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4333 Lodgepole DrCITY OF EAGAN Remarks Addition Evergreen Park Lot 25 Blk 1 Parcel 10 24880 250 01 oWner k.e-LC,--) Street 4333 Lodgepole Dr. State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK .1/ SEWERLATERAL ' WATERMAIN WATER LATERAL . WATER AfiEA STORM SEW TRK 323.00 C005511 8/6/80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGNT WATER CONN. 6425 HUILOING PER. 28 8 sac 240,00 11 12- 0- 2 PAR K • - :: 1072 Payne Ave. St. Paul, MN 55101 651/772-2449 GAS WORK ORDER . ' STANDARD 410 W. Lake St. b HEATING o Minneapolis, MN 55408 s6HEATIN & AIR CONDITIONING 612/824-2656 A Blue Do0 S i C ? . ervce o. EQUIPMENT INFORMATION LAST FIRST /r, c?? ?f? TYPE CITY stJ ZIP HM PH ?o?? - WK PH TECH L? ?2,., DATE ? MAKE ? MODEL SERIAL INPUT O AT TEST RECORD ..,, C02 S d % METERED INPUT CfFI CHIMNEY 1Y,QE .02 % LIMIT SETTING ° FLUE SIZE ? S ifl. CO °k PILOT OUTAGE i,/s7,4,<rrsec CONNECTOR SIZE in. NET STACK TEMP /// 0 TOTAL CHIMNEY INPUT " btUh ? EAGAN TOWNSHIP BUILDING PERMIT Owner ----...`?..........!---------------- --•----- ........... Address (Pneseni) &;;':.7-°---.... L .......... d¢ 9 ................. Builder .......?--.......•••••....----°-° - .....------------------------------ Address ......... DESCRIPTION xO# 2838 Eagan Township Town Hall 9-i?- 7Z Dale .... -.......................................... 5YOrias To Be Used For Fzoni DepYh Iieight Esi. Cos! Permi! Fee Remarka ,A-?-? "_"" ? I I al' 00 S ' 9 °? ? ? r? I?? LOCATION 3-& , " SirBel, Road or oiher DescripYion oI Locafion I Lo2 81ock Addition or Trac! -?3 3,3 A-ZJ This permit does not suihorue the use of streels, roads, alleys o: sidewalka aor does it give the owner or his ageat the righi !o erea3e aay situation which is a nuisaace or whieh presen2s a hazard !o the health, safeip, convenianae and general welfare !o anpone ia the communifp. THIS PERMIT MUST BE- EI$, P?TON THE PREMISE WHILE TIiE WORK IS IN PROG ESS. This is !o terlify. !ha!•-•-•••••....................... ............................. has permission !o erect a-- • -------- _upon - -- • - • the above described premise subjec! !o the provisions of the Building Ordinanee for Eag Township dopied April 11, 1955. .................°-..........:?":.t':"^r':.`.:."_--•-................................. Per ..................... ..A--:..... U...-.a ..... ...... :?.:.......:..._•-.......... Chairman of Tnwn Board Building Inspeclor ? ? EAA; %c VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.:_ pZA The Village of Eagan hereby grants to NeLl & ibbbas?d iisat'?.o.g.- of -99 Na Rae3la a Permit for: (Owner)- 9,11-6„ r=v+= tinn at ??'., pursuant to application dated 11 f1 Fee Paid: dated this 6 7 --,,,,gay of - bIOY °" l f 9._.,7,2__, 1.00 s/c Building Inspecto.r Iie;,hanical Permits: Bid Total. 1 X --------------, I Permit #: 3 74 l4 ? I ? Permit Fee: i ? ? Date Received: ? 2-3 ? ? I ? Siaff: I J ----------- ----- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: CUq"--'vU Site Address: Tenant: Sulte #: RESIDENT ! OWNER Name: C ? Phone: ?&61?'?? Address / City / Zip: CONTRACTOR Name: License #: ? Address: - City: State: ' Zip: ? Phone: VZ! Contact Person: ? TYPE OF WORK _ New ? Replaceme t _ Repair Rebuild _ Modify Spac _ Work in R.O.W. Descrl tion of work: rl PERMIT TYPE RESIDENTlAL ? Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C__ RPZ /_ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RES/DENTlAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State 5urcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State 5urcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State 5urcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ? ?j? e TOTAL FEES $ LJ i nereoy acKnowieage that trns Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gffy oi 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 accord wi X th the app?ved p an in the case ot work which requires a review and approval rns. I , X Appli anYs Printed Name Applic nY 2004 RESIDENTIAL BUII.,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 s Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on ReauiremenTS RemodeUFteoair Requirements r?istered site surveys showing sq. iL of bt, sq. ft oi house; and all roofed areas 2 copies of plan 3 (20% maximum lot coverage allowed) 1 set of Energy Cakulatior?s for heated additions 2 copies of pian showing beam b window sizes; poured found design, etc. 1 site survey for additions & decks t set of Enert?y Cakulatiais Addition - indicate if on-slte sepGc system M- 3 copies of Tree Preservation Plan'rf lot ptatted after 711193 Rim Joist Detail Options selecllon sheet (bldgs with 3 or less unils Date 9 I a 7 / ?y ` a Construction Cost Site Address -M3 L? epOle - Dr UniUSte # Description of Work / kQ ?'1'1 O C! e/ /? I? / o s?v 1! C'?'/ 1 e`'1 Multi-Family Bldg _ Y k' N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? A?" i? G/'c((1 QS Telephone #(esr )YS2^ p/J 6 ? 41 h& ?( d CD M 1'01 S? uC a Contractor / O I em h / Address State ? f es JJ -1 /v City C /?"16 Zip ?Sey 2 Telephone # (0! ) / OE Cel/t 6'.?l ?20F-6/7q7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal Vsntilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( 64 I hereby apply for a Residential Buildi.ng Permit and aclnowledge 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 pernut, but only an application for a pernut, 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. TC / 6h U 0 119'o?el? Applicant's inted Name Appl' s' ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bidg -)iC 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. 0 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N? 25 Miscellaneous Work Types 1CrrX-4-#ll'tiJ fl PVvn 0 c fU4;'- t-1 13 dl ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair X 33 Aiteration ? 37 Demoiish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bidg) - Give PCA handout to applicant Valuation .? C9> Occupancy MCES System Census Code ?T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const IIA ) Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) ? FinaUNo C.O. _/V Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice & Water _ F Roof Pool Ftgs _ Air/Gas Tests Final inal _ ?C Framing _ _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows X Insulation _ Retaining Wall Approved By: T? , Building Inspector Base Fee a-("ks ?-? Surcharge Plan Fteview MClES SAC ?? ° City SAC ,?.. f? ?1, ? ?'j 7 .? J( ? ? 0 Utifity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai RESIDENTIAL BUILDING PERMiT APPLICATION 3830 PILOT KNOB DEAGAN MN 55122 C), 651-681-4675 New Construction Reauirements RemodellRepair Reauirements • 3 registered site suneys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% mazimum lot coverage allowed) • 1 set of Energy CalculaGOns for heated additions . 2 copies of pian showing beam 8 window sizes; poured found design, elc.) . 1 site survey far exterior additions & decks • t set of Energy Calculations . Indicate if home served by septic system tor additions • 3 copies of Tree Preservation Plan it lot platted after 7/1/93 • Rim.loist Oetail Opcioru sefection sheet (bldgs with 3 or less umts) DATE ?? VALUATION j < < Y ? 51TE ADDRESS ? 3 33 . ?-Qu j? MULTI-FAMILY BLDG _Y TYPE OF WORK I?a 51 d-J2, FIREPLACE(S) _ 0_ 1 APPLICANT . W XN 2 STREET ADDRESS M I"LLkyr k At212-- CIN STATE m/1 ZIPJS TELEPHONE #((3I4'Z11 5333 CEII PHONE # FAX #?D???' `M 1??' U73(P PROPERTY OWNER TELEPHONE# &5 r COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category ?IINNE50"C:1 Rt.'I.L•'S 7670 C;\'1'EGORl' 1 yfI\NE VRL':Lls? 6?72?? (d submission type) • ResidenGal VentilaGOn Category 1 Worksheet Submitted • New Energy Code Worksheet Su¢mitted • Energy Envelope Calculations Submifled Q u-( 1? 20?2 ? It i?Jl1 ? Plumbing Contractor: Phone # 0,1 P1uRibing system includes: ?Water Softener _ Lawn Sprinkler Fee: 590.00 bVater Heater No. oF R.I. Baths No. of Baths Mechanical Contractor. Mcchanic.il sN,sccm includcs: Sewer/Water Contractor: A -kir Conditioning Hcal Rccovcry Syslciti Phone # Phone # Per. 570.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ?ances. Signature of Appilcant /(_ 14 - - --- - -- - - - -- - - - -- - --- - ---- - -- - ------ - -- - ---------- -- - - ---- - --------------- - - - ---- - ----- - - ---------------------------- - ------ -- - - OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 f 2004 RESIDENTIAL BUILDING PERMIT APPLICATION '3 City Of Eagan w tvll? 3830 Pilot Knob Road, Eagan MN 55122 ?-,_f 1 Telephone # 651-675-5675 FAX # 651-675-5694 ? ? New Conatruction Repuirements RemodellReoair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of bt, sq. ft. o( house; and all rooled areas 2 copies of plan Ged of Sunrey RaCd ' _ Y_ N (20% maximum lot coverage allowed) 1 set of Enertgy CalcWations for heated additions Tree Pres Plan Recd _Y _ N, 2 copies oi plan showing beam & window s¢es; poured found design, etc. 1 sRe survey (or additions & decks Tree Pfes Required _Y _N 1 sel of Energy Calculations Addition - indicate if on-site septic sysfem Qn-sife Septic System _ Y_ N 3 copies dt Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selecGon sheet (bldgs with 3 or less units Date i" L-.;- I Z-'l l OK ?-, ConstructionCost - /& G0Q Site Address 57 2 ZI ?., ? ? p ? 0 ?. ? Unit/Ste # k-) SS z Description of Work ' ;?c,%me l/ (l QII? S 100 k'vJ C " ? ? f.,J ?1 "?- rY ry Multi-Family Bldg _ YX N Fireplace(s) ? 0 _ 1 _ Z Property Owner hC%`-. K 9 hone # ( o () Contractor 0ppn15 [ Address Q(j. bo 222 ?? 13 y City ? State M ? Zip S S ? LZ Telephone # (65() 'f562 -9S5!?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A'NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submifled Have you previously constructed a building in Eagan with a similar plan? _ Y J N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( 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 pe ork is not to start without a ?Iw permit; that the work will be in accordance with the approved plan in t c of ork which requires a review and approeal of plans. Applicant's Prin d Name Applicant' e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 13 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06. 04-piex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32` Addition ? 33 Aiteration ? 34; Replacement Valuation 'L' jjGY_-ca Census Code ?i3y SAC Units -' # of Units # of Bldgs ? Type of Const _ Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation Approved By: _ :?, ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy /3 -:3 MCES System ? Zoning ;Z- I City Water -? Stories '-?-?Booster Pump ? Sq. Ft. 1 `)G PRV - Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. W Final/No C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ? /yc Permit Number REScheck Compliance Certificate 1995 MEC REScheckSoftware Version 3.5 Release lb Data filename: Untitled.rck TITLE: ADDITION CITY: Eagan STATE: Minnesota HDD: 798] CONSTRUCTION TYPE: Single Family DATE: 12/27/04 DATE OF PLANS: 12/I5/04 PROJECT [NFORMATION: GRAVES RESIDENCE 4333 LODGE POLE DRIVE EAGAN, MN.55122 COMPANY INFORMATION: ROOMS TO GROW INC. P.O. BOX 22207 EAGAN, MN. 55122 COMPLIANCE: Passes Checked By/Date Maximum UA = 46 Your Home UA = 34 26.1% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 196 38.0 38.0 3 Wall l: Wood Frame, 16" o.c. 364 19.0 19.0 9 Window 1: Wood Frame:Double Pane with Low-E 70 0260 18 Door 1: Solid , 11'-) 16 0.260 4 COMPLIANCE STATEMENT: The ed b ding design described here is consistent with the building plans, specifications, and other calculations submitted ' ?.?pe ' njumm, posed building has been designed to meet the 1995 MEC requirements in REScheckVersi ?1`tel e lb (form Cchec? and to comply with the mandatory requirements listed in the REScheckInspection Ch Buitder/Designer / / / // / Date S4 13 \ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 New Construction Reauirements • 3 regislered site surveys showing sq. ft. ot lot, sq. fl. of house; and all roofed areas (20°k maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; paured iound design, etc.) • 7 sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selectlon sheet (bldgs with 3 or less units) DATE -?? -1A .. ? RemodellRepair Requirements ?-- . 2 copies of plan ?c5? ? . 1 set oT Energy Calculations for heated additions . 1 site survey forexterior additions & decks • Indicale if home served by septic system for additions VALUATION SITE ADDRESS 12 ?33 4, oaPa -0 1 Y' MULTI-FAMILY BLDG _Y X, N TYPE OF WORK nIc-F FIREPLACE(S) A 0, 1_ 2 APPLICANT -T-h v ? s --, f- STREET ADDRESS S-7 ??7 ` I l 3 j` e?lJe. ? CITY GLuz?P ? STATE _?"ZIP TELEPHONE #76 -' CELL PHONE # 61d-- S&g ` ?j fQA> FAX # '-' PROPERTY OWNER <cifG e-a vu j E r?L?e 5 TELEPHONE #?- 1'S_ a a 73? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE50`1'A RUL,ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calcula[ions Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Iawn Sprink ? r? e?? .00 Water Heater No. of R.I. B - ? _ No. of Bachs ? ? AUG 0 8 2002 Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Phone # 00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 4? ? 4 A=-!.? . _- . ....._ ... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 Air Conditioning Heat Recovery System CITY USE ONLY L ?-? BL I RECEIPT #: SUBD. (J V'P Y C;,/l qoq?,y? RECEIPT DATE: I ci PERMIT # 20'00 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOH RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings A townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to exi tin dwelling - minimum fee Describe: -3??? $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ 10'-0 Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ a"O Septic System newlrefurbished " requi?es MPC lic. 75.00 X = $ SeptiC SyStem abandonment 30.00 X = $ RPZ new installation/repaidrebuild 30.00 X = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rfdwelling is underconstruction 3.00 x = $ Undergroundsprinkler if existing dwelling 30.00 x = $ Water doset 3.00 x = $ l?2) Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Water turnaround 30.00 x $ State Surcharge .50 --> ---> Total _> --> --> _--.> $ . SD Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicable City of Eagan ordinances -------------------------------------------------------- It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit w"thin City propertylrightof-way/easement. SITE ADDRESS: `'7 3'3 3 OWNER NAME: : ? CLLJ?-?II TELEPHONE #: ?S l 7X7,4 - (AREA COOE) lNSTALLER NAME: 2"ELEPHONE#: ?E6 ?i (,? ( REA CODE) STREET ADQBESS: -7 / 73? - V`'?.. d-? CITY: ST TE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY LOT 2a BL I SUBD. LOrleQh Park l PERMIT #: RECEIPT #: ?341? RECEIPT DATE: I OrUI/ QO 8000 MEGHANICAL PERMIT (RESID£NTIAL) C1TY OF SEk&AN 9$30 P1LOT KNOB gD f.AfiM biR 35122 Date: 651-6$I-4675 Complete this secrion onlv if you are installing HVAC in a sing:e-faanily dwelling, townhome or condo under construction and uot owner/accupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) _ Other State Surcharge .50 Total $ Complete this section ohlv if you are remadelinp, adding to, or replacin? an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New J? Furnace _ Air exchanger Reminder: Call for f:nal SITE ADDRESS: ? OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY X I Replacement S 30.00 PHONE #: - (AREA CO E) PxoxE #: ("7 ( a-- - (AREA CODE) $ 30.00 6.00 ? Air condirioning Other Fee State Surcharge Total S ATE: ZIP: JwY???-? SIGNA PERMITTEE LOT: BLOCK: ? SUBD./P.I.D #: F 1/=C' V??.e 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN < -R L0 . ? ? 3830 PILOT KNOB RD - 55122 651-681-4675 ? New Construction Reauirements ? 3 registered sffe surveys showing sq. ff. of lof, sq. ff. of house and all roofed areas (20% maximum lot coveraae allowed) ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) D 1 sef oF energy calculatlons a 3 copies of hee preservation plan if lot pioHed affer 7/1/93 ? Rim Joist Detail OpMons selection sheet (bvildinas with 3 or less units) ?.? ? I - 'i ?J(_ Remodel/Repair Reauirements 2 coptes of plan 1 set of energy calculattons for heated additions t site survey for exFerior addHions 8 decks DATE: CONSTRUCTION COST: ?70(DD? DESCRIPTION OF WORK: ??j YZL1U1"Yl ?'???s LJ If multi-family bidg., how many units? STREETADDRESS: ? 3 LC DCr-E Nlb LE [) ??_ 5-2--C7 3 E?-H Name; G-u?,lZi5 Phone #: 612 --257I - Q-lDh -w PROPERTY Last First OWNER StreetAddress: L"2L-L ?La 1) 1? City State: MA-,1_ Zip: Company: q+ Phone #: (area code) CONTRACTOR Street Address: license # Exp. City State: ARCHITECT/ qA- ENGI NEER Company: Name: Telephone #: ( ) Sheet Cify Zip: Registration #: State: Zip: 5ewerJwater licensed plumber (ff installina sewerlwater): Bi-Ati(I.DC lC YLV WB1U(i- PhOne #: ?I( 5 Z)Z6 1"-7-!Y-3 / I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinances. 5lgnature of Appllcant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No v._ Tree Preservation Plan Received _ Yes _ No _ Not Required ? NO1! _d v 2003 ? OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 31 New O 32 Addition g 33 Alteration ? 34 Replacement VALUATION Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 30 Accessory Bidg ? 31 6ct. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 42 Demolish (Foundation) ? ? 36 Move Bldg. ? 43 Reroof ? ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interiar) ' Demolition (Entire Bldg only) permit - Give PCA handout to applicant oJ O / Occupancy Zoning Stories Sq. Ft. Length Width INSPECTIONS REQUIRED MC/ES System City Water Booster Pump PRV Fire Sprinkiered 45 Fire Repair 46 Windows/Doors _ Footings: New Bldg X Insulation _ Windows - new/repiacement _ Footings: Deck _ FinallC.O. _ Siding _ Footings: Addition ? FinaUNo C.O. _ Stucco/Stone Foundation Fireplace: _ r.i. _ air test fmal Roof: _ ice & water _ final ?C Framing Pool: _ ftgs _ air/gas tests _ fma] APPROVALS Planning Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screened) El 11 10-plex 1619 Lower Level ?AII-l ? 24 Storm Damage ? 12 12-piex Plbg_Y or _ N 0 25 Miscellaneous Building /1-0?-_ Engineering Variance EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTIUN Date• September 12, 19Y-2 Number: 977 Billing Name: Tilsen Construction Co. Site Address: 4333 Lodgepole Drive Owner: same Billing Fddress Plumber: Location of Connection Meter Siz Connection Chg. •, 9/12/72 ? ./ ta.vo eof 1,,131.7 -. , Meter No. ?,5/7to-2 Pexmit Fee ,.sD If Meter Reading Meter Dep. Meter Sealed: Yes lAdd'1 Ghg. NO . [Totai Chg. Inspected by Date Euilding is a: Remarks: Residence xx 22ultiple A'o. Units $25.00 RE•iNSPECTION FEE FOR Commercial WROPERLY 1N$TALLED flIIETERS. Industrial gy; Other Chief Inspector In consideration of the issue and delivery to me ot the above permit, I hereby agree to do the proposed work in accordance wiCh the rules and regulations of 8agan Township, Dakota County, P2innesoCa. sy: - Please notify the above office when readq for iuspection and connecCion. EAGAN TOWNSHTP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: September 12, 1972 OWNEF.: -Tilsen Construction Co. PLUMBER NUMBER 1135 Address 4333 Lodgepole Drive TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIA ING Iudustriall Comanerciall Residential I Multiple Dwelling I No, of units xx Location of Connections: Connection Charge -0- ?p. c o d?':Oe If/13/-1'z- Permit Fee Street Repairs Total Iaspected by: DaCe Remarks• By Chief Inspector In consideration of the issue aiul 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 CounCy innesota B ? Please notify when ready for.inspection aud connection aad before any porCion of the work is covered. MASTER CARD LOCATION OWNER STRUCTURE AND ? + G A ? LAND USED AS Permit No. Issued Issued To ContracTor Owner BUILDING ?Q+ ? PLUMBING -- CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ? 7 9' AjA GAS INSTALLING SANITARY SEWER OTHER ?/ I OTHER cr7? i Ifems Approved (Initial) Date Remarks Distance From Well FOOTING ?p_2o - J SEPTIC FOUNDATION ?? , r? 7 CESSPOOI FRAMING L/15 ? TILE FIELD FT. FINAL ELECTRICAL HEATING /T -ZC7' DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER _ I - 7 - 7 ?,?-- ?i ViolaTions Noted on Back COMMENTS: Use BLUE or BLACK Ink r----------------� 1 For Office Use � 1 � � Permit#: ° �� � Clty of ����� ; , ,� � Permit Fee. 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� �a j� Site Address: �`�'�3 L`°l�e�°% �r Unit#: ' , = Name: /I ����'C— �J Y'���S� Phone: °Residentl � � = Owner �� Address/City/Zip: y33� ��>°C,�� �r �����, 5Y� � �- °K Applicant is: Owner �Contractor '. Description ofwork: �"e-�t �'2- Type of Work; � � � Construction Cost: �,�, �jG� Multi-Family Building: (Yes /No�) „�N, � f r;� �� �".. �,� :�� Company: /�.eSZ��I'C�' �n�'�r�7� Contact: �/t� �;�'Z�iraf' Contractor ' Address: L�.3�� ��D '`� S�- �v city: �s� ��v� ` : 6 State: n'//✓Zip: ��G�C� Phone: �l a i��j�ma: /1'LQ.S' �f'con s"'�r���zo��, �.�� 17a /iicr!/.co n, License#: .�L 6 7!'l53 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: �NOTE:,Plans and supporting do,cuments that you°submit are considered;'to be public information. ;Portions of : :the�nformatiQn ma�r be classified as non publ�c if.you provide spec�fic"reasons thaf would permit the`City to : t.,;� conc/ude#hat the ,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.ora 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_ /V L�-GC� i�,�ZC'��-a,�' X ApplicanYs Printed Name ApplicanYs Signa Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160461 Date Issued:03/11/2020 Permit Category:ePermit Site Address: 4333 Lodgepole Dr Lot:25 Block: 1 Addition: Evergreen Park PID:10-24880-01-250 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 - Ricky A Graves 4333 Lodgepole Dr Eagan MN 55122 (651) 452-0736 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature