1605 Lancaster LaneReceipt PLUMBING PERMIT Permit No.
, CITY OF EAGAN •
Fee
Fill in numbered spaces S/C
Type or Prini legib/y .
Tot.
1. Date - 2. Installation Cost ,
3. Job Address L ? Treet
? v
4. Owner
5. Contractor Phone 1
I 6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New ?
; 10. Describe
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_
_ Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
wmply 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
State Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 1 Blk 2 Parcel 10 13500 O10 02
Owner Street 4604 Beacon Hill Road State Eagan, NIN 55122
1605 Lancaster Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1982 1806.93 200.77 9 1806.93 C007388 10-1-81
STREET RESTOR.
GRADING 6 1982 526.46 58.50 9 526.46 C007388 10-1-81
SANSEW TRUNK 1976 135,97 9.06 15 90.67 A008956 3/18/80
* SEWERLATERAL ? 1982 3116.46 346.27 9 3116.46 C007388 10- -81
WATERMAIN
* WATER LATERAL 19$2 9
WATER AftEA 19$2 19$.01 22.00 9 198.01 C007388
* Stubs 1982 9
STORMSEW TRK ? Z 1982 359.82 39.98 9 359.82 C007388 10-1-81
* STORMSEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET IIGHT
Road Un #46132 9-10-84
WATER CONN. 470.00 it it
BUILDING PER. r ?
SAC ?
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? ?. n.. . ,1 v- ? n r+ r
SITE ADDRESS:
,0 1:i1 :fFN 1 AN!
i`. f:? ?I'? !t! I i
PERMIT TYPE:
Permit Number:
Date Issued:
fie t,i ,. APPLICANT:
f 11
Iili ! 1 111 Nii
0 s ;, ,, i ?i
Nti i 1 ?1 J'?{i
PERMIT SUBTYPE: TYPE OF WORK:
I; t" ?1 A C fr
r?-0 1:F. PLAtF I.dIMEi tNI';
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
Alii TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
J
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
- -• - - • CITY OF EAGAN _ 9491
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
SF DWG/GAR
Te M w?d fer $70,000
Est. Value Date SEPTEMBER 10 84
, 19_
gite 1605 LANCASTER LN Erect Occupancy R3
Lot' /Sub. B EACON HILL Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No.Stories
19 GRAND OAKS
N Move ? Len9th 50
Z ame S Demolish ? Depth 48
t A???
? AKEVILLE Grade
432 ?
S4• Ft.
City
Phone
? N?e SF?SE
?? Address
? City Phone
rc
WW
Name
City Phone
I Fxreby ackrwwledge thot I hove reod ihis applicotion and stote thot
the intormotion is Correct and agree to comply with oll opplicobla
Srote of Minnesoto Statutes and City qf Eogan Ordinonces.
Siynoture of Pertnittee
...,_.._... ..___._ ,-?
Aoorovals Fees
Assessment _
Water 6 Sew.
Police
Fire
Enp.
Plcnner
Countil
BIdg.Off. 9/14/84
A PC
Var. Date
Permit +'
Surchorge .'-' • uv
Plan check 171.50
SAC 525.00
Water Conn. 470.00
Water Meter 63 . 00
Rood Unir z 6 0. 0 0
Parks
Total 1, 6. 5 0
A Building Pertnit is issued to: on the ezprcss condition 1hai
oll work sholl be done in acmrdance with all opplimble Stote of Minnesota Statutes ond City of Eapan Ordirances.
Buildinp Official . -?'? " /
Psrmit No. Pxmit Holdw Data
Plumbinq 7? 7 a1
H.V.A.C. y 9 0 3 J+ 5 ha?hv?L ?1 a, I'r ?r q 5? ?ttvh
El.ct.,c
scvftw,..
Inspeetion Date Insp. Othar .
Footinqs
?
Foundstion
Freming
Rouyh Plbg.
Rough HVAC a
Inwlation ?
Final Plbg. O-%y? 7-
i. /y
Final HVAC ?
Final
Cert/Oce.
Water
F Das?rihe LocMion:
Nlell
S?wer
Pr. Disp. ?
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
I Fill in numbere d spaces
Type or Print /egibly
Permit No.
Fee
S/C
Tot.
t. Date 2. Installation Cost
3. Job Address L 1--- Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Fuel Type
No. Eauioment BTU - M. Ea.
Forced Air No. Equiament CFM
Air H
dli
Mfg. 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 1 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
Commercial ? Institutional ?
Add O Alter ? Repair ?
Receipt 4-0 PLUMBING PERMIT Permit No.
? CITY OF EAGAN
? Fee `-?
I Fill in numbered spaces S/C _5 U
Type or Print legibly Tot.
t. Date 2. Installation Cost 41-71 '
3. Job ,4Are? l,,Lot__/ Blk. JZ7'.; ?
4. Owner C/?
5. Contractor ?-
6. Address
7. City State
Zip
8. Building Type: Residential U/" Commercial ? Institutional ?
9. Work Description: New 134? Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
? Shower Well
1 Kitchen Sink
Urinal/Bidet
Other
? Laundry Tray ?.
? Floor Drains
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. ?
?J
Signed:;?r?;-?.,., for /?1cf<.an - j
i
Hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Phone -4/-s/- 7S/_ y
30 Pilot Knob Road WATER SERVICE PERMIT
0. Box 21199 PERMIT NO.:
gan, MN 55121 DATE:
ning: ? I Na. of Units: '
,,,r. .;j' s
Atcount De '
.
-4 posit:
Permit Fee: _
n to eomply wilh fha City of Eagsn Surcharge: -
?anca. 8I'S Misc. Chorges: _
Total:
/j/ ?, D
'/ c.d2J E?I?./?'•'•) Dote Paid: -
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
ess:
1605 Lancabcer ).an sacon 1.11-1
Addreu:
I agees to eamyy wGh Nhs CIFy of lagan
Ordinaneas.
a.,
Dote of Irep.:
I nso.:
425.00 pd
Connsction (}arye:
Account Deposit: . ? i
pd
Permit Fee:
.50 od
Surcharpe:
Charpes:
Mist
.
Totol:
Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
OATE:
Eagan, MN 55121 `
Zonin9: Na. of Units:
_
Owner:
Address:
1f05 Lgz?cas[e- L1ri¢;??1 B2 B#:zro^
:.11
SiM Address: ,
:onald Plhp
Plumber. `? 7'?' •;1 J c;'1
Meter No.: Connedion Charge: 15.00 'a,':
Size: Account Deposit:
Reader No.: Permit Fee:
I agreo to eomyyr wq6 IAa Ctry of Eagan Surcharge: 53.00 pc: raet
Ordilinances, Misc. Charges:
l
T
t
:
o
a
id
P
D
By :
ate
a
f Ins
:
t
D I^sp•:
p.
e o
a
, ,
Inc u e_ sets of pi:xns
CITY OF EAGAN 3 Certificate of Survey &
BUILDING PE.RMIT APPLICATION 1 set of_ energy cal.culations.
To Be Used For . Valuation jm ? Date ? - ? ???
Site Address : O) OFFICE USE ONLY
Iot ?J. _Block ??? sec./sub. Erect X_ Occupancy ?-3
Parcel #:
Owner: ? kau_"6? J
Address: 6 y° /) °C .
City/zip Code: `t_--
Phone # : /7 -4 Sb
Contractor: ?-1.e?df Vo??l
Address :
a
City/Zip Code:
Phone #: ?3 c?_, -6 S (o ?
Arch. /Eng. .
Acidress :
City/Zip Code:
Phone #:
Alter Zoning R-l
Repai_r
Enlarge Type of Const. 7?7__
Move # Stories
Delmlish Front 50 ft.
Grade Depth 4 8 ft.
APPRfJUAL.S FEES
Assessments Pexmit
Water/S2wer Surcharge 3 5.=°
Police Plan Check
Fire SAC
Eng. Water Conn. ¢-7O .°-°
Planner Water .Meter (D
Council Road Unit 2(
op .°=
Bldg. Off.
APC
TOTAL ?, ZY 6 7' S O
P 057 961 773
RECEIPT FOR CERTIFIED MAIL
NOINSURANCE COVERAGE PROVIDED
NOT FOR lNTERNATIONAL MAIL
(See Reverse)
Sentto
es
Street and No.
* r.,. ?v i
46 -4
P.O., State and 21P Code
POStage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
ReWrn.ReceiptShawing .
to whom and Date Delivered
Retum receipt showing to whom,
Daie, and Address of Delivery
TOTAL Postage and Fees $
Postmark or Date
el/r 4f?
C
a
?
H
7
N
m
a
?
a
m
U.
9
E
?
H
a
e
?c G ?l? 3
.. (l•4?1 7?i ll P1?..t?i/,?;?,?1'7
?? o kr 1 gy
?? 141 <b
Request D te
9 /? ?[? Fire No. Rough•in Inspeciion
Re,q red? 1
?Ready Nuw?Wili NotifY InsPeo-
tor
Wh
J QQYes ? No ;
en Ready
QCJ LiCensed Electrical Gontrac[or . 1 hereby request inspection of above 4.
? Owner . electrical work instellad at ?
ncree[ Aaaress, tsox or noute rvo. City I
1?0 05 ?
?C1 ??C'ls.Ai?n n o r99 .?'t 0- G
? f .BlIt 02 ? / ;D ? a
Occupaot (PRINT) j Phone No,
? JY,t n wotc?tS
1'ower Suppli r r Address ?
c ?cs ht Ele ?7 - ??Irm rt
Ele?cj,t?r?ica?l C?ont?ractor 1Company Namel_ Contractor's Licensa No. \
/f ?' GG?C?4 e? L//> -7 41p'3
or
MINNESOTA STATL(BQARD Of ELECTflICITY THIS INSPECTION REQUEST WiLI NOT
Griggs-Midway Bldg. - Room N-797 - BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Pau1, MN 56100 UNLESS PROPER INSPECTION FEE IS
phone (672) 297?2111 ENCLOSED.
l.J ?g %3 REQUEST FOR ELECTRICAL INSPECTION ea-oouoi-oa
p q 'See instructiong for completing this form on back ot yeilow copy.
/a? "'X'" Below i6rk Cevered by This Request
d flep. Type o1 Builtling Appliunces Wired Equipmant Wired
Home Range Temporary Service
Duolex Water Heater Liphtinq Fixtures
Gommercial Bldg. 1 ? Fumace 1 1 Silo Unloader I
Industrial Bldo. Air Conditioner Bulk?Milk Tank ?
fy)
t! Fee Service EntrenceSize # Fee Feeders /S ubfeeders # Fae Circuits
D 0 to200qm s 0 to30Am s 2? Oto 30Am s
Above 2 0 Am s 31 to 100 Amps 1 '*I?' 31 to 100 q 5
Swimuning Pool Aboye 100_Am s Above 100_Am s
Transiormers Irrigation Booms d Partiaf-'Other Fee
? I Signs ? I ISuecial Inspection ?
$ y3:? T AL E
Nemarks 0V?
Rough-in " uate
f spector, hereby
6
'h
Finel
Da ? e
a
ove
nspection has 6een'
. n _.i..?,. ?? made.
Thls reQueat vold 18 monthe trom
CITY OF EAGAM M 9491
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT ReceiPt # <
Te be wed iw SF DWG/GAR Est. Value $70,000 Dote SEPTEMBER 10 19 84
Site.Address 1605 LANCASTER LN Erect Occupancy R3
' 1 2 BEACON HILL
Lot. Block ?Sec/Sub. Remodel ? 2oning
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
lx Name GRAND OAKS Move ? Length 50
Z Address 7623 UPPER 167TH ST W oemolish ? oePth4 $_
t City LAKEVILLE phone 432-6561 Grade ? sq. Pt.
o Name SAME
z
uu
Address
F City Phone
uw
?W Name
?? Address
?uZi City ' Phone
I hereby acknowled9e that I hove read this opplicotion and stote that
the intormotion is correCt and ogree to comply with oll applicable
Stote of Minnewto Statutes cnd Cjsy qf Eagon Ordinances.
/y????
Signoture of Permittee )?/-y
A 8uilding Permit is issued to: f uK1ALVU-'lJE1tC5J ?
all work sholl be done In accordarxe wi pliw
Building Of.ficiol
Approvala Fees
Assessment
Woter & Sew.
Police
flre
Eng. -
Planner
Coundl
BIdg.Off. 9 14 84
APC
Var. Date
peffnit $ 343.00
Surtharga 35.00
Plon check 171•50
snc 525.00
Water Conn. 470.00
Water Meter 63. 00
Road Unit 260 _ 00
Parks
Total $1, 867. 50
on the express conditlon that
$tatutes ond City of Eagon Ordinances.
6550/
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAId MN 55122
651-675-5675
Please complete for modiflcations to existing residential dwellings.
16.5U
Date7 /
)/ / d /
_
Site Street Address Unit #
Property Owner ?0 ??Oh K-?lJ V oh Telephone #(??
Contractor /#j. Telephone# Vv)
Address 751/ 220 -4) City u&dAY State? Zip s??y
The Applicant is: _ Owner KContractor _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 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
;_< replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Applic nt's Signature D
? JUL 2 1 2004 ?
CITY USE ONLY
LOT ? BL ? PERM[T #: 41?;j
SUBD. C)CLI(?("i n RECEIPT 117? J
RECEIPT DATE: 110 -U v
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN HN 55122
Date: (?/`2651-681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
$
.50
Complete this section onlv if you are remodeliniz, addine to, or renairina an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New 14 Alteration _ Repair _ Other
_ Furnace
Air exchanger
Air conditioning
Other
Fee $
State Surcharge
Total $
Reminder: Call for inspections
SITE ADDRESS:
30.00
.50
30.50
OWNER NAME: I lJL 6 v U`" I Dn ?lJjn'J IS l -PHONE #: U51 -0 11
T (ARE C DE)
INSTALLER NAME: BLAiNE HTQ. A/C ELECT. INC• PHONE #: Q?]
, (AREA CODE)
STREET ADDRESS: ANDKA, MN 56904
CITY:
3uN 12 Zoao
STATE: ZIP: SIGNATURE OF PERMITTEE
CITY Of" CAGAN
CASH:C1=R' S TEF:i°fINA!_ NQQ 763
DATE? 0804/98 TIME: 1J?.?U:4J
TII q
NAME ? H.LDER- tONES
3210 9001 1.605 L.AN(:;AtiiT'EF 99.75
205 9001 if;05 LANCA4T"E:f; 2a50
7ata1 Receip+, An,aur7+g :L0E:?.?5
CR09F,202
USFR 7De NAi4CY
I - I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612)681-4675
FERMIT
PERMIT TYPE:
j Permit Number:
Date Issued:
BuzLpzNG
032914
08/14/98
SITE ADDRESS:
1605 LANCAS7ER LflNE
LOT: 1 BIOCK: 2
? BERCON MILL
P.I.N.:110-13500-010-02
I
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Tptal Fee
P
?
REPLflCE WINDQW5
Permft 7ype SF (MISC.)
?e?,rk 7ype REPRIR
434 ALT. RESIDEN7IflL
AL<
vs ? ?,a ? G s§.,,:
vaLuarTON
$99.75
_____-__--12 . 5,0
$102.25
$5,00m
3f' ?^,.&L ° n" glA.ss eb? Tii
CONTRACTOR: - Appla.cant - 5T. LTC< OWNER:
RENEWAL BY ANOERSEN 15024777 29040630 DOUANGSY TAOTWQNG
350 73RD AV.E NE 8 1606 LANCAS7ER LANE
FftIDLEY MN 55492 EAGAN MN 55122
(612) 502-4777 (651)454-0115
APPLICANT/PERMITEE SIGNATURE
bFV `? " L10
S UED 8Y: SIGNA7URE
•? ' 199g BUILDING PERMITAPPLICATION (RESIDENTIAL)
CiTY OF EAGAN
??c1 l'3830 PIL06 81KNOB 5RD • 55122
New Construction Real irements
BemodeVRenair Reauirements
? 3 registered site sunreys ? 2 eopiss of plan
• 2 wpies of plans (indude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addidons 8 dedcs)
? 1 energy calwlations ? 1 energy calcuiations for heated add'Rions
? 3 copies of tree preservetion plan if lot platted after 7/7193
required: _ Yes =
DATE: 3
1 q CONSTRUCTION COST: ft Li
71 9
DESCRIPT F WORK: r:?i7717?in!M %.. irvv, a4 r,?? (),?M
STREET ADDRESS: 11pu
, U i o
LOT ` BLOCK ?- SUBD./P.I.D. #: - ? L?
01?e '
PROPERTY Name: PlTOne#:
OWNER
Street Address:--??n? n`?rl.?? a?/??? v
City: State: ? Zip: S-57 cla ,
CONTRACTOR Company: ?Qt? all 7a.l A,,4QAv Phone #:
Street Address: 3?-7????(?(?Q License #: ????? ?
City: State: `7n Zip:
ARCHITECT/ Company: _?-E Phone #:
ENGINEER
Name: Registration
Street Address:-
City: State: Zip:
Sewer & water licer.aed plumber (new construction only): . Penalty applies when address change
and lot change are iequested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is rrect and agree to comply with atl applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
?j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5?J?
? ? ? ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New Consfrucfion Reauirements
? 3 registered sNe surveys showing sq. tt. of lot, sq. H. of house
and all roofed areas (20°.U maximum lof coveraae allowed)
? 2 copies of plans (show beam & window sizer, poured fnd. design; etc.)
D i sei of energy calculatlons
? 3 copies of hee preaervation plan il lot plalMd aHer 7/1/93
DATE: 4"A5! ' VO
DESCRIPTION OF WORK:
RsRoac _ ,
Remodel/Reoair Reauiremenis
2 copies of plan
1 set of energy calculaflons for heated additlons
1 sBe survey for exferior addHions 8. decks
CONSTRUCTION COST: <+ZcD `'?
STREET ADDRESS: !G 05 c.srnr?AS?E2, &0
LOT: ? BLOCK: ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Peu,9 ni a sN TA67,<Ian.fi Phone #: 46'1^ 4ISN' 6//4
La Flrst
5treet Address: /L d S L~ASrest LA.vE
City el6? State: MAI Zip: S'S/ z 2
Company: I12TEC L'eti6T2c44; on. _ Phone #: 417, 84S• oD k O
(area code)
Street Address: e/ S83 RoNnv 00'?'C-e- Ucense # ExP•
City 04,96vsa: //.g State: ?Y1?v Zip: f 5-3 ?J 71
Com
Telephone #: area code ( )
Name: _.
Street Address: Registration #:
City
Sewer 8 water licensed plumber (reautred for new tonshvciion oniv):
State:
Zip:
Penalty applies when address change and loi change is reqvested once permH Is issued.
I hereby acknowledge that I have read this applicaNon, state that ihe information is correct, and agree to comply wfth ali appOcabl
Sfate of Minnesota Statutes and City of Eagan Ordinances. I I I . / na j
Signature of Appllcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
_ No
_ No
- Not Required
1999
JUN -L I
i
2/84
CITY OF EAGAN
APPLICATTON FOR PERMIT
i
?
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEf7PY ADDRESS: ?O5---1=4?1 ?- a??-
LECAL DESCRIPTION : L C3 ? ?? p G ^'? ?? C d rl "tl-S.
(Lot/Block/Subdivision or Tax Parcel I.D. N er)
;
IF .EXI=, :G STRUCI'{JFZE, DATE OF ORIG_T117AL BUIi,DING PE7,1IT ISSuP1tiCE:
. ?vrJ'" "_ r °_a_r)
? .
P:?sE? Z::,>ar?;/P?Pes? t?sE• i N-1 suvcrE FAItiuL71
0 R-2 DtJPLE: (7A'O UNITS ) ?
? R-3 TOWNHOUSE (THFtEE + UNTTS)( UNITS) (
? R-4 APARm,=/CONDOMINIUM ( UNITS)
? COMMERCIAL/REPAII,/OFFICE ?
? INDUS2RIAL ?
? INSTITUTIONALfC'?OUERNNIIINT ?
2) AppLICA,'VT (PIEASE PRINT)
bF1NIE :
?
ADDRESS: 77b?23 t) n r) 'e>
CITY, STATE, ZIP:
PHONE
...??
3) PjUABER /y? PLEASE P INT) FOR CITY USE ONLY '
NA['4E: _-li tC?eh? lciLh C. ?
'?
P
DDRESS
d
J?
/
' PLUM ERS LICENSE: R
,
aL ?
: ? ?f
t
G.?Q
:
Active ?
?'?? (?tfy
CITY, STATE, ZIP: Lakr
; V''lle ?}f?.j Expired ?
•
,
F?TEii?"`'
PHONE: 4 (e, T ??'j 7`,Z pLUMBER LICENSE #
,.??? ecqrd ?
_ a nitia ?
41 CCCvppNr/OwNE2 NP.P4E: ( P l E A S E P R I N 1) i
zDDREss: P
CITY, STATE, ZIP:
PHONE:
i
5) INDICATE WHICH PERMTT IS BEING 12EQUESTED:
? COrINECPION TO CITY SEWER
[lf,?. CONNECrION TO CITI' WATER
? 0'PHER (PIlE',ASE DESCRIBE)
6) INDICATE ONE: ?? " ?
"
? P E HOLtS p
P O OF
jj PLFASE MAIL APP P lI
1 ?
T
i
(Circle one)
7) SIGINr17URE: 1,1, DATE:
?
?j `-I
F O R C I T Y U S E O N L Y
PERMIT # ISSUED
F I
FEES:
$
S
$ / s , _--- =
$. /.5:
$ -q -7 o . _----a
$
$
$
$
$
$ .
$ TOTAL '
$ AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FQR WORK WITHIN
; PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO , ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFiE FOLLOWING CONDITIONS:
SEWER PERAIIT (INCLliDE SUP.CHARGE)
WATER PERNIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP) ;
SE+VER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSNQENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNTC SEWER
LATERAL BENEFIT/TRUNIi WATER
OTHER ,
?
APPROVED BY:
TITLE: ?.! •? C.?Nii'?
DATE :
•E f?w ?w w?? ?s. r.k? ?? w?r ?e?srt s? ? w? +?+?s4?? ?I ? s?t?? s:?s w?. sr? se wFt? r.•.
.• ,
SURVEYOR'S CERTIFICATE ' GRAND OAKS DEVELOPMENT C0, a3d-
F
io ;
M
O
_•
Q
Ck:
i ?
Z
?
v
I
?
? 163.00 N0°!3'36"E
75 Z
48.00 - ?jN-30.00
in to
- - - ---? ? - - - ??- --? .
1O
l ?!
r^,+?
N? C4s ,2 N ' t?1J
22.33
5.67
2
? ??
N
.0N_..
OT v
L
? '?
I
,
\ ?
&?C6
4
`n 4: N J 10
zs.o
30
Z
?
l
? o a
?o
I
I
/ 9sso) ?
N
? N
1
?
5 ?E
p
M
2
?
0?6
76
? /
/ ?P 52
10.91 ?
a2°50, 36/
I 5Iu wo
tA
?
, Hl 1.0
Z ?
W DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET
• DENOTES IRQN MONUMENT FOUND PROPOSED GARAGE FLOOR = FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 954•1 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = qs'I, 9 FEET
I NEREBY CERTIFY TO 6RAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 1, Block 2, BEACON HILL, accordirg to the recorded plat thereof,
Dakota County, Minnesota.
AND Of THE LOCATION OF A PROPOSED Bt1ILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISTON,
THIS 25TH DAY OF JULY, 1984.
SIGNED; JAKS) R./ HILL, INC.
I
BY :
AROLD C. PE7ERSON, LAND SURVEYOR
PIINNESOTA LICENSE N0. 12294
PROJECT NO, BOOK / PAGE
. JAMES R. HILL, IN•C.
84820 Planners / Engineers / Surveyors
FILE NO. '
' 8200 Humboldt Avenu• South
FOLDER Bbomington, Mn. 65431 612-884-3020
?
?
?
LL
,
U
?
T5 ,
C?+3.v -' R _219 4
o p.25
?
BEACON
W
N
?
?
?
OD
1
I } Q
IJ
? W
I ar Q.
?
I q ?
? W
I o W
1o
?o
. 'EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
6RAND OAKS DEVELOPMENT COMPANY
' MODEL Q AREA U U X AREA . .
?? • . .
FtEQU I RED . ..
1. TDTAL WALL AR6A 1800 X. 11 198
/
2. TOTAL ROOF AREA 1196 X.426 31.096 ?• •
?
ACHIEVED •
AREA U U X AREA
A. WINDQW AREA 186.66 .5. 93.33
B. DOOR AREA 39.9 .077 . 3.0646
C. SLIDE OLASS AREA 13.44 .46 6.4512
D. FIREPLACE AREA 0 0 p
E. WALL FRAME AREA 180 .041 7.38
F. NET WALL AFtEA 1164.1 .049 57.0409
G. RIM JOIST AREA 119.52 .6436 5.211472
H. FDUND WINDOW AREA 0 O O
I. FOUND ABOVE 6RADE 96.48 .135 13.0248
.::,. . .;
3. TOTAL•WALL AREA 1800 185.5026? •
J. SKYLITE d p p ,..
K. ROOF FRAME 119.6 .032 3.8272 .
L. NET ROOF AREA 1076.4 .025 26.91 "
4. TQTAL ROOF AREA 1196 30.7372/ '
. ' . ..:a'..", .
? ??
'
?
.; .•
SUM 1. +2. . :
229. 096 `,u: }
:
,
. .
SUM 3. +4. 216. 2398 • ' ;''`: '=" `; `
....
' . ' , .
i
. . ' ` j
y y 3
{?: ,
. . v
/ _
. . ' . . . F f
- n.
} . .tt ,.
,
. . .
1 1 .
• 1 1
? ? f ':f . f..
•
. . .;
, .
i .
. ... }
. ?.. ?
a ,?i 4F I S:'
' . . ?• ye! {. • -
' . - i ?.!•4 3 /??: t
t s
?• ' ... . I
..c`
. ,1{''
i .
r'
?r 3 t, ? .
'
. . .1? ,
`: . ,i ? :
7r
S
?
*
. X °!Y
r .
.
. . ' -
jF
? z ?
'
' . J . ? • ? ?.
1 '
'
_ . . . / .
. , .. i . ,H `I
. ' .
- . . <...?' s.'
.. s..
. .. . , . . . .+t + . . .
.
R
C
? ,.. , .
, . . • . . . ` ? ..f, ' ' :7.. ,
.. .
. ,
. . . . . _
. .
. ..t i. . , m :. '
_ .}?+ytr'.. ,
' . . . . . . . i•4 . .
: •.
:
'
.
' . . . . .
'y
i, - . .
.
G
! -. .
` .
, y . !
. ^...? y'. , .
:I a?
?
? ?2
oF aagan '
3830 PILOT KNOB RQAD, P.O. BOX 21799
EAGAN, MINNESOTA 55121
PHONE: (612) 454-6100
Dear Eagan Resident :
LEGAL DESCRIPTION: --" T"onn^sHeoc?s
Lot-1 ?B2ock Z? ??• cnvndminisnat«
EUGENEVANOVERBEKE
BeaCOn-Hil-l--ls.t_ -_? cirvclerk
BEA BLOkA9UIST
ti+w«
DATE: September 11, 1985 naornnsEGaN
JAMES A. SMITH
JERRY 7FIOMAS
ADDRESS : 1605 Lancaster Lane THEOOOaE wncNreR
,councii nnemoers
RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
CITY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautionary
measures for the protectibn of the public. An electrical co?3
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such. '
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or sses may be located in or on any public lands
or Right-of-Way without approval by the Council. .
The public right-of-way or boulevard is that area from the curb
to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
iHE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
. r
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damage to your structure and also to our snow removal
equipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER.
After that time, you will be subject to the fines as stipulated
in this ordinance. •
The City of Eagan cannot accept any responsibility for damage that
may occur to those obstructions` that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
I
William H. Branch, Superintendent
Public Works Department
WHB:jbd
p
Rocks and Shrubs on the boulevard
1 wre
OF
3830 PILOT KNOB ROAD. P,O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
8EA BLOW19UI5T
Movor
DATE : September 11, 1985 THOtv1AS EGAN
ADDRESS: 2605 Lancaster
?
LEGAL DESCRIPTION: Lot 1 Block 2
JAMES A. SMITH
JERRV THOMAS
Lan ?FiE000RE WACHiER
- Council Members
THOMAS HEDGES
, Cify Atlminishafor
Beacon Hill 1st
Dear Eagan Resident :
EUGENE VAN OVERBEKE
Ciry Clerk
RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
r
CITY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautionary
measures for the protectibn'of the public. An electrical co=3
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such. "
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-Way without approval by the Council.
•
The public right-of-way or boulevard is that area from the curb
. to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damage to your structure and also to our snow removal
eguipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER.
After that time, you wi12 be subject to the fines as stipulated
in this ordinance. •
The City of Eagan cannot accept any responsibility for damage that
may occur to those obstructions° that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
I
William H. Branch, Superintendent
Public Works Department
WHB:jbd
Rocks and shrubs on the boulevard
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1605 Lancaster Lane
Lot: 1 Block: 2 Addition: Beacon Hill
PID:10- 13500- 010 -02
Use:
Description:
Sub Type: e- Reroof, Siding & Windows/Doors
Work Type: Reroof, Siding, Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 9,000.00
Contractor:
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(9523 746 -3046
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
BL - Base Fee $9K
Surcharge - Based on Valuation $9K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$177.00
$4.50
$181.50
Owner:
Taothong Douangsy
1605 Lancaster Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090113
07/08/2009
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144264
Date Issued:07/19/2017
Permit Category:ePermit
Site Address: 1605 Lancaster Lane
Lot:1 Block: 2 Addition: Beacon Hill
PID:10-13500-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Taothong Douangsy
1605 Lancaster Lane
Eagan MN 55122
Southtown Plumbing
6636 Penn Ave S
Richfield MN 55423
(612) 866-3057
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r I
For Office Use
I i
Permit#: < / 1 /
City of Eaan 1•
Permit Fee: AR07-6.5
3830 Pilot Knob Road '
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
1........ _
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7-(3 -17 Site Address: t(SPS- c„e c1/45GC'tS Unit#:
Name: vi CtOIC,.7 1>bc3-AL LL-SY Phone: to 42.- 3' S
Resident/
Owner Address/City/Zip: ' s 4" r t a kA.
Applicant is: Owner A Contractor
T e of Work Description of work: 1.2.E.-eat-4. p �p .R. i3 Z r-E
yp � �
I Construction Cost: �{�z.0 0 Multi-Family Building:(Yes /No )
Company: i a c. . ? r c-re_,. Ct N.Contact: t-Cievest<
Contractor Address: (..6z-;›,, C` A, 4 1 cV City: (`t t_ 'C f...c 4j
State:t`tt>.t Zip: 5-53.5-9 Phone:IC..3 .Email: „fit-frEPS Q CaC t* z2��Cs"t(
/Vccerk.5t.G.`ebie1
License#: icZ,(c ( L Lead Certificate#: Z. Z.,,.
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that ��ou submit are consi . n .,.
Ap g Y tiered 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. Wwwv.gcpt€orstat€.onecalt.or
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.
x C-CBK �E-itcF �22sJ x
Applicant's Printed Name Applicant's Signatur,r
Page 1 of 3
/(,D S /evvi caSie r 1 --e 41/gt( '?c,
DO NOT WRITE BELOW THIS LINE /
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
—
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex 7 Lower Level , Pool T Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
)( Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation „9/ ° ° Occupancy LMCES System
Plan Review Code Edition Wio/2.O/( ' SAC Units
(25% 100% �( ) Zoning City Water
Census Code //`` Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VO
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) y, Final I No C.O.Required
Foundation Foundation Before Backfill /y HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
1( Framing )( 30 Minutes 1 Hour Drain Tile
Fireplace:,Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
)( Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
XShower Pan Other:
Reviewed By: /i-1_, ,Building Inspector
RESIDENTIAL FEES
Base Fee 15 ir
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant / 2.,.
1✓
Copies /?7,,,c,
TOTAL
Page 2 of 3