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4236 Sandstone Dr3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 /-7171 * q - Use BLUE or BLACK Ink For Office Use Permit #:/A�`7 o1 Permit Fee: rO e a.) Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3P..-41 I 1 Site Address: t -f" Sal ` l S4O M`e . Tenant: Suite #: RESIDENT / OWNER Name: 071,0aYi • Phone:952-' 14614 '(o162 Address / City / Zip: 1493l ild �S � Q . , Applicant is: Owner t/ Contractor TYPE OF WORK Description of work: A 1 /-6111 01,6V wi cvv5 w a '1— 1�1 - h k no KQadil/ay, Construction Cost: . Multi -Family Buil ng: (Yes / No )01, o?`�3GI`-va CONTRACTOR Name: License #: /o �a%tt Budget Exteriors Addres 8017 Nicollet Ave S. City: Bloomington, MN 55420 State: 887-1613 , PH: (952) Contac F: (952) 887-1659 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: 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 .gopherstateonecali.arc) 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 f 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 approvaiof plans, I x ct,4�' 5�.� t I t [rel Applicant's Printed Name x Ap . icant's nature Page 1 of 2 CITY OF EAGAN Remarks Gedar Grove Acquisition Addition Lot 1)i aik 1 Parcel 10 16701 140 01 , 42 Sandstone Dr. Eagan, rflt 55122 Owner ' Street ' Y• ' ~ State Improvement Date Amount Annual Years Payment Receipt Date- STREET SURF. 19 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 13 .00 2. ~ 2 Pa7.d WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. I BUILDING PER. SAC ~ PARK } ~ ~ FoiOfficejJse I ~ PermR# ~ , n~~ CltY ~ of Eaan ~ Permit Fee: ~ ~ 3830 Pilot Knob Road - Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 ~ ~ ~ ~-~I Statt: Fax: (651) 675-5694 2008 RESIDENTIAL BU/ILDING PERMIT APPLICATION Dafe: ~ 1- Site Address: 5 g tiJ S+6 h E lz~r 7enant: Suite RESIDENT / OWNER Name: A (3 h Phone: Address / Ciry / Zip: ::0,zAen Applicant is: _ Owner 11 Contractor TYPE OF WORK Description of work:7cu~ Construction Cost: Multi-Family Building: (Yes No I CONTRACTOR Name License , • Addres~2esidBnHel MN liC.~20249486 C2478 Hillwood DriVe. St. Paul, MN 55119 State: zip: PhoQovo Johnson - Cell: 651-274-09A&ct 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 Cat890n1 Submitled Submifted , (4 submission lype) • Energy Envelope CalculationsSubmitted In lhe last 12 months, has ihe 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: NOTE: Plans and supporting documents that you_§ubmft are; consldered to be publlc information. : Portfons of the information may'be, classified as non-public if"you provide speafio reasons that wou/d permft the City to conclude ihat the are t'rade:secrets:- I hereby acknowledge that Ihis information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City oi Eagan; Ihat i vnderstand this is not a permit, but only an application tor a permit, and work Is not to staA without ermit; that the work will be in accordance with the approved plan In ihe case of work which requires a review and appro f plans ~ X ~0. jo~,nSoN x Applicant's Printed Name Applicanfs Signature Page 1 of 3 ~ . 1 2006 RESIDENTIAL BITILDING PERMTT APPLICATION ~ v City Of Eagan 3830 Piiot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWctianReouirements - RemodeVReoairReouirements - 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footin9s, 6eems, joisis (20%maximum lot coverage allowed) 1 set of Energy Cakulations fa heated addidons 2 copies of plan showing 6eam & windav sizes; poured (ound design, etc. 1 site survey foradditions & decks 1setofEnergyCalculafions - Addfion-indicafei/on-srfesep6'csysfem 3 copies of T2e Preservafion Plan'rf lot platted after 711193 -RimJoistDelailOptionsselec6onsheet(buBdinqswith3orlessunits) Minnegasco mechanical ventilation form DateConstructionCost~~T-/ / Site Address - Li 2 (0~ ) \ l ~Q Unit/Ste q - ~ Description of Wark ~ Mulri-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwuer _c~. A Telephooe#(~6 ((J~~" ~~I O~ , RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 c'n' 5tate 651-264-4777 _ 7'e[ephone # ( ) LICENSE #20130983 COMPLETE TFIIS AREA ONl.Y IF CONSTRUCTlNG A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mirmesota Rules 7672 Energy Code Category , Residenlial Ventilation Category 7 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted • In ihe lasi 12 monThs, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masier plan: Licensed Plumber Telephone J Mechanical Contractor Telephone # ( ) Sewer/WaterContractor 7elephone#( ) 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.MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pe rt; that the work will be in accordance with the approved plan in the case of work which requires a review and ap oval ofplans. ~ 4~ App ican 's Printed Name pplicanYs Signature DO IVOT WRITE BELOW THIS LINE Su6 Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling q 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33EM.AIt-SF 04 02-plex 10 OS-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 MWEi Misc. ?05. 03-plex ? 11 10-plex ? 19Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ?3S Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applicant , DCSCiiD110f1: Water Damage _ Yes . Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQiTIItED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings(deck).. FinaUC.O. _ Footings (addition) - - Fhial/No C.O. - _ Foundation HVAC _ Drain Tile Other' - Roof - Ice & Water Final _ Pool Ftgs Air/Gas Tests Final _ Fr~B _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fueplace _ R.I. _ Air Test _ Pinal _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge SRW Permit & Surcharge Treatment Plant license Search Copies Other Total vv~vdr 4v-i1 zuv .c4.oo Ctf6 (OJ U71 ''&4tS8 ' _ . ~~tlh4 dn° &IYLtSt4Yt4LY - ' - • ~¢1Vu re _ - - - - - zooa - - - . - , 3836 PiIcsf Kaob goad - ' Eagen, MN '5.5122 To ?Ghom It May Conoera; . EIder7ones is aufhOd2ed • ' Elder Joncs to PraviBe tWs~ ~h~~g P~ts forltene~vsl {~y, Andexsen. pteasc alIow . date bcyond 616101: imti[ a~~~ I~~ 7Ttss amhotizatibn is veIid fvr w any the Ctry ~aEeraxpctsslY ~vokes ft in writfag I reqnest this auiio~iaa bc - ' . . oar bailding P~aaita aa ac~~-expedTBously. as t0 aot de[ay in tke Y fuz~ct: Efcaac caIl mc if tltctc ~~B of r contacted at 763-5(Y1-4706. ~mY qQationa., I can Ua - Your immpmaft Wention to ~ m~ter is 1 atett. Slnoefely, . . ymonci'R ' ostallation &AzZnag'_C_r • Rcn awa[ bY Attdersctt Cotporatiott . . C'.c:: Tiarn_~?~PrSnnec . . y oH o. ~a"m°"°°~,,,,,nZpq~ . Recsived Time Jun. 7- l~OIPld C:1:7Y f1F CA(.,AN CAShl7:E'.fte S 1I-RMINrIi_ Npr. M DATE;; 07/19/99 '1TML. 080D:41 II), tdANE~ AAAMF.fiICAci B4:ST :I:NC 3210 3001 4236 5r-lhlT)STi]NE M.25 2155 9001 4236 SANl'STC7NI' 2.50 . ~ Tota1 Fiecei.pt, Nna.ini;: 1:13.75 Gfi:ll:3528 l.lSF::R :!:Ii a NANCY lN/ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ ~ ~ CITY OF EAGAN 3830 AILOT IiNOB RD - 55122 (651) 681-4675 n ~ - ~ ~ • ~ ~ New Constructian Reauirements RemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies af plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? t sfte surveys (eMerior additions & decks) ? 1 enargy calculations ? 7 energy calculations far heated additlons ? 3 copias oi tree preservation plan if lot platted after 7/t193 required: Yes No DATE: Z/ ff CONSTRUCTION COS7: ~~~UD•~~ DESCRIPTION OF WORK: STREET ADDRESS: 7GY LOT: BLOCK: SUBD./P.I.D. Phone Name: L qlal,61fl, PROPERTY Lasi First OWNER c ~ & 'Ikw , Sheet Address: c,.~ City State: - Zip: L~J l~-'~O~ Company: C' Phone CONTRACTOR / Street Address: (V License # 6M3094xp. City State: r( Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only); . Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that t information i correct, d agree c ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ ~ , Signature of App oant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition CENERAL INFORMATlON Const. (Actual) Basement sq. ft, Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft, Census Units Zoning sq. ft, Census Bfdg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering . Variance Permit Fee Valuation: $ Surcharge S, Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies • • Totah % SAC t SAC Units EAGAN TOWNSHIP N0 1105 BUILDING PERMIT Owner .....Yr...... Eagan Tawnship Address (present) Town Hall ~ Builder Daie _3!11.7A.x Address . _ .DESCRIPTION ' Stories To Se Used For FronS Depih . Heighf Esi. Cusf Permif Fee _Remarks oc..C ~L 5,.r , _ 7 i/ ? - LOCATION S1reel, Road oz oiher Descripiian ot Locaiion Lo! Black Addilion or Trac! ~i~- ~ ~-r- ~ 3 .--,6E ~f . r7 - ~ 9 ._-a s 27 This permii does not au3horise the use of sireals, zoads, alleys or sidewalks nor doea ii qive the owner or his agent She righi !o czeale any sifuaiion which is e nuisanae or which presenls a hasard !o the healih, safety, convenience and general welfare So anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAES5. ~This is So cerlify' lhaf A _ C0 -..........._--haspermission !o esect a---~........_... - upon 2he above described premise subject io the provisions of the Building Ordinance for Eagan wnship adopl~'d Apzil 11, 1955. a4 .._..._..........._.STi?'rir......,C?./.._..lC....--.""."?,-------_..._..... Per ...--.....~`Jc Chair`man of Tnwn Soard~ Building Inspeclor 6. EA[3AN TOWNSHIP N° 1356 BUILDING PERMIT Ownez Eagan Township Address (preseni) . ...-~µJ...... Town Hall Builder..a~-v~^~.'y`~~.1--... 0.!........................ /-~J ~laS~GSJ Address _'-T~'~7---~~ _ Dale ...~...lCN". l% DESCAIPTION Siories To Be Used For F:oni Dep1h Heighi £s1. Cosf Permii Fee Remarke .7-0 Z 1 / 3~~- 1-0 LOCATION Sireef, Aoad or ofher Desesipiion of Location I Lo! Block ~ Addifion or Tracf I /d/ a- Thia pesmit daes aof auihorise the use of sireeis, roads, alleps or sidawalks nor does if give the owner os his agenS the righi !o creaie anp siiuafion which is a nuisanee or which presents a hazazd !o the healih, safely, eonvenience and general welfare to anpone in the communilp. THIS PERMIT MUST BE ~g/E~PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. ~ ---------------...has permission !o erect a_..-_....--- upon This is Yo cextifY. ihal---,.../....- _ !he a6ove desesibed premise subjec! !o ihe~rovisions of the Building Ordinance for Ea Tow ip adopied April 11. - 19 . 55. - ..~..Y--.-": ..T-..._... Per ° --."&7 --.ll ~ ac Chazrmaa of Tmmn Boerd Builing Incpeetor cl -/.3. , . , . zv ~ ~ .~ernar~r ~drSan ~ Sdh~sfon ~uo j 004 RESIDENTIAL BUILDING PERMIT APPLICATION . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirucfion Reouirements RemodeVReoair RequiremenLS ONice Use OnN 3 registered site surveys showing sq. B. of lot, sq. fl. of house; and all roofed areas 2 copies of plan CertotSurvey Recd _Y., N (20°k maximum lot coverage allowed) 7 set of Eneryy CakuWtions for heated addNons Tree Pres Plan Recd YN 2 wpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required 7N i sel of Energy Calculatlons Addifion - iMicate iI on-site sep6c sysfem Oi~sile Septic System Y' _ N 3 copies of Tree Preserva6on Plan if lot platted afler 711193 - Rim Joist Defail Options seleclion sheet (bldgs with 3 or less units Date rt ~ O V 1 Z/ OS Construction Cost 6&o SiteAddress eAw m ~jtS4k~te # ! h ~ Description of Work Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 II'4 Praperty Owner Telephone # ( &5! ) Si~5-50Z,3 Contractor (,n.ubUTIJ' ~yt,t.)60, ~y'7llc' • Address 5~8 5 CA,Lmt., City State Zip 5S3'73 Telephone #(g5Z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similor plan? _ Y _ N If so, 25% pian review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 MN Statutes; I understand this is not a permit, but only an applicarion 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 ofplans. I1jad? IM.S Applicant's Printed Name Applican's Signahu OFFICE USE ONLY Sub Types D 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insufation _ Retaining Wall Approved By: Buiiding 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 2006 RESIDENTIAL BUILDING rERMiT arrLIcaTiorr d,_ b City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouiremenk RemodeVReoair ReauiremenLS Off~ce'llseANv 3 registered sAe surveys shaving sq. tt. of lot, sq. h of house; and all roofed areas 2 oapies of plan showing foobngs, beams, Jolsis CeR o( Survey,ReM ~ ~Y -N (20%mauimum lot coverage aliowed) - 1 set of Energy Calculations for heated additions T2e Pres Plan Reoi =Y _N, . 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey fw additions & decks Tree Pres Required Y=N 1 set of Energy Calculalions Addition - indicate ilon-sife sepfa sysfem - On-site Sep4c;System 'Y - N 3 copies of Tree Pmservafion Plan'rf lot platted after 711/93 Rim Joist Defail Options selectbn sheet (buildings with 3 or less unifs) Minnegasco mechaniql ven6lation form ~ h 2/ DO Date ~ Construction Cost Jb ' Site Address En~ UniUSte # Description of Work _ ~ Multi-Famity Bldg _ Y_ N 6 Fireplace(s) _ 0 _ 1 Property Owner ,61& Telephone ff (FiSI ) d SS "f LE 8.2 Contractor )40~ Address `YLp City State Zip •55 K a p Telephone # (763 ) S s` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission rype) Submitted Submitted • Energy Envelope Calculations Submitted - In fhe last 12 mon}hs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of mosier plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#~ ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that tfie work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 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 approved plan in the case of work which requires a review and approval of plans. ,X'c> LE ~7" -y~- ApplicanYs Printed Name Appli~cant's Signature DO NOT R'RITE BELOW THIS LINE Sub Tvoes ? 01 Foundation O 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvues ? 31 New ? 35 Int Impravement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replecement 'Demolition (Entire Bidg) • Give PCA handout to applleant DeSGfiptlon: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump . # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ FinaUC.O. _ Footings (addition) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Fina] _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ 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 ~j~'$. • ' ~ 2006 RESIDENTIAI. BUII,DING PERMIT APPLICATION 1S1 City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-695-5694 3 registwad si0e swveys showitg s9. ft of bt s9. it of hase; and d roo(ed a , I? 4aP~ of ~=bwMalt (2114:madmumbtcoveraHeallwied) ' torh2 copies af p6n show6g hwm dviindaw sl: paved kwd des1An. ek. ded1setMEne~gyCalaAafirns Ptlc. 3 croPles of T2e Preswvation Plan tl Wt platled afler 711193 JA ~I Y 8 2007 Rtr . n Jdsl Detall Optlats selecilon sheet (Mutdinps.witli 3 or less unlLs) y IvHmegasco mec6mmcal veatilatlon fmm Date l6Z Constraction Cost ~ 4~ 3~v Site Address qj Unif/Ste # 1?escription of Work (3 v ' - - Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0_ 1 _ 2 y , Property Owner 'F Telephone # (65`) . Contractor . Addres4 Cfty 'c/ State -`'bW Zip by6 Telephone #(~y , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING . - Minnesota Rules 7670 CaGegg)ry 1 Mimesota Rtiles 7672 Enel'gy CodO CatOgOry . Residentiel VentllaHOn Cfltegory 1 Worksheel • New EnergyCode Worksheat . (Jsubmissionlype) Su6mitted Submitled . . Eirergy Envelope Calwlations SubmiHed In the last 12 months, has The City of Edgan issued a parmit for a similar plan based on a master pldn2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water ConTractor Telephone ) I hereby apply for a Residential Building Permit and aclmowledge that the infortnarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the Sffite of MN 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 approved plan in the case of work whioh requires a review and approval of plans. ' 4 ARb s o IU Applic 's Printed Name Applicant's Si DO NOT WRITE BELOW TffiS LINE J • ' Sub Types ? 07 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Poreh (3-sea.) 13 31 Ext Aft- Multi ' ? 03 01 of _ plex ? 09 07-plex 13 17 Ga2ge ? 22 PorcFVAddn. (4-sea.) ? 33 Ext. Ak - SF ? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch.(saeeNgaze6o) ? 36 Muw Misc. ? 05 03-plex ? 11 10-plex ? 19 Lover Level Q 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvues ? 31 New ? 35 Int Improvement O 38 Demolish Irrterior ? 44 Siding ? 32 Addfion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion O 37 Demolish Building" ? 43 Reroof . ? 46 Windows/Doars ? 34 Replacement `DemolPoOn(EntlreBltlg)-GIvePCAhandouttoapplicant . DCSCriDNOO: WaOerDamage_Yes , Valuation Occupancy MCES System Plan Review _ 100°h or _ 25°k Census Code Zoning City Water SAC Units Stories Booster Pump # of Units . Sq. Ft. PRV # of Bldgs Length FireSprinklered Type of, Cbnst Width REQUIRED INSPECTIONS _ Footings(¢ewbldg) Sheetrock ^ Foo4ngs (deck) _ FinaVC.0. _ Footings(addition) _ FinaVNo C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs _ Air/Gas Tests Fic~l _ p~~ _ Siding _ Stucco Lath _ Stone Lath _Brick _ •Fireplace _ R.I. AirTest Final Windmus Insulation _ Retaining Wall Approved By: . Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Sep. 9. 2013 9:20AM All Elements Inc. No.0766 P. 2 411/` CityofEaaall Date: 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-6675 Fax: (661) 676-6694 Use BLUE or BLACK Ink For Wilco Use 11345 Permit #: Permit Fee: C15-5 Dale Received: Staff: Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 1 13 Site Address: LI 2- 3 6 SandJt0rt, Or• Unit #: Resident/ Owner Name: A .1.„, (l v y Phone: 9 5-2 - Lr ry -610 Address / City / Zip; W 2 3 6 .5 n►,, dstor c or- E O3 f'W .c.5-12. L Applicant Is: Owner Contractor T e of Work Yp Description of work: rr - roo f 4- 9 v+Ft e S _ Construction Cost: IO 3 (5, Fc Multi -Family Building: (Yes / No�,) Contractor Company: fill e(ent's Zeit, Contact: t_ jj - 3 rr[, c� Address: 13'4/ pto/NJ ni Glrek City: non f;reify State:. ! JA/ Zip: 5-Y36 2 Phone; 76 3 - 202 - 6 3 416 License #: 6C-3 2 3 S4/0 Lead Certlflcate #: R-1- Xi' d y -/D -1)2 C606)60 I) If the project is exempt from lead certification, please explain why: (see Page 3 For additional information) In the last 12 months, No !ryes, 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? date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor; Sewer 8 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, Cat Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you Intend lo dig to receive locales of underground utilities. www.Qopherslateonecall.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 or work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota Stale Building Code must be completed within 100 days of permit Issuance. 11,, x Jufrr � �%irtIN Applicant's Printed Name Applnt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA159139 Date Issued:11/22/2019 Permit Category:ePermit Site Address: 4236 Sandstone Dr Lot:14 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-140 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 - Adam J Ray 4236 Sandstone Dr Eagan MN 55122--202 (952) 454-6108 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature