2010 Emerald LaneCITY OF EAGAN
3830 Pilot Krw6 Road, P.O. Box 21-199, Eagan, MN 55121
PHOh1E: 454-8100
BUILDING PERMIT Re«ipr °` ? 6? j
Te be wad ia r-' i'
Site Addrets -
Lot Block ' Sec,
Parcel No.
W Name
i Address
5 r;r., Dh
?$? Name . , i ? i S
O? Address
u?- City Phone -? ! ) (;
20,000
I hereby acknowledge thot I
the iniormotion is corred i
Stote of Minnewta Stotute
Siqnoture of Pertnittee -
' A Building Pemiit Is issusd t
oll work sholl be donerin ac
Buildirg Official t
this opplitotion ond stote tFwt
to comply with oll opplitoble
of Eagan Ordinances.
Erect ? Occuponcy
Alfer ? Zoning
Repoir p Firc Zorx
Enlarfls (5 Type of Const.
Move p * Storie?
?
Demolish ? Length "`
?-
Grode ? Depth
Sq. Ft.
ApPro vals fees
Assessment
Water & Sew.
Police
Fire
Enp.
Plunner
Council
Bldg. Off.
APC
Permit -• ?, • ? ?
Surcharge ' C
Plon check '
SAC
Wafer Conn.
Woter AAeter
Rood Unit
Totol
on t1N ezpress tondition tlxrt
Statutes and City of Eoqon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C. ?\GY Ct, C, (I T
Wetl
Water
Disp.
Sewer
EkctriC a y7 + (P A
Irnpectioo Date Insp. Other
Footinas
Foundation
Framinp ?.
Rouqh Plbq.
Rouqh HVA . q t?3Y,r
Inwlation .OV/ 49e
Finel Pibp.
Final HVAC
Final ?
Water Describe Location:
VYell
5ewer
Pr, Disp.
? CITY OF EAGAN Remarks-* Cedar Grove Acquisition
Addition_ CEDAR GRUVE #1 Lot $ Blk 10 Parcel 10 16700 080 10
Owner_;,?.?r . ????? ,:•:"::?_, 2010 nnerald Lane Eagan, MN 55122
? Street State
? J
Improvement - Date Amount Annual Years Payment Receipt Date
STREET SURF. ?S 1 1266,95 84.46 1
STREET RESTOR. .
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25
WATERMAIN
* WATER LATERAL 1972
' WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Recaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type ar Print legib/y
T
ot.
1. Date 2, Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial El Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
1 11•
No, Equinment 8TU - M. Ea.
Forced Air No. Equiament CFM
Ai
Mfg. r Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
tor
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454$100
This request void 1 L?? /?
18 monlhs fmm °? ??
A 47168 2-g410
Cc, '?J? I
45• n)
Request Uate
qQ
5-
- Fire No. Rough-in Inspection
Feqwr
[]fieatly Nuw?l'RJOlify InsPec-
lor Wh
R
d
.
i / es ?No en
ea
y
Cg-t?rcensed EleMncal ConV:actor I hereby request insPaction of above
? Owner electNCal wark installed at
Sireet Address, B
x nr Route No.
o CitV
/
?
/
? /? G ?'u.e/L-?/CC ? f+ 'o
ecuon o. Township Name or Nn. R;mqe No. Count
??
Occupanf I ?
7A Phone No.
Po SupD/t?er/ - / / Atltlress ?
Electrical Co7 VaF tor (Company Namel Convnctor's License No.
lL i? ? ?c7?.c< <
yy '
.1516
Mailing Address ICOntracmr or Owner Makinp Insta' ationl /
j
V V _ /l/ IU.P '
_CsP.
Authori e ' n tare ('ontractor/ n Makinp Instellationl Phone Number
'S'FZ - i
MINNEIOTp STATE BOARD OF EI.ECTNICITY ' THIS INSPEGTION HEQUEST WILL NOT
Griggs-Midwey eldg. - Xoom N-191 BE ACCEPTED BV THE STATE e0AR0
1821 University Ave., St. Paul, MN 66104 UNLESS PROPEH INSPECTION FEE IS
Phnnw 18121 297-2111 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION „ Ee-ooooi-oa
, Sea instrvctions for comoleting Ihis Iarm on beck of yellow copy.
A 47 168 ""X" Below Wor-W-'@G_-_xed by This Request
add neo. Tvoe of auiiains Aaouuncns wi.ea En"iumenc Wired
Homa Range Teniporary Service
Dupiex Water Heater T yhtiny Fixtures
Api. BuilAinc? Dryer ectric Heatin
Commercial Bldg. Fum2ce lo Unloader
Industr121 Bldy. Air Conditioner Bulk Miik Tank
Farm oma, Pe,irv omer tsuecrrvl
thnr Suocify iher Othvr
ompute /nspection Fee Below
N Fee SevviceEntranceSize p Fee Feeders?Subfeatlers fl Fee Clrculls
/OrOD 0 to 00 Am s- 0 to 30 Am s O J•? 0 to 30 Am s
Above 200 qmps 37 to 100 qinps 31 to 100 A s
Swimming Pool Above 100-Amps ?+ATM?)y
TranS4ormer5 Irrigation Booms Partial:'Other Fee
Signs Speciallnspection
Sr
TO
Aerryrks
,
O
yy j
6F.EE ?
I
'Q
Rough-in th ecVical
?/ InsPector, ?ereby
cer fy thxt the above
Final ?action has been
r w? /7li id' de. Thle request voitl 18 monihs imm
CITY OF EAGAN
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 N? 9000
f PHONE: 454•8100
BUILDING PERMIT Receipt #
Te ba wed fer DINING RM ADDEst. Volue $20,000 Date APRTL ?S , 19gA_
Site Address 2010 EMERALD LN Erecf p OccuPancy
Lot $ Block ED
GRV
ub
0 1 Alter ? Zoning
Parcel No O
080
10
16700 Repair ? Fire Zone
.
Enlorge Type of Const.
W
Name MR & mrs ralph otte
Move ?
# Stories --
= Address Demolish ? Length 14
? City Phone Grode ? Depth z OSq. Ft.-
rc LIFETIME ALUMINUM Approrab Fee+ _
o Name
ot Address 3409 W. 98TH ST
"? CitY BLMTN phone 835-1100
?s DAN MANSVELDT DESIGN
wW Name
?
_o Address
?b Cicy BURNSVILL?'j,o„e 894-3208
I hereby ocknowledge thnt I hcve read this npDlitotion ond state that
the informotion Is correct oryl agree fo comply with oll applicnble
$tate of Minnesoto $totute"nd City of Engon Ordirwnces.
Sipnoture of Perm
A Building Permit is
oll work shcll be doi
ASSessmenl Permit S 140. S 0
Woter 8 Sew. Surcharge 10, 0 0
Police Plan check 70.25
Fire SAC
Eny, Woter Conn.
Planner WaterMeter
Council Rood Unit
Otf
Bldg
.
.
APC 7
Totol $ 220. 5
HLUMINUM on the ezOress conditlon Ihnt
Stofe of Minnesota Statutes and City of Eagan Ordinances.
Building Official -
EAGAN TOWNSi-IIP
BUILDING
O WIIBC ??._/.>h!???4ly?? !4%.....
Addresa (Preaeai) ..__'---------`?----?---...------"-------------
Suildex ...------°-°--- ---
?c-?--'----_...--------?----_ _-
Addreu ..... .
PERMIT
DESCAIPTION
NQ 361
Eagan Township
Town Hall
Dale .-Y...?/4- ??,•?..l...-..._._.
SSOries To Be Used For Fron1 Depih Heigh! Esi. Cos! Permi} Fee Remarks
??.p?- "I ,.?'• ? . /?'?- ?'?K/? \ LOCATION ? in. Lof Block
x
This permit do¢a nof" auihori:e the use of siree(s, ro5ds, alleys or sidewalks nor dbes ii give the owner or his agent
the right fo create any siluafion which is a nuisance or which 'presenis a hazard Yo the healih, safely, ccnvenience and
general welfare !o anyone in ihe cammunity.
THIS PERMIT MUST BE E?' O THE PR IS WHL?.E THE WORK,IS IN PROGRESS.
_ ?j ,,vGThis, is fo eeriify, Yhai. .jjl??.. ,?...has permission fo erec! Ar??.... .. ....upon
the eSo e described 'ecS. !o the provisions of the Building Ordinance for Eagan ownshigi dogied Anril 11,
1955 , ? ? .
'- 4 ---- . ..,1--- -'- '--- `---.....-- Per -------._. .
.. . .. ..... - - - ..._ . ._ --?---....._---------.....
-
Chai man o oard Huilding --
- Inspecior
CITY OF FAGAN Include 2 sets of plans,
? 1 Gertificate of Survey •&
-"? BUILDING PERMZT APPLICATION 1 set c£ ener calculations.
'Ib Be Used Fo?U/N? Valuation ? Date ??`l
Site Address ? xvf
Lot ? Block l0 Sec./Sub.&-L ? Erect
Parcel # : Alter
Owner: 0-_2Me 4, ( ) T? Enlarge
Address:o2 a M°ve
Demlish
City/Zip Code: Grade
Phone #:
OFFICE USE ONLY
OcctzpancY
Zoning
Fire Zone
'Iype of Const.
# Stories
Front 14 ft.
Depth kp ft.
Z APPROVALS FEES
,
Contractor: Assessments Permit
Address: 3?{G?( Cr? -`?8t`° S?= ?4ater/secver surcharge
Police Plan Check
City/Zip Cocle: 66?. fjY?jFire SAC 'r
Phoxe #: -?r 3 S" !( o o ? Eng • Water Conn.
Arch./Eh9•?T)A,/J?/?i4..?S%/C???- ?<<y
Address:
city/zip coae:
Phone #:
Planner
Council
Sldg. Off.
APC
Water Meter
Road Unit
_? TOTAL 0
? `?
? 9 r
L
tN
2 V
//? v
(1,Z)
?
?
?-D
J?
Use BLUE or BLACK Ink
r
For Office Use
I
Permit
41 Win
City of Ea
I
Permit Fee. tov
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 0 r 0 4E wu r 6 d
1 r..! Unit d\/ L,,+
Name: VV r ~sl /A-" Vkt J 6~✓ l Phone: 2• Z-S U i V W
Resident/
Owner Address / City /Zip: "i ~b 1(f IL U wo4 / fV/ ~
Applicant is: Owner Contractors
Type of Work Description of work: IC •-'c.✓ " pL
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact---~:I-/m4 S'C V Vn *Mi "
`G°~ nn i c o ~ Ll~'~AxJe 3
Address: YV
Contractor City: rt,3 \j'
State: ~h Zip: J Phone: lJ~ Ci
-License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.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 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.
rJ.--~-:~~
X ~ l G t c-~rvt<; N i
J
X
Applicant's Printed Name Applicant's Signature
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