4315 Sandstone Dr
PERMIT # ZZL
PLUMBING PERMIT RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE I r . PHONE: 454-0100
Site Address ~ BLpG. TYPE WOFiK DESCRIPTION
Lot { Block Sec/Sub Res. New
Mult. Add-on
~ Name ` - Cornrn. Repair _Y
~ Address N~ Other
c City Phone ° -t Z RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOSAL
Water Closet - $3.00 $
Name - Bath Tubs - $3.00
3 Address `i ~ i,' Lavatory -$3.00
O City Phone Shower -$3,00
Kitchen Sink - $3.00
FEES Urina4! Bidet - $3.40
GOMM/INd FEE -1% OF CONTRACT FEE Laundry Tray -$3.Od
APT. BLDGS - CQMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDQ - flES. RATE APPUES -~Water Heater - $1.50 V, L'
MINIMUM - RESIDENTIAL FEE - ~ Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURGHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000,00) Well - $10.00
j Private Disp. - $10.00
Rough Openings - $1.50
SI'GNATUR MI*EE~r f y FEE:
STATE S/C:~
FOR: CITY OF EAGAN G R A N D TdTAL:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Nurnber:
Eagan, Minnesota 55123 Date Issued: j,
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
-
INSPECTION .
F
L
-
Permft No. Permit Holder Oste Telephvrti #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecHon Date Inap. Comments
FoOtings I
Foundation
Freming
Roofing
Rough Plbg-
Rough Htg.
Isul. 0&0 4E
Fireplaoe
Final Htg. ~ 7 y
Orsat Test
Flnal Plbg. Plbg. Irapector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
_ ~ -
PLUMBING PERMIT PERMIT #
RECEIPT 1#
CIT~I OF tA6AN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRtCE: PHONE: 454-8100
Site Ad r ss 44 l I~-` r fl r f . S BLDG. TYPE WORK DESCRIPTION
lot B k Sec/Su Res. New
/mult. Add-on
~ Name C a- - ~ Comm. Repair
d
~n Address ` Other
c Ciry RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
. I I . k AV NO. FIXTURES TOTAL
Name Water Closet -$3 00 $
4) Bath Tubs - $3.00
3 Address - ' £ avatory
- $3.00
p City f Ph hower -$3.00
i?chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CO TRACT F E Laundry Tray -$3.00
APT. BLDGS - CDMM RATE PPLIE l(~ Floor Drains -$1.50
TOWNHOUSE 8 CONDO - ES. RA L -1-Water Heater -$1 50
MINIMUM - RESiDENTIAL F 1.00 Whirlpool - S3.00
MINIMUM - COMM/IND FE .b0 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PE 1 - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRIC OES . Softener -$5.00
BEYOND $1,00p.00) Well - $10.00
; Pnvate Disp. - $10.00
Rough Openings - $1.50
SINATURE f] EE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• I-~ ~
CITY OF EAGAN Remarks Cedar Grove Acquisition
Addition CPdar GxX'nV8 #2 Lot 18 84k -5 Pasce4 1 n 16701 1 n nK
Owner_1.1 st~~c 4315 5andstone Dr. State Eagan,N1N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 IA.oo 2.1 2
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 0 y 1 .
BUILdING PER.
SAC PARK
. ~ 2000 FIREPLACE PERMIT APPLICATiON
5 ~ CITY OF EAGAN bo. 50
3830 PILOT KNOB ROAD - 55122
651 681-4675
1
Date: LI)o
Description of Work: L"I Construct reewWce ----'Gas _Masonry Alterations to existing
_ Install gos insert onlv Install eas line onlY
Other
Job address: `-7' vt. ~Y'% jZ cC?,
Lot: Block: 5 Subdivision/P.i.n. CAdr GroYrj#~
Applicant (circle one only): Owner Contractor Permit Fee: S60.50
~
Name: Phone 7511- 7729
PROPERTY Last First
OWNER Street Address:
City ~ State: Zip:
dn #
Company: P
(area code)
FTREPLACE
IllItl a
INSTALLER Street Address: CJ
city tdA V'o S f/i 'J~ p 4tate: ~ zip: SS3-~~
Campany; Phone
(azea code)
GA5 LINE e,
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and state that the information is conect and agree to
comply with all applicable State of Minnesota Statute and City f Eagan Ordinances.
t '
Signature
I~ECF_rVpD
?vo u o 2 Zooo
BY;
.
UFFICE USE ONLY
BUILDING PERNIIT TYPE
? 16 Fireplace
WORK TYPE O 31 New O 33 Alterations ? 39 Gas Line ? 41 Wood Stove
0 32 Addition O 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS '
Chimney/flue must be inspected before concealing.
EA?GAN TOWNSHI P Nc 441
BIDIL Nls PERMIT
Owne~_ . . - - - Eagan Township
Address (presenS . . . . .....('Y!! Town Ha11
Suilder .
~
Address
D
DESCAIPTION
5laries ~ To Be Used For Fxon3 Depih Height Esf. Cosermif Fee Remarks
D,
LOCATION ~
SlreeY, Aaad qf/other Descripiioa af Localion I Lo3 Block Ad ifion os Traci
,~i~~~~~?:~~ z ~T.r d ~
This parmif dces noY aulhoriae ihe use oi sireais, roads, alleps or sidewalks nor does it give !he owner or his agen3
Yhe righlfo creale any siiua3fion which is a nuisance or which presenSs a hazard fo fhe healSh, safely, convenience and
general welfaxe io anyone in She communfiiy.
THIS PEAMIT MUST~~P~ ON T E
J~ WIiILE THE WORK IS IN PROG ESS - - .
This is io cerlify. Yh - ~ ~ ._._._._haspermission !o erect _...r.. ...._upoe
!he above described premise subjec4 !o ihe provisior.s of !he Bui1d"a OrBfnance f n adopled April 11,
1955.
~ -r...... . - ----------nsP cYOr
Chair m a-.n _ of . . . Town - Soard Pe - ` I.
r : PERMIT
'CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number.
(612) 681-4675 Date Issued: 9 3
SITE ADDRESS:
=!3t5 541!`lUSTU~i~ DR
LOf: 18 l',LOCK: l5
CFUb?it 'D!U
147--1ci70 1 -1.P,0--05
DESCRIPTION:
. , szoi:n!r>/rR zricuT-rFks
..,Bi.ll Itjj4'10 P C.Y'II111. I j'p:3
B uildii'g, 'Work Type ALTERAI"ION
REMARKS:
FEE SUMMARY:
vA I uA'rtoN
H,,4~ , e~= .~„C,
u 1- c n I- g ~ - - ~-`i _._v, 0
To ta. t Fp f> -$1.03 . 00
G~
CONTRACTOR: - r~ n p i i ca n t; - ~;r. t- I. cOWNER:
tii°.s?Er•.n! ReMoDEIANG 16ns~i.n11 mooa8W hELsTOn ur,v,f
?S2@ UJ LARPE~II-fUR ~431b Sf1Pl11Si0I"`
ST PAUL MP! 55:1..1.~ EAGAN MPI
(672) u4'~-1411
T h erettv a cbnowl°~<ioe th?T. T 1'.av; r: a d ;.h[c ppl~r.at.. an r.ri rl tl7 n'for-inet.:oti ts cc ; r~cL s,' w'r.Pi f) 1,~c'•~
1Y.rtutQS -.~d Ci_T_,r oi [ay,j n Ordi
L
PLICANT/PEFMITEE SIGNATURE ISSUE Y: I NA URE
REACTIVATL CITY OF EAGAN O3• OO
PEw,tIT 1 1993 BUILDING PERMIT APPLICATION
681-4675
y
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.
Penalty 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 Valuation of work - C
Site Address:
STREET SU1TE N
Tenant Name: (commercial only)
P.I.D. 1f
IAT ~ BIACK A SUBD. ,
Descri tion of work: 1
The applicant is: Owner. ~ Contractor 0 her (Descri6e)
Name Phone
Property LAST FIRST
Owner Address ~-l3 /3 ~n
~ STREET STE #
City State Zip
Company Phone L Y) Z
Contractor Address kicen2 2 Exp
Citx_Ace'State Zip
Company Phone
ArchitecU
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: - -
~ ,
OFFICE USE ONLY
BUiLDING PERMIT TYPE
? 01 Foundation ? 06 Du lex ? 11 A t. Lodgin
p p/ g 16~BasefflM Finish
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace E3 19 Comm./Ind. Misc.
? 05 Sf Misc. 0 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE -
? 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
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 Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile 0 Fireplace
Permit Fee veims;a,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter '
Acct. Deposit '
S/W Permit
S/W Surcharge
Treatment Pl:
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
< <u
CLAIpt VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT gOEDEKER
ADDRESS 2905 GARFIELD AVENUE SOUTH
MINNEAPOLIS MN 55408
LOGatiOn .4115 SANDSThNF. DRIVE . '
. T 18, RSr.F.i]AR (:ROVF. 2ND Receipt No./Date 97467-6/13/90
Reason for Refund DUETTrerp pERMIT
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 12.00
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 $
Utility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $ 12.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
,NNE 20, 1990
Signature Date
EACAN TOV1/N S 1-I I P
N°. 1351
BUILDING PERMIT
Ownex Eagan Township
Address (Present) ....T..~I~--- Town Xall
Builder 17 - - Q/ 'I r
DaSe
Addzess .
DESCRIPTION ~
6tories To Be Used Fos Froni Deplh Heighi EsS. Cosi Permit Fae Remarks
~e,-~t.-
LOCATION ~
Sireel, Road or other DescripYion of Loealion I La2 Elack ' Addifion or Tracf
S C' ~8 0 z-
T'his permit does nof auihorise the use of sireeis, roads, alleys or sidewalks nar does it give the owner os his agen2
ffie righi !o areaie any silualian whieh is a nuisanoe or which preseats a hazard to the healih, safefy, eonvenieace and
general welfase !o anyone in the communiip.
THIS PERMTT MUST SE KEPT ON. yTDHE PR/E~M~ISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlify, lhat../Y.fZb----....~d-................. has permissioa to ereet a----- ~ • • - - - - ----------upoa
the above descrihed premise subjec! !o the psovisioas of the Building Ordinanee for Ean Toip Tadopfed April 11,
1955. /~n
.:'.:...-'-'-.A_/~•r-T-'.............. Per - .(l~!~.f~.~....~R..--~'
Chairman of Tnwn Board Buildin Ins eclor
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RESIDENT / OWNER
Name: Dare r1 1-k.Q,+S h'im Phone: (06)- q61-1 477g
Address / City / Zip: (131'5 Q Sh lC Dr I ve 1 6 tI 1 66 /1-2—
CONTRACTOR
Name: Appliance Connections Inc License #: '\\
1313DanitaCr
Address:
Shakopee, MN 55379
C ity: 952- 445 .. Mate: Zip:
-4803
Phone: — Contact Person:
TYPE OF WORK
_ New , Replacement Repair Rebuild Modify Space Work in R 0 ` ^,/
_ _ _
Descri•tion of work:
PERMIT TYPE
RESIDENTIAL.
Water Heater 4 —Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / _ PVB) ( Main Lowg( Level)
Septic System Water Turnaround
New.
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
550.50 Add Plumbing Fixtures,
'Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State S urcharge)
Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
(add $136.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
' TOTAL FFFs S 6-0 •
4 11) City of Eagan
2 �J i 2 n 1 l 008 RESIDENTIAL PLUMBING ItERMIT'Ap_PLICATION
Date: ✓' I v V Site Address; J5 Sai't'1ts4- 1rt' - D.((ve-
Tenant: 'Dawn P2 \*ori\
I hereby acknowledge that this information is conkplete and accurate; that the work will be in conformance with the ordinances and codes of the C:) .i
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 wiu De
accordance with the approved plan in the case of work which requires a review and approval of plans.
Xa I R ' P p \-
Applicant's Printed Name
FOR OFFICE USE
3830 Pilot Knob Road
Eagan MN 55122 f
Phone: (651) 675 -5675
Fax: (651) 675 -5694
a
$ 'Applicant's S nature
Suite #:
Reviewed By:'
Date:
1
Required Inspections: Under. Ground _ Rough -In Air Test _ ,_Gas Test Final
Permit #: q 61/
Permit Fee: P
.Date Received: I
Staff:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4315 Sandstone Dr
Lot: 18 Block: 5 Addition: Cedar Grove 2nd
PID:10- 16701 - 180 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Dawn C Helstrom
4315 Sandstone Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086129
09/16/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115983
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 4315 Sandstone Dr
Lot:18 Block: 5 Addition: Cedar Grove 2nd
PID:10-16701-05-180
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 and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
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 -
Dawn C Helstrom
4315 Sandstone Dr
Eagan MN 55122
(651) 454-4778
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature