2120 Marble LaneCITY OF EAGAN Remarks * Ced3Y' GroVe
Addition CEDAR GMVE #4 Lot 21 Blk 4 Parcel 10 16703 210 04
Owner u Street 2120 Marble La11e State Eagsn, M 55122
ra ha r'r-?:?? ?? ?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, c 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TFIK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BBJILDING PERMIT
Ownex ...C.<C.?N .S.<?'.':z =-?..?.... C,?. ?......--
/, ?
Address (Presenl) ...jp a-t.---?".--/"...-.......__.._....-----......-----
Builder ..---------- ------------- ..--- -.:----- - -..... _.....--..._---- --'
Address .... _ - ------ ---------
DESCRIPTION
N° 805
Eagan Township
Towa Hall
Dafe -------?L.Z.'?.?'.. ?- -..
itories To Be Used For _ Froni Dep2h Heighi Esi. Cos! I Permif Fee Remazks _
LOCATION
Slreel. Raad or olhes Descripiion ox Loeanon ,.os niocx aaamon or iracx
Thia permit does not auihorise the use of sfreels, roads, alleys ot sidewalks nor daes if give the owner or his agenS
the xighlfo creafe any sifuafion which is a nuisance or which prasents a hazard 2o ihe healih, sately, convenienea and
general welfare fo anyone in the communiip. ?
THIS PERMIT MUST BEq KE?PT? O,t??}/ TIFIE-PREMISE WHILE THE WORK IS IN PAOGAE55.?9 ? .
This is fo cerlify, --_-hazpermission !o erecf a...... ? ..ti!!'r ........... ---------- ._..... upon
the above described premise subjeyei to ;he; provisions of the Building Ordinance fot Eagan Townshipd April 11,
1955.
..................: ....: _.. .......... ................................ ?.----------- Per ...... .... ?--------- .._---. ..c'(.:...... Jn..?-d......«..... . .?.. --------- - -'....
.`....
Chairman oi- Tnwa Board Building Inspeefor
PERMIT#
RECEIPT DATE: ?
RESIDEPTIAL PLiJM$lftfi PERM1T l4PPLICATION
crrY oF EAsAv
3930 Pn.or ttxos gn
F-4fiAA, MN 55122
651-681-4675
Please complete for: . ? single family dwellings
: townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
MOXNESS, GAYLE
SITE ADDRESS: 2120 MAReLE taNE
- EAGAN, MN 55122
OWNER NAME: : (651) 688-8907 TELEPHONE #:
(AP.E,a CCCE)
INSTALLER NAME: NORBLOM PLUAdBING CO TELEPHONE #:
STREET ADDRESS: (612) 827^4033
2905 GARFIELDAVE. SO.
C ITY: STATE:
Plara a rhaek mark nart tn tha narmit wnrk Tvne
(AREA CODE)
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: wtacV v?Q-Iu- h ea tt-''
Septic System, newlrefurbished - $ 225.00
• includes County & Consuliir.g Inspector fees -
• requires MPC license
State Surcharge $ 50
`? •??
Total - $?
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water sot[eners, ecc.
I hereby acknowledge lhat I have rea0 this apphcalion, stale that the information is correcl, and agree to wmply with all applirable Cityo( Eagan ordinances It
is [he applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabili[y (or any damages raused by the City during its nortnal
operational and maintenance acuvities to the facdilies constructed under this permit within City property/right-of•way/easement.
SIG URE OF PERMITTEE
Updated 1l01
3
CITY USE ONLI'
PERMIT 9 ! 1? RECEIPT DATE: _ 10 "0 I
RESIDENTIi4L MECEMIC!!I. PERM1T APPLICATION
crrYoF EAsM
3830 Pu.ar Kxos Rn
EA6AA MR 55122
e51-661-4675
Piease complete for: ? single family dwellings townhomes and condos when permits are required for each unit
Date: 1c1gL-1 I oi
SITEADDRESS: o21oZO rrl
OWNER NAME: enjAlc- 1YloX tIe_SS TELEPHONE #: C651 (OP1p?-8q07
(AREA CODE)
INSTALLER NAME: Wohlers Southside Htg. & Air., Inc. 'LEPHONE #: Cqb,;?)
6950 W. 146`h St., #106 (AREACODE)
STREET ADDRESS: Apple Valley, MN 55124
CITY: - ,,.... _. - ZIP:
Dt? n6n?L ro rL n v1 #n 46n nnrroif wnr4 #onu
New residentiai dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration lo existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: QCr_ Fl! r-YlC.ICe, L04Yl hCr1rnCY-cj
-,opcx? 'It-cu rr?e? : Erm-rcN?
State Surchar e $ 50
Total $_LL)-=t)o
Reminder: Call for inspections.
t N ,' g2
S NATURE OF PERMITTEE
Updated 1101
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
?. 3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslrudion Reouiremenis
3 regislerad sita surveys showing sq. R of lot, sq, ft of house; and all rookd areas
(20% maximum lot coverage allaaed)
1 Soils RepoA if proposed buildin9 is to ba placed on disturbed soil
2 cop'ies of plan sfwwing 6eam & window saes; poured fountl design, eta
t set of Energy Calculalions
3 wples of Tree Preserva5on Plan if bt platted after 717193
Rim Joist Dehail Options selecUon sheel (buildings witli 3 or less units)
Minnegasco mechanial venUlatron fwm '
RemodeUReoalr Reaulrements
2 copies of plan showing fooGngs, beams, joists
1 sef ot Eneigy Calculations for heated addi6ons
1 site survey for addftions & decks
AddRron • indkafe if onsde septk sysfem
22 ?rq
t
ofigg .-..,
CeR of.Su=ivey'?=:_Y? ?'; N
SoilsRepoR";;;'?;?.«;r?.y?
On-site Sevptio N
Date G 7 Construction Cost o)?
Site Address 2 12 6 n,
Lot 1^t UniUSte #
Description of Work TCA y' VO'
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner _as? L,- h'10 iz+.C S 5 Telephone # ( G S / ) 6 $ 9 jF`?0 7
Contractor ?l?PQ'`%?'?'qGCC?bG? ?ons?u??Un
Address
/V- /
City S'???CciGc.-TZ/?
State Zip Telephone # ((P57) ?I3 CI-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Woricsheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a moster plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complefe 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 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 ofplans. I
Av 0, /e ? S?4
Applicant's Printed Name Applicant's gnature