2090 Jade Lane
Use BLUE or BLACK Ink
F------------
I For Office Use I SO4
,rte q -3 ~£3
City of Ea aIl I Permit#: -^1(j I.3n I
K I Permit Fee: 1P a`~2X I
3830 Pilot Knob Road I I~
Eagan MN 55122 j Date Received: ^'1;? j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: 6z I
- - - - -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:Gi - 29~, mi I Site Address: P olb ,Tae1e. LIM (~o oce~ ~-t tJ 5-5 i Z-7-
Tenant: e k4-i5 saltier r^+ elag e l 0-6- of Suite
RESIDENT/OWNER Name: NrAs ref ler M,c.,"t( a, e Phone: °l'~_Z- - Zvi 7,5-72)
Address / City / Zip:' jAef c ► ~.vc an N , r 6 51 Z Z
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
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: a
Licensed Plumber: Phone:
Mechanical Contractor: Phone: a.
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 the are trade secrets.
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.gopherstateonecall.org
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.
Applicant's Printed Name Applicant's M nature
Page 1 of 3
q Co .3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- 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
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units -
(25%_ 100%-,,~ Zoning R-1 City Water
Census Code Stories Booster Pump -
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: go" 1Z , Building Inspector
RESIDENTIAL F ES
Base Fee r 3
e~.
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Offrce Use
I I
Permit
Ol Ea
City
~Qjl I Z s
I Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: 7
Sp 09 Phone: (651) 675-5675 f I I
Fax: (651) 675-5694 I Staff: I
C&C I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:lV"1 Site Addre's~s:~~p ~~J►2,,(~ic,Ow/l iJ lr
Tenant: rlA t -.4 QlK_r M. i~3P,/t~,2g SuiteM
RESIDENT/ OWNER Name: e~~-kP.l1 Phone: Q~o~ 'o~~ c73
C"i
Address / City / Zip: ~0Q!UoAe,. l.,n, &Oa t"~ N aT5 I ZZ._
Applicant is: zr_ Owner Contractor
TYPE OF WORK Description of work: , i m,. o blod W Y. 7
Construction Cost: Multi-Family Building: (Yes / No -6-)
CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email:
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 the are trade secrets.
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.cioi)herstateonecall.org
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.
x0~! tS x
Applicant's Printe me A n ' 1gnat
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
4Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- 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
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows r wri"55
Insulation Retaining Wall: Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
CITY OF EAGAN Remarks Cedar ?'rY'OVe ACQUj9itlOri _
add?cion Cedar Grove #3 Lot 12 B,k 2 Parcel 10 16702 120 02
rl.....o. ...... .Zc- s?k« 2090 Jade Lane ?._._ Ea-aan.MN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 1304.00 52.16 2
WATERMAIN
' WATER IATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUR9 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECOR
CITY OF EAGAN PERMIT TYPE: ?'' I Iri I Mr,
3830 Pilot KnOb Road Permit Number. `? ttj f? '
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
Q . I . ,., ,
SITE ADDRESS: APPLICANT•
.? r,1?1 t?tfli ? ?, • i tlN'-. ? I;IIi_: j! i1F)
PERMIT SUBTYPE:
TYPE OF WORK: ,. f ?>ATI
Ofri? P, 111 ril,w 1 0. 1% aririi
L ?
----------------------------
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING , pG
7 7
ROUGH
PIUMBING I
I
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER i
I
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDFiOSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
EAGAN TOWNSHIR
N° ].082
Eagan Township
Town Hall
Date ?1a3_..---'-----------
Sitlriea
? To Be Used For Fron1. Depih Heigh! Esi. Cos! Permi! Fee . Remarks
-
S/ " v .[-eA..Q1`?.?i?° /ao, ?z-d '4ria-d -
sueet, xoaa or oiner nescnpxion ot i.ocation Loi 81ock Addiiion ar Traci . _j' - & I ? . - .
Set /9- /3!S - ?f? 'rt - S - 7 j / /e2 =' ' a.. ? ?+r-?--? /?Zj . 7r J'
This p?rm[i dces noi aulhorise the use of sireels, roads: alleys or sidewalks nor does if give the ownes or his agent
lhexight fo creafe anq sifuaSion which is a nuisance or which psesenls a hasard !o the heallh, safely, convenience and
general weifare fo anpone in the eommunity. -
THIS PERMIT MUST BE,I KE?PT O?N THE PREMISE WHILE THE ?WOAK IS IN PROGpRESS. ?- , Thib is fo eeriifp, ihaf..?,:.?.cstZ.,& ..._-?+?...-..°.------ .?,?A............ has permission fo ereci
a...d..._.._.., ... ------ ".._......_.......... upon
. . _ .
lhe.above described remise sub"eci fothe ?
p 7 provisions of the Building_ Ordinance for Eagan Township adop ed April 11,
1955.
_....__.........I???1rZ!C..?!......... U-..?-`-`"-.---"[-"'-..'."._ .............. Pea ........._.?.r'.?...._I?"`"?-`-t- __...__.... ....
.. Chairmen of Tnwn Soard . - _. / Suildring Inspecior
-. . . G?B.. . .
RESIDENTIAL
?? BUILDINC PERMIT APPIICATION
CITY OF EAGAN
3830 PILOT KN08 RD, EAGAN MN 55122
659•681•4675
New Constmction ReuuiremenU
. 3 registeretl site surveys showing sq. %. cNCt, sq. tt, of house? and all roofed areas
(20°o maximum lot coverage allowed)
. 2 copies of plan showing beam 8 window;;zes, pouced founa design, etc.)
• 1 set of Energy CalcWaiions
. 1 co0ies of Tree Preservafion Plan if lot Glalted akei 711193
. Rim Joist Detail Options selection sneel {ticgs with 3 or less unils)
DATE 10&Io Z
zs7Z
q q, ?), -5
rtemoaenrtavnr nvawmwe??w
• 2 copies of plan
• t set of Energy Calculatbns for heated adoitions
• 1 site survey for eatenoradAilions & Oecks
• IMica[e if home served by septic system for adCitioiu
VALUATION ?>SqO- op
SiTEADDRESS 2090 I?dt MULTI-FAMILYBLDG _Y
TYPE OF WORK a G?dfL FIREPLACE(S) _ 0_ 1
APPLICANT
STREET ADDRESS
TELEPHONE # (o51-14?'i^4328 CEIt PHONE #
X'N
_ Z
3,?STATOW ZIP 5r0g y
FAX # 69-KSI- 7orZ
PROPERiYOWNER gn?t, TELEPHONE# 6SJ'5L?&-3$3J
COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN\'ES<)"1':1 RULr:S 7670 C:\'1'1;COR1' 1 NIIVNFSO'C:1 R[:I.I:S 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submi[ted • New Energy Code Worksheel Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: -------- -------------------- Phonc # ----=---; '
Pluin6ing systecn includes: _ Water Soltener _ i.ativn Sprinkler Fee: $90.00 ?
I
_ Water Heater _ No. of R.I. Saths I ' i02 I;
_ No. of 13aths
Mechanical Contractor:
Mcctl.mico-il svstcm indudc;:
Sewer/Water Contractor.
-- Air Condiuoning
Hcat Rccavcry Systciii
Phone # - - -
Pce: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicobie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applieant oY/-r--
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
PERMIT
CITY OF EAGAN
_ 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuxLoxNs
Permit Nu mber: 033477
Date Issued: 0 9? 2 5? g$
SITEADDRESS: Zeya JADE LANE
LOT: 12 BLOCK: 2
CEDAR GROVE #3
P.I.N.: 10-16702-120-02
DESCRIPTION: T.O. s, REROOF
Builifira-g, Permit Type
Build'ing`Wqrk Type
lbensus Codei-,
;
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
r?
.:.... ,..=i ?_' _ _.._ ..... ..?__ ..
REMARKS:
FEE SUMMARY:
/? p??±?np - npfJl.la:alll. ?-
C J 1. Lll.' PISIVJ tCPuT'CR7l'?"B"P'C'ONSTRUCTTON 19412430 20113476 LN ROGER
8310 107TH STREET WEST 2090 JADE LANE
BLOOMINGTON MN 55438 EAGAN MN 55122
(612) 941-2430 (651)454-3831
, X hereby ack-nowledge that Y hawe-read this
° i,nformation is correct and agree to comply
Statutes and City ot Eagan Ordinanae.s.
APPLICANTIPERMITEE SIGNATURE
aP_PlicaGiQn andsCatethat th,ewith all applacable 5ta€e of' Mn.
?
--4SSUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. CITY OF EAGAN
3830 PII.OT KN?O; RD - 55122 q?
?-t ?
New Consfruction Reauirements
? 3 registered sde surveys
? 2 copies of plans (InGude beam 8 window saes; poured fid. tlesign; etc.)
• 1 energy wlalations
• 3 copies ot treo preservation plan 'rf lot platted after 7/1/93
required: _ Yes _ No
DATE: ?t3Z..?S. Iq?S
RemodeUReoair Reauirements
? 2 copies of pian
• 2 site surveys (exlerior ad0itions 8 decks)
? 1 energy caleulations for heated addkions
CONSTRUCTION COST?1?437?
RIPTION N OF WORK: J,j r oft2?1'eo fDC?' SZoVYN 121?cP
DE,SC
STREETADDRESS: L.YI. _
LOT: ? BLOCK: ?- SUBD./P.I.D. (U ?/'e
Name: 15::5irYlste11A ?--b"C ec Phone #:
PROPERTY Firsy
OWNER ? !V ?1?'L? ?° G?r(
Street Address: <
City ?,aQ ah State: .021 c Zip:
Company: /?1-C ??()5' ??/ `?JYJStL6 (JC?-/O? Phone#: I,.`? ? -? v
CONTRACTOR
Street Address: ? ? J L r License # aRe/ 76
City -Fl O6M C i1 ??x State: Zip:
Lll/
ARCHIT'ECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
Ciry State: Zip:
Sewer & water Iicensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
1 hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _
Tree Preservation Plan Received Yes
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115131
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 2090 Jade Lane
Lot:12 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Christopher M Hentges
2090 Jade Lane
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature