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
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