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4013 Limonite LaneCITY OF EAGAN 14641 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 BUILDING ?ERMIT Receipf # " Esf. Volue `' r U00 I Site Addren Lot -i Blcek SeclSub. 7 Percel No. ? Name WZ 2 Address b City Phone „?` Name O ul U Address ' ? City Phone ?W ?W Name x Address ? rcz ? W City Phone I hereby acknowledys thot I haw read this applicotion ond stote that ths inlormation is correct and ogree to comply with all applicabla Srote of Minnesoto Statutes and City of Eagan Ordinanus. ?,------ -` ^- --'--- - A Buildinp Parmif Is issued ta otl worlc sholl be dons in accordonce with all oppliaoble State of Mir Erect ? Ocwpancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install Q 8 - Approrab 3 Fus Assessment Woter 3 Sew. Police Fin En0• Planner Countil Permit 11 _ ) i . Surcharge 4 _ i0 Plan Review SAC Water Conn. Water Meter Road Unit Bldg. Off. b i fl `? Tc PI. APC I Parks Var. Date C?ies Total +' ) 9 on th? ?xpress condifion thot wro Stotutes ond Ciry of Eopan O?dinonces. Pxmit No. Pxmk Holdx DrM TslsDhons X Plumbiny H. V A.C. ENetrle Softenwr IropsMion Date Insp. Other Footings I ? Footings II Foundatlon Framing Roofing Rough Plbg. Rou9h Ht9. 0"600el !/? ? ?/?d? Insul. Fireploce Final Htg. Flnel Plbg. Flnal CerVOcc. Water ??ibe Loeation: Watl Sewer Pr. Dlsp. BUILDING PERMIT To be used for Est. Value 1 9000 ..( ?'t ? t I.c.,;r.- i .-, F.a•';, Site Address Lot Block Sec/Sub. OAR GRQVQ ?T, Parcel No. a Name ; Address 71 '`.",P;1'': ° City Phone ? " !4Q , s: ?t rk: , o Name o u Address U? City Phone " 'S5'3-929 a WW Name Address L) e zW Ciry Phone I hereby acknowledge that I have read this application and state that the informa[ion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature oF Permittee . i - . A Building Permit is issued to: on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 Receipt # Date , 19 OFFICE USE ONLY On Site Sewage _ Occupency MWCC System _ Zoning On Site Well (Actual) Conat City Water (Allowable) PRV Required # of Stories Booster Pump _ Length Depih S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Ott. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Psrmit Holder Date Telephone # Plumbing H.V.A.C. Electric Softener Inspection Date Inap. COmTents 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 Final " SI Qf"Y-G w weu 3-6 ` 3 Pr. Disp. "l Sv Lpr;, cc.-,-,ct/el fi'/etp 3- G 8' 9 CITY OF EAGAN I 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION • i uI ;t i NiIiN 1 1 1 t ANI ; 1 It I PERMIT SUBTYPE: i -------- ----- ;CORD PERMIT TYPE: Permit Number. Date Issued: APPLICANT: i ,. i . . . .??! . .j., TYPE OF WORK: rzc:r•A;K 11 1 11 i i„N j itlmi iI1 INSPECTION TYPE i I; iS M I N?? D. • DA Permn rio. Permn rwwer Dece raiepnone r SnN PLUMBING HVAC ELECTRIC ELECTRIC Inspeetlon Date Inap. Commants Footings I l Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Flnai Plbg. Plbg. Inspector- Notity Plumber Const. Meter Engr./Plan 81dg. Flnal Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition IaAR GROVE 7 Lot 8 eik 2 Parcel 10 16706 OSO 02 Owner Street 4013 Linqnite Lane State Ea4ant Mb1 55122 !-?m u?!s?n Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1)70 $8.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN * WATERLATERAL 1971 1,615.00 80.7$ 20 Paid WATER AREA * STORM SEW TRK 1-31 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 2$0.00 2334 4-27-70 BUILDING PEii. snc 200.00 2334 4-27-70 K 11i : BUILDING PERMIT To be used for DECK Receipt Est.Value $1,000 Date MARCH 24 ,?g88 Site Address 4013 LIMONITE LANE Lot 8 Block Parcel No. CITY OF EAGAN N0 14 717 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHON E: 454•8100 2 Sec/Sub. CEDAR GROVE 7TH m Name ROGER AM[JNDSON = Address 4013 LIMONITE LANE ? City EAGAN phone 454-4049 UQ?IName ?RICAN REMODELING I o Address 1935 C0. RD. B2 ? City ROSEVILLE phone 631-0450 V W WW Name_ Address U Qy2j Clty_ 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 StaWtes and City of Eag Ordinanc s?. Signature of Permittee ?? ?? A euilding Permit is issued ro: AME CAN REMODELING on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official- <7&tZ, Irp OFFICE USE ONLY On Site Sewage Occupancy - MWCC System _ Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump _ Length . Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge .50 Council PIanReview Bldg. Off. . SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 'Z4.50 CITY OF EAGAN N° 10 6 41 .? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 ,? 3?0") BUILDING PERMIT Receipt * Te 6e mud 1er POOL/FENCE Est. Votue $9 F000 pate JULY 22 1 q 85 SiteAddreu 4013 LIMONITE LN Erect ? Ocwpency CED GRV 7 Lot Block 2 Sec/Sub 8 Remodel ? Zoning _ _ . Repair ? Type of Conat. Parcel No. AddRion ? Na. Stories W Name ROGER AMUNDSON Move ? li h ? D i..enyth SAME emo s Depth ; Address Int. Impr. ? Sq. Ft. b City Phone 454-4049 Install ? CUSTOM POOLS Approvals Fees _ ? Name o" Address 601 E EXCELSIOR AVE "? ?ity HOPKINS Phone 933-2255 ?? ?Name W 2? /?1?f@4E u ?W C1ty Phone I hereby atknowledge thot 1 hove read this applicotion and stote that the intormotion is correct and ogree to comply with all applicoble Stote of Minnesoto StotutqA and Qlk?pf Eoyan Ordinances. Sipnaturo of Permittea A Building Permit Is issued te: CUS OM POOLS all work shall be done in acmrdanee with all aoDlicobleibtate of Mir Assessment Water & Sew. Police Fira Enq. Planner Council aida. off. 7 16 85 APC Var. Date Permit J/ 4. 7 U Surchar9e 4.50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks I CoPies Total $ 7 9• 0 0 on fhe expreas corditlon that ond City o3 Ecpan Ordinances. Buildinq OFfidol EAGAN TOWNSHIP BUILDING PERMIT .............................. ."-:. ? . Ownex ........ Address (Preseni) ......k?' f ••••• • -? ----- Builder ..........,r.ii! ...... ".'?.. Addreas ...... .............. DESCSIPTION 11T° 2227 Eagan Townahip Town Hall Da=e ----`?<•.`3?7a .. ................... 5toriea To Be Used For Fron! DepYh Heigh! Est. Cos! Perml! Fee Remarks • ?,,, , ,? I a I, o I a `. I ° &X? ex-g^- LOCATION Slreet. Roed or o!h r Deacripiion of Loeation I Lo! Block Additioa or Trae! .410/3 Li- E ?'? 7 This permii does not aulhorise the use of s2reeYs, roads, alleps or sidewalks nor does it give the owaer or his agen! the right to create anp situaiion which is a nuisanca or which presen3s a hazard !o the healfh, safety, coavenience and general melfare !o anpone in the communiiy. THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGR SS. This is to cerlifp, lhai._?=--?-_?.'.:'.`O'?_........................... haspezmission !o erec! a--• -••••-•- •••?`.:?••••• !{?uPon - •• ••••_ the above described premise subject !o the proviaiona of the Building Ordinance tor Eag TownsE?p adop! d April 11, 1955. ....:nairan . ?uilding Ins eo3or 16, J. r;4 TOtidN oF EAQAN 3795 Pilot Knob Rcad St. Paul# Minn. 55111 PERMIT NO.: 21 The Board of Supervisors hereby grants to Cedar Grave Construetion nf 7343 Cancorci Hlvd.L 50. St. Faul a Heating Permit for: (Owner)Cedar_ GI'ove Conatruction at 4013 Limonite I,ane 8-2-7 -_, pursuant to application dated MaY 59 1970 Fee Paid: i'2o.nn__ Dated this $th day bf M" , 19Z . Building Inspector .- TOWN OF EAGAN 3795 Pilot Knob Rcad St. Paul, Minn. 55111 PF,RMIT NO.: 22 The Board of Supervisors hereby grants to Cedar Grove Construction t7lf 72k Concord b,v2'.. oat. Paul a Plumbing_ Permit for: (Owner) Cedar Grove Construction at 4013 Limonito I,ane $-2-7 pursuant to application dated nza1r_59 1970 • Fee Paid: $20.00 Dated this Oth day ef May -d . , 19- ----- •--._ ...__..... __ _._. __ __?. ._ __. Building Inspector ? ? EAGF.N TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PERPUT FOR WATER SGRVICE CONNECTYON Date: h = 5- 70 Number; 5 ? c) '-7 Billing Name:?'?A•,./ Ee.o?• fa. Site Address; 4G0a Owaer: Billing Address Plumber• Meter Size .230.0o pa 5/8/70 Meter No. 'Permit Fee 10.00 pd 5/8/70 Meter Reading IMeter Dep. Meter Sealed: Xes_ lAdd'1 Chg. NO iTotal Chg. Building is a: Resi.dence xx t2ultiple No, Units Commercial IadusCrial Uther Inspected by Date Remerks; 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 regulations of Eagaa Township, Dakota County, Minnesota. By: &? &;.f_m.e.t? ,?GOyzJ?C o. Please notify the above office when readq for inspection and connection. EAGAN MWNSHIP 3795 Pilot Knob Road St. Paul, Minneeota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: .S"-- S_ Tp N'iJMBER 585 ' & OWNER• &rc?Z??t.?, eo, Address /Y'o /& ,4=cLut?-e? r?Q?c.rJ PLUMBER 1'YpE OF PIPE ClA-t ?O??J DESCRIPTION OF BUIIAING Industriall Commerciall Residential I Multiple Dwellingf No, of units Ex Locatiop of Connections: Cotutection Charge 2nn_nn 5/8/70 r,d Permit Fee 10.00 5/8/70 nd Street Repairs Total Inspected by: DaCe Remarks: By Chief InspecCOr La consideratioa of the issue aad delivery to me of the above permiC, I hereby agree Co do the proposed work in accordaace with the rules and regulations of Eagan Township, Dakota County, Minneaota By. Please notifq whea ready for inspection and connection and before any portioa o:E the work is covered. zg-73 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? J(?? 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Constructian Reauirements RemodallReoair Reauirements • 3 registered sile surveys showing sq. ft. of!ot, sq. ft. of house; and all roofed areas • 2 copies of plan (2096 rnaximum lot coverage allowed) • 1 set of Energy Calculations for heated aCditions • Z copies o/ pian showing beam & window sizes: poured /ourid desrgn, etc.) • 1 site survey `or extenor additions & decks • 1 sel o( Energy Calculations . Indicate if home served by septic system `or additions • 9 copies of Tree Preservation Plan if lol platted after 711193 . Rim Joist Detafl Options selection sheet (hldgs with 3 or less units) DATE IO I:3,h VAIUATION 3S 50-o O SITE ADDRE$S q013 41snORr4-e? LA• MULTI-FAMILY BLDG `Y XL N TYPE OF WORK IZzS?IL_ fIREPIACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS ?c?41 4vl¢wt.oria.? ??tl+?. ?• CITY Sbl ls.9w.?-gT- STATF/K?ZIP ?k?2.. TELEPHONE #1651-39-q320 CELL PHONE # FAX # 6Sl PROPERTYOWNER??rr.? 4L-U c, TELEPHONE# 1 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ N tIti\F:50'1':11tUI.ES 7670 GV'CliG0121' l LvIIi Ri:fi?'P:1 RL?L1:.S1?7672 (J submission type) . Residential Ventilation Ca[egory 1 Worksheet Submitted ? • v? ?ergy Code VWOrksheet Sutimitted • Energy Envelope Calculations Submitted Plumbing Contractor: ________ ___. _________Pkionc ? ?;'• r_ __?_I Plumbing system includcs: _ Watcr Svltcner I.acvn Sprinklcr ? Fee: :590.00 ? Water Heater _ No. of R.I. Baths No. oF Badu Mechanical Contractor: _ Vtcchaiical svsaciii iricludcs: Sewer/Water Contractor: Air Condiuoning Eical Rccovci} Syslcm Phone # Phone # Pce: 370.00 I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all app(icable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ? aAt- a - - ?0_ .. . .. _ ----------- -------------------------------------------- -° OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updaled 4/02 ?i CITY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: a??! $UZLDSNG 023992 P16/28f94 SITE ADDRESS: P.S.N.: 10-16706-080-02 PERMIT 4013 LIMONITE LANE LOT: 8 BLOCK: 2 CEDAR GROVE 7TH DESCRIPTIOId: (ROpFIhlG/SOFFTTS) uilda.ng,permit Type SF (MISC.) ui,ldz:ng 46,r:k Type REPAIR j; ? .:. ....Y? . ?J 1 rt "Ij .,?, \S?l REMARKS: FEE SUMMARY: VALUflTTQN Base Fee Surcharge Total Fee $63.00 $2.00 $6S.@0 $4,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: CUSTpM REMODELER5 INC 17842646 009174E flMUNDSON ROGER 8729 CENTRRI AVE NE 4013 LTMONTTE LN BLAIPIE MN 55434 EAGAN MN 55122 (612) 784-2646 (612)454-4049 I herehy aoknowledge that I haue ripad this applioation and state that 'Che ; ,informatiarr is corrsOt and' agree t6 camply with all appliCable SCat#< Af Mn. Statutes and City af.Eagan Ordinances, APPLICANT ERMITEE SIGNATURE ISSUED BY: 131upwAl URE IN5PECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 8 BLOGK: 4013 LIMONITE LANE CEDAR GROVE 7T'H PERMIT SUBTYPE: sF (MZSC.) PERMITTYPE: euzLozNG Permit Number: 023992 Date Issued: 0 6/2 g /g q APPLICANT: z CU5TOM REMOOELERS INC (612) 784-2646 TYPE OF WORK: REPAIR DESCRIPTSON (ROOFING/SOFFTTS) INSPECTION FRAMING ., . ROUGH IN PLBG .. ROUGH IN HTG FINAL L? .._:m b.. .... .: __ .... ..... .. .. _ ,_ _ m .. _ ' _.. ? ?a ., „ ._ .. ? . ? ? . ? . • ? ;?? ,. . . .. , ;i.,r; ? ? / 1 ? .. . \ t?, i ``; t-•?`. rii<?\ ;".s,,'•^q ?} ? ? ,,F 7.; .? m4qt CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 L_?.00 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1} when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of wark fo d4P 1 Sc,c-pw_--I? Site Address:_ STREE7 SUfTE ff Tenant Name: (commercial only) ?c9of6N +''f`?? t7M ?t A cbryn LOT BLOCK SUBD. L&1I?? ?? P.I.D. # Descri tion of work: The appl icant i_s: El Owner Contractor ? Other (Describe) Name # i'h c?? ol Sci n C- Phone C/O`Ft Property LAST FIRST ? Owner Address yG' / s /-- ,' "• o r- - '? t V'\ STREET STE 1t City CALState Zip Company 5+c?? f2e ci, cn cl tc Phone Contractor Address ?C C, f'k 4?/ trr"C- License #lrqq Exp. City ? A. State Zip (I-? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 Minn 5tatutes and City of Eagan Ordinances. ?? Pignature of Applicant: . ? to 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTO&S HUST BE LICENSED WITH THE CITY OF EAGdN Lot: ? Bloek ?-- Sect/Sub (!z-,O `yt-dErect X Occupancy Remodel ? Zvning Parcel # Repair ? Type of Canst Addition /k af Staries Owner ? G?? R MU ?1 a So 1'1 Move ? Length Address _ L40 Demolish Int.Impr. ? Depth Sq Ft ? S City/Zip Code C.Q S Y4 ? Install vl. ? -------------- --------------------- INCLUDE 2 SETS OF PLANS '?CERTIFICATES OF SURUEY 1 SET OF ENERGY CA71- ULATIONS -c?/ To Be Used Far :? I r?\ pO0 I yaluation :?, Date : 7 ?/d S Site Address: `??1? ?Imon{"fe ? OFFICE U3E ONLY City/Zip Code Phone # Phone y Sj 4O ?jt R APPROVALS FEES Contractor c U 4pt-v\ Po01 ? Assessments Permit Address + (j EXeL. (S?C? ? rC`?'f' Water/Sewer Police ? Surcharge ? Plan Review City/Zip Code Fire ??31(3Engr ? SAC Water Conn Ph Planner? Water Meter one Council Raad Unit Bldg OffZ ?Treatment P1 Arch./Engr. ApC arks ? Variance ? Copies Address TpTAL, ? so ?? So ? / . .i , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN 717 SINGLE FAMILY DWELLINGS INCLUDE::2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY = CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS ` CONIIMERCIAL - INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuat ion: '"Date: :3-'-'at- yf Site Address _ 11U?3 L, r?6.LirE OFFICE USE ONLY Lot 2/ Block :;?-- ? On site sewage, Oecupaney _- ? CI Lti MWCC system Zoning ` 1?.?.? / Pareel/Sub Actual Const On site well City water A1lowable Owner PRV required _ dF of stories A Booster Pump _ Length ddress Depth I City/Zip Code S.F. Tota1 Footprint S.F. Phone APPROVALS FEES • Contractor 'lJ Engr/Assess Permit Add Planner Sureharge ,-15'0 ress l Council Plan Review City/Zip Code ???!f? ? l"?? 55//? Bldg. Off. ?24 SAC, City Variance SAC, MWCC. o Water Conn Phone 631-di5 b Water Meter Road Unit Arch./Engr. Treatment _P1 ` Parks Address Copies TOTAL City/Zip Code Phone ld 0 Permit ? No. I Issued Issued To CoMractor Owner BUILDING / -[- . PLUMBING CESSPOOL - SEPTIC TANK ? s+ - D WE« ???p? ?y_a? ,, ELECTRICAL HEATING ? ? •',? GAS INSTALLING SANITARY SEWER i OTHER I O7HER . • Items Approved (Initiaf) Date Remarks Distance From Well FOOTING FOUNDATION ?- -_ SEPTIC CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL {/YWI/sn- SANITARY SEWER rj Violations Noted on Back COMMENTS: t MASTER CARD Use BLUE or BLACK Ink ~ For Office Uaer--__-~-_ ~ I i j Permit City of Ealan ~ ' i I Permit Fee: /05 05 3830 Pilot Knob Road 1 Eagan MN 55122 j Date Received: 10 Phone: (651) 675-S675 1 I Fax: (651) 6754694 I Stab: l ~ l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t y site Address: _Unit 9- i Neme: ress' >3~~ Phone: '7 (1 4,f Address / City / Zip: Applicant is: Owner Contractor =22i - ,r 1 Description of work: 2 ~dSL i Construction Cost: 5:a4ro- 0-C/ Muftl-Famlly Building: (Yes I No Ia Company' Contact: i li $ Ig f Address: City: State: Zip: Phone: Lead Certificate: License W. 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 Sagan 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: q • Y e fC_i Ore C ..t ' Y Mb' 1 Wt i L b I s i / Sf dd° <qP3..;,.. .q;. , Ir, i t0~~~it~~. CALL BEFORE YOU DIG. Call Gopher State One Call at (861) 45441002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aophetsialeonecall.ora 1 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 slant 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 lesued In accordance with the Minnesota State Bulld g Code must be completed within 180 days of permit iesu ce. Appl Printed Name Ap nature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165609 Date Issued:11/10/2020 Permit Category:ePermit Site Address: 4013 Limonite Lane Lot:8 Block: 2 Addition: Cedar Grove 7th PID:10-16706-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jeffrey S & Mitzi Bakke 4013 Limonite Ln Saint Paul MN 55122--292 Applicant/Permitee: Signature Issued By: Signature