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4284 Sandstone Dr CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 22 Blk 1 Parcel 1D 167n1 220o1 Owner L '"A C& 1 Street 4284 Sandstosne Dr. State Eelg2I1-, MN 55122 'l, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 885 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL .1972 130L.00 52.1 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. " i SUILDING PER. SAC ~ PARK J r_-____-___--___-i ; f I For Offim Use C-1 , ~ Pertnit City of Eap , I Permit Fee: I 3830 Pilot Knob Road ~ Eagan MN 55122 i Date Received: ~ I Phone: (651) 675-5675 ~ Fax: (651) 675-5694 i 5taff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Dabe: 1 S~ O Site Address: ' 1 ZB 44 Spl7 G+ S4&Ae, br . Tenant: Suite RESIDENT ! OWNER Name: ~ C., , Phone: Address / City / Zip: Applicant is: Owner ~ Contractor TYPE OF WORK Description of work: Canstruction Cost: D O• e~ Multi-Famity Building: (Yes / No CONTRACTOR Name: New Life ContrdCting, Inc. License Adc~s, MN 55425 MN Lic. #20249488 Ph: 6 ax: 902-405-6105 Cit}tmailnewlifecor~tracting9bYahoo.COm State: Zip: Darcid Johnson Phone: Contact Person: C4IVIPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 . Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 supportJng documents thaf you submit are considered to be publfe fnformation. Portions of the iniormatfon may be classified as non-public if you provide specific reasons that wouJd permit the City to conc/ude that the 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 pem?it, but only an application for a parmit, and work is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plan X I,> Zo ~w5o 9J x ApplicanYs Printed Name ApplicanYs Signa ure Page 1 of 3 Date: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 I I Permit* /e) ? l l� Permit Fee ©� I Date Received: Staff: _ D044- 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION 5a -114S -time- D Tenant: Site Address: COOpe,k Suite #: RESIDENT / OWNER Name: ell., 0-0 0 p Phone: ie rl' 7 Sy ,17 g ri Address / City/ Zi 2-3 L SR✓1 St`O Yl E. P� CONTRACTOR -- Name: Appliance Connections Inc. License #: (9\,°1(:711 12850 L'nestnut Blvd. Address: 55379 City: — ______Shakopea,MN 952-445-4803 State: Zip:'_ Phone: Contact: '4,tNtrL Ixtopc i Email: P i t0i.v1C:C,(0 Yt.Vle C41_ U ns ( 4 ahoo (u71i _ TYPE OF WORK New Replacement _ Repair __RebuildModify Space ___ Work in R.O.W. — . Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Add Plumbing Fixtures L__ Main / _— Lower Level) Lawn Irrigation (__ RPZ / PVB) _ Septic System Water Turnaround New— Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge), $60.00 Lawn Irrigation $60.00 Add Plumbing "Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee 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 1 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. i&niie Rt Applicant's Printed Name x FOR OFFICE USE APpI Reviewed By: Date: Required Inspections: Under Ground _Rough -In _Air Test ___Gas Test __Final City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA114672 Date Issued: 09/17/2013 Permit Category: ePermit Site Address: 4284 Sandstone Dr Lot: 22 Block: 1 Addition: Cedar Grove 2nd PID: 10-16701-01-220 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Robert Gramling Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Clear Choice Restoration 487 Owasso Hills Dr Roseville MN 55113 (612) 226-7170 - Applicant - Owner: Beatrice A Cooper 4284 Sandstone Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA152552 Date Issued: 10/22/2018 Permit Category: ePermit Site Address: 4284 Sandstone Dr Lot: 22 Block: 1 Addition: Cedar Grove 2nd PID: 10-16701-01-220 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Kory Lightner 4284 Sandstone Dr Eagan MN 55122 (651) 271-3075 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. Applicant/Permitee: Signature Issued By: Signature