4067 Halite LaneEAGAN TOWNSHIP
BUILDING PERMIT
N° 2439
Eagan Townahip
Town Ha11
Dale
---....... .. ..................
52ories -- To Se Used For Froni Degth Heigh! Esl. Cos1 I Pexmif Fae I Aemarka
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LOCATION
8lr8ef, Road or ofher Deaeripiion o! Location I Lo! Bloek Addilion or Trae!
Ifoo: y
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C Je
This permit doas aoi aulhorisa the use ot alreeh, roade, alleys or sidewalks nar does it give the owner or his agent
the zighS Yo creafe any siiuafion whiah is a nuisaace os which presenls a hazard !o the healih, safely, convenience and
ganerel welfera !o anyone in the commuaiYy.
THIS PEAMIT MUST BE KEPT ON QT?HE PAEMISE WHILE THE WORR IS IN PROGRESS.
This ia !o ear2ify, 3haf._........ has pesmission So lrecf a...._4.. . ` ? ...?:-?-?,? '_ypaa
!he abova deac:ibed pzemise snbjec! !o the provisions of the Building Ordinance for Eagan'Township adopfad A'pril 11,
1955. ?n/?1 l
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Cities Digital Quality Control
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T04JN OF EAGAN
3795 Pilot :Znob P.oad
St, Paul, Minn. 55111
?/ -/D -7
L•C
''•PET&fIT NU, lOG
' The Board of Supetvisor's hereby graats to r?. ;?r? ,?irattrktl??y?
Co. of 7343 Coneotd BIYd. E.. 8???,&t..Ya1t1.Sli0?S '
?
,: ,?•I'? Permit for: (Owner) sar.te at
4040 'r3tic? ,:,,:J iaconlte Trail, 4676Z i giiet.te To ntv 4001 Pathp
:i:';7 ..s'! ice 403C L'iun,=6sr Drive -? pursuant to application dated
14-5, 0:' CG 7
71 .
Fee Paid: <_0 , Dated this 7th day of iaY , 197 1,
Building Inspector
?
Cities Di ital uality Control
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T041N OF EAGAN
3795 Pilot .Cnob 'oad
St, Paul, Minn. 55111
PERMIT N0. _11O_
The 3oard of Supervisors hereby grants to Cedar Grove Construction
Co• of 7343 Concord Blvd. E., So. St. IIul 55075 a
=.' - i. . Permit for: (Owner) aame at
?. r; ;:x.snr . r1re, 1&40 i'aconite Trail, "?7i 68??T , ridot Pathp
1?06,7 ;alire 40GU Ciimabar Driv?-a-n?-? ursuant to application dated
i'?
Fee Paid: 7+1• .J'-, _ Dated this 7th day of r14Y , 197 1,
Building Inepector
6
CITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot 4 Blk 10 Parcel 11 16600 040 10
Owner ?.(ll V VU 5. 't32 hle-lM FlQJX. Street 4067 Halite I,ane State??, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ' 1970 58.18 2.08 28 Pa
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL al
WATER AREA
* STORM SEW TRK 1971 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 3511 5-7-71
BUILDING PER.
sAC 200.00 3511 5- -7
PARK
?
EAGEsN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SGRVICE CONNSCTION
Date: May 5, 1971 Number• 605
4-10-7
Billing Name: CEDAR GROVE CONSS. C0. Site Address; 4067 Halite Lane
Owner: Same
Pltmber: Stein, Inc.
/71
Connection
Meter No. IPermit Fee 10.00 pd 5/7/71
Meter Reading IMeter Dep.
MeYer Seaied: Yes lAdd'1 Chg.
NO iTotal Chg.
Suilding is a:
Residence
t4ultiple No, Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Billin$ tkldress 7343 Concord Blvd. E.
South St. Paul, Minn,
55075
-
" C??;tl
':L"ol?r? P-UIION FCLG. I ii
?J.''JU iJC
'PROPERLY INSTALLED PviETERS.
By:
Chief Inspector
In consideration of the issue and delivery to me of the above perm3t, I
herehy agree to do tir proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
$y; CEDAR GROVE CONSIRUCTION CONIPANY
v
Please noCify the above office when ready for inspection and connection.
?.
EAGE1i TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATS• May 5, 1971
OWNER: CEDAR GROVE CONST. C0,
PLUMBER Stein, Inc.
NUMggR 764
(Lot 4, Block 10, Cedar Grove #7)
Address 4067 Halite Lane
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commercial
Location of Connections:
Connection Charge200.0O pd 5/7/71
Permit Fee 10.00 od 5/7/71
Street Repairs
Total
Znspected by:
DaYe
Remarka:
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do tfie proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota CounCy, Minneaota
By CEDAR GROVE CONSTRACTION CdNLaANY
? ?-i 2'
Pleaee notify when ready for inspection and connecYion and before y portion
of the work is cavered.
Residential I Multiple Dwelling I No. of units
MASTER CAR,D
? LOCATION yR?, r ? r?o
OWNER
STRUCTURE AND
LAND USED AS
0
Permit
No. ? Issued Issued To
Contractor ? Owner
BUILDING
PLUMBING ?10
t•.?O' ??
_____
CESSPOOL - SEPTIC TANK
V?ELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER 760 I
OTHER
07HER
•
0
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING /?/ L -? SEPTIC
FOUNDATION CESSPOOL
FRAMING ? ?_ d?L
V
?? TILE FIELD FT.
FINAL
ELECTRICAL ? -
-
HEATING
?Q
7-5 ? ? DEPTH
OF WELI
GAS INSTALLA710N
SEPTIC TANK
CESSPOOL
DRAINFIEID
PLUMBING
WELL V? b? O` 7
L?
SANITARY SEWER { gd
Violations Noted
on Back
COMMENTS
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
i
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEAIED
DA7E OF REINSPECTION
•
CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, antl that I have reponed herein
all significant conditions observed to he 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 praperty inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
OATE
.
v 2d®g I For Office Use
• nC~ 2 ® I I
I Permit
City of f Eajan
I 9
1 Permit Fee: '
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 1 I
- - - - - - - - - - - - - - - - J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
` Date: Site Address: LftYlid R a I i Uri
Tenant: Suite
RESIDENT / OWNER Name: '~1(>`~-e Qlk S07Y-) Phone:
° 1r , ~U a SS!
Address/ City /Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
y~
Construction Cost: f Multi-Family Building: (Yes 1 No
CONTRACTOR Name: C llh License 963U c ;L7 Lf
Address: C.,1&WCLd0
City: 30 C CV-\ State: Y r ij 770 Zip: S,53J
Phone: 015gL_gq~ 4 ) -7 to Contact Person: I ' p4t_ ky, S(~'rYl
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
(4 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 rt 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
.►I
x l ► r,.,.1 x
Applicant's Printed Name Appli Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120114
Date Issued:01/17/2014
Permit Category:ePermit
Site Address: 4067 Halite Lane
Lot:4 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
David Daher
1568 143rd Lane Ne
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 -
Kevin T Josephson
4067 Halite Lane
Eagan MN 55122
(651) 675-6163
Freedom Heating & Air Conditioning Inc
1568 143rd Lane NE
Andover MN 55304
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145380
Date Issued:09/07/2017
Permit Category:ePermit
Site Address: 4067 Halite Lane
Lot:4 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-040
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 -
Kevin T Josephson Tste
4067 Halite Lane
Eagan MN 55122
(651) 675-6162
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
r
For Office Use
E
c E, Permit#:
% AGA N
flECEIVE Permit Fee:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 SAN 0 6 2020 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Staff:
buildinginspections(&cityofeagan.com BY
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/2/20 Site Address: 4067 Halite Lane
Tenant: Suite#:
Resident/Owner
Name. Josephson Phone: (651 )675-6162
Address/City/Zip: 4067 Halite Lane /Eco /ccia
Minnesota Rusco Inc PC749301
I Name: License#:
Contractor
Address: 5010 Hwy. 169. N. City: New Hope
State: MN Zip: 55428 Phone: 952.935.9669
Contact: Scott Ziemer Email: scottz@m innesotarusco.com
New V Replacement Repair Rebuild _Modify Space Work in R.O.W.
k Type of Work i —
Description ofwork: Demo existing fixtures. Install new shower, and Vanity.
I Tankless Water Heater
Lawn Irrigation( RPZ/_PVB)
3 —
✓ Add Plumbing Fixtures (✓ Main/ Lower Level)
DescriStandard Water Heater ption Water Softener
Description: New shower and Vanity fixtures
Septic System
Connection to City Water from Well
New Abandonment
—
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $200 for Radio Read =$550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$ 60• 00
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
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 st.• 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 J -,+ 74ie - - x I► --
Applicant's Printed Name Applicant's S
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166066
Date Issued:12/09/2020
Permit Category:ePermit
Site Address: 4067 Halite Lane
Lot:4 Block: 10 Addition: Cedar Grove 7th
PID:10-16706-10-040
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kevin T Tste Josephson
4067 Halite Ln
Eagan MN 55122
The Window Store Inc
2924 Anthony Lane Suite 115
Minneapolis MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature