4322 Lodgepole DrCITY OF EAGAN Remarks 8'24'71 SeW & vbP COI]ri ]Xt.
Addition Evergreen Park Lot 12 Bik 7 Parcel 10 24880 120 05
? owner screet 4322 Lodgepole Dr. State Eagan,,MN 55122
.,-i.. , .s1...,../
Improvement Oate Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 17 .00 .7 0 Paz
SEWER LATERAL
1974 240.00 48.00 Paa.d
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ??'- 363. 00 C005387 6 6 80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 280.oo 3983 8-23-71
8UILDING PER.
SAC Z O.OO - '
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '"+ <<' I"''
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-4675
SITE ADDRESS: APPLICANT:
... ??.? , . :? kn7 t . ? . . . . ,.?. .
PERMIT SUBTYPE:
TYPE OF WORK:
[1k `i(.K 11" 1 ?lim
Ntl1
tllr..t Nf.idT!
INSPECTION DA • DA
R C ? ?y
Permit No. Permit Holder Deta Telephone k
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOIINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPL4CE
FIREPLACE
AIR TEST
FINAL PL6G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
(1!
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I '? I.it r f! I•n?-i.. ,, . 1
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 "0 1 .' `y c APPLICANT:
?.? a?? urr
( ? ! ) ?, ; ? ! 4'1 1 .!
t 141
fiut11 111 Hi;
Yl:"ff"? 9
H.-I iiN/?) {
I PERMIT SUBTYPE: TYPE OF WORK:
I , , , ; , ?,nt;
Permit No. Permit Holder Date Talephone M
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AiR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
AIRT STE
FINAL PLBG
O •/C . ??6 -?
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT fINAL
DECK FTG
DECK PINAL .
. /-2
TOWN OF EAGAIV
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0, 151
The Board of Supervisors hereby grants to J. F. Farrell d Scn
of 990 W. Montaaa, St. Paul 55117
a PLiPrfBIIVG Permit for: (Owner) Tilsen Construcfii,on Co.
at 4322 Lodgepole Drive Eagan 55322 , pursuant to application dated
9/;/71 .
Fee Paid: $20.40 _ Dated this Ist day of Se tecnber , 197 1.
.50sc '
Building Inspector
/?t'l - 5---- %
E, G?A,.f ,e
TOWN OF EAGAN
3795 Pilot Ifnob Roart
Lagan, Minnesota 55122
PERMIT N0. 164
The Board of Supervisors hereby grants to Neil & Hubbard Iieating Inc.
of 99 North Snelling Ava., St. Paul 55104
aHEA21NG Permit for: (Owner) Tilsen Caristruction Co.
0152) 11341 Lodggpoles 4223 Sequoia Drive., pursuant to application dated
12/2/71 .
Fee Paid; 60.00 Dated this 7th day of December , 197 1.
1.50 S]C ,
Building Inspector
?
.. ? ? o
_, ui II e?? ?) ??? II
.. 2 ? REQUEST FOR ELECTRICAL INSPECTION a 7?,'
I II ?? I I Minnesota State Board of Electricity ?
1821 University Ave., Rm. S-128 St. Paul, MN 55104
8 4 * iRione (612) 642•0800 l1/?1?1!'
Home Duplex Api. Bidg. Other: New Addn
C mercial Indushial Farm Remod Re air
ir Cond. Htg. Equip. Water Hir. Load Mgmt. Other:
D er Ran e Elec. Heai Tem .$ervice
'k' above the work covered by this requesf. Enter remarks in this space and on the back of the white copy only.
Calculate Inspxtion Fee - TRis InspecJion Reqvest will not be accepted without the correct fee:
Olher Fee # $ervice Enimnce $ize Fee # Circuih/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
$treet Ltg./Traffic $ig. Above 200 Amps Above 100 Amps
Transformer/Generator MSPECTOR'SUSEONLY TOTAL v?
Sign/Ovtline ltg. Xfmr.
Alarm/Remote Conirol
Swimming Pool
I hereb cefi that I ins ected the elendml i
in an the dates siated
t
il
ti d
ib
d h
Irfi9atio0 Boom ns
a
o
escr
e
ere
Rough-In Date
$peciallnspedion
H
Investigafive Fee
IS INSTALLATION MAY Final Dat /.?
?
- Zj,
BE ORDER TED IF N COMPLETED WiTHIN 18 MONTHS.
LUu 191 OFFICE USE ONLY This requesf vaid 18 months (mm validolion dote priNed in ihis boz.
2?I??
PLEASE PRINT OR TYPE
Requesl Dute Rough-in inspMion required2 Yas jEr%j j Inspection Other Thvn Rovgh-In: V?Iwdy Now 0 Will Call
1 ? g (You must wll iha inspector when ready) Daie Ready:
I, icensed conTractor El owner hereby request inspection of the above electrical work at:
Jo6 P,ddress (Sireet, Box, or Rouk No.)
D
C Ciry ?
' Zip Code
o .
a ?
- ;rqr? .? Af
4;:
$eclion No. Tawnship Name or No. Range No. Fire No. County
Jf Q{ /V.
Occupa Phone No.
ts N /1 J." a
•,
Power Supplier Pddress
Elecirical Conim r(Company Nama) ? CoMmdor licenx No, Maskr Lic. No. (Plont Ele0. Only)
,x •'12 /6/r 4eof 0.?
Moiling Address ( ctor or Owner P ing Installotion)
w o? 41a z
Aufhorized Sig e(Go ador o wner rf rmJmp}nstallal' n) Pho
ne/ No.
n
E&OODO7M10 '6/9SJ r 5'fATE80AADCOPi-$EEINSTRUCTIONSONBACKOFYELIOWCOPV
EAGAN TOWNSHIP
BUILDING PERMIT
Ownas .....p/a.t?QrSfx+?......?'r?a-?!--------..............................
Address (Preseni) 7..... $0..:.---*+- ?-------------------
Builder .................................... -•-••.............----- ........................................
Addrass ...............
DESCRIPTION
N° 2537
Eagan Townahip
Towa Hat]
Date .. ,< l 7.l
.._...-••- •• ... ......................
5tories To Be Used For Froat Depih Heighf
I Est. Cosi PermiY Fee Remarks
I ?? f/ I ?S
?
?G
?
---
l
I .?, °
??-,"IS
/c,
LOCATION
Street, Road or olher Deacripiion of Localion I Lo! Block Addition or Trac2
5!3 a? ???-ec- /.z .S"? c.?-?-u-•- ?? a,u.d-,
This permit does not auihorise !he use of s3reels, roads, alleys or sidewalks aor doea it give the ownar or his agenY
the righ! !o creafe anp situa3ion whic6 is a nuisanee or which presents a haaerd to !he health, satety, convenieace aad
general welfare !o anpone in the communily.
THIS PERMIT MUST BE PT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This is 3o eerlify. !ha!.... ---....••-•-.......... ...... ............. hes permission !o ereci a.•• . ..... ... . . ............. . upoa
- • . . . .......... ..
!he above described premise subjee! !o the provisiona of !he Building Ordinance for Eaga Township adopted Apri] 11,
1855.
?
.......... ... .... .....•-•.... ........
..............
. ................... ......
(/ Chai an of Tnwn Boasd? ? Building Inspector
Cities Digital
itv Cantrol
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
.
3-,a-sT7
2 0 a4 I2I'+.,4IDEN'TT. A.Iz BTffLI}ING PERMIT APPLTCATIaN
C-> ~I 1 1-? ? CKy 4f Ragan
3830PilotK-Rob.Road,Eag4nlVlN55122
-----==------ ---___.---- 675=--FAX#651-67S-5694---=-- -•- --- --
Nek Consfnict[on Reouirenenfs
3regisfered site surteys showing'sq. ff, of lot sq. ft of fiouse; and a'g rooitd areas
(20% maximum [oicoYeraye aUotved)
2 copies of pfan "showing 6eam & window s¢es; poured found desi
1 sef of Enecgy Calculafions gn, efc.
S copies ofTree Preserrafion plan if Iof pfaifed'after7H/93 •
Rim Joist Defaif OpUons sefecfion sheef (bfdgs vrifft 3 or frss uni[s
RemodeUReoairRequire.-nenfs
2 copies of pIan
' • ? ,?-}?r ` ? , ?v_.,
i sef of Energy Cafculafions for heated addifions:
i site sucvey for addflons & decks ?---
Addtion-indicafeifoR-sifesepficsysfem
Da?Ee?/
Consizuefion CosE l? lilCJ
'
Szte Address
UnitlSfe # .
Descripiion of Work a ? •? ? ? ,
' . ? ... . L? ! f
MuIiz-FanuZp Bidg _ y
- I?xepIace(s) _ 0 2 ' l
Propertp Owner ? ? ? Telephone #
Contractor " - '
zaiddxess
srate M N __ . .. . ?. ci
Zip GJ51 11 TeIephone #((Crl ) ZC9L-l -L-I 1 1 1
.? •
COMPLETE THlS AREA 0 CONSTRIJC7"`[NG A NEf111 BUfLDING
Enerjy Code m
Cafegbry `- 'nnes6ta Rutes 7670 Cateeuiy 1 Mmnesota Rules.'T672
(^/submtssion type) .'. Res?denUai Venhlatlon Category._j WorksheeE . . SubinitEed • . New Erjergy Code Worksh0ef
?s-<°.::-;;; . Submitfed
• Energy Envelope Cafcu.'laSons Submitfed .
fqve you previously consfrucfed a building in Eagan wifih q simlar plan? _
'e applies. Y ._ N!f so, 25% ptan revie4v
:?ensed Plumber
Telephone # ( )
5chanical Corifiractor
Telephone #( • ^ ?,?
wer/WQfer Confiracfor
Telephone #( ?Il I I''• ??
V? F G4
? L?
ereby apply, for a Residential BuiIdin.g pemu.f aug ackaowledge that the iufomzaiion i,4 complete. aizd aecur?a,.te;
t the work will be in confounan.ce
Lutwit.h. the ozdina¢ces and codes of tlie City of EagU,a-azcl.-t? fa??
?s; I imderstand thi.s is not a permit, but only au application for a perinit, atkd wozkis not to start withotit a
ntf; that t1ie work will be in a,ccordance with the approved plan, in the case of work which requires a ravzew and
-oval o laus. .
( P
?licant's Printed Name
' Applicant's Si.gnafure
Q + + CE USE ONL'Y
Sub Types
"' fs' 01' 'Foundafior-- Q- 07'-05-'p[eX--L-I: -'[3-1Gp(ex - E7=?=20- PooF=---- -
? 02 SF Dwelting LI 08 06-plex ? 16 Fireptaca
? Q 21 . Porch
Ot'of?? C7 09 07-p[ex Q 17 Garage Q-22 Porefi/Addn. (4-sea.)"
!ri.Y.:'
:^<=._ ::,...-->. .: . ...^" .:- .%
._
_
.
02=piex- p -10 08-p[ex : Q 18 Dec[c Q 23 Porcft(screenlgaze6o)
11' OS-` 03=p(ez•" ?. Q 11 104fex Q 19 Lower Leve[ • ? 24 Storm Damage
? 06 04-plex Q 12 12-pfex' Pt6g_Yor _N ? 25 Misce[[aneoas WorK 7'ypes
EI 31. New • Q 35
0 32.Addition ? 36
? 33.Alteration ? 37
0 34 Replacement ' . ,:
Int Improvemenf ?- 38 Demolish fnterior C1 44 Siding Moue Building ? 42 Demolish Founc(afion Q 45 . Fire Repair
Demo[ish Building* Q 43 Reroof .0 46 Windows/Doors
`Derrvolition (En6re Bldg) = Givs PCA handout txi appllcant
Valuation Occupancy MCES Sysfem
Census Code " Zoning City Vi/ater
SAC Unifs Stories Booster Pump
# of Uiiits Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
T}ipe of Consf Width .
REQUIItED INSPECTIONS
_ Footings (newbldg) FinaUC.O. .
_ Footings (deck) _
FinaUNo C.O.
_
_ Footings (adtiihonj Eliiintsiug -p ;
.
•?My.x}?'?p4rfL maw?.<?{-
y . H.. •_
' .t`: ?i?
::=. ... i
-y.?
-' r .
?
F
dati
on c
oun
. .
.
,,
, . , . .
.
, . .
.. A
RY
_ l?raut Tile Otlier
12oof .: Ice; &: Wateac 4•:?:-.. : Final _ Pgol:: Figs . n: Air/Gas Tesfs Fina1
_ I'rammg Biick'i?: ,
•.Siding ?' Stucco Stone
Fireplace _ RI. ' Au*'I'est Final _
V(rindows
_
Insulation
_ -
:, ,....;;
- Re ' Wall
_ fataing _
Approved Bjj:
Base Fee
Surcfiarge
Plan Fteview
MC%ES SAC
Cify SAC
Utility Eonnection Charge
-S&W Permit & Surcharge
s:::.:
T?ea4rrienf Plant License Sea?ch
Gopies
Ofher
Total •
.?
- El- 30--Accessoty Bidg --:
_ 0. .34. Exf.Alt- Multi
-:Q: W Exf: AIt =SF
•^Q 36. Malfi Misc:.
••?...e.svv?. itsv a<.vv rtLA tov DI1 49tSA !LL'[Yf:l1hL ?k'9LYUti1!`JtflM -
. ? .. . lQ!!Jtl
r e ?,?
Jurte ?, 2007 ' ' - •
. ;
- city af Eagaa _
3836 Pi1of Knob Road - '
Babm MN 55122 -?
. To Whom It Map Conoern: .
EIdet' 7ones is Attthariz¢d to ptM building permits for Reaawal $
Fidcr loncs to providc this sarvzcc for us in Y Andazsen. Picasc aIIow
, date bcyond 6I6101: untii ?yy Andsssen ''rit? endiortzaticm is vaIid for any
to the CitY- maz?aEnr eap?as?y ?vok?es it in wr€ting
I reqnESt tIais auttio33zaflan be accqYted- flousl as uot dela m the
our baiiding Pcanita na fit ?? y' ? y P?ssi?ig of
wntacted at 7b3-502-4746.zthcr. Plcasc caII mc if thct? arc nny qnc,?sciona_. I can Ue r ..
q J. -
Your immqdiatc attcntion to this matter is a ectated. -
Sincately, O- • .
.,
nd R ,Rau tivn Managcr .
Renowal by Anderscn Corporatatvn
Karn-F.lrte:r Sone_a - . •
- 4
aN ti. `, .
i e?
NOUT
?+r ?
. ??,yn.
Received Tia?e Jun. 1. 1:01Pld
, _ .. ,
k _ .
f a? .
r .
t ?S i rh`.N+ 5 n?
x <'
?.`. ? G;c'F?( Cft•s_"?'?Gf`t?`- '.t % . ,.w .
, ft?Syi?-`?F',? ,S.,-" fit`RK?t?:,. 70•/ ..
1???«-.?°, ,? ??>i4?x??r']?r??• ?i?? et 'iimapn Na:`" .
11?i•!?+,?.,`J to !.J+- N?:' `
32 :X ' S%i ?7'.•`aRl l QY.?GEP(7LE. ,".it1 a [ia
?CX.
fi.i + .t. . - ..
ti
tr(._ . .r ?. ? ' . . .
'(' ftIYI„r,.'.:.mt Jb a5-vo
..
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? . v • ' ? . . . ?,. ? ? . .. _ _
PE1ZMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE: Bu zLo x NG
Permit Number: 029814
Date Issued: 04/24/97
4322 LODGEPOI.E DR
LQTa 12 BLOCK: 5
EVF:ftG}iELN Pf1Rlf
P.I.N.s 10--24880-120-05
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee $50.0e
5urcharge $.50
"T"utal Fee $50.50
VVIV 11'1Nl0 1 Vf'f:
,
EMENT}
DECK
NEW
434 ALT.
}y??H %
?g$ ;po -?•.- ?r
RESIDENTIflL
??N?
n? ?? ? C
??
VYYI14GI7. - Hp p11.Gdfl L. '-
oHmAturv ooNALD
4322 LODGEPQLE C1R
EAGAN MN 55122
(612)454-8625
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4?0„50
cInr oF eaGAN ??? 14 #14 5830 PILOT KNOB RD - 55122
681-4675
New Gonstruction Reauirements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of ptan
? 2 copies of plana (Indude beam & window sizes; pouted fid. design; etc.) ? 2 site surveys (exterfor additions & dedcs)
• 1 energy calwletions ? 1 energy calwlations for heated additions
? 3 copies of tree preservation plan 'rf lot platted after 711193 ?
required: _ Yes _ o DATE: r CONS UCT OST:
?
DESCRIPTION F WORK:
STREET ADDRESS:
LOT BLOCK ? SU8D.1P.1.0. #: 4E-o? atfc' ?-
? r
PROPERTY Name• Phone OWNER ? :
StreetAddress:
City: ' ? State:? Zip:
?
CONTRACTOR Company: Phone #;
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGtNEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this applicadon and state that the information is
State of Minnesota Statutes and Ciiy of Eagan Ordinances. /
/
Signature of Appticant: °
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preserva6on Plan Received , Yes _ No _ Not Required
Penalty applies when address change
comply with all applicable
m EIVED
RP?? ? 7 1997
?Y• ?,?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? Ofi Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch n 09 12-plex
? 05 SF Misc. n 10 = plex
WORK TYPE
? 11 Apt.lLodging n
n 12 Muiti Repair/Rem. o
n 13 Garage/Accessory n
? 14 Fireplace n
p,"'l 5 Deck
40
A
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
a 31 New o 33 Atterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System ?
(Allowable) Main level sq. ft. Cfty Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 44 3U
Depth Footprint sq. ft. SAC Code C>
Census Bldg i
Census Unit 0
APPROVALS
Planning Building MI?7 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acot. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
?.
A CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: ` Buz?orN?
Permit Number: 029594
Date Issued: 0 3/ 10 / 9 7
4322 LODGEPOLE DR
IOT: 12 BLOCK: 5
EVERGREEN PflRK
P.I.N.: 10-24880-120-05
DESCRIPTION:
(GAS INSERT)
1 da.n[?3ermit Type FIREPLACE
1dsng: 'Wtrr;k Type NEW
434 ALT. RESIDEN7IflL
REMARKS:
? 4-4
?* „?"`"'"`e
4a^? ? ?3. ta 'N§ #`?S d iL s?? ?'w ??i?''?a '- v?
? +? ? 6,?i, ?',
??a.e. 4. ,
FIEE SUMMARY:
Base Fee $50.00
Surcharge _ $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FTRESIDE CORNER TNC 16331042 0001068 OHhiANN DON
2700 N FAIRVTEW flUE ' 4322 LODGEPOIE DR
ROSEVILLE MN 55113 EAGAN MN 55122
{e12} 633-1042 (612)454-8623
, y
I hereby ackno.u%?F?dge t1?at S hawe rea'ii th?.? app?l°icatxon and stats that th=e..
3rrfo,rinota.on is '-cor`rect ?n`d agr?e?4 °=carnp?.:y W?.thl, al.,l; :appl,i,cable'.State `of Mn.
, . a
? 5'Catutes and City Li
F ? 5
?r?,n R? ?rn?APPLICANT/PERMITEE SIGNATURE ISSU '. SI?, UtAE T
iq5q4
_ INSTALL GAS LINE ONLY
DATE• ? "? ?? - ?z ;7
DESCRIPTION OF WORK: ' CONSTRUCT NEW FIREPLACE
INSTALL GAS INSERT ONLY
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIItEPLACE PERNIIT APPLICATION
681-4675
OTfEER:
STREET ADDRESS: 4.3 Z- Z LCl p Cr c "6 l.. tE- DJf'. ?
LOT BLOCK ? SUBD./P.I.D.
APPLICANT: (circie one only) OWN?,R CONTItACTOR
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.
PROPERTY
OWNER
FII2EPLACE
INSTALLER
GAS LINE
INSTALLER
Name: ? }A 'Ai1 !a ?j Phone # `?? `*
Signature:
Street Address: 432-Z Lopy ? ?autr `p`e'
City: EliqCQ/Q A State: Zip: S-5-/J'Z'
- A lr eb B?7rLd'S???
Company: ??? ?'S>o0cr' e"?A/(t`)'L Phone #: ? a "?FS 63 Z5'G )
Signature: QK?.
Street Address38c-540' (,d^ N-Y ?/ License #: ?d 46 19
Cit?y, r, 43 -,? v ( t-\-'e State: M A? Zip: 1--5-33 7'
Company:
Name: _
Signature:
Street Adc
City: -
iff Q . /' 61,
PERMIT FEE: $50.50
ALTERATIONS TO EXISTING
Phone #:
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addit3on ? ?4 Repa'v
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
.
EAGAN T04dNSHIP
3795 Pilot Knob Road
SC. Paul, Minnesota 55111
Telephone 454-5242
PER141T FOR WATER SLRVICE CONNECTION
Date• August 24, 1971 Number: 693 /g--?
Billing Name:Tilsen Construction Co. Site Address; 4322 Lodgepole Drive, Eagan 55122
Owner: Billing Address
Plumber•
Location of Connectian Meter Siz X/ Connection Chg.280,00.pd 8/24/71
Meter No???.,=-oofy Permit Fee 10_no rd 11-10-71
Meter Reading. Meter Dep. .50 pd 11-10-71
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Building is a:
Residence xxoc
Multiple No, Units
Commercial
Is?dus tria 1
Other
Date
Remarks:
!_
(} j? .nil??} i:t .^pyD
$27.U1) nE'r?t.? . L
n?4yi'?rii:F`?;Lf
By:
Chief Inspector
In conaideration of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the ru3es and
regulations of Eagan Township, Dakota County, Mianesota.
By:
Please rtotify the above office when ready for inspection and cortnection.
C
t
EAGAN TOWNSHIP
3795 Pilot Kreob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE• August 24, 1971 NUMggg 855
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OWNER: Tilsen Construction ,4cldress 4322 Lodgepole Drive, Eagan 55122
PLUMBER TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industriail Comerciall Residential I Multiple Dwelling I No. of uniYs
Locatiou of Connections:
Connectioa Charge
Permit Fee 10.00 paid 11-10-71
.50 s/c 11-10-71
Street Repairs
Total
Iaspected by:
Date
Remarks:
By.
Chief Inspector
In consideratioa 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 Towraship, Dakota Couaty, Minnesota
By
Please notify when ready for.inspection and connection and before any portion
of the work is covered.
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LAND USED AS h?
Issued To
Permit No. Issued j Contractor Owner
BUILDING
PLUMBING
?
CESSPOOL - SEPTIC TANK
WELL '
ELECTRICAL
HEATING ?
GAS INSTALLWG
SANITARY SEWER
OTHER
OTHER
0
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
rOOTING ? . SFPTIC
FOUNDATION 00 CESSPOOL
FRAMING
f TILE FIELD FT.
F IN A L
ELECTRICAL ?- -
--/-
HEA7ING
GAS INSTALLATION
v
I DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL ? g? ??Q
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SANITARY SEWER iy (V
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Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF QBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONST.•',UCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
1-1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
E COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYTD BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
r?
64
CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
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'.(ggj?o. 2.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4322 Lodgepole Dr
Lot: 12 Block: 5 Addition: Evergreen Park
PID:10- 24880 - 120 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Donald G Ohmann
4322 Lodgepole Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA081940
02/12/2008
ePermit
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
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"2012-OR
1111 ,, mumIll
2012-06-1811:07
r In
1.1 I.v 111 r.,1 Vrll1
» 651975 5694
C!y of Eaaall
3830 Pitot Knob Road
Eagan MN 55122
Phone: (661) 675.5675
Fax: (861) 875-6894
1. 1111 11 11 11' 1 1 4 -1 - • fl u
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1
I 11111 111111
P 4/7
use mut or lil.AUK MK
For Mee Use
Permit tr: /o q
f2
Penh Fee: e - ac)
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
bete! [Q 16 ) Site Address:
Tenant:
�ti•r,'
iW ti°`
ec
suite l :
G71, Ohm (IA 4 Inns: LQS 1 i? Z:a3
License #:
Ctiy: —if:fa:AAA&
i.QIra glac-44)632
Rebuild _ Modify Space Work in R.Q.W.
m;
:1.
Water Softener
Add Plumbing Fixtures iMein / Lower Level)
Water Turnaround
RESIDENTIAL. FESS;
*60.00 MjnImum Water Heater, Water Softener, or Water Heater gad Softener (includes $5.00 State Surcharge)
660.00 Lawn Irrigation (includes $5.00 State Surcharge)
060.00 Add Plumbing Fixtures, Septic`Svstem Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
*Water Turnaround (odd $189.00 If a 5/8° meter Is required)
0105.00 E�tera New (010.00 per es built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
cAu,EigFqgE YOGI DIG. CaII Gopher State One Call at (661) 454.4002 for protection against underground utility damage,
Call 48 hours before you Intend to dig to receive locates of underground Willes_ www.gppheretateonecalLors
I hereby aakrq*Medge that this information $ complete sne acmtrate; that the work veli be in conformance cote► the ordinances end codes of the Qty of
intion-ax-a peep " .v1 IrlW1*Il-b0in--- -
=Mien=
with be approved pin In the
1 hcaseof work Mach rogteres a review end approval of pia
L'kL»1
1.
Applicent'e Printed Name
Applicant
1-07
2012-04-30 16:40
651975 5694
Pale 1
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use °'�
Permit #: 1 I) )-P
Permit Fee: % 0, 5
Date Received: 8Jaa) �3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
2-=Z ".rA Site Address: S Z (-) VII Dr-
Name: ICL:Dz3,,—, �r�yl�ly
Resident/
Owner Address / City / Zip:1‘17).-,. • ,A..sz
Unit #:
Type of Work
Contractor
Applicant is:
Owner Contractor
Phone:, 411 --
Applicant
-
Description of work: \ LQC
Construction Cos&.) -
Multi -Family Building: (Yes / No )
Company �>',,,!` ^� z•.l �ttact:
Address: t"%sc-�- City: CP i .�)
State:' Zip: `�' ` Phone: T-).1
License #: 3 � Lead Certificate #: ` 1 b3 J
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
sLkAD
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. 1l(�y�
� L `� Y� x
Applicant's Printed Name
Applicant's Printed Name
ApplicVs Signature
Appliknt's signature
Page 1 of 3
Page 1 of 3
Use BLUE or BLACK Ink
r--___------------
I For Office Use
Permit I n-1 ✓1 j
City of Eat(, I Permit Fee: I
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:9 - G" 13 Site Address: 4 3 ;L~;L L o d C- Pa,--C b r
~ Unit
Name: Phone: (DS H9 0'- 9 3
Resident/
Owner Address / City / Zip: 3 2 loo u ~o~ t= i vc ~a~ M ~5 I ZZ
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: iU Multi-Family Building: (Yes NoX~
Company: C-, a&C-N E CbN17TQQCTto-~ k r'-L- Contact: ar< G~ e e ,ns
Contractor Address: City: y
State: N Zip: Phone: CO - g~ 4-~ 4T
License Lead Certificate tT~ ✓
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St to uilding Code must be completed within 180
days of permit issuance.
x x
Applicant's Printed Name App icant's nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143702
Date Issued:06/23/2017
Permit Category:ePermit
Site Address: 4322 Lodgepole Dr
Lot:12 Block: 5 Addition: Evergreen Park
PID:10-24880-05-120
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Donald G Ohmann
4322 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:EA169340
Date Issued:05/24/2021
Permit Category:ePermit
Site Address: 4322 Lodgepole Dr
Lot:12 Block: 5 Addition: Evergreen Park
PID:10-24880-05-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Donald G & Ruth E Ohmann
4322 Lodgepole Dr
Saint Paul MN 55122--185
The Garage Door Doctor
24250 Beard Ave
Lakeville MN 55044
(952) 461-4427
Applicant/Permitee: Signature Issued By: Signature