1851 Jade Lane- - - - - - - - -
INSPECTION REC4RD C°"tr°' "°. 0 454
CITY OF EAGAN PERMIT TYPE: D« t U ft 1 wp
3830 Pilot Knob Road Permit Number: aaaE, 7!
ab/i0/9a
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: 1.o'i = 7
1$61 ..IAUE LANk
CEDAf? HRQVf 71M
PERYIT PUBTYPE:
REMAIYXS; fYECE iP1' #
e1. nGrc = a APPLICANT:
srEP O+UNS ttl?AQ RT
? (612) 726-6666
TYPE OF WORK: NEW
?
i .' :. ? ? . _. .', . ' . . . . _
it? .. ? . ??.....,? ? .-.. . . ? .. .. . ? ??T_ . . . . ? .. _ ?..Y . . _?. , y ?? ^T.Y ..
Permit No. Permk Fbfdor Date Telephone i
S/411
PLUMBIMG
HVAC
ELECTRIC
ELECTRIC
Inapaction Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Hig.
Isu1.
Flreplace
Final Hig.
Orsat Test
F'rnal Plbg. Plbg. Inspector - Notify Plumber
Const Meter
EngrJPlen
Bldg. Final T f " S• I 2 s Z
J?4 rr,? 4 r? ?o f Coh o$,,. ?.
Deck Fig.
PeGcFinal
? 2
weu
Pr. DIsQ.
S
CITY OF EAGAN Remarks
Addition CEDA.R GROVE #7 Lot 7 BIk 4 Parcel 10 16706 070 04
Owner Street 1851 Jade I,ane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 5-1 1970 58.18 2.08 28 Paid
* SEWER LATERAL 1971 2
WATERMAIN
* WATERLATERAL it 7- 1971 1,615.00 80.75 20 Paid
WATEfi AREA
* STORM SEW TRK 131 1971 20
STdRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 5776 5-2 - 2
BUILDING PER.
sv,c 260-00 5776 5-25-72
PARK
.•
EAGAN TOWNSHIP
BUILDING PERMIT
Owear ---- ?'- .••1.?"".'`_--....•'B-±.c.?:'P--?------••._...-----
Addrest (Present) ......
........................................................ ....
Huilder ...............1............
Addzeu .._-
N° 27'28
Eagsn Township
Town Hall
Date 17 Z
- - ._...••-....••-..._.....
5to:ies To Be Qsed For Froni Dapih Height Est. Cos! Pe:mi! Fee Remarks
J!' ?Q-2v
?-- ?/L?jSOC? .3'?•S 0
SSS.S D ?? /.1-?.i :_ i --?t
3,
D A. o
waauion or Tsac!
]
This permii does not authorise the use of slree3s, zoads, ellsps or siifewalks nar does it give the owaer os his agen!
the righ! !o crea2e anp situa2ion whieh is a nuisnnce or which presanis a hasard !o the health, safely, conveaience and
ganaral welfare to anpone in the communitp.
THIS PERMIT MUST BE KEPT ON THE PRE ISE WHILE THE WORK IS IN PROGRES .
ThL is to esztifp. 3ha2...??:?`:': ?`:.__ `?: ..... has permission to erect a..?._ ....._upoa
- • • ._..-•-• . .. . ..........?.. .........
!he above described premise subjec! 20 the p:ovisions of the Building Ordinance for Eaqan To nshig adbpied April 11,
1955.
..................... • • • • .........?B.:_.sd.............. Per ....._....._...••••........`.?--•-• SuV?-..... --•..-.
Chairmen ot Town oaildin Ina *clor ? ................
3
7- v-7
` TOWN OF EAGAN
3795 Pilot Knob :toad
Eagan, Minnesota 55121
PERMIT N0. 206
The Bosrd of Supervisoia hereby grante to Cedsr (rove Conatriction
Of 73L3 Concord Bivd. E.. South St. Paul 5507
a HEATING Permit for: (Owner) eame
&4i-1 j,-t1.-1096-3 -s-6-7 Clj-1fl-fi?
at 19-525= 4-7-E-_ 1-5-7 C(3 17p pureuant Co application dated
5/23/72
Fee Yaid: 220.00 Dated this 25th day of MBY , 1972
0 8 c
Building Inapectmr
1855,Jade Laae., 1862 C-rnelian IAne, 4054 cinnabar nrive, 4007 Pumice IAme, 4075 xeuee;
1859 Taoonite, 4054 MQgnetite, 4048 Cinnabar Drive, 079 Cinnabar Drive,1851?
Laoe, 1839 Taoonite Trail. . {-
iC
7- y- ?
- TadN OB &AGAN C, ? •
" 3795 Pilot Rnob Road
Eagan, Minneaota 55121
PERMTT [aD. 210 thru 220
The Board of Supervieore hereby granta to Cedar (}rave Casietruotim
of 7343 coneora siva. E., simLth st. Paul 55075
8 PUnIPX'r Pexmit for: (Owner) Ceciax Orove Conetructiam
8- -t --.1?? i =10i?6=iti? fi0?1--
8t 1,2}??26-?. l?-? 15-?G8-h, purauant to application dated
r?
S/23/72 .
Fee Paid: 220.00 Dated thia 25th day of MSV , 1972
.50 e 6
Building Inapectmr
1855 Jade'Lana, 1862 carneiten Lme, 4054 csnngear Drtvo, 4007'Pwms0a Lne 4075 HaliLe,
1859 Taooaite, 4054 Mwetlte, 4048 Cirmabar Drlvs, 4079 Cianabar Drive, 16$''
Lena, 1839 TaaaeiLe Trail , .Ie ?
• . !6
EAGAN TOWNSHIP
BUILDING PERMIT
Ownei .... ?:C ._1thlC._n..:_??..._`..... «!.c.P......'...".___..'
Addrees (Presenf)
• ......................... ..........------............
Builder ......__...L.............. ....._....._..._...._.................
Address ..... ------"`-'-----------------..._.
N° 2'728
EegBn Township
Town Hell
Dale
. ...........................
Sioriss To Be Used Fos Froni Depih Heigh! EsS. Coa2 Pezmi! Fee Remarks
? ? ? SS s o 3,; _o_?. ..?•-??..L??
or
TION (No:t. 0
uo aiocs aaaiiion or Trao!
-?-L ;6- 1-
-_,go" '>?zl7
Thia permit doea nof autharise the use oi s2reels, roada, alleps or sidewalks ndr doas it give the owner or hia agan!
the righ! !o areate anp sifuation which is a nuisanee or which presenls a hasard !o the heallh, saEelp, eonvenience end
general welfare !o anpone in the communify.
TIiIS PERMIT MUST BE KEPT ON THE PREnMISE WHILE THE WORK IS IN PAOGRES . 1
This in !o cerlify, lha1...???-!:?.,,?Z`?"`? p ? o0
-"- ...................--..._...has ermission !o ereet a..?.. -"----- .............. .. ........_-uP
the above deacribed premise subjeci !o the provisions of the Building Ordinance for Eagan To nehip alad April 11.
1955. Q
.--'-_ .................. - - -- - . ..._....:?..:..---------......
Chairman of Tnwn Soazd
,:I
?
Per .........................
.
...... ....'-' .......................................................
Suilding Inepector A
?gg?o:)r
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when pertnits aze requimd for each unit
1 30, so
Date
Site Address QN 1 C., Unit #
Property Owner f ?be?-F- ?e?eft s Telephone # e?2
Contrsctor
?
Street Address (? (Q ? / ??> ?" ' ? • City
State nJ ' Zip Telephone k(?
Bond Expires:
The Applicant is _ Owner ?ontractor _ ,Other
- -
-
,
? ?_
Add-on or alteration to eaisting dwelliog unit f? r y $ 30.00
Additi
l
---f
?
l ?? .
,'
urnace _
ona
.
- ep
acement
? airexchanger
- .
1
airconditioner _New _ Replacement
other
State Surcharge $ .50
T
tal $
50156
o C
I hereby apply for a Residential Mechanical 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 w' t e echanical Codes, that I understand this is not a
p it, t only an application for a permit, and work is not to start with e it; that the wo b in acc rdance with the ICJI appr plan in the case rk hich equi e a review and approval o lans.
?ir1
C??e il - +d?,
ApplicanYs Printed Name A?plicant's Signature
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD I C°" °"° 0454
PERMITTYPE: BuiLoING . .
Permit Number: 000571
Date Issued: 0 b/ 18 / 9 2
SITEADDRESS: Lor: 7
1861 JADE LANE `
CEDAR GROVE 7TN
PERMIT SUBTYPE:
DECK
,.•.REkARKSs RECEIPT N
1-
?
BIOCK: q APPLICANT:
STEPHENS ROBERT
(612) 726-6666
TYPE OF WORK:
NEW
7
--1
? .CITY OF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Control No. 0454
PERMITTYPE: BuiLDiNa
Permit Number: 000571
Date Issued: 05 / 18 / 92
SITE ADDRESS:
1851 JADE LANE
LOT: 7 BLOCK: A ..
CEDAR OROVE 7TH
DESCRIPTION:
Building Permit Type
' Building Work Type
UBC Occuparicy
Building Length
Building Width` i. 7 .,
? zM...
r
OECK
NEW
R-3
22
12 . .
r?
cf
REMARKS:
RECEIPT M
FEE SUMMARY:
8ase Fee ;25.00
Surcharge $.59
Total Fee $25.50
CONTRACTOR:
OWNER: - pPPttcant -
STEPHENS ROBERT
1861 JADE LN
EAGAN MN
(612)726-6666
I hereby acknowledge that I have read this applicat3on and state that the
information ie eorrect and agree ta comply with all applicable 5tate of Mn.
Sta e and City of Eagan Ordinances.
L -
AP I T/PER I EE S NATURE ISSUE Y. SIGNATURE
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy-of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date .? / q_ / qc2 Valuation of work
Site Location: 1 51S i a' 4b '
STREET STE IP
Tenant Name:_ 7"ra a,E 97" ?7, S'S',E'e
LOT * BLOCK 41 SUBD Cfi'DAR G V r P.I.D. #
Descri tion of work: e c-
The applicant is: 13?06wner ? Contractor ? Other coeg«;ne>
Name Phone
Property ?sr FIRST
Owner
Aadress
STREET STE il
City State Zip
Company _n C,c ) n e- /C-- Phone
Contractor Address License #
City State Zip
Company Phone
Architect!
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit ll ap licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? s`
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
PC 90 New
? 91 Addition
? 92 Alterations
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
ig 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comn./Ind. Rem.
? 15 Public Fac.
0 96 Move
? 97 Demolish
Finish ? 99 Undefined
? ?,,•? ?
. .?? ._.
? 16 Agricultural
0 17 Building Move
? 18 Demalition
? 20 Miscellaneous
GENERAL INFORMATION
Occupancy ?
Zoning
Const. (Actual)
(Altowabie)
# of Stories
Length _TK_j
Depth 12,
APPROVALS
Planning
Engineering
REQUlRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRY Required
Sq. Ft. total Booster Pump
Footprin t Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code
Building , z Assessments
Variance
? Footing
Final
O Framing
? Draintile
VIEr
? Insulation
? Fireplace
Permit Fee 2.5 1 V 43
SurCha'rge .SO
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter
Road Unit
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: 1g.g?
SAC %
SAC Units
vetList;on:
?
$
?
u
k
t4
a
d
?
?
?
?
-?l
v
----- -- ?
/
L_L eL ? CITY OF EAGAN
/?'?itrr PLUMBING PERMIT
SUBD. 1 m 22 (612) 681-4675
RSSIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIYTION
CITX USE QNLY
RECEIPT # D-?'g67
DATE '11699,2-
AISO, FOR TOWNHOHES AND CONDOS
NEW CONST !
ADD ON
REPAIR
owxEx xarcE: BA Sfe pherS
SITE ADDRESS: aS^I
INS-TALLEA: (N?? ypoj&-/?U
ADDRESS: I ?X CITY: )Qlw, 2IP: SS??
PHONE 7 7 9
ZIP:
STATE SURCHARGE .50
TOTAL: $ IS•-?-O
' COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY
SUILDINGS WHEN SEPARATE PERMIT5 ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE
' INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:?v
CITY OF EAGAN
COMPLETS THE.FOLIAWING:
N0, FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
IAVATORY 3.00
_ KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
J_ WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
r.nraTnarT P.RICF;
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
t.
EAGAN TOWNSHIP
3745 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR 5S47ER SERVICS CONNECTiON
DATE: NOMB 1021
OWNER:? AIAJ Address Jr" ?
PLUMBER TYPE OF PIPE??
DESCRIPTION OF BUITA ING
Industriail Commerciall Reaidential I Multiple Dwelling I No, of units
Location of Connectfona:
Connection Charge260.00 pd 5/25/72
Permit Fee 10.00 pd 5/25/72
. p z
SCreet Repairs
Total
Iaspected by:
Date
Remarks•
By.
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Tor7nship, DaYota CounCy, Minne??
BY
Please notify when ready foz inapection and coanection and before any portion
ot the work is cavered.
EAGfN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
7- f..?- -.7
Date:_4d??Number: 852
Billing Name:14YSite Addreas• 1161
Owner: Billing Add eas?5? ,Qie-dA.?
Plumber• ? . .? • ?i /'?7- ?S4 15
Meter Size
Meeer No. ?Pexmit Fee 1o.oo na 5/25/7e
Meter ReadinpMeter Dep. .50 pd 5/25/72
Meter Sealed: Yes_ 'Add'1 Chg.
5/L,5/72
NO + 1bta1 Chg.
Building is a:
Residence xx
Fiultiple No,
Commercial
Industrial
Other
Inspected by
Date
Remarks:
FFE FOR
ni y f' 1[nn
LLr_C ?ri -?i:.tto.
Bq:
Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
here6y agree to do ttm proposed work in accordance with the rules aud
regulations of Eagan Township, Dakota County, Minaesota.
Byt
?t•?-'
Please notify the above office whea ready for inspection and connection.
MASTER CARD
LOCATION 7
• n ? I
O'NNER l Pfl AY (, ?AII A
STRUCTURE AND ? I ? ???
LAND USED AS fN
Issu
ed To
Permit No.
I Issued Contractor Owner
I
-
BUILDING '1'f 9? _ -_
I
PLUMBING - .s -P
CESSPOOL - SEP71C TANK
WEIL
ELECTRICAL
HEATING ZO ? ?
GAS INSTALLING I
SANITARY SEWER
OTHER
O7HER
•
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOO7ING SEPTIC _
FOUNDATION y CESSPOOL
FRAMING TILE FIELD FT.
F I NAL
ELECTFICAL
HEATING / DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK '
CESSPOOL
DRAINFIELD *
PLUMBING
W ELL
SANITARY SEWER ? ? ? •??
Violations Noted
on Back
COMMENTS:
r =y
BEA BLOMQUIST
MAYOP
CITY OF EAGAN
?-,?0795 PILOT RNOB ROAD "
'. P.0.80%]1H9
, EAGANINNESOTA
" _-ssix: '.' '-.... .. k. . _:?. .
., PHONE 45 4-8 100
- .;?.'.
THOMnSMEDGES
CIiY AOMINISiPAiON
THOMASEGAN
JAMES A. SMITH
JERRVTMOMAS
THEODORE WACHTER
WUNCiL MEMBEPS
Januazy 21, 1982
P'LS CAROL JE7N STEPfENS
c1-851=JADE;=LNz)
EA?'?Aid MN 55122
Re: Sewer and ilater Bill
Dear Ms SteAhens:
r` ' . ...
.. '',y .
? ,•q'`
EUGENEVPNOVERBEKE
Cliv CLEPK
Your letter dated January 14, 1982 has been fozwarded to my attention for revi.ew
and response. Apparently, you take eacception to the $3.69 penalty that caas added
to your sewer and water bill for late payment. You indicatecl in your letter that
you are not processing tiis penalty because of conplai.nts pertaining to the cn-a1i-
ty of water used to do your laimclry. This penalty was not levied because of water
cruality, but due to late payment after notification by the City of a balance due
for your sewer and water use. "Rusty" water has pesiodically been a problem
throughout the Citv of Ea_qan due tA.the high iron and manganese oontent of the
water supDly that we draw fran the deep imdexclroLmd water beari.ng Jordan Sandstone
foxr.iatiari. P.t the present time, the City does not have any facilities to remove
this iron or ranganese from the water that is distributed to its users. The water
bill rates do not reflect any fees to treat this caater. Subsequently, the water
that is paid for is the best that the City can provide at this tirie without acldi-
tional treatment facilities. If additional treatment facilities were installed
to remove "rusty" watex situations, the water bill would have to be adjusted accor-
dingly to the costs involved. Please be reminded that the City o£ Eagan will be holding a public hearing on Jan-
uaxy 28, 1982 at 7:00 P.M. at St. John Netnnann Church to discuss possible oonstruc-
tion and installation of an iron and manganese filtration plant to eliminate these
problems. Rhe Cotimcil would like to receive whatever input t-he citizens r,iay have
pertaininq to thejr desires for the existing situation or recuured corrective ac-
tion.
However, you are still responsible for the $3.69 pPSialty that was assessecl due to
late payment. Please make the neoessary arrangenents to have this outstanding bill
processed as soon as possible so as not to incur further penalties for non-payment.
I apologize for any pmblems that may have occurred due to past watex quality pro-
blems. Hawever, I cannot coxrect the situation imless the people of Eagan want the
situation corrected. Subsewently, we cannot be held liable for any costs incurred
by the citizens through the use of latmclromats outside of the coimmmi.ty.
Your anticipated response to this late penalty fee will be greatly appreciated.
Sincerel
ana"lbert??!
Director o£ Public Gvorks cc - Iorna Olson, Utility Billing Clerk
THE LONE OAK TREE ... THE SYMBOL OF STRENGTM ANO GROWTH IN OUR COMMUNITY.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1851 Jade Lane
Lot: 7 Block: 4 Addition: Cedar Grove 7th
PID:10- 16706 - 070 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Heater
Replace
Water Heater
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Kim Renville
2200 W Hwy 13
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Robert 1 Stephens
1851 Jade Lane
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA085416
08/20/2008
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115832
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 1851 Jade Lane
Lot:7 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-070
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Robert J Stephens
1851 Jade Lane
Eagan MN 55122
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
•
lied
' For Office Use JC°1 ., t
td
1,b t r ,,° C-+Ei �, --' ::::tt
4«,„,, %. ..° „ E AG A
?c3 J‘7 j�-/^
Date Received: (..�-'
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(&)cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
C� /L
Date: r/ L(4 Site Address: 9 / 04 s/ovL' Unit#:
Name: n141 � Cil Phone: 65- ' v 77-6g r
Resident/ `
Owner Address/City/Zip: ,G7 �,,de 4f7-67
%f_
Applicant is: Owner ;Contractor / \
14,- .
Type of Work Description of wor / 7 /8.5;(
•
Construction Cost: L� '
// Multi-Family Building: (Yes /No )
Company: A14-i47,41 /71 /f/0l 1— Contact:tali/16°i
Contractor Address /`S G r City: 1oa rU' //41–'
Stat,. Zip Phone: / v L `` mail: /ii e�`a'3 j/Vita
a License#: Lead Certificate#: ---#761:/-iir#
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' If the project is exempt from lead certi 'cation, please explain why:
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6 # G174_62,
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- 7
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:
I Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
•
I Fire Suppression 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-• 'lie if ou •rovide s ecific reasons that would •ermit the Cl to conclude that the are trade secrets.
u City proposed signing up forp tys_,
You may subscribe to receive an electronic notification from the of ordinances by an email u date on the Ci
website at www.citvofeagan.comisubscribe.
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.
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o •inances 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 of to :1'a permit; that the work will be in
accordance with the app ved plan in the case of work which requires a review and approval/ •
x /are r 1r 4 1
Applicant's Printed Name App icant's Signature _..
DO NOT WRITE BELOW THIS LINE / C J _.,J°` Oaf& Z.f Pig /
SUB TYPES
_ 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 i1Occupancy )„,,, ,: ;« MCES System
Plan Review Code Edition , .t?F SAC Units
(25%_ 100% '7 ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y / Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill )( HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 12, , Building Inspector
RESIDENTIAL FEES
Base Fee 1` u
Surcharge 4.,> ,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant 2, 0 sr D
��
Copies
6 -- ,
TOTAL ,,r''
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161997
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 1851 Jade Lane
Lot:7 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Robert J Stephens
1851 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161997
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 1851 Jade Lane
Lot:7 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Robert J Stephens
1851 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature