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4283 Sandstone Dr€ity of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: '969 - Date 69 - Date Received: LC It) t/ Staff: Ce ` 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Sin I 0 Site Address: -j"a S‘34 `Y.($ o E _ b." Ne_. Tenant: Suite #: J RESIDENT / OWNER Name: c3,-0.,„ Phone: Address / City / Zip: 4a 3 5 —n t n � Cil• ve. Applicant is: Owner Contractor TYPE OF WORK Description of work: R2 cook-) Construction Cost: �---7 ©� e c:2=. Multi -Family Building: (Yes — / No a ) CONTRACTOR Name: $ , Ca tX 4 rte_ 7hp Dierne. i* cense #:Q aq a– Address: (.9a(.9aII ry Nit_ '- City: LS 1 / /// State: fY)J Zip: ss -e, g Phone: (051 - 7 7 S- S-0 R g Contact l r [41,44cdt4-)' Email: d e o 0- aS tuai COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: 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.gonherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is ot to start without a permit; t the work will be in accordance with the approved plan in the case of work which requires a review and approval of x Ic\fY1�L ,/Applicantsnted Name x Applica ature Page 1 of 2 CITY OF EAGAi11 Remarks C2daY' Grove ACcp4S1.f,1.Ori Addition Cedar Grove #2 Lot 11 Rik 2 Parcel 10 16701 110 02 owner Kt'~a ir~,4,-, streec 4283 Sandstone Dr, state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFi F. 1 1266,95 84 STREET RESTOR. GRADING SAN SEW TRUNK # 5EVgTQLATERAL 1972 1304.00 52.16 2 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK EAGAN TOWNSHIP NQ 1107 BLIILDING PERMIT Ownex ........-!..........~-5.........""-u.~{._..C,tJ.,....... Eagan Township . Address (Preseni) 15~0-.--JC......~G~!-~.:~-~__..._........_._ Town Hall Builder .r!................ ~ 716 . Dafe _ . _ Address DESCAIPTION SioriesTo Be Used For_ Fronl_I Depih HeighfIEsi. Cos! Permi! Fee Remarks - LOCATION Slreei, Road or olher Descripxion of Lacation Lo! Block Addifion or Tracf 7 - d~ - / 3 - y i / Lc.[s.? A, ~ 3- _ _ ~ / ~ This permii does not auihorize the use of sireets, roads, allepa or sidewalks nor does ii giva the owner os his agen! ~ the xight !o cxeafe any sifualion which is a nuisance ox whioh presenls a haserd fo the healfh, safely, convenience and . general welfare to anyone in the eommunity. THIS PERMIT MUST BEs KE~PT~ ON THE PREMISE WFIILE THE WORK IS IN PAOGRESS. r Thic is to cerlify, ihaf_.C:.G~~ver- ._haz permission fo ereci a....9... ..pon - . . . . the a6ove described psemise subjec! !o the pzovisions of the Building Ordinance for Eagan T nship adopied pril 11, 1955. d"O ........_....._.M..._~ Per -c'.~.`."'.`.-/...---~C`.~../......._......... ~ Chairm'An of Tn ~ Board Building Inspeetor e I Fai~Office Use ~ City of Eapn , Permft # g S 67~e ; i PermitFee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: I- ~ Phone: (651) 675-5675 Fax: (651) 675-5694 i Statf: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: 22 d-3 V~tS~o~12 ~Y'i!/e Tenant: Suite RESIDENT / OWNER Name: 0.l L2 Phone6 `~/Sl '7 Address/City/Zip: sfv/1e Applicant is: _ Owner ->CContractor TYPE OF WORK Description of work:~ Construction Cost: 2 7.i -J, 73 Multi-Family Building: (Yes No mP ..:~t~~LDiDUeirle License %i 9__6 CONTRACTOR Name:L54• cro+Y ffa J~ ~ ~1 r Address: / .rAa~r - ~ C.-t- City: 6~' Z~taa4"r State: rvl hl Zip: Phone: (0~(-775--S~92'~ ContactPerson: po~ COMPLETE TWIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 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 fhat you submit are cortsidered to be public information. ` Portions of the iniormation may Be cfassified as non-public if you provide specific ieasons that would permii the City to conclude that the are trade secrets. I hereby acknowledge that this information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, 6ut only an application for a permit, and work is not to start without a permit; that the work will Ce in acwrdance with the approved plan in the case of work which requires a review and approv70fs. x or«'i / / (a~~ x Applican' PrintedName ~ Applicant's,fignature Page 1 of 3 6/29/2015 2:21 PM FROM: Fax T0: 1-651-675-5699 PAGE: 002 OF 009 �4 l Use BLUE or BLACK Ink �ForoHlceuse---------�� �„e I C�� 0� �l� �� j Permit#: I�I ,/ �� I I �� � Permll Fee.��� `� � 3830 Pflot Knob Road j _��"-�-.,-/S'j . Eagan MN 55122 ������1�D � Date Received: � Phone:(651)675-5675 I Staff: � Fax:iss��s�s-�ssa J��� 2 � 201� ' I�� ����.����.����J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LO Slte Add�ess: Unit#: ' '� .,, . . .. :,. I i �.r (. 1 n v, _. /.�!_/.GI_D/_ � 2 Owne[ � Address/City!Zip: v . Appiica�t is: Owner �CoMractor "'- � , Type of WoPk Description of work: �q 1/� �h'1 Construdion Cost:�'7 ��p '� Multi-Family Building:(Yes_/No,� y .���rnc�ar �.� � � Compan : •�/n' pd' �1 J"B� Contact: Contractor Address: .����7 ��/a��D/��n�l� ��a: `� -��`�� � Q State:�ZipSsya 9 Phone:� " �rttail: �ice�se#:,��1,�//���oC Lead Certificate#:��Q��T�D —� If the project is exempt hom lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �_.�_�__a iw___�4� l��al�I�1�..�L r����1��"�J�����Ia f����1�f1���I��L�..�J..�.......n4...wl..w7 Yes _No If yas,date and address of master plan: Licensed Plumber: Phone: Mechanlcal Contractor. Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Pians and suppo►Ling documents that you submit a►�e considered fo be public/nformation.�Portions of the information may be class�ed as non-publfc if you provide sper�c reasons that would permit aF►e City to conclude that:the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call al(681)464-0002 for proteclion against underground utility damage. Ca1148 bou►s before you Inlend to dig to recelve locales of underground utllllies. www.aonherslateonecall.oro 1 hereby ecknowledge that Ihis Intortnatlon is complele and accurate;ihal the wa�k will be in coniortnance with Ihe ordinances and codes o�Ihe City of Eagan; that 1 undersland this is nol a permil.but only an applicatlon for a permll, and work is nol to ste�l wilhoul a pe�nit;ihal the work will be in accardance wilh Ihe approved plan In ihe case o(work whlch requlres a review and approval o(plans. Exterlor work euthorized by a bullding permlt Issued In accordence wlth the Minnesota Stete Bullding Code mua e eompleted wlMin 180 daye of permlt Isauance. /' x A icanYs P nted Na Ap cant's gnature Page 1 0(3 6/29/2015 2:21 PM FROM: Fax T0: 1-651-675-5699 PAGE: 003 OF 009 ,�. �l� � � � � ._7 .� `7 � �� �� ������� DO IdOT WRITE BELOW THIS LINE SUB TYPES Foundatlon Fireplace Poreh{3Season) _ Exterlor Alteration(Single Family) � Single Famlly _ Garage _ Po�ch(4•Season) _ Exterior Alteration(AAultl) _ Multl _ Deck _ Porch(ScreenlGazeboiPergola) _ Mlacellaneous _ 01 of_Plex _ Lower level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addltion Move Building Reroof Demolish Interior �Alte�ation _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retalntng Wal) •OemoNUon of antire bullding—glve PCA bandout to appiicant DESCRIPTION Valuation � Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Const�uction Width RE(IUIRED INSPECTICNS Footings(New Building) Meter Slte: Footings(Deck) Final i C.O.Required Footings(Addition) Final/No C.O.Requi�ed Foundation HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: Footing AidGas Tests Finai Frami�g � Drain Tile �� � � Fireplace:_Rough In Air Test „_Final Siding:_Stucco La�h Stone Lath _Brick Insulation Windows Sheathing Retaining Watl:_Footings_8ackfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �� Other: Reviewed By: � Building Inspector RESIDENTiAL FEES �„ Base Fee ���� p w -.r��"` ,r Surcharge ������" ���,?�`-��,��`'� Plan Review �` � �� MCES SAC ��,������' �� City SAC � Utility Connection Charge � � � S&W Permit&Surcharge � Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: l�� j Clty of ����� � Permit Fee: D�.�, � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax:(651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 5 p�.�.1 J`(`�', «�i�k � � Name: � � �'t�1 � � -�'�t�� Phone: L���'�������� ��3���� �j, j��� `�` ✓��� � tf� �~�� ;���' Address/City/Zip: � -� �Gr`�-^ �/ 40'E' � �, °` Applicant is: �Owner Contractor ` ��' Descriptionofwork:/�/�/�i�"`' �c�X%STi��- ���/X3z 'w/�'7�/�WS /`i ��r.��K�r-� T"�1 ��c���c � ,�— � C s� : 3 $�*y = �: �' G� ,�� Construction Cost: �' / �� Multi-Family Building: (Yes /No� � .�-, � u '��� ' Company:��l�.�r�t,� ���.�"��� �-�°/� � Contact: �1����� C�/��'�`►-��' � � � s ; �` Address::� City: �'"r{�tt��!'���'� /�'/'^ ' � � �`` State��Zip: Phone�"( Z�"����E�'Siail: �5 , " License#: �J���� / '7 r� Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: l��L� F�r���3���rtrr�i�g c�����t���i����t�����t�e ��� �f�,i�l�� p�r �#' ���+���n ���+b���rs��l����l��r�',������I��►��r�s����a►�►�i��r�������� � � � �F � � � �.' ��,,. � �-35�i �P `�.3,`. � n.. „ ,TL �e . ;_ ,..._, �... . .. ,____, � ..i,.,. „ ... .�f+, , f �sb fi�a` 4d-� �a�� � f � '.� �� �.� �F? �S : �' _ ,ra,, _. ,... � . ,.. ..�m,,. „ � .., ,m� , ,.�..Y,.. , -.c , �Q � . 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.ora 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 /J/�(/(��f� �� {� x Applicant� Printed Name Applicant's Si ure Page 1 of 3 Use BLUE or BLACK Ink For Office Use I f� Z:: ee / Q l'►City of anal ^� q ii : / �v�•�/ 3830 Pilot Knob Road /, �' Eagan MN 55122 Date Received: b / Phone: (651)675-5675 Fax: (651)675-5694 AUG 1 6 71117 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ `(j/ i)-, 7Site Address: 183 �� � Z. (`� Unit#: Name: Ke_ut'A, Phone i) 29Z- 7/ Z.. Resident/ n Owner' Address/City/Zip: 414-v s 7 5 n e -D(` . , ..5-i 2 Z Applicant is: Owner contractor Description of work: loll 1-4,11g SS Aci& ik C. 52fµs.%, Type of Work 44 J 64Construction Cost: /606, Multi-Family Building:(Yes /No ) Company: (reS4l l ae c( c can ,. L Contact: Contractor Address:` IiS G G C� L !l/ City: MNG S State: MA)Zip: 5-5-'41 - Phone:(65-1)b18'C55Email:re;I 0_,PrgSh r6;.rvsode1 rc License#: (SG 7Z11)' j Lead Certificate#: If the project is exempt from lead certification, please explain why: Or L/ t`�-ev�o v : v�` ecr, C is t. -/t f o 1 .. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit 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 Buildi ••e must be completed within 180 days of permit issuance. x 1/ / 5-GtOQ It' x Applicatlt's Printed Name App ' ant', Sig,ature Page 1 of 3 ��/ SAd.c Ot2._ y / 2 .. ri DO NOT WRITE BELOW THIS LINE //1/60‘--2-- . / 60 - ' SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give RCA handout to applicant DESCRIPTION Valuation -214Occupancy 4, 4 MCES System Plan Review Code Edition ,,0 * SAC Units (25%_100%�[,, ) Zoning City Water Census Code /� Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS V6 Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) x Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests Final Framing x 30 Minutes 1 Hour Drain Tile /� Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings—Backfill Final — Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control — Shower Pan Other: Reviewed By: -.T1/1 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 6 ii(cyriA531) MCES SAC City SAC V‘j9j°16rirj Utility Connection Charge 2 �tf S&W Permit&Surcharge / t! Treatment Plant 6 Copies TOTAL Page 2 of 3