2077 Quartz LaneCITY OF EAGAN Remarks * Cedar Gmve Ac-cpiisition
Additio CEDAR GROVE #4 Lot 9 Blk 4 Parcel 10 16703 090 040
Ownei • (1 Street 2077 QLidZ'tZ L3IIe State Eagan, MN 55122
1I_
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
WATER LATERAL 19 2
WATER AREA
STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: °j ' '' " "'"
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
;. . . ? 1 1,A t ?r
,t:A,r?r i
INSPECTION D. . .A
? ??i??,?t t t•I i; i i, : ?: ,
? ?
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
7
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3795 Pilef Knob Raed Eogoe, MN 55122
PHONEs 454-8100
BUILDING PERMIT Receipt #
G .() '' k
cr : t
To M used for Est. Volue Date 19
Site Addreu Erect ? Occuponcy
Lof Block Sec/Sub. /11ter 0 Zoning
Porcel # Repoir ? Fire Zone
E
l t
T
f C
n
orfle ? ype o
ons
.
oWe Name Move ? # $tories
Z Addres s Demolish ? Length
t City phone Grode ? Depth Sq. Ft.
? o Name
?
u? /lddress ,
1-
Name _
Address
1 hereby ocknowledge that I have read this opplicotion and state thot
the informotion is correct ond ogree to tomply with oll opplicable
Stote of Minnesoto Stotutes and City of Eogon Ordinonces.
Approvals Feos
Assessment
Water & Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off.
APC
Permit
Surchorge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Totol
Sipnature of Permittee I
A Building Permit Is issued to: on the express condition that
oll work sholl be done in acrnrdante with oll applicoble State of Minnesoto Statutes ond Ciry of Eopon Ordinances.
Buildiny Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
E lectric
Inspection Date Insp. Other
Footinga 11111111
?
Foundation
Framing
Rouyh Plbg.
Rough HVAC
Inwlation .
Final Plbg.
Final HVAC
Final
• •
??
Water Dese?ibe Location:
VYell
Sewer
Pr. Disp.
a,o7-7
EAGAN T0WN S H I P
BUILDING PERMIT
Owner -•?--1?"?----------- - 0,•---- .?
-& .............
Address (presen!) ?
_ ?-/-?-------=--.= ?-t-?-t:..:_?...?% ?•??
Builder ----•---•••---•-•---------------------------- ----..................................... Address ....................••-....-----•---.----••- -------••••-•-•---...------.....---•---•------?--
DESCRIPTION
N° 826
Eagan Townahip
Town Hall
Date y
5lories To Be Used -For Fron! Depth Height Esi. Cost Permi! Fee Remarks
? LOCATION -
Street, Road or oiker Descripiion of Locaiion Lo! Block Addiiion or Trac!
7 3
7
--?-/y 13 %L.
This permit does not suthorize the use of streets, roads, alleps or sidewalks nor does it give the 'owner or his agent
the.righi to c;eate aay siiuation which is a nuisance or which presen3s 8 hazard !o the healih, safety, convenience and
general welfare to. anyone in the communi3y: ?
THIS PERMIT MUST BE'KEP ON THE Pj EMISE WHILE THE WORK IS IN PROG?ESS.
This is, !o cer3ify; tha?:__?. _..._?Q-:-•----••--........ has permission to ereci a_...:!
---__G-----''°.- -
- ----• -- • -•---•----upon
the above described premise subjec! to the :provisions of the Building Ordinance for Eagan Townshi adopted April 11,
i955. .
. ? .
- •-••--??
._?2-?°--??_. .••-----•-••-••---•- ------- -------,-•----•- 4-1-1
-•---•------? l .----?._--
..--
Chairman Tnwn Board Per ' Building Inspeclor
/ A?
CITY OF EAGAN
9795 10 Knob Rood Eagan, MN 'SSls2 N? 7388
? PHONE: 454-5100
BUILDING PERMIT Receipt
To be wed for GAI2AGE ADDITION Est. Volue $3, 000 Date Julv 12 , 19-8.2-
Site Address 2077 Quartz I,dAB Erect ? Occuponcy R-3
Lor 9 Block 4 Sec/Sub. Cedar Grove 4th Alter ? zonin9 R'I
Porcel 10 16703 090 04 Repoir ? Fire Zone NA
E
l T
f C
V
n
orge ? _ ype o
onst.
W Name J?eg Adelmdnn Move p ,1# Stories
Z
9 Address 2077 QL1drtZ I,AI3e Demolish ? Length ZZ
Ci Eagan 55122 phone 452-1007 6rade ? Depth 20 Sq. Ft.
ne
Nome n+it"ahilt AnSOC
IriC Approvals Fees
o
u . F
.
Addreu 7343 Ann Court
Assessment
Permit 3$.$0
?
~ Cit Eden Prairie Phone 938-9350 Water & Sew. Surchorge 1.50
??
Police
Plan check
FZ Nome Fire SAC
?a Address Eng. Water Conn.
?W Ci phone Plonner WaterMeter
Council Rood Unit
I hereby ocknowledge that I have read this opplication ond state that gld Off.
the informction'is correct ond ogree to compiy with oll applicuble
APC
nn
T
t
l
40
State of Minnesoto Statutes and City of Eogon Ordinonces. _
o
o
+
Signature of Permittee
A Buiiding Pertnit is issued to: Durabil
oll work sholl be done in accordonce with all
on the express condition thnt
ond City of Eagon Ordinances.
Buiiding Officiol
/ E?> 2?? 9
.
/ CITY OF EAGAN IAP Include 2 sets of plans,
' ` I a?xaQ 1 site plan w/el.eva-,:ions &
BUILDING PERNLIT APPLICATION 1 set of energy calculations.,
Zb Be LTsed For (('n' ?q?q2 Valuation1 ? *".3, 6(3a Date
site Aclaress: X77 Qi,qidz LtAA2 ?e oFFzcE usE orLY
Lot t Block ? Sec./Sub. tbdE- Erect OccuPancY ?•3
Parcel #: 040 Gy Alter Zoning
Repair Fire Zone
OQaner : J W tyt? S Enlarge --V Z'ype of Const. ?
Nbve # Stories
?cldress: o20T) 004?41 LA/r-t Derriolish Front /2_ ft..
City/Zip Code: F.q-q A,iv Grade Depth -VA ft,
Phone
L4 100 -7 APPROVaLs
Contractor: DV?AIN &SOC. -/.?vt.
Address :`7 3 Y 3 4ru•v COcI?4
city/zip code: QP•U p?04?i-e S53y3
Phone # : 73 ,7- 7-3 $d
Arch. /Eng•
Address:
Assessments
Water/S&er
Police
Fire
Eng.
Planner
Council
Bldg. Off. APC
Perniit ' 3 8 Sflo
Surcharge 6-
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
Gity/Zip Code:
yd ?
pnone #: TarAL
RESIDENTIAL BUILDING
Permit Application
"-I ?-? 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)
2 copies of plan showing beam & windo?,? sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservafion Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
RemodellRepair Repuirements
2 copies of plan
1 set of Energy Calculations for heated addi6ons
1 site survey for additions & decks
Addifion - indicate if on-site septic system
4 31 Lo:-Vs
Office Use Oniv
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
Date Construction Cost Z?7. ? ??
Site Address 9-07 7 1 )[] VT Z 1-4/ ^ ct?c, A h Unit/Ste #
Description of Work ? +e?,t,`,-„r „P s, o.( ?? ??`D ti? r_9'j nnnr S
Multi-Family Bldg _Y 4N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1114 ti' i ct hn -t AG(•C. 474a ? Telephone # (6F
Contractor /v -e_ XT-C..1" r Oi" S
Address (J`! ,4(/'r City
State Zip ZF-S'/D t/ Telephone #(??,) ? y 7=6?7 i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor;-
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowled e that the information is complete and accurate;
that the work will be in conformance w40_71f-6nly ?ordin ces odes of the City of Eagan and the State of MN
Statutes; I understand th:?s is not a permi an application for a permit, and work is not to start without a
permit; that th rk will be in accordance with the approved plan in the case of work which requires a review and
approval lans.
Ap 'can t's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 11 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) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
13 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 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 0 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - 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 _
_ 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
CLAIM VOUCHER - REFUND BEQUEST
rITY OF EAGAN
CLAIMANT_ CHARLES_DOTSETH
ADDRESS_ 20820 LANGFORD WAY
_ JOBDAN1 MN _55352 _
Locat ion 20774- UARTZ LANE
---- ------- --------
CEDAR GROVE 4TH
Receipt No./Date 22196-4/13/94
Re a s o n f o r R e f u n d OVERPAYMENT ON BLDG PERMIT-PAID FOR LI CENSE CHECY. AND
DIDN' T HAVE TO___- ______ _-
Type of Refund Electrical Permit 3211-9220
Plumbing Per.mit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
3212-4220 $
3213-q220 $
2155-q220 $
3713-q220 $
3743-q220 $
2252-A220 $
Utility Account Over-payment 2250-9220
Other: LICENSE_VEBIFICATION _ __ $_5.00
$
- - --- - --------
TOTAL $ 5•pQ____
I declare under penalties of law that this account, claim or demand
is just and that no part of it has been paid.
_11411ILA_4 ---- ----
- -- - - -------- --
NATURE '?\ ? DATE ? _..1 ?
ACtTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PeTdfd:: 20-26703-090-04
DESCRIPTION:
a
PERMIT
2077 QuaRrz LANE
L.OT's 9 BLCICK: 4
CEDAR GROVE 4TH
(RoaFxNG)
ermit Type
kr„k TYPe
PERMIT TYPE:
Permit Number:
Date Issued:
SF (MISC.)
FtEPATF2
B L t?N?
023307
04/13/9G
c WV oF czagan
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7nta1 Fee
vALuATxaN
$72.00
2.50
$74.5P1
.$ J q YI0YJ
C:VIVIFiAL:IVF[: - mppilcanz - b i. L tu. uWNttS:
qtl7SETMs CHARLES 14923118 0006804 RC1ELMAN
20820 LANGFORD WAY 2077
,7C1RpAN MIV 55352 EAGAN
(sa.z) 492--3118
MARY ANN
QUART'Z LN
P9N 551
1I114 84A iIJ
APPLICANT/PERMITEE SIGNATURE ISS D B SI NATURE 1
. CITY OF EAGAN
Lnlof 994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 Valuation of work
Site Address: ?-0)'7 2 Qkl cPi?z lag
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. A I
? J?11 P.I.D. #
Descri tion of work: -P,f4?
The appl i cant i s: ? Owner I? Contractor ? Other (Describe)
Name ?? ?11 a1\ Cal ? Phone
PPOPerty LAST F ST
C)wner
Address
STREET STf #
City CO State MY) Zip
Company ::L?d4ks --e Phone 09"A :Ej l8
Contractor Address 1-0\6ofWd?[ License # ZOC1& Exp.
City J k?Yjw\ Mo State ?h Zip
Company Phone
Architecti
E11gif1e@P 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 h v a hi application and state that the information is
correct and agree to comply, 1 le State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: ! r
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
?? .. ? ?-
j?
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ? 16 Basement Finish
1:1 12 Multi. Misc. O 17 Swim Pool
0 13 Garage/Accessory ? 18 Comm./Ind.
O 14 Fireplace ? 19 Comm./Ind. Misc.
[1 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish
? 36 Move
? 37 Demolish
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
0 Wallboard
? Footing
0 Final
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
? Framing
? Draintile
Assessments
? Insulation
O Fireplace
Permit Fee 7a ""
Surcharge r7 ?-
Plan Review
License ?500?
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total :
vatuat;an: $
SAC %
SAC Units
PRQF-(7SED ELEVATIC.3NS: None
Q?
?
?? C)
o? 0 ov
,
Dunotes ;ron monument found.
Denotes cross chise9ec6 in concrete surface.
"982x5" Deno4es existing spot eIevation measured
at the point marked by "x,,, in t41is case,
982.5 fee# above mean sea Ie°wleio
, "982x5" Denotes proposed spod eleva#ion at #he
point marked by "x„ ,
Denotes proposed direction of s#orm water
! unV' i f. -
CLRi'FICf9l IOIV
I hereby certify that thss p6an, survey, report
or specifieation was prepdred by me and that i
am a duly Rvagistered Lanc4 Surveyor and Profes-
sional Engineer under the L.a ? af the State off,?
Mir?nesota. c? t f ?
H. Parker, M6nn. Reg, Nod 92135
'30
? -
"73137
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilat Knob Raad, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single famify dwellings & townhomeslcondos when permits are required for each unit
3?' -,57)
Date 0
Site Address 00,29 Z-M` ..' Unit #
54 V ) M IV ? ? ? ??
Property Owner t7/- Telephone # ( 65 % "/49 O
Contractor f?f?????f?f? f ????'"?`.?''??o'-? L-
street Address City 4e1z'FS
State ? / /?''? Zip Telephone # (lr?l "Z Z Z 4-- 6, 3
Band #: Ezpires:
The Applicant is Owner ? Contraotor Other
Add-an or alteration to ezisting dwelling unit $ 30.00
? furnace ?Additionai ???eplacement New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .SQ
. :
Total $
I hereby apply for a ResidenEial Mechanical Peimit aud acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and cades af the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, bu# only an application for a peimit, and wark is not to start without a permit; that the work wili be in accordance with the
approved pian in the case of work which requires a review and approval of plans. A
?4?' ?'?i/?G?-'..--??i4/'? ??-?/ / d
Applicant's Printed Name Applicant's Signature
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
NOV —
639
90'
Use BLUE or BLACK Ink
ForOffice?IJse
Permit #:161960
Permit Fee: M VO
Date Received: /43W
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
ac77 aucet, LA
Date: Q c3 % / Site Address:
Tenant
Suite #:
RESIDENT / OWNER
Name: l Y !, ,{OZ, OC CSV/ Phone: CPUC/ VS-
Address
SAddress / City / Zip:
Applicant is:
010 7 71t aiS 11 �Q , / cZ40
� 9
Owner )( Contractor
• TYPE OF WORK
CONTRACTOR
Description of work: V aP,fdnee-/� ' W(,-2 51/2 --Sa %�' v,
(Q C Multi -Family Building: (Yes / No JC )
,j
Name: Ai, ey,c<3 v'�! l° License #: 'O® /7"-a
City: % z O ) -
Construction Cost
Address:
ItyC0//0 �.
State: Thi/ Zip: 5:5-0/ 17 Phone: 67S/ - 7, 026 Ao
Contact:7((7y? C:W./1 )
Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
1f6TE: Plans and suppoi`#ing dodentea s-thatyou•submitiris can iiteredrO
the information may be classified as non-public !f yousprovid1e s if c r -ea s .
,COVALcie that-theY re.`. 0e s re s
rfdrina>Ijonr.-.i?ortiofls`of
uld.permi# th'e .City>to
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aoPherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x �j els 041/1-A
Applicant's Printed Name
,\\
Applicant's Signature
Page 1 of 2
Use BLUE or BLACK Ink
` r
For Office Use
I G7S~C/~'~If~
i Permit I
City of Ea ~a~ I l D~ ;
I Permit Fee:
3830 Pilot Knob Road q~Xfj
Eagan MN 55122 I Date Received: U
Phone: (651) 675-5675 I >7 I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /JJ~ Unit
Name: / 'x"' ,~5 "Jl.wl . Phone:
Resident/
Owner Address / City / Zip: 72
€ Applicant is: Owner Contractor
Type of Work Description of work: a~
Construction Cost: Multi-Family Building: (Yes / No/~
Company: l k• Contact: L
i Contractor Address: T~4zx ~[OG/ City: !J
State: ~IV Zip: f5 /,7!~Z Phone: -3 7
i
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 I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_.Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
v_ , ~.n... . m a .....a.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuanncce.
x 71✓ x
Applica is Printed Name A licant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142193
Date Issued:04/19/2017
Permit Category:ePermit
Site Address: 2077 Quartz Lane
Lot:9 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Marianne G Adelmann
2077 Quartz Lane
Eagan MN 55122
(612) 309-8404
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142776
Date Issued:05/17/2017
Permit Category:ePermit
Site Address: 2077 Quartz Lane
Lot:9 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-090
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Marianne G Adelmann
2077 Quartz Lane
Eagan MN 55122
(952) 894-0005 X5151
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature