2053 Jade LaneCITY OF EAGAN Remarks Ced3T Grove Acqu3sition
Addition Cedar Grove #3 Lot 22 Rik 4 Parcel 10 16702 220 04
Owner,") i; .; .1' . zv 01,1'°il'Street 2053 Ja,de Lane State Eagan.MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
• SEWER LATERAL n ? 2 1 00 52.16 2
WATERMAIN
?t- WATER LATERAL ?19 2
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEfi CONN,
BUILDING PER.
SAC
PARK
??C{? ??)a??. ? g??-?IS?v . ` • PERMIT#
MECHANICAL PERMIT
C
RECEIPT #
CITY OF EAGAN '
3830 PILOT KNOB ROAD, EAGAhI, MN 55122 DATE:
CONTRACT PRIGE PHONE: 454-8100
Ad
Sit
dre§?s
e
" BLDG. TYPE WORK DESCRIPTION
Lot -y
-? Bio k_`' ? SBC/Sub ?
' `,
? ? ? New
Res.
?
? Name 1'? .?
. ?"' Z:-C ?f; a ? Mult Add-on ?a?
/
Add
.S"., Comm. Repair 'v
m
c ress ,
??- y'Ph
Cit
e Other ?
y on
Name
? FEES
?
RES.HVAC
?BTU =$2
g
c `'-?? .??'l ?.?•
Address ?"` 6.
T
ADDITIONAL Sa M
p
City ? -??-' Phone
? RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION '
)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1
. .
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air J?
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
.?
Unit Heater M BTl! REMODELS - 12.00 .
h?
Ai
C t? MINIMUM COMMERCIAL FEE - 20.00 „
ond.
r M BTU STATE SURCHARGE PEFi PERMIT - ,50
Vent. CFM ? (ADD $.SD S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
"
Other ?
FEE i Z.
`
S/C: SIONATIfRE 611F P MI EE 41
TOTAL:
FOR: C1TY OF EAGAN
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?
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,
EAGAN TOWNSHIP
-? N° 1462
BUILDING PERMIT
Ownex -------------- Eagan Township
Addr¢ss (Present) -.!.2?..?.?.5 '----- - g!-? - _'._-_.-..-__--- Town Hall
V
Builder ...... ---------- '-.__.-_.-'_. .
??pp na:e,?' .c.f.lj..l.`? L. G...........
Address ---- 3.01..7.....?
...... -............ e
DESCRIPTION
Sfories To Be Used Fcr _ Froni Dep1h Heigh2 Esf. Cosi IPermii Fee Remarks
Aet
v v LOCATION
Sxreex, xoaa or otner uescnpnon ox Loaanon I Loi I ntocx i aaauion or -rracx
I?x I y I??? 3
This permii does noY auihoxise the use of streeis, zoads, alleys or sidewalks nor does it give the owner or his agenf
the righ! !o creaYe any situation which is a nuisance or which presents a hazaxd to the healih, safeiy, convenience and
general welfase fo anpone in the cammunify.
THIS PERMIT MUST B£ KE?P?T'7 ?O-N TH£ PREMI E WHILE THE WORK IS IN PROGRESS.
This is fo cerlify. !hel._`.<?f..?P:?:=r?:.......... haspermission ?o erecf a._.___'y-/p"a?--_"-?_.?.-.f ?.'t• '•"_""•""..upon
the above desaribed premise subjeci !o the provisions of the Building Ordinance for B?Ejan To?thship adopled April 11,
1955.
..?!!-G. f_'.._"`c,!.f..s.,f.......'._....
............. ................_?::Z?c.c:.... -_...... Per -------------- ? ........
Chsirman of Tnwn BoardeE ,$ ? Building Inspecfor
EAGAN TOWNSHIP
BUILDING PERMIT
...
Ownee .................. . ----------
- -...........------v----...-' ----------------- . ........
Address (PresenS)
................... .......7) ......... ............................... ...--'-
Suildet ???"?`?''
.......................................................... ................................
? a ??z,,. .... . . ....... ... h.<,
Addseu ..... ..:5.....:.5.......... ..:1:......
................... 7 .... .....C.?--
DESCAIPTION
I1T° 2664
Eagan Township
Towa Hall
Dat. ....?1...'? ..... ?..l..z L-.
.. .. .. .............
6lories To Be Usad For Fron! Deplh Height f.
Cost i Pesmi! Foe l Aemarlu
-
t"
or
S6
This permit does aot authorise the use of stxeels, roads, alleqs or sidewalks nor does it give the owner or his agen!
the righlfo creafe aay situation which is a auisenee or which presents a hasard !a the dealih, safety, eonveaienee and
general welfare !o anyone in the communitp.
THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGRESS.
This ia !o cextify. 2hal...... ??....... ..................................... "-...._....has Pesmisaion !o ereet a__ f,43 .._-?_--•.?.?.-?-x'°--L--•• -- - upoo !he above deaoribed psemiae
suLjee! !o the pravisiaaa of !ha Building Ordinance for Eagan Township ndopted April 11,
1955. .
.. nt_...-?? .
\ ?:"_--'...?. .?,: 4.- Per .................k(
.............................
.................
Clieirmen of T?iwn Board ?.--..:? Buildi .1?g .w Ina _p..... eaio: ............................
11 46
EAGAN TOWNSHIP
BUILDING. PERMIT
Ownex ._.....Lr,cwL,?l.c..L>-`.??c?cr.^Q..._..O-i?_.-.. C?a....---.......
Address (Presenf) .... .......................
_...._ .
Builder _....... .... ...........................
Address -----..._................. ...............
ar
G ,i P oI ?- 13-11 -
DESCRIPTION
d Asp3h Height _Esi, Cost Per ii
-I-- .. -
..__------
LOCATION .
of Loeafion ---- . F.o! I Blo?
?-----
N° 13'79
Eagan Township'. Town Hall
Da2e u
_.'61G.;..? ......:......'..__....
naauion or irac
This perinif does nof auihoziae the use ofsireefs, roads, alleys or sidewalks nor does if give the owner or his agenl
!5e righi !o create any siivation which is a nuisaneeor which presen3s a hazard So the -healih, satefy, - eonvenience and
general welfare !o anqone in ihecommunify. , .
THIS PERMIT MUST BE?oKE?PT ON TIiE PREMISE WHIL? THE WORA IS IN PROG SS.
This is io ceriitY. ihal...S.L,K.t.x.....--------- ,__has Permission !o ecect a._..?/..k{...?:4.--? ?.C_y ---- upon
the above described premise subjecf ia the provisions of the Building Ordinance for £agan wnship adopledApril 11.
1955. ?J
.............. ----.......i--L.?:----------------- . Per ........ ---..??J+?
Chaizman of Tnwn Board / Huilding Inspeetor
4 f$.
51,31a I
E 8 9986 yais o
'36 elD
Hequast Dete
4/28/89 ire No. Rough-in lnspeclion
RequiraC?
?Vea pil'No
? ReadY Ww t Will Notity Inspectrn
Whenqeady?
I
IEK licensed contractor ? owner hereby request inspection oi above electrical work at:
Job AdErees (Stree( Box or Pwte No.) Ciry
Eagan
Seclion No. Townshlp Name or W. R9rge No. CouMy
Dako a
Occupanl(PflINT)
chuck Mi er Phone No.
PowerSUpplier Aptlress
Electncal CoMredor Company Name) ConVaclor9 Licensa No.
Mailing Atltlress (COnVactor or Owner Making Installation)
AuMOrizetl$jppature ICOnV r Making Instellption)
? \
7 Phor?e Number
458,8861
MINN Wifq Pga*TfiICRY THIS INSPECTION REQUEST WILL NOT
Grigga-Mldway Bldg. - qoom 4173 BE ACCEPTED BV THE STATE BOARD
1821 Unlwrelty Ave., SI. Peul, MN SS10I UNLES$ PROPER INSPECTION FEE I$
Phone (612) 602-0800 ENCL0.SED.
5?3/S9 REQUEST FOR ELECTRICAL INSPECTION es-0oo01-07
? See Inslmctions for comple9ng i{lis form on back of yellow copy y,=2150
M 89986 "X- Below Wark Covered by This Request
e Add Rep. TypaofBUilding ApplianceSWired EquipmeMWired
Home Range Temporary Service
x Water Heater Electric Heating
1 uilding
A Dryer Other (S pecify)
4 /Idustrial X Furnace
g AirConditioner X Electrric 81Y' clean
specify) Conlractor5 flemarks:
(
Compute Inspection Fee 8elow: J ob # 20461
# Other Fee # ServiceEntranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps -
Transformers Above 200 _ Amps _ Amps
Slgns Inspector5 Uu onry: TOTAL
Irrigation eooms 1$ . SO
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tif
h
h R°"Bn-m - ? Date
cer
y t
at t
e above inspection has
been made. F„ei
- oa?e
OFFlCE USE ONLY
This request witl 18 montlis fmm
MASTER CARD
• LOCATION
OWNFR
STRUCTURE AN? /?? / ? y?/dD
LAND USED AS ?i r?
Permit
No.
Issued Issued To
Owner
Contractor
BUILDING
PLUMBING I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
H EATI NG
GAS INSTALLING
SANITARY SEWER
OTHER I
i
OTHER ? i
i
0
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTWG y- y° 7 SEPTIC
FOUNDATION CESSPOOL
FRAMWG ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPiH
OF WELL
GAS INSTALLATION
$EPTIC TANK
CESSPOOL
DRAINFIELD
FLUMBING
WELL
SANITARY SEWER
.000 kow
Violations Noted
on Back
COMMENTS:
?? ?1// 6 5
? SPANCRETE - MIDWEST COMPANY
FE 9-9381 Osseo, Mtnnesota
PRECAST cmd PRESTRESSED FLOOR cmd ROOF SYSTEMS
Jj? y-? Lo-u-._.a .
v
bA
?
2.0!?3 - Ti906 L6Nc
t.oT- ?'3.
gi.oc?t- 9
cr.o,?R 4ko??' ?3
475??!
RIFSIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681•4675
New Construction Reouiremenls RemodeVReoair Revuirements
• 3 registered site surveys showing sq. k. of IoL sq. ft. of house; and all roo(ed areas • 2 cropies of plan
(20% maximum lot coverage allowed) . 1 set ol Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . t site survey fa eztenor addiGons & decks
. 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Opfions selection sheet (61dgs with 3 or less units) ?
`}^' ?v p G
DATE ? ? / VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS o2 O S3 _J_?J-f l,c, r,.'. C c-P... I??. 55?-22
IF MULTI-FAMILY BUILDING, HOW MANY UpNITS? ?
PROPERTY OWNER 7ercr, c., 11 - ki
TYPE OF WORK /Ce- - /Cpod' iN FIREPLACE(S) _0 _1 _2 _3
APPUCANT 7 rehc,e A . R recl e?- PHONE #6.1S"/ - Y.SC?r 971-;?
ADDRESS d053 --I-" ? /050fr ZIP CODE 3_T/?;z Z
PAGER #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentiai Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbina Sys[em Iiicludes:
Mechanical Cantractor:
Vicchanical System Includcs:
Sewer/Water Contractor:
_ All COII(IIIlOILila
He.it Recovery Sys[em
Fee: 590.00
Phone #
Tee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this applicotion, state that the informption is correct, and agree to comply with
all applicoble State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant d4?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE #
Water SoRener
Water Heater
No, ol Badis
Phone #:
Lawn Sprinklcr
No. of R.I. Baths
Updated 1101
Use BLUE or BLACK Ink
For Office Use I
s City of Eapfl i Permit I
I Permit Fee: 411T II
O~J
3830 Pilot Knob Road I ~~""yy / I
Eagan MN 55122 I Date Rece' ed: V r`
J
Phone: (651) 675-5675 j C,o I
Fax: (651) 675-5694 I Staff_ _
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/OWNER Name: 7A y/ , Phone:
Address/ City / Zip: J4
CONTRACTOR Name: -~e' /-I-- License
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK -New AReplacement -Repair _Rebuild Modify Space - Work in R.O.W.
Description of work: BOG r //~c~fOSPS°~d L*/g
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures t- Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
`Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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 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 e case of work which requires a review and approval of plan
x-~y;S
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
l For Office Use
Permit City of Ea ~~11 I Permit Fee:
3830 Pilot Knob Road (y~z j
Eagan MN 55122 Date Received: --=-Y r ~ ~ + 3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: Oh _
- - - - - -
2013 RESIDENTIAL' BUILDING PERMIT APPLICATION
Date: 9 a7-1 3 Site Address: Unit
Name: l 1~!} V i S Phone:
Owner Address/ /City /Zip: GA N Z Z-
ROider 205'3 LAf / Md
Applicant is: Owner contractor
s boo
Type of Work Description of work: E snye
Construction Cost: '7/ Multi-Family Building: (Yes / No _
Company:~C[I ~D Bf~EL /A/ Contact: /~/r ~L2Jr
ContraGtor Address: 0773 o~ver A f i T/ U~ City: rARM t N L[
' f~
State: I Zip: Phone: (U7'56-3 73
License / 21D~ Lead Certificate A.1197-- IN C 7 f~ - /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 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.aoaherstateonecall.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 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 Ste r din Co ust completed within 180
days of permit issuance. ,n
x!//CMG J , ebb x
Applicant's Printed Name ll S'
Page 1 of 3