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2034 Jade LaneCITY OF EAGAN I 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' 11i+i? ??fit`•I! ?# ; ; PERMIT TYPE: PERMIT SUBTYPE: Permit Number: Date Issued: E411 11.1) rMh Il3ibhriH w8/2s/v' "r °.'" -° ` APPLICANT: :Y R I. r.It: K- 4 61.' ) 9E.A-34612 TYPE OF WORK: flf fif.RiF'T7+; fi { I i -IFIN6 ? I & Rk I"A 1 kc- f7f'F'AtH (R(l(fI' 1N?? 1 _ I Permit No. Permk Holder Uste 7elephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AiR TEST ROUGH HEATtNG GAS SVC TEST INSUL GYP BOAfiD FIFEPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG QECK FINAL CITY OF EAGAN Remarks Cedar Owner?,`? XJ1;7 4, Street 2034 Jade Lane State E3gan?MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTdR. GRADING SAN SEW TRUNK # SEWER LATERAL 192 1304.00 52.16 2 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SiDEWALK STREET LIGHT WATER CDNN, BUILDING PER. SAC PARK CITY OF EAGAN 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12237 BUI G PHONE: 454-8100 / '-/ ? y ? ' LDIN PERMIT Rece ipt # / To be used tor SWIM POOL Est value $14,000 pate I J(JLY 7 1g $ti SiteAddress 2034 JADE LN Erect ? Occupancy ? Lot Z Block -?3 5ec/Sub. CEDAR GROVE Remodel ? Zoning i Parcel No 3RD ADD I T ION Repair ? Type of Const ' . Addition ? No. Stories W = Name T014 VR I SWQLD Move Demolish ? ? Length Depth 3 Address ? t 0 Int. imPr 454-4164 S F Q City Phone Instail ? j o rvame F'RESTIGE POOL i PATIO H Address 245 E ROSELAWN AVE ? Ciry ST PAUIphone 488-6726 s F W Name- u ? Address i z °7 City - I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Assessment _ Water 8 Sew. Police Fire Planner Bldg. Off. I / r/ o 0 APC Var. Date A Building Permit is issued to: PQE'STI GE POOL & PATIO all work shall be done in accordance with all applicableState of Minnesota St Permit "'`"?' • '"' Surcharge ?5 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Copie TotaL ' on the ezpress condition that City of Eagan Ordinances. II IPsi. n No. I wn n Moww I n.a I TN.Pnow r I Illnswctfon Dats I Inso. II Commsnb 1 p. Final L OCC. :k Ftp. :c Fmp. N Dbp. ? BUILDING PERMIT To be wed for " Site llddr CITY OF EAGAN 3795 Pilot Knob Road Eugcn, MN 55122 PHONE: 454-8100 Lot Bixk Sec/Sub.'-'f"-? rZOVe 43 Porcel # W Name 3 Address O _ °r-A_AllA w `-r?,r. -n•'. Name ? ?p ? Address ?- r,,, ctin.,e 390-1412 Name _ Address Receipt # N° 5205 Erect ? ,.? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approva Is Fees Assessment Permit Woter & Sew. Surcharge Police Plan check Fire 5AC Eng. Water Conn. Planner Water Meter Council I hereby acknowledge that I have read this application and state thot gldg. Oft. the informotion is correct and ogree to comply with all opplicable APC Total 5tote of Minnesoto Statutes and City of Eagan Ordinances. Signcture of Permittee ._ , A Building Permit is issued to: - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Stotutes and City of Eagon Ordirwnces. Building Officiol Pffmit DaN Inuw PGMIMM ?lumbing Mechanicol ,Q D L? S f? ? I' ?? ?- ^ Le.cY? J INSPECTIONS DATE INSF• Rouph-In Final Footings ?-?-?-r- Dote Inap. DaFe Irup. Foundation Plumbing Frame/ ins. Mechanica I Final /js-/Zj ]q ---?- r Remarks: EAGAN TOWNSHIP BUILDING PERMIT Ownex _.._"'r..^.^.'..".:'...!"...'.-.."?.'...._ -o.._.? ........_......._..... . Address (PYeseni) .'..::...f°'?....:..?`."`.`.fS.-f._.?G6 ."^..^.?^.... $uilder ? - - ° _ ? .._.__...v ?7-.......__......___........._...._._........ Address ---- -.------- ---------------------- .......... .---------- --................ _.. ? Q /S/ r.--ol? N° 1330 Eagan Township ? Town Hall Dale ... !_.-??`-? ............... gp-e-3f _ sx4 asea.?aC 1.t?J,? dity'----I -, ?--- ? 9. &S; e(' i g; ?2-,f 413 !3?' 8' 3- This permii daes not au2horize the use of. sireels, roads, allep4or sidewalks aor does ii give the ownez or his agenf the righ! !o areafe any situafion which is a nuisance or whieh presenis a hazard 20 the health, safeiy, convenience and general welfare !o anyone in the commuaifp. THIS PERMIT MUST S?El KE?PT ONQ,THEr PREMISE WHILE THEWORK IS IN PROGRESS. This is !o cerfify, ?r. ..... dt? ---------- has permissian !o ereci a. /:3_?°,?' ?.I....'.?_.={ ?...?- upon the above describ¢d premise subjeei !o the provisions of the Suilding Ordinance for Eagan '4ownship adopiedUApril 11. 1955. ._......___.:._. .............. - ..,. _. _. _.... . Chairman of Tnwn Soard Per ........ Buiiding Inapeafor t S LOCATION -. ? - . -?- EAGAN TOWNSHIP BUILDING PERMtT Ownex ..---.1.. ...... `.ie,? .......P? - - - ..--- Address (Presen!) .... °tr'._..?...V-....... .".:L?---°--'-°...-'-'"'----' Builder ..................._--....----.....---................---......._.........--.._......._.... Addsesa ............................... ........ ..................................................... DESCAIPTION N° 3018 Eagan Townahlp Town Hall Dale "" .............. 5iories To Be Used For Froni Depih Heighf Es1. Cos! Permi! £ee Remazka 4J`S ;1 ? 7 S ? .. _ LOCATION Stxeet. Road or olher Deseripiion of Locafion I Lo! Block Addifion or Trao! J 3 1'his permit does aof aulhorize the usa of streeffi, roads, alleys or sidewalka nor doea ii give fhe owner o[ his agent ffie righ2 !o ereafe any silualion which is a nuisanee or wdich presenfs a 6azard !o the healSh, cafetp, eonvenience and general welfare to anpone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. Th1s ia !o cerlify, lhai......... ? •.---.?':P? ........... ..... has permission !o ereet a.... .... .... _ . . upon • ' -_'_'....."-_"_. -- ." ..... . . . the above deacribad premise subjec! !o the provisioas of the Building Ozdinanae for gan Township adopled Apri1 11, 1955. -} ..................... .L.T..:...f.^...xL.-__- (5?*.:e'?..?..r-:°.°-._. Pex ..... ........._..L`...":.`.???-- -•-°••°----.......... Chaisman of Town BS'hzd ? Buildin Ine aeloz This request void 18 months fiom 52g5 Date of this Request_ S--=5' ' - _57 I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: , Street Address or Route No. Section Township Range Which is occupied by Is a roughin inspection required on this job? No ? Ye4Z Ready Now ? Will Power Suppliar/ VoRThF,N?v c CL_7'sspddress V? r9 ?@f =-/Vl ElecMcal Contractor Contractor's License No. _ (Company Name) Mailing Address I (EleCtrlcal C ractJ?f or Owner king This Installatlon) Authorized Signatu?Y?V 7/YiO ?/t1,.tLc?fC Phone No. -iZ?? ? (EIeCtN<al Contractor o?Owaer Making ThIs Installatlon) o p ?'y'Q??/J This inspection requert will nat be accepted by the VQVf? Oo Q?3D ? o,t State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1g5GUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 y REQUEST FOR ELECTRICAL INSPECTION ? 5295 CjiECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances W"ved Foc Check Equipment W¢ed For Home ?!] ? Range ? Temporazy Wiring ? Duplex ? ? ? Waret Heater ? Lighting Fixtures ? ApL Bldg. ? ? ? Dryer ? Electric Heating ? Comme[cial Bldg. ? ? ? Fumace ? Silo Unloadei ? Industrial Bldg. ? ? ? A'v Conditio ? ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others Here ? p[hers Here ? COMPUTE [NSPECTION FEF. RFI.OW ?0/# ? Senice Entrance Size: # Fee Fceders&Subfeede ? Cucuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am etes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above I00 Amps. 'Iransformers 1 Remo[eControlCirc. Partialo[otherfee ? G Si ns 1 S ecial lns ection Minimum fee $S.DO Remazks TOTAL FEE 1, the Electrical Inspector, hereby .od (Final) This request void 18 months from This re4uest void ?5 18 rtqnffis tmm C 251-37 z a (fl ?-I _? 19 ?30 - flMYee' flwo OaeaavN.wpwnitiotavInsuec- ror When Head El Licensed Eleclriwl Contractor 1 hereby raquest inapaction of above ? Owne, electrical work inwtalled ee: Sveet Atldress, Bos mr Rome Nm Cifv 2034 Jade Lane Ea an ecLOn o. Township Name or o. Bange No. County Dakota Occupam (PFlINT) . Phone N,. Thomas Griswold 454-4164 Power Supolier Atldress nja Elecvical Contractor ICompany Namel ConVar,mr's License No. A-040529 rmanDale FlPnt?., Mailing Address IComractor or Ownerilakine Insiailation) - 4uthor¢e ignature (Convactor wner mg nst la 'o Phone Number 644-0655 , N INNESOIA STATE BOAftD OF ELECTFICITY THIS INSPECTION BEQUE&T WILL NOT 6riggs-MiEway Bidg. - Room N•191 0E ACCEPTED BY THE STqTE BOAPD UNLESS >pOPEP INSPECTION FEE IS 7821 University Ava., $t Peul. MN 65100 w-_ 19111 197Jttt ENCLOSED. y REQUEST FOR ELECTRICAL INSPECTION !EB-00001-04 ?- 15 -U ?_0 Sea inalmetions lor completin9 this form on back of Yallow copy. / nq? ? "X'" 8elow Work Covered by This Request C 25137 ??`? Nowi Aqtl Reo. Typb oi euiltlinB Apptiancea WiteO Equipmen[ Wired . Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. BuilAing Dryer Electric HeaHn Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Butk Milk Tdnk Farm otnN, oe.iv oine,isnec,Hl [ nr Suect y Othe, Oih.. ' Compute Inspectron Fee Below N iee ServiceEntrgnee5ixe fl fee . Fexders/Subfeedens N Fee Lircults 0 to200Am s 0 to30qm 5 0 to30Am AAmps 31 to 100 qinps 31 to 100 A s mming Pool qbove 100_Amps Above 100-Amps nsiormers 7,rigation Booms Partial.'Other Fee Signs Special Inspection $3o/5o T0T -F flertv?rks i ? E? 2 Qr? ) YYltp ?YYy1Y1lLyll VVi / ,JV -/ Nough-in ?ate ElecFrice? ,ac,a,, herebV Fina? (b certity that the nbove P insoaction hes been rreda. Tols repueet wIQ18 monihs irom s EAGAN TO W N S I-1 I P BUILDING PERMIT Ownee a .:...---------------- Address (Preseni) __:??!:37....----? •j - -'- ....------------ --- Builder ..... < Address ...... DESCAIPTION N° 1658 Eagan Township Town Hall Data ?r..?. .......... 52oxies To Be Used For _ Froni Depih Heighf Esf. Cos! Permii Fee Aemarks a ir I-- /?hLC ?r ?J - ° " LOCATION axree:, noaa or oxner aiescripnon ax a,ocaxion i L.o= i atocx i KQG1IlOI1 OII ira[i A I ?3 I e, • ?? "-- ?' This permii does not aulhorize the use of slreeis, soads, alleys ar sidewalks nor does it give ffie ownes or his agenS the right io crea3e anp siiualion which is a nuisance or which presenfs a hazard !o the heallh, safefy, convenienee and gene:al welfare fo anyone in the communifp. THIS PERMIT MU5T HE I5EPT ON THE,,pB REMISE WFIILE THE WOAK IS IN PAOGAESS. Thie is io cexiify. lhat.-" ------ ............ has pe:mission !o erect a............... .. ' ....e_ ' ....................... upon !he above described premise subjeef !o the provisions of the Buildiag Ordinance for Eaqe. Towns adopSed April 11, 1955 1W ..... ----------------------------- -" --- ,,,--------.... Per .........------...._.G.:`.:?L..?s..,....??.?n-.-.? r+...'-'....._. ? irman f Tnwn Soaq ? Suilding Ins ecfor ?I ,+.,, . ciTr oF eacaN 3795 Pilof Kno6 Road Eagan, MN 35122 VHONE: 454-8100 N° 5205 !L BUILDING -PERAAi'T APPLICATION Receipt # --- Te ba wed for Add1t-lOI1 Est Value 11,000. Date 5-9 19J4_ . , Site Address 2034 Jade Icv1e Erect p Occuponcy R3 Lot Z Block 3 secisue.Cedar Grove #3 Alter ? Zoning Rl Repoir ? Fire Zone 3 Partel # ? Enlarge ? Type of Const. V s Name Tha[?as M. Griswold µove ? # Stories 1 - 3 Address 2034 Jade Lc'1R2 Demolish ? Front 24 ft. 0 Ci E3cJdri phOne 454-4164 Grode ? Depth 1$ ft. p Nome rran L1255P1'1 "vv??•o?? ?, Address Assessment _ ? Cit B' Vi110 Phone 890-1412 Water & Sew. f Police w Name F F Z ire - Address Eng u ' <"' Ci Phone . Plonner - Council _ I hereby acknowledge that I have read this application ond stote that Bldg. Off. _ the informotian is correct ond agree to comply with all applicoble $tata of Minnewto Stotute?ndgi?.y, of Eagan?rdances. APC Fees Permit Sb.UU _ Surcharge S. SQ Plan check 18. 00 SAC Woter Conn. Water Meter 7ord 59 _ 50 Signoture of Permittee " I A Building Permit ils issued to: Griswold on the express condition that all work shall 6e done in ac " ce wit ?p-liw-h?le- tote of M' nesoto Statutes and City of Eagan Ordirwnces. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N° 12231 g ! L/ 400, BUILDING PERMIT PHONE: 454-8100 Receipt# ?? r 7obeusedtor SWIM POOL Est.vawe $14,000 oate JULY 7 ,1986 SiteAddress 2034 JADE LN 6ect ? Occupancy Lot_2- elock 3 Sec/Sub. CEDAR GROVE Ftemodel ? Zoning Parcel.NO. 3RD ADDITION Repair ? TypeofConst. Addition ? No. Stories a TOM GRISWOLD Move ? Len9th w Name Demolish ? Depth o Address SAM-E Int Impr. ? Sq. Ft. city Phone 454-4164 Install ? 0- Name pRESTIGE POOL & PATIO i4Pprovi $? Address 245 E ROSELAWN AVE Assessment_ 1- C;ty ST PAUXcnone 488-6726 Water & Sew. ?? F w Name Address i W City Phone I hereby acknowledge that I have reatl th is appl ication and sfate that the information is correct an ee to comply with all ap licable State of Minnesota Sta[utes aPid Ciry of an Ord'nanceg ? Signature of Permitt Police Fire Eng. Planner_ Council Bldg. Off. 7/7 /8 6 APC Var. Date n Building Permit is issued to: PRESTIGE POO & PATIO aIF work shall be done in accordance with all applicable$tate of Minn ota St Permit 91VY.JV Surcharge 7.00 Plan Review 52.25 SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies 7otal $163.75 on the ezpress contlitlon that City of Eagan Ordinances. Building Official 6SB?( v 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Date I G, / ? / ?_. Construction Cost o? ?' - 4 Site Address an 5 Unit/Ste # Description of Work?, a? ? x nrAcM? 5(,J y v ?fX) S-Ti (?p, !zD Mulfl-Family Bldg _ Y_ N Flreplace(s) _ n 0 _ 1 _ 2 Property Owner ?. ? Ap Q;S WQjd Telephone # f6$ I) N? -?(0 4 --r KMA HC1ME sr:ltVll:r;5, 1NC. Contractor Home Depot Installed Sales nadress 3200 Cobb Galleria Pkwy.Ste. #200 City Atlanta, GA 30339 State 763-542-8826 BC-20268257 - Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ (Jsubmission type) • Residential VenGlation Category 1 Worksheet Submitted • Energy Envelope Calculations Su6mitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber r n `" ? Telephone #( Mechanical Contractor AU G 1 7 ?004 Telephone #( Sewer/WaterContractor ? Telephone#( N If so, 25% plan review I hereby apply for a Residential Building Pernut and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate 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 approved plan in the case of work which requires a review and f plans. apKo.,?? _ Applicant s Pnnted Name Applicant s Signahue Installed Siding and Windows LIMITED POWER OF ATTORNEY CuUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es loca±ed at 660 Mendelssohn Avenue North, Golder. S'al!ey, rhNT 55427, having a]icense number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are (imited solely to the express powers defineated herein and apr!y solely to the Wark. This Limi*ed Power of Attomey shall expire and automatically be revoked on the 21 st day ofTvlay, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. 1N WT'TNESS WHEREOF this Limited Power of Attomey is e.xecirted this 21st day of May, 2003 . David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200? N?ota y P ic in for the State o eorgia b4y Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79-DEPOT PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 6 9 8 (612) 681-4675 Date Issued: 08/26/9T SITE ADDRESS: 2034 JADE LRNE LOT: 2 BLOCK: 3 CEDAR GROVE tP3 P.I.N.: 10-16702-020-99 DESCRIPTION: ? (ROOFING) E?U1:l,ASnt??QermiC Type SF (MISC.) 7ype R.EPAIR ? CenSits 434 ALT. RESIDENTIAL ? ? m 01?& RFV% ? ?? ?? 074M ? ? ? - ? rl? REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Tatal Fee $87.25 $2.00 $89.25 $4,00@ CONTRACTOR: _ Applicant - sT. Lzc OWNER: GENE'S HOME CARE & REPfiIRS 14543402 0002715 GRT5WpLD TOM 20,17 FLSNT LN 2034 JAOE LN EoZiAN MN 55122 EAGAN MN 58122 (612) 454-3402 (612)464-4164 in 13 ? h?6*trq ??km?twl?t?g? ?Rm? `? h?ste. rs?d YMi"s" ? P p? 3Y i U t It P ? P 2 t t"2 itrfartn?3tS?san is ec?rreoC attd 3,.91Wax?? p ,?St$4'"iUl?@5y$FF? ?C;t6ff Ql"CE.?.s?y#?i?6'$? M "? sl ?v?i+n sari 62a .u i u..P.i=A Z?wt?i.as APPLIGANT/PEflMITEE SIGNATURE _?Na2 ?pkbm ISSUED Bj(: NATU E 30LIO 997 BUILDING PERMiT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 B81-4675 New Construction Reauirements RemodeVReoair Reauirements • 3 registered sfte surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ?. 2 site surveys (exterior additlons & decks) ? 1 energy calculations ? 1 energy calculatlons tor heated additions ? 3 copies of tree preservatlon plan if lot platted after 7/1/93 required: _ Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: LOT BLOCK ? SUBDJP.I.D.#: PROPERTY NeR1B: ;?;"- e-ld???'1.9 Phone #: OWNER u.* ?* StreetAddress: ??? ??? ?"?? City: 44A."I State: "OV Zip: CONTRACTOR Company: ????rl??E C? .`1Cy,wm°S Phone#: Street Address: 21/7 License #: City: -A?.ji? State: 'Oz? Zip: SS/?Y ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: 5treet Address: City: State: Zip: Sewer & water licer.sed plumber (new construction onty): . Penalty appiies when address change and lot change arc iequested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correet an gree to comply with all applicable State of Minnesota Statuies and City of Eagan Ordinances. O Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required ? 1986 BDILDING PERlIIT APPLIC9TION - CITY OF EAGAN ? NOTE: ALL CO9TRAClOHS riUSi HE LICSNSSD iiTTH THE CITY OF EAGAN SINGLE F9FIILY DSiELLIHGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLS DfiSLLIHGS - RffiIDENTIAL INCLUDE 2 SETS OF PLANS, CEE t SET OF BNERGY CALCULATIONS COt9lLRCTAi: RfiNTAL OdITS FOE SALS DNITS OF SORVEY - CHEC% iiITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2v000 LANDSCAPE BOND To Be Used For• Valua- Site Address Lot CP--, Block-?- Parcel/Sub e-Q ? ?w s ? &, I Owner (oril eI S hiD" aa3 T Address AAWK City/Zip Code CF3[_q? I"/!kJ 14,57112 Phone 4(S 46- .(L/L SL Contractor {??p4 ("n'g Address 4)4.. City/Zip Code /// Phone .C(,Q'$ _ 67.2 G Arch./Engr. Address City/Zip Code Phone I! Date: Ereet 411?e Oceupancy ,+ Remodel Repair Addition Move Demolish Int.Impr. Install Zoning Type of Const 0 of Stories Length Depth Sq Ft apPnovALs FsEs Assessments Permit b?f, C Water/Sewer Sureharge ? Police Plan Review S2 . ? Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off 4 Treatment P1 APC Parks Variance Copies 1Y)TAL. ?/'?e .7.s- , NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER liQST DESIGNATE i1HICH ADDRESS IS DESIRSD. HO CHANGFS iiILL HE 9LLOi/ED ONCE BQILDING PERMIT IS ISSDED. I ?, ..:. ??(V vv ~ /7N . ...._...._.. _ , _ _.. ___._?_____.._._. , x ? ?i i j i ! i i -,•, / ?S 1L? `7 DATE r9?il 2 `ZZI BCIT.DI\C PF3"I7 AP°LICaTIO): Include '_ sets of plans, 1 site plan w/elevations an_' 1 set of enar.?y ca:cuations. ? ==i2 r1 ?j 7 C? 00 v /! ? '-, ? dIp 7P,h Valuat:on To be used for ? s':e aaa:z55: CJ Ed ar- ?S'roc?? ?..3 :S'Fc. '--? 81/C,' 3 Lr.t Z B1ock .3 Sec.!Sub. cel Nurber psrnzr 1hni71i 5 dl, na?iress c2?3? ?T"aCl? ?L?2Y1F? D1Z)-o -n 3 Telephone 1-141? -4 Contr3ctor f?nTAC? ??ESS'E?! Telephane Ad±ress ?y C1ff'dL?c5C1?LL-E Arch/Eng• Telephene Addrzss OFFICE L'SE OYI.Y Erect Occupancy Alcar Zoning Repair ' Fire Zone Enlarge Type of Const. Kove # of Stories ? De^alish Front Grade Depth ? a Date of avnroval and Initial Assessment Watar/Sewer Police _ . Fire Enginear _ PLanner Council 81d?g. Off. A.P.C. Fees Permit Succharge ? /12/ Plan Check SAC Watec Connection Water lteter TOTAL 0 r4jW A r .? .? -- ? LGK\rc T NEtii ? ? 3E4FEfi?Dtd SIl3?s&14 ? 115D 5?,?'}. , a ---a E 1441 ? 49' ? R%4%Nl 'oEsclkMtax4 uOm G'NOUF.. M,5 S"cL. 2. i3Lx.3 D15T. ?o PI.W'T 1610% VnRCf-ti ww-?b I"oma5 m.t UIRGIMia m, GORIswOLD IDN4 3ftf- t,.AW- EAGRN - 35E2,7, +; T ? ? ; ? i f oouw ? 1 r !i aa? i 'PERfYIITe C 6PV • C1TY USE ONLY I.OT ? BL ? PERMIT ii: SUBD. CCadr IyYAYCi 4.; RECEIPT #: RECE[PT DATE: 415? 2000 MECHAbTICAL PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PILOT FINOB RD EAGAN !•RI 55122 ? y?1 zy l Date: 651-681-4675 t CJV Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccupied. • HVAC: 0.100 M B T U $ 30.00 ADDITIONAL 50 M BTtT 6.00 • Gas outlets (minunum of one required @$3.00 ea.) 5tate Surchazge .50 Total $ Complete this section ontv if you are remodeline, addine to, or reoairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New X Alteration _ Repair _ Other A'v conditioning ? Fumace y _ Air exchanger _ Other Fee $ 30.00 State Surcharge --n Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: (" T, k-I OWNERNAME: cs' W6? PHONEN: ?s 1 -?" ? J L r (AREA CODE) ? [NSTALLER NAME: KNaWDfEAi1N917VD1URf(NDrtWw;x6C0. PHONE #: (AREA CODE) STREET ADDRESS: CITY: STAT'E: ZIP: ? vV SIGNAT PERMITTEE 4'S4 -,34 4'.3 L NAME " SIZE c'i = A T E/?-t OE .2 BLOCK pDORE53 VALUE G ' _ / qo o0 ADD'N. AREA TYPE ! 2 .2' ?- ?. 'S i AJ-.a/,,vc,> // nI i i ? ? a ? ? ?., 7 ? .? i? N ? (:/,> .U I'2. TG' /Z `L.''. Pn Ci 4 h" rz? a i+VG. C' c'= , ,. if- ., G C..".?; tf' T c_ ;= G f; ,. .?.? c? rc? S-,??,? r ?" ?;•°. ;;. •, r-ez c. i /Gy,C H C' C'= f,fG ATC.?-? ? 1/V -Z?? f? G r_ ?/ L y_. i:= L i. / Ai r.?...?_.....4- ? ? i. i? ? - .4?Z li/vT- - - - - - - - - - - - - - - - - - I For Office Use I Permit City of Ea a~ c I Permit Fee: 1~ I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date:, 61 Qq Site Address: ,L p j '7 \t CLc L P ~1 Erc , G~,, I V 12- a Tenant: 'i .5 LO G (G Suite RESIDENT / OWNER Name: T owe e,u cv f c Phone: (0 S7 &j cc Address/ City /Zip: d 3 J ~c~ { Lac v-i Fc45Ct,, X1/1 J . S/ ZZ Applicant is: Owner Contractor TYPE OF WORK Description of work: 1 N S f ( i i ; rt q O--n b& . o-n h 0L' g-Q Construction Cost & C Multi-Family Building: (Yes / No CONTRACTOR Name: Q w -e-VL S License Address: (0 2 4 57 17 3: S R 'e-e we/~ City: L--&t-/<•e L h (I, State: M Zip: 5 - 9 - 0 '1'/ Phone: 952-- `f 3 5 55 Contact Person: ~t'c~t . r / cy e u S 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 ('l 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 ithout a permit; that the work will be in ans. accord ce with the approved plan in the case of work which requires a review and apJLre Applicant's Printed Name Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2034 Jade Lane Lot: 2 Block: 3 Addition: Cedar Grove 3rd PID:10- 16702 - 020 -03 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Scott Remodelers, Lawrence J. 289 Rohavic Lane Lino Lakes MN 55014 (651) 766 -6750 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Thomas Griswold 2034 Jade Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA083495 06/11/2008 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 Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114212 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 2034 Jade Lane Lot:2 Block: 3 Addition: Cedar Grove 3rd PID:10-16702-03-020 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 . Daniel Olson 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 Griswold 2034 Jade Lane Eagan MN 55122 All American Restoration 6112 Olson Memorial Hwy Robbinsdale MN MN 55422 (763) 546-9655 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116344 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 2034 Jade Lane Lot:2 Block: 3 Addition: Cedar Grove 3rd PID:10-16702-03-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 . 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 Griswold 2034 Jade Lane Eagan MN 55122 All American Restoration 6112 Olson Memorial Hwy Robbinsdale MN MN 55422 (763) 546-9655 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136063 Date Issued:04/21/2016 Permit Category:ePermit Site Address: 2034 Jade Lane Lot:2 Block: 3 Addition: Cedar Grove 3rd PID:10-16702-03-020 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. 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 - Thomas Griswold 2034 Jade Lane Eagan MN 55122 (651) 454-4164 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173767 Date Issued:12/02/2021 Permit Category:ePermit Site Address: 2034 Jade Lane Lot:2 Block: 3 Addition: Cedar Grove 3rd PID:10-16702-03-020 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 - Thomas & Virginia Griswold 2034 Jade Ln Saint Paul MN 55122--286 (651) 454-4164 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature