1835 Jade Lane
Use BLUE or BLACK Ink
0 2010 F - f
VAR O8 I or~~~~ use i
I '
I Permit I
City of Eapn
I l
3830 Pilot Knob Road Permit Fee: I
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675
I
Fax: (651) 675-5694 1 Staff. I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite
RESIDENT/ OWNER Name: ~ ~ C GQ rej I Phone: -L4
Address /City/Zip:
115 Q
Applicant is: Owner ontractor
TYPE OF WORK Description of work: 41 YUL
Construction Cost: Multi-Family Building: (Yes ! No
CONTRACTOR Name: icense #:f ~',~r
Address: City:
State: Zip:. Phone: / cam ~G9
Contact: 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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.
n
Applicant's Printed Name is is Signature
Page 1 of 2
CITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot 9 B1k 5 Parcel 10 18706 090 05
Owner Street 1835 Jade Lane State EaJan• 2"1N 55122
Improvement Date Amount Annual Years Payment Reeeipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 571 1970 58.18 2.08 28 Pdid
* SEWER LATERAL 1971 20
WATERMAIN
I * WATER LATERAL 1971 1,615.00 80.75 20 PB1C1
WA7ER AREA
* STaRM SEW TRK ? 1971 20
STaRM SEW LAT
CURB & GUTTER i
SIDEWALK
STREET LfGHT '
WATER CONN. 300.00 6026 7-3-72
BUILDING PER.
sac 260.00 602 7-3-72
PARK
INSPECTIDN RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
6 AAf)t t Aldl
Ak GR[)VE #7 ,
PERMIT SUBTYPE:
r1r r1Ea1<, ? Cf rrM? rIr,Hr P?10i
t f, i.' 0 FSHsi - 1 i VI
TYPE OF WORK:
rzIFi?Ar.t
ItPOr h2IF'T 1nN Itf itrio1
INSPECTION .A . .•
-1
?
?
Permit Molder Date Telephone #
SEWER!
WATER
PLUM8ING
HVAC .
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOfINCa
NOUGH
PLUMBING
PLBG
lAIR Tc-ST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
?
- - EAGAN TOWNSHIP
BUILDING PERMIT
Owner ........_...?I_y....'.....
Addrets (Presenf) ------- .....'.`.?'d-.... . ......P-""< ................... -....
Builder .... ...--.........-s?eac.c•-!'??---...........'--........-----.....---....
Address ......
N° 2'768
Eagan Townahip
Town Hall
Dala..7-/v -J L
...................
Siories Ta Se Used For Fron! Dapih Height Esl. Cos! ermi! Fee Remarlts
? SO
LOCATION Q.'s:? :eo -or
_I a.pi DlpCK AOOlIlOII Ot 7-i8C1
1'his permii does nof authorize the use of sireals, roads, alleps or sidewalks nor does it give the owner os Lia agent
the riqhilo create any sifuaiion which is e nuisance or which presenis a hazard !o the healih, eafelp, conveaianee and
general welfare !o anpona in the communifp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES .
,C> ? yThis ia !o eerfifp. !hel..._(.??.,....f....... hespermisaion !o erecf a._f./.'_ '.__... .'.'.. .._.•_""'. . ...."'."upon
!ha ahove described premise subjea! !o the provisions of the Building Ordinance for Eagan ownehip a opled April 11,
1955.
"...........-- ...............:,...?---._...... Per --.._.............----?.---"???-??`--`-`•=.c?.
Chairman of Tnan Board Building Impecfor g ................
?
,
TO''.4 Oc F.AGE.I?
'795 Yilo4: Knob :'.oad
"agan, tiinneaota 55121
PERI•iIT N0. 234
The Board of Cupcrvisors hereby g:anCS to Cedar Grove Coustruction Co.
oE 7
? PLMMITE Permit for:
`? i `.^yc'ne, ?yR L?e, µU37
Ja e Lane,
b/2?/72
0
?oncord Elvd, E., South St. Paul 55075
same
?---
u "Cimonite' L?
nC to applica
_c!e Paid: $220•00 llated this 3ra day of . J11y
,.. c
Building Inspector
1972
?
L4a?e4 Pum-
/d
I 0 /(v 7D ? 69O Q?
C, G 7
TO'.'IQ Qr EAGAI?
3795 Pilot Knob ;;oad
Eagan, Minnesota 55121
PERMIT N0. 221
The Board of Supervisors hereby grante to Cedar Grave Construction Co,
of 7343 Concord Blvd, E., South St. Paul 55075
a HEATING Permit ior: (Owner) same
Carne a? L e, 4037 pe e, e ian ane, 1?051? Pum-
ice Lane, ?yo Ja?e Lane, 3 0 unoni?te Lane, Z? Carne an
Lane,
MIF 6^ ' i'+ T-?ria s1in?K A; P i , pursuant to application dated
6/27/72
Fee °aid: $220,00 Dated this 3rd day of aly ? 1972
s c
Buil3ing Inspector
i0
?1s()-
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-b694
-----------------,
? F?trc?mce u? ?
; Pem,it #:
i PermR Fee: ?! ?' • ? i
? oaze Rec?v < T ?
I
? S?ff: I D
I ------- -FiiAYDY 2608
2008 RESIDENTIAL BUILDING PERMIT APPLICA
Date: rJ -Oa-o2 shoaaa?ow:
ranem: Df ;gY'1 `LS Co. S-FA-Q- swte a:
Phone:q"?J2'rr), I O-X r-1,4 ?
RESIDENT/OWNER Name:
Address / City /7p:
Applicam is: _ Owner v Conhactor
TYPE OF WORK Description of work:
Construction Cast: `Multi-Famity uilding: (Yes_/ No/? ?
CONTRACTOR Name: , 1 #: d
?
Address:??
oiri: State`????1 ` ZiP:?
?aL?
?
I
" ?
? E6ntactPerson: IL
I
Phone: "1?0?-J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residerrtial VentllaUon Categary 1 Worksheet • New Energy Code Waksheet
Category Submrtted Submitted
(4 submisslon type) • Energy Envebpe Calculatlons Subnitted
In the last 12 morrths, has Uhe City of Eagan Issued a permlt tor a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Llcensed Plumber. Phone:
Medhantcal CoMractor: Phone:
Sewer & Weter Contractor: Phone:
NOTE Plana errd aupportertg documenta'that yvu audmlfaris c¢rtstrleted to?be?pbblfc?lnlom?etforr °PV!tfoastiof {?
;
r`m
t #?ie Gfry to
ld p
f
t?s
o
s
`
c
e
.
i
e
t, ?w
fr?i
n?
s
f
u
?c?lf
ublrc;lf you p?cvlde ?p
thl??nformefion may be?lsBSlNpd ?"±!cr?-P
,
. z corAduderthat ihe ??are°hAide'seCtiet9. a_ , ? ?
I hereby ackrawledge that Ws infortnation is complete and accurate; that the work will be In conformarqe with the ordlnances and codes of tha Gtty or
Eagan; that I understarM this is not a permi[, but onty an apqicatian for a permit, aM wwk is rwt to.s[art witliout a petmtt; that the vark wi11 be in
accoMsnce with the aprved plan in the case of work which requlres a revlew and approval o lans.
x
ApPllcarA's PrlMed.Name APPIIcaM's Sign
?e 1 of 3
D
Se r-t? ,
?S IYV?S
?ir?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 661-4675
SITE ADDRESS:
P.I.M.: 10-16706-090-05
DESCRIPTION:
REMARKS:
PERMITTYPE: B LJ z- ulN c
Permit Number: @ 3 4 2 3 6
Date Issued: 12 / 16 ( J£i
Sl`ORIN DFlMAGE
REPAS:ft
434 A4T. tiES7:DEiVTIRL
i t1 LI
18:3 5 ,iAqE LRNE
L.OI"r, 9 ELOCK: 5.
CEDRR GROVE 47
REROOF
8 u?el dinq"1Permit TYP0
BOildinq Wor-k Type
,C'ensus CocJe ?l
( \\ ?-
??? i?
,
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. I_IC. OWNER:
MIDWEST CEUAR TTMBEROOF 1F3Vi87.:t49 28147'36 Ch1$TLE I7G'PINIS
1603 CLZf=F ROA[] E 1835 JFpE LANE
8URN5VILLE MN 55337 EAGHN MN 55122
(67.2) 80E-1149 (651)454-8779
I hereby acknowledqe that I have read Lhis applacatian and state thut the
intorme'Cion is correct and aqre8 to comp7.y wit:h a11 acspli.cable SL'ate o1` h7n.
Statutes and Citv oY Eaqan Ordinanc2s.
?
APPLICANT/PERMITEE SIGNATURE
?
e"1' s- ,,
1 UED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 3830 PII.OT KNOB RD - 55122
„ , - 681-4675 (1Q ??
StUY rr? ??"
New Construetion Reauirements RemodeVReoair Reauiremenls G
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGuOe beam 8 window sizes; pourad fid. design; etc.) ? 2 sNe surveys (exterior additions 8 tlecks)
? 1 energy calculafions ? 7 onergy calculatlans for heatetl addkions
? 3 eopies of tree preservation plan if lot piaKed aRer 7/1193
required: _Yes _ No
DATE: IO- ly-Gcg CONSTRUCTION COST;
DESCRIPTION OF WORK: -RG-RCX?F
STREETADDRESS: LrN?-- E'KkCsRo, NN• ?a5\2-a
LOT: q ?,
BLOCK: J? SUBDJP.I.D. #: ?s'Ar?- C'(o \j ?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: C?5TL-?, 2)ajNIS Phone #: 46r-A-amq
Latt Firs[
Street Address: 11?? j Pu LyAN?-
City State:
Hn
Zip: ?aa
Company: mOU-Ieb? TIYY1bP,t'c? Phone#: a?'II'-IG
Cicy ? t1?r?5l.?LA1ts state: Mn. zip: 5533`7
Street Address: I W3 ?. G_+ Rn). License #Z61L{-133?
Street Address:
City
? Phone #:
Regisffation #: _
State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address diamg
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to wmply with ail applicabl
Siate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: RO'll-` "') 14 I98
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received - Yes - No - Not Required
?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
-D 3830 PILOT KNOB RD - 55122 -j? 1 a
657-681-4675
New Conshuction ReaulremeMs Remodel/Reoair Reao rermett13'? V a ?
D 3 registered sRe surveys showing aq. (1. of lof, sq. fl. of house 2 copies of plan
and all roofed areas (207, maximum lot coveraae ailowed) 1 set of energy calculatlons for healed addXlons
? 4 copies ot pians (show beam 6 wtndow sKes; poured Md. design; etc.) 1 sfle iurvey for exferior addihons a decW
? 7 set of energy calculalfons
? 9 copies W hee preservaffon plan M lot plaMed aFfer 7/1/93
DATE: e- a-GI 2 CONSTRUCTION COST:
DESCRIPTIONOfWORK:
r
STREEf ADDRESS: I??S ?% a?•2 G-N "
LOT: ? BLOCK: tl?_ SUBD./P.I.D. #: J-& ok J', L ?:2
Name: c45fl-- S Phone#: t
PROPERTY Last First
OWNER ?
Street Address: 15 3 S?.I u??.
City G a 5?..v State: IIp.
Company: l??'$,`? r5 /}qu ? ??{'^H c e..?? ?eo `a•-g Phone #: ?n /? ??( ? 5- 7 r{
(area code)
CONTRACTOR
Street Address:? ?-25( CY ? S ?r a ? License #? Exp.
Cffy State: /Ll Zip: 5-6-23 7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Siree't Address: Registration Ik:
Cffy State: Zip:
Sewer 3 waler Iicensed plumber (reaulred tor new conshuction onlvl:
PenaMy applies when address change and lot change is requested once permR Is Issued.
? I hereby acknowledge ihat I have read this appltcaflon, state that fhe information is conect, and agree to comply wHh all applicabl
Stafe ot Minnesota Stafutes and City of Eagan Ordinances. ?
.
Signafure of Applieant: (
OFFICE USE ONLY
11 . ? ; n
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnecota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:(22:_ NUMBER 1051
OWNER• Address e
PLUMBER TYPE OF PIPE
DESCRIPTION OF BUILDING
Industriall Commerciall Reaidential I Multiple Dwelliag I No, of unita
Location of Connections:
Connection Charge260.00 pd 7/3/72
Permit Fee 10.00 pd 7/3/72
.50 p s c
Street Repairs
Total
inspected by:
DaCe
Remarka:
Sy.
Chief InspecCOr
In consideration of the issue and delivery to me of the above pecmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulationa of Bagan Tor7nship, Dakota County, Minneao a
By
Please notify when ready for inspection aad connection and before any portion
of the work is covered.
r
EAGFN TOWNSHIP
3795 Pi,lot Knob Road
Se. Paul, MinnesoYa 55111
Telephone 454-5242
PERtaT FOR WATfiR SERVICE CONNECTION 9-5-7
Date
Bill
Owne
Plum,
ber: 882
e Address•
ling Address
?
Connection Chg._ _
??C..
7/3/72
Meter No. lPermit Fee 10.00 pd 7/3/72
. E)u pcL f 1.5772
Meter Reading Meter Dep.
Meter Sealed: Year lAdd'i Chg.
NO f Total Chg.
Building is a:
Residence xx
I4ultiple fio, Units
Commercial
Industrial
Qther
Inspected by
Date
Remarks:
Sy:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work ia accordance with the rules and
regulations of Eagan Townahip, Dakota County, Minne ota.
By.
Please notify the above office when ready for inepection and connection.
MASTER CARD
•
LOCATI ON
r?
L_I
?
?
OWNER
STRUCTURE AND ^ ' ? ? ?r • •
LAND USED AS
Permit
BUILDING
PLUMBING CESSPOOL - SEPTIC TANK
No. I
._ 7 7L5? ?
_ Issued I Issued To
Conirector - Owner
WELL
ELECTRICAL '
HEATING
GAS INSTALLWG 91. ?
I
SANITARY SEWER 50? I
OTHER
OTHER _ _ I
I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION . 'j • v SEPTIC _
CESSPOOL
FRAMING
? TILE FIELD FT.
FINAL
ELECTRICAL -?
HE.OTING
GAS INSTALLATION DEPTH
OF WELI
SEPTIC TANK
CESSPOOL I
DRAINFIELD I
PLUMBING 7-I'l
WELL
SANITARY SEWER
• •
i Vio!ations Noted
on Back
COMMENTS:
C,
fJE
r------
For Oncce Use
I I
1 Permit
City of Eap
I I
3830 Pilot Knob Road DEC 112009 I Permit Fee: v` 00 1
1 t
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: 1
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: G)AI Site Address:
Tenant:
Suite
RESIDENT / OWNER Name: ZN-P_'V1 r\ t S l Phone: Lo's,
Address / City / Zip:
Applicant is: Owner Contractor
1AC
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes 1 No
CONTRACTOR Name: g`~fpr License
Address: ~Tq(z)' C n t/~ e(-
City: State:
-Phone: Contact Person: r\-e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- MinnesotaRules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
__'1'es _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
i
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.
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 wo will be in
accordance with the approved plan in the case of work which requires a review and appro s.
J I
x
C~4 3e) I X
Applicant's Printed a nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112759
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 1835 Jade Lane
Lot:9 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Crystal Cochran
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis L Castle
1835 Jade Lane
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
Permit City of Eanan
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ~o (3 ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 26 .W 13 Site Address: 18 3.9^ ~i~U E Unit
7
Name: ED ~gxtt 1 /fS T L G1 J Phone:
Resident! 183i~/JE
Owner 'i Address /City /Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / Nc7
Company: WC1-7-BIZ (I N5TIe✓CT 16P4 Contact: UZR*4
Contractor Address: Y6_S'S VK /NC lP- LU I' City: r#.sr
State: _/78 Zip: Phone:
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:
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.aopherstateonecall.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.
x
EIZI~Y f/7T~i~.l~ x l
Applicant's Printed Name Applicant's S nature
Page 1 of 3
Use BLUE or BLACK Ink
I
For Office Use My of Eap I Permit
I
I Permit Fee: J
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
1
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /M7 Site Address: 183S' T Qe 2 N Unit
EaV Al t J - Phone: 8Zoe
Name: Cow
Resident) 7A-0
Owner Address / City / Zip: /g33 E LN
Applicant is: Owner ✓tontractor
Type of Work Description of work: S t o Ime. - lCitour d/ lkasl S'?awE ~i27- o t4AI
Construction Cost: Multi-Family Building: (Yes / No )
Company: Ide-l- ew ilowsra JE r">OM Contact
Contractor Address: W-6- V19/1,19 -01-VIO City: A64014 Al
State: hVN Zip: ~'5~9•'Z Phone: 7~3 Z Z 91- - 777
License* 0 e 9 67-1/X Lead Certificate 9-00 A?j//C t'~
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: K~7 Phone:
NOTE. Plans and supporting documents that you submit am considered to be public information. Portions of
the information may be classed as non-public if you provide specific masons that would porn* the City to
conclude that the area 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.oopherstateonecall.orp
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 worts will be in
accordance with the approved plan in the case of worts 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 ?.Od 4e W ru-r x
Applicant's Printed Name Applicant's Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120186
Date Issued:01/23/2014
Permit Category:ePermit
Site Address: 1835 Jade Lane
Lot:9 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Wade Sedgwick
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis L Castle
1835 Jade Lane
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Office Use _ I
Permit Z -7~
City of E*1 3 1
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner Address / City / Zip: Bn
Applicant is: Owner Contractor
Type of Work Description of work: ;211.,f4Ae ,,AA,t I/, SL/0A
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact:
Contractor Address: City: si Ur
a o
State: 4_Zip-_~ Phone:~/A~7 ~ mail: r A, A-,or 4
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:
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.oopherstateonecall.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 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 1 ZZS7~' '
SUB TYPES 1 Y3-1~ (-s'---- -
_ 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 Occupancy / - r MCES System
Plan Review Code Edition SAC Units
(25%_ 100%--g4- ✓ Zoning's City Water
Census Code L, Stories Booster Pump
# of Units r Square Feet PRV
# of Buildings i Length Fire Sprinklers
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 Erosion Control
Braced Walls Other:
Reviewed By: xy A11 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3