2127 Jade Pt
09/23/2010 13:47 7634752566 PAGE 02/02
Use BLUE or BLACK Ink
- - - - - - - - - - - --•--I
Permit~r~~
f Evan ~ (
fj Permit Feo ~E DOI
3830 Pilot Knob Road 1
Eagan MN 55122 I Date Received; I
Phone: (651)676.6675 i - I
StafF j
Fax: (651) 676.6694
2010 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dete: Site Address: f 1~
.71 a
Tenant: Qirt ` Suite#:
RESIDENT IOWNER Name: S-.. c]yC?~~~ _phone:
Address / City / Zip:
CONTRACTOR Name: Weld & Som Plumbs License
-2410 mer ne a
Address; 1-Ymnodh-54N SU41 city-
State: -zip: Phone:
Contact `,,,t Email: Z' ;'we:lrt~l~ Le~'~~cL OAS.
TYPE OF WORK -g New -Replacement _Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigatlon C_ RPZ I _ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL. FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes 65.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround'* (includes $5.00 State Surcharge)
*Water Tumaround (add $166.00 if a 518" meter is required)
$105,00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fife Repair (replace burned out appliances, ductwork, etc,) (includes $5.00 State Surcharge)
TOTAL FEES
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.s3ophoE tp_te nnecall.oro
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 but only an ai7pli
permit y cation for a permit, and work is not to start without a permit; that the work will be in
accordance wllh the approved plan In the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
„xrr~aVK..... 1 i
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
TYPE OF WORK: w
? . i AM7t1F1ffrF?}
INSPECTION D. . .A
,i
; R 1 14 A trk `. I'/1if 1! AL Ifi '. I ti I fa
N REcoRn
PERMIT TYPE:
Permit Number:
Date Issued: ?
i 141 APPLICANT:
Permit No. PermR Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I f f 0 .
Foundation
Framing
r o
Roofing Z Z 11,77
Rough Plbg. • '
Rough Htg.
I5ul.
Fireplace
Rnal Htg.
Orsat Test
Final Plbg. Pibg. inspector- Notify Plumber
Con5t. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?r I
? CITY OF EAGAN Remarks Cedar GT'OVe ACC{U,1.Sit10ri
addicion Cedar Grove #3 Lot 21 Bik 8 Pa,cei 10 16702 210 08
owner street 2127 Jade Poillt stace Eagan?MN 55122
Improvement Date Rmount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 130.OO 2. 1 Z Pa:LCl
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN ?•.`? ? 18603
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
ADDjT ION
$ g' ow DEC 7
To be used for
Est. Value Date
Site Ad ress 2127 '??E ?
CgDAR GROYE 1tD
?i OFFICE US E ONLY
Lot
Block Sec/Sub. &-3
Parcel No. occupancy FEES
ARLBISE KAABS zoniny -
00
72
W Name (Actual) Const - Bldg. Permit .
3 Address (alowable) -
cha
e
S 2.50
p 86-
454 rg
ur
-19
City Phone # ot sto?es -
Plan Review
??th _
? Name A A G SUII.aERS Depth - SAC
cily
_ R ,
00 Address S.F. Total
?
U x SAC. MCwCC
? g?? Phone 744-2273
C11)I ? S.F. Footprinis -
water Conn
r
On Site Sewage
_
W W Name On Site Well - Water Meter
=Z Address MWCC System _
U=
i W
City Phone
city water
- Acct. Deposil
SIW Fermit
PfiV Aequired _
I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge
intortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances. 7reaiment PI
Sgnature of Permitee f - ?? ??•--•C APPROVALS Road Unit
A Building Permit is issued to: A A G SUtLDERu Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council - .50
applicable SWte ol Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
75.00
Building Official Va?iance - TOTAL
Permit No. Permfl Holder Date Telephone N
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspsction Date Insp. Comments
Footings I !'2 f Q6 L?1,?
FOUndatipn '
F??irig ? • z
Roofing
Rough Plbg.
Rou9h Hig.
Isul. 2
Fireplace
bs-
Final Htg.
Fnal Pibg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Fnal r
Deck Ftg.
perk Fnal '
Well
Pr. Disp.
wifir"„ CITY OF EAGAN 14 057
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date '-? i'
SiteAddress - ? ; `?'+- •_;'?
Lot Block Sec/Sub.
c Name
W
= Address o . -.._ ,
City Phone -
,o Name
0? Address 455 il
P City Phone
Name _
Address
City Phone
greby acknowledge that I have read this application and state
Staie of Minnesota Statutes and City of Eagan
Signature of Permittee
OFFIC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On 5ite Well _ Type of Conat
City Water _ (Actuap
(Allowable)
# oi Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit ? `' • `"'
Water/Sewer _ Surcharge ? •
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance wlth all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Permlt Holder Date 7elephone ?t
Plumbing
H.V.A.C.
Electric
Softener
Inspoction Date Insp. Commenta
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplece
Final Htg.
Final Plbg.
Bidg. Fin81 u/or -L co«. /a te-. a?'? -f: :G. p? .•?tr
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
?
Otlslnal t. Bofldln,. Dey0.
TOT FEE COLLECTED
DOUBLE FEE COLLECTED ?
ACCOUNT ORDINANCE
VIOLATION
? (MAiiK X t1V SQiJARE)
-r?f1?! 441=4p
DEPARTMENT OF PARKS AND RECREATIOIY
AND PUBLIC BUILDINGS
DIVISION OF BUILDING INSPECTION
APPLICATION FOR PERMIT
GENERAL
Permit No
Plan No?
(For Dept nee only)
Application G N° 4 8 56 4
]Date- // q / 1s? ?
TO: STRUGTU,RE USED AS
MARK BUILD INStALL G.M.QF.C. ADD. ALTER REPAIR REROOR RESIDE MOVE WRECK MANQ
SoBY X? K p ? 0 ? ? 0 ? ? ? ?
ILLUM-
INATED
Owner Dgl1ezv e, Address :2/-2 7 -J?"1) ;5-
General
Masonry Cantractor
.fa
IVUMBER STfiEET StQE BETWEEN WHAT CROSS STREETS
46?2 .4-p e- Par ?•.??
WA,RD LOT
;5c / BLOCK
I f ADDITION OR TRACT
W(DTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
SIZE ?
?
LEI+lGTN 1N1D'T1i HEIGHT TYPE OF CONSTRUCTION ESTIMATED VALUE
DETAILS
5 RUCTURE
L v
Q ?v
DETAllS OR REMARKS:
I The nndersigned hereby makee application for a permit to do Building Work as herein apeeifled, agreeing to do all work in
etrict sccordance with all ordinances of the Ciiy of 8aint Panl, Minneeota.
lOM 7-62 8
$1GNED ? \ ? ' 1 ?
- . _ .. - .?.
?. -
EAGAN -TOWNSHIP M 1106
BUILDING PERMIT
, ,, ?7 ,/ ? -.., ..,s .._ ... . ......, a.-?
Ownec a.._.. ?:..:_...._...... j Eagan Towns
hip
Address (Presenf) ---..?--........ _......... __ Town Hall
Builder .......... .._._._.....Q?e4.c!,.-.z.c?......_............. _........._...... Address Date ..............._.
._.. _
. ..._.... _ ...............- .......... .............. ..... _.............---
DESCAIPTION
5taries
? -- To Be Used Fo I Froat
-- --? -- _Depih _ Heigh7 Esi. Cos! I Permi! Pee Aemarks
?
sr I?l=.?t, - ---------._--?--
stzeet, xo-aa ?or ?oti
LOCATION
_ Q A, ? 1'
a?v . v .3
/3
or
This permit does not authori?tYthe use of slreeis, roads. alleys or sidewalks nor does ii qive the owner oz his agent
the righi to creaie any situaiion whieh is a nuisance or whioh presenta a haaerd !o the healih, safeiy, conveaience and
gene:al welfare fo anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WH2LE THE WORK IS IN PAOGRESS.
This is fo eerlifY, lhaf.....?...... :.1_.. tr..r.c_...-?i......_-------------- has permission lo ereei a..... .:. C{;_ ,_
? -?/:._-._ .....................-- . upon
the above dESCribed premise subjec2 fo the provisions of the Suilding Ordinance for Eagan 'Y"ownship adopied' April 11,
1955.
_..........._..(?7?-C..?-cL.c[-`-:?.?:r.--? Per .._-------°- °`?/• " ?
,... ? ..H<.._ .................
ChairmAa of ITij+wn Soard ? Building Inspeclor
CITY of EAGAN
BUILDING PERMIT
OWnBS .......
Address (Preien2) ..._.......?`:`.:::?'.....LI.: .................
Builder ................ ---.............................................................................
Addreas
N2 3633
3795 Pilo1 Knob Road
Eagan, MinnesoYa 55122
454-8100
Da:. .... ...-.3-..?s'
.............
Bfosies To Be Ueed Far Fzon! Deplh Heighf Esl. Coe! srmif Fae Remerks
P- .? a"-"-e1 ? ._s-',?-?-=«
?
or
LOCATION /V• P-zJ
LO= DIOCH AQC1ISOa o! T:
This permit does not auShori:e the use oi ei:eefs, roads, alleys or sidewalke noz does it give the owner or his agen!
the righ! !o ereate aaq situation which is a nuisance or which preaenic a hasard !o the healih, safelp, eoavenlsnes aad
general meltare !o anpone in the communiip.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PR06AE88. . : ..??
TMs is !o eerhfY. !hal..... ............... -........... baspermiesioa to ereet a_??:.'^?....::......??.. ..._...`?F...r........ _upon
the above described premise subjeci fo the psovisions of all applicabie Ordinances for the Ci1p of Eagan
t
................. ......... ...........? :'.:.,- :................................
??
Mayor ?
Per ............... (,(?
........... ...... ....• -
Bulldinq Impectos
4
wlNDOws CITY OF EAGAN -
SIDIN? ?o _ ?4?57
'BRICR 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 --7 62,/ 86
BUILDING PERMIT Receiptn 7
To be used for REPAIRS Est. Value $ 7,500 Date AliGUST ll 1g g7
Site Address
Lot 21 E
Parcel No.-
2127 JADE POINT
$ Sec/Sub. CEDAR GROVE 3RD
:IName ARLENE KREBS
= Address SAME
0 City pnone 454-1986
o Name TED WACHTER CONST INC ?a Address 4550 BLACKHAWK RD
? City ?GAN Phone 454-2130
a
w
i
?
x
w
Name _
Address
Ciry_
I hereby acknowledge that I have read this application and state I
that the information is correct and agree to comDlywith all applicable
State ot Minnesota Statut antl ity of Eagan Ord nancea
Signature of Permitt?
A Building Permit is issued to: TED WACH CONST
all work shall be done in accordance with all applicable State of M
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
OnSiteWell _ TypeoFCOnst
Ciry Water _ (qctual)
(Allowable)
# o( Stories
Length
oeatn
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit 76.00
Water/Sewer _ Surcharge 3. 7 S
Police _ plan Review
Fire _ SAQCiry
Engr. _ SAC, MWCC
Planner _ WaterCOnn.
Council _ Water Meter
BICg. OH. _ Road Unit
APC Treatment P7
Variance _ Parks
CopieS
TOTAL $79.75
on the express conditlon that
nn&ta Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN ND 18603
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
? 113 ?'?1
BUILDING PERMIT -
Receipt # , ?
7o6eusedfor ADDITION EscVaiue $5,000 Oate DEC 7
Site Address 2127 .TADE PT
OFFICE
USEONLY
Lot 2 1 Block 8 SeGSub. CEDAR GROVE 3RD
Parcel No occuPancy FEes
. i
Z
on
ng ,
p Name ARLENE KRABS (ACWaI) Cons[ Bidg. Permit 79- nn
W
; 2127 JADE PT
AddfBSS (Allowable)
- Surcharge 9 - 50
° EAGAN Phone 454-1986
City # ol scories
L
lh Plan Review
afg
o Name A A G BUILDERS Depih . SAC, City
,
?a Address 5645 LEAF TR S.P.TOtal - C
C
CC
SA
,M
W
? City NEW PRAGUE Phone(507) 744-2273 S.F.FOOtprints _
wa
Sit
e
O
S Waler Conn
`
g
n
e
e
ww Name On Site Wetl - Water Metar
L?
Address MWCC System
-
qcc1. Deposit
aw City PhOf1B CityWalar ,
PFV R
i
d S/W Parmit
equ
re
-
I hereby acknowlege Ihat I have read ihis applicacion and state thal the Booster Pump - SiYJ Surcharge
inlormation is correcc and agree to comply with all applicable State ol
Minnesota StaWtes and Ci,Eagan Ortlinances. TreatmeniPl
,
Signature ot Permitee .
APPROVALS
Road Uni[
A 8uiltling Permit is issued to: A A G B LDERS Planner - park Ded.
on the express condition lhat all work shall be done in accordance with all Council -- 50
agan Ordinances.
E
applicable State of Minnesota Stawtes and City of Bldg. Dtf. _ G0P1eS .
?
f
Building Official Variance - TOTAL 75.00
EAGAN TOVi/N S H I P
N° 1464
BUILDING PERMIT
Ownea "V'..?--?_L-:?'?"?-?---------------- .------------------ .-------- £agan Township
Address (Preseni) -_a.L..?Z...._. _..?._..'.. ............."'--.... Town Hal]
Builder `-- ."---
? -- --'------ q "....'- "'-.
? . ^.......' , ?q---.l..tf.l-
Address ......... Daie
"'T'-'--------...-----' % '--? ? G.....
DESCRIPTION
SSories To Be Used For Froni Dep1h I Height Esi. Cos! Permii Fee Remarks
1 ?
AJ
2i
7
ZJ/
LOCATION
Siree2, 8oaa or oxner JJescnpnon o: a.ocanon I a.ox I aiocK j AGQ3YlOA OP TIdCS
? ?i I ?" i c???
This permit does nat auihorize the use of sYreeis, zaads, alleys or sidewalks nar does it give the owner os his agan!
the righ! !o creale any situalion which is a nuisance or which pzesenls a hasard to the healih, safety, convenience and
general welfare fo aayone in the eommuni2p. THIS PERMIT MUST X]EPT THE PREMISE WHILE THE WORK IS IN PROGAES&
This is fo cerlify, ihaf-_F?-'-------'- ------------------------ ------------------ ...has permission 1o erect a.......
---c^?c---°.---_•^-----._.................. '--upon
the above described premise su ecY !o the provisions of the Suilding Ordinance Sor Eagan Township adopfed April 11,
1955. ? / J
/? ?? GE?t?c.i
..""-"'-----"-'__..........'-----:'__.'.ti'.y--.?'?'.`?'_^..C_-----..... Per ._........._...
,5??`'?
-
Chairman of Tnwn Bo?sd ? Bui" ]ding Inspec4or
4•6 ? 6_9
REQUEST FOR ELECTRICAL INSPECTION
? See inshucflons lor comple6ng this lorm on Oack oi yellow copy.
"X" 8elow Work Covered by This Request
x6 ?EB-00001-08
.
(Y /O O ???
'+. ?.
e A d Rep. TypeofBuiltling AppliancesWiretl EquipmanlWirad
Home Fange Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial ' FUrnace
Farm Air Conditioner
OIM1er (Specify) Convac rm S Rema'ks: `
rfjM',E?fk%..?r?
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fae # Circuits/FeedeB Fee
Swimming Pool 0 to 200 Amps
I
0 ta 700 Amps
Transformers Ahove 200 _ Amps Above 100 _ Amps
Signs Inspector§ Use Ony: TOTAL
Irrigation Booms
?b
Special Inspedion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in Date
certify ihat the above inspection has
been made.
OFFlCE USE ONLY '
This request voi0 1B months Irom
Y/
?/r./ /o0 5??f
69
? 463 y,
Request Oale - Fire No. Rough-in Inspeclion
ired?
? Ready Now ill N04ty Inspector
Ves ? No RemY?
actor ? owner hereby request inspection of abov e electrical work at
M or R te No.)
ddrew§s City.:
F??
.?
L ship Name or No. Renge No. Counry
Phone No
Power Suppiie Atltlress [?cJ'y'? ? ?? c?" ?
3b60 A ? J
EI rical Comractor ICOm any amel Contretlor's License No.
T Q c
1 L
Mailrnq Mtlress IGoniracI Own r king Install
6
Authonxetl Si nature IGon ractor? wn Ma ing Installa?ion
11 z,D, Pbone Number
Y?o-???
,....?.-
MINNESOTA STATE BOARO OF ELECTPICITY THIS INSPEGTION REIXIEST WILL NOT
Ghgga•MlEway BWg. - Room S-173 BE ACCEPTED 0Y THE STATE BOARD
1821 Unlverelty Ave.. 51. Paul, MN 55106 UNLESS PROPEP INSPECTION FEE IS
VROne(61]) 602-0800 ENCLOSED.
? CITY OF EAGAN
383CtPilot Ifnob Road
Eagan, Minnesota 55123
(612) 681-4675
s L? ? \o
?
SITE ADDRESS:
P.I.N.: 10-16702-210-08
DESCRIPTION:
REMARKS:
SF AD[]ITION
NEW
R-3
14
2
26
?JD?o G g??.1] ;U
2127 JADE PT
LOT: 21 BLOCK:
CEDAR GROVE 3RD
(CANTILEVER)
? ?_.
B,u'ilding; permit Type
Building L'Jork Type
{--UBC Occupancy-\.
Building Length `
f? Building Width (_. ?
Square Feet ?
i ?
? i
PERMIT
PERMITTYPE: aurLozNG
Permit Number: 0 2 2 4 7 7
Date Issued: 11 / 10 / 9 3
PARTIAL RE-SIDING INCLUDED
FEE SUMMARY
Base Fee
Surcharge
Subtotal
VALUATION
$108.00
$4.50
$112.50
$9,000
COPY $.50
Totel Fee $113.00
CONTRACTOR: - Applicant - ST. LIC
MIC-GJ INC 14560287 0007775
1369 LAKESIDE OR
EAGAN MN 55123
(612) 456-0287
OWNER:
KREBS
2127 JADE
EAGAN
(612)454-1966
ARLENE
PT
MN 55122
I hereby acknowledQe that I have read Chis
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
? ? APPLICANTlPERMITEE SIGNATURE
application and state that the
with all applicable State af Mn.
'ISSUED S?IuNATUR
I
REACTIVA7.E CITY OF EAGAN ??II.1.Of?
PERMIT 1 1993 BUILDING PERMIT APPLICATION
681-4675 5'6i' ?'-`? zpn ., .. e '_- .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit 1s typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change i.s requested once permit
is issued.
Date •l0 F3 Yaluation of Mork ?
Site Address: a'1a 7 ?f•
tTREEi •'+y iU[TE /
Tenant Name: (commercial only)
IAT BIACK SUBD. P.I.D. 8
Descri tion of work: S?cQ, w - d-
The applicant is: ? Owner 0:?Contractor ? Other coesoria).
Name ?D6J L s Phone
Property LASi FIasT -
Owner Address ?7
STREEi f7E /
City ;z?.? State Zip
Company /71 ZC - G? Phone <1c SCn--?a 87
Contractor Address License ???75- Exp.F?/
City State Zip <S-5?a3
Company Phone
Architect/
Engineer Name Registration M
Address
City State 2ip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
f
correct and agree to comply with all applicable State of Minnesota Statutes and City o
Eagan Ordinances.
5lgnature of Applicant: ??.s.?a?-
r ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
El 02 Sf Dwg.
003 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 B-Plex
? 09 12-Plex
O 10 Multi. Add'1.
WORK TYPE
O 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
" *^ rt
? ll Apt./Lodging QT6'1kt".?tjJ nish
? 12 Multi. Misc. O 17 Swim Pool
0 13 Garage/Accessory ? 18 Coma./Ind.
? 14 Fireplace O 19 Comm./Ind. Misc.
O 15 Deck ? 20 Public Facility
? 21 Miscellanenus
? 35 Tenant Finish O 37 Demolish
? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable} lst F1. sq. ft. C1ty Water
UBC bccupancy R-3 2nd F1. sq. ft. PRY Required
Ioning Sq. ft. total ? Booster Pump
i of Stories Footprint Sq. ft. TS,?"7 Fire Sprinkler
length On-site well Census tode y3y
Oepth ? On-site sewage SAC Code
-7-
APPROVALS a
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTIONS A?-So PA{Z,-SiqL ?E54'?ING- 6F I-10MF.
? Site ;5 Footing 0? Framing /M Insulation
? Wallboard I& Final ? Draintile ? Fireplace
Permit Fee 10$,0o C00
?
Surcharge ti.st?
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies .Sro
Other
Total:
SAC % '
SAC Units
?-• ?• ?.a I-? .2 (? ? sa. ?q ,?'
fQ*1
qSy /9g?
??77S
.t:-c - G -x
4{SG- o ol 8 7
I
/"N(
s
?
L;-
Ae I?l .a i q k6a rr rt
/ /
. t ? (r03
1990 BQILDZNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
NULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 5ET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS !lADE.
lAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER ]ATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED DNCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS_IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SNOW A LICENSED PLUMBER.
To Be Used For:
Site Address
Lo t (t/_'?"e_S i ,. Valuation: ?-? Date: /o?'15,1?JD
vF lal 7 OFFICE USE ONLY
Block X
Parcel/Sub C-tDAiZ?RauE ? 3
Owner X-rGt7 s-
Address ?2! ,1 ? TUClG /9?
City/Zip Code v???„ S.S/a2„Z
Phone
Contractor ??.6.
Address
City/Zip Code
Phone C SG%? 7f y9.a 23
Arch./Engr.
Address
City/2ip Code
Phone #
FEES
Occupancy R-'J
Zoning
Actual Const Bldg. Permit 72•00
Allowable Surcharge ?•Sa
se of stories Plan Review
I.ength SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies . 510
SIIBTOTAL
APPROVALS Penalty
Planner TOTAL aR.W)
Council
Bldg. Off. ?t2?s
Variance _
i
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SINGLE FAMILY DWELLINGS
INCLIIDE 2 SEfS OF PL@NS, 3
PERMIT
OF SORVSY, 1 SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATE iiHICH ADDRESS
IS DESIRED. NO CHANGfiS WILL BE ALLOWSD ONCE BIIILDING PERMIT IS ISSOED.
MQLTIPLE DWELLINGS - R&SIDENTIAL RENTAL O1+IITS FOR SALE iJ@iITS -
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIR4EY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COi`AfERCIAL
INCLUDE 2 SETS OF ARCFIITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND
?epa?rs ?° ?r -??
To Be Used For: *`' Q Valuation?? 50 0
Site Address .fla-7 V2- OFFI,
Lot Block 0
Parcel/Sub
Owner al?
Address ? t
City/Zip Code
Phone T ?
Contraeton?
Address ??5 C) 84ef?fiv?
City/Zip Code
Phone ?'?' Jr4-t ? ? ? ? C)
Arch./Engr.
Address
City/Zip Code
vate:
On Site Sewage Occupancy R•3 '
MWCC System Zoning R -1 '
_
On Site Well Type of Const j
_
City SJater (Aetual) '
_ (Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
9PPROVALS FEES
Assessments Permit '76-00
Water/Sewer Sureharge 3.75
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Couneil Water Meter
Bldg Off 8)/14- Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
Phone #
MASTER, CARD
$TAUCTURE
IAND USE[
Permit
No,
Issued Issued To
Coniractor ? Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLWG
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks -
Distance From Well
FOOTING
FOUNDATION
-{ SEPTIC
CESSPOOL
FRAMING ;2 TILE FIEtD FT.
FINAL
ELECTRICAL
HEATING pEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
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aor RESIDENTIAL BUILDING rFmffnrrucAuoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNdion Reauirements
3 re9istered site surveys showing sq. R. of lot, sq. fl. of house; and all roofed areas
(20qo maximum lotcoverage allowed)
1 Soils RepoR'rf pmposed building is to 6e placed on disWrbed soil
2 copies of plan showing 6eam & window sizes; poured iound design, etc.
1 set of Energy CalculaUOns
3 copies of Tree PreservaUon Plan if lot platled after 711M
Rim Joist Detail Options selection sheet (buildirgswith 3 or less units)
Minnegasco mechanipl ventilation form
RemodellReoair Requiremenis
2 copies of plan showing footings, beams,joists
1 set of Energy Cakulations forheated addNOns
7 site survey for additions & decks
Addr6on - indicate i( on-sife sepfk system
Telephone # (
Plans are considered public information unless ou state the are trade secret and the reason.
Date 9_
Site Address `a / S, -7
-I ? R i? (- _P'1 Coostruction Cost Ll C?, ?
UniUSte #
Description of Work
(Z?= - 2voi-
Multi-Family B1dg _ Y_ N Fireplace(s) _ 0 K 1 _ 2
Property Owner I? (ZLE, ?? K12[. f;,3$ Telephone #( )
Contractor jz?r'2 a rL i52 T i-rcQ S r ,>sj ' 'f c S orv
Address
State f-n u City tJ f-.w ''r'R n[,u G-
Zip 5? 0 7 i Telephone #(q 5 a) -7 Z3 S' 3 5 3 3
COMPLETE THIS AREA ONLY IF CONS7'RUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the Gity of Eogan issued a permit for o similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
apply for a Residential Building
Telephone #(
Telephone #(
C ('`?¢
Office Use Onlv
Cert oFSurveyrRecd ' Y _N
Soils RepoA ? Y N
TreePresPfao'Recd _Y N.
Tree Pres Required Y N
On-siteSepticSystem _Y _N
that the information is complete and accurat
that the wark will be in conforxnance 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 wark which requires a review and
approval of plans.
V??vrcr.? 7
Applicant's Printed Name ApplicanY i [ure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114277
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 2127 Jade Pt
Lot:21 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-210
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 .
Joe Soucek
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 -
Arlene M Krebs
2127 Jade Pt
Eagan MN 55122
Trend Construction Inc
8160 CO Rd 42 W
STE 300 to 319
Savage MN 55378
(952) 440-4440
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r----------------�
i For Office Use � �� w I
� � Permit#: 'I I
Clty of ����� I r-�i � �
� Permit Fee: � �
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 PERM T APPLICATION
Dates� `��O �7 SiteAddress:��� ���� �� C Unit#:
� �..��� �� ��L�il1� �/� �S Phone.V���" L��-���� �
�, , ����,�.�' Name:
Res�dent/ + �r9�1 h �.S t Z"Z
� �Qy�M�� Address/City/Zip: ��� -��-�� ��� � �
: Applicant is: Owner Contractor
" Description of work: S/ _'J�r7 (�
Ty�3@�rf WOrk
Construction Cost: Multi-Family Building: (Yes /No�
: Company: Contact:
C�On#r�GfQr . Address: City:
' State: Zip: Phone: Email:
License#: 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 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:
llfl?TE:P�arrs and supporfing dc��urrt�nts th��;�bc�subm��are can,sidMersal tv�ie#u�l���rrfc�r�tr�ati��. Aorfions of
tlre.infd�mation rr'�ay bs c/as�lf�ed�s=n�tri�u�ifi�;if yo��rc�i�i��s�ieei�c reasc�ns that`wvuld perme#the City to
',con�lkrd'e#fi�t�th� 'are tr�de s�cret�. !
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
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 State Building Code must be completed within 180
days of permit issuance.
X �/2L�� ��_C�S X
Applicant's Printed Name Applicant's Signature
Page 1 of 3