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4235 Sandstone Dr CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 3 Bik 2 Parcei 10 16701 030 02 Owner street 4235~3ndstone Dr. State Eaoan-,MN 5,5122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 1266.95 84.46 15 STREET RESTOR. GRADING 5AN SEW TRUNK iE SEWER LATERAL ~ 1 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWAI.K STREET LIGHT WATER CONN. 6 U BUILDING PER. SAC ' 'PARK EAGAN TOWNSHIP ~.o 1.10'7 BUILDING PERMIT Owner a~...... 47~, ._....4 Eaqan Township Address (preseni) d_e Idle-:••.I P, 1: C, t - I.e_ I Town Hall Builder T1716~i Dale Address 5tories! To Be Used For Fron2 Depth_I Heighi Est. Cos! Permi! Fee Remarks ~ - - - - - - - LOCATION Streel, Road or olhe: Description of Location Lo3 Block Addition or Trac! - G 3 - i~ z~ ~ ~.C.,r.,~? ~ ~ g 7 This permi2 does not auihoriae the use of sireets, roads, alleys or sidewalks nor does it giva the owner or his aqen2 the zigh2 io creaie any sifuaiion which is a nuisance or which presenls a hazasd fo the healih, safely, convenience and general welfare !o anyone in the communily. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. J This is !o cer2ify, has permiscion io ereci a.....p. . . pon / the above described premise subjec! !o the provisions of the 8uilding Ordiaance for Eagan Tllwnship adopied `71pri1 11, 1955. ..................ilL/.1......... Per -'`'c' ~`"--~---•-•--•-•--•--~1---•-•-~'-..~~.2..:`~../..•._..........._. Chairman of Tnw Board Building Iaspecior c< 59~n RESIDENTIAL BUII.DING ~ Permit AppGcation ~ City Of Eagan 3830 Pilot Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVRepair Reauirements Office Use OnN 3 registered site suneys showing sq. it of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum bt coverage allowed) 1 set of Energy Cakxrlations for hea0ed additions Tree Pres Plan Reai 2 copies of plan shawing beam 8 window sizes; poured tound design, ebc. 1 site survey for addidons 8 decks Tree Pres Not Reqd 1 set of Energy Calailatans Addgion - rndicate if on,sife septic system _ Oo-site Septic System 3 copies of Tree Preservation Plan if bt platted afler 711193 Rim Jast Detail Options selection sheet {bkfgs with 3 or less unit9 Date -Z' / .70DConstruction Cos ~ ~~~odv Site Address SL,/472)1)C /Jr. UniUSte # Description of Work Multi-Family Bldg _ YX N Fireplace(s) ~ 0 2 Property Owner n „~El, i'C kS0 0~ Telephone #(0 f) Contractor .~Q~~. GLS' d GJ 1~(~~)Z Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CategLrv I Minnesota Rules 7672 En9rgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/1NaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and aclmowledge 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 State of NIN Statutes; 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 approv7pllani ' the case of work 'ch requires a review and approval of plans. Applic t's Printed ame plic s Signa OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 9~,,02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding d 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ';~<33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors ? 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water ' SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ EAGAN TOWNSHIP BUILDING PERMIT N•° 2237 Owner Eagan Township Addresa (Psesen!) ...~~:3.~----... ° ...............c-.... Towa Hell , Builder - Dale Addreu DESCAIPTION SSoriae To Be Used For Fron! Depih Heigh! Eel. Cos! ~Permi! Fee Aemarks ~L/-.q~. - - .I iy - o~t+-d ~vZ• s~ vQ,~c.li ~"'Z`~-t LOCATION Slreet. Road or olher Deaesiplfon of Localion ILo! Block Addilfon os Tzac! Thla permit does aot auShoxiae !he uee o! elroels, roede, elleye or sfdewalkc nor does !t give the owaer or' hte sgent the ri9h! So creale sap s!luafion whieh b a auisaace oz ahich presenri e hesard !o the heakh, safetq, eoavenlance and ganeral weliare !o aapone in the communiiq. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE TIiE WORK IS IN PROGRESS. This is !o cerlify, !hal..~ :°-7-r has Permisaion !o areet a----°--. _upon fhe above deacribed premiae subjeet io the provisioaa of the Building Osdinanee for E an Tow ship adopted April 11, 1955. ~ _•••.°----......._----..~ya~G.c.n....---~t.'~--°-.......................... Per .......................°---'~.`.°eC.--........_Q d Chairmen 6f Tnwn Board ~ Buildin Ins ector ~ ~37 ? Sc ale z ,r o ~Ga 0, ~o 0 ~t- ce.t M C~ tJ ~ ~ • u 3 8,0 l~ 0 0 42 3 5 SandsTohe Drlve _Lot3 B1ock Ce~qr G;- bVe No ~a ga n Tow m ship; ;~ai5ofc~ Coo~,M ` MASTER CARD • LOCATION ds*Ci) ne, y2 3500' s- 2-eG Z OWNER STRUCTURE LAND USED ASD ~a ~ y x 7, ~ Issued To Permit No. Issued Contractor Owner BUILDING 1,23? PLUM8ING CESSPOOL - SEPTIC TANK WELI. ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER . Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC i FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ~ ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION $EPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER - 7u ~ Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS • PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT ?HIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REqUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICA710N - I certify that I have carefully inspected the ahove in which I have no interest present or prospec[ive, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacific require- ments for off-site improvemenis relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPIETED BIJILOING INSPECTOR OATE COMMENTS: ~ -~3- :3 ~ i _i Permit City of Bapn 4-: I Pertnit Fee: 3830 Pilot Knob Road I ~ Eagan MN 55122 ~ Date Received: ~ Phone: (657) 675-5675 Fflx: (651) 675-5694 I Staff: I ~ ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 9,135 5 `t ~1 V,~ 'Q_, b V' i Tenant r ic- [l S 0?i Suite ' 16 Yy RESIDENT! OWNER Name: _ ~ti" Phone: 4 Address / City I Zip: Applicant is: _ Owner t-fGontractor TYPE OF WORK Description ofwork: K£ V"oa p ;ln C(, ~ QRV` ap"(' , 0 Construction Cost: )5, 0 0 p'°~-- Multi-Family Building: (Yes No ? CONTRACTOR Name: ht'4ur°c4lo" o q S )"c Cicense#: aoW96 00 Address: VtQ Cc ~Ek 1 kw~~ t27 '"i / o City: ~ Yoo y Ul C P-~+w State: ! C- / Y Zip: 575 ! 3 O Phone: ] ~C) O Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CdtBgOry Submitted Submitled (q submission type) • Energy Envelope Calculations Submitted In the last 72 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 pfan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:" Plans and supporting tloc'uments thaf you"submit are'co`nsidered fa 6e puklic informaffonPortions af ~ bthe fniormat~on ~y be ctassified~ as non=pub/ic if you proyide speciWc leasons tha# would permrt #he Gfy"fo' a~. ccs,~clude fhat,the ere trade~secrets=< I hereby acknowledge that this informffiion is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry 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 plan X Tq u j ~ u~tc~~eX' X ApplicanYs Printed Name ApplicanPs Signature Page 1 of 3 JUL-11-2012(WED) 11:54 i*t. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 P. 001/002 Use BLUE or BLACK Ink 1 For Office Use Permit#: it) --37 Permit Fee: V Date Received: 7-/f- I Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ` 11.- 12 Site Address: api,l*& b rr z Suite #: CC - a r aw 44' ; I i. wy `h1r ) l ,IPI, ' Ix,Bi.. iAr ,^''�'�,�� r Y s"P�X;'a1�1I"id , r e .l!� lt r ,i ', 1 der .. �' ' ���M1 vy h�� Name: CiicL En.C c3� Phone: j1Q'S (44 Address / City / Zip: S �-lS+", Name: ur'1' N 4uY \ License #: —VC ) Address: 1-2b J3 City: c/ // rt_._- State: ly 1 •� Zip: 4) Phone: q ' 141..),S—t-)1.-11" onto Contact: VEmaii r, r G n,,, rm , war, X .:: ti e4' •ri, 7,:. ,,1,�:' ,yt n �I�l l; i. a\rw4\l\ \�...• 1 5,�n. h t�7r�,Jot`, �„,,, 7 r ,,;,. wsu4� ,1,$im "" �r �, 11 I I / 1 rl r ryru,;r :7 New Replacement ,. Repair Description of work: : ru -v.Z Rebuild Modify Space Work in R.O.W. — .__ Y � (" v4 r rJ- r Lot , _ (7 S>o)— •r. !�I 1" 'Q I' P Pr aarwa+ w ""a, C Lr� �„h�? n ! 1 OR I Iu ot a ".�l � I fit rtlll Ir 1t r I ' ^I o P 11 r ' �y I ' ,,1+ r 1'im �, t . a' r A �, 1 rxal;, Y y .P i "' a Y. "�'' 4 2 1, 1111 11M RESIDENTIAL Water Heater (,w 0, e..Z .=c -ova_ Water Softener Lawn Irrigation ( RPZ / _ PVB) Add PlumbingFixtures Main / Lower Level) L_ _ _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES V./ 0. CALL BEFORE YOU DIG. Call Gopher State Ono Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www I hereby acknowledge that this Information Is complete and accurate; that the work will b Eagan; that I understand this is not a permit, but only an application for a permit, an accordance with the approved plan in the case of work which requires a review and ap x Svilw-c.10( Applicant's Printed Name st with the ordinances and codes of the City of a witho a permit-, t;a „ice ork will be In cant's -Signature P\r "i,r'A'-..y`,Y�.. r;',. ,1eR1'rt ! +I. NV � — °,`e P^NifL� 1 1 ® ti ��: U r � �i 7 � ! 1F+ -f �I •U ,c q w . T7711'r.n. 7+1, t\!f'�r ��w,., NAT .e4 ,, - . -, • = _APAR: ,''; X 41 tll �..� :11 ; i�Y I':'J�.�.:� All ( I h , T Iv ,',�r \^' �?r''(1 , 3l If,� 1 r�.�l,l;� 1 1"1 . i`1 �1 r! IIN e r t 1 �', r \I r.'. r�:,V� , iN it �� I ,. ,M'�, AS 1;� 1 V tl7771'714lW. "�� 1 x''14'1 (r '7,07•)„) +� I.:t�1�X+ W , H �i, ♦ 11 1 r � � �f4j 5, -X;., ��� ,11 i1^,IW:�M+�IA!\�e^.rl:�. • n\,:Pi��Li.� pr���11j�1liJ� ,PI �A�I 1' ur'1' A mn, 4 , c yp;� r"6141 i tl ;i:lr r t b ,ll; tl n.,, r I ., 1 ,11,X'I ;P,��,,1, �,, ,, , i � p�v,r I,uT �1 1,. u7i \:X 11 d r, , 1 1.ii1r' ' "'% RO '. \ .: r frl w,,^r i 11 ' g,, J,�,,r y,ia, lrl: �.yJ�' r, r G n,,, rm , war, X .:: ti e4' •ri, 7,:. ,,1,�:' ,yt n �I�l l; i. a\rw4\l\ \�...• 1 5,�n. h t�7r�,Jot`, �„,,, 7 r ,,;,. wsu4� ,1,$im "" �r �, , I g.�l �,,.�� ��,�"17t},� rl r ryru,;r :7 , �'.+\I n. vq7; v.d Rd ,'41,y7I; I 'i l'r ��, �W t,wl f , ' 1., Y l , ew , Q ;,u: Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: e)11/ Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION `1` 0-- Site Address: c ?.35 5 )5 I n e of(- Unit #: RESIDENT / OWNER Name: (1 1. •' t t Scv� Phone: 6* -1-4, fy,.kGK4- ,a Address / City / Zip: %l)3.5- _s<..,..."..$-/--= d /- Applicant Applicant is: Owner y Contractor TYPE OF WORK Description of work: .�hr- f1 (^#° c1 d f s °- F -'(e Construction Cost: 4'"":r - 'I "t'i Multi -Family Building: (Yes / No, ) CONTRACTOR Company: )vim 0„�� t... 00. . 'n (� f -.)/V .7-/c� p y: 6Iet 1 Contact: s1 `�� �� y / Address: /V/ &J SX ..,,' (?.'Cc 4 I'," Ari. -City: p,..„,„ Lrk(< ,4i .41,/ State: Al Zip: Phone: 65: - t el- v y License #: c) 00 9 G 8'3 % Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Al ,r 'TO..► .i 1 : . S ' i/ df, /98/4 -714 i/./4 fc- In the last 12 months, Yes /No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered 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. 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. Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall. DESCRIPTION Valuation Plan Review (25%_ 100 Census Code # of Units # of Buildings Type of Construction 1 /5L7(// z35 - Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy Code Edition ,ZG'O'? Zoning Stories --� Square Feet _,- Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES V Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests _ Siding: Stucco Lath Stone Lath Windows Radon Control Erosion Control , Building Inspector Final Brick Page 2 of 3 4* C!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JULVED 1 3 zoz r Use BLUE or BLACK Ink For Office Use Permit#: /Q66/7 6 Permit Fee: /PD ' 4� / "i?-" y> Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION a3 -- Date: Site Address: Unit #: RESIDENT / OWNER Name: i e W a e_ C Sa Phone: ‘_...67 " K9--- ' 4 Address /City / Zip: lica 35 ca>h .4),(,._ �jQ /___.------,41,/,/ 44/ Applicant is: y Owner Contractor TYPE OF WORK 4.i Description of work: Cat , (, r� l c� !� b r? 0 Ott!) P J /t U l'd� �l - 6 Q ' 4,,,, /le Construction Cost: 6 (2®. O f, Multi -Family Building: (Yes / No ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &11f 1c)6 In the last 12 months, 1‹ No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a Similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered 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. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w(i)rk 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 perimit, 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 th days of permit issuance. x Ccy� Pua n �� ccsa Applicant's Printed Name Minnesota St Building Code must be c j - eted wi in 180 Aplicayfj Signatur Page 1 of 3 L(�35 S��(s�o✓�� SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water y. Framing Fireplace: Rough In Insulation Sheathing Sheetrock Reviewed By: Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Air Test TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final ° 14, - Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector Final Brick f)ft(3zXi 7;24 Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156832 Date Issued:07/19/2019 Permit Category:ePermit Site Address: 4235 Sandstone Dr Lot:3 Block: 2 Addition: Cedar Grove 2nd PID:10-16701-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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 - Clyde D Erickson 4235 Sandstone Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature