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4253 Sandstone Dr02/22/2011 TUE 16:34 FAX 612 822 5408 Al' a Master Plumbimg City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Z1002/002 Use BLUE or BLACK Ink rantifie Permit* / 00& /� Permit Fee: J ` 0v Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing 1 Sewer & Water Date: Z/t'/'/ Site Address: �f57(foal dint Tenant: J Suite #: RESIDENT 1 OWNER Name: C. / L l�/�.�7YI Phone: CO f ' re/ ~ (C� y" ' , _ Address / City 1 Zip: '/f c„'re�r/tih {j� tpi^ t 1tf+i CONTRACTOR Name: , l Alban /L 1 !r License #:ZGf'! Address: T /( ri if City: l/l/LG+arrk State: Zip: T /f Phone: N 4 V •57 Contact ai"i1 Email: - 1 TYPE OF WORK PLU G (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair Other. Other: h �, >, DESCRIPTION MIIIMIIIIIMIIV r Description of work LTI,'1l�lr aT,,3i, :.R,^.:?_ ... / ''//,S 1-4-14-ci -51Xmr Je.01- l' $5.00 State Surcharge) TOTAL FEE $'" FEES $55.001 Each (includes *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/l repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.comllnfiow, or City Wail at 3830 Pilot Knob Rd. CALL BEFORE YOU DiG. Call Gopher State One Call at (051) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities, www.gophersteteonecall.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 world will be in accordance with the approved plan in the case of worich requires a review and approval of plans. Signature 41 1 rIll <tii iii•lt:4^:C - •:: : 1 o�A E i '� 11 jib” E . ; r, .tk lQ Oo 1; . , r " A' '" 1" i}3 •tY, f r+ •'` l q�wry� �!speptrons.r ,;trr c f NN hoteslntAnot d {1,irgt++ 1 +1+ 'f)1I{ t+}} l d-Iulhd 0 Str fix.. $l �, • i'`' t ' yTr +l��I j t :a> ?,A " • r �i ; yi�;tj f i pits ltot, h : �t {j� tpi^ t 1tf+i rix i, {�j�1 t i '41 f evt 1 gEl, , n , S1 I 1 Nj`, + }? 4 =,+ I r tlS}' j{�v (����nV d' 11 l'"I io Bys:' } �.''� s ,kr ^•r , uisk" 'N tdNnl t''„ t71'r lit l iM1 F ritN I f� 4i`i;i .�1 R r� � � , l 1 .l i {i'": :'•:•:• .l l{r 1r l I 'r ": Y I I(��h�+„•: x '• •:' r'Y r • ::. .. . 1 : '.A �•• f A 9. � h �, >, ,. _ :.. , .. �lf `: :: 1 x" ' �,d„i;""'„t�^, _p. ;.'w�..': :;::�;*;*•` • A,r ;; x'!': '' 1N SYL(:'1'lUN KEC:UKI) CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 ~ ~ 41 SITE ADDRESS: APPUCANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA i If 3~ I i:~ 11. i I' . ;~li!~ i r1i, ~ ~~t• 1 ! ~ i(I~~ ~ ~ ~ Permtt Hoider Date Telephone # PLUMBING H VAC Inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING CQY~Lr/ ROUGN ~ PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT - - - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYUROSI'ATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL CITY OF EAGAN Remarks Cedar Grove Acqtii.sition Addition Cedar Grpve #2 Lot 6 Rik 2 Parcel 10 16701 060 02 Owner,r"'~ ! J~C.T i- [,:L>?Street 4253 Sandstone Dr. State F'agan.,MN 55122 tmprovement Oate Amount Annual Years Payment Receipt Date STREET SURF. S 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1 2 130 OO 2.1 Z PaiCl WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK 2 2 5_ V V 9 F5 E USE ONLY This requesf void 18 monlhs from volidation dote printed in thi.~/ / r • PLEASE PRINT OR TYPE Re u Rough-in inspeclion required2 ? Yes No Inspedion Onher Thon Rough-In: 0 Ready Now ? Will Coll (You must ooll IFia impecbr when ready~ Date Reody: I, icensed contractor ? owner hereby request inspecFion of }he above eledrical work at: Job dress (Street, Box, of (tou o.) Ciy Zip Code . ~ Setlion No. Township Nome or No. Rarge No. Firc No. C A"' panf 4~7"-7 C408,,+ ~ Power Supplier Addross m I nhodor ~ rryr meJ ool C clor u u No. MMsla Uc. No. (Planf Elx1. OnlyJ i.~ ff I _ee" I ~ liC dor or O«nx Periortni m Ilafion) Aulho'i i Ivra (Co tlor or Ownar Inslallation) ne o. EB lA- 6/95 ATE COPY- SEE INSTRUCTIONS ON BACKOF Y OW COPY III~I I II I II RE~UEST FOR ELECTRICAL INSPECTION 51 Minnesota State Board ot Electricity 7821 University Ave., Rm. 5-12 , St. Paul, MN 55104 ~ 0 2 2 58 8 9 5* Phone sa2-0soo (p ~(p ,4HoT! Apf. Bldg. Ofher: - New ddn Commercial Indus}rial Farm Remod Re air Air Cond. H}g. Equip. Waier Hh. Load Mgmt. Other: Dryer Ran e Elec. Heat Tem . Service I.Y. a ve the work covere by tMis reques[ En}er remarks in ffiis space and on >he back of the whife copy only. *~C:, Calculate Inspeclion Fee - ihis Inspecfion Requesf will not 6 ccepted wifh e corrxt fee: Olher Fee 3F Service EMrance Sae Fee # Circvits/feeders Fee Mobile Home Pork Sfall 0}0 200 Amps 0 to 100 Amps Sireet Lig./Traffic Sig. Above 200 Amps Above 100 Amps Tmns(ormedGenerator INSGECTOWSUSEONIY TOT L $ign/Oufline Lfg. Xfmr. Alorm/Remote Confrol Swimming Pool I hereb cem that I im ened the dennml inziollanon desoibed herem on ihe doka mfed ~ Irrigation Boom Rauqh.ln ~K 5pecial Inspedion Fi ~k InvesTigative Fee - THIS INSTALLATION MAY BE ORDE NECTED IF NOT LETED WITHIN 1 O . 6 1 City of ~a ~Il Pertnit# T7 70i ~ Permit Fee:~b , Q~ I 3830 Pilot Knob Road 1~5• j ~D i Eagan MN 55122 ~ Date Received: ~ Phone: (651) 6755675 Fax: (651) 675-5694 i statf: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1040-1 Site Address: 'V'2-53 2>• Tenant: t~~e.frr.ye~. Suite RESIDENT/OWNER Name: Phone:LG/ 32.r 774W Address / Ciry / Zip: -i71, 3.S...ff 0+~ D- .e..f Applicant is: _ Owner X Contractor TYPE OF WORK Description ofwork: i+r» ~a.- i'.0 ~ ConstrudionCost: S'bea Multi-FamilyBuilding:(Yes_/No~ CONTRACTOR Name: License 1syI7L4 0 Address: 9'>0 9017 At4me/ Avr- City: 54-. P~l State:AU Zip: ,5,57f`j Phone:GSt 204 3139 ContactPerson: 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 Category Submitted Submitted (4 submisslOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 _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 yousu6mit are considered to be public infornra;ion. Portions of ` the information may be classified asnon-public if you provide specific reasons tbat would permit the Ciry to conclude fhat the are trade secrets. I hereby acknovAedge that this information is complete and axurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan; that I understand this is not a pertnR, 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 &elz Zi'K., r~ x AppllcAni's Printed Name jAql c nYs Signature Page 1 of 3 2005 RESIDENTTAL BUII,DING PERMTl' APPLICATION ~ -70' 11~6 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenis RemodeVReoau Reauiremenfs Oflke Use Onlv 3 registered site surveys shmving sq. fl, of lot, sq. fl o( house; and all mofed areas 2 copies of plan CeR M Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculatians for heated additlons Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window s¢es; poured found design, etc. 7 sfte survey for additions & decks Tree Pres Required _ Y_ N 1 sel of Energy Calculations Adddion- Indicafe ffar-sife septic system OnsRe Seplic System _Y _N 3 copies of Tree Preservallon Plan if lol plafled afler 71V93 Rim Joist Dehad Options selection sheet (buildings with 3 or less units) Date ConstructionCost ~3 QO•B C7 SiteAddress '7 063 `s,e ~/UniVSte # Description of Work '^Se ~Ydve/' Mu1N-Family Bldg _ YZ~'N Fireplace(s) _ 0_ 1 _ 2 Property Owner Cry~'d C'~fr.$ pr Telephone #(c~( ~7 Contractor i,s Address w( J(~f GC City ~q~yQN State /}'V/d? Zip ,Sl 02 Telephone # Y/9' `~JCI'7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catel4orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet submissionrype) Su6mitled Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( J Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building 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 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. ~t kc- 56. 9 ~C__ Applicant's Printed Name Applicant's Signatwe OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 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 (EnUre Bldg) - Caive 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) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ 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 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan r 3~ CA I 3530 Pilot Knob Road, Eagan MN 55122 ~'r70 _v Q Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauirements RemodeUReoairReouiremenb on N . 3 registered site surveys shaving sq. fL of bt sq. tL of house; and all roofed areaz 2 copies of plan Cgrl of Suneyft ~eY =N, (20°k irenimum lotcoverage allowetl) 1 setof Energy CalwWtions for heated additions fWPres P1aARectl ~Y 2 copies of plan showmg beam 8 window sizes; poured found desi9n, etc. 1 site survey for additions 8 dedcs Tree,~Pms Reqnired Y ~ N iseto(Ene~gyCalculations Add'rtion-iMiwtei/on-sitesepb'csystem Onsde,~eptic5ys~em N. 3 copies of Tree Preservation Plan it lot platted aker 7/1/93 Rim Joist Detail Options selectlon sheet (hldgs wifh 3 orless unihs Date 1-/ / _Z ~ / v q Co¢struction Cost Site Address %2 S 3 Sr3'~tUSq-m~e ~w {~Zn! UniUSte # Description of Work J Id i o />tT Multi-Family Bldg _ Y_ N Fireplace(s) ~ 0 _ 1 _ 2 PropertyOwner ( p'T ( Tt-'Telephone#(W) ~I-c,25 s7 Contractor !',41V L~ ,?ell/ Address 3t'/](p Gree~vZ/zn•~l t'/- S City [xv~. State Zip 5 /91 Telephone 71 1 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted _ Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephon I hereby apply for a Residential Building Pemut and aclrnowledge that the inf rmarion is complete accurate; that the work will be in conformance with the ordinances and codes of the C ate of MN Statutes; I understand this is not a pernut, but only an application for a pertnit, 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. ~ ~C/~~l C~ .~N ^ Applicant's Printed Name tlpplicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 AccessoryBldg ? 02 SF Dweiling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. AIt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 ' Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex P16g_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 [J 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demolitlon (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) _ FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Fina] _ Windows _ Insulafion _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC Ci4y SAC " Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant . License Search Copies Other Total CI7Y 0F EAGAN CASH.T.EF : S TEfiMT.NAL N0: 762 LiFlTF: 07/30/38 TIhfF: 15e51:30 ID: NAMEa BRADLEY CONSTFtUCT.T.ON CO 3210 9001 4253 SANDSTptdE 50.00 215 i19001 4253 SANDaTONE 0.50 r Total fieceipt Amount: 50.50 Ck09S504 USER 1:D: NANCY w PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuxLozNe Eagan, Minnesota 55122-1897 Permit Number: 032731 (612) 681-4675 Date Issued: 0 7/ 3 0/ 9 8 SITE ADDRESS: 4253 SANOSTONE DR LtlT: 6 BLOCK: 2 CEOAR GROVE #2 P.I.N.: 10-16701-060-02 DESCRIPTION: E6RESS WINDOW ¢erildin`g..... Permit Type BASEMENT FINISH ,Building Wt~ rk Type NEW ',CensuS Cod.e` 434 ALT. RESIDENTIAL j( e t ~ e. ~ r r , r i ~ r ~A i r r e . REMARKS: PIAN REVIEWED BY BILL BRUESTIE. ADDING EGRESS WINDOW. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 COWRACTOR: - Applicant - ST. LIC OWNER: BFTpIDLEY CONSTRUCTION CO 16867804 2011797 FERGUSEN LINDA ?tl?6 CLIFF HILL LANE 4253 SANDSTONE DR EHGAN MN 55122 EA6AN MN 55122 (612) 686-7804 (651)454-7457 Y here6y acknawledge that I have read this application and state that the infarmatian is correct and agree ta comp7y with ti11 applicable State of Mn. Statwtes and City of Eagan Ordihances. APPL AN /PERMITEE SIGNATUR ' SUEO BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 31 681-4675 _7 New Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys • 2 copies of plen ? 2 copiea of plans (inGude beam S window saes; poured fnd. design; etc.) ? 2 site surveys (exterior addRians 8 decks) ? 1 energy wlculations ? 1 energy wlalations for heated additions ? 3 CoPies of tree Preservetian plan 'rf lot pWtted after 7l1193 required: _ Yes No y DATE: 7- Z rl " R S CONSTRUCTION COSI~./ q 30 9r e55 W, v,oQUw 9- C los e'f g DESCRIPTION OF WORK: E STREET ADDRESS: 42-5-3 ScjS~Ovi e D;- LOT: (o BLOCK: ~ SUBD./P.I.D. 02411A G'(O 0 'f. Name: re r 9(15 e h L; iju Phone 4S41 - 79S7 PROPERZ'1' last First OWNER Street Address: u Z 5 3 S a kIS +o ti e Dr City [ctqUti State: /'1N Zip: SS/ Z Z ComPanY:~ra~le y ~e~,Sfnc~ ~,")ti Co Phone 6 SG' V~N , CONTRACTOR Street Address: 2136 C I rff lf, (I L r~ License tt 2 DI I 79 7 8 / City State: MY Zip: 5 S/ 2 a ARCHITECT/ ENGINEER Company: Phone Name: Registration M: Street Address: city State: Zip: Sewer & water licensed plumber (new canstruction any): . Penalty applies when address chang and lot change is requested once permit is iuued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree ro compty with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature,of Applicant ~ ` OFFICE USE ONLY p ' Certificates of Survey Received _ Yes _ No J1 2 9~ Tree Preservation Plan Received _ Yes - No _ Not Requir ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Tkl 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace fiN 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE /31 New ~ 33 Alterations ? 36 Move ? 32 Addition 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) 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 l Census Bldg / APPROVALS Census Unit Planning Building r~ Engineering Variance Permit Fee Valuation: $ loloC~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Ueposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies , a 5 Total: % SAC SAC Units Yn+;r.X?%?:=YF3c'K;;~k~1F*h;r;:WI:'i,o;okX; ;;XcBcY,:X("1,:~:c8';;:Pr~;:rXynYa CTTV 0F F.hGAtd CA:i{-I:CEFi: JS 1-Eki.T.PlAL IdO. 893 DFl7Er 08/31i99 '1'.I:MI_.1.1 15e40^06 IT! w NAML=:a ALCOVc I::GfiF'TNG !;ILiSNG , 3210 9001 :3061. F'Ii•:E ::Z1G 07o25 21Ei i 000:i. ;:',Or.j. r>:r.r,r: hIe D 4.50 :?r.'..L] 20I]1 JfJ PL.NMi=1f:'4; TFi 139.25 205 9001 :3i'52 DEi`JM:jRK TR 3.50 C',ciW 3001 3766 WIP'Zi1'FtE:f:: P 14ii:1.25 2155 9001 ':,'iti,h IH7:NIf(RE.1'=. D 5.0(7 Zii3:U:1 521:101 3770 W:iND71:Efi'. Ii 20-].25 2155 901:11 :3770 HlNi'iiTiEi= D 6.00 320 9001 2055 ri7RA(_ '_.N 15:3.25 205 900i. 2055 L'OFtAt.. '...ii 0.00 W16f240 ..,:ic <<10;1_fe:NliE L.'51iCR ?:D;; .JAId M>F COh:T'INt1E 4;T'TV GF IS!-1GAt! C:ASw:!:r_re JS iEhMlraAL. h!0: E793 ?'Fl'TE° 00/31.f39 7TNif:u 0:4067 ID., NP.hiEc r1LCnVE ,irtf.?FTP:G SII;7:NG, . , 321-0 9,001 3,960 r..rr!At:raR Dr 1.1.:..25 055 30O:i. 0960 C.T.PditPr0f T_I;t 2..`'h1 3?1.0 9001 4253 Sr:NiIF.;iC;NI' 0905 209 'a;.J(' I. 4253 :_AVnSTO?t'" 3.:;0 70ta.l iiet]=1rii: (an:ouY}+: 1,09..75 CQW40 usER tD, ar,N 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~f 3830 PILOT KNOB RD - 55122 z 3 7 Cr 651-681-4675 New Conshuction ReaulremeMs Remodel/Reoalr Reaulre~ fs ? 3 registered sHe aurveys showing sq. H. ol lot sq. lt. of house 2 coples of plan C~~ 1 1~ and £II roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heafed addNlons) D 2 copies of plans (show 6eam a window sizas; poured tnd. design; efc.) 7 sBe survey for exferior addiNOns & decks ? t sei of energy cciculations D 3 coples of hee presenWlon plan H lot plalFed aNer 711/93 / DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Ker `R-0&r- STREET ADDRESS: C/Z S3 Se-aS///+ ti LOT: ~ BLOCK: SUBD./P.I.D. VU 11 GAc4f Name: Phone PROPERTY Lcst Ftrst OWNER (l1 C ~ A)g Street Address: CNy Sfate: Zip: Company: Phone#• ~O`~ ~Av~~`~/ (area code) CONiRACTOR ~~q Sheet Address: License #~0'~O ~l Exp. City 60'a"State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Streei Address: Registration CNy State: Zip: r SeNer 3 water Ilcensed plumber (reauired for new eonshucHon onlvl: : Penalty applies when address change and lo} change Is requesFed once permM Is issued. I hereby acknowledge that I have read this applleaHon, staFe thaf ihe InforrtwHon Is cortecf, an agree to comply wMh all appifcabl State of Minnesota Statutes and Cffy of Eagan Ordinances. Signafure oi Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No `fl Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of 5tories sq. ft. MClES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter , Acct. Deposit ~ S/W Permit S/W Surcharge ' Treatment PI. Park Ded. Trails Ded. Other Copies 7otal: I ~I 2. -7 S SAC Units % SAC 6_; r,~ tvc.. nf..., fJ.?,r ,:0«r ,.;,,,_a i,,.,,._;;~:3•.: ~ r „_>,:7 (.;fit)Ei: Iil,1l1F.Cf•1f; C c... . ~.1.7i.~~.. ::ii': 1.~.) .,.fln~.~":' 1;: 2a.'55 SICKU 42:is« ssnr;nsrc:~~.,:- ~e ' '.':st] CIoI!.i.I.if..l7Qid Cfi'.J:I:NIl"'ff7iV ~ . k; 'i?D;:t:l. c'.:[ 3.E; ~i.",~i(1 4..,1.11.P•li iF~'r .,125 900.'.. i.'.t9.8 U.LIt:)f~i~lj~ri , :323!7 9(D1 1.1.45 Ri`diip! 24.'S".; r;, t:1 45 I'tFil"IN F;fl t4„Y:i13 ~Yt7'1::.31. !~ir,>i!:•n:i.)~ii; ~irV]i.,'IFI:.:c Cii 17. E,f3;?B @r,fYl.l O0 l'Srl'r' 3`~~~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eacaN ~7 ? y~ 3830 PILOT KNOB RD • 55122 L J 651-681-4675 1 y a.~ 5J New Conshudion ReauhemeMs Remodel/Reoak ReaulremeMs ? 3 regisfered sHe suneya showing sq. fl. of lol, sq. lt. of house 2 copies o} plan and Qo rooled areos (20% maximum lot coveraae allowed) 7 set of energy calculaflona tor heafed adtlHlons ? 2 coplea of plans (show beam 3 window shes; poured Md. design; etc.) 1 sNe survey for exferia addHions 3 decln ? 1 set d energy caiculailona ? 3 eopfes of hee preservafbn plan C loT platted aker 7/1/93 02 DATE: CONSTRUCTIONCOST: 0395~ DESCRIPTION OF WORK: '09'P 4or- STREET ADDRESS e/Z53 5~:L.&~AC_ LOT: ~ BLOCK: ~ SUBD./P.I.D. Name: CIV/~e Z1-1 Cx SO-7-- Phone 1/6 `1 PROPERTY ast FUn OWNER SheetAddress: yZJ3 S4~.Sf~L ~ Ci1y G~G 4~- Stote: fn Zip: SS~LZ Company: phone 5/ a6 S y~~ (area code) CONTRACTOR Sheet Address ;~S~-0 ucense # ZD/3fs0/ gEcp. Cfy Stote: Zip: .S.s/ ZZ ARCHRECi/ ENGINEER Company: Name: Telephone area code ( ) Sheel Address: Regishation Ci}y State: Zip: Sewer S water Iicensed plumber (reaulred for new conshucflon onNl: P4gnaNy applles when addreas change and lof change is requested once permR is isaued. 1 here6y acknowledge tha} 1 have reed this applicaflon, state that the intormatlon Is corte and agree to comply wNh all applicabl ' Stafe of Minnesofa STatutes and Cify of Eagan Ordlnanees. Signature of Applicant: - OFFICE USE ONLY Certficates of Survey Received _ Yes _ No 0 Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex 0 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL. INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # 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 Plan Review License MC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit • S!W Surcharge Treatment PI. ; Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC . - , EAGAN TOWNSHIP No 1.125 BUILDING PERMIT Ownex 'h~ - w.:...~../.~.t~.c~.................................... Eagan Toweship Address (Preseni) --...~.~r.:5 3..... Town HaU Builder------- '4kac?~ui.........................-...._-----..._..---..................--- Address Dafe DESCAIPTION 5fories To Be Used For Fron! Deplh I Fieigh! Esi. Cosi Permif Fee Remarks Z~=-~ LOCATION SSSeel, Road or olher Descripfion of Locaiion Lo! Block I Addilion or Traef o- b. -,w 2J I This permit does noi aulhoriae the use of slreeis, roads, alleys os sidewalks nor does it give the ownes os his ageni t the zigh! !o exeaie anp siYuaiion which is a nuisanee or which presenls a haaard !o the healfh, safetp, eonvenienae and general welfare !o anyone in the communiip. i THIS PERMIT MUST BE KE T ON THE P,AEM_ISE WHILE THE WORK IS IN PROGRESS. `f This is !o cesfify. !hal...... has permission 3o erect a....-_'-'-.. upon f the above described premise subjeai !o the provisions of the Building Ordinance for Ean Town~ sed April 11, 1955. ~ / ~ "'-'--"-'--"............~..10 Per ...................................._~.....~~~C..~a~_ Chairman af ~ T,)wa Bo/a Suildiag Inspector a ~ 88~- aoLS . LOT NAME SIZE OLOCK ADDRESS VALUE Jr 3 S-21"cl5 f'nri G ~5oc ~a ADD'N/~ AREA / TYPE l. et7-)F etiG' ~ ~<~(7~~! GfOr~ `Q•~~ry~~ See O~„ne/ bi i F ` ~ C M ~ V I o~ • /7.~. ~ \ J /a /O~-/O" G~rIf,S SH ~ v 4 l~ u / ~ ~~J~~ ~aryCf ~~°Y'~iC j~l//~ll~ ~ J o JPC~ Cw/lC/' I`~'/ C~Y.)~1 ~nn.Jf~"i) yo~fe 0 J J D Mease advlse tire cusromer pefore sterting the J00 0/ , 1M1e aPprezfmsto emaont ot extm flil anJ eahe concrete anE gN tbe OK to go upeeU. When [ho Jop Is compleeetl. notify tpe axne, anE also Merilce oi the exect .mount of eahas usea. F11 <~t_ C\~ EAGAN TOWNSHIP N~ 1105 BUILDING PERMIT Owner .....~:.~.~~!'!+~..,Ell`L-~~..+-.~........... . ~ Eagan Township Addreas (preseni) 4~'Y.._~_:..fl..~.~^'.[.f._...Cf?ti-.-.^---..: Town Hall Builder Address DESCRIPTION - Siories ~ Ya Be Used For Fron! _ Depth Heighi Esi. Cusi ~Permi! Fee Aemarks ~ - - - - - . --~;t - A 5 , r . - LOCATION Si:eel. Aoad or ofher Descripiion of Loaation Lo! Block Addition or Traci !y~_ Rt s ~ .'~-t' / 3 ,eE a~ - i~7 - /je ~7 ~u~t a ,g X, This permit does not aulhorise ihe usP of s7reefs, roads, elleqs os sidewalks nor does if give the awnex or his agent the righi fo creale a»p situafion which is a nuisance or which preaenfs a hazard io the health, safeiy, convenience and general welfare !o anyone in the communify. THIS PEAMIT MUST BE KEP~T,JON~r THE PREMC~I~SE WHILE THE WORK IS IN PROGAESS. This is fo cerlify, fha!_.~------ haspermission !o ereaf .upon the above dsscribed premice subjeat fo the provisions of the Suilding Ordinanae foc Eagan 'Mwnship adopiE'd Apri1 11. 1955. - Per .........._.....f....... Chairman of Tnwn BoardeE Building Inspaetor Date: City of bp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Resident) Owner r Use BLUE or BLACK Ink For Office Use Permit #: 1; ! c�/73c7 Permit Fee: /64-5 Date Received: -0-'3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 14 D-5-3 SAiJ'©lZ_J k )) Name:Ot%kO Pete Address / City / Zip: LI DS -3 tiajoa5Toroc, Applicant is: Owner I/ Contractor Description of w Construction Cos Compan Unit #: Phone: b51, 3.15- "7"-R,,3 19,€�_acv- a- R57-- - 3 C,Lev `cz.cyos Multi -Family Building: (Yes / No )C Contact: LAK t& ,rv\_(° ; 30%.3 Addressal.3,4 \pti c' _ City: 617/166: State: Zip: SS311 Phone: () a 1 License #: C- v31 &5 L 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to he 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.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. Applicant's Printed Name PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124582 Date Issued:07/07/2014 Permit Category:ePermit Site Address: 4253 Sandstone Dr Lot:6 Block: 2 Addition: Cedar Grove 2nd PID:10-16701-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Chad A Peterson 4253 Sandstone Dr Eagan MN 55122 (651) 216-5100 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124719 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 4253 Sandstone Dr Lot:6 Block: 2 Addition: Cedar Grove 2nd PID:10-16701-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Chad A Peterson 4253 Sandstone Dr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature