4366 Lodgepole DrCITY OF EAGAN 1027]
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r?
PHONE: 4548100 ? ?i''?'' !
BUILDING PERMIT Receipt #
ra w Y..a fe. nI;r??.vai? a.ri9? ?e r?u,Y 2? iq s5
Sice Addjan `' 3 u F> Li)i •t;£PC ;!;:ti Erect Occupency 95 ..:.. . .,. =,:.,i.: ... ? Remodel ? Zoning
Lot Block Sec/Su6, q"ir ? Type of Conrt.
Parcel No.
Eniarge ? No. Stories
?s e;i.i, Move ? Length
? Neme
_ Demolish ? Depth
6 Address Grede ? Sq. Ft.
City Phone ? Install ?
??? '?..?: • , .. ',rtr:;n??-r
Nsme
Address
City ? , a ,••
? _ 0.;%'c ' A i. .?hone IJ11 ., .
?
Neme
Address
City Phone
I heroby acknowladge that 1 haw rood this opplicotion ond state tFwt
tFr information ia Correct and ogree to comply wifh all opplicable
State of Minnesota Staturos and City of Eaqcn Ordinonvs.
$ipnatun of PermiMas
. ,T, •^v .?_
Assessment
Water S Sew.
Polica
Fin
En9•
Plannar
Council
Bldg. Off.???
APC
Var. Dete
Permit - ' - ' -
SurchorZ?
Plan Review
SAC
Water Conn.
Woter Metar
Road Unif
Parks
Total 1
A Buildinq Pertnit Is isswd to: `" ". -. ." . ,. .. . . `" ... on the express Conditlon Ihot
oll work sholl be dorr in accordance wirh oil opplimble Stata of Minnesoto Stotutes ord City of Eapan Ordinonas.
Buildrp OiflNal •
Pwmit No. Pumit Holdx Date Tels hone ff
PSoftenwr
InWedion Dats Insp. Othw
Footinyt
Foundation
Framinq .?'
Roo/ing
Rouqh Plbp.
Rouyh HVAC
Inatation
Final Plbp.
Finsl HVAC
Final
CMt/Ooe.
Wahr Onwibe Lotation:
YYsll
Sswer
Pr. Disp.
CITY OF EAGAN Remarks
Addition L7exgreen Park Lot 22 Blk 5' Parcel 10 24880 220 05
Owner?> f Street 4366 Lodgepole Dr. State Eagan+nN 55122
J
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 1 .oo 8.75 20 P21d
SEWER LATERAL
S o d chgj" 1974 240.00 8.00 Paid
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
' WATERCONN. 00.00 811 6-1- 2
BUILDING PER, 2 3
sac 2 0.00 01 12-1 -72
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Omnar ........ J.1? ---.....................................
Address (Present) .........rJcr:......i1=-rt-"'Q ..................................
Suilder ......
Address ....
DESCRIPTION
N° 2'733
Eagan Township
Town Hall
Dale -••?...-_/ - 7 Z
...............
Siories To Be Used For Fron!
? Dapth
3e 3 Heigh!
? 1 Esl. Cos! '
0a o Pesmi! Fee
7 e, 0 o
? a "3`o Remarka
?
v ° LOCATION
Sireei, Road or o3her Description oi LocaSion I Lot Bloek Addition or Tsae!
1 c c WP?
Thia permit does noi authoxia the use of sireels, roads, alleps or sidewalks nor does it give !he owner or hia agent
the right to crea2e anp situation which is a nuisance or which presenis a hazard to !he health, safely, eonvenienee and
general welfare 2o anpone in the eommunity.
THIS PERMIT MUST BEIFE.?PT ON THE PREMISE WHILE THE WORK IS IN PROGR SS.
Thia is !o cer3ifp, thal---_?,J.?--............... has permission !o ereei a ..... . .......4 ....... . . . ._..... . ......_.._upoo
!he above descrihed premise subjec! !o !he provisions of the Building Ordinance for Eagan ownship a opted April 11,
1955.
..•••??:._.?-••---•---. Per .......................... /?`:'.:`.:.`.:?•••-•(1...?::.-?.......
Chairman of Tnwn Board Building Inapeclor ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERMIT ? Receipt ?qF
Ta b* wwd Im GARAGE Est. Value $ 3,8 9 0 pate MAY No 102 77
JC??
23 19 _ 8 5
SiteAddren 4366 LODGEPOLE DR Erect O Occupancy
Lot EVERGREEN PARK
22 Block 5 ?ec/Sub Ramodel ? Zoning
. Repair ? Type of Const.
Pareel No. Enlarge ? No.Stories
DEAN HAMMELL Move ? Length
6 Name
S?1ME
Demolish 13
Depth
? Address Grede ? Sq. Ft.
Crty Pbone 454-5732 Instau O
?
DURABILT GARAGES
Name
Approrols
Fees
?u 7343 ANN CT
Address Assessment Permit -
? City EDEN PRAIl?Ae 938-9350 Wcter d Sew. Surcharge 2• 00
Polite Plan Review
t? Nane Firo - SAC
13 Address Enp. Woter Conn.
9W City Phone Plonner WoterAAeter
1 hereby ackrowledga that I have read thi: application and state that
the inlormation is correct and ogree to tomply with oll o plicable
Srote oi Minnesota Stntutes rxj City?f ogon Ordi nu .
Sipnaturo of Permittee ?
A Building Ptrmit Is issued to: '/i]iiRARTT.TGc
oll work sholl be done in accordonce with all opplio" State of b
Couneil
BIdg.Off. 5 20 85
APC
Var. Daie
Road Unit
Perks
Total
on ths sxprea conditlon iho+
ond City of Eaqcn Ordinances.
Buildinp OffiNol
?.
Td:iIJ OF EAGAN
3795 Pilot Knob itoad
Eagan, Ninnesota 55171:
PERMIT N0. 236
The Board of Supervisors hereby g:ants to jo p EGZ=u k gCE,
of 990 weet Mcntana, st, pml 55117
F'
a PT,1IM8330 Permit for: (Ownerc) 't'il.sen CcutBtY'LtCtiart Co.
at L}3,664wlgnbg?ak. LOdltepole &-- ?ursuant to ePPlication dated
,
Fee Paid: 00.00 ? Dated this 7th day of JU7Y , 1972
2.00 8 C
Building Inspector
3
? . -- ;
TO'. 1V OF EAGAPI
3795 Pilot Knob i;oad
Eagan, Minnesota 55121
i_ v?2G?Fi=n? Pr??K
PERMIT N0. 2Lp
The Board of Supervisors hereby g;ants to N6dl & Hubbtit'd HOSfdif8 de
Air Candit,iouine Co, of 627 Svuth Sne711ng?antlep BL. P80111p NIlQ 5$104
a FiEATING Permit f r: (Owner) TLIBen CGt?et.tuOtiOt1 CO*
1266 , 234t, ?362, Ladgapole Drive't
at 111.20 ,9iufrid, , pursuant to application dated
8/22,CIa
Pee Paid: $100000 Dated this 28th day og Atlg?18L ? 19 72.
2,50 8 0 -
Building Inspector
City 0f EaEttiiian
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
I For Off'ice Use ?
I ?
? Permit#:
I ?
I Permi[ Fee:
I ?
? Date Received: ?
?
? I
? Staff: I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?z?/V<-`Site ?/J ?p ?L'QCL?R D(f
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone: 73
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK --?-
Description ofwork:
Construction Cost: , 7? Multi-Family Building: (Yes No
CONTRACTOR F
Name: License#:
Address:
L 5tate: 1,1141 Zip:
A
City.
::
Phone: /,2 7 /'L1- C) 30 ? Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Caiculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting 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.
I hereby acknowledge that this information is complete and accurate; that the work will he 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.
x?I.Cb'?.?1?
Appl anYs rinted Name ApplicanYs Signature
Page 1 of 3
RESIDENTIAL
BUILDINC PERMIT APPLICATION ?
51111 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys stawirg sq. R. of lof, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 adndow s¢es; poured (ound design, etc.)
• 1 set of Eoergy CalculaGons
• 3 copies of Tree Preservation Plan if lot platled after 7l1193
. Rim Joist Detail Options seledion sheet (bldgs with 3 or less uniLs)
DATE to.42?f° z-
RemodeVReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations tor heated additions
• 1 sile survey for euterior additions & decks
• Indicate if home served by septic system far additions
VALUATION 5520 -
oa'
SITE ADDRESS '(3?-(- Loee? c, 0 (L MULTI-FAMILY BLDG _Y x'N
TYPE OF WORK Ae 12-t,FIREPLACE(S) X 0_ 1_ 2
APPLICANT to/-e `? ? -p" cEt,
STREET ADDRESS ?95Z A-? CITY STATE u? ZtP SS?o ?-
TELEPHONE # dscy- -t tgi CELL PHONE # z- 0 -k0'-f S' FAX #
PROPERTY OWNER 5??4--J (-?01 e-P TELEPHONE #4sy - S73 z--
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ VIINNESOTA RiILES 7670 CATEGORY L
(4 submission type) • Residential Ventilation Ca[egory 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanlcal Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
--°------------------------------------------------------------------------------------°--------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance§,x/ -1-7
Signature of Applicant
OFFICE USE ONLY
? Water Softener _
_ Water Heater _
_ No. oE' Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 4102
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
cf/Z 0 - S6
Date
i
3
te Address ,
S Unit #
= G,-._
t ? 5 2 2- f
Property Owner ??(-` ? Q.r.r1 ?0. Telephone #( CpSI ) T,?j? sf 3 Z-
Contractor
5treetAadress ? ?to 5 ??(?7???C?.)• ?, City
State I ' ? v Zip ?55068 -CrqSS Telephone # ( ? ?I ) lq5?1^ $ 7,?j Z
v
The Applicant is
Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
? air conditioner
other
State Surcharge
?i •50
Total
?
i s '?i,'- L
-d??cJ
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
C_'e ?. a f?. ^?r'..?
Applicant's Printed Name ApplicSignature
JI'-IZU-? ? N r
1985 BllILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH TNE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ? Date: S ?
Site Address; OFFICE USE ONLY
Euau,rt.?.?
Lot: ZZ Block 5 Sect/Sub PnRK Erect Oceupancy
Parcel II
Owner I)-Q iw ?t? frtM-L I /
Address q36_ tp ??j?qo-bda prate.
City/Zip Code F41f,2
Phone _ 4 S L/- S -73 a
Contractor ?Ur/J?61 H' ?lG?%l?-? S
,
Address
City/Zip Code Qe,no
Phone 613 V- 135O
Arch./Engr.
Address tk
City/Zip Code `( -1
Remodel Zoning
Repair Type of Const
Enlarge )( # of Stories
Move Length
Demolish Depth
Grade Sq Ft
APPROVALS
Assessments Permit 4'?'!?!
_
Water/Sewer Surcharge 2 °°-
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ad Unit
Bldg Offs' Parks
APC Treatment P1
Variance
TOTAL
cc ? Z
Phone #
3
Lt-?(n(o i_od?P
130,
EAGAPT T06dNSHIP
3795 Pilot Knob P.oad
St. Paul, MinnesoCa 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• June 10972
OWNER:Tilsen ConstrucLion Co.
NUMBER 1029
Address 4366 LoagepolC Drive
PLUMBER TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industriall Commerciall Residential , Multiple Dwelling I No. of uniCs
xx
Location of Connections:
Connection Charge -0-
Permit Fee $10,50 7/18/72
Street Repairs
Tota 1
Inspected by:
DaCe
Remarks;
sy
Chief Inspector
In consideration of the issue and delivery to me of the above pezmi.t, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Sagan Township, Dakota CounCy, Minneaota
sy
Please notify when ready for inapection aad connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
3795 Pilot Itnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date• June 1, 1972 Number• 860 ?,1-5 ?•?
Billing Name: Tilsen Construction Co. Site Address•4366 I,aigepole I}rive
Owner: Billing Address
P lumber :
Location of Connection Meter Si e Connection Chg.^?p 6111tc
s32?283?-
Meter No.22118398 Permit Fee 10•50 pd 7/18/72
Meter Reading00,000 Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a; Remarks:
Residence XX
t2ultiple o. Units
- ._ . . • -
:?.
A'
Commercial Q:T1?LLr1?
iIndustrial Hy;
Other Chief InspecCOr
In coasideration 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
regulatioas of Eagan Township, Dakota County, M ota.
BY :
Please notify the above office when ready for inspection and connection.
MASTER CARD
LOCATION
OWNER
_ c ,
STRUCTURE AND
IAND USED AS
Permit
No.
Issued Issued To
ConTractor Owner
BUILDING 2y
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 7 D
-d-? _-
GAS INSTALLING
SANITARY SEWER
OTHER 4of)04!Z 29
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION .? .'?
. • SEPTIC
CESSPOOL
FRAMING ? r TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
•'? • - DEPTH
OF WELL
G'iAS INSTALLATION
SEPTIC TANK
CESSPOOL
pRAINFIELD
PLUMBING ?Z •7 ?
WEIL
SANITARY SEWER ??er.7 y
f
Violations Noted
on Back
COMMENTS:
,,, q ?-?CDIF) 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
$ 5q0 Oto
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Construction Reauiremenfs
3 registered sfte surveys showing sq, ft of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report 'rf proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured (ound design, etc.
1 set of Energy Calculations
3 copies of Tree Preservafion Plan 'rf lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventllation form
Remodel/Reoair Requirements / Office Use Onlv
2 copies of plan showing foo5ngs, beams, joists ?ertbf Survey Recd Y N
7 set of Energy Calculatlons for heated addjtions Soiis Report Y_ N
1 site survey for addi5ons & decks ./ Tree Pres Plan Recd _Y _ N_
Add'rtion - indicate if on-site septic system Tree Pres Requ'ved _ Y_ N
On-sNe Septic System ' YN
41 -
Date Construction Cost
Site Address
T /F 2'f Unit/Ste #
Description of Work ?A?^1ilS 16 tl -16) /L
Multi-Family Sldg _ Y? Fireplace(s) ±fl0 _ 1 _ 2
Property Owner e4 N 1/7,/4 nr?'/:tl Telephone #(43f )
Contractor
Address o2/ 0.5 /?tJ. <5"7, City
State /1?O Zip_SSc3°6 Telephone#(PJ2--) t1'Fq-?5?a
COMPLETE THIS AREA ONLY IF CONiSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ? ahone # (
D
Mechanical Contractor ?? ?+3e1 hone #(
L `JU
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand ttris is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
/4?
pplicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling C] OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage )( 22 Porch/Addn. (4-sea.) ?
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebotperola) ?
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
A 32 Addition
? 33 Alteration
? 34 Replacement
p
30 Accessory Bldg
31 Ext. Alt - Multi
33 6ct. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCflptlOfl: Water Damage _ Yes
Valuation oZ0 0m?,
Plan Review I,-' 100% or
Census Code h'35'
SAC Units ?
# of Units ?
# of Bldgs ?-
Type of Const ?
25%
Occupancy R "'3
Zoning
Stories ?
Sq. Ft.
Length
Width
MCES System
City Water -
Booster Pump -'
PRV -
Fire Sprinklered
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof je Ice & Water ? Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
Siding Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
`Za o`l,J ¢
?`J 0 //W13317 T?cal 15 °?' /-i'r,'2")J
?gF t,2? /?=TF4-2 62 §kl" 15-3?a
l),0 ??r??? ,- / 9 ??5 ?
Pcrmit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release la
Data filename: C:1Program Files\Check\RESchecklHammel.rck
CO[JNTY: Dakota
STA'TE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Fanuly
DATE: 07/25/06
COMPLIANCE: Passes
Maxitnutn UA = 78
Your Home UA = 76
2.6% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 285 50.0 0.0 7
Wall 1: Wood Frame, 16" o,c. 441 21.0 OA 19
Window 1: Above-Grade: Wood Frame:Double Pane with Low-E 75 0.310 23
Door 1: Solid 18 0.340 6
Basemenf Wall 1: Masonry Block with Empty Cells 392 13.0 OA 21
Wall height: 8.0'
Depth below grade: 7.5'
lnsulation depth: 8.0'
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U -Factor
Above-Grade Windows and Glass Doors 0310 0370
Includes Foundation Windows > 5.6 ft2
COMPLIANCE STATEMENT: The progosed building design describeti here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has bcen designad to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release la (formerly MECcheclO and to comply with the mandatory
requirements listed 'm the REScheckInspection Checklist.
Builder/Designec Date 2 ?' ? ?
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2006 RESIDENTIAL MECHANICAL rE?iT ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date (n)
Site Address Unit #
Property Owner rig?,y?,,,,,p I Telephone#( )
Contractor ?, CCN L S f S pe ?-? v?cT =? I 12
ci
Street Address l`5 Q)( "3 2 .
6 City j`o e(U L ?, i? e
State J? ?V Zip Telephone #(qsz )zlel7-27C Z
Bond Expires: 1Z/1 I /0 G
The Applicant is _ Owner _nC Contractor Other
t"Uti 2
Add-on or alteration to existing dwelling unit $ 30.00
furnace ?Additional _ Replacement _ New `
air exchanger
air conditioner
_ heat pump
th
kk
o
?
L
o
er
uo
c,
a
4,1-?
C-
C^i
4'9
State Surcharge $ .50
Tota?
I hereby apply for a Residentia] Mechanical Pernut and acknowledge that the informarion is complete and accurate; khat the work will
be in confomiance with the ordina ces and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but onl plicatLedW a pernut, and work is not to start without a pernvt; that the work will be in accordance with the
approvecase o? rk which requires a review and approval of plans.
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pli nnted Nam Applicant's Signature
??G?ve e r c ?! -? .- ?
Use BLUE or BLACK Ink
t For office use
Permit
Cat of Ear 1
Permit Fee: 1
3830 Pilot Knob Road 1
Eagan MN 55122 1 Date Received: /I 1
Phone: 651 675-5675 I L/'w 1
Fax: (651) 675-5694 Staff-
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
t#:
RESIDENT /OWNER Name:/ r hh Inm { / Phone: f'
Address / City / Zip:
CONTRACTOR Name: & - Z4 n K j''l ~JI License o~ 7
Address: (J `C(rlrt City: 044/-64 f y! 14
State: _],~L^ t^=Zip: Phone:
Contact: Email:
TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) l- Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.ooDherstateonecall.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 tapproved plan in the case of work which requires a review and approval of plans.
x qvl b
( x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date: _
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA092012
Eagan, MN 55122 . Date Issued: 11/13/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4366 Lodgepole Dr
Lot: 22 Block: 5 Addition: Evergreen Park
PID 10-24880-220-05
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
New Spaces Brian Hammel
2105 W 143rd St 4366 Lodgepole Dr
Bumsville MN 55306 Eagan MN 55122
(952) 898-5300
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117610
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 4366 Lodgepole Dr
Lot:22 Block: 5 Addition: Evergreen Park
PID:10-24880-05-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
Brian Hammel
4366 Lodgepole Dr
Eagan MN 55122
(612) 998-8218
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature