4347 Lodgepole DrCITY OF EAGAN Remarks 6-8-71 WtY' COT1T1, pCl.
Additiop? E`vergreen Park Loc 27 eik 1 Parcel 10 24880 270 01
Owner - Street 4J47 I,Odg6p018 DT. State E8g3ri,MN 551221
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK -' 1 1973 175.00 8.75 ZO
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 26Q.Qo 679 6-7-71
BUILDING PER.
SAC
PARK
d
EAGAN TOWNSHtP
BUILDING PERMIT N? 2461
Owoer ._..o?........ ... ................................... Eagan Township
Address (Present) •°,?i..t...°?,F-?-! ........ .................................. .° Towa Hall G I?7`
Builder ....--••-°°--...•••• ...................•---°°-----°-...---.................................
Dele ....`,.?...-.......
•• -...• ••••••••............
Address
--......•--••••••••••••••........__ ........................•-°.........._°°----.....••••-
DESCAIPTION
Siories To Be Used For Fron! Depth Heighi Est. Cost ezmi! Fee Remarka
? ? ?? ?-? `3o a.?? `3a, °'-? °3i` ? ? ? ,?.?
U ' LOCATION
Slreel, Road or olher Deacripiion of Loealion
? Lo! Block Additioa or Tsaet
1l3 5l7 ? -7
This permit dces not auYhoriae !he use of stxeeis, roads, alleys or sidewalks nor does it give the owaer or his agea!
the righ! !o creale anp situalion which is a auisanae or which presents a haaard to the dealth, safely, eonvenieace and
general weltare !o anyone in the eommuniiy.
THIS PERMIT MUST BE aKE,RT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlifp, fha!.... e-?.---.?-? ............... has permission !o erect a.... _.......... . ..?.: .`.:Jupon
the ahove described premise subjec! !o the provisions of the Suilding Ordinenee for Eaga Town hip adopled April 11.
1855.
.?........ Q • •••••• . .....•--•.• ? f?*--?o?J
.................. _ ._...
`! ................ Pes .....-........................... ........-•--••-......9 P
..........................................
?/ ChairYnan of Tnwn Board/JJ ? 8uildin Ina eelor
? Taart oF EAcAri
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERMIT NO. 120
The Board of Supervisora hereby grants to i?iil _v ilubbard
H??ac, df 991 Vstrxh SnAfirg Ave, SC °aul 55104
.,..:
a 1iPermit for: (Owner) 'Cilsen Cotstriictzorz Co,
at _1437 F'slsnm, 'i'?`s), 's2a? zo 1+347 I'O,?esuant Co application dated
.; un, - t 5. 139 ?
Fee Paid: _$80 Ct) Dated thia 16th daq of June ? 1971 ,
Building Inapectmr
Ij
TOZ•7N OF EAG.1N
3795 Pilot Knob P.oad
Eagan, Minnespta 55121
PERMIT N0.
The Soard of Supervisors hereby grants toi.:. :?r.• ;.:. ?
of
a
Pex'mi.t for: (awner)
=. il san tr_ c';.
:?, .:
..
?
at '49= ` t: 3/=7
ursua
t C
li
ti
d
, p
n
o app
ca
on
ated
Fee Paid: Ji I?ated this
?•,'
?'.?? u day of '
197--
,
_.
Building Inspectmr
.? 76
n /
.
CITY USE ONLY
LOT o??I BL ? RECEIPT #: O I CI l5
SUBD. (? !1 0_.IY44v4'.M.' l?"au RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIN 55122
Date: (612) 681-4675
Complete this section onlv if you are installing HVAC in sinizle familv, townhome, or condos that are
under construction and are not owner /occuuied.
• HVAC: 0-100 M B T U $ 24.00
A.,r'DIT'IQNAT. 5(1 M RTLT 5.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if vou are remodeling, adding to, or repairing egistin¢ single family
dwellings, townhomes, or condos.
V/?Add-on furnace Ve*,- Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
SWte Surc:iazge
SITE ADDRESS:
SQ
Total: 20.50 "
I- .
OWNER NAME: ?YvAIl C?ls o n rHOrE#: ?/S?/- M'D 7
INSTALLER NAME: 14)0 4-5 S0 c4- 1643t aL2 /7'?- o?/?,?C PHONE #: y 3/ ` 7 D?2?
sTREET fwnxBSS: oc GC
cirY: Ala /.e 41a,G/ y STATEM/T zrp: SS?Io? z/ ! SIGNATURE OF PERMITTEE
,(j ?/
EAGF.N TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date• June 8, 1971
Billing Name:Tilsen Construction Co.
Owner: same
Plumber: Luecken Excavatine Co.
Ntmnber: 631 o7Z" I E•?'
Site Address: 4347 Lod¢enole Drine. EvergreenPk.
Billing Address same
ter Size'?/8 Connection Chg. 260.00 od 6/7/71
?O 'K -?-354 q ?
Meter Permit Fee 10•0Q d 7427471
.50 pd 7 27 71 s/c
Meter Reading Meter Dep.
Meter Sealed: Yes_ lAdd'i Chg.
NO ITotal Chg.
Buildiag is a:
Residencexoc
24ultiple No. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
$ L;;.CJ
????'??i?t?[i??.`?.1{`??•.`iFHL l,:`:?)
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accorda ith the rules and
regulations of Eagan Township, Dakota County inn ota.
By: F
Luecken Excavating C9.
Please notify the above office when ready for inspection and connection.
EAGAN TOUINSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Julv 27, 1971 NUMBER 838
? "7-?-/
OWNER: Tilsen Construction Go. Address 4347 Lodgepole Drive, Eagan 55122
PLUMBER Luecken Excavating Co. TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industriali Commerciall Residential I Multiple Dwelling i No, of units
Location of Connections:
Conaection Charge -0-
Permit Fee 10.00 pd 7/27/71
.50 pd 7127111 3`]c
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideration of the issue and delivery to me of the above permi.t, I
hereby agree to do the proposed work in accordance with the rules and
regulaCiona of Sagan Tormship, Dalcota-CounCy, ea ta
ay
Luec en Excavating Co.
Please notifq when ready for iaspection and connection and before any portioa
of the work is covered.
MASTER CAR,D
• LOCATION
OWNER
.
STRUCTURE AND
LAND USED AS GA ?c
Permit
No.
Issued Issued To
ConTractor Owner
BUILDING
C O
?
PLUMBING
CESSPOOL - SEPTIC TANK 2 r- dw-
V'JELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER g? I
OTHER
O7HER
•
Li
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING 'D 7 SEPTIC
FOUNDATION _ f ' '
a
=
? CESSPOOL
FRAMING --r
-- TILE FIELD FT.
F I NA L
ELECTRICAL
HEAl1NG
G1? ?
r DEPTH
OF WELI
GAS INSTALLATION I
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
. .
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN HYENT OF CBSERVED VIOLATIONS
•
PERMIT NO.
DATE OF INSPECTION
CONDITIONS OF CONSTRl1CTION AT THIS INSPECTION
? NO EVIDENCE OF NON{OMPLIANCE
OBSERVED.
? ACCEPTABLE SU85TITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
E NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
•
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances af the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I AlL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
owre
0
.Oiff.rp. 23
PERMIT # ?? ? 7 I
RECEIPT DATE:
2002 PoESIDENTiAL PLUMBIN6E PERMIT APPLICFcT10N
crrY oF EAsAv
S$SO PILOT K1Y0$ RD
E,e?aAu, Mx 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are requlred for each
SITE ADDRESS:
CARLSON,ERNEST
4347 LODGEPOLE DRIVE
EAGAN, MN 55122
(651) 454-8807
p? ? [? u dC?
?
? MAR 15 2002 D
OWNER NAME: :
INSTALLER NAME: N O r' ?p I d YVl ? ? U.hA?o! v?.t?
y?,?.
STREETADDRESS: 201 OS C?cL rf?cI d f?y?,yi
CITY:
L5.
TELEPHONE #:
(AREA CODE)
TELEPHONE#: b iZ"g27 J 4f033
SO WiA1 (AREA CODE)
STATE:
Mlk? ziP: 55H0$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ .100.00
includes $40.00 County fee
Note: Additional consultant fees may apply .
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplaCement/additional: _ water softener X water heater $ 15.00
State Surcharge $ .50
Total $ ( 5 .50
i hereby acknowledge lhat I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanPs responsibility to noGfy the property owner ihat the City of Eagan assumes no liability for any damages caused by the City during its normal
operatlonal and maintenance activities to the facilities constructed under this permit within City propertylri ht-of-way/easement.
?
L'' ?
SIGNATUR O PERMITTEE 1/02
AbbL-
City of EaRanon
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
? --------------- -
? Pertnit #. ?
I ?
? Permit Fee:
I ?
? Date Received: ?
I I
I Staff: I
I ---------- ---?
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I? ?-V C Site Address:) `7`'i
Tenant:
4 a Sfer vJ P,;l vlJ S75'l 'Z Z--
Suite #:
RESIDENT! OWNER Name: CI A-,J Phone:
fn) ,,` ?x?
/'`
`/?
0
-q
1
Address/City/Zip:
j
r c
-17 6--Q
4 t
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: k??
?
^
l7 a? Multi-Famil
Building: (Yes
/ No ?
Construction Cost
_
.
y
CONTRACTOR Name: - V? ?V S r License #:
Address:
City:?/v?C?GL State:4"q VLJ Zip: Ll
/? ?
C7?2
Ph
? 6T ??? 65C
t P
t
one:
--
on
erson:
ac
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Woricshee[
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
; NLJTE; iPlans aiiaf s'upporting dacume»ts that you submrt are°considered to be Aublfc informafion. Portibns of :
,
a ? ?i i? .- ?
the informafw
m
be
ifi
C+W to
l
d
o
th
id
f
t wo
ld
° I
bl
'
?
c
it th
if
n ?
ay
c
?;
ass
e
as n
rov
s ec?
i
?reasons a
u
n- u
r
c
e
e
p;erm
You
J° ir
_; conclutle_that ths %are trade secreTs.
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 pertnit, an work is not to start without a permit; that the work will be in
accordance with the approved lan in the case of work which requires a review and ap ro I of lans. ?
eL-
? X
Applicant's P n n t e d N a m e Ap ican Y s S i g n a t u r e
'Z
Page 1 of 3
- - - - - - - - - - - - - - - - -
For Office Use I
1* Permit
City of Eaaau
u Permit Fee: l - I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
r.r rrll 'f3 / 7 /Date: Site Address: `7 `"I !._-9('t, q_r P rf D e~ S Z°
Tenant: Suite
RESIDENT I OWNER Name: q rl A_J Phone: 1'O7
Address / City / Zip: L/ 7 r 72
Applicant is: Owner Contractor
TYPE OF WORK Description of work: nn
fi_d9.
Construction Cost.' l~0 d c Multi-Family Building: (Yes / No
CONTRACTOR Name: U c A r f, ~p License
Address:
City:C rySd u 1 `e State: _1, L'V Zip: Z-
Phone: 612 6 $ ~ 7 cContact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical 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.
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, an work is not to start without a permit; that the work will be in
ro o.
accordance with the approved plan in the case of work which requires a review and :PiiLan15
App
licant's Printed Name Ap icant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use y I
#Ikb ' Permit ° j
City of Ea
Rd~ I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
rn~~~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 -dam--1.3 Site Address: 2-13L/7 Lod l/ ,Dr Unit
Name: Phone: &SL5~~ 0 -7
Resident/
Owner Address / City / Zip: 2132 7 L 6,Je4e~ 4f
Applicant is: Owner XContractor
nn
t fb-
Type of Work Description of work: _ J
Construction Cost: Multi-Family Building: (Yes / No )
Company: / " l~, U S ~L, •LS rrN f-~,'r~ , , l.-~ Contact: Mews
I Address: 13 WD (~r~~ vu ✓ City: 1n.f 6
Contractor
State: Zip: Phone: ~~1~ ' 7!~ '~O c}
License 3 --)3~ / 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 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.clopherstateonecall.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 State Building Code must be completed within 180
days of permit issuance. /y~
X 'mil U r--, l' Egg x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132061
Date Issued:07/23/2015
Permit Category:ePermit
Site Address: 4347 Lodgepole Dr
Lot:27 Block: 1 Addition: Evergreen Park
PID:10-24880-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Patricia R Carlson
4347 Lodgepole Dr
Eagan MN 55122
(651) 454-8807
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132062
Date Issued:07/23/2015
Permit Category:ePermit
Site Address: 4347 Lodgepole Dr
Lot:27 Block: 1 Addition: Evergreen Park
PID:10-24880-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Patricia R Carlson
4347 Lodgepole Dr
Eagan MN 55122
(651) 454-8807
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
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