4256 Lodgepole Dr? INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
I Eagan, Minnesota 55122-1897 Date Issued:
? (612) 651-4675
7 "i
I SITE ADDRESS:
I PER,MIT S,UBTYPE:
APPLICAIIT:
TYPE OF WORK:
it, t ; i:;,
Kl111 f)tNii
a:se.-41,
0B/l:i/4/
. II VFP!
Afi11iTiON
k/ P l Af.F E XI>l RELI Pf'ftM
INSPECTION D. • D•
I
I
I
seVnr,,art i'r.PM1 r ifrQiiIkro farr nNV f iFcrktr.ni I,Jf)Hk
.
Permit No. Parmit Holder Date Talephone 8
ELECTRIC
PLUMBING
HVAC
Inapection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
2 7
ROOFING
ROUGH
PLUMBING
PL66
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDGFINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
- r- i I
? ?^ ^^ INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
II (612) 681-4675
I SITE ADDRESS:
? .. , 111110 ?•??1 1 I?Ic ? ?I i3?l+1 i YJ I 111df.
' PERMIT SUBTYPE:
,. ,,.I 1 1: . li,:"e
II 0:1• 1 i NW,
? 11 I NAl
APPLICANT:
cei. 10
TYPE OF WORK:
' kf MllI?h". A',f 1'fils!) I f I 1 I:hi 1 1',,. 1 ', I'i lill 11-A li 1 "{r t1t1', i I I" f 1? 1t fit !(+tI:1
t;i+I 1 11 1 Mi,
0. C,c,o?
?
Permit No. PermR Holder Dete Telephone N
S/W
PLUMBING
HVAC.
ELECTRIC
ELECTRIC
Inapectlon Date Insp. CommenU
Footings I
d
919
Foundation
ov
Framing /E) O LA?o _
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
OrsatTest
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final '?? ? ?w Aae
weu P/LfJt/l9'? 04e 7790 ?``'?'z•
Pr. Disp.
pir I,
'f/'. I
CITY OF EAGAN
Owner
Street
Lot
Dr.
21
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK i:zl 1973 1
SEWER LATERAL
S O
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 5975 ?2 -72
13UILDING PER, 2
sAC 2 0.00 729 - -
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
• en Construction Co.
owne: ..Tils•
_........••----•-•........................_..
..•-••-•_--------.... --------.... -.... -....
627 S. Snelling Ave., St. P. 55116
Address (Presen!) ........................................ ....... ...............................
Tilsen Construction Co.
Builaer ...................................................................••-----......................
Address . ?260_ Lodgepole_.Drivez Eagan._?5122
DESCRIPTION
N° 2756
Eagaa Townehip
Town Hall
Dale June 221 1972
.........••-••••• .........................••....
Siories To Be Used For Front Deplh Heighi Ess. Cos! Permi! Fea Remarks
Model SE201 ? 2, 305. OOI 50 s c Tot al $88.50
LOCATION
Slreel, Road or olher Descripiion oi Localion I Lo! Slock
I Additioa os Traa!
l?260 Lodgepole Drive l 8 3 Evergreen Park
This permit does not authorise the use of atreels, roads, alleys os aidewalks nor doea it give the ownes or hfs agent
the right !o creaie aap siluation whieh ia a nuisaaee or which preseats a hasard !o the heallh, safety, convenienee ead
general welfa:e !o anyoae ia the communiiy.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o certify. !hal ......... T.ilsen ... Construction ...
. home _upoe
. Co.hes permigsion !o erect a...... •••
.
.
.
.............. ........... .... ..... .... .......................................................
the abova described p:emise subjec2 !o the provisions of the Building Ordinaace for Eagaa Township adoplad April 11,
1955.
....................... .........Yc(,Fv`..'."`z:.`.`.`........ .......... Per ......................:C."-:"."ert .....?.... ..:...•••..................
Chaisman of Tnwn Boar? Hulldinp Irupeclor
? ' .?
L12?+
? '
TU,!N OI' EAGAII
3795 Pilot Knob Poad
Eagan, MinnesoCa 55171
PERMIT N0. 2110
The Board of Supervisors hereby grants to Neil. 8e HubbaPd H?atinit, •
Air Conditianiug Coo of 627 Soiith Snellinr+telue, $t. Pattl, 2•ZA3 55104
a k'EATING Permit for: (Owner) TLUem Gonstz93Ctian CO*
a; 2:, 362, 4366 Lodgepole Drives
at _11?33 ,91g,,.frid, , pursuanC to application dated
8/22A'`1? .
Pee Paid: $100.00 Dated this 28th day of AtlgLtet ? lg 72.
2 .SD s a
BuiZ3ing Inspector
4
U ?
? e
T0: 'IJ OF EAGAN
3795 Pilot Knob i:oad
Eagan, Niinneaota 55121
PERMIT N0. 236
The.Board of Supervisors here5y grapta to J- w- gn"eiLA sap
o f 990 weat xoatama, st. p.ul 55117
e P11111AT11d Permit for: (Owner) TJJAIM Qpqg},MtiCO Co.
gt ?5??i?e & 1,?6 91gY?'?Qpurauant to application dated
-- T/6/T2 ,
ree Paid:_ $80.00 Dated this Tth day of JU7$ , 1972.
2.00 e o -
Building Inapector
REQUEST FOR ELECTRICAL INSPECTION "'"`?'4 es-ooom-os ?5
? See instmctions for complelinff this lorm on back of yellow copy ???j r??
J2,1? ? ZQ. X" Below Work Covered by This Request ?7
?ew Add Rep. - TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sUecity) Comractor's Remarks:
DEA- AC Control
Compute Inspection Fee Below:
# - Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Si9nS Inspector's Use Only: SurCI78.rge TOTAL .50
Irrigation Booms
G 15
50
Special Inspection ,
?
/? '
Alarm/Communication CONNECTED IF NOT
TNIS INSTALLATION MAY BE O
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in oece
cert
y that ihe above inspection has
been made. F;nai n
t; oa? / ?
r(p y
OFFICE USE JNLY
TN3 request void 18 monihs irom
?/ a y/ 5?-- /O S 7?3 ;2--
J 4924r..??
Request ale Fire N, Rough-in Inspection
p
-?p-C? Fequired? ?7 Ready Now p Will Notity Inspector
G Yes }? No When Ready?
?
k0 licensed contractor ? owner
hereby request inspedion of above electrical work at:
Jo6 Address (StreeC Box or Poute No.) Ciry
4256 Lodgepole IJrive Fa n
Settion No. Township Name or No. Range No. GouMy
Dakota
Occupant (PRINT) I Phone No.
Steven Scholz
Power Supplier I Address
Dakota, Electric Farmi ton
Electncal Coniracbr (Company Name) ContracWr's License No.
Naber?Electric A-40
Mailing Atltlress (Contractor or OwnervMaking Instellation)
12 lk Trail Northfield
Au[horizetl ignat e IContracto wner M king Installation)
Phone Number
?
1 507-645-9760
MINNESOTA STATE BOARU OF ELECTRICITY THIS INSPECTION REDUEST WILL NOT
Griggs-Midwey Bldg. - Hoom S•173 BE ACCEPTED BV THE STATE 80ARD
1821 University Ave., St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
PERIIVIIT
? I
-?" CITY OF EAGAN ? B U I L, r.N G
3830 Pilot Knob Road ?i PERAIIIT TYPE: 0 3 0 2 4 9
Eagan, Minnesota 55122-1897 Permit Number: 06I13/97
(612) 681-4675 I Date Issued:
SITE ADDRESS: ?
? 42,56 LoneEPnLE oR
! 1.4Ts o^ HL.OGK: 3
' EvERGRrcN PARrc
P . I .N.; 10-2 4 8 8 0-0 8 e-,m3 . .
DESCRIPTION:
REPLACE EXPIRED PERM
BPermiY, 1"ype M:tSGELLANEC1US prk 7yp?? A1?qTTZON
4:; 4AL T o RES T DE: Pd 1" SA L
§?TM??w "'? ?rf? §'???
"°"• ?P `? ?
?:V?
i
REMp R, S
-FtE?L71CE EXPSRtD uUILDTNG PE.RMIT #23950 DATEtJ 6/30J94
5CP^RA7E PE{rP4S7 REEQUTRED FQR ANY EI_Ei:TRICAL WORK
FEE SUMMARY:
Ba5e s=Ee
5ui°cfi a r g e
TOLol FBP.
vALuArzoN
' 41;s2,2 5
' $53.25
I
I
?
I
$ z,(') cm
CONTRACTOR: ' O,W!?? R' - mppj 1 c a n c
? I 5t;1 S'("E V EN
? 4 256 I_CDGEPOLE L7R
E' GAIV MN
" (61.2)452-6308
Z?l
?
? -? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• CITY OF EAGAN
? ?at 3830 PILOT KNQB RD - 55122
?P
New Construction Reauirements 6814675 RemcdeVRecair Renuirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid, design; etc.) ? 2 sfte surveys (exterior additions & dedcs)
• 1 energy calculations ? 1 enetgy calculations for heated addiGOns
? 9 eopies of tree presarvaHOn plan 'rf lot platted after 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DFSCRIPTIDN OF WORK: F//oiv
STREET ADDRESS:
LOT BLOCK
3 SUBD.IP.I.D. #:
PROPERTY Name: -5?: /-0 /z Jievco v Phone#: Y,5;2
OWNER M,,
Street Address:- ya ?? 40 c4e-- 0c
20l<- .?i'.
City: 2? q??v State: Zip:
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCH(TECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State:
Zip:
5ewer & water licer.ned plumber (new construction only): . Penalty applies when address change
and bt change are vequested 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 applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY -
1TE EYVED
Certificates of Survey Received _ Yes !Vo
- in ;v i, 3 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required B f?--
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation n 06 Duplex
n 02 SF Dwelling ? 07 4-plex
n 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 _ plex
WORK TYPE
a 31 New o 33 Alterations
X 32 Addition o 34 Repair
GENERAL INFORMATION
,._. ,
0 11 Apt.lLodging ? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
13 Garage/Accessory n 20 Public Facility
0 14 Fireplace n 21 Miscellaneous
0 15 Deck
0 36 Move
0 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
U8C Occupancy sq. ft. Fire Sprinklered
Zoning sq, ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit l7
APPROVALS
Planning Building 'YI Engineering Variance
Permit Fee Valuation: $ Z? OQD. Qp
Surcharge
Plan Review
License
-
MC/V1IS SAC -----
3/rt -7
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit l ?sv?
S/W Surcharge
Treatment PL
Road Unit
Park Ded.
Trails Ded. '
Other
?
Copies
Total: ?-
?
% SAC -- -?• --- - - ?-- - -
SAC Units
UY__. ? I.
n
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Si3f r id St
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157
???N
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F-
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L-k"
?Y /l /}?L?7/J
DATE ? l o0
APP OVED PLANS MUS7 BUILDING 9?SPEC oONS DEPT.
RE AIfV ON JOB SITE em cm
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X" 11?`
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
LO7:
4256 LODGEPOLE pR
EVERGREEN PARK
PERMIT SUBTYPE:
GARAGE/ACCESSORY
B BLOCK: 3 APPLICANT:
SCHOLZ
(612) 437-0610
TYPE OF WORK:
BUILDING
023950
06/30/94
STEVEN
ADDITZON
INSPECTION .. . .•
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT5 IS REpUIRED FOR ANY ELECTRICAL WORK
F
. _.. ?_ . ._.. _ ?1
L
CITY OF_EAGAN
3830 P1ot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
euILoz?iG
623959
06/30/94
SITE ADDRESS:
P.S.N.: 10-24880-080-03
4256 LODGEPOLE DR
L07s 8 BLOGK: 3
EVERGREEN PARK
DESCRIPTION:
BJjildin-q??-;Permit 7ype GARAGE/ACCESSOR4
?,;Oui,ldir?g Wt??Ji Type ApDT7I0N
?'Square Feet 416
.rj
?.
l
}177
REMARKS:
A SEPARATE PERMITS IS REQUIRED FOR ANY ELECTRICflL WORK
FEE SUMMARY:
VALUATIQN $7,000
Base Fee $90.00
Surcharge $3.50
Total Fee $93.50
CONTRACTOR: OWNER: -- Applicant -
SCNOLZ STEVEN
4256 LO[IGEPOLE DR
EAGAN MN 55122
(612)437-0610
Z hereby aicknowledge that Z.have read th:Ls appiioation and staCe that the .
information ss carrect ancE agres tb csrmply w,ith all app.l.?ca#le ;5t*t*`of Mn.
? Statutes and City of Eagan qrdi,nances
l'iu.Q. ?.pa(- ll-d
APPLICANTlPERMITEE SIGNA U fSSUEDBY. SIG TURE
CITY OF EAGAN
"_Q 60 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 reg s ???y , 1 copy of energy
calcs.
COMMERCIAL Jii?{ ? g ?q9
2
t
hit
'i ?l
f
f
t
&
t
t
1
t
se
s o
ura
a ,
se
o
arc
ec
ura
ruc
s
specifications, 2 cop Calcs._
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date o!yly.e / oZr,> lf!5?y Valuation of work
5ite Address:?o 6LC4 0/4- ,,or-
STREE SUITE 1!
Tenant Name: (commercial only)
LOT SLOCK 3 SUSD. p I D. #
!D?^-
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Describe)
Name (JJor Y37 - d?o /a
?c?o/Z Phone
Property LAST F1RST 6°Z ? 3a7
Owner Address S!?,5? ,Co ?. noo /?
STREE STE #
City dc? at„? 5tate Z i p 5S/_-2_ ?-
Company "71 ? Phone
C o ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address -
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? C?
OFFICE USE ONLY
BUILDING PERMIT T1fPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
0 03 SF Addition El 08 8-Plex n" 13 Garage/Accessory
? 04 SF Porch 13 09 12-Plex ? 14 Fireplace
El 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
?'? ? •?.
? ?•?:,.
;s? ;a.r.• r ... _
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
El 31 New ? 33 Alterations ? 35 Tenant Finish O 31 Demolish
p 32 Addition 0 34 Repair O 36 Move .
GENERAL INFORMATI4N
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1, sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ? fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code o?
APPROVALS Census Un?t a
Planning
Engineering
REQUIRED INSPECTIONS
? Site
El Wallboard
Building
Variance
C3 Footing
17 Final
Assessments
E3 Framing ? Insulation
11 Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P].
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
re
J
SAC %
5AC Units
f E_N.?:._ B_L. D._C _K _..3
I 63 O
._?- -
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, • 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
- CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-687-4675
New Conthuciia? Reaulre
menta
q 60. vo
Remodel/Reoalr Reauirertfenh Ca'le4 911J
> 3 replatered slle wrveys ahowlnp aq. if. of bt, eq. fl. of house 2 copies of plan
and gQ roo(ed areaa (2096 maxdmum lot covemae allowed) 1 set of energy calculailons for heated addiNau?r
> 2 coplea of plana (ahow beam 8 window sizea; poured fnd. destgn; efcJ 1 alte sunrey Tor extedor addittons 3 decks
? 1 aef ot energy calculatlons
> 3 coplea of hes Preservatlon Plan if lot platted affer 7/1193
pATE: /5-? CONSTRUCTION COST:
DESCRIPTION Of WORK: 6 e C4
STREET ADDRESS: y d?) p eC e) d?,P &
LOT: 0 BLOCK: 3 SUBD./P.I.D. 11:
a
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: SG/?d /? ?_ J?rl eiJ Pt0?IA #: (o ?? ? /? ".? - ?307
last Fint
Sheet
le--- J4-1
CNy State: _Q?•? Ztp: 2-
Company: 07.JN eY' Phone #: _
(area code) Street Address: Lkense # Exp.
qty
Company:
Telephone i: ( )
Sheet Address: Regishation q:
City
State:
Sewer/water licensed plumber (if installina sewer/water): Phone #:
Zip:
I hereby acknowledqe Ihat I have recd this applkaHon, stafe thaf Me infortnation is cortect, and agree to comply wHh all applicable State
of Minnesota Stahites and City of Eagan Ordinances. ?
Signaiure ot Applicant: c>> ?-?-? ?rl;L
OFFICE USE ONLY P-,ECE}VED
Certificates of Survey Received _ Yes _ No ' AUG 15 2000
Tree Preservation Plan Received _ Yes _ No _ Not Required BY: `
State: Zip:
Name:
OFFICE USE ONLY
BUILDING PERMIT SU BTYPES
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 31 Ect. Alt - Mufti
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
0 03 01 of _ plex 0 09 07-plex 8 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Ping Y or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
w0rc rYPE
31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to appllcant for demolition permit
GENERAL INFORMATION
SAC Code r., 1 # of Stories sq. ft.
No. of Units Length 2N sq. ft.
No. of Buildings 1 Width ? K Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code L-/3 y
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy g ? sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
B
uilding CG Engineering
Variance
Permit Fee J
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: ?(m. s Q
Valuation: $
:
SAC Units
% SAC
I
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9
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APP OVED PLANS MUST
RE AIN ON JOB SITE
t
EAGAN ,
REVIEWED o
BY *''/ /YIl?-tLT7/? ?
DATE
cc,
BUILDING INSPEC IONS DEPT.
eLMNOPWMCOPY
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 775
DATE: 08/15/00 TIME: 14:36:05
ID:
NAME: STEVEN E SCHOLZ
3210 y001 4256 LODGEPOLE 60.00
2155 9001 4256 LODGEPOLE 0.50
Total Receipt Amount: 60.50
CR135948
USER Ib: JAN
. • j
Zef 8. 131c3
EYCrQr -aaq
U
EAGAN TOWNSHIP
3795 Pilot Krtob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: June 27, 1972
OWNER:Tilsen Construction Co.
PLUMBER
NUMBER 1043
Address-4-L'6? Lodgepole Drive ?. TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIJA ING
Industriall Commercial( Residential { Multiple Dwelling I No, of units
xx
Location of Connections;
Connection Charge -?
Permit Fee $10.50 7/18/72
Street Repairs
Tota 1
Iaspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulaCiona of Eagan Totmship, Dakota CounCy, Mi ota
By
Pk
Please notify when ready for inepection and connection aad before any portion
of the work is covered.
. - ?
?ot8', B1-e-3
G V t f 9 r c a» P!-,
EAGAid TUWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 26, 1972 Number• 874
Billing Name:Tilsen Construction Co. Site Address?42??LOdgepole Drive
Owner: same Billing Address
/
Plumber• l' ?
?
of
NO ITotal Chg.
Building is a:
Residence xx
t2ultiple To. Units
Commercial
Industrial
Other
Meter No.-raa Permit Fee 10.50 pd 7/18/72
Meter ReadingiMeter Dep.
Meter Sealed: Yes I Add'1 Chg.
Inspected by
Date
Remarks:
`I-i:li''O'GL_ l?1.'?
I?J.
&y:
Chief inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules aad
regulatioas of Eagan Township, Dakota County, Minnesota.
By
Please notify the above office when ready for itwpection and connectian.
MASTER CARD
• LOCATION Lo
OWNER
e,
STRUCTURE
LAND USED ASD ?AI TC &P**** sE R a/
Permit
No.
Issued Issued To
Contractor Owner
BUILDWG
PLUMBING
----
"'-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ?{io i
GAS INSTALLING I
SANITARY SEWER
OTHER I
OTHER I
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
=00TING '7? SEPTIC _
FOUNDATION
?
b
? CESSPOOL
FRAMING --
-- TILE FIELD FT.
FINAL
tLECTRICAL
H"ATING /// DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK ?
CESSPOOL
DRAINFIELD
PLUMBING r a?i
WELL
SANITARY SEWER --'
Violations Noted
on Back
COMMENTS:
2006 RESIDENTIAL BUILDING rERMiT ArrLicATiorr ??? ? S q r
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122 pi3?- 3 _'e'J
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 sel o( Energy CalculaGons
3 copies of Tree Preservation Plan 'rf lot platled after 711193
Rim Joist Detail Optlons seleclion sheet (buildings wifh 3 or less un'ds)
Minnegasco mechanipl ventilation Tortn
RemodellReoair Reouirements 0ili6e'6 se'Oniv
?2 copies oi plan showing foo6ngs, beams, joists Cert of S'uivey Recd - YN
,/1 set of Energy Calculations for heated addi6ons Tree PresPlan Recd ; 7 Y ;N,
?1 site survey for addNons 8 decks Tree Pres Reqwred = Y_ N
Add'rfion - indicafe il on-site septic system dn site 5eptlc S?steln ;. _ YT? -,N
Date ` l b / 67 jl? Construction Cost 3 p OOB
Site Address 1-0(F-RQ GE m-?4?UF UniUSte #
Description of Work
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 _of_ 2 J(i, N 0
D
B
Property Owner ?VE c)C0fJLZ Telephone#((5_( ) 87
0* 1 C
Contractor 4E41
r\1JESTrYI a U i S'
g/JST.
Address yj, rs p? City A? ?
State 1/11 J?Jo Zip Telephone # ((S7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet New
• gy
(?l submission rype) Ener Code worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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 5tate 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 work which requires a review and
approval of plans. ?
(rn 0+W S
Applicant's Printed Name Ap Lcant's Signature
DO NOT WRITE SELOW THIS LINE
?
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
'd 02 SF Dwelling ? OB 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EA. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
O 31 New ? 35 int Improvement ? 38 Demoiish Interior ? 44 Siding
32 Addition ? 36
c Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Glve PCA handout to applicant
D@SCrIptlO(1: Water Damage _ Yes ,
Valuation (6, ct)o, Occupancy MCES System
Plan Review 100% or 2 5%
Census Code N 31 Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ZC-3 PRV
# of Bidgs Length Fire Sprinklered
Type of Const ? Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
Footings (deck) FinaUC.O.
?p Footings (addition) p05 i f00 i; ncj 5 io FinallNo C.O.
_ Foundation HVAC
Drein Tile Other
Roof "16 Ice & Water V Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding
Srixcco Lath _ Stone Lath
Brick
Fireplace ?O R.I. ) Air Test `Q Final _
Windows _
? Insularion Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
r
Dc-) c?o
, a-'
Jun OS 06 04:5Bp Design Classics 952 882 794E
Form for use with Minnesota Rules part 7670.0475, Subp. 2
1 & 2 Family Residential "Cookboak" Method
p.l
SifE ADDRESS C"3' lf?
V
gUIW-ER V?Ptu?F { NJ'S?i'1??N7"7 LdNS"1`• oale
- Minimum Criteria:
? Run loist R-19 insulation Foundaton Wincbws: Insulated glass. 1/2" sir spacc. wood or vinyl framc
Entry doors: 1'/a inch solid wood with stormnr better
STEP I Window & DoorArea
Total Window & Door Area in Sq. Feet
WINDOWS (iflcluding foundation windows):
Dimensions Qnty. ' Area
V'Dn x 2
2e X 4 0
i w x P ?j ?pD
x r
ILOO
y'?: D
- !b'' X
2-c" X
2-49" X
lp!e x Ow
L-011 x CjW I 1 ,p
tONx ZL-BW L
2* x y'-OD 2 2s. v
nnnrzc• ?r:??Yy?..,••.. I s ii.c,
X.
I L
bw x -1611 ?D
Total Area of A
Window & Doocs ?r
4 ..
Total Wall Area in Sq. Ft.
Wall Total Perimeter Heieht Area
.0 ,0
.o .5 6 ,o
Tota! Area
nf wal[ ??&OB
$1'EP 2 Calculate area as 8 peccent of Wall
Box A(window & door area) divided by Box H(tocal
wall azea) tiaus IDO equals the window and door area .
as a perceat of wall area (Box C).
sox s 31),7
22 JO,o
S'!'EP 3 • Design Featums
A$SEM$LY OPTION
FRAIvE WALL:
STANDARD FRAIN[NG x
ADVANCED FRAMING . '
CAVITY INSULATION R- rQj
SE3F.ATHING: LESS THAN R-5 x
- R-5 OR MORE ?
WINDOWS (cxcept foundation windows):
U-FAC1nR
From thc table, duermine the maximum percent window
& door area fvr the design options selectcd and eater che
value in box D below: ,
Box C mnst be less t6an or equsl to Box D
V ?
4
Gi?
0
' •
s i9f r ic? ?5t
? I yl'-
?
?
N? ?
o?
p 7c
~ a?
?
?
--ZZ
00
oI %
w ?
? ,.
moz I i n o ?J
.
?
,
,
i
w
i'
0
APP?OVED PLAN° MUST
RE AIN ON JOS SITE
I-) ?
!57
EAGAN ,
REVIEWED ?
BY ?%`416??Xli'J/J IYI4-r?7/l '-I
DA BUILDING lNSPEC IONS DEPT. ?
96t3G. oopwmcOP1f
Use BLUE or BLACK Ink
r For Office Use
City O{'�n n n Permit#:
ate/ G
1 Q�an 60_ 0d
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax: (651)675-5694
Staff:
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Resident/Owner Name: STE0 e' rOLz. . ..= n. Phone:6S/-445? -63 0-7
ii
Address/City/Zip ✓ a's6 0640 L ?OLE 'd • 8/ 41/ti 6S./a`l
g €
Name: lee.yee7Z- AA.77N ILC- License#:
l
Contractor < Address: O03� #41"S D� ,6/L - City: E/49/4"--/ M+L--- �"
Jr5/�/ Phone: 's/- O i
{
4 State: YIN Zip: v�` 94�
s Contact: gre 64%w- Email: j'lf' ei l i a41i47G cat,
New IVReplacement Additional Alteration Demolition I
Type of Work F Description of work:
I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
�urnace I New Construction Interior Improvement ,
Permit Type -r Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit s
Heat Pump Under/Above ground Tank ( Install/_Remove)
_Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01 ,
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge = $ Permit Fee
_$ Surcharge
Surcharge= Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 appr plan in the case of work which requires a review and approval of plans.
x egL?f-- eC'7Z x 40
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat -Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166326
Date Issued:12/30/2020
Permit Category:ePermit
Site Address: 4256 Lodgepole Dr
Lot:8 Block: 3 Addition: Evergreen Park
PID:10-24880-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Steven E & Kathleen Scholz
4256 Lodgepole Dr
Saint Paul MN 55122--185
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179848
Date Issued:10/24/2022
Permit Category:ePermit
Site Address: 4256 Lodgepole Dr
Lot:8 Block: 3 Addition: Evergreen Park
PID:10-24880-03-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Adam Gustad
4256 Lodgepole Dr
Eagan MN 55122
Innovative Building & Design Llc
P.O. Box 490298
Blaine MN 55449
(612) 808-6025
Applicant/Permitee: Signature Issued By: Signature