2086 Quartz LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2086 Quartz Lane
Lot: 22 Block: 5 Addition: Cedar Grove 4th
PID:10- 16703 - 220 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684 -4647
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Douglas Robohm
2086 Quartz Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088890
04/27/2009
ePermit
CITY OF EAGAN Remarks * Cedax' Grove Acuuisition
Addition CEDAR GRAVE #4 Lot 22 Bik 5 Parcel 10 16703 220 OS
Owner V - LI yl c.t Street 2086 Q1]c1Z'tZ I,dri@ State Eag?, MN 55122
f o b nk ?,ti-,
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
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
. EAGA?I TOV1/N S H I P
_ BUILDING PERMIT
Owne= -- 4?-t«!./c?!Z?-'<---.?,?,....---..4-?./---?••-••._..----
Addreas (present) _...._. .._
.,?-=.----?-:.:..?-?- _<;? .. y?
Builder ..----.....????'_- -- ----•••---•-•-?----?-----•----------?-- -- -
Address --- -=•------=-------
DESCRIPTION
N° ? 2'7
Eagan T?ownship
Town Hall
DaYe ?-?/ ????:2----:_ .
5tories . To $e Used For
-.._.. _ _ __ __ - Fron! DepYh . Height Est. Cost PermiY Fee Remarks
-
?? - - -
ISo/ ? . ?
`?,C3-D
LOCATION
Sireet, Road or olher Descripiion of Location I Lo! I Block I Addilion or Traci
,?.?.-? ? 9- 3 a _ 33 ,J
?? ' ? `?
- ---- ??' S_?-i.?-?6-?.-?3-?? ?'
This permit does not aulhorize the -use of slreeis, roads, alleps or sidewalks nor does it give the owner or his aqent
!he righ! !o creale any siYuaYion which is a nuisance or which presents a hazard to !he healYh, safefy, convenienee and
general .welfare to anyone in the communiYp. "•
THIS PERMIT MUST BE ?KrEPT ON THE PRE ISE WHILE THE WORK IS IN PROGRESS. . '
This is !o ce=tify, that-_-4-__?__??-_----?-=-------------has permission to erect a.---•-??---•-_------•--•--••--••---•-•-• ---•-------••-.upon
!he above de ibed premise su ject to the pxovisions af the Building Ordinance for Eagan Township a pted April 11,
1.955. • f/
.._._..•--•••-- -••• •••-•:.....-,•-;••--.... .._..????iLV__....----••----•... Per .------?------ •----•-- --«•--•-???/..__._...._?:_.._....
Chairman of . wn 8 d ???? Buiiding Inspector
??? q? ? .
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Faxnily Dwellings
Townhomes and Condos when perxnits are required for each unit
Date - 3_ / 31 /
Site Address llasr?-Z Zy5;'A_) Unit #
Property Owner Telephone #
Contractor
Street Address &-a- h.)0 /420 City
?
State Zip -V Telephone # ( (a 5'1 ) J160 60 Q ?
The Applicant is Owner Zcontractor Other
Add-on, ification or alteration to existing dwelling unit
--- "r? $ 30.00
_ furnace replacement
air exchanger
02
air conditioner
other
10 y
State 5urcharge $ ,, 50
i???
?
Total $
I hereby apply for a Residenrial 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 tlus is not a
pernut, 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
approv d plan in the case of work which requires a review and approval of plans.
.?`??
?
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type ,
_ New construction Underground Tank _lnsta4l _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x .01% Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Pernut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the informarion 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 pernut, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Appiieant's i rinteu Na-tr?e App1:caut's Sig:iature
Approved By: , Inspector Date:
PERMIT #
RECEIPT DATE: ( ?// / ??
???? ???????? ??????? ?ERMIT APPUCATION
CITY OF EAriAN
S$SA PILOT KNOB $D
EAsAN, Nuv 55 Y 22
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: ? O lU u(.Lt-t Z. L Qxv-,
OWNER NAME: :bL7U O1I ovs ?b L) Irl {'Yl TELEPHONE #: V6I_qJ44 - 3271
(AREA CODE)
INSTALLER NAME: N-Ou (l T)1'p T `n TELEPHONE #: i15 a_ (4(o9-(Qq°Jcl
` I
STREET ADDRCSS: ?`?l IL4q (?1141 ?,v I ?/1nf A-Ve• (AREA GODE)
CITY: L,1kYP.Uf I1. STATE: ? N ZI Pt)66L/ vf
SEPTIC SYSTEM, new/refurbished (requires finro sets of plans and MPC license) .$ 100,00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: new instal lation/repair/rebu ild $ 30.00
_
_ lawn irrigation system D ? ? /2 n n
- 2002
Replacement/additionaL' _ water softener X-Water heatere,,
'
- ? 15.00
State Surcharge $ .50
$ 15'S0
Total
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City ofEagan or n It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabili for any damages ca e by tt? City dur g ts nor al
operational and maintenance activities to the ?cilities constructed under this per it ty r y! i of- y/ea e.
SIGN URE OF PERMITT /1/02
--? CITY USE ONLY ;
L BL RECEIPT#:
SUBD. RECEIPT DATE:
PERMIT #
1999 PLUM$INfi PER1V1IT (PxSIDEN'I'iAL)
CTfYOF £ALfiAN
3830 PaoT xivo$ Rn
Ek6AN, MN 55188
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Fiopr drain 3.00 x = $
Gas i in outlet ` minimum -1 3.00 x = $
Hot tub/s a • 3.00 x = $
Kitchen sink 3.00 x $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iia 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = •$
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ----> $ 0 S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------------------------------------------------------------------------•-----------------------------,
Ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabte City of Eagan ordinances.
!t is the applicanYs responsibiliry 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 property/right-of-way/easement.
SITE ADDRESS: r?-o g (0
OWNER NAME: :
v\-e--
a?o V\ vv-,,
TELEPHONE #:
(AREA CODE)
iNSTALLER NAME: t TELEPHONE #: ?A EA CO E) ?a ??
cy- STREET ADDRESS: 720 ? n-V« T tC,?c.e-
CITY: N-`Jov, ?LU5k--?s STATE: YvJ-I ZIP:
SIGNATURE OF PERMITTEE
:?k`<??(:S?C:1?t?y???'??'?f????`%fi???`?i<.?`{?4?(??!:%n??'`•N{i(}?{???3;{i?Yt:?: ?7i{X?,s'•3iS?`.?,/.?K.?h< .
C:.i.l"Y C7f' Ei tGAN .
t:,A`::3H:CE:JRc JS 't'f:::RM:CNAL NO: 940
BAIE^ 08l16!'99 'T':CME: 0„001.i
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3WO 9001 2086 MAFiTi'.. LN 2s:1.":l<i?a
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4675
New Construction Reauirements Remodel/Reoair Reauirements
? 3 regfstered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan
and cll roo}ed areas (20% maximum lof coveraae allowed) 1 set of energy calculations for heated addHions
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions 3 decks
? 1 set of energy calculations
? 3 copies ot tree preservation plan ii lot platted affer 7/1 /93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK:
'RUCTION COST:
1 , .
Nnme: G? ? ?//?'/ C/ Phone #:
PROPERTY Last Fir
OWNER I
Street Address: z % vt:7
?
City 4: State• h Zip:
1
Company: ? N S GOJ4 S' r Phone #:
(area code)
CONTRACTOR
Street Address: ?? e) Ucense # 9A? Exp./?r
City ZJ ?S / Pq State: X'l Zip:
ARCHITECT/ /S. ? ?
ENGINEER Company: /u _ d ty S, Name:
Telephone #: area code (
Stree"t Address: Registration #:
City State• Zip:
Sewer & water licensed plumber (reauired for new constructton onlv):
Penblty applies when address change and lot change Is requested once permff Is issued.
I hereby acknowledge that I have read this cpplication, stote that the informction Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appltcant: 2EQ
Certificates of Survey Received
OFFICE USE ONLY
ZYes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex 0 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex 0 12 12-piex ;3,
17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex O 08 6-plex O 13 16-plex ,
O 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex 0 10 8-plex 0 15 Lodging ? 20 Pool 0 25 Miscellaneous
WORK TYPE
[3 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
?
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length ? sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation:
Surcharge . ?
Plan Rsview
License
MClES SAC =
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge •
Treatment PI. -
Park Ded.
,
Trails Ded.
Other
Copies
Total: 'JS-* t - a f.
SAC Units
% SAC -
C.T.T'l 43F' i::Af;AN
t:;FlSl°{:CG'-:R,, 38 i'1:`FtM1:N;1L NC.1a `•?4f:l
UA7E;: 08116i99 TTMEo 0106106
IL+ ;t
(riAm I,;. MICHAEL l.: X.II..TYLE
321i7 90(:11 208(-:, Qlif•1R't'Z f...N ::;9ia25
3422 9001 2086 MlrifiTy 1.P i?;:i4d::#:L
205 9001 2086 QtJ(-`,f+:'1'Z I...N ?.
:a. (.2. ..ara
Tat.7:L RecN:ipi: Amc:;urih-, r?,;:;£:;nt?f:,
Gfi 1. ?.,`'.i :; i '
?..?SER tDN JAN
'
f ?`a I P 1`? ?i?m ?i ? f? f 1? 4:E•-L?I:ti ?at. .)i
1999 BUILDING.
i _
New Construction Reauirements
?
?
?
?
PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and cll roofed areas (20q maximum lot coveraae aliowed)
2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of tree praservation plon ff lot platted affer 7/1 /93
DATE: S?()L-? cw i&??
DESCRIPTION OF WORK:
C) ?
Remodel/Reuair Reauirements
2 copies of plan
1 set of energy calculations tor heated addffions
1 sRe survey for exterior addRions 3 decks
STREET ADDRESS: c? G 4? VAgM LA"1\1V,
LOT: BLOCK: -'D_ SUBD./P.I.D. #: ?-
Name: OD60-ff 114 ? 0 (0 Phone #: !424 -3Z 7!
PROPERTY tast First
OWNER
StreetAddresr?OgIo QUA?Z'T-Z
City L--j4-&A1''r\j State: N + \J Zip:
S ez? sT? `_ _
Company: 0?1 N C'Tlarv Phone #: ??_ ?94Fe-L
(area code)
CONTRACTOR
Sheet Address: ?? ??WCOO
?-, 'License # $42540 Exp. he• Zoao
City I.() SP" PA-01, Nj l\J state: H1? zip: , I fS
ARCHITECT/ eOLS ENGINEER Company: Name:
Telephone #: area code (?, )
Street Address: Registration #:
City State:
Sewer 8 water licensed plumber (reauired for new construction onlvl:
Penalty applies when address change and lot change is requested once permit is issued.
Zip:
I hereby acknowledge that I have read this application, state that the tnformation is correct, and agree to comply with ail applicabl
State ofi Minnesota Statutes and City of Eagan Ordinances.
Stgnature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Z/ Yes No
Tree Preservation Plan Received Yes No
? ?j ? .._... i
81999
Not Required
(RESIDENTIAL)
OFFICE USE ONLY
BUILDING PERMIT TYPE
..A a
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ?22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck 23 Porch (screened)
? 04 2-plex ? 09 7-piex 0 14 Rpartments ? 19 Lower Levei ?: 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New 0 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
..?
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building f? Engineering Variance
Permit Fee >9 1 • Valuation: $-,??-{
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Park Ded. Trails Ded. ?
Other '•
Copies "
Total: •0 (.:,
SAC Units
% SAC
fiETY CF EASAN
3833 (f.??ry +L??U'??dllL?L4???t' CKZB I?(?
EW 9 (}y U-kM ?5226
S3Il-681-46Il7
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I ;uo ??17
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fu ;E
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-"? !•?..!_`.;f fQ.,a F?'I BV Tats
ti T2 I?aJ?i
?ti?llU:l cL,jr'iC.udf
25 ' 6" OFF 4F
PR4PERTY LIN
EXIST{NG PLOT PLAN
22 X 24 24' X 24'
u
f
? - ---
LJJ
w FOUNDATION SIZE
?
0 1164 sq.ft.
N
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W
W
LL
N
lqt
75 FEET
6 FEET OFF OF
PROPERTY LINE
QUARTZ LANE
CNS
CONSTRUCTION INC.
:sa6: zax,? aJAtTZ t,r4i?t
Commercial & Residential Construction
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300 Sherwood Court • West St. Paul, MN 55118 • Phone/Fax (OU) 552-9886
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CITY USE ONLY
LOT BL ? RECEIPT #: _
SUBD. d4:?Y=? gwoe- RECEIPT DATE:
/aaa/
9 ?v
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date:
Complete this section only if vou are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
?• H`JtiC: Cs? 00M L'i' Li $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing egisting single familv
dwelliniis, townhomes, or condos.
Add-on furnace ? Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: 20.50
SITE ADDRESS:
OWNER NAME: An1(? D'?9 J/?l PHONE #: y?Y-?aZ Z/
INSTALLER NAME: PHONE #:
STREET ADDRESS:
CITY: t ST :/"/ d/ ZiF:
??-
SI ATURE OF PERMIT'TEE
CITY US? ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? all commerciaVindustrial buildings.
? multi-family buildings when separate permits are not required for each dwelling
unit.
DATE: CONT;'„ACT Pr'ZICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ep rmit fee due an all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (innPROVEnnENrs oNLv)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITYINSPECTOR
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 6R(,Qa\ ) WT? l/AWE i 1;_A&rrN , r ' ? ?12?`°'-
Tenant: Suite #:
RESIDENT / OWNER Name: WVJ u N'?A Phone:
Address / City / Zip: U?? ? O&Z I G' ""?? M N U?q22
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
OLY
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: GVU?1 License #: 2.6 -2) 1cl (?? 11
Address: State: ? Zip:
Phone: Contact Person: NLG`` P-70"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • 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?
\Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 wiA be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
r ?
X "
ApplicanYs Print Name
?
X.
Ap canYs Signa re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121296
Date Issued:03/24/2014
Permit Category:ePermit
Site Address: 2086 Quartz Lane
Lot:22 Block: 5 Addition: Cedar Grove 4th
PID:10-16703-05-220
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Douglas Robohm
2086 Quartz Lane
Eagan MN 55122
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
Dale Schoeppner
From: Bjorklund, Gary (DLi) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, December 03, 2015 7:01 AM
To: 'bruce@abilitysolutions.net'; 'bruce@abilitysolutions.net'; Dale Schoeppner;
DLI.EIevator.ETrakit
Subject: Final Approval for Permit Work at 2086 QUARTZ LN, Eagan
ABILITY SOLUTIONS AND TWINCITY:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Number: ELV1507-00225
Project Name: D it 1
Site Locatio . 2086 QUARTZ LN, Eagan
The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
i
Dale Schoeppner
From: Bjorklund, Gary(DLI) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, December 03, 2015 7:05 AM
To: 'bruce@abilitysolutions.net'; 'bruce@abilitysolutions.net'; Dale Schoeppner;
DLi.Elevator.ETrakit
Subject: Final Approval for Permit Work at 2086 QUARTZ LN, Eagan
ABILITY SOLUTIONS AND TWINCITY:
The ELV INSTAII permit work has been completed and approved for the following project:
Permit Number: ELV1508-00087 —�,
Project Name: P T 2 �
Site Loca ' n: 2086 QUARTZ LN,
The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
i
Dale Schoeppner
From: Bjorklund, Gary(DLI) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, December 03, 2015 7:01 AM
To: 'bruce@abilitysolutions.net'; 'bruce@abilitysolutions.net'; Dale Schoeppner;
DLI.EIevator.ETrakit
Subject: Final Approval for Permit Work at 2086 QUARTZ LN, Eagan
ABILITY SOLUTIONS AND TWINCITY:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Number: ELV1507-00225 ,
Project Name: . DOUGLAS ROBOHM Unit 1 .f
::�-;
Site Location: 2086 QUARTZ L�V, Eaga�n "�
t _ ..____._.._.__��.....�
The Dep�rtment of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
i
Dale Schoeppner
From: Bjorklund, Gary(DLI) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, December 03, 2015 7:05 AM
To: 'bruce@abilitysolutions.net'; 'bruce@abilitysolutions.net'; Dale Schoeppner;
DLI.EIevator.ETrakit
Subject: Final Approval for Permit Work at 2086 QUARTZ LN, Eagan
ABILITY SOLUTIONS AND TWINCITY:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Number: ELV1508-00087
: ..
Project Name: DOUGLAS ROBOHM��IT� 2
Site Location:-dZ�86 QUARTZ LN, Eag��"n '
.�. _�_ . � ... �. , �. ._..._._ _ ._..,�
�.. , ..
The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
i
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141017
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 2086 Quartz Lane
Lot:22 Block: 5 Addition: Cedar Grove 4th
PID:10-16703-05-220
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 -
Douglas Robohm
2086 Quartz Lane
Eagan MN 55122
(651) 454-3271
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:EA152343
Date Issued:10/11/2018
Permit Category:ePermit
Site Address: 2086 Quartz Lane
Lot:22 Block: 5 Addition: Cedar Grove 4th
PID:10-16703-05-220
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 -
Douglas Robohm
2086 Quartz Lane
Eagan MN 55122
(651) 454-3271
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature