2053 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
EA085597
08/27/2008
ePermit
Site Address: 2053 Quartz Lane
Lot: 3 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-030-04
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:
Donald J Kivi
2053 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
CITY OF EAGAN Remarks * Cedar Grove ACquisition
Addit?' CEDAR GROVE #4 Lot 3 Bik 4 Parcel 10 16703 030 04
Owner?-'D hallGl '°t ?U,'+1 U; Street 2053 Quartz Lane State Eagan, NIlJ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 19 1, O. Pdl
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 , _ .
SITE ADDRESS: ' 1
. AMt`
PERMIT SUBTYPE-,•"<6
APPLICANT:
y
. ., ?
TYPE OF WORK: 1+ t +' PAI Itit+
INSPECTION .. . ..
c--
?
? . ? -1 . ' . ? i 1 . i ? " . ? '? - ? . :4. . . - .. ? . 1 . .. . , . .. . . . . . .?.
I [ . .. i ?': I . . . . ' 1'i i t . . , . ? {?.f 1 ? . ' F F , ? - . . . . . . . ' . . . ? • ? ? J ? ! .
. . .. . ? I'?' . • :
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING ?
HVAC
Inspection Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
06
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLBG
CX?'
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL sS?C/?
fa i/?
?+?u
DECK (-TG
DECK FINAL
- -
r
t ? i
__ _. . ,.,. . ... ?_
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 10-1* £37
CONTRACT PRICE: PHONE: 454-8100
Site Address 2.QSZ-2 fl..gL*- y,n-
Lot ? Block Sec/Sub
V ?
? Name ?}???r •.• HWG.
m Address •??? r=---.., r?e.,.. ,,..
c City Phone _A5
Name
City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
sop 000M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. X New
Mult. Add-on
• Comm. Repair
Other
-2775 RLrplace
FEES
RES. HVAC 0-100 M BTU -$24.00 ;
ADDITIONAL 50 M BTU - 6.00
,4_6723 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
?p APT. BIDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/G IF PERMIT PRICE GOES '-
BEYOND $1,000)
.5 ?
r.
SIGNATURE PE W?1 EE 12.5
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: i I ti 1 NG
3830 Pilot Knob Road Permit Number: ;`
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ! .. ? : 1 0 . 16 1 f) 3 a "4 0 0 -1
? r:? 1 3 li 1. u(_ ?. :
. ?, • . - , is)A1+' t i AH f'
1' k tIAR czlt1.?'+!!:: # 4
?
, APPLICANT:
,, , ?. •??? ? r?i . ,, . ? ??, ;.i ? ? ??:
i r. 1.? l ti ?4 4 -Al 3;3 8
?
? i
PERMIT SUBTYPE: TYPE OF WORK:
i I : e?A.l „IN
,"MrNci)
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
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 FTG
DECK FINAL
REQUEST FOR ELECTRICAL INSPECTION .r.. ee-ooooi-os`
,
. See instructions for completing this form on back o! Yellow ?opy.
D - 6 9 511 "X" Below Work Covered by'This Request
Nev4 Addj Rep. Type of Building Appliances Wired EquiUmen[ Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrii; Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fafm Othr;r pecify Other (SUecify)
t er SVecify Other Othur
ompute lnspection Fee Below
# Fee ServiceEntranceSize q Fee Feeders/Subfeeders it Fee Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 An s
Above 200 Amps? 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs Special Inspection
S
TOTAL ?
Rertra rks ?? ?'
1 „/ ` - v J
Rough-in D`1te I, the EI I
, . Inspector, hereby
certif
that the ab
v
Final
Date
?? y
o
e
'nspection has been
made
.
This request void 18 montha from
This request void
18 months from
D , _ 6 9 511 ?. ? /34 y- zuz"it_
Re.qu t Date
?' Fire No. Reqgh- eia?InsUertion E]Ready Now Q Will Notify Inspec-
? g ?Yes ?No tor When Ready
Q"Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at: Street Address, Box or Ro o. ? • CitY
ection o. Township Nam or No. Range No. County
Occu ant RINT) Phone No.
Power Supplier Address ?
ElecjL,L' t?;c,?.JAC?c+?w??y?'qt`d'pOrr?ji ? ar ?
1V1.J!'11.V1? E?La •? a UC; ?ntra?t?'s License No.
?
Mailing Ad r r• lar
APPLE ALLEy, ns ai ation)
IuiN 55124 ?
Authorized Signature (Contractor/Owner Making Installation I 'Flhone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. St. Paul, MN 55104
Phone (612) 642-0800 ENCLOSED.
EAGAN TOWNSHIP
BUILDING PERMIT
Owner --47??--?-?'?"c?-•.-4?"y?•:t•••-??--'-............
Address (present) -•-.-.,4 --:---.•=':--,,....................................
Builder ------------------------------- -....... -........................................................
Address -------------------------------------- ------- -............................... -•-----••-•--•---
DESCRIPTION
N° 805
Eagan Township
'i'own Hall
Date --••?--•-1.?"??'.?........
.
5iories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
• LOCATION
Street, Road or other Description of Location Lof Block Addition or Tract
-7 -? -/0 _ 1? _ ?.? _ ?? -- i 9 -? ? 'iC C??'f- • ? j?
This permit does not authorize the use of streefs, roads, alleys or sidewalks nor does it give the owaer or his agenf
ihe righ2 to create any si3uation which is a nuisance or which presents a hazard to the health, safety, convenience and
general weifare to anyone in the community.
THIS PERMIT MUST BE/ KEPT O THE PREMISE WHILE THE WORK IS IN PROGRESS. ?
This is fo certify, that__4??? ?"°_'-•? j -----has permission to erect a--•--•?,?-----:-•-•••-•-... ..•-----•--•---•-.upon
!he above prepVse subje t to e psovisions of the BuiIdiag Ordinaace for Eagan Township a op#ed April 11,
1955. --? ? ?=???"'?-?-?" dA&
_............................ •--•°--•-................................................... Per ---------------- --------------- - --•--••-•- --•-_..-•-•--•----••--•-•%••-? ?:`-?!il.-?--•---
Chairman of Tnwn Board Building Inspector
?15- 5°
zoos RESIDENTIAL PL.UMBING P???IT aPPLIcATioN
C9TY OF EAGAi`I
3830 P1L0T KNOB ROAD, EAGAN MN 55122
651-675-5675 Be complete for modifications to existing residentiai dweilings. 5treet Address 0-?
Un6t #
erty Owner l'14 Telephone # ('/) ;ractor
? r Telephone # q%?"['J'J'
9?.?
?o?.
??
I State Zip&
C+t
VJ
-
.
-.
y
•ess
Applicant is: _ Owner X Contraeror _Other
New ? Reiurbished Submit 2 sets of plans and MPC license
ic System includes County fee
_ $ 100.00
Per as-built $ 10.00
rations tv existing dwelling . $ 54-00
Add piumbing fixtures. This ree'includes;'instaflation of a water softener and/or waier
heater at the same time. If you °are insfalling an! a wafer softener and/or water
heater, do not compiete this section; move to *he next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meier is required)
Other:
? Wa#er Heater $ 15.00
Water 5oftener
, neW ? replacement
Lawn lrrigafion _RPZ `PVB _new _repair _,rebuild $ 30.00
:e Surcharge $ .50
$
f167
31 ,
reby apply for s Residentiai Plumbing Permit and acknowledge rnat the information is complete and accurate; that the
K will be in conformance with ihe ordinances and codes of the Ciiy of Eagan and the plumbing codes; that 1
erstand this is not a permit, but only an application for a permit, work is not to siart wiihoui a permit and work wi11 be in
:)rdance with the approved pian in the event a plan is required to b?eviewed and approvedA
Appiicant
,li an s Printed Name v v?/ '?S Signature
RESIDENTIAL
Ls U I co ? BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°/a manimum lot coverage allowed)
• 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 7/1i93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGs)
DATE ? -/v ?- ? z
,(Cs- - t 3
RemodeURenair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions 9?.
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
00
SITE ADDRESS 20s3 QU?tz- L?k. MULTI-FAMILY BLDG _Y AN
TYPE OF WORK f0, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
U tkl Vl 614fu?(?ion
STREET ADDRESS ?0 Z,?7 ? ?"?• CITY4
TELEPHONE #qSZ4(P1' 333?e CELL PHONE #(0/Z" 242- b340
)? /Le STATE Mt? ZIP ?0L'4
FAX# CISZ- 4(v/- 33?e
f 5 ,/
PROPERTY OWNER ?r?A TELEPHONE #
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1 MINN
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioriing
Heat Recovery System
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the i formation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or i ances..
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
MAY 10 2002 II
Z
S
ee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
L d- 4 CITY USE ONLY RECEIPT #: 9-70f?
L ? ?/
SUBD. RECEIPT DATE: `? S 9v
1998 PLUbMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, NN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
- - ---- - ------- - ---------------- - - - - ----- - ---------
FIXTURES ---------------------
EACH --------------------------------------------------------
# TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construction 5.00 X =
Water Softener * for existing dwelling 20.00 x =
U.G. Sprinkler '" for dwelling under const. 3.00 =
U.G. Sprinkler " for existing dwelling 20.00
Alterations '" to existing residence 20.00 = o{E/ -?
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems " Abandonment 20.00 =
STATE SURCHARGE .50
-0
TOTAL
---------------------------------------------------------------------------------------------------------------------------------------------
I hereby adcnowledge that I have read this application, state that the infortnation is coRect, and agree to comply with all applicable City of Eagan ordinances.
tt is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: vt-CJ 5D /" Vu 44 T 2--
OWNER NAME: .-4-1,E?A PJ A A
INSTALLER NAME: 1-7,6 NS4t L
STREET ADDRESS: // f 4 f.JkS r
GITY: ?Lw ?/z146-U/C-
6Q- 7,S-C- 517-X7
TELEPHONE#:
STATE: YVh1 ZIP:
SIGNATURE OF PERMITTEE
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
GI1"Y ClF EAGt1N
CASi-1.T.ERn .7S TERM:CNE. NC)u 694
U(t'TEa 02/03l98 TT.MI`: W5609
ID y
hAM E w RANLiV Ftl-1EIN CONST Ct:J
3210 90(]1 2053 QlJAfiTZ l..N 50o00
205 9001 2053 Q11AfiTZ l_N 0.50
Toi:7.1. Fiet:.ea.(it F1mot.,lY1tt 50o50
CRO8::1951
U4"aE 1"w II't a _1AN
_ ?
?
? CITY OF EAGAN
31?30 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.s 10-16703-030--04
DESCRIPTION:
B
y a
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
2053 QUARTZ LAIVE
LO7e 3 BLqCK: 4
GEpAR GF20VE 4TH
Permit TYPe BASENfENT FINTSH
U,prk Type ALTEF2ATIpN
434 ALT. RESIDENTIPiL
%r51
'.1-1;
10
\$",
'$'A f wS?
''r%
?
suxLDING
031391
02r02f9$
REMAfMRATE PERMIT FtEQUIRED FOR ANY PLUMBING WORK. GALL 445-2849 REGARDING
ELECTRIGAL PERMIT ANp INSPEC7I0N5. MIKE BARCK REVIEWED PLANe
FEE SUMMARY:
Base Fee $50.00
Surcharge _ .50
Tota1 Fee $50.50
WIP'l II?'S Ml' CCI, R A N D Y
8600 2377H ST E
L.AKEVI! LE MN
(6?2) 461-3336
0
14613336 0003311
I.Mfqt H' DEANNR
2063 QUARTZ LANE
EAGAfV MN
(612)454-6725
?? 1?4-- Dk?? "-
)RD BY: SIGNATURE
APPLI ANT/PERMITEE SIGNATURE IS
14
3/39 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
New Construdion Requirements RemodeVReaair Reauirements
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No ?
s ? ??-
DATE: 9 S/
CONSTRUCTION COST; 1S.
OESCRIPTION OF WORK: X? L2ie gw aa:Q eocsw-L
STREET ADDRESS: o? ? S? CS?ua ?Z ? I-
?
LOT: BLOCK:
PROPERTY
OWNER
SUBD./P.I.D. #:
'
Name: ?2,14a/V74 Phone 7 Z'P
Last First
Street Address: oP 6 13 LSVCL?ic,t?
City _1;5 E An?
State: */? Zip: 5' S I Z-Z---
Company: Phone ?v / - :3 3 3
CONTRACTOR
Street Address:526 6 G ;?3 7 4,5?4• ? . License # 3311
City ?-?,r1 c !J i State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is 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 applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant - ?gz,,? yckt?
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling O 07 4-piex
? 03 SF Addition ? 08 8-piex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New JB'0"33 Alterations
? 32 Addition O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBG Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging P-'16 Basement Finish
0 12 Multi Repair/Rem. ? 17 Swim Pool
D 13 Garage/Accessory ? 20 Public Faciiity
? 14 Fireplace ? 21 Miscellaneous
O 15 Deck
? 36 Move
O 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
MC/WS System °
City Water -?
Fire Sprinklered
PRV
Booster Pump
Census Code. 14,2? Al
SAC Code D !
Census Bldg f
Census Unit U
Planning Building /?^& Engineering Variance
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pennit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total-`
Valuation: $
% SAC a:,
SAC Units
K .
,
. f'.F?Y OF Ef?f;_;?iN
S , T h R M'a N (`4... NO;.
l'i^^E' o";Ja.P"'!r3i' T'Tmi-l 4 t3y57
#. ?? ? _ ; . . ?, • •
?A?E v HO.uT HC
)ME : :?Mr IUXEME
r.T ,
3 a•t Ct` 00i..1:1.. r' 7??: Xt"JA10' ` _ LN'
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z afj•`..:I-i" G'um;a?
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Xilot iTOF EAGAN
? 3830 Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
. ?,
PER11iIIT
PERMIT TYPE:
Permit Number:
Date Issued:
E3U7LDING
029610
03/18/97
SITE ADDRESS:
PeI.N.e 10-16703-030-04
DESCRIPTI09V:
2053 QUAR7'Z LANE
Lq7: 3 BI.OCif> 4
CEDAR GRqVE #R
(sroxNG)
ermit Type 5F (h1ISC. )
TYpe ALTERATION
434 ALT"e RESICIENI"IflL
pm ? ??
?? ?1 "? ? ?? ? a? ?? ?
?? ?°? ?? U m.
REMARKS:
FEE SUIVIMARY:
VFILUATION
Base Fee
Surcharge
Total Fee
$174.75
5.50
$180.25
$11,000
CONTRACTOR: _Ap p 1 i c a n t- sT.LIe OWNER:
MOY7 MOME IMPF?OVEMENT INC 18844338 2008168 KIVI DQNALq
90?7 LYNDALE AVE S 2053 QUAR7Z l.N
BLJOMINGTQN MN 55420 EAGAN h1N 55122
(612) 884--4338 (612)454-6728
?
? o.rA'm
IRE ' ISSUE `PY. NA E
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
'9(.16 3830 PILOT KNOB RD - 55122
681 -d675
New Construction Reauirements RemodeURenair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 slte surveys (exterior additions 8 dedcs)
? 1 energy calculations 0 1 energy calculations for heated additions
• 3 copies of tree preservation plan H lot platted aRer 7/1/93
required: _ Yes _ No DATE: -5 / f ??(??2,
DESCRIPTION OF WORK:
STREET ADDRESS
LOT _j?
02 053
CONSTRUCTION COST:
? U R ?-
_ t 0 , ?s 6 00
BLOCK SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: D6N P,1C0 Ki v r Phone #: `l S`?- (p -70Z g
Street Address. a' o53 (5 City: f,!Z9,6/J State: ? Zip:
Company: HD ,?' /?06 3:?iie4eNl'' Phone #: 'Lf d - q33
Street Address: 9057 1-4z•yhl?v ? ?0 License #: °??0<f`144-7
City: nt4OV1'1 State:
vw u)
Company:
Zip
s5 yz 0
Phone #:
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.
1 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.
Signature of Applicant: /0?7
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
0 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
a 14 Fireplace n
? 15 Deck
? 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
?
Ft
9ib
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/V11 Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
GTO
CityofEa�afl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAY ?it ?011
Use BLUE or BLACK Ink
relMet
Permit #:
Permit Fee:
Date Rece
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (9®— 1 I Site Address: (906-3 Q u a r4- a L a ,'
Unit #:
J
RESIDENT I
OWNER
Name: bork aid l' I V i Phone: 65I 1-15Y67,
f
Address / City / Zip: ®5 a r Z a a r / if 652 r ,.
Applicant is: Owner Contractor
"' E OFr ndOWS
o'1Q n 2' r S -i -i �q enT)
Description of work:TYPaca R Y1\--c-lAnnt- � Yi
Construction Cost: , ! GQ Multi -Family Building: (Yes / No )
CONTRACTOR
Company: n1 A t C O1\Ce * Contact MCA.111,�y —SQ
Addressgg0 Lone O tY W IIYC f,: EC4WI
State: AN Zip: 661 a % Phone: %D5! 90
+0106
License #: a V,o ■ Lead Certificate*. MIA 41r.'1 L 17 -1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supportingdocuments that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permitthe 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
accordan with the approved plan in the case of work which requires a review and approval of clans.
c cArn, e Sim
Applicant's Printed fame Applicant's Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112022
Date Issued:07/23/2013
Permit Category:ePermit
Site Address: 2053 Quartz Lane
Lot:3 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-030
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jason Larson
25 S Sutton Lake Blvd
Jordan, MN 55352
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Donald J Kivi
2053 Quartz Lane
Eagan MN 55122
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114573
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 2053 Quartz Lane
Lot:3 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
James Geisen
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 -
Donald J Kivi
2053 Quartz Lane
Eagan MN 55122
(651) 454-6728
Twin City Roofing Construction Specialis
72 Ivy Ave W
St Paul MN 55117
(651) 636-9640
Applicant/Permitee: Signature Issued By: Signature