Loading...
3847 Lodestone Cir Use BLUE or BLACK Ink ------------i Foi Office Use I , X370/ I City of EaPermit#: D Permit Fee: 3830 Pilot Knob Road 1 i Eagan MN 55122 1 Date Received: Phone: 675-5675 1 (651) Staff: Fax: (651) 675-5694 L----------------! INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite Name: ( l ~1 C( Lt S Phone: (G'w ~ z5 ~ ~ ~ RESIDENT / OWNER / ,q Address/ City/ Zip: ,3~t-1 7 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: 7EumpPumpRepair MBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Repair Other: Other: Description of work: ? L :J 6 . C. DESCRIPTION FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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. k ~ f /1 /vL fficl 1111t 1114 r 0i--or-, Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF EAGAN D D 3 3795 Pilof Kno6 Rood Eagan, Minneaota 55122 Phone: 454-8100 PERMIT No. Date: ov: _.:er ? ?7- -?+F't Site Address: Lot Block _ Sub/Sec. Receipt No.: (;'r Single I Residential Multi Res., Comm./Ind. I Name ililam Aabb r?,tiOr. New/Alter./Repair . 0 ; Address _ Cost of Installation O City Phone: Permit Fee p? Name ' Surcharge L Address e - ? City Phone: Totol i• ') This Permit is issued on the express condition that oll work shall be done in accordance with all applicable State of Minnesota Stctutes and City of Eagan Ordinances. Building Official NUMER!CAL FILE CITY OF EAGAN 3795 PILOT KiVOB ROAD EAGAN, MINNESOTA 55122 GASH RECEIPT DATE 19 kECEIVED FROM AMOUNT $ &_DOLLARS wo ? CASH ? CHECK FOR -A FUND CODE AMOUNT I ?- e,?,4$57 BY . CITY OF EAGAN Remarks addicion_Cedar Grove #11 Lot 21 Bik street 3847 Lodestone L'T. -- 22 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 261 6 26.16 10 78.53 004066 5-16-77 STREET RESTOR. 1975 124.31 12.43 10 87.02 004066 5-16-77 GRADING Street 1978 1035.45 103.55 10 1035.45 C003443 7-1 - SAN SEW TRUNK; - 1968 0.09 2.00 30 40.09 004066 5-16-77 EWERLATER ? --? T 32 .79 649.59 004066 5-16-77 WATERMAIN WATERLAT RAL (i- 1973 70• 9 •72 ? 47.29 004066 5-16-77 WATER AR ' " # Wtr lat area 197 5 STORMSEW aK 7 1971 33.56 1.67 20 21.87 004066 5-16-77 STORMSEW AT 1971 22- 7 1.11 20 14.60 004066 5-16-77 197 2.39 3. 161.05 004066 5-16-77 CUR & GUTTER SIDEWALK 1978 187.52 18.75 10 187.52 C003443 7-19-77 STREET LIGHT WATER CONN. . - - BUILDING PER. 4IE0? 485 7 - ?-?- sac 45". _ _ - PARK 75.00 4857 12-15-76 C-ITY of EAGAN BUILDING PERMIT Owne: ••........•• Mr. d Mrs. Baab .................................... Addrese (present) •• ................?84] LQdestone Ct,?................. Huildar ? Inc. ................... Tol....................................... iefson Bldrs. ............ Add:ess ................... 1848,.Turguoise..Tr,,?..Eagan,. Mn,_. . ? ........ DESCSIPTIOM ? N e'.i4 2 4160 3795 Pilot Knob Road Eagan, Minaesota 55122 454-6100 a¦:e ...... Qes.....1..4....].2.Z.6........... 6lories To Be Vsed For Fron! Dapth Height Est. Cos! Pesmi! Fea Romsrks Sing. Fam Dwlg. d. Garg. 64' 27' 35,OOO.I 103.00 17,50 i s/c LOCATION LZU,:)U Street. Road or other Description of Locelion I Lo! 81aek Addition or Tsac! 3847 Lodestone Cr. 21 I 3 I CG 11 This permit does not au3horize the use of slreels, roads, alleys or sidewalks nor does it qive the ownae or h[s agen! the righiio creaie any siluation which is a nuisance or which presents a hasard to the health, safety, eonveniancs and ganeral welfare !o anpone in the communily. THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES3. This is !o certify, lha3...Qa.?..f.?S.Qik_$_?.drSw.ti•••?'6?.C.---.---- haspermission !o erect a.Slri . Pam, Dwlg. S Gaig. .............................................. _ the described premise ec to the provisions of all appli i i ces for e' p of Eagan. < t_ , _... a ove....°-•- •• ...:...--° ••.. ... --.?L-.'?..-._....••-°--... Per ....._ :,. . . --??? .............••................•••....... ? ayor SuildinQ Impector This request void 18 months from 7ADate of this Request l-??? O r?? I, asxiicensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal winng installed at: Street Add{es?or Route o. ?- Section a Township Range County Which is occupied by ? ?L?fso.?/ ?s! Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Cal1,,? Power Supplier g?UT J64 C? Address / d0!;V/•I>&25,1 ?' 4? ?`°. !'+ if F , y r R. Electrical ContractA°-?? ? *? ? ? i ` Contractor's License al. 4?.? .? ? (COmpany Name) MailingAddress 13813 HiGH DRIVE BURNSVILLE Authorized Signature -???'t\.CIV???t???o? or Owner Making ThIS?OIIC NO ?`3Z??36 ?Y (Electrical Contractor or Owner Making This Installatlon) Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minna 55104-Phone 645-7703 ., • 'REQUEST FOR ELECTRICAL'ANSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST frv6 -7 8 ,r O 77 456-` *r- Type of Building New Add. Rep. Cheok Appliances Wired For Check Equipment Wired Foi Home Duplex ? ? ? ? Range Water Heater Temporaxy Wiring Lighting Fixtuies ? ?. Apt. Bldg. ? ? ? Dryer ?- Electiic Heating ? Commerciai Bldg. ? ? ? Furnace ? Silo Unloadei ? Industrial Bldg. ? ? ? Air Conditiot x ? Bulk Milk Tank ? Fazm ? ? ? L ist List Other ? ? ? p Herarsl Herels? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: #,.. ^* ee Circuits: # Fee 0 to 0 9 0 to 30 Am eres , a? i 0 to 30 Am eres to Am s 00 31 to 100 Am , res 31 to 100 Am eres A ove 0 Amps. Above 7 i?i' s. \:. Above l00 Amps. Transformers Rem Co tr 9! ' Paztial ox other fee "In Signs Spec' #pec ' n Minimum fee $5.0 Remazks - TOTAL FEE I, the Electrical Inspector, hereby certi fy the a e nsoection has been?ad?. + ? (Rough-in) ate a • (Final) Date y? ?tF 77 This request void 18 months from ' This request voidfe/',°? 18 months 1rom .?, d; V ?1 0 a ?t•5 3 ? _af bo fo(mv LLI,I LJ wJ P-_ (( / 5' 1"1 Dct. -15? 1984 ..? ..?. eQ "z?.?w?..?. ?ad" wo.. [] WGII Notifv Inspec-I ?Yes )MNo tm VJhen ReadY L_ ? Licensed Elethical Contrnctor I hmoby reque,? ?mpmRen ot above ? Owner electriwl vwml :osblbd aC Street Addfess, Box or flouee No. Ciiy 3847 Lodestone Circle Eagan ection o. I I Townsh:p Name or No. Range No- County Dakota Occupnnt (PflINT) Phone No- William Babb 454-3838 Power Suvalier Addtess Electrical Contractor (Company N ) Cantracror s License No. Corrigan Electric a. 0 39549 8 Mailine Address (Contractor or Owner Making Iqstaflationl P.O. Box 475 Rosem(iunt, m:_nn. 55068 Auth . ed SiBnature ( ntraclor Owner Making Ins7allation) Phorte NfmiAer ? " ? 423-1131 MINNESOTA STATE qMU OF EIECTItICITYQ . THLS IELSPECTION BEQUEST MILL NOT Griggs-Midwsy Bldg. ?Room N-191 0E ACCEPfED Bl? TiE S?ATE BOARD 1821 University Ave., St. Pau1, MN 55704 UMLESS P?PE6 INSPECTION FEE IS ENCLOSED. Phone (812) 297-2171 REQUEST FOR ELECTRICAL INSPECTtON See ins[ruetions 2or completifflq_w'm 6aek'Of yetloa EB_°°°°I_°° A n`7 4? i7 -x' Below Work Covered dy This Request - ? AAd 8eP- TYOe ot BuilAing ApPliunees Mired EQUipment Mired X Home Range Teerporary Sewice Duplex Water Heater Lightireg Fixhcres Apt. Building ?ryer Elecu-ic Heaim COft TO Corranercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner BuIk Milk Tank Farm Ot er vec? Qther (specity) t r SVecify Other 01ter Comnute Insvection Fee Belnw M fee ServiceEntrenceSize p Fee Feeders./SubTeeders tl Fee C:rcuits 0to 200 o to 30 Anys 0 m 30 AniDs Above 200 Amps 31 to 100 Arw . 31 to 100 AFnps Swimming Pool Above 1 W- AAove 100_A - Transformers Irrigation Boars . PartiaU`Oiher Fee, Signs Speciallnspection g 15.50 TOTA EE ? Remarks ? ?? 1 i. I / Rough-in Date t.tAs tr- Inspecinr. hereby ih «i Hoe ahove Final AR j} ? ! i?pection has baen mada_ Thlsrequestvoial8montnssmm V ? ??1?-S7 2007RESIDENTIAL PLUMBING PERnnir aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Plaasa r.mmnlata fnr mnrlifir.atinnc tn eYistinn rr?citiPntial dwPlflnas 30 -zb ? • S teeStreet Address &s?`? 1 ,? ?p? W CdrGiV Unit # rtyOwner INJ'PMV " ?tkat Telephone# 5? F Contractor Telephone # ( ) Address City State Zip The Applicant is: ? Owner 8 Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 14.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onl a water softener and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5!8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accuraze; mat me work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start witMout a permit and work will be in accordance with the approved plan in the event a plan is requi d fp e review d a approved. V 4l1ye& ApplicanYs Printed Name 4filicaiit? a?u MASTER CARD LOCATION 3847 Lodestone Cr. L 21 Blk 3 CG 11 OWNER *r. S Mrs. Baab STRUGTURE AND LAND USED AS Sing. Fam. Dwlg. d Garg. Permit No. Issued Issued To ConTractor Owner BUILDING 4160 12/14/76 _ Tollefson Bldrs.j I c. Mr. b Mrs. Baab PLUMBWG 7?0 - ,?.,?,., _ - CESSPOOL - SEPTIC TANK ? r WEIL ELECTRICAL HEATING GAS INSTAILING SANITARY SEWER OTHER ? OTHER I ITems Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER . r ,- . ?/ J ViolaTions Nofed on Back COMMENTS: Use BLUE or BLACK Ink For Office Use y~ 1 Permit . City of Eap 1 l~~s1 Permit Fee:- l 3830 Pilot.Knob Road I I Eagan MN 55122 RECEIVED i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 APR 16 2012 1 Staff: 2090 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 16 /z Site ress• o~ / I-d(ye -p &Mle Tenant: A 5t; Suite - zlil RESIDENT / OWNER Name: "Y' J Phone: Address /City /Zip: U / .!)LYe Applicant is: Owner 'X-Contractor TYPE OF WORK Description of work: Construction Cost: S Multi-Family Building: (Yes / No } CONTRACTOR Name: License Address:~~ City: (ZO -7 f AL. State: -f-- Zip: ~,.L:~ JL.`•`-,`Phone: 55771%7- 1~h Contact: l-a Email: - 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 Cal at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.: uvw~gi r <nanec .'i;:rg 1 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 approv f plans. r t X App cants Printed Name i J Applicant's gnature Page 1 of 2 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: Site Address: Plumber: Meter No Size: Connection Charge: Reader No.: Account Deposit: I agree to comply with the Village of Eagan Surcharge:. Ordinances. _ Misc. Charges: By Total: - Date of Insp.: _Date Paid: Insp.: - VILLAGE OF EAGAN 3795 pilot Knob Rood SEWER Eagan, MN 55122 SERVICE PERMIT Zoning: PERMIT NO.: DATE: Owner: No. of U Address: nits: Site Address. Plumber: I agree to com Ordinances. ply with the Village of Eagan Connection Charge: Account Deposit: Permit Fee: By: Surchar Date of Ins p... Insp.: P~ Misc. Charges: Total: - 'ate Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA117051 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 3847 Lodestone Cir Lot:21 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-210 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - William G Mcmaness 3847 Lodestone Cir Eagan MN 55122--165 (651) 373-4296 X6 Maintenance Free Minnesota Inc 4741 University Ave. NE Minneapolis MN 55421 (763) 560-6140 Applicant/Permitee: Signature Issued By: Signature