4234 Lodgepole DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ` ° II" N'z
3830 Pilot Knob Road Permit Number: ' ?"• ?Eagan, Minnesota 55122-1897 Date Issued: "
(612) 681-4675
SITE ADDRESS: APPLICANT:
' fi.f., , . .. , r., , .. . . . , PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION D. . .A
i _
Permit No. Permit Holder Date Tslephone R
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
(.CCJ ? le
5"
FOUND
ti
FRAMING ??s/ti ? ?,.?,•? dC[fd
ROOFING ?TL L i! ?u,lo
C.? 7
ROUGH
PLUM8ING
dd ; f-J w+- OriTo
PLBG
Alp TEST
,.?j??A'
ROUGH
HEATING : YYi"
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PL6G
FINAL HTG
ORSAT
TEST
BLDG FINAL. S / $ ..
BSMT R.I.
F5MT FlNAL
DECK FfG
?J/
r L.
J
-? - 7 ,Cif
DECK FINAL
i
CITY OF EAGAN Remarks
nddicioQJ Ever?,*reen Park Lot 9 eik 1 Parcel 10 24880 090 01
street 4234Lodgepole Ckff. bt' state Eagan,MN 55122
i,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK .L
SEWER LATERAL
WATEFiMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. _1 _ 2
BUILDING PER. 273
SAC
PARK
?TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
,
SITE ADDRESS:
I PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK: U
INSPECTION .. . D•
;ri RFvlEwf?n "t Mtk.g 4nwrn
•! 441S-.11,340 R1-AAR01:MCi FIEt'TFt1CN1 f7FRM7T AMf.t TMr;pFf.'TIONS
: ARp7F Pl Fapj7 HFVIIrF?("t) FOf< qMY F"11IMBING IJURf
-Sz 3? ` Parmit Holder Date Tefephone #
PLUMBING
HVAC
Inspeetion Date Insp. Comments
FOOTINGS YY1ti-4' _ 3 10
?I
FOUND
FRAMING
?lD
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL M 3
/I ^^/
GYPBOARD
FIREPLACE i
? •?? ?
FIREPLACE
AIRTEST
FINAL PLBG
FINAL HTG
-
-- ? -
ORSAT
TEST
BLDG FIN%L
DOMESTIC
METEfl
'
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?el, 61461) a/
TO': 11 OF EAGATI
3795 Pilot Itnob I;oad
Eagan, Minnesota 55171
PERMIT N0. 21L0
The Board of Supervisors hereby grants to Id'o,1 & HubbQT'd HQSting dc
Air Condil,ioniart Co, of 627 Scyuth SneltinOtnue, Bt. Paul, NIlJ 55104
a F;EATING Permit for: (Owner) Tile? Gonatraation Co•
4266, 2. 4,362, 4366 Lodgspole ve,
at 1114.36 g9.vfr1d,, , pursuant to application dated
8/22,1`j? ,
lee Paid: $100,00 Dated this 28th day of Au6nuet ? 19 72,
2.50 s/o
Building Inspector
4.
TO? ?N OF EAGAid
3795 PiloC Knob i:oad
Eagan, Ninnesota 55121
PERMIT N0. 236
The. Board of Supervisors herehy grants to J.p. Fitt'.rAll &. am
of 990 weat Mcutaaa, st. Paul 55117
'a v7.tMT_t+l(1 Permit ior: (Owner) TJJedp Qanetxvatioti Co.
at -4234 LOdgepole &- ursuPnt to application dated -- 7/6172 .
Fee Paid: 80000 Dated this 7th day of JulY , 1972
,
2.00 s o
Building Inspector
. 3
CITY of EAGAN
BUILDING PERMIT
owna: .....n..?. ...?-?....???...? ............................
Address (Presenl) ....................
Suilder ................ ': 1gf,aXa(.., ..........................................._..................
<J
Address ......................................................•••..._......_......_...................
DESCRIPTION
r:is
N2 4035
3795 Piloi Kxtob Road
Eagaa Minnesota 55122
454-8100
Dste .g...S.?.?.?
6sories To Be Used For Front Deplh Heigh! Est. Cost esmi! Fee Remarks
l.w.?p? 3<<??
LOCATION ''-Ar j6•5 v
Straet, Road or ofher Deseription of Location I Lo! Slock Addilfon or T:ac!
ct
This permii does not suthoriae the use of streets, soads, alleys or sidewalks nor doea it g ve the owaes or his agent
the right !o create anp situafion which is a nuisance or which presenls a hasard to the hea]!h, safetp, conveaienco, and
geaeral welfare !o aayoae in the communitp.
THIS PERMIT MUST BFt,KEPT ON THE P EM?$E WHILE THE WDAK IS IN PROGAESB.
This is !o certifp, lhat.dq?/ n
?L! f. =. .
the above described prem3se subjeci !o the provisi !f fr......._.has permission 3o esec! :?..Q4?xY..........._upon
ons of all applicable Ordiaances for the Cifp of Eagan.
.? ??.._-••-•.._.Y ............................•••........... Per .at4: .!?K.-??`-•'•:?? •.•..........
Ma or Building Inspeelor
. Eagan Township
Dakota County, Minnesofa
Application tor Bnilding Peranit
Type of building or work coniemplafed. Circle eorrect descripiions.
5,6,f ?
?
.
Aes:dential Commercial Industri ........
al Ofhe:.....____...S
P. .
--•----
. ...----..........
Euild Enlarge Alter Repair Iastall Move Wreck Oi:?er .......................
"-
?S?
0 6
?a00
Dimensions.......
?_?..X
_°°---•••-----?--.... Cosl---?
;----°------...
Deiaiis or
Locatioa
FERriIIT I40..??.?....
- .? 76
Dafe .----- •----°--------------°••••-
Number Street Hetween whai cross streets Sizo Es3. Valuation
y?31V L0%e,pu1e Jr. l
Lo! Blocle ' Addition Rearrangemenf or Tract
- ? N
Owner ? " e s
, Y
.............................................................
Confracfoz ............. Se
"""'__"_""_'_'_""
------. Address ....y?-3-?----•-G?%eQA 1
_------)Y.
Address
The undersigned hereby makes apalicalioa for a permit to
$ do woxk as herein specified, agreeiag !o do all work in sYrict
Total !ee collected. aceordance wifh !he building ordinance adopted April 11, 1955
by !he Eagan Towaship Boazd of Suparvisors.
Permit tees are not
refundable.
--°-----------------°----°-••--?._..-Y..- :. =?.°• ------ --... -------------------
Signed
,;
EAGAN TOWNSHIP'a
BUILDING PERMIT
owae= ------... "...---•_`"`-'--..._Gt-„c,a-?--------------.---...------------....
Addrese (Present) -°?:-••--Sl...R-"`•=?..--?.............................. -.......
Huilder ---.....---° ............................................°-
-- -----.----..-...................
Address .........
DESCRIPTION
N° 2'734
Eagan Township
Town Hall
n8:a ._6.:-_! _-..7 z
Stonies To Be Used For Froni Depth Height Est. Cos! 'Permi! Fee Remarka
I O I
f I?/ 03 ..2 ?. S a d,
? 7?-•
?
LOCATION
Street, Road or oiher Description of Location I Lo! I Block I AddiYion o: Tract
911
This peimii doea noi sulhoriae the use of stzeets, roads, alleys or sidewalks nor does it give the owner or his aqen!
the right to e:eate anp situalioa which is a nuisanca os which preseats a hazard !o the health, safetp, conveaieaee and
geaeral welfare !o anyone in the communily. .
THIS PERMIT MUST BE ERT ON THE PREMISE WFIILE THE WORK IS IN PROGR SS.
Thia is !o certifp, lha3..... ------ •-??........ -...has permission io erect a_-•- • -- •• • . . . upoa
- -- • • - ..........._
the above desc:ibed premise subjeei io the provisioas of the Building Ordinance for Eaga Township dopled April 11,
1855.
.............................. ??r.`.:`:......::`.c.-r--------- Per ........................ &"?-••••••U.'=.°?"? • '........
........ .................
Chairman of Tnwn Soard Building Inapecior ?
?6
, 2004 RESIDENTTAL BUII.DING PERMIT APPLICATION U
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 #
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenis RemodeVRenair ReauiremenLa
3 registe2d sfte surveys showing sq. ft. of lot, sq. it ot house; and all roofed areas 2 copies of pian
(20% mauimum bt coverage allowed) 1 set of Energy Calculations for heated additions "v=
2 copies of pian showing beam & window sizes; poured found design, etc. 1 site survey for additions & dacks _
1 set of Energy Calculations Addidon - indicate if on-site sepfic system -
3 copies of Tree Preservation Plan ff lot platted affer 711193
Rim Joist Detail Op6ons selection sheet (bldgs wilh 3 or less units
Date /I_ / K /r Construction Cost #??J -
5ite Address q Z 33 l U&&??L'(,; X, _ UniUSte #
Description of Work /,AjST/ALl- (-,/? J /,r-/SLx'/ /A-A) (,?,??si`16/ 15WO)"(61, - -
Multi-Family Bld g _ Y& N Fireplace(s) _ 0? 1 _ 2
Property Owner Telephone # (UQ )
Contractor ,
r?'?L?/ v??,'? ?7 t l?
, -
Address City
State {A^? Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations SubmiCed
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so. 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
NOV 1 7 2004
I hereby apply for a Residential Building Permit and acknowledge that the information is -' e e 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 pl ' 7thec of wor 'ch requires a review and
approval of plans.
? -
S, ?01'I0 ??1,?.?
Applicants Printed Name Applicant's ignature
?J wCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4234 LODGEPOLE DR
LOT: 9 BLOCK: 1
EVERGREEN PARK
P.I.N.: 10-24880-090-01
DESCRIPTION:
60?? ?
? . . ,. , ? ?.
ermit Type DECK
a?r,?k - Type NEW
434 ALT. RESIDENTIflL
? 'j? ? 0 ? ?
s a3axa c
? 71
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Totel Fee
$50.00
$.50
$50.50
BUILDING
031076
11/06/97
CONTRACTOR: OWNER: _ Applicant -
ASHTON MIKE
4234 LODGEPOLE pR
EAGAN MN 55122
' (612)452-3539
Z Mros,re by ,ac k o o w-i e d g?e-, t h alt;i,, I h a?
aL`nft?-rmation ?.s `cor`rect' artkd agr,i
? Sta?u??s ^?nd Ci%ty Fag??°r? d,?
---
APPL ANT/ ERMITE SIGNATURE ISSUED B SI REI
j
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
31,*01L CITY OF EAGAN
3830 PILOT KNOB RD - 65122
6814675
New Construction Reauirements
City: &?? State: 14gAJ Zip:
? 3 registered site surveys ? 2 copies of pian
• 2 copies of plans (Indude beam 8 window s¢es; poured fid. deaign; etc.) ? 2 site surveys (exterior additions & dedcs)
? 1 energy caiculations ? 1 energy calwlatione for heated additions
? 3 copiea of tree presenretion plan 'rf bt platted after 7/1/93 -
required: _ Yes _ No '
DATE: CONSTRUCTION COST: 4ea??? ?
DESCRIPTION OF WORK: _1s? s d' ?Lu c?L (.JO>z`? ?,e- (?-P?er?
STREET ADDRESS: V 3 y 44e-vol 2• a'a''
LOT ? BLOCK SUBD./P.I.D.
6 97?1
PROPERTY Name: AH7-W Phone #:
OWNER
Street Add
CONTRACTOR
ARCHITECT/
ENGINEER
Company: Phone #:
Street Address: License #:
City: State: Zip:
Company: Phone #:
Name: Registration #:
4.6 0 .s 0
ca,0.411-1,
vai 2Ei ndG?re55:
City:
State:
tip:
Sewer & water licer•ned piumber (new construcction only): . Penalty applies when address change
and lot change are +equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali applicabie
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No III II ? Q??
Tree Preservation Plan Received _ Yes _ No _ Not Required _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
New o 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
ri 13 Garage/Accessory ?
? 14 Fireplace n
p' 15 Deck
0 36 Move
a 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
> ,.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
,
MCNVS Systern
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building -Aa Engineering l/ariance
/
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC ?
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
?
{1 ?C 16s^? ? .'.
. ? .
Valuation: $
CITY OF EAGAN
CASHIEFt„ 5 TF_RMINAi_ N0: 791
UATE- 07/15138 TIMh.d 15!33.54
ILi a
NAME: MICHAEL T A5H70N
3210 3001 4234 l_ODGEFOI...E 174.75
3422 9001. 4234 LODGEPOLE 113.59
2155 9001 4234 LULIGEFOLE 5.50
7otal. Feceipt, Amaunt- c33nt34
CFQ943:=,6
USFR ID: NANCY
?X?X?CkcY?Xc?%Xt?XkcXc?c?%X??kX?%cX??XXc%c?%?k?kk??k%c??k?X??K#?k?k?X??s%
? . FERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u xLo x nt r
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 7 6
(612) 681-4675 Date Issued: 6 7/1 a/9$
SITE ADDRESS:
4234 LQDGEPOLE DR
LOT: 9 BLOCK: 1
EVERGREEN PARK
P.I.N.: 10-24880-090-01
DESCRIPTION:
i:rrg%;, Permit 7ype
i.ng Wvrk Type
? ?'C$ Wi@t? ? 'd§.
Y
i
?s#
5F ADDITION
NEW
434 ALT. RESIDENTIAL
g nt
REMARKS:
PLAN REVIEWED BY MIKE BARCK
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTION5
SEPARATE PERMIT REQUSRED FOR ANY PLUMBING WORK '
FEE SUMMARY:
VALUATZON $11,000
Base Fee $174.75
Plan Review $113.59
Surcharge $5.50
Total Fee $293.84
CONTRACTOR:
OWNER: - RPPlicant -
ASHTON MIKE
4234 LOOGEPOLE DR
EAGAN MN 55122
(612)452-3539
APPLICANT/PERMITEE SIGNATURE () ISSUED BY:"SIGNATURE
1 V 998 BUILDING Pr:RMIT APPLICATiON (RESIDENTIAL)v,3?q
? ?i:? ?*?? ?;?.?nr? M
?
6a?i! 41:?=5a ?
New Construdion Reauirements RemodeUReoair Requirements N ?xNM/
? 3 registered sRe surveys ? 2 copies of plan
• 2 copies oi plans (inGude bear., & window s¢es; poured fid. design; etc.) ? 2 site surveys (exterfor eddRions 8 dedcs)
? 1 energy calculations ? 1tnergy calwlations for heated addRions
? 3 copies of tree preservation plan if lot platted after 7H193
required: _ Yes _ No ? '7700
DATE: CONSTRUCTION COST; _
DESCRIPTION OF WORK: I 7 x? 7 Gt-r?-A o"'j
STREET ADDRESS:
LV( ! BLOCK:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
SUBD./P.I.D. #: '?:7V? r??'?L V??
?
Name: ?? Il! &ae Phone #: -1 , c? ?? -39
Last First
Sueet Address: 1 a ?3
F L'o r?ev-po i e
c,ri L u-e ?
Coalp»ry:
state: h.4 .?j
Phone #:
Zip: ?s S / Z Z
Sueet Address: License #
City
Company:
Name: Registration #:
Street Address:
Ciry
State: Zip:
Phone #:
State:
Zip:
Sewer 8 water licensed piumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applican
OFFICE USE ONLY
Certificates of Suroey Received _ Yes
No
Tree Preservation Plan Received Yes No
S-S-iZz
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
f8(,03 SFAddition ? 08 8-plex
O 04 SF Porch ? 09 12-plex
17 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
9,32 Addition ? 34 Repair
GENERAL INFORMATION
13 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 GaragelAccessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
? ...
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4! 3*
Depth Footprint sq. ft. SAC Code ?
Census Sldg _L
Census Unit O
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation: $ 1 !, 0 Oo. -
Surcharge
Plan Review 44)6 I-r jOAa
License «i G. 'tl ? S?( = ? c? , S 8 ?/. -
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit _
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Total:
% SAC M#
CS TY (1F E ArAN ?
¢
GASFi7:t.•r,: J5 rEFtMah?AL Nl", 6;3`a .
11fiTF'.°, 0l06/99 1"xMEa 13;4.i;*f.
I?? p
hIAME. WF1l.KEli fi0(7F`ING CCNfPANY
320 9001 4"c.':34 LODGEPDI. I?
2155 90C!i." 4234 l_C1DGFPOi,; st ° ;3,57
.. . . .- h.fi. ?? .
, ?t. . . . . . ,
. . . . . 6.. .
rot-1`l RCC:F?it..13, YRmQmti:.'
e;;i. sew
. ? ., ,
U.g.E1,(0w 7AN
%k%???k+K?n?*k:?K?c?'F'K??k?K?k?:9F7k?:t.?t7K?S??k?K'#•?kk???ksKaKk?:R** ..
, , .
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
New Construdion Requirements
3 registered site surveys
2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
t energy calculations
3 copies of tree preservation plan if lot platted after 7H193
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
?
RemodeVReoair Reauirements
? 2 copies of plan
? 1 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: 16UJ ) D 1/ -?
-T
LOT: ? BLOCK: SUBD./P.I.D.#: U-et v, pQ/l.?
Name: ?4l.s[/ Phone
PROPERTY Lasc First
OWNER a li,nti ( 1_A .. ._ ?
Street
%?/???1? ^
City {C,p,?? N/.? State: IUV1' ? Zip: ??I Oi?
.
J
-?
Company: Phone #:
CONTRACTOR
Street Address: 6,1'IM e ? ? • License # ?Exp.?j? At? Ciry State: II IIV Zip: 95?
ARCHITECT/
ENG[NEER Company:
Phone !#:
Name: Registration #: _
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with aii applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances. ????LIJw r`
Signature of Applicant:
OFFICE USE ONLY RECEIVED
OCT 0 6 1999
Certificates of Survey Received _ Yes _ No
BY:
Tree Preservation Plan Received _ Yes _ No _ Not Required
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONi3ECTION
DATE • June 1, 1972
OWNER: Tilsen Construction Co.
NUNIBER 1030
?.ddress 4234 Lodgepole Drive ??j (?-?.
PLUMBER TYPE UF PIPE Heavy Cast Iron
DESCRIPTION OF BUIID ING
Industrial Commercial Reaidential Multiple Dwelliag No, of units
xx
Location of Connections:
Conaection Charge -0-
Permit Fee $10.50 7/18/72
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree eo do the proposed work in accordance with the rules and
regulations of Eagan Tox-mship, Dakota County, Minnesota
By .
Please notify when ready for inspection and connection aad before any portion
of the work is cavered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Yaul, Minnesota 55111
Telephone 454-5242
PERZ41T FOR WATER SEAVICE CONNECTION ,
Date• June 1, 1972 NumbeY• 861 Billing Name:Tilsen Construction Co.
Owner:
Plumber• ?y`????
Meter Nov7--?a7-?7 Permit Fee 10.50 pd 7/18/72
Meter Reading iMater Dep.
tion of Connection Meter Size-s/P Connection Chg. •
Meter Sealed: Yes lAdd'1 Chg.
NO iTotal Chg.
Buildiag is a:
xx
Residence
Multiple No. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Site Address: 4234 Lodgepole Drive
Billing Addreas
1.???.-.::' ,_.. _.? i?? i:. ? ??l ? . _•? I;t: ;
Sy:
Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mi sota.
By.
/r2
Please aotify the above office when ready for inspection and conttection.
MASTER CARD
LOCATION 17(;2 n? y q_, _
OWNER
s
S7RUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
I
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION
?
?
? CESSPOOL
FRAMING -.
?---
- TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION ?
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL ?
SANITARY SEWER ? • , ? ?' ? 7 y
Vio[ations Noted
on Back
COMMENTS:
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
No. I
Issued I Issued To
ConTractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
ITems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING _ DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS: