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
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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.
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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.?
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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
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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 /
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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