2145 Marble Lane
Use BLUE or BLACK Ink
i -
For Office Use - -
i
City of Eatan i Permit
I I
3830 Pilot Knob Road Permit Fee:
1 1
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater.) Site Address: r / G r e ha h e
Tenant _ Suite
RESIDENT / OWNER Name: 0t r l + LO f`em 2_ L_._ -e e Phone: 651 JC-
Address / City / Zip: 21L-15 / i l ~ ► ~ LC(; k t -!3a n 65/c-;
Applicant iis: Owner Contractor
TYPE OF WORK 1 ~-XiS-frn-9
Description of work: V"t,e \ G-tQ 3 W i hA O WS' Q ~-~'(O ( (30 Orae n f n u 5
Construction Cost: 5 Multi-Family Building: (Yes No )
CONTRACTOR Name: W eY1cS~ CQY%c e.,e-ys License#: C) t G zH 9
Address; 990 Long- cog kld± fl'7 City: &L c
State: Zip: I o~ Phone: `•p I QQ
Contact: 1 v 0.r o Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Ir the ast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yas No tf yes, date and address of master plan:
i -
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sawer& Water Contractor: Phone:
NOT.iE: Plans and supporting documents that you submit are considered to be public information. Portions o;f
theinformation 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 Vou intend to dig to receive locates of underground utilities. www.4opherstateonecall.orq
t 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
Ewan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a ermit; that the work will be' in
acr ordence with the approved plan in the case of work which requires a review and approval of ns.
1 4-
x ll C 54 n4'1 )Y` X
ApplicFnt°s Print d Name Applicant's Sig re
Pa of 2
CITY OF EAGAN
Cedar
Remarks r'edar Grove Acquisition
Lot 18 Rlk 8 Parcel_10 16701 18fl [lR
street 2145 Marble Lane State Eagan,r+N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, S, 1985 1266.95 84.46 15 1266
STREET RESTOR.
GFADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1304.00 52.16 2
WATERMAIN
* WATER LATERAL 972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
SITE AQDRESS 2145 MARBLE LANE
DATE: 5/28/91
RECEIPT: 101559
Unft # Permit # 13056
L I? - B 8 Sect./Sub. CEDAR GROVE 2ND
IMSPWTION DATE INSPECTOR OTNER
FRAMINB
ROU6N PL88.
ROU6N NT6.
INSUL
FlREPLACE
FINAL NTB.
FlNAI PLdB.
UMR RNAL
CERT/OCC
? INSPECTION DATE INSPECTOR COMMENTS
7/S-Z2/ ,Q
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?
(651) 681-4675
SITE ADDRESS: ' " ' "' "' ' `,r' •,n APPLICANT:
?? 1t? It?i?r:r.
1 ANr
fi'7!i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . .A
I .
?-
t""m'"w,: . _ ? .
!L
?
Permlt Holder Date Talephone #
EWER/
WATER
PLUMBING
HVAC
Inspectlon Oate Insp. Commente
FOOTINGS .
FOUND
FRAMING
ROOFING 7
c7'/ ?
ROUGH PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 00
NewConstruction Reauiremenls RemodellReoalr Reauirements 410 ? ?
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all rooled areas • 2 copies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculalions for heated additions
. 2 wpies of plan shovring beam & window sizes; poured found design, etc.) • 1 site survey for exlenoradditions & decks
• 1 set ot Energy Calculalions • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Ophons selecfion sheet (bidgs wi[h 3 or less units)
DATE
JOB SITE AD
VALUATION (EXCLUDING LAND)
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK
APPLICANT ?
ADDRESS
PAGER #
i 0 1 _2 _3
NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Water Softener
Water Healer
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Mechanical Contractor. F?' ? Sl Phone # 74?
Mech:uiical System Iiicludes: Air Conditioning Fec: $70.00
Heat Recovery System
Sewer/Water Contractor:
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 and City of Eagan Ordinanc s.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
CITY of EAGAN
BUILDING PERMIT
O wnt: ....... ... -i c....9".-`..-?-........................................
?'?4L<.....A....................
Addsesc (Preceni) ... .... ............
Builder
Address
. i.
N2
3795 PiloY KaoL Road
Eagan, Minaesofa 55122
454-6100
3320
Dalo .....................
62osiae To Be Uaed For Fron! Depih Heighf Eei. Cos! Permi! Fea Asmarka
LOCATION !o. ?
This permit does aot authorise the use of slreeis, soade, alleps or sidawalks ao: does it give the ownes oe hb agea!
the right to creafe anp siluafion whieh is a nuisaaea or whieh presenfs a hazard !o the deallh, eafely. Convealaaee aad
general walfate fo anpone ia the communily.
TFIIS PERMIT MUST BEPT ON E PREMISE WHILE THE WOAK IS IN PROGAESB.
This ia !o aertify. !hal.... .??.....?e ......................haspermission !o erect a..?-rP?.^........._upon
the above described premise subjecf Yo the pzovisions of all applicable Ordinanees for !6e Cily of Eagan
-" '?].'•"
..?8..... ....................
...-•----...-----2?=---Cl...`..... .............'-`--- Per .-'----................ O
....................... Z Buildlnq lae?lor
?
CITY of EAGAN
BUILDING PERMIT
Owne= .... .A.A.I,.... &...I,AR&N.E....LEE .........................................
Addresa (precant) .,?145. Marb.le .... L.a..n. e
......................'------.....................
Sullder ...... e 1.- RoY.....
Addseu .............................
?
R IY
N0- 4081
3795 PiloS Knob Road
Eagaa Minaesofa 55122
454-6100
Dals ..........9./..2.11..7..6 .............•••..
Sio:tss To He Used For Fron! Deplh Iieigh! Eal. Coa! Pasmi! Fae Remasln
I
Addition
$5,000 18.00
?/c
LOCATION
2145 Marble Lane
16 I 8 I CG #2
or
This permit does nat aulhorize the use of s2reets, roade, alleps or sidewalks nos doas it give the owner or his eqen!
the righ! !o creafe any siiuation which is a nuisanee or whieh pzesenla a hazerd to the haellh, eafelp, convenienee and
general weliere !o eapone in the eommunilp.
THIS PEAMIT MUST BE REPT ON THE PREMISE WHILE THE WORK IS IN PROGAESB.
This is !o certify. !hal............ Ma-1-?.Rpy ............ .................... has permiesioa !o ereet a....... ad.d.it.inn......... ..................... _upen
the above descri6ed premise subject !o the pxovisions of al( applicable Ordi es f 1he ' Eagen.
.......--'-'-' ..............'---...........°'-"-'-'-----..............----_.............. Yer .(/`?? ... .................??._.........................._...
Mayor Butldiaq Iaapealor
EAGAN TOWNSHIP
BUILDING PERMIT
oWOa= ---.... ?..... ...... J-...V? ----.---- ................---------
Addrew (precent) ...vZI.Y.l-....?R...... ?-=-----.-
Builder
Addreu
DESCRIPTION
N° 203'7
Eagan Township
Town Hell
Dale .... -----------
5tozies To Be Used For Froni Depfh Heighf Esf. Cos! Permi! Fee Remazka
?- ic '7 v 17 l-/10
LOCATION
Slreel, Aoad or oSher Deseripiion of Loeafion I Lo! Sloek Adtlition or Trac!
This pexmit does aot auihoxize the use of slreels, roads, alleps or sidewalks noz does it give the owner or his aqen!
the right to creafe anq situalion whieh is a nuisanee or whieh presenSs a hasard fa the health, eafely, eoavenience and
general welfaze !o anyone in the community.
THIS PERMIT MUST BE??/K EPT[rp N H£ PAEMISE WHILE THE WOAK IS IN PROGRESS. •
This is !o eerlifY. Yha2..... L._--„d..........------_----------------has permission fo erect a...a,--upon
the above dascribed premise subjeet io the provisiona of the Suilding Ordinance fos Eagan Township adopled pril 11.
1955.
...""_"-...._..... .l_`.r'?`?`.?.`.i'-_""'-'-"-------. Per - - -------- --? ?;•.,_.,?..........__r??_...,, c:?t:s.?!
------.._.....
-`- ........ --
Chai man of Tnwn?Board Building Inspactor
k • ?.
EAGAN TOWNSHIP
BUILDING PERMIT
Address
Suilder ------------------------- . ..
Address . ------------- .---------- ..---- __....._._..__._......____. .
DESCRIPTION
N° 684
Eagan Township
Town Hall
Dafe?.s6 ......
?.. . .... .
5fories l
To Be SIsed For
Froni
Depih
Heighi
Esf. Cos!
Permif Fee
Remasks
--
__.. _'........_.._.... __..........'..._.
Chairmen of Town Baard
...., y«..,,. uue, nua au:noriza ana use ox sxreexs, roaas, aileys or sidewalks nor does it give the owner or his ageni
the righilo creafe any siiuaiion whieh is a nuisance or which presenfs a hasard fo the healih, safefy, convenience and
general welfare to anyone in the communiiy.
THIS PERMIT MUST PT TH MI E THE WORK IS IN PROGAES ?•
This is !o cerlifY• =h????? ??- --- ????e permission ta ereci Y+? ~
. s .__...... _ ...__. ?.__. - __upon
the above desc:ibed premise subjecS !o the provisions of the Building anc adopied April 11.
1955. _ ? • _ .
EAGAN TOilVN S HI P
BUILDIIVG PERMIT
Ownex ....... 74a?z....?_..-4??-`-., --°---°-'--.o..------......-?------
Address (Preseni) '__T(...-?L6......"'- .i......C..?--
Builder ---...??ci[.?y?.-_.-'
p ?
Address
----- -- ---...---' '-'---- !/ '-........_ -_ "-'-_: ....-----
DESCRIPTION
N° 982
Eagan Township
Town Hall
Date ..?11311?3- - ........- - -
Sfories To Be U sed Foz Fronf Dep2h Heighf Esi. Cosi PermiY Fee Remaxks
?"?? ---
? z
I
or
LOCATION
or
/f' I '? I d'A? .gxj zw- 1--
This permif does nof auYhorize the use of siree2s, roads, alleys or sidewalks nor does i3 give the owner ox his agenf
the righY io cxeaYe anp siivaYion which is a nuisance or which psesents a hazard to the heallh, safefy, convenience and
general welfare !o anpone in the communiiy.
THIS PEAMIT MUST B EPT ON TFJ? PREMISE WHILE THE WORK IS IN PROGAESS.
This is fo ceriifp, ihal.i??ers?AtZ.m[.,,?r- - -.,--- ..............---haspermissioa !o esect a---.. .----.-- -- --------- "-'-'-`....._--- upon
the above described premise subjeci !o the provisions of the Suilding Ordinanee for? -gan T nship adopfed April 11,
1955. ,Q? p/ ?Q? ?
........'-------•Cs? ? --- --??-' ..................--. Per .---------..._...._.. -?--P-i-°.'?:'?c-c ?°"^-'-?--...---'......
Chairman of Tnwn Board BuildingGnspector
A-•b
------------------
?
? Permit q LA 2I I
I
q I
? Permrt Fee: ? l 00 ?
I
j Date Received: Og i
i Staff: ? [?) I
I
L ____ __-
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Site Address:
Suite #:
RESIDENT / OWNER Name: Ph
one
? J'`i?`l ?J
:
r
?,
`
l
1?1
Address / City / Zip:
?
.
Applicant is: _ Owner 2Q Contractor
TYPE OF WORK Description ot work: l C-1-
J
C
onstruction Cost:
Multi-Family Building: (Yes NoI
CONTRACTOR Name: T?X`c(p cCJI ]5?YL&.iDLYA License #: 2O Z?? SS?
??I -
S?
(
A
-e
Address:
X-
-/
-•
.
n Te' 1
Crty: ./"'-1k Y/z'( ±U i l? k StateXx„)JLZip: 5_&?1/ I
n: w t6° `A
Phone: N3- q"I ( ' ?? 1<? C
nt
t Per
o
ac
so
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 Worlcsheet
Category Submitted Su6mitted
submission type) • Energy Envelope Calculations Submitted
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 Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
': NOTE` Pfans and sNpporfing docuntents that you sutimit are consid,'Qr?d to be?pubfro 1nf?37inatlblt, Pt?Yhox?shf ';
" the intormatro? r»ay be cl?ssrf,erl as?io? publrc??f yo??Y4v?de sp?cifi? r?asoas fh8t 1lNbiild perl2n?Y?lie???y ta. ?
Pa. us r ,
I here6y acknowledge that Ihis information is complete and accurate; that the work will be in confortnance with the ordinances and codes of Ihe Clty of
Eagan; [hat 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 6e in
accordance with the approved plan in the case of work which requires a review and appro ' lans.
?4?v?j 4j
X x
_
Applicant's Printed Name ApplicanYS Signature
Page 1 of 3
------------------
i 090"0 i
I Permit #:
? Perrnit Fee.
j Date Received: / - 3 I
? Staff: Y? I
L _^______________i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
RESIDENT / OWNER Name:EL?`(" ?I 'E,Q, Phone: US? I' ?i`>"1 •???
AddresslCity/Zip:21"l? 6L?bu ?? . Y&j r.? ss 1
?
Applicant is: _ Owner -kContractor
TYPE OF WORK DescriptYon of work:f??- C W\ ? I?
Construction Cost 2-0,2-2q Multi-Family Building: (Yes No __j
CONTRACTOR Name:TUfLU License#:20250 S-<a
Address: (RSS, ?u.n`, P,ln &Vi , I VE
City: k?UYbl l?l State:IAW- Zip: <? J
?
Phone:7d?'2
?? 'CZ?<-?ContactPerson: • CA"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 sUbmiSSiOn typB) • Energy Envelope Calculations Submitted
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:
1B 4(
suFldAit,'r?ocurne"?ts? atyau:auBerntar?c??te?il6treQeb1rsm?a.?z?a;?'d?f
;H/QTE?PIar+sarrd th
1
TheinfAx/1XaffarM,t»a?"lfe?f????'lielf?35t?a?3?pC:Tff?t??pt?v0Lsp??P?c?reast?sihatl?be?jt}?p'ee?i?X?? ty? =
r?M,
?
p @ ?F@?,?f?Qr,.40'it?$. i m,.s sI.illt ?vi i
m.I9ig.iu i 7?. a
I hereby acknowledge that this information is complete and accurate; ihat the work will be in conforrnance with Ihe ordinances and codes ot the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to starl without a permit; Ihat Ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Site Address: 7 ? q"J ay Y J(j L! V-
X M??lAk-iPaA x :rll)?2
ApplicanYs Printed Name AppllcanYs Signature
Page 1 of 3
PERMIT
CITY OF EAGAN
, 3936 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE:
Permit Number: StJ I L D'I IV G
039706
Date Issued: 1.1 / 2 3/ 9 8
SITE ADDRESS:
:145 MARHLG I.ANE
LD1"o 18 6LOL'K: 8
CEDAR GROVE #2
P.I.N.: 10--16701-180-03
DESCRIPTION:
_ r?EROOrIr?eaLc srozn?r
Bu,i dinq`11'e rm.ir Type S'1'ORhi OAINA[3E
6i1d3nq Wo`h?k Tvpe REPAIR
E'ensus Code ? 434 ALT. f2E5IDENTT.AL
,
\
i
`l
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Apnlicar,t - sr. Lzc. OWNER:
CUSTUM CqNCEPTS CpNST 18987290 20142417 LEE EAftL
16640 KENRICK l.OUP/S1"t B 2145 MAR61_E LANE
LAKEVTI.LE hIN 55044 EAGAN MN 55122
(612) 898-7290 (651)454-3587
S hereby acknowledqe that :C have read this appli.cation and state that Che
information is correot and aqr2e to cornply with all a¢plicable State oF Mn.
Statutas and City ot Eaqan Ordinances.
APPLICANT/PERMITEE SIGNATUfiE
SUED BY: SI NATU
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 f ?
New ConstruGian Reauirements
? 3 registered site suneys
• 2 copies of plans (inGude beam & window saes; poured fnd. design; etc.)
• 1 energy Calculations
? 3 wpies of tree preservation plan H bt plalted after 7/7f93
required: _Yes _ No
DATE:
DESCRIPTION OF WORK:
? e- ?- C'r r Phone #: y 5 `T 35 b /
Iast First
STREET ADDRESS: a (q Jc M ar b Lo LC'•?-Ie- v V
LOT: , ? BLOCK: ? SUBD./P.I.D. #: a n l? ?b V ? ? ?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: S GV'ltie
Ciry
RemodeUReoair Reauirements
? 2 copies of plan
? 2 site surveys (e#eriar addkions 8 decks)
? 1 energy calculations Mr heated additions
CONSTRUCTION COST;
State:
I L-l ss6, , s2r
,?Aln
Zip:
Company: C u S,jxn'x (Oncelp\S CLx `Sk41 A C FlCN1 Phone #: 7 °2
Street Address: k(14S3 V-FnY?Lr Lor'?t,2 License # a ? i?1 a y l 7
-"
Ciry State: 1^R IQ Zip: c5 ?,v 1-4 Ll _
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowiedge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Phone #:
Registration #: _
State: ZiP:
-------------------° ----}- -------------°--------------------------------
WORK DESCRIPTION I FEES
It?STAENT'ZAZ?;;
<.. ?_,...._ ....:::.:..:.:... ...
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: L? l/1-??
SITE ADDRESS; !2?
LOT: / b BLOCK I SUBD. ?
INSTALLER:
ADDRESS
CITY:rZIP:
PHONE E
)
?OMMERCIA.Ti%?tJDlJS?'R?l?T:`,:: PLEASE COMPLETE THIS PORTION FOR ALL C OMMERC IAL/ INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK ,
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMST # .3 0 S?P
PHONL: (612) 454-8100 RECEIPT a .5
2,4?C1?AtISCA2s?;?'.ER?'1' DATE : S o'1
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
SUBD,
ZIP:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
FROCESSED PIPI.vG - $25.00
$25.00-MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
SUBTOTAL: $
STATE SURCHARGE: .50
?
Date: ?-----,.?
BUILDI:3G PrRMIT APPLICATION
LOTBLCCK O ADDITION l?C?Gt/I L?2d-??`P 7!
PARCEL & SECTION P]ifi1IIER IE' IJNPLATTED
L
ADDRRua GF PARCELigrl
70'rl3i]G OCCUPANCY?
BSTDJATED
TELEPHONE v0
e'?l' DRESS
CONTRACTOR TELEPHONE P10.
ADDRESS
tJote. Include site plan, building plans, and energy calculations with this
application
Signed
OFFICE USE
VALUATIOid Cy
SAC
VTNTEit CO17LIlEC^tIOYI
VJATER h9ETER
EUILDING PERLSIT FEE
SURCHARGE FEE
PL7ffI CEECIf FEE
PAFiK DEDICATION FLE
S°
OTHER 5
TOTAL* ? D
APPROVP,LS :
ASSESSMENT CLERK BUILDING DEPT. POLICE DEPT.
GJATER & 5E4JER DEPT. FIRE DEPT
pARK DEPT.
?
4
?
?? 0 1
? '?-
??.5.1 ??-<---
?
?
9
?-
3 ?-' 4 1,4
MASTER CAftD
LOCATION ;2
/!yS'
OWNER (f? ??
STRUCTURE AND ?
LAND USED AS
Permit
No,
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INS7ALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FUOT I NG $E PTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
/ '
/
? ?t
MASTER CARD
. r- Ca y
STRUCTURE AND
LAND 115ED AS
s
Permit
No.
Issued Issued To
Coniracfor Owner
BUILDING
PLUMBING
1-
CESSPOOL - SEPTIC TANK
WEIL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING " " SEPTIC
FOUNDATION CESSPOOL
FRAMING -?/ y^J> / y TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS WSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS
Q
1 r-
Fni Office U_
,AN 2 ~ ZOIV I Permit CO ~
i
City of E
I
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: ` 2,1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: C
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 16 Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Cam) \ ~ Q~ Nome
Address / City / Zip. j
Applicant is: Owner contractor
TYPE OF WORK P
cri tion
p of work:
Construction Cost: ulti-Fa ly Bui ng: es
i
CONTRACTOR Name: License
Address: fT_'0 C 4Y2 -11=~ 001, L P--Cj -_4 (t SF
City: State: ftn a.~ip:
Phone: Contact Person: J~a An r\,e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
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 plans.
OJ A
Applicant's Printed Name A is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA104975
Date Issued: 0611912012
itj of 0n Permit Category: ePermit
R
Site Address: 2145 Marble Lane
Lot: 18 Block: 8 Addition: Cedar Grove 2nd
PID: 10-16701-08-180
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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 $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Window Concepts MN Earl S Lee
990 Lone Oak Rd #114 2145 Marble Lane
Eagan MN 55121 St Paul MN 55122
(651) 905-0105
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.
Applicant/Permitee: Signature Issued By: Signature
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/
Owner
Name:f_th(
Address / City / Zip: tfc f L,AAJl "Y t ay 1.- 619 LiZ
Applicant is: Owner 'eContractor
Description of work: yL
Construction Cost: ✓ U _` S Multi -Family Building: (Yes / No )
Phone:
Company: \ k1 -WA% _ (C bntact: /(03 ' 51 T7S-61
Address: �v .l v ° Ivr ��
City: �)1 ` (i 1. ,{ Q4' 4-
State: Pk N Zip: -)5--1--t2,41 Phone: (�
License #: f 1 (O3'
D Lead Certificate #: C— - BY) 3(8— \
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.00pherstateonecall.ora
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
\I\ *NACiCtl\k
Applicants Printed N e A
Page 1 of 3