3841 Lodestone CirCITY OF EAGAN Remarks
Addition Cedar Grove 11
Owner Street
ot 18 sik_
1 Lodestone Laae
3 Parcel 1.0 167419??
State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1971 261 .6 26.16 10 52.37 A
STREET RESTOR. 197 1 24.31 1 2.43 10
GRADING
:. SAN SEW TRUNK r10 1 $ 0.C9 .00 -?o
.?. SEWER LATERy-L .;rc 1975 1623. 32 .79
WATERMAIN
WATER LAT6RAL 1973 70. 9 .72 1
' WATER ARE
* Wtr lat & area 1975 5
STOFM SEW K 1971 33•5 ?• 7 20
STORM SEW L T 1971 22.37 1 ,11 20
# storm sew ; 97 2.39 3. _
CURB & GUTTER `,
SIDEWALK
?QC
1978
187.52
18.75
10
187.52
C0034
8-3-7
STREET UGHT
WATER CONN. ?
BUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE
weceIveo
FROM
19
AMOUNT $ I
DOLLARS
+oo
E] CASH F] CHECK
C
0
r ^ ^T???i? INSPECTION RECORD
II CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE:
k Ea9an, Minnesota 55122-1897 Permit Number:
Date Issued:
(612) 681-4675
SITE ADDRESS:
iFSqj L 11!)f
11: UAN t&(tW M'l l
PERMIT SUBTYPE:
i "t-ra ,'„r.i. ..
I 41 (; I ?s tst ?lt k s
i i)ki C I t;
APPLICANT:
t: 1 -1 ,.ltYi i;?
TYPE OF WORK:
I U `.! 4d i{' i I r!i,l
111 F N
fzt t'fiit+
1 Rl1UF7NG ?
Parmit No. Partnit Holdar Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
- CITY OF EAGAN
3795 Pilor Knob Road Eagen, MN 55722 N2 4286
PHONE: 454-8100 ?
BUILDING PERMIT Receipt #
To ba uaed for Date , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. _ Alter E] Zonin9
Porcel #
W Nome
3 Address '
0
ow,,..e
Name
Zp
V
?< Address
?
H r:... . . . . ? e?___ . . . ? .
Name _
Address
I hereby acknowledge that I have read this applicotion and state that
the information is correct ond agree to comply with ail applicable
State of Minnesoto Statutes and City of Eogan Ordinances.
Repair ? Fire Zone _
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? front _ ft.
Grade ? Depth _ ft.
Approvals Fees
A55855I1'12t1Y -
Water & Sew.
Pol ice
Fire
Eng.
Planner _
Council
Bldg. Off. -
APC
Permit
Surcharge
Plan check _
SAC _
Woter Conn.
Water Meter _
Toral 984.50
Signuture of Permittee I
A Building Permit is issued ta on the express condition that
oll work shall be done in accordance with all applicable $tate of Minnesoto Statutes and City of Eoc-on Ordinances.
Building Official - - -
,I
L
w.?n # oero i..we r«.x+..
Plumbing jv/ -5- < =/ i - --' ;? o` ?
'
Mechanical a
_
INSPECTIONS ? DATE INSP. Rouqh-In Find
Footings - ?) Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical p-
Final •?O //-? j
Remarks:
? l a
`_?-? ? z*,?Xt
l
?
f •, CITY OF EAGAN
? 3795 Pilot Knob Road
Eagan, Minnesota 55122
, Phone: 454-8100
PERMIT
tav 11, 1977
Si Address:
Lo Block Sub/Sea
??:'_'•:i o!;
cme
.
3 dress ? ?`?? '-'av?:tnoYt
O
Phone:
? N e r`•'dricY.BOn Heatinq & A/C 0?,•
? f1d re55
r
C
O
V
City ?` _ Phone:
This Pe mit is issued on the express condition that oll work sholl be
Minneso a Statutes and City of Eogan Ordinances.
No. „
Receipt No.:
Single
Residential
I
Multi Res., Comm./Ind. ?
New/Alter./Repair. Cost of Installotion
Permit Fee _
Surcharge .50
Total '
done in accordance with all applicable State of
Building Official
Date: ='Y 11, 1a77
CITY OF EAGAN
3795 Pilat Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
No. , , [?
Receipt No.: 1
Single
Residential
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Installation
Permit Fee n
r
Surchorge '
Site Address: , rc.le
Lot Block _ Sub/Sec. _-_-
/ Name ?ollef.son Builders
v.
m
; Address
O
City Ptane:
Name ? i'='_:: ':'J_urnhinr inc.
Q. -
L
? Address ? ' i r_r ? r,? •' 7
e
?
City Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota Statutes and City of Eagan Ordinances.
Total
done in occordance with all applicable State of
Building Official
l- r::.e:::?:
m
1deT'3
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
ilot Knob Road
MN 55122
ti?•
to aomply with the City of Eagan
t Knob Road
N 55122
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Address: -
Site Address: - -- ? ? -
PI umber.
1 ugree to comply with the City of Eagan Connedion Charge:
Ordinanees. Account Deposit:
. BY
Date of Insp.:
I nsp.: --
Permit Fee: -
Surcharge:
Misc. CFarges:
Total:
Date Paid:
k
CITY OF EAGAN
3795 Pib! Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION $42,000.
N? 4286
Receipt # -
To ba used for Sing. Fam DwtQ. S GaTg, Date ApTil 76. , 19?Z
Site Address-_-3$/F? Ered EIC Occupancy I
Lot18- Block 3- Sec/Sub.cr 11-- Alter ? Zoning R1
Porcel #
W Name B.Fy1Ce R?+so
? Address 3888 Palisade W
° Eagan p,,,,„e 452-1703
(^u.,
w0 Name Carl Tnllefsnn
orJ Address 13816 Holyoke Ln
"?
?-- r;,,,Apple Valley pk,,„e 454-6873
Nome _
Address
I hereby acknowledge thot 1 fiave read this opplicotion and state that
the information is correct and agree to comply with oll applicable
Stote of Minnesota Statutgs/gyfd City of E?rt)Ordinar}2es. _
Signature of Permittee[ ?`'
A Building Permit is issue to:
all work shall be done i o
Building Official
Repoir ? Fire Zone _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front _ ft.
Grade E] Depth ft.
Approvals Fees
Assessment Permit 123.00
Water & Sew. Surcharge 21.50
Police Plan check
Ftre SAC 475.00
Eng. Water Conn. 230.00
Planner Water Meter 60•00
Counctl Park Don 75.00
Bldg
Off
.
.
APC
Totol 984.50
on the express condition that
Minnesota Stotutes and City of Eogon Ordinances.
04/23/2002 10:39 6514636107 DAKOTA ELECTRIC ASSC PAGE 02
r?6 li.
r r tt ' xEz.rAsE oF EasEM?
IQm1v ALL TfETI By TfMSE PRESEVTS, . that the .uridersigned rnwner of the easement ..
hereina.fter described, for a valuable ccrosider3tian, receipt u-hereof is hez'ebY
ac]mrnvledged, does hereby discharge aad release the tx-act of 7.and lying and
being in the Cotmty of Diakota, State of D'ii.nnesota, desqCibed es follaws, to-ti.'it:
A strip of land ten (10) feet in width, beginaing four hundred forty-
six and fifty-two hundrQdths (446.52) faat South o£ th• Northwvst
corner of the Northeast Quarter (xEk) a£ Sectzon Tventp (20), Tvwnship
27Ir, Range 23W, thence East on a."straight.].ine to the Northwest corner
of Lot seven (7), Bloc3c twn (2) of eaid Cedas Grove Sth, thence South
ten (10) feeb, thance West on a straight line to a point four hundred
gifty--six and fi£ty--two hundredths (456_52) faat SoutYs of the Norttiwest
corner of said Northeast Quarter (NEIt) of 5ection Twenty (20), thence
North ten (10) feet and there terminating at point of beginning, all
according to Governman}. Survey thereof.
Frr-a all Iiens of 2n3 ti:p-der that certain eELsEment dated L1se 31st claY of
_.s sez? sZnt??ar r_?;
N,arch 19 7 3, executed by tliii?am seil, zois..
Construction C.cus=ari as Granto=s, to e kotE ecT,ric?1 sscCa?ztaon,
as Grar_Lee, filed tor reEord 9n the office af Yhe Rsgister of Deeds in astd for
said Coi&.:7 on the 13th day o£ A7Pri7, r I9y1 _. and recarded SIl
Bool: o£ Miscx'r_eous, pa$es #382594 ? Covex?g the zbove;
desCrz ? ioLnd.
7x, lt5i'iMTY'SVF?OF, the tuidersi,gned has cavsed these greserits Lo be
executed in jts coxporate naae by its.gesteral manager and zrs seal to be
hereLmto 2f£ixed thss 30tih day o£ Saptember. 1486 -
In Presence Of:
Z'&'.9Q. -
I14ICOtA EL.EGTRSC ASSOCIATION
era 2nager?
SI'A'XE OF AffIZqFSOTA}
)55.
COlR-aY OFS?agaa )• .
O:i this --3a *? day o£ ? , 198 e±o?re m a ?o x? -Public,
wi.thin and for'saia CawstY, per a1.ly appear?@1
to me personalZy lmoti.?n, who- being by ne c'uly stisorn as say thst e i.'iF3the
?!c.o_.._.?? of the corparation.named in Yhe foregaing irstrune:at
saz3 t?. ?.at the s i a==ea *o , said instrtsnent is the CozporaYe Seal of said
corporatzon, and that said instrLment was signed and sealed said
corporations by authosity of its Board of Directors and said
acJmowIedged said iristrurr?ent to be the free act ana eec nl: `sa'Tid
corporatiens. - This document was dra£ted by
Dalcota Electric Assvciation
Farmington, NfN 55624
wDL3Ty 1G ? DAfLdTA ?MTr
Yy Caan. 6?PbR M. ?. 1w4
.
RESIDEIdT1AL
L? ?-/,7J21 BUILDING PERMIT APPLICATION
` " CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
NewConstructionReauirements RemodellReoairReauirements
• 3 registered sife surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan ??-----
(20% maximum lot coverege allowed) . 7 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, elc.) . 1 site survey tar exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served 6y septic system for addRions
• 3 copies of Tree Preservation Plan if lot plalted aRer 711/93
• Rim Joist Detail Options selection sheet (hldgs with 3 or less units)
DATE q- ( (0'0-2- VALUATION
SITE ADDRESS 39q( L-dkS'6'1e C??-Je MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ? D)r2c_? [?QGK .? nCJe? ?o!' ??- FIREPLACE(S) _ 0_ 1- 2
APPLICANT
CITY6q 9 ckv+ STATE?/ /U Z I P S S/Z,,>
STREET ADDRESS LCX?P_S +anP e-
CELLPHONE# (oS[-Z?oa-S72a FAX#
PROPER7Y OWNER Q)2LA, °")dA 3lQ-tkoS? TELEPHONE# 6,S 1` roSB-S l3 _?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RUI.I:S 7670 CATEGORY 1 MINN Vy-:Gode;WTk R6T (4 submiss ion type) • Residential Ventilation Category 1 Worksheet Submitted Nw sheet Sub i
• Energy Envelope Calculations Submitted 6 2002
Plumbing Contractor:
Plumbuig system includes:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Contractor:
Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery SysCem
_ Phone #
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
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 5tatutes and City of Eagan Ord' es.
n? )J??Z
Signature of Appfica
(
--- - ----------- - ------------------------------------ - -------- - -------- - -------- ----------- - ----- - ----- - --------- - ----- - ----- - ----------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex }X18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
Q 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation lla-v Occupancy 9-3 MC/ES System
Census Code Zoning R? City Water
SAC Units Stories r Booster Pump
Nbr. of Units Sq. Ft. O? PRV
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Const ? Width ?
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina1
jt Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
`?---
Building inspector
ersan 3uildera Inc.
.
;i
f
?
Or.iuo=1
179-14
F. C. JACKSON
L.wND sursvIEroR
R[OISTiR6D VND[R LAWB OP iTATQ Of MINN[BOTA
LICiN86D Q'f ORDIMANC6 OI CiTY OP?YINN[AML78
55417 727'3484
5616 6AST 557H STREET -P*7-4"150t"
- ?asbcgac'g QCertffitatc = D, f Gt, c?3 r? ;-, ?c H f-
a = ,? Y c? Yt
? --? .
c3'
? z j? • ' .
' o ?? I •`? N
;
?? a` ?• t ?, ?.
f ?. s' ? 9.•z? ?? ?`
-3'.3 "
. _ _l .
1 NFREHY GERTIPY THAT THH ABOVE li A TRU[ AND OORR=CT PLAT OI A 9UItYt11 W
Lot 18,Block 3,Cndar Grave No. 11,
Dakmta County,Minnesota.
AS SURYEYHO BV M6 TM
/
Sth, owr or April _A o_
, ._.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.M.: 10-16711-180-63
DESCRIPTION:
PERMIT
PERMITTYPE: guiLoxNG
Permit Number: 028561
Date Issued: 0 8/ 15 / 9 6
9841 LQDE570NE CTR
LOT: 18 BLOCK: 3
CEDAR GROVE #11
?0*(R00FTNG)
?uxldin-?Permit 7ype
uz,ld invi ?rk Type
Census:Cn`de°.
- r?
a
?
?
{:E
STORM DAMA6E
REPAIR
434 flLT. RESICIENTIAL
S G.t -'" ?' ?? { { z
?s.<?
a ?a?^
REMARKS:
FEE SUMMARY:
CONTRACTOR:
?
" I herebyF-ac'!
= infnrmati;on
StatwCes,-an(
?
1?c}ge 'th=?C T kia"v
corr'ect ;s'nd a`gre
APPLICANT/PERMITEE SIGNATURE
OWNER: - Applicant -
BLENKU5H GLEN
3841 LODESTONE CIR
EAGAN MN 55122
(512)688-$937
- CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEI?MIT APPLICATION (RESIDENTIAL)
681-4675
U
? 3 mgistered ske surveys ? 2 copies oi plan
? 2 copies ol plana (indude beam 8 window sizea; poured ind. design; etc.) ? 2 site surveys (exierior additions 8 decks)
? 1 energy calculetiona ? 1 energy eaiculatlons tor heated additions
? 3 copies of tree preservetion plan N bl platted after 711193
roquired: _ Yes _ No
DATE: Z-CI ? CONSTRUCTION COST: 3 3U?
DESCRIPTION OF WORK: Sf^r~^ ?^?^^^ r oa?r -(?ar' c??- uyy? (??aC?? ?R:'?9e t h??S?
STREETADDRESS:
LOT _jj- BLOCK ? SUBD./P.I.D.
2
PROPERTY Name: ? Ieti L 1??1 f, cS? Phone #:
OWNER ' '"°'
Street Address• 38'q l
City: - r:-,5- ? cr e-, State: MIL) Zip• S?Z Z
CONTRACTOR Company: ?C ? C- Phone #:
Street Address: License M
Ci{y; State: Zip'
ARCHITECTf Company: Phone #:
ENGINEER
Name: Registration #-
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
i hereDy acknowiedge that I have read this application and state that the information is correct and agree to comply with aII
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of AppliT:nb +•
OFFICE USE ONLY IREME? ED I
Certificates oi Survey Received _ Yes No AU(; ;'S' 1,'S ?
Tree Preservation P(an Received Yes No ---------------
..
?
:
Date :
M
BUII,DIiiG PiR141T P..?'PLSCA.TTO:T `.
EAT BLOCK a? ISJD TTAIOa3 CJ /F` G 6/C?,
FaRCEL & SECTIO1I t3Ui1IIER I£ UiiPLATTED
J1DllRF'SS OF PAcZCEL
7,OiS?']?iG pCCUPPr1CY .Z USE
1;STL-iAi'rD COS?'
TELzPHOFm w0.
ADJRI:5S,?i,?t7?
CQ>,ti2??1CTOR Oq Il' I / L) IlE' TELEPI30Nr. TdO.
ADbcZES5 I < ? ? / ?i? ?-f ?) ! ? h_? s?__ ?_ tG? h`/D?L7 ?P ?r?/? ?/P I?- -
t7ote° ZncZude site plan, building plans, and energy calculations with t!ixs
aPplication _
5igned -------
='TCE USE
vW,rTn^,zou 0 D ?
ni C
tIAl'uR COIP'ECTI0i1
C^TA'CER p9E'I'ER
S3UILDIAIG PERtIIT FrE
?JACH.AFGE FEF?
FLEuI C.:F.CK FEM
PAEtSC DEDIC11T2O_4 P'EE
OT."M
TOTAL*
FFP. F.OVALS:
ASSt,SSAE:d'3` CLErS< " BUILDIidG DEPT.
r'?A'iER & SL*NMR DEPT. FIItr- DEPT.
.
To11efaUn Buiiclexe I.1e.
.:
F. C. JACKSON
uNO suRVeroR
Ur.lUi21
179-]4
R6418T6IiED UNDER U1Wi OP 1TAYQ OP MtNN[WTA
LICt?iitD tY OROINANC! OF CITY OF?YfNNtAPOLIi
9618 EAST 537H STRfiET 55417 727-3484
-PAr-4?f69t-
t
c-,
? ? ?ttTbtpoz'g QCtYt{ttttttt =1?, f G?, E? s? j-,? e ?? ?
? • -= .X' r ? r?
?Q ?t 2z N'
,v
Q ? !
o ? 4f
7 ?
/
91 ?
? •
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0
I NBRfiBY CHRTIIY TXAT THH ABOVfi If A TRU[ AND OORR[CT PIAT Or A 9UpYICV OF
Lot IS,Black 3,Cedar Grove No. 11,
Dakota County,Minneiota.
A6 9URVBYEO 9Y Mfi THIS 5ih. DAV pF APril A.D.-
\
i?3rC,G,(???-?? 1
_
t = --
MEMO T0: JIM MCGUFFEE
FROM: ED KIRSCHT, ENGINEERING AIDE
DATE: MAY 13, 1983
SUSJECT: WEEDS AND DRAINAGE PROBLEM, LOT 3, 4 and 5, CEDAR
GROVE N0. 11
In response to your memo of May 12, 19831 I guess 2 can't answer
your question concerning the drainage problem. This is an old
development, and the City has no leveraqe to solve the drainage
problem (bonds have expired).
I have talked to Bruce Rose at 3841 Lodestone Circle, telephone
452-1703, and it is up to him and his neighbors to get together
and solve the drainage situation, and I don't know if this will
hagpen.
EJK/jach
CQ`4w'4,4 (?- "-A4
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
11"I�135
los >s"-
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l / 1:1 / 13 Site Address: L! I LDG,uls+DA f.. C1 e
Unit #:
Resident/
Owner
Name: J bd, LarS°tel Phone: (,SI • -2-"7D , S g 7 S
/
Address / City / Zip: 31-'11 L a&Gl +zwu- C i r . g G,v S (2Z
/ 5
Applicant is: Owner Contractor J
Type of Work
Description of work: Q,e,ro o f
Construction Cost: -4 (O, b o J Multi -Family Building: (Yes / No u )
Contractor
Company: 1, e4tvt 40� 12.60tl✓KD +RtivI U lit Contact: 41 A)�
Address: S-1 6 Jl43,46,( 44 -- City: S v! o GV;C_t_
State: AA,+ / Zip: SS) Z ( Phone: to S ) • Z-1 • ' g 01-I
Gt
License #: '. 6(p S oo 14 Lead Certificate #: N 41-- — — �1 OA -3-) -` -I
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they 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.qopherstateonecall.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 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:Mechanical
Permit Number:EA131712
Date Issued:07/02/2015
Permit Category:ePermit
Site Address: 3841 Lodestone Cir
Lot:18 Block: 3 Addition: Cedar Grove 11th
PID:10-16711-03-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jodi L Blenkush
3841 Lodestone Cir
Eagan MN 55122
(651) 270-5875
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166484
Date Issued:01/13/2021
Permit Category:ePermit
Site Address: 3841 Lodestone Cir
Lot:18 Block: 3 Addition: Cedar Grove 11th
PID:10-16711-03-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Daniel E & Jolaine Liupakka
3841 Lodestone Cir
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature