4257 Lodgepole DrCITY OF EAGAN Remarks Wf'r COri, pCl. 011 5-21-71
Addition Erergreen Park Lot 15 eik 1 Parcel 10 24880 150 01
Owner L j Stree[ 4257 Lodgepole Dr. State 55
F'?an,? 122
I .
Improvement DaYe Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 17,1
SEWERLATERAL
sew conn c 1 2 0 00 48,00
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 26o.oo 3446 4-16-71
BUILDING PEfi. 2 ?
SAC 240.00 7255 - -
PARK
N-RUC(jRij j
INSPECTF
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ? ?.? ? ? _? ,; t ??? ? : ? APPLICANT:
?????,iPul t I?k ??? t ?.raf? i rrMF`AIJ t P • f 14+
- , r! ., , ? >>S
PERMIT $U.PTYPE: TYPE OF WORK: A 114
& af•knnrtsi???:i,
F
L
Permit Holder , Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PWMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
TEST
HVDqOSTATIC
TEST
BSM? R.I.
BSMT FINAL
DECK FTG
DECK FINAL
,
, ,
BUILDING PE
Site Address !
Lot 15 Block
Parcel No.
GITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t PHONE:454-8100
Receipt # J
)N Est. Value $8'000 Date AUGU3T 1
SeGSub.
w Name i''""'^°"' rn?.avn
3 Address SAl1B
0 City Phone 454-7647
a GES HANSON $UILDER3 1NC
o Name
?< Address 8? 4ARK AV6
? City alAOM1NGTDOhone 888-3453
w?w Name
? ; Address
i W City Phone
I hereby acknowlege lhat I have read this appfication and state that the
in(ormation is correct and agree to comply with I applicable State of
Minnesota Statutes and City oE-Eagan Ordinan
Signature of Permitee
u?s xnn" suiLneRS iW
A Building Permit is issued ?"?
to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesola Statutes and City of Eagan Ordinances.
I Building Official
L ?
APPHOVALS
Planner
Council
Bldg. Otf.
Variance
a '.
,.
_. 19 90
OFFICE USE ONLY
R'3 FEFS
occupancy
Zoning
(Aclual) Const
(Albwable)
M of stories
Lenglh
Depth
S.F. Total
S,F. Foolprinis
On Sile Sewage
On Site Well
MWCC System
City Water
PRV Required
Boosler Pump
? "•00 ?
- Bldg. Permit 4
??
Surcharge
-
?
?T Plan Review
? I
- SAC, City
= SAC,MCWCC
Waler Conn
- Water Meler ?
Acct. Deposil
- '
I
_ SNJ Permit ?
- S/W Surcharge ?
?
Trealment PI ?
Road Unit ?
- Park Ded ;
_ Copies
- TOTAL ?
j
?i .?. 18218
Permit No. Permit Holder Dafe Telephone A
WATER
SEWER
PLUM8ING
?
H.V.A.C.
ELECTRIC 3aa -5 o35o I ?W
Inapeetion Date Insp. Comments
FooGrgs I DS
Foundation
Framing p ?
Rooting
Rough PI69• / "' V UU G /? •;i ..
Rough Htg. -?
is,i. 27 !D
Fireplace
Fnal Htg.
Finai Plbg.
Const. Meter Plbg. Inspecbr - Notify Plumber
Ergr./Plan
Bldg. Final C' 3O ?S
Deck Ftg.
Deck Final
Well
Pr. Disp.
• • PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE: _
ACT PRICE: PHONE: 454-8100
Site Address _L? ?
Lot / Block
? Name
m Address
c City . ? ?;? (rJ Phone
? Name
c Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES :
- TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
CITY OF EAGAN
BIDG. TYPE , WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 $
_Bath Tubs - $3.00
_Lavatory - $3.00
-Shower - $3.00
--L_Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
1-Laundry Trey - $3.00
. I Floor Dra' s - $1.50
-Water He?er - $1.50
Whirlpool - $3,00
-Gas Piping Outlets - $1.50
(MINIMUM - t PER PERMIT)
_SoRener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
, CITY OF EAGAN ,
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERMIT ReceiptR
Tobeusedlor ADJITiON EstValue $5t184 Date JUNr: 3 ,1986
SiteAddress 9257 LUllGEPGLE DR Erect CJ Occupancy
MLFJjGRZrN
Lot11) Block Sec/Sub PARiC Remodel ? Zoning 421
.
Parcel No Repair ? Type of Const
. Addition ? No. Stories
¢ Name ktjCHARD FACTOR Move ? Length 16
= S&Nl? Demolish ? Depth ?7
a
Address I
I ? Ft
S
o 454-7647 mpr.
nt. (3 q.
C Install
= o Name SAfilE
? Q Address
~ City Phone
?Q
F W Name-
= o Address
UZ
i W CiN -
I hereby acknowledge ihat I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci f Eagan Ordinancesf ?
Signature of Permittee " ?? • 1-" /r 1?e -, -
A Building Permit is issued to: K1Ut1AtcU t"HL'i'Vli
all work shall be done in accordance with all applicable State of
Building Ofticial -??
..?
Assessment Permit 40:)U • DU
Water & Sew. Surcharge 3.00
Police Plan Feview
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. 6 2 86 Tr. PI.
APC Parks
Var. Date Copies?
Total ?y
on the express condition that
Statutes and City of Eagan Ordinances.
1 - I WrmM No. I Pwmlt HWMr I Da1s I TNsohons N 1
weq.
Ha.
Hlq.
Piby.
Final
Oce.
Dkp.
- ` ? T041N OF EAGAN
3795 Pilot Xnob P,oad
St. Paul, Minn. 55111
PERMIT N0. 112
The Board of Supervisors hereby grants to Wensal Plumbing d
Hoating, Inc. of 1955 Shawnee Road, Edgan 95122 8
PLUt°iBIi7G Permit for: (Owner)Wansmana Construction at
L15 - E1 Evergreen Park ? pursuant to application dated
S/7/71
Fee Paid: $20.00 Dated this lOth day of t"aY , 197_1
Building Inspector
C51P
TOWN OF EAGATd
3795 Pilot I',nob P.oad
St. Faul, Mina. 55111
PEP,MIT IdO. 107
The Board of Supervisora hereby grants to Kitve Heatini[ 8 Air
Coadit4onin„g Inc. of 13075 Pioneer Tail. Eden PraiYie 55343 $
HEe1TING Permit £or: (Owc?er)Wensmaun ConttYUCtion at
4257 Lodssoole Drive. Eagan 55122 , pursuant to application dated
5 E? 71 .
Fee Paid: $20.00 Dated this LOth day of Mav , 197_1.
Building Inspector
CONTRACT PRtCE:
Site Address _L4.;
Lot Z ~ Bloc
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT N
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
[ Name
? 2
A Address
c Ciy /I Phone,'_?(?.-?,'_ ; -
? Name
; Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES :
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE . WORK DESCRIPTION ?
Res. New F
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: >
NO. FIXTURES TOTAL
_Water Closet - $3.00 $
_Bath Tubs - $3.00 _Lavatory - $3.00
-Shower - $3.00
--t-Ki!chen Sink - $3.00
-Urinal/Bidet - S3.00
J_Laundry Trey - $3.00
=LFloor Dra s -°$1.50 '
-Water He?er - $1 50
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT) ;
-SoRener - $5.00
i
-Well - $10.00
_Private Disp. - $70.00
_Rough Openings - $1.50 ?
FEE:
STATE S/C:
GRAND TOTAL: ??_
EAGAN TOWNSHIP
BUILDING PERMIT
owne: •-?....? ..... ....... .. ..........?•--•. `
Address IPresentJ ....... . ...... ........ ......... ..l..'.._....................
-
Builder ......... .. ...... .......---° ............. ?
-..--.----.------- --•
Address .................. '.`.?.:4.................... •..............
DESCRIPTION
N° 2419
Eagan Township
Town Hall
aa:e .................:....
Stories To Be Vsed For Fron! Deplh Heigh! Est. Cost Permit Fee Remarks
I 4L I 3s? lc /.o.?:c-?-
LOCATION
Stree3, Road or other Desaripiion of Localion I Lo! Block Addition or Trac!
-if a-S 7 00""' /'J- I e??
This permit does not auihoriae the use of stteefs, roada, alleps or sidewalks nor doea it give the owner or his agen!
the righ2 to create anp situaYion which is a nuisance or which presents a haaard io the health, safety, convenience and
general welfare to anyone in the communify.
THIS PERMIT MVST BE KEPT ON THE PREMI? SHILE THE WORK I5 IN PROGF?ES?S.
This is !o eertifY, thai--- ---- ...........:.. ........... ...... .-..................... has pe:missioa !o erect a...?!9- '-" --.. ?t._.... .....-•--••••••.....•--_upon
the above deseribed premise aubject io the provisions of the Building Ordinance for Eag? Townsl?p adopled Ap:[3 11,
1955.
..................... ..... ?•G-"_'=_.--••••-•-•-_--•••••---. Per
---
? Chair an of Tnwn Board ..... .................••........?3•..•Buildiag Inspeclor'..••--••-••............
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12046
BUILDING PERMIT PHONE:454-8100 Receiptq 3od '
To be used tor ADDITION E
$5,184
4257 LODGEPOLE DR ?
Site Address j
Erect
L ot 15 eIock I Sec/suti. EVERGREEN PARK Remodel ?
Parcel No. Repair ?
Addition ?
W Name
RICHARD FACTOR
Move ?
SAME Demolish ?
3 Address I
l
?
? City Phone 454-7647 mpr.
nt.
Instail ?
= o Name SAME Appr
Occupancy R3
Zoning R1
Type of Const
NO. Stories
Length 16
Depth 27
Sq. Ft
Permit $56.50
Surcharge 3.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copie 59.50
Total
? ¢ Address Assessment
~ City Phone Water & Sew.
? ¢ Police
F = Name Fire
x E5
z Address Eng.
a W City Phone Planner
I hereby acknowledge that I have read this application and state ihatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C' f E an Ordin nf?
Signature of Permittee? ? G??
A Building Permit is issued to: RICHARD FACTOR
all work shall be done in accordance with allanplic le StateD( 'nneso
Council
Bidg.Off. 6/2/86
APC
Var. Date
on the express condition that
Ciry of Eagan Ordinances.
Building
:.
CITY OF EAGAN N0
? 18.2 1$
_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PE !l
RMIT Receipt# U
?w
To be used for ADDITION Est. Value $8+000 Date AUGUST 1 19 90
Site Address 4257 LODGEPOLE DRIVE
Lot 15 Block 1 Sec/Sub. EVERGREEN PARK OFFICE USE ONLY
P8fC21 N0. Occupancy R-3 FEFS
¢
w Name RICHARD FACTOR Zoning
(ACluaq Const
Btdg
Permit 99.00
$
_ .
? Addr2SS $AME (Aliowable) - 4.00
City Phone 454-7647 x oi srodes Surcharge
151 Pl
n R
i
Lengih ev
ew
a
F Name ?^1ES HANSON SUILDERS INC th
De $' sac
Ci
Z
$?
Address 8900 PARK AVE p
S.F.Tolal
_ ,
ry
City BLOOMINGTOI11"hone 88$-3453 S.F. Footprints _ SAC, MCWCC
? On Site Sewage _ Waler Conn
F W Name On Site Welt
- Water Meter
?? AddrBSS MWCC System _
?z
a W
City _ Phone
Cay water
- Acct. Deposit
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply wift all applicabte State o1
Minnesota Statutes and City Eagan Ordinan s.' Treatmem PI
Signature of Permi[ee APPROYALS
C7 --??- Road Unit
A euilding Permit is issued to: WE-S HANSON BUILDERS INv Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -- 1.00
applicable Stata of Minnesota Sta tes and City oi gan Onances. gldg. p}f, _ Copies
?104.00
BuildingOfficial
__?_ Variance _ TOTAL
This reques[ void /??^.r// ? 33 (J V
78 months from
0 0 6 8 2 5 2 ?Z-_. /s ; a--
Reques[ Date fire No. Ro
ugh
n Insp tion
e?
? OReatly Now,UQ Will Notify Inspec-
es ?No r ?ror When Ready
? LicenseA Electrical Contractor I hare6y request inspection of above
X10wner electrical work installed at:
Stree Address, Bo r Route No. . Citv
ec ion o. 7ownship me or No. Range No. County
Occupa (PRINT) / 1
I Phone No.
c d ?. I'a /' & V
Pow Sup lier Address
1
Electrica ontra tor (Company a e) Cuntractor's License No.
Mailing Addres Contractor or Owner Makina Instailationl
Author? e 5? ature (C taptgrf Owner akinB I??stallation) Phone Number
; ^ ?
MINNESOTA STqTE BOApD OF ELECTRICITY THIS INSPEC710N HEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-197 BE ACCEP7ED BY THE STqTE BOARD
1821 University Av9., St. Paul, MN 55104 UNLESS PHOPER INSPECTION FEE IS
Phone (612) 297-2171 ENCLOSED.
;EQUESToFORoEL ECTRI?CA?LtiNSPECTION
S 32285 ".X" Belokr Work Covered by This Request
?. p3?..?. EB-00001-07
s ?= e.9?t S
e Add Rep. TypeofBuiiding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./1nduStrial Furnace
Farm Air Conditioner
Other (specity) Contractors Remarks:
Compute lnspection Fee Below: kl -F?
# Other Fee # Service EntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? --' Above 100 Amps
SignS InspectoYS Use Oniy: TOTAI
Irrigation Booms Kl ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQNTHS.
I, the Electrical Inspectoc hereby Rouqn-in Date
?
certify that the above inspection has
been made. Final oaie 15
OFFICE USE ONLV
This request wid 18 months Irom
096/9
a 3228S?L 5
Request Date e No. ough-in Inspection
Required?
rReady Now E3 Will Notify Inspector
Wh
q
?
es ? No en
eatly
1 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet. Box or Route No.) City
Section Na Township Name or q. Range No. Cou/ny?
oo;
tf ? Z
Occupa t(PRINT) ?
7 PhonB No.
Powe "SUpplier Adtlress
Eiecfrical Contracror (COmpany Namne)A Contractor's License No.
Mailing Adtlress (Contractor or Ownar Making Installation
Z Z?
Authoriz S aWre ( rector/Own in ns atio Phone Numb
er
'
/
MINNESOTA STA7E BOARD SF TpI6I7V THIS INSPECTION PEQUEST WILL NOT
C+rlggs-MlCwey Btdg. - Room 5- 73 BE ACCEPTEI) BY THE STATE BOARD
7821 Universtty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
FERMIT '
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: B uIL° z NG
Permit Number: 0 3 2 9 5 0
Date Issued: 08/1$ /9$
SITE ADDRESS:
P.T.N.: 10-24880-150-01
4257 LODGEPOLE DR
LOT: 15 BIOCK: 1
EVEF2GREEN PARK
DESCRIPTION:
B
B
T.O. &
Permit 7ype
REROOF/STORM
S7pRM fJAMAGE
REPAIR
434 AL7. RESIDEN7IAL
r
? - ..?
?? ???
. ? ..... ?.mJ ? i . . .. .,. ,? .,?. _ ?.s
? ?. }
REMARKS:
FEE SUMMARY:
B'J'OWKSTF?'i4MfR? - nppti
COMPANIES INC
4116 DIAMOND DR
EAGAN MN 55122
(612) 452-5598
t: 011L - J I. L 1l.. ?? w'?p .
1452559$ 0 ?08676 A ?"? ?? RICHARD
4257 LODEPOLE DR
EAGAN MN 55122
(651)454-7647
heretsy_acknowledge tMat ? h?ve read
irtfo=rmationfi is c.orrec-:t and°:ag°ree -to c
„ Statutes and Ci?y Qf . ?aglan?Ordir?anee?
? , _ ? .
, ?
APPLICANT/PERMITEE SIGNATURE
V?ch
SUED BV: SIGNA RE
. ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeUReoair Reauirements ?J I? U
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; etc.)
? 7 energy caleulations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: Yes _ No
DATE: I 9 g-
DESCRIPTION OF WORK:
STREBLAUDRESS: '7c
• 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy caleulations for heated additions
CONSTRUCTION COST;
J*4'4?'1
LOT: BLOCK: ? SU D.IP.I.D. #:
Name: i?O c 7461- /1 / ? .?ll(1 Phone #: 7L! 7 - ?? 17 /
PROPERTY Last ' Firsc
OWNER Street Address: 7 t7(V / h.tll'/l e_
Ciry Z_Q GaN v State: Zip: S? .
CONTRACTOR
ARCHITECT/
ENGINEER
Ciry state: Zip:
Compan ? ?
y:? ? *f??hone
V
u /n ?-
Street Address: /, License #
Company:
Name:
Street Address:
City
Sewer 8 water licensed plumber (new consttvction only):
and lot change is requested once permit is issued.
3tate:
Phone #:
Registration #: _
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
1990 BUILDING PERMIT APPLIGATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLIT3GS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE S[TRVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERhIIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
? PERMIT MU5T SHOW A LICENSED PLUMBER.
?
To Be IIsed For: Valuation: Date: 7,rU`
Site Address tA f 7 6?,,pd/p ,jjJj, I OFFICE USE ONLY
? i
Lot ? Block
Parcel/Sub -zi?,ep =pp& -1 Aee
0«nes ?Ic? vra? ?et c j?e r
Address 1f?S7 ?oa?a,•?po/p ?f?•,
City/Zip Code Sqssr h
Phone 7d :L/T
Contractor
Address ?EE8 6 x,g v P
City/Zip Code f F2;?_??'/?rx yy;
Phone ?
Arch./Engr.
FEES
occupancy ?-3
Zoning q
-4 a
Actual Const Bldg. Permit
Allowable Surcharge ao
# of stories Plan Review
Length )5 i SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage _ S/W Permit
On site well S/W Surcharge
MWCC System ? Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ ' Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Councll
Bldg. Off. ?7?3(
Variance
Address
Gity/Zip Code
Phone #
*. ,
s?;.
L/A ??,,? e ? ? ? '? '
_.?
?S x rs? .?_ ? ? ? ,? ?? ?.
?' ?s?? -- h?ap ?? ?0???
.. ?? ..-?
? ?- , .a
?.. . .?? . .
. . ..,
_, , , ??.
, , . .. .
; ? ,.. ?
. ? . ? . .« -
I
?--
..
„
,
---- -- ---?- ----- - -- ' - ?? ?
--- - --- -- -- _ ------ -- . - _ ? -- - -- -- - - -- - -- -- - -
-
----_ -_ _ ?--- --, ? - ---- - ? - --
? ; ? _ __- , - - . _----- -- -
, -
?
F-
;
I ,
I i I I ' [/ 1 ? . I ? I ! i i
?
---IN
? '. . . i I .
' ? ' ! '? f ?,A?? ?i? 1
4
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MUST BE LZCEHSED iiIITH THE CITY OF EAGAN
COMNERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For ; ' '
Site Address ?f-- ?
2 6*
Lot Jj_ Block d /
Parcel/Sub ?
/.l. ? ...?1
Owner
SINGLE FANILY DidELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
n i
Valuation : . Date :
?
OFFICE
sn- ,
Erect 2L
Remodel
Repair ?
Addition ?
Move
Demolish
Int.Impr, ?
Install ?
Address'
City/Zip Code
Phone
Contractor 0(,c)L0&--)
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
5q Ft
FEES
Assessments ? Permit
Water/Sewer ? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off •Z- Treatment P1
APC Parks
Variance Copies
TOTAL
iz ?
or . .
EAGF.N TOWNSHIP
3795 Pilot Knob Road
r St. Paul, Minnesota 55111
Telephone 454-5242
' PERNIIT FOR WATER SERVICE CONNECTTON
Date: May 21, 1971 Number: 620 ?F•P.
Wensmann Construction for
Billing Name: Raymond L. Rervina Site Address; 4257 Lodgepole Drive, Eagan
Owner: same Billing Address same
Plumber7 WP»7,p1 Plnmhinee R Hatin&jgc•
Location of Connection Meter Size 5 8 Connection Chg. 6.00 p 4/16/71
w?vo.Z-? Permit Fee 10.00 ap?
M"
Meter Reading 0000 Meter Dep. ?
Meter Sealed: Yes Add'1 Chg. ?
NO Totai Chg.
Inspected by
Building is a:
Residence
14ultiple A'o. Units
Commercial
Industrial
Other
Date
R2m8l1CS: $25.00
9MPROPERLY INISTALLCD MC1ERS,
Bp:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mianesota.
By:
Please notify the above office when ready for inepection and connection.
,
EAGkN T(nJNSHIP
3795 Pilot Knob Road
St. Paui, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE:_ May 21. 1971 NUM$ER 781
Wensmang Construction for EIp
OWNER: Raymond L. Kervina Address 4257 Lodgepole Drive, Eagan 55122
PLUMBER Wenzel Plumbiag S Heatiag TYpE OF PIPE Cast Iron
AESCRIPTION OF BUILDING
Indastrial` Camaterciall Residential I Multiple Dwelling I No. of unfts
xxx
Location of Connections:
Conaection Charge
p . 572-5/71
Permit Fee 10.00
SCreet Repairs
Tota 1
Inspected by:
Date
Remarks•
By. Chief Inspector
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 Township, Dakota County, Minnesota
By.?.?_
?
Please notify when ready for.inspection aad coanection and before any portion
of the work is covered.
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MASTER CARD
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`rescr
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
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CESSPOOL - SEPTIC TANK '
V'JELL
ELECTRICAL
HEATING
GAS INSTALLING
1
SANITARY SEWER ~JQ?
?
O7HER -?-
--f- I
07HER I
•
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
cOOTiNG ? . ? SEPTIC
FOUNDATION ? ? . CESSPOOL
FRAMING ? ? . A ? FT.
FINAL
ELECTRICAL '
HEATING ? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL -• I ?%?
SANITARY SEWER
- ,?
Violations Noted
on Back
COMMENTS:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111102
Date Issued:06/11/2013
Permit Category:ePermit
Site Address: 4257 Lodgepole Dr
Lot:15 Block: 1 Addition: Evergreen Park
PID:10-24880-01-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Richard W Factor
4257 Lodgepole Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
F-For- O-ffi - ce-- Use I
I
j Permit City 7 I
O 11p I
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff: I
Staff:
Fax: (651) 675-5694 I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: G?/ s Site Address: `7 `v f Unit
g Name: to a. Phone: oS Lf5 ?07
t Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
y Description of work: Y"~
Type of Work
t a~
Construction Cost: 9t~t! o Multi-Family Building: (Yes 1 No
oll
i ~ Company. M1N 4qw v as Contact: c5-124 I"` l'uv-& 15 cju
Address: ?-V 6 6 i e~~v ~f City: 1 a Ly
Contractor r
State: fIA64_ Zip: 5 S 01f r/ Phone: ~.5-Z 22 L/ ~C U c~'~
License 7,4/yZ Lead Certificate
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:
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.aoRherstateonecall.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 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. 1
x P1.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148900
Date Issued:04/26/2018
Permit Category:ePermit
Site Address: 4257 Lodgepole Dr
Lot:15 Block: 1 Addition: Evergreen Park
PID:10-24880-01-150
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 -
Richard W Factor
4257 Lodgepole Dr
Eagan MN 55122
(651) 454-7647
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature