4079 Halite LaneCITY OF EAGAN
Additionc?
Owner
4079 Halite Lane
-P55 jy 1lC.Yl
Ik 10 Parcel 11 16600 060 10
State Eagan, M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 51 1970 58.18 2.08 28 Paid
*SEWER LATERAL 1971 ZO
WATERMAIN
WATERLATERAL Z, 1971 1,615.00 80.7 ZO Pa CI
WATER AREA
*STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 5776 5-25-72
gUILDING PER.
sAC 260.00 5776 -2 -7
PARK
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHO1vIES AND
CONDOS WHEN PERMITS ARE REQUII2ED POR EACH UNTT.
i0. FIXTURES
SHOWER
WATER CLOSET
? BATH TUB
LAVATORY
KTfCHEN SINK ?
Z LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • m+nimum • i
ROUGH OPENINGS
1vA 1 t:K JVFTr,NEFc
PRIVATE DISP. • neiLcrr, iio.
U.G. SPRINKLER • bome under mnst.
ALTERATIONS • to aasting
WATER TURN AROUND
STATE SURCHARGE
STI'E AD]
OWNER
A?C ^ TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
S."w'
15.00
3.00
15.00
15.00
.50
INSTALLER•
CTI'Y: STATE: !rl/b/ ZIP CODE: SS/a?
PHONE #:
*IGNA-TUKR F PERMITTEE
,Q?
1993 PLUMBING YERMIT (RESIDENI'IAL)
CITY OF FAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
TOTAL: ` lS. vr0
1993 PLUMBING PERMIT (COMIVIERCIAL) -
C1TY OF EAGAN
': . . 3830 PIIAT KNOB RD
, . ' EAGAN MN 55122
(612) 681-4675
PLEASE..C(?.1vIPLE-i E FOR AI:L COMIIv1ERCIAL,RNDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
. FAMILY BliP`DINGS WHEN SEPARATE PI:RMTTS ARE NOT REQUIRED FOR EACH
. nWEL{.INCr li.-7; A.
_ xrw cmxsrxucrloN
nnr? ox-`,
W?RK T?EfiCRIPTION:
. , _.
CC1NTRilCT.PItICE: $
_ .?h .
FEE: 14 OF CCiNTRACT FEE.
cT4TE SUR4J'f?..ARGE: $.50 FOR EeCli SF;000 OF PF3LILSTi FEE
A?INIM'iTSi FEE $ 25.00 ,
CbN'Q"RAC'£'PRICE X Ia/o $ '
STA'f'E SiJRCHARGE
•:6. ?
TOTAI,° •: ; ?"
SITE A'bISRESS:
$
TENA.'V7' A1AME: ? . STE. #
..? .. ? ,
OVVIr'E:R NAME: -
WSTALLER•
ADDRES`: , .
STATE: ZIP CODE:
PHONE #:
FOR• ? CITY OF EAGAN APPLiCANT x.':
r R
EAGFN T(3WNSHIP
3795 Pilot Knob Road
St. Paul, Mianesota 55111
Telephoae 454-5242
PER43IT FOR WATER SERVICE CONNECTION
Date:Mgy 2a0 2q72_
Bi11iAg NBme: CPdnr ,reoe Cona.rurttion
Owaer: Cedar Greae GnngtrLetion C.o.
Plumber: Stein Plumb?Ap
5/25/72
NO ITotal Chg.
Buiiding ia a:
Residence xx
Plultiple L'o, Units
Commercial
Industrial
Other
Meter No, ?Permit Fee 10.00 pa 5/25/72
Meter Reading Meter Dep. ,50 pd s/c
Meter Sealed: Yea_ 'Add'1 Chg.
Inspected by
Date
Remarka;
6-10-7
Number: L7
Site Address: Ln7o nlite LBnfl
Bi111[!g Addx09s 7343 Goncord B1vd. E.
liYiPRU1'c:tLY iP1;ilNLLLU itiEIrRS.
By:
Chief InspecCor
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do ttn proposed work in accordance with the rulea and
regulations of Eagan Townahip, Dakota County, Minnesota.
ByC f:oaer rrnva ConatT++rtien C nnp
Please notify the above office when ready for inspectian aad connection.
? ..
EAGAN TOWNSHIP
3195 Pilot Knob Road 6-10-7
St. Paul, MinneQota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICB CONNECTION
DATE: Mav 22. 1q72 NUMBER 1016
OWNER; .Qdnr =reve .ons. ..tion Address 4079 Ealite Lane
PLUMBER S.ein PlUmb n TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIAING
Industrial Commercfal Residential Multiple Dwelling No, of units
B 1
Location of Connections:
Pezmit Fee 10.00 pd 5/25/72
.50 pd 2 /7[
Street Repairs
ToYal
Inspected by:
DaYe
Remarka•
Connection Charge260.00 pd 5/25/72
By. Chief Inspector
In consideration of the issue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Toc•mship, Dakota County,-Minnesata
By r,.a..r r_y... c., e+=,...;n„ rpWanF
Please notify when ready for inspection and coanection aod before any portion
of the work is covexed.
MASTER CARD
r1?I
u
LOCATION
OWNER
STRUCTURE AND ? ? ?a?
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
i
BUILDING I '7 7 9 / I /
PLUMBING
CESSPOOL - SEPTIC TANK _
WELL
ELECTRICAL ?
HEATING
GAS INSTALIING
SANITARY SEWER /Olb i
OTHER $YZ
O7HER _
__
I
49
41
? Items ApproVed
(Initial)
Dafe
Remarks
Distance From Well
FOOTING ? SEPTIC
FOUNDATION 7 CESSPOOL
FRAMING TILE FIELD FT.
FINAL ?
ELECTRICAL I
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK i
CESSPOOL I
DRAINFIELD i
I
PLUMBING ??1 ?7
WEIL
SANITARY SEWER .4 oo,
.? v
` Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO 8E USED ONLY IN EVENT OF OBSERVED VIOLATIONS
0
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
? OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOW5:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
DATE OF REINSPECTION
i
REVEALED
CERTI FICATION - I certify that I have carafully inspec[ed 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 the Town of Eagan, approved plans and specifications, and any sDecific require-
ments for off-site improvements relating to che property inspected.
?
? ALL IMPROVEMENTS ACCEPTABLY'COMPLETED
BUILDING
DATE
eQw s.
a-oo 1-t
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Faznily Dwellings & Townhomes and Condos when pemuts are requued for each,unit
DateA
/ I / b
/
__ ?
?
'
I
Site Address l:C / l Unit k
t 1
(fl. ?? L3-
Pro
er[
Owner I ? T
hone #
le
y
p e
p
ConMactor Kl
Street Address ?r e Y Yn, k? ( a?? City u J
State Zip ? Telephone #
Bond Eapires:
The Applicant is _ Owner Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
x
lacement
New ? Re
-
p
other
-
lUi
State Surcharge
L/ $ .50
?
Tatal $ S
I hereby apply for a Residen6al Mechanical Pemut and aclaiowledge that the infoimation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical odes; that I understand this is not a
permit, but only an applica6on for a pemut, and work is not to start witho pemut; that the rk will be in accordance with the
roved plan in the case of work which equires a review and approval of
FAkN? ?i IoNSK
Xpplicant's Printed Name pplicanYs Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: cummerciaVindustrial buildings
mul[i-family buildings when separate pertni[s are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # { )
Contractor
Street Address City
State Zip Telep6one # ( )
Bond #• Espires:
The Appticant is Owner Conffactor Other
Work Type
New Construction Install Tank Final
_ Interior Improvement _ Install Piping
_ Processed Piping _ Remove Underground Tank
Nature of Work:
Permit Fee $5050 Minimum Fee (includes Sta[e Surcharg:)
ContractValue $ x 1°/a = $ PeanitFee
• If permit fee is $1,000 or less, add $50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemvt Fee
$ Total Fee
1 hereby apply for a Commercial Mechanical Pemut and acknowledge that the informarion is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pecmit, but only an application for a pernnt, and work is not to stazt without a permit; tUat the work wi116e in accordance with
the approved plau in the case of work which requires a review and approval of plans.
AppGcant's Printed Name
Applicant's Signature
Approved By: , Inspecror Date:
Use BLUE or BLACK Ink
_ r-----------------
I For Office Use
13 L4 ql~ I
City of Ea I Permit#:
I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 0
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 7 C ~:L y Unit
Name: Phone:
Resident/
Address / City / Zip: 7o i e- -1
Owner
Applicant is: Owner Contractor
Type of Work ` Description of work:
Construction Cost: Multi-Family Building: (Yes /No
Company: ~,~%rtL`c Contact: 1 <°Lz
Contractor Address: J G;►- 6'+F2 L° e-"", city:
State: !l 1 Zip: V5 Phone: C J~ l
License #:Z-_ Lead Certificate
If project is exempt from lead certification, please explain why: (see Page 3 for additional information) j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? C
4
f
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
Sewer & Water Contractor: Phone: i
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
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 permit issuance.
G
x ! ljf~ JC! if 1 x
Appif ant's Printed Name A` cant' ignature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use 1
Permit#:City of EaEd n I Permit Fee:
1
3830 Pilot Knob Road j 1
Eagan MN 55122 I Date Received: 1
Phone: (651) 675-5675 I ` I
Fax: (651) 675-5694 1 Staff:
I ~T I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:/ `y d7g C Unit
Name: CXr -1_. ~2- 11 Phone:
Resident/
Owner Address / City / Zip: LinQ~2 ;-t S 5- 2.
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: _,C~ O 0 Multi-Family Building: (Yes / NOK )
Company: 74l" t~o Contact:
p
Contractor Address: City: e2,~
State: filyl zip: 3-7 Phone:
License 2
, ~4) 3 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and 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.
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.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x_
x
Applicant's Printed Name A s Signa ure
Page 1 of 3