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2004 Emerald LaneCITY OF EAGAN Remarks * Cedar Grave Acquisition Additio? CEDP,R GFbDVE #1 Lot 9 Blk 10 Parcal 10 16740 090 10 Owner ''=- ?f ? r! Street 2004 F?nerald Lane gtate Eagatl, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 , 8 WATERMAIN * WATER I.ATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNS6-IIP BUIL.DING PERMIT Owner. ??.. Address (Preaeni) ---- - f -...: . - --------:....__..--.....--..........._ .... Huildez ......" ............:l... 4f.t. .......... .........__..._._..._.__....__. . Addrese ----------------------------- ._ . ? - __.--...----....----._.__...._._..........___ or LOCATION N° 361 Eagan Township Town Fiall - , A? ? / - Thisperm Vdces nof authorize? d.?? ? !he use of streef?' rd , alleys oY sidewalks nor d s ii aive !he owner or his aannt !he riqh2lo.ereafe any situaSion which is a nuisance or which presenis a hazard fo !he heallh, safely, convenienae and geaeral welfare fo anyone in ihe communify. . ? THIS PEAMIT MUST BE EO TFIE PR MIS WHILE THE WORK IS IN PROGRESS. ,j??' , . ? This is !o eeriifp, Sha!_ ?.6L?..?L1Y,.?__has pezmission So erec! - - -1------F.':??. ?Z ...... ....upon - !he abo e described 195 ps 'ecY--to !he provisions of She Suilding Ordinance for Eagan ? iownshi, X donled Anril 11, `_-. . .. ..- - - ?--------- Per ` rr -"----. ...._.. -- - - `- .... _ .._. ----.._.......... ._-------- . -... .. .. Chai man of oaxd . -- Building Inspeci:.r t' EAGAN TOWNSHIP BUILDING PERMIT Ownex - ----------------"__.--------------" Address (preseni) ...? p - -- ..._ - ...... ---e.---.?-?('. ....._'- - .. Buildex ......1???.....?'Z?.:.....?C! ...:....................... Address .------^ a---... ? Q c QL...-? '_'_" '_'__"""........................ .._. DESCRIPTION N° 838 Eagan Township Town Hall DaSe °-'?'0`5?6-Z :................-- Sfories To Be Used For Froai Depih Heighi Esi. Cos! Permi! Fee Remazks foo?-- ?7- I/ -:2-3 LOCATION s¢reex, noaa or oxner uesenpxion ot i.ocaxion I LoS S1oc8 Aaaition or Traci y /a &-4? -.2,1 . ,xe- / This permif doea nof aufhoriae the use of slreeis, roads, alleys os sidewalks nar does if give !he owner or his ageni the righf io creafe any situaiion whieh is a nuisance or which presenfs a hasard !o the heallh, safeip, aonvenience and general welfare !o anyone ia the communiip. THIS PEAMIT MUST BE EPT ON TH PREMISE WHILE THE WORK IS IN PROGRESS, This is Yo cerfify, Shaf._!5?-?:c? ."----------------- hes permission !o erect a....... ""' __----..----_-P p"."'_"P ..upon the above descri ?emise subjec! o ihe visions of the 8uilding Ordinance for E n Townshi ado ted A ril 11, 1955. %?/ q /J ._......._.__ ..._.....".._.?Z2'--•-------°.._.. Per ........................ __.?..-..?('.. ?.."._f!°..-.-:..._??...._..........'...'.. Chairman of Tnwn Board rSuilding Inspec2or to9 -? z 7 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?3 N?o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when permiu are required for each unit Date J ,6-- Site Address •?C? y ?a,.. ? ? Unit # Property Owner ? Telephone #( 6S/ ??-?- )_ j(S.(L- 3V'a Contrector Sheet Address /,),ev M?, CiTy ?Q ? ? _?,?..,,J State ??24 9 Zip Telephone# (k?s`j 4QS"?? Bond #: Expires: K The Applicant is _ Owner tractor _ Other ? Add-on a teratio ' existing dwefling uni[ $ 30.00 10 furnace _Additional k/Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ 50 Total $ 30 ?-? I hereby appty for a Residential Mechanical 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 with the Mechanical Codes; 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 p] ?oGFr2. Tpl1rf1 , S??) -= Applicant's Printed Name Applicant's ignature f„? t9 ?i RESIDENTIAL BiJILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair ReauiremeMs Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all raofed areas 2 copies of plan Cert M Survey Reoi (20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree P2s Plan Recd 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Eneyy Calculations Addifron - indicate ilon-site sepflc system _ Onsite Septic System 3 copies of Tree Preservation Plan if bt platted after 717/93 Rim Joist Depil OpUOns selecfion sheat (bldgs wiN 3 orless units necea_u_ / Site Address Description of Work Multi-Family Bldg Property Owner Construction CosY y oo L, UniUSte # Contractor RMA HOME SERVICES INC. Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste.#200 State Atlanta, GA ^0339 763-542-8826 BC-20268257 Telephoue # (? City lephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) - Submilted Suhmitted • Energy Envelope Calculafions Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( - - - - '-' J I hereby apply for a Residenfial 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 EQ9n:aridL#ke=5tata"of TGIN 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 work which requires a review and approv*l of plans, ApplicanYs Printed Name Kpplicant's Signature _ .. _ .. .....tr.o??.?o? _ . _ . _ - Installed Siding and Windows LIMITED POWER OF ATT.ORNEY c;uuN i r ur c:OBB 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 RMA Home Services, Inc., DBA Home Depot Installed 5ales located at 660 Mendelssohn Avenue North, Golder. Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true 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 and 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 Power of Attomey ara ]imiteci solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21 st day of IvSay, 2004, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. INT WI"!NE.SS WHEREOF this Limited Power of Attorney is e.xecutcd this 21st day of May, 2003 . David N. Katz SWOILN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 200? Notary Paic in for the State o eorgia My Commission Expires: January 21, 2006 396816.v3 ' Proudty 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-DEPO;T ??y 2007 RESIDENTIAL SUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVuc6on Reouirements 3 registered site surveys showing sq. H. of lot, sq. fL of house; and all roofed areas (20% ma)cimum lot coverage allowed) 1 Soils Report N proposed building is to be placed on disturbed soil 2 copies of plan showing beam 6 window sizes; poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree Preservation Plan it lot plaried after 7l1/93 Rim Joist Detail Options selectlon sheet (buildings wAh 3 or less uniGS) Minnegasco mechanical venUlaUon form RemodeVReoair ReouiremenLs 2 copies of plan showing footings, 6eams, joisfs 1 set of Energy Calculations for heated atldiUons 1 site survey foradditlons & decks Adddion - indicafe iion-sife septic sysfem ov?&J ? Plans are considered public information unless vou state thev are trade secret a?c7 the reason. Date -7 l 1 7 / 6-7 Constructiou Cost42,c» e,) SiteAddress 20U L/ Unit/Ste # Description of Work aylbiaxx ,JL?'LQJ ? Lt?LY?U? (AL 11t.Qlvl-? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ProperTy Owner ? j v?? ?-{,C$ryv Telephone t! 16 S(o Contrac[or Address a,0 State MAJ l(c City Zip 5?5? L) Telephone #(95,)?(I bc1 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I (J su6mission type) • Residential Ventilation Category I Worksheet Submitted • Energy Envelope CalculaUOns Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor apply for a Residential BuildinR Permit Telephone #( Telephone # ( Telephone #( Office Use OnN Cert of Survey Rerd _ Y _ N Soi6 Report _Y _ N Tree Pres Plan Reotl _Y _ N. Tree Pres Required _Y _N On-siteSeptlcSystem _Y _N acknowledee that the information is complete and e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, an out a permit; that the work will be in accordance with the approved plan in the case of wo ?r1jtflrW and approval ofplans. UL 1$ 2007 f :5?= ?l w-e t LL--? ? ._ 5 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvoes O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ' ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ;W 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt DeSCflqtlOn: Water Damage _ Yes E 3l/? Valuation Occupancy MCES System - Plan Review lWl 00% or 25% Code Edition AT 7 Census Code Y.J y Zoning ?? City Water ` SAC Units Stories ? Booster Pump # of Units Sq. Ft. - PRV - # of Bldgs - Length - Fire Sprinklered i Type of Const I?L?J Width , REQUIR ED iNSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/G as Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace R.I. AirTest Final ? Windows _ Insulation _ Retaining Wall Approved By: Base Fee ? Surcharge TotalBuilding Inspector Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment PFant i ' License Search Copies Other Use BLUE or BLACK Ink r-----------------� I For Office Use � ' � Permit#: I J J u ' �j Clty of �� o�a � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date:�� Site Address:�� ,rt�i.�'/`�� ...�' Unit#: ' Name: /�!/�e A'��Cf/LJ Phone: R+�Siden#J ��y�g� Address/City/Zip: �e�� N1e�l'c��c,� �i�J� ; � Applicant is: Owner Contractor �� > � Description of work: ��oo� T��:e ca�,1�1��'� ,� Construction Cost:�� - � v Multi-Family Building: (Yes /No� Company:,��a��'��'��--vs Contact: �� /`�.7�� >-. Address: "�}g7� S� -�i — iVt City: T� �,��,• �r Ot'1�t'c'iCf01' State:�ZipS`��-- Phone: 6 �'��mail: 7�'K�S�Q�.�.Crs ;: License#: ��.��7So � Lead Certificate#: If the project is exempt from lead certification, please explain why: � � a �..� �..�0 � n�',�'P.�w v�� q� �e��0 �..�` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NUTE;�PIa»��i��u�p�r�rng dc��rr��nt�tt��r�►.u.�u�ra��a�e�ar��rcf�retl t�a b+�p�rblr"�rr�fo�r��#�r�r�� P+��io��+f�� a��.��o�r�rr rrt�,y�e��lassi�"��d"�,�r�+�rr�cr�lic�f,�c�r��►��d��pecr'f��rea��r�s that weutd��rrr�rt tl��e��r,�c� �; car�catu�'+�t�aat tt�� '.,ar�e�'raale secr+�a�sw . . , ; � a .: �,..... ��t _ 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.qopherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x I"A�( /�e��M4i✓ x �� 'I Applicant's Printed Name ApplicanYs Signature Page 1 of 3