4049 Halite LaneCITY OF EAGAN Remarks
Additio CEDAR GRAVE #7 Lot 1 Rlk 10 Parcel 11 16600 010 10
Owner i-bill"'` "Af' ?, Street 4049 H31ite Larie State Eaaan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK J 1970 58.18 2.08 28 P$id
* SEWER IATERAL 1971 20
WATERMAIN
* WATERLATERAL 1971 1,615.00 $0.75 20 Paid
WATER AREA
* STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN, 300.00 5669 5-1-72
BUILDING PER.
sAC 260.00 5669 5-1-72
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
i , ??,i ,t•r?? 1'iil
N
.CORD
PERMIT TYPE:
Permit Number:
Date Issued:
1 f; l 00. . ? APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK: 1
INSPECTION .. . .ATE INSPTR.
7
I
-. i
.?
Pe?mk No. Permlt No4dts Uate Telephone ?k
SNV
PLUMBING
HVAC
EIECTR{C
ELECTRIC
Inspectlon Dste Insp. Camments
Footings I 313?'?p?
G ?, )?
Ir?
Foundatron
Framing
Roofing
Rough Plbg.
Rough Htg.
l5ul. a
Fireplaae
Final Htg.
Orsat Tesf
Final Plbg. Plbg. Inspector- Nod(y Plumber
Const. Meter
Engr./Plan
Bidg. Final , J4
r/
Deck Ftg.
Deck Final
Well
Pr. Disp.
.. ?---
. EAGAN TOWNSHIP
BUILDING PERMIT N•° 2697
Ownax
--'- ----/---- -'---'- '--------- ---- ---_'--.................. ............. Ea9an Townslup
Addreu (prasenl)
.bkA.?..?:.°???=?:'??............................ ..... 1'own Hall
Suildes
Addras ......
...............
DESCRIPTION
Dale ....
-_......
---?- .......................
Siorias Ta Be Used For Fsoa! Depih Hslgh! Esl. Cos! Permif Fea Remarkm
?
/D3Sa ?
- {S,Q J O
xaamoa or rract
7
This psxmit does aot aulhorise the uee oi slreefs, roads, nllaps or sidewalka ifor does it give the owner or bb apsn!
the :ig?1 to creaSe anp siluafion whieh is a nuismee or which presenis a huard !o the han]!h, aefa2p, eonveaience and
gaaasal welfare !o anpoae in the wmmunify.
TFIIS PEAMIT MUST SE,oKEPT ON aTH,E PREM/IDSE WHILE THE WORK IS IN PROGAESS
This is to eezlify. Yhal--_ee permisaion !o ereet a._./..4.....?._ ..!?z? . .. ........... _npo¢
the above doacribad premiss aubjec2 to the provieiona of the Building Ordiaance foe Eagan wnship ed !ad April 11,
1955.
.......................... ?-?'-....... .?-?F..-,..? :............... Par .... - - ...... --?........?.?..-s:?-.,-?................-----
Chaisman of Tnwn Board 6
,s5 Buildiaq Inspactor
_ - ?
? i i&&oZ) cio ia
C;<<7
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesata 55122
PERMIT N0. 200
The Soard of Supervisors hereby grants to Cedar Grove Ca[3stn1CLi0s1 Co.
of 7343 Concord Blvd, T„ gouth St. Pmtl 55075
e PLIMING Permit for: (Owner) 8am
arne aa, l?013 Pwnice' 406Ciim ar,
at 40-c;4 H811te$ 4001 Citinabar, Q!.9 ?is1lt?Pursuant to application dated
ac e, 10?11 ce, 1011 an, &- 1847 L3moniie
4/21/72
Fee Paid; 200.00 Dated this 28th day of April , 1972 ,
.00 e c
Building Inspector
q
/. io-7
c. cn
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0. 19A6
The Board of Supervisors hereby grants to , Atiar [Ir,r,,, ,m,t, ,,,ti„" Cp.
of _ 7343 Concord Blvd. E., Satth SL. Paul 55075
8 HEATING Permit for: (Owner) same
Carnelian, 013 Pumice, 4067 Cinnabar, /J-d- ? 5-1- 7
at 1}051t Aalite 1?OC7 Cir1^L•.?r .iC? L:,?i'?? pursuant to application dated 7 d3-/
1063 Taconite, 1851 1'iuni0e 1611 Caraeliaxi, 1847 Limpdte,
_ L/21/72
Fee Paid; 200,00 Dated this 28th day of _A=j,], , 197$.
5.00 s c
Building Inspector
?(
REQUEST FOR ELECTRICAL INSPECTION °°'^y? EB-00001-OB
? ? '~ ?
? See instmctions kr completing this form on beck oi yellow capy
45095 ???ti.g o,
W8e/ow Work Covered by This Aequest .m•
lll?
ew Add Rep. TypeafBmlding AppliancesWired EquipmeniWued
Home Range Temporary Service
Duplez Water Heater EleGric Heahng
Apl Buiiding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Condihoner
Other (syeaty) ConVactw's Remarks:
Campute Inspecbon Fee Be7ow. .
8 Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Only TOTAI
Irrigation Booms
Special Inspectwn
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTH .
I, ihe Elecirical Inspector, here6y Rouqn-m / ?
?? oa?e?? I
?
certify that the above inspechon has
been made. F,nai 1
/ oare? ,?
OFFICE USE ONLY
Tms request witl 18 months imm
K 459?
Re uesl Date
/ Fire No Rough-in Inspectmn
q rted9
Yes G N.
G Reatly Now Will Notity In9pac[or
YIWlen Reatly,
I.? licensed contractor D owner hereby request inspection of above electrical work at:
JoD Address (Slreet Box or Roma No I
' Ciq
E-i'a 4N
SMion No Townshtp Name or No Rarge NO County
Occupant(PRINT) Phona No.
owe? SuOP??er Pdtlress
ElecVwal Comractor (COmpany Nani
sA m 'e- fAnhaclor's License No
`
MaiLng AOtlress IConVaciw or Owner Making InStella0on)
Aulhor SignaWre ICo racmN Making Inslallalmry Phone /Number ('^
?
x
/\
y-
MINNESOTA STATE4?SQ OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-MlEway 8109. - poom S113 BE ACCEPTEO BY THE STNTE BOAPD
1821 Unrveraily Rve, St. Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 612-0B00 ENCLOSED
,
1-10-7
.
EAGHN TOWNSHIP
:795 Pilot Krtob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTIOtd
DATE• APril 149 1972
OWNER•Cedar Grove Const. Co.
pLUMgEg Stein Plumbing
NOMBER 0988
AddTesa 4049 Halite Lane
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILUING
Industriall Commerciall Residential I Multiple Dwelling f No, of units
Location of Connections:
Conaection Charge260.00 pd 4/28/72
Permit Pee 10.00 pd it/28/72
.5o pd 2 72
SCreet Repairs
Total
Inspected by:
Date
Remerka:
By. Chief InspecCOr
In consideration 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 Tormship, Dakoea County, Miuneaota
Sy Cedar Grove Construction Co,
Please notify when ready for inapection aad conaeetion and before any portion
of the work ia covered.
1-10-7
EAGdN TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minaesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Rpril 14, 1972
Biliing Name: Cedar Grove Const. Co.
Owner: Cedar Grave Const. Ca.
Plumber: Stein Plumbing
NO iTotal Chg.
Building is a:
Residence xx
NIulCiple $o,
Commercial
Industrial
Other
er
Number• 827
Site Address• 4049 Halite Lane
Silling Addxess 7343 Concard 61vd. E.
ion
Meter No. iMeter Permit Fee 10,00 pd 4/28J72
T?/28/?2
. p
Meter Readinp_ Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
Inspected by
Date
Bemarks:
ri ., -,..,..
FFF FG ?
G"" iiu??tc?iLY if?!SiALLED f:iETERS.
Hy:
Chiet Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do Lte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minaesota.
By: Cedar Grove Construction Co.
Please notify the above office when ready for iaspection and connection.
?31qqo
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 Family Dwellings
Townhomes and Condos when pertnits are required for each unit
4 C30,.Sa
Date
it #
U
Site Address n
10i l(x 7
i?e
O
P
t Tele
hone #(6SI )`i' S? ??O l0
roper
wner
y
_ p
Contractor inc
.
,
12481 Rhode Island Ave. So.
Street Address
?_cp37R 1'?2j Cit
Y
R
?
Zi
t
St
hone #
Tele
p
a
e p
The Applicant is _ Owner f? Conhactor _ Other
Add-on, modification or altera[ion [o ezisting dwelling unit $ 30.00
furnace replacement
/ air exchanger
air conditioner
other
MPR 2 5 2?03 1)
State Surcharge $ 50
6
$ 3 0 ??
Tota?
I
I hcreby apply for a Residenrial Mechamcal Pernut and acknowledge that the inforxnaUon is cornplete and accurate; that the work will
be in conformance with the ordinances and codes of tbe City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a pemvt, and work is not to stad without a pernrit; that the work will be in accordance with the
approved plan in the case of work which requues a review an approval of plans.
A < < )?vU6b`S , ,
Applicant's Printed Name ApWant's Signature
MECHANICAL (COMMERCIAL)
Permit Apglication
City Of Eagan
3830 Pilot Knob Ro$d, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindustrial buildings
multi-family buildings when sepaza[e pemvts are not required for each dwellmg unit
Da[e
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Con[rac[or
Street Address City
State Zip Telephone k ( )
The Applicant is Owner Confractor Other
W ork Type
_ Newconstruction UndergroundTank _Install _Remove
_ Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Pel'IDit Fee $50.50 in' um Fee (inclu(les State Surcharge)
Contract Value $ x .Ol% _ $ Pemut Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemnt Fee
$ Total Fee
1 hereby appty Yor a Commercial Mechanical Permit and aclnowledge 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 this is
not a pernut, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accordance with
fhe approved plan in the case of work which requues a review and approval of plans.
Applicant's Printed Name
Applicant's Signahue
Approved By: , Inspector Date:
?
? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILQT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon ReauhameMs
• 3 replsleretl si[e surveys showing sq. tt. of bt, sq. fl. ot house; antl II rooted areas
(20% maAmum bt coverage albwetl)
. 2 copies ot plan strowing neam & wpidow saes; poured found design, etc.)
. 7 set af Energy Cakulatbns
• 3 caples of Tree Pre&ervatbn Plan H bt piatted aNer 7/1193
. Rfm ,bist Deteil Options seledbn sheet (61dgs wNh 3 or leu untts)
DATE `'1-3 "02-
HemaleVHeoatrHeouiremeMe 7 ?
• 2 copies of plen ?
. 1 set ol Enerqy Calculations for heatetl addAbns
• lsttesurveyPorezleraradditions&decks
. IntlAcate M home served by septic System for additlans
VALUATION
AULTI-PAMILY BLDG _ Y + N
PIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT d 8 C- aIDr `
STREETADDRESS ????7 Alicol/ef Au-e S• CITY Burnsv.`/(t STATE/liJ ZIP6-S33-T
TELEPHONE #?9?J,7r9? 69?4 CELL PHONE # FAX #(R-'`-4 S'D g' q 9 `1 6
PROPERNOWNER XZKe Zee-91n'leZe.?' TELEPHONE#(6Sl)ySa-2 yob
--------------- --------------------------------- -------------------------------- -------°------
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(J submiasion type) • Residential Ventilation Category 1 WoAcsheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Wafer Conhaciw:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condirioning
Heat Recovery System
Phone #
Phone #
? (P- 11 (157(S ) I?StP 0 4 2002 !
Fee: $90.00
- ?
---_?
Fee: $70.00
I hereby acknowledge tYiat I have read this appllcaTion, sTate ihat the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
-°----°---°-..._._._._..._-°------...._._._._?_....._._....._._.r_?
OFFICE USE ONLY
MINNESOTA RULES 7672
. New Energy Code Workshaet Submitted
Phone #
Lawn Sprinkler
No. of R.I. Bath
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
i
OFFICE USE ONLY •
? 01 Foundation ? 07 OSplex O 13 16-plex ? 20 Pool ? 30 Accessofy Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulli
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 EM. Alt - SF
? 04 02-plex O 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicaM
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
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
??-
t .?
• ,
- -- _.__IO Uk?4?M-a?--Cwerrn, - - -
-- ---+-- -- - -- - -- - - - - - --- - - -
_-
--
--- - ?-t l?5 AS5iTa-_ --
- YI?
-- _?e,rnu-ti- -o-?icli-
- - - ?t'4:C_,sr%iQo6c_l_cLoo sicfi n5 - -
--- -?'?<- ? 1'his ??1dt??? L? -c?b? -
- - -_Y_? A.??? qi?e?-4ions__pL?se,
---
-
'ities Digital Qualitv Control
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available image from the original page.
Every effort was made to capture the content
from the original page.
,_I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
, ?.
; itIli,<"
o3/l
SITE ADDRESS:
II _ J. I?i I 1?n I 6 /0 1_ rh 1 0 - 1 0
lt?l: 1 6IiICK. 110
751,,
DESCRIPTION:
;_Aura
L;u i 1 ti? li?i '•?i n! i yprz 't t'o:?Cii
3u13 Ging 'rJct-k TPE NiFW
;.'t't; (J??cup??nc„ f7 .
Gorts I..-ij cC.ian i,y p ra `J. nI
8ii ilrii nq L.s=nqi.r
Buildi: g Wicith
iii? Li
REMARKS:
FEE SUMMARY:
ria ?^rq i?i??ti? 0
--'-
,,.
l?
CONTRACTOR: 'OWNER:
I F
? , ?? a?? ra rd
i nlip? ?.. 1 ??; il 1. .
. , i „ r ? l ' , . ' ' ??'
I i;arehy Li cknD w 7e d<?e Y.ha C T. h.Zv = r=,d tliis o p F'+l.Lcat,ion ,Ind etst', l:h, ? tha
o.m:l_ion co - rrc t nn:J a?rr? i.l) <<om,;.ily -t;=1i a;l appl1 ?atslc Soi
S?oCuSal, o r7d Cit;y o( t=tic?aii t?rcl7ri,i ricrs.
?
I APPLICANT/PERMITEE STMNAIyjjE. - ISSUED B:5 GNATURE
l
Cities Di , i? tal Qualitv Control
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available image from the original page.
Every effort was made to capture the content
from the original page.
-`?NSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
IJl.l!L
PERMIT SUBTYPE:
APPLICANT;
yr!-,nn; ?, ,
TYPE OF WORK:
INSPECTION
rii??• ?p???, ..
.
. ?tn;ari.i?,
..
I
?
? ?
REacriva,1E 10
PERMIT ?
2kilgi-Is
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 ft
ft 97 21§°N
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date i000_?-C_A/16Valuation of wark ',0/4 00?
Site Address: ?8 'K? Gf?/ 'z' 'V"
STREET SUITE #
Tenant Name: (commercial only)
IAT ? BLOC& SUBD.C?? P.I.D. 0
Descri tion of work: ?- Seg Siz) n 1?-?-)
The appl i cant i s: ? Owner X Contractor ? Other coe8or;be>
Name ZlNA./, /y/eY el' 1"11 ?C'..? £ e.,u Phane
Property LAST FIRST
Owner Address 1;10 ?"q
SiREET STE #
City 2EOy 't) State rn%v> ZiP
Company Phone 96-7 -
COntractor Address 461? /S"'?/?ve. 5o- License #00039.38 Exp. G?
City State Zip ?
t-ol
Company Phone
Architect/
Name Registration #
Engineer
Address
City 5tate ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informat n is
f
correct and agree to comply with all applicable State of Minnesota Statutes and C o
Eagan Ordinances.
Signature of Applicant:
v `? "'
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
)K04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
Aii3l New
32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
! f'. '
?i ;?
? 11 Apt./Lodging 0 16 asemeo? Finish
? 12 Multi. Misc. "`? 17 `Swlm Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace O 19 Comm./Ind. Misc.
? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
0 35 Tenant Finish ? 37 Demolish
0 36 Move
Const. (Actual) V- N Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ay ? On-site well Census Code q3St
Depth 13,(" On-site sewage SAC Code
APPROVALS re,ob_wblg p
?5?5 ccN ?-
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
0 Site
0 Wallboard
footing
Final
? Framing ?Insulation
? Draintile ? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
I(02 .00 vaiuec;d,: g /SO ODc7 ?
?,sp
105.30
sr` x 4s = I?? 66
I3Zx zy= 32.(
-?
SAC % -
SAC Units -
AZ; Ke..£ 7;(.m rZiel .C hieieh
?to Y 9 tk? z?
'Eajoy, m'v' I
.
?
Z?
)-
i
? ?Pro)poSeq- +
?r----
I ?rCA ?
7'y4'4 / f-G Z/v,
i. i
;
,
/-io-7
MASTER CARD
• LOCATION ?? fA&4-& i -f u77
OWNER e C7_??r
S7RUCTURE AND ^C I
LAND USED AS ?v
•
a
Permif
No.
Issued I Issued To
Coniractor Owner
BUILDING ? -
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING , g b
GAS INSTALLING
SANITARY SEWER
OTHER Ld ?7 7
OTHER ?
I Ifems Approved
(Initial)
Date
Remarks
Distance From Well
PGOTING SEPTIC
FOUNDAiION CESSPOOL
FRAMING
FINAL
ELECTRICAL ?1.r1h ? I
? _ TILE FIELD FT.
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ?
?
WELL ?
SANITARY SEWER ?
?
?
1 I Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS
?
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIqNCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROL.
AND DESGRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
REI NSPECTION
DATE OF REINSPECTION
•
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospectiva, and that I have reported herein
all significant conditions observed to be at variance with ordinances ot the Town of Eagan, approved plans and specifications, and any specific require-
menss for off-site imprrnements relating to the property inspected.
11 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDINC. INSPECTOR
OATE
RW z.
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
I
3830 PILOT KNOB RDN 55122 ?t -0 651-681-4675 ?
New Construdion Reauirements
Remodel/Reoair Reauiremenh
? 3 regislered sNe surveys showing sq. R. of lot, sq. H. of house 2 copfes of plan
and all rooled areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated addNlons
> 2 copies of plans (show beam 3 window sizes; poured (nd. design; etc.) 1 sNe survey for exterlor addMlons 8 decW
: 1 set of energy calculations
> 3 copies M tree preservatfon pian H lot plafled aNer 7/1/93 o(D
DATE: / ';? CONSTRUCTIONCOST: OC) ?-?
DESCRIPTION OF WORK: 9?- A00(f- ?/L? i 7-0 h'?4/6 "¢'72-f6C
STREET ADDRESS: / TE
LOT: ? BLOCK: SUBD./P.I.D. #: 0 1 O--QA" C Y ?? J _5? /
Name:Z??? /)v Lf??6(- Phone #:
PROPERTY Last FGst
OWNER /??
Street Address: ?
City state: /Yi N' zip: S sl ?`Z
CONTRACTOR
Street
ARCHITECT/
ENGINEER
City State:
Telephone #: area code ( )
Phone #:
(area code)
_ License # Exp.
Zip:
Name:
Street Address: Registration #:
City
Sewer 8 water Ilcensed plumber (reaufred for new consfrucHon onlv):
State:
Penalty applies when address change and Iot ehange Is requested once permit is issued.
Zip:
I hereby acknowledge that I have read fhis application, state that the Information is conect, and agree to comply wlYh all applicnble
State of Mlnnesota Statufes and Cify of Eagan Ord(nances.
Signafure of Applicant.
OFFICE USE OI
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No
No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartmen ts ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demol ition permit
GENERAL INFORMATI ON
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Planning
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
°/a SAC
City of EaiaIl
3830 Pilot Krrob Road
Eagan IAN 55122
Phone:(651)675-5675
Fax:(65f)675-5694
2008 RESIDENTIAL BUt
oate- ?/`-1a-D00 ske
7enant:
?
Sui[e A:
RESIDENT / OWNER Name: J MCj'I RMj 9' ?ryrPn L?iF?lrne: e? Phone: brl. USd - a yd6
naa.ess i cityi zP: 1/o y 9 Na.,'vte Can.e ,F?a4 mN Ss? ? a
Applicani is: _ Owner CoMrac[or
TYPE OF WORK Description of wark: _ j2 $ 2 P- pp 12
Canstruction Cast: Multi-Family Buikling: (Yes_/ Nob j
COPfTRACTOR Name: 2: Ckson 13U'ildp
s JlLC
__ License R: /?l St? a?
T
ndar?: a66 r Co???ye ?sn?vc ?P/aco
City:L OJGL6u2? State: 1?Zip:
- ?.._
Phone: a?'e Contact Person: L22 snz(GS'py)
COMPLET'E THIS AREA ONLY IF COMSTRUC'flPIG A NEW BUILDING
Minnesota Rules 7670 Cafe(lory 1 Minnesota Fules 7672
?
Ener9y COde
.' Residenliat VeMilstian Calegory 1 Wotksheet . New Emrgy Cade Worksheet
Ca[egary submined s
b
u
mmed
N 9ubmission type) • Energy Emelope Calwlalions Supmittetl
In the last 12 months, hes 1he Gry of Eagan issued a permit for a similar plan based on a masier plan?
_Yes _No If yes, tlate and atldress ot master plan:
Licenaed Pfumber. Phona:
MechaniCalCorNractor: Phone:
Server 8 Water Contractor: Phorre:
NOTE: Plans and suppoWng documents that you submtt an considered to be public lnAOrrnaflor?. Portions o/
the inlannadon may 6e dassified as rton /pubNc if you provide speciFic reasons that would permit the Ci1y to
conclude thaf fhe are frade secrefs.
i nereoy acKn etlge Ih this in(prmadon is complele and acwrate; qlat Me work wdl be in conformance with Me ddinances antl codes ai the Ciry of
Eaga , Nat ntlerst [hia is not a permil, but only an apphcalion lor a pertnk, ercl work is rot to start without a permil; [haf the woilc will be in
accor Rig povad plan in the cese of work whlch requires a review antl approval oF plaRS.
x Zne Fn?,k3c1;-, X '
ApplicanYS Printed Mame APPlicant's Signature
Page 1 of 3
? ForOfFlCeUSe ----_-1-- ?
j Permit N: 7 ( j
i Permit Fee:
b`-
j Da[e Received: ?
i i
I S1aH- ?
I I
----------------
FERMIT APPLtCATfON
L'd L9£9-9£b-159 uosMou3 ee1 d9y:l0 80 ZL daS
Use BLUE or BLACK Ink
r
For Office Use
I Permit
City of Ea~aii I s
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: F112-13 Site Address: Unit
Name: m I k e 2!'eyzllr ei Phone:
Resident/ V9
Owner Address / City / Zip: ! CJ gin
Applicant is: Owner X_ Contractor
Type of Work Description of work: 1C f? 7`
Construction Cost: Multi-Family Building: (Yes / Nox.-
Company: 2eSideirH~kt a ~mMe/ra~Q Contact:
Address: 16 ovo 4 det-.u/s Lc-~ City:
Contractor I /
State: A) Zip: SS-30 Phone: b - a-06 -/3 q V
i
1 p
License !J e G 6 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
....a~.._.... COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
f
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
z
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
i
:
Mechanical Contractor: Phone:
` Phone:
Sewer & water Contractor:
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 #rade 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 to Ba+ ding Code must be completed within 180.
days of per ance.
X_ S! CG` 1= r2~~Sdt~
Applicant's Printed Name Ap s Signature
Page 1 of 3
/oq_F3~
Use BLUE or BLACK Ink
I I
I
j Permit ~
401100. 1
City 0-~~ 1 Permit Fee: l I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694 1 I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: 1?71k~5 Phone:
RESIDENT / / 0,vq H4&I,F, / /..Y
OWNER Address/City/Zip: "7- -x/(/ae
Applicant is: Owner 1 L Contractor
TYPE OF WORK Description of work: 4-
-71 s~ fi GCG2.'`~
Construction Cost: o 6)0,
Multi-Family Building: (Yes / No
D ~
Company: T! Con act: Q
CONTRACTOR Address: /y /~d V r^ i~-'~~7-5u l~ City: & ~ /ice'
State: /f A/ 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 _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
:..NOTE Plans and supporinigidocu'ments thaf you, submifxareons deced tole public rnformat~on PoronsF of °
tfie mforinati orrmay lie classified as non pub~lrc if you provrdespeclf[c reasons that w~auld permitzthe G#y to, {
concld, e:.fhaf-the a[O tradesseerets f: si=
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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x K`I f_7 -~/~f2sorcJ x
Applicant's Printed Name Applica s Signature
Page 1 of 3
LA,
9
Use BLUE or BLACK 1?..,11i
i
C(1644‘dd
For Office Use II
1
401' 16,
City
n � Permit#: /1117010� jb
City of Eagan g Permit Fee: /` 6 l 1
3830 Pilot Knob Road `/�, /
Eagan MN 55122
RECEIVED Date Received:
Phone: (651)675-5675 I
Fax:(651)6754694 Staff: 1
JUL 1 6 2017 1
f
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
4 Michael Zie imeier 651-452-2406
Name: g Phone:
��0 a Address/City/Zip:
�
4049 Halite Lane �;��_ ,7k 4 -- V/e (:‘, -/1
x„y' Applicant is: Owner- ------ Contractor
y Description of work:
New bedroom under existing porch —
Construction Cost: 25K Multi-Family Building:(Yes /No X )
tz : 1
' r;?:',,,,l',':„.1.::::;;;:,';,,,21:,:,,,,,
Company: Contact:
Address: City:
ri4orltrAPtoiP,:-1
' State: Zip: Phone: Email: NIT 7--CA, a- h,1.i,f...ii ”i 4r.''
4
s 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:
ret ��.I � + f : „� **o7v ";1, f8°„':''4' 4
!%` r
C ?lnf ation� l � � . It oupovs n s/ �
' : ��� alv }
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.eopherstateonecail.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
X M/e//1 gG 2/‘'LM gIgie x
Applicant's Printed Name Applicant's ignat
Page 1 of 3
i ih. Lit'"T J DO NOT WRITE BELOW THIS LINE /L/L0O LS
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex Lower Level _ Pool _ 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 I Occupancy iJ,-" RICES System
Plan Review Code Edition op ,'' SAC Units
(25% 100%/..) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O, Required
X Footings(Addition) yFinal/No C.O. Required
Foundation )( Foundation Before Backfill iCY HVAC_ Gas Service Test Gas Line Air Test
Roof:_Ice & Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing '7C 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
�( Braced Wails Erosion Control
Shower Pan Other:
Reviewed By: 11/ , Building Inspector !,
RESIDENTIAL FEES
PiTitil
Base Fee 6
4
71 ,c(
Surcharge
Plan Review01.D - J
MCES SAC 4,1 ;,
City SAC
Utility Connection Charge .
S&W Permit&Surcharge g J r 7 5
' iii Ohl; C2-
Treatment Plant
Copies
TOTAL
Page 2 of 3
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714
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145996
Date Issued:10/04/2017
Permit Category:ePermit
Site Address: 4049 Halite Lane
Lot:1 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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 (miscellaneous)$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 -
Michael Tstes J Ziegmeier
4049 Halite Lane
Eagan MN 55122
(651) 285-3410
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155722
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4049 Halite Lane
Lot:1 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-010
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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 - RPZ/PVB/Lawn Irrigation $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 -
Michael Tstes J Ziegmeier
4049 Halite Lane
Eagan MN 55122
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159915
Date Issued:01/28/2020
Permit Category:ePermit
Site Address: 4049 Halite Lane
Lot:1 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Michael Tstes J Ziegmeier
4049 Halite Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175924
Date Issued:04/21/2022
Permit Category:ePermit
Site Address: 4049 Halite Lane
Lot:1 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-010
Use:
Description:
Sub Type:Air Conditioner
Work Type:New
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Tste & Karen C Tste Zieglmeier
4049 Halite Ln
Eagan MN 55122
(651) 285-3410
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature