4278 Sandstone Dr CITY OF EAGAN Fiemarks C@d.3Y' Grove Acquisit3on
Additian Cedar Grove #2 Lot 21 eik 1 Parcel 10 16701 210 01
Owne~'1 L street 4275 Sat'ldstolle DY', stace Eagan, M+r 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. QS 198 1266.95 84.46 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1 52.16 Z
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ,
BUILDING PER.
SAC ~
PARK
CITY OF EAGAN
3795 Pilof Knob Rood Eogan, MN 55122 N2 6768
PHON E: 454-8100
BUILDING PERMIT Receipt # - - -
To be used for ° Est. Vnlue Date , 19
Ske Address Erect ? Occupanq
Lot Block " Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlorge Type of Const.
oWc Nome Move ? # Stories
Z Addreu Demolish ? Front ft.
Ci Phone Grode ? Depth ft.
'
°C Name Approvals Fees
Address Asseument Permit
d
~ Cit phone Water & Sew. Surchorge
~ Polite Plon check
~ W Name Fire SAC
lu 10 Address Eng. Woter Conn.
aW Ci Phone Planner Water Meter
Council Rood Unit
I hereby acknowledge that I have recd this opplicotion and stote tfiat gidg. Off.
the information is corcect and agree to comply with all applicable APC Total
State of Minnesota Statutes und Ciry of Eagan Ordinances.
Signature of Pertnittee
A Building Permft is issued to: on the express condition that
oll work shall be done in accordance with oll applicable State of Minnesota Statutes cnd City of Eogan Ordlnances.
Building Official
, i
PamM # pah had ponnMtM
PI umbing
Mechanicol
INSPECTIONS I DATE INSP• Rouglrln Final
Footings Date Insp. Date Irup.
Foundation Plumbing
Fromelins. Mechanical
Final
Remarks:
i
7- a ~ FN ~c~xe ~-enz.~.-a+-r~o + ~--^~i+~-~. ..a-~-~-? ~'•N.w-~. S ~ ~ ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PH UN E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value Date ,19
Site Address OFFICE USE ONLY
Lot Block 1 Sec/Sub. `'r On Site Sewaye Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name City Water (Allowable)
W PRV Required * of Stories
~ Address
~ City PhOne Booster Pump Length
Depth
, p Name S.F. Total
o ` Address ' T Footprfnt S.F.
City ' Phone APPROVALS FEES
u W Name Engr./Assess. Permit
~ Z Planner Surcharge
_ - Address
u W City Phone Councii Plan Review
eldg. 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 S1ate of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee - Road Unit
A Building Permit is issued to:_-- Treatmenf 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 .
Building Official TOTAL T~~_
• Permit No. Permit Holder Date Tslephone ~
Plumbing
t
H.V.A.C.
Electric
Softener
Inspactlon Date Inap. Comments
Footings I
Footings II
Foundation
Framing -/,4-' - Ue--STio-xJ A'S- 07'
Roofing .,:2
Rough Plbg. r/U-e.~"~j G.2 . .c < i r
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Finel
Well
Pr. Disp.
This repuest voitl / /~Y3/ h h~~l
78 months fmm ( ~/f ~
C 82620 i
RPn t ~ata Fire No. Rough-~n spection
Reqwr dy Nuw Q Will Notify Inspec-
-i -7 es [1 rya ~orWhenNeatlY
M,tfrcensed ElecVical ConVacto- 1 hereby requesl inspaction nl eEOVe
? Owner ' eleetricel work installed at:
Street AdAress. Box or Hooie Na. CCrtv
S O/l)IR 4~'f` C, C4
ecUO. o. TownshiD Name ar No. Hange No. County
. l ~ .
(3
Occ~[ppni IPNINTI Phone No.
~ i
~
Powgr S45
plier Address
Electrt al ant r Campany me) Contractor's License No.
MaTn AdJr ontra or or Own Making lo ail i L/
~
uthorize i e (Co actor wner tallation)) Phone N ber
/
MIN &OT STpTE BOANO F LECTflICITY STEFFL EIECTRI~E ACCEPTED'BY THE STATE BOqqpT
Grigqa-Mi ey Bldg. - flo m N•791
1821 UniveryitrAve..31. Peul, MN 55104 6180 PAGENKOPf ~ESS PqOPEP INSPECTION FEE IS
Phone(612)642-0800 LOSED.
j~ y 8-yl REUUEST FOR ELECTRICAL INSPECTlON Ee-00001-065
1 bae insUUCtions for comDleline ihis torm on beck ot vellow capy.
~ ~ 21; 2 0 "X" 8elow Wwk Cavered by 7his Request
F+Ad V• -,TVOe of Builtlin0 AGOlioncea WireE EquiNment WireA
AIns Home RangeTempprary Service
Duplex Water Heater Lightin FixNres
Apt. BuilAinc~ Dryer Electric Heatin
Corrcnercial Bldg. Furnace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm thrr oeci v mnr (SPer.ify)
t , Othor Oth.r
pection Fee Below
p Fee ServiceEnhenceSize N Fee Feetlers/Subleadors p Fax Circuita
U to 200 Am 5 0 to 30 qm s 0 tn 30 Am s
Above 2 0 qmps 37 to 100 qmps 31 to 100 Amps
Swimmin Pool Above 100_Am s Above 100_/>m s
Transformers rnpation Booms Partial-"Other Fee
Signs Speciallnspection
Nemarks a OTALfSE
Fou h-in ~ate
e ~g~ 1, the ElecVicel
L/ q_A Innpector. Aeraby
KJ
certify thet the above
Final ~ D~e l inepection hes baen
metle.
Rde 1epuesl vofE iB montln from
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~I 6 ---1 ~ ` 3830 P1851• 8/48 5_ 55122
New ConihuaHan Reaulremenh a~zj~ ~ O J Ramodet/Reoalr Reauiremenh
a 3 registered tlte wrveys flwwlny aq. R ol bt, sq. lt. of house 2 coplea of plan
antl go rooled areas (4096 maxlmum bf eoverafle albwed) 1 set ol energy cdculallons (or heated atltli8au
? Z copiea ol plane (show beam & wlntlow aizes: poured fnd. design; etc.) 1 sita wrvey for extedor adcDBOnt R decks
a 1 set of anerpy cWCWaliona
> 3 coples of hee preservaflon plan If lot plaMeA aHer 7/1 /93
DATE: 160 CONSTRUCTION COST:
5 /y
~
DESCRIP'(ION OF WORK: 5;
STREET ADDRESS: % z 7S' ~
LOT: ~ BLOCK: SUBD./P.I.D. YU J
Name: Pnone `'IS Y- I`f 3 7
PROPEIMY Lan
OWNER ~Z 7 ~
Sheet Address:
City ~ State: w I Zip: s~ /'Z. 'L
. ComPanY• ~ ~ h (Nv5 • C..-t~~5 ~ Phone t: ~25 ~ S v% -7 6
(area code)
CONTRACTOR ~I ~°f
Sheet Addresa: 7 $ ~ ucerue # Exa. L3/ aoc
cNy UU//-d h vr state: Iv'V zip: ZS
ARCHITECT/ Name:
ENGINEER Company:
Telephone M: ( J
Sfreef Addreas: Regishallon
Cny Stafe: vp:
Sewer/water licensed plumber (H InsWllina sewer/water): Phone L~
I hereby acknowledge ttat I have read this applkaNon, sFate thal lhe tnformation is carecf, and aComply wNh a0 applicable StafE
of Minnesota Stafutea and CNy of Eagan Ordinances
Sigrwture of Applicanh ~
OFFICE SE ONL
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext Alt - Multi
? 02 SF Dwelling O 08 06-plex O 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 Poroh (screened) O 36 Muki
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _V or_ N 0 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)` ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) [3 46 Windows/Doors
" Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee 13 . a S Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: i y a-1 5
SAC Units
% SAC
~ S 3795 Pibf Kno76 Rood E Faga N MN 55153 N! 6768
' PHONE: 454-8100 ~ , -
BUILDING PERMIT APPLICATION ReceiPt # =S" ~
Te 6e uaed for GARAGE ADD• Est Value $14M Date Jllly 20 19 81
Site Address 4278 Sandstone Drive Erecr ? ac„va„cy R3
Lot 210 Block 1 5C/s,b. Cedar Grove 2 Alter ? Zoning Rl
Parcel # 10 16701 210 Ol Repalr ? Fire Zane MA _
rc Name ~le MC~.O110Ch Movee ffi Type of Const. V
? # Stories
3 Addreu 4278 Sandstone 11TiVE Demolish ? Front 7 ft.
° q EaP•sn 55122 phona 454-1437 Grade ? Depth 22 tr.
~ Name OwneT AvVrovals Fees
0
o~ ~Address Assessment Permit $z3.~
u~ Water & Sew. Surcharge 1•00
Cft Phone
F Police Plan check
~U„w Nome Fire $AC
r
~z Address Eng. Water Conn.
<W CI Phove, Pionner Water Meter
Council Rood Unir
I hereby acknowledge thot I hcve read this aDPlication and state that Bldg. Off. the informotion is corred and agree to compiy with all applicable AP~ Totol $24.50
Stote of Minnesota Stotutes and City of Eugcn Ordinances.
$ignoture of Pertnittee
A Building Permit fs issued to: on the eupress condition that
all work shall be done in accordanrs wi ro)ll appficable ' _~e of M-innpsota Stotute; and City of Eagan Ordinances.
Buildirg Officlal e.fZL~
I ti• CITY OF EAGAN Include 2 sets of plans,
~ 1 site plan w/el.evations &
BUILDING PERNffT APPLICATION 1 set of energy calculations.
To Be Used For ~'~Rnfix- A4717la•-- Valuation Date
site Aaaress: SAtios7atiE m2 oFFzcE osE orLY Lot -2J o slocx _L sec. /sub. C FpW Ge=~.~ z srect occupancy
Paxcel CO 1(0 `1 U p j Atter zonin4 ,P 1
Repair Fire Zone
Owner: I;/L E /Vc C'4 L Locf L Etilarge ~ Zype of Const.
Nbve # Stories
AddresS: _ ?.P SHM1aS)'vNFi D01z- Doolish Front 7 ft.
City/Zip. Code: F,0FA~ SS'I -a Z Grade Depth a~ ft.
Phone 4 3 7 APPRWALS F'EES
Contractor: Assessments Percnit
Address: Water/Sewer Surcharge
Police Plan Check
City/Zip Code: Fire SAC
Pharie En4. Water Conn.
Planner Water Meter
Axch./Eng.: d G.A ~~L Council Road Unit
Bldg. Off.
Pddress: APC
City/Zip Cade•
Phorie 76 ZC7i'AL ef
u
L
•
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. CITY OF EAGAN N° 1419 2
' 3830 PiloT Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
DECK $6 900 SEPTEMBER 18 87
To be used for 3-SEASON PORCH/ Est. Value ~ Date ,1 g
Site Address 4278 SANDSTONE DR OFFICE USE ONLY
Lot 21 Block 1 Sec/Sub. CEDAR GROVE 2ND OnSfteSewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (Actual) Const
a Name LYLE MCCliLLOCK City water _ (Allowable)
Z PRV Required _ # of Stories
Address_SAME
0 City Phone Booster Pump _ Length
Depth
ao Name JIM SANDIN S.F.TOtal
.
~Q Address 2366 E 270TH ST FootprintS.F.
: CityNEW PRAGUE phone 1/758-3707 ppppOVALS FEES
W w Name Engr./ASSess. Permit $72 • 50
~i Planner Surchar9e 3.5~
Address
a W City Phone Gouncil Plan Review
Bldg. Off. SAC, City
I hereby acknowledge thaf I have read this application and stale that the Variance SAC, MWCC
informatlon is correct antl agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of ~an OrQQina~ces. i Water Meter
Signature of Permitlee Road Unit
A Buildin Permit is issued to: JIM SANDIN
g Treatment P1
onthe express condition that all workshall bedone in accordancewith all
p rks
applicable State ot Minne a Statutes anCit~ `y.of Eagan Ordinances. ~$~eS -
Building O%icial `J'-"~'s'~.7 ~
j $76.
. . ,
1987 BDILDING PEAMTP qPLCATI/- CITY OF 9EA
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3 CERTIFICASES OF S[TRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOE CORNER LOTS - CONTR9CTOR/HOMEOSiNER MQST DESIGA6TE WHICH 9DDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCS BQILDING PEAMTT IS ISSIIED.
MULTIPLE DSiELLINGS - RFSIDENTIAL RENT9L U,NITS FOR SALE I11ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF Si1RVEY - CEIECK SiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
o~
To Be Used For: 3 St~~w ~diGH'VabeeKluation: ~~',l'j•~'G Date: 9'-/5'- 8?
Site Address IU9Tr 4:f~52Z:,.veDr• OFFICE USE ONLY
Lot Block -j- On Site Sewage_ Occupancy
~t~ ~ ~~QCC System ~ Zoning
Pareel/Sub l~p-n. l~J"LU~-Q a n Site Well Type of Const
City Water ? (Actual)
Owner ~Y/C IYIt (~~/f/oek (Allowable)
L e # of Stories
Address Length
Depth
City/Zip Code S.F. Total
/.p' Footprint S.F.
Phone \ APPROV9LS FEES
Contractor .7; m SA.vd i+v Assessments Permit 72, sv Water/Sewer Surcharge 1SV
Address 236/ E,?Pclice ~ Plan Review
Fire SAC, City
City/Zip Code Altw&S,~~., W,y, SdO71 Engr SAC, M4ICC
Planner Water Conn
Phone 1-(612_) 7S~¢'3)D7 Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies ~
TOTAL ~
City/Zip Code
Phone #
G.9i/ 8A5-,f- 7,2,26 (vhr.v Re9d/
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a~.°~.~ic ~1r•.~v~ ~ i5$~'~~.`'9~i~'~v~~~d~`~~a3 y»~. ~qk- . kc •r~,~'~ ,w.~.~~~~ ~ i e~+i~Riah`"'.
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~c 7:~~ 7' ,20w, RESIDENTIAL PLUMBING PeRMir aPPUC,aTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
Date 3 I 2~ I
Site Street Address yZ7g ? Unit#
Property Owner V C h L 2 Telephone ) N511- /`V37
Contractor oflol~ ~tVAAkUlnQ Telephone 6k z ) 8Z7-qo33
Address Z705 /c,? A-?, s . City iklets State 1?~ 1lJ Zip 55V0
The Applicant is: Owner ~ Contractor _Other
Septic System 'New `Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
- • Per as-built $ 10.00
Fire Repair (replace burned ouEfixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfa!ling onlv a water sofrener and/or water
heater, do not complefe this section; move to the next section and check the
appliance(s) you are installing.
Septic System Abandonment .
Water Turnaround (add $136.00 if a 5/8" meter is required) ~
-~P.-Other: A G Ceur ell a
Water Softener _ Water Heater $ 15.00
new replacement
Lawn Irrigatian . RPZ _ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
$ SD-SO ~
Total
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is nof a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordafice witfi the approved plen in the event a plan is required to be reviewed and approved.
Iv0 AO1CN&
ApplicanYs Printed Name A pd+ n s ignature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4278 Sandstone Dr
Lot: 21 Block: 1
PID:10- 16701 - 210 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
Addition: Cedar Grove 2nd
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Lyle Mcculloch
4278 Sandstone Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086131
09/16/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116559
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 4278 Sandstone Dr
Lot:21 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-210
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Lyle Mcculloch
4278 Sandstone Dr
Eagan MN 55122
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature