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2065 Emerald Lane
CITY OF EAGAN Remarks * Cedar GY'oVe ACquisition Addition CEDAR GROVE #1 Lot 15 Blk 7 Parcel 10 1 67nII 150. 07 Owner,U h yl 11 ?D4-{ street 2065 Emerald i,ane 5tate Eaqan• MN 55122 I:,a,rEr? ? Ii tiif; Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ].9HS 1266.9 84.46 1 D/ - STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER RREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: r+IF,ltlll E1 1 r1Ni PERMIT SUBTYPE: ?ni???- i•?e -Ki PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 1 :.:,i. . ( is i,' i 4'; ri 0 t TYPE OF WORK: fi t ? t! f,? 1 IV ?,i a ?'?78/9fr l'C)1' f A t r'f. 14n r rON INSPECTION D. . .• I '•AR AS t A "iE 11 A H A1'r 11 t.I:Mi1 1 1"' kF.UIIIHFIt IIIN ANY PlllMHTPJlt UR klFC7R[CA1. Wf:ltlk F L ----------------------------- Permit No. Wrtnh Holdar Date Telephone # ELECTRIC 8 Qg(p ? PLUMBIN HVAC lnspecdon Date Insp. Commenta FOOTiNGS FOUND FRAMING ROOFlNG ROUGH PLUMBING ` PLB(i AiR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLRCE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLD(3 FINAL BSMT R.I. BSMT FINAL ? OECK FTG DECK FlNAL 1 Y`l-Y1?, ?04 ?/?5 REQUEST FOR ELECTRICAL INSPECTION ee-00001 -0q9 jl? See instmclions lor r.ompktmg Ihis torm on bzck oi yelimv C "X" Below W_nrk.Coyered by This Request Nek Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Heater Electric Heating Apt. Building ] E Loatl Management Comm./Industrial e Other (Specify) Farm AirCorditioner Olher (specify) ConVactor's Remarks: Compufe Inspecfion Fee Below: __? Stj # Other Fee # Service Entrance Size Fee # CircuitsJFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 6bpve 700 -Amps SI ns- Inspecbr's Usa only: ' T / Irrigation Booms ? U.) G?e ? ? Special Inspection A THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9min oare certify that the above inspection has been made. p;nai oate OFFICE USE ONLY . This request voitl 18 mon[hs from ?/?S REQUEST FOR ELECTRICAL INSPECTION ? See insVUlions far compleling lhis forzn on back ot yellow mpy. 3 2 3 4 5 X" 8elow Work Covered by Thls Request 40?.'O ee-aoaoi-oe ? e Adtl Rep. TypeofBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building Dryer Loatl Management Comm./IndUStrial Furnace Other (Specify) Farm Air Conditioner Other (speciry) Coniractar5 Remarks: Compute lnspection Fee Befow: -/L> du? # Other Fee # ServiceEntrance Size- Fee # Cimuiis/F e s Fee Swimming Pool 0 to 200 Amps 0 ta 10o Amp§? ? Transiormers Above 200 _ Amps A6ove i00 _ Amps S19nS Inspeclor§ Use Ony: TOTAL Irrigation Booms B Speciallnspection ?`f Alarm/Communication THIS INSTALLATION MAY BE OR RE SCONN T NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, hereby Rough-in oa?e-j 3?-4J ( certify that the above inspection has been made. F;,,ei o I OFFICE IISE ONLY This request yoitl 18 monihs irom ..i / V. S !l4' -7 -1421 I w J 2345/I5G7 OJAIV- 4??°? Req6 ueSt Dte Sl/ U ire Na__.. Rough-in InSpection Requlletl? i]Yes No NOTICE: Vou Must Call Elscfncal Inspector If A pough-In Inspeclion IsRe9uiretl. I icensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sq Bor„or Rou[ No.) ? S Cily ?? Section No. Township Nama or No. Range No. Count i Occupanf(PRINT\/) ?? ?1/1?/ c?l..iL?' / / Phone No. ?y/ip S -F"V V Power$u plier, . ? Address Electn al Conrtr`acim ?(COmpany Name) W UJ v ? Contracror5 License No. ailing dtlress (Conhactar or Owner Making Insiallation) Z4 , 2 /i/ JLy? , o .?i AutFroriz Si aWre anire r wn r i g Ins?allatlo Phone Num?er MI NN SOTA STATE BOARD OF ELECTRICITY GdggsMlEway Bltlg. - Poom 5473 1821 Universlty Ave., 54 Paul, MN 55104 Phone (612) 642-0800 THIS INSPEGTION PEQUEST WILL N0T BE ACCEPTED BY THE STATE BOARD UNLE55 PFOPER INSPECTION FEE IS ENCLOSED. 0 1 9 86 ? ? ??3?2 - ? ?- Request, a "r?y+ ? Fire No. qou -In Inspection Reui qred (YOU m call inspechor when reatl ) Inspaclion Olher Than gh-In ector ? qeatl Now W II Nolil Ins ? y y p y Ves ? No pale Reatly I? licensed contractor Wwner hereby request inspection of above electncal work at: Ja mss (St?BOx oZ No.) a? (' / ?.Y L J4.yl Ciry Section No. Township Name or No. Range No. Counry Occu (Pn I? Phone Na. W PowerSUppiier AdUress Electncal Convactor (COmpany Name) Contractors License No. "Ulon Meiling tltlress nVaclor or Owner Making Installalion) () v ANhorize0 nature (COntractor/ ar aking Instellatlon) Phone Number 3 IN SO ATE BOAPD O LECTRICfI'Y THIS INSPECTION FIEQUEST WILL NOT Griggs-Mitlway Bltlg. - Foom 5128 BE ACCEPTED BV THE STATE BOARO 1821 Universly Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS EAGAN TOWN SH I P BUILDING PERMIT , - ? -_. Addreas (preaeni) Builder Addresa DF.SCAiPTTflN NQ 410 Eagan Townahip - Town Hall Dale ) !, '/= 'S .. ? -?.. ' Slories Tp Be Used For Fronf Deplh Heiqh! Esi. Cosf Pasmil F'ee Remarks ' 47 LOCATION - or /ti 0 J `7-?s1? _. *-0!!7 I I / . , . le .' . i 1 This permit does aot aulhorise the use of slseels, roads, alleps or sidawalk oesii give fhe owner or his ageni the righlfo erealeenp siluation which is a nuiaance os whieh presenis a hazard !o the heallh, sefefp, convenience and _geaexal weltere !o anpoae in the communiip. ,T1iI3 PEAMIT IdUST Bgp-g? E T O THE EMISE WHILE THE WOAK IS IN PROGRESS . Thie is !o cerHfp. !ha! L=._.????,?_-_-_-yae permission !o erec! a?---? 4?...! !s .__. . ----upon !6e abov described -"?- ? s?7Ybf?ci. !o-!he provisions of the Suilding Ord;nance foz Eagan Tow .? ip adop2ed April 33, 1855. . -; ?' . ' -?... --- - - • - .... . ....., Per ....... -- - -._ ... .. ------ --------------------- . - --...... C a sman of To a' d Building Inspecfor - . ?? . . .. . EAGAN ?OWNSHIP N° 1385 ?^ BUILDIIVG PERMIT Owner ....L.?9?'?.?:--(? =-.' -' ---------' `-???---?---•----------------.._. Eagan Township Address (presen!) ?16:?.....? ?--.-?5 ?Y..?.:...._._ Town Hall Builder .......,_.. --°- --- - Dale !..._ .C?_- ? .................... Address ............._......__-'-`-°----------._..__...._-'----•------------- 5lories To Be Used For _-_ - Froni - Depih Fieigh! Esi. Cosi Permii Fee Aemarks ? ]_. ?-''-C?L. i? Q -- .?yL /?.SO 'l? ? ? ? ,Q.t-.Ct.,C¢-???-»c. LOCATION Slreel, Road or other Desor3plion of Loca3ion Lo! Elock ' Addifion or Traci -_ I ?.5? / ? /.J '? ? This permii does not aulhoxize Yhe use of sireels, roads, alleys or sidewalks nor does i! give !he owner or his agen! fhe righ! Yo creafe any sifualion which is a nuisance os which presenfs a bazaxd !o fhe healih, safefp, eonvenience and general welfare !o anyone in 2he eommunify. THIS P£RMIT MUST BE K T ON THE PR?FMISE WHILE THE WORK IS IN PROGRES . This is fo cerlify. lhaY__._ ... ..... ..._..........._a?:?`?__.__..has permission !o eree! a--------'-'.. ?.....-'_-""" P"""' P---__p --upon !he above descri6ed premise subjecf So ihe p:ovisions of !he Suilding Ordinance for E Town i ado ted A ril 11, 1955. /? -•--"-""'--_.--...._--.....??"' .??.t:.,.°'l.L..?::-?.--. Pez _..._----.."?G...?...?.t?..e< ??! ??-fi?t/ ....... ................... 9 ._._" a'_.._............................ Chairman of Tnwn Board Buildin Ins ealor G %j k , al C) .ou d3`?76 ?------K----------- ? I j Permit #: i Permit Fee: I Date Received: j 1 I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (e'/ o Site Address: (90(0S C_.aLFr-0-6/ Suite RESIDEN7 / OWNER Name: L/ca ?Phone: Address / Ciry / Zip: Applicant is: _ Owner Y? Contracmr TYPE OF WORK Description ot work: -/ CL+tI Br_( io f P rcl)c?lr Construction Cost: U11 .!?Q Multi-Family Building: (Yes _/ No. X ) CONTRACTOR Name: d License#: ????949-1 Address: iCl City: dT'1II(l..iX?T?r State: ??Zip: SSQp? Phone: CO'rJ' I'-I',?I- `1J;tQ ContactPerson: ?b ren COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submined Su6mitled (V Submission type) • Energy Envelope Calculations Submiryed In tha last 72 months, has the City of Eagan issued a permit for a similar plen 6ased 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 5uppnrffny!4oeNments that you subm!! are consrd? fsiirHans oy < '+E? fd?be pvbClc MtQZinatton } t the infomrabo"n rriiy be c/??'sH1ed as now-pubhc.kif you pr`ovrde specrfic ieasons=that woaf?7 permrt ttie City Yo ;i ' , ,?, ?> _,:,concludeihatthe ''ere`traa?e"aecnets `- I hereby acknowledge that ihis intormation is complete antl accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand Ihis is not a permit, but only an application for a permit, and work is not to stan without a permir that the work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plans. x(?Y? ?L'hel?e I 1 1btC? x? / 1?-c?•.-Q-Q^ U? ?.??p^?... ApplicanYs Printed Name-?- Applicant?s S ture 0 Page 1 of 3 ? ?a CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: ??- BUILOING 026911 12/28/95 SITE ADDRESS: 2065 EMERALD LANE LOT: 15 BLOCK: 7 CEDAR GROVE 1ST P.I.N.: 10-16780-150-07 DESCRIPTION: Building--Permit Type r? BASEMEN7 FINISH 8uilding Wbx-k Type '`Census Code AITERATION 0434 ALT. RESIDEN7IAL REMARKS: A SEPARATE PERMIT IS REpUIREp FOR ANY PlUM6ING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: ? I hereby acknvwledge that I information is correct and Statutes and City of Eagan OWNER: - Applicant - PALMER SCOTT 2065 EMERALD LN EAGAN MN 55122 (612)452-7803 have read this application and state that the agree to comply with all applicable State of Mn. Ordinances. E/??.?.?ri?, ?. - - PPLICA / ITPERM EE SIGNATURE M1n W l 11?- ISSUED Y: S NATU E? ' I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) A,?? 681 -F675 (,[?,??( u ' al New ConsWdlon R.n_uirement=_ RemodeVReoair Reouirements r ? 9 repl6terod aite wrveYg s. ? 2 mpies of plan ? 2 copies of plens (mdude Deam & window s¢es; poured fnd. design; etc.) ? 2 ske suneys (exMrior addftiona & dedcs) ? 7 enerpY calp+??ions ? 1 energy calalations for Mated additions ? 3 coples ot tree proaervadon plan H bt plat[ed aRer 7!1/93 • required: _ Yes _ No ,. DATE: CONSTRUCTION cOET: n ? .. _ DESCRIPTION OF WORK: ? STREET ADDRESS: o? ?C-oo L ze?m ? ?Q J IYl . LOT ? BLOCK ? SUBD./P.I.D. PROPERTY Neme:- 1211?7 8? cSCd? Phone#: y6,2-7Y03 OWNER Street Address, City: ?oo State: /AA A Zip: 55 I-?l Z CONTRACTOR Company: Phone #: Street Address: License #- Ciry: State: Zip- ARCHITECT/ Company: Phone #' ENGINEER Name: Registration M Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penally applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to compry with all appiicable State of Minnesota Stetutes and City of Eagan Ordfnances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree PreservaGon Plan Received _ Yes _ No _ Yes _ No , RECLNEDD UEC % E 1995 --------------- BUILDING PERMIT TYPE 0 01 Foundation a 06 Duplex 0 02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 5F Porch o 09 12-plex n 05 SF Misc. 0 10 = plex f WORK TYPE •• 0 31 New ,,-"3 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pfanning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit SNV Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY •• ,. ? ^_ ?.. .. _ • ? 11 Apt./Lodging -;;J?16 Basement Finish 0 12 Multi Repair/Rem. 0 17 Swim Pool 0 13 Garage/Accessory o 20 Public Facility 0 14 Fireplace o 21 Miscellaneous 0 15 Deck r? 0 36 Move , 0 37 Demolition a Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit _ Engineering Variance Valuation: $ `? o/ / 0 IT 96 SAC SAC Units L -Z?'5 BL cirr use oNLr RECEIPT#: &5 ?j 9 _ ?? SUBD. dL// l•P ?JP' DATE:_? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kftchen 5ink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = 2De Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL 2t2' ?;-o SITE ADDRESS: 20 (5-) ,?-m C'G° ??? Z,?r 617 `r OWNER NAME: p12a 72 /2L/0?7 ?v INSTALLER NAME: 9M"`?? u P??? 0'ly STREET ADDRESS: 375 J roo l/ CITY: % ?ayP?1 STATE: ZIP: ? PHONE #: ( 6',2So STV`1NATQRE "6FlsERlMI1T? 2004 RESIDENTIAL BiTII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 T Telephone 4 651-675-5675 FAX # 651-675-5694 $`70vc_ New Cons6uction Reauiremenls RemodeVFteoair Reaui2ments DK A-UaQj 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeR4fSuNey N (20%maximum lot coverage allaved) 1 sel of Energy Calculatlons for heated addlGOns Tr,pPffs P??i t Re&! 2 copies of plan sMwing beam 8windowsizes; poured (ound design, etc. 1 site survey for add'Nons 8 decks TYeePies?Require8? Yr= isetofEnergyCalculations AddPoon-irMicateilonsdesepticsystem On-sN 3 copies of Tree Preservation Plan'rf lot platted after 711193 Rim Joist Defail Options selection sheet (bldgs wiih 3 or less units Date?/ ConstructionCost ?/? ? l itlSte # U Site Address n • 00) Description of Work Multi-Family Bldg _ Y?N ' eplace(s) _ 0_ 1 _ 2 P O Telephone # wner roperty Contractor (?- W ? Address Cih' ' State I \ /`Y \ I Zip tun_ Telephone # Q?j ) q.n COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cateeorv 1 - Energy COde Category , Residential Ventilation Category 1 Worksheet (J submission Type) Submitted . Energy Envelope Calcula6ons Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor If so, 25% plan review Telephone # (--)------ ?-1-??' Telephone #(,? I 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'Bagan an8"-the State of MN 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 approval of plans. Jam?? ??rno?,? ApplicanYs Printed Name 41 oj? - Ap j ant's Signature :??53z5 2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when prnnits ue required for each unit J? 3o.sa Date _/() / a / 0 C_ Site Address Qd 6 S E/`WY FY-P G,?J Unit # 61a A/-j Mx1 Property Owner (?(M fj G p Sl`i 0 AG P Telephone #((,Si ) ti s a. l? pd Contractor NN-E Y C oT-Fo?,T Street Address 5 7- Ci[y /-! A)S; i.)-- ? State M/j Zip SSd 33 Telephone #( -6=3 3$- Bond #: Expires: The Applicant is _ Owner Contracror _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional i-Replacement New _ air exchanger I ?ll go' ai j Y' _ airconditioner OCT yV? h t $ 2006 V pump ea other State Surcharge $ .50 Total $ m.5 ° I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tUat the work will be in confomnance 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 pemut, and work is not ro start without a permit that the work wil b/?' ordance with the approved plan in the case of work which requues a review and approval of plans. / ??/t} t? ? C e G / 6 ApplicanYs Printed Name pplicanYs Signature 5 - qU w M of EaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-56l5 Fax: (651) 676-5694 9- 4SaI -? ----------------- ; i Perff fd t. ? Percna Fee: ? peta RecINved: I ? ? Statt: ? ?-^--------------? 20D8 RESIDENTIAL BUILDING PERMIT APPLICATION oaft: a 3o bg s?re naare?: ?b(OS b en? er- ?-?- sula #: RESIDENT/OWNER Name; ?kv c( Phuee: IOSI-?iS?-?a-ga" Address t City ! Applic3nt is: _ Ovmer TYPE OF WORK Description of vuork: I tfu V -r-e -.)r v ,' ?•. ? - Construdion Cast: -I I ?O, C? Mui6-Eamity Bufld?: (Yes-I ?'?D? License#: CONTRACTOR Name: ? Address: cm, 55 : ?I-111t??-ei' s?: ? _ z?. Phon8: C051-y,A9-y= con=Person: KarP?'? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Rasidantld veoUlstion.Categoryi WMksheet ?• No" E"eW C°d° w°a°u°d ca"ory suonbod suanitted (J aubmission type) •Enew F.mmbpe CaM,Wa6oro 6ubmitled In the lest 12 monehs, has ths CitY ot fie8an iasuad a pmnit for a similar plan based on a mastor PIDn? _Yes ^No If ye& date and address of master l.icensod Plumber: AAeehanleal ContraotOr: Sewer & water Contractor. Phone: f hereby adarowledge that this inW?matlon ic ?tete arid acaua? ttmi the wonc vA8 be in oorfarmatko rAtlh the ortAmuws ane aoaes ot the pry m Eagam tha[ i underviand tfus is not e pertnit, but only an applicetlon for a permrt, and wwk is not to:sted w%hout a permit Mffi tli0 wMc vPI Ee m acc«asnce wm, Ifie aPprarea alan m ft e9se m wonb wtlicn reql,6es a reMw ana apaoval ot akm3• . ?n ? x 1" 1 - 00-1'h.'YAIxC4 x ApPlleanYs Printed Name ApPlicarees Signiu?e Pege t W 3 . 454 - 3 cl89 LOT NAME PoLLIF C, IGSE SIZE ZZ X2-? OLOCK ? AODRESS Zo?S EMcRp [ D ,?A-.??. VALUE '.?.?.7 / fo ADD-N, ??iF.Q CrQa ? E ? ? qREA ` E D/9?Z G/Zo ,? c TYPE F2A?a? ? IZ2, ? J ? ? W Z O Ik Y W A ? ,? ?/o u sE pvi T' ?? se~ Use BLUE or BLACK Ink r-z - - - - - - - - - - - - - - - - - - For Office Use r ? CRY of Ea Permit I Permit Fee: E/ - 1 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' lI Site Address: -a(D ~s Tenant: Suite RESIDENT/ OWNER Name: ~L)C (ar Phone: Address / City / Zip: C(n 12'IN Applicant is: Owner Contractor R E /G ~jJ TYPE OF WORK Description of work- ! 1 &OIL , 5,IML& Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License 74 Address: 4 h L-4 Ooolllo 6k. CitY: W)6) /a iyk~?"9 ('/PPt NO• State: _ Zip: / Phone: & ' ;7SV pCt/Q J 270v'r-i Contact: LJ(Ic y )(10&-rp Email: 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 the 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.gopherstateonecall.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. ^ xYls x Applicant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA104058 Date Issued: 05/02/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 2065 Emerald Lane Lot: 15 Block: 7 Addition: Cedar Grove 1st PID: 10-16700-07-150 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Josh McGuire 1424 3rd St N Minneapolis. MN 55411 612-604-4285 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing Amber J Wright 1424 N 3rd St. 206 Emerald Lane Minneapolis NIN 55411 Eagan NIN 55122 (612) 604-428 X61 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature cJ6 Use BLUE or BLACK Ink For Office Use ..►y+yy. j Permit City of Eatd ; P _ 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 i Staff: I ` Fax: (651) 675-5694 1 I //2^^011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !D'~ ' l d Site Address: go ~P 4Ka4xQ Unit r Name: Phone:14 1 g ls~ RESIDENT f OWNER Address / City / Zip: f 1 Applicant is: Owner Contractor : TYPE OF WORK > Description of work: d Construction Cost: f Multi-Family Building: (Yes / No ) Company: ' . Contact: _ CONTRACTOR Address: L(-7q City: ~k"-,o - J State: M A) Zip: !S 1 Phone: &S a Y License g©Q 1-7 Lead Certificate / t/ ► =informattionn))' If the project is exempt from lead certification, please explain why: (see Page 3 for additioCOMPLETE 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. mm I 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.oooherstateonecall.ora 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 J i/ C m x Qi~2~ JL~~_ Applicant's Printed Name Applicant' ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114240 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 2065 Emerald Lane Lot:15 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-150 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 . Nathan Corbin 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 - Amber J Wright 2065 Emerald Lane Eagan MN 55122 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use City oj ( Ea Permit p I l 3830 Pilot Knob Road Permit Fee: tJ~~ I Eagan MN 55122 Date Received: I Phone: (661) 675-5675 I I Fax: (651) 675-5694 I Staff: I I - 2013 RESIDENTIAL^^ BUILDING PERMIT APPLICATION Date: bj 13 Site Address: Unit i Name: M ~Ci/ate, f I Resident/ Phone: JLT L -1 - 01 8 Owner Address / City / Zip: E F t vw - Applicant is: Owner Contractor Type of Work j Description of work: Construction Cost: Multi-Family Building: (Yes / N Company: _ d A a - r Contact: ~ t a-, Address:15(4 „ i Contractor ~}►~f'~ city: State: !"N_Zip: 552~ Phone !223-1 W29 " t-3 9 i License #Lead Certificate#:O'-~5,) - 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. j CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours 1 before you intend to dig to receive locates of underground utilities. www:ooaherstateonecall oro 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 A. 1 -1 n (3 mkA Applicant's Printed Name X Applicant na ure Page 1 of 3 411' City of WI Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: a`3 Permit Fee: 10 5- 5 Date Received: P --b3 / J/ Staff: Q ii 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 12.18.1'3 Site Address: ZoG5 E. e,rald Lr 2ix Rh l Mu 55122_ Unit#: J Name: A h') bet— SOi \TOIL . Phone: (05( "7 l28Z.. Address / City / Zip: ZOGS Eirnelect Ln ( G:/tt tAlel MA 55122. Applicant is: Owner ' Contractor Description of work " p I aC Ji'I,Q ,r 1- w,sect 1 bl-to et,c134v1 1y1 i .hAV\o e14 Construction Cost: 4 3I3 y 1 r `IO Multi -Family Building: (Yes / Noo)( ) Company: WM"OYr) CdelekS •ahC• ContactElrl,11r1 IV e1SOY\ Address: `i 71-1 A poi l ( I. City: L i 1J t State: `I Zip: SSC ILI Phone: �S1-7 G -2 6Li 1" License #: Cf, D1744 Lead Certificate #: NA ! 2.7O 019 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 suppo documents that you sure ct the InkamatIon may be classified as non-public If you pmvlde spar conclude that#ey are bade seal 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.Qoaherstateonecall.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. Applicant' ted Name Applicats Signature x D Page 1 of 3 40.50 Use BLUE or BLACK Ink . �------------------ � For Office Use � C' j Pertnit#: ��S�� �� I lty of���aIl � ������ � � Permit Fee: ��' e7� � 3830 Pilot Knob Road AUG 2 Z 20�4 � �a7 '�� Eagan MN 55122 ^� � Date Received: � Phone:(651)675-5675 ; �, I Staff: I Fax:(651)675-5694 �Y: I I V����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ' oate: 08-20-2014 s�te Aad�ess: 2065 Emerald Lane. Eagan, M N 55122 u��t#: �' Amber Savage Pho�e: (651)452-1282 - Name: �`���� r`��'� 2065 Emerald Lane. Ea an, MN 55122 Address/City/Zip: 9 � xtr � �. ,, ';;, ������ �� Applicant is: Owner X Contractor � � r � �, � Description of work: 1 Entry Door Replacement into existing openings, no structure change. �� `� �� Construction Cost: 3,654.00 Multi-Family Building:(Yes /No X ) �-�: �` Custom Remodelers, Inc. Karli Anderson .� x� � ,; Company: Contact: �,n ����__, ;� �„.. �rz Aaa�ess: 474 Apollo Drive ��ry: Lino Lakes ��;,, ��� ��_�� � � '`s�" MN 55��4 (651)784-2646 karlin.a@customremodelersinc.com State: Zip: Phone: Email: �«?�" ��£"� ��������� CR001748 NAT 27064-1 ; ��:,�s, � �,.. 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: : .� : 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.ora 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 Minnes ta State Building Code must be completed within 180 � days of permit issuance. � M X Karli Anderson , ApplicanYs Printed Name plicant's Signature i Page 7 of 3 I I I !" #$%&'()' *+*, -./$%'"&0-123$45$,+ -./$%'63/7-.1 89:;:<; =*%-'!>>3-519?@9A@?B9A -./$%'#*%-+(.&1- -./$% C$%-'855.->>1''?BDA'' /-.*45'E*,-'' !"#$ %& ''()**+ + , ''-.*/0'10 2.'!3 456 !78!9(7787(8!"7' :3. =->F.$0%$(,1 ;<='>?@. 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';+I,/ <0. Use BLUE or BLACK Ink A CA For Office Use f nCity Ol ����11 Permit Fee: 2d- q 3830 Pilot Knob Road Eagan MN 55122 RECEIVEDi _ Date Received: Z3 Phone:(651)675-5675 Staff: Fax:(651)675-5694 AUG 0 3 2017 � J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y- 3-17 2,/"f 7 Site Address: aJ/ I ►V e-ca,/r/ Lt c.- Unit#: Name: /4/b.G./"" Sc�r/aj-L Phone: Resident/ Owner Address/City/Zip: (2-0 / ,, - , , li air Applicant is: Owner X Contractor / Type of Work Description of work: (. c"-'1"4 (Gwvor/G/ Construction Cost 5,doe) Multi-Family Building: (Yes /No ) Company:AQ.7Urnczso or►5 i Contact: SLS l9y 1 —0a, 0269 Contractor ` Address: 13 34" The..-tps,-_, Av/. City: 55 P State:M's Zip: 5—so 74-Phone: O'cl d&J-OO ti Email: file- .cJtrt n. C:arh License#: 8c. 4.370$37 Lead Certificate . L-l`' 36 7 If the project is exempt from lead certification,please explain why: 0/47- /ql 7 j COMPLETE THIS AREA ONLY IF CONSTRUCTING W BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a m. : - 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. 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.gooherstateonecaltorq 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 w L 5 X11.1 /G x Applicant's Printed Name Applicant's Signature Page 1 of 3 � LOWRITE /1N7. —o6 �+ " DBELOW THIS LINE SUB TYPES _ Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family — Garage — Porch(4-Season) _ Exterior Alteration(Multi) — Multi _ Deck — Porch(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 _ Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation geCO Occupancy Ili–/ MCES System Plan Review Code Edition AO/y SAC Units (25%_100% V) Zoning 12. —1 City Water Census Code hi 3 y Stories — Booster Pump #of Units / Square Feet PRV #of Buildings / Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:`Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final — Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Other: Reviewed By: , Building Inspector RESIDENTIAL FEES (� Oa- p`G9 a /G 43 Ao Base Fee .7 3 7P6 Surcharge Plan Review A'7 .21-- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3