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