1500 Lone Oak RdMinnesota State Board of Electricity
795A University Ave., St. Paul, Minn. 55104-Phone 645-7703
?- -4?.?"QIiEST FOR ELECTRICAL INSPECTION
CHECK B?LOW WOAK COVERED BY THIS REQUEST
R 91412
Type of Building New Add. Rep. Check Appliancea Wired Fm Check Equipment W'ved Foi
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? , Lighting Fixwies ?
Apt. Bldg. ? ? ? Dryet ? Electric Healing ?
Commercial Bldg. ? 0 ? Fumace ? Silo Unloadec ?
lndustrial Bldg. ? ?, El Air Condi[ioncr ' ? Bulk Mllk Tank ?
Fazm ? ?' 11 List L
ist
Othec ? ? ? p
HererS? p
Hehree,sl
COMPUTE 1NSPECTION FEE BELOW
Service Entrance Size: # Fce Feedecs&Su6(eeders: x Fee C'vwits: # Fce
0 to 300 Am s. 0 t , m 0 to 30 Am eces
101 to 200 Am s. 31 t A" s 31 to 100 Am etes
Above 200 Amps. Abo 0 s Above I00 Amps.
TransPovneis Re eC ol Ckk. Partialor otherfee
S' ns Special lnspection Minimum Ce
Remazks Dyy,,,« TOTAL EE,;?J '0 ?
I, the Ele tc ncal Inspecibr,ieie`6y ceiUfy that the above inspection has been m?
(Final)
This request void 18
Date
I" 17-7 j'
This request void 18 months from
? R 91412
Date this Reques t ?j r
I, as,?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route Na ?Es?a L-O'E QA*- /Cd! Cit,ra
Section Township Range County7Z72?
Which is occupied by
Is a roughin inspection
Power Supplier w
Electrical Contractor4
Mailing Addres
Authori zed n tua?---
thisjoh? NoN Yes ?
Will Call ?
License
.pu ,
No.
(????? ????? E'`j'???/ This impection request will not 6e accepted hy the
?? t?,, [? State Board unless praper inspection fee is enelased.
,
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
I (612) 681-4675
?i SITE ADDRESS:
( I' 451s 1 ?f?f t?l1h. ??1
? t C i 1 t.iN -
PERMIT SUBTYPE;
I I i:;i _• ,
f> 1:?
TYPE OF WORK:
1it- `. I. Fi I' I'-' 1 1 i)N
I.LE, Aif<
( Htlt)I 1 N(, )
INSPECTION .A • .A
?, (11?11?? ? f'.? ?? `• I! l? If?il
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
}{+ t3?. ?. ,- , APPLICAWT:
:;j? ijtioF f f IFI(r
( r..l t ) i 14+ €i /'1N
W.ii??????,
o,, n.•,°q
?
f. lIl I F `
Permit No. PermR Holder Dete Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date insp. Comments
Foatings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
s?
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. lnspecior - Nofify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
DeCk Final
Well
Pr. Oisp.
CITY OF EAGAIV Remarks
Lot Bik Parcel lo oo9oo o20 o6
Lone Oak Rd. State Eagan,MN 55121
Improvement pate Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 1968 140.00 30 'd ?
* SEWER LATERAL 1270 20
-
WATERMAIN
* WATER LATERAL ,-:?_ 1 0 168 Q 84.22 20 589.64 A011488 10-4-82
WATER AREA
* STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 2
BUILDING PER.
sac 200. 280 -1 -7a
PARK
PERMIT C)
? CIYI( OF EAGAN ? ???-C)q
3830 Pilot Knob Road PERMIT TYPE: s u r Lo r ra G
Permit Number, 024224
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 07l22/94
SITE ADDRESS:
1500 LONE OAK RD
LOT: 2 BLOCK: 6
SECTION 9
P.I.N.: 10-00900-020-06
DESCRIPTION:
SF (MISC.)
REPAIR
.
cc??i?t? ??? •?_T Q72
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
5urcharge
Total Fee
r"ti _, (ROOFING)
6ilding-,Permit Type
uiXding •W6,r_k Type
^}?
?
V?' r
$63.00
$2.00
$65.00
$4,000
CONTRACTOR: - Applioant - sr. LIC. OWNER:
AAA ttEMpDELTNG & DECK3 17398798 0006532 GUBASW PAUL
649 MARTHA LN 1500 LONE OAK RD
WOtlDBURY MN 55125 EAGAN MN
(612) 739-8798 (612)688-7322
I hereby, acknowledge that I haos toad this
informatlon i.s corYect and agres tb comply
statutes and Gity af Eagan Ordinanaes.
APPLICANT/PERMITEESIGNATURE a,pplSc.at3on and state that Cha
?- -IS-C?
with ali applicable State af Mn.
I
ISSUED BV IGN URE
CITY OF EAGAN cm
14 1994 BUILDING PERMIT APPLICATION
681-4675 SINGLE & MUL TI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issue .
Date Valuation of work 3,fJlD_"?
Site dr ss: IS o IJ .?oN? o,4jt Z/
STREET r SUITE k
Tenant Name: (commercial only)
LOT j BLOCK
I
SUBD. I?? Q
/J i
-
P.I.D. #
Descri tion of work: Off% v-QF'? /L/dG
The applicant is: ? Owner 15 Contractor ? Other (Describe)
Name 6'6lB?.f/? .44-f L Phone 69£7- 73a2
Property AST FIRST
Owner qddress 15-&*o 40yer- o,qK 2a/.
STREET STE # .
City AW2?) State ?J • Zip
Company Phone 739-r?7fdP
Contractor Address 1,17AW71j?# ?NLicense # S?? Exp. Vs
City WODO-;?%ule State AIWJ- Z i p S3 /?f
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
.
Signature of Applicant
EAGFN 10WNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTTON
Date: September 18, 1970
Billing Name: Marie Swan
Owner: Marie Swan
Plumber: Weierke TrenchinQ
Number: 48/6 (56i DD 000 Olp
Site Address: 1500 Lone Oak, St. Paul 55111
Billing Address
Meter Size Coanection Chg. ?260_._0?0 pd 9/18/70
Account Depbsit1-5.00 pd 9/18/70
Meter No. lPermit Fee tn_nn „d 9/30/70
Meter Readinpz,_ IMeter Dep.
Meter Sealed: Yea_ lAdd'1 Chg.
NO [Total Chg.
Buildiag is a:
Residence xx
Multiple Ko. Units
Commercial
Industrial
Other
Inspected by
Date
Remarka:
$257.00 RE-fNSI'ECilON FEE FOR
Ih;1PROPERLY IRSTALLED METERS.
Hy:
Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do ttE proposed work ia accordance with the rules and
regulatioas of Bagan Townahip, Dakota County Minnesota.
.
By: L
Weier e Trenching
Please notify the above off3ce when ready for inspection aad conaection.
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEFIBR SERVICE CONNECTION
DATS: September 18, 1970 NOLffiER 636
OWNER• Marie Swan Addrese 1500 Lone Oak, St. Paul 55111
PLUMBER Weierke Trenching TYPE OF PIPE cast iron
DESCRIPTION OF BUILDING
Industrial Commercial ResidenYial Multiple Dwelling No, of units
xxx
Location of Connections:
Connection Charge 200.00 pd 9/18/70
Account Deposit 15.00 pd 9/18/70
Permit Fee 10.00 pd 9/30/70
Street Repairs
Total
Inspected by:
DaCe
Remarks•
Sy
Chief Inspector
In consideratlon of the issue aud delivery to me of the above permi.t, I
hereby agree to do the proposed work in accordance with the rules aad
regulationa of Eagan Toc7c?ship, Dakota County, Minneaota
By
We'erke Trenchin
Please notify when ready for inapection and onnection and before any portioa
of the work ia covered.
b11I vr sr+?nr?
A
3630 PILOT RNOB ROAD
EACAN, lN 55122
PHONE: (612) 454-8100
PMazx?;3p
YLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FA?IILY DSdELLINGS 6
TOWNHOMES/CONDOS LIliEN PERMITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR _
OWNER NAME: A) JV oS L (-i.Y ?l
SITE ADDRESS: / ,5-0 U ? D.?/?e
IAT: 0?_ BIACK 'f' SUBD.
INSTALLER: C?-
ADDRESS:
CITY:?,? ° 4? L- 2Ip; s^S / 0
PHONE 6 7 o/ - l3 /„ Ll
SIGNATURE OF PERMITTEE
p,:t?II3ERCZAI: iNDIISTBIAI.t PLEASE COMPLETE THIS PORTION FOR ALL CO?MERCZAL/INDUSTRIAL BIIILDINGS AND
? . _ ...<.......... ? ........ .... .. .. .... <
MULTI-FAMILY BUILDZNGS WHEN SEPARATE YERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: G? ?U J
owrrEx xnrtE: ?i?h ? /1 v r,Fi us ?r
SITE ADDRESS: IS?U C/
IAT: SIACK _ SUSD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
2IP:
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON.MINIMUM 15.00
_ SHOGTER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
_ IAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
NOT TUB/SPA 3.00
L WATER HEATER 3.00
_ FIAOR DRAIN 3.00
GAS PIPZNG OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
o?
SUBTOTAL S I?
ST. SURCHARGE .50
TOTAL: S ?s•
CVII Vlll YJL VL\Ll
PERMIT N
RECEIPT k ? ")
DATE: 25
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMZT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108896
Date Issued:01/23/2013
Permit Category:ePermit
Site Address: 1500 Lone Oak Rd
Lot:002 Block: 006 Addition: Section 9
PID:10-00900-06-020
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code: -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul P Gubash
1510 Lone Oak Rd
Eagan MN 55121
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127736
Date Issued:10/14/2014
Permit Category:ePermit
Site Address: 1500 Lone Oak Rd
Lot:002 Block: 006 Addition: Section 9
PID:10-00900-06-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Paul P Gubash
1510 Lone Oak Rd
Eagan MN 55121
(651) 688-7322
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127755
Date Issued:10/14/2014
Permit Category:ePermit
Site Address: 1500 Lone Oak Rd
Lot:002 Block: 006 Addition: Section 9
PID:10-00900-06-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathy Espelien
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul P Gubash
1510 Lone Oak Rd
Eagan MN 55121
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
� �� � � �---------------- ������
- I For Office Use �. .�
. i ������� ,I�
Cit of E� �� ; Permit#: �✓']�
Y � r�
� Permit Fee: /�b, � � I
3830 Pilot Knob Road �
� � ° g-1 q-��S �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
� :�'� I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
� �ti� ��.�� � � �� ���
� # Name: (� U Phone:
�1 �
��y� � � Address/City/Zip:
�"� d� ,..
� ��� �k
�����n�� � #. ,
Applicant is: Owner Gontractor
�� :n �
nMt }� 3 r
�� . � Description of work: C� , �a-��o�� C>� ��
�'ype�f�,w. , ,
�r. �� a
��. ��� ` Construction Cost: � Multi-Family Building:(Yes /No )
;� ������ :: , � � '
� � � Com an T P ��r1Cf IST1 /' !� �� d
�� x � � � P y; s � �C Contact: �J� �a
� � �
� x�r �tr v' �� ,�f �r Q r�--. y�
�°= µ �� Address: 7 7"-1 ��V ((Jr- City: � ��w
� � ctor � ��
* ��" ��� ` State:�Zip: SJ��p Phone: � �� `< <E�adil: 1��r1^ ii-� � Y'27i�
� ��. .:. .
License#: � tp : Lead Certificate#:
If t e ro' ct is exem from lead certification,please exp ain why:
�� �a , ,�, �►zn� /���5 ��a�1 d� � � vH' sv c�e
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:
r k
. + �' _ . " .. ,. . . .
Fire Suppres'sion Contractor: ' k ' Phone:
Nt���. �n� �rt�ng �t #���t yo�'��;x §��' wc � c�let ��e � � r �i�n '1�or#�r���
} v,� �
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. �
- f x
� x� w _�� cc� ��tl� � X
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before yo�intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of �
i 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
accordanc wi h h
e t t e 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 Buildi Code t be com ed ithin 180 ,
days of permit is uanc . '
•---� �
�� 1��`� � .
x x
Applicant's Printed Name Appl' nt's Signature
Page 1 of 3
���j �Q��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 Lower Level Pool 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 3C�l7== Occupancy T GlC �/ MCES System ""'�
Plan Review � Code Edition ,�o/j SAC Units �
(25%_100% �/) Zoning -�/ City Water �
Census Code �'/� Stories --- Booster Pump —
#of Units 1 Square Feet / °�,� PRV
#of Buildings t Length /(� ` Fire Suppression Required --
Type of Construction � Width 9'--p"�
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) �Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES � �rf� `]fLG�� I���� p�.3�Q
Base Fee �'Q �
Surcharge
Plan Review �j'��3
MCES SAC
City SAC
Utility Connection Charge I
S8�W Permit 8�Surcharge
Treatment Plant
Copies o°�Q �
TOTAL I
Page 2 of 3 ,
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174739
Date Issued:02/16/2022
Permit Category:ePermit
Site Address: 1500 Lone Oak Rd
Lot:002 Block: 006 Addition: Section 9
PID:10-00900-06-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Paul P Gubash
1500 Lone Oak Rd
Saint Paul MN 55121--111
(612) 518-5136
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature