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
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----------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