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