1569 Lancaster LaneCITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 7 eik Z Parcel 10 13500 070 OZ
Owner C%)r4__ street 1569 Lancaster Lane state Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STFEETSURF. (05j0 1982 1848.67 205.41 9
STREET RESTOR.
GRADING g' 1982 537.84 59.76 9 358.56 A014446 8-16-84
SAN SEW TRUNK 1976 135.9 7 9.06 15 54.43 A014446 8-16-84
* SEWERLATERAL 1982 3182.83 353.65 9 2121.91 A014446 8-16-84
WATERMAIN
* WATERLATERAL 19$2 9
WATERAREA 1982 202.00 22.44 9 134.68 A014446 8-16-84
* Stubs 1982 9
STORMSEW TRK 1982 367.77 40.86 9 245.19 A014446 8-16-84
* STORM SEW LAT 19$2 9
CUFB & GUTTER
SIDEWALK
STREET LIGHT
ROAD T 250.00 35511 44-28-83
WATER CONN, 4 0•00 n n
9UILDING PER.
SAC 2
.00 n n
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,
DATE 19
aeceIven 1 .
FROM ?" ?."_...
?
AMOUNT $ I
& DOLLARS
1 oo
? CASH [:1 CHECK
FOR
White-Payers Copy
? Yellow-Posting Copy
Pink-File Copy
Thank You
? o-- gY
PERMIT #
MECHANICAL PERMIT RECEIPT # G&ZLZ I
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE:
SiteAddress 1569
Lot :1 Block
? Name
?,o Addre
c City 2
Name
c Addre
o CitY =
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outltsts q
Other
BLDG. TYPE WORK DESCRIPTION
Res
Heatin & A C . h New
34 Mult Add-on X
89K-OQ05 Comm. Repair
Phone Other
.. ., ?? . ?..y.... FEES
9 Uacas ter Lane RES. HVAC 0-100 M BTU -$24.00
lle phone 454-6875 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMM/IND FEE - 146 OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
24,0000 M BTU 12.00 STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
'
V/
?
• 50
FEE: i
,
l
S/C: SIGNATURE OF PER IEE
TOTAL• 12.50
FOR: CITY OF EAGAN
r -- _
CITY OF EAGAN ? r
3793 Pilef Knob Rood Eayan. MN 55112
PHONEs 454.8100
BUILDING P RMIT rteceipt
To M wed fw SP DWG/GAR Est.Volue S62,000 Date Anri1 ?fi , 1 9-a3---
Sire Address 1569 Lancastet Lane Erecr ;{g Occupancy r-3
Lot -L Block _2_ See/Sub. Beacon llill Alrer ? Zoning R-1
parcel # 1Q 13500 070 02 Repair ? Flrc Zone vQ
Enlarpe ? Type of Const. V
rc Name L.'PCIny Cnnatriirtinn Move 0 # Stories
W
z Addreu 3401 XYlon Ave. So. Demolish p Length65
Ci Bloom. 55438 phon. 944-7092 Grode p Depth -2L-Sq. Ft._
p Nome rAmeT Approrals Feet
?
?? Addreu
1- r:.., oL.,,.._
Name
Addrese
I hereby acknowledge thot I hove read this applicotion ond state thot
the in}ormntion is correct and ogree to comply with all applicoble
State of Minnesota Statutes end City af Eagon Ordinances.
Siqnoture of Pertnittee
A Building Permit Is issued to: We31ey Con6tTUCtion
alI work sholi be done in xcordance with dl applimble Stqte,of Mir
Buildinp Officiat
Assessment Permit {I `i -ut)
Woter & Sew. SurcFarge "i 1 _!l0
Polite Plan check ? ??39 - S?1
Fire SAC 59 S _ (l:l
Erg. Woter Connj$0 00
Plonner Water Meter tip?Q0-_
Council Rood Unit ?SO-nn _
Bldy
Off
.
.
APC
Tofol -,5194-50
on tha exprese conditlon thni
and City of Eopon Ordinances.
7rBl GODaB40
A
Pe Permit Holdar Misc. Parmit No. Holder
Plumbin9 3
N.V.A.C.
Wall
ar ;
D
??^, w -Ttc.l1 s-s-g 3
w
75 " " (?-?-fs3.
Inapectian Date Insp. Other
FmtirMs - Y-b3 9?t'
Foundetion
Framinp
Rouph PI6p. . .? ZA)
Rough HVAC -?S•?J
Inwlation
Final Pibg.
Final HVAC
Final
W?? Deaeribe Location:
Well
E
Sewer
Pr. Diip.
Raceipt PLUMBING PERMIT Parmit No. r-?
CITY OF EAGAN
Fea '
' Fill in numbered spacss S/C
Type or Print legibly
Tot.
7. Date 2. Installation Cost
3. Job Addreu ?otBlk. _cP- Tract
?
4. Owner
5. Contractor t ,?? s 4hone
6. Address - ' ?
State Zip
8. Building Type: Residential C1, \ Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? flepair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
l/Dr
infield
Ces
_ Bath tubs spoo
a
Se
tic Tank
Lavatory p
Softner
_ Shower Well
_
` Kitchen Sink - "
Urinal/Bidet Other '?
LU G f`"
_
_ Laundry Tray •_
TC '
1
!
1 L
'
Floor Drains :
.
rt
i
_
Drinking Ftn.
Slop Sink
Gas Piping Outleis
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. . .,. . . _ .,.
?F . . .. . . . .
. ,.. . . . .. _.. , :. , , . -
.. ,. .. ... ?._ _.:?.
, t _ '. • . .. , .. .. .. . . _< . . . .. .. . ? . . ?
? CITY OF EAGAN -t?. ? ?($45
.` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 5e ai,y,,
` PHONE: 454-8100 ?'21 R"'j. a 3oi
BUILDING PERMIT
To be used for DECK Est. Value }1+000
SiteAddress 1569 IJINCAS'f8R LN
Loi 7 Block 2 SeGSub. 8EACON HILL
Parcel No.
w Name '"w"` 01°•anov"
3 Address SAME
0 City Phone
o Name ROSB HALVEBEOH
;i Rddress 1361 CI.EVEI.AND AVE
? City ST PAUL Phone 649-1644
Ww Name
?? Address
a W City Phone
I hereby acknowlege that I have reac
information is correct and agree to i
Minnesola Statutes and City of Eagan
this application and stale that the
omply with all applicable State of
Signature of Permitee
A Building Permit is issued to: RQ$J
on the express condition that all work
applicable State ol Minnesot?t StaWte:
be done in accordance with all
Ciry of Eagan Ordinances.
Receipt # ) ' C 1
oate SEPYEMBBit 8 19 89 j
OFFICE USE ONLY
Occupancy - FEFS
Zoning _ $26•00
(Aclual) Const - Bldg. Permil
(Allowable) - Surcharge .50
8 0l Stories _
Lenglh 9. s=iQ- Plan Revlew
Depth 1Qx10- SAG City
S.F. Total -
SAC,MCWCC
S.F. Foolprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
Ciry Waler _ Acct. Deposit
PRV Required _ S/1N Permil
Booster Pump - SNJ Surcharge -
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council 1.00
BIdg.Off. _ Copies
?27 ? ?
Variance - TOTAL
Permit No. Permit Holder Date Telephone A
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspettion Date Insp. Comments
Footings I
FouMation
Framing
Roolirg
Rough Pibg.
Rough Hig.
Isul.
Faeplate
Final Htg.
Fnal Plbg.
Const Meter Plbg. Inspector - Notify Plumber
Engc/Plan
Bldg. Final
Deck Ftg.
Detk Final
Weli
Pr. Disp.
;ITY OF EAGAN SEVNER SERVICE PERMIT
1795 :+ilot Knob Read PERMIT NO.:
iagan, MN 55142 DATE:
•onir+9: ' No. of Unitr.
lwner: r• z,?n- ,-.., + y .
Wdress:
ite Address: I' f.2 LactC36teT
lumber: , rI ;ri:r? Ier.
eaKe eo eomoy wteh rra City of Eayan Connection Chorpe:
of Insp.:
Acwunt Deposit:
Permit Fee:
Surcharge:
Miu. Chorges:
Total:
Dote Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Roed PERMIT NO.:
Eayan, MN 55122 DATE:
Zoning: _ No. of Unih:
Owner: .t; : .
Address:
Site Address:
Plumber:
MMer No.: Connection Chorge:
Size: Acwunt Deposit:
Reuder No.: Permit Fee:
I a9ree b eanplr wilh fhe Ciry oi Eagen Surcherge:
Ordlnanqs. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
CITy pF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
7
BUILDING PERMIT APPLICATION 1 set of energy calculations.
" ,' aluation ?(007,??? Date
7b Be Used Fbr J` k
Site Ptldress pFFICE USE ONLY
Lot 7 Block p2 Sec./SubAJErect ? Occupancy 3
Parcoel #: CD 1?? 50 (5 O"'Za b Z-- Alter Zoning
Repair Fire Zone
Owner: Enlarge TYPe of Const.
Move # Stories
P?ress= ? `e De
nolish Front ft.
City/Zip Code: ???, Td S Grade Depth ?-ft.
Pro? #: 9 yy 7
o ?.?
- APPROUALS FEES
Contractor: .?-
Address:
City/Zip Code:
Phone #:
Arch./Eng. .
Address :
CityjZip Code:
Phone #:
Assessments Pexinit
taater/Sewer Surcharge _
Police Plan Check
Fire SAC
Eng, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
'n7I'AL ? k-IR `i ` EZ
REQUEST FOR ELECTRICAL INSPECTION Es-oooot-aa
' See instruclions for completing this form on back of vellow copy. „
F • 0 lqa?
?fl'? 55 ---7
"X"'Below Work Covered by This Reyuest ?(p ZZ-- (
Ad Rep. Type cf BuilAfng Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. urnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Other peci y OtherlSUecifYl
t er Speciiy aiher Other
(.OlI1pUL2 /f]SU@CI/OAFP.P. 8P.lOW
q Fee ServiceEntrenceSize q Fee Feeders/5ubfee.ders N Fea Circuits
0 to 200 Am s 0 to 30 Am s 'S 0 to 30 Am s
Above 200 qmF)y 31 to 100 Arnps 31 to 100 A 5
Swimming Pool Above tOD_Amps Above 100_Amps
Transformers Irrigation Booms Partial,'Other Fee
Signs Special Inspection 0
T
emarks
R AL fE
?
? 7_
..?
Rough-in Da[e
Z
(j
, the Electrical
,
?V ( nspectoq here6y
tif
th
t th
6
Final D te
(-_/
'a y
wr
a
e a
ove
inspection has been
d
V me
e.
Thi9 f8au0st voitl 18 monlhs from
This request void s- S l-? i S?(l A?
18 months'from cbrk 3 S(VSq
`ig 070751 P-t't l lDf Ob
__e_ .. ---_ _ .
Required? Ready Now- Will Nntify. Inspec-
? Yes ? No r Wheq Readv
P5?1_fcensed Electrical Contrector I hereby request inspaction oi above
? Owner electricel work installed at:
Street AAdress, Box or Route No.
. ) City
7
?
ecUOn o. TownshipName or No. Renge No. County /
Occypant (PRI T) Phone Na. -
Sup lier Address
Eiec ri?al ?ontractor (Compan Name) Contra tor's License No.
w ? q J73
Mailin Address (Contrac or Owner Makine lnstailaion) \
3S-3 -?
Authorized 6nTture ( ntractor?Ow
? aking Ig t a[ion) Phone Num6er ?
;'
-31?
.5
?0
MINNESOTA'$p'pRD OF ELECTRICITY? ? 7HIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BIdB• - Room N-791 BE ACCEPTEO BY THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNlESS PROPER INSPECTION FEE IS
pA- Ig121 7517_9111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See in9truCtipnS tor complating this form on beck of yellow copy
"X" Belo?WorC'o5er'ed by This Request
. EB-00001-04
;?1•.
3sCosq
Nem Add HeO. TypO oi Building AppliunCes Wired EqUiYment WiPer.i
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Buiidinq Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unluader
Industrial 81dg. Air Conditioner Bulk Milk Tanl<
Farm Oche, peci y e?ify)
t nr Specify Other Oth ?
Compute lnspection Fee Be1ow 44 4 4 4
d Fee Service EntraneeSize k Fee FeedBrs/5u6feeders # Fee Circuits
0 to 200 Am s 0 to 30 Am ps 0 to 30 Amps
Above 200 qmps, 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Boorcis Partial,!Other Fee
Signs Special Inspection S
Remarks O
AL FEE
Rough-in ?
i Date
I,the rital
Inspector, heraby
tif
th
th
6
Final cer
y
at
e a
ove
pection has 6een
mede.
This reauest void 18 months from
This request void
19 q mponths from
W4] 070755
L.. 71/3?2( 68-2L6P'%- 4c l ? a CG ZZ 7
3-7 t S-0
Rpques? Date ?? Fire No. Rou9h-in Insvection `
,( Reyuir 7 ?Ready Now ill NotifV. Inspec-
? -'es ?No or When Ready
)gLicensed Electrical Contractor
I here6y request insDection of a6ove
Owner electrical work installed at:
Street Address, 8 x or Route No.
. , 2 ?1 City/
eclion o. Township a e or No. Range o. nry
Occupant(PRINT) Phone No. N
Pow r, Sup 1'ier Address.
E e Con[r ctor (Com Name
.gauy
r?Y? Contract r's License No.
a 3 3 -_
Mailing AdJress (Con"clor or Owner Makin9 stailatioN 3
? .
cs " -7
Authori Signaw're ( ontractor -bJ - inB ?nstall?tion)
? Phone/ ?Number `
? ? / J
MINNESOTA STqTE BOARD OF ELECTqIGIfY THIS INSPECTION REQUEST WILL NOT
Grig9s-Midway Bldg. - Room N-191 J BE ACCEPTED BV THE STqTE BOppD
UNLESS PflOPEH INSPECTION FEE IS
1821 University Ave., St. Peul, MN 56104
.... 1-1 ..., ..,.. ENCLOSED.
1 4
BUILDING PERMIT
Te ba naad for SF DWG/GAR
Site Address
Lot 7
Parcat # -
CITY OF EACsAN N? 795'7
9795 PitM Knob Reod Eagan, MN 35122
PHONFs 454.8100 /
Receipt # ?S?? /
Lancaster Lane
e $62,000
BI«k 2 See/Sub. Beacon Hill
10 13500 070 02
pe IName Wesley Construction
? 9401 Xylon Ave. So.
Address,.:,,Bloom. 55438 944-7092
?p IName Owner
?
u?u Address
Nome _
Address
I hereby acknowledge that I hcve read this applicotion ond state that
the information is correct and agree to compiy with oll applicable
Stote of Minnesota Stotutes and Ciry of Eogan Ordirwnces.
$ignature of Permittee
We
A Building Pertnit is iuued to:
all work shall be done in accordonce with
Building Official /?
Erect )ff Occupancy R-3
Aiter ? Zoning R-1
Repolr ? Fire Zone NA
Enlorge ? Type of Const. v
Move ? # Stories
Demolish ? Length 66
6rode ? Depth 28 Sq. Ft.-
Approval: Fees
Assessment Permit 319.00
Woter & Sew. Surcharge 31.00
Police Plon check 159. 50
Fire SAC 525.00
Eng. Water Conr45-0 • OQ
Planner Water Meter 60, 00
Council Road Unit 250.00
Bldg. Off.
aPC Toral $1794.50 .
on tha express condition thnt
and City of Eagon Ordinances.
,
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN N2 17045
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 C 3 7-) 7
Est. Value $1,000
Receipt #
? • i ?
SEPTEMBER 8
19 89
Site Address 1569 LANCASTER LN
BEACON HILL
Lot 7 Block 2 SeGSub.
OFFICE USE ONLY
P8fC8l N0. Occupancy - FEFS
W JOHN STEVENSON
Name Zoning -
(AClual) Const
Bldg. Permit $26.00
; Address SAME -
(Allowable) - .50
0 City PhOne 454-6875 #otStories _ Surcharge
Plan Review
lenglh 9. SX1A-
F Name RORR HAi VFRS N Depth 10
1A SAC
Cit
t x
- ,
y
Address13h1 GL.EVEL.AND AVE S,F.TOtal
V¢ CISy ST PAi(T. Phone 649-1644 S.F. Fooiprints _ SAC, MCWCC
W
C
On Site Sewage - aler
onn
t- Name On Sita Well
- Water Meter
?v AddfESS MWCCSystem _
Deposit
Acd
a W City Phon2 City Water _ .
PRV Required _ 5/VJ Permit
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - S/W Surcharge
information is Correct and agree to comply with all applicable State of
Minnesota Statutes andnnn???-???ee;;r; y o(
Eagan Ordinan es. Treatment PI
Signature of Permitee "-6K \'? .
? APPRDVALS Road Unit
A Building Permit is issued to:
R'IIN
Planner -
park Ded.
on ihe express condition that all wor sha e done in accordance with all Council -- 1
00
applicable State of Minnesot • tatutes and City of agan Ordinances. gld9, pf}, _ Copies .
?
Buitding Official
Variance -
TOTAL
?27• $0
' ?
This request void Q.Qc)
79 month9.from
A e,4GOtJ /C1, 77
Request Dale Fire No. Rough-in Inspection
Required? DReady Now E] Wili Notify Inspec-
/ ?Yes ?No ' tor When ReadY
Licensed Electrical Contractor I hereby request inspection ot above ?
wner elet[rical work instelled at:
Sireet Address, Bo
??O / or Route No
w?/ /
/?.J? vw CitY
ecfion o. Township Name or No. Range e.
?
Occu nnt (PRINT) ? Phone No.
P er up lier Address '
Ele . 1 Co trac tor (
` Company Name)
?' on[ractor's License No.
-
-- ? a 3153
3
Mai?n f? Address ? (Co actor or Owner Makin Instailatio
KabA-eyk 5??
Aut rize (Contracl wner Ma ? Installaiiunl
A Phone Number
,
? O p o '_ 3
MINNESOTq ST- ppRD OF ELECTq14TV / THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTIDN FEE IS
Phone (612) 297-2111 ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION ee•ooooi-oa
i -3 o d'y ?:
See instruUions tor comOletirg this form on back of Yellow copy. i/ I? ??
""X"" Below Work Covered by This Request V ?
hkm t+dd eD. Type ofBuildin9 ApPliances Wired EquiUment Wired
Home Range Temporary Service
Duplex Water Heater Li,yhtin,y Fixtures
Apt. 8uilding Dryer Hectric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner - Bulk Milk Tank
Farm otnPr peci v Ocner (sncc:tv1
t r.r ISpecify Other Othrsr
uompuie ;nspecuon ree verow
A Fee ServiceEntrenceSize q Fee Fenders/Su6feeders # Fea Circuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps' 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100_Am s Above 100_Amps
Transtormers Irrigation Booms Partial-'Other Fee
Signs Special Inspection S'TJ
S
TOT
p
?
?E
p
Yl ?5 ,_(,? (?
Ilnn ,iv a h/rAvi! . lA,r, 1..??M?I t?.? T???°1 r?.wa n_ 1 _ ?
-- //
?
?y ?(
E
I IAy ??? ?
Hou9h-in Date '
f .3? •& I. the
.
Inspector, herBhy
cerlil
thal the a6
final ave
v
inspection has 6aen
mede.
v019 rBQUesi vola ln moNmrrom
REQUEST FOR ELECTRICAL INSPECTION rea-ooooi=oa /
? See instructions tor completing Ihis form on 6ack of vellow copy.
p. ?• ?/ ?} ???
/"?. nqlR? 7 "x,- Below Work Covered by This Request
AA ep• Type ot Buitding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixhues
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
F? Otber peG Y Oth¢r (SPec.ify)
p fee Service EntrenceSize ie Fee Feeders/Subfeeders # Fee Circuits
0 to200Am5 0 [o30Ams 0 to30Am
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_AmFxi
Transformer$ Irrigation Booms artial•`Other Fee
Special
r
1,slhDector?.Ejgctical
? I
In, hero6y
ertity thet the above
Pinal OateG peetion has been
mede.
rnisreouesldoia is
Tbis request void ?j
18 mqn[hs tipm ( ? I `C I??L' S
11 093617 4?0
Request Date
?' ?^ Fire No. RouBh-in Insper.tion
flequired7 ?
?Ready No ilI Notify. InsPeo-
` l
Wh
es ?No or
en Ready
?
icensed EleCtriCal Conlractof I here6y request insDection o} above
?
? UWner electrical work installed at:
Street Address, Box or u[e No. Cit
SbV 4
ecUOn o. Township ame or No. Range No. Cwnty
Occupant (PRINT) Phone No.
L / `
wer Su lier Addr s
trical Contr r ICOmpa Namel C ntractor's License No.
( -- 3 C7 -53-3
Mading Address ( tractor or Owner Makine I tailation) !
Authorized Signa ctor/Ovd-fit O Makrtallati) Pho
ymb,g)r _3 ?? ?
?? V
l
T
MINNESOTA S E BOAND OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Griggs-MidweV Bldq. - Noom N-181 BE ACCEPTED 8Y THE STATE BOARD
1821 University Ave., St. Paul, MN 56104 UNLESS PHOPEH INSPECTION FEE tS
PMnw 16121297-2t17 ENCLOSED.
i
This request void Is s"')??d
O mon[hs from ? ?+ J• _ l/? ?
? 100008 L7. 8D,
Request Date Fire No. Hough,ed
Ren-in?Inspection
?
ady Now ? Will Notify. Inspec-
5 ?y?s a wr When ReadV
*,kLicensed Electrical Contractor I hereby reQUest inspection of above -
? Owqer . , electrical work instailed at:
Streei Address, Boz or Rou[e No.
l ?S(?q h G1srr' Citv
ecvon o. Township Name or No. Range No. County
Occupa RWT7 /
I ) 7`{/l.G.5vrr Phone No.
Power upplier ? Address
EI t ical n actor (Company
4ttj
/ Contractor"s License o.
?
M iling Address (Contra r or O ner Makfng Insiail gikon)
l r?s?l/I e.?I
Au[ho Signa[ure (Contracmd ner ing Installation) Phnne__Npm6eLf
?Oj? 7 0
MINNESOTq STp[TE 6( /?D OF?hytCTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway.Bldg. - Room 4?191 gE ACCEPTED 9Y THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
' See instruclions for completing this form oa haCk of yellow copy.
p. .- 1"1 I I In 7'S y 4 v??P?rr
"'X" " Below Work Covered b This Re uest
av? kdd Nep. Type of Buildfng Appliancea Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater - Lightiny Fixtures
Apt. Buflding Oryer Electric Heaifn
Commerciat Bldy. - Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Ocher Sveciry Other ISpecifyl
t er SpecifY Other Othc,
CD171D(/I8 1/130P.f.t10I7 FBB KP((7W
p Fee ServiCe EntrenCe Size # P¢¢ Feeder5V5ubfeeders # Fee Circuits
U to 200 qmps 0 to 30 Am s 4 to 30 Am s
Above 200 Amps? 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100-Amps Above 100_Amps
Transiormers Irrigation Booms 5iio Partial/Other Fee
_ Signs Special Inspection 5 ) ,?(j
OTA E
Remarks / E
?A ?
flough-in Da[e I,the EI
InsOector, he,e6y
certif
that th
a6
.
Final
? y
e
ove
inspection has been
• made.
This requesl void 18 months from
64Gql
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/5_So
Date ? I l
e S ite Street Address `C,?i?71?t'I?$'lp,?' Unit #
Property Owner Teiephone # (6,51-4 :Zr?-Ze7
Contractor. Tele hone #?/?jr?Z? 52
?a
Address ity State?? Zip"?
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 518" meter is required)
Other:
_ Water 5 ftener Water Heater $ 15.00
replacement _ '?dfiona
_ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge D $ .50
Total
rs_?_: -? ?
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 even?A plan is required to be reviewed and approved. . ,%
?
ApVie3nfs Printed Name / ApplUM% SigrWH'ire
SINGLE FJIMILY DWELLIBGS
2 SETS OF PLINS
3 R£GISTERED SITE SUAVEYS
1 M CF EItERGY CiLCS.
1989 BIIILDINC PERIiIT APPLIC?TION ,
CITY OF EAGAN
l 2 ?.' (71-15
MftJLTIPLE DitELLINGS CO*lERCIAL
2 SETS OF PLANS
REGISTfiRED 3ITE 3QRVEt3 -
(CHECS flITH BLDG DIV.)
1 3ET OF EAERGI CALCS.
2 SETS OF AECHI?ECTURAL
i 3T80CTURAL pLANS
1 3BT OF SPECIFICATIONS
1 3ET OF ENE[iGI CALCS.
MULTIPLE D1iELLINCS RENTAL 1INIT3 FOH 8A1.E ONTT3 #.OF IINITS
NQTEs LDDRESSES FOA CORNEA LOlS - CO14TR1Ci0R/HOMEOfiNER MOST DESIGNATE iiHICH LDDRF-SS
I3 DESIRED. p0 CHANGFS NILL BE iLLOiIED OECE BUILDING PERMIT 13 IS50ED..
SEiiER & iiATER PERMIT FEES ?1QD ACCOUI9T DEPOBIT F6ES iIILL BE INCLUDED iIITH ?HE SUILDINti
PERMIT FEE. FAOCESSING TIl7E P'OA SEWEA iRD iiATER PERMITS IS TiiO DAYS OACE A PERMIT flAS
BEE19 C"LETED INDIC9TIAG A LICENSED PLUMBER.
i
? ;PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTB IT IS REQUESTED.
LOT CHANGE IS REQQESTED ONCE PERMIT IS ISSUED.
S E P 0 5 1989
To Be Used For: _?(X Valuation: Date:
Site Address i51?
` 41 Bloek ?-
Pareel/Sub
Owner 1v')1'1 r\
Address ( 5r? ? Lc, ?.e.e,Ch e-r
City/Zip Code 5 C?PaC, r',
P6one LI l?( - (9 r S-
?,r,tractor '1Wb6 4,C,-.kr(0n
..,;dress 11'?' l C6e(c",r1d ftv
City/Zip Code 1'a t,. ( M./y 5`.?lCk
Phone 44(
Arch./Engr. vm?c
llddress
City/Zip Code
I n,) 0 vrrtLPa we
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth rc xio
S.F. Total
Footprint S.F.
On aite aewage
On aite well _
Mwcc sy$tem _
City vatter _
F°" required _
Boaster Pump _
1PPAOVAL3
Planner •
Council ,
Bldg. Off. ?9?co
Yariance
Fm
Bldg. Permit p°
Sureharge
'
13-0
Plan Review
snc, city
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment F1.
Road Unit
Park Ded.
CopSes
?DTAL
Yenaity
TOTAL ?
Phone #
?
x :
gQ. Oo
n+
i
?
a_
'Z-) eP9 44e tQ E %Z.? 'D
? r.?n? ??sT?s? LaNE
r tA-s MEU
? r
0
/s69 9 1"ti6"fs:r-ee ??-
-r?e oF 644 /Oabo
6?92Af r f'la,,Z ? ?I • s?
I herebyr certify that Lhis is a txve and correct reprcsent:ition of Lc>t 70
I'lock [, BR,pCppi HII..IB, according to the recorded plat thereof, ]?3.kota
County, Minnesota. .
" Februar.y 2, 19£31
y i r
;1 '??
- MINNEStlTA FEGISFRATION NO.8625
,
- --?- - ? .
y- I)RA+?lA4?. i i ?
MiVER
LnIc«avn EirvEtvrr. HYtciFltat "U I.UPlr'l!Vlilit;?i
;
SITE ADDRESS
CON'CRAGTOR _ :?,?"?'?r';•,`4 ,?,,?` DATE P}IGNF
Determine working square foatage of each.
1. Total exposed wa11 area ..... -- -: sq. ft. x.17_ _ ,[___?}
2. Total roof/ceiling area ...... sq, ft. x_,05 = '
Total exposed walT area above floor
a. Total wall window area. '
..........................
b. Total door area
.
-
....... ....
,.....,.
..
e. Total sliding glass door area ..........
d. Total fireplace wall area.....................
...
-
e. Total wall framing area (average 10?)...:........ ' ?
f. Total net wall area above floor ............... -?
?-
g. Total rim joist arca ........................... .
i
..L_
.
Total ezposed foundation area
h. Total foundation window area ....... ......... .. ?
i. Toal net foundation area above grade ..........
.
Determine "U" value cf each wall segment.
. . , .. .
.fi...:...
IIU11
a, ? ?. x _ ? '
b. , . . . _ X liu,l
. ---
. - r ?_
. n
L ? "y )lUn , . .. _
. .
y..??:
. . . .
' , . ? ::
ltull
d. X
?.
, „
e. , x uii
f. X'liuit
g ?. _ . X'li,ui,
f 1 ?_-+• ____` v _.._.,?_ ?
? ?_? ' ,
¢ ?
F1. X fluil
- _- --
-
`?'
? i. X louli _ i
?.
.?;
3. .... ............................Total
;
If item q3 is the same as, or less than item til. you have met the intent ?
of S8C 6406(c)2. ?
; ?;?
, .?
?`?? ' M1lLL &EC1'ZC?NS
EB: tJvte jgwA of opaqua wall.area?,tar
?retae construation
G . 1? ? ...,.. ?
?` ? •?; ` °? ?
•p ... . ? (,y `''?
l. Intcrio;:- air
-
-
--=------ ii.lm
- - 0168
?q ,
--?
?'* ?,4,"^ . ?•, _
?
.
i
' 9
sa
v ? ? a n -
77
.
. . . .
6. Exterirr aiz fS1m 0.17
Totax
Ints?rior air_. ^film 0.68'
3. ''' `? •,: ,.
t.. ,?.a??
f ,.
4. 77
%_ ?' . r •" ?
6, Exterior ?ei.r film ? 0.27-.
.
Tot;i-1 Af
1. Interior air film 0".68
s
3.
? 4.
-------_
-
?
- ?
? 6. Exteriar air film 0.17
?
a
s ?
- -- ? ??
;
?
S • r? ? 4
' ,{ 1 }
???rl ? d ?
? ` I
• ? ' 1
? ? •
. . ? °
? ? ?
? ` . ry s ., ? ?
?
?? ?
??? ? ? • ? ?? ? ?l .
. ? ?
? •` .. ?'--- J 1? i
!f i j F
f f
r :
• ?
/?/
L. _ _ X
? f ?
.. { }
;
IF ( °. Jt! ? l1( ,-_ . ? `*
.. ?
?.
C.(%` C'E: il:d CdtP. rant?p 471lUP., CjiLTJt1'1 dilci il
;
m
placer if in suiation.
? y
;:
'Vt^i,:
a?77,
? ??
' . ; . ' .. ' .
? .. ?. _..• . . , .. . , . ..
. . . . . `
,
,. ? ?aor/cEiLZNC
....?'?'`"'s ?..:?ft9tri???l i.nn Fti U <3,va? '`.
•
, 10 traO , ai. t f>.m
k?.
? ?
;
3
??-?Ji? z.
?
?
r?
?• ?
?--.
.-
r,-,
?
i a r
??i t i? 1? c. i
4
? ??4)t
VEId°T .
?
!\l ? t 0
.,l" C Se C @d
FYG. #5
L--k-v L-4?
x@aa riow vP
14;`
yw
#b ?
JJ ? ?
.. ` 1 •' ' `' ;??.'? u
i• . . • `?3%?'? ?./?'' / ?. .-?T71 1
: ?- Nov-vErrrEn
' . Haat
, floy up
FLr.. A7
, •
?' .
3. Iiiz;ide <1?r Lil';n, u. (?i
2.
•+ Y . _r _?__?+
a ?? .
S. Ui;rSide ai' film `0.1o
Ta ta l
Nf)I:.e?7 Us(? raddi.tion.'+1 €lieuf.s. 1f mpre sx,ari: ? ".
na?c?ecl far cittails and calculat:ian;.
?
,
rn,•r;•?••?+_ ._~.,.•.tig,?+?.;1r ?.ti.?`.:."?n.a?..a...s ?'?
_.-_._-,.-.....-_ ' ----??--±??....._.-..+--?»?•
?
3Y } • ?
e gs 'v
. ?j
{ Y:
,
. . - . . . . . x :.
TotaT exposed roof/ceiling area
J. Total skylight area............................. k. Total roof/ceiling framing area (average 10%)...
1. Total net insulated roof/ceiling area.............
" ?,>
Determine "U" value for each roof/ceiling segment.
? X liuio
.
PLUMBING
(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date `6 ? ? fJ
Site Address l"? y? l?9 nCa?? it no,
Unit #
Property Owner LJ Y `rna„ ? ?U,? n ? Telephone #
Contractor
Address City t n? n? 1? a
(?JUL 4 ?.i.
State ?? p{o( i`p???
ZiP ? Telephone
The Applicant is _ pwner ? Contractor _ Other
Septic System , New _ Refurbished Submit 2 sets of plans and MPC license
lncludes County fee. Additional consultant tees may apply.
? 100.00
Alterations To Egisting Dwelling Unit, Including
_ Add+ng fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
_ Other:
_ RPZ _ new installation _ repair rebuild
- - - - - -
_ Lawn irrigation system $ 30.00
?
,?
?? ? U L.J
Water softener Water heater
1
? replacement
additional ey $ 15.00
_
State Surcharge $ .50
Total
1 °
!/
J
$
I herebv annlv fnr a RP?;?tA„r?qi ui..._?.:_,. „_.___•_ _
-.. . x,,1„uL ?,u ac?cnowieage tnat me uiiormahon is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
appro d plan in the case of work wtrich requires a review and approval of plan
?'jD 2 ey- ?&
Applicant's Printed Nam Appl cant's Signat
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1569 Lancaster Lane
Lot: 7 Block: 2 Addition: Beacon Hill
PID:10- 13500- 070 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Dosco Design & Build
16273 Chippendale Avenue West
Rosemount MN 55068
(651) 423 -4801
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
John T Stevenson
1569 Lancaster Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084283
07/14/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1569 Lancaster Lane
Lot: 7 Block: 2 Addition: Beacon Hill
PID:10- 13500- 070 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
John T Stevenson
1569 Lancaster Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091102
09/11/2009
ePermit
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
4/11/2013
John T Stevenson
1569 Lancaster
EAGAN
55122
MINNESOTA DEPARTMENT OF
LABOR & INDUSTRY
RES STAIR CHAIR LIFT
ite: John T Stevenson
1569 Lancaster Ln
EAGAN, MN 55122
Dear it
a
am:
(651) 284-5005
1 -800 -DIAL -DLI
TTY: (651) 297-4198
APPROVED FOR USE
Elevator ID# ELV-1010939
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction
Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless
belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section
recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety
Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
John Bennett
State Elevator Inspector
c: City of Eagan Building Official
ARROW LIFT ACCESSIBILITY
ElFormCE2R
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110984
Date Issued:06/06/2013
Permit Category:ePermit
Site Address: 1569 Lancaster Lane
Lot:7 Block: 2 Addition: Beacon Hill
PID:10-13500-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John T Stevenson
1569 Lancaster Lane
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
!"
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4110111
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REcENED
1110
Use BLUE or BLACK Ink
For Office Use
Permit # I3 IP.3_)
Permit Fee.
'5C
Date Received:
Staff:
PIEj
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/26/2016 Site Address: 1569 Lancaster Lane
&Al *4,
Unit
Unit fl: ech
Resident/
Owner
Name: Norma Stevenson Phone: 651-454-6875
Address / City / Zip: 1569 Lancaster Lane
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Install drain tile at South/front & 3' on east foundation wall per attached estimate
Construction Cost: 3500 Multi -Family Building: {Yes / No ✓
Contractor
Company: Advanced Waterproofing Contact: Peg
Address: 12585 Rhode Island Ave City: Savage
State: MN Zip: 55378 Phone: 952-562-8100 Email: peg@advancedwaterproofing.net
License #: BC634927 Lead Certificate #: NAT 113770 1
If the project is exempt
house built in
from lead certification, please explain why:
1983 N
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:
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.aooherstateonecall.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.
Peg Cowart
Applicant's Printed Name
Appt's Q➢ignature
Page 1 of 3
Lc 51-_e. L
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace — Porch (3 -Season)_ Exterior Alteration (Single Family)
4 Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
_ _ Multi _ Deck ! Porch (Screen/Gazebo/Pergola) , Miscellaneous
01 of s Pies _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding — Demolish Building*
Addition_ Move Building — Reroof _ Demolish Interior
rC Alteration _ Fire Repair — Windows _ Demolish Foundation
l_ Replace _ Repair — Egress Window _ Water Damage
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code TT
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
_ Final / C.O. Required
X Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile a"
Siding: _Stucco Lath !Stone Lath _Brick
Windows
Retaining Wall: — Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
Reviewed By: , t--'" , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
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Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162639
Date Issued:07/22/2020
Permit Category:ePermit
Site Address: 1569 Lancaster Lane
Lot:7 Block: 2 Addition: Beacon Hill
PID:10-13500-02-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Adam R Johnson
1569 Lancaster Lane
Eagan MN 55122
Tacheny Exteriors
49 S Owasso Blvd W
Little Canada MN 55117
(651) 481-1466
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162781
Date Issued:07/28/2020
Permit Category:ePermit
Site Address: 1569 Lancaster Lane
Lot:7 Block: 2 Addition: Beacon Hill
PID:10-13500-02-070
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 -
Adam R Johnson
1569 Lancaster Lane
Eagan MN 55122
(651) 398-0687
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166616
Date Issued:01/25/2021
Permit Category:ePermit
Site Address: 1569 Lancaster Lane
Lot:7 Block: 2 Addition: Beacon Hill
PID:10-13500-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Adam R Johnson
1569 Lancaster Ln
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175007
Date Issued:03/08/2022
Permit Category:ePermit
Site Address: 1569 Lancaster Lane
Lot:7 Block: 2 Addition: Beacon Hill
PID:10-13500-02-070
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Adam R Johnson
1569 Lancaster Ln
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature