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2133 Jade PtCITY OF EAGAN Remarks Cedar GPOPe ACQ71151t1Ori Addition Cedar Grove #3 Lot pp eik g Pa,mi 10 16702 ?n0 n8 Owoer Ll g U street 2133 Jade Lane gtate Eagan,MN 55122 Improvement Date A Annual Vears Payment Receipt Date STR E ET SUR F. STR E ET R ESTO R. GRADING SAN SEW TRUNK SEWEWQ?RAL 11416 1972 2,1 Z WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK EAGAN TOWNSHIP BUILDING PERMIT Owner .... Add:ecs (presenl) ... 'P ? ,? . ....... `. __..__........_ Builder .... Address .....----- ............. .... ..._.... N° ]180 Eagan Towaship Town Hall Date ..1I7/G ......... _...._................. ..._. DESCRIPTION -. Siories To Be Used For Froni -I_.- Depih I HeighS Esi._Cos! Permif Fee Aemarks ? LOCATION axreex, xoaa or oti naaition or Yraci - ? 7 1318_ G ?a.3 This permii does not auihorize the use of slreefs, roads, alleys or sidewalks nor does it give the owner or his agent the righlfo create any sifuaEion which is a nuisance or which,presenis a hasard fo the healih, safety, convenience and general welfare io anyone in the eommunily. THIS PERMIT MUST BE K£PT ON yqyH?EPR?EMISE WFIILE TFIE WORK IS IN PROGR£SS. This is fo ceriify, Shaf._?.e???..!5°.2_..haspermission !o ereci a..... ??...........? ..........._..?......^ pon the above destribed premise subjec! !o the provisions of the Building Ord?nance for Eagan T nship adopfed ril 11, Jep 1955. .. ?.1.?--?? . . Per ._ ........ .. .?..?._....-?- - --..... Chairman of Town Board ek -4 Suildin InsPec}o -1??' 2006 RESIDENTIAL BUILDING rERnzrr arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reouiremenls 3 regis[ered sde surveys showing sq. ft. of bt, sq. ft af house; and all roofed areas (20% maximum lot coverage allowed) 1 5oils Report it proposed building is to be placed on disturbed soil 2 copics of plan showing beam & window s¢es; poured found design, etc. s 1 setof Energy Calalations 3 copies of Tree Preservafion Plan if lot platted afler 711193 Rim Joist Delail OpEons selection sheet (6uildings with 3 or less unfts) Minnegasco mechanipl ventila6on form RemodeUReoair Reoui2menTs 2 copies of plan shaxing footings, beams, joisfs 1 setof Energy Calculations for heated addilions 1 site survey for addifions 8 decks AddAiort - indicete Honsite septic system Oifice Use OoN CertotSurveyRecd - _Y _N SoilsRepoR'... ? Y _N Tree Pres Pisn Recd ". . !' Y. _ N. Tree Pres Required Y -?N On-siteSepticSystem - Y _N Date C7 / oa Site Address p2 1 ?23 JQde rp " &.'{- Ea VA a Construction Cost UniUSte # Description of Work 1rQ YoU T Multi-Family Bldg _ Y_Z N Fireplace(s) X 0_ 1 _ 2 Property Owner NA ? 5 ?P NxN ah Gf JI PYO - Telephone # oSI ) 3(p ?? (0'3 ?0 5 Contractor Address State City Zip Telephooe # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Su6mitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( Mechanical Contractor Telephone # ( Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance 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 work which requires a review and approval of plans. , 11 1 I P ro koo Applicant's Print d Name •? Ap icant's Signat e Use BLUE or BLACK ink I For Office Use I City Of 1 EPermitl I I Per mit Fee: to (0 ~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 Site Address: ;2 133 cJc--J c ` J cn_ Unit Name: Cat 5 J 1 r6 k-Oe Phone: 3 to 5- Resident/ t n Owner Address / City / Zip: 4 3 3 J f PO Applicant is: Owner Contractor Description of work: L -e i GcJ f e'S r d _e Type of Work II Construction Cost: Multi-Family Building: (Yes / No } Company: & M,u~ 1I e l Pe' l yls Contact: Address: pq3/ M i 1 v~' e G City: 711C't-A& Ui eL,~ Contractor - State: y~/1A ZiP Phone: S S` 7 '3 -7~S 3 Y License #:C)~Q `1603 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui ing Code st be completed within 180 days of permit issuance. x X_ Applicant's Printed Name Applica t' Signature Page 1 of 3