2110 Opal DrON RECORD
? CITY OF EAGAN PERIVIIT TYPE: FtE? I! Ci 1 N1'!
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
` (612) 681-4675
' SITE ADDRESS: APPLICANT:
I 1?) ??!'A! i?K 6 t t '??rf I I N?
Iif;i., l:l?W '1 I S1 i f19R0 ?
PERMIT SUBTYPE: TYPE OF WORK: I. } f, A I P
a i'v , ' o 3 ! kJ;.;'1:! ? t t
INSPECTION D• • D•
iiil 1 1 14?, ! ?ili I I PJ?i',
I ( NAI
?
il
I
?
? . '- -.. . . " . ? '.
¦
¦
Permit No. Permft Holder Dete Telephone M
ELECTRIC
PLUMBING
HVAC
InspeCtion Uata Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
T
flnm-
BSMT R.I.
BSMT FINAL
DECK FfG
?
-
DECKFINA.I
i1,J?h
-7 -- --
Ifilft -
CITY OF EAGAN
3795 PiloY 1Unob Road Eagon, MN 55122 N2 6101
PHON E: 454-8100
BUILDING PERMIT Receipt .#
Te be used for Est. Volue Date , 19
Site Addreu Erect p Occuponcy
Lot ? Block 409' Sec/Sub. -/O 1(9'760 310 0 i Aiter ? Zoning
parcel # Repalr ? Fire Zone
E
i f C
t
T
n
arge ? ype o
ons
.
W Name Move ? # Sbries
Z Address Demolish ? Front ft.
8 r:..., eL___ Grode fl DeDth ft.
°C Nome _
Address
d
?
Nnme _
Address
I hereby acknowledge that I have read this application and state that
the information is torrect ond ogree to comply with all opplicable
State of Minnesoto Stotutes and City of Eagon Ordirantes.
Assessment _
Water & Sew.
Polite
FI re
Eng.
Plunner
Coundl
Bldg. Off. -
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rood Unii
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be dane in occordance with all cpplicable State of Minnesota Stotutes and City of Eogun Ordinances
Building Offfciol
hmM # pah Iwd POMMho
Plumbing
Mechanicol
??3 e ? l ov-d p- po
INSPEC710N5 DATE INSP. I
Rough-In
Final
Footings Dote Insp, pote Irqp.
Foundation Plumbing
Frame/ins. Mechoniool
Final
,
Remorks:
?
CITY OP EAGAN 8628
7795 ?ilot Knob Raad Eayen, MN 55122
PHONE: 454-3100
BUILDING p?RMU Receipt
i "
Site ldlrcss f.liV Vt/Ol LliYG
Lot 31 Block 5 5ec/Sub. Ceciar Grove lst
Porcel # 1 0- 1C;700-310--05
ac Name
? ?rcn 2110 Opal Drive
_ W - n.,.. ?. 5177 __ GC/.-7t /.!.
p Name _
?? Addres?
?- r:...
Name _
Address
1 hereby ocknowledge that I ha+ro reed this applicotion ond state that
ihe inlormotion is correct and agree to comply with all applicuble
Stnte of Minnewte Stotutes ond Ciry of (,99on O!dina ces, r
?
Sipnature of PeRnitteel 41 ? /m. (
? :rg? i 11-
A Buiiding Pe?mit Is issued to:
oll work shali be done in accardonce with all opplicable Stqte of Mir
Bulldinp Ofticial
Erett 1Q Ottuponcy
Alter p Zoning
Repoir ? Fire Zone
Enlorye (] Type of Const.
Move p # Stories
Demolish p Length
Grode O Depth Sq. Ft.
Approvals Fee•
Assessment
Water 8 Sew. Permit 1 / . -')U
Surchorga .50
Police Plan check
Fire SAC
Enq. Woter Conn.
Plcnner Woter Meter
Council Road Unit
Bld
Off
.
fl.
NPC
Totol 00
on the ezpress condition Ihnt
Statutes und City of Eoqan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbfng
H.V.A.C.
Well
Wetsr
Disp.
Sewer
.
E{sctrie
Irupaetion Date Insp. Other
Footinpt
Foundation
Framing ?
Rouph Plbq,
Rouph HVAC
Inwlation
Final Plbg.
Finel HVAC
Final
Watsr Dftaibe Location:
YYell .
Sewar -
Pr. Gisp.
CITY OF EAGAN Remarks " ueaar vrove Acc7u3.sition
Addition ?D? GR0VE ! Lot 31 . Blk ,5 Parcel 10 16700 310 OS
Qwner 2110 Opol Drive State EaganR MN 55122
Dujat10r, tU t- t , a I I , 1 ?, -
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. J 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER GONN.
@UILDING PER.
SaC u
PARK
v
EAGAN TOWNSHIP
BUILDING PERMIT
owna= --------- ti ...... ------------- "s ---------- ------ ----- ...... ...... - - -- -
Address (Presenl) •'.-_......_.......... .---------- .".
v
Builder ..*2?f-.-....... ------=...... r.._...----y--..............................
Address ..lA-l ?.._.._.(------ ---'.'.'.`_¢"K<!../..51!...-'..CL--?"`"-r"x"'`
DESCRIPTION
N° 18'74
Eagan Township
Town Hall
DaYe ..... (2/'.f...-?F -°--•°-°--°
Siories To Se IIsed Fos Fron! Depfh Heighf Esf. Cosf • Permi! Fee Remarka
a _Z P-
° - u
or
I d /I s I C -& 2?-Y /
This permit does not aulhoxise the use of sireefs, roads, alleps or sidewalks nor does if give the owner or his egen!
the righ!!o eseafe any situation whiah is a nuisance or which presenis a haaard !o the heallh, safelp, convenience and
ganeral wellare !o anpoae in the communilp.
THIS PEAMIT MUST BE KEPT ON TFiE PREMISE WHILE THE WORK IS IN PROGRESS.
..................... .. . ___..'.... _"""......_""'.__'._.upoa
This is !o eerlifY, lhaS----??. ...has permission !o ereet a--- .. .
the abova deacribed premise aubjec! !o the pxovisions of the Building Ordinence tor gan To n.sh.ip adopled April 11,
1955. /? ?
-"-'-"""'-'..."-'__?A-o..a:--_'-"--......... Per -----`---'------._...?.?--... ...?-'In..? ?J........
? Chairm8fi of Tnwn Boerd Buildin s eclor
e - 15.
p lp 616
J CITY OF EAGAN Llude 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMZT APPLICATION 1 set of energy calculations.
To Be Used For Valuation
Site Address: 62(/0 Lot F/ Bloc3c Sec./Sub.
72S'0 Date
Erect ?
Alter
Parcel /G? Repair
Qaner: L?wR,N k?n??,.?! Enlarge _
Nbve
Pddress : ?I[JL) C?dn.a ( lfl R: Ji
City/Zip Code:
Phone #: q S
Contractor: 04K,US ?t??h...?.v<- / Oo/CCi:??J
Ti •
Address: ?I
%Coi?U ?,t?t s?,
City/Zip Cocle:
Phone a:
Arch./Ehg..
Adclress:
City/Zip Cocle:
Phone #:
Demlish
Grade
OFFICE USE OfII,Y
Occupancy
Zoning jv-_.
Fire Zone
7ype of Const.
# Stories
Front / ft.
pepth ft.
APPROVALS ?S
Assessrents
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Perntit
Surcharge
Plan Chec]c/s
SAC
Water Conn.
Water Meter
Road Unit
TOTAL
CITY OF EAGAN
3795 Pllot Knob Rood Eagan, MN 55122 N2 6101
PHONEs 4548100
BUILDING PERMIT APPLICATION rteceiPt # o2dS/7
To be wed ior SWINMIING POOL Est. Value $7,250. pate . 8-19 , 19-82
Site Address 2110 Ox7al Dx'. Erect [R Occuponcy
?
Lot Block ? Sec/Sub. C; 61 t Alter ? Zoning R-1
Porcel # td 1l< 70 0 3(D G a Repair ? Fire Zone
Enlorge 0
rc Name Dwain Dahlin Move ?
Z Address 2110 Opal BT'. Demolish ?
9 Eag?, Mn • ..... 454-1644 Gmde fl
p Name _
?
0< Address
z
?- r...,
us
Ave. S.
Assessment -
Woter & Sew.
Police _
Fire
Eng.
Planner
Council -
Nome _
Address
Type of Const. NA
# Stories
Front Na ft.
Depth ft.
Fees
Permit ?7_M
Surcharge [, nn
Plon check l 5(1
SAC
Water Conn.
Woter Meter
Rood Unit
I hereby acknowledge that I hove read this application and state that gldg. Off.
the information is correct and agree to camp with all opplicoble ?? 5n
State of Minnesoto Smtut s n/cJ? ?City of Ea Ordinances. APC. Total -??
Signature of Permittee???"'e
A Building Permit is issued to: Aqll8rlll5 SWjmmi ng Pool Co on the express condition that
all work shall be done in acco}dance wiLk,oll pooliwble Stote of Minnesofa $tatutes ond City of Eagan Ordinances.
Building Official
EAGAN TOWNSHIP
BUILDI G PERMIT
oWna: .. . ...?i `? - ? .:.............. . ........ I _
;
,
Addsex (Pxeunt?._.. e./i?.......0.r.-/?S?' .._4i?? E'
Hvilder ............................ ..------------------------------------------
---------------- .....
Addreu ................... .................................. .-------- ------------------ -------- ?
DESCRIPTION
??-5z
N°
?? ?
Eagen Township
Towa Hell
/.
Date 20??:??? ..°---
i
Btosiea To Be Used For Froni Depih Heigh! Esl. Cos! Pesmi! Fee Remarks
?G?f? C` ?.?Hids?c:
LOCA
stseet, xoad or oSher Descripiion of Loeation I Lof I Block I Addition or Traci ?? c '-' •'C
This permlt does not aulhorize the use of slreals, roade, elleps or sidewalke xor does it give the owxer ox his agen!
the righ3 !o create any siiuaiion which is a nuisanee or which presenls a hazard !o the healih, safefp, eonvenianea end
geaeral welfare !o anpone in the commuuiip. . THIS PERMIT MUST B T O THE P MIjs- I?II T E WORk IS IN PAOGRE
Thia is !o eerlitY, thal--???- ---'- '-?Jf?((!?(J(Irmission !o ereet a. . .......................... upoa
!6e abov6 gseribeQ peearis
,F? fo the provisions of the Building Ordinanee fos Eagan Township adopied April 11.
Per ._..._........._--.---------------------- .....................................
Building Inapecior
CITY OF EAGAN N? ssze
' 7795 Pllef Keo! Reod Eegan, MN 55I21'
• PHONE: 4548100
BU ILDING PERMIT Reteipt
Te ba wad br MASONRY FIREPLACEEst. Volue $1,000 Date Nn vnmhar 719_.$3-
Site Address 2110 Op81 Drive Erect AR Occupancy
Lot 31 el«k 5 Sec/Sub. Cedar Grove lst Alter ? Zoning
Parcel # 10-16700-310-05 Repoir ? Fire Zone
Enlarge ? Type of Consf.
W Name Dwaine Dahlin Move ? # 5tories
z Addrea 2110 Opal Drive Demolish ? Length_
C; EaQan 55122 Phone 454-1644 Grade ? Depth Sq. Ft.-
Q Nome OG'IleT
AvOrovals
Faes
o? Addresi _ Assessment permit 17.50
u? Water 8 Sew. Surcharge •$0
Cf[ Phone
Police Plan check
F
Fw
Name
Fire
SAC
X? Address Enp. Woter Conn.
iW Ci Phone Planner WarerMeter
Council Road Unit
I hereby acknowledge thut I hove read this opDlicotion ond state ihat gldg Off
the inlormotion is correct and ogree to co ith all opplicable
?
State of Minnesota Sfotu d City o?f ogon O inonces.
$ipnoture of Permittee?,/?
llc3a3nehZ?R
A Buildin9 Permif is issued to:
oll work sholl be done in ucmrdarxe wdh all upplicqble State of Min
APC
Total $18.00
on tha express condition thn,
$tatutes and Ciry of Eagan Ordinonces.
Buildln9 Official
?rk- q
7b Be Used For
CITY OF EAGAN
BUILDING PERNffT APPLICATION
Qso I\ t VLation ?/6l'??
site aaaress: 1_0?019L A.v OFFICE USE ONLY
Lor ?l siocx S Sec./Sub. Cedlui, C?foo2 F4rect ? occupancy
Parcel (0 - I (9ZP9CJ Alter Zoning
_ Repair Fire Zone
Ormer: fll 1 J? Enlarge _ 7'ype of Const.
Nbve # Stories
Address: -/ D r> ,OR L Demolish Front ft.
City/Zip Cocle: iC 4 ' # Grade Depth ft.
Phone #?: !./ ?C/- /? ?/G/ APPROVALS
? i ?
Contractor: ? (.0 V11-, V__
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sevnr
Police _
Fire
Eng. _
Planner
Council
Bldg. O:
APC
Include 2 sets of plans,
1 site plan w/elevations &
1 set of enerT.7 cal,culations.
Date R -?? _'R- 1)
Pennit
Surcharge ^ Sp
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
ZCYI'AL -t (? ` oCD
This request void 18 months from
Date of this Request_ 2 3061
T, asLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal iring installed at:
Street Address or Route No. City?
Section '"'-- Township Range "- County
Which is occupied by
Is a roughin inspection required on this job? No ?
Yes ? Ready Now 0 Will Call ?
Power Supplier Address
ElectricalContractor Iq khl'& Contractor'sLicenseNoKk71
(Company Name) 1 _ , I/ I
Mailing Address
Authorized
(EI6UWtal ContrattoTof Owne?
SUM n (DL°.1lhSlo 15OP 41
No.
This impection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
j„954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 --?
C 1
CHECK ELOWaiVORKOCO EREDTBYITHIS EOUESTIO?atc:?Ye?S 2iilf'1 I
Type o[ BuOding New Add. Rep. Check Apptiances W ired For Check Equipmeat Wired Fm
Home ? E ? Range ? Temporaty Wiring ?
Duplex ? ? Water ? tiighting Fixtmes ?
Apt. Bldg. ? 0 ? Dryec ?_ ? ElecVic Heating ?
Commeicial Bldg. ? ? ? Fum Silo Unloader ?
Industnal Bldg. ? ? ? Air Condi ' Bulk Milk Tank ?
Fazm Lisl L
ist
Other ? ? ? p Reiels? p
Aehers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: S Fce Feedets&Subfeeders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Ampeies 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. A6ove lOQ_Amps.
Transformeis RemoteConholCiic. Paztialorothertee r
Signs Special Ins ection Minimum fee SS:00
Remarks dl ?
`y M?,hb
d
TOTAL FEE
If-nJC
?
?
<u
I, the Electrical Inspector, hereby certi ?e abov_e inspection has bee a
(Rough-in) `°??"?`? ? Date ?
(Final) ? Date
This request void 18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16700-310-05
PERMIT
PERMITTYPE: auzLozNG
Permit Number: 028124
Date Issued: 07 J02 J96
2110 OPAL DR
LOT: 31 BLOCK: 5
CEC7AF2 GROVE 1ST
DESCRIPTION:
wcla '
e' ' ?. £ ?? ?• ????' _
(RpOFING/pECK)
Permit Type 570RM DAMAGE
?Wprk Type REPAIR
i?iemh;?434 FhLT. RESIDENTIAL
?
.''__
'.5
.. . _.?..._....'r??'dx.
?
er m" .,w. 2,_;`^ SiE ^?x °"'
??'?m ?-`gw _rvin ^".?!; i?
ss irae €y ??
;j?,?„ ? ?A?? ,w?;?,- €;; "?,a.a`??
REMARKS:
FEE SUMMARY:
I
CONTRACTOR: - Applicant - sT. Lzc.OWNER:
KEE CQNST INC 1941$980 0601744 SUE GARRY
11382 BURR RIDGE lN 2110 OPAL DR
EpEN PF2ASRIE MM 55347 EAGAN MN 55123
(612) 941-8980
, -
-I',h?;re?y a?kmcru,l?cEx?e F?ha,?: ,?, h?v?a` rea?: ?¢his ap}ali???'ion a.i?ei he`
'.. Xor',`rsata?d.????e t4 cachp7,y'wiC? a?l ap?SLi?abX#.".??ate`,af Mn -;
SttCdt' es` . aE-ag?tr"
n
_ +. i.?nn .. ..... , t .,_ a P-. .u3. ? ..... ........? . . ._ P C, _
APPLICANT/PERMITEESIGNATURE ? ISSUED BY{?IG? ORE T-?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Gonstruction ReauiremaMe
Re odeVReoair Reauirement=
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; elc.) ? 2 sita surveys (exterior addiHons & decks)
? 1 energy calalations ? 1 energy dlculatlons for heated add'Aions
? 3 copiea ot tree preservation plen if lot plattad aRer 7/1/93
required: _ Yes _ No
DATE: E/ - ;:?B -96 CONSTRUCTION COST:
DESCRIPTION OF
STREET ADDRES;
LOT 31
- PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: )?? (7ar??i Phone.#:
?„ ....
Street
City: Z! •• State: Lv? / Zip:5,?5-/-Z3
Company: Phone #:
Street Address: License #:
City: State: Zip-jL?y7
Name:
Company:
State:
Street Address*
Ciry:
Sewer & water licensed plumber:
change are requested once permit is issued.
Registration #*
Phone #:
Zip:
Penaity appiies when address change and lot
I hereby acknowledge that i have read this application and state that the inf ' n is correct and agree to compiy with all
applicable State of Minnesota Statutes and City oF Eagan Ordinances.
Signature of Appliqnt:
OFFICE USE ONLY
Certifiqtes of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No
No
BLOCK ? _ SUBD./P.I.D. #: LP& Ami'`P Iit-
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
0 14 Fireplace ?
? 15 Deck
0 36 Move
? 37 Demolition
• '? ? ;?,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
_ Basement sq. ft. MClWS System
Main level sq. ft. City Water
_ sq, ft. Fire Sprinklered
_ sq. ft. PRV
_ sq, ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census eldg
Census Unit
Buiiding Engineering Variance
Valuation: $
% SAC -
SAC Units
{w
C
ACaUAlBEUs" SWIRRP1R7NCt DOOL CCT, iPdC, TOLERANCES
16900 Cedar Ave. South
f REYISIONS
PMEFAOUNT. MINNESUTA 5506$
..•... .?4'id+?.`.9' oecnnwL ?
t Q
FRACTIONAL
9
f
ANGULAR Fe
DATE BY
?IUS 3WIMMING PDOL CO., I;
16900 CEDAR AYENUE SpUTy
NN BY 6CAL ? ` y^ ? MATERIAL
L
\ 'R7Fl.Q7NEPOSf 18AE-0tE-8YsXII
CITY USE ONLY
LOT ? BL ? RECEIPT #:
SUBD. RECEIPT DATE: 9 g
MECHANICAL PERMIT #
1999 MECHAcNICAL P£iiMIT (RESIDENTIAL)
CITY OF £EkfiAN
3$30 PILOT KNOS fiD
EAfiAH A1Ii 55122
Date: V-I6-q_1 (651)6$1-4675
Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
$
.50
Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New X Alteration Repair _ Other
Reminder: Cal/ 681-4675 for inspectrons.
? Fumace
_ Air exchanger
7X Air conditioning
_ Other
$ 30.00
State Surcharge 0
Minimum Total Due $ 0.50
SITE ADDRESS:
OWNERNAME: WiII1Gfm Rn?-O rxorrEa:051_-
,,' I CODE)
INSTALLER NAME: ??PYS c..?t.?ThSl?O - ? •°?'?J U PHONE tl: (AREA ?I3 I?-IDqQI
f -? ( A CODE)
STREETADDRESS: L7J?ic?- R?Y1n(:C.?. fI'lkpJ. -
CITY: r'f e YUIIC?j STAT'E: MZIP: Ss ?`T
SIGNANRE OF PERMITfEE
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 blECfiA1VICi4L P£RMIT (CO1Hb!£ftC1AL)
CITY Of £AHlkN
S$SO P1LOT KNOB RD
EAeAN, Mx 55122
(ssi) 681-4675
Please complete for: ail commercial/industrial buildings
multi-family buildings -when separata penits sre not reGuired far each dweliing unit
DATE: CONTRACT PRICE:
WORK TYPE:
NEW CONSTRUCTION INTERIORIMPROVEMENT
DESCRIPTION OF WORK:
FEES: ]% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONL1):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
ZIP:
($.50 per $1,000 of pertnit fee due on all pennits.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
Cities Diaital Quality Control
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Use BLUE or BLACK Ink
For Office Use
-
City of rL.nap I Permit I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675.5675 1 I
Fax., (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Sj_;b' 1?Z_ Site Address: Mtkk I~
.1F'• Unit
Name: S q t'k Cq S.• ~Z Lan Phone:
Resident/
Owner Address / City / Zip: a\I O M(A ZS5. r, t4\0 I
Applicant is: Owner Contractor
Type of Work Description of work: 0~
Construction Cost: l Multi-Family Building: (Yes / No
Company: , _ SVc,'t- Contact: Q--~byNt' FOSS
Contractor Address: ..d~ YW t_ p f~ City: ~ql +A
State: _zip: S~ Phone: l> b~ , 0
License 16C tbmz~s 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 N you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 45402 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 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 authortzed by a building permit issued in accordance with the Minnes SGilding Code must be complabd within 180
days of permit Issuance.
x C1b T c1S~j x
Applicant's PrInt6d Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156445
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 2110 Opal Dr
Lot:31 Block: 5 Addition: Cedar Grove 1st
PID:10-16700-05-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Benji Schewe
370 Tunan Dr
Erie CO 80516
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature