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4296 Sandstone Dr01/06/2011 THU 15:32 FAX 612 822 5408 Al' Master Plumbimg l 002/002 *City of Eta 3830 Pilot Knob Road Eagan MN 55122 Phone; (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 7669 Permit Fee: - Date Received: Staff; INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: ! 66/11 Site Address: rP c5 -A-044/1-1 Tenant: Suite 0: �c RESIDENT / OWNER Name: r ()-C Z Phone: C5 4„7 )2 4 {{, rc,;, , f/ ddress / c ky / Zip: ! Z , 6 ri �c 27r , c,Q .,%/ rile 7,, `''.+^' • :.. e -- •::?.I': LM „ {�^, ^� CONTRACTOR Name: x4247 f 4%4/U04A / ',»J License#: a5-.7.,Gi f � 5 . - /IJ, r" Address: r" City:/4114.70,,,k 4., {,: 4.11'...er,4',' ` ,�a ", „+�i1lrl,l �/ �/ State: Zip: / i, y �. Phone: 2'07 Z-.-•1 2 f 1- nt.;:.- —,..; li �•iigi �kr• ,; i +s 1,6ft, , i,'„” Contact: GIS Email: !! ' 7 SEWER & WATER (Outside the building envelope) Repair 1. ",�.,. •_ ;_ c + cis " . , , TYPE OF WORK P NG (Within the building envelope) Sump Pump Repair Other. Other. DESCRIPTION Description ofwork:1/4/ / / Xii_el %� FEES $55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ .5..C." * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/l repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaoan.comlinflow, or City Hall at 3830 Pilot Knob Rd. 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.gooherstateonecall,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 •erstand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that thg, • rk w '• _ '.rdance with the approved plan in the case of work which re. g- a review and approval of plans. x x Appll ant's Signa i re chi°Ill iilptq I "' Fri L' (� .'��E ({tit•. •.v4 " {{, rc,;, , c ^Its ,.• r' yj 1#. •' � � 9H tj ldVrb `''.+^' • :.. e -- •::?.I': LM „ {�^, ''`, t 11 P! • �jNu4i+l,{iaf� ��y'4^{�MNkr, % t� {i { , Qll f � is �Avr":.. 1! y°, i B• ?t.:::;glial i nspe�tlbns '+x.81,, dt f' 1�• r'++d;1iNk ifi9 4., {,: 4.11'...er,4',' ` ,�a ", „+�i1lrl,l di ,'• ilk "r� `f f srl + ^{ , „ ", , +n nt.;:.- —,..; li �•iigi �kr• ,; i +s 1,6ft, , i,'„” lb ^v . ;i r. it ,iS c1 ,>mcS { ; �c�':, !! ' t �{;'"'.'r ,'a,{, G" ,. o ur;q {"4{{ {i+Ay '1,{ii "+ i%,.aiHi,,, �` {� it , , ii1i",�{}�lttth, +",sdt�iN;tt ,1,�t i, { L! d { 3t 1. ",�.,. •_ ;_ c + cis " . , , CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Loc 2h sik 1 Parcel 10 16701 2?L0 01 OwneRf,,~ i% ij .%;Street 4296 Sandstone Dr. State Eagan, MN 55122 Improvement Date Amount Annual Years 5 Payment Receipt Date STREETSURF. / F.2,f/9 - I03 /U STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 ~ 00 52.16 2 ..7 C' -1a3 - 7-fS WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER, SAC ~ PARK CITY OF EAGAN 16; 38 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # C 3437 To be used lor ~no" Est. Value Date A1JG 14 .1g 89 Site Address 4296 SAlID3'TOt1s Dit Lot 24 BIOCk 1 5ec/Sub. CE~ G~g 2~ OFFICE USE ONLY PdfC@I N0. Occupancy - FEES Zoning W Name LIIIDSAY A COETZKB (Actual) Const - Bldg. Permit 13.00 I AddresS 42% SANDSTON8 dR (Allowahle) - Surchar e ° City ~ Phone «s~ r of siones g Length 121 Plan Review _R Name SAME Depth 22" SAC, City OU¢ Address S.F. Total - SAC, MCWCC ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn r- ¢ yVj W Name On Site Well - Water Meter Address MWCC System - Z Acct. Deposit eu+ City PhOn2 Ciry Water _ PRV Required _ SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S1W 5urcharge intormation is correct and agree to compiy with all applicable State of Minnesota Statutes and City o} Eagan Ordinances. Treatment PI c. • Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: LIIiD.4AY A OOE2= Pianner - park Ded. on the express condicion that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. gidj, Ofi. _ Copies Building OHicial ~ Variance - TOTAL is. 50 Permft No. Permit Holder Date Telephone ~f WATER SEWER PlUM81NG H.V.A.C. ELECTFiIC Inspection Date Insp. Comments Foofing5 I ~ DS Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Frteplace Fnal Htg. Final Plbg. Consl. Meter Plbg. Inspector - Notify Plumber EngrlPlan aid9. Finai Deck Ftg. Deck Final weli Pr. oisp. :9':,v;?s:,w~; -,ur~- ,rz:.- . . . . .Ye-1g".- CITY OF EAGAN ~82QZ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # To be used for GARAGE Est. value ~8,000 Date JULY 26 19 90 Site A dress 4296 SANDSTOHB DR Lot 14 Block i SeclSub. GEUR GROVZ ND - OFFICE USE QNLY P3fC81 ND. Occupancy Fees ~ LINMY GdFs't'Z~KE zor1i9 99.00 i W Name ~ (Actual) Canst - Bidg. Permit 1 3 Address (Allowahle) - Surcharge 4.~ ~ 0 City KAW Phane # or stories ~ Len9lh Plan Review * ~ , p Name Oepth ~ - SAC, City d Addf9SS S.F. Total - SAC, MCWCC i Clty Phone S.F. Footprints - ~ On Site Sewage _ Water Conn ~ ~ W Name On Site Well - Water Meter ~ z MWCC S stem - Address y Acct. Deposit a W City PhOne Ciry Water _ i PRV Required _ S/W P8?mit I I hereby acknowlege that I have read this appliCation ahd state that the Booster Pump - S/W Surcharge infoRnation is correct and a9ree to comply with all appficable State of I Minnesota Statutes and Cippiof Eagaa Ordinance Treatment PI i APPROVALS ' Signature of Perrnitee ~~i Road Unit A Building Permit is issued to: LIND$AY ~ETM Planner - Park Ded. ~ on the express condition that ali work shall be done in accordance with all Council 3.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 106.50 Buiiding Official Variance TOTAL l Permit No. Permit Molder Date Telephone # WATER SEW1k.R PLUMBING H.V.A.C. ELECTRIC Inspeclion Oate Msp. Comments Footings I FoundaGon ' Framing Roofing Rough Pibg. Hough Htg. Isul. fiireplaCe Final Htg. Fnal Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ; ~ - ~ ' EAGAN TOWN S H I P ~ ' N° 1061 BUILDING PERMIT ! ' oan@: ~ ........J.~....~-•_-_...~......... ~ Esgan Townsnip ; Addres# (Presen!) Town Hall ~ suilaer ~ Date . ~ Address DESCRIPTION ; 53oriesI ~ To Se Used For Fsan! Depth Heigh! Est. Cost Permi2 Fee Remarks f~J f77 Sp. , LOCATION ; Sireei, Road or olher Descrip2ion cation Lof Block Addi2ion or Tract !-7 ~o- 'z - 13 13-e ;L- This permit does nof authorise the use of stree3s, roads, allepa or sidewalks nor doea iY give fhe owner or his aqeni Yhe zighl 2o creaie any si3uation which is a nuisance os which presenfs a hazard to the healih, safeiy, convenience and general welfare Yo anyone in the eommunitp. ' THIS PERMIT MUST BE KEPT O THE PR~.MISE WHILE THE WOAK IS IN PROGRESS. , ~ This is to cerlify. 2ha3_.l.....~:••-~-a~,._..a................ haspermissioa to erect a.~~'......---, --......upon !he abc ;re described premise subject !o the rrovisiona of the Suilding Ordinance for Eagan Vwnahip adopte April 11, , • ~ 1955. . - ~ . dl:;t~..~_.._......••••---. Per .'.`C~C°.~~.~..,~':~~....~:=:GL~1K'~ G~ • Chairmen ot T??wn Board Building Inspecior , . il . .P ~ 0 5 7 3.(a i # v Requesl Data j Fire Na Aoughdn Inpseclion FequireE n eclion Other Than RougM1-In (YOU muslcell inspector han reatly) ReaOy Now ? Wi0 Notily Inspecfor b / ~ ? Yea No Oa1e Feetly ( iyiicensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress (SVeet Box ar Route No Ciry c~l'1d sd~N e ~Q Section No. Township Name or No. Range No. Counry ' 01 (PR1 ~D f Phone~ N{o. -lf l~ .~~1 l ~ / Power SupDlier Atldress Elechlcal Comractor IGOmp y Nam~ Conyact~Lzen~~ ' L/ni~I%~ ~ Matlinq Ae ess IGOmractor or Owner king Inst latwn) V AulM1Oriiea SiSneNre i6onp or.'Owner Making Inslallation) Phonye Number CJ NNESOTA STATE BOAflO OF EIECTflICITY THIS INSPECTION REOUEST WILL NOT T iqys,Midwey BIEg. - Room Sl73 C+~{qWMqcc BE ACCEPTED BV THE STATE BOARD 1821 UNVerslly pve.. SL Paul. MN 55104 ~ UNLESS PROPEF INSPECTION FEE IS Phone (612) 6424800 ENGlOSED. (p~ /g~ / REQUEST FOR ELECTRICAL INSPECTION ? ee aoom-oe ~ T ? See insimcvons br completing this lorm on back of yellow copY ?d 3 5 8 7 3 -":t" Below Work Covered by This Request w Add Rep. Type oi Building AppliancesWiretl EquipmentWired Home Range Temporery Service Duplez Water Heater aOth,r Heating Apt. Building Dryer enagement Comm./Industrial Fumace Specify) Farm A ir Conditioner Omer (specity) Contractor5 Remarks! Campufe Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fee Circuits/Feeders Fee Swimminq Pool 0 to 200 Amps o 100 Amps Trensformers Above 200 _ Amps Above 100 _ Amps $iJf15 . Inspeclor's Use Onty: 707pL Irrigation Booms Gj G~,s a-e, 67D Special Inspection 'T AiarmlCommunication THIS INSTALLATION MAV 8E ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby Aough-in oate certity that the above inspection has F;,,ai ll~ oa~e been made. OFFICE USE ONLV • . mis request voio 18 monms tmm i~ ~ FoF Ottlce:lJse I City of Ea~afl ' j Pertnit It: ~ I Permit Fee: C ~ I 3830 Pilot Knob Road ~ Eagan MN 55722 I Date Received: ~ I I Phone: (651) 675-5675 FaX: (651) 675-5694 i StaH: ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:SiteAddress: ~?r/G , Tenant: Suite RESIDENT / OWNER Name: i 1 oVc:- ve-7-1k./' Phone: Address ! City / Zip: Applicant is: --X' Owner _ Contractor TYPE OF WORK Description of wark: azo.,- 6 Construction Cos[: 3k4q Multi-Family Building: (Yes No CONTRACTOR Name: Ae A4 License q: Address: ZW 79- City: /!'4~~11?0Q-J State: M_ Zip: - Phone: GS G" 3 yL/1 Contact Person: ~ `{"~•4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheel Category Submitted Submitted (^4 5ubmission type) • Enerqy Envelope Calculalions Submitled 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 Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTEi Plansand supportin'g documents thatyou'submit aie considered to be public intormation. PortTons of the information may be classltied as non-pu6Jic Jf you provide specific reasons that would permit the Clty to conc/ude that the are trade secrets. I hereby acknowledge that lhis infortnation is complete and accurate; that Ihe work will be in conformance wilh the ordinances and codes ot the Ciry of Eagan; that I undersland ihis is nol a permit, 6ut only an application for a permil, and work is not lo starl without a permit; that ihe work will he in accordance vrith the approved plan in the case of work which requires a review and approval ol plans. X S~ I~,~Ik X 9--_- Applicant's Printed Name Applicant's Signature Page 1 of 3 , 7o 2004 RESIDENTIAL BUII,D]NG PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 - - - - -Telephone # 651-675-5675- FAX # 651-675 5694-- NewConstructionReoui2ments RemodeVFteoairReuulrements ~ 3 registe2d site surveys showing sq. fl. of lot, sq. ft of house; and all roofed areas 2 copies of pian (20°k maeimum lotmverage allowed) 2 mpies of plan showing beam & window sizes; Poured found desi n, eic. ~ set of Eneyy Calculations for heated additions _ lsetofEnergyCalculaHOns 9 lsitesurveyfor additions&decks 3 copies of Tree Preservation Plan 9 lot platted after 711/93 Adddion - indicate ifon-sife septic sysfem Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ~ Construction Cost I' l (3 I Site Address Unit/Ste # Description of Work h x y~ Multi-Family Bldg _ y kN FYreplace(s) _ 0 _ 1 _ 2 Property Owner Kk--,' Telephone #q-,S I) 4S4 Sg4-(p Renewal By Andersen Contractor ] 920 County Rd. "C° West Address Roseville, MN 55113 city State 651-264-4777 - License # 20130983 Z'p Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - M~esoh Rules 7670 Cate~orv 1 _ Minnesota Rules 7672 (J submission type) ~ Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet . SubmiHed Submitted • Energy Envelope Calculations Submitted Have you previously constructed p buiiding in Eagan with a similar plan? Y_ N If so, 25% plan review fee applies. - Licensed Plumber Telephone 54u Mechan ical Contractor Telephone ~ Sewer/WaterContractor Telephone#( I hereby apply, for a Residential Building Pernut and aclmowledge 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ~~"tEwnl Apphcant's Printed Nazne Ap cant's Signature r . OFFICE USE ONLY Sub Types 01 Foundation 0- 07 05-plez- - 13--13-16=plex- 0`--20-Poof - 0- 30 Accessory Bidg - ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04. 02-plex . - ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types . ? 31 New ? 3$ Int Improvement ? 38 Demolish Interior, ?144 • Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Found.ation ? 45 Fire Repair ? 33.Alteration 37 Demolish Building* ? 43 Reroof ' ? 46 Windows/Doors , 0 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning Ciry Water SAC Units ' Stories Booster Pum'p # of Units Sq. Ft. PRV # af Bldgs Length Fire Sprinklered Type of Const Width - REQUIRED INSPECTIONS Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition), Plumbing , : . . . Foundation HVAC - brain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/Gas Tesu Final Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace R.I. AirTest Final Windows Insulation _ Retaiuing Wall' "Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge . S&W Permit & Surcharge Treatment Plant License Search Copies Other Total •,...r.mv-l, auu aa.a~ stin. !oJ D71 '4460 K'p,n4`IYliL ~1°t2I;LtSi"u`St4[Y , . ~Hf UE re al runo t 2ooy - • - City of Eagaz, 3836 RiIcrt gnob`Road - ' BagM MN 5-5122 - . . . ~ To Whom 7t Maq C43stcern: Eider Tones is authorized tm pt~l buiIding Permlts for pmridethis Renewal by Andazsen Picasa alIow Eidcr loncs to servicc forus in Fs~an, 'lttia eutI~eKizati4n is valid for any datc boyond 6/6l01.: cen~ a~0ara j bY Andarsen manager e~slY revakes it in wiiting . City to the - I request this autliodza.tioa bc a- oar baildiag Pouaits aa fu ceepted-expedidously, ss W uot deley in the Fi06Msiog of cantacbed az763-502-4706- rtHcr. Eicasc caII mc If thcco m nny qnestEona.. I can Ixi + . . Your immSdie.Lc attcntiott to ffgs mattcr is . 9 ered. • Siacaiely, : z.~ ~ ond R Rau . tista[tation Managcr Renowal by Andeistn CorPoratiott . Cr.: Km-fl-67de,r Snnea . . . C~H p yr ~~tH . . ~b,*+°"`a'F~7}et.4a.», . . 104Y Received Time Jun. 7. 1'07PM CITY USE ONLY LBL I RECEIPT#: Ud~ SUBD&&A RECEIPT DATE: ~7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . singie family dwellings ~ townhomes and condos when pertnits are required for each unit ~ backflow preventer for underground sprinkler system FIXTURES EACF! NO TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tu 3.00 x ~~V41at~r Heate 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener ' for tlwellings under construction 5.00 x = WaterSoftener `forexistingdwelling 20.00 x = U.G.Sprinkler "fordwellingunderconst. 3.00 = , U.G. Sprinkler `torexistingdwelling 20.00 = Alterations ` to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dek Cry iic. 75.00 = (new and refurbished systems) = Private Disposal Systems * anandonmenc 20.00 STATE SURCHARGE .50 50 TOTAL a~ I hereby acknowledge that I have read this appliwtion, state thet the infortnation is corted, and agree to compry with all applicable City of Eagan ordinances. N is the applicanPs reeponsibility to natity the properry owner that the City of Eagen assumes no lia6ility for any damages caused by the City tluring Ns nortnal operatbnal and maintenance ectivities to the facildies mnstruded under this permit within City proparty/right-of•wayleasemenl. SITEADDRESS: ya96 ! OWNER NAME: Z- INSTALLER NAME: R i'i'Jt: P/ 4. Q w9 TELEPHONE STREETADDRESS: co /ar/vr-I o CITY: LcUi.f 62r STATE: ZIP: SSyZI,P SIGNATURE OF P MITTEE /ti70/-o~yo I ~ c:k:yy.y' ;ac•..~°~>:.3`.<b. i:~ks~:e..;.~~i::'~ x'~F~d ~ N'~s~fR'~' . ~ ',::'y>., s<::g~:~. ..a~ '~x,. ~ ; ~ ~ . 4:. : :•.[..i.? : ° ~ ' f : ' . : ~ : . ~ . 1994 MECHANICAL PERMIT (RESIDENI74,L) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH tJNIT. - - - - - - - - - - - - - - NEW CONSTRUCTION J~ AI'it7-Gi•i /~/i, ? ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 G.AS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (Exis'I'IIJG CoNSTRUCi'ION) $ 20.00 STATE SURCHARGE .50 TOTAL o . sT% SITE P.DDF.ESS: `-1,-)-9to OWNER NAME: y~.v TELEPHONE 5 S v 1~ INSTALLER: co. aowESrwcESrnW ADDRESS: MMNwcusum Lx.,e.gM a+s4240ee CITY: STATE: ZIP CODE: T'ELEPHONE SIGNATURE OF PERMITTEE I ~::~:a,-:~:-::<,r . ^~,.<.#,<a,::>:..~..~;;::<.:a:~~:::.... : : ~~was> ~et ry;•.,.,..~~,~^,~~y~. ~•~'~a~ ~#,Ys~~ x~~~~&~s~:,~s• ~ W~ 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UNTT. DA"T'E: CoNT12ACI' PRICE,: $ . NEW BUILDING IIVTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~.,,~~W FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.SU FOR EACH $1,000 OF Pfjt~hW FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (tmpROVSMErrrs oivi.Y) . . ,~x~ INSTALLER: - • ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR - rttcP~vS VP`> . ' tJ)~ . . . RESIDENTIAL LOAD CALCULATION Purchaser 21 Cl ^3 ales Rep vo Date ~I Lq~O 5ra.~D3~c. D~ Address Sq Ft gross wall Running walls below qrade: x~ (Ft wall Ht)= elow rade Sq Ft windows and - doors below rade +cfL et wall below - U rade ' /Sq Ft gross wall Running walls above grade:x (Et wall Ht)= 13~O~above arade(1st floor) (lst Floor) Sq Ft gross wall Running walls above grade: x (Ft wa11 Ht)= above rade 2nd floor (2nd Eloor) Sq Ft gross wall + f36.~ Total gross Sq Ft = above rade p Sq Ft windows and - Od'oors above rade Net wall above - rade Windows & Doors ~°v3 Sq Ft x~ HTM = BTUH,-. Inf. (w&d x 1.3) 232 Sq Ft x Z)~ HTM = BTUH Net wall below grade 8« Sq Ft xHTM = 90 BTUH Net wall above grade Sq Ft x HTM = 12'y~ BTUH Exposed Ceiling Sq Ft x~ HTM =BTUH Exposed Floor 10~f Sq Ft x~ HTM =BTUH BTU TOTAL Windows S Doors Ceilings & Floors ~mT ~5~ 2DTi1-r~I.~ry hi~n z`ITiz+iL-~(o-+6 n/OTi'L = IC~3 , R x CITY OF EAGAN NO ~ 82OZ " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121~ PHONE: 454-8100 Receipt# qoq q BUILDING PERMIT ' 7o be used tor GARAGE Esc Value $8.000 Date JOLY 26 , 1990 Site Address 4296 SANDSTONE DR Lot 24 Block 1 SeGSub. CEDAR GROVE 2ND OFFICE USE ONLV Parcel No. ocapancy M1 FEES Zoning _ ~ Name LINDSAY GOETZKE (AClual) Const - Bldg. Permit 99.00 ~ Address 4296 SANDSTONE DR (Anowabie) - Surcharge 4.00 ° CitEAGAN Phone 454-5846 x or stories - Y LengU 2$! Plan Review o Name SAME oavtn 221 SAC, City ~Q AddfB55 S.F.Total - SAC,MCWCC ~ City Phone S.F. Footprinis _ On Si1e Sewage _ Water Conn ~w Name on Sile Well - Water Meler 'x3 AddfeSS MWCCSystem - ,u Accl. Deposit aW City PhonB Ciy Waler - PRV Required _ SM/ Permit I hereby acknowlege Ihat I have read ihis applicalion and state that the Booster Pump - SMI Suroharge information is correct and a ee to comply with all ap licable State of Minnesota Statutes and Ci f Eagav Ortlinances. TreatmeN PI Signature of Permilee APPpOVALS Roatl Unil A Building Permit is issued to: LIN SAY GOE Planner - park Ded. on the express condition that all wor shall be done in accordance with all Coumii 3.50 applicable State ol MinnesotapSlatutes andCity of Eagan Ordinances. 6Idg.OfL _ Copies Building OfliCial I bNiq li~J' 1 10 Variance - TOTAI 106,50 ~ . . 1990 BUILDING PERMIT APPLICATION \CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPEGIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING ?AY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CNANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOI,T A LICENSED PLUMBER. To Be Used For: ZpI,c.Cf-,e/4! ~j.q,~luation: Date: Site Address ~j~-~/6 OFFICE USE ONLY Lot 2y Block ' FEES occupancy M Zoning qo Parcel/Sub _GEpq1L(s~Qov~ ZNA ADe'N, Actual Const Bldg. Permiti! / Allowable Surcharge ~ Owner ~~jy~O(~Seq;.j # of stories Plan Review Length 2g SAC, City A d d r e s s .0- Depth ZZ SAC, MWCC S.F. Total Water Conn City/Zip Code m=~'544 Footprint S.F. Water Meter Acct. Depasit Phone On site sewage_ S/W Permit On site well S/W Surcharge Gontractor L.di.Ul, r~y' MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. 5d I/ZV Variance Address City/2ip Code ~ Phone # hL °9 1 ~ SpX Z5F = zzx 91 )f 917 = rsz ~ Z'L ~ ~ s„,,•» - /1 r o LL`d ~n`1 ! h ~ ~ . . . EAGAN TOWNSHIP BUILDING PERMIT N? 2219 • ~ . Owue: . . . Eagan Towaship Addrass (Presenfl ....:§^~-.~..~r......-----° Town Halt Huilder 4 :5.... a. y- 70 Date ..5...---................................. Address DESCRIPTION 7cries To Se Used For FronS Deplh HeighS Est. Cos! Permi! FeeRemarka LOCATION Slreel, Road or oiher DeseripS[on ot Localion I Lo1 Block Addition os Tsaa! :p . This permit does aot sulhorize the uae of slxeels, roads, alleys or sidewalks nor does St give the owner or hfa agen! the righ!!o creafe any siluation whieh is a nuisanee or whieh presenfs a haaard !o ffia healih, safefp, coaveaienee and general welfare fo anyone in the commuailp. THIS PERMIT MUST SEPT N THE PREMISE WHILE TH£ WOAK IS IN PAOGAESS. ~ This is fo aexfify. !hel...-- - has parmission !o eree! a...'~.°~..-!...-z: ~ _upon the above described psemise subjec! ! fhe provisiona oi the Building Osdinanoe for Eagan Townahip adop3ed April 11, 1955. ~ 61~-:.........~..:."""""'.... Pa: ...............a . . .........0~~--...~.""'-""....................... hairman f Tnwn Soard~4 ~ Buildln Iea ecior i~ S 7~ ~ ~ _ ~ ? / ~ 5~ /a.S ' ~ ~ ~ L ~~`e"°~-e-~ ~~l-l - EAGAN TOWNSHIP N° 1223 BUILDING PERMIT Owne: ""~~....._'K.'_-'. Eagan Township Address (Present) --•~~':.`1' ' s....... Tomn Hall Builder ...~~/...~-i!~..K................. Dale Adarecs ~::..U.Lc.cr. DESCRIPTION ~ Sioriea To Be Used For Fron! Depih Heighi ~Esf~. Cos! ~Permi! Fee Remazks LOCATION SSreei, Road or oiher Descsipfion of Loeation I Lo! Rlock Addition or Trac! This permi2 does aot avlhorise the use of sireets, roads, alleps or sidewalks nor does it give the owaer or his ageni the righ! !o creafe anp siiuafian whieh is a auisanee or which presenls a hazard !0 the healih, safely, convenience and general welfare !o snyone in the communify. THIS PERMIT MUST BE KE T~ O~N~ ~TgpE PREMISE WHILE THE WORK IS IN PROGRESS. This is io cerSify, ihal--"_..'..4^s.°..'.?"..~~.----~_.....--.-'.-.-"-'_has permission !o erecf a_"'-'_"- upon the above described premise subjeci !o !he provisiona of the 8uilding Ordinance for Ee Townsl p adopled April 11, 1955. '--"-"'...-`•--a'Y.:_c.~tt4( Pex Chairman of Tnwn Baard a,,(j_ Buildin InsPector O O n m r 0 r o r~ ~ a # -P o z . c ~ y . ~ o > > _ ^ P A O D L m o b LA n m m C 24 , (TI oi 7~) N Q - ~ s L I /0 6" l~ -D Z D I ~ fl p Z c Ti fn ? s ~ Z " a ~ s Z. 0 ~ ( A 0% J -y- ~ ~ < D ry v r m u ~ m c - m ~ a ~ x ? tl1 N 2 pQ N ~ , i,;j F CITY OF EAGAN NO 16935 • 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PE%MIT PHONE: 454-8100 Receipt # C 3437 ARAGE To be used for FOUNDATION Est Value Date AUG 14 Site Address 4296 SANDSTONE DR 24 OFFICE USE ONLY Lot Block 1 Sec/Sub. CEDAR GROVE 2ND P8fC01 N0. Occupancy - FEFS Zoning _ w Name LINDSAY A GOETZKE (ACtual) Const _ Bldg. Permit 15.00 ; Address 4296 SANDSTONE DR (Allowa6la) _ ~ City EAGAN PhOn6 ~i54-584fi # of Stories _ Surcharge Lengih 12. Plan Revlew o Name SAME Deplh 2Z SAQ Cily ow AddfBSS S.F.Total - SAC,MCWCC " Clly Phone S.F. FootprinLS _ On Site Sewage _ Water Conn Name On Site Well - Water Meler AddfeSS MWCC Syslem _ _ Acct. Deposil City Phone Cily Waler Mull 1 l PRV Required _ SiW Permit I hereby acknowlege that I have read this applicafion and state that the Booster Pump - SMI Surcharge information is correct and agree to comply with all applicabl State of Minnesota Statutes and CiN oflEagan Ortlinances. Treatment PI { Signature of Pefmitee APPflOYALS Road Unit LIsSAY A GOET Planner - park Ded. A Building Permit is issued to: on the express condition ihat all worllhall 6e done in accordance wilh all Council .50 applicable Stale of Minnasota Statutes and yCyit,y otEagan Ordinances. gl~, pff, _ Copies Building Oflicial Varianca - TOTAL 15.50 • . . 1989 BUI1.DIRG PERMIT IPPLICIlION CITY OF EAG1N f 6g38 SINGLE FAMILY DUTELLIAGS MJDLTIPLE DUIELLINCS COtP!ERCIAL 2 SETS OF PLANS 2 3ETS OF PLlR3 2 SETS OF IRCHI2ECTURAI. 3RE6ISTEiIED SIYE SORPEYS 9EGISTSAED 32TE SQR9EI3 - i STBOCTQRIL PLANS 1 SEf OF ENERGZ CALCS. (CHECH iTITH HLDG DIV.) 1 86T OF SPECIFICATIONS 1 3Et OF F1iEAGI CALCS. 1 SET OF EPEAG! CALC3. MULTIPLE DiiELLINGS AENTAL DNITS FOR SALE D6IT3 1 OF ONITS iOTEt WDRFS3E4 FOA CORIPER LOT3 - COATRIC'!OA/HOMEOiiNEA lWST DE4IGNATE i1HICH IDDAESS IS DFSIAED. 80 CBAtiGFS iiILL BE lLLOiIED ONCE HOII.DING PERMIT IS I33DED.. SEHER 6 iiATEA PERMIT FEES lAD 1CCOIINT DEP06IT l6FS idILL BE IIiCLIIDED BITH iHE HOILDINfi PE[IHIT FEE. PROCESSING TIME FOR SEWER lAD IiATER PEAHITS IS Ti10 DAYS ONCE A PERMIT H?S BEEA COMPLETED INDICATING A LICENSED PLOlBEB. PENALTY APPLIFS 6JHEN= PERMIT IS NOT PAIO FOR IN SAME MOPITH IT IS REpUESTED. / LOT CAANGE IS REQ[JESTED ONCE PERM7T ZS ISSUED. t FouNcA-noN ONLY lDc--)QlyllT 1 \ To Be Used For: vAk~£ ADb)T~~N YaluationJ Date: ~kS 31te Address 'Y~.% t~o,,~n~,L ~r,?e. OFFICE 0.5B ON1.T Lot Bloek ~ Occupaney FFS - Zoning Parcel/Sub CE'pkV, Geovc ZuD _ Actual Const Bldg. Permit Allon+able Sureharge pwmer 1 of stories Plan Reviev Length Iz' SAC, City Address Depth SAC, MWCC S.F. Total Aater Conn City/Zip Code Footprint S.F. Water Heter Acet. Deposit Pbone on aite aexage S/x Permit On aite xell S/H Surcharge ConEractor NWCC 3yatem _ Treatment P1. Citq vater _ Road Unit Address PAV required _ Park Ded. Booster Pump _ Copies • 5-0 City/Z1p Code sUBTOTkL LPPAOVAL3 Penaltq Phone Planner _ TOTAL Couneil lrch./Engr. Bldg. Off. liariance Address City/Zip Code Phone # i / , '4K J S V M Q~ ~ Q . - a*o 3'2 s ~ ~ . ~ cN ~ , ' J .~.~•+p .l~q ,~ro,Q `v~ x ' 9 ti8S -hSh ~ 'CxIS.S 'Gw a a ~uo~sP~S °rb'efy 716 kvr+ouI7 c x ~Y x x x X x ~ CAarn l..nA ~hcG . , `1 ~a ~l 5, .S o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION kelklce-# ~2 -13 CITY OF EAGAN F 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ 651-675-5675 JAN i ~ 2005 Please complete for modifications to existing residential dwellings. Date Site Street Addresso- /F/U ? D r J.~2 unic # Property Owner )V"f/(~ JIq ~~a2L, zLz~ Telephone # 3' - • ~ Contractor ( .z4vYJ~/D/O 7eA~7 Telephone# (9'.~a) T9y- Address Z:3a~ 1?" City State-Z224-) 2ip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 518" meter is required) Other: kWater Softener _ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply 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 not a permit, but only an application for a permit, work is not to start without a permit and work will be ' accordance wit the approved plan in the eve t a plan is required to be reviewed and approved. ApplicanYs Printed Name T Appli anYs Signature I ' öïö ó ü û ýüü ûúùûúú øüü úþóøüý ð ñ ë â þý ýüö úùø÷í õ ùø÷Þô ý ÷í Üýý ÷ é éýýú à ýû ü ý÷ û ü áÿ ýøì é ïøéëÞ àü éíèß÷ äçÿçÿÿ õø äçáçá ôóò öñð ÷÷ ò ÝøñÛ ïøéëçÞáâ ý à ü àÞ èâæÿââ úø ô ë ý ÷÷ ý ê é ý é÷øô ÷÷ ú êàý ý ðøêü ì ýç ÷÷ ó é ýýø PERMIT City of Eagan Permit Type:Building Permit Number:EA116079 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 4296 Sandstone Dr Lot:24 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-240 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder, flat bar and printed pictures of ice and water protection. Carbon monoxide detectors are required by law in ALL single family homes . Angie Olson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Joyce Ann Goetzke 4296 Sandstone Dr Eagan MN 55122 (651) 454-5846 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135824 Date Issued:04/06/2016 Permit Category:ePermit Site Address: 4296 Sandstone Dr Lot:24 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-240 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Joyce Ann Goetzke 4296 Sandstone Dr Eagan MN 55122 (651) 454-5846 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154847 Date Issued:04/16/2019 Permit Category:ePermit Site Address: 4296 Sandstone Dr Lot:24 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Joyce Ann Goetzke 4296 Sandstone Dr Eagan MN 55122 (651) 454-5846 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature