2049 Quartz LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086181
09/18/2008
ePermit
Site Address: 2049 Quartz Lane
Lot: 2 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-020-04
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Twin City Roofing Construction Specialis
72 Ivy Ave W
St Paul MN 55117
(651) 636-9640
- Applicant -
Owner:
Noel J Larson
2049 Quartz Lane
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,: , „?..; ? t ?tira? ? , ,. ,,,?, ? 1 i, 1!ill; loi? tl'?'f 11•i e._ ?, 1. ) i: E 1?.,.' ?I . . _?
PERMIT SUBTYPE: TYPE OF WORK: ?
INSPECTION .. . ..
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING I (I-!O -Q7 A4$ / • ? 7' ' ' "
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
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
C17Y OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR GROVE #4 Lot 2 elk 4 Parcel 10 16703 020 04
1
Owner t -))Cl Y' Street 2049 Quartz Lane State Eagan, M 55122
rImpr6vement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1972 1,304.00 52.16 25 938.88 A006255 7-3-78
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDiNG PER.
SAC
PARK
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN '
Fee -
fill in numbered spaces S/C
Type or Print legibly
Tot.
1, Date 2. Installation Cost /-'
?f . ., k rL
3. Job Address ? Lr; Lot ? Bik. ? Tract:
4. Owner ,-
5. Contractor Phone 2.
6. Address lq.?? eI,. i
7. City , •? i;>iC State ZiP
8. Building Type: Residential '$J Commercial ? Institutional 0
9. Work Description: New O Add ED Alter ? Repair ?
10. Describe
11.
No.
?
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
• • CITY OF EAGAN N• ? 91?.?
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERMIT Receipt
Te be w"d for DECK Est. Value $600. pOfe MAY 30 , 19 84
SiteAddress 2049 QLIARTZ LN Erect
?K Occupancy
Lot -2 Block 4 Sec/Sub. CF.D rI2V 4 Alter ? Zoning
Parcel No. 1 d-1 6703-020-04 Repair ? Fire Zone
oc Name ROBERT G. I?1YHR Mov?Q 0 Type of Const.
? ,}? Stories
Z Address SAME Demolish ? Length 10
9 City Phone 452-5943 Grode p Depth 12 Sq. Ft.
cc SAME Approvals Fees
Zo Name
oU
u?
Address
City -
Phone
Name
Address
City Phone
I hereby acknowledge that I have read this opplicotion and state that
the informotion is correct and ogree to comply with oll opplicable
Stote of Minnesota Stotutes and City of Eogon Ordinances.
Signature of Pertnittee
/1 Building Permif is issued to:
all work sholl be done in occordance with
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off.
APC
Permit ? 11 . jv
Surchorge • 50
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Totol $ 12.00
ROBERT G MYHR on the express condition that
State
Minnesota Statutes ond Ciry of Eogan Ordinances.
Buildinp Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Ei
Well
Water
Disp.
Sewer.
Electric
Inspection Date Insp. Other
Footings S
Foundation
Framing
Rough Plbg.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Final
Wate? Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN
3795 Pilet Knob Raod Eegan, MN 55122
' PHONEs 454-8100
BUILDING PERMIT Receipt ?t
To bo wed for Est. Volue Date _, 19
Site Addreu Erect ? Occupancy
Lot Block $ec/Sub. Aiter ? Zoning
Repoir ? Fire Zone
Parcel .#
Enlorpe ? Type of Const.
o
c Name Move p # Stories
W
; Address Demolish Q Length
b
Ci Phone Grode ? Depth Sq. Ft.
°C
0 Nome Approvals Fees
???
Nddreu
H r:...
Nome
Address
I hereby acknowledge thot I have read this opplicotion and stote that
the intormotion is correct and agree to comply with all opplicable
Stote of Minnesota $tatutes and City of Eogon Ordinances.
Assessment
Water 8 Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off.
APC
Permit
Surtharge
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
Total
Sipnoture of Pertnittee 1
/1 Building Permit is issued to: on the express tondition that
oll work sholl be done in occordonce with all opplicable State of Minnesoto Stotutes ond City of Eogan Ordinances.
Buildinfl Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
InspeMion Date Insp. Other
Footings
I
Foundation
n-
Freming ?
Rouyh Plbg. ?C - Z •
Rough HVAC
?
Insulation /S
Final Plbg.
/-
Final HVAC
.,
Final ? ??? ' f • ? ?
Water Describe Location:
VYell ,
Sewer .
Pr. Disp.
f
? ?Y
? 77
Receipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN ?
Fe
-
T e - ?
Fill in numbered spaces S/C
Type or Prinr /egibty Tot - '
1. Date 2. Installation Cost
3. Job Address'"-
• Lot 0' Blk. ?
? Tract C
'
4. Owner •
5. Contractor _
Phone _
" '
-
6. Address
7. City ' State ' Zip .
8. Building Type: Reside ntial L? Commerciat ? Institutional O
9. Work Description: New ? Add b Alter 13 Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
? Bath tubs p
Septic Tank
? Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other '
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinan'ces and codes governing this type of work.
, i
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PERMIT #
MECHANICAL PERMIT RECEIPT #
3830 PILO CITY OF EAGAN
T KNOB ROAD
EAGAN
MN 55122
DATE: ?-?
,
,
?
"
CONTRACT PRICE:; •
? r?'? '.- PHONE: 454-8100 For Office Use Only:
Site Address ? t"?.
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ? New
` /?%: :,; ? .-?. ?; ? ,,;:....?;,Y,.:
Name
, Mult Add-on ?
?
?
-? Address r? r"'? *?, u' ?• ;"
^ Comm. Repair
c
Cit
Ph Other
y
one
Name FEES
HVAC 0-100 M BTU -$24
00
RES
?
c Address .
.
ADDITIONAL 50 M BTU - 6.00
p Ciry Phone ?=T'?"???t (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
MINIMUM
1 PER PERMIT) - 1
GAS OUTLETS
.
.
-
(
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent.
CFM R STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ?- 6EYOND $1,000)
Other
FEE: .. :- , . <.
?
ER ITTE?/
?
S/C: ?S
F9
TOTAL: > >
FOR: CITY OF EAGAN
EAGAN TOV1/N S H I P
BUILDING PERMIT
Owne: ---A_2"?._-.-,?-- ------.r°'4•---
•---•----..
Address (Present) ..<??!.`?--?--•----• -- • --•--•--•-••--- -.
Builder ..--•--4- _--- `?"--?-•--•--•---------•----------•--•------
Address ------- ? ?!l-?------? ----- iy-------•--•---•---- 4,-_.C "°---•--..
---- -
?f ?'?????? ESCRIPTION
N° 966
Eagan Township
Town Hall
? ca - 6?
Date ...............................................
5fories To Be Used For Front Deplh Height Est. Cos3 Permit Fee Remarks
LOCATION
Street, Road or oiher Description of Localion I Lot I Block I Addition or Tract
This permit does noi authorize the use of stseets, roads, alleys or sidewalks nor does it give the owner or his agent
the right fo create any situation which is a nuisance or whick presenfs a hazard to the health, safely, convenience and
general weifare to anyone in the communify.
THIS PERMIT M ST K PT O TH
PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that----- ON'------ -- •-• ........................ has permission fo erect a------------ ?-••-••-••--••- ----•-•-...................... upon
!he above described premise subject to the provisions of the Building Ordinance for E an Tow ship adopted April 11,
1955.
............................. °-- • ?-• -• -••--•....... . ................... Per ?----
-------------•--•- - ----- ..-
? • - -. •------•••-- -- --•--•-
Chairman of Tnwn Board Building Inspector
? 'A
-EAGAN TOWNSHIP
BUILDING PERMIT
OWII@! _.S.iG??._..---?KVT"?c¢'v"?'.-?-•--° - "? .
.
? ?-- - ? ?
- ----•-°•°- --• ?---•---- ............
Address. (preseni) -G--•-..5........ ?---,,?- ?: / ?. ?.?`?
Builder -- ----•-----------=----------- ...- .......... ...........................................
Address - -- --•- -- - ---... ... - - -- - - ---?------ -? -- --------•
DESCR TPTTATT
N° 826
Eagan Township
Town Hall
DaYe
•---.....................
5tories To Be Used For Fronf Depth Height Es2: Cost Permit F
. ee Remarks
'71;r''?? "' lS
LOCATION
5ireet, Road or..olher DesGripiion of Loca3ion I Lo! Block Addilior? or Traci
This permii does noi suihorize the use of sfreets, roads, alleps or sidewalks nor does it give the. owner or his agent
the right !o create any sifuaiion which is a nuisance ox which presents a hazard to the healih, safeiy, convenience and
general weifare to anyone in the community.
THIS PERMIT MUST BE?p KEP/T , ON THE PI?EMTSE WHILE THE WORK IS IN PROGRESS.?
This is io certify, Yhaf C.i ?,??:_.?_- .._4J------------------- has Permission to erec2
upon
---•••---- --•- -----••-- - - - -
the above described premise subjecf fo the provisions of the Building Ordinance for Eagan Townshi adopted P?pril 11,
1955. D
,?f??
.---•-•....... :-•-..:?1.?..= -•-••-- -•-- ?•`.J----•-••-••••-- •
- . ...-•. ....... Per ? y{?a' '' `"'_.
----------------------.•-=-•----•• -------=----•• f-----••--- - • •/
Chairman q# Tnwn Board • - • - -•--•---••---•--- ----•-
Building Inspeclor
CITY OF EAGAN ?? 91?7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ??/
BUILDING PEitMIT Receipt #
To be used for DECK Est. Value $ 6 0 0. Date MAY 3 0 , 1 9 84
SiteAddress 2049 QUARTZ LN Erect
Occupancy
Lot 2 Block 4 Sec/Sub. CED GRV 4 Alter ? Zoning
Parcel No. 10-16703-020-04 Repoir ? Fire Zone
ROBERT G. MYHR Enlarge ? Type of Const.
oc Name Move 0 # Stories
Z Address SAME Demolish ? Length 10
° City Pnone 452-5943 Grode p Depth 12 Sq. Ft.
uc SAME Approvols Fees
,o Name
OU Address
Assessment
Permit $ 11.50
V? City Phone Water & Sew. Surcharge • 50
?- Police Plan check
FW Name Fire SAC
?? Address Eng. Water Conn.
? W City Phone Planner Woter Meter
Council Rood Unit
1 hereby acknowledge thot I huve read this opplication ond stote that gldg. Off.
the informntion is torrect ond ogree to tomply with all opplicoble APC Total $12.00
State of Minnesota Statutes ond City of Eogon Ordinances.
Signoture of Permittee
/1 Building Permit is issued to:
oll work sholt be done in occordance with
ROBERT G MYHR on the express condition thar
ijJ_npplicable Sta,ta? Minnesota Statutes ond Ciry of Eagan Ordinances.
Building Official
CITY OF EAGAN Include ?_ sets of plans,
1 Gertificate of Survey-&'
BUILDING PERMIT APPLICATION 1 set cf_ energy calculations.
'Ib Be Used For Valuation ??QEd Date ?12941??`
Site Address ?C>qq Qu,k OFFICE USE. ONLY
Lot ? Block sec. /sub . Ce-c/ kp',Y Erect Occupancy
Parcel # : z -?Alter Zoning -
??/t Repair Fire Zone
Owner: YCob 2n'? G. ?'ju ? r Enlarge Type of Const.
Address: abqq Quccv1z ?K . M°ve # Stories
Demolish Front ft.
City/Zip Code : e:? y ct.,.,_ S S/ L? Grade Depth f t.
Phone # : 'q5'a -, 5-9
Contractor:
P,ddress :
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code: ?
Phone #•
APPROVALS FEES
Assessments Permit O
Taater/Sewer Surcharge c
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
TOTAL / -? . 00
v
1
C?
?
,v ?
?. ?
N
?6 ?_1 ?C) a_
CM oF EAGAN
Include 2 sets of plans,
1 site pl.an w/elevations &
BUILDING FERMIT APPLICATION 1 set of energy calcul.attons.
Zb Be Useci For 1?tH,t Va uation 440,000 Date 1612
Site Ac3dress Q C)F'FICE USE: ONLY
Lot .2 Block ? Sec. f Sub . C2 b+r GwA? Erect Occupancy
Parcel #: 1 D ?(.p `Z0j 612-0 Coq Alter ? Zoning /
Repair Fire Zone
Owner: QO Vk r. Enlarge Type of Const.
% Nkove # 5tories
Address: Demlish Front ft.
City/Zip Code: 64kqc.,.. Grade Depth ft.
phone # : OV _-C 12
?
Contractor: Otw? A??_{r?
Address:
CityfZip Code:
Phorye # :
Arc,h, /Eng . .
Address:
City/Zip Code: ?
Phc3ne # :
APPROVAI,S
Assessmerits Permi.t
Taater/Seover Surcharge °=-
Police Plan Check
Fire SAC
Eng, Water Conn.
Planner Water Meter
Councii Road Unit --
Bldg. Off.
APC
'PO'rAL
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 5514'l NO 7603
" , • PHONEs 454-8100 -
BUILDING PERMIT
M?SQNRY FTREPLACE & Receipt
To bs uted for BSMT. R'" ?EL ' Est. Value $6, 000 Dote OCtOber 28 , 19 82
Stre Address 2049 Quarta Lane
Erect ?
Occupancy R-3
Lot 2 Block 4 Set/Sub. CedBS' Grove 4 Alter Xg Zoning R'1
ZO 16703 020 04
P
1 Repoir ? Fire Zone NA
arce
#
Enlarge 0 Type of Const.
W Na??+e ??rt My? Move p # Stories
; Address 2049 QuBY't2 LaTle Demolish p Length NA
b C? Eagan 55122 phone 452-5943 Grode ? Depth NA Sq. Ft.
?
0 Name ?? Approvals Fees
F-
Address
~ Ci Phone
?W Name
?
?? Address
? W rsw, o?.....e
Assessment Permit 6• Q
Water & Sew. Surchorge 3.00
Police Plan check
Fire SAC
Eng. Water Conn.
Plonner Water Meter
Council Road Unit
I hereby acknowledge that I hove reod this opplicotion and state that gldg. Off.
the informotion is correct ond ugree to comply with oll pplicable $59.50
Stote of Minnesotu Stotutes ond ' o Eogon rdin ces. APC Totol
Signoture of Pertnittee 9
A Building Pem?it is issued to: Robe2't Myhr on the express tondition thnr
ali work sholl be done in occordonce with all app,' ble State of Min ta Statutes ond City of Eogon Ordinonces.
Building Officiol ?
??
_ 00122/
,_, . ? .
Request Date ire No. Rough-in Inspection
Required?
Ready Now ? Will Notify Inspector
Fi
Wh
d
?
? c,.- b ? Yes No en
ea
y
I licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
26 4 q eqQ
A-7' Z LA-YU F_ City
F.4G .,+liV
Section No. Township Name or No. Range No. County
A
Occupant (PRINT)
0 Phone No.
Power Supplier Address
?
Electrical Contractor (Company Name)
OL Contractor's License No.
0 Y4vyJ
Mailing Address (Contractor or Owner Making Installation)
19 S3 ?
If lL1
AuthorSig ture (Contr r wn
' akin nstallation)
? --r? Phone Number
Ys 2 -9 P
MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Grfggs-Midway Bldg. - Room 5-173 8E ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTtON FEE IS
Phone (612) 642-0800 ENCLOSED.
//a099
(ZI 0:,0 ?.2 2
REQUE$AjhWELECTRICAL INSPECTION
? See instructions tor completing this torm on back of yellow copy.
"JC" Be/ow Work Covered 6y This Request
" EB-00001-
?'?
?y ?
? 0
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor5 Remarks:
W'E c?J Fu ?2-tiN ? C E
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs inspector's Use Only: TOTAL
Irrigation eooms
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ,SO COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
OFFICE USE ONLY .
This request void 18 months irom
2007 RESIDENTIAL BUILDING rulaffarPUCamolv
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils RepoR if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventila6on form
RemodeURepair Reauirements
2 copies of plan sfiowing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
,,<t90,Oo
CtL
_.
_
__"U_ _ _
Office_._ _se On_iV
Cert of Sunrey Recd; _ Y _ N
Soils Report _ Y _ N
Tree Pres;;:Plaa Recd: Y iN,
Tree Pres,Required _Y _ N
On-site Sepbc System _ Y _ N
Plans are considered public informa#ion unless you state they are trade secret and the reason.
Date / l2 12667 - Construction Cost ?,
Site Address ?,? CQ [a4Z L.F1NP Unit/Ste #
Description of Work lS P lA-?.Q. 1AJ0D(X S)GCi? PV,,? k -?,- ,O,
Multi-Family.Bldg _ Y?N Fireplace(s) _ 0 2
Property Owner /V 0 e' + ?1 (:.Yikr'S Ti1vQ, h AR-C D/V Telephone # OS 10 8/ - IL Z `/
Contractor kowe t 1 k,,gR -SO h1 d-? C> Yl S
Address ! -( 3 cl 3 679Y2 +"" ,q-vc
State In,'IJ/vQ So? Zip ??F0C! City - 'A9m S
Telephone #(SU7 ) S g 2- I U/ g
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672
Energy Code Category 0 Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Caiculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master 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 complete 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 nof 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.
M1 r C I? iil..ari,?
? v r t-? h? ti
Applicant'i Name ?
.
Applicant's SQnature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt'- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex 0 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
13 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demofish Building* '? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By:
----------------------------------------- , Building Inspector
--------- =----------------------------
---------------------------------------------------------------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge .
S&W Permit & Surcharge
Treatment Plant
License Search `
Copies
Other ,
Total
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
14 8 B? ? lSd.f
Date 29 / 6.9'
Site Address q CL I" o4 . Unit #
Property Owner 22?
? ?('
° Telephone #( 6S/ )(od'/ ?S/
Contractor ? D ,&/G
Street Address y/3 0 City 654,
? --? ?
State "MA) Zip Telephone # ( $?j-/
Bond #: Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
, furnace _Additional _Replacement
air exchanger
/
air conditioner _New _ Replacement
other
State Surcharge $ .50
Total; ' $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 accor?'rfitwwith the
approved plan in the case of work which requires a review and approval of plans.
(?
l-CaGe?2. `T/90 ?n,
Applicant's Printed Name Applicant's Signature
?r O . ? CQ05
I ., .
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please c,omplete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bonel #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove *"see be/ow
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
PeCmlf Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
Tf ep rmit fee is over $1,000, add $.50 for
every $1,000 ge rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be. in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
A lic?aa?s Rrinte?"?J?
: ??"
A proveo By: W .?
Applicant's Signature
Inspector Date:
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CI ¦ ¦ OF EAMAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: BuILo zNG
Permit Number: 029643
Date Issued: 0 3/ 2 6/ 9 7
2049 QUARTZ LANE
LOTe 2 BLOCKs, A
CEDAR GROVE #A
PaI.N.a 10-16703-020-04
DESCRIPTION:
(RooFxNG)
ua,l,ci??n permit Type SF (MISCe)
nType RE,PAIR
.434 A L T e R E S I D E N T I A L
REMARKS:
? ?? ?
'?,Q "4? ? $?"i ?1a ?i? a'?
?? ?'A.??r
FEE SUMMARY:
vaLuarxarv $1, 900
Base Fee
Surcharge
Total Fee
vv11 I nMv , vn.
$59.50
$.95
$60.45
LARSQN NQEL
2049 QUARTZ L.N
EAGAtV MN 55
(612)681-1624
Dcv 4 RJAA f ?IIi
APPLICANT/PERMITEE SIGNATURE 'ISSUED : SI NATU E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $?041?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
681-4675 ?
New Construction Reauirements RemodeUReoair Reauiroments
? 3 registered site surveys ? 2 copies of plan
• 2 copies of pfans (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculatlons for heated additions .
? 3 copies of tree preservation plan if lot platted aRer 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ?e%+ r?? STREET ADDRESS:
LOT BLOCK ? SUBD./P.I.D. #:
PROPERTY Name: 4w / a rso n IIA1, / Phone #:
OWNER Lmr FMff
Street Address: °? ???? r????'??? f? ? i? ??
City: /?i4 0 n/ State: 14 ill Zip: ?S / ZZ
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with all applicable
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
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
OFFICE USE ONLY
. • ? ? y?
0 11 Apt.JLodging ? 16 Basement Finish
0 12 Multi Repair/Rem. ? 17 Swim Pooi
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
0 15 Deck
a 36 Move
? 37 Demolition
Basement sq. ft. MC/WS 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 Bldg
Census Unit
Planning Building Engineering Variance
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:
Valuation: $
% SAC
SAC Units
C!ty otEaQali APR -2-0-2010--
3830
P"-2-0-20';
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
3'7 06
Permit Fee: f 9--7,
Date Received: -{‘?8- 0 Z'
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L-C-4--%Y17S1116:
Date:
2-0 " C)Site Address: 0 `i C.2Ut G4 V" 4` Z— �--�1 � Zi �-. (01 55 ) z 2
Tenant:
Suite #:
RESIDENT / OWNER
Name: 0 6 i a' M (A lry C i S ) Vi f; LA rs 84 Phone: (051— (,,,,g)- I2-/
Address / City / Zip: Z.--1.11 ' l�/VtGI. V... -k L- L(1yiG�_�j Gn 47 ter)ri.
Applicant is: Y. Owner Contractor ))
TYPE OF WORK
Description of work: N i` %,7 :e,r, Y'�, im.. C1 U I
Construction Cost: 41Q U Multi -Family Building: (Yes / No )&. )
/
CONTRACTOR
(---)
Name: License #:
Address: G -'(
City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
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 f
the informationmay be classified as non-pu li•� f 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.aooherstateonecall.orq
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.
x r� C h s�� 6-E. L.� rsb h
Applicant' Printed Name
x
Applicant's i nature
Page 1 of 2
SUB TYPES
Foundation
)( Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
j( Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% t/ )
Census Code
# of Units
# of Buildings
Type of Construction
i).
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
5av
1134
�-8
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Porch (3 -Season)
Porch (4 -Season)
Porch (ScreenlGazebolPergola)
Pool
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy IRC ^ 1. MCES System
Code Edition 0..ct2 7 SAC Units
Zoning 1i-/ City Water
Stories Booster Pump
Square Feet ,---01 PRV
Length /Lj Fire Sprinklers
Width /6
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
4_ Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
ES
TOTAL
76
4
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _
Siding: Stucco Lath Stone Lath
Windows
Retaining Wall: Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
hix 141 rat7c4fiw 4.2.4.1 1144612'
Page 2 of 2
411/°.
City of Bain
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Email: planninqacitvofeagan.com
U
For Office Use
Permit #: / O LI%
s'
Date Received:
2011 ZONING PERMIT APPLICATION
✓ Please submit a set of scaled drawings with the application.
J
Address:
Applicant Signature:
❑ Retaining Wall <4 feet
❑ Patio
❑ Sidewalk
❑ Driveway
❑ Sport Court
)(Fence b -P -i-
❑ Other:
Description of work: ail Z �t +..gi c,1460
ry 1
Approved: Yes o
Date of Approval:
l�kt1 k
Staff:
Revised Plans
Approved:
Yes / No
Date of Approval:
Staff:
N
Approved: Yes / No
Required Corrections:
Date of Approval:
Staff:
Revised Plans
Approved: Yes / No
Date of Approval:
Staff:
G:\Building Inspections\PERMIT APPLICATIONS12011\2011 Permit Applications
�H9
CG
LOGISMap Output Page
Page 1 of 1
http://gis.logis.org/LOGISArcIMS/ims?ServiceName=ea LOGISMap_OVSDE&Client... 10/10/2011
-A u
(611(35
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA106078
Date Issued: 08/08/2012
Permit Category: ePermit
Site Address: 2049 Quartz Lane
Lot: 2 Block: 4 Addition: Cedar Grove 4th
PID: 10-16703-04-020
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Replace
Description:
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Kara Benson
Comments:
9533 - 367th Street
North Branch, MN 55056
651-674-1766
BL - Base Fee $500 $40.00 0801.4085
Fee Summary:
Surcharge - Based on Valuation $500 $0.50 9001.2195
Valuation: 500.00
Total:
$40.50
Contractor: Owner:
- Applicant -
Renewal Andersen Noel J Larson
1920 County Road C West 2049 Quartz Lane
Roseville MN 55113 Eagan MN 55122
(651) 264-4777
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107155
Date Issued:09/27/2012
Permit Category:ePermit
Site Address: 2049 Quartz Lane
Lot:2 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-020
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Mary Lowther
3612 Cedar Avenue South
Minneapolis, MN 55407
612-721-4080
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Noel J Larson
2049 Quartz Lane
Eagan MN 55122
Soderlin Plumbing, Heating & A/C
3612 Cedar Ave S
Minneapolis MN 55407
(612) 721-4080
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r________________�
I For Office Use I
� � Permit#: I��� / �
Clty of ����� ; . . �� ;
Permit Fee. ��
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � `L'�(/{ � Site Address: ���� �Z ����.- �� G�t'l Unit#:
'� Name:��(�L�� I �Y l � I�l��� l��- ��(�SG� t�1 Phone: t/�� -��� �,� �,`�
ResidentJ ,(
OWIteP ' Address/City/Zip: ��`�s� �''�(�(i V'fiZ-- �,�r�
Applicant is: ,�Owner Contractor
Type of Work
Description of work: � Y1C?(/� C,�1(���� -� �i'Y(;v°t"� —S� ��-Q._.
Construction Cost: / � �% .. /;�� Multi-Family Building: (Yes /No
Company: �� (lt�r �--�L1�3 C1� Contact:
Contractor Address: City:
` State: Zip: Phone: EmaiL
' License#: 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: II
Licensed Plumber: Phone: II
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:P/ans and supporting documents that you submit are considered to be pub/ic infarmation, Portions of'
the informafion may be classified as non-public if you proviale specific reasons that would permit fhe 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.aopherstateonecall.orq
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.
X �j�p 6�(,5 �i l l�'�(' ��ln l''S 0 V'� � � �
x �r�l�^,,
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152476
Date Issued:10/16/2018
Permit Category:ePermit
Site Address: 2049 Quartz Lane
Lot:2 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-020
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 -
Noel J Larson
2049 Quartz Lane
Eagan MN 55122
(651) 491-9527
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161313
Date Issued:05/18/2020
Permit Category:ePermit
Site Address: 2049 Quartz Lane
Lot:2 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Noel J Larson
2049 Quartz Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162413
Date Issued:07/14/2020
Permit Category:ePermit
Site Address: 2049 Quartz Lane
Lot:2 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Noel J Larson
2049 Quartz Lane
Eagan MN 55122
(952) 693-3561
Aztec Exteriors Llc
1349 Margaret St
St Paul MN 55106
(651) 357-4431
Applicant/Permitee: Signature Issued By: Signature