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4695 Lenore Lane G Use BLUE or LACK Ink F;,07-V7-77 1 e . I Permit # <f'T I City of Eap I I I 3830 Pilot Knob Road 'Permit Fee: ! Eagan MN 55122 i Phone: (651) 675-5676 j DateRecehred: Fax: (651) 675-5694 1 Staff. i i 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A~V-Z--O-- 1 Site Address: 9r / / fy11~1J S"s ~z - 116 Tenant: Suite RESIDENT ! OWNER Name: Phone: Address I City /Zip: ~e,or pye~(/ S'7,2z Applicant is: - Owner Contractor TYPE OF WORK Description of work: -Pe- Construction Cost Multi-Family Building: (Yes Y / No S__? CONTRACTOR Name: License 20 (09 977.9 7, Address: Q / 7 7 ~4/ Ci ty: State: ! Zip: Phone: Contact 1 ~S Email: % yla {,`_~d ~f~l WN, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Ucensed Plumber: Phone: Mechanical Contractor. Phone: Sewer $ Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public informations Portions of - the information may be claissffied as non-public ff you provide specific:reasons that t+vouid:petmft the 'Pity to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4840002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecali 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, ia 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 af f plans, s X I ASS /n Apphcant•s Printed Name Applicant's rgna u Page 1 of 2 i 1 Use BLUE or BLACK Ink -ffi-ce--Use I Fo r O I I 3 C' of Eakan I Permit l tjjl v I ~j I ~ Permit Fee: 3830 Pilot Knob Road Eagan M N 55122 1 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S Ila O Site Address: y6 c1 Larore t-w~e Tenant: ~ Cw% 0`- ,e2 Suite RESIDENT/OWNER Name: `)AA3` Phone: Address / City /Zip: LVDCl5 Ler•~r~ t_e.,,..Q Applicant is: Owner X Contractor TYPE OF WORK Description of work: 'Te,,yr ~Y a o Sin: ^!~&e S Construction Cost: C6-1 aL • Multi-Family Building: (Yes / No X CONTRACTOR Name: EXle-cloys 'Pyks z.L.C_ - License O (o ?j-131 a- Address: $yLAy ~i ~~Shvr~ r\v~ . S. City: ~~c?toYw~y~ State: MN Zip: 5SyaC3 Phone: `~Sa'3~5 -/13uOg Contact: _Tbv+~~.g y\ Email: • eve Lp e~C'rer'i c~lS~~HSw~n, c wt-_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.oopherstateonecall.ora 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 1 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 A'Y~4.6^W '`"Qe,^ x Applicant's Printed Name Applicant's Signal Page 1 of 2 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS•: i ra i;h Fzc? -" a? ?ry • t?? ?1 ! td??Rrt ! o?h{1' PERMIT SUBTYPE: H O 1 1 {.? f " f'S 6+ 3 i .' 4 1 (bUft1/48 APPLICANT: I If 11MNAM1f . tNI TYPE OF WORK: uFSkrr.P1 Ic?a b KERt)i1F INSPECTION D• • .. f i ?'r Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOO7INGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR 7EST ROUGH HEA7ING GAS SVC TES7 INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucrivirv TEST HYDROSTATIC TEST BSMT R.I. 6SMT FINAL DECK FTG DECK FINAL •_-?---- ; -CASH RECEIPT : ` , . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? . - UATE 19 .:• ,s' RECfi1VED r " I FROM . ?•/ , ! - AMOUNT $ [_1 CASH ?] CHECK FOR .'_?Yr? . ?CI ?r, ? • /'? ! . ..:7';-t-±,?1 ? :. . .. i r _ ?.. . ? . ? 7????f` . • • l.! G i ?-j .?. ?-•? FVND CODE AMOUNT / ... J ~ (? V Thank You ,,62953 ?V BY a ooLLwres ?oo White-Peyers Copy Yellow-Posting Copy Pink-File Copy (:ITY OF EAGAN Remarks Addition_ Ridgecliff First Addn. Lot $ pik 9 Parcel #10 63980 080 09 oW„er street 4695 Lenore Lane state_Eagan, MM 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STqEET RESTOR. GRADING SAN SEW TRUNK IIOV 1982 298.08 5 298.08 C007616 12-23-81 SEWERLATERAL 1982 1305.42 5 1305.42 C007616 12-23-81 WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 I WATER AREA 1982 298.08 5 298.08 C007616 12-23-81 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 SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? i • ? ?'>V \ PERMIT# CITY OF E/kGAN FEE PLUMBING PERMIT S/C RECEIPT a 4 ? MINIMUMRESIDE00+$.50 TOTAL DATE FEE MINfMUM COMME00 + $•50 1. Bldg. Type: Res ?" Co / Inst Add Alter Repair 3. Total Bid Price 4. Job Ad dre Lot Block ? S Owner ec . 6. Contrector I (1 (r,eme) 7. Contractor Phone # ? Istreet) - - (cia) aia> NO. FIXTURES N FIXTURES NO. FIXTURES ?Water Closet - $3.00 1 LaundryyTray - $3.00 - Well - $10.00 -Bath Tubs - $3.00 Floor Dralps - $1.50 - Private Disp Syst - $10.00 -Lavatory - $3.00 ?.?YNater Heaf? - $1.50 - - Rough Openings w/o -Shower - $3.00 Whirlpool - $3,00 Z Fixtures - $1.50 ?Kitchen Sink - $3.00 Gas Piping Ouliets - $1.50 -Urinal/Bidet - $3. _Softener - $5.00 COMM./IND. RATE - OF TOTAL BID PRICE PLUS $.50 $TATE SURCHARGE FOR EACH $1,000 OF FEE. i ? ? Signed: - I ? ' / ? ' ? for Approved ? Inspections: Date Rough Insp. Date Final Insp. ,7? ? /4 P . . CITY OF EAGAN . 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt q To be used for `)"G/GF'K Est Value $ 70, J U 0 Date hFL`tCi i 4 19 66 SiteAddress 4695 LENOR£ LN Erect 12' Occupancy R 3 Lot !% Block g secisub. RIDGECLIF'FE: J.Sfihmodel ? Zoning H1 Parcel No. Repair ? Type of Const y Addition ? No. Stories W Name Ui2RZN THAt?IPSON HOt?ES Move ? Length Q? = 1712 HOPTCINS CROSSROP.DS Demolish ? Depth?4 o Address Int Impr. ? Sq. Ft City I,TKA phone 544-7333 Install ? o Name - 5A."RF. Approvala Z ? ¢ Address Assessment ~ City Phone Water & Sew. Police ? W Name ? o Address Fire En g = < W Ciry Phone . Planner Council I hereby acknowledge that I have read this application and state thatthe info ti i d Bldg. OH. 3 4?i 6 rma on s correct an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC ? ' Var. Date Signature of Permittee ? ?r`"? -? y ;[?= -•?'-.` ? ? OkRIN mAOMPSO[v HOMF S I Permit $ 343.00 Surcharge 35 • O0 I Plan Review 171. 5 0 SAC 575.Uti WaterConn. SOO.Oi) Water Meter 63.50 RoadUnit 290.00 Tr. PI. 156.00 Parks Copies $t, 134. 00 Total A Building Permit is issued to: on the express condidon thal all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. fb f ? I PvmN No. I PermN Mddar I Date I TMsphone R I IEiscme 16-?kS6L I L, m?nn ? a ro./` `1 I?IaX I 41? I -?y O ?-- _ n o ?A u Rb 7. All l1nsoectlon Dats I InsP• II Comments I Mtp. Plbg. Final Oee. Flp. Frmy. DisP. ?. .. I CONTRACT PRICE - 'I Site Lot. PERMIT # PLUMBING PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ ` '-'J ' - ' BLDG. TYPE WORK DESCRIPTION Block Sec/Sub - - - ?. ? Name ? Address c City Phone I Name c Address p City Phone FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN Res. New _ MuR Add-on Comm. Repair Other NO. FlXTURES --),--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 TGas Piping Outlets - $1.50 TOTAL s -Softener - $5.00 _Well - $10.00 Private Disp. - $10.00 T. Rough Openings - $1.50 FEE u c% STATE S/C: GRAND TOTAL• ? ? ; . . . 1 , i. ,? ....- .-... ..._y. ?_... - .. . ...e?r..... . . '. "Y . . ..a?.. .._'. . . . . _. . .. . . . CITY OF EAGAN =$?6? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt 5 DECK =i 9000 'N? 26 90 To be used for Est. Value Date , 19 "95 ??U ? Site Addr ss R T ? OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. occupancy - Fees w Name v CM28 GALLOWAY Zoning (Actual) Const Bldg. Permit 25*00 O AddresS 4695 ? ? - (Allowable) - h S •? City RAQK Phone 647-5U!5-- # or stories urc arge ? Plan Review Lergth ? p ?? Name Depth ' - SAC, City , 0 < Address S.F. ToWI - i c ? CItY Phone S.F. Footprints SAC, MCWCC - Water Conn On Sile Sewage _ ? w w Name Oa Sile Well - Water Meter _? AddreSS MWCC System - u= Acct. Deposit i W City PhOf18 City Water - S/W P rmit PRV Required e - 1 herebyacknowlege thal I have read this application and state that the BoosterPump - SiW Surcharge information is correct and agree to comply with all applicable State of Minnesola Statules and City of Eagan Ordi trtCea.,? ? Tiealmenl PI Signature of Permitee ? ' APPROVALS Road Unit A Building Permit is issued to: Wcu? -?t'tMA Planner - park Ded. on the express condition that all work shall be done iri aqcordan with all Council applicable Stale of Minnesota Statutes and Ciry ot Eagan l7 ' nces. Bldg. Ofl. _ Copias !t ? - Building Oflicial = ? - Variance - TOTAL ? Permil No. Permit Holder Data Tabphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Dele Insp. Comments Footingsl Foundation Framing Raofing Rough Plbg. Ragh W9. Isul. Freplace Final Htg. . Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Ergr./Plan Bldy. Final oeckFts ? gd Z?1? Oeck Final Well Pr. Disp. , CITY OP EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MI\ 55121 SEWER SERVlCE PERMIT PERMIT NO.: DA'fE: No. of Units: Address: Stte Address:?195 i. .ore Ta; ; ar ' - - Plumber. fen2-Bfnn _ '.- 1 pF" fa eeieolp wft tM p!r of [a/en Connection Clwrpe: _ OrAlMeea. AcwurM Deposih Ptrmit Fft: , Surcharpa: BY Misc. Charpas: Dete of inap.: Total: Insp.: Dote Pold: CITY OF EAGAN WATER SERVIC E PERMIT 3830 Pilot Krrob Road P. O. Box 21199 PERMIT NO.: Eagan, MN €i5121 DATE: ZO^i^9:, No. of Units: Owner. Add?ess: Sits Address: Plumber. Mater No.: Connectian Chorye: Size: A D i ccount epos t: Reoder No.: Permit Fee: 1 qm M aowolp wilh 11w Ciey of layaw Surcharye: OrilimeeM. Mlsc. Choryes: Totol: BY Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN 38W?Rot Knob Road P:'G. Box 21199 Eagan, MN 55121 Zoning: Owner: Zi,an.r...or Addroas: Sita Addrcss: A Plumber: AAetar No.: 7d ? D % Size: cr o c /'( Reaae No.: D WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: 00 I ea•.e ft own,y Wxr iw c*y'.F TMOI: _ Dote Paid: Date of Inap.: ? - &I - F (0 CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knob Road P. O. Idox 21199 PERMIT NO.: Eagan, MN 55121 pATE: ZO^'^0' No. of Units: Ownar; Addren: - Site Addron: Plumber: I Mm to eoy* walU Iw CAy o/ new• Conroctian Charpe: OediMenam Acoourk Deposit: Permlt Fea: Surcharpe: By Mlac. Cinrqp: Dote of Insp.: ToIW: I^°P" DoN Poid: CITY OF EAGAN 3830 Pilot Knob Road P. O. ksox 21199 Eagan, MN 55121 Zonirg: Ownsr: Addroae: Sia llddrcss: Plunber. Meter No.: ? Siza: Reoder No.: 1 yrr te awply w&h !M pry oi Of?IMmCM. WATER SERVICE PERMIT VERMIT NO.: DATE: No. oi(Dhits: ? Total: o Dcte Id: I rap.: CITY OF EAGAN N o 115 6 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHOIJE:454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. value $ 70, 0 0 0 Date I"»CH 4 ? 9 86 Site Address 4695 LENORE LN Erect ? R3 Occupancy Lot 8 Block 9 Sec/Sub. RIDGECLIFFE 1STemodel ? Zoning Rl Parcel No Repair ? Type of Const. V . Addition ? No. Stories ¢ rvame ORRIN THOMPSOA] HOMES Move ? Length 42 3 Address 1712 HOPKINS CROSSROADS Demolish ? I I ? Depth 48 F o nt. mpr. Ciry MTKA phone 544-7333 Install ? t. Sq. = o Name SAME ? ¢ Address City Phone ?Q F W Name x Z5 Address z a W City Phone I hereby acknowledge that I have read this application and state thaithe information is correct and agree to comply with all applicable State oF Minnesota Statutes and City Eagan Ordinances. Signature of Permiriee?/?? ORRIN TfiOMPSON HOME A Building Permit is issued to: all work shall be done in accordance with all app'cabl [ate of Min so Building Official ?.-Q? Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 3/4/86 APC Var. Date Fees Permit $ 343.00 Surcharge 35.00 Plan Review 171 . 50 Sac 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Copie Total 2.13 4. 00 on the express condition that and City of Eagan Ordinances. CITY OF EAGAN NO ?$O63 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ,. ? ????2 BUILDING PERMIT Receipt # ? To be used for DECK Est. Value $1, 000 Date JUNE 26 , 1 g 90 Site Address 4695 LENORE LN Lot 8 Block 9 Sec/Sub. RIDGECLIFFE iST oFFICE usE oNLY Parcel No occupancy - Fees . i Zon ng - W Name W CURTIS GALLOWAY (Actual) Const - 81dg. Permit 25.00 o Address 4695 LENORE LN (Allowable) - Surchar e .50 City EAGAN Phone 647-5625 aof srories - g 2Ql Plan Review Len9th _ o Name SAME Depth 15' SAC, City , Q O Address S.F. Total - CWCC U ? C11J! Phone S.F. Pootprints - SAC, M i Waler Conn te Sewage On S _ UQ W Name On Site Well - yJater Meter ? w = Address MWCC S stem y - Acct. Deposit aw City Phone citywater - S/W Permit PRV Faquired - I hereby acknowlege that 1 have read this application and state thal the Booster Pump - SM/ Surcharge information is conect and agree to comply with all applicable State of Minnesota StaWtes and Ciry ol Eagan Ordinan . TrealmeMPl Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: Plannei - park Ded, on the express condition that all work shall be done ccordan with all Council applicable State of Minnesota Statutes and Cit of Eagan Gfdip ces. gidy. pry, _ Copies ? 25.50 Building Of(icial ?P},?- I+I1. Variance - TOTAL est void ? .?t-;? ?i k L ;t g .th 70 9r19 6 2 L ?t 8 w II l Reque t Date . Fire No. ' Rough-iP Inspection Req ire . ?Ready Now [?.Will Notify Insper _ - ?,?-- Yes QNo tor When Ready 'iL icensed Electrical Con[ractor . I here6y }equest inspection of a6ove ? Owner electrical work inslalled at: Street Adtlress, Bo or Route No. 11 Of Lf Ciiv 7• ' D ? ? ection o. Township Name orNo. Range No. Coun/ . O upant (PRINT) c c Phone No. ? / , W " Power $upplier Address EI tr-ical Contractor (Company Name) Contractor's LiCe e No. ,,5=) 790 Mailing Add ss IContr ctor or Owner aking Instailati n1 Authori SiPnature (Con[ractor Owner Making Installa[ion Phone Number NKNNESOTA STATE BOAND OF ? RICITY THIS INSPEC710N HEQUEST WILL NOT Gri98s-Midway BIdB• - Room -191 BE ACCEPTED BY THE STATE BOAND 1827 University Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2177 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION v: tSee instructions tor completing this form on back oi yellow capy. h R „dd ? q?n 2 x Selow Work Covered by T is equest EB-OW01-04 A% /? Rep. Type of Building Appliances Wited Equipmenc Wired - 'Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk.Milk Tank Farm Other Speci y Othe, ISpecifyl t er Specify I er Oihcr ompute lnsoectron Fee Below M Fee Service Entre ceSize q Fee Feeders/Subteeders k Fee Circuits ? O to 200 qm s / O to 30 Am s O to 30 Am s Above 200 qmps, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers rrigation Boorr?s I/OthgpR?p Signs Special Inspection S ma //?I TOTAI F Re rks Rough-in r Dat 1, the EI tr. al ? InspeCtor, hereby c tit th i th b Final ? er y a e a ove inspection has bean made. This requeat voltl 18 months from - - s '7 '7 ? ?7?+•Q?!/ `a FERMIT CITY OF EAGAN 3830 Pilot Knob Road Ea,gan,.lviinnesota 55122-1897 (612) 681-4675 PERMITTYPE: $uzLazNG Permit Number: 033241 Date Issued: 09/ 11 / 9$ SITE ADDRESS: 4655 LENORE LANE LOT: 8 BLOCK: 9 RIDGECLIFFE 15T P.I.Ne: 10-63980-080--09 DESCRIPTION: ,; ? 1- ?a T.O. & RER00F rfa.ld?.ri?'g?,,Permit 7ype u,ildi,ng Waryk Type 6nsu,0 Code434 STORM DAMAGE REPAIR ALT. RESIDENTIRL ? fi e+`tst kie, s?', rpa uwa <?a x?s ; d^'a a:s w:?? REMARKS: FEE SUMMARY: CONTRACTOR: - Appl.icant - sT. Lzc. OWNER: BJORKSTRAND COMPANIES INC 14525598 0008676 GALLOWAY DAWN 4116 DIAMOND DR 4695 LENORE LRNE EAGAN MN 55122 EAGAN MN 55122 (612) 452-5598 (651)681-0315 1998 BUILDING PERMIT APPLICATdON (RF..SIDENTIAL) CITY OF EAQAN ?y 3830 PILOT KNOB RD - 65122 681-4675 New ConstruGion Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 1 energy calculations ' ? 3 copies of tree preservation plan 'rf lot platted after 711/93 required: _ Yes _ No DATE: DESCRIPTIO OF WORK: RemodeURepair Requirements ? 2 capies of plan ? 2 ske surveys (exterior additions & dedcs) ? 1 energy calculations for heated additions 40CONSTRUCTION COST; ? 7s ? - f'S i Z o; r? l?l?- ??'? r?S?? STRE DDRESS: LC? jebAQe LOT: O BLOCK: ? SUBD./P.I.D. #: Name: r, a i(.OW io 'v 0 Phone #: PROPERTY Last First owrrER L?ae Street Address: Ciry ? A State: Zip: u? Company: Ci'11.14??hone#: CONTRACTOR \ Street Address: k V ?-)-1 ve License # City L.` ?'?(H ?? State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: V=-et IYYW VJJ• Ciry State: Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Penalty applies when address chang i hereby acknowledge that I have read this applicaGon and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Sunrey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ 11043 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS i4b-?j _ ? -- a ? -'to 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPIHG OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. J U N 2 5 REcD To Se L3sed For: v, Site Address Valuation: 04 D ' Date L.Aa ; Lot e? Block 9 Parcel/Sub I-S-s habi +a?+ Owner 0• Address 4 1eo=1. ???tr,-?- C City/Zip Code ?A? C_"°? S-71 bq!> - l„%Fl - S fo-LX Phane Fv E. - i„Si-D Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # b r COMMERCIAL OFFICE USE ONLY Occupancy Zoning Actual Const 'Allowable # of stories Length o-1-0 ; Depth 15 S.F. Total Footprint S.F. On site sewage_ I?On site well MWCC System _ City water _ PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. 564ZG Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAG, MWGC Water Conn . Water Meter Acct. Deposit SfW Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies , SUBTOTAL Penalty TOTAL 2?. 00 Q'-?L 6 ?i?t?ttn GCM?1NttK1N(i (iMPn.NY o ifZiri WfiV7nTn [1N1r.G'tlnDn MTnn,rcrr,.-.,. . ? CL'RTIFICATE OF SUFtVEY FOR: ORR1N THOMPSON HOMES ' A Division o£ U.S. Home Corporation Scale: 1" = 40' o Iron monument found ??t C?: ?,.s S S r a- ?• c?w -1 -sia a..; 8 i - o -3: s~ / I hereby certify that this 3s a true and correct representation of a sucvey oE the boundaries of [he land above desccibed and of the location of all buildings, if any, [hereon, and all visible encroachments, if any, from or on said land. I further certify that this survey Was pcepared by me o7 under my direct supervision and that I om a duly Pepiata?od Land Surveyor under the lawn ot the State ot Minneaota. • Lot 8, Block 9, RIDGECLIFFE FIRST ADDITION, Dakota County, Minnesota ?fZC-) Po.$?z -b `.C)Cl?i tL) 13 Dra;na9 e ? U>`i /i ?S, Edse ? mP„f 0 v n ? N ??. „ 1l/ ? 4/ v ? z J :•? hIlN Reg. No. r37; Date - ?p Proposed House._ As-IIuilt House X Drawn by kAE 'Proiect no_BSlo4 ... r• • ? • \ / .?, . r? . v l? 1985 BUILDING PERMI? APPLICATION - CITY UF EAGAN NO?E: ALL CONTRACTORS lNST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS ? CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For : 65Z- Valuation :-7v. 04DO Date : Z- Z v? 8?a Site Address: L?(v ? ? L L-"lJ A2E LA!qF- OFFICE USE ONLY Lot: g Block 9 Sect/Sub t b?CtaFf' Erect X Occupancy 1z•3 /07eS7- Remodel _ Zoning Parcel # Repair _ Type of Const ?. Addition !k of Stories Owner Move _ Length 4-z- Demolish Depth 4B Address ? Int.Impr. _ Sq Ft Install ? City/2ip Code ------------- ---------------- ------ Phone APPROVALS FEES Contractor Q(ZQ i" -tTtVMAS ?1.1 ?3Assessments _ Permit Water/Sewer Sureharge Address 1717- t '}opILIN?? ?S,SplJ/ti) Police Plan Review Fire SAC City/Zip Code ?`A11N1,11:.'?1TJIL? N1" 5j343Engr Water Conn Planner Water Meter Phone ?E4-4 - 7333 Council Road Unit _ Bldg Off3 Treatment P1 Areh./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code 343 35, l'I I . sv 5"15 5a? ? 290. I?. ') /A ??• (? phone p t-t,ntcn GMVILVGGR111013 i,vrirruvr O LL517 WNYGH'1'H tilJUL6VH1(L • t71lVlVGHYVLIJ? CYV • YI7VlVG: ,}/4-4/4U CERTEFTKATE OF SbRVEY FOR: • ORRIN THOMPSON HOMES A Division of U.S. Home Corporation BENCHMARK: Top nut of hydrant at Flora Drive and Lenore Lane. Elevation = 946.30 ft. (NGVD-1929) . Scale: 1" = 40' • Iron monument found o Wood stake set ? .900.0 Existing spot elevation - - - / /Jra,na9 e ? , U>i'/i 1Y c`asemP / nf --- \ 81°30„E . `I ? T ?;; • \ s ? ? "///JJJ b n ? ? p? ?p ?148.03 0 ? W I \ ? o N ? zi.e3 ^' 30'`/ ? Z S6, ? z 9 '?a ? Q Q \ ,_ z6 v 1 / ?J / . o'(,V (? \ ? •S ?' 0? d ? 4/ '0 2 'v ? ? v/ qIXy/ q 5 ? 6v ' Lot 8, Block 9, RIDGECLIFFE FIRST ADDITION, ' Dakota County, Minnesota I heceby certify that this is a true and correct representation of a survey of the boundacies of the land above described and of the location of all buildings, iE any, thereon, and all visible encroachments, i£ any, from or on said land. I further certify Lhat this survey vas prepared by me or under my direct supervision and that I am a duly isGer d Land Surveyor under the lavs of the State of Minnesota. ? PIlV Reg. No. CJ' 7??7r'9, Date PCOp09E'd HouseY,. As-Suilt House- nrac.m hv PEN 'prniurf- nn_ 85104 , e ( 4{ (? M`. f \ ?? .$ -...i i'_. , :.}_'. . . .. i. , .... e.: ; _ i' - a ? 1 ?:a? ? _• C:? /? * ?PLIU32'101'1 W1.:? N-yr C%Dii<7Tj) ?. lz 1S' * * APPF20VAL OF PERMffT. * APPLICATION FOR PERMIT * * . * INSPf]C'I`IOid OF SE? AAID/OR Y7A??i *t rNcTAT,7.ATTONS WILL NOT HE SCHED- * SEWER AND/QR WATER CONNECTION *?M UmTIL PERMIT Hm BEM * _ . . * APPRovED. ? ? * * * __, **************?******#********#***** (Please Print) 1) PROPERTY ADDRESS: 4?? LEGAL DESCRIPTION: ? vision or Tax Parcel I IF EXISTING SIRLY,'PC.'RE, DATE OF ORZGINAL BLII,DING PERMIT ISSL'ANCE: (hbn th/Year} - PRESENP ?ANING/PROPOSID C'SE: U Q C4•:?IERCIAL/itEI'AILJOFFICE R-1 SINGLE FAMILY F7 INDU5TRIAL ? R-2 DUPLEX (Tt-o L?nits) f-I IhSTITL'TIONAL/G0VEWENT ? R-3 7UWNH0[7SE (Three + Units) ( Lnits) . [? R-4 APARTTEN'I`/CODIDOMINIUM ( Units ) 2) •F, a• - - - NAME : ? P.DDRESS:? ?fF? D CITY, STAT'E, ZIP: ?//"c%i1??1?.',,? PHONE: 790 3 3) +' ?. "• ?'?' ? g ?1' °°?? , For City Use . Plumtprs License: ADDRFSS: Active CITY, STATE, ZIP: Ecpired Not recorded PHONE: Y?2-/1Jf rAsTER LIcEcrsE# stas mitial 4) o.saU7.? TIANIE : ADDRESS: CITY, STATE, ZZP: PHOi, F.- : 5) --- COi?-:.T,..r'TIO_v 'i0 CITY SE•;r?2 CC,;=TION 1U. CITY 47A'?2 ?(7I7-?.i2 ' .. _ 6) PlZnCF. F17LD APFi::JN?.i Fn.':Ti' FC:7 , F iICK-?it'] BY r;:: . C ?' . ?r. RT3??H., ... ._ '.._""' ^l7.____ r PLEASE 1V1v.IL ApPRU,JF?J Pr:ct•1IT TO I. 2, e:j 41 p.BOVL' (C'J rclc one) . oor 7) ? / '-' l_'_T ? ? '?' - 1. (1? - . ?F i ?- -.. _ . FOR VITY USE ONLi , PERi+IIT # TSSCED Pd w/Bldg. Permit c F $ $ $ $ $ S $ ? S $ S $ $ $ $ FEES: $ $ $ S $ $ $ . $ $.._._..._. -- $ $ S $ $ $ e SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLL'DE SORCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOC'NT DEPOSIT - WATER WAC SAC w TRUNK WA??R,,'ASSESSMENT ., , _' TRC'NK 5EWER, ASSESSMENT ' LATERAL BENEFIT/TRLNK SEWER LATERAL BENEFIT/TRLNK WATER °° - WATER TREATMENT PLANT SLRCHARGE OTHER: .,_ , . ; . . TOTAL - RECEIPT RECEIPT • - - DOES UTILITY CO[VNECTION REQUIRE.EXCAVATION IN Pt?BLIC RIGHT OF WAY? ED YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN P[)BLIC Q ROADWAY" MUST BE ISSUEQ BY THE ENGINEERING NO '"" DIVISION. LIST AS A CONDITION. SUBJECT TO:THE FOLLOWIN:.G, CpNDITIONS: APPROVED BY: TITLE o ' .. , • .. DATE: . . ? ? I • ' • ? • I • . ? . , ?? , ?. . ?. •?I• f • • •?? ? . ?. .. ? , 1 11 ?1 • • ?1• CITY OF EAGAN APPLICATION FOR PE!:UM2T SEWER ANID/OR WATEE2 CONNE'.CTION 1) PROPERTY ADDRESS: I.F7GAL DESQtiPTION: ? \+.n/?? L1WJ1? V1.LLI\.LL V}L{J1V31 Vl 1C.1[1 SLLL..l1 1?• LYWIWGL ? V IF EXISTING STRL'CTC'RE, DATE OF ORIGINAL BUII,DING PERNffT ISSLANCE: (Month Year) PRESENT ZONING/PROPOSID DSE: R-1 SINGLE FAMILY R-2 DL?PLEX (T,vo Lnits) R-3 TOWNIIiOL'SE (Three + Units) ( Units) R-4 APARTMENT/CONIDOMINIUM ( Units ) COMvEE2CIAL/RETAIL/OFFICE INIDLSTfZIP,L INSTITC?TI ONAL/GOVERW,!Ev'T 2) ... , NAME: QVirin .1 JsCJn I IUYm.S ADDRESS: CITY. STATE, ZIP: ?I Y??U LV I?-GCJ M N PHONE : ? - -?--j-35 i: a?• 3) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: For City Use Plumbers License: C,''l Active O Expired O Not Recorde Staff Initial --- rtArE: SGt.VYlY., o.`.-'? ?-- 2- ADDRFSS: CI•i'3, STAT'E, Z1P: PHONE: 5) ? '?+• ? • ? ?? ? CON[?CTION TO CITY SEWII2 ?CONNECTION ? CITY WATII2 [] OTfiII2 (Please Describe) 6) 00,11I'???DRo.i ? PLEASE HOLD APPROVID PERNlIT FOR PICK-OP BY ONE OF ABOVE ? PLFASE MAIL APPROVID PERMIT TO 1, 2, 04, ASOVE ? (Circle one) 7) ? /? ? ? 29,. / 9&o ?<:?-' • ? F O R C I T Y U S E PERMIT '` ISSUED L F?r--' s $ /O • Sd $ _ $ $ ?S Gr-C7 $ /S - CYC? $ b $ 7 L, Cl-"0 $ $ S $ O N L Y ' ' . - SE>•iER nERMT_T (I`ICL:;DE SU°CHI?RGE) WATER PERN4T_T (INCL'JDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SETdER TAP .".CCOi:'I' =oSI:' - .._:,=R ACCOUNT D..F.PpSIT - FIATER WAC 5P_C TRliNK WATER ASSiSSi4ENT TRliN?C SEjdER ASSESSi1EDIT LATERAL BENEFIT/TRUNK SE;•7ER LATERAL BENEFIT/TRUNK TQAT°R WATER TREATMENT PLANT SURCFiARGE OTHER: $ TOTAL $ °?? AriIOL'NT PAID/RECEIPT # JoZ D ? ZDES -UTZLITY COPINECTION -REQUIRE £XCAVATi{3N IN PiJBLIC Ri'GHT OF WA'Y'? ? YES ZF YES, THEN ii "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE O NO ENGINEERING DIVASION. LIST AS A CONDI- TIO[V. SUBJECT TO THE FOLL0WING CONDITIONS: APPROVED BY: % . TI:LE: DATE: CITY USE ONLY L ? BL SUBD. tS ??IPIT #: l ? uq RECEIPT DATE: ?' PERMIT # ( 1999 PLUMBINfi PERMTC tRESiDENTL4Ia crrYoF EAsM 3$s0 Pu.oT KPOS RD ? EAsM, MN ssin .= (651)681-4678 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIX7'URES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i':n vutlCt t miNmom -1 " 3.J0 x + - 3 Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osaf S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x - $ Rou h o enin 1.50 x = $ Shower 3.00 x - $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelli uader constn,cton 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x -=-- _ $ State Surchar e .50 --> --> ----> $ .50 Total _> $ , . Ro,-aireAr. !^:a'! fnr in4;pectiAn4; of altera±lotns, 6.s. vnater heaters, water soften!s,*s, etc. -------------------,---- ---------t,---•and---ag--re-e--to--m-----mply---with---a-ll---ap-pli--c --Eagan--------ordinance s--------• I hereby adcnowledge tlie{I h avoe read this appiicatlon sFafe ltiat the infomiation is correc?ble C it y of. It is Me appiipnCs resporuibifity to notlry the property owner that the City of Eagan assumes no liability for any damages qused by the City during its nmmal apera8onal and maintenance actlvities to the faalities constructed under fhis permit wittNn City propertylright-0f-wayleasement. SITE ADDRESS: OWNER NAME: : _IeWA We'561%w TELEPHONE #: ,- ?w ?67X ? (AREA CODE) INSTALLER NAME: TELEPHONE #: (& zje?/ STREETADDRESS: ' , ,,,?1) (AREA CODE) 6 o?-L. CITY: STATE: JnW ZIP: ? SIGNATURE OF PE PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131753 Date Issued:07/07/2015 Permit Category:ePermit Site Address: 4695 Lenore Lane Lot:8 Block: 9 Addition: Ridgecliffe 1st PID:10-63980-09-080 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. 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 - Audrey N Smith 4695 Lenore Lane Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143503 Date Issued:06/19/2017 Permit Category:ePermit Site Address: 4695 Lenore Lane Lot:8 Block: 9 Addition: Ridgecliffe 1st PID:10-63980-09-080 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Audrey N Smith 4695 Lenore Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150624 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 4695 Lenore Lane Lot:8 Block: 9 Addition: Ridgecliffe 1st PID:10-63980-09-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Audrey N Smith 4695 Lenore Lane Eagan MN 55122 (612) 363-0928 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177535 Date Issued:07/07/2022 Permit Category:ePermit Site Address: 4695 Lenore Lane Lot:8 Block: 9 Addition: Ridgecliffe 1st PID:10-63980-09-080 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 - Audrey Nicole Smith Royer 4695 Lenore Ln Eagan MN 55122 (763) 777-7663 Mayday Restoration 6817 Wayzata Blvd. St. Louis Park MN 55426 (612) 868-0680 Applicant/Permitee: Signature Issued By: Signature