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