2105 Marble Lane
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use ~y
Permit Ron
City of Ea
Permit Fee: (o
3830 Pilot Knob Road I I
Date Received:
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 J U` 15 201 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION ' --7-
Date: Site Address: 001 I oS 1~1C,r~ e Lap-C- S M is S~ I L-1- Unit
Name: P-'Z~4cv\ Phone: &A t' C)ar`
RESIDENT / e¢~~ &,s-- i
OWNER Address / City / Zip: t~~ ~S ~o.1'h(a Ln~an M+s 1t2
Applicant is: Owner Contractor
TYPE OF WORK Description of work: T nC V-bV- & gw,,Nok Aoa\
Construction Cost: QV C&Y),,ta't1~Multi-Family Building: (Yes / No _k,)
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License 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 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.gopherstateonerall.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 plan,.-'?
f,
X X
Applicant'st inted Name Applicant's Signature
+0k P 1 11 "JV) ~ T~ Page 1 of 3
'
P~&w
r AV
DO NOT WRITE BELOW THIS LINE
'SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
~f Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 2, ~ Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-V) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water Final -X Pool: Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC ~V
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: X105 h(wff e. ~.vt
Applicant Name: 7&-\kaAA
Cd
GENERAL INFORMATION
o z
,-d ❑ ❑ Applicant name and contact information
, T ❑ ❑ Property owner name
❑ ❑ Address of property
,a' ❑ ❑ North arrow, scale (1" = 30' or 40')
,27 ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
❑ ❑ Location and name of all streets adjacent to property
❑ ❑ Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
❑ ❑ House corners
❑ a' ❑ Property corners
❑ )Z ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
❑ ,ef ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
❑ ❑ All property/lot lines
f~ ❑ ❑ All Easements on the property
Proposed
❑ ❑ Pool
❑ ❑ Pool plus integrated deck/patio
,Zf ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
ZO
Reviewed:
Nam Date
GTORMS/Pool Permit Checklist/02-13-07
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CITY OF EAGAN
130 PILOT KNOB ROAD, EAGAN, MN 55122 ATE:
Block
? Name ?")1a' g ?•fc+ri,
?o Address
c Clty 33'' ?' ? •' ;
?
Name '
Z P UMP-
c ? :1 S r t
Address „
3
p
City ?' a n
, „ Phone ' ,' ,
- TYPE OF WORK
Forced Air q.._ M BTU
'- Boiler M BTU -
Unit Heater M BTU
Air Cond. 'ILNI BTU
Vent. CFM ?i
Gas Piping Outlets #
Other
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE S CONDOS - RES. RATE APPUES
MIfJIMUM RESID€NTIAL FEE -`ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .Sp
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: C?
.. i i r. .?? J C. flt
S/C: SI R' I E
TOTAL: ??• 5 i 1 ?l,l {
j
FOR: CITY OF EAGAN ,
;
CITY OF EAGAN
Additio 'Cedaz
?
Owner ?
Remarks Cedar Grove Acquisition
Gz'oVe #2 ot 40 eIk 7 Parcel 10 16701 Z100 07
;•` ?.°?? ?/?-u/? street 2105? Marble Lane State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. S 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL „ 1972 1304.00 2.1 2
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC ?
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD - 55122 ?`-] (' .U V
651-681-4675
-0 i
New Construction Reaulrements RemodaVReuair Reauirementa
• 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all ropfed areas • 2 coples W plan
(20%mzcimum lot coverage allowed) • 7 set of Energy Calculalians for heated additions
. 2 cropies of plan showing beam & window sizes; paured found design, etc.) . 1 site survey (or ezterior additions & decks
• 1 set af Eneyy CalculatMix . Indicate I( home served by septic system foradditions
• 3 copies of Tree Preservatan Plan'rf lot platted aRer 717193
• Rim Joist Detal Optiore seleclion sheet (ddgs with 3 or less units)
DATE 3_i.J-V_ aCaa Zck)l VALUATION ? a?
JOB SITE ADDRESS Pl0?y
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Qc',C.n f3, 6)t.t ??
TYPE OF WORK t5c5c_S- l?V??- ???sic3a- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Rr?AeN PHONE#ScaS:_ 1?91
ADDRESS a10.5 (Ykx,l?t,_ Ln &4c'n /Y)v? ZIPCODE S?lZ2
PAGER # CELL PHONE # e917- ? -S-V &)v-> FAX #
Nt1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RiTI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 7 Worksheet ?Qh
- Energy Envelope Calculations Submitted ?I IJ
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor.
Mechuucal System Includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes ond City of Eagan Ordin s.
Signature of Applicant
_ Water Softener
Water Heater _
No. of Baths
Phone
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY
? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex p 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg Y or_ N ? 25 Miscellaneous
13 31 New ? 35
P 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
m d
Valuation ?
Census Code 1/3 ?
SAC Units igL
Nbr. of Units
Nbr. of Bldgs
Type of Const
p
? 30 Accessory Bldg
? 31 EA. Alt - MuIG
? 33 6c[. Alt - SF
? 36 Multi
Int Impmvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
"Demalition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MClES System
Zoning ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings(addition) Plumbing
Foundarion
Drain Tile
Roof Ice R Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Final/C.O.
?
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By 649 , Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
EAGA 3830 PILIOT KNOB RDN 55122 11311S
651-687-4675
NewConsiruction Reauirements RemadellReoair Revuirements
• 3 registered srte Surveys showing sq h. of lot, sq. %. of house, and all roo(ed areas . 2 copies of plan
(20% mawmum lot cove2ge allowed) . 1 set of Energy Calculatlons for heated addmons ?
• 2 copies of plan showing beam 8 window sizes: poured found design, etc.) . 1 site survey forextenor add'Nons & decks ?
• isetotEnergyCalcula6ons
• 3 copies of Tree Preservation Plan rf lot platted aRerAil93
. Rim Joist Detail Options selection sheet (bldgs wiN 3 orless umts)
DATE A ?.f ICA)? VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS o'00,S
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWI
TYPE OF WORK
APPLICANT
ADDRESS ?
PAGER #
CELL PHONE # (?. i S-)Lo' &lv? FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
_ MINNESOTA RULES 7670 CATEGORY 1
• Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MTNNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Pluinbiii,- Systcm Iiicludes:
Mechanical Contractor:
Mechazucal Svs[em Includes:
Sewer/Water Contractor:
Air Conditioning
F-Icat Recovcry Systcm
Phone #
Phone #
Fee: $90.00
Pee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informafion is correct, ond agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinanc es,,?
----
Signafure of Applicant _
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
-LG 26(` FIREPLACE(S) _KD _1 _2 _3
PHONE# (Cz s 1 l! ?'C3S-745'rP
?.
CODE ?Sl Z7-
Water Sottener
Waler Healer
No. of Balhs
Phone #:
_ Lawn Spruikler
No. oF R.I. Baths
Updated 1/01
i
EAGAN TOWNSHIP
,?-,BUILDJ.AIG PERMIT
Addxess
Builder ........... ...
Address ------------ ...:-------------?----
DESCRIPTION
N° 682
Eagan Township
Town Hall
Date??....C.?.....--?.--- . ...
Siories To Be Used For Fron! Depih Heigh} Esi. Cosi Permii Fee Remarks
LOCATION
------' ----- -- --"-- ---'--,--°" -' --_..__.,.. ,.,?a
t??ucK ` ?aamon or rract
This permii does no1 auihorize the use of sixeels, roads, slleys or sidewalks nor does ii give the owner or his agenf
the righffo creaSe any siiuafion which is a nuisance ox which presenls a hazard to the healih, safely, convenience - and
general welfa:e to anyone in the eommunify.
THIS PERMIT MiFST B KE T O HE Pis jy.,,E THE WORK IS IN PAOGRESS //?/?/ •
This is Io ceriify, ih - -- -T? C??: ?fr?q/6RT as permission !o erec! ? ?:F..i . _?.._ ...._..... __upon
the above described premise sub ec! !o the provisions of the Buildin Ordinance £qr , wns! n adopled April 11,
1555.
_ ...h................. ___....._ ___....._.. < _ _ _ ,
Per
Cairman of Towa Board tR?.? . ..e.......,._
11r;Yt0189
?
9 98 797 ??
RequestDate Fre No. Rough-inlnspecM1On
1
1 Required? ?Reatly Now ? W II Nottty Inspeccor
4/18/89 ? Ves R No When ReatlY7
IM licensed contractor ? owner hereby request inspection of above electncal work at:
Job Address (SYreet, BoM or RoNe No.) Ciry
2105 Marble Lane Eagan
Secbon No.
Tawnship Name or No
Range No
Courify
I Dakota
Occuperrt (PRINT) PMne No.
Doug Rome 456-9376
PovrerSUpplier , AdEress
Dakota Electric Co. 4 000 220th St. Farmington, MN 55024
Elecirral CoMredor (COmpany Name) Caniradw5 Licerrae No.
Total Electric, Inc. 039842 4
Mailing AGdress (COMracior or Owner Mekinq Inafallalqn)
1537 92nd Lane N.E. Blaine, hIN 55434
Authonzetl SignaNre (COndrac1or/Owner Makng Instellation) Ptwna NumOer
786-8484
MINNESOTA STATE BOARD OF ELECTPICRY THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitlway BMg. - Roan S173 BE ACCEPTED BV iHE STATE BOARD
1821 Unlversity Ave., SL Pau1, MN 55106 UNLE55 PROPER INSPECTION FEE IS
FMna (612) 692-0800 ENCLOSED
p REQUEST FOR ELECTRICAL INSPECTION ee.ooom-07
f ? ? See instructionsror wmpleting this form on back of yeilow copy &0 0, ?7
V 9 8'7 g 7 '•X" Below Work Covered by This Request
e AAtl Rep TypeofBUilding AppliancesWired EquipmentWired
x Home Ranqe Temporery Service
Duplex Water Heater Eleclric Heating
Apt. 8uilding Dryer Other (Specity)
Comm./Industrial g Fumace
Farm x Air Condi[ioner
Other (epeaty) ConVeclor9 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnirenceSize Fae # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 10. Amps
Transiormers Above 200 _ Amps Above 700 _ Amps
SignS Inspeaor§ Usa Only: TQ7pL
Imgation 8ooms 15.50
Special Inspection
Alarm/Communiration
l
Olher Fee
I, the Electricai Inspector, hereby
f Rougn-in
certi
y that the above inspection has
been made. Final
OFFlCE USE ONLY This request witl 18 momhs tmm
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123251
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 2105 Marble Lane
Lot:40 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-400
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Dan Maus
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Bryan W Hanson
2105 Marble Lane
Eagan MN 55122
Maus Construction
13432 Geneva Way
Apple Valley MN 55124
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature