520 Lone Oak RdCITY OF EAGAN
Owner
- Lot
520 Lone Oak Rd
Parcel 10 01200 0L10 02
scace Eagan,MN 55121
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 6o.oo 2 Pa3d
SEWER LATERAL - `
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1984 1069.00 71.27 15
STORM SEW LAT `
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
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CITY OF EAGAN y?Q
? 17189
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt
To be used for PIREp1.ACE Est. Value $1 ? 000 Date OCr 17 ? 9 B9
Site Address 520 LONg OAK RD
Lot 4 Block Z SeGSub. OFFICE USE ONLY
Parcel No. 10-01200-040-02 Occupancy - FEES
w
Name GEOR+? ?KUTOW8KI Zoning
(Actual) Const -
Bidg. Permil
26•00
3 Address 520 LOHE OAK RD (AUowable) - .SQ
p
City RAGAN Phone 456-9773
a oi srorie5 - Surcharge
Plan Review
Length _
o Name K W DAlQf pePth _ SAC
Cit
?Q
Address 2217 BO?'OR$ CT
S.F.Total - ,
y
cc
City MZNWTA 11TS Phone 457-0113
S.F. Footprints _ SAC,MCWCC
t
C
W
?' F W
Name On Site Sewage -
On Site Well a
er
onn
W
M
- ater
eter
?z. Addf@SS MwCC System
aW City PhOne City Water _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowlege thal I have read this application and stale that Ihe Booster Pump - S/W Surcharge
information is correct and agree lo comply with pll a plicable Stale of
Minnesota Statutes and City of Eagan
?rd)`napces. . !
' Treatment PI
' ! <::..'
?------++..?..+•
Signalure of Permitee {y
'~
APPROVALS
Road Unit
A Building Permit is issued to: xW DAM ? Planner - park Ded.
on the express condition Ihat all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Ofticial - Variance - TOTAL 26.50
Permit No. Permit Holder Date Telaphone #
WATER
SEWER
PlUM81NG
H.V.A.C.
ELECTRIC `Jy?cd
Inspection Date Insp. Comments
Footings I
Foundalion
Framing
Roofing
Rough Plbg.
Rwgh Htg.
Isul.
Fireplace
Fnal Htg.
Final Plbg.
Consl Meter Plbg. Inspecbr - Notity Plumber
Engr./Plan
Bldg. Final
Deck Ft9.
Deck Final
Well
Pr. Disp.
DATE: 2/22/91
RECEIPT:100233
SITE ADDRESS 520 LONE oA:C RoAn Unft # Permit #128 12
L 4 B z S2Ct./Sub. SECTT(1N 12
I INSPECTION I INSPECTOR I DATE I COMMENTS I
?kv
,CITY OF EAGAN N0 17189
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100
BUILDING PERMIT
Receipt # ?
/
To be used lor FIREPLACE Est. Value $1, 000 Date OCT 17 , ? g 89
Site Address 520 LONE OAK RD
Lot 4 Block 2 Sec/Sub. OFFICE USE ONLY
Parcel No. 10-01290-040-02 Occupancy _ FEFS
Zoning -
w Name GEOAGE MIKI7TOWSKT (ACtuaqConst BIdg.Permit 76.00
3 Address 520 LONE OAK RD (Allowable) -
- 50
p Surcharge .
City EAGAN Phone 456-9773 aotSrones -
Plan Review
lengih _
o Name K W DAHM ' oepm SAQ Cit
?O
U
AddreSS 2217 ROGORS CT
S.F.Total -
y
m City MENDOTA HTS phone 457-0113 S.F. Footprints _ SAC, MCWCC
t
C
W
On Sile Sewage er
a
onn
-
?
F W
Name
On Site Well
W
t
?n
t
??
AddfOSS
MWCCSystem -
er
a
e
er
_
a W Clfy Phone Cily Water _ Accl. Deposit
PRV Requiied - S/W Permit
I hereby acknowlege ihat I have read this application and state that the Booster Pump - S/W Surcharge
in(ormation is correct and agree to comply with all a plicable State of
Minnesota Statutes and i of Eagan r a? Treatmenl PI
Signature ot Permitee APPROVALS Road Unit
A Building Permit is is5ued to: K W DAHM Planner - Park Ded.
on Ihe express condition that all work shall be done in accordance with all Council
applicable State of Mipnesota Statutes and Ciry of
Eagan Ordinances. gid9. pff. _ Copies
u
Building Official ?_ -.fL,l l l l.«Cl Variance - TOTAL 26.50
P 6922?,????
Request Dale Fire No, Rough-in Inspection
R
i
d? y
IOI Ready Now ? Will Notify Inspector
equ
re
? Yes No When Ready?
IX] licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Baz or Route No.) Ciry
520 Lone Oak Rd _Eagan
Seclion No. Township Name or No. Range No. County
Occupern (PRINn Phone No.
Geor e Mikatow ki
Power Supplier Address
Eledncal CoMractor (Company Name) Cpntractor5 License No.
Mid-Northern El c ri
Mailing Adtlress (COnVeclor or Owner Making Installation)
2815 Dodd
Authorize naNre (Conl cl Ow ing Installaiion) Phone Number
' .. 452-3996
rPI, SOT?,kTATE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT
gga?lWaAay Bldg. - poom 5473 BE ACCEPTED BV THE STA7E BOARD
1821 UnWeraNy Ave., St. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 892480D ENCLASED.
/'7" p? // dCr REQUEST FOR ELECTRICAL INSPECTION . Ee-ooooi-o?
/ ? See instmctions for completing thisfortn on back of yelbw copy. U g??c
?
? ?.,? `? ?? X" Be%w Work Covered by This Request
e A ReT TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm.Mdustrial Furnace
Farm Air Conditioner
Other (specity) Contrador5 Remarks: JOb if ll nQ8`
?O l'
ComputelnspectionFeeBelow: Wire fdr new fireplace fan.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 1 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 _ Amps
Signs Inspeclor5 Use Only: TOTAL
Inigation Booms l J D?
Special Inspection
(
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tif
th
t th
i Rough-in oate
cer
y
a
e above
nspection has
been made. Final "• " Dat
..?
OFFICE USE ONLY • -
1989 BUII.DIliG PERMIT ?pPLICATION
CITY OF EAG
I I SINGLE FAMILY DiIELLIAGS MLTIPLE DiiELLINGS R?I?
2 SET3 OF PLA14S 2 3ETS OF PLANS 2 SETS OF 1RCHITECTURAL
'R£GI3TERED SITE SUIdiBYS REGISTBRED 3ITE 3QBYEt3 - & 3TE13CTQAAL P1.iN3
TT OF EIiERGY CALCS. (CHM WrTH BLDG DIV.) t SET OF $PECIFICgTIDNS
1 SET OF BNERf32 CiLCS. 1 SET OF EAEEGT CALCS.
WL"TIFLfi DiiELLINGS AEHTAL UNITS FOB SALE ONITS f OF DBITS
¦OTEs iDDABSSES FOA CDRNER LOT3 - CONTRACTOR/BONEOWNER M1aST DSSIGNAlE iTSICB tDDRFSS
IS DESIAED. HO CHANGES iiI[.L BE LLLDWED ONCE BUILDIIiG PERKIT 23 I3SIIED.?
SEWSR i iT,fi"ER PEItNlIT FEES i19D ACCO(3NT DEP06IT FEE3 UiII.L BE DiCLUDED IiITH THE Bt3ILDING
PEEIIT FEE. PROCESSIIIG TIIM FOR 3EfiEA lND iiATEEt PEl1liTl5 IS TiiO DAYS OICE A PERMTT 5115
BEEN CONlPLETED INDICdTIHG A LICENSED PLOlIDER.
PENALTY APPLIES iTHENt PEEiMIT I5 NOT PAID FOR IN 59ME MONTH IT IS REQUESTED.
LOT CBANGE IS REQDESTED ONCE PERMIT IS ISSt1ED.
To Be Used For: 7__? ?^D G4ic^Ple?eValuation: Date: 10;7
?
Site Address J'?IO,Jea„n Q k f 1' Ad
Lot L? Bloek .9-
Parcel/Sub
Owner _r 4?. r? P_ ?'1 r d u fio 4? S kr
Address ?3-a O J-n n?
City/Zip Code 2? 2e,l
Phone '/ 6 L 57 "7 --1
Gontraetor huJ DQ fI ?L
Address a.?X/ 7 R•nS 64'S C?
City/Zip Code / 5 6 S4
Fhone 115- 7 e,`?>
Mch./Engr.
Address
City/Zip Code
Phone A
Oecupancy
Zoning
Actual Const
Allowable
• of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sexage
On site vell _
!lWCC Syatem _
CiEy vater _
PRV required _
Booster Pump _
APPHOOAIS
Planner
Council
Bldg. Off.
lieorianee
FEES
Bldg. Permit
Surcharge .?a
Plan Review
BAC, City
SAC, MWCC
Nater Conn
Water Neter
lcet. Deposit
S/W Permit
5lil 5ureharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penaltq
TOTaI. 3lv 50
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, ?II1 55122
PHONE: (612) 454-8100
""WGA><:"MT
PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------
---- ------------------------------ --------------
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: /v KGY
LOT: BIACK o2 SUBD.
INSTALLER: . ???? ??NESON, JR•
lioeting & R3r CondEftn'sng Sa9is & Serrlce
ADDRESS: .QS':iQ GE,'!1'u'vcI t1`iy n:!^ P!J,
St. Paul Park, T,lN 56071
CITY : 459-330Q P :
PHONE #:
FOR CITY USE ONLY
PERMIT #
RECEIPT # O a 3
DATE: q
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS QUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24.00
6.00
3.00
.50
TOTAL :
SIGNAT RE OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
CTTF' pnnnEc,C,:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
FarH $1,000 (1F PFRN7T FEF..
PROCESSED PIPING m $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
$
TOTAL:
(SIGNATURE)
FOR
CITY OF EAGAN
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Use BLUE or BLACK Ink
E���v� ; Fo�orr��euse---------i
' j Permit#: ����O� � j
�J�t� �� �j���� JUL 1 � 2014 I Permit Fee: ! �✓ ��.5' �
3830 Pitot Knob Road � � ��
Eagan MN 55122 �Y; j Date Received: � �� � �
/� Phone:(651)675-5675 � �
J JS/ Fax:(651)675-5694 I Staff: I
�/��f� I ---------'
20�4 RESIDENTIAL BUI DING PERnnir aP LICATION
Date: � Site Address: cJ�G� � Unit#:
Name: / PhoneG�/J ��(B�1
��SICI�11f/ �
pyy�gr '; Address/City/Zip:
Applicant is: Owner �Contractor
`Ty�e of Work �
Description of work: /f'�/��,���'/«/�l�� ���Q�
' Construction Cost: Multi-Family Building: (Yes /No�)
Company: � —Contact: `��/�[I�i
COtltl'aCfbt' Address: City: �
' Stat��`��ip:�i�./��/Phone: Email: ��
License#• 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 supporl+rrg documents that yau subrr�it are cansFde►�ed to be pu6tic irtformatior�. Fc�rtions;af ,;
� the infvrmatian may be classiiied as ns�n p�blic it'yau provide specific r�easons that wauld permit the City fa
conclude#hat fhe are trade se�refs. '
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.ao�rherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the worlc 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 wo►1c will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
E�cteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of ermit issuance.
�
x x
App ant Pflnted ame App anYs ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148367
Date Issued:03/23/2018
Permit Category:ePermit
Site Address: 520 Lone Oak Rd
Lot:004 Block: 002 Addition: Section 12
PID:10-01200-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George J Milutowski
520 Lone Oak Rd
Eagan MN 55121
(651) 456-9773
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature
p (vvti1 f ` /q 5----, 6, _. ;
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