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4356 Sandstone Dr ~~.'~~'..,~,~.7~Z'„1qC:"r..-,~.-^~~r:%'_SSl~C."~_ .,-.,.m..~-^'lv,.,.~~;,~..;..~~ ,.5~:r~.s _9xa~;r. ~rr..,~. r~ v ° . . . . , .~r . . _'3„ ~ MECHANICAL PERMIT ~ For C1ty Use On(y F CITY OF EAGAN PERMIT #.I~lo D~2_ ; 3830 PI40T KNOB ROAD, EAGAN, MN 55122 RECEIPT # 9c1~a~ S DATE ~35~ u,, S}z~F pHONE 4548100 DATE: -5~5 ~ ~'"uite Addsess ; L' B~~ Q`~ E WORK DESCRIPTlON Lat Bloc Sec/Sub Res_ New Const. ~ ~ Mult. Add-on ~ Name Camm. Fiepair r ~ ~ Oth6~ rL:..Q,e t1~"~'~ " ~ ~dfBSS ~ C City ~1~.~ Phone ~~'7- 03 FEES RES. HVAC a100 M BTU -$24.00 1 Name C ~S - ADDITIONAL 50 M BTU - 6.00 c Address L`~~v ~'~tr ' (RES. HVAC INCLUDES A/C ON NEW CONSTRUC?lON) ~ City a Phone ' TOWNHOUSE & CONDOS - RES. RATE APPLIES ~ MINIMUM RESIDENTIAL FEE • ALL ADD-ON & TYPE OF WORK ~ - REMODELS (INCLUOES GAS PIPING) - 12,00 Forced Air ~ M BTU $ - ~AS ~UTLE~S (MINM~UM - i PER PERMIT. , : _ _ ~ NEW CQNST.) 1.50EA. BOiler M STU $ COMMIIND FEE -1% OF CONTRACT F~E Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES ~ Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 ~ Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 5/C PER EACH $1000.~0 OF PERMIT FEE) Gas Piping Outlets # $ Other i.c~~fc r.~-~~ $ / . ,Q,,~/ CommJlnd. Contract Price x 196 $ ! 7 SI N TURE OF PER ITTEE ~ PERMIT FEE: ~ ~ S1C: FdR: CITY OF EAGAN TOTAL: ~'~'S~ ~._..I~.,:__.~..,....sei..~.. _ . . . . _ , ,s.,, . CITY OF EAGAN Remarks * Cedar Grove Acciuisition Additian CEDAR GROVE #4 ~ot 9 Blk 3 Parce~ 10 16703 090 03 Owner t-= J'~ ~ ' ' ~ ~ Street __4356 Ssndstone Drive State...F~9~tla ~ 55122 ~ ~ J r'~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, c STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL ].9'~Z l, 304.00 52.16 25 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK ~ ` CITY OF EAGAN ? ~ ~ 3830 Pllot Knob Road, P.O. Bax 21-199, Esgan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/5ub. ' On Ske Sewage Occupancy MWCC System ioning Parcel No. On Site Well (Actual) Const City Water (Allowable) s Name W PRV Required # of Stories 3 Address ~ Gity PhOne ~ Booster Pump Length Depth ¢ Name S.F. Total .o ~ a Address Footprint S.F. ~ City Phone pppROYALS FEES ~ a Engr./Assess. Permit ~ W Name W °1 Planner 5urcharge _ ~ Address ~ W Gity PhOne Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: i~ ~ Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. - _ Building Official TOTAL ~ ~ Permit No. Permit Hoider Date Telephone # Plumbing H.V.A.C. Electric ~!'~.C~ ~ r,'~ ''i 5~/b. ;~~~~j.~~, ~ ~ , ~ . i ~ '•!7 ; , ~ Softener Inspection Date Insp. Comments Footings I ~v ~ 7- O Footings II Foundation Framing , Roofing Rough Plbg. Rough Htg. Isul. "~/y Fireplace ~3 ~ Final Htg. Final Plbg. Bldg. Final Cow~~, r,.,..{ ~ ~ o!~? a°' }-o.n Cert. ~cc. orPr a,~ crs Temp. LP ~ ~ ,'oti 'rti S.~nPf~~,~ Deck Ftg. / ~i.~/~ erc~ ~i eQrt~ Deck Final Well PF. Disp. ,s-~d ~si~~ 18 mon[hs from ~ 6 613 6 l 9 ~ ~ ~ ~ Pequest Date Fre No. Rouph-i Insper.tion fle4~ire~? ~RCatly Now~Wiil Nntify InsPec- Yes ?Nn ~or When Reudy ~ Licensed Eleclrical Convactor I hareby reVUest inspection oi ebova ~ Uwne~ aladricel wark inslallad aY Street Address, eox or Route N~/o. -/h m ~~'/~~V , ~j~ ^/f~ ~L"/L~L LU~ Z'' ? ~G C ~ ~Q e Lon o. Township Name or No. ange No. Counl~ a ~f k ~E- OccuVam IPPINT) Phune No. yr/- ~ Power SupD~ier /~dtlress I .l Elecvical Cont nctor ICompany Namel C~~~~tracto~'s License No. Mailin9 Atldress ICOmractor or Owner Mt~king Ins[ailationl ~.j c,~ ~ ~iS ~O l'j t ~ ~ Au[horized SignaIDre IContrac~oJOwner Making Installntiunl Phone Num~er ~ ~ ~ - THIS INSPECTION NEQUEST WILL NOT MINNESOTA' TATE BOARO OFELECTNICITV Griggs-Midwev Bldg. - Noom N-191 BE ACCEPTED BY THE $TATE BOAflD 1821 Univeraitv Ave.. Sc Peul. MN 5510C UNLESS PflOPEH INSPECTION FEE IS GhnnwIF19 64R0800 ENCLOSEO. /~g/~`f RE~UEST FOR ELECTRICAL INSPECTION ~y. EB-[0~0007-06 ~ Sec instr~ctians for como~eti~q this form on back of yellow coov. y~ / ~ 6 O 13 6 'X"'Be/ow Work Cove~ed 6~~ Ihis Requesf Ari Pap. e of 8uibing Appliancae Wirad Equipment Wired Hom Range TEmporary Service uplex Water Heater Lightiny Fixtures Apt. Buildin~7 Dryer Elec[ric Heat~n Commercial Bldy. Furnace Siio Unloader Industrial Bidg. qir Conditioner Bulk Milk Tank F2fm Oche~ Peu V Oiher Itiner.llVl [ ~a~ $UCCIIY ~I1C! (l~nG~ ompute lnspection Fee Be/ow N Fee ServicaEntrence5ize b Fee Fexdarg/SUbtentlars N Fee Gircultg Oto200qm s Oto30Am s Otn30An s Above 200 qmps~~ 31 to 100 Amps 31 to 100'Am s Swimminy Pool Above 700_Amps Above 100_Amps Transiormers Irrigation Eiooms Pnrtial,'Other Fee Signs Special Inspection Nerrwrks ~D~~ TOTAL F 'A O~' ~ Nough-in Dnte ~ I, the Electrical Insoecbr, hereby ce~~ily that the abova Final '~1e inspeclion hes baen t ~ ~ mede. ~MS reduast voltl 1B mon~RV Irom ~ s. • 2004 RESIDENTIAL BiJII~DIl!~G PERMIT APPLICATION City Of Eagan U(~`j ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reoui2ments 3 registe~ed site surveys shaving sq. ft of lot, sq. ft of house; and all roofed ar~s 2 oopies of plan . (20% mazimum bt cover2ge allowed) i set of Energy Calculations for h~ted additbns 2 copies of plan showing beam & windax sizes; poured found design, etc. i site survey (or additions & ded~s 1 set of Energy CalaiWfions Addifion - indicate Hon-site septk system 3 copies of Tree Preservation Plan'rf lot plett~ after 7!i/93 . Rim Jaist Detail Options selec~on shcet (bldgs with 3 or less untts Date Q~~ C Constructlon Cost SI ~ VU y Site Addresa ~~j ~ `D ~7Glt~G~s It1'(\-[ ~l.~,Q~ UniUSte # Description of Work cy \,v~h[~OLdL~~S ~ Urt~ {v,~2Sl ~ ~r~~'M~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 w`~ ~ S~~ . . ProperTy Owner ~~j~,~~^ ~YC~tV~.tA~~ Telephone # (lO$ ( ) ~ ac~og Contractor RENEWAL BYANDERSEN Address 1920 COUN7YROAD "C" WEST City State ROSEVILLE, MN 55113 Telep6one #((Q~SO o(~~l ~z~13oq83 _ COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type~ Submitted Submitted . Energy Envelope Calculatlons Su6mitted Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25~ plan review fee applies. r1~~r~f~ML~ Licensed Plumber Telephone ) ~ Mechanical Contra 't~or ~U~ ZUi~4 Telephone ) Sewer/Water Contr Qt~r Telephone # ( ) I hereby apply for a Residential Building Permit and aclrnowledge 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 pernvt, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. `~c~ra C~?so,~ ~Gu.~:~~oa~-~~ ApplicanYs Printed Name Applicant's Signature ~FFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck " ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ?.33 Alteration ~ 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement ~ ~DemoliGan (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units ` Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan fZeview MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total sv.i auu t~.. av ctta f o.1 0!1 •4480 KCPl~.11kL %k~@PfLtllf`JlStM - . ~ - . mrvu: re ~ - . . r~e zoo~ ~ ~ . - , ~ City o~~ag~, . 3836 Piicrt Snob Road - ~8~. MN 55122 To Whom It Maq Cancern: Eldcr ]ottes to ~~RII bnitding perm;ts Por Renewal by Attdeisen. Pteasa allow P~ide this ~ervica for ua in FsEan. 'Ittia enthoCizati~n is ratid for any datc bcYond 6/6/01; uutil a~awal by Aad~rsen mst~ag~, ~P~s1Y revokes it in wiinng to the City- I request th~ ~n.~mi~t~~na~~~be ~~t~ ~~~ously. as to not delay in the p~ing of ottr baildin Y zthar. Plcaac c;aIl mc If thctn attc an contactcd at 763-5C12-4706_ Y q~una.. I can Ue ~ . _ < Y'our immqdiatc sttcn13a11 to tbis mattcx is gted, . SinocialY, . ~ , ymond R Rau ustaUation Managor . . Rcmow~ by Andascn Corporaticm • ('.c: Karn-FJder I~ne~ ~ ' c~~~e.,a..~e,,,, U ~o~,~ ~ fi T_~r~j - y Qff U ~ ~ ^~v r~ ,,,zom Rec~ive~ Tic~e Jee. I~07Pfd ~X)k~~l~KMkt7X1~9riM"MAIWX~M'~~'(YF11(8«ti}:'~~;.~, XUk>X~#d'caCX:>XX<1;Xs'M c.r.rv c:~~ r..nr:Fl~ L:A'~ti:[Ef?. JES TCFiHSNAI.. N0: 94'L- UA1'F; ~ QE3/7.1/S3`3 '1"IMG; 9.f.';eClr.;;tJi] ID;; i~!A~~: f:F:E.1~f' Cr1f:l_SON 3210 9C?~Ji. 43 ;6 ~iAtJp5f0idF 0;3..25 21.:.:iS 9C101. 4:4'~t, SFl~lD ~1OR~E 9..5Q ` ~ Tcr+.a1 fic~cr:!S.~~P, Amo~tn+,~ f;q„'i:i CR11Eii??'? llSl::k IDa JP~N >k~k~~X~~;X~%~ %%~~k7km%k~:~Y,t:k?kYl~X~:~~k~kX~~~;~kX;Y~~kMM~X~*.x~~k r 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~I~ ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshuetlon ReaudemeMs Remodel/Reoah Reaulremenh D 9 reglsfered sffe surveys ~howing sq. fl. of lot, sq. fl. oF house 2 coples ot plan and gd rooted areas (20% maximum l01 eoveraae albwed) 1 set ot energy calc~lalioro lor heated addlNona ? ~ copies of plaro (show beam 6 window sizer, poured fnd. design; etc.) 1 aBe ~urvey for exterlor addNbro i decks D 1 set ol energy calculations _ D 3 copie~ of hee preservation plan 9lot plaMed aNer 7/1/9S DATE: y~I CONSTRUCTION COST: J D D~ DESCRIPTION OF WORK: ~y~[!~ ~i~ D~ STREET ADDRESS: .3s ~ S~r d` J`~ f LOT: ~ BLOCK: ~ SUBD./P.I.D. ~p f7..a~ ~ Name: ~L(~ i ~r C-~ 1- ~5~. Phone N: ~~`1 d~e~ PROPERTY OWNER /l n Sheet Address: ~~3f ~ J~a.~ ~Y 9/ ~ Ci1y ~ YL State: ~/1~ Zip: ~S/Z~ Company: Phone (orea code) CONTRACTOR Street Address: License ~F Exp• C(}y State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone Ik: area code ( ) Shee~ Addresr. Registration Cryy Stote: Zip: ~ Sewer L water Iteensed plumber (reauired (or new conshucHon onNl: Penally applies when addresa change and lot change Is requested onee permR is issued. ~ I hereby acknowledge that 1 have read thls appllcaHon, state 1haF the f~ormatlon is conecf, and agree to eomply wRh all applicabl State of Minnesota Statutes and CHy of Eagan Ordinances. Signature of Applicant ~ ~~`~'~~ly ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? C9 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex 10 8-plex O 15 Lodging ? 20 Pool 0 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System . Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee ~~~0.~ Valuation: $ Surcharge Pian Review License MC/ES SAC ; City SAC Water Cann. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ~ Other Copies Total: ~ r ~ SAC Units % SAC ~ ' CITY OF EAGAN N°_ 14 2 9 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHON E: 454-8100 BUILDING PERMIT Receipt 7 r~ ~'9 7 Tobeusedfor ADDITION/GARAGEEgt,Vaiue $22,000 Date OCTOBER 9 ~g 87 Site Address 4356 SANDSTONE DR OFFICE USE ONLY Lot 9 elock 3 Sec/Sub. CEDAR GROVE 4TH On SRe Sewa9e _ Occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ (ACtual)Const ~ Name GEORGE CARLSON Ciry Water _ (Allowable) ~ Add~ess $AME PRV Requlred _ S of Storles ° City Phone 454-2608 BoosterPump _ Length 39 Depth , o Name SAME s.F. rotai ~Q AddfBSS FootpriniS.F. . City Phone pppROVALS FEES W W Name Engr./ASSess. Permit ~ 177.50 t i Planner Surcharge 11.00 x~ Address 88-75 a W Clty PhOne Council Plan Review Bldg. Off. SAC, City I hereby acknowletlge that I have read this application and state that the Variance SAC, MWCC _ information is correct and agree to comply with all applica le State of Water Conn. Minnesota Statutes and City o~ dina es~. Water Mefer SignaWre ot Permittee ~ ~t~- Road lJnit A Building Permit is issued to: GE _~E~ARL~.QN Treatment Pt _ on the express contlition that all work shall be tlone in accordance with all applica6le State of Minnes Statutes and Cityr of ~E,agartO/)rtlinances. Parks D~~Ct-~-~~ o-~'~-~~. TOTAL ~7 . L S Building Official , ~ K w r: , ~ ~ g _ ~ ~ 198~ HUILDING PERMiT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQE4EY, 1 SfiT OF ENERGY CAI.COLATIONS AOTE: 6DDRESSES FOR CORNER LOTS - CONTBACTOR/HOMEOWNER MQST DESIGPATE WHICH 9DDRESS IS DESIRED. NO CH6NGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIED. M(TLTIPLE DWELLINGS - RESIDENTIAL RENTAL IIAITS FOR 59LE QO~iTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF S1lRVEY - CHECB GTiTB BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP41L'RCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ~ ~ $2~000 LANDSCAPE BOND i Room AnD~noN E GnR~4C.E 5~~RE1~tAcE To Be Used For: ~~/dp~ 6:/~ Valuation:~~7 =TO " ~ Date: / u G. o/ Site Address ~~3j~O ,Stye,i'~~lp/ ?t~ 22.~~.~ OFFICE IISE ONLY Lot ~ Block ~ On Site Sewage_ Oceupancy R-3~iM-~ ,s~ P1WCC System 2oning R_~ Parcel/Sub ~yr ~~30~ ~aYOYd ~~f~ l~ On Site Well Type of Const Cp~}c«~ y- City Water (Actual) Y-N Owner y ~ ~~g.~,~,g~6~. (Allowable) ./-N # of Stories Address -3,.~Jp .St~ik~,s~e"t,lt ~ d~ Length Depth zg. City/Zip Code s nfd'a< S.F. Total ~ f, i , ~ ~ c~ Footprint S.F. Phone r~ p 9PPROVALS Ffi~S Contractor 'ri`r.~ fl~;~:~.:~" ~!~&-4~~ Assessments Permit Water/Sewer Surcharge II,__ Address Police Plan Review 88.~f Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Areh./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL c3 7 7~ ot City/Zip Code ~ Phone !k G~Rsa,E . , `w , Z~XZyb ' ~4~/X~2='~'/2a' 1._ .Y`a'f ~ 1~', ~ » ~ ~ }aTsP rtlora ~-IX~Z= ZUy I~ i2= ~oe ~ r,~. x~y= I 3~2s Z IyS~' ~ , . . s ' ' , ' :;edar~ Grove Const . Jo . 130-59 ~ ~ F. C. JACKSON w+c suRV~roR R[GItT[R[O UNDLR LAW{ O! ~TAT[ O/ MINN[iOTA ~ ~ , L1C[Nt[O ~V ORDINANCt OF CITY OI MINN41rOL1~ ' ' {V a , ~ ' - ,61! EAST 68TN STREET ' ~ PA. 4-4681 ~ f , ' J p~ ~ ~ ` ~ ~bucbcpor'g QCtctifitatt i ~ ' f p I ~.O S ~ / D ~k - ,'I~' ~ : - - - ~ 3v - . . 29 ' ~ ~ I. S ~ i . 3 ~ ~Aa~'~i0~ ~ ~ ~""y4 \ 3q i . ~ ~ o~ ';~5• . . saa/~; /"=30'. , _ I N[R[~Y C[RTIA' 'IMAT TN~ A~OVi li A TIIU[ AMD <CT `PL~1T Or A SUMiY OI . ' ~ . ~ .Lot `9 Bloak 3, .,Oedsr `(3rone _ No. ; ' ~ ~ Bagan..TOanahip;:Dakota:Courity~ Hinn. -..~6c I - ! 7 1 ~ . ; As auavcr~o ~r YL TNIL a~ ^•v os 58Dt ..,p, 1961. . . . . . . ~ . . ~ . .1 - - ~ ' :~SIQN[ ~ ..~I~t ~p'j~~ ' . : ' . . . ...F. C....JACCiON.'MWNi~OTA i0 TMTION tJO.~'600 J..: ~ y - - r ' . 1_ ~ _ . l~~..i_ . . _ _""_"w"'_.....~r...__.__ ~....._...~_~:s... . EAl~A~! TO~/N S H I P ~o .,~,~s ~UILDING PERNIIT Ownex =-!=0x~..P`-£`/-!~~--.~~'~-G....~sl~+9.r... w ~ Eagan Township Address (preseniJ .~........91r.C'-.j7..~~_.-~.~F!~~c~~ - Town Hall Builder Dafe ._fQ--~~,-~-r-----/----°°° Address DESCRIPTION 6tories To Be IIsed For Fronf DepYh FIeight Esi. Cos! Permii Fae Remarks - J O~~C4+^~ /s LOCATION 53reei, Road or vlher Descripiion of Localion Lo! P•loek Addilion or Tracf ~a. .a C~e~.a-~/ ~i ' ~ This permi! does no! aulhorise !he use of sfreels, zoads, alleps or sidemalks nor does i! give !he owner or his ageni !he righi !o creafe anp siluaiion which is a nuisance or whiah presexis a hazard fo !he heallh, safeip, convenience and general welfare !o anyone in !he communiSy. THIS PERMIT MUST BE KEg7~ ~T ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. ' This is !o cer2ify, thaf-_..~.~_'--.e7..•'-..~-:""~0..~"-"'--'--""--..has permission lo exec! a---...._~."-'......---_'--------'- upon - 2he above deseribed ,remise bjeet !o ihe px si ns of fhe Buildiag Ordinanae for Eagan Township dopled April 11, 1955. ~///D' n ---°-°°°'--..i/~^E Z~---'~-°---- Per ..-`---------------!"~'7 Chaixman of ,Tnwn Board ~ Building Inspecios ~3o.s~ ; ~3~~~ t aoo6 RESIDENTIAL MECHANICAL rE~uvnT nrrLicnTiorr ~ City Of Eagan ~ 3830 Pilot Kuob Road, Eagan MN 55122 1 Telephone # 651-675-5675 ~ Please complete for, single family dweilings & rownhomes/condos when pecmits are required for each unit ' Date / ~ / ~ - - ~ -YC` /J ; SiteAddress ~~G~JIJI./~T~IC~E Unit# ~ F Property Owner Telephone N (r~7/ ) ~ • / i Contractor HALEY COMFORT SYSTEMS,INC. ~ _ , Street Address _ 122 4TH ST W _ Cih. _ HASTINGS _ 3 - ' State _ MN Zip _ 55033 _ Telephone # 651.437.U338 _ ' . - - Bond MN22041 Eapires: 9/3/2008 The Applicant is _ Owner ~ Contractor _ Other ~ s Ad -on or altera[ion to existing dwelling unit $ 30.00 a ~ - - - t furnace Additional Replacement New air exchanger ± airconditioner ~1 'l I~, I heat pump ~ j - ~ Ot~l@f _ ,.nnC ! ~'i ~I ) V' v -J' ' - ,•y . , w~.. ~o.l i i i ~ $ .50 State Surcharge i _ . . ^ - ~ Total , $ -r~ . 3 ~ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will s~ be in conformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a , permit, but only an application for a permit, and work is not to start without a pe[mit; 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{~ ~lnn~i , Applic~ d Na e A lic t's ignatur o~ - ~~~s' 763 315 0300 04/07/2009 TUE 10:33 PAX 763 315 0300 PATRIOT SERVZCE NSTWORR ~ 1 O1 ` ~ ~~`~-S~ C~,~,1` a1 CJ(~CIX~~ ~',C;.rC`J '~y~~ lve~ Sc~~- - • (7 < ~ ~araRee;us~ ~ Clty of Ea~a M~~~~~.~ ; P¢rmitN ~~V ; { , ` ~ Pennit Fee: ~ 3830 Pilot Knob Road {~C-~-.~CS~ j I Ea an MN 55122 ~ Date Receivea: q/~~ ~ PhOne: (651) 6755675 i StaN: L~`U I Fax: (651) 675-5694 ~ i ~ 2009 RESIDENTIAL BUILDIN(G PERMIT APPLICATION Oate:~ ~ Site Address: ~ ~ " ~ ~ S 4 ~vnC - f Tenant: Suite . r_ ~ ~J ~~~"I ~ RESIDENT / OWNER Name: ~ cr'~~ L~ Phone: ~yjr-" ( Address ! City / Zip: Applicant is: _ Owner ~.ontractor TYPEOPWORK Descnptionofwork: `~-~~~~1 Y ~j3G~;`1 ~ ~ ~ ~J~ Mufti-Family Building: (Yes _ I No~) Construction Cost: CONTRACTQR Name: ~~~-•0~ .?.fv.l~. ~ ~~+.:e~iC, License#: ~\?C',r~a`~~~ s r~r..,. cy, 7~,t;t Atldress: M CitY: ~ G State: ~ `'v ZiF ~1S 7 Phone: ~D~~ ~ f~ f`*~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Enelyy COdB . Resitleotial Ventilafion Category 1 Worksheel • New Energy Code WoMSheet Category Subm~aed Submitted submisslon type) • Energy Envebpe Calcuia~ions Submitled in the last 12 months, has the City of Eagan issued a permil for a sim(lar plan based on a master plan9 _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contwetor. ~ Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supportiqg documenls:ttiafyou s4bm(! are consldered to:be pob(tc ?nformstton;; Parttons!of ` ihe information may 6e c%assNreil as non publtc if yo`a provide specttlc reasons tha~ would pen+rif lh~e ~Iry;o conclude:fha[ the rare tratte;secraets. , 1 hereDy acknowledge that iNS informalion is canplete and accurale; thal the vrork will De in contortnance with 1he ordinances aM codes of the City of Eagan: lhal I untlerstend this is nol a permit, but only an application for a permit, end is nol stan wifhout a permil; that ihe work v+ill Ge in accordance with Ihe appwved p1lan in the case ot work which requires a review and approval plans. x~~ ~~h'n 4.,.~`"~' X ApplicanY~rintad Name Appliea t Signature Page 1 of 3 ~ 5/ - ~~~~9~'~0 763 315 0300 04/09/2009 THU 15:35 FAX 763 315 0300 PATRIOT.SERVICfi NETWORR ~001/001 ~ ~,Q~•`7~. ~ `v.!' j\C ~ i ~ ~..Cti.~ ~ " ~G ~ ~ ~ ~ FAnO~ce:lJS"e City of ~a~a ' "~~i, i aen„~~u g~- ~ f ' ~ C) i \ ~ Permit Fee: ~ ~ 3830 Pilot Knob Road ~ Eagan MN 55122 j, i ~ate Received: i Phone: (651) 675-5676 ~ Fax: (661) 676-6694 ` ~j ` ~ Ci ~ ~ 1 ~ StaB: ~ 1A V Z) ~ i o ~t 2009 RESIDEN(TfIAL BUILDING PERMIT APPLICATION W W (\~i Date:~.. Site Address: ~1~ r" S~(7T~{, l) r~ Tenant: Suite RESIDENT / OWNER Name: ~ ~r~ C~~° Phone: ~ `i ~ J `I ~ ~ Address / City / Zip: Appficantis: _Owner /~GOntractor TYPE OF WORK Description ot work. ` S~ Construction Cost~-]~r~~ f1~Q~ Multi-Family Building: (Yes_/ No~) ~~-t'~- L c CONTRACTOR Name: ~ r v:~~ ~ ~:1.,x License u: ~C'~~~c~--~`~. J Addre55: "N~Y ~J. CdY: ~ 5~e~e: v ZiP: 55 = Phone: lg~\-" t 4.~~~~ (~~I V' ContaCl Person: C~ L~~ COMPLETE THIS AREA QNLY iF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catedorv 1 Mi~nesota Rules 7672 Energy Code Residential VenUlation Cateqory 7 Worksheet • New Energy Cotle Worksheel Cafegory Submitied Su6mined submission type) • Energy Envelope Calculations Submined In the last 12 months, has the Clty of Eagan issued a permit Tor a simllar plan based on a master plan~ _Ves _No If yes, date antl address of master plan: Licensed Plum6er: Phone: Mechanical Conlractor: Phone: Sewer 8 Water Contractor: Phone: AIOi'E:;'Plans and..suppor#en'g documenis,tha[ yQU submitare conslilered lo be;public ltrfprmaelon ';`porSons of i: the inlormation'may 4e c/assUfed as non=public lf,.you p!ov/de spec~ftc rsaSOns:tAdt would peml(t th~ CF1y fo ?.conclude'that the :are;Yrade;secrets. _ . ° I hereby acknowle0ge that Ihis iMormalion is complele antl accurele; Ihal lhe vrork wilf be in confomiance wifh lhe oMinances arM codes of the City ol Eagan; Ihat I untlerstand (his is nol a permil, bul only an application for a permit, aM is not staA without a permil; thal the vrork wi~t be in acco~6ante wilh ihe approved plan in the case of work which requires a review and approval plans. X`j~~ ~~h h d')'1 x Applicant'~rinted Name Applica t Signature Page t of 3 . I VY r`~ 763 315 0300 04/09/2009 THU 15:35 FAX 763 315 0300 PATRIOT SERVICE NETWORK 0001/001 c"A C r' k i- CA lYl r r 1 ForOffice tlse t ti cti . s"f l Permit U l City of Ea a Permit Fee: 3830 Pilot Knob Road 4 Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 - ) Staff: - - - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite I RESIDENT/ OWNER Name: Phone: Ll 5 41 Address / City / Zip: Applicant is: _ Owner contractor TYPE OF WORK Description of work ` > A Construction Cost P \L.0 Multi-Family Building: (Yes / Nom ) CONTRACTOR Name: O ;'X.r v.C~ License Address: City: }Vw~` \ State: Zip: C-1 t" 1 Phone: {J "'jam 11 C~ U" Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 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: 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. 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 w is not 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 plans. t. x Applicant's Printed Name Applica r Signature Page f of 3 763 315 0300 04/07/2009 TUE 10:33 FAX 763 315 0300 PATRIOT SERVICE NETWORK 0001/001 L, - - c(~ F:prOfricet#se PermitV7 City of Eaan I-L 1 Permit Fee: 3830 Pilot Knob Road Date Received: Eagan MN 55122 Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date. i Site Address: ~ ....X Tenant: Suite RESIDENT I OWNER Name: fir.- r:j~i (,tl Phone: Address / City / Zip: Applicant is: Owner j%Contractor C1 TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No„) CONTRACTOR Name: Ik. License N Address: v~:.,..v~ City: G r^ I,~` State: Zip: 7 4 f! C( C, ~ ~ f "1 Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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: 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. 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 is not 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 plans. Applicant's ?Printed Name Applica t' Signature Page 1 of 3 r-7 67 - City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4356 Sandstone Dr Lot: 9 Block: 3 Addition: Cedar Grove 4th PID:10- 16703 - 090 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Exp Fee Summary: Valuation: 3,000.00 Contractor: New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203 -0149 ed Permit - Closed w/o Required Inspec Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: ons. Letter sent to homeowner 1/15/09 pf A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are - Applicant - $90.00 Owner: Irene D Carlson 4356 Sandstone Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA081671 01/11/2008 ePermit 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:EA145786 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 4356 Sandstone Dr Lot:9 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Andrew J Torgerud 4356 Sandstone Dr Eagan MN 55122 (715) 864-2206 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166067 Date Issued:12/09/2020 Permit Category:ePermit Site Address: 4356 Sandstone Dr Lot:9 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Andrew J & Windy Torgerud 4356 Sandstone Dr Eagan MN 55122 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170238 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 4356 Sandstone Dr Lot:9 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Andrew J & Windy Torgerud 4356 Sandstone Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature