2045 Jade Lane
Use BLUE or BLACK Ink
r-----------------
1 For Office Use
hhf.
Permit
City of Ea a~ 1
v I Permit Fee: '5
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: 1
2010 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: 5 ° 1 5 - Zo ~ Fee: $50.50
City Sewer City Water Repair Disconnect
Description Of Work: \ "I Q-ZCkir e-
Street Address for Proposed Work
Name:-
OWNER ,/lDV) !M P Y~ Phone:
C OWNER Address / City / Zip: 2oq (J JGC~,![~_ LYl
Applicant is: Owner -Y- Contractor
Licensed Pipelayer A- Master Plumber Property Owner
Name: I la I ✓ie ' l AJ D . N f r=k ►TTR OC.VF Phone: C5)- ~o `~S P 0G~z
Address / City / Zip: 0--70 CGW c) , 6, -Pc, Vl /A M - 55) 1 Ll
Pipelayer Training Certification Card i y35 or Master Plumber License
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State 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.
lth u-
Applicant (Print Name) Applicants Signa
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
CIT1f OF EAGAN
3795 Pilot Kaob Rosd Eogon, MM 55122
PHONEs 454-8100 BUftDING PERMIT Receipt #
To be uaed fm Est. Value . Oote _ 19
Site Address Ere¢t 0 Occuponcy
Lot Blxk '•` ?
5ec/Sub.
Alter Q
Zoning
parcel Repoir ? Fire Zone
Enlnrqe D TYpe of Const.
W Name Move 0 ,# Stories
; Address DeP?wlish 0 Length
[itv - -- DF'n^" Grnde ? Depth Sq. Ft.
°C Name ng=
Zo
Address
F P=.., e?---
I hereby atknowledge that I have read fhis applitatian ond state thut
the information is correCt and pgree to comply with all applicable
5tote of Minnesota Stotutes and City of Eagon Ordinonces.
Assessment
Woter 8 Sew.
POlICB
Fire
Enfl.
Plonner
Council
Bldg. Off.
APC
Permit
Surchorge
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Totol
Sipnoture of Permittee ?
/1 Building Permit is issued to: on the express conditlon rhat
oll work shall be done in occordonce with cll opplicoble State ot Mirulesota Statutea ond City of Eo9an Ordinances.
8uildiny Officiol
Permit No. Permit Holder Misc. Parmit No. Holder
Plumbing
H.V.A.C.
Well
Watar
Disp.
Sewer
Ekctrie
Inspection Data Insp. Other
Footinge
Foundation
Framin9
Rauph Pibp.
Rvugh HVA
Insulation
Final PIb9.
Final HVAC
Final „
water Dtscri6e Location:
Well
SetnAr
Pr. Disp.
?i• .?
ciTY OF EAGAN Remarks Cedar Grove Acquisition
,•
I Addition _ Ced1T Grove #3 Lot 20 Blk 4 Parcel 10 16702 200 04
Owner,? Street _ 205 Jade L2ne State F3gan -T 5512?
? C(,J 1, U i..r ' 1 .
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL (Wo 1972 1304.00 52.16 2 Paid
WATERMAIN
iE WATER LATERAL 972
WATER AREA
STORM 5EW TRK
STORM SEW LAT i
•
' CURB & GUTTER I
SIDEWALK
STREET LIGHT
WATER CONN. I
BUILDING PER.
SAC ?
PARK
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
1#4.{) I U I.btfi
A.'Ry4ii
t N 10 l !°)6
INSPECTION D, . .•
I kAkF `. : I4110 1 1 N(i '011f f 1 1 ( A:i t A
N .
?
?y a
n
.. . . .. . .. .. . , ... . . . . . . ? s;._:, .. . `. . .;, .. . ? : .. .
J
- - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - -
Pertnft No. - Permlt Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIH TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTQ
DECK FINAL
j r
CITY OF EAGAN
9795 %bf Knob Roed Eagan, MN 55142 Np 6810
PHONE: 4S1-B100 -
B191LD114G PERMIT 2eceipt
To M mad for GARAGE ADD. Est. Value $2755.00 Date August 13 , iq 8
Site Addrew 2045 J8de LBIIP Erect ? Occupancy M-1
Lot 20 Block 4 5ec/s„b. Cedar Grove 37fd Alter ? Zoning R=1
paml # 10 16702 200 04 Repair ? Fire Zone
Enlorge M Type of Const. vn
W Name ?ith Anderson Move ? # Stories
z Address 2045 Jade Lane
Demolish
?
Length3f)_
Ci phone 454-4169 Grode ? Depth_29_Sq. Ft.-
? Name (lionnar Appro.ols Feei
?? Address Assessment _
~ Cit Phane Water & Sew.
Police
FW Nome
fire
13 Address Eng
iW CI Phone .
Planner_
Council _
I hereby ackrwwledge thot I have read this application and store that Bldg. Off. _
the inlormolion is corrett ond ogree to comply with oll applicable
$tofe of Minnewto $tatutes and City of Eagon Ordinances. APC
$ipnoture of Permittee
A Bullding Permit Is issued fo:
oll work sholl be done in accordence wIt al
v
Buildinp Officiol
Permit _
$urchorge -
Plon check _
SAC _
Woter Conn.
Water Meter
Road Unit-
Total S4n-nn
_ on ehe express conditlon thnl
and City of Eagon Ordinonces.
OF EAGAN
BUIIAING PEPMP APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of enexgy calculations.
S
7b Be Used Far Valuation /,^ - Date
Site Address: c;? p S
Lot ,.?tO Block Sec. /Subrw(a . a
Paroel #: ItU ((a -1 V?-' Z 6 U o
OWt1eZ't-?
Address: ?l O
City/Zip Code:
Pnone a:
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Ehg..
Address:
City/Zip Code:
Phone #:
OFFI(:E USE ONLY
Esect Occupancy
Alter Zoning
Repair Fire Zone o `
'I
Enlan?e? ype of Const.
Move # Stories ?-T
Demlish Front ft.
Grade Depth ft.
--T
APP%OVAiS FEFS
Assessments
Water/Sewer
Police
Fire
Pexmit
Surchar4e ? . S r'S
Plan Chec7c
SAC
Eng. Water Conn.
Planner Water TAeter
Council Road Unit
Bldg. Off. \
APC '
??
0
EAGAN TOWNSHIP N? 1276
BUfLDING PERMIT
Owner x...:._. ' -
/J? ? ......... ................. Eagan Township
Address (presenf) ..;?1.___,te1!l:._,?L.?.G?_. -. ? Town Hall ?
Builder _----
. _ ............................ :_.---- ----------- ......
..__..
. ? ?
........_.._.__....
Dafe
.__
Address .
.........................................
..... _.---- `--
......: _........ _ _. _ _. _ ... ..._.._:_.
..........
? DESCRIPTION
Sioriesj_ To Be Used For ? __I Fron1 Depih
Heighi Esl. Cosf? Permii Fee '? Remarks
// I _-._-
LOCATION
5ireei, Road or oSher Descripiion of LocaSion Lo! Elock ' Addifion or Tract
7 /?i ? ?o ?' L/ ?i!-?7 ---? ? - ------ --- - -
T? 33 •i/.i.F .?" 7 I CC?,..?-? ,;:Jc,.-.-. -::
This permit does nof auihorize the use of sireels, roads, alleys orsidewalks nor does if give ihe owner or his agent
the righ! 2o creafe anp situaSion which is a nuisance or which presenis a hazard fo the health, safety, convenience and
general welfare to anyone in the community. ?
THIS PERMIT MUST SE, oKEPT Og?G, THE PAEMISE WHILE THEWORK IS IN PAOGRESS. . ,
This is xo cerYify, Sha!__.. ?'^._........_has permission !o erecf a...?G.: :?."'. C_, ef.?,,_.(
. . . ........__.....__......_...?....... upon
the above dcsaribed premise subjec! !o the provisions of the Building Ordinance for Eagaa ? ownship adopied Aprilll.1955.
: ...... . ... .......................... .. " Per .. _... K C c_ r+ ?"lG-?""" "E".?""'
..._....-------
.'""'"'_"_ "...;l..._..__'?
...... '_"""_...""1y.."... ...
"' Chairman ot Tnwn Board - Suildinq Inspecior ? .?^
6 5
/9 '
Feq esl Date „
`\C ^ ? Ire Na- Pough-in I spection
Requiretl?
eetly Now O Will Notily Inspeclor
When Reatl
?
D?g , y
I
li?
d
t
t
? f
b l
k
t
l
t
i
?
cense
con
rac
or
ove
owner hereby request inspection o
a wor
a
:
r
ca
e
eC
Job Atltlress (S eeL Bax or Route No.)
??? C? 4c?- .
L-1?? Clry
?? ci vi
Senion No. Townshlp Name or No. Rarge No, Counry
OccuPanllPRl
Tl Phwe
?? S v/1
` ?
b
rn
`
?? ?.?
Power Supplier Atltlress
Electn<al Contrector ICOmpany Namel Conlractofs Llcense No.
Harrison Electric Inc. CA00808
Mailing qtltlrass (COnVactor or Owner Maklnq Instellation)
2525 Nevada Ave N#301 Golden'.Valle Mn 55427
utM1 Ized S nat re IConhactovOwner Maklnq Installationl Phone Number
544-33QQ
MINNESOTA STATE BOANO OF ELECTRICITV THIS INSPECTION PEOUEST WILL NOT
Griggn-MlEway 81Eg. - Raom S173 wj rL f'V?4LL BE ACCEPTEO BYTHE STATE BOHRD
18Y1 Univenity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwne(6121 802-0800 ENCLOSEO.
??r9/50
a 865
REQUEST FOR ELECTRICAL INSPECTION
? See instwttions lor compietinq this form on beck oi yellow copy,
'X" Below Work Covered by This Request
io???'
?.?.?
ew Add Rep. peofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt Building Dryer Othec(Specify)
Comm./Industrial urnace
Parm Air Conditioner
01ner Ispecity) Gonvacrors Remarks: ?0/?
?'J
Compute Mspection Fee Below: W 1, \- i Yk S ?tjY ?
# O[her Fee # ServiceEmrence5ize Fee X CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Si s Inspector§ use only 7 T
^
Irri ation Booms ?
?
J
Special Inspection lI
aiarm/Communication THIS INSTALLATION MAY BE ORDEH D DI CONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeaor, hereby
certify that the abOVe inspection has
been made. Rough-in
F,,,ai oate
p
OFFICE USE ONLY
This requestvoitl 16 monihs from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
2045 JADE LANE
LOT: 20 BIOCK: 4
CEDAR GRQVE #3
P.T.N.: 10-16702-200-04
DESCRIPTION:
y _
PEIZMIT
PERMITTYPE: suxLoxNe
Permit Nu mber: 0 2 8 9 A 0
Date Issued: 10 J01 /96
ermit 7ype 5F (MSSC.)
3k Type REPAIR
???,.
434 ALT. RESIDEN7TAL
r i 9iti
?.P
REMARKS:
ROOFING SOFFIT FASCIA
FEE SUMMARY:
Base Fee
Surcharge
Totel Fee
VALUATSON $7,000
$124.75
$3.5@
$128.25
-?
CONTRACTOR: - Applicant - Sr. Lzc. OWNER:
COTY COMST 19333536 0009356 PROM RENE
1001 6TH 5T S 2045 JApE tN
HOPKINS MN 55343 EAGAN MN . 55122
(612) 993-3536 (612)405-0286
,-•-
a ., .. ,_ _
S hereby acknowletlge thatV haue:
informoon i?s` oor:recx,`an'd; aga^e0'-
$ tatute? and CIty a.f JiEagaia,° brdxrnt
I . . .. . _ -?Fr ,
APPUCANT/PE?ItlfITEE SIGNATURE
N1I A' ?
ISSUED B SIG NTURE
F hl
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
IM40 96 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements
RemodeVReoair Reauirements
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 3 window sizes; poured tnd. design; etc.) ? 2 site surveys (extertor additions & decks)
? t energy calculationa ? 1 energy calculations tor heated additions
? 3 copies of tree preservefion plan N lol platled after 7J1193 1000
quired: _ Yes _ No l ro
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 1142 BFP 0- k-L- kda% Oitso
- Sd- F-
STREET ADDRESS: -,W 7? v rr 12 z c
LOT 16_ BLOCK 4_ SUBDJP.I.D.
PROPERTY Name: Q?ti[ Phone #: (v-5-e?)"
OWNER '"°' ""°'
Street Address• ?yS J 2 D 2
City: ??GA.? State: r'r -t- Zip: -SS f?-?-
CONTRACTOR Company: ?S-(Y Cv--J7-1zvcj7,0y ?--??- Phone #: ?W-?S26
Street Address: 611 S? Sa. License #: ?3sb
City: ffOP??.v.s State: k4f-4-? Zip: Ss?y3
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #:
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to compiy with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signatur e of Applicant:
OFFICE USE ONLY
Certificates of 5urvey Received _ Yes No
Tree PreservaGon Plan Received Yes No
b _ i / d-ti 70
CITY OF EAGAN
3830 PI3AT'K370B ROAD
EAGAN, 2Lni 55122
PHONE: (612) 454 8100
?C?A?$CAL 'PEI??
FOR GITY USE ONLY
PERMIT
RECEIPT #
#
DATE: ?P
---------------
-------_____-----____________-____________-----'
WORK DESCRIPTION
NEW CONST _
ADD ON L l (oL?Oh)
REPAIR
? o?`l da q 3f-71/,?uin;
OWNER NAME: rrn 40a.2Ia.Y C,
SITE ADDRESS: b U
LOT : a? BLOCK 4 SUB (VII u?
INSTALLER: SEDGWICK
HFtiTItiG & F.: ; CC:!CIT!?.';i„3 C0.
ADDRESS : 8910 WEiJNiJRTH AVE. S0.
MINNEFP J
CITY: 881-9000ZIP :
PHONE #
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$ /SIz'
.50
$(SSD
//!.> 'd %"i
SIGNATURE OF PERMITT ?
C?IMMERCIi?LfINI1il9KTAZ;:; PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDSISTRIAL BUILDTNGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LO:: Bi.OCK SUBu.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY.OF EAGAN
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
ZIP:
FEES
FEES
1% OF CONTRAGT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING s $25.00
,ti25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
' :.? lf ?..i.. ' '. -:. ?Y'..• . .
. .... ? .. ? ?
.,. ' ? . .. .___ . ... _. _._.. ... __ _?A_...
? F _? •. . •l. r?r.f
I ? OY S. HANSECd For A?o oa •o usn of Nohfi S+or Abn9rac4 !li Titilo? GuaTti ,; Inc.
? /,? .
' Lnnd 5urvoyar
nno PLAT f(""1l(
??{(.. ? ???VE-Ey ?.
Civil Enalnmmr ..
OF PROPEFTY OF r.t'LLfI . Pc L'l`•t.yl i•.. A1:'i°Y;,)!1
LourioH ?v4? ,;a.la Ni_tr.o _otd
DELgRIOED AS FOLLO'NS_;`)L
I ! a
53- a G ii 77._ -7`
13407 Spring Lc" Rosd
P4op'aina, Mfnn. 53343 Yelaphona 9313•557E3
??+y
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° SsnYe:---_ `?1nch- 'Q fcet
CER"3"FF?CATi&: OF C,OCA7[ON (?F 13i1GLD7'VG QERTIF?CF.7F. OY' SfiRl'E5i .. .
} herehy ctrtiEy thai On .197 ? t hereGy cenify Ihat un.__ .-- E?---= ..
I maJc a sutVcy of Ihc locaimn of i116'tltulJ?ng? on the ohove i sucvcycd Ihc pr9pcr(y dexrihtd ohu?C nod'tMBI th¢ UtrovC pla! .
descnbcd roprny and diai tt?c lucoiiom o( +a d builJing?',J is is u corrcci repcuaniutiun of said aurvcy. , . torrecdy shown on Ihc nbu,c pim.
N.S. M. TO ROY 1. HANSEN, REGISTERED SURYEYOF7 NO. G274 •
2US'S66
a D
r-----------------
':For Ofc
City of EaE i n ; Permit K J ' I
I I
3830 Pilot Knob Road Permit Fee: t I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
-----------------J
h 20088 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ' J r Site Address:
Tenant: LL Suite
RESIDENT / OWNER Name: W,0-- ~ Phone: 4,51- ( 8t. - 9L10fL
Address / City / Zip: a E $ ct-~ A",Oa_41 i Z~A -~a o-ti.. m n . u~5l~ 01
Applicant is: Owner Contractor
TYPE OF WORK Description of work: A4 ~Vt
oc~
Construction Cost: t ~ f SOO • Multi-Family Building: (Yes / No
CONTRACTOR Name: License l7 `1
7`7 C l~yu~-C
Address:
City: State:mn. Zip: 66791
Phone:4-51-78 y A 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 the 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a p rmit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X J / 4 x (7)K It
Applicant's Pr' d Name Appli s Signat
Page 1 of 3
Use BLUE or BLACK Ink
h
For' Office Use
t Arift SR 2010 ; Permit
90
City of Eajan
Permit Fee. v
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: _
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ C l - La*,
Tenant: _ I~iC ~+()l,~C~ (lr{~ Gf'-n Suite
RESIDENT / OWNER Name: Phone:
Address/ City / Zip: !J L-
j&42~ Z-~ -
Applicant is: - Owner n -X- Contractor
TYPE OF WORK Description of work: ><v n (t~ (al
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: a.S License #:6
Address: '7 7L
City: C/U State: Zip: l
Phone:Cj,5-/ - Contact Person: a~um
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water 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 the 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.ciopherstateonecall.oro
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.
x i~~' d x ` s A 44~'l Applicant's Printed Name Ap li ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115167
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 2045 Jade Lane
Lot:20 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-200
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 .
Aaron Hippe
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 -
Robert H Mortimer Iii
2045 Jade Lane
Eagan MN 55122--284
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature