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:
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? Date Received: ?
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? Staff: ?
2008 MECHANICAL PERMIT APPLICATION
Date: 10-14-dH SiteAddress: A6 S-1 YYl4rbl¢ L-'Q.t%,2,
Tenant:
Suite #:
RESIDENT / OWNER
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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,
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: sSo
14
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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
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ert
Owner 1ff{\ Tele
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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
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Drainage &
utility
?89 91 easement
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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
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Use BLUE or BLACK Ink
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� For Office Uae i
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' �:...�,....��.,������� „ I Permit#: /� 7�? ( �
C�t of�a �� �� �
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�s�� OCT 1 4 2014 ; � j Permit Fee: �� ' vU I
3830 Pilot Knob Road � � � �� � �1 � /� / ,}�
Ea gan MN 55122 � � I Date Received:�l/ �
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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
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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