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3819 Lodestone Lane Use BLUE or BLACK Ink For Office Use 0 Of Ea~ an I Permit q6 5,11- fly I Permit Fee: Q • C.J 3830 Pilot Knob Road`[ Eagan MN 55122 j Date Received: j Phone: (651) 675-6675 Fax: (651) 675-5694 I Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 --l i, 10 Site Address: 3 819 Lodes+ori e Lane- S 5 l a Q Tenant: Suite RESIDENT /OWNER Name: ~ob@ T~+ ~O' I f n Q h Phone: S `7 5~ 56 /_3 Address / City/ Zip: D Lo 8 2 $TO n e. L a n_e Applicant is: Owner Contractor TYPE OF WORK Description of work: rrrep` Q Q_D_ 0 O`-- i O A g o y 1n. -eZC I S+!nq C)PX Construction Cost: oC 0 Multi-Family Building: (Yes / No CONTRACTOR Name:; W rco W C O Y-\ C.2-pi S License Rp I 'I Address: _ _t "10 Lone (Dale )qd,S+ell city: eaQgl'1 _ State: M N Zip: E5 6-c~~' I Phone: GE; I q 06 010 6 _ Contact: PV O Y\cy J O 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: NO E Plans and supporti, g docomen>ts that you submit are considered to be publics information. Portions of thelinformation may be cl ssified as non-public if you provide specific reasons tha' would permit the City to conclude. that the are trade seerets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 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. X aYl ~~llm es; x 7" ---,Cj 4. Applicant's Pri ted Name Applicant's Sig e Page 1 > . ; .' 1 GoPy. OttF 2 copy: aerChief 3 Copy. Municipality 4 Copy. Customx Brooklyn Center Store 4321 - 68th Ave. No. Brooklyn Center, Mn. 55429 (560-6442) Equipme Ngeded C? Back hoe gob Cat ? Cat Truck ? Snow Fence ? Uni-Load Inspections Contract ? WBllS ? Plumbing O Footing ? Before Backfiil 1AT it. Jr+1 47 D'RA10Ar4E EASa M? M) (a? ` lz? Pacific Pool & Patio A Mfnnesota Package Products Company No. St Peul Store Burnsville Store 6922 - SSth St No. 1278 W. Co. Rd. 42 No. St Paul, Mn. 55109 Burnsvllle, Mn. 55337 (770-1313) (435-3500) ;' 60-91 s-240 FILTF.R 1$0 13.T.00 Ridgedale Store 12500 Wayzata Blvd. Minnetonka, Mn. 55343 (541-9180) ACCOUNT NUMBER POOL 312E DATE Rc?Bx°:T/UJIS POLLIAAn:` •":.`.2 5613 NAME 3819 .1= CrtOT1F' IANTy` ?SAQ?EPHONE ? STREET WORK PHONE cI7Y STA7E ZIP CODE Diagram pool site in relation to house, garage, property line, and wires. 2 ?. r C ? I /81 ( 1, Pacitic Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the responsibility of the contractor doing the work). The actual cost of the permit is the responsibility of the home owner and Pacific Pool & Patio will expect to be reimbursed for this permit cosf within 30 daysDf obtaining the Pefti n(forp?} - ,? ? Siqned Date J 121.0ark location of filter and/or heater by (#2). 0 I icate deep end by (X). Does Cuatomer wish to retain any or all dirt from pool e,xeavation: 2,-Will any obstructions be encountered - such as; trees, ctothea poles or power/phone lines etc.: 't-1?% Ef Location for disposal of dirt Pacific Pool & PaHo recommends that customer install (As soon as possible }ollowing pool constru?tion); 1. Rain guttera adjacent to pool 2. Reteining wall where diagramed L 3. Run off control or dralnfield !1? F 4. Permanent or temporary fence ? 13/Alevation from location marked "A" in diagram: ' •% d Show type and location of slide if applicable: ??' /1 * * * CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING *** Normal Excavatlon time using a back hoe and dump truck is leas than one day. X''f Ii Limestone, Sandstone, Shale orany unusual substance, likeconstruction debris or bacMill material that is unuspable in the construction of this pool, the customer is responsible for the cost of removal and replacement of suitable materials. X If removal of d]tt requires cat or uni-loader or anyspecial equipment customer will be charged by the hourforthe extratime end equipment used. X (?S•? Tress and or tree stumps are the responsibility of the customer and must be removed before construction begins. X:? ?A_k' Some damage may be done to the yard and/or driveway entering and leaving the yard during constructlon: Initial . Customer assumes responsibility for electrical wiring end grounding of the pool (including permit if required): Initial Customer assumes responsibility for the gas installatlon of heater if applicable (including permit H requfred): Initial . If debris, structures, or substance foreign to normal aoil should be encountered while excavating ?vhjsh requires abnormal handling and/or disposing - Customer shall assume responsibility ii any extra cosb are incurred. Initial ?? If you wish to change: filter position, slope of land, or anything else stated in this outUne, please call our ottice - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any changes that are not authorized by the ottice will be charged at a standprd rate - no @xceptions. ; Pacific Representative Sfgnature Customer Signature1''? -3s 3 ?' CITY OF EAGAN Remarks Addition Cedar Grove #11 Lot 13 BIk3 Parcel oWn% streec _ 3819 Lodestone Lana State ?''agan OMN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF, 1971 261 6 26.16 1 52.37 A006113 6/8/78 STREET RESTOR. - y/j -1275 124.31 12.43 10 74.59 A006113 6/8/78 GRADING ree . - 1100.68 A006113 6/8/78 SANSEWTRUNK 1968 60 0 2.00 0 38.09 A006113 6/8/78 #.SEWERLATERAL ?C 1975 1 ZJ$.$Q A006113 6/8/7$ WATERMAIN WATER LATERAL 1973 200 13.36 1 120.29 A006113 6/8/78 WATER AREA • Wtr lat & area 1975 STORMSEW TRK y. 1971 33-56 1.6 20 20.20 A006113 6/8/78 STORMSEWLAT 1971 22.37 1.11 2 13.49 A006113 6/8/78 _ torm 8ew 1 6 268.39 68 107.38 A006113 6/8/78 CURB & GUTTER \ SIDEWALK 1978 . 187.52 18.75 10 PAID STREET LIGHT ,-' WATER CONN. SUILDING PER. SAC PARK cirv oF EAGaN 3795 Pilot Knob Road Eagan, MN 55122 • PHONE: 454-8100 BUILDING PERMIT Receipt .# N4 4359 To be ufad for Date_ , 19 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # W Name ?-'TOCC:: ??..;fltTBLfi.fi5 Z Address Q?$i:.!.:-i,^,i /iV(:. iOs 3 0 ,s'U 4k"; p Nome - r ?< Address. s I hereby acknowledge thot i have read this application and stote that the information is correct and agree to comply with a;l appiicable $tate of Minnesota Statutes and City of Eagan Ordinonces. Signature of Permittee - Repair ? Fire Zone _ Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit • -__ $urcharge 50 Plan check SAC ++? 5. G0 Water Conn. Water Meter Total = A Building Permit is issued to: _- ?-'?'"?4? `.•'?ntraciing on the express condition that all work shall be done in accordance with all applicable State of Minn=s,ta Statutes and City of Eagan Ordinanc=s. Building 4l?,. S;e? 22 9 7-24-- 7, :r1,-..? " Pe?k # Daft bwwd Pa wblw Plumbing Mechanicol INSPECTIONS DATE INSP. Rouph-In Firal Footings Date Inav. Data InoD. Foundation Plumbing Frame/ins. Ff^ -) MecFwnical Final ? Remarks: /.? `L ` ?7 CITY OF EAGAN 3795 Pi1M Knob Road . • ' Eugan, Minnesota 55122 Phone: 454-8100 _ PERMIT Dote: Site Address: 3819 Lodestone Lan Lot Block ' Sub/Sec. Name Contracting Co. . 3 Address _f r33 Oa:yla;;,; ; ,?. ?.. O CitY ''.LS 554"3'i _ Phone: f Name '"''":`^1 Pl.xtt!bing & Heatin4 Inr. Address Yennebec Mive a 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes ond City of Eagon Ordinances. No. ?,n61 ,- ; Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repoir. " Cost of Installation Permit Fee Surcharge ' 9n Total .- . ;n done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HEATZNG PERMIT No. "75 Date: Auai1s`. 30, Site Address: Lot Block Sub/Sec. 'G 11 Name _ _ ,.. „_..__....?.. ., . ? Addreu - r .? , City ? Phone: i.cicc^r ifeatinc, -o. ? Name ? Address 4E37 Chicac,o Ave. So. City Phone: This Pertnit is issued on the express condition that all work shall be Minnesoto Statutes and City of Eagan Ordinances. Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repoir. Cost of Installation Permit Fee .SQ Surcharge : r) Tota I done in occordance with all appliwble State of Building Official CITY OF EAGAN 3795 Pilot Kno6 Read • ' ' Eagan, Minnesota 55122 Phonre: 451-8100 i; !. _ 1 .. . __..... PERMIT Dote: Site Addresr. Lot ? Block l Sub/Sec. _- Name " - " .tobert Polli%;< ; Addreu O ??agan City Phone: Name . 0 r i i.:'daT °? Address ,. _. , ? e u City ? Phone: This Permit is issued on the express condition thaf all work shall be Minnesota Statutes and City of Eagan Ordinances. No. - 1C9i1 Receipt No.: Single I ,( Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of InstallaTion _ Permit Fee Surcharge Toto l done in uccordance with all applicable State of 229 Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ & DOLLARS 100 E] CASH ? CHECK FOR 75 06330 NUMERICAL FILE COPY .. ,.,?,.r ?r......,?r-?a,?.?'4T?'• .:.,?'??`.' -,. ., .,.. ... .. ., _... , . ??.. CITY OF EAGAN , . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 •- ? BUIL$1NG PERMIT Receipt # a ! ?_ f, To be used for pQpL Est. Value $101 000 Date -11IN S . 1941 Site Address _1$19 LQLIESTLIup LN Lot "I Block 3_ Sec/Sub. rReea rRnvr JM Parcel Na w Name ROEERT POLLIIiAt? 3 Address o38.?19 IADES?OIiE 1.li O Clt N y Gw Phone 452-5613 I =F Name _ DACtRiC P(1t) c $¢ Address F922 StiTN cT I ? City nAftnAtL Phone 77e...t914 C ItY I hereby acknowlege that I h inlormalion is correct and ac Minnesota Statutes and City a SignaWre ot Permitee A 8uilding Permil is issued to: on the express Wndition that applicable Stale of Minnesota Building OHicial Phone read Ihis application and state that the ro comply with all applicahle State of shall be done in aca ? and City of Eagan C ? OFFICE USE ONLY Occupancy -M--2 FEES Zoning _ (Actual) Const - BIdg.Permil 117.? jAllowable) - Swcharge 5-00 :M of Stories Lenglh Plan Review Depih SAQ Cily S.F. Total - SAC, MCWCC S.F. Footprints - On Sile Sewage _ Water Conn On Sile WeIF - Water Meter MWCC System - Ciry Waler _ Acct. Deposit PRV Required - S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. _ Copies Vaziance - TOTAL 122• 00 PermH No. Permk Holder Dat* Tekphone N WATER SEWcR PLUMBIHG 3 ' (01191 lz; - H.VA.C. EIECTRIC Inspection Date Insp. Commants Footings I Foundation Framing Rooling Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Final well Pr. Disp. CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. Address: Site Address. Plumber: I agree fo comply with f6e City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: BY Surcharge: Misc Ch . arges: Date of Insp.: Total: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 ? DATE: Zoning: _ No, of Units: Owner: Address: Site Address: ` Plumber: Meter No.: _ Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to eomply wkh the City of Eagan Surcharge: Ordinanaea. Misc. Charges. Totel: Bv Date of Insp.: Doce Paid: I nsp.:- CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHANE: 454-8100 BUILDING PERMIT APPLICATION $33o000. Receipt .# _ . .. ,.. .. .. , . _ June i Site Address 3819 Lodestone Ln 13 CG 11 3 Lot Block Sec/Sub. Parce l # B=OCCO COIILL8Cf1111 z Nome g Z 6833 Oaklawn Ave. So, Address ? p 3. 339-0446 Cit Phone ? Name ame ? ? Address ? ~ Cit Phone W Neme W rZ Address 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee -- 77 Erect [j{ Otcuponty 1 Alter ? Zoning Rl Repair ? Fire Zone _ Enlarge ? Type of Const. V Move ? # Stories - Demotish ? Front 60 ft. Grade ? Depth a'f+ ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Plonner _ Council _ Bldg. Off. _ APC Permit 98.00__ Surcharge 16.50 Plan check snC 475.00 Water Conn. _-230, _Q0 Water Meter 60.00 Park Don 75.00 rorol 954.50 A Building Permit is issued to: ? BYOCCO Contractin CO, on the express condition that all work shall be done in o rda e with pplicable State of Minnesota $tatutes and City of Eagan Ordinances. . Building Officiol C-z ? N°_ 4359 6330 . CITY OF EAGAN No .19168 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 ? /?? 1 ? BUILDING PERMIT Receipt # o ? To be used for POOL Est. Value $10 , 000 Date JUN 5 , ? g 91 Site Address 3819 LODESTONE LN Lot _33_ Block 3 Sec/Sub. CED R ROVE 11 T OFPICE USE ONLY Plrcel No. Occupancy M-z FEES W Name ROBERT POLLIHAN Zoning (Aduaq Const 0 Permil 117.0 Bidg o Address 3819 LODESTONE LN _ (Allowable) - . 5 00 . Surcharge City EAGAN Phone 452-5613 # of Stones 41' Plan Review Length F Name PACIFIC POOLS 22' Depih SAG Cit Z Address 6922 55TH ST S.F.Tatal _ y City OAKDALE Phone 770-1313 S.F. Footprinis _ SAC, MCWCC C W f- On Site Sewage ater onn ?w Name On Site Well AddfeSS - MWCC System Water Meter i W Clty PhOnB CiTy Water _ Acet. Deposit PRV Required - S/W Permit I hereby acknowlege thaf I have read Ihis application and stata ihat the Booster Pump - S/W Surcharga information is correct and e to co ly with all applicable State of Mi t St t t d ' nneso a a u es an ity g Or ances. l 7reatment PI Signalure of Permitee . APPROVALS Road Unit A Building Permit is issued to: PACIFIC PO S Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Otl. Copies BuildingOflicial C Variance - TOTAL 122.00 REQUEST FOR ELECTRICAL lNSPECTION ? See instrur,tions for completing this 7orm on back ol yellow copy ? 1 nic;1 ' 'X° Below Work Covered by This Request Ee-oooo,-os 5 ? F ew A8d Rep. - TypeotBuilding AppliancesWired EquipmeniWired = Home Range Temporary Service fj 7? Duplex Water Heater Electric Heating _ Apt. Building Dryer Other (Specify) Comm./Industrial Furnace p Farm Air Conditioner Olher (specdy) Con(ractor5 Remarks: Compute Inspection Fee Below: i? Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimmfng Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps SIgnS Inspector5 Use Only. TOTAL M Irrigation Booms , Special Inspection Alarm/Communication THIS WSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M0WHS. ?. ? I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in le i? Final ?-. tJate r7 02,4 [ OFFICE USE DNLY vC/i ThiS reque5 voitl 18 months hom &//?/ §i a /,??Y.:X- a 10351 ? A A4 °° Requesl Date Fira No. Rough-in InspeCtion Required? ? Ready Now ?Nill Noliry Inspector When Ready? Ves No 154 licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (S1reBt. Box or q0ute No.) 3 719' L ? City ? oc+ cs •s ?c. ?r ? ?t Section No. Township Name or No. Range No. Counly Occupant IPFiMTj ,?/ 6 ?6 ?l irl1? Phone No. / ?li; - J (? ! Power Supplier Adtlress Electncal Contrac[or iCOmpany Name) M K -r.l c Contractor's License No. oyz s?-2 Mailing Atldress IConiraclor or Owner Ma4ing Installatw j Yo a Fr, e.+o?r?.:? a? Authorizetl Sign9tu;e ICo aclorrOwnP.r Making Installalion) Phone Num6er 3 - 3t ? MINNESOfA STATE BOARO OF ELECTWCITY ` THIS INSPECTION REOUEST WILL NOT Griggs-Mfdway 9ldg - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Universlty Ave., St. Paul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. 7q44) 2006 RESIDENT'TAL BUILDINC?i PERMIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshucfion Reauirements 3 registered sile surveys showing sq. ff, of lot, sq. ft of house; and all roofed areas (20% maximum lot mverege allowed) 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 set ot Energy CalculaGons 3 copies of Tree PreservaGon Plan if lot platted after 711193 Rim Joist Detail OpGons selection sheet (buildings with 3 or less units) Minnegasco mechanical venalation fortn V RemodellReoair Reauirements f)fffce Lise Onlv 2 copies of plan showing footings, beams, jo's1s Cert?ofS?unrey?eV%; 1 set of Energy CalculaGons for heated addiGons TTee Pres Plan F?ecd Y `N 1 site survey for additions & decks Tree Pres Requited' ' Y Addition - indicafe if on-sfte sep6c system da?ite SepUc Sysiem ; ?' _ N Date -f,2- / -1 (1- / i ;? Site Address 3 T- /_6 1 ?'1j,4-- ri?l Construction Cost ? J5 5?- a 1-1-- UnidSte # Description of Work ey,'71)<-qt.??- -s?S?i?r° Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2 Property Owner 01 Telephone # - 57,0-3 Contractor d'?u /`y I'yf r/i L UJ Address Z z / I1 State Zip E% CirY pz? c? ( Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor ? t?` ., .. Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building_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 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 requires a review and approval of plans. Applicant's Printed Name Applicant's Signature PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date-?-/-?2?/ 1)3 SiteAddress LpQC&bJ'1? lane Unit# Property Owner Telephone #(las/ ) yS2 ? 5 61.3 Yr ? r?Gl ' i )/ ? Contractor / !q _ Address ?y?79 IJ?zhvi(e1j City )Lf?/!e!//?/?P _ State Zip j SU Vg' Tclephone #? qs? y? q- ?? py The Applicant is _ Owner _L,Contractor _ Other _ Scptic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.OD) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system W f v ater so tener Water heater - - $ 15.00 _ replacement _ additional State Surcharge OCT 0 2 2003 II $ 50 - Total l i $ By- [ hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the worl: will bc in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is nol zi permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiih ihc approved plan in the case of work which requires a review and approval of plans. _ „ `?a-ny. S??G'ih-ev?j Applicant's Printed Name Applic t's Signature . I.OT 013 BLOCK •'! ::?ETj & ST'CTIOiI i]U14BER IF Ui]PLATTED A1067:°:w3 G'rP " .^ ?-" T, :_ OCCUPAATCY .,? USE :)r•?.i?;P? BUILDIi1G PERMIi APPLICFITIO?d 0 IDDTTIO:d ? TELEPHOINtE TEI,EPHON? 110. t?.0?7'i i'aC i C. R ON ` - /%irv ?J"?????? i'•;otes Include site plan, building plans, and energy calculations ?it? ih'^ application ?. ? ? 53 -- ^ ?^ Signed OFFICE USE ? JALU21TIOI7 33r FYETER ?TJI?aD?TdG PPtii;IIT FEE ^tiRCI?P.RGE FEE nLAt1 C'r:TCit FE;: PAFtK DEDIC..'?TI03:i FEE OTHs R :.,r,.-,ALvr =1^37,017nL,S : `.1i?- S£MENT CLE:2I{ ? J . ?. BUILDIiJG DEPT. POLICE DEFT. Date : ? T.:.?mT?R Ea SE[,TF:R DFPT. FII2L?` DI'sPT. PARTC DrPT. , ? 1,43 ??.?- ? ... - C'ALVlN H. HEQLIlND Lo•' Su- - -- a.u eeylo..r Ameytir `s_eer't1 lea'te au oweoor Lak. ckw. SloonrMltpn. MinnreU a6437 606-t0" Jo. No. ? 'eS: ?c?!l, B7'ja% 3m CE-LJAFt aP, 1:0k:01c"i vfJCIIntyf ???.:`.t:?•e pn(, and ut9._151.t;i' e??ements as ChOwn c;n tha recp?,r??;?aL ? - ? E+tacY??? 04?,--- .?4,?1?1F^.'?? to' :., ? t + ? . ?i ? i 1 ? ? ? ? s 90 ? r? (Dg? W? 3> e ! ? r1 ? ? ? r- J `I 8.ra ? ?Rt•?:? °:° ? .. ,a p? ??• M?}?,? -..f.a ?-^-?- ?lo?4y?f}L YYA?V??tGl 10.?0 Ar, .,.45 ..n'_. J.."f.. 171.1 ^v I hereby certi fy Chee on :;?,;v , .-? Yourveyed t1te praperty dascribad aDove and chat cha abwe plat is a ecisrect representatior of said rurvey, z H . , Ca1v1n H. Hedlund. Minn. Heg. Ho. 5942 ? 1 4t ? i ?!!'• < 1?` t ? ( f . 94.6 av? - ckxi? . 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS . 'NAr 2 9 COHI4ERC IAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address A v1 Lot 13 Block -3 Valuation: ? Date : ? o,--/ OFFICE USE ONLY Parcel/Sub GEnaQ r71@UlJr-- 11TH ,QpD ti Owner '126r- ;:?rvL??jgv A d d r e s s City/Zip Code Phone Contractor 4TT-/?C. C?9[-?' Address dfAd- City/Zip Code Phone Arch./Engr. Address City/Zip Code FEES Occupancy M"2. Bldg. Permit 11r],dD Zoning Surcharge $,Oa Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Z2' Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage _ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water Trail Ded. PRV _ Copies Booster Pump _ SIIBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL ?.(? Sldg. Off. 6-Y-9i DS Variance Phone # agrees that all work shall be done in accordance with (Signature o Contra or) ail applicable State of Minnesota Statutes and City of Eagan Ordinances. r q Use BLUE or BLACK Ink For Office Use of Eap j Permit p I / i Permit F 2~1 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 RECEIVED I I Fax: (651) 675-5694 I Staff: I SEP 2 3 2010 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S¢C% 2 ZO WSite Address: q (O 'R p pF, K) CA M4 Tenant: iMTC fiMCA - g SA" IA IA Ma ELL ` Suite RESIDENT / OWNER Name: IMrc~ c... L'A YZ EE4 Phone: (OSI - q-qzz -S 3 7- 4 Address / City / Zip: ~C- 94A) SMZ? 1 X3,5 Applicant is: Owner Contractor' 12 Z _ TYPE OF WORK Description of work: 'R 1M Construction Cost: Multi-Family Building: (Yes No z'] CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: 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 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.oM 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 i out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f I s. xCGt~lkf L x Applicant's Printed Name Ap c Page 1 of 2 n DO NOT WRITE BELOW THIS LINE < SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) - Storm Damage - Single Family _ Garage - Porch (4-Season) - Exterior Alteration (Single Family) - Multi Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) . 01 of Plex Lower Level Pool Miscellaneous 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 Valuation 3_1C) Occupancy MCES System Plan Review Code Edition SAC Units (250%._ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC e® Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA114007 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 3819 Lodestone Lane Lot:13 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Chris Hilfer Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Robert A Pollihan 3819 Lodestone Lane Eagan MN 55122 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177800 Date Issued:07/19/2022 Permit Category:ePermit Site Address: 3819 Lodestone Lane Lot:13 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-130 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: 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 - Robert A Pollihan 3819 Lodestone Ln Eagan MN 55122 Metro Heating & Cooling 1220 Cope Ave E St. Paul MN 55109 (651) 294-7798 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178097 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 3819 Lodestone Lane Lot:13 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-130 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Robert A Pollihan 3819 Lodestone Ln Eagan MN 55122 (651) 452-5613 Clearwater Plumbing & Heating 19260 Mushtown Rd Prior Lake MN 55372 (952) 440-3779 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179422 Date Issued:10/04/2022 Permit Category:ePermit Site Address: 3819 Lodestone Lane Lot:13 Block: 3 Addition: Cedar Grove 11th PID:10-16711-03-130 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Robert A Pollihan 3819 Lodestone Ln Eagan MN 55122 (651) 452-5613 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature