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4072 Limonite Lane UILDING ?ERMIT To 6e wwA }er C ITY OF EAGAN '{ 05 O? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 % R«eia # Est. Velue Date 19 Site Address Ered ? Occupancy Lot Block . ? - - . Remodel ? Sec/Sub 2oning Percel No . Repair 0 Type of Conrt. . Addition CR No. Stories . Move ? Length W Name Demolish ? Depth ? p`?ress Int. Impr. ? Sq. Ft. City Phone - Install ? Name Avaoveh ? F•o MM"MMMM M 8u Addreas Assessment . - l ? Permit ,l.' City .. , . , Phone Water 3 Sew. Surcharge Ga Police Plen Review ?uW Neme Fin SAC ?? A??s Enp. WaterConn. ?W City Phone Plonner WaterMeter C.ouncii Road Unit 1 hercby ctknowiedg* thot 1 haw read this opplication ond state that Bldg. Off. Tr. PI. tha informotion is torred and agree to comply with ali applicoble APC State of Minrxsota Stotutes and City o( Eoqon Ordinances. Perks Var -- ? Siqrwturo of permittae . Date Copies 1 = Total iT . A Buildinq Permit Is issued ro: ? - an tM expross conditlon that all work shall be dorr in xcordonce with all opplicoble Stote of Minnewro Statutes and City o7 Eaqon Ordinonces. Buildirq Officiol Psrmit No. Parmk Holdw Dob Telephons ? Plumbinq H.VA.C. Ebctrfo Softsnor Irapaetion Ttel Othar Footinya 1 Footinga II Foundation Framing Roofing Rough Plbg. Rouph Hty. Insul. Flroplace Flnal Htg. Flnal Plbp. Flnal Cart/Occ. WMOr OewiM Locstion: Well Sswsr Pr. Dlsp. 1V-RUCURIf CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: I rtq ,I Pdi II 1 nryt .,?I, .,,ul`d , k,1l4 rf tti? f iI 4"1 7' l1 {i (1 V F: #7 ( 1, !.' 1 si'-i 0 i $i F1 '+ PERlyllT SU?,TYPE: TYPE OF WORK: , PA1 R 1 1 „F, : { FrI1flF .SDC / ? i uFrM Permit Holder Date Telephone # PLUMBING HVAC Inspeetion Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ?b ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD ? i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. '`i 18 7 ? Eagan, Minnesota 55122-1897 Date Issued: t` 1 1 /97 i (612) 681-4675 I SITE ADDRESS: r411?1 ? 1 Aa+t: I PERMIT SUBTYPE: , APPLICANT: t?? c?s r TYPE OF WORK: . ? ????? ???? 1 N S r fl t. t. G aS r ra •, t V r Permit No. Permit Holder Date Teiephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINCa PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK flNAL Ownerj'(?1 l.i' , Street Improvement Date Amount - Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK rj 1 1970 58.18 2.08 28 Paid * SEWEF LATERAL 1971 20 WATERMAIN • WATERLATERAL Z 1971 1,615.00 80.7$ 20 Paid WATER AREA * STORM SEW TRK 131 1971 20 STORM SEW LAT ' CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 300.00 7018 12-18-72 6UILDING PER. sac 260.00 7018 12-18-72 PARK c?2r G-In?xl C??td Und&- /t>-,q C-Cs?? EAGAN TOWNSHIP BUILDING PERMIT arC -°'X....../.-:.?"`""+. Ownee - -- - .< .......... - - ....... .......... - ...-•- Address (Preseni) ._.?z' ,.._?4c? ......... ........ -- -..... Builder ..... .._.................... ............... Address . ............................... - -°- DESCRIPTiON ?NT 2911 Eagan Township Town Hall n8:e _.!.:? _ I Y ,?:z_ Siories -- To Be Used Fox - Front Dep3h Heigh! Esi. Cos! Permi! Fee Remarka ? t ?-I _ 7 LOCATION C AFG .:,L, C'r / Sireet, Road or oiher DescripYion of Location I Lo! c7c I Addifion or Traet r _3 ?-- k? / v This permii does no1 auYhorise the use of streels, roads, alleps ot /U J si ewalks no: does it give the ownar or his agent the right to ereale any aiYua2ion which is a nuisaace or which presen2s a haaard 20 the health, safety, eonvestience and general welfare Lo anyone in the community. THIS PERMIT MUST BE KEPT ON 77HE PRE SE WHILE THE WORK IS IN PROGRESrS. . d? This is !o certify. 3ha!_ :---.,.....:a:"-'..---• o'? ? ..has permusion !o erect a---• ? ..:......:'..?.. ..••- ..--_--..? . ..........._upon the above described premise subjecf 1o the provisions of !he Buildinq Ordinance for Eagan Tomnship a'dopted April 11, 1955. -? . •-.-..°--......./..'.k"`.?(.-z:`.?.................... ? ?.,?Per ......------ ( (/?e?- - - --- ..... ............... -°---.......----°--°......................°°....... `°:'---. -`. '"--- -._-' ,t^y g Huilding Inspaeior _/°y . BUILDING PERMIT Te be awd !er mmp CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # _ ue 61550.00 Site Address 4072 LIIAONI`i'E TaNM Lot 12 Block 5 SeclSub. cEDAR auv-E 7 Percel No. W Name MBRSZIN POWER ; Address SAME b citv Phone 454-9615 , o Name DTJRABILT GARnGES N_ 10602 Erect LJ Occupency Remodel ? Zoning Rapair ? Type of Const. Addition ? No. Stories PAOVe ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install ? AyOrovals hes iu p??res9 Assessment Permit 62.50 ? City Phone 38-9350 Water 8 Sew. Surcharge 3.50 t? Police Plan Review ?W Name Firo SAC ?? Address Enp. WaterConn. CW City Phone Planner WaterMeter uncil Road Unit I hereby ockrrowledge that I hava reod this application ond stote that ?dg. Off. 7 12 HS Tr. PI. the inlormotion is correct and agrea tomply with all opplicable State of Minnesota Stotutes and i of Eogan Ordi ces. AP? pa?ks Var. Date CoPies (2) 1 _00 Sipnoturc of Pertnittee h Bulldin PeRnit is issued ro: 9 DUE2ABILT GARAGES ? ?a e%? 7 nn prcss conditlon tFwt oll work shall be done in occordor" witN oll appliyeple Stote of MinnewPo Statutes orx! City oF Eapcn Ordinancn. Buildinp Official C. (g . =t?- e . VILLAGE 0'r' EAGAIV 3795 Pilot Knob Road Eagan, Niinnesota 55122 PE1iMIT NO.:_245 The Village of Eagan hereby grants to _Cgdgr Orpqe Constructio2'? Co. of 73113 clancord ffivd.., south st. P+mI- 55075 a -B$AT= Permit for: (Owner) ' . `- a'I GT? ?e6LA 17f ?isade'?? ??bt?12- tl?b9?a??.?b4f?da??ri??3?? ? al.isade • --'2?±,5/7? Fee Paid: t,120_00 dated this 18th day of DeCenber 19 72 3.00 s/c ' Building Inspector —* Kechanical Permits: bid Total; - R ?- . VILLAGE 0"r' EAGAId 3795 Pilot Knob Road Eagan, Niinnesota 55122 PElUfIT N0, : 297 The Village of ragan hereby grants to Cedar Gro've Construotion Co. of 7343 Concord Blvd. ;'., South :i.. ?rEUl 55075 a PLUMBING _Permit for• (py,mQr? aaune 186 Jac3e T. _ l_ _. T9 ri,....,,a? + ??-,-o-c -7----- - nt ,-v-wp ??w ra.i..?oewe wV i i-p 1( I 8Y't AV , Z'I -l0-tf / 5?2 , putsuan o app ica?ion dated 12 7 Fee Paid: dated this 8 7 t 9 72 3 . 00 s/c hda . y cf vecembar 1 ^ ' _.._ Muclianic al Permits : Building InspecLC-.•ade r3id To'ua1; PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ADDRESS: P.I.N.a 10--16766-120-05 PERMIT TYPE: Permit Number: Date Issued: 4072 LTMONITE LANE LOTa 12 BLOCKs 5 CEtiAR GROVE #7 DESCRIPTION: REROOF,soG / S70ftM Bua?i'84"n~g,.Permit T,ype STpRM DAMAGE TYPe REpAIR 434 AL7. RE5TfJEN7IAL drr ma xG REMARKS: FEE SUMMARY: BUILCITNG 032961 08119/98 VI ?°Iqaea AqwTSEAST9S1 - rfYWyycanti; - Z) I. L.11;. O?/N R. . 'ROOFING 18901899 2013878P/ PQWER? : MRf2Y 2107 1/2 W. BUF2N5VILLE PKWY 4072 I.TMONT7E LflNE BURNSVILLE MN 55337 EAGflN MN 55122 (612) 890-1899 (651)464-9615 APPLICANT/PERMITEE SIGNATURE 1998 BUTLDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN C) 3830 PII.OT KNOB RD - 55122 g ? to, ? 681-4675 ilew Construction Requirements ? 3 registered site surveys • 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 1 energy ealwlations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: DESCRIPTIO F WORK: RemodeVRepair Requirements • T copies of pian ? 2 site surveys (exterior addRions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; STRE ADDRESS: -Aanz LOT: ? BLOCK: ? SUBD.IP.I.D. \J Name: o?-?? Phone#: '??- °?(Q1S PROPERTY Last First OWNER Sueet Address: -?6r"l2 City State: ?Ay`1 Zip: k22 Company: -c,-cs Phone #: tg-? CONTRACTOR ?-'?- Street Address: 2ir5rc (z. w, License # Zes Ciry --'?juR?sV1L?? State: Zip: SS3??( ARCHITECT/ ENGINEER Company:, Street Address: City Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to 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 Phone #: Registration #: State: Zip: : l..(.Tti' !.IF Eil`Gt=?,N '? (':A;:,?.._.. ?...'?'*I.:'?'I::'i:?,. ? _ :? "?" TI°,t!•iP??3:.r,i_. }tl.,;; ?.? ..?42?. ?:....,.,?, ?_...?,. ?,?.. :• -, m.... _... .::.„ .,., ;?, -,, . , „ ?;.... ?. i i ...?..t..!?..!•::, _ ...: i:a.. ::. ? ,: i D; t?_ IT? ? NAi'il:::c !"l:l;:ES:EDi= C(:if?N;::fk ?..iL..._?. ..:....a.l. ". , f : ?....?7'Ii,?`?..:.? G. I... ._?.?..?....) 4?rl(i? 1 ...1.llnN .I.Ii:. i... CJ.,50 .... .i -? h,..r.,re7.G?'?, frr, ? i. .... .. .I. .:.!F.1? ; ?. ; 50.50 ! ii'?.:?.: Cf;' i.f'r:3(.I i':i. ('j 1 I('? h I' 1 ?, t...i?.???i? .?.? r !???'I?..,? .4 . ..:?. ?rClV OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BUSLDING Permit Number: 030787 Date Issued: g g?11/g 7 SITE ADDRESS: P.I.N.: 10-16706-120-05 DESCRIPTION: . ;Suild' 'Censu a /A ? P •?`? ^" ?? :k p?y 4. +?-? :..: REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: FIRESIDE CORNER'INC 16332561 2009091 POWER MARVIM 2700 N FATRVIEW AVE 4072 LZMONITE LANE ROSEVILLE MN 55113-0847 EA6AN. MN (612) 633-2561 (612)454-9615 .r.= ??k .i e? i uy£e ?stgxg' p ltsn uitki I hereby acknowiedge that'2b have` react?this appl;scaCiis-n and?stat:?,tha? he ?.nfo,rmation is cQrrect,an.d;a?,Al?,c??Z?a?,k??tate ?a?Atq? u i di e i,?i ?I'i d@?*MkF i?rsP i ro a?m ? ?ta??tes? p?~d???rce,? APPLICANT/PERMITEE SIGNATURE 4072 LTMONI7E LANE LQT: 12 BLOCK: 5 CEDAR GROVE 77H INSTALL GAS INSERT ermit 7ype FIREPLACE 0?v.k Type RLTERATION 434 A`LT. RESIDENTTAL , K ISSl1ED 13Y: SIGNATURE CITY OF EAGAN ?-Ij 3830 PILOT KNOB RD - 55122 v 1997 FIREPLACE PERMIT APPLICATION 681-4675 ? DATE: v1/??l ? Q? PERNIIT FEE: 50.5 DESCRIPTION OF WORK: CONSTRUCT NE,W FIREPLACE ALTERATIONS TO EXISTING ? INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: A STREET ADDRESS: [ v fk-\ 1 VV i ( lv ! I ?4 Q, l+LOT _LL_ BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONT OR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPER7'Y Name: Awer MQ,J'? ? J/? Phone #: OWNER Signature: StreetAddress: Cv (2t 7/cl, 1, City: C State: Zip: ? ? , , ?`?o `o`7 ? 141I1, FIREPLACE Company: fi J' eS ' t (? ?? ;,0UA -Phone #: 413 ` 44-62t INSTALLER r Signature: Street Address: License #: City: State: ?Zip: GAS LINE Company: ? QAl e) 0-, Phone #: INSTALLER Name: Signature: Street Address: City: State: Zip: OFFICE USE ONLY, BUILDING PERMIT TYPE o 14 Fireplace WORK TYPE ? 31 New o 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. CITY USE ONLY I=.??)T ?? BL RECEIPT #: 1( 4 6tQ11? 3UBD. RECEIPT DATE: V U-aO' f I MECHANICAL PERMIT # U555 1999 MECHANICAL PERMTf [ftESIDENTIAI) crrY oF EAeArr 3830 PaoT tsxo$ ftn E,asAu h,x ssi Q2 Date•, (651)681-4675 o ??f C Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U ADLITIONAL 50 M B1 U • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you are rernodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New ?Wteration Repair Other Reminder: Ca11681-4675 for i spections. ? Furnace ? Air conditioning ? Air exchanger _ Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: _Z r,4?-7i ???1 , OWNER NAME: ( (f 2?J e ? PHONE #: ('?s ' (AREA CO E) INSTALLERNAME: rtit,-,.?<?,,;,?;?.Ar?nr?a^•,^..,_ :., PHONE#: - (AREACODE) STREET ADDRESS: G1':: ??:"?? t?, "5? ? ?.?•<s, :. CIT7': STATE: ZIP: U,egj, OAr? -=? SIGNATCTRE F ERMITTEE ? \ V ( O Jo \ 1 ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COHTRAC?OSS hUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ??Valuation: L V•6i Date: Site Address: 40-70- 1-(M0A)4t L&FQ, OFFICE USE ONLY Lot: 10- Block 45 Sect/Sub (.0-d 6(0 7rect ? Occupancy Remodel Zoning Parcel 4t Repair ? Type of Const Addition j( # of Stories Owner ? tq / 100 pQ W-2cl- Move ? Length r,>r-Q. Lp Demolish Depth Address ?U /o? {^'101'LJ(?+(AInt.Impr, i Sq Ft City/Zip Cade F Fq,? elo Install ---------- ------- ------------------- Phone -I s ! " c761'?j APPROVgI.S FEES Contractor riGjC?{?S Assessments _ Permit / Water/Sewer Surcharge 3.5-° Address ?3L?3 ?,?? C?l??/-{ Police Plan Review City/Zip Code F-A) PI,q/l? SSI/% Engr Water Conn ? Planner Water Meter Phone _ 17,3?- /,3 so Councilgd Unit ? Bldg Off7-/0;,Treatment P1 Arch./Engr. 1?aJAju- ?rn APC Parks ? ,n ?? Variance Copies (Z) l. ? Address (F{-NIJ TOTAL City/Zip Code ? p. 553q Phone # 2 .4e 13; -0 /;?-S-7 t _ 'IL EAGAN TOWNSHIP 3795 Pilot Knoh Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FaR WATER SERVICE CONNECTION Date• Billing Owner: _ Plumber: Connection Meter Size Connection Chg.300.p0 nd 12/18/72 Meter No. Permit Fee 10_ nd 12/18/72 Meter Reading Meter Dep. •50 pd s/c Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Building is a: Residence xx t4ultiple go, Uni Commercial Industrial Other 13umber: site Address:4DI.Q 1,h Billing Address -7 Date Remarks; ? &y: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the ruies and regulations of Eagan Township, Dakota County, Hinne a. By: ' ? ?. J ? Please aotify Che above office when ready for inspecCion and conaection. /,-;) -??- ? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnecota 55111 Telephone 454-5242 P IT FaR SEWER SERVICE CONNECTION DATE:----??-?I-? ,NUMBER 1254 OWNER( 'eCl'(? OMQ(('?M-hddress ?? 9cD Li r1l nf'? (YlL f? r} PLUMBER_. TYPE OF PIPE ?Y'?? DESCRIPTION OF BUILDING Iadustriall Commerciall Residential I Multiple Dwelling I No, of units Location of Connections: Connection Charge 260.00 pd 12/18/72. Permit Fee 10.00 pd 12/18/72 .50 p s c Street Repeirs Total Inspected by: DaCe Remarks• By. Ch1ef Inspector In consideration of the issue and delivery to me of the above permi.t, I hereby agree to do the proposed work in accardance with the rules and regulations of Eagan Toi-mship, Dalcota County, Minn ao a ? Byl - ? Please notify when ready for inspection and connection and before any portion of the work is covered. MASTER CARD LOCATI ON /;I -f OWNER STRUCTURE AND LAND USED AS ??r I Permit No. Issued Issued To ConTracTor Owner BUILDING PLUMBING 9 GI/ ? _ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FUOTING SEPTIC FOUNDATION ' . 7 CESSPOOL FRAMING .7 TILE FIELD FT. FINAL ELECTRICAL HEATING y- K• 73 DEPTH OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING y-W-71 WELL SANITARY SEWER cy ? .7?d?7 3 ? .5?- 15-' 7? Vio!ations Noted on Back COMMENTS: PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100154 Date Issued: 07/18/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4073 Limonite Lane Lot: 6 Block: 4 Addition: Cedar Grove 7th PID: 10-16706-04-060 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: I Carver Construction Inc Eugene G Demaster 134 Schletti St 4073 Limonite Lane St. Paul NIN 55117 Eagan NIN 55122 (651) 645-488 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use/~ Permit Z V ~ V 1 I City of Ea Ed~ 1 Permit Fee: O ` ©v 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ` 0-1 Z L -,I ►.1 1 E ) Unit Name: NAAR-J i r-. a S Phone: RESIDENT / OWNER Address/ City/ Zip: o ~ z LEI KA c, Applicant is: Owner Contractor TYPE OF WORK Description of work:= ~oo r^ 2 S Q.~~}-Z,-{ _ Construction Cost G1 Cc, C, Multi-Family Building: (Yes / No Company: T-r--,,_ z J c<, ~v . Contact: 3A ?(e3-Z`I`1- 51 3 CONTRACTOR Address: 60,5 ~(£izke_5 ~ td City: State: Zip: SS )+4 Phone: C, Z- (p4 (o X81 O License 2 4 3 4 0°- Lead Certificate I- D 3 7 - t k -z- I Ck 6 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) -E-K~- -d-s- - S4( >J C LAS ck)- 1'4,IJTE ,l_ _D I sTUrZ$ L~ 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 i the information may be classified as non-public if you provide specific reasons that would permit the City to i 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 C de must b completed within 180 days of permit issuance. x 3«~ ~ x Applicant's Printed Name piica s ig ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119507 Date Issued:12/03/2013 Permit Category:ePermit Site Address: 4072 Limonite Lane Lot:12 Block: 5 Addition: Cedar Grove 7th PID:10-16706-05-120 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Marvin L Power Tste 4072 Limonite Lane Eagan MN 55122 Iron River Construction Llc 7540 Shoreline Dr W Waconia MN 55387 (952) 442-1762 Applicant/Permitee: Signature Issued By: Signature