2093 Jade Lane
Sep,13. 2010 12:45PM Norblom Plumbing No-3959 P. 1
Flame cut -per,
CVl7,? v2-7 --40 P®rm~t# I
City of EaEdR Cred t- l i c
3830 Pilot Knob Road I Permit Fee. J d
Eagan MN 55122 Cad-- P Mer'~ ~ Date Received: I
Phone: (659) 675-•5675
Fax: (659) 675-5694. i staff. I
1--------- ---~---I
2}}009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: V Site Address: __1j.1~& ! /
Tenant: Suite
RESIDENT I OWNER Name- Phone: t I 4f f 1~ 5 59
Address / City / zip:
CONTRACTOR Name: License#: Otp156j
Address: (612)
$27-4033
-
City: 2906 GARFIELD AVE. SO.
state: ~ Zip;
MINNEAPOLIS,
N
Phone:
Contact Person:
TYPE OF WORK , New X_ Replacement ` Repair - Rebuild Modify Space _ Work in R.Q.W.
Description of work: re - r aLlLt fi &GI.t -I v
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L._^. RPZ / _ PVB) Main , Lower Level)
Septic System Water Turnaround
_ New
_ Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Wafter Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abannd nrnent, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 518" meter is required)
$900.50 Septic System New ($10,00 per as built) (includes County fee and $.50 State Surcharge)
$90,50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $r50 State Surcharge)
TOTAL FEES $
1 hereby acknowledge that this information i5 complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this ;s 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 d review and approval of plans.
Applicant's Printe Name icanfs Signs ure
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CI7V OF EAGAN qemarks Cedar Grove Acquisition
Addi[ion edar Grove Lot 19 Bik 5 parcel 10 76702 190 OK
owner ???1 fl &-A) y, +.+r.S,.,,. 2093 Jacle Lane state Eagan,MPII 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOF.
GRADING
SAN SEW TRUNK
icSEWERLATERAL ??. 1972 1304.00 52.16 2
WATERMAIN
'E WqTER LATERAL 1972
WATEF AREA
STORM SEW TRK
STOflM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
ciTr oF KAGAN
3793 Pilet Knob Read Eagen, MN 55122 .? Y?•
PHONE: I54-8100
BUILDING PERMIT Receipt
Te M umd for CARAC:E/DECK/ALTEREst. Volue $7, 500.00 Dote An ri1 9R _, 19-83-_
Site Address 2093 Jade Lane E
t O
M
rec ccuponcy
Lot _ ?-9 Black 5 58c/Sub. Cedar Grove 3rd Alter }[j Zoning R-1
Varcet # 10 16702 3_9 0 OS Repoir ? Fire Zone Md
E 'Il
T
nlarye ? n
ype of Const.
c Name Richatd J. Laison Move ? # Stories
z
Addreu
2093 :7ade
I.ane
Demoltsh
?
Len
9th -la" Sarage)
ci Eagan 53122 phom 454-8900 Grode (3 Depth2 2-Sq. Ft.-
? J?ID T'1@ti¢ Acvrorols Fees
a Name
~ 1267 Dunberrv Lane
?? Addreu
1- r:...Eaean 95123 G54-41l17
Nome _
Address
1 hereby acknowiedge that 1 have read this ovPlication and state thot
the inlormafion Is correct ond agree to comply,With all applicoble
Stote of Minnesoto Stotutes and Cify of Eogan Ordira ces.
:
$ignature of Permittee " 7'- '-r
J3m Pietig /
Assessment Permit oa • w)v
Water & Sew. Surctwrge 4.00
Police Plan check
Ftre SAC
Eny. Water Conn.
Planner Water Meter
Council Rood Unit
Bidg
Off.
.
APC Total 579. Sn .
A Building Permit is issued to: -• on tha express condition thn+
all work sholl be done in occardance wirh-6fl, ' o(ppliwbl State of Minnesota Sfmufes and City of Eagan Ordinances.
,' ?` ?-'--
Buildin9 Officipl
Parmit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Wall
Water
Disp.
Sewer
Electric
Inspection Date Insp. Other
Footings s
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Final P16g.
Final HVAC
Final
Water Degcrihe LocMion:
Well
Sewer
Pr. Disp.
LiM1CvI.t A"' C. ?A?y- a?di?t'ovl? C?vv?.r?? c1?ek? M-ooof- bausF- 4- nec) s.?dcwton ?roK{-o?- ?oLt5l-c)
# oo
CITY OF EAGAN
PERNIIT
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of ener9Y calculations.
'ib Be Used For 6ao2WbeCklAAE? Valuation 500, o CD Date
Site Address: ?OQ3 S0.kf-- (SLVL?, OFFICE USE ONLY
Lot (R Block 5 Sec./Sub. Cedav`CvcovL,3''?grect )C Occupancy /A
Parcel #: 10 1 t070 Z/ QO O'?t Alter Zoning - l
Repair Fire Zone /U
Owner: R cck&t Y? d. *3? La rso r, Enlarge X ZYpe of Const.
Nbve # Stories
Address: aDQ? Sc?c?F_ [All- L?qmlish Fmnt 1$ ar0.? ft.
City/Zip Code: Eqq-0.Yt SS/ 5z IR Grade --- Depth Zz ft.
Phone #: ? Sy -$QD b APpROVALS FEES
contractnr•
Address: (?(D Dun,bEPV? tA{ti?.._
City/Zip Code: PkilOIK, MN s/-:z -a?
Phone #: ?Sy -3[0-?
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
Planner
Council
Bldg. Off.-
APC
Pexmit t", $' . s d
Surcharge y ? o C?
Plan Check
SAC
Water Conn.
Water Meter
Road Uni.t
nrrAL SI `1 ? I fS C?
CITY OF EAGAN N? ?J96O
I793 Vilof Knob Road Eagan, MN 55123
' PHDNE: 4548100
`BUILDING PERMIT Receipt
Te be wed hr GARAGE/DECK/ALTEREst. Value $7, 500.00 Date Ao ri7 28 , 19$3-
Sire Addreu 2093 Jade Lane Erea $$ Occuponcy M
Lot 19 glak 5 5ec/Sub. Cedar Grove 3rd qlter }[g Zoning R-1
parcel g 10 16702 190 OS Repoir ? Firc Zone NA
E
l Vn
T
f C
n
arqe ? onst.
ype o
W Name Richard J. Larson Move p # Srories
z Address 2093 Jade Lane Demolish ? Length1.$?garage)
ci Eagan 55122 Phom 454-8900 Grode p Depth-22.--Sq. Ft.-
rc N J1ID P1et1Q ADVrarals Fees
?G Add.ett 1267 Dunberry Lane
? C; Eagan 55123 phane 454-3107
G? Nome
fw
?? Address
<CiN Phone
I hereby ocknowledge that I have read this opplicotion and stote that
the inlormotion is wrretf and agr?e to comply h all oppliceble
Srote of Minnesoro Srotutes,Qrfd Ctv of Eag O irqnce5.
Sipnoturc of Permittea ?'
.71ff
A Buiiding Permif Is iszued to: _
oll work shall be done in xmrdonce
Buildinp Officiol
Assessment _
Woter & Sew.
Police -
Firc
Enp.
Plonner _
Councll _
Bldp. Off. _
APC
Permit
Surcharge 4.00
Plan check
SAC
Woter Conn.
Water Merer
Road Unit
Totol $72. SO
on the expreu conditlon Ihm
Stotutes and City of Eagcn Ordinoncea.
EAGAN TOWNSHIP
DESCRiPTION
N° ?
Eagan Township
Town Hall
na:E..i%1<9/!?.3._:. ?
._..........___.
Stories
- - To --e-Used For
B- Froni
- Depth Heigh!
- _Esi. Cos! Permil Fee
- Aemarks
-
- ,u..c?_ -
-
r? -
-
-------- - --
- LOCATION Sireef, Road or oiher Descripiion of Loaaiion .Loi Block Addition or Tract
.e .5- - aL i --- - - -- -
? ?- - f.-0- Al - s = 7
Z;_e?
Ttiis psrmii dces noi aufhorize the use of sireets, roads, alleys ox sidewalks nor does ii give the owner or his agent
the righifo create any siiua2ion which is a nuisance or which presents a hazard fo the healih, safety, convenience and
genesal we-fare io anyone in the communiSy.
THIS PERMIT N!UST IIE KEPTONQ,THE PREMISE WHILE TFIE WORK IS IN PROGr'AE55. , -
This is fo cerlify, .?,?8...... ..... has permission !o e:eet a._k ............ _...upon
---- ...'._.......------ ... .. _..
the above described premise subjeci io !he provisions of the Building Ordinance for Eag?Townshi Apri] 11,
1955.
_....--_.._...5.^.-i..^:i--U--?'-".----""":-.-.....-----`---_.. Per ?.`.":'?..?::....._ .............
Chairman of Tnwn Soard Buildr __ing" Inspecior 6 ? ?.
PERMIT# 530 RECEIPTDATE:
8008 MIDEPTlFtL PLUM$INfi PEtbI1T APPLICATION
crrY og EAsAiv
3$30 PQ.OT K1YOB iiD
f.A6!llY. Mft 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for ir(gation system
SITEADDRESS: p)o `3
OWNERNAME:: TELEPHONE#: 6S\'(.8v'7d4
(AREA CODE)
INSTALLERNAME: TELEPHONE#: ?? ? (obv' -7vIiLf
(AREA CODE)
STREET ADDRESS:
CITY: STATE: M}I Zlp;
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Addi
f
h
t
ng
ea
ers.
iMures to lower levels or room additions, excluding water softeners and water
- ?? $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new instailation/repair/rebuild $ 30.00
lawn irrigation system 1 g Z00Z
r?NOV
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
t $ Sa • $ o
ra
a1
I hereby acknowledge that I have read this appliration, siate thatthe information is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the appliwnt's responsibility to notify the property owner ihat Me City of Eagan assumes no liability for ny damages.9iosed by ihe City during its normal
operational and maintenance activities to ihe fadlities consWC[ed under ihis permit within C r /' h a??`asement?---
?
A ITTEE 1102
??? 2?0 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ciTV oF EAcaN
?R ?} 3 05 ? Zj 3830 PILOT KNOB RD - 55122
5-I`?-Oi7 851-681-4875
New ConthutMon Reaulremenh -
> 3 reglatered Nft wrveri ahowlnp sq. N. of loi, s4. ft. 01 houae
and go roofetl areas MO% mmdnwm lot covemae dbwedf
? s coale: of plcro (show beam e wtrwow slzes; aourea ma. aeslgn: eta)
> 1 E6f of 6n9rgy CCICUIaHons
> 3 coplea of hee preservaMOn plan H lot phMed afler 7/1/93
DATE: G / 1q/00
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D. M: Cec1GLY C) Vn
PhOne lf: ?o f" ICLO ?- 6(? ? f
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Flrd
Street Addteas: 1?rvvb TK'A'`J ? w
CNy E&??State: r? vP:
Company: at?- Phone #:
(area code)
Sheet Addroa: Ucer" # EXP•
citY
??'11 7?
2 copies of pMn
1 sat of en9rgy cdculatlons tor heoted atltlfllons
t aita wrvey tor exteAor adtliflau 9 decka
CONSTRUCTION COST: I O Q D
Stafe:
Company: Name:
Telephone t: (
Sheet Address: Regishaflon #:
Cly
Sfate:
Sewerhnrater Iicensed plumber Qf Instaliina sewerhxater): Phone #:
Zip:
Zip:
I hereby acknowledge thot I hwe read this appifcalbn, slate fhaf Ihe infortnalbn is aortect, and agree to comply wNh ap applicoble Sfate
of Minnesota Slatufea and CHy of Eagon Ordinances.
Signafure of Applicant
Certificates of Survey Recetved ?
Tree Preservation Plan Received _
OF CE USE ONLY
Yes No '
Yes - No ?! Not Required
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3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7?T ? T T
.IUL 17 2008 ??1I
-----------------,
? Fo[Odlce`Use ?I
? Permit #: aLl q?
I ? (] ?
? Pertnit Fee. .. . ? "?v .i
,i
j`-Datefleceived:.- .... 7 ?6
? Staff--------.------?I
2008 MECHANICAL PERMfT APPLICATION
Date: Site Address: -n lJ va6C. Wt1 `t
Tenant:
Suite #:
?ZX?)LKNM Phone:q(pJJ3tVI-IS31
N
RESIDENTlOWNER ame:
4`t ? 5 4'Lz
3 & h4
"
2
Address / Ciry / Zip:
V
1
?
CONTRACTOR
n
Name:
Address'
:55 ?Z
-
IMJ1 State: ?I?! Zip:
City: Z? 5 i
I
Phone: lUV 1`7iZ fY lv '
Coniact Person:
TYPE OF WORK - New -4-qeplacemen[ _ Additional _ Alteration _ Demolition
Description of work:
NOTE:.Bofh rooi mounted and ground mounted mechanica!'equlpmenf is required !o
be screened 6y Clty Code. P/ease contact the Mechanfca! Inspector os one of the
Planners far intormation on rmltfed screenln methads.
1?ESIDEN77AL COMMERCIAL
PERMIT TYPE Interior Improvement
Mew Construcfion
Fumace _
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ EMerior HVAC Unit "
_ • HVAC units must be screened
_ Heal Pump
.
Under / Above ground Tank L Install (_ Remove)
Other " When installing/removing tank(s), call lor inspection by Fire
Marshal and Plumbin ins etor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unif (inctudes $.50 Siate Surcharge)
$90.50 Fife fepair (repiace bumed out appliances, tluchvork, etc.) (includes $.50 State Surcharge)
_ $ !60 k:D TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 7%
$50.50 Minimum (inciudes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less then $1,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases by $.50 ior each ' _$ State SurCh3fge
$1,000 PermitFee (i.e. a$1,Op1•$2,000 Permit Fee requires a$1.00 suroharge).
$ TOTAL FEE
i here6y adcnowledge ihat Ihis inlormation is comple[e and accurate; [hat [he work will be in conformance with the ordinances and cotles ol ihe Giry at Eagan; lhat
I understand Ihis is not a pertnit, but only an application for a pertnd, and work is not to start withau[ a permit; that Ihe xrork will be in accortlance w Iha approved
plan in Ihe case of vrork which requires a r view antl proval of plans. ?
x Um c , ? ? x ,
App cant's Printed Name . App canYs ignature
FOR OFFICE USE - Reviewed By: Date:
Required Inspectlons: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112657
Date Issued:08/21/2013
Permit Category:ePermit
Site Address: 2093 Jade Lane
Lot:19 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-190
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Hanson
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 -
Damon J Wickum
4254 Minnehaha Ave
Minneapolis MN 55406--330
(651) 686-4538
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119665
Date Issued:12/11/2013
Permit Category:ePermit
Site Address: 2093 Jade Lane
Lot:19 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-190
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Damon J Wickum
4254 Minnehaha Ave
Minneapolis MN 55406--330
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142455
Date Issued:05/04/2017
Permit Category:ePermit
Site Address: 2093 Jade Lane
Lot:19 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-190
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 -
Damon J Wickum
4254 Minnehaha Ave
Minneapolis MN 55406--330
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature