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2106 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 EA080245 10/04/2007 ePermit Site Address: 2106 Quartz Lane Lot: 17 Block: 5 Addition: Cedar Grove 4th PID:10-16703-170-05 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: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542-8826 - Applicant - Owner: Jerry Wicklund 29755 Danbury Ave. Northfield MN 55057 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 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 EA092234 12/04/2009 ePermit Site Address: 2106 Quartz Lane Lot: 17 Block: 5 Addition: Cedar Grove 4th PID:10-16703-170-05 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If alte inspection. Call for final inspection after installation. ng window openings, call for framing Carbon monoxide detectors are required by law in ALL single family homes. 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: Window Store Home Improvements 9909 S. Shore Drive Suite 270 Plymouth MN 55441 (763) 746-8960 - Applicant - Owner: Duane H Farkas 2106 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 Addition CEDAR GROVE 44 Lot 1.7 Blk 5 Parcel j,Q 7 6703 170 05 owr,er Street 2106 Quartz Lane state Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 Pi WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EA[;AN TOV1/N S I-I I P NC 1135 BUILDING PERMIT Owner --?•.c..-•?t--=?. ................................ Eagan Township Address (preseni) ._.......... __ . _.....- .?y .............. Town Hall ? ? /•---,•4 ... ??i?? "`c.-?(.'---•dc2---- .............•-•-•----••----• /lo Builder -•--••• Date . ....................... Address ----••-•-••---•••-•--•••--•-•-••-----...-•--•••-•--•...•-••-•--•------------•--------•-----•-- DESCRIPTION 5tories To Be Used For Froni Depth Height Est, Cosi Permii Fee Remarks -- LOCATION SYreet, Road or other Descripfion of Location Lot Elock Additfon ox Tract /7 ::Z7 (?. -b. -41 ?1 This permi2 does not suthoxiae the use of sireets, roads, alleys or sidewalks nor does it give the owner or his agenf the right Yo creale any siluation which is a nuisance or which presenis a hazard to the heallh, safefy, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE )FEPT ONy TH PREMISE WHILE THE WORK IS IN PROGRESS. „ This is to certify, that_______________________has permission to erect a.._._...._." __.__ ._._!? ?s upon --....----•-•--••-•--•...•- !he above described premise subjeci 2o the provisions of the Building Ordinance for E an T nship adopted April 11, 1955. ......................... ..... ..•?..ea'?[e....................... Per -------------- ??•?••••••f ?x'L' -• •- • •-----•-..__..__... Chairman of Tnwn ?oar? Building Inspecfor ?? HOUSE HEATING TEST RECORD 2171 13"11 (§'dl? ADDRESS 4V1# APT. FLOOR CITY??`°'SUBURB --?- e,? ?`'w vMv OCCUPANT OWNER fn HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER ?.y,.?A GAS DESIGN MAKE _?T? MAKE OF BURNER _ O 36 Model Model iw Serial S-LI Max. BTU Rating - INPUT f MAKE OF FURNACE Model CONTROLS THERMOSTAT*Heat Plug Va ive Limit Limit Setting Fan Setting zo ?d Pilor Type l- C54odf'' Pilot Make Pilot Model --i Pilot Timing 0 L.W. Cut Off Prossure ' `?+ /!?? Pereent C02 Input CFH ? Percent 02 Stack Temp. Pereent CO y0 CONVERSION / Vent Size A ? ? _ KIND OF LINER SIZE NONE? _ Draft Hood W Regulator _ Filters $ize N?mber _ Chimney Location nOutside - Chimney Construction ?? _ Smoke Bb Wiring _ Draft ? Test Tag - Door Pressure Lighting Inst. iiii, Date Tested D Company Testing - Name of Tester ? ? > > Form 235 EAGAN TOV1iN S H 1 P No sos ? BUILDING PERMIT • Owne: -?!-w-4-----? - --.,`.:..--'.-•-•••--•---?---- Eagan Township Addresso(Preseni) ........... :........ ? ....................... ............................. .... Town Hall Builder ----------------- --•---- =--- ------------ - ---•--•-----------------••- . •-•----------- - -/ ?- L ? Date -----? -----•- -------•--------- ---- ------- Address ._.._-----•---------------•------?•--- - ----••---•- --- .................... ------ . . DESCRIPTION Stories To Be Used For Froni Depfh Heighf -- Esl.. Cost Permit Fee Remarks / LOCATION Streei, t[oaa or_ oiner yescnpiion oz a,oca:ion I L,o: t510CK P?aauion or -rraci This permit does not authorize the use of streets,. roads, alleps or sidewalks nor _does it give the owner or. his agent the right io creafe any siiua2ion which is a nuisance or which presen2s a hazard io the health, safety, convenience and general welfare to anyone in the communify. THIS PERMIT MUST BEn KE_PT ON THE PREMISE WHILE TFiE WORK IS IN PROGRESS. ; This is to cerlify, Yhal..?:G?-N_A,------------- haspermission fo erect a.__J?_.._d1:L"`e"¢?e ......'.?_ j-------------- _upon the abuve de5cribed__premise,subjec3?tq the provisions of the Building Ordinance for Eagan Township" adop?ed April 11, ,1955. - i 7 •- ?.' -.. c ' '--' ' '- -' • - . . - ............................... ?.......... i_ .---- .................... Per ------- -- -----•-- • - Chairman of ?wn Board Building Ins p cior ? p CITY OF EAGAN - 3830 PILOT KNOB ROAD.. EAGAN MN 55122 ? " PHONE:,(612) 454-8100 Ii.?S ??.< »;: . . . . . . . . . . . . : : >. .,. PLEASE COMPLETE UPPER PORTION ONLY ' FOR .SINGLEFAMILY.,;,:DWELLINGS .&. 'TOWNHOMES/CONDOS.WHEN PERMITS ARE REQUZRED FOR EACH.UNIT ---------- --------..-..-._-???--..--..???--....?.?.?..?..?:.`.:.?.??--------_----_. . . WORK DESCRIPTION NEW CONST ADD ON ? REPAIR ' OF:1 PER PERMIT OWNER NAME : SUBTOTAL'. } S? . SITE ADDRESS: 0)4 Z L?• STATE'SURCHARGE ? .5 0 / j.? LOT : ? BLOCK 5 SUBD. , TOTAL INSTALLER: ? t-aov?.,e d:! 7 M n ;?_a• ?, '; e:_? ? ? 1955 vHAlJViv1 i? i`SC?AD u. P: J v.i1nr.r. ,??? r., ADDRESS : ? SIGNATURE OF `:PERMITTEE .. . _ ,? 7?4 ?,,? ? 4 CITY• ZIP: PHONE #: . . <-. 4 , . . . . CQMM?D1IS?'??A?:;:: PLEASE COMPLETE THIS PORTION ? FOR ALL { CO1?I?iERCIAL/INDUSTRIAL BUILDINGS, ;; .. ,..; ... ...::. .:..:. . ....... ::: . . APARTMENT BUILDINGS, AND MULTI-FAMILY.BUILDINGS:WHEN.,SEPARATE PERMITS ARE NOT REQUIRED?FOR EACH DWELLING UNIT ,. . •, ,. -----------------------------..----r------..??---rr-r-rrr CONTRACT PRICE: FEES ,• OWNER NAME: 1$ OF.CONTRACT FEE . STATE SURCHARGE - $.SO FOR SITE ADDRESS: _ y EACH $1,000 OF PERMIT FEE ' PIPING +?'::$25 PROCESSEDr" LOT: BLOCK SUBD. $25.00 MINIMUM FEEr' INSTALLER: CONTRACT: PRICE. x 1$' $ ADDRESS: STATESURCHARGE ` CITY' `'ZIP: TOTAL PHONE #: , (SIGNATURE) < FOR: C I TY O F EAG.AN _ t;., ..:. : - . // ? _'/ - 3 -Y JaZ LOT?. "'j )- `? NAME. ???h C. ?'CA4 .OAlell" SIZE ?a x a?.. BLOCK ? . ADDRESS? VALUE L„C 43 76' ... Aq? N. +v. G AREA TYPE /?r? I +? ?p $ A i? Q^ U 4! ' 3 ?i 1,,.. C '7t ?A 114' :5;r ? r CY @ C' ?.• rl y C,e ! c? C? ? Hf , fJ'F f.` / / 1 yy/? ? 7 ?r °? '13'"7 wJ f • ' f ?. ?'9? °?L? F??/ F' R /' L -J ,/?+^ {J ??c vel?'? ? p wf 0'x/ ? "/ 4?.?J/ ! ?fJy ?/??f ? ? . k.l. . ,? gFJ i.? ? I' ?? / y? / •?+X- f /. G'? ? ? i:4.? j.7..)aT ,3' ! n ?P d fY r !3 ?,j? ?.i w ??b?,I?, ? rE ss., , .t'? ce..? rJ er, ? IN C% sr,vt I ? -.----? .? wicklund, ,Terry. L., et ux SPECIAL IMPROVEMENTS 2106 Quartz Lane ^ Eagan, MN 55122 on - T.vvin C';ij Fc?: _ ^'t 7.,,,, , . € 1J,,,,.. 1 J'. ? lf7i?l NfCei:Ci .-i 'c'':lie Surnsvili.'?, 5!; 3,;7 All that tract or parcel of land lying ond being in Dakota County, Minnesota, described as follows, to-wit: Lot 17, Block 5, Cedar Grove 4th Addition This is to certify that I have examined the records in the office of the City Clerk, City o.f Eagan _ D2kota County, Minnesota, ond find thot the above described troct or parcel of land has the following improvements as indicated by CHECK MARKS: Water Main Main Trunk Sewer Laterial Sewer Storm Sewer Sidewalk Curb & Gutter Street Grading Alley Grading $treet $prinkling I further certify that according to the records of said office, ihe following assessments appear unpaid Total Amount Unpaid Original $ubsequent to Kind of Improvement Runs Beginning Amount Current Year NONE 1 further certify that according to the records of said office, the following improvements are contemplated ur pending after having been approved, and are now in the process or planning or completion: Kind of Improvement NONE Dated th i s 4th Approximate date of Completion Street Paving Alley Paving Garbage Collection Tarring Street Approximate Cost of Improvement daY of November 1977 -• -?- s-L ?--- ASSESSMENT C i ty o f EAGAN PORM 456 NEV. 11-72 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB 2 6 2010 For Office Use c72 9'c2 Permit #: Permit Fee: 190 Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: otik9-41l0 Site Address: 62/ D & Q fr a- f La - Tenant: Suite #: RESIDENT / OWNER Name: bi, cl_v-.Q1 De__ -if' Ci--) Phone: lot 2-SI—Q'4 -- 1 2-10 Lp L. SG 11.2 Address / City / Zip: & Lta r4--2.- -a r x_._ QY, - Applicant is: Owner Contractor TYPE OF WORK Description ofwork Af IO Cie -1'V J'11 1,,(-)- ir-I O1T L)S /7? „011,9117a- Z3 Construction Cost: //`7 / LO Multi -Family Building: (Yes `/ No `- ) CONTRACTOR Name: 1.,Latle----4l License #: tf ' S 4 jx-/-c-f `5 Address: 001 7 �I t � L:J /h ^ve S / 1. / 215) /t City: 1 137)71111-1-175)/1 State: A/V Zip:.. Phone: / 52 ' 7 - Contact Person: t�. -17/11//7-. //7 COMPLETE Energy Code Category (I submission type) In the last 12 months, has Yes _No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions 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. 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 1 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 7 x/ I A 1iicant's Signature gay. 6. 2010 12:20PM Hennepin County No, 9760 P. 2/3 Date; Tenant: Gity of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Poen #: Permit Fee: TO.0d Date Received: t `� Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION USite dress: i u a Suite #: '! " RESIDENT 1 OWNER Name: • ' 1J t •' I ' I'hon i Address /City 1 Ziq rU�l iJ Jr►, rr/ �� ' "' 5/ ..1...1.., Applicant is: ' Owner Contractor c ...1+ 1�. l�� ,� _ J ( TYPE OF WORK Description of work. " 0 4 ., , ' ILION 1 � ! a1-, (Yes w! No )4.,) 4 4 Construction Cost Multi -Family Building: CONTRACTOR Name: License #: _ Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has _Yes No If yes, Licensed Plumber: THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: -� Phone: f - . NOTE: Pland suppo� irr :..., dc�i'r, errts`#Frat'ou submit; co : 0red:>!io..be.pubtic legareotion. Port or s co - the fnfa»»atfon° ms be cfass'fffetl:as:,por�r,� n�l��i`//c���Ft��{�au "v*i�d,e�s e�ci,f�l.�c,/,y;,r}eaxoi!.s #hatrt+ould • ermittheC he • ......., Y''. a .. as.l ., P . y prowl . 41.. ,,,:.,. p' 14'to 00 _'. A...:: ', ..... . • •::. ': .... . ' �"...rCr?llClutlE N/1it the ,4ii�+Y Q� i. " ' ' •.' ' :.' (.:..:: -..i.;,':.. .. . .. CALL BEFORE YOU DIG, Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. imvwslooherstateonecall.org I hereby acknowledge that this Information is complete and accurate; that the work will ba 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. e. ht -r kas Applicant's Printed Name Applicant's Signature Page 1 of 2 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA102048 Date Issued: 11/09/2011 Permit Category: ePermit Site Address: 2106 Quartz Lane Lot: 17 Block: 5 Addition: Cedar Grove 4th PID: 10-16703-05-170 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: American Exteriors of Minnesota LLC 1408 Northland Drive 4106 Mendota Heights MN 55120 (303) 865-3328 - Applicant - Owner: Duane H Farkas 2106 Quartz Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA107043 Date Issued: 09/25/2012 Permit Category: ePermit Site Address: 2106 Quartz Lane Lot: 17 Block: 5 Addition: Cedar Grove 4th PID: 10-16703-05-170 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 - Applicant - Owner: Duane H Farkas 2106 Quartz Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature C_GLU -'ov �vecLk- Cabot* froC-c- City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use %09/5% Permit #-. Permit Fee: (1%0 °D Date Received: — 12-1 3 -Y-) II 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: • 1 a (3 Site Address: t3 101.0 Q L YV 42- L N Tenant: Suite #: J Resident/Owner Name: D ((1 fl e, 'roc_ S Phone: W. 513. 044 I Address / City / Zip: \ ( V -k- 2 N.J Contractor Type of Work Name: e. License #: Address: 3 0-1 17 � >+ City: len OS 55'C 12 Phone: (01905.,),.)- • -n5 State: rrIf\i Zip: Contact:LNCJ•1''r°Gl._ Email: New Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: b-� (Sf LtZ a4 -C \Jaw b e Permit Type RESIDENTIAL _ Water Heater Lawn Irrigation ( RPZ / — PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (` Maln /` Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (Includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 015-D9 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cala 48 hours befo - you intend to dig to receive locates of underground utilities. www. $ .. hers t- . necall.o I hereby acknowle • , e that this information is complete and accurate; that the work will be in conformamwith the ordinances and codes of the City of Eagan; that I und stand Is is not a permit, but only an application for a permit, and work Is not t. tart without a permit; that the work will be in accordance with = appro - d • en in the case of work which requires a review and approval of plans. x If & Applicant's P nted Name FOR OFFICE USE Required Inspections: *d__.EL66 'ON Applicant's gnature Reviewed By: _ Date: Under Ground _ Rough -In Air Test _Gas Test Final 1VDINVHO3W MHAVP VIV OL BIOZ 'Zl '83J Date: City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Lj / Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION -ib/5 Site Address: ,2l /!"Uni t #: 0(2 - Resident/ Owner Name: (2A -a— N C-R'' S Phone: 3 Address / City / Zip: 2 i 1 C coYo �-t..i»xx-' kz_ LIJ) �_ 2L ern. Yv1. A--) Applicant is: Owner -ontractor 0 T e of Work Yp Description of work: • ie... 4,, . 76,4 SLS ,,7J �;r� - J ©c7 Construction Cost: ?L O Multi -Family Building: (Yes / No ) Contractor Company: O ? I`, C ovvS uc_ --1 \ca,1 Contact: bA VlSei v4.,0 Address: e2 L. CD CA--L-b0cit Ckv U€-.. City: . 6 r 'L4C)Itk State: V N) Zip: 55// Z-- Phone: 6 57 24' - $1 0-7 v 69 License #:25c- (p 3b / (� 0 Lead Certificate #: 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 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Appli ns` S1gr Page 1 of 3 City of Baan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 fr,re.r.7 r;:. JAN 't62017 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 --lb S� Date Received: 1 yp -/ 7 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: \ Site Address: a\vb ck ct e Unit #: Name: A S Resident! Owner . ' Address / City / Zip: A O( 0,ukc "C Z \c& e Cv Applicant is: Owner Contractor Description of work: C vh ' c Ce. c 't 'L Acs •�+\"c `c4 Construction Cost: ,SOC Multi -Family Building: (Yes / No ) Phone: (\ —5 I -C Type of WorK Contractor Company: "St--,nc\c \ koc s Contact: \-1.Sot X10 t1 C a Address: 5 (�1 �� r \k A s2S S City: Tj\r o ' lc-N5,r t- State!V a Zip: S Phone: c5t4 16 3 Email: \% r cm • License#: CQ65 (L--1 Lead Certificate #: \c 5 If the project is exempt from lead certification, please explain why: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.. -Portions,c the information; may be classified as non-public ityou :specific r-easons.:that would permit. the City: tc conclude that the ;.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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build : e must be completed within 180 days of permit issuance. x vs -No c. -NC) Applicant's Printed Name x Applict's Signat Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 262017 Use BLUE or BLACK Ink For Office Use Permit #: /L/ 3/Z Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 'vb (i,Aot - k Z N cAt'\ F. Unit #: Resident/ Owner Type of Work Contractor Name: Oko1/4,(1 C. r ?CAC"- c S Phone: 6\a -s✓' vs--U-s7j� Address / City / Zip: a \.()(„ \c e..01.IA SS \d Applicant is: Owner 1 Contractor Description of work: ce_mo ie Cwt\ `r\ REw c cmcn Svc Qc'A‘c J Construction Cost: FSOS Multi -Family Building: (Yes / No> ) Company: a \ -\e c S Address: \� c,ocoVek, lzt'ie_ `S City: \c t 1cvr Phone: c1 - �i\.(o l mail: \CV\.cUR A`ci ..` cc—, \nokA \ • Contact: \‘‘C.A, crtLoc\f-NN-A State:{''\C\ Zip:SS AL License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: 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.the 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.00pherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x \G `(Y\Uc\S.+ Applicant's Printed Name x Applicant' 'Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /z/2 -36 0 SUB TYPES Foundation Single Family Multi , 01 of _ Plex WORK TYPES New Addition Z-1Cc)0047 Cam: Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Alteration Fire Repair _ Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 243 ) Census Code # of Units # of Buildings Type of Construction ' E REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test Final Insulation Occupancy Code Edition Zoning Stories Square Feet Length Width Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: 1-0/71 4?; k iy/ Siding Reroof X. Windows i Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* — Demolish Interior Demolish Foundation _ Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan. Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA148054 Date Issued: 03/02/2018 Permit Category: ePermit Site Address: 2106 Quartz Lane Lot: 17 Block: 5 Addition: Cedar Grove 4th PID: 10-16703-05-170 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 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 - Applicant - Owner: Duane 11 Farkas 2106 Quartz Lane Eagan MN 55122 (612) 518-0441 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature