2116 Emerald Lane
Use BLUE or BLACK Ink,
For Office Use-
I
City OII l Ea-jan Permit
Permit Fee:
3830 Pilot Knob Road l
I I
Eagan MN 55122 R F O F I V E D I Date Received:
Phone: (651) 675-5675 j I I
Fax: (651) 675-5694 MAR 0 7 2011 1 Staff-------- ,
i
'2010 RESIDENTIAL PLUMBING PE14MIT APPLICATION
Date: l Site Address:~_/~'i ~Lt
Tenant: Suite
RESIDENT / OWNER Name: Q ~ C\4__~ k A n_Al~_ i Phone:
Address /city / Zip
CONTRACTOR Name: tense
Address:` 1 City: L`1 LL_
State\L_k,,._ Zip: b Phone: , J s (n '
Contact:.( 1L cv-\ Email:
i
TYPE OF WORK New Replacement Repair -Rebuild Modify Space _ Work in R.O.W.
Description of work _
r
RESIDENTIAL
PERMIT TYPE
Water Heater Water Softener
Lawn Irrigation RPZ / PVB) Add Plumbing Fixtures Main Lower Level)
Septic System - Water Turnaround
New
I.
_ Abandonment
I
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
,
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.Oq State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.09 State Surcharge) l
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002foIr protection against underground utility damage.
Call 48 hours before you intend to dig to, receive locates of underground utilities. www.gopherstateonecali.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 o ns.
Applicant's Printed Name Appli is Signature
FOR OFFICt USE Reviewed By: Date:
i
Required Ins' `ections: -Under Ground _,Rough-In : -Air Te It -Gas Test -Final
i
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Mlnnesota 55122
Phone: 454-8100
_ :-ATING Aj C _ pERMIT
Date: '.i'r '11 27, 1978
2:16 Emerald Lan
Site Address:
Lot _/ Block .5- Sub/Sec.
Nome ':'. charc3 ':,n,_a
.
? Address a 7
City 55122 Phone:
Name _ tandard Heatinr & A/C
?
a-
t Address - ?_ •
e
0
V
City Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Stcstutes and City of Eagan Ordinances.
o/ -
No.
Receipt No.:
Single I
Residential !
Multi Res., Comm./lnd. I
New /Alter. /Repair al teration
Cost of Instollation
Permit Fee • ,
.: ?
Surcharge ?
Tota I ?
done in accordance with all npplicable State of
Building
?,.. . ... . , _ . .
CITY OF EAGAN ?.? ? I t-,14 1
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 .?
PHONE: 454-8100
BUILDING PERMIT t
Receipt #
To be used for kS-RQOFIIGG Est. Value 500.00 Date OCT 7 9 , 19?L
Site Address 2116 LMEBAI_n t_N
Lot I- Block 5_ Sec/Sub. CEnAR GROVE l$ OFFiCE USE ONLY
P8fC21 N0. Occupancy _ FEES
Zoning -
W Name Ri(:NAkt] YANTAR (Actual) Const - BIdg.Permit lg-?
3
p Address 2116 FbIFR,I_i] .N (Allowable)
-
Surcharge 50
•
I City FAQN Phone 454-1356 #oi5tories -
N
Plan Re
ie ?
Length _ v
w
ZF Name PA[1L' S?l _ IHPROV _ix?'uTS Depln - sAC, Cicy
1<1
Ucc Address _J? 197TH S'C V S.F. Toial
SAC, Mcwcc
Ciry FA?it?[~rON Phone "3-2727 S.F. Footprints _
On Site Sewage _ Water Conn ?
W W
? Z Name On Site Well -
Water Meter T?
q
_-
¢ z Address enwcCSyssem
A
D
a W
City Phone
ciry wacer cct.
eposit
PRV Required - SNV Permit
I hereby acknowlege that i have read this application and state that the Booster Pump - S/W Surcharge ?
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and C%# Eag Ordinance
. sr
' Treatment PI ?
.
Si nature of Parmitee
9 APPROVAIS
Road Unit
A Building Permit is issued to: pAUL ' S iiONE INPRQVEMF?l7'S Planner - park Ded.
on the express condition that all work shall be done in accordance with all
Councii ?
applicable State of Minnesota Statutes and City of Eagan Osdinances. gldg. ph. _ Copies ?
Building Official
? Vaziance - TOTAL 13• ?
Permit No. PermR Holder Cate Telephone Jk
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Oste Insp. Commenis
Footings I
Foundation
Framing
Rooting
Rough Plbg. d 4,P
Rough Htg. ?
Isul.
Fireplace
Final Htg.
Orstat Test
Final Pibg, Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
weu
Pr. Disp.
CITY OF EAGAN Remarks * Cedax rxovP A^rUlSitiOri
Additio CEDAR C'ROVE #1 Lot 1 Blk 5 Parcel 10 16700 010 05
Owner, r -t- eU n G Street 2116 r3nerald Lane State Eagan, MN 55122
Q.1'Ti-(a
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. S 1985 1266.9 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL ? 1972 1.304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEF CONN.
BUILOING PER.
SAC
PARK
?Tis reque?st void 18 months from
P86191
Datil of this Request :$ ^ 'q
I, as.KLicensed Electrical Contractor ? Owner, do hereby tequest inspection of the above electri-
cal wiring installed at:
A?l?o ?-w?ErSR?-? [_r/A?t. City 6`7C?Ifi(/
Street Address or Route No.
Section Township Range County bli6C-OTA
Which is occupied by A1 EID _"}f} ftJ i
(Name ot OctuDant)
Is a roughin inspection required on this job? N? Yes ? Ready Norv)K( Will Call ?
Power Supplier.... A drecss ?
L iUMTRTNU EGELTRTT-Ci57. „3
Electrical Contrl?8'f 3T1 LL5¢A'FF3't A1i£ Contra tor's License No. _
ST. P'Af)L,
Mailing Address %
(Elettricai / cbntractor or wner Making Thls Installatlan)
Authorized'Signature Phone Na 3
(EI rlcal act or w e Ing 7hiz Installatlon)
f.. ?.
????? ?? O/? This inspection request wiil-nat he accepted by tfie
ll State Board unleu proper inspectian fee is enclosed.
-V'' Minnesota State Board of Electricity
,:%,954-University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CH&K BELOW WORK COVERED BY THIS REQUEST
/ O / ?'3 /
P 86191
Type o( Building New Add. Rep. Check Appliances Wired Foc Check Fquipment W'ved Fov
Home ? 179?- ? Range ? Tempoxaxy Wixing ?
Duplex ? ? ? Water Heatex ? Ligh[ing Fixlures ?
Apt. Bldg. ? ? ? Dr ? Elecuic Heating ?
Commemial Bldg. ? ? 0 F Silo UNoader ?
Industrial Bldg. ? ? 0 A? it? Bulk Milk Tank ?
Fazm ? ? ? Li ) List
Othei
?
?
? p }
He[el51 p
Hehe $?
COMPUTE INSPECTION FEE BELOW
Service EnUance Size: 4F Fee Feeders$Subfeedecs: # Fee C'vcuits: # Fce
0 ro 100 Am s. 0 Lo 30 Am eres 0 to 30 Am eres
]Ol to 200 Amps. 31 ta 100 Amperes 31 to 100 Am ies
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Tiansformers Remote Contxol Circ. Partial or othei fee
Signs 5 cial lnspection Minimum Cee $5.00 ?
Remazks
TOTAL FEE
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) f Date
(Final) , Date 2d'
This reques[ void 18 months from
. '' CITY OF EAGAN NO 19824
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 ?
? 1
BUILDING PHONE:454-8100 n'U?,.u'-
PERMIT Aeceipt # ??
To be used tor RE-ROOFING Esc Value $500.00 Date OCT 22 , 1991
Site Address 2116 EMERALD LN
Lot 1 Block 5 SeGSub. CEDAR GROVE 15
Parcel No.
w Name.. RICHARD YANTOS
3 I
Address 2116 EMERALD LN
0 City EAGAN Phone 454-1356
F Name PAUL'S HOME IMPROVEMENTS
?
0
4 Address 3460 197TH ST W
,
? City FARMINGTON phane 463-2727
?
W W
Name
W? AddreSS
aW City Phone
1 hereby acknowleqe that I have read Ihis application and state ihat the
intormalion is correct and a9ree to comply with all applicable State of
Minnesota Statutes and City,dl Eaqan Ortlinancea
Signalure of Permitee -JE!!e?f
A euilding Permit is issued to: PAUL' S HOME IMPROVEMENTS
on the express condition thal all work shall be done in accortlance wilh all
applicable SWte of Minnesota nStaWtes an?tl,,C?ity ot Eagan Ordinances.
Building Otiicial J?
Occupancy
Zoning
(ACtual) Consl
(Allowable)
# of Stories
Length
Depih
S.F. Total
S.F. Faalprims
On Site Sewage
on Sae wan
MWCC System
Ciry water
PRV Fequired
Booster Pump
APPROVALS
Planner
Council
Bldg. Ofl.
varim,ce
OFFICE USE ONLV
Bldg. Permil
Surcharge
Plan Review
SAQ Cily
SAC, MCWCC
Water Conn
Water Meler
Acct. Deposil
S/VJ Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
15.00
.50
15.50
EAGAN TOWNSHtP
BUILDING PERMIT
owoe: ..Y?"""...... ?.:...???.....__.... ------
Address (Presenf) '.r.Z?L.?i..... _?"•?,
............................................. ......--`-
Huilder ...?...... .?:.....G.Y..°.--'---- ....................._'
Aaasem ........-.-- - ...------.------ ----.- ------ -....... --.-- .........
N° 1'763
Eagan Township
Towa Hall
ae:e ..
...........---?--
Storias To Be Used For Fron! Depih Heigh! Est. Cosi Permif Fee Aemarks
This permit does aot aulhozize the use oi sixeels, raads, alleys or eidewalks nor does it give the ownes or his agent
the sighl Yo creafe anp siluafion which is a nuisance or whiah presenffi a hazard fo the heallh, safefp, convenienee and
geaeral welfare !o anyone in the eommunify.
THIS PERMIT MUST BE EPT ON THE.pPOA£MISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlifp. 3hai....:..<........ {?:...4i .:...........has permission !o erect a--.--t?:?..._.._... .'.?.-..?.----$
the ebova descsibed premise eubjeci !o the provisions of the Building Ordinance for Eagan T. ?hip a?3pled April 11.
1855
..........'----.._?Q ......... .....'-.tS....Q= . .........-'--. Pex ............. ?5?-----'.?. .J.._•--'_........
. . . _'.. ."'- -- .. .. ?....'-""".........
Chai an ot Tnwn Board Huilding InspecSOr
[i /j.
HOUSE HEATING TEST RECORD / ? /-- ?,?
ADDRESS `-?C?-vt `?`??=-L/ L?n .
? APT. - FLOOR CITY SUBURBOCCUPANT - OWNER i`
HEAT LO55 DA E N?TG.?.IN,ST.
SOLD BY Q.,h q? INSTALLED BY
Elaetrical Work By ? Gos Line B
Y ??-?-
TYPE OF HEAT GA _ FA 4" HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER "
GAS DESIGN CONVERSION (
MAKE MAKE OF BURNER -
Model Model ' -'$erial ' i? ?-- S' ? ? Max. BTU Rafing
INPUT gf O Cl MAKE OF FURNACE
Model
['? ?CONTROLS
THERMOSTAT ?. ?17L Hear Plug y4
Valve
Limit
Limit SsNing 2.0 0
Fan $etting L6n
Pilot Type ?? ??.
Pilot Make
Pilot Model
Pilot Timing I/ ry d_A? "
L.W. Cut Off
.i
2
Pres:uro ? ZO 1 Percent COZ ?
0
ii
Vent S{ze ?
KIND OF LINER SIZE J" NOI??`?`
Drah Hood ? - Ragularor- -? ?-
Filfers Size'?O r?tumber ?
Chimney Location Inside}? ' 4??? utside
Chimney Consirunion /d
Smoke Bomb Wiring %--'
Drait Test Tog L_
Daor Pressure Lightiny Inst. f?
Date Testsd
InPut CFH f 60 Parcent O ?
Z ? Company Testina ?rr - 9
Stock Temp. Pereent CO v Name of Tsster
Form 235
EAGAN TOWNSHIP
BUILDI,NG PERMIT
??
Ownes t?? .?..?r.? .?.?lJ.? l??q:..._... ?4, / . ? ??.... //,?.??
,{ ? /,'
?1./?YGG•
?? r
Address (Presen2)?--?--?`"'-----•----•?--------?-_• ..... ?
Buildex
Address
D£SCRIPTION
N°
?k
Eagan Township
Towa Hall
t?.
Date .f.f.--°---..
63ories To Se Vsed Fo: Fxoni DepYh Heigh3 EsY. Cosi Pe:mif Fee Remarks
- LOCATION ' / -
Slreel, Road os oihes Descripiion of Locefion I Loi Bloek AddiYion or Traci
Thia permit does noY aulhoriae !he use of sireels, roads, alleys or sidewalks nor does if give ihe owner or his ageni
!he righf fo creafe any sifualion whieh is a nuisanae or which presenfs a hazazd fo !he healSh, safely, oonvenienee and
general welfare !o anyane in !he communiip.
THIS PERMIT MUST 8g/??-? PT 0 yp7??,THE P MI'E'' FII THE WORK IS IN PROGRES/
Th1s islo ceslifp. !hal._6?_.?_c.^.:C4P' -?.'?Y....f.?_? permission !o ereat a?-`.!?T_-- ---------------------- ----upoa
!he above d scribed ' 7ecf! fo !he pravisions of !he Building Oxdinance for Eagan Township adopted April 11,
1955
......??-?........ ............. Per .----------.....----------°--° --------._..-°-°-----------°-°---.-°-°--.........
.......
•- -"-- ---'- - -'- --' •- - '
Chairman o. wn Board Suilding Iaspecior
IAL
BUILDING PERMIT APPLICATION .?
?c? ---I CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681•4675
NewConsWction ReauiremeMS RemodellRemirRaoulremenb
• 3 registered sile surveys shmxing aq. ft of lot, sq. ft. M house; and ?II roofed areas • 2 copies of plan
(20% maximum lat cavemge allowed) . 1 sel o( Energy Calculatians for heated additbns
• 2 copies of plen showing bean & wiMow s¢es; paved fowd design, etc.) . 1 sitasurvey for exMrior additiorks 8 decks
• 1 sat of Energy Calculations . Indicate'rf hane served by septic system for adtlAions
• 3 copies of T2e Preservation Plan if lot platted after 711193
. Rim Joist Defaa Optlons sekdion sheet (61dgs with 3 or less units)
DATE `- .20` 6D VALUATION 7a5
, a s
JOB SITE ADDRESS a116 ?vY+e ?a? f cJ Lw?' e
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Iz " CAel<<I a, d L:Oner, ven fe`
TYPE OF WORK S rcI zIn fIREPLACE(S) _ 0_ 1_ 2
APPLICANT Et?
? ?%an HP ONE# wAS(-
ADDRESS
PAGER # CELL PHONE #
CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VeMilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbtng Contractor. _
Plumbing 3ystem dncludes:
Mechanical Conhactor. _
Mechanical System Includes:
Sewer/Water Conhactor.
Phone #
Phone #
Fcc: $90.00
Fee: $70.00
All above information must be submitted prior to processing of appiicatian.
I hereby acknowledge that I have read this application, state that the infor io is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin n?Signature of Applicant
of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updat9d 2002
_ Water Scf[ener _
_ Water Heater _
_ No. of Baths
Phone #:
Lawn Sprink:er
No. of R.I. Bafhs
_ Air Conditioning
_ Heat Recovery System
1991 BIIILDING PERZfIT APPLICATION
CITY OF HAGAN
SZNGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CAI.CULATIONS
MITLTIPLE DWELLINGS
COMII4ERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG, DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iiHEN: TYPING OF PERMIT IS REQUESTED, BIJT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?e - IRo a? Valuation: 500 ?r? ? Date: /d
Site Address
Lot I_ Block ?
Parcel/Sub L",An/}/jq, i /t
Owner
Address
City/Zip Code F-ag,t?r
?
Phone Z21255-
Contractor ( qcel S /A?t -(-vnerdvc?cA
Address3Gd 07Z2!5?-W•
City/Zip Code 5 Sbz-Y
Phone Li'G 3 -x 72 7
Arch./Engr.
Address
City/2ip Code
Phone #
OFFZCE USE ONLY
FEES
Occupancy Bldg. Permit a
40-
Zoning
Surcharge n
.?
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
5/W Surcharge
On site sewage_ Treatment P1.
On site wel2 Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
APPROVALS
SIIBTOTAL
Penalty
Lot Change
TOTAL
Planner
Council
Bldg. Off.
Variance
Sewer/Wa„ ez Licensed Contr.
agrees that all woYk shall be done in accoxdance with
(Si ature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirr oF EAcnn
q2441 3830 PILOT KNOB RD - 55122
651-681-4875
New CarulnuMon ReaWmmenh Remotlel/Reoatr Reaulremenh ? 3 reglatered fife wrveys ahowing sq. M. o/ lof, sq. R. ol house 2 coptea oi plan
antl gfi rooled areas 120X mmdmum loi covamae atlbwedl 1 se10l energy calCUlaHOns lor heated additlons
v 2 coplea ot plans (show beam a wlntlow sizes: poured hxl. dealgn: eM.) 1 stle wrvey for extedor addlHOns & decks
> 1 sal of enerqy calculatlons
> 3 coplef W hee prefervadon plan If IW p1aMeO alter 7/1/93 DATE: Sb 3I0 () CONSTRUCTION COST: 3?/160. UU
DESCRIPiION OF WORK:
STREETADDRESS: ?2116.o Evnara.?o'J Lr.vn ?
LOT: 1 BLOCK: 5 SUBD./P.I.D. i: l.edar lal'm
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:A'C,GIG!!ld /i'17?'?_ Phone#: ?OSI -?Sy' ?35?
ws, Fim
Sfreet Address: a? I L? C". ?/??l' U( G( L
Cly State:
Lp:
Company. 1Jf'??USor tqQOT ] ilG1 Phone #:
(area code)
3?S'(> w/?4LJf?i ?f' ucense a 01°R 31?5 Exp. 3 vl
Sheef Address:
aiy JOYZ??iY? srate: M/1/ vP: 55y
Company: Name:
Telephone Y: (
Sheet Addresa: RegishaHon #:
City
State:
Sewer/water licensed plumber fii installina sewerlwateA: Phone ik.
Zip:
I hereby acknowledqe Ihaf I have read 1hb applfcaHon, date that Ihe intortnalfon is cortect, and agree fo comply wHh a0 appffcable Siate
of Mlnnesota Stalutes and CHy of Eagan Ordinances.
Signalure of ApplicanY.
OFPICE USE ONLY
Certifiptes of Survey Received Yes _ No '
Tree Preservation Plan ReCefved _ Yes _ No _ Not Requ(red
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 plex
01 of ? 09 07-plex O 18 Deck ? 23 Porch (screened)
? 04 _
02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
? 31 Ext Alt - Multi
? 33 Ext. Aft - SF
? 36 Muki
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demoiish (Bldg)' ? 44 Siding
[J 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Len9th sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning B uilding Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MC/ES SAC
City SAC ,
Water Conn.
Water Meter
Acct. Deposit ,
S/W Permit
S/W Suroharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
xnTJiFJ:YFCiiI'I?O.JCK±u....??:)(ONXS<?.I?nilY-iY.fn..i. ..lr+in.?,j
'A / 7 l'7 c?
iOT NAMc i . SIZE ' I
? a-- ??' ? _h i j ??'1+h't'i
BLOCK IAOORE59 ' VAL'JE
?.1-\ L-_..'?I C)'L"-i. I
AGJ'N. ' y AftEA . ' i
1 TYPE I
4
I??I i75 T a G A T
?Lr q5T 6'
w i
-?-
?
1
L
?
} i
N
?y
?i.
< Tn ti?ti?. f
- - - - -?
.. ? r=V7'Uf?L A.SPt-!f:-L7
?J k', i v!v vv/?a y .
OA'?lo n?
\
\
\
\
c?, ui-su.c w , -t 14 Hnus?- .. '
eR2 C^? CF.-tzhCG?= ?'a tfr?t: w'?rtr iZ?A? v? 1??us?_
SHuwN. . .
??Sl1??6?G-w??Ats= T:.• ?,?i+izr!?'?? F'i2uM 5 ?ui_ vti
1+U0-? cEF tI,S jt-{o,?iNe-.i=- c?wnii7lL!`-CfLE9AcT- P is;a
Ccnr v,-=,-Y
I
11 . ?ROMT 1,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125383
Date Issued:07/22/2014
Permit Category:ePermit
Site Address: 2116 Emerald Lane
Lot:1 Block: 5 Addition: Cedar Grove 1st
PID:10-16700-05-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 by law in ALL single family homes .
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 -
Richard Yanta
2116 Emerald Lane
Eagan MN 55122
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179363
Date Issued:09/30/2022
Permit Category:ePermit
Site Address: 2116 Emerald Lane
Lot:1 Block: 5 Addition: Cedar Grove 1st
PID:10-16700-05-010
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kaela Ann Arcuri
2116 Emerald Ln
Eagan MN 55122
(612) 321-6409
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature