2017 Jade Laneyq (,,') ? REQUEST FOR ELECTRICdL INSPECTION Ee'00007"A°
' S. irc:tructions for eovpbtinp NidYam m back oi yellowr copY. ?( L I SY
A n6p?01 X'" Belaw Work Covered byThis Request
N?AAtl Beo. Tvm ol Buildim Aooliancaa qirad EauipmsMI Wired
N Fee SBrviceEnlmncs5ize b iee Feeders/5v4feedews 11 e Gircuits
AUWS Oto30 AMM
Above 200 q 31 to 100 Amps 1 79
31 io lOQ
Swimming Pool Above 100- Above 100---AOIPS
TranSformers 1`rigation Booms Partial'OtMer Fee
Sigts Special fnspection 5
Remarks OT FEE
.?- /1- fo
Pou9h-in
1 Date 1. ths Elactria
l
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1 ?? .? ,VTI
6 I?Peebr. hweb
Y
mniH tl+t 11e abova
Final
f le
?" impectim ba been
o oede.
7Memawuwmt&mowufmm - v -• - F ?^?Y1164J
This request wi0 ?1 ? ? ? (J
t a momns r.o.n l A 068201 It3 Pq ctj Arv 3
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M Nenuest Date Fire No. IbugMin I?pec[
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?11 Notih IMpec-
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? L censed Elec(rical Convaaor I h?ebr ?e9uast i?oKtion oi above
? Own¢r ectriml g ruk imd11eU at:
S[reet /,tld
ress, Box o ute No Cily
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ection o. T o Mame a No_ liarge No. Caum
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Occupa (PItINT) Phone No.
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a
Elactrical on[rac[or ICOnparW ) - Cannactoi s Li? No.
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Authorized ? neture ( rtacta w?r Yakinp Irebllatiml PM1On
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MINNESOTA STpTE OF ELEC7AICfi?' THIS INSPECTION IIEQUEST f/LLMOT
Grigps-Yidwev Bldg- ilown M-797 BE ACCEP'fED BY 7HE SfA7E 80A1D
1821 Univarsity Ave.. SL Vaul. MN 66101 UMLE55 PROPER INSPEC110M FEE 0
pF?? tf%121297?111 ENCLOSED.
6z,-f_.
To Be Used Far??? d4 (,f?Valuation ?
Site Address: L?&-
Lot ?13 B?? 4- sec./s,b.
parcel #: / b ° / (o ) Do2.. ? 0 -0 y
Qaner: ?e.m1n?,4 S ?1 ?lCt/1 ?1.e5
Address: a°1'7 S?dC. L<{?
City/Zip Co1dIe: Mt yvl
Phone #: `41S q - s
Contractor: LXJk
Address: Ga-? E0-5 r 38?
City/Zip Code: ?p IS ?1?hvt
Phone #: ta aa ?SJ? ?Dglt?l
Arch./Eng.: qqLOO ('1
Address:
City/Zip Code:
Phone #:
3f?`I1tiaH.Q?cl?jid?wb?S??}??'«5io,8 Vfj(??5?osv?,
CITY OF EAGAN
Include 2 sets of plans,
1 Certificate pf Survey
1 set of energy cal.culations.
Date v/ I J?U?
- T
OFFICE USE OALY
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge 'Iype o£ Const. -- ??
Mve # Stories
DPSrolish Fmnt ft.
Grade Depth ft.
APPROtTALS FEES
v
Assesscrents Permit
Water/Sewer Surcharge
Polioe Plan Check
Fire SAC
Eng, Water Conn.
PlanneY Water Meter
Council Road Unit
Bldg. Off.
P.PC '
. ?
?CYi`AL
?.?
Poci-x w?i h Pm.-ie Do
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 1?1? 9184
PHONE: 454-8100 ! /
BUILDING PERMIT Receipt # 7 ?)7a
To be owd fer 3 SEASON PORCHEst. Value $10, 000 pate JUNE 19 1984
SiteAddress 2017 JADE LANE
Lot 13 sIock 4 Sec/sub. CED GRV 3
Percel No. 10-16702-130-04
W Name BERNIE STROHFUS
Z Address $AME
° city Phone 454-5448
o Nam NU-LOOK
?? Addre ess 621 E 38TH
H Citv P'1PLS phone 828-8355
Name _
Address
City _
Phone
1 hereby acknowledge thot I have read this appiicotion and state that
the inlormotion is correct and agree 1o comply with oll npplicoble
State of Minrrewto Stofute? ond city- of Eag_ an Ordirwnces.
SiBnoture of Pertnittee ,
d:?Lyl 1 A Building Permil Is issued to: NU-LOOK
ell work sholi be dorre in occordancywMh.pll opalicabl Stot of Mir
Erect [j Occupancy
Alter Q Zoning
Repoir ? Fire Zone
Enlaroe ? Type of Const.
Move ? # $tories
Demolish ? Leng[h_
Grade ? Depth Sq. Ft.-
ADDrovola Fees
Assessment Permit +?oV . DV
Water & Sew. Surcharge 5.00
Police Plan check
Fira SAC
Enp. Water Conn.
Planner WaterMeter
Council Rood Unit
Bldg. Off.
APC Totol $85.50
on t he express condition thm
wta Sfatutea ond City of Eayan Ordinonces.
Building Officiol
/ S- 7 0
13_
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30 ---
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EAGAN TOWNSHIP
BUILDING PERMIT
Ownez .......?..?f.r?it:?-<??:??...?_..-`-°- --?.. -----
?
Addreas (Preseni) ..._--------- ..............
Buildes .... A:Lr?-`c-?!
.--"-•.-....-......- ._._.. ._.........._,l....yt.'......
i
Address ................................................ ?------........-------'------...........
DESCRIPTION
N° 1570
Eagan Township
Town Hall
Dafe ..... S /// G,Z ..................
Siories To Be Used For Froni Depih Heigh! £sf. Cos2 Permii Fee Remarkc
'Z'k /`! 7S`
LOCATION
Sireei, Aoad or oiher DescripSion ot Location ? Lo! I 81ock I AddiYion or Txacf
I I:3 I -?/ I ( '? %'`-? f/ -1
Thia permit does not sufhorise the use of slreefs, roads, alleps or sidewalks nos daes i2 give the owner or his agen!
the righf fo creale anp siiuation whieh is a nuisance or whicli presenis a haaard to She healih, safely, convenienee and
general weltaxe !o anyone in the communiiy.
THIS PEAMIT MUST BE KEPT QN THE PAEMISE WHILE THE WORK IS IN PROGAESS.
c
This is 3o cesfifp. !hel---- _1..._,.. ---------- haspermission !o erect a__._--..----r .---.-.-. --..... upoa
the ebove desczibed premise subjeci io ! e pzovisioas of the Building Ordinanee for Eag Townsdopied April 11,
1855 _.
__' ........... ..... (? ................ Per ................ ..._......'............_l..-.?......_g'S.r.p"'......
ya .......
./ Chairmaff ot TnwneBoar? ? Huildin Ins ecfos
EAGAN TOWNSHIP
BUI.LDING PERMIT
N° 1379
Eagaa Township
Town Hall
Dafe -,_ I i(...??L.;..?.__..
-- --I J
LOCATION
or
G .? P /V.4 1 oI f
-'s i rse Y F a /7r/6'
I Lo! I Bloi
? i -. -
xamnon or'1'raU
This. pesmif does noi authorize the use of sireels, roads,alleys or sidewalks nor does ii give the owner or his agent
the righf fo creafe anp si2ualion which is a nuisance oF which presenis a hasard fo the healih, safety, convenience and
general welfarelo anyone in ihe-communi2y. . . THIS PERMIT MUST BE?oKE?PT ON TI3E PREMISE WHILE THE WORK IS IN PAOG SS.
This is !o cezSify, lhaL?:..?-1...? .-ra.:._....._..haspermission !o e:ect a..._?./.1.cf..... .._f...?2?-<;-t.?.?- -+..uPon
?
the above descri6ed premise subjecf to the pzovisions of the 8uilding Osdinance for Eagan wnship adoptedApril.ll.
1955. q ?J O
." ..................._.._4hl:?.i?:1."----------.. Per _.............. ? Y.l.(a-FS Y.2?.c..._........_.--....
. Chairman of Tnwn Boerd ? Building Inspeefor
? d
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
- 1, (ROOFxNG)
ilding?-.permit Type
ilding 6ar.k. 7ype
BUILDIN6
024478
09/01/94
SITE ADDRESS:
2017 JADE LANE
LO7: 13 BLOCK: 4
CEDAR GROVE 3RD
P.I.N.: 10-16702-130-04
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
,r
PERIVIIT
PERMIT TYPE:
Permit Number:
Date Issued:
SF (MISC.)
REPAIR
...,
VALUATION
$63.00
$2.00
$65.00
$4,000
CONTRACTOR: - npplicant - ST. Lzc. OWNER:
GENE'S HDME CARE t REFAIRS 14543402 0002715 STROHFUS BERNIiRD
2017 FLINT LN 2017 JADE LN
EAGAN MN 56122 EAGAN MN 55122
(612) 454-3402 (612)454-5446
I .?
I hereby ackhowledge that I have Ceasi 1wh3s app3.icatzon and state-that the
informaLion is corruct and agree to co€nply wiCM akl appliQalale 5tate af Mn.
5tatutes and City af Eagan Qrdinances.
L_ I
APPUCANT/PERMITEE SIGNATURE
1v, R o J ?
-'ISSUED BV: GN RE
14411
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
1(zr•Do
SINGLE & MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of ener9y
calcs.
COMMERCIAL 2 sets af architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date SF/o Valuation of work
Site Address: =Pev 7 ?'O? ..Lf?r??
STREET SUITE #
Tenant Name: (commercial only)
LOT _L BLOCK ? SUBD.
I..QPa ?V P.I.D. #
Descri tion of work: pT
The applicant is: ? Owner 7:9 Contractor 0 Other (Describe)
Name STie$,?,?'l?..S AFR,.~?e Zk-/?.5 Phone li/-SyyB
Property LRST FIRST ?
Owner qddress a!:5t7 7 ?-??? ?.y?
STREET STE #
City ?9?Ai? State .?'lA/ Zip
Company r?.si?s t1?m?' ??F ?.6,'AeZT Phone
Contractor Address -?/7 ????T .L.»r? License #a71 Exp.
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 with all app ' le 5tate of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant: ?
Ccdar Grove Goi;..ti?uction 'o.
• 'O ? Engine'e'r'imng
FService
4096 DIAMOND DRIVE
ST. PAUL, MINNESOTA 55111
PHONE 454-4452
?? ^
/
, ... ._ --
P?
?CI! "?.. 1" - Z? ?
rr
LGL 1i, C:,'oV._' '. 3
"_'nis su v- ,°o_:, t e ose of c ? ?-...r lo<;n .c' is not
?
to be ?i??,2c io- ,any =t no
r.ronel-tv co.nc:?•s or `i?Dve be-°a se±.
I hereby certify that this is a true and correct survey of the
ahove property.
/ ?
. Signature
Reg No. 1538 '.
?`Date. -' 1 -ecen.ber 1Q65
,
;. t _ ??.? . . .
G ,?,??
LOT BL 4
SUBD. (-Am* ?-3
RECEIPT tl: VM
RECEIPT DATE: I - 1' 1 1
MECHANICAL PERMIT # J-? bff(O
1999 MECHANICAL PERMIT (RESIDENTIAL.)
C11'Y OF EEkfiAaN
S$SO fU.OT KN08 {tD
fJ?6AN bllY 551 EE
g/ I q?
Date: (651) 6$1-4695
a ?
Complete this section onfv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$
_ rrc?
State Surchazge .50
Total $ 33. ?>t
Complete this section onlv if you are remodeling, adding to, or repaiiing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
? New Alteration Repair ? Other Yf,i1Xk(,'
Reminder.• Call 681-4675 for inspections. Y??
4 Furnace
_ Air exchanger
R? ?f ?lon ^ ?'
i S? n?
Air conditioning
Other
$ 30.00
State Surcharge
Minimum Total Due 30.50
SITE ADDRESS: -? ol l
".i'r.cd,el LkA-4?
OWNERNAME: PHONE#:
? ' ?• r q? (AREA CODE)
INSTALLER NAME: PHONE #: (aS / ?.Sv? ? ?3 S
STREET ADDRESS: (AREA CODE)
CITY:
, SEP 31999
CITY USE OVLY
STATE: ZIP:
SIGNATURE OF PERMITME
CITY OF EAGAN
Addition Gedax C*r'OVe #3
Owner 2 1 A
?.?• ,,
Remarks Cedar Grove Acquisition
Lot 13.-Blk ?4 Parcel 10 16702 130 0),
street 2017 Jade Lane state Eagan+MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADfiVG
SAN SEW TRUNK
SEWER LATERAL ? 2 1 Qo 52.16 2
WATERMAI N
WATER LATERAL ? 2
WATER AREA
STORM SEW TRK
STpRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN.
BUILDING PER.
SAC
PARK
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: J„ l
PERMIT SUBTYPE:
. ?Hl .
,.__. ...? .......? ? ? ,... _.,. .?. _._.._. __...__.
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
{ ?? ! .' ) ?I'•?! t41i.'
TYPE OF WORK:
IIi It 1: 111 1 1 nrv
itu t i 11 iN(,
c1.'an/r,i
(i'i/V f /siA
I I'Hi?rl,
V1 I'n i F
( Hijit1 1 N?; )
INSPECTION .A . .•
1 w 11 i„ i
?„-
=
?
Permit No. Permn Holder Data Telephone •
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dete Insp. Comments
Footings I
Foundation
Framing
Roofing
?
Rough Plbg. ?
Rough Htg.
Isul.
Flfeplace
Final Fttg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
CITY OF EAGAN ?? 9184
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
PHONE:. 454-8100
BUILDING PERMIT
Site Addresa 2017 `TADr'
Lot 13 Block 4 ca
Parcel No. 10 -1 fi 7 02-
W Name
; Addre
b City _
Receipt # _
$10, 000 ri„*e JUNE
, o Name NU-LOOK
?? q??s 621 E 38TH
? City MPLS Phone 828-8355
Name
Addresa
City Phone
1 hereby ocknowledge that I hove read this application and state thot
the informotion is wrrect ond agree to comply with oll opplicoble
Stota of Minnesoto Statut `ond City of Eogon Ordinonces.
Sipncture of Permittee J ?'
A Building Permit Is Issued to: NU-LOOK
pll work shall be done in occordont? ol I opplicablo State) of Mir
Buildinp Officiol
84
Permit -'"" •
Surthorqe '
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol ' 50
on the express condition thoo
Stotutes and City of Eoflon Ordinonces.
Erecr p
/11ter ?
Repoir ?
Enlorge ?
Move 0
Demolish ?
Grade fi
Assessment _
Woter 8 Sew.
Pol ice
Fire
Eny.
Plonner
Council
Bldg. Off. _
APC
Zoning
Firc Zone _
Type of Const.
# Stories _
Length
Pormit Na Permit Holder Misc. Permit No. Holder
, Plumbtn9
H.V.A.C.
Well
Water
Disp.
Swwr
' ENetric 0 'KQ•atw L?OT
Inspeetion Date Insp. Other
Footinpt
Foundation
Framinp
Rouph Plby.
Rouph HVA
Inwlation
Final Plbq.
Final HVAC
Final ?J
Waftr pftcribe Location:
V11ell
Sevw?
Pr. Ditp.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2017 Jade Lane
Lot: 13 Block: 4 Addition: Cedar Grove 3rd
PID:10- 16702 - 130 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Restoration Resources
6850 Shingle Creek Parkway, #C -175
Brooklyn Center MN 55430
(763) 561 -2698
PERMIT
City of Eaan
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.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
John A Snyder
2017 Jade Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA089055
05/06/2009
ePermit
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2017 Jade Lane
Lot: 13 Block: 4 Addition: Cedar Grove 3rd
PID:10- 16702 - 130 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Softener
New
Water Softener
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
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:
John A Snyder
2017 Jade Lane
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA091827
10/29/2009
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116571
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 2017 Jade Lane
Lot:13 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Stephen Kanoff
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 -
John A Snyder
2017 Jade Lane
Eagan MN 55122
Associated Exteriors Inc
937 117th Ln NW
Coon Rapids MN 55448
(763) 370-2010
Applicant/Permitee: Signature Issued By: Signature
CO of EataR
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 875-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r For Office Use
Z1.0
I Permit*.
/ '
I Permit Fee: r -72 •
Hate Received.
I Staiff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
I (p Site Address; 17 Jade.- L -AJ
Date:
_
.0
Resident/
Owner Address 1 City / ZIP: a 17 ja
Applicant is: Owner )(I Contractor
Phone: 6V-7): AV?
Type of Work Description of worr
Constmction Cost
a -iv
itopri4r 7)1:41,411P-tki
Multi -Family Building: (Yes N
rn iCrele
Contractor
Company: Jesse Trebil Contact Christine
Address: 60335 us hwy 12
state: n zip: 55355 Phone: 3205938729
IJcei
BC446489
Litchfield
City:
Info@safebasements.com
Lead certificate* NAT1106229-1
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IP 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 Contactor: Phone:
Fire Suppression Contractor Phone:
NOTE: Plans and supportirig documents that you submit are considered to he PlibrOC Won:nation. Portions
the inivf:imiation may be classified as non-public if you provide specific reasons that would -Porn& the city to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call GOpher State One Call at (851)484-0002 for protection against underground utility damage Call 48 hours
before, you intend to dig to receive locates of undergroUrid utiliIies.www.copherstateonecall.oro
4 hereby acknowledge that this infonnation is complete and accurate; that the worts 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 peitnit, 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. rindhoriked by a building paratitissued in accordance withthe Minnesota State Building Code must be completed within180
days of permit issuance.
Christine Smith
Applicant's Printed Name
Applicant's Signature
Page 1 of
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foupdation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% Y)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
At Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
le Foundation
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan��_�
Reviewed By:
Porch (3 -Season)
Porch (4 -Season):•_
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
/:_?,s-6 0 (
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
eto,,-
-�
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Ale Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: _Rough In __-Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
/0 3 41.
7-t
Ay& ;J9
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146065
Date Issued:10/06/2017
Permit Category:ePermit
Site Address: 2017 Jade Lane
Lot:13 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
John A Snyder
2017 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature