4279 Lodgepole DrCITY OF EAGAN Femarks Wf'r ^-,n-ri pd. Ori 5-13-71
Addition Evergreen Park Lot 18 Bik 1 Parcel
Owner OZ) 4;, 8&O'Jahail Street _4279 I'OdgepOle DT'. State
an,
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 274 1973 175.00 8.75 ZO P37.d
SEWER LATERAL
n' 48.00 C003398 11-29-76
WATERMAIN
WATER LATERAL .
WATER AREA
STORM SEW TRK J?.?^, 1981 323.00 21.53 15 323.00 C00$499 7/22/80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 26O O 3384
-Z-7?
BUILDING PER. 2 0
SAC
PARK
CITY OF EAGAN
3795 Pilot Knob Road Eegan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
ZREPIi:.!I Esf. Velue i1Q.7C
Site Address
Lot
Parcel # -
W Nome _
3 Address
0
a Ncme
?
?? Addrea
f rw, w.....e fi` ? .
Name _
Address
I hereby ocknowledge that I have reud this opplicotion and state that
the information is correct and agree to comply with oll applicoble
State of Minnesota Statutes and City of Eogan Ordinances.
Erect ?
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Grade C7
N4 6517
Occupancy
Zoning ?
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in accordonce with oil applicable State of Minnesota Statutes ond City of Eagan Ordinances.
Building Officiol
Block T_ Sec/Sub.
vc
Dab iwed Permittw .
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rouglrln Final
Footings Dote Insp. Date Irup.
Foundation Plumbing
Frame/ins.
Final Mechanical ?
Remarks:
CITY OF EAGAN
3795 Pi1M Kno6 Roed Eogan, MN 55122
PHONEi 454-8100
BUILDING PERMIT Receipt #
To be usad im Est. Volue Date
9
Site Addreu Erect
?
O[cupancy
Lot Bixk Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
EnIcrge ? Type of Const.
W Name Move
?
# Stories
Z Address Demolish ? Length
? Ci phone Grade p Depth Sq. Ft.-
o Name Appeorals Faes
C)? Address Assessment Permit
~ Ci phone Water 8 Sew. $urchnrge
F
uw Name
FZ Police
Fire Plon check
SAC
?? Address Enp. Water Conn.
<W CI Phone Planner Water Meter
Council Road Unit
1 hereby acknowledga that I have read this opplication and state that gldg. Off.
the informotion is correct cnd ogree to tomply with oll applicable
APC -
Total
State of Minnesota Stotutes and City of Eogon Ordinonces.
Siynoture of Permittee
A Building Permit is issued to: on the express condition thai
nll work shclt be done in xcoTdonce with elf appficoble Stote of Minnesotc Stotutes and City of Engon Ordinances.
Buildin9 Official
Vermit Nn. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Ekctric
Inspection Date Insp. Other
Footings
Foundation
Freming
_
5-12-11 1
Rough Plbp.
RouBh HVAC
Inwlation
Final Plby.
Finel HVAC
Final .- ?-?
Weter Dsscribe Location:
Well •
Sawer
Pr. D'iap.
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55722 N2 4388
PHONE: 454-8100
BUILDING PERMIT Receipt .#
19
To be used for ;> L-n r a a e F 1 ? c. Dete ,
Lcac{cepOle Dx.
Site Address
Erect E]
Occupancy
Lot Block 1 Sec/Sub. •?j"'r "' f`?n Alter ? Zoning _
Parcel # Repair ? Fire Zone -
Enlarge ? Type of Const.
z r
Name - -'"- ;•''n'-'
Move ?
# Stories
Z "- „
Address Demolish ? Front - ' ft.
3
0 -
CitY Phone '??--;; r';
Grade ?
Depth ' it.
.;.; Approvals Fees
?
p Name
Z?
Address Assessment - Permit
?Q -
cc Water & Sew. Surcharge _
~ Cit Phone
h
k
Pl
Police -
an c
ec
Ww
? Name Fire SAC
Address Eng. Water Conn.
¢W Ci Phone Planner WaterMeter
Council -
I hereby ackrrowledge that I hove read this application and sta:e that Bldg. Off.
the information is correct and agree to comply with all applicoble
% APC Total
State of Minnesota Statutes ar?d City of Eagan Ordinonces.
j
?
Signature of Permittee . "'a""•=-" - --°`? ?^-- -
_
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable Stote of Minn=sota Statutes and City of EaSan Ordinances
Building Official '
PermM # DaN IauN PasRfN
Plumbing
Mechanical
INSPECTIONS DATE
INSP. Rou
Mln Fiml
Footings ? I g
Date Irop. Date Imp.
Foundation - Plumbing
F rame / ins. Mechaniwl
Final _ .7
Remarks:
BuiLo
To be u:
Site Ad
Lot '
? 4279 IADGBPOLE DR.
?
81ock 1 Sec/Sub. VE?
w Name MR 6 lSRS 5 H BAKSH
DR
o Address Z PW-
City EAGAN Phone 454-5453
'o Name CROSSYMCI Bd1ILDERS
F Cify Phone aa&-&7va
WW
Name
e
Address
a W City Phone
I hereby acknowlege Ihat I have read this application and state that t
information is correct antl. ree to comply with all applicable St
Minnesota Statutes and City„I Eagan Ordinpth?s.
Signalure of Permitee?.
CP. 5 SUII.DEkS
A Building Permit is issued to:
on the express condition Ihat all work shall be do e in accordance with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
8uilding Ofticial
Occupancy
Zoning
(AClual) Const
(Allowabie)
N ot stones
Length
Depth
S.F. Total
S.F. Foatprints
On Site Sewage
On Site Well
MWCC System
Gry watar
PRV Required
Baaster Pump
APPHOVALS
Planner
Council
Bldg. Off.
Variance
?
?
?
?
Bldg. Permit
Plan Review
SAG City
SAC,MCWCC
Water Conn
Watar Metei
AccL Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
TOTAL
FEFS
356.00
20.50
231.00
. .+v
608.00
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.c. 478 ?-
ELECTRIC 71611 , la9 w igO?
Inspeetion Dete Insp. Comments
Footirgs I
Fourdation
Framing V 2
Roofing
Rough Plbg. ^ y--I? --?.? -? ? - / P
Ragh Hlg.
l5ul.
Frepl2ce
Fnal Ntg.
Fnal Plbg.
Const. Meter Plbg. Inspec[or - Notify Plumber
Engc/Plan
Bldg. Final
Deck Ftg. .i YCJ c? /2,
Deck Final ,(i - i?i,s ? %
weif 3 3 -
Pr. Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
Ownes .......... -----s?-?'4:Q - •-°:°?`? .......................••••-- -•--
Address (Presen!) .....?D.. ?7_...'A.......^'?
rr .................
Builder ............•••...••-------•--°•-° ................°•----°- --..........._........-••--- ---
Address ......
DESCRIPTION
N° 2405
Eagan Townahip
Town Hall
Date
6iories To Be Uaed Fos Front Depth Heighf Es3. Cos! Permi! Fee Remarks
I . "
'-0 I
?G
°Z? o-?'-d I
7
3a• °? I
?d? ? .ac.??
-ZAZ?? ?!? LOCATION
Stree , Road or othe Deseripfion of Location I Lo! Block Addiiioa or Tsac3
y07-7 9
This permit does not authorise !he use of streels, roads, alieys or sidewalks nor does it give !he owner or hia aganf
the rfgh! !o create any situation whfch is a auisance or which presen2s a hazard !o !he healYh, safety, eonvenience and
general welfara 2o anyone ia !he community.
THIS PERMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PROGR SS.
This is io eeriify. !hal------ ------••--•-••••-••••-•---??........has permission !o erect a.•••• - ••--• - • ? ..°_ --)u P on
..•
!he ebove described premise subjec3 fo !he provisions of !he Suilding Ordinance for Eagan Township adoplad Apri] 11,
1955.
........................... ?:...(....___." ....:....-••........ Per .-°--°------°---' _•••••--•......... .jl...p ...........................
?? Chairma of Tnwn Board ,-e Suilding Inspector 13
CITY OF EACAN
BUILDING PERNLiT APPLICATION
Include 2 sets of plans,
1 site plan w/ei.evations &
1 set of energy calculations.
'Ib Be Used For (7ECk -s7MIA-r,,,Vy Valuation a9 Date 11-28-81;L
Site Address: ya? Q tood;r noLE D/2i v6 9- OFFICE USE ONLY
Lot / 8 Block / Sec. /Sub. &t e V"L tr." ( Erect Occupancy
Parcel #: j0 v2ft?o l$'p C)*Jl Alter Zoning
Repair Fire Zone
Owner: (d/WAp ,c g.T ,?/?,q,y,qxJ Enlarge Type of Const.
Move # Stories
Address: q2-?P' Lo&W atF /p,e Demolish Front g'xA!) FG ft.
CitY/ZiP Code: EAMv M?, v. Grade Depth ft.
?fi i 2-
Phone #: ySy- 3,5-02
Contractor: c /Ae/.e.oNirx.I
Address: y2'79 G,ryDGE e'JotE ari
City/Zip Code: :Je4G-ihv - ,Ht,vW- 5,si2L
Phone # : Vesjt- 3So 2
Arch. /hzg • :
Address:
APPROVALS E'EES
?
Assessments Permit
Water/Sewer Surcharge 8S'0-
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner
Iv? Water Meter
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
Phone #: ZqTAL ??
BUILDING PERMIT
Te
Est. Value $185.00
N? 7205
Recelpt # ? ?,6 3
Site Addreu 4279 I[Agepole IJriVe
Lot 18 Block 1 sacisub. Evergreen Park
Parcel # 10 24880 180 01
W Name ?11]? 6c .?.J . t13i1Z"Zaildil
; Address 4279 Ivdgepole ?1Ve
?' r.... FaRan 55122 0&,..,e 454-3502
o Name _
Z?_
O? Aildreu
u
? r:..,
Name _
Address
I hereby ocknowledge that I have reod this applicotion ond state that
the information is correct?and agree to compiy with oll applicable
Stote of Minnesoto StatLtks and.Giri of EoaonArdinonceS.
$ignature Of PertniHee,
A Building Permit ls issued to: winGm & S
oll work sholl be done in accordance with oll pliwk
Buildin9 Officiol . n?
CITY OF EAGAN
3795 Pilot Knob Raod Eagan, MN 55112.
PHONE: 454-8100
Erect XX Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length 8 ' Deck
Grode ? Depth 10 Sq. Ft.-
Approvala Fees
Assessment Permit '
Woter & Sew. Surchorge
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Woter Meter
Countfl Rood Unit
Bldg. Off.
APC Total 12. OO
Hmwahan on the express CondiNOn thni
ite of Minnesoto Statutes ond Ciry ot Eagan Ordinancea.
; CITY OF EAGAN
• 3795 Pilot Knob Rood Eagan, MN 55722 NO. 4388
PHONE: 454-8100
BUILDING PERMIT APPLICATION $8U0 Receipt # ?+??
.
To be used for StoravP Rldo_ Date July 19 19 ??
Site Address 4279 Lodgepole Dr. Erect 51 Occupancy T
Lot 18 Block 1 sec/sub. Evergreen Park Alter ? Zoning _R}
Parcel #
W Nome William Hanrahan
. 4279 Lodgepole Dr
3 Address .
? Ci Phone 454-6773
? Nome S?
0
b
u Address
~ Cit Phone
r?
u
w
Ndme
,
„
h
_An Address
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front 12 ft.
Grade ? Depth 12 ft.
Approvals Fees
Assessment _
Water & Sew
Police
Fire Eng.
Planner _
Council _
1 hereby acknowledge that I have read this applicotion and state that gldg. Off
the information is correct and agree to comply with oll applicable APC J
State of Minnesota Statu? r?d??y of Eaga?n Or ' nces.?
Signature of Permittee / --/4x?
Willi H h
Permit v.vv
Surcharge • 50
Plan check
SAC
Water Conn. _-
Water Meter
Total 6.50
A Building Permit is issued to: ? 8n18 $n on the express condition thot
)oll applicab?e Sta? of Minnesota Statutes ond City of Eagan Ordinances.
all work shall be done v accorcante with-
Building Official
/i- / 6 ?
..
znWN oF EacAta
3795 Pilot I'nob Road
St. Paul, Minn. 55111
PERMIT N0. 110
The Board of Supervisors hereby grants to Iteil 5. I;ubb^:ea llcAtffla d
:j.x Cond3Cio-nii:st of 99 iVo. Snc11ing 1,ve. St. PAUl 55144 a
:-1ut,TaziG Permit for: (Oc,mer)Tilsen Conratruct.ior. Co. 8t
4279 Y,odrzqaoge Driva„ E•vcxr;reen Parls , pursuant to application dated
5e. PaU 55122
5 LI/71
Fee Paid: }gp,?o Dated thisl3th day of U1,^v , 1971 .
Building Inspector
? .
z014N oF EacaYz
3795 Pilot Ynob :aad
St. Paul, Minn. 55111
PEP,MIT N0.
/k-I
107
e7--' i?
The Board of Supervisors hereby grants to J. F. F3rs'eil & Sqn
of 996 kuat *--fontana. 5t. Paul 55117 a
PLUMBING Permit for: (Ot+iner) Tilsen Conatx'sction Co. $t
4279 Ladgnpo'se Drivmy Eagan , pursuant to application dated
April 21.1971 ,
Fee Paid: $20.00 Dated this22nd day of Apvfi
197 1.
^Building Inspector
?
X?r
To Be Used For 1(R F P4f cvg:f
BUILDING PERNIIT APPLICATION
Valuation
site Acldress: y??y <oo?-
Lot _.)er Bloc]c Sec./Sub.
Parcel #: 10 a.`{ ?4'0 Alter -
Repair
Owner: 1'f//LCiIaM C- ILf19,UR?t?li?? Enlarge .
Nbve
?C?'2SS: /? 7a 7? LODC=G [DUL'r'_ (??'C111E D2iTq11S1'1
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date
OFFICE USE ONLY
? occupancY ..?
_ Zoning /
Fire Zone
Type of Const.
# Stories
Front 71 ft.
City/Zip Code: NI iN,v - 5' ? i zZ Grade Depth I y I T ft.
Phorie #: L,773
contractor: Flr rstnc Oor`u?
Address: ?'sS3 /=r2oo; OUC
City/zip Code: Nt w - 55ia3
Phom #: 4? S-? -?G((
Arch./Erig.-
Address:
City/zip Code:
Phone #:
CITY OF EAGAN
APPEiC7U11L.S FEES
Assessments
i
Pesmit
Water/Sewer Surcharge
Polioe Plan Check
Fire SAC
Ehg. Water Conn.
Planner. Water !Neter
Council Road Unit
Bldg. Off.
APC
TOTAL
9
CITY OF EAGAN
r 3795 Pilo! Knob Road Eagen, MN 55122 N2 6517
-" ? PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt ?# ?>>???
1
Site Address
Lot 18
Parcel # -
z
w
Z
3
0
ce
o0
U
u<
f
4L /y 1DCiCJ2 YOlB llY'1V2 • Erect pc Occupancy - R3
Block 1 Sec/Sub. E'Vergr2P"n PdY'k Add Alter ? Zoning R1
1O 24880 Repoir ? Fire Zone
Enlarge ? Type of Const.
Name W1111aIT1 E. HdriYclhdri Move ? # Stories
.
Address Demolish ? Front - ft.
City Phone 454-6773 Grade ? Depth ft,.
Name Fireside Qorner Approvala Feea
Address 883 Front Ave
Nome _
Address
I hereby acknowledge thot I hove read this epplication and state that
the information is correct and agree to comply with all applicable
State of Minnesota Stotutes and City of Eagan Ordinonces.
Signcture of Permittee -
A Building Permit Is issued to:
oll work shall be done in acco
Building Offictal
Assessment Permit
Water 8 Sew. _ Surcharge .50
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Off
Bldg
,
.
APC
Total 5. 50
Fireside Corner
State of
on the express condition thot
Statutes and City of Eagan Ordinances.
CITY OF EAGAN ,. N0 1$638
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT, PHONE: 454-8100 Receipt # 0
-/
Tobeusedfor ADllITION Est.value $41,000 Date JAN 7 , 1991
Site Address 4279 LODGEPOLE DR
Lot 18 BioCk 1 Sec/Sub. EV .RGRFFN pARK
Parcel No.
W Name MR & MRS S H BAKSH
3 Address 4279 LODGEPOLE DR
° City EAGAN Phone 454-5455
F Name CP,OSSTOWN BUILDERS
f
Q Address 4428 COLFAX
,
? City MPLS Phone 822-2961
U¢
w
Name
W
E
? ;
Address
?W City Phone
I hereby acknowlege that I have read ihis application and state that the
in(ormation is correct and agree to comply with all applicable Sta
Minnesota Statutes and f Eagan Ordinan S.
Signature of Permite?
A Building Permit is issued to:
on ihe express condition that all work shall be d e in accordance with all
applicable State of M.innesota Statutes and City of Eagan Ordinances.
BuildingOfficial?!1[kYli ??__ILIJ
?
Occupancy
zoning
(Actual) Const
(Allowable)
# or srories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
on site we0
MWCC Syslem
City water
PFV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Otf.
variance
OFFICE USE ONLY
R_3
FEES
V=N Bldg. Permit
V-N
461
14'
X
x
Surcharge
Plan Review
SAG City
SAC,MCWCC
Water Conn
Wafer Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
copies
TOTAL
.50
608.00
? 2 716 5
ReQUesl Date
'#/ ire No. RoUgh-in Inspecfion
Re uired?
? Ready Now Yill Notify Inspector
When Read
?
? Ves ? No y
IAlicensed contractor ? owner hereby request inspection of a6ove electrical work at:
Job A'dd/ress (Streel, Box or Route No.)
7'02? ?8.P?.5X O/? J/ •
??y51.
Seclion No. Township Name or No. Ranqe No. Go
iiii ?
Occupent(PRINT) Phone No.
Power Supplier Atldress
Electrical Controctor (Company Name) Contractor5 License No.
Standard Electric Co. 40837
Mailing Address (Contractor or Owner Making Installation)
267 plewood Dr., Maplewood, MN 55109
Authoriz ature (COntractodOwn stallation) Phone Numher
• ?,.?,_,,?, 484-8044
MINNESOTA STATE BOARO OF EIECTRIqTY THIS WSPECTION REpUEST WILL NOT
Griggs-Mldway Bldq. - Room S473 BE AGGEPTED BY THE STATE BOARD
1821 UnWereiry Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612)642A800 ENCLOSED.
09??/
H 971 F 5
REQUEST FOR ELECTRICAL INSPECTION
jli? See instmctions for cClnpleting this form on back of yellow copy.
"X" Below Work Govered-Uy This Request
EB-OOOOi-ae
ew Add Rep.. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specify) Contracbr's Remarks:
04D v, rio.f
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance 5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps _ Amps
SignS Inspecto05 Use Only', TOTAL
?
Irrigation Booms ?Q'tl ??
Special Inspection
Alarm/Communication THIS INSTALLATION MA ORD E D?,SCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Electrical Inspector, hereby Rough-in DaIeIft,
certify that the above inspection has
been made. Ffnal ate
ce(
OFFICE USE ONLV This request void 18 monlhs from
?92_l(o
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Telephone # (
New ConsWC6on Reauirements RernodellReoair Reauiremenls Office Use OnN
3 registered site surveys showing sq. R o( bt, sq, fl. of house; and all roolied areas 2 copies ot plan Cert of Smvey Read
(20% mazimum bt coverage allowed) t set oi Enmgy Calculatlas for heeted adiGons Tree Pres Pian Recd
2 oopies of plan showmg beam & windrnw sizes; poured found design, etc. 1 site survey ta addi6ons & dedo _ Tree Pres Not Reqd
1 set af Energy Calculetlons Add'ibon • indlcate if on-sife septic system _ Onaite SePtic S/stem
3 copies of Tree Pmservation Wgn it bt platted aRer 711193
R(m Joist DetWl Op6ons selection sheet (bldgs with 3 or less unib
rI.
Date J? // U3
SiteAddress ?;11q n
Construttion Cost t
O? 4s^ UuiUSte #
Descriptlon of Work -VimC'--0q (cc?
Muiti-Family Bldg _ Y ? N Fireplace(s) _ 0
)< 1_ 2
Property Owner SGliG lli KG?(A? Telephone # ( G::?j )YSLi' S4576
Contractor 'Zrf?Ade& QmcW-,?S lxh
Address W7 )?,6,62v ?_Gf?2.
State ?L
Zip 3 City 7?tP'1?q
Telephone#((oi2) ?LRQ_ 31-Y)(b
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Warksheet • New Energy Code Worksheet
(J submission type) Submitted Submided
• Energy Envelope Catculatlona Submittad
Licensed Plumber
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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
3?e-K- Sfies,w ?._
Applicant's Printed Name Applic ' Si ature
a Date:?.?(%c,
SUILDIC?G PERt"4I^a' PFPLIQATTO:T
LoT az.ocx ? nDDMoia
PAItCEL & S£CsIOiJ ?3Ut13Etd IF U'tTPLATTED
'1DDR.?SS OF PARCEL X) /
r
OCCUPP.F.SCY 7- USE Zoo'\4
EsTD;h,ED cosT
onmz f ? . ?.'r" s: r.EPxoa?E -No.
ADvREss ya?2 Z-oa<;,-q ?,????
CM7Tst':CiORTELEPEiOrIE
ADvRXSS S'?r
tlote ? Include s,i.te plan,: buildiag p2ans F ana eneYgy caiculatior.s trith this
application
SiGnect c
OFFICE USLI
?'? • crfi
VALUi1TI0ii
SAC
Va7
COi3i'EC'_'IOt:+
1IA'I'ER Ai:iu:Z,
BU2LDTPTG P :F:i:iIT FF'E
uURCHAP.GE FEF
pLse; c-Ercxx F^::
PAP4K IIEuICATW0 FLE
OTHe^•R
TOTAL*
FSPPRO7ALS :
ASSESSTM2'I' CLFFt:r
T'JA'PER E SRHE-?'. DEEPi .
--
BUIMING DEPT. POLICE DEPTe
FIR-r-DEPT. PA,,'2IC DEPT.
6k r
SISE PLArf
RBAR PROPERTY LINE
.6P!-
; ? C+ PFtOPERTY
LINE
? Fo?o
? ?
i ?
? HOUsE
;? ? Feet
Fee E ? 1a ?r
Garage ? i
!
?
i
PROPER?Y .,y f
LINE ? LOT BLOIX
r+
-2 -7?
Street Address
,.? FRONT PROPERTY LINE
-,? i
; 100
ELV. 1
i - ? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT # /? U
DATE : w
iN"?'?1kL;r:i PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
............._
TOWNHOMES/CONDOS WHEN PERMITS ARE REQDIRED FOR EACH UNIT.
-----------
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME: e _Q_?,
SITE ADDRESS: a/L LOT : _44L BLOr,K StJSD. - -_??
INSTALLER;
VOGT
ADDRES S: 3260 GORHAM kVE.
, .ii E„-acv
CITY: SALES 929-6767 SER'Bip:929-4011
PHONE #
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMtJM
OF 1 PER PERMIT
DWELLINGS &
$15.00
24.00
6.00
3.00
SUBTOTAL: $ ? 5? CE)
STATE SURCHARGE: .SO
TOTAL: $
Lo?? 0
SIGNATURE OF PEWTTEE ?-
7y11
PLEASE COMPLETE THZS PORTION FOR- ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQIIIRED FOR EACH DWELLING UNIT.
-------_------------------------------------------------------____
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
noC?:i?S?? ?iPID:G - q25.70
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 4215
PERMIT # 1,
PRONE: (612) 454-8100 RECEIPT # C/A
DATE :
REA??'?`??';;; PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---
------------------------
WORK DESCRIPTION ---- ---------------------- ---- ----------------------
COMPLETE THE FOLLOWING: --
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00
REPAIR ? WATER CLOSET 3.00 0
? BATH TUB 3.00 O
LAVATORY 3.00 D
OWNER NAME: KITCHEN SINK 3.00
A
'9 I.AUNDRY TRAY 3.00
O 4
SITE ADDRESS: HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT:? BLOCK SUBD. _ FLOOR DRAIN 3.00
? y GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS : OTHER
WATER SOFTENER 5.00
CITY: PRIVATE DISP. 15.00
?
< -?
- U.G. SPRINKLER 3.00
PHONE #: - S ?
SUBTOTAL o-o
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE ^
TOTAL: S I SSO
PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
- - - - - - - - - - - -
CONTRACT PRICE:
OWNER NAME:
SITE ADDRE55:
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1$ OF CONTRACT FEE.
S'iAiE SLTtCiuucGr, e $. 50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
1991 BUILDING PERFIIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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, SUT NOT PICKED UP BY LAST WORKING ?AY
OF MONTH IN WFIICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRE55E5 FOR CORNER LQTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIfICH ADDRESS IS
DESIRED, NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Am. '-n a-pi
Site Address
Lot I B Block I
Valuation: Y.??,1'zT+=+?? Date:
Parcel/Sub -eveRb2e"- 'PA'R?-,/-\tz?N .
Owner 1;0,'%'
Address ?City/2ip Code zsi!?
Phone
Contxactor ?Z/i- Z
Address c-r;
,
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
911 ODD ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F,
OFFICE USE ONLY
v- N
V-hl
L4
On site sewage_
On site well
MWCC 5ystem ?
City water -I!f
PRV ,
Booster Pump _
APPROVALS
Planner
Council
Sldg. Off. 117
Variance
FEES
Bldg. Permit ?DO
Surcharge Zo .SCJ
Plan Review 231. 00
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 ? 5v
SUBTOTAL
Penalty
Lot Change
TOTAL
agrees that all work shall be done in accordance with
(Signature of C tractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VALu A7;'I
?7 ?\- , 1 -
Ld r
`I '1- X I
4(gp= 644 x 10 ,lv .? ,a 0
MA?r•, Levet,
1(4 XN6= loyy
?1 X Z : 14?
?
-3'`)6 ..? -
y b 20 ?.,
' ` ..A
?I
- ------ - - - -- -- - l. __- _ -I
?--- -i--- - i - -- ? --- ? --- ----' - -- ---- -- -
?---- --? ------? - ,
I ? 1049
I ? ? f I
?
,
-,
? ?_? ?__ --- L---- _ ---- - - --- --- -- -- --
- - - - - --- - - --- : _ _ _ ?
- --- - -? - -- -. i ,
------+---------r ? ---r-----'----- --- -- ,- - - --_ _--
, ?---- - - - - - - - - - _ _ - --, ? ,
, f
I ;
! I
----?- -- - - - - ---- e
-- - ---- ---- - -- - -- -- - - - - ------ - ?
? ---- --, -
?
.
i
----;--- ---- - I _ _--- - ?- -_- - -
?
I '
?. ;
?-- - -- - -- --- - - -- - - - -.. -- -
? i
; lV
?
---- t------? -I- --. --- - --_ __ _ ?_- ---- . - - - -- -
? I
,
- - ------I----•----- ?- --- -- --?_---- -i -? - ---'- - -
,fi-_ ---- - ; - - ,
• j ? ? ?Cl??? 'PD? ? D? '
,
I - -------- -- -- ----
----------- ---;-___
?
? i
- +- - - -- - - -
?
? ,
?. .
EAGA14 TOWNSHIP
3795 Pilot Knob Roud
St. Paul, P4innesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: May, 13. 1971 Number: 614
..?-••-.--•--?.
/
Billing Name: Tilsen Construction Co. Site Address: 4279 Lodgeoele Drive - Evergreen P1
Owner: same Billing Address
Plumber: Lnecken Excavatiag?
Location of
4/2/71
. 260.04 nd RW
Meter No.?1,=1gV I Permit Fee 10.00 pd 5/13/71
Meter Reading iMeter Dep.
Meter Sealed: Yes` lAdd'1 Chg.
NO ' Total Chg.
Building is a:
Residence xaoc
22ultiple N0, Units
Commercial
Industrial
Other
Inspected by
Date
Remarks;
$25.00 REANsPEcTIoN FL"C' r-oil
liV1PROPERLY IySI'HLLrD MEi LRS,
By:
Chief Tnspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mianesota.
By:
Lneckea Excavating
Connectioa
Please notify the above office when ready for inspection and connection.
, .
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:_May 13. 1971
OWNER: Tilsen Construction Go.
PLUMBER Lueckea Excavating
NilMBER 774
AddressL.97o r.nagapn1 a llrivn - F.vPrgrr±Pn Park
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILUING
Industriail Commerciall Residential I Multiple Dweliing I No, of units
xxx
Location of Connections:
,
Connection Charge -0-
Permit Fee 10.00 pd 5/13/71
Street Repairs
Total
Inspected by:
DaCe
Remarks•
By.
Chief InspecCor
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree eo do the proposed work in accordance with the rules and
regulaCiona of Eagan Township, Dakota CounCy, Minneaota
By
IIuecken Fatcavatiag
North St. Paul
Please notify when ready for.inspection and connection aad before any portioa
of the work is covered.
c>7.41or
?
L??-, 7 9 G o?? ? pcr /F
14?1?
- ??
MASTER CARD
. LOCATION
OWNER
/" 6A.0ro•y
STRUCTURE AND ?
LAND USED AS Q ?T
Issued To
Permit No. Issued Coniractor Owner
BUILDING
RYo
?z-
-
PLUMBING
- ?n.' I
--
? ,? r ^ I
??'
--
CESSPOOL - SEPTIC TANK r,
?
V'JELL
ELECTRICAL
HEATING 7.,'
GAS INSTAILING
SANITARY SEWER
OTHER
OTHER
i
•
0
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION ?
"71
« ? ?
(i _q ? -'?/
- °?
? ? ??/r ?J A
• SEPTIC _
CESSPOOL
FRAMING --
-- ?
-- TILE FIELD FT.
FINAL
ELECTRICAL
I?
v
HEATING ?- DEPTH
OF WELL
GAS INSTALLATION
1
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER r
- ?
` ?
-
-
- 7-:F
'
i ations Noted
on Back
COMMENTS:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4279 Lodgepole Dr
Lot: 18 Block: 1 Addition: Evergreen Park
PID:10- 24880 - 180 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Quesetions regarding electrical permit
952- 445 -2840
Ashley Orman
130 Plymouth Ave N
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA091968
11/10/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
÷
ÿþ
ýüü ûúûúþ
ùüü ú è
ý
îÿ
ô
ýüõ
ýüûúù ÷ éì õ ü úù
÷ úù ÷ éì ãéìÞùï
ù ä ü
õüõ ôóôðüù
ò ÿ
ýñüø
ïù îï ïñüï û ïí ë ÿé é ùÿþë ëïÿ
ü
ù íõë ëù ë í
õû ï ê ñüûé ÿëï ïí
øçóæçí
íô
ôù
ýü ÿ èü çóæçí
í
èü óþ
í
óò
õ ñð
ùù
Þé
üýÿ
õ ü Þ õ÷ ôß
ÿù
Þ îåãó ÿåã
áàôôßßß
û éÿ î ùù ë ï ÿ ïùé ùùûý
ëå ý ü õ ë ÿðí
ùù ì
ü ýÿ ü
ò
ÿ
ùù
þýüýû
ÿ þýþü
ûÿÿ úüùìÿ
þßÿ
ü
ÿÿ ý
á
ÿ
ø
úùø
÷ÿ ÿö
ø
÷ÿ
ö
ø
÷ÿ ö
ä
õÿ
äðÿ÷ýÿñÿ
ÿ
÷ ÿ
ÿ ÿ ááÞ÷ý
Û ü
úëý
ÿçÿÿ
ñ÷
ßÿñÿ îÿî ñÿ
ÿë
ÿ ñ ÿÿ ÿ
ýùÿ
ñ èòý ÿ
ü
÷ÿü ûýò
ò
ýñü
÷ÿ èýò
òý ÷ÿ ýò ÿ
ýý è
ý
ù ñ àÿÿ ÿ
ý
ÿ
ÿë
ÿù
ý
üÿòýñ
î ñÿ è
ý ÿçÿÿâïâèèá
÷û
ú
îý
üÿý ÿ éýý âïâèíèí
éýý ûè
öõ
ø ôó
÷÷ý
ðÿÿ
ýúÿ
üÿ
í
ð ýöÿ áí üÿ÷ ÿ
ð ÿßÿôõþýüýôõ
æêãêáá
îÿ
ÿù
ý
ÿüÿ îý îýßÿ
ÿý î ý÷÷ý ý ý ÿ îý îÿò
ñý
ÿ ýýü
ÿÿ ñ÷
îýý÷÷ýùÿú ý ÿ
òôÿ ýú ý ÿ ý
òþýüýÞ
ýÿ è
÷÷ý ä ÿ
ñ ÿÿ úüý
ÿ ÿ
úüý
ÿ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110268
Date Issued:05/01/2013
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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.
Window or Door:Replace 1 window and 1 door within existing openings.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121875
Date Issued:04/17/2014
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Ricky Longnecker
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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
(651) 454-5288
Rick's Roofing & Siding Inc
13736 Johnson Street NE
Ham Lake MN 55304
(356) 763-2698 X022
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121642
Date Issued:04/10/2014
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
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 or installing Bay or Bow
windows, 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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137138
Date Issued:06/20/2016
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
(612) 326-1919
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
Permit I t 2-3 C‘i
City of Eaaall -7
Permit Fee: 1 /
3830 Pilot Knob Road -
Eagan MN 55122 RECEDED Date Received: —�
Phone: (651)675-5675
Fax: (651)675-5694 Staff: 7.1
APR 2 510x7
2017 RESIDENTIAL BUILDING PERMIT APPLICATION 1,i�
LI/25/i7
I uu q 1 ' Ari
Date: ` 2 5 I(7 Site Address: '-( Z� 1 �-c'��^ ¢.��� �E1 vQ Unit#:
Name: N L G.ZPhone: G S i_...,p.. L-1-52a
Resident/
Owner Address/City/Zip: x-( 2'741 L c,�}�� �g,1Q t1 �e c. /'.-h-' 5 S 1 2 2
Applicant is: Owner (/ Contractor '
Description of work: t
I Type of Work
O0, OD
Construction Cost: I � Multi-Family Building: (Yes /No )
Company: I,J Co v,5-k,n.-c or► Sn c.Contact: ,54-0-0e- W
f J
Address: '13?) bwV-c>4. I t. City: e /\ l --I-
Coltractor
I x State:( I' Zip: v5'-( Phone: &I L- QVa� o.J 3 ) - b .Co.•,,
License#: Z0Z®LU63 Lead Certificate#: I)Pi
If the project is exempt from lead certification, please explain why:
Itie r "Ns-k,- i. -4- ' eg s'" ` ft-4) D S
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:
Fire Suppression 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
s conclude that theme 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.orq
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 -w1L Y3 i-'4 x
Applicant's Printed Name Applic t'- Signat
Page 1 of 3
DO NOT WRITE BELOW THIS LINE W 7442,3,W
SUB TYPES '/A1 J k®d9e pd/ ISI
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof Demolish Interior
Alteration Fire Repair 7.,X Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
—
DESCRIPTION
Valuation Lill 004)
1 f Occupancy ,, .)@. . 2 F MCES System
Plan Review Code Edition f° v ° 1 ' SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction IPI)
I Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
Framing y 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation X Window
Sheathing Retaining Wall:_Footings— Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review i PA
MCES SACd'. `
City SAC
7 M
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167688
Date Issued:03/25/2021
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
(651) 454-5288
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175204
Date Issued:03/21/2022
Permit Category:ePermit
Site Address: 4279 Lodgepole Dr
Lot:18 Block: 1 Addition: Evergreen Park
PID:10-24880-01-180
Use:
Description:
Sub Type:Air Exchanger
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Paul S Berger
4279 Lodgepole Dr
Eagan MN 55122
(805) 748-9588
Ap Mechanical Llc
11516 Mississippi Dr N
Champlin MN 55316
(651) 216-1446
Applicant/Permitee: Signature Issued By: Signature