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3913 Turquoise PtCity of Etan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C� r Use BLUE or BLACK Ink Permit #: Permit Fee: 977 Date Received: " %/ Staff: L___ INFLOW &/'INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date:' Site Address: 3 itt. u%se. i+n f Tenant: Suite #: RESIDENT / OWNER Name: £ s e /u, / (\ Phone: 4'S-7 - & Est — 03410 Address / City / Zip: ??/-..? / o ,Tr, n,,,,_ CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair +. Other: Other: DESCRIPTION Description of work: A"a.PIG ` `- 7 /cx. /v. w; VI, Pv c_ FEES $55.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.comlinflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. x t Applicant's Printed Name x ) " App(ant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Final cinr oF EAc,AN 9795 PiloR Knob Rwd Eagan, MN 53122 N? 4782 PHONE: 454-6100 BUILDINCa PERMIT ,9n0. Receipt To b~ med fer ~'3t1o DeCk Est. Value Date '~g}' 4: , 19 Site Address 3913 'I'utqktoi.se Erect Q Occuponcy r Lot Block " Sec/Sub. C~' b Alter ? Zoning Parcel # Repair ? Fire Zone ~ Enlorge ? Type of Const. `_,urtis ~,ibbels s Ncme , Move ? # Stories Z Address ] 3 'Cu: qtioi5e pt pemolish ? Front ft. 3 0 Ci Phone 452-3790 Grode ? Depth ft. ~ Approrak Fees p Nome o< ~d~ Assessment Permit _ ~ce Water & Sew. Surcharge ~ Ci Phone Police Plon check y~W~ Name Fire SAC F" Address Eng. Wnter Conn: ~W Ci phone Planner Woter Meter Council I hereby ocknowledge that I have read this application and stote that gldg. O{p the information is correct 8nd agree to comply with all applicnble State of Minnesota Statutes ond City of Eagan Ordinances. APC Total $ignature of Permittee A Building Permit is issued to: on the express condition thot oll work shall be done in accordonce with all applicnble State of Minnesota Statutes and City of Eagan Ordinances. Building Official Psemk # DaM Iswod PaMMfM Plumbing Mechonicol INSPEGTIONS ~ DATE INSP• ~ RoupMln Final Footings Date Insv. DuFe Inap. Foundation Plumbing Frome/ins. Mechanical Final --7 Remorks: CITY OF EAGAN Remarks Sew & wtr permits and wtr & sew conn, pd, on li-111-69 Addition C dar Gr Lot 33 Blk 6 Parcel 10 1671,5 330 nA Owner ~ Street 3913 Turquoise Tra3.1 State EMan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL Za- 1 O 1472.00 2 WATERMAIN WATER LATERAL ~ 9 O 20 WATER AREA STORM SEW TRK 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 9 WATER CONN. -18-6 BUILDING PER. sAC 200.00 1323 -1 9 PARK . cITr oF EAc,AN ' 3795 Vilot Knob Rwd Eagan, MN 55122 N4 4782 PHONl: 454-8100 BUILDING PERMIT APPLICATION $1,000, Receipt 9848 Te be und fer PatiO DECk Est. Value pate M8y 4, Sire nddress 3913 Turauoise e.ect Ea occupancy ~ Lot 33 Block 6 Sec/Sub. CG 6 Alter ? Zoning Parcel # Repoir ? Fire Zone 3 Enlarge ? Type of Const. y W Nam CUTtis Wibb215 Move ? # Stories ~ Address 3913 Turquoise Pt pemolish ? Fronr -2.2 ff. Cf Phone 452-3790 Gmde ? Depth 14 - ft. Name $gple Avvrovols Feas 'C zG Assewment Permit 6-00 o~ Address ~ Ci phane Water & Sew. Surcharge .50 Police Plan theck ~w Name Fire SAC qddress Eng. Wnter Gonn. <w C Phone Planner Woter Meter . Council I hereby ackrawledge that I have reod this opplicotion and stote that gldg. Off. the information is correct ond agree to comply with all opplicable APC Totol 6.50 Stote of Minnesota Statutes ond Ciry of Eagan Ordirwnces. Signature of Permittee A Building Permit is issued : WibbE1S on the express mndition that all work shull ba done in ~ ance wit all ppli oble StMe of Minnewta Statutes and City of Eagan Ordinances. Building Officfal _e~ '~Cd ^ ~ SEDGWICK HEATING & AIR CONDITIONING CO. ?+EaTiNC JOBNOSdf~ ao 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 554' •(952) 881-9000 TEST RECOR 39/3 T~r uo~se~ jles'v4 ADDRESS . JI CITY OCCUPANT e h h t Ye Y-~ C~' ! G p K 1M ~ N OWNEF SW 6s^ e' SOLD BV ;M 1h e Ncld~^' MSTALLED 6Y i MAKE C~ ~ I/I N O~ MOOEL CT'G OG{ N~ ~•.3-~ A~ O 7O SERIALNO. INPUT v0~ THERMOSTAT l/P840 o a VENT SIZE 41 ~ / `ltlj_ ,G c I VALVE TYPE OF LINEF lij/`l 04,~ IIT 1 LIMIT LINER SIZE NUMBER LIMITSETTING ~vv 30c, FILTERS: SRE ~p-~3 ? c FAN SETTING WIPING ~ PILOT NPE TEST TAG IGNITIDN MQnFI LIGHTING INST. PILOT TIMING ~ d DATE TESTED PRESSUFiE - PERCENT COy 0 ~ INPUT CFH -70 PEFiCENT Op COMPANY TESTING e Q r STACK TEMP. PEFiCENT CO O NAME Of TESTER FOFM 235 (REV. 11/89) FORM DISTRIBII ON: WHITE COPY -JOB FlLE YELLOW COPY -CITV EAGAN TOWNSHIP BUILDING PERMIT N° 1983 ~~"!'-"''~•'-e`.4~~---i--rc~~ ei'......--.- Eagen Towaship Owuei . Addrem (Pleseni) !X.~f.z~3...........-_--.. . _ ..............~L-r"~ ~ ' Town Ha11 Buildei . Date /8 -6 1 Addrew ' DESCRIPTION Sioxies To Be Used For Froni Depih Heigh! Esi. Cosi Pexmi! Fee Aemarks O LOCATION Slzeel, Road or ofher Decenpiion of Locahon I Lof Block _ Addifion or Tracf y.-.ss' a a -3 ~ ~ ~ .b ~•G C~-..z~„i Z'L-~ G This permit doas not au2horise the use of slxeels, zoads, alleys or sidewalks nor does if give the owner oe his agen! the sighi !o areafe any sifuafion whieh is a nuisenee or which presents a hazerd fo the healih, safety, eonvenience aad general welfare !o anpone in the communifp. THIS PERMIT MUST BE KEPT ON THE PAEM2SE WHILE THE WORK IS 2N PAOGRESS. • . This is. fo cerldy' fhet--- o ....'..-_.--_...has permission !o erect a.. I pon the above deseriLed premise subjeo! So the proaisions ot the Building Ordinanee for Eagan Township edopied April 11, 1955 . ~ .J Q-.fcj ~ Pex . ~ . ' ......................."'......vild.in ...9.....I Chairman of Tnwn Soa{de B Ins eelor ~ EAGHN TOWNSHIP 1~795 Pilot Knob P,oad Sb, Paul, Minnesota 55111 Telophone 454-5242 PERMIT POR 5&7ER SEAVICE CONNECTION DATE • Ni1MBER 381 063NEP.: (~'%Z& AeI,yv-~.,d~ pddress~-(-~ 39'i3 rlu~~ PLUMBBR JYL-4.n.l / TyPE OE PIPE DESCRIPTION OF BUIIATNG Industrial Commercial Residential Multiple Dwelling No, of units Locatfon of Connections: Connection Charge 200.00 Permit Fee 7.50 Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector Iu consideratioa of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota~ By f ~ Please notify when ready for inspection and connection a[d before any portioa of Yhe work is covered. ~ ~ EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER1iaT FOR WATER SERVICE CONPIECTION Date: 17 Number: 259 Billing Name: Site Address:33-G-G Owner ~G Billing Address Plumbei: Location of Connection Meter Sizp, _S/ Connection Chg.--2~~ Meter No,Gd'iAS-z9 Permit Fee 7.50 ~--Q Meter Reading.j~ Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected hy. Date Building is a: Remarka: Residence-,L Multiple No. Units Commercial Industrial gp; Other Chief Inspector In consideration of the issue arn] delivery to me of the above permit, I hereby agree to do the pxoposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please aotify Che above office when ready for iaepection and connection. . . . nATE BUILDIIdG PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/eievations and 1 set of energy calculations. To be used for Valuation Site Addrest: zvra q J 0 1 fto Lot Block See. Sub. ~~1 Number b Oxmer Telephone 3 Address 3 9/ Contractor Telephone Addresa Arch./Eng. Telephone Address OFFICE USE Erect Occupancy Alter Zoning Repair Fire Zone ~ Enlarge Type of Const. Move # of Stories ner,iolish Front Grade Depth OFFICE USE Date of Approval & Initial FEES Asses8lrtent PeYIIlit Watet/SeweY . Surcharqe Police rian Check Fire SAC ~ Eng. t9ater Conn. Plannes 4later Meter Council Rldg. Off. A.P.C. TOTAI, MEMO 4~> -city of eagan TO: DIANE DOWNS, UTILE7Y BILLING CLERtC FROM: ED KIRSCHT, SR. ENGlNEERING TECht DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS GEDAR GROVE NO. 6(141 LQTS) This merno is ta inform your department to begin to invoice the energy costs at the single family rate etfective August 1, 1993 to the properry owners in Cedar Grove No. 6 Addition as listed below: Slock 1, Lots i ~ Block 2, Lots 1-8 $ Block 3, Lots 1-18 i$ Block 4, Lots 1-11 11 Block 5, LOts 1-9 9 Biock 6, Lots 1-53 53 (Lots 54 through 61, Biock 6, should not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being billed by Dakota Eleciric for streetlighting in the above listed subdivision. Ed Kirsch4 ~ Sr. Engiraeering 7ech cc: Mike Foertsch, Asst. City Eng. EK/je RESIDENTIAL ~ 5,~a33 BUILDING PERMIT APPLICATION J CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmcdon Reauiremgnt¢ RemodellReoair Reouirements • 7 registered site surveys showing sq. fl. of lol, sq. R. of house; aM all roofed areas • 2 copies of pian (20% maximum lot coveraqa allowed) . 1 set of Enerqy Calculations for heated aeciticns • 2 copies ol plan showing beam 8 windaw srzes; poured tound desgn, etc.J • 1 site surrey !or ex[enor additions & decks • t set o( Eneryy Calculations . Intlicate if home servcd 6y septic system ror adcitions • 3 wpies of Tree PreservaUan Pian if lol platted after 711193 . Rim Joisl Defad Options selettion sheet (bldgs with 3 or less unifs) DATE VALUATION v~ SITE ADDRESS ? ! MULTI-FAMILY BLDG Y N TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2 t,edar Valley Exteriors, Inc. APPLICANT 9920 Zilla Street STREET ADDRESS Coon ap s, CITY STATE ZIP q~ TELEPHONE #1~'^J,~Y~C~ELL PHONE # FAX #~-.~V PROPERTYOWNER C,Y 1J..1Ct-. '&1il I~ TELEPHONE#(_~a 'L-IucJ-~U COMPLETE THIS SECiION FOR "NEW" RESIDENTIAL BIJILDINGS ONLY Energy Code Category _ MINNtiSO'I'A RULES 7670 G1"CEGORI' I NIIN\`LSOT:\ RL'LES 7672 (d submission rype) • Residen[ial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submit[ed • Energy Envelope CalculaGOns Submitted Plumbing Contractor. Phonc # Plumbing system includes: Water Softener _ Larvn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # blechanical system includes: Air Conditiocung Fee: 570.00 ~ ~ Sewer/Water Coniractor. Hcat Recovcn' Systcm Phone # P ~E IIIJ n ~n ~ - AU 0 6 ----------------------i i hereby acknowledge that I have read ihis application, state that h information is c ct, and agree to compi with all applicable State of Minnesota Statufes and City of Eaga Or in c s. ~BY SignWure of Applfcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 55-3b7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReuuiremenU RemodellRaoair Reauirements • 3 registered sRe surveys showing sq. af bt, sq. ft. of house; and all roofed areas • 2 copies of plan (20°h ma)imum bt coverage allaxed) . 1 set of Enerqy Calculations fw heatfld additions • 2 copies ot plan showing beam d window sizes; poured (ound desgn, etc.) . 1 sNe survey fw eztenar addiGons & decks • 1 set of Energy Calculations . Indicale if hame served by seDtic syslem for addNOns . 3 capies of Tree Preservation Plan if lot platted aRer 7/V93 . Rim Joist Defail Optpns selection sheet (bidqs with 3 or less uniLS) DATE ~e~ 3OZ VALUATION c~-~ ~ ~ SITE ADDRESS 3V 3 7C V`d ~te AkArl MULTI-PAMILY BLDG _ Y )(N TYPE OF WORK C/'GSS ;n f...1 FIREPLACE(S) _ 0X1 _ 2 APPLICANT CAe..P" _.IrJwa~ g STREETADDRESS 3913 ~woi P. ein~` CITY ~~STATEm$\j ZIP 5IP24 TELEPHONE # d'r S~S'347Z CELL PHONE # rIL~~U ~DVSVFAX # e;-j 636- 13/t ~ ~ ~ O4.y t,^.e PROPERTYOWNER ES TELEPHONE# 6sl 6A - y~I COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SO'1:A RiJLES 7670 CATEGORY 1 MINNESOTA RULIS 7672 (J submission type) • Residen[ial Ventilatlon Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing sys[em includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcchanical systeru includes: _ Air Condilioning Pcc: $70.00 _ Hcal Rccovery System Sewer/Water Contractor. Phone # :_i1 S^P~~?en2 ~ I hereby acknowledge that I have read this application, state that the information is correct, and e c;mply with all applicable State of Minnesota Statutes and City of Eagan Ordinan s. ~ SignaTUre oi Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatad 4102 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 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 O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg_Y or _ N (W 25 Miscellaneous ? 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 p, 48 WindowsfDoors ? 34 Replacement 'Demolition (Entire Bldg only) - 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 W idth REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footings(deck) ~ FinaUNo C.O. _ Footings (addirion) _ Plumbing FoundaHon HVAC Drain Tile Other ~ Roof _ Ice & Water _ Final = Pool = Ftgs =Air/Gas Tests _ Final Framing Siding Stucco Stone _ F'ueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwcllings & townhomes/wndos when permits aze requ'ued for each unit Date Site Address ~ • f Unit # Property Owncr Telephone # JG - 6174 Contractor AIR CONDRIONING LlC ' Street Address 8910 Wentworth Ave. S CiTy iviinneapoiis, MN 55420 State 02) 881_90f1ozip Telephone # ( ) Bond Espires: The AppGcant is _ Owner ~ Contractor _ Other Add-on or alteration to esisting dwelling unit p~ $ 30.00 - - C;~~Y~ ~~L~ffl/o[fa~"~'llJ ? fumace Additional ~ Re lacement _ air exchanger lz_ airconditioner _New ? Repiaceme,/~y/u/~L _ other ~ State Surcharge $ 50 Total $ 0[6 • SD I hereby apply for a Residential 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 lltis is not a permit, but only an application for a pernut, and work is not to start without a permit; Ihat the work will be in accordance with lhe approved plan in the case of work which requires a review and approval of plans. AM~.~ ApplicanYs Printed Name Applicant's Signature JUL 14 2005 Bv f . _.J qo.o~ ~os ~ ; ; City of Eaaan I Permit# 3830 PilDt Knob Roed I Permit Fee: ~ ~ Eegan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I statr i ~ J 2009 RESIDENTIAL BUILDING PERM{T APPLICATION Date: T 0 Site Address: 3 I~ 3 ~I~~QU01 SV-- Tenant: Suite RESIDENT / OWNER Name: Er I G PclIi'W1'E{/) Phone: _QS I• CO S& o;~o Address / City / Zip: Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work:7]R%E Cff d- Q~ao~ Construction Cos[: Jr- F 50 . 0 0 Multi-Family Building: (Yes No k2j CONTRACTOR Name:U~EkleILVWp Address: ~J tpq ~ HF_YI I w. YN~ N City: a,~' Wakc State: r) Zip: S~Qo~ Phone:LE-4Y) ' ~~,A(~ ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 CateaorV 1 Minnesota Rules 7672 Energy Code • Residernlal Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitled (4 9Ubmis9lon type) • Energy Ernelope Calculations Su6mitted In tha last 72 months, has the City of Eagan issued a pertnit for a slmilar plan based on a mas(er plen? _Yes _No If yes, da[e and address of master ptan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: 51 I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance with the ordinances and cotles ot the City of Eagan; that I under5land ihis is nol a permit, but only an application for a permit, and vrork is not to btart without a permN; that the vrork will be in accordance with the approved plan in the case of work which requires a review and approval of plans- x l~`~/l4~ i1/q L-!V)d C'C441 x l_~"/`Lc ~ Appl~cant's Prfnted Name Applicant s Signature Page 1 of 3 ~ for Office l I I Permit 4.. City of Eaaau 4?6`y 3830 Pilot Knob Road Permit Fee. I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 1 1 _VrAVoi sv-- i} ('i - Tenant: Suite RESIDENT i OWNER Name: E ( P4 9VV wyl Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: I CAr of-( 4- recccf Construction Cost: J1 -T 80 . O(.) Multi-Family Building: (Yes / No CONTRACTOR Name: W i~t U PD a1n sMuc fl Ofl License %56` Address: 5(o V`1 F-M C i} c- ke City: t W c State: Zip: Phone: 4-')A0 Contact Person: 4C.t._ (e t) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted 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: 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 the 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 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 Applicant's Printed Name Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117222 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 3913 Turquoise Pt Lot:33 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-330 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 . Matt Kral 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 - Jennifer R Paumen 3913 Turquoise Pt Eagan MN 55122 (651) 373-0409 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145749 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 3913 Turquoise Pt Lot:33 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-330 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jennifer R Paumen 3913 Turquoise Pt Eagan MN 55122 (952) 484-3942 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152671 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 3913 Turquoise Pt Lot:33 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-330 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: 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 - Jennifer R Paumen 3913 Turquoise Pt Eagan MN 55122 (952) 434-3942 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175044 Date Issued:03/09/2022 Permit Category:ePermit Site Address: 3913 Turquoise Pt Lot:33 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-330 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Kendra Olsen 3913 Turquoise Pt Eagan MN 55122 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature