1386 Lone Oak RdCITY QF EAGAN PERIUIIT TYPE: F << I
3830 Pilot Knob Road Permit Number. .?,•?, q:?;?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: : "' APPLICANT:
I?,1.;1 i ull?.! ?,,I, ) •I. ; ?„?:?
PERMIT SUBTYPE: TYPE OF WORK:
F?+ '.? h I I I I?EI•f ? i•.r??1i I??li? i
INSPECTION DA • DA
i i ' 1 . .
? 71
. . . .. . . ., . .. ?. . ?... . . ? . . .. . ' ' .: ? ' . . . ,?
? .. ? .. . .. ? -?
Permtt No. Permk Holder Date Telephone #
EIECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TESf
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
cirY oF EA"N
3795 Pllot Kno6 Rood Eogan, MN 55122
PHONE: 454-81 DO
BUILDING PERMIT
Te bo uted for Est. Value
Site Address ?
Lot Block SeclSub.
Parcel #
W Nome
3 Address
a
Ci Phone
Name
0
Z
?V ? Address
1' Ci Phone
u?
,j,W Name
FW
_? Address
Receipt # _
.. ..?
N4 5303
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth k.
Approrals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner ?
Counci!
Permit
5urchorge
Plan check
SAC
Water Conn.
Wnter Meter
I hereby acknowiedge thct I have reod this opplicotion and stnte thot gldg. Off.
the information is correct and ogree to compiy with all opplicable APC Total
State of Minnesoto Statutes ond City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shcll be done in accordonce with all applicable Stcte of Minnesota Statutes and City of Eagan Ordinonces
Building Officiol
P•r*it # Daft rng.a Pe+mittK
Plumbing
Mechonicol
INSPECTIONS, DATE INSP.
Rough-In Fincl
Footings Date Insp. Oote (rsp.
Foundotion Plumbing
Frome/ins. Mechanicol
Final r`f
Remarks:
CITY OF EAGAN Remsrks Di u. itil l
Addition 2ARa Car" Lot i Blk i Paroel 10-75200-010-01
n
Owner 1?-•?4-t1??' O ,i_ i: l Street 1386 LOIle 0'4k R08d State
Improvement Date Amount Annual Ysars Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 3 1970 1.00 12. (o 2
SEWER LATERAL 2 2 4 • 2. 8 20
r
WATERMAIN
1/ WATER LATERAI; 1912 9T4-31 20
• WATER AREA
. STORM SEW TRK (Qp 19$2 839.26 83.92 10
STORM SEW LAT
CURB & GUTYER
SIDEWRLK
STREfT LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
!
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ? 7or ?yD
?
651-681-4675 na l led
`
6-9
New ConatrucUonRaouirementa RemodeUReoairReoufremenb ?
-01
• 3 regisfered site surveys showiig sq. ft oJ lol, sq. R of Aouse; and all roofed areas . 2 copies of plan ?
(20% maxunum lot coverage allowed) . 1 set of Energy Calculalions far heated additions
. 2 copies of plan showirg beam 8 windaw s¢es; poured faund design, etc.) . 1 sRe suney for ezterior addNOns & decks
• 1 5N of Energy Calculations . Indicate'rf home served hy septic system for add'Aare
• 3 copies of Tree Preservafion Plan i( lot plaked after 7!1193
. Rim Joist Detail Options selection sheet (61dgs wiN 3 or less wilts)
DATE VALUATION
JOB SITE ADDRESS JAAM_r 0?-?l ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 23IG? &FFD?
TYPE OF WORK L
APPLICANT
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contraetor:
Mech:uiical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery 5ystem
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable Sfate of Minnesota Statutes and City of Ea dinances. ^ t
Signature of Applic
?-
Certificates of Survey Received _ Tree Preservation Plan ceived _ Not Required _
Updated V01
FIREPLACE(S) _ 0 _ i _ 2
PHONF#
?' S?S<- L47aF Ke? t-Af AT? ZIP CODE
CELLPHONE# ?/2-?i?-?.637 FAc# ??Z
_ Water Softener
_ Water Heater _
_ No. of Baths
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
0 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement p 38 Demolish (lnterior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
v
"
Valuation JOO
a (
Census Code Y3
SAC Units 691
Nbr. of Units ?
Nbr. of Bldgs ?
7ype of Const
Occupancy 1?-3 MC/ES System
Zoning ?iC-r City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
W idth
REQUIRED INSPECTIONS
Foo[ings (new bldg)
Footings (deck)
_ Footings (addition)
Foundarioo
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Paol _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved 8v12.?J , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppfy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex 1?18 Deck
? 11 10-plex ? 19 LawerLevel
? 12 12-plex Plbg_Y or_ N
Fina
UC.O.
? PlFinaUNo C.O.
_ umbing
HVAC
VILLAGE OF EACAN
3795`6iloi Rriob Rood
Eoqan, MN 55122
2oningf'-1
Owner: MiCh881 O' COIITIOY
Address:
Site Address:1386 IAne Osk Ro8d,
Plumber: R. K02neil - ROydl
Meter No.: ?2257626
Size: 50_Ftpek
Reader No.: 425435
I agree fo eomply with eha Villaga of Eagan
Ordinancn.
By
Date oC Insp.:
WATER SERVICE PERMIT
PERMIT NO.: __1350
DnTE: 11/19/73
No. of Unfts: 1
Connec[ion Charge:O6V"^v i'°
Account Deposit: 15.00 pd
Permit Fee: 10.00 pd
Surcharge: •50 pd
Misc Charges: 8.50 pd
TotaL•
Dale Paid:
Insp.:
YILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Bilo: Mnqb Road PEHMIT NO.: 2115
Eoyan, MN 55122 DATE: 11/19/73
2oni°g: Ft 3 No. of Units: 1
Owner: 14,igha91--O'COiuin*
Address:
Site Address: 1 3RK Tione pak ngd
Plum6er: gpTgpe e - gQya1 Asphalt
I agree fo comply wiTh the Vilinge of Eagan Connection Chazge: 275.00 pd
Ordinonces. Account Deposia 15.00 pd
Permit Fee: _ 10.00 pd
Surcharge: .50 pd
BY: Misc Charges:
Date of Insp.: Total:
Insp.: Date Paid: -
CITY OF EAGAN
3795 Plat Kno6 Road Eagan, MN 53722 N2 5303
? PHONF: 4548100
BUILDING PERMIT APPLICATION Receipt #
To ba uted for D2Ck Est. Value 3,000• Dote XKM 7-10 19 79
Site Address 1386 IAn2 OdiC ROdd Erect Ec Occupancv M
Lot 81ock Sec/Sub.. J' ?d Alter p
A
Zoning
porcel # 10 01000 020 Z$ RePoir ? Fire Zone
Enlarge ? V
Type of Const.
c Nome S3].].y O'CAT1ri01' Move ? # Stories
Z
3 Addreu 1386 Lone Oalc Road Demolish ? Front ff.
? Ci Eagan Phone 454-1242 Grode ? Depth ft.
N • nC2 `?.OT1uctYl1Ct10I1 (A. ADCrowls Fees
p ome ?,'e
o" Addrea 4160 B ir1- n TanP
u? r:.., MPls ok,..,e 722-2905
Nome _
Address
I hereby ocknowledge that I
the information is correct ,
State of Minnesota Statute
reodthis applicotion and state that
3ree to comply with all applicable
Signature of Permittee?
. 7
A 8uflding Permit is issued
oll wark shall be done in c
Assessment _
Water & $ew.
Police -
Fire
Eng.
Plonner -
Council _
Bldg. Off. _
APC
Permit i4•Uu
Surcharge 1.50
Plan check
SAC
Water Conn.
Water MeTer
Toral 13.50
-Lion CC)' on the exprew candition thot
Minnesota Statutes and City ot Eagan Ordinnnces.
Building Offictol
CITY OF EAGA.Y Include 2 sets of plans,
BUILDI`1G YERMIT APPLICATION 1 site plan w/elevations b
1 set of energy calculations.
To be used fc
Site Address
Lot Block Sec./Sub.
Parcel 0 '16 010d40 OxA 2 Z
Owner: :542-C??f_l Address:
Phone iT: ,s - ? e^L ?:Z-
Contractor: 1 . ??D P
Address:
Phone 0: 7 2 2-
Arch/Eng.:
Address:
Phone 11:
Erect ?
Alter
Repair
Enlarge
llove
Demolish
Grade
Date 2 ` ?l? ' 2_
OFFICE USE ONLY
Occupancy FW
Zoning
Fire Zone
Type of Const.
i Stories ,?a
Front id?t ft.
Depth ti?ol ft.
Appravals Fees
00
Assessment Yermit
Water/Sever Surcharge
Police Plaa Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
TOTAL. I '
?
? E
I
5
?-rt-- ??{#?- ->
, i
Q-qaro
934?? "4-
?-----------------
? I
j Perrnit#? j
I ?? I
? Permit Fee: f
I - f I
j Date Received: .J I
I S[aff:
-________________?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: T`T oeSite Address: 1,38Y-, LC
Tenant:
Suite #:
RESIDENT I OWNER Name: f7o1 I ? v C?r- I Phone: 256, CP(' ' nNX
Address / City / Zip:
Applicantis: _Owner 11' Contractor
TYPE OF WORK Description of wark
Constructlon Cost: Multi-Famity Building: (Yes_/ No v!::?
CON7RACTOR Name: CkA?n ? oa ? License#: 90??9`1-63q
Address: 5&41 mmcIC7d TSVI N.
City: State: Mlv Zip: S?
Phone: tO61 " LI 39,"IJXI Contact Person: Kncen
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cate,cLry 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Su6mitted Submitted
(q submission 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 plan:
Licensed Plumber: Phone:
MechanicalContractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: RlansaMd s(i pEf?grtrng vodmBrFts, lt?a[ etsrtbttl?tECe°csar?sr,#Y4re#`t? ,?i?i i' ??v?firt
the?Jrf or?ttattnrt
;j?[aly be?Glassi'i?ier??$=?e
r
r?
?
?
?
?
p?
Iaf if3?' ?aftli;",.I
I
!;' Kid'
{ b
??
I
?
. I I}? ?
I hereby acknowledge that this information is complete and accurate; ihat the work will be in conformance with Ihe ordinances and cotles of the Ciry of
Eagan; thal I understand this is not a pertnit, but oNy an application for a permil, and work is not to start without a permit; that the work will 6e in
accortlr -^= with the approved plan in Ihe case of work which requires a review and approval ofplans. _
X!_K)1,-?n;C. t-?nV&A X `?
ApplicanYs Printed Name Appli ant's Signature
Page 1 of 3
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
suxLDzNG
026432
09/2S/95
$ITEADDI3ES$:P.I.N.a 10-75200-010-01
Lnr: i BLOCK: 1
1386 LONE OAK RD
TA12A COURT
APPLICANT:
qQSCO
(612) 423-1814
?
:
5
_ . • - „ ? ? _ , _ . _
,..
?.?: _. .. ._ . ? _ . _ . . . .._ _ ..:_ . ,.n ? w . . .....-._.wa >e.. ., . ? .._,..._.. . „ " ?. ._._ Y a;.,...? . ,.<... _ ....??
PERMIT SUBTYPE: TYPE OF WORK:
5F (MISC.) REAA.IR
UESCRIPTZON (ROOFING)
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.e 10-75200-010-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1386 LONE OAK RD
LOT: 1 BLOCK: 1
7AftA COURT
c???,?#
BUZLDlNG
026432
09/25/95
DESCRIPTION:
(ROOFIN6)
8,611d?ing ?erm3 t Type
Building Wo'rk ,Type
°
t
.
Fu
; .
-
?- r
SF (MISC.)
REPAIR
y' ,%r'
REMARKS:
FEE SUMMARY:
VALUflTION
Base Fee
Surcharge
Total Fee
$74.75
$1.50
$76.25
$3,000
CONTRACTOR: - Applicant - 57. Lxc. OWNER:
DOSCO 14231814 0004144 POFERL BILL
14710 DEI.FT AVE 1385 LONE OAK RD
ROSEMOUNT MN 55068 EAGflN MN
(612) 423-1814 (612)686-6425
I hereby ecknowledge that S hava read thzs applicetion and state that the
information is correct and agree Cp comply with ell applioable State aF Mn.
Statutes and City of Eagan OrdinanCee.
?
APPLICANT/PERMITEE SIGNATURE
-Aa??n.s ?L1 ?11?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
X,43421995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conahudion Reauirements RemodeUReoair Reauirements
? 3 iepisterod ske surveys ? 2 copies of plan
? 2 wpies of plans (Wude beam & wiMow sizes; poured fid. design; etcJ ? 2 site survoys (exterbr eddRions 8 dedca)
? 1 enerpy calwlations ? 1 energy plwWtions for Aeated addRions
? 3 copies of Lee pretervation plan if IM platted after 7h/93
requiied: _ Yes _ No r
DATE: CONSTRUCTION COST: d y? ?
DESCRIPTION OF WORK: L/) Y C+U ?? ? / G l? ?_,
STREET ADDRESS: OPM 1?-)0-12
LOT BLOCK SUBD./P.I.D.#:rJnnQ l.(Nlt
PROPERTY Name: P6 /? e ? L /?' L. C
Phone #:
OWNER '"°* `"°
Street Address' r 3 J' 4 ? ° u'F? 02 8
City: 4, w State: Zip:
CoN7w?c7oR Company: Phone #: 2-1'1 op Iy
Street Address: I `/ 7(o / i'4-/ LICBPISe #. Lt
City: /l d J'. ?-7 State: N? ? Zip • I f'' 6?
ARCHITECTI Company: Phone #ENGINEER
? Name: Registration #-
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penairy applies when address change and lot
I hereby acknowledge that I have read this application and state that the infe tion ' orred and agree to comply with all
appGcable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
SA ti
GA-P- oL
L?,1,
Municipal Notice of Well Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (612) 891-7011 Faac (612) 891-7031
DATE: Apri124, 2001
TO: Tom Colbert/Wayne Schwanz - EM
FROM: Water and Land Management
RE: Well Permit #: 01-1-1163389
Municipality: Eagan
Fac #: (651) 681-4694
Well Type: 5ealed
Environmental Specialist: Olsen
The Water and Land Management Secfion of the Dakota County Envimnmental Management Department
has received the following permit application for the well described. If you require further review of the
application or if you have any questions or concerns about it, contact the Environmental Specialist listed
above or our office at (612) 891-7011. If there is no response from yow office within 24 HOURS (excluding
weekends and holidays), we will assusne that you have no objections to the issuance of the permit. Please
note that permit issuance is always condirioned on the permit applicanYs observance of and compliance with
all applicahle state, county, and municipal laws and codes.
Well Contractor:
Date application received:
Anticipated Drilling I7ate:
Anticipated Grouting Date:
Property Owner: Bill Poferl
Well Owner: Bill Poferl
WELL LOCATION:
Kimmes-Bauer Well Drilling
Apri123, 2001
Time:
Time: -
PLS Coordinates: ne 114, nw 1/4, nw 1/4, nw 1/4, Sec 10, Town 027, Range 23
Street address: 1386 Lone Oak Rd
PIN Number: 10-75200-010-01
WELL INFORMATION:
Diameter: 2
Casing depth: 73
Total depth: 77
Static Water Level:
Aquifer:
COMMENTS:
i nuc nA1L
/
: _..
-/ ?
\ .
)3? ?o??F ?ar? ???
d ?
II
o ?
U W
N E C. ?
a ? A
? W O C L
? K aN U
ci S °o o .
o? ? dE A? r`a
? L 3 0 y OC ? y ?
V N
N m mm0 t0? c
? °?,m?F= asE0
c s N t° 0 d v??
N 000 U:G ?m LLUKVi
?
TEMP04ARY CONSTR(JCTIO:°I E/RSEMENT
This easement, made this I 'T day of MAIZeN , 2006, between WII,LIAM E.
POFERL and SALLY M. POFERL f/k/a SALLY M. O'CONNOR, husband and wife, (hereinafter ?
That the Landowners, in consideration of the sum of Seven Thousand Five Hundred Ninety
and no/100 Dollars ($7,590.00) and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, do hereby grant and convey unto the City, its
successors and assigns, a temporary construction easement for site grading purposes over and
across the following described premises, situated within County, Minnesota, to-wit:
Parce19 as shown on Dakota County Road Right of Way Map No. 310.
This temporary easement shall expire on September 30, 2007.
, and the City of Eagan, a Minnesota municipal corporation, organized
referred to as "Landowners") WITNESSETH:
under the laws of the State of Minnesota (hereinafter referred to as the °City").
The grant of the foregoing temYrorazy construciion easement for site gruding purposes
includes the right of the City, its contractors, agents and servants to enter upon the premises at all
reasonable times to construct, reconstruct and inspect site grading and the further right to remove
trees, brush, undergrowth and other obstructions. After completion of such construction,
maintenance, repair or removal, the City shall restore the premises to the condition in which it was
found prior to the commencement of such actions, save only for the necessary removal of trees,
brush, undergrowth and other obstructions, subject only to permanent easement alterations.
The Landowners, their heirs and assigns, do covenant with the City, its successors and
assigns, that they aze the owners of the premises aforesaid and have good right to grant and convey
the easement herein to the City.
DATE RfCE1VE0 6'z-
pqlCpTq CQUNTY
TREASURER-AUDITORL?
IN T'ESTIMONY WHEREOF, the Landowners have caused this easement to be executed
as of the day and yeaz first above written.
illiam E. Poferl
?.7
ally M. Poferl f/k/ ally M. O'Connor
STATE OF MINNESOTA)
)ss.
COUNTY OF DAKOTA )
,--?e fore oing instnunent was acknowledged before me this / day of
• l tiG , 2006, by William E. Poferl and Sa?yM. Poferl f/k/a Sally M. O'Connor.
Notary Public
APPROVED AS TO FORM:
,2 =Pu?loc-jnneso
City Attorney's Office ' NDated: 3/7,vs- APPROVED AS TO CONTENT:
IC.- d't'1G:CEk,;-
Public Works Depart ent
nacea: -3_- 9 - o(, -- -
THIS INSTRUMENT WAS DRAFTED BY:
Robert B. Bauer, Esq.
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Va11ey MN 55124
(952) 953-8847
(Easement No. 1076)
(RBB: 206-23315)
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1386 Lone Oak Rd
Lot: 1 Block: 1 Addition: Tara Court
PID:10- 75200- 010 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435 -2442
e - Water Heater
New
Water Heater
Manufacturer
Mike Skaja
2090 County Road 42 W.
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Sally M Poferl
1386 Lone Oak Rd
Eagan MN 55121- -135
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA089732
06/17/2009
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178852
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 1386 Lone Oak Rd
Lot:1 Block: 1 Addition: Tara Court
PID:10-75200-01-010
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Erin D Lavallie
1386 Lone Oak Rd
Eagan MN 55121--135
(651) 808-4193
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature