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
~
~
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~
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~
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