2065 Quartz LaneCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �eJ
Permit #: J3
Permit Fee: �- 4 0
Date Received:
Staff:
INFLOW & NFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: u a..,' J -z
Tenant: Suite #:
RESIDENT / OWNER
Name: Mal( & WrDZI Phone: �'/H33/—//33
_ t,>�c.t'+�`
Address I City I Zip: -0 G' t.+ L 1.44‘..,2___ Ecj--5/72.
CONTRACTOR
:plc,
I'fi
Name: e S S ; q v, p i c,. r� 6 i r13� S2r �. i G -S e.License #: 0 5 9 S / S PA
j�
Address: f • 0 , (3 0 >t c a ) 1 a City: E- q +,\
i&ct
State: YV\/ J Zip: 5 S/ a a Phone: (a -S I— G, g (- g a S .
Contact: r�; IA Email: Ill K e ® �'1 e S S i q '�1 p i ,-, r+ s e "S. ► Cur -
1
TYPE OF WORK
PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope)
Sump Pump Repair Repair
Other. Other.
DESCRIPTION
Description of work: P 1`\3— S w
'-. + .., y... viii. S c hq t'
JO
k"p�
FEES 0 v.-
$55.00 / E h (includes
n e r- Ci., ". P c 1 —4 1-C....5 -Fv c..,-; -4 ..]
$5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ 5'S, 0 v *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.gopherstateonecaltorq
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.
Applicant's Printed Name
Aiicant's Signature
FOR OFFICE USE Reviewed By: Date.
Required Inspections: __Under Ground Rough -In _Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2065 Quartz Lane
Lot: 6 Block: 4 Addition: Cedar Grove 4th
PID:10- 16703 - 060 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Jarrod J Ryan
2065 Quartz Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA078036
06/01/2007
ePermit
al (i.e. debris that could block vent openings) and
- Applicant -
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY OF EAGAN Remarks * Cedar Grove Acauisition
Addition CFDAR GROVE #4 Loc 6 Bik 4 Parcel 10 16703 060 04
OwnerJe4VF'1 BQYUiYI `L. flu Street 2065 Quartz LaAe State Eag?, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL l[cko 1 ? .O .1 Pdl
WATERMAIN
* WATERLATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS:
?,_.. 101AF<r/ LAIIr
}..l..f fll1K 014110V1- 411t
PERMIT SUBTYPE:
APPLICANT:
? ?• , .
TYPE OF WORK:
tsu i i 11 t
<9 ,' 4 1 N t,
INSPECTION .. • .A
, I ?t,. ' ? r?{t t 'iI,
I 14'.11I rt i I t?P?
t I1Ji41
f(I P4E1i:h'.? '.I f'`Rlifi(E• PF{ih$i 1 '.. i11iF Ftflll{iltF 1t. F't)R ANY 1'1 11Mi11Nlt fll't k f l-(; 10 1 1 !rl I.J11}rr.
'' - --- _ _ -- - - - -- - - --
Permit No. Permit Holder Date Telephone #
SM/
PLUMBING
HVAC
ELECT ? (-P ` . , 7 P ? ?(J O°
ELECT o 00
Inspection Date Insp. Comments
Footings I
Foundation
Framing ?/,2A/
Roofing
Rough Pibg.
Rough Htg. OG? %?'1/7 S ?r
isui.
Fireplace ?
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
praisU 7V
?' ?? ?' ?1Y i ?/'?? • If,B'
?7T
'?
RESIDENTIAL
? BUILDING PERMIT APPLICATION
CiTY OF EACAN
3830 PILOT KNOB RD - 55122 ?-
u? V 651-681-4675
NewConstruction Reauirements RemodellReoairReauiremeots
• 3 registered site surveys showing sq. ft of lof, sq, ft. of house; and ll roofed areas • 2 wpies of plan
(20% maximum lot coverage atbwed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing bearn & wirtdow sizes; poured found design, etc.) . 1 site suNey for exterior additions & decks
• 1 set of Energy Calculations . Indicate 'rf home served by septic system for additions
• 3 copies of Tree Preservation Pian if lot piatted after 7l1/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less unAs)
DATE VALUQION
JOB SITE ADDRESS 2,06S Qu,w?tZ, L^-r•t,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?To?,vre 4 ?T • ?C
TYPE OF
APPLICANT ,_QL9
ADDRESS S 7 0
PAGER #
FIREPLACE(S) _ 0 ja 1 2
_ PHONE# G1 2-304 _- 8`L G-K
ZIP CODE _
CELL PHONE # bl Z- 11O'' 7!'{ L FAX #
NFN' RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Categony _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentiat Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
Afi above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informafiion is correct, and agree to compty
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant •
Certificates of Survey Received _ Tree Preservation Plan R ived _ Not Required _
Updated 1/01
t'• - IGra e
e
.
,.e.&-- ,1is'... )¢.'„G , o
? Water Softener
_ Water Heater
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
r
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bidg
? 02 SF Dwelling 0 08 06-piex ? 16 Fireplace E3 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-piex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 40 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-piex 0 19 Lower Level ? 24 Storm Damage
0 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition Q 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration . ? 37 Demolish (Bldg)* D 43 Reroof ?.46 ' Windows/Doors
0 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appiicant
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 Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Watex _ Final Other
_ Framing _
_ Pcsol _ Ftgs _ Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone _
_ Insularion _
_ Windows (new/replacement)
Approved By , Buiiding Inspector
- --------- ----- --- -- -- ----- - ----
---- - ------- _--_____----?-?-_
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies , . y =
Other
Totai
?
EAGAlol TO\I!/N S H 1 P
BLiILDING PERMIT
Ownex .......... ----- --•-?'•-? ------• ------- •------• --•------- ......
Address (Preseni .'??.?'r--------------------------- ••----- -- :..--------
Builder •---- ---??.--•---------------•-------•---•-----•----•------------•----•--- ---
Address ••••--••-••---••------••------.._-•-•--..._...--•--•--....--••-•--•---------• ..............•--
DESCRIPTION
N° 120'7
Eagan Township
Town Hall
Date •--9!•-'A T-.....................
52ories To Be Used For Fronf Deplh Heighf Est. Cosf ' Permii Fee Remarks
v-4-
LOCATIOPi
Street, Road or oiher Descrapiion oi Locaiion I Lof ? 131ock + Addiiion or TracY
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agenf
the right to create any situation which is a nuisance or which presenfs a hazard to the heallh, safety, convenience and
general weifare to anyone in the community.
THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.?_,..__??_ ____________________________has permission to erect a._.k?__. .................. ....__---------- upon
the above described premise subject ta he provisions of the Building Ordinance for Eag Townshi adopted April 11,
1955. ;
...............................................
{?2--• Per ••------•--•-•• L_
•-------------•--.... •--•--•--._.. . . ' -••---------..._....
Chairman of Tnwn Board Building InsP-• ecfor
L
4.? -A
EAGAN TOWN S H I P
BUILDING PERMIT
/
Owne: --1??? ' ---- -----
-- - - ---- -----•'----------
-°,
Address (Preseni) •_d . -:--'- - -??''
? Builder -------•--• -------- ... -- ---- - -•----------=••.------ --------•--••-•------------ ...
Address •--- -- ----------- -- - --------- ----------=- --- -----------------•---------
DESCRIPTION
N° 805
Eagan Township ,
Town Hall
DaYe .-•:--7'.----/-7---E--?'?-- ------
53ories To. Be Used For Fron3 Depth Height Est. Cost Permit Pee Remarks
LOCATION
SireeY, $oad or other DescripYion of Location h Lot I 131ock ? Aanition or 7'racS
/
i
This permii• does not authorize the use of streeis, roads', alleys or sidewalks nor does it give the owner or his ageni
the right to crea2e any situaiion which is a nuisance or which presents a hazard. Yo the healfh, safe.Yy, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEFT 019 THE PREMISE?W_HILE ?THE WORK IS IN PROGRESS.
This is !o certify, ihat--------- _ __? _ _?! ?__._.has permission to erect a__.._.,ll-------- ?--------------------- ._ ........ ..........upon
----- `??
the above described 7pre ise subj g.ct to ?he-provisions of the Building Ordinance for Eagan Township aflopted April 11,
195b. .• --. - --
--- --•- --------------------- Per -?-- - -- --- - -
__..._...••-•-----•-- -• -
•--•--• ----- -- ••----- .._- •-- ---•--- ...... - ---
-- '•------•-•.-- ?
Chairman of Tnwn Board Building Inspector
;ESee GIUSEStT? FORQEP ECTRI?CA?L tiNSPECTION 5
?,??? Ee-ooooi-os ?
? 4.??-- 1 ?/ Q? sL
`X" Below Work Covered by This Request
ep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
other (specity) Contractor's Remar'7 pl4,E LIZ( MEiCi,. 60k-
?£.
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 Onry: TOTAI? J ar
Irrigation Booms ?S
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in . Date
certify that the above inspection has
been made. Final r Date
OPFICE USE ONLY This request void 18 months from
?' o°?/ q/ .,.
? ? ? ? . . /7> /?/l ? ./,? , q4 .r- o ?
Request Date
8/? Fire No. Rough-in Inspection
Required?
? Ready Nov?;<ill Notify Inspector
?
` Yes ? o When Ready?
I=, licensed contractor >4_wner hereby request inspection of above electrical work at:
Job Address (Street. Box te No.) ?n
D<os u?c?-z . City ?? ??
Section No. Township Name or No. Range No. County
nt (PRI T, -? Phone No.
a?-?. I?orrnah
Power Supplier Address
Electricai Contractor (Company Name) Contractor's License No.
rt? rneo w?n ?t?
Mailing Address (Contractor or Owner Making Installation)
A-60 OG--
Auth Signature (Contractor/Owner Making Installation) Phone Number
?Z K SG -Cl ?-?--
MINNESOTA STATE BOARD OF ELECTRICITV THIS' INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
7821 University Ave.. St. Paul, MN 55104 . UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
/?
??.`? ?6 5 V `X" Below Work Covered by This Request
??E.. ew Ad Rep. Type of Building AppliancesWired EquipmentWired
Home Range - Temporary ServiCe
Duplex Water Heater ElectriC Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
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 o 100 Amps
Siglls Inspector5 Use Only: TOTA
-?
Irrigation Booms ?
Special Inspection .
Alarm/Communication THIS INSTALLATION MAY B.ORD . D DISCONNECTED IF NOT
Other Fee . COMPLETED WITHIN 18 TH ? ?
I, the Electrical Inspector, hereby Rough•in ? ate
certify that the above inspection has
been made. Final
o Date
?
OFFICE USE ONLY
This request void 18 months from
?!4?6?6 ,? ? -i y --??$ v4 3-
?? ? ?&
Request Da ..?
7/ Q IG1 ;
a/ 7 rire No. Rough-In Inpsection Required
(VOU t call inspectorwhen ready)
Ves ?.NO Inspection Other Than ugh•In
? Ready Now Will Notiry Inspector
Date Ready
F? licensed contractor 4owner hereby requesYinspection of above electrical work at:
Job Address (Street. Box a Ro o.)
ao?s City
Section No. Township Nam o. Range No. County
Occu nt PRINT Phone No.
Rower Supplier Address
Electncal 4traif t or (Company Name) ' ContractoPS License No.
Mailing A ress (Con ?g Installation) '
A e (ContractoriOwner Making Installation)
.16 Phone Number '
- l ? '4*-+
MINN SE OTA STA7E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
'Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD1821 University. Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
7/
??
?°8'
a9
6'
24844.8#,
? ao
Request Date
`- C
4¢
Z Fire No. Rough-in Inspection
Required? NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
I
R
i
d
O ? Yes No s
equ
re
.
I fR licensed contractor ? owner hereby request inspection of above electrical work at:
T`
Job Address (Street, Box or Route No.) City
EA
J
Zc??S Qkoa?z. c..ANE &40
Section No. me or No. Range No. County
" O AlebT4
Occupant (PRI Phone f.lo.
4
t
-
??-
t
?
7
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
MInAIo0.r)WAJ ??Tlvwc', Gft r 2_3
Mailing Address (Contractor or Owner Making Installation)
L s15? pa-Ul
Authorized S' nature (Con actor/Owner aking Installation) Phone Number
54SZ-3Y`1?
MINNESOTA?*TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
7l8'/? ? REGIUEST FOR ELECTRICAL INSPECTION
! ?*ee instn.cHons for compfetino this forfn on back of yellow copy.
M 62248 "X" Below Work Covered by This Request
,A?.=.<,., ee-oooo,-os
0 ?;
o'? 5l0 8?
.;?..:
New Add Rep. Type of Building AppliancesWired EquipmentWired
x Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contractor's Remarks:
*/ow 44.6. 5e2. e5jr
Compute Inspection Fee Below: *,if& g
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abo 100 Amps
SlgnS Inspector§ Use Only: TOTAL
Irrigation Booms 6
,. ' zp . s(7
Special lnspection ?
Alarm/Communication THIS INSTALLATION MAY BE O E ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ? Date
certify that the above inspection has
been made. Final
? Date f
FLO
OFFICE USE ONLY
This request void 18 months from
c -?
CITY OF-EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16703-060-04
DESCRIPTION:
PERMIT
2065 QuARrx
LOT: 6 BLOCK:
CEpAR GROVE 47H
"xldin-4--Permit Type
kwx4o ing,: 1'YPe
,;?? ?E?z ? ?x°?, r:, ?a?.•,
?
I.ANE
4
PERMIT TYPE:
Permit Number:
Date Issued:
5F ADQI"CION
NEW
BUII.[JING
0zaa.06
07f13J94
Z U???? N?
REMARKS:
SEPARATE PERMITS ARE REQUZREp F'QR ANY PLUMBTNG nR ELECTRICAL WOftK
FEE SUMMARY
vALuarxnN
ease Fee
Plan Rev.iew
Surcharge
Total Fee
$1s0.??
$117.00
8.50
$305.50
$17,000
CONTRACTOR:
OWNER: - Applicant -
BORMAN PAUL
2065 QUARTZ LN
EAGAN MN 55122
(612)456-9977
I . e I
ha?kh6d?e th`at h' `ve °!realt Wis 6%0 p 1kcat-1,rarr and.s tae t?a?-tho,
? info_rmation-is carrect. and agree to eomply with all aPplicabls' State of Mn.
? ?-t a '?? t e,?? s a rt°d C ??t y ?rg' a, ? t? r ?l?a. n ?=i? ce t'?"'
..?. ? mn 941A. rn l?
-?F PPLICANT/PERMITEE SIGNATURE ISSUED BY: IGN TURE
.,
• CITY C)F EAGAN
a?
1994 BUILDING PERMIT APPLICATION
681-4675
????'M
SINGLE & MULTI
FAMILY 2
f
t
l
t
3
i
d i??GWVr%M of e
- p
nergy
se
s o
ans,
ere
reg
s
calcs.
OMMERC f
aqL
l0
s
9'I4
1
C
IAL p
a
s
se o
2 sets of architectural & stru tur
,
specifications, 1 copy of ene y_calrs_________
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date y Val uati on of work dad
Site Address: 2- 066: Q c?A'IZ i7?_;L %-P? I? t
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. ?-?( ,
,?.lv P.I.D. #
Descri tion o€ work: Q?9? pr? F-Q? L-1 VS G
The applicant is: P Owner 0 Contractor ? Other (Describe)
Y?
Name ?o2.tAa ni T>AQ?_ Phone -45'& -gj
PrOperty LAST FIRST
Owner
Add re s s an
STREET STE #
C i ty S t a t e M/i Z i p
Company Phone
Co ntractor Address License # Exp.
,
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
L!fure of App --^--
OFFICE 4JSE ONLY
BUILDING PERMIT TYPE
? 0.1 Foundati on ? 06 Qupl ex ? 11 Apt. /Lodgi ng .
b-16 Fgasfterrt F7 nish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition' ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
D 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public facility
0 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
fn 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1lowable) lst F1. sq. ft. City Water
UBG Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth
On-site sewage
SAC Code ?
?
Census Bldg ?
APPROVALS Census Unit e.2_
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? _Site
0 Wallboard
Footing
? Final
Frami ng
? Draintile
? Insulation
Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yaluatian:
SAC %
SAC Units
83'
123'
123*
iITE SURVEY
'AUL BORMAN
?065 QUARTZ LANE
=AGAN MN
i/94
S ? 1 ? ??
' ?• ? . .
IV OHNER:
CITI[ OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
SI?E ADDRESS: ZOG
CONTRAC?OR: 5DATE: PHONE:
Determine working square footage of eachz
1. Total exposed wall area ... _$560q,5' sq. ft. x.11 _ qLJ. 21-I L
2. Total roof/ceiling area ... 2'-(S _ OE) sq. ft, x.026 = (., -2-y a
Total exposed wall area above floor - qq 7-
a. Total wall window area ............................ ?. ?
b. Total door area ................................... I?- S
c. Total sliding glass area .......................... '?,?j_?j
e. .........................
Total wall framing area (average 10%) .............
f. Total net wall area above floor ................... -<:?b2_2
g. Total rim joist area .............................. ?-?_
Total exposed foundation area = ?$ y-?' S?f
h. Total foundation window area.................. .....
i. Total net foundation area above grade .............. Zlb
Determine 'U' value of each Wall segment:
e. X IuI . 33 = ?G - --? 4 1
Sb.
b. -
Lq S x'U' a l3 =
c : i.:? x ' u'
d . d x ' U' _
e• x' U' =
f. .<-, 2 . 'L x ' U' =
g. q-b x 'U'
h. 7,1 x 'U'
i. 21b x 'U'
3 . .................................................... Total = k 45 .Ie `1
If item 03 is the same as or less than item 01, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 2 I-R7
J. Total skylight area ............................... C)
k. Total roof/ceiling framing area (average 10%) ..... Zj
1. Tota1 net insulated roof/ceiling area .............. 2?L
OVER
Determine IU' value for each roof/ceiling segment:
J. C) X IUI ? c C)
w'
k. --- U1 x' U' Z-- -?, 20
1. 2- ? 6 xfut
__ ,
4 . ...................................................... Total
If total of #4 is the same as or less than #2, you have met the intent of SBC
6006(c) 1.
Alternate Bui ding Envelope Design
To utilize the to velo e s s , e values established by the sum
of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 1. °I L-I. 2 L! "i- + 2. L . 2 ?( D = IOfj. ?f KZ___
3. + 4. q
2
2006 RESIDENTIAL BUILDING rExMiT arPLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot; sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of pian showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7f1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellRepair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
ty
Office Use Onlv
Cert of Survey Recd _ Y_N
Tree Pres Plan Recd Y_ N, .
TreePres-Required -Y ?N
On-site Septic System YN
Date / / 3b) Construction Cost
Site Address Unit/Ste #
Description of Work
?
G
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner &LI a Y) j a rel ?- /l m 'I, Telephone # (?jl) /f/(l/
Wndow Concepis of Mnnesofa ince
Contractor
Address
State
Zip C?h'
Telephone #
UAW i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categosy I _ Minnesota Rules 7672
Energy Gode Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Te{ephone # (
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 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
appr al of plans.
?
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BEI,OW THIS LINE
Sub Tvpes ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 39 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. '
? 05 03-piex ? 11 10-plex ? 19 Lower Lev el ? 24 Storm Damage
? 06 04-plex ? 12 12-piex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg ) - Give PCA handout to applicant
D@SCI'IptlOn: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories , Booster Fump
'
# 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) _ FinallNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing Siding _ Stucco Lath _ Stone Lath _Brick
R.I. _
Fireplace Air Test _ Final _ Windows
_
_
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115250
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 2065 Quartz Lane
Lot:6 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-060
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 .
Kathy Espelien
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 -
Jamie L Wood
2065 Quartz Lane
Eagan MN 55122
(651) 334-2679
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145702
Date Issued:09/21/2017
Permit Category:ePermit
Site Address: 2065 Quartz Lane
Lot:6 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Libby A Jackson
2065 Quartz Lane
Eagan MN 55122
(715) 518-8222
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature