4044 Stonebridge Dr S
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e, Date: ~
CiTY OF EAGAN Permit No: S 0 a2 Size: °
W-L
3830 Pflot Knob Road PAeter No: Date:
P.O. Box 21199 Reader No:
Eagan, MN 55121
' - ; ,f~_
t~luna ~;c~ ~ ; , ,
Owner. I5
Site Address: ~
Plumber ~ :1.
csn nn~d Zoning: y
Conn. Chg: 1~ ~~nd No. ot Un+ts:
Acct Dep:-=
Eagen
Permit Fee: 1 a9r~ o comp~Y with th CI
Surcharge: ~~nd Or nan es.
Tr. Plant~-
Meter. Br
Misc.:
WATER SERVICE PE MIT
Date:
C~TY OF EAGAN Permit No: ~c ~
Date:
3830 Pilsll(nob Road B/P No:
P.O. $ox 21199
Eagan, MN 55121 .
Owner.
Site Address: T,: ij ey F' ~ a~' ` ~ r j~ F'
Plumber: n
~~~t• . ~C~~~ Zoning' ,
MWCC: No. of Units:
City Chg: ~ me City of Eagan
Acct Dep: ' 1 agree !o complY w
Ordlnances.
PermitFee:
Surcharge: BY
Misc.:
SEWER SERVICE PERMIT
Date: C" 79-98
CITY OF EAGAN Permit No: Size:
3830 Pilol Krtoti Road Meter No: Date:
p,p. gox 21199 Reader No:
Eagan, MN 55121 ,
Owner. 1n9 i1lls cf
Site Address: y4 St4m~b d e~ 5q '~`s
i Ic~ b in
Plumber „
!
, S~Q Qp - 1
Conn. Chg: d Zoning: No. of Units:
Acct. Dep: 15. ~Dd
Permit Fee: 10 ~d . 5~ ~ I agree to comply with the CitY ot Eagan
Surchar9e:
'1e) ~ j Ordinances.
Tr. Plant - •
I Meter.
; ey
! Misc :
~ WATER SERVICE PERMIT
i
CASH RECEIPT
CITY OF EAGAN
. 3830 PILOT KNOB ROAD
.
EAGAN, MINNESOTA 55122
DATE ~ ~ / 19 v
aECFIROM c L' / ,`(~C.C~'~.~'L / _ ~`~f • ~ ~`y ~ ;
AMOUNT $ (7,/ ~ y
8 DOLLARS
,oo
? CASH Cq CHECK
J /Gy ?l~'`~ ~ ~~L. r
PoR
f
~ . ~
f 1~, ~'~i (~~J ~~C. , ,i i•r 1/ ~ ~
FUND OBJECT AMp(11VT
. c('q ~
~
~
Thank You ~
sv
White-Payers C.opy
8 ~ ~ Velbv-Postirg CaPY
~.u• L1At:
Pink-File Copy
. . . . . _ . . , , .
.6E-
BLDG. PERM IT NO.
0 /CN i
01-3210 Bldg. Permit
. ~ ~
01-3422 Plan Check
0..
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
~
20-2275 SAC
20-3865 Water Conn. ~ '
20-3868 Water Trmt. - 14
~t
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
-7-
79-3866 Sewer Conn. f~=u
28-3855 Park Ded.
U 0
TOTAL
- !
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt
To be used for SF i)wC+/(:Ait Est. Value $143,000 Date '21
Site Address 4444 STCsi:Fb: LDGF A 9 OFFICE USE ONLY
Lot ~ Block y Sec/Sub. STONEBR I UGE On Site Sewage Occupancy
MWCC System ~ Zoning PA k""1 ~
Parcel No. OnSiteWell (Actual) Const Y"N
THE ROTTU'hD C.Q City Water x (Aliowable) V-N
s Name
i p O 80?~ 3~3 PRV Required * of Stories
Address ~
o c;ty 6sseo phone 57 I-~~ ~3u4 Boaster Pump Length 58
Depth 561
, o Name ` SAHE S.F. Totai
~ Q Address Footprint S.F.
~ City ~ Phone APPROVALS FEES
En r /Assess. Permit 714.00
yVjW Name g' ~~~Sp :
V z Address Planner Surcharge
~ Council Plan Review 357.00
City ~ Phone
I
~ Bldg. Off. SAC, City 100•00
~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC .550•00
inforTation is conect and agree to comply with all applicable State of Water Conn. 550•00
Minnesota Statutes and City of Eagan Ordinances. . Water Meter 67 •W
Sigrtatureof Permittee RoadUnit 325•00 !
A euilding Permit is issued to: THE «C3TTLi'hD CO Treatment P1 204•00
on the express condition that all work shall be done in accordance with all 1.00 ~
applicable State of Minnesota 5tatutes and City of Eagan Ordinances. 4,93y .5(1
Building Official TOTAL
~ CASH RECEIPT •
.
~ - ~ CITY OF EAGAN
.
,~830 PILaT KNOB ROAD '
.
EAGAN, MINNESOTA 55122 .
DATE f 19
RECEIVED
FqqM 1 . . f ~
AMOUNT
~ & DOLLARS
ioo
O CASH CHECK
~ ~ ~ • - '
wH
w
` ~ ~ ~ ~ ~ ~ ; s , - r~W ` • '
FUND O&IECT AMOUNT
. ; J r
l .
~
Thank You .
BY
. ~ ~ • VJhite-Payers CoPY .
o YellOw-Posting CopY
r~ ~ 4~ .:..1~?t °
Pink-File Copy
: .
. ~s . . ..t.,.. . .
CITY OF EAGAN
.
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used tor Est. Value Date ,1 g
Site Address • ' OFFICE USE ONLY
Lot ' Block SeC/Sub. ~~'~cBk 1"< F. On Site Sewage Occupancy
MWCC System 2oninA
Parcel No. On Site Well
(Actual) Conat
a Name City Water (Allowable)
w PRV Required ~ of Stories
= Address
~ ~ Booster Pump Length
City PhOn@ ':7 ~ )`i.
Depth
, a Name S.F. Total
~ ~ Address Footprint S.F.
cc
City Phone APPROVALS FEES
U Engr./Assess. Permit ! 1 • ~
W Name
~ Z Planner Surcharge
_ . Address
Q W City PhOn2 Council Plan Review t,
Bldg. Off. SAC, City
S 4:
I hereby acknowladge that I have read this application 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 Building Permit is issued to: Treatment P1 'on the express condition that all work shall be done in accordance with all •
applicable State of Minnesota Statutes and City of Eagan Ordinances. 13afks'f• ;c6
Building Official TOTAL
'It
Permit No. Psrmit Holder Date Tsl*phons ~e
Plumbing
t -
H.V.A.C.
Electric
Soitener
Inspection pDate Insp. COmments
Footings I Footings II
Foundation
Framing D "
Roofing
Rough Plbg. Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final Cert. occ.
Temp. L P 1 C~ , 4
11
DeckFtg. jC• a ac
Deck Final We11
Pr. Disp.
~ , .
(gtrtif irate of (IDrrupttrtry
Citp of (Eagatt
lgrpttrtrnnt u# Nuiiaircg JWpr#im
This Certificate issued pursuant to the requirements of Section 306 of !he Unifvrm Buifding
Code certifying that at the time of issuance this structure was in conipliance with the various
ordinances of the City regulating building construction or use. For the following:
[Jse Classi6ation Bidg. Rrmit No.
Occupaacy Type Zoniug Districl 'fype CoaSt, a. vT: I
Uwner of Building " ~-j~~ ' ~ qddrm
ss
Buildiag Addrt 'y
Dak:
Bm7d'mg OtTiciel
POST IN A CONSPICUDUS PIACE
PERMIT #
' ° • PLUM8ING PERMIT
CITY OF EAGAN RECEIPT #
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `
CONTRACT PRICE PHONE: 454-8100
Site Address ~ BLDG. TYPE WORK DESCRIPTION
Lot Block ~ Sec/Sub Res. New 1r ~ Mult. Add-on
Narne % • Comm. Repair
d
~ Address Other
c Ciry - Phone RES. PLBG. aNLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
~ Water Closet - $3.00 $
Name i Bath Tubs - $3.00
3 Address Y Lavatory - $3.00
p City Phone 1 Shower -$3.00
L-Ki?chen Sink - $3.00 '•r
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$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 Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
; SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ?
. _ _ ' .~•q - . ..r.. ~_a . .iy.. . rt.. . . . . . . . .
PERMIT # '
MECHANICAL PERMIT
• CITY OF EAGAN RECEIPT #
~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
~
CONTRACT PRICE: PHONE: 454-8100
~ Site Address ` '
gLpG, TypE WORK DESCRIPTION
~ Lot ~-~Block Sec/Sub Res. x, New
~ . Mult Add-on
~ Name °
11516mm. Repair
Address . No. Other
c City gh"
~)Ide
FEES ,
Name ~ ` ` ' ~ RES. HVAC 0-100 M BTU - $24.00 ~
c Address • D'r ~ ADDITIONAL 50 M BTU - 6.00
03 Ci~ . ~ ; ] - ~ (RES. HVAC INCWDES A/C ON NEW
' 'Phone ` ' CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHiIAI'n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~ M BTU APL BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES ~
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Neater M STU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRIGE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
,
FEE: ~ • ~L ~ ;f~
S/C: SIGN~TURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN rJ? 15 2 2 6
' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127
BUILDING PERMIT PH ON E: 454-87 00 Receipt # a Q~a ~
Tobeusedfor SF DWG/GAR Est.Value $143,000 Date JUNE 21 ,1938
Site Address 4044 STONESRIDGE DR G OFFICE USE ONLY
Lot 5 Block 9 Sec/Sub. STONEBRIDGE On Site Sawage _ Occupency R-3/M-1
MWCCSystem X Zoning PD R-1
ParcelNO. OnSiteWell _ (ActuapConst V-N
a Name THE ROTTLITND CO City Water X (allowable) V-N
w PRVRequired #ofStories
= Address P 0 BOX 383 -
3 Booster Pump Length 589
0 City Osseo pryone 571-0304 - pePth 56'
a Name SAME S.F.Total
.o
o~ qddress FootprintS.F.
~a
¢ City Phone APPROVALS FEES
~w Name Engr./ASSess. Permit 714.00
W 71.50
~ i Planner Surcharge
x . Address 357.00
~ W Clty Phone Council Plan Review
` Bltlg. Off. SAC, Ciry 100.00
I hereby acknowledge that I e reatl this application and state that the Variance SAC, MWCC 550.00
inlormation is correct and e to co ly wit al applicable State of Water Conn. 550.00
Minnesota Statutes and Cit Ea O inan s.
- waterMeter _ 67.00
Signature of Permiltee _ .
Road Unit --U-5iQ.O
A ewiding Permit is issued to: THE ROTTLUND CO Treatment P1 204.00
on the ezpress condition that all work shall be done in accortlance with all 2Pgp~pP i ~ 5 1. 00
applicable State of Minnesot~a Statutes and City of Eagan Ortlinances. 2,939.50
Bwiding Offiaal ~~1f~ 1 A t• TOTAL -
This reQuest voitl 8'/~/ga7 ~j' ~
18 nwnths from ~
E 3194745 01)
Request Uate Fire No. Rouph-in Inspecbon ~sh~..w
Hepwretl? ~ROady Nuw ~..11l Nobty Inspec-
"x Q 6 es ?NO Ior When Ready
O-%Wnsed Elecvical ConVactor I hereby reQUest inspaction of above
? Oyner electncal work mstalled er
Streei Adtlress, Box ar Raute No.
0 7
ecvon o. Township Name or No. H 9e No. Cowi
Occv a ~(PRI T) Phone No.
Powe pPl-e Atldress
Elech al Gonva~tnr (Company Name) Conhactor's Lmcnse No.
_ c2ut~- DN~iLC~ a 9 77
Meilinq Address IContractor o~r Ow/ner Mak/i9y/~InstailavLo/f~~1
O - YWC - / 1 ` . ~O Z~
Au on ed S9na[ure QCo ac[or/Ow MaWnd Ins[allati N honef Number
~(C~ - ~o
MIN SOTq STATE BOAflD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Crig s•Midway 61tlg. - Noom N-191 BE ACCEPTED BY THE STATE 9DAflD
1827 Universitv Ave.. St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone 16721 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ~
s~ p
ti, p~-~y-
See~Instmebons be eomDleUng this brm on Eeck ol yellow eopy.
"X Below Woik Covered by Ihis Request
C~ ~ '31 ~`4 ~
A Ne0 TyOe uf 8mltling Appliancea WrteO EqmVmant WireA
HOme Range Temporary ServiCe
Duple.x Water Heater Lightiny Fixtures
Apt. Bwlding Dryer Electric Heabn
Commercial 81dy. Furnace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm omr, soe,:, v o~n~„ Isrn~~_,~vl
t e succify lhcr Otnrr
nmpute Inspection fee Below
p Fae ServiceEnVenceSize H Fee Feetlers/Suhteadars N Fee Cvcuits
0 to 200 qm s 0 to 30 qm s .O 0 to 30 Am
Above 200 qm is 31 to 100 Amps / i D 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Ampa
Transiormers Irrigation Booms Partialk"0 e .50 Signs Special Inspection ~
Ne~rwrks S~~fT~ TOT L1~E'`I~~
Jo
Aouph-in / ~R4 the el
nspecmr, hereby
~ certrty Nnt the abova
Pinal r D^te mspection has bean
da.
mi8repueslvoiClBmonitnirom c/•
ir 15/y~
1006045
Request D e - Fi No Rough-in c[wn NOTI . You Must Call Elecincal Inspec[or
~ Reqmred? If A Pough-In Inspec0an
Yes ? N. Is Reqmretl
G
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No ) I Ciry
br~ ;t). A
Sc on No Township Name or No Ra No, Caunty l, , '
I 1 ~
OdcupaM (PRINT) Phane o.
'1 - 0 IOS
Power Suppber Atltlress
Electrioal Contractor (Gompany Name) Contuadork L¢anse No.
m 1 • Yr 1~l ~~~,~1 n~ Z~
Mailing Atldrass (COnt2clor or Owner Mekirtg Installahon) ~J J1
J • ~
ANhonx t~fl rl ner Making Installation) Phona Number
L~ 45Z - 399
MINNESOTA STATE 60AHD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
GriggsMidway Bltlg. - Hoom $473 BE ACCEPTED BV THE STATE 80AR0
1821 Universily Ave, S[. Paul, MN 55104 t1NLE5S PROPER INSPECTION FEE IS
Phom (612) 642-0900 ENCLOSED
1110.2 ' ' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe
0. See mstmdmns Por complehng this form on Oack of yellow copy
C{
a06 O 'X°Below Work Covered by This Request
New Add Rep TypeofBwltlmg AppliancesWired Equipmen[Wued
Home flange Temporary Service
Duplex Water Heater Electnc HeaM1ng
Apl. Buildinq Dryer Load Management
Comm,/Industrial Purnace Other (Speciy)
Farm Air Condrtioner
qr~ ' other (specify) Gonireotor5 Remarke
H'O 'T~ "T-U 6 ~7 ~ao
Cpmpute Inspection Fee Belaw: l,~ I r-e-
# Other Fee # ServiceEntranceSize Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps a to 100 Amps
Transiormers Above 200 _ Amps 100 _ Amps
Slgns Inspecmr's use Onry TOTAL i
IrriganonBooms ~'e, L40--
Speaal Inspection
AIarMCommunication TMIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other COMPLETED WITHIN 18 MONTH 9
I, the Electrical Inspector, hereby Ro~9n-~~ Date
certify that the above inspection has d1e
been made. OFFICE USE ONLY . ~ a• "
This request witl 18 monihs from
2004 RESIDENTIAL BUILDING PERMIT APPLICATION \
City Oi Eagan
b-7 3830 Pilbt Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWd'an Reaulrements RemodeUReoair Reauirements
3 registered site surveys showing sq, ft. of lot, sq. il M house; and all roofed areas 2 copies af plan
(20% maximum lat coverage albwed) 1 set of Energy Calculations for heated addifions
2 copies of plen slawing heam & window sizes; poured found design, etc. t site survey for additions & decks
lsetotEnergyCalculations Add'dion - irMicategon-silesepRcsysfem _
3 copies of Tree Preservation Plan if lot platted aiter 711 193
Rim Joist Dehail Options selecGon sheet (hidgs wBh 3 or less units
Date 16 / l ~Q(''~`~" ~ Construction Cost I I,, t~
Site Address ~Q ~ rjC(iiC.~° Dir, 2. UniGSte #
Description oF Work
Multi-Famiiy Bidg _ Y XN Fireplace(s) _ U _ 1 _ Z
Property Owner 0=*&h0M Telephone #(fQ51)(UO 7-V I DS
Contractor ~fQ ~ !c1(/''(
Address I(AbS6 v 1~ dQ City C
State Zip~J' Stzq Telephone # (~~7) _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672
Energy Code Category
• Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee cPNGes.
~C~~C~
Licensed Plumber Telephon ( OC J
i
Mechanical Contractor Telephon ( )
Sewer/Water Contractor Telephon .
I hereby apply for a Residential Building Pernut 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 State of MN
Statutes; 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
JVl 1 E
Applicant's Printed Name ApplicanYs Si ture
~ OFFICE USE ONLY
Sub Types
? 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 6ct 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 (screenfgazebo) ? 38 Multi Misc
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y ar_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) _ FinaUC.O.
_ Foo[ings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT # x7s-~ -2-> RECEIPT DATE:
EOOE RESIDENTIAL PLUM$IN6 PEitMIT APi'LICATION
crrY og EAs,aN
S$SO PILOT KN06 RD
E,aeAv, Mrr 551as
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
b~,],fi.,w_oroventer_for_irriaatio[I system
I BERG, DEBBIE
SITE ADDRESS: 4044 STONEBRIDGE DRIVE SOUTH
i EAGAN, MN 55123 OWNER NAME: : (6 51) 687-0105 TELEPHONE
I (AREA CODE)
INSTALLERNAME: NoF'610Y?1 F[Ih,WtbivlA TELEPHONE#: &Iz-SZ'~- 4d33
STREET ADDRESS: (~arf ctd /4 ~,h g. SO t&tk (AREA CODE)
CITY: r V 1 P L S. STATE: M~ Zip; 55H0$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIF{CATIONJALTERATION TO EXISTING DWELLING UNIT, INCLUDING!'
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener X water heater $ 15.00
State Surcharge 50
Total
I hereby ecknowledge that I have read this application, state that the information is correct, and agree to comply wifh all applica6le Cityof Eagan ordinances. It
is the appilcant's responsibility to notify lhe property owner Nat the Ciry of Eagan asaumes no Ilability for any damages caused by the City during ils normal
operetlonal and maintenance actlvitles W the Facilities wnstructed under this permit within CityropeAy/right-of-wayleasement.
SIGNATIORE OF PERMITTEE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
y ry~ "~y 3830 PILOT KNOB RD, EAGAN MN 55122 1
651-881•4875 a~
New Conalructbn Reaulremante pemotleUHenelr Reoulremenle
• 3 reg4stered site surveys shaxing sq, ft ol bt, sq. 8. of house; and II mofed areas • 2 copies of plen
(20% maxlmum bt coverage albwetl) . 7 set of Energy Cakulations for heated additions
• 2 copies ot plen shaxing beam & wontlow skes; poured found design, etc.) . 1 s0e survey for eAerior additions & tlecks
• lsetofEnergyCakulations . Intlirate'rfhomeservetlbysepticsystemforadtlRbns
. 9 copies ol Tree Preservation Plan tl bt pla8ed atter 711/93
• RBn J0W DBtell Opfbna 9BI6CIion gteet (61tlgs wi1Fl 3 or Ie55 unds)
0
DATE S-1 Sp 2 VALUATION 1^
SIT~A/~D~-D-R~y ,uGLILI ST6N~IR.tO[oF DP' MULTI-FAMILYBLDG _Y ~N
TY ~~F waRK R~ PL,At~sn~N'3 o fdZoe~ f-2754~FIREPLACE(S) _ 0?c 1_ 2
APPUCANTA-m~J &LLA106~ ~~Wrc'rnR.S .T~G~
STREET ADDRESS F2?-LI N 1 LHo L-t- E'C A-1T6 S~ CITY 6t]QNSV i Lt,C- STAI'E IXLJZIP Sks-g.37
TELEPHONE 051- 707- (o°!S9 CELL PHONE # FAX # 95z- 70 -7 q5 ZS
PROPERTYOWNER 13 LPrN TP~EMi E- ~e K(7 TELEPHONE# '0fO4,rl-(oE) 7-U OS'.
_
COMPLETE THIS SECTION FOR "NEiN" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLII.FS 7670 CA7'EGORY I MINNESO'1:A RULFS 7672
(4 su6misaion type) . Residential VeMilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contracror: Phone #
Pluxnbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
~ Water Heater No. of R.I. $aths
_ No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: _ Air Condi6oning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
~-Z~Q~-- -
I hereby acknowledge that I have read this application, state that the information is cor t, and agree to co y
wlth all applicable State of Minnesoto Statutes and Clty of Eagan Ordinances.
B
Slgnature of Applicant 64T,61'
. ......................v..~.._.._.......r.e.r...._.. .
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
OFFICE USE ONLY
, .
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Axessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stwm Damage
13 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 Alteretion ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (EMire Bldg only) - Gfve PCA hartdout tc applicaM
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 Ffre Sprinklered
Type of Const Width
REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addi6on) _ 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 , Retainmg Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumhing Permit
Mechanical Permit
License Search
Copies
Other
7otal
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I .5 *1~ 4
SINGLE FAMILY AWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfIICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT I3 ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURUEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - ICT JUN 8
To Be Used For: Valuation: Date:
Site Address q'p f+n~,e"E ~rS 43 000 OFFICE USE ONLY
1
Lot dS Block On site sewage_ Oceupancy
MWCC system _LZ, Zoning
Parcel/Sub S~jfn,,,o-6 On site well ~ Actual Const V-hf
City water r/ Allowable v..P~
Owner Ty\Q PRV required of stories
Booster Pump Length
Address Depth
S.F. Total
City/Zip Code OI;!6-3~ Footprint S.F.
Phone APPROVALS EEES
Contractor Engr/Assess Permit 7~y•00
Planner Surcharge r?I,SO
Address Couneil Plan Review 351,00
Bldg. Off. 14SAC, City (00)00
City/Zip Code Variance SAC, MWCC ~5 bOpo
Water Conn 0100
Phone Water Meter !o D0
Road Unit y', Oo
Arch./Engr. Treatment Pl 20 e oa
Parks
Address Copies (.a0
TOTAL j'_,'
City/Zip Code
Phone fl ~,L~,r
VALv.A'~oi•4 • 6.4 "(crE'
0~. ?R 2c~ ~ 2 y o
22 XZ2 ° Wx
W--~
9 ZU K ry = ler3G
~
Z8X ~-/b: ~/Zo
r a y ~ ?
zY 1a= ' z~-
r-
~Z"zC' )4
6Z_ 75Gyo
ZND rC.oa~
Z)( 14
: Z Y
1t Lr~x yq% 5-G25
~ - S~Qsnh ,aorGjs
K-
~
' * * l~~vrs~r
• ~ * 2422 Enterpiise Dnve
* PIONEER LIINOSUHVEYOHS- CIVIL ENGIREERS Menduta Heiyhts, MN 65120
~enf1'ne.~1'r'n/"~~. LANOPL.~NNERS•l/~ND°vCAPERPCHITFCTS
* ~ (612) 681-1914
~
TNE QOTTLUND COMPANY
, ~'TQKEgR/q,S~ pRivE ~
NOR7N
?9/ 63
~3 { T~.3
O
F f ~ g
I
i
°~D n~r, o I ~m
I n, M1M1 2~ ~ _ '
(u n ~G
a
) ~ iB o 2
i ~
~ ` / o ~o ~ /333 I I
87 o ~~1 W
4n R)
~ ` a 2sby i ~ ~
sgoo
8 ' (
~
~ I
N e~8 8 ~8.. W B _
D
GAN ENGINEERING DEPT
g 900.o Denofes exislmflevafion PQOvoseo NDUSf ELfVAT10N5
• yoo.o DeRofes proPcs`~d Elevafion
'-----Denoles Draina~e EUfilifJ Easement lowesf FloorElevafion ~8839
Denoies Drqrna e Flow .4rrows ToP oi Block E/evafion : BQZ.o
o Der+oles monumenf 6'araj2 S(ab E/evafiorJ = 89I•'7
Be4rin~s showri nre assumed
LOT 5 , BLDck 9 ~ 14ICC5 _oF $TpNEBRIDGE
DA{OTq COU/JTY, MjNNFSOTR $v8lELj 7D EASfMfNTS OF,qffUAD
I hereby ceriity thal ihia wrvoy, plan or repoR w~a,
~pl pared Ly mtior under niy duect Iupervision and Nal I am duly qrputmetl ~end Suroeyor
unJe, ihe laws ol [ne Stare of MInnemta. Dated Uns L I~ ~~yy of _
A D 19 .
. Sco%: ~ ,nch_ 40
HOpEPI B. SIKICH 1.5 HEG NU. 14491
7~
• ' .
.`r.
• Exrrr.ioR ENvca.orr: nvriIncL "v" corsru•rn•rzoN
otimr,sz IZO~LV I~I D C U
siTt; ADuu S;;4C)".~~{~~.
~
' co1:TItAC1'OR Q~?T"t' I r>n ~ r~ C C~ Dnrr,
Aetexmine c+orlci.ng square f.ootage oi eacli.
3s/asL-
1, ibtal exposed wall area 3 So S4- rt.
.
2. Total ioof./criYi_ng area I 2'/ `f Sg. £t. X•O'Z~
A. Total wall window area 351f"
. . D. 1'otal c]c,or azea .j~ ' .
C. Tot'al slidiug glas's cloor area......... Y`f
A. Total firer Lace wall ar.ca....................... E. Total wall €ram.ing arca (averYgelU%) Z 3 U . •
F. Toizi l I;ixi joirt azea---------------------------- 247/
-
G: Total Het wall azea above floor 2°/"Z .
. ' 'I'otal e3_posed foaridati.on area ~ ~O . •
. " II: 'rotal focndation win3ow area ' '
70
T: Total net ioundatioii arca aUove grado...........
U--tennine "U" value oi e.tcli wall segwenL-.
a. 35~- x "U„
. ~ b. X °'0° n U~ = Zo~~ . .
c._~f x^u^ ~ Q Z
. a. - x .,u„ - ~ e. 2~U x"o". eUf~ '7 = 2 0•G!
s. ~ a'7 / xIOu". p c~'~~ 2 -~~6=q~ • g.- ~ Ct "~u ..u..
Il. f0 X nU^ 3d` 2- x -{r
s........ ........................mb tal. 3 S~3o55' ' .
Tf it.vm 113 i•: Uic sea;nc as, or t.ljau iti(•m I!7., you hZVe met Uic inLcnL' of
fiLiC G006(c) 2. ' ' • .
. 2y`~
'To411 expo,r'd roof/ccilinn arc1 " 1
j. Total s}:yl3qiiL- arca
k. ToCil rcoE/c6iliny framiiic area (ivcr.a9o 102)..... 7_ `1
,~/S8
ToP.al net in:~ulated roof/ceiling arca••••••••••• "
, Determine °U" v,iluc for cetcii roof/ac.iliuq seginenC.
~ Z . x nUu Z-o '
j• Q
.
I; 7 y x 'lUll . . 0z7 _ Z~Ol7 ~
. ' . ,
x „U„
i. . .
n ................................:....To,:az
IP total oL• ;14 is thc same as, or less L-li:in 112, you have met the inCenl oC
g2C 6006 (a)1. - . . , ,
Alt.ernate Building Envel.ope Des9.gn • ,
To util.ize the total ehve.lope system method, the values establi.shed hy the
sum ot itews Ik3 ancl 114 shall noL• hc gr.eater than the sum of items itl aiticl ;k.'-•
3 2. 31 JV-~a71U .
~
3 v 3 4- 4 2- 3 3-7 9~, 7'9--
. ~
. . _
~ • , .
ti. . - •
. . ~ ~ .
• • • •.noor/cciz,iNC , .
• . ;
. ~ ' . ~ ~ i. .
~ ~~rj~~ , • Consl•rucl•ion • , : ~ R`Vnlao ~
Interior ai.r film 0.6J..
Z. C~YT- 13
iZ0 a S8
3. 3~,00 . , .
, 9, Exterior air film (still . 0~
• yEIrx ToL•al 3~'fo£30. ,
``~D ' ' . . , , • : ; V = .02S.
• ' / , • ' , . . • , •
, • , . .
Venced fleaC xlow.' ' , • ' ' ' . . ,
' . up , ' . . . . . ' .
. , . ,
FXG. ~S ' • , ,
I • ' • ~j~~~~1~- : . ' ' . , ~ . ~ ,
. . . ~ . . . , . .
1 . . . . . ,
• ~ i ~ • " , Snter.tor air film ~ 0.67.
.r~;~. ,v..',ui.:~..~_~'•2y~m-•.~nr•sn~,ea~ . 2. S/~i.• C~YT~ Iz~~-, D SS .
e
• T"'~7'7 ' 3. 1,V5(/L OVEIL'1"IZUSj . 3Lf Iq ,
4., Erterior air Eilm sti 1 U.
.
~ , . , Tot-al.• 1-7~f ' .
~ ~ I ,i/~ • ~ , 0'1''7 .
~~?1,~~ , ~ ~ ( << . . . ~ . ~ . .
. ~1 ~--~2 ~ 3 . ' • ' • . a . , , • ' .
Nsa[ Floci vp . . ~ , .•vented . ' ~ , ~ ~ • . . r
• • . ' ~ ' ~ ' ~ ' , . , ~
• „FIG. 1I6'..~. •i• . . . , ~ .
; . .3 . . : . . ~ , ' ' • . ' • ; . .
, • i ' ~v 1. Inside ai.r film 0.G1
• ~ ~f.~ r ti.^q~.- 2.
. ~ ' • ' . . .
,~q~ `9'5,.•~Y'~ ~e : 1 ' 3.
9M1 ~ Q:a-~?!~~. ! • .
4•
• ~'~'~~'6~" ~ ' S. Outsi.de air film ' 0.17
'
Total
' ~ 1 ~ Z " • ~ , . .
~
• .NOi7-`9P.D1TEp• . ' NoL•e: Use additioi)a}. sheets •!.t more cpaco is
_ • i ~ •
. needed foz AetaiJ.s and calculaL•l.ons.
• . . .'IICnC ~ ' ~ . . ' . . .
• , • ~flow up - ' . ' . . .
' i. . , . , . • . .
• i • . .i' • .
. ~ '
• 1 NALIA rJl.l.l'li,.. • i'.ayu J OL 4
~tJU,x'Se Use 1R oC opaquc wall area for
. ' LzZIme construction • ' ' ' •
Const~ioq . : r•.:.: ' . .
R-Value
. .
1. Tntexior airfilm 0.68
2. 'yLnC~-Y p .13 R b -
' 3 : 3. 1 u E, -sTrid S ' (o o fS S" .
, i ~ , ~ 2 s H rcr
2nsic 9. 25/3 Z,.aC-=) ~
14ALL • • a~--~-1~"v - • ' . 5. .~/U~tiCs OVE/C ,~EL7- /a 2 ~o
6: Exter.ior air film
0.17 •
Total
F2G. ~f11 ~ TOPVIEI4 OF . . • , e .
_ . FI2NSS l]RLL . . ; .
. . ' . 1. Interior air film 0.68
~ ~ ~ I~-- ~ . . , 2. G..rr-I 13pz D
3.
I ----0 4. 7
Fzc. IPz S 3L• ~ "5 /YTCT ,2 ~ d G '
. .
~ ~ I_--~..~ .-^dP ~ 6. EXterior ai.r film 0.17
Total 23,6 Z
' • ~ oo~t z ~ .
'.I~CA 1. znteri.or air film
/
i (_'s"` ._____•a...('~ 0. GB'
:p5ci<7l 2. ~'/NS!/'L / !JO
~ i 9a
s, 12 x _ . /z'r.ra .
:
9. .2 513.2 5 t-I TC~- 2 m0~~
'
I . 11;; -s---- ' ' / . . 5. S/U/.[iC~' ~V~/Z '/=~2T / 6 2 (d
•~~~c'ti'I ' .6. Exterior air film 0
.17
:iJ~1TICni••.~.--~ Total 2$.OS
~ ~i ~ •ol+::=~_-•~ `-~-C~ . o v-U
, ii . :,~~~c . . , v •
Illt?` r.• ~ ~ ~ ;J. . . • • • ,
InCerior air film
0.68
{'~..%.I'•' . ' . . : ~ 2• ./Z-// ./•tiSvC' • UU
~ 3. 2~1 /=u2 RI hl C~ -
, 9. 12'1
Cawr, /~CoCIL /.LFS
.
6. Exterior air film 0.17
~ ~7Ja' ' , ^ Tot'a/l 13e13
' . . . . - . r I/ e 0'7 G
I. U ~ A . ' ~ ' , e : r ~ ~ . 4 ,
, • , ' ~ . I f l ~ , •;5~.-~., ~rr1=T`X
' ~ .w ; ~ . ° ' . ! , ~
, ~ ' u ~ r ~ ~ i . , • . , ~ ( ~ ~ • . • ~ l •
r " ~ ' b • 11!
113 ~ . rc~ k • " . ..~~=.~ii
y H,^ , . • ~zc, I14 r
, .
APFLI^vATION 1=0R PERMIT - :NME ° p'''MUU CF EM AT TIM OF *
nrrrs=oa ooES rxrr coN- ;
srilvre r,eeaT%Frw oF r~uT. ;
. .
SEW ER AND/QR W ATER CONNECTION ~ T"'G°E"'T"" W,~a ;
irsxnra.nrxaas waa. r(rr ae scmwm ,
~ L'Nl'IL PERFIIT HAi Bffi'N APPRCJVID. :
? ' tr+~~es~s+*ia+a+~i~rww~+ek,xwy+~eirtwwr
.
ity oF eclgan
(P E PRINT
1) PROPERTY ADDRESS: 4pyJ S}u e lo
r.BcAL nFSCxzPrrorr: 5 /
---,9~~Tax c Parcel ZD
-(Loc/B3oc S vision or
IF EXISTING STRLY-TL~RE, DATE OF ORIGINAL BUILDING PERNIIT ISSUANCE:
Nbnt Year
PRESENT Z9NING/PROPOSID USE:
Q CONA9ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INIDUSTRIAL ~ R-2 DOPLEX (3Wo L'nits)
Q INSTITOTIONAL/GOVE[2NMENT q R-3 TOWNHOOSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CDDIDOMINIUM ( Lnits)
2) NAMEo V.,tlc4 PIb~ c.: T,,,~
ADDRES.S:
CITY, STATE, ZIP: P-N
PHONE: y`iJ-d 1 1 l
For City Use
3) NAME: Pl reums License:
ADDRESS: ~ Active
Expired
CITY,.STATE, ZIP: Not recorded
PHONE: N7ASTIIt LICET]SE #~'l 1 ti~ St Ia n£~ itia~
. ~i •
4)
NAME: 'RoI'F1...J Cu
ADDRFSS: 1&3y 3u i
CITY, STATE, ZIP: ('JSSc.~ ' D`
PHONE:
5) s a • u .i
~ CONNECTION TO CITY SEWEE2 ~ CONNECTION. TO CITY WATII2 a OTHER
.
6) ******,r****+**************~**+****«**************~***~*************,r*~*******+*~~*******~******+~*~~
*
THE GOLD COPY OF THE PERMIT WII.L BE SETIr DIRIX.'TLY TO PUBLIC WORKS TO FACILITATE METER PICR-UP. ~
.*k PLEASE AISAW 4Sa0 WORKIN„ DAYS FY)R PROCFSSING. SONIEONE FROM TfiE CZTY WILL COPTPACT YOU IF THERE *
* ARE ANY PROBI,Eh15. ~
~**r***~********~~~~~~r*~********,c**+*,r,~****~+**+******«~~*****~*~*+****~r+*~******,c**~#***,t,t*~**~*w
. <
FOR CITY USE ONLY .
PERMIT # IS50ED -
Pd w/Bldg. Permit FEES:
$ IB•~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~/y • 5~ WATER PERMIT (INCLDDE SC'RCHARGE)
$ O $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ /<5 iLJ~ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
S S~n F cl c~ $ wAc
$ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ eg c) $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ I Lf 7I' CJ ~ $ ,~I • f3- ~ TOTAL
s-
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE-EXCAVATION ILV PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MLST BE ISSLED BY THE ENGINEERIIVG
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY: ~ 6--ufyt-v
TITLE:
DATE :
~ l
***t****RR~~~txxxxxxx~xx~nnnn~~~----....".
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 784
DATE: 04/27/00 TIME: 13:44:06
ID:
NAME: YEAR ROUND ROOFING
3210 9001 4044 STNBRDG DR 125.25
2155 9001 4044 STNBRDG DR 3.00
F
L
Total Receipt Amount: 128.25
CR128266
USER ID: JAN
+++~**:c*+*******~**~*************~**~*±_
2000 BUILDING PERMIT APPLICATION (RESlDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~l O v 651-881-4875
New Conshucflon Reaulremenh RemodeUReoair Reauire men~~
? 3 reglatered slfe wrveys showlny sq. ft of bt, aq. fl. of house 2 copies of plan
and gfi raofed areas f20°6 maxJmum bf coveraae allowedl 1 set ol energY calwlcHOns for heated addiHOns
> 2 coples of plans (show bernn & wintlow sizas; poured 1nd. deslgn; atc.) 1 site survey for exfeAor addiHau d tlecks
> t set of energy calcWaftona
> 3 coples W 1ree preservaNOn plan il loi plaHed alter 7/1/93
b O CONSTRUCTION COST:
DATE: YI 2 7 ~
DESCRIPTION OF WORK: 8 Der-, ~`'e ?o~j ~
STREET ADDRESS: d~f Sv~a~ e Gs-, or t~r, Sd ,
LOT: ~ BLOCK: ~ SUBD./P.I.D. M: r 1
Name: /?es' `''1 Phone
PROPERTI( ~ Flrg
OWNER t~~ S~a sv
Sheet Address: S6.-
city (~f~~'i ~ d? Stafe: • Zip:
. CompanY 4d 1(00vLo Phone#: &/z
(area code)
COMRACTOR
Sheet Address: License # 20/ 8/0i5~ Exp. 2Oa/
cnv .90 vzvzcr ~a swte: LP: SS 3/ ~
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sheet Address: RegishaBon
CNy State: TP:
Sewer/water licensed plumber (if insWllina sewer/waterl: Phone (
I hereby acknowledge tlwf I have read lhis applicaNon, slate ttwf 1he infortnation is cortect, and agree b compry wlfh aN applicaWe SfafE
of fylinnesota Statutes and CIIy of Eagan Ordinances.
Signafure of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' )1,2 7
Tree Preservation Pian Received _ Yes _ - No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi
O 02 SF Dweiling ? OS 06-plex [3 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex 0 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pmg Y or _ N ? 25 Miscetlaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroot
? 32 Addition O 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of. Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code _
(Allowahle) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee c~ Valuation: $
Surcharge - U
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI. '
Park Ded.
Trails Ded. .
Other
Copies
TotaL•
SAC Units
% SAC
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126871
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 4044 Stonebridge Dr S
Lot:5 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-050
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 by law in ALL single family homes .
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 -
Dean C Berg
4044 Stonebridge Dr S
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143847
Date Issued:06/29/2017
Permit Category:ePermit
Site Address: 4044 Stonebridge Dr S
Lot:5 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Dean C Berg
4044 Stonebridge Dr S
Eagan MN 55123
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168528
Date Issued:04/23/2021
Permit Category:ePermit
Site Address: 4044 Stonebridge Dr S
Lot:5 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Dean C & Debora J Berg
4044 Stonebridge S
Saint Paul MN 55123--163
(612) 240-8869
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
