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2054 Jade LaneCITY OF EAGAN Remarks Cedar Grove Acquisition Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADIIVG SAN SEW TRUNK * SEWER LATERAL 1972 ? ?.Q? 2.16 2 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN, BUILDING PER, SAC PARK ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 41 i,r:i-. ? PERMIT SUBTYPE: INSPECTIUN RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: III •.t ,? t i' I I ,IN 111 IJ1 I N t i rJ 1? i t ??n•. ? rII„ i 11 N .', :i f' i c» / c+ 4 - - ??. I I Permit No. Permft Holder Date Telephone S S!W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace . U Final Htg. Orsat Test Ffnal Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Pian Deck Ftg. Deck Final Well Pr. Disp. ?- - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date Site Address Lot ` Block Sec/Sub, Parcel No. - ,? j. Q Name " ; Address ° City Phone a Name ' o 0 ? Address ' ?a- City Phone ? City OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actuai) (Allowable) * ot Stories Length Depth S.F. Total Footprint S.F. 13561 19 APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Revlew Fire _ SAC, City Engr. _ SAC, MWCC Plenner _ WaterConn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Roed Unit that the information is correct and agree to Gomply with all applicable APC - Treatment Pi State M Minnesota Statutes and Ciry 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 Ordinancea Building Official Permft No. Permit Holder Date Tslsphone fe Plumbing H.V.AC. ElectriC Softener Inspeetion Date Insp. Commonts Footings I Footings II Foundation Framing Roofin9 i-,w48 E'. Jj. IP.a-J? c v.? /af L a 107, :K. ? a ' f n r Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. EAGAN TOWNSHIP N° 1584 BUILDING PERMIT Owaea ...."-'----- --'--.-.----.-'---? 1?..=.?e!i!Cv!:`?..------...--...."-------' Eagan Township Address (pzesenf) ...??....?.?...7......... ------- ;I .... .........-.... Town Ha11 Builder ....._,p?.^.-(... ?.*.?'.."° ......... ?o " ............._...---'-----........._ _ p-Date .... ---- Addxess ..--_._....... --- ----"----`rer?-=-------?---'I =-7-"B'--... DESCAIPTION Siories To Be Used For Fronf Depih Heigh! Esi. Cos! Permii Fee Remarks -- ???? - -- or .;'-/ 1 -2- 1 !: ? -%?& 3 Thia permit dces noY aulhorise the use of slreefs, roads, alleps or cidewalks nor does ii give the owner or 6is agen! the ri4h3 !o creafe any siiuafion which is a nuisanae os whiah presenfs a haaard 2o the health, safefy, convenience and general welfare !o anyone in the eommunity. THIS PERMIT MUST IIE EPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRESS. This is !o cerlify, lhaf. ....L.r.? .._.__ZAI? "'_.""__........has permission to erecf a._"'__"._.__Ei?`"' ".._"'_.upon !he ahove deseribed premise subjec! !o the provisions of the Building Ordinance for Eagan Tow ip ad !ed April 11, 1855. ?j?? ? ?? ? .............................. ../, F/'-'---'-rm?--'.'....... ..- --.L....."."^..:5.?..--. Per ............._.........?...... ._---.?...?...2?.?.....I h+C aien wTnwn Board e Buildin Ins ecfor k BUILDiNG PERMIT To beusedfor REROOF Receipt # 3 I 3-f Est.Value $1,995 Date MAY 7 ,1987 Site Address 2054 JADE LN Lot 21 Block 2 Sec/Sub. CEDAR GROVE 3RD Parcel a Name_ ; Address ° Citv- JAMES MANN 4-6828 ¢ Name CONSTRGCT-ALL CORP O ?` Addreu 4401 SSTH AVE NO P City_$ROOKLYN PKPhone 424-5472 ¢ W w Name_ ? x d Address aw City_ I hereby acknowledge that I have read this fhattheinformationiacorrectandagreeto oi State of Minnesota Statutes and Citv of a Signature of Permittee , ,? ' f•v A Building Permit is issued to: CON57 all work shall be done in accordance with all Building Official CITY OF EAGAN N_ 13 5 61 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121 PH ON E: 454-8100 .-1 on and state all applicable M OFFICE USE ONLY On5lieSewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ACtuap (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit $37.$0 Water/Sewer _ SurCharge 1.00 Police Plan Review Fire SAC,City Engc _ SAC, MWCC . Planner WetBrConn, Council _ WaterMeter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies TOTAL 3 . 0 on the express condition that nnesotp5Statutes aod City of Eagan Ordinances. EAGAN TOWNSHIP BUILDING PERMIT ?L. ..... . „'°' Lo , `-c..............._........__.._.__.. Ownex . . Address (PTesen!) _.. r.... J ` Suilder ......_._... n?t..:.L....._...._...... Address --------------------------- ----- DESCRIPTION Ta Be Used /SI?tA? ":z60. F LOCATION Slreei ad or olher Descripfion of Loca2ion I Lot?$;?-o- d; q 8' I _ N° 1330 Eagan Township Town Hall l?aie ..?f?... ... ...... - .-..... _.. _ aaai:ion or ?l?racf . 4C..[.s•.r )f'? ? .?- This permif does nof aufhoriae the use of siree2s, roads, alleps ox sidewalks nor does ii give the owner or his agenf the righifo creafe any sifuafion which is a nuisance or which presenis a hazard !o the heallh, safefy, convenience and general welfare fo anyone in ihecommunity. THIS PERMIT MU5T BE KEPT ONp,THE PREMISE WHILE THE WORK IS IN PROGRESS. , This is So eextify. _- -r..----- .rW ......... ....haspermission So erect a.Z:3'-?"'?-"'..?_?`? ..upon the aboqa described premise subjec! !o the provisions of the Building Oxdinance for Eagan 7ownahip adopiedUApril 11, 1955. /A{ -?7 .___..._'.'..._...'^??...._.........'........... Per ........... .?u . ..._..?1... ?............_...___._._. Chairman of Tnwn Board ? Suif.ding Inspecfor ? ? Griggs Midway Bldg ? ?Room N791r S 1821 Universiry Ave.. St. Paul, Minn. 55104 - Phone 297-2111 - i?EQUEST FOR ELECTRICAL INSPECTION a'7 I? CHECK BELOW WORK COVERED BY THIS REQUEST T EB-00001-02 15126 Type of BuOding New Add. Rep. - Check Appliences Wved For -Check Eqwpment Wired For Home ? ? El Range ? Temporaty Wiring ? - Duplex ? ? ? Watei Heatec ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditionei ? Bulk Milk Tank ? Farm ? ? ? List List Other El 11 11 p[hers? ere Othexs? Here COMPUTEINSPECTION FEE BELOW Service Entcance Size: # Fee Feeders& Subfeeders: # Fce.. Circuita: n Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ies 101 to 200 Am s. /D. 00 31 to l OD Amperes 31 to l0U Am eres Above 200 Amps. Above 100 Amps. Above I00 Amps. Transfotmeis Remo[eControlCira Pa[tialorothetfee Signs S ecial Ins ction Minimum fee $5.00 Remarks TOTALFEE 30.?)0 I, the Electrical [nspector, hereby certify (Final) Ttus request void 18 months from the a spdction has been made '''? ' ate #-/3-k/ Date /aZ- 7-J'/ This request void 18 months fro;n Date of this Request Fire No. ????26 i, as O Licensed Electrical Contractor wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. - 26J_4 ?J ?-D E I/1?/? City 64&4A) Section Township Range County NKO`i A' Which is occupied by ?TiQ/rl ES ? 1,?n/? (Name of OtcuDant) Is a roughin inspection required on this job? No O Yes ? Ready Now ? Will Call ? Power Supplier .I'V S I- Address Electrical Contractor A`'1 La//l/C- IE'. Contractor's License No. _ (COmpany Name) MailingAddress ZCS',? Z,4NU Authorized Signature tor or Owner No. S '-68?z 8' ????ry'? ???? ??j ?M Thisinspectionrequestwillnot6eacceptedbythe p ?u/ #j State Board unlass proper inspection fee is enclased. 107: 2_1D BLOCK: ? SUBD./P.I.D#: CfAA?' G6*1 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?\LV'' .'K + ?35L?0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 4 I42.75 New Consfruction Reauirements ? 3 registered site surveys showing sq, ff. of lot, sq. ft. of house and all roofed areas (20%, maximum lot coveraae allowed) ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 sef of energy calculotions D 3 coptes of hee preservation pian H lof plaMed aRer 7/1 /93 D Rim Jolst Deta(I Options selection sheet (buildinas wifh 8 or less unMs1 Remodel/Repair Reauirements 2 copies of plan 1 set of energy colculations for heated additions 1 sRe survey for exterlor addltions 8 decks DATE: ?CJ ?3) ? D e) CONSTRUCTION COST: T??O Wo-D DESCRIPTION OF WORK: Oe_cA)/ Ui (Lj/I I St? f V N muHi-famity bidg., how many units? STREEfADDRESS: a os?-1 `JA-p? I.AC)./E Name:_ 0 FkIJN JFt'Me`S 4 M AI2('-rIIAPhone #: Ips (- y Sz1 -(e PROPERTY Lasi First OWNER Street Address: a-? ? jA'7JE VPClJc Cffy r fY&*N State: M n-) Zip:4-5S) a-2- Company:&'P.f-i (4t"1l.ZK uJWoawd SioWbGnPhone#: ?_Z ?9l - 3HC)o (area eode) CONTRACTOR n StreetAddress: Jv"VC License# U D(oDLlL? Exp.3J31 0( City State: /1/? /J zip: 5?j D??j ARCHRECT/ ENGINEER Comparry: Name: Telephone X: ( ) Sheet Address: Reglshaiion CHY Siate: Zip: Sewedwater licensed plumber (if Installinn sewerhvater): Phone #: I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ??C.? G • ? OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required )ti-"->?-?' ? OCT 31 2000 . 13Y:-.-.--- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T: 2054 JA[lE LANE CEDAR GROVE 3RD I INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: zi BLOCK: 2 APPLICANT: FIRESIDE CORNER INC (612) 633-1042 BUILDING 023217 04/04/94 7 ? PERMIT SUBTYPE: TYPE OF WORK: FZREPLACE NEW pESCRSPTION (GAS) ? Ci'Tl( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 6814675 SITE ADDRESS: P.I.N.: 10-16702-210-02 DESCRIPTION: ? REMARKS: PERMIT 2054 JADE LANE LOT: 21 BLOCK: 2 CEDAR GROVE 3RD (GAS) Bffildi g'1,Permit Type Q.u3lding WWrk Type PERMIT TYPE: Pertnit Number: Date Issued: FIREPLACE NEW ???? 6 8 uxd N 023217 04/04/94 Q0 FEE SUMMARY: Base Fee $25.00 5urcharge $.50 Tatal Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 ANN JIM 2700 N FAIRVIEW 054 JADE LN ROSEVILLE MN 55113 AGfIN MN 55122 (612) 633-1042 (612)454-6828 I heraby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Qrdinances. ? _ - ---- __ ? f)mlq APPLICANT/PERMITEESIGNATURE - IST3UED?6 IG?AT? "-? CITY OF EAGAN ?loll 1994 BUILDING PERMIT APPLICATION 681-4675 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Pena lty applies: 1) when permit is typed, but not picked up by last working day of month [ in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3 /TV Valuation of work Site Address: '051 ?ade. /lan e__ _ STREET SUITE lt Tenant Name: (commercial only) LOT BIACK ? SUBD. ? ll4t ?.K/'? P.I.D. # Descri tion of work: The applicant is: 0 Owner Ef Contractor ? Other (Describe) Name Mn, n r,\ s',m Phone y5?1- Iof3 zP Property LpST F[RST owner Address ?oSv 7"a& Zan e- F?al') STREET STE # eity ?an state mN ZiP 55/2.2_ Campany ,411;Prl r-i,-P.SidE'_ Phone R90-0`758 _ Contractor Address 3R5D /,!/. tHGAGc1d?/ 43 License #INA Exp. city BUr /)sstate mN ZiP ?5,337 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. [L!=f Applicant: . ? , 1987 BQILDING PERMIT 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SII9VEY, 1 SST OF ENERGY CALCQLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNfiR MUST DESIGAAYE WHICH ADDRESS IS DFSIRED. NO CHANGSS WZLL BE ALLOWED ONCE BQILDING PERMIT IS ISSDED. MQLTIPLE DWELLINGS - RSSIDENTIAL RENTAL QNIT5 FOR SALE 0NISS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SORVEY - CHEC[{ IIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address 1??/?j Valuation: ? ( / 1 -? Date: ` ?/(/ OFFICS OSE ONLY ? Lot _?2_j Block o _ Parcel/Sub Q-z? 3/ ? Owner ?? v?? ril ?'J Address City/Zip Code Phone y s?? -? g a? Contractor C6ng4ri,c1' ?01 COlf Address 10U l Q '!? +? ?? N City/Zip Code 'Jo&h 111L S?'?/y3 Phone ? ? y ^ ?L1 ?? Arch./Engr. Address City/Zip Code Phone l1 On Site Sewage_ MWCC System ` On Site Well _ City Water _ arPaovALs Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) 4f of Stories Length Depth S.F. Total Footprint S.F. FEES Permit ?3 ?'Sv Sureharge /. d71 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? CITY USE ONLY LOT BL o2 SUBD. RECEIPT #: IF6wl / RECEIPT DATE: ?Il957 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 Date: 9- 5' 9 7 Complete this section onlv if vou are installine HVAC in sinele family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling addina to or repsirinE exisfing sinele familv dwellings, townhomes, or condos. ?j Add-on furnace _ Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge 0 Total: 20.50 siTEnnnxESS: ?v 5 4 1 ade Lh . OWNERNAME: lTl YYI N/ioY]Kj PHONE#: `F54- INSTALLERNAME: WB?I-f'X'?' ?SnIA-('?i ? IL'?c Lft!? d- A /C I nPxorE a: 4-3 1 -7099 STREET ADDRESS: 14-720 U? Phli(X' L fYUf • ciTr: A-pvq ! l e ts STATE: W/ ZIP: S S?c7 `f- )1 1y' SIGNATURE OF PERMITTEE /15;1y '?7ry? -U?l?f ` i Fr5 ? ? ? r. , 4 ? t 3 ?t '? J? ? z T4^ ? ?' -' i 3 Y c r" ? ?t . . y? ?'xQ r:t l?-Xs?., s ` ' )t? ? ? r ??13?• ? •. , ,. ? .. -.. , . .•_' ? • .? ` ? ? tid . J. ?•'iT d s??• ? . Y • ? $CAI.E ?^ 3t1' ? ? ? . , , , r .fw . $ . ? . . ? ' / . ?'•• '??'? } Y..f??l`. k y. 1 ? ,. ? ? ?? 1 r^ ? 2 . ?. 1 + d ? t 4 £ ?yS?KR, J t 7 11 ? ' 1., . . ? ? • . . . tl I. . R . ?e ??"'+li! w.i r • .,? .... ' s °.'o ?,a ?z.,x., ? ? x ? r ?a ba,?set? Pox .any', ??' "•,, ?' .y j i?E??l?? ?4rYEiEg its?3'Lb3a 4s a?.?te'?,,?tkk?qd?`?,tt?v?e,?i' ??(,}'r' ,;>.? 'V 1' ? '?th?? "'.Pl t £ °'?'?SS ?ItY6T V srk.? '•d q ?E?. ? ? z s n T ^y?,' , -i . .. . . _..?* .. ... . .._...c?' .._... r.....}...Y??.._?.?,.?..fa.M?.:+R fe 4, - - - - - - - - - - - - - - - - For Office Use Permit I City of Ea Rair Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Staff: C Staff: Fax: (651) 675-5694 RESIDENTIAL BUILDING PERMIT APPLICATION Date: % -Z -Q Site Address: 4) N' Tenant: J/ c'~ r e 5 c_ Suite RESIDENT / OWNER Name: Phone: 65-1- Address/ City /Zip: S 1 b e Applicant is: Owner X Contractor TYPE OF WORK Description of work: 7'' d- '-e 7 - Construction Cost: f aS-o Multi-Family Building: (Yes / No 1<1 CONTRACTOR Name: P" ' 9 S License Z 3C 7` 7 Address: / ~ 12Z-VS- IV)(0 74 /1 A~e 5' City: /.3 v/_niStc I/z°. State: /mil A/ Zip: SS77Z• Phone: 95-2- ?0 JP- 7ileio Contact Person: 2 32 c"/39 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 approval of plans. X hA/ x Applicant's Printed Name Ap icant's Signature Page 1 of 3          ÷ï ÿþ ýüü   ûúþûúþ     ùüü ú÷äè õöîó  ß     ýüõ  ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîï  ïñüïûïí ëÿééùÿþëëïÿ  ü ùíõëëùëí õûïêñüûéÿëï ïí øçóæçí   íô  ôù  ýü ÿèüçóæçí  í  èüóþ í  óò õ ñð ùù Þéú ïâäïï   õüÞõ÷ ôâ Þîåãó ÿåã áàôôßßß  ûéÿ   î ùù  ëïÿïùé ùùûý ëåýüõë ÿðí ùùì üýÿü } Use BLUE or BLACK Ink F----------------- I Far Office Use ~j 1 j Permit of Eaffin City Ea I Permit Fee: 3830 Pilot Knob Road I I j Eagan MN 55122 j Date Received: ql'~ 113 Phone: (651) 675-6675 I I Fax: (661)675-5694 1 Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ! Um Z C. offeeo #e m mesc h Phone: 10s l &&/0 5 9 `/Jc~ I Resident/ Owner Address / City / Zip: Jcc~ ~tvr•- /J')~ ~n ` Applicant is: Owner _L Contractor i Type of Work Description of work: T~Q Opp d (~ZrOOF ~e Construction Cost: 760o. Multi-Family Building: (Yes / No i Company: xI -w.n&e~r I4Ctne s Z,)c Contact: Ch r' 5 l Contractor Address: 1(ig o 61, w e I I /4w-2 /,oCity: SW// -OS In A) Zip: 515 3 Phone: 1P 5 I ~3 Ce l~ Cp 5 License Lead Certificate 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. _J 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.ooaherstateonecall.ora 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 Jof permit Issuance. - /t)46~C x , i ri x ln Applicants Printed Name Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161206 Date Issued:05/12/2020 Permit Category:ePermit Site Address: 2054 Jade Lane Lot:21 Block: 2 Addition: Cedar Grove 3rd PID:10-16702-02-210 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 J Hemmesch 2054 Jade Lane Eagan MN 55122 (651) 336-4323 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161401 Date Issued:05/21/2020 Permit Category:ePermit Site Address: 2054 Jade Lane Lot:21 Block: 2 Addition: Cedar Grove 3rd PID:10-16702-02-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 J Hemmesch 2054 Jade Lane Eagan MN 55122 (651) 228-9200 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162726 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 2054 Jade Lane Lot:21 Block: 2 Addition: Cedar Grove 3rd PID:10-16702-02-210 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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 (miscellaneous)$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 J Hemmesch 2054 Jade Lane Eagan MN 55122 Center Point Plumbing Llc 21330 Cleary Rd NW Anoka MN 55303 (763) 843-3431 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179216 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 2054 Jade Lane Lot:21 Block: 2 Addition: Cedar Grove 3rd PID:10-16702-02-210 Use: Description: Sub Type:Furnace Work Type:Replace Description: 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 J & Colleen M Hemmesch 2054 Jade Ln Saint Paul MN 55122--282 (651) 315-6251 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature