2017 Emerald LaneF REQUEST FOR ELECTRICAL INSPECTION ,r ee-0000 1-03
GnJ 12 7 7 0 ? Sec instructions for comple[ing this farm on bnck of Vellow copy.
"X" Be7ow 4Vork Covered by This Requesi
N Add Rei "Yype of Building APOliances Wired . Equipment WireA
Home Range Temporary Service
- Duplex Water Heater Liyhtiny Fixtures
Apt. Buildiny Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank
F3rm Other ueci y - ther (Speafy)
t er Speclfy Ot er - Other
Compute lnspecfion Fee Below
q Fae ServiceEnVancaSize k Fce Fnadars/5uhteedcrs # Fee Gircuits
0 to 100 Am s 0 tu 30 Am ps Ili 0 to 30 Am s
101 to 200 Amps 31 to 700 Amps 31 to 100 Am s
A6ove 200 Amps Above 100_Amps Above 100_Ainps
Transiormers RemoteControl Circ. Partial,Otherfee
Signs ia nsp S T
Fnmarks
' ..
? Q? OTAL FEE
, S°v.t CAYi
Rough-in '?
c f C) te
`?
7/i 1. tha Electrical
Inspactor
hereby
a
? ,
Pinal
DX'1.? ,(h cartify that the nbovo
inspection has baen
mede.
This reyuest vo,A
18 momhs trom
This request veid -7 ?v
16 rtpnths frnm
?„9 1?2 7 7.0
Ll.;2t 97 1 CPd.arGroUt- (s-? 37-Z 7 t
ob
FeQUeSt U.I. . Fire No. Rouph-in Inspection
Reqm ?
OReady Nuw ill Nolify
Inspec-
_ 7-/ y ?J es ?Nu ,
??r When ReatlY
icensetl Electrir.al ConVector I hereb ra
. y quest inspection of above
? Owner electrical work instelled at
Stree[ AAAress, Bax or Roore No. CiN
.
// ???/Y?/'?' ,?A/
?/f'?'?
ecUon w TownShip Namn or No. Ranye No. Coumy
Oer,upxN (PRINT) Phone No.
v
Power Sup
olier '
Adtlress
zfc
bhk
Electtical ConVaclor ICOmpany Namel . C.nhactou,'s I.icensu No.
.iL[-
M. Jine 4ddress (Conlraclor or Owner Making Insteilatlonl
Aut ed Si n uw ICon ra r/Owner Making nsWllei Phone Number
b
THIS INSPECTION BEQUEST WILL NOT
MINNESOTA II1qTE BOARD OF ELECTiICITV C
G,iB9s-Mldway Bldy. - floom N-781 , BE ACEPTED BY THE STqTE BOAHD
1821 University Ave., St Peul, MN 56104 UNLESS PPOPER INSPECTION FEE IS
,,, _. ,,, ENCLOSED.
r BUILDING PERMIT
1V° 8182
Recelpf # ?) ,3
To M wad fe. ?WG. ADDITION E#, yal1e $22,000 pae Sune 22 _ 19 83
Sife Address 2017 Emerald Lane Erect
O
?uooncr R-3
Lor lZ BI«k 9 Sec/Su6. Cedar Grove lst plter p Zonirg R-1
Parcel # 10 16700 120 09 Repair ? flre Zorw NA
V
James J
Kuhn Enlarge ?$ Type of Conrt.
W Name . Mova
?
# Stories
Z
?
qddresy
2017 Emerald Lane
pe„wiish
?
Length 18
q Ea ¢an 55122 pho„e 452-2935 Grade ? Depth30 Sq. Ft.-
? Arwidson Builder Inc. Ano.o.els Feea
o Neme >
Addreu ZZRMM Hialeah Path - 12907
? r,... ADple Vallev 454-2391
Name _
Address
I hereby acknowledge that I have reod this opplication ond state thot
the informalion is correct ond agree fo comply with oli applicoble
Sfote of Minnesoto $totutes and City of Eogon Ordirances.
Signoture of PermiMee
Arwidson Builder, Inc.
A Bullding Permlt Is issued to:
oll work sholl be done in acmrdcnce with oll bpolicable te of Min
CITY OF EAGAN
3795 Pllef Knob Roud Eoyon, MN 55142
YHONls 454-8700
Assessment Permit ? • "'
Water 8 $ew. Surchorge 11.0?
Police Plan check 76.25
fire SAC
Erp. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC Toml $239.75
on tha axpreas caditlon Ihnr
sotg'Statutes ond Ciry of Eapan Ordinances.
Buildinp Official
EAGA?lel 'rOif10NSI-I i P
UILDING PERMIT
Address
6??
Builder ..----......-°---•----°--- ----------------------------------------------------- -......
Address --------------------------------------- °----------------------- -------- .................
DESCAIPTION
N° 391
Eagan Township
Town Hall
Da3e,--ek C? /._,? --...
6fosies To Be Used For Fron! DepYh Heighf Esl. Cos! Permi2 Fee Remarks
I /~ I M- - ? ? 2?Yc/ ???
or
This permit dces noi aulhoxise the use of sireels, roads, alleps or sidewalks
the righ! Yo creale any sifuaiion which is a nuisanee ox which presents a hezard
general welfare !o anyoae in the eommuni4y.
THIS PERMIT MUST B PT ON THF., P.HEMIrSE WHILE THE WORK IS IN
This is Po aexiify. !h .c -..??permission !o axec
the abo _descr \?
ibedvP??ub9eK.Bo fhe pxovisior .s of.4he Buildin9 Ordinaac
-" ._.-- Pex ---` ----'---..-.
'----" ----.... .............•----' -
Chairman oard
/
nos does iY give the owner or his ageni
So the healih, safely, eonvenienee and
PROGR S. j// r
- - - - - .....--upon
! a--•SSt?L??ip °-°-'--'
e for Eagan Tadopfed April 11.
Iaspector
g(?-z
CITY OF EAGAN nclude 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
Zb Be Used For Valuation ??, pd O Date
Site Address: a O 1 ! I?? La-vL e? OFFICE USE ONLY
Lot 3?, Block ? Sec. /Sub. /'?6 Erect Occupancy
Parcel #: 10 ( (p`t O p (2C9 Q ? Alter Zoning /Y !
Repair Fire Zone
Owner: , 1I (1!?7 PS Enlarge= Type of Const.
NYove # Stories
Aaaress: ,,20i 7 e'rtGan e nenioiisn Front ft.
City/ZiA Code: Z a 9 st ,-) .SS " z Z Grade Depth ZS ft.
Phone # : ,416-a - -;2 f3s APPROVALS
Contractor: )4rw ! rJ S 07) C-
Address : /o? 90 7 ?/. c 1?°A f,
City/Zip Coc1e: f}n?, lr _(/a //ov SS/ozc/
Phone #: ?5 ?f ? ,3 gi
P,rch./Eng.:
Pddress:
City/Zip Code:
Phone #:
Assessnents
Water/Sewrer
Police
Fire
Eng.
Planner
Council
Bldg. Of£e
APC
Permit /6',2 ?02
Surcharqe
Plan Check ? -?
SAC
Water Conn.
Water Meter
Road Unit
TOTAL .?Z 3 i-(,-?5
Receipt
PLUMBING PERMIT
CITY OF EAGAN
Permit No. -?FZ; -7
Fee --1 ?
Pill in numbered spaces S/C
Type or Print leqibly Tot. -
1. Date 2. Instaliation Cost
3. Job Address ' . LotBlk. i
Tract` '
I
4. Owner 3 a ?%A !" S 'eu ?1 A
5. Contractor t:,Jl,:I -
6, Address L-
7. City -' State - Zip _
8. Building Type: Residential D Commercial ? Institutional ?
9. Work Description: New ? Add C7 Alter ? Repair ?
10. Describe
11.
No,
' Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
J Lavatory Sofitner
? Shower Well
Kitchen Sink
Urinal/Bidet Other
l.aundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
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 : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved_ _ CITY OF EAGAN 454$100
CITY OF EAGAN Remarks * Cedar Grove :lcquisition
Lot 12 Blk 9 Parcel 10 1670Cf 12C] Q9
streec 2017 F3aerald Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 98,5 1985 1266.35 84.46 15
' STREET RESTOR.
GRADING
' SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. u
BUILDING PER.
SAC
PARK
BUILDING PERMIT
cirr oF Er?Gn?N
3793 Pllof Knob Rood Eopon, AAN S5112
PHONEs 454-8100
Lor 11 Block 9 Sec/Sub. Cedar rrove lst
porcel * _ 10 16700 120 09
W NOme .; ame e j. xunn
z Address 2017^Eme=ald Lane
°C Nome _
,o
?u
/lddress
? r,.., M
Hialeah Path -
Nome _
/lddress
I I hereby acknowledge thot I hove read this opplication ond srote that
the iniormotion Is correct and og?ee to comply with all uppliccble
Stote of Minnesoto Stotutes and Ciry of Eagon Ordinances.
Buildinp Official Y? ° $1u2
Sipnoture of Permittn
rw aon Builder, Inc.
A Building Permit is issued to:
all work sholl be done in aewrdonce with all applicable Stote of Min
Receipt
Erect ? Occuponcy R-3
^Iter ? Zoning R-1
Repair ? Firo Zone
Enlarpe YZ TYpe of Caut. v
Move ? # Stories
Demolish ? Length la
Grade p Depth 1-0 Sq. Ft.
App?oval$ Fees
Assessment
Water 8 Sew.
Pal ice
Fire
Eny.
Plonner
Councl I
Bldg. Off.
APC
SurcFarge -
Plan check _
SAC
Wcter Conn.
Water Meter
Rood Unit _
Totol 5239.75
on the exprcss condition thni
Stotutes end City of Eagon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbiny
H.V.A.C.
r
i W `T?? ? ?C ? ? ?A ?'3
Irrlpection Dete Inap. OtAsr
Footinga f
Foundation
Framinp
RouqF+ Plbp. _ I
Rough HVAC
Inwlation 7
Final Plby.
Final HVAC
Final " lf
Wstsr Descri6e Location:
Well _
Savwr
Pr. Dhp. .
e-
.?i.
- MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
' CONTRACT PRICE:
Site Address .: i ,
Lot Z 2) 61oc
m IName
?u Address 1955 Shuwr.ev r:d
c City -".3r:in Phone
Name _?b
c Address _
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
' Air Cond.
Vent
riQ- tik1W BTU
M BTU
M BTU
M BTU
nra •
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on h-N
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MiNIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
' Other -
i
? FEE: ' !
S/C: ' 70 5
TOTAL• 7 0 ?
F
k
EAGAN
- ..,.,
A-=?-' -. `-
INSPECTION RECORD
.z,??? ?????
CITY OF EAGAN PERMIT TYPE:
• 3830 Pilot Knob Road Permit Number:
' Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
,? i ' t•Ii l;oit i? 1 i;id? 1 I: : : IIVi) ;'y d,9.iNt1111 I IM'i
? ? i?.,i ?:?, •i j ?, { ? . ? ):04i.
;
PERMIT SUBTYPE: TYPE OF WORK:
?...
INSPECTION .. . .•
I
PermR No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.1
BSMT FINAL
DECK FTG
DECK FINAL
? CITY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuxLoiNG
Permit Number: 0 2 8 3 5 5
Date Issued: 0 7/ 2 3/ 9 6
SITE ADDRESS:
P.I.N.: 10-16700-120-09
DESCRIPTION:
2017 EMERALD LANE
LOT: 12 BLOCK: 9
CEDAR GROVE 1ST
(ROOFING)
Bu?ildi'.nig Permit Type
1Building,?Glork Type
,? Census Cod
?
6,.
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
af 1? ? r2 .'1!?"'
'+
i?-
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$99.75
$2.50
$102.25
$5.000
CONTRACTOR: - APplicant - ST. LIC.OWNER:
SELA ROOFIN6 & REMODELING 18238046 0001050 KUHN JIM
4100 EXCELSIOR BLVD 2017 EMERALD LN
ST LOUIS PARK MN 55416 EAGAN MN 55122
(612) 823-5046 (612)452-2935
I hereby acknowledge that I have read' this application and state that the
informat3on is correct and agree to camply with all applicable SCaCe of Mn.
StatuCes and'Gity of Eagan Ordinances: '
???11? ? o ' ?
APPLICANTlPERMITEE SIGNATURE -?ISSU D B S NA UR
isw CITY OF EAGAN ? ? ? ??
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New GomlrucLOn Reoulrcments RemodeVReoair Reauirements
? 3 registered ai[e aurveys ? 2 wpies of plan j
? 2 copiea ot plana (inctude beam 8 window aizes; poured tnd. deaipn; etc.) ? 2 site aurveys (ezterior addNions 6 deeks) I
? 7 energy calcutatiaro ? 1 energy wlalationa for heatad addkians
? 3 copiea ol Gee preservalion plan H kA plaHed after 711193
mquimd: _ Yes No
DATE 7-2-3 -`7lr,, CONSTRUCTION COST: yfOd ?
DESCRIPTION OF WORK: r- /u?? i/DdSL 7- 6??G C-
STREET ADDRESS: 2-017 £'`1?6-P6?0 4,f'blr?
LOT _LL- BLOCK 0_ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: TIv7 ILdf/N Phone #: ysZ- 2-23J?
u., ....
Street Address, 2-017 £?';MeO
City; L?64-0 State: Zip' Z
Company:
SELA ROOFING & REMODELING, INC.
Street Address: 4100 EXCELSIOR BLVD.
ciry:.
Phone #: 5z3 -806
License #•
Zip.
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #-
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once pertnit is issued.
State:
Zip:
Penalty appiies 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 end City of Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
rpH pantpEin
State: _
_ Yes No
T ?-?----
Tree Preservation Plan Received Yes No
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4101° Cit
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE oil BLACK ink
For Office use
Permit #F: l
I Remit Fee: 05
Date Received:
1 Staff:
5 l
i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
ite Address: 20/1 f444W4 lJ 1$*id
Name A1141.701.- 4 b0 t
Phone: f'-221/
Address t City /Zip 2.811e-eadi A444 r .t 04
Applicant is ){ Owner
Contractor
Description of work: -F12: p/race.. !? h'7- ` 45f. goo,:1.1A4144
(,.f
Construction Cost l 5 h
1 � S ad> Multi -Family Building: (Yes / No
Company:A/1'$ /�'11L.fif7fr!i
Address: 2490 ,illi/ i,'' lt% t 1 ' : iiL.." j
State: Alid Zip: L 3 Phone: l Si 2 S'"'2.0 2.7
License #: C.426/401 7 Lead Certificate #: - ./14 /. `t Sj i r 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
m i7I 01.8°
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
to fire 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
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agate underground utility, age.
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
1 hereby acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a bulldmg permit issued in accordance with the Minnesota State Building Code must be completed
days of permit issuance.
Applicant's Printed
4hdtf
Name
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179710
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 2017 Emerald Lane
Lot:12 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-120
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Steven Browne
2017 Emerald Ln
Eagan MN 55122
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature