Loading...
4253 Limestone Dr Use BLUE or BLACK Ink For Office Use / I of j>Jajan Permit City I Permit Fee: I I 3830 Pilot Knob Road Eagan MN 55122 date Received: Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: _ Site Address:'t-1ZJr~ Li,%,es6(ijZ, Or. Tenant: Rl C`AQ rC\ LPG i 1(a-Cae` Suite RESIDENT / OWNER Name: i~l G I`C~ hop I ASe l` Phone: 651_ 4- As- ' g3ss- Address / City / Zip: LiZS-3 1, i.,-►e r/~e 0r- -C c* • ~S' CONTRACTOR Name:/~,0p 6L r'C C-,_~ Or /A V\_ License* gSS 4,577.5- " PEI Address: 141as' 2'6eps A it1E_ city: Riot- Cc. ke State: M 1n Zip: J~-s3 9LZ Phone: CIS Z- Nk a- 9341 Contact: M It I*akc Email: .5e,0 rc jAs /a &~o - co TYPE OF WORK _New placement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) _ Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) - TOTAL FEES $ 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 aoaherstateonecall.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. yy~ x~ Applican ' ted Name Applican Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test Gas Test -Final ciTr oF EAGAN 3795 Pilet Knob Raad Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt .?t N4 5319 To be wed for Est. Value Dote , 19 Site Address Ered ? Occupancy Lot Block See/Sub. Pareel # W I Name _ ; Address ' 0 p Ncme _ Z? Address Name _ Address Alter p Zoning Repair ? Fire Zane Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Aoorovols Fees Assessment - Water & Sew. Police Fire Eng. Planner - Council _ I hereby acknowledge that I have read this app lication and state that gldg. Off. the information is correct ond agree to comply with all applicoble AP? State of Minnesoro Statutes and City of Eagan Ordinonces. Signature of Permittee Permit Surcharge Plan chetk SAC Woter Conn. Water Meter Total A 8uilding Permit is issued to: on the express condition that oll work shcll be done in occordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Building Officicl ?ermk # Dab Iaow PffsMfM Plumbing Mechanical INSPECTIONS I DATE INSP. Rouph-In Firal Footings Date Insp. Date Insp. Foundotion Plumbing Frome/ins. Mechanicol Final I Remarks: INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: r+I +l r wG 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: •' '' '' ? (612) 681-4675 I SITE ADDRESS: APPLICANT: ? fis rnI V?. 'I PERMIT SUBTYPE: TYPE OF WORK: Kc_r•n rr tR I?aF- rtat,t I I t Nr. nt ?;rer1t>i tc,W Permk No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING g-L2'cE'/ M8 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK f-TG DECK FINAL CITY OF EAGAN Remarks Cedar Grove Acquisition addicion Cedar Grove 2 Lot 6 Bik 6 Parcei 10 16701 060. M Owner 1I-` Street 4253 Zimestone Dr. State Eagan,MN 55122 < i/171 ? 1 J 0 ?: Improvement Date Amount Annual Years Payment Receipt Date STREETSUfiF. ^ S 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL ? 197 1304.00 2,16 Z WATERMAIN # WqTER LATERAL 1 9 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK f EAGAN TOWNSHIP BUILDING PERMIT ?e 2355 Owne: •---zs.J -s.J .................. Eagan Township Address (present) ?3 ...... .. .. .. ..... ..... .. ..? - Town Hall Builder ........... ?-.r..-°-°°-- .............................°°--°-..._......... Date ..... ..??.4.-??O•................ Addreas ......------•°° ..............---.......•••••.........--------............................._ 5tosies To Be Used For Froni Depth Heigh! Eat. Cos3 ? Pe:mi! Fee Remarks l I GL-d?G?? i'L?-?i+?,,.-.J I o2 G /? I Pd-°"d /'j'?? ? I !S ?/u?? LOCATION 5treet, Road or olher Desczipiion of Localion Lo! Block Addition or Trac! ? This permit does not au3horize the use of streels, roads, alleys or sidewalks nor does it give the owner or his agen! the right to creale any sifuaiioa which is a nuisance or which presenis a hazard to the healih, safety, eoavenience and general welfare !a aayone in the communily. THIS PERMIT MUST BE IPT, /ON THE gREMISE WHILE THE WORK I3 IN PROGRESS. This is to certify, !hal.....??:...yG?,,.!r?.-?--a-?c? ...---------------- has permission !o eree2 a....... ....._.?_../.Z.°...._....... :`.:.'.`upon the above described premise subject to the provisioas of the Building Ordinaace for Eagan Township adopted April 11, 1855. ..........••••••••••.... .••-• .......... .. ..................... Per ? . . ...................A? ....... ......?.?ic..:,_,,,..?...•-••-••••.....•••----- Cheirm?of Tnwn Board? ,#uildin Ins ecior EAGAN TOWNSHIP No ?402!!!? BUILDLNG PERMIT Ownes (v.C?FtL?'?'?-???- -- ,„??? Addreas (presen2) ??--- - ----?.- -.?'?'_??=°'? Suilder -----------•°------------??? ......... Address ----°---------------------------- ------- ---°-----......---------------._..._------ iIESCATATiAN Eagan Township Town Hall Date !_.... .. -°- °-----°------ - Siories To Be Used For Froni Depth Heighf Es3. Cosi Permif Fee Remarks ? l??.4rc-!C"/ 9 ? ?? ' ? ????a! ?/? LOCATION SSreeY, Road? her Descri?? Location I j3 I Block I Addifion or Traci i? O I I This pe does noY sulhorize the use of sfreels, roads, alleys or sid?walks nor does it give the owner or his agen! the xig !o creaYe any situaiion which is a nuisance or which presen3s a haaard fo the healfh, safeiy, convenience and general welfare fo anyone in the community. THIS PERMIT MUST B PTTHE /P?M?E W?' E THE WORIC I5 IN PROGRESSe)a A.?sw*6t-?'}?aspermassi Yo erec! ?...----_ - -'?.----_--._...upon This is fo cerYify, lhat-- ----- -- .......::...... the above descxibed premise subject 3o the provisions of the Huilding Ordina e or a ?n'? o nsh? G dopted April 11. 1955. / - ------?----------.... --........ °---------. =?a ----°^?•--?-?- - ••-----°--------- - Chairman of Town Board - ilding Inspecior EAGAN TOWNSHIP BUILDING PERMIT owne: •••• ••- - ....,....... ?----........... •-••--- ----?-- ,---? .................. Address (Presen!) -----...._. 4, -----°----°--°••---•---...-....... Builder .... --7••?'?`?= ---•?a_-r.??---....•••......--- -°-•- °.......•.•...-•- ....... Address ...................... a......-C ......................... DESCRIPTION N° 2311 Eagan Township Towa Hall Date ..... J/...J.5./?70 ................... Slories To Be Used For Froni Depth Heighi Esi. Cos! Pesmi! Fee Remarka LOCATION Streel, Road or oiher Description o[ Localion I Lo! Bloek Addition os T:aat I ( ? e . '?& • .:), Thla permit doee not aulhorise the uae of slreets, roads, alleys or eldewalks aos doee !t give the owner or hSe agent the righ! !o create anp siluatioa which is e nuisance or which presenis a hasard !o the health, safety, eonvsaieace and general welfara !o aapoae in the communilp. THIS PEAMIT MUST SE I?PT QN THE P$EMISE WHILE THE WORK IS IN PROGAESS. ? Thia is !o certifp. !hal..... ?? :....?.-ri:-a-`cr ..................has permission !o e:eci a....... • ••••-•.......... ........................ _upoo the above described premise subjee! !o the provisioas of the Building Ordinance for Eagan Towns p adopled April 11, 1955. --•-••••••••••••-°°--.._. .-•__•••••••••••.?:--?:.::e.^ ......................... Per .... -................................ ?`"?-••...:.....--•••••••••-...•-•.. Chairmaa of Tnwn Board ? ,? Huilding Iaspector EAGAN 'i"OWNS HI P B9J6LDING PEFaiWIT Owne= ....... ?-----"'=`------t?'?'?-?---------,-,°,{-) Address (Present) •----..??'??..._... Builder ........-- --- --°-°°-°-- ----...-------°-----••--...---- Address ......... -..................................... ----°---°--°°--- -- ----------°------- DESCRIPTIOPI Nc 1046 Eagan Township Town Hall Dale .`..//???-------................... Stories To Be Used Fo: Fron! Depih Heighi EsY. Cos! ' Permit Fee Remarks 67 f U LOCATION SYxeeY, Road or other Description of LocaYioa Lo! Block Addi3ion or Trae! ;2- This permit does noY suihoriae the use of streets, zoeds, alleys or sidewalks nor does i3 give the owner or his agent the right io creafe any si3uaYion which is a nuisance or which presents a haaard fo the heelth, safety, convenienee and general welfare io anyone in the communiiy. THIS PERMIT MUST BE T?N?THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to cer3ify, fhai.....?_ .., ............... has permission to ezect a.---- ...__... ..____.._._... ....____._.......__........._.upon the above described premise subject ia the provieions of the Building Ordinance for Ea Tomn ip adopfed April 11. 1955. l 2 ? o ? ?!• ••- - - .....-----°----...--°--- _ ...?X.?'..-------. Per .-.°-°--------- {?'?- - --- -?--?..----------- --••---• - ".---°• Chairman of Tnwn Board Building Inspec3or ?'( t /? , CITY OF EAGAN 3795 Pilot Knob Raad Eogan, MN 55122 N2 5319 1 PHONE: 4548700 BUILDING PERMIT APPLICATION 'ro be uea fo.Patio & replace Est. front Value walk 400. Receipt .# pae 7-20 19 79 Site Address 4253 LlII12st'Arie DYiV2 Erect ;[] Occupancy R3 6 6 C?? ? #2 Lot Block Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone V 121Ci1dYC1 0 Lorinser Enlorge ? Type of Const. . ? Name Move ? # Stories ; Address 4253 Limestone Dr. Demolish ? Front 22 ft. ? C. qan Phone 454-4355 Grade ? Depth 5 ft. cz Name Sam Approvals Fees 0 ou Address u? Assessment Permit 50 Ci Phone Water & Sew. Surcharge • ' Police Plan check WW Name Fire SAC r xt?q Address Eng. Water Conn. I hereby ocknowledge that I have reod the informotion is correct ond State of Minnesota Statu s o i y Signature of Permittee ;i!4E A Building Permit is issued to: oll work sholl ba done in acco Planner _ uncil _ and state t g?dg. Off. I appl. lP cT APC _ Woter Meter rorcl 5.50 ll"?cl on the express condition thot State of Minnesota Statutes and City of Eogan Ordinances. Building Officiol ?- CITY OF EAGA,Y Include 2 sets of plans, BUILDING,gERMIT t}PPLICA ION 1 site plan w/elevations & o?C ?5 s? 1 set of energy calculations.f ,! To be used for ??? aValuatfon Da[e U ? /7 7r?+ / ? Site Address OFFICE U ONLY ? i Lot Block Sec. /Sub. Parcel fl Owner:?jj?A.?? Address: Phone #: Contractor: Address: Phone #: Arch%Eng Address: Phone li: Erect Occupancy 3 Alter Zoning Repair Fire Zone Enlarge 4 Type of Const. _ Move _ 9 Stories Demolish Front a? ft. Grade Depth i? ft. Approvals Fees ? ? ' Assessment Permit ? Water/Sewer Surcharge Police Plan Check Fire SAC @ng, Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL '? ` J ? ToWrr oF sacntJ 3795 Pilot Y.nob 2oad St. Paul, Minn. 55111 PEP,MIT N0.l00 The Board of Supervisors hereby grants to Richard Lorinser of 4253 Limestone Drive a PLUMBING Permit for: (Ocmer) same at same , pursuant to application dated Apxil 5. 1971 Fee Paid: la, :..s Dated this 5th day of fx#tloc April , 197 1. ?Building Inspector 54384 Request Date ' Fire No. Rough-in Inspection Requiretl? Reatly Now DWill Notity Inspettor R tl ? Wh ? Ves ?NO en ea y censed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Bax or Ro te No.) 4 Ci - s3 Section No, Township Name or No. Range No. Coq I C?? Occ a fPR-Iry7? t (?M'?: LOr i ?? Phone No. Power Supplier Adtl2ss Elec 31 Contracror 1 ompany Nam o- i c_ c41 Contractor§ License No. ?al I 4a Maii ng AddA(Cratlor Owner Making Inst tion) ? Aut oriiep Si ature I o trecrodOwne? I stallationj ? Ph uJm?ber 3:S.575- ? V 40 MINNESOTA STATE AROF EL CTRICITY THIS INSPECTION REQUEST WILL NOT Grigge•Midway Bldg. - Rpo -1 BE AGGEP7ED BYTHE STATE BOARD 7821 Univarsity Ave., f>aul. M 55104 UNLESS PROPER INSPECTION FEE IS Phorre (872) 642-0800 ENGLOSED, K 543,84 REQUEST FOR ELECTRICAL INSPECTION ? See insimctions ror compieting ihrs form on back of yellow copy 9C" BE1CEv Work Covered by This Request E&00001-08 IL . ?;.? e )XVd-d ?p. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Coniraclor's emarks: Compute Inspection Fee Below: -a- SU?o5iLoilialtv 6n R/o-) # Other Fee # Service Entrance Size Fee # CircuRs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps P.bove 100 ? Amps Si9n5 Inspector§ Use Only: TOTAL ? Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Finai oac OFFICE USE JNLV This requesl void 18 momhs from ,. ??- I ?: `` ? ? ?? ? ? ? ? ? ? .:?.1 ?.' t+,f?.. o,ii.?i(. .f, h?. '?.?\•.??..K .i.?.i`i?Cy..?.l;,.ii? CI"f4' i:lr. E;;r;Ara . .;:; . ,, r_ .?..r..,..?,: ` ? ,: .r.;:1tt??li ?? t?.. ..:,.?_?i.._ ? ,r ?7c1'7L.;? rl?3f'I.:L,i:?"r' i?Zi"i?i:, _ 00058 1 T.I1;, PnPtEn r:;E:i'2G='S 1•iOMl=. C;;1P;li- f;: r::t?i'...1 4253 l_.?.,?._?., ...li._. t 1 ... _.?.?.. ?.? ,i::.:?;7 ?.rrw:L-4„7cr 3210 .? 21.:,_IL; 9001 4cr.e/3 I...Ii'II..1.} T CINI'. ,. v'..,It '1 t:i'?:.;lY.I. ReCe;.p't i;iiiC.it_+7't& 76.05 Pr;079673) :,-._. _..,I...C? :i:Du .;AN .• l J.': e. q.9n: .,?, ?D.(.W ?. rp,nYF,(,. i.:,,.>,... d nC.i,:r.r.. :?. m.;n ??x Sd.i.:,C'K:m>?.qt? %?'?k 2?CITV OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT ? PERMIT TYPE: Permit Number: B U I L D I N G @30544 Date Issued: 0 8/ 11 / 9 7 4253 LIMESTONE DR L07: 6 BLOCK: 6 CEDHR GROVE #2 P.I.N.: 10-16701-060-06 DESCRIPTION: (ROOFIN6) Bwil'd-'1n??4'?j,P,ermiC Type aBuilding 7ype nsus, Cad s Y+ T Z ? L1.4 1 J $? 3 ? „?, °C ?y? _ ? •_..°? ? Y? SF (MISC.) REPAIR 434 ALT. RESIIlENT2AL .ID*"s' ?'? ? ae'?t % Cm 4YY? ? ? REMARKS: FEE SUMMARY: VALUA72QN $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - 5T. Lrc OWNER: GENE'S HOME CRRE & REPAIRS 14543402 0002715 LORINSER RICHARD 2017 FLINT LN 4253 LIMESTONE pR EAGAN MN 55122 EAGAN MN 55122 (612) 454--3402 (612)454-4355 ..: " V, 'j9 . T € C IS i i.i ti 6 6 'M k'dh° kL' 4'PP.L .,::' a..t.; nnA3 .1 tt t+': 4 k:. tl A?P6t" I ?`4 1«y 14t f ? ry?'. "in "PF `4V ? .1 ? !t h!2 i ?? ? dkr. 1IL l Y P p1T .i`6 -, ", I I.heretiy acknowJ,edge thaCI hav'e r eai1 th2.6 appkxacWtr0rt dnd `sCa?e :tr?farm??C?,on is carr?ct a?d ??r„e:? $ta?'?T?rl?r ?R?E??,???>n. ? Statut,es and , ?• ? Csty o'f? Eas1ari ?ed3 n'an?e? . APPLICANTlPERMITEE SIGNATURE ISSUDlrt : 51 ?NATU E ?? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 661-4675 [;_ :1:= :-.•_r-u?iF ? 3 registered site surveys 4 2 copies of pian ? 2 copies of plans (tnGude beam & wlndow sizes; poured fid. design; etc.) ? 2 site surveys (extarior additiona 8 deeks) • 1 energy calculations ? 1 energy calculations for heffied addkions ? 3 copies of tree preservation lan H lot platted after 7/11/93 required: _ Yes No - DATE: ??77 CONSTRUCTION COST: ???? DESCRIPTION OF WORK: STREET ADDRESS: __m?c:P Z5?3 57?r'''?,?!r azI? LOT G_ BLOCK SUBD./P.I.D. #: i odxmm. PROPERTY Name: Phone #: OWNER Ms, ? Street Address: ?a?3 ?i?rl? Jo>?f City: f?,564-V State: /Wy Zip: CONTRACTOR Company: `4''?'phone #: Street Address: 2U%7 /%?irT",??f License #: :;;2 ??--5 City: State: /;'.W Zip; ARCHITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address: CitY: State: Zip: Sewer 8 water licer•aed plumber (new construction only): . Penalty applies when address change and lot change are iequested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agr comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. J Signature of Applicant: OFFICE USE ONLY GertificatesofSurveyReceived _ Yes _ No Tree Preservation Plan Received _ Yes _, No _ Not Required MASTER CAftD ? LOCATION Li m C S/ C m C /gJ J -"IC1 ? a It .101 i OWNER STRUCTURE AND / LAND USED AS v /9??/ z 4X /? d 0e/P L.J10LL IQew?o% Permit ? No. Issued Issued To Contractor Owner BUILDING 423rs PLUMBING CESSPOOL - SEPTIC TANK I TI?-j i ? --?- WELL ELECTRICAL I HEATING GAS INSTALLING SANRARY SEWER I OTHER I OTHER I C ? . ? Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION rD / 0 CESSPOOL FRAMING ?? •„ ? ? ? TILE FIELD FT. FINAL ELECTRICAL HEATING ? DEPTH OF WELL GAS INSTALLATION - SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL 71 SANITARY SEWER -T • ? ? Viofations Noted on Back COMMENTS: PERMIT # q DO I RECEIPT DATE: ? _o I USIDFNTiAL PLiJMINfi PERMiT APPLICATION ciz'Yog EAsAx 3$30 PILOT KNUB iiD E*slkN, bIN 58188 651-681-4E675 Please complete for: SITE ADDRESS: OWNER NAME: : ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system LORINSER, RICHARD 4253 LIMESTONE DRIVE EAGAN, MN 55122 (651) 454-4355 TELEPHONE #: (AREA CODE) INSTALLER NAME: NORBLC3M PLL?INBING vW TELEPHONE #: (AREA CODE) STREET ADDRESS: ciTY: MINNEAPOLIS, MN M08 STATE: Z1P: Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to exfstinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround . Nature of work: rQiaIaL& VYd'ttf hWa ? ? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $00 .5p Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state thatthe informaGon is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is ihe applicanYs responsibility to notify the proper[y owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under ihis permit within City property/right-of-way/easement. SI NA RE OF PERMITTEE Updated 1101 2007 RESIDENTIAL MECHANICAL rExMIT aPPLicATiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single fami]y dwel]ings & townhomes/condos when permits are required for each unit Date Y / /5- / 07 Site Address YaS3 ??,,.h,? ? "? Qn?• Unit # Property Owner L??k, Telephone VZfC--- Contractor &/`C/U7,, /i/f, StreetAddress 'y/3/ ?2" City State )'"nl Zip S.SI,).2 Telephone #(j?aSJ ) B9 S? - 9?' ?'f ? Bond #: Expires: The Applicant is _ Owner t/ Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 N Y ew I furnace _Additional _Replacement _ air exchanger i diti oner ? a r con heat pump other State Surcharge $ .50 Total $ -5,0 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 st t 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?D6E12. `rfu 7:.V_ ApplicanPs Printed Name Applicarlt's Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084063 Eagan, MN 55122 . Date Issued: 07/07/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4253 Limestone Dr Lot: 6 Block: 6 Addition: Cedar Grove 2nd PID 10-16701-060-06 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Roofing & Sidling Pamela A Murphy 944 Oriole Dr 4253 Limestone Dr Apple Valley MN 55124-0000 Eagan MN 5 5 1 22-20 49 (952) 891-1919 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. Applicant/Permitee: Signature Issued By: Signature