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2105 Emerald LaneINSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: Os• /`-st+ (651) 681-4675 I.. N.: :t N- 3 6/ Rl 4f -- 0Fi 0--f i SiTE ADDRESS: I Wr Ht t,,. r : ftAt b I ANt ? 1' EIAtt fjttllV(- # I APPLtCANT: i. ? i,??•;!i ? I I;(' I NI {i?l.') FS?iR ?SdH PERMIT SUBTYPE: TYPE OF WORK: 1+? Vr, i ti V T(;'I I'tiM T . It. & I1 F, It(til) l INSPECTION .. . .. -1 I Permit Nolder Date Telaphone # SEWER/ WATER PLUMBING HVAC Inapaction Date Insp. Comments FOOTINGS FOUND FRAMINQ ROOFING LO?? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AI R TEST FINAL PLBG FINAL HTCi ORSAT TEST BLDG FINAL UOMESTIC MEfER IRRIGATION METER WtUSH MAINS CONDUCTIVfTY TEST HYDRQSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CIDAR GROVE #1 Lot 5 Rlk 7 Parcel 10 16700 050 07 Owner ? ?Cr Street 2105 Enerdld I,3ne State Ea9an, MN 55122 r% 'k V1 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?J 1985 1266.95 84.46 15 1266.95 C009393 9-10-84 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 9 1, 30 . 00 52.16 2 Pa d WATERMAIN * WATER LATERAL 1972 WATER AFiEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC Lk PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: j . i I'I i V i i 1 i i t?,. ? c,FnAR OtrnvE * a ? PERMIT SUBTYPE: .. .. . TYPE OF WORK: ADO.Liiflld tnrrA c" ItV' 0 ,Tt?rlA i,r I I - i 1 Nor, I 1 i NAl ('"f Ml3Ph. °; ASi€ 1'AkAI t' 1'C ttA41 01"".01-pT1l f ioM F(; A M I P41, Permit Mo. Pertnit Hoider Date Telephone * ELECTRIC PLUMBING HVAC Inapection Date Insp. Commants FOOTINGS FOUND FRAMINC, ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLCG FINAL BSMT R.I. BSM7 FINAL DECK FTO DECK FINAL of Z 3 31 /O ?7j's-7 IX/S C?io Repuest Oele ,i n Fire No. ilough-in Inspection Requiretl, Reatly Now ? Will NoTty InspBCtor q ?? ?? .? Yes When Reatly? >Zlicensed contractor ? owner hereby request inspection ot above electrical work at Jo0 AtlOress (Street Hox or Rou[e No,i a i os c ?.?d.. L, Ci Seclion No. Township Name or No. Range No. C ly upant(P 1 1l ^. , ' ?,,^ ?.f.? ?lJ?-?117L.?C. 1? Phone No. Power Svpplier AdOress Eleclric I aclo, IComOany Nam it c_. Conrcactor5 License No. Cpfo I ?4 a Maihnq Atltl ss I nVactor o wner Makmg Install n) ? 1 ? 1 AutM1On E$ignaI 21CoMrac nOwner Making Installatmn) ?Q? On Nomber 0 35SS MINNESOTA STATE BOAU? E EC IQTY THIS INSPECTION REQUEST WILL NOT Grigga-Midway BIOg. - Apoy S- 3 BE AGGEPTED BY THE STqTE BOARD 18Z1 Unlversity Ave.. SL PaMN 0 UNLESS PFOPER MSPECTION FEE IS Phone(612) 6024800 ENCLOSED. REQUEST POR ELECTRICAL INSPECTION K 29331 , See ins[mclions lor completing this form on back oi yellow copy. "X" Below Work Covered by This Request e? ?? E0'000jJ0'1{-OBh ? ?.? ('i / (l ? / ew Atltl Rep. ^ TypeofBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Sarvice Duplex Water Heater Electric Heating Apt. Builtling Dryer OtheF-(Specify) Comm./Industriat Furnace Farm Air Gonditioner I Olher(sVecity) Conhac?or's Re iarks: on ` ?? Sc?a ?.J i? ?1/? Compute Inspecfian Fee Below: # Olher Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 700 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SignS Inspemw5 use Omy: TOTAL Irriga[ion Booms /?' G? S? Special Inspection AlarmlCommunicalion TNIS INSTALLATION MAY BE ORD SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspecbr, hereby Rough-in Date certify that the above inspection has been made. F;,,ai .? /. L 7 OPFICE USE ONLV Tnis request voitl 18 manths from EAGAN TOWNSI-IIP Ownex L!I Address (pre Buildes ........ Address ...... ILDING PERMIT DESCRIPTION N° Eagan Township !. ? S i?? 560 Town ? Iiall Dale ./.....l.../_:_'-..40 ............ 5fozies To Be Used For Froni Depih Heighf Esi. Cosf Permi! Fee Remarks k ? LOCATION or This permit does noY auihosiae the use of sireefs, roads, alleys or sidewalks nor does it give !he owner or his ageni the cighito creaie any siiuafioa which is a nuisance or whiah presenfs a hazard !o the healih, safetp, convenience and general welfare So anyone in the communify. THTS PERMIT MUST BE MISE WHILE THE WORK IS IN PAOGRES . This is !o cerlify, lhak------- _.,E ._ ..__. .._??`..`"Yras permission i erect a.?.?._... .. ??...__.._......_.upon the aboae described pre s su 'ec! lo,?h provisions of the Suilding Or inance for .' dop4ed April 11, 1955. ? ? ? ? . 'ia . _...'.. vPer ...__. . . . . '._._..-..".__ _.. ......__.._...."..._....__. ......__. _ __....... .... . ........ ?.? Lj?.......__......_._... Chairman of Town Board . ----- ._ . _ ' uildiaIfis !or EAGAN TOVVN S H I P BLDILDING PERMIT Ownex L??[.?,.?/?`r. Addrass (preseni) Builder ................... w.F??-.C'....?__'-....................... '-'----------------- Address ......... -.......... -------------------- ----------------- ----------------------------- DESCRIPTION N° 622 Eagan Township Town Hall -- Sfories To Be Used For Front Depih Heighi Esi. Coaf Permi! Fee Remarks l ..Cs ` ??'?',o ? LOCATION Sireef, Aoad os.?oYher Descriniion of Locaiion I Lo! I Elock I Addition or Tracf This permif does noi authoxize the use of streefs, roads, alleys or sidewalks nor iioes ii give the owner or his agenf the righ! !o create any sifuation which is a nuisance or which presenfs a hazard to the healih, safe4y, convenienee and general welfare !o anyone in the community. THIS PERMIT MUST PT- - N TF?r E 4LE THE WO&iK IS IN PROGRESSLC! . 4?n/ ?1 This is !o ceriify, fh??F? ' -- -- - - ? •.--- ---has permission !o erec! a?---r.?-- - - ? -,?,,,...-----"--upon ihe above described psemise subjec! !o the provisions af the Building Or "nalnae for Township dopked April 11, 1955. _ .............._........__..__._._..._-__... ..... . ... . _ ._."_._. Per%?~._. *,1g ._.___.._. ._...'. Chairman of Town ... Boar . . . d _ Inspec.ior' ._ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complele for single family dwellings & townhomes/condos when pami[s are required for each unit Date _S_ / J ---? / 05 Site Address c?) (JY?(/JC it # U JA-V' U n J Pro ert O T l h # p y wner one ( ) e ep Contractor O'CONMOR Street AddY Plumbing, Heating & Cooling City I 904 Vermillion St. State Hastings, MN 55033 ? Te1CphOne #( ) J Bond #: Eapires: The Applicant is _ Owner _ Conhactor _ O[her Add-0n or alteration to eaisting dwelling uuit $ 30.00 X fumace _Additional ^Replacement air exchanger ?C. airconditioner _New x' Replacement other State Surcharge $ 50 Total $ ? I hereby apply for a Residential Mechanical Pemtit and acknowledge tha[ the informafion is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a pemrit, and work is not to start without a pemut; that the work will be in accordance with the appmved plan in ffie case of work which requires a review and apprwal of plans. ? ?? o 1-7• tC wAp?7 (12 Applicant's Printed Name Applicant's igna re , ,j: ? ? Rq3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 F'70,, ?- New Gonslrudion Reauirements RemodellReoairReauiremenls Office Use Onlv 3 registered sHe suneys showing sq. ft of lot, sq. R. of house; and all roofed areas 2 copies ot plan CeAof Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pms Plan Recd _ Y _ N. 2 copies of plan showing beam & vrindow sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _N lsetofEnergyCalculations AddRion-irMicateHonsdesepticsystem On-sHeSapticSystem _Y _N 3 copies of Tree Preservatbn Plan if lol platted after 711193 Rim Joist Delail Optlons selaclion sheet (buildings with 3 or less unils) -E Date . Z /Z) kj / v-s' ConstructionCost rnn;?.,?a ? Site Address 21oS Fmo,ncn Jar* Unit/Ste # DescriptionafWork S.D..,o -hPG? 4- IJr^tiL rvr.oy? Multi-Family Bldg _ Y X N Fireplace(s) X 0 _ 1 _ 2 Property Owner W, tL a 13a r.,q Telephone #(6,5?)?%S5? u3 7n Contractor Address ,t'„ . b City B., .4, State w,., Zip -i S3 2:;z Telephone #(¢,$'2 ) a? Y- 3?j., COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene(gy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have'you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( 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 Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wor -is-xof-to-stat?-w?1 permit; that the work will be in accordance with the approved plan in the case of wark w i'Ae?i? ? 4?i? approval of plans. FEB 2 4 2005 D?P?,o .7• P,40,T1• .(??t......0 mae,,,6 ApplicanYs Printed Name Applican s Signature gy 53 S 3 / RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 `J 651-681-4675 New ConsUuction Reauiremenb • 3 reqistered site surveys shawing sq. ft. of lot, sq. k. of house; and all roofed areas (20%mavimum lat wverage allowed) • 2 wpies ot plan showirg 6eam 8, wifMow sizes; poured (ourM design, elc.) • 1 set of Energy Calculations • 3 copies of Tree Preserva0on Plan if lot plaNed after 7/1193 . Rim Joisf Detail Options selection sheet (bidgs wdh 3 or less units) DATE ti- at,?l. - O a. Water Softener Wacer Heatcr No. of Barhs SITE ADDRESS a\ c'? S "?J E MULTI-FAMILY BLDGW ?XN TYPE OF WORK7C7? 955; V94"i NkOm-, ON1.,9( FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT 'DkV.Q:O'1n5 STREET ADDRESS yW3Q WW.L9A'M°c,. CITYt1C'CVIOI.-. STATEMA[ZIP b"_??ai TELEPHONE OV1 SIdJ•"b40 CELL PHONE #??a-SS?t -ziLd'1? FAX # h?3- ?'?\ •pbOj7 PROPERTY OWNER TELEPHONE # kDSI - t-l5Ii- L-lVl C'1 --------------------------------------------------------------- -------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'1'A Ri1LL.S 7670 CA'CLGORY 1 MINNrSOTA NUI.ES 7672 (J submission rype) . Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plmnbing sysCem includes: Mechanical Contractor. Nfcchaziical system includes: Sewer/Water Confractor: - Air Canciitioning _ Heat Recovery System Fee: $90.00 Phone # 7NII Phone #l 2 2 200--°--------------------------------------------°-------------°------------------°----• I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. comply S(gnature of Applicanf OFFICE USE ONLY RemodellRevair ReauiremeMs • 2 copies of plan • 1 set of Energy CalcWafions for heated additions . 1 site survey (ar exterior add'Aions & decks • Indicate if home sened 6y septic systam for addifrom VALUATION ? 3 r040 • 0 8 Phone # _ Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4/02 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 33 ? g ? ciTY oF EnGAx 3830 PII.OT KNOB RD - 55122 681 4675 - 1 c, New Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 capies of plan ? 2 copies of pWns (inGude beam 6 window sizes; poureC fnd. Cesign; etc.) ? 2 site surveys (exterior additions 8 dacks) ? t energy Calculations ? t energy calculations for heatad additions ? 3 copies of tree preservation plan if lot platted aRer 7f1l93 required: _ Yes _ No DATE: Ip' ' Z/ CONSTRUCTION COST; 2?5'? ? DESCRIPTION OF WORK: l G -? " ???. 'I^I. STREET ADDRESS: ZO S r?li't /J (ne LOT: ? BLOCK: '-1 SUBD./P.I.D. #: n ? I C? 0", ? V U Name: Phone #: PROPERTY Last First OWNER / k 41 s ? o - Street Address:? ? G City ? State: Zip: 1 n? QW? S { / ?--v ?GI ' ?I ?iF f ?J?- S Company: . Phone #: u CONTRACTOR Street Address: Q-w A C? - ? lq (?. 3 ? L?cense # &hL City State: /Wl ZqP: ARCHIT'ECT/ ENGINEER Company; Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): and iot change is requested once permit is issued. I hereby acknowledge that I have read this applicadon and state that the State of Minnesota Statutes and Ciry of Eagan Ordinances. , Signature ot OFFICE USE ONLY I / L? CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Penalty applies when address chang agree to with ali applicabi - '? tic, l "L ( 19fi PERMIT CITY OF EAGAN 3?30 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 51TE ADDRESS: P.T.N.e 19-16700-050-07 DESCRIPTION: REMARKS: FEE SUMMARY: PERMIT TYPE: g u z Lo z NG Permit Number: 0 3 3 7 y 1 Date Issued: 10/ Z 6/ 9 s STORM pAMAGE REPASR 434 ALT. RESICIENTTAL ? t * ? r ? -? ? ? Q wi? ? ??a?3 7? ? Bui:1d'ing,permit Type Bcii.ldinqWo?Mk Type ,G`erisus.. Code ? , y I / r P ?( ir 2105 EMERAI.I] LRNE LOT: 5 6L.OCK: 7 CEDflR GROVE S1 T.O. & REROOF CONTRACTOR: ? ROBERT5 RES REMObElING 13119 07'1"AWA CT SAVACiE MN (612) 899-4148 Applic&nt -- ST. LIC INC 18944148 0006885 55378 OWNER: BAUMANN BILL 2105 EMERALD LflNE EAGAN MN 55122 (651)445-4370 T hereby acknowledge that I hav8 read this informatson is correct and agree to cvmply 5tatuCes and Ci;ty of Eagan Qrdinances. ? APPLICANT/PEpMITEE SIGNATURE applicdtian and sCate that tNe with a1l applicable State of Mrt. -IS?UED 8Y: SIGNATUqE I PERMIT ? C#TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: BuiLozNe Permit Number: 0 3 0 9 8 8 Date Issued: 10 / 2 0/ 9 7 2105 EMERALD LANE LOT: 5 BLOCK: 7 CEDAR GROVE #1 P.I.N.: 10-16700-050-07 DESCRIPTION: ` (ATTACMED Ouilding^v,,?ermit Type BuiYding W'osr-kl 7ype ? Cecrsus C?ot4e: , ? ...- ? c 1 3TORA6E) GARAGE/ACCESSORY ADDITION 438 ALT. GARA6E ?? aa (...fni di?`\\ c2 ?\Se w 9',??1._.•,'t?, `l?.-(:?x .: ? €5a r.°.... REMARKS: A SEPARATE PERMI7 TS REQUIRED FOR ANY EIECTRTCAL WORK FEE SUMMARY: VALUATION Base Fee 5urcharge Subtotal $62.25 $1.00 $63.25 $2,000 COPY $.25 Total Fee $63.50 CONTRACTOR: OWNER: _ qpplicant - ? BAUMANN WILFRED 2105 EMERALD LN EAGAN MN 55122 ? (612)454-4370 I hereby, acknowle,dge tMat_T hav#,read.this, aplica??.an and state that the information 3s correet and agreg tno comply wi'th all applicsabls State b# Mn.` L 5tatuters and City`ofi Eagarti" (2t^dirlaneeIs,' _. ? !y? ` APPLICANT/ RMI7EE SIGNATURE ISSUED Y: SIGN RE 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 30qm CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ss1-4s7s New Construetion Reauirements Name: J?r U?f?/7???/ /ti/??fc c? Phone #: wr nnet Street Addressf,//C), ? 4?"f ? 3 registered site surveys ? 2 copies of plan ? 2 wpies of plans (inUUOe beam 8 window s¢es; paured fid. tlesign; etc.) ? 2 site surveys (exterior additions & decks) • 1 energy plculations ? t energy calculations for heated additions ? 3 eopies of tree preservation plan if lot platted after 7/1/93 requiretl: _ Yes _ No DATE: CONSTRUCTION COST: / `O'z DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK l°D e;?, 1?X /6 ? ? SUBD./P.I.D. #: 61&"9hP1V, I ' PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER City: State: Zip: ?41i/0( Phone #: Street Address , Pr J„ ,- License #: City: RemoEeUReoair Reauirements State: Company: -Vd )`?- 1??a v ? v,c_- n/ Name: Zip: Phone #: Registration #: Street Address: City: Sewer & water licer.ped plumber (new construction only): and lot change are iequested once permit is issued. Zip: Penalty applies when address change 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl= State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required State: OFFICE USE ONLY BUILDING PERMIT TYPE =:'-?.* ?_?? w = .` ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex Er 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move p' 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabfe) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ?1 ]5 7 Depth Footprint sq. ft. SAC Code c? r Census Bldg Census Unit o APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ( ) 2 'S E " % SAC ?' ' SAC Units ? ?'.us ..??..r.? ...t.: . 'U ? ?_--a..a.... ? ..., _. ? Engineering Variance z Valuation: $ _ a .ovu. -- Building r(, ,c 4- _ e*I Le $ = 1,'' 44" . -- ----------- I ??,pffc'e?jl3se ? ? Permit #: 54 I Pertnit Fee: O' vv I ? Date Received: I ?? I ? Staff: I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? P Site Address: ? ? ?',1 ? r•+ Tenant: Suite #: RESIDENT/OWNER Name: W.CG?a,.,_ Phone Y37Q Address/City /Zip: ?.oou -S:- S"iz> Applicant is: _ Owner 'X Contractor TYPE OF WORK Description of work: 1?e c{ Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Name: r n Te 1 ?2: 1.r-es i?L License #: -':? cS ? y 7// Address: / 311 tf C'r 'Ta ?-a c-- City: Sc, „a c?P State: ? h Zip: 3>d' Phone: 9J?.1 ?'9c? ynSi ContactPerson: 7-f- 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 Category SubmiNed Su6mitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical ConVactor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you'submit:are considered to,be public;informafion. Portions of the infoirmation may be dassified as non-public if you provide specific reasons that would permit the City to conclude ihat the are trade seci-ets.. .:: . I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is nol to start without a pertni[; 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 /A i/o -T- "vQ bPrTJ' ApplicanYs Printed Name X e?????- Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114008 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 2105 Emerald Lane Lot:5 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-050 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 . Kim Moore 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 - Wilfred P Baumann Tste 2105 Emerald Lane Eagan MN 55122 Bulldog Contractors Llc 3300 Edinborough Way Suite 201 Edina MN 55435 (952) 253-3350 Applicant/Permitee: Signature Issued By: Signature