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2066 Jade LaneCITY OF EAGAN Remarks C2d3T GTOVB ACpU1S1t.10ri Addition Cedar Grove #3 Lot 18 Rlk 2 Parcel !0 !67r+2 189 02 Ownet-?be:XA. 'I ri!i Ultan street 2066 Jacle Lane state FagA,p,?M .55122 1?9t? r.'1A mr „? Ir?a Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK • SEWER LATERAL 1(o6 1972 130L.00 WATERMAIN • WATER LATEFiAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CUFlB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. . SAC PARK EAGAN TOWNSHIP BUILDING PERMIT Ownes ?-? - „"O -' ..... .................._. ....._.......-'-"-J---?--?---p-----............ _.----.... Address (Present) _._'J1-'_...... 4t..::.?!.KC?it.. ""7_':'._. Buildes Address DESCAIPTION N° 1330 Eagan Township Town Hall Dale __<-----_....................... `-............ 52ories To Be Us ed Fu r Froni DepYh Height Esi. Cosi Per?i Fee Remarks p - U -? -- rr-oJi. ` I 26o.J'?- I LOCATION Sireef, Road or ofher Desaripfion of Locaiion I Let $lack ' Addition or Tracf a..+a Y?e3? iS4 /9 6ily' ? 3. d? 9 X I9, i14-i8 X3.Pa, ? IA3 & 8' ?.?- ,,?-•-.-.? This permiY does not aulhorize the use of slreefs, zoads, alleps or sidewalks nor does it give the owner or his agen! the righi fo ereaYe anp situafion which is a nuisance or which psesenls a hazard fo the heallh, safely, convenience and genexal welfare !o anyone in the commuaity. THIS PERMIT MUST BE KEPT ONTHE,r PREMISE WHILE THE WORK IS IN PAOGAESS. ? This is !o cerSify, --Yx-,.----- 4c2.......... .has permission 2o ereci __upon the above described premise subjec! !o the provisions of the Building Ordinence for Eagan '4'ownship adopledVApril 11, 1855. //{?? "`?.`..?r..!.'.....-"?'------'-'--...... Per -------- ? _"--._...---------?--......- ? -?.-............... -- -- --- '......L... _- -- - --------°-- Chairman of Tnwn Board Bui ding Inapecfor 4-6- 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) --, `? cIrr oF eacnn (?, J?p ? 1 l,.J 3830 PILOT KNOB RD - 55122 651-68'1-4675 New Conshuctlon ReauhemeMs Remodel/Reoalr ReauiremetRi S- J D 3 reglslered sHe surveys showing sq. B. of lot, sq. R. of house and gy roofed oreas (20% maximum lot coverace allowed) D 2 coples of plans (show beam a window shes; poured 1nd. design; etc.) ? 1 set of energy calculations A 3 coples of hee preservaNon plan H lot platled affer 7/1/93 DATE: l / DESCRIPTION OF WORK: 2 copies of plan 7 set of energy calculaFions for heated addffions 7 sXe suney for exferlor addlNOns R decW COST: C7 C????? STREET ADDRESS: 0L f) C!J C? ?,) G/ C'1e, (i? LOT: VK BLOCK: SUBD./P.I.D. #: \ A C7,! qr.n QY Cl \/ -f Name: i4hl PAI,9tA. Y 01( Phone #: ?'•??- ! G ! ? PROPERTY Last ftrat OWNER n - , --r-- I / Street Address: O` V(n b ?) H" C=e/ V??-2? Ciy tm State: iip: Company: ? M r'-W 41 Phone #: ? 9v) ' 2/ CONTRACTOR ' (area code) Street Address: License # o )1 7a 7; Exp. City _[G State: 84/ Zip: Z6 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Sheel Address: Registration #: City State: Zip: Sewer & wafer Ilcensed plumber (reauired for new conslrueflon oniv): 'Penaly applies when address change and lot change is requested once permfl is issued. I hereby acknowledge that I hwe read this applicatton, state that the informaH n i eonect, and ee fo comply wBh all applicabl State of Minnesota Statutes and Clty of Eagan Ordinances. Signafure of Appltcant Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes OFFICE USE ONLY , _ No _ No _ Not Required - City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2066 Jade Lane Lot: 18 Block: 2 Addition: Cedar Grove 3rd PID:10- 16702 - 180 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Bradach Construction, Randy 18267 Italy Ave Lakeville MN 55044 (952) 892 -6015 Permit closed without required inspection(s). Letter sent to applicant on 3/17/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Joe J Humenansky 2066 Jade Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA084498 07/21/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA120401 Date Issued:02/06/2014 Permit Category:ePermit Site Address: 2066 Jade Lane Lot:18 Block: 2 Addition: Cedar Grove 3rd PID:10-16702-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . David Laliberte 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 - Joe J Humenansky 2066 Jade Lane Eagan MN 55122 Liberte Construction LLC 2838 Fremont Ave Suite 310 Minneapolis MN 55408 (612) 321-8003 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------+ I For Office Use � � � Permit#: � �� ��� � City of ����� � ���-� � � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �-� �� Site Address: 2� lu t� .J (� tr� Unit#: � ' � S �f5�f � � ��� ' ' Name: J�� t1 V✓'✓�2�Q✓�,S�U Phone: � ✓ � `' Resident/ �I r / ._ CjwCt+�C Address/City/Zip: L.,�l.e� -���, (�v�. ����.. ��12Z ' Applicant is: Owner Contractor ) � ` ������� Description of work:�� C��� o.�� ✓`��G�c-c� ���v� 8� �V�-2� �L � � `�����'b,�1N�r��c ` �"� ����������,,�,�� � � L ; � �� � Construction Cost: � U Oc� Multi-Family Building: (Yes /No�) �„� :.. Company:�,�; CDy�yV�b�n Contact: �a�-- � ��� � 7g 7� �n u�2 , COtt�t'aGtt}I" . Address: ��� W �o.��- S� S�-re, l�'� c�ty: � a r��� � : State:�Zip: � ��� Phone: 19�������K�EmaiL ��';- �lf�✓~�C�✓��V�/Z�lbi1� (py''�, ': License#:�,C �SZ�3 S 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: MC?`TE 'Pl�rr�7s�aiiat sup : rlhiig�ic�au�ent��h�t y�u�ubrr�i�are c�nsi�ler�€��rr�e publ►�infrtr►�r�tf��t. �o�rtiarr�t�f P th��r�t`arma�'ri�n may '�classrfi������nor�p��xlic rf yow�rc��iid�s�►ecific reasor�s tha�waula£�aertr�it th�:Cr#y,tv � '���� ��ncl�d���#hi�t��l4� �re frad�s�cr�fs. �:, � � 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.qoaherstateonecall.orq 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, e B � in ode must be completed within 180 days of permit issuance. x �l�/►'��'�.�� �l�i�—�J� � Applicant's Printed Name Ap li t's i ure Page 1 of 3