3808 Lodestone Lane
Use BLUE or BLACK Ink
L
L For Office Use I
(fin I
Z I
City I Permit
~1 Ea I Permit Fee: f
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i staff: f
Fax: (651) 675-5694 I
2411 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: .3808 4-t- A- Lb d P e _LA PJq Init A-
Name: po ro -Ig G1"'v tfoI&- 01 . ~ i Phone: /,f/ ` &-7.4_-44y0,0
RESIDENT /
OWNER Address / City / Zip: 0 _A9 __A1 rz 29, 6A 6rN /V lKAl-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -A n.Q k~~ P&i?- AC- _P L°1C-"EfW'Z-AJ
Construction Cost: ft5-q9,20 Multi=Family Building: (Yes / No )
Company:__7~)//A CJ _q &---4440 Contact: /ietle -S) -d '?pum
Address: ✓^6e aOA) .4b
CONTRACTOR l E3 ~ Al _ city, 177,e(-s
State: /-)N Zip: !a 2 8 Phone: c,/-
License l 3 6 l X09)- 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
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wsww oopnerstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in cocformance 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.
x SfE,r-WF- d .1, VIe f-F F2 WYE/2 X
Applicant's Printed Name Applica s Sign re
Page 1 of 3
? CITY OF EAGAN Remarks 6:
Pcwtion Cedar Grnve #17 Lot 1 thTll 3 Blk 1 Parce
Owner Street,?.?o3l A:j° State si ".
? ?d F
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TFiUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STOFM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
.6k
CITY OF EAGAN Remarks Z
A:ldi[ion "?
owner /
Cyf' !"P/? ,%,?,- ??Gb
Lot ' Blk-
street 384dLodestone
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. S$ '1975 259•? 2•91- 10 • --
STREET F£S?. 1971 2 1. 2. O
GRADING'
SAN SEW TRUNK 1968 2.00 30 32.09 A010265 6-3-81
SEWER LATERAL 1975 99.59 5
*Wter lat & stu6?s 1975 5
WATERMA W
WATER LATERAL 1 1254.00 -4 1,O 0 3
WATER AREA 197-1 12 6 8.6 1 51.89 A010265 6-3-81
STORM SEW TRK 1976 268.39 .68 5
STORMSEW LAT - 1971 22.37 1.11 20 10.16 A010265 6-3-81
,j'
' 1971 33.56 1.67 20 15.19 A010265 6-3-81
CURB & GUTTEfi
SIDEWALK 7 938., 10 56.28
STREET LIGHT
WATER CONN. ZO OO 8907 9-4-73
BUILDING PER.
SAC -3 .? 907 - -
PAflK
OF EAGAN
Owner_Y".
Remarks
Street
_Lot 2- Blk
2,41_ . „? j -,1?2 ? / -; r4/_3<-
MN 55122
Improvement ? Date Amount Annual Years Payment Rece' Date
STREETSURF. Ab? 1971 261.6 26.16 1
STREET RE3?$R. S 1 2 Ob 25.91 10 77.76
010272
6-5-81
GRADING
SAN SEW TRUNK 1968 2.00 Q . 09 Q0102]2 6-5-81
* SEWER LATERAL 1975 99-59
WATER LATERAL JEW 1973 12.Q . O
WATER AREA 1973 12 b 1 51.89 A010272 6-5-81
* Wtr lat & stu 1 5
STORMSEWTFiK 1971 33-56l'- 1,67 15.19 A010272 6-5-81
STORMSEWLAT 1 1 1,11 20 10.16 A010272 6-5-81
19 . 9 53.68 5
-
CURB & GUTTER
SIDEWALK - - '
?R 10 56.28 A010272 6-5-81
STREET LIGHT - ,
WATER CONN. 320.00 8907 73
BUILDIN R.
SAC , .OO 8907
YATI K
CITY oF EAGAN Remarks Common Ground area not assessed TfjX EXZ?47 r'I-
Ajiditio<a... Cedar Grove #12 Lot 3 Rlk 1 Parcel 10 1671g 030 01
O?ner 7?/ L?/O Sfj reet State _ Ea'gan?MlV 55122
/??,Q??,
?-
Improve ent Date Amount Annual Years Payment Receipt Date
STREETSURF, /
STREET RESTOR.
GRADING
SAN SEW TRUNK
fl? SEWER LATERAL 1
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. - - -
BUILDING PER. l -
SAC
PARK
r CONTRACT PRICE:
I Site Address --` >''
Lot Block
?, Name
m Address - '
c City
i
PERMIT #
,
? MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 45I-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. f New
Mult. Add-on
Comm. Repair
Other
ione _
?
c Name
Address
p City - Phone -
TYPE OF WORK
Forced Air ? M BTU
8oiler M BTU
Unit Heater M BTU
Air Cond. M BTU '
Vent CFM
Gas Piping Outlets # FEE:
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00 ?
ADDITIONAL 50 M BTU - 6.00
?
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
MINIMUM
1 PER PERMIn - 1
50 EA
GAS OUTLETS
.
.
(
-
COMM/IND FEE - 7%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES ?
TOWNHOUSE & CONDOS - RES. iiATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
- REMODELS - 12.00
- MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
T. ?.a I ; ..' .:_? '.:; ; -
SAGNATURE-6F PERM1TTEE
/2-' " I FOR: CITY OF EAGAN
Ao
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I.?;:..Iuvil { Ahil fi; t t 11 1
!1 . . . •I .. !, ;t.! I
PERMIT,8UBTYPE: TYPE OF WORK: , i F? A i lt ?
I niMfis!<,??rr?rr/iA'.f rn
INSPECTION .. . ..
? i u r t ?
0
?
?
Permit No. Vsrmit Holder Date Telephone S
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
/
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsflt Test
Fnal Plbg. Pibg. Inspector-Notiiy Plumber
Const. Meter
Engr./Plen
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
'7/7 L 1 I , 12 iQ o 0
This request void 1 B! G; G
18 months from
Date of this Request June 30, 1981 Fire No. T261 75
I, as ULicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring instalied at:
3808 Lodestone Lane
Street Address or Route No. _
E agan
Range County Dakmta
Section Township
Whichisoccupiedbypakota County H.R.A.
(Name of Occupant)
Is a roughin Inspectiun required on this job? No)13 Yes ? Ready Now?E3 Will Call ?
Power Supplier Address
Electrical Contractor Corrigan tlectric Co.
(COmpany Name)
Mailing Address 3065 145th St. W. Rosemount
(Electr al Contractor or Qwne11
Authorized Signature p
Contractor's License Nop39549
h1inn. 55068
No. 423-1131
(Electrical Contr-a:Yoror Owner Ma This Installation)
?j 0 a s i?pection request will not 6e eccepted by the
?(J ??? R- Oply State Board unless praper inspection fee is enclased.
minnesoca atate aoara or u ecttiaty
Griggs Midway Bldg. - Room N791
1821 University Ave., St. Paul, Minn. 55104 - phone 297-2111
REQUEST FOR ELECTRICAL tNSPECTiON
CHECTC BELOW WORK COVERED BY TH[S RF,nUEST
EB-00001-02
2s(p l? ?
? 2 F; 175
Type of Building New Add. Rep. Check pppliances Wired Foc Check Equipment Wired Foc
Home ? ? ? Range ii Temporary Wixing ?
Duplex ? RJC ? Water Heatec ? Lighting Fiactures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating `?
Commexcial Btdg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List
) List
Othex ? ? ? p
}
HereISf HehersI
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fce Feeders&Subfeedecs: # Fee Circuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Ampa. 31 to 100 Amperes 31 to 100 Am eies •
Above 200 Amps. Above ]00 Amps. Above 100 Amps.
Transformers Remote Control Circ. Paztial or other fee •
Signs Special[nspection Minimum fee
Remazks
F-? ? a o
TOTAL F Q, ? o. 50
1
I, the?? ?1.It1 ??eby certif y at the b pe ipspection has been i?d?
(Rou in) Date -- ^
(Final) ' _ Date " y'45?7
This request voic
18 months from
1I4Ll.Tr1"F EAOAN SEWER SERVICE PERMIT
3795 Pilot Kno6 Road PERMIT NO.: 2064
Eagan, MN 55122 DATE: __9/5/73
Zoning: R-4 No. of Units: 2
Owner: Cedar Grove Construction Co.
Address:
site Address: 3808A & 3808B Lodestone
Plumber: Stein's
I agree fo comply wifh fha Village of Eogan Connection Chazge: 750. 00 Pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surchazge: • 50 pd
By; Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
VILLA6E OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: I291
Eagan, MN 55122 DATE: 9/5/73
Zoning: R-4.- _ No. of Units: 1
Owner: gr Grove onstruction
Address: a-/
site Address:3806A Lodestone
Plumber. SteiA'e
Meter No.: Connection Charge:320.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
1 agree to comply with tho Village of Eagan Surchaige: .50 pd
Ordieaneos. Misa Charges:
Total:
Hy Date Paid:
Date oF Insp.: Insp.: -
VILLAGEJF EAGAN WATER SERVICE PERMIT
3795 Pilor Knob Road PERMIT NO.: 1292
Eagan,MN 55122 DATE: 9/5/73
Zoning: R-4 _ No. of Units: 1
Owner: CeddX--QTOV@ COIIBt=l1Cti0i1
Address: ---
Site AddreJ808H LOdestone
Plumber: Stein' S
Meter No.: Connection Charge:320:00 pd
Size: Account De
posit:
Reader No.: Permit Fee• 10.00 pd
I agree to eomplr wifh ihe Village of Eagon
Ordinoncea.
By
Date of Insp.: -
Surcharge: .50 pd
Misc. Charges:
Total:
Date Paid:
Insp.:
?
?EA?;AN TI? iNSHIP
BUILDING PERMIT
Ownez .....??I?l?..--??..':?.'.:7..-----•-?-?-••-•
Address (Presenl) ..... .......... ...................°--°°-----°°----.......•---°----.....
Builder .._...... t - ------------------------------------------- -.......... ..........
Add:esa ..-• .............................. -...........................................................
DESCAIPTION
11T° 2587
Eagan Township
Town Hall
Date ........
5tories To Be Use or Fron! Depth Heigh! Est. Cos! Permi3 e Remarka
I ?? ?
I
I
olTf A??
?? 'C1 I
17
LOCATION
Street, Aoad or oiher Deaeription of Loaalion I Lo! Block Addi3ion or Trae!
Th1s permit does not authorise the use of slreefs, soads, alleya or sidewalks nor does it give !he owner or his agent
the righY 2o ereale any sifuation which is a nuisance or which presents a hazard !o the health, safety, conaenience and
general wella:e !o anpone in the communiYy.
THIS PERMIT MUST BE KE T ON HE PRE SE W ILE THE WORK IS IN PROGRESS
This is to cerYify, !hal...?...?/.??.... haspermissioa io ereci a.g...?!Y.?%'T---._., .. upoa
the above described premise s ec! !o the provisions of the Bu' nce or?•Eagan To i.p adopled Apiil 11.
1955.
. ??-_
......• --- --..vl' .... .....................
Per ..... ...... ._............•--
•-- - - .- •• •• ••.---•• -- - .. ._ ...-.?:•••.. .• •• ?
Chairman of Tnwn Board i ulding Inapeclor
e-z-/
CG /C;-
VILLAGE 0'r' EAGAN
3795 Pilot Knob Road
Eagan, Mituzesota 55122
PERTvlIT NO.: 384
The Village of Eagan hereby grants to Gedar Grave Constzuction Co.
of 7343 Oaneord BlvB. E., So. St. Paul
a PLUM82NG Permit for: (Owner) same _
, r 3804 C, 3809 8,
at 3804 A ne , pursuant to application dated 8/29/730
Fea Paid: $120.00 dated this 4th day of 3ePt• _, 19 73 •
. s c
Builcling lnspectoz•`
ivechanical Permits:
Bid TotaIe
S
?. ?/- 0-
cr &•
VILLAGE ON' EAGAN
3795 Pilot Knob Hoad
Eagan, Nlinnesota 5$122
PERI4IT NO.: m7
The Village of Eagan hereby grants to C.va,,, r_,-nvo [`nnatrunt'Inn m,
Of _ 77d7 rnnro r3 R]vd F 4e a Pauj
a Permit for: (Owner)? ` -
.sa
a-t -' 38088, 1904D, 3804C, 38045, • .
pursuant to applicatio d ted ? `_?3?g . , _.
? sL-/-la a-$- ?a ,
Fee Paid: ?? 4CL_ dated this 41-h day of 31 1
3.00 a/c
Buildi:.g Tnspector'
iJechanical Permits:
6id 'Poc.al..
.?
7qa17
2007 RESIDENTIAL PLUMBING PERnniT aPPLicariorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date?!
Site Street Address Unit #_L
Property Owner l/?k"\?L? C'A- Telephone # 0)
?
Contractor Er-? Telephone # (? ?`7??`??
Address r"t" L-n ?--n City ? WUNJ., State M(I Zip
The Applicant is: _ Owner Contractor _Other
Septic 5ystem _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installinq onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instailing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new __Xreplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
1 hereby apply for a Residential Plumbing Permit and acknowledge that tne intormation is comp
work will be in conformance with the ordinances and codes of the City of Eagan and thunderstand this is not a permit, but only an application for a permit, work is not to start without
a
.
pproved.
accordance with the ap?ved plan in the event a plan is req ' e revi ?arrd a
G-
S- ?rc
ApplicanYs Print d Name ApplicanY i nature
MWrW toff td?ge
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: L 0 T: 31 B l 0 G K:
3806 LOOESTONE LANE
CEDAR GRqVE 127H
PEq ?AI?' ?T1?PE:
PERMIT TYPE: BU I L D I N G
Permit Number. 022599
Date Issued: y 1/3 m/ 9 3
i APPLICANT:
LANGENFELD CONST, DAVIQ
(612) 437-5357
TYPE OF WORK:
REPAIR
SIDING/SQFFIT/FA5CTA
DE5CF2TPTION
INSPECTION
FRAMING ., .
ROUGH IN PLBG .A
I
RQUGM IN HTG FSNAL
I
,
II
I
j
F ?
? . ...? _._ _ . ... .. .. . . .. . . ' . . . . , . . .. . . _ ... ... I
PERMIT
CITl( OF EAGAN
3830 Pilot Knob Road pERMIT TYPE: gUILn z NG
022599
Eagan, Minnesota 55123 permit Number: 11 / 3 0/ 9 3
(612) 681-4675 Date Issued:
SITEADDRESS: 3808 LCIDESTONE LflNE ?1i??
LOTs 31 BLOCK: 1 ? \??j
« Q
P . I . N . : 10-16712-031-01 CEDAR GROVE 127H ??\?
DESCRIPTION: SIDTNG/50FFIT/FASCIA
B,u:ild'i'nq?, Permit Type 5F (MISC. )
puiltling`t::,prk Type REPAIR
u ?-
,
6?U?S?'?
REMARKS:
FEE SUMMARY
Base Fee
Surcharge
Lic. Search
Total Fee
VALUATTON
$90.00
$8.50
Fee $5.00
$9$.50
$7,000
`CQM3'Nl`L`LWCONST, DAVID~r?y1A375357 0008949 U'141C"OTTVRCOUNTY HRfl
1958 LOUIS LN 2490 145TH ST W
HASTINGS MN 55083 RQSEMOUNT MN 5506$
(612) 437-5357 (612)423-8106
' I Mereby acknawi'bdge that I have read this' application And state that the i
information is c4rrect and agree to comply with all applica6le State afi Mn.
Statutes and Cxty Qf n t7rd' ances.
?.. (?
APP NT/P ITEE SIGNATURE r-ISSUED BY. SGNA 'E(
REACTIVATE _
PERMIT t _.,
2ils 9 4
cmr oF EaGAN
1983 BUILDING PERMIT APPUCATION -??l?• ??
681-4675
SINGLE& MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy otF energy
calcs. ?
COFtiMERCIAI 2 sets of architectural 3 structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change 1.s requested once permit
is issued.
Date L/ /!;2Yaluation of work .v 5017
Site Address: 2
LiREET iU[TE r
Tenant Name: (commercial only)
LOT BLOCK SUBD.
l.. P.I.D. # '
Descri tion of work:
The applicant is: 0 Owner C ntractor Other (ce.«ib.).
Nam c Phone
Property LAST fIRST -
Owner
Address -
STREET iTE y
City \ I JG ?-2 rn o?- ?' ? State ?`- Zip SS C?
Company 2_ c c Ca 'Phone ;Z. ?7
COntf8Ct01' Address /%?C? ? a_ i_SL•-- license #Exp.
City ??9 S State ? 2ip "5;S033
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this a-ication and state that the information is
correct and agree to co all appl a e State of 'nnesota Statutes and City of
Eagan Ordinances.
Signature of Applican . ....
??
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 678
DATE: 08,-'16/00 TIME: 14:35:42
ID:
NAME: BAAR CONSTRUCTION, INC
3210 9001 3808 LODESTONE 97.25
2155 9001 3808 LODESTONE 2.00
Total Receipt Amount: 99.25
CR136012
USER ID: JAN
y?a?a32000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New ConshucBon Reaulremenh
> 3 reylstered s}te wry,9yj. showlnq so, fG o( lot. aq. H. ot house .
and gJ( roofed areas (20% maxirrwm Iot covemae allowed)
D 2 copies oi plana (ahow beam 8 wlndow sizes; poured Ind. destgn: etcJ
? 1 aet W energy calculaNOns
* 3 coples of hee preservaflon pian if lot plaMed aRer 7/1/93
DATE:
DESGRIPTION OF WORK:
STREET ADDRESS:
LOT: ?
Remode /Reoair Reauiremenh
2 copies OI plan
` 1 sei ot energy calculallorts tor heated additt?"
1 aite wrvey tor extedor admtlons 6 deCks
CONSTRUCTION COST:
78cfo- cc>
3??Og A-t b
BLOCK: ? SUBD,/P.I.D. #:
-tt-j
Name: ?DA Phone C
PROPERTY tast First
OWNER
Sheet Address: -Ss?v? L'a
C1ty ??-A r State:
ANr
Zip:
Company: l?ar S? Phone #: `7d5 0
(area code) COMRACTOR 200 e- 3(?, gFS
Exp.
Street Address: s? Gv,-" 0 j?, ?rcc cl ucense #
City State:
ARCHITECT/
ENGINEER
Company:
Telephone #1: (
Street Address: Registration #:
City
State:
Sewerfwater licensed plumber (if installinsi sewer/waterl: Phone #:
Zip:
1 hereby acknowledfle ttwt I have read this applicatbn, atafe that ttfe inlortnation is cortect, and agres to comply wtth aB applicabie State
of Minnesota Statutes and CNy of Eagan Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Sunrey Recefved _
Tree Preservation Plan Received _
A/\J- Zip:
Name:
Yes _ No
Yes _ No
- Not Required
AUG 16 Zp00
?-Z52`1
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single famify dwellings & townhomes/condos when permits are required for each unit
,-
#-3 0 , S o
Date .3 / /"L / 0)9
Site Address _3g??d L-// Unit # ?
Property Owner e??j--e;l' Z[j?
/ e-
,?,? Telephone #(/
Contractor WE/?zzez1 zze_
Street Address ,?/ 4?,i:z City y??J/?n?
State j'17/V Zip ?/ZZ Telephone # (??
Bond #: Expires: a?
The Applicant is Owner z contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
?furnace _Additionai _Replacement _ New
air exchanger
air conditioner
? ?
heat pump
other
State Surcharge $ .50
5`0
$ Fo'
Total ,
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
AftkL_
? 'TPF'City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
- -----------------
? For Office ilse
j Permit #:
? Permit Fee:
? Da[e Received:
I Staff: V11?
I I
L J
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
•
Date: 0 ? SiteAddress: G
Tenant: lbi4-t1 -MIry6CC1*tQ? 1AY'•t 8 '64?0bn"QLKJ 5uite#:
RESIDENT / OWNER Name: Phone:(P!5-1
AC?
Address ! City / Zip: j
I
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: WinCApW tL??rY'i?^?-
Construction Cost:?jCXa'), J? Multi-Family Building: (Yes / No
CONTRACTOR Name: J-t 7,- J t CA ; rr.. C1; ,ri1-{ i(.-i-?iJ"?License #: ?ls• fi)
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Address: $l01'4- 0.
City:c 004_=State: V_) Zip: Tz-C?? ?..A
Phone: iP (CjvSf Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CdtBg01'y Submitted Submitted
submission type) • Energy Envelope CalcWations Submitted
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 pian:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supportfng documents that you submit are consideretl to be putilic Pnformatlon` Porifons of
the information may be dassffied as non public if you provide specilfe.reasvns thaf wou/d permit the City to
conctude that the •`are trade secrets.
I hereby acknowledge that this iniormation is complete and accurate; [hat 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 6e in
accordance with the approved plan in the case of work which requires a review and approval ot plans.
• X x
Applicant's inted N Applicant's Signature
?? Page 1 of 3
3/2007 16: 50 7633237464 MERIT BLDG CO P�GE 05/12
Use BL,UE or �LAGK Ink
� Por office Use ^ r T � ��
I
C16Ol �J ��l.r���� I Perm�c�; l°��.�3� i
� ��a� JUL 2 5 201� � ��� �� ;
� PermiE Fee: '
3830 pifot K�ob Road � � �� /,/ !
�agetl MN 5512Z I Date Received: Ti
Phone; (651)675-5675 Bl�; � p, � �
Fax:(651)675-5694 � Staff: _ �`��f� � �
L__�_-------,---^—�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; 1 Z� Site Address: �O �� � ��k ��7 Unit#:
"' � I .
� Name- �F, �plxtlt.. G � A �e 1— Cc � �j
�ZL CIv .�_ Phane: �J �J"'�'}�� 5
I Address/CPty!Zip:�? 2�i5 T�o�n ��� r�t�� � r�,l��.a�,�n. Ct11�! �1'2?,
Appticant is: �Owner Contractor
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Descriplion of work: �n�. ��_
Construccion Co $ l.e Mu1ti,Pamily BuilAing;(Yes /No )
Company:�p c i-� �j�,d� � ��r�� Contact:�{�\U��_ IY�d.t�
Addross: �3 q CO (1 ,� � C�-J ��
� .s� ,�v-r,�„5Ci� C f on �, i.n�c��
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State;�,�Zip:,��„� Phone:�(p.�_���Email: (�'�,,�_�r4�.,M.
'� Llcense#: �ead Certificate#: 1�1EG�(�� �i ��3 5 Q—bDC�„ C
If the project is exempt from lead ceRification, please exptain why: (see Page 3 for additional information)
COMPI.ETE TWIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has thp Gity of E�gan issued a pennit for a similar plan based on a mast�rr plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber. Phone;
Mechanical Contractor: Phone:
Sewer b Water Gont�acto�; Phone:
. ..,.. , � i
�►�� it��� '" ' ,
,� -�:� :: �
p ��� � �r:�ir�.i�d"' , I
:i;> �._„'' '!i. or ,d.; .. '�,II,��,y r I '� , �; I
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CALL BEFOR�YOU DIG. Call Gopher State one Ca11 at(651)454-0002 for protection against underground uNllty dam aga_ Call 48 hours
before you intend to dig lo receive locates of unEerground utllities, www.aQpherstateonecatl.o�
I hereby acknowledge that this informaClon is otimplete and acCUr2te:that thc work wiii bo in co�ortnance v�Ath th9 ordlnanr.�s and codec oi thg Clty of
Eagan;that I understanH tnls is not a permlt, but only an appqc2tion for a prrmit, and work ie not ro start wlthout a permlt; that tne work vulll be in
accortfance wlth the approved plan in the case of work whlch requires a revi2w and approval of plans.
Extenor work 8uthorized by a bufldlttq permit IsEUed in accord2nce with thP Mpnne9ota Stata Building Code must b¢completed wlthln 190
tlays of permit issuance.
X o u�e. (1�Q�d X ( �, K 4�J1..�a�
Appli nt's Printed Name Appl�ca s Sigrlature
Page'I of 3