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4096 Halite LaneCITY OF EAGAN Addition CFnAR CR(]VF: #7 Lot # A RYk S Parcel 16 6f10 RA Ar, Owner street 4096 H81ite Lane S,,tg Eaqan, A+Ild 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN 5Ew TRUNK 1970 58.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN • * WATER LATERAL 117 1971 1,615.00 80.75 20 Paid WATER AREA * STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 280.00 3982 8-23-71 BUILOING PER. s,ac 240.00 8-23-71 PARK 1-- CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 SITE ADDRESS: APPLICANT: PERIIfrIT SUBTYPE: , TYPE OF WORK: tq i,l ; ,+ i i i ? 1 1 r4 1`ry ? UFtA1if `•,Fit U INSPECTION .• • .• • ? , : AN FtEVI't°WEl3 A'f R71 I M)AM y. CAkATF f'J=RMTf fidk0t.iTi:l'•1? f={FR AlVY J:Lff'C4t Cl,'AI.. Wn}+'h' ? r,-oll 44?• 2t148. `;tf4Tt t1Nt') ilF 1; 1F=k:]fi19'11Y . ? ; ??i #i€ Ont ??????'??`°.. ? .?:?? wlt , Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING l [ (/?' ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 4'/q k p c 0 O ? ?1Q DOMESTIC METER IRRIGATION METER FLUSH MAINS corvDucriviTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL EAGAN TOWN S H I P ?- - BUILDING PERMIT N? 2547 Ownet ._.?.sn.:_ ----- ... . -- ---------------- Eagan Township Addrese IPre:enil .......... ?'. .......................... ......-....._ Town Hall Builder ............................. ----------------------------- -----....._......._............. Dala ....._:..L.......... .............. Addreae .... ......................................................... ............................... / SlS ?' c?• tfp f3 /F. ?,atl ` ThD psrmit doef'not aulharMe-!Se usa of 'gtseelf, roede, elleys or ildeaValks'nor don !t givs the ownsr os his syen! the righ! !o ereaie anp aituatiox whieh is a nuieanee or which presenls a hasard !o the heallh, sefeiy, convsaieacs and general welfare !o anyone in the communiiy. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRES . 4 , nJP ti This it fo cerlify. ihet..L.p..'.?!.-[:?_-.•4?'.`?.=-=..e;+-.::?......... haspermission !o areet a...... -_ ......._ ......_upan the above deacrihed premisa subfecf !o the pravisions of the Suildiag Ordinanee for Eagan ownthsp adopled Aprtl 11, 1855. 62?`-?.. ......... . ................... . ...... r. .. _J....._...`..'................... ... Pez ............... ?..........?........................................................................ Chai an of Tnwn Boerd ? ?g' Buflding Inspeclor Slorie To Se Uced For Fron! Deplh Heigh!IyyEsl. Cosl Permit FeRemarks ? ,? -- 012 A e? v? ??-5-7 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. 151 , The Board of Supervisors hereby grants to Cedar Grove C„gnstruction Co. of 7343 Goncord BLvd C, Sq. St Pauli Minn 55075 aHr/`TIt1G Permit for; (Owner) Cedar Grove Conctruction Co. 4r5-!0? 29-1. 9-49 't3-9, 17-:0 23-5 at _ 7_in rj,7 , pursuant to application dated 9/ 17/T_ Fee Paid: _ 676D.0Q Dated this 20th day of September , 197 l. 4.00 s/c - Building Inspector i , ; TOWN OF EAGAV 3795 Pilot Knob Road Eagan, Minnesota 55122 PERPII T N0, 161 The Board of Supervisors hereby grants to Gedax ra g nas ion -?. of 7343 Concord r?.vd, E. So, St. Pau1 55075 8 4112011G Permit for: (Owner) Cedar Grave Construction Co. -44'-4r,5-101 29-1, 9-4, 18-91 17-19 $$* at C4_5,? 7-.In r? f7 , pursuant to application dated 9/19/71 Fee Paid: $1E0•00 4.00 s/c Dated this 2(ith day of _Sentem6er , 197 1. Building Inspector CITY OF EFlGFlN CA'.:iMIEF: S TEfiMINAL IQf]: 776 OFl7L". 07/27/38 TTPf[; i5c12,06 IU: NAME: I_AWkENCE D HAUGEN CF'Fl 3210 9001 4056 HALITF LAN 74,75 2155 3001 4096 HAI...ITE LAN 1.50 Tota7, fieceipt Amount? 76.25 cRa95s9e usEr, rnt NaNcv ; ., CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: jy??gJNG Permit Number: Date Issued: 0 7/z 7/9$ SITE ADDRESS: 4096 LOT: CEDAR P.I.N.: 10-16706-289-05 HALITE LANE 28 BLOCK: 5 GROVE #7 DESCRIPTION: , STORAGE B?ildi'hg Permit Type E3wllding?"Work Type ; "Gensus Code"?, ?t `.` SHED GARAGE/ACCES50RY NEW 438 ALT. GARAGE REMARKA: REvzeweo BY BILL HDAMS. SEPARATE PERMZT REQUIRED FOR ANY ELECTRICAL WORK - CALL 445-2840, STATE BOHRD OF ELECTRICITY. FEESUMMARY: vnLuATZON $3 ,000 Base Fee $74.75 Surcharge 1.50 Total Fee $76.25 CONTRACTOR: - rapplicant - OWN?: LAWRENCE 4096 HALITE LANE Efl6AN MN 55122 (651)895-5554 I hareby acknowledge Chat i have read this information $s cnrrect and agrae to aomply , Statutes and City of Eagan Ordinances. APPLICANTlPERMITEE SIGN RE application and state that the wiCh all applTcable StaCm of Mn. SUED BY: SIG TURE J ? t 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 3a c? ? ? e81-4675 New Canstruttion Reauirements RemodeVReoair Reauirements ? 3 registered sRe suneys ? 2 copies oi plan • 2 wpies of Dlans (induEe beam 8 window sizes; poured fnE. desgn; etc.) • 2 site suneys (eztarior addkians 8 tlecks) • 7 energy wlculations ? 7 energy caleulations for heated additions ? 3 eopies of tree preservation plan K lot platted after 717193 required: _ Yes No DATE: 7/?3?98 CONSTRUCTION COST; D7EETADDRESS: IPTION OF WORK: T?tG.?` Xo? ? LOT: BLOCK: S? SUBD./P.I.D. #: C?' ??dl ?* 7 Name: Phone#: PROPERTY L%sc F"st [ w 015 " sc;? ? owrrER ?f? 96 Street Address: -L?c City L.?}C!`?t-nr State: Zip: S??zZ Company: Phone CONTRACTOR Sveet Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construc6on ony): and tot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Penaity applies when address chang is correct and agree to compy with all appiicahl ,JUL 2 3 I9B8 ew , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweiling O 07 4-plex ? 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ?$ 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? O 12 Multi Repair/Rem. ? W--.j 3 Garage/Accessory ? ? 14 Fireplace ? O 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building V-gx Engineering Variance b / ? 7 Permit Fee Valuation: $ 0C) d 06 ? Surcharge Plan Review License nncnrvs sAC ? ? Z?< Z o = Zcz/O ,r / Y City SAC Water Conn. Water Meter ??n u Acct. Deposit S/W Permit S/WSurcharge P' Treatment PI. Park Ded. Z 1?Ar '?s Trails Ded. 5tof,"" o? Other ?? „ST 4 r Copies Total: r ? 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units N ??1-G.?? ?k SS/22 /70' 3? ?? ? s EAGPN TOWNSHIP 3795 Pilot Knob Rosd St, Paul, Minnesota 55111 Telephone 454-5242 PERt41T FOR WATER SL+RVICE CONNECTION Date: August 20, 1971 Number; 699 Billing Name: Cedar Grove Constr.,c ion Owner• same Pltmber: Stein, Plumbing of Connection 8/30/71 Meter No. lPermit Fee v10.00 pd 8/30/71 0", p5 8/30/71 Meter Reading Meter Dep. Meter Sealed: Yes lAdd'1 Chg. NO iTotal Chg. Building is a: Residence iRultiple ro. Units Commercial Industrial Other Inspected bq Date Remarks: ?? ? r): -V.p'?.,r $25.09 ;hriPr OPC;?I.I' ih!';IP,1 ?_7D By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do ttm proposed work in accordance with the rules and regulaCions of Eagan ToGmship, Dakota County, Minnesota. By: Cedar Grove Construction Comnany Site Address; 4096 Halite Drive 9R_S_7 Billing Address 7343 Concord Blvd. Please notify the above office when ready for inspection and connection. ? ? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minneaota 55I11 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: August 20, 1971 OWNEA: Cedar Grove Construction PLUMBER Stein Plumbin N[1PfBER 860 Address 4096 Halite Drive 28-5-7 TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industriall Commerciall Residential I Multiple Dwelling I No, of units Location of Connections: Connection Charge240.00 pd 8/30/71 10.00 pd 8/30/71 Permit Fee .?? 1/ s/c Street Repairs Tota 1 Inspected by: DaCe Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulationa of Eagan Toc•mship, Dakota CounCy, Minnesota By Cedar Grove ConstSuction Comuanv Please notify when ready for inspection aad connection and before any poreion of the work is covered. MASTER CARD . LOCATION yry L I /F ? OWNER STRUCTURE AND LAND USED AS r ? s•- Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING ? SANITARYSEWER OTHER OTHER I • 0 Items Approved (Initial) Date Remarks Distance From Well FOOTING ? 1?11 ?/ SEPTIC FOUNDATION ? CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH Of WELL GAS INSTALLATION $EPTIC TANK CESSPOOL DRAINFIELD PLUMBWG ? H WELL SANITARY SEWER a •Y• V Violations Noted on Back GOMMENTS: ? 1 I* PERMIT NO. I1 L COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTP.UCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPIY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REIhSPECTION REQUIRED REI DATE OF REINSPECTION CE RTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest presant 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 spacifications, and any specific require- ments for off-site improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED onTe • I v U 42gp?. a. ? 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/wndos when permits are required for each uni[ Date (Yj Site Address LAL p PaA lkc- Lx? • Uoit # Pro ert Owner L-0-rrL\ Telephone#((B1a ) -414 'cp?cf p y Contractor (w a}gers Southside Htg. & Air, Inc. ? I 6950 W. 146t' St., 4106 I Street Address APp]e Valley, NfN 55124 ? City i (952) 431-7099 ? State Telep6one # ( ) Bond #: -PIL-Z- C?E-4-4-7C?R::7 Expires: The Applicant is _ Owner )?ontractoc Other Add-on or alteration to exis[ing dwelling unit $ 30.00 1umace _Additionat _?Repfacement ? 4 . air exchanger ?z airconditioner _New ?Replacement other State Surcharge $ .50 Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. ? CV-)a& U2?tes ka? ?«--- -- - --- .- ApplicanYs Printed Name OApplicant's Signature - , :; . 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complett for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dweliing unit Date Site Street Address Unit # Tenaot Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Corttractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove "see below _ Fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: *'When installing/removing underground tank, call for inspection by Fire Marsha/ and Pfumbing Inspector PeCttllt Fees: $70.50 Underground fank ins[allation/removal $50.50 Minimum (mdudes Sta[e Surcharge) or ContractValue $ x 1% _ $ PermitFee • If emit fee is $1,000 or less, add $.50 =:> $ State Surcharge If ekrmit fee is over $1,000, add $.50 for every $1,000 pe rmit fee $ Total Fee 1 hereby appiy ror a Commercial MecBanical 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 with the Mechanical Codes; that [ 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. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: AUG/23/201 /FP,1 12:37 PM City of Eagan FAX 11D. 651-975-5694 P.001/001 Use BLUE or BLACK Ink r I For Office Use 1; I -1J'X City of Eakan I Permit I Permit Fee. CI. " - I 3830 Pilot Knob Road I Eagan MN 55122 I I l Phone: (651) 6T5-5675 Date Received: I Fax: (651) 6755694 I Staff. I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ite Address: L 1 k ' Unit Name: _A1m~\ 1 l Jl Phone: ~e~ C Res ide ntIl OWher Address I City / Zip: _fAl C71 Applicant is: - Onner Contractor Type of Work Description of work: =s ~'!C r Construction Cost Multi-Family Buildin ~~//rr//~~~~JJ//g (Yes~_!No ~ Companyci ae11 ~'o'n.&': 2 Contraotbr Address City: State:- Zip: t-n Phone: License Lead Certificate 1 yr` I 1 ' 1~ ` I ( " If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 1 COMPLETE THIS ARIA 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 iNo It yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. NOTE. Plans and supporting documun&Af9tybu4ubrrUt are codsidered ib b6•publ►c Information. Podfons of the information maybe classified as.eon-pdbil c ff you proWde specific reasons that would permr't thO:Clry to conclude that the are-tradeseamts. CALL. BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to d'g to receive locales of underground utilkies. www.nooherstateonecatl ore I hereby acknovViedge 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 bait only an applicatlon for a permit, and work is not to Stan without a permit: that the work wili 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 be completed within 180 days of permit Issuance. xf~ x A plrcant's Printed Name Applicant's Signature Page 1 of 3 6'd Z 66£6£17 699 ftilepoura~j auaOH ueoiaauty em I.6 21, £Z 100 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137479 Date Issued:07/06/2016 Permit Category:ePermit Site Address: 4096 Halite Lane Lot:28 Block: 5 Addition: Cedar Grove 7th PID:10-16706-05-280 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Anthony P Thompson 4096 Halite Lane Eagan MN 55122 Boevaag Plumbing P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature 41,111' City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 072016 r Use BLUE or BLACK II J� For Office Use Iji % Permit #: / 3 /% 1, 6 � Permit Fee: /,9 C Date Received: /, Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Ifo` Date: 7 7- 2a Site Address: U tJ Unit #: Resit ent! Owner Name: --C-00-/-.. 1 z -c- `'c1 ballet,,-' Phone: + Address / City / Zip: 4 0 7 4 i-lxvirce 1P" Applicant is: Owner Contractor Type of Work Description of work: `}L ---t 04),-,,,-._ (2-� � E -" L N2� .- '> Construction Cost: Multi -Family Building: (Yes / No ) C�'tl' • tr'r � � Y Company: C ire Pli`< 4Z7 F -,ti t_,.; -e, t-v+r. Contact: iu Prot_co4'S Address: VA 5 l F:.. • ck S Liv-, 2,-c City: C C i . State: tiv' Zip: S53 -1 9 Phone: 7t 3~2io„ as m Email: S`A'C ti:Nxa.�k1 1.-7-e^ \,^dka License #: €'L v3 crt3 \- S Lead Certificate #: t' PT - \2.2_C*( - t If the project is exempt N U l, Eo from lead certification, please explain why: 2PT:0 -t e. Q ©,C -c- 804.7 4) 79- —COMPLETE In the last 12 months, Yes No COMPLETETHIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: • ' . Phone: Flans aB ti porting,nts that you submit areconsidered to� bli form tion # the ;informe r e classified asnonpublic if you provi la - cific reasons tha# m � $ � t hey conciu e`a tare tra�'w do 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 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 -J ter, e✓ R -(i-, Applicant's Printed Name Applicant' ign ture Page 1 of 3 Ln. DO NOT WRITE BELOW THIS LINE / '"7‘ SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall Porch (3 -Season)_ Exterior Alteration (Single Family) Porch (4 -Season) _ Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) Miscellaneous Pool Accessory Building Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25% 100% Y ) Census Code '4'.34 #of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing 301Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy .-ac - / MCES System Code Edition late- SAC Units Zoning Stories Square Feet Length Width Final /2--/ City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: Reviewed By: (/r ////fJ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies ,Z e 1,Yrt TOTAL 73 i y 7 11- .250 1 .250 v4rae A,o $ X00 Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154415 Date Issued:03/20/2019 Permit Category:ePermit Site Address: 4096 Halite Lane Lot:28 Block: 5 Addition: Cedar Grove 7th PID:10-16706-05-280 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Anthony P Thompson 4096 Halite Lane Eagan MN 55122 (320) 420-3698 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162331 Date Issued:07/09/2020 Permit Category:ePermit Site Address: 4096 Halite Lane Lot:28 Block: 5 Addition: Cedar Grove 7th PID:10-16706-05-280 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Anthony P Thompson 4096 Halite Lane Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature