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3839 Lodestone Cir, . . ...... .. : .. . ..i, ,.: . . . . . . . ?..gr-._...?. _ ..?a.. . ?..,. .. r: v?:n'T.f ... .. . . - . . . . ... . . . .. /..//?"i_"' `-' `/NM/P . ? ? .. HOU3E WE7ITING TEST RECORD ADDRESS APT. -FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD 8Y INSTALLED 8Y Elechical Work By Gaa Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION -'C -. MAKE MAKE OF BURNER Model Model Sorial Max. BTU Rarinp INPUT MAKE OF FURNACE T? . ., Model .n CONTROLS , l' WINI THERMOSTAT Heat Pluq Vont 5iZ• ??k Valro Limit Limit SeMiny - Fan SsHing - Pilot Typs _ Pilot Maka - KIND OF LINER SIZE NONE 'v Drah Hood Rsyulator Filtors $iza Numbsr ? Chimner Loeotion I sidsc?? Outsids Chimney ConslruHion ? ? ??-J -r ? ? Pilot Modal Smoke Bomb Wiring Pilot Timing Draft Tast Tay L.W. Cut OFf Door Prsssurs ? Liqhtiny InsT. Prsasura Percont Cp Data Tostsd Input CFH i Parceot O? 2 Company Testing S1ack Temp. Percent CO F«m 235 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REGEI V ED 19 AMOUNT $ & COLLARS 100 ? CASH F] CHECK BY NUMERICAL FILE COPY CITY OF EAGAN Remarks Lot 17 Blk 3 Parcel Lodestone Cr. ?„r, Eagan,MN 55122 Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1971 261.65 26.1 10 73.53 A004822 10-4-77 STREET RESTOR. 4Q 1975 12 .31 12. 3 10 • A004822 ZO- - GRADING ree . • 1035.45 C003465 -3-77 SAN SEW TRUNK 41-1 11968 0.09 2.00 30 • -- SEWER LATERAL T 23• 324 •79 ' -- WATERMAIN WATERLATERAL 973 O. . 4 WATER AREA Wtr lat & area 1975 STORM SEW TRM ;?' 1971 33. . 7, 20 STORM SEW LATi i;' -") 1971 22.37 .? ? 20 Storm Sew Txk °;, 7 268-39 . CURB & GUTTER SIDEWALK -7877. 57- • 187.52 C003465 8-3-77 STREET LIGHT , . WATER CONN. a -5 -3 - BUILDING PER. sac '/75-00 6, 900 s _ 7 7 PARK CITY OF EAGAN 3795 Pilot Knob Road Eugan, Minnesota 55722 Phone: 454-8100 ? SOF1` _ PERMIT Saptex.ber Date: 339 Lodes-tonQ Circl Site Address: Lot / 7 Blxk ? Sub/Sec. ?- CP, IZ Name '12ra KeYSten I . ; Address _ . < •:.c - ' - :. O City - - Phone: ? Ncme ? ?'Address City Phone: \4 This Permit is issued on the express condition that all work sholl be Minnesota Statutes and City of Eagan Ordinances. Noi?i! . - Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repcir Cost of Instollotion - Permit Fee Surcharge Tota l done in occordance with oll applicable State of Building Official ' CITY OF EAGAN $795 PiIM Knob Road - Eagan, Minneaota 55122 ? P6one: 454-8100 - PERMIT Date: June ?., 1977 Site Address: 3839 Lodestone Circli Lot Block Sub/Sec CG 11 Name 1ZPfSOn Rui.'_'er, . ; Address 3 ! O City Phone: Name Ge.,z-I#am P?iv^hina s . - P Address 14745 So. FoP^'ra? ? e ? City ..... . ??.? '` . . . _ Phone: This Permit is issued on the express condition that all work shall be Minnesota Stotutes and City of Eogan Ordinances. No 832 OG271 Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repoir. ' Cost of Installation ,.. „ Permit Fee SurcFarge ' ,-, Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Rood ` Eagon, Minnesota 55122 ' Phone: 454-8100 PERMIT • Date: 21, 11177 Site Address: ^s'' "irCl_e , Lot Block Sub/Sea -r'' ' I Name ?Dllefson F,uilders ? ; Address - O City _ Phone: Name -c ..r--cr•s'?,i ea`i?;q • r?j?' "o. . II ? Address '3n `'eau d' P.ue Pri ve I ? City _ Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes ond City of Eagan Ordinances. No 93 Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation IPermit Fee Surcharge Total ' done in accordance with all applicable State of Building Official ' CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4306 PHONE: 454-8100 BUILDING PERMIT ReceiPt # To be used for Date 19 Site Address - Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone _ Enlarge ? Type of Const. W Name Move ? #k Stories Z Address Demolish ? Front it. 0 City Phone Grade ? Depth ft. p Name ?a Address - 1+ -- ? o?.._.. . .. .. . F r.... .. ? 1111V Name _ Address I hereby acknowledge that I have read this applicatiDn ond state that the informotion is correct ond agree to comply with ail opplicoble State of Minnesoto Stetutes and City of Eagan Ordinances. Approvale Fees Assessment --- Permit _ Water & Sew. SLirchorge Police Plan check Fire SAC Eng. Woter Conn. Planner Water Meter Council Bldg. Off. _ _ APC Total Signature of Permittee I A Building Permit is issued to: -- on the express condition thot all work shall be dene in accordonce with all applicoble State of Minnesota $totutes ond City of EaSan Ordinanc_s. Building Official - Paek # pale lased rarmMtw Plumbing 3? G _a'r' Tj ? Mechanicol U INSPECTIONS DATE _ INSP. RoupMln Final Footings Date Inw. Date Imp. Foundation Plumbing 8?.? 9)5 %Pl- / 7 Frame/ins. Finnl _ ? /p- ?F •77 ?f f?? Mechanital / Remarks: 4?T?r 1a-??- 77 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6657 PHONE: 454-8100 BUILDING PERMIT Receipt #k To bs uaed for Est. Value Date , 19 Ske Address Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone E l f C t T n er9e ? ype o ons . W Nome Move ? # Stories ; Address Demolish ? Front ft. ? Ci Phone Grode ? Depth ft. ? o Name Approvals - Fees ?? Address Name _ Address St '1+ I hereby acknowledoe thet I have read this application and stare that the informotion is correct and agree to comply with all applicoble State of Minnesota Statutes and City of Eagen Ordinances. Assessment _ Water & Sew. Police Fire Eng. Planner - Council - Bldg. Off. _ APC Permit - Surchorge - Plon check _ SAC Water Conn. Water Meter Road Unit _ Totol Sigrwture of Permittee I A Building Permit is issued to: on the express condition that oll work sholl be done in accordance with all applicable State of Minnesoto Statutes ond City of Eagan Ordinances. Building Official PaeM # Dat@ laaad PwelftN Plumbing Mechonical ?FlE C . ScoS(c 7- -$ $c.b ?ol?nsc•?1 EC. ? INSPECTIONS DATE INSP. Rough-In Firwl Footings Date Insp. Date Irup. Foundation Plumbing Frame/ins. Mechanical final Remarks: cirr oF EAG,e?N 3793 PIIoF Knob Road Ea9an, MN 55142 N4 5154 PHONE: 454-8100 BUILDING PERMIT Receipt # /-.P e '-r'7 To be und for Est. Value Date , 19_ Site Address t Erect ? Occupancy L t Bl k $ /$ ' b Alter ? Zoning o x ec u . Repair ? Fire 2one _ Parcel #, Enlarge Q Type of Const. a e Name Move ? # Stories W Z Address Demolish ? Front k. 9 City_--- -- -- Phone Grade ? Depth ft. p Nome Zu ?g AddresR oti..... Name _ Address I hereby ecknowledge that I have read this applicotion and state thot the information is correct and agree to comply with all applicable State of Minnesota Stotutes end City of Eagon Ordirwnces. Signoture of Permittee - A Building Permit is issued to: all work shall be done in acco Butlding Officiol Fees Assessment - Water & Sew. Police Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit Surcharge Plan check SAC Woter Conn. Water Meter Total on the express condition thot with all appliwble Stote of Minnesota Stntutes ond City of Eogan Ordinances. PmnM # DaN laaod PWwMfN Plumbing Mechanical INSPECTIONS DATE INSP. Rouqh-In Find Footings Date Irop. Dota Imp. Foundation Plumbing Frame/ins. Mechanical Final I Remarks: CITY OF EAGAN 3795 Piiat Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: Plumber. _ I ogree to eomply Wifh the Cify of Eagan Ordinances. By Date of Insp.: I nsp.:__ CITY OF EAGAN 3795 Pi[R; Knob Road Eagan, MN 55122 Zoning: Connection Charge: Account Deposit: Permit Fee: Surcharge: _ Misc Charges: Total; Dote Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: lite Address: 'lumber. Aeter No.: _ Connection Charge: iZe' Account De posit: eader No.: Permit Fee: agree ro comply wifh the City of Eagan Surcharge: rdinances. Misc. Charges: Total: y Date Paid: aTe of Insp.: I nsp.: CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55122 N2 4306 PHONE: 454-87 00 BUILDING PERMIT APPLICATION $29+OOO• ReceiPt #k To be used for SiIIg. F8m DW1g..4..TU tiBTg. Date Mey 5s jg 77 Site Address 3639 Lodestone CT_ Erect [A Occupancy I Lot 17 Block j Sec/Sub. C(i 11 Alter ? Zoning Rl Parcel $k z w Z 0 Name Kendall Rarsten Address o I Name 'e91?e??1-d?'° ?? Address ?? 13t31e Hnl?pke?,II ?- r;.., npple Vallev oti...,e 454-6873 Name _ Address Repair ? Fire Zone _ Enlarge ? Type of Const. v Move ? # Stories Demolish ? Front 42 ft. Grade ? Depth 24 ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner - council - Permit 9U. 5U Surcharge 1500 Plon check snC 475.Uu Water Conn. 230.00 Water Meter 6U.00 Park Don 75 00 .ess Credit(90.00) roral 855.5U I hereby acknowledge that I have read this application and state that gldg. Off the infarmation is correct and agree to comply with ali applicable State of Minnesota Statutes and Citv of, Eoqen Ordinances. APC - Signature of Permittee ? ?LA -V ' I ' A-, ' ---- I A Building Permit is issued to: Tcf11 Pf80 BZArs- on the express condition that all work sholl 6e done i a cordance .it all o licable State of Minnesota Statutes and City of Eagan Ordinonces. Building Official ,? 4 e• ? /.& <. . zo-_ CITY OF EAGAN 3795 PiloT Knob Rood Eagon, MN 55122 N02 6657 PHONE: 454-8100 all) BUILDING PERMIT APPLICATION Receipt # ?/ ? To be uaed for POOL & FENCE Est. Value 9,500 Date 5-15 _ , 19$1- Site Address 3839 Icdest 2 C1T Erect el Occupancy R3 Lot 17 Block 3 SeWSub. C2C1dY GY'OVe 11 Alter ? Zoning Rl Repair ? Fire Zone nk Pcrcei # 10 16711 170 03 Enlarge -? Type of Const. v -_? ? Nome K?dal1 KEX3t2T1 Move [j # Stories 3 Address 3839 I,odestone C1T' Demolish ? Front 17 ft. 0 Ci Eagan Phone 452-2790 Grode ? Depth 35 ft. ? Name Mim• PACRdC12 PL'OdUCtfS APProvais Fees 0 o'~-' Address 6922 55th St N Assessment Permit 33.00 "? n St. Pdul 55??9 770-1313 Weter & Sew. Surchorge 5.00 F Ci one Police Plan check _16 . 50 ? Fw Nome Fire SAC ?? Address Eng. Water Conn, <W Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application ond stote that gldg. Off. the informotion is correct and agree to comply with all applicable APC 54.50 Total State of Minnesota Statutes and City of Eogan Ordinances. Signoture of Permittee A Building Permit is issued to: Mirm• Pnckage Products on the express condition thot oll work sholl be done in occ ance with all pli le State of innesota Statutes and CZA ? City of Eagon Ordinances. Building Official I - ? CIZ+y pF g,GAN Include 2 sets of plans, i? ?? ? 1 site plan w/elevat?.ons & gUILpING PERMIT APPLICATION 1 set of energy calculations. / `? ?- 7 81 ? i - Va on ? ° Date ?ro. Be IIsed For , / ??roJ?1? 1 ?n ? 9 ? n? • - site Azlaress 3 8? 9/ode6kne Ci'r?ir- OFFICE USE ONLY Lot ? Blorat ? sec./sub. G G?/ Erect occupancy Parcel #: /O /(a 7// / ?O 0,3 Alter Zoning ? ? II L Repair Fire Zone /V ?A Owner: a n n Kr-Sr2Y? Enlarge Zype of Const. ? n Nbve # Stories AddreSS: 3? 3 7 1??F-5"r?l1P C? rr ?? De[ipliSh FzOnt ft: City/Zip Code: ? a q dI, Grade Depth 3 S Phone #: 452? - ? rl q o ?I, ? APPROVALS ?'S Contractor: r'/if1Y?• rL?rASCide ?r-jurL5 Assessments Permit O Q? /?l ???gei,°? Surcharge S? Address: O. Plan Check 1'r City/Zip Code: ?o 6f• Rwl' 5ri ?C?9 Fire ? ??- Phone ?t7 O- J31 ? ?r water Meter Road Unit Arch./Eng. . Address : City/Zip Code: Phone #: Council Bldg. Off. AFC - ToTAL ?s5' So . ' ? / / ? ? ? ? !9 f?,? ?? ??%?L? ?? ? ..i?y?!??" " ?0 X ? ? ? - j-- r / ? ?,; , \? `? i , CITY OF EAGAN ' 8795 Pilot Kno6 Rood Eagan, MN 55722 PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt # To 6e used for StOY8g2 Bll1ldiIIg Est. Value 18)001• Date N° 5154 4-12 . 19 79 Site Address 3839 Lodestone Circle Erect ? Occupancy M Lot 17 Black 3 Sec/Sub. Cedar GYOVe #11 Alter ? Zoning Rl Parcel # Repnir ? Fire Zone V Enlarge ? Type of Consr. Kendall U. Karsten W Name Move ? # Stories = Address 3839 Lodestone Circle : ? Demolish {] Front _ 12 _ ft. 0 Ci E3g3n phone 452-2790 Grade ? Depth 24 ft. o Nan,e Same ADDrovals Fees o? Address Assessment Permit 9.00 _ u ?Nater & Sew. Surcharge 1.00 ~ Ci Phone Police Plan check ? W Name ? W Fire SAC _? Addre ss Eng. Water Conn. u aW Ci Phone Plonner WaterMeter Council - I hereby acknowledge thot I have read this opplication ond stote that Bidg. Off. the information is mrrect and ogree to comply with all applicable APC Total 10.00 Stote of Minnesota Stotutes and City of Eagon Ordinances. Signature of Perniittee A Building Permit is issued to:. Ke 11 L Ka Stfln on the express condition thut all work shall be done in ac e wit applicnble State Minnesota Statutes ond City of Eogan Ordirwnces. Building Official ? I ????i REQUEST FOR ELECTRICAL lNSPECTION ? See instructinns lo?jcompletinq ihis brm on back of yeilow copy n A 07 G Q "X" Below Work Covered bv This Request EB-00001-OB w Hl?jry0'nY .. ew 'Add -:_' Rep. -? TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Dupiex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial X Fumace Farm Air Conditioner Olher Isyeclfyj Conlrector's Remerks: Co mpute lnspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 Amps S19f15 Inspecror's Use Only: ; TOTAL Irrigation Booms /? 4 15.50 Special Inspection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1. the Electrical Inspector, hereby Rough-in oate certify that the above inspection has been made. Final / ;/ oate G. OFFICE USE ONIY This request voitl 18 month5 irom ?o ??- ?i /o?3s-a 3 p 82 9 m - ,j- ? ? ? sao Request Date Fire No. Rough-in Inspection 1 0/1 7/91 Requiretl? '-, Yes X= No QWaady Now U WiII Notify Inspector W hen Ready? I?2 licensed contractor p owner hereby request inspection of above electrical work at: Jo6 Address (Street. Box or RoWe No.) Gity 8 Lodestone Circle Ea an Section No. Township Name or No. Range No. County Dakota Occupant (PPWT) Phone No. Wa ne Hirsch 454-1407 Power Supplrer Address Dakota Electric Co. 4300 220th St. Farmin ton, NIN Hecirical Contractor iCompany Name) Gontractor5 License No. Total Electric Inc. 039842 4 Mailing A6tlress IConiractOr Of Owner Making In51aIIatlOn) 537 92nd Lane N.E. Blaine MN 55434 Author¢eo SignaWre iConlracbripwner Making Installation) _ Phone Number 786-8484 MINNESOTA STATE BOARD OF ELECTRICITY THI$ INSPECTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Room 5-173 8E ACCEPTED BY THE STATE BOARD 1821 Universiry Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEE) . .. ., Griggs Midway Bldg. - Room N197 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 ° - `REQ`UES'f-FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVFRED BY THIS REQUEST EB-00001.02 S ?55 -13 ?.c; r, `Jn Type of Building New Add ep. Check Appliances W'ved For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixwres ? Apt. Bldg. ? ? ? Dryer ? Electtic Heating ? Commercial Bldg. ? ? ? Furnace ? Sdo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? zoL? ts( rs? H i Other ? ? ? Heie e e COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fee Feedecs& Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am exes ]Ol to 200 Amps. 31 to 100 Ampe:es 31 to 100 Am eres Above 200Amps. Above 100 Amps. Above 100 Amps. Transforme:s Remote Control Circ. Partial oi other fee Signs S ecial Inspection Minimum fee $5.00 Remarksr$ZN ? ? I R Tn.o? • TOTAL FEE I, the (Final) This request void 18 months from certify t e ab erction has been ade. t9. S` ate f ate ?10-k ? Tti ? e? uest void ` q -IS Mftths J .2 5 573 Date of s Request ? Fire No. 6 5 6 L`i 0 I, as Licensed Electrical Contractor O Owner, do hereby request inspectiqn of the ahove electri- cal wiring installed at: Street Address or Route No.? 4?3 L City Section Township Range County e117V` Which is occupied by A G,t/-" XA/1 5 (Name of O?ccupant) Is a roughin inspection required on this job? No ? Yes L41? Ready Now ? Power Supplier Address/04 Electrical Contractor?l?? E/b .??+? C CQGC? Contractor's LiC Will Call 11' .?c> I ? (Company Name) 4571 I Mailing Address ' di,7ai't Electri ntra - or Owner Making This Installatlonj?4 Authorized Signature Phone No. 1 1 Contra or wner Making This Installatlon) This inspection request will not 6e ascepted by the ?? ?? State Board unless proper inspection fee is enclosed. w Include '_' sets of plans, 1 site pla? w/elevatiuns an? i set of energy caicuations. 04 ? To be used for ??or?? ??fa•: /?l ;??c( Valuation 41 1 ; r /J` ?" ! , Yracel tiut^ber Telephone Telephone Telephcne OFFICE GSE 0 Y ? DATE 8L'I1.DItiC P?RMIT :1P?LICaTION Site address: 1 Lot /7 Block ? 5ec.!Sub. - ` / ?/ / Oi.me .r C? /J g?CC // h , !)C?C/",S T e /v Address, H9 G-CdL.S1u•ve>_ rir'. ?- .L !E ce v7 Conttactor ,.Ac' +ress Arch/Eng. Address Erect Alter _ Repair _ Enlarge Move , Demolish Grade .? Occupancy l?n Zoning Fire Zone , Type of Const. # of Stories Front Dep th r Date of Approva2 and Initial Assessment Water/Sewer Police Fire Engineer Planner Council Bldg. OfE. A.P.C. ? Fees ?°- Permit Surcharge d / Plan Check V SAC Water Connection Water Pieter Ci TOTAL _ ?. r ? i 1 Copy:Office 2 Cvpy: Cre%?Chief 3 Copy: Municipality 4 Copy: Customer ? Pacific Pool & Patio A Minnesota Package Products Company 6922 55th St. North 9913 Lyndale Ave. So. 4321 68th Ave. No. North St. Paul, MN 55109 Bloomington, MN 55420 Brooklyn Ctr., MN 55429 770-1313 888-1998 560-6442 ?- CREW CHIEF ? Equipment Needed b Back hoe ? Bob Cat ? Cat Z Truck ? Snow Fence ? Inspections Contract ? Walls ? Piumbing ? Footing ? Before Backfill ? Other i ( j ? / i-:i. AGGOUNT NUMBER POOL SIZE DATE -- _?9, ?!i r ?lri:. `G•_ ^?' . NAME FiOhtE PHdNE STREET VJORKPHONE - , CITY STATE ZIP CODE Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) . . i ? ?. 1,?c- ?, tt 3;; ? { . ? Mark Iqcation of filter anlor heater by (#2). ?i 1?cr OnN- - '5? Indicate deep end try (X). Does Customer wish to retain any or all dirt from pool excavation: NCi `VI Will any obstructions be encountered - such as trees, clothes poles or p werlphone lines etc.: .:?/ )(! ? i ?ro?'4-? ;fg Elevation from location marked "A" in diagram: ? Show type a,n5 locatioii of slide if applicable: -- n %I e- I? XLocation for disposal of dirt: ?Gt ei? ;q Pacific Pool & Patio recommends that customer install (As soon as possible following pool construction): 1. Rain gutters adjacent t4\?? 2. Retaining wall where diagram -, ed 3. Run off control or drainfield * " * CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING '"' Some damage may be done to the yard andlor driveway entering and leaving the yard during construction: Intial ' . Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required): Initial = Cusomter assumes responsibiiity for thegas instailation of heater if applicable (inCluding permit if required): Initial . If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing - Customer shall assume responsibility if any extra costs are incurred. Intial -.? . If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be.charged at a standard rate - no exceptions. PacificRepresentativeSignature,?'. - / --- CustomerSignature } rti- ? x,^? . ? - . I ..a . . 1? . .. . i , ' ?/ _ Date : - r 7 :,L_. BUIT,DZ17G "PT?RYdI"i' P..rPLSCATIO'_I t_ LOT ?? aLOCK PDD T A T00 rl() i!' ci{ ? I( -r- - . PAI+CEL & SECTIOtd PNFL3ER IF UidP71ATTEil - . - . y. . .. . . -DllRESS OF PA 7,Qi3T?,G CUPP,NCY ? USE -,?=---? -?za y EsTL?W?123D cosT?9 T_ c;?_r_::L/JDZi c?i TELEPHOA'E 140. 7 ADllFESS --? / C0- 1TtZ21C^?'OR ? c? ! R I C? i? I?n F, TELf'PFiOT7E I10 .?, -?'i -./ ?DZTss 4:-.,-, F I'/a ire T7otet Include si.te plan, building plans, and energy calculation3 with this aPPlxcatian Signed Ok???L?.?,y. zC^ !?- ? .. 0r371CE USE Vc:.rxJSTIO'CS ?? ? ??? SFC -7r MA^s^s2 COr7i7EC_^' IOi7 , v?-!S 0 •? .. [•I.'1TEIi M'i'EtZ a:r2 3Z? __-- aoir,n=rrc pFP14xr FL-E 90 crc - uURCHAF.GE I'Efs 1 ? rL'E1.3 CTr=L`CK FIM PAIt£Z DEDICATIO}d FEE. , .. . OT?s.i,R TOTFiL* ; t? F?'PP.OVI?LS _ ?} - 7y ? gi I ? ASSt,SSAE?i',Ti' CLE111iE_gUILDIi+7G DEPT. POLICE DEP2'.__ ? MiER & 5W3TVR UEPT. FIRL DEPT. PAi2K DEP3'. ? ?. ?: . 4?%j Rt. ?.? jl?w .lv ' ? /00/?i'/ , CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 s. Httl??C?i?...:?'?5?? ?? ? .:...::::........:.,:.. ?...:.......,...,, ..., R?Sror?7?'?i;,;' PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY k:.>: <.: : : : TOWNHOMES/CONDOS WIiEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------- ----- ------------------------------------------ WORK DESCRIPTION FEES NEW CONST ADD ON fnilla ct_12,&w r- OWNER NAME: G19`/1_)& IJ//ZSG,,Y? SITE ADDRESS: IAT : /2 BLOCK J_ SUBD. INSTALLER: 16yi?i //!L"t?114A',Plff,!'i_. ADDRES S : 6 CITY: /'oPf t ZIP: PHONE # : 7 ?V5^ - ?s_S?5_ ZIP: ?4?MME??IA:?.J?1?ID4STPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, _..._._._.__ ,...__. ...:__ .:. :_ ..:..:...... .. APARTMENT BUILDINGS, AND MULTZ<FAMILY BUILDINGS WEIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: FOR CITY U5E ONLY PERMIT # RECEIPT DATE: DWELLINGS & ADD-ON MINIMUM 15.00 HVAC 0-100 M BTU 24. 0 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ - S0 STATE SURCHARGE: .50 TOTAL: ,0 %2Zq, - .e^ra-?" SIGNATURE /6F RMITTEE fJ;l e $ (SIGNATURE) CITY OF EAGAN ?'Odj?p PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS: ALSO, FOR TOWNHOME,S AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - ---------------- - --- - - - - -------- - - - - ------ - ------- NO. FIXTURES EACH MT? SHOuJER 3.()? WATER CLOSET 3•00 BATH TUB 3.00 LAVATORY 3•00 KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER. 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minim„m -1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nak.cry. iic. 15.00 U.G. SPRINKLER • eome under const. 3.00 ALTERATIONS - io oiisung 15.00 WA'TER TURN AROUND 15,00 STATE SURCHARGE •50 TOTAL: /S. SD 'v/?? / Jl 1L ALl?iREJc J: JD [1` n ? OWNER INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE: -5-?3 PHOIv'E #: (6/,?) 11Vz?- 3 77Gj SIGN TURE OF PERMITTEE m.? ?--- 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KIVOB RD EAGAN MN 55122 (612) 681-4675 t Use BLUE or BLACK Ink i -For o-If-le-e -Us-e---------- 1 Permit: City of Eap I g~ a 5 ' Permit Fee: ~'lJ~• i 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 11113 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Stab: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3a 3 11 Y1 Unit Name: U22-,Q n to., t ilirsckl Phone: 4P2 7~5V-IVD R"dentt e_J Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Q 0 0 M ~ Construction Cost: 'Tr Multi-Family Building: (Yes / No s Company: 1 o rr'C-4 aj/ ' i~") Ce_ Contact: AU~OYJ Colin'&C#4r Address: IV. City: W)c r1ysjt~+ " State:t)A) Zip: 4"Q(~e Phone: License # i'uP Lead Certificate # I V At - f 52- - I 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x ,La e?4 jIl e ' SO A) X Applican nted Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116747 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 3849 Lodestone Cir Lot:22 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-220 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 . Elizabeth Hess 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 - Steven Schaeppi 3849 Lodestone Cir Eagan MN 55121 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use C EAGAN t i * Permit#: / � -/ ..,.., Permit Fee: /v75 -� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/12/18 Site Address: 3839 LODESTONE CIRCLE Unit#: Name. WAYNE / CATHY HIRSCH Phone: 651-454-1407 Resident/ I Owner Address/city/Zip: 3839 LODESTONE CIRCLE Applicant is: Owner Contractor i7l Type of Work Description of work: REPLACE 10 SLIDER VINYL WINDOWS l Construction Cost: 1500 Multi-Family Building: (Yes /No X ) SOLID ROCK CONSTRUCTIONHARLAN WORSHAM Company: Contact.. Contractor Address: 13326 HWY 65 NE -�t-, -'z - City: HAM LAKE State: MN Zip: 55304 Phone: 612-242-2010 Email: SERVICE@SRCMN.COM ' BC586246 R R 19982-15-00529 License# Lead Certificate#: If the project is exempt from lead certification, please explain why: Just replacing existing windows. Not cutting into any old structure. I 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: i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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 •ublic if ou •rovide s•ecific reasons that would •ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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.orq 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 agprayllfpl2ns. Digitally signed by Harlan L Harlan Worsham Date;2mJr x xWorsham Jr Date:2018.10.1214:42:15-05'00' Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170489 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 3839 Lodestone Cir Lot:17 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-170 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Wayne F & Cathleen Hirsch 3839 Lodestone Cir Saint Paul MN 55122--165 (651) 454-1407 Larson Plumbing PO Box 459 Isanti MN 55040 (763) 427-7680 Applicant/Permitee: Signature Issued By: Signature