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1921 Jade Lane? --- -? CITY OF EAGAN ?? Include 2 sets of plans, ' 1 site plan w/el.evations & p BUILDING PERMIT APPLICATION 1 set of energy calculationse 7.b Be Used Eor valuation`o, `l, n b 6 Date .?l,t/e ?2?,? Site AdrdLress: OFFI(E USE OI?Y Lot T Block Sec./5ub. hA 4pp1F ?xu'?'"rect OccuAancY .3 Parcel #: 10 1(-10 0 CqO ?? Alter Zoning Repair Fire Zone ? _ e of Const. Oaner: ?'lt.? ?arge ? r Move # Stories Address: jl?Ie' De.ttblish Front J? ft. City/Zip Cocle: Grade Depth )? ft, Phone #: T.Sy APPROVALS FEES Contsactor: ?.e s.•.,, /j Address: City/Zip Code: Phone #: P,rch./Ehg. : Address: City/Zip Code: Phoxe #: Assessments Water/Sevrer Police Fire En4 - Planner Water Meter Council Unit Bldg. Off. APC TOTAL / // ??-`?'(k??'? - T -117? ?"'b, '-') V1Er' - 1s-23-92 Permi.t Surcharge y Plan Check SAC Water Conn. ?p i/loa cyG o/ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT IdO. tf;Q The Board of Supervisors hereby grants to SunHucnu ntimtaruc rn_ of e vt.ttRihtC Permit for: (Owner) SALLY COMPANY at _jq?l nnd ISL7 .Tndw i_nnoi, 6aesn 55122 , pursuant to applicaCion dated 9/16171 Fee Paid: 40_00 Dated this 17th day of September , 197 1, 1,00 s/c Building Inspector / J/ J' A ? TOWN OF EAGART 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. 139 The Board of Supervisors hereby grants to Aay N. Wilter Heating Co. of 4637 Chi.cag_o Avenue So;. Mitmeapolist Minn. 55407 a HEATING Permit for: (Owner) Sally Company at 1921 Jsde Lene. Eagan 55122 , pursuant to application dated August 19, 1971 Fee Paid: $20.00 Dated th3s 20th day of August ? 197 1. .50 s c Building Inspector EAGAN TOWNSHIP BUILDING PERMIT own.: ..... ............. . ; ---- - ------------ - Addsess (PSeseni) .............. a-...... ::.'....:"-"".._....-----"..... ""--'--------' Huildar Addrau DESCRIPTiaN 11T° 2495 Eagan Township Town Hall Dale .._-..................... Blosiea To He Usad Fos Froe! Daplh Hatghi Eel. Cos! ' Parmi! Fea Aamarke A-3, a,-d iv n:ree:, noea or o:ner yeaeripxion ox Loeaxion I LOi nIocs AQ61fiOn ot zraet This permil does ttot aulhorise the use of siseels, zoade, alleya or sidewalks aor does St give the ovrne: os hSa agea! the iight fo ereate anp sifuaiion which is a nuisanee or whieh presenls e hazard fo the healih, safetq, conveaience aad ganesal welfare to anyona in the eommunify. THIS PERMIT MUST SE KE T ON THE PREMISE WHILE THE WOAK IS IN P AOGAESS. T6is is !a cerfify, lhat......... ....-_.---... ..... .?.?...----------- ............._--has permisaion !o eree! a....,lt:..: ..... <'e-f :?.---_ . upon ? the above described premise eubjea !o the provisioaa o! the Building Ordinanee for Eag Towashippled AprSl 11. ........................ '-----.......... . ...:.: Per ._.--.............--'-'-- --...........5?.!..`::-:=-".5`.-;?.....--•--.... Chai an ot T?dh Board Suildinp Impecior ..?g CITY OF EAGAN 9795 Pikt Kne6 Rood Eagan, MN 5512= NO 7370 PNONE: 434-8100 - . BUILDING PERMIT Receipt g Te 6e wad hri'1MZLY ROOM ADD. Est Value $9•000 Date `7une 25 19 82 Site Addreu 1921 Jdde IdnE E t O R-3 rec (R ccuponcy Lot 4 Biock 1 Sec/Sub. Ken App18b8uG1 Add. Alter ? Zoning R-1 porcel # 10 11700 040 Ol Repoir ? Fire Zone NA V Enlorge ? Type of Const. c Nome T110R183 176IDb1EY Move ? # Stories ? Addrea 1921 Jade Lane Oemolish p Length. 16 Ct 5 phone 45 4-7050 Grode ? Depth 14 Sq. Ft._ ?p Name Teriw SViesenberae r AVOrerals Faes Z V?u f Nome _ Addreu 1 hereby acknowledge that I hove reod this opplication and state that fhe inlormotion is mrrect und a9ree to comply with oll appliCOble State of Minnewto Stotutes ond City of Eagan Ordinonces. Signature of Pertnittee A Building Permif Is issued to: TeT 11 work shotl be done in oscordance with all 'dirig Official Azsessment _ Woter 8 Sew. Police _ Fire Eng. Planner _ Council _ Bidg. Off. _ APC Permit l4.ov Surcfwrge 4.50 Plon check SAC Water Conn. Woter Meter Rood Unit Totel $79•00 _ on the express condition th.n City of Eagcn Ordinances. CITY OF EAGAN ' 3795 iilet Knob Raod Eagan, MN 55122 N2 4402 PHONE: 454•8100 BUILDING PERMIT APPLICATION Receio+ # -?719--- Site Address Lor U siook_ f Sec/Sub. 1Bb3tAri Add17 Parcel # _ a Name Z= T`r'?h1P}7 ? w ; Address 1921 J213 _ Tanp o a Name W2atern (7cm-,t _ Cn o? Addreu 6950 Wayzata Blvd. u t' Ciri-D%1J5 Phone 54(;-32R5 ww Neme rw _? Address Erect X] Occupancy T Alter ? Zoning Rl Repair ? Fire Zone Enlarge ? Type of Const. Move ? .# Stories Demolish ? Front ft. 6rade ? Depth ft. Aoorovals Feea Assessment - Woter & Sew. Police _ Fire Eng. Planner - Council _ Permit 17.110U _ Surcharge 7 - O(1 Plan check SAC Woter Conn. Water Meter I hereby acknowledge that I have read this opplicotion and stote that gldg. Off. ' the information is correct and agree to comply with all opplicable qpC Totol ?_ nn State of Minnesota Stotutes d City of Eagon Ordina? Signature of Permittee z A Building Permit is issued to: WQSb2Tn Cnngt (''O on the eupress condition that oll work shall be done in occordance with all oppliv/Ple State o?fpJ? in?Tnesoto Stotutes and City of Eagan Ordinances. Building Official -L ?!>.C?LC-c1->Li ? i 4 REQUEST FOR ELECTRICAL INSPECTION „-w es- ooooi -oa B See instrvctions for comple[ing this fonn on bnck of vellow cn ?'-? 1.7-? ?? . py. ? X" 8elow Work Covered by This Aequest NB Adtl Pep. Type of BuilAin9 AppliantBS Wiretl Equipmen[ Wiretl Home Ranye Temporary Service Duplex Water Heater Lightiny FixNres Apt. BuilAing Dryer Electric Heatin Commercial Bldg Furnace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tanlc Famt Other snecifv 0111orfspe1d00 t?er (SUCCify) Other Oth,,r Compute lnspectinn Fee Belaw A Fee Service (EnVancaSize d Fne Feetlers/SVbfeeders p Fee Circuits 6 to 1 UO qm )s 0 to 30 qm ps too 0 to 30 Am s a' 701 to 200 qmps 31 to 100 qmps 31 to 100 Am s Above 200 qmps A6ove 100_Amps Above 100_Amps Transionners Remote COntrol Circ. `S6 Partial?'Other Sic?ns Speciallnspection $ Re:mnrks aZIIO TOTAL FE d Rough-in p te i-tlma Elecvical Inspactoq herebV rtif Final ca y thet the nbova Pecti hps been t?? f nis mquest vaitl / /C?/t ??%? ?i?L,e? ) 8 niunths hom N --? This request voiA ?/Z3 ?18i7'17?05 , 61 , kEh A-T?130l10g1 zZ•op Rnque.gt Date Fire No. Nough-In InspecGOn. Rep retl? ?FeaAy Now Nlill Nolify InsPer.- A ?&VQ. v ?J.Yes ?No tor When ReadY ? Licensed Elecfrical Contractor I hereby request inspaction ot above 90v'ner . elecVical work installed at Streot Address, Box or nute Nn. City er.von o. Townshin Name or No. . Ranye No: Covnly Ln Or.cupnnt(PplNT) 4 Phnne No. 4?5-y- Puwer Sup0lier t7/J/' rA Atldress ? '(\ Eleclrical ConVactor ICOmpany Namel tr.iccor's License No. ur u e /' Mailinq AAJi e s s I COntrac[nr or Ownor Makinp Instailntion) ` ^ ^ Q Au[horized i0?a?ure ICoMra tod ner Making Ins[alla[ion) ? Phone Number y} y- ?GSa MINNESOTA STqTEBOARD OF ELECTflICITV THIS INSPECTION REQUEST WILL NOT Grigqs-Midway Bltlg. - Boom N-191 BE ACCEPTED BY THE STqTE BDARD 1821 University Ave., St Paul. MN 55104 UNLE55 PflOPEN INSPECTION FEE IS P6..no'161P1 2972111 ENCLOSED. y?REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa T 7 1 110 6.? See instructions for complating ihis torm on back of yellaw copy. J "X" ork Covered by 7his Request j D$`q Z ew Add Nap. Type ol euilAing Appliancxs WireA EquiUment WireA Home ftange Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bld,y. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk TaMc Farm oiner snem vi onnorlsoo. :ity1 [her Spnr.ifv. Offier Other Compute lnspection Fee Belnw k Fee ServiceEntrence5ize a Fee Fxeders/5ubfeetlere N Fee Circuits ?? to 100 qm s 0 to 30 Am ?s •? 0 tn 30 Am s 101 to 200 Amps 31 to 7 00 Amps 31 to 100 Am s Above 200 qmps Above 100_Ainps Abave 100_Amps Transionners Remote Control Circ. ,?-0 Partial%Other Fee $Igfls SueCial IpS{leCtlOn i? S Or flemu?ks ? C+ ? n ctiTC n...Lr "r? /1 ? r?I 0? ? O L FEE ? 1_ srl l ? \Ji?c_si\ a.••? ?" " . ! _L ( I .w Final This rapuest v 18 ninn(hs from cercity that ffie abuve jnspgction has boen ' 's request wid 7(p ? ,Bmonth.% frorc` y ° ;? 1709 Lq , BI , h n A,pplit /,au..? 36gqZ zoI ocD Request Date Y j / Fire No. RouPh-in Insuer?ion Re? ed! ' ?RaaAy Now?Will Notify Insnec Wh W (J ( ? ,?? es No r en FeatlV ? licensed Electrical Con?mctor I hereby raqLjest inspeclion of ebove ?Ownpr el i t t l k i ll d t ns ac ca wor a e a r Street Address, Bax nr Rout No. City 11 l P L ? /7,c, er.tion o. Township Nmme or No. Ranpe Na CnuntY L Occupant (PFINT) / ? Phune No. ysY-??so /? / v Cn Pow?Ce?r Supuli.eyr ? ? ? Address f? ?/iF L- E-G 5? . /i71.J+- D Elech ai ConVa ctnr ICOmpnny Namel Contrar,tm's License No. p Uo A_UX" Mailing AA'Jre.s,s ?(C^onu?actor or Dwner Makiny InstaflatioN Auffiori Signature ICOnh ?tor/Own r MakfnB' ?ationl Phon Numbr.r ?y-?? ?o- MINNESOTA STATEBOARD OF LECTflICITY 101, 7HIS INSPECTION qEQUEST WIIL NOT Griges•Midway Bldg. - Hoom N.191 BE ACCEPTED BY THE STATE BOARD 1821 Univarsiry Ava., St. Paul-, MN 65104 UNLESS PHOPER INSPECTION FEE IS Phnnw 16121 2972111 ENCLOSED. PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1921 JADE LANE LOT: 4 BLOCK: 1 KEN APPLEBAUM P.I.N.: 10-11700-040--01 DESCRIPTION: C I.r%? f,f- 1-.A(,l:N .':3 1E.h'N:[NAI... NOs ?6"7 I!A7E.s n.jj./n9/98? !.S"'t.p.eppi, NRd?.=:,; Ti.1!-r:VraL W:rn!Dr:,N ,r,:p;;F'FlNY r'?'. - (ROOFINB) Building Permit Type S 1.0 01 ?( I r3n i C:'r?^!AEeA!; .r., a•, ? ,, E£uilding t%;I`'??k Type F' I ., R. ?fr-,:I. 1809 i„] ,PdRC+firt: C 3(:1[] ,'?Census C'ode , 434 R 900; 19,:1 tADk. I_AN! li.??.'r'_; 2+ _; i9 ?:t ? ra,z?p , n? PSP \ ?! tt i"dr[ii4,}I• ????fl'?C! ?r %t. . ? 4 I- R 7 i 4yI ? %k'S Yr'?YfYnW.;X?'yF Xr.{?4'n ??:;i.? 'n ?h Y;m:h.;k>FMyF : REMARKS: FEE SUMMARY: VALUATION $6,090 Base Fee $112.25 Surcharge $3.06 Total Fee $115.25 CONTRACTOR: - applicant - sT. Lzc OWNER: THERMAL WINpOW & SIDING CO 17020415 2010729 TREMBLEY TOM 2005 BUSN AVE 1921 JADE LN .JST PAUL MN 55119 EAGAN MN 55122 '(612) 702-0415 (612)454-7050 . . . Y- R ni. I hereby acknowledge that I.have read this appljcation and state that the ,f ?Mn.,,; . StatutesiendiCityrofcEagan klgrdir?anc'esomply ?+3th a11;, aPp??,?.c?t}le 5;ta?„e ?z L ?t, APPLICANT/PERMITEE SIGNATURE Ro;ral - SUEJ BS? IG ATU E _ . ._"? PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1921 JADE LANE LOT: 4 BLOCK: 1 KEN APPIEBAUM P.I.N.: 10-11700-040-01 DESCRIPTION: (ROOFING) BuYlding;,Permit Type ,,Building WQr,k Type Census Code= ;s -&?-? 49` H . 8 l°x' 1E. e :f PERMIT TYPE: Permit Number: Date Issued: SF (MISC.) REPAIR 434 RLT. RESIDENTIAL 0 t? ? REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $112.25 $3.00 $115.25 $6,000 BUILDING 031746 04J09/98 CONTRACTOR: - Applicant - ST. I.IC OWNER: THERMAL WINDOW & SIDING CO 17020415 2010729 7REMBLEY TOM 2005 BUSH AVE 1921 JADE LN JST PAUL MN 55119 EA6AN MN 55122 `(612) 702-0415 (612)454-7050 I fiere6y acknowledge that-I ha`ve read tMis apQl3oation°end 3tate thdt tfie ' information is carrect artd-agree to corn{31y w;ith`ali a.ppl9:ca61e,State o;f Mn„ Statutes arrdCi'ty u'f Eaga'h Ord3.rjan?&s.' APPLICANT/PERMITEE SIGNATURE ,?u?, E "1. IG ATU E SU ,. ? -?..... t_ - 3114 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 86122 681-467b New ConstruGion Reauiremants RemodeUReoair Reavirements ? 3 registered ske swveys ? 2 capies oi plan ? 2 copiea of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 sife suneys (exRerfor addkions & dedcs) ? 7 energy calculations ? t energy calwletions for heated addRions • 3 copies of tiae preservalion Plan H lot platted after 7/1193 required: _ Yes _ No DATE: q- l-QS CONSTRUCTION COST; ? (?7UO" DESCRIPTION OF WORK: :J?` l2 "cY-e- STREET ADDRESS: _ (9 a' I ?q& LA-t? LOT: BLOCK: SUBD./P.I.D.#: N-o"n 044Do6.l ? Name:_ -FA-1n, YJ ?_ I Q/O Phoue #: PROPERTY 1.est Fust ' oWNER ?? ? L ,? S?eet Address: City E+2, ?, State: M,,,J Zip: `'S 7I Company: ?T-Pea2 c?aR (_ Wrnl dcr.?j h S? p rJ? Phone #: CONTRACTOR rz Street Address: ??? t ,???? ?14/? • License # Q City Sx ,jpxj L State: U? &l Zip: ? S 1) q ARCHITECT/ ENGINEER Company: Phone #: _ Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica6on and state that the infortnation is correct and ag to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. / 77 „ Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reaulremenh ? 2 coples W pla DAiE: I ? CONSTRUCTION C05f: p --') -?' -C-) (D DESCRIPTION OF WORK: It multi-family bldg., how many unlts? INDICATE THE FOLLOWING E6IUIPPAEINT TO BE REPLACED AIdD BY WHOM: ? Plumbing _ Homeowner Qr Contractor Name _ MeChanical _ Homeowner pl ContraCtor Name •`NOte: If somebody other ihan the homeowner is performing plumbing or mechanical work they must apply forappropriate permit. Only Iicensed ptumbing coniractor or homeowner may complete plumbing work. STREET ADDRESS: <?('/?(jti (i LA-Vl e 1 ?il'-?G2 NI? G?;117 LOT: ? BLOCK: I SUBD./P.I.D. #: V-C V?. 1jiL?c ?('i ?A vv--- Name: Law' Ao&? Pnone x: rROreerr ast First OWNER {?- Sheet Address: 1617- l[,et, " ciy naa : state: lti1 zip: l,z- Company: GL9 .TLcQ t-kine #: (area code) CONTRACTOR 40 i, LicenselK-?-M°of( ExP•? D ? UI Sheef Address: aty w4A state: zip: 5 I hereby acknowledge thaf I have read this applicafion, state thaf Me informafion is correct, and agree to compry wilh all applicable StaFe of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: CITY USE ONLY LOT ? BL ? PERMIT #: SUBD. Cl-PN? VJCJl,f.1,1 RECEIPT #: RECEIPT DATE: c- R l ???? ? a9,-o c) 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOS RD EAGAN hIIi 55122 651-681-4675 Date: Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section ortlv if you are remodelin?, addina to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration ? Fumace _ Air exchanger Reminder: Call for rnspections /? Repair _ Other ?? _ Air conditioning Other Fee $ 30.00 Sta?P Surchasge . Total $ 30.50 SITE ADDRESS: OWNER NAME: n? PHONE #: 6 S l - (AREA CODE) INSTALLERNAME: W?'?iH31ADHEAI4^'9tXDP,"t/z?"'T^:.:::?C0. PHONE#: (AREACODE) STREET ADDRESS: CI'i'Y: cTeTF- 71P- . EAGF.N TOWNSHIP 3795 Pilot Rnob Road SC. Paul, Minnesota 55111 Telephone 454-5242 PERtAIT FOR WATER SERVICE CONNECTION Date: JLn 9, 1977 Number: 654 Billing Name: Sallv Co. Owner: Plumber• Thompson Plumbing Co. Meter Reading Location of Connection Meter Size? DID NOT PAY $60.00 for METER Meter No.-?'iy, _ 6/29/71 Permit Fee 10.00 pd 9/17/71 .50 pd 9/17/71 Meter 1??KX 60_00 nd 9/17/71 Meter Sealed: Yes_ IAdd'1 Chg. NO I1bta1 Chg. Buildiag is a: Residence X tRultipie ro, Unit Commercial Industrial Other Inspected by Date Remarka: Site Address: 1921 Jade Lane Lot 4 k,. A. Billing Fddress $25.00 ftE-IiVSPECiIflN FEE rOR IMPROPERLY {NSl'ALLED h9E1'ERS, By: Chief Inspector Ia consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Towitahip, Dakota Countq, Minnesota. By: --- Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. EAGAN TOZdNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWSR SERVICE CONNECTION DATE:June 29. 1971 OWNER• Zallv Co. PLUMBER Thompson Plumbing Co. NUMBER 811 ?^.?. Addresa1921 ,7ade Lane Lot 4 r, Ps96ZrG;?trj?1? TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industriall Comerciall Reaidentiel ` Multiple Dwelling f No. of units R Location of Connections: Connection ChargeS200.00 nd 6/29/71 Permit Fee 10.00 pd 9/17/71 .50 p /71 Street Repairs Total Inspected by: Date Remarks: $y Chief Inspector Ia consideration of the issue aad delivery to me of the above pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Datcota County, Mianeaota By Thompson Plumbing Co. Pleaae notify when ready for.inspection aad connection and before any portioa of the work is cwered. MASTER CARD 0 -/•/rA STRUCTURE AND LAND USED AS Permit No, Issued Issued To Con}ractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK 2y?s ' /(,n `--u WELI ELECTRICAL HEATING GAS INSTALLING i SANITARY SEWER OTHER OTHER I • 0 Items Approved (Initial) Date Remarks Distance From Well FOOTING F-i SEPTIC FOUNDATION /O CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING ? DEPTH OF WELL - GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WEIL SANITARY SEWER ap, , Violations Noted on Back COMMENTS: x/0 +Ivo.Z '7- l?-22'?`?' ?-??9 nate: BUILDIfIG PSRhIIi P.PPLICATIO?4 LOT? BLOCK ADDITIOI1-1021 ? --- .....,:?; & SPCs2pP7 1•NIIIIER IF U11PLATTED Gs c;.r.C.^cL ' /d- I ?? ? r} E? ..-... .. OCCUPARICY ? USE ay a? .. ?- ,..-::? ;:Os^ ?D J r'e?3'1 E]ICV TELEPHOIVE 110. ?•.? ? SU__.._..__, !'iYf ? 19 v? d 2; L? e -.-- co,:;:,snc:?R TELErxorrE TTO. 54?1?-?38s F_n^aESS --y?--- - Notes Include site plan, building plans, and enezgy calculations c^ith ihi.^ application n Signed OPFICE USE ?1?b6o ? t_zwvr-.maozI ''-Wi2 c:Ji1i18C'=TOP1 .,_..,'::R METER _'rJILDIPIG PF,RIlIT FEE ,UxcNS.r.cE FrE PL't1tl CF:F'.Cit F£E PARC DEUICATIObt FEE OPY.SR 1`S C? _.. ;z ? r?rps,.09A.T•S a CLERK BvILDING DEPT. POLICE DEFT. & SEF3I:R DF,PT. FItkE ni'.PT. PARK DEPT._ Y, ;-? ?-` /faron ?"fi Q i'?UO^1 r ??-?l? sh?nj? leS ?X6 l?c?f'fe?s' 16`'oe- ;?-?6 Tr c S ?l' o?. / L' ? y''tJ(?i ctr / D Slt euf{.; n? / 1 X 4 BRACE '???' %/. ? . e RooF sRnciNG 2X6 S 16" n e_ _ -? , *fZ?%? 4? eGABLE STiiDS 16"" C C i DOUBIE 2.12 OVER EAD DQOH HEADER \NI?H?" LAh?IN4TiON 4 2.X4 sruos is° o c DOU4LE DOpR Sf'l[7a is . , TREATID- 2 X 4 SINGLE 60TTOM ALA E 'l- WESTERN CONSTRUCTION C0. FR°NT B°TFa^^ PU?TF 6950 WAYZATA.?OIXEVARD MINREAPOLIS, =1?II?N:`554Z? Xan i+ppelbatun F. C. JACKSON LAND BURVEYOR RE018TEREO UNDER L-AW6 OF BTATE OF MINNEBOTA LIG6N6ED BY ONDINANC6 OF CITY OP MINNBAPOLIB 3818 EAST SSrN STREET PA. 4-4681 1 ? burbepoc'S Oertificate +y -'/ - --- ------ ------ - s '- ?u?' ?I ?.? ? ? ? --- _ • ??..- --_? ---- ? 1 MEREBY CERTIFY TMAT THH A90Vfi IB A TpU[ AND OONRBCT PLAT OP 11 SURVEY OF Lot 4block 1, Ken ,lopelaaum Addition. llekota County,itiruiesote,. c)r? N`7?55 ? (f 9.5! A? 5,1". / - 3- a G -.. - ;' _ ?L ,- ., ? AS SURVEVED BY ME TMIS- -2At`L- DAY i ? ? ?, •i ? . ? SiGNeo_-?- _- F. C. JACKSON. MINNE9o?A/12E618TRATION. NO. 3600 l^ ? I I? gl? ?? ,0 ., ..... ?? ??a? _ . --? -- , 4 • . • • • .? /1?L ? i 6950 Wayzata Boulevard Date Minneapolis, Minn. 55426 Citr Garoge Side ` X X Apron Address ? - ? -'Detoched ? Attached Name 0 Wiremesh ? 1/2" Rods ? Conduit Pipe Telephone - Office Overhead Door Size Offset Permit Obfoined By Service Door Locatian , Old Garage Removal By Dcte Promised Otd Cement Removol Br J Salesman Driveway Size Blox Size and Location Cement Man Woterpraof Bnckfill Cemenr From Excavation Br Gradual Steep Grade Flat Slope Slope Fill From ,-.?.,. _ , y. -•- , y .. 4 - _a --. .: - , . ..._! ? I ?. '. ... , .,I. .....y__.. ?.:I r 4- i t-G ' __ t r - - , -? -? ? ^ - --• ; - a ' , _ 1-? . . ' 4 ..._y.. I . H,...:.. .i"'.t.. ..4 . j ...L' ,J {?.? . _... . __, .F.._ , . . ?.. F a t ?? + ? _ . ?._ -? t -• ._ _-•'--1._.J.. y., -.-. _-:. .}. ?_.,. _._ .._. ! ..?,,,"?....?•I ' ?.....{ "..._. ? .... ?. , ..T?_r...4._.4 . t ,? . . ? : ? . ?--r- --1- -?-}--` ; . • , . . . * ;..._r "'? . ?i-_?-'• _ --4--.f.-.r._.}_- ?-- t. ' 1---? -*__{._,?....?. . ?_ _..I.. _ _.?-a_'.? 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INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: '(612) 681-4675 SITE ADDRESS: . qN? K k IV AEJ'l t kAItFl PERMIT SUBTYPE: 4 lit ,.,. : APPLICANT: ( ? 1 ,' ) 4?.' vi ?i l '• TYPE OF WORK: I ,1 ,.,r I? i F' i t I ,1<i I I - F TNt, [ir 1 Nii 1 11 kci, A iP (Ftfirif iNCiI ? Pe?mR No. Pormit Holder Date Telepfiona A ELECTRIC PLUMBING HVAC Inspectian Dab Insp. Comments FOOTINGS FOUND FRAMINO ROOFINO y//U/!l p ROUGH PLUMBING ' PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYPBOARD FlREPLACE FIREPLACE AIR TEST FlNAL PLBG FlNAL MTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition APpEZBAUI'', I''N Lot 4 Blk OwnerThesmwS 1_. zi- Urni?aiA Street 1921 Jade Lane TT- rnb?2tl 22 01 (mprovement Date Amount Annual Years Payment Receipt Date STREETSURF. 15- 1972 22.0 . 31 STREET RESTOR. GRADING 5AN SEW TRUNK SEWERLATERAL WATERMAIN WATERLATERAL 131 1971 1 97. 0 84.U7-- 20 Paid wATER AREA see water conn. Paid 752 -2 -`j1 M- STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 200.00 3752 -2 -71 BUILDING PER. sAC 200.00 3752 6-28- 1 PARK Receipt " PL.UMBING PERMIT i Permit No. . CITY OF EAGAN , - Fee fill in numbered spaces S/C Type or Print /egibely Tot 1. Date 2. Installation Cost ?. 3. Job Address ?-" Lot Blk. ? ? Tract i• S1 4. Owner , 5. Contractor ?Phon e ' -? ;• ? ? 6. Address f- ? 7. City ' ; • State Zip ' 8. Building Type: Residential ES 9. Work Description: New ? 10. Describe 11. Commercial 11 Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cess ool/D i field Bath tubs p ra n Se ti Tank Lavatory p c Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets -- - , 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Parmit No. . CITY OF EAGAN • Fee fill in nurnbered spaces S/C Type or Print /egibly Tot. 1, Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor ' 6. Address ? 7. City State Phone y ' 71, ? Zip 8. Building Type: Residential Cl Commercial ? Institutional ? 9. Work Description: New ? Add D Alter ? Repair ? 10. Describe Fuel Type - 1 11. No. Eauioment 9TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outtets 12. 1 hereby certify that the a6ove information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . . . . . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DA7E: :ONTRACT PRICE: PHONE: 454-8100 'ite Addre s BLDG. 7YPE WORK DESCRIPTION ot Block ? Ser/$ub Res. ? New ? Name T Mult Add-on ?- ? Address Comm. Repair c City Phone Z Other - ' _;s Name ? ? c Address 3 O Ci C?i7 tY Phone TYPE OF WORK Forced Air M BTU ' 8oiler M BTU , Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping OuUets # Other FEE S/C: TOTAL• FEES ? RES. HVAC 0-100 M BTU -$24.00 I ADDITIONAL 50 M BTU - 6.00 + (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) ? GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1°.6 OF CONTRACT FEE ? APT. BLDGS. - COMM. RATE APPUES TOWNHQUSE 8 CONDQS - RES. RATE APPLIES ' MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ? REMODELS - 12.00 MINIMUM COMMERCIAL FEE ? - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000) SIGNATURE FOR: CITY OF EAGAN CITY OF EAGAN 3795 Pilot Knob Rood Ee4en, MN S'i142 7170 ? ?HONEs 454-8100 , BUILDING PERMIT Receipt # Te be wed for ' Est. Volue Date _, 19 51te /lddrcss Erect 0 Occup°nq , . Lot Block Sec/Sub. i• • Alter ? Zoning parcel # Repofr ? Firo Zone , N Enlorfle ? Type of Const. cWe ome hbve ? # Stories Z ? Address Demolish ? Lengih Ci pho? Grade ? Depth Sq. Ft . . A?ra? Assessment dZZ3:a,3 NOTQ . i+YYrv?aw . Ci Phax Woter Sew Police Name Firo Addross Eny. Ci Phone Planner Council 1 hereby ocknowledge that I have reod this opplicotion and stote that gldp. Off. the intormation is correct ond ogree to comply wifh oll npplicable A? State of Minnesata Sfotutes and City of Eogan Ordinonces. Fees Permit $urchorfle Plon check SAC Water Conn. Woter Meter Rood Unit Total Siynature of Permittee ? 11 Building Permit Is issued to: on ths express condition tFat oll work shell be done in ocwrdarxe with all oppliwble Stote of Minnesota Stotutes and City of Eepan Ordinances. Bufldiny Officiol Parmit No. Parmit Holdar Misc. Permit No. Holder Plumbin9 '7_9''` H.V.A.C. .JD 8?0 w.u w?r Disp. w?r Sft eaccric I70S 4c.YV?c- 7170°( Inqqction Data Insp. Other Footinpt - ".; - " Foundatan Framinp Rouph Plbp. . Rouph HVA Inwlation Final Plby. Final HVAC Final ? y Waftr Wsc?fbe Location: YVell 5ewer Pr. Ditp. . BUILDING PERMIT Site Address -' '-' Jad?-' Lot ' Block Parcel #k ? Name W 3 Address i 1- J:]+"irt ? City ,,.?,..? '... ? Name ??'l;?'Ste?•r ? ? ,o ?? Address 1- r:... ?'r l G Name _ Address rir„ CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4402 PMONE: 454-8100 Receipt # (;71 Q I hereby acknowledge that I hove read this application the information is correct and agree to comply with Stote of Minnesota Staiutes ?d City of Eogan Ordir Signature of Permittee A Building Permit is issued to: • t'??::?='?' :-?Y ?? oll work sholl be done in accordance with all opplicabl Building Officiol - ond stote all appli State of yo Occupancy T ? Zoning D1 ? Fire Zone _ ? Type of Const. 0 # Stories E) Front ft. n Depth it. oter & Sew. Surchorge lice Plan check _ ,e SAC 19. Water Conn. 3nner Woter Meter iuncil _ dg. Off Total 17,00 I on the express condition thot Stotutes and Ciry of Eayon Ordinonces. Pamit # DaRe Iww Pwsklr PI umbi ng Mechunicnl INSPECTIONS DATE INSP. ough -1 Fl? Footings Date InaP. Date (rMp. Foundation Pltanbing Frnme/ i ns. Mechanioal _Final ?•?• - -T Remarks: . . -,n„ .. . . . .. . . , , . _ . . . - r GAS WORK ORDER ?p 1072 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651 /772-2449 b H EAT I N GO 612/8242656 & AIR CONDITIONING A Blue Dor Service Co. EQUIPMENT INFORMATION LAST 1-15 .?c_/ FIRST ' ADDRESS CITY ZIP 1.2- Z HM PH WK PH TECH DATE `- ? TYPE MAKE MODEL - rJ? 3(?'? ? SERIALI 1<00 i¢ O 2 SO ,? NPbT ORSAT TEST RECORD o C02 GU % METERED INPUT 8Z--> Cfh CHIMNEY TYPE v 02 °r6 LIMIT SETTING 'Zv o 1-4 ° FLUE SIZE in. CO % PILOT OUTAGE O sec CONNECTOR sIZE ^' NET STACK TEMP ° TOTAL CHIMNEY INPUT btUh ? ? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157170 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 1921 Jade Lane Lot:4 Block: 1 Addition: Ken Applebaum PID:10-11700-01-040 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Abel Asfaw 1921 Jade Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature