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4242 Lodgepole Dr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use I /y ''}}22G~ I City of Ea0a~ j Permit J b I • l mil, I Permit Fee: CIO Oo 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J0 ° 0 10 Site Address: L P»fI 6g Pcr Tenant: Suite RESIDENT / OWNER Name: :~5" CYI-,) COL 70,0 Phone: Address / City / Zip: -cad Y7 L-Cneo ''©L.0 426, Applicant is: Owner' Contractor TYPE OF WORK Description of work: 1-3 E - 1~ 0 0,- 1-Construction Cost: '000 Multi-Family Building: (Yes / No ) CONTRACTOR Name: /Lf~9 t4~,®,v ~L v ~9 E~ License [~S`3 SS Address: A C City: State:,/(It/ Zip: i5 /0!e( Phone: b/'T 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 & 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) 454-0002 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 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 per it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X . Gov 4LL)Ag Cc- C 7- X Applicant's Printed Name A Iic nt s ignature Page 1 of 2 i?IL! AGE OF EAGAN 3795 P110T KN08 ROAD EAGMi. 141Ol3NP5= 55122 PhQiQ 454•8100 \ Tilaen Conatruction . 627 South Snelling st. Paul, rmt 55116 DATE 3/21/73 Please detqch and refurn upper portion with your remittance. $ DATE CHARGES AND CREDITS BAIANCE 3/21/73 Credit Por Building Permit fee for $ 14.00 Lot 39 Slock 1- Wildernesa Run 2 '7/10/73 Credlt-for Lot 7 B1 1- Ebergreen Park 3.50 , Total Credit 17.50 7/10/73 Additional permit fee for Lot 8 B11 F?rergreen Fark 24.50 (Pei-mit'#2y22 - Lot 12 B1 2 'v:ildernes3 Run 2 transferred to this lot) lees credit 17.50 , Amount due 17.00 0 V -711 f, "SNAP-AWAY" FORM td-SOI 2-PARTS f, I ' I Your Check Ia Your Receipt WIL90N JONf'S COMPANY v l? 196t - 'pIHiED IN US.A. n CITY OF EAGAN Remarks Addition Evergreen Paz'k 4pt 8 Rik 1 Parcel 10 24880 080 01 Owner Street 4242 LodgeAOle State Eagan,rmr 55122 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 111 1971 17q.00 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TFiK 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. OO OO BUILDING PER. sac 260.00 851 7- 3- PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: . . , , . :? . ., , I PERMIT SuBTYPE: APPLICANT: +,,T, RO1 I ANG 9?fi 1 lsft I F[, I ar w: 4 F,ni, Aal0'1IvT TYPE OF WORK: tci NA 1 f2 , . i"?i lIt001 CNfi;`.)'f?IN?i? INSPECTION D. • D• . ? _a 1-?rg PermR No. Permft Hotder Date Telaphone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING l? l p 7 ? v ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Owae= ..?: Address (prese Suilder ........... Address ......... :' F < t ? ??P. . / Siorisa To Ba Usad Fos F:on! Dspih 1!6igh! I Eal. Cos! Pesmit Fea Remarks ? ?-? G Az--L. ? ? .. :.? _:._: ' . . a? ?•. -?.. :' •t - ? --?'• ='? ?._. . LOCAT70N c'J F-S iJ Streat, Road or olher Aaseription of Location Lo! B1ock Addilion or Trad l % 9? J This permit does noi sulhorise the use of streets, zoads, alleys os sidewalks nor doas it give the owaar or hfs agon! the right to ereate anp situation which is a nuisaaee oz whieh preseals a hasard !o the health, safefy, coavsnienca and I geaeral welfare !o anpoae in the communilp. THIS PEAMIT MUST BE KEPT O THE PAEMISE WHILE THE WORK IS IN PROGRESS. Thfs is 3o ceriiip. Yhat..'12x7 ...:..?. .. rr .:................has parmission !o ereet a.................. ..upon the above described premise subjeai fo 3He provisioas of all applicable prdinancer, for the Cify of Eagaa. .-••-.__...--•-.e?M.:--••........^ :.................. ...........-_.. Per .---....-°•°P.V..S:!".............. ? •t?Z?c-..-._.........•-•-•.............•••-•-.. aqo= ? Suildinp Inspeet°s ?CJ CITY of EAGAN r iA N° 3402 BUILDING PERMIT 3795 Pilot Knob Road ••.C ............. ... ....:?t dz. . .............. Eagaa, Minaesofa 55122 454-8100 .................................................. Dale .............................. ................ .................................................. ?-?-/ OILLAGE OF EF1GAN 3795 Pilot Knob ttoad Eagan, IKinnesota 55122 PE??MIT N0, 404 The Pillage of Eagan hereby grants toNA sHubbard Heatinq S Pi/C of 99 No. 3aalling !?ve., St.. Panl a HEATING Permit for: (Owner) Tilsan Ooastrnatiat Oo. %2j!)Lodgqpo1e i at 4333 Garden Trail , pursuant to application dated 8/17/73 , Fee Paid: $40.00 _ dated this 29th day of An9ast , i9 73. 1.00 a Building Inspector Niechanical Permits: iid Total: e? VILi,AGE OF` EAGti1V 3795 Pilot Knob ttoad Eagan, i'iinnesota 55122 PE,2UvIIT N0. 369 The Village of Eagan hereby grants to L. Li. Peter Co. . ° of -1634 Gra.iu tive.. SC. Pa-a.l 55105 agt.M N Permit for: (Owner) Tilsen Construction Co. "47--S14`r.i,? •? ' at4 4.od?enot? prtve y pursuant to application dated 11/30J73 . Fee_Paid: ?q40.00 dated this 31st day of July , 19 73 . 1.00 s/c Bui ding Inspector Niechanical Permits: Bid Total• r + EAGAN TOWNSHIP BUILDING PERMIT OWR01 ..... a . ..... ...."'..."'......._...................... Address (Present) .....---.... lz?' ........ `-................. -............ Builder .............. ........ ........................... ................................ -.............. Aaa:ess .........••--..-.--•• ..............•----••••----....-------••---....----•---•--....-•------••- DESCRIPTION N° 3076 Eagan Townahip Towa Hall 1?-73 aate _...--•••- .................. 5tories To Se Used For Frons Depth eighf H Est. Cosi ' Permit Fee Remarks 1a-s`_.`' ??C? ? LOCATION Street, Road or other Dascripiion of Location I Lo! Block Addition or Trac! i I ? ? ?•--??? This permi2 does not aulhoriae the use ot streets, roads, alleps or sidewalks nor does it give the owner or hfs agen! the righ! !o cseaYe any situation which is a nuisance or which presenfs a hazard fo the healih, safety, coavenience and general welfare fo anyoae ia the community. THIS PEAMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is io certify, that....................... ...... L°-""""=..................... .......... has permission !o ereei a.... ._.:-.••-•••'t4..-'e'.`'.... ........:...".`.:.......... . upoa the abone desoribed premise subjecY !o the provisions of !he Bailding Ordinance for Eagan Township adopled April 11, 1955. n ••••-- •-•••. ....................•••••••••.... .....----°-----°•----•••---a.--•---...J ------ ... ..... ......................... Per ........----°-----...--------, "..<':•--. Chairman of Twn Board Building Iaspeclor } ? . , da`aaE oF EaoAH WATEft SERbQ?E 1PEIFttAI4 3795 Pilot Knob Aood PERMIT NO.: 1250 @agan, MN 35132 DATE: 7111I73 (12?29/72) Zoning: No. of Units: i Owner:. Ti7Aen C,png.tXtt91ion Co. Address: / ? Site Address: 4242 Lodgepole Drive Plumber: Meter No.: -3 ?,.. Connectlon Cher 300.00 p 31 Size: = - - ACCOUnt Deposit: Reader No.: Peztnit Fee: I ogrea to comply with the Villoga of Fegm Surchsrge: •50 Pd O?dinane Miec. Cheigee:" Total: BY Date Paid: Date of Insp.: - Inep.: CITY USE ONLY PERMIT #: T? Qi ? RECEIPT DATE: 8008 USIDEPTIAL MECHARICAI. PEtMIT APPLICATIOR CITY UF SA6i4N 3$30 PILOT KNOB EtD S!l6AA M1Y 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 8) OAV - C;k? SITE ADDRESS: L _1y_' V OWNER NAME: i--1Z Cxv--f TELEPHONE #: 2) W-7"-) INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the permit work type _ Add-on, modification or alteration to existinq dwelling unit • furnace replacement 30.00 ? • airexchanger ? 6 ?002 1,h pUG ?, • air conditioner . other Nature of work: -?!1-?c?.c__' nca.ca_) LJI gy --I C7, CX? ? lU. M C? ' C-stLLP, o-70. 5tate Surchar e $ .50 rotal $ ?• 5 'Wohlers 5outhside Htg. & A'r> In?' :LEPHONE #: 6950 W. l46'? St., #106 - Apple Valley, NIN 55124 (952) 431-7099 . STATE: ZIP: SIGNATURE F PERMITTEE 1/02 s PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 6 6 5 (612) 681-4675 Date Issued: 0 4/ 01 / 9 7 , SITE ADDRESS: 4242 LODGEPOLE DR IOT: 8 BLOCK: 1 EVER6REEN PARK P.T.N.c 10-24880-080-01 DESCRIPTION: (RDOFINGJSIQING) Bw?ildzrft_Permit 7ype 5F (MISC.) iuiltl!ng •'Wcrk Type REPAIR .?.Ca nsuS Crs.de_.'?._ 434 ALT. RESZDEN7IAL "04 s Yd "..:? w REMARKS: FEE SUMMARY: VALUATION Base Fee $137.25 8urcharge $4.00 Tota1 Fee $141.25 $V q 0Cl Yl CONTRACTOR: - A p p 1 i c a n t - S T. LI c OWNER: qHOEN CONST, ROLLANQ 14379061 2003199 OVERLAND LIZ 16385 RAVENNA TR 4242 LOOGEPOLE DR HASTINGS MN 55033 EAGAN MN ?612) 437-9061 ' I here{ay acknow,ledAg,e- that,;.T h,&vv, rsad„ applieaC?on a r?d state tMa.C?the, >e in'formation S.s-%corr-ectii ppli:6 ab,.e State of=Mn.. ' Statute"s and 6ity of Eagan Qrd:ztiaar?ces q 'a ? . .. . . . , . ; „ ' .: ... .. . _ ,?_ _ .. .. _ . _ __ . . .. _ , ..,? __? _ _ . , . .. . . .. ? .. . _ . . . ._ . T ,. ,e?, s APPLICANT7PERMITEE SIGNATURE ,?ari.n R:o?,r 1 ISSUED Y: S NATURE - I, 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eaGaN 5830 PILOT KNOB RD - 65122 681-4675 New Construetion Reauirements ? 3 registered sRe aurveys ? 2 copies of plan ? 2 copies oi plans (include beam & window sizes; poured fid. design; etc.) ? 2 sRe aurveys (exterior additions 8 dedcs) ? 1 energy calculations • 1 energy qiculations tor heated additions ? 3 copies M tree preservetion plan if lot pl8tted after 7/1193 required: _ Yes T No ' DATE: T-?-q ? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK - i_ SUBD./P.I.D. #: PROPERTY Name: L i 7_ Phone #: OWNER Street Address:- 9'j- Ya City: "n Y-, State: Zip: CONTRACTOR COmpany: ??1&;,1J1ven L-anS'f rcir. Al_oT Phone#: Street Address: 1S38S a.vennL- License #:ol.0 ? 1320 City: 11-a c 41 h T?State: Zip: ? ARCHRECT/ Company: Phone #: ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and bt change are requested once permit is issued. ] 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. ? Signature of Applicant: ??¢? i!1GC?,-f.??? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required ? J Y'D Z PHONE 454-8106 , 0 VILLAGE OF EAGAN 379D P1LOT KNOB ROAD EAGAN. ? ^MINNESOTA ss12s ? ti S ? I } k L=? 611 eF MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To ContracTor Owner BUILDING ?pO L ? ` Sr ?G 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 ELECTFiICAL HEATING DEPTH Of WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - Violations Noted on Back COMMENTS: EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Mianesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONI3ECTiON DATE: 12/24/72 (7/13/73) NUMBER 1379 ??? •? ? ??ix?.? ?{ OWNER• Tilsen Construction Co. Address ?" ?-??° ?' `? PLUMBER L. Gallati for I,uecken Ecc.TypE OF PIPE heav,y cast iron DESGRIPTION OF BUILDING Industriail Commerciall Reaidential I Multiple Dweliing I No, of units xx. Location of Connections: Connection Charge 260.00 pd 7/13/73 Permit Fee10.00 nd 12/29/72 .50 Pd 12/29/72 Street Repairs Total Inspected bq: DaCe Remarks• By Chief InspecCor In consideration 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 Totmship, Dalcota County, Minnesota BY Luecken Exc. - L. Gallati Please notify when ready for.inspection and counection and before any portioa of the work is covered. Use BLUE or BLACK Ink _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office UJsre~n I noR I Permit { S7S I City of Fad I a I Permit Fee. . 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1,i2CI&_f~ A Ouef-lorel Phone: / 6 e Resident/ Owner Address / City / Zip: L{2 ~l7 L 0 J~E' X2 O'er Pr r,*Q (an /q/0 ~'~"12Z r Applicant is: Owner Contractor Type of Work Description of work: I9 Construction Cost: d l Multi-Family Building: (Yes /No Company: X6 c.Y nQ e J xX4Cr/ S Contact: /~(C:t P'lO d} A ~U q t~ Z ~/2~Z 9 T N A U e City: S T ~4U~ Contractor Address: State: (Vc /V Zip: ,r-S /d Q Phone: 6 !7 3 0 c;1 Q License CR SQ 3 S S Lead Certificate i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: i NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x Applicant's Printed Name App icant's igna ure- Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161253 Date Issued:05/14/2020 Permit Category:ePermit Site Address: 4242 Lodgepole Dr Lot:8 Block: 1 Addition: Evergreen Park PID:10-24880-01-080 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 - Jeffrey D Boily 4242 Lodgepole Dr Eagan MN 55122 (763) 224-7320 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168607 Date Issued:04/27/2021 Permit Category:ePermit Site Address: 4242 Lodgepole Dr Lot:8 Block: 1 Addition: Evergreen Park PID:10-24880-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jeffrey D Boily 4242 Lodgepole Dr Eagan MN 55122 Universal Windows Direct Twin Cities 150 88th St W #205 Bloomington MN 55420 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature