1363 Lakeside DrcirY oF EAcaN
. 379$ Pilot Knob Rond Eagen, MN 53122 N2 4756
PHONE: 454-8100
BUILDING PERMIT Receipt
Ta be utsd fer '_ ?; •: !;; t* a' ?, . Est. Va I ue .,- , • Date 19 7$
Site Address ' 4?1 ' L?xt,side Ur.
Lot Block Sec/Sub. tg•,Pcrcel .# J 100 (f,•
0: Neme
? 30
3 Address
0
Ci
?
0
?? Name
Address
~ Cit E
F
Ww
Nome
C,
5
I hereby atknowledge that I have read this applicntion and state thet
the information is correct and agree to comply with oli applicable
State of Minnesota Stotutes and City of Eagon ardinnnces.
5ignoture of Permittee
A Building Permit is issued to: " r
all work sholl be done in uccordance with oll opplicable State of Mir
• Building Official
Erect ?'. Occupancy i
Alter ? Zoning
Repoir ? Fire Zone _
Enlcrge ? Type of Const.
Move ? ¢}` Stories
Demolish ? Front ft.
Grade ? Depth ff.
Approvals Fees
Assessment Permit
Woter & Sew. Surcharge
Police Plan check
Fire SAC
Eng. Woter Conn.
Plonner Water Meter
Counci I
Bldg. Off.
APG Totol
on the express condition thot
Stotutes and City of Eogan Ordinances.
Verndt # Oah Iswed
11d7 ? - /..? -Jri
G Rough-In Firwl
FoOtin95 E!-a?rN Dote I Insp. Dofe I Inep.
Remarks: ? - .? 6' ? l ?v??'.S / ?d° ?`? ? !??/ t !s? ?lQlrJ -
^o,,oQY J'
l0 xJ } • ??
'47er ri•r,wl r?`?i+rr. p r% A ? Odf /nI"ob.
- A
cirY oF EAGAN
3745 Nlat Kno6 Road Eaqan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt
'U'SO''R'f FIRFsPI.ACE
S2'coo Nove:,lber 1 53
To bs wwd Mr
Est. Volue Date 19
Sire Addreu 1363 La es de Drive
Erect )ff
Occupancy
Lot ?' Block 1 ??S?Ciies tTfax' lst Alter p Zoning
Parcel # 10-17100-050-01 Repair ? Flre Zone
Enlorpe ? Type of Const.
mc Name amea R. L ndstroan
W MOVe
p
# Stories
Z ^?ro? 1363 .es e r ve pemlish p Length
? rl:? Eagan 55123 452-7655 Grode n Depth Sa. Ft.
o Name
?
v? Addre
?- ru.,
Name _
Addreu
Assessment _
Woter & Sew.
Police
Flre
Enq.
Planner
Countil
Permit
Surcharye 1.50
Plan check
SAG
Water Conn.
Water Meter
Rood Unit.
I hrreby acknowledge that I hove reud this application ond stote that gldp. Off.
the intormation is correct and agree to comply wlth oll npplicable ^PC Totol State of Minnesoto Stctutes an iry of Ea¢? Ordinon
. -- ? : r????y . ?.
Sipnature of Pem?iftee Y.'lndbt rom
A 8uflding Pertnif Is issued to: on the sxpress condition that
oll work sholl be done in accordonce with all applicaMe State of Minnesofe Statutes ond City of Eopan Ordinonces.
8ulldirg Officfal
Permit No. Permit Holder Misc. Permit No. Holdar
Plumbiny
H.V.A.C.
Wall
Water
Disp.
Sswsr
E kctric
InWection Date Insp. Other
Footings _ ?/-
. ?
Foundatian
Fnminy
Flouph Plba
Rou¢h HVA
Inwlatfon
Final Plbp.
Ffnal HVAC
Final
wa"r Deecribe Location:
VYall
Sftwr
Pr. Dhp.
BURrvsvlLLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, 5avage, tifN 55378 • 952-894-0005
orstat Test Report for Jobi 32 ?? 3
Add L'-ny /R
A •
/.1v
!
Daffi of Insrall 3/ 6- /e) ?-
Type of HT. F/A x HW Spxe HT Unit HT
Make L- Pivi? o
MOdel 6'52 ?S - 7 j
Serial Jl?o z
i 5
Input _ -? '
PilOt Tyl?c '?OT SURFACE lGNITOR
a C02 $.3
P^; assure
Input CFH 02 C,- ?
Siack Temp ? ? { n CO ??
Date Tested /" L
Company BURNSVJLLE HEAT/NG & AIR CONDIT/ONlNG
Technician /±? ?
GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
4.
SITE ADDRESS: , ,
r<<F l•, ? 1.0I Ol:
? t?; . rl:?l•: i ., I
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLIGANT:
•. i
( ?. I •.' 1 +??I?
TYPE OF WORK:
4if. `;CRTf' f 1(IN
1:111 11 1 r.i I MI
0.';,t.4i!.
t{a/N<+1q!
r r i ilr
(l?rl I F?H'1'?1)M 1
INSPECTION .• • DA
I ttt"M1ANtk ', P, ••;r NARAf? F'f FtHT i' fS Itf c)il(Iat 1s I tlh ANY I'4llMttit4t, IM f i Vt:.l-RlItki. Wr3l;O
Permit No. Permit Holder Date Telephone It
ELECTRIC 8?
li-ef
Id
a? ?
PLUMBWG
HVAC
Inspectlon Date Inep. Commenta
FOOTINGS
FOUND
FRAMING ?/V,C?? /
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
p_
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG /.3 Q G o
e r
FINAL HTG O/J W41'G - SU/ ? ?O G?1f N
?
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
I
, r
' b, ?ccL II
5 ?? I
I
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123 ? -'
(612) 681-4675
SITE ADDRESS:
' t r?t:G:•lk?i. C!t:
! j.i I'!lii, 1 ''1
ON RECORD
PERNIIT TYPE:
Permit Number:
Date Issued:
E;' APPLICANT:
r+r ? . I ff.
4'5#?0.'8i
PERMIT SUBTYPE: TYPE OF WORK:
1:1.Ph1I14
?
1 -fPI R f - R00 1 4 NO
?
?
Permit No. Permit Holder Date Telephone #
SNY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecUon Dats Msp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. -
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plhg. Inspector - Notify Plumber
Corist. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
CI
Ad
Ov
Improvement Date Amount Rnnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN5EW TRUNK 281.69 14.08 20
* SEWER LATERAL
1977
4758.76
317.25
15
*
1977
WATERMAIN -
* WATER IATERAL
* WATER AREA
* STORM SEW TRK 1.077
* STORM SEW LAT 1977
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 250.00 #9721 4-20-7$
BUII.OING PER. #475
sAC 9721 -20-78
PARK
(
CIT1 EAGAN
3795 Pilot Rnob Racd
Eagon, MN 55122
Zoning:
Owner:
Address;
Site Address: -L?r= LZAc.'i 0(1.
Plumber. f- p 1 11?:t:
Meter No.:
Si7nc
Reader No.:
1 ogree to eomply with fhe City of Eogae
Ordinanees.
Rv
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO,:
DATE:
No. of Units:
::l 4)`I 1
Connection Charge:
Account Deposit.;
Permit Fee: - ? '
Surcharge:
Misc. Charges:
Total:
DoYe Paid:
I nsp..
cirY -jF EAGAN SEINER SERViCE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagae, MN 55122 DATE: ?
Zoning: No. of Units: '
Owner:
Address:
Site Address:
Plumber: '
1 agree to complp with the Citp of Eogan C Ch a^ r4 "^ ~• ?2
Ordinances.
By
Date of 1 nsp.:
onnection orge• . ;
Account Deposit:
Permit Fee:
Surcharge: Misc. Charges:
Tote4:
Dote Paid:
t
' RESIDENTIAL
BUILDING PERMIT APPLICATION
? 7?g7J? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
Nsw Construction ReaulremeMs
• 3 regislered site surveys showing sq. ffi of bt, sq. R W house; antLU mofed area
(20% maximum bt coverege albwed)
• 2 copies of plan slrowing beam 8 window sizes; poured found design, etc.)
. 7 set of Energy Calalatbns
• 3 copies of Tree Preservation Plan'rf lot pWfled afler 711193
. Rim Joist Detail Optiore selection sheet (61dgs wNh 3 or less unils)
DATE
JOB SI7E
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
FIREPLACE(S) _ 0 _K 1 _ 2
PHONE#
PROPERTY OWNER "M Jf4a,A>A4i
TYPE OF WORK dkL'ar ,P?4&1=r,?_?`? ?e zd??s
APPLICAI
ADDRESS
ZIP CODE
PAGER # CELL PHONE #!n/a7-a2/d-69?'f la FAX # Cn.S?/-G?l(? -/vr4 7
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEG (Y D
(check one) - Residential Ventilation Category 1 Woricsh ubmitted
- Energy Envelope Calculations Submitted ;?(, LIf Zt?nf
MINNESOTA RULES 7672 j2, ,
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
,W Is-7.as
Fee: $90.00
Phone #
Fee: $70.00
Sewer/Water Confractor.
Phone #
Mechanical Contractor.
Mechanical System Includes:
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state That the information is correct, and agree fo comply
with aIl applicable State of Minnesota Statutes and Ciiy of Eagan Ord'inances.
Signalure of Appltcanf eoftd &
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. . ''•. updated t/ot
RemodeUReoairRanuiraments
. 2 copies of plan
. 1 set of Energy Cakuladons for healed addilions
. 1 site survey kr ezterior eddRions 8 decks
• Indkate il home seaved by septic system (or addipons
VALUQION 4 n oo ?
Phone C.
Lawn Sprinkler
No. of R.I. Baths
, .-
"i
CITY OF EAGAN
3795 Pilot Knob Roed Eogan, MN 55722 NP 4756
11„ PHONE: 4548100
BUILDING PERMIT APPLICATION Receipr #
9721
$56,000
Te be used forSF Dwlg, d Gatg. Est. Value Date APril 20, _ 19 78
Stte Address 1363 Lakeside Dr. Ered Qc Occupancy T
t 6 Bl
k
L Ches Mar I
1 S
/S
b qlrer ? Zoning Rl
o
oc ec
u
.
nir ?
Re Fire Zone 3
pprcel # 1 Q 171n(l 06n M p
Enlarge ? Type of Const. V
c Name Jemes Lindstiom Move ? # Stories
i
I
Addreu 13010 Beechaven St.
Demolish ?
Front
ft.
t ?` Blaine Grade fl Deorh fr.,
? c?e-uuiiuea5 ui?
z° N?? 101 Weitworth PL
IUU< Address
a
? r:,.. Bunrsivlle uti,.,o 890-4705
Nome _
Address
I hereby ackrwwledge that I have read this appliwtion and state that
the information is correct and agree to comply with alI opplicable
State of Minnesota Statutes and Ciry of Eagan Ordinonces.
Signature of Permittef
A Building Pertnit is issi
all work shall be done ii
Assessment -
Warer & Sew.
Police -
Fire
Eng.
Plcnner _
Council _
Bidg. Off. _
APC
Frea
Permit 150.On
Surcharga 28-00
Plan check
SAC 500_00
Water Conn. 250._90
Water Meter 60 00
Tota1 988.00
pi1dET5 IriC on the express condifion that
oppliwble $tate of Minnesota Stofutes ond City of Eagon Ordinonces.
Building Official -.t5?.e
?.
BUILDING PERMIT
N? 8627
Receipf # J?, 2p
Te M uwd Mr MASONRY FIREPLACEEst. Volue $2,900 Dare November 1 _ ?q 83
Site Address 1363 Lakeside Drive Erecr Xg Occuponcy
Lof 6 Blotk 1 $ec/SubChes Ma'[ lst Alter ? Zoning
Parcel * 10-17100-060-01 Repolr ? Fire Zorie
Enlurga ? Type of Const. _
a Nome James R. LindstYOm Move p .{k Sfories
z Addreu 1363 Lakeside Drive
Demolish
?
Length._
Ci Eagan 55123 pho„e 452-7655 Grode ? Depth Sq. Ft.-
Aoororal? Fee.
p Name OwneY
?? Addren
? Cit Phone
r?
?w Nome
t-
_? Address
u
<'Z" Cifv Phone
I hereby ackrwwled9e thot I have reod ihis opvlication and state thaf
Ihe information is corretf ond agree to wmply with all opplicoble
Stote of Minnesota Statutes ondrity of ?Ordyianc ,
Signature of Pertnittee _tL-
A Building Permit is issued ro: -
all work shall be done in accordance
CITY OF EAGAN
3795 Pitot Knab Reod Eagen, MN 55142
PHONE: 454-8100
Assessment _
Wofer 8 Sew.
Police
Fire
Eng.
Planner -
Council
Bldg. Oif. -
nvc -
Permit JorJv
Surchurge 1-•50
Plon check
SAC
Water Conn.
Worer Meter
Road Unit
TotQi $40.00
on fho express cordition Ihnr
Statutes and City of Eagan Ordinonces.
Building Officiol
CITY OF EAGAN
G PERMZ'P APPLICATION
Zb Be Used For M06oh
q: vo
om?
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energv calculations.
Date (I `)- ?? ??
Site Address : 1763 G A K t-s-,d c, oyo. vtu OFFICE USE ONLY
Lot Cv Block l Sec./SuI5?kE5S" Erect -X- Occupancy
Parcel #: l'l (v0 - 0bO-C) ? Alter Zoning
Repair Pire Zone
, Enlarge Type of Const.
OWi12r: ? ?.-.n e.f /f'. C.r. P SYl'e:-?1
Address: / j6';, j trXr Sl t?[. ,?Y •
City/2ip Code: e'e.tT.,,,., S"S>2?
Phone #: y ;-J -, -?6.rr
Crontractor:
Address: 9 '
City/Zip Cocle:
Phone #:
Arch./Eng.:
Adclress:
City/Zip Cade:
Phone
Nkove # Stories
Demolish I'ront ' ft.
Grade Depth ft.
APPROUALS I'EES
?
Assessments Permit
Water/Sewer Surcharge
Police Plan Checlc
Fire' SAC
Eng. Watex Conn.
Planner 'tyater Meter
Council ( oad Unit
Bldg. Off. ,
APC
'IbTAL
0 8
677
s
-
o
Fequ 1 Oa[e Fre N ?ec n eqmretl
when reatly)
(VOU ?
:' inspector Inspeclion Other Than Rough-In
? Reatly Now /ill Notify Inspector
Ll I ? ?
LJ1
Vo5 No Oate Rea
I'Ohcensed contrector ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeel, Box or Roule No )
c
3?
?
6c
i
l Qy
1
L5
-
l
3
2
i5
v
a Gl.?,t.
A
Sedion No Townshp Name or No. Range No Co n?y
'?J?rXz, TA
Occu/p?aR1(PFINT ^ c Phone No
/ ? ??-
Power Supplier Atltlress
Elefcm'cal cJ?oNrador (Compa?ny ?Na^me) /
?
? ? GonVaIXOrs License
?G ???
( ?/l
i.?./?-G?-O'??
Ma ing Atldrel,s?/y(COntra/?p r ? Owner ak/in?g Installation)
2 1 /
u[h ig?7? tSignaWre ntractor/O r M g slallabon)
t?i Phone Number
M?NNESOTA STATE 60APD OF ELECTRICR THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bltlg - Room 5129 BE ACCEPTED BY THE STATE BOARD
1821 Universiry Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone16111644-OB00 ENCIOSED
REQUEST FOR ELECTRICAL INSPECTION ?'E//e-a"o?ooi-os
47-7 , S. mslruclions far campletin9 tnis fortn on back of yellow wpy.
T
"X" 8elow W_?rk Coyered by This Reques[
Ne Add Rep. Type of Building iances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Av Conditioner
Olher (spectly) GonVattlo?r's R?emarks
Compute Inspeciion Fee Belaw
# Other Fee # Service Entrence Sze Fee # Cvcwts/Feedars Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
SI ns Inspecto/s Use Only. TOTAL
Irrigation Booms
S ecial Inspection ?
AlarmlCommunication THIS INSTALLATION M A Y BE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
nif
th
t th
b
i
i R°°9n-in Date
ce
y
a
ove
e a
nspect
on has
been made.
F?nal
?
OFFICE USE ONLY
This request voitl 1B monlhs from
?A (s_?
2005 RESIDENTIAL PLUMBING PERMITAPPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 5 / 9-3 / (SJ
Site Street Address `2)Lg_? LaU!S? ? \kJ-L Unit #
Property Owner Telephone #((,Pq)low'qk1 ?
Contractor ?t+tSi'IvM?DI'f?l{RYl?(^?c*?'c?`_?ICQ...`?. Telephone# (W )724"M )
Address i 1?t?? .?? City sqm??Lok _ State Zip561M
The Applicant is: _ Owner ?Contractor _Other.
Alteions to existing dwelling $ 50.00
Y Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances). LCWc,6„j)TUY?r-GUt'A*
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
?ZOther: tZ0s l?C1S?q,l,l.,
_
_ Water Softener 4- Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
$ g)'GD
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. --. ?-? -
'j
Applicant's Printed Name Applicant's Signature ` I
L`==-----__-' ?
n?
t ??
KOM?
TAII,OI?c?-
18?S N"(NNE AVENUE • ST. PAUL, MN SSiOB
MN LICENSE / 3700
pcaa (11lz
s(pe06c-?T
DoD4 tMb C? - 5 ew ? S`rvn w?-
2 ?-PL Ac-C i7fi-m)
t>oop, _
pLN?
CC?.en.t :,P? C,E 6?01un S , /ns e7a?lcn,MN 55/d 3
PLaN'
?
rHOME 'I'AILOQM
7625 WYNNE AVQJUE • 5T. PqUL, MN 657Qg
MN LqEN$E I 9700
S.r
Doci?-> A).-b
5ini- L-«t?T w/ K?.5-?
fef-r`>LAGL -I k-?15
6A57LrzC4- Png:?-°Q
ft" Qot- e, - S-TI-aUn TZ?
L'?u;t.t: 6, r?? S?6u?, J3(,.3 «15166 IJZ, ???u?, mti s51a3
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?p-wfl
PERMfTTYPE: euzLazNe
Permd Number. 0 2 6 5 0 5
Date Issued: 10I09/ g 5
SITE ADDRESS:
1363 LAKESIDE DR
LOl'e 6 BLOCK: 1
CMES MAft 157
P.I.N.: 10-17100-060-01
DESCRIPTION:
(6A7HROOM)
il ?ifti'j ,r,Permit T,ype SF (h1I5C. )
i1dlling:Vftrk Type AITERATION
?
?{h *Sy
? _ ? . ? _ . . ?..
tb y?? ' °
lm ?
?T v FC't $+?'.y?tI R`t ` , M3 ki4 d?
e;
'?e? "
?21d gao',
REMARKS:
A SF_PARATE PERMT7 T5 REQUIREQ FOR RNY PLUMHTNG OR ELEC7ftZCAL WORK
FEE SUMMARY:
VALUFITTON
Br]S'P F@&'
plan Review
5urcharge
Lic. 3Parch
7otal Fae
$299.75
$:L04. °1.
$ie.cm
Fee e
$47fb, 16
CONTRACTOR:
hIOME TAZL,OftS
1625 WYNNE
51` PRUL
(612) 646-6436
- tippllcai7t: - Si. L1C
16966436 0003700
Mhl 55108
$21, 000
OWNER:
S7EPHEIVS F2ICK
1363 I.RKESZDE UR
EAGNN MN 55123
(612)688-9173
? I-,)rereby aCknowtedge th"at T 19ive re'ad `thls appli,aatzan d'n# stato
.Xnforpr,?Uia.?,'is c's?rrectar[d a€?rte tta caivf?zl.?.s?3?F? ,appl,iaabTs. ?t???? kt?t.,?_ ?
. ? 9tatutes, ani? C%,ey af Eag?n ?1
rdinances. `, ` , •, _?„
?. , .. _ . . . _ .m -:?
APPLICANT/ RMITEE SIGNATURE ISSUED B' SI<?iN TUR
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: `. L o i: 6 BLa c K: i APPLICANT:
1363 LAKESSOE 6R HOME 'PATLORS
CHES MAR 1ST (612) 646--6936
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
DESGRIPTI0N
euILorNa
02650 5
2B/09J95
AI_TERATION
(BA7HROOM)
INSPECTION
F'RflM]'NG „ .
ftpUGH IN PLBG ..
ROUGH ZiV HiG F1NAL
REMWRKS: R SEPARATE PEf?MZ7 IS RERUIREO FOR ANY PlUM6TNG OR EI.ECI"RICRL WORK
°
- „
? ? .t.
?
3830 PILI T KNOB RDN 55722 4?z0
? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
f?
681-4675
New Censtruction Reauirements RemodellReoair Reauirements
? 3 regiatemd aito surveys ? 2 eopiea of plen
? 2 copias of plsrre (hidude beam 8 winduw s¢es; pouied fid. deslgn; etc.) ? 2 aite surveys (exterbr additions 8 decks)
? 7 energY eakulations ? t erreigy wlwiafions for heated additions
? 3 copiss of tree proservation plan il lot piattetl after 7/1/83
mquired: _ Yes Na
DATE: Zd CONSTRUCTION COST???? ? 0 LD
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT t. BLOCK _L SUBD./P.I.D. #:
PROPERTY tKi?
Phone #: ?? ? ?/ 1?
a
OWNER
Street Address•
City: &QkJ State: 1f4N Zip: S1/17-5
coNrRacTOR Company: f/? T1l??.S Phone #: _751C
Street Address: License #37??
City. ST, 6&4L '2 State: ?? ?_ Zip:_-3.?S__
ARCHITECTI Company. PhGne #'
ENGINEER
Name: Registration #Street Addresse
City:
State:
Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penairy applies when address change and lot
I hereby adcnowledge that I have read this application and state that the infortnation is correct a//to comply with ail
agnie
applicable Sfate of Minnesota Sfatutes and City of Eagan Ordinances.
Signature of Applicant dlli
OFFICE USE ONLY Hr'' C ??' ?i V CC 0
Certficates of Survey Received _ Yes _ No ?f CT 0 3 1995
Tree Preservation Plan Received Yes No s
OFFICE USE ONLY
BUtLDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
o 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
?05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
? 31 Mew cl"3 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Acfual) Basement sq. ft. MC/WS System
(Allowabte) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 419 Y
Depth Footprint sq. ft. SAC Code ? i
Census Bldg
Census Unit C?
APPROVALS
Planning Building Engineering Variance
Permif Fee Valuation:
Suroharge
Plan Review License
MCNVS SAC
Cfty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
HUILDIIdG PERMIT APPLICIITION
nAmE
?-
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatiohs.
To be used for .,& 4iL",&&,g"Valuation
Site Address
/ 363
Lot Block ? Sec. Sub.. r Paxcel Number ?p 171OD O60 O/
/
Owner
contractor
Address
Te2ephone
Telephone 8 91o - T / 0 '.?-
Arch./Eng.
Addxess
Erect X
Alter
Repair
Enlarqe
Move
Iper.?olish
Grade _
OFFICE USE
17ate of Approval & Initial
Assessment
4later/Sewer
Police
Fite
Eng.
PlanneY
Council
Bldg. Off.
A.P.C.
Telephone
OFFICE USE
Occupancy `
2oning
Fire Zone
Type of Oonst.
# of Stozies
Front
Depth
FEES
Permit
Surcharqe
Plan Check
SAC OO
V?ater Conn. 7
S'LV?
t7ater Meter 1? 0
4'OTAT, ?
tu? ?
CITY USE ONLY
L ? BL _L RECEIPT #:
SUBD. l,?'u?d ?' l? I? DATE: ?° 95
1995 PLUM6ING PERMIT (RESIDENTIAC)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
? EACH
x
x
x
x
x
x
x
x
x
x
x
x
NO.
TOTAL
_ j
_ ?. ?
_ ?.?.
_ z,"'--
Shower
Water Closet
Bath Tub
Lavatory
Kitchen 5ink
Laundry Tray
Hot TublSpa
Water Heater
Floor Drain
Gas Piping Outlet ` minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota cty. iicense
U.G. Sprinkler' home under eonst.
Alterations * to exdstiny
Water Tum Around
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
?
1
i
5TATE SURCHARGE .50
TOTAL ?
s-
SITE ADDRESS: A3 6 '- G??? s ?? ?•?,'v ?
OWNER NAME:
INSTALLER
STREET ADDRESS: (/ 9i -z- Sf Q? ?
CITY: ?• /Z? ( STATE: lLl.? ZIP: 6'-S`iD ,
PHONE #: ( ?/L ) G ;579- IL 3 2-
??? . ?n
?
? CITY OF?'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
?,-
?:,,
PERMIT TYPE:
Permit Number:
Date Issued:
i ,
;;ify;jy•;
DESCRIPTION:
? ?'; !'111Ji If"ftj l2 _ a tf 7 tt'? , i I7 ?, '?'U?_it1SCJ lo-t`;?r.l. .ll:-',C f}c p
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f.:i i•?1.'?,"' (f"liz,
I :
C-
REMARKS:
FEE SUMMARY:
CONTRACTOR: ? OWNER:
? ,
,?,? ? .. •< _ , . ??{, ,?? >?.i _ ' ti. , 'eixd 11_., ?;.7= io' ,, t:r; .:
?pr?J>.r;.?`. ir.i? f'riri. .?, i}... (, ,..?fFlj3j'
?
A PLIC NT/PERMITEE SIGNATURE ISSUEp BY: SIGNA UR
J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
51TE ADDRESS:
PERMIT SUBTYPE:
1-
?
? . . ,*
IllTSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date IssuedAPPLICANT:
I ,
TYPE OF WORK:
?
I
REACTIYATE
PERMIT # ?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
ILD.50
"SINGIE 8 MUL7I-FAMILY 2 sets a4 plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurat plans, 1 set of
specifications, 1 copy of energy calcs.
Penatty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Y? Valuation of work, `-
Site Address: sd
STREET SUITE M
Tenant Name: (commercial only)
LOT L' BLOCK ISUBD. P.I.D. N
Descri tion of work: 2r .'H"
The applicant is: ? Owner Petontractor ? Other (ces«sx)
Name z -s L.?? .? h. _1 Phone ?c F b'-- Y/' 73
Property LAST F? ST
Owner Address 6 3 / « - La P,4 u?
SiREET STE M
City ? State Zip -S? l?3
?V_
Company ll'Ll__ c- Cr V7 - 41.,? Phone 771'
C01ltr8CtOr Address l-?G J.kt License # 77 j? Exp. (9
City 1-4 State «a-k 2ip Sfl ?3
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing iime for
sewer & water permits is two days once area has been approved.
I hereby acknowledqe that I have read this application and state that the informatian is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
g 05 SF Misc.
0 06 Duplex
? 07 4-P1ex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 32 New
? 32 Addition
? 33 Alterations
;O'`?y4 Repair
GENERAL INFORMA710N
0 11 Apt./Lodging?,,._%?`L§46"4asjiftt Finish
? 12 Nulti. Misc. O 17 Swim Poo1
? 13 Garage/Accessory ? 18 Comm./Ind.
p 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Oemolish
0 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst fl. sq. ft.
UBC bccupancy 2nd F1. sq. ft.
Zoning 5q. Ft. total
B of Stories Footprint Sq, ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Buildin
Engineering Yariance
REQUIRED IN SPECTIONS
? Site ? Footing
? Wallboard "GeFinal
!
? Framing
? Draintile
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
f
0
Assessments
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
,r.iuat;on: g 3 06ra
SAC %
SAC Units
CITY USE ONLY
PERMIT #: RECEIPT DATE:
8002 RESIDEIVTIlEL bIECHANICi4L £'EfiM1T Ai'PLICATION
crrY oF ansm
3830 ev.or xxos gn
EkHAA bSR 55122 651-681-4675 FEB 2 2 2002
?
Please complete for: ? single famity dwellings 11
townhomes and condos when pertnits are reqWred for each unit
Date: -(_) -)-
SITEADDRESS: I3(Q3 '1--)r'
`-
OWNER NAME: (L(X ?Y ;(Jho,,(ls' TELEPHONE #: (nSf (PP,Sl'9/
INSTALLER NAME: jY_ TELEPHONE #: qSa- 2%-ODO?;'
STREETADDRESS:
crrv: ?aA ?o c4 Q_ sTare: ??_ ' zia: 15S'LLR
Place a check mark next to the permit work type
? Add-on, modification or alteration to existin dwelling unit $ 30.00
QFurnace replacement
• air exchanger
• air conditioner
. other
Nature of work: ?C
State Surchar e $ .50
rotai ? g 30 '5?
?2yau.t?
SIGNA OF PERMITTE15
1102
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1363 Lakeside Dr
Lot: 006 Block: 001 Addition: Ches Mar 1st
PID:10- 17100 - 060 -01
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Chimney /flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final
inspection. When wall studs or ce iling joists are exposed, hard -wired detectors are required. Battery operate d types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Brenda Huston 2700 N.
Fairview Avenue Roseville, MN 55113 651- 633 -2561 hustonb@hearthnhome.com
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
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.
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
$1.00
$69.00
$70.00
Owner:
Michael A Mathews
1363 Lakeside Dr
Eagan MN 55123 -2810
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Building
EA075659
10/25/2006
ePermit
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466
City of Eaali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
oL -02016
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 13910')4)
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
I(0 Site Address: [3103 1-A-Ve--61C6, fos.c�cAp , iy11v SS j'a3 Unit #:
Res i lent!
Owner
v
9 3-1`-31
Name: U.(4SeAl ti'viC,k_ OAS D,'1 Phone: (oS I-ati3 ^ � 7 39
Address / City / Zip: 1563 r!sA,V'LS Idle. D. �'c�.qU a.-, m Ss I a3
Applicant is: �/—Owner Contractor
Type of Work"
5 w
Description of work: 9e fbO-E-
Construction Cost: Multi -Family Building: (Yes / No
)
Contractor
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
iV TE: Pan and supportin documents'that you s si matron P , � of
the information maybe cl ssrfied as on public �f you pro rate specific reasons that would perms rty o
conclude }" they are tra le e r ts. n:... x liu
v.r
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
NSOO
Applicant's Prirtted Name
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3 -Season) _ Exterior Alteration (Single Family)
Single Family Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair_ Egress Window Water Damage
Retaining Wall *Demolition of entire building — give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
•
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145719
Date Issued:09/21/2017
Permit Category:ePermit
Site Address: 1363 Lakeside Dr
Lot:6 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-060
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Nicholas E Olson
1363 Lakeside Dr
Eagan MN 55123
(651) 248-7939
Viking Exteriors
901 N Concord St
South St. Paul MN 55075
(651) 256-1061
Applicant/Permitee: Signature Issued By: Signature
'Viking Exteriors
*:;71A DIVISION OF VIKING ALUMINUM,INC.
901 N.CONCORD ST.—SO.ST.PAUL,MN 55075 LICENSE#BC003773
(651)256-1061 Fax(651)256-1064
Web Address:www.vikingexteriors.com Email:office@ vikingexteriors.net
Installer: Joseph F.deleon Jr. LLC Permit EA145719 Date 12/12/17
Property address: 1363 Lakeside Drive
City,State,Zip: Eagan, MN 55123
Windows/Doors Final Correction Notice Response
2) Provide flashing detail for lower level patio door (no visible pan flashing)- needs to see or
provide explanation—
Installer explanation: Bottom door.
There was some concrete poured on the slab to try and patch up a leaking old door. It was
clearly a patch job so I wanted to get rid of that so I could seal it up good. The old door was
removed and the patch was removed. I used concrete anchors and a whole tube of
construction adhesive to seal the 2x8 treated board to the slab.Then I used window tape
flashing to tape the 2x8 under the door and installed the door in a bed of sealant. I left the
nose of the 2x to be painted to match by the home owner.
3)Window changed to sliding deck door. Installer must right up and sign a detailed affidavit
explaining exactly what was moved or removed (framing, plumbing,and electrical), what was
installed, and rough opening changes or no change in width. provide any photos taken for that
area-details including pan flashing-
Installer explanation: Upper door.
The window header and king studs were able to be used with the new door. The wall from the
window sill to the bottom plate was removed. Homeowner moved the electric before I
showed up on site. The opening was flashed with tape and the door was installed in a bed of
sealant. This was a nail fin tYpe,inst. nd the outside nail fin was taped as well.
__._> Date:
Installer signatures Titl ' .--4