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3804 Lodestone LaneCITY OF EAGAN Remarks Addition ?EDAR GROV # L'ot ?4-g? Blk I Qwqer Street iUZ42?4 i State 1/ --7414- ' J, Ye; I _ 12 _ I') ? L.fJ_ _/J fyl f.<" 1 I h '..C? J Improvement ? Date Amount Ann I Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATEF LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK I CITY OF EAGAN OwraeraLf.?' ? /r"Street 380L,,. -? Lu?_? E_ PXrf? . c7AS' tv Lot 4 Blk ?Lodestone Improvement ate Arnount Annual Years Payment Receipt Date STREETSURF, . STREET RESTQR. SB ? 1275 261,6 2 ,?6 26.16 2.91 10 10 GRADING SAN SEW TRUNK 1968 40 30 jpSEWEF LATERAL 1975 . WATERMAIN WATER LATERAL J El 1 12 ':00 ? .` 3 WATER AREA 1973 1-2 ,( 8, 3\ 1 w-tr lat & stubs 197 STORM SEW TRK rJU 7 97, 33 •76 1.67 2 STORM SEW LAT //(? ? 22,37 1 ,11 20 - - ,ijr ,, , 1 197 2 .39 3. CURB & GUTTER - SIDEWALK .- • 56.28 STREET LIGHT WATER CONN. 20,00 8907 BUILDING PER. snc 7 .o0 907 9- -73 PARK CITY OF EAGAN Addition Vea3I' Owner,A ,? 1 <%z'?- ?be, 1- A C,,tu Remarks Street I??VrAf F. ?'?-1fa ! 22 Improvement Date K Amount Annual Years Payment Receipt Date STREETSURF. 1971 261.6 26.16 10 STREET RESTOR. 40 SB 1975 \ 9.0b 25.91 10 GRADING SAN SEW TFUNK 1968 2.00 3E SEWER LATERAL 1975 . WATERMAIN - WATER LATERAL 1973 12 ,OO OO WATER AREA 1973 129.56 8. b ' 1975 - 5 STORM SEW TRK 1971 3. 1,67 20 STORM SEW LAT 7VA 1971 2?.37 - 1.11 4-22-77 -1// 1976 -20-,39 3. CURB & GUTTER - SIDEWALK f 1978 . ,28 A010203 5-21-81 STREET LIGHT ' WATER CONN. 320.00 8907 9--4-73 BUILDING PER. SAC ,00 8907 -7 PARK CITY OF EAGAN Remarks Addition CE(j.1T Grove #12 Owner '? , Street t??r14.; . ? Lot 6 Rlk l 'vii /o f)f. `?• L?'r, ?' Sc,// 3 22 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 261.6 26.16 10 78•53 3914 4-22-77 STREET? E&T,QA. &SB 197 259•06 ' 25•91 10 H• 1 4-22-77 GRADING SAN SEW TRUNK 1968 Z OO 30 • - - SEWER LATERAL 1 99:59 ' WATERMAIN WATERLATERAL 1973 ?QQ 1,Q 3 WATER AREA 1973 ?29. $ 3 1 Wtr lat & sLUJ& 1975 5 STORM SEW TRK 7-111111 1971 33.56 1. 7 2 86.41 STORM SEW LAT 1971 22.37 1.11 20 14. . 3 9 .3. CURB & GUTTER - SIDEWALK . • 56.28 A010204 5-26-81 STREET LIGHT ? ? WATER CONN, 320.00 8907 9-4-73 BUILDING PER. sAC 373,00 8907 PARK CITY OF EAGAN Addition C2C13T' Grove Remarks oWrter ?la?9 Z >^-J Street _380y$Lodestone 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?. 71- %1(? 26.16 1 78 •$ A003915 - - STREET RESfi?fi. 1975 2 .06 2.91 0 ' GRADING SAN SEW TRUNK 1 68 2. 30 40.09 A003915 -22-77 SEWERLATERAL 1275 199.22 A003915 4-22-77 WATERMAIN J; WATER LATERAL 1973 120- OO : 1 'OO WATER AREA ? 8 1 1 STORM SEW TRK 1 1 1.6 20 86.41 A003915 -22-77 STORMSEWLAT 1 1 1,11 20 14.60 A003915 4-22-77 Aar 1 6 .6 161.00 A003915 -22-77 CURB & GUTTER SIDEWALK • 56.28 A010205 5-21-81 STREET LIGHT WATER CONN. 320.00 8907 9-4-73 BUILDING PER. sac 375.00 8907 9-4-73 PARK 145C?0 Ea an,r?r 55122 Owner ? Street .. ? State g Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATEFiMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAFi K IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: FII . Ool: PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: ti urI t,I af+ 02 <±,n4 !:'1LI/Ar, APPLICANT: , ,y ; ,00 TYPE OF WORK: i+Frnr? ( R+,Or rNe i F`? s. C R I E' 'F 14) N INSPECTION .. • .• Permk No. Parmk Holdx Dab TNaphone # ELECTRIC PLUMBING HVAC Inepactlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING Q "?V ROUGH PLUMBING PLBG AIR TEST ROUCaH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL DAY/DATEs --? ADDRESS: TIME: _ ETG _ FINAL HTG. _ DECK FTG. _ FINAL PLBG. _ FOUNDATION _ FINAL/C.O. _ FRAMING _ FINAL/DECK _ ROOFING _ ADDITION _ INSULATION _ FIREPLACE R.I. HTG. POOL _ R.I. PLBG. GARAGE Ar OTHER RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB RDN 55122 ' 651-681-4675 NewConstructionReauirements RemodeilReoairReauirements • 3 registered site surveys showing sq. fl. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system (or addilions • 3 copies o( Tree Preservation Plan if lot platted after 711193 • Rim Joist Delail Options selection sf?eet;bldgs wilh 3 or less units) DATE A / ? JOB StTE ADDRESS .?CSv ( IF MULTI-FAMILY BUILDING, PROPERTY OWNER? TYPE OF WORK.?? APPLICANT ?,27Ar ADDRESS PAGER # /f/ Ci D r- FAX # ZIPCODE?? ? NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumhing System Includes Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # ree: $90.00 I+ee: $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 Statutes and City of Eagan Ordinances. ? i %1 r Signature of Applicant Gertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ VALUATION (EXCLUDING LAND) /C? W?r ? CECL PHONE # Water Softener Water Heater No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning _ Heat Recovery System F!RE?LACE(S) Updated 1/01 VILLAGE OF EACAN WATER SERVICE PERMIT 379Tiri7oi-:,%o6 Road PF.HMIT NO:: 1293 Eogon,MN ssin nn'rE: _ 9//5/73 "l.uning: R-4 No. of Units: 4 Owner: CCC1dY GrOV@ OflBtriiCtlOn C Address ? / ?, 38 Site Address: 3804 04?C, 38048, 80 4A Loestone _--------_---- Plumber: St@1r1'8 Meter No.: Connection Charge:1280.0"d 4ize Reader No.: ----------------- 1 ogree to eomply with tha Villaqa ef Eoyan Qrdieanaas. Hy llate of Insp.: Accuunl Deposit: Perinit Fee: 10.00 pd_ Surcharge: .50 pd Misc Chazgea: Total: - I)ate Paid: Insp.: - SEWER SERViCE PERMIT VILLAGE OF EAOAN 2065 3795 Vilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: 9?5/73 R-4 Zoning: No. of Units: 4 Cedar Grove Owner Construction . Address: 3804D 3804Cr 3809B, 3804A IAdestone Site Address: ber: St@in' S Pl um 1500.00 Pa 1 agrea to comply wiM t6a V ? illaga of Eogan Connection Chazge: Ordinancos. Account Deposit: 10.00 pd Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 3 ? 1- ?r- 6 - 7 b ' ? l?J' ff9' . ii ?' ? . / 'd?? U EAGAN TO N 5 H I P BUILD NG PERMIT N? 2588 Owner -??....?L?6k-.-? - .._-.°-- ao.•••----•°---- Eagan Township Addresa (Preseni) ............. ...... Builder ........ ........ .' Address ................................... Towa Hall D a t. . . . . ? . : - .... ?. . r. .- ... 71 1 ........ DESCRIPTION Stories To Be Used For Fson! Deplh Heighf Eat. Cos! ermi! Fe Ramasko ?? ?`? ?• I ??? ?? LOCATION Slreal, Road or olher Description of Location I Lo! Block Addition os Tsae! ? - - - - ? - ?? ' /? ?C'' / J" , `? This permit does aoY aulhoriza the use ot slreeis, roads, alleys or sidewalks nor does it give the owner or hSs agen! the righ! !o ereate anp siLuation which is a nuisaxice or which preseats a hazard !o the heallh, safety, convenience aad geaeral welfare to anpone in the eommunitp. THIS PERMIT MUST BE H PT N/ T?HE PRE SE HILE THE WORK IS IN PROG E.S-S.. J This is fo certifp, lha3....--L?? _.... ..has permission !o erec! a....?.1?... .._.._:z?`'%..?..?..w..'..??_.?.._upon !he a des ibed premise u !!o !he provisiona of the B' ing Ordi nae or Eagqa, To s' pled April 11, 195 '. • ????? • /?? ? -•..._ .. . . ...... ....... ...••••••... Per . . .......... .._.... ?? ..... . ......... . .......... ................... Ch man of T?wn Soard BuildlnQ Iaspeclor ("T-iY Or Ei-?GAN ?-,• .. ?,, ? , :...?:?.?.?.....? ;;. _..?_..,.. r,? t .. ih t? £?, i ?s.il 1?l ._:`.1 ... i,. ? ._ ,JI.::: ..., ...i ,i...t.•,:. ??.... :,_.. . TATE: 00i ,' 96 UI'l,Q iWAG04' ..rr , _?r, '.r.._o '?..?`..?.i...?l''? ?::.:\2 ?r.. ?::.il.?.?.?1't? j r _. ......:....?.l ?. 3804 ..... . .. ? ?.j)_?i::?:i ? ?:`? C. . ^f? ?L?;.'.. f -:t .... .'.. . . 300 r,-:if'?1. ?._? ?.'... C.,. _ ., . . " .. .... ,...J_:('i.. ..:(J_: ?_..... ..?..: 51:5 .,..t:...;1) 'ii;i:?l:i'L.?!. I"Ii.i.:?.?'?O.:: 35. .._ -?:i;?l•,.? - .'r `+ ._ _ ... ... .u .1,: NANCY ..': . . . .. ? . ?.. .. / Tfvf(...?.r?i::?. .. PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 4 4 (612) 681-4675 Date Issued: 1 Z/ 17 / 9 6 S9TE ADDRESS: 3804 I.ODE570NE LANE LOT: 81 BLOCK: 1 CEDAR 6ROVE #12 P.I.N.: 10-16712-051-01 DESCRIPTION: (ROOFTNG) ermit Type T y p e 5F (MISC.) REPAIR 434 ALT. RESSDENTIAL ? ? 6-1 y a? ?? a ' REMARKS: FEE SUIVIMARY: - VALUATION $1,000 Base Fee $34.75 Surcharge $.50 Total Fee •$35.25 ? ? CONTRACTOR: - Applicant -- 5T. LIC OWNER: HORIZON ROOFING 16903900 2001279 HOFF DON 1333 LARC TNDUSTRSAL BLVD 1903 STLVER BELL RO 0110A1C\/TI i K mni s?R ';? 7 EAGAN MN 55122-3116 APPLICANT/PERMITEE SIGNATURE ???? ?A'Ai rn? ISSUEDBf. SI ATIJR Xq344 New Construction Reauirements ? t ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 3 registered site surveys 2 copies of pfans (include beam & wlndow sizes; poured fnd. design; etc.) 7 energy calculations 3 copies of tree preservation ptan ff lot platted after 711193 required: _ Yes _ No DATE: I o2-a-r9 u DESCRIPTION OF WORK: RemodeURenair Reauirements ? 2 copies oi ptan ? 2 site surveys (exterior additions 8 decks) ? t energy calculations for heated additions ? . 0 CONSTRUCTION COST: q/o' ? STREET ADDRESS: LOT BLOCK { SUBD./P.I.D. #: PROPERTY Name:? Phone 4??a -,?6' C) UsFIl15t owNER Street Address: 1903 Slv er' PO-e-k ? City: a? State: M /() Zip: -3 //6 CONTRACTOR Company: ?'lDl?I?Oiv ?4?°f'??A Phone#: 39,0'395b Street Address: License #: a00 J a1 City: State: ? ZiP: 575-33 ARCHITECTI Company: ENGINEER Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. State: ? ?Zip: Penalty applies when address change and lot 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. . Signature of Appiicant ? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No _ Yes _ No Phone #: Registration #: C;]:I"Y 01= EfiGAN r.:ASF{:f.EFte J:, lERtfi:CNA!_ N(:l^ 748 DA'T'E: a 08/30/99 'i :LME: i.:1.:3044 II7 ,; i.AME: f-li:!I;7:"L.ilN F.::X-fE'k':I:C]RSy l..i...C: :ic'i.(] 90::I1 3804 I._OL!C:S70N1= :1:39.25 27.:.5,:, ?, <?UL:1. ;38O?F I.,C?DLS:#7nti!1? 3.50 (:) rn'i:a:L Ret.'.e; pt, AmciuF,t a W.75 CF?:1.Wa'i LJSicli .CL!e :.lAN yk7Y;R? ,?'M?F>X"??'Xt.`;sk!vF?>k:: ??$Y?>;:YFg??gh ?R?%?>';7;tn.Y,??k;X:;k?k?';;b ?? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN S? ? 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshuction Reaulremenfs ? 3 reglstered sRe surveys showing sq. M. of lot, sq. B. of house and all rooied areas (2074 maximum lot coveraae aliowed) ? 2 coples of plans (show beam R window sizes; poured ind. design; etc.) ? 1 set of energy calculatbns ? 3 coples of kee preservation plan iF lot plaMed aNer 711193 DATE: Remodel/Reoair Reauhemenh 2 copies ol plan 1 set ot energy catculattons for heated addHlons 1 sNe survey for exTedw addiHons 3 decks CONSTRUCTION COST: . , DESCRIPTION OF WORK: ? ? STREETADDRESS: ?9044 LLd Q skane 'LaXs-i ? ` ' ""l LOT: 0?a i BLOCK: I SUBD./P.I.D. U lJ --c? I 7-- ? Phone#: 105?^ Name: PROPERTY Last Pirst OWNER - ^, ? ? 7<} V llr? tQ OV - J Sheet Address: m Iv Zi City EnQa n State: ? p: Horizon Exteriors Company: Phone #: - 1333 Larc Industrial Bivd. I (crea code) o 5 Burnsville, MN 55337 ; CONTRACTOR (612) 890-3900 ? a? i Street Address: -J License # ExP• City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Regishation #: City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new construction onlv): PenalFy applies when address chonge and lot change Is requested once permM is issued. 1 hereby acknowledge that I have read this applicaFion, state that the infor Hon is cortect, and agree to comply wBh all applicabl State o( Minnesota Statutes and Cfty of Eagan Ordinances. Signoture of ApplicaM: RECEIVED OFFICE USE ONLY AUG 2 7 1999 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BY: 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) . ? 3830 PILIOT KNOB RD • 55122 < =---? , ?L 7:) 851-681-4675 /?/?? i ?aI I g ° 1?¢w Conshuctlon ReaulrermQata fif ? r Remode /Reoalr Reaulremenh . 19??0"GO > 3 reylafered sIte wrveya thowiny aq. M. of bt, aq. tt. of twuae 2 copies ot pian and ga rooted areaa t20% mmdmurn iot covemae altowecfl 1 set of energy cmaddaflons tor heafed addlilans * 2 coples ot plans (show beam d window aizea; poured Ind. deslyn; efc.) t site survey for exdedor additlons & decks > 1 oet ot energy CalCUlqtlons > 3 coples of hee preaerv oHon picn H lot platfed after 7/1/93 pqTE; ?? r? (o / 1 b!?Q CONSiRUGTION COST: _ ?, t16 D9- DESCRIPTION Of WORK: PEPf ACAS?: ?f-E',,Y STREET ADDRESS: Lor. d ? ( PROPERTY OWNER 0 BLOCK: ? SUBD./P.I.D. #: o?Y' ro J2 ( a? Name: -Nn FF -DcN Phone I.Mt flat Street Address: (``j 0 1,?? E'ELL za Clty ?6A1v Sfate: 1?l 7?j Zlp:.??5_t-2-Z Company: S E c- ? Phone #: _ (area code) COMRACTOR Sheet Address: LiCense # Exp• City State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: Registration #: City State: Sewerlwater licensed plumber (if inataiflna sewerMrater): Plone #: Zip: ziP: I hereby acknowledye thaf I have reod this applicaHon, stafe that the information is CPI" and agree to comply all applicabie Stufe of Minnesota Staiutes and Cify of Eagan Ordinances. Signpture of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Recelved _ Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex X 18 Deck O 23 Porch (screened) 0 04 02-plex ? 10 08-plex ? 19 Lower Level 0 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. ? 31 Ext Ait - Muiti ? 33 Ext. Alt - SF ? 36 Multi woRK nrPE ? 31 New ? 36 Move Bidg. ? 43 Reroof 0 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 AlteraTion ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demoliticn permit GENERAL INFORMATtON SAC Code 01 # of Stories sq. ft. No. of Units d Length sq. ft. No. of Buildings 1 Width Footprint sq. ft. ? Const. (Actuat) Basement sq. ft. Census Code (Allowable) 5' Main levei sq. ft. MC/ES System UBC Occupancy 7- - 75 sq. ft_ City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS C] Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ? ? ?Zpo r ' Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies .5c) + •? 5'- Total: SAC Units % SAC ? ? V?,? sj?'? 5.69°59' S6"E. 2a1. a5 60 s?`?9 i \? ? I W 60 g ? or 3 3 ? !, ? ? I =• I? ? ?s I 1t9.10 s'99'S9'sc"E 94.00 62.00 w , v .f'?, e ij ? oo g h • '22.00 7 4i 54.00 e0 ? 9 ? O O ? h 40.00 54.00 94.00 n!d9's9'sc"w. ? \,? %ax \ ? 88 38 N 16.1r, 48 w NDi 1 , fV •a \ 1 ? , s s 82.0o B. s ?3 0p ? ?u ? 5 g o F ? J A s , O ? ? ? O ? ? ? C 'E. l s •Op > io•, o o0o F ?2 ? ?O _ o '-' 0o y . h . 0 ? ?? • ?n 13 N ? -1S0,00 - N.Bq° 59' 56" W. ?ou?l? line o(' Ulo? R, Cedar Grove N°-11 GZn?'c ; 11 . ; PivEa BECC ;o,W RECORD OF COMPI.AINT DATE : COMPLAINT TAKEN 9Y:_ N9ME: ADDRESS: _ PHONE N0. : -.--- ??1?}? . ?l COMPLAINT:---w " '?? `?,L-cc-c.}%?_ -G2? w?,.?s? ,!'.t?r-?.?? C«.-?I/• - ?°---- ?--- ACTION_TAgEN: ? CONASENTS: --- -- -- - ?? - _?- _ a? . ` _-_-`=-_-=-- TYPE OF BUILDING e - ---- ------- - ----- - - - - --? `?? ? - - ? -- -- - ----- LEG9L DESCRIPTIONtCgI}1d/?-_C?'L _ ---??" ?. ------- -------- --- I -- SIGNEDe 1 " Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I Permit city of EaI Permit Fee: l0~• 0 5 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: b140 I Phone:. 3 Resident/ Owner Address/ City/ Zip: 4- Applicant is: Owner Contractor LoL- Type of Work Description of work: _~iY~ Construction Cost: 0, Multi-Family Building: (Yes Z/ No I Company: ( ~~yj,Lll`C^ Contact: Address: D G rs -l J~y city: t Contractor State: L-2A.( Zip: r Phone: ~-16 61 ~n License & C n % Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 4 the information may be classified as non-public if you provide specific reasons that would permit the City to r 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.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. 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 Ll 7 Applicant's Printed Name Appli gnature Page 1 of 3 Use BLUE or BLACK Ink For Office Use Cityof Eaall Permit Fee. l/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 / /17_site Address: g 0 11.'4 dr 0-l! 1.-N Unit#: Name: NW d Tra'r\- Phone: L613?7 `'?77 174412 Resident/ O n L L d/ . LA! L` Ai►` JIk Owner Address/City/Zip: 3 � j Applicant is: Owner Contractor T e of Work Description of work- refair 6/ iety Construction Cost: 0 n Multi-Family Building: (Yes /No Company: Contact: Contractor Address: City: State: Zip: Phone:_ Email: ( I License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: { 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:I. 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-public if you provide specific reasons that would permit the City to I 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.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 approval of plans. Exterior work aut rized b ilding permit issued in accordance with the Minnesota State Buil•ing Code - t be completed within 180 days of ermit' an x -`. lic x AppPrinted Name Axp. -nt's Signature klr Wo Page 1of3 Use BLUE or BLACK Ink For Office Us`e :::: /City of Eaaall l 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspections(a citvofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: U 0 Lf- (�r�G >l e li N. Unit#: Name: NN O f Y� Phone: l ` ??4r 6 777 4 Resident/ _ Owner ~' Address/City/Zip: Li_ 0 6.?fin-.P r /, 4"-�/J Applicant is: (" Owner Contractor Type of Work Description of work: 0) 1/i 1,/ Construction Cost: a./ 0 0 0 , 9 U Multi-Family Building:(Yes (/ /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: 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-public if you provide specific reasonsthat would permit the City to conclude that they 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.qopherstateonecall.orq I hereby acknowledge that this irlforrtlation is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I underst nd t ' is not a permit, but only an application for a permit, and work is not to start without enntt,-fl-iat the work will be in accorda with t ved plan in the case of�ok wfiich requires a review and approval of s. �� Appli ant' ' ed Name Applican ' nature Page 1 of 3 11,1 DU NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) ((Miscellaneous 01 of_Plex Lower Level Pool Accessory WORK TYPES bray`rz f �.t (1-,; ' cf_I f?d 4,=1 New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window rjelNater Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour `}Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS Insulation Windows . Sheathing Retaining Wall:_Footings_ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower PariN6 Other: Reviewed By: , Building Inspector ector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use 411° �Cf� ) City of Eatan :::: �� (e 0 .� 3830 Pilot Knob Road Eagan MN 55122 Date Received: /b "l)'/ Phone: (651)675-5675 3 12 2W'1/ Staff: buildinginspectionsAcityofeagan.com L4._ 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10/10/17 Site Address: 3804 Lodestone Lane Eagan Mn 55122 Tenant: Suite#: Resident/Owner Name: Phone: Address/City/Zip: r / Name: Tiger heating and air License#: PC. 10(-433 9g' Address: 12448 Plaza drive City: Contractor Eden Prairie State: MN Zip: 55344 Phone: 952-942-5748 Contact: Jay (pf Ar,r\,0_ Email: mail@callthetiger.com Type of Work —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: replacing a T fitting with a Y fitting to bring to code RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type X Add Plumbing Fixtures( Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) 60.00 $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 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.citvofeaoan.com/subscribe. 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 . • -ns. XJenifer MorrisetteG�- � Applicant's Printed Name Applican s "4!"" ure - FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: r For Office AGA � � •11.00,40, E // 6I r Permit Fee: /y7 '""'°FIVE Date Receive•• �✓ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i- (651)675-5675 I TDD: (651)454-8535 t FAX: (651)675 '94APP 2 9 2019 Staff: 4 buildinginspectionse.citvofeagan.com BY: 2019 RESIDENTIAL BUILDING pE MIT APPLICATION Date: 147461/11 Site Address: 3 SOL-i- ` LoAE, y Lit\ Unit#: Name: 1 ' e Tv, 1-(0\n Phone: �a51- 3�� GI 37 Resident! / Owner - Address/City/Zip: Applicant is: Owner ✓ Contractor -3 Pciii 61eVi/6— k QQ �� p111q ! Q�-6•kat`n Description of work: okQUG,Y fly'' S .GLI'� v\ `1'hAl 5 ((;m �,v'0' 4il\11 5'1�n�• ex`,' ;� Type of Work J 5,ik‘,n. Construction Cost: 397900 Multi-Family Building: (Yes ✓ /No ) Company: 1, I e v6v '14 0'r �e r ov&k (1Y\ Contact: 1`� 1AvAnY�aG 1`Q�4` C r CLOT Address: ,"135 W. CoHtt�( 0\) 69 Q 6.4 I D City: tl\Q' Vt11Q i3nf a State: __1\1 Zip: "J J 1 1 9) Phone:7 -61( Jb Email: Gee ve`M ct. de n4 L J c�'tW`A•ir4V1\ License#: 6141-1-1.1 Lead Certificate#: NAT" 1 173Q D I 1 If the project is exempt from lead certification, please explain why: 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: 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 public if you provide specific reasons that would permit the City to conclude that they 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.citvofeagan.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.00pherstateonecall.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 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. ^'�- x rh�2 59VVA (k ' 2 ApPlicant's Prinfea Name Appi c is Signature DO NOT WRITE BELOW THIS LINE _3 Lndsz-516.-•e Com--, tc-c- 67 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous >/ 01 of Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation71ei Occupancy L, 3 MCES System Plan Review Code Edition ; „ ,t SAC Units (25%_100%_rk Zoning f City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ��✓✓�/ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill i HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final �( Framing `/30 Minutes 1 Hour Drain Tile �" Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Y Insulation Windows 56 Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / , Building Inspector RESIDENTIAL FEES tt Base Fee Surcharge rZ o 1 P Plan Review MCES SAC City SAC Utility Connection Charge (i S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3