4006 Limonite LaneCITY OF EAGAN :"Gj
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 .
BUILDING PERMIT Receipt# :
To be used for - '1`J'LAC-j= Est Value $2,000 Date bEY1'E?'i;iEi 1? 19 ?
Site Address
Lot Block ' Sec/Sub. `?FDAR GROVE 7TF!
Parcel No,
a Name .,.;.. jOii
= Address 4UQ6 Lt'..U;..?": I:I
54-1
o CitY Phone 4972
Name 4 `(i...i:::?i i
o
0
,,? Address
P City Phone
U y?j
W Name
F W
x n Address
a W City Phone
I hereby acknowledge that I have read this application and state
that the i nformation is correct and agree to comply with all appiicable
State of Minnesote Statutes and City of Eagan Ordinances.
Signature of Permittee '^-
A Building Permit is issued to: "•'?' '"" ?"
all work shall be done in accordance with all applicable State of I
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
Ciry Water _ (Actual)
(Allowa6le)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $37'
water/Sewer _ Surcharge 1 . ?U
Police Plan Review
Fire _ SAC, City
Engc SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment Pl
Variance _ Parks
Copies
TOTAL 7l:
on the express condition that
nnesota Statutes and City of Eagan Ordinances.
?
Permit No. Permit Holder Dete Telaphone #
Plumbing
H.V.AC.
Electric
Softener
Inspaction Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pc Disp.
CITY OF EAGAN
' 3795 Pilot Knob Road Eagon, MN 55122 N! 5788
PHONE: 454-8100
BUILDING PERMIT tteceiPt #
To be ased for Est. Vnlue Date 19^
Site Address Erect ? Occupanry
Lot Block Sec/Sub. Alter ? Zoning
Parcel .# -
w Name _
3 Address
0
Ci
p Name _
?
O'j Address
~ Citv -
r
Name _
?-_? Address
Repair ?
Enlarge F}
Move ?
Demolish ?
_ Phone Grade ?
ADDfOYaIE
I hereby acknowledge that I have read this applicotion and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordirwnces.
SignaTure of Permittee
A Building Permit is issued to:
oll work shall be done in accordance with all applii
Building Official
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ? ft.
Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off. / %_ ` ••
APC
Permit
Surcharge
Plan check
SAC -
Water Conn.
Water Meter
Road Unii
Total
on the express condition that
Statutes and Ciry af Eagan Ordinances.
Pamdt # Daft Isaed Parmiffes
Plumbing
Mechanical
INSPECTIONS IDAIE INSP.
Rough-In
Finol
Footings b S Gl Date Insv. Date Inap.
Foundation Plumbing
Frame/ins. Mechanicai
Final
Remarks:
. . .m... .. . . ., . ' ; . .. .
PERMFT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN i ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r?
- PHONE: 454-8100 For Office Use Only:
; Site Address BLDG. TYPE WORK DESCRIPTION
I Lot B
J
? lock Sec/Sub Res. New
Mult Add-on
I Name
? Comm. Repair
Address
Other
c City Phone
'
Name " FEES
HVAC 0-100 M BTU
RES -$24
00 '
. .
c Address ADDITIONAL 50 M BTU - 6.00
? HVAC INCLUDES A/C ON NEW
(RES
p City Phone .
i CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
i
i TYPE OF WORK
COMM/IND FEE - 146 OF CONTRACT FEE .
.
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
? TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler IN $TU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTI?,:,; FIEMODELS - 12.00
Air Cond. M4TU MINIMUM COMMERCIAL FEE _ 20.00
STATE SURCHARGE PER PERMIT .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
anar ?
`FEE:
, SIGNATURE OF PERMITTEE
:
;
,
`? S/C:
.. .
•
J . .
TOTAL• `
; ,?
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition CEDAR GR?OVE #7 Lot I g alk ? Parcel 10 16706 1 B(] Ol
Owner ./??J ve' /ZtUl?.c-f'? Street 4006 L]monlte Lane State Ed43n, MN 55122
Improvement C Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 6"If 1970 $$.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
I* WATERLATERAL 112, 1971 1,615.00 80.7$ 20 Paid
WATER AREA
STORM,9,tg7IRK 13 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 2525 6-29-70
BUILDING PER,
SAC Z - - 0-
PARK
v ClTY aF EAGAN
3795 Pilot Kno6 Road Eagon, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION •
To be usee fo. Garage & Patio Est. vaiue 2,500.(
Sire Address 4,006 Limonite Lane
Lor lg Block 17 Sec/sub. Cedar Grove 7
Percel #
z Nome G.R. J0hnsori
; Address 4006 Limonite Lane
o ci Eagan,MN 55122Phone 454-1972
ce Name Same
,o
?? Address
Citv Phone
Name _
Address
I hereby ocknowledge that I have reod this opplication and state that
the information is torrect cnd agree to comply with all applicable
Stote of Minnesota Stotutes and City of Eagan Ordinonces.
Signature o4 Permittee -
A Building Permit is issued to:
all work shoil be done in acca
Building Officiol
Receipt #
Date
N??5788
1 ?
Erect ? Occupancy
Rl
Alter ? Zoning
Repoir ? Fire Zone III
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 12 fr.
22
Grade ? Depth k.
Approvale Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 4Z18180
APC
Permit t"-.VV
Surchorge 1.50
Plan check
SAC
Woter Conn. _
Water Meter
Road Unit
Total 13- 5n
Johnson on the express condition that
all appl,icable!Stot of MinnesoM Statutes and City of Eagan Ordinances.
CITY OF EAGAN 14161
a 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:454-5100 -*/ 17 ?1? /
BUILDING PERMIT Receipt# 7
To be used for WINDOW REPLACE Est. Value $Z ? 000 Date SEPTEMBER 14 19 87
Site Address 4006 LIMONITE LN
Lot 18 Block 1 Sec/Sub
Parcel No.
CEDAR GROVE 7TH
s Name G.R. JOHNSON
W 4006 LIMONITE LN
o = Address CitY EAGAN phone 454-1972
Z?IName SAME 456-3883 I
0 ? Address
? City Phone
Name _
Address
City _
I hereby acknowledge that I have read this application and state
thattheinformationiscorrect aQ?e? focom y with all applicable
State of Minnesota Statute ?'?S?'zp;;z
Signatureof /?
Permittee
A Building Permit is issued to: G. . JOHNSON
all work shall be done in accordance with all applicable S ate of I
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $37.50
Water/Sewer _ Surcharge 7 _ O(1
Police ` plan Review
Fire _ SAC, City
Engr. ` SAQ MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC - Treatment P1
Variance _ Parks
Copies 1 _ (1(1
TOTAL $32._50
__
on the express condition that
S;atutes and Ciry of Eagan Ordinances.
?
? CITY OF EAGAN
BUILDING,*PERMIT APPLICATION
7.b Be Used For Valuation ?Z5 a d
Site Address ?D? L-11y16;.tj17-& Zfl.t.&
Include 2 sets of plans,
1 site plan w/elevations &
1 set of ene?gy c culations.
Date ' wls CJ
OFFICE USE ONLY
Lot IFl aloclc /_ sec./sub. Frect occupancy
Parcel #:
Owner• G'. ?. .ll7 f6U? oAj
Address: y60& Z-i/"Giv,vT- L,g-?.b-
City/Zip Code: 61'tGA-;nJ J Jr/2?
Prione t972
S7-pucT4?'?J pa?a?i?
CAI1t,L'3CtOZ': fdl?a.A?F76i?( a liC/ yrl- OcRIVciJli.tFlJ
Pddress:
City/Zip Code:
Phore
Arch. /E7ig. : OU G'RJE
Address:
City/Zip Code:
Phone #:
Alter zoning
Repair Fire Zone
Enlarge p? Type of Const.
Move # Stories
Demolish Fnont ft.
Grade Depth 2;2- ft.
APPROVAIS FEE.S
Assessnents Permit /Z
[4ater/Sewer Surcharge / ?-
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. ;
APC -
TOTAL 13 -%237
16 76 'z? &?°y.
r EAGAN TOWNSHIP
BUILDING PERMIT
oWne= ----??--?'`--"......... ------ ........ ?- .
°-•-----°
Add:ess (preseni) o C?:__:.
-- - - .... -------- ------------------------------- -- ?
Builder .._.
Addresa ......
DESCRIPTION
N° 2267
Eagan Township
Town Hall
na:e L-°-?O
..................................
6tories To Se Used For F:on! Dapth Height Eai. Cost 'Pe:mi! Fee Remarka
?
`/L
oZ ? j a-?-c
o2 G? ?
p
`
3?' A;eEc? sc,?
LOCATION
Stsee3, Roed or oihe: Deecriplion ot Loaalion I Lo! Block Addit3oa or Trac!
This permit does aot avlhoriae !he use of slrsets, roads, alleys or cidewalks nor does ft give !he owner oe his ngen!
!he righi !o cseafe anp situafion which is a nuisance or which presenls a hasard !o the health, safely, eonvenience and
general welfare to anyone in !he eommunily.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRE S.
This is fo cerli4y. 3hal....L.°as permissioa !o ereet a .... ... .. . . . . .... ..•-.. .. .......... _upon
!he above desc:ibed premise sabject !o !he provisions of the Suilding Ordinance for Eagan Township a pYed April 11,
1955.
/n ,?
.-•••••••••••••••... .••••••.:.......?i....?..:...-:`?- ................. Per ?'?`?` (,-?.?:?•-•-•-
--°- --------------....__ .............. .... .....
.................
rman oE Tnwn Board ?. Building Inspector
I&
? • •- Y
TOWN OF EAGAN
3795 Pilot Knob Rcad
St. Paul, Minn? 55111
PERMIT NO.: 3$
The Board of Supervisora hereby grants to Ceder Grove Gonstruc?ion Co.
of 7343 Concoxd Blvd. E. LSo. St. Paul _ a Heating_,___._ _.
Permit for: (Owner) Cedar, Grove nstruction at 4006 Liarom3te Lane_ _.j$,?,-7
pursuant to application dated June,_25. 19701:1 •
Fee Paid: $204n0 Dated this 29th day of Jtme , 19-Q.
~ Buildin? Inspector ? ?
r - .6; '1
TOWN OF EAGAN
3795 Pilot Knob Rcad
st. Paul, Minn, 55111
PERMIT NO.: 36
The Board of Supervisors hereby grants to Cadar Grove Construet4on Co,
np 1343 Concord BLvd. E.o So. Ste Paul g Plumbiag
Permit for: (Owner) Cedsr Grove Coastzuction at 4006 Limanste Lr.ne 18i/-1-7
pursuant to application dated _Sune 25, 1970
Fee Paid: $20.00 Dated this 29th day of June ,1g70 .
------ •--- - ---._. _• _ - --- ____ ? ---
Building Inspector
REQUEST FOR ELECTRICAL INSPECTlON . e?aj-o,oo/o?i-os
, See instructions tol completing this form an hack of y611ow copy. J( tiy? ?-
"X" Below Work Covered by This Request
E 28405
kdd Rao. - Type oi 6uilAing Appliancea Wired EquiVment WireA
Home Range TemF?rery Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otnrr peci v ome, Isperifyi
t er Suecify t er ? Oth?r
uompuie rnspeccron ree rserow ? / p •--- -- --
p Fee Servic6 EntranceSiZe 4 Fee Feeders/Subfeeders P9e Circuit5
U to 200 Am 5 0 to 30 Am s e to 30 Am s
Above 200 qmps 31 to 100 qmps . U 1 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transtormerg Irrigation Booms artial•'Other Fee
Signs Special Inspectlon
'?
TOTAL F
Hemarks . D
,
.- .
flouBh-in ? uatP (
7 ? TQ I, the Ele '
InSpector, hereby
certify Ihet the above
Final tP inspection has been
mede.
Thls repuest void 18 montha Irom "?= ? . .
This request void /7
18 imnths from ? P ? b
?28405.
?--
?J
H a ?7? - Fire No. Rough-in Inspectron
-?7?/ Required? ?Ready Now QWilI Noufy Inspec-
?? ?Yes ?No tor When Ready
VQicensed Electrical Contractor 1 hereby request inspection of a6ova
? Owner electrical work installed at:
Street ddress, Boz or Rout o.
v 0 ' ?
. C'tv
5 # G ?
ecuon o. T wnship me or No. Range No. County
Ocodll?nPRI?T)
? ??
S O P?nS "" ..7 Q GJ .7
Pawer Su ier Address
Elecvical Contractor {Company Name)
KENDRICK ELF.CTRIC
.' Contrar.mr' License No.
?
Mailin1???d?YOoCK aI.A1?tEailation? ,
1ML n
A n y
t
g¢allation)
z
Phone Number
MINNESOTp STA7E BOAND OF ELECTRICITY THIS INSPECTION REQUES7 WILL NO7
Griggs-MidwaV Hldg. - floom N.191 BE ACCEPTED BY THE STATE eOARp
1827 Universitv Ava.. St. Paul, MN 55104 UNLESS PNDPEN INSPECTION FEE IS
V?...nc l6121 642-oRao ENCLOSED.
??/?/?? REQUEST FOR ELECTRICAL INSPECTION
ji,- See insVUCtions for compieting this iorm on back of yellow copy.
P' 11 208
`7f'Below Work Covered by Thrs Request
M- E&00001-07
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating -
Apt. Building Dryer Other (Specify)
Comm.Jlndustrial Furnace
Farm Air Conditioner .
Other (specify) Conhador's Remarks:
Compufe Inspection Fee Befow:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders
Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgI7S Inspeclor5 Use Only: TOTAL
?p%?
Irrigation Booms ,
Special Inspection
Alarm/Communication
Other Fee
I, the Etectrical Inspector, hereby Rough-in oa?e
certity that the above inspection has
been made. Fimi at /'
OFFICE USE ONLY
This request void 18 rtronths irom
i???r?ry c?oy
? 17 2 0 8 1 ,(?
Request Date
IQ ' Fire No. Rough-in Inspection Required? XReady Now ? WiIINotity Inspector
Wh
R
d
?
- tS ? Yes C8'No en
ea
y
IR licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Boz ar Route No.)
OCO/o Li/7?67/1 //?7?'? City
FCJ yGe
SecUOn No. Township Neme or No. Range No. Counry
D.a
Occupant(PRINT)
?al- Phone No.
Power Supplier Address -
19KO 7? CL CC rn/C ?1WfA16 7'C-71J
Electrical Go ractor (Company Name) Contracror§ Licerse No.
t e ' a ?
Mailing Address (ConVaclor or Owner kirg Installation)
` d
'
%J
?
• G,F e A?sr c%
Auth rized SignaNre trecl /Owner M Inng Ins[allatio Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WIIL NOT
Griggs-Mitlwey 61dg. - Room 5773 eE ACCEPTED BY THE ST.4TE BOARD
1821 Univenity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (672) 642-0800 ENCLOSED.
1987 BDILDING PERNIIT 9PPLICATI - CITY OF EAGAN 9
SINGLE FAMILY DWELLINGS
INCLITDE 2 SETS OF PLANSt 3 CERTIFICATES OF SIIIiVEY, 1 5ET OF ENERGY CALCDLATIONS
NOTE: ADDRE5SE5 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGAATE WHICH ADDRESS
T_S DESIRED. NO CHANGES WILL BE ALLOFTED ONCE BIIILDING PERMIT IS ISSIIED.
M[TLTIPLE DWELLINGS - RESIDENTIAI. RENTAL DNITS FOR SALE iJNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CfiECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C04RiEACIAI.
INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
wwpow P1.7 q ?
To Be Used For: n?(.?C°6H9ET-( Valuation: ¢) Ua? Date:. 1- l- ?
Site Address /?OD? ?i?a,vi1? Lv
Lot It Block ?
Parcel/Sub
Owner Cr-3,1C, J 0 YA(f aJJ
Address 4/00/p LlMoAo,!]r- 4V
City/Zip Code 54<0A7J Z
Phone 7 57l :?? 7
Contractor SEC.F
Address
CitylZip Code
Phone
Arch./Engr. ?
Address
CitylZip Code
On Site Sewage
MWCC System ?
On Site Well _
City Water ?
APPROV9LS_
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
B1dg Offv
APC
Variance
,39,so ?
I , 00
/, o o I
r ' ,S i
Oeeupancy _
Zoning
Type of Const
(Actual)
(Allowable)
dF of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEF.S
Permit
Sureharge
Plan Review
SAC, City
SAG, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
?3 ~
?
I /? /loor7is?? To NO(ZP?d,? ?
?
Ir-7Z ?
1 ?::??c G ?
?_' ?}pp;iiUtiJ:
i '
?? i l 2 yy' ?c1?, ca,vc?Rt ?
I ? ? I
I I PR ? l9 vJ'!rr ?6 ?iP??i?J:o
I y 4 1 ?
,
Lot / Y Blcek ?
-e-dcd-,M- _ t) I,e._. ??
suba. 0
?
4S)4-',L?
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date
Receipt
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
tr Existing residential: $15.50 (Plumbing permit not reyuired if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, p(umbing permit, WAC, and water treatment
plant fees. ?
(Address ta be sprinklered) ?
-Homeowner/Plumber: c ?12y . /L Vd'?tis
°?
Phone #: ?SCo 3c??3
Street Addtess: ?Q? (O Z-/ HnaA// t7-- L/v
City, State, Zip: 6-6-/ Z
Owner Name:
Street Address: •
Phone #:
Irrigation Contractor:
Phone #:
I hereby acknowledge that I have read this application and state that the information is
corr t an agr to omply with all applicable City of Eagan Ordinances
.
cc: Engineering Department
io 0
EAGAN TOWNSHIP
3795 Pilot Knob Road
5t. Paul, Minneaota 55111
Telephone 454-5242
PER141T FOR WATER SERVICE CONNECTION
Date: 6/25/70
Billing Name:rPrljr (:rnv Cnn s r_ ( n
Number• 454 j ?Y-f - -7
Site Address: 4006 Limonitp, L.anp,
Owner: Sam Billing Address 7343 concord Rlvd. E__
South St. Paul
Plumber; Stein, Tnc_ Minnesota 55075
Location of Connection Meter Size Connectioa Chg.260.00 pd 6/29/70
Meter No, lPermit Fee 2& 10.00 pd 6/29/70
Meter Reading { Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO ITotal Chg.
Building is a:
Residence anc
t4ultiple ho,
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Bp:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do Ctm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Cauntq, Mianesota.
By:CFDAP ROVE CO STRiTCTTON CO-
J-0/0-112 ;Y? ?? .
Please aotify the above office when ready for inspection and conaection.
y ,
EAG6SN TOWNSHIP
3795 Pilat Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERAIIT FOR SEWER SERVICE CONNECTION
DATE: 6/25/70
06JNER: CP.aar,s; o. ronq-r ro_
NUMBER 606
(Lot 18, B1ock 1, Cedar Grove #7)
AddTess 4006 Limonite Lane
PLUMBER $tein. Inc.
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial{ Commerciall Residential Multiple Dwelling No, of units
xx
Location of Connections:
Connection Charge200.00 pd 6/29/70
Permit Fee 10.00 pd 6/29/70
Street Repairs
Total
Inspected by:
DaCe
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above pezmi.t, I
hereby agree to do the proposed work in accordance with the ruies and
' regulatioas of Eagan Tot-inship, Dakota-County, Minneaota
gy. CEDAR GROVE CONSTRUCTION C0,
Please notify when ready for inspection and connection aad before any rtion
of the work is covered.
CLAIPI VOUCIIER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT FLARE HEA.TING & AIR CONDITIONING
ADDRESS 7845 12 TH AVENUE SOIiTH
I3LOOMINGTON. MN 55423
Location 4006 T.TMONITF, LANE __ _
L1a-. CF.DAR GROVE ZTEL_-_.-
Receipt No./Date 94365-10/5/89
Reason for Refund OVERPAYMENT OF MECHANICAL PERKIT
7'ype oF Refund Electrical Pecmit 01-3211 $
Plumbing Permit 01-3212 $
Pfechanical Permit 01-3213 $ 19.50
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 , $ _
Utility Account Over-payment 20-2250 $
Other: $
$
TOTAL $ 19.50
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
OCTOBER 10, 1989
Signature Date ,
MASTER CARD
9 LOCATION
OWNER (- 4c
STRUCTURE AND
LAND USED AS
PermiT
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC 7ANK
WELL_
ELECTRICAL
I
HEATING ?
GAS INSTALLING
I
SANITARY SEWER 6vb
I?
07HER i
I
OTHER
0
E
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING ? SEPTIC
fOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FIfVAL
ELECTRICAL
HE,4TING DEP7H
OF WELL
GAS 1NSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
?=- ??-
SANITARY SEWER -??
?
?
I
?
? Violations NoTed
on Back
COMMEN75:
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit
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Property Owner ? • Telephone # ( (pS
Contractor
iMiARD HEATlNG & AlR CONflI1IONIWG C0.
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State MINNEAPOUS, MN WA08'2M Zip Telephone # ( )
Bond #• Expires:
The Applicant is Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additionai _Replacement
air exchanger
X airconditioner _New ?Replacement
other
State Surcharge $ .50
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By
I hereby apply for a Residential Mecharucal Pernut and acknowledge that the informahon is a te; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; I understand this is not a
permit but only an applicarion for aCermit, and work is not to start without e t; that the wor unll b? 'n accordance with the
approe i plan in the case o?'w9F] 50equires a reviewnd approval of ns. M n
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Applicant's Pnnted Name Applicant's Signaiun•
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115385
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 4006 Limonite Lane
Lot:18 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-180
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gary R Johnson
4006 Limonite Lane
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
..,s e t # For Office Use/5 0/ 11'e-
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinginspections c(Dcitvofeagan.com Staff:
Commercial Plan Submittal:eolans(a�citvofeagan.com L
2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION
zi Date: ` / �-3` I' Site Address: D O 6 h I OA)/ 7 / ' N
Tenant: Suite#:
- Name: C��7'L it �5�N Phone: 10 1` IS4 - 19-72—
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Resid #/Owner.m ; Y
Address/City/Zip: 1100 6 I-7 r•�d�u �� �,N-
Name: 6lZ 0J' S NU >�l LCI" License#:
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Address: /L/ �� sd �d r� T111� City: �v ceiP d`
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State: Zip: Phone:
Contact: 6-ed r9.c Email: 04,4011)-NY /./ / Nob , G v.,-
RESIDENTIAL
5 , i Furnace
Air Conditioner
Perm .
Air Exchanger
Heat Pump
Other
t kt New Replacement Additional Alteration Demolition
Type of Wo. n
Description of work: T '1)7V.t)a Cr /EZ��b��Ot.G
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 06
$100.00 Residential New, includes State Surcharge
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.cityofeaoan.com/subscribe.
I hereby acknowledge that this information isn 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 no
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 req fres a review and approval of plans.
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Applicant's Printed Name Appl c.nt' igna ure
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