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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 . , ?. , . . ..?... . ? . ? I::ll ir' 1:iF ;i-;;f::;Ai`J C;A:31-i.C[i.`-'??. „ ,, -,;: ?r• ??r itli._ ? ....?,r?:.r. '?;'" :39 .. ` . ?, ?'.'i"C,? Lr?i,?._ • f1{.1 . t:)q /r ...? ?..i.. ' ? ... ...r Pd;i`" ; ?.....: , .. t _. ? :, 005,02 M, NnMEI ALUi:rD r-:cRESIDE MC 32:1.'_{ S.00•1. f._O ,-I)G!.: 50.,0t:1 4•:?5':'J F i cr!, .. n;:r,•a;. ?? i , .,,. ?.;-....?ei.pi. .r.•lmnur..,;: ,.?. ?:.._, _,._.,,,.,,::i:! (:;i{!:lciM47 US;::R 1.`.''; ?"?°-?N?.,'Y'? `.i .? i..,. ..: : 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