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4392 Sandstone Dr CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CE[1AR G%JVE #4 ~ot 3 e~k 3 Parcel 10 16703 03~ 03 4392 Sandstane Drive Ea an MN 55122 Owner ~~~~~n v Street State- g ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWERLATERAL , 938.g A0~6483 8-1~-78 WATERMAIN * WATER LATERAL j972 WATER AFEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK i t i Clt of ~a ~ Pe~,.t ~ ~ ; ~ 1z ~ ~ ~ Permit Fee: 1 ? ~ • ~~I i 3830 Pilot Knob Road Eaga11 MN 55122 j Date Received: j Phone: (6517 fi75-5675 I Staff: v~ i Fax: (651) 675-5694 I I ~__~~~~-___~~~~~.~J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ ~ / ~ Site Address: Ll ~ /2 ~~5~e- - Tenant: Suite RESIDENT / OWNER Name: / ~2, ~1( ~ ~G~`~- Phone: ~i~ I- ZJ3~"~JP~I~I Address ! City ! Zip: ~,a?ti.c_ Q S ~ Applicant is: Owner ~ Contractor TYPE OF WORK Description of work: S~G ~ I Construction Cost: Z~T(~~ Multi-Family Building: (Yes / No ~ CONTRACTOR Name: ~~i.~ Cc~S'~ -~?tc.. ~icense Z055 5 3`~ Address: ! ~g~O ~ ~ _ City: 0~~~ State: zip: ~ 5~ 3~ Phone: ~4Z' ~'l Contact Person:,~~~,~ Zc..~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential VentilaNon 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 plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewar & Water Cnntractor: Phone: NOTE: Plans and supporting documents that yau 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 the are trade secrets. I hereby acknow~edge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not ta~t w' out a permit; that the work will be in accordarrce wiih the approved pJan in !he case of work which requires a review and approval of plaos. x ~N x Applicant's Printed Name App ic Ys Sig re Page 1 of 3 i.y ' . ' " . t ~i: I 1 J, ~ ~ l~ ~'R'~Tn)) ~ ~ ~ ?n" ~ Y ~ i# ~ V ~ • r , • . ~ , . . . ~ ~ ~ ~Yt ~ ~Y°rjt'~~' ` ~ ~ , ~.r,^ ~ = . , _ , . _ _I ~i„ . ~ ..`..Y ~ ._~_s~.... _ _ ..~w tb~ :,a ~ ~ . l?.! EAGAN TOWNSHIP N° 9'7'7 BUILDING PERMIT _ Ownez ....~D~ .,b!:i~-s~..,C...--i~Ocia.o..: _.:~?C.!-,-_.. ~ . Eagan Townahip . Address (Presenf) _.~1.-G -_...~:Y. ~,,,~.-r~ • Town Hall . . '---V~---- .Builder.......__...~...._........._ ~ ~ ' ~/~/~3 ~ . - . . . . ~ Dafe ~Address~ ~ . . ~ - DESCRIPTION ~ ~ 5SOries '!~o Be L':;ed For I Fron1 Depih HeighS ~ Es2. Cosf Permit.Fee - Remarks ~ . ~ ~ - ~~._c,L(t-v-.~ ~ ! ~ - 97'~'i ~v ~oCY~ ~ . i... " il' /X Z 9' I 4 ~ rr ~.3 ~~OCATION , ~ --7~ S~ireef, Road .or oiher Descziption of Locaiion I Lo! Block Addi2ion or Tzaci . rTd ,7-.r- i~'_/~-/4- ~2~ . ~ . . ~p ~ ~.r _ ~ ~ . r / h~- - ~ ~ i7" ~fj' ~ .This permii es not auYhorise ihe use of sireets, roads, alleye or ~sidewalks nor daes ii give fhe owner or his agent !he righf !o create any siiuatioa which is a nuisan~e or which presenis a hazard !o She healih, safe2y, convenience and general welfare to anpone in She commuxulp. , - . TI{IS PEAMIT MUST BE.KEPT O THE PREMISE 1NHILE'CHE WORK IS IN PROGRESS. ~ A ~ i Tbis ia fo ceriify, ihai_w[.~c:RC.^rC ....._~.:.~-~.~...has permission io. ereM a....Llp....__.......___ ...._.upon ~ lhe~ ebove described premise ;su6jec! !o~ ihe~provisions of !he Building Ordinance for Eagan Township adopied April 11, ~ 1955. ///j~/~~~ /~///~~j''pf f~J /J~~ ~ p~ :._"_'__._...W...!!.`..ti..~'t.^.f?...K.~.'.-...".^...__"'_'_'....._..__.._ Per __......__.__._.'_.~'x.~ LG_...L3a.[~fC.~...r.v._...~~......_.. . ~ Chairman of Tnwa Board ~ . 6 Suilding Inspecior ~ - ~ . ~ C. " . ~ . . . #-I ~ O~, 3 2000 BUILDING PERMIT APPLICATION IRESIDENTIAL) 3Z,, 66 CITY OF 6ACAN 3830 PILOT IUIOB RD • 55122 851-881-4875 GR~ 13r~~°~ S-~5 -c~~ D ~ nplstered slte wrvari thowl^9 iQ. IL of bf. a4. B. ot hou~e 2 eapies ot ptan Cnd ~l raofad aroas MM6 mmlmum Io1 coveraae atlowedl 1!6t d ener~y CdCWOH011i fOt MC16d OtlC~ibns a s eowes a pan. c~ww eea~ a uw~arn+ a~ax v«~red ma. aeryr,; e?c.) i are ~,nvey ror oxaena «iaaons a aec~s > t set a anerpy caacWaMpu D 3 ooptas ot hae ProwwaMOn Plan H bl P~ ~r 7/1/9J DATE: I 6 Y~') A`1 O~ CONSiRUCTION COST: DESCRIP't10N OF WORK: ~ilfl i rio~ ' i'l .57 ~ ~DO•a S.srrnc, STREETADDRESS: ~ 3~ Z ~ FFNU S i oN ~ LOT: 3 BLOCK: 3 SUBD./P.I.D.y: CE~R~ G¢~rC y rbme: L u~-r2E ~O~ ` 3au_~, E Prwne (6s~ ) s'Z -7 ~ s s Pao~rm OWNER ~ ~ ~ Sheet Address: Z ~ a^~ ~ STO'"'» CHy ~'A-~R,.~ State: Y"1/J np; SSI2Z co,Y,~~r S~ I~ Pna+e r: (area code> COhRRACTOR Skeet Addreas: ~ C~y State: ~P~ EPNGINEER / Company: F.~E6S U~AFT,r1G ~~~SIG1~ Name: ~,GiL ~Q~BS Telephone t: ( qSZ ) N s S 7$~ Sh96t Addf6ss: I Z~l 1 ~ ~ RM oN;~ G'r R6giShClfOn 1: cny S ai AKo ~F~ state: M~ np: SS3 7`I - . SeweNwater It~nsed plumber (H imffiIll~a sewar/watarl: ~^e ~-1 i noreby acww„nedoe n,at i nave read n,~ apd~~. ~ore nwr n,e r,ramanon~~ ~ ac~ea b conwh~ wnn m a~eoowe stc~ of Minneaofa SMh+tea and Cily ol Eapan Ordlrwnces. Sipnahire of Appltcanfi _ / OFFICE USE ONLY Certlflcates of Survey Received Y~ _ No MAy I T_- Tree Preservatlon P~n Recelved _ Yes No _ Not Required I t____ _ _ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ' ? 01 Foundation O 07 09-plex Q 13 16PI~ ~ ~ P~yp~dne(4sea.) O 33 Ext. AII - SF ? 02 SF Dweiling O 08 08-plex ? 17 Garage ? 03 01 of _ plex O 09 07-plex ? 18 Deck O 23 Porch (screened) O 38 Muw ? 04 p2-plex ~ 10 OB-plex O 19 Lower Level O 24 Storm Damage ? 05 03plex ? 11 10-plex P~bp Yor_N O 25 Misc811aneo~s ? p6 04-Plex ? 12 12-Plex ? 20 Pool ? 30 Accessory Bbg. WORK TYPE ? 31 New O 36 Move Bldg. O 43 Reroof ? 32 Addition 0 37 Demolish (Bidg)' O 44 Siding , ~ 33 Altera6on O 38 Demolish (Interior) O 45 Fire Repair s ? 34 Repair ? 42 Demolish (Foundation) ~ 46 Windows/Doors • Giva PCA handout W appiicant for demolition permit GENERAL fNFORMATION SAC Code ~ # of Stories ft• No. of Units Length , sq. ft. No. of Buildings Width Footprlnt sq. ft. ~ Const. {Actual} Basement sq. ft. Census Code (Allowable) ~ Main level sq. ft. MC/ES System UBC Occupancy .~L?/,.Q sQ• 1~ City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 1Z~1~(/ Engineering Variance ''s / Permit Fee ~ Valuation: $1/,~ ; . Surcharge / Plan Review 4~`~T 2d~ f~~ License p'~ ~ MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit ~ SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units 96 SAC I n=~~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIALI ~ cirv oF encan ~1 ~ q• ZC 3830 PILOT IWOB RD - 54722 851-881-4875 ~ ~e~ ~~jo(c~`~ u1 c'a5 oG ~ I ~ > ~ ra~sfsrotl Wro uwayf ~howlnp W.14 d bt, W. R. of house 2 coWes o1 PI~ and ~l rowed areas r~x mmamum ~w coveraae anowedf 1 wr a enerpy cdculat~ons ror Neo~ea aadl6«u D 2 eoWas of Dlan~ fshow bearn 8 wintlow tlzas: Pwred Ind. Cesiprr ateJ 1 tlTe wnay for axtedw addMons d docb > 1 set of aneryy cdulaMOru > 3 rnpias d troe DresanraMOn plon H lol pk~Med alEar 7/1/9J DATE: I G I't'1 F~`~1 CONSTRUCTION COST: DESCRIPTION OF WORK: ~1~~ rio.J • ! /r1~9~_ ~Ti ~~fA ~n~'3~A'G"~' ST7,~a['~ ~'~~"!"~°'~~~lt'i~. STREET ADDRESS: ~ 3~ Z. ~ f1+V'~ S ~'~c. tJ F' . ~ LOT: 3 BLOCK: 3 SUBD./P.I,D.i: CEDl+2 G¢.o~E ~ Name: ~ u''"rRE vo~ f S~ E Phone 3• ~6SI ~~5`Z -71 S S PROPERTY laH flo1 OWNER Sheet Addresa: L/ Z S~4N ~ STV~E cnr u A~,R,-~ swte: 7'`'~n1 S~SI ZZ Compcny: ?21 ~ Phone (areo code) COMRACTOR Sheet Addresa: llcense 11 FxP• Cny State: ~P~ ARCHRECT/ ENGINEER Comparvy: k~E lSS ~ltAF'r,NU F~~SIGN Name: ~QEBS Telephone Y: ( 9SZ > 4 u S- 5 7 8~ Sheet Addresa: I Z`'1 I ~ i H r'~ oN~ ~T RegbhaHon CIIY AKo PF.E state: /~7r~ np; S~3 7 9 Sewer/water Ucensed plumber (if Instlllna sawarMraterl: PhO^a ~ C--~ 1 herebY a~~~~ Maf I have read ihh applicalbn, da~e Mwl lhe Infomwibn~~ b comPh wHh ae appBCable Sto1 of Mlnnesota Stah~fet and qy ot Eayan Ordinances. Slynalure of Appllcont _ . / OFFICE USE ONLY ' Certificates of Survey Received ? Y~ _ Na MAY I 7 r ' T r e e P re s e rv a U o n P l a n R e c e l v e d _ Y e s N o _ N o t R e q uired ~ 1 3! _ J' - , 1 L_ _ _ OFFICE USE ONLY ~ , BUILDING PERMIT SUBTYPES ' ? 01 Foundation ~ 07 09-plex O 13 16-plex O 21 Porch (3-sea.) O 37 Ext Alt - MuHi ? 02 SF Dweiling O 08 OCrpiex ~ 17 Garage O 22 Poroh/Addn. (4sea.) ~ 33 Fxt. Aft - SF ? 03 01 of _ plex O 09 07-piex ? 18 Deck O 23 Porch (screened) O 38 Mul~ p p•l p2.plex p 10 OB-piex O 79 Lrnver Level O 24 Stortn Damage ? 05 03plex O 11 10-piex Plbp _Y or_ N O 25 Miscellaneous ? 06 04-plex O 12 12-p~x O 20 Pool 0 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. O 43 Reroof ~ 32 Addition O 37 Demolish (Bldg)' O 44 Siding . p 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair s ? 34 Repair O 42 Demolish (FoundaUon) ~ 46 Windows/Doors • Give PCA handout to applicant for demolition permk GENERAL INFORMATION SAC Code # of Stories ft• No. of Units Length . No. of Buildings Width Footprint sq. ft. Const. (Adual) J(~/ . Basement sq. ft. Census Code (Allowable) Main level sq. tt. MC/ES System UBC Occupancy ~ ~sQ• ft• ~ Cify Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS ~9,,,,~,ppJJ Planning Building ~r~41/ M Engineering Variance . ~ Permit Fee ~ Valuation: . Surcharge ' Pian Review ~ ~ ~ ~ ~ License / ~ ~ ~ ~P ~ MC/ES SAC ~T~~ City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. ~ Trails Ded. Other Copies Total: SAC Units % SAC i i MNCheck COMPLIANCE REPORT ~ ~ Minnesota Energy Code ~ Permit # ~ MNCheck Software Version 3.0 ~ ~ ' I I ~ Checked by/Date ~ I I COUNTY: Dakota STATE: Minnesota ZONE: Z CONSTRUCTION TYPE: Si~gle Family DATE: 5-4-2000 DATE OF PIANS: Dec 12,1999 TITLE: Plan #99-176 PROJECT INFORMATION: Luttrell Addition COMPANY INFORMATION: T-Square Remodeling COMPLIANCE: PASSES Required UA = 128 Your Home = 124 2.3% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss 424 40.0 0.6 10 WALLS: Wood Frame, 16" O.C.'Rin'~ 86 19.0 0.6 5 WALLS: Wood Frame, 16" O.C. 624 19.0 1.1 36 BSMT: Conc. 3.2' ht/2.5' bg/3.2' insut 180 11.3 0.0 14 GLAZING: Windows or poors, Above Grade 5~!~ 0.580 3 GLAZING: Windows or poors, Above Grade 146 Np 0.330 48 DOORS 15 0.130 2 fL00R5: Over Unconditioned Space 182 30.0 1.5 6 - - COMPLIANCE STATEMENT: The proposed building design described here is consistent with the buiiding plans, specifications, and other calcuiations submitted with the permit application. The proposed buitding has been designed to meet the requirements of the innesota Energy Code. Buiider/Designer ~a~ Date ~-f- r EAC~AN TOWNSHIP Na 1322 BUILDING PERMIT Owaex . . . . Eagaa Towaship . Address (Prec nf) --'7~`~--`~'~'..~tT'x?~cf:~!~1:.~`.'.rL.._~.~.__.~...1-...... Towa Hall Suilder . - ~ l Dale ._~10/~ 6,~--------------°----~--~ Address DESCRIPTION Siosies To Be Used For Froni Depfh Heighf Esl. Cosf Permit Fee Remarks ~2 /~-o-~ 9~ ~ S' ~ ,o.~.¢.~. ,G.~-~~..~,~.. ° LOCATION SSreef, Road or olher Descripfian of Location I Lo! Black Addition or Traet ~ ~ 3 c~~~ This pexmi! doas ao! auihoriae ihe use of sireels, roads, alleps or sidewalks nor daes i! give ffie owner or his ageni !ha righf !o ereafe aap siiuation whieh is a nuisance or which presenis a hasard fo fhe healih, safety, eoavenience and general welfare !o anyone in fhe communifp. TFIIS PERMIT MUST B EPT ON TH ~PRyEMISE WHILE THE WOAS IS IN PROGRESS. This is Ya ceriify. lhai..-- _ . *n--...;,l..~Y?~~~ ..................haa permission !o ereef a.--_.-.-.-.c.,-/~~~° . . - _ - - . . ...--_...npoa !he above described pre ise subjeci !o !he provisions oi fhe Building Ordinance fos EagSn Towns ' adopied April 11, 1955. /~~,~,~p Q p ~ s,' ~p ~ ~ ~ ---........_......---.LF^:~~'4t.+=?.~J.--lT~sr-qi':!'~-'--.......----.. Per ......----~..4-C....----Y~."`^.p-----•`tY:~~~.°-----°° Chairman ot Tnwn Board Svilding Inspeelor `LS. . ' ~ ~ ~ ~ ~ ~ W ; ~ ; ~ ~ ~ W - `C ~ ~ ~ ~ ~ ~ L ~ ~ ~ ~ ~ ~ ~ - - ~ - M ~ 1 A ~1 \ ~ I ~ + ~1 ' . ~ I ~ ~ ` ~ ~ ~ ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIALI ~ 3 ~ cirr oF ~?cnN • ~ ~ U`O 3830 PILOT KNOB RD - 55122 ~ 851-881-4875 ~New CauhucNOn ReaWremenh ~g9 RemoUel/Reoalr Reauiremenh s-a5 ? ~ repl~iered qte wneys show~np tq. fl. W bt, tq. R. Of house 2 copiea W plan ana ~ roo~ea creaa rmx mrnam~m wr coveraae a~wwem ~ ~e~ a enerpv ca«danoro ror neatea caarnons ? 2 coplea oi plarn (show beam a wlntlow aius; pouretl Ind. deaign; etc.) 1 qP9 wrvey 1w exteAor ad~flons ~ tlecka ? 1 tet of enBryy CdqAGMO~s D J eopks d hea Preservallon plan fl bt pWMetl afier 7/1 /9J DATE: I~ Y~'1 A`~ ~D CONStRUCTiON COST: DESCRIPTIONOFWORK: /'t'~l~i'r~o~J : /~JuO ~Pooi~ Z - SiREET ADDRESS: ~ 3~ Z ~ RNO S~vN f' ~ LOT: 3 BLOCK: 3 SUBD./P.I.D.~: CEDA2 ~2o?E L! Name: ~ u TTrRE f S~+E Pho~e WSI ~ S~Z -71 5 S PROPERiY ta:t Fliat OWNER ~ " Sheet Address: L/ Z SR~~~'~ STv~~ U Cify ~i~G,R~ State: nP: S~SI LZ Company: ~ ~ Phone (area code) CONTRACTOR Sheet Address: Lbense ~ ~P• CHy Sfate: Zip: ARCHITECT/ ' ENGINEER company: KP c c~S ~2APT~NCi F 1~ SiG~ Name: ~+GK- ~Q c8S Telephone i: ( 9~Z ) 4 ti S 5 7$~ Sheet Address: ~ Z~I ~ ~ i RM ON'!~ G% ReglslraHon i: Cny ~ 1-i AKo ?F.E State: Zip; S~3 7`J SewerMraler licensed plumber (if (r~tallina sewerlwater): Phone I hereby adcnowledye tta1 I have read this apPlicatbn, alafe N~a1 Ihe tr~fortnafbn~ ect. an apree b eomP~Y wifh aO aPPecable State of MinnesoM Sfafu~es and Cily ot Eayan Ordinances. Slpnature of ApplicaM: OFFICE USE ONLY Certiflcates of Survey Received Yes _ No ~7 MAY I 7 Tree Preservation Plan Rece(ved _ Yes _ No V Not Required I ~ OFFICE USE ONLY ~ BUILDING PERMIT SUBTYPES ~ ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 21 Poroh (3sea.) ? 31 Ext Alt - Muw ? 02 SF Dwelling ? 08 O6-plex ~ 17 Garage ~ 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 03 01 of _ plex O 09 07-plex ? 18 Deck O 23 Poroh (screened) O 36 Multi ? 04 02-plex O 10 08-plex ? 19 Lower Level O 24 Stortn Damage O OS 03-plex ? 11 10-plex Plbg _YOt_N ? 25 Miscellaneous ? O6 04-Plex ? 12 12-plex O 20 Pool ? 30 Accessory BWg. WORK TYPE O 31 New ? 36 Move Bidg. ? 43 Reroof ~ 32 Addition ? 37 Demolish (Bldg}• ~ 44 Siding ? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair s ? 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors ' Give PCA handout to applicant for demolition permit - GENERAL INFORMATION SAC Code ~Z # of Stories S4 n~ No. of Units Length S4• ft• No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code ~ (Allowable) ~ Main level sq. ft. 2r-/ ~ MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ~~,G~ Engineering Variance / Permit Fee Valuation: $ Surcharge Plan Review ~ ~ ~ License (7 ~L ~ MC/ES SAC ~~Q ~ i ~ ~ ~ l ~ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC J 1 , `o-T 3 /~~~K 3 GE't~A~ GeuvE ~ ~ ~AG R~ 1 ~~--25 T ~ l l ~ . 120 Z4 zy ~l~ . _ ~ ~ V ~8~8'--~ ~4 ~_~I ~ 3 Z ~ . 2 V'7 ~ ^ ~ / ~-r ~ 7~~ JoK,~ L~~,~-,zE~~ 1-13~1Z SA•v~s~arJE ~~}~a Fl~,.~ ~ /^'I r~3. ~SI ZZ ~2v Pv> ~L 5~ ~ 1(0 9~9~ ~-,~~/0 8"S S 7 d d~n.o..~ ~ to~+a R~-to~ C~, E~r~ar, 0~~.~r a I saa D~~~ ~ro~ ~ sk~~~.,~~i~,, D~~d. Cc~s~~~ 3~ ~5-~o R~. c~ ~d~, ~a5~, ~~nn f~~GYo~~ a ~ 5C q~ s~ m Dr ~ Eca cJ a^-' (~1~cJ~ ~ l~a Uel l~ 5~ 3 ~a , E~~r~r4e.n ~r, ~~c~~n l.~r~ . ~c~~C~x" ~ b~ `4 338 Sa.n-~S~o~n.e Dr, Ec~c~a.n ~ rr, - R~ b.~,r~ ~3 ~3/ S~ ~5 ~ ~a-~.~ rn~ ~ 3a 3 ~~~C~~ ~ ~ c~.n , ~ , 5 ~~p~` CITY USE ONLY L BL , RECEIPT 5a~ SUBD. l Q~ n,[.~Ygu.e J~~ B~ DATE:~ 1996 MECHANICAL PERMIT (RESIDENTIAL) /~~9~9~v CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permRs are required for each unit New construction -~dd-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: i/,4/~~" FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required (a3 $3.00 each) ? State Surcharge .50 TOTAL ~ o. So SITE ADDRESS: y~9Z •-I~?a,~o-°^%~ ~yt-~;~- OWNER NAME: ~/~~/v~'.~Gi~ GvYPhI~/ PHONE ~S'~ 5'- ~~s-r Fo,ec%~ ~'l.L INSTALLER NAME: ~?~~-?z..~-~ i~6d s-•oz'c - STREET ADDRESS: 9~~' ~ • CITY: ~'z~'i,,c? STATE:,,,~1./ ZIP: -r'f~' c PHONE jy ) y~~ -z.d Z~ CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? ali commercial/industrial buildings. ? multi-family buildings when separate permits are t14t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee Q[ 1% of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State suroharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA166390 Date Issued:01/06/2021 Permit Category:ePermit Site Address: 4392 Sandstone Dr Lot:3 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - John S & Melissa J Arbuckle 4392 Sandstone Dr Saint Paul MN 55122--204 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature