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4368 Sandstone Dr CITY Of EAGAN ~ ~ ~ v ~795 l~ilot Knob RaoA Eeyan, MN SS1?.2 a U ~ PHONl: 4S4-a100 BUfLDING ~ERMIT Reaipt # 5---- Te ba wad M~ 3 SEAS~N PORCH Est. Volue $~+,Q00 Date ~Y 11 , ~q 83 Site Addrcss 4368 Sandatone Drive Erect ~ occ~po?,cy R-~ I..or ~ Block 3 Cedar Grove ~i Alter p Zon~~ ~-1 Porcel # 10 16703 070 03 Repolr ? F~re Zone ~A *~iaxvin LaBelle Enlarpe ? Type of Const. V W Nome Move ? # Stories Z llddress 4 368 Sandatone Drive per„oii~t, p Length~8 ~ C~ Eaaan 55122 p~x 454-1383 Grode ? Depth-~2 Sq. Ft. , o N~Q ~1er Approrals fees O~ /lddress Assessment Permit ~:~+.5~ C~~ Ph~ Water 8 Sew. SurchorQe 2• F Police Plan check oc F W NO^x Firo SAC Address Enp. Woter Conn. ~ W C{ p~~ Planner Woter Meter Council Road Unit I hereby acknowledga that I hove recd this application ond state tFwt BId9. Off. the informotion is correct and agree to comply with all opplicoble ^PC Totol S46 . S~ Stote of Minnesoto Statutes ond City of Eogon Ordinances. Sipnuture of Pe?mittee A Bufldi~9 Permit is issued to: i''~rvin LaBelle . ~ on the exprcss condition thai oll work sholl be done in occordonce with ol cpp ' ble St of Mjnos~oto Stotutes ond City of Ecqon Ordinances. Buildin9 pfficial ~ ' - ~ Permit No. Permit Holdsr Misc. Permit No. Holder Plumbing H.V.A.C. ~p7~ ~~~di(~SiD~1 b-I7~~~ Well Water D'ap. Sewer Ekctric Inspeciion Date Insp. Other Faotingi Foundation Framing RougA Plbg. Rough HVAC Inwlation Finel Plbg. Final HVAC Final ~ Water Location: YYell ~ S~vrer , Pr, D'qp. CITY OF EAGAN . r0 S i ~795 Pllot K~ob Raod Euyen, MN SS122 t. PHONE: ~S4-e100 - BUILDING PERMIT Rece?pt # ' ' J~- To'b~ w~d for FOIJNBATION Est. Value NA Date April 28 , 19~.'~ 5i~ ,~~u 4368 Sandstone Drive fi-3 Erect ~ Occupanq Lot Blxk 5ec/5ub. Cedsr Grove 4 /11ter p Zoniny ~-1 Parcol # 10 15703 l7n Q3 Repolr p Ftro Zone ~A Enlarpa ? Type of Const. ~ W Name Marvin TaRalle ~Ve - p # $tories z ,~ro~ 4368 Sandetone Drive pe,,,oi;s~, ? Lenyth 18 ~ Eagan 55122 p~1O1e 454-1883 Grode p Depth 12 Sq. Ft. ~ 04mer Approrola faes Name ^~~au Assessment Permit 15.00 ~ C~ P~~ Water d~ $ew. $urchorqe Police Plon check F~ ~„W, N°^1° Fire SAC Address Erq. Woter Conn. `W C~ ph~ Plonner Woter Meter Countil Road Unit I hereby ucknowledye that I have reod this appliwtion ond state that g~dp. Off. the informotion is correct ond ogree to comply with all opplicnble ^PC Totpi 15. v~ State of Minnewto Statutes and City of Eogon Ordinonces. Sipnoture of Permittee r i; G,,~~ _ _1`~ . ~ ~ ~~i'~ivin ~a e A Buildinfl Permlt is Issued to: o~ the express conditian tFx~~ oll work sholl be done in xcordonce with all opplicoble St9fe of Min~esoto Statutes and City of Eo~an Ordinoncts. Buildinp Official : a , , 0 _ d Z ro r « « p ~ v ~ d - ~ c ~ o f- . R r ' Y O ' ~ ~ . E ~ ~ d ~ e 0 Z r E ~ o i~ c Ci ~ ~ ~ 0 4 $ j a ~ ; ~ ~ ~ ~ ~ e_° _L ~ d I . ~ LL = ~ W ~ O ~ E O ' ~ C e C a ~ ~ ~ ~ LL LL Y. Q ~ ~ IL {LL LL 3 ~ ~ d Receipt - MECHANICAL PERMIT Permit No. ~~I , L CITY OF ElAGAN Fes~-~- ~ - . Fi!l in numbered spaces S/C Type or Prini legib/y Tot 1. Date . 2. Installation Cost ~ ' 3. Job Address` ti' Lot 1 Blk. Tract 4, Owner i' ' i % ~ i 5. Contracto~ ~f/ ~ Phone ^ .J , 6. Address - ~ ~ 7. City ~ ' ~ - State Zip 8. BuildingType: Residential 0~ Commercial O Institutional ? 9. Work Description: New ;f~} Add ~l Alter O Repair ~ 10. Describe Fuel Type 11. No. ~q~iRment 8TU - M. Ea. No. EQUiament CFM Forced Air - Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Sig~ed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved . CITY OF EAGAN 454-6100 11~I ~YLC:'1'lUN KL(.:UKI~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Ro3d Permit Number: '`t ' ~ ,r rr7f Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~~t i ~ c~ r<< f~~. r APPLICANT: n s~.~~; '-:Atl{l`; ( ~?Nf Ilk i~. i,t ~ ~,s~t~~ 1 Pate i' F f~ A i: r'i k C~ ~l f~ 14 R r i. 1.' V h; [9 r+ r? fiR PEi~M1T, S~U~,TYPE: TYPE OF WORK: ~ i , + . ~ rrr>r . ~ i~;~r~s ~~P;?.1r~i,s . • , i,. . R. . ~ . 7. „>.x ...E . ~ 4 > Y~^ . ~ - ~ ~ . . . . . ~ J Permit Holtler Datg Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROllGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDiSCTfWTY TEST HYDROSTATIC TEST BSMT R.I. 65MT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove ACtluisitiotl Addition-S:EDAR GROVE #4 ~ot 7 elk 3 Parcel_ 10 16703 070 03 Owner r~''J' f'~I Street 4368 Sandstolle Drive State ~g~~ ~ 55122 , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 5 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL ~ ~ . . - 3 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK ~?v ~ ~ ~;s,~3 ~ ~ ~ , ~ ~ Permit ~ k of B~ a~ ~ ~ _b ; . ~ ~ 3830 Pitot Knob Road , ~ ~ ~ ~c~ed. i Eagan MN 55122 " 1 675~675 i sc~r: ~ Phone: (65 ) ~ Fax: (65l) 615-55.94 ~ 2008 RESIDENTIAL BUiLDING PERMIT APPLlCAT10N o,m: ~ ~ ~o~ s~ a~a~: `-~?~g ~ n os - ~ pQ - s~.r ~ Tenmt: 1~51- S-9'~~.~ R~~r i owN~ ~:~~R~ n~~,L. grz C~z. t~s ~dre~ ~ c~,? ~ ~ o~ t2~ fZcx~F ~y s4 TYPE OF WORK Descripdan of warlc: : c«~b,~ion coa~ ~3ao ov Mul~-Family s~na: (~eS ~"4~-) ~ ' uo~~ ~'.a(')~~~3N COKfRACTOR ~ Address: ~ 5 ~Q ,«'~r~4-e-~' ~~~1 • N~9.i..{~.p _ ~ ~n: nt~'~ COMPLETE THIS AREA NLY IF CONSTRUCTINGZ A NE,_~_,_VY BUILDING _ AA' ts ub 7670 Cateaorv i_ Minn~? Rutes 7672 ~Y COd~ •~identltl v~on.Catagory ~ workahaat ~ wo~ksh.~t ~9~ry ~ ~ ~ ~ ~ (d submbsi0n type) . ~n ths Isst tZ mondis, h~s tiw CitY of EtW~n is~d « Permit fa a stn+Nu plan bas~d on a masbr Phn4 _Yes No If yes, dste and address of master p1an: l.ldrs~d Pluenber• - Pi10ne: Ilad~ankal C~ac~: sewer ~ wadar Contractor. Pho~e: , ~ ~.:~'r i he~ebY ackriowledge thst ttYs k~fonnstton is compbte and aoaaaoe; ~at V~s work vdtl Ce in CatiotmsnGt w~U~ tlie ord'mat~es wotic ~ in Eapan~ mat ~ unde~rand ude is na a pwmh, buc ony an ~ppYcation tor a pe~t, ana work is not to:st~c winwut a p«m~: aocoraance w1a~ the aaa~ a~+ ~~s aa af woAt which roqdras a nview amd approval of pi~s. M C~r~n ~rY.~c.~ x~ _ N~.,,,~J,,.~ ~ A~,~ x ~ ~ Appltcu~t's Printed Name '~~s peee 1 oi 3 cinr oF ~?c3~?N $ 015 N° , =795 Pllor K~o? Read Eoyen, MN 65122 . PHONEs 4S4.S100 BUILflING PERMIT R~i~r # ~~G To b~ wed fo? 3 SEASON PORCH ~.ya~~ $4,04~ Date May 11 19 83 ~h ,~~u 4368 Sandstone Drive R-3 7 3 Cedar Grone 4 Er~ ~ ~~u~~~ R-1 Lot Block Se~/$ub, Alter p Zoninp Porcel # 10 16703 070 ~3 Repoir ? F1?e Zone NA Enlorfle ? Type of Const. V W N~,a Marvin LaBelle ~ ~ ~t Srories ~ ~ddrois 4368 5andstone Drive perr,olish p Length 18 C; EaQan 55122 p},«„ 454-1883 Gnode ? Depth 12 Sq, Ft. ~ Owner ApProvals F~es Name /~r~y Assessment Permit • Woter 8 Sew. Surchorpe 2• 00 Cit Phone G Police Plan check ~Z Nome Flro SAC Add?ess Enp. Water Conn. <W Ci phone Plonner Water AAeter Councfl Road Unit 1 hereby acknowledpe thct I hove reod this cpplicotion ond state thot Bidy. Off. the intormation is correct ond ogree to tomply wifh cll opplitoble T~a~ $46.50 Stc~e of Minnesoto Stotutes ond City of Eoyon Ordinonces. Sipnoture of Permittee ' A Buildin Pertnft Is issued to: M~~in LaBelle e 9 xpress tondiNon tfim oll wo?k sholl be done in accordonce with ol a p bls S f tatutes ond Ciry of Eaqon Ordinonces. Buildi~ Officiol Caed~ S CITY OF EAGAN Iivclude 2 sets of plans, ~ 1 site plan w/e]evatiams & Y~f BUI7AING PE[B~IIT APPLICATION 1 set of enesgy calculations. '!b He Used For .3/~7n~~ Valuation ~'yi d d O Dat~ .h =/a -83 site ~aress: y~8 ~~,F,a~,-:.r ,Q,, o~'~ce usE ~sx I,ot Z_ 91ocx 3 sec./s~at.~~ G~/ ~Yect occupancy rarcel ln /~70 3 n>~ 03 ZO~g Repair Fix2 Zone Owner: /~/a t V / A1 ~Q ,[3L'_ /~P ~~e _ 'iype of Const. Nbve # Stories Pdd~'PSS: S~_36Q' .~....1~,..,,. ,Q., . Derolish _ Front ~ ft. City/Zip Code: ~de ~P~ ft. Pr~one y-/8g 3 r,ePx~vats ~s ~ntract~r: S',d,~,~p Assessrents Pesmit ~ p~~s: watPS/Se~x Surcharge Polioe Plan Q~eck Cih'/Zip Code• Fire SAC Pho¢~e F~x3. Water Conn. Planner Water Meter p~h.~g.: Council Roaci Unit Bldg. Off. • Address: p,p~ City/Zip Code: Phone Z+O7'AL ~ ~ .S~ EAGAN TOWNSHIP BUILDING PERMIT N° 2836 Owner Eagan Township Addreu (presen!) `.t~.'....~.`~'`-.'..___.......... Town Hall Builder 9~ ~7 L Dale Addsess DESCRIPTION Stories To Se Used For F.ronf Depih Heighi Esf. Cos! ermit Fee Remazks - ~-n..acsxi. /~1~?~-' ~ LOCATION •J~ 3txeel, Road or other Descripiion of Loeation I Lo! Block Additioe os Trae! ( 7 .3 C~.~.~. ~ This permi! doea no! euthorise !he usa of sixeeffi, roadc, elleps or sidewalks nor dcen if give !he ownar or hia agen! !he righ!!o creaie anp ai2uation which is s auisance or whieh presenls a hazasd to !he dealfd, safetq, oonveaienee end . general welfare !o anpone in ihe eommueity. THIS PERMIT MVST BE BEPT N THE PREMISE WHILE TFtE WORK IS IN PROGRESS. . This is !o eeriifp. 3hat.-~'1----.~F--...~~-• ...................has permission !o eree! a.-_.v:^`~`~`~z:.__~'.!c1'.`.~~..._._.._upoa !he above deseribed premisa subjec! !o !he provisiona ot ffie Build'ug Ordinance for Eagan Township adopted April 11. 1855. n~A ' ................_...~C~ew .W...!>---L~"~~'..~°-~----_-...--... Per ~"Q'c Ll~^---~. ° ~ Chairman oE Tnwn Board Building Inspector .C3 EAGAN T01IVN S H 1 P No 826 BUILDING PERMIT Ownex --5:.~-~`~..-sC7`-~"_-,/~~"---`~Q~,?~'-~-~~---.'~' Q Eagan Township Address (preseni) _~~'~..r."......r~X~.:...: ~"!r.`~?".`.:...~._.. ~'v~"`'e Town Ha11 ~ ~ Builder - ,J/ ~ ~S ~ Dafe ~ Address DESCRIPTION Stories To Be Used For Froni DepYh Heighi Esl. Cost Permif Fee Remarks - ~ - 75,~-a ~ LOCATIOIP Stseel, Road or olher Descripiion of Localion Lo! Block Addition or 'tsae2 ~ v~ 9 I~-~ /3 ~ ~ . ~ ~ This pesmik does nof auYhoriae the use of skreets, roads, alleys os sidewalks nor does ii give ihe owner os hls agenf She xigh3 !o create any siiuafion which is a nuisa»ce or which presenfs ~ haaard fo tha healfh, safafy, conoenienee and general welfare !o anyone in She communiYp. ~ THIS PERMIT MUST 8E KEP ON THE P/g/E_MISE WHILE THE WOAK IS IN PAOGRESS~. ~ This is fo ~erlify. !hal---~-'-.~:--...~~_.["-`.a=_---..~Y.I..:"-------------_-has permission !o erec! a...~..(J.~rS.^.r`..:`..":`."-- -"--_----'....."--upon the above dcscrihed pxemise subjeci !o ihe pxovisions of !fie Building Ozdinanae for £agan Townshi adopied April 11. 1955. ~ ~ / /J/~~~~•~~~,g~~~ Per .---.._------~----~~--`--'-'--~-w-----Y~O".''.-=.C.._..."°':".":.~~... Cheirman g~ Tnwn Board / Buildinq InspecSar / a.~_ PERMIT ~CITYOFEAGAN PERMITTYPE: B~I~n=~~ 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 3 4 (612) 681-4675 Date Issued: m 8/ 17 J 9 S SITE ADDRESS: 4368 SANDS70NE DR 1.0T: 7~ BLOCK: 3 CEDAR GROVE #4 P.I.N.: 10-16703-070-03 DESCRIPTION: aEROOF/ S70RM DAMAGE Bui:~ldin§-~Permit Type STORM DAMAGE Building Wbck Type REPAIR .Gensus Code "~R 434 ALT. RESIDENTIAL . . ~ ;r ~ ; :,~€o,. ~ ~ - . ~_~ii~~%''r_(t - _f,,.: ~ t, ~ , ~~rl~ ~ m ( ~ "r~ F. { ! a ' ~ ~ , v, t'_~~ . REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - s-r. ~zc. p~yNER: AZTEC ROOFING 18950040 20139140 GRIES DAN 1444 CLIFF RD E A368 SANDSTONE pR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)688-9975 2 hereby acknowledge tha't fi heve read this appli,cat3crn and state that the ~ fn1'orthation ~ie correct and ~ agree ta Gom~aly With a11 app~.icab~e State o~ Mn. Statutes and Gity of Eagan Ordi;nane.es, L„ = _ _ _ _ ~ ~ ~ ~ APPLICANT/PERMITEE SIGNATURE ~ ISSUED BY: SIG ATURE ~ • 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN o, 3 ~ 3830 PII.OT KNOB RD - 65122 ~ ` ( ~ - ( ~ ~ 681-4675 New Construction Reauirements RemodeVReoair Reauirements ? 3 registeretl site surveys ? 2 copies W plan ? 2 copies of plans (inUude beam 8 window saes; poured fnd. design; etc.) • 2 site surveys (exteriar addi[ions 8 decks) ? 7 energy calwlations ? 1 energy calcuiations tor heated aEddions • 3 copics of vee prexrvation plan if lot platted after 7/1193 required: _ Yes _ No DATE: ~n ~ CONSTRUCTION COST; Cv[~,53 . Z7 DESCRIPT OF WORK: L e[9D ~n--~ STR ADDRESS: ~ 3(v~ ~j QXl , f)'t~D 1'~~. ~ P LOT: ~ BLOCK: ~,5~~ G~~ ~`e- ~ 7 SUBD./P.I.D. Name: ~ ~ I Q~ Phone ~ 0 p ' % PROPERTY First °`~'ER c~ 3l0$ ~and.5~-~r~9_ DL> Street Address: City 7' ~_aQ State: ~~l Zip: ) I~~. Company: Z C ~ ~ 6 Phone ~ Q%~ ~ DO'7 b ~o~,~TOR `r Zo 1? q t y b Street Address: `-C C_. ~ License # City D ~ ~ ~ I ~~L State: ~ Zip: .~"7~" J~ / ARCHITECT/ ENGINEER Company: Phone Name: Registration #t: Street Address: City State: Zip: Sewer & water licensed plumber (new consiruction ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to co ~ply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: p c~~od~ OFFICE USE ONLY ~ Certificates of Survey Received _ Yes _ No ~ ( Tree Preservation Plan Received _ Yes _ No _ Not Requir d OFFICE USE ONLY BUILDING PERMIT TYPE ~ 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition 0 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ~ 10 = plex ? 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units ~***~~N Kk*9c.yC*#~:*'F:Mrkw tc~~k~:M~~k~CYcx;***~K*~*~* CiTY :Ah' CASHIFR: 7S 1FkYINAI NU: ~;3 DATE: . !i3/24/9:i 7':MF: 13:1E';?; :L~: NAM~E r STAT 'r!:f DE ~~AS SI-'R' ~ICES 32',0 ?L'Of 436,t SAi~U57'!NE 6~.pp 27 3~lr~i. 43~~ SANI'~STONi' 0.50 ' t . , ~ . Total :ece'ip+. Amount.e 6~.50 Cfiiiia46 " ' USER,ID: JAN ~ ~K* ~N:k * X?k~JK# * ~ ~utik *+k* * * * MY ~ # * * * ~Y~K ~ * . . _ . a . t . . o-5d 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: y aY'/- %°I Description of Work: _ Construct new fireplace _Gas _Masonry _ AlreraNons to existing Install Pas insert onlv _ Install gas line onlv Other Job address: y~ s: Lot: Block: Subdivision/P.I.D. ~A~ ~~L ~ Applicant (circle one only): Own Contractor Permir Fee: 560.50 Name: (7/i2t Lbi.. Phone#: ~D~7~ PROPERTY Last First OWNER Street Address: y7~~ .~..o~ Ciry ~e,k~ State: /~/f~ Zip: Company: ~?ta7CL~/;G~2 Gst ~i/If[G'f Phone#: 3~y' (area code) FIREPLACE ~7 INSTALLER Street Address: /~Ia~.Sr+n S~ S~'? City ~/~pi C.o~' State: /l'.~ Zip: Company: Phone (area code) GAS LINE INSTALLER Steet Address: ~ Ciry Statr. Zip: , 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. Signary , ~ R n ~ LJI~~ E ~ ~ jl~~l ~r ; $~24~ ~ 'fr ~ ~ ~ OFFICE USE ONLY BUILDING PERMIT TYPF 0 16 Fireplace WORK TYPE O 31 New ~ 33 Alterations ? 39 Gas Line ? 41 Wood Stove 0 32 Addition ? 34 Repair ? 40 Gas lasert ~ENRRei INFORM4TION Census Code 434 SAC Code p~ REMARKS Chimney/flue must be inspected before concealing. I I cirr oF ~r?w?N -~ype ~ f19! Wlo~ Keob Rood [ayne, MN Sbll~ N~ ( J v 1 PXONl~ ~54.8100 BUILDING PERMIT ree«ivr # Te M mad /er FOUNBATION ya~~ NA po~e Anril 28 ~q~ ~ro q~,~ 4368 Sandetone Drive E~ ~ R-3 tor ~ Bioek 3 5~~~„y, Cedar Grove 4 ~~~a~ p Z,,,i,q R-1 Porcel # 10 16703 070 03 Rapmr ? Flro Zoro NA Enlorye ? Type of Coiut. V ~ Na,,,, Marvin LaBelle ~ ? g Sroriaa 4368 Sandetone Drive pef,,o~~d, ~ 18 Eagan 55122 p~~ 454-1883 Gmda p Depth lZ Sq. Ft.- g Name ~leI APprwah Fea~ Addroa Asse%smenl Permit ~ Woter 8 Sew. $urCFnrpe G~ Police Plan check ~ N~ Flro SAC Addren Erq. Water Conn. °~r G p~ Plonner Water AAeter Counell Rood UNt I hereby ackrowledqe tMt I haw raad thit opplicatlon ord stote fhat Bldp. Off. Iha fnlwmation Is correct ond a9ree to comply wlth all applicobla A~ Totol 15•~~ Srofs ot Minnesota Srorula~ and Gty ol o Ordl w es. Si~wturo o1 PertnlMee~~rvin a e A Bulldinp Permlt Is issued ro: on ths axpreu conditlon thm ell work dall ba doro in xmrdance wlth oll i~ e of Stmutea ord Gry of Eopan Ordlmncas. Buildinp Offldol G ~ C' ~ f rl ~L~ /n~ ~I7q ~ g~GAN I~lude 2 sets of plans, ~ ~fL ~i~~ 1 site plan w/elevations & . ' ~ ~ gpII,pI~G ppSIIT p,ppl,iCATION 1 set of enes~gy calculatians ; 7b Be Used Ebr , Valuation Date ~/28 ' f13 site Address s/~6S S'A-ivosToniE D.P. • 0~'FICE USE oNLx Lpt ~ Bloc]c ~ Sec./Sub. rior,_ ,e E',e ~ Erect X ~~Y Pazael D ~~D'C03 DZ O~ 3 Fepair Fixe Zone awner: /L1ARV~~? ~fYBEGLE ~~Je _'I~'A~ of Const. Move # Stories P~ddress: ,S'.~f-ntii- Denolish F7tont / ft- City/Zip Oode: EsF6i+n~ S-S/ z Z • Grade De~th / ft. Phone S N-/ 88 3 F~ APPImVAiS OontraCtoi': M/9-rQ v/N ~ ~9 RE L L~ Asses9~.nts Perntit /~S' water/SewPS Surcharge Address: Sg n,~ - Police Plan c.heck City/Zip Nde: I~ Fire ~ g~y, Water Corn'~• Phone planrnT Water Meter Council Road Unit Arch./IIi9•' Bldg. Off. Lf3l~T1PR4: ~F~• City/Zip Oode: 'IC7Tpd, ~ `C>d Phaabe i i . .i - ' I , I~ li , IfI~ - - - - iIJ - 11 - - - - - - - - - - - - - - - - - z - U. _ _ _ ! ~ ~ - - - - - - - _ _ ~ ~ ' _ ~I i `~/F ; 7 _ ~f ~ ~ - I~ ~ _ _ ! ~6~ yya 3 ~I - /S~ - 1~, - - I _ - ~ S ~ ~ t I ~ _ { _ _ - y3~~ ,~~iuos''eir.:E ,~,e (I - I ~ - - I I' - - - - . _ - II - - - + ~ 'I I~ _ i~ ~ qoco I .21 City of Eaaau I i 3830 Pilot Knob Road Permit Fee. O Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 (is) O`i1 Site Address: 362 04cj oi- Or Tenant: Suite RESIDENT /OWNER Name: i e d A &W r j-e Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 1~ c OR Construction Cost: G I c • Multi-Family Building: (Yes / No CONTRACTOR Name: _ RIU-l (j an S(l,UC.f un License ba 3, Address: r5 l 1 Iv t F_F1 O i ke City: I \ (0.,i t-~ State: Zip:. Phone: ~j ` Y' 3),O Contact Person: Ct t~E; i~ 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 N 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-publicIf you provide specific reasons that would permit the City to conclude that the 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 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. XI~d 11 C~ ~SfO~ C~C3- Applicant's Printed Name Applican 's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4368 Sandstone Dr Lot: 7 Block: 3 Addition: Cedar Grove 4th PID:10- 16703 - 070 -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: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. $88.50 $1.50 Total: $90.00 Owner: Daniel F Gries Sr 4368 Sandstone Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA088345 03/04/2009 ePermit �s , .. �1 Use BLUE or BLACK Ink ` r-----------------� I For Office Use � ' � Permit#: /��/ � j Clty of �� Permit Fee: �� 3830 Pilot Knob Road RE�E I °�, � I Eagan MN 55122 ,�� Q1� � Date Received: r J`� � I Phone: (651)675-5675 �UN I � I Fax: (651)675-5694 i Staff: � i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �/�� / 1 Date: isa "�:��— ��}' Site Address:�� u1��C'l� �'Y" Unit#: . . ,+ / --- .. _ ,,, Name: ��`�<: tr`��,; �#- ��t,�� (�t�.l C'� c_..�'�. Phone: lrs��'tr,,'�� f� ReSid�nt/ . � `�yy��,,� �, � Address/City/Zip: � �� " "�'� � � ' [" �j �� -�' , ';, '. Applicant is Owner Contractor ,,� � . 1 � ° < , ,�' � Description of work:�� (��_�G'�f�;,.z�� /1 Y►�1�.c C� 1 �,� G� �i YYt t�Ei Typ� of Work `�— �. ' Construction Cost r '' > �' �,� Multi-Family Building: (Yes /No� Company: Contact: CQlI�r�C�ar ,, Address: City: State: Zip: Phone: Email: ' License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: N�TE:P�ans ancl.supporting,dvcumen�s th�t�rvu sutimi�ar'��ns��ter�d�v b$p.ubll�inforrrrat�vr�, Pr�rtiarrs of the infc�rm�fior�m�y��b�cl�ss�fi�d��r�.c+�t�pubt��r`f you�ro�cic��pec��t'�c r�a�arrs t��war�ld per,rrtit#he Ci#y,ta , �i�r��utl�°that#he ;ar��ratle:sect'et�: ' CALL BEFORE YOU DIG. Call Gopher State One Call at t651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.'ww�ctopherstateonecalLorg 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 Code must be completed within 180 days of permit issuance. x c1..71'�'',V��.t;L. 14:�1�L:-S x ��, ��wJti'�-f� Applicant's Printed Name ApplicanYs Signature � Page 1 of 3 ' t��3�� .�� Y. a , , . /a �f�i7 DO NOT WRITE BELOW THIS LINE SUB TYPES 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 Retainin g Wall "Demolition of entire buildin g-give PCA handout to applicant DESCRIPTION Valuation � �� Occupancy MCES System Plan Review Code Edition t�rt ' r�„� SAC Units (25%_ 100%�) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings �ength Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I 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 Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: tucco Lath Stone Lath Brick Insulation � Windows��.��"� ��,�/'"�L- !��`�°'" Sheathing Retaining Wall:_Footmgs_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: ��_, Building Inspector RESIDENTIAL FEES Base Fee � � Surcharge �'�'�� Plan Review �� MCES SAC "� °�� Cit SAC � �� Y `� Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153495 Date Issued:12/24/2018 Permit Category:ePermit Site Address: 4368 Sandstone Dr Lot:7 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Daniel F Gries Sr 4368 Sandstone Dr Eagan MN 55122 Residential Heating & Air 1815 E 41st St Suite A Minneapolis MN 55407-3425 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165591 Date Issued:11/09/2020 Permit Category:ePermit Site Address: 4368 Sandstone Dr Lot:7 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Daniel F Sr & Brenda Gries 4368 Sandstone Dr Saint Paul MN 55122--204 Johnson Plumbing & Heating 9825 170th St E Lakeville MN 55044 (612) 243-3965 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172985 Date Issued:10/25/2021 Permit Category:ePermit Site Address: 4368 Sandstone Dr Lot:7 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Daniel F Sr & Brenda Gries 4368 Sandstone Dr Saint Paul MN 55122--204 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178893 Date Issued:09/08/2022 Permit Category:ePermit Site Address: 4368 Sandstone Dr Lot:7 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-070 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Daniel F Sr & Brenda Gries 4368 Sandstone Dr Saint Paul MN 55122--204 (651) 238-9527 Apple Valley Plumbing Llc 15615 Fairfield Dr Apple Valley MN 55124 (612) 387-1207 Applicant/Permitee: Signature Issued By: Signature