2089 Jade LaneCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?T? 93V
PHONE:454-8100 L, ,
BUILDING PERMIT Receivt # ' °? ? ? -7
T. b. mae 10. 1\1 r47 GP.R/CLOSR ?'ci Vo?k $4, 000 o„r> :4AY 1 lQ 84
SiteAddress 2089 'TAnF' LANF
Lot 18 Block 5 ce./s.b. C£JJ rnovF 3
ParcelNo. 10-16702`180-0$
m nlame JEPFREY f1. D:F.P?ELL
Z Address 2089 JADE LANR
3° City EAGAN phone 454-2065
9 Name DORAEILT ASSOC INC
Erect [] Occuponcy „`
-
Alter v
[f)- Zoning Ri
Repoir ? Fire Zone
Enlarge ? Type of Const. Vn
Move ? # 5lorie5
Demolish 0 Length 20
6rode ? Depth ZI Sq. Ft.-
ADVrovals Feet
oU Address 9343 A1?7N C7.' Assessment Permit ?
ug
CitY EDEN PR phone 938-9350
Water85ew.
Surcharge-
p Police Plnn check _
Neme
Fire
SAC -
?? Address Eng. Woter Conn.
?W City Phone planmr WoterMeter
Council Rood Unit-
I hereby ackrwwledge fhat I hove read this application and state thot Bidg. Off.
fhe inlormation is wrrect and ogree fo comply with all opplicable
State of MinnesoM Stotute
sn
d City
of Eogon Ordirw
n
ces. APC Totcl -
/
?
/
/
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f ?B'Z a ?+?'Cfi' /
C?(
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.tr
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-
1
Signature of Permittee 0".
DURABILT ASS(`(' ZNC
C
c
c
A Building Permit is issueA710-? ?? on the express condition Ihni
nll work sholl be done in'accordonce wifh,alt oppliiable Statt of Minnesota Statutes ond City of Eopan Ordinances.
Buildinp Officiol ??? t'?
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Wall
Water
Disp.
Sewar
Electric w a?oa5 ??-(C 5/sz( s y t o. o 0
?57 64fC ?U84 2?_e>
Inspection Datt Insp. Other
Footinss //.?? 9
Foundation
Framing _,>/
Rough PI6g.
Rough HVAC
Insulation
Finel Plhg,
Final HVAC
Final - ? 41*
Weter Descri6e LocMion:
Well
Sewer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55727 ."`
PHONE:454-8100 ;
BUILDING PERMIT Receipt #
To6eusedfor DECK EsLValue 01,000 Date AUG 2A , 1990
Site Address 20$9 3AllE LN
Lot 18 Block S Sec/SubCEDA$ GROVS 3RI)
. OFFICE USE ONLV
Parcel No. occuPanoy - Fees
W ???MHL
Name Zaning
(ActuaqConst
BId9
Permit
25•00
; 2089 JADE LN
Address (Allowabie) -
- . .30
?
City EA? Phone 454'a?'5
# of Stories Surchar e
9
16' Plan Review
Lenglh
?
o LLE CO@1STRFIC'[ION
Name
oepm 10'
SAQ Ciry
o? Address_12921 HEPYI'3$TJ RC1 S.F.7otal
U? Cjty aU?$VI?''? PhOne $9¢7&3O S.F. Footprinis _ SAC, MCWCC
t
r C
W
. On Site Sewage onn
a
e
w Name On Site We11
W
[
M
t
? - er
a
er
e
s3 Addr855 MWCCSystam
Q? Acct. Deposit
aw Clty _ PhOnB Ciry :"Jater _
PRV Asquired 5/W Permit
I hereby acknowlege tha[ i have read this applica[ion and state that the Boostet Pump - S/W Surcharge
information is correct and agree to compty with all appiicable State of
Minnesota 5[atutes and City otEagart Ordinances.
;
' Treatment PI
f
T
Signature ol Permitee / e°'' e - APPROVALS Road Unit
A Buildinq,Permil is issUed to: ?"? '??R?'u{` Planner - park Ded.
on ihe axpress condition ihat all work shall 6e done in accordance wifh all Council .50
applicable State of Minnesota Statutes and City o( Eagan Ortlinances. gld9 pp _ Copies
f . 26.00
,
Building Official ' " Variance TOTAL .
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELEC7RIC
Inapectlon Date Insp. Commems
Footings I
FowWation
Framing
Raoting
Rough Pibg.
Rough Htg.
Isul.
Freplace
F.inal Htg.
Final Plbg.
Const Meter Plbg. Inspeclor - Notify Plum6er
EngLlPlan .
81dg. Final
Oxk FIg.
DeckFinal
Well
Pr. Disp.
CITY OF EAGAN Remarks Cedar GrOVe ACp uisitiori
Addition Cedax Grove #3 Lot 1$ Blk 5 Parcel 10 16702 180 0,?'i
Owner Street 200 J8Cle L$T18 State F.,3g 2ri+M 55122
Improvement D7te Amount Annual Vears Payment Receipt Date
STR E ET SUR F.
STR E ET R ESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL 1972 130h.00 52.16 991.04 003406 12-17-76
WATERMAIN
WATER LATEFAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
s requesl void 4qq55
16 months from
Wi 060 057 L1g8 5 G_t 11roJ?3
_VL/8'/
a-b- av
Fenuest Oaig. ^
?
V Fire No. Rouph-in InsDection
?d? ?/
?ReaAyNuwWillNOtilv,lnspec-
??
S 1'es ?NO or When Ready
ivnsetl Eleclrical Contrec[or I hgreby requast inspection ot ebove
? Owner elecVical work imtelled at
Sveat Atldross Bux or te No
0?5-0? A?e ?-F1-?ve. Cit
!1-g-"s
ecuon o. Township Name or No. PanBe No. Cnwnly
Occupan?INT tc,
A)? I
eC
Phone No.?-?Q? ?
Power Supplier Atldress
Electri Cit actor ICgyppapy Namo4?e
? CPl.ec c Conhar.lor's License No.
.3 '"l`?'v-z!
Mailin0 Addross (ConVa tor or Owner Making Instail
? ? n)
o Y? r?r b,?a ??o? -Mku?r.oe,?vK ?*--?'?
AuMorizetl SiBna (Contrac[orn`r M ing nsLillalionl
w Ph ??mborv
1/
MINNESOTA STATE 80AND OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Midwey BIAg. - Room N-191 BE ACCEPTED BV THE STqTE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS
o.--- m11, eov 11- ENCLOSED.
y4 455 REQUEST FOR ELECTRICAL INSPECTION? EB-00001-04
?
Sea inatructions for comoheting ihis rorm beck of yellow copy. 7lLlg?
"X . ?BeloOW?`Qoe?d by This Request
Add Rep. Typa ot Building Appliances Wired EQUipment Wired
Home Range Temporary Service
_ +. Duplex
Apt. Building Water Heater
Dryer Lightiny Fixtures
Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
F2rm Other uea v UihAr fSUCr.ifyl
t Ir SV?:?:?iY Other Other
Compute Inspection Fee Below -
p Fea Service Entrence5ize tt Fea Fendars/Subfeeders H Fxe Circaits
0 to200Am s 0 to30qm s 0 to30Am s
Above 200 qin y. 31 to 100 qmps 37 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation BooR.s 4S-O Partial-'Other Fee
Signs Special Inspection TOTA
Remarks d?"'/?Ii
"? "'
016?? E
?
/
'
b
Rouen-in
Final
? o: P?
D" , ne e ?i
Inspactoq heroby
arli(V that the above
inspection hes bean
made.
TMwrwnunxtvolr118manlhstrom {/? ?, ?f'"'V/
o=1 y
. . L%sP 0Id
To Be Used FoW
Site Address jojW
Lot lfl B1oCk
Parcel #: / i
CITY OF EAGAN Include 2 sets of glans,
1 Gertificate of Survey,'&
BUILDi14S PERMIT APPLICATION 1 set of energy calculations.
Valuation IL ?/>'1)IJ Date
'zv_ OFFICE USE ONLY
Sec./Sub. ?'??/9_L"i3 Erect N OccuPancS' ?I/?,• ?
067IAlter - ?7? zonin9 IZ - l
Repais Fire Zone
aaner: Enlarge Type of Const.
Address• Nbve # Stories
Delrolish Front Z o ft.
City/Zip Cocie: Grade Depth 2, Q ft.
Phone
Contractor:
Address:
City/Zip Code: „ 1 0C S"s"3
,
Phone # : q.j 2'
Arch./Eng.:
Address:
City/Zip Code:
PhOne #:
APPROVALS FEES
Assess[ients Permit ?
?aater/Sewer Surcharqe q .?--
Police Plan Check
Eire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. O£f.
APC
z??-
TOTAL
CITY OF EAGAN
? '- ? 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N° 9024
_ PHONE:454-8700 [J
BUILDING
PERMIT ?
Receipt # ?
Te 6e u?ad 4or NBW GAR/CLOSE ?binlue $9 ? 000 Dare - - MAY 1, 19_ 84
SiteAddress 2?89 ?TADE LANE Erect [? pccuponcy Ml
Lot 1$ Block 5 ?ec/Sub. CED GROVE 3 Alrer [?j Zoning R1
ParcelNO. 10-167O2-1H0-OS Repoir ? FireZone
Vri
e ? T
e of Const
Enlar
yp
.
g
? Name JEFFREY M. NEWELL Ma? ? # Stories
= Address z089 JADE LANE Demolish ? Length_??
? City EAGAN Phone 454-2065 Grade ? Depth 24 gq, Ft.-
? DURABILT ASSOC INC Avv?ovals _ _Fees
? Name
?? Address 9343 ANN CT
? City EDEN PR Phone 938-9350
Name
Address
City Phone
Assessment -
Woter & Sew.
Police
Fire
Eng.
Pbnner ?
Countil _
I hereby ackrwwledge ?hat I have read this opplication ond s?ate that g?dg. Off,
the inlormotion is correct and agree to comply with all opDlicable APC
State of Minnesoto Statutes .?a//n Cify/ yg? E on Ordin?o?naj? s./
Slgnature of Pertnittee ?w^"?`?U': ?+"!'?-t ? IS??ES F?
Permit S 74.50
Surcharge 4 _ 5 ?
Plan check
SAC
Water Conn.
Worer Meter,.
Road Unit
----? ? o a
Total
A Building Permit Is issue . DURABILT ASSOC INC on the express condition thn?
ol? work sholl be done in? ccor n e,?w?if(h/? o,,ll o ble Sfate of Minnesota $totutes and Ciry o4 Eagan Ordinonces.
Building Officlol `?J `^-^-a' ?'e?_?'R`-r+?
?fl
F.t
CITY OF EAGAN (?? 18297
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454- 8100
? %1
?
BUILDING PERMIT
b
Receipf # ??/
g
To be used for DECK Est. Value $1, 000 Date AUG 24 , tg 9
Site Address 2089 .IADE LN
CEDAR GROVE 3RD
Lof 1$ Block 5 Sec/Sub.
OFFiCE
USE ONLV
Parcel No. occupancy _ Fees
zoninq
-
m Name JEFF NEWEHL (ACtual) Cons! Permit 2 5-(10
Bldg
W
o AddreSS 2089 JADE LN -
(Allowable) - .
Surcharge -SO
Ciry EAGAN Phone 454-2065 #orsmdes -
16, Planqeview
Lengih
o Name LEE ON R C ION Depih LQ' snC
ci
_ ,
ry
U AddreSS 12921 H NN N S.F. To1al
SAC,MCWCC
¢ Cj»r RitRN_ SVTT.T-E phone 890-7830 S.F.FOOtprint5 _
t
C
W
On Site Sewage a
er
onn
ww Name onsiewen M
W
w
?30
Addfess _
MWCC System -
aler
eler
aw City Phone Ciry Water _ Acc1. Oeposil
PRV Required - &W Permit
I here6y acknowlege ihat I have read this application and state that the Boosier Pump - SiW Surcharge
informalion is correct and agree to comply with all applicable State of
Minnesota StaW[es and CRy of an Ordinances
. 7realment PI
?
SignaWre of Permitee
V ? APPROVAL$ Road Unit
A Building Permit is issued to: ON R CTTON Planner - park Ded.
on the ezpress contlition ihat all work shall be done in accordance with all Councii 50
applicable State ol Minnesota Statutes and
C
iry of Eagan Ordinances. gld9_ pff. _ Coples .
y
,
BuildinqOfficial I?ln fty?r?,LIy ?I???
1 ? Variance - TOTAL 26.00
EAGAN TOWNSHIP
BUILDING PERMIT
owne: Le.?_ ?C?'•7-.. ? .
._._ . ..............
_ ....
Addxess (preaenf) ... . ?
....... 1??- '.-. ...__ ..._...._..._._._._._
Builder ........ _.._............. ..................... __..__...._--.........._........---??--
Address ...... ........ ................ _....
LOCATION
M 1180
Eagan Township
Town Hall
Dale .. /?/?/L `? .............
asree:, noaa os oxner uesaripxion ot yaeeiion Lo} Block Addifion or Traaf
?--
----
This pexmit does nof auihorize the use of sireefs, roads, alleys or sidewalks nor does ii give the owner or his ageni
the righ} to create any sifuation which is a nuisanee or which presenSs a hazard to the healih, safeSy, convenience and
general welfare !o anyone in fhe communiiy.
THIS PERMIT MUST BE K£PT ON 'XH•£ PR`EMISE WHILE THE WOAK IS IN PAOGAESS.
This is to aertify, ihat_.?.Z1_.?L.??.?...(td__haspermission fo erecf a..__??....._.._ .. .....__......?..___.. pon
the a6ove dcscribed premise subjeci to the provisions of the Building Ordinance for Eagan T nship adopted ril 11,
1955.
......... __.....:.._...._....WS.lJ?/?.??'V4f Per .... ......_!r?-f-_Gl..?.t/...__.
Buildi?.a.?ng .X I-nspecSo
Chairman of Tnwn Soard Qc :,Lj
f !
o-?-?
Q?J
EAGAN TOi10/N S 1-i I P
BUILDINC PERMIT
d 0
o`Z/ vs i-?-ci I 3/G N? 1060
Eaqan Township
Town HaU
Dafe ---- ........._.....___'...._.
- LOCATION . ?
Streel, Road or olher Descnphon of Location I Lo! Slock Addifion or TraM_
- ? ? - ` •- 9 -:o - ,C3t 3
ti-s- 6-:?- 17-a-ao-
- ---
This permii ?oes nof avihonz'?'?e ?he use of slreeis, roads, alleys or sidewalks nor does it give the owner or his egent
the rightio cieafe any siiuation which is a nuisance or which presenSs a hazard !o the heal3h, safety, convenienca and
general welfare fo anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHIL£ THE WOAK I5 IN PROGRESS. ?
This is !o eer3ify. !hal.C... {, . _._...?0_?........... ??
. _.
._.has permission io erect a... .?..eK_.../-? -- - . r
.eC ..... --.....---..upon
the above dEacribed premise subjec! !o the provisions of the Building Ordinanee for Eagan TdWnsliip adrbpted April 11.
1955.
IIC.`GCS.LC-L? ?Q-C
.... ......... . _
.......'.............. ........................... ............ ....__..._.... Per ._...... ..?'wL,t.K...,?J?'?t ..?.,__........
Cheirman of Tnwn Boerd !Auilding Inspeaior
c • /g.
t134q? REQUEST FOR ELECTRICAL INSPECTION 6-00001-04
? y
' See insimctions tor com2'eting fhi? form on back o7 yellow copy. SIL?, ?
-?? -0.600 5 5
"X" Below Work Covered by 7hrs Request
k Fee ServiceEntranceSize k Fee Feeders/SUbineders N F Circaits
0 to200qms 0 to30Ams Oin30An!s
Above 200 qmps 31 to 700 Amps I 31 to 100 q
mming Pool Above 700_A Above 100_Amps
Tra? brmers Irrigation Boorts A?-o Partfab`Other Fee
SVecial Inspection $
na1
I, the ETe?
Inspector,
ceni/y tha
TM1isrwnunst
.hisje4riem ?a,d . q 3vR-7
I8 momhs lrom
W060055 L(S B5
ca 'yJvaiw 3
5fa?-(g ?(
Request U3
/'1 ? Fire No.
I Nough-in Inspection
fleqwretl? _
?Ready No ?II Natify InsPec-
?
?
??
Yes o
?
?or When peady
? Licens?d ElecVirahontracmr 1 hereby request insoec[ion ot above
? Owner electrical work imtalled eY
Street AAdress, euz or oute N
D S`f J ? l•pwe Gi[Y
h-xJ
ecuon o. Township Name or o. Ranpe o. Covmy
Occupnnt NT?
q-` Phone Ne, ? w?
ow 5--
Power $upplier Address
Elec[ricpptractg,4qPmpany amel
K L Contraclor's License No,
395.Z(
Mai in AdJress I onVacmr or Owner Makin tallationf ? ?
1616 `f rwt?2?rX p?o?~?Ktdve".*
Authorized Sip ure (COn[rac r/Own Making Installati
I I A
VV • PhorreQ Nur
? y
MINNESOTA STATE eOAHD OF ELECTRICITY 1 THIS INSPECTIpN REQUEST WILL NOT
Grigga-Midwey Bltlg. - Noom N•191 gE ACCEPTFD BY T1iE STqTE BDABD 1827 Univarsity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTIOIY FEE IS
Ph....e Ifi121 29].2111 ENCLOSED.
2006 RESIDENTIAL BUILDINC?i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Conslruction Reauirements
3 registered sife surveys showing sq. ft of lot sq, fl. of house; and all roofed areas
(20% mazimum lot coverage allowed)
1 Soils Report if proposed 6uild'mg is to he placed on dislurbed soil
2 mpies ol plan showirg beam & window saes; poured found design, etc.
1 set of Energy Calcutations
3 copies of Tree Preservabw Plan if lot platted after71153
Rim Joist Detail Op6ons selecUon sheet (buildings with 3 or less unils)
Minnegasco mechanical ventilation form
RemodeVReoair Reauiremenls
2 copies of plan showing footings, beams, joists
1 sel of Energy Calculations for heated addifbns
1 site survey for add'Aions & decks
Adddion - indicate if on•sife septic system
Telephone #(
Date oll-l
Site Address -2 (?D ccS ? Construction Cost 2 S? O
Lc, K e UuiUSte #
Description of Work ?r -rgr5l?/ a!? (pG C ..LHSei? f`H?o ?X??'Yn? T'???/??
Multi-Family Bldg _ Y
_ N i
Fireplace(s) _ 0 X 1 _ 2
PropertyOwner 64?,., oDc,3 /GS Telephone#( )
Contractor r? y /
d /CqC r
VU l? SSi ?-1 U /S
(
AddreSS S?z/9 -7
State e
fv, E. City
Zip Telephone #(G (Z) Z 3 7- 6? TG
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculadons Submitted
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
afi?e use b?Fi
CedofS?rv@YRecd "N
Tree Pres Plaii ReGd ': --Y =N
ireePresRequfred' ?Y N
Drr-siteSepNc.6ystem?`?,?;1?, :1?
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Pernut and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
?r 5
ApplicanYs Printed Name App ' anYs Signature
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
? Permd
I Permit Fee:?
? Date Receivetl:
I Staff: I
I I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:. 7110 SiteAddress: ;089 jl?/? L^
Tenant:
#:
RESIDENT/OWNER Name: DOI dro Phone:t//,
AddresslCdy/Zip:
Appiicant is: _ Owner _V, Contractor
TYPE OF WORK Description ofwork: 'ecrao
Construction Cost: a*7ed Multi-Family Buiiding: (Yes _/ No
CONTRACTOR
G
Name: 6iie-!7rce9 License #: _1P1a5'4 -7a-6
Address: 970 4116ynwmi d A?-
City: S01• ???? State: /"A? Zip: SSi/z,/
Phone: ('6S!'r}aq_3i?o Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contrector: Phone:
(VOTE Plans and sqpporting iiocomerrts that you submif areconsiitered to be pubiic infaimation:,?Portions of
?
the ?forinaUpn may be clas"srSed,as, rion pubticif you provide sReCrfk,rea`sohs that wduld permit the Crty to
y
nclude_ffiatthe 'ar'e?tradesecrets
I hereby acknowledge that this information is complete and accurate; that the work will be in conformanca 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 permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
,A4"fG- ;,01?.lo.
Applicanfs Printed Name ApplicanYs Signature
Page 1 of 3
2511
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reouirements
• 3 registered sde surveys showing sq. ft. of'ot, sq, fl, of house: and all mofetl areas
(20%maximum lot coverage allowed)
• 2 copies of plan showing 6eam & wicdow ;iz:s; pouretl fountl desiqn, etc.)
• 1 set uf Eneryy Calculations
• 3 copies olTree Preservafion Plan if bt platted aAer 711 193
. Rim Joist Detail OpGons selection sheet (tiags with 7 or less unils)
DATE /0I7 /o'i
SITE ADDRESS 2039 LVx MULTI-FAMILY BLDG _Y ?N
TYPE OF WORK 12FIREPLACE(S). _ 0_ 1_ 2
APPLICANT LJgrt.??+-i1 ..? ?n5`'•
STREETADDRESS AS64h go.a?.n,,al -,4t*,. /U. CITY S40&-? STATEM-Aj ZIPSIb"kZ
TELEPHONE #W-1435-4310 CELL PHONE # FAX #(aS1"3S I-bb9?
PROPERTYOWNER Car,,.aR, 04Ak.. TELEPHONE#(o'l'?f4SZ^I51/L
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Ener Code Cate o tiiYt?SOT? [;ES?
9Y 9?Y 1I[\\'rSOT.\ 1tliLIS 7670 C:YCLUORY l . ?, ?,
(d su6mission [ype) . Residential Ventilation Category 1 Worksheet Submitted • I?ew Energy Code Work
• Energy Envelope Calculations Submitted I C^T 40?? l???
U
Plumbing Contractor:
Plumbing system iilcludcs:
Mechanical Contractor:
N[cchcuiical sysLcIu includcs:
Sewer/Water Contractor:
RemodeUReoair Rauuiraments
. 2 copies of plan
. t set of Energy CaIcuW6ons for heated aadi6ons
• 1 site survey for ealedor additions & decks
. indicale if home served by septic sys[em for additions
Phonc # ` - - -
i1-fa.`-1 t??
------------------- .
_ Wa[er Soltener _ L..uvn Spnnkler
Water Heater No. of R.I. Baths
No. oF Badis
Phone #
Air Condiuoninn
Hcat Rccovcry Syslcm
Phone #
I hereby acknowiedge that I have read this application, state thaT the information is correct, and agree to comply
with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
SignafureofApplicant
OFFICE USE ONLY
VAWATION ?Q45 00 - oo
Fee: $90.00
Pce: $70.00
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4/02
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: lOxim "Dzce- Valuation: %"= Date
Site Address . -?Osq `Jwu%?
Lot ? Block 5
Parcel/Sub CeAY CPayC
Owner --jjiff' .a/•e?.eAL
Address ?pAq
City/Zip Code
Phone 49'4 Contractor /?c? C.?,cr7.reee`f•--?-
Address 2,gS'a/
City/Zip Code
Phone b"1?'J-']$,?.c7
Arch./Engr.
Address
Gity/Zip Code
-aa -90
/OV p OFFICE
!
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length /b t
Depth 10'
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
ONLY
FEES
B1dg. Permit ?,CX0
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies -5-O
SUBTOTAL
Penalty
TOTAL
APPROVALS
Planner
Council
Bldg. Off. irao;
Variance
Phone #
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55722
?
?o r 651•681-4675
lO
New Consh?Mion Rea?iremenh Remotlel/Reoair Reauirementa
? 3 regisfered sMe surveya showtng sq. B, of lot, sq. H. ol house . 2 copies of plan ( r r? ?
and all roofed oreas (20% maximum lof coveraae allowed) 1 set of energy ealc?? heafed addtliona
? 2 copies of plans (show beam 3 window sizes: powed fnd. deslgn; etc.) 1 sRe survey for euferior addMions i decks
D 1 sei o( energy calculotions
R 3 eopies of hee preservation plan R lot plalled afFer 7/1/93
DATE: CONSTRUCTION COST? 00, e&)
DESCRIPTION OF WORK: CS.Q-.a q ?
STREETADDRESS: dC??? ?]0?0? ?Q??
LOT: BLOCK: ? SUBD./P.I.D. #:
Name: Phone #:(?S 1J D^ ? ? 1 Z
PROPERTY Lan Fint
OWNER SheetAddress:
City State: Zip:
Company: a? Phone #:
(area code)
CONTRACTOR 1
Street Address:_ D `? Z c,\, N-, (s.? License #ao0 ?Xp. 3, 31 "?
City State: Zip: s?
T-`
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Sewer 8 water Itcensed plumber (reauired for new conshuetfon onlvl:
State:
PenaNy applies when address change and lot change is requested once permR fs issued.
Zip:
I hereby acknowledge that i have read this application, state fhat the inFormaBOn Is correcT, and agree fo comply wBh all applicabl
State of Minnesota StaTUtes and CHy of Eagan Ordinances.
Signature of ApplicaM:
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes No
i
Yes _ No _ Not Required`
RegistraNon #:
?? 4-10 ?-b
'r IJ ?' J?. •
,
Peggy Adler
5353179thI•nNW + - -
Ramney,
!S .S()
2005 RE5IDENTIAL PLUMBING PERM{T
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN
651-675-5675
APPLICATIOfd
MN 55122
Please complete for modifications to existing residential dwellings.
Date S? / ! OS I I ?? ,
Site Street Address cicJgg V"?- J- _ ?-?W ,
Unit #
Property Owner BrlQ,f\ Telephone # ( )
Contractor ( l L Q.Al &YIS 1 /f.l.6YlU{ /e1 Telephone #(743) 7SS &(16r
Address' n Q?}• A//,c), City Zj XQ?ptdS State Rk), Zip i
The Applicant is: _ Owner V Contractor _ Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater 15.00
_ new _!Ll/replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
`f?Ql,?,? 6r_"IC?
?
ApplicanYs Printed Name ApplicanYs Signature
r________________
For Office Use I
City of Eaall Permit G
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1_6 7 Site Address: 2 O C/ Tenant: Suite
RESIDENT/ OWNER Name: a+ C'a ~rwlst i(tl~^ Phone: S l - qJ: a / Lf L2
Address / City / Zip: h-cz- •2---~ ^4, J~ ~2
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 49~2~ .1
Construction Cost: 9~2 Multi-Family Building: (Yes / No n )
07 0 9 O / 7
CONTRACTOR Name: License ac
Address: 5S/
City: State: Zip:Q, A
Phone: 3 `45 Contact Person: RT L t'C
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
(I 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 co ance 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 r is not start without per th the work will be in
accordance with the approved plan in the case of work which requires a review and a oval of plans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110926
Date Issued:06/04/2013
Permit Category:ePermit
Site Address: 2089 Jade Lane
Lot:18 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Carmen C Douglas
2089 Jade Lane
Eagan MN 55122
(651) 452-1412
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117433
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 2089 Jade Lane
Lot:18 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-180
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Carmen C Douglas
2089 Jade Lane
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136209
Date Issued:05/02/2016
Permit Category:ePermit
Site Address: 2089 Jade Lane
Lot:18 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Carmen C Douglas
2089 Jade Lane
Eagan MN 55122
(651) 452-1412
Sears Home Improvement Products
1024 Florida Central Pkwy
Longwood FL 32750
(407) 551-6000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144636
Date Issued:08/02/2017
Permit Category:ePermit
Site Address: 2089 Jade Lane
Lot:18 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-180
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 -
Carmen C Douglas
2089 Jade Lane
Eagan MN 55122
(651) 452-1412
Freedom Heating & Air Conditioning Inc
724A Harding Street NE
Minneapolis MN 55413
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
For Office Use
. it i ,a :::ee:
: H yo co 1
#.:�. E AG A N
/ 7J3�-.7 IRE,,,, . 0 -*),
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 . ,I
(651)675-5675 I TDD: (651) 454-8535 I FAX: (651)675-5694 APP 3 0 20thStaff:
buildinginspections(a�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
41,/ /2075 ,
Date: Site Address: Unit#:
Name: ` �„/�”j id LSC'Ia`) Phone.L>! ✓ "b llJ
Resident/ ��_�
I Owner Address/City/Zip: �� o L'
Applicant is: Owner Contractor
J f X
C.
Type of Work Description of work: / /� /
Construction Cost: `i'k Multi-Family Building: (Yes /N6 )
[----- A , ,,,,
Company: / &/ Ork o` e,r0 (4176;1-5 7 Contact. -7 ,-1/.--- COP
Address: (S, c/ / /1-4-1\6:-.)-- City: 6-W
Contractor j
State: l NZIp: ,, 372
Phone(/ 5/9J mail ft- /ô f2C,50"I 11i' {f / 4'isA
1License#: .4C< L/77 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
. COMPLETE THIS ; -EA 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:
Fire Suppression 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 ublic if ou rovide s ecific reasons that would permit the Cityto conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.qopherstateonecall.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
accord5ice with the approved plan in the case of work which requires a review and approval f plans.
x g AA/ 3 (-4-4-1
/
Applicant's Printed Nartie Applicant's Signature
DO NOT WRITE BELOW THIS LINE 1"41 cid_ r
SUB TYPES
Foundation _ Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi iQ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex — Lower Level _ Pool Accessory Building
WORK TYPES
O New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION i
Valuation 4 3�� � ' Occupancy _J-2 – J MCES System
Plan Review Code Edition Yy,4 20 I" SAC Units
(25%_ 100%3) Zoning R-3 City Water
Census Code Stories Booster Pump
#of Units Square Feet 2 5 2 PRV
#of Buildings Length /'f Fire Suppression Required
Type of Construction Ug' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) `x:% Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick—EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Inki< f,9 , Building Inspector
RESIDENTIAL FEES
Base Fee 0 41/.s. Coc> 59 • lAte-
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
(01-\W-' ,'e-FrEry a,. 0t 1
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157588
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 2089 Jade Lane
Lot:18 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Brian Tstes P Douglas
2089 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