2090 Marble LaneCITY OF EAGAN
Addition CAR
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. 88,5 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 $2.16 2$ 3•S
WATERMAIN
* WATERLATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac
PARK
CiTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? , ..
S1TE ADDRESS: APPLICANT:
I nNr
PERMIT SUBTYPE:
TYPE OF WORK:
1if `:1'fllf"I IUN
? ?
Permtt Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
p
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE A!A TEST
FINAL PLBG
FINAL HTG
OFiSAT
TEST
E3LDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTiviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP
BUILDING PERMIT
N° 2886
?
Eagan Township
Town Hall
Date ._.......
Sfosies To Be Used For Froni Depfh Heigh! Es2. Cosf Permi! Fee Ramarks
? 6-/ .4?-?
TION C/3•.i-_'
Sireei, HoeG or oiher Uescl1p13on oi Locailon I Lot lllock Addiiion o! TiBC!
I ':4 A-1 -.- "4
This permiY does aot auihorize the use of slreels, roads, alleps or cidewalks nor does it give the ownes os 6is ageat
the sighi Yo creale anp si2ua2ion which is a nuisaace or which presenls a haserd !o the healld, safelq, convealence and
general malfere !o anyone in the community.
THIS PERMIT MUST BE Kg/P?T ONT?HE PREMISE WHILE THE WOAK I3 IN PAOGRESS.
This is !o eaxhfy' lha3'_"...=-'---_..................... has pesmissioa 3o ereet a-----_---? :......................._npon
the above desaribed premise subjecf !o the provisions of the Building Ordinance for Eagan Townahip adoplad April 11,
1955.
?p?p?
i?- -
............. . ............."-_ '
.'?,."-_?._"_°a?- --- -'-_"---... Per .........--'----"'_.....F.:?`:`..`.? :::.......:.............?0...`............"_
?y Ch ' x '1 y?,?,?,/ ? Suilding Inspeelo:
EACAN TOWNSI-IIP
N° 793
?y`?. BLJILDING PEIZMIT
Ownex -4`v /?? ?? ..(/L- gan Townsh:p
- -- - -- - - --`- - ?-- -- -- Ea
Address (presena) . ......
---- ? - -. . .........
Town Hall
--
Builder .- ------ ? - -------- ----.:._.---_.......... -------------------- - -...
Address '
Daie
-- -- ---------?--- -----
DESCRIPTION ?
Storiesl_ To 5e Osed ?For Fxoni I Depih
-- Heigh!
Esi.-
Cosi
Perm±1 Feel
F-
Aemarlcs
I
?
?.
4
? -
' LOCATION ?
Sireei, Hozd or ofher DesCr:pYion oS Locefion I Lo! I F.7. ck I - Addi2ion nr Tract
7- 1 2.
?
,
30 ?- 3 z?
T
This permii does noi auYhorize the use of sSreets, roads, alleys or sidewalks nor does ii give the owner or his ageni
the righS fo cseate any situaiion which is a nui,ance or wliich p:esenis a hazard !o the heal!h, safefy, tonvenience rr.d
general welfare fo anyor.e in the community. .
THIS PERMIT MVST B£ KEPT ON THE J'REMISE WHIL£ THE WORK IS IN PRGGRE
.
This is fo cerYiiy, Shai_.'_ ". .??. -?"f ? i? ,w_'---- ____-------- has permission fo execi ?- ..19 SS. ?
up^,n
the above descxibsd prem.ise subjecf fo the pTOVisions of the Building
1955. /?
...._...._..__....._.__.__".. ........_._... Per _.....
?L___"!?!
Chairman . of !----`? ?y'n Bo ?
Lc%?
/ Ordinance i- Eaa
_.. ___.....?...'??..' a- Township opfed Aorii 12.
/??fc?C.F-?-
_.?_.__ ............... .._..._..__
Building Iaspe?for
FERMIT
CITY OF EAGAN
,3830 F'ilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuzLoxNe
Permit Number: 0 3 3 2 2 0
Date Issued: p g J1g/'9 g
SITE ADDRESS:
2090 MARBLE LANE
LOT: 28 BLOCKe 4
CEDAR GROVE #4
P.I.N.: 10-16703-280-04
DESCRIPTION:
REROQF
ptc7?Permit T y p e
?u1Xd,-it7g -?Wb,rk Type
,.
6 Y7 t U? C_4l de-
. ? . • •atY.'?I ? I?i'u!CT ' I pn:'g'
u? nt?
STORM DNMAGE
REPATR
434 ALT. RESIDENTIflL
a ?„ ie'm"'-_qp°- nZ? ats?;',rq R'tef?L,` ?mF4aa
raz::
REMARKS:
FEE SUMMARY:
CONTRACTOR:
OWNER: - flpplicant -
MERRICKS .7EFFREY
2090 MARBLE LflNE
ERGAN MN 55122
(651)668-9769
T.he?r-eby
p4L.aiip_p7leable` ?t',&tq'of 'fin?
Sv6t17t.Cs3 aq''?' OzC'{`?i.Y3r'}nCE?iS
I- ,. - . _..._ . ..,...t?... , . 'i[ `-. .? _ -, ..? ...,,_.. _ _. .. ., . ..... _ .,... .._ ' • _ ' - . . ?. . .. ,?, . ? ?
APPLICANT/PERMITEE SIGNATUflE 1 D BY: SIGNATURE
1998 BUILDING
New Construction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 ?
681-4675
? 3 registered sde surveys
? 2 copies of plans (inGude Deam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree Weservation plan H lot platted aRer 7If l93
required: _ Yes _ Na
DATE: q41 o f4 f
Name: -J:? -A{, y Phone #: ? $K y7G ?
Last Fiat
DESCRIPTION OF WORK:
STREET ADDRESS: ,)Dq0 fZr e C.. IV Ec.g, a-i
LOT: BLOCK: '4 SUBD./P.I.D. Y-0 U
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: .?d qo ^,6ll L jZ/
City Ge., G-, Stau: Zip: ?-
City
RemodeVReoair ReauiremeMs
? 2 mpies of plan
? 2 stte survays (extenar addRions 8 Oecks)
? t energy alculations for heatad addkions
CONSTRUCTION COST; a3 0 O
Phone #:
License #
State: Zip:
Company: Phone #:
Registration #:
Street Address:
City
Sewer & water licensed piumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penaity applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to Comply with all applicab!
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _
Sute:
CONCRETE WORK ORDER
?'
? SU' .??L ?.Oe
. C'
?
? 5^
o+t?I
It
D ?/ PHONE#0?54 -536?
e
18 COMO AVE. ST. PAUL 7
NAME
'
- ?
.
?
P++-+a ?
GALL: 645-0331
JOBADDRESS '
2090 /i7,4.26ly-
-
f•
?
? BLDG. CODE AREA
u?/
SALESMAN
-7 FOR OFFICE USE O LY ?
CDNTRACT DATE 04;11- !9?/ 77_ CONTRACTOR S To? L, JOB #v.
a4' xa rz SUSSEL JOB # 2 y a 8 CONTRACT # 300-
SIZE
E
INDICATE THE ITEMS BELOW ON LAYOUT r
*Permit bY V
? Legal Description
? Lot
? 81k
? Add'n
?Value a6??
Type Const. f't?x w, e
' y?Square With uo.;r,c?
? Rods
esh J
? Sod Rem. - By
? 5-Bag Mix
6 Bag Mix
? Tamping
-ZNoTampingp,D, p?
A.B.U.
2-Startin5s Points Only
S S.P.L.
S S.P.L.
R.P.L.
Alley
/D Ss 09±-?House
F. Street
ocner
R14).H. Dr. Offset
KS.D. Location
G-WOC"
PART OF CONTRACT ? 5397(O ,
P-4 REV.
7
V
-. - ? -
GLA 5
?
?
1 fOGrJ
J?
o?
?
...- .
./
03
` _. . _
?
71
?: 0 /
?
/
S ._.
- pIR?E(CTION ?
n
MASTER CARD
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contracfor I Owner
BUILDING
PLUMBING 'Jy I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER I
Items
I Approved
(Initial)
Daie
Remarks
Distance From Well
FOOTING - ?I Q• ? SEPTIC
FOUNDATION _ CESSPOOL
FRAMING
.;, ??A? TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HE.471NG OF WELL
GAS INSTALLATION
SEPTIC TANK
I
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS
PERMIT NO.
CONDITIONS OF CONSiRUC710N AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest presen[ or prospective, and that I hava reported herein
all significant conditions otsarved to be at variance with ordinances of tha Town of Eaqan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
INSPECTOR
42!?P a.
I ?j ol
2007 RESIDENTIAL BUILDING PERMIT APPLiCATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcUOn Reamremenis
3 registered site surveys showing sq %. of lot, sq. ft. M house; and II roofed areas
(20%marimum lotcoverage allowed)
1 Soils RepoM1 if proposed building is to be placed an disWrbed soil
2 copies of pWn showing beam 8 window sizes; poured found tlesgn, etc.
i set M Energy CakuW6ons
3 copies of Tree Preservatlon Plan if lot platled after 771193
Rim Joist Dettil Optiois selection sheet (buildngs with 3 or less units)
Minnegasco mechaitical ventilation form
RemodellReoair Reauirements
2 copies af plan shovring footings, 6eams, ja¢ts
t set o( Ener9y Calcula6ms fw heated addi6ons
1 site survey for addifions 8 dedcs
Addifion - inchcate H onsile sepNc system
? I tiAl, s ?-
OMM UsIt Qnl
CedofSu!veYRecd,
_Y._N
SoIlsRepat,-: " - -Y =N
Tree Rres Plan Reid, - '- Y" -N.
TieePresRequGad?'.-',' Y.-'_N
Oi?site SeptiE System=:.' ?-= Y.-`= N
?7/,?.??q,??y
C
?`e"
Date dc?C ? ?•
?-
Construction Cost
/
;
??
z Unit/Ste #
i
Site Address ?,ld 7/l
C
Q
-
k
W -R2AtncrL uidr i ii+ Ga?/? ?'y'?g i
or
Descrip[ion
Multi-Family Bidg _ Y? N 7 Fireplace(s) ? 0 2
Telephooe
Property Ow r
? ?-
i
Contractor
Address, -_ ' City
S ZiR Telephone # ( )
fate
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Cateeorv 1 - . New Ener Code Worksheet
Energy Code Categofy , Residential Ventilation Category 1 Worksheet 9Y
(q submission type) Su6milted Submitted
. Energy Envelope Calculalions Suhmitted
In the last 12 months, has the Ciiy of Eagan issued a permit tor a similar plan based on a master planZ
Y _ N If yes„date and address of master plan:
Licensed Plumber In? Telephone #(
Mechanical Contractor
Sewer/water Contractor
Telephone fl
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in confonnance 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 w rk which requires a review and
approval of plans.
Applicant's Printed Name Applicanf Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscelianeous
Work Tvues
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
X 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demoli6on (Entire Bldg) - Give PCA handout to applicant
D@SCflp[IOfI: WaterDamage`Yes
Valuation 3000 ? Occupancy RMCESSystem -
Plan Revlew L,? 100% or 25%
Census Code ?l 34 Zoning City Water ?
SAC Units Stories - Booster Pump
# of Units - Sq. Ft. - PRV -
# of Bldgs Length - Fire Sprinklered -
Type of Const Width "
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) ? Final/No C.O.
_ Foundation ?. HVAC
Drain Tile Other
Roof Ice&Water Final _ Pool Ftgs AidG asTests Final
? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ W indows
? Insulation _ Retaining Wall
Approved By: Building Inspector
,
Base Fee ? ?S X ?
Surcharge
Plan Review ?
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007 RESIDENTIAL PLUMBING PeRMir aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
f5t) ,5o
Date o2- I
1 -s IA b0 '7
_
q y? }SiteStreetAddress Unit#
Property Owner 5 Telephone # ( )
Contractor Telephone10?) 56?? '001211
Address d? - City Stat OL, Zip 5q2 3
The Applicant is: _ Owner & Occupant ? Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to _I main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
instafling onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
I? ? M ED
Vis
?
?
_Septic System Abandonment
2 p 2007
FEB
"
meter is required)
_ Water Turnaround (add $136.00 if a 5/8
Other:
6Vater Softener 1h'ater Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
$ .fjp 50
7otal
I hereby apply for a Residential Plumbing 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 piumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
a ordance with the approved plan in the event a plan is requ ed to be reviewed and approved.
?. i ? ? ??
pplic Ys Printed Name Appli Ys Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2090 Marble Lane
Lot: 28 Block: 400 Addition: Cedar Grove #4
PID:10- 16703 - 280 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Champion Window Company of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574 -2054
e- Reroof, Siding & Windows/Doors
Reroof, Siding, Windows /doors
House
434-
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Pictures are not acceptable in lieu of inspections. Smoke detectors are re quired in all sleeping rooms prior to final
inspection. When wall studs or c eiling joists are exposed, hard -wired detectors are required. Battery operat ed types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to b e removed to install a smoke detector. Siding: When installing
ventilated soffit material, remove existing soffit material (i.e. debris that could bl ock vent openings) and take steps to
$125.25
$3.00
$128.25
Owner:
Mary Segal
2090 Marble Lane
Eagan MN 55122
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA076098
12/07/2006
ePermit
Use BLUE or BLACK Ink
For Office Use
j Permit I
City of Eantan I ar
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff. I
I -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~~h5 }-wr~VG,r'ci.c Phone: GSf -33g'FtYs~
Resident/
Owner Address / City / Zip: ZCOU kg1c...- Q r Lr , c L" >e 55T 2 2_
Applicant is: Owner X Contractor
Type of Work Description of work: t - foo 1
Construction Cost: 7 CCU a Multi-Family Building: (Yes No XJ
Company: R br o cx C U,("5,( kt^ob Contact: Mirr'c
Address: L ~623 L q ~ rt 5 ~ ~45 City: I~ nS~ 'llL
Contractor -NZ
State: M AI[ Zip: S'S 3 3 Phone: 6 t Z - 17U^- ~vO -z
License 6 SL g 35 Lead Certificate / n,3/ vAT -1 e S-3 5 ~l
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 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.ora
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 sta . out 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 pla
Exterior work authorized by a building permit issued in accordance with the Minnesota S B Ing Code must be completed within 180
days of permit issuance.
X C U c. //L( x
Applicant's Printed Name App s Signature
Page 1 of 3