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
