4076 Halite Lane• , CITY OF EAGAN
8795 Pilot Knob Rood
? Eogan, Minnesota 55122
Phone: 454-8100
; .-r-•w?,--, ?.
PERMIT
Dote:
l3-14-79
Site Address:
- r ?`?y??r r? ?i'!
C7C1?^..3UM(7N A1R 1*'J7JIPM
No. 1c?`4
1.74C$
Receipt No.:
Single
Residentiul
X
Lot Block 5ub/Sec. _ Multi Res., Comm.flnd. ?
Name /Alt
/R
N
ai
ew
er.
ep
r.
?
3 Add?eu Cost of Instailotion
,e. " •" , :=r?.r'
City Phone: Permit Fee
"'?lE 1??+?T1?? QC7'?".1.n. , , '".!l
Name Surcharge
.
Address
V - ?,? . r,n„ -„? -•?
City Phone: Total
This Permit is issued on the express condition that oll work shall be done in occordance with all applir.able State of
Minnesota Statutes and City of Eagan Ordinances.
Buildirg Officiol
, CITY OP EAGAN
879S Pilot Kaob Road Eogen, MN 56122
PHONE: 454-8100
BUILDINa PERMIT
To be uwd for Est,
5ite Address
Lot Block Sec/Sub. "
Parcel #
Reteipt #
ac Name
W
Z ?.?..1
3 Address
o . ?
Ci Phone
p Name
Address
H r:a, a.....e
Name
Addreu
N4 5250
Erect ? Oocupunq
Alter ? Zoning
Repoir ? Fire Zone
Enlcrye 0 Type of Const.
Move ? # Stories
Demolish [] Front ft.
Grode ('1 Death ft.
Assessment -
Water & Sew.
Police
Firo
Enp.
Pianner
Council
Permit
Surchcrge
Plan check
5AC
Water Conn.
Water Meter
I hereby acknowledge that I hove reod this application and stote that gldy_ p{f.
the informotion is correct ond ogree to comply with all opplicuble
State of Minnesoto Stotutes ond City of Engan Ordinonces. APC Totol
Signoture Cf Petmittee \ F
A Building Permit is issued to: on the express condition that
all work sholl be done in occordance with oll npplicable State of Minnesotc Statutes and City of Eagon Ordinnnces.
Building Officiol
Ponk peh lamd PMrMNt
Plumbing
Mechanicol I F? ?
R9+or Eac_. - - -
INSPECTIONS DATE INSP. Rouph-In Finol
Footings - C/ Date Insp. Date Insp.
Foundction Plumbing
Frame/ins. -? MecFanical
Finol
Remorks:
CITY OF EAGAN Remarks
Addition CEDAR GRME 07 Lot I k 5 Parcel 1.d- 16600 330 05
owner : Street 4076 Halite L3ne State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN 5EW TRUNK CJ 1970 58.18 2.08 28
*SEWERLATERAL 1971 20
WATERMAIN
* WATER LATERAL L 1971 1,615.00 80.7$ 20
jf ?J •??
WATER AREA
* STORM SEW TRK ? 1971
STORM SEW LAT i
CURB & GUTTER
SIDEYlALK
STREET LIGHT
WATER CONN. 300.00 6814 11-17-72
BUILDING PER.
sAC 260.00 6814 11-17-72
PARK
CITY OF EAGAN
----3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ? , ;,
, ?.,;li i 1? 1 Af?1
: f ?i ;%ii.•(
PERMIT SUBTYPE:
,:.
PERMIT TYPE: ' ' < <" piE'
Permit Number: " ' • ? ? `` `'
?•:. i;.? ;;`?>>c
Date Is&ueq:, .
SWANSON
! F- 1 .' 1 ?-• '; I •'1 ? ,> ?
TYPE OF WORK:
? v•.s- .) J-1` AU
33 lC1f:K2 6
i
INSPECTION .. . .•
; N.11 , . .0;
10h0 9 ?
{ 1 #J:, r
PfM!?RKS: Nl AN RL"Vif'WI-i) EtY .101,' vOLFS
MOTF :(3f:C.K ?iANt1flU T t: l l t UV: titA
r uf l 111111 n i_iz iI.I df}ttiqll\1F 1'1 V? auC.
3 a?5 S
Permit Holder Date Telephone k
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS /,/?
v ?+?v
FOUND
L
FRAMING
ROOFING
ROUGM
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL Q?
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?
DOMESTIC
ME7ER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
r
EAGAN TOWNSHIP
BUILDING PERMIT
Ownes ""'-°&-A",----- 6:'?,_......
Address (Presenf) --?_.....:e?.:.....A;.? f...._fcLy?•.._._
Builder ........
Addreas ......
DESCAIPTION
N1 2893
v
Eagan Township
Town Hall
Dafe ...f1--...._.._...__'_"".............
Siories To Be Vsed For Fron1 Depih Heighf Esi. Cosf ' Permi! Fee Remarics
4"'?
?
? 7 oa
?Q ? ? ?•n? .e•-^.-
LOCATION a'fa.oV
S1xeeL Road or olher Deseripkion of Locaiion I Lo! Sloek Atldifion or Trae!
t°C--? Zt- • 7
', '• 8'
This permit does not aufhorize the use of slrae2s, zoads, alleys or sidewalks nar does it give ffie owaes os his agent
ffie righ3 to ereale any sifuaiion whieh is a nuisance or which presenfs a hazerd to the healih, safely, eonveniance and
genaral weltare !o anyoae 4n the commuuitp.
THIS PERMIT MUST SE KEPT ONy ?THE? P EI3MISE WFIILE THE WOAK IS IN PROGRES .
1'his is So earlif thal..??--1+'!?..:!r.l._'.'....:------- hea pesmission !o erec! a .... -------- _uPon
Y.
the above describad premise aubject fo the provisions oi the Suilding Osdinance for Eagan T w.nship a pled April 11,
1855. ? • ,
Per ............................ k -- 9 .... ......°------...--.---°.......................
" '----"---------'--- ,tQ.? '--
' -_
6Chair ti?-- .C, ."-"Building ImPecior J,3
?
t
.
CITY OF EAGAN
3795 Pilo! Nnob Raad Eaean, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPLICATION
r_ L. ..._, L_Familv Iaoom Site Addrew qv io naa.lr.e i.arle
Lot 33 Block 5 Sec/Sub.
Purcel #
9,000.
w Nqme r?ivui nr.?u?ixui
3 ,qddren 4076 Halite Lane
° r:ti, Ea4an ok....e 454-7597
p' Nome SUSSG1 CA.
0? Addreu 1850 CoClO AV2.
St. Paul 645-0331
Name _
Address
I hereby ackrro dge that I have reod this
the infortnotio s correct ond agree to c
Stote of Min Ta Statute;„and City of I
with
ond state that
N°_ 5250
Receipt #
Erect ? Occupancy Aa
Alter ? Zoning RI
Repoir ? Fire Zone 3
Enlarge gJ Type of Const. U
Move ? .#' Stories
Demolish ? Front 26 ft.
Grade ? Depth 18 fr.
Approvals Ceea
Assessment
Woter & Sew.
Police Permit 30.00_
,
Surcharge 4.50
Plancheck 15•00
Fire SAC
Eng Water Cann.
.
Planner Water Meter
Councl I
Bldg
Off
.
.
APC
Totol
49.50
A ButldirC Permit is issued to: ? -e1 ua[g?a[1 on the express condition thaf
oll work shall 6e done in aocordan wi ail applica State of Minnesoto Statures und City of Eogon Ordinances.
Building Offlcfcl
; s-v
' CITY OF EACA.Y Include 2 sets of plans,
1
BUILDING PERMIT APPLICATION site plan w/elevations 6
1 set of energy calculations.
To be used for ? V luation 'Q D 0• 490 Date 7
Site Address 7076 /4944.
Lat a3 Block 1' Sec. /Sub??Jov??
Parcel 11
?
Owner:"
Address: YCD-76 4E
OFFICE USE ONLY
Erect Occupancy 00
Alter Zoning 1
Repair Fire Zone
Enlarge' Type of Const. L _
Move _
6 Stories
Demolish Front i9v ft.
Grade Depth $m ft.
Phone U: 7'c5- T- -7
Contractor:
Address:
Yhone S: p ? ?-d).33 1
Arch/Eng.:
Address:
Phone IF:
Approvals Fees
Assessmen[_
Water/Sewer
Police
Fire
Eng.
Planner
Cuuncil
Bldg. Off.
Permit 30 4*-
Surcharge .y.
Plan Check-
SAC
Water Conn.
Water Meter
Road Unit
TOTAL `
33-5, 7
C, Co .
4
VILLAGE OF EAGAIQ
3795 Pilot Knob Road
Eagan, 1Kisuzesota 55122
PERI"IIT NO.: 2$1
The Village o£ Eagan hereby grants to Cpdar arove COnatruCtlon Co.
of 71ha roncord Alvd E s South 3t. Paul y?'j075
a vr.AmrNv, Permit for: (Owner) ? eame
ko76 xallte' 391}?-Pertaai, & 391a9 Pallaade w?r
at ?; ? ? 9 7" aa 68, 17-9-R ? pursuant to application dated 11/15/12 _
•
Fee Paid: $600no_ dated this pnth day of Napempar , 19 72
1.50 s/o
Building Inspector
ifechanical Permits:
Bid Tutal:
?
l/ i?(?DO ?3G ?S
\
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, 14innesota 55122
PERMIT NO.:_ 20?_
2'1ze Village of Eagan hereby grants to Gad-„ r.rob< n.m tr„ +iAn, re
of 73L3 connera Blvd Et south St Paul 55075
a gTmmnm Permit £or; (Owner)
8ame
' at ???76 Halit,a }?il?i _ q #?e
$3 yK?.7y:.2g?a,?,j??;, p?{ suant o appl?tion dated Iy/q5/•jp
- ?
Fee Paid: 460 00 dated this d o£
2Slt,1L aY Nave?rsber , 19_12
1.$0 s/c
Nlechanical Permits:
Bid Totai;
3uilding Inspecta:'-
.
•
r
This request void 18 months from
? ?"S 7S
Date of this Request August 10, 1979 R 9 018 8
I, as Pg Licensed Electrical Contractor OOwner, do hereby re uest inspection of the a6ove electri-
cal wiring installed at: 1- 3 3 6 $ Iti 7
Street Address or Route No. 4076 Halite 7,ane City Eagan
Section Township
Range Coun[y Dakota
Which is occupied by Melvin T. Henderson
(name of OccuDant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call 13
Power Supplier
Electrical Contractor Standard Electric Co., Inc. Contractor's License No.3613O
(COmpany Name)
MailingAddress 1424 White e e St/Paul. M
al tor or wner Making Th15 Installation)
Authorized Signature Phone No. 774-$681
(Electri ontractor r owner Making Thls Installatlon)
?5? /? `yW tl?? {b? UQ (? ?pj? ?j ?., '???JJ This impection raquest will not 6e accepted 6y the
l1 (','?li? I! State Board unless proper inspection he is endosed.
Minnesota State Board of Electricity
? 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSRECTION
CHECK BELOW WnAK C(1VFRFn RV'I'HIR RF(IIIFST
/ ss 7s
'R goin
"t'ype Qf Building New Add. Aep. Check Appliances W'ved For Check Equipment Wired Fo:
Home ? 0 ? Range ? Temporary Wiring ?
Duplex ? 0 D Water Heatei ? Lighting Fixtoxes ?
Apt. Bldg. ? ? ? Dryer ? F.lec[[ic Heating ?
Commeccial Bldg. ? ? ? Fumace , ?
ts_ Silo Unloadei ?
Indus[rial Bldg. ? ? ? Av Condidone-? k7, ?
? Bulk Milk Tank ?
Faim ? ? ? List :.
?
- ?' List
Other ? ? ? ers#
1
Vs w- Hthets?
ere
COMPUTE INSPECTION FEE B ?
Eee
U[a 1 VV Am s, 0 to 30 Am eres 0 to 30 Am eres L ?-IW
]Ol to 200 Amps. . 31 to 100 Ampeies 31 to 100 Am ?es
Above 200 Amos_ aho?e lnn n,?.?_ nh„?inn Amnc.
5igns ? Special Inspection Minimum tee
Remaxks . A41n1mtxII1 7?p7pLF E?•c +50
I, the Electrical Inspector, hereby certifye ate ection has been ?
(Rough•in) r- ?- ate
(Final) r Date
This request void 18 months from
G'.f.TY OI= E(-1GA1r
CAS!''i ii R;: 1.., Tr::^:MNFll.. t20.^. 683
EAlI_° 05J04/99 i.fMi:.; 007,4.:
r.D ,
NAPif_ a _Irr.rFE[;V ;I ., ? NrdS?:h??
'-;?1l' 9001 40M I-4AI_'I:lF. I."; W4..7i
022 9004 4076 Hf1l.TTE i_P'. 21509
i._'1'.:°ii S'lli:li. a(t?; F1;X.2fc I_?! 20.00
r
iiiy:ilL Pr:'[...:I'?. AI:."-11t11:6 Eii.`.?.?;4
r_R0M.`.S',
t''.3G T ._,- ,, t„N
J,:A:Y? {<:k;Y,<yr:rc"0 ;::n.kYF?m:?'?{::: ,. •YhY,'(..t; %F.?,'?';'Y.;? ?:1?F? :`Y.:; :;'>'(?k
FERMIT
, CITY OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLoxNG
Permit Number: 032165
Date Issued: 0 6 J 0 3/ 9 8
SITE ADDRESS:
4076 HALITE LANE
LOTo 33 BLOCK: 5
CEpAR GROVE 7
P.I.N.: 10-16706-330-05
DESCRIPTION:
ilcPi),kq PermiC Type
ild1lig"=Work Type
. SF ADDITION
,.
pppI7I0N
434 AL7. RESIDENTIAL
eg
3ai°s pis?s -iauv °,av?a0c?.
?? i?s g G
Rh?at ?i.: ?£iia 4.H?4I 'E3wi3x? ?n Y6mmy 6mtQI ?,s
" _ .._ =W'-k
REMARKS:
PLAN REVTEWED BY JOE VOLES
N07E:pECK HANDOUT & ILIUSTRATIONS REGARDING CRAWL SPACE REQUZREMENTS HERE
INCLUDED WITH APPROVEp pLANS RETURNED TO CpN7RACTOR
FEE SUMMARY:
VALUATION $40,000
Base Fes $484.75
Plan Review $315.09
Surcherge $20.00
Total Fee $819.84
CONTRACTOR:
OWNER: -
SWANStlN
4076 HA
EAGAN
(612)681-9129
Applicant -
JEFFERY
LSTE LANE
MN 55122
, ; _' ' ' ` ' _? % ?;:?• ? it€ ",;: a_°_ ` ? ., I- ? '
iaerlatr-y ackncs.wledge Chieitl` T?haVe read-`.thas'licati€ri? ?nd ot?ta" tHat?'"the.
€ae-matiis cvrrevt an,d agrj?,ttt?`comRk.p;;t?o?thri?aPk1ic ab?:o 4?t?. f,-itrtr .
ariaf CJty`_'Of;€??.i?arr?qrd???ar?c?s???
PLI A MITEE SIGNATURE ISSUED BN IGNATUflE
1? -
1998 BUILDING
?ZISs
New Construc[ion Reouir„rrmnts
?
?
•
?
PERMIT APPLICATION (RESIDENTIAL) ? rr
CITY OF EAGAN IQ? QL{
3830 PII.OT KNOB RD - 6512 ??G?" C] !
681-4675
modeVRe ai e uirements
3 registered sde aurveys piea of plan
2 copies of plans (include 6eam 8 window sizes; poured tnd. design; etc.) ? 2 ske surveys (exterior adddions 8 dedcs)
1 eneigy caleulations ? 1 energy wlculaGons for heated adddions
3 coples of tree presenation plan if lot platted aRar 711l93
required: _ Yes _ No
DATE: .rl "' J 00 - CIF
CONSTRUCTION COST;" ;i DO C7
DESCRIPTION OF WORK: r-co,ji Pet-cl.., k.rcl,n.l °- D11V,.Je, 4cU,7io.J °- Ne.?J 7n ?e.,LtX
STREET ADDRESS:
Vtl(5: /;53 BLOCK: ,22_ SUBD.lP.I.D.
Name: !?LjPyjSOj c I? W-CA Y J Phone #: (a d9?' ri ? L e'7
PROPERT'Y Lwt evsi
OWNER /??
StreetAddress: ?70 7
City i?46f}1%/ State: /YI A1 zip: ! Z L
Company: SuJ tA,nl S 0 11J Phone #: 6,91 -`t 1 LI
CONTRACTOR
Street
City
License #
State:
ARCHITECT/ ?/ /
ENGINEER Company: Jf. ti-c Ry J Sul [FM15 O n/ Phone #:
Nazne: Registration k:
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
( -Cti L
Zip:
Penalty applies when address chang
I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE l1SE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
1
OFFICE USE ONLY
BUILDING F*,RMIT TYPE
? 01 Foundation ? 06 Duplex ? 11
? 02 SF Dwelling O 07 4-plex ? 12
? 03 SF Addition ? 08 8-plex ? 13
? 04 SF Porch ? 09 12-plex ? 14
? 05 SF Misc. ? 10 = plex ? 15
WORK TYPE MOf? 40 b Lcr- f/AN,6•ou,r
C2trw? SP???.
O 31 New ? 33 Alteration s ? 36
OPY-32 Addition ? 34 Repair ? 37
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length Sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee /
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies Total:
Apt./Lodging ? 16 Basement Finish
Multi RepaidRem. ? 17 Swim Pool
Garage/Accessory ? 20 Public Facility
Fireplace ? 21 Miscellaneous
Deck
?raw*? zKs
IQLcQu6e?fis??T3 ?t 2t ai.FCCCa-1?Lb ?/
Move ?PPrzoocB Pc.v,us •?£?^`_?
Demolition
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
y3 y
D/
/
?
?-
Vatuation: $
% SAC
SAC Units
, . . . , ;? ....
•. _ _ .x.... "• f;: ^t?. ? , . ..?i.aa.
--,- ?, r:
. ? ? A:.;-v:r
? '?4• f: ..? ,;•
.4 ??• ':e ?'?.y?:i.',
,,, :. .. . .. ? - . y . ...3,. ?.._
? . ??..?...
?
2.6
,. ,
.
E--/3'
48 ?
?
? I
t "
26 } fo ?sE f` ??? 2a'J /8
? fl
rr
2Z4-
?
i i
t c"rousere i
I £ ?
LI g ?Kj 486
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ZO ? ?
.?
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Svrde y
IWP
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tfi?
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.
A ENERGY
?N eot? y C..?kL[,
U
A!! Buildings
SUMMARI' OF BAS1C CATEGORY 1 AND CATEGORI' 2 BUILDING REQUIREMEhTS
FOR INSULA'IION PROTECTIOT, AIR TIGHTNESS, AND VENTILATIOT
wli buildings must meet
VE?vT .ATION: A Category 2 buildinc is one where infiltration and passive ventilation (operable windows) are
relied on to provide necessary year-round ventilation. If one or more of the Category 1 measnres belaw is
incorporated into the residential design, however, a resideatial mechaoical veatitatioa system as specified below
must be installed.
VAPOR RFTARAFR• A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the
warm side of insulated ceilings, wa11s and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code
requires a vapor retarder to be installed only on rim joists that are susceptible to condensation from moisture diffusion.
AIR BARRiER: A barrier against air leaka¢e must be instaIled to prevent leakage of moisture-laden air from the
conditioned space into exterior ceiiings, walls and floors.
• Plumbin2 and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that
is located on an exterior wa1l.
• 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 electrica] and tefecommunications equipment must be air sealed, including the
service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated).
• Joinu in the building envelope must be sealed, including azound window and door frames, between wall cavities and
window or door frames.
• Tested air infilvation rates must not exceed 034 cfm/square foot of operable sash crack for windows, 0.5 cfmisquaze
foot for residential doors and 1.25 cfrn/squaze foot for commercial doors.
WIND WA H BARRiFR• qn air-impermeable barrier must be installed at the attic edge (baffles must be rigid
material resistant to wind driven moisture); and overhangs, such as cantilcvered floors and bay windows.
meet all requiremrnts as
BESIDENTIAI ME HANI A NTI OTT(1N CVCTCM L'f1D DCCTTCNTiAT nrm „t,.,..&
A system that by mechanica] means, is capable of introducing and distributing outdoor air to all habitable rooms and
removin¢ 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.
AIR LF.A AGE B 4RRiFR; A bazrier against air leakage must be installed to prevent leakage of moisture-laden air
from the conditioned space into the building envelope:
• Elecuical boxes and fan housings must also be sealed.
• All rim joisu, band joists, and where floor joists or trusses meet outer walls must be sealed.
• The top of interior partition walls that join insulated ceilings must be sealed.
• Join[s must be sealed between wall assemblies and their rim joists, sill plates, foundations, berween wall and
roof/ceilings, and between sepazate wall panels.
WASH BARRiF.R• qll exteriorjoints in the building envelope that may be sources ofair leaks must sealed
This u a summarv onl% Othcr reqmremrncs may apply See the Mmnewta Energy Coda b5/96
Qucst:ons^ Call Deparnncnt of Public Smice Informa[ion Crncer ac 612P_96-5 ] 75 or I-800/65 i-3710
P ?? ,
1AY.28.1998 11:90AM
?. .
? .
VINYL
WINDOW SYSTEMS
byVetmr
ENTERPRISES 800 288 1982
ProV' Techxucal Information
Foress Data
pueroV440M afbcvrcodere4uramem larepees»in- GuSSwIo7F+ 12718" 18718" 247/8" 130 7/8" 367 427 8••
dowS YBCerfsb xwdawf 6j'9le55 stm avlh dearePeMrtD
W,?u?andmyM?rn °°°°°lbor"b?'°'° CIEAR
OPENINGWIDTFI
141/8" 201/8° 91/8" 321/g1 381/8" 441/8,•
ic?ra?yre?sP'?'s??aveAro?aamrewheAme
NETCLEAROPE
NIlVG
15 3 8" C? 141/4° 1.40 1-99 259 3.18 3.77 4.37
18 38" 171/4" I.69 241 3.13 3.85 4.57 5.39
213/8" 201/4' 1.99 2.83 3.67 4.52 5.36 621
C 243/8" p7 231/4" 228 3.?S 4.22 5.19 6.16 7.12
261/4" 2S7 3.67 476 5.86 6.95 8•04
3Q3/8" Z91/4^ 2.87 4?9 5.31 6.53 7.74 9
58
? /r 333J8" U 321/4° 3.16 4S1 5.55 7.19 8.54 .
Ouerorarf?vnof lorsiwae+aq?nems6ragresa'n^•
dova, VertarrwM wdows by qless sim ?n dsu open#?9
,?;ay,a„ae.yats?aha wvwno,.,srw?
iro?
ro
d
I GLASSWIDTH ?3/8" 153/3" 183/S" 213/8" 243/8" 273/8"
oPEN?wio.M 113/8" 143/8" 173/8" 203/8" 233/8" 263 8"
Arn?oear dear awMre. a
w
krQ1f8G B91BDe3pBGlIW es
rs
w
vs 1Wer10 y%aUr
BnO'BWffBIIKMS.
Il0A3
NE'j' CLEAR OPE
NING
' 60 ]/4f' 18 7/8` u 20" 1.58 200 2.41 283 3.25 3.66
I
S 541 /4" ? 247 8" ? 26" 205 2.60 3.14 3.68 4= 476
? 4$ 1/4" u 30 7/8" y`?,. 32" 2.53 3.19 3.86 4S3 5.19 5.86
x? 421/4" ? 367/8 p ?7 38" 3.00 3.79 4.59 5.38 6.17 6.96
^a ?? 361/4" vyi 427/3" 44" 3.48 4.39 5.31 6.23 7.14 8.06
? m 301/4" ? 487/8" 50" 3.95 4.99 6.03 7•07 8.12 9.16
*< 241/4" v 547/8" U 56" 4.42 5.59 b.76 7.92 9A9 10.26 ?
_e__- _ ' 1n_a..
rlV4lia:?
PIO V
Rodu6?acpuon a ciiasa.u
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Value
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Value
al
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147 .
ac
in6lvatiYw
(51 ASM
4099
Sexlevel
f61 ?ypA I'
ISb?3 -. -
Td Cev?l ?.
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Gsmimt 31wil+tlr AA 71xd8 OM 217 B8 30x 6D 0.45 211 0.90 189 80L GladcAS CU75
3/4"ITSmI AA 2dx48 629 3.45 BB 30s60 03
3I5
075
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Gnde90
DP 0_
Aw-ihg 374'ksuiltln M 24 x45 0.44 i.77 H9 3?xL0 OA6 Z72 0.9? 139
153
BIX
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OP'?
3/f}UT01 A4 24t4e 029 31AG BB 30iW 019 3.45 0.75
A90 lB9 .
0.72 GqdaB OP'S
eHun 3/Cfmu? M ?xBl 052 L92 HO 46:1 0.53 1? 75 757 O
II Gtade25 DP'
3/1"}g(1a4 AA 30a60 0.35 ^56 8B SB:72 OJI 7.94 4 . rad35 D[20
je
Gl idti 3/? IrttWa' x48 1.41
/p•?
? r.i r;? f 7_Vslua? fer Velter caO dC[IS4C ??bbtril[FtL'? ls? .NFAC 84pi0°cd ConP°[ei simuWtion p w$[+? F mne 40 Dy E ne+medsl En$1n?nS , and Windn u, 4.3 by =
Strkeley Labonieoriea fW?awL?g thc NPRC300-.41: PmcedurF7or D,imninMg ........ ?.,-• ••-.•..---
2 P.-Valuos ace c?kulated from tUe N?'•C U-Yalua. Windmo 9 2 by Lewrrnm Berkeley laborato[ies.
3. Stud'ni5 cae[[Senc r.alues for Veeou praducb wae oh[xincd using uhe computer s:mulaaon YroBram
4. R<<stive Hext Gazn was obrafned usng u+e computer sim+slaMan progsam WbidoO 42 by Iawka+tt Harkdey lshanloris,
5. nir inhltncion mtcs are schn/tt. of sash mclc tor .+indowe xnd utm/sq. Et tvr 3uon 6am 7epores af lesb perEwn+ed by d+depaulent ks¢ ].abanttories.
6. NW WDAand AS7N114St I.evcls are from n9orts aElesv pufortned 6y uMepaident [esclabocaearies_
'. Sourd 7r, nsmlptnn Qnss (STO hum mporh af ksG+ puEomud by 1Mependent ist 1%horxtvries pa AS"[M F. 90. Numen<ally h+ghes STC xatinp indi?site 4mpnvect :cening.
HDSFBeIOw DetectaFle LimiLt
Notc The above values seprvsent the laeest tescins perFarmed by VMtet HowevcKy thae vaiues have not been certified az :equired by .oCe .:
certain arnas of the cwnery. CertiBcation s in process and fisul cereified values w;ll be published ss soan as thep become available.
14
CITY USE ONLY
LOT ? BL S RECEIPT #: I?? 11 O?
SUBD. *-7 RECEIPT DA :
MECHANICAL PERMIT # 17) (5_
1999 mEcHAvtCAL PERmrr (FtEs1nENTIAw
crrY of Eas"
3850 PII.OT KNOB RD
£AfiAN MN 55122
?ate• a` 07 (651) 681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
`v-iu?ivinTu
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
.iU.UU
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration -? Repair _ Other
Reminder: Ca11 681-46 75forinspec8ons.
I Fumace
X Air conditioning
_ Air exchanger
Other
$ 30.00
5tate Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: -/'19 7!P ° p? ? xa:!rt?
OWNER NAME: _?/,/ _ PHONE #: (B?J,./_" - //-
INSTALLER NAME: " JB2l?" (pZC? 9? ?,wG? PHONE #:-?
/a !2 -
STREET ADDRESS: (AREA CODE)
/? ?l) d` 1{?f {^ y1'E n?Fl.Gf Qs?.- f?Y?--'
CIT'Y:
STATE: ,/& ZIP: 3 I
&U "-4 /C' jz?'F A?/'
SIGNATURE OF PER1v1ITT
L BL
SUBD.
APPROVED BY:
WSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHANICihL P£RIrIIT (COMMERCIRL)
CITY dF Ek&i4N
3$30 PILOT KNOB fiD
EAsat19, Mrr ssi Qa
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRAC'f PRICE:
WORK T'YPE: New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Minimum Fee)
"*NOTE: When installing/removing underground hnk, ca11651-681-4675 for inspection by fire mazshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum Fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENAIVT N.AM$ (IMpROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
ZIP:
($.50 per $1,000 of emu fee due on all peimits.)
PHONE #:
(AREA CODE)
PFIONE #: -
(AREA CODE)
STATE:
SIGNATURE OF PERMI"ITEE
33-5-7
.. ,
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FUR WATER SERVICE CONNECTTON
Date: \l1`---2, 1-1 -:)_ Number1051
Biiling Name ?c? ??C ?y? Site Address:
-?-
Owner: Billing Addr
Plumber: ?
? ne
ess 343
onomA
11/17/72
Meter No, lPermit Fee 10.00 pd 11/17/72
.50 7/72
Meter Reading Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO iTotal Chg.
Building is a:
Residence ix
12ultiple go,
Commercial
Industrial
Other
Inspected by
Date
Remarka:
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do t?e proposed work in accordance with the rules and
regulations of Sagan Township, Dakota Co ty, Minnesot .
BY: &'?" Y? (??&
Please notify the above office when ready for inspecCion and connection.
33-S-7
, .,
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:?3NUMBER 1216
OWNE . f dress
PLUMBERS ` R? TYpE OF PIPE -^
DESCRIPTI OF BUIIAING
IndustriaiI Commerciall Reaidential Multiple Dwelling No, of uniYs
Location of Connectfons:
Connection Charge 260.00 pd 11/17/72
Permit Fee 10,00 d 11/17/72
d 1 -1 (2
Street Repairs
Total
Inspected by:
Date
Remarks:
$y
Chief Inspector
In consideration of the issue astd delivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rules and
?
regulations of Eagan Totmship, Dakota County, ?" ,, -0
By
Please notify when ready for inspection aud connectioa and before any portioa
oE the work is covered.
MASTER CARD
LOCATION
,33 .5--
STRUCTURE AND
LAND USED AS
Permit
Issued issued To
Contractor Owner
BLIILDING ??
PLUM6ING z _
CESSPOOI - SEPTIC TANK
WELL
ELECTRICAL I
HEATING
-?Gj-
GAS WSTALLING
SANITARY SEWER /2
OiHER W) ?eS? I
OTHER I I ?
Items Approved
(Initial)
Date
Remarks
Disfance From Well
FGOTING ,z•? SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTAICAL
HEAIING
? - ? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING l-3-7
WELL
SANITARY SEWER ? . ..
-23
Violations Noted
on Back
COMMENTS
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTIQN
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL 8E DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
F-I REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION -I certify that I have carefully inspected the ahove in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of [he Town of Eagan, approved plans and speCifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
?w sa
4'?{-.'_l5
Ai. ..
R., w
IL41 02
2006 RESIDENTIAL SUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 4 651-675-5694
New Constmchon Reowrements RemodeVReoair Reauirements
3 registered site surveys showing sq. h of lot, sq. ft of house; and all roofed areas ? 2 copies of plan showing foobngs, beams, joisls
(20% maximum lot coverage allowed) i set of Energy Calculatlons Por heated addihons
2 copies of plan showing heam 8 windmv srzes poured found design, etc. ? 1 site survey for addi6ons 8 decks
1 set of Energy Calculabons Addifion - indicafe if omsfe septic sysfem
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jorst Defail Options seiection sheet (bmldings with 3 or less units)
Miunegasco mechanical vcntilatiou fom
Date r) (-i l_.?? l a nn& COnstruCtiou Cost 6) _
SiteAddress 4D71o /yRZ) Iz? /.,J Unit/Ste #
?A SsiZ
Description of Work x1 ?ri 1-i? ?'7Lle 55 0N N ?J t1? LcL.ti/f
Multi-Famity Bldg _ Y_ N
Fireplace(s) _ ? ?
0 _ 1 _ 2
Property Owner Jq (Lay m" R0_0_,K. y 5?JAvil50 n-) Telephone t! ((y,$ (
Cootractor e AL§
Address City Q/Zt
State Zip Telephone # ( J!
.r
`"u `Ualf y
CAMPLETE TFiIS AREA OPILIP 9F CONSTRIJCTING A POEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 767L
Energy Code Category . ResidenGal Ventdation Category 1 worksheet • New Energy Code Worksheet
(v submission type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
In ihe lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Tefephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will 6e in conformance with the ordinances and codes of the Gty of Eagan and the State of MN
StaYutes; 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.
J- ERy J
Applicant's Printed Name
InOn4?
li a s S gnature
X?Ht?s?Gse??
Ge?t?Surye?4t3cd ?'??+fkkY:`N
Tre?
uR
f{Fe fj??•rc? 14 ;1';??
.-
LF?aci - _J?k
IW
' '
DO NOT WRITE BELOW THIS LINE AP
• _ J
dO ..'
Sub Tvues
? 01 Foundetion Q 07 05-plex ? 13 16-plex ? 20 Pool ?Q 30
° Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea ) ? 31 Ext Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea ) ? 33 Ext. Alt - SP
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
71- ? 35 Int Improvemen! ? 38 Demolish Interior ? 44 Siding
? 32 AddRion ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCllptlon: Wa[er Damage _ Yes
ork T es
31 New
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq Ft PRV
# of Bldgs Length Fire Sprinkleretl
Type of Const Width
_ Footings(new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Arain Tile
Roof Ice & Watei Cinal
? Framing
_ Fireplace _ R.I. _ Air Tes[ _ Final
_ Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ 5[one Lath _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
192x /y -=: z/ (ok-g'
J-Wakota County Iteal Estate Inquiry
Dakota County Real Estate Inquiry
Data llpdated 812512005.
-»? Select option and click map: Zoom In r
m..
.:. WhoteCouRty ; - s_ Refresh Map ? Sma1l.Map: i
http://207.171 98.200;scripts/esimap.dll^ N'altie=webyl&Left=531229.1774y1182&Botto
Page 1 of 1
?
8i29/2005
This application ms developed by the DakoMa Counry Office o! GIS
in woperotion witlf Pssassina Servicas, Treasure and ProoerN Records Oepartments
?••+?^?'`
c oun rr?
Click on the Dakota Counry Loga above to retwn to the home page
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p,arrITrNs ArOh OwruE2 ra r1InMIsfr
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sl s?lssEc Ta 2?'coLAT?' or.W? 644
6089R GJDW, rkQM (t KNDmoT
?OsusEL ro Wsr,AtL okE akmklu cXo68-x6
PATlO Q0dR..
? 7.) SUSSEL TO hKTAt4 8`-!A KO WlOR4PPED HEAQEi2
?_ L43. 91 `
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C.C?T 4'33
BLOLK # 5
CEDAR C7kOVE 70 ED1T14A1
1.0, i1-16660-330-05?
4 Z._g/
'ACJf£ LANEZ`? ?
t
454-1591 TITLE? FRI? ? ?"'??? ???? TH ? SUSSEL CO. RESIDENCE OP:/?ffL ? ?l ?1 ?' y???E:,l\tU °ATE: 6!4 f 79
? i H
2?6? 2730 S`"`E lr'41-11,° N?Ttd "A?? 645-U331 AvoRESS'4076 NA?LlTE LAi17f_ Pv,ro roo. 241034
SNEET?- , oF y 1050 COMO AV6., ST. pAUI, G:tAtM. Aae0. C k,AAj?P.1lP.aA1l DAAWN er, tI A ?KN
S 26=6' ? `? i
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? :8'-4'?a ' 1E.97 F
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--` - - -" ?-- ?t ? ?
F.XISr!!J(l N61lS&
°s_ •'- a
EAGAN TOWNSHIP
BUILDIN[3 PERMIT
OWOB7 """...
o ""_....._""_""'
Addrees (Present) .... 'QL...._?--...Q¢?.`.?e.- ....................
Suilder ... ...... ..........e? ...................
Aaa:a.. ..........
D£SCRIPTION
N° 2726
Eapan Townehip
Town Hall
Det. ..-s.??..h..._?-.- .............
8forie To Ss Used For Fronf Depih Heighf Etl. Cos! Permi! Fea Aamarks
1 L? ? lau, sa--d 37 'O
> c
b ia'.A.?.?
a . .Te
Thia yermit doas aot aulhorize the uee oi slsaefs, roads, allaps or sidewalks aor does it give the owner or hb syen!
the righ! !o aeate anp silualion whicL is a nuisanee or w6ieh presents a 6asard !o the health, safety, oonvsnlanes and
genezal walfase !o anyone in the eommunifp.
THIS PERMIT MUST BE BEPT ON THE PREI?ISE WHILE THE WORK IS TN PAOGRE$ ?
TLis is !o csrttiy. !hal---?P-,l-?r..s...?=O-s?-?..hasparmheioo 2o erect a...r...... ... .. npon
-- - --°- - ---- ---•--•_
the above described premise suLjec! !o !he provisions o! the Butldiag Ordinanea fos Eagea ownship ado ad April ll,
1955. ...............................Q??,?...._.....'?`-?....... per .......... ............. ?•7---?.......:--:?:.-?................._.....
Chalrmae of Tnwn Boasd ? Sulldleq Impselor ?
? . _ __ _ _ ... .. . . _
i , ,_'%
TOR7N OF EACuW
3795 Pilot Knob Road
Eagan, Minnesota 55I21
C.;-/LJ-7
PERMIT N0. 206
The Board of Supervisors hereby granta eo Cedsr (3rove Const:vctiart
of 79h3 Cnncord Blvd. E.. Sauth St. Paul 55075
a HE4TING Permit fo=:--, (Oamer) aam
6-1, C6-10?) 19- ;
purauaat to application dated
4
K/23/72 .
Fee Paid: 220Q00 Dated this 2th daq of M83' , 1972
sc
Building Inepector
1e55,aeae Lane, 1862 c-rnelian r.ane, 4054 csxinabar nrlve, 4007 Pumice Ler,e, 4075 xaLtte,
1859 Taconi.te, 4054 Mwetite, 4048 Cipnabar Drive, 4079 Cinnabar Drive,1851?
Lane, 1839 Tacanite Trail. ?-
ic
TOT•JN OF EAGAN
3795 Pilot Rnob Roed .
Eagan, Mintkesota 55121
PERMIT NO. 210 thru 220
The Board of Supervieora hereby granta to Cedar arove Conetruotian
of 7343 Cancord Blvd. E., Sauth St. Paul 55p75
g PLiThIDIidG Permit for• (Owaer) Ceciar (irave Cartatruction
?-ly-1-1?7 ? -6-9- ?10'
at !?^? °??-,-?.°7'_g,. T?-7 CG purauant to application dated
r-
5/23/72 .
Fee Paid: 220.00 Dated thia 25th day of 1972
.Oso
Building Iaspectmr
1855 Jade Lane, 1862 carnelian lAme, 4054 cinnaber rni.v., 4007 Pwo.oe Im8 4075 xalice,
7859 Taomite, 4054 Magaetite, 048 cinnabar nrivs, 4079 cinnaDw Drive, 1651 i^?
Lene, 1839 Tacanite Trail ? ?
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA115182
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 4076 Halite Lane
Lot:33 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-330
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.
Becky Swanson
4076 Halite Lane
Eagan, MN 55122
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
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 -
Jeffery J Swanson
4076 Halite Lane
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115874
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 4076 Halite Lane
Lot:33 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-330
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Randy Bradach
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffery J Swanson
4076 Halite Lane
Eagan MN 55122
Bradach Roofing, Siding & Seamless Gutters Inc
18267 Italy Ave
Lakeville MN 55044
(952) 892-6015
Applicant/Permitee: Signature Issued By: Signature