1593 Lancaster LaneCITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 3 eik 2 Parcel 10 13500 030 02
owner `-' sc,eet 1593 Lancaster Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 82 1806.93 200.77 g 1806.93 C007390 10-1-81
STREET RESTOR.
GRADING (Qq- 1982 526.46 58.50 9 • C007390 10-1-81
SAN SEW TRUNK 1976 135.97 9.06 15 90.67 A008956 ' 3 18 80
* SEWERLATEiiAL ^12, lggz 3116.46 346.27 9 3116,46 C007390 10-1-81
WATERMAIN
* WATER LATERAL lggZ g
WATER AREA (95 1982 198.01 22.00 9 198.01 C007390 10-1-81
i* Stubs 1982 9
STORMSEW TRK 1982 359.82 39.98 9 359.82 C007390 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 40913 1-16-84
WATER CONN, 450.00 n n
BUILDING PER, 8771
SAC
PARK
I
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RGC61V 6G
FROM
AMOUNT $ I
$ DOLLARS
?oo
? CA3H ? CHECK
FOR
? --?
FUNO CODE NIAOUNT
Than r, BY
.?
Whita-Payers Copy
Yellow-Posting CopV
Pink-File Copy
Receipt -
• PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C ?
Type ar Print/egibly
Tot.
1. Date 2. Installation Cost
? ./
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State / Zip '
8. Building Type: Residential Or- Commercial ? Institutional ?
9. Work Description: Newe Add O Alter ? Repair ?
1 10. Describe
I 71.
J
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
! Bath tubs Septic Tank
Lavatory Softner
_ Shower Well
? Kitchen Sink
Urinal/Bidet Other
_ Laundry Tray
? Floor Dreins
Drinking Ftn.
Slop Sink
Gas Piping Outlets
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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt ' MECHANiCAL PERMIT
CITY OF EAGAN
a •Pill in numbered spaces
Type or Print legibly
' '-
1. Date !-;j 2. Installation Cost _
3. JobAddress 'i Lot Blk.
,.
: No.
Fee - ??
S/C
Tot. ?
Tract _
4. Owner " - e: . . - i . I -
5. Contractor -? T !`-' , , .' Phone % -'
6. Address
7. City t State ; i Zip
8. Building Type: Residential Q-' Commercial ? Institutional ?
9. Work Description: New 0- Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. E.quinmenx BTU - M. Ea.
Forced Air '• No. Equipment CFM
Ai
H
dli
Mfg. , . .
- r
an
ng:
- Boilers
Mfg, - Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
Gas, Piping Outlets
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 -'1 •
?
CITY OF EAGAN ?
3795 PlW Knob Raad Eagen, MN 55122
- PHONE: 4S4$100 L
NG PERMIT Receipt #
:1, Dt1rr/G?'" `. : sJ ? 4
?ad !er F?? v?ia `?/;`) ? n?.e 7'FL:', lo ?0 3
. L[YV[tO1Ll". L:'11i:
Site Aldress iJ/l
.
_ , ADD
Lot Blxk Set/Sub.
Parcel # 10--13500-030-02
ac Name CA-R`•' & PATTI OLSO:V
? ,?lddress 8??9 E. CTI'. PD. llo i'?203
r:*,'.1fiITE Br.AIt I.F:. oL,.__ 481-0390
p Nome "i-,[,,... 1,tu?.o :11?v1a.vri:lw
i? 7623 UPPE7: 157Tti
aU Address
"?
f- I r;*, LAI:EVILLE 432-6561
Nome
Address
I hereby acknowledge thot I hove read this opplication and stote that
the intormation is correct anA agree to comply with all applicoble
State of Minnesota $tatutes and City of Eagan Ordinances.
Erect
Octupancy
Alter ? Zoning "
Repoir ? Hre Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length ?0
r..,.ae r, no..+ti 4{) c,. r.
Assessment
Water 8 Sew.
Police
Fire
Eng.
Plcnner
Council
81dg. Off.
APC
Permit Y '' •y • "?
Surcharge
Plan check 150.50
525.0)
SAC W ter Con ?
Woter Meter
Rood Unit T51
Total •'1y; `? A•??
Sipnoture of Permittee ?
A Building Permit Is issued ta 1711?klJ-' QIA=IS on the express condition that
all work sholl be done in atcordance rC?bU opplicable State of Minnesota Statutes ond City of Eagan Ordirwnces.
Building Offlcial .?'?? `` 1?`- d t t c_ ; ,, - _ _
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewar
Electric ?q ST f ? 9?
Inspaction Date Insp. Other
Footings 4114 ?
Foundetion
Frsminy
Rough Plbg.
Rouph HVAC 4Q
Inwlation
Final Plbg. .
Final HVAC
Final
Water Describe Location:
Wall -
Sawer
Pr. D'np. •
! cirv oF eacAN
j 3830 Pilot Knob Road SEWER SERVICE PERMIT
; P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ' - "
ZO"'^9' No. of Units: ?
OwnBr:
Address:
$ite Address: ? :.1inC1Sti:1'
?
Plumber. _
.
1 oyr" to eom* wIM fhe Ck?r ef EalWs Connection Chorye:
Ordinanees. AcwuM Deposit:
Permit Fee:
Surchorpe: '
BY Misc. Chargas:
Dote of Insp.; Total:
, Insp.: Dcte Paid:
L
CITY GF EAGAN
3830 Pilot Kno6 Road 1NATER SERVIC E PERMIT
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 DATE: ` " 7,
Zoniny: -
Owne
. . . ,
No. of Units:
-
r.
Address:
'
Site /lddress: .
L
Plumber:
AAetsr N
o.: Connection Chorge:
Siu: Aceount De
poslt:
Reoder No.: Permit Fee:
1 agrse te wmpir wifh !he Ciey of Ea9en Surcharge:
Ordinanas. Mlsc. Chorges • -
Totol:
BY Dote Paid:
Dute of Insp.:
I nsp.:
REQUEST FOR ELECTRICAL INSPECTION
, See instructions for complating this lorm on 6ack of yellow copy.
"X" Below Work Covered by 7his Request
EB-00001-04
d:
T?7 K/
d Rep. Type o1 Building ApplionCes WirBd Equipment Wired
Home Range Temporary Service
Duplex Water Heater lightiny Fixtures
Apt Building Dryer Electric Heatin
Commercial 81dg. Fumace Silo Unloader
Industrial Bldg. Afr Cnnditioner Bulk Milk Tanl<
Farm Other SPecify OthEr (SUecify)
t er Specify Other O1M1er
Compute lnspectron Fee Below
p Fee ServiceEnTrenceSize N Fee Feeders/5u6feeders N Fe¢ Circuitg
6 0 to 200 qm s 0 to 30 qm s ?i 0 to 30 Am os
Above 200 qmpsi 31 to 100 Amps 31 to 100 A s
Swimming Pool Abave 100-Amps Above 100_Amps
Transtormer5 Irrigation Booms D Partial•' e
Signs Special Inspection S 60
T?
Rerrarks ??n 4
ri y
Rough•in / o<, ??;' Da / C
I, the rical
inspector, hereby
certif
that the abov
Final
Date ^ y
e
i ection has been
lhis repuest void 18 montns trom
...nins from A ? 13 -'O y VZ.J (,J
A' ???9 q C; L z R7 _'2 EAc,fl A? il.r LL 4 n h LJi e1 t1?
F7equest Dat Fire No. Rough-in Insyection • •• •
Required? ?Ready Now iII Nolify. Inspec-
1'es ?No or When ReaAY
L)CLicensed Electrical Contractor
I hereby repuest inspection ot above
LJ ?ner
electrical w ork installed at:
Sbe
ei Addres5, Box or Route No.
/
05
3
l
-
C it --
?
1
9
?
Gm Q
ecti l o.
?_ Town?i? plame gr Nol??.?
r< < ?? e?,oyr R `lyo.
<? Cou? V d
Jo k
Occuppnt (PRINT) ?
G Phone Nu.
Power pplipq?
W,LV k Addr
Elec i a ontractor lCort7pany amel
S?f/1 Ei Cuntya?'s Lice?sy Np_
ci 0 7 j a'3
ay6
or
I nunw ?ceo a??onvaAior/vwneallatroN 4' I Phnne Number I
3rss.
MINNESOTq S7A BOABD Of ELECTRICITV THIS INSPECTION HEQUEST WILL NO7
Griggs-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOARD
1821 Univergity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
CITY OF EAGAN Np g?rri
- 9795 Pilot Knob Raod Eogan, MN 55122
PHONEs 454-8100
BUILDING PERMIT Receipt # ??
To be u" for SF DWG/GAR Est. Va1ue $56,000 pate JANUARY 16_ 19 84
Site Address 1593 LANCASTER LANE R3
3 2 BEACON HILL. ?D) Erect ?j Occuponcy
Lot Blak Sec/$ub. _ -- -----1 Alter ? Zoning Rl
par?l # 10-13500-030-02 Repatr ? Flre 2one N A
Enlorge ? Type of Const. V
W Nome GARY & PATTT OT.SON Move ? # Stories
; Address 869 E. CTY. RD. D. #203 Demolish ? Length_50
° Ci WHITE BEAR LK.phone 481-0390 Grade ? Depth_Q?-Sq. Ft.-
o Neme GRAND OAKS DEVELOPERS Avvrovuls Fees _
u? Address 7623 UPPER 167TH
r- r-:... LAKEVILLE 432-6561
Name _
Addreu
1 hereby ocknowledge that 1 hove read this applicotion and stote that
the informntion is correct and ngree to tomply with all opplicoble
State of Minnesoto Statutes and City of Eagon Ordinonces.
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg: Ot??4 -
APC
Perrnjt 9 JU1.VV
Surchorge 28.00
Plon check 150.50
SAC 525.00
Water Conn. 450.00
Water Meter 60 . 00
Road Unit 250.00
Toral $1,764.50
Sipnoture of Pertnittee I
A Building Pertnit Is issued to: GRANiI hAKS on the express conditlon thar
all work shalt be done in jq?lbordonte will?qpplicable StaM of Minnesota Statutes ond City of Eagan Ordirwnces.
Buildinq Officfol
RESIDENTIAL
.?---?? ?--? BUILDING PERMIT APPLICATION
- CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ii lot platted after 711193
• Rim Joist Detail Options selection sheel (hldgs with 3 or less units)
DATE 16 - 2,3 - DJ..
oz
Remodel/Repair Reauirements
• 2 copies of plan
• 1 set oi Energy Calculations tor heated addilions
• 1 site survey for exlerior additions & decks
. Indicate if home served by septic system tor additions
VALUATION I tOD ?
SITE ADDRESS 1593 kCuqGlCS;eyC .4LL{'L e MULTI-FAMILY BLDG _Y ?N
TYPE OF WORK `r145 kLDlaCe?.P/J P\ FIREPLACE(S) _ 0-1-1 _ 2
APPLICANT g/.LkJ2s'ffe 6,ITov`i4 9L
STREET ADDRESS I? 78 Cv rCd 1-2 fiU CITY 9L,A24,,'shZ0STATE WttiZIP J`rJ 3 32
TELEPHONE # ?S-Z- 998''1/I7i/CELL PHONE # FAX #
PROPERTYOWNER 0? 12i J I 712e? (?lew X., TELEPHONE# 651"6-M"' M45'
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTI.FS 7670 CATEGORY 1 -lY1?A1?-SA?1'R?I??
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted l•D Neiv ?Ene g?y g?d? 1Np e. Submitted
. Energy Envelope Calculations Submitted
i G,1?
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
5ewer/Water Contractor:
_ Water Soft.ener _
_ Waler Heater _
No. of Badis
Air Conditioiung
Heat Recovery System
Phone # i-
-----------
L.mvnSprinkler -----I'ee:-$5CY00
N0. of R.I. Baths
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the infor tion is correct, agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
Signature of Applicant
------°---------------------------------------------------°°--°--°--°-------------°°----------------------°-----------------------------------°----------•--
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122 q9
(651) 681-4675
New Construction Reauirements
? 3 registered sRe surveys
? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies oF tree preservation plan 'rf lot platted after 711f93
required: _ Yes _ No
DATE: ?0\
DESCRIP710N OF WORK: \ I U ???.\?
STREET ADDRESS:
RemodeVReoair Requirements
? 2 copies of plan
? 1 sfte surveys (exterior additions 8 decks)
? t energy calculations for heated additions
M ()?
CONSTRUCTION COST: '?AW6
LOT: BLOCK:
? ? SUBD./P.I.D. #: - C?.C_uV`.
?
Name: % ?\(-)(?A 1? Phone #: - P?? <
PROPERTY Last Fint
OWNER \? l?
3treet Address:
cicy srace:
comPan :RIGi§!T'-WAY ROOFINC
CONTRACTOR 1200 E.79th Street
StreetA drTffnomin;^v-0r.n naN 5642e
c,ty (612)853-0049
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Phone #:
Z,P: S5k
License # V? l L Exp.
State:
Phone #:
Zip:
Registration #:
State:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican?t; ?"W*,
---'N I
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
,
Tree Preservation Plan Received _ Yes _ No _ Not Required '"?? -'--- --? I
Zip:
CITY USE ONLY
L ?- BL ?' RECEIPT #: 8-p7prI
SUBD. I?- 11?- RECEIPT DATE:
1997 PLUbIBINfi P£RMIT (ftESID£NTIAI.)
C17'Y OP E4fii4N
3$30 PILOT KNU$ RD
EfkfiAN, MN 551EE
(612) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH
Shower 3.00
Water Closet 3.00
Bath Tub 3.00
Lavatory 3.00
Kitchen Sink 3.00
Laundry Tray 3.00
Hot Tub/Spa 3.00
Water Heater 3.00
Fioor Drain 3.00
Gas Piping Outlet ' minimum -1 3.00
Rough Openings 1.50
Water Softener "for dweliings under construction 5.00
Wat8r SOft811ef * forexisting dwelling 20A0
U.G.Sprinkler 'fordwellingunderconst. 3.00
U.G. Sprinkler ` for existing dwelling 20.00
Alterations ` 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'Abandonment 20.00
# TOTAL
x =
x =
x =
x =
x =
x =
x =
x =
x
x
x
x
x ?
= ZO?a
STATE SURCHARGE .50
TOTAL A. 'a
?------------------------ --------------------------------------------------
I hereby acknowledge that I heve read this applicetion, stete that the informetion is correct, and agree to camply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notiTy the property owner that the City ot Eagan essumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities construded under this pertnft within City property/right-of-way/easement.
SITE ADDRESS: 1< ?3 L cn Cc'i S-te- L/U
OWNERNAME: Mr Il9aa,"e
INSTALLER NAME: Cfc-F r, r-?+9-t-"1 CA/7' TELEPHONE #: 7 SS-- Z Z00-
STREETADDRESS: I Sf.2, N&-rQ-0 ? OL4
CITY: ""`a Q`LnjS STATE: ZIP: SSyq F
SIGNATURE 06'PERMITTEE
CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997
,.
CS'ri Of
;,}3UlT;?I:??; Fjn.:FL?t('1' 71pp3 ?? "Y'Ir';V
- ------------- -...----
0
''o F3L U>e<i c oz ,?? Vt.us:i?.on
JI.te iY1drC?SS
+ I'
I--ct 3 =31cX'?c ?ec.f:>ub. QJfCU?.M M?(,?..
tXrner :
( i- ty!'.7 p Ccx:1,e:
Phol,e 4: i?:u3??5:?: A.7?
City/'7 ip ( ?.K? : __ d
- --__ -- ----?`?-r----?? __
Pnf,. e
• . ._.._. --- _ ----- - --? -? ----- _-_ __
: ?idress :
Ci±y!'l,ip Ca?n?:
AllC}]l!? j.:
5 7,P ?
?
j J 17
Inc].ude 2set? o.F ola ?,7 7 I
1. site plan w/elevations &
1 sE?t Of ene? ?,_? calailations.
Da+.,
?? ?-._?---r?-- -------- -
C51?I'TCT USE
F:z-u,(" r
.__
Altec
[oning
Re'paii Pire 7,p,;e
- LV16
-
- -- ?
-- rl"yt>e' oi Canst _
--
Nk?vi t Stories _
Diltb??..??1
I'It7t1? --
S6
_F?,
crade .__..----- _i
--------
s.4ater/Sr-,NCr Surchai-ge ? '5?g
Poli.cc Plzui Chec.k ?-
--
-----
Fi:'e
-aM
-?i?S
'r'`??'
L;;xt•
?- -
ao
Svater Conn.
---._._ _ _._-- ---
Pi??nnr?r Water Mnter
--
_
Co nn- i1 Uni t07??O?
P1?1'
(
'y
_
.--!_/_?/--- ---- _ -----
'1ui':?T.
I
SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT CONPANY (176)
-?OUNTY RD. N4. 32 lCLlFF RD.J T- ? (9SY•o)? -? S89°4624"E 80.00
1
5
N
DRAlNAGE & UTILlTY'
EASEMENT PER PLAT
LOT 3
?5
I
o 1
?
u
I ?
M
1
r._
M
-I--- ?9?6.3? C9?
------- -3)
-?--•
240 ?
/N /26.0
/
Z PROPOSED N ?
p o o/ NOUSE AR• N ;o
26.0 I?
u?
S
1 ?
\ 24.0 hi
? OVERHANG
_
tW
a
O" W ,-
' o
0
?
W
?
t0
M
?
0
O
0
O
M
Z
5 ?
(1360-11) -,' S 89°4624"E 80.00 ? ?465•:
0
LANCASTER LANE
DENOTES PROPOSEQ SURFACE DRAIPdAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATTnti
C+-
v
i
J
0
M
SCALE : 1,I_NCH °-_.30 FF
.f{??OPOSE:D GARAGE FLOOR = 966.6 ` -T '-;-
PROPOSED LOWEST FLOOR = 963.? FEET
PROPOSED TOP OF BLOCK = 9670 FEET
I HEREBY CERTIFY TO GRAfJD OAKS DEVELOPMENT COP1PANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TNE BOUNDARIES OF:
Lot 3, Block 2, BEACON HILL, according to the recorded plat thereof,
Dakota County, f"innesota. .
AND OF THE LOCATIOP! OF ALL BUILDINGS, IF ANY, T4EREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR 0N SAID LAtdD. AS SUP,VEYED BY NE THIS 29TH OAY OF DECEMB?R, 1983.
SIGNED: JAMES-,P,. 'HILL, INC.
?
!
B Y :
HAROLD C. PETERSON, LAND SURNEYOR
PiINNESOTA LICENSE N0. 12294
PROJECT NO. Soox / PAGE JAMES R. HILLv INC.
83466 planners / Engineers / Surveyors
FILE NO. gZpp Hum6oldt Avanu• South
FO L DE R BbomingtonN Mn. 55431 812-894-3029
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' -
i F,OF???GP,?,US? i
? Permit#:
? Pertnit Fee:
I
? Date Received: ?
I I
? Staff: I
I I
2008 RESfDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: J? Y? G-91??? g?? ?4?'??
Tenant: C11 T I S?J? 4e,?r ??fZ Suite #:
RE3IDENT! OWNER Name: cT`(/! -4 Phon ?? )16m ???b!5-
Address / City / Zip:
A
licant is: 1
Owner ?
Gontracto
pp
-
f
-
TYPE OF WORK
Description of work:
?
Construction Cost: Multi-Family Building: (Yes _ I No AJ
CONTRACTOR Name: -126,; d/k3rf b2C e-A'!('lklil l' License#: ZOCo 30Z3Y
Address: I!'"
City: ? rJG1G? ??-? State: Io Zip: z5',517'-z'
Phon,
((L/ Contact Person: /? 4? V?/V ??I ?
l
COMPLETE TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
- Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
5ubmission type) • 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?
_Yes _No If yes, date and address of master pian:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
;= NOTE: Plaris and supporting documents that.yoa sutimit are considered to be public inforr?iation. • Portions of ,' .
the i'nformation mey 6e classified as non pu61lc if you' provide specific reasons that would permif the iC?ty to ';
A
conGa`tle'thatthe' are fraa[e secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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_ 17avld /vCir kjC?
ApplicanYs Printed Name
a_Y- -,b ?, ' ?
x
ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148691
Date Issued:04/16/2018
Permit Category:ePermit
Site Address: 1593 Lancaster Lane
Lot:3 Block: 2 Addition: Beacon Hill
PID:10-13500-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
David Cruz
1593 Lancaster Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152701
Date Issued:10/26/2018
Permit Category:ePermit
Site Address: 1593 Lancaster Lane
Lot:3 Block: 2 Addition: Beacon Hill
PID:10-13500-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
David Cruz
1593 Lancaster Lane
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178946
Date Issued:09/12/2022
Permit Category:ePermit
Site Address: 1593 Lancaster Lane
Lot:3 Block: 2 Addition: Beacon Hill
PID:10-13500-02-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
David & Christine Cruz
1593 Lancaster Ln
Saint Paul MN 55122--272
(651) 206-3820
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature