2110 Jade LaneEAGA.N TOWNSHIP
BUILDING PERMIT
Stores To Be Used For _Front Depih I Heighf• Esi. Cosi Permii ]
/d-a/ 07_4? ?YA-d
' LOCATION
. Sfreei; Aoad or ofher Descripiion of LocaSion Lo3 Bloc
N°1082
Eagan Township
Town Hall
?a:z .1i1r 9 /c?
Addifion or Tracf
8'?
This permiS dces noi auihorise the use of sireels, roads, alleys?or sidewalk5 nor does if give the owner or his agenl
the righ!!o create any sifuafion which is a nuisance or which pxesenls a hazard fo the healih, safeiy, convenience aad
general vielfare fo anyone in the communiiy.
THIS PERMIT MUST 8E KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGpRESS. -
This is Socextify, ihal......?+4- c?n?.......C?B....___..has permission fo ereaf a--- ...._... .•... ....upon
the above described premise subjecf So the provisions of the Buildins Oidinance for Eagan?Township adop ed April 11,
1955, - , .
..... --'--......?..(/'-?"_----"'-."-`.?.--'--`_-----... Per ....._.._.f.?.: -`ct. ....-.L?....?..?...:....----......
Chsirman of Tnwn Soard . --? Buildring Inspecior 4 r ?.
(J?q! -
?
CITY OF EAGAN
BUILDING PEFdNIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
2b Be Used Fbr Gjj_,-t-?,,, Valuation / 4 v o-U Date 4- /3-g'
site Paaress
2) 10 7-4?-?
Lot 7 Block Z Sec./Sub. 4 3 Erect
Parcel #: Jo (CO 70,?, O 70 O?-
OwneY: t/l.rs-o a r \ l-,-?'?
A&lress: 22
?
City/Zip Code: SS- j ?k 'a-
Pnone #: 2e-s- a ? 9 6
Contractor: 6,4J'- .,e.,e_
P,dciress: 4 b SO R414
City/Zip Code: 15?S.S/ ?k 2
Phone #: ji 6- 44- a, 3e)
Arch./IItg. .
Address:
City/Zip Code:
Phone #:
OFFICE USE ODII,Y
Occupa°cy " 7-----r
Alter T Zoning
Repair Fire Zone
F1nlarge V?- Type of Const.
Nbve # Stories
Darblish Front I ft.
Grade Depth ft.
APPROVAIS FEES
Assessments Perntit ?r
taater/Sewer Surcharge
Police Plan Check
Fire SAC
Fhg. Water Conn.
Planner Water Meter
Council RDad Unit
Bldg. Off. 51
APC
/
TrrtL 0' z 1 s° .
, . CITY OF EAGAN
• 3794 Pilot Knob Road Eagan, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
Te be used foe ADDITICN Est. Value 14,000 Date _
N? 6598
aS`/.>7
4-13
Site Addrew 211U JdC12 I11
Lot 7 Block 2 Sec/Sub. Cedar GYOVE 3
Porcel #
W Name PCCJer SChll'1SC1
9 z - Address 2110 Jade In 454-2496
p Name T2d WflCht2r COriStttxCtial
_? 4550 Blackhi%ak Rd
0? Addres an - 0
g ok,..,.
Ncme _
Address
1 hereby ucknowledge thet I have read this application and state ihat
the information is correct and agree to oomply with all applicable
StoM of Minnesoto Statutes and Ciry of Eagan Ordinances.
Erxt ? Occupancy R3
Alter ? Zaning Rl
Repoir ? Fire Zone
Enlarge 15F Type of Const. Vil
Move ? # Stories
Demolish ? Front 16 - fr.
Grade ? Depth ZO= N.
ApproYals Fees
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
CounCil
Bldg. Off. ?-
APC
Permit `iJ• VV
Surcharge 7•00
Plan check 22 • 50
SAC
Water Conn.
Woter Meter
Road Unit
Toral 74.50
Signature of Permittee 1
A Building Pertnit Is iuued to: T2C WaC11tPr t'matnir+i rm on the express condition that
all work sholl be done in accordance wit all a plic?? 5? tof Minnewto Statutes nnd City of Eagan Ordinances.
Buildin9 OHicial
This request void A-cor-
18 months from Y
Date of this Request ?-,z.?'' Fire No. e1v132
I, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. I'L? City
Section Township Range County_
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier &/? le Address S'T 6;9AgfL
Electrical Contractor Contractor's License No. _
(COmpany Name)
Mailing Address ?Z
Authorized Signature
STAViS BOARD
No.
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
a a awm wa' u eowvwry
Griggs Midway Bldg. - Room N191 O
Universiry Ave., St. Paul. Minn. 55104 - Phone 297•2111
C-QUEST ST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
I EB•00001-02
T 151,32
Type of Building New Add. Rep. Check Appliancea Wued For Check Equipment Wired Fm
Home ? ? Range El Tempoiazy Wving ?
/
Duplex ? ? ? Water Heater ? Lighting Fixtures ,-,
L?J
Apt. Bldg. ? ? ? Dryer 11 Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloadet ?
Industrial Bldg. ? ? 0 Air Conditioner ? Bulk Milk Tank ?
List Lis[
Other ? ? El Rtheis?
ere ) Othets?
Here )
COMPUTE INSPECTION FEE BELOW
Service En[rance Size: # Fee Fcede[s& Subteeders: # Fee Circuits: # Fce
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am res
101 [0 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remo[eContiolCirc. Paztialorothe:fee
S' ns Special Inspection Minimum fee $5.00
Remarks
TOTAL FEE A
s
I, the Electrical Inspector, hereby certify [hat the above inspection has been made. , S d
(Rough•in) 41f Date
(Final)_ Date
This request void
18 months from
CITY OF EAGAN
3795 Pilet Kno6 Road Eogae, MN 65122 N! 6598
PHONE: 454-8100
BUILDING PERMIT Receipt # --
To be med foe Est. Volue Date , 19
Site Address Erect ?
- Occuponcy
_.,.
Lot Block Sec/5ub Alter ? Zoning
.
parcel # Repair ? Fire Zone _
Enlarfle ? Type of Const.
W Name Move p # Stories
z
Address Demolish ? Front ft.
r114" ok.,.,_ Grade r1 Depth ft.
*? Name
?F
?t Address
?
o1,r,..e
Name _
Address
I hereby ncknowledge that I have read this opplication ond state that
the inforrrwtion is correct and agree to comply with all opplicobfe
State of Minnesota Statutes and City of Eagan O?dinonces.
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. _
APC
Permit
Surchorge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
Totol
Signature of Permittee I
A Building Permit is issued to: on the express tondition thot
all work shall be done in accordcnce wlih oll opplioable Stote of Minnesota 5tatutes and City of Eagan Drdinonces.
Building Officlal
Pawlf # Dah IwaW ?wslflee
Plumbing
Mechanicol
INSPECTIONS DATE INSP.
Rouph-In
finol
Footings Date Inap. Oate Insp.
Foundotion Plumbing
Frame/ins. ,30-$1 MecFwnicol
Final
Remarks:
ICITY OF EAGAN Remarks Cedar Grove Acqu
Addition Cedar Grave #3 Lot 7 Rik
Owner Street 2110 Jade Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1 1
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN,
9UILDING PER.
SAC
PARK
/
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Canshuctlon Reaulremenh
? 3 reglatered sMe surveys showing sq. fl. ol lot sq. M. oi house
and all roofed areas (20% maxlmum loT coveraae aliowed)
D 2 coples of plana (show beam 3 wtndow sizes; poured tnd. design; etc.)
> 1 sef of energy calculafioru
? 3 copies of tree presenaNOn pian R lot plaHed aNer 7/1/93
DATE: l'lI S/7 /
DESCRIPTION OF WORK:
STREET ADDRESS: CY
LOT: ? BLOCK:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Z SUBD.JP.1.D. #:
-S
Name: 1i7d1?'ISO/! GOj, 5 Phone#: ?o,?f? v??y zy9?O
? lost - Firsl
Street Address: 5V110 /, a n e-
crty state:
Zip:
/nN
55iZZ
7? /? /L nc u
Company:4!?? /JS L?nS?"yG?aon Phone#: 96 ° y??
(area code)
StreetAddress: / yo7 iLv>ar,s 54' NE
ciri G""L s+me: 1"7AI
Company: Name:
Telephone #: area code (
Zip: .,5S 3 7 2-
Streei Address: Regisfration #:
City
§ewer 8 water Iicensed plum6er (reavlred for new consiruction onlv):
Remodel/Reoair Reau4emeMs
2 copies oF plan
1 sef W enargy caleulaNons tor heafed addN(ons
1 sNe survey for extedor addHions 3 decka
CONSTRUCTION COST: tl?b 00
State:
Penalty applies when address change and lot change is requested once permil is issued.
Zip:
1 hereby acknowledge that 1 have read lhis applicaHon, state that the tnformation (s cortect, and agree to comply wtih all applicabl
State of Minnesota Statutes and CNy of Eagan Ordinances. /1
Signature of Applicant: I ?I/?-1_!4,1?
4
OFFICE USE ONLY
pV,Z,2/?' 03 3/1
license #
Certificates of Survey Received _ Yes _ No
Tree Preservatian Plan Received _ Yes _ No _ Not Required
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2110 Jade Lane
Lot: 7 Block: 2 Addition: Cedar Grove 3rd
PID:10- 16702 - 070 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor: - Applicant -
Bracach Roofing, Siding & Seamless Gutters Inc
18267 Italy Ave
Lakeville MN 55044
(952) 892 -6015
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
closed without required inspection(s). Letter sent to applicant on 2/9/09. (pf)
Comments: Perm
Permit expired without required inspections. 8/31/2009 CE
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Owner:
Joseph M Humenansky
2110 Jade Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA081022
11/13/2007
ePermit
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.
Issued By: Signature
Use BLUE or BLACK Ink
r----------------'�
I For Office Use �
� � Permit#: � �� j
City of ���a� � l �� ;
� Permit Fee: l
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � (� I�L Site Address: � �� �61w�-- � � �� ��2- Unit#:
'� �0 �0 5
' Name:�C�� U �OG1,1�5� Phone:
Residenfl p
,�IWT1;�C „ Address/City/Zip: Z�lO .��d�, Lt�,�.- � ����i�-
��� = � �
��� '��� � � f,�1��
�'" y� ��n��"u '. Applicant is: Owner Contractor
�" ° �w��
��. �I� ����� . ��-k�'
Description of work: -�
T��3�_Of u1/OTk ;'
' Construction Cost: �� Multi-Family Building: (Yes /No
: Company: L►Ic�e� I.,UV�51Y��� Contacfi��V� l�a,�i, �
GOf���`�G�QC Address: ��5 � LG..�2. �`�" S T� l� City: /�'I i ►��U�IE�
' , =. State:�Zip: S�L��� Phone: �5� 1��-� �Email: �e1;1��,�;�V►!1��Yl���ti�n✓\� C�
"� .'` License#� �p��L�3� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 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:
NQ�E•Pfans and s�p,portir�g do�t�m�rt�s t��#�r�u;subrt��t�r'�`�ar���le��d t���e pu�bli+��rit'o�`+���i�r�, P�r'�i�ns�t`
#he��fi�rmati�rr r�a,��be c�as�rfie�d��s:nan pu���rf�o���i��vid��p���#ic=i�ea�c�n�:that w�t'i!`d�errr�it the Ct#y ta
3 =.. c�r�iz�traf���at��ie' ar�fr�de.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.aopherstateonecall.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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Ezterior work authorized by a building permit issued in accordance with the Minnesota. tate B 'Iding Code mus e c mpleted within 180
days of permit issuance.
x (�(�Z�4-� �1C�5 0v.1
Applicant's Printed Name lic s Signa e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161807
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 2110 Jade Lane
Lot:7 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-070
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Joseph M Humenansky
2110 Jade Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176803
Date Issued:06/02/2022
Permit Category:ePermit
Site Address: 2110 Jade Lane
Lot:7 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-070
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Joseph M Humenansky
2110 Jade Ln
Saint Paul MN 55122--282
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature