1949 Jade Lane06
! - CITY of EAGAN
BUILDING PERMIT
Ownec ...... `"'A:.'. .. . . .
.. .. .. :
........ N2 3302
Addreu ......._
?
..... ,??z'::T._J .`...............
o.
Bullder ........ ...... ..-.. .........................
Address (preeanS) ? ? ?.2"-?a?d ,__ r.,,
?C?...-.... ?c"`J ....... C . ...----•""?C" ?
--..........................................
3795 PiloS Knob Road
Eagan, Mixnesota 55122
454-8100
Dsse ......Jt...-.?.:3.?. .7..?.? ............. .
Bforiea Ta Be Used Fos Froni Dep
ih
Heigh!
Es2. Co
W
ermi! Fsa
Ramazks
I ?-?---?-? .?y :?y ??.•-t? ?; s 5 ?,?---? ?????..?
? ...... ? ? •."'............ Per ?y.et?CJJ
....................... ............................... ............................._..............."""...................
'-....... '-'---. .... Mayor 8uildl? Irmpaclor
This permit does aof aufhorise the use of afreefa, roadc, elleys or sidawalks aor does it give !he owaea or LSs aganf
the righ! 2o creale anp situation whieh is a nuisance or whieh presenls a hasard !o !he heellh, sateip, conveaianes and
ganeral welfaxe !o anpone in the eommunitp.
THIS PEAMIT MUST 8gh KEPT ON THE RREMISE WAILE THE WOAR IS IN PAOGRESS.
This is !o cezliSY. lhet.---I?- .`' ................ .'.:?'............ haepermicaioe !o ereel a.....-_s--._ .................................... _ upon
--°??:?..-- ° .......
'?ihe above described premise subje!'i io the pxovisions of all applicable Ordinances fox ibeCitp of Eagan.
//- x. R-.
TOL]N OF EAGAid
3795 Pilot I'nob 2oed
St, Paul, Minn. 55111
PEP,MIT N0. 91
The Board of uupervisors hereby grants toRgy N W 1 r N<„rt ng
Co. o£ 4637 Chicago Aven,+a so, mpls_ 554n7 a
HEATING ?Permit for: (Oianer)g„11;z r.l1mI?Af?y, at
.__?T
1949 S_ide Lan?,o,St_ Paul , pursuant to application dated
Marrh 16y 7071
Fee Paid: $? nn Dated this_Lgb day oE ,,.U , 197?_.
Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
own.: .... ............ ..?--? ...................................................
....
Address (Present) .. .-- --. .. ......... .?.a2`? fT'_""?
..... .--...... .. .. ............°---.......
l/
Builder ........... . ..............._....---.....----............_•--....._..._. .
Aaarese .....................................-......... -........__...... -._...................--
DESCRIPTION
11T° 2382
Eagan Tawnship
Town Hall
Da:.
---?--- .....................
Sloxies To Be Used For Front Depth Heighf Esl. Cos! ermif Fee Ramarke
I Q ?, 38''5?? a-6 / J. M? ?? yC °° /n " a?-?-
'3dl aZZ;-Z- aa.-f?
TION
sxreex. noaa or oxnar uescnpuon ox Locaxion I Los slocK Atlaiiion or Trae!
This permit does aot aulhorise the use of slree2s, roads, alleys or sidewalks nor doec it give the owner or his agent
ffie riqh! !o ereate aay situatioe which h a nuisaxwe or whieh presenls a hazard !o the healfh, safefp, convenieace and
general welfare !o axtyoae in the communify.
THIS PERMIT MUST BE EPT ON THE PHEMISE WHILE THE WOAK IS IN PROGA SS.
This is !o eerrifY, ihal.... ............... .. .. ?------------------------------ has permission !o ereat upon
a__. . ......-, -=-.---........... . . ......._.._
the above deseribed pzemise subj e! !o !he provisions o! the Suilding Ordinance for Ea?ge?Towaship dopled ApsSl 11,
1855. 41
............. '.....-_?...._.'-U?.....--'-"??..:1..`.?!.-:`.!""-"_.............. Per ....-._---..._........!?c.4.....U.--.......... :.°..."'....
Chairman of Tnwn, Board Buildin Ins ectoi3
\.B
/v // 7e6 /i 6 v/
11DWN OF EAGAtd
3795 Pilot I:nob :.oad
St. Paul, Minn. 55111
PERNIIT N0. 11n
The Board of uupervisors hereby grants to inom?on Pl?rmbi.is Co.
of 1220.1 Minnetonka Blvd. ttinnetonka 55361 e
?>LU!yI,'G ?PermiC for: (Owner) Sa11y_C? at '
l,t,t;* 1-S'tc5 "'ada Lejapurauant to application dated
_iay • 7 r1'j7L Y.
Fee Paid: r90.04 Dated this 18th day of tiay , 197_1.
Buildiag Inepector
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CITY OF E;`.GAP1
3795 Pilot Knob Road
Eagan, Niinnesota 55122
PERPaT NO.: 5ie
^1he City of Eagan hereby grants to a ndard aeatina & A/c
oi dln W 7.ake, hmis. 55408
aA?r__ Permit for: (Owper) mhom?s gttarv
at 7qdQ .TaA, TAne ? pursuant to appJ_ication dated 5/31/74 •
Fee Paida gg_nn dated this 17th _ day of Tin ,.1J__7A
.50 s/c
Building Inspector
N:ecnsnical Permits:
Bid Total:
CITY of EAGAN
BUILDING PERMIT
oWn.: ......??-:-':`. - ?:............ ............................. v..°...
..
Addrese (vresont) ..?..9.?.Y` ......... .............. ...-:...................
Bullder ..............................................
Addseu ............................................
. ,.
N° 3280
3795 Pilai Knob Road
Eagan, Mianesofa 55122
954-8100
Date .... S..:'.E. ly ..............
6fosiec To Be Used For Fson! Deplh Haigh! Eel. Cos! Perml! Fsa Asmaslu
....................... 1..... :......V....-T''6'+.....?....__....----..-.--.-..-_.--. Per ............................ ................................................
Mayor Suilding Im7 lor
Thfs pexmii does noi suShoriae fhe use oi sfreeffi, roada, alleys or sidewalks nor does it glve ffia owner or his agant
the right !o create aap siiualion whioh is a nuisance or which preseais a hazard !o !he healfh, aafelp, coavenience aad
general walfate So anyoae in !he eommunilq. TFIIS PERMIT MUST 8£ EPT`?y THE PAEMISE WHILE THE WORK IS IN PROGAESS.
This is !o eerlifY. Shal...... ..... ....... ............. ............................ hasparmissioa !o ereai a. •,rLt--
F....? ?^•---?'
'-- •'---...--- .........°---......_.._upoa
3he above desoribed premise subjea! !o ih p:ovisions of all applieable Ordinances for ihe Citp of Eagen.
4S'E 1''9l
ED Mixt``.e'
s. ing souro Su?rb? O@EMO and oakam <.ny ". ..
A0,
,yc
ONE CUBIC vARO OF LONCRETE MLL COVER
Sq.FC 7hick 5a FG TFick $q,F?, T"kk $p.Fi. T?icR Sp Fl, TFic!
WS .5 IOB 3 64J5 5. <3.0] ].5 924 10.
339 I
1. 80 3.5 59 5.5 40.6 8. 00.8 10.5
316 1.5 81 C. 59 8. 98 8.5 29.5 t1.
163 2. i8.35 0.3R 50 6.5 98 9. PB4 11.5
1R9.]6 P.5 ]2 ?.5 68 ]. 94n 9.5 27 tt.
09/22/2008 07:51 5073346721
ClLq Of BaiIl
3830 Pllot Krrob i{oad
Eagan AIN 56122
PhonC_ (651) 67'S-S6T5
Fax: (651) 675-6N4
GRANNEMAN & ASSOC PA6E 02/04
?------------_-T-_
? Pa F.,.
; owo ROOOKW:
i stow. I
i
?W--rr- i
/
2008 RESIDENTIAL BUiLDING PERMlT APPLICA170N
aOao:
rei+arrt;
Sulee s:
RE$IDEW / OYINFA NamB: S PhOnC: 5 1-6 fo
?
naarow / c;ty i rP: tj
Apptirarn rr: ____ owner X canlractor
TYPIE OF wORK D0scription of wak: ?=R-{x)Y ?id USJL W\1 11?i-a
Constnation Cos 3906. o a Mwti-Farty BunWrp: (Yes ____ / No xi
mr+MACroa Name: G I?11g e-?n?trvc,}?.w? uce?# :?`?2?'Svs7
naare?1G?}?ttln iZ a
at,. KP-Au an suft: M N zp: . Sct
Pnone: 5t77 3? f-!?c«xaa peruon: 6 `. \1
COMPLE7E THIS AREA ONLY IF CONSTRUCTEN(3 A EJJ 11 BUILDING
?Minnesote Rules 7679 Qateoorv 7 Minnmote Rutes 7872
Ener9Y Cotla . R?at ver??acon Ce[egory f wwkslreet '^ •?? Cade wo?
?mm
(J w6migaFon typa) • Ener9Y Emrelope 000uW6iaa+ simnvcad
In the WI 12 months, has 4he CIly of Eaqan is? a pemlil fof a similar ptan 6esad or+ envstw pqm4
YeS __,_Np N yes, date and eddtess oi masper plan:
Lkxxtsod Wumber pRprre.
RlechanuW CoMvctor: qqm.
Sewx 6 Water CorMactot: Phorw: .
4iihd tippmew d6c"awdir NwyDU subrtw"me CO/IIIIIbMid tY bA.p?.?.?
-
dl¢11?M??OA;?{M.?88A01?lIDkC1??Ofl,?Ylf?f8?60?C/HB?OV16Iww1rGYw .pM/I*
I here6y atlcmWeqg9ltret Mic iNamaFOn Is oqmp4ete erM eoanate; thsl the v?prlc Wq OB M CoMMma? vMU19?e adlrwunes aM Ootles M M?e qly af
Eegen: mec I wKenlena uas ?+w? a aem+i? nw «mi pn eoOiae? ror a ae,mn. ard ww* +a na m ata[ .du"t a aemW. uWe uie wak wwff he M
acooMazne Mth the epprovad plen M the ass d watc ~ reWres a/eWew and approral or plans.
Er?
x„L7fP9? ?i lr, X
Appllcam' P?inled Wune Apptiwmt'a Strowre
Page 7 of 3
---CITY OF EAGAN
830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Num6er:
Date Issued:
1949 JADE LANE
LOT: 11 BLOCK: 1
KEN APPLEBAUM
P.T.N.: 10-11700-110-01
s eoas
BUILOING ?
027745
96/04/96
DESCRIPTION:
$uiIdinq-',Permit Type
firBuiiding ,W'a.rk Type
? Census Code?
r
f
?v • ,€
., ?-
t...??
r-
DECK
NEW
434 ALT. RESIDENTIAL
?
REMARKS:
FEE SUMMARY:
Base Fee $45.00
5urcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
STEPKA MARK
1949 JADE LN
EAGAN MN 55122
(612)688-0263
I hereby acknowled;ge that j have read this application and state that the
infiormatzon is correct and agree ta compiy `with all applicable 5tate of Mn.
L StaCutes and Ci y:o'F - g,an Ordinances.
A PLICANT/PERMITE SIG URE ISSUED IG RE
,ff
CITY OF EAGAN
1qq49 3830 PILOT KNOB RD - 55122
995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
4kffc
c,a-P.Y L4
? 3 iegbteiad Nte ewveys ? 2 copies W plan
? 2 eoPbs of Pmns (InduCa beam 8 window sixes: ppored fid. design; eMJ ? 2 site surveys (exterior addkiona S dedcs)
?I emrOY micukdions ? 7 energy calwlaGOna tor heatetl addftions
? 3 eopba M troe preslrvation plan if lot plaqed after 7J1193
required: _ Yes No
DATE: CONSTRUCTION COST: -??--?
DESCRIPTION OF WORK:
STREET ADDRESS: dw --r?OL /-"
LOT ? BLOCK T_ SUBD.lP.I.D. #: ?or,? f??U'?
PROPERTY Name: Phone,F:
OWNER Street Address-
City: ?17 5tate: Zip:S?l T7?
CONTRACTOR Company: ?j-: F Phone #:
Street Address: License #:
City: State: Zip•
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #•
3U G'vl I'^1YJi vJJ
City.
State: Zip:
Sewer & water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this plicat9 n and state that the infortnab'op is ?ect and agree tq, compty wRh all
epplicable State of Minnesota Statutes and C' of Ea an Ordinances. Ili"
?? f?
Signature of Applicant:
OFFICE USE ONLY I P9 i? ((n F, I nlJIF PDI
Certificates of Survey Received _ Yes _ No ?MAY 2 9 i996
Tree PreservaGon Plan Received _ Yes No i---------------
ERGAId TOWNu$IP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Mey 18, 1971 NU1,IgER 776
Sall j l - I ?.
OWNER: Y COmP8nY Address 1949 Jade Lane, Eagan 55122
PLUPSSER Tha?r? D,g r.y ? 2'RPE OF PIPE (`nat Trnn
DESCRIPTION OF BUILDING
Industriall Commercial1 Residentiel I Multiple Dwelling I No, of units
Location of Connectiona:
Connection Charge 200900 pd 5/18/71
Permit Pee 10.00 pd 5/12/71
Street Repairs
Total
inapected by:
Date
Remarks•
By
Chief InspecCOr
In consideration of the issue axed delivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Toemship, Dakota County, Minnesota
Sy.
Thompson Plummbing Co.
12201 Minnetonka Blvd.. Minnetoaka 55361
Please notify when readq for inspection and connection and before any portion
ot the work is covered.
.
y .
EAGAId TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNII T FOR WATER SERVICE CONNECTION
Date: May 18, 1971
Billing Name: The Sally Gompaay
Owner: The Sally Company
Plumber• ThkmPsoa Plumbing Co.
1
Connection Meter Size 5/8
Badger
Meter No.11304556
Read Out o.N'-"TiDTT3r`
Meter Reading -0-
Permit Fee 10.00 pd 5/12/71
MeYer Dep.
Meter Sealed: Yes 'Add'1 Chg. 7.50 billed 5/18/71
NO '1bta1 Chg.
Building is a;
Residence xoc
I4ultiple go,
Commerciai
Industrial
Other
In consideration of the issue and delivery to me of the a6ove permit, I
hereby agree to do ttv proposed work ia accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
Inspected by
Date
Remarks:
Number• 616 •"YPt) baVIYI
Site Address• 1949 Jade Lane, Eagan 55122
Billing Address c/m Stcrer Realty
$9H.eo
iNi{'ROPtRLY
By:
Chief inspector
By:
Please noYify the above office when ready for inspection and connecCion.
MASTER CARD
LOCATION
OWNER
STRUCTURE AN?
LAND USED AS
Permit
No.
Issued Issued To
ConTraaor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK ?
WELL
ELECTRICAL
HEATING M
?
7
GAS INSTALLING - -
-
.
SANITARV SEWER
OTHER
O7HER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIEID FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS WSTALIATION
SEPTIC TANK
CESSPOOL
DRAWFIELD
PLUMBWG
WELL
SANITARY SEWER
1-?-
Violations Noted
on Back
COMMENTS:
MASTER CARD
LOCATION
Permit
No.
Issued Issued To
Contracfor ? Owner
BUILDING
PLUMBING -&3
3? t
Dl-
• J'
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER I
OiHER I
OTHER I I
Items Approved
(Initiel)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING .,9 /1-,-? ' TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTAILATION
$EPTIC TANK -
CESSPOOL
DRAINFIELD
PLUMBING I
WELL
SANI7ARY SEWER
Violations Noted
on Batk
COMMENTS:
M.
MASTER CARD
0
OWNER
STRUCTURE AND
LAND USED AS
,*/- / - . /1 Qi"a ddrM
Permit I
No.
? Issued Issued To
CoMrador Owner
BUILDING
PLUMBWG
CESSPOOL - SEPTIC TANK
V?ELL
ELECTRICAL
HEATWG
GAS INSTALLING
I _-
! -!
SANITARY SEWER I
OTHER I
OTHER I
•
0
Items Approved
(Initial)
Date
Remarks
Disiance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING
FtNAL
ELECTRICAL TILE FIELD FT.
HEATING
/1
« P
FWELL
_
GAS INSTALIATION -
_-
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING ? I[.?? ?"?r
V •
Nr
WEII
SANITARY SEWER
d
?
.
7
- Violations Noted
on Back
COMMENTS:
?
MASTER CARD
LOCATION
OWNER
STRUCTURE AND /f I
?
LAND 115ED AS /?/ a/? ?S?'Y? l,
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 3? dD
_J!
-
. R.
74
PLUMBI NG
CESSPOOL - SEPTIC TANK
WEIL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Ini}ial)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMWG TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL
SANITARY SEWER
Violations Nofed
on Back
COMMENTS:
,
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, . . . . .
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?? - LAMD SURVBYOR
'
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R
. _ . .
. . . . ?
? - ? AlGIfTlN[O UMDlR {.,wW6 OF BTATE OF MINNEgOTA
' . lIC6N6[O HY OROINANpE pF CI'ry OF MINN[APOL16 .' S(
- .. ? ? . ? 3816 EAST 567N STREEI' . . FA.. 4?4587.
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Opurbrpor's Ccrti[icalr l
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I r.cs.<;'bp c0rtiry r,r.k.*, t;J'r3 11 r.r9i", r,."d c.,;,.r„cL ,u:r:t o_ :: surve,, or:
I?c:t 11 :3Tock 3, K?I: kpp•,it,t;i?;:? ti:?d' *.:,.-.
- 1)ukotai C;aurir,-7,11innesotr:.
4. . ? ? . . . .. ?
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A! 9l1RYEYEO BV ME TN16.,._' 20CYi ...DAY?DF_ yIA1l? .,._A O. .. ?'d r? . ? !: _. ' .. .:
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. . ,.. . " . ? , r. 'F*cren+AtipN. No. ?9600
. ,. ,
CITY OF EAGAN Remarks
Addition AFPELBAUM+ KIIV Lot BIk I Parcel 10 11700 110 01
Owner DI/.11)L - L4:4P vkI? Street 1949 Jade Lane Stace Eagan, nN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? J! 1972 922.a 92.20 10 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 1971 20
WATERMAIN
*WATER LATERAL ? 1971 ? 9'l• .7 20 Paid
WATER AREA g@E water COI111. P8,1C1 3539 5-1 '"71
*STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COfVN, 2 .0 3539 5-18-71
BUILDING PER,
sa,c 200.0 -3539 -18- 1
PARK
f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
! SITE ADDRESS:
i!;,;} i ANi
? PERMIT SUBTYPE:
?
; I r:i I) r t Hc
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
c r• f.' ? r.r,SS 1?1.'r, s
TYPE OF WORK:
t r N n I
11 1 f
!tllfll1 INH
0 .•fT#1 <<
yr, /N4 I y6
?
pernit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
!
wl/?
OECK FlNAL
d
---- - -
i
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
City Permit O EaEdn
4b~ l
I
Permit Fee:
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 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
/ NameI " f 6KK sr"- Phone: ~0 (17 h ~
Resident/
Owner Address / City / Zip: Z
I Applicant is: Owner contractor
Type of Work Description of work: I l
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact:
Address: City:
Contractor ~
State: 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.goaherstateonecall.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 per 't issuance.
x ` x
Applica s Printed Name Applican s igna ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117543
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1949 Jade Lane
Lot:11 Block: 1 Addition: Ken Applebaum
PID:10-11700-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Mark A Stepka
1949 Jade Lane
Eagan MN 55122
(651) 688-0263
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176590
Date Issued:05/23/2022
Permit Category:ePermit
Site Address: 1949 Jade Lane
Lot:11 Block: 1 Addition: Ken Applebaum
PID:10-11700-01-110
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Mark A Stepka
1949 Jade Ln
Eagan MN 55122
(651) 688-0263
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature