4230 Sandstone Dr
-''r crnr oF EAGAN -
3795 Pilot Knob Road Eagan, MN 85122 N2 4 707
PHONE: 454-8100
BUILDING PERMIT Receipt #k
To be used for Est. Value Dote , 19
Site Address ~'aTi~stc~^+ Erect ? Occupanty ~
Lot t' Block Sec/5ub. cG L Alter ? Zoning '
parcel # Repair ? Fire Zone
Enlorge ? Type of Const. a Nnme ii`hn 1-~ib1~els Move ? # Stories
z 4230 Sandsbone 2-'-
Address Demolish ? Front ft.
~ E"aa ti 4D4-5486 Grade ? Depth 25
ft.
Cit Phone
p Name HOLSe Of DOCLOXS Approvols Fees
oQ Address Assessment Permit r'
Vcc i
~ Ci Phone Water & 5ew. Surcharge
Police Plan check
FW Nome Fire SAC
Address Er?g. Wnter Conn.
Q W Ci Phone Planner Water Meter
Caunci I
I hereby acknowledge that I hove read this application and state that gldg. Off.
the information is correct and ogree to comply with all applicoble
State of Minnesota Statutes and City of Eogon Ordinances, APC Total
5ignature of Permittee
A Building Permit is issued to: on the express condition thut
pll work shafl be done in occordonce with all applitable State of Minnescta Statutes and City of Engan Ordinantes.
Building Officiql
~ ~ .
Pannk # owe i..wa r.mMr..
Pfumbinq
Mechenicul
INSPECTIOPIS OATE INSP. Rough-In Finol
Footings Dote Insp. Date fnsp.
Foundation Plumbing
Frame/ins. Mechanital
Finol
1
Remorks:
,
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4669
PHONE: 454-8100
BUILDING PERMIT 4 Gp 500. Receipt # 9167
To be used for (;.3r a€E f'adII Est. Value Date F',.~h 24--, 19----7_ -8
Site Address 4230 Sandstone Erect t Occuponcy T
Lot ; Biock ~Sec/Sub. C(; 2 Alter ? Zoning r' L
Parcel # Repolr ? Fire Zone 3
Enlarge ? Type a4 Const.
ac Name John :~ibbels Move ? # Stories
estds tone
Z Address 4230 ~ Demolish ? Front 22 ft.
0 Ci ,.agan Phone 454-5486 Grade ? Depth 25 ft.
~
Name }ioUSe d CtprS Approrah Fees
0
ic~i Assessment Permit i S. o Address
u~ Ci t° P8U Z Phone Water & Sew. Surcharge 2•"
F Police Plan check
~W Name Fire SAC
~ZAddress Eng. Water Conn.
aW Cit Phone Planner Woter Meter
Council
I hereby acknowledge that ( have reod this application and state that gldg. 4ff.
the information is correct ond ogree to comply with oll applicobie ApC Total
State of Minnesoto $tatutes and City of Eagan Ordinances.
Signature af Permittee
A Building Permit is issued to: John Wibbels on the express condition that
all work shnll be done iqf~ccordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Officinl - -
. F
.
•
Pwnit # Dsh lauad ParsiM«
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Find
Footings oate Insp. Date Insp.
Foundotion Plumbing
Frome/ins. Mechonitpl
Finul
~
Remarks:
INSPE(;TI()N RE(;UKll
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675
APPLICANT:
SITE ADDRESS: ' ~ ,wf t31{ . , PERMIT SUBTYPE: TYPE OF WORK:
rt INSPECTION .
F
~
L
PertnR Holdsr Data Telephone #
SEWER/
WATER
PLUMBING
HYAC
Inspection Dete Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDti FINAI
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVfTY
TEST
HYDiiOSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks CEd21Y' Grove Acqu.isition
Addition Cedar Grove #2 Lat 13 Bik 1 Parcel 10 16701 1$0 01
oWner i, l~~ , n ojC Street 4230 Sandstone Dr. state Eagan, rN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 19$5 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 72 •QO 52.16 -25 P11C1
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
HUILDING PER. SAC
PAR K
LAS-6- A93 - (O: - ~
: RESID:ENTtAl. _
BU'LQI,NG P~MiT.~PLICATtOl~l. . ~ - 4'"F'f:,) I
ClfiY aF EAQAN li
` - ~
{ ' f usO .P1LOT KNO$'RD ' 55,122
_ _ . - - - ? -4475 ~hu~ConsttuetTdn Rnalike~?te 1 _ - I
• ~ ~~'s~e surv~rs:sr,oine sq-~~Oflak sq A Ot+ommumow wm • x Go*of.pip ` . ` . (mi"nxm lotooiterdge albwed) • ta~s~i~na~ Cel~@o~sl~'fie~qed ~ _ - . _ . ' • •Z+x~so[~anshowthQb~mdwindair~.pdued'bundde~gn,etr~ • tsii~sWYY~rfWexl"~i9r~ns~~. _
• 'i:peto[Eti~ugyOela!DW. _ + -~le~1lioA~lOip~C~!aepliesya~n~ I
• 3~piei ~ T~e PteaervefUNi; Plan~ bt~981B9d:~'.71f~83 ,
• W461'96i9yfP1101tS"WC*01i'3"'(bWp*ilIlOi.IlSSUft)
` .
DAfE YAW,qIQT+I - - -
i
'OFFICE USE- 0NLY '
O Ot Fountiatkon E3 0T..05-piex 0 't3 SB=plex C]. 20 P_oa( ?D 30 A~s+ary8ldg,'
i
-O. 02 SF G)vvell1hig E3 08 Ofrplex 0 16 ' Fkeplece D 29 Ao1'c!t R-sta;)! II3~ ``EXl AA:-14hiltt i
13 03, 01-of _.plex. p 09, 07-plex O 17 Garaga El. 22 ParchfAadh: (4~asaj Q 3.3~ Ext AIt=-'.SF
0 04 02-plix 0 I0 08~ptex 0 I8 Decli 0 23: Aordi (screerisd).. D~ 98 Mttlti '
. ,
Ci. 05 03=piex. CI 11 10~-a)ex C! 19: L0n+er.Vjsyelj t1' `24 'ftrm ,Dam
ags
'17 Qo 04-plsx: C] 12- 12p1ex P#bg,_~.or..N, 0 .25 Miscellsrre~ous.-
~
11 31 New 0, 35. Int lmprovement 0 38 DemoGsh (in#eriDr}. V 44 ,:.$iding; ,
0 ;32'Additiury 13 U. , Move-81sl9. 1i. 42 'Demol'tsh (FoWnda4ior) Q 45; 'Flre Repair
0 33'•Anera4torti C] 37 Demoltsh (8mr 0 43; Rex!pof O 40 .
1NiiidowslD~o[s
.Q 34 ~eplaceMOnt •Dam.WtHon (Enttra Bldo ontyt) -Gfve PCA hdndettf to applfean!
Valuatinn Occupan-cy _ MCILS~S)rstem
Geosus. Gode _ Zoning. ~ C,it}f Weter
-BAC Vn4- Storiss ~ Booster pump: ~
,
Nbr of lJnits 5q. Fi. PRV
NorAfBldg$• Length ~ Fire Sprinklered -
7ype of eoittf Widtti RE4UIREQ lNSP.EC.TIt?NS
Footings (aew btdW. _ FimYC.O, Final/m cQ: ~
: Footings:(additi* _ Plwmbing
:~out~dati~ HVAC
Draitn Tite
' Ao:df _ ~~~8c Wat¢r _ Fi~ _ pthw Framin8 PbQI _ Ftgs AirltKxas:Tcs% Fina1',
s.. Fh--Vtaee a:i, Aic.3'est _ Fimal:. S4138 Sticco - siot4e Insul9dan _ Winiiows-(~.ewkepla~ce~ent) ~
AWoved By : Bui4ding_Irtsp&la'
_ . . i
Base Fee
SurGiiaTQeFUn Review VCLES SAC'
Eity SAG' yflater~uPP1y$Sts~za~e 'S,.'_•'PermIC& Sumharge- ~
Treatment, PlAnt ' i
PJuiriti[ng• P-ermit
Mechantcal,Pelm.it
.
~ U. cense SearcF~ ~
_
• C"+ss i
TQtat
,Y
,
~
~ ForOificeUse ~ / I
I ~
~ Permit
~ ~ I
Clty of EaEafl ' s '
~ Permil Fee: ~
~
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 ; Staff: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lpp Site Address: `FZ 50 ?-cic t9'te lS'. ~~°32 h~M~SS ~ Z Z
Tenant: P ~ S Suite
RESIDENTIOWNER Name:TO k vi4 ) rlPna /RJhho~S Phone:(oS/ --¢5-p
Address / City / Zip: -tZ 3c) Sa --cl s"{a~e_ r. ~a y 4 y- M~ S~f L
Applicant is: ~Owner ~ontractor
TYPE OF WORK Description of work:
Construction Cost: ~ 9 O(70. Multi-Family Building: (Yes _I No Ai
CONTRACTOR Name: 1144 e~~ ~r c_An r„c 4c a n S LLClicense a: o7aT~3 ~`f (7 B
A ddr ess: J'f'Z 0 7 (.17 a/P a ~wT+~
City: K0 S19 g4dv0 State:Lit-~ zip: ~Sb(oQ
Phone: b12 - 3S 7- 4D 5 7~ Contact Person: Caa vi P i"[a u.Se W
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residenlial Ventilation Category 7 Wwksheet • New Energy Code Worksheel
C8t090ry Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submined
In the last 12 months, has the Cfty 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:
NOTE: Plans and supporting documents that you.submit are considered to 6e public information. Port/ons of
the Information may be cl9ssified Bs non-pubfic 7f you provlde specific reasons that would permit the City to
` condude ihat !he are hade secrets.
I hereby acknowledge ihat this informa[ion is complete and accurete; Ihat the work will 6e in conlortnance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, bul only an application tor a permit, and work is not to start without a permit; ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pians.
i
x c\ In s, rn o 7Cd a~ Co vC -
ApplfcanYs Prin ed Name pp icant a
Page 7 of 3
. PERMIT
CITrOF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 8 4
(651) 681-4675 Date Issued: 10 / 2 6/ 9 8
SITE ADDRESS:
4230 SflNDSTONE DR
LOT: 13 13LOCK: 1
CEDAR GROVE #2
P.I.N.: 10-16701-130-01
DESCRIPTION:
REROOF/ GUTTERS
Bui-Jding Permit Type STORm []AMFlGE
Building Wo'rk Type REPAiR
,Eensus Code 439 ALT. RESIDENTIAL
i ~
i
\
<
REMARKS:
FEE SUMMARY:
CONTRACTOR: - aPPlicant - sT. LIC. OWNER:
CUSTOM CONCEPTS CONST 18987290 20142417 WEBBLES JONN
16540 KENRICK LOOP/5TE B 4230 BANpSTONE DR
LAKEVILLE MN 55044 EAGAN MN 55122
(612) 898-7290 (651)454-5486
T hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ot Eagan Ordinances.
~ -
APPLICANT/PERMITEE SIGNATURE UED BV: SIGNATURE
i
1HImNG PERMIT APPLICATION (RE3IDENTIAL)
CustoqCODCeptF MsftB+191
CITY OF EAGAN
1645OIienri:•,. i.oap, 4. tt$ B 3830 PII.OT IQN0B RD - 55122
Laimilsa, ' lN rirjiy'-!4 681-4e75 j
giis•~{a90
New Const on uireme s RemodeUReoair Reauirements . ? 3 registered site surveys ? 2 copies oT plan
? 2 copies of plans (inGude beam 8 window sizes; poureC frM. design; etc.) • 2 sRa suneys (aMerior aAditions & tlecks) ,
? 1 energy calculations ? 1 energy ealwlaGons fOr heated addkions
? 3 wpies of tree preservation plan if lot pWked aftar 711193 required'. _ Yes _ No
DATE: I D- Icl - 41 SS CONSTRUCTION COST; 9000
DESCRIPTION OF WORK: 1C)C..m
STR EET AD DRE S S: t'I ~ 3 L~ S„ nrj Sk 0 n r
! .n.T: Bi`JC~{: ~ Si~^o^./P.i.^u. ir: C-0-~ C-,Y (1 ~/-C'
Name: 1~l I~ hhlj 5 ~ F1 bt .il Phone it: ~'T S
PROPERTY Last
OWNER S ! M o Street Address:
City State: Zip:
.p:!St0!!] CnIICQp$&pav~w•~~!!' Phonek:
cdM#Wnbtenrick Loop ~
1brF:~ '--*vitE: B License #
L..e4teviElh°,'eA'lLWd3 s.~r:•:• ~
ss:
16:12)~$98-72. ~ J state: zip:
ARcxtrECri
ENGINEER Company: Phone
Name: Registration
Street Address:
. Ciry State: Zip:
Sewer & water licensed piumber (new construction ony): . Penalty applies when address chang
and lotschange is requested once permit is iuued.
I hereby acknowiedge that I have read this applica6on and sfate that the information is cortect and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances. ,
L ~
Signature of Applicant: ° - '
r:_~
OFFICE USE ONLY
(t{T 2 ~ iJJJ I~
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Req ired
.
' .
OFFICE USE ONLY • • ' - •
,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.ILodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
0 J i iic:r' y 33 ~;;;~~t5o!~$ 0 M~JN?
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 5ystem
(Ailowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq.ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg :Census Unit. • APPROVALS „
?lanning Building ' Engineering Variance
Permit Fee Valuation: $
Surcharge
PlSPi R2Vi2W
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
5AC Units
EAGAN TOWNSHIP N° 1343
BUILDING PERMIT
Owne: ? ........'.?1 Eagan Township
.
Address (presenf) /?-v......... Town Hall
Builder Z't'.._.~..,......_.... . /
'Dale -°gI2-L...G-f.~
Address .........~_.'.`J~.~_.....X. ---.~..-x......u--.."-~.~~...:......'.~!?"`° ,
S
DESCAIPTION
5fories To Be Used For Fronf Dep1h I HeighS Esi. Cos! Permii Fee Aemazks
LOCATION
Slreef, Road ox olhes DescripSion-of Locaiioa I Lo3 Slack Addifion or Traef
This permit does not auihorize the use of streeis, roads, alleps or sidewalks noz dces it give the owner or his aqent
the sigh!!o exeafe aap siiuation whieh is a nuisaace or whieh presenfs a haxard fo the healih, safefy, eonvenience and
general we3fare !o anyone in the communify.
THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS.
This is !o ceeiifp, .......has permission !o eree! a...-_-_. upon
the above described premise subjee! !o the iVrovisions of the Building Ordinanae for E an Township adopied April 11.
1955. q/
.
.................~~G4,f.Rr..!.~!....~~.-•---• Per g
Chairman of Tnwn Board Buildin Ins ector
4
~
`
~
~
a 5
~
~
1
. I
c ~ -
~
13
e13
_ ~
/o i~~oi /30 0/
PHONE 454-8100
C
_ . CITY OF EAGAN
3795 PIIAT KNOB ROAD
EAGAN. MINNESOTA -
36122
March 7, 1978
Mr. & Mrs. Charles J. Kuckler
4236 Sandstone
Eagan, MN 55122
Dear Mr. e Mrs. Kuckler: ~
The pending two-story addition tt4230 Sandstone_will be five (5)
feet from the property line that separafes the two properties.
Any adverse comments should be brought to our attention immediately
as there is conflicting ordinances involved.
Yours sincerely,
CITY OF EAGAN Dale S. Peterson
Buiiding Inspector
dsp lco
cirr oF EaGAN
3795 Pilot Knob Rocd Eagan, MN 55122 N2 4669
PNONE: 454-6100
BUItDING PERMIT APPLICATION $4,500. Receipt $p 9167
To be usea for Garage Addn Est. Volue oore Fah Zq,-, 19_IA
Site Address 4230 SBIIdStoII2 Erect 2b Occuponcy I
Lot 13 Block 1 Sec/Sub. CG 2 Alter ? Zoning Rl
parcel # Repair ? Fire Zone 3
Enlorge ? Type of Const. V
a Name John Wlbbels Move ? # Stories
Z Add~ess 4230 Sandstone Demolish ? Fronr _ 22 fc.
~ C Eagan Phone 4 86 Grade ? Depth 25 . ft.
~ Name Nouse of Doctors Avo~ols Peef
0
OU Address Assessment Permit 18.00 _
~ Cit St. P81i1 phone Water & Sew. Surcharge 2.50
Polite Pian theck
Fw Fire SAC
b&w Nome
Addres Eng. Woter Conn.
aw Ci phone plonner Water Meter
Council
I hereby acknowledge that i have read this opplication and state that gidg. Off.
the informetion is correci and agree to comply with oli applicable 20. 5~
State of Minnesota Statutes and Cit - f agon /t IinancA~s. APC Total
Si9neture of Permittee -t~~1
A Building Permit is issued John Wibbels on the express condition that
all work shall be done i ordonc w~th
Building pDlicoble State of Minnesota Statutes and City of Eagan Ordinances.
Offtcial ~.~s' ~y / ~
SU2LDIYIG PERMIT APPLICATION
Include 2 sets of plans, 1 eite plan w/elevations and 1 set of energy calculat',ons.
~ /f~
To be used for Valuation
Site Address:
L~e~a• CI'r.~P Z
Lot ~3 Block ~ Sec. Sub. Parcel Number
owner ~l l-, n ~ i YJ 6J r L C Telephone
Address -e
Contractor Q ia < P ( lt b/+c~ r< Telephone
Address
C-I , ~ n u ~;,,/77 n
Arch./F.ng. Telephone
Address 1
•~J
OFFICE USE.
Erect Occupancy
v
Alter Zoning ~
Repair Fize Zone C
gllarqe Type of Const.
Move # of Stories t
Demolish Front 2 7-
Grade Depth
OFPICE USE
Date of Approval & Initial FEES
Assessmeat Permit
Water/Sewer Surcharge 2 ~
Police Plan Check
Fire SAC
Eng. 117ater Conn.
Planner V7ater Meter
pouncil
Aldg. Off. • • ~
A.P.C. TOTAI
v0 P~s~o%`,~c~-- - - -
- - / - - -
- - - - - - - - - - - - - - - -
- - - ~z=e - - - -I~.t S -
_ _ ~ - - -
-
- - - - - - -
bs oaa ~~3 b5 (~iS-S ~
D'~'
~i.bit dS"?~?~~ ~(1,~~;a!~ . t. . _ . _ . `i~S3~aJ~ -i- - i- --r .
/ 1 I
j~.. a
•ny~ /~//F/+9~' _ " ' _ ~ _ " _ ~ _ . _
1 I
,
CITY OF EAGAN
r • • 3793 Pllof Kneb Raad Eagan, MN 55712 N2 4707
~ PHONB: 4548700
BUILDING I TION Receipt {p 9398
gE~iXG~ sia,ooo.
To ba uced for N Est. Volue Date MaT. 20, 1y78 _
5ite Address ' 4230 Sandstone Erect Ef occupancr- I
Lot 13 Block 1 Sec/Sub. CG 2 Alter ? Zoninq Rl
Parcel # Repoir ? Fire Zone 3
Enlorge ? Type ot Canst. V
a Name John WibbelS Move ? # Stories
z Address 4230 Sandsmone Demolish ? Front 22 ft.
o Eagan Pho~e 454-5486 Grade ? Depth 25 k.
o Name House of Doctors ApProvals Fees
l-
Assessment Permit 42.00
oa Address -
~F
Ci Phone Water & Sew. Surcharge 7.00
Palice Plan check
~w Name Fire SAC
~
4~ Addreu Eng. Woter Conn.
V
<w Ci phom Planner Water Meter
Council
I hereby ocknowledge that I have read this applicarion and state that Bldg. Off.
the informotion is wrrect ond agree to comply with all opplicable APC Total 49.00
State of Minnewta Stotutes and Ci~y ~of Eogan/,,,OOO(rd,fi~no es.
Signoture of Permittee
A Building Permit Is issued t JohnWibbels on the exPress condition that
oll work shall be done in rdon with a applicable State of Minnesota Stntutes and City of Eagan Ordinances.
Building Official ~E,-, ~"~t ~ )/-7 8-~
~
nATE
BUILDING PERMIT APPLICATION
include 2 sets of plans, 1 site plan w/elevations and 1 set of enezgy calculations.
o-d
1b be used for Valuation _
Site Addresc; ~ f~ 9 t~d ~ %~'~'f o
~
Lot Block Sec. Sub, Parcel Number Jd /(,,7 D/ 131J D/
J3 / 6ra.~'~'a.
Oxmer S Telephone
Addzess
Contractor Telephone
AddresS
Arch./Eng. Telephone
Address
OFFZCE USE
Erect Occupancy
Alter Zoning
P.epair Fire Zone ~
Enlarge Type of Const. _v
MoV2 fl of Stories Arfl~
Ilecnolish Front 2 Z _
r,rade Depth
OFFICE USE ~
y.
Date of Approval & Initial FEES
,d a .
Assessment Pezmit ~ ~ . ~ ~ 0
Diater/Sewer Surcharge
Police Plan Check
Fire SAC ~
~9. Ulater Conn. ~
Planner V7ater Meter ~
Gbuncil ~
Bldg. Off. 1 ~
A.P.C. TOTAT, I
~
K 5O q -l
q dd,v.r).o 0 w ~
4 a30
.oS~Q~ Fn~a.n ~ I,n 1,O' b1~SL
a~ ~ ppe,r 1-n , F a cJ a.,~, Dct~ i d l.~.usC~,.,r-t-
U
3~ 1538 Lor.~ Q^~Kd ~Gcl~ d~"~~,n ~C-hMiC~-~'
J
OpaSL Qr, Eac~- cL~ 1 ~Mc~}hu (~tla~as~c~v
5J ao94 ~~+'bu
S
(0) -:nI9 ~G I I L n, Ca3an
rn IKUhinSor-)
~ - _ - - -
q J43s-7 (~n~k P~ fc~ PL-~-
ioJ ac~ Cr•Q,,G.szd. Ln, E~S~v 41'laNk l.oul
~ EAGAN TOWNSHIP h.o ii~,~
BUILDING PERMIT
Ownex ....._47.....---.... Eagan Township
Address (Presenf) xze7~.......-.......__..- - Town Hall ~ Builder - Dafe ....1716~
Address .
_
DESCRIPTION
` -
Stories To Be Uaed ~For ' Front I Depih Heighf Esi. Cosf Permi! Fee_ _ Remarks___
~ - - -
~ I - - - -
LOCATION
Stree2, Road or ofher esczipiion of Location _ Loi Block Addition or Tracf ~
y ~
' , `3_ -7 _ 2, ~~-t-.,? .i-
~ This permit does not anthorize the use of sfreeis, roads, alleys or sidewalks nor does it give the owner or his agen!
the righito creale any situation which is a nuisance or which presenfs a hazard fo the health, safeiy, convenience and
. general weifare !o aayone in the cammunity. ~
~ THIS PERMIT MUST BEs KE~PT~ ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. -
Thic is to ceriify, fhai...haspermission !o ereet a....9... ~ --'°~~pon
the above deseribed premise subject fo the provisions of the Building Ordinanae for Eagan T wnship adopted '7~pril 11,
1955. '~-j ,/~J~~~ ~ ~ C /
..........._._..kL/LS!"'~`~-~.....!'...-.....'~T-~ Per ~ .~..l........_......
Cheirm'~n o[ T~wp Board Building Inspeetor
e. ~
City of EaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit#: q 7C
Permit Fee: CD°
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: "i`?" ` i'/-1) Site Address: 47-3-c) 7i
Tenant:
Suite #:
RESIDENT / OWNER
Name:. ta k vA UJ ''t bbet S Phone: 67. 51 - — r .
Address / City / Zip: 4 0 Se �a , 54 Pr ck
CONTRACTOR
Name: 1 Pr, tail17,1 y'i'l 110 ' License #: r ? 0
Address: .2V i &of., / 4-15 z- j7=/L7- City: A: c C-1'&( ce
State: A, Zip: 6-15-trZ 3 Phone: 417 - ."e)/fir
Contact: geicndi � - -I'Email: 1..i ao7 2, -7 .4,*0-,,'./, - e
TYPE OF WORK_
New Replacement Repair Rebuild Mod' Space Work in R.O.W.
_
Description of work: -I2.,.� 1/4 `(/—C/1/if fo../44.(9
PERMIT TYPE
J
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 'th e ordin s ces 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;s .rt thout-/ermit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approvalp�f plans/`
Applicant's Printed Name
x
Aplicant's -ignature
Required Inspections:
Under Ground
Reviewed By:
Rough -In
ate:
Air Test Gas Test. ; Final;
Date:
Tenant:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 0 5 2012
Use BLUE or BLACK Ink
Permit#: ' 1-3
Permit Fee: � O -•
Date Received:
Staff:
201! MECHANICAL PERMIT APPLICATION
o?"O9/q �7--- Site Address: 1a 30 ,Q S/ yi f
S ' 4 r2 lam/ bb Gam"
Suite #:
1
J
RESIDENT / OWNER
Name:
Address / City / Zip: $
Phone: 10.> 7-9/51/757-4/74
V/ 757-4/7fo
, 7/LC ,S`J %Z 2
CONTRACTOR
TYPE OF WORK
Name: , .` „f:11 h/ /b LLC License #: %(p _3
City:Ieeel2e•.%
-p, -er-'
State: ruff Zip: 1, !D/ Phone: 612 7- '32 '
Contact: %jC %d/ 00We-el j Email: 410re62.2n67`1e€ 3 0L.(�'•
CigtEr
Address: 4;05-- e y
New #3Replacement
Additional Alteration Demolition
Description of work: � g h'"0. -r -fr 7/C --
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
_ Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
Install Piping Processed
Exterior HVAC Unit
Gas
Under / Above ground Tank ( Install / Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$05700 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ & TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
$ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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
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 /5itk f e- ..ri
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: _Under Ground Rough In Air Test _Gas Service Test _In -floor Heat _Final
_ Exterior HVAC Screening Inspection
Date:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office UseNag
f�fa '�j
Permit#: 6 ! 1
Permit Fee: 105• D5
Date Received: 9 11316
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
/3/ Site Address: (-WO 3A ij(3SRAUC Unit#:
Name: c i,{i\, J13r,L s Phone:
Resident/ 1�
Owner
Type of Work
Address / City / Zip:
Applicant is: Owner \ Contractor
Description ofwork: CRCct
Construction Cost:
Multi -Family Building: (Yes / No './)
Contractor
L-.AlL V z -
Company: 6,-)CLIT Sltamt Cr4k)Ti \07J -1 Contact: (pia 3c --5-79
Address: a I 5(J 1_l_ tk v � t , k;' City: stoteorz
State: iAA J Zip: 5(63-76i Phone: C O\ 1-(5 `- 3
License #: C as Gr jc�-
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Phone:
Sewer & Water Contractor:
I NOTE: Plans and supporting documents that you submit are considered to be public inform ati n. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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. www.gopherstateonecall.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
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.
A plicant's Printed Name
ants Signatur� e`--
Page 1 of 3
City of aa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 242016
Use BLUE or BLACK Ink
For Office Use
1Ttet3)
Permit #:
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5/5/2016 Site Address: 4230 Sandstone Dr
Tenant: John Wibbles
Suite #:
J
Iden
Name: John Wibbles
Address / City / Zip: 4230 Sandstone Dr.
Phone: 651-788-5981
Name: K & S HEATING AIRCONDITIONING & PLUMBING INC License #: 43689
Address: 4205 HWY 14 W
State: MN Zip: 55901
City: ROCHESTER
Phone: 507-361-2332
Contact: HEIDI BROWN Email: hbrown@ksheating.com
New / Replacement Additional Alteration Demolition
Description of work: Replace AC condenser
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
_ $ 60.00
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
=$
_$
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x BRIAN KEEHN
Applicant's Printed Name
Apicant's Signature