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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 d+Cc•~t ~Fc' L C.ZCC.c ~ ~ ¢ GE•rCt F-GSs Cj^SGt c!~2_ d-CQt cr{ L IOSV wCD-'1°ouhrc-CLt.- noc4"+- i If - C9-44- `riot- d S~+ < o•As~+ I QA N AL I I EVVED sca~~- = ►a~ e; bma- 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 ? N • ? a¢., ? tg8 }'} ?drIk ? ? tx?h rasCAr AM r ?0 (;?- As°- 30 zt ? u0k ?io? is ? S a l0.$ ?4 L.cjne.. I?bw2 ? ?. ? (??..?, ? LX`?V'? _lalC.M E--? 1?CsPb`"ZGf12 ? ?- ? 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