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4535 Lenore LaneCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED . . FROA AMOUNT $ I /zD' & a & DOLLARS I oe ? CASM QCHECK FOR FUNO CODE pMOUNT . :. l . Thank You BY U•? • ? 4 140 White-Payers Copy Yellow-Posting Copy Pink-File Copy ? ? J v ? CiTY OF EAGAN 3795 PiIM Knob Read No. Eogen, Minnasofa 55122 P6ene: 454-8100 PERMIT Date: Site Addreu: Lot Block Sub/Sec. Name . ; Address O City Phone: Name ' pr y ? Address ? City Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Statutes ond City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentinl Multi Res., Comm./Ind. I New/Alter. / Repai r Cost of Instollation Permit Fee Surchorge Total done in accordance with oll applicoble Stote of Building Official CITY OF EAGAN Remarks Addition, Clearview Addn. Lot 10 eik 2 Parcel 10 17750 100 02 Street 4535 Lenore Lane state Eagan,MN 55122 , ?/lL ar.c?:, Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F, * STFEET RESTOR. 1980 GRADING SAN SEW TRUNK ? 11,66 1 Paid * SEWERLATERAL iJ$O O.BZ 339.39 1$ WATERMAIN WATER LATERAL WATER AREA _ ?o2?9v ? - STORM SEW TRK * STORM SEW LAT * ?g?'Y36B CURB .& GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER, SAC PARK CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: -- Site Address: Plumbe? I agree to comply with !he City of Ea9an Ordinancea. By Date of Insp.: I nsp.:- - CITY OF EAGAN WATER SERVICE PERMIT 379: Pibf Knob Road PERMIT NO.: °igon, MN 55122 DATE: . Zoning: - No. of Units: Owner . - Address: Site Address Plumber . i.. , . 7-1 Ch i C Meter No.: arge: onnect on Size: Account Deposit: Reader No.: Permit Fee: I agrce Fo eomply with !he City oF Eagan Surcharge: Ordinances. Misc. Chorges: Tota I: gy Date Paid: - Date of Insp : Insp.: . Connedion Chorge: Account Deposit: Permit Fee: - Surcharge: - Misc. Charges: t T l a o : Dote Paid: " RESIDENTIAL n BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 v Construction Reauirements 3 registered sfte surveys showirg sq. 8. of lot, sq. ft. of trouse; and all roofed areas (20°k maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations 3 copies o( Tree Preservalion Plan it lot platted afler 711/93 Rim Joisl Detail options seleclion sheet (bldgs with 3 or less units) 4TE IO I )B SITE MULTI-FAMILY BUILDING, HOW MANY UNITS? ;OPERTY OWNER ! e*-'ry ?tiSCO ? I PE OF WORK UJI-0 FIREPLACE(S) _0 _7 _2 _3 , 'PLICANT PHONE # (601 [??(lJ??? )DRESS \GER # CELL PHONE # ZIP CODE FAX # b5I ,29,? ?1-65 NE1V RESIDENTIAL BUILDING ONLY - FILL OUT C4MPLETELY =nergy Code Category MINNESOTA RULES 7670 CATEGORY 1r-I r2? ? (check one) - Residential Ventilation Category 1 Worksheet Submi l?e I r - Energy Envelope Calculations Submitte u d n?C.r }I z00 ( _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: 5ewer/Water Contractor. Phone # i 7I"--- ??„ _ _------. Fee: $90.00 Fee: $70.00 above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the informption is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan OrdinaSlgnature of Applicant q?;* s :rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Softener Water Heater No. of Baths '0 iag.Asp RemodellReuair ReauiremeMs • 2 wpies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for eacterior additions & decks • Indicate if home served by sep6c system for additions VALUATION 1 O ?_ Phone Lawn Sprinkler No. of R.I. Baths Phone # Air Conditioning _ Hcat Recovery System Updated 1f01 ` EAGAN TOWNSHIP BUILDING PERMIT Owner ......... a4,4 ... Address (Presen!) ............. -..................... ----•••...---- Build??t.s:?c%,,?' .?.....__-i.-....-a._y,...-) y.--•°eL- ^.......................... Aaarasa .---.7.6..t'¢......_P. ...... 4.? ...--....--..----.------------------- DESCRIPTION N° 2458 Eagan Township Town Hall Dele ..._`s-,?1:- .Y._ ................ 5tories To Be Used Fos Front Dapth Iieigh! Est. Cost Permit Fee Remarks l I a-o I ?J_ I i l ?3c? d LOCATION Slreef, Road or other Description of Localion I ot Block Addilioa or Trac! ! I I ?./•-1-.-J• This permii dces not authosize the use of slreels, roads, alleys o: sidewalks nor does it give the owner or his agent the :igh! !o create any situation which is a nuisance or which presexda a haaerd !o the heeith, safety, eonvenience and general melfare !o anyone in the communily. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This ia !o ceslifp, that..!L2 .:... .................-...... .. ........................has permission !o ereci a__. ......... ..:......_...._ _ f."'?-?u on •• •••••-•-•• •• p the above deacribed premise subject !o the provistons of the Building Ordinanca for E Townah p adopled April 11, 1955. ......................Q.?r'??.. -- ._ .... /•-`•'-' `..?:................... Pez ..... .-.---......_....?_.`:.`.:.. .U.:.:`.?.... -?.... " Chairn of Tnwn Boa:d ? ? Building Iaspeelor 4 TOSJN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 PERMIT N0. 1 1)7. The Board af Supervisors herebq grants to ?Pnc n?u-Aing I.ea'.-•ing Of "-er.,ozini:, 11-?nnasoLn 550ii0' a•?--• Permit for: (Owner) Sr.r.l^'?; ri?;>?vi?;•? at Lo t r.9 r'.1•. .. ?? M,;:r', ?^• ? , pursuant to application da ted J L,'!ie Fee Paid: ??1=•00 • Dated thia 22r'd daq of 197 ? Building Inspectmr ( TOWN OF EAGAN 3795 Pilot Knob Il;oad Eagan, Minnesota 55121 PERMIT N0. 12.5 The Board of Supervisors hereby graats to "a=?----?1i:.n of a .-',L Permit for: (Uwner) c}iI at' a= ?•c '?.?? =';1r?:•?=-°-'? , pursuant Co application dated ; ?,-• • Fee Paid: -- •`'? Dated this ;22 daq of Ju-1" , 197 '- . Butlding Inspectmr Inspections for Leon Weiland Daily Notes: Start Time: Subject: Location: Address: Comments: City of Eagan Daily Schedule Report Sched Date: Tuesday 08/21/2007 Print Date: 08/21/2007 at 10:51 am -- Starl Time: -_ ----- --... .- ----: `:2.30-pin ' Erid Time• -- - -- -- - ---- 3:00pm Sctied Type:= - ---...- ---- •Exact Time Contractor: Roto Rooter Contractor Ph: (651)638-9995 Permit Number: EA079391 Owner: Therese M Driscoll Permit Type: Sewer & Water Use: Property ID: 10-17750-100-02 Permit Desc: Sub Type: Residential Address: 4535 Lenore Lane Work Type: Repair Inspection Type: Sewer and Water Subject: Exact Time - Sewer & Water : Sewer and Water 1 EA079391 ? Comments: Rocky 651-755-2686 Results } s?i° ??om r', ? nVs? 3C) 0v -r Tkere ?- ? F ?'UU w ? th Ok. "-tecic ,IN(? -fhenf ?he eAVGls' 7-7- i,o-d u??-rn coNCre? `_Page, Tof 1 : . CITY U5E ONLY PERMiT RECEIPT DATE: ? RES1DEN`I'IAL RNMAMCWt ? ?IT APPLICATION crrY oF EALsALv 3$30 P[LOT KNOB iiD F-1k&AN 1H1V 551$E 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: inob. Len'o r1 OWNER NAME: lf:M/ ?ri'SGo/ ? TELEPHONE#: ?!>07/ (AREA CODE) INSTALLER NAME: ftota TELEPHONE #: ? (AREA CODE) 2M cavu nr., ste. # 40 STREET ADDRESS: CITY: STATE: Ot- ?MeAb ...?r4 wnv+ !w fMn wa?ih wnr4 NnG ZIP: New residential dwelling unit under constructionand not ownedoccupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 . fumace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge $ .50 Total $ 2')r!5;'? , Reminder: Callfar inspections. S[GNAT'URE OF D 0 JAM 2 3 2001 Updated I/Ol ? .... CITY OF EAGAN DAKOTA COUNTY, MINNESOTA I hereby request permission from the City of Eagan: To extend to the house the water service line from the curb.stop box located at the front property line of my residence at 4535 Lenore Lane, C1e,•,-r vi e,u,I It is understood that I will not connect to or use the service until I have paid to the City of Eagan the necessary connection charges for such hookup. It is also understood that the then current-permit fee is also to be paid at the time of connection along with the appropriate water meter charge. It is further understood that should I hook up and use said water service be- fore such charges are paid, a fine of $300.00 will be added to the connection charge and that this agreement is binding on the heirs, assigns, contract purchasers, and future owners of said residence. It is further understood that the City of Eagan will be allowed to make periodic inspections. Dated: May 30, 1979 Signed: Thomas Driscoll 4535 Lenore Lane Eagan, NIN 55122 Approved by g Director of Public Works -? 5 r?4" ?? ? 1 \ , D ON C H R I S T E N S O N CONTRACTOR ? Rural Route No. 1 GLeriview 4-4426 - St. Paul 11, Minn. 3650 Irilot Knob Road : . S p , (Vi, it?3?1 \ S.-?,b" ?` \ MU??! t Yr?? ..S?.Wt?EN G.-rouric? - ?p ?VJ 1 ? . ?? .?, ? , _.. . , L C? r ! C? ; i . ? ? ?1• ?a Y4c ?"- V` •, ;? . _ . ? ? ? j ! pt+ ? ? ?. ? ?rI7 ? " '_ ??' i..- V?: t..?: f??_ ^.Y•' F`1 F,.{ E.; , A` " /E1I 1\ MASTER CARD ? LOCATION LEAoAE /e- 2- ac*aR?,E^J OWNER / STRUCTURE AND ?_/ LAND USED AS ?/1? (J Permit No. Issued Issued To ConTractor Owner BLIILDING CA/r/4L PLUMBWG CESSPOOL - SEPTIC TANK ?06_ 4x y z - 711 NlELL ELECTRICAL HEATING GAS INSTALLING -?--- & SANITARY SEWER I I OiHER I 07HER I • 0 ITems ,cGOTING FOUNDATION Approved (Initial) ? Date ??(??, Remarks f". - _ ? , `¦?ry ` Disiance From Well SEPTIC 'P l CESSPOOL? '?Ov 6, FRAMING FINAL ELECTRICAL 7 I .2 '?r TILE FIELD FT. HE,4TING GAS INSTALLATION G 4'--- TH OF WELI SEPTIC TANK CESSPOOL DRAI NFI ELD PWMBING ? WELL a SANITARY SEWER ID z D? - lr ?.?y?`! Violations Noted on Back COMMENTS: I40?- ?'C a,. C,l April 5, 1979 FE: PFtWEC.2 #235 -- CZF.ARVIESa AMITICN SEWEft & WA'PEEt As you are m,rare, during the fall of 1978 sewer arx3 water utilities were provided to the Clearview Addition ard subsequently services were provided t7o your lot for ooiuiection to provide yvu with City water anl sewer service. You are presently on your aan private sewer and water system which 11TP11es t3iat your exist;*M sanitarY sewpr is being tiandled by a private cesspool/ sep*; c tank oai-site disposal systan. During the ccnstruction of the new sewes and water facilities we encountered Yaur drainfield systan. In several instances it was very difficult to install the services to the PrcpertY line dwe to the fact that it was installed through your existin9 drainfield. Subsequently, because these drainfields are not properlY fLmctioning, theY present a potential health problern to our newly installed water services. iherefare, to insure ompliance with Misuiesota Department of Fiealth Code gegulations, you will be required to coiuyect to the newly installed sewer system by April 20, 1979. You nust obtain appropriate utility and connection permits before any services are oonnected.tA new utilities. We are aware that several residents are presently experiencing prdblens with their existing on?site sewer system and will be wluntarily malcing the °cnnection. 11his letter is to inforn? you of the urgency to make this mnnectian to prevent any possi.ble oontanination of the newly supplied water systan. It might be eoonanically advisable for sevpsal of the local residents to 9+et to4ether witl' one plimber cor?tractor to make all of these connections- Your anticipated oooperation in wrrectin4 this Problan will be.greatlY appreciated by the Gity and your adjacent neighbors by helping to insure good water quality. If yvu have any q?iestions recJardin4 the project or this letter please feel free to contact me at yaur convenienve. Sincerely. 4han3s A?A?rt. P.E. Director of Public Works /!'P,C: tlp ? c.-,L, • ..u,..?. Pa4"J ile-4 Cc : K+eith Gon3on of Bonest'soo r Rosene ?Arrlexlik & Pssociates -?' 2 ? o -?- Zoo6 RESIDENTIAL MECHANICAL rERMiT APrLicATiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit *--? o.so ft.ck.A.o, 1631`V Date Site Address g1?? O` e Unit # Property Owner Telephone # (? ) Contractor ? StreetAddress City /s U! IlL State b/?` /1( Zip %"?2Telephone# (61% Bond Expires: V The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit ? fumace _Additional _L<Replacement New $ 30.00 air exchanger >- air conditioner heat pump ' ; , . J . _ ... ' other State Surcharge $ .50 Total 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 start without a permit; that the work will be in accordance with the approv t3 plan in Ote-Qase of work w ich requires a review and approval of plans. A plicant's Pri te Name A an's Sig atur Permit # ?qM ? Receipt Date: ? v ?z 2007 Sewer/Water RepairlDisconnect Permit City Of Eagan 3830 Pilot Knob Road Eagan MN 55122 Telephone # 651-675-5675 Date Fee: 50.50 City Sewer _ City Water ?Repair Disconnect Description Street Address for Proposed Work `7 s- 3<- zP??o,?P Owner ) Name ::[[?r Street Address Z N City ? cL,, State ?'\N Zip Z-Telephone #( ) Licensed Pipelayer ? Master Plumber _ Property Owner _ Name o cc• Street Address q2 9 4 City State yv1 /lJ Zip 5?5?4 Telephone #(65') Pipelayer Training Certification Card #12-22- or Master Plumber License # I acknowledge that the information is complete and accurate and that the work will be in conforman ith the ordmances and codes of the City of Eagan and the State of MN Statutes. I understand this is not ' rnut, bu an application for a permit, and work is not to start without a pernut. App ' t(Print Name) ? fp-"-?*ld Signature ? Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: ���� j Clty of �a��� � �; ; � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone;(651)675-5675 I I Fax: (651)675-5694 i Staff: i -----------------� 2015 RESIDENTIAL BUILDING PERIMIT APPLICATION Date: Site Address: Unit#: ' �� � � -�^�� r���� �� �, �"�� �lI i 7`�.��� Phone� �� 1��� ��.�� Name: Reide t/ : ����OWII��" �.,�' Address/City/Zip: . .. _ ' �. �� _ y � � � Applicant is: Owner �Contractor �- � �t a; �`� �� � '� � Description of work:����'3� ��'����,��'}- �Type of�`1�Vork� �—� ,.,}��� �,���_= Construction Cost:���_ �� �_ M�ulti-Family Building:(Yes /No �) �:� ������` � . � �t, � / ��� /�`� # p Y��� l.��f�A�(,,�Vl�!�J _ .sJwL l�So,S��R��I1/ � � ��� Com an Contact• ��" � . � � � � Addressl � ,������,F�� �� —City: 1�1�s�� �����1 l ►N �� GOI1tP1Ct0 � �= � �� E ���� �ZiPC,�— �'� `��� l'�1�1�.N��-� � C��Y�$��C� ��� � State: (� � Phone J Email: �� rt ;� ��'� � a�*� � ����� ����., ���P � Es �-�r License#: �..�1� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ���,�,��� COMPLETE THIS AREA ONLY IF CONSTRUCTIIVG A NEW BUI�DING In the last 12 months, has the City of Eagan issued a permit for a similar plan b�ased on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: ��NOT� �P ar�s and su/�� qtfrn/�►tlocuments thaf ou siubin�t are co��deired�to�ie � b/ic mfa�mat�ar� Porf�Q�`�►s'�o�`t' "' ... ;�.c °a��1 a s �:'s �... 1"P � .7��.,` . s , �E:,, � ,,�a,�„ ,� .: 4� ,, ,, :�;� `�!>'�.`m'' .�. 9 :: � .. r�,��'� ��;s�th�e infar�na#►orr may be'�/as�i,fied a no»�pu�lr����oc� rov�tle,s��ectf t±c rea� r�� h�at wou�'d pentti�the �rty�o; r ;�� '.�� ... �� .:�,,,�� :� �s „ � � �'°� • z�i .. � � �� `�#� �' �.�: � ���� .� � `r .. s 'r �. �`' � �}. .,k.:,�����,��.��; m�¢..�� �,,. , . _-cot►ctud�f�a �they are�'rad�secr e��_�.�.< �'�`�;���.��� ,���,;.: r�..� ; °���� .. .. �,.,.,�� 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.qopherstateonecall.orq 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 S1:ate Building Code must be completed within 180 days of permit issuance. � X ' �6��'.n� x ��,.. ApplicanYs�rinted Name pclicant" i na re �� 9 Page 1 of 3