4355 Lodgepole DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
REGEI V EG
19
AMOUNT $ I
'yJ';- .O..Cl. H.Ouo- & DOLLARS
?// + o 0
47 ?? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
ThaAk You
%_ ?_ By
? CITY OF EAGAN Remarks 8-30-72 Wt,P & 32W C017ri. pCl.
Addition Evergreen -Park Lot 28 Bik 1 Parcel 10 24880 280 01
Owner roooF11 Street43.55 LodgE.nol . 11r. State E2.e2.r 9 MN_5$122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. -
GiiADING
SAN SEW TRUNK . . Payd
SEWEF LATERAL
Sew con c. 7,14 1 240.00 8
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK g 1103.9G 2E.93
STORM SEW LAT
CURB & GUTTER
' SIDEWALK
STREET LIGHT
WATER CONN. 300.00 5811 6-1-72
8UILDING PER. 2 p 009 ( a 2 10-2-7$
sAC p 7435 2- 3-7
PARK
I
?
CITY OF EAGAN INSPEC7
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:
PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? . i
TYPE OF WORK:
1?1. .. bI r.. r.,y.
fiPli t IliNti
4i'3AB59
WA/7VJ47
INSPECTION „
• . .
D . . ... .
. . ? . . .. ? . . ?
?_ . . . . . . . . . . . I
permk No. Permit Holdx Date Telephone K
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGM
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE n?
FIREPLACE
AIR 7ES7
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
INSPECTION RECORD ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?•' -; ?`?h
I Eagan, Minnesota 55123 Date Issued: ?? ? • ? ? ? ? ! ' ? h
(612) 681-4675
SITE ADDRESS: APPLICANT:
?
'
PERMIT SUBTYPE: TYPE OF WORK:
I 4A 1H
i, .. ; I, I !f:' uQl [N(i)
INSPECTiON D. • DA
r+.
x
r
PsrmR No. Permit Holder Dats Telephone M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapec[lon Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Fltg.
Orsat Test
Final Plbg. Plbg. Inspeclor - Notity Plumber
Const Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
well
Pr. Disp.
.:. ,' . . CI7Y OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value e 23. (" ? Date ,19 '
Site Address "
lot Block Sec/Sub.
Parcel Na
c Name ; '.
W
; Address
? City Phone
o Name
? < Address -
? City Phone
FW Name
W
=a Address
? W City Phone
I hereby acknowledge that I have read this application and stete
that the informetion is cortect and agree to comply with all applicable
State of Minnesota Statutes and Cky of Eagan Ordinances.
OFFI CE USE ONLY
On Site Sewege _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (ActuaQ
(Allowable)
# ot Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable
Building OHicial
of Minnesota
?
FEES
Permit
Surcharpe
Plan qeview
SAC, City
SAC, MWCC
Water Conn.
Road Unit
Treatment Pt
TOTAL
-?
_ on the express condition that
and City of Eagan Ordinances.
. Permit No. . Permit Holder Date Tslaphons JF
Flumbing 0?? ?? f?y" ?i`zz«'. JG?,?_<.C?,, •'L'/G.?'7
H.V.AC. WSl?'
Electric 47 A&ia? 1 9?8 7 ?W
Softener
Inepaction Dato Insp. Commsnta
Footings I -/y+7 ? • A (?,r ... ?f' ec? aiL _
Footings II
Foundation
Framing 9,,y,y7 ? ?
Roofing
Rough Plbg.
b is
&. ?o
1? aJ ` tt?
Rough Htg. IWV '
i
IsuL (j
Fireplace z /6- - ?
FinalHtg. z ? - p ,p?«,? ??Z-Z- JuVf?-?S 7-0
Final Plbg. S/k-T 4°e,?
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Roed, P.O. Box 21-199,
PHON E: 454-8100
BUILDING PERMIT
To be used for ' Est. Value I"i``'
Site Address ' -? t)'' L ,. ,
Lot Block ` Sec/Sub. PNiit,
Parcel Na
W Name
3 Address
° City Phone
?
¢ Name '.i::: -
p
? ? Address
P City Phone - _3"7
Address
City _
Phone
Eagan, MN 55121
Receipt
Date S:;PTE:1H ; 1 % ,19
OFFICE USE ONLY
On Site Sewage
MWCC System
On Site Well
City Water
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Tatal
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
33:.
?.
I hereby acknowledge that I have read this application and state I Bldg. Off. _ Road Unit
thatthe information iscorrectand agree tocomplywith allapplicable APC _ TreatmentPt
State of Minnesota Statutes and City of Eagan Ordinances Variance _ Parks
Copies
Signature of Permittee TO7AL ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Dats Telsphone X
Plumbing
H.V.A.C.
Electric
Softener
Inspectlon Dste Insp. COmm9nt8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.1 1
Rough Htg.
Isul.
Fireplace Q7C'-
Final Ht9• uiir''?%/-?G ?a2 /?3T ,?v,/
Final Plbg. /- 72 u T? •? S`
Bldg. Final
Cert Occ. ?-?-
Temp. LP h?"i v.l •vs%.v-L ?
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
??-
.
PRICE:
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
/ff ?
aaress i - BLM. TY
??? Block Se /Sub Res.
Name Mult
Address Comm.
Ciry Phone Other
Name _
c Address
o citv ?
TYPE OF WORK
Forced Air M BTU $-cs?J6
Boiler M BTU $_
Unit Heater M BTU - $_
Air Cond. M BTU ?
Vent ? CFM ?
Gas Piping Outlets #
Other
dLd rvo i11?-'j
,?
/9.so 07t /87
WORK DESCRIPTION
New
Add-o n
Repair
FEES I
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 - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
-REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
_(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
FEE;j(?
S/C: ?
TOTAL•
OF PERMITTEE
CITY OF EAGAN
, . PERMIT q
PLUMBING PERMIT RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE:
CONTRACT PRICE: PHONE: 454-8100 Site Address 1 ! ',? ? ?- c L<:
?
Lot Block
- Sec/Sub
? Name ly±t?
m Address'' ? ';!=' •?' r'•;{1 av'r'?/
c City/"r;L ;?. 1, , ;.A,)7 Phoney 1,7
Name
; AddrBSS f-
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
..
SIGNATURE OF PEPMITTEE
FOR CITY OF EAGAN _ . . ,,, ..
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWINCa:
NO. FIXTURES TOTAL
_Water Closet - $3.00 $
_Bath Tubs - $3.00
Lavatory - $3
00
_
.
.
Shower - $3
00 ?
-
_
.
I_Ki?chen Sink - $3.00r,, ? `e
_Urinal/Bidet - $3.00
_Laundry Tray - $3.00
_Floor Drains - $1.50
-Water Heater - $1.50
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
_Softener - $5.00
_Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND:TOT?L: : ??
BUILDING PERMIT
r
Te he uied Fer !•'rabe
ITY OF EAGAN
C
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
5,000
N2 5009
Receipt .# /e? ?11?
Site Address . '1- , ` ` ` . ' " Erect ? Occupancy `
Lot Blxk L Sec/Sub.r°errreen Far':; r?dct. Alter ? Zoning ?
parcel # Repair ? Fire Zone
?
3
0
0
Z
uu
?
?
Enlorge ? Type of Const.
?tr?c: ; J. *.c onne Z
Name Move ? # Stories
Address 55 I..?dgepole ririve Demolish ? Front ft.
S5I?2 ?5?--127 4 Grade ? Depth ft.
City , ^. Phone
w?--- Apprevab Fees
Address
C'ty -
Name _
Address
I hereby acknowledge that I have read this opplication ond state that
the information is correct and agree to tomply with all applicable
State of Minnesota Statutes and City of Eagon Ordinances.
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner -
Council
Bldg. Off. _
APC
Permit ' Surcharge ?
Plan check
SAC
Water Conn.
Water Meter
?.
Total ! . 0
Signoture of Permittee I
A Building Pertnit is issued to: on the express condition fhat
all work shall be done in accordance witk all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Building Official - --
Pamk # DaN lored Paa1MM
PI umbi ng
Mechanical
INSPECTIONS DATE INSP. I
Rough-In
Finol
FoOtings ? I Date trup. Date Insp.
Foundotion Plumbing
Frame/ins. MecFanical
Final ?
Remcrks:
e?7 `/;, r ?? ,-? C-Ir-
EAGAN TOWNSHIP
Owner ..... JJ-12.1-?----?
Address (presen!) ..........
Builder ...................•••......
Address .......
BUILDING PERMIT
•-----?•------- --------•----------
--°-°------------------ -----
-°-°--°--------------------- - ---
--°---°------°-------------•- ----
DESCRIPTION
N° 2732
Eagan Township
Town Hall
Dale .?.°. ?.?.?..?'
5soriea To Be Used For FronY Dep3h Heighf Est. Cost Permi3 Fee Remarks
I 4 -?? 7/!4 °75?
Sdd
A' ?" - ? 3gr 4-?-
? LOCATION ??,,C-")
Strael, Road or other Descripfion of Localion I Lot oek Addilion or Tract
-413 o4 !?'Q,-.C"
V v
Thfs permit does not su3horize the use of stzeets, roads, alleps or sidewalks nor does it give the ownes or hfs agent
the right to create any sifuafion which is a nuisance or which presenis a hazard !o the health, safeiy, coavenience and
ganeral welfare to anyone in the communily.
THIS PERMIT MUST BE PT ON THE PREMISE WHILE THE WOAK IS IN PROGA SS.
This is io cerlify, lhat.......??'.E....-?-.....-:-:._..?? ..............has permission to erect a..... .._....__ __. ..c??c: :? upoa
. ,. . . _ ...._..._
the above deseribed premise subjeci to the provisions of the Building Ordinance for Eagaa ownship ?dopted April 11.
1955.
_
............... ...............??-..??:`:_..-°------. Per . --°°--------°°-----••-!.'?`.:"::4•-...._V...f?«?1.---'........
Chairman of Tnwn Board $uilding Iaspector OC3
CITY OF EAGAN NO- 14 0 2 2
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT ° . - PHONE:454•8100 Receipt # --1 ?a4
<
To be used for ADDITION Est. Value $28,000 Date AUGUST 6 19 87
SiteAddress 4355 LODGEPOLE DR
Lot 28 Block 1 Sec/Sub. EVERGREEN PARK
Parcel No,
;IName ROBERT & bev greenagle I
= Address same
° City Phone 454-7279
m
Name DARRELL-THOMAS DEVELOPMENT
0
?? Address P.O. BOX 24271
P City A.V. Phone 431-4100
W W
?W
z
U?
?z
aW
Name
Address
City _
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit s214.10
Water/Sewer _ Surcharge 14.00
Police _ PlanReview 107.05
Fire _ SAQ City '
Engc _ SAC, MWCC
Planner _ WaterConn.
Council Water Meter _
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
I
that the information is correct and agree to comply with all applicable APC _ TreatmentPt
State of Minnesota Statutes and Cfty of Eagan Ordinances. Variance _ Parks
/?
?
)
? Copies
,n,
Signature of Permittee
?.. ?
G v49_ TO7AL ?
A Building Permit is issued to: VARRELL-THOMAS DEVELOPMENT on the express condition that
all work shall be done in accordance with all applicable St of Minnesota at4t
nd City of Eagan Ordinances
?
Building Official
CITY OF EAGAN No- 14151
3830 PiYot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHQNE.454•8100 Receipt # -, --7aa ES
To be used for FIREPLACE Est. Value $1,720 Date SEPTEMBER 11 19 87
Site Address 4355 LODGEPOLE DR
Lot 28 Block 1 Sec/Sub. EVERGREEN PARK
Parcel No.
a Name BEV GREEAIAGEL
3 Address SAME
° City Phone
,o Name HEAT-N-GLO FIREPLACES
ou Address 3850 W HWY 13
U1? City B'VILLE Phone 890-8367
?W
W
?y
Name
=g Address
a W City Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuap
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $34.10
Water/Sewer _ Surcharge 1.00
Police _ Plan Review
Fire _ SAG City
Engc _ SAC, MWCC
Planner - Water Conn.
Council Weter Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
thatTheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance - Parks
Copies
Signature of Permittee &f';{` ?{'? ft?zqol'fl TOTAL ?
A Buiiding Permit is issued to: HEAT-N-GLO IREPLACE5 on the express condition that
all work shall be done in accordance with all appli, Xc^ab? S?t,a,te of Min/n sota Statutes and City of Eagan Ordinances.
Building Official /__c_c J
v
c
BUILDING PERMIT APPLICATION
To be used for Garage ? Est. Value 5,000.
N0. 5009
Receipt # Z&?v
Site Address 4355 Lodgepole Drive Erect ? Occupancy 1
Lor 28 Block 1 Sec/Sub.EverQreen Park Add. Alter ? Zonins R1
Parcel # Repair ? Fire Zone 3
t
V
f C
T
Enlarge 43 .
ype o
ons
ac Nome Patrick J. McDonnell Move C] # Stories
; Address 4355 Lodgepole Drive Demoltsh ? Front 16 ft.
? Ct Eagan 55122 phone 454-7279 Grode (] Depth 32 ft.
s N Same Approvah Fees
Zo
06
u?
ome _
Address
Name _
Address
I hereby acknowledge that I have reud this application and state that
the information is correct and ogree to cAmply with all applicable
State of Minnesota Statutes and City of Eogan Ordinances.
Signnture of Permittee ?4• •
A Building Permit is issued to:
oll vrork shall be done in accord ?ce J with oIl ap 'cable Stote o_f/, ?Mit
Building Official al?? v ' ._? "
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONB: 454-8700
Phone
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off.
APC
Permit 18.UL)
Surcharge _ 2.50
Plan check
SAC
Water Conn.
Water Meter
Tota1 20 . 50
on the express condition that
Statutes and City of Eagan Ordinances.
?
TUiIV OF EAGAN
3795 Pilot Knob i:oad
Eagan, Ninnesota 55171
PERMIT N0. 236
The Board of Supervisors hereby g:ants to T_ F Fay+1.A]i g, aCM
o f 990 w08t Mmtana, st. p&W. 55117
a PTIMTN(} Permit for: (Owner) Maeq Oas?struatioa Co. at 3554tsL LOdKepole - ursuant to application dated 7/6/72 ,
Fee Paid: 80.00 Dated this 7? day of J1ti1,Y , 1972
.
2.00 e c
Building Inspector ,
?
• J
c?Jy,/?,? ISt(lUEJI FUIi tLt(.IKI(;HL IIVJYtI.IlUrv
1 See instructions for completing tAis fam on back ot Yellow copy.
.e-A/1 979 "X'" Below Work Covered by Ihis Request
4Ai. TvPe ot Buildin9 APPlioncas Wired E9uipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg.
Farm Afr Conditioner
Ocner SPeci v Bulk Milk Tank
Ocherlsn??_??y)
t er Specify ther Other
.
p .',.. ,.
Fee r..
Service EnirenCe5ize
H
Fee
feeders/5ubteeders
#
Fr,e __ -
Circults
0 to200Am s 0 to30Am s 0to 30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swinuning Pool Above 100-Am s Above 700-AmPS
TransPormers Irrigation Booms Partia6 Other Fee
Signs Special Irispeetien ?^O
Sa(u TOTAL
Rern»rks ?
f
Rough-in 1, the Elextcicay/
Insuector, hereby
certitv 2hat the above
Final _ ? P D^tP inspection hes been
made.
ThiareauestvDldlBmOnlhsfMm ?c - 1
`
This requesl void
18 months from .
;. L_44672?.??.
1?1"/OO?
$c? U °MD
e ' rlre No. / Nougn-In Inspectmn ?d
?p Required? DReady Nowyy,Will NMfiy Inspec-
, ?'es ?No ? ?or When Ready
Owner
Elec[rical Contraclor
I hereby request inspection of above
elechical work instelled at:
Street Address, Box or Poute No.
3ss e-oo?C Iftec.k AR?? City
F, (,
ecUOn o. Township Name or No. Range No. County
d-l4Nopq
Occupnnt (PRINT) ^ c
???&-r Phonec No.
e-IJ-Y
Power Supplier Address
Elec[ncal Contractor (Company Name)
GAc,?4?c( k? c,! ?uC,. Contracmr's License No.
o y?a (o t
Mailing AdJress ICon[ractor or Ow r Making Instailationl
33 ReDCqE t,vt,v+0 Gi_ 1Er46AN /'y1n) .s'3?ga
Authori d S?amre (C t or? ner Making Installationl Phone Number
C/s^a
MINNESOTA STATE BOApD OF ELECTRICITV THIS INSPECTION REQUEST WILL NO7
Griggs-Midway Bldg. - Room N-181 BE ACCEPTED 8Y THE STqTE BOAflD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
vh- 16121 297-2117 ENCLOSED.
' Pe,ma 53 --- ?
I
tY n
U16 ??6an ; Per„<<Fee: 9o
3830 Pilot Knob RoBd ? pate Received: ? i
Eagan MN 55122
Phone: (651) 675-5675 ?
I Staff:
.._---------------?
Fax: (651) 6755694 I
2008 RESIDENTIAL BUILDING PERMtT APPLtCATiON
$ t C? sae aaa?: c(??S Lcx`c?e ?` ?
Date:
Tetldnt: Suite
RESIDEM'! OWNER Name: Phone:
Address / City / Zip:
pppiicant is: _, Owner Contractor
TYPE.OFWORK DescripNonofwark:TCAl2 --
' Construction Cost: °a 339 Aa Multi-Family Buiiding: (Yes-! No LJ
CONTRACTOR Name: Lice"se #'
i
Address: ?
c;h,. _seate:Zip: 550
Phone:?Jl'"iAs,l_•`1aV ContactPerson: Rn??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
MinnPCeta Rulac 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . ResiaermaJvermiaaon.categoy lwarksneec • New Energy Code Worksheet
Cg{egary sutxniued sutn,med
(J subrtission type) • Energy Emwbpe Cakwiauons Su6mitted
In the lest 12 moMhs, has the City of Esgan issued e permk for a similar plan based on a rt?aster pfan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone•
Meehanical Contractor• Phone'
Sewer 8 water Corwactor Phone:
•?A
t herebY aqcnowled9e thaz tlus iMOrtnatlon is cpmplete and aoaurate; rtwz the woric wlti be in cordortnaM wNh the adfnances and wtles ot the Cfty at
Ea9an; that ! understand this is rwt a permit but only an applicatlon for a pertnh, and work is not to siart wiCrout a permit; Sha2 tlhe wak wiB ba in
accordanee wim ihe approved pan in the case at wak which requires a review and approvai of Plam
x Iv?• ??C?"mL?? xlll
ApPiieant's Pimted Name ApplicaiVs Signafitre Page 1 of 3
7? 2007 RESIDENTIAL MECHANICAL rERMiT APrLicATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complcte for. single family dwellings & townhomes/condos when pertnits aze required for each unit
Date 5/ 31 / b 7
Site Address7 3 5-s^ elojG PjlG Unit #
Pmperty Owner gC lor C5;Q', 8.1 Telephone #(4'S/ ) ySy' 72- 7 9
Contractor Anlf CI?NC
--
Trr ,. , .
12253 Nicollet Avenue South
Street Address
Rnrnevilln nnni 55337 ? C?ty
stete Telephone:952-746-5200 ?
ra . 952 7.+6_52n9 Zip
. ,,.? , Telephone# ( )
Bond #•_ dEMP t? 73 Expires: ?7.a !0 7
The Applicant is _ Owner ? Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are mad e to a building.
Add-oo or alteration to existing dwelling unit $ 50.00
_ furnace _Additional (? Replaceme nt _ New
air exchanger
? air conditioner
heat pump
other
JUN il 1 1_007
5tate Surcharge $ .50
Total $ j U- 1-0
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 Ciry 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.
?.C
, N`Q 2 -?? at7.,r ?5 -
Applicant' Printed Name Applicant's Signature
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PERMIT
CITI( OF EAGAN
3830 Pilot Knob Road MRMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030869
(612) 681-4675 Date Issued: 09/29 r97
SITE ADDRESS:
4855 LOpGEPOLE pR
LpT: 28 BLQCK: 1
EVER6REEN PARK
P.I.N.: 10-24880-280-01
DESCRIPTION:
(GAS INSER7 ONLY) rmit Type FIREPLAGE
d'i? 7ype KEW
434 ALT. RESIDENTIAL
ahv 2?j? -•?•?•"n
^a&.zr T&
g
I.-?? ???vtggn?. 0"?
la"M
REMARKS:
FEE SUMMARY:
Base Fes $50.09
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
- Applicant - S7. LIC
FIRESIDE GORNER INC 16332561 2009091
2700 N FAIRVIEW AVE
ROSEVILLE, MN 55113-0847
(612) 633-2561
APPLICANT/PERMITEE SIGNATURE
OWNER:
GREENAGEL 6EV
4355 LD6EPOLE DR
EAGAN MN 55122
(612)454-7279
INI,. R.u-?I?,?
ISSUED BY: SIG TURE I
CITY OF EAGAN
;, . 3830 PILOT KNdB RD - 55122
. 1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: zZL 1?
DESCRIPTION OF WORK: CONSTRUCT i,W FIREPLACE
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTHER:
?
- $,? G',Z f?
PERNIIT FEE: $50.50
_ ALTERATIONS TO EXISTING
STREET ADDRESS: 4-3sy L o D c+ ?E PO L- ?E?Jre, 12?
LOT l BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) QWNER ?
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: ??ee-n, AG ?&? 'B«l9 s? Z°a3 Phone #:??; 4J 72 7 9
L1Sf FlRbi
Signature:
Street Address
43 S'15'- L d gc> U 4?nmlbtc?c 6??-
City: G-A Cv A '-J State: /til 03 Zip: s? ` Z 2'
Company:
5ignature: `{9° U'-
Street Address: 3 eS-Z,-
Citysl.?? QN-'S -,fl t-?-` State: W.Ai
p wG $
^ 2 S^
License YO
Zip:
GAS LIPiE Company: Phone #:
INSTALLER ,
Name:
Signature:
Street Addrtss"?-- ?City: State: Zip:
. ; ,
. '
. ?? s
?? ???• -.. .? ?' Y. ?.
WJ"' •
OFFICE USE ONLY
BUILDING PERNIIT TYPE
? 14 Fireplace
WORK TYFE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
9
L?
n?.m? ?+3?R ol, 19 7 g
BUILDING BERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
Zb be used for (;"" f Valuation
5ite AddresE: 43SS "PoCt
SOO O
Lot Block See. 5ub. Parcel Number
9 ? l /??Of 'rx
Owmer 1'1??.+ ?1.? ?c1L J Telephone 7,D-7 ?
Address LA!Q7C'f-% a_
Contzactor r'jR".. F
Address
Telephone
Arch./Eng.
Address
EreCt
Alter
Repair
Enlar e ?g --
Nove
Dearolish
6rade
OFFICE USE
Date vf Appzoval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
P1anS?er
Cnuncil
Bldq. Off.
A.P.C.
Telephone
aFFICI: USE
Occupancy ?
Zoning
Fire Zone
Type of Const.
$ of Stories
Eront l? --
Depth
FEES '' ? r
Permit
cL °
5urcharge
P].an Check ••??
5AC
THater Conn. °i
47ater Meter
TOTAL
? ? V ??
/ Y 't
- I !
I `
eD L 6
r
?
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LpT: 28 BLQGK:
4355 LODGEPOLE DR
EVERGREEN PARK
PERMIT SUBTYPE:
5F (MISC.)
BUILDING
023795
06/@6/94
1 APPLICANT:
PRECISZON EXTERIORS ING
(612) 454-0849
TYPE OF WORK:
REPAIR
DESCRIPTION (ROOFING)
INSPECTION
FRAMING .• .
ROUGH IN PLBG .A
ROUGH IN HTG FZNAL
F _
L
-1
I
?CLTY OF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
CR I-1,714
PERMITTYPE: suILo=NG
Permit Number: 023795
Date Issued: 0 6/ 0 6 J 9 4
SITE ADDRESS:
4355 LODGEPOLE QR
LOT: 28 BLQCK: 1
EVERGREEN PARK
P.I.N.: 10-24880-280-01
DESCRIPTION:
??-. (ROOFIN6)
Building_,Permit Type
Bu.ilding WiaUrk Type
I(
1
1
?
-, !
..
t. /
_JJ>?
SF (MISC.)
REPAIR
PL
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$81.@0
$8.06
$84.0@
$6,000
/
CONTRACTOR: - Applicant - 57. LIC
PRECISION EXTERIORS INC 14540849 200057$
P 0 BOX 21-SB4
EAGAN MN 55121
(612) 454-0849
OWNER:
GREENAGEL 8EV
4355 LODGEPOLE DR
EAGAN MN 55122
(612)454-7279
?
I hereby acknowledge that Z have read this appliaation and state that the
infiormatiatt is correat and agres tb camply with a1X applicable'5tate o'f Mn.
Statutes and City of Eagan tlrdinances.
/A LICANT/PERMI EE SIGNATURE
/
ISSUED B SI I A URE
J
CITY OF EAGAN
? 994 BUILDING PERMIT APPLICATION
681-4675
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2} address is changed or 3) lot change is requested once permit
is issued.
Date t7 E //?19? Val uation of work ?900
Site Address: 41,356 LoWe1P,onle- ri't>e-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. C,c"' ???,? P.I.D. #
•-, ,
Descri tion of work: ?Cci1---c• d hC"sc •if- 34crct r
The appl i cant i s: ? Owner )?Ss Contractor ? Other (Describe)
Name 13 Cv Phone 4?45q' 7?l7f/
Property LAST FIRST
Owner
`?',C7c!lF. 6-I i'?
Address 1-od • ?
STREET ? STE #
City ???aJ', State ?•'?? Zip
_IF
Company prc'c.i's,?'cnrl Phone ?ISL/' n sSy?
Contractor Address 100. 6" o?l'- _5`611 License #OCU'6°7g1 Exp.3 3! 9S
C1fiV 46'??!7eL.1 _ S+.ate .4'l.V Z'D SsI?I
Company Phone
Arc h itect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with,all applicab e State of Minnesota Statutes and City of
Eagan Ordinances. r
f
l
?
???
Signature o
App
icant:
?
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
Date:
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCQLATIONS
AiOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMBOWNER MIIST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWSD ONCE BIIILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL ilidITS FOR 59LE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SIIRVEY - CHECK iTiTH BLDG. DEPT.,
1 5ET OF ENERGY CALCULATIONS
CONR9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET,OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND Zc%
??"" /n T I 1' ???
To Be Used For: l? ? Valuation: AW •G
Site Address q3s2? Z06(S6TpGrG JoQ. OFFL
Lot °d Bloek ? On Site Sewage
Pareel/Sub 0L•
Owner -?eo 6egeyA-?-eL
Address ?3?j z,!wa TQGE- ln?•
City/Zip Code 6k29', 55-IZZ
Phone
Contractor
Address 13
City/2ip Code
Phone 4?-?a,lp 7
Arch./Engr. e
Address
City/Zip Code
MWCC System _
On Site Well _
City Water _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
B1dg Off 8 28
APC
Uariance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit ;3`f,1U
Surcharge 1100
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ,'? S • / ?
Phone di
. .,/ - . .
% • ? ??
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SETS OF PLANS, 3 CERTIFICgTES OF StJRVEY9 1 SET OF ENERGY CALCQLATIOAS
NOTE: ADDRESSES EOR COENER LOTS - CONTRACTOR/HOMEOidNER MIIST DESIGHATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I5 ISSIIED.
MULTIPLE DWELLINGS - RESIDENTI9L RENTAL [JNITS FOR SALE i7NITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIHVEY - CHECg HITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS COhIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, ?
$2,000 LANDSCAPE BOND
To Be Used For: Kitchen & family rm Valuation: $28.000.00 Date: August 3, 1987
Site Address 4355 Lodgepole Drive
Lot ? D Bloek / On 5ite Sewage_
7 ' 0 MWCC System `
Pareel/Sub ?u?y? On Site Well
City Water _
Owner Robert & Bev Greenagle
Address 4355 Lodgepole Drive
City/Zip Code Eaaan, 5512
Phone 454-7279
Contractor Darrell-Thomas Development
Address P.O. box 24271
City/Zip Code Apple Valley, MN 55124
Phone 4331-4100
Arch./Engr. N/C
Address
City/Zip Code
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Hldg Off
APC
Variance
Oceupancy
Zoning
Type of Const
(Actual)
(A1lowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit 2.?4-• '-?
Surcharge 14,
Plan Review 10
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL 571 113 Phone dk
`,-
,
?? X i? -I? 2 ? ? ? - . ? ? a? ? •
I S ? z C_
s ?
EAGAid TOWNSHIP
3795 Pilot Knob Road
Se. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTYON
Date• June 15 1972
Billing Name:Tilsen Construction Co.
Meter Size?_ Coanection Chg.300.00 pu 6/1/72
,3' -s! -:? S' ?'
ter No.aY?? i??.rra ? Permit Fee 10. 50 pd 7/18/72
Owner: Billing tkldress
P lumber •
NO iTotal Chg.
Building is a:
Residence xx
Multiple No. Units
Commercial
Industrial
Other
Meter Readingad °°°j Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
Inspected by
Date
Remarks:
Number• $59 078-/ ??.
Site Address: 4355 Lodgepole I7rive
?yI.J.vJ Tt?'1?tJ1 ?..
QIVi°t20E ???1' I?cSlA9_lFt?, ??t7r???
&y:
Chief inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulaCions of Eagan Township, Dakots County, innesota.
BY, <
el-
Plea3e aotify the above office when ready for inspection and connection.
EAGIiN TOtdNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: June 1, 1972
OWNER• Tilsen Constructiuu, Co.
NUMBER 7028
Address 4355 Lodgepole Drive is_) C?-- G?
V
PLUMBER TYPE OF PIPE Heaw Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commercial+ Residential Multiple Dwelling No. of units
xx
Location of Connections:
Inspected by:
Date
Remarks•
Conaection Charge -0-
Permit Fee $10.50 7/18/72
Street Repairs
Total
By.
Chief Inspector
Ia consideratfon of the issue and delivery to me of the above pezmit, I
hereby agree Co do the proposed work ia accordance with the rules and
regulations of Eagan Township, Dakota County, Mi esota
B `
Please notify when ready for inspection and connection aad before any portion
of the work is covered.
MASTER CARD
LOCATION /LbOGC ?4 F, X-- .25?`?-
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
ConTractor Owner
BUILDING
PLUMBING
_
CESSPOOL - SEPTIC TANK 9Z37,
_? b
?I
Qwwi
z
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION 7
f-=- SEPTIC
CESSPOOL
FRAMING
FINAL
ELECTRICAL TILE FIELD FT.
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIEID
PLUMBING
WELL
SANITARY SEWER cDf (/? ??`l?• ??
?.
Violaiions Noted
on Back
COMMENTS:
2 5... \, ?,Y_
20NING - NaT2FICaTION OF INTENT
Fostes Family Aomes
Day.Care Homes
T0: lv
?
S?2DAK
54,
' V 'J (Muaicipality or PoZitical Sub-Divisioa)
cl K410b ket
(Street Address)
?? r? ,?.1 n1 SS? ??--
ftY) (State) {Zip) ?
FitOM: Dakota County Social Services
357 9th avenue North
So. St. Ysul. rIId 55075
APPLICANT: ctC-
(N e)
? ? SS cP cP .p?? ??
Number of Naturai Ch3ldren under 18 in hame: 0 1 2.0 4 5'? .
DATE OF YOTIrICaTZON:
(circie.number)
Number of Foater Childrea iacluded in licease:Pcircle 1 2 3 4 5 5 7
number)
Number of Hatural Preschool Cliildrea in Home: a I 2 3 4 S
(eircle number)
Number of Day Care Ctli2drea included in 1lcease: Q 1 2 3 4 5 6 7 8 10
(circle number)
Use BLUE or BLACK Ink
~ For Office Use t I
j Permit 1
City of Ea~ti I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff: I
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / -6L-13 Site Address: L< 0 Unit
Name: fie,( l> fele. C,.,I-P- Phone: QS 2-727
Resident/
Owner 4 Address I City I Zip: 5.S Za 6
„ Applicant is: Owner Contractor
Type of Work Description of work: ce- 6-
Construction Cost: 2-o Multi-Family Building: (Yes / No C L<,)
Company: /10 ,[A-) 4' C6 A..S /m c- - Contact:
Address: J2> ~-f 3~ City: V
Contractor
Le -26 3 -S,_0
State: 141LI Zip: ~f o Phone:
mss"'
I~-Z-3-0 35th-//
License C-2--13 Le j ~ Lead Certificate _
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 their 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160565
Date Issued:03/19/2020
Permit Category:ePermit
Site Address: 4355 Lodgepole Dr
Lot:28 Block: 1 Addition: Evergreen Park
PID:10-24880-01-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Beverly A Cunningham Tste
4355 Lodgepole Dr
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:EA163344
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 4355 Lodgepole Dr
Lot:28 Block: 1 Addition: Evergreen Park
PID:10-24880-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Beverly A Cunningham Tste
4355 Lodgepole Dr
Eagan MN 55122
(651) 454-7279
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature