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4044 Stonebridge Dr S ôë þýýüûú ú ÿ ùüüýýùüþù ðå þ ðð ð þý ÿþýüû ëÿßú ùýüûø÷ ûëÿßú öÿûõôÿõóÿþò ûñðï ý îî íî ò õëñêûõïé è í èî íí öù ÿó ëçé è ð èð õôóô òñ ûû ßúú î îî þ òûòøîòø ñáïíî áá óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ ? y - _ 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 ò ÿ ÿþýþý üÿÿ ñññüÿü âøóÿý ïââ â ù ÿþýüûú ùöéàþüûú ùüûúùöé ÷öéñúò úøþ àþàåïå ðþúû Ü ÿÛþì òúáòääòÛþòýòí óööú óóò úíàóóúóí àýòãÛþýûöóòûäòí ìçï çææí æ íå æ øü ÿþä îþçï çí â íâ îþï í ÷õ ùôó úú Ýùöêÿà å å ååÿýÿ úúîûõ÷åõ÷ï ëâèæâ ïå äýûöä äáäúúääóòòúûöäúúýÿ óõÿþàûóðí úúéòÿþ þûÿþ 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