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4272 Sandstone Dr INSPECTION RECORD CITY OF EAGAN PERMiT TYPE: 3830 Pilot Knob Road Permit Number: . Eagan, Minnesota 55122-1897 Date Issued: -w., ; ~ A~ r,•.. (612) 681-4675 SITE ADDRESS: APPLICANT: .t0141 #?P PERIVIIT SUBTYPE: TYPE OF WORK: INSPECTION D. • rA , I ~ , i I e ~ . . , _ . . . . . . . .r - ~ Permit No. Permit Holder Date Telephone iF ELECTRIC PLUM8ING HVAC Inspectlon Deta inap. Comments FOOTINGS j, ~ 5 V1e u ~k FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK Ff(3 DECK FINAL Z<Jl I'M W - WILG N b I CITY OF EAGAN Remarks Cedar Grove Acquisition Additioyn~ Cedar Grove #2 Lot 2~ Blk ~ Parcel- 1 n 167M ?M oi Owner!' i Street 4272 Sandstone Dr. State Eaaan, MN K,'i12~ i . Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 8 1985 1266.95 84.46 15 1266.95 C009316 8-17-84 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL 1972 1304.00 52.16 2 WATERMAIN # WATER LATERAL 11972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• ' I ~ ~ ' I ' " I ' APPLICANT: ~ 1 I! ! . fii W h ~ i ,r~li~. ~ ~~~rt 1~~; „ , . ~ t ~ i . ~ . ~ , i:,~ • ~ „ PERMIT SUBTYPE: TYPE OF WORK: , , ; ~ r ~ E•,, , INSPECTION . F ~ L Pemift No. PartnR Holdw Date Telephone # ELECTRIC PLUMBING HVAC InspecUon Dab Insp. Comments FOOTINGS FWND FRAMING ROOFING ROUGH PLUMBINQ PLB(3 AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD F1REPlACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL . BSMT R.I. BSMT FINAL DECK FTCi DECK FINAL 2 ~ RECORD I COntrol No. ~ INSPECTIUN CITY OF EAGAN PERMIT TYPE: at~ lloymn 3830 Pilot Knob Road Permit Number: • e!4;?1 Eagan, Minnespta 55123 Date Issued: 03/1e/ 9? (612) 681-4675 SITEADDRESS: Lpr e Ta HLqe~ ; i APPLICANT: 4z72 5AMQSTOME QR PANEtCRAFY' CEOAR 6Rd1/E 2N0 (612) 723-6628 PERMIT SUBTYPE: TYPE OF WORK: tiF" DWl3 AItERAT7QN IrJSPECTiON • ~IMAt. RfMAltKSf SOfVIt AMD FA9CIA - _ - ~ ~!R IbD1y1~6 ~ - Portiift No. PermN Holder ats TelephoMs S/tN PLUMBING HVAC ELECTRIC ELECTRIC InapecUon Data Inap. CommeMs Foofin9s I Foundation Framing Roofing Rough PIbD- Rough Htg. isul. Fueplaoe Flrral NEg. Oraat Test Final Plbg. Plbg. Inspector - NotNy Plumber Const. Meter Er?grJPlan Bldy. Final Deck Ftg. Deck Final Well Pc Olep. ` r ~ a EAGAN TOWNSHIP N? 1440 BUILDING PERMIT Ownex . .........'___...._.."'._~,.eC:!r?-e'~-............................... Eagan Toweship Address (PresenY) -.__~~7a-..__ ~ Town Hall Builder . Date - - Address DESCRIPTION 7ories To Be Used Fos Froni Dep1h Height Esi. Cos! Perif Fee Remarka ~ ' LOCATION SYreeY, Road or oiher Descripiion of Localion I Lot Block Addifion or Traci This permit does nof aufhori:e !he use of sireeSS, roads, alleps or sidewalks nor does it give !he owner or his agea! !he right fo erea2e anp siSUation whie6 is a nuisanee or which presen2s a hasard !o !he heal2h, safeiy, eonvenience aed general welfare fo anpone in !he eommunify. THIS PERMIT MUST BE pgEPT O,N. `TI,iEyP-AEMISE WHILE THE WORK IS IN PROG,A~E~SS.~~y ~ This is !o cerfifp, -....has permissioa !o erec! upon !he ebove desciibed premise subjeci !o !he pzovisions of !he Building Ordiaanee for Eagan Township adopied April 11, 1955. ........t...t.l....-.....:`.......J...-:....:_...".-._.. Per `"`,7...`."..-- y.....~......~_i............~...............----......... Chairman of T~wn Soax~ Building Inspecfor 6 "~.r ~ EAGAN T~WNSH6P M ]061 BUIIeD6NG PERMIT ' oWna: -xe.- Addres$ (PresenS) ....,..I . . . - . ~ Eagan Township ' . Town Hall 1 : Builderi Dale 1 / 1r~3 Address ' ~ . DESCRIPTION Siories ~ To Be Used For Fxoni Dopih Heighl Esf. Cos! P~er1mi! Fee Aemarks I5O/+~ ~ I LOCATION ' I Sfreei, Road or oiher ~ sczipiion of Lotation Lo! Block Addifion or Traai i7 -i9 L2- d- # This pertnit does nof authorize the use of slreefs, roads, alleps-or sidewalks nor does~i! give the ownar or his ageni , the sigli! Yo create any siSuation which is a nuisance or which presents a haaard io the healih, safely, aonvenience and ~ general, weltare !o anpone in ilie communify: THIS PERMIT MUST SEK~EPT., Og/~ ~THE PAEMISE WHILE THE WOAK IS IN PROGRESS. ~ . This is ~to eeriify. Shai.:.L...._.W.:....-----a............. _.has permission fo erect a.~~'..~'•.'~~_'...,-~-~ .-Z~.. ~•~a~..upon ~ .....r - ~ fhe~above described premise subject fo the provisions of the Building Ordinance for Eagaa wnship adopie&~ April 11, ; 1955.~ ' . ..-w Per r/!x.[p. - .k Buildin-~.~-.'-~-'-'-P--`.~G.[ f--....... d~Cr . Chairman o Tnwn Board 4 InsPector i1 . This rnquest voitl 18 months tmm Q as. D 43 518 .Ql 7 1(u.. , fleqtipE3t Dat2 Fire No. fleq iretl?Inspection ~Reatly Now Q Will Notitv Inspec- .y-19-87 ?Ves pNn tor When Reatly ylUcensed Elec[rical Conlrflctor 1 hereby repueat iospection of above ? Ownar elaclrical work installeA el: SVeet Address, Box ar Raute No. City 4272 Sandstone Dr. Eagan eclmn o. Tawnshio Name or No. Range No. County Dakota Occupant (PqINT) Phone Na. Marta Osgood 452-4937 Power $upplier Atltlress Elecvical Convactor ICompany Namel Cant ar,me's License No. Corrigan Electric Company 039549 8 Mailinp AdJress (Contractor or Owner MakinP lristailation) P. . Box 475, Rosemount, MN 55068 Au iz Si9nawre 1 onnaclod per Making Installationl Phone Number i 423-1131 MINNESOTA STATE BOAfl ELECTRICITY THIS INSPECTION REQUEST WILL NOT GrieYS-Midwey Blde. - Room N•191 BE ACCEPTED BY THE STqTE BOAND 1821 Universitv Ave.. 5<. Feul, MN 55104 UNLESS PflOPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON es-oooai-os , See instructions ior completing [his form on back oi vellow <opy. 7G~ 99 D- 35 18 7 "X" Below Work Covered by This Request IpAd Xeo. TYpe of Builtling Applianroe Wiretl Equiumenl Wired Home Range Temporary $ervice Duplex Water Heater Liyh[iny Fixtuies Apt. BuilAinq Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Afr Conditioner Bulk Milk T&nk Farm thxr ueci y .thr:r (Sn,•r.ifyl ~hnr Ucu y Othnr piM1~, ompute lnspection fee Below k Fee Service EntraneeSize !t Fee Fexders/SUblenders M Fee Circuits . f] 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am x Above 200 Amps 31 to 700 Amps 31 to 100 Ai s Swimming Pool Above 100_Amps Above 100_Amps Transrormer5 Irrigation Booms SO Pdrtial.'Other Fee Signs Specialinspection Remarks $ TOTAL F ~ J.oJ RouBh-fn Dme I, the Elecbipel Inspectoq heroby ~ certily that the above Final "Ind~ ) inspection hea been .de. This requeat voiC 18 monlRa irom '15/ O~ 7 0 7 ~0 20 ~ fleque Oete Fire No. Rou h-I:rlnspection Required Inspection Other Than ugh-In ~ (YOU mus cell inspec[or when re atly) ~ Reatly Now ill Notity Inspector ~ Yes ? N. Da[e Reatl IAcensed contractor ? owner hereby request inspection of above electrical work at: Job.AOtlress (SVeeq Bax orRoute No.) Ciy ` 1. ZS~cw.e~2c~5- Lr° A~ Section No. Township Name or No. Range No. Count ~ Occupent FINT) ~ / Ph e No. r~937 Q ~ Powar Supplier Addreas Of Eledncal [reclor (COm N e) GonVac[oYS Gcense No. *iC-ec~rr.c` C/~-~DZ.! Mailing Adtlress (Canirador r Owner Ma ' g InsGllatbn) co cwo'e Authoriz~ignaWreConlrector/Ownar Makin stallatio) PhonaNU~r Do 3 -YLi~3 MINNESOTA STATE BOARD OF ELECTAICRY THIS INSPECTION REQUEST WILL NOT Gdggs-MlCway Bltlg. - Room 5128 BE ACCEPTED BV THE STFTE BOARD 1821 University Ave., SI. Peul, MN 55104 l1NLE55 PROPER INSPECTION FEE IS Phone(612)6420800 1 . - . . ENCLOSED. Q REQUEST FOR ELECTRICAL INSPECTION Ee-ooaoi-os co 100 See instmclions for compleling thls torm on back oi yellow copy. / ~ IJr "X" Belqw Work Covered by 'fhis Requesf ~ Ne AdBflep: '"Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management - Comm./Industrial Furnace O[her (Speci ) Farm Air Conditioner Oiher (specily) Conhaclor's Remarks: 07 Compute Inspecfion Fee Below.' # Other Fee lf Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Amps Transformers Above 200 A bove 700 -Amps SI Jf1S Inspeclor's Use Only: k-41 / TOTAL Sp Irrigation Booms ~s S ecial Ins ection ' Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rougn;n ~ oata7 ~ certify that the above inspection has . ~ Final Date , been mada. OPFICE USE ONLV This request voitl 18 monNS (rom , CITY USE ONLI' PERMIT RECEIPT DATE: LI '•~I~ r~ J RESIDENTIAL M£CH"ICAY. W.WW lEPPLICATION crrY oF EAem 3930 Pnarr [cxos gn EABAA AdA 5b1 P.8 651-681-4675 , Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SI7EACiDFiESS: uoZ~o~L ~(,~,~~.,SZZ7Y~Q~ FJ( , ONlNE°NAME: 4- MO-Ck-0- 0SClO'''fELEPHONE#: ob I LIS2"'~{~'37 (AREA CODE) INSTALLER NAME: -RUYnsvi /--(.2Cck7Vl y- PIG TELEPHONE 9S~2.. (AREA CODE) STREET ADDRESS: ).~2 1I ~ I /~i~1oC:6c L Ss ICL/l Gt- P+/ SCITY: S~Ul~ STATE: ~lAJ ZIP: S5375J'~ Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not owner/occupied 70.00 X Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature cf work: rk1'/10LGt/(?'i ~ State Surchar e $ 50 Total Reminder: Call for inspections. SIGNA . OF PERMITTEE Updated 1 %01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMCIAL MECE"CAI. PERM1T APPLiCATION C14'YOF 3:R6uAA 3$30 PILOT KNOB diD E4&A1V, biN 55122 651-6$1-4675 Please complete for: ali commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) ' TENANT NAME (IMPROVEMENTS OIQLY): WAS THERE A pREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - ' (AREA CODE) ~ CITY: STATE; ZII': k WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: Wken instafling/removing underground tank, cafl 651-6814675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% oF contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = +*+;n;m„m fee Contractprice: $ xl%=$ (BaseFee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL g SIGNATURE OF PERMITTEE Updated 1/O1 ~ CITIf Ofi`EAGAN PERMIT GR.430 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025913 (612) 681-4675 Date Issued: 0 6/ 2 6 J 9 5 SITE ADDRESS: 4272 SANDSTONE DR LOT: 20 BLOCK: 1 CEf]AR 6ROVE 2ND P.I.N.: 10-16701-200-01 DESCRIPTION: ~ (ROOFING) Building'Permit Type SF (MISC.) Building WoC.k Type REPAIR \ / i REMARKS: FEE SUMMARY: VALUATION $3.000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - sT. LIC. OWNER: DURABILT ASSOCIATES 19389350 0003004 OSGOOD MARK 7343 ANN COURT 4272 SANOSTONE DR EDEN PRAIRIE MN 55346 EAGAN MN 55122 (612) 938-9350 (612)452-4937 I hereby acknowledge that I have read this application and state that the infiqrmation is correct and agree to camply with all applicable State of Mn. Stafutes and Gity of Eagan Ordinances. L J ~ i`!~ APPLICANT/ EFMITEE SIGNATURE -Tssmo SIGNATUREI CITY OF EAGAN 3830 PILOT KNOB RD - 55122 16- 9 01996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New ConstruGlon Reoufrements RemodellRecair Reouirements ? 3 registeted ske aurveys ? 2 wpiea of plan ? 2 eopies of plena (InGude beam 8 window saes; poured fntl. tlesign; etc.) ? 2 ske surveya (exterior addkions 8 dedcs) ? 1 energy calculations ? t energy calwlations for Mated edditiona ? 3 copies W hee preaervetion plan H lot platted aRer 711/93 required: _Ves No DATE: ~rs CONSTRUCTION COST: DESCRIPTION OF WORK: U STREET ADDRESS: u2l°'- ~a+~~~oyq- LOT ~ BLOCK ~ SUBD./P.I.D. (dffilyX('1P. 2.7TJ. PROPERTY Name: I Y i dqY'h ft-t 19 05qIOU Phone OWNER n Street Address• 9~ d SAJ . <4)r~ ~rI t-Q. City: E~ IL~ State: ~ 1/13, Zip: CONTRACTOR Company: D j VJOL Ij f h-L':1U , Phone Street Address: -73y3 Qa V:j License 3022 City: p~?~ State: fil-) Zip: ARCHITECT/ Company: Phone ENGINEER ' Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is rrect and agree to compl ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Muki RepairlRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 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 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ CITY OF EAGAN PERMIT G~44-30 3830 Pilot Knob Road PERMIT TYPE: B u r Lo z N e Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 5 6 (612) 681-4675 Date Issued: 0 6/ 19 J 9 5 SITE ADDRESS: 4272 3ANDSTONE DR LOT: 20 BLOCK: 1 CEDAR GROVE 2ND P.I.N.: 10-16701-200-01 DESCRIPTION: Building'Aermit Type SF ADDITTON 9uilding Work Type NEW ; REMARKS: FEE SUMMARY: VALUATION $19,000 Base Fee $274.75 Plan Review $96.16 Surcharge $9.50 Lic. Search Fee $5.00 Total Fee $385.41 CONTRACTOR: - Applicant - 5T. LIC. OWNER: DURABILT ASSOCIATES 19389350 0003004 OSGQOD MARK 7343 ANN COURT 4272 SANDSTONE OR EDEN PRATRIE MN 55346 EAGAN MN 55122 (612) 938-9350 (612)452-4937 I hereby acknowledge that I have read this application and state that the information is correct and agree to com¢ly with all applicable State of Mn. Statutes and CYty of Eagan Ord ances. J L APPLICAI /PERMITEE SIGNATURE ISSUED : SIG TURE iAllgt CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conahuctien Reauiremertls RemodellReoair Reouirements ? 3 regis4retl ei[e suneys ? 2 copies W plan ? 2 wpies of plens (inWude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exlerior additions 8 decks) ? t eneigy eakulafions ? 1 energy calwlations for Mated additiona ? 3 upiea ot bee preservetion plan if Wt platte.W aRer 7/1/93 ' requtred: _ Yes No DATE: CD ~~I~ ~JS CONSTRUCTION COST: 2L 6,30 DESCRIPTION OF WORK: [712 X1610 f-A-r"' i-6- RaP', OddilQA)w STREETADDRESS: ~(w-e. S~PAaA'l'~ N P~,tn+~~ 1~~4ucR.t~ LOT In BLOCK SUBD./P.I.D. C2L 0& Phone PROPERTY Name: t JS4dbd M1AA M OWNER Street Address~ 42-7a 5An20570kEP(f VF City: State: M/J Zip: 5~ l aa CONTRACTOR Company: DwkNC AJCI I1(oviS Phone ?38`13S0 Street Address: 73 V fIL~~ Q~W4 License 3604 City: 1-77Gl-Pn) PrW?I-e- State: bq M Zip: S`53 ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address, Ciry: State: Zip: Sewer 8 water licensed plumber. . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnatlon is correct and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No jvh 0 8 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dweliing o 07 4-plex ? 12 MuRi Repair/Rem. ? 17 Swim Pool j2-03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE cRL31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL iNFORMATION Const. (Actuai) Basement sq. R. MC/WS System (Aliowable) 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. ~/3y Depth Footprint sq. ft. SAC Code L Census Bldg i Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. X 7 = 3~s xS~ _ Water Meter a~ 5M«. Acct. Deposit l g~ / 7-/ 7 = 3o9 SNV Permk SNV Surcharge Treatment PL - Road Unit ~ Park Ded. Treils Ded. Other Copies Total: % SAC SAC Units - ~ Name S ^ id P.O.# • ' ~ Address 90--ra SANf)S-tn KI: DeIl)e dY1'Ybilt City Zip Code Ortctadiet ogsaociates, 9Nc. Phone: H a' qc737 w 7343 ANN COURT • EDEN PRAIRIE, MINNESOTA 55346 • 9389350 $C8l8 { 11 ` u n1 L l Date ~j1. . , . . ~ Y 'i.~ - . . i , . . I , . . , . . . - . . _ . . . ~ _ 501: . . , . _ . , . . 7-41 _ 2L 1`ooi5E LlZ` ' w ' . ' . _ i. , . ._~415t . l.. . . . ~l M _ l . L(,~--J~ S~AµDSTCN~ ~~Ti.JE . 06-07i95 08:11 FA1 612 627 0879 SBL RIYER YARD 4+v DURdBILT CQNST. Z002'007 Form for use with Minnesota Rutes part 7670.0475, Subp2 1& 2 Fami(y Residentia? "Cookbook" Method SITE ADDRESS CITY BUILDER DATE ouRABELT Minimum Criteria: Rim Jd6t R-59 inwtaticn Founeaiwn wkaaw: trWated emss, 1 rt" ek 6pdoa, woad w Jmyl imme Fnt doors: 13l4 inch 601Id waod wilh stortn w bEttEf STEP 1 Window & Door Area STEP 2 Calculate ares as a percent of wall Total Window & Door Area Sq. Feet Box A(window & door area)divided by Bax 8(total WlNDOWS (including foundation windows): wail area) times 100 equals the win-Jow and Dimensions (lty Area door area as a pertent of wall area (BaxC) 3.500 4.670 3.000 49.035 Box A 89.730 x100= 20.539 8.500 4.670 1.000 39.895 Box B 432.000 Box C 0.000 0.000 STEP 3 Desl n Features 0.000 ASSEMBLY OPTION 0.000 0.000 FRAME WALL: 0.000 STANOARD FRAMING ~ 0.000 ADVANCED FRAMlNG 0,000 0.000 CAVITY INSULATION R- 19.000 7otal WirkiowArea 88.730 SHEATHING: DOORS: LESS THAN R-S ~ 0.000 R-5 OR MORE 0.0001 0.000 WINAOWS(EXCEPT FOUNDATION WINDOWS)r Total Doors Area 0.000 U-FACTOR U- 0.270 Totai Area of Windows & Doors 88.730 From the table, detertnine ihe maximum percent BOX A window & door area tor the design optians seiected Total Wali Area in Sq. Ft. and enter the value in box D below: Wall total Perimeter Hei ht Area 54.000 1.000 8.000 432.000 22.000 0.000 BOX D 0.000 0.000 432.000 BOX B Box C must be less than or equal to 9ox 0 , ,.i:1 .»._t~::.......r__i;..irj :r_.._.._ •7-"'---~.Mi3."...G _ij . ~ . r ' . .t...'u b8!07%95 08:12 FAl 812 627 0879 SBL RIVER'RD yvy DCIRABILT COKST. 2009'600 ' , , . . . Exterior Enveiope Thermal 7ransmittance Worksheet SITE AflDRESS C}TY NAME OF PERSON COMPELETING FORM DATE KE1fIN ROSBACKA ASSEMBIY FtOOR AREA U-Fador U-Factor qFtEp, S. Ft. x Area Insuiated Area 306 275.400 .022 8.065 o Frami Area 30.800 .025 772 o Sk light .000 ~ Other .000 .000 ~ .OOD .ooa • .ooo 6.837 =Averae .ooo or B 6.836885765 /A 308 or from Ene Code : 4 .026 insulated Area Z 260.050 1043 11.224 Framin Area 41200 .091 3.913 Windcyws ~ 88.730 -270 23.957 Doors .OOQ .000 _ Rim Jaist 43.990 .026 1.235 . R Fire lace Wail .000 ~ Abnve Grade Foundation Wall 35.510 110 3.889 Foundation W;ndows .000 a Patio Doors 40.020 300 12.008 y Other .000 .000 " .000 ~ .000 a .000 x Iu s E 5 11.500 F 56•224 a e U-Fador F 56.22441127 lE 571.5 .11Q ired U-Factor. ftom Energy Code : H •ilp If C is graater than D, or G is greater than H, revise the design as necessary 2o meet the envelope criteria of the Energy Code. 1) U-tdCDor far skyligM an4 WilMav rtwst be dMerrtiin¢U by ths Natienel FeneCMadon Rating CouncD SWltard 10041 or ASNRAE 190 Fiandbaok of Fundementaks, Chapler 27, ta61eS. 21 Thermai Tranamittance of opaque camponenbs (h+duding iMegrelly insulated ms'sonry and metal atud framingl- . use part 7670.00.50, subpaR 4. . 08!07;A5 08:11 FA.t 612 627 OBifl ~ SBL RIVER`YARD ++r PLTRABILT CONST. Cdj001!003 . . . ASSEMBIY ROOF AT FRAMING ASSEMBLY RdOF AT INSULATION Matarial Describe ThiCkness R-Value Material Describe Thickness R-Value interior Film Coefricient .810 Interior Fitm Coefficient .680 Sheet Rock .560 Sheet Rock .Sgp Cefiin Member 4-350 Insulation 44.000 Insulation 33.500 Exterior FiEm Coefficient .870 Exterior Film Coefficient .170 Tatal Assembly Therrnai Resistance 39.630 Tatel Assemb Thertnal Resistaace 45.410 Assembi U-Factor 1l7otal R .025 Assembl U-FaGor 7lTotal R 022 ASSEMBLY WALL AT FRqMING ASSEMBLY WALL AT INSUTATlON Material Describe Thickness R-Value Matenal (Descdbe) Thidmess R-Vatue €nterior Film Coefficient .680 Interior Fiim CoeKCierit .684 Sheet Rock .450 Sheet Rock .450 Stud 6.970 Insulation 19.000 Sheathin 2.060 SheaYhin 2.060 Siding- .810 Sidi 810 ExteNor Film Coefficient .17o Exterior Fiim Coefficient 170 Total Assembl Tharmal Resistance 11.040 'fotal Assembl Thermal Resistance 23.170 Assembl U-Factor 1/Total R 091 Assembl U-Factor 11Total R .043 ASSEMBLY R1M ASSEMBLY BLOCK Matenai Deseribe Thielcness R-Value Materiei escribe Thickness R-Value Inierior Film Coefricient .880 lnterior Pilm CoefFicieni 680 Insuiation 30.000 Goncrete Biock 1280 Rim 11.890 O ionai )nsulation 7.000 Sheathi 2.080 Stud Sidin .810 Extenot Film Caeffioient .170 Exterior Film Coeffiaent .770 7otai Assembly Thertnal Resistance 35.610 Tatal Assembly Thermal ResistanCe 9.730 Assembi U-Factor 'tlTotal R .428 Assembl U-Factor 1lTotal R .110 PERMIT ' Control No. 0020 CIWY*GF EAGAN ' 3830 Pilot Knob Road PERMIT TYPE: Buz LozNG Eagan, Minnesota 55123 Permit Number: 000621 (612) 681-4675 Date Issued: 93 / 10 / 92 SITE ADDRESS: 4272 SANDS70NE DR LOT: 20 BIOCK: 1 CEDAR 6ROVE 2ND DESCRIPTION: Building Permit 7ype SF DWG Building Work Type AL7ERATTON ' U'BC Oocupancy. R-3 t. ~ ,~i' REMARKS: SpFFIT AND FASCIA RECEIPT #C017716 FEE SUMMARY: VRLUATION $1,500 Bese Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - 5T. (17JlINER: PANELCRAFT 17216628 0002179 OSGOOD MARK 3118 SNELLIN6 AVE S 4272 SANDSTONE DR MINNEAPOLIS MN 55406 EAGAN MN (612) 721-6628 (612) I hereby acknawledge that T have read this application and state that the infarmation is carrect and agree to cornpZy with all applicahle StaCe af Mn. Statutes and City of Eagan qrdinartces. L - ~ls~r, fi rn.1f APPLICANT/PERMITEE SIGNATURE ' ISSUE~Iy: SIGNA UFiE~ cmr oF Enc,AN - 1992 BUILDING PERMIT APPLICATION 1 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date -3 //0 /7;2, Valuation of work ~i 571-0 Site Location: y27~?- STREET STE / Tenant Name: LOT 2() BLOCK I_ SUBD. '~!Uxv' Za P.I.D. # Descri tion of work: /U~J ~,~=tT The applicant is: O Owner ~ontractor ? Other coescr;be) Name 056~a UD 1_14PK Phone Property LASt ' fIRST Owner pddress `127,Z S/l~j5iv~?~- D/'~ STREET STE A City Eiq147A1? State Zip Company Phone -7.2 / S~-Z $ COntt'aCt01' Address3//$ License #06d2179 State f~~1 Zjp srya City !14C5- Architect/ Campany Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is carrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 3ignature of Applicant:~v~-zz4-~- - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 06 6arage/Accessory O 11 Res. Add./Porch O 16 Agricultural 02 5ingle Family ? 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move ET03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Poal ? 15 Public Fac. WORK TYPE ? 90 New ? 93 Remodel ? 96 Move ? 91 Addition A 94 Repair ? 97 Demolish ? 92 Alterations ? 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning lst F1. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard WFinal ? Draintile ? Fireplace $ / Permit Fee 3)_1 00 valuatia,: S'o J Surcharge s ~ Plan Review License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~ . i F~fl2 m~;u£e City of EapIl ; Permit# 41~ I Pertnit Fee: ~ J 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Statf: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: :~a ~ ~ 0" Site Address: Z' Tenant: Suite RESIDENTlOWNER Name:_~_ Phone:5-1 TS2 b I3 7 Address / City / Zip: `~YCTY • - . Applicant is: Owner_-- -'Gontractor" TYPE OF WORK Description of work: ~._~~~,s~ ~3Q ConstructionCosL'_~-;JSD-O___ Mutti-FamilyBuildingr es_/NoY-) CONTRACTOR Name: V.l Ffe, & &1 License ~ 07,q 19 9'G Address: v1 75 f't~~lujcp~ V lic-& . City: State: 14%., ZiP: ,jq3q1 2- Contact Persorr. ~~i ~ vP N ~~~C. 61 5 Phone6] 1 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 EIIErgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatE90ry Submitted Submitted (4 submission type) • Energy Envelope Calwlations 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 Plaris and supp6rting,.docume»ts ihaf you:submrtare consid~red to b'e public igformatfon.i~ PorCions of . the mfor'mafron may be classifred as non public if you piowde specific reasons that would permif#he City to = ;concfude`tfiat.the 'are'tredesecrets I hereby adcnowledge~that this infortnation ls complete and accurete; that the work will be in confortn ' the ordinances and codes of the City of Eagan; that I understand this is not a permd, but onty an application for a pertn0, and work is not without a pertnit; that the work will be in accordance with the approyed plan in the case of work which requires a review and a pr . x ApplicanYs Printed Name rs Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 3� l� Site Address: Lt 7:77- L SG, 1 Unit #: Resident! Owner �� Name: i `kek_ ()51') bet Phone: b51 . 3S3. D%65-& Address / City / Zip: 1-i ""2:77- -' »ie - Or- E4-5 S S 12.Z Applicant is: Owner % Contractor Type of ork Description of work: 'Veto* F - S'GS i -di, c»' e. 51. \\!! Construction Cost: 4 CG (�C) Multi -Family Building: (Yes / Non ) Contractor Company: �a(IvX Contact: I� o aA'�" 1 o (► /4 ,Cd') Address: Ct-7( Wood Aie.- City: �14orc.Vltt,J State:/1.,14.Zip: SC l Vo Phone: 6S— 1 2.7� - 1 B 014 License #: SC (0S (>01 4 Lead Certificate #: Or 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 a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and sur ting documents that you submit are considered to be public information Portions of the information maybe classified as not?=public rf you provide specific reasons that would ermit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. x Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144499 Date Issued:07/28/2017 Permit Category:ePermit Site Address: 4272 Sandstone Dr Lot:20 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark E Osgood 4272 Sandstone Dr Eagan MN 55122 (952) 894-0005 X5151 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151326 Date Issued:08/20/2018 Permit Category:ePermit Site Address: 4272 Sandstone Dr Lot:20 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark E Osgood 4272 Sandstone Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162549 Date Issued:07/20/2020 Permit Category:ePermit Site Address: 4272 Sandstone Dr Lot:20 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mark E Osgood 4272 Sandstone Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature