2077 Jade LaneCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9 0l C.
PH UN E : 454-8100
c D
BUILDING PERMIT Receipt #
To M NW hr Velue •`' 10 , S.i 3. ?y,r. i•:AY " ?Q . .
Site Addreae aJ)? 7 `' AM- T i'
Lot I Block r' Sec/Sub. CFD GRV 3
Parcel No. ='`-1 f, C,2-15 0- 0 5
W Name
? Addre
City .
?o Name
?? Addre
1- City .
t°C
WW
Phone
City Phone
I hereby acknowledge that I hove reod this opplicotion ond stote that
the inlormotion is torrect ond ngree to comply with oll opplicoble
Stote of Minnesota Stotutes ond City of Eogan Ordinonces.
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Siynoturc of Permittee , -, "
A Bullding Pe.mit is issued to: (,
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oll work shall be done in otcordo nce with all opplicable $tate of Mii
Buildirg Official " _- c •'?" ?°'
E?ed ?
/11ter ?
Repoir ?
Enlarye ?
Move Q
Demolish p
Groae n
Occuponty -
Zoning
Fire Zone _
Type of Const.
* Stories _
Length
Assessment
Woter & Sew.
Polica Permit ?
Surchorpe
Plan check bb ' 5u
5.50
4
Firo SAC
Eny. Woter Conn.
Plunner Water AAeter
Councll Road Unit
Bldy
Off.
. ?? -
APC Totcl
on the expreu tondition that
Statutes and City of Eaflon Ordincncrs.
Psrmit No. Permit Holder Mitc. Permit No. Holde?
Plumbing
H.V.A.C.
E
Well
Water
Disp.
Sswer
Electrie A?yy Q - "g l ?d ??
Inapsction Date Insp. Other
Footings
oundation
Freming ?
Rouph Plbg.
Rough HVA
Inwlation
Final P16y.
Final HVAC
Final
Water
Well Describe Location:
?ri 2 /"j.Mr7? ???t{?P ?'
s.W.?
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Pr. Disp.
CITY OF EAGAN Remarks CedarGrove Acquis3tion
Addition Cedar Grove Lot 15 Bik 5 10 16702 150 05
owner'uJ ?? .? _? ,- t?t 2077 Jade Lane state Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1304.00 2. 2 P3iC1
WATERMAIN
3F WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTEF
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55721 *T
lr ? 9036
' PHONE: 454-8100
FBUILDING PERMIT Receipt
To M und fer F'AM RM ADD Est.Value $10?0916)• Date MAY 4 19 84
SiteAddress A077 SADE LN Erect ? Occuponq
Lot 15 Block 5 Sec/Sub. CED GRV 3 qlrer ? Zoning
Parcel tvo. 10-16702-150-05 Repoir p fireZone
W Name GARY H. BERGLER
? Address SAME
city rnone 454-8442
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H
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VS?
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Name _
Address
City -
ww Name
f
z? Address
u
?W City Phone
I here6y acknowledge thof I have read this opPlication and state that
the informofion is correct ond agree to comply with oll applicable
$late of Minnewlo Statufes?ond Citv of Eo4an Ordirwncet.
SignoNrc of Permittee •
A Building Permit is issued to: GARY H
oll work sholl be done in ac rdan e with all?o{
Buildinp Officiol
Enlarga ? Type of Const.
Move ? # Stories
Demolish ? Length_
Grade ? Depth Sq. FL-
Approvals Feea
Assessment _
Woter 8 Sew.
Police -
Fire
Eng.
Plnnner _
Council _
Bldg. Off. -
APC
Permit $ 86.50
$urchorge 5.50
Pbn check 43 zs
SAC
Woter Conn.
Wafer Meter
Rood Unif
Torol $ 135 . 25
on fhe express condifion thnl
Statutes and City of Eagan Ordinances.
CITY OF EAGAN
BUILDING PERNIIT APPLICATIODI
To Be Used For LG.,,; rocry? Valuation
Site Address:
Lot iS Bloek S Sec./Sub. eed,, G,, 3
Parcel #: rv - 7Ca - c:S
oFmer: Gar?? ?? 13e,?c; Ir
Address: _j -: Ae L4 ne
City/ZipCode: F4?4n CY?n ;??aa
Phone # : 'y?-y - ?y Y a-
Contractor: ? q --n e-
Address:
City/Zip Coclee
Phone #=
Arch./Eng.:
Acidress:
City/Zip Code:
Phone #:
Include 2 sets of plans,
1 Certificate,of.5urvey &
1 set of enerT, cal.culations.
I09331,Yo Date S-7 ?ep r
OFFICE USE ONII,Y
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge >e, 7ype of Const.
Nbve # Stories
Decrolish Front ft.
Grade Depth ft.
APPROVAL,S FEES
Assessmnts Pennit i;;1/2
Water/Sewer Surcharge .5-
-
Polioe Plan Check ??
Fire SAC
Eng. water Conn.
Planner Water.Meter
Council Road Unit
Bldg. Off.
APC
ZCYI'AL
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex .?_,._.. .-'--•. .:
...- .............-°--°
Address (Preseni) -:-.til:s------,??'--??..?vsii.--'............................
Suilder .._...... .........._..............
Address ..........
DESCRIPTFON
N° 1262
Eagaa Towaship
Town Hall
Dale ...=1.7........--°---..
iiories! To Be Used For ? Froai D¢pfh Heigh! EsL Cos! Permif Fee Remaskf
J ? ?,V.C.e.i.
? ? ?? /?O I
LOCATION
This permii does no2 aulhorize She use of sireefs, roads, alleps or sidewelks nor doee it give the ownez oz his agenf
the righi to create anp situafioa whieh is a nuisanee or whieh psesents a hazard !o the heali6, safetp, convenienee and
general welfare !o anyone in the eommunily. '
THIS PERMIT MUST BE KEPT ONp.T?HE PLREMISE WHILE THE WORK IS IN PAOGRESS. .
This is fo ceilifp, ihal... CG.G-:_-S..f.c.v............ espexmission !o erecY a??: --_---_ -....... .u P oa
the above described premise subjee! !o the provisions of the Building Ordiaance for Eagaip adop d April 11,
1955.
........................ °....... --'°-(/-?--' ............ Par _......._ ......... L.G..4 .- ?.j.?---------------?------........-•--'--°.....--°--°-
Chairman o Tnf md ` Huildfng Inspecfo
a ??q ?
This reques? void
18 rnonths trom
A n 7 r1 .c; P1 ? L. 1 5
3
a v. v L>
nnqoesc uate Fire NO. Rouph-in Inspection
p? flequired? ?HeatlyNOw?WiIINOLifV.lnspec-
7f _ 'a 4 _ QLl I R Yes [-NO [or When Ready
[3 Licensed Elec[rical ConVnc[or 1 hereby request inspecfion of ebove
ER Owner electrical work installed aY
Sveet Atldress, Box or Route No. City
0 C77 3c.2.` Lart E4 on
ecuon m Township Name or No. Ranye No. Count
?Ll 4 11 -2?>' (Co+c
Occupant(PFINT) Phone No.
C' G ^ A . ?C'-C \(Lr Y.S ? -., i? `l '?-
Power SuDV??er Atldress
NsP
Electrical Controctor IComOany Namel Contractor's License No.
Mailing Address (Convacmr or Owner Making Inscailation)
? 0'7 7 .J c,. ? e L o. ?:- • c In n
Author'zed Signature (Contractor/Owner Makina ?nslal a?ion) Phone Number
?-
MINNESOTq STA2E BOAFD OF ELECTflICITY THIS INSPECTION qEnUEST WILL NOT
Griggs•MidwaY Bldg. - Noom N-797 BE ACCEPTED 9Y THE STATE BOqqD
1827 Univarsilv Ave., St. Peul, MN 55104 UNLESS PflOPEfl INSPECTION FEE IS
Phone 1612) 297.2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
'
Sae mstructions for comoleting this form on beck of yellow copy.
?
QO ??-ay ?` Be/ow Work Covered by This Requesf
AAtl Hep. TyOe o} Builtling ApPlinnces Wired EquiPmenl WireA
Home Range Temporary Service
Duplex Wa[er Heater Liyhtin,y Fixtures
Apt. Building Dryer Hectric Heatin
Commercial Bldg. Fumace Silo Unloader
InAustrial Bldg. Air ConAitioner Buik Milk Tank
Farm (nner peu v cnt:, Isuediyl
t er Sueci y i e, Oiher
Compute Aupection Fee Below
# Fee ServiceEntrenceSixe q Fee Feaders/Subfeeders 8 Fee Circuits
0 to 200 qm ?s 0 to 30 Am s e2 5.33 0 to 30 Am s
A6ove 2?0 Amps' 31 to 100 Amps 31 to 700 A s
Swimming Pool Above 100__Am s Above 100_Am s
Transtormers Irrigation Boortis $C; Partial-'Other Fee
Signs SpeciallnsUection 5
O
TOT F
Bemarks ?O.S EE
...r_
flouBh-in ?? Date , "e '
Insoectoq heraby
Final Uate certity that the above
1 aeceon nes eeen
fMS repuesi voitl 18 monihs irom
; Administration --Assessors Office
• City of Eagan
?'70 Eagan Minnesota
FROM
e erhardt
3250 WEST 66TH STREET
P.O. BOX 1385, MINNEAPOLIS, MINNESOTA 55440
SUBJ ECT:
Please pay in full the assessments on the Gary Bergler/ William C. Hutchins
property in the amount of $1,095.35 on Lot 15, Block 5, Oedar Grove No. 3
Please sent receipt to:
Eberhardt Company
Attention Joyce Miller
P o Box 1385
ktinneapolis,Minnesota 55440
Thank you
SF t*? `
1975
DATE 9 4 75 ISIGNEO Soyce Mi11er, Closer _
EBERHARDT MEMO
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?r
651-681-4675 ?
New Construdion Reauiremenls
• 3 registered site surveys showiig sq. ft. of lot, sq. fl. of hause; and ?II roofed areas
(20% maximum lot cove2ge allaxed)
. 2 copies of plan showing beam & window sizes; poured found desgn, etc.)
• 1 set of Eneigy Calculations
• 3 copies of Tree Preservation Plan if lot plaHed after 71153
. Rim Joisl Deiail Options seleGion sheet (bldgs with 3 or less units)
DATE C) ' -7-0 Ir
RemadeVReoair Reauirements
• 2 cupies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for extenor additions & decks
• Indicate if home served 6y seplic system toradditions
VALUATION .'? 162 3 S
JOB SITE ADDRES$ av-?--7 3, de Ik,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? v?A
PROPERTY OWNER(J?J_r-' , Ero,
C.lk'-L C"
iYPE Of WORKIec-- 0 FF- ?-.d reroo?=/?lr-r,cwcl ?-cs4 (_ howe ?6??eFIREPLACE(S) _J _ 1_2
APPLICANT liti,ndcw S+cr Hovr.e PHONE#-7daa3
ADDRESS ?a?aa 13„si,Y5S 13,k f31., d Cha„,n?.;, mN ZIPCODE 5,5-31 6
PAGER #
FAX # - !'a - ?38$ 3 .
NE1V RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su6mitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
CELL PHONE #
Water SoRener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I 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 Ordinanc .
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
Phone #:
Lawn 5prinkler Fce: $90.00
No. of R.I. Baths
_ Phone #
Fee: $70.00
Phone #
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124479
Date Issued:07/02/2014
Permit Category:ePermit
Site Address: 2077 Jade Lane
Lot:15 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-150
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 .
Amanda Peters
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 -
Cynthia M White
2077 Jade Lane
Eagan MN 55122
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
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• � ��.� � w�. �1-N
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� �lt Of �� �Il ' i����� �- -�
Y n i Permit#: ��J��.;�.�,
� 1 C�' /• a"� �'
383� Pilot Knob Road k � Permit Fee:__ -
Eay'an MN 55122 REGEIV�D j Date Received:�Q• s•�� �-'—
Phdne:(651)675-5675 I . i
Fax'F(651)675-5694 OCT 0 51��� � Staff��� i
. . L�_����_���������_J
2oos RESIDENTIAL BUILDING PERnnir aPPucaTioN
Date: ��'�.� ^ � Site Address:���� �.�}-�� 1���„��
Tenant:__ i
Suite#:
RESIDENT/OWNER Name: (�G� A� �.-(IV4r_�(, �`� Phone: ��� �,�2���Lj
/
Address/City/Zip: ,"�[�'� l�--D(.: L...f�1-, (�t�F� f}-..� �i'v �S/ �2—
Appiicant is: Owner �Contractor _ �
TYPE OF WORK Description of work:�m�l� �'�/�-~ ��; ��
T�
Construction Cost: 7 7 Multi-Family Building:(Yes /No�
CONTRACTOR Name: ,��q.� ��g°1�.a� j� �i���� License#:� � �� $ �fa�
• i Address: � �Q �j��/�,v,q-N
City: ��t7�-�?- State: '
�z�P: S��o:�
Phone: ��9 � •--�,2„� —� 7? �j Contact Person: 1�L%VC� ��J-Q( I�'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I
Minnesota Rules 7670 Category 1 Minnesota Rules 7672 �
Energy Code • Residential Ventilation Category 1 Worlcsheet • 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 dontractor. Phone:
Sewer&Water Contractor: Phone:
NOT�:Plans and supporting docvm�rt�s that yau sutirii�t are cansialerea�#c��,pubtr��nf�rrraatio�r Pvrfrons�f
the�nfo�r�atiara may b�c�assrfie�#as��r�'-pv�ilic=rf yo,v pr�av�de s��cifi�reason��ha�H+o�/d��rmi�li��:;Git,�i`o
� ` cc�rrcr'uale rtrat.rhe �r�tra�`�,s"ecr�ts ° '� ,
I hereby acknowP,�edge 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 untlerstand 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�he approved plan in the case of work which requires a review and approval of p ns.
• X -� � ���z. X ��� �
Applic nt's Pr nted Name Appl n s Sign re -
Page 1 of 3
����`7 ��pt��r �,n_ DO NOT WRITE BELOW THIS LINE 3����
SUB TYPES
_ Foundation�, _ Fireplace _ Porch(3-Seasan) _ Exterior Alteration(Single Family)
�Single Fami�ly _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi D�k Porch(ScreeNGazebolPergola) _ Miscellaneous
_ 01 of_PIe�C _ Lower Level _ Pooi _ Accessory Building
WORK TYPES
_ New _ Interior Improvement , Siding _ Demolish Buiiding"
_ Additian _ Move Building _ Reroof _ Demolish Interior
_ Alteratian � Fire Repair _ Windows ` bemolish Foundation
_ Repiace _ Repair _ Egress Window _ Water Damage
_ �ietaining Walf *Demolltion of entire building-give PCA handout to applicant
DESCRIPTION
Valuation I ����� Occupancy ��� MCES System
Plan Review Code Edition SAC Units
(25%_100°!�) Zoning � City Water
Census Coder Stories Booster Pump
#of Units ' Square Feet PRV
#of Buildings, Length Fire Suppression Requir�!
Type of Cons�t'ruction � Width
REQUIRED INSPECTIONS
Footings(Hew Bui(ding) Meter Size:
Footings{Deck) Finaf/C.�. R�uired
Footings(Additian) � Final 1 No C.Cl. R�uired
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Finai Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:�Rough In _Air Test _Final � Siding:_Stucco Lath _Stone Lath _Brick
� Insufatior� � Windows
Sheathing Re�taining Wall:_Foatings_Backfilt_Final
Sheetrocic Radon Corrtrol
Fire Walts Fire Suppression:_Rough In_Final
Braced Vllalls Erosion C �rol
� Uther:--��j-f�'�"��„�'�-
Reviewed By: i , Building Inspector
RESfDENTfAL'�FEES
Base Fee� �
Surcharge /�''���,r
Plan Review
MCES SAC ���� I,
�
City SAC
Utility Cohnection Charge
S&W Permit&Surcharge � � r �
Treatme� Plant
Copies
� TOTAL
I Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143199
Date Issued:06/07/2017
Permit Category:ePermit
Site Address: 2077 Jade Lane
Lot:15 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Cynthia M White
2077 Jade Lane
Eagan MN 55122
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144488
Date Issued:07/27/2017
Permit Category:ePermit
Site Address: 2077 Jade Lane
Lot:15 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Cynthia M White
2077 Jade Lane
Eagan MN 55122
(651) 424-9775
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature