1357 Lakeside Dr? CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUNT $ I
& DOLLARS
too
? CASH ? CHECK
!' ?. .
?? • B Y
NUMERICAL FILE COPY
r ! f CITY OF EA"N
3795 Pi1et Knob Road Eagee, MN 55122
PHONEs 454-8100
BUILDING PERMIT Receipt #
Fbi- V.;I.m nnfe
Stre Address ide l.r.
r}Tr•? r??;.
Lot Block Sec/Sub.
Parcel #
cc Name
W _ ::•w Ur.
3 Address _
o •
NOme a R}Imnr Ree1 tTT_pr
,O
o5 Address i?'' "i d8e Blvd,
V ? '4' 4100
Name _
Address
I hereby ackrawledge tF,ot I hnve read this applicotion and stote that
the information is correct and agree to comply with oll upplicuble
State of Minnesoto 5tatutes and City of Eagon Ordinonces.
5ignature of Permittee A Building Permir is issued to:
Erect 13'
Alter ?
Repoir ?
Enlorge ?
Move ?
Demolish ?
Grade ?
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Counci I
Bidg. Off. -
APC
N2
4792
19
? . --
1
Occupancy
Zoning
Fire Zone
Type of Const.
,# $tories
Front - ff.
Depth ft.
Fees
Pertnit ' . 50
Surcharge 33.0
Plon chetk
5AC
Wnter Conn. e
Woter Meter ` "? • ??
Total
ITlCi
on the express conditwn thot
all work sholl be done in actordonce with ell applicoble State of Minnescta Stntutes and City of Eogon Ordinances.
Buildinp Officiol
.
,
. _,
leneM # Dah Iswd Pennittes
Plumbing 00,
Mechoniccl
. -l?? . 23? ? / ? - /3 • Jj' ' ,L-il?a.Lif'i Cf-k- .
INSPECTIONS DATE INSP. Rpu
Min Find
Footings "- ?1
.` • y
pote Irop. Date Irap.
Foundotion
Plumbing --
?
Frame/ins. Mechoniool i/-?
?_ 77
Finai ?
Remarks: /????>to? •
r,> ? o e
fw,,,,?p
?r? ro n e,
? ?? ?
? ? J9,IT- reg?e,s??
CITY OF EAGAN
3799 Pilot Knob Road '
Eagan, Mlnneeofa 55122 T.T'? 7•-11'17-'€?
Phone: 454-13100
PERMIT No.
70 ;a
Dote: Receipt No.:
$ingle I
Site Address: 1.177 Residential
1 I
Lot 7 Block L Sub/Sec. ?? `%r Multi Res., Comm./Ind.
Name F;OIIse & Hc7'e R9aIt]7 r I11C.
e Address 12441 r.dVer R2dup- 11-.d.
?
City Phone: ^94-4110
N e `'t*K?1'?CFlT! ?!l?dt?.Sl?%
?
? Address
c
City ` Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto Statutes and City of Ea9on Ordinances.
New/ Alter. /Repair
Cost of Instollntion
X
7!1. ??
Pe?mit Fee
Surchurge
Toto I ?
done in accordance with all applicoble Stote of
Building Officiol
- _ ? cinr oF EAcaN
3795 Pilot Knob Rood
Eagan. Minnesota 55122
P6ene: 454-8100
?'?,'?P•Sf_', I' 1.^- _ PERAAIT No.
Oate: A-+a9ust 30, 1978
Site Address;, y 57 Lakeside Driva
,
Lot Block ' Sub/Sec.
CM I
Glllota
Name
? Address 3209 Brookvi?w :--r e
City .,?r-: ;ville 55337 _ phone:
Name C'r ?rlleri & Soris P1ulrlbitZg 1,1C.
.
? Address • c, l , •? : =' . . ; t.' e
0
V
City Phone:
yhis rmit is issued on the express condition thot all work shall be
' nesota Statutes and City of Eagon Ordinonces.
Receipt No.: "
Single I
Residentiol x
Multf Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
PeRnit Fee ;, ?• 00
.50
$urchorge
Totol °
done in accordance with all applicoble State of
Building Official
7--INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: „ z; i tti ?,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,.. ? i!t uN , i ?.,, , ;? ? , . ?. ? ;•;?
t?; •, rn.lir i?-? I c?:, 1.,? i*t i?' t; ???;•s
PERMIT SIJBTYPE:
TYPE OF WORK: ; I, A I i
nNOr,?41r'"CIUN 1.0. & KE KOac,f
INSPECTION D. . D.
?
L
-1
I
.?.
Permit Holder Date Telephone #
PLUMBING
HVAC
inspectlon Oate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 9.-io
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
L_
CITY OF EAGAN Femarks
Addition f:HF.S MAR ict AD?MIoN Lot-7 _ Rlk 1 Parcel 10 17100 070 01
Owner !?, "- Street 1357 Lakeside Drfve State Eagan, MN 55123
Improvement Oate Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK aa 281.61 ' '
* SEWER LATERAL . U-28-18
*
WATERMAIN
* WATER LATERAL 1977
* WATER AREA 1977
* STORM SEW TRK 1977
* STORM SEW LAT 1977
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 9960 5-12-78
BUILDING PER. #4792
sAC 500.00 9960 5-12-78
PAR K
. ?
CORRECTIFON NOTICE?
? .
.
35
Address
Owner/Agent
Owner/Agent Address
Ordinance Nos. and Corrections - Correct By
' p
?i??/?!.L L 'Y! ?? ?{/?/ - y7 •
For reinspection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
DATE: ? r
Site Name
Inspector:
Dept.:
WATER 3ERv ICE PERMIT
cirr oF EAaAN
°.795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122
?
DATE: -
Zoning: No. of Units:
-
Owner: -
Address:
Site Address: ---
'.i .???.... . .. . . . -
Plumber:
Meter No.: - Connection Chorge: -: ,
Sfze: - Accaunt Deposit:
Reader No.: Permit Fee:
I agree to eomply with Hhe City of Eagon , i
Surchorge:
-,a pa
Ordinances. . .
Misc. Charges: ,
Total:
gy Date Paid
Date of Insp.: _ Insp.:-
_
to oomplr with the City of Eagan
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
?
Connection Chorge: _ i
Acwunt Deposit:
Permit Fee:
?
Surcharge:
Misc. CFarges:
Totol:
Dote Paid: _
mmnesota state tsoard ot tiectncity
795,4 University Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELECTRICAL INSPECTION ? 93611
C1`iECK BELOW WOKK COVERED BY THIS REQUEST
Type o[ Building New Add. Rep. Check Appliances W ved For Check Equipment Wired Fox
Home ? ? Rangc ? Temporary W'ving ?
Duplex ? ? El Water Heater ? Lighting Fixtuxes ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commerciai Bldg. ? ? ? Fumace ? Silo Unloader 13
Industrial Bldg. ? ? ? Air Conditionec ? Bulk Milk 7ank ?
Fazm ? ? ? List List
Othei
0
?
? p
Heiers?
Re6ers
COMPUTE 1NSPECTION FEE BELOW
Semice Entrance Size: # Fe?,'. feed &Subfceders: # Fce C'vcuits: # Fce
0 to 100 Am s. 0 Am eres 0 to 30 Am etes
101 to 200 Am
Above 200_A o 100 Amperes
Above 100 Amps. 31 to 100 Am ces
A6ove 100 Amps.
Transfonnecs 1 1 Remote Conlrol Cuc. Pattial o[ olher fee
Signs 1 1 Special lns ection Minimum fee $5.00
Remazks TOTAL FEE 40.50
I, the Electrical Inspector, hereby t??, ove i pection has been ma .[/p. 6a
(Rough•in) Date
(Final) ?- • ?? Date
This request void 18 months Gom
-?This request void 18 months from
?
?..
Date of [his Request October.3
I, as 91 Licensed Electrical Contractor ?
cal wiring installed at:
?-/ /dte?,?
o, 1978 C4tAal,? P 93611
Owner, do hereby request inspection of the above electri-
Eagan
Street Address or Route No. 1357 Ldkesl de City
Section Township Range counry Dakota
Which is occupied by Des i gn-A-Home ( James 6i 11 oth )
Is a roughin inspection required on this job? No ? Yes CA Ready Now ? Will CallX]
PowerSupplier Daknta PpWpr Address G,rm;„?+.,
?
?A ?36431
ElectricalContractor f.hanhacSPll E1P..C?N1CrIt1C Contractor'sLicenseNo.-
(COmpany Nama)
Mailing Address
Authorized Signature
SUl8 ? BURD V` 0py
No. 474 5431
This inspecVOn request wiil not be accepted hy the
State Board unless praper inspection fee is enclosed.
cInr oF eaGart
3795 Pilet Kno6 Roed Fagan, MN 55722 N2 4792
PNON[: 454-8100
BUIIDINGi PERMIT APPLICATION
66
000 Receipt {p 9960 _
$
.
,
%T,&•
Te ba used for SF Dwlg. S Attpt DaTe M8y 12 19 78
.
Site Address 1357 Lakeside Dr. Erect ff Occupancy i
7 B k 1 Ches Mar 1
/
1 qfter ? Zoning Rl
Lot OC
1
?
07 3
1
0
0 OL Repair ? Fire Zone
Parcel # V
Enlarge ? Type af Co nsf.
c Nume Ja[ttes Gillot8 Mwe ? # Stories
3209 Brookview Dr. Demolish ? Front 59 k.
? r?
Add 64
tlu
i
Ci nsV e 890-4552
Phone Grade ? Depth ft.
o Name HatLc< F Home?teal ty Ittc
ot5 Address 12443 River Ridge Blvd. Assessment
?? Burnsville ph? 894-4100 Water & Sew.
Police
?w Nome Fim
4? Address En9•
a'Z" Ci Phone Planner ?
Council ?
I hereby acknowledge thot I hove read this application and state that gldg. Off.
the information is correct und agree ro compiy with oll applicable .
?
ity ?of E,?gan Ordin nces.
Stote of Minnesota Smtutey-nd C APC
--
nMUre of
Sf ?
g o t€aYty Inc% .Iames Gilloi
A Building Permit is iss to:
PC
.
' on
'
oll work sholl be done in acmrd ? e with a ii State of lylinnesoto Statutes and City ol
Building Offlciol
?,?¢--' APProvala Fces
Permit 103.7U
Surcharge 33.00
Plan check 500. OC).._
5AC ---2rj8: 80
Woter Conn.
Woter Meter 60.00
Torol 1006.50
a
he express mndition that
Eagon Ordinonces.
CORRECTION NOTICE
I
Address
Owner/Agent
Ordinance Nos. and Corrections - Correct By
DATE: ?2 `/V ) 7
Site
? i . 9 e ? 1 .? A s
For reinspection
Eagan Dept. of Inspection InSpeCtOr:
3795 Pilat Knob Rd.
Eagan, Minnesota 55122
454-$100 Dept.: -
CITY USE ONLY
PERMIT #: 41? I7 RECEIPT DATE:
?-,z;,O I
R£SIDENTIAL MECHA.IVICAI. ?EftM1T APF'I,ICATION
crrY og eneAN
SSSO i'ILOT KNOB IiD
EAfiAN MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 9lao%l
SITEADDRESS: 1367 ARkESwr OQ
OWNERNAME: .EMF"En_C-L2 TELEPHONE#: 6. 86 - OS/SS/
(AREA CODE)
INSTALLER NAME: `kI.EN 2t7- ?tYf7inY? aiQ ro.,e , TELEPHONE GSI- Y9*- 9d'9j
(AREA CODE)
STREETADDRESS: yf31 Otn SJtl[6y 'YOA*.eo1n /JVuI 'o aoO
CITY: A--A617n1 STATE: 'r+'rN. ZIP: 5S/X2,
nv? ?4L ..G ..r ?.. &Le .w.i# . ..r4 tiina
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
. furnace replacement fi ,N:, .
• air exchanger
• air conditioner ; ?.
• other :
U2
A
N
t
f
k
I<
?
a
ure o
wor
:
s./a
F L- - ---- -
State Surcharge $ 50
TOtal $
Reminder: Ca![forinspections.
SIGNAT RE P PERMITTEE
I
i
Upda[ed 1/Ol
PERMIT
CITY OF EAGAN
3830 Pilot.Knob Road
Eaon, Minbesota 55122-1897
(612) 681-4675
PERMITTYPE: gucLozNG
Permit Number. 0 3 3 3 6 2
Date Issued: d 9 J 2 2/ 9 8
SITE ADDRESS:
P.T.N.: 10-17100-070-01
1357 lAKE5IDE DR
LUT: 7 BLOCK: 1
CHES MRR 1ST
DESCRIPTION:
T.O. &
0:;?.??,_.
Bu?a?ld?n-g„Permit Type
13Kitt4in9l4c?rk T,Ype
Cc}'Ci'e
.f??.: .. _ VY-
??'
J?' .xr
a ?t
?
?.? 'T t p . - pjk
:ag Y
`u4?1'_h 'g+L'SCa4J
`gie_ iH ?` .IFIN'?u°tz?z?R4°:An
REROOF
STQitM DAMAGE
REPflIR
434 flLT. RESIDENTTAL
? k?A , ak2is? ?°'v°?+6+a dY?PV'r'4 .mR?m A a?r} a(PiGf wR_i?? %6e'?St
C'a C E5? Us 4I t' 'im tM1 ? ?s a?5 'N`?1? 3?
i? F kl?. }^i ? fet YL '5il t^6 '?'9 .LF?LC 3i si} 9((
3?
REMARKS:
FEE SUMMARY:
P014NTWTcqN=+T & ROOFINGPyi14928998 2010224 7 OWDNER: EMIL
145111 EVERGREEN TR 1357 LAKESIDE LR
APPLE VALLEY MN 55124 EA6AN MN 55122
(612) 432-8998 (651)
? ? ,L her2b?+ ?,?a'Gk3itawl?S?9;? ?l13 ?; I
I; arfifor,m?ti??;,.zs earrk?t`??rtd,` iSCati)??"§ ?r3dIl?i t? Er?=y?tT.l
fiBtue read .?h? s`a-1?Pl?c?.t'ES?Y? aYtd- that'. the , I
t?"re,e to"epltmpl?. with app?;;??ab1?;5.toto.';o'?'Mn.
„
APPLICANT/PERMITEE SIGNATURE -?-USUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 ?
681-4673 ? - ? a -
New Canstrudion Reauirements
? 3 registered site surveys
? Z copies of plans (inGude beam 8 window sizes: poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservatwn plan 'rf lo$ platted after 717l93
required: _ Yes _ No
DATE: 911(_1,19R
DES PTION OF W
STREET ADDRESS:
LOT: -I
RertrodeVReoair Reawrements
? 2 copies of plan
? 2 site surveys (exteriar addkians & decks)
? 1 energy calculations far heated additions
CONSTRUCTION COST; ?D.c!a
BLOCK: 1,_ SUBD./P.I.D. #: YV\G/` 1 '
V?A l; L
1
E #
Name:
e I
W :
Phone
PROPERTY Last First
OWNER S
Add
j r s J? `
e-K es
d
o
h i
treet
ress -
1
'
-
Ciry Stare: mJI) Zip:
4
r #
?
0"V1E' O2M
Company: 0
J :
_
n
? Phone
CONTRACTOR , ,,, ? ? ? `?1`? ) U??? J/1
License
Street Address: j y 5
Cit
&&I ? State: /// ?V Zip: q
y
ARCHITECT/
ENGINEER Company: Phone
Name: Regishation #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chanc
I hereby acknowledge that I have read this application and state that the infortna oNis corre t an ag e to comply with all applicat
Sfate of Minnesota Statutes and City of Eagan Ordinances. ? ? ?
Signature of Appiicant: v -- - -
OFFICE USE ONLY u
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
nATE
HUILDING PERMIT APPLICATION
Znclude 2 sets of plans, 1 sfte plan w/elevatfons and 1 set of energy calculations.
To be used for
Doa'lA/?z tf-
Site Address;
Lot Block See. Sub,
Ocvtler :l ?ic<m7!¢
? Address 3?7-o`r' I?/'CWA dra-? a2
aoe?s?, SS3??-
Contractor ffovSc f {?inE a-tEz7 /t?
Address /?s??? •oG< d<-v?v
(?<??P/VS??/L?C F7N S 5 3 3 7
Arch./En9•
Address
OF
Valuation
Parcel Number /0 P71DO 070 aI
Te2ephone , N., - ?/ s S -2- -
Telephone
qselephone
OFFICE USE
Erect Ll-?
Alter , A
Repair
Enlarge
Move
i7emolish
Grade..
OFFICE USE
Date of Aoproval & Initial_
Assessment I/ dL • /7? ____.
water/Sewer
Police
Fire
Eng.
Ylanner
oouncil
Rldg. off.
A.P.G
OccuPancy /
Zoning A)
Fire Zone ?
Type of Const.
# pf Stories
Front
Depth
FEES
,pezmit 63?-
Surcriarse
orian Check
SAC ' S? -
167ater Conn. R31?
Olater Meter
TOTAL l /46.2(O '
3 !5
At-
64
Ccrti Fic;zscc: .'ar:
txouc^ -; Homcs 3uilclcrr., Tnc.
12443 I1v:-r Fif;^e LL.
$_u2':1(:yl11Cy Mr.. 9j33;7
DELMAR H. SCHWANZ
LANDSVRVEVOR
FaqisteraE UnGOr Laws of TDe Sbb of Minmiola
2878 - iCSTH BTHEET W. - BOX M ROSEMOUNT, MINNESOTA 65088
\
SURVEYOR'S CERTIFICATE
I ol 4 0'v/
PMONE 612 423-1789
SCALE: 1 inch ? 40 feet
?- Drtsinage & utility easettrnt
R=608.35 -1 10 " "' i heroby certify thmt this ia a true snd cor.*.•ces;
? 6=1058'0e" representatian of Lot 7, Block 1, CHFS f.AR
FIR.",T ADDITZON, aocorciing to thc rccordc3d
plat thereof, Dakota County, Piztni.zot%.
.r ? .: -----
? Also eriouinG thc location oP a propo^c.1
houae as staked thereon.
DnteE.: Ma,y ti, 1973
' . .'ESOTA REGISTRATION PoO 8625
^ertificate .°ar:
.}{ouse & Y.omes 3uilders, Inc.
12443 River Ridge Lr.
Bizrnsville, Mn. 55337
DELMAR H. SCHWANZ
LAND SUFV EYOR
' ReqistereE Untlar Laws of Tne Stale 01 Minnesota
2978 - 745TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068
\
i ?oo
Fg.
M a? I 26"+
?IC
j , 'r)til it}'
f =a ll easement:
PHONE 612 423-1769
J
SCALF: 1 Sncn m 40 feet
w
0
a
0
0
_
N
O
N
LOT 7
vz
; SA o .
, PqOP?s HoVS£ f?
W i .?
1/ , .
G ?
j0
SURVEYOR'S CERTIFICATE
W
It
a
N
2
\i04 01
? 1i'L\I
?? nti y
^ K
oQ
6 ?
/ o
0
- - - - -? a ??9o`'
48.04
a
_ Crain3ge & utility e3sement
?-
- 20.90 N870I6'51"w ° i Yiereoy certs_fy tha: tnis .'.s si ?rue and corr•ert.
R=608.33 ? ?
? 6=105e'0e" rep: esentat! on or . I,o+ . 7, 3, o..Y l, CHFS Mi+R
p'T::S,'f ADD'T?0.d, scr,or•ding to the r-eco^dec
6 A-Kc?__ pl3*_ therenf, Dakota Cour,ty, Mir+..e-ot<i.
A) se e,.o'.+ing the loratic, cf a propoae,'
viouse as staxed therson.
Dared: May :y, 1976
,
?"%'.
?
MINNESOTA REGISTRATION N0.8625
lE0 MURPMY
MAYOR
TMOMAS EGAN
-' MARK GARRANTO
JAMES A. =M,rH CITY OF EAGAN
TMEODORE WI.CXTEP _
COUNCIL MEMBEN'J
9793 PILOT KNOB ROAU
? EAGAN. MINNESOTA-
seixz
?XONE 4e4-eloo
?aK-1?
October 10, 1979
Mr. Jarnes Gillota
1357 Lakeside Drive
Eagan, NIDI 55123
RE: SES^lEh !!1Pd9HOLE
? lOr 7,CHES MAR 1ST
Dear ttx. Gillota:
TMOMA9 XEDGE9
CIT AOMINIlTRATOM
ALYCE BOLKE
CITY CICRR
The Eagan Water and Sewer Depaxtirent has inforn-ed me that while grading and
landscaping the rear of yaur lot, a City sewer manhole was covered with earth.
Tte City must have the top of the manhole flush wi.th the final grade. If this
is not done, the City of Eagan will have to do it ancl the eost chaT'med to the
land owner.
Please oontact me at 454-8100 ar Jce Connolly at 454-5220 if you have any
questions.
Sincerely,
,
?__ •-? Y-, ?, ? ,
Dale S. Peterson
Buildinq Official
DSP:tlp
cc: Jce Connolly, Water & Sewes Dept. Foreman
Hearth & Hane Realty. Inc.
12443 River Ridge Blvd.
Buxnsville, MN 55337
TME IONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
Use BLUE or BLACK Ink
For Office Use _ - - - - - -
j Permit M v ~A
City of Eap, 1
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I~
Fax: (651) 675-5694 1 Staff:
v
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: qld / Site Address ,'G72 Zegk 's; de Dr(V" Unit #
Name: FA cf Feded r` Phone: 46-1- 6g6 -o`7,S-z1
Resident/ i
s owner I Address / City / Zip:
i
Applicant is: Owner Contractor
Type of Work Description of work: ~127a F' ~Cstl- ~ re_, ~,&_?0t"-_4r
Construction
Cost: In1 Multi-Family Building: (Yes / No ~
Company: AU J 1 ^~deLrn d L~cfGRorS Contact: #4vke
Contractor Address: /7317`7' Pcn*to -Sfi N Lo city: A54
~ ~ - Z i,
State: eA.1 Zip: Mo-~, Phone: '263 L-141 ,V 1'7)3
t
License ARC 63416? 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 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.gooherstateonecall.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 the Minnesota State Building Code must be completed within 180
days of pe it js Iua
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A plicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150207
Date Issued:06/25/2018
Permit Category:ePermit
Site Address: 1357 Lakeside Dr
Lot:7 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 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: 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 -
Emilio P Fedeli Tste
1357 Lakeside Dr
Eagan MN 55121
(651) 686-0454
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature