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4242 Sandstone Dr CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 15 Rik 1 Parcel l0 16701 150 01 Owner_' 1, r .1) 1 c: i'.n, i Street ~4242 Sst1 s. n. Tlr. . StateRag2r1- MN 5.5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8 CJ STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 1304.00 2.16 Z WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC ' PARK Li ~rS- so 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. oate J' I 3 f 1~r Site Street Address Ei2„62 c JJ Unit # Property Owner CY Q~S'D /U Telephone # Contractor 44 /7,7 k/ Ali-, Telephone # 01.5-A Z4':L-,~~r~ Address 313 ~ Z=ae a 6JD dS; CityS State 1' _ Zip~ The ApplicaM is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Tumaround (add $125A0 if a 5/8" meter is required) (Dther: 3 , Water Softener Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ S-~ I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will e in a rdanc ' h the approved plan in the event a plan is required to be reviewed and approve . rrD,4~ Applicant's Printed ame Applicant's Signature F EACAN TOWNSI-IfP No i.061 BUILDING PERMIT Ownez ed'"!-!?'~'"" Eaqan Township Address (preseni) Town Hall Buildes 3 Dale -~-~~i`3 - Address . DESCRIPTION Siories To Be Used For Fron1 Depih Heighf Esi. Cost lPermif Fee Remarks IgO/ s7'+a ~ 6SO " 1'1 a LOCATION Sireei, Road or other Desczipfion of Loeation Lo! Block Addilion or Txac! ,S', » - - a-.7-3.- --1 - j r, f j'Z' - /3 13-P a-..., This permii does not auihorize the use of sYreefs, roads, alleps or sidewelks nos does it give the owner or bis egeni the righi fo creafe any siluafion which is a nuisence or which preseafa a hasard So !he healih, safeip, convenience and general welfare !o anyoae in the communily. THIS P£RMIT MUST BE KEPT ONTHE PAEMISE WHILE THE WORK IS IN PROGAESS. ~ This is 2o cerlify, lhai._C.....~:.............._..haspermission !o erect a.~aF.'~:Z'<,...~.j~..upon the above described premise subjed to the provisions of the Building Ordinance for Eagan 7`9wnship adopleApril 11, 1955. ~ ` /~n/~ !!CrQ'r ---`--...--f/K~^..e[~t.v_.i~.-`--j/\.:------------ Per . Chairman of Tnwn Soard Suilding Inapeclor k "9' ~ EAGAN TOWNSHIP N° 1340 BUILDING PERMIT Ownes Eagan Township Address (presen!) Town Hall Suilder r,Z/ /q~ _ _ / - Dale Address DESCRIPTION _ 5lories To Be Used For Fron! 11 Depih Heigh! Esf. Cos4 Permif Fee Aemarks ry! a V i /5-0z' LOCATION SYreei, Raad os olher DescripSion of Location I Lo! Bloek ' Addilion or Trac! -n- Thia permit does not auYhorize the use of sireels, roads, alleps ar sidewalks aor does if give the owner or his agent the righf !o ereate any siiuation which is a nuisance or which presents a hazard !o the heallh, safety, tonvenience and geaesal welfare io anyone ia the communify. THIS PERMIT MUST BEyg EP ON THE PREMISE WHILE THE WOAK IS IN PROGRESS. This is fo ceriify, haspermission 2o erect a - upon the above described premise subjec! !o the provisions of the Building Ordinance fos agan To nship adopied Apsil 11, 1955. g "~">_p.-'--"_' ...._~..d--'-~......... Per Ch ~..K:. airmanS..r. of Tnwn Board Buildin Ins eefor a '4 ?Y l~-4~ . . ~ , ~ _.zd rr ~ o ~ ~ U ~ 6 d ~ '3o Ff +o" Cl ~ M C\ . Y ~ ca 0 CITY OF EAGAN FOR CITY USE ONLY 'Q>~'i' 3830 PILOT KNOB ROAD EAGAN, MN 55122 YERMIT # PHONE• (612) 454 8100 RECEIPT ~ DATE: 9 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNFIOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMiJM $15.00 AAD ON X Replace HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: Stan Gunderson SUBTOTAL: $ 15.00 SITE ADDRESS: 4242 Sandstone Dr. STATE SURCHARGE: .50 LO;:~ BI.C:.iz ~ SU3B. T^vTAi.; $ 15.50 / INSTALLER: FREDRICKSON HEATIIdG & AIR COfIDITIONING,2NC. ADDRESS: 3650 Kennebec Dr. SIGNATU OF PERMITTEE CITY: Eagan ZIP: 55122 PHONE 452-2775 ~b~tM$RCYAL~~k`11~AST'MA'L: PLEASE COMPLETE THIS PORTYON FOR ALI. CUMAfEKCIALjTNDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEYARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES QWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.SD FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 7~ r~I eqa,4!~b 2007RESIDENTIAL BUILDING rERMuT nrrLicaTioN ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcfion Reouiremenis RemodeVReoair Reauirements Offce'Use OnN 3 registered site surveys showing sq, ft. of IoL sq. fl. of house; and atl roofed areas 2 copies of plan showmg footirgs, beams, joists Cert of Survey Rerd _ Y_ N (20%maximum bt wverage allowed) 1 setof Energy Calculations for heated additions Suils Repori _Y _N 1 Soils RepoR if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Reoi Y N. 2 copies of plan showing beam & wiMow sizes; poured found design, etc. Addition - rndicate if on-s8e sepfic sysfem Tree Pres Required Y _N 15etofEnergyCalculalions On-site5epfic.System _Y _N 3 cDpies of Tree Preservation Plan if lot platted after 7l1193 Rim Jast Detail Options selection sheet (buildings wiN 3 or less units) Minnegasco mechanuxl ventilation form . Plans are considered ublic information unless ou state the are trade secret and the reason. Date 10 6 / 0 1_ / o `l Construction Cost Site Address qD- 4`1-- vi UniUSte # Description of Work a eA~'A_ C~,II ~ e4FC.e-- Multi-Family Bldg _ Y_ Fireplace(s) _ 0 _ 1 _ 2 Property Owner A u S lQ n-1 f Telephone 6 5~ o t-f.frI Contractor Vi +..n A eie y..i ~~^A~~(o 'R-S L L - Address `ql-O 9--P City ~t-"'IrA 'tn't<-- State Ft Zip C4L( (4_ Telephone # ('7t,'~ COMPLETE THIS AREA ONLY IF CONS7'RUCTING A NEW BUILDING - Miruiesota Rules 7670 Cateeoro 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Eneryy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the lasT 12 monfhs, 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 master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ~ Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Perxnit and acknowledge 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 pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. VINC&4r ~~^^A-- ~ Applicant's Printed Name ApplicanYs Wgnature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work TVpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Buflding ? 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 DBSCCIqtIOn: Water Damage _ Yes , Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City W ater 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 (addirion) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof i Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge I S&W Permit & Surcharge ~ / Treatment Plant % License Search i` Copies Other Total Sep. 5. 2013 7:42AM All Elements Inc. No, 0756 P. 2 Use BLUE or BLACK Ink For Office Use I I Permit ' W I City of Eanil~ I Permit Fee: 5 ~ I 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Recelved. 5 13 if Phone: (651) 675-5675 I ~2 1 Fax: (651) 675-5694 1 Staff: 1'7 I 1...._---_-__._______- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' S_ (3 Site Address: `f 2 Y 2 So,-45 fol1G Or, Unit 9: Name: nrey 4- /9SWl Va^a~'~dtr Phone: Resident/ Owner Address/ City/ zip: ,S d i f o- e Of, Applicant is: Owner X Contractor Type of Work Description of work: k e - Sao f d i P s to 11 AJ1 v ' L Fr• S 0,, ~~o~.1c Qe iwG~( Construction Cost: 7 3 6 F. 6 L Multi-Family Building: (Yes No Y_J Company: A l l Ete nt^ 4S Inc • Contact: J%Jj t•'t 5^.N Contractor Address: 1W7 (~~~~~+s C;,-de city: State: / / N Zip: Sr36 Z Phone: 76 3 - 2 0 7 - 6 3YC License 8C.3135-Yo Lead Certificate - 4 - A 0 n 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, dale 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 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher Stale One Call at (661) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherslateonecall.oro I hereby acknowledge that this Information Is complete and accurate; that the work W11 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; [hat the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. Exterlorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days or permit issuance. x <1 V J tr 1 lt h x C Applicant's Printed Name Appll Vs Signature Pagel of 3