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