1374 Lakeside Cir? CASH RECEIPT ?
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIV6D
FROM
AMOUN7 $ I
& OOLLARS
?oo
? CASH ? CHECK
FOR
.?'^ "
BY
t../5 • ? .
U _, _ '-r Q?
NUMERICAL FILE COPY
BUILDING PERMIT
10431
Receipf #
Site Addreu ; '-2C' . ` Erect
, • ?
lAt ? Block Se'/Sub. Remodel
?E•-- - ?. Z
Rwnalr
Parcel No.
W Name
; Address -
? City Phone
f?
°u?
H
ClTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Esgan, MN 55121
PHONE: 454-8100
Phone
Nxne
Addreas
Name
Address
Phone
Oxupsncy
Zoning
Type of Conit.
Add'Rion ? No. Storiea
Move ? Length
Demollsh
? _
Depth _
Int Impc ? $q, Ft. _
Instell O
APOmvab FNs
Assessment
Woter & Sew.
Polict
Fin
E^9•
Plonner
Permit
Surcharpe
Plan Review
SAC
Water Conn.
Weter Meter
Countil Road Unit
1 hereby xkrawledqe tlat 1 have read this applicotion ond stote thot eldg. Off. n 2 ?,.. . Tr. PL
fhe inlormotian is correct and agree fo comply wifh ofl opplicoble A? ??
Stab of Mirmesota Stotutes ond City of Eoqan Ordinonces.
Var. Date C?i?
Siqnoture of Pemwtta
Total
N Buildinq Permif is issued to: ?•???'' on fM exprqs tordifion Ihot
oll work sholl be dorn in aeaordanu with oll applicoble State of Mlnnesota Srotutea and City oS Eaqan O?dinoncas.
Buildinp Offlcid
Pwmit No. PKmk Holda Dift TeIeDhone ?t
Plumbinq
H.VA.C.
ENctrio
Soitsnwr
Inwection Date Insp. OthK
Footln9s I
Footings II
Foundatlon F
Freming
Roofiny
Rough Pfbg.
Rouph Htp.
Insul.
FIrep1aG
Fleal Ht9.
Finsl Plbp.
Ffnal
Cert/Occ.
Watsr DKaibe Location:
Well
Sow*r
Pr: Disp.
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING ?ERMIT
T. L. ....A a.. "( :
?OU.00
sirsnadrea -- ? 4 ' ?-Ijnr CIRGLr
Lot BIoCk Se'ISub. C;? LL
Parcel No.
W Neme
? Addre
9 Name
SAME
10432
Reteipt ?
rL._ . . .. ?.? ?
Erect ?l
Remodel ?
Repair ?
Additlon ?
Move ?
Demoliah ?
Int Impr. ?
Occupencv -
Zoning
Type of Const.
No. Storiss _
Length
Depth
Sq. Ft.
?
u Addran Assessment Permlt
I
1- City Phone Woter a Sew. Surcharpe ?-
G
? Pol ice Plan Review
Name Fin SAC
U13 Addrm Erq. Water Conn
trZi City Phona Plonnwr Water Meter
Council Road Unit
I hercby acknowiedfls that I how read this opplication and stote thwt gldg. Off. 6. Tr. PI.
the inlormotion is correct ond cgree to tomply with oll appJicoblie
A?
P
?
SMM of Minnewto Statutes and Ciry of Eagon Qrdinancas 8
8
Vsr. Date
Slqnotun of PennittM ?p1eS
?1i'r!'` Total ?
A Buildinq Pennit Is isswd to: on the expreu caditlan Ihat
all work sholl be done in acoordanco with all oppilwble State of Minnesota Sfatutes a?+d Gty o3 Eaqan Ordinances.
Buildinp Official -
Pnmit No. Pamk HoWw Dob Telephone ?t
Plumbinq
H.VA.C.
EMcMc
Softww
Iropection Date Insp. Othw
Footings I ? S
Footinys II
Foundatlon
Frami??
Roofing +
Rou?h Plby.
Rough Htg.
Insul.
Firoplace
Final Htg.
Finsl Plby.
Final
Cset/Occ.
Water Dycri6e locauon:
Ws11
Sswer I
Pr. Dlsp.
CITY OF EAGAN
« .. 3796 Pilot Knob Road Eogsn, MN $5122 N! . 4655
PHONE: 454-6100
BUILDING PERMIT
rn Ir umd Lwe !Aex
Site Address
Lot Blxk $ec/Sub. -?j-z:2..? ? Parcel # a Name v. I
3 Address ' 5 L$rChwood ;oT.
o • =::3
?
Name
Z'V
?I Address "
F- r:.., " a z?_
Name
Receipt # -
n_`_ . . ,- . . 1J ,
Erect Ej' Occupancy A
Alter ? Zoning 1 '
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish 0 Front ft.
Grade ? Depth ft.
Approvols Fees
Assessment _
Water & Sew.
Pol ice
Fire
Q Ciry Phone Planner _
Council _
I hereby acknowledge that I have read this application and state that gldg. Off,
the informat-ion is correct and agree to compty with all applicoble APC
State of Minnesota Statutes and City of Eagan Ordinances. `
Signature of Permittee
Permit '
Surcharge - '
Pion check
SAC
Water Conn. -• ? ` '"
Water Meter
I ui.Ju
Total
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with ull applicable State of Minnesota Statutes and City of Eagan Ordinonces.
Building Official
R '
PenhM # Dab luued
INSP.
Final
DaFe I Insp.
Remarks: -1- /9- 70"
CITY OF EAGAN
3796 Pilot Knab Rood
Eogen, Mienesota 65122
Phone: 454-8100
PERMIT
Date:
20. 1978
Site Address: 1374 1,a;ce s i de L) 7C .
Lot Block Sub/Sec. _ ?-
Ncme • _
.
; Address
0
City TL31 7?•`' Phone:
Nome
.
? Address
e
s
City _ Phone:
This Permit is issued on the express condition that all work shqll be
Minnesota Statutes and City of Eagan Ordinonces.
No.
Receipt No.: 19706
Single
Residentiol
Multi Res., Camm./Ind.
-,,-.New/Alter./Repoir. Cost of Instcllotion
Permit Fee
Surcharge
- ,,
Total
done in accordance with all applicable State of
/ Building Official
CITY OF EAGAN
3795 Pilot Knob Roed
Eagan, Minnesofa 55122
Phone: 454-8100
Date:
Site Address:
Lot
1376 Lakes.i.
Block Sub/Sec.
Nume
.
; Address
O
Ciry 'T?:?? ?.'311_E3y Phone:
Nome .,?.;,.._ .,? G-i - Pi:? . V, "
-
.
?
g Address
e
? .
City Phone:
, This P rmit is issued on the express condition thnt all work sholl be
Min sota Stotutes ond City of Eagan Ordinances.
pril 20, 1978
PERMIT
No
Receipt No.:
Single I
Residential
Multi Res., Comm. / I nd.
New//\Iter./Repoir
Cost of Instollation
Permit Fee
SurcFarge '
Totol ? done in xoo?donce wlth oll oppliwble State of
Bu;lding Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 434-8100
Date:
PLL':'!:;l'•1r _ PERMIT
April 10, 1978
Site Address:
Lot Block Sub/Sec. _
t-rS
Nome
.
; Address
0
C?ry -?'? le ?Ta 1 ].e ?? Phone:
Name -..,-7y3n PIuT!:}d,i•:%
.
?
g nad.ess
?
0
V
City Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statutes and City of Eagon Ordinonces.
?_-
No. I '17 5
Receipt No.: Single
Residential
Multi Res., Comm./Ind. 1` d liP I P t
New/A?Iter./Repair. Cost of Instailation
r) r,
Pertnit Fee
Surchorge
Total done in accordance with all applicable State of
Buildirq Officiol
CITY OF EAGAN
3796 Pilot Knob Road
Eogen, Minaewta 55122
Phone: 454-8100
' - PERMIT
Date:
Site Address:
Lot Block Sub/Sec
Receipt Na
Single
Res+dentiol
No
Multi Res., Comm./Ind. 2 dup1P_Y.I
Name
/Repoir
New/Alter
.
.
.
3
llddreu
Cost of Instollation
O
,Jle Valle,%
City Phone:
'
Permit Fea
?nz-R}?an
Name - Surchorye
.p
Y
?
- •
.
? ? 1,..?_ .
. . .
?.
AddfC55 . , . , . • . , . .
C
V ?r
•
City Phone: Toto l
This Pertnit is issued on the express condition thot all work shall be done in accordonte with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
?-
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Road
Eogan. Minnesota 35122
Phona: 454-8100
:tnl cQftGT1.eT'
Date:
Site Address:
Lot ? Block ? Sub/Sec. 1,at
Name
? _
; Address
O
City Phone:
Name
.
zo Address _ i veT^.a'OCC3. "'x'j •_
e
0
v
City Phone:
This Permit is issued on the express condition thot ali work shall be
Minnesoto Stotutes and City of Eagan Ordinances.
PERMIT
No.
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
Permit Fee
Surcharge
Total
done in ucrnrdance with cll applicable Stute of
Building
CITY OF EAGAN Remarks
Addition CHES MAR lst ADDITION ____Lot 3 BIk 3 Parcel 10 17100 030 03
Owner c.roo+ 1374 Lakeside Drive State Eagant MN 55121
3@S1 e rive
.? '
1 376 nrmr rv
Improvement Date Amount Annual Years u5 Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN 5EW TRUNK 1973 281.61 14.08 20 9• 57 10010 5-21- 5
* SEWER LATERAL 1977 4459.03 297.27 15 1 11
* service stubs 1977
WATERMAIN
* WATERLATERAL 1977
* WATER AREA 1977
* STORM SEW TRK 1977
* STORM SEW LAT 1977
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 460.00 9046 2-13-78
BUILDING PER.
SAC
PARK
Of EAGAN
Pilot Keob Road
, MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: '
Address:
1 , ITY OF EAGAN
? 795 Pilot Knob Road
gan, MN 55122
? oning:
ner: '
?, ddress:
Ite Address: 1374 lumber. agree to eompl?r with the City of Eagan
rdinanoes.
f OF EAGAN
i Pilot Knob Rood
n, MN 55142
ng:
,r.
vss: _
Address: '
iber.
ir No.:
No.: Connection Charge: ?3'1•?`7 y'
Account Deposit:
rr No.: Permit Fee: '
e to oomply with the City of Eagon Surcharge:
onces. Misc. Charges.' ,
Total:
Dote Paid:
of Insp.: ? . -_. Insp.:
SEVI/ER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: = -
Connedion Charger 00 ti
Account Depasit:
Permit Fee: Surcharge:
Misc. Charges:
Total:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
F
.?
.. ... '.1
. NO. Of Ur11C5:
Connection Charge:
Account Deposit: _
Permit Fee:
$urcharge:
Misc. Chorges: -
Total:
Dote Poid:
I nso.:
ler No.:
+ee ro eomply wiHi fhe City af Eagon
nonces.
of Insp.:
V9
, r
41
?
CITY OF EAGAN
37f5 Pjlot Knob Road
Eogan, MN 55122
Zoning:
Owner: _
Address:
Site Address:
Plumber.
I agree to comply with the City of Ecgan
Ordinanaes.
By
Dcrte of Insp.:
I nsp.: _
Connection Charge: ` -
-? .-
Acwunt Qeposit:
Permit Fee:
Surcharge:
- Misc. Chorges:
- TotoL•
? Date Paid: _
_
, CITY OF EAGAN 10 4 31
N°
_
? 3830 Pilot Knrob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 4548100 ?
s2l
BUIIDING PERMIT Receipt g
Te M med Fe. DF.CK Est. Value 700.0 0 Dote .7tiNF. 91 , ?q__?u
Sitenddreu 1376 LAKESIDE CIRCLE Erect l}? Occupancy
3 3 ? CHES MAR 1SR
Lot Block ec/Sub Remodel ? Zoning
. Repair ? Type of Const.
Parcel No. Addition ? No. Stories
Move ? Length
Z Name JAMES & ALYCE BENSON Demoiisn ? Depth
? Address 12131 RICH VALLEY BLVD lnt impc ? Sq. Ft.
City ROSEMOUN'Phone 451-6498 Instau ?
$AME
o AOVrovale Foes
Nama
Addreaa Assessment Permit 13 _ 0?
? City Phone Woter 8 Sew. Surcharge
G
W Police Plan Heview
Name
?W Firo SAC
-U Addresa Erp. WeterConn.
?
si W City Phone Plonner WaterMeter
Courrcil Roed Unit
I hercby ockrwwledga fhof I hove read fhis aDDlicotion ond stote thot 81dg. Off, fi 21 8 Tr. PI.
fhe inlormofion is correN ard agree fo wmplY with all applicable APC
StaM of Minnesoto Sto utes an Ciry of Eo an Ordironces. Pa?
Ver. Date Copies
Siprwture of Pertnift
? ALYCE BENSON
A Building Pertnit Is issued to: Tatal 13.50
on fha expreat CAnditlan thot
oll work skwll be done in q¢O
r7Re wif all oppl
iwbla Stote of Minnesoto Stotufes ond City o3 Eayan Ordinoncea.
o
?
/
?
Bulldinp Officiol ?? -t?;
' CITY OF EAGAN N° 10432
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 4548100 F
BUILDING PERMIT rteceipr #
Te M med far DECK Est. Value 700.00 pote JUNE 2 19 85
SiteAddresa 1374 LAxES IDE CIRCLE e.ea ? acupancy
Lot3_elock 3 Sec/Sub. CHES MAR 15T Remodel ? Zoning
Parcel No ReDair ? Type of Conrt.
. Adddion ? No. Stories
Move ? Length
Name .TAMF.G P. AT.V CF RF.NRON
Demolish ? Depth
=
i Addreas 12131 RTCH V T. ..g BLVD I
t I
?
? n
mpr. Sq. Ft.
city RORF.Mn[iNT phone 451 649a Install ?
? Approvals Fees
u
3p
?
f
Neme SAME
Address
City _
Phone
Name _
Address
City Phona
Assassment
Water 6 Sew.
Police
Firo
Erq.
Plonner
Councll
I hemby ackmwiedgs that 1 have mad this opplication and srote that gidg. Off, 2 $
tha inloimotion is correcf and ogree fa wmply wifh all opplicoble A?
StaN of Minnesoto Stotute5 a, nd_??Ciry af Eog n Ordinanuz.
y-?
Si oturo of PermiMM ???`-" Var. Date
Permit 13 nn
Surcharge .50
Plan Review
SAC
Water Conn.
Water Meter
Road Unit _
Tr. PI.
Parks
Copies
A B Idi Permit Is i? ?YCE BENSON ? me etxl 1 ?- r'0
M pren cordiflon that
all work shall be done in eccordcyt* wfth oll apqlimble Stote of Minneaoto Statutes and Ciry oi Eapen Ordironces.
Building Officiai
CITY OF EAGAN
3795 Pilot Knob Road" Eagan, MN 45122 N9 4655
' PHONF: 4548700
BUILDING PERMIT APPLICATION $58 Receipt # 9046
To be used for Dupiex Esf. Value ?000. Dote Feh, 13, 19 78
,
Site Address 1374 & 1376 Lakeside Cr Erecr occuPancy i
Lot-3_ Block3_ $ec/Sub. ?'hn-?t,aa ?Msr T_ Alter ? Zoning RII
Porcel # 10 17100 030 03 Repair ? Fire Zone 3
Enlarge ? Type of Const. v
? Name Gabbert Dev., IIIC. Move ? # Stories
z 3735 Larchwood Dr.
q?r??s Demolish ? Fmnt $2 ft.
o
CiMinneton a Phone Grade ? Depth 22 ft.
? Nome To e son B drs Aow"a4 Fees
- - -
uQ ?rew 13816 Holyoke Ln
w
:`-Anole Vallev
? .- "`--
Nome
Phone
Assessment Permit 152_50
Water85ew. Surcharge 29-00
Police Plan check
Fire SAC 1000_00
En9. --- Woter Conn. 460 _ OQ
Plonner WoterMeter 120_00
Council
I hereby ocknowledge thot 1 hove reod this apDlication and state that gld Off,
the infarmation is correct and agree to comply with all appiicable APC Totol L7fi1.50
State of Minnesota Statu?te(s nd City of Eogon? /rdinan s./J
Signature of Permittee.L'[ ???t-??l..l??
A Building Permit Is issued to: -T0112PsOn B1dtS on the express condition that
all work shull be done in acwrda , witk_alliap cable State of Minnesoro Stotutes ond City of Eogon Ordinances.
Building Officiol
d _. _
This rcquesl void 18 monlhs from 0?J°1 36
/
D'a e of this Request P 67 8 41
I, as 65,1?icensed Electric
cal wiring installed Contcactor ? Owner, do hereby request inspection of the above electri-
at: 67,`P'Q'?-?'l?Yl.C-6
Street Address or o`? ufF-_1To?L2r_74
Section `-
Which is occupied
Range County
Is a ruughin inspection required on this job? No D Yes ? Ready Now ? Will Call ?
Power Supplier Address ?LY
Electncal Contractor Contractor's License No.-
(COmpany Name)
Mailing Address
(Electrlcal Contractor or Owner Makln9 This Installatlon)
Authorized Signature Phone No.
(Eiectrical Contractor or Owner Making This Installatlon)
CU?p? c?, ???? Thisinspectionrequestwillnotbeacceptedbythe
?j ?) State Board unless proper inspection fee is enclased.
This request void 18 months from
Date ofjkis Request P 6 7 9 0 5
I, as E7Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: -
c5l 3 g` 9/" m s?
Street Address or Route No. r3411 `1-4 71, K Q.?"Gy/
Section Township
Range.County ?'?u
Which is occupied by
Is a roughin inspection required on this job? No ? Yes 19--- Ready Now ? Will Cali 93--
Power Supplier o&--k Address c'
ElectricalCoRICK ELECTRIC ContractoisDU6"._
(COmpany Name)
MailingAddre$,y3R13 HIrH DRIVF BURNSVILI F
(Electrical Contractor or Ownar Makln9 ThIS Inrtallation)
authoriied SignatGrARY KENDRICK PhongM _ 503h
(Electrical Contractor or Owner Miking This Initailitlon)
??Q?? ?? ???? This inspection request will not be accepted hy the
0 State Boerd unless proper inspectian fee is encloud.
Mmnesota State Hoartl ot tlectncity
HA4 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ' • 11?5k REQUEST FOR ELECTRICAL INSPECTION P 7?
CHEC?K BELOW WORK COVERED BY THIS REQUEST
Type ot Building New dd. Rep. Check Appliances W'ved For Check Equipment Wired Fm
Ho?(?, ? ? Ran ? Temporary Wuing ?
Duple$ ? ? ? Wat tei ? Lighting Fixtures R-
Apt. Bldg. 0 ? ? Dr Electric Heating ?
Commercial Bldg. ? ? ? Fu ce
AID Silo Unloadei ?
Industrial Hidg. ? ? ? A'u ond Bulk Milk Tank ?
Fazm ? ? ? I.is[ 1 List
Othex
?
?
? p }
Heiersl p
Aehels#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: Ok Fee Fceders&Subfeedas: # Fce C'vcuits: # Fce
0 to ] 00 Am s. 0 ta 30 Am res 0 to 30 Am eres
]Ol to 200 Amps. 31 to 100 Am eces 31 to 100 Am res
Above 200_Amps. ? Above 100 Amps. Above ]00 Amps.
Transformers 1 1 RemoteConttolC'uc. Paztiatorothecfe
Si s 1 1 Special lns ection Minimum fee 55.
Remaxks
T07ALFEE
I, the Electrical Inspector, hereby ? tha Ce vb ction has been made. gl, eCj
(Rough•in) Date sLY-2 y
(Final) ?4_ Date ? -11-zY
This request void 18 months from '
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
q Cl ,
New Construction Reauirements RemodeVReoair Reauiremenis Offm Use OnN
3 registered site surveys shaviig sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey ReW _ Y_ N
(20°/a maximum lot coverege allowed) 1 set of Energy Calculations for heated additions Trea Pres Plan Real _ Y_ N.
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N
1 set of Energy Calculatbns Addition - irMicate Xon-sde septic system On-site 5eptic 5ystem _Y _ N
3 copies of Tree Preservation Plan rf lot platted aker 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date ft / An / a oC'J y- Construction Cost II, ___001 00
Site Address 1-2j 7 Y- G.YJ I E> -7 {? Z-4 Kfy ?_: UniUSte #
Descriptiono(Work 1V1F_w vrn?YZ-
Multi-Family Bldg ?Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner D ?N N ti?.e DO K I37& Telephone #( U
sr 5 -??s
Contractor T6C_ CoNS7dLUC770/,J
naaress ! 2-O q ?E_ ( 3_?)_ AJ i?> S_T, city !? v/e/VS U/GLk
State /Y/ Zip .553 Telephone # ((j l,_?) 7S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and aclrnowledge that the informa " - urate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
? ?? ?6E6?_ vAJ_(?)
ApplicanYs Printed Name pplican ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25, Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinallC.O.
_ Footings(deck) FinaUNo C.O.
_ Foorings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina? _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Shtcco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
12 ?
BUILDING PERMIT APPLICATSON
Include 2 eets of p7.ans. 1 eite plan w/elevations and 1 set of,energy calculations.
To be used for Valuation
19'7? q- > • ?
iem
Site AddY?Ae; #-ft ?c2/e4.?v?i
I,ot Hlock Sec./Sub.. Parcel Nwnber
3 3 ChPs Ma P-- /o «i?d o?o D3
Owner "D ? ?. )0Telephone
Address ,./?y7)35
f?IIAIA)ATO.f?/10.?
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Address
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OFFICE USE
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Repair
L'nlarge
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nemolish
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OFFICE USE
Date of Approval & Initial
Assesament a/J"17?
vaater/Sewer
Police
Fire
Eng.
Planner
C7ouncil
Rldq. Off,
A.P.C.
Occupancy
Zoning
Fire zone 3
Type of Const.
# of Stories -
Fzont BoL?
Depth 2 ,2 ?
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Permit /sd ?-
5urcharge $ ?
Plan Check
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R[GI/i[M[D UMDER LAWS OF lTAT6 OF N11(NdOTA
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Lot 3,81ock 3,Chea Mar Firet Addition,
Dakota County,Minneeota.
Ar aurtvsreo sv M6 TMIE 13th, o?Y OF Jan. A,o, 1978
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L? ? BL ? RECEIPT #: I L? ?? ? 1
SUBD. l.Vl.(Ai I r l" -+-_= RECEIPT DATE:
1999 PLUM$INfi PEiMIT (RES1DEN17AL)
crrY oF e,keAN
S$SO P1LOT KNOB RD
EEkfiRN, MN $5122
(651) 6$1-4675
,, single family dwellings
Please complete for: 6'
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Qam c;:n Q 3.00 x t = $
Floor drain 3.00 x = $
GeS i in oUtlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
I Lavato 3.00 x = $
I Minimum fee alterations to existin dwellin 30.00 x = $ °
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water ctoset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --> ----> ----? $ •
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
------------------- -------------------------------------------------------------------------------- •-----------------------------------
I hereby ackn-owledge that I have read this application, state that the information is corred, and agree to comply with all appiipble Ciry of Eagan ordinances.
It is the appliqnCs responsibility to notify the property owner fhat the Ciry of Eagan assumes no liability for any damages caused 6y the City during its nortnal
operational and maintenance activities to the facilities consVUCted under this permit within City propertylrighl-of-wayleasement.
, SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: to ? TELEPHONE #: 61a;?
STREET ADDRESS: CS Cc ?? ?c??I a'1 ?! 1?
CITY: J'? ie• l??iE•_lc?
CD/PERMIT FORMS/RPIBG PERMIT (RES) - 1999
NOTE:
V
1985 SUILDIHG PERMIT APPLICATION - CITY OF EAGAN
ALL CONTRACTORS NUST BE LICENSED 1fITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
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To Be Used For: ? C
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Da
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o
Site Address: 13 1 q Y?J6s....?• C?++Y? OFFICE USE ONLY
Lot: ? Black „3 Sect/Sub CQcd...,, 1;4, Erect _ Occupancy
Remodel Zoning
Parcel # Repair i Type of Const
n,n ?-I?7
Owner ? fJ. ? ?xx•1cc T• ?s.?- Addition
Move + I! of Stories
Length
?(]nr Demalish Depth
Address Int.Impr. i Sq Ft
City/Zip Code 5-S61.P Install
----------
----------------------
Phone APPROVALS FEES
Contractor ST? Assessments Permit w
1 3 S
Water/Sewer _
Surcharge =
?
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off 6-?1-35 Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address 1374 TOTAL
City/Zip Code SS?? Z
??+? .- --'-- ----
Phone #
.4
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
` INCLUDE 2 SETS OF PLANS
() Q I a?? 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
c` (y, c,e.? ?.??
To Be Used For: ?/cc(? ?.- (,?X??"'- Valuation: 1?16O.Oa Date: L- a a-gs
Site Address: J3716 l,w? OFFICE USE ONLY
Lot: ? Block 3 Sect/Sub
Y-
Remodel ?
Parcel !1 Repair ?
Addition
owner ? f? . ? ? T • ove
ipT _
Demolish
Address 3.131 ?Yy U Int.Impr. _
Install
City/Zip Code }? ----------- ---.
Phone ysl - G479 APPROVALS
Oceupancy
Zoning
Type of Const
11 of Stories
Length
Depth
Sq Ft
FEES
Contractor Assessments Permit
Water/Sewer Surcharge
Address ? Police ? Plan Review
City/Zip Code
Phone
Arch./Engr. lg.? ? .e??
Address ? W)lo f=" cs;-L
City/Zip Code
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment Pl
APC Parks
Variance Copies
TOTAL
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3830 PILOT KNOB ROAD. PO. BOX 27199
EAGAN, MINNESOTA 55121
PHONE (672) 454-8100
March 20, 1985
MR DAVID GABBERT
3735 LARCHWOOD DR
MINNETONKA, MN 55343
Dear Dave:
BEA BLOMQUIST
Mayw
THOMASEGAN
JAMES A SMITH
JERRV THOMAS
THEODORE WACHTER
Cauncil Member5
iHOMAS HEDGES
CiTy Atlminshator
EUGENE VAN OVERBEKE
Qry Clerk
The following addresses and parcels are duplexes as permitted by Eagan City
Code 1111. Each unit has its own sewer and water service and were constructed
in compliance with the State Building Code in effect at the time the permits
were issued.
1374 Lakeside Circle? Lot 3, Block 3, ChesMar #1-
1376 Lakeside Circle Lot 3, Block 3; ChesMar 01J
(Building permit issued 2/13/78)
1390 Lakeside Circle Lot 2, Block 4, ChesMar 111
1392 Lakeside Circle Lot 2, Bloek 4, ChesMar !11
(Building permit issued 4/13/78)
1252A Dunberry Lane Lot 2, Block 1, ChesMar 115
1252B Dunberry Lane Lot 2, Block 1, ChesMar ll5
(Building permit issued 5/14/79)
1263 Dunberry Lane Lot 4, Block 2, ChesMar IIS
(Building permit issued 10/2/78)
If you have any questions, feel free to contact me.
Sincerely,
Q440Y`.6?'w/ r r?
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
rTTY fJF EAGAN
('ASNIr(i: S 1'EIiMINAL.. N0: 874
DATF..a 03/25/`.:j9 T7HE: 1.::3:28.40
FL1-
NAMEa Fi A UNG;ERMAN COF!'.i Cf.l 'J:MC
c".i.,SS 3001 1374 I..AKG:iIDF_ 7.50
3210 3001. 1374 I_AI:FSIDE 25:1..25
r
Tota:l Fer..pip+, qmoun+,u 258.75
CR Ln4?9r
USEii :I:Li: NFlNCY
-?6 , .
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034882
Date Issued: 03/25/1999
Site Address:
1374 Lakeside Cir
Lot: 031 Block: 03
Addition: CHES MAR 15T
Description
Sub Type: Single Family
Work Type: Fire Repair
Description:
Census Code: pddition/Bsmt fin/Decks/Porch
UBC Occupancy:
Construction Type:
Zoning
Squ?a?;e Fee??:s?
Remarks: ,
Fee Summary:
Valuation: $15,000.00
State Surcharge
Base Fee
7.50
251.25
$258.75
Contractor: - a,PP,,cant - Owner:
R.A. Ungerman Construction St. Lic.: James Benson
4450 Nicollet Ave S 1374 Lakeside Cir
Minneapolis, MN 55409
f612-825-2800 Eagan,MN 55123 651-469-2161
?
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.
Signature
PERMIT
?Iisued By: Signffiure
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
651-681-4675
New Constmction Reouirements
Remodel/Reoair Requiremer?ts ? ? 9 ?
? 3 registered sita surveys showing sq. k. of/of, sq. 1t. ofhouse ? 2 wpies ot ptan
and all roofeC areas (20% maximum lot aovereae allowed) ? 1 set of energy calculations for heated addifions
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions & decks
? 1 set of energy calculations
? 3 copies of tree preservation plan'rf lot platted aRer 7/1193
DATE: 5 1'?5! FI CONSTRUCTION COST: 4 )51000
DESCRIPTION OF WORK: F1 RE J7A MA-Lt -k) caA , '
STREET ADDRESS:
LOT: b3 l BLOCK: d? SUBD.lP.I.D. #: ? vv? d'-n
;? I '
Name:_ I7En1Se? ?Rr-y\ CS PhoneN: Lt?j? - ZI ? I
PROPERTY last F??
0'"'NER
Strect Address: 13 7 LI1 L--AK E S IO E `jr-LL?. '
cttN sta«: _ rn N---- z;p: S 5' , 2_3
? u ?1 t. ? JYl Ai? ? ? ST Ph?ne # - `".? -------
---
Compam: L N
CONTILICTOR ,
Street Address: 0 L (_ -T h-216- 5_ Licensc # ? z 3 2_Exp. ____
Cip, - /??---- State: _1Y1 -/-/?N . G?
ZiP: 1_-----
ARCHIT'EC'f/
ENGINEER Compan}': _ Plione tl;
Name: Regisvauon H:
Sheet Address: ?
City Statc: Zap: ?
Sewer 8 water licensed plumber (reauired for new construction onlv):
Penalry appiies when address change and Iot change is requested once permit is issued.
I hereby acknowiedge that I have read this application, state that the
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
is correct, and agree to comply with all applicahle
- Not Required
f.
OFFICE USE ONLY °
BUILDING PERMIT TYPE
D 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling C 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4-sea)
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition 0 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood 5tove ? 45 Fire Repair
y`?k 34 Repair ? 38 Demolish (fnterior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge -7 - ?
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• ?7 S
Valuation: $
SAC Units
PERMIT# bo
RECEIPT DATE: k1 "p 1
RUIDEPTIAL PLUM$Iftfi i'EitM1T APPLICATIOA
crrYoF EAsm
saso Pu.or Kvos sn
swe,aiv, Mx ssiEa
651-6$1,4875
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 13^IL ?-KGSt ol? CrG1e_
OWNER NAME: : ??d I ?n ?Brao ? TELEPHONE #: ?'?1 "' ?52 ^ 315 g
(AREA CODE)
INSTALLER NAME: '?-1<0? YV?C? 1/P? '{7nd1?' TELEPHONE #: `LS2? Cf53-?IL?{ 3
STREETADDRESS: I7
qZ4 Cvadlancl -p
lcm (AREA CODE)
CITY: ?4C__UIIl STATE: MN ZIP: SSOchl
Plaea a rher.k mark nerT tn the eermit work tvoe
New residential dwetling unit under construction and not ownerloccupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: ?ll `^fc•..kr
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Insoector fees
• requires MPC license
State Surcharge $ •50
n ?
T
otal
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
1 hereby acknowledge fhat I have read this applicatlon, state that the information is correct, and agree to complywith all applicable Ciry of Eagan ordinances. It
is the appiicanfs responsibility to notify the property owner that the City of Eagan assumes no Ilability for any damages caused by the City during its normal
operational and maintenance acGvities to the taciliGes wnstructed under this p 'wil in City propertylright-of-wayleasement.
JNATURJE O PERMITTEE
Updated 1101
?I?r?e Scr?? ?nore
?'I'I ica-fi?ns _ ?/e. LYe-
en ly J ?Q?{ I I
?
a5z- ?'s3-ym?3
; .
CITY OF EAGAN
-p- '2 7-Go - 3 -
BIIBJECT:
APPLICANTL
LOCATION:
ESISTING 20NING:
DATE OF PIIBLIC HEARING:
DATE OF REPORT:
REPORTED BY:
WAIVER OF PLAT (DIIPLE% LOT SPLIT)
JAMBS AND ALYCE HENSON -dr/
LOT 3, BLOCR 3, CHES MAR i8T ADDITION
R-2 (DUPI,ER)
JIINS 6, 1989
?SAY 18t 1989
COMMONITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARY
An application has been submitted by James Benson requesting a
Waiver of Plat for lot 3, block 3, Ches Mar lst Addition. The
duplex lot split would allow individual ownership. The existing
duplex meets setback requirements and separate utilities are
provided for the duplex.
If approved, the Waiver of Plat shall meet all code requirements.
/l POND
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(CITY OF E" u N ,.• ••? ? ^ µ • •^
C050"00
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0 WELL
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Certificate for:
Gabbert Development
?
DELMAR H. SCHWANZ
lANDSVRVEVOR
Reqisbratl UnOar Laws ol Tbe Sbta of MinnatOta
7978 - 145TH STREE7 W. - BOX M ROSEMOUNT, MINNESOTA 66068
SURVEYOR'S CERTIFICATE
Bk: 50/34
PHONE 812 4231789
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Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use Z I
I Permit City of EaMR
I Permit Fee: V l.o' I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 Site Address: Unit
Name: Phone
Resident/
Owner Address / City / Zip: -
Applicant is: Owner Contractor
Description of work: & Z 2 KS ~ A) 9,U j~ e
Type of Work /~5
Construction Cost:
46 _ Multi-Family Building: (Yes /No Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License 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 ANEW BUILDING
I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? s
_Yes ,_No If yes, date and address of master plan:
Licensed Plumber: Phone:
I 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.oopherstateonecall.oro
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 t?Ap* ate Building Code mu completed within 180
days of permit issuance.
x 54W61;~~ ,
Appli t s Printed Name s Sig natur
Page 1 of 3