3831 Lodestone LaneCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVEo
FROM
AMOUNT $ I
& DOLLARS
ioo
? CASH ? CHECK
FOR
BY
?
INSPECTION RECORD LControl No. 0672
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permii Number:
Eagan, Minnesota 55123 Date Issued: 06 ????? z
(612) 681-4675
SITE ADDRESS: LpY ; 16 E3LOCK i 3 APPLICANT:
3031 LODrSTqME L.ANE FOSNUW KEM
f,E.pAp 6ROVE 11 (frf.?) 454-936:
PERMIT SUBTYPE: TYPE OF WORK:
sr PoacN aru
INSPECTION
FO?uilNti .A .
FRpMING .A
PLNAI
Rk'IiARKSe WlCEIPT •
SEpARATf FEkNIT REt}UIRED Fi3N EIECTRTCAI
?4F-lir
.:fi7 ?R
L?l . . ??1,_ . . . . .
. ...
I`
?
Permit No. PermM Holder Dats Talephone M
SNV
PLUMBING
HVAC
ELECTRI ? Wl7 cp
ELECTRIC
Inspection Date Insp. CommeMe
Footings I
Foundation
Framing
Rooting
Rough PI6g.
Rough Htg.
lwl.
Flreplace
Finel Htg.
Orset Test
Flnal Plbg. Pibg. lnepector- Notify Plumber
Const. Meter
EngrJPlan '. '
Bldg. Flnal
Dedc Ftg.
Deck Finel
Well
Pr. Disp.
CITY OF EAGAN
3795 Pilot Knob Road
Eugan, Minnesota 55722
Phona: 454-8100
` - PERMIT
Dote:
Site Address:
Lot Block Sub/Sec
No.
Receipt No.:
Single I
Residential
Multl Res., Comm./Ind. I
Name ,?,th *'OS,•,.?.
New/Alter./Repoir
.
? Address C;ost of Installotion _
City Phone: Permit Fee
Nome - ° Surchorge
.
P Address - " "
e
43
City Phone: Total
This Permit is issued on the express mndition that oll work shail be done in accordance with all applicable Stcte of
Minnesoto atutes ond City of Eagan Ordirwnces.
Building Officiol
CITY OF EAGAN
Addition uGUa.L'
Owner ?? /
Remarks
Lot 15 Blk 3 Parcel J9-•.? ..
street 3831 Lodestone Lane state Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1971 2 1. 2. 0 78.53 A004040 5-11-77
STREET RESTOR. A004040
GRADING
treet . • 1035.45 C003454 7-27-77
SAN SEW TRUNK j ?% J ? 9 O.O . . - -
SEWER LATER, i 7 . 96 29 .79 • - -
WATERMAIN
1
WATER LATE AL ?,?Ul 2 1973 20 13.3 ?
WATEF ARE
? ar a 1975 5
STORM SEW T K 7? 1971 33, ( 1.67 20
STORM SEW L T 1971 22.37 1.11 20
# "/i 1976 268.39 3.
CURB & GUTTER
SIDEWALK 3 . • 187.52 C003454 7-27-77
STREET LIGHT .
WATER CONN. 220.00 #05548 3-30-77
BUILDING PER.
sac 475.00 #05548
- -
PARK
• CITY OF EAGAN
3795 Pila Knob Road Eayan, MN 55122 N2 4247
PHONE: 454-8100
BUILDING PERMIT Receipt #
--
To be utad for Date , 19
Site Address Erect ? Occupancy -
Lot Block s Sec/Sub. Alter Q Zoning -
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
? Name Move ? #k Stories
W
3
Address --
; C ' "
_. Demolish ?
Front ft.
0 City Phone
- Grade ?
- Depth _ ft.
? APProvols --- - - Fees
ZF Name
?a Address
--
z
Name
Address
I hereby ocknowledge that I hove read this application ond stote that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued to: _--
all work sholl be done in accordonce with all
Building Official
Assessment _
Woter & Sew
Police
Fire Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit
Surcharge
Plan check _
SAC
Water Conn.
Water Meter
Toral 9 71.50
on the express condition that
of Minnes^_ta Statutes and City of Eacon Ordirwnc.s.
PrmM # DaM Iared Powllf»
Plumbin9 ?? 9 ?r - 3- J'7 f---???+?--?
_ Mechonicol
INSPECTIONS ? INSP. Roupirin Find
Footings ?f.1•?? (00 Date Irup. Date Irop.
Foundation ?--Alag Plumbing
Frame/ins. A30?-? Mechaniwl -? _
Final
Remnrks: , r? s.:. /aZ `/ts???
4?? -0- ") 9" ---? o?- ?e,?
? , . CITY OF EAGAN
3795 PiIM Knob Road
Eagan, Minnesata 55122
Phone: 454-8100
PERMIT
No
979
Date: ' =FT 15, 197, Receipt No.:
Single I
Site Address: Residential
Lot Block Sub/Sec. -' ' Multi Res., Comm./Ind. I
Name .`'`>i"'`•' New/Alter./Repoir. .
3 Address ' 231 Lodestorte "i?ane Coyt of Instollation
O
City ?3-Tt Phone: Permit Fee • .
ame Surcharge
?
? Address
e
0
V ?n .. .":.'.
Qty _ Phone: Total
This Permit is issued on the express condition that all work shall be done in occordance with all applicable State of
Minnesota Statutes and City of Eogan Ordinances.
Building Official
PL!:>IBT_',y^-
ATtQl1St ` 1 r
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoto 55722
Phone: 4548100
PERMIT
I?nto• - - - • -.•.
` - -..
Site Address: r1%
Lot Block Sub/Sec. _
Nome
.
? I Address
Phone:
Receipt No.:
Single
Residential
No
9
Multi Res., Comm./Ind. ?
New/Altec/Repair. "
Cost of Installation
Permit Fee
Name
? Surcharge
?
g Address
0
0
v
City _ Phone: Total
This Permit is issued on the express condition that all work shall be done in accordonce with all opplicable State of
Minnesota $tatutes and City of Eagan Ordinonces.
Building Official
?
No.
P
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phons: 454-8100
PERMIT
Date:
Site Address: _
Lot ? Block ? Sub/Sec. C--C?"?-
Nome
.
Address
?
CitY Phone: I
Nome
p?
y
Address
?
City Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota Stotutes and City of Eogon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/ Alter. / Repai r
Cost of Installotion
Permit fee
Surcharae
Total
done in occordance with oll applimble State of
Building Officiol
( OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner: -
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinanaes. Account Deposit:
Permit Fee: -
R..
Date of Insp.:
Surcharge:
Misc. CFwrges:
Total:
Date Paid:
f OF EAGAN WATER SERVICE PERMIT
3795 Pilot Kno6 Road PERMIT NO.:
Eagan, MN 55722 DATE:
Zoning: No. of Units:
Owner. - -
Address:
Site Address. ?
Plumber:
Meter No.: Connection Charge:
Size: ___-
Reader No.:
I agree to comply With the City of Eagan
Ordinances.
SEWER SERVlCE PERMIT
PERMIT NO.:
DATE:
No. af Units:
Account Deposit:
Permit Fee: I ` _
Surcharge:
q-i'. . . . .
Misc. Charges:
Total: -
gy Date Paid:
Date of Insp.: - Insp.:-
CITY OF EAGAN
3795 Pilof Knob Road Ecgan, MN 55122 N2 4247
• PHONE: 454-5100
BUILDING PERMIT APPLICATION $419900. Receipt # 5548 _
To be uced for Sing. Fam I?wlg, b. Garg. Date Mar, 30, ,1 y 77
Site Address 3R 31 1•OaeSfORP T-II Erect Occupancy I
Lot 15 Block 3 Sec/Sub. CGll Alter ? Zoning Rl
Parcel # _ Repair ? Fire Zone _
Enlarge ? Type of Const. V
a Name MT, d Mrs. KeII FoSnoW Move ? .fk Stories
3 Address 7324 Bryant AVe, So. Demolish ? Front 51 ft.
0 Cit
510
Phone 866-1 Grade ? Depth 28 ft.
?
0 Nome Ken Fosnow Approvals Feea
?U Address 7324 Bryant Ave Sn Assessment_
? r-;.,, Mols. oti.,.,e 866-1510 Water & Sew.
H
ww Name _
r
r Address
Police
Fire
Eng.
aZ Planner _
"' City Phone
Council _
I hereby acknowledge that I have reod this application and state that gldg. Off
the information is correct and agree to comply with all opplicable APC -
Stote of Minnesota Statutes andlCiW of EaqanlCrdinances.
Signoture of Permitt
A Building Permit is is
all work shall be done
Permit 120.50
Surtharge 21. 00
Plan check
5AC 475 .00
Water Conn. 220.00
Water Meter 60.00
Park Don 75 0(
Toral 971.50
on the express condition that
of ' Mthnesota Statutes and City of Eagan Ordinances.
Building Official _?
cORRECToON NOTICE C-l 5 ?5
'!'?
DATE:
Address 3 "°3 1 Site Name
Owner/
Owner/Agent Add
Ordinance Nos. and Corrections - Correct BV
?-
-nQ?` .r?L??:n /?-s?. J .? :v'?C ,?Q.?-?.t.:?C.a?..; J ?•? •?1.0-K.. -?H?wO? Iu?! ?
t??c
l
For reinspection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
Inspector:
.. ? ? . . _
Dept.: ? ,<vzlz- eG .i' 'd '41,
_??? ? ?
r? r
J
•'?%?? ?
f???
7Z7
CITY OF EAGAN
3795 Pilot Knob Road
No. y 2053 Ea9an, Minnesota 55142
Phone: 454-8100
Heating pERM1T
Date:
Site Address:
10-7-80
3831 Zodes-tone
Lot c -T- Block a Sub/Sec. C ' G (J(
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
21257
Receipt No.:
Single X
Residentiol
Multi Res., Comm./Ind. I
Nome xen Lasnou remodel
New/Alter./Repoir
; Addrets Same Cost of Installation
O
CitY Phone: Permit Fee 5• 00
? Nome - FrPdri'rkSOn Hpg ing Surchorge .50
P Address 4-030 Raan 1)! Rup D'C'
e
0
G1
City Faornn ? Wy 55122 Phone: Totol 5.50
This Permit is issued on the express condition thut all work shall be done in accordance with all applicable State of
Minnesoto Statutes and Cfty of Eagan Ordinances. ? I
Building Officiol
This request void 18 months from
Date of this Request 4- IS - 7 7 Y 416 4
I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street d ss or Route <
Sec fi;hi?? / Township
//
Range County DA"KutA
Which is occupied by tN R dJK'R$ IZ E,c! ;PO S'j?o L-J
(Name ot Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call O
??
Power Supplier ddress
Electrical Contractor
Contractor's License No.
(COmpany rvame)
Mailing Address KEA/ t 4='oSaJO UJ
? (Electrical Contractor or owner Making rhis Installation)
Authorized Signature )d.-) 47v..w..o Phone No.
(Electrical Contractor or Owner Making This Installatlon)
mry?{?t?I-??L7 l??' EO?l p??1 'l` ? c? '?71 +??i/ 6---•-?'?
? 7J RD COPY
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn.55104-Phone 645-7703
, •- `REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
p 4164
Type of Building New Add. Rep. Check Apptiances W'ved Eo: Check Equipment Wired For
Home ? ? Range 09 Temporary Wi[ing ?
Duplex ? ? ? Water Heatei
I Lighting Fixtures 'Q
Apt. Bldg. ? ? ? Dryer Electric Heating Q?.
Commercia! Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Pazm ? ? ? List List
Other ? ? ? p
Heiers? p
Hehe=S?
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Eee Fceders&Subfeedecs: # .. ee Cttcuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Ampexes 31 to 100 Am eres
Above 200 Amps. Above 100 s, Above 100 Amps.
Transformers Remote Control Paztial or othei fee
Signs Special Inspection`?. Minimum Fee $5.00
Remazks
TOTAL FEE
I, the Electrical Inspector, herebKcePt f t a ?imection has been ad e.?,dj- 00`
(Rough-in) ? Date
(Final) U?-?• ???`J?? Date lf r a S-7?
This request void 18 months from
,?14 f/REQUEST FOR ELECTRICAL INSPECTION /J es-ooomoa
? /
? ¦ pa ?? ry}; See instmctions lor completirto this form on back oi yellow copy. ? ?., /??a(? C-?C[ ?
!R " Y H • "?.?'? .
?Y G 'X" Below Work Covered by This Request ?' ??- /
ew Add Rep. ' Type of Building AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contrector's Remarks:
Compute Inspection Fee Below:
# '- Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si9ns Inspector§ Use Only: TOTAL
Jrrigation Booms J?
?
Special Inspection ??
Alarm/Communication ?
THIS INSTALLATION MAY BE ORDER?B"DI CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M9PfT?IS. (
I, [he Electrical Inspector, hereby
ti
h
i
h Rough-in
?
cer
t
at t
e above
ns ection has
? p
been made.
Final Date
OFFICE USE JNLV
This request voitl 18 mon(hs hom ? o r c h4
clcl?U'fq fl
Request Date ire No. Rough-in Inspection
Required?
? Ready Now '6?JAlill Nolify Inspector
- - G yeS ? No ??When Reatly?
I? licensed contractor Yowner hereby request inspection of above electrical work at:
Job Atldress (Sireet, Box or Route No.) Ciry
3831 \es U -0.
Sedion No.
Township Name or No.
Range No.
Counry
I I
ko
Occupanl(PFINT) Phone No.
- ? uJ ? S LA 3 ?3 Z
Power Supplier Atldress
QC L
Electrical Contractor (Company Name) - Conlractor5 License No.
Mailing Atldress (Gontractor or OwnenMaking Inslallalion)
Aut etl Signature (CO ctor!Owner ing Installation) Phone Number
.s - 3 3 c? 2-
MINgiSOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FiEQUEST WILL NOT
Gri!Ws-MlEway BIEg. - Room S-173 BE ACCEPTED 8Y THE STATE BOARD
1821 Universiry Ave., 51. Paul, MN 55104 UNLESS PaDPEF INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD Control No. 0672
PERMITTI(PE: .. <autLoz_NG ?,._
Permit Number: 000837 Date Issued: 06 f 19/92
SITEADDRESS: LoT: is BIOCK: s
3831 LODESTONE LANE
CEDAR GROVE 11
PERMIT SUBTYPE:
SF PORCH
APPLICANT:
FOSNOW KEN
(612) 454-3362
TYPE OF WORK:
NEW
?
..REMARKS: REGEIPT N SEPARATE PERMIT REQUIRED FOR EI.ECTRICAL ._,_
? CITY O'F'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDINCa
000837
@6/19/92
SITE ADDRESS:
3831 LODESTONE LANE
LOT: 15 BLOCK: 3
CEDAR GROVE 11
DESCRIPTION:
?
Bu?.ld`i"n,g Permit Type
Building-'•Work Type
?SF PORCH
Building ten,gth
6u:tlding' Wifth
;
,....
NEW ,
12
r,J;? ??
y p
? .. .? ?
REMARKS:
RECEIPT MCOCqiYqS"'- SEPARATE PERMIT REQUIRED FOR ELECTRICAL
FEE SUMMARY:
VALUATIQId
Base Fee
Surcharge
Total Fee
$72.00
$2.59
$74.50
$5,000
CONTRACTOR:
OWNER: - Applicant -
FOSNOW KEN
3931 LODESTONE LANE
EAGAPI MN
(612)454-3362
I
I hereby acknowledge that I have r-sad this appl3catlon and stete that the
information is corhect and agree tv comply with all appl3aable 3tate of Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
&u A Q? r,L 1 p111
I UED BY. SIGNA URE
Control No. 0672
PERMIT #
REACTIVATE _ -?
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675 APPLICATIOrN
7?&??
.1
J J H 13 RECo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural.plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ?TLk -./1L / Z Valuation of work
5i te Address • 3/ ? --j-? L-?
STREET SUITE /
Ten c?t Name: (commercial only)
IAT BIACK SUBD. /1i? _(f ? .
l?i?J?-si` 1
{ p , I . D . 1f
Descri tion of work: c?
The applicant is: Owner 0 Contractor ? Other (Describe)
Name S`Lj Phone__??'3?' 6 '2-
Property LAST FIRST
Owner pddress _ 3 ? 3( ?.1) ?e ?-4-6 .v2
STREET STE t
Gity State ZipM 2Z-
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
,
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 Minnesata Statutes and City of
Eagan Ordinances. ?
5ignature of Applicant:
c
f
OFFICE USE ONLY
BUILDING PERMIT TYPE
O O1 Foundation
? 02 SF Dwg.
? 03 SF Addition
'19 04 SF Porch
,?111 05 SF Mi sc.
WORK TYPE
L?1 New
,
? 32 Addition
O 06 Duplex
? 01 4-Plex
? 08 8-Plex
? 09 12-Plex
? IO Multi. Add'1.
O 33 Alterations
O 34 Repair
GENERAL tNFORMATION
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Oemolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
2oning Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length ? /,S? On-site well Census Code
Depth IZ, On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REG1UtRED IN SPECTtONS ? c i?EE?N ? Fl 0 '21 «"(
? Site Footing
framing ? InSulation
? Wailboard ?
? Final Draintile O Fireplace
Permit Fee FjZ . o 0 v,iuat;o,,: g. 5Dc D
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter ,
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Cop ies
Other
Total:
F
SAC 96
SAC Units
?? ? . . . .a?. .? . . . . .y .. ... ... . ..
?` . ? .. . . . . , . ?^ ?
Ren Foenpw , • . ??,' Or.I0614ar
179-77
: . . ? ,. . ,
. I Id .. .' Y. . } ?.5:.
F• C• JA K50 N h?
LAND sUR(VEYOR
. t ? 7 PgI'r J y;
R[61fT[RiD UND[R LAMIf 4 ATC OP MINNt/OTA ?
UCtNMD tY ORDINANCt Of ITY OI M1NNtAlOiis
_ - ? ;/ • - . . • ? . _.r r...
727-3484 '
. ;. salS4riwjsr sarM srReEr
o f *11Tf1 ? CCTttuc'* ,.r .
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X
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ti/
I MER[HY CBRTIA' TMAT THC AOOV! 18 A TRU[ AND 0ORR6CT PLAT OR A. SURVtY?OI
7
Lot 15,91odk 3,Cedar Grove Nn. 11,
llakata CaunLy,Minneaota.
• .. -.e:
Aa sunvereD ar Mg THia 23rd. DAY Or Marcn ..o. 1977 ? .
. ?
' . ! ?. f'; • _;:;:;
SicH
F. C. JAGKSON. MINnnosf4 IrrwwrwN. 'NO. 3400.`.:t;
,$ .
w
?
' Date :
BUILDZiG PERitiIT P..nYLLCATIO'_i
LOT / 5? ELOCK ?3 1L7DITi01d C6W, C:,RJJ F J,!
°ARCEL & SECTI0!M PNi'-18ER 2F Ui'iPL:Ai'TEil
ADDRESS OF PARCLL 7? j ?o ?-¢ 5'fv?Jz CANF
20i3Ti?G OCCUPANCY IUSE `ftY
?STUyIA7ZD CoS? ? Do U,
rq a 4?- i? ?,? T'?s.. ? ,,j ?rxoitE ,?o . 56 6 - lS /
a.muss 73 2?4 13R •« -i- .4?F
CO':11^s22CiOR Kr- /I. TELY:PHOYIE T?O.
AnvREss `) 3 L-! D R- Ls- d- A,. ?-o
"tdotes Include si.t<> planP building plans, ancl enercjy calculation3 with t}iir,
apnlicatioi:
Si.qnedi ? ----- .. ... --
OP'x 2CE USE
'?:aLli:1iI0?3?- 7 Y?qS
SF,C
?'irAxE:R CO'.R"XC^Tl)'.S 49 aV
td1•+.?'F+I"c Y9E1`ER (O?
DUILDIrTG PF.21T4IT FM,' J-V&?
uURCHAFiGE FEE;
FL't1Yi Cir:PCIC FLE
PAAK DEDICATM:i l'EE
OT1? y?
TOTAL*
APPROVALSo
ASSESSMEi:ET CLEtZlt BUILDTATG DFPT. POLICE DEPa._____,._ ._
TM':'ER & 5Eb!Ez2 DEPT. FI?L DEPT. PIL'?IC DEPT._
Ken FDan3v Or.10614
179-72
F. C. JACKSO-N
LAND SURVEYOR
R[61STHNED UNDtIt {.AWi 0I ATt Or MINN[fOTA
LIC[ND60 BY ORDINANC[ OF ITY 0/ MINNtA1Olt{ .
727-3484
' 38jS4E1/ AST SSTM STREET
i
i
? OALb ? Q?LYn
J0 x ??P
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?i • ? L I?e v) ,h? ?j/
1Q.
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N /,
V ?yl ry?, ?/,,
- ?9
3 ?
I HERiBY C[RTIFV TNAT THE ABOV[ 16 A TRU[ AND OORR[CT PLAT OF A SURV[Y OF ` r
7
Lot 15,Biodk 3,Cedar Grove Na. 11, ?
llako[a County,Minneeota.
\(
AS SURVEYED BY MH TMIY23rd. DAV Or !!?YCa A p 1977
N6D
F. C. JAGKSON. MINn[sosA 6is7RwTwp. No. 3600
Use BLUE or BLACK Ink,
~ C^or-Office:,Use I (
city of Ea al!
I Permit I ( I Permit Fee: I
3830 Pilot Knob Road 6 I I
Eagan MN 55122 vr,~ 0 i Date Receive
Phone: (651) 675-5675 d I I I
Fax: (651) 675-5694 1 Staff:
;2010 RESIDENTIAL PLUMBING PERMIT APPLICA ON
Date:- Site Address: N
WCM A 44
Tenant: )on \ I ()SnM Suite
RESIDENT/ OWNER Name: Phone:
Address / City / Zip: U~ U-Acst~~ w~
CONTRACTOR Name: _ `0~ _.e (Pct
Address: ?:-'11 City:
+ uGl~
State: to i Zip: Phone: IS
Contact: Email
TYPE OF WORK New _ Replacement Repair ReIbuild _ Modify Space _Work in R.O.W.
r, _
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ / PVB Add Plumbing Fixtures( Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
i
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
t
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnar und* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic $ystem New ($10.00 per as built) (includes County fee and $5.0 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.0 State Surcharge) D~
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 folr protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.clooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 wor 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 la
x
Applicant's Printed Name A p a ' tgnature
FOR OF16IC9 USE Reviewed By: Date:
i
Required Ins' sections: -Under Ground -Rough-In Air Te t -Gas Test -Final
I
Use BLUE or BLACK Ink
For Office Use 1
city ; Permit
of Eap I Pernik Fee: I O S °)J I
3830 Pilot Knob Road 1 I
Eagan MN 55122 j Date Received:'
Phone: (651) 675-5675 I I
Fax: (651) 675-NN 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 1yo~ Phone: _4:-/_ Isy -334--
Resident/
Owner Address / City / Zip: 39-31 bed"I nt- at e-
Applicant is: Omer t56ontractor
Type of Work Description of work: ,i_
Construction Cost: a" Multi-Family Building: (Yes / No
Company: T f~ i ov .'Iw O'g -S S ar u rte' Contact: Lowv b 1'.-o5O.1
r /
Address: Gt~ City: Contractor
State: nn (i ! K - Zip: _ 0 Phone: 5-0-7 - ' - 3;~- 7 5~.
License "~>C 6 3 f- ; 73 Lead Certificate &&E- I
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 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.cior)herstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance and odes 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 x
Applicant's Printed Name Applicant's Signature
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