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3834 Lodestone Lane Use BLUE or BLACK Ink I t euse For City of Eajan I Permit Fee. 7 I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date Co - c ' c0 /d Site Address• g'- L. C~ duo LF~- i-►, enant: TaL `iN r I D5 ~y Suite RESIDENT / OWNER Name: f 14 & r r P Ay Phone: Address/City/Zip: nt G 9 n 2. Applicant is: K Owner Contractor t0'r. G k~ 1'2,.c y r J~ "I c i at dA . rs► ~tni TYPE OF WORK • Description ofwork: zGIC Z~r4►t~r~=i ~FimgT„o,41- ~.q Construction Cost: 3 3 Multi-Family Building: (Yes / No ) CONTRACTOR Name: S-. 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 S 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) 464-0002 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 ft*rmation 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 p;nd'a' and work is not to wltt t a permit; that the work will be in accordance with the approved plan in the case of work which requires a review proval Applicant's o s. x ~k t's Printed Na me c~firs Sign D Page 1 of 2 JUN 2 2010 Loy - Ln , - DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (34eason) Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) Multi X; Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex Lower Level Pool Miscellaneous Accessory Building WQRK 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 DE$CRIEIIQN Valuation? 0 Occupancy MCES System Plan Review Code Edition i SAC Units (25%,_„_ 100%~} Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTION$ Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: ,__jce & Water Final Pool: Footings Rir/Gas Tests Final Framing Siding: ,,,,,Stucco Lath _,,,,Stone Lath _,,,,_Brick Fireplace: Rough In Air Test __Yinal Windows Insulation Retaining Wail: _ Footings Backfdl Final Meter Size: Radon Control Erosion Control Reviewed By: 1 . Building Inspector RESIDEIITIAL FEES Be" Fee Surcharge 006 Plan Review 1 lJ ,~r~ ~ G~✓ MCES SAC' City SAC Utility Connection Charge S&W Permit & Surcharge t/~ Cr J Treatment Plant 0 Copies TOTAL Page 2 of 2 a SIT-15 braW• WT t r pad ~c L't 10 tom„ f ~'•f ~ ~ou3`' j rt1y~' it ~r Y i t A/ s< to )(0711 0400 OIL r,10 (I It i®r\~ 1.010460, CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecervso AMOUNT $ & DOLLARS ?oo FJCASH FlCHECK FOR Thank You Q\? . BY White-PaYers Copy Yellow-Pasting Copy Pink-File Copy 3 g 34 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 1 oo weceiveo FROM AMOUNT ,$ I [:1 CASH f-1 CHECK FOR Tha Jou ,. , V BY 19 DOI.LAR3 White-Payers Copy Yellow-Posting Copy Pink-File Copy Remarks Addition CIIIAR_('':&1VF. #11 Lot 6 Blk ? ' oWner pn J `w ?daAa- Street 3834 Lodestone Lane ?_dhx;ol? Improvemem Date Amount Annual Years ,-)Payment Receipt D te STREET SURF. 6 10 ?..?Ey d? ?? STREET RESTOR. 9 2j? 1 12.43 lO ?'d/7 GRADING SAN SEW TRUNK (O.O 2.00 O J SEWEfl LATER L J -1975 1,623.96 2.'79 5 ( • Water ' & area 1975 5 WATERMAIN: J WATER LATERAL O 1973 O• 9 •72 l?j a? d/ 7 WATER ARE * Storm ' r TrunO' 1 6 268.39 53•6 5 STORM SEW TRK 1971 33-56 1.67 20 STORMSEW 4AT (lQ 1971 22.37 1.11 2Q ;. ?. ? (o ? aG CURB & GUTTER SIDEWALK 187.52 18.75 10 aid A007125 1-29-78 STREET LIGHT ? I Road Unit Ch . 75.00 11458 . 10-4 -78 WATERCONN. 250.00 12067 10-12-78 BUILDING PER. #$ 7 SAC 500.00 1Z 7 10-12-78 PARK - - CITY OF EAGAN ? - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-- 12 2-,- 2 PHONE:454-8100 ?J c; J 7- BUILDING PERMIT Receipt # Tobeusedtwr_nonr_c ann EstValue-Ap n Dace TLTi.Y 2,1986 ,ig_ SiteAddress 34334 LOD .GTON . i.N Erect ? Occupancy Lot6- Block 2 Sec/Sub r•D R +ROV - 1 jTRemodel ? Zoning . Parcel No Repair ? Type of Const . Addition No. Stories ¢ PAUL Move ? Length j$ = .T_ S RTPSiCY Name Demolish ? Depth 2.2_ Address 3R3a LOnF.STQNF. LN ? o Int. Impc Sq. Ft. City RAC:AN phone d Sd-R 1 67 Install ? a ,o ot U? ¢ . ?Q F W Name z ? a Address < W Cily Phone Assessment Permit $3$.50 Water & Sew. SurchargIO 1. 50 Police Plan Review Fi SAC re E W t C ng. a er onn. Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. T?. PI. information is correct and agree to comply wi all applicable State of ?- Minnesota Statutes and City of Ea n rdina s. APC Parks Signature of Permittee Var. Date Copies Total S4n UQ A Building Permit is issued to: ? on the express condiNon that all work shall be done in accaPtlance with all applicable te of Minnesota Statutes and City of Eagan Ordinances. Building Official- I I IPermM No. I MrmN Holder I oNS I r.loOa» r I W Plby. Htp. Plby. Final Occ. Fty. ? T CITY OF EAGAN ???;°•`? a 4 1 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 I BUILDING PERMIT Tobeusedfor L, TT20A1 EsL Value ;TQ6000 Receipt # ? %1 h,? , Site Address P? Lot 060 Block 02 Sec,%Sub. rEDAR GROVE 11T PBfC@I N0. Occupancy Zoning a Name (ncmaq consc w o Addf@SS (Allowable) City Phone 454-31b; aorstories Length p Name Depth , zr ?Q Address S.F. Total ¢ City Phone S.F. Foolprinis On Site Sewage ? W W Name On Site Well P ? AddfBSS MWCCSystem aw City Phone Ciry Water - PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump intormation is corcect and agree ro comply with all applicable State of Minnesota Statules and City ot Eagan Ordinances. - Signature of Permitee ' ,'j APPROVALS 1 ..`. ?T.i;S2YU?'.?9 A Building Permit is issued to: Planner on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City ot Eagan Ordinances. gld9, pry. Building Official Variance OFFICE USE ONLY FEES BIdg.Permit '.' '.ll Surcharge ` • UO - a "?0 Plan Review SAQ City SAC,MCWCC Water Conn Waler Meter Acct. Deposit 5/W Permit S%W Surcharge Treatment PI I I Road Unit ? Park Ded. ? Copies {? TOTAL I Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. j ELECTRIC j? V119fY / 610 Inapection Date Ins . Comments Footings I Foundation ls j{ iDS Framing ? Roofing /??Pl i Rough Plbg. Rough Htg. i9ui. C- -`'? ? f'+ v?/ ?.?rSi,?6?1?v - Fireplace A/0 y- ? pG? GA - Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Pian Bldg. Final Deck Ftg. ? Z 3 `90 bs DeckFinal ZEfe6' -4y Well c. / 1c.1 EI+ ca ?cleKrZ Pr. Disp. 5 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 5241 PHONE: 454-8100 BUILDING PERMIT Receipt # To ba uaed for Est. Value Date 19 Site Address Erect ? anc Occu p y lot Block Sec/Sub. Alter ? Zoning parcel ,#. Repair ? Fire Zone Enlarge ? Type of Const. Name Move ? # Stories W Z Addres s Demolish ? Front ft. 0 Ci Phone Grade ? Depth ft. ` Nome _ ?0 ? Address Name _ Address I hereby acknowled9e that I have read this application and state that ihe informotion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment _ Water & Sew. Police Fire Eng. Planner - Council - Bldg. Off. _ APC Fees Permit Surcharge Pian check SAC Water Conn. Water Meter Totol Signature of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in accordance with all appiicable Stete of Minnesota Statutes and City of Eagan Ordinances. Building Official ??nsM # paM lauad PrwlMw Plumbing Mechanicul INSPECTIONS I DATE INSP. Rough-In Final Footings Date Insp. Date Inap. Foundation Plumbing Frame/ins. Mechanical Final Remarks: Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fea fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equioment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfq. r an ng: - Boi lers Mfg. - Mech. Exhaust Unit Heater Mfg. Other _ ? Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flrlal Inspections: Date Insp. Date ?/ ?l Insp. ? This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilo! Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: -- ? - Site Address: .'?o?estCr ? "' Plumber: ' I agree to comply wifh the City of Eogan Connection Chorge: ;•` Ordinanaes. Account Deposit: Permit Fee: BY - Date of Insp.: Insp.:- Surchorge: Misa Charges: Total: Dote Poid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address WATER SERVICE PERMIT PERMIT NO.: DATE: __ No, of Units: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to eomply wit6 the Ci1y of Eagan Surcharge: Ordinanaes. Misc. Charges: - !1c Total: B1' Dote Paid: Dote of Insp.: _ Inso.: ccrir oF EacaN 3795 Pi ob Road Eogan, MN 55122 No 5017 ?.. 6 HONE: 4548700 /h BUILDING PERMIT APPLICATIO ? Receipt # o To be used for SF Dwlg. Est. Voiue "??,? Date 10-12 1978 Site Addre55 'IR14 Tnciaatnne Erect M Occupancy_ 1 Lot 6 Block 2 Sec/Sub. CG llth Alter ? Zoning R1 Porcel # w Name Jad Ron ; Address 10800 L ndale Ave. So. o Bloomington o,,,,,,e 884-7225 r:... , p Name _ ?? Address Ci u°? W W Name _ ? Address I hereby acknowledge thot I have reud this application and state that the informotion is correct ond ogree to wmply with oll applicable Stcte of MinnesoM Statutes and City of Eagan Ordinorxes. Signeture of Permittee A Buiidlnq Permit is issued to: ail work shall be done in uccor ance with oIl Building Official ??? Z-L ? air Re ? Fire Zone 3 p Enlarge ? Type of Const. v Move ? # Stories Demolish ? Front 52 ft. Grode ? Depth 40 ft, Anoravola Fees Assessment _ Water & Sew, Police Fire Eng. Plonner - Council _ Bldg. Off. ? APG Permit tv.7.]V Surcharge 18.00 Plan theck snC 500.00 Water Conn. Z50.00 Water Meter 'ark Ded. 75.00 d. Unit 7,J,QQ_? 7otal -1*875T? on the express condition that of Minnesota Stotutes and Ciry of Eagan Ordinances. CITY OF EAGAN N? 16544 . ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 /' BUILDING PERMIT Receipt # ,? - To be used for ADDITION Est. Value $18,000 Date MAY 31 , 1989 Site Address 3834 LODESTONE LN OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. 10-16711-060-02 Occupancy - FEES Zoning ¢ Name PAUL .T STRIPSKY (Adual) Const - Bldg. Permit 190. 00 W o Address 3834 LODESTONE IN (Allowable) - 9 00 City EAGAN Phone 454-8167 # ot stories - Surcharge . 95 00 Plan Review . Length _ F Name SAME Depth SAQ Ciry = ?¢ Address S.F. Total - SAC, MCWCC ? C?I?y Phone S.F. Footprints Water Conn On Site Sewage - Fw Name On Site Well - Water Meter ?? Addfess MWCCSystem - ? Z a W City PhOne City Water - Acct. Deposit S/W P it PFV Required - erm I hereby acknowlege that I have read this application and state that the eooster Pump - S/W Surcharge information is correct and agree to compLy with all applicable State ot ` Minnesota Statutes and Ci4y-of-Eaga rdi `a e Treatment PI % ? Signature of Permitee APPROVALS Road Unit A Building Permit is iuued to: PA UL .T STRI Y 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. gld9 pry, _ Copies y7 ?1 Building Official 1 ? Variance TOTAL 294.00`fi` ? -3830 Pilot Knob Ro di P.O. Box?2G-A1 9, Eagan, MN 55121 N° 12222 BUILDING P.ERMIT PHONE:454-8100 Receipt p 6 ?137-5 Tobeusedforr_nnnr_F nnn Est.Value i Date ItJLY 2,1986 ,19 SiteAddress 3934 T.npF.STONF. T.N Erect ? Occupancy Lot_6L Block 7 Sec/Sub. CF.nAR GRnV F. 1 1 Tflemodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories Move ? Length 16 ' W Name pAUL J STRIPSKV Demolish ? Depth Address 3834 LODESTOPIE LN Int.lmpr. ? Sq.Ft. o Ciry FA(?nN phone 454-$7 67 Install ? ¢ Z Address ~ City Phone w W Name _z ? c5 Address a w a Name S Approvals Fees ?$E Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to corSply wi all applicable State of Minnesota Statutes and 'a?a d?rdi s. Signature of A Building Permit is issu v PAUL J all work shall be ne i ac d nce with all applicable! Building Official Assessment Water & Sew. Police Fire Eng. Planner Council BIdg.Off. 7 /2 /86 APC Permit $3 R_ 5 fl Surcharge$ 1 _ Sfl Plan Review SAG Water Conn. Water Meter Road Unit Tr. PI. Var. Date Copies Total$40 . 00_ RIPSKY on [he express condition that of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3795 Piloc Kno6 Raod Eagan, MN 55122 N2 5241 PHONE: 4548100 BUILDING PERMIT APPLICATICN Receipt # /yY YY Te be uaed for FPI1C2 Est. Volue 700'. Dote 5-10 , 1979._ Site Address 3834 IAdeStArie I,arie Erect Occupancy R3 6 Cedar CrC7Ve #11 2 R Lot Block $ec/Sub. Alter ? Zoning Parcel # 10 16711 060 02 Repair ? Fire Zone 3 Enlarge ? Type of Const. V W Nume Paul Strinskv Move ? # Stories 3 Address 3438 Lodestone Lc?IlE Demolish ? Front ft. ? C? Eagan Phone 454-8167 Grade ? Depth tt. ? 0 Ncme le Fence Approvola Fees Zu u? Address Name _ Address I hereby acknowledge thot I have reod this opplication and stcte that the information is correct and agree to comply with all applicoble State of Minnesota StotW€s? and City of Eogon QsdiLwnces. , Signature of Assessment _ Water & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit 7.UV Surcharge .50 Plon theck SAC Water Conn. Water Meter Totai 5.50 A Building Permit is issued • YaYl1 5 1 S?V on the express condition thct all work shall be done in orc/p ' II appliea le ?e of Minnesota Stotutes and City of Eagan Ordinonces. Building Official ??` '? CITY OF EAGAN BUILDING PERMIT APPLICATION To be used for Valuation ? 0-0 Site Address ,`?n A„A(-?A.C. Lot lO Block c)--, Sec./Sub. C Parcel $_ 10 1 (d-? ( 1 Q(0 Dwner: ?c?u \ `?, f cC?Ck y Address: L?'v Phone #: :ontractor: ,ddress: 'hone #: lrch/Eng.: Lddress: Erect Alter Repair Enlarge Move Demolish Grade ?J?TI Include 2 sets of plans, ? 1 site plan w/elevations 6 1 set of energy calculations. ? Date 67 9 OFFICE USE ONLY Occupancy Zoning Fire Zone 3 Type of Const. i 8 Stories Front ft. Depth ft. Approvals Fees Assessment_ Water/Sewer Police Fire Eng. Planner Cvuncil Bldg. Off. APC 'hone $: Permit ?S?2fl- Surcharge S?- Plan Check SAC Water Conn. Water Meter Road Uni[ TOTAL ,7 ? i t ? Y ? ti 3 a s PERMIT # s-i ?`w RECEIPT DATE: 2002 RESiDENTIAL #'LUM$INCY PtRMIT APPt,iCAT[ON C1TY 0F EAfiAN S$SO PILOT KNOB RD EAfiiR1V, MN 55128 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: J??` OWNER NAME: : e? If>S IGGI TELEPHONE (AREA CODE) INSTALLER NAME: H, P - Pi R-'LW? i/4,S TELEPHONE #: STREETADDRESS: Jl.a1U DDDb R.D (AKEA COi,E) CITY: STATE: M IQ ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) O:her: _ RPZ: new installatioNrepair/rebuild 30.00 _ lawn irrigation syste:?? ` Replacementl2dditional: _ water softener I water heater $ 15.00 State Surcharge $ .50 $ 15 lsb TOtal I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicanYs responsibilityto notify the property owner thatthe City of Eagan assumes no ' bility`or an% damages caused by the City during its normal operational and maintenance activities to the 6cilities constructed under this permit wthi C' pro?lrig -o -w me4.,e.2 n C (1 L4Ju- SI TUR OF PERMITTEE 1/02 ? 1986 BDILDING PEMIIT APPLICATIOH - CITY OF EAG9N NOTE: ALL CONTRACTORS MDST BB LICENSED fiITH THE CITY OF EAGAN SINGLE FAMIILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DWE[.LINGS - RSSIDENTIAL INCLUDE 2 SETS OF PLANSt CER 1 SET OE ENERGY CALCULATIONS COrMRCI9I. RENTAL QNITS FOx SALE DNITS OF SIIRYBY - CHECB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCAITECTUAAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2t000 LANDSCAPE BOND \ To Se Used For: '? "-)Valua Site Address 3? I od¢S" Lot ? Block a Pareel/Su6 Owner?u S7v Address -38;14 !_ o d pS4a n e. L p r? ?. City/Zip Code (23pn a oZ Phone #.j q - s 7 Contractor Address e- City/Zip Code ??h Phone Areh./Engr. Address_`!Z?3? Ljes4one- L)40tz City/2ip Code 2-2 Phone # °= Date: j ?> Ereet ?X Oecupaney HI Remodel Zoning Repair Type of Const -Y7/,/ Addition >( # of Stories Move Length Demolish _ Depth ? Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 3845-0 Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off _] a-?(G Treatment Pl APC Parks Varianee Copies YOTAL ,oo NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES iTILL BE ALLOiiED ONCE BUILDING PERMIT IS ISSIIED. ' ? s ? TE brc, w•?+q `• d ? s W . ?? ? ? . i? Gar?O'tq' ,?k °lo Qg„ ? K+A A / ?S ? I ? 3 0 ? n -M a ? ? t ? 1989 BtJILDIBG PERMIT APPLICATION CTTY OF EAGAN SINGLE F9MILY DiTELLINGS v2 SET3 OF PLANS .-,-I BBNONMMM SITE SOROEYS 1 SET OF ENERGY CALC3. I 4644 MIDLTIPLE Di1ELLINGS 2 3ETS OF PLAN3 BEGISTSRED SITE 3IIRQEY3 - (CHECg WITH BLDG DIV. ) 1 3Ef OF ENERGY CALCS. !lULTIPLE DWELLINGS RENTAL ONTTS FOR SAI.E IIATTS • OF QBTTS 80TE: ADDRESSFS FOa CORNEe LOTS - CONTRACTORIH{?MEOflNER 1+IOST DESIGNATE WBICH IDDRESS IS DESIRED. NO CAANGFS WILL BE ALLOflED ONCE BUILDIN6 PERMIT I3 I330ED.. SEWER & IiATER PERMIT FEF.S AAD ACCOUNT DEPQSIT FEES WILL BE IHCLQDED IiITH THE HITILDIN(3 PEIMIT FEE. PROCESSING TIME g0E SEWER lRD N6TER PEffi+JITS IS Ti10 DAYS ONCE A PERMIT HAS BEE19 COMPLE?ED IADICATIHG A LICEN3ED PLUMER. PENALTY APPLIES WHENo PERMIT IS NOT PAID FOR IN S9ME MOAITH IT IS REQOESTED. LOT CFiAtdGE IS REQQESTED ONCE PERMIT IS ISSIIED. MAY 2 4 1989 /8 oofl To Be Used, For: /8 '5C/G ' Qdjifion Yaluation: Date: J? p2 ly R Site Address 2834 LAdes-k.,,, Lq n¢ Lot QLQ Block QcZ ID-147af-70-C!2 Parcel/Sub ??i? 10 Pla+ 16-711 Ced.? ? O?mer a..,.1 .l r,-.,. ? k., Address Sg3`-( Lo&Qs6h? City/Zip Code .S 5? a? Phone Contraetor Ow v, -a r Address :.ty/Zip Code Phone kreh. /Engr. 0 w n -e r Address City/Zip Code Occupancy Zoning Actual Const Allowable ? of stories Length Depth S.F. Total Footprint S.F. On site sewage On site xell _ MiiCC System _ City water _ PRV required _ Booster Pump _ APPBOVALS Planner • Couneil Bldg. Off. Z?g_75/Z5- Varianee COMMEACIAL 2 SETS OF AECHTYECTURAL & STBDCTIJRAL PLiNS 1 SET OF SPECIFICATIONS 1 SET OF ENEEGY CALCS. Bldg. Permit ? 3ureharge Plan Reniew 9?5 SAC, City SAC, MWCC Water Conn Nater Meter Acet. Deposit SIW Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies 3DBTOTAL Penalty lOTAI. , 0 7 Phone # / 2 kl? - z? ? X (" C5?, /')7z?0 . , . ?::.? . . ? 5 W A. ry?? ? . , ??? • ` i 1 ?'3y y yh IR ?? . ,j'L, ? "q . py?i'? , r•- ? .' . ? . ? ? _ . r ? f ??S ? . . ,...?. 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RE ALTY., I N C. 14 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 !4 ?_v I " New Constructbn Requirements RemodeURepair Reauirements Oflice Use Onlv 3 registered site surveys showing sq. ft. ot lot, sq. ft. of house; and all roofed areas 2 copies oi plan Cert of Survey Recd _ Y_ N (20% ma)imum lot coverage allowed) 1 set of Energy Calculalions for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suNey tor additions & decks Tree Pres Required _Y _ N 1 set of Energ y Calculations Additbn - indicate i(on-s'rfe septic sysfem Onsile SepGc System _ Y_ N 3 copies of Tree P2servation Plan ii lot plaried after 711193 Rim Joist Detail Op6ons selection sheet (buildings wilh 3 or less units) n( a / ? / D t 0 r / G? Construction Cost / v (-) " a e Site Address <, q5 7 L cE`^'-o- UniUSte # Description of Work ON C c-,,, J tlt_,pA Multi-Family Bldg _ Y?N Fireplace(s) _ 0? 1 _ 2 Owner ?Ct Pro ert Telephone # (!c;x 2 p y v Contractor y&,?-< <A 41 r ? Address 1?0 21 i4-0 NKOl CitY Y'121 OPi ?'l.('b State /U] Zip .77 z Telephone # OT2 ) 41q7 ^ S742 , I 61E GOMPE ^ HISA''REA ONLY IF CONSTRUCTING A NEW BUILDING J,?„ ?J(V Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Ener9Y Cod?Categor y . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calalations Submiried In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I? _ Y _ N If yes, date and address of master plan: ' Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 o which requues a review and approval of plans. SL ? t,'L 4AC Applicant's Printed Name Ap ' t'sgnature "7ic, 7 2007 RESIDENTIAL MECHANICAL rEUMiT ArrLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit IWpR 2 fi 2007 ?D'_5n Date J / o271 0-7 Site Address 333 7 L-O cle SlpI'1 L `Q /1 e. Unit # PropertyOwner ? - A61Q ? j7 Telephone#((7S/ $167 Contractor ANGFLL AIR INr F ` 12253 Nicollet Avenue Soudt Street Address BUfIi3VIIIB, MN 55337 ? City Telephone:952-746-5200 ? State fax, 952-746-520 Telephone # ( ) Bond #: Q S QT Q 73 Expires: ? ZAIQ The Applicant is Owner ? Contractor Other / Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? furnace _Additional V Replacement _ New air exchanger air conditioner ? heat pump other State Surcharge . $ .50 Total $ S O. .S0 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accwate; 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 casepf work which requires a review and approval of plans. ?Ci.L? ?(???IZ/1?Ghn ? , A?plican ' Printed Name - Applic ' Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084736 Eagan, MN 55122 . Date Issued: 07/29/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3834 Lodestone Lane Lot: 6 Block: 2 Addition: Cedar Grove 11th PID 10-16711-060-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/17/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Bradach Construction, Randy Paul J Shipsky 18267 Italy Ave 3834 Lodestone Lane Lakeville MN 55044 Eagan MN 55122 (952) 892-6015 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. Applicant/Permitee: Signature Issued By: Signature A wwlJill-/111 J13111N 11.1•x'-1 VY 1 -i IL-N_w Y"T Iln L.L I_11'IL .L L'IIA 11 11111 Mnl 2012-06-051129 » 651975 5694 P 2/2 We BLUE or BLACK Ink For Office use I ParmitX, CD 7 I City of no 1 1 I Petmtt Fee. 1 3830 Pilot Knob Road Eagan MN 55122 Date Receive:"1Z Phone: (861) 675-5675 i Fax: (661) 676-6894 1 Staff. t 1` t --------i 2012 RESIDENTIAL PLUMBING~..P`ERMIT APPLICATION Darr: Site Address 1 U Tenant: suite c Name: ~1 Phone: V3 Address / City / 7JP: GL t fe Nerne; _ 1A M 111i a0i i License # Address. State: _ Zip" v Phone: 101 al LUaI.Z_~'i.~~( Contact: C'no Email: New Replacement _ Repair Rebuild Modify Space Work in R.O.W. y >r . Description of work: L".00, n ' e 1n f 1 C ~T) 0' ` .1 RESIDENTIAL Water Heater Lawn Inigadon RPZ / PV8) Water Softener Add Plumbing Fixtures Main Lower Level) p . ,s iSyOtOrn Septic Water rum New around Abandonment RESIDENTIAL FFES: $00.00 VAnimurn Water Heater, Water Softener, or Water Heater IW Softener (indudes $5,00 State Surcharge) $00.00 Laura Irrigation (includes $5,00 State Surcharge) $90.00 Add Plumbing Fixtures, Bobo y&tem Abandonment. Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 If a 548" raster is required) :106.00 $QDtic Sy#tem New ($10.00 per as bulk) (Included County fee and $5.00 State Surcharge) TOTAL FEES S CALL BEFORE YOU 010. Can Oapher State One Call at (901) 484-0002 for protection agalnet underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground uniffles_ t hereby a dmWedge that this information a complete and raccutate: that the work m4l be in conformance v* the ordinances and coon of the Gty of E'w..ULLu omit rbut.+OCfli~.aq aipplicationJOr_~porrit WW 4 - me* -a Ml to (aR-wN e•wrerk.AA11 •be•fA-- - aumm vrlat the approved /plen in the cage of %w k Mich rogtlres 9 review end appmwal of ply, At*lcant•s Printed Name Applicant 81 ure '~'~q)a~l~~c~l$r l a,,~ `k ''./>:R~V1#tN~~~XiCI 'r.:;.:;'- 1,(::•~•' f';S~ v~•`D:ltle;'~s•,~r",~`';+ :ROqulnd lripectlWisl: Under Ground fl U TeeVI 2012-04-3016:40 651975 5694 PERMIT City of Eagan Permit Type:Building Permit Number:EA113900 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3834 Lodestone Lane Lot:6 Block: 2 Addition: Cedar Grove 11th PID:10-16711-02-060 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 . Amy Jilk Valuation: 4,000.00 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 - Paul J Stripsky 3834 Lodestone Lane Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature For Office Use t * . C/V.' Pemtit „ E G , / Permit Fee: / 40014'corre- VIP I ...........,.. .,.10...../., Date Received: ---S ?I° t S7 I I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 II (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: I build,inoinspectionSacitvofeaden..coni ,61t1/4ii( $6 t,,, ,, 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3'.2.(-„p ' IA Site Address: i..."54t5i.‘)(-1 Lc,.A.e.a\c)(1 Z. .-......, y- Unit#: .... Namey 3 ,.....› i,-,. t Phone: ,,, \ I 9--*; 1 '' '''''),)t-"Y-• 0:5\4 Resident/ --- J Owner Address I City/Zip: _ .. _ ,,, Applicant is: Owner .t., Contractor -72 4 S 7-rq IA L/13 / , / ,5 Description of work: . 0,0 &.0. e-eNC-Tr-a' l'---)r Nr-qa‘\ -k-i.i.k.-1 kn cr-, . Type of Work Construction Cost: I 4fit' Mufti-Family Building:(Yes_I No ) _____ r\I A \-- EA • Company: 1IN o vv C .e i.c,co. ki'S , tlAontact. Address: 2.9 I E" ‘ft- . t.. .N.V` City: ,....... + Contractor State: Zip; Oak c)I Phone: Email:' _ii, a ati,4,,ai..• till' i• as 44 License#.;5- 1f.r .4-413 Lead Certificate#: kb, ..„,a, ..... 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 suitportfntt doconlanis that yo.,ficribinit sovonsidereo to,titit Public ireonnatiolt,T e,StOati:af the inforinatiaa-May be ciessifiegeo non-public by you u provide speofrV'teasoneAtt weald permit the CiftfO,PORgOffe that they are trade secrete, 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 vovvv.citvotearian,cornisubsctibe. 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. vowv,gpoherstateonecali,oria I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances a • co.-- .., he City of Eagan; that I understand this is not a permit, but only an application for a permit, and ork is not to start without a permit; that the work wi •e in accordance with the approved plan in the case of work which requires a review and approv.I of plans. x C\ inz2tIz: x ..... A...... .. AA 016.....erteeeaggiA• ..) Applicant's Printed Name 4T.,lica s -ttire Si.... 41110/4 L- * 00 NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) ro, 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 r 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 Se •\'COO. — Occupancy „.1.'-' c- , PACES System Plan Review Code Edition psi ac,i5-- SAC Units (25% 100%p ) zoning 12-—1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 6 Width REQUIRED INSPECTIO Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) A Final/No CO. Required Foundation Foundation Before Backfill ' p 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 ,p Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control >0 Shower Pan Other: Reviewed By: 10/4 /17;k/Y '" , Building Inspector RESIDENTIAL FEES v4,-41,17 tii4/tc.e.BaseFeeFee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 iLa For Office Use . , " / , * 0 , „ „TIVIt.- i I , , -, Permit#:/ '4. Li- co- / II ..... ,* .f.„,,,.. 26 7-J_ C90 Permit Fee: 1 i Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: I 1 buijdinginsoections4cityofeagan..corn 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date;%3*2_Cc.- teS Site Address:,5Pii.44 Lo A t....,n-lit: (7. Lri te... Tenant: Suite#: M Name' -.),-, I ''..--",a.,,..il ii_ A-ri '.1.,,....A 4, Phone: 0 - 4— .ii. " Resident/Owner . '' t,. 'i ' Address/City/Zip:‘,... 1.kle,... 41*- _Ps ivin nni, Name:\l\ i.-Ni-ivrst e- rNic'..x-,,,, v-IACN cX r-dit' License#:RC-- 1 Contractor ,„ Address:-2. City: k..7-9 I Nia i17‘,\'' - State: Zip: On10 7 Phone: erj-vi.n 1- (i:-.)0,-4-ea-co 7 Contact: „ b. - Email: New Replacement Repair Rebuild Modify Space Work in R,O:W. Type of Work ------ -1.-- ----- ., Description of work: ,- - i• "e ^ ft..1 kik, 'S 6 ...4*. .. .... C- RESIDENTIAL () -"*.* 4:)N1 't. e,44Agkii'l f,-- Water Heater Water Softener Lawn Irrigation( RPZ/ PVB) Permit Type Add Plumbing Fixtures( Main/ Lower Level) Septic System _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater nd Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic vateni Abandonment, Water Turnarourtd*(includes State Surcharge) 'Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ (...r),C--) CALL BEFORE YOU Dig, Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities: kyww,doonerStateonecalt orq 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 vvww.cityofeagan,comisubscribe, 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 permi • *4 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". -case of work whic -tuires a review and approval of plans, A1 , x .... ,„. . 'slit ....,.... 'pplic,nt's P nted Name Applicant's Signature FOR OF'ICE USE , , ','- - ReWeiiIed By: , ,-- ',' ';,:-.."' .,',' ; , Date..,' ,,,c,';'','::71:',:',11 -equi •: Inspections: Under Ground:':' FZoi411In _Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: ....1 r For Office Use - in It '��lk , ir� :::: ' v. e: / '' 67 • C Date Received: I -l 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ''E C E I V E (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 i Staff: i� buiidinoinspec tions citvofeaaan.co JUN 0 3 2019 J 1 4 2019 RESIDENTIAL BU! ®k' t 1 APPLICATION Date: 6/3/2019 Site Address: 3834 LODESTONE LN unit#: • �y 1 - PAUL & BARB STRIPSKY 612-328-3403 w , '..it Name: Phone: e Address i city i zip: 3834 LODESTONE 4 I,' ,- Applicant is: Owner Contractor '04-,��� a � SEE ATTACHED ( a i a 4 Description of work: (.,. i 0 ( / f ,0 #. 4000 "� Construction Cost: Multi-Family Building:(Yes /'No ) '}�" � WINDOW CONCEPTS OF MN 651-604-8267 .ye Company: Contact: AP laT t �' ' Address: 291 EVA ST Cit ST PAUL �, i '` ` MN 55107' 651-604-8267 . TYLER,SCHULEROWINDOWCONCEPTSMN.COM 1 kt4 State: Zip. Phone: Email. ., , �" License#: BC163493 LeadCertifcate#: NAT-23718-2 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:_ ' :.1 £ kb 2 F/ it4 4" . :i. t Hpt# til a er iti*r: ft a = l 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.citvofeaaan.comisubscribe. 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.000herstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances a d 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 out a pe at the work wilt be in accordance with the approved plan in the case of work which requires a review and approval of pla s..........,,,,,,e- 1 xTYLER SCHULER x Applicant's Printed Name .2„,," .nt's Signature DO NOT WRITE BELOW THIS LINE s',g-g LQdcs--'/?F apt . / - . - 9 .S '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 4 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 )(O(j 0 Occupancy MCES System Plan Review Code Edition 1 (5 SAC Units (25%_ 100%\fv) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 5 iWidth REQUIRED INSPECTIONS J Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill 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 S., Insulation Windows 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 Base Fee /� �� Surcharge l `-� Plan Review ,/ 00 I/ 'MCES SAC pi F V,1 " (/ City SAC Utility Connection Charge S&W Permit& Surcharge -/-1\1 2. O I"Treatment Plant 1/1/1 Radio Meter Read Copies (124 TOTAL Page 2 of 3 For Office Use [ *"„t i 1 0y ' Permit#: / 330 .PI �� Ai 0° E ~� • Permit Fee: 6 O . 0 0 -- / .+."--*n. 4 E C E I VE0 Date Received: / _ 3830 PILOT KNOB ROAD I EAGAN,MN 66122-1810SI (651)675-5675 i TDD:(651)454-8535 I FAX:(651)675-5694 i i Staff: / bui3ldincinsoeotions ityofeagan.com ..`ibN 0 3 2C13 2019 RESIDENTIAL PLUIVPillstai4ERNOT APPLICATION Date: 6/3/2019 Site Address: 3834 LODESTONE Tenant: Suite#: '..A PAUL & BARB STRIPSKY 612328-3403 , a Name: Phone: Address/City r zip: 3834 LODESTONE LN ` , KINGS PLUMBING AND HOME SERVICE PC720573 Narne: License#: 4600 HAMPTON RD GOLDEN VALLEY -C;,,911 } Address: City: °f fig: u MN 55422 612-244-5414 � :.`State: Zip: Phone: i� LEE LEELINDSTROM21 a@GMAIL.COM „, Contact: Email: dAdr q'< rr' New 6/ Replacement I/ Repair Rebuild _Modify Space Work in R.O.W. E 4 ° 4 %1 - 4 _. SEE ATTACHED ,R Description of work: 'e, Water Heater Lawn Irrigation( ) RPZ/ PVB) _ Water Softener 1 4 PI«;.6 4 �: Add'Plumbing Fixtures( .Main! Lower Level) Septic System a -47' Description: $,"11 ,,"-,'a —New � Connection to City Water from Well 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 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from WeII*+$290 for Meter and$190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ CALL.BEFORE YOU DIG. Cal 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.eooheratateonecall.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.citvofeattan.comfsubscribe. 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. xLEE LINDSTROMx _ 0 r , .rte Applicant's Printed Name Applicant's Signature Page 1 of 2