4280 Lodgepole DrReceipt PLUMBING PERMIT
CITY OF EAGAN
Psrmit No.
Fa
fill in numbered spaces S/C
Type or Printlegibly ToL
i
1. Date ' 2. Instaliation Cost
3. Job Address Lot Blk. Tract
t' ., r;. . .
4. Owner
5. ContraMOr t ' - - Phone
;
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New O Add 11 Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
i
C
l/D
fi
ld
Bathtubs esspoo
ra
e
n
$
i
T
k
_ Lavatory ept
an
c
S
f
_
Shower tner
o
W
ll
_ Kitchen Sink e
Urinal/Bidet O
h
Laundry Tray er
t
Floor Drains
+ Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ?
for
Rough fi al
Inspections: Date.1/'j*d- Insp,&2g_ Date Insp. -2TA??-
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition Evergreen Park Lot 12 Blk 3 Parcel 10 2 880 120 03
owner screec 4280 Loclgepole stace Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1973 17 .00 8.7 20
SEWER LATERAL
Sew conn. c . 1974 2 0.00 8.00 Pa:i.d
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK " ', 4?
STORM SEW LAT
CURB & GUTTER
WALK
EET LIGHT
I
ER CONN. Z6O OO 3582 5-26-71
DING PER. 02
2 0.00 72 3 1-12-73
K
PAR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3834 Pilot Knob Road Permit Number. '
Eagan, Minnesota 55122-1897 Date Issued: ??fi 1 (612)681-4675
SITE ADDRESS:
APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
; i ii
Permh No. Permit Holder Date 7elephono N
ELECTRIC
PLUMBINCa
NVAC
Inapsctlon Date Insp. Commants
FOOTINGS '
FOUND
FRAMING
ROOFING
ROU(iH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG c F17. i h?f W? .z+r.,
DECK FINAL
J?
INSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued: : o t. /<a j
? SITE ADDRESS: , , , ,
I PERMIT SUBTYPE:
? ', , i
APPLICANT:
,
TYPE OF WORK:
INSPECTION .. .,
Permk No. Permtt Nolder Dete Telepbone #
S/W
PLUMBING
HVAC
ELECTRIC 00
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing ?S
Roofing
Rough Plbg.
Rough Htg.
Isul.
FireplaCe
Final Htg.
05at Test
Final Plbg. Plbg. Inspector - Notiiy Plumber
Const. Meter
Engr./Pian
Bldg. Final
n
Deck Ftg.
Deck Final
well
Pr. Disp.
77 CITY OF EAGAN
! 3795 Pilor Knob Road Eagon, MN 55122 N2 4356
PHONE: 454-8100
BUILDING PERMIT j5,600, Receipt .j#
To be uced for `• 3' '` t :; ?'' , Date " 19
Site Address Erect ? Occupancy-
Lot Block ':vETF;TCvn Alter
Sec/Sub. Q^ Zonin
9 :
i
Parcel # _ Repair ? Fire Zone _
Enlarge ? Type of Const
Name Neil (:har¢entier Move ? ?# Srories
W
3 Address 428(?
Demolish ?
Front
ft.
0
Cit • s. -
Phone Grade E] DePth -- ft.
e........,?i. FPPt
p Name _
Zv
u?oa Address
F r:...
Name _
Address
I hereby acknowledge that I have read this
the information is correct and agree to c
State of Minnesota Statutes and City of
Signature of Permittee,? ? . •??"?zA Building Permit is issued to:
oll work shall ba done in oCCOrdance with all
Building Official -
and
all
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off.
APC
V8L2£cil!=E b/ ii 7
Permit - - -%?? _
Surcharge = ??V
Plan check
SAC
Water Conn.
Water Meter
Total
c i _ on the express condition that
State of Minn,?s-ta Statutes and City of Eacan Ordinonc?s.
PennM # Dafe Irued Pw"NItM
Plumbing
Mechanical
INSPECTION6 DATE INSP. Rouph-In Final
Footin9s Date Inep. Dote Irnp.
Foundotion Plumbing
Frame/ins. Mechoniwl
Firwl
Remarks:
I CONTRACT PRICE
i- Lot ' =', Block
I y Name
m Address
c City
PERMIT # .
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT ii .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-8100
?? Sec/Sub _
?L,?
,._ Phone .
? Name t
3 Address
p City Phone-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
? Air Cond.
Vent
Gas Piping Outlets #
- M BTU
M 8TU
M BTU
M BTU
CFM
? FEE:
$/C:
, TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. New .?.-T
Mult Add-on
Comm. Repair
Other
FEES
HVAC 0-100 M BTU
RES
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
s (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT)
- 1
50 EA
COMM/IND FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00 '
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADD $ - .50
.
BEYOND $1,000)
S
?F31G
TTEE
i
r x ?
FOR: CITY OF EAGAN
i
-Pol
Y/i6/g5 ree ??w
u I ?I
r 7y o ,:1._-_
Millwork Since
533 - 5323
6v, t .
?` ? ?
Gr?
?.?
?.?.
RIMCO PEiASE
Wood Windows ? Everstrait Doors
PEACHTREE " PRE-FINISHED
Patio Doors Trim and Doors
EAGAN TOWNSHIP
BUILDING PERMIT
w na: . .............---- ---... ------------- ------.._.:......-----
dress (Presen!) ----- -...•-------•-----°••••••••--••°-°-- --........ !••`•`z'"
Builder .----7..L42 •••...••• ..... ...................••-•---.......-----.._..................
Addreas .................................................•••••..............._........................
DESCRIPTION
N° 2402
Eagan Townahip
Tomn Hall
DB:e ..... •-••- 2 .............. 9??1
• ................. :....
Btosies To Be Used Fos Fron3 Depth Heighi Est. Cos! Pesmi! Fee Remarks
if ?. "`""_ 1"
?V"`
^? I
T 7 I I
er-..- LOCATION
Strea2, Road or o er Descripiioo o! Localion I Lo! 81ock Addilion os Trac!
o ?^
- ?
Thfs permit doea aot aulhorise !he use of alreets. :oads, alleys or sidewalks aor does it give !he owner or hie agea!
!he righi !o create any siiualion which is a nuisaace or which presen3s a hazard !o !he health, safe3y, convenience and
geaezal welfare !o anpone in !he communiiy.
THIS PEAMIT MUST S?EKrEPT ON THE PAE?MaISE _W?HILE THE WORK IS IN PROGR SS.
Thia is 3o certifp, lha3-:,... ........................ ......... .... has permission !o erect a••- ...... .....?.`."P?..-••••-••••_••••-•-.._upoa
!he above deseribed premise eubject io !he provisions af !he Building Ordinance for Eagan Township adopted April 11,
1955.
.....................
.. ........ ...../:'.--°-•••.....-°--. Per .......... ............ U...:.°..?:?,.........•••....:..................
Chairmof Tnwn Soard-4 ,.6 Suilding Inspector
CITY OF EAGAN
3795 Pilot Knob Road Eagon, MN 55122 N2 4356
• PHONE: 454-8100
BUILDING PERMIT APPLICATION $5
600 ReceiPt # 6309
,
.
To be used for Garage Addn. Date June 10, 19 77
,
Site Address 4280 Lodgepole _ erecr
?
Occupancy I
Lot 12 Biock Evergreen Park
3 Sec/Sub Alrer E]C Zoning Rl
.
Parcel .# Repoir ? Fire Zone _
Eniarge ? Type of Const. v
W
Name
Neil ChaiperitieY
Move ?
.# Stories
3 Address 4280 Lodgepole Demolish ? Front 28 ft.
? Cit E8$8II Phone 454-7532 Grade ? Depth 26 ft.
ce Name $8mE Approvals Fees
?a
?? Address
?- r:«„ oti....e
Name _
Address
I hereby ocknowledge that I have read this
the information is correct a ag e o c
State of Minnesota Stotute nd ' y
Signature of Permittp
A Building Permit is issue to: _ Nei
ali work sholl be done in a Eordcnc with
Buiiding Official
ication and stqte that
v with all aaTolicoble
Assessment
Water & Sew. _
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Variance--6/7/77
Permit 21.00 _
Surcharge 3.00
Plan check
SAC
Water Conn.
Wuter Meter
Total 24.00
e1 on the express condition that
State of Minnesota $tatutes and City ot Eagan Ordinances.
,
znwrr oF EncnTa
3795 Pilot I'nob Road
St. Paul, Minn. 55111
PEP,MIT N0, zoz
The Board of Supervisors hereby grants to Kleve Heating d A;r
Coadftioning Coo of 13075 Pionees Trailt Edmn Psaixie 55343 a
HF.KTIIvG Permit for: (Owner) WQASmaIIn Ccnatructios Co.8t
1450Hamlcck C;rcle. Eagan. MN , pursuant to application dated
April 20. 1971
Fee Paid; $2p*pp Dated this 22ad day of •4pxi1 , 1971 .
Building Inspector
? •
TOWN OF EAGAid
3795 Pilot I,nob P.oad
St. Paul, Minn, 55111
PEP.MIT IdO. 108
The Board of 5upervisors hereby grants to Wenael Pltrmbitu d Heatfng
Of 14S4 ShAunaw Rndd_ Ro2Lna tS199 a
IAOt
PT.tm'[Nr. P2TII1i[ fOi': (O[+1flHi) 8t
1450 Hemieck Gircl mj„EA¢`a„a , pursuan't to application dated
? 4/a3/7i .
Fee Paid: 1%2n-nn Dated this-2fith-day of Apzil , 197_L_.
Building Inspector
REQUEST FOR ELECTRICAL INSPECTION « ee-ooom-o7
4///3/99 ? See in5tmctions for wmpleting this brm on back of yellow copy.
? FS?'r?S 5
7 7 4 5 2 X" Below Work Covered by This Request
e Add ReP. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ? pir Conditioner
Other (specify) nUac4or5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Only: 7pTpL
Irrigation Booms ? ?
?
Special Inspection
Alarm/Communication 0
7
Other Fee ?" ?
I, the Electrical Inspector, hereby
h
b
i
tif R°ugh-in ?
? oace
ea
ove
cer
y
nspectionhas
beenmade
Finel
r
?
oa
OFFICE USE ONLY
This requesl witl 18 months irom
111318K
M 77452,??a?:?
Raquest Date
p
' Fire o. R g in Inspection
p' ed?
`?Ready Now ? Will Notify Inspeclor
?
? Z?? 6 ? Yes o When Ready?
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street, Box or Roule No.)
?$ o L, o c? e?a /e CBy ?
i?- A
Section No. Township Name or No. Range No. County
? *4140 (t?4'
OcapaM (P I ? phone No.
Power Supplier Address
Electncal Contrador (Company Name)
eA M 9 7ld Contraclor5 License No.
Mailing Address (COntrador or Owner Meking InslallationJ
J:Z-? aJ,?.?? ? d:s7--
Authorized SI nature (Contrec[odOwner Making Instaliation) Phone Numher
0
MINNESOTA SE BOAHD OF ELECTRICT' THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey BIAg. - Room 5773 BE ACCEPTED BY THE STATE BOARD
1921 Univerelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642A800 ENG! OSED.
REQUEST FOR ELECTRICAL INSPECTION ?V* ti,!%ee-ooooi-oe
? See instrutifons for compieBng thls torm on back ot yellow copy. ?+
??..8 5 9 ?"X° Below Work Covered by This Request 4?;L:?
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF.(Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
Olher (syeclfy) Coniraotor5 Remarks:
Compute lnspection Fee Below: 3-
# Other Fee # Service Entrance Size Fee # CimuitslPeeders Fee
. Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 ^ Amps Above 100 _ Amps
$19f1S Inspector's Usa Only; TOTAL ??
?-
Irrigatian Booms ?
Special Inspection
AlarmlCommunlcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTH
I, the Electrical Inspector, hereby
tif
th
h Rou9n-in oace(D '?70 Y/
cer
y
at t
e ebove inspection has
been made. F;nei oare
OFFICE USE ONLV ' -
Thi"s request void 18 months irom
Request Date
/O /? O3 -7 re No.
, ough-in Inspection
e iretl?
? Ready Now Will Notity InspeClor
? Yes G No When Ready7
D
I? licensed contrector ?<
wner hereby request inspection of above electrical work ar
Job Atltlress (Street. Box or ou7e N )
?d 8?U
p
/
?? City
nG
e/o e
o .
Sedion No. 7ownship Name or o. Ranga No. GounTy
OcCUpan1 IPRWT Phona No.
vl ?• ?
Power Supplier Address
Electrical Co ract r (Company Name) ContraclorS License No.
19 Y W g
Mailing Addre IComractor or Owner Making Installation)
Aulhorized Signature iCOntraciovOwner M ing Installation? Phone Number
YSY- a s13
MINNESOTA STATE B?gn? OF ELECTRICJ?G ? THIS INSPECTION REOUEST WILL NOT
Griggs-Mldway BItl9. f Room 5-173 Y+ 8E AGCEPTED BY THE STATE BOARD
1827 Univereity Ave.. St. Peul. MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Vhone(612)662-0800 ENCLOSED.
RESIDENTIAL ?
? 1 r A J? BUILDING PERMIT APPLICATION T
CITY OF EAGAN
3830 P I L O T K N O B R D, E A G A N M N 5 5 1 2 2
651-681-4675
New Constructbn ReaulremeMs
• 3 regislered sne surveys showing sq, ft. of lot, sq. ft o( house; and su roofed areas
(200/o maximum bt coverage alWwed)
. 2 copies of plan showing beam & wfndow sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies ot Tree Preservation Plan if lot platted aiter 7/1/93
. Rim Joisl Detail Options selection sheet (bidgs wilh 3 or less uniGs)
DATE ?--
SITE ADDRESS ZO
TYPE OF WORK ? ??4
APPLICANT ?Lr? C i
RemodeUReaair Reaulremerrts
• 2 copies of plan
. 1 setotEnergyCalculationsforheatedaddNions
• 1 site survey lor exterior additbns & decks
. Indicate 'rf home served by septic system for additions
VALUATION 2--
( MULTI-FAMILY BLDG _ Y ?_N
? FIREPLACE(S)y 0 _ 1 _ 2
t
r15S
STREET ADDRESS LA'"2C,..?rl Jk,S%l2iA? CITy L?u Sy"USTATE INN ZIP ? S,7
TELEPHONE # 9SZ "?S? L PHONE # ? FAX # 25- 7
PROPERN OWNER 2 F r/Z' TELEPHONE #?-? 7?Z--
------------------------ ------------------ ------------- ---------- -------------- -------------- --
COMPLETE THIS SECTION FOR %•NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submittad
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
? Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Phone #
Fee: $90.00
Fee: $70.00
Air Conditioning
Heat Recovery System
Phone #
I hereby acknowledge that I have read this application, state that the information is c ,??aor? t?
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
JUN 1 1 2002
Signaiure o} Applicant
---.......................... _.............................. °OFFICE USE ONLYM~-----r........ Y ? ?????...
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OB-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Poroh (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg ?
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Muki
? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surch,arge
Plan Review
MC1ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building tnspector
1N SYI:(:'1'lUN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
3 APPLICANT:
auzLozNG
025727
06/05/95
SITEADDRESS: P • z • N. : 10-24880-120-03
LOT: 12 BLOCK:
4280 LOD6EPALE DR
EIIERGREEN PARK
PERMIT SUBTYPE:
DECK
KLC:UKI)
PERMIT TYPE:
Permit Number:
Date Issued:
VALLEY INVES7MENT5 CONST
(612) 454-5191
TYPE OF WORK:
NEW
_ .. . _ _ _ .. _ _ . s
G??-• -F ` a ?
?
CITY OF-EAGAN PERMIT C'k4zM
?
3830 Pilot Knob Road PERMIT TYPE: B u x Ln r tv c
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 7 2 7
(612) 681-4675 Date Issued: 0 6/@ 5/ 9 5
SITE ADDRESS:
4280 LODGEPOIE pR
LOY: 12 BLOCK: 3
EVER6REEN PARK
P.I.N.: 10-24860-120-03
DESCRIPTION:
B"u"1lda.n%?;.,Permit 7ype
iBuilding Wo,_rk Type
Pka ??
.? .. . ..E?'f
np
`\ J
F?.
l?
4
DECK
NEW
JE2 r
A I? ?i ?F ( F t? ?. bS ISY ?
?yas?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Subtotal
$30.00
$.50
$30.50
$1,200
COPIES $1.0@
Total Fee $31.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
VALLEY INVESTMENTS CONST 14545191 0004241 CHRRPENTTER NEIL
2401 LEXINGTON AVE 5 4289 LODGEPOLE DR
MENDOTA HTS IhN 55120 EAGAN MN
(612) 454-5191
\I h-ereby,..ackriawledge that I"°have:.read a.ncJ st'at'e t.h'at th.e • '
information is correct.and agree'to complyr uith' all :?applic`ablex State of,Mn. Statutes and City of Eagan {Trdi.nances >
. ,. _
_ o
1 ?---
, ?
- APPLICANT/PERMITEE SIGNATURE ISSUED B: SIGN U
.--? - . _ . .. . - y?- ----- -
CITY OF EAGAN i
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
B
681-4675
? 3 registered site surveys ? 2 copies of plan
? 2 eopies of plana (include baam 8 window sizes; poured fid. design; etc.) ? 2 sfte surveys (extedw additions 8 decks)
? t energy calalations ? 1 energy cakulatlons ipr heated eddkions
? 3 oopies of tree preservation plan iT lot platted after 7/1/93
required: _ Yes _ No
DATE: S-- 30 CONSTRUCTION COS
DESCRIPTION OF WORK:
STREET ADDRESS: I o'` nv Lo D Lot:-,"Oe
LOT 1 21 BLOCK 2 SUBD./P.I.D. #:
PROPERTY Name: N?P L-fFA12 P.F. rJ T?r---/Z-• Phone #:
OWNER ?T fm?
Street Address• 1/vlo`0
.,
City: ?.=A-6 t4-A) State: Zip:
CONTRACTOR Company: +?f?'Lt.?rGi ? ??sr/?tiF?i? Phone #: `fsq-s/g ?
Street Address: &CiArf-410 ? License #: '/a q I
City:L//fPrJQOTl? 7?'Gff?'? State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #Street Address-
City:
State:
Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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. 1
Signature of Appficant:
V
OFFICE USE ONLY RECENET
Certificates of Survey Received _ Yes _ No MAY 3 0 1gg5
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4plex
a 03 SF Addition a 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 _-plex
WORK TYPE
,-"1 New ? 33 Alterations
n 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
0 13 Garage/Accessory o
0 14 Fireplace o
c?15 Deck
0 36 Move
? 37 Demolition
APPROVALS
Planning
Building
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg i
Census Unit o
Engineering Variance
e
Valuation: $ ?Z°°
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .40
Total:
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SAC Units
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 12 B L 0 C K:
4280 LODGEPOLE DR
EVER6REEN PARK
PERMIT SUBTYPE:
5F PORCH
6UILDING
022163
10/05J93
3 APPLICANT:
VALLEY INVESTMENTS GONST
(612) 454-5191
TYPE OF WORK:
NEW
INSPECTION
FOOTING ., .
FRAMING .•
INSULATION FINAL
t,
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date issued:
?
BUILDIM6
022163
16/05/93
SITE ADDRESS:
P.I.N.: 10-24880-120-03
? PERMIT
4280 LQIJ6EPOLE DR
I.OT: 12 BLQCK: 3
EVEftGREEN PARK
DESCRIPTION:
ermit Type
krk Type
? r=' B ui S, d?419- tJ i;d t1l
r
} 4? ?
j.v^...?.• . :. iu
SF PQRCH
NEW
R-9
?- ? ??? ? a
? ?? ?
REMARKS:
FEE SUMMARY
Base Fee
Surcharge
Total Fee
vaLuaTraN
$117.00
5.00
$122:00
$10,000
16
14
CONTRACTOR: - Applieant - sT. L rc. OWNER:
VALLEY SNVES7MENTS CONST 14545191 0004241 CHARPENTIER NEIL
2401 LEXINGTON AVE S 4280 LOpGEPOLE DR
MENDOTA H75 MN 56120 EAGAN MN
(612) 454-5191
? T he;reby aeknowledge ' that' I h
itrfarmat3on is aarrect AnO
ag
Statta??s, anc# City a'f faqa" 'Or
L7?APPLICANTlPE MITEE SIGNATURE
i oances.
&0"t?Lfcabl`,St.ate' a, °14 n. `
y.
n i4ax;rtl m-9
IS ED B: S NATUR
?E D CITY OF EAGAN ?
REACTIVATE r, r°, L? ?////
PERMIT ??_ -- 1993 BUILDING PERMIT APPLICATION
P 2 93 681-4675
? [7S 17ZL8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
s requested once permit
3) lot change i
d
h
i
.
or
ange
s c
in which request is made, 2) address
is issued.
Date /;?-8' Valu4tion of work i3to°a
?g
P
C-
''
-
GL?
)F_,
0 L2
Site Address: ? g
STREET fU1TE #
Tenant Name: (commercial only)
IAT L BIACK aw(i fe" I"ar4 U'm, p'I'D' o
Descri tion of work: ?ffF? '?__A-Sclj Po 10'C4
The applicant is: O Owner Contractor ? Other (Describe).
Name A)6r (- Phone
Property LA5T FIRST
Owner Address 44e?'-kO LO -ie t
STREET STE ?
City IQTeafj State ZiP
Company UR-u"F? /HF.?U 7-3 GNSL Phone „1 971 5( 5/
Contractor Address e-?)c(0 ( 4---X?^4ZJ AUC-::S License # Ya qf Exp.3 JOY
City - &ffNf?0 TN `?GV TS State /7 PL) Zip S 5-IcVC)
Company Phone
Architect/
Name Registration #
Engtneer
Address
City State IiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
l with all applicable 5tate of Minnesota Statutes and City of
ree to com
t and a
p
g
correc
_
%
Eagan Ordinances. ,
Signature of Applicant: -
v
OFFICE U5E oNLY
BUILDING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
O 03 SF Addition
,W04 SF Porch
? 05 SF Misc.
O 06 Duplex
? 07 4-Plex
? OS 8-Plex
13 09 12-Plex
O 10 Multi. Add'1.
O 11 Apt./Lodging '? 12 Multi. Misc.
O 13 Garage/Accessory
O 14 Fireplace
? 15 Deck
.? ,
O 16 Basement Finish
" E3.17 5wim Pool
? 18 Comn./Ind.
O 19 Corom./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
? 31 New O 33 Alterations O 35 Tenant Fin ish O 37 Demolish
`WJ2 Addition 0 34 Repair [3,36 Move
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy R 3• 2nd F1. sq. ft. PRV Required
Ioning Sq. ft. total Booster Pump
i? of Stories footprint Sq. ft. Fire Sprinkler
length Is?? On-site well Census Code y34
Depth On-site sewage SAC Code
APPROVALS ?
°
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS '
? 5ite ? Footing ? Framing PK Insulation
? Wallboard Iik Final ? Draintile ? Fireplace
Permit Fee II9,00 v.Lu.ti«n: S?t?.r'"??J ?
5urcharge 5oa
Plan Review 1SI/2 Y,
? X y 5 =
License ?
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge ,
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
SAC X
SAC Units
/
I
i
-
?X?S???G
.
?
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.
FlooFl
1o* 1917
`" c
S 1a ?n,16 , ?
4a4'o ?.a a ?E.?v t.E
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERPa T FOR WATER SERVICE CONNECTION
Date: MAg_26_ 1971
Biliing Name: Weasmana Construction
Owner: same
Plumber: Wenzel fleimbing d Heating Inc.
I,
Building is a:
Re s a.deace aocx
Multiple A'o, Units
Commercial
Industrial
Qther
Inspected by
Date
Remarks;
V5.00 tRE-INspEcrioN r-L-E Fg;?
WROPFRLY INSTALLED McTEE;S.
Bq:
Chief InspecCOr
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mianesota.
By:
Wenzel Plumbing b Heating Inc.
Number• go 62a lZ 3 ?__P,
Si.te Address; 4280 Lodgeeole Drive (1450 Hemlock)
Billing Address
Meter Size^i'Q' Connection Chg. • 5/26/71
Meter No.??i-/Permit Fee 10.00 pd 6/1/71
llkf_? Meter Readingae a? Meter Dep.
Meter Sealed: Yes Add'1 Chg.
N0 Total Chg.
Piease notify the abave office when ready for inspection and connection.
EAGAN TOtaNSHIP
3795 Pilot Kttob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: Tune l 01971
OWNER:Wensmaan Construction
NUMBER 788
?CD .. 3 F- Ao
Address4280 Lodgepoleikrive (1450 Hemloek)
PLUMBER Wenzel Plumbiag d. Heating TYPE OF PIPE Cast I?ou
DESCRIPTION OF BUILDING
Industriall Commerciall Resideatial I Multiple Dwelliag I No, of units
Location of Connections:
Conaection Charge
Permit Fee 10.00 pd 6/1/71
Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulaCions of Eagan Toxanship, Dalcota-County, Minnesota
By
Wenyel Plnm_hinQ b HeatinQ. Inc*
Eaean. Minn. 55122
Please notify whea ready for iuspection aud connection and before any portioa
of the work is covered.
nate : ('
BUILDIi'TG PERMIT P.,PPLICA^sI011T
LOT BI.OCFC ?j ADDITiOtd Zv`•P!- 'fL`E?i%
?'%P.?ETa & SECs20i7 tdUR1AER IF UTIPLATTED
L, ;°S;, GF i??;cCEL L-.d.0
OCCUPArCY 1 USE? ? ? • ??=? -_. ____°+-t-? ?? S-.. .,.::-:? ;'??^
Jt•'I I -,ic {? V?L',?A/Pf'F?1/ TELEPHOIqE iVO.?
<,M•:t;';S? ?? ?? 1-006-F,4204-E ________- -
C0.7"R?C?OP TELEPHaP]E 110.
F.DT:ZESS
Notec Include site plano building plans, and energy lculations /?ith ih?-r
application
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Siqned , . .._-.._.
orFxcE usE
7ALtTATI0i7 ? 51 00
?-
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?:=•a't1„d C?ii3t,'FC`?'2023
,rS?.a'._?k t:rc?TE3
2TJ2LDTrIG PF.RI-IIT FEE
'7?RCF..Z'.RGE FEF
PLk1tJ G'Y:I;C'I{ I''Y.u
PARIC DEDICMT1014 FEE
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S?SM=IM3T CLERK BUILDIIdG DEPT. POI,ICS DEPT.
?.-
•;_'_'^?'Tt & SEirJBR DE,PT. FIIL DEPT. PARK Dr.PT.
?r--
.r •' c, v
NAME ? C E,z'7TE.1r CITY OF EAGAAT FEE
ADDRE;SS?/d,FztE P E R M I T A P P L I C A T I 0 N DATE PAID ?% -,3v ^77
TELE. N0. Ej?? (Sutimit in Triplicate ) RECEIFT NO. 7? ?--
STATE OF PJNNESOTA )
COUNTY OF D1IKOTA
I/G7e, the undersigned, being first duly sworns hereby make the
following application ta the Gity Gounc5l and Planning Conm;ission of the
City of EaUan, Dakota Couraty, Mznnesotclt
I. Application is hereby made far: (Check appropriate iteM(s)
2'railex under Ordina.flce No. 2
?Bn31aing Permit tander Ordinance No. 3
Kenrsel Perrr.it uncler Orda_nance No. 5'
Rezoning under Orclinanae No. 52
Condzticnal Use Permit under Ordinance No, 52
Eaccavating Perr.;it under Clydinance No. 8
Pla,t Approvale under ardinanee No. 10
Waiver of Platting
?,r( Otkier (describe)
rr-r? c--r ?
se-r J3 a-?- K' o f /?3
2, .?':pplicir_t:s ht.ve the reopcnsilbility of cTieckiMg ^11 appllcable ordinanaes
per+a_ining to their applicatien a.°ad acc?pl,yin€-
with all ardi.r-aace rec,uire.-
rentse '
3. Legal deseription of land to be affected by applie'ation including acrea.ge
or square footage of land involved, and street address, if any: Let/a ,60r3
r'v tsrw?e.? PA?A Aa?.e°r.raId ??erEz ??6t1
4. Proposed name of plat:
5. The presAnt zoning •f the above deseribed grmperty is:
6. Zoning cl saification desirede
??S".z-.o_f- ?V r_Tef G_
7. 9.';Ze nat;te and address of° the present owner of the a.bove described laad:
/1/F-71-- T sFe L o,51
8s E;stimated no9t of 3mprovements to be made within one year after issuanoe
of permit applied for' if granted, is $ The nai,-ure
aP the amprovement is: ?171-? u c 11 eo? JvC4 b /,- 'Y tt raJ
9. If proposecl improvem,ents consist of buil.dings or struc^tures, apecify in _
detail t Dimensions sJ G' X??cf ' Number qf eteries s/
Type of construction: Gr1vo/J F?FI
beeupancy or tgPpe of bueinesss ?/?,C1{?t' q y??yr0. 7-a
10. All real estate taxes on the abpve deacribed,,property ha.ve been paid
througx the year / ?J ) ?excepta ,?/?1?i`' ,
11. The m>ethod of financing the above im.prevements wJ.ll be;
12. Person9, firms, eorpora-Ga.ons' mx° other than applicant and present owwiter who
may er will be interestea irt the alsove described land or proposed improve-
ments within ene year atter issuance of permit applied Por, iP granted' are:
Alv ?? F__
13. 11tta.ehed to thia application and made a part kereof ares
Plat Plans and specifiaations
Plot Plann Photographs
J
t ..
y
,
?V l• ?? ?/?• L?v`_'.. _ _?-?/.? ,.??` V?
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LOCATION
MASTER CARD
? y?ga
s--.. . _ ., .
• -- L J?_rCIi`tP
OWNER M AIV -`y Q/Lrr
STRUCTURE AND
LAND USFD AS n 'cV V?? G?T_Cp p
-- -==_f• ?,_?,?[
I Issued To
Permit No. Issued Contractor ? Owner
BUIIDWG 2 yo z ,?. ,
PLUM8ING
- ?V Q-
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL I
HEATING jb ?• ,?., ,, .?
GAS INSTALLING
SANITARY SEWER
OTHER I
AJ__ ?
I
OTHER
I I
•
?
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTWG ? • • SEPTIC _
FOUNDATION i
CESSPOOL
FRAMING ?
. TILE FIELD PT.
PINAL
ELECTRICAL
HEATING - DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
r
WELL
SANITARY SEWER • ?
Violations Noted
on Batk
COMMENTS:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113480
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 4280 Lodgepole Dr
Lot:12 Block: 3 Addition: Evergreen Park
PID:10-24880-03-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
Kevin T Trojack
4280 Lodgepole Dr
Eagan MN 55122
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161249
Date Issued:05/14/2020
Permit Category:ePermit
Site Address: 4280 Lodgepole Dr
Lot:12 Block: 3 Addition: Evergreen Park
PID:10-24880-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Kevin T Trojack
4280 Lodgepole Dr
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature