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