2033 Jade Lane
~n Use BLUE or BLACK In
I
For Office Use
J,. o D I
f~ 9g
JUN 4 LUIU I Permit#:----_1----
City of Ea cin
R I
Permit Fee. ,~D "60
Pilot Knob Road
3830
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
2010 MECHANICAL PERMIT APPLICATION
Date: _ 613- IdSite Address: x_3_ _ r0a A d
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
1017
CONTRACTOR Name: 1`1 Aq 4 License -
Address: _Fk j -&-le City:
State: 44 - Zip: _ ? 7- Phone: l?~~ ` S~!`s~ ~
Contact: ~h1 Email:
TYPE OF WORK New V Replacemen Additional Alteration Demolition
Description of work:~~o 14. a ) AO Af I,Il7'1J~1~~G7-
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
/ RESIDENTIAL COMMERCIAL
PERMIT TYPE ✓ urnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other _ Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) ~ip
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
_ _ ' TOTAL FEE
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.gopherstateonecall.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
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start ' o a permit; that the W4Drk will be in accordant
with t e approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ---Under Ground Rough In ___Air Test Gas Service Test In-floor Heat _--Final
CITY OF EAGAN . -?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date '?l'•: 17 ,19
Site Address
Lot Block Sec/Sub.
Parcel No
m Name
W
= Address
3 -
° City Phone
. ¢o Name
? Q Addre;
? City_
?s
VW. Name
W
?
? z. Addre;
? W City-
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.
5ignature of Permittee "
A Building Permit is issued to:
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewage
MWCC System
On Site Well
City Water
PRV Required
Booster Pump
APPROVALS
Engr./Assess.
Planner
Council
Bidg. Off.
Variance
OccupanCy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, Ciry
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone ik
Plumbing
H.V.A.C.
E lect ric
Softener
inspection uate Insp. Comments
Footings I e,y 64z,,? '
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final ?j? ?y
Well
Pr. Disp.
CITY OF EAGAN
e.aa:.;.... CiedcLY'
Street
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
'1f SE TERAL 1972 1 .00 2.16 2 P•
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEFi.
SAC
PARK
N
CITY of EAGAN
BUILDING PERMIT
Ownee ..l.'??
Addrees (preeea!)
Huilder ................-AlF.. I ...1...............................................................
Addreos ..........................................--.--............---.......................-•-.----
. ,,
N2 4028
3795 PiloY Knob Road
Eagan, Minneso2a 55122
454-8100
Date .. .???.....r.S..? ..l..L...?b
Siorisc To Be Used For Fson! Depih Haigh! Eei. Cw! Parmii sa Asmerks
?I --
Slreel, Aoad or 6iher Desezipiion of Loca2ion j Lo! I 81oek I Addifioa or Traet
r7
This permit does 6io! aulhoxiae the use of sireels, soada, alleys oz sidewalks nor doea it give tlfe owaer o[ hb agsat
the righ! !o creale anp si2ualion whieh is a nuisance or whieh presenls a hasard to the heallh, eafely, conveateaes ead
genezal welfare fo anqone in the eo '!p.
THIS PERMIT MUST BE r?EPT N H EMISE WHILE TFIE WORK IS IN PAOG S.
This is !o eertify. !hal... . .. ...... ..... .....'.?......... has permiasion !o esect a... . .. ... .??..._... ................ _upon
the above described premis j i Yo the pxovisions of all applicable for ;'; Clp yEa ao
....""""'-----•. ..?...?....?...'_' """Y -"- "..?.??.??1w?? L ?G??LC. -.-.. ....... _.....
........-""............................
Per _
....-".............
Ma Sufldinq Inspeclw
EAGAN TOWNSHIP
BUILDING PERMIT
Ownei ...:.- 'vci - rr-c ? . t..:..-?_ . ._4 ,
.................... c '. ----- - --
Add:ess (P:esen2) ...... „+CJy-'E'---.._<!f.?!..:....Ok.......'..r_.
. . Builder .... ..... :._................ .....
Addrass
DESCRIPTION
---?-
LOCATION
_ Sireei, Road o: _ofher Deser_pfion of Locniio= ? Lo! ? Elock
/
N° 1336
Eagan Township
Town Hall
Dafe .... J/1(1-?z..J._...
tiamvon or ?i
?. a..?.v??_..
This permii does noi auihorise the use of s}reefs, roads, alleys or sidewalks nor does iS give the owner or his agent
therightio areate anp sifuation which is a nuisance or which presanls ahazard !o ihe healih, safefp, convenience and
general welfaxe io anqone in ihe communSiy.
THIS PERMIT MUST BE KEPT ON THE P,pREMISE/ W?HILE THEWORK IS IN PAOGAESS.
This is !o-eeriify. !ha!_ (:.t
! ..._.haspermission So erect a..,.7:. i v on
. ... _ -_......__._..._ ..._. p
the a6ove desc:ibed premise suhjec! !o the provisions of the Building Ordinance for Eagan 17-wnship adopfed 'Aprit 11.
1955. - , . . .
.............. ....................
. .... ??"................... .......
....... ._ ' Per ....:...._..?.tf: ...... : ,:.:.-r--?"C<-:?:k-.........._..
Chaisman of Tnwn Board Building Inspecior
.? . 5
Minnesota State Board of Electricity
' 19644lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION ?/r?9
?
CHECK BELOW WORK COVERED BY THIS REQUEST S-!?y?)((
Type ot 8uilding New Add. Rep. Check Appliances Wired For Check Equipment Wired Fm
Home ? ? ? Range ? Tempoiary Wixing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? 0 Dryec ? Electric Heating ?
Commeicial BWg. ? ? ? Fumace ? Sdo Unloader 0
Industrial Bldg. ? ? ? Aif Conditionec ? Bulk Milk Tank ?
Farm ? ? ? Li
st List
Other ? ? ? ?
t
Herers? p
Heie13?
COMPUTE
? ioi to zUU wmps. ? ? 11 31 to 100 Amperes 31 to 100 Ampeies I I I
? Above 200_AmDS.? ? A6ove ]00 Amos. Above 100 Amos. ?-?
k-e- r?S*-dA,0Qqr4T0TAL
I,the
(Final)
This request void
fyn \ u ? I U•?7M
)i, hereby certify that the above inspection has been made.
Date
°S 77?O? It Llhte - a ?
71ti,c request void 18 months from Z_ .1Y( 9 Ki C;G` 3 ;61S3
Date of t Request 7 bv . s 37289
I, as f icensed Electrical Cont actor Owner, do heceby reguest inspection of the above electd-
cal wiring installed at
Street Address or Route No
Section Township
Which is occupied by
aC?55 _XAc1c, L/4F1e? Cityc../+t,N/?
Range County?
Is a roughin inspection requ' t job? No ?' Yes ? Ready Now ? Will Call ?
? n?
Power Supplier ? Address - At' ?
Electrical Contractor /i ; l i 7CFJe1CJ1_I'Cy Contractor's License No. _
Mailing Address
Authorized Sign
S`? /? ?j2 p? ? nu? ?/?,??D ??p??? This inspection request will not he accepted by the
I? ?11? ?? ?? V State Board unleu praper inapection fea is endosed.
Eagan Township PEAMIT NO. .._LR..?.Z._.
? - .
' Dakola Counlp. Minnesola Date
.................... """"---'--"'
Wpplication tor Enildiag Permit
Type of bu?iding or work coa3emnla2ed. Cirole correcf descriplions.
1'sesidential Commercial Indus2zial O2ner---------------------------------------------------- --------- ----------------°----°-----...-°--°-°-----
Bu' Enlarge Aller Repair InsSall Move Wreck Ofher-------- ------------------------------------------ .----------------- -
Dimensioas---a:-7-.__.--------- --,-.-e.._'---..._ Cosl-------------------------- -----
Defails os xemarks--------------------------------------------------------------------------------------------------------- ..---°------`--•-_.__'-"-----"""-"---------°°----"---_'..
Localion
Number 33reeY Seiween what cross slreeis Size EsY. Valuafion
.10 '; ;
Lot Block AddiY?on Rearrangemenf or TracY
1% i4
'--
Ownez _y""Lr?--------------------------- ... Address ...... ?.3../..--'-`_......................
.-- - "---------...........................
Coniractor ................ ...---"-.'--"'----.''-...-' ........................"----.... Address .-----....._.'---.?' - -_7..-.--°?'- .
The undessigned hereby makes applicafion for a permif !o
$ do warlc as herein specified, agreeing !o do all work in sSrici
ToYal tee collecied. accordanco wiih fhe building osdinanee adopied April 11, 1955
by !he Eagan Township Board of Supesvisors.
Pexmi4 fees are nof
refundable.
5igaed '
EAGAN TOWNSHIP
BUILDING PERMIT
`
Ownes ?
---.. ....---" -
....... ... .i...... ..._ ...... ..... .....` - -- ?
, ?? ?
Address (Presen!) ...._?-JC--`-,` ==C`---...1la..:._---...._.---
Buildei ...... Ac4:L ...........................................................................
Addreu .............. ...................................---........---.....--'-'-"-'-----'-"------
N° 1847
Eagan Townahip
Town Hall
Dafe .__...................
5tories To Be Used For Fxoni Depih Heigh! Esi. Cos! Permi! Fee Remarke
,o,e- ;«
1 / 7 1 V I G ?-P- --&- 3
This pesmif does not sulhorise the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agent
the righ!!o eseale anp situation which is a nuisanee os which presenls a hasard !0 the heellh, safely, convenience and
genera3 welfare !o anyone in the eommunify.
THIS PERMIT MUST SE KEPT ON TAE PREMISE WHILE THE WORK IS IN PROGRESS.
Thts is !o cezSify. lhaS..... a:..._-jp`a,.?n-"--'-... ..................... has permission !o erecf a......... Cf?-6:?......?` ... .?. ....."'-'upoa
the above desaribed premise cubjecf !o the rovisiona ot the Suilding Ordinanee for Eagan Towifship a od pled April 11,
1955.
.................... ........?.... .....f. "'--'....."-........ Per ............. --..?_,._..... G--"'-u.?_._......---"
......__......--"..
Chei en of Tnwn Board Building Inspeelor
4 ''6
, Eagan Township
` . . Dakola Couniy, Minaesola
Application Eor Bailding Permit
Type of building or wosk coalemplaied. Circle eorreci deserinSions.
esidenlial Cammercial Indusfsial Oiher ..........................................................
Euil Enlarge Aller Repeir InslallMove Wreck Oiher.......
Dimeasioas...... '9..-..x-'P-?-?- 7.---.......--..... Cosi.:.....v.'..S C? -
...........'....
?? .
DeYails ox remarks.---5_ :..... `-'-A-Y-...................... ----...................... .....................--..
Locaiioa
PEAMIT NO. !.-_!Vooe
Dale ............
Number SYreeY BeSween whet cross sireels Sisa Esl. Valuation
203% ZT/-)bc= A&7-
LoY Bloclc Addii?on Reorrangemen3 or Tsecf
rJ L? 112?
1-7> _ ' ?
Ownes ---F°•-?L?E._?.SL-? . .---................. Address .o.?Sd??...?.r?. _..._.
---.... ..
. F-Ftr..?-?`-°-------?--°------....--------
Contraci°x ---.....'---"_--'................................................................ Addzoss
The undersigned hezeby makes application fox a permi! !o
$ do work as herein specified, agreeiag fo do all work ia sTrief
Tofal fee colleeted. aecordance wilh fhe building ordinance adopled April 11, 1955
bp !he Eagaa Towaship Soard of Supe:nisors.
Permit fees are aot
refundeble. ---------° - - . ...._°-°-------_
' - - - ---° --?-' ........... . .. _._v.?? . . . .
Signed
CITY OF EAGAN N2 15 0 3 2
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE:454•5100
BUILDING PERMIT Receiptn
To be used for DECK Est. Value $1, 000 Date MAY 17 ,1988
Site Address 2033 JADE LN S OFFICE USE ONLY
Lot 17 Block 4 Sec/Sub. CEDAR 6ROVE 3R? anStteSewage _ Occupancy
MWCC System _ Zoning
Parcel No.
On Site Well _ (Actuap Const
BRUCE MUSOLF Ciry Water - (Allowable)
a Name
z Address 2033 JADE LN S PRV Required _ # of Stories
° City EAGAN phone 452-5566 BoosterPump _ Length
Depth
, p Name S.F.TOtal
o? Address Footprints.F.
U: City ? Phone APPROVALS FEES
? M
wW
Name Engr./Assess. Permit 24.00
5
'li P
?
Address
lannef
Surchafge
.
0
aw City Phone Council PlanReview
Bldg. OH. SAC, Ciry
I hereDy aCknowledge that 1 have read this appliCation and State that the Variance SAC, MWCC
in(ormation is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of gan Ordinances.
?
? Water Meter
Signature of Permittee
y16d-?.?
- -- Road Unit
A euilding Permit is issued to: BRUCE MfiS6LF Treatment Pt
on the express condition that all work shall be done i n accordance with all
applicable State of
Minnesota Statutes and City of Eagan Ordinances. parks
24
50
./?
Building OHicial!.l
?-?L
TOTAL .
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knab Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiructlon Reauiremenis RemodeUReoair Reavirements
3 regislered site surveys showing sq. H. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 sei of Energy Calculations for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, etc. . 1 site survey fw additions & decks
1 set of Energy Calculations Add'rtion - indicate Aon-sife sepfic system
3 copies of Tree Preservafion Plan if bl platled afler 711/93
Rim ,loist Detail Optiuns selection sheet (61dgs with 3 a less units (;ig
Telephone #(
?ate l (? / ?
5ite Address ? l 044'?? / Construction Cost
? `/?? ' i/?? IInit/Ste #
Description of Work I e- -
Multi-FamilyBldg _ Y ? N Fireplace(s) ? 0 _ 1 _ 2
Property Owuer ' 7p/? Telephone
Contractor < /"<
Address -z(D 3
State Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eQOrv 1 _ Minnesota Rules 7672
Energy Cod2 Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Nave you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # [
IR r70.v ()
6F?fis?e?US?eiSiiLv
G?SfStuvey;Recd ?X ?N
?fBB}?l85{;E1?1?f2t? , w.`,? ..^?
QfiSitBSepFC?ysiem
N If so, 25% plan review
Telephone 0 C T
I hereby apply for a Residential Building Permit and acknowledge that the information 4s=comp ete'and-accuraYe;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Staxe of MN
Statutes; 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 approv in the case of work which requires a review and
approval ofplans.
f?- ?
ApplicanYs Printed Name Applicant's Signature
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS b
-'
INCLUDE 2 SETS OF PLANSP 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIrICATIONS AND 1 SET OF ENERGY CALCULATIONS
To He Used For: hEGK Valuation:t-Kno Date: S R-9g
Site Address Zo
Lot Block
-
Pareel/Sub 'owner BRUGE MtJSoL.F
Address 2033 TAfj)K "Nff SCJUI'H
City/Zip Code 9QGAJJ 55IZZ
Phone 4 SZ- S 55-G
Contractor
Address
City/Zip Code
Phone
Arch./Engr. -
Address
City/Zip Code
Phone #
OFFICE USE ONLY
h? r_
On site sewage _ Occupaney
MWCC system Zoning
On site well Actual Const
City water _ Allowable
PRV required _ ll of stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permlt 24,oO
Planner Sureharge ,SO
Council Plan Review
Bldg. Off. SAC, City
Varianee SAC, MF7CC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
i TOTAL :
?
?
?
?
oT
? ?? ?3 J?be: ?ANc
9l1
?
a
n
- ix
I -1 -'-{ ' 3-
? `
?
MASTER CARD
LOCATION jA C?? /{. ??I
OWNER
STRUCTURE AND
LAND USED AS
/7 -? - 4:f? 2
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING ?D ? ?
-4 ? - ? 9•z/?
.? S
PLUMBING .
-
CESSPOOL - SEPTIC TANK
WELL \
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
O7HER I
Items I? Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOI
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL _
HE,ATING DEPTH
OF WEIL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING
WELL
SANITARY SEWER
7
Violations Noted
on Back
COMMENTS:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143997
Date Issued:07/07/2017
Permit Category:ePermit
Site Address: 2033 Jade Lane
Lot:17 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-170
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 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 -
Thomas Olson
2033 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature