2021 Jade LaneEAGAN TOWNSHIP
BUILDIiVG PERMIT
Ownex ...L?C.flE.?-?./..---.. .. : . ?- ------ W.............
'--
Address (Presenf) .;?-.?.:.'.?? ..............."'.".__'.
Builder ------- .---------- ?---------------- .----------------------------- ---
Address ................................ .._....... .--......--°-'--........_-------.......---..
N° 1391
Eagan Township
Town Hall
J
DaYe ??._.._..(O.`---- .....----°
6iories To Ba Used For Front DepYh
Heighi I Esl. Cos3 Permif Fee Remarks
? r% d0?w""`.?"7W I
I I/?.¢..?
?0? _
V LOCATION
Slree! Roa or olher Descripiion of Locaiioe I_Lo! 81ock ? Addition or Traci
•? - _ .3 / J- - i '--'3 I
This permif does not aulhorize the use of slreeis, xoads, alleys or sidewalks nor does it give fhe owner or his agent
the righ2 !o ereafe anp sifuafion which is a nuisance oz which presenls a haaard io the health, safefy, eonvenience and
genesal welfare !o anpone in the communify.
THIS PERMIT MUST BE// K?E?PT ONpT?HE ?P1REMISE WHILE THE WOAK IS IN PROG?g/ ESS. . e
This is fo cerfify. !hal..L".G.aeic?..ff..(.:._f_..has permission !o ereef a..".7` ....'.??...?...?..".. .Q .??'...... ----.. .. upan
the above dESCribed psemise subject !o the provisions of the Suilding Ordinance for Eagan ?ownship ad !ed April 11.
1955.
................._.....(?!Y......... (/.?...---'-""--."......... Per ----------.1l?-?1 ?._._?j?..?....__.....-.(i'-?P?f--,?-,c,?.-"'_""-'.._'_--
Chairman of Tnwy, Soard ? Suilding Inspecior
A -!5
? • - PERMIT
CITY OF EAGAN
3830 Pilot Kno6 Road PERMIT TYPE:
Eagan, Minn2SOta 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. o A JC O
BUILDING
001285
08/17/92
SITE ADDRESS:
2021 JADE LANE
LOT: 14 BLOCK: 4
CEDAR 6ROVE 3RD
DESCRIPTION:
SOFFI7 & FASCIA
;Building Permit Type SF (MISC.)
Building Work Type ALTERATION
t ?
r/•
REMARKS: CCjLX)y,3ff
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Total Fee
VALUFlTION
$54.00
$1.50
$5.00
$60.50
$3,009
CONTRACTOR: - Applicant - S7. LI OWNER:
MINNESOTA EXTERIORS INC 14736001 000287 HAIMRAST 6RAN7
295 HWY 55 2021 JADE LN
HAMEL MN 55340 EA6AN MN 55122
(612) 473-6001 (612)454-5598
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 Mn.
Statutee and City of Eagan Ordinances.
?
APPLIC T/PE MITEE SIGNATURE --ISSUED B[Y: 5 GNATU E
I
124
1987 BOILDING PERMIT APPLIC6TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SEfS OF PLANS, 3 CfiRTIFICATES OF SUIiVEY, 1 SET OF ENERGY CALCOLATIONS
?
DTOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEONNER MQST DESIGHSTE iIHICH ADDRESS
IS DFSIRED. NO CH6NGES {1ILL BE ALIAWED ONCE BOILDING PERHIT IS ISSOED.
MOLTIPLE D4TELLINGS - RFSIDENTIAL RENTAL OPiITS FOR S9LE OHIiS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CG.fiiERC1AT.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 50?-?i-1-'FC1S('aC+. Valuation: ?ZIC1eU Date: C) -I-( -ga
Site Address z0'LA JLYtC LLLr\C,`
Lot -?4- Block ?
Parcel/Sub LIAy, Jqmp. Ld.
Owner Grc:?(11' r6l'pY -cvS+
Aadress 2021 `)a?Q Lar)a
City/Zip Code eaqot1
Phone
? Contractor Mr) . C-x4'X 1()1'fs
7'< Address ZCn
? City/Zip Code
? Phone 473 - WD I
Areh./Engr.
Address
City/Zip Code
On Site Sewage_
MWCC System `
On Site Well `
City Water _
9PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr _
Planner
Council
Bldg Off _
APC
Variance
Oceupancy
Zoning
Type of Const
(Actual)
(Allowable)
ll of Stories ,
Length
Depth
S.F. Total
Footprint S.E.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TaTAL
Phone al
CITY USE ONLY Q
L ? BL RECEIPT#: 87 ?f
1
SUBD. ? RECEIPT DATE:
1998 PLUNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGP.N, M17 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and oondos when permits are required for each unit
? backflow preventer for underg round sprinkler syslem
___-_-_--------------
FIXTURES ---------------
EACH ___---------------------
# -------------
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x' _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
3.00 x =
a er Heate 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener * for tlwellings under construction 5.00 x =
Water Softener " for ezisting dwelling 20.00 x =
U.G.Spfinkl¢r 'tordwellingunderconst. 3.00 =
U.G. Sprirlkler ' tor axisting dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL C?O. S v
- ------------------- th-------------------------- ----- --- • ----- ----------------- ---------------
- ad - this -
- ordinances.
- eppli - pdon - , - state -
- Mat the - inform - ation - is corred, and agree - to - compy - wdh - all - applicable - Ciry of - Eagan -
I hereby acknowiedge at I - have - 2
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any dameges caused by the City during its
nortnal operational and maintenance activities to the facilitias wnstruded under this permk wkhin City propertylright-of-way/easement.
SITE ADORESS: 2 O?;k I -A-i+d-Q- L?N?-
OWNER NAME:
INSTALLER NAME: ?`d'A.Y' I? ?lLtl??j.,NGS TELEPHONE#: Ef/ -?IIJ 7
STREET ADDRESS: ?I3 '7 CUl U?' /P ?T d ?S v
CITY: }? Lcu, STATE: I2IwL ZIP: Ss y`?
JSIFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
q?3?1 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-887-4875
New Caruhuctton ReaulremeMs ggmodeVReoalr Reautremenla
> 3 reglstered dla wrveys ehOwiny aq. lt of bl, 7q. R. of house
and gn rooletl areaa (4076 maxlmum lot coveraae dbweH)
> 2 coples of plans (show beam A wintlow sizes; paured tnd deslgn; etcJ
a 1 iet of energy calculaHOna
> 3 copiea of hae preaervaMon plan If IW plaMetl a21er 71I/93
DATE:
?-'Z` ?6 13
DESCRIPTION Of WORK:
$qq.z5
2 Coples of plan
1 saT OI energy CdcWatloru tor heated addlMons
t sire wrvey tor extedor additlona & decks
CONSTRUCTION COST: ? rt ? S
STREET ADORESS: ? CJ 2- I J+'4- d -r 1- Aj• C'
LOT: -4- BLOCK: SUBD./P.I.D.-edQr Grove #3
? ? II?C /` /" L Phone #: (4e5
Name:
PROPERTY Lclst flrst
OWNER Sheet Address: 2Z-:1--1 TIi' e? -e
City -$ k11^1 Sfate: ZIp: '
Company: -1)JA,--t- KtA?\ EL `-L? Phone o: 0 f Z
(area code)
corrrw+croe Sheet Address: 32?4? uce?eu ?v 13433z?,_ -.k?LS I
?
ciry 9AI-T?? 5 srore: 9-1 N' zin: ? Sd 3 3
ARCHrtECT/
ENGINEER Company: Name:
Telephone It: ( )
Sheet Addreas: RegishaHon t:
CNy State: ZiP:
Sewer/water licensed plumber (j[Jnstallina sewer/watar): Pho^e t
I herebY acknowledge Ihaf I have read Ihis applleollon, sfafe fhal ihe infortnalion is correct, and a9ree to compty wih 00 apPp00134e StatE
of Minnesota Sfafutes and Clty of Eagan Ordinonces. ? B
iI
Signalure of AppltcanY. ?
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received _
Yes No
Yes - No - Not Required
:.AUG ECEIVED
21 2000
B?_
CITY OF EAGAN Remarks Ced3T` Grove Acquisition
Addition Cedar Gr ove Lot?L BIkLL Parcel 10 16702 140 04
dwner.,Li"iua, ? 4, j, : ?cj b,?J 2021 Jade La11e state EagansMN 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
-;(- SEWER LATERAL 1 2 ? O.OO 2.1 Z
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTIUN RECURD Control No. 0950
CITY OF EAGAN PERMIT TYPE: su T t. tr Yne
3830 Pilot Knob Road .1 Permit Number: At i i'Ei6
Eagan, Minnesota 55123 Date Issued;
(612) 681-4675 "
SITE ADDRESS: t 0T:14 BLOC* _4 APPLICANT:
2l21 3AUE L.ANk M2NNESOTA EXTEAt0A9 IMC
CE4AR ARl1VE 3RU (612) 473-6001
??-
?
?. `
- - ??.
PERMIT St1 BTYPE: TYPE OF WORK:
??TI s? . l nLrEaarxaa
DESGRIpTION 9OFFiT 5 FASCIA
Pwmk No. Permit Holder Date Telephone Ji
SNV
PLUMBING
HVAC
EL.ECTRIC
ELECTRIC
Inspectlon Date Insp. GommsrKs
Footinqs I
Foundation
Freming
Raoflng
Raugh Plbg.
Rough Htg.
Is"'. vLO ?"?•?z ?r- v
Flreptace
FIna1 Ntg.
Orset Test
Final Plbg. Plbg. Inepector-NOtify Plumber
Consfi. Meter
EngrJPlan
Bidg. Fnef
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION 14
cirir oF eacaN ?
3830 PILOT KNOB RD - 55122
651-881 4675
New ConstrucGon Reauiremenb RemodellReaair Reauiremanla
• 3 regislered site surveys shawirig sq. R. of lot, sq. tl. of house; and all roofed areas • 2 copies of plan
(20% maximum bt coverdqe allaxed) . 1 set oi Energy Calculatbns for heated additions
. 2 copies of plan shawing beam & window sizes; poured tound design, etc J • 1 sile survey for exdenor addNOre & decks
. 1 sel ot Energy Calculations • Indicate H Irome served by sepGc system for additlons
• 3 copies of Tree Areservatbn Plan Ulot platted after 711193
. Rim Joist Detail Opdons selettion sheet (bidgs with 3 or less units)
DATE ? (P
i
JOB SITE ADDR
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
TYPE Of WORK_
APPLICANT &(
ADDRESS (/07
PAGER #
)LACE(S) k 0 _ 1 _ 2
PHONE# I7/5T? ?7?D
_ZIPCODE ,_'? O
Fax #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery Syscem
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi?ces.
SlgnatureofApplicant,?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1lOt
CELL PHONE #
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #:
Iawn Sprinkler
No. of R.I. Baths
VALUATION P???•? l ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113640
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Stephen Kanoff
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 -
Marlys Halmrast
2021 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123131
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Marlys Halmrast
2021 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126847
Date Issued:09/12/2014
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Marlys Halmrast
2021 Jade Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133395
Date Issued:10/12/2015
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Marlys Halmrast
2021 Jade Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133508
Date Issued:10/19/2015
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Marlys Halmrast
2021 Jade Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174987
Date Issued:03/07/2022
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Kitchen
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Christian Poynter
2021 Jade Ln
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174988
Date Issued:03/07/2022
Permit Category:ePermit
Site Address: 2021 Jade Lane
Lot:14 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-140
Use:
Description:
Sub Type:Single Fam
Work Type:Alteration
Description:Kitchen hood & move HVAC vent & return
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Christian Poynter
2021 Jade Ln
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature