3859 Lodestone Cir
Use BLUE or BLACK Ink
I
I For Office Use
q -7
Permit I
City of Ea a~
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
I Staff: I
Fax: (651) 675-5694 L
INFLOW NFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water'
Date: Site Address:/ 20D v ~/y
Tenant: Suite
Name: ~j"~
; ILE 81iZ, D61 Phone:
RESIDENT /OWNER Q l
Address /City /Zip: 3~~! _7o k f, 5
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Des tion o work:
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.cityofea-gan.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.goi)herstateonecall.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.
I~LF
x
,~G'D G Z x
Applicant's Printed Name App icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN Remarks
Addition Cedar Grove #11
Lot 25 Blk 3
Owner ,Tn rJ 10v, ('n r ?, Street 3859 Lodestone L'T'. State-
L(!?( ; ,Cl.I It/iil;%l ;',
Improvement Date Amount Annual Years Payment Receipt Date
STFEETSURF. 1971 261,6 26.16 10
STFEET RESTOR. 1975 124•31 12, 3 10
GRADING
3 i 17,9
SAN SEW TRUNK J? -1968 0.09 .QQ Q k
3£. SEWER LATERA ? 197 1 L23. 32 •79 <<
WATERMAIN -
WATERLATER L 973 70. 9 .72 ?-?
WATER AREA
# Wtr lat & area 1975 5
STORM SEW TRK 9 1971 33-56 1.67 20
STORM SEW LAT 1971 22.37 1.11 20 j
?;- Storm Sew Tr. . r 197 2.39
CURB & GUTTER `
SIDEWALK -595 197 187,52 18.75 10 PAID A 5 67 5/10178
STREET LIGHT
WATER CONN. 2$0.00 9430 -22-78
BUILDING PER. #4711
SAC
PARK
CASH RECEIPT I
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECE1veo
FRqN
AMOUNT $
,
? CASH ? CHECK
FOR
NUMERICAL FILE COPY
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnaaota 55142
Phone: 454-8100
,
_ PERMIT
oore: _ 121, ? 1976
Site Address: '
Lot cg,f: Block J Sub/Sec. _C6 ?
Name '
`c
e
?
`o
$
0
t
0
V
Addreu ; T.c)rlrc!-nn.• T.arp
City Phone:
Name ro _ - (Jh 11ir;,
Address 'sa r
No
?12
Receipt No.: '
Single I
Residentiol
Multi Res., Comm./Ind.
New/Alter. / Repair
Cost of Installation _
Permit Fee '
Surcharge
? City Phone: I Totol
This Permit is issued on the express condition that cll work shall be done in accordance wlth all opplicable State of
Minnesota Stotutes ond City of Eagan Ordinonces.
Building Official
• CITY OF ?EAGAN
3795 Pilot Knob Roed
Eagan, Minne:ofa 55122
Phone: 45I-8100
PERMIT
Dote: , 9T \
Site Address: 5 () - ?.
Lot Block ? Sub/Sec.
Nome
.
; Address
O
City RlAr,r^1.r. `:?;i Phone:
Nome`i'?10Mj2snn Plumi?? na r'U?
?
P Address
e
0
V
City Phone:
This Permit is issued on the express condition that all work shall be
Minnewto Statutes and City of Eagan Ordinances.
?
No.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Instollotion
Permit Fee 20' ^ r
Surcharge
Toral i on
done in accordance with all applicable State of
Building Official
_ • CITY OF EAGAN
? 3795 Pilot Knob Raad
Eogan, MinnesMa 55122
Phone: 454-8100
F3EAT I N
PERMIT
1.97;
Date: '
T.-rlr-}..?.-., ?.i•-^',.>
Site Address:
Lot ? Bbck Sub/Sec. _
Name
? `` `L:•?'1. . . ?
; Address
O
City ''-?Mlnt?Jtt0I1 Phone:
Name _ N. WP'
.
0
Address ? 7 Ch i
e
0
V -+
City " Phone:
This Permit is i5sued on the express condition that all work shall be
Minnesota utes and City of Eagan Ordirwnces.
?
No.
?.? ,.
Rxeipt No.:
Single
Residentiai
Multi Res., Comm./Ind.
New/Alter./Repoir. Cost of Installotion --
Permit Fee '
$urchcrge
Total
done in accordance with all applicable State of
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Rood Eogao, MN 55722 N2 4711
PHONE: 454-8100
] ii
BUILDING PERMIT ; „ Receipt #k -
22, 78
To ba umd for ?)?` :.4viti. Volue Dete- 79
Site Addqlllllp? 664
Lot Jr? Blxk Sec/Sub.
Parcel # `
s Name ' "
w .??,c?aie Ave, so.
; Address o
w
0
Zu
o
u<
?
r
I hereby acknowledge that I have read this application and state that
the informotion is correct and ogree to comply with all appiicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
???... L-J, ...,..,.r..I -r
Alter ? Zoning
Repoir ? Fire Zone _
Enlarge ? Type of Const.
Move ? # $tories
Demolish ? Front ft.
Grode ? Depth ft.
Approvals Fees
Assessment Permit _
Water & Sew. Surcharge
Police Plan check
Fire SAC
Eng. Water Conn.
Plonn=r Water Meter
Counci I
Bfdg
Off
.
.
APC
Total _
A Building Permit is issued to: on the express condition that
all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Building Official
PaneM # Deh laaad ?NwlttM
Plumbing / o G?? 3- a--4-
Mechanical a g 3-i6 -? 09
?-?? /r?- •
INSPECTIONS DATE INSP.
RouqMin
Final
Footings Dote Insp. Date Insp.
Foundation Plumbing ?? - :" F
Frame/ins. Mechonical 3--Jp -.>,S
Finol ? - ?
?
Remarks: -X.i0. ?? ,c_..?z.ci..•t
f-s P. •7Q' 4CLf//aa0LT rq ?/Y?!!^ ?-ft
?o ar ?"ea 1^, ?sr ?o.
d /rl
.n 6?rt I /?
Al.Sa ?a.,lie. /v ?
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT
S ite Address i:-:( ' i.;.
Lot --`l Blcek Sec/Su6.
Peroel No.
WZ Nariie i:iivIri? J.Ln,'-::,
2 Address =1111f'.
b CitY Phone 45?
Name - K.7l:L g Gri`1'l \i
Receipt #
i ? 7U/
Erect LJX Occupsacy
Remodel ? 2oning
Repair ? Type af Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impc ? Sq. Ft.
Install ?
Apywrala iees
o?
u Addres? 24- • z,",,'L.r,?+lf' Assessment Permit 9L.?Z
0- CitY T":''`?• Phone 483-172c, Water 3 Sew. Surcharge b.00
Poliu Plan Revlew
F W Na^e F C
?? Address in
Erq. SA
Water Conn
iW City Phone plonnsr WaterMeter
Council
- Road Unit
I heroby acknowledge thot I hove read ihis opplication and stote that eldg. Off. '?
l? y Tr. PI.
fhe information is torrect qnd agree to comply with oll applicablt
Srote of Minnesoro Statuhs and Cit?t of Eoqon Ordinanct:. AP? pgrka
.-
- Var. Date
? .
Sipnoturc of aen„itte. CpPies
tal
. .
A 8uildinq Pertnit Is issued to:
e
on the
xprea tonditlon thot
all work sholl be dons in occordanca with oll opplicable Stoh of Minnesota Statutes ond City of Eapon Ordinonces.
Buildinp Offidal
Pwmit No. Pormk Holder Do" TNephons •
Plumbinp
H.VA.C.
ENetrlc
Soh?r
Irupsetfon Date Insp. Othw
Footings I 77,7,7
? -
Footings II
Foundatlon
Framing
Rooting
Rouyh Plbg. ? a
Rouyh Htg.
Insul.
Flroplsce
Flnal Htg.
Finrl Plbg.
Flnal
Celt/Occ.
Water DftmiW Loeation:
wai
Sewer
Pr. Diap.
CITY OF EAGAN 16744
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 .?,
BUILDING PERMIT Receipt #
To be used for 3-SnASf.'I^4 Pt3RC", Est. Value $8r0m Date .iuZY S , 1989
Site Address 3854 I':'-°•&7G1?r; CIR
Lot 35 Block 3 Sec/Sub.CeEPAR GROVB 11T}I
Parcel No.
W Name DAU EIALDi/I N
o Address 3859 LOI1E&Ti:ht: CIR
City ZA"N Phone 452-6992
o Name pAN=AAFT
;Q Address 3116 $!lELLING AVE S
? City PjI?AART.IS Phone 721-6628
Name _
Address
clty -
Phone
I hereby acknowlege thal I have read this applicat?on and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: r<A::ua,s..ica,r i
on Me express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Otficial
OFFICE USE ONLY
Occupancy k-3 FEES
Zoning -
(Actual) Const - Bldg. Permit ;ct)•Uu
(Allowable) - Surcharge ?•?
# ol stories
Length +wlc -411W Plan Review
Depth Pb1Ch M14 SAC. City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC Syslem -
City Water _ Acct. Deposil
PRV Required - SiW Permit
Booster Pump - S%W Swcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council _
i
C
BIdg.Ott. _ op
es
1r'!?, t???
Variance - TOTAL
Permif No. Permit Holder Date Telephona #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC '4-JNC4
Inapaction Dale ' Insp. Comments
Footirgs I ?al 51p, L(/
ation
g ?
g
k
Pibg.
gHtg.
h
Isul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
Ergr./Plan
Bldg. Final
Deck Flg.
Deck Final ?
Well
Pr. Disp.
CITY t1F EAGAN SEWER SERVICE PERMIT
3773 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: Na. of Units:
Owner: ? --
Address:
Site Address:
Plumber:
1 agree to aomply with the City of Eagan
Ordinanaes.
By
Date of
Insp.:-
I nsp.:
75
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Tota I:
Dote Paid: -
iTY oF EAGAN WATER SERVICE PERMIT
r4°i Pilot Knob Road PERMIT NO.:
igan, MN 55122 DATE:
oning: - No. of Units:
wner: -
ddress:
te Address:
umber:
leter No.: - Connection Charge:
Ze. Account Deposit:
eader No.: Permit Fee: z
agree to comply with the Cify of Eugon Surcharge:
?rdinances. Misa CFarges:
Total:
Date Paid:
of I nsp.:
I nsp.:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT Rece+pt
N_ 10593
537e/
Te be und Far JN GRQj]M pQpj, Est. Value 12,000 Dete lTir.V 1 h
5ite Addreu 3859 LOD R`tONF. TR('.i.F. Erect Ck Occupancy
Lot 25 Block 3 SeclSu6. CEDAR QtOVE 11 Remodel ? Zoning
Percel No. Repair ? Type of Const.
Addition ? No. Stories
Name fIAVF. BAT.t)WTN Move ? Length
Demolish ? Depth
Address
City
Phone 452-Fi999
Name ?]?RF.STT . pMT. & pTTO
u Addreas 245 F. RUSF.I.AWN AVF:
?
F City ST PAiTf. Phone 488-6726
Name _
Address
City
Phone
Int. Impr. ? Sq. Ft.
Install ?
Appeovals F*es
Assessment
Water E Sew.
Police
Fire
Enp.
Planner
Council
Permit 7L _ 9V
5urcharge 6 _ 00
Plan Review
SAC
Water Conn.
Water Meter
Foad Unit
I hercby ackrrowtedge thaf I d this apPlicotion cnd state that gldg. Off. 7/16/85 Tr. PI.
the inlormction is cor9jL grm ly wit II applicoble APC Parks
State of Minnesota St n nus.
Var. Da te Copies Sipnoture af PermitteTotal 98/50
h Buildiny Permit is issued M: m Nx express condition Ihal
all work shall he done in ecmrdonce wAh 1 cppnlicabla Stote Minnesoro Srotutes ond City oi Eayan Ordimncaa.
_
9uildinp OHiciol A J?Q p 4
CITY OF EAGAN
3795 Pilot Knob Road Eagen, MN 53122
PHONE: 454-8700
BUILDING PERMIT APPLICATION $400000.
Site ?regs? 3859 d? Co ??p??
Lot Biock 3 Sec/Sub. CG 11
Parcel # 10 16711 250 03
oe Nome Marell Inc
10800 Lyndale Ave. so.
? Addre
o ,.. ? oomington ?, -
" Name
,o
?Q Address
?
F Citv Phone
Name _
Address
I hereby acknowledge that I have read this applicotion and state that
the information is correct ond agree to comply with all applicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
are
A Building Permit is issued to:
all work shall be done in acc dancwit II applicable
N? 4711
9430
Receipt .#
78
M8L. 22 9
Date --• 19
_
Ek
Aiter ? OccupancY R1 I
Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front 59 ft.
Grade ? Depth -2 Q ft.
Approvala Fees
Assessment Permit ?
Water & Sew. Surcharge 2n _ an
Police Plan check _ 50_? _
Fire SAC ?
Eng. Woter Conn. 25() _ nQ
Planner Watearrl?lK etffOn ?5??0?
Y
Counci i
Off
Bld -
.
g.
APC Total 960Sn
on the express condition thct
of Minnesoto Stututes ond City of Eagan Ordinances.
Building Official
- CITY OF EAGAN ?JQ 16744
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100 ?l (3
BUILDING PERMIT
Receipt # ?
? ?
O
To be used for 3-SEASON PORCH Est. Value $8, 000 Date .TliLY 5 , 1g$9-
Site Address 3859 LODESTONE CIR
Lot 25 Block 3 Sec/Sub.CEDAR GROVE 11TH OFFICE USE ONLY
ParcBl NO. Occupancy R=3 FEES
Zoning
W Name DALE BALDWIN (Aciual) Consf - Bldg. Permit 1?•?
Address 3859 LODESTONE CIR (nnowable) _ 4,pp
e
S
h
o City EAGAN Phone 452-6992 # of stories - arg
wc
?Q
4
D
C1 Plan Review
}C
e
C ..
Length
o Name PANELCRAFT Depth Rorch 12x14 sac
city
t ,
o
Q Address 3118 SNELLING AVE S S.F. Total -
, SAC, MCWCC
? City MINNEAPOLIS Phone 721-6628 S.F. Footprinis -
Water Conn
On Site Sewage _
W W Name On Site Wen - Water Meter
s? AddfBSS MWCC System
u Z Acct. Deposit
¢w City PhOf18 CiryWater -
rmit
S/W P
PRV Required _ e
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correcl and agree to comply with ali applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee ???`? T?• - APPROVALS Road llnit
A Building Permit is issued to: PANELCRAFT Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council - 50
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. gldg pK, _ .
Copies
Building Otficial /?Id?{SIl f 1.D,tlQ? ? Variance - TOTAL 104.50
S (J REQUEST FOR ELECTRICAL 111?SPECTION EB-O°°°' °4
41 ' See instructions for completing this torm on haek of yellow copy.
.,C? "X" Below.Work Covered by This Request
Add Rep. Type of Building Aopliancea qired Equipment Wired
Home Range Temporary Service
Duplex Water Heaier Lightin,y Fixtures
Apt Building Dryer Electric Heatin
Comriercial 81dg. Fumace Silo Unloader
Industnal Bldg. Air Coriditioner Bulk Milk Tank
Farm Othur SpecMy Other ISpecftyl .
t r (Specify Other Other
ompute lnspection Fee Be%w
M Fge ServiCeEMranceSize k Fee FeedersBu6leeders N Fee Circuits
0 to200Am 0 to30Am s Oto30Am s
Above 200_Amps 31 to 100 Amps 31 to 100 Amps
U . Swimming Pool Above 100-Am Above 100_Amps
Transfortners Irriyation Boorr.s Partial:'Other Fee
Sigis Specialinspection
S 30 50 TOTAL FEE
R¢?rks • /
Wiv?c am{m#%iv?e? ?nn1 ?1 /d / f ! ?n "?
?.. ...
p, 1, the cvi 1-
I insoector, herehy
Final . - ' Date '-rtitY that ti?e above
^ _ & 16 ? ?nspection has baen
mada.
void 18
This request void 25-
18 months from
B?.?., 1 L?- 5 ? 3 G ? Q 3 ?• d°
1Request Da[e Fire No. Rough-in Insnection
7?23??g Nequired? ? ?Ready Now Q Wi II Notify. InsVec-
Ves No lor When Fleady
g) Licensed Electrical Conaactor 1 Rereby request insDeation of above
? Owner elecRical work installed at: .
Street Address, Box or Route No. -
'ARriQ Ciry
la • owns ?p ame or o. Range No. Coun
Dakota
occuoaot (vRINn vnooe No.
Dale Baldwin 452-6992
Power Supplier Address
s n/a
Electrical Contrar.mr (COmparW Name) Cuntracmr"s License No.
NormanDale t c Co. -04 '
MaGling Address (Contractor or Owner Makfng Instailation)
Author ignature Contra r. kmg Ins ' n Phone N
umbet
t
' 644-0655
? THIS INSPECTION HEQUEST YYILL NOT
INNESOTp $TpTE 60ARD OF ELECTRICITY
Griggs-Yidway 81dg. - Hoom N-797 BE ACCEPTED BY THE SiATE BOARD
7ffi7 Universily Ave., St. Pgul, 61N 55104 UNLESS PROPEN INSPECTION FEE IS
Pho..n 1612) 287-2111 ENCLOSED.
This requfst void 18 months from
74/ :P y;Z >,eZ
r 64434
Date of this Request??(fi?
I, as A Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: :::57 -d3 ::? <?,, "4b /,-,
St'reet Address or Route No. 3Q),Ci cf ?Ltn1].0 CityT,?
Section Township Range County ?,e'A
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier I,JCQCfStC,,- fJ QC*?2-1 (- Address ?T&t[]???f
Electrical Contractor???1 ' t )(?a.q clp- I-C, Contra t r's License No-?(-C
. , (Company Name),
Mailing Address
Authorized Signature
nnaanauu?q
Phone No ?rG`- 77??
NW Ll ? ? ???? ??ply
This impection request will not be accepted by ffie
State 6oard unless proper inspection fee is enclosed.;
mmnesota 5tate tsoard ot tlectrlcity
195¢ University Ave., St. Paul, Minn. 55704-Phone 645-7703
---'REQUEST FOR ELECTRICAL.INSPECTION
CtfECK BELOW WOItK COVERED BY THIS REOUEST
_,6t? e7ca ? ,e
? 64434
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For
Home ? ? Range ? Tempocaty Wiring ?
Duplex ? ? ? Watet Heatet ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryec ? Electric Heating ?
Cnmmercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionet ? Bulk Milk Tanic ?
Fatm ? ? ? List List
Other ? ? ? ?ehecs? OHehers?
COMPUTE iNSPECTiON FEF. RF.LOV1171 r-x -, ?
Service Entcance Size: # Fee F S er : ee Circuits: # Fee
0 to 100 Am s. 0, 30 0 to 30 Am eres
101 to 200 Amps. 31 0 10 mpe' 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControl Circ. Pa:tial or other fee
Signs Speciat Inspection Minimum fee $5.00
Remarks
TOTAL F Q? o?
; J
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
the v inpection has been made.
Date - .7-
? a 7pate 4?.;7 -{->
? 465?4?
?
L
;
Request Date
?J Rou9h-in nspection
ired7 `/?
O Ready Now ?II Notiy Inspector
d
?
es ? No When Rea
y
icensed contractor ? owner hereby request inspection of above ele ' I work at:
oh Address treel, eox or Route No. Cily
?
Section No. 7ownship Neme or No. Range No. Coun
1 1
OccupanlIPR? s ? Phone No.
u-"'
? ' ??_?c-1?'_ "v -..? v `_-'
Power SUpplier Adtlress
Electrical me)
acYOf (Com an Na
.. Conlfactof§ License No.
? '
. D J J??
Mailing Address (Contractor w Own aki g InstalialionJ
5 z)
Authorized Si ne ?e (Contra4lor/O/w?ner MakInstallatio
Y- )
I
Phonem^ber / /r
/ ? -V/'E! ! ?
NIINNESOTA STA7E BOARO OF ELECTRICfTV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Room 5773 BE ACCEPTED BY THE STATE 80ARD
1821 UniversiTy Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCL0.SED.
REQUEST FOR ELECTRICAL INSPECTION
? See insUuclions for compleGng this farm on back af yellow copy.
r, 4 ?_*0 71 `X" Below Work Covered by This Request
Q
ew Add Rep. Type of Building AppliancesWired _ EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speci )
Comm./Industrial Furnace V?e
Farm Air Conditioner
Ot r(specify) k76i Cofriracfor5 Remerks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 Amps e 100 _ Amps
S19f15 Inspedor5 Use Only: -7 ' 7'pTA
Irrigation Booms
?
01
Special Inspection
Alarm/Communication
O[her Fee
I, the Etectrical Inspector, hereby
if
h ROU9h-in ? Date
y t
cert
at the above inspection has
been made. Final
OFFlCE USE ONLV
?
This requesl vob 18 months from
? 2006 RESIDENTIAL BUILDING rExMIT PLICATION
City Uf Eagan ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction RepuiremenGs
3 2gistered site surveys sh6vring s9. ft of bt, s4. ft ot house; and all roofed areas
(20 ;b maicimum lot coverage allowad)
7'copieg"of plan showing beam R window sizes; poured faund design, etc.
1 sei of EnArgy, Celeulatiais
3 copies ? Tree PreServatian Plan if bt platted afler 717193
Rim.bist Dft} Options selectlat sheet (huik5ngs witli 3 or less units)
Minnegasco mechenical ventilation form
Remode.VReoair Reauirements
2 copes of plan ahairin9 tootirngs, heams, joisfs
1 set M Energy Calwlations for hrated addi6ons
1 site survey tor additions 8 dedcs
AddNon - iraAcate if on-site sep6c system
Telephone # (
Date jD-/ \R truction Cost
Cons
Site Address y??? ?C] G `
?? L\ Y C,\ Unit/Ste #
Deseription of Work
?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 2
Property Owner---->A A
Telephone#
r\
?
Contractor
? A= S
Address .. ,?.
City
4
a
Stete LrNLve-N c?
ZiR ?( Z.._ TetephoAe
'7Li lr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy Code CategOry . Residential Ven[ilation Category 1 Worksheet • New Energy Cnde Wor9csheet
(J submission rype) SubmiUed Submitted
. Energy Ernebpe Catculations Submitted
In the last 12 months, has the Gity of Eagan issued a permit for a similar piqn based on o master plan2
! Y _ N If yes, date and address of master plan:
Licensed Plumber
FR)
Mechanical Contractor nrr n 1
- ??
*
?-?-a--0["]?
" 7 L
Sewer/Water Contractor
Oifice Use Onlv
Cert of Suney Recd _ Y_ N
Tree Pres Plan Recd _ Y_ N_
Tree Pres Requirel _ Y_ N
On-site Sep6c System _ Y_ N
I
Telephone # ( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complate 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 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 rec}uires a review and
approval of plans.
Applicant's Printed Name p icant's Signature
1
S 3 3 V?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq, fl. of Iot, sq. ft. of house; and all roofed areas
(20% maximum lol coverage allowed)
• 2 capies ot plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 777193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE '7 1 K- G
ch M
SITE ADDRESS La??'?? MULTI-fAMILY BLDG _Y IL?
TYPE OF WORK yr oPF vt- Y'e rGG FIREPLACE(S) _ 0_ 1_ 2
APPLICANT?t'? -
STREET ADDRESS
TELEPHONE # ?
??ELL PHONE #
PROPERTYOWNER TELEPHONE# S lJ ?J 1 1?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ bIINNlSO"C:112ULL;S 7670 CATF.GORY 1
(d submission type) . Residen[ial Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __. _____________
Plumbing sysccm includcs: Water Sottener
Water Heater
-- No. of I3aths
Mechanical Contractor:
V1cc}i<uiiral svstcm includcs:
Sewer/Water Contractor:
Phone #
Phone #
P'ee: $90.00
P'cc: $70.00
---°------------------------------------------------------------------------------------------------------------°-------
! 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 Ordinances.
Signature of Applicant ?? ??-
OFFICE U5E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
? T ?T ? ? ?_'_i-1
? .lU!_ 19 200?_ ; j
?
VALUATION !?-
u,a?STATE rm' ZI P ?:b_
FAX # 5S.? J31Q xcl ??V
M1NNES07'A 12ULE5 7672
• NeW Fnr+rav -nAP WnrkchPd
Ptione #
Iarv?i Sprinkler
No. of R.I. Baths
Air Condilioning
_ Hcal Recovery Sysletn
RemodelfReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior addifions 8 decks
. Indicate if home served by septic system for additions
Updated 4102
19$9 BUILDIRG PERKTT APPLICdTION
CTTY OF EAGAN
SINGLE FAMILY DWELLIHGS
2 3ETS OF PL?N3
3 HEGISTERED 3ITE SUR9EYS
1 3ET OF ENERGY CALCS.
i ?
l+IDLTIPLE DiIELLINGS
2 3ET3 OF PLlN3
BEGISTBRED 32TE SIIAVEYS -
(CEECB iiITH BLDG DIQ.)
1 SET OF EAEHGY CALCS.
, I
COM8lERCIAL
2 SETS OF ARCHTfECt'UAAL
6 STHOCTORAL PLUNS
1 3ET OF SPECIFIC9TIONS
1 3ET OF ENEEiGY CALCS.
!lULTIPLS DWEi.LIMM RENT9L IINITS POR SAE.B UFT'S / UP IINITS
BOTEt ADDRESSES E'08 COFtM LdTS - COITRLCTOR/SOtiEOiiRER [S03T DESIGNATE WHICH 1DDAFSS
IS DESIRED. 190 CHAN6ES YILL BE AUAMM UNCE BUILDING PERMIT IS IS5i3ED.:
SEWER & 1iATER PEltNITT FEES AAD 1CCOUNT DEP03IT FEffi iTILL BS INCLUDED UiITH THE BUILDIN(3
PBRHIT FEE. PROGESSING TIME FOR SEWER ?AD W9TEA PERMITS IS TiiO DgYS ONCE A PERMIT BAS
BEEH CONlPLETED INDIC9TIAG A LICENSED PLOlBEFi.
PENALTY APPLIES bIHENt PERMIT IS P10T PAID FOR IN 5AA9E A9061TH YT IS REQUESTED.
LOT CHINGE IS REQUESTED ONCE PERMIT IS ISSUED.
J U N 2 7 1989
00 ^
< o
N 1?°e2 7`t
To Be Used For: N611-1 3 505 c
w/pcr< Yaluation: Date: ?12 7/$ q ?
Site Address te0e3refv c CjR. OFFICE 05E ONLY
Lot 0-?i Block 5
Parcel/Sub C?PA1?? ?QavE ? ? 7? /?p?yrl.
Oimer Detu- 6?LprvW
Address '335'7 Loqe3fa&j?;
City/Zip Code LV4Cr1+•v , ?+qf
,
Phone Y5-Z 69Yz-
Coatraetor 4AA)L--Z(Yc'&Pi
Address 3118 S.J62,L(N6 /-?/& So
Citq/Zip Code MPcS hnJ 5-s-fd6
Phone '2 Z/ 61?2?
Arch./Engr.
Address
City/Zip Code
Occupaney ? ' -?:'
Zoning
Actual Const
Alloxable
# of stories
Length X3o
Depth PO'RCH 12 -A1 q
S.F. Total
Footprint S.F.
On site aewage
4aa site vell _
MiiCC 5ystem _
City water _
PRV required _
Booster Pump _
iPPROVAIS
Planner
Council
Bldg. Off.
Varianee
4
FEF.S
Bldg. Permit O0%?
Surcharge e OJ
Plan Review
SAC, City
SACl MWCC
Water Conn
Nater Heter
Aect. DeposiL
S/W Permit
S/H Sureharge
Treatment Pl.
Road Unit •
Park Ded.
Copiss
SDBTOTAL
Penalty
iOTAL
Phone A'
?J ?- 1 ? _ :
?'- x??( ? l6 ? x yo = 67 7a
S? c?- = ?M? ?D
? ?? ??? ?
? w s ?
7 " . .
I ?
S ?
FP a?-,-?-T i I
? o' ficwl?=
SNI?rT
Ii?,?._r ?S?'?tJ = L.?F C`f!?.?J???
F.? (7
J
. _LocATioN clv si
1
?
?
. ?,
nnTE
HUILDITQG PERMIT APPLICATION
include 2 sets of plans, 1 site plan w/elevations and 1 set of enerqy calculations.
To be used far ?/ /2,/ .4- G3a y, Valuation
Site Address ; 3959 /Dd'ft?ON f eg,
Lot ZS Block 3 Sec. Sub. Parcel Number /jJ 14-111 o"ts10 03
Owner Q rt // 1 nC Telephone
Address //>,POtJ Tqe/w/. ,,tb
Contractor ?r?„a r
Address
Arch./Eng.
Address
Telephone
Telephone
OFFICE USE
Erect
Alter
P.epair
Fstilarge
Move
nemolish
Grade
Occupancy Z
Zoning ,(• ?
Fixe Zane ?
Type of Const.
# of Stories
Front
Depth 2 9
OFFICE USE
Date of Approva2 & Znitial
Assessment
WaterJSewer
PoliCe
Fire
Eng•
Planner
Council
Rldg. Off.
A.P.C.
FEES
,fv
Permit /,lvo
?
Surcharge 1 O ?
Plan Check
SAC SDD -
Water Conn. 2 CD ~
7?nqr?r?"
c9at?t' er •'
1.f
TOTAi.
C?
%. .
LoT 25 BLOCK 3 , cr-DAJZ GZovc uo. Il
L,, ? o- ?noT¢5 u?D?1 monum¢n? ?Xp/ ? .
Q?
t herobr u•tify thal this b s tru• awd corr.<t .opr•s.ntaNon ef o surv9V ol t6• 600nda.ies e/ Ih? abo
descrihed lan?, ond o/ /h6 ioisNon ol oll bwlldiwyb, Ihereon, and all vistbl• •ncroaaAmeMs, f1 wwYr Inm M wM . ,. ,.
sold I6041.. b brrroy*d 6y mo fbis?dwy o/ (5C_i. A.O. 10?. . .. : .
SU(tUR6AN IE1y. 61NEERiNO, INC.
?
, _..,. . _ . _ . _ _ . r .., , ,
_LEtr,MURPHY TMOMAS NEDGE9
MAYOR
^
CIT' ADMINIBTRATOR
\ q ?? •
ALYCE BOLkE
THOMnS EGAN CITY CLERK
MARK PARRANTO "
` JAMES A. SMITH CITY /?
E
AN
'
O'F
TNEODORE WAGNTER _ /.-\V
'?
`s
COUNCIL MEMBERS ... ;_
'S,.... .. .. .?? . , ti
4h_?t
j?
August 25, 1978
?r. . _.
Mr. Brad Harris
. 3859 LodPG+onP firclP
Eagan, MN 55122
RE: Drainage, Burm and Landscape Timbers
Dear Mr. Harris:
It seems that you are unaware that the City owns 13.5 feet of green area
behind street curbs. This is for snow stosage, utilities, etc: Various
City Ordinances make it illegal to change grades or to build any structure
in that area after the developer has set the grade to the engineer's
specifications.
Yo.u have also disrupted the overall drainage plan for the south side of
Lodestone Circle. You are also creatinq a water problem for yourself in
the event of heavy rainfall or snow.
I trust you will remove the burm and landscape timbers from the City
right-of-way, and if you do rebuild it leave an opening for water to drain
east to the City curb. ?
6incerely,
zAe;:?
Dale S. Peterson
Building Official
D6P/ds
cc: Tom Hedges
.Bill Branch.
THE LaNE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
c
Q VQ?C?
?
1985 BUILDING PERMIT 6PPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY UF EAGAN
INCLODE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
IZ,cxJO-?-
To Be Used For: <-?A?/-?'n?yD Valuatian: 36?-- Date: 7' /S- SS
Site Address; pQgSTDeE' ? OFFICE USE aNLY
`/'? ? J
Lot: ?'> Block 3 Sect/Sub-??Oy' jj Erect X Occupancy
Remodel Zoning
Parcel # Repair Type of Const
Addition ?? of Stories
Owner ?/a,???? Move _ Length
Demolish Depth ?
Address Int.Impr. T Sq Ft
Install
City/Zip Code
Phane (R ?j Cl't
Contracta-r(LF? ?i p
Address
City/Zip Code
Phone 49 8-/
Areh./Engr.
Address
City/Zip Cade
Phane #
APPROVALS FEES
Assessments Permit °i Z.
Water/Sewer ? Surcharge
?
Police Plan Review ?
Fire SAC ?
Engr Water Conn
Planner Water Meter
Council aad Unit
Bldg Off /m Treatment Pl
APC Parks
Variance Capies
TOTAL ?5?p
1 Copy: Office
2 Copy: Ciew Chief
3 Copy: Wunicipality
4 topy: Customer
t11rlW)C)?
CREW CHIEF
Equipment Needed
O Back hoe ? Bob Cat
b Cat R Truck
0 Snow Fence Cl
Inspections Contract
O Walis
? Plumbinp
O Footing
? Befae Backfill
? Other
n
rimong?
St. Paul Business Center
245 E. Roselawn Ave. • Suite 29
St. Paul, Minnesota 55117
DATE
MOME P110NE
i
WORKPMONE
ZIP COOE
DIRECTIONS
„
Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" varian
EAGAN
RE ED
BY
DATE ? ( 'S • ?
O Mark location of fllter anlor heater by (412). ? Elevation lrom Iocation marked "A" in dlapram:
? Show tvpe and location of slide H applicable:
? Indicate deep end by (X). 4? % %"-
? Doea Customer wish to retain any or all dirt from pool D Location for disposal of dirt:
excavation:
O Will any obstructions be encountered - such as trees, ? Prestige Paol & Patio recommends that customer install
clothes poles or powerlphone lines etc.: (Aa soon as possible followinp pool construction):
?J U 1. Rafn putters adjacent to pool
2. Reteining wall where diapramed
3. Run off control or dralnffeld
''' CUSTOMEfi ALSO UNDERSTANDS 8 ACKNOWLEDGES THE FOLLOWING '''
Some damape may be done to the yard and/or driveway enterinp and leavfng the yard durinp construction: Intlal .
Customer assumes responsibllity for electrical wirinp and proundinq of the pool (Includinfl permlt if required): Initlal .
Cusomter assumes responsibflity tor the gas installatlon of heatar If applicable (Includiny permit if requlred): Inltlsl .
If debrfs, structures, or substance forelgn to normal aoll ahould be encountered whlle excavatinp whlch requires abnormal
handllnq and/or disposinp - Customer shall aesume responalbility If any extra costa are Incurred. Intlal .
If you wish to chanpe: filter posltlon, slope of land, or anythlnp elae atated In thls outllne, please call our offlce -488-8728.
Crew chiefs are not authorized to chanpe anythiny on the job or meke eny promisea for work to be done by them. Any Chanyes
that are not authorlZed by the office wlll ba charped at,# standard e- no exceptlona.
, ,,
Prestipe Rspraisntative Sipnatura Cuatomer SlpnaWre
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119336
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 3859 Lodestone Cir
Lot:25 Block: 3 Addition: Cedar Grove 11th
PID:10-16711-03-250
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements 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 $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Dale Baldwin
3859 Lodestone Cir
Eagan MN 55122
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170832
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 3859 Lodestone Cir
Lot:25 Block: 3 Addition: Cedar Grove 11th
PID:10-16711-03-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Dale & Susan Baldwin
3859 Lodestone Cir
Saint Paul MN 55122--165
(651) 452-6992
Kulla Heating & Air Inc.
PO Box 77
Lakeville MN 55044
(612) 919-4367
Applicant/Permitee: Signature Issued By: Signature