4689 Lenore Lane... .... : .. . . .. . . .. . .: . .. .. T . . . .
. CITY OF EAGAN ; ,? r
. -.,., ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • 1-- ,. ?7 .t
r
PHONE: 454-8100
BUILDING PERMIT Receipt n
Tobeusedtor ->P DOG/GRti Estvalue $6btOd0 Date FEBRUA,RY 27 .19 bb
SiteAddress 46F?3 L't:N0RFf ],iv Erect EN Occupancy R3
Lot 9 Block ? Sec/Sub. RIUGFCLIFF E 1SUbmodel ? Zoning N?
Parcel No Repair ? Type of Const. t?r
. Addition ? No. Stories
¢ Name - ??"r•'ii: 'i:-00i•SPSi)i•7 iiOMFS Move ? Length QC?
' Demolish ? Depth_46
3 Address
o 1 712 IiL;PKZNS CI
iuSSROAD Int. Impr. ? Sq. Ff
city i. l'KA phone 544-7333 Install ?
a
o Name- `i??I;i 1., /
c
0¢ Address
~ Ciry Phone ?
c
ow W Name '
? a Address
i W Ciry Phone
AssessmeM Permit _ 3cj . CC
Water & Sew. Surcharge - 168.50
Police Plan Review_
Fire SAC 575•O`i
Eng. Water Conn. 500 . G U
Planner WaterMeter 6 s.U
Council Road Unit 29 u.{? J
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 2?24?8 Tr.PI. 15b.?U
information is correct and agree comply with all applicable State of
Minnesota Statutes and City of, ga ances. i APC Parks
Signature ot Perminee ? ( !` tl.' f '/ ? -`- Vac Date Copies-42-??? . GU
ORi22N THOi?iPSON HU4fE5 Total ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all appiicabfe State of Minnesota Statutes and City of Eagan Ordinances.
Buitding Official „t ( c ?'' -c
I , I Permlt No. I WrmN Holder I Dah I Tslsphons N 1
t-, 75?-
?b
Plbp.
Hlp.
Htp.
Plby.
Final
Oee.
Fig.
DisP.
PERMIT # «> 1_1 I
, • MECHANICAL PERMIT
70
' RECEIPT #
CITY OF EAGAN y
?-/
?
?
3830 PILOT KNOB ROAD, EAGAN, MN 55721 DATE: ? d
CONTRACT PRICE: Q?. 9 PHONE: 454-8100
Site Address ? ?
L
tBl
k
C (tli gLp(
,, TypE WORK DESCRIPTION
o
oc Sec/Sub
;t
Res. New ?
m Name ZZ7
` Mult Add-on
? Addre 14
r Comm. Repair
c City Phone
Other
L Name FEES
c Addre ? i RES. HVAC 0-100 M BTU -$24.00
p City
Phone
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ? ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 14'o OF CONTFiACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. ? M BTU STATE SURCHARGE PER PERMIT - .50
Vent
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
? ? gEypND $1,000.00)
Gas Piping Outlets #
Other
?
FEE
-
S/C: ??
7 cy S(GIJATURE OF PER d EE ?
TOTAL• J
FOR: CITY OF EAGAN
PERMIT N CITY OF EItGAN FEE
, PLUMBING PERMIT ? j .
RECEIPT # 454-8100 S/C
,,,?_ y MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL
DATE `' MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: Res ?L Comm Inst 2. New ? Add Alter Repair
3. Total Bid Price C,6 4. JobAddress
Lot ? I Block Sec 5. Owner i
s. Contractor 1,Vi i I L-%__?;i i;?I,?'i
(Name) ;L? Z I ?J (Streeq (CIM (ziP)
7. Contrector Phone #
NOr FIXTURES
I Water Closet - $3.00
=Bath Tubs - $3.00
% Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
NO. FIXTURES
) Laundry Tray - $3.00
__rFloor Drains - $1.50
ZWater Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
-Softener - $5.00
NO. FIXTURES
-Well - $10.00
-Private Disp Syst - $10.00
_ROUgh Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
%i
Signed: for
;
AppTOVed Inspections: Date Rough Insp. Date Final Insp.
Site
m Name _
? Address
c Ci1y _
, PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
`'' BLDG. TYPE WORK DESCRIPTION
: Sec/Sub
Res. ?- New X
• mmmos" •.'lult Add-on
P. Comm. Repair
? Name I
T?
3 Address
p City •?Phone
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
FOR CITY OF EAGAN
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
_Bath Tubs - $3.00
_Lavatory - $3.00
-Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_Laundry Tray - $3.00
Floor Drains - $1.50
_Water Heater - $1.50
_Whirlpool - $3.00
Gas Piping Outlet,s - $1.50
'LSoftener - $5.00
_
,
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C
GRAND TOTAL•
CITY OF EAGAN Femarks
Addition Ri Pr7 iff FiY'St Addrt Loc 9 pik 9 Parcel #10 63980 090 09
Owner screec 4689 Lenore Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK / 147.62 C007677 2-18-82
SEWERLATERAL ? 1982 1305,42 5 1305.42 C007616 12-23-81
' WATERMAIN
WATERLATERAL 19$2 1260.79 5 1260.79 C00761
WATER AREA ?/ 147.62 2-8-82
STORMSEW 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
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
SWER SERVlCE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 , DATE:
Zoninp: No. of Units:
Owror: - - -
Address: -
Site Address: • "? `. - - -
Plumber:
i.sm. ro emoy ..xr tr. c+y .r 90000 c«,n.en«, aaroe:
Crdi"nw. llcwunt Depoaif:
Parmk Fee: "
Surcharys:
By Misc. Gharoes:
Date of Inap.: Total:
Insp.: Date Vaid:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Kno6 Road
P. O. Box 21199 PERMIT NO.:
Eagan,'aflN 55721 DATE:
ZO^i^9: No. of Unirs:
Ownsr:
Addreas:
? Site /lddrcss: ,
Plurriber. -
Msfer No.: Connection Chorya: -
Size: Acoount Deposit:
Reodsr No.: Pertnit Fee:
I Mm ft aowpyr wkb W CMy of LW¦ 5urchorge:
OrJiwoner. Misc. CFarpes:
Total:
BY Date Poid:
Date ot Insp.: Irap.:
CITY OF EAGAN "7,J ?yATER SERVICE_ PERMIT
3830 Pilot Knob Ro? '
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 . DATE:
Zanirp: y
No. of Units: '
Ownlr• •,?qi',1pSoz7 i?0uti.S
AddIQSS:
SiM Addrcs: ?` j? enore ian4 L9 D° Eid,-e C ii:' . s s
? ho:cr,s?n Plumb
Plumber _
.
AAetar No.: .3 70 7a ctiop Charpe: • •'
Stze: 3r° oC IsaloIp+.
Reodsr No.:
c.
?
= 0• ? 0p
Ist
I ym lo aMepy wMh 1U e
surchc:
. Opc
REQUIRED _ . Opd TP
50
d met-er
53
TaQI .
p
gy Date Paid:
Daft o4 Insn,: Insp.:
CASH RECEIPT
•• CITY OF EAGAN •
P. O. BOX 21-199
EAGAN, 'ESOTA 55121
G ?
o th ? 19
weeeIveo
PROM
AMOUNT $
?
K?
FU CDO AeA NT
?
?
?
u^U C .?-
?
?
Thank You ,
N_ 60180 °
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
)
t
i
& OLLARS
oa
? CASH CK
This request void
8..l aon[hs from ? ? ( ??? Cj, C/j ?' ` /L ll r..1 <//q
?? 091965
Request Date
h
1 Fire o. Rough•in InsUection
Re
q
u
ired?
1
?Ready Nuw,?Will Notify. Inspec-
,(
?,
?
,?y'es ?No tor When Ready
Licensed Electrical Contraclor
I hereby request insPection of above ? • ''
? Owner dj r?? 00,/ electncal work installed at: , ?
Stre t Address, Box r Route No. -
dp/ 2?1t.?''?.QJ' yo?
l Cit
!/o
ecuon o. Township Name or No.
. Range No. County
LQ.??',4? .
Occupant (PRINT)
` Phone No.
Power Suppiier Address
Q
EI trical Contractor (Company Name)
yzz=
? ? Contractor's License o.
D9 r
Mailine Add s(Contra tor or Owner Making Instailation)
L U
utho '
zed d Signawre (Contractor/ wner Making Installatio
-
Phone Number
4u11NNESOTA STATE BOARD OF EyEGfNICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midway Bldg. - Room N191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
a???-?(o EB
REQUEST FOR ELECTRICAL INSPECTION -00001-0A
See instructions tor completin9 this form on beck of yellow copy. Ol/
D
q? 5 ""X" Be/ow Work Covered by Thls Request
New kAd Rap•
ie Type of Building AppliunCea Wired Equipment Wired
.
Home
Range
Temporary Service
Duplex Water Heater Liyhtin, Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air Conditioner eulk Milk Tank
Farm Other pecifv Other lSver.ifvl
1 er SVecify pther . Other
1.001(Jp[B 1/15(7CCU0/I rQ@ fS@/OW
# Fea ServiceEntrenceSize R Fee Faedars/Subfeeders- # Fee . Circuits
, 0 to 200 qmps ,0 Z) 0 to 30 Am ps 0 to 30 Arn s
Above 200 Ampsi D 31 to 100 Amps 31 to 100 A s
Swimminq Pool Above 100_Amos Above 100_AmPs
aiyns ppeciai inspecuon S ?-?,
Remarks TOTAL GEE
/?i
Rough-in
1 fite?f I, the I ectrieal?
? . H r Inspector, hereby
? certif
that the nbov
Final
2
DateG ? y
e
inspection has been
r made.
T1118 fBqu8S1 vOtO ltl f11011TfI31rom /
-, ? • Y
; CITY OF EAGAN N 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
_ _ ... , Receipt #
11554
7o be used tor SF DWG/GAR Est. value $ 68 , 000 Date
Y FEBRUARY 27 , ig 86
Site Address 4689 LENORE LN
Erect
? R3
Occupancy
Lot 9 Block 9 Sec/Sub. RIDGECLIFFE 1S7Aemodel ? Zoning R1
Parcel No Repair ? Type ot Const. V
. Addition ? No.Stories
¢ rvame ORRIN THOMPSON HOMES Move ? Length 40
Z
Address
1712 HOPKINS CROSSROAD Demolish ?
? Depth46
S
F
o
ciry MTKA phone 544-7333 Int. Impr.
Install
? q.
t.
¢
a SAMF
Name
=
0 Q Address
~ City Phone
?
W Name
F
? ? Address
z
a w City Phone
Assessment.
Water & Sew
Police -
Fire
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 2/24/86
information is correct and agre to comply with all applicable State of
Minnesota Statutes and City ag nances. APC
Signature of Permittee (. ?/ON:? / JZ Var. Date
ORRIN THOMPSON HOMES
Fees
Permit $ 337.00
34 . 00
Surcharge _
Plan Review 168 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290 . 00
Tr. PI. 156 . 00
Parks
Copies-_ __ _ _ _
Total $2. ]24. 00
A Building Permit is issued to: on the express condition that
all.work shall be done in accordance wit/h?ll ap icable Siate f Minne ota Statutes and City of Eagan Ordinances.
Building Oflicial r ? ?fL-?-• ?"Y?-?
0- b??
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit
,0?36,.?
Date
Site Address 'rE-1 ?-???? ?• Unit #
1:N1
P
t
O hone #
Tele
wner
roper
y p
Ina
& Air
Whlers Southside Htg
t
C
a
t
,
.
on
r
c
or
6950 W. 14e St., 4106 ?
Street Address _ Apple Va11ey, MIN 55124 ?, City
(952) 431-7099 I
5tate ?
? _ Telephone # ( )
Bond #: ' l?? ??14`IGLZ Expires:
/
-Contractor _
The Applicant is Owner Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?/_,Replacement
air exchanger
airconditioner _New _Replacement
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
approved plan in the case of work which requires a review and approval of plans. ,, ?
e-hcO ?-e??er? C`?i??
Applieant's Printed Name Applicant's Signature
,
i ? `V1AY 2 f! 2005
.
1986 BUILDING PERHIT 9PPLIC9TION - C OF EAGAA
NOTE: ALL CONTRACTpgS MpST BE LICENSED WITH THE CITY OF EAGAN
CONIlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STAUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONSr
$29000 LANDSCAPE SOND
To Be Used For: 01-'TI CG Valuation:
Site Address --q(mM (.(;,NQE ?
Lot 9 Bloek 9 S ?
Pareel/Sub b17(IeCI.I FF
Owner
Address
City/Zip Code
Phone
Contraetor ? t{yprQs Lt.) J
Address 111Z "IC#NS C"S&er?h-)
City/Zip Code M N i A- MN 5i,5393
Phone 7 3173
Arch./EnAr.
w? +? ?t A P&.2 I?
?}1J I?S ( cJ ?v i?'t ? S C, v ? ,
7j Ifi'r"'f-geE c3s I
SINGLE F9MILY DHELI.INGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SQRVEY
1 SET OF ENERGY CALCULATIONS
GB vv o Date: '
?
OFFICE DSE ONLY
Erect ? Oceupaney : F--3
Remodel ? Zoning R-I
Repair _ Type of Const
Addition _ # of Stories
Move _ Length 42-
Demolish ` Depth L 6_
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments , Permit 337
Water/Sewer Surcharge =10 -5"D ?
Police Plan Review ?!.
Fire SAC S 75
Engr. Water Conn n 0
Planner Water Meter (,3.S"'b
Council Road Unit Z90
Bldg Off 3 14 6b ?;IhTreatment Pl rs4P
APC Parks
Variance Copies
TOTAL Z12
?
TOR/HOMEOiiNER MQST DESIGNATE WHICH
L BE ALLOIiED ONCE BQILDING PERHIT
tt).1? 6? 3 P4 M,-r r 5
1>
Zs. v?
C,IVb1IVCGK1Nb 1-1-"rfuVY • Zti17 WAYZATA BOFJLEVARD • MiNNEAPOLISr hIId • PHONE: 374-4740
CCRTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCHMARK: Top nut of hydrant at
Flora Drive and Lenore Lane.
Elevation = 935.19 ft. (NGVD-1929)
,
a
x 900.0
NOTE: New stakes were set as shown on March 11, 1986
?-- drainaqe ? Uf//its, Easemenf
?,
5 85°58°E 139
42 ?
F_ .
? M-- `
I
N
46.33 0
Z
?o ? o O
I r Q
tv o +
I LO T
'? N 30 . -?
9 N
?0
a
w
17.0
.,
3
4.83 S . ? 7 nl 11.?
? • _ .?v ' ? I I 0 a ? I
/ ? J
M . 1 W
x w
' _ --- ---- ._
? d
W
'
I
J
I
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W
I
N ?? ?
ai°3o?w _ _? _ N IN
?60• 43 ??oC ?
? r
a
A ?
a
p?
Lot 9, BlOCk 9, RIDGECLIFEE FIRST ADDITION,
Dakota County, Minnesota
I hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, iE anyr
thereon, and all visible encroachments, if any, from or on said land. I further
cerGify [hat this survey vas prepared by me or undec my direct supervision and that I.
am a.duly ist ced Land Surveyor under the lavs of the State of Minnesota. -
?
tM7 Reg. No. ? z Date 4!:;'??
2•) REV• 3- 11-86.... f3ESEr OFF'SET STAKES
3-7-$to..-. CHANGFD HUUSE PLR9
Scale: 1" = 30'
Iron monument found ?
Wood stake set ?
Existing spot elevation ?.
Proposed House X As-Built House _ Drawn bv EN 'Proipct no_85104
CITY i:li:- F-nGAN
C;AG3H:l:I::It: :7S TEF?'t'?]:NAt_ N(Je i'c?`_a
Ct(-tl"M:°; G;J/7G!93 'T']:Mi::.e W0059
ICt;;
NAME;s GAF;Y fit:lEsl:r,l_.r7U
329.{.1 900:i. 4689 LENORC.. L{J 111.25
205 9001 $689 l_E.T•;U1°CE LfiJ 2,.`5SCI
Tt79;i1.1. kF.?i_ra:lpi; AmC.iunt-, 11e#n°>c-
?,?
GF: I 9.'f 953
!.1SC:::fi :CAi: jAN
d'%?? ?COME'ASAM (P E''rM%V
3830 [°rLOT EGiv°?S RD
EtRr'rNa PiaE 55122
651-6$1-4617
E9TCN: 418
Sii-L-E-S D,W-T
735fm
6'.;m
???f: CM
tA TYPE: VISA
itt T14:: PUWE
ID:
A1YE. Meb, S3 130-041
TO'Pd?L ?;fl 13a 73
RNT:4633G95M5= n 61iCb
u: r3939
f " : K"N MIDFk11
CfiW;?,t. 'R A?S,Um&f5 RE(£IPT 6f &4,9DS
G.::?fCR SE?'4ICES Ifl Tf{f VII^1!`,iT CF if(E
TO1Fi. FEC; R`? R'?'cEEfi 10 Pr^kFQ?i
?. VIE LIB1INTIC;S 59 FufiW ffi' TE
Ce INw3c'S AE?r ilITN TH lm
' WJ's fC3 U5II6 VI 4
i
n
. ,
? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
w GonsfiucNon Reauhe
? 3 reghtered sBe surveys showing sq. N. ot bt, sq. fl. of house
and pJl roofed areas (20% maximum lot coveraae allowed)
? 2 copies of ptans (show beam i window aizes; poured ind. desfgn; efe.)
D t set ot energy caleulaHons
? 3 coples of hee presenatlon pian H bt platFed affer 7/1/93
DATE: (P - ! '?-
Remodel/Reoah ReauhemeMs
2 copies of pian
7 sef o1 energy calculallons ior heated addHtons
1 sRe survey tor exter(or addlHons 3 decks
?
CONSTRUCTION COST: ?5-62M
DESCRIPTION OF WORK:
STREET A DRESS:
LOT: BLOCK: SUBD./P.I.D. #:
??u
lJ
PROPERTY
OWNER
Name: iat d Phone #:
Lost Fhsf
Street City State:
Zip:
Company: Zr: Al G d n f" i?N/ Phone
(area code)
CONTRACTOR ???5, ? ,/? /D
Street Address: ? /C ? ? license # ?4?11 E?cp.
Zip: .?S
City /?? d .4 State: ,'014?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streel Address: Regishation #: _
City State: Zip:
Sewer 3 water Iicensed plumber (reautred for new conshucfton oniv):
Per.alty applies when address change and Iot change is requested once permN Is issued.
I hereby acknowledge that I have read lhfs appllcaHon, afate ihat fhe InformaHon is correct, and agree to comply wHh all applicabl
5tate ot Minnesofa Statutes and City ot Eagan Ordfnances. 7
, Signafure of Appltc ? r
OFFICE USE?TILY
/
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
c;ITY t:ar- EArnN
CnBM:il=R: :7:i 1'I:'I;M:[N1L Mr7: 943
Cf-iiL`.: 07t:30:99 "T'l:ME;: 002:57
ID;;
NAME : 1ZTEC RC7C1C°:f.NG Ez C(7N:iTIit.1C'TION
.3Pt4 9001 4689 LENi./RI;. LN 125a25
205 9001 4689 LFn!r:r,E. LN 3.00
3210 r:aoa:? 4639 Lwrt??RE i._N tE,-r.25
2135 9001 4689 i._F:N[11;E L..N 4.50
3210 90(:I1 4609 I...F:NOf'tF:. i_.N 125..25
205 9001 4689 LF:NOR±:_ LN 3.01r
,
Tot a]. M:t?ceipt AiiirJt.nt o 428.2 5
CFi 7.1 G 6'i'c'
l.1SFR Tr?a Jr•1N
%? %t ?X M X c X ? %? ?% Xt Xt X? ? ? ? %?X Xc ?n ?X ? ?k %? %t x: ?X ? >?> >X sX W ? X ?# ?d %c ?X ?k ? # %c ? Xt
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CiTY OF EAGAN
3?j ` Q?? 3830 PILOT KNOB RD - 55122
651-681-4675
New Conshuction Reaulremenh Remodel/Reaafr Reauiremen?
D 3 registered aHe surveys showing sq. ft. of lot, sq. N. of house
and oll roofed areas (20% maxlmum lot coveraae allowed)
? 2 copies of plans (show beam 8, window sizes; poured fnd. design; etc.)
A 1 set of energy calculatlons
? 3 copies of free preservaHon plan 0 lot platFed aHer 7/1/93
DATE:
2 copies of plan
1 set oi energy calculations for heated addHions
1 site survey for exferior addMions L decks
CONSTRUCTION COST: S 6 7 I.!;- 7
DESCRIPTION OF WORK: fC2
STREET ADDRESS:
LOT: -4- BLOCK: SUBD./P.I.D. #:
Name: Phone #: g b- G?2 1( 3
PROPERTY ?a First
OWNER Street Address:`"t V , r ? Q9 Lef)n cQ ?
n Q
City CCQ Qrt'\ State: l7'1 /v Zip: SS-/ a ?
hZ?02C- Phone #:
(area code)
CONTRACTOR
Sheet Address:_I? License # 0?0 1 39/WExp.
Ciy ,?> >C f15 ? i ?(? State: Zip: SS 3 3 7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Iip:
Sewer & water Iicensed plumber (reauired tor new construction onlv):
Penaly applies when address change and lot change is requested once permH is issued.
I hereby acknowledge that I have read this application, state that the informaHon Is conect, and agree to comply with all applicabl
' Sfate of Minnesota Statutes and City of Eagan Ordinances. ??
Signature of Applicapt.`
G- ?
- OFFICE USE O Y
?
??°
Certifcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
iPLEA?.SE NC7PE:,r THE,CITY"WILL' PROVIDE ONE COPY'OF SEWER ANDi WATER' PERMITS.'
I PERSONS; REQUIRiNG: ADDITIONALoCOPIES,WILL. BE CHARGID A$20.00 FEE TO CglEq
CITY OF EAGAN
APPLICATION F'OR PERMIT SEMR ANID/OR WATER CONNDCTION
1) PROPERTY ADDRESS:
r•EGpr• DESCR.IPTIONs
tLOLi,slocxiZ:>uoaivis(Lpn or vi•ax rarcet t.u, ivu
IF EXISTING STRC'CT[JRE, DATE OF ORIGINAL BUILDING PII2NIIT ISSLANCE:
PRESENT ZONING/PROPOSID LSE:
(Month Year)
R-1 SINGLE FAMILY
R-2 DC?PLEX (Two Units)
R-3 'IOWNHOt'SE (Three + C'nits)
R-4 APARTMENP/COAIDOMIDTIL'M
COMME[2CIAL/RETAIL/OFFICE
IDIDLSTRIAL
INSTI7.Y7TI ONAL/GOVF.EtNMENT
( Lnits)
( Units)
2) •.. .
NAME:
ADDRESS:
1-712-
CITY, STATE, ZIP: ?
PHONE: \
3) ' M' • For City Lise
?? Plumbers License:
ADDRESS: 12 CV Active
CITY, STATE, ZIP: G7 Expired
PHONE: "f??J • L?,?c-? MASTER LICENSE C7 Not Recorde
Staff Init -al
4) •
NAME: C?, 2
ADDRESS:
CI'i's, STA'IE, ZIr:
PHONE:
.
5) ?o • ? H
? CO:V,TION TQ CITY SEWER J?(CONNECTION TO CITY WATER
0 OTHER (Please Describe)
6)
? PIEASE HOLD APPROVID PERMiT FOR PICK-LP BY ONE OF ABQVE
? PIEASE MAIL APPROVID PEIiMIT TO 1, 2, 3, 4, ABOVE
- (Circlone )
') ?. 4?-2/2
?'
FOR C ITY U SE ON;,Y ,_
PE?2A1IT '` ZSSUED
E - -1
FEES 6 - S-J
8 /O . 5 D
$ ? S 6)
S
S
$ /6- sz
$
$ SO o, b ?
$
$
$
S
S
$
$
$
SEi^iER nER^'!rT (I`ICLUDE SU°CtiaRGE)
WATER PERP4IT (INCiiJDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:VER TAP
ACCOUNT D.,ppSIT - P7ATER
WAC
5P_C
TRUNK WATER ASSESS?•1ENT
TRlivK SELdER ASSESSMENT
LATE:ZAL BENEFIT/TRUNK SE::TER
LATE:ZAL BENEFIT/TRUNK L4ATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AN10L'NT PAID/qECEI?T 4 4, d /,o .2,
CP o /d 0' C)
.DDES UTILITY -COIil-NECT20N REQUIRE E3{CAVATi(3N IN PUBLIC RIGHT OF WAY?
C] YES IF YES, THEN A"PERMIT FOR 6dORK WITHIN
PUSLIC ROADWAY" MUST SE ISSUED BY THE
Q NO ENGINEERING DIVZSION. LIST AS A CONDI-
TIO[V.
SUEJECT TO TfiE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATr:
\
- -----------------
? FoF'Office Use ?
j Permit #:- j
I Permit Fee:
? Date Received: j
I I
I Staff: I
I
'-----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z,,-Z/' Z%?6 Siie Address: 4i-°Af/V-e A
Tenant:
Suite #:
RESIDENT / OWNER ?
Name: - 1?'ti^. 1°.> JP' Phone:
Address / City / Zip: Ol YI 5?-il'?22.,
Appiicant is: _ Owner _ Contractor
TYPE OF WORK Pl
Ok
,
r-
"
Description of work:
ff
,,
r
Construction Cost: 7?y O Muiti-Family Building: (Yes _ / No ?
CONTRACTOR Name: 1) hY`Gt,S ? TvS P10'OF!'&j License #:? .Q
5?4
Address 75V qf'
-
city: 06?Alclale- State: 4a _zip:,?-r-,r'/Zd'
Phone: ?? 1150 a?l/&;, Contact Person:-JL vl b!^h 951
COMPLETE THIS AREA ONLY IF COPISTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residentiai Venlilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Coniracior: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plana and support7ng documents [hat you submit are considered ;o be pu6lic information. Portions of
the intormation may be classified as non-publlc if you provide specific reasons that would permit the City to
' conclude that the are trade secrets.
I hereby acknowledge that this intormation is complete and accurate; thal the work will be in conformance with the ordinances and codes ol the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is nol to start without a permit that the work will be in
accordance with the approved plan in Ihe case of work which requires a review and app val of plans.
?F?1 ?lb/In \ ('1 hrQ-? ? 1
AppiicanYs Printed Name ppiicanYs Signature
Page 1 of 3
?---------------- -
I For4ffice,tlse ?
? Permit #: 171 J
I Permit Fee: ?
? I
? Date Received:
I ?
I G ? ?
? Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
RESIDENT / OWNER Name: S t,°!/1 11 lr 115,5 Phone:
Address / City I Zip: ?16q LC l/'tt G. ?l I't t
Applicant is: _ Owner k4?_Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: GV?I^a f?i` S R ' License#:
Address: `7?j??
e State: it/7, Zip: t5,92Y
'
?
O
?
c
if?(J
Q-
Q
City:
Phone: (v5/ 0G7 Contact Person:-I?Y!
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 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 documenfs that you subrnit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that wou/d permit the City to
" conclude #hat the are trade secrets.
I hereby acknowledge that this information is comp(ete and accurate; that the work wiA 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.
Site Address:
x X
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153679
Date Issued:01/11/2019
Permit Category:ePermit
Site Address: 4689 Lenore Lane
Lot:9 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Steven N Khraiss
4689 Lenore Lane
Eagan MN 55122
(612) 803-7073
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166943
Date Issued:02/16/2021
Permit Category:ePermit
Site Address: 4689 Lenore Lane
Lot:9 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Marissa N Joseph
4689 Lenore Ln
Eagan MN 55122
(612) 803-7073
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177871
Date Issued:07/22/2022
Permit Category:ePermit
Site Address: 4689 Lenore Lane
Lot:9 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Marissa N Joseph
4689 Lenore Ln
Eagan MN 55122
Foremost Exteriors Llc
4740 124th St
Savage MN 55378
(952) 495-5545
Applicant/Permitee: Signature Issued By: Signature