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2057 Marble Laner CITY OF EAGAN Remarks Cedar Grove Acquisition Additio Cedar Grave #2 Lot 28 Rik 7 Parcel 10 16701 280 07 ? Owner'?? 't4> 1 Street 2057 Marble I,2Ile State -Fag8t1TMN 55122 ' (.(Lt.lTl , i 2 A; Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 5 84-46 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1912 1 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILOING PER. SAC PARK Minnesota State Board of Electricity 1954'University Ave., St. Paul, Minn. 55104-Phone 645-7703 ad ? J ?CK E? OW WORK CO EREDTBYI TH S EQU ST'ON ? 3 1 Cc 5 Type o( Building New Add. Rep. Check Appliances Wired Foc Checic Fquipment Wfred For Home ? ? D Range ? Temporary Wiring ? Duplex ? ? 0 Water Heater ? Lighting Fixmres ? Apt. Bldg. 0 ? ? Dryer ? Etectric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditionet ? Bulk Milk Tank ? Farm ? ? ? List List Other O ? ? p Hehels? p Hehers? COMPUTEINSPECTION FEE BELOW ' Seivice Enhance Size: # Fce Fceders&Sub( : # Fce C'vcuits: # Fee 0 to 100 Am s. 0 to 30 Am r s 30 Am eres 101 to 200 Amps. 31 to 100 Am , 30% 100 Am res Above 200 Amps. Above 100 mps. ve lO?Amps. Transforme,s Remote Conttol Circ. Partialor othei fee + Signs Special Inspection ' imum fee3 Remarks r pL FE ,011 I, the ElectftE spectoY, her"eby certify that the above inspection has been made. (Rough-in) Date (Final) . ate ? This request void 18 months from This request void 18 monffis from G' -__ ?o ? s?? ? 37295 Date of Request 7 . I, as icensed Electrical Con actor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Which is occupied by " I)*Crd j Is a roughin inspection required on this job? No Power Supplier `? - • Electrical Contractor ? ( Pany Name) Mailing Address let ical trac Authorized Si¢nature _ 2,s t-A?e (Electrlcai cdM1tmctor or own Do O[ii1?D OPW Range County Yes ? Ready Now ? Will Call ? Iress /nNX u)2..1` l 6 -7 'rt.C, Contractor's icense No. _ No4T"S65- This inspection request will not be accepted by the State Board unless proper inspection fee is endosed. EAGAN TOWNSHIP No 653 T . BUILDING PERMIT Address Builder ........ Address ......._.. DESCfiIPTION Eagan Township Town Hall Dafe???_c : ? 5taries To Be trsed Far Froni Depih Heighl, Esl. Cosf Permi! Fee Remflrks --- LOCATION or oiher Descripiian of Localion I Lo! I 83oak I Addiiion or Traci _ This permif does noi' auFhorise !he use of sfreels, roads, alleys or sidewalks na: does if give She.ownex ox his ageni the righ! !o creata any situation which is a nuisance or which pxesenis a hasard !o the healih, safety, convenience and general wel£are !o anyone in ihe communily., THIS PERMIT MU5T 8/? ? ?THtE(?p?g £?E W LE THE WORK IS IN PROGRE This is io cerlify, fhai?'._.PT ?aspermission !o erecf t ?..:. ... ....upon the above described premise sub7ec! 10 the gsavisions of the Building r inance for Ea shzp adopSed April 11. 1955. ? • ? _._..__ P __ ../ ------ ___.....__........._ -. ... _- Chairman of Town Board ing Inspecfor City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675•5675 Fax: (651) 675-5694 ck 3a4gz [E OC f 3 1 2008 -- ---------, ? For Oifice_Uss I I Permit #: i I i Pertnd Fee: I ? ? Date Received: ? i ? ? Staff: ? 2008 MECHANICAL PERMIT APPLICATION Date: 10-14-dH SiteAddress: A6 S-1 YYl4rbl¢ L-'Q.t%,2, Tenant: Suite #: RESIDENT / OWNER i'{ Name: 5V10.W IR PAe S 5 u.v.n Pnone: ldS (-1IS4- Sg-- Address/City /Zip: rna.cb?e CONTRACTOR Name: FccrVntuw ?ev. p?4 ? ?`?4 License#: Address: ??d?W C fLL Oaev?ect2te- Y'tvL Cit : S' ' State: My, Zi : sSo 14 p y , o , Phone: 3- ? 8a?t Contact Person: Xi TYPE OF WORK -New Y Replacement _Additional _Alteration Demolition Description of work: C 10, vC. i S} 1` NQTE: 8ath roof mounted and ground mounted m nica! eguipment is required to be screened tiy City Code. Pfease corttact the Mechanica! JnspecEor or one ot tfie Planners for information on rmltted screenl methods. RESIDENTIAL COMMERClAL PERMIT TYPE ? Furnace - New Construction _ Interior Impmvement Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ E#erior HVAC Unit ' _ HVAC units must be screened _ Heat Pump Under / Above ground Tank (_ Inslall /_ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) C $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contrect Value $ x 1% $50.50 Minimum (includes State Surcharge) - $ Permit Fee - If Perrnit Fee is less than $1,000, surcharge is $.50. - Ii Pe_rpil Ee& is >$1,000, surcharge increases by $.50 for each =$ State SurCharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that this infortna6on is complete antl accurete; that the work will 6e in conformance wi[h the artlinances an(I cotlas ot tne Ury oi cagan; ma[ I understand this is not a permR, 6ut only an application for a permk, and work is not to sWrt without a permit, that ine work vAll be in accordance vnth the approved plan in the case of wor?k w?hich reqmres a rewew antl approval of plans. X? o,.....,.?.1 LM?L, =T)cn ,n te i 1- ti e? e? ppplicanYs Printed Name Applicant's Signature FOR OFFICE USE Reviewed BY: Date: Raquired lnspections: _Under Ground Rough in _Air Test _Gas Service Test In-floor Heat Final RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructian Reauirements 3 regisfered site surveys showing sq. ft. of lot sq. tt of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showirig 6eam & window sises; poured fourid desigq etc. 1 set of Eneyy Calculations 3 cvpias of Tree PreseNation Plan d lot platled aHer 711193 Rim Joist Detail Options 5elecGon sheet (bMgs with 3 or less uniGS Date 2'00 3 ( L? ('-s Construction Cost ee> Site Address _ao 5 -7?? ?{? ?'C L UniUSte # escription of Work ' j? 55i) ? - C 7 dVir Ur(? ? ? D -NO -,?12 Multi-Family Bldg _ Y? N F7replace(s) 2 Pro `}'W ert Owner 1ff{\ Tele hone#(k)) ? p y p Contractor ?,roi.?lt°y ?DVI 'I 4 7?A5 aaare55 ?o I _ C Ilf-C R c? ciey RrA??S.r, I Le, State ?1J Zip ?53 3? Telephone #ST'i,'-TI COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 pernut, 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 ofplans. RemodeVReoair Reawrements 2 copies of plan 1 set of Eneyy Cakulatlons for heated additions 1 site survey for atltliUons & decks Addftion - irMkate Nonsife septk sysfem 10 A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone #( , Telephoiie #? , ? ?i?.i .fi i qa- -?S` ?f nz 1 OfFlce Use Onlv Cert of Survey Recd Tree Pres Plan Recd Tree Pres NotReqd _ On-site Septic System V e_,. r? L?L ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex )A 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF q 04 02-plex ? 10 08-plex ? 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 Zb 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 0 34 Replacement 'Demolition (Entire 81dg) • Give PCA handout to applicant Valuatian '7, Occupancy MC/ES System Census Code 3 Z9 Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered 7ype of Const Width _ Footings (new bldg) _ Footiugs (deck) _ Footings(addition) Foundarion Drain Tile Roof Ice & Water Fina7 _ Fraxning _ Fireplace _ R.I. _ Air Test _ Finai _ Insulation REQUIRED INSPECTIONS _ FinallC.O. _ FinaUNo C.O. _ Plumbing HVAC Other j? Pool ? F[gs _X Air/Gas Tests Kl 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 8 Surcharge Treatment Plant License Search Copies Other Total CERTIFICATE OF SURVEY for , . Shawn Blessum ? ????1?W7E-.D • _'?_. ! ? ?-?-Y/? . _ _ (yr}?)FA 0. ? ,.. , , ? M00 6887 (` v7 ? ?o v / ? Rs. O: ? \\00? 8ill-1-03' Drainage & utility ?89 91 easement ?r ^,?? ? \ v L K ?E C`. ??;j? ?'? 90 94 g? ?CO\ / / m <,891.72 \ 1 7 , ' TOTAL LOT AREA= 8,947 SQ. FT, EXISTING COVERAGE AREA= 2,260 SQ. FT. , ? .= DEN0.7ES POWER POLE Scale: 1" = 30' _ ?. 2057 Marble Lane DESCRIPTION I hereby certify that this survey, plan, br report was prepared by me or under my direct supervision ' and that I am a duly Registered Land Surveyor under the Lows of the State of Minnesoto. ? 11??10N Date ts Julr 2003 Reg. No. 41905 Lot 28, Block 7, ., CEDAR GROVE N0. 2 Dakota County, Minnesota Plot bearings shown o Denotes iron monument ? Existing j Proposed BRANDT ENGINEERING & SURVEYING 2999 W. County Road 42, #142 Burnsville, MN 55306 (952) 224-2930 B111-1-03 n?OQ? 1c? 00? ., ; y. ?; .? ' ? ..} ; ,i'??`R'3'i{•. `s.re'i7gi ?. -? ? ? , xv; ??:r,- Use BLUE or BLACK Ink ---------------, � For Office Uae i � � I / f/^� � ' �:...�,....��.,������� „ I Permit#: /� 7�? ( � C�t of�a �� �� � � � � �s�� OCT 1 4 2014 ; � j Permit Fee: �� ' vU I 3830 Pilot Knob Road � � � �� � �1 � /� / ,}� Ea gan MN 55122 � � I Date Received:�l/ � rM,,= � Phone: (651)675-5675 `"`�"����x�T� � � Staff: —————J Fax: (651)675-5694 i---------- 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �� ��_Site Address: 2�� ��b� � — � � wh 1Zi nC��e s���#: Tenanr � Residentlt?�vner Name: Pnone:l�S I - 2 I o-G13y`� Address/City/Zip: , Name: ' -b License#: ���5—pM ' Address: City: �v��V �� CQIt��C'1'AC 7 �� ��� State: M N Zip: .�7JrJ?�7 Phone: `�'J�2`� '�l0'7'���� Contact: �/C����� Email: ' ,�Y���w,� _New X Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: 1 S"�tr�� ��-�'� ` RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) P@rTx11�:�yp�� ° � Add Plumbing Fixtures�Main/�Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater,Water Softener,or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lewn irrigation�include�$5.�0 State S�rchar�e) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is required) $105.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ �� '� 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.aonherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the woric 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 woric is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plar�s. , X C r�'Gf 1��� X � ApplicanYs 'nted Name Ap ' nYs gnature <� � � :��y3 �s ,� , FOR OFFICE I�SE �+����r. �� x .�-r.---� ; , , Required Inspections: _,_Under:Grocrnd „_,r��r�n ��r�"��� ,;,�;�,,�`�� ..:-,-�� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173191 Date Issued:11/02/2021 Permit Category:ePermit Site Address: 2057 Marble Lane Lot:28 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-280 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Shawn M Blessum 2057 Marble Ln Saint Paul MN 55122--201 (651) 210-9345 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature