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1921 Turquoise Tr... kf't V 0c)Lr woass4t, City f aau 3830 Pilot Knob Road Eagan MN 55122 ' CEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 NOV 15 2010 Date: `� Use BLUE or BLACK Ink 1 Permit #: 9700-z_ Permit Fee: o 0 Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: ,c) 4 ft k_Fi40,k.k OI TA -0J Tenant: MCVA FCkhi\-- J RESIDENT / OWNER Name: Suite #: J (` cor Lt c: Phone: Si - LL _1) () Address / City / Zip: \CA I &AIt/ Fr CONTRACTOR Name: Address: State: BURNSVILLE HEATING & A/C, INC. 3451 W. Burnsville Parkway Suite 120 iirnsville, MN 55337 Contact: C Lfl Email: Phone: License #:0133E Q 11 City: CCSZ'C14-WC%5r TYPE OF WORK PERMIT TYPE New x Replacement Description of work: )1CPi Lir) A, AL -3' ,cD1rJ Additional Alteration Demolition RESIDENTIAL Fumace .; Air Conditioner Air Exchanger Heat Pump I Xr Other �QCIt(� COMMERCIAL _ New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Flee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (Le. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 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 plan Applicant's Printed Name Applicant's Signature())/V,)7310LACL, x mt Cat2SIodo tt�5 CITY OF EAGAN Remarks * Cedar Gmve Acqiiisition Addrtion CEDAR GROVE #5 Lot 16 eik 2 Parcel 10 16704 160 02 Owner (-r(.1;r mGY0.1IP,4- Street 1921 TuIQt101Se TT311 State Ea4~, MN 55122 J Improvement Date Amount Annual Vears Payment Receipt Date STR E ET SUR F. STREET RESTOR. GRADING i SAN SEW TRUNK 37, 1967 100.00 5.00 20 Paid SEWERLATERAL 12. 196 $15.00 2$.70 20 Paid WATERMAIN • WATERLATEaAL /(ary 1972 607.00 24.28 25 Paid ' WATER AREA STORM SEW TRK 1970 70.00 3.50. 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET UGHT ~ WATER CONN. . ~ BUILDING PER. sac 200.00 590 12-28-67 PARK EAGAN TOWNSHIP BUILDING PERMIT N°* 1702 ~ y- ~ Owne: ............~.'...!L'.~.`i....~""/~,'~/._ . Ea9an Townahip Address (Preseni) ..~.:.....J~':....l.~~i......._-.---._-_-... , Town Hall Builder / -i/ id~ , Dete Add:ess DESCAIPTION Siories To Be Used For Front Depth Heighf Esl. Cos! Permit Fee Remarka o~ Qt-~-t C~""G~ . w 3e e~- ~ ro ? LOCATION Slreel, Road or olher Descripiion of Locafion I Lof Block Addition or Tracf This permit does not authorize the use of sixeela, roada, alleys or sidewalks nor does it give the owner or his agent the zighf So creafe anp aituation whieh is a nuisance or which presents a hazard io the healih, safety, eonvenienee and genezal welfare !o anpone in the community. THIS PERMIT MUST BE REPT LON THE PAEMISE WHILE THE WORK IS IN PROGRESS. ~ ThLa is fo eesfifp. !hel........~~..:--''?.:--.~`.-.^..a-~ e,~ ..............haspermission !o ereei a...--R , ._(--~Poo ~ - !he above described premise subjeei fo the provisiona o} the Building Ordinance for Eagan To'i anship . . adopSed April 11, 1955. ~ .....?.~-u.^..~:~............... Pez ...E't.......:?*.!~c:F-......PCrCu-/? Cheirm n of Tnwn Soard~ ' Suildin Ins ector u . ` EltGELI TD'JnSHIP 3795 Pi1ot P.nub P.aad St. Paul, Minnesota 55111 Telephone 454-:242 PSP.I..T_T FOR SEINuR SERVICE C00TBG:IO"I DATE: December 27, 1967 A^,Jn°R yq OWNEP.: Cedar Grove Const_ Address 1971 GP T,-yy_j Iln'~ ~ PLU:;BL'R Stein Inc. TYPE OF FIPE Cast rron DGSCRIPTION OF BUIZAING Industriail Cononn_rcial Residential Multiple Dwelling No, of units ~ ~ ~ . ' X 1 LocaLica oC r,onr.ecr_io,is: Cor.nection Charge¢?~. Permit Fee Street Repairs _ Total Inspected by: Date Remarka• BY Chief I,1a~.c.ceor In con;idaratio:z oE tbe issue arsl delivery to me of the abo*re 7 herehy agr.^.e to do the prcpose3 w.r;c in eccordrn^e cTith the rulcni a::d regula_ions of Esgan Toirr.sbip, Dal.ota CouaW{ein; nInc,°ta gY Plsase ;!ntif)' whnII zeady for I?S°_rOCC{O!1 aI:Q CODTiCCC:LOA H,.ii b2.T^30 any po:.:on cw' iiir wer'c is covexAd. v MEMO . _ city of eagan ' TO: - DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. , Block 1, Lots 1-22 22 Block 2, Lots 1-19 19 Block 3, Lots 1-11 ; 11 ' Block 4, Lots 1-16 ' 16 BloCk 5, Lots 1-25 25 Block 6, Lots 1-22 ' 22 Block 7, Lots 1-25 . 25 BloCk 8, Lots 1-5 • , 5 BloCk 9, Lots 1-2 , 2 Block 10, Lots 1-23 - 23 BloCk 11, Lots 1-14 14 . BloCk 12, Lots 1-9 g Block 13, Lots 1-15 15 " 208 The City is currently being biiled by Dakota Electric for streetlighting in the above listed subdivision. Edward J.-IZ'irscit- ` Sr. Engineering Technician cc: Mike Foertsch EJK/je . . ; 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) tq CITY OF EAGAN . ~ I~~ 3830 PILOT KN08 RD - 55122 651-681-4675 New Conshuctlon Requirements Remodel/Reoalr Reauiremenfs ? 3 tegisteved stte surveys showfng sq. fl, of lot, sq. tt. of house 2 coples of plan and all roofed areas (207 maximum lot coveraae allowed) 1 set of energy calculalions for heafed adtlMlons ? 2 copies of plans (show beam 6 wlndow sizes; poured fnd. design; etc.) 1 sXe survey for exfedor addMions 8 decks ? 1 seT of energy calculaflons D 3 copies of hee preservation plan H lot plafled affer 7/1 /93 DATE: (O - I I 1 n CONSTRUCTION COST: ~~1 l1 7D DESCRIPTION OF WORK: IC.~ ;STREET DRESS: Z BLOCK: _2- SUBD./P.I.D. Name: F-LllJfi i, Mu.rk Phone#: PROPERTY Lost First OWNER " Sheet Address: I 2- City Lf.I1.a I,AV I State: Zip: Company:AZf Co I[,U~po Phone#: lola (area code) CONTRACTOR StreetAddress: I License xp, ~ City ~ V jjP State: Zip: ARCHITECT/ ENGINEER Company: Name: 7elepnonN cr%c cau'a i ) Street Address: Registratlon City State: Zip: Sewer 3 water Iicensed piumber (reauired for new conshucflon onlvl: PenoHy applies when address change and lot change is requesfed once permH Is issued. I hereby acknawledge that I have read this appUcaflon, sta}e That the informatlon Is conect, and agree to comply wBh alI applicabl Sfate ot Mtnnesofa Sfatutes and CMy of Eagan Ordinances. . Signature of Appltcartt: OFFICE USE ONLY I IS Q~ Certificates of Survey Received _ Yes _ No 1%ft Tree Preservation Plan Received _ Yes _ No _ Not Required 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 #: /()C.°3 Permit Fee:/0473:91 Date Received: / - 7-07 Z.... Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /10 e1+1 Site Address: / 1 TtRf 1O1 E Unit #: RESIDENT I pv Name:MA6 Fr -AMY Phone:651- 4/58 -416 W:5-63 V (i a,• 3o? SS� Address (City /Zip: / q2) TVRQdOI56 YAM-- Applicant is: X Owner Contractor PE OF'�V��RfrC Description of work: Ilio N T`4 00GA j GOAMEICsrlarA04EA &AMC h Rcorl Construction Cost: II %5, 006 • °C Multi -Family Building: (Yes / No )c ) �� CON NTRA97 Company: 10 WA/6,K Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt OWAMN from lead certification, please explain why: (see Page 3 for additional information) WiLl. DO ALS- `TSF 1O'/ tZlic Rr- tairpcjit, Look( 1 ` (91( In the last 12 months, 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: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Pla sand sip porting d cum en f that ou submit are considered fo be publt =r formation o o s of the info#r•r ay b ,clasd • ibc= v ptrde sect tc r - mo • io us fha a e t t o rfi ot ma sift' ltprovide t �?, � � �N conc aie i ha ; ,are trard 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.qopherstateonecall.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 //. x 4411 Wit` days of permit issuance. x 1 -7 -Magi Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition ( Alteration " Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool eoNv6L. ktita-c4f: 14, Interior Improvement Siding Move Building Reroof Fire Repair Windows Repair xs_o Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final 1 V Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: �z— /OCP3 Zf Tyr, Storm Dam t-' S - . T r e Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL tiNv ° C( (9O p6i'3:: 7G'K�(,2o Page 2 of 3 Property lines to be verified by contractor/owner. Use BLUE or BLACK Ink - - - - - - - - - - - - - - - I For Office Use I ~ Permit I City of EaV I Permit Fee: 3830 Pilot Knob Road I / 1 I Eagan MN 55122 Date Received: i Phone: (651) 675-5675 I _ Fax: (651) 675-5694 I Staff: C I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 1n ) Date: M3 Site Address: ii q 1 1 ClI Unit Name: d r A R \ rA B-T'Y' Phone:~I 45744) 9 fli Resident/ ~ u®J5 ~ -RAJ ' 1 t?~~b J $ C~LC, Owner Address / City/ Zip: Q gAbAA) - Applicant is: X Owner Contractor Description of work: 'DE'- (BOG] (ij " Z~J Type of Work Construction Cost: ~o D® l ' u i- anvil Bui d[` ing (Ye / No ) Company: Contact: Contractor Address: City: . :~4~ ~ State: Zip: Phone: 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes X No If yes, 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 I 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 ompleted within 180 days of permit issuance. x M1,64k rl~ Applicant's Printed Name Applicant's Signature Page 1 of 3 ( DO NOT WRI~TEOBE OW HIS LINE 1550 SUB TYPES - Foundation - Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation lfl~ J Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: `Ice & W ater Final Pool: -Footings `Air/Gas Tests Final Framing Siding: `Stucco Lath Stone Lath -Brick Fireplace: Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge f Plan Review, MCES SA C City SAC t Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL / 1 Page 2 of 3 C) Y c Irv, 4 'N A co 00 of Yr) C t! 7, / `~q f~ }try,, }i fF I ~Q. r. r. 4 ~ .t t r. k 7\, I . rO p ~ CT 4= P ' rty Ones to be verified contractor/owner. ~ p 1' ~ er ~ x a Islog PERMIT City of Eagan Permit Type:Building Permit Number:EA124868 Date Issued:07/14/2014 Permit Category:ePermit Site Address: 1921 Turquoise Tr Lot:16 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-160 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . MARK FABRY 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 - Mark C Fabry 1921 Turquoise Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166517 Date Issued:01/15/2021 Permit Category:ePermit Site Address: 1921 Turquoise Tr Lot:16 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mark C & Sharon K Fabry 1921 Turquoise Trl Eagan MN 55122--164 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature