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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 $5.00 State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.s3ophoE tp_te nnecall.oro I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a but only an ai7pli permit y cation for a permit, and work is not to start without a permit; that the work will be in accordance wllh the approved plan In the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature „xrr~aVK..... 1 i 0 ; ,f•'11I~, }~~1jyt el °t' tj~~1t~,3,on~a{yyyy:Srti (IiV "jt' ':h1. ~ , l l~ { 17 i, '{tl M ~ }f3 I ; I' 1~1 ~ 1 ~ , ~4' 1 ufi •H~, ~M':~i „S`QSN{~~1${~1`~ 31! 1L~'RInM~ N 11~ ~i11t9K:NXL:tt:t~~~ 4~~G'W 1~ q tttCCC"""^^V~~~~~ ~y lY 1• { { , ( l { 1~ i 1 t 1 t4 ..,a~{4Pf ^~si4"~'p,~,.~41?i.i£' fllkJSi. ry',.~~~,i ,P, y~r .t, •,ti ,..1 i~ i .hf•,,,, ,•.A~{~;.•:~~5'q": el.'. Y i ~ l(t<I i< ! I ,t 71 4 ~!r'+,'.Y . µs t ~Y~ ,1 'i3f ~~ggi1 m 1 1 E h~$t rt.., S~.Ii1 r . l•`. ll r V ' %11+.. tt+ 1,{ a r { t , ,1+'.1 ,,t ; 1l t , '~drYe ti i ~ 9 ' { ,t '011 'p,' ;t ! ~ ~ 1 l ~ i I 1 ~ 1 ~.I S I . ~i' ~ ,i . J1 i ..'•'h l f , i tf 4 ~)r~•I }f r1~i- ~ ' v ~,,r., •Fi,ir•~~'`~~.;3~c; , ~ iY~' Vii, t t , 'ti i'N, tywy M~ OUR Sa , t~ 'fitt I : .I''~ ~ ~ 3, I.,t~} ftf , ~'1';,•I; 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 / I / I/ A c-u .a?0 -k-j 3Y2T/ " ?'io K5/= ... ? 3aGo A?og?O o,Ae- S?? J:74'. • ?n. . , . . ` ? . • ? ' j: ' ? ? , . _+ F • T : ?? ? ? t " . . . ? k 5'.. F. c. ?e?ct?sti?l un sunve?? R[OINT[IItO YMOER yMft Or OfAfl Of IKOoMR/OTA r• uciwro rv wwwo? M piY pA f+ . ? . ( s, 4616 [A8T 687M STW6?TT' rA A¢d?81. .n ? r P , ?j''•' ,. 4?' ? .. e . . . ? :t r ,? t;.. • '? • ? x ,, k;,• .. ! '? ..+ ` T '• . . J . ? g. -?? l a { r. ' . . . . ??9 ? A? ? ? 1 ? ? . '•j 5 • , . . ?` . • k k. y . : f. ?? ? , - ? ? .? ???L a ? ?Y• '?6 f r ? .S ry` , i.5' `.????set' •. ' , Y.. ' • ? ? f . !? l1. 13p! ' .i . ,s . y ??1? ' ? _t ? ?, ''y _ ??., ? ?.:.. - ? ?? e q b4 4S; _ i ? 1.. R49 3<" J xeiueAr eertsirY +„wr 'tMC wsaYE 16 r rRais wNO adMRteT'?R?t Os +euvm iof ! r ? 5y r ? 1? • , ? - .. .??? , d v' `} ? ?{ i?`' 1 ? ??y i'. ? ? k " i x i??? *f?';??„ Z Lot 21 31ock ?b,Ced?t' tl(3rOve'i?t?. `45. ? # ? r'; ?" ??•? ,' N. ` Le,gen T.o*nahSip,Dgk?ta-:Ctiuntvt#tiiu].! p' ?' .. ' n 4-.: ' . :1 . ' s ' . ? , . Q • V K ? f.,, n '_ ?' ? , ? . rt. 'vfii ? . x i ? y' 4 .. , - ' ? . . . ? 1 . .. . ? ? ? I.f { f i? '!,?' f • i';• s.. 'C. ?> ? AS SUkV[Y[D m`( Ma T14If-??1LLY_.DAY'W--e?.J--u.O. . '??g??' ? ?,,?./ >i? R r ' •? ? ?'? °a. -.. 2 ? . . . _ . . ' - . .. ,•.t'-ti"./1 ? i' ?'?f ?.. , M14 ? XaVssMu4+on.i46t?;'4eoo c '• . _ . ;. ' ? `? `? ?Y? ?.t r ?:/ ? ?' ri ? ' t i. a , ;k ?- ' t , ., •• • , ,. '?? . - ? . q ' . ? ?: `- ? . /. y, s ? a y _ ? .as ? f/ 1 6 . . , . . . _ ?... ., .. . ?.. . s . . . .. . . ' " : . 1. ,. , .. ,_ . - a ?? y ?.,...- ' • . _ :.... 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: OWNER (drde!1 , +i, .lO"uI : 1 -11vo ,, , T ' . . .. @ -• F ?,'.r .? • ? . ?.?; . . C ,I?E460?0. , tN r'? ? `•. L.AM?/? 6URV61?A' , . 4, `` . ? ? -' • s. ? t : ,. - ?? ;; T* 9 , , ? ': a ^,- ?.',: .. 6 ?.. ' . RQ010T6RtD YNO[R 4W0 OI,IVAfO CT6ipW4Y07A: 1m.¢ a..?. ?. ????1 al:?'?y. } !k, , , ue¢rmio ev oaouu?cs w cifr ma ra '? ?? "1 • as1s eAaT sarH sTaeQT •, ?i ?? Fp 46-4014k_ J y Q ?A 4 L 4 .,? f y } t , ? 3 .,. ? >? ? G , k ? $ ? ? • `? ..'? td a ? ? `?' ? t • - .'r . r e{_ ? . ° :x %'44S i ?'.,. • f t:?'• . . ' . ' . ` .. . . • - t r . •:?? ; aG? Y ? ' ? ? ?? ?' 1 ? ? . 1 'e t. ? `1/ ., "?f f.. ' ? {• { ' ? i ? ?} . ! .. y .. , . ? a ? ? . „;? ? .j rr4 i i,?? f ?h ! . .R• Nx'? ?-Q . •t • d:, • -l-30+5 }-? > a i ? 1 ?Sf t A ? ? e a ?.. . ; . ; i . . ' . ? i }1 j ?&qeY Gtl171V.Y n1AT47N19ADOr{ 1f AsTR{// AMD OOt11tC7lA ?.. f , 't , , . . . 4. tOt'i; 2I 6106X t ° ? 'ecGdn Todtnsh •? 'fF i4 ". x C ? .C + f ??.?ft= ! .. ? . , ry t @y , , ?l ? p J, a , .l 1' u9 Ca ? ? ?rr• ? ' ( pt'r @$. .?.`a.?41.,?s ? rJi ? a + ? . ?S rFt Jl'?ti,t„? !"? P`? E re .I 4 ? ?c 4 t' ,ti r. t .s s .^.f??, " ? ,. ^ g, 1 P r R h ? ? ? 3 ??a K 4.• 1:'? 4A? ?I???'??? /•v 1 f rt ? ? . c . ? t p r+ < t+ .F ? ?'. ? •?+, ?? ??! e .;t a'11?? ?tsi .'i 1 U ?n y ?t? _yvev? . ? X?aS ?n'?f ',7.FwMhilFnlvn ?.YYR?VaSY ??. ?'`•i S ,?1 a. ?,???`• ??I ???+y K, q l Er t#.3 h.l fi. T r t ? ? ax?4yt ? T ? i? ?R t b d . ? .. ' r\ 1 s ? ( ` ? A • iI, ' ? 41 , ` Y, g 4 q ' +A 4l - " ? q . ,,. . .. ? . : ? : , ,. , ? X Y . lIIt TNte .. u?. Ai iUitVtYLD 0'??n4 DAY W_- -a_?_,LA 6: ? `?1'9?'4 2 y 5 . . .. 1 ?f 4 ? 2 • . ?t ? . ( 91?w¢bG--. , ? f P t .fl' 1CI ? Y F ? ? '? + ' : ? ?? ° ?<<? ' +.•.?r• ? .:' ?a :t, ., ? . ? ,- . . . : ? ., j. ,.. ?;r ,x+:.,, T : ? ?h`t,?• aNh''. ;.?? ?.. r. t^ Si ? t^"? I °;?a ^ At JAt ? nuq,PtliY- a?{? S ?: 4 rv`i } .f t'{Y S xJ b ?). ?', w ti. i fr . t a0 . t + " sx -,1 aY ? jV, .?Orl,,. . 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