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4073 Halite LaneCITY OF EAGAN Remarks Addition CEDAR GRaVE #? - Loc 5 Bik 10 Parcel 11 16600 050 10 Owner?aj,eP, ViolGl LArw-? Street 4073 Hdlite Lane StateEaQan• MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 $8.18 2.08 28 Paid *SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL 1971 1,615.00 80.75 20 PB.ld WATER AREA #STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 280.00 3982 5-23-71 BUILOING PER. sac 240.00 3962 8-23-71 PARK BUILDING PERMIT T„ ko ,-A ,,,. FIEtEPWAC6 $1 Receipt # .?4 17581 tfAitCH 8 , 19 90 Site Address 4073 HALITB LN Lot Block 10 Sec/Sub. C6DAR GROVE 771 1 OFFICE USE ONLY Parcel No. occuPancy - FeFs Zoning W Name $TEVE $EBRIl?C (Actual) Const Bldg Permit 2 S• 00 ?73 ?l i? ? - . ; Add?2SS ' (Ailowable) - • ? ° 688-7625 ?? Surchar e 9 City Phone ;? ot scories - Plan Review lenglh _ o Name T?II? CITY FIRL?PI.ACE Depth - SAC cic ? 0 01 1525 W RIVER RD N Address S.F.TOtal , y _ 0 r ¢ y Cli MP? Phone 588`0791 S.F. Footprmts _ SAC, MCWCC t C W On Site Sewage er onn a _ W W Name ? on site weu - W M ater eter vZ=- Address MWCC System - y i W City Phone cfty wacer qccl, Deposit - PRV Required _ SnN Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge iniormation is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVAIS Road Unit TKi CITY FIRBP{J1C$ A Building Permit is issued to: Planner - Park Ded. on the express condition that ali work shall be done in accordance with all Council -- applicabie State ol Minnesota Statutes and City of Eagan Ordmance s. Bldg. Otf. _ Copies 25.50 Building OffiCial Vanance - TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 Permit No. Permit Hoider Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspectlon Date Insp. Comments Foolings I Foundation Framing Rooling Rough Pibg. Rough Htg. Isul. . Fireplace 1 A?' c ip FinatHtg. - p?•k«? ip, Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./war, C- llT 2 ceve7 c/qu) Bldg. Final o Deck Ftg. Oeck Final weu Pr. Disp. ? EAGAN TOWNSHIP BUILDtNG PERMIT No Owne= ... . ..... -? --Eagen Townehip _...- -°'-- °:? -' " ... Addrecs (Preseni) ?=-`-"'..:...?_:.._..._...--......------ Town Ha11 Builder ....................................... ........................ ............ ................ _... - Data .................................. ..................... ....... ?L.?/./. Addreos ...................................... DESCRIPTION 2547 To Be Usad For Fronf Depfh HeighSI Esl. Cost Permi! Fae Remasks 7 ?.-??. e,.? ? y %G i ,.d? ?° .e LOCATION /?S"Ti 7,a=e'- 7 - ?{D C??b ? yo / -T ?1hls permi! doe ao! authi&e !? i ute i(siree , roada, elleys or ev?alks ifor doos it givs the ownsr os h[t ayeat the righ! !o ereate anp situalian whiah is a nuteanee os whfch preeenls a hasard !o the haalfh, safeip, eonvsnleace and ganesal welfare !o anyoae in the communify. THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGA£S . This is !o eesiiip. ........has pasmisaion !o erect a.... ;_..:'?'.7. ?'?::?t, ............... v.upon !he ahove deseribed psemise subjact fo the provis3oaa of the Building Ordinenee for Eagan '1`ownehap adopfed Aprfl 11. 1955. 8lseef, Road or oiher Desesipiion of Loeation I Lo! - oak Addilion os T:ae! 1 ? r? 3?-.?Y <-K - '73 A=?- ? C?FC9 ' /7 9i . ? 9" C S U%.,??-....<..-? /RaS Ho-+-o .?-,,..-r? ?l fb s _ .................... ..."... ........ ...... ?..^...'....."` ..................... Per ........---... ........?n....._ Q??.-a?..?-..? :...........'-'_.-_"'---'_.... Chair an of Tnwn Board ds 15 Huildinp Inspaclor CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt a To be used for FIREPLACE Est. Value $1,800 Date MAE 19 90 Site Address 4073 HALITE LN Lot 5 Black 10 SeGSub. CEDAR GROVE 7T1 Parcel No. w Name STEVE SEERING o Address 4073 HALITE LN City EAGAN Phone 688-7625 }? Name TWIN CITY FIREPLACE g¢ Address 1525 W RIVER RD N ? City MPLS Phone _ 588-0791 Itz'I W Name ?,?-? Address aW CityPhone I hereby acknowlege that I have read this application antl state that the information is correct and agree to comply wrth all applicable Slate of Minnesota Slatules and City of Ea an Ordinanc/es. / Sgnature ol Permrtee A Bmlding Permit is issued lo: j ' GE- on ihe express condRion that all work shall 6e done In accordance wrth all applica6le State of Minnesota S1aNtes and City ol Eagan Ordmances Budding Ofhcial Occupancy Zoning (ACtual) Const (Allowable) # ol Stories Lenglh Depth S F Total S.F Footpnnts On Site Sewage On Site Well MWCC Syslem City Water PRV Required 8ooster Pump APPROVALS Planner Cour.cil &dg OH. vanance N° 17584 OFFICE USE ONLY FEFS Bltlg Permil Surcharge Plan Reviaw SAG City SAQ MCWCC Water Conn Water Meter AccL DeOasit S/W Parmil SrW Sureharge Treatmanl PI Road UnA Park Ded Copies TO7AL 25.50 - 04 SI?I-7 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0, 161 The Board of Supervisors hereby grants to Cedar Groue Construction of 7343 Concord 1'1.vd. F, So. St. PauL 55075 e-?iU*SIIINC Permit for: (Owner) Cedar Gxove Construction Co. 4--4,C5_-1 Qt':9-1, 9-4, 18-9, 17-1 0 R" at ?A_S? ,_?n ?r. f7 , pursuant to application dated 9/19/71 Fee Paid: F16?. 00 Dated this da of 2ath Y SeQtember , 1971. 4.00 s/c Building Inapector 11- c, Go • sio TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0, ',51 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 7 Blvd L S St Paul Minu 55075 a permit for: (Owner) Cedar Grove Constructioa Co. 4i? 5-10• 29-1, g'-[;r 78_9, '7-., 23-5 at __ 7_10 CC f7 , pursuant to application dated 9/}7/71 Fee Paid: $760.00 Dated this 20th day of September , 197 !. 4.00 s/c - Building Inspector --- - ? --??.. . I $AGIaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SHWER SERVICE CONNECTION DATE: August 20, 1971 OWNER: Cedar Grove Construction PLUMBER Stein Plumbing DESCRIPTION OF BUIIA ING Industriall Commerciall Residential I Multiple Dwelling I No, of untts Permit Fee 10.00 d 8/30/71 . pd 8130171 Street Repairs Location of Connections: Connection Charge 240.00 pd 8/30/71 Total Inspected by: Date Remarks• NUMBER 865 Addrese 4073 Halite Lane 9_in_7 TYPE OF PIPE Cast Iron By Chief Inspector In consideratioa of the issue aad delivery to me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Hagaa Tonnship, Dakota CounCy, Minaeaota gy. Cedar Grove Construction Company Please notify whea ready for iaspection and connection and before aaq portioa of the work is cwered. . ? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERFaT FOR WATER SERVICE CONNSCTION Date: August 20, 1971 Number: 705 Billing Nsme: Cedar Grove Construction Site Address: 4071 ual;tp T",a 5-10-7 Owner• same Plumber: Stein, Inc. NO ' Total Chg. gy; Cedar Grove Construction Company Building is a: Residence xx t3ultiple No. Units Commercial Industrial Other Billing Address 7343 Concord Blvd. E. Meter Size IConnectlon 30/71 Meter No. Pexmit Fee 10.00 pd 8/30/71 , p /30/71 Meter Reading lMeter Dep. Meter Sealed: Yes_ 'Add'l Chg. Inspected by Date Remarks; ?, :. ? ... Li ;;nL__? Hy: Chief Inspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulatioas of Sagan Townahip, DakoCa County, Minnesota. Please notify the above office when ready for inepecCion and connection. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 b New Conshuctlon ReauiremeMs ? 3 registered sife suneys showing sq. R. of loT, sq. tt. of house and all roofed areas (20% maxtmum lof coveraae allowed) ? 2 coples of plans (show beam d window sizes; poured fnd. desfgn; etc.) 1 set of energy ealculafions > 3 copies of tree presenation plan fl lot plaMed aHer 711/93 DATE: 9-9_ ? 9 DESCRIPTION OF WORK: S7 Ol? OC41?-MrY STREET ADDRESS: LOT: -< 73 N ci1; Remodel/Reoair Reaulrements .3 16-Z I j 2 copies W plan 1 set of energy calculations for heated addifians 1 sBe survey for exlertor addflions 8 decks * 0'J 19 y2QO - COST: BLOCK: tD SUBD./P.I.D. #: C? 4?d V--C PROPERTY OWNER Name: SP ?/?i1? STC vt Last Firsi Phone #: d r1-6???76-Zs Street Address: i a'73 Hci Ln, City ?A?a^ State: /1 Zip: Company: f1 ^4n C An Gs?njjj-AA l.G??ac?lS Phone 0: 6/"L 7Cy7-65-?-j (area code) CONTRACTOR ZZ?? A vt + License# zU169"i?3 ?, 3/ZOR? StreetAddress: / J?'1 ?dIL City l.?µ/n5?????. State: -^^i? 2ip: 3-5'337 ARCHITECT/ ENGINEER Telephone #: area code ( ) Name: Street Address: Registration #: City State: Sewer 8 water licensed plumber (reaulred for new consFructton onlv): Penalty applies when address change and lot change Is requested once permH is issued. Zip: I hereby acknowledge that I hwe read this appltcation, state that the Information Is correcf, and agree to comply with oll applicable State of Minnesota Statutes and CfFy of Ebgan Ordlnances. , A, Signafure of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF 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 ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 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/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 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 INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning 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 Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: Census Code SAC Code No. of Units No. of Bidgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance % SAC • Y ? ?? 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 1 Q ? Date: 3 7 a ? O- 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:" i??1 Valuation Site Address /v 17 - .f}LiT? ?A/ I Lot -6 Block 10 Parcel/Sub ?AH h/}f1{? q& awner S???e ??F2//?! G Address /7gLl? L/-/ City/Zip Code b?-'?e4^?l I'V./ Phone (v D? `-2 GLS Contractor .?li?(.s-6 Address I? cicy/ziP coae yh/J L1 {v Phone ?IV-67 f/ 'k-'4n, °/G41? Arch./Engr. Address City/Zip Code OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total iFootprint S.F. COMMERCIAL FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies Si1BTOTAL Penalty TOTAL _ 5. SO On site sewage_ On site well MWCC SySteID _ City water _ PRV _ BoosteY Yump _ APPROVALS Planner _ Council Bldg. Off. Variance Phone # MASTER CARD LOCATION .rZ/O - • OWNER STRUCTUR; AND LAND USED AS J Permif No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOI - SEPTIC TANK WELL EIECTRICAL I HEATING isr GAS INSTALLING SANITARV SEWER ? I OTHER V) 7rjS OTHER I ? Items •`OOTING FOUNDATION Approved Onitiap -G? ? Date ? . Remarks Distance From Well SEPTIC CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HE.O7ING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL SANITARY SEWER ? ? IF- ¢- .i • ( OMMENT& ? Violations Noted on Back 0 PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN 6VENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. DESCRIBED AS FOLLOWS: 0 ? REINSPECTION REQUIRED REINSPECTION NON-GOMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DATE OF REINSPECTION CE RTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions o45erved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-• men[s for off-site improvements relating to the Droperty inspected. 7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED Bl11LDING INSPECTOR DATE COMMENTS: ??a?ol 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? 2 copieS of plan l 17 DATE: III4loC) y? CONSTRUCTIONCOST: f //fSul?7`fcn S?fe-c?i DESCRIPTION OF WORK: ;PA?1Z. W?7 LDWro?PL.FVStr If mulH-famiry bldg., how many unltsT or SpG)T" LVU&L IMDICAiE THE FOLLOWIIVG EAUIPMEPdTTO BE REPLACED APlD BY WHOM: _ Plumbing x Homeowner gr Contractor Name _ Mechanical k Homeowner gE Coniractor Name "Note; If somebody other ihan the homeowner is performing plumbing or mechanical work, They must apply for appropriote permit. Only Iicensed piumbing coniractor or homeowner may Complete plumbing work. STREETADDRESS: q673 N)9IJrC L.AME E??GA) LOT: 5 BLOCK: 10 SUBD./P.I.D. #: ce- JAr Gro1Je-, Name: 5??111)G' S7EU? Phone #: 4a?1 -699' 76L!? PROPERTY Last First OWNER Sfreef Address:'ID-7-3 I)19)-)7-"F- AMG Clty FAlsYY lU State: M? Zip: S1T-1 22- Company: 5£1-r Phone #: CONTRACTOR (area code) StreetAddress: License# Exp. Ciy State: Zip: I hereby acknowledge fhat 1 have read this opplicafion, stafe lhat fhe inforrnafion is cortect, and agree to compry wilh all applicable State ot Minnesata Statufes and City of Eagan Ordinances. _ RECFz'VED SEP 14 2000 ]3Y: Signature of Applicant: PM " OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex O 10 08-plex ? 05 03-plex ? 71 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ect. Att - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 78 Deck ? 23 Porch (screened) ? 36 MuRi ? 19 Lower Level ? 24 Storm Damage Pibg _Yor_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV / Use BLUE or BLACK Ink r For Office Use Permit City of Ea I I aS I Permit Fee: I 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: ~`l3- l3 Site Address: Unit Name: (Af f Cr! tt Phone: 6 5-7-PW- 762-„i- Resident/ J / Owner Address I City I Zip: y 7o ~3 7~-(,/je Applicant is: Owner Contractor r Type of Work Description of work: Pwdq~ ke x'14 Construction Cost: Multi-Family Building: (Yes / No Company: ~esldeldra.L q &",%2.!ci-~rt Gk ' nc Contact: J Ssrrca. Fr'-Ckr-, Contractor Address:/ ~ 0 Vv R, Agd nzcda ZcGUK& I City: Jf:g State: Zip: S S3U3 Phone: Z-06 - License 13 C 6 9 6 a Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) e19COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a _Yes _No If yes, date and address of master plan: E Licensed Plumber: Phone: i : I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of ermit issuance. x lf-s CC4- ErZ1-*, x Applicant's Printed Name Ap n s Signature Page 1 of 3 � �� -� � �a :::: Use BLUE or BLACK Ink --------- � For Office Use � �j�� U��j��ll j Permit#: � �✓ I I �,� I 3830 Pilot Knob Road � Permit Fee: �_ � Eagan MN 55122 Phone:(651)675-5675 � I Fax:(651)675-5694 I Date Received: � I � � Staff: � ��__��_��___��J 2015 MECHANICAL PERMIT API'LICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: ` � � � Name: 'l, � � 1, Phone:�C,�L` �� V�� Address/City/Zip: I�� Name: Q I"I p Y � °� � _License#:_l.t � � U ��,Q -�j -�'`� Address: Y � 7� _City: —�� State:�Zip��I J� Phone:�.�zl' `C�7 � �� ' Contact: EmaiL• cj)('�•�� Qy1e(��IY.,fa�bt ._New �Replacement Additional Alteration Demolition Description of work: C� � ,�;��C� � J / � �F,� � �� ti4 �� u tt � r 1�rl f I�y P f'� � �i 4�i',C� �4��6��.. �� ,�� Y , �"' r ��r,�G��rN�'� ( !,��.� ��. RESIDENTIAL COMMERCIAL �Furnace _New Construcl`ion Interior Improvement �Air Conditioner _Install Pi in P 9 Processed _Air Exchanger Gas — Exterior HVAC Unit _Heat Pump _Under/Above �round Tank 9 (_Install/ Remove) _Other — RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ � TOTAL FEE II COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value$ x.01 $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ Surcharge'` ***If the project valuation is over$1 million,please call for Surcharge -$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in confonnance 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 starf 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. 1 ��I� ��VL_ , � X ��,�t/� Applicant s Printed Name X Applicant's Signature ��' ��r'k� a PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA135492 Date Issued: 03/18/2016 of ER 1n Permit Category: ePermit Site Address: 4073 Halite Lane Lot: 5 Block: 10 Addition: Cedar Grove 7th PID: 10-16706-10-050 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater 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(WS&/or WH) $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing Steven R Seering 5718 International Parkway 4073 Halite Lane New Hope MN 55428 Eagan MN 55122 (612)604-4285 X61 (651)335-5037 1 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. Applicant/Permitee:Signature Issued By:Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165074 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 4073 Halite Lane Lot:5 Block: 10 Addition: Cedar Grove 7th PID:10-16706-10-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Steven R & Amy T Seering 4073 Halite Ln Saint Paul MN 55122--292 (651) 335-5037 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature