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4620 Lenore LaneCITY OF EAGAN Remarks Addition R;rtae.r-i;ff First Addn Loc 36 eik 2 rercei#:IJ4.11'63990 3.6D 09 owner Street 4620 -iig??nor`LLAAf, State Eagan, WIN 55122 Improvement Date Amaunt Annual Years Payment Receipt Dste STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1980 184.49 12.30 147.62 C007676 2-18-82 SEWER LATERAL 10(o 1982 WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 WATERAREA 14 .(Q Coo 6 6 2-18-82 STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81 STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81 Services 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIOEWALK STREET LIGHT R 250.00 35870 8 WATER CONN. 450.00 BUILDING PER. 8020 SAC PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 - DATE 19 RECEIVEO ? FROM AMOUNT $ I \\ !o DOLL RS ? CASH ? CHECK 1 FOR ) I FUND COOE wlAOUNT Thank You ; BY ? \ ? White-Payers Copy Yellow-Poatinp Copy Pink-File Copy ? ? .' T BUILDING PERMIT CITY OF EAGAN 3795 PYaf Knob Raad Eayan, MN !l122 PHONE: 454-8100 Te bo wad /er SF DWG/GAR Eo. yaiue $48,000 Stre Addreu 4620 Lenure Lane (Plan lOb Lot 36 BI«k 2 Sec/Sub. Ridger_liffe lst pa,cel # IO 63980 360 02 Name lnvm son Laxes ;?ivision qddros 17 2 ?Iopkins Croseroad ?;h, ctka. 55343 Ph? 544-7333 Name Owner A?{ ? n Ol. V V Receipt ? Erect ? Occupancy R-3 Alter ? Z?ing lFi' R-1 Repair ? Fire Zone `v`, Enlarya p Type of Const. v Move ? # Stories Demolish ? Length `, 7 • 5 Grade ? Depth 37 Sq. Ft.- Avvrorals Fees Address CItY Phone Name I hereby ockrwwledge thot I have read this application ond state that the informotion is Correct and ogree to comply with all opplicable Stote of Minnesota Statutes and City of Eagan Ordinances. Sipnoture oi PertniMee A Buflding Permif is issued to: Thompson Lakea ?)ivisiou oll work sholl be done in accordance with oll cpplicable Stote of Minrw Buildinp Official ? Water & Sew. Polite Fire Enp. Planner Courufl Bldg. Off. APC Plan CheCk J-3/ . Vl/ ; snc 525.00 Water Conn45 • go j Water Meter 60.00 Rood Unit 250.00 Torol $1720.00 on the exprcss condition thar ond City of Eagan Ordinances. Permit No. Psrmit Holder Miu. Penpit No. Holder Plumbin9 ?q ([J 57 H.V.A.C. ?!J Zct Wall Water Oisp. Sewer Electrie 1?70?4II ?II ??Ci L?"t? Inspeetion Date Insp. Other Footing? ,1 Foundation Framing Rough Plbp. Rouph HVA Inwlation Final Plbg _ (. Final HVAC Final y Water Describe Loeation: YVall Sewar r , Pr. Disp. , Receipt - MECHANICAL PERMIT Parmit No. -_D CITY OP EAGAN ' •? ??; Fee ' • Fill in numbered spaces S/C • i' " TYpe or Print /egibly 20 T 50 ot. • i 1. Date ` 2. Installation Cost ?"?`•'`L 3. Job Address • Lot -? ? Blk. Tract 4. Owner 5. Contractor Phone - --•- ?- 6. Address i./%7 ?'-jC£?.FO :i_-l? :i• _'• 7. City - State Czz /?,i7 Zip `"* 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Ttt? c::r.l iox'Cecl ;.i.- Y1:; •.t1n:;Fuel Type 11. No. 1 Equipment BTU - M. Ea. Forced Air No. Eauiament CFM qi H i Mfg, r andl ng: _ Boilers Mfg. _ Mech. Exhaust Unit Heater _ Mfg. Othe Air Cond. r Mfg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ofdinaryegs and codes g94erning this type of work. . / . Signed: Zi? for . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Receipt -' PLUMBING PERMIT Permit Na-l ' CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date a/31/83 y, Installation Cost 3. Job Address 4620 LPnOi^? Ldnftot U? Blk. ? Trect 4, Owner CiRRIM 7HOMPSUti 5. Contractor. !qEtdZEL MEC}!. Phone 452_1565 6. Address 3600 Kenneuec urive 7. ctiv Eagan 8. Building Type: Residential -EI 9. Work Description: New M 10. Describe 11. State Mn Zip ?!1?2 Commercial 11 Institutional El Add ? Alter ? Repair O No. ? .l. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory $ottner 44 Shower Well _ Kitchen Sink - Urinal/Bidet Others/le" _ Laundry Tray ritY'/11..r-,__ ;a.;o?dS,FFeY' Floor Drains !+'dS er ryer Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 CONTRACT Site Address Lot 5c ? MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Block Sec/Sub „ , Sr m Name T,..er ? F , : . m Address ! c City jij j) L 1i.li,; _ Phone L - C ? Name cr 3 Address z I n n c p City Phone ? TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. ? M BTU Vent. CFM Gas Piping Outlets # Other ? 14VI A"•? ?? ?'- = l FEE: ? CJ S/C: 07 TOTAL• ( ? d ? RECEIPT # 77 DATE: BIDG.TYPE Res. ? Mult. Comm. Other WORK DESCRIPTION New Add-on ? Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1Mo OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN SEWER SERVICE PERMIT ? EAGAN 374a Pilot Knob Road PERMIT NO.: MN 55122 Ea9an DATE: , 11- Zoning: No. of Units: ? O wner. Address: Site Address: +r?n i.eiioi e mber: ' lti''t Pl ' - u ? I agroe fo eomPy wkh fhe Ciryr eF Eagan Connectton Char9e: '^ r?-,?) • Ordinaneet. AccouM Deposit: Permit Fee: Surdiarge: gy Misc. Charges: Date of Irep.: Total: Insp.: Dote Pcid: WacaN WATER SERVICE PERMIT 379. Knob Rood PERMIT NO.: MN 55122 Eagan DATE: , Zon;ng; No. of Units: Owner: Address: Site Address: Plumber. Meter No.: Connection Chorge: Si Atcount Deposit: ze: Reader No.: Permit Fee: I aqros !o wmply with fha City sF Eagon Surcharge: ,. Ordinanees. Mtsc. Charges: Total: By Dote Paid: Date of Insp.: I^sp•: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 174 3830 PILOT KNOB RD - 55122 . 651-681-4675 New Construction Reauirements . 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°k maximum lot coverage allowed) . 2 copies of plan showing heam 8 window s¢es; poured found design, etc.) • 1 set of Energy Calculations . 3 copies o( Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Oplions seleclion sheet (bidgs with 3 or Iess unils) DATE q- i Y ' 0 I JOB SITE ADDRESS46 ZC) C-e-?Dre- ? an 'L IF MUITI-FAMlLY BUILDING, HOW MANY UNITS? PROPERTY OWNER ? 00 TYPE OP WORK ?-U APPLICANT m0Z'-1 ADDRESS PAGER # CELL PHONE # 612 - c?_ PHONE# ? FAX # P CODE SS1 2 2 ? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plum6ing System Includes: Mechantcal Contractor: i vlechlnical System Includes: Sewer/Water Contractor: Y Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submittad prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and ree comply with all applicable State of Minnesota Statutes and City of Eagan O??ces. Signature ot Applicant RemodeVReualr Reauirements . 2 copies of plan . 1 sel of Energy Calculations for healed additions . 1 sde survey for extenor additions 8 decks . Indicate if home served by septic system for additions? VALUATION?'?.$ ? " C., o 5S J Z 2 FIREPLACE(S) _ 0 _ 1 _ 2 (fjyv Le.t,-tDr--e_ I(an MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water SoFtener ? Lawn Sprinkler Water Heater ? No. of R.I. Baths ? No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 1101 CPPY OF F-AGaN ??-o ? InclUde 2 sets of plans, .. _. ? 1 site plan w/elevations s p ????BUILDING Pt.'Rt•LIT APPLIG?TIGN 1 set of energy calculations. ? ' ol -0 mQ 'Ib Be Used For Valuation ? """ Date 5-ta-t?3 Site Address: ??Zp e4„4L.- V?w.. OFFICE USE ONLY Lot 36 Elock 7. sec. /sub. (Z e.- ji!-- Erect Occupancy Parcel #: jo (p39,8b Alter Zoning 3100 0'? . Repair Fire Zone Qaner: Ac3dress: City/Zip Code: Phone #: Contractor• THOMPSON LAi<ES DIVISION Pr3dress - 2712 HOPKINS CROSSROAD - City/Zip Code: Phone #: Arch. /Eng . : Pddress: City/Zip Co3e: Phone #- Enlarge Type of Const. Nove # Stories DeJrnlish Front 47„S ft. Grade Depth 3`7 ft. APPROVALS ' FEF'-S _ Assessrrents Water/Sewer Police Fire EriJ - Planner Council Bldg. Off. .??_ APC PeLmit 1-7 7 y 'e-A' Surcharge - z) y., Plan Check ) ffi" SAC S Water Conn. yS0 ? Water Meter 60 ? Road Unit TOTAL BUILDING PERMIT CITY OF EACAN 8795 Pilof Knobood Eagon, MN 55122 PH E: 454=8700 GAR 000 Sire Address 4620 Lenore Lane (Plan 106 Lor 36 Block 2 See/Sub. Ridgecliffe lst Parcel # 10 63980 360 02 W I Name -Thompson Lakes Division ; Address 1712 Hopkins Crossroad b Cit,Mtka. 55343 0,,,,,,_ 544-7333 Z0 u u°? ? Name _ Address Name _ Address 1 hereby acknowledge that I have read this applicotion ond state thot the information is correct and agree to tomply with oll opplicable Stote of Minnewta Stotutes and City of Eagon Ordinances. Signature of PertniMee A Building Permit is issued to: Thompson Lakes Divisic oll work sholl be done in acrnrdance with oll opolicXbJ,e Stote of Mit 1 ? Erect 11 Occuponcr R-3 Alter ? Zoning `PD) R-1 Repair ? Fire Zone NA En(arge ? Type of Const. V Move ? # Stories Demolish ? Length 47.5 Grode ? Depth 37 Sq. Ft._ Approvalt Fees Assessment Permit ? / 4 . UV Woter & Sew. Surcharge 24.00 Police Pian check 137.00 Ftre SAC 525.00 Eng. Water Conn.450. 00 Plonner Water Meter 60. 00 Council Road Unit 250.00 Bldg. Off. APC Torol $1720.00_ on tha express condition that Bj?a $tatutes ond City of Eogon Ordincnces. N° 8039 Receipt # 2s0 7C) Building Official (gprt`tfirttte nf Orrixpttnry Citp of (Eagan ige.pbrtmrnt n# Buiid'mg 3niipertimt Thi.r Certi f icata ir.cuul purtuant to the rcquinmentt o f Settion 306 oJ tbe Uniform Buildirig Code ceru fying that at the trmc of fttuance thij ttructure wac in compliQncc with tbc variour ordirwncet of tfie City rtgulating building tonJnrution or usr. For tbc folloudng: SF DWG/GAR 8039 UuCtimfiudm Bldg. Perttnt No . OxupaocyTYCt R3 7YMComtmction V FiaZon NA Zonine rnlt&t (PD) RZ o,,,,u,fDdd;,,a Thom pson Lakes Div4dd.1712 Hopkins Crsrd., Mtka. B A? 4620 Lenore Lane Lot 36,Block L.i?? 2,Ridgecliffe ???e ?I Y lst yl ? ? n '?` ?- BY September 23, 1983 euaaing . t /G_ n,l.: ?T IM A COMfrICVOYf nAC. LI frJ i" ?'.5. P. REQUEST FOR ELECTRICAL INSPECTION M. ee-ooooi-oa ' Sae instructions tor completing lhis form on back oT yellow copy. a x'D Beo / ???l - ' wI or overed by This Request .3W.0421 New Hdd Rep. Type of Building Appliances Wired EquiPment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. AIr Conditioner Bulk Milk Tank Farm Otner Speci y Otnpr (Spyr.ifv) ( P.f SUCCIfy OShG'f Othl`f Compute Inspection Fee Below # Fae ServiCeEntrenceSize N Fee Fpeders/Subfeeders # Pee Circuits 0Ay0 _0 to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qmpy 31 to 100 Amps 31 to 100 qm Swimming Pool Above 100_Amps Above 100_Amps Transiormerg Irrigation Boorns o Partial% Other Fee Signs Special Inspection $ - __/ T Ren?arks ?,? ' ? O{AL EE 0,1 8 Roueh•in ? Uate , the Electrical ? Inspector, hereby certify thet the above Pinal ? I Uate {iigpeetipn has been u r ?" ? meda. Thi¢ rwmiwat voiA 18 months Itom ` This request void (0- zZ 18 month5 from W 079411 1-3loi 3.0, Ri dj£o-li FFE /st 3(vloot ya,oo Fe.quest Date ? I Fire No. Rough- inInspection Recayifred? WilI Nniify, Inspec- ?Rcatly Nuw ' ?? %? ? ?•Yes ? No - tor N kPn Ready &ieensed Eiectrical Contrflctor I hereby request inspection ot above ? Owner electrical work installed at: Street Address, Box? o(r R,o1 ute No. ? p L Citv l ? '? ?..V 0F'! 1.-.10 1_CI`? %qpr ecUOn o. Township Name or No. Fange No. County Wiza Occu IPRINTI zoo Phone No. Power Supp^lier ?N Address • I 1 ?`?'t'?4??VN Ele ?Lcal Contra?(ct?or[ ?(pCompuny Name) Gu+ ?C?'CG?;11 `C? Contraqc?torC's License No. I>" Maili`n9 AdJress (Contractor or Owner Making Instailationl Autiz d Signa re(nlracmr Owner Making Installation) - Phone Number 6 e-'io 55nr? MIN4ESO7A STA7E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE 90ARD 1821 University Ave., St, Paul. MN 55104 UNLESS PROPER INSPECTION fEE IS ,.. .... ..... ..... ENCLOSEO. •? ?? ?? ' C. R. WtN I DEN 3 ASSOCIATES, 1NC. AND SURVEYORS Til i45•3646 F'OR• 1381 EUSTIS ST., ET. ?AUti A41NN. ESl00 HOME CORPORATION yq A? b 4/q LAi N Z ? Q N J ? o ? eQ ?9 . ? ? Q W O ?" t LAJ .-q 'xZ a. W .? c3 0 a N o ??A ? o ? io 1 ( I (4144 31 ?-- ro L N82?IA'E o!51?A / 22.3 l Lh 7 ? N L G ? 8 N ° N I h, ? N I 363 , N SCale: 1"'= 30' Denotes Iron ?x944?_ Z ? O 'v N N ? nl L,69-14?? -_ ? , ti o'? i L ? .\ N X-11 . «6 • 23 N 760 05' 2?"6V ?ra?n?9e £ Utilify Easement Lot 36, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. Note: PropoBed qarage floor El.`9qq•73t i9o0,0) Denotes proposed t'fnished ground E1. -?- Denotes direction of surfdce drainaqe Vertfcal Dattun - N.G.V.D. 1929 WE MERElY CERTIFY TMAT TNIS IS A TRUE AND CORRECT REPRESENTA110N Of A StJRVEY OF THE IOUNDARtES Oi THE lANO AEQYE DfSCRtlED AND Of THE tOCAT10N pi All WILDINGS, If AN1; TMEREON, ANO Att VIS!{LE ENCROACMMENTS. IF ANY, FROM OR ON SAID IAND. Deted Mu 22j._dar +f AnTrA,D. 1953 C. R. WINDEN i ASSOCIATES, INC. Svrv?ro., Minw?wro ?piurstiaw /N. 7726 Mla IY City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4620 Lenore Lane Lot: 36 Block: 2 Addition: Ridgecliffe 1st PID:10- 63980 - 360 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Gasper A Lopez 4620 Lenore Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA086035 09/15/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4620 Lenore Lane Lot: 36 Block: 2 Addition: Ridgecliffe 1st PID:10- 63980 - 360 -02 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Permit closed Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: thout required inspection(s). Letter sent to applicant on 4 -7 -09. (pi) When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Owner: Gasper A Lopez 4620 Lenore Lane Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA086487 09/30/2008 ePermit City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: b r Use BLUE or BLACK Ink For Office Use Permit#: 1 ` I 1 C Permit Fee: 69'24'13 Date Received: rf Staff: � J INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water I'S Site Address: Tenant: Suite #: Name:-,���C)-Y Lop p e_z_ Phone: 651 Address / City / Zip: "16 2(T lie, L f'-3 U.k) /L(J(J ' 5 I z C Name: License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) V Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) / Repair Other: Description of work: ` \I\ 4Th i FIB Cr 0046t e, 1 1 cAve). f) rt,„�C"l-t� vim' 4 FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gooherstateonecall.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 re• 'res a review and approval of plans. # fl' x Applicant's Printeame x Applicant's Signature FOR OFFICE; Required Inspections: Under Ground Rough -In