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2113 Marble Lane Use BLUE or BLACK Ink r I For Office Use ~a~ I I Misr j Permit City of Ea I 4 aa. a 1 I Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 AUG 5 2011 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 C 1 Staff: I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION6" ~gd Date: 11 - t S _ Site Address: C C3 (p Af-e- Unit Name: A) W t~cf~s Phone: ` s 4/4ff4lo~ RESIDENT / OWNER Address / City / Zip: Q 11:3 MAJ4(~ r iA) C Applicant is: Owner _K Contractor n ~ r f TYPE OF WORK Description of work: Jr Construction Cost: Multi-Family Building: (Yes /No Vr Company: ~ V.! O S Sd T WL. Contact: ' ! ~C! CONTRACTOR Address: 10,39 city: 1kA4N l 491- State: Zip: Phone: ( 6 ~ d Ala eA,t /'gN License 06 3 3 -k 1 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 they 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in confor nce 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 no 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 la s x 6V~ P-0 x Applicant's Printed Name Applicant's f gnature Page 1 of 3 X13OO A RI E 96W:. IS 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* 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 170 LIff 0 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%) 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 4 Footings (Addition) Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick -4 _c 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 q Surcharge "DOT'151~ Plan Review MCES SAC City SAC Utility Connection Charge q t/ S&W Permit & Surcharge / Treatment Plant Copies TOTAL . rya ' re Page 2 of 3 r~ C~ ~d cam.. t - . _ , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # i Fst.value $$?? Date J ?"Y 12 ia "`3 Tobeusedfor ?T? Site Address 2113 :"'.1R1 Lot 42 Block 7 Sec/S Parcel No. W ?vame +,,.,v+,s.,.: ?i:, o o Address ?&f;E City Phone 4 54-1466 , o Name *'I.E€'.:ti:NPGL "?QRa ;a Address 8609 M?RFcIET AVE 50 ¢ ... •.. e .+ni; .-.. o9s .?'f iczn Uw ¢W Name ?-W U ; Address a W City I hereby acknowlege that I have reai information is correct and agree to Minnesota Statutes and City of Eagan Signature of Permitee Phone OFFICE USE ONLY Occupancy - FEES Zoning _ g^ij ? ? S j? (Actual) Const - 81dg. Permit (Allowable) - Surchacge 4' OU # ot scrnies Length _ Plan Review Depth - SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On 5ite Sewage _ Water Conn On Site Well - Water Meter MWCC System - _ Gity Water Acct. Deposit PRV Required S/W Permit Booster Pump - S,rW Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. ' Council Bld9 Off. _ Copies ? .?1 v?1. EJ? Variance - TOTAL Permft No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Msp. Comments Footings 1 Foundation Framing ?ZO g QS Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Flnal Plbg. ConsL Meter Plbg. InspeCtor- Notify Plumber Engr./Plan Bklg. Final Deck Ftg. Deck Final Well Pr. Disp. ? , . Site Lat_ m Name welter ?e I31ss ? Address 814 Weat 10( c City T31?in on PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT #?? ? a+- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION ? Res. ? New Mult. Add-on x [1 . Comm. Repair Other Name 3 Address p City rrbni„otnn _ Phone 82-22221? FEES /IND FEE - 1% OF CONTRACT FEE _DGS - COMM RATE APPLIES iOUSE & CONDO - RES. RATE APPLIES JM - RESIDENTIAL FEE - $12.00 JM - COMM/IND FEE - $20.00 SURCHARGE PER PERMIT - .50 50 5/C IF PERMIT PRICE GOES OF EAGAN . vnr.r - %.vnIr?6 1 ? I I 1? FIXTURES TOTAL r Closet - $3.00 $ = 7ubs - $3.00 ? Iory - $100 1er - $3.00 i". en Sink - $3.00 W Urinal/Sidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Neater - $t50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: • GRAND TOTAL: - ._ , ?114;f9a f,41'I y?y ? ,. CITY OF EAGAN Remarks Cedar GTOVe ACCIU131 Additior? ?edar Grove #2 Lot 42 Bik Owner?ll--? Street a113 Marble L8i1.8 Improvement Date Annual Years Payment Receipt Oate STREET SURF. 8S 19 STREET RESTOR. GRADING P SAN SEW TRUNK SEWERLATERAL '??2 1304.00 52.16 25 P d WATERMAIN WATER LATERAL 97 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ? . 1 BUILDING PER. SAC PARK ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1:_% 3-:?; . 3?) Ll I I ?!? 3830 PILOT KNOB RD - 55122 1't U? 651•681-4675 3- ag - C-) I New Construction Reauirements RemodellReoair Renuirements ? • 3 regisrered site surveys showing sq ft of lot sq. ft of house; and all roofed areas • 2 wpies of plan (20% maaimum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies af plan showing heam & wmdow sizes; poured lound design, etc.) . 1 site survey for extenor adtlitions & decks • 1 set of Energy Calculatlons • 3 wpies of Tree Preservatlon Plan d lol piatted after 711193 . Rim Joist Detail Ophons selection sheet (bidgs with 3 or less uni4s) DATE ?IZ9 !B ( VALUATION (EXCIUDING LAND) ?OC? _? J JOB SITE ADDRESS ZI ? 3 /Vy1?eB-F, LFJ • IF MULTI-FAMILY BUI PROPERTY OWNER TYPE OF WORK ? APPLICANT ADDRESS ? PAGER # HOW MANY UNITS? 0 Ill (,ptJb`r. IA1G • FIREPLACE(S) 7'?-0 _1 _2 _3 PHONE# G5Z"A7Z-30:51 CODE'. J39j CELL PHONE # 612-337 -Lj19`l FAX # ?ot NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing Systcm Includes: Mechanical Contractor: _ Mcch.utiril Systcin Iticludcs: Sewer/W ater Contractor: Air Conditioning Heat Recovery Sys[em All above information must be submitted prior to processing of application. Fee: $90.00 Fce: $70.00 'ivlo.n,c?2-9. I hereby acknowledge that I have read this application, state ihat the information is correct, H?S agree to comply wi all applicable State of Minnesota Statutes and City of Eagan Ordina es. By____ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone _ Water Softener _ I 2vm Sprinkler Water Heater No. of R.I. Baths -- No. oF 13aths Phone # Phone # Updated 1/Ot EAGAN TOWNSHIP BUILDING PERMIT o Wne: :n_Z[.h- Addresc (pzeseni) Builder Addracs DESCRIPTION N° 2243 Eagen Township Towa Hall ne:. Siorias To Be Used For Fron! Daplh Heigh! si. Cos! P rmi! Fee Aemasks 00 ? ,J? / LOCATION - Slreef, Aoad or olher Da slplioa of Loealion I Lo! Sloak Addifion or Tract Thia permit does aot aulhorise the use of streeri, roede, alleps or aidewalka nor does it give the owaar or hie ageat the righ!!o ereale any sttuatfon whieh is a nulsance or whfch preeenls a hasard !o the heallh, eafety, coavanianca and genaral welfaxe !o anpone in the communify. THIS PERMIT MUST K T O`GREMIS£ WHILE THE WOAIC IS IN PROGA?.48. This is !o eerlifp. Yhal.. .?... .. ... ll,l .................. has pesmission !o ereet a..... . ?- !he abo e desaribed r isa eubjec! !0 the provisioas of the Su3 dinanee fos ? Z.??nship; ad ed 9 ?prilpll. 1955. ` . . .. . ? . ........... ... .. .. ................."'•" ... . .- ' ' . ........ ... ... ...... ..,?[1,,. ? .................. Q . .............. Cheirman of Tnwn Boa Per Suilding Iaspeefor CITY OF EAGAN NQ 1 srl9 'rJ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 5? BUILDING PERMIT Receipt # 4 io be used for REMODEL BATH Est. Value $8, 000 Date JULY 12 19 89 Site Address 2113 MARBLE LANE Lot 42 Block 7 Sec/Sub CEDAR GROVE 2ND OFFICE USE ONLY Pareel No. occuuancy - Fees Zomng - $100.00 w Name DALE W ILI,IAMS (AcWap Const - eldg. Permit o Address SAME (Allowable) - 4.00 h S arge urc City Phone 454--1466 x of stories - Plan Review Lenglh _ o Name - PLEICKE NPOL RLDRS oeptn - Snq City , Address 5609 M ARR7ET AVE SO S.F.TOWI - SAC, MCWCC ? City Ri.MTN PhOfIB 872-0380 S F. Foolprinis - Nlater Conn On Site Sewage _ ? w Name On Site Weil - Water Meter ? z Addf85S MWCCSystem - Q a W City Phone City Water - qcct.Deposit SM/ Permit PRV Reqwred _ I hereby acknowlege that I have read this application and state that the Booster Pump - SMI Surcharge mformation is correct and agree to comply with all applicable State of Minnesota StaWtes and Ciry ot agaq Ordina c1? s. ? Treatment PI Signawre of Perm'tr APPROVALS Road Umt A 8udding Permd isuetl to: 1'i.F.KKF.NPOT. RT.DRS Planner Park Ded. on the express condifi0n that all work shall be done in accordance with all Council applicable Stale of Mmnesota S 4 tes and City of Eaga rdinances. Bldg. Off. _ CoPies $104. 00 Builtling Official - ?Q -f Variance _ TOTAL EAGAN TOWNSHIP BUILDING PERMIT Address e<. ? Builder ................??'?cr=_tcs-?, Address ..._--------------------.. Sforiesi To Be Used For Fron! Dep1h Heigh! Esf. Cosf Permi! Fee Remarks DESCAIPTION N° 519 Eagaa Towaship Town Hall Daie ...?? ? ?1e L.__. --- LOCATION '&'-1 or This permit does nof I auj?i$ie iF(e use of sireels, roads, alleys or sidewalks/nor does it give the owner or his agent the righi So creafe any sSiuation which is a nuisance or which presenis a hazaxd !0 the healih, saf0ty, convenience and general welfare !o angone 'sn the communiiy. _ TFiIS PERMIT MUST B PT T R£;MISE WHILE THE WORK I5 IN PRqGRE/S . This is fo cerfify, 1ha?l?ry. has Permission !o erecS - }- ' ?`-E/•? u o ?C:1LAd???^ the above dESCribed premise subjec! i ihe provisions of the Building di Ye for w=f6hip adopYed Aptil 11, 1955. . ........_ . . .. _ _ _ ... . . ..... ..... . Per // - - -` ------__ Cheirman of Town Board ? ? ?? ? ?----?-- ? ding Inspector ;V1&V- C Request Date Fre No Rough-in Inspeclion I 1 Reqmred? ? Neady Now ? Wtll Notlry Inyiector ? Ves ? No Whan Reetly7 I p licensed contractor ? owner hereby request inspection of above electrical work at: Job AtlCress ($Ireel, Box or Routa No) Qty 3 4 Seclion a Township Nema or No. Renpa No. Courtly ¢ rGO.C?PJ Occupapt (PR? Phona No. f , Power SuppLer pddre% al-?X V `? Eleclricel ConVa ompany Name) Commcmr5 Ucense No ?oZ? y MeiLng Atltlress (Contractor or Ovmer Meking Instellation) D2 u/ Aufiorized Si u(COntredotlOwner MaMn latron) PM u ber ,,,? MINNESOTA STATE BOAflO OF ELECTFICITY THIS INSPECTION REQUEST WILL NOT GrlggsMiAway Bldg. - Poom S113 eE ACCEPTED BYTHE STATE BOARD 18T1 llnivenlfy Av&, SL Paul, MN 55104 UNLE55 PflOPER INSPECTION FEE IS Plqne (612) 6,12-0800 ENCLOSED. P 33051 REQUEST FOR ELECTRICAL INSPECTION ? See Insbutlions for wmpleGng this brm on beck of yeilow copy. `7C" Below Work Covered by This Request w E&00001-0] ew Rdtl Flcp. ' TypeofBuilding AppliancesWrted EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Buildmg Dryer Other (Specify) Comm.lindustrial Furnace Farm Air Conditioner Olher (specily) Contraqorg Remarks: ? v °/%G CompU[e lnspection Fee Below: # Olher Fee # ServiceEntranceSae Fee # CimunsiFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Slgns Inspecror5 Use Only: ? ,TOTAL .y> Irrigation Booms Special Inspection Alarm/Communication Olher Fee I, the Eledrical Inspector, hereby flOUgh-in Date certify thatthe above inspection has been made. Finel OFFICE USE ONLY ? Tlus r¢quest vuid 16 monlhs Imm OFFlCE USE ONLV This requeslwid 18 monlfis 6om wlidahon dak primed in this 6ox ?e-IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIh1"` 7'd"'_-#? JT ,so * 0 4 5 4 3 7 8 1? pLEASE PRINT OR TYPE Beqoesi Dale Ro?ghin inspecbon reqmred' ? Y. ;?}iJa Inapeceon Other Thon RougMn [{Ready Now D Will Call 5/30/97 lro?m?:«aii?ne?r.p?,,.he. ,i oane"y. June 8 1997 I, EilYcensed conhaclor ? owner hereby request inspeclion of the obove electricol work at: bb Address lSnrep Box, w Roo1e No.) Ciy Z'ip Code 2113 Marble Lane Eagan Secnon N. iownship Name or No Range N. Fire No. Couny Dakota Occaponr Phore No Dale Williams 454-1466 Power Sapp6er Address Dakota Electric Eleerciwl Conhoeror lCompony Name) Cmleaetar Limnu N. NwsM lk. M. (%am Elmt Onlyj Soos Electric Co. CA 00961 Moiling Addrme (Conhaclor w Owner Vedaming Insbllufionl 3980 Beau D' Rue Driee Ea an 55122 ANharized $iBnoNre lCqnhacb, or Ownn Pedormiig Insmllanon) Phone (1`88-6190 EB100001 MI 1 8/96 STAiE BOAHD COPY - SEE USTRU1 ON BACK OF YELLOW COVY REQUEST FOR ELECTRICAL INSPECTION 45Aj?? ? ? ? Minnesota State Board of Electricity ?? 1821 University Ave.. Rm. S-128, St. Paul, MN 55104 PFnf1C (E12) E42-0800 7 Home Duplex Apt. Bldg. il(er.'?- New Addn Commerciol Indushiol Form Remod Re ir Air Cond. Htg. Equip. Water Htr. Load mt. Other: Dryer Range Elec. Heat Temp. Service °X" abore the work covered by fhis request. Enfer remarks in this spoce ond an fhe back of the whife copy only. connect a/c Calculofe Inspection Fee - ihis fnspeclion Request will not be ac<epfed wifhout the correct (ee: Other Fee M Service Entance Size Fee # Circuits/Feedere Fee Mobile Home Park Stall 0 l0 200 Amps 0 to 100 Amps Sheet Ltg./Tmffic Sig. Above 200_Am s e 100-Amps Tronsformer/Generaror INSPECTOR'S USE ONLY ? 0 TOTAL 0 Sign/Outline Ltg. Xfmr. • / ? ? $ Alarm/Remofe Control Swimming Paol I hereb ceni ihm ?d the ek mc n e.e,n a. the do?: smred Irrigalion Boom Ro„ghA„ pok Special Inspection Invesfigafive Fee Fl?al oae THIS INSTALLATION MAY BE ORDERED DISCONNECT F NOT COMPLETED WITHIN 1 M THS. ------------------ i °r_ ?ce_us? i j Permit#:t6o)-7-1 I I w I ? Permit Fee: ? Date Recerved: j I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ? ,/ 1 Date: A // Gs Site Address: e L c n? Tenant: 5uite #: RESIDENT/OWNER Name. Phone: (oS ?-?f??' ?y,?Ce Address/City/Zip: ???-S 0 4' U, « ppplicant is: _ Owner _ Contractor TYPE OF WORK Description af work: Construction Cost Multi-Family Building: (Yes No CONTRACTOR Name: c. License #: 00 G 3 ci`I1 ? Address: S Sie ? City: State: C"ti Zip: S-s 3 13 Phone: ?/> 3<? ?3? l^l Contact Person: \ c, rr..F COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel Category Submitled Submitted (4 Submisslon type) • Energy Envelope Calculaiions Su6mitled In the last 12 months, has ihe 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 submlt are considered t0 4e public informatlon. Portlons ol the information may be classified as non-public if you provlde speciliq reasons that would permit the City to• conclude that the are trade secrefs. I hereby acknowledge Ihat this mformation is complete and accurate; that ihe work will be in conformance with ihe ordinances and codes af ihe City of Eagan; ihat I understand this is not a permit, 6ut only an apphcation for a permiL and work is n t wRhout a permrt, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p s x Z.,J -r 7 i x A licant's Printed Name Appl ant's ' e Page 1 of 3 1989 B[1II.DZl1G PERMTT IPPLICd?IOA 16 CITY OF EAGAN 2 ? SINGLE FlMILY DWELLINGS lEILTIP DiIELLINGS COtB'ERCIAL 2 3ETS OF PLANS 3 REGISTEAED STTE SORVEYS t 3ET OF ENEAGS CALCS. 2 3SfS OF PLANS REGISTfiAED 3TIE SOR9ES3 - (CHECH UITH BLDG DIV.) 1 SET OF BaERGI CALCS. 2 SEfS OF lRCHIiEC!'URAL 8 STRUCTIIRAL PLANS' 1 3ET OF SPECIFIC9TION5 1 3ET OF EIEAGT CALC3. MULTIPLE DYIELLINGS HENTAL ONIT3 FOA SAI.E UNITS ! OF DBITS 10TEs AiCnRFS3ES FOA CDRNER LO'dS - WNTAACTOR/SOMEOSiNER !lOST MSIG9ATE VHICH IDDRESS IS DFSIAED. HO C$AtiGES AII.L HE ILLOflED OHCE BUII.DING PEAlIIT I3 23SDED.. SEWER 3 WATER PERMIT FEES lPD lCCOIIRT DEP03IT FSES itII.L HE IIiCLIIDED WITB ?AE HOILDIN6 PERHIT FEE. PAOCESSING TIME FOR SEiIEA lAD NATER FERHIiS I5 Ti10 DIYS ONCE A PEAMTT 86S HEEA COMPLETED INDIClTING A LICENSED PLUlIDER. PENALTY APPLIFS WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQUESTED. To Be Used For Site Address LOT CBANGE IS REQiTESTED ONCE PERMIT IS ISStJED. Re'vi o'J>EFL? Nfty Valuation: -7BoU- °= Date: a13 MI?? Lot 4-2- Bloek 2_ Yarcel/Sub Owmer Address City/Zip Code ??x,%C./ S,?l2Z Yhone Contractor? F KKLN?ci l, ?-paec Address g?o??,ee?T?ii? S • City/Zip Code Phone Q??Z -o3Sto Arch./Engr. . LZ2. Lya& ? Address Citq/Zip Code ?rlYhone 4 8oco _ Occupaney Zoning Aetual Const Allowable f of atoriea Length Depth S.F. Total Footprint S.F. On site aewage On aite xell _ MWCC 3ystem _ City vater _ PRV required _ Booster Pump _ iPPROVAIS Planner _ Couneil Bldg. Off. tmvo Yarianee FEFS Bldg. Permit Oc).oD Sureharge 4,00 Plan Review SACO City SAC, MWCC Water Conn Hater Meter Aeet. Deposit S/ii Permit S/ii 3ureharge Treatment 41. Aoad Onit Park Ded. Copies 30BTOTAL Penalty TOTAL D 4 LV,?7- BL 7 CITY USE ONIY RECEIPT #: SUBD. U2. .?vC. DATE: (P7 /?; 1996 MECHANICAL RERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhemeG and condos when permits are required for each unit New construction Xxx Add-on fumace _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Dat2: June 3, 1997 . FEES Minimum Fee: Add-onlRemodel (existing residence only) $20.00 NVAC: 0-100 M BTU 24.00 Additional 50 M 6TU 6.00 ?. Gas Outlets (minimum ef 1 required @$3.OQ each) - StaEe Surcharge TOTAL 51TE ADCIRESS: 9113 MarM a T.anP . F?g,3n Mn .50 ? Zo ? ? OWNIER NAUIE: Dale Williams pHONt*.1466 454-1466 INSTALLER NAME: Fredricxson Heatinca & Air STREET ADDRESS: CITY: _ Eapan STATE: nmT ZiP:.-- - .. _ ?Jv yiC.. .. ?:? u? __??ti'*t-• ' -?e1 .:1_?"._' _ _ .... ..__ _ . .. PHONE #: (612 ?W ?^_,. _ f-aQ'Q'c3 ? • • , J Y¢?llo? yy? yU ? • 9 -:J, s- jt . 4 ? ? S ? s s reE?- 040 . ` J6 OY ? ? ? ? ? , ° ,,. --- r ': . , . ' _ . , A ? . - i ? . ? ? .?, . ._ .. . . • ' ' ? ? MASTER CARD ? IoCATIoN bi arb& Laiac vwn? 2/13 - • - OWNER u?I`? ?fFI ///?M ? STRUCTURE AND IAND USED AS 69r ?1- lgrCC ZWav Permit I ? 1 No. ? Issued - - Issued To Coniractor Owner BUILDING PLUMBING - ?_,4 _ a?, CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OTHER I OTHER I • . Items Approved (Inifial) Dafe Remarks Distance From Well FUOTING SEPTIC FOUNDATION CESSPOOL FRAMING t-3&-70 TILE FIELD FT. FINAL ELECTRICAL HEAIING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD I PLUMBING WELL SANITARY SEWER ? Violations Noted on Back COMMENTS ? ? p•1r?1) • PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA098678 Date Issued: 04/20/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 2113 Marble Lane Lot: 42 Block: 7 Addition: Cedar Grove 2nd PID: 10-16701-07-420 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Window Concepts MN Dale W Willimus Tste 990 Lone Oak Rd =114 2113 Marble Lane Eagan SIN 55121 Eagan SIN 55122 (651)905-010 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118734 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 2113 Marble Lane Lot:42 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-420 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 . Chuck Glum 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 - Dale Tste W Williams 2113 Marble Lane Eagan MN 55122 Highmark Exteriors 11237 Nicollet Ave S Burnsville MN 55337 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166193 Date Issued:12/18/2020 Permit Category:ePermit Site Address: 2113 Marble Lane Lot:42 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-420 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Alvina Janice Rogers 2113 Marble Ln Eagan MN 55122 (952) 923-3575 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178646 Date Issued:08/26/2022 Permit Category:ePermit Site Address: 2113 Marble Lane Lot:42 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-420 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Alvina Janice Rogers 2113 Marble Ln Eagan MN 55122 (952) 923-3575 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature