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4254 Sandstone Dr , ~.~.,,.,r.~,~ . , _ . . • - , z . CITY OF EAGAN ~ - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHO N E: 454-8100 BUILDING PERMIT Receipt # F^ To be used for RggjAQXl= Est. Value Date 8In 20 ,1988- Site Address 4254 swM=111 DA OFFICE USE ONLY Lot 17 Block I Sec/Sub. ""R G~~ 2ND On 5ite Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name ~~~EA& M)ADVAM City Water (Allowable) w PRV Required # of Stories 3 Address ~?~.j4 SAHN7M D1t o RAC.~~ Phone 434-2b44 Booster Pump Length City Depth , a Name $v~-'0IT VINrl[.1w5 S.F. Total Address 9~0 iii 94T'~1 !iT ii Footprint S.F. ~ City BLA)MINMIN Phone 868"M5 APPROVALS FEES ~ ac Engr./Assess. Permit W Name ~ W Planner Surcharge _ zr, Address `W City PhOne Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. , Water Meter Signature of Permittee Road Unit A 8uilding Permit is issued to: EVEr~~ ~RVWAL1'- Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL ~ C' Building Official_ _ _ Permit No. Permit Holdsr Date Telephone * Plumbing H.V.A.C. Electric Softener Inspectlon Dste Insp. Comments Footings I Footings II Foundation Framing Roofing 16-5 - /D-3_S-t - Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. OCC. Temp. LP Deck Ftg. Deck Flnal Well Pr. Disp. CITY OF EAGAN Remarks Ced&Y' Gr jove Acquisition Addition ~edar Grove #2 Lot 1 7 sik 1 Parcel l0 16701 170 01 Owner street 4254 Sandstone Dr. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 198 1266.95 84.46 1 STREET RESTOR. GRADING SAN 5EW TRUNK SEWER LATERAL - 1972 1 .00 2.1 2 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. I BUILDING PER. SAC I PARK . . ~ . . , ' . ; . i' ~ I~ . . ~ A • " ~ - . ~ . . . ~ 1 V~.4~. t.T~lr 1 ' ~ EAGAN TOWN S H I P 1.061 - BUILDING PERMIT • ; Owaer ••..._`~`.?u_.'._. Eagan Township ; Addreat (Presen!) Town Hall i Bufldel ~ 1~•~ na:e v ~ ' Addresa ~ DESCRIPTION Sioriea ~ To Be Used For Front Deplh Heigh! Est. Cosi Permi2 Fee Aemarks i ~ • • ; LOCATION • T- Slreet, Road or olhes Descriptian of Locaiion Lot Block Addilion or Trac! » /s 9 ..~q,.ZLo-.1-3 ~ - PE, 13 13.e dL C ~ Thfs p4rmit does not suthorise the use of stree3s, roads, alleps or sidewaiks nor does it give the owner or his agent , the rigt:t to create any situation which is a nuisance or which presents a hazard !o the heal2h, safety, coavenience and ~ general welfa:e !o anpone in the communiip. ~ THIS PERMIT MUST BE KEPT O THE PREMISE WHILE THE WORK IS IN PROGRESS. ~ . This is '!o eertifp, that_._~......:•........ sl.,....... 0-x has permission !a erect a_-i~. •-'-••.r.,,~,~,,:....••--._.. uPon r-- the above deacribed premiae subject fo the provisions of the Building Ordinanee for Eagan dwnship adopte April I 1, ; 1955. ~ . Per . • ~ Chairman of Tnwn~ Board ~ Building Inspecior _ ' i ~ •R CITY USE ONLY LOT ~ BL / RECEIPT O l4 ~CO 7 SUBD. &L4L- ~/i•tYf1C, RECEIPT DATF.: a oT/? ° 1998 MECHANICAL PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN MIIi 55122 Dste: Oi (612) 681-6675 Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24•00 ADDITTONAL 50 M BTU 6.00 • Gas outlets ( minnnum of one required @$3.00 ea.) • State Surchazge: • ~ • TOTAL: Complete this section oxlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install fumace (vi-rZ) L"~ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minitnum fee applies to all remodel or add-ons of existing residences $ 20.00 Sta4e Surcharge 0 Total: 20.50 inL~t~ e. c2 'ar-i -7 z SITE ADDRESS: Firer e-T-~ a" Ka.~e v~ Nof L3o..,` OWNER NAME: j ~ q & e ~ r - PHONE ([74 `i INSTALLER NAME: LI) P..~ -7-j A VA C PHONE _ STREETADDRESS: LA I 1l 2v Itl\e'+'\660A H~v S:~F j~L100 CITY: (-,!1 I.CJ.," l11 - d~ol STATE: m". ZIP:~ ^ A OF PERMI E 1S/FORMS BLD/MECH PERMIT (ItES) • 1998 vab-W S(ogg CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMbMRCIAL) CITY OF BAGAN 3830 PILOT 1Qd08 RD E7?6AN, I+IIi 55122 (612) 681-4675 Piease complete for. all commerciaVindusfial buildings mufti-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1 °/a PROCESSED PIPING PERNIIT FEE STATE SURCHARGE (5.50 per $1,000 of oermit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME WROVEMENTS oNLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR /L CITYUSEONLY RECEIPT#: ~U 5U9D. l'~ ~C~CCVi- ~d-~ RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EP,GP.N, PA7 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem - - - - - - - - - - - - - - - FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet " minimum • 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under consWdion 5.00 X = Water Softener ' for existing dwelling 20.00 x IJ.G_$PrinklB! "forAwellingkinde•cnnst 3.00 = U.G. Spflnklef ' for existing dwelling 20.00 = AItBPdtiOnS ` to existing residence 20.00 = ~02 Water Tum Around 20.00 = Private Disposal System ` MPC iic. 75.00 = (new and refurbished systema) Private Disposal Systems * Ahandonment 20.00 = STATE SURCHARGE 50 TOTAL a O, SO • • - • - ------------is ° ° I hereby acknowladge that I have read this application, state that the iMOrtnation corred, and agree to comply wkh all applicable City of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the Ciry oi Eagan assumes no lia6ility for any dameges caused by the City during its nartnel aperetianal and maintenance activities to the tecilities constructed under this permR within City propertylright-of-way/easement. SITE ADDRESS: "7 LI SaNL~e `D P)Je OWNER NAME: -Equet'} k I\1oV-JW0.I 1 INSTALLER NAME: TELEPHONE STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE q JS/FORMSBLDG/PLBGPERMIT(RESIDENTIAL)7998 C[TY USE ONLY LOT ~pI BL ~ RECEIPT N: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) , CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN NIN 55122 Date• ./I _26Jq7 (612) 6514675 Complete this section onlv if vou are installine HVAC in sinQle familv, towuhome, or condos that are under constracrion and are not owner /occunied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas oudets (minimum of one required Q$3.00 ea) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodelinQ, addinP to, or renairin¢ eaistine sinele family dwellings, townhomes, or condos. /1~L~p1Rei ~ V ..en fue , CTY(~J~ ~CIDf~O, _ Add on air conditioning Add-on air exchanger, i:e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNERNAME: C~11~L~7~" YL ~ PHONE#: ~t-- INSTALLER NAME: ~ PHONE STREET ADDRESS: 71,- ~I CIT'Y: , STA • ZIP: f , " ~ 3~~~(3 SIGNATU OFPERMITTEE CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECNANICAL PERMIT (COMMERCIAL) CiTY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. . all commercialfindusUial buildings. ~ multi-famiry buildings when separate permits are = required for each dweiling unit. DATE: CONTRACT PRlCE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: - $25.00 minimum fee Qr 1°h of contract price, whichever is greater. . Processed piping - $25.00 . Scate surcharge of $.50 per $1,000 of permit fee due on ali permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVEMErrrs ONL1) - INSTALLER: - ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY OF EAGAN . • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15627 PHON E: 454-8100 BUILDING PERMIT Receipt u To be used for WINDOW REPLACEMENT Est. Value Date SEPT 20 ,7 g 88 Site Address 4254 SANDSTONE DR OFFICE USE ONLY Lot 17 Block 1 Sec/Sub. CEDAR GROVE 2ND On Site Sewage _ Occupancy MWCCSystem _ Zoning ParcelNo. OnSiteWell _ (ACtuapConst c Name EVERETT NORDWALL Ciry Water _ (Allowable) w PRV Required # of Stories zAddress 4254 SANDSTONE DR - 3 Booster Pump Length 0 City EAGAN Phone 454-7_644 - Depth , p Name CiIMMTT WTNnnWC S.F.TOtal ~a AddIeSS 900 W 94TN ST W FootprintS.F. _ ~ City BLOOMINGTONphone 888-8095 qppqOVALS FEES Ww Name Engr./ASSess.- Permit NIC ~2c, Planner Surcharge i Addres5 Qw City Phone Council PlanReview Bldg. Oft SAC, City I hereby acknowledge that I have read this application antl state that lhe Variance _ SAC, MWCC in(ormation is correct and agree lo comply with all applicable Slate of Water Conn. Minnesota Statutes and City of Eagan Or ances.~ p n ~ Water Meter SignaWre of Permittee Road Unit _ A euilding Permit is issued to:___EYE$ETT_LIORI147ALL_____ I Treatment Pi on the ezpress condition Ihat all work shall be done in accortlance with all applicaGle Stale ol Minnesota Statutes and City of Eagan Ordinances. Parks ! Building TOTAL -N/C I . 198$ HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS /!!f`/ ~ I INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRdCTOR/HOMEOWNER MUST DESIGNATE WHZCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED MULTIPLE DWELLINGS AENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OE ENERGY CALCULATIONS COhA'fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: W:nePOW r,q(aceoHedValuation: Date: Site Address ~ aS`t SaV~S6he f)r, OFFICE USE ONLY Lot 17 Block Dn site sewage_ Occupancy , MWCC system Zoning Parcel/Sub r,~r,, On site well Actual Const City water Allowable Owner 10rdu,laA sFlle,'e-'f~ PRV required r li of stories Booster Pump _ Length Address 41$K sp.,,dS6he '~KiC Depth S.F. Total City/Zip Code ~104tcvi, a,'.Z Footprint S.F. Phone ~.s ry -lb qq APPROVALS FEES Contraetor Su.Mvx`~' J~a' W"4cuJS Engr/Assess Permit ~ L. Planner Surcharge Address ("i~ 9 Council P1an Review , Bldg. Off. SAC, City City/Zip Code B1aoh7ahq4yli Variance SAC, MWCC /~Q -S Water Conn Phone rj~~ `0Q Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies ~ City/Zip Code TOTAL Phone IF ~ ~ ~or'Orfice use City of EapIl j Permit# I I Permit Fee: 7 r 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 Fax: (657) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMiT AP ICATION Date: Site Address: I2~~ Sz n(3 Sy Q~~ p , Tenant: Suite RESIDENT 1 OWNER Name: e10.~~'' I`O r W6- Phone J~ 24 LI) Address / City / Zip: ~ Z. J~~~ Applicant is: _ Owner Contrac[or TYPE OF WORK Description ofwork: RE RoOV I e 1 e- Construc[ion Cost: (oSD 1) Multi-Family Building: (Yes No ~ CONTRACTOR Name:/1QV4 (eCt7llt(Q,4 {InA-HAC- License#:2iVZy7 /0(P Address: LLM% 61\W66 CY 4Jt- 7- City: 0 E> State: ~v Z' Phone?{,~ Contad Person: ZV~ ~'n' S~ ~ 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 (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit 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 8 Water ConUactor: Phone: NOTE: Plans and supporting documents that you submif are considered to be pubfic iniormafion. PorYions of the information may be classified as non public if you provide spec'firc reasons that would permit the City to conclude that the are trade secrets.. I hereby acknowledgethat this information iscomplete and accurate; that the work wiil be in confortna wRh e ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is t sta hout a pertnit; that the work will be in accordance with the approved pla in the case of work which requires a review and appro pla . X -7~~ a X - Appli anfs Printed Name ApplicanYs Signature Page 1 of 3 ~----------------i I For=Office,;USe Clty Of EapIl j Pertnit#: ~ S aUO~ I I Permit Fee: 3830 Pilot Knob Road ~ I Eagan MN 55122 ~ Date Received: j Phone: (651) 675-5675 Fax: (657) 675-5694 i Stae: ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: OS Z(G 09 Site Address: Tenant: Suite RESIDENTlOWNER Name: Kcp-~ N Phone:q5'7_ yZ«W Address / City / Zip: Str-s't~ Applicant is: _ Owner ~ Contractor TYPE OF WORK Description ofwork: b&(- ~ Construction Cost: ~is~ ~ J 5 ~ (o Multi-Family Building: (Yes No Y-) ~ CONTRACTOR Name: V.1 if Il I~ .Z/VG License Z 0_q4 19(7 Address: ~11 7~ gIIlwdOd City: _TA~i-V- (A,3669 State: Zip: Phone6szzq3H4Z ContactPerson: ~7ev~ri! ~f(~tiJs COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 EnBfgy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted . 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 ContracWr: Phone: Sewer 8 Water Contractor: Phone: iil NOTE: Plans and supporting documenfs that you submit,are considered to be public informafion. Portions of the informafion may be classified as non-public if you provide specific reasons that would permit the City to - conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate: that the worts fortn e~ the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliration for a permnot without a permit; that the work will be in accordance with the appro ed plan in the case of work which requires a review and w~ : ~av~~ +vSoN Applicant's Printed Name i e Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177162 Date Issued:06/17/2022 Permit Category:ePermit Site Address: 4254 Sandstone Dr Lot:17 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-170 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Steven Warren & Karen Marie Dubois 4254 Sandstone Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177231 Date Issued:06/21/2022 Permit Category:ePermit Site Address: 4254 Sandstone Dr Lot:17 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-170 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Steven Warren & Karen Marie Dubois 4254 Sandstone Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178782 Date Issued:09/01/2022 Permit Category:ePermit Site Address: 4254 Sandstone Dr Lot:17 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Steven Warren & Karen Marie Dubois 4254 Sandstone Dr Eagan MN 55122 (651) 454-2644 Mad City Windows & Baths 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature