4271 Lodgepole DrCITY OF EAGAN Remarks S? 0 wtY' COri. pd. Ori 10-21-72
Addition Evergreen Park Lot 17 eik 1 Parcel 10 24880 170 01
owner 1l%,' i' screec 11271 Lodgepole DT, scate Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1971 1
SEWER LATERAL
WATERMAIN
WATER LATEFAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 5975 6-26- 2
BUILDING PER.
SAC ? - -
PARK
BUILDIN6 OERMIT
J
To be used for DW
e-
Site Address _ 4271 WD[EPAL-R p1t
Lot _17 Block _I Sec/Sub. EHH1tGIId6l1 PARY
Parcel No.
W Name ? iBEY
o Address 4271 LQDGfiYOi.E DA
Ciiy EAGAN Phone 434-3022
=o Name MIDNEST NC![ WG
0.Q Address 2S - VF -t.? ?wtt /?VE
? City s QT PA n_ Phone 6S1_2221
Name _
Address
OFFICE USE ONLY
Occupancy
Zoning
(ACtual) Const
1F ol SWries _
Length
Deplh
S.F. Total _
S.F. Footprints -
On Site Sewage _
On Site well _
MWCC Syslem _
FEFS
Bldg. Permit
Surcharge
Plan Review
SAC, Ciry
SAC,MCWCC
Water Conn
Waler Meter
¢ z <W City Phone Ciry Water - Acct. Deposit
PpV Required _ SM' Permit
I hereby acknowlege that I have read this application and state thal the Booster Pump - g/yy Surcharge
information is correct and agree to comply with all applicable State ot
Minnesota Statules a9_djCityai?aqan Ordinances.
? Treatment PI '
Signature of Pertii APPROVALS Road Unil 1
A Building Permit is is S? FZIVCE T3FG Planner - park Ded.
on the express condition that ail work shall be done in accordance wilh all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. iBidg. Oft Copies ,
Building Official Vanance -
.
TOTAL 25,50
Permk No. Permit Hoider Dale Telephone N
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
F
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Pibg. Inspector- Notify Plum6er
Const. Meter .
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
Owne: Tilsen Construction Co,
................................................................
Address (Present) ..... 62Z......P.....55116
Huilder ........ same
Aaaress .... 4271.. Lodgepole Drive, Eagan 55122
...•- -••••••••••••-
DESCHIPTION
N°
Eegan Towaship
Town xall
2'754
June 22, 1971
Date .......................................
Siories To Be Used For Fron! Depth Heigh! Est. Cos! Permit Fee Remarke
I Model 3C 301 I I 24,732.0( ? 12-50 Total 90.50
LOCATION
Streal, Aoad or oiher Description of Loealion I Lo! Slock Addition or Tsaet
4271 Lodgepole Drive, Eagan 55122 I 17 1 #vergreen Park
This permit does not auihorise the use of stree3s, soada, alleys or aidewalks nor does it gfve the owaer os h[s agen!
the :igh! !o ereate any si2uation which Ss a nuisance or which p:esen3s a haaard to the heallh, safely, conveaieaee aad
geaeral waltare !o anpone in the commuaitp.
THIS PERMIT MUST SE I{EPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
Tilt
Thfs is !o eerhfy, !hal ........ ...sen ...•••• C••••••••..onstruc...............ion.......C....o .......... has permisslon !o erect a.......... home
••••...••••-•••-••••••••••--•--•-•••.........._....upon
the above deacribed p:emise subjec3 !o the provisione ot the 8uilding Ordinaace for Eagaa Township adopted April 11,
1855.
..................................................... ........... .............. .......... pe: ...............:...?l.Q-e?c._. ................................
Chairmen of Tnwn Boerd V6 ,?3 Suildlnq Inspeetor
T04JN OF EAGAN
3795 PiloC ILnob Road
:agan, Minnesota 55122
PERMIT N0. 227
The Board of Supervisors hereby grants to J. F. Farrell & Son pltm?birig Co,
of 990 W. N`.ontana Ave., St. Pmil 55117
a PULMING Permit for: (Owner) Tilsen Constructian
0 -1-3fi2-?3e?ia-?7aa?e7-Gessaoa- Latse, .
_je at 1?2 1&'Fi3fT3 Lodgepole & -?pursuant to application dated
6/15/72 _
Fee Paid: $140'00 Dated this 15th day of Jun8 ., 1972 .
.7 8 C' -
Building Inspector
n
.
l0 ?? ?S;?O l 70 o /
TO?+iN OP EAGAN
3795 Pilot ZCnob P.oad
Eagan, riinnesota 55121
PERI'4IT N0. 2L9
The Board of Supervisors hereby grants to N8U & HubbaCd Fieatin& &
Air Candit,ianing Co, of 99 Nortb 3nelliag AteMe't 9t. Peul, M3aiaeeoba 55104
a HEATIDT(1 Permit for: (Owner) Tilsen Cmstzutian Co,
at 1+271 I,odgepOle &-A4M=W=08 , pursuant to application dated
8/29/72 Fee Paid: $40.00 Dated this 31et day o£ Auauat , 19-22•
1.00 s/C
Building Inspector
CITY OF EAGAN N2 19790
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 C i?? Cf r
?
Receipt #
To be used for DECK Est. Value Date OCT 10 , ?g 91
5ite Address 4271 LODGEPOLE DR
Lot 17 Block 1 SeGSub. EVERGREEN PARK OFFICE USE ONLY
Parcel No. occuPancy - Fees
Zoning
m
NORM FREY
Name
(ACtuap Const
Bld
Permit
25.00
W AddresS 4271 LODGEPOLE DR (Allowable) -
- g. 50
o City EAGAN Phone 454-5022 # ot siories Surcharge .
161 Plan Review
Length
o Nama - MIDWEST FENCE MFG De
th 16i' snc
ci
=
Ov
U
Address 525 E VILLAUME AVE p
S.F.Total ,
ry
? Cjty S ST PAllL phone 4 1-2 21 S.F. Footprints _ SAC, MCWCC
W
C
On Site Sewage - ater
onn
Name
On Site Well
?
z
-
WaterMeter
]
,- AddfeSS MWCCSystem
, AccL Deposit
City Phone City Water _
PRV Required _ S/W Parmit
1 hereby acknowlege lhat I have read this application and state Ihat ihe Booster Pump - S/W Surcharge
information is correcl and agree to comply with all applicable State ot
Minnesota SlaWtes a i!y-e{.Eaqan Ordinpces. Treatment PI
Signature of Pe APPROVpLs Road Unil
A Building Permit is issue WST FENCE MFG Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State o( Minnesota Statutes and City of Eagan Ordinances. BIdg.Off. _ Copies
J
(? ? Ol Ad,' rn?
Building Ofl icial
Variance
-
TOTAL
25.50
City of Evan
2008 RESIDENTIAL BUILDING PERMIT
Date:? ' ! ` ' O ?
Tenant: t
RESIDENT / OWNER
00
( V / ?
? Permit #: 619 I
?
I
I Permit Fee: ?
I ?
? Date Received: ?
I ?
j Staff: ?
I _J
Suite #:
I-
Address / City / Zp: oZ V
Applicant is: _ Owner Y- Contractor
TYPE OF WORK I Description ot work: ?n 3
00
Construction Cost: 01 S& '
a
Multi-Family Building: (Yes _ 1 No )!?j
CONTRACTOR Name&Eicvl-, ??!n+? ?? 0_ } r? _ ? License #: Li?
Address:
Ciiy: oet4to ? State: MP) Zip:
Phone:??? ? 9L/'4;L4LAO Contact Person: "L'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
C8t@gOry Su6mitted Submitted
submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Coniractor: Phone:
Sewer & Water Contractor: Phone:
I hereby acknowledge that this information is compiete and accurate; that the work will be in conformance with the ordinances and codes of ihe City oi
Eagan; that I undersland this is not a permit, but only an application ior a permit, and work is not to start without a per t; that the work will be in
accordance with [he approv1panin the case ot wark which requires a review and approv plans.
x ?-J x
ApplicanYs Print 91 Name Apptic s Signatur
Page 1 of 3
/
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons W c6on Reauiremen4s
3 registered site surveys showing sq. fl. of lot, sq. fl, of house; and aH roofed areas
(20% maximum lot coverage allowed)
1 Soils Reporl if proposed building is to be placed on disWrbed soil
2 wpies of plan showing heam & windav sizes; poured found design, etc.
1 se[ of Energy Calcula6oas
3 copies of Tree Preservafion Plan if lof plaGed after 711193
Rim Joist DeWil Optlons selec6on sheet (buildings wfth 3 or less units)
Minnegasco mechanical ventila6on form
Remade4lRepair Refluirements
2 copies of plan showing fooGngs, beams, joistr
1 set of Energy Calculations for heated addi6ons
1 site surveyfor additions & decks
Addition - indicate if oo-site sepHc system
? (Jv
C ?.
Office Use OnN
CertufSurveyRecd Y _N
SalsRepart _Y., _N
Tree Pres Plan Recd _ Y _ N.
TreePresRequired _Y _N
On=Site SepUc $ystem _ Y N
Planc ara rnncirlprarl nnhlic infnrmatinn unless vou state thev are trade secretandthe reason.
Date /O / 07 Y / O Construction Cost
Site Address q-2 7j ,G dUqL,r7 DlP Unit/Ste #
Description of Wock
Multi-Family Bldg _ Y? N Fireplace(s) x' 0 2
Property Owner A li/ / ;e (Jl6zlr? Telephone # (//'d
?
1
ll i
J -
Contractor C ?J / f1
.?Z
9?f? /
G
Cit /
T6
Address 1 y
State Zip SlZv Telephone #(9?'a) ?i?? y ?8 4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) 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 master plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete ana 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 approv lan in the case of work which requires a review and
a roval of plans.
Applicant's Printed Name pplicant's Si ture
b (p (o l 3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15_SO
Date 7 I 14 I O 7
Site Street Address '?Ia.-w1 l
Unit #
PropertyOwner (.L?Ll?1Lh_&-t.j A2Aj_"IYWA Telephone# V"?1)994??69Y
Contractor W ?
Address Q.
ckao- City G Telephone # (?61)3/ 6 43 ?O
State ?"'1')n• Zip.55Ec?-3
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5!8" meter is required)
Other: $ 50.00
Wate7replacement ner
_ V Water Heater
additional. $ 15.00
Lawn Irrigation System
- RP ir
,,n _rebuild $ 30.00
State Surcharge
1 $ .50
T
gy _-
$?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
M99V WCVr.L-( ,An"_nl?i
Applicant's Printed Name Applicant's S nature
-11l5' 66
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVRepaii Repuiremenfs Office Use OnN
3 registered site surveys showing sq. R, of lot, sq. fL ot house; and all roofed areas 2 copies of plan Cerl of 5urvey Recd
(20°k maximum lot coverage allowed) 1 sel of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, atc. 1 sile survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addltron • irMicate if onsite sepfic system _ On-site Sep6c System
3 capies of Tree Preserva6on Plan if bt platted after 711193
Rim Joist Detail Opdons selection sheet (bldgs with 3 or less units
Date Construction Cost ?? ? fa1C1
Site Address 71 1 c,d"e fht`A-P h,::. Unit/Ste #
c •
C1? ? AL78.?iG
Description of Work
/
Multi-Family Bidg _ Y? N Fireplace(s) _ 0? 1 _ 2
m 4-
Property Owner
Telephone # ( la?5,
Contractor
Address ---?
City
State Zip Telephone
,q 1 3v74-, gCp
tAV ,_k 5l7l03
- P , fvt-??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
'? APR 2 3 3 U
I hereby apply for a Residential Building Permit and acknowledge that the inf ation 1mplete accurate;
that the work will be in conformance with the ordinances and codes of the C Ea an and the St te of MN -of Statutes; I understand this is not a permit, but only an application for a permit,
and wo`rrc'ts"'7io 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.
;
/? 41GGf?GI+? / ?'GGC?L?l?J? ?
Applicant's Printed Name pplicant's Signature
OFFICE USE ONLY
Sub Types
13 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pooi
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace )< 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
„Q. 33 Alteration ? 37, . - Demolish (Bldg)* ? 43 Reroof ? 46
. ?:.0 . ? J 1 . I .
? 34 ReplaCement, ' 'Demolition (Entire Bldg) - Give PCA handout to applicant
, t i' > `
. .
? •
Valuation •
l
?? ?'? Occupancy MC/ES System _
Census Code .?? Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Width
Footings (new bldg)
_ Footings (deck)
?c Footings (addition) .
4C Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace ?[ R.I. ?Air Test ?[ Final
v
Insulation /??
? 30 Accessory Bidg
? 31 Ext. Alt - Muiti
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By? 7 , Building Inspector
Base Fee
Surcharge
Plan Review -
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Wo
??0 2??
~ ?r I
1991 BIII LDING CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 5ET 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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS I5 TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: `?`
Valuation: 1 ' Date:
Site Address
Lot I ! Block ?
Parcel/Sub t VER('j REET
Owner /?O.?ir/ sf.?? ?
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Dep th
S.F. Total
Footprint S.F.
FEES ?
Bldg. Permit zs. -
Surcharge •SO
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
Phone On site sewage_
On site well _
Contractor MWCC System _
City water _
Address PRV
City/Zip Code Booster Pump
APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Contr.
Contractor)
SIIBTOTAL
Penalty
Lot Change
TOTAL ?
agrees that all woik shall be done in accordance with
all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
1991 BUILDING PERI4IT APPLICATIUN
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGX CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:
Site Address
Lot Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr._
(Signature of Contractor)
Valuation:
Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
iAllowable
?# of stories
? Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Pexmit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
agrees that all wotk shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
,-- _
Vqr y
,
120
I0
Lot T Block
Subd.
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date ` 'Z
Receipt # 7 ? 2-
Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? Existing residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
(Address to be sprin ered)
Homeowner tumber: ?(?L ??v C?- Q I lJ At ?/ m ?j .
011
Phone #: ??0? , 6703-7
Street Address: Cet,??3?Gi ?v
?
City, State, Zip:
Owner Name: l.?/ orWwa, rIle?
Street Address: //'Dle
Phone #: ,
Inigation Contractor: Cc° Cz_
Phone #:
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable City of Eagan Ordinances
?U . ??'?.?
cc: Engineering Department
? .'
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: June 27, 1972
OWNER• Tilsen Construction Co.
PLUMBER Luecken E?ccavating
NUMBER 1041
Address 4271 Lodgepole Drive 1-7-1 c17•P
TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industriall Commercial` Residential , Multiple Dwelling I No, of units
xx
Location of Connectfons:
Permit Fee 10.00 pd 9/12/72
.50 Pd 9/12/72
SCreet Repairs
Total
Inspected by:
DaCe
Remarks•
Connection Charge -0-
By.
Chief Inspector
In consideratioa of the issue aad delivery to me of the above permi.t, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Toi•mship, Dakota CounCy, Minneaota
gy. Loren Gallati
Please notify whea ready for inspection and connection and before any portion
of the work is covered.
?
.
EAGANT DOWNSHIP
3795 Pilot Knob Road
St. Paul, FTinnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: June 27, 1972 Number: 872
277
Billing Name• Tilsen Construction Co. Site Addr6?jk Zodgepole Drive
Owner: same
Plumber: Luecken Fxcavating
0
?
?? ??kN v
Billing Address
Meter SizegE"4Z? Connectioa Ch . P /26/72
?3?3yr',ts?
ter No--'74Permit Fee 10.00 pd 9/12/72
.50'p?j M72 s/c
Meter Reading Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO ' Total Chg.
Inspected by
Date
Building is a: Remarks;
Residence xx
P2ultiple No. Units --
i oR
i
'
Commercial .? .r
;
t
Industrial By:
Chief InspecCOr
Other
Ia consideration of the issue and delivery to me of the above pex'mit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, P4innesoCa.
By; Loren Gallati
J Luecken Excavating
Please notify the above office when ready for inspection and connection.
MASTER CARD
? LOCATION
OWNER
STRUCTURE AND
LAND USED AS ?yJ ?? A d ? C .? b t
Issued To
Permit No. Issued Contractor Owner
BUILDWG ;7?1i?I?
L?C-d-?--
PLUMBING I
2 :9 7
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING
-a-
?
GAS INSTALLING ?
SANITARY SEWER
OTHER
jL
972
OTHER _.
r
is
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION , 0 CESSPOOL
PRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
?-7 DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL
SANITARY SEWER
Violations Noted
on Back
COMMENTS: