2069 Jade LaneCITY OF EAGAN Remarks
Addition Cedar Grove #3
Street
Loc 13 eik
Jade Lane
10 16702 130
Improvement Date Amount Annual Vears Payment Receipt Date
STftEET SUflF.
STR EET R ESTOF.
GFADING
SAN SEW TRUNK
#SEWERLATERAL (t)(A 1972 130.00 2.1 25 P2id
WATERMAIN
. WATER LATERAL 1 ?2
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER,
SAC
PARK
?
4 ?75 61?
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3
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3 L?
ReQUest Date //
?/ q S Flre No. Rough-ln nspectlai Requiretl
(VOU must call insp'SCtor en reatly) Ins e tion Other Than Rouqh-In
Reatly Now ? Will Notify Inspector
( ? ? Ves No te Reatl
I L,?icensed contraaor ?owner hereby request inspection of above electrical work at:
Job Atltlr.ess ( et, Box or Route_. N° 1 ^ ?
-`l LJ q ?T d/ ? ??an Cily
,Ca m
Section No. Township Name or No. RanBe No. Cou
Occupant (PRIM) Phone N
Power Supplier AOtlress
Electncal ConVactOr (CO ny Name)
sS armp b cf?-I (-, Conirectors License No.
(7 / d-d
Mailing Aa ess (Contractar or Owner M ing Installetion)
h ?
s
a
Amhorizetl SignaNre (Contr cror/Owner Meking Installetlon) Phone Number
Z?,4?L)Zt4 1-7 - 6a 0 0
MINNESOTA STATE BOARD OF ELECT CI Y I THIS INSPECTION REQUEST WIIL NOT
Grlggz-Mltlwey Bltlg. - Room S-tYe
1821 Univmlty Ava., St Paul, MN 55106 II I I
i
I I I I I I I? II I I II II BE ACCEPTED BY THE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
Ghona (812) e42-0900 ENCLOSEO.
/ S u REQUEST FOR ELECTRICAL INSPECTION
'!r 0.- ? See instmctions for campleling Ihis for n beck oi ye? w.copy. ?,?? EB-00O001-09' '
ew?.3/9.J X" Below Work Coverad b This Re uest
Ne Add Rep. Type of Building Appliances Wired . Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managament
Comm./Industrial Furnace Other (SpeciFy)
Farm Air Conditioner
Olher (apecify) ConVadors RemerksCompute Inspection Fee Below:
# Other Fee Jt Sarvice Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps- 0 to 100 Am s j
Transformers Above 200 Amps 100 -Am s
SIgnS Inspeclor's use Dnly. TO AL
Irrigation Booms _AS'? •.O?
Special Ins ection ?
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFiIN 18 MONTMS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°°9n-i, _
Finei oata
Date
i
OFFICE USE ONLY
This request vaid 18 momhs fmm
CITY of EAGAN
f BUILDING PERMIT
o W n.: ... /?.o_.w..1. a..s..'..f........c?a..£.',fI P ..............................
Addrece (Precen!) ...2.Q..2.9........ „lA..L1_Q ............................
........
Builder .... ...??..?...........r ................. f........
Addreu .......... ,.G.O..Q.I........ 1?.Y.-.eX?.T.,.r?pp".............?.?. stp`?
DESCRIPTION ?
. ;.
N2 3660
3795 Piloi Knob Aoad
Eagan, Minnesota 55122
954-8100
a.:. ..?'.-....?.,?.?.? ??
Bloriec
- To Be Uced For
- Fron! Depih Hei9hl Esi. Cos! Pesmi!_F,pa Aemnrks
?
/ ?g ?,? y -- ? ,?
This pesmit does aof authorize the use of sireefa, roads, alleps or stdewalks nor does if give the owaes or Lis sgea!
the sigh!!o creale anp sifuafion which is a nuisance or which preseais a hezard !o the healih, safelp, convealenes aad
general welfare !o aopone in the eommuniip.
THIS PEAMIT MUST BE T O,NTHE,/PREMISE WHILE THE WORK IS IN PpgRESS.??
This is !o cexlify, .7r4 ....._. Y."y ............................has permiuion !o eseeF`d:.?'?....d.?. .. pea
the above deseribed p mise subjeci Yo the provisions of all applicable O" ces for fhe Citp of ag
.---°Y•...•----..l...Z.?...Y..................-.--........... Per ........
... ....
............. .. ... .......... .......... ... .. ............... ............
Mayor Bu dinq Iaspeelor
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex .............
.--'--
Address (preseni)
Builder. _.__......._........_....._..__.__.-.._...____. -
. .._ __._-_...... _......
__.
Address .__...... ..............._-
DESCRIPTION
N? ]144
Eagan Township
Town Hall
Dafe ....'?`./,1.??..(..?1?..°?...._._........_..
Sfories To Be Used For ? Fronf Depih
. Heighi Esi. Cosf Permif Fee Aemarks
.
- -------__--
LOCATION /os
Sireel, Aaad pr-o1heF Descripiion of Locafion Lo! Slock Addiiion or-Traci
y 6,? g/3.Q ,-
? 3i l r- ? 7 AZ 17 aP a 3 ?Q B ;r
This permii does noi auihorize the use of sireels, roads, alleys or sidewalks nor does ii give the owner or his ageni
the righi !a creafe any siiuafion which is a nuisance or which presents a hazard to the healih, safeSy, convenience and
general welfare !o anyone in the tommunify.
THIS PERMIT MUST BE KEPT O THE/?PAEMISE WHILE TFiE WOAK IS IN PROGGRESS.
This is fo cerfify, ihai .?c..':.?C:._?Gr,-m._.?..:...__has permission to ereaf a....Q..r..?..?.._.. ..._..Zcrc°'?i-.^.'?. c-?upon
the above described premise subject So the provisions of ihe Building.Ordinance for Eaganship adopied?April 11,
1955.
_.._.._'__ _____?.?-L?I,f4c.?.__?`.?"?-a?....__ Per ....._..._._.? ..... e 4?d-4k.?.___.__..
. . J.....
Chai4man of Tnwn Board Suilding Inspecior
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction Reaviremenb
• 3 regisfered site surveys shawing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 capies of plan showing heam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 wpies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Detal Options selection sheel (bldgs with 3 or less unils)
DATE 5- 'rL ` O 72-
SITE ADDRESS ZD
TYPE OF
RemodellReoairReauiremenis 0 ?
. 2 copies of plan
• i set of Energy Calculations for heated additions
. 7 site survey for ezlerioradditions & decks
. Indicala If home served by seplic system for addNOns
VALUATION
MULTI-PAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ZL/vlT
STREET ADDRESS
TELEPHONE #
PHONE # GS? 2l?J- "7d 2? FAX #
ssia?-)--
PROPERTYOWNER TELEPHONE# 115 2-'(61219
--------------------------------------------- -------- ----------------------------------°------
COMPLETE THIS SECTtON FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINniESOTA RULES 7670 CA"1'EGORY 1 MINNF.SOTA RULES 7672
(d submission lype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _------- _ Phone #
Plumbing syslem includes: _ Water 5oftener Lawn Sprinkler Fee: $90.00
_ Watcr HeaYer _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phon I? s I 'JI '
Mechanical syslem includes: _ Air Conditionirg - Fee: $! 0
Heat Recovery System ; MAY 0 6 ZuuL ?L ?
Sewer/Water Confractor: Phone
BY ,____.-----
----------------------------°----------------------------------------------°--------------°---°------...--------------
I hereby acknowledge that I have read this application, state that the infor atio i orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina es.
Signature of Applicant
--°--------°-__- ------__._._._._.__._.__._--------_.__.-•- -----_______----------°_____--_-°---
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
L ? BL ?
SUBD. _L ?a.? /?Jnaprf. Jr??
cinr use oNLv
RECEIPT #: 3 q q tP 1
DATE: 6-1'q's
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
__Z r1ud-t'iii 81i i,oiidiiivi?ing i fi'epiac8 coPiVcialOn (iG c''iiiStiii? fir2plar;e)
Date: 4 -aG -? S_?
FEES
? Minimum Fee: Add-on/Remodel (existing residence only)
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL , O-1 . 0
SITE
OWNER NAME:.",m.,.,.,,,a?. PHONE #: 42- Ga?g
INSTALLER NAME:
wur.aCu+ous,MN es?pj?
STREET ADDRESS: 612420M
CITY:
PHONE #: (
\
STA
ZIP:
MASTER CARD
OWNER
STRUCTURE AND
LAND USED AS
n Permit
No.
Issued Issued To
Con}ractor Owner
BUILDING
PLUMBING
CESSPOOL - SEP71C TANK
WEII
ELECTRICAL
HEATING
GAS INSTALLING
$ANITARY SEWER .
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Disfan[e From Well
FOOTING SEPTIC
fOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
$EPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
IIIK
Adhlh- I For Office Use I
( { O "'1 J
Permit
City of E
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I /)3-
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff:
-----I
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
Name: Phone:
Resident/Owner
Address / City / ip:
Name: License
Address:
641-
Contractor UGC fZ_ City:
State: Zip: Phone: ~
Contact: Email:
2Nld,~
Type of Work - New _Vleplacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
' Lawn Irrigation L- RPZ / PVB) Water Softener
Permit Type -
Septic System Add Plumbing Fixtures L- Main / -Lower Level)
New Water Turnaround
i Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
E $105.00 Septic System New ($10.00 per as built) (includes County fee and $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, o he tateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be in confor a e with the ordinances and codes of the City of
Eagan; that rstand this is not a p rmit, but only an application for a permit, and work is of o st withou a permit; that the work will be in
accord ce with a approved plan in e' ase of work which requires a review and approval of
x x
Applic n s Printed Name Appli an s ignat r
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ -Rough-In _ -Air Test__ -Gas Test Final-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119034
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 2069 Jade Lane
Lot:13 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-130
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 .
Jesse Haug
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 -
Deutsche Bank National Trust Co Tste
400 Countrywide Way
Simi Valley CA 93065
7-10 Services Llc
5162 142nd Path W
Apple Valley MN 55124
(651) 238-4862
Applicant/Permitee: Signature Issued By: Signature
411/1`
C!ty of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all Qcommercial applications.�
`
Date: C2 _ J C 13 Site Address: W 1 "J 4 C" 1- '1
Tenant: Suite #:
Resident/Owner `''
Name: Phone:
Address / City / Zip:
Contractor
Name: An Q Iry 4 `2 �'"e' License #:
Address: c03 0(0' (t/y14f 6 Pa- City: 314,friJ.ft111(,e,
(� p
State: 10 Zip: 33 7 Phone: 96 — lp -- 7939
Contact: alf Pl. 07-.. C to Email:
Type of Work
New L Replacement Additional Alteration Demolition
Description of work: tp1,1 t-4- is it ivACL 4.1 ,4J
NOTE: Roof mounted and ground mounted
Code. Please contact the Mechanical
mechanical equipment is required to be screened by City
Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under/Above ground Tank ( Install / _ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit (includes $5.00
$5.00 State Surcharge)
State Surcharge)
= $ TOTAL FEE
$100.00 Residential New (includes
COMMERCIAL FEES
$55.00 Permit Fee Minimum
Contract Value $ x .01
= $ Permit Fee
$70.00. Underground tank installation/removal
if contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract
***If the project valuation is over $1 million, please call for Surcharge
_ $ Surcharge*
Value x $0.0005
= $ TOTAL FEE
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 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 f%dYt
n5 e cr"
Appi cant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground Rough In
Reviewed By: Date
Air Test Gas Service Test In -floor Heat Final : ! HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148816
Date Issued:04/23/2018
Permit Category:ePermit
Site Address: 2069 Jade Lane
Lot:13 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-130
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: 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 -
Sara D Jackson
2069 Jade Lane
Eagan MN 55122
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature