1384 Lakeside Cir
I----- -----------i
1~ v D For Office Use I
D
1 I Permit
City of E200 JUN I
Permit Fee:
I I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: t~
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - -
2009 MECHANICAL PERMIT APPLICATION 1 .010 C
Date: Site Address: O Z ~G IL
Tenant: Suite
RESIDENT i OWNER Name: t* Phone:
Address / City / Zip:
CONTRACTOR Name: License
Address: _
7402 Washington Avenue
City: State: Zip:
QQQ"
Phone: QS. 7 941-1 Contact Person: LL L GSLA.,k c 4--
TYPE OF WORK New 4Replacement Additional Alteration Demolition
Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
New Construction Interior Improvement
urnace
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal on Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w1 h, the ord' es Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start w out a per tj~at ti w rk will be in accordance with th approved
plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name plic is Sign e
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground Rough In __Air Test __Gas Service Test -In-floor Heat _Fina!
Exterior HVAC Screening Inspection
C1T'fF E
.-- - WATER SERVICE PERMIT
IT
Knob Rood PERMIT NO.:
'.'Etigan, MN 55122 DATE:
toning: ''''' t ._ No. of Units: : '",A.-
: .
t Address: y
Site Address: l': 41 r".fa ,.-�:; A f'-i- `a °,- T:. _'" is
Plumber: ,.. -' ..-'' 4 - °
Meter No,: � 1 fi . Connection Charge: *-
$ize: ""Account Deposit:
Reader No..` I'ermnit Fee:
1 agree to- °comply wlththe City of Eogan x.� Surc urge: ..
Ordinoa s.,.... •_; Misc Charges: Y'
+ r u - '``total
B � .
Date Paid:
Date of Insp.. ° .ats� �a • Insp.:
c1Ttr OF EAGAN SEWER SERVICE PERMIT
3795: Pilot Knob Road PERMIT NO.: "'•= -.g
} 'Eagan, MN 55122 DATE:
Zoning: No. of Units: ,
Owner: ;
+ Address:
Site Address: ? ;, +
Plumber: .`. Y' `r. ' '^
1 agree to co
oy with City of Eagan onnection ch arge: - , • }
Ordinances, ` "
aunt Deposit: '
Per" Fee:
:-, — I urcha 14
By -------'c."-- ....,'"''
Nl+se. • ^+ • es•
Date of #Insp•: l Total:
Insp.: ° - , ''' 4 = P -`Date Paid: I ''''c `',
ris
.
? Survey 1'or: 3k. 63/7?
Randy °3ramore
1384 L<ikeside ^ircle '
Eaqan, Ylnn „ 55123 _ Page 1 of Z
DELMAR H. SCHWANZ
LANOSURVEVOR S) Ik)C, ReqisleroE UnOer Uwt ol Tbe Slate ol Mronaiola
2978 - 74bTH STHEET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769 \ SURVEYOR'S CERTIFICATE
? JC AL6 ; ? /'IGH ' 3O FEET
i?F. N fEE ?:.
X LAr.?S??'c
? ijQ:,?c. F:10 aLs rccli?[D
rrt v.; Y t re
Jl •=NU_ ? oJ ?
?„(+? -?. p = q J i i LS 5 c T
N : i,? ,y? _ • i .r V N .=. „ ?
ro
M?
vi.
y /
? N
J, I C
n' „, - < <
?
a'U ?
0
` i
?-0 \ 17
(t? ,?.1 / r ?`? ? J g ^•
o '
- - - - /< . . :7
.i' . .
MINNESOTA REGISTRATION NO 8625
PERMIT #
, CITY OF EAGAN
REACTJYATE?,fqig
1992 BUILDING PERMIT APPLICATION
681-4675
$nFo
od I I• Ii
SINGLE 8 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 capy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address:____13V Gct-/c.?.5t?c?e C7TCl e
STREET SUITE /
Tenant Name: (commercial only)
IAT BIACR SUBD. -
Chv? r?,?>,: I P.I.D.
Descri tton of work: 174ry00c4aee"ss
The applicant is: ? Owner Contractor ? Other (Deseribe)
Name Phon2
ysy° ?f 38?
Property ,
,
LASt FIRS7
Owner rc
? ?
\
l 3 6`? (
%
f
c
Adaress
es i
?c
r
STREET STE R
City State ? N Zip
Company 2C Phone
COntPeCtOP 3 3? g3
Address 0 l-k
St (AJ, License # a/ 7? Exp
,
.
0
1
City State Zip J D??
Company Phone
Architect/
Engineer Name Registration i
Address
City State Zip
Sewer 3 water licensed plumber !v Z4 . Processing time for
sewer 8 water permits is two days once ea has been approve .
I hereby acknowledge that I have read this application and state that the information is
torrect and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
io
J
Signature of Applicant:
6hhh,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation
0 02 Sf Dwg.
? 03 Sf Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
9 31 New
? 32 Addition
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy R-3
Zoning
# of Stories
Length iz xzo'
Depth 6?YIZ?
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
6K 15 Deck
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq, ft.
2nd fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
? 5ite ? Footing
? Nallboard ? Final
O Framing
? Draintile
O Insulation
? Fireplace
Permit Fee 2S,00Y,i,at;p,:
Surcharge ti-b
rian iceview ?,
License
MWCC SAC
City SAC
Hater Conn.
Water Meter ,
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoP ies
Other
Total:
.
, .
? ?
*
16
11 8'dsenffnt Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
Cen545 BwG. ?
eeovsub uNiT, o. _
Assessments
SAC % to0
SAC Units ?
? 4-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: suzLozNG
Pertnit Number: 0 2 2 6 8 8
Date Issued: 12 / 0 8/ 9 3
SITE ADDRESS:
P.I.N.: 10-17100-012-63
1384 LAKESIDE CTR
L07: 12 BLOCK: 3
CHES MAR
DESCRIPTION:
- (ROOPING)
BtA3ldin'g'LPermit Type
?uilding Wb,rk Type
/ \.
?f
\
i
y`(
SF (MISC.)
REPAIR
?1c` 0?3
REMARKS:
FEESUMMARY: VALUATION $3,000
Base Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR: - Applicant - sT. L-Lc. OWNER:
ALBRECHT CONST 14559188 0002143 PARAMORE RANDY
1110 105TH ST W 1384 LAKESIDE CIR
INVEFt GROVE HTS MN 55077 EAGAN MN
(612) 455-9188 (612)454-4381
IL
T hereby acknowledge that I have read this application and stete Chat the
infarmation 35 correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
U. I I IleCl
APPLICANT/PERMITEE SIGNATURE I SUED e. SI NATU
PERMIT
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 12 B L 0 C K: 3 APPLICANT:
1384 LAKESIDE CIR ALBRECHT CONST
CMES MAR (612) 455-9188
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIPTIDN
auzLozNc
022688
12/08/93
REPAIR
(ROOFING)
INSPECTION
FRAMSNG ,.
•
ROUGM IN PLBG
.A
ROUGH IN HTG FINAL
F
L
?
?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIUN RECORD I COntrol No. 1307_,
PERMIT TYPE: "03 i.q7 NA
Permit Number: 4017 H V
Date Issued: 'i 1/ 17 /87 1
SITE ADDRESS: L„r , e iZ etQCK: 3
10101 tAKkSIpE C IR
CHt"S MAR 19T
PERMIT SUBTYPE:
Iif [ 1
APPLICANT:
ALBHFCtIT COM51
(612) 465--9180
TYPE OF WORK: ,
NEN ItESCItIRTION HAMpICAP Af.CK$iI1111! 0,
14F04ANb3R ttECEIhT N 17'x 20' 6'x 12'
1>e
PmnR No. PwmR Holder Dafs Telaphone 11
S/VY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Irtspection 1" Inep. Commams
Footings 1
a-
FoundeUon
Frarrdng
Hoofing
Rough Pibg.
Rouyh Fltg,
leul.
FlrepleCe
Rne1 Htg.
Orsat Tset
Flnel Pbg. Ptby. Inepecbo?- Noft Plutnber
Const. Meter
EnyrJPlan
Bldg. Final
DeCk Ftp.
°eck F'?l Vla 93 ?J
We?l
Pr. Disp.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166458
Date Issued:01/12/2021
Permit Category:ePermit
Site Address: 1384 Lakeside Cir
Lot:012 Block: 03 Addition: Ches Mar 1st
PID:10-17100-03-012
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 -
Brightwood Home Buyers Llc
% Accounting Resource Group
601 Carlson Pkwy Ste 1120
Minnetonka MN 55305
Gilpin Plumbing, R
321 Second St W
Jordan MN 55352
(763) 434-5783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166459
Date Issued:01/12/2021
Permit Category:ePermit
Site Address: 1384 Lakeside Cir
Lot:012 Block: 03 Addition: Ches Mar 1st
PID:10-17100-03-012
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 -
Brightwood Home Buyers Llc
% Accounting Resource Group
601 Carlson Pkwy Ste 1120
Minnetonka MN 55305
Gilpin Plumbing, R
321 Second St W
Jordan MN 55352
(763) 434-5783
Applicant/Permitee: Signature Issued By: Signature