4225 Lodgepole DrCITY OF EAGAN Remarks
Addition EverQreen Park Lot eik 1 Parcel 10 24880 110 01
own erT(? Z?nStreet 225 Lo epole Dr. state Eagan,,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
' GRADING
SAN SEW TRUNK Z2 1
SEWER LATERAL
Z
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 242.00 (',Q]_Q443 7-9-85
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ( 348 a-Z - Z
BUILDING PER. 282
SAC 240.00 7260
--
PARK
I INSPECTION RECORD
! CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road C? Permit Number: "•? i;ri ?
? Ea9an, Minnesota 55122-1897 t• I
Date Issued: !e:l Iti6
(612) 681-4675
I SITE ADDRESS:
PERMIT SUBTYPE: '
. , 1H); I
; APPLICANT:
TYPE OF WORK:
I I, , i :,
iAtI i ii>
Wt F'A f {i
(ft0(iFfNH/UF.CKi
INSPECTION D. .
t • .A
i
I ftfMARKti' •, Int3M 11) f114 l1f,f Nii rf 1
F
L
Permit No. Permft Holder Date Telephone A
ELECTRIC
PLUMBING
HVAC
InspacNon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFWG G S I6
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL ' nII.? I
7 Gn
n?•
BSMT R.I. I
I
BSMT FINAL ?
DECK FTG
DECK FINAI
CITY OF EAGAN .
3795 Pllet Knob Raod Eogon, MN 55122 PHONE: 454-8100
BUILDING PERMIT
Receipt #
A17)1TY Est. Value r)Mn 10
$Ite Addreu _
Lot
Parcel # -
aWC Name _
; Address
b
Ci
a: Name _
,o
?? Address
h r.•..
551??_
Erect ? Occupanty
Alter ? Zoning
Repolr ? Fire Zone
Enlorpe ? Type of Const.
Move
D
li
h ? # Stories
Le
th
emo
s
Grade ?
? ng
Depth Sq. Ft.-
Approrols Fees
Name
Addreu
Assessment _
Woter & Sew.
Police
Fire
Enp.
Pianner ?
Council _
Permit -
Surcharge _
Plon check _
SAC
WaTer Conn.
Warer Meter
Rood Unit _
I hereby acknowledge that I have read this appticotion ond stote that Bldy. Off.
the inlormotion is mrrect ond ogree to comply with all opplicoble AP? Totol
State of Minnesoto Statutes and City of Engan Ordinances.
$ipnoture of Permittee ^ -
/1 Building Permit Is issued to: on the express condition lhnr
ali work sholl be done in accordonce with all appliwble State of Minnesoto Statutes cnd City of Eapen Ordinances.
Buildiryg Officiot
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
Inspaetion Dm Insp. Other
Footings y
Foundation
Freming
Rough Plbp.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
?
Final
Waler . Doseri6o Location:
Nkll
Sewer
Pr. Disp.
It.
EAGAN TOWNSHIP
BUILDING PERMIT
`?]? <
Owne= ----w/.h. .?:g?_'!"'?.....--------------------------- ----- --------------
Addxess (P:esent) ...... .f ........... ?------ `•-'?.... .._-- -- -
Builder
Address ----..----
DESCRIPTION
N° 2825
Eagan Township
Town fiall
Date -°.....----------°-°•--••---
Ssories To Be Used For Froni Depth Height Est. Cost ' Permi! Fee Remarka
<? I
? 3.?-?c
f? - 0
g LOCATION Gj0•S-o
Stzeei, Road or other DescripYion of Location I Lot Block IAddition o: Trao!
.-e? 0 / / e??
This permit does not au3horise the use of streeis, roads, alleys or sidewalks no: does it give the owner or his agen!
the right 3o ereate anp situation which is a nuisance or which presents a haaard to the health, safety, convenienee and
general welfare to anpone in the communily.
THIS P£RMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PROGR S.
This is io certify, thal...... - ------...-•-_-----.......?-?7.............. haspermission !o arect a..... ---- ..
the above described premise subject to the pzovisiona of the Suilding Ordinance for Eagan ownship adopfed April 11,
1955.
...••. a ..Y`.^!"."....... ?............ Per .- -.......... °----...........
Chei:man of Tnwn 8?rd Building Inspector
-.c?
?. GrP?ri I?r.C
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNIIT N0.
The Village of Eagan hereby grants to He" &K"bsyd meat9,t7g-.--
of 99 £dQr$iiiell"g
?-
a Permit £or: (Owner)
at ,,,,,,,, pursuant to application dated yI g
? ??s--
Fee Paid: - dated this ay of ? 19?
-?ae-.?e- -a?r?
1.00 9/C
Building Inspector
Ileohanical Permits:
t3id Total:
7
.. _
. ;
,
TOWN OI? EAGAN
3795 Pilot Xnob Road
Sagan, Minnesota 55121
0
12co Z
.6?.
CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/el.evations &
BUILDING PERMIT APPLICATION 1 set of energy.calculations.
To Be Used For Go.+&AE li-tUL`-t t?d\ Valuation ??- Date
Site Address: qz?`a-?'j ?k?, OFFICE USE ODII,Y
rAt ? Blocx l sec./sub. t-.r qr.(?r?ect oocupancy ?- -
Parcel # : _ 1 ? C? Alter zoni.ng
Repair Fire Zone
??.: Enlarge? Type of Const. ? -
Move # Stories
Address Demolish Front / ? ft.
City/Zi Grade Depth ft.
Phone #
Contractor:
Address:
City/Zip Code:
Phone # :
Arch./Eng..
Address:
City/Zip Oode:
Phone #:
APPEtOVALS F'EES
?
Assessments Permit ??
?
-
Water/Sewer Surcharge °
'
Police Plan Check
?
Fire SAC
Ehg, WatPS Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. •
APC
?
TOTAL ? D ?
CITY OF EACsAN
9795 Pilet Koab Read Eegaa, MN S5122
PHONEs 454-8100
BUILDIN6 PERMIT
Ts 6e uied fee ?'i'sE
Est. Value $3,000
Site Addreu 4225 IAdgepole DriVie
Lot 11 Blodc 1 See/Sub. Eve? P3'Lk
P„cel # 10 24880 110 01
z I Name g u3vla J. liII[Ei1
9 z Addmss 4225 Iodgepole Drive
r:..,FaQaz155122 &-,,.,e 454-7156
? Name QWC1PS
?? Address
ri..,
Nome _
Address
I hereby ocknowledgs that I have read this opplication and stnte that
the in(ormotion is correct a o$reeRp Cor? ly with oll opplitoble
State of Minnesoto Statutes b dt?el dE E6ooi? Ordironces.
Slgnuture of Permittee
A Building Permit is issued fo:
oll work ahall be done in accordonce with
Butldirq Officiol A
Receipt #
N? 7262
-&:u Z-,
Date riaX 13 . Iq ZSL
Erect ? Occupuncy M-1
R-
Alrer ? Zoning
Repcir ? Fire Zone
Eniarge XX Type of Corut. Vn
Move ? # Stori
Dertwlish ? Length 14
Grode ? Depth 22 Sq. Ft._
Apprmals Fees
Assessmenf Permit •
water & Sew. Surcharge 1.50
Police Plan check
Fire SAC
Eng, Water Conn.
Plonner Water Meter
Council Rood Unit
Bldg
Off
.
.
APC
Total $40-00
on tha ezpress condition thnt
Stotutea wd City of Eapon Ordinonces.
j
2004 RESIDENTIAL MECHAiVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit
30 - sz)
Date dz,.?
Site Address (a- Unit #
Property Owner Telephone # (AS`
Contractor
Wohlers Southside Htg. & Air
Inc
?
Add City
,
.
5treet
ress _ 6950 W. 146t' St., #106
State Apple Valley, MIN 55124 Telephone #( )
; (952) 431-7099
Sond #: l- --
?LZ. 05--4 rl q 8 - - -- -- -J
cd__?,
The Applicant is _ Owner _)_111 Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional /,_Replacement
air exchanger
airconditioner _New _Replacement
other
- p - 1.6? P? I ? ?_11 L_L?
ji k?VP 9 7 ?04
State Surcharge $ .50
By
$
Total
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work wil] be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
? I? c?rr ??t? ac
Applicant rinted N r.? J-? Applicant' ignature
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612)681-4675
PERMITTYPE:
Permit Number: gUyLDIN6
0 2 7 7 3 8
Date Issued: 0 6/ 0 3 E 9 6
SITE ADDRESS:
P.T.N.: 10-24860-110-61
DESCRIPTION:
PERMIT
4225 LODGEPOLE DF2
LOT: 11 BLQCK: 1
EVERBREEM PARK °
(ROQFING/DECK) sT' ? &',?
ermit Type
qf?k Type REPAIR
R434 A4T. ftESIDENTIAL
4i ;0 +?s?iv
REMARKS:
57QRM DAMAGE - ND FEE
FEE SUMMARY:
CONTRACTOR:
a?'Z^a?s ? V?
gi W Aw
s?a e???€a ?€.'??¢ =e?;fa?3L a?m
OWNER: - Applicant -
LARSQN PHILIP
4225 LODGEPOLE DR
EAGAN MN 55122
(612)686-2061
-.R,01A J?
ISSUED BY: IGNITt1RE-
CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements RemodeVRepair Reauirements
? 3 regisiered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 7 energy calculations ? 1 energy caleulations for healed additions
? 3copies of tree preservation plan 'rf lot piatted after 711193
required: , Yes No ?
DATE: CONSTRUCTION COST: . S? 0C)O
DESCRIPTION OF WORK: /v j 00? ',d- V? ?? ?ue- -rO S70fzm Dltm e
STREET ADDRESS: "7 aa S io A p pa Ie L2` v?
n I
LOT BLOCK SUBD./P.I.D. #:
PROPERTY Name: 54 R'a`f
'?6y3
Phone #: iS2
OWNER us
Street Address: J-?a S FIR9T
? ?dwlmo/e A
f,' -
City: State: PA) Zip: s Sla ?
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECYI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
5ewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that i have read this application and state that the information is corre and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Appiicant:
State:
Penalty applies when address change and lot
Zip:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
_ No
Tree Preservation Plan Received Yes No
C I
EAGAN TOWNSHTP
3795 Pilot Knob Aoad
5t. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNLCTiON
DATE• AuMuu.st 29. 1972
OWNER: Ta-l.sen Construction Co.
PLUM$ER Luecken Excavating
NOMBER 1120
//- / E f'
Address422S Lodgepole Drive., Eagan 55122
TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercialf Residential Multiple Dwelling No, of units
xx
Location of Connections:
Total
Inspected by:
Date
Remarks•
Connection Charge "0-
Permit Fee 10•00 Pd 9/12/72
. p
Street Repairs
By.
Chief Inapector
In consideratioa of the fssue and deLivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagaa Tormship, Dakota-County, Minneaota
gy Loren Gallati
I,uecken Excavating
Please notify when ready for inspection and connection and before any portion
of the work is covered.
?, -
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PER14IT FOR WATER SERVICE CONNECTION
Date: August 29,, 1972
Meter
Billing Name: Tilsen Construction Co. Site Address: 4225 Lodaepole larive ;La,gan 55122
Owner: same
Plumber: Luecken Excavating
8/29/72
MeCer Permit Fee 10.00 pd 9/12/72
.5'ff pd 9112172 s/c
MeCer Reading Meter Dep.
MeCer Sealed: Yes Add'1 Chg.
IQO + Total Chg.
Building is a:
Residence xx
Multiple n*o, Units
Commercial
Industrial
Other
Inspected by
Date
xemarks;
Number• 962 P-/ E, r,
Billing Address
$?S.Ou 1,._ :,
pMpRpPCIKY IIV61HLLtU IYItIERSa
Hy:
Chief InspecCor
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of fiagan Tmmship, Dakota County, Mianesota.
gy; Loren Gallati
Luecken Excavating
Please notify the above office when ready for inspection and coninection.
MASTER CARD
OWNER %
STRUCTURE AND
LAND USED AS
PermiT
No.
_ Issued Issued To
ConiracTOr Owner
BUILDING ?f? ?f ? - ?r,?-?•
%
PLUMBING
/C ?4
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ? -7
GAS INSTALLING
SANITARY SEWER
OTHER
O7HER
b 7ec
Items Approved
(Initial)
Date
Remarks
Distance From Well
r00TING • • ? SEPTIC
FOUNDATION
FflAMING ? ? CESSPOOL
TIIE FIELD FT.
FiNAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD ?
PLUMBING
WELL
SANITARY SEWER m ,? ?'?t?• "L..,
/ -
.aY. .
?.. ?,
,~
??
/
-
hv??
Gi
n+?+?
on g ?kns Noted
COMMENTS:
/
r ,
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
RemodellReoair Requirements .? ;,?
s`?
?
3 reg?tered sfte surveys showing sq. N. of lot, sq. ft of house; and ail roofed areas 2 copies of plan ?e m`
g?,?`
(20% maximum lot coverage ailowed)
etc.
2 copies of plan showing beam & window sizes; poured found design 7 se2 of Energy Cakulations for heated edditlons
1 site survey for addi6ons 8 decks fi ??„
` ?e?5 , tu ?? ,;
? .
,
t set of Ene?gy CakxAaGons Addi6on - indicate if on-site sepfic system R`?„ '? ., ???
3 copies of Tree Preservation Ptan 'rf lot platted after 711193
Rim Joist Detail OpSons selection sheet (bldgs with 3 or less units
Date ?, / 8 / OV
Site Address ?/2 Z rj 44q Construction Cost
M D j£ L)f ecA Unit/5te #
Description of Work ReMCAe.1 eXi ,TfIN? tejC
Multi-Family Bldg _ Yje N Fireplace(s) ? 0 _ 1 _ 2
Property Owner 1 ki. ie- sL k ta c,,,L-\? _ Telephone #(?()'S5 ?- 4 Si6t
Contractor
Address
State Cit3'
Zip Telephone # ( )
COMPLETE THIS AREA ONLY
Energy Cade Category ? - `
(?I submission type) • Residential Ve " tio af,??ry eei
Submitted y ?
• Energy Envelop aiculation? ?mitt8
Have you previously constructed a building in Ea n with WCAA
fee applies. Z,/
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
t-10. ` e- ..J C ?"1 V L" \ ?? ?
Applicant's Printed Name Appiicant's Signature
OFF'ICE USE ONLY
Sub Types
r
.? ?.
,
- •.
d 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ?" 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? '10 OS-plex x 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or ` N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement `Demolition (Entire Bldg ) - Give PCA handout to applicant
Vatuation Occupancy MCES System
Census Code lA J?'! Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
.
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
= Footings (deck) ? Final/No C.O.
, Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air(Gas Tests Final
, Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_
Insulation Retaining Wall
Approved By: 7n2= , Building Inspector
--------- - --- - -------- - ------------------ - --- - -------- - --- - -- - - - - -------- - --- - -------------- - ------------------------------- - ---
Base Fee
Surcharge
Plan Review
MClES SAC ?
City SAC ?0#Rw
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies C2
Other
;
Total
t , !.. JAKOTA COUNI 1" BH4NCH OFFICE
FIRSI .,JRNSVILLE STATE EANK BUILDING
310 WEST BURNSVIILE PARKWAV, SUITE 210
F BURNSVILLE MINNESOTA5533'
- - - -- - - -- -----'-.- _'_ .-
' ? . PLAT DRAWING
(THIS !5 NOT A SUF 'EY)
:N DAiF FiLE N0.
Ken Hon 4e3.ssse office -„k,,;,;
Designer / 5ales SONOW fiome
3555 Highway gi White Bear Lake, MN 55110
? 1
?
f !
f?
!
/FI36 No??
-,.
? a
i
, .
,
?
--
?• '? ? .: ? ? ? hr .
? ' .
`
? ? ? _ -- -
?
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L ,_- ;.:
4 ?';1 . . y. ,?,J?, .. . . • - ..
- - . ?? ?" . - - - -
. . . . . . '1 . ? . , -
I . . . . ... .. . . . . .. .. i. ' - . ?. . . . - V ? . •' ,_'_' " '' "__' " _' . .
Tr,e i?provements shown on ihis drowing ore bosed on a visual ond raEed in;p?ctior )f the properfles ond ore chor*ed as to opproximate ?o.atien, ".e
b' d,nensions are taken (rom ihe recorded plor of ihe county records. This drowing is shown lor inlormationol purposes only and does not
IiaCdiy by !he compony.
a p ? :
'?y
Gt?'`t? s 11??????????I? )AKOTA COUNTV BRANCH OFFICE
4?!?„
FIRSi JHNSVILLE STATE BANK BUILDING
310 WESTBURNSVILLE PAqKWAV. 5UITE 210
! J . .
r,NSIyRANCE CORPORqTtON ?" " BURNSVILLE,MINNESOTq5533'
??• ? ` ?? ? j?'
PLAT DRAW ING
?i(THIS IS JVOT A' SUH''EY) ? -------
f' ??,.?I y4"•?-,, ? ?s ?ka4PW F.?CTLON DATE,? . ' . . . .
?LSg' , RIPTION FILE N0.
Mvj
V
v
b .
??*,4? ? ? ?.' . . . . '. ' . . . . . . . .
? a . . . ? ?. ? . .i j ' . i • / - . .
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? 4'-.
CW +A? . ,- U 1 ' ? . .. ' ? . ?• . .
(?A?2'??' ? . I I . ?A??? n. _
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y A: _ . . `./. . . ? ? / . .
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.:
? ? ` _ , ?? • ?? ` . ...?.. _ __ ? ? _..,._._. ? ? __ ,
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.??1 I,r /?? II?? ? . • -. ?? . . - ? . ?? ? ?
???1? ?.. ? 4. " . ? . •'\j . .. ? (
9F ? ? I J a ( `
AJ
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?? •? ?/ ]? . .. _. . .
/ 4.
. . . . ? 1 1 1 I?.
? . ? . • . . , V ' ,l '. ?:? ? ? . ' +-- ? • "__-",- ._
?
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? ? ??` V / r ?1 ?I ' . ' ' ? ?? ? • • • 1 .,
r` ?. ' ? ' ? . . .
t? . ?'
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.
.. ?? ` •NO r / 1.. .. . ,
. ' ,. . . . . , . •, . y? . . t ' y
t ! ,. .
. . ; ; - _..
_ . ! ,. .
, ? .
• . . , f j
?
Tt.e i^npro-emeMS shown on this drowing dre based on a visualand tdFed in,pection af the properties and ore chorted as to appro.imare loca•,o-, `
b' dinensions ore roken from ihe recorded plot o( the county records. This drowing is shown far inFormational purposes anly and does not -;ns•-,t? e
I,.ab?liry by +he company, -
r
2004 COMMERCIAL MECHA1vICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
5treet Address City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see 6e1ow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
""When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspecfor
Permit F¢¢5; 570,50 Underground tartk installation/removal
$50.50 MinJmum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PermitFee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surchazge
If permit fee is over $1,000, add $.50 for
every $1,000 pr emit fee $ Total Fee
I hereby apply for a Commercial Mechanica] Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: -, Inspector
OFFICE USE ONLY
BUILOING PERMfT TYPE
o 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New ? 33 Alterations
n 32 Addition ? 34 Repair
GENERAL INFORMATION
x
?,:.
0 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. 0 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
0 14 Fireplace ? 21 Miscellaneous
)3?, 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building Engineering
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCIWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
% SAG
SAC Units
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER Wlll COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED 8Y CONDITIONS BEYOND
CONTROL.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify [hat I have carefully inspected the abwe in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for oft-site improvements relating to the property inspected.
F ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING 1NSPECTOR
COMMENTS:
DATE
? ?3
Cities Digital
ality Control
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from the original page.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4225 Lodgepole Dr
Lot: 11 Block: 1 Addition: Evergreen Park
PID:10- 24880 - 110 -01
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Reroof & Siding Construction Type:
Census Code: 434 - Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA089451
06/02/2009
ePermit
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
$132.75
$3.00
$135.75
Owner:
Dale Schuch
4225 Lodgepole Dr
Eagan MN 55122
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131864
Date Issued:07/13/2015
Permit Category:ePermit
Site Address: 4225 Lodgepole Dr
Lot:11 Block: 1 Addition: Evergreen Park
PID:10-24880-01-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Dale Schuch
4225 Lodgepole Dr
Eagan MN 55122
J And B Roofing Llc
941 - 16th Ave N
So St Paul MN 55075
(651) 457-0391
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157475
Date Issued:08/21/2019
Permit Category:ePermit
Site Address: 4225 Lodgepole Dr
Lot:11 Block: 1 Addition: Evergreen Park
PID:10-24880-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dale Schuch
4225 Lodgepole Dr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature