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4332 Sandstone Dr Permit No. Permit Holder Misc. Permit No. Holder • [WEIrtor ~ O'np. SNr Elsetrie !tl 3 57Z7 'o~ Fa~~ eK ( -Z''~Z IrWection Date Insp. Other Footingt ~ Foundation ~ n rominp 2 . - Rouyh Plbq. Rouyh HVA Inwlation Flnal Plbs Finai HVAC Flnal - ~ ~ Water Doscribe Location: IMell Sswer Pr. Dbp. CITY OF EAGAN 3795 PIlet Kwob Rwd Eayew, MN ssls! PHONEs 454-8100 BUILDING PERMIT tteceipr # To be wed Mr Est. Vclue Date 19 Site Addreu Erect 0 Octupanq Lot Block Sec/Sub. /11ter 0 Zoning parcel # Repoir ? Firc Zone Enlarpe O TYpe of Const. W NO^1° Move ? ~t StoNes z Addmss Demolish ? Length Ci pf,one Grode p Depth Sq. Ft. p Nome Approvals Fees Address Assessmenf Permit ~ Ci p~e Woter b Sew. Surchorye Police Plan check r~ FZ Name Fin SAC XIlddrosa Enp. Woter Conn. i W Ci Phons Planner Woter Meter Council Road Unit 1 hereby acknowledga thot I hove reod this opplicotion ond stote thot Bldy. Off. the information is torrect and ogree to tomply with oll opplicoble State of Minntsota Stututes and City of Eogan Ordinonces. APC Total Slpnature of Permittee A Building Pertnit is issued to: on the express coridition ilxar oil work sholl be done in occordonce with oll applioable Stote of Minnesoto Stntutea and Ciry of Eagen Ordinonces. Buildlrp Offitial CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GR1VE #4 Lot 13 BIk 3 Parcel 10 16703 130 03 Owner~~-," ~E~ f+'~t.L-. eu Street 4332 Sandstone Irive State ~4~, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. RAS 1985 1266.95 84.46 15 STREET RESTOR. GRAOING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK i~ requesi~void Th ' ~jjz L13t l3 3, C'EA4-6rovE qf~ 3f la4 / 18 months fmm V 35727 zz"ao Papuest D2te Fire No. Req ired7 nsuer,tion ~qeadY Now Q WiII Notify, Inspec- d ~ oVes ?No tor When ReadY licens d Elec[rical Contractor I hereby requasl insuection of abova ? Owner ' elechicel wark installed et: Street Address, 8ox or Route No. 1 Citv Z N ecuon o. Township Name o. No. Hange o. County C Occapant(PRINT} Phone No. ~ Power Suppliar Address . ~ _ Electncal Convactor (ComVany Name) Con[ractor's Licr;nse No. ~ e~'-.7Y C' NPG 1? ~ S Mailing AdJress,ICOntractor or Owner Mekine lnstailation) l S .v Z uthorized ignawre ICOnttact r Owner king Ins[allationl Phone Number '~36- d 6 MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT Gripgs-Midwey Bltlg. - Noom N-181 ' BE ACCEPTED BV THE STATE BOANU 1621 UnivarsityAVe., St Paul, MN 55104 UNLESS PflOPER INSPEGTION FEE IS IRt11 ENCLOSEO. el...... 7 G7 '1111 REQUEST FOR ELECTRICAL INSPECTION ,r„ EB-00001-03 ' See inslructions for completina this torm on back ot yellow copy. ~727 „ 2 ~ "X" Below Work Covered by This Request :31 & R N Md fleG. TYpe of Buildiny Appliances Wiretl Equipment Wiretl Home Range Temporary Service Duplex Wa[er Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercizl Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ot er Oeci y the,r (SOer,ityl t nr Spec~ v Ot er Offior Compute lnspection Fee Below # Fee ServiceEntranceSize k Fee Feeders/Sabfeaders k Fee Circuits 0 to100qms 0 to30Ams D 0 to30Ams 101 to 2 0 qrpp 37 to 100 Amps 31 to 100 Am . ave Above 700_Amps Above 100_Amps i1r r r' RemotaControl Circ. eD Partial/Other Fee SI gns $pec ~ia l I nspect ion $ e~v~ S~ TOT Remarks I ~ RouAh-in a[/ o 1. the al Inspectaq hereby ~ ~ -y ~ certify at ihe'ehove Final . ~~?I4~i~ ' ection has been b ~ea. This repuest void 18 months fiom ~ FUse ~ Pertnit # F70 9,21, ~ City of Eap I ~ I Permit Fee: ~ 3830 Pilot Knob Road EagBn MN 55122 I Date Received: ~ j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /U -014-a SiteAddress: Tenant: Suite A: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: . _ Owner _ Contractor TYPE OF WORK Description of work: rMl~-t- 'f- 5i d' N~ Construction Cost: Multi-Family Building: (Yes No __jCONTRACTOR Name: _,G' L-and *jme ~a._ License C~ 0/6 1;L Address: S J • L°i citY: riDr LAeP State:'/Y//) Zip: ~3-/02 Phone: ontact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Worksheet Category Submitled Su6mitled (4 submission type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a permit for a simllar 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 supporting documenls that you submif are considered to be pu6lic information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to condudethat.the are trade secrets. 1 hereby acknowledge that this information is complete and accurate; that ihe work will be in confortnance 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 withoN a permit; that the work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plans. x X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 EAGAN TOVI/N.c H i!' No 761 BUILDING PERMIT ~ Owne: ~ &.e!.-`-f ..---w..!..., ~ £agan Town3hip Address (P=eseni) Town Hall Builder - - Date .t__........._._ . Address . . DESCt4IPTION ~ Sfories~ - To Be Used_For Froni Depih Heighi Esf. Cosi Permii Fee ~Remarks / ~4-S.-LGYL~l~S2.J %J d'o'O ---df LOCATION ~ ~ Sireef, Road or oiher Descr?piion of Locafian Loi ' F.lock I AddiS:on or-Trad__ ~ . . . ~ _ 8~ . ~ . ~ Z~~ S.~iJ~~ 4' - - . ~-This permit does not aulhorize the use of sireels, roads, alleys or sedewallcs nor does if give !he' owner or his ag^nf the righi !o creafe any siIUaiion whiCh is a nuisance or whicla aresenfs a hazur3 !o SLe heal!h, safefy, convenience and . ~ general weifaxe So anpone in the eommunify. . THIS ~PEAMIT MUST BE~ ygFP~. Olf / THE PRE~MISE WHILE THE WO$K IS IN PAOGRESS -.._unon This is fo aeriify. 3haf .~.,...~5?.'------. ..hae permission !o ereci a..-7--~'!'`e~! . . . the above described re~ }'se subjeJct fo ! rov.~s.~ons of ff:e Building Ordinance for Eagan Ta~anship7adop7=d F,ori( 11, 1955. ~_..":r.._~. ' Per . . . ~ . CEJ Chairmar. o Tnwn IIoard ~ Suilding Inspector , EAGAN TOWNSHiP xQ 1007 BUILDING PERMIT Ownex . _-::1'-/--.-'~.~.~._.~.'._:<`~r~J/ Eagan Township ~f ' ' Town Hall Address (Pzasen4) ......_~°".=.r - Builder .wL?.!-.~.E..------------------------------------------ Daie ' Address DESCRIPTION SSoriea To Se Used For Fron1 Deplh Heighl Esi. Cos! IPermif Fee Remaxks ~ yJ ~ ? ? LOCATION Sireel, Road or oiher Descripiion of Locafion Lo! Block Addition os TracS 11~ A---? 3 ;ZZ- `~Z This permil does nof aulhosize the use of slreeis, roada, alleps or sidewalks nor does ii give the owner or his agen2 the righS Yo creale any si3uafion which is a nuisanae or whieh presenis a haaard !o the healih, satety, convenience and general welfara !o anyone in the eommunity. THIS PEAMIT MUST BE KEPT ON TI3E PREMISE WHILE THE WORK I5 IN PROGRE . ~ This is Yo ceriify, 2hai---- -<~..has permission io eiec! a........ . the above desaribed premise subjec! !o the provisions of the Building Ordinanee for gan Tovinahip adopled April 11, 1955. F Al . ~ F . ?C :r ~ ~ / - " Per - tL..C ~ .........._'H--....._.'._.'.'._....__..............__"..._. Chairman of Tnwn Soard ~ Building InsPealor CITY OF EAGAN _ 3795 Ptbt Knob Road [agan, MN 53122 N9 7458 ` PHONE: 454-8100 - BUICDING PERMIT Receipt # -~X Te M wad ferApD FAMILY ROOM Esr. Value $16,000 pate August 19 _l9 82 Site Address 4332 SandstonP Drive Erect p Occupanq R-3 Lot 13 Blxk 3 Sec/Sub.CEdBY GYOVe 4th ql}er 0 Ze~ing R-1 parcel # 10 16703 130 03 Repair ? Fire Zorre NA Enloree M Type of Const. Vn W Nam MertOri & PattY Horne Move ? # Stories z Addrea 4332 Sandstone Drive Demolish ? Length 16 Ci aan 55122 phom 452-2887 Grode ? DepthZZ Sq. Ft.- ~ Nome Rt?liahle [bnst. Approrals Fees 0 Addreu 2134 Legion I.drie Assessment Permit 116.50 Cit Tati F'Q ~~mo Phone. 770-3156 Water&Sew. SurcFarge 8.00 Police Plon check 58_25 tw Name Flre $AC NA Addrem Eng. Woter Conn. NA ~W Ci phom Plonner WaterMeter NA Council Rood Unit Nn I hereby otkrwwledge thot I hove read this opplitotion ond state that Bldg. Off. the inlormation is torrect and agree to comply with oll opplicoble APC Tofal $1$2.75 State of Minnesota Statutes a~n/d, ~CJity /Qf gan Ordirwnces. SiBnoture of Permittee ! ~ A Building Pertnit is 75sued to~-~ Reliable (.bIIB CL10T1 on the exDress Conditlon Ihnt oll work sholi be done in eccordonCe ith ell a0V b/ of Minneto atufes ond City ol Eapnn Ordirqntes. Buildirp Officiot CITY OF EAGAN ' Include 2 sets of plans, 1 site plan w/elevations & BUILDING PII2MIT APPLICATION 1 set of energy calculations. 'Ib Be Used For ~ r TAm~~ ~aoa~t Vdluation litiao, D3t2 ~ Site Pddress: 433,) bi`: V~-' OFFICE USE ONLY not 13 Bloclc ,3 sec./Sub. Cedac- 6caut Erecr occui,ancY Parcel 1 0 l30 o-j, Alter Zoning Repair Fire Zox~ Owner: Ac2To~o -r ~arrv I~orzN~ Enlarge v Type of Const. , Nbve # Stories Pddress: 1/33 a S'a"a.s row- Delmlish Fmnt ft. City/Zip Code: ~Aj q AJ SS/a ~ Grade Depth ft. Phone yS_~2 7 APPROVALS FEES Contsactor: / t L//-/ /3c L" C'a~s Assessments Permit Address: Water/Sewer Surcharge Police Plan Check ~ City/Zip Code: lra,tL- _FLmv S.SOS/-LFire SAC Phone # : 7 7 -3 En4 • Water Conn. elflAo Planner Water Meter Council , Road Unit ,Q-- ~~.~g.: Bldg. Off. . . _ Address: P.PC City/Zip Code: Phone TOTAL ~ ~E-2. `7 S ~ ~ k~- sE ~l`Q4 d n ~c C rv, D (Z ~ . Q? 5 R°%r ~I I F ~ ~ . . ~t~G- i ~ o~ I nS /,O)\ l~/ v+n 2f ~ t-r r - ~ ~ ~GO~' O~ ~PSI q y~ , s JPv~ p 1 ~ ~i?r ~ ~ o ~ _ :E. . ;i`. ; ~ , F- }r.--~r No~'NE ' r,~ 1- , , . ~ . 13LE CO/?sT~Pt~CT:iO' y ii._ .C . ~ ~ ~ ~ ~ . . . ~ . : . ! _ ~ . ! . ~ ~O/G/~ ~~i-'•~')Jiiis. .~i~J . . ~ . ~ . . - ~ . .'^T %.`~X PtHVteR ' . . . . . . . . . . ._.L . . 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' - . . . ~ . . , : I . . ; - . , . , r_.. ~ . . . ~ . + . i ' I ----------i i F~~ c5r~ce use l Clty of Ea~an j Pertnit# CIC1 ~ j I I Permit Fee: 3830 Pilot Knob Road I Eag2n MN 55122 I Date Received: ~ Phone: (657) 675-5675 ~ I Fax: (657) 675-5694 i Staff: i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: + 0 1 Site Address: ~f 57;'y S"`lCe SArn<. D~- Tenant: Suite#: RESIDENT / OWNER Name: 11G), Phone: Address/CitylZip: Applicant is: _ Owner -xContractor TYPE OF WORK Description of work: ~~S'!-~JIJ~ ~,e 5 re ss w~~`~o bus2 J Construction Cost Multi-Family Building: (Yes No CONTRACTOR Name: L-a4 Lf~.t> 4o,n,, C,~~rni~•r~ License#: 2- 6I5ZIS6 Address: 55+1 Y 5)zc, ?e N4~7 City: 2-1c"- f~KQ State:lM^f Zip: 55 37Z ~ Phone: GI SZ 3g3~ Contact Person: COMPLETE 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 submission type) • Energy Envelope Calculations Submitted In the last 72 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 Plumber: Phone: Mechanical Contractor: Phone: Sewer 8. Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to 6e public informafion. Portions of fhe information may be classifed as non-public if you provide specific reasons thaf woufd permit fhe City to condude thai the are trade secrets. I hereby acknowledge [hat this information is complete and accurate; that the work will be in c nfortn ce 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 wor is not sta ithout a percnit; that the work will be in accordance with the app oved plan in the case of work which requires a review and approval plan ~ x 1 I vn (J .G11`ti x ApplicanYs Printed Nam ApplicanY igna ur Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4332 Sandstone Dr Lot: 13 Block: 3 Addition: Cedar Grove 4th PID:10- 16703 - 130 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Window Store LLC 9909 S Shore Dr Suite 270 Plymouth MN 55441 (763) 412 -4280 Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Expired Permit - Closed w/o Required Inspections. Letter sent to homeowner & contractor 1/15/09 pf A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Richard W Hlebasko 4332 Sandstone Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA082658 04/21/2008 ePermit Smoke detectors are 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 City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 v5 L0 RECEIVED SEP 0 8 2016 r Use BLUE or BLACK Ink For Office Use Permit #: 13 a G (tO tO Permit Fee: -7 b' Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l -c)-)147 Site Address: kA"9", SCi1cy-N S-ot‘ e V Xc Unit #: Resident/ Owner Name: Vi .‘�yCitc-r\ 3o v n& \ e o ' - Address / City / Zip: L\3 Applicant is: Owner >5' Contractor J Description of work: recw_xy-, cncNc\ rev\oiC Construction Cost: \ L��� Multi -Family Building: (Yes / No ) Company: irk � 'E\e C\cY s Contact: ‘N10c1SU'(1 Address:SOV\ icc,`k.S City: i5tiS1\`u`Cl State:Mc\ Zip: SSLtdb Phone: "I' ' 1-\((t- Email: \CCUDOSC>t1 . :‘ C cp0A\ CAi0-) License #: bccoicS (c, L( Lead Certificate #: If the project is exempt from lead certification, please explain why: 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? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o; the information may be classified as non-public if you provide a secrets. rea ons<>lhat would p emit :the Cath #o conclude that the arc trade 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.qopherstateonecall.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 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 Cod = must be completed within 180 days of permit issuance. x `1 C \CX\SU ( Applicant's Printed Name x Applican ignatur Page 1 of 3