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2129 Marble Lane? CITY OF EAGAN Remarks Cedar Grove Acquisition Addition C6C12S' Grove # 2 Lot 14 Blk 8 Parcel 10 16701 1 40 08 I Own6/?D"l /!Jd'o:,> Street 2129 Masble Lat1e 5tate Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1266 -99 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL t(ii 1972 13 -QQ 2.1 2 P31d WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PAR K RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 SI Q, b Z 5 657-681-4675 ? New ConsvuNion Reauirements RemodeVRaoalr Reauirementa g!?- 9fo I • 3 registered s'de surveys showing sq. R. of lot, sq. ft. ot house; aM all roofed areas • 2 copies of pan ? (20% mazimum lot coverage allowed) • 1 sel of Eneigy Calculalions for heated addilions ? . 2 copies of plan sfwwing beam & windaw s¢es; poured found dcsign, ete.) . 1 sile survey for exterior additions 8 decks • 7 set at Energy Calalations • Indiwle if home sarved by septic system for add'Nons . 3 apies of T2e Preserva6an Plan N IU plaHed after 717193 . Rim JoislOetatl Opdons selection sheef (ddgs wilh 3 or lass uniLs) ?Z?O DATE ?S "a ?f "? ? VALUATION _T JOB SITE ADDRESS a I,?. C1 M?r'61.P 1-ang- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK 0Gl d14-t () y\- 'Jj SEGSOrv ?Jr r&A- FIREPLACE(S) 1?0_ 1_ 2 APPUCANT C. C?:j )6 S'r-Q PHONE#InSI -9'r1N'9L/ ADDRESS 21a°l }'n Gi ! 6 t-P LI, ZIP CODE SSI 010" PAGER # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULFS 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Controctor: _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above informatlon 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 and City of Eagan Ordi nces. Slgnafure of ApplicaM CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updaled 1l01 CELL PHONE # 105I -303 "LIF173 FAX # _ Water Softener _ _ Water Heater _ _ No. of Baths Phone Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY O 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace orch (3-sea.) O 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 0&plex 0 18 Deck Porch (screened) ? 36 Mul6 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Atteration ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applleant a CO Valuation ` 0(9 ?- Occupancy A -j MC/ES System Census Code Zoning ? City Water SAC Units ?L Stories ! Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings(addition) Foundation Drain TiSe Roof Ice & Water Final Other Framing Fireplace _ R.I. _ Air Test _ Final Insulation Windows ??? Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Permit License Search Copies Other Total _ Pool _ Ftgs _ Siding Stu _ (ne ??o re s'?z y ?ao = FinaVC.O. _ FinaUNo C.O. _ Plumbing HVAC SEDGWICK HEATING & AIR CONDITIONING CO. ?+eariNC JOBNO. ?/ O? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS l I -2G( ,a-?kliZ OCCUPANT SOLDBY MAKE SERIAL Nn THERMOSTAT- 'l VoD VALVE LIMI7-??? ' D LIMIT SETTING FAN SETfING TP? PILOTTYPE -? IGNITION MODEL / / 1 , PILOTTIMING i I Se` PRESSURE 3 • vy t C t PERCENT CO. INPUT CFH v a6I(000 PERCENT Oz , STACKTEMP ?1 S PERCENT CO FOqM 235 (REV, i1/89) cirv OWNE q INSTALLED 8Y MODEL 6 ?Z2 V? _ 3r? - INPUT ??(L VENT SIZE 'j TVPE OF LINER LINER SIZE ? FILTERS: SIZnE NUMBER WIRING TEST TAG LIGHTING INST. DATE TESTEO ?'3,h / /D v COMPANYTESTINCa ??6? 1?/T NAMEOFTESTE9,?,i?ri FORMDISTRIBUTIONWHITELOPY - JOBFILE YEILOWCOPV - CITV ? ? ., s e EAGAN TOWNSHIP No 683 BUILDING PERMIT Eagan Township Towa Hall Da2'/'ff?--'-?D----------- Sfoxies To Be Used For Fronf Depih Heighi Esl. Cos! Permii Fee Aemarks ?? ??? . LOCATION or This permii does not authoriae the use of sfseets, roads, alleys or sidewalks nor does it give the owner or his ageni !he righ! !o creaYe any siluafioa whieh is a nuisance os whiah presenls a hasard !o the healih, safeYy, convenience and general welfare 1o anyone in the communify. THIS PEAMIT MUST?K P^.0? T? MI$S..S?LHILE THE WORK I5 IN PROGRES A J ?L i? This is So cerSify, ih ??.- ?.?-j"' `?-a, permission !o esect aQ,2? - .._"' ................ `-------..'-`-upon !he above described premise subjec! !o the psovisions of the Building rdinance ???+?'Tdt_o++• ' do !ed April 11. 1955. - Chairman of Town Board Addxesa .............. ......__.....-----'-'-----------....------...............-°'-------..... EAGAN TO\IVN S f-1 I P BUILDING PERMIT Owner --.....------- Address (PresenS) Builder --------------------------------------------- iCnL4?? ..................... ...'_.- -...,..,..,..._'__' N° 84'7 Eagan Townahip Town Hall DaYe "'S/....';?l'42 ...... Sioxies To He Used For Fron! DepYh Heigh! Esl. Cos! Pesmif Fee Remasks 6,0 ),,/ aA 0 0 ? 1S-1-Fj-WAa' V LOCATION ' SSreef, Road or oiher DescripYion of Location Lo! Block Addifion or Tracf This permii does nof auihoriae the use of slreeis, roads, alleps or sidewalks nor does it give the owner or his agen! the righffo ereale anp sifuafion which is a nuisance or which presenfs a haaard !o the healih, safety, convenience and general welfare !o anyone ia the aommuniip. THIS PERMIT MUST BE[ ??P T O? THE P EM 'E WHILE THE WORK IS IN PROGRES This is !o cexYifp, lhai._.e;,?,..'"----...? .?.4?---.-------------' ..............has permission !o erec! a.'___ ._ ..... . .--- - ' ' - - - "-'--"- the above describ emis?'§?bjec! !o !he pri ions of the Buildiag O'nance for Eagan Town i adopled A ril 11, P 1955. .??/!/?? "?,? .............. ..... ................................. " ...... _'.°' _ G`'/Y_"..'...... Per B 4--i'nsp?cio-r Chairman of Tnwn Soard ui RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 C) 851-881-4875 S 1 ? New Conatruetlon Heauirements • 3 repislered sRe surveys showing sq. fl. of lot, sq. tt, of house; and II roofed areas (20% maximum bt ooverage albwed) • 2 copies of plan showing Oeam 8 window s¢es; poured foun0 Cesign, etc.) . 1 set of Enargy Calwlatqns • 3 copies ot Tree Preservatbn Plan H lat plette0 afler 7/1193 • Rim Joist Detail Optbns selectbn sheet (bldgs witti 3 ar less units) DATE H aU0 ? HemoAeVHeoalr Reauiremante . 2 copiesof plan . 1 sat af Energy Cekulatbns lor heete0 adtlilans ? • 1s8ewrveyforexterbratld'Abns&decks • Ind'kate'rf home sened by septic s/stem for atltliliOns VALUATION ? 5-1 ?d ? v SITEADDRESS ala'i MULTI-FAMILYBLDG _Y AN TYPE OF WORK Si FIREPLACE(S) ,,? 0_ 1_ 2 APPLICANT t ? ti ?1C1 7 STREET ADDRESS tPE155- I`-I?TN 5T- +^-? CITY )E 5I, 11` STATE dAZIPS ia TELEPHONE # qV -997-2 2 >tP CELL PHONE # 2 S! -1 FAX # PROPERNOWNER .Si A? ? I??cf+ TELEPHONE# (?S I-q';Ll-0tLl --------------------- ------------ -------------------- ------------------ -------- ------------°- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 _ D (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumhing system includes: Mechanical Confracfor. Mechanical system includes: Sewer/Water Contracfor. _ Air Conditioning _ Heat Recovery System Phone # Phone # 4 ?bZet Fee: $90.00 Fee: $70.00 I hereby acknowledge ihat I have read ihis applicaTion, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signalure of Applicant OFFICE USE _ Water Softener Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 IJ- .S14aa. PERNIIT #: 6'fTY UgE ONLY 4/ / "& RECEIPT DATE: 2008 RESIDENTIAL MECHARlCAI. PMMIT ?PPLICATION crrY og Ewsm 9830 PILOT KAOB iiD RA8AA MP $gl EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: doZ SITE ADDRESS: (z), I r i? j'9 APF r ? 7-1915 ? ?- ? ?. OWNER NAME: JL"" ? TELEPHONE#: &51" / 74 INSTALLER NAME: SEUG1XK HF kTiNG R AIR CnnmiTin? 'in'r. rCTELEPHONE #: 8910 Wenixrortli Avenue South STREET ADDRESS: Mlftrifiapok MN 55420 CITY: STATE: Place a check mark next to the permit work type ZIP: ? to existin dwe ing unit Add-on, modification or alteratio /n $ 30.00 ? , • fumace replacement pt?vrur?? v(J LEN d6kD71, • air exchanger • air conditioner • other Nature of work: y I State Surchar e $ 50 rotal SJ6.?D adj i Z Sl ATURE OF PERMI voz r), - a o.' m Ol ?aln 3830 Pilot Knob Road Fagan MN 55122 Phone: (651) 6755675 Fax:(651) 67546'94 aso9o ----------- ; ? ----- ? j Pmmitit: I C ? U2? ? ? Pem-dcrsr., f i ? ? Date Reomect ; ? I 1 9ta1f: ? I -----------------? 20D8 RESIDENTIAL BUILDING PERMIT APPUCATfON DM: q i? os sft Ad,MSS: a la9 11'l we csc.P- Lnm r su?. #: 7enaM: ? RESioENr i awrER niama: S?fRcy ? T? m 3?ec, w,ona: 0I ot -3%Y- 4oI b Address / cay / ZiP: Appkant is: _ Owner ? Contractor TYPE OF WORK I Descripuon of Ar,c ? 2rL 2ooF Consuuctlon Cost: 38 CflNfRACTOR 33 Mutti-Family Buadin8; Cyn -I NOLJ L Licerse Address: - r ? s?:..m? zp: 5 c;a: Pnone: c,ovw Pa=n: Knt?P1'1 COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING _ lu?'nnesota Rules 7690 Cateaorv 1_ _ Minnesota Rules 7fi72 Energy Code . Aeaaamai vwmlagon cateorr i wa+oneet . Naw BWar Code wawnM category SL&niitw subTdw (J submission type) • E^w9y EnvebPe CakWabo^s SubniGed In the lnat 12 momhs, has the Cfty ot EaBan issued a permk tor e simllar plan Desed on a msster Ptan4 _Yes _No If yes, dafe and address of master Llcenged Plumber: Meehanlpl Sewer & Wamr ContraMOr: Phorle' f nereby aCuivaAadgs thal tlds itdortnmfon is comptele aM WauffiK 90 the MorK xd8 be in coMamanCO wXh the arhnanees arcd catles of the Qy o1 ? sM wVhoca a pem+? msa me wax wm be in an ?em undmtartd me appvved ? pl? me c??e ? biA woAty wlucn r r??n ?4 8?ip?oval of pl?. x M- CAr-tr-1L)-c,4 xW- AppiicaM's Prmted Name APPlWartrs SignswrO Pep t of 3 S -?l U °`-' ?5? 1(? ;----------------? City of Eaian I PermitA I Permlt Fee: 3830 Pilot Knob Road i i Eagan MN 55122 ? Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Statt: I -----------------? 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U61 Site Address: 2l2 l M aP-orE l?N Tenent: Suite #: RESIDENT/OWNER Name: I lm 4' StRG? zy_Rf? Phone: Address / City I Zip: Applicant is _ Owner _ Contractor TYPE OF WORK Description oi work TEAtZ- DFF 5(2E -sibC (?ktwK eleykAo)?DW), Canstruction Cost: SDO . C)cD Multi-Family Building: (Yes No ? CONTRACTOR Name:??A11k?2.?UWD lAY1SC7R(jCx)ui'l License#:????i? Address: `J lp4l i" 1F-h1 bf_1 P(. n VE N. City: _ ul t I' ltia -?? State: n? Zip: Phone: Contact Person: Q f(- ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 ateaorv 1 Minnesota Rules 7672 Energy Code . Residential Verrola[ion Category 1 Worksheet . New Energy Code Worksheet Category Submined Sulxnittea (4 Subm1981o11 typC) • Energy Envelopa CalculaNons Submitted In the 1as112 months, has the City ot Eagan issued a permit for a simllar plan based on a mester plan? _Yes _NO If yes, date and address of master ptan: Licensed Plumber: Phone: Mechanical Contractor: Phone• Sewer & Water Contractor: Phone• x' I here6y acknowfedge thal this information Ia complete and accurete; that the work will be in eoMortnance with the ortlinanceS arM cotles of Ihe City of Eagan; ihat I unders[and this is not a pertnit, but oniy an application for a permit, and work is not to start without a permll; tliat the work will be in accordance with ihe approved plan in the caae of vrork which requires a review and approval of plans. X M' Ca H r-1,,?cA X YA -e,,,-. Applicant's Printed Name AppllcanYs Signature Page 7 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118297 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 2129 Marble Lane Lot:14 Block: 8 Addition: Cedar Grove 2nd PID:10-16701-08-140 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Stacy M Berg 2129 Marble Lane Eagan MN 55122 Cva Group 7263 Washington Ave S Minneapolis MN 55439 (612) 216-5513 Applicant/Permitee: Signature Issued By: Signature