4060 Halite LaneCITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot 36 Bik 5 Paroel 11 16600 360 05
Owner C ? ti + Street 4060 Halite L2tlie State Eag?, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 1970 58.18 2.08 28 Paid
? SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL i 1971 1,615.00 80.75 20 PSid
WATER AREA
* STORM SEW TRK 1971 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 300.00 6026 7-3-72
BUILDING PER.
sa,c 2 . 0 6026 7-3-72
I PARK
,
I
7-
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE;
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 `' ' •'
9 Date Issued:
(612) 681-4675
.
? SITE ADDRESS: APPUCANT:
? 4060 aJAI rTE .1 asff LnGEaOtIr'yl' 'STE VF N
? I ? o ji } • i .. r ;' ' ! i? ` r , . 7 . ' ) ? 1 ^ . ? 1 t, : S s ` rl
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D, . DA
f° f MA 1
i
?
;
. ,
?-?`" - -- - - :._- - - -
Permit No. Permlt Holder Date Talephone M
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS 5-ct7
:- ?l
FOUND
FRAMING 7 to,&
ROOFING
C(-5-a7
wL?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGN
HEATING
GAS SVC
TEST 7
INSUL '?J _C ,7 ?? ?
GYP BOARD
I
FIREPLACE ?
FIREPLACE
A4R TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL fI ? Z '
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
?
7 ..__ r- _.,. - -..,.?,_ , ---:----------
INSPECTION RECORD
I
CITY OF EAGAN PERMIT TYPE: ,. .
i 3830 Pilot Knob Road Permit Number: „;0t, . "Eagan, Minnesota 55122-1897 Date Issued: 197
(612) 681-4675
? SITE ADDRESS: ; I. w.. ? i a-• 16 706-46$--05
tOt: 36 Al arKt
t;;,I.t'TE t AhfE
PERMIT SUBTYPE:
I 1:i r•4AR1r5>: SOFFcT t'A S cI
10 r m
APPLlCANT:
PANF. t CRAF'[' OF MM 1114
i t, 1 ' 1 f t f. :•t
TYPE OF WORK:
? `" ? J
- - - - - - - - - - - - - - - - - - --
Permft No. Permlt Holder Date Telephone #
ELECTRIC
PLUM6ING
HVAC
Inspection Date Insp. Gomments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PtUM81NG
PLBG
AIA TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACF:
AIR TEST
FINAL PLBG
FINAL HTG
OftSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINA4
DECK rTG
DECK FINAL
!(/?
?l
>X?..
---f;'Y_ EAGAN TOWNSHIP
BUILDING PERMIT
OwneY ........ `rl?:
Addrew (Presenl) ............
'..`.?. .,? ............... ..............
Builder .. ?-
- -.._.... ...... : .---._......`r .`n ............. _...........................
..
Addrecs ....
N° 2'768
Eagan Township
Town Hall
Date ..7??v... .7.Z:.........'..._.'
DESCRIPTION
5lorie To Be Used-For
- Fron!
- Depth Heigh! Est. Cos1 Permit Fee Aemarks
? // ? ; ?/?e .7,?rS'OI
I lc?-? __?
S/c- 3", -4e-
or
LOCATION
This permif does aot avihoxise the use of slreels, roads, elleys or sidewelks nor does it give the omaer ox his agent
the righf io creale any siivatioa whiah is a nuisance or whiah presenfs a haasrd !o the health, safely, soavenience and
general welfare !o anyone in the eommunify.
TFIIS PEAMIT MUST BE,cK?EP?T ON TFtIE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to aerfify. ihaf._--l..t-c....-_..?.+....?------- haspermisaion !o ereet a.../.L_ ]"-¢.°=?.re'J"<. !-'....."_-upon
the above deseribed premise eubjee! !o the provisiona of the Suilding Ordinance for Eagan 7ownship adop2ad April 11.
1855.
- .....,?,,c:4?,??,??:-r-:"_......
Cheirman oE Tnwn Soazd
13
per .............. .......---....r?Q-•.?;:?.. H.......?':?..x...--•-:::-.................
uilding Inapacfor Zg
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'795 Pilot: KttoU ;:oad
f;agan, idnne:;oea SSl?l
PERPiIT N0, 234
The Board of Supervisors hereby gcants to Cedar Grove Construction Co,
_ oE 73,1 ? Concord Dlvd. F'„ South St. Paul 55075
? PLIR?BIt?
Permil ior: (Gwner) same
?? Lar?e, ; 4031 TM c,e Lan a? pe .arrie ian ?nee 1?0511 Pum-
Ja e ??ne, 1_; ?e lane, I?0 1,amon?.ante Lane, ts24 Carne ian I.ane
" yp (' ,
'=-- - .= e. r ,
i#e '.?" ? ^?, , pu:su?nt to app2ication dated '
f>!2%/?2
i'?e Paid? ;?;72n.C1(i llated this ?rd day of , Jiltly ? 7972 _
,.-,c'
Building Inspector
id
__ .
TO;,N OF EAGAT1
3795 Pilot Knob ;:oad
Eagan, Minneaota 55121
// / lv &, lJ D?G>f> d S?
PERMIT N0. 221
The Board of Supervisors hereby g-rants to Cedar Ctrove Construction Co.
of 731t3 Concord Blvd. E., South St, Paul 55075
a HEATING permil' for: p(?Ow???ner) sazne
ir? LCarne ? Lane'L4ane1 c Lan? Ge ?e, e ian $xie? l?Osi? p?n-
?l "I t535 ?Jade 'ane, 0 imoni e Lane, 2?j Carne ian Lane,
pursuant to application dated
6/27/72
Fee Paid: $220.00 pated this 3rd day of
s c
J?h1y
Build:ng Inspector
197?
,n
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? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMITTYPE:
BuzLortie
Permit Number: 0 3 0 5 0 3
Date Issued: 0 7 J 3 0/ 9 7
SITE ADDRESS:
P.I.N.: 10-16706-360-05
DESCRIPTION:
4060 HALITE LANE
LOT: 96 BLOCK: 5
CEDAR GROVE #7
r--? ._,
q'Yfilda.n4,-Permit Type SF ApDITION
8uild5ng War,k Type NEW
' Census•Code '?, 434 ALT. RESItlENTIAL
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C?+ ` .A "
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REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$358.75
$233.19
$13.00
$604.94
CONTRACTOR:
$26,000
OWNER: -
LAGERQUIST
4060 HA
EAGAN
(612)454-0484
Applicent -
STEVEN
LITE LN
MN 55122
?e
I Hereby aeknow5.edg?'??hae??.?h?uerea?'>;thxs?',PPY?=-a'Citz?{andtaxe`'ithat"`,
information is correct and agree to ooinply with all applicable 5tate of Mn.
Statu?tes and City of ?Eagan.Ordinances,,.`-
t ` .
_ .._ '.s.a. .... ' , ...... . . _ ,_ .. , . , n...... _. .. . .., m . _ c : _ c
L
APPLIC T/PER T E SIGNATURE ISSUED SIGNA RE
I
,? -
?.,_?
r • ` 0&1997 BU{LDING PERAIIIT APPLICATION (RESIDENTIAL) $?Oq, Q 4
CITY OF EAGAN
3850 PILOT KNOB RD - 55122 ?
?B75
New Conatruction Reauirements 681 RemodeVReoair Reauirements
• 3 regiatered ske surveys • 2 copiea of plan
? 2 capiee of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site suneys (exterior eddkfone 8 dedcs)
? 1 energy calculations ? 7 energy calculations tor heated adtlitions
? 3 copies of tree preeervation plan H lot platted after 7/7/93 //
required: _ Yes _ No
DATE: '7 // Q ?'/ ? 2- ?i SOO
? ? CONSTRUCTION COST:
DESCRIPTI ON OF WORK: -/ J-;7 ?c_ ?? W<oq7le- d s9 dd rh0(/j
STREET ADDRESS:
LOT BLOCK f _ SUBD./P.I.D. #:
PROPERTY Name: 6-Lf -"rr Phone #: v
OWNER
Street Address p t4/?
Ciry: Es.t±Z _ 5tate: ? Zip: -.SS?/ ZZ ^
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITEET/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer•Sed plumber (new consWction onty):
and lot change are , equested once permit is issued.
Penaliy appfies when address change
I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all applicable
5tate of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant:
OFFICE USE ONLY 211 - OC 64z)
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes _ No _ Not Required JUL 2 1 1997
BY:?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
?( 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Misceilaneous
? 06 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
x 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building )rm
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code,
SAC Code
Census Bldg
Census Unit
Engineering Variance
?
_L
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
I5T Ft..9 -
$ 7T
320x 6-4 =417220.Qa
Ge^wt, seAC.a
320 X l(o-*t q20,OD
% SAC
SAC't3nits' '
Y CODE
1-2 Family Residen[ia[ Bui/ding
RESIDEIVTIAL "COOKBOOK" WORKSHEET
Applicant Name Phone
evevr (7, (,9??v-4??-,( Dale Stalement of Compliance: Building Official Use
Applican[ Address ' The proposed building design mpresented in thesc
/-
/; 4 documenls is consistent with ihe building plans,
specificetions, and other calculations submitted
Building Address: with Ihe permit application. The proposcd ,
buildi has becn designed to mcet Ihe
, rcqw? nIS of il Minncsote Ene
App icanUEngineer
MINIMUM REQUIREMENTS for "Cookbook" Ontion:
Entry Doors I-3/4t'solid wood w/ storm Ceiling with energy truss R-38"`; Rim joist R-19
door br equivalent (Min. 7%z" top plate to sheathing)
Foundation Windows• Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44"' Floor over R-24
wood or vinyl frame unconditioned space
'Include square footage in calculation of WindowlDoor Area Ceiling-no attic R-38 w/ R-5 sheathing
to detertnine above grade Window U-Value.
... ' -'
--anaumuml rqiVlllle[IGGUL W111[C7(IPSIgI1l.OIlUI[I00S
. '
Window and boor Area ' 100 x S?Z) WINDOW U-VALOE : 3 J 47`
Aa % of Exposed Wall Area lbove Cradc Wlodow and Gross Wall Ares Wlndow/Door Aru Source: NFRC or ASHRAE 1993 Nendbook
FoUadationWipdowlDoor Area
I w
.? MAX11Mi1M WINIIlIw ii_vAr ncc
ChOCk Wa11
Type Uaed WALL'I'YPE MAXIMUM WINDOW Al'VD [)OOR AREA % OF EXPOSED WALL AREA
12% 14% 16% 18% 20% 22% 24% 26% 28% 30% 32% 34%
? TYPE A
TYPE B
TYPE C
TYPE D
TYPE E
TYPE F 2x4 framing, R-13 insula[ion, sheathing R-7 or greater.
2x4 framing, R-IS insulation, sheathing R-5 ot greater.
2x6 framing, R-19 insulation, sheathing less than R-5.
2x6 framing, R-19 insulation, sheathing R-5 or greatec
2x6 framing, R-21 insulation, sheathing less than R-5.
2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.55
0.52
0.48
0.56
0.51
0.58 0.47
0.45
0541
0.48
0.43
0.50 0.41
0.19
0.36
0:4-2-
038
0.44 0.36
0.35
0.32
037
034
0.39 033
031
0.29
0.34
030
035 030
0.28
016
0.31
0.28
0.32 0.27
0.26
0.24
0.28
0.25
0.29 0.25
0.24
0.22
0.26
0.23
0.27 0.23
0.22
021
724
0.22
0.25 0.22
0.21
0.19
0.22
0.20
0.23 0.20 0.19
0.20 0.18
0.18 0.17
0.21 0.20
0.19 0.18
0.22 0721
TI.:..,.. LI . f_._ __._ .._ _n.• . . .. . . ___ .
_ ___ '__" __..._..... ....... r..._.......... .... ...?....a .?? .??.. ..t-.5y ?vaq ran io rv vy q, auDp. L.
This is a summary only. Olher requirements may apply. See the Minnesola Energy Code.
Queriions? Catl Depanmenl of Public Service Informalion Centa at 612@96-3175 or 1-800/657-3710. 2/5/96
_???,, vim
,
?
•1-2'FAMILY RESIDENTIAL BUILDINGS PACKET
. ,
A ENERGY C
1-2 Family Residential Buildings
SOMMARY OF BASIC REQUIREMENTS
ROOF/ WA i S OORS•
• Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR
meet U-Value criteria as outlined in Exterior Envelope U-Values Worksheet.
O R. OP RTTF TA•
• Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline.
• Foundation walis must be insulated with R-10 minimum from top ofwall.
• Loose fill insulation installed must provide the required performance at winter design conditions.
EFFECTIVENESS OF RF(1i1iRFD THERMAi INR ATIQN•
• Building design must meet Category 2 requiremenu for vapor retarder, air leakage and wind wash barriers, and
ventilation.
DUCT INTi ATION AND cFALINC'•
• Insulation for ducts encased in cement or within ground must be R-5. Insulation must be installed on bottom and
side of plenums.
• Ducts installed in attics, garages, exterior walls or unheated crawlspaces must 6e R-8, minimum.
• Return air ducts conducting air into a furnace through the same space as the fumace must be sealed continuously
airtight.
• For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all uansverse joinu
must be sealed.
HVAC PIPE INSLn ATION•
Insulation Thiclmess, Inches
Pipes 1" and Pipes
Runouts' Less 1-Y." to 2"
Heating %, I-h 1-h
Cooling (Suction) /, 3/4
'Applies to runouts not exceeding 12 feet in length to individual terminal units.
SERVICE WATERHE'eTnvr•
• Either the first eight feet of both inlet'and outlet pipe must be insulated with'/ inch thick pipe insulation or heat traps
must be installed.
• Energy requirements for swimming pools and spas aze in Part 7670.0710, Subpart 5, page 55 of the code.
MATERiAi. IN1i ATION INFO MATION•
• Materials and equipment must be identified so that compliance can be deterntined. Completed insulation receipt attic
cazd must be supplied near access opening.
• Manufacturer manuals for all installed equipment cequiring preventative maintenance for efficient operation must be
provided.
• Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly
marked on plans.
This is a summary oNy. Otha requiremen[s may apply. See the Minnesota Energy Code 275/96
Ques[ions? Call Depanment of Public Service Information Cenmr at 612/296-5175 or 68001657-3710. 0 a"
A ENERGY CODE
SUMMARY OF BASIC CATEGORY 1 AND CATEGORY Z BUILDING REQUIREMEN'fS
FOR INSULATION PROTECTION, AIR TIGFITNESS, AND VENTILATION
All buiidings must meet
VENTILATION• A Category 2 buildin2 is one where infiltration and passive ventilation (operable windows) are
relied on to provide necessary veaz-round ventilation. If one or more of the Category 1 measures beiow is
incorporated into the residential design, however, a resideotlal mechanical veatilation system as specified below
must be installed.
VAPOR FTA R• A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the
warm side of insulated ceiiings, wa11s and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code
requires a vapor retarder to be installed only on rim joisu that aze susceptible to condensation from moisture diffusion.
AIR Bi? • A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the
conditioned space into exterior ceilings, walls and floors.
• Plumbing and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that
is located on an exterior wafl.
• Air sealing must be done at all dropped ceiling azeas, chimney flues, ventilation ducts, and other fire stops that
penetrate the vapor retarder.
• Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the
service enttance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated).
• Joints in the building envelope must be sealed, including around window and door frames, between wall caviiies and
window or door frames.
• Tested air infiltration rates must not exceed 034 cfm/squaze foot of operable sash crack for windows, 0.5 cfm/square
foot for residential doors and 1.25 cfrn/squaze foot for commercial doors.
WIND W ' An air-impermeable barrier must be installed at the attic edge (baffles must be rigid
material resistant to wiad driven moisture); and overhangs, such as cantilevered itoors and bay windows.
meet all requirements as
RESIDENTIAL. MF. HANI A NTi ATTLIN CVCTL'M Til1D DL`CiTL`A*'+'* r..S
A system that, by mechanica] means, is capable of introducing and distributirtg ovtdooc air ta all habita6le rooms and
removing indoor air at a rate of not less than 035 air changes per hour or 15 cfm per bedroom plus another 15 cfm,
whichever is greater.
A1_R T.F.p A(:F BA RT ,R; A barrier against air leakage must be installed to prevent leakage of moisture-laden air
from the conditioned space into the building envelope:
• Electrical boxes and fan housings must also be seated.
• All rim joists, band joists, and where floor joisis or trusses meet outer walls must be seated.
• The top of interior partition walls that join insulated ceilings must be sealed.
• Joints must be sealed benveen wall assemblies and their rim joists, sill plates, foundations, between wall and
roof/ceilings, and between separate wall panels.
WASH BARitiF'R• q[I exterior joints in the building envelope that may be sources of air leaks must sealed.
This is a summary onl,v. Other requircmcnu may apply. See the Minnesota Enugy Code. 2/5l96
Questions? Call Deparunent of Public Service Informa[ian Center at 612/296-5175 or 1-800/657-3710.
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I PERMIT
--?C11'Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Ea an, Minnesota 55122-1897 Permit Number: B U I L D I N G
9 Date Issued: 0 3 0 8 2 7
(612) 681-4675 0 9 J 2 2/ 9 7
SITE ADDRESS:
4060 HALITE LANE
LOT: 36 BLOCK: 5
CEDAR GROVE #7
P.I.N.: 10-16706-360-05
DESCRIPTION:
l?
Ruilding-'P-ermit Type
?Suilding Wa'rk, Type
? CBnsus.Ccscfe.
a
i ?
i- }
, i.. ? Er m" a? ti . . ?µ?`:».
SF (MISC.)
REPAIR
434 ALT. RESIDEN7IAL
ms
r?t;}2,.?
?i??u
REMARKS:
SIDING SOFFIT FASCIA TRIM
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: _ Applicant - ST. I.IC OWNER:
PAN,ELCRAFT OF MN INC 17216628 0062179 LAGERQUIST STEVE
3118 SNELLIN6 AVE S 4060 HALI1'E LN
MINNkAPOLIS MN 55406 EAGAN MN 55122
(61+2) 721-6628 (612)454-0484
i hergtry aokrrowledge ths?$„I_hava rea?F ?thie 4'p?rlxc?tion artd statg that;? t'he -_,
c,
' inform?€tion is coi^r??et anzf agrseta b#h?ply'??3'1M a.3`3 `appl?'?mb?e ?f .Mn.'
? Statwtes and City af Eagar"i Ordinances:?'"
APPLICANTlPEFMITEE SIGNATURE
fiatlq. R'DA_
ISSUED `q SIG1tlA R
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslmction Reauirements $gm d?ellReoair Requirements
? 3 regislered sita survays ? 2 copies ol plan
? 2 copies of plans (includa beam & window sizes; poured fnd. design; etc ) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copiea of tree preservalion plan H lol platled after 7/1/93
reqvired, _ Yes _ No
DATE: ??* ?C> M`a-r CONSTRUCTION COST
DESCRIPTION OF WORK: ? I
STREET ADDRESS:
LOT „3G BLOCK ? SUBD./P.I.D. #:
PROPERTY Name:.5':5 Phone #: 4i5y<qN
OWNER Street Address:LICYr? ?y{p LC\
City: State: Zip: :!5-ak"
CONTRAC70R Company: Phone #: 7a /-(01004i
Street Address: t???4'i g(`P\\\AU S. License #: a?? 1
City:State: .ft\(?_ Zip: ``EM(O
ARCHITECT/ Company: Phone #:
. ENGINEER
Name: Registration #:
Street Address,
City:
State:
Zip:.
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aii
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ??? ?1-? 1 L1AA1??
OFFICE USE ONLY
Certificales oi Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
?
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. k. SAC Code
Census 81dg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Waier Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
/6?o6-?3Go r?
CITY USE ONLY
L ?'ln sL 5
SUBD. ?? / 6
* 7z1sy
1995 MECHANICAL PERMIT (RE5IDENTfAL)
RECEIPT #: 5067 3
DATE?
l??//9.1
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on air conditionina
Add-on fumace
4tidr_n airaxvhm;;age., : 2. 1.3615E z'ryS aiir., ctC.
Date:
? Minimum Fee: Add-on/Remodel (existing residence
? HVAC: 0-1 DO M BTU
Additionai 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
.50
210, .fo
SITE ADDRESS: L?? Ark-l'o:?L L>"?
OWNER NAME: SGr'? 14s',t Xu i tT PHONE #: `?s y o5'?'
INSTALLER NAME: ?V2024 A22 a`4kk
STREET ADDRESS: Zf'S-f /LZ
CITY: ?? STATE:_ ZIP: ? ?z-?--
PHONE #: ( (?>y) ?? a - zddJ`' ? ?
C•
FEES
only) to:?'
6.00
CITY USE ONLY
L _ BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are t1oS required
for each dwelling unit.
i:Ai'E:
n?v?uraGnT [>RtC??;
V4niY?.V:V. J
WORK TYPE: - NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: •$25.00 minimum fee QC 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $7,000 of permit fee due on all permits.
COivT€'cP,CT PrZii,E x 1'l0
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
TELEPHONE #:
ADDRESS:
CITY:
PHONE #:
STATE: 21P:
SIGNATURE:
SlGNATURE OF PERMITTEE CITY INSPECTOR
#..-9
EAGEiN TOWNSHIP
3795 P1Iot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
36-5-7
885
Billing Name. ?`-"5ite Address: ?CL?(CIO-T\-Q
Owner: Billing Address L
Plvmber: ? Y, S-?b?
(
7/3/72
NO iTotal Chg.
Building is a:
Residence xx
M2ultiple Zt*o, Unit
Commercial
IndusYrial
Other
Meter No. Permit Fee 70,00 d 7/3/72
Meter Readiag iMeter Dep. .o pd 7372
Meter Sealed: Yea_ 'Add'1 Chg.
Inspected by
Date
Remarks;
Sy:
Chief Inspector
In consideraCion of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work ia accordance with the rules and
regulatioas of Eagan Township, Dakota County, Minnesot .
By:
Please notify the abave office when ready for iuspection and connection.
J. ,
EAGAP7 TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:?1-7 D,y N[lM$ER 1054
resa
)qupo
E OF PIPE
BUILDING
Industrial Commercfal Reaidential Multiple Dwelling Na. of units
Location of Connections: Connection Charge260•pp Pd 7/3/72
Permit Fee 10,Y0 pd 7472
Street Repafrs
Total
Inepected by:
DaYe
Remarks•
By
Chief Inspector
In consideration of the issue aud delivery to me of the above pexmit, I
hereby agree eo do the proposed work in accordance with t6e rules and
regulations of Sagan 1bc•mship, Da1cota County, Mianeaot
BY
Please notify when ready for inspection and coanection and before any portion
oE the work is cwered.
0
?
MASTER CARD
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
v_ {-
WELL
ELECTRICAL
HEATING
GAS INSTALLING
--?r_z--
SANITARY SEWER ?
OTHER
OTHER
•
E
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTWG
FOUNDATION
??- SEPTIC
CESSPOOL
FRAMING
• TIIE FIELD FT.
FINAL
ELECTRICAL
HE,4TING DEPTH
OF WELL
GAS INSTAILATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL ? / - Y
SANITARY SEWER y. L ?-7 30
. ?
4_
A/AZ
-e • Violations Noted
on Back
COMMENTS:
STRUCTURE AND
LAND USED AS ? _ 1 ??
r
.
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPEC710N
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION -1 certify that I M1ave carefully inspected the above in which I have no interes[ present or prospective, and that I have reponed herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
..
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
/ o Cl
r
1
?
d ?
6
Site Street Address
l?
ly _ Unit #
Property Owner a f'i7? Telephone #(?
Contractor , Telephone # (Lpb;
Address _ City State Nk Zip
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener V Water Heater $ 15.00
I replacement _ 'additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
Sta4e Surcfiarge $ .50
Total $?
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a pl n is required to be reviewed and approved.
--
ApplicanYs Printed Name ApplicanYs Signature ? rN PL '
r? I I 11
L ?
3y ,
My Of E8p
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?---------------T
? For Office Use _
i Permitpee: ?u
? oate Receivea: j
? I
I Statt: I
-------- ----'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Da,e: q-a?-ocl 5..: Y06 o gal; l-e lqn e
Tenant:
9:
RESIDENT I OWNER Name: ulCiiJ 4ICiGlPhane:
Address/City lZip: 4/1760'4/w'k La/5e-
?
Applicant is: _ Owner ?'Contractor
TYPE OF WORK Description of work= RC'+eoU7
Construction Cost `? [?3. CoU. °v Multi-Famiiy Building: (Yes____ / Nolk-i
CONTRACTOR Name: O-ir--P-Sc7n kXlilGU/?o .1T1 C , License#: a0/ 9Snag,
Address: 0662 L"0l-)4?Lq2 ?S?JUY' /'0/IPC?Q
Cily: (.l?b d cL?ID LJtL/ Sta[e: alN Zp: ?•?raS
/ i
Phone: p S?- ad,?-f3yy Corrtaci Person: CSSi[q &2k6an
COMPLETE THIS AREA ONLY IF CONSTiiUCTING A NEW BUILUING
_ Minnesota Rules 767D Cateaorv 1 Minnesota Rules 7672
Energy Cotle - Residendal Ventilabon Cstegory 1 Worksheet - New Energy Code WoM1= heet
C8[egory SWbmitted SuomEned
(d submission type) • Energy Envelope Calculalions Submitted
In the last 12 monYha, has the Ci[y of Eagan issued a permit for a similar plan based on a master plan?
_Ves _Na If yes, date and address of master p1an:
Licensed Plumber: phone:
Nechanical CoMractor: Phone:
Sewer & Water Contractor_ Phone:
NOTF: Plans and suppurlirig dxuments that you submit are consialBred to be puWlc inlormation_ Porlions of
the 7nlormation may be classiffed as rron-publfc if you provide specific reasons that wouW permit the Ciry fo
wnclude that the ere trade secrets.
I hereby acknowledge ihe[ this iMOrmation is complefe and accurate; iha[ the work will be in corrtormarice with the orciinances and codes o1 the City of
Eagan; 1Aat 1 untlersientl llhis fs noi a pertnit, but only an application for a permi[, and wotaR wihouta permit; tnat the woAc will be in
accordance vrilh the approved plan in the case of worlc which requires a review and a?rova/?
) ? ?
X C?eC ??iZk-SUl'1 X C ?.•,..?
ApplicsnCs PrlnCed Name Appl n1^s Signature
Page i of 3
Z d BZ£ 60 60 LZ adtJ
For Office Use - -
City of Eaall Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Dale: 7'9 Site Address: Y060 /I/J/ e / ? yY e
Tenant: rr Suite
LJ~&d 4 f/_ f Phone: bSl S ~ - ~l " 7
RESIDENT I OWNER Name:
Address/ City !Zip: 110604 i?e La.jle uz;an SS-1 -d g
Applicant is: Owner )(Contractor
TYPE OF WORK Description of work: Re
Construction Cost: `0"C~04. Multi Family Building: {Yes / Na)
CONTRACTOR Name: i G Sc9Yt & iICUno 1) . ,p License ~ / g O a 9
Address: CEO ~~C~Ge ~7r?itlr 1 f/ u
City: / CtlfCO c__c,l_G7 State:,~y~
1 Zip: S `~f_s
-
Phone: 6 S7- 00~- f 3rl Contact Person: eSSitq
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
('`f 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 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 t understand this is not a permit, but only an application for a permit, and work is of 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 .
_C? ~_Zksvrt
x x
Applicant's Printed Name Applt nt's signature
Pagel of3
Z-d eZC:60 60 LE idV
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116067
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 4060 Halite Lane
Lot:36 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-360
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer S Kielas
4060 Halite Lane
Eagan MN 55122
Residential And Commercial Exteriors Inc
16040 St Andrew Lane NW
Anoka MN 55303
(763) 443-0830
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127360
Date Issued:09/30/2014
Permit Category:ePermit
Site Address: 4060 Halite Lane
Lot:36 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-360
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jennifer S Kielas
4060 Halite Lane
Eagan MN 55122
(651) 587-9828
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146265
Date Issued:10/17/2017
Permit Category:ePermit
Site Address: 4060 Halite Lane
Lot:36 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-360
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Jennifer S Kielas
4060 Halite Lane
Eagan MN 55122
(651) 587-9828
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature