1855 Jade Lane?- --1r •/? ??
pAECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered speces
Type or Print /egibly
Psrmit No.
FM
S/C
Tot
1. Dete ,_2n-sL?__ _ 2. Installation Cost
3. Job Addreu ?.s Lot Blk. Tract
4. Owner r i.?C'
5. Contractor Phone
8. Address
7. City State 2ip
8. Buitding Type: Residential Q
9. Work Description: New ?
Commercial ? Institutional O
Add ? Alter . Cl Repair ?
1 10. Describe ,,,«?i i_,i ,:•, Fuel TYpe
! 11.
No• Egujpmppi STU - M. Ea.
Forced Air No. Eouiament CFM
Air Handlin
:
Mfg. y
Boilers
IMfg. Mech, Exhaust
?
Unit Heater
Mfg. Other
Air Cond. ; ``,'•"'?
Mf
9,
Gas, Piping Outlats
12. 1 hereby aertify that the above information is true and correct, and I aqree to
comply with all ordinances and codes governing this type of work.
Signed' for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbenad and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
, Addition CEDAR CTROVE #7 Lot 8 Rlk 4 Parcel 10 16706 080 04
Owner1 Street 1855 Jade Lane State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 91 1970 58.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK + 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 5776 5-25-72
BUILDING PER.
sac 260.00 5776 - S-2S-72
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
' (612) 681-4675
SITE ADDRESS:
PERNIIT SUBTYPE:
PERMIT TYPE
Permit Number:
Date Issued:
E { ? ? ? ? p APPLICANT:
TYPE OF WORK:
II! i k 11' 1 I -IN
1t 1114 1 iVil
I illi)pl 1 M N f 11
f•, tilliltl 1 N !' I {til
t INoi
F
L
I r+t;
Efit/wt/,rf.
A t il IrAi iIIM
I vtw'ri ".) l+iNN 3
?
Pormft No. PMnk Holdsr DaLe TNephono #
ELECTRIC
PLUMBING
HVAC
Mspwdon Dab Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOAHD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
L
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121 ?
PHONE: 454-8100
eU1LDING PERMIT Rece+at # l
S' ? ?:sCU •'??Y 17 ?q
To b wd fer ,. ,.• Est. Volue Oete
? Z .. 4z,..: .: i? i•' Erect El Occupancy
Site Add?'su Remodal ? 2oning
Lot Blcek " S9c/Sub. "
Rspair
?
Type of Conrt.
Parcel No.
Enlarge
?
No. Stories
. , .?r'..I' .ki-"v* Move ? Length
W Nsme
. demolish ? Depth
. _
Address
? ?, _
Grade
?
Sq. Ft.
City Phone ?r ? ? Instell ?
t ; Neme _
Addreu
4 CiN
City
'?. ?..._
Phone
Phone
Asssssment
Water & Sew.
Poliu
Fin
E+0•
Pionner
Council
Permit
SurcFwrye ? • ? ?
Plan Review
SAC
Woter Gonn.
Wcter Meter
Rood Unit
1 hereby xknowfadye thot I how rood rhis opplicotion ond state that Bld4. Off. Parks
tM Inlormotion is aonect ond oyree to comply with all applicabla APC Total `
Stote of Minnesoto Stotutss orid City Af Eaybp_Ordinonps.. var. oats
' .
Sipnatun of Permittn -' ` • _
`-
/? Buildinfl Permit is issuqd to: - a^ ?-xprem rorKhtio^ IhOi
dl wo?k shotl be done in occadonct with allFopplitablr,5tote of,Miqnaato Statutes and Gty of Eapon Ordironpl?.
.
0uildinp Officiol
Pwmit No. Permk Holda Det* Tele hones
Plumbiny
H.VA.C. Ir
ENctrie
Sohowr
Irapeetion Dsts Inap. Other
Footinyt
Foundation
FnminQ
Roofing
Rouph Plbq.
Rouph HVAC
Insulstion
Final Plbp.
Final HVAC
Final ? ? (v
CMt/Ooe.
W?ar Dosc?ibe Location:
wn
?w..
D'ap.
; EAGAN TOWNSHIP
BUILDING PERMIT
oWn.. ...._. -? ?
.......
Addzese (Preaenl)
---°--........._ .............---_
Bullder ........__.......
Addzata ...................
....°_----------.............-----°-........._•-----....._
DESCRIPTION
x? 2726
Eagan Township
Town Ha11
ae:. _?.!'r?7 ----7-°-..---
----.. .._ .............
5iorie To Se Used For Fronf Depih Heigh! Esf. Cos! Permif Fea Remub
? G ? /a.a, avy 3 -7 . eo
JO
b
0 o.
Thia parmif doas aot aulhoriza the use of sireaffi, roads, alleys or sidawalks aor doas it give the oovaer or hia sgan!
the righ! !o creafe aap silvaiion which u e nuisaaoe or which preseqis a hasard !o the heal2h, safalp, eonveaianca and
geaerel weltare !o aapone in the commuaily.
THIS PERMIT MUST BE KEPT ON TFIE PRE ISE WHILE THE WORR IS IN PROGAES ,
Thia is to cerfitp. :a.:?.has permisaion !o ereet a-_G---.?- -- o
-^- • ---°---.. .. . . up a
!he abooe deeeribed premise subjeei !o the proviaioas oi the Building Ordinanca for Eagan ownahip ado ed Aprfl 11.
1955.
1
."'-" ...................... ' -..... .?:-?..... ?:--....... Pes . .._ --...._..._,r?---e?.......P..,? ......_""
Chairmaa of T?wn 8oard ?BuAdinp Inspec?oz 43
k . CITY OF EAGAN N2 10 2 3 8
3830 Pilot Knob Road, P O Box 21-198 Eagan MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
Te M wud fer DECK Est. Volue $1.800 Date MAY 17 1985
1855 JADE LN erece ? occupancv
Sih Addreee
4
$ CED GRV 7 Remadel ? Zoning
Bl
Lot ock
Sec/Sub. Repeir ? Type of Const.
Percel No ?
. Enlarge No. Stories
N FREDRICK J. BARILLA Mwe 0
? Length
W eme Demolish Depth
? Addreas SAME Grode ? Sq. Ft.
City Phone 454-8480 Instau ?
Aoorovals F?aa
$?
?
Neme SAME
Addreu
Phone
Nama _
Addresa
City Phone
A556551TC/If
Warer d Sew.
Pol Ice
Firo
E9•
Plonner
Councll
PQlTIt 4GJ.JV
Surcharge 7 _ OO
Plan Review
SAC
Water Conn.
Woter Meter
Road Unit _
I hereby ackrawladga that I Mw read this ovDlication and store that Bldg. Oif. Parks
the inlormotion is correct and ogree to wm ly with oll piicabla APC Total ? 3 0 . S 0
SMfa af Minnesoto Statufe n? Ordin u
/ Var. Date
Lqnotun of Permittae ?
A Buildinq Permit Is iswe to: FR K J. BARILLA on ths axprcs Wndition thot
dl work sholl be dona i cccordonce wilh oll pplp imbla Stote?af"'l?Alnneao?_ta Stmutet and City of Eaqan Orrdimnees.
Buildinp Oflicial -?c.(?C^<.o-?-..`? _
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i ------------ -
? ........_ __ __. ?
? Permit > I
I Permit Fee: !2a?OL I
I I
? Date Received: ?
i i
I Staff: I
I ---- --------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A, Ug SiteAddress: 1853J'?o/e L.,,
Tenant:
Suite #:
RESIDENT/OWNER Name: /??5k ri/& Phone: GS? "?fSS?- ?5'?fi'G
Address/CitylZip: /9S.5 ,oa(e 1_n/tG-y
Applicantis: _Owner k Contractor
TYPE OF WORK Description ofwork:
Construction Cost: 44,5-60 Multi-Family Building: (Yes No ?
CONTRACTOR Name: ?t/aiS: c? r License#:
Address:
City: State: Zip:
Phone'. (Cv S I _??-u 9- 3) 3 U Contact Person: _'?o-''S z•? f
U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Wodcsheet
Category Submitted Submitted
(l? Submis5ion type) • Energy Envelope Calculations Su6mitted
In the last 72 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 8 Water Contrector: Phone:
"NOTE= Plans and s_ uppotLng=docunients'thafyojr, submrt are,considered to be pubbc°in?ormaUWi.? Portion8 of
the Crtyto
ihe inforination riiay bs,class?fied as rion public'you provide specific reasans that?ratrld permit
?
_,
ii1l ?c
_
l
de
t6at th
are?tr
d
ecrets
-;
v
_
on
c
e
a
e_s
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, 6ut only an application for a permit, and work is not to start without a permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ,S+_'?
Applicant's Printed Name
x
ApplicanYs Signature
Page 1 of 3
s
3
7985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lNST BE LICENSED 1iITH THE CITY OF EAGAN
To Be Used For: Valuation:
Site Address: 1?6Sti JqDt LAUE
C.e.T
Lot: S Block _4 Sect/Sub -7
Parcel Il
Owner t2ED2?c? V .--f)q2??t-A
Address lVS`S ?-)RDE LAaE
City/Zip Code CAClk-?) SS i-7-Z
Phone `iS`-{
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone Il
?
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
1 g?- Date: S/5- 8<
OFFICE USE ONLY
Erect X Occupancy
Remodel Zoning
Repair Type of Const
Enlarge ll of Stories
Move Length
Demolish Depth
Grade Sq Ft
enoanveT s
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Ro d Unit
Bldg Off arks
APC Treatment P1
Variance
TOTAL
29. ?p
I ?
INSPECTION RECORD
CJTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
LOT:
1855 JADE LANE
CEDAR GROVE 7TH
PERMIT SUBTYPE:
sF (Mrsc.)
APPLICANT:
8 BLOCK: 4
MIDWEST WINOOW CO
(612) 721-5333
TYPE OF WORK:
DE5CRIPTION
BUILDING
025328
04/03/95
ALTERATION
(VINYL SIDING)
INSPECTION
FRAMIN6 .. .
ROUGH IN PLBG ..
ROUGH IN HTG FINAL
? . ?
\/
?• CITY OF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: eurLozNG
Permit Number: 0 2 5 3 2 8
Date Issued: 0 4/ 0 3/ 9 5
SITE ADDRESS:
1855 JADE LANE
LO7: S BLOCK: 4
CEDAR GROVE 7TH
P.I.N.: 10-16706-080-94
DESCRIPTION:
(VINYL SIDING)
Buildingl?P?ermit Type SF (MISC.)
Building Work Type ALTERATION
.. ?
. ?_
1
;? .. .. . .? :
. .. ??? . . ..... i. . =e..,/ .- . ? L.
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$72.00
$2.50
$74.58
$5,000
CONTRACTOR: - Applicant - sT. LrC. OWNER:
MIDWEST WINDOW CO 17215333 0002130 BARILLA FREDERICK
3739 MINNEHAHA 1855 JAqE LN
MINNEAPOLIS MN 55406 EAGAN MN 55122
(612) 721-5333 (612)454-8480
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate ofi Mn.
L Statutes and' City of Eagam Ordinances. " J
APPLICANT/PERMITEE SIGNATURE
-ilivia u :r,L 1 rn?1
I D SIG U EI
? ---
? CIT1? OF EAGAN
3830 PILOT KNOB RD - 55122
995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
State:
? 3 repistered sile surveys ? 2 eopies oi plan
? 2 copies af plans (Include 6eam 8 window s¢es; poumd fntl. design; etc.) ? 2 sita surveys (exterior addilions & dedcs)
? 7 energy calalations ? 1 energy ceieulffiions kr heffied additions
? 3 copies M tree preservetion plan iF lot pletted after 711/93
required: _ Yes _ No DATE: -/- 3` C/,S? CONSTRUCTION COST: /? a 40? O D
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ? BLOCK ?
•.,,
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name:
Phone #: ySy 8`'??O
UbT FHtB?
Street Address• lf5?
City: State: ? Zip:
Company: Phone #: 7a! ,
Street Address: License #: a1?0
• 3 3r 6
&? Zip'
City: 4/ State: &
ARCHITECT/ Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address-
City:
Sewer & water licensed pfumber:
change are requested once permit is issued.
??4?60
Zip:
Penalty applies when address change and lot
'+rsreby acknowtedge that f have read this applicaCbn and state that tfie information is correct and agree to comply with all
,"+Cable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiipnt: a M"O'la Q- -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No
I? CITY USE ONLY N?
BL RECEIPT
SUBD. CeGQY -,?r pYP?? RECEIPTDATE: V`I3?C>0
PERMIT # 91210
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT fiNOH RD
EAGAN, MN 55122
651-681-4675
please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TdTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem new/refurbished " requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepair/rebuild 30.00 X = $
Rou h o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $ 30- CJD
Water softener if dwelnng under construcnan 5.00 x = $
Water softener if exisUng dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e 50 --? -> ---> $ .50
TOtal _> $ O•SV
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------•---...-?----------------- -------------•-----°------------------ ------------------•--------
I hereby acknowledge that I have read this application, state that the infortnadon Is conact, and agree to compy wdh all applicable City of Eagan ordinances.
It is lhe applicant's responsibility to notify the property owner that tha City of Eagan assumes no lia6ility for any damages caused by the City during Rs
normal operational and mainfenence.activitiessolhe_facilifies_c2stnLctnd,un4eLthis permit within City property/rigbF-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
BARTILLA, F.
1855 JADE LANE
EAGAN, MN 55122
(651) 454-8480
TELEPHONE #:
(AREA CODE)
TELEPHONE #: ?
(aRen cooE)
STAT ZIP:
SIGN T OF PERMITTEE
/ CITY USE ONLY
V
LOT ? BL ? RECEIPT #: 9& 90 0
SUBD. ".i2l ?L197}f_ ?? RECEIPT DATE: g14 ( 9
1996 MECfii4NlCikL i'£itMIT (ftESIDUMAL)
CI'fY OF EAfiAH
S$SO PILOT KAOB RD
ERHAN 61N 55122
Date• (six) 691-4675
K
Complete this section on if you aze installing HVAC in single family, townhomes or condos under
construcrion and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
l;ompiete this section onlv if you are remodeling, adding to, or repairing existing single fanuly dwellings,
townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
r! Install fumace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge . .50
Total: $ 20.50
SITE ADDRESS: ??,5? Z, A'/17 .?i
OWNER NAME: PHONE #: /S7 ?`lUL/
INSTALLER NAME:?i PAONE #:
STREETADDRESS:
ciTr: STATE: ? ZIP: ?/
SIGN RE OF PERMI E
15/FORMS BLDlMECH PERMIT (RES) - 1998
f- 51- 7
. 1
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWBR SERVICE CONNECTION
DATE: ? 7 NUMSER 1072
?
// v
TYPE OF PIPE ( ..Gt-P? /1 ""-)
DESCRIPTION OF BUIIDING
Industriall Commercial' Reaidential I Multiple Dwelling I No, of units
?
Locatioa of Connections:
Permit Fee m 10.00 pd 5/25/7e
. Opds c
Street Repairs
Total
Inspected by:
DaCe
Remarks•
Connection cta=$e 260.00 pa 5/25/72
By
Chief Inspector
In coneideratioa of the issue and delivery to me of the above pexmi.t, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota County, Minneaota
• tio
-?
Please notify when ready for inspection and coanecYion and before any portion
of the work is covered.
D - '7 - 7
EAGfN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minneaota 55111
Telephoae 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Number; 81+3
Billing Name:-Vzz</1/?Oite Address: /'PSJr ,&?
Owner: b/su /o, Silling ddreas 3
?°'?
Plumber• 7s-
Building is a:
Residence xx
I4ultiple r`o.
Commercial
Industrial
other
Meter S
Chg.}VU.VU IJQ ,
Meter Noa 9..7 Permit Fee 10.00 a 5/25/'r2
5/25/?2
Meter Reading.3a?3/ ter Dep.
Meter Sealed: Yea_ lAdd'1 Chg.
NO i1bta1 Chg.
Inspected by
Date
Remarks:
525.00 RE•lNSFCCTION FEE FGR
J,,1NROPERLY INSTALLED PliE7ERS.
Hy:
Chief inspector
In conaideratioa of the 3saue and delivery to me of the above permit,
hereby agree to do the proposed work in accordaace with the rules and
regulatioas of Pagan Townahip, Dakota
By:
I
(/a
Please aotify the abave office when readq for inepection and connection:
MASTER CARD
•
LOCATION
OWNER edat< (,rotiP
.,
STRUCTURE AND D? + / ^? i/
LAND USED AS V r7
Permit I
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL (
HEATING /GD 6
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
•
Pi
Items Approved
(Initial)
Date I
Remarks
Disiance From Well
FOOTI NG „?. SEPTIC
FOUNDATION ?13- , y CESSPOOL
FRAMING 6_? 7 TILE PIELD FT.
FINAL
E I_ECTR I CA L
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER ? ? ?s 7,?/r'... u?
N
Violations Noted
on Back
COMMENTS:
,-i `?? ? v
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan N1N 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
New Constructlon ReouiremenLs
3 regislered slte surveys showing sq. R of lot, sq. ft of hwse; and all rooted areas
(20%maximum lot coverage allrnved)
1 Soils Repart if proposed bulltling is in 6e placed on disWrbed soil
2 copies of plan showing beam 8 window sizes; Doured faund design, etc.
1 set of Energy Calalatlons 3 copies of Tree Preservation Plan'rf lot platted afler 711193
Rim Joist Defail Optians ulection sheet (buldings wiM 3 or less units)
Minnegasco mechanial venfilatlon fartn
RemoddlReoair Reouirements
2 copies of plan showing footings, beams, jdsis
1 set of Energy Calalatlons for heated atlditwns
1 sfle survey for additions & decks
Addfi'on- indicate if on-sde septic sysfem
co
Olfice Use OnN
CeRO[Suivey,Recd - _Y _N
SalsRepat Y _N
Tree Pfes Plan Rectl _Y
Tree Pres Requuetl' Y._ N
On-siteSeptieSystem .--- _Y?-._N
u___? _..a.?:.. :..s....,..,a:..» ....le?e .,.,,, armro thpv arP trade secret and the reason. .
rians are wnawe?c? ?.,?1., --
Constructian Cost
Date ! I d(9 /
Site Address ? / UniUSte #
Descriptioo of Wark
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
??
" ZZ:?`
'
? Telephone #(a S
?
Property Owner k
? d?
?
t
C
or
ontrac
dd
?DlJ
Y??+'?-? i`?'"? SO
City ? B"? ??
ress
A
P`Z A>
St
t Zip Telephone #?'Te5i3 )
a
e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(V submission type) Submitted Submitted
. Energy Envelope Calculations Submitled
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will'be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 lan in the case of work which requires a review and
approval of plans.
"?' o (? ?
Applica s Printed Name Applicant's 5i ature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122031
Date Issued:04/22/2014
Permit Category:ePermit
Site Address: 1855 Jade Lane
Lot:8 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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 A Greer
1855 Jade Lane
Eagan MN 55122
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature