replacement
? 20 Pool
"K 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Daors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 4400 Occupancy MC/ES System _
Census Code ? Zoning Ciry Water _
SAC Units (9? Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs ? Length Fire Sprinklered _
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings(new bldg) FinaUC.O.
Footings(deck) ? FinaVNo C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tesu _ Final
Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_
Insulation Retaining Wall
Approved Byz: Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
58W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 14 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
C)O Ji'LG ol 0i u M
Yd-?-(, (?
5-&5? 1-7 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #(
New Conslrudion Reouirementr RemodeUReoair Reauiremenfs Office Use OnN
3 registered site surveys showirg sq. ft of lol, sq. ft of house; and all roo(ed areas 2 mpies of plan Cert of Survey Real
(20%maximum lot mverage albwed) 1 setof Energy CaIwlaOOns torhealed addNOns Tree Pres Plan Recd
2 copues of plan shaxing beam 8 window sizas; poured found design, etc. 1 slte survey (or additions & dedcs Tme Pres Not Reqd
1 set of Eneryy Calculatlons Addttion - indicate if on-sde sepUc sysfem _ Oo-site Sep6c System
3 copies of Tree Preservatbn Plan if lot pWded a8er 711193
Rim Joist Defail Options selaction sheet (bldgs with 3 or less uni6
Date
SiteAddress 7?j
/'?-G??t p-'? _ C? G
/ Construction Cost
'^&/? (? UniUSte #
Description of Work 'Ca/' r)'F'
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 7-Ccl' p? ?'?'1Gar j Telephone #6v)?`-'7 ?? 36 7
Contractor Q e^^D? ?/? tl?s
Address Ylj S
State ' u11t/ k /4Z 6- /' ? •
yl,01V
Zip-_5?15/ City.
Telep6one # (9() ?y 6C?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code CategOry . Residential Ventllation Category 1 Worksheet . New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations'Sub itted
Licensed Plumber ;?
Mechanical Contractor 4pR 0
Sewer/Water Contractor
it iy ) .-7,5,
Telephone #( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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 ofplans.
n' ke- -?--
'Applicant's Printed Name
ApplicanYs Si ture
to ' +? (le (0 RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
01CQ'1!L
New ConsNU6on Reouirement5 RemodeVReoair Reouiremenis Office Use OnN
3 registered site surveys showing sq. R of lot sq. ft of housa; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N
(20%maximumkicoverageallowed) lsetofEneyyCalculalansforheatedadditlans Tree Pres Plan ReM Y _N
2 copies of plan showiig beam & window sizes; poured found design, etc. 1 sRe survey for additions & decks Tree Pres Reqd Y_ N
1 5et ot Energy Cakulations Addition - irMicate if onsife sep5c system On3ite Septic System _ Y-N
3 copies of Tree P2servation Plan if lot platted a(ter 711f93
Rim Joist Dehail Options selection sheet (bldgs with 3 or less units
Date ) / 1i (o / V,?J Construction Cost C-DD ::;C)
Site Address l'?1r9 7 L`XIER4Lb LA) Unit/Ste #
' A C
Descripdan of Work /"jS7?Ia.l- 6-12 577)a,'` 6 A J-) G?7 G U"C
Multi-Family Bldg _ Y_ N Fireplace(s) _ 02
Property Owner AN 7 13CrAM?D Telephone #(&51
Contractar 6/dc- Jl x - l/Gw??
Address 3?i5D c..) h6w41 i3 City 4w?5aac
State Arv Zip Telephone #( Qs L) 8? ?07J`? ?y??ySSA
COMPLETE THIS AREA OPILY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet •New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope Calwlations SubmiUed
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contrpctor
Telephone # (
Telephone #( ;?
n
Telephone # ( . '<
iilll,
I hereby apply for a Residential Building Permit and acknowledge that the inform?ion is complete and ackurate;
of'Eagan and theace-?f MN
that the work will be in conformance with the ordinances and codes of the City
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 the case of wor which requires a review and
approval of plans. ?
`
Applicant's Printed Name Applicant' Signahue
2006 RESIDENTIAL MECHANICAL rERMIT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemits aze required for each unit
*3o,5d
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Contractor J
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StreetAddress
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State Zip Telephone # ( ??3 ) 5119 - S
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on
l Expires:
The Applicaot is _ Owner Contractor _ Other
Add-on or alteradon to existing dwelling unit $ 30.00
_ fumace _Additional ?Replacement _ New
air exchanger
i
?
diti
r con
a
oner
heat pump
other
State Surcharge $ .50
Total $ ,,cD
[ hereby appiy for a ResidenUal Mechaziical Permit and adcriowledge that the information is complete and accurate; that the wak will
be in conformance with the ardinances and codes of [he City of Eagan and with the Mechanical Codes; that [ understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that,!$e woA yVill be m accordance with ttte,
ap roved plan in the e of work which requires a review and approval of pl
? ?
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ApplicanYs Printed Name Applicant's Signature
Q ??snugl
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ET,S4;-.9 NoVSG
y3'
S;?pvF L+ETEGTORS (Battery oPerated o.k.)
F?_ --? nn,? F?tL LEVELS OF 7NE HGUSE
?LEEpING ROOPIIS. ON LEVELS
CvivTtllN G SLEEPItdG AREAS• CEIdTRAI.LY
LOCRTE WIOKE 9ETEGT96? IN HA6LYdAYSo
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DATE
ING INSPECTIONS DEPT.
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA105271
Date Issued: 07/05/2012
Permit Category: ePermit
Site Address: 1997 Emerald Lane
Lot: 7 Block: 9 Addition: Cedar Grove 1st
PID: 10-16700-09-070
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Kris Oien
Comments:
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Champion Plumbing Bernhard Ringberg Jr
3670 Dodd Rd., #100 1997 Emerald Lane
Eagan MN 55123 Eagan MN 55122
(651) 365-1340
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118301
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 1997 Emerald Lane
Lot:7 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Kelly Meyer
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 -
Bernhard Ringberg Jr
1997 Emerald Lane
Eagan MN 55122
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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I For Office Use I
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• � Permit#: � ����K�' �"—
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y � � Permit Fee: I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 j Staff: j
Fax: (651)675-5694 �________________�
2015 SEWER AND WATER REPAIR / DISCONNECT PERMIT
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Date: C� � Z L � ( � Fee: $65.00
City Sewer City Water �Repair Disconnect
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Description Of Work:,�0 �sl�/���Z (�� � �'�!/(� ��� y
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Street Address for Proposed Work � / 7� �� L�-� 1-'J 1=N
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Name: �� �����lZ� Phone:
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Address/City/Zip: � �� � E%��-�'�J G�
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� �, �''' Applicant is: Owner ,�Contractor
Licensed Pipelayer Master Plumber� Property Owner
Name: �S i�t� f M�����t�N�"'� Phone: l D ���z Z z'��.�V Z
Address/City/Zip: 2 3'3/� �1�� (��w � �.3� � �C..QSt l�► �1 e �j����
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Pipelayer Training Certification Card#: or Master Plumber License#: � l� � 7
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is not ermit, but only application for a permit, and work is
not to start without a permit.
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Applicant(Print Name) A icanYs Signature
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.gopherstateonecall.orq
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173469
Date Issued:11/15/2021
Permit Category:ePermit
Site Address: 1997 Emerald Lane
Lot:7 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul & Jennifer Dipietro
1997 Emerald Ln
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature