4655 Lenore LaneCITY OF EAGAN Remarks
Addition Ri dge 1 i ff Fi s Addn Lot 7 Blk 1 ? Parcel#10 63990 07f1 1 fl
Owner
stmet 4655 Lenore Lane stete Eagan, hRV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK -1 1980 184.49 12.30 15 14 .62 C0076 8 2-18-82
SEWERLATERAL 1982 1305.42 5 1305.42 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81
WATER AREA 1980 184.49 12.30 14 .62 Coo 6$ 2-18-82
STORMSEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955.45 S 955.45 C007616 12-23-81
' Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LiGHT
280.00 52004 5 23 85
WATER CONN. 500.00 it 11
BUILDING PER. 10 74 19 ?
SAC ?
PAF K
OUILD
To Mt
Sin Addn
Lot 7
Parwl No.
CITY OF EAGAN 1?'p 274
3830 Pilot Knob Road, P.O. Box 21•199 Eagan MN 55121
PHONE: 4548100
MIT Recelpt #
Si' ilSVG; Gi3iFt c? v..i... J" 5 s, (ji) 0 n.. i4F,Y 23 10 8
55 LENORh LN
BIoCk '`." So'/Sub.
W I Name 'r:3CTIOId CO
Addresi
City Phone
A I Neme
Addrees
? Citv Phone
Neme
Addrelt
City N Phone
Ereat ? Ocwpnncy
Remodel ? Zoning R 1
Repair ? Type of Const. ?
Enlerge ? No. Storiea
Move ? Langth 34
Demalish ? Depth 44
Grede ? Sq. Ft.
Install ?
Assesament
Water 3 Sew.
Police
Fin
Elo
vr..
Council
Permit J 29 . Q0Surcharya 2 E . Sul
Plan Review i 4 r, _ kj LI
SAC
Woter Conn.
Water Meter JU
Rood Unit
I hercby atknowlsdye thet 1 hove mod this opplication ond state thut Bldg. Off. 1.i Z. U i,
tM inlormation is correct ond ogree fo Comply wifh oll applicable A? 'r • p•--?j p
Srob of Minrrsoro Stntutes and City of Eoqon Ordinanu:.
v.r. o.te CoPY
Sipnotun of Pemwttw - 1T0t&1
A Buildirp Perenif is isswd fo: . . . . . . on fhe express cadition thot
oll work shall be dont in accordanee with oll opplimble Stata of Minneaoro Stotutes ond City of Eopan Ordirqncea.
Buildhp Offidal
io
Pwmit No. Pamk Holdsr Dob TNa hone ?
Plumbing C 3 J 2 Y 6
H.VA.C.
ENctrlc
Sohemr
Impeetion Data Insp. Other
Pootingc ..?'
foundation f ' `/
Fnminq Z W ?
Roofing
Rouqh Plbq. .7
•
Rouyh HVAC •
Inwlation
Fiml Plbp.
Final HVAC ?
Final
Cwe/Oce. 771 i °?-
Wanr Dneribe Location:
V*II
Sowar
Pr. Diap.
Roaipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fm
Fill !n numbered a,vaces S/C
TYPe oi f'rint legibly
Tot
?.
i. Date 2. Installation Cost
3. Job Address ' Lot Blk. Tract
c
4. Owner 's c .^r
- ,,
5. Contractor Phone `
6. Address
7. City " State f'? ! 2ip -
8. Building Type: Residential 11
9. Work Description: New O
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
Ce
l/D
i
fi
ld
Bath tubs sspoo
ra
n
e
Se
i
T
k
_
j_ Lavatory pt
an
c
Softner
Shower W
l I
? Kitchen Sink e
Urinal/Bidet O
h
_
Laundry Tray er
t
Floor Drains
? Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compiy with all ordinances and codeF governing this type of work.
Signed • for
HouyA f inal
InspeMions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
383? Pilot K,nob Road ?NER SERVICE PE?Y?R
P. Q. Box 21199
Eagan, MN 55121 P??T NO.: _
Zoninp: DATE:
.
No.
Owner: of Unita: `
?•?., .
Addrcss:
Site /?1?rG55:
Plumber:
CITY OF EAGAN
? prM te aoin0ly w" Nw py of 60900
OrdiMnOp,
By
DaM of Insp,;
Inap,;
C17Y OF EAGqIN
. 3830 Pilot Krqb Road
P. O. 3ox 21199
Eagan, MN 55121
Zoniny: '
OWrMr:
Addrm:
$ita Addrcss:
Plumber:
hktar No.:
Siu:
Reodsr No.:
? yrM le eewVb' rM !6- Ciep M E.M.
"MNGOL
BY ?
Dote of Insp,;
CDnNMCtl0/1 Charge: " 2' Cd
AccounM DePowh
Parmit Fae:
Surchorpe;
Misc. (ha?s;
Taal:
DoM Pold:
WATER SERVICE PEMT
PERMIT NO.:
.,., DqTE:
? NO. Of UnlrS:
R1dR@
Connadion Chorge; ??-
Atwunt Dapeyt;
Fermit Fee;
Surtharge:
Misc. CFaroes:
Totol:
DcM Pbid:
Insp.:
ITY OF EAGAN
30 Pilo Knob Hoad WATER SERVICE pERMIT ?
• L - Box 21199
, agan, MN 55121 PERMIT NO.:
' 'Zoninp: !tl 'DATE: "
Ownsr; ?ons ` No. of Units:
CQT
_j l
!
AddreSS:
Site /lddress: 4655
Plumber:
Rl
1 u
Meqr No.:
Ca
nnectton p)arg
,
Size:.:/,A &J2,.9, e;
,
Reader No.: Lz.3/?1 y"o 3- 6 /keourM De p y' s it: .??
1 sYrM M esw Permit Fee:
?' wIM? 5
i -
u
eha?ge;
iC
OrJ?
? Miac: Chorges; ? 1/1? 3:'
BY Totcl: ?
- .,
Dots of Insp.: ? Dob Pold:
Insp.:
CITY OF EAGAN N° 1027,
3830 Pilot Knob Ro d, P.O. Qox 21•199, Eagan, MN 55121
?HONE: 4548100
BUILDINCs PERMIT Receivt #
Te 6e urd fer SF D6tiG,%GAR Est. Value $53,000 pote MAY 23 19 85
SiteAddress 4655 LENORE LN Erect ? Occupancy R3
7 10 RIDGECLIFFE I
Lot Block Sec/Sub Remodel ? Zoniny R1
. Repair ? Type of Const. V
Parcel No. -
Enlarga ? No. Stwies
SONS CONSTRUCTION CO Move ? Length 38
? Name
Demolish
?
Oepth
44
? Address 4370 RAHN RD Grede ? Sq. Ft.
City EAGAN phone 452-4721 Instell ?
? Name SAME AVProrab
?? Address Assessment _
? Ciri Phone Water 3 Sew.
PoHce
G GEORGE MANSFELD
W Name Firo
?i 9200
x? 35
Address W SERVICE RD
Enq.
?W City BLMTN phone 881-9000 planner
_
Council _
1 hereby ocknowledgs thot 1 hove read this opplication and stote that gidg.Off. 5/23/R?i
rred d ogr_ee- jp compl ith all applitOble
tha inlormotion is co AP?
State of Minnewta Stot??and C?r/yf?Eq6 rdinances.
i, n- ?i , r Var. Date
Sipnoturo of PermiMee
Fees
Permit Z-?e • v ?
Surchorge 26.9(
Plen Review 1 d F+ - O C
SqC 525.0(
Woter Conn. 500.0(
Water Meter 63.0(
Rood Unit 280.0(
p? 132.0(
Copy -5(
Total $1,965.0(
A Building Permit Is fssued to: 5UN5 C:ULVS'1'1{UC:'1'1UN on ths exprcss conditlon IW
di work sholl ba done in cccordance with oIl?oQplicoble St Minnesoto Smtutes and City of Eapon Ordironces.
Buildirq OfflNal A'2-?
This request vnoid
B Vnl s ?! 9
ic c 1v-
&7l1t8S
50. oc)
He.ques[ Date Fire No. qough-in Inspec[fon
Reqwred?
[3Ready Now [SWfll Nolify. Insper
J -• Yes ?No tor When Ready
[XLicensed Eleclncal CoMractor 1 hereby repuest inspection ol ebove
? Owner , electricai work installed at:
SVeet Address, Box or Route No. City
4$55 Lenorg Z.wae E¢ en Minn.
ecuon o.
Township Name or No.
Ranpe No.
County
I I Dakota
Occupant(PRINT) Phone No.
Sons Corzstructton Co 452-4721
Power SupPlier Address
Rea F'armin ton Fdrrnin ton Etnn
Electrical Contractor (Company Namel Contractur"s License No.
NeZson Electric 041 545 .9
Mailing Address (Con[ractor or Owner Making Instailation)
Authorized Signature ( ontrector wner eking Installation) Phone Numher
MINNESOTp STATE eOARD OF ELECTIi1CITY THIS INSPECTION HEQUEST WiLL NOT
Griggs-MidwaV Bldg. - Room N-797 - BE ACCEPTED BY THE STqTE BOARD
1821 University Ave_, St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
phom (6121 297-2111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, See imtruct7ons for completilg this form oa 6ack of yatlow copy.
?3734n "X" Below Work overed by This Request
EB-00001-Dd
q (I 0<
Add Nep. Type oi BuilAing Appliance3 YVired EquipmBnt Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt Building Dryer Electric Heatin
Commercial 81dg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Soec' N -therlsuecityl
t .r (Specily Other Other .
Comoute Insoection Fee Below
p Fee ServiCe EntrgneeSize # Fee Feeder5/5u6feeder5 # Fee Circuits
75-00 0 to 200 /un s 0 to 30 A s ? .?'?. ?? 0 tn 30 Rm s
Above 200 qm??y 31 to 100 qmps 31 to 100 A
Swimming Pool Above 100-Amps Above 100_AmPxi
Transformers frrigation Boorra Partial•'Other Fee
Signs Special Inspec!ion S ?- wrciw.ry
Nemarks .?v
?Q ?50 TOTAC F
. . , I ?fj
Final
the
or, heraby
that the above
ion ha5 been
TMS request void 78 months (rom
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
oc?
To Be Used For: ,t,? ? Valuation: 53,00C,. ? Date:
Site Address: OFFICE U5E ONLY
Lot: '7 Block L
?sr.
Sect/Sub?L-Y- 91,? 'Erect
Remodel
Repair
Enlarge
x Occupancy P--3
_ Zoning (L-l
^ Type of Const M_
# of Stories
Length 3s
` Depth 44
Sq Ft
Parcel #
Owner _50R,rS (°, N rra 4crrr<U Move
Demolish
Address q376 RQA)N k c, ( Grade
City/Zip Code ,; s?/ 1, y
Phone 4L2 - c./ 1) f
Contractor ?Dej S v s 7°
Address 7 37 G ?Z A ly,,;r
City/Zip Code "d
Phone VS ?w
Arch./Engr. ? L0622-G,4 Al(,y-4d"'r
Address 9 ?7a ? S` 4J
City/Zip r
Code r.rl
Phone # ???° J o r c
APPROYALS
Assessments Permit Z92. °-°
Water/Sewer Surcharge 26,-2?
Police Plan Review 1 4Z;,=
Fire SAC ,5 1 s,q°
Engr Water Conn 5?. ?°
Planner Water Meter
Council Road Unit 2 gp.`°
Bldg Off -? Parks
APC Treatment Pl 132. °=
Variance l GoP( 5°
TOTAL
'CertS.ficate for:
- ' Sons Conatruction Co.
' 4370 Rahn Road ,
• Eagan, Mn. 55122
no ?`
? ?.. ?
.
,
?
?
ti
w
c?
?.
DELAAAR H. SGNWANZ
LAND SURVEYOAF NVC
RPqiStPIP(1 UndP1 LA1M\ 01 T1M Stdl! {lI MMIIM(1VA
14750 SOUTN ROBERT TRAIL ROSEMOUNT. NMNEStf7A liS068
supveroR•s cEaTIFaC?TE
Elevatitns
Propoaed ge
elevation _
1ZL-1
aye.111
o ?J O
\ \ ?p\ \ r??? ?
\v!
A?
d
PHONE 672 72//NNI . .
?
e exiating
'loo
0 ?O
7 g '
C?
? c0
?q?N :
1v
?
? --
I hereby certify tha.t this is a true• and _d
correct representation of Lot 7, Block 1
R.IIX}ECLIFFE FIRST ADDZTION, accordlrg to ?
the recorded plat thereof, Dakota County, Kir,
?' v -1
?
?
?
ta.
Also ahowing the location oP a prepcsed house aa staked thereon.
As surveyed by me thia 6th day of May, 1965.
MINNESOfA REGISTRATION NO. 8825
?'.
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SiTS f4DrSZE55 ?iL?'/N,?'
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?S?JILDIN? TYpf - 64{JFGK4t4 oNEoQi,)p FAr1lLY PuEWt?-Cj
nrueta
ASSEM6LY vES?wPA rTfg
SFbW tiAi.t.tJ IOhJ oRE-A (A? U-vAwE uxa
1NSt1lRTEo PtFZ4 gq . 0225 20. ox?
sKY?-??? T'rP6 ? N//? -?
FRWfNGr AREA ?$• , f?5 r1-3?
otHSR
i rOtac.s 9 a$ s, .3b
Z AveaA:jE d vAwr a?o?
w I ?e
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3 ?E4U19SPdvA,.lZFRorimr _
GEIUNG I 9009
iNSUI.ATEc _AR-FA ill0•(a9 . oCOr 7-5
FIeAr1 Wej aREAc 179- • o6v7 12.ao
WINDoW5, T1'm i So -. SS qq
DDo (Z?i ?'?'p? ' . 3947 . p7 2. G3
RI MAtZEPc I?a • oq 14.4
F?I gEr.Ac.E WALt. / . Ni? r--
1=00NpP?'T?ot-4 I..IAtrL,
G oE
89•9S
.47
39.70
?o?N?pc,'?or?l W?N17cW5,1YPE / N ?-
SLlpl t??? GLAS?.t7oo?t5 3q. q4 . 5/ 20: 3?
c?'F}E(Z!pEScR?pSE)
?}}??, ?DESGK?9E)
4 TOtA1-5 as
?j PN£(tAl,E L{ UALUE A FitOr . I
(o 95AtJIt*D U•vKUF. ?
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2/84
? CITY OF EAGAN
S < <?-?
?
APPLICATION FOR PERMIT
51 ,
-' - SEWER AND/OR WATER CONNECTIODI
(PLEdSE P3IH7)
1) PP.OPEFM'Y ADDRwSS • z"'; /v<t-
T,FraI. DESCRIP'PIvN: /x "?
(Ir?t/Block/Subdivision or Tax ei I.D, i.ber)
ir =3STRL'CP .cE, DaTE- 0;' ORIGi ;AL Z-14'i<:.Sm ?cET;. NC::
'
'
WR-i Sa;=- FA%rt.iLY ---=---- ,
•
a rZ-z DuP= (?,-o L-tqzTS)
? R-3 TGQNfiOLTSE (T?,"' + INITS) ( IJiQI';'S)
? R-4 P?pi1R'II= ]T/CCINDCt`iLVIU:l ( [NITS)
? Ca=CIAL/REI'AIL,/OFFICE
? L=3Sii u
? INSTI'_TLTIDI?.'AL/GGVE_4:?T,1FNT
z) A.ppI,IU»,^P (PLEaSc PRiYi)
I?IZ?I??'.: '.?? C/ J O:/ 7t.0_/ C?G`? b-G--?
ADDRESS:
CI'Z'Y, STATE, ZIP: S3i?-.2_--
PHONE:
j? p=IBER NAME: PLEASE PRINT) FOR CITY USE ONLY
,, .a,DDRE$S:
: / „
?i 4y .7fy ie!` PL11146ERS LICENSE:
bCt1V@
CITY. STATE, ZIP: Expired
PHOiVE: i S I L .
PLUMBER LICENSE
Q„?Not 'f Record
arr ini -?
41 NANIE lrLLH?crnini/
:
ADDRESS:
CITY, STATE, ZIP:
PFiONE:
S} INDICATC WHICH PEPM.IT IS BEIPiG REQUES'I'M:
Q? CO:?"VECI'ION TO CITY S3,]ER
? CO.*.TNECi'ION TC) CITY 4JATER
? CII'I'.ER (PLF.ASE DESCi2ISE)
bj 1:.llll1=:i _": C::E:
? P.T.EASE fiOLD APPRC3VEp pgdtillT FOR PICn-UP BY ONE OF ABC1VE
??=:%SE b1AIL APPROVr'D PERIIIT TCl 1, 2/?D 4 11=
(Circle one)
7) SICZ??Zi.:?E: DATE:
. . , „?.? _, ? . . . . .. . .
F O R C I T Y U S E O N L Y
PERHIT '-` ISSUED
F___ I
FEES : $ /?'• 5 0?
$ /UjG
$
$
$
$
$ ?'?, Uv
S
$
$
$
I
$ TOTAL
?
$ P,t`40UNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
???T10 ENGINEERIDIG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TEiE FOLL0WING CO[VDITIONS:
APPROVED BY:
TITLE:
DATE :
SEi'iEv n=a%irm (T__;C.T.;;':
WATE? PERU4IT (INCLUDE SURCF?ARGE )
W7aTER METER/COPPERHORN/OUTSIDE REaDER
WATLR TAP (INCiUDE CORPORATION STQP)
SE;dE3 m.ao
ACCOUNT ^uEPOSIT - SE:?TER
ACCOUNT DEPOSIT - WATER
WAC
sac
T?2UNK TJAT :R ASSFSS'-IEDIT
TRliVK SENER ASSESSMEtiT
LATEP.AL BENEFIT/TRUNK SE[ti'ER
LATERAL BENEFIT/TRUNF: WATER
OTHER
otmaa B"m wtmpoa w".? wpw wa ot-M M w-M svq w_-M B*wsm sM Ra ncm aa Wpm W-M
Use BLUE or BLACK Ink
z.
I
For Office Use
I
of E a ,,a p I Permit I
Permit Fee:SS;
I
3830 Pilot Knob Road
Eagan MN 55122 Date Recei d:
Phone: (651) 675-5675 CL- I -I
Fax: (651) 675-5694 I Staff: I
INFLOW INFILTRATION PERMIT APPLICATIO
Plumbing / Sewer & Water
Date: /0 -4- Site Address: ( e n t2/ !z/l
Tenant: Suite
~J f f ~
Name:1 Phone: 1,2
RESIDENT / OWNER _
Address / City ! Zip: W.~ 5 keno ~c fy'c~ fv . g~~l 9~ "0
Name: License
Address: City:
CONTRACTOR
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
~ t
Description of work:
DESCRIPTION r
e e
FEES
$55.00 / 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.citVofeagan.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.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 eview and approval of plans.
X / ,e? _:lc 4se
Applicant's Printed Name Applicant's Signatur
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final