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4041 Stonebridge Dr S . CITY OF EAGAN . . . 16742 `4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100' BUILDING PERMIT Receipt # ~ "ZI ~ To be used for Est. Value 4 ~+0oo Date JuLY S , 1 g&9 .ii(I • G:'R. Site Address E~' Lot Block Sec/Sub. nF, OFFICE USE ONLY I Parcel No. ° Occupancy f=-3 ~ FEES Zoning 'pD R-i W Name CORp~~~Tl~l (Actuaq Const V-H Bldg. Permil 812.C~ Z o Address (Allowable) V"'Z'T 74,50 City T c ",J Phone 936-7$33 #of scorie5 surcharge i06•04 ~ 9 1 Plan Review I ~ p Name ~ t Depth SAC, City =U 8Q Address S.F. Total - SAC, nncwcc 575.40 I ~ City Phone S.F. Footprints - 5W.00 On Site Sewage _ Water Conn ~ W W Name i On 5iie Well Water Meter %0000 sZ Address Mwccsystem xx 3Q.~ ¢ 2 ~ Acct. Deposit a W City Phone cicy wacer Ztl PFV Required _ S~W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - 1.C}O S.'W Surcharge information is correct and agree to comply with all applicable State of 340.00 Minnesota Statutes and City of Eagan Ordinances. Trealment PI Signature ot Permitee APPROVALS Road Unit 22 W, CE~iTL)! k[OMk,'s ~.OitP' ~anner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. O(t. _ Copies Building OffiCial Variance TOTAL 3.256.50 - Permit No. PermR Holder Dete Telsphone # WATER '/O ~ SEWER PLIIMBING , . c 4 ~ _H.V.A.C. OZ~ Lg ELECTRIC 07/-~ Miapection Date Insp. Comments Faotirgs I n7/0 Foundation Framing Q Roofing Rough Ptbg. ~ - Rou9h Ht9• j~ - Isul. h s r C a!X a'~~~f ~ Fireplace - 2'f Final Htg. Fnal Plbg. ef ConsL Meter PI6g. Ins ctor - Notify Plumber Engr.IPlan Bldg. Final p Deck Ftg. Deck Rnal Well Pr. Disp. , t r. ~ . • , . i ~ . . (Uxtiftratr nf Orrupttnry Citp of Cagan lopprtmrnt of luilbing j.pPrtimt This Certificate issued pursuant to the requiremenu of Section 306 of the U?uform Buildrng Code certefyirrg that at the time of issuance this structure was in compliance wilh the various ordirrances of 1he City regulating building construction or use For the follawing: u.c amrmtio. ST DWG/G1R ?effa;l No. 16742 o--p-y rya R3/M 1 Zon;,,e oisa;a PD/!t 1 Tya COWL VN ownff oc swia;ng~71k~ fIIrF~S OOftP. Add,= 5959 BAKE2 ROAD, MIHIEICWA ' Building Addras 4041 S32EERM I)R. S. L=i;y L1 I. B8. BI.I~S IW SIUiMR.IDM 1 _ ' ~ • Dace: OL'IDHEft 18, 1989 Ba ' Officaal POST IN A CONSPICUOUS PLACE , . , . PERMIT # Z~ 2' ~ . { • • PLUMBING PERMIT CITY OF EAGAN RECElPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 f S+te Address 4 BLDG. TYPE WORK DESCRI ION Lot /Z Block Sec/Sub Res. New Mult. Add-on ; ~5 Name - Comm. Repair Address Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TAL ~Water Closet - $3.00 n n ~ Name L _4--Bath Tubs - $3.00 3 Address __y_ Lavatory - $3.00 ~ • o~~ O City Phone _4--Shower - $3.00 • ro _,4_Kitchen Sink - $3.00 00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1%,pF_CONTRACT FEE -.-LLaandry Tray -$3.00 - . od APT. BLDGS - COMM RATE APPUES ~Floor Orains -$1.50 I• 5~ TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 ~ MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT} } - (ADD $.50 S/C IF PERMIT PRICE GOES --LSoftener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Oisp. - $10.00 :;QRough Openings - $1.50 " _yz <<SIGNATUFJt OF PER TTEE FEE: STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL• S~ PERMIT # • ' . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: , CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: i Site Address ` BLDG. TYPE. WORK DESCRIPTION Lot ' Block Sec%Sup Res. New , 1 • , ~ ' Name ti//, Mult Add-on ~ m - _ ~ , Comm. Repsir . Address 1C~' Other c City _ Phone S. FEES Name RES. HVAC 0-100 M BTU -$24.00 f c Address ADDITIONAL 50 M 6TU - 6.00 p City ~ • ~711 Phone (RES. HVAC INCLUDES A/C ON NEW _ CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. ; TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ~M 8TU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERC4AL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYONO $1,040) . ather _ ~ . FEE: SIGNA RE.Qf ~ERMITTEE ` i S/C: f TOTAL• FOR: CITY OF EAGAN INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `41 ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ SITE ADDRESS: APPLICANT: , ~ r , . ~ri ? ~~;di t 1 , , , ~ ~'ts? •A3F+4`s PERMIT SUBTYPE: TYPE OF WORK: l ~ ~ i ~ INSPECTION . DA ~ , ~ . ~ ( ~ ~ : ~ i i Permit No. Permk Holder Date Telephone # ELECTRIC I PLUMBING HVAC Inspection Date insp. Camments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLB('a FINAL HTG I OEST T T i BLDG FINAL ~ 'i BSMT R.I. II BSMT FINAL ~ DECK FTG 'I - Ci - -7 PV3 DECK FINAL ~ I SEWER & WATER PERMIT OFFICE USE ONLY i CITY OF EAGAN PERM DATE ! ~ c 3830 Pilot Knob Rd. wATER PERM SEWER PERMIT # P.O. Box 21199 METER #.}22 3 5-~ S~ g.p. RECEIPT #~?bj6 I' Eagafl, MN 55121 R#~o4o, 1 a o B.P. RECEIPT DATE 8(' METER SIZE Slg IqOClf ISSUE DATE PRV - BOOSTER PUMP SITE ADDRESS ~ ~ ~ ~ ~ :~~t',,r~;1' ~ 1 ~ • • PERMIT REQUESTED LOT 'BLOCK ' SEClSUB J 11.L CF_~rY'~~~ ?1~~ ~ V 3EWER k.,~WATER _ TAPS APPLICANT: L ;r n- %",F::,X 14f, 10A~ ADQFi~SS: d rJ'; H K Cjz IZ ~S T CITY, STATE ' 1~) ?~"k A i}1 , r- ;,T - COMM/IND RESIDENTIAL ZIP - ~ - ~ PHONE: r; 2--/ 1.~3 ~ L-NEW - EXISTING , . PLUMBER: ADDRESS: 1-?r LA -,L) T i k• I AGREE TO COMPLY WITH CITY OF CITY, STATE Qr 1117- ii r/LI ZI p •i`; ; r fAGRN OADiNANC S: PHONE: 4ri 44- OWNER: - ' ADDRESS: SIG WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WV6RKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. q.{ SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd. PERMiT DA~~ P.O. Box 21199 WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # ~ Eagan, MN 55121 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP ~ I 'SITE ADDRESS PERMIT REOUESTED I LOT-BLOCK SEC/SUB t-! Cr-`` -f" SEWER WATER - TAPS APPLICANT: _ _ ti .K ~t :;,L-r ADDR1a-Sn , r. i ~ ~i ~ ?Z I~ 1~ r : st~~ COMM/IND ~ RESIDENTIAL CITY, S7ATE ZIP PHONE: !NEW - EXISTING PLUMBER: ADDRESS: _ r l' • . I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIp r. EAGAN ORDINANCES: PHONE: . ~ f OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. M~ ~ CASH RFi.CEIP1g • i , r.~ CITY OF EAGAN ° 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 -1;7- OATE ~ r 1g nECerveo FRM AMOUNT $ 1, lJ & DOLLARS 100 . ? CASH ~Q CHECK ~ - i ~ ~ca* FUND OBJE6T UNT Thank You ~ BY _ C ' ' P. y' wnga--Payers Coor ~ YeIIw-PosU^9 CoPY Pink-FNe Copy i BI,DG. PERMIT NO. 01-3210 Bldg. Permit ~ o ~ 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. , 01-2155 Surcharge 75-3860 Road Unit • 20-2275 SAC 20-3885 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. ~ ~ G ( 24-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. - TOTAL - = DATE: 7/10/89 RE• 4041 STOHBERIDGE DRIVE SOUTH, L1I, B3, HILIS OF STONEBRIDGE -im Your Sewer & Water Permit for the above property has been completed. It wilf be held at the Pubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBIIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~ Your Sewer & Water Permit for the above property cannot be completed for the following A reasons: Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. I CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. I ~ 5ecretary, Building Inspections Dept. DATE: 7110/89 RE: 4041 S'fONSBRIDGE DR1VE S~UTH, L11, 118, HILL3 OF STOtiEBRIDGEl JML Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~Your Sewer & Water Permit for the above property cannot be completed for the following ~ 'reasons: Your Sewer & Water Permit for the above properry has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay For meter at City Hall. Meter size must be confirmed by Bill Adams or Dirfc House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPAR7MENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~ _ , CITY OF EAGAN N~ 16742 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 A ~7 G1~ / BUILDING PERMIT Receipt p L-~ a~3 0 JO ! To be used for SF nWG/GAR Est. Value $149,000 Date JULY 5 , 19$2 Site Address 4041 STONEBRIDGE DR S OFFICE USE ONLY Lot 11 Block 8 Sec/Sub. HILLS OF Parcel No. T BRI GE occupancy R-3 -H-1 FEES Zomng PD R=1 W NBme CENTEX HOMES CORPO ATION (qctuap Const V-N Bidg Permit 812• n0 o Address 5959 BAKER RD (Anowatle) V=N Surcnarye 74.50 City MINNETONKA Phone 936-7833 #otsrories - Length _761 Plan Review 406.00 ~o Name Sat.tF Depth 32' SAq Gry 100.00 gQ Address S.F.TOIaI - SAC,MCWCC 575.00 ~ CIIy PhOnB S.P Footprints - On Sne Sewage _ `Nater Conn 580 _ 00 8.1 Name On Ste Well - Water Meter 90_ nn i~ Addf855 MWCCSystam _XX_ o~ x~ Amt.Deposn 30-00 aw City Phone Cny Water PRV Reqmred _ SIW Permil 20.00 I hereby acknowlege that I ~ e read this appiticahon and state Ihat the Booster Pump - SNJ Surcharge 1.00 iMOrmallon is wrrect a agre to omply wh all a plicable State of Minnesota Statutes a Ciry of E g Ordinances Treatment PI 340.00 Signature ot Permite APPROVALS Roatl Umt 2 9R _ 00 A Building Permit i5 is ed : CENTEX HOMES CORP Planner - park Ded. on ihe express condRion at all work shall 6e done m acCOrdance with all CouncA _ applicable State ot MinnesotaqStatutes an~ydyC~ily of Eagan Ordinances. gid9, pry, _ Copies 1{~l variance - rOrAL 3,256.50 8uildingOtficial "//1a 8"/ - - y~i : 4~ 3 484 ~ 0~0 Requesl Dete ~ Fire No. R g-in InspeIXion ~ ,~/O rL R "red'+ ? ReeOy Now/m W ll Notity Inspector ~ J Yes ? No I UNhen ReadY~ i censed contrador ? owner hereby request inspection of above electrical work at: X Job Atltlress (SYrqel. gux a Rwte No ) Ciry y/~^ Lr ~~/O Cr Seaion No To~ov wnship Name a No FFange No. Counry Ocwpenl (PRIN ~ Phore No PowerSupplkr Pddress Electrical Contraqor (C ' Nema) CoMradarb iceree No. s Meihng Atltl hx1 r ekmg Imallanon) Aullronzetl Signelu nlracWr/O.vner Making Ins1 ation) Plprre NumEer 4 MINNESOTA STATE BOARO OF ELECTqICRY THIS INSPECTION HEWEST WILL NOT Grigga-llidwey eNlg. - ppom 5173 6E ACCEPrED BV THE STFTE BOARD 1821 Unlversily pve., St Paul, MN 55100 UNLESS PROPEfl INSPECTION FEE IS Phona (612) 602-0600 ENCL0.SED. HEQUEST FOR ELECTRICAL INSPECTION OV% -0~ 7 8 / c~'9G~ ? See inslructlons br complenng this form on back of yelbw copy. f~ 3 7 4 8 4 X" Below Work Covered by This Request e Aetd Rep. TypeofBuilding AppliancesWiretl EquipmenlWired Home Range Temporary Sarvice Duplez Water Heater Electric Heating ~ Apt. Building Oryer Other (Speafy) Comm./Industrial Furnace Farm Air Conditioner Other (specify) ConVaCtorS RemaMS: Campute Inspection Fee Below: # Other Fee # ServiceEnfranceSize Fee # CirowtUFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TransfOrtners Above 200 _ Amps Above 100 _ Amps SIgnS Inspecior5 Use anly TAL Irrigation Booms Special Inspeclion (J YJ Alarm/Communication Other Fee ~ I, the Electrical Inspector, hereby 'ugh-in Date - ceAify that the above inspeclion has F;nal ITh be en made. FFICE USE ONLY is request wiG 18 mon[h5/rom /3// 9/9"Y 1 810 84 i/,,aK Lc, R¢quasi Date Fire No- Ro -in lnspecbon e/ G~ R ired? Reetly Now WII Novfy Inspador Q Yes ? No W~an Raatly? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (SYreet, Box or Route N City ~~1~ ~ 2 '(z Sectiop No Townshlp Name or No. Rarge No. County OccupeM Phoria No. PowerSupplier ~ i AEtlress 7%r EMCmcel r mparry Name) Corrtracior5 4canse No /1~3~5' M g Add '(Co or n Owner MaWng Inslallatron) ~ - ~ ASw3 Autlionzed SignWodOwner MaknB Inslalle4on) Plqne mDer 9 ~ / 6AINNESOTA STATE BOAHD OF ELEClA1CITY THIS INSPECTION REQUEST WILL NOT Griggs-MlCwey BIOg. - Noom S1]3 BE ACCEPTED BY THE STATE BOARD 1821 UnWersily Ave., SL Paul, MN 55106 UNLES$ PROPER INSPECTION FEE IS Phane(612)802-0800 ENCLASEO. REQUEST FOR ELECTRICAL INSPECTION eaooom-07 ? 5ee instmctions for completrng this Porm on back ol yelbw copy M ' 81084 'X" Below kUork Covered by This Request Ne% Atld Rep TypeoiBwlding AppliancesWired EquipmentWired Home Range emporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Fumace Farm ' Air Conditioner ~ Olha~~specHy) Contractor's Remaft Compute Inspeclion Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 0_ Amps SignS Inspector5 Use Only: TOTAL ~ Irngation Booms Special Inspection ~ Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oaea ceniry that the a6ove inspection has Fnai o,ta beenmade. f oFRce usE onir • This requast void 18 monihs irom RESIDENTIAL JT 1~IC'~~, BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 _ 651-681•4675 r New ConsWCtion Reauvements RamodellReoair Reuuiramenb . 7 registered sde surveys shcwing sq ft of loC ;q, k of house. and all moled areas • 2 copies of plan (20% maximum lol coverage allowed) • 1 set of Energy Calculalbns for heated adtlitwns • 2 copies of plan showing beam 3window srzes; poured fcond aesign, etc.) . t v(e survey for axtenor add2ions & decks . 1 set cl Ener9y Calculanons . Indicate d hcme served by septic system for adEitions • 3 copies of Tree Preservapon Plan d bt plarted after i l1l93 . Rim Jorst DetaA 006ons selecnon sheel (61dgs wdh 3 or less units) DATE VALUATION S`~pt1C SITEADDRESS MUlil-FAMILYBLDG _Y N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS _S_7ZS ~&D~/V CITY STATEr!`~ ZIp-S~5 z7 TELEPHONE #7b-5 S_5'5JtZ;6> CELL PHONE #12125$f*:S Z fAX # 76353 5 42 PROPERiYOWNER( TELEPHONE# COMPLETE FOR NNEW" RESIDENTIAL BUILDIN65 ONLY Energy Code Category _ y(IV\E50"C.A R[il.lS 7670 C:ATI•:GOltl' l ~iI~~E50"1'.1 R[;LLS 7672 (J submission type) • Residential VenhlaGon Category 7 Worksheet Submdted • New Energy Code Worksheet SuDmitted • Energy Envelope Calculahons Submdted Plumbing Contractor. Plionc # Plumbing sys[em includes: Water Soltener Luvn Sprinkler Fee: $90.00 Watcr Heater No. of R.I. Baths No. of 13adis Mechanicai Conhactor: Phone # Mccli.unical sc5tctn includcs: Air Conditioniu,, Pcc: :$70.00 - xC.« accov«, sy,<<m nnnl n~ Sewer/Water Contractor: Phone p f~ ~iomply I hereby acknowledge that I have read ihis application, state ihat ihe information ~correct, and5lg with all applicable State of Minnesota Statutes and City of Eagan Ordi s. Y SignaTure of Applicant • g OFFI CE USE ONLCertificates oF Survey Received _ Tree Preservation Plan Received _ Not Required _ UpAateC 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi ? 03 Ot of _ plex ' ? 09 07-pfex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 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 (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitlon (Entire Bldg oniy) - 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 _ Footings (new bldg) _ FinaUC.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. _ Air Test _ Final _ Windows (new/replacement) _ Insula[ion _ Retaining Wall Approved By , Building Inspector ~~---------------_--____-_-__---~-W 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 RESIDENTIAL BUILDINC PERMIT APPLICATION ~/.f„ Q LZ~ CITY OF EAGAN ~ v 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New ConaWefion Reaulrementa RemodeVReoair Reauirements . 3 registered sile suneys showing sq. R of lot, sq. N. of house; and all roofed areas • 2 copies ot plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed additlons • 2 copies of plan showirg beam & window s¢es; poured found design, etc.) • 1 sile survey for ezlerior additions & decks • 1 set of Eneryy Calculations . Indicate if home served hy septic system far addilions • 3 coples of Tree Preservation Plan if lot plaBed after 1l1193 • Rim Joist Detail Options selectbn sheet (bldgs wAh 3 or less units) DATE VALUATION 0062 SITE ADDRESS MULTI-FAMILY BLDG _Y _k/N TYPE OF WORK 'C=a 4- &7 FIREPLACE(S) _ 0_i,/1 _ 2 APPLICANT_~~~ ~-JIIC • STREET ADDRESS , . CITY_A(1=^STAT54~&ZIP J TELEPHONE # ~ LL PHONE #l /a FAX # PROPERTY OWNER ~G I~ ~90 611~41 TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFS07'A RULES 7670 CATEGORY 1 MINNESO"1'A RULFS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled • Energy Envelope CalculaUons Submitted Plumbing Contractor: Phone # Plumbing system includcs: Water Softener Lawn Sprinkler Fec: $90.00 _ Water Heater No. of R.I. Baths _ No. of I3aths Mechanical Contractor; Phone # Mechanical system uicludes: Air Conditioning en. n~ ~ _ Heat Recovery System I,~ l' ~ Sewer/water Contractor. Phone AUG 2 6 2002 ~u I hereby acknowledge that I have read this application, state that the information is ~~6ecan o comply with all applicable State of Minnesota Statutes and City of Eagan Or in nc . Signature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 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 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre 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 Canst Width REQUIRED INSPECTIONS _ Footings (new hldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . , • 1969 BDILDIBG PERMTT APPLICATION ~ CTfY OF E?GAN GLE FAMILY DWELLINGS MQLTIPLE DiIELLINf3S COl~'tERCIAL 2 SEfS OF PLANS 2 SSTS OF PLANS 2 SETS OF IHCHRECfUAAI. 3 BEf3ISTERED STTE 3DR4EYS BEGISTBRED 3ITE 3QRVESS - i 82HDCfQftAL PLANS " t SET OF ENEAGY CALC3. (CHECg WITH BLDG DIY.) 1 SET OF SPECIPIC9SIONS ~ 1 SET OF FAENG2 C?LCS. 1 SET OF E9EHf}T CAI.CS. MULTIPLfi DiiELLINf33 AENTAL ONIT3 F08 SALE OlfliS ! OF DHITS AOTEs IDDRESSffi FOA CORNER LOTS - COFlA1G?OR/HOMEOfiNEA tlOST MIGAAIE flHICH IDDRFSS IS DESIRED. HO CH'NGES iTILL HE ?LLOWED ONCE BOILDIIiG PEAlSIT I3 ISSOED.. ~ 3EHER 8 NATER PERMIY FEES lND 1CC001Pf DEP0.SIT !6ffi iiII.L Bfi INCLIIDED iiTPH THE BOILDIN(i PERHIT FEE. PROCESSING SIIM FOA SLrViEA EAD YATER YERliIT3 IS TiiO DIYS OHCE A PEAMIT HAS BEEN Wl1PLETED INDIC9TIAG A LICENSED PLOlBER. PENALTY APPLIES i+TYHENs PERMIT IS NOT PAID FDR IN S9ME MONTH IT IS REQUESTED. LOT CHANGE IS REQOE3TED ONCE PEAMIT IS ISSUED. JUta 2 s ,ses To Be Used For:~w~~~ Valuation: ly90001 Date; ~ ,~t ? •Site Address ' `~`0~'l,)-7oNEf3fe~bro E- OFFICE OSS ONLT LoL ~ Block ~ Oceupaney R s M-f FEES j4i4.L-Z3 Qdx= Zoning 15D R-l Parcel/Sub , ~STGntERlLtIr~eF,c Aetual Const Y-N Hldg. Permit 812.00 Allowable V-N Sureharge r? y,5o Ormer momo5 6~p~e~, # ot atories Plan Review 406,m Length 176 ' 3AC, City Ioa.au lddress 019,~ ~'i R,41crk- l76. Depth 32' SAC, HWCC 5'15_po S.F. Total Nater Conn S ,oo City/Zip Code IMIAYAI ` Footprint S.F. Water Meter 90.00 v~~ 14 4111- 01;. 9cet. DeposiE ,oa Phone C/ZU~ -733 2 G:5'!-[S66G lf1n aite aexage S/W Permit Zo•oo On site xell S/ii Sureharge i-OD Contractor Ciz:dn~'t` 1vetix.LLd MNCC 3ystem ~ Treatment Pl. yo-oo ' City vaLer ~ Road Unit 22R, p o Addresa '4-vVL-A_ PRV required _ Per'k Ded• Hooster Pump _ Copies City/Zip Code sUBTOTAL LPPROVALS Fenaltq Phone Planner _ TOTAL Council Areh./Engr. Bldg. Off. tyl-115 Yariance Address 'City/Zip Code Phone 0 , w (/ALUATIOI.I MDD~ ~ $v r /Lf o 47 L( VL /~r~o5 ~ r II-1> b~ , EXTERIOR ENVELOPE AVERAuE"U'rpMpU7ATi0M CENT'cX H01`tES CORPORA710iJ MODEL #780 SQ. FT. U. ALLO`NABLE 1. TOTAL EXPOSEU WALL AREA 3056.879 0.110 335.257 2. TOiAL ROOF/CEILING AREA I753.000 0.026 45.573 TOTAL EXPOSED WALL CALC. Total Exposed wa}1 area above floor 2740.000 ACTUAL a. Total wail window area 279.420 0.420 117.356 b. Totaldoor area 37.700 0.060 2.202 c. Totalsliding glass door area 40.020 0.390 15.605 d. Total fireplace wail area 0.000 0.000 0.000 Total exposed wall less a,b,c,d 2382.860 e. Total wall framing are3 238.286 0.097 23.090 f. Total net wdli area cDOVe floor 2144.574 0.095 95.569 g. Total rtm toist are5 415.?9j 0.042 9.024 Total fourria±icin area(Er.posed) 10!.389 h. Total fcundation window area 8.010 0.926 3.364 i. Total netfound area above grade 93.379 0.i23 11.485 ?OTAL 277r.7`9 . ?Q?AL :.YGOS~J ROpF/CE;L CAI C ~ctai eYposed roof/ceiling area a. ii43.000 b. 40.000 7. Total skyliqht area 6.000 0.000 0.000 k. Total roof/ceiling framing area a. 171.300 0.025 4.280 b. 4.000 0.023 0.093 l. Total net insul. rooflceil area a. 1541.700 0.024 36.998 b. 36 0.025208 0.907 iOTAL 42.279 ALLOWABLE + 2 = 381.835 ACTUAL 3 + 4 = 320.038 DIFFERENCE 61.797 ~tCnaiure: Gar.e: f10DEL #7g0 # 4f sq. ft. tvtal 32x28/28 3 12.4 37.2 20x28/28 4 7.8 31.2 24xi6/16 1 5.3 5.3 28x20/20 i 7.8 7.8 [8xi8/28 14 10.9 152.6 I/4 round 2 5.93 11.86 1/2 round 1 3.55 3.53 20x3U fixed 2 4.16 8.32 28x30 fixed 1 5.83 5.83 48x24 fixed 1 8 8 14° sidelites I 7.78 7.78 TUTAL 279.42 Tntal wali above fioor lin ft height tota! Vault Kneewalls 0 4'-10 1/2° high walis 0 9.875 0 12' high walls 72 12 864 8' high walis 234.5 8 1876 2740 Total rim joist 2xi0 279.5 0.771 215.4945 Total exoosedfoundation (8') 152 0.667 101.384 . • 9~r~g ~ e. wnil tramtna 'R' 'U" 1. inte.^ior air film 0.68 2. 1!2' druNall _ 0.45 . . 3. 5 1/2' sofi wood 6.88 4. t/S' Ttiermopiy SAeaYhing 1.53 5. Alum. aiding 0.61 6. Exterior air tilm 0.17 ~ 7otol 10.32 0.0968492 •Oq7 , f. Net voll area 1. tnterior air film 0.68 2. 1?2' drywall 0.45 3. insula!ion 19 4. 1%8' Thermeply Sheathing 1.53 S. A.lum Sidino - 0.61 6. Er.teriur oir film ~ 0.1? Total 2:.44 0.0445633 • o ~S r .'":3Gt -'+1Q1't t 7 : ef± rona 1.85 - A. 1r2-ThermoD1w :neaihing 1,53 _ S, aium, eiding 0.61 ' t. Esterior air fii'a-: Q. i? 3010i m.86 6.84t2?5 • 04 Z . y- • - _ . • . : - . ~ - . 2. Rt' sR.a~,~r: aec~* ~.•'OOQ . - :r' - . , - , - , , .r••-::r cir fi:^^ i.._ - c• .•s' !rrt^^i=iQiCCh IQDtI; 5 . , . ' ki•::: 3.?F _-?trio* aer fiim 0.17 TC!~1 "s.1: ..._:'A ~ IZ3 9f nlg~ k. roof/ceiling fr~m~in~c &~Srs) o.~ b. VA-As-T ' 1. Interior air film 0.61 0.61 2. a.Blowninaulation/b.insulation 34 29 3. 516" dryxail 0.45 0.45 4. a.3 1/12" eft erd/b. 11 114' sft vd 4.35 14.175 5. Er,terior air film{stiil ~ 0.61 _ 0.61 , . , Total 40.02 42.845 0.0249275 0.0233399 °ss . 02.3 1, ne± ^oeiiceiline arto c. D. 1. !n?erior air fiim G.61 C..61 2. a.E,1vvnmsulatiort?L•. In-.ulatian 40 36 - 3. 5%P' arvrall 0.45 0.45 ~ 4. Er.terior cir filmts!il?) 0.61 0.61 ?otol 41 . E7 30.67 0.0230081 0.025208 ~ .o=d " . fltSZ ~ L. " o - . ' _ . . k. roof!ceilinu froming. Z1r1Z R'wPfER a, p, ' 1. Interior oir film 0.61 0.61 Z. a.Elown inaulation/b.lntulation 34 0 5i6" dryvali 0.45 0.45 4, p.'a i/:' sft wd?G.11 114' stt Kd 4.35 14.175 5. Exteric+r air fiim(etili? 0161 0.61 Total 40.02 15.945 0.02498?5 0.0631114 . etaS . o v 3 l. ne± rvof!ct;i;nq area o. D. ~ 1. I^t°ripr Pir film 0.61 0.61 a.Eican insu]ationrG. In3uiatton 4^ 38 - B. 516' drywoli 0.45 0.45 4. Er.terier air filrn(atill} O.S1 0.61 Totoi 41.57 :9.67 ; ~.ng~gc31 . O.~S25?08 . o'z ~ . pZ.S L Z:co , K. roof!ceilina frominq. ZvrIZ IC'ApTER p, b. 1. lnterior air film 0.61 0.61 a. Elot:n insulatiori/G. insulotion 34 0 3, 5i6" drvwall 0.45 0.45 4, a.3 i12" ^ft wdiG. 11 1!4" zft k•d 4.35 14.175 5. Ext~ric+r air- fiirtri;,stili? 0.61 C!.61 Totoi 40.02 15.845 0.02496?5 0.0631114 .osfs .o a3 i. nft rooflCEtlit'iQ Q!'EQ a. G. ` i. I.':tertrr,' alr t;lm Q.61 c.Eicwr;n<.wlr,iion%G. Insuiattar, 'C! 38 3. :~B" d r v w cili 0.45 G•°S 4. Extcrtor au- filrrr;:till; 0.91 0.61 To?al 41.61 39.67 C, . {'2, 3998 1 0.025208 • n'i 4 • ot5 Z 2422 Enterprise Drive * PIONEER I Mendota Heights, MN 55120 * eng* eering.. ~s~2) s8i-191a * ~C * Certificate of Survey for: CENT E Y, P 0M C.7 _ N 7t•34 j6•, ~ 44.pp w/ , No4TN . ! ``1 I ~ ~ I ~ 1 ~ ! 1 `a N 0 ~ oh Mov~~ ~go % a.~l ,5• ` a PQOpoSen ~ 34.0 M~~ uoayE ~ Gae,a~~ N -r-~-- ~s ~ v ~ 121.00 Da a A-2$° 41' 31" ^ e=j4i.b3 E.4GAN ENGUNEERIP,r. IfE-p,r S-r6NEf!5F21DdE DRI vE ~ 900.0 Denoles exrsfln flevaflon PROPOSEO F/oUSE ECfVAT10NS ~ soo.o Durofes propod Elevation ------Denoles Drar~ae j u/-ilrly Easemerrf lowest Floo,- Elevalion = 8.1 denotes Orqrna e Flow Arrows Top or BfoclC flevafion _ 615.7- o Denofes monumenf GarOgz s/ob Flevotion = 894. BearinP shownore assumed LOT It , BLOck 8 ,141LL5 oF STONEBRIDGE Q/1KOTq COUNTY, MIN/T-50TA SuB!£L'T 7U EASfAtENTS OFRECORD I hereby certify that this is a Irue and wrrect representation of a survey of the bound2ries of the above d7jcribed land, and ol the location yofpa.ll bwldinqs, ther2on, anA all visiblp encraachments, if any, from or on said land. As surveyed by me this~day of~A.D, 19~-l-. Scale : rin , 40 ad ROBERT B. SIKICH LS. RF_G NO. 14891^ I z.1 X3 4:ii>;~;;<:?c:i V;#*>ya~~~,,,'D,t•ynk :;T7Y i;!= C:!-yi;NN ~ ~..~.i-~... , , . ~ ri: F,r-:~r,.ni._ nO : 35t: L'.`4'"D; 0 9 .'0P9 11 9 7 l~:i?'i':';I Tp; 2;.T1 _7f101. 4C1*i:l S7OP11i-utl„`:i0 ~i !:>ri:)t3:i i!'_ r~ i~q•!n F, Y ':lill.,'JS) A!A(d "Y 't;aq'~,';?X.`l.:.z:*Jr;'>'F;.'i1(`~t:+:Yi":~'DY~~ ~ .~YA~~:.CiR"'I~~:~F~~Y:...•~.i(,.Un ~ PERMIT CITY OF EAGAN 3830- P*t Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minn05ota 55122-1897 Permit Number: 0 3 0 7 3 9 (612) 681-4675 Date Issued: 0 9/ 0 5/ 9 7 SITE ADDRESS: 4041 STONEBi2I06E DR S LOT: 11 BLOCK: 8 HILLS OF STONEBRIpGE P.I.N.: 10-32990-110-08 DESCRIPTION: B'ufldin"g;,Permit Type DECK ~16uilding Wq,rk Type NEW ; Census CQd.e434 ALT. RESIpENTIAL .A ayr~rl~ C . ~ "'P'~ 2a k'~, `t:1' a ~s ~ 3y°~.: ~ ~ ~.d C1 rv~~ REMARKS: FEE SUMMARY: Base Fee $50.00 Surchargs $.50 7ota1 Fee $50.50 CONTRACTOR: OWNER: - Applicant - GRAFF GREGORY 4041 STONEBRIDGE OR S ' EAGAN MN , (612)340-0365 F.;. : . . ~ _ I hereby, acknow,ledge_that I. h,ave.read tYnis =appl3eaC3b"n br[d_ state that Ch•e_ °information is correct anda agree to•mc'arnp3y witttr all,a°ppYf`e"sble Stete' q1? 'ir~., S.tatutes and Ci-ty of°'Eagari' Ordinance6: AP ANT/ MITEES URE ISSUEDB . GNATURE 9997 BUlLDING PERMITAPPLICATION (RESIDENTIAL) 4C~0, CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 681 -4675 LQew Construdion Reauiremenfs $qmodeUReoair Reouiiemanfs ? 3 registered site surveys • 2 copies oT plan • 2 coples of plans (inGutle beam & window saes; poured fid. deaign; eic.) ? 2 ake surveys (exterior aCditiona 8 dedcs) ? 1 energy calculations ? 7 energy calaletions Por heatetl adOitions ? 3 copies Mtree preservetion plan B lot platted aRer 7/1/93 requ'rced: _ Yes No ' DATE: ~I ZN I1-7 CONSTRUCTION COST: ~300 . oa DESCRIPTION OF WORK: -PcJe- GePdLfia"N STREETADDRESS: yO`O S-fo+e,bv~~Pae. ~vi~i So. ~ LOT ~ BLOCK SUBD./P.I.D.#: 41 «5 nF S"lflt,1E8Rin4-E 3Ya - 03(-5 ?PROPERTY Name: G~j~p C^Re=pzy Phone#: ~SI" T3111 OWNER Street Address: City: State: Zip; 5Si2-3 CONTRACTOR Company: Phone Street Address: License Ciry: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration jtiBc''i AdufBSB: City: State: Zip: Sewer 8 water licensed plumber (new construction only): . Penally appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the informa6on is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant r= OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Not Required OFFICE USE ONLY r • - BUILDING PERMIT TYPE ~ 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dweliing o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 ?ublic Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Misceilaneous ? 05 SF Misc. ? 10 _ plex 15 Deck WORK TYPE 31 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC1W5 System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump ~ Length sq. ft. Census Code. Depth Footprint sq. R. SAC Code Census Bldg APPROVALS Census Unit Planning Building {~1 Engineering Variance Permit Fee Valuation: $ Surcharge Pian Review License MC/WS SAC D;°y SQC - Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total ,JJJ 61c V/1C ! M~ .H SA(YlI}fltS 2422 Enterprise Drive * pIONEER Mendota Heights, MN 55120 * engineering- 1 (672) 681-1914 * * Certificate of Survey for: C ENT E X r+ 0/r/ C S N~.Op` . No4rH . ~ 1 ~ ~ w o 0N 0~ Mav4~ ~go ~0 1 \ oy ~ 10 1 5 ax.o , - - - - - - 3a.a ~ ~ ~ P¢opoSeD a 1 ~ L1oU5E / Gb¢AG[ N \ o lq,¢p ~5.o N s.fe w 4, 1-~ o ~ ~G~~ a~ -y 121.00 A°78° 4f' 31" , 241.63 E.-'~s^a AlT E?dGIN'7ER;j,t . y;-r •s. ST0NE5RI06 E DtzivE ~ 900.0 Denofes exisli'.rQ flPvafion PaOpoSfD NousE Ee[vAT1oNs ~ Denofes ProPoMd Elevotion ---'--Denofes Drarnpge f Ufilr'l Easemenf lowesf Floor Elevaf;on = g.! benotes DrQma.e Flow rrows Top oi Bfock Elevcrfion _ 15 ,2 o Denoles monum enf (7ara~z S/ob E/eva}ioi7 894.9 8 earrn31, s shawn arQ assu m ed LOT /r , BLOcK 8 ~PlLcs aF STONEBRIpGE QQKOTA COUNTY, MINNESOTA $U8J£Cj 7Z7 EASfA1ENT5 OFlj£f017p I hareby certify that (his is a hue and correct representaUOn o( a survey o( the houndarics of [he ahove d~cribed Innd, and of Ihe location of all builAinqs, thereon, and all visible enr.roachments, if any, from or on said land. As surveyed hy me thisday of ~Ir A,D, 19Flo/, md7 _ Scal P =1=- - 40 jl2d HnFFRt fi SIKIfH LS REG. NO. 14691 .ele- ?0°a CITY USE ONLY L ~ BL RECEIPT#: ~~/(V 0 SUBD. DATE: 5 G/9~v 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permfts are required for each unit New construction Add-on furnace ~ F.dd-or a;r r.,^^ditioring n ad-•on a;; excha^ger, i.e. Var.se s,stam etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only $ 20. ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESSA~~ OWNER NAME:/W6!!~ _r_ZW&Wy' PHONE INSTALLER NAME: STREET ADDRESS: CITY: STATE: ,:;8zA_ ZIP: PHONE ( CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are p~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: .$25.00 minimum fee QL 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of 2efmd fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SiTE riGDREBS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVeMeNrs oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ , ~ ForOffioe.use ~ I -7 I Pe City of Ea~~Il j rmd # ~ ~ ~ Perrnit Fee: ~ • ~ ~ 3830 Pilot Knob Road ~ Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Cdlbd 1"U it b~{( ~~FD~~DC', y ( Date: 0' SiteAddresr. q ~ GCn-Q ~ 2. S- r Tenant: ac Suite#: RESIDENTlOWNER Name bE S~ Phone:s, 9a-3, _oS'Z Address / City / Zip: Applicant is: _V Owner _ Contractor J TYPE OF WORK Description of work: 4-6~~ J Gonstruction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: License Address: City State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Submitted . (4 SUbmission type) • Energy Envelope Calculations Submitled In the 1as112 months, has the City of Eagan issued a perrnit 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 consldered to be public information. Portions of the informatlon may be classitled as non-pubflc it you provide speciflc reasons thaf would permit the Clty to conclude that the are trade secrets.: I hereby acknovAedge [hat ihis infvrmation is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is no} (o start without a permil; ihat the work will be in accordance wtlh the approved plan in the case of work which requires a review and approval of plans. JAt jj .S E> v x x J~ 1 5- ApplicanYs Priated Name Appli qa. t's Signature Page 1 of 3 u u u Nov 0 6 2ooa ~ r • DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 ot _ Plex ? 07-plex ? Garage ? Porch (45eason) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi MIsC. ? 03-Plex ? 10-plex ~ Lower Level ? Storm Damage ? 04-Plex ? 12-plez ' ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Buiiding ? Reroof ? Demoiish Interior ~ Alteretion ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: (7 Valuation ~ Le a Occupancy MCES System Plan Review ~Code Edition ~M ~l~ 2~}U7 SAC Units (25%_ 100 % ~ Zoning City Wafer Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width -v r REQUIRED INSPECTIONS Footings (new bidg) Sheetrock Footings(deck) Final/C.O. _ Footings (addition) ~ FinallNo C.O. Foundation ~ HVAC Drain Tile Other: Roof: Ice & Wa[er _Final Pool: _FOOtings AidGas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _8rick Fireplace:_R.I. _Air Test _Final Windows insulation _ Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee qqq ~ J Surcharge Plan Review MClES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant Copies Total Page 2 ot 3 . ~ CltY ~ of EaaIl ~ Perm„t# ' I Pertnit Pee: ' 3830 Pilot Knob Road ~ I Eagan MN 55122 ~ Date Received Phone: (651) 675-5675 Fax: (651) 675-5694 i staff. i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION y,. Date: Site Address: Tenant: Suite RESIDENT / OWNER Name JOp_ Phone: Address / City / Zip: c Applicant is: _ Owner _ Contractor TYPE OF WORK Descriptwn of work: 'ln. L ' Construdion Cost:a Multi-Family Building. (Yes No ~ CONTRACTOR Name: r^eF~ License#:^~~3')-7~ Address: "t- City: ~ ~y, rE T (5 fL'v~.~ State: A v.- Zip: g / Phone: tl/ 47-` n A 3)-Contact Person: ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan. Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water ConVactor: Phone: NOFE: P(ans,arid supporting docu{»e»ts iliat you suhmit are considered to be: pyblic informaSon. Por#eoris n~4~! the informafion may be ciassd~ed as non public,if you provide sp~ecrfic reasons that woutdpermit fhe C~~;to ~ - ;-sonclude that the a `re'trade.s'ecrefs I hereby acknowledge that this information is c lete and a urate; that the work will be in wnformance with the ordinances and codes of the City of Eagan, that I-untlq rstand this not a it i only an a plication for a permit, and work is not to start wRhout a permR; that the work will be in Xccordan with t appn in th work which quires a rewew and Xpproval ofC plns. ~ - ~ 5~ 4- 4,? A ica s Print d Name Appli nYs Signature Page 1 of 3 1 DO NOT WRITE BELOW THIS LINE sue nrPes ? Foundation ? 05-plex ? 16-plex Accessory Building ? Pool 21'- Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex D Deck ? Porch (screeNgazebo/pergoia) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building" ? Addition ? Move Building 0 Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows El Demolish Foundation ? Replacement Llr'~gress Window ? Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 2j~ OOa ~C Occupancy --2? MCES System Plan Review Code Edition SAC Units ~ (25%_ 100% ~ / Zoning City Water Census Code r7 3'T Stories Booster Pump ~ # of Units ~ Square Feet ~ PRV # of Buildings Length Fire Sprinklers Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) FinallC.O. Footings (addition) FinallNo C.O. Foundation HVAC Drein Tile Other: Roof: _Ice & Water _Final Pool: _Footings AirlGas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall Reviewed By: Building Inspector - - - - - - - - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review MCfES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 ~ Clty 0f EapIl 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Reauirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7/1 /93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel 1 Repair Requirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addition - indicate if on-site septic system OfficeUse`Only. Certificate;of Survey Received 0 Soils Report . Tree Preservation P1an _ - : . : ? Tr`ee Preservation Required ? On-Site,SepticSystem ~ Page 3 of 3 ~ Far OfFlce l)sg I I ~ I Permit ~ I ~ City of ~apn 4b~ 3830 Pilot Knob Road I Permit Fee: ~ I I Eagan MN 55122 j oate Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 ~ Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 D site address: L4 0 4 l S~'a /L r,ja 0 ~i~ R, . S. Tenant: Suite RESIDENT / OWNER Name: Dt4 J~,/ Phone: tV IoZ S q D--~6S7 Address / City / Zip: ~ .S . CONTRACTOR Name: License Address; City: State: Zip: Phone. Contact Person TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild XModify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESlDENTIAL _ Water Heater _ Water Softener _ Lawn Irrigation ~ Add Plumbin Fixtures ~RPZ/_PVB) ~MainLowerLevel) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System A6andonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 S2ptiC SyStem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I herehy acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I unders[and this is not a permit, 6ut only an application for a permit, and work is not to rt without a permit; that the work will be in accordance with Ihe approved plan in Ihe case of work which requires a review and approv f plans X j~~s~U X ~ , ApplicanYS Printed Name T]- Appli a s SigBature ~ FOR OFFICE USE Reviewed ByDate:' Required Inspections: ~Under Ground ~ _Rough In'; ~ Air. Test Gas Test Final _ ~ PERMIT City of Eagan Permit Type:Building Permit Number:EA116685 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 4041 Stonebridge Dr S Lot:11 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-110 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 . Lisa Nyberg 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 - Joe H Dansby 4041 Stonebridge Dr S Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136168 Date Issued:04/28/2016 Permit Category:ePermit Site Address: 4041 Stonebridge Dr S Lot:11 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joe H Dansby 4041 Stonebridge Dr S Eagan MN 55123 (612) 590-3057 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150710 Date Issued:07/20/2018 Permit Category:ePermit Site Address: 4041 Stonebridge Dr S Lot:11 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joe H Dansby 4041 Stonebridge Dr S Eagan MN 55123 (612) 590-3057 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164117 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 4041 Stonebridge Dr S Lot:11 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-110 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Joe H Dansby 4041 Stonebridge Dr S Eagan MN 55123 (612) 590-3057 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169154 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 4041 Stonebridge Dr S Lot:11 Block: 8 Addition: Hills Of Stonebridge PID:10-32990-08-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Joe H & Jennifer A Dansby 4041 Stonebridge Dr S Saint Paul MN 55123--163 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature