The URL can be used to link to this page

4344 Sandstone Dr ~ CITY OF EAGAN ~T ' 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 ir ~ 9144 PHONE: 4548100 BUILDING PERMIT 2ece~pt # Te w w~d foe RF.-ROOFING Est. Value .`,'1.C~U0 Date JU~~ 21 , ~q 84 Site Address 4~44 SAIdD$TOZ1E Erect ? Occuponcy Lot L10 glock Q3 Sec/Sub. GF'i)Ait GROVF G Alter Zor?iny Parcel No. 10-16703-110-03 Repoir p Firc Zone PiA E~lorye ? Type of Const. W Neme MG PHERSON Move p # Stories ~ Address 4'~44 St~xnSTO*'F pemolish Q Length City EAGAN Phone Grode ? Depth Sq. Ft. ZO Neme RILM$ Approvols F~1 . S(1 O" Address Assessment Permit u~ City Phone Wate~ S Sew. Surchorpe • 5~~ Police Plan check ~W Neme Firo SAC Address Er~y, Woter Conn. ~ W City Phone p~a~~~ Wuter Meter Councll Rood Unit I hereby ocknowledge that I hove reod this opplicotion ond state that Bldp. Off. fhe information is Correct and ogree to compiy wlth oll oppllcable , 7n Stote of Minnesoto Stotutes and City of Eaflan Ordincnces. APC Total S{pnoturc of Permittee A Bullding Permit Is issued to: o~ the exp~ss co~dido~ thni all work sholl be done u~_ acmrdpnc~q' •~o ~~ote of Minnesoto Stotutes and City of Eopcn Ordinances. Buildinp Offitiol f `a~'~ ' , ~'`~pl~ Psrmit No. Permit Holder Misc. Permit No. Holder Piumbing H.V.A.C. Weil Water Disp. Sawer Electrie Iropection Dste In:p. Other Footinys Foundation ~ Framing ' Rouph Plbq. i Rouph HVAC ' Inwlation i Final Plb¢ Final HVAC Finel ~ WaMr Dsscriba Location: YVell Sewer Pr. Dhp. CITY OF EAGAN Remarks * ~-'~~Y'_~rOVB-ACL~13~S~iOt! Addition G~ #4 Lot 11 R~k 3 Parcel 10 16703 110 03 Owner " ` f' - f.. i,' ~ 1 Street 4344 Sandst~ne Drive State~a~anr MN 55122 s.' i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ SEWERLATERAL 1972 1,304.00 52.1.6 25 ~a,'i~(/ WATERMAIN * WATER LATERAL 197Z WATER AREA STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r' 3830 Pilot Knob Road Permit Number: ~''Rp9~ Eagan, Minnesota 55122-1897 Date Issued: ~ . • (612) 681-4fi75 SITE ADDRESS: ~ F, i ~ ~ ~ ~ APPLICANT: ~i~i ~,~1Nf1yTON~E" ~f~ ~~~~,r~i; i~ ~.:1t ? ul MtJ tN~ ! I IIttiI' 4~I'll'~'1 ~1 I i~ t~. I. ) " 1 + ~ 'H PERMIT SUBTYPE: TYPE OF WORK: ! c ar r~ ~ ; f t~ A T t~ . „ . i~ r1!9 1 PIs~ t t r~~i i ~ ft~M~lk~: : J 0 1 N~i ~~~~FF 1 t i n',~ 1 r~, i t~ ~ P~ i ~ E . ~,~~i ir~•,~~~~i~ I ~ L~ ~ Permft No. Pertnit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Oate Insp. Comments FOOT7NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST I BLDG FINAL 'I BSMT R.I. II BSMT FINAL ! I OECK FfG ~~crK ; !~~fiU_ ~ ~ II ` ' ' I ~ _ _ . ~~'=~G - - ~ I - I I ~ CITY OF EAGAN A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ .l, i~ 7 V ~ PHONE: 454-8100 BUILDING PERMIT Receipt # ~ 1~ To be used ~or ~~:CK Est. Value $1 0~~ Date ``~Y 1~ , is Site Add;Pss 4 3 4 4 SANI~STOiY i, DR Erect ? Occupancy Lot~ Block 3 SeclSub. ~`Z~V~? 4 Remodel ? 2oning Parcel No. Repair ? Type of Const. Addition ? No. Stories ~ Name :IOinl.~Rll [f.CPHERSOtv Move ? Length ~ Q = oemorsn ? oeptn a Address Int. Impr. ? Sq. Ft Ciry Phone 454-1772 ~nsta~~ O o Name Approvals Fees Address Assessment Permit ~ 2 5. 0 U City Phone Water 8~ Sew. Surcharge 1. 00 ~ ~ Police Plan Re~iew ~ = Name Fire SAC Address Eng. Water Conn. i W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. information is correct and agree to comply with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances. APC Pa~ks r' Var. Date Copies Signature of Permittee - ~ r~-~-~~• rl"l~~f'~.~~++--~ Total S26.00 A Building Permit is issued to: HOWARD NICPHERSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official , ~ ~ o C ~ $ 3 3 ~ ~o a s ~ g ~ ~ ~ ~ ~ ~ ~ o : ~ ~ ~ ~ : ~ g o ~ ~ ~ 3 ~ ~ a 9 ~ r o T~~ ~ s s~~~,~ ~ n Q n ~ 3~ o e a ~ • ~ d ~o - ~ J o ~ ~ ~ . _ e ~ 9 ~ ~ : ~ ~ ~ a ~ n ~ ~ ~ ~ 'X: X ~ _ EAGAN TOWtV S H I P a N. . .778 BUILDING PERMIT Ownes ~~'.•~-~I'~ti •J+~.'Zl.~.:~!-.(:-•.~a~rA-:--- w ~ Eagan Township ~ ` Address (presen2) -~-••-••-~--~~j---. ~Y7!!~ ~ Town Hall Buiider ~ ~ r~? . Date ._lQ.'_'_ ~ Addr~ss • DESCRIPTION Slosi~~ To 8• Used For Froni Depth Heigh! Est. Cos3 Permi! Fee Remarks . ~ ~ LOCATION Stz~et, Road or othez Deacription of Location I Lo! Rlock Addiiion o= Trac2 ~ ~ . ~ This permit does ao! suthori:e ths use of street:, roads, alleys or sidemallcs nor does ii give !he owner or his agen! 3h~ righ! to cs~at~ any sf3ua3ion whfeh is a nuisance or which presents a hazard to !he healih, safety, convenience and general welfare !o anyone in !he eommpnitp. • THIS PERMIT MUST BE KE$ 'T ON THE PREMISE WHILE THE WORg IS IN-PROGRES~S. ' This is to c~rtifp, tha3.....L~_.:._~•...:~_:...-~Q.~••••• ................has germissioa to ereci a.••-•.:.~.Z...••••---••--.._......_.... ~........_.__upon ' !he ahore dascrfb~d semise iect Yo !he pr s ns o! the Building Ordinance for Eagan Township dopled April 11, 1955. ~ j~~ / . ~ . Par •4!.-----•••----•---...--------~-----~--~- Chairmaa ot Tnwn Board BuildinQ Inspecior CITY OF EAGAN ~T ~ ' ' 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 1~1 ~ 9194 ~ PHONE:454•8100 J BUILDING PERMIT rteceipt # ~ To E! YNA fOe RE-ROOFING . Est. Volue 51.000 Date JUNE 21 , ~q 84 Site Address 4~44 SANDSTONF Erect ? Occupancy Lot 11~ gbck~-SedSu6. ~'~1AR (;RO~ (y Alfer Zoning Parcel No. 10-16 703-1 1 0-n3 Repoir ? Ffre Zone NA Enlarge ? Type of Consf. rc Name 1`SG P$FRSON Move ? # Stories W ; Address 4'~44 SANiiST(INF DemoNsh ? Length b ~ity EAGAN Phone Gmde ? Depth Sq. Ft.- o Name ~~d Approvab Fees O~ Address Assessment Permit 17.50 u~ City Phone Woter & Sew. Surchorge - S~ F Police Plan check ww Name Fire SAC ~ u~ Address Enp. Water Conn. ~W City Phone plonner WaterMeter Council ~ Rood Unit 1 hereby acknowledqe thot I have reod this application and ttote thaf .`Bldg. Off. ~ the inb~motion is correcf and ogree ~o wmply with oll applicable ~ 18.~~ Sfate of Minnewfa Stotutes ond Ciry of Eagon Ordirwnces. -APC Totol Signufure of PermiMee A Building Permit is ue o: MR M(' PFjE$$ON on fha express condition thn~ all work shall be do in oc ardqrx ,~~tF~ all aDV~~~ble State of Minnewta Statures and Ciry o4 Eagon Ordinonces. Building Officiol yL ~ ' . ~ CITY OF EAGAN Include 2 sets o£ plans. - 1~/j~1 Certi£icate p£ Survey & BUILDING pE~IT pppLiCp, ~ r ~ 1 set of enPx~ cal.culations. ~~p O . U d Date ~ Zb Be Used For r~ Valuation site r,aaress:y ~ o~zcE us$ oru.Y Lot ~ Bloc]c 3 Sec./Sub. ~ ~'"~'av ~ Erect ~~lPan~Y f 1 0 - G? ~ter Zo~~J Parcel ~ I(n~ n~i ~ Repair Fire Zone d~, Enlarge ~pe of Const. Owner: ~ ~Z~J'~~ ~e # Stories Address J De~nlish _ EYOnt ft' Grade Depth ft. City/Zip Code: ~,'-~.15~ ~n-.,-i - - c' FEES Pho~ # : APPRDVAIS , U o--J'~ ` / Contractor: ~ ~ ~ ~t Assessments Permit LLf Water/Sewer Plran Check ^ ~ Address: ~ Police City/Zip Coc1e: 5~5' 3 3~ Fire S~ water Conn. Phane ~ 5-~ ~ Eng. Planner Water Meter Council Rnad Unit Arch•/Bzg•: Bldg. Off. Address: ~ City/Zip Code: ~ ~TAL Phone ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o r N ~ Eagan, Minnesota 55122-1897 Permit Number: 028093 (612) 681-4675 Date Issued: 0 6/ 2 7/ 9 6 SITE ADDRESS: 4344 SANDSTONE Dft LOT:. 11 BLOCK: 3 CEDAR GROVE 4TH P.I.N.: 10-16703-110-03 DESCRIPTION: ~uilding,~_Permit Type SF (MISC.) ~Building"~~rk 7ype REPAIR ,''~Gensus Code ~ 434 ALT. RESIDENTIAL , ` - r , w t , ;J: 3 r, " - ~ - s --~_,:b,_' "1-.. ~ i~x ~ ~ i`( S {i R ~ C ri1/ i!,~\ ~ a ~ l Y~i ; S ' ` ) t f ~ ` 1 j , F .='u-•-.,;~~M, REMARKS: SIDTNG SOFFIT FASCIA TRIM GUTTERS DOWNSPOUTS ~ FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 Surcliarge $5.50 Total Fee $180.25 CONTRACTOR: - Applicant - sT. ~zc.OWNER: PANELCRAFT OF MN INC 17216628 0002179 MCPHERSON HOWARD 3118 SNELLING flVE S 4344 SANDSTONE DR MINNEAPOLIS MN 55406 EAGAN MN 55122 (612) 721-6628 ' (612)454-1772 I hereby acknowledge that I have read this application and state that the i~formation is correct and agree to comply With all applicable State of Mn. Statutes and City of Eeg~n Ordinanaes. ' ~ ~ APPLICANT/PERMITEE SIGNATUFE ~ IS~ D B~l: SIG AT ~ ~ ~ CITY OF EAGAN ~ A~ o ~ 3830 PILOT KNOB RD - 55122 ~ ~ ~~1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruelion Reauirements RemodeUReoair Reauirements ? 3 regisfered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 sile surveys (ex[erior addkions & decks) ? 1 energy caleulations ? 7 energy calculation5 for heated additions ? 3 copies ot tree preservaNon plan H lol plafted after 7l1/93 required: _ Ves No ~f DATE: ~~2~ ~,~j ~`7 ~ CONSTRUCTION COST: I D ~-1 DESCRIPTION OF WORK: ~'L~rrD/GFi I~~S I~~ ~ SOFF/~~i ~C~G Q/ ~r,rn, gu.~e.rs ~ downspo~.~ts y~-~dsh~~D~. STREET ADDRESS: LOT BLOCK SUBD./P.I.D. ~Q`N?k ~ PROPERTY Name: M C~Yl e f"SDl7 r~ ~~'r`" ~ Phone ~ ~ OWNER uy3~ly~' ? ~.S~~17Qi ,./J ' Street Address: rl V~ ~~ry: 'Q Q~'l state: zip: S5/2'~a'- coN7RACTOR Company: ~/1-I'JO ~~Q~~ °F Phone 7a~'~~Z~ ~ob ~q Street Address: ~'~I I~ ~~'!~l I% l) Q`I s License a I 79 City: ltil/rtI?~L~~l(S State: f~ Zip: 5~~' ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I ha~e 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. ~ ^u~~ Signature of Applicant: - T ~ ~ OFFICE USE ONLY Ce~tificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY ~ F~ ~ .:.~3 BUILDING PERMIT TYPE ` ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = piex ? 15 Deck WORK TYPE ? 31 New ,o ~33 Alterations ? 36 Move 0 32 Additiori 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuat) Basement sq. ft. MCNVS System (Allowable) Main Ievel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # af Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ID, ~~7. w Surcharge Plan Review License MCNVS 5AC City SAC :^:ater ~orn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ~ so . a`> sAc 5AC Units CITY USE ONLY L ~ BL ~ RECEIPT#: SUBO. ~GY~ l.~Y~~~i ~ RECEIPTDATE: PERMIT# ~ ~ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT tINOH RD EAGAN, bPI 55122 O O 651-681-6675 Y _ , ~ ,~a~,~~ v , Please complete for. ? single famity dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIJRES EACH # TOTAL Atteretions to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.D0 x = $ Floor drain 3.D0 x = $ Gas pipin outlet ` minimum - ~ 3.00 x = $ Hot tub/spa 3.OD x = S Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ SB tiC SyStBftl newlrefurbished "requires MPC lic. 75.00 X = $ Septic S stem abandonment 30.00 x = $ RPZ new installationlrepairlrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construUion 3.00 x = $ Undergrou~d sprinkler rfexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener H existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 $ TOtal e> S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, e4c. - - • - 1 hereby acknowledge thal I have read this application, state that the inforrnation is correct, and agree lo comply with all applicable City of EaganoMinances. It is the applicanTs responsibility to notrfy the property owner that the City af Eagan assumes no liability for any damages caused by the City during ils normal operaiional and maintenance activities to the facililies constructed under this permd wkhin City property/right-of-wayleesement. SITE ADDRESS: ~~~Y~~~~ ~ ~ OWNER NAME: : ~G TELEPHONE ~L r"J ~ (AREA CODE) INSTALLER NAME: ~ I~ 1 TELEPHONE ~ ( CODE) STREETADDRESS: C~--~`~'1 I~1 1 n I~Y \~P ~fy+ ?'~C.Q C~Ty. STATE: ZIP~I.LL~L. T RE OF PER EE CITY OF EAGAN A~ e7 : 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1`1 ~ 117 I ~ PHONE: 454-8100 / ~ r~~- : BUILDING PERMIT Receiptp ,Tobeusedlor DECK Est.Value $1~500 Date ~Y ~'9 1g 86 SiteAddress 4344 SANDSTONE DR Erect ? Occupancy ~ot 11 siook 3 secisub. CEDAR GROVE 4 Remodel ? Zoning Parcel No. Repair ? Type ot Consl Addition ? No. Stories w Name HOWARD MCPHERSON Move ? Length 1 R . Z SAME Demotish ? Depth~- o Address Int Impr. ? Sq. Ft Ciry Phone 454-1772 Install ? a SA[ujE Approvale Fees o Name $Q Address Assessment Permit ~25.00 ~ City Phone Water 8 Sew. Surcharge 1. 0 0 ~ Q Police Plan Review F w Name Fire SAC ~ Address $ - Eng. Water Conn. z a W Ciry Phone Planner Water Meter ~ Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B~dg.Off. 5/14/86 Tf.PI. information is correct and agree to comply with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. APC PBrks Signature of Permittee ~L~~'~ Var. Date Copies 7otal $26.00 A euilding Permit is issued to: HOWARD HERSON on the express condition that ell work shall be done in ac r nce with all ap ~abl State of Minnesota Statutes and Ciry oi Eagan Ordinances. Building Otticial ~ ~ ~ ~ ~ ~ ~ " 1986 BOILDING PERNIIT APPLICATIOH - CTfY OF EAGAN AOTE: ALL C06TEACTORS MOST BE LICENSED WITH T~ CITY OF EAGAN SINGLE FA[~IILY DWELLINGS INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS MDLTIPLB DWELLIHGS - RESIDENTIAL RE.'NTAL DI~ITS FOH SiLE UNITS INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SORYSY - CHECg SiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS CO1~AfERCIAt INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANBSCA9E BOND r~v _ To Be Used For: C/L Valuation: Date: ~ / 9~ ~ Site Address ~,3 ~,q,UD57~y~' OFFICE DSE ONLY ~6R.f~, M,U ~r~z Lot ~ Block ~ Erect _ Occupancy Q~~ Aemodel Zoning Parcel/Sub /d`?u ~ Repair _ Type of Const ~ ~/1 ?1 Addition # of Stories Owne 1 q ~~{~i OTTE ~ E nsa Move _ Length 1~ Demolish Depth 1~ 9ddress [~L~y~ SL ,S ~QN~ sTa.vE /~,e. Int.Impr. _ Sq Ft Install City/23p Code /t/, M ~s/~ Phone / 7 ~2 APPHOVAIS FEES Contractor i,¢~ Assessments Permit 25 ~ Water/Sewer Sureharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg OffS Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone ~ HOTE: 6DDRESSES FOR CORNfiB LOTS - CONTRACTOR/HOMEOWNE6 lIOST DESIGNATE WHICH ADDRESS IS D&SIRBD. NO CHANGES iiIL.L BE A[.[.OTiED OACE BIIILDING FSRMIS IS I3SifED. ~gx/8 - 32y~~° 25~2 _ * ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4344 Sandstone Dr Lot: 11 Block: 3 PID:10- 16703 - 110 -03 Use: Description: Sub Type: e- Reroof Work Type: New 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 Addition: Cedar Grove 4th Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 $1.50 $90.00 Owner: Kristen McPherson - Blackwe 4344 Sandstone Dr Eagan MN 55122- -204 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA084408 07/17/2008 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 17,00-5C0„.. 1 5? L).5.?* Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: ri5`k9\ \ U ah Ras n -f D Applicant is: Owner Contractor Description of work: S i d d i r Construction Cost: Resident/ Owner Type of, Work Contractor Name: Address / City / Zip: qt -Vi Phone: c017-93,3-(.34-4 Multi -Family Building: (Yes / No ) Company: 4) Contact: Address: \15°I NA dO ()At( Cf City: 0C State: NIN Zip: 55122_Phone: License #: � WU/5`"°ILO 1-0 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.gopherstateonecall.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 Fode must be pompleted within 180 days of /permit issuan e. I xVn ' -el rd6 x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink ti4 For Office Use f '' '' p /�11-3,Z / ISI' City of Eaaall 11 Permit Fee. r!� ✓ J 3830 Pilot Knob Road Eagan MN 55122 Date Date Received: Phone:(651)675-5675 Fax: (651)675-5694 Staff: JUL 2j2017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 1 -1 -� -)C,3 t✓ 1-) Phone: (46. 1 ° "f` ` - ' 1-17 4. 1 Resident/ i Owner Address/City/Zip: 4344 '�f`-'rN.2 --T-ofJ --- P12-10 1 Applicant is: X Owner Contractor sf—I Type of Work Descrip ion of work: Construction Cost:��TT � ~ Mu/ti-Family Building:(Yes f No ) i Company: Contact: 5 I Address: 4i '✓ 1 City: '�" Contractor Ji°6�` I A 1 1 State: 1 �1�`Zip:;5✓'(2-Z Phone: till,Email: '-''''..::4-4"..!!":.4';',,14'• W..,.,. ---------- �t �' if ti i License#. Lead Certif #. J f � � � f,� �S. If the project is exempt from lead certification, please explain wh . igth 6�� - —,? 7C� , 1 - f OS t - - ----- -'... "NG In the last 12 m ins f I i Yes O52 21. — gKJ 31 'wog' Licensed Plum Mechanical Coy ( çi) 45 - 1772 x Sewer&Water : Fire Suppressil NOTE:Plan: ormatfon. Portions of the informs 71 old permit the City to CALL BEFORI /11-6V Vr-1 el'imk J "`'S ity damage. Call 48 hours before you intend t (J I hereby acknowlec - � lances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, ana work is not to start witnout d 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 be completed within 180 days of permit issuance. x WV3,rttj `t-J6Y—PAT x j Applicant's Printed Name Applicant's Sig, Page 1 of 3 yZig .. n4 -0,' NOT WRITE BELOW THIS LINE / / i s' APB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 10 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES _ New Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair - Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage _ Retaining Wall `Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation i 0'610 . '-' Occupancy a-Q C. -t MCES System Plan Review Code Edition ,yyy c 2 v I c SAC Units (25%_ 100% ) Zoning R l City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction •V 13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) _ $ Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice&Water __Final Pool:_Footings Air/Gas Tests _Final 10 Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath __Stone Lath _Brick '/ Insulation ,% Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control _ Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control — Other: Zeviewed By: Tavv\ (111: K I yA , Building Inspector tESIDENTIAL FEES 1; -I-CVtet1 12.einrlb Oe I Base Fee Surcharge ) 1 • ‘;," X 2.1'Y" : Z LE S q , Fe- Plan Review MCES SAC CV 2..0 . 0 Sq . p/— City City SAC ft cilAO Utility Connection Charge S&W Permit&Surcharge !' EA, (LL S 5 W i rt'D ow ' 3S.�''f Treatment Plant 2 • frD);' 9 1 ' c; o 2 sv 5 Copies vai /t,rzo�j ; ✓t 14-!;-jc\ c v. TOTAL .o y., of)o, Page 2 of 3 Use BLUE or BLACK Ink r For Office Use I ,[ City of Eagan Permit I'7 /S� Permit Fee: /R�- Ce 5 41.0 1 3830 Pilot Knob RoadRECEIVED ��11 Eagan MN 55122 Date Received: 0'3/' i 7 Phone: (651)675-5675 AUG buildinninspections(a�cityofeagan.com { �17 Staff: 7 _ • 2017 RESIDENTIAL BUILDING PERMIT`APPLICATION Date: p ' 3 j C� Site Address: � � r � 5 b Unit#: t Name: r--3/21; 1277 -3 L 111:2-471 Phone: &'5I 454-1-112-1 iden 1 Resst/ i i id:n I Address/City/Zip: 4?gbfq-2eA i i ' Applicant is `"-..-Owner ✓Contractor i Tau of Work Description of work: 1 /�i s �� 4sem 7 Gv/ C/ c7Z41- arn/ '/� id Construction Cost: 540-1.-16 /04,C... . Multi-Family Building: (Yes )(# /No I Company: K F' t .S r3 O' itl . 1 , tact: 08 6/2.. -A`/S' 37tif2-".__ Contractor Address: 43 4 ,� 5 � c',ti& 0 "\ City: r I State: Mq Zip: ) r? ? Phone: (S , (' � ) Email: I I 7 i License# Lead Certificate#: A/ If the project is exempt from lead certification, please explain why:i Flfr\_ P Mill kfris I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING V/ 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: 1 r Licensed Plumber: Phone: I 1 Mechanical Contractor: Phone: 9 Sewer&Water Contractor: Phone: I ; Fire Suppression Contractor: Phone: NOTE;Plans and supporting documents that you submit are considered to be public information. Portions of the I information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they I are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. = 'l`✓ Jv x/1/44. gV71.-- A( 'Applicant's Printed Name Applicants Sign/re !!! - Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 • V ` SUB TYPES f3`I' S2Li^- s Ar- Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family _ Garage Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair - Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) . " Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test _ Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests _Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick EFIS te Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ( Base Fee s'7;-(7) "K _t' r y lu IL- Surcharge Plan Review 4 MCES SAC ,,w f--, City SAC r ; ,� Utility Connection Charge ' ,: r S&W Permit& Surcharge !` l Treatment Plant ) Copies � 1 k"" TOTAL Page 2 of 3