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4259 Sandstone DrCity of Ea�ail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 WIG 2011 Use BLUE or BLACK In Permit #: Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: l0 -1 t( Site Address: 4,26 4'1 S�^c s -ko r' Sj'; 0-\. `> G,e.s-- 7C. Suite #: Tenant: 1 RESIDENT / OWNER Name: v S A .eN. S he -r7 c - Phone: 5r)2'q'I05-045 5 Address / City / Zip: Lt 2. c5 ell JSrye_ CONTRACTOR Name: License #: RESIDENTIAL HEATING & AIR, INC. Address: .8_ E aa. rs to N City: State: z , rOgr Ia, MN 7e 6 Contact: (ell 7241N: TYPE OF WORK New Replacement Additional Alteration Demolition (ale r-1 2-4 "Puts 5o 2-�5 1• - Description of work: PERMIT TYPE RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) en) 5 eTOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) OR - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee = $ Surcharge = $ _ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protec t%n against undeSgro nd ility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstate• call.or I hereby acknowledge that this information is complete and accurate; that the work will Eagan; that I understand this is not a permit, but only an application for a permit, and wo with the approved plan in the case of work which requires a review and approval of plans. ^-`i Applicant's Printed Name rdinances and codes of the City of t; that the work will be in accordance r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: +'' ML4} 2-2 )26(fj Site Address: t'(' ZSS1 t -E DP:We 616s4 Unit #: "— RESIDENT / OWNER Name: SoST1 t4 9" ktK.KA Stift RPG Phone: (330 6/05.--04g5— Address / City / Zip: z/ zs-g siel„1®Td,...,„ 64o&:fn)1 M, ' Applicant is: X Owner Contractor TYPE OF WORK Description of work: LcoZ Levet, FN tt Construction Cost: 4 2 Multi -Family Building: (Yes / No )( ) CONTRACTOR Company: ti ' Contact: Z. Address: ---City: State: — Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued yes, date and address of master plan: a permit for a similar plan based on a master plan? _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans ansa supporting° tr t thai you submft a on ide.y'" teteinfor'r atron.may be classified as no p f e c u rid pec f re on t gra et a .. szt 'conclude that theysare trade secrets`- ,oto CALL BEFORE YOU DIG. CaII Gopher State One CaII 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. x iSfIY SRIJ Applicant's Printed Name x Appli .ant's Signature Page 1 of 3 SUB TYPES Foundation ingle Family Multi 01 of Plex Accessory Building DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level — Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New _ Interior Improvement addition Move Building Alteration Fire Repair Replace _ Repair _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 6 1 Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final V Framing Fireplace: Rough In Air Test '' Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final SP Siding Reroof Windows Egress Window 61064/6 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Zee 7 Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Pool: Footings Siding: Stucco Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Gas Line Air Test Air/Gas Tests Final Stone Lath Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 12./ 4-00- 3 G 2 0 Page 2 of 3 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: ?La $328 J 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3-Z2 q`7 ( Site Address: ? &i/U( e,13C DAVE- Nj tkl- 55(ZZ Tenant: Suite #: RESIDENT / OWNER Name: Li1S-r, j3 Phone: (504(1.05 - Address / City / Zip: 1 Z66q S STOr`SG i(ZLU&, 6446Ao, ictiti 551 ZZ CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK x New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater x Add Plumbing Fixtures ( Main / )(Lower Level) Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.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. x �vS7�,� SbiriAee Applicant's Printed Name x Appffcant's Signature CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 7 Blk 2 Parcei 10 16701 070 02 Owne 4259 Samdstone Dr, State- Eaga1iMN -r~,-i122 Improvemeni Date Amount Annual Years Payment Receipt Date STREET SURF, S 1985 1266.95 84.46 15 STREET RESTOR. GRAOING SAN SEW TRUNK SEWERLATERAL 1972 1 3ch.OO 2.16 2 9-29-77 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC I PARK , cirY oF EAGAN 3795 Ptlot Knob Reod Eayea, MN 55122 Ng 4946 PNONE: 454-6100 BUILDING PERMIT ReceiPt To be used fer Est. Value ~'`Y" • Dote j , 19 .~c3rt~~:: ~ S-?Q Site /lddress Erect Q Occupancy Lot Block z Sec/Sub. Uedar v~'1Vr? 2 Alter p Zoning Parcel Repair p Fire Zone Enlarge ? Type of Const. & Name Move ? # Stories u+ Z /lddress Demolish 0 Front ft. ° Cit Phone J Grode ? Depth ft. o Neme _ Approvob Feet o~ Assessment Permit UF - - . • y ~ ' ; ~ 313 Woter & Sew. Surcharge • `r`. G Phone ~ Police Plan check ~ Name Fire SAC _E5 /lddress Eng. Wcter Conn. <W Ci Phone Planner Water Metar Counci I I hereby acknowledge that I hove recd this opplication and state that gld9. Off. 8; ~21%70, the information is correct and agree to comply with oll applicable ~50 State of Minnesota Statutes and City of Eagon Ordinances. APC Totol Signoture of Permittee A Building Permit fs issued to: on the express condition tfiat oll work shall be done in cccordance with all appliooble Stote of Minnesota Statutes and City of Eagan Ordirances. Building Official - P~k # peN IawA Perwlfha Plumbing Mechanical INSPECTIONS DATE INSF• Rouqh-In Firrol Footings Dote Irup. DotO Irqp. Foundation Plumbing Frome/ins. Mechanical Final _ Remarks: ~ ' • CITY OF EAGAN 3795 Pilo! Knob Road Eagan, MN 55122 N2 4467 PHONE; 454-6100 BUILDING PERMIT ! v,0. Receipt #k To be used for Date . , 19 Site Address Erect ? Occupancy - Lot 7 Blxk Sec/Sub. ~ Alter 0 Zoning _ Parcel # Repoir U Fire Zone Enlarge ? Type of Const. 1 W Ncme fv~ove ? # Stories _ 3 Address Demolish ? Front it. o1 Ci Phone Grade ? Depth ft. Approvola Fees o Name ~ 8v Address Assessment Permit - - ~ Ci Phone Water & Sew. Surchorge ~ Police Plon check ~W Name Fire SAC Address Eng. Woter Conn. a W Ci Phone Planner Water Meter Council I hereby ocknowledge thot I hove rend this application and state thot Bldg. Off. the informotion is correct ond agree to comply with all app!icable State of Minnesota Stotutes and City of Eogan Ordinonces. APC Totol - Slgnoture of Permittee A Building Permit is issued to: rn`~~ on"the express condition that all work sholl be done in accordence with oll opplicoble State of Minnsscta Statutes and City of Eayon Ordirwnces. Building Official ' - ! . • Pennk # Dah Iraed Me~IMN Plumbing Mechanital 9u INSPECTIONS DATE INSP. Raqh-In Find Footings Da?e Imp. Dote Imp. Foundotion Plumbf ng Frome/ins. Mechcnicol Final Remarks: 6'-t JWI-~ / . ' . CITY OF EAGAN ~ 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 'zx'ATIT?G PERMIT No. r' Date: SFpter,Yer 20, IY7-' Receipt No.• 4~5r) Sirtgle I Sar~dstaiie Lr. i~re Site Address: Residential Lot Block Sub/Sec. ~ Multi Res., Comm./Ind. I Name New/Alter./Repair ~ -1259 Sat7:i f-,tone :?ri=;t, ; Address Cost of Installation O 'agan _,nn City _ PFwne: Permit Fee ~?al ley Aire Inc. • ` Neme Surcharge ~ Address 711- W. 1126th St. City ~u•. J ; ~ ' _ Phone: Total - - This Permit is issued on the express condition that all work shall be done in occordance witfi oll applicable State of Minnesota Stotutes ond City of Eagon Ordinances, Building Official PAGF/C POOL & P4T10 MINNESOTA PACKAGE PRODUCTS, INC. s 6922 55th Avenue NoMh North St. Paul, Minn. 551 a ~ Phons 770-1313 / ~0 .~CJ CUSTOMER NAME DATE ADDRESS PHONE POOL SIZE TYPE Directions to job site Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) I !3: !?aC y~lf C.S ~ • = - -~F' - ~r :v, t .3 . ` I~7C w li Nfur; ~ - q0 q3 ~ , . _~3 _ , ~y , • ~ , i ` !.7 ~J,C ~i/G.° I~y~?,~•*r !'t3 ~ 7. Indicate deep end by (?C). 2. Mark location of filter and/or heater by (#2). 3. Indicate approx. elevation of pool in relation to a permonent fixture on the property. If ihere is no permanent fixture, mark the diagram with the symbol (A) at grade point. 4. Wil) trees, clothes poles, power lines or any other obstrucFion be encountered? Yes ? No ? If yes, explain 5. Does customer wish to retain any or all dirt from pool excavation? Yes ? No ? If yes, explain 6. Indicate and explain any special instructions not covered obove. 7. Patific Pools recommends that the customer construcF a retaining wall as soon as possible after the pool is cornpleted. Yes ? No ? Show in diagram. 8. Customer understands that some damage may be done to the yard and/or driveway while entering and leaving the yard during construc#ion. Initial here . 9. Customer acknowledges receipt of grounding instruction sheet, and is responsible for grounding and electrical wiring of the pool. Initial here . 10. Customer acknowledges the fact that he is responsible for the gas installation for heater if applicable. Initial here . Crew Chief Use Only Inspettion Required SPECIAL NOTF TO THE CUSTOMER: 1. Walls ? 2. Plumbing ? If you wish to change: filter position, slope of land, extra concrete, or onything 3. Footing E] else stated in this outline, please call your salesman at the office - 770-1313. Crew 4. Electrical ? chiefs ere not authorized to change cnything on the job or make any promises for 5. Other ? work to be done by them. Any changes that ore not authorized by the office will be charged at a standard rate - no exceptions. Call Mr. at Seller Signature Customer Signature Phone No. ~ Th'* request void 18 months from .5-ar ~ P 68290 Date of this Request I, as O Licensed Electrical Contractor 215wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Cit Section Township Range County,~~ Which is occupied by ~ (Name o ccuDa Q Is a rougltin inspe tion required on this job? No 0 Yes ReadyNowiP- Will Call f~ Power Suppl' sz- ~ Addres~ Electrical Contractct Contractoi s License No. _ (COmpany Nam<) Mailing Address . ~ (Electrlcal tract r er Making This Installatlon ~y!-~ Authorized Signatu O Phone N 9S~ (Electrical Contractor or Owner Making T Installatlon) ' This inspection request will not he accepted by the ~ State Board unless proper inspection fee is endosed. Mrtlnesota State tloartl ot tlectricity t~~ 954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ~ e REQUEST FOR ELECTRICAL INSPECTION ~ 68Z9O CHECK BELOW WOItK COVERED BY THIS REQUEST Type of Budding New Add. Rep. Check Appliances Wved For Check Fquipment Wired Foi Home Range 0 Tempocary Wuing ? Duplex Water Heater ? Lighting fixtuxes ? Apt. dldg. ? Drye[ ? Electric Heating ? Commexcial Bidg. Furnace ? Silo Unloadei ? Industrial Bldg, ? ? ? Air Conditioner ? Bulk Milk "Cank ? List List Fth ~ E] Ej Othersl Others EiK ~ Here Here ) COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: n Fee FeedecsdSubfeedeis: # Fee Circuits: u Fee U to 100 Am s. 0 A es 0 to 30 Am eres 101 to 200 Am s. 31 es 31 to 100 Am ies Above 200 Amps. A e 10 Above 100 Amps. 'Iransformers Remote onhol uc. Partialorotherfee Signs Special lns ction Minimum fee $5 Remarks TOTAL FEE I, the Electrical Inspector, hereby cer4 at t}#) inspec ' n has been made. (Rough-in) Date (Final) ~ Date ~ ~ _ 7 r$ This request void 18 months from CITY USE ONLY PERMIT 7 a r~~ RECEIPT DATE: 8008 RESIDEP17lEL M£CH4NIClEL PEiiM1T lkPPLIClETIOR crrY or EasRx 3830 Paor KNos sn £A814A MN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: I `l i, SITEADDRESS: OW NER NAME: S2a1'IC\jQ. VW TU S TELEPHONE Cov / ~nS3 -`l'9/G INSTALLER NAME: N"~QatL~4_ TELEPHONE STREET ADDRESS: S- ' CITY: STATE: Y n ZIP: rJ~J~7 S • Plaee a check mark next to the permit work type Add-on, modifcation or alteration to existin dwelling unit $ 30.00 . fumace replaceme • air exchanger • air conditioner • other Nature of work: Z/ s /7a n,lrtr~~?tP n~ 24 ~"zoo? J' j; i• I. State Surchar e $ .50 Total $ 3~ • ~ ~ SIGNA E OF PERMITTEE vo2 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 8008 CObIMERCIlkL MECHANIClkL PEiM1717 APPLICATIOR CITY OF EAsukN 3$30 PILOT KNOB RD EAHAN, bl1V 551 EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IIvIPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE ~ WORK'I'YPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank Pracessed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681d675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = min;m»m fee Contract price: $ x 1 % _ $ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 EAGAN TOWNSHIP NQ 1107 BUILDING PERMIT Ownei .y`r-'~e'3.~---- £agan Yownship Addrecs (P*eseni) _...i~....... %L.,._..__....... . Town Hall. Builder ................_._s..°.-^...'^--K~-----......_......_..-----.....---....._.. Dafe Address DESCRIPTION . Siories - To Se Used For Fronf I Depih- . H_eighi Est. Cos! _ Permi! Fee Remarks ------_r~tsoc~'-- t - " I LOCATION 52seet, Road or other Descripiion of Localion Lo! Bloak I Addition or TracY 13- ~Y s~ ~ This permit does not aulhoriae the use of slreels, roads, alleys ox sidewalks nor does if give the owner or his agent the zighi io ereate aay sifuafion which is a nuisaace oz which presents a hazard !o the healih, safety, convenience and general welfare fo anpohe in the eommunify. ~ TFIIS PERMIT MUST BE,rKE~PT" ON THE PREMISE WHILE TH£ WORK IS IN PROGAESS. ~ This is So eeriify, iha!_.s~(~-v~.•.45r.E!-:^°. .r.'d..:...... has permission fo ereci a_...9 pon the above desaribed premise subjecf !o the provisions of the Building Ordinance for Eagaeship adopied ~pril 11, 1955. ~ y ~ ////}JJJcv_+ , .........._._._1M1./le....Y. -.....^'Y--~..._......._...._ Per .._........~fn.~'-~..[~'L....T".....:.../..'_....C~..f Chairm'~n of Tnwp Soard Building Inepeefor cp ? crrr oF E?caN _ ' 3795 Pilot Knob Rmd Eagan, MN $5122 No 4946 PHONB: 4548100 BUILDING PERMIT APPLICATION Receipt # Te be u.ea fop"im. Pool & FenceEst value 6,500 Date 8/21 ~y 78 sice Address 4259 Sandstone Dr. Erect 19 o«upancy I Lor 7 eiock 2 sec/Sub. Cedar Grove 2 qlrer ? Zoning Rl parcel 10 16701 070 02 Repair ? Fire Zone 3 Enlarga ? Type of Const. c Name Dennis Pauling Mo„e ? # srories 3 Addreu 4259 Sandstone Dr. pe,„,iis, ? Front sr. o Ci agan Phon - 53 Grode ? Depth ft. e ~ Name MN Packaging Prod. Approrah Foo. f° 6922 55th St. N. Assessment Permit 24.00 o~ Addre u~ ~O. . au - 3 Water 8 Sew. Surcharge 3.50 Ci PFrone Police Plan check ~w Name Fire SAC 110 Address Eng. Water Conn. <w Ci Phone Planner Wnter Meter Council I hereby ockrawledge that I have recd this application and state that gldg. Off. 8 1 the informatian is wrrect and agree to comply with aIl applicable 27~~ Stcte of Minnewta Statut/es~end City of Eogan rdinonces. APC Total SignMure of Permittee A Building Permit is issued to: v on the express condition thot oll work sholl be done I ~fccord5nce w' oll applicoble State of Minnesota StMUtes and City of Eagon Ordinoncea Building Offlcial Y^ HUZLDING PF.RMIT APPLICATION Include 2 sets oE pians, 1 site plan p/elevatio s and 1 set of enesgy calculations. Zb be used for 0/ & Valuation ~c$fd0- site Addresc; Lot Block See. Sub, Parcel Number ~ 7 tx- ~ cs ,2 ~ o /G 79 / °70 ; 5~S'~F9~3 Owner W i 2elePhone ~a/~: ~/~E •8'~'~ AddZ'esS 7 ~ Contractor 1V'A1,b'. Telephone 77Q '%flx Addrese ~5, Y"t ' N.V-- Aroh./Eng. Telephone Address OFFICE USE Erect Occupancy .l Alter Zoning pQpai= Fize Zone 3 g,nlArqe 7ype o£ Const. _ Nave # of Stories flemolish Front Grade Depth OFFICE USE Date of Appzoval 6 Initial FEES o~ Assessment Permft a y Water/Sewer . Surchsrge 3 Police Bian Check Fire SAC En9; P!ater Gbnn. Planner Vlater Meter Gbuncil Bldq. Off. A.P.C. TOTAL ~ ~ CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 557 Y2 N2 4487 ' PHONE: 434-8700 BUILDING PERMIT APPLICATION $10,000. Receipt 7420 To be uaed for Firn i]amnYa Nnma Dote September 15, - I y 77 stre Addreu 4259 Sandstone E,ect ? OccuPor,cy I Lot.-7 Block_2Sec/$ub.__rr_2- Alter ? Zoning Ri Porcel Repair [k Fire Zone 3 _ V Enlorge ? Type of Const. w Nome Dennis Paulin¢ Move ? # Stories z 4259 Sandstone Address Demolish ? Front ft. ~ Cit -~gan phone 4 4-6953 Grade ? Depth k. A ro rP+Ed2rberg-6es PP va s eea o Name - er ~1 ot Address 2929 OnklBnd Avp Assessment Permit 33.00 _ V~ ~1s• Phone 824-2605 Water&Sew. Surcharge 5.00 Ci Police Plan check ~w Name Fw Fire - SAC T~ Address_ Eng. Woter Conn. 6"' Ci Phone Planner Woter Meter Council I hereby acknowledge that I have read this application and state that gldg. Off. the information is correct and agree to comp~if with 11 applicable 38.00 $Wie of Minnesota Statut s ar( City o4 Eag6Ordi nces. ~+PC Total Signature of Permittee nnis Paul g/ 0, R, Anderb~rg r,~ ~A Building Permit is issued to: NYthe express condition thot all work shall be done in o rdonce ' ail ap icable State /of Minnesota Statutes and City of Eagan Ordinantes. Buiidirg Official s,-~--~i . . DATE SUILDING PERMIT APPLICATION Include 2 sets of pians, l site plan w/elevations and 1 set oP energy calculationa. Zb be used for P P lv, Valuation site Address: "rZ S4 ^clS r o.ti P Lot Block Sec./bub. Parcel Nwnber 7 Z CrPja; 9fc~~/ 2- o~,~,~er D~Nnr+s ~A~~i~~ Telephone ~~454-~°>S3 Address 4ZS°) SANc>s-t'oNE DF-iuE CC,AN , 18,212_ , Gbntractor O,i~Z. AN-o&-',('-53L-Lf~ On, Telephone 071¢-11606 Addrese gbirz aaK~,a1.~o AuF, IV} I N N Li CxnL; g M1/'drY. 11rch./Eng. Telephone Address OFFSCE USE Erect Occupancy ~ - Alter Zoning - / ~Pa Fire 2one ~ Ehlarge Type of Oonst. t~ MoYe # of Staries j(a_ Demolish Front Grade Depth OFFICE USE , Date of Approval & Initial FEES n~ Assessment Pesmit ~ Water/Sewer Surcharqe Police Plan Check FiXe SAC Eng. Frater Gbnn. PlanneY Water Meter Oouncil Bldg. Off. ~ A.P.C. TOTAL ? - CITY of EAGAN N° 3227 BUILDING PERMIT Owaa: 3795 Pilof Knob Road a~--.~--~........"'•_""' . Eagaa. Minaesota 55122 Addsess (Presenl) ...`?`~:~.I........'4 454•8100 Suilder Q'.`.~.:.e~......................................_......:......... ~ _ - 7f Dale Addrass DESCRIPTION 8fozies To He Uaed For Fxon! Depih Iiaigh! Eei. Coat lPermi! Fe0 Ramerks LOCATION oZ7' Stsee2. Road or oiher Deseription of Loealioa I Lo! Bloek Addtlfoa or Tsae! ~ 2 lit~.Ltti ~ 2 This pexmit doas not sulhosize the use oi streais, roada, alleys or eidewalks nor doea it give the owner or 6is agen! the righ2 !o ereale enp situation whiah is a nuisanea or which presents a hasard !o the health, safelp, eonvsaisnce aad general welfare !o anpoae in the commuaifp. THIS P£RMIT MUST BE KE7~PT ON THE PREMISE WHILE THE WORR IS IN PR0,6,R~ES~rg. ~ This is !o eesllip. lhat..__....N:~...._~t~:...w..... hespermiuioa !o eract ...".~.~....~....._upoa the above described premise subjec! io ihe pro%+isions of all applicable Ordinances fos the Cily of Eagan ........-c...._............. .._..........1"7................'_--........_..... Per C'i Me or ~!j' Buildinp Impeclos ~ - - I I G' i ~ ~ ~ - Q v C I~ \ y ~ to ~ . ~ . ' - MASTER CARD -7 LOCATION OWNER / STRUCTURE AND LAND USED AS Issued To Pe\ it No. Issued Coniractor Owner BUILDING A . ~U2 7 PLUMBING TANK CESSP:7. WELL ELECTHEAT ING I GAS INS7ALlING I SANITARY SEWER OTHER ~ OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL ~ TILE FIELD FT. FRAMING - FINAL ELECTRICAL. DEPTH HEATMG OP WELL GAS INSTALLATION $EPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPOftTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDIilONS OF CONSTRUC710N A7 THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPIY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION Of CERTAIN IMPROVEMENT$ WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: - ? REINSPECTION REpl11RED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I hava reported herein all significant conditions otserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacific requira ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 33 EAGAN TOWNSHtP BUILDING PERMIT N°• 1786 Owner _...Aw . Eagan Township ~f~ Address (Preseni) '-r....<.........._...........'--.:. ' Town FIall . / Suilder Dafe ..:.a.~.. Addrass l/ DESCRIPTION 7ories To Se Used For Froni Depfh Heighl Esi. Cos! ~Permi! Fee Remarka /f V LOCATION Sireei, Road or ofher Deacripiion of Locaiion I Lo! Block Addilioa or Trac! 7 a e- -4 7j'- 1 This permit does aot aulhorise the use of sixeefs, roada, alleys or sidewalks noz does it give 36e owner or h[s agent the right fo creale anp si2uafion which is e nuisance os which presenSs a haaard !o the health, safety, convenience and geeeral welfaxe !o anpone in the communi2y. THIS PERMIT MUST SEPT ON THE PAEMISE WFIILE THE WORK IS IN PROGRESS. This is !o cerlifp. ..:,1«:.. _ : . . . ........has permissioa !o eseet a°°--_ ~ .....--.-r~:-----.---°---.•--.---..._upon the above described premise eu6jec! !o the of the Building Ordinaace for gaa To'wnship adopfad April 11, 1955. Qr~ /O _ ~ i , fC-C. Per " 4 4..---~-.------"-""~'~"~'--....'-""-_----'... InsPecios Ch rm ...an of Tnwn Bo~rd Buildin4 ~ l5 h 4 ~ ,pe~»iS ~>4~1nq t $a~,ds/on2. -DJ- '~0~ ~ a~-2 C'eorar G'rore. ~M~ ~~h ~I-7 -7o ~~sb 2007 RESIDENTIAL MECHANICAL rERMiT arrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single famity dwellings & rownhomes/condos when permits aze required for each unit nate I Site Address S('"J S~74j r~ .e Unit # Property Owner `J Gf . STi n Ct V J7 Telephone ~ contractor BURNSVILLE HEAfINC=F AlC, INC. . Il VI cW 0 Street Address Stifte 12C City umsv , 5 State Zip Telephone #(%~a, ) W7v 000 ( Bond Expires: ~ The Applicant is _ Owner _)~7contracror _ Other Fire repair (replace burned out appllances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-an or alteretian to existing dwelling unit $ 50.00 fumace _Additional _)(Replacement _ New i~ air exchanger air conditioner heat pump other - ;V/1 $ .50 StateSurcharge 14, . ~ ~ooe Total $ J~- S V I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with [he Mechanical Codes; [hat I understand this is not a permit, but only an application for a peanit, and work is not to start without a permit that the work wr e m accordance with the approved pla the case of work which reqnires a review aud approval of plans. u cX" Applicant's Printed Name App icanl t's Signature For Office Use Permit g o City of Eaall C, 62 0 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ° Site Address: n~~~ \ t~ , Tenant: a. ( } ; r~ A Q,,V SuiteJ RESIDENT / OWNER Name: U - Ax 7 S i y -SN~'t, A jj. Phone: cc Address / City / Zip: t.1.tn rt L plk-C'4 iL Applicant is: ` Owner Contractor TYPE OF WORK Description of work: ` Construction Cost WE 0 C` Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 9 _ Minnesota Rules 7672 Energy 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 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. 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 w is not to start without a permit; that the work will be in ac rdance with the proved plan in the case of work which requires a review and approve o plans. X X - 41C4 h ~A r mt~& 4 Applicant's Printed Name Appli ant's Signature r Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117378 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 4259 Sandstone Dr Lot:7 Block: 2 Addition: Cedar Grove 2nd PID:10-16701-02-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Berkshire Home Solutions Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Justin Sharpe 4259 Sandstone Dr Eagan MN 55122 Berkshire Construction 1700 Niagra Lane N, Suite201 Plymouth MN 55446 (612) 232-3434 Applicant/Permitee: Signature Issued By: Signature