4247 Sandstone Dr
CITY OF EAGAN
3795 Pilot Keob Roed Eagae, MN 55122 M2 4277
PHONE: 4544100
BUILDING PERMIT 'JReceipt #
To be wad for ;~,ii 1v Faoan Ac3dn_ Dote 19
Site Address -:nr; 5 toDP I?!. Erect Z
? Occupancy
Lot Block t Sec/Sub. 4' 2 Alter Q Zoning
Parcel # Repair ? Fire Zone
Enlorge ? Type of Const.
jm Name heiVh tfer?•izan Move
W ? # 5tories
Z Address I.?4~ y,,-`-•, ~,.r~a Tlr~ Demolish ? Front ft.
0
Ci 1-a n Phone 454-6344 Grade ? Depth ft.
IL Name «+ep~h s 1 1 nr Approvals Fees
Address Assessmeni Permit 1- _
Cit 1 ~'j Phone 43Z-~~0~~3 ~'ater & Sew. Surchorge 4• "
Police Plon check
Name Fire $AC
Address Eng. Water Conn.
Ci Phone Planner Woter Meter
Council
I hereby ocknowledge that I have read this opplicoticn and state that gldg. Off. _
the information is correct ond agree to comply with all applicable -
State of Minnesota Stotlies ond City of Eagan Ordinances. APC Total
5ignature of Permittee '
A Building Permit is issued to: 1q5e;%h on the express condition that
all work shall b= done in occordonce with all opplicoble State of Minnesata Statutes ond City of EoSan Ordinancas.
~
Building Officiol
r' •
Pwak # paM Iswed perai1tK
Plumbing
Mechanical
INSPECTION6 I DATE INSP.
Rougirin Finol
Footings ~ Dote Irop. Date Itup.
Foundotion Plumbing
Frame/ins. Mechanicol
Finol
Remarks:
CITY OF EAGAN Remarks Cedar Grove Acctuisition
Addition Cedar Q ave #2 Loc 5 Blk 2 Parcel 10 16701 050 02
Owner L i.1J! ' fa i' ~ Street 4247 Sandstone Dx'. Scace Eagan+ Mrnr 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 88-5 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL l 1972 1304.00 2.1 2 P21.C1
WATERMAIN
* WATER LATERAL 1 2
WATER AREA
STORM SEW TRK
STORM SEW L.AT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER. ~ SAC
PARK
e~'~~, U 1 -/7
2 3 9~7 ~2 ~ /0~~33
/o ~s ~.5 r~rt ` eir~rc ~ .SiO~
Request Date Frt No. Rough-in Inspection
4\ Fequiretl? ReeOy Now p Will Notify In3peclor
q- :~Yes ~No When ReatlY7
I licensed contractor rJ owner hereby request inspection of above electriral work at:
Job Atldrew l5treel eov ar RoutjNvi ~ C'~ ~
~
$qction No. Township Name or No. Rarge Na ~ nh
Occu ~IPAIN1dT~ Phona Na.
~ Y ~fl
Power Suppiier Mtlress
Ele - al Co~hactor ComOany Name Conlrec1or5 Licanse No.
r~ C~r i c. C'.i}0 I
Maiiinq Atl0 SlComractor or nar Making Installe~w
1 ~
Autb qQ Sig ature IC nt c~or/Owner Making Insta letion) Pbone er S~/
n ~t0-35 ~
MINNESOTA STATE B Afl OF E TRICRY THIS INSPEGTION REQUEST WILL NOT
Gdggs-MlJway B10g. A m 1]3 BE AGCEPTED BY THE STATE BOARO
1821 llnlveniry Ave.. 5. eul. M 09 UNLE55 PROPEP INSPECTION FEE IS
Phone(614)BC]-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ~,,,yyy~"`~ea eaoooo,.oe
~@~
K 29387, See Instmclions for completing this ldrm on backgf yellow ropy.
"X" Below Work Covered by This Request
ewAdd Rep. Typeol8uilding ApDliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other.(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olner lspecily) Co~ tracror's emarxs
~~~I on A/C-,
Compute Inspection Fee Be/ow:
# Olher Fee # ServiceEntrenceSize Fee # Circuits/Feetlers Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps J!bove-100 Amps
Signs Inspwor5 Use Onry: t ~ TA
IrrigationBooms
Special Inspection
AlarmlCommunicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certiry that the above inspection has Final ~A
been made. Date
OFFICE USE ONLY ~Cr i This raquesl void 18 months fmm
2 n C~ O(] O ~ OFFlC US ONLY This reqvul void 18 monihs fmm validofion dak prinied~z box~/ ~
~a o~
PLEASE PRINT OR TYPE 4 O
NWV Roogh-in inspection required2 ? Ves ? N. Inepeciion Other Than Rough-In: Q Ready Now 0 Will Coll
ryov most mll ihe tnspedor when reody) Date Rmdy:
1, icensed wnhador Q owner hereby requesl inspedion of ihe above eledrical work aF.
Job (A , Box, or Ro No.) Ciry Zip Code ~7 ~
~ ~ I G.~
Section No. Townahip Nome ar No. Rvnge No. Ftre No. Co
T~
~~L~ P~o No ~vr
Poaer Supplier dresa
EI Comrocror ( mpo ome~ C Im imnse o. Matkr Lic. No. (Piom EIM. Only)
Mo' ress ~C dor or eAormin I~ Ilofionf .
Authorizd grwNro~Co crorar0 r mi glmlollafion) Phana
E -10 6/95 ATEB COPY•SEEINSf UCTIONSONBACKOF LOWCOPY
IIII I IIII II~I REOUEST FOR ELECTRICAL INSPECTION
Minnesota St~te Board of Electricity ~ s-
1821 Univer' Ly Ave., Rm. S-1 B, t. Paui, MN 55104 1
*0 2 2 5 8.9 ? 3* P,nonsaz-oeoo (p 0
Home piax Apt.0ldg, Other: New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. Equip. Water Hh. Lood Mgmt. Offier:
D er Ran e Elec. Heat Tem . Service
"k' a ve ihe work covered Ihis request. Enier re arksrnin ~ihis space ond on the back al the white copy only.
~~~~~ia,c~i Q~ Y ~.~9-'S~
Colculate Inspection Fee - This Inspecfion Request will not be actepted without fhe correct fee:
Olher Fee # $ervice EMrance $ae Fee # Grcuih/Feeders Fee
Mo6ile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Sfreet ltg.lTraffic Sig. Above 200 Amps Above 700 Amps
Transformer/Generabr INSPECTOA'SUSEONLV
SignlOufline Lig. Xfmr.
Alarm/Remo}e Conirol
Swimming- Pool V
I hemb cerfi Mot I ins eletlnwl Ins n ducnbed hereln on ~he oka stored
Irrigation Boom Rough-ln h
$pecial Inspedion
Fi ~at~C
Investigofive Fee c~
THIS INSTALLATION MAY BE ORDERED DISCONNgCTO IF NOT COMPLE WITHIN 8 MO THS.
CITY of EAGAN N2 3596
BUILDING PERMIT
........~~rrl.~.~.~'.................... 3795 Pilo! Knob Road
Owna: fL~l- Eagan, Mianesota 55122
- Addrau (presenf) ._~..~~..Z..9.. -7 ....l................... 454-8100
Bullder zs-k.I.T.:L...
a.t. 9.'_~..1...-.......
Addrese
DESCAIPTION
Slorias To Be Used For Fron! Deplh Heigh! e!. Coat sm3t Fae Rsmesks
~onov~e e DY'• a~ 4o O' l
LOCATION
Slreel. Road or olher Deserip2ion of Location I La! Bloek Addition os Trac!
This permit does aoi aulhoxize the uae of efreefs, roads, alleys or sidewalks aor doss !t give !6e owner or hb agen!
the righ! !o creale anp ailuaiion whieh [s a nuisance os whieh presenla a hezard !o the healfh, ealefp, eonvealanca aad
genesal welfare So -anpoxe in the communily.
THIS PERMIT MUST B Epp OyN,~THE PAEMISE WHILE THE WORK IS IN PAOGAESS. •
Thffi ie !o certifp. !hal..!{!~'.............. hea perminsion !o erect a.... eC.1:S:~.~..~ ................_uyon
the above describe}, premise subject to the provisions of all applic ' ances for f " p of Eagan.
..c'2
`.....-.-:-,1......-.... pa..~~..~.~.
~ Mapor SuAdinq Impeetos
EAGAN TOWNSHIP No 1105
BUILDING PERMIT
Owne: -!!S'!......... ~ Eagan Towaship .
Address (presant) 4YY....-~"..~...f/..~:-.~!'~~....~.... Town Hall
Buildar ?
~ Dafe .....3~/7~4.~
Addreas
DESCAIPTION
5_2ories To Be Used For Fronf "Depih Heighi Esi. Cos! Permi! Fee Aemarks
y0
LOCATION
SSreei, Aoad or olher Descripiion of Locafion Lo! Block Addifion or Trac!
/4 - ~ s ~ .'~,t" / 3 ~ ,B~ y~ ~ , i 7 - ~it '7 - ~ u a s -
X, -27 :z-
This permif does not auihorise the use of sireefs,~ roads, alleys or sidewalks nar does ii give the owner or his agent
the righifo creafe any situafion which is a nuisance o: which presenis a hazerd !o !he heallh, safefy, eonvenience and
general welfare !o anyone in the communiip.
THIS PERMIT MUST B£q KEPT ON~p THE PREMISE WHILE THE WOAK IS IN PROGAESS.
This is So eeriify, ihai_..ti.~:.. ~i.tTs.<Y.~-!..... i.E.0 haspermission !o erecf a......
..'.......~...~..j,~ ._upon
the above described premice subjeet to the provisions of the Building Ordinanae for Esgan 7~dwnship adoptNd ~April 11,
1955. .
.st...,.. ~ u c~.-z.,~-
Per
Cheiimen of Tnwn Soarda ~ Buildinq Inspeelor
`
cirr oF EAcaN
3795 Pilot Knob Roed Eagan, MN 53122 N2 4277
' PHONE: 444-8100 S'//
BUILDING PERMIT APPLICATION $8,000. Receipt #
oate APril 19, 19 77
Te be used far Fnmilv Rnnm Addn_
Site Address 4247 Sandstone Dr. Erecr ? Occuponcy I
Lot 5- Block 2 Sec/Sub. r 2 Alter IN Zoning Ri ,
Parcel # Repoir ? Fire Zone _
Enlorge ? Type of Const.
n Name Keith Merriman Move ? # Stories
w
Z Address 4947 c~ .i~r ilr- Demolish ? Front ft.
3
° Ci ESgan phone 454-6344 Grade ? Depth ft.
Name Jp h n7 millar- ApDrovals Feea
op
~ Address 13015 Ceder Ave Ge Assessment Permit 27.00 _
V~ Ci Apple Valley phone 432-8003 v?ater 8 Sew. Surcharge 4.00
Police Plan check
Gw Name Fire SAC
r
~z Address Eng. Water Conn.
¢w Ci Phone Planner Water Meter
Council
I hereby acknowledge that I hove read this application ond state that Bldg. Off.
the information is correct ond agree ta comply with all opplicable
$tate of Minnesoto S~~t~ity o gon Ordinances. APC Total 31.00
Signoture o£ Permitte
A Buiiding Permit is is ued to: JOSe h M Millei on the express condition that
oll work sholl be do occoi r~ice w' h all apDlicable $tate of Minnesota Stotutes and City of Eagan Ordinonces.
Building pfficiol
Date :
BUII,DITiG PSRKIT P.£PLIC'r]TIO?7
LOT ~ BLOCK 6 _ 1DDTTZOeI
PAFCEL & SECTIOtI PAJI13EA IF tJ-iIPLATTED
I.DDR£SS OF PAZCEL 71~~ NI~ S/ fJN ~i ~
20e111>IG X~_OCCUPANCY USE
Ti,'STLmA.i•ED COS^ 0
~
cx-ra~.~ z/~E/7`"~`f TELEPHOiVE 1\10 .
aDuMss <f~ ~f7 5'~~'~ S~oti s f~pZ
coL•rr :ncToR c~OSt Ph` X), /~li GG N R TELEPHOTMI 110. ;2-0OO J
annREss JJ# ~!/t' . Sa % P!°L e- l//3LLE;~ 55`~~ Y
Ydote- Include site plan, building plans, and ener9y calculations vaith thxs
application .
0«':^ZCE USE
VALU?1i•I0i?~ O Q 00
SIZC
S'iiMM'_2 CO':Ii:EC^IOtiT
WATLR F•9ETER
BUILDSNG PERI•IIT FEE
SJRCHAf2GE FLE ~l
FI,E1T't C"r:TCK FEL
:F.FtIC DEDIC11T201:7 I'L:E ~
OT:ER
TOTHL*
P4PP.OVIiLS:
ASSEuSi+IE:`,iT CI+ERIC BUILDIi4G DL`PT. POLICE DEPT.
MATER & S8&7ER DEPi. FIM DEPT. PF1RK DEPT.
141 3 f l
" z~
~
5,6 4
-9r~~ aY
I~
M
I
b
75
EAGAN VOLUNTEER FIRE DEPT.
3940 RAHN ROAD EAGAN, MINN. 55122
. . .
t
EAGAN TOWNSHIP
BUILDING PERMIT N° 2112
Ownes ~~-........`y^~""~..------- Eagan Township
Address (Preseni) "_-_--...?O"L .c.... Town Hall
Suildes ~cC.•.s~-~......^.. _ . . . . Dale 7Il S' ~
~ O Addreu d•'a t
"-7F~°-'-'-
DESCRIPTION
Siories To Be Used For Fzonf DepSh Heigh! Esl. Cosf Pezmif Fee Aemarks
LOCATION
Slreel. Road or olher Deseripiion of Location I Lo! Slock Addifion or Traei
a--
This permit doea aot aulhoxise the use of sireels, roads, alleys or sidewalke nor does it give the owner or his agen!
the righlfo czeate any sifuaiion which is a nuisanee or whieh presenfs a haaard io the healSh, safeiy, convenience and
ganeral welfare !o anpone in the communiip.
THIS PERMIT MUST BE /g/EPT ON TIiE PAEMISE WHILE THE WORK IS IN PROGRESS.
Th1s is !o ceriify, pZa:~.,.. . ~ has permiasion !o ereeY a....... . ° - - °-°---°-.------°°---upon
the ebove deseribed premise subjeef fo She Trovisions of the Buildinq Ordinance for E an To ahip adop2ed April 11,
1955. ~
...t3"'---!`::~-~,~-°--°-.-.--- Per
Chairman of Tnwn Hoard ~ Building mpector
4 ~
~
~
Y
3$
/
M M
~
r r rn a+'1
S - z- Z
1
MINNESOTA FEDERAL SAVINGS
MIOTOWN SHOPPING CENTE R- HASTINGS, MINNESOTA 55033 / PHONE 437-4728
FPEOEHICK BJORKLUND JONN P. WOPNS GOROON F. MO6ENTINE OOVLE H. GLA55 JAY A. VFABNDER
pea{dent wnier vlce presi0ent vice presiEant viw prositlent secnAry
September 17, 1971
Eagan Townshfp
Eagan Town Hall
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Re: 7-1-81
Gentlemen:
We are enclosing our check No. 72 002296 in the amount of $1,304.00
which represents payment in full of the Cedar Grove Utility Company
Purchase on the property at Lot 5> B1ock 2, Cedar Grove No. 2„
4247 Sandstone Drive, St. Paul, Minnesota. Please issue a rece:ipt
showing payment in full of the above mentioned assessment.
Very tr ly yours,
fer i,i~~ngqii t, Assistant Secretary
Manager Hastings Office
LJ V L-i ~ ration ' .
MemDer Federol Savings and Loan Insurance Corpo
1~J -738 I
RESIDENTIAL BUILDING ~l ~l.
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemotleVReoair Reauirements Oflice Use Onlv
3 registered site surveys showing sq, ft of lot, sq. fl. of house; and all rooTed areas 2 copies ot plan _ Cert of SuNey Recd
(20%maximum lot coverage allowed) i setof Energy Calculations for heated additions Tree Pres Ptan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sde survey for additions & decks Tree Pres Not Reqd
isetofEnergyCakulations Add'rtion-irMkate'rfonsftesepticsystem _OnsiteSepficSystem
3 copies of Trce Preservation Plan rf bt platted aker 7/1193
Rim Joist Defail Options selection sheet (bldgs with 3 or less units
Date A ConstrucGon Co e.s F~o i (0 O
c I_ ^ i
Site Address lt2 Y~7 . JG y~r To(~Q 4 J(; UniUSte tJ
a
Description of WorAez> )--(n ctsg-
Multi-Family Bldg _ Y~1V Fireplace(s) _ 0 _ 1 _ 2
Property Owner VK~u k (i m F~(~ QUS Telephone #((rcSl
u
Contractor
Address ~n ~d ~ nC. City
~
State Blaine MinnRCn+a RGnne Zip Telephone # (M) 7S~Y_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventllatlon Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephofie~#_f
,
I hereby apply for a Residential Building Permit and acknowledge that the ilFormation 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
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.
PvYi(, ~{,(r, (vd
Apph~ Print Name Appli nt's Sign re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. 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 Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Emire 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) _ plunibing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Au/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 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use /f I
Permit L I CP uv~
City of Wan
I Permit Fee: v
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: n f 13 Site Address: Unit
Name: ~c fb&rcl Phone:
Resident/ /
Owner Address/ City/ Zip: `7~ 7 ~~a•~a S~c n~ j~f J °1~ [4?/✓
Applicant is: Owner Contractor
Type of Work Description of work: p D o ✓G~
Construction Cost: Multi-Family Building: (Yes / No )
Company: o v r ~~t -s k-T I"ov) /I Contact: ~ l S /l t'f tad'
Contractor Address: 3K C kt eSrr S F city:p~
State: M IV Zip: 5_5 q Phone:
License 13C 013o-s- 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:
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 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.org
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. ~f
x r;'" 6 ~ r 6 s "o x
Applicant's Printed Name Applicant's Sign ure
Page 1 of 3
Use BLUE or BLACK Ink
r
I For Office Use I
lb~ Permit
City of EaWan
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b / 113 Site Address: K\_~ r Unit
Name: Uo.C~~rc~ ~g r'e Phone:
Resident/ /
Owner Address/City/Zip: '~7 ~cr.~0/Sfc?nP ~f' 1 °14 t.~`✓
Applicant is: Owner _K Contractor
Type of Work Description of work:
Construction Cost: / Multi-Family Building: (Yes / No )
Company: Co`,004V 0")I pslro'~rl~Ov~ Contact: a/_S. ff,eC
Contractor Address: Syr c 6s y / s f City: R06
State: M A/ Zip: /I Phone: 11/
License _ /JC 0 / 30 s- 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:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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.org
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.
x !~r_;3 6A r 11%6-\'@ r- x
Applicant's Printed Name Applicant's Sign ure
Page 1 of 3
Use BLUE or BLACK Ink
r----------------� .
" 1 For Office Use � �
� � Permit#: ����?� j
Clty of ����� � . . � . �� l��L�
Permit Fee. � �
3830 Pilot Knob Road �
I
Eagan MN 55122 � ° - � Date Received: �'� �
Phone: (651)675-5675 �� " � � �
Fax: (651)675-5694 ��i�;; � �E ,;�f� I Staff: �
� �tl,,, I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �'2��5 Site Address: 4��1 ��h�s�tid�s-c �✓' Unit#:
Name: �v a l� `�Ce�r� ,��ac�,�L, �,r Phone: �t 2- 3 �"�-! "13�
R�s�d,���! - ,
(��y���.- Address/City/Zip: f�(a..r`�.e
' Applicant is: Owner �Contractor
' ' Descriptionofwork: �:���4cr. r-c ,r,oric.t
T�tpe of t�1a��c
Construction Cost: I a � o� Multi-Family Building: (Yes /No�c�
' Company:�e�� �v-�.��e «�m��' u.��: ,��dr��j r�.�.q Contact: S �4. � �
��: Address: �l��S .�1,p.�,� �✓' City: 12�� S�;,,r
CQn�ra�#+�C
' State:�?� Zip: $53�� Phone:���3`�����t�� Email:
License#: �C G 1'�'�G f Lead Certificate#: ��4'"1 I l G��l'1�—Z
If the project is exempt from lead certification, please explain why:
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 pfan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone: I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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tf�e ir�for��i+�,�may�e c�a�i�etl a�i no►i p���'yor��ov��te;s���i��c r�€�s f�rt�nro�d�r►�t�he;�t.,y�i :
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: co���rde t�t�t i�ie �r�e��s�cret�„ �:;
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for p�otection against underground utility damage. Call 48 hours
before you 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
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. ��✓�,
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Applicant's Printed Name pplicant's Signature
Page 1 of 3
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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 Occupancy .t�i MCES System
Plan Review Code Edition �����"" SAC Units
(25%_ 100%�) Zoning �_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
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
�G 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
Base Fee ������
Surcharge
� ��
Plan Review � �'����
MCES SAC
�
City SAC
Utility Connection Charge � � I ..� v [� �
� � ( �
S8�W Permit& Surcharge �
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Treatment Plant
Copies
TOTAL
Page 2 of 3
I
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133402
Date Issued:10/12/2015
Permit Category:ePermit
Site Address: 4247 Sandstone Dr
Lot:5 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Kayak Remodeling & Redevelopment Inc.
11806 Aberdeen St Ne
Blaine MN 55449
Professional Mechanical Services
8851 E Research Ctr Rd
New Hope MN 55428
(612) 655-9101
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133403
Date Issued:10/12/2015
Permit Category:ePermit
Site Address: 4247 Sandstone Dr
Lot:5 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-050
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
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 -
Kayak Remodeling & Redevelopment Inc.
11806 Aberdeen St Ne
Blaine MN 55449
Professional Mechanical Services
8851 E Research Ctr Rd
New Hope MN 55428
(612) 655-9101
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160129
Date Issued:02/18/2020
Permit Category:ePermit
Site Address: 4247 Sandstone Dr
Lot:5 Block: 2 Addition: Cedar Grove 2nd
PID:10-16701-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Lucas Bell
4247 Sandstone Dr
Eagan MN 55122
(612) 802-2694
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature