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4289 Sandstone Dr ~..a'-r.--. . ,r. p.,. .q. . ~.•?w&wc~rr~r~O~ ; . r',,,. -.r^ r....~....~~ ^ . . . _.~,~.~.-.ti ~-'-~.-t S ~ IIAECHANICAL PERMIT ` For City Use Only G• CITY OF EAGAN PERMIT # 1,2444IL2 r~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #t ~ DATE„, _ PHONE 454-8700 DATE: C ~ ~ Site Addr ss BLDG. TYPE WORK DESCRIPTION Lot Bbck ~ub ' Res. ~ New Const. Mult. Add-on Name 0 E Comm. Repair ~ Other ~ Address ~ C~Y ' ".d. " FEES RES. HVAC 0-100 M BTU -$24.00 Name ADDITIONAL 50 M BTU - 6.00 y (RES. HVAC INCLUDES A/C ON NEW c3 Address CONSTRUCTION) O City'o- fyi cPhon - TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIIAUM RESIDENTIAL FEE - ALL ADD-ON 3 TYPE OF WORK ~ REMODELS (INCLUDES GAS PIPING) 12 Forced Air ~ M BTU $ ~ OUTtETS (MINIMUM - 1 pER PERMIT- NEW CONST.) 1.50EA. ~ Boiler M BTU $ COMAAAND FEE -1% OF CONTRACT FEE ' Unit Heater M BTU $14,00 APT. BLDGS. - COMM. RATE APPLIES Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ . (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ Other $ ~ CommJlnd. Contract PrIce x 196 $ sl U R ~ PERIWT FEE: ~ 00 S/C: ' FOR: CITY OF EAGAN TOTAL: - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55123 Date Issued: cli.' l:~ (612) 681-4675 SITE ADDRESS: APPLICANT: , , : i,~; ~ , I ~ i . PERMIT SUBTYPE: a~ TYPE OF WORK: ~ , ~ . . ~ . INSPECTION . ~ ~ Parmit No. Permit Holder Date Telephone # I S/1N I PLUMBING I I I HVAC I ELECTRIC I ELECTRIC I Inspection Date Inap. Comments I I Foptings I I I I Foundation I Framing I I Roo(ing I Rough Plbg. I Rough Ht9. O IsuL I FireplaCe I Rnal Htg. I I Orsat Test I Fnal Plbg. Pibg. Inspector - Notity Plumber Const. Meter I Engr./Plan I I Bldg. Fna! I Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Cedar Grave Acqguisition Additiorl- CEd.3Y' Grove #2 Lot 12 R,k $ Parcel 10 16701 120 02 Owner y'~ 1 ~ ~ ' - • " ' Street 4289 Sandstone Dr, state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19$5 12 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL 1972 13oLoo 52.16 2 WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK , , ~ 371 ~"b 7 9- ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u t L, o T N r., Eagan, Minnesota 55123 Permit Number: 022826 (612) 681-4675 Date Issued: 01 f 10 / 9 4 SITE ADDRESS: 4289 SANDSTONE CJR LOT: 12 BLOCKc 2 ~jE~•~ P.I.N.a 10-16701-120-82 CEpAR 6ROVE 2ND ~ 1 T DESCRIPTION: (SID7NG) s4iY€sYng~permit rype sF (mssc.) ~uX.ld3ng 4Jar.k T,ype REPAIR c ~ ~~QqV V-,,f D'J"- ~ REMARKS: FEE SUMMARY: VALUflTION $9,000 Base Fee $108.00 5urcharge q.50 7ota1 Fee ~ $112.5@ CONTRACTOR: - ApplScant - sT. Lzc. OWNER: PANELCRAFT OF MN INC 17216628 0002179 MIJHAMMAD OMAR 3118 SNELIING AVE S 428'.J SANbSTONE ClR MINNEAPQLSS MN 55406 EAGAN MN 55122 (612) 721-6628 (612)456-0862 -t hereby acknowlsdge thafi 2 have read' this appkicati,an and state that Che ' :infarmati,on is carroc~t ar+d agrea to camply with qlJ; epplicablo State uf M.n. L statutes andf City af Eagan Ortlinances. ~ AOU!) 11 P11,~ _ ~ APPLICANT/PERMITEE SIGNATURE 155UED : SI NATUR CITY OF EAGAN no 1994 BUILDING PERMIT APPLICATION 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. P lty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date i //0/ 9tl '(Valuation of work t C7 7C Site Address: qZ!EY9 Sfln7bS;o.u3z ~0--~ A,,J ,v ss-~zz STREET SUITE q Tenant Name: (commercial only) LOT 11 BLOCK ~ SUBD. P.I.D. # k Descri tion of work: ~hF ~t~c NonM { GARAeiE__ ~ The applicant is: ? Owner ~ Contractor ? Other (Deseribe) Name MuNnnnnD UMRiZ Phone Property LASr rIesr ~ Owner Address `Izag 5qN'D57-21N~- DR_ STREET STE # City KflsFllj State .-I /J Zip 6t~_1zZ Company `~~`N!`sLC!'-AFT Phone 7z / - e-&2! E5 ~C Contraetor Address '308 :5NE4ztn1c, Rd. s. License #6cnz«°~ Exp. rz 9s City M?ys State n&) Zip 55410L Architect/ Company 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 correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: /7 OFFICE USE ONLY BUILDING PERMIT TYPE 60,,~,, ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish 0 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition E3 OS S-Plex ? 13 6arage/Accessory ? 18 Comm./Ind. 11 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL tNFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster P # of Stories footprint Sq. ft. Fire Spriump nkler Length On-site well Census Code Depth On-site sewage SAC Cade Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUiRED INSPECTIONS ? .Site ? Footing ? Framing ? Insulation 11 Wallboard ? Final ? Draintile ? Fireplace Permit Fee o(I v.iuas+on: g Surcharge ---T - S'O Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies - Other Total: SAC X SAC Units CITY USE ONLY ~ . L BL a- RECEIPT# ry 4~V~ ~ SUBD. l.~OC/~. i~ GY RECEIPT DATE: /97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN - 3830 PILOT KNOB'RD EAGAN, MN 55122 (612) 6814675 Please compiete for. P single family dwellings • townhomes and condos when permit5,are required for each=unit . backflow preventer for undeiground sprinklersystem FIXTURES IOTA Shower 3.00 x Water Closet 3.00 x - Bath Tub 3.40 >x , Lavatory 3.00 x Kitchen Sink - 3.00 x Laundry Tray 3:00 x Hot Tub/Spa 3.00 x • - _ Water Heater 3:00 x Floor Drairt 3.00 x = Gas Piping 0utlet * minimum - t • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5:00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' tor dwening under oonst. 3.00 U.G. Sprinkler ' for axisting tlwelling 20.00 ~ Alterations ~ to existing residence 20:00 Water Tum Arountl 20.00 - Private Disposal System * Dak cry na 75,00 = ~(new and refwbfshed systems) Private Disposal Systems ' Abandonment 20.00 STATE SURCHARGE TOTAL I hereby ecknoxdedge thet Ihava med this epplication, state Mat the IMortnationis:cortad, and agree ta comply-~witd a11qapplicable,Gity -of Eeganordinances. It is'the appllcaM's responalbflity to notify the property owner that the City,of Eagan ase4mes nodiabilily for any . damages catised bythe City duriig tts nortnal operetional and mafrHenance activitiesto the facilities consWd,edurWer_Mis;pertnit~'with(n ° - City property/right-of-wey/easement ' - SITE ADDRESS: OWNERNAME: ~ INSTALLER NAME: /'~o~//') TELEPHONE#: STREETADDRESS: CITY: STATE: ~ P'. I ~ 41 ~ " . ~ . . S GNATUR P ITTEE ' s . ~ . ' CITY of EAGAN N° 3714 ~ BUILDING PERMIT Ownet ...~11.{f!j 3785 Piloi Knob Road ' - - ........../.../......0 ~ Eagazt. Minneeofa 55122 Addresa (Preeent) ...12R.? .G.,Y.A.4~f.. 456-8100 SuSldar - .R/.:... ~/...n.,r ...~..j......4i...Y.~~/~~ 1~•1.'.!.------yl4/-L.'Yf ln . Dals 7... . . Addxees l.daC1................ -i ~ DESCRIPTION 7ories To Bs Uced For Fron1 Depih Height Eei. Coa! Perm!! Fae Aemarka oa q-~ t° a1 LOCATION Sireei. Aoad ar other Deseripiion of Loca2ion I Lo! Block Addirion or Tsae! ~X82 rJs;-' ne-f,rTrp ~ Ia a <f - & . ":Z~- This permit doen not aulhorise the use oi sireele, roads, elleps or sidewalks nos does it gSva !he owaer os Lis agen! the zigh! !o ereale anp situation whteh is a avisanee or which psesenis a hasard !o the healffi, sefely, eonvealencs and genesal welfara 2o anyone ia the eommuniip. THIS PERMIT MUST BFs.,KEP'~7yON THE PAEMISE WHILE THE WORB IS I ROGRESS. Thia is !o eerlifY, fhal..~..A6..~7i~-~....la.b.jl.°--..hea permission !o .'...:C/...........4.4J¢nG'~..~.J........_....upon the above described remise subjeat !o the provisions of all applie ' ees for the Ci f Eagan Per ..........------...........s..~%Gc4.Ti..~.'..~U---..........._.........................-- . Mayor Sufldiny Impeelos . ~ MASTER CARD LoCATIoN~/s~.+~ OWNER STRUCTURE AND , LAND 115ED AS C yIQ - Issued To Permii No. Issued ConTracfor Owner BUILDING . ~ PLUM6ING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FflAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOI DRAINFIEID PLUMBING WELL SANITARV SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS - , TO 8E USED ONLY M,EVENT OP OBSERVED VIOLATIONS r u PERMIT NO. DATE OF INSPECTION ~ ~t CONDITIONS OF CONSTRUGTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR , DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED - CE RTI FICATION - I certify that I have carefully inspected the a6we in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to he at variance wi[h ordinances of the Town of Eagan, appraved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: z~ I I EAGAN TOWNSH0 P N6. 1.061 BUAL,DANG. PERMIT Owne: .._4.R.-d4F~... .1~/!c/~'.-~`l7 do.......... £agan Township ; Addresi (presant) ._~.,...~5~ ~ Town Hall . Add ssl ~ . , - ~ Dafe / ....,.d.._ ..lG ........3 , r . ~ I DESCRIPTION 52ories To Se Used For Fron7 Depih HoighS ~ Esi. Cost 'Permit Fee Aemarks . . --I IA LOCATION ~Siree2, Aoad or oYher Desczipfion of Loaaiion Lo! Block Addilion or Trac! 17 ° .1 ).3 C # This.permif does nof avihorize the use of slreeis, roads, alleps oi sidewalks~nor does it give the owner or his agenl the rig}i! 2o create any sifvafion which is a nuisance or which presen2s a hazard io the heallh, safefy, connenience and 'general welfare !o anyone in the communifp. ~ THIS PERMIT MUST EE KEPT O THE PREMISE WHILE THE WORK IS IN PAOGAESS: . ~ This is So ceriify, ihat._ ~....~:-.....,....~t~.a ....has permission !o erecf a.~l2. ;P47 ~ !he above described premise subject 'io the pxovisians of the Building Ordinance for Eagan wnship adoplei4' Apri1 11, ~j 1955. ~r . . ' Per . ~ - . - ~ Chairmen of Tnwn Board ~ ~ ~ Building Inspocior , i1 . .P czT'f or anJ'rr ~U /!o)o/ ia'j o~. • 3795 ?i):ot; I:nob Hoaa Eag<.r., Mi;ne:;ota 55122 C C r~. ~/5T N0. _ 4 Tne Cii:y oS Ea.,,on herery grmzts to Milbert Company (Glilliqan) T cf 1001 Marie ave. so., So. St. Paul 55075 ~ JOhn C. Enyart and 4 WATER SOFTENER Fc-Tit for: ((iwner) 'Phomas Poeaely 4488 Woodqate Point ac _CTSMMSandstone Dz. , pursuant to apnlication dated 1/13 6 1/14/76 I'~e Paio. _ $10.00 ciated thi.s Sthday of Feb. ~ 19 76 , 1.00 s/c Dailcii.r.g Inepectior Yermits: i-=d Total: . Use BLUE or BLACK Ink -r - - - - - - - - - - - - - - - - I For Office Use Permit City of Ea Permit Fee: d St 3830 Pilot Knob Road / Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit I Name:' Phone: Resident/ Owner Address / City / Zip: t= s'~ Applicant is: Owner V Contractor Type of Work Description of work9a~C7 Construction Cost?~A oc;_ Multi-Family Building: (Yes / No w Companr."-:z V-2- Contact: Address: '7G-~_,D Kt St -2,C City: Contractor State: Zip: (r'~( Phone: 1 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 4 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? i i i _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 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.ciopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must a completed within 180 days of permit issuance. xl,tt~S~/'1 x Applicant's Printed Name Applicant's Signature Page 1 of 3