2030 Jade Lane
Ubla i]LidF- V1 aL PA%1rA 111n
-----------------7
For Office Use I
I ~
Permit
I l
I Permit Fee:
3830 Pilot Knob Road AUG 86 I
Eagan I VIN 55122 I Date Received:
J
Phone: (651) 675-5675
StGFf: l
Fax: (651) 675-5694 !
INFLOW & I FILTRATION -PERMIT APPLICATION
Plumbing I _ Sewer & Water
Date: Site Address;
Tenant: Suite
Name Phone: _kV =Ja,
RESIDENT! OWNER
Address/ City l Zip: ao3o pne- Lam rv
~y M r , /
Name: e~ lY =
Address: -7 City.
CONTRACTOR - T
State: Zip: Phone.-
Contact: _,./V Email: j
_ Q/r~ Shirt k
PLUMBING (Within the building envelcpe) SEWER & WATER (Outside the building envelope)
TYPE OF WORK -__Sump Pump Repair Repair
Other: Ill' Other. , rq" U~dk DESCRIPTION Description of work:
Uv WAN I P~N)
FEES
$55.00 1 Each (includes $5.00 State Surcharge) TOTAL FEE
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 119 repair costs for
reimbursemen from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground ut;iity damage. Call
48 hours before you intend to dig to rece!ve locates of underground utilities. w~herstateoneca€l.orq
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 1 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 whi h requires a review and approval of plans.
x A /f
Applicant's Printed Name Applicant's Sig ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections, -Under Ground -Rough-In Final
DATE: 6/14/91
RECEIPT: 101794
SITE ADDRESS 2030 JADE LANE Unit # Permit # 13830
L 3 B 3 SeCt./Sub. _ !:EDAB GROVE 3RD
? .. ,. „ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for Est. Value 96,900
Site Address
Lot Block Sec/Sub
Parcel No.
CI:DAk GROVF. 3
a Name
3 Address
° City Phone `" '
, p Name .,
Address
? City Phone
Phone
Receipt ?
Date t LY 1 ,19 .: r
On Sife Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ Type ot Const
City Water _ (Actual) '
(Alloweble)
# of Stories
L
h
engt
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit
Water/Sewer _ 5urcharge
Police _ Plan Revlew
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Councll _ Water Meter
I hereby acknowledge that I have read thi8 application and state Bldg. Off. _ Road Unit
that the information is coRect and egree to comply with all applicable APC _ Treatment P1
3tate of Minneaota Statutes and Cfty of Eagan Ordinances. Variance ' _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
nnlt
Permit Holde?
Date
Tslaphone ff
Plumbing
H.VAC. k
Electric /
10
Softener
Inspection Data Insp. Commonts
Footings I
Footings II
Foundation
Framing
Roofing r
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bidg. Final 4 /A:P n,v . -
Cert.Occ. •r- HESS-i¢?-E- a
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
Site Address
Lot ?
m
(9
c Name
Address 403
City gaQa
0nesm nvv,m n
,.-_ Phone -4
Name GROM ME5CH CONSTRUC
3 Address 409 E. Stumnit Ln.
o Ciry ZM*IX sumsiol.;j -
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping OuUeis #
Other Add 3 s/a 1 r a
FEE: • J?
g/C. 12. 50 SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
1 S/C IF PERMIT
$1.000)
BLDG. TYPE WORK DESCRIPTION
Res. X New
Mult Add-on X
Comm. Repair
Other
? FEES
RES
HVAC
0
M BT
.
0-1
0
U -$24.00
ADDITIONAL 50 M BTU - 6.00
7105 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 145 OF CONTRACT FEE
APT. BLDGS. - CQMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMN4ERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT -
- .50
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
m Name
? Addre
c Ciry _
? Name _
3 Address
O City ?
PERMIT #
RECEIPT # ? '? ? R •?
DATE:
SeciSub
Phone
Phone
' FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
BLDG. TY WORK DESCRIPTION
Res. New ?
Mult. Add-on
Comm. Repair ?
Okher s
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES JOTAI
/ Water Closet -$3.00 s 3,U O
Bath Tubs - $3.00
? Lavatory - $3.00 U .
Z Shower - $3.00 3, v O ?
Ki?chen Sink - $3.00
Urinal18idet - 53.00 1
Laundry Tray - $3.00 ;
Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
?' K ? ? ? ? ? d?T6•?
'? ?LQ FEE: I,?. DU •s
SIGh1i?TYJ E OF PE MITTEE ,
STATE S/C: ? j
FOR: CITY OF EAGAN GFiAND TOTAL• ??' ?' ?
_ ?. _=vF`-_29v"
cirr oF EAGAN '
_ 3795 Nlof Knob Reed Ee9on, MN 55122 '
PHONE: 454-5100
BUILDING PERMIT Receipt #
To be wed for Est. Vclue Date , 19
Slte Addreu Erect
?
Occupancy
Lot Biock $ec/Sub. "•?' ^Iter p Zonirq
pamal # Repalr p Ffrc Zone
T
Enlo?qe ? ype of Const.
W Name ?ya
O
# 5tories
; llddrcas Demolish p Length -
b c'iw 1_ - M..,... - Groda ? Depth Sq. Ft.
Nome
r-
Address
?- rs.., oi.,....
Nome _
llddress
Assessment
Water 8 Sew.
Police
Firo
Enp.
Plonner
Cour?ci I
Permit
SurcFarpe
Plan check °
SAC
Wuter Conn.
Woter. Meter
Road Unit
I hereby acknowledge that I have read this opplicotion ond state tfiat gldy. Off.
the intormotion is Correct ond agree to comply with ali applicable
Stote of Minnesoto Stotutes and City of Eogon Ordirwnces. ^PC Total
Stpnoturc of Permittee
A 8uilding Permit is issued M: on the express condit{on thnl
oll work shall be done in occordunce wlih all opplicable State of M{nnesota Statutes and City of Eoqon Ordinances.
Bulldirq Officfal
Permit No. Permit Holdsr Misc. Permit No. Holder
Wf AZE(
V M?3 l
Ekctric --r
Inspection Data Insp. Other
Fpotings
Foundation
Framinp
Rouyh Plbp. • - Z -,..A
Rouph HVA
Inwiation ?
Final Plbp. ?
Finel HVAC
Final
Wour Dess?ib.e? -Location:
MWII c-???J?..i.-.-y c-?es,4?J
Sewer 1.
Pr. Disp.
Receipt PLUMBING PERMIT Parmit No,
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr legiblY
Tot.
1. Date - 2. Installation Cost
3. JobAddress 20 30 Lot Blk. -? Tract
4. Owner = ?xunesch Con.sLruct io!:
5. Contractor iAechanical Phone 4 `.2- 1565
6. Address?t..,i, nen;,e t,,:c
7. City i a4an- State 'l'inne?-otr Zip '22
8. Building Type: Residential QCommercial ? Institutional O
9. Work Description: New ? Add 0 Alter ? Repair ?
10. Describe
11.
No.
- Fixtures
Water Closet No. Fixtures
Cess
l/Drainfield
o
Bath tubs p
o
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
r
Signed : for
Rough Final
•? Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
,?4pproved CITY OF EAGAN 454-8100
Receipt MECHANICAI PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egib/y Tot
1. Date 2. Installation Cost
3. Job Address Lot Bik. Tract -
4. Owner.
5. Contractor / • Phone 6. Address ? .
7. City State I Zip _'
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New 0 Add O Alter ? Repair ?
10. Describe
11
Type
No. Equipment 8TU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. ?
Air Cond. Other
.-
Mfg.
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$100
?/?.?/?? ;?.? ? ?`?' ,
CITY OF EAGAN Remarks C2d2,Y` Grove Acquisition
Additio GrOFe #3 Lot 3 Rlk 3
Owner 2030 Jade Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING ?
5AN 5EW TRUNK
SEWER LATERAL 1972 ? .QQ 2.1 2 P31a,
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owne: .......... ,.ti: -
?1.a..s.,,•_?:f-?...-- -
' --?, : .- -....----_...-----..'-"-'
Address (Presen!) ---A?4--;'=''.--....?"'i(_'t'
t' ------ .............'--'--'....---`
Builder ..... .. ? ?/j..Y.??:_._
.`...`.c'?:
....---. ---. °- ........- .......
Address {c?L. .1. j -?s•....l...-+?-??
'-.... --"' -.._ . .'J ......................_...................................
DESCRIPTION
N° . 2129
Eagan Towna6ip
Town Hall
Date .---J - "/_.? . /`..7------°-----------
5fories To Be Used For _ Froni Depih Height Esi. Cos! Permif Fee Ramarks
l
CiII2CI, ri086 Oi OIIIEi UESCI1jfIlOT OI LOCHIlOII I LOI l510CK AGQIIIDII OL '1'iBCI
1'his pesmit does not aufhorize the use of sireeffi, roads, alleys ox sidewalks nor does i2 give the owner oz his agenf
the sigh! 2o create anp silvation which is a nuisance or whicb presen2s a hazard 2o the healSh, safefy, convenience and
general welfare !o anpone in the eommunity.
THIS PERMIT MUST BE KEPT QN THE PREMISE WHILE THE WOAK IS IN PAOGRESS.
This is !o cerfifp, ihal----- .. x.-_[-....................... - ...._--..has permission to erect a_.__.__'s?:c:-?-- ....................... upoa
the above described prexvf se subjeci !o the provisions of the Building Ordinance for Ean Towp adopled April 11.
1955.
?". /.. 9
_ 4.ax_.....?.i ..:..... XJ,!..?.- `^ ? . 1.._....'........"...'..._ ...............
'. .....'?..?.. ....----?---._.... ?-ti?.?
.-"""""'_'-...._(' °"--`-..._.-----... Per ----------.
ChairmaN of Tnwn Board ? Building Iaspeclor
':? -!i
CITYOFEAGAN N_ 13856
?, - 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHON E: 454-8 100
BUILDING PERMIT Receipt#
Ta be used for REMODELING Est. Value $$ ,900 Date JULY 1 1g 87
Site Address 2030 JADE LN OFFICE USE ONLY
Lot 3 Block 3 Sec/Sub. CEDAR GROVE 3 On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. on Site well _ Type of conat
Ciry Water (ACtuaq
_
a Name KUNZ & HOVEBRINK (Allowable)
w
Address SAMME # of Stories
; Length
0 City prypne 452-3897 oeuth
Total
S
F
.
.
, o Name GROMMESCH CONST FootprintS.F.
?a Address APPROVALS FEES
f City phone 435-7105 qssessmenis _ Permit .50
k- wateUSewer _ surcnarge 4.50
W W Name Police _ Plan peview
'x-
Address Fire SAC,Ciry
-
co=
4
City PhOne Engc SAC,MWCC
W Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheintormetioniscorrectandagreelQ omplywith all applicable APC _ TreatmentPl
State M Minnesota Statut n? Cit oagan Ordinances. Varlance _ Parks
^ cooies
SignetUfeOfPBfrtlitte TOTAL $90 .on
A Building Permit is issued to: ROMMESCH CONST on the express condition that
all work shall be done in accordance with all ay{tlic State of M inneWje Statutes and City of Eagan Ordinances
Building Official
Thls requesl void
18 vnths trom
D 1_ 12 t 6
ReQUest Oate Firp No. ? FouPh-in Insuer,ifon ? V?
I
I RequireA+ E]qeaAy NowXWill Notily c
Yes ?No Ior When fleadY
irs. .
ucenseo tleclrical CmiVdclor
I hareby request inspeclion ol above
? Owner electrical work instelled at:
Street Address, Box or Route No. City
ao so TA b ? ?
ection o 7ownship Name or No. Renge No. Cnunry
?
OccuDant (PRINT) Phonpeg
e Nn.
G?o miYr?s?rf ,us u? o??
Po?yer SupUlier Address
D.¢Kc T." c
ElecUical Cnntractor ICompany Namel Conhar,tor's License No.
_ s?7A-s e- £cfGnno? iiyD?s?B-3
o,
MINNESOTA STATE BOAflD OF(ILECTflICII
Griggy•Midwey BIdB. - Monm N-197
1821 UnivarsitvAva.. St. Pwui, MN 55104
Phone 16127 642-0900
on
TNIS INSPECTION FEQUEST WILL NOT
eE ACCEPTEO BY THE STATE BOARD
UNLESS PHOVEN INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION . Eqe-oo,.o/oi-os
? , S6e instructiens tor wmpleting this Imm on Oack ot yellaw capy. / JrTeD
? ? "X" Below Work Covered by 7hrs Request
Fdtl flep. Type ol Builtling AOCliancns Wiretl Equiuraenl Wirad
Home Range Temporary Service
Duple,x Water Heater Lightiny Fixtures
Apt. Building Dryer ElectriC Heabn
Commercial BIAg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Buik Milk Tank
Farm otner oeci y O111e1 l5prcilyl
t er Suecify Ot er nlhue
ompute Inspectlon fee Below -
M Fee ServicaEnhenceSize n Fee Feeders/SuMeetle,s # Fee Circults
Oto200qm s 0 to30Am s 0 to30 Am s
Above 200 qmp5 37 to 100 Amps 31 to 100 Am s
Swinvning Pool Above 100-Am s Above 100_Am s
Transiormers Irrigation Boorr?s j SD Pdrtial."Other Fee
Signs
I vj ap? SUecial Inspection 5
e?, T
emvks O OTAL Fq?.? \
/lVVL'L? ?
flauBh-in Date '?
I, the Elec .
'
InsDectoq hereby
? carlily thet the abova
Final D'
?j inspection has been
/ 1 . mede.
This re0uesl voiE 18 monitm Irom
q !1 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
?7-9 }? 86' See instructions 1ur com0le<iny this inrm un back of yelluw copV. ,??? /y ?
l
" XBelow Work Covered by This Request v
?
New Add Reu. TVPA of Builtling Apoliances Wiretl Equioment Wired
Home Range Tempmrary Service
Duplex Water Hcater Lightiny Fixtures
Apt. Buildiny Dryer Electric Heatin
Comrnercial Bidg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank
Fa rm Uther Speuly the? ISner,ifyl
Hu;r SVrcifV Othur Other
Compute lnspection Fee Below
A Fee Service EntrenceSize p Fee Feedera/Subtexders d Fee Circuits
0 to 100 qm 5 0 to 30 Am s 4 to 30 Am s
101 t s 31 to 100 Amps 31 to 100 Am s
ov nps Above 100_Amps A6uve 100_AmVs
Remote Control Circ. Partial?'Other F c
gi Speciai Inspection S T
l?
9
Fenxv . o
? OTAL FE j
•
?y c I'" yyy7 I, the Eler.Vical
/! ? n Inspactor, hereby
f mal ? certify tM1nt the ebnve
? G J Ud?a
nspection hes been
This renuest vc
18 months liom
?
TI?IS reduesl vold L?j ( ?5 (C, Li a T tQ , 0
fo,re
, .;2 5(-1Q -:t)
nxq es[ ?aie - rire ?vo. noupn-m ?nsuccbon
Fnqu ud7 Ne.idy Now Q Will Nn?ify ?n>pec-
J ?es ?No [or When Rmdy
?Licensod Electrionl CunVTCtor . 1 heraby requnst insvection of above
Ownur electrical work installed at:
Screut ?Add?re./ss, 8oz or floute No. City
er,tion o. Township Name or Nn. Rnnpe No. Cnunly _
???i
Occopant PflINT)
? Phone Nn.
Power $upplier Atltlress
ElecVical Co actor IComuanv Namel ? . Con rncr"s License .
Q
Mailinp AJJressICOnVacmr or Owner Making InSwilationl
?V?C? ?SJZ ?
Auffiorize ignature Contractor Owner Making nstal ationl r Phon Number
MINNESOTA S?TE BOA?I?o Oi E?CTRICITY . THIS INSPECTION NEUUEST WILL-NOT
Griges-Midwe BId9. - h om N• 91 ' 0E ACCEPTED BV THE STATE BOARD
1821 Universiry Ave., St Paul, MN 55104 UNlESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED. _
EAGARI TOV1/N S H I P
BUILDIN[3 PERMIT
owne: n
-----' - a? .-- ....... '-----"--_
Address (presenl) .-.---
Builder
Address ......
.............. .._.....---...._...
DESCAIPTION
N9 1394
Eagaa Township
Town Hall
Date ...... ?-/-G./G.G___.....°---°---.....
Stories To Be Used For Froni Depih Heigh! Es2. Cos! Permii Fee Remaxks
1 91??? QV
LOCATION
Sireei. Road or ofher Descripf3on of Locailon I Lo1 81ock Adtlllion or TreC!
i
3
This pesxnii does not aulhorise the use of sizeels, roads, alleys or sidewalks noz does it give the owner or his agenf
the xight io create any situation whieh is a nuisance or which presenls a hasasd !o the heallh, safely, aonvenience and
general welfare !o anyone in the community.
THIS PERMIT MUST 8£ KEPT ON THE PREMIS£ WHILE THE WORK I5 IN PROGRESS.
This is fo cerlify. !hal---- dl&'-Aw-?.?O?,...'?............... has permission 1, erec2 a." '.___? .." ":___.•"""" '' •'_____'..upoa
the ebove desaribed premise subjeei io the provisions of 3he Suilding Ordinance for EagaN Township ad pied April 11,
1955. Y.'L!' ?j1??` - ??..?-S4:s?...c--^c.:.-----...._. Per ....... ..-- --- ?-°...i1---'-.'-C.?`. s - ..................................... t`-----
Cheirman of Tnwn Soard ? Buildin Ins eelor
c`6.
CITY OF EAGAN No - 6978
.• 9795 Plle! Knob Read Eogan, MN 55147 -
' PHONEs 454•8100
I/
BUILDING PERMIT Receipt # a7V
te bs o.ee fo. DWG. ADDITION en.vaiua $28,000 p,te October 27 _ , iy 81
Sita Address 2030 JHdO L8.A2 Erect - ? Occupancy 7-3
Lor 3_ slock _3 Sec/Sub. Cedar Grove 3 Aiter ? zo„ing R-1
Parcel #-1L167n;, n3o n3 Repolr ? Fire Zone NA
E
t T
f C Vn
John Wilkinson n
aroe M onst.
ype o
W
I Name Move ? # Stories
;
Address 2030 Jade LflRe
pemolish
?
Length lg
Grode fl Depth_32 Sp. Ft.-
p Nome Roger Grommesch
?? Addreu $?t ?,8ne
F- r.... RllT713V111P G35-7105
Nome
I here6y ocknowledge that I have read this apDlication and state that
the intormotion is rArrect and agree to wmply with oll opplicable
Stote of Minnewto $totute ond Ciry yof/,Eogan Ordirwnces.
SiOnafure of PermittA?'+??-?'
A Buflding Permit is luued to: R
oll work shall be done in acmrdance with oll qpolicable State ii
Asussmenf Permit 1254.UV
Worer 8 Sew. Surchorga 14*.00
Police Plan check 92.00
Fire snc NA
Eng. Water Conn. NA
Plonner Water Meter NA
Councu Road Unit NA
Off
BIdp NA
. ,
.
APC Tmal $290.00
_ on the express condition thni
Ciry of Eopon Ordirwnces.
Buildirg Offfclcl
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Th Ee usea For valuation ? Od C? Date ( ctl.
Site Piidress: OFFICE USE ODII.
Lot s 3 ? slocx i ? ysec. /sub: _3, - CE _ ?Ls--- ,Erect? Occupancy _ 43
? -
Parcel #: ?-20A C5? ? ? ?ter Zoning
pair Fire Zone
Qaner: ??e? T? of Const.
Nbve # Stories
Pddress: Demolish EYOnt ft•
City/Zip Code: ? Grade DePth ^v- ft.
Phone # : ' "7
Contractor:
Address:
City/ziP Cacle: 63",? 3 7
Phone #: zl 3r ?2lo S?
Arch./Fhg..
Address:
City/Zip Code:
Phone #:
APP%OUAIS FEES
Assessments
Water/Sewer
Police
Fire
En4 •
Planrwr
Council
Bldg. Off.
APC
Pesmit _/?
Surcharge _
Plan Check
SAC ;
Water Conn.
Water Meter
Road Unit
TOTAL -faQO, O C)
?d ? ?a?e.d ?c-•,«._____
-,?L ,q
L -26.a
zi•?
? 1 ?aa9 I
1
.
?
?
; pDA?Tivr' ?i@' .
3z
/l
/h
S'
?
a
5
? „' ?p .
?
1987 BDILDING PHRMIT APPLICATION - CITY OF EAGAN
?---
SINGLE FAMILY DWELLINGS
IHCLQDE 2 SETS OF PLANS, 3 CERTIFIC6TES OF SU@VEY, 1 SET OF SNERGY CALCIILATIOBS
90TE: ADDRESSES FOB COBHER LOTS - CONTRACTOR/HOMEOSiNER HIIST DESIGHATB HHICH ADDEESS
IS DFSIRED. PO CHANGFS idILL BE ALLOWED ONCE BDILDIAG PERMTT IS ISSIIED.
MOGTIPLE DWELLINGS - RESIDENTI9L RENTAL QAITS FOR S9LE DNiTS
INCLUDE 2 SETS OF PLANS, CEBTIFICATS OF SQftVSY - CHECK illfH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS,
1 SET OF SPECIFICATIOHS AND 1 SET OF
ENERGY CALCULATIONS,
e $2,000 LANDSCAPE BOND ,
?1?. ?
, To Be Used For: Valuatio?Date: dUn,E 3e),
Site Address -2v 3& cv-A pE L,4A.) E
Lot 3 Bloek 3
Pareel/Sub eEoA12 1::FT1e00E
owner -44lV2 ? NflU£?1Q1?lL
Address ;1030 ml?SJOE L..A tiJC-
City/Zip Code Et%J9fJ
yo-E Ysa - 3S G?7"?
Phone wo?,e" (y ? S- 3QF SY
Contraetor ??p?wH/E?cf! CG.?sTi2u[t d?
W
Address
City/Zip Code
Phone _Z3 S '7/0,T-
Arch./Engr,
Address
City/Zip Code
On Site Sewage
MWCC System _
On Site Well `
City Water _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Oecupaney
Zoning
Type of Const
(Actual)
(Allowable)
S of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSES
Permit na -
Sureharge -D
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies ?
TOTAL
Phone IF
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D J
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- --
WORK DESCRIPTION
NEW CONST
ADD ON O?
REPAIR
OWNER NAME: EPA7C.?t
, GW nJ z-
SITE ADDRESS:?203 c7 ?/?S'Q E L?JE
IAT: ? BIACK -3 SUBD. (_PAot.d?_s ?
INSTALLER:
12481 Rhode Island Ave. So.
ADDRESS: Savabsp, MN 5537$.1 1,22
894•0005
CITY: ZIp;
PHONE tt
FEES
ADD-ON MINIMUM 15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMIJM 3.00
OF 1 PER PERMIT
SUBTOSAL: $
STATE SURCHARGE; .50
TOTAL:
L
? A(C
SIGNA'URE 0 ER! EE
??MMERCIAI.f1ND'C15TftTAT.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
FaGu $1,000 np DFRM?T gcg.
PROCESSED PIPING e $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
`3,q-'J'l ?
L'
?
CITY OF EAGAN
? J , •.Y h'• ? J
•'..? ' ?l ?7?
',.
?? .
`tjk . l A?'? . .. . . . ? •P: ? I. l. ? J? M. ` , `.
? ..}rL:?... -r.r. . <??.•?al?...l".??-br lkP?]F?.i?' Lai:,?Al • .,.. +a ?`
,_ ? ? ? . . . , . . ??Q? . ? /?' ??r .?` s "? R.. ? ? . . . ? ? • . . . ? . .
3
? ,.
i
•_-2?d, :
. ' ? . . ? ? . . g,4 . .... . '. ? . . . , ? :
. ,,
,
U
? 4I
Qr?
.. . . 10, . ' . - ? •. --t"???
- .. s . . ._.. _ . .
a_
• ! ?q ?edar G'ro<?? /Yo. - 3
S?r
?J
?
?
,o?,?ofd
Ih,s rs a/rtx ad crred Ary,YSenfahan qr'o surary u("Nn ba+doryes ?'Nx /onJ obow ckurebtd wd #'A! larolim qrdlb?ndd?s,
w`a? ?nn, md an r,u6k ?,?lrmrr,fs .?'a'?y, `?"'? ?• on aord ?D. ?/in wtiry ?s maeF sr4J a?rcfan ?i a ma?lymqr laa? now
t?y pwu4 m /hc?roptrly aeJ no /wbuli? a etwmd s+npf ?ldie /a1k?' ?s? °'?/? `?" ?y ?Nxi' inkrisl 'x?rd??it nvla+ 42f ? .. ?
'"` romwwn[afs??ar1/o'?rP'''7°x'?ts7ab/sh?/a?lazsir ?+'a?'!?: ?
„xt? ? yryt. Nn w,owslad m?ajrcrd ;
. } JkfeJ Ihis?dwf ?'??Or!/r •_- A?tH? SUSURBoAN ENGINffRlA?Q. AVG. ?
? 6r,yme[rs orrA Sa'yr?
.ti,.
r - ~i. ? - . .-.r% ? - . ,r: ? . iL? ' . ,' Jr
. . , ? q by ..? - .
??3'-+t-`.?.Al - ?•. .. .? t. Sy ??M? . . 7= ? ?`?.
?*52qs
2006 RESIDE1vTIAL MECHANICAL rERmiT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single farnity dwellings & townhomes/condos when permits are required for each unit
?? 60
6? / 9 / 0?
Datc
Site Address 06,30 C.l /p d e ?LF?f I°L Unit #
Proper[y Owner PrLC e- e ?-17 Telephone # ( 4S1 ) tU c7 ?J E97
Contractor
Street Address 3451 W. Burnsville Parkway M AY (1 9?0(!F City
ziuite i
State BurOSVifle, MN 55337 Zip r
Telephone #( 9,_?a) O?J'L OL7Q,j
Bond #: Expires:
?
The Applicant is _ Owner
Contractor _ Other
Add-on or alteration to exisdng dwelling unit $ 30.00
? fumace _Additional V Replacem ent _ New
air exchanger
?/ air conditioner
heat pump
other
State Surcharge $ .50
Total $ tJ 0- S Q
I hereby apply for a Residential Mechanical Percnit and aclmowledge that the infonnation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and wi[h the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to star[ without a rmit; th [ the ork wi, be in acwrdance with the
approve plan in the case of work which requires a review and approvai of plans.
Applicant's Printed Name Applicant's Signature
------------------ -
? ?ar?Office:,?Jse ? ,. ?
j Permit #:
I ?
? Permd Fee: ? I
I ?
? Date Received: - j
I I
I StaN: I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L? Site Address: -o3? 4?d2 Z '"
Tenant:
Suite #:
RESIDENT/OWNER Name: 21/2dq Phone: L7_S_D"_ 31P7;2
Address / City / Zip: 2_030 -J;74e 1-- Al ?'4?'4? 7? r?
Applicant is: _ Owner ' Contractor
TYPE OF WORK Description of work:
Construction Cost: ? UvU- cp Multi-Fam7y Building: (Yes _ I No2LJ
CONTRACTOR Name: ScJdv,/_boh 14,ue :Z?.rn n/br/eincw¢ License #:
Address: Z? 19sve.
City: _Zi?? ?4o'e9?f State: 112h Zip:
Phone: 6 S/ o? 31 57b7 Contact Person: eeUi? ? Wc?1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Veniilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submission type) • Energy Envelope Calculations Submitled
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 Contrector: Phone:
NOTE: P/aris and supporting documents that you submit are considered to,be pu6lic information.- Portion5of'.
the information may be c/asslfied as non-pub/ic if you proLide specifiq reasons thal would permit the City to :
conclude'that the are trade secrets ,_ ?;
I here6y acknowledge that this information is complete and accurate; that the work will 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 pertnii, and work is not to start without a permit; ihat the work will be in
accordance with the approved plan in the case of work which requires a review and appr aqof plans. -
x f4P.?tv? _-Zelnlrls' x ?ant " nat e
ApplicanYs Printed Name Applic
Page 1 of 3
Alhlh? ----------------
i ??r ofr?ce u??s
Clty of EaiaIl j Pertnit#
I Permit Fee:
3830 Pilot Knob Road ? APR 1?'009 ?
Eagan MN 55122 ? oate Received: 1
Phone: (651) 675-5675 i 1
Fax: (651) 675-5694 i starr: i
2009 RESIDENTIAL BUILDING PERMITAPPLICATION
Uate: '1_22 "O/ SiteAddress: 2030 SqP Zi? C a? 6cl
Tenant:
Suite #:
RESIDENT/OWNER Name: O IAIAZ- Phone: [oS? --OZ-
2
3o
d
j
Address ! City / Zip:
C?
e- Gn
0-.
r
Applicant is: _ Owner Contractor ^
TYPE OF WORK Descriptian of work: PWIV(orira-\ bed KooP1
Construction Cost: 0,000 Multi-Family Building: (Yes_! No N)
'
A
'
A
4
CONTRACTOR Name:
Q
SfDn/?
l,
r5 License#:zOAz6z80
C
Address: [f?162909'C
City: .EG..rG,.,r State: '?OV Zip: SS1Z7_
i
Ph
Z:1v4 le--r5 e
/ •
7
7
36
(fi
n
one: 4Z
-
_
Contact Person:
-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenfial Venlilation Category 7 Worksheet • New Energy Code Worksheet
Category Su6mittetl Submitted
(^? submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 submtt are considered to be public information. Portions of
the informaUon may be classiiied as non-public if you providespeciiic reasons thaf would permit.fhe City fo
conclude thaf the are frade secreLS. :
I hereby acknowledge that this information is complete and accurete; that the work will be in contormance with Ne ortlinances antl codes of the City of
Eagaq thaf I understand this is nol 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 approvetl plan in the case of work which requires a review and aBpfay?l.of plans. „
x /anl .('?f50^j
ApplicanYs Printed Name Appli
i
Page 1 of 3
c7?o-?=,o *_ LY-) .
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace
_ Single Family _ Garage
Multi Deck
_ 01 of _ Plex Lower Level
_ Accessory Building ?
Porch (3-Season) Stortn Damage
_ Porch (4-Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
WORK TYPES (?4 o `? G7"JavJw-.- r??
_ New Interior Improvement Siding Demolish Building'
Addition Move Building Reroof Demolish Interior
-71X Alteratio _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window Water Damage
DESCRIPTION
•Demolition of enti re builtling - give PCA handout to appllcant
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%___) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
? Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
_ Sheetrock
Final ! C.O. Required
? Final I No C.O. Required
? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
Windows
_ Retaining Wall
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
?v f)
? ?OZ)
TOTAL
F---------------
For Office Use
City of Eaaall Permit Fee: / - l!
3830 Pilot Knob Road
AA,r $ oog
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-22-0 Site Address: 2030 (7c4_ Z -11i Tenant: Suite
RESIDENT / OWNER Name: o%iI } Phone: 17
Address / City / Zip: 2030
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 4for-kr'. \ b('3 9,00r-a,
Construction Cost: 8 , cy-) O Multi-Family Building: (Yes No I)
CONTRACTOR Name: 'j i/J.l S License ?p42 2'8
Address: `~7if"d 1 +C~r y
City: 4___ State: .1 tv Zip: / Z.
40,
Phone: 1I Z-J_3/o Contact Person:`'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
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 a I of plans.
x
Applicant's Printed Name Appli
Page 1 of 3
} a c Ln,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of - Plex 7X Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES l ..1 c'r1 1, j ~t 1 r 'a,M
New Interior Improvement Siding Demolish Building*
Addition _ Move Building Reroof Demolish Interior
Alteratio Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%--) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests Final
Framing Siding: _Stucco Lath -Stone Lath Brick
Fireplace: _Rough in Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
õü
ÿú
þýýü ûúùöùúû
øüüýý úöéüî
é é ÷ùÜù åéù
ß é é
þý
ÿþýüû ö ôà
÷ ùÿ ýüû
ö ùýüû ö ôà
ùõôàçûò
á ÿ
÷ÿ÷ éãÿûü
Þ
ñÿùú
òûù åò ðð òùñÿùò ùþù òè ä ù
ô ô û
ä ùäùò
ý
û è÷ä ùäû ä ù è
÷ùþ ò ùùùñÿùþüô
äòüð òè
úæéÝæëëè ë è ë
óø
ÿùðù
êÿ æéÝæè í èí
êÿ é è
òñ
ðï
ûû
çôù á þùý
í ÷ ÿ üç ÷ö é Û
ç åïõé
ïõ
îßìß
ðùþü ô
ð ðåù ðûû ð ðä ùò ùù
ù òûüô ðûûþ
äï ÿ ÷ ü ä
ãùè
ûû à
ùò
ÿù ÿü
ÿù
ï
ÿ
þ
ý
þýý üùü
úýý ùêí
ô
à
áâ
þý÷
üûúùø÷
ö
õ
ö ùø÷
÷ ö
õ
üÛ
ùø÷
ûî
ü
Ü
í
ûíú
üÛ
õ
ú
ý
Ú
ÿ
þ
ý
áóåäâ
í ð
ëöüÞß öõéçêåêóåâ
öú
üû
çêäêä
è
û
äê
õøó
÷ òñ
÷÷
õ
úù
Ú
ÿ
þ
úø
þ
÷÷
î í
þ
í÷ø
÷÷
ú
ü
î
ü
û
ô ø îÿ
þ
ï
ê
÷÷
ß
í
üþ
û
ø üþ
û
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108748
Date Issued:01/08/2013
Permit Category:ePermit
Site Address: 2030 Jade Lane
Lot:3 Block: 3 Addition: Cedar Grove 3rd
PID:10-16702-03-030
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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 -
Linda A Honebrink Tste
2030 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
City of Eqpt
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
11106161
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Uni
Resident/
Owner
Name: Z/e? da /Ale. erio le Phone: 1/S-• "" 3419 7
Address / City / Zip: ,,2o 30 3(4o/e- 2-ciiie,
Applicant is: Owner D<Contractor
Type of Work
Description of work: 7E-14 -11-:- Oc-c /e/e.--;Loo-
Construction Cost: e 8S-79 . oo Multi -Family Building: (Yes / No c<...)
Contractor
Company: S7e/huA eirl ,LitItne _t-AyrejK:yki-enj-Contact: 41/;---(7641‘ Ze-Afe<S
Address: 3 p_ fr9/.4, 4 /eine_ City: 24 74-A" Cgrio/51
State: ill 1.--1 Zip: 5--S-717 Phone: -....132 5-767
License #: 4(3.e---- 637 5-174g Lead Certificate #:01/47— i.).) -'719S-- /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.qopherstateonecall.orq
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 permit issuance.
•-
x t/ln. 26- weci
Applicant's Printed Name
atultit6r
Applicant's
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116643
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 2030 Jade Lane
Lot:3 Block: 3 Addition: Cedar Grove 3rd
PID:10-16702-03-030
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 .
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 -
Linda A Honebrink Tste
2030 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169247
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 2030 Jade Lane
Lot:3 Block: 3 Addition: Cedar Grove 3rd
PID:10-16702-03-030
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Linda A Tste Honebrink
2030 Jade Ln
Eagan MN 55122
(612) 452-3897
Smart Exteriors Llc
2516 Allen Dr
Burnsville MN 55337
(952) 451-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170119
Date Issued:06/21/2021
Permit Category:ePermit
Site Address: 2030 Jade Lane
Lot:3 Block: 3 Addition: Cedar Grove 3rd
PID:10-16702-03-030
Use:
Description:
Sub Type:Residential
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 -
Linda A Tste Honebrink
2030 Jade Ln
Eagan MN 55122
Hoagland Plumbing, Dana
410 Regency Lane W
Hopkins MN 55343
(952) 935-5150
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174249
Date Issued:01/12/2022
Permit Category:ePermit
Site Address: 2030 Jade Lane
Lot:3 Block: 3 Addition: Cedar Grove 3rd
PID:10-16702-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Linda A Tste Honebrink
2030 Jade Ln
Eagan MN 55122
(651) 452-3897
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature