1575 Lancaster LaneCITY OF EAGAN
Remarks
Addicion BEACON HILL ADDITION Lot 6 Bik 2 Parcel 10 13500 060 02
Owner -;.-st,eet 1575 Lancaster Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 205.41 9 1643.27 C007747 7-23-82
STREET RESTOR.
GRADING % 1982 537.84 59.76 9 478.08 " "
SAN SEW TRUNK ?j ] 9.06 15 72.55 It It
* SEWERLATERAL 1982 3182.82 353.65 9 2829•19 " "
WATERMAIN
* WATER LATERAL 1982 9
WATER AREA ?5 1982 202.00 22.44 g 179.56
* Stubs 1982 9
STORMSEW TRK Z 1982 367.77 40.86 9 326.91 " "
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 „ 11
BUILOING PER. 10246
SAC 925-00
PARK
Raaipt - MECHANICAL PERMIT Permit No.
CITY OF EAGAN ,
Fes
Fill in numbered spacas S/C
Type w Print leg/bly Tot. •
t. Data ' 2. Installation Cost
, : .
3. Job Address Lot Blk. ? Tract
4. Owner
5. Contractor Phone 8. Address
-i
7. City . State Zip I
8. Building Type: Residential 0 ? Commercial ? Inatitutional ? ?
9. Work Description: New (3 Addl ? Alter ? Repair ? j
j
10. Dasaibe _ Fuel TYpe
I 77
No. Fau;,,me,,. BTU - M. Ea.
Forced Air No. Eouioment CFM
_
Mf9• _ Air Handling:
Boilers
-
Mfg. - Moch. Exhaust
Unit Heater
Mfg. O
_
Air Cond. ther
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and mrrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - - for
Rouyh , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
_'aj ltt
' CITY OF EAGAN ? '? ? ? "?
. 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT
To 6e vwd fer Est.
Site Address
Lot ? Block
Parcel No.
W Name i?ILI,F;[? 7
z t ? -7 7? ?... ,::c .?. ;
? Addres ?
City FPhOnB
; Neme
?u
Addreaa
? City Phone
Name _
Add resa
City _
I hercby acknowledga thot I
tM inlormation is conect i
Stats of Minnesom Sratuee
Sipnaturo of Pertnittee _
A Building Permit Is isswd t
al work :?+oll ee donm in ea
Buildinq Official
Receipt #
_
$65, Otl!i rj..ta MAY 20 19
Phone
reod this opplication and state that
gree to comply with oll applicoble
City of Eaqan Ordinarxes.
Erect 0 OccupancY k< 3
Remodel ? 2oning RI
Repeir ? Type of Const. T;
Enlarge ? Na. Stories
Move ? Length f>t
Demolish ? Depth ? %'
Grade 0 Sq. Ft.
Install ?
?....... ..e I. ?...
Assessment
Water 3 Sew.
Polica
Firo
Eng.
?ner
Council
BIdg.Off .
APC
Var. Date
? Pertnit ' 7? • ? C
Surtharfle 3: . SG
Plan Review 164 • 00
57-770C
? SAC
' Wcter Conn. 56.0 . 00
Woter AAeter '' '; '_o (j
Rood Unit " %7 ' C' '
. ^I 1 ?2?'0
Total 027 . ,)C
on fhe exprcss conditlon thw
donce with oll oppliooble Stote of MinnesotqStatutes ond City of Eayon Ordinonces.
' Pxmit No. Psrmit Holder Dan Tels hone a
P?umbing 5 I-Mln l? i+ IML
H.VA.C. % C{j ' f ?-" -?62
Elsetric ?? 5??*i lg J7
Softener
Impection Dats Insp. Othar
Footings
Foundation
i
Framinp
Roofing
Rouyh Plbp. ?.
Rvuph HVAC
Inal?tion
Fiml Plbq.
Final HVAC
Final
cert/oa. ? . >r o 8
Wster Dewib Location:
YYsll
Sswer
Pr. Disp.
CITY OF EAGAN
383OpiloVCnob Road WATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: :1
Owner, Josepl.i No. oi Units: l
Address: ,
5ite Addrcsc La.cicaster L.:i. L-i =- acor: FIi
Plumber. (;• Q r tr
Mefer No.: S5? 5
Sru: 4L8' ll R i
= go: 5;. . p
?.
1
. ,.wposit:
5.00nd
Reader No.: lD_ -,I;q- h'z// permit Fee• - 10.00?,7d
1 qrw M aook* wah IM Gey oF Gomp Surcharge: . 50TJd
aa?n..o.?
?
f1 tiux. c?b.yes: 13 . paas
0,? J'?
???
Q?r(1
? T?l: 63.00pd meter
ey Date Poid:
Date of Insp.: -? In?.:
S
CITY OF EAGAN
3830 Pilot Knob Road 3cwER SERVICE PERMR
P. O. Box 21199 PERMIT NO.:
Eagan, MN 51121 DATE:
Zontrp: OBpF eL No, of Units:
Owner:
Address:
Stts Addross; I 7 Lancaster Ln. i,i. K? Neacoa I)il_
Plumber: `r"'•-K?LI , LlzKj1 7!':
I sYrw te emoly wk6 !6e C'1!y N Eeyes
Orlineneer,
By
Dote of Insp.:
, IroP.:
Connsuton Gweps: 4 2 S. U(? d
AtmwN Deposlt: '• ?
Permk Fee: 1 .
Surchorpe; -•
Miac. Qwrpes;
Totol;
Date Vuid:
CITY OF EAGAN WATER SERVICE PERMI
3830 Pilot Knob Rosd T
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirg: No
of Units: =
_c;.::_•.;; i i_s•t:
Owner: .
Add?ess:
Sih /Wdrcss:
Plumber.
Metlr IVO.: Cannecfion ChOrpe: J, ._:J''rtf?
Size: Acoount Deposit:
Reader No.:
1 qrw lo aons
1
wYb fM C Permit Fea:
P
y
kf of gqpn Surcharga:
OrliwGaea Mise. Charyes: -- f"?'•d5 f t;
Taol: neter
BY Date Paid:
Date of Irap.: 1....,.
CITY OF EAGAN N° 1 0 2 4 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE : 454-8100 / i
BUILDING PERMIT Receipt
?
* l
Ts be uad fer SF DWG/GAR Est. Value $ 6 5,0 0 0 pate
_
---? 19 8 5
MAY 20
_-
SiteAddreas 1575 LANCASTER LN Erect 0 Occupancy R3
Lot 6 Block Z ?ec/Sub. BEACON HT LL Remodel ?
? Zoning Rl
T
Repair ype of Conat. 11
Percel No.
Eniarge ? No. Staries
JOSEPH MILLER CONST Move ? Lenyth 64
Name
3 CEDAR
AVE Demolish ? Depth 8
? nddress Grade ? sa. Fc.
FARMINGTO?7
City `Phone 431-2001 Install ?
9 Neme ......., ---
u Assesament
?
Addresa
? City Phone Water d Sew.
Police
?
?
Name Firo
13 Address Enq.
iW City Phone Plonnar
Countii
I hereby ocknowledga that I hove read this cpplication and stote that gldg. Off. 5 2 0 8 5
the inlormotion fs torrect and ogree to tomply with oll applitoble
Stota of Minnewta Statutes and City of Eoqan Ordinances. APC
?. it-I y
Var. Date
Siynatum of Pertniftee afn A Building Permit Is issued to: JOSEPH MILLER CONST
all work sholl be dorm in accordance with cll applimble of Minnes?ta..
Buildinq OHicial ?
Faes
Permit 328.0(
Surchorge 3 2 - 5 (
Plan Review 1 Fi4 _ Q(
gqC 525.0(
Warer Conn. 500.0(
Woter Meter 63..0(
Rood Unit 280.0(
T.P. 132.0(
rotal $2, 024.5(
_ on Ms expross condiflon ihoi
Ciry of Eoqen Ordinantes.
REQUEST FOR ELECTRICAL INSPECTION
, Sea imtructions fofYCOmpleting this twm on back ot Yellow copy.
0419-? 9- -,X"" eelow Iiork,Covered by This Request
Rdd Reo- 7ype ot Buildiny Appliances Wired Equipmen[ Wired
Hame Range Temporary $ervice
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commerciai Bldg. Fumace
` Si!o Untoader
Irxfustrial BIAg. Air Conditioner Bulk Milk Tank
Fartll Other oec?N Other (SVecify)
t . (Specity Other Other
CO/IIOL4e l/ISOCCIlO/1 FP6 BE/OW
p Fee ServicaEn[ranceSize q Fee Fanders/5ubfeedere N Fee Circuits
0 to 200 Am s 0 to 30 Am s 3.2 ..5Ti 0 to 30 A.
Above 200 Amps 31 to 700 qmps 31 [0 100 An4is
Swimming Pool Above 100-Amps Above 100_Amyis
Traosiortner$ Irrigation Booms "D PartiaL'OtheL-Fee
sigis 5peciai inspection TOTAL EE ?
Remagks
Kou8n-in 1, the El?ctrical
vC.?. «/l??•?? .6i/ ? o' Inspector. erebv
cerlity Tlat the nbpve
Finai 172 &1 . ? .
Z. .t?. Dyte
O ^ ? mpeccion has 6een
mede.
This raquest void 18montes fium
Th; equas w,d qv
18 months Trom
B41 929 L .6 a- 4.c-em-. 41--U S?
Request Date Fire No. Rough-in Inspection
quir d7 TRcady Now jll Notify Inspec-
J es [] No a? w??en Ready
4Licensc?F lecirical Contractor 1 hereby request inspection of a6ove Owner electrical work installed et: Slreet Address, Boa or Rou[e No.. / CitY
??7? t
`
+.
1r'7 4r
ecuon o. Tawnship Name or No. Range No. Coun
?
Occupam tPfi1NT1 Phone No. .
Porver p ier Addr „
Ele tli I ConVactor ompany Name);
f. . . r c ur's 1_icens
.
? ? 140,
Mailing Address (Co ra tor or Owner Makin InstajlauoN
y7 7
? '
Autho ized Signa[ur on racior/ r Making Ins Ilation) one Number
MINNESOTp STATE BOAN? OF•ELECTRICITY 7HIS INSPECTION BEQUEST NIILL NOT
Griggs-MidwaV Bldg. - Room N.791 _ BE ACCEPTED BY THE STA7E BOpRp 1827 University Ave_. St. Paul, MN 55704 UNLESS PROPEfl INSPECTION FEE IS
Phorre 1612) 297-2111 ENCLOSED.
RESIDENTIAL
?U ? ? -? BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 -7 tS?
/'\ ?
NewConstructionReauirements RemodellReoairRequirements 15 ?J
• 3 registered site surveys showing sq. ft. o( lol, sq. ft. of house; and all roofed areas • 2 copies oi plan ?
(20% maximum lot coverage allowed) • 1 set of Energy Calculations tor heated addilions
• 2 copies of plan showing beam & window sizes; poured (ound design, etc.) • 1 site survey for exterior additions & decks
. 1 set of Energy Calculations • Indicate if home served by septic system for additions
. 3 copies of Tree Preservation Plan ii lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE _s- jv-oa VALUATION 06)500
SITEADDRESS 1 s-7 S LgivGY+G TtI{ z4 r,L MULTI-FAMILYBLDG _Y _N
TYPE OF WORK Rr-RaoF FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Ldr^w Srf It cptJSTt2vcTrnr4 x14c
STREETADDRESS izwll CITYju;t&t? STATE rnlJ ZIP 69-_117
TELEPHONE # v.c;a--7a-7- ras(o CELL PHONE #
FAX #?s
PROPERTY OWNER TELEPHONE# 651 - arjo -11 Uti Cw )
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULLS 7670 CATEGORY 1 MINNESnTA RiJI.ES 7672
(4 submission type) • Residential Ventilation Category l Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing systcm includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Coriditioning
Hcat Recovery System
Phone #
Phone #
Fce: $70.00
---------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is F tNn?c?r? ?
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. S
ignotureofApplicant MAY 1 0 2002
OFFICE USF. ONLY
WaCer Soflener
WaCer Heatcr
No. of Baths
Phone #
I,awn Sprinkler
No. of R.I. 13aths
Fcc: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
L & BL o2 CITY USE ONLY RECEIPT#: / .-7
jy,?
SUBD. L? Zjt?L RECEIPT DATE: ?? VI 9 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? singie family dwellings
• townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES ACH NO. 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 =
1Nater^We4ter . 3.00 x r =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construction 5.00 X =
Water Softener " for existing dweliing 20.00 x =
U.G. Sprinkler "fordwelling underconst. 3.00 =
U.G.Sprinkler `torexistingdwelling 20.00 =
AlteretiOns ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems "A6andonment 20.00 =
STATE SURCHARGE .50
0
S
°?0
TOTAL
1 hereby adcnowledge that I have read this application, state that the infortnation is cortect, and agree to comply with ali applicabie City
of Eagan ordinances. tt is the applieant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City durtng its nortnal operational and mairNenance acfrvities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
v
INSTALLER NAME: TELEPHONE #: Q1 a?
STREET ADDRESS: ?-
CITY: ti STATE: ZIP: 9??a/ (a
A
SIGNATURE qfWERMIEE
,
- - ,
., . ; :
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MUST BE LICENSED idITH THE CITY OF EAGAN
INC LUDE 2 SETS OF PLANS
3 CE RTIFICATES OF S [7RVEY
1 SET OF ENERGY CALCULA TIONS
cn5,ooo_ Tst
To Be Used For: Valuation: ?- Date:
Site Address: OFFICE USE ONLY
Lot: -j?o_ Block a Sect/Su a-4e?? Erect x
- Occupancy ?-3
-?? Remodel _ Zoning ?-1
Parcel ?? Repair Type of Const
_
Enlarge /1 of Stories
Owner Move _ Length ?
Demolish Depth
Address Grade Sq Ft
City/Zip Code ------------- -------------- ------
Phone 9PPROVALS
Contracto , ssessments Permit 32 B.w
Water/Sewer Surcharge 3 Z.s"
Address / Police Plan Revieu I? ¢.°?
F'r SAC 5Z5.
City/Zip Cod Water Conn 5 p0.°=
Planner Water Meter &,3 °o
Phone Council Road Unit
Bldg Off,f jo Parks
Arch./Engr. APC Treatment Pl 1 32. °`-
Variance 0
Address _ ?
TOTAL .oay -s d
City/Zip Code
Phone #
_ .. . _. :,. , _ , . ;_. ..... .
i3coY- t a PAee 78
COPI3UlTIN3 GHGItdEENS
PlBNNEAS and LAND fUtiVEY08S
8uRN5VILLE, MIHNESOTA 58537 PH 432-3000
LoT 6, gL.oGK 2) BEACON HiLL.,
DAKOTA CoUNT`f MINIVESdTA
NORTH
?
SCALE I" = 30
CO, RD. F.IU. 32 5 89° 46' 24" E
gs3.4?, 80.00
DRAINAGE AN
UTILITY EASEI
:97°_.O_? DENOTES EXlSTINs ELEVAT1qN
( q'76.0) pENOTES PROPOSEG ELEVATION
-+- 1NDIGATES QIRECTION oF
SURFACE CRAlNAGE
FINISNED GAR LoOR
ELEVAT1ON z
977?5
: i ) j
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?
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53. b)
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LoT 6 ?
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o I?99e??F.B?W.O. 73.a)
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t LAUGASTE R LANE . `
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1 hereby eer4ify 4hst tAis is a 4rue and correct repx^osenta4ion oP:& .4rect af
land as sho++n' and described hereon.. AB prepered by me on this ,?.jPV<'diy<'ot
, 19 85 . ? .
?? -:I4inn.' Re?. No.%?s
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CITY OF EAGAN
APPLICATI^vN FOR PER24 IT
SE:vER AND/OR WATER CONNECTIODI
(PLEASE PRIHi)
1) PF.OP= ACDRESS : S-75
r FrU B°..?TD'I';CV:
(I,?tiBlcck/Su:ciivisicr. r =a:ti llarcei I.D. NIL::;.-er)
S'-Mt.CM-,Zr CAi?. Oc CiRTCiy7?l. _1a TSJ?.: ?l ":
PP`SL'„ ?,..,l..c;?^aap:'C'S? L'S'r.': ? r-1 S?.'vtu. ? ^_ ?.,-,??1?f
i r .
? i-2 (7i0 L'::I'i'S)
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.
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2) APa7? =?.+ (rLc;.Jc "rnl?i i ) .
?`?'? = Jp G ?II??G`
acD-REss: 1 p/ 33 CeZw- 4-uc-
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ssoz
- PfoNE: ,
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NPVILF': FO"n CITY L'Sr OYLY
PDDRESS: '
/ y -2.2 ?23 Alt O
{ P PLU!!BLSE:
, v I ive
CIT', ,STA'?'E, ZIP: P(yLm"s UA M A-) 5541Y1 Cl Expi ed
. PHOVE: Plu,)"i"'.
?cS?- ??S PLU7tBER LICE;lSE l#?m(p,s ry13 ? No or Record
' :nit131
NM?'.:
ADDRESS: Sa." AS C.2 )
CIZ"l. STiTE, 2IP:
PI-i0NE :
5) INpICT.TE :•,iHICH PER;-LIT IS BEI\G RECUEST:D: .
M, +JI
CC?F_L..TICN 'In CIT'' SE.?v'm
[R-CL^:J:=ZG.1 'Il7 CITY [4A'i =
? C7i M (PI.L'r'+SE DPSCP.I°E)
OJ li?UiC?ii; C:.r.: ? •
PT-= 7?SE F?OLD APPROVID PER"4IT FOR PICii-GP BY QNE OF AEC'VE
or_: =+SE :•!aIL APPRO1ED PEY.•LIT M 1, 2. 3, 4 A£i0'v'E
(Circle one)
7) SIC:=R:,: _?? /r?OzrYy?/
DA'IE: 85
M7 04 OI-"LawM-?a ls:aM:M !M r+. ss a:a a a? s s res s"=:? a i.e M+?ta??.?.s? ? Mrs ? s scaga?
F O R C I T Y U S E O N L Y
PEF"I'* " rSSLED
r=_S : $ /p. ?_o
$
S
$ ??vv
$
5
$
$
S
$ .
- $ ( 30?.v U
$
$ 5 ? ( (x"
5=.: :M D°'Dt1T';' t I`:C?.,::i!?
SU?C:...
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caaTEa pF71FUtTm (lr:cLUnE ;,iiP.CxiaZGE)
WATER MET°R/COPPERHaRN/OUTSITJ ; REiyG: R
WATER TP,P ( ZNCLCDE CORPORATIQN S^OP )
S::•:c,R TA?
AC.^_OuVT D.°POSIT - WATER
Wr,C
SAC
TRU'`iK WATER ASS: SS:1rT
TRC;::K SEWER A55E.,.,.iE;iT
L?.TE?.AL BEtiEFIT/TRUidK SE:•:ER
LA:'ERtiL BEVEFIT/TRU::K ;IATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTA L
A?IOL";T PAID/REC°I?T 4
DO:S UTZ:,ITY COi7:lECT20N REQUIP.E EXC.?VATION IN PUBLIC RIGHT OF WAy?
C YES ZF YES, THE:I A"PERRIIT FOR ;+IORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
' N??ENGINEERIDJG DIVISZON. LZST AS A CONDI-
TION.
SliBJEC2' TO THE FOLLO[9ING CONDITIONS:
. .'
APPROVED BY:
TI:LE: •
- o ? -
DATr: _ •?[? S ,
1
•? s? ww?m .n ? ? M'm OcM ae m+" mes w m w mpi-sq wsN M:mw rt+ po mp?m spq lita we M pe wz" ne48 wam w sw m ..
LC' us's PLITMBING (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 pernuts are required for each unit
f /s..sa
Date ? / ? ! / U
Site Address 15 Unit # ?
Property Owner Telephone # (??) ?6"6, I - ?"[? ?l I
Contractor
Address City
3tate Zip Telephone #
The Applicant is Owner ? Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
$ 30.00
_ Lawn irrigstion system
? Water softener _ Water heater
$ 15.00
\/?
replacement _ additional
State 5urcharge
( .50
Total $
I hereby apply for a Residenrial Plumbing Pernut and acknowledge that the inforination 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
pemut, but only an application for a pernut, and work is not to start without a pemvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of pl s.
/?--
Applicant's Printed Name p ican s S' ature
2004 RESIDENTIAL BUILDING PERIVIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-1$-70"°
New Construction ReauiremeMS RemodeVRepair Requiremenis Office' ?se ?ni
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy CalculaGons for heated addifions TreOPfes PbTecd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions B decks 3reg Pres RequU?? N
1 set of Energy Calcuhations Addition - indicafe if on-s'rfe septic system Dn sde
3 copies of Tree Preservation Plan it lot platted after 711/93
Rim Joist Detaii Op6ons selection sheet (61dgs with 3 or less units
Date IL- / ffQ n? / _Q'{ Construction Cost
Site Address UnitlSte #
Description of Work ?Jl? l ?U.?S ?/ ? 1 In •.?? ? S?? ?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
Property Owner ? ?'(`I-TQ. ?`R"Ur Telephone #((ps{ ) y! I'?JJ?-P 9
RMA HOME SERVICES INC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. 9200 City
Atlanta, GA 30339
State 763-542-8826 Telephone # ( )
BC-20268257
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy COde CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submissiontype) Submitted Submitted
. Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
N If so, 25% plan review
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the information ?'s complete and accuratie;
that the work will be in conformance with the ordinances and codes of the City of Ea , and the Sta?e_of tYW
Statutes; I understand this is not a permit, but only an application for a permit, and wor`k 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
ap r val of plans.
to?.? S? S d
ApplicanYs Printed Name App icant's Signature
Installed
Siding and
Windows
LIMITED POWER OF ATTORNEY
cuiJNTY OF COBB
STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz; a resident of Montgcmery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home
Depot Installed Sales loc•r.±ed at 660 Mendelssohn Aver_ue North, Go'uen.Va::ey, A.T.
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
, The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and appl_y solely to the Work.
This Limi*,ed Power of Attonley shall expire and automatically be revoked on the 21st
day of r?fay, 2004, which date is one year from the execution hei•eof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
1N WiT'NESS ;'VHEREOF this Lir.:itPd Po«er of qrro*ney is exec?rted this
21 st day of May, 2003
.
. ?
David . Katz
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May;; 2003.
Notar'y.P ic in for the State of eorgia
, My Commission Expires: January 21, 2006
3968t6.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Gaileria Parkway, Suite 200 • Atianta; GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toil free (800) 79-DEPOT
2006 RESIDENTIAL SUILDING rExMIT ArPLicaTiorr
Ci[y Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reauirements
3 registered site surveys showing sq. ft of lot, sq. ft oi house; and all roofed areas
(20% maximum bt coverage allowed)
2 wpies of pkan showing beam & window sizes; poured found design, eta
1 set of Energy Calalations
3 copies of Tree Preservation Plan'rf lot pfatted aiter 711193
Rim joist Detail Opfions selec6on sheet (buildings with 3 or less uniks)
Minnegasco mechaniql ventilation form
RemodeVReoair Repuirements
2 copias of plan showing footings, beams, joists
1 set of Energy Calculafions for heated additions
1 site survey ior additions & dedcs
AddRion • indirate i( on-site sepSc system
Telephone # (
Date -
7J-11?-/ 1 Construction Cost 00
,
Site Address R )'l (' Q,S ? P/' (i o'l le _ UniUSte #
:S S ?Z
Description of Work ? P/? A
CI_ ?? X ( f O • ?
Multi-Family Bldg _ _
?
Y? N Fireplace(s) ? 0 2
Property Owner j u ; Telephone #( I?SI ) 7 7?`?7
? Cl
tV
T
Contractor
^( ? "
,
?
"
-kf ?i? ? i !?1 ?
G
Address rs 7 s ? oa f(a S fie? y^ 1 e a Cit3'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTINCs A NEIR1 BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• 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
5ewer/Water Contractor
??'D6
Offibe Use'Onfi
GeftofSunie?Reo3 -? Y. TSPL'?BS PCd y
TreePres,R'9urte? Y N
0 r4sdeSe,pU0-System.:
Telephone # ( )
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
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
Applicant's Printed Name Apphcant's Signature
,
?_•
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Tvaes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Dedc
? 19 LowerLevel
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
'Demolkion (Entire Bldg) - Give PCA handout to applicant
D2SCrIpt1011: Water Damage _ Yes
Valuation a f°cD- ` Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y? Width lp _ Footings (new bldg)
?d Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs _ AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 77 10-plex
? 12 12-plex
76
au ldv? dmk As
NORTH
SC.,k LE i" = 3c'
C.o, RD. MU. 32
?-?
DRAiNA6E RNC
UTILITY EASEME
3.
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( 970.0) pENpTE5 FROFOZEZ ELEVATiCti
- 1N0ICA7-=S GIRECTION oF
SI:RFACS CRAIAlAGE ?.? ;
FiN15NE : 6A+2 '-, LC(,R ?--
E'-EVAT1o? =?77.?
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t LAUCASTER LANE
93?c•f3?__'•?- 7 ?xS.L -:: ej,Gi
I Aereby eertify 4hat thi? ia a 4rue and caa?rret repseaentation oP a 4rket a
land a? Bh*wn' 8fld described hereon.. AB prepared by ma on tP?is 91-;V:'day of
.:t4inn. Re?. No.?
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5 89° 4-6' 24" E
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StT?,qC!{ ?INE
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01/20,/2411 THU 16: 23 FAX 612 822 5408 Al' a Meeter Flumbimg f~J002/442
Use BLUE or BLACK Ink
-
001, -3 1 2
1 Permit #
City of Ealan 1'~ c
I Permit Fee: J Y
3830 Pilot Knob Road I
Eagan MN 55422 Date Received, 1
I
Phone: (651) 675-5675 j 1
Staff:
Fax: (651) 675-5694
- - J
INFLOW & INFILTRATION PERMIT APPLICATION
_)Q, Plumbing 1 Sewer & Water n
Date: Site Address; 1 I~F(A f
Tenant: Suits M
Name: Phone: ~~JJ f~--~a;7
RESIDENT 1 OWNER
Address/ City/ Zip: Gc w G-
I
Name: v1 7 ///4atiW ~rl P LicenseA#: JJ~ ~ /
CONTRACTOR Address: 1 S X / /J City: ~6~~,PZ-f
State: ..//~4/ zip: SSG ~l Phone: ,ZLIZ b ° r IZ,
Contact: Email;
PLUMBING (within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
_ Other, _ Other.
Description of work:
DESCRIPTION -T
FEES
$55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ Vermlt fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofe,,a-qgn.com/l*nflow, or City Hall at 3830 Pilot Knob Rd.
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 oopherstateonocalt.
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 l understand this is not a permit, but only an application for a permit, and work is not to start without a
permit, that t rk will be in accordance with the approved plan in the case of work ich requires a review and approval of plans.
x ~Lrr~l -
licanf Printed Name A c is S nature
iE,i 1Fi! 4R?9 i?~.. Y{i i trl • 1 s. F ! i; . • • Mk? ~y,.iy, .
~ c iy, „ii • :.y!"gym a ~.I ~i, r,r;; {!~•,..;,,;;~wxr,..~::
a.1~r~: ,lat.,;. w'•"~, ~ 'X1"t. ~ ~~t', i
ti•i.^ IrH+. ~a.. {•,~a• Ik,.~ r~ tt,~,~ ; 'y,+'i,R `i •e
l4°"~fr,,;~ „s„ w~Y~ { I fir? ar iii ;•i,$t1IFESI H k:~.': H:::.F Si
,RS tAirett"ins;:: `ctiong;, 'ys Grottntl ti ' : x , { ~s A'. 'rtS a; ~(3w;+ ' n
q P1e -'i~1 o~i~~77-Io: i„xpp tt~~3
•lrilt~i,i{~194r;'=a'ISa{i+,.r;,, ++wIE?A1it{i,¢i116„ ,',';t~,;lltilti;~~r~~~l~;, -oflrir3Pl,~dt., tt~ki~i:~~"i,a ;•rl+,C+~{,TMF*'~', •.~AM1 ,+i{,;,Y~+Y,
Use BLUE or BLACK Ink
For Qice:i~s
Permit
City of Eapn 1 -oD ;
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675 i Date Receive D~
Fax: (651) 675-5694 MAR 2 3 2012 1 Staff: ® CYO
2011 MECHANICAL PERMIT APPLICATION
Date: b 101- Site Address: 1676 Layl ca. s4e r L" ,w, , S S 1
Tenant: Suite
RESIDENT / OWNER Name: C0 Y %e_4 1 U,a.\y 0V, Phone: Go S/ ~~J - 3~~R
~-k 5 ~lZz
Address/ City/Zip: 157S- Le~ d-4-46
CONTRACTOR Name:- UOZ44725-,12-1 I C- License
Address: _ s i ~~-e~l 1h W~city: r✓~-,i
State: ^H to Zip: ss 1 a Phone: /6S 1 SqV - 9I 18
Contact:_ ,.t ~g' t-C4ki Email: rl ci L h. ~jA)_e_~ ZtUac ,Ces4~,
TYPE OF WORK New --k Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
K Furnace. _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install 1 _ Remove)
When installing/removing tank(s); call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 66,00 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.aopherstatoonecall.org
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.
X \pct ~ l ~ "\1V k__ +
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground ^ Rough In _Air Test _Gas Service Test In-floor Heat Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157130
Date Issued:08/06/2019
Permit Category:ePermit
Site Address: 1575 Lancaster Lane
Lot:6 Block: 2 Addition: Beacon Hill
PID:10-13500-02-060
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.
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 -
Peter Meuwissen
1575 Lancaster Lane
Eagan MN 55122
(651) 431-1022
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172309
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 1575 Lancaster Lane
Lot:6 Block: 2 Addition: Beacon Hill
PID:10-13500-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Katherine Renn
1575 Lancaster Ln
Eagan MN 55122
(651) 485-0170
Restoration Builders Inc
PO Box 8043
Scottsdale AZ 85252
(612) 804-1189
Applicant/Permitee: Signature Issued By: Signature