4546 Lenore Lane
Use BLUE or BLACK Ink
or ~ftice. U05.
Ea on Permit
City of
E l Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 1 Date jReeived: Phone: (651) 675-5675 U3 2011 Staff: Fax: (651) 675-5694
2011 RESIDEN~/Tt!IAL P14246v LUMBING PERMIT APPLIICN
Date: Site Address: 75J I G ✓L~o(
Tenant: D Suite
RESIDENT/ OWNER Name: Phone: az- q q- ( -
Address /City /Zip: #5_4 i(II lAJ
CONTRACTOR Name: ` 4X_ License ,Sg~~J~' 1' ► " \
Address: N~ City: Prior
State: Zip: ~7 7 Phone: 95-2' Y6 / f 0 5_! I
Contact: ar~~ Email:
TYPE OF WORK -New _ Replacement -Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) le-
TOTAL FEES $ ,7 / -OO
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.
x&►aoi rx'1A, .n x
Applicant Printed Name Applicant' ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
CASH RECEIPT
. CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
/G' `:?'.- r /
DATE 19 -
AMOUNT $
& DOLLARS
,m
? CASH Ur?CHECK
faN v??? L'i??
'.l
BY
WhNe--Payers CoPY
? , . . ? Yelbw-POSting Copy
Pink-File Copy
Thank You ?;") I
PERMIT R t.? :
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # `3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? ? -
CONTRACT PRICE PFiONE: 454-8100
Lot f" Block _7? Sec/Sub
m Name
? Address
c Ciry Phone _
? Name •? ?? 3 AddI855 Z
p CitY Phone Z. 254g? ( •, •?=-
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $70.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION •.?
Res. New
M u It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_Water Closet - $3.00 $
,
_Bath Tubs - $3.00
_Lavatory - $3.00
_Shower - $3.00
_Kitchew Sink - $3.00
_Urinal/Bidet - $3.00 .
_Laundry Tray - $3.00
_Floor Drains - $1.50 '
-Water Heater - $1.50 ?.
_Whirlpool - $3.00 '
_Gas Piping Outlets - $1'50 '
(MINIMUM - 1 PER PERMIL)
-Softener - $5.00 .
-Well - $10.00 .
_Private Disp. - $10.00
-Rough Openings - $1.50
FEE:
STAT S/C:
? -, SEL?JL-?Z lt.b2/S a'v? .
/J GRA D TOTAL:
:
CITY OF EAGAN Remarks
Addition Clearview Addn. Lot 6 Blk 3 Parcel 10 1?750 060 03
Owner Street 4546 Lenore Lane State Eagan.MN 75122
Improvement ! Date Amount Annual Years Payment Receipt Date
STREET SURF.
* STREET RESTOR. -- ? ? -
GRADING
SAN SEW TRUNK ? 11.66 1 Pi
* SEWER LATERAL °-
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
* STORMSEW LAT 1980
service
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Permit No: Date: ' 0-2E-100
3830 Pilut Knob Road B/P No: Date:
P.O. Box 21199
`
Eagan, MN 5512+1
Owner. e7or e
SiteAddress: '.a±:e 3.e?rvte.r
-. ; . rl-;;r?itPlumber:
MWCC: Zoning.
City Chg: No. of Units:
Acct. Dep:
I agree to compiy with the City of Eagan
Permit Fee:
. Ordinances.
Suroharge:
Misc.: By
SEWER SERV ICE PERMIT
Conn. Chg: ',n ,.:,..a
Acct. Dep; i ?
Permit Fee:
Misc.: Zoning:
Surcharge:
_ Tr. Plant_=
Meter.
No. of Units:
I agree to comply with the City of Eagan
Ordinances. !
By
WATER SERVICE PERMIT L1
?
CITY OF EAGAN
3830 Piiof Knob Road
P.O. Box 27199
Fagan, MN 55121 'site
Permit No:
Meter No: ylg'? Q 2 9
Reader No: --16 -2 /?/!_8
Date:
Size: tAC
Date: //- /6" ?
Plumber.
0
Conn. Chg: a
Acct. Dep: Zoning: s• ?
Permit Fee: No. of Units:
Surcharge: Tr. Plant I agree to comply with the City ol Eagan
Meter. - " B?dinanc?8, D? ?
Misc.: ' 7 ?1 . %?
-_?L'ZI /' bB'
WATER SERVICE PERMiT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No:
P.O. Box 21199 Size:
Eagan, MM;,55171''' Reader No: Date:
EAGAN TOWNSHIP
BUILDING PERMIT N° . 1799
Owner -••-•i?----- ••----• --- -- ??---- -- -------- .................. Eagan Township
--°------------- --°•------°-------------- Town Hall
Address (presen3) -' .?-'L ? ?jjp ? ?
Builder .... L2.c%v.-r5:°......................
` Date -------...••--°....
..°?... .'................. -----------------°
Address
.................... DESCRIPTION
Siories To Be Used For Froni Depth Heigh! Esi. Cos! Permi! Fee Remarks
? I I ?p /
?-+[<- ?•"'Y' ?
,
0 LOCATION
Sireet, Road or oi r DescripYion of Locafion I Lo! Block AddiYion or Trae!
4sLI c '4. ?;?-' , ? 3
This permit does not suthorize the use of sireets, roads, alleys or sidewalks nor does it give the owaer or his agent
the righ3 !o crea3e any silua3ion which is a nuisance or which presents a hazard !o the healih, safety, convenience and
general weifare !o anyone in the communi2y.
THIS PERMIT MUST BE EPT O,tN? TH.E? PR?EM?I?SE WFIILE THE WORK IS IN PROGRESS.
This is io cerrify, thal............. has permissioa !o ereci • . . . ... ._ ' . ........_upon
j ...---•..... • •- - -
the above described premise subject to the provisions of the Buildinq Ordinance for Ea?Township opled April 11.
1955.
r
('???(? • /?
-••-°-•----------°.?l?s?r?`-.._,??._-----L"4?u `'?-? -: .---.....°-----. Per ................ ° - -?---..i1. .-- ?
- --°-°-°------•••--•••••
J Chairriran of Tnwn Board ? Suildin? ......
Inspector
? 1 .0.
. , ,
BL15G. PERMIT NO.
• r
01-3210 '
Bidg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ?
75-3860 Road Unit
20-2275 SAC ?
20-3865 Water Conn. 550
20-3868 Water Trmt. ?
20-3716 Water Meter
20-2252 Acct. Dep. 3C)
20-3713 Water Permit /Q
20-3743 Sewer Permit _115
79-3866 Sewer Conn. /00
28-3855 Park Ded. •
Q/-r91 Q.
TOTAL
CITY OF EAGAN
, • 3795 Pllof Knob Road Eugae, MN 55122 N2 6504
, PHONB: 454-8100
BUILDING PERMIT APPUCATION Receipt .#
To be uaed for rxnIEr,r.rniG ADD. Est. Value 1 4.000 Date 2'4 , 19-21_
Site Address 4546 Lenore Lri. Erect
? R3
Occupancy
Lot (o Block 3 Set/Sub. ?ECL'?'v Alter ? Zoning RI
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const. Vri
w Name T'r & MrS. J02 Hogeland Mo„e ? # Stories
W
3
Address
Demolish ?
Front 24 ft.
0
CI
Phone 454-2122
Grade p
Depth 24 ft.
? Name Ted Wachter Construct. IriC. APPeovals Fees
o? Address 4550 Blac]thawk
"? Eagan
Name _
Address
I hereby ackrrowledge thot I have read this opplicotion and state that
the informaTion is correct and ogree to comply with all applicable
Stcte of Minnesota Statutes and City of Eagan Ordinances.
$ignature of Permittee -
A Building Pertnit is issued to:
ull work shail 6e done iri acco
Building Official /
Assessment _
Water & Sew
Pol ice
Fire
Eng.
Plnnner
Council--?-
Bldg. Of-f?/??"
APC
Ted Wachter Construc.
State of
Permit `i:)•vv
Surcharge 7.00
Plan check 22•50
SAC NA
Water Conn. NA
Woter Meter NA
Road Unit NA
rotal - 74.50
on the express condition that
Statutes and City of Eagon Ordinances.
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For Valuation Xfdp? ? Date
Site Address 4?S--q6 1,c n er,-
Lot ?,_ BloCk 3 SeC./Sub.
Parcel #:
owner: ?-e Mr,s .lo e o 5 P.La.nr!
Address: qS9! /A nnA P Za A yo
City/Zip Code: Z?o._;Ee.^ ?`<S .?y
Phone #: ,
91-f
- 2 i a 7/
APPROVAIS FEES
Contractor: essments Permit
r
taater/Sewer D
Surcharge
Address: q,sso police Plan C"heck .1?2,
City/Zip Code: ;rA, Fire
?? Water Conn. A
Phone plamer Water Meter ?
CounCil l?ad Unit rj/Gt
Arch•/E?g• = Off.
Bldg
.
Address: APC -
OFFICE USE ONLY
-5
Erect OccupancY f
Alter Zoning RPpair Fire Zone
Enlarge i/ Type of Const. V ?r-
Nbve # 5tories
Demolish Front ? 'T ft.
Grade Depth ft.
City/Zip Cade: ?
- ?? ,?? ?"`
Phone #:
rvnnnesoca acace esoara or tiec[ncrty .
Griggs Midway Bidg. - Room N191 1 ?y EB-00001-02
1$21 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ? ?
'A?,S?UEST FOR ELECTRICAL INSPECTION 6?+0? ??
CHECK BELOW WOFt1C COVERED BY THIS RF.nl]F.ST
Type of Building New Ad . Rep. Check Appliances Wi[ed For Check Equipment Wired For
Home ? ? Range ? Temporaty Wiring ?
Duplex ? ? ? Water Heate: ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List
Othecs? List
Others?
Othei ? ? ? Hete Here
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # ceders: # Fee Circuits: # Fee
0 to 100 Am s. res 0 to 30 Am eres
101 to 200 Amps. eres 31 to 100 Am eres
Abo ve 200 Amps. q Amps.
7gs. Above 100 Amps.
Transformers ol Circ. Partial or other fee
Signs tion Minimum fee $5.00
Remazks TOTAL FEE
1, the Electrical tnspector, hereby certify that the above inspection has been made. , 3 O
(Final)
This request void
18 months from
Date
1
This request void Cj&a&4,?06u.4.4t ar:Wl - 63 ?04'60o
18 months from ,:Z'
Date of this Request ' Fire No. S ""?f 6
[, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. ?lx['werve, JrA rve? City tt v
Section Township Range County
Which is occupied by y?_Z!25;L->? re lC! _11 d
?- ( ame of Occupant)
Is a roughin inspection required on this job? No ? Yes 2'? Ready Now ? Will Call ?
Power Supplier Address !7XYM i A?4 Vt-?
Electrical Contractor Contractor's License No.
/ (Company Name)
Mailing Address ' illsrf' _
(Elec rica onG??? tractor r er Making This Installatlon) c-
Authorized Signatur ' Phone No.f_f?tj! IA.
? trical ontra tor or wner ?Making This Installatlon)
SU M p O? `f ' D ? O?This inspection requestwill not he aecepted by the
? State Boerd unleu proper inspection fee is enclosed.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
657-681-4675
New Construction Reauirements
. 3 regislered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas
(20% mazimum lot coverege allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Eneryy Calculalions
• 3 copies of Tree Preservation Plan it lot platled after 711193
• Rim Joist Detail Options selection sheel (bldgs with 3 or less units)
DATE
SITE ADDRESS '-f '51?
TYPE OF WORC_;?E ?
APPLICANT
STREET ADDRESS
?
v
TELEPHONE #T52-6 J?S.6,2b. CEII PHONE #
MULTI-FAMILY BLDG _ Y N
_ FIREPLACE(5) _ a _ 1 _ 2
VALUATION
PROPERTY OWNER -, D,95 .46?! TELEPHONE# 4S/-
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY 1 MWNES(YTA RULI:S 7672
(J submission qpe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: -
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery Syseem
STAT60W.ZIP
•?'S ?9?Z
FAX # ?2
?1?
I1??
ree: $90.00
? ?C??u T ['
? JUN 19 2002
ne #
$70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Or ances.
Signature of Applicant ??; ??.
orrIcr usr. oNLY
Water SoFtener _
_ Water Heater _
_ No. of Baths
RemadeURenair Reauirements
. 2 copies of plan
. i sel ot Energy Calculations for heated addi6ons
. 1 sile survey for exterioraddiGons & decks
. Indicate if home served by sep6c system for additiorrs
_ Phone #
L.awn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
PERMIT # N0u
RECEIPT DATE: Cl V
MIDENML PLU1VI$llVG PEftMIT APPLICATION
crrY oF EAetx
3$30 PILOT KNOB [iD
£t46i41Y.IyN 55 1EE
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: `??? Z, 'eIi.D l, e L cqrtQ
OWNER NAME: : ,) V S2 t?? ?-2 L41n C? TELEPHONE #: `65l
T DE)
-
INSTALLER NAME:
STREET ADDRESS: I L7q
#: Qsz 4-/55 - 37 7rj
( ' . (AREA CODE)
CITY: Like STATE: ? ZIP: S-5owv?
Place a check mark next to the oermit work tvne
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modiflcation or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidrebuild of RPZ
. lawn irrigation system
• water tumaround
Nature of work: koJ?c?
Septic System, new/refurbished - $ 225.00
. includes County & Consuking Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge .50
E
T ?
s-o
s
otal ,
'
,r-
Reminder. Schedule Inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknowiedge that I have read this application, state that the iniormation is correct, and agree to ompiy with ap ' ble City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City oi Eagan assumes li ility r any da g us by th ity during its normal
operational and maintenance activities to the facilities conatructed under this permit with' i op /right- lease entr
SIGNATURE OF PERMITTEE Updated 9101
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
? ._.,..,......??.....? ..
? NOiiPE: PAYfgNf OF FEE AT 12ME OF
? APPLICATION DOFS D10T CON- .*k
STPIUIE APPRGJAL OF PII2MIT. ?
: .
? INSPEC1'ION OF SSTwM A[ID/OR WATII2 ;
? ZtYSTALSATIONS WIIS, NpT 6E ,,CFDt7i,m ?
#*, t?NPIL PYT2MIT HAS BFFS] ppPROVf•D. .*k
+*?ir+??+?i+?+<:>t+,rr??it?:?y:?++,twt+t+
atV oF 43ciqCqP1
(PLEASE PRINT
1) PROPERTY ADDRESS:
I,EGFIL DFSCRIPTION;
IF EXISTING STRt'CTC'RE, DATE OF ORIGINAL BLILDING Pa2MIT ISSliANCE: . ,? / cJ(pg
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDDS'IRIAL ? R-2 DT-IPLEX ('itvo C'nits )
? INSTITL'TIONAL/GOVERNNIENT ? R-3 TOWNHOt?SE (Three + Cnits) ( linits)
Q R-4 APARTMENT/CONIDOMINIUM ( L'nits)
2)
ADDRESS:
CITY, STATE, ZIP:
PxorE: ' 8 9c C) 0r5 B For City Dse
3) ° i i?'-,? ?' NAME: U?i k , Pliunbers Lic nse:
Active
ADDRESS: " Expired
CITY, STATE, ZIP: , S 2 Not recordec
PHONE: MASTEE2 LICENSE # y?o-? 3 m
? Sta f Initial
?+;11
4) 1
NAME: ?J 05?,?_?( ! d ri c?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
S) s 91 ' '?1' !•?iY'.C 0!B
E?-CONNECTION TO CITY SEWER J?j CONNECTION TO CITY WATER a UTFIER
6) ?' ? ? l30
.?t,***ir****,tieieie?r#ir,tYr,r**** / *i**ie***ikic ***ik**ir**:ktir*ieir*kitiri(:t*iYiY***#k****?rt*ir?r*ir*Yr?r*?rF***:k*ic*ie*ir**FY
* TIE GOLD COPY OF TFFE PII2I?IIT WILL SE SE[JP DIRECIZY TO PLBLIC WORKS TO FACILITATE MEP?.'E2 PICK-CIP. t
* PLEASE AI.LOW ZWO IVG DAYS FOR PROCESSING. SONIDONE FROM TfIE CITY WILL CONPACr YOi? IF ZgiEE2tE i
* ARE ANY PROSLEMS. t
?*********,r**i.ir*****?r,?***?f**#******************?******************************,r******************;
.. ,,;
FOR CITV IJSE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit rEES:
<
$ $ SEWER PERMIT (INCLCDE St'RCHARGE)
$ $ WATER PERMIT (INCLL'DE Si:'RCHARGE)
$ c $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ?S •c--z?. $ ACCOCNT DEPOSIT - SEWER
$ ?•S U'?% $ ACCOUNT DEPOSIT - WATER
$ ,? ??7 • ( Z% $ WAC
$ $ sAc
$ $ TRC'NK WATER ASSESSMENT
$ $ TRt'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENLFIT/TRUNK WATER
$ ?G 7•G"? $ WATER TREATMENT PLANT SDRCHARGE
$ `??--?., r c?F?'tc?
OTHER:\ ??:
-
$ ?,
r
$ TOTAL
RECEIPT RECEIPT
DOES L'TILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK 6VITHIN PDBLIC
-- ROADWAY" MUST BE ISSDED BY THE ENGINEERING
NO
T
DIVISION. LIST
AS A CONDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?/,,.,?..,-._ei ???•?-n
TITLE:
DATE : /L) /?? ? ??
SEWER CONNECTION CHARGES:
SAC
ACCDIINT DEPOSIT
SEWER PERMIT
TOTAL FOR SEWER ROOK-UP
WATLR CONNECTION CHARCES:
[dATER CONNECTION
rETEx
TREATMENT SURCHARGE
ACCOUNT DEPOSIT
WATER PERh[IT
PLUMIIiING PERidIT
TOTAL FOR [dATER HOOK-i7P
TOTAL FOR SL•'[JER & WATER HOOK-UP
650.00
15.00
10.50
675.50
550.00
67.00
204.00
15.00
10.50
12.50
859.00
/ /<tY
L"
MINIMUM PLUMBING CHARGE FOR COMMERCIALS - 20.50
hAr•a -:?P,,(.- _i.:r: aN :{: x); R 76e SPEc I: faL AS;,ES);3)Mr-:'Nrll3
c:;UIyIMAF?Y
F'RC]F:';=_ t:t l_l' T„ C) „ Tt:i.l?FM"S DAT L° ! G I 26I F?E3
` __-.--6 [='E=C-I A t... F"I._G'3G;.';-
j ...,-_.....? _.p,._.:.?,_._ ?,_. •7_..,??-cy..._ i ;.i
1 0-- 1'%'I 5t :-0[-,t.7-i
:.r-t,d# AS5E*S`3MEiV'l DhSC.Fi? YR YFia R F,'T'eW i"C.l'?`At_ AhiN.h='FiThiw ('AYi:11=F= CCJt"I!"IE:iqT
002461 4esaaN tA! TR1:: f:_; 15 Ea . 00% 1 °r?, . 0 0 .00 ?00 uL.C)r. i1T1
Oo352 WArER AREA :76 1'15 a.00r ?.6c).00 10. 69 21.36
00z1 -.'S:I. lli`I!_.IT:f.lmS l`i' 15 [;e<)0I 5357 4W ].i .00
.00
C;i__OSk::S3
[.}?''.???f 9"??J°;?.t_?f t?i.> s:.> .???.??? c:'a!{.?'.. SaU. ?171.C) t7t?>^?:?W'U(.1 1'=hi1..7 .
S1_IMMHi=2Y ClIF 3:'VL 1bi:3e f3C- I. C)? 69 2 1 . 338
Tt-!a.S YEAR'S Ti:7i P.,[ 13.:26
?•???•?•? Sl iMi"IFaR'v' l`:lF 1=`LI'AT:) [ h4C?7 6042 . 00 6C?42. C3i,)
I.?IANC
a, r? .
?;er4-4w
C17Y OP EAGAN Remarks
Addition ClearTtew Addn. Lot 6 eik 3 Pa,cei 10 17750 060 03
Owner r' Street 4546 I'EYlOT'0 LcLt12 State- ?''3?,'2ri,MN 55122
.; Improvement ? Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREETRESTOR. fr : ?.M';'r " ? f ZW2 4
GRADING 6
SAN SEW TRUNK . 1974 . l"? -;O GP 11.66 1 Paid
SEWER LATERAL -
WATERMAIN
* WATEF LATERAL Iggo
WATER AREA 1
STORM SEW TRK
STOFM SEW LAT 1980
`. *
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac
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PINE CREST BUILDERS
QUA1/TY CUSTOM {lOMfS COMPLFTF RFMODfLING SFRVICf
M. L. (MEU FORBROOK
CONTRACTING FINANCING PLANNING DESIGNING
PHONE 459•2329 LAKEVILLE, MINN.
85066
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Phone: (651) 675-5675
Fax: (651) 675-5694
?--______________?
? Pertnit#:
? Permit Fee:
I I
? Date Received:
I Staff: I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7- O"Cr, Site Address: 4fiS '-A9 La,qcN«
Tenant: :5Cje- I-Iry-je-L n d Suite #:
RESIDENT/OWNER Name: 3L•2 Phone:
"
r
Address 1 City / Zip: ?r,'clcl(??.
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description ofwork: ? e- ;CJ
Construction Cost: 7?G?GYJ- UU Multi-Family Building: (Yes _ I No e<-)
CONTRACTOR Name: License#: 0?03?l3(r-/?7
Address:
City: LrfYy! 6,,Ie-- State: PAI_ Zip: ,<?357
Phone: Contact Person: ?-?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 ta be public information Portions of '
the rnformafion may pe classified as non'pub(ic if you'provide speci&; reasons thaf would permit the Crty to U'
conclude:that the ?are trade secrefs.t
I hereby acknowledge that this information is complete and accurete; that the work will be in confortnance 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.
x I " ?fi.U. S
ApplicanYs Printed Name
x22J
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA091342
Eagan, MN 55122 . Date Issued: 09/28/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4546 Lenore Lane
Lot: 6 Block: 3 Addition: Clearview
PID 10-17750-060-03
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Gem Ryan Plumbing & Heating Joseph H Hogeland
2200 West Highway 13 4546 Lenore Lane
Bumsvil e MN 55337 Eagan MN 55122
(952) 767-1000
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122802
Date Issued:05/20/2014
Permit Category:ePermit
Site Address: 4546 Lenore Lane
Lot:6 Block: 3 Addition: Clearview
PID:10-17750-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Joseph H Hogeland
4546 Lenore Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169673
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 4546 Lenore Lane
Lot:6 Block: 3 Addition: Clearview
PID:10-17750-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Nathan & Stacey Bauer
4546 Lenore Ln
Eagan MN 55122
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177131
Date Issued:06/16/2022
Permit Category:ePermit
Site Address: 4546 Lenore Lane
Lot:6 Block: 3 Addition: Clearview
PID:10-17750-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Nathan & Stacey Bauer
4546 Lenore Ln
Eagan MN 55122
(612) 704-6748
Legacy Restoration LLC
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature