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1375 Lakeside DrCITY OF EAGAN Remarks Addition I N Lot 4 Blk Owner 4 . 41 'f street 1375 Lakeside Drive G II 040 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 281.61 14.08 20 47-1 * SEWERLATERAL 1977 4634.33 308.96 15 ?a - s•77 * qervice u 197 WATERMAIN * WATER LATERAL 1977 * WATER AREA 1977 * STORM SEW TRK 1977 * STORM SEW LAT 1977 CURB 8i GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK VILLADE OF EACAN WATER SERVICE PERMIT 3795 Pilof Kn4. Road PERMIT NO.: 2061 Eogon,MN 55122 DATE: 10/18/75 Zoning: RI No.ot'Units: 1 Owner: n s t. Inc. Address: ? ? I A/1 777lt?S / Siie Address: 1375 Lak eside Dr. vlumber. Same - Weierke 6 Mound Meter No.: ?X vS ?y iy0 f Connection Chuge: 220. 00 qd S e:. - Account Deposi[ : -3 fte. er Na.: ?'?'S' ?/ $ Permit Fee: 10.00 pd I a o omplr with the Villoge ef Eayon Surchazge: c • SO pd rdinan eT.:;' n Misa Charges: 60.00 pd ? Total 11.30 pd R hJ ? ?'k^"4--.Bare Paid: Date of Insp.: ]nsp.: YILLAGE Oi F.AORN SEWER SERVICE PERMIT 3795PilotKnobRaad PERMITNO.: RRRg 2811 Eagan, MN 55142 DATE: 1 0/ 18 7 6 Zoning: RI Na. of Units: 1 Owner: Address: Si[eAddress: 1 '175 t.,kasi de nr. L•4 B1 Ches Mar lst Plumber: Same - WPier ke k Piound 9/24/76 #:1490 1 00.00 pd 1 ograa ro comply wifh fha Vilkya of Eagon Connection Chazge: 3 5 0. 0 0 p d Ordimncea. Account Deposit: Permit Fee: 10.00 pd Surchazge: • 50 pd 8y: Misa Charges: Uate of Insp.: Total: Insp.: Dace Paid: ' CITY of EAGAN BUILDING PERMIT Develo ers . Owaee ........... Constru ..................L'................................., c .. t ... i ... o ... n ...... I ... n ... c .. .... . Chase Rd. Address (preceni) ....4515 ... O.ak . ................................."...................... Butlder ..............Sx'1761P . .............. Addresa L? .. i. N2 4089 3795 Pilo! Kaob Road Eagaa, MinaesoSa 55122 454-810D Dsls ...9/,24/7.6 .................... SSOrias To Se Used Fos Froni DepYh Helgh! Eet. Cosf Permi! Fse Remerkm 135.5 S/F ?wlq & Gar 72' 35' 48,000 24.0 s/c Ad This permit does ao2 aulhorise the use of slxeela, roads, alleys or sidewalks aor doas it give the owne: or his agsn! the righ! !o ereate anp siluation whtah is a auisaace os which preseais a hasard !o the hea]!h, satelq, coavenSenes aad general welfare !o anyone in the communily. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGAESB. Thia ia fo certify, thal..... Dav. - »---- Go-n-s.t....... nc ...............haspermiseion !o ereet a...S/..k?...Av?l.9.._F....?a=................ _upon the above desc 'bed premi ?u6"ecf lo the provisioas of all applica ........ .. ble for the Ciip of-Ea T ....?._.?...`.?.- .......... ............... pBr ........ ... ... ........... .. ......... . . ... ..... .._......... .......... . .... ................?- -•-- ... or SuildinQ InsPeetos CTTY OF EAGAN 3795'Pilot Knob Road Eaten, Minneaota 55122 ? m?- PE2iMIT N0. : B 3 0 i'he City of Eagan hereby grants to Home Heatina E Air Cond. Ca. _ °f -4QQ? Dominick Dr Minnetonka 55343 Burton Const.1 Aevelopers C.Inc., a aoemrNr_ PeY'mit fOr: (Owner"a$ pnharf i( ?wenay?. at i596-MeEas-Ehg_ROad, 1375 Lakeside Dr., _ - , pursuant to application dated 11 Fee Paid: _ 060. Aa _ dat«d .this ,d day Ofx?++?e+??e? 1.50 e/c ' Building Inspector Mechan$cal Permits: Bid Total: JL? CITY OF EAGPN 3795 Pil.ot ?r.r.ob Road Eagan, :+Iinnesota 55122 4-/ GdLkILT"Jaj?? PER4vffT NO.: 750 The City of Eagan hereby grants to Mound Plumbina Oo.__ _ of 6029 Evernreen Rd. Mound 55364 8 P7.OtMING Permit for: (Owner) Develouera Construction at 1375 rakeside Drive , pursuant to application dated 11/10/76 Foe Paid: 520.00 dated this 10 day of November ? 19 76 . .50 s/c Building Inspector Mechanical Permits: Bid Total: 0- ?? 7 6 2 0 ?a???? r??? ? / ? ?° Requ st Dale I ? Fve Na ough-In tfwn Re uued (YOU ^specto? ?w ?en raetly) Ins eclion Olher Tha Fough-In Reatly Now ?JAI NdRy Inspeclor ° ASI No Oate Reatl r co"W I licensed contractor ?owner hereby request inspection of above ele r,a c u / Job Atldress Va?oRONe yp ? ?e? L / Gry Sectmn No Township Name or No RanBe No Cou y c Occupan /Igo l(PRINT) c. -e e cero Phona No?? CyC G ? .? Power SuppLer / Atltlress ? ElecMC I ConV ctor (Company Name) Contractor's Llcense No 33 / Mai mg Atltlress (COnVaclor or Ownar/r?y ng IJ?stalla?ion) /O? ?/e ?G G l rn Authonzetl Signature onVacror/Owner Makin nsl letion) Phone Number MINNESOTA STATE BOAHD OP ELECTRICITY I I THIS INSPECTION REOUEST WILL NOT 5t ?. Pau15MN 55106 I 1821 6 ? II ? ? I I II ?I II II ? I UN ESS PROPER NSP CTIONFOEERS P 1 642?0800 ?ooe ? ? ENCIOSED es.o oooi-os L ?3 - 7`? ;Z- REQUEST FOR ELECTRICAL INSPECTION VL.11A ? Sae instmcnons br compleling this rorm an back of yellow copy. "X" Be/ow Work Covered by This Request 1<18d(p (p Ne Add Rep. Type of 8uilding s Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (5 ecif Farm Av Conditioner OUer (specRy) Conttattai e Remerks 7yb s?.??a? Compute Inspecfion Fee Below: # Other Fee # Servica Entrance Size Fee tf Circwts/Feeders Fee Swimming Pool / 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 _Pmps SI OS Inspecmrs Use only TOTAL Irrigation Booms ' G /pj ,_SU S ecial Ins ectwn v AlarmlCOmmunication THIS INSTALLATION M Y BE ORDERE ISCO BOT Other Fee COMPLETED WITHIN 18 THS--? ? I, the Electncal Inspector, hereby if h i i R°uyn,n oata ced y that t e above nspect on has been made. F?nei !F / Date ??a_ OFFICE USE ONLY This request void 18 moMhs tmm ************************??***?****?***CITY OF EAGAN CASHIER: JS TERMINAL NO: 665 DATE: 09/06/CQ TIME: 15:01:37 ID: NAME: SELA ROQFING & REMODELING 3210 9001 1375 LAKESD DR 167.2. 2155 9001 1375 LAKESD DR 4.5 Total Receipt Amount: 171.7, CR137120 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EACAN 3830 PILOT KNOB RD - 55122 171 ( J? 851-881-4875 > a royxerea dre wryeys snownrro ua. n. a bt, w. n. a nane z couie: a alan ana gl roofed aeas canx mmamun, iot covemae wwwem 1 se? or energy cacwanorn r« ?bated addmons D 2 eoPies ol plara (thow bearn & window tlzes: Paured fnd deqyrr etc.) 1 sMe wrvey /or axleAa addidona a daeks ? 1 aef o/ enerpy cadeulaMOna D J Copies OI he9 preservoMon plaf M bt plpMed afier 7/1/93 DATE: _ ( -•G " ejL* CONSTRUCTION COST: ? ?• m ? DESCRIPTION OF WORK: TZ0.YoO KeIm`t "e- Fro?+.+ Rr@ is A?F4Qhtal ?Qr??! G STREET ADDRESS: '1375- L R KC S i['.lG I?f i vL. 1nd ? LOT: BLOCK: SUBD./P.I.D. t: I ?ILl r Na,,,,e: Gv;on m;ehdlt- Phone#: 645-1"4S7-0620 vROrExrr LCISI flrst OWNER StmefA?rew 1371' LqKe5edC Dn-pc cxr f?yar1 srote: 1ft 5-Slx3 Ccmpony, SELA ROOFING & REMODELING, INC. Phone 0: Vdk 5-93' ?fd y? (area code) 6T. LOUIS PA$K, MN 55416 i"4yt A CONiRACTOR 3heet Address: ID #0003060 LlCense Y L0 $_ O Exp 'Aa0 f Cty State: 21p: ARCHITECT/ ENGINEER Company: Name: Telephone A: ( Sheef Address: RegisfroHon M: Gy I State: Z1P: Sewedwater licensed plumbeP (if installino sawer/waterl: Phone #: I hereby acknowledqe Ihat I have read lhis applkatbn, sfate that the Wortrwlion Is carect? , to comply wHh aG aPP6cable State of Minnesota SfWufes and Clly oi Eapan OMinances. Sipnalure of AppficanY. OFFICE USE ONLY ` ."' `4J'R?i D ?. Certfiqtes of Survey Received _ Yes _ No StN s' 2000 Tree Preservation Plan Received _ Yes _ No _ Not Required ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16plex 0 21 Porch (3-sea.) 0 02 SF Dwelling ? OS 06-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) O 03 07 of _ plex O 09 07-plex O 18 Deck O 23 Porch (screened) O 04 02-plex O 10 OB-plex 0 19 Lower Level O 24 Storm Damage ? 05 03plex ? 71 10-plex Plbg, Yor_N 0 25 Miscellaneous O 06 04-plex O 12 12-plex 0 20 Pool O 30 Accessory Bldg. WORK TYPE O 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition p- 37 ' Demolish (Bldg)' ' O 44 Siding ` O 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) O 46 WindowsJDoors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Aliowable) Main level sq. fi. . MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INS PECTIONS O Stucco/Stone APPROVALS . Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. r• . Water Meter Acct. Deposit . S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext Alt - MuW ? 33 Ext. Alt - SF 0 36 Mufti SAC Units % SAC w LpT BIACK ADDITIObT PARCL''L & SECTION PNP•1IISR IE' UYTPLATTED ADDRF.SS OF FAZCEL • 70id2TiG OCCUPANCYa a `! l/?t75g? ?. T-r? .? ErjTIt]ATED COST 4S,660,09 TNC.• TELEPHONE iVO. y?-?/ooy --------r 1 ADDRE:SS ?/ ? i$ OA K CkA 4&, R.? S Z- I O? COLJTRACTOR ?? ?_al apr_} Can. iTri.M.c.?? a w. ZNL TEUPHONE L10. 41 ADDRESS S,&M L d? ?4 ? V V?? - s Ydote? Include site plan, building plans, and ener alculations wiL application Signed . USE VALUI1TIOtd SAC YFATER COidNECTIOTI k7ATER METER (v0 . ? A) r.37J SUSLDING PERMIT FEE J SURCHARGE F8E ? a'L PLAt] CFECK FEE PAFtR DEDICATIOTd FEE OTfOR TOTAL* ' APPROVALS : ASSESSME:VT CLERKO?BUIL?IPIG D POLICE DEPT. O 6I7iER & SE4IER DEPT. FIRE Dh'PT. PARK DEPT. ? Date: Se a?.Z3f?g'Ib BUILDIP7G PERMIT P.,PPLYCATION .iLtI?`.?'v Dev,eloper3 L'onctructton, Inc. 44,1 Gak Cha:se L3ne ? r:agan, P9lrine3nta 55123 \ DELMAR H. SCHWANZ lANOSURVEYOR Rlqistlrla UnOei Law1 ot TM1e Stat< U1 Minnefotd 14515 SOUTM ROBERT TRAIL P.O. BO% M ROSEMOUNT, MINNESOTA 55068 9k.19/150-1'i1 PHONE 812 423-1789 RVEVOR'S CERTIFICATE 9S•0 t? 3 ,o D m I Q o ? o % .?o „ o = T?oi? 50 ° ' ?f,crly EA eN ? / 1 10 INN ,4 Z' ? Q ' . za.? T j4 S `\ `.? io' urp?fv / n?l ?G ? ??q0VIIP , 'i ? L? I hereby certi:y titiat th.Lsis a trae and c,)rrect repreFentation of a surve:r of I.ot 4, kilock 1 of tne plat of t'AF AiRST ADL`ITION, as on file and :)f record !n the off'ice oC the County Recorder, Uakota County, MinnesoY.a. Also showing the location of a propcsed t:ou-e and garage aa etakPd thcrepn. Septemlier 2', 1`i7u ? Q> Mi1vNE4UTA flEGIST- )N NO 8625 ` MASTER CARD LOCATION 1375 LAKESIDE DRIVE L4 B1 Ches Mar Estates lst Addn. OWNER Developers CO1]StxUCtiOn Inc. STRUCTURE AND 5/F Dwlg & GdY IAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING 4089 9/24/76 Dea. Const. Inc. same PLUM6ING CESSPOOL - SEPTIC TANK r- ?sa?rv WELL ELKTRiCAL HEATING S3? ?/??yC?? q L? Qp• GAS INSTALLING SANITARY SEWER OTHER ),( 6/ ' OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTInIG FOUNDATION ? SEPTIC CESSPOOL FRAMING ?3•' TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WEII GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFlEID PLUMBWG WELL /(_ ? ?_ ) s_?.L. /_.6 SANITARY SEWER J Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENGE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. I7EMIZED AS FOLLOWS: 11 NON-COMPLIANCE. 6UILDER DOES NOT INTEND TO COMPLY. ? COMPLETION Of CERTAIN IMPROVEMENTS WILL BE DELAYED 8Y CONDITlONS BfYOND CONTROL. ? REInSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CE RTI FICATION - I certify that I have caretully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions abserved to be at variance with ordinances of the Town ot Eagan, approved plans and specifica[ions, and any specific require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED DATE COMMENTS: ? 23 / L41 gL ? CITY USE ONLY RECEIPT#: 7259.?-' SU80. CUt, I? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 6814675 Please complete for: w single family dwellings ? townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construc[ion 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G.SOrinklP.f `forAwellino Underconst. ' 3.00 = ' o U.G. SprinklBr tar existing dwelling 20.00 Alterations ' to existing resiilence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cty lie. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = STATE SURCHARGE .50 s° TOTAL C>X ? I hereby acknowledge Nat I have read this applicetion, sfete that the infortnation is corted, end agree to comply with all applicable City of Eagan ordinances. k is Ne applipnYS responsibility to notify tha property owner that the City of Eagan assumes no liability for any damages caused by the Cily during its nortnai operetional and maintenance aGivRies to the fediitles construded under this pertnit within City property/right-of-wayleasement. r _ SITE ADDRESS: /3-75 A4 a,6 04 OWNER NAME: INSTALLERNAME: _ TEL PHONE#: STREET A/DDR_? ? CITY: ( O STATE: ^4 . ZIP: ?GJ ??? SIGNATUR OF PERMITTEE RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,$ 11 3, 7S` caxkl-4 4.- New Construction Reauirements RemodeUReoairReaui2ments Office Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cert of Survey Recd (20% ireximum lotcoverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan ReW 2 copies ot plan showng beam & wiMow sizes; poured found desgn, etc. 1 srte survey for addNOns 8 decks Tree Pres Not Reqd lsetofEne(gyCalculatlons AddRion-indicafeifon-s'desepticsystem _Oo-siteSeptlcSystem 3 copies ot Tree Preserv2tion Plan if lot platted after 7/1193 Rim Joisl Defail Options selection sheet (bklgs wBh 3 or less units Date ? /27/ 03 Conshuction Cost Site Address )-31,q Y e S i d`p Unit/Ste # Description of Work )i? SeU f!'JY! su n roorb Multi-Family Bldg _ Y? N F7replace(s) Y . 0 _ 1 _ 2 Property Owner yl Telephone #(4?? ) Lek7' d(? 20 Contractor t--2?2 Eyt e/TJ S-./ Y'E'S Address l?e 1, C?, City Li ?Vs2 State Zip S.Sy/ 2. Telephone #(6S4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations SubmiUe rrt? Licensed Plumber ` ? `i Telephone #( ) 2 q 200 U Mechanical Contractor 3 MA? Telephone # ( ) Sewer/WaterContractor 4 V14' , l Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; 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 lans. /of ? ? o \,? Y\1 C\Vj Applicant's Printed Name Applicant's Signa e OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 'K 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Gi ve PCA handout to applicant Valuation Fav Census Code SAC Units Nbr. of Units -' Nbr. of Bldgs Type of Const ? _ Footings (new bldg) Footings (deck) ? Footings(addirion) Foundation Drain Tile Roof Ice & Water Final Framing _ Fueplace _ R.I. _ Air Test _ Final Insularion Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total occupancy A Zoning /`-! Stories ? Sq. Ft. ? Length %D Width / ?- MC1ES System CityWater - Booster Pump - PRV -- Fire Sprinkiered -" REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By ?7 ---- /dZ&4 PC' *: yF-rw Building Inspector s r'znst:^?r.t!o;., 'c. t ? a 9k.19%15^,-1 DEIMAR H. SCHWANZ LANpSOAVFVOR k<q,sterea Unaer Lawi of fne SfeV of M-oeaob 14515 SOUTH ROBERT TRAII P.O. BOX M qOSEMOUNT, MINNESOTA 55068 PHONE 812 423-1769 - RVEYOH'SCERTIFICATE 950 ? 3 1 .o =m ? N ? .? o , _ o - I,eon/ L 10 s f O0 ? pko?0 4 Zn J ?1 V ? 1 ??', Ib jftcff? ? 95, ? oy'6;o D QKEy?D? Lr' I:ir.reby --er` i:'y tilat t; isle a trae and c:^rect rompr?sentatiun of a s1^ve,y nf iat 4, Flock i o° tne plat of rtl;:; YAF FTftET ADl'ITI?iN, as on flie and :)f record ici tcie ot't',ce of' the Cowity Fecorder, DakoLa Cuunty, Mlnr.esota. Alsu showinr, the :ccatior, of a Gropcsed a::d nar:k?e a9 fiC3iCP.B thereon. Septem?er 1', 197i; ? MiNNESOTA REGIST?I*'tON NO 8625 r? 22006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55I22 ' Tetephone # 651-675-5675 FAX 4 651-675-5694 New Cons[mction Requirements 3 registered site surveys showing sq. ft. ot lot, sq. h. of hovse; and all roofed areas (20% maximum loi coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies oi Tree Preservafion Plan'rf lot platted after 711193 Rim Joist Detail Options selection sheet (buildings wilh 3 or less units) Minnegasco mechanical ventilation form Remodel62eoair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Enefgy Calculations for heated addifions 1 si[e survey foradd'Aions & decks Add'dion -'rndicate i( on-sde septic sysfem ? -n v-b Of6ce Use Onlv CedofSurveyRerA _Y _N Tree Pres Pian Recd _ Y_ N, Tree Pres Required _ Y_ N On-site Septic 5ysfem _ Y_ N Date 5 Construction Cost Site Address ?),L N , Unit/Ste ti Description af Work Multi-Family Bldg _ Y K N Fireplace(s) _ 0 2 Property Owner Telephone # (G l) ) ?'? ? ???' 1 `? Fireside Hearth $ Home Contraccor 14399 Huntingtan Avenue naaress Savage, MN 55378 State 952J36.7761 License#20512060 r? .. _- ,, City r ta,, _ _ Telephone # ( Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) , Submitted Submiried . 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infonnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Bagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pern, it, and work is not to start without a permit; that the work will be in accordance with the app ed pl the c 3e of work which requires a review and approval of plans. ApplicanYs Pnnted Name App icant's Signatur PERMIT City of Eagan Permit Type:Building Permit Number:EA122359 Date Issued:05/06/2014 Permit Category:ePermit Site Address: 1375 Lakeside Dr Lot:4 Block: 1 Addition: Ches Mar 1st PID:10-17100-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michelle A Guion 1375 Lakeside Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162862 Date Issued:08/03/2020 Permit Category:ePermit Site Address: 1375 Lakeside Dr Lot:4 Block: 1 Addition: Ches Mar 1st PID:10-17100-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Michelle A Guion 1375 Lakeside Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature