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2053 Emerald Lane r - - - - - - - - - - - - - - - - -7 FOF Orflc? Use' CItV of Eapn a ; Permit#: f J I ,d~ I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ ~ Date R eived: ~zz~&- I 0 Phone: (651) 675-5675 Fax: (651) 675-5694. I Staff: L ------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Colleen Foley Tenant: 2053 Emerald Lane Suite Eagan, MN 55122 RESIDENT / OWNER Name: 6513089224 lone: Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBING O'O. License OU f 5~ Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK - New - Replacement - Rei Vpairr - Rebuiild~ _~Modify Space - Work in R.O.W. Description of work: r " V ~er n lea 6 UI PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / - PVB) 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 $ Qj• 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 ~J f401-191rr x _Z2 Applicant's Printe Name A icant's Signal ure FOR OFFICE USE Reviewed By: Date: Required Inspections:` Under Ground Rough-In Air Test _Gas Test `Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA087506 Eagan, MN 55122 . Date Issued: 11/19/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 2053 Emerald Lane Lot: 18 Block: 7 Addition: Cedar Grove Ist PM 10-16700-180-07 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Permit expired without required inspections. 5/12/2009 CE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Randy C Ohlhauser 8910 Wentworth Ave S 2053 Emerald Lane Minneapolis MN 55420 Eagan MN 55122 (952) 881-7739 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CI7Y OF EAGAN R„„a,k,-* Cedar Gmve Acquisition ' Addi[ion CEDAR GROVE #1 Loc 1$ eik 7 Parcel 10 16700 180 07 Owner ??+&' • Street 2053 Emerald Iane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ??j 1985 1266.95 84.46 15 1266.95 C009322 8-16-84 STREET RESTOF. GRADING SAN SEW TRUNK SEWER LATEflAL ( r &1 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WEN7WORTH AVENl1E SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS 2053 LMej-r?p OGCUPANT r4 ''^? ?soLoar PaF(rnn-t) MAKE O,Y SERIAL NO. r?? G O J ?THERMOSTAT O" 3oo VALVE d N ::4,4 4/-I i LIMIT FAN SETTING PILOT TYPE r, t IGNITIONMODEL 14f i PILOT TIMING PRESSURE- :3( 5 PERCENT CO; INPUT CFH 66 .-r PERCENT Oz. STACKTEMP. ? a 6 PERCENTCO FORM235(REV.1V89) , w a 6- d CITY_ OWNER HEATING TEST RECORD C-p 6 pA1 JOBNO. 4 13 I-I1 INSTALLED BV MODEI G6oUNU36d o?0 INPUT V Q d VENT SIZE V DEC 1 1 2008 LJ ( NPEOFLWER ? v? ? LINER 512E FILTERS: SIZE NUMBER ? WIRING J t t /[ ' I4'-7 TEST TAG LIGH7ING INST. DATE TE57ED COMPANYTESTING NAME OF TESTER •` ? L ? FORM DISTRIBUTION: WHrtE COPV - JC8 FILE VELLOW COPY - CrtY EAGAN TOWNSHIP UILDING PERMIT Address (preaeni) Suilder ................ Addrees N° 359 Eagan Township Towa Hall Dele ------ ..... Bfosies - To Se Used For FronS Depfh Heigh! Esf. CosS Permif Fee ? Remarks D' 12 . LOCA ION or i Thh permit dces nof au rise !he use o reels, roads, alleps or sidewalks nor does it give the owner o= his agenf lhe,:igh!!o creafe anpsifuationwhich ia a nuisanee or which psesenis a hazard !o the healih, safely, convenienceand general weliare !o anpane in the community. THIS PERMIT MUST B E ON E PRE ISE HIL£ THE WORK IS IN PAOGRESS.?.i This ia to cextifp, Shai..p._[_.bes permission !o erecY a?./B...-LlL!.!rS. .? - ? . --- _- upan the above ?'es ' ed.pxemise s !he provisiors of the Building Ordinance for Eagan Township dopied April.ll, 1955. ' - . --...--- ° --?G?G ? --- .. ... ..----°- ? --... __......... Per .._....... ' ..............---------.... ----------------... Chaixman of oazd . Suilding Inspecior . EAGAN TOWNSHIP n BUILPING PEE2NIIT ?- ? oWne: -.-----....--- Address (pxeseni) Builder Addcess ...... DESCRIPTION N° 527 Eagan Towaship Town Hell De=?-'-- ?-`-tt?2' ............... 6iories To Be U ed For Froni -7 0 Depih Heigh! Esf. Cosf Permi! FeeI Remarks 1 LOCATION or This permit dces no3 aulhosize ihe use of sireefs, roads, alleys or sidewalks nor does ii give the owaer os his agent the righlfo creale any siYuafion which is a nuisance or which presenSs a hasard to the healih, safely, aonvenience and geaeral welfare !o anyone in the commuailp. THIS PERMIT MUST BE ONT E PRE SE WHILE THE WORK IS IN PROG SS. /J This is !o cerYify. !hal..(C9?._... ..................has permission !o ereet a... .. ._...._.. ..eG _".......""_...........'.'•..upan !he above described premise su6jeci !o the provisions of the Suitding 7di;nance for ?a ip adoied April 11, 1955. ................_......__............_..-.'_ "....__'.._._'......_00 .... " . . . ... ............................. .. ... ...... Chairman of Town Soard uildin eior 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 7 dU ? o,?- New Cans4uctbn Reauirements RemodeVReoair Reaulremenis ice Use Onlv 3 registered site surveys showing sq. @. of lot, sq. f4 0( house; and all mofed areas 2 copies of plan Cert of Survey ReW _ Y_ N (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addHions Tree.Pres Plan Recd _Y _N. 2 copies of plan showing 6eam 8 windaxsizes; poured Pound design, etc. 7 site surveyfor addNOns & decks Tree Pres Requi2d _Y _N 1 set of Energy CalculaGons Addilion - indicate ifon-site sepfic system On-site SepUc Sys[em _ Y_ N 3 copies of Tree Preservatbn Plan if lat pletted aRer 711193 Rim Joisl Defail Options seleclion sheef (butldings with 3 or less uniGs) Date S/I 8 / oS Construction Cost _ 4a 3? av Site Address `Z-dS 3 c nn? L? f? lA J-X ?- IIniUSte # P,,.3 55?2-Z Description of Work 6S MY• Pl ir-j\SH Multi-Family Bldg _ Y1-?N Fireplace(s) ? Property Owner tZP? rjD? Telephone #( 6s i) IQ 2 e-?1 Contractor -?? Yw otE D Address 2elL2- -CnT PAT?-1 Cih' State M 1J Zip SSOZ Telephone #( fo<o ? I o- ozsTb Z59F-.=- TiutPP CQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Cod2 Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( T 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 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. _ n?, ? -To??? ?ee,?- I-EAw ApplicanYs Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF 0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenfgazebo) ? 38 Multi Misc. ? 05 03plex ? 11 10-piex ? 19 Lower Level ? 24 Starm Damage C_Yor_N ? 25 Miscellaneous ? 06 04-ptex ? 12 12-plex PIbdI? Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair. "0 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Daors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation dG U Occupancy R_ 3 MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units ? Sq. Ft. PRV # of Bidgs ? Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) ? Final/No C.O. _ Footings (addition) / Plumbing Foundation / HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ? Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total O'IOT]a 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 6- I ? 7 I 66 Site Street Address GI?os-.3 AA-2- Unit # Property Owner Te? e#(9,Q 11?/S ,:) 3 Contractor r jeleghone #ZAlo p Address 7?- City 5tate Zi ?- P C ontractor _Other The Applicant is: _ Owner /? A ns to existing dwelling S/1?? ?G;?n,?ry? $ 50.00 plumbing fixtures. This fee includes putting in a water softener andlor water rAdd heater at the same time. !f vou are installina on! a water sofrener.and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5l8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ? $ .50 Total I hereby appiy for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. e,qflleed Go&-/AS(!H ApplicanYs Printed Name ApplicanYs Signature I ? I? H ?9 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? ! y CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 New Construction HeauiremeMs • 3 registered site surveys shaxing sq. N. of lot, sq, fl. ot house; aM all roofed areas (20% maximum bt coverage allowe0) • 2 coDies of plan showing beam & winCOw saes; poured found desgn, etc.) • lsetotEnergyCakulatpns • 3 copies of Tree Preseivatbn Plan tl bt pletted aHer 711/93 • Rim ,bist Detall Optbns selectron sheet (hWgs wMh 3 or less units) DATE S'h,3/0 g? pemoAeMeoair Peauiramenta . 2 copies of plan . 1 set M Energy Cakulatbns for heated addMons . 1 stte survey for exAerior ad0itbns & Oecks • Indicate tl Mme served by septic system for addillons VALUATION $ 5d SITEADDRESS CXCI6_ B EMQiY'(2jr,1 Ln MULTI-FAMILYBLDG _Y )C N TYPE OF FIREPLACE(S) X 0 _ 1 _ 2 ? OBRIEN ROOfINu APPUCANT 4143 M i u u c uAu A AVE STREET ADDRESS M I N N E A P O l I s MN Cffy STATE_ZIP TELEPHONE q 6,0-7,-k- a33?I CELL PHONE # 560R FAX # PROPERNOWNER RP.ci'dP.(?( I/ ON ha U5e-Ir- TELEPHONE# 6$7-6ko - 7/<S? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MIIWFSOTA RZJI.ES 7672 (J submiesion lype) . Residential Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Workaheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 ? Phone I ? 'In II UG1 13-2002 I hereby acknowledge that I have read this appllcatlon, state that the with all applicable State of Minnesota Statutes and Ciiy of Eagary0rd Signafure of OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths and agree to Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 I S _-7 , G.(' ` \) E j RECEIVED jL?i9 2 3 1932 DAK 544 20NING - NOTTFICATION OF INTENT Foster Family Aomes Day.Care Homes 20: or S' ?J s?l a Z. FROM: Dakota Countv Social Servicea 357 9th Aveaue North So._St. Paul. MN 55075 APPLICANT: L?I?t,t cG niQ d- Z L Number of Natural Children under 18 in home: 0 13 4 5'' • DATE OF NOTIFIC.9TION: (circ e.numher) Numher of Foater Children iacluded in licenae:_0 l 2 3 4 5 b 7 (circle mmber) Number of P7atural Preschool Children in Home: 0 1?2 3 4 5 (circle aumber) Number of Day Care Ctfildrea included in license: Q 1 2 3?& 5 6 7 8 9 10 (circle number) -------------- i ? Permit#: ? I I ? I Permit Fee: ? I ? I ? Date Received: ? I Staff: Ci La I I 2008 RESIDENTIAL BUILDING PERMIT APPLI ATION Date: 7' I I ' Op Site Address: ? e 5 3 &fTuwmyt? m' Tenant: Suite #: RESIDENT/OWNER Name: n Phone: Address 1 City / Zip: Applicant is: _ Owner ? Contractor TYPEOFWORK Description of work LL-;`}?\C!-(?J' ? QM (` Construction Cost: Multi-Family Building: (Yes _ / No ? CONTRACTOR Name: License #: Z? Z y 9If OG Address: 7.117 $ ?1 ll,uood Ar E City: _ V6?a?wo0CL State: WA--Zip: S?( l 1 Phone:l(lJ L Z7q67 • J Contact Person: ba" V?a 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 CatOgOry Submitted Submitted (l? submission type) • Energy Envelope Calculations Su6mitted 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 fhat you`submifare considered to be public information.°?'Portions nf_ the informaGon may, be classiiied `as non-public if you provide specifrc reasons thatwould permit the Cify fo'` conclude that the are trade secrets. 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 pertnit, but only an application for a permit, and work is not to start wdhout a permd; 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?.v t a yr ? v-. SDI?-? x ApplicanYs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA113911 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 2053 Emerald Lane Lot:18 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Scott Rise 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 - Colleen C Foley 2053 Emerald Lane Eagan MN 55122--281 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140239 Date Issued:12/05/2016 Permit Category:ePermit Site Address: 2053 Emerald Lane Lot:18 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Patricia Ecker 2053 Emerald Lane Eagan MN 55122 (651) 792-5247 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145999 Date Issued:10/04/2017 Permit Category:ePermit Site Address: 2053 Emerald Lane Lot:18 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Patricia Ecker 2053 Emerald Lane Eagan MN 55122 (651) 792-5247 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148128 Date Issued:03/08/2018 Permit Category:ePermit Site Address: 2053 Emerald Lane Lot:18 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Patricia Ecker 2053 Emerald Lane Eagan MN 55122 (651) 792-5247 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use APR 0 6 2018 Permit*. r/� • . City of Eaian Permit Fee: /c-c ' / 3830 Pilot Knob Road // Eagan MN 55122 Date Received: 1('(0'1 6 i Phone:(651)675-5675 buildinginspectionsil3tcityofeauan.com Staff: c, i L.. J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: W—5- 1& Site Address: 2,06% CI I'era LCC Cao)cn 17111 SSQa Unit#: Name: 02+44 Ccke2 Phone: (SSI ?q/-5Z I7 Resident/ �� Owner Address/City I Zip: 2053 Chn�cl e( IVn Casonyrrt d Applicant is: Owner !" Contractor Type of Work Description of work: PeChC.e Finn fi ar+ol Req L s4ePr. Construction Cost: t1 FS'00• ` Multi-Family Building:(Yes /No Company: ■i da ��t s -��_�uir��� Contact: 1\ mr) Contractor Address. A3-7 itf,•1(0, 4 City: 111 PIJ et State:Mn Zip: 53-110(a P •ne: 7(07-67 3a23Ema-. Sypj'i rel- m n-ces .for► License#: C' 588 0/a _ i cate#: If the project is exempt from lead certification, please explain why: 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: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.comisubscribe. 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. 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.aooherstateonecall.orq l hereby acknowledge that this information is complete and accurate;that the wort will be in conformance with - • dinances and codes of the City of Eagan; that I understand this is not a permit,but only an application for a permit, and work i of to sta .ut a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval o •la x .`loJn ren x _ . Applicant's Printed Mime Applicant`- rIrr re Page 1 of 3 DO NOT WRITE BELOW THIS LINE /L 9/ 0 SUB TYPES 00 f 3. --> l ( L I _ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) — Exterior Alteration(Multi) Multi _ Deck Parch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool ^ Accessory Building WORK TYPES New _ Interior Improvement ___ Siding ! Demolish Building* _ Addition — Move Building _ Reroof Demolish Interior Alteration o Fire Repair — Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 9( ' Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%X ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction -----V6-- Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) ig, Final/No C.O.Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:__Ice&Water Final Pool:__Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test __Final Siding: Stucco Lath atone Lath _Brick EFTS Insulation Windows Sheathing Retaining Wall:—Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough in Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 12„ ,Building Inspector RESIDENTIAL FEES I Base Fee 9, /5,11ck Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant (2 0 0° Copies A)\ TOTAL sel6tir Page 2 of 3 To Whom It May Concern, 3237 SNELLING AVE MINNEAPOLIS MN 55406 Affidavit Customconstructionservicesmn.com P: (612) 354-8989 F: (612) 823-0706 Regarding permit #EA149120, Custom Construction Services LLC installed 2 concrete steps with 48" frost footings , e bottoms belled between 12-16 inches at 2053 Emeraldn Ln, Eagan, MN 55122. , .,.�//� � —/9 • YTom' a Date