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
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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
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,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
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, D ON C H R I S T E N S O N
CONTRACTOR
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Rural Route No. 1 GLeriview 4-4426 - St. Paul 11, Minn.
3650 Irilot Knob Road
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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)
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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
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Violations Noted
on Back
COMMENTS:
I40?-
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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
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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