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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