2134 Jade Pt
Use BLUE or BLACK Ink
-For--O ff-i - ce-Use-----------I
I I
I
Permit#: ~C✓ _7eO
7 I
Clty of Ea,,,,n
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2012 RESIDENTIAL BUILDING PE IT APPLICATION
Date: ) ( ~ Site Address: - J Unit
Name: Phone: Co 5l--q"1 0' I a
RESIDENT
OWNER Address / City / Zip:
Applicant is: Owner ontractor
TYPE OF WORK Description of work: SI
Construction Cost: Multi-Family Building: (Yes / No )
r-
Company: Z yl -(1-~.tl~~
~ Contact:
CONTRACTOR Address: VIZ City: `T
State: Zip: Phone: (Q ~ " S_3- ~f 7 0
License R G259 OS Lead Certificate
If the project is e empt from lead. certification, please explain why: (see Page 3 for additional information)
/eja-4 'd vil -5 COMPLETE THIS AREA ONLY IF ONSTRUCTING 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 may be 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. vmAv.oopherstateonecall.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 buildin permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Applicant's Printed Name ~C, ~ Applicant's Signature
~ Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use.
~ Permit#:
City of Ea a~ I 1
rl E I Permit Fee: C_~O O
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
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Datel- l 5-aoco Site Address: J ,j-
Tenant: Suite M
RESIDENT/OWNER Name: KTEWiaAk Phone:&57-4719-- 12,77
Address / City / Zip: '54jVU_-
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: LLG License
y1OS ZSI AV Address: l l J Q ea ('0_0 City:
State: j Zip: ~ Phone: 353 ° L 7 93
Contact: ~ kAw
k, Email:
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 may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.
x ~yL2 x
Applicant's Printed Name Applicant's Si n ture
Page 1 of 3
CITY OF EAGAN Remarks 'Cedar Gro
Addition ?(tC'EDAR CREST Lot 6 Blk 1 Par cel0 166$0 Or+O O]
Owner #((SJ,1;271ii- M4111 ?olnnr 10( Street 2134 Jade Point State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
• SAN SEW TRUNK IS (n 1972 1,304.00 52.16 2 Paid
SEWER LATERAL
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
?jBUILDING PERMIT
Owner -...L..?a4atcY.. ..... &..... _..._...
Address (present) ^r..........
Builder
Address ........ ....... .................... _----- -_---._......
LOCATION
on of Location _ _-" yi of_ c
6 -f- 91 13X 4' %?
_ Street, Road or other Des
A 14-A.7 "- '7
M 1144
Eagan Township
Town Hall
Date ...fir/.Q?G.°?......._...... .....
.
or
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE ?KE?PT ON, THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that-1.0- t!.._......haspermission to erect a.... S-14-
the above described premise subject to the provisions of the Building Ordinance for Eagan nship adopted6kpril 11.
1955. y...,? //?J / 1 /?? A p G
...._yY7,.1wL .4f4rA.?.._g-`.?'Y?........ Per .... ........... _:5....or.^..:":R.4.i....4rS.F?G:CC.r........._.._.
Chaitman of Tnwn Board Building Inspector
CITY of EAGAN
BUILDING PERMIT
Owner "et ...lf.......F...G/..F.•f'....ItIC.Cx.I.,?I.yP?lr...........
Address (Present) {.y. ?f!c3JYj.......... 1 D? ..Q--------- 'ter.............
Builder./, kk?.....?.J-.........
Address /0.1....... 4.1kP.ri*Pf-Z'fn.......I../.?..........d?7(?Y..aF61i
DESCRIPTION
. ;.
N2 3630
3795 Pilo! Knob Road
Eagan, Minnesota 55122
454.8100
Dale.J:':?.....:? .... ............
Blories To Be Used For
?-f'ar c dd n Front DaP!h Height Est. Cos! -
a3so? srmi! ae
./z;CQ Remarks
LOCATION w
Sheet. Road or other Description of Location Lot Block Addition or Tract
,? ? ?'edai c re sT
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST . . B?KE$T QN THE PREMISE WHILE THE WORK IS IN PAOOAESS.'
This is to cerrifp, thate?... ......./..et..C ....................has permission to erect a.......... .......... C;::.. c(?a(!:\........upon
the aqyb???o--?7v^/-e' descri //premise subject to the provisions of all applic 'nances for the of Eagan
........L•`!--•..........d..f..Z.01A........................................ - Pa.
Building mpeelor
Mayor
C to _ RESIDENTIAL BUILDING
l
r I l Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 711M
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost 1.000o
Site Address ( ?{ erg 9 P-+- Unit/Ste #
Description of Work PEW 'biP.C,K
Muld-Family Bldg _ Y ?j N Fireplace(s) _ 0 _ 1 __y 2
Property Owner_._. _ yv Telephone # (6 1/ 5'O -Go3Y
Contractor /V,19
Address City
State Zip Telephone # ( )
(4 f Le (03
Office Use Only
_ Cert of Survey Recd
-Tree Pres Plan Reed
Tree Pres Not Reqd
- On-site Septic System
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Cade Category • Residential Ventilation Category 1 Worksheet • New Energy Code worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
a
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and-ac
crv_-. - -
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.
Mr\r?E NJ/n 6 er4Qr
Applicant's Printed N e
%.ppli ant's Signature
OFFICE USE ONLY
Sub Types
?? ry
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex r 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 2 O D Occupancy 2 -3 MC/ES System
Census Code q-3 y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding Stucco Stone
Windows (new/replacement)
Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?,}?? it.. 1. 4
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13
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MASTER CARD
P dr
OWNER Zoe /00 J i
STRUCTURE AND
LAND USED AS 90 r, d aJ
Permit
No. I
Issued Issued To
Contractor Owner
BUILDING &ago /;I
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING _ TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
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Use BLUE or BLACK Ink
� r----------------�
I For Office Use �
� � Permit#: I � ( �� I
Clty uf ����� � a �
� 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 PERMIT APPLICATION
Date: Site Address: Unit#:
h�u�i�.A���µ��i�'F ��II� �
111�� t'�) I �
7�h;��������a����a" �i�. ��c1 � cf- �A!11�j4 �p G.Q� 1 C l�� ��Phone:
� , -. Name:
R�S�dei�� �/
��y���� � Address/City/Zip: � �.3 7 ��4�� � f '
�h �.
" Applicant is: Owner•X Contractor
T�p� Q,����,� Description of work: QL°- l�1�c3 -t-- �' '�-e $1 � � � ��� � �r� � s w
Construction Cost: ��r � d d � Multi-Family Building: (Yes /No�
u' Company: �-+�I1 ����FL�t,�-S �-LG Contact: ��2R-�° �r�`i��*�!�!�
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� ,� , , ���o� ���'�FL� �`� 5 � C�ty. �' �'9-Io C� t�T.e.dv�
����������, Address:
+u�°
'� '' :.°����oi°�.. , ����d�'�� State:�l� Zip: ���r� Phone: �,�1��'�`��'�i ��: �
�� ��"`� �� License#: ��� 3 ���� LeadCertificate#: �'� 1 � ��fO ��� � �
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:
NC?TE;=Plan��nd�up�vrfir�gr,Ytlr��rr��n�s��r�t,�o��submft are��c�rrsraler�d�#rr b.e p��1i��n�rmation, P�rr#ic�rrs of �
�he infc�rmafic�ri��yb���as����#+�~a�rrQr�;pti#�rli�tf,y:au prou�de�p�c��c'r'�as�c�ns�l�at wauld Qerm�f the C�ty tp
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.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 Building Code must be completed within 180
days of permit issuance.
X ��iL -�'t �fi�lL >or�S L�C- X
Applicant's Printed Name Applic s n ure
Page 1 of 3