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4021 Stonebridge Dr S . , - _ - ` - , . ••.~,,.,r„~. . a:'+'^?E'~!„'ex-`T.`.`.~~,." - . CITY OF fAGAN Permit No: Date: 3630 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Dake: Eayan, MN 55121 Owner. ~ttlund CCfmpF3Sly Site Address: _ 4'1121 Stonebridre Dr So L4 B:i H 1 t4 of 'F PIUmb@I: i'l3l.eti rZL1IIbft1L Conn. Chg: 55 ~ vti Zoning: Acct Dep: 1~ •'~~?p~' No. oi Units: 7 Permit Fee: 10, Surcharge: • Sun~ti' I agree !o comply wfth the Clty ol Eagan Tr. Plant 204 .00U:, Ordlnancee. Meter. Misc.: gy WATER SERVICE PERMIT Y ' GTY OF EqGAN . 3830 Plbt Knob R P~mit No: ' P.O. Bcx ~118~ _ oad ~~/P No: = Date: Elon, Aft 55121 Date: - I t g~ %Own4r.' Siteqddress; 4021 Stouebrid e T~r ~o Plumber: Va1ley PlUmbin< Ll' G8 I3911_:: MWCC: ~.r : ' C)ty Ch9; 1Wng. Acct Dep: Idt~~l 8f~lfl~ I. ~ Permit Fee; I Surcharge: g9~m~!' wMh the ph, «~an ; Mis c.: ; ~t Sr t. - - - SEWER SERYICE PERMIT CITI' OF EAGAN Permit Na 9371 f 3830 Pilot 1(nob Road Date: (3eter No: ~ P.O. Box 213 99 , 0 , M~ '"55121 Reader Na: • Size: Eagan Date: Owner `tottit,,:~ - Site Address: 4()21 SLone'.~ a, Plumber Conn. Chg; Acct Dep: ning: I Permlt Fee: ' ~ i~~lilb ~'~~~~#ts; I Sureharge: - uaS EiC. Tr. Plant ; , `L - ~ a ~~mPly wlth !he City of E89an Meter. r~ L 1!\ Misc.: . I WATER SERVICE pEq I By 1~~ Z CiTY O)FF~EAGAN Per°mlt No": , 3830.01lot Knob Road Date: P.D. Box 2118il r-PIP No: Date: ' . ' Esgan, MN 55121 ~ i ~ Owner. ~ Site Address: 4'~i.' ~ i+_bziebrid e ~r So L + 7 • : : ~ Plumber._ VaX,ley Di.~a~binc , i I MWCC: Zoning. ~ Gity Chg: No. of Units: ' Acct Dep: ' S • ~ r ' ~ Permit Fee: , 10 . ~iGpd 1 a9ree !o comply with the City of Eagan j Surcharge: • nd O~~~nces. ° Misc.: B f y ~ f SEWER SEAVICE PERMIT BLDG. PERMIT Q 01-3210 Bldg. P~ rmit ' 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge , 1-7-3860 Road Unit •5- 2o-zz7s sac ~ 20-3665 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter i ' 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. C~ 11-3855 Park Ded. TOTAL ~ ~ ~ , CITY OF EAGAN • . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 - Receipt # . , ~ . i To be used for SE' L"/W Est Value $122 ,000 Date hEBRCABY 10 19 88 5ite Address 4021 ST0141tfRIDGE DR SO OFFICE USE ONLY On Site Sewage Occupancy ~3 Lot Block S Sec/Sub. HZ~S OF S?0l1E- $R i 1)(SE MWCC System X Zoning Pp Parcel No. On Site Well (Actual) Const rd a Name ZHE ROTTLtiMp C(3 City Water x (Allowable) ~ P.O. ~X 387 PRV iiequired # of Stories 3 Address • g~ I c~ i?5SL(3 phone 57I--p34b BoosterPump Length Depth 36 °Co Name SAM S.F. Total . O ~ Addrts5 Footprint S.F. Ua ~ City Phone APPROVALS FEES W W Name Engr./Assess. Permit i 6"•~ t Z Planner Surcharge 61 Address 32j.~ Q W, City PhOne Council Pian Review Bldg. Off. SAC, City 100•00 I hereby acknowledge°that I have read this application and state that the Variance SAC, MWCC 550•00, information is correct and agree to comply with Nl applicable State of Water Conn. 50.00 Minnesota Statutes and City of Ragan O{dinances ' Water Meter 67 •DO ; Signature of Permittee I ' I 325.00 - Road Unit 'A Building Permit is issued to:__ T i. _g0TL[1kn CQ Treatment P1 204• 00 on the express condition thai all work shall be done in accordance wiih all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. g~~ 6uilding Official _ _ f ° _ TdTAL ~ . CASH RECEIPT , CITY OF EAGAN 3830 PILOT KNOB ROAD _EAGAN, MINNESOTA 55122 ~ I DATE 19 I Ri C!1 V ED FROM I AMOUNT $ I 8OOLLAR$ oe T FJCASH F]CHECK FOR ' FUNO CODE AMOUNT I I I . ~ ThankYou ~ BY I White-PaYer$ CoPY Yellow-Posting Copy ; Pink-File CoPY ' ~ . . CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt~ , To be used for Est. Value Date ' t ,19 Site Address OFFICE USE ONLY .i _ On Ske Sewage OccuPancy S Lot Block Sec/Sub. Parcel No. MWCC System Zoning On Site Well (Actual) Const a Name `Ciry Water ~ (Allowable) v7.1 W PRV Required # of Stories z AddrBSS Booster Pump Length ° City Phone Depth , p Name S.F. Total ~ ~ Address Footprint S.F. City Phone APPROVALS FEES ~ W EngrJAssess. Permit t~4b.l , Name = Z Address Planner Surcharge i~' u = Council Plan Revfew ~ W City Phone j(~+ , Bldg. Off. SAC, City 7 h' ' I hereby acknowledge that I have read this apptication 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 Buiiding PermR is issued to:__ Treatment Pt on the express cond ition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Parks r_ Building OHicial _ _ TOTAL ~ - Permit Na. Permit Holder Date Telephone it Plumbing C ~ ~~.f.:(:~:': i,• ^ -~'9,~~ x H.V.AC. ~218~ Electric Softener Inspection Data Insp. Commenta Footings I ~ ~ Footings II Foundation Framing / Roofing Rough Plbg. ~ , Rough Htg. , t%_;~ ~ . Isul. Fireplace Final Htg. Final Plbg. Bldg. Final ~ CerL Occ. L Temp. LP Deck Ftg. Deck Final Well Pr. Disp. L i . . - 7 . . , _ . . . . . . z , : . , , , _ . . • „ . . PERMIT # ~ PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-81.00 1i Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. ` New - Mult. Add-on m Name ~li2LA_'W1161i1Q ret - Comm. Repair ~ Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N4. FIXTURES TOTAL ~ Name ~Water Closet - $3.00 m /-Bath Tubs - $3.00 ; Address f Lavatory -$3.00 z 1- C ~ O City Phone _/--Shower - $3.00 -3 p ~__Kitchen Sink - $3.00 FEES Urinal/Bidet - 53.00 - COMM/IND FEE - 1% OF CONTRACT FEE --/_Laundry Tray - $3.00 --3- < APT. BLDGS - COMM RATE APPLIES -~_'_Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPUES -/_Water Heater -$1.50 f-~ - MINIMUM - RESIDENTIAL FEE - $12.00 L_Whirlpool - S3.00 c- MINIMUM - COMM/IND FEE - $20.00 __:~_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - - .50 (MINIMUM - 1 PER PERMIT) (ADO $.50 S/C IF PERMIT PRICE GOES Softener. -$5.00 " BEYONQ $1,000.00) Well - $10.00 ; Private Disp. - $10.00 _iRough Openings - $1.50 'U • ~ -~t~+?~.6 R~~y SIGNATURE OF PERMITTEE FEE: STATE S/C: ~ S L" I FOR: CITY OF EAGAN GRAND TOTAL: ~ . . . . , . PERM IT # . ..:MECHANICAL PERMIT CITY OF EAGAN AECElPT 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE % ~ j CONTRACT PRICE: "-PHONE: 454-8100 ' Site A~1ess ' 4° A BLDG. TYPE WORK ~ESCRIPTION Lot~ Block Pe~/Sub ;I c:?, Res. New ' Muft. Add-on ~ Name Comm. Repair Other c City' Phone- I G FEES Name RES. HVAC 0-100 M BTU -$24.00 Address AODITIONAL 50 M BTU - 6.00 - p City Phorre (RES. HVAC INCLUDES A/C ON NEW . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFtnA!'1) - 1.50 EA. ~ TYPE OF WORK COMM/IND FEE - 1% OF GONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLlES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU R MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM S7ATE SURCHARGE PER PERMIT - .50 y' DY ND $1pCpp) PERMIT PRICE GOES Gas Piping Outlets # E ' Other FEE S/C: SIGMATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN . , , : , _ . . . . _ _ RESIDENTIAL BUILDING PERMIT APPLICATION 1 CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodellReoairReauirements • 3 registered sde suneys showing sq. R. of lo[, sq. R. of house; an~ll roofed areas • 2 copies ot plan (20°'o maximum lot mve2ge albwed) . 7 set of Energy Calwiations for heated additions • 2 copies of plan showing 6eam 8 window sizes; poured fountl design, etc) . 1 site survey for eztenor addi6ons & decks • t set of Energy Calculations . tndicate if home serveE by sepGc system for addi6ons • 3 copies of Tree Preservatlon Plan if lot platted after 711193 • Rim Joist Detail Optlons selec6on sheet (hldgs with 3 or less units) DATE 9 ~r VALUETION ~ IS ~ JOB SITE ADDRESS S~Tr,-to b nie-lGt. .Y~9S IF MULTI-FAMILY BUILDING, HOW MANY UNITS? C~ PROPERTY OWNER S+e,0e Rvg oS~ esL~n TYPE OF WORK G'xok.y2 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT susse.( ev~,non14111'i PHONE# 6s/-pIY5--6331 ADDRESS A2Z'_j' Sa,~`~o.- ZIPCODE .SJS~I PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Cod) Category _ MINNESOTA RUL,ES 7670 ry ATEGORY 1,~~r~ (check one Residential Ventilation Cate o 1 Worksheet Subm - - Energy Envelope Caiculations Submitted ~~I~) SeP z1 Z~ ~ MINNESOTA RULES 7672 ~l - New Energy Code Warksheet Submitted Plumbing Contractor. Phone Plumbino System Includes: _ Water Sottener _ I.awn Sprinkler Fce: $90.00 Watcr Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Nlechanic.il Systeiu Includcs: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signafure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ ot Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex 0 16 Firepiace ? 21 Porch (3-sea.) ? 31 EM. Alt - MWti ? 03 01 of _ plex ? 09 07-plex X 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 lnt Improvement ? 38 Demolish (Interior) ? 44 Siding )w 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalition (Entire Bldg only) - Give PCA handout to applicant Valuation 4a000 oc, Occupancy ` MC/ES System Census Code Zoning A.0 Ciry Water SAC Units Stories Booster Pump Nbr. of Units ~ Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const ~ W idth REQUIRED INSPECTIONS Footines (new blde) FinaUC.O. Footings (deck) ~'JJ FinaVNo C.O. ~D Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Roof Ice & Water Final Other -,11:2 Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco _ Stone Insulation Windows (new/replacement) Approved By 6A , Building Inspector Base Fee GPfo-~f's ~ XA_00~ 0 6 Surcharge a0 _9 c/p;~~/, Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN No- 14 5 9 8 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Receipt# c ~ 7obeusedfor SF DWG/GAR Est.Value $122,000 Date FEBRUARY 10 19 88 Site Address 4021 STONEBRIDGE DR SO OFFICE USE ONLY Lot 4 Block 8 Sec/SubHILLS OF STONE- OnSiteSewage Occupancy R3 . Parcel No. BRIDGE Mwcc syscem X zomn9 VD On Site Well (Actual) Const e Name THE ROTTLUND CO City Water X (Allowable) Vn z AddreSS P. O. BOX 383 PRV Required _ # of Stories o City OSSEO Phone 571-0304 Boos[erPump _ Length Sz Depth 36 8 Name SAME S.F. iotal . o a Addfess Footprint S.F. ~ Ciry Phone APPROVALS FEES °w Name Engc/ASSess. Permrt $ 646.00 w li Planner Surcharge 61.00 x- Address aw City phone Councii PlanReview 323.00 Bldg.Off SAC,City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agr to comply with I plicable tate of Water Conn. _550._00 Minnesota Statutas and City of gan di a ces Water Meter ---6-7.00 Signature ot Permittee _ Road Umt 325.00 A Bwlding Permit is issued to:~HF.-ROTTi,j)ND-CO Treatment Pt 204.00 on the express cond ihon that all work shall be done i n accordance wrth al I apPlicable State of Minnesota St tes and Cdy~Eagan Ordinances. Parks f/ Bwlding OfOciaL 70TAL $2,826.00 - -S I ~ CASH RECEIPT GITY OF. IAGAN I~ 3830 PiLOT KNOB ROAD EAGAN, MINNESOTA 55122 i DA iE_ 19 I FROM - I AMOUNT &_DOLLARB 00 ~ I 'I E] CASH I%I CHECK 7C ~ : - - FOR ~Fl1ND ` ~ CO~E `~AMOIINT Y ° r' I ' I il ~ ~ ~ li Thank You ~ sY White-PaYet3CoPV Vellow-PostingCopV Pink-File CopV ~ - f~~rti#ir~#r nf (~9rcu~rttnr~ Citp of Cagan ' ~P~1`I1riPtl1 D~ ~1tl~dttt~ ,~S~Pt#iDri ~ This Certificate issued pursuant ta the requirements ojSection 306 of the Unijarm Building Code certifying that at the time ojissuance tHis snuclure was in compliance with the variaus ordinances of the City regulaling building construciron or use. For the jo!lowing: U"a.x,.,j~~ SP DE?G/C-3R BWg.Nm,;,No. 14598 Ompwcy 7ra 123 7omng DisUia PD rya co~ Vn 0 ~ or ei,,kh,,e i°w :0'a1LDidD C0. Aed= P.O. Il0X 303, OSSEO awid.q ~naa. 4021 :,T.Oi',42DRIHG'd D3.i.'Zi,~Y P.4, F3IIo HILLu OF STQiI6DRIBG:i Daw "r'sAY 60 1900 BidINn6 Offciel POST IN A CONSPICUOUS PLACE This re0uest void ~ lfl inpnihs fmm ~ ' D 9 3 8 9 6,C ~ ~ , ~ ° Fa eaT-Oata~ - ire No. R u h-in Insuer,bon ~ Re ~ red~ RCa y Now rrII No1rty Inspec- 22 Yts ?NO When Peadv ~ V i ~ Ucens¢d Elec[ncal Contractor 1 hereby request mspaclmn ot ebove ?(pwner electrical work mstalled at Stre t AOdress, Box or fl e o. ~ Ci ecu n o. nship Nama or No. RanOe o Co Occu a IPRI TI Phone No. Power uppM1er Address E Incal Co tracmr IGOmpany N el _ Con[rac[ur's Lmense o. Matlmg AdJress ICon ctor or ne, Makmg Inst ilauonl a {V Aut rzeo Si9nawre ICon~ ' or wner M ing Installat,onl P Ju e= THIS INSPECTION REQUEST WILL NOT MINNESOTA STAT OAXO OP ELECTRICITV Grigga-MidwaY 81 - Hoom N•191 BE ACCEPTED BV THE STATE 80AHD 1821 Universitv Ave.. SL Pxul. MN 55704 UNLESS PPOPEfl INSPECTION FEE IS Phone16721642-OS00 ENCIOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-Io~ooai-os 1 See inshuctipns lor comoleline this form on beck of yellaw cocY. D' ~~.918 9 6 "X" 8e/ow Work Covered by 7hrs Reques! FiiJ Nep. Type ol BuilEing AOOliuncea Wiretl Equiumant WireJ Home Ranye Temporary Service Duple.x Water Heater Lightiny Rxtures Apt BmlAing Dryet Electn~ HeaUn Commercial BW,y. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk MiIk Tank Farm otner oe~.~ y Olher (Snm.~fy1 t er Vec~lY ther Oth~:r ompute specbon Fee 8elow !t ServiceEMnanceSize H Fee Feede,s/Subleeders k C~rcwns 0 to 200 Am s 0 to 30 Am 5 0 to 30 Am s Above 200 Am>s 31 to 100 Amps 31 [0 700 qrn s Swinmiing Pool Above 700_Am s Above 100_Am s I I Transiormers Irri aLOn 8ooms ertial.' ee S~g~s SpeciallnsUection Aem9rks $ TO AL Houeh-in p~ia C.. I. t Elact ' 0 Inspec or, heraby Final i Dcerbfy thet the abova ~ inspecbon has been ~ maee. thn request voitl 18 months Iram 0- ~ a791 ~ ~ s s Peq st Oate fire No. Ro h-In Inspeclion vetl Ins edi Other Than Rough-In { - (YOU mu9 calt Ins :MOr w n rea0y) eady Now ~ Will No~ity Inspectoi p - / ? Ves No ate eatl Iglicensed contractor ?owner hereby request inspection of above elearical work at: Job /A;ftlress (Streel, Box or Roule Na I Ciry ~F' A ' ' O c+? S i 01~) `~m /V-N Sectlon No. Township Name or No flange No Counry Occupanl(PRINT) Phone No PowarSUpplrer AtlCress E Conlrador (GOmpany IVame) Con[reclor's Lirense No. . ~1~~-T Cc~ C,~} oo MaiLn tltlress (C clor or Owner Making InstallaLOn Lt7f Au onE igna[ure (COnt o Owner mg Inslellalion Phona Nummer " ~3-l131 NNESOTA STATE BOAH ECTRICITY THIS INSPECTION REQUEST WILL NOT GrigB%Mldway eltlg. • Room 5428 BE ACCEPTED BY THE STATE BOARD 1827 Unlverslty Ave., St. Paul, MN 55109 UNLES$ PFOPER INSPECTION FEE IS Phone (612) 842•0800 ENCLOSED. G-/ 3~ 7c REQUEST FOR ELECTRICAL INSPECTION ; es-ooooi-os See msWCeons for mmpleenq tNS form on back ol yellow capy a; x: "X" Bebw Work Covered by This Request 'Ify ~ . Ne Add Rep.- Type of Building Ap/,lianoeafNired. Eqwpment Wired . X Home Range Temporary Service Duplex Water Heater Eiectric Heatin Apt Building Dryer Load Management < Comm./Industrial Furnace Other (Specdy) Farm Air Conditioner Other (speafy) Comracror's Remarks. Q Q~ A I 1 ~LA•LYv^ Compute Inspechon Fee Below: # Other Fee # Service Entrance S¢e Fee # Circuds/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps Abo Amps Si ns mspector's use onry TOTAL Irrigation Booms ' C-) ~SO 5 ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electncal Inspector, hereby Ro.9n.,, oa~e certify that the above inspection has F,nai been made. OFFICE USE ONLY This requesl voitl 18 monNS tmm RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT 68146 5_ 55122 a, o- NewConstructionReauiremenh RemodeUReoairReauiremente v ~ • 3 registered sAe surveys shawing sq. ft, oF lot, sq. fl. of houu; and all roofed areas • 2 copies of plan ~T (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated addNOns • 2 copies of plan showing heam & window sizes; poured found design, elc.) . 1 site survey for eztenaraddNons & decks • i set of Emrgy Calculations . Indicale if home served by seplic system for additbns • 3 copies of T2e PreservaHon Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE cJ- Z- C7Z VALUATION~ 2l C~~-L~ •ZI JOB SITE ADDRESS yO2_1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNERS . ~ ve TYPE OF WO IREPLACE(S _ 0_ 1_ 2 APPLICANT C~aS'~-t o~_ ~ C~~ 'C~S • PHONE# In~I-~31I^9~{~~ ADDRESS2-~j9- e- ZIP CODE PAGER # CELL PHONE # FAX # IO-;t_"17 )J "OZI~ NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Soflener _ Iawn Sprinkler Fee: $90.00 _ Watcr Heater No. of R.I. Baths No. of I3alhs Mechanical Contractor: Phone # Mechazucal System Includes: _ Air Conditioning Fee: $70.00 _ Hcal Recovery System Sewer/Water Contractor: Phone # All above information must 6e submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of A6pNe~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not R i ir~AY-A 2 2•C~~nn L I ; ?at 02 u OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plax ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , • 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ~ INCLUDE 2 S^cTS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEiICA ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM@1ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - ~ r~L G ~n.•, To Be Used For: `n 1 'c~ylT-r}~jaluation: Date: Site Address yDZI S ~J 12Z,Q~_OFFICE USE ONLY Lot ~ Block ~ On site sewage_ Occupaney MWCC system ? Zoning PD. R` 1__ Parcel/Sub ~p, On site well Actual Const V-N City water -17 Allowable Owner PRV required IP of stories Booster Pump Length O~ Address f•' o, ~-)C n63 Depth 34= y" ~2-' S.F. Total City/Zip Code v~60 f eito, '~'~b Footprint S.F. Phone APPROVALS FEES Contractor 10 T40 Engr/Assess Permit 416.00 Planner Surcharge l,00 Address Council t Plan Review ,3Z3.40 Bldg. Off. ~jl,l7 Z q SAC, City 100,00 City/Zip Code ~•X~'~C' Varianee SAC, MWCC p,00 Water Conn 55 0, 0 0 Phone ~y~yip, Water Meter lorl,oa_ Road Unit l25. OD Areh. /Engr. Treatment Pl 20 y.00 Parks Address Copies f TOTAL City/Zip Code ( Phone li vALuAT i o N ~ . . z~xz2= 463yX1Z= 5808 ~A°-~EMENT .r----- !H X Zo = 280 3o X Z~ = 8?„_ /IZo x11i 15680 Itz_ F Loo-as rSSMT = 71Zp SAy I N ~~34 x88w 99~9Z IZJI 280' 2422 Enterpr,se D,ve PIONEER ~A,.o•.,,A.•~.o~-.n i Mendota Heighu, MN 55170 engineering•. -~i (6t2163t-i9i4 1 ' i '~'~J[ ~4n ~ Certificate oi Survey ior.~!"± G 07-7"L UfVD COMPANY ~ i -7.4`1 ~3eqq' 38" ~9ji~ ~f y Q= -~io°~5--~ N o 21 H . , / E \ ~ 6 ~ ~ n ~ ~6 I / ~ \ \ I \ ~ ~g \ ~ G• 0 ~ P~~?~1 H m ie, ~ \ fj ~M1+ a \ ~ , 6 , \ l~' • •,~v i y 0 , ' v~ ~ .~~7- . elqi Z p•, ~93~ Fi 6 ~t $ , i~ 9o0.o Der+oles exishn~ FIPVa/ion PaOPosi~l? Nous£ Er£:~AT_oN, , 900.o OcnolFS propo~ u' Elevolron / S - ----n ry~t • / ------Denofes Drarna~e jUtrlrly Easemenf ~ Lnwesf F/ao~ F_leva(ro,~ • , Denofes DrainabeFlow~ /~rrows Top ot~ BlocltElevofi'an o Deno{es monumenf Garo4,1 5/ab E/evofi'on = 898.2 $ecrrin~s shawn drQ assunted , LOT 4,9LOeu s, Nlccs oF ST4NE600GE ~ QuKOTA CouNTY, MI^'NESOTA SURI£CT TO EASfA?CNTS OFQECORD I nerri>v cpr.;ry that Inq , a[rue and corgrn ~enres.n~~non o! a w•.•i o! r•• t~G..os W !re abc.e v:np•b qnd, ard o' : v m: a:,e,} o' buJtl~ngS. tnr•eon, anC ill aR~ble enuwchmfMa, d a^v. frnm o' on y,~ I~•4 At L.;rretN CV 1^ :~tleV 0f%+ U. 19~ v ~ SCale - 1 40 87rrz./S ,,',i;k'; • ~ EXTEKIOR : ENV$LOPE ~~VERAGE COMPUTATION ~L,L) 1-6D ~ , OFIIVER C) n~ SITE A?DRESS -~IhZI ~L)fZi%JF'~ ~ 'S'`7I-D°a~JS~ . ' CONTRACTOR T' 4C \OT-11-0 R~Z~ DATE PHONE Determine working square fooCage of each. '7. l ryr.~- 11. Total exposed wall area ~ g4• ft. X`~ 2. Total roof/ceiling area ~~G V sq., ft. x Total exposed wall area a6ove floor a. Total wa11 window area , b. Total door axea •.-s4~ ~.;~:j c. Total sliding glass door area d. Total fireplace wall area . . . • • • • • • • • • • • e. Total wall framing area (average 10%) ,~;-~'~,:;t:i.; , f. Total net wall area above floor . ( ~ tt;,•...- ~ g. Total rim joise area Total exposed foundation area h. Total foundation window area • 1,' i. Total net foundation area above grade Determine "U" value of each wall segment. 138 X „v„ 8. 1'3 ' ~i~~ 17. x IlUtt 2i COG ,.~.~.,,1,r. •i'. q-o C. x .49 ~-(4 ; .s d X flUll x „U„ e., f. 7-3.~ X."Uu~-~ A ~,p'; 'e%•i :D g• X „U„ a a42 : G .~.;:h. X 11UO X k,u„ o?~ 5:43 ~~~i:~' 3 .Total ~~?jI ' ';,s-: '~t - i..,~~r If item Il 3 is the same as, or less than item Ol, you have met the intent,:,;,'~`~:;;,;~ . of S73C 6006(c)2. ~ ~ • . , . . . 1 . • , • . : . - , ~ . . ' • , ' . I ' Tota1 exposed roof/ceiling axea Total gross roof/ceiling area = _ . t. ~ j. Total skylight area k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area . Determine "U" value for each roof/ceiling segment. X nUn ~ • - . . k. x„U„ ~_d= 3 n~ .4f 1 l3 fl~ i. ~ ~12-x „U,r d Z = , 4 Total ~ If total of It4 is the same as, or less than I12, you have met the icitent of SBC 6006(c)L, ' . To utilize the total envelope system method, the values established by the sum of items f13 and Il4 shall not be greater'than the aum of items lll and 112• + z. 4 7,~ = 2~(a 52 . i. 2 3. 4. i4• i` J.i _ . ~,~i• , . . . . , . . / . xoor•%ceiniNC . , ~ . ~ Const_ 'r ° R-Value Intcrior air film "58 A 4. Ex teri o r a i i f i l m ( s t i Z l? ~f" Total 4.~d.~ • I_Ii L.lIT : ~ , ° 1 ~I . ' . . ' ~ ' b ~ L-•~ . . ' . . / . , . . . . ; . . , ' ~9 1 Venced fleat flow•~ ' , . . • i . - i up , . • i , , . ; - ' i ~ ' • • FIG. #5 ' i . ' ' • ' • • . , . . ~ . . , . i . , ~ • . . ' . i . • . , 0.61 , • , - 7,., Interior ai.r fi2m ,S . ~ ' 2. Z - ~ ~ pvE2 TQ-t~~ 3 .G ,~,~~.,~,~t„-:•,~t,s .-~•n_:~v~'o-',,,~,^ = 3. _ =:r.'T---~1 7r_"'_'~', ij~~ • q„ Er.terior axl film ' ~ f/il ' Total• L}.; ' i//j _ • i.i ~?,I,II , i~ ~ _ ~ << ~ . ~ • 1 I ~ ~ 3 qr, ~ : ~ , , • , . • ~ . ~ ; ~ . . , ; . . ~ i . • , • ; . `i~ Ne:.c flocr up • ~ .•vented • ..FIG. H6:..~_ . . , ' • • • , ' ~i.' ' ---•3 -}~r . . ~.5 Inside ai.r . . . I ~ .a~u . 2, ' '~'y,•; ~ ' i a~ .f.. °1'-~'. . • . 'j, • ~ ' ~ 9M1I~. .~~1~ ...~:•••••••••r 1• 4. . . ' 0 17 . '~.It! film - , ~ : Total v ~ . ~ ' ' " ' i'-., I~. ~ " :yi,'."S". " ' • ~ . " • ' ' ' . ~1' . .I, .~tra••?,fi:'~..'~..~ •I!~.'I: •i t. ii i.'., . . q j ~ I • . ~ ~ • , ' ' . . . . I ~ . . . ~ ' . , : ~ . . j . . • ~ • , , ~ • HOti-~'TEA. ~ Noti~: Use additiotilal slieets •if moro cpaco i:eede~l for clatails and calculatians. . ~ Henc ' . . . ~ • : • , ; : . (r; . ~Elotf up ' • • ~ • • ' , , • ~ .~i•r~~i;, , :i+: i , . ~ . • ' 1 ~ , ;:.~1 llage 3 of-9 ' • IJhLL SL:CI'1pN5 • . . • NV1'Bs Use'10i of opayue wall area for ' ,p~~ . • • , irame construction ' Construction ' R-Value 1. Interior air~film ' 0.69 . . ~I~ - .2.•'~/2'~ 4~cAl~• O.~ . 3 . ' . 3. '~-K Ca "STCJL~S ' ~c`+88 4. xnSic • 5. tan ~,UMIN'UT'1 t.. . ' ~ ' ~ 6: Exter.br air fi.lm 0.17 • Total ~2, : FIG. v1 TOPVIEf+T OF . . OGV. ~ . . . ' i FRI1tSE l7IfLL . , • . • . , l. Tnterior air film 0.68 , . ~ • • . . Z. a. 17LL) c..c_.wALL iusUL • ' v . . 4 , ' ~.5I3 -2- r•zc. Rz _''•v ~ S. AWt`t i t-tu r-n..•StL7it-tCn O- ' 6. Exterior air Eilm 0.17 . . ; - ^ ~ ~ . . ~ l • ' ' . . ' Total 22..'~ _ ~ • l ~;i ~-s ~J , l.~ = . ~g-r'7 . . ~ Interior air film ~ 0..G8' ~i~tic:ix z. ~r' 3. r l. ~ : • i I : l~f ~ ~ , . s • ~ ~c..i.ae-i c r--c~r~-~ ~ ~ Di r, e-~ ~ o ~ j 6. Exterior air f ilm 0.17 Totai 2~ulTlCtvi•~ --{'3~ • ' ;'r' O42 ' ~ , n . ~1nat\~:Sr . . , . ' II. ~ P. l. Interior air Pilm ' 0.68 ~~;~,~P , .s . r 2. ' TZ- 1 1 ~ l-ISC1L • l CeOC~ " • , 3. ax4, ~eP- rt-'cn C-0t4G P,U2:~GC ( 28 ~ ' 5. ' . . . , 6. Exterior air film 0.17 , . . ~ ~ . . ' ' L) Total y • ~ ' ~ • a . • . . . - ~ ~ : ; ~~C~t•'`~ ii ~ ~ ~ > ~ • ~-Ial--'~k • , . . . .4,,.: . V~•, f.~ • ~ ~r~ ~ ' '=r , . ~ ; ~ , ~~,'~~1 t ~ V • (r~ ~ • . ~ , ° ~ . 6 . _ ' ~ ~ rri : ' Ic. ua ~ I14 ~ . . . . t ~z o ~ ~ i x o ~ • . ~ ' ~ .1~••' . O . ~ ~ `4a.. • . , , ~ ~ x , - = = . • ~ . ~ ~ • • ' ` . NOli; Indicate ~Y~GS •~d~UC~ ~ • ~ ' ' ' ~ . CjCDtl1 ail[l ~ ~ APFLIC%jATION FOR PERMIT :N=: PAYMFNf OF fEC AT TiME OF ; , R APPLICAIZON DOFS NUP CON- SPINIE APPItG'JAL OF PFRFIIT. EEO SEWER ANQ/OR WATER CONNECTION ~+~i~ m~ INSTAIdATIODIS WILL NpP gE S'cntr.vn [!NiZL PIINIIT HAS BII21 APPROVFD. ~F czclcjan PLFASE PRINT 1) PROPERTSC ADDRFSS J2ir c' Se0 u r-t -.r i,Ff:AT, DESCRZPTION;. Zen I - ~ fft cL E~' ~5~~1c_c .(~'i=-~~c# r- 'Lot7Block S vl5ion or Tax Parcel ID IF EXISTING STRLCTURE, DATE OF ORIGINAL BUILDING PII2MIT ISSUAPICE: ~bnt Year~ PREiENT ZONING/PROPOSID USE: Q COMMEf2CIAL/RETAIL/OFFICE I~R-1 SINGLE FAMILY Q INDLSTRIAL El R-2 DDPLEX (3tvo L'nits) ~ I.N,STI'ii]TIODlDL/G^l,7EF^-wmNT ~ P.-3 TOS,.INI-IOUSE (':"_'see + Units) ( Ufii Q R-4 APARTMENT/CODIDOMINIUM ( Onits) z) ~ NrrE: 1rZ lT nL[, f~,o ADDRESS: 7 ~i /CJ I~~Y'C=lC L I-7/l P CITY, STATE, ZIP: ;~"~rj1z'~~J. t~ %7'Li'~ ~ z•~~ PHONE: For City Use 3) NAME: ~ Pl rum~e s L~cense: ADDRESS: Active Expired CITY, STATE, ZIP: ` Not recorded PHONE: MASTEEt LICENSE # Sta In itiaT 4) ~ •e a~• NAME: ~ f~iJrr r~ 1-7 t r ADDRESS: ~,1PY, STATE, ZIP: PHONE: 5) oO ~ ' a a~~ ~ • ~1 . a~e ~ CONNECTION TO CITY SEWEFt ~ONNECTION TO CITY WATEFt O QTHII2 6) *****************~******~~~**~**+******+**~****:r**~**~~+~~~**~***,~****~*~*+*******:t***********,r****~ ,*k THE GOID COPY OF 'Ii]E pERNIIT W7SS, BE SEW DIl2EC.TLY TO PIIBI.IC WORKS ZO FACILITATE NJE.TF72 PICK-UP. * PLF,nSE ALS,OW '1W0 WORKING DAYS FOR PROCF'SSING. SOMEONE FROM Tm CITY WILL CONPACT YOU IF 7gIERE * * ARE ANY PROSLENIS. * ~****~:**~***~~**~*x**:t***~*****xx**~*:.~******:*~**:~*******~**~~:**~~~~~*~~*r,e***~*~***~*~~*~:*****~ . FOR CITY USE ONLY ` PERMIT # ISSLED ' i 71 Pd w/Bldg. Permit FEES: $ $ ~(J S ~ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMZT (INCLUDE SC'RCHARGE) $ (o $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOLNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ _y ~r D CnJ $ wac $ S b•~ $ saC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNR SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ "-2-D`i" ~ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 71. Cl j~ $ TOTAL I RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGILVEERI[VG NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ~ 133°~" 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 08,1505, YEAGER Site Street Address ~ ,MARGARET 4021 STONEBRIDGE DRIVE SOUTH Ulltt # EAGAN, MN 55123 {651)686-5040 Property Owner Telephone # ( ) contractor NORBLOM PLUMBING CO. Telephone I Address 82740033 City State Zip MINNEAPOLtS, M,N #540 The Applicant is: Owner ontrac or _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete naxt section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener X Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 157.5,0 I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but oniy an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ; , ~JP4 IVU'fWW1 ~ . . - ApplicanYs Printed Name ApplicanY ignature 4U1~ 1 ?i r, I~ii . 77v 4b zoos RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. ;j'?DO) Date ~ I ! F5 I 07 Site Street Address l .U • Llnit # Property Owner 44<Ll RLA Vqe- 67,0J- Telephone # (65I Contractor_s1~~ ~~i Telephone # (I~j~ ) ~ Address ~ m City EACfa 1 State-,~J~ Zip .'r~ The Applicant is: _ Owner ~Gontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelltng $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water 11 heater at the same time. !f you are installing on a water softener anaVor wafer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: ~WaterSoftener -'..faterHeater $ 15.00 _ oew ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebulld $ 30.00 State Surcharge $ .50 ToWI $ ~-q0 I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the eveni a plan is required o be reviewed and approved. 4 ApplicanYs Printed Name Applica Ps ignature ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4021 Stonebridge Dr S Lot: 004 Block: 008 Addition: Hills of Stonebridge PID:10- 32990 - 040 -08 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: 2,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 f 80th Street Suite 211 Bloomington, MN 55420 952- 345 -6047 sarah @elderjone s.com BL - Base Fee $2K Surcharge - Based on Valuation $2K Total: $70.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Michael R Yaeger 4021 Stonebridge Dr S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $69.00 0801.4085 $1.00 9001.2195 Building EA074338 07/17/2006 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 with all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4021 Stonebridge Dr S Lot: 4 Block: 8 Addition: Hills of Stonebridge PID:10- 32990 - 040 -08 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: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 - Applicant - Owner: Michael R Yaeger 4021 Stonebridge Dr S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA080271 10/05/2007 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 with all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116190 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4021 Stonebridge Dr S Lot:4 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Barbara Bessent 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 - David W Mcmahon 4021 Stonebridge Dr S Eagan MN 55123--163 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature 4101` C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 REcasIED !►ttkR Q 310 t Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: (7Z3' Date Received: 3-3- 1 Staff: et) .... jy 4 / 1/I 3 Ai- Site Address: rSf YI`I Date: '` Unit #: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Name:1) A VC.. I v l C %Th1 yam. Phone: Address/City/Zip: 4"gi 6tovllebIr ,(riie Dr e7 Applicant is: Owner )I Contractor J Description of work: -t^ i') 4f a i I d r a_ i Construction Cost: 3 50-0 Multi -Family Building: (Yes / No ) Company: J+ to 1:. 6Y10 r °�+� + 4C r contact: M L- IK (O L I''3Z f - 74- I � Address: aG3 DdG� k1 Blvd proof i►'1 t� � City: °�° L.C.Y�� J State: m tJ Zip: 6O 2S Phone: tp I — o 3 SG 6 % License #: .! 01-1.4k1 0-0VLTI' Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) a t t- p b.& NO- tr once -}-,e_ ka_ nD ... ± 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: NOTE: Plans and supporting documents that you submit are considered to be public nn the information may be classified as non-public if you provide specific reasons that would conclude that they are trade secrets. Portions of the City to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.oro 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 MO Illi 7C.- Rt t ER - Applicant's Printed Name Ap r1r : nt's Signature ./%10,49„ceitt ti Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition yAlteration Replace _ Retaining Wall DESCRIPTION Valuation Pian Review (25%_ 100% ✓} Census Code # of Units # of Buildings Type of Construction L/ 2) St6„, ta,'. G( , 0 ( S DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) Exterior Alteration (Single Family) _ Exterior Alteration (Multi) _ Porch (ScreenfGazebo/Pergota) _ Pool Interior Improvement Move Building yetro ti3y / Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /03 a 67% — Siding Reroof Windows — Egress Window Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Erosion Control Other: , Building Inspector Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA139370 Date Issued:10/20/2016 Permit Category:ePermit Site Address: 4021 Stonebridge Dr S Lot:4 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 - David W Mcmahon 4021 Stonebridge Dr S Eagan MN 55123--163 (651) 330-4081 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginsoections@cityofeagan.com Date: r For Office Use I Permit #: Permit Fee: / 5 • (-7-) C) Date Received: ` -ill SEP 27 2019 Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: Dave McMahon Phone: 6513304081 4021 STONEBRIDGE DR S Address / City / Zip: Applicant is: ✓ Owner Contractor gr Type of Work Description of work: Waterproof exterior basement wall, insulate, install draintile Construction Cost: 1 Zj 086.06 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Pians and st ng documents that you submit are considered to be pubhcInformation. Portions of the Information may be as public if you provide specific reasons that would permit the City to conclude that they are bade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is;,'t to start without a permit; that the work will be in accordance with the approved plan �in/fthe case of work which requires a review and approval o �• • ���„ I %�����"`' � Dade. Nona l o X ►.�i ►%//GJ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation x Single Family l Multi 01 of _ Plex WORK TYPES New Addition Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace _ Garage Deck Lower Level 6;.. 5"---101(16ivid‘i6 _ Interior Improvement Move Building Fire Repair Repair (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation C Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan _ Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System )S SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: \ L/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 00 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA176567 Date Issued:05/23/2022 Permit Category:ePermit Site Address: 4021 Stonebridge Dr S Lot:4 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - David W Mcmahon 4021 Stonebridge Dr S Eagan MN 55123 (612) 817-8365 Guaranteed Roofing & Siding 2475 181st Ave NW Cedar MN 55011 (612) 328-7424 Applicant/Permitee: Signature Issued By: Signature