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4048 Stonebridge Dr S ,i 9-13-88 ~ Date: ~ CITY OF ~AGAN Permit No: D 4 Size: 3830 Pilo? Knob Road Meter No~ , Date: 6' P.O~ Box 21199 Rpatt-er Na: Eagan, ,,,F Stnbria£el Owner. ' ~ ~~r ~ nebrJ_~--ue - Site Address: 1 p _jt,_;;t:;r_« ntttR _ Plumber. - T,i r - _ Zoning: Conn. Chg: No. of Uni1s: - a Acct. Dep: • - . Permit Fee: I a~ree to compty with the City of Eagan Surcharge: Ordinaoces. Tr. Plant 474 , t~p Meter. ~ . , r - Misc.: BY ~ WATER SERVICE PERMIT _ - Date: Q_- CI~ OF ~GAN Permit Na Date: 3830 Pikyt Knob Road B/ P No: r'-- - - P.O.ij~ox 21199 Eagan, MN 55121 Centea Homes L~ B~ g~~ls e pwner: ~p48 Stonabrid~e nr. . Site Address: pl~uth P]-umt~in Plumber: 550.00 d Zoning' 1 MWCC: 106. ad ~ No. of Units: City Chg: 15 . OOpd I agree to comply with the City o1 Eagan Acct. Dep: Permit Fee: 10.00pd Ordinances. • P Surcharge: BY r, SEW~ SERYICE P~MIT L ~ - - - - - - - - - = ~ Date: 9-13-88 ~ CITY OF EAGAN Permit No:_ 3830 Plloi Knob Road Me1er No: Size: P.O. Box 21199 Reader No: ~ Da1e: Eagan, MN 55121 I Owner. ,',Stonabri3 e~3t, L5 E9 Hills of ~t.l . Site Address: Plumber 'P17outh P umbin8 Conn. Chg: 450Qam` Zoning: ' Acct Dep: No. of Units: - ~ Permit Fee: 1 oo7D° Surcharge: S I agree io comply wiih the City of Eagan 'j Tr. Plant Qrdinances. , ~ Meter. B i ~ ~ Misc.: y ~ ~WATER SERVICE PERMIT ~_-_t-- _ - - - ~I i ~ CASH RECEIPT - CITY OF EAGAN , . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~ 19 aECFrven ~ - Fnar ~ ' ' AMOUNT $ ? ' ~ - - ~ & DOLLARS ~ too ? CASH 6] CHECK wa FUND OBJECT AMOUN7 Thank You ~ BY White--PaYers C'.oPY Yelbw-Posting Copy Pink-File Copy BLDG. PERMIT NO. 3 I ~ t L.n f~ k) G 4 01-3210 Bidg. Permit 01-3412 Plan Check Z &c~ tc) 01-3445 Surch./Adm. 9 i n 01-3446 SAC/Adm. J a 01-2155 Surcharge ~ 75-3860 Road Unit Cn • ~ I q~ 20-2275 SAC v 20-3865 Water Conn. =50 00 ~ 20-3868 water Trmt. 2 & n p0 20-3716 Water Meter LO -7 20-2252 Acct. Dep. U 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ~ LP ao I ; CiTY OF EAGAN 3850 Pilot Krrob Road, P.O. Bax 21-199, Eagan, MN 55121 PH O N E: 454-8100 ~ BUILDING PERMIT Receipt# To be used for SF EWG/CAR Est. Value 44+000 Date ~EPT 12 ,19 cc SiteAddress `048 OFFICE USE ONLY Lot ~ Block ~ Sec/Sub. OnSiteSewage Occupancy MWCC System ~ Zoning PD R"'1 P3rcel No. On Site Weil (Actuaq Const V-46 (A~~TEX HOMES City Water x (Aliowable) V"N a Name z Addfess -`n59 EAKER RD PRV Required * af Stories 0 Gity M~KA Phorte -7$33 Booster Pump Length Depth ' , p %Name SAk'r. S.F.Total o v Address Foatprint S.F. u~ Gity Phone 42-3-21 S 5 (4 L'G } APPROVALS FEES Q ~ ~W N3me Engr./Assess. Permit W ~ z Planner Surcharge 45.50 x . Address ~ 4 W City Phone Council Plan Review 1'~~'•~ ' Bidg. Off. _ SAC, City Variance SAC, MWCC 55U.40 ~ 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 Water Conn. 5, 50. c,Q Minnesota Statutes and Qity of Eagan Ordinances. Water Meter k;. 7.0~-~ Signature of Permittee Road Unit -i:e 5 - (X A Building Permit is issued to: C~~~%~•' fi~g Treatment P1 204:~ ~ onihe express condition that all work shall be done in accordancewith all : applicaWe State of Minnesota Statutes and Ciry of Eagan Ordinances. Parks A 1 TOTAL 250 i Building Official- ~ CITY OF EAGAN . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ . .y. . ~ a ~ PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for -'r Est. Value 00~) Date ~E."T 12 ,79 38 ~ SiteAddress ~r''•~ ~~QNU'~TWL' °sg S. OFFICE USE ONLY On Site Sewage Occupancy x-3 s" t.i Lot Block Q Sec/Sub. "F ~ MWCC System R 2oning ParCel No. On Site Well (Actuaq Const V"rt° ~ CityWater ~ (Allowable) W Name z Address S $•~~GR Pl' PRV Required # of Stories 1 C. 1 Booster Pump Len9th 5~~ ~ City +TKA Phone 3~i_~ri3_: DePth 4`• a Name ~AME S.F. Total o o 0 Address Foatprint S.F. ~ cc City Phone ~'`3"'2i55 ('~OE) APPROVALS FEES Engr./Assess. Permit W ~ Z Name Planner 5urcharge `~5• ~Z Cdyfe55 phOne Council PlanReview ~b~•~ 'c W Bldg. Off. SAC, City ~00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550•:)0 information is correct and agree to comply with all applicable State of WaterConn. -50•W Minnesota Statutes and City of Eagan Ordinances. Water Metet 0 7•(W~ 4 Signature of Permittee Road Unit 325.0( A 8uilding Permil is issued to: Treatment P1 204.171, on the express condition that all workshall be dvne in accordancewith all parks applicable Stale of Minnesota Statutes and City of Eagan Ordinances. 4Y. Building Official TOTAL Permit No. Permit Holder Date Telephone # PIur4tbing H.V,AC. ~ Electric Softener Inspectfon Date Inap. Comments Footings I Footings II Foundation , fy r- ~ Framing Roofing Rough Plbg. Rough Htg. Isul. f Fireplace Final Htg. Fina{ Plbg. Bldg. Final Cert. Occ. ~ Temp. LP Deck Ftg. Deek Final Well ' Pr. Disp. ~ ~ r (Citp of cagan ~ fiPputPttf of Blttibttlg JttSpPtftDit l . This Certificale issued pursuant to the requirements of Section 306 of the Llniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• cl..e.aon SF TlWr/GAR H1dg. ,e,mi, No. 15593 ompency Type R3/M 1 zoaing n;gcricc PD/-R1 Type coe5t VN owncr of suaaing ~ HOrES .,Mrem 5959 BAM RL10, NIIICA. 16, B9, HCIZS C1F STCII~ ' audding naaress 4048 ROIEM= DRIVE ,.TI1~ty 16,1989 oau: Buil(fing O~tGcid('~- POST IN 0. CONSPICUOUS PLACE ~ PERMIT # ° PLUMBING PERMIT 7 • • • RECEIPT # > 'S ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Sep..ember. I~, 29H~' CONTRACT PRICE: PHONE: 454-8100 Site Address 4048 Stonebridge Drive BLDG. TYPE WORK DESCHIPTION Lot 6 Block 9 SeciSub Res. XXXXx IVew KXXXX Hills of Stonibridae Muit. Add-on - Name Genz-Tt n P&H Comm. Repair m 14745 South Robart Trmil Address Other c CiryRose0nount, ia4 Phone 423-1144 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: 55068 FIXTURES TOTAL Name Centex Hea I Estate ~ tiNater Closet -$3.00 S t.°t ~ 5959 Baker Roa$ S1li 300 Bath Tubs -$3.00 ~ ; Address Lavatory - $3.00 p cityMinnetonka, MhT Phone 936-7833 --Shower -$3.00 ~3- ° o 55345 Kitchen Sink - $3.00 FEES Urinall6idet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ' -TLaundry Tray -$3.00 Y• APT. BLDGS - COMM RATE APPLIES : i:z:Floor Drains - $1.50 ~ • TOWNHOUSE 8 GONDO - RES. RATE APPLItS Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 =Gas Piping Outlets - $1.50 : T' STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00 Well - $10.00 ~ , 1Private Disp. - $10.00 ff~ ~ ;:~X:Rough Openings - $1.50 SIGNATURE OF PERMI*EE FEE: e0 STATE S1C: FOR: CITY OF EAGAN GRAND TOTAL: i~~~ j r PERMIT # • • • MECHANICAL PERMIT RECEIPT # ?7 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHDNE: 454-8100 For Office Use Only: Site Address t'" r -'LET f BLDG. TYPE ` WORK DESCRIPTION Lot ZO Block ~ Sec/Sub Res New ~ Name Mult Add-on Comm. Repair Address ' ~ Other c City Phone - FEES ~ Name r" •L ' RES. HVAC 0-100 M BTU - $24.00 c AddreSS, ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 4 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE ' ForCed Air M BTU ~i APT BLDGS. - COMM. RATE APPLIES f" JY TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIaENTIAL FEE - AlL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SUFiCHARGE PER PERMIT - .50 Vent (ADD $.50 S/C IF PERMIT PRICE GOES ~ Gas Piping Outlets # ~ CFM BEYOND $1,000) I umer ~ FEE: ""~IGNAT!]f~E OF" ERMITTEE ~ S/C: L K. TOTAL• ~ FOR: CITY OF EAGAN , _ • . , - , ~ ~ , - - - --J--- r, i t ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 Y J ~ 657-681-4675 NewConsWcdonReauiremenla RamodelfReoairReaulrements Cal'e(/ 7"' j,^Of • 3 registered site surveys showing sq. fL of lot, sq. ft. of house; and all roafeA areas . 2 capies ot plan ~ (20% maximum lot coverage allowed) . 1 set of Energy CalcWatians for heated addrfions • 2 copies of plan showing beam & window saes; poured found desgn, etc.) . 1 site survey (or extedor additions & decks • 1 set of Eneyy Caiwlations . IiMicate i( hane served by septic system for additbns • 3 copies ol Tree Preservalion Plan'rf lat platted afler 7/1l93 • Rim Joist Detail Options selection sheet (bldgs wflh 3 orless units) DATE VALUATION b F~IS~~ 41 JOB SITE ADDRESS ~t~e, bf i~. c+s p-~ Ni ti./ ~IZ3 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK ~ 1~2 ce, N~ ~~+h OYL FIREPLACE(S) _ 0_ 1_ 2 APPUCANT PHONE# 6J'Z 3~-g' ~OJ 7 ADDRESS ZIP CODE S-S3ys PAGER # CELL PHONE # ~6 (`L 37,~-?0Y4 FAX # 1Z -USII NE11' RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su - Energy Envelope Calculations Submitted D MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plmnbing System Includes: _ Water Sotlener _ Lawn Spnnklcr ce: . _ Water Healer _ No. of R.I. 13aths No. of Baths Mechanical Contractor: Phone # Mechanical Sysfem Includes: _ Air Conditioning Pee: $70.00 _ Heat Rccovery System Sewer/Water Confractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with alI applicable State of Minnesota Statutes and City of Eagan O dinan e. Slgnature of Applicant J Certificates of Survey Received _ Tree Preservation Plan Recei ed _ Not Required _ Updated 1101 ' OFFICE USE ONLY ~ y ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 08-plex x 18 Deck ' X 23 Porch (screened) ? 36 Multi O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) O 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Oemolition (Entire Bldg only)'- Glve PCA handout to appilcant Valuation tD, L% `E10 Occupancy MC/ES System ° T_ Census Code Ll ~ 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) {i- dO 4;' ~ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Finai Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone - Insularion _ Windows (new/replacement) Approved By Building Inspector Base Fee ' Surchar9 e " ~c~s~ 'r ~ ~ ~ l Plan Review MC/ES SAC Ciry SAC Water Supply & Storage r?.J' ~ S&W Permit & Surcharge ~ Treatment Plant Plumbing Permit Mechanipl Permit ~ License Search` • Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION 14 G u I _3 CITY OF EAGAN -1 3 O . ~ ~ 3830 PILOT KNOB RD - 55122 p Q ~ 651-681-4575 ~f--PJ ~S 41- d ~ NewConatruction Reauirements RemadaUReoafrReauirements . 3 registered site surveys shmring sq; R of bt, sq, ft of house; an0 mofed areas • 2 copies of plan (20% mazimum Pot ooverage albwe4) . i sel of Energy Calwlatians for heated additions • 2 copies of plan shawing beam & window sizes; poured found Gesgn, etc.) . 1 site survey for ederior addNOns & decks • 1 set ol Energy Caialations . Ind'cale N Mme served by septlc system lor addilions • 3 copies of Tree Preservation Plan if bt plat[ed afler 711f93 ~ • Rim Joist Detail Optiom setedion sheel (bldgs w8h 3 or less imNS) DATE VALUA[ION JOB SITE ADDRESS 4 ~ 4' g S'~Ke (o~ ~~~e 17 ~c ~ou'JL. IF MULTI•FAMILY BUILDING, HOW MANY UNITS? n PROPERTYOWNER '96 lo¢~t 17 . SlnePauJ : Ra-~ ~•u.a I~~^p T TYPE°Of WORK ~e.c-L Screea'N oPIREPLACE(S) _ 0_ 1_ 2 APPUCANT evA_, S Ite ~1~Lo-nQ PHONE# (oS )^49 4 -2660 ADDRESS +04j~ SaUT14 ZIPCODE S51Z3 PAGER # CELL PHONE # 651- 3 34 -`16 l01 FAX # bs j-`T`1 4" 94 NIEV RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilatlon Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phon AII above Infortnation must be submitted prior W processing of applicallon. By i hereby acknowledge that I have read this appiication, state ihat the informatio is correct, and agree t ompiy with all applicable State of Minnesota Statutes and Cify of Eaga i nces ; Signature of Appticant _.1 Certificates of 5urvey Received _ Tree Preservation Plan Received _ Not Required _ . . . . Updated 7/01 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-piex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Stortn Damage O 06 04-plex ? 12 72-plex Plbg Yor_N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 . Move Bldg. ? 42 Demolish (Foundatfon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemollHon (Enttre Bldg only) - Giva PCA handou4 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. _ Footiags (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other . _ Framing _ pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee~--------- Surcharge Plan Review C-) MC/ES SAC City SAC P- Q-ti/' Water Supply & Storage ~ S8W Permit & Surcharge TreaUnent Plant • Plumbing Permit Mechanical Permit License Search Copies Other Total . v CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N? 15593 ~ PHO N E: 454•8100 BUILDING PERMIT ` Receipt # S~ ~ c h!' To be used for SF DWG/GAR Est. Value $91,000 Date SEPT 12 Site Address 404$ STONEBRIDGE DR Si OFFICE USE ONLY Lot 6 elock 9 Sec/Sub. STONEBRIDGE On5ite5ewage - Occupancy R-3 M-1 MwCCSystem X Zo,,;,,g PD R-1 Parcel No. On Site Well _ (ACtuaq Const V-N a Name CENTEX HOMES Ciy Water X_ (Allowable) V-N i 5959 BAKER RD PRV Required _ n of Stones Address Boos[er Pump Lengih 56' 0 Ciry MTKA Phone 936-7833 oePtn 48' , o Name SAME S.F.iotal o~ Address FootDrmtS.F. u~ City Phone 423-2155 (JOE) pppROVALS FEES a En r?Assess. Permit 538.0~ w W Name g ~ i Planner Surcharge +5_,5 Q x- Address _269_00 aw City Phone Council Plan Review BIdg.OH. SAQCity ._I.QD"M I hereby acknowletlge that I have read this applicalion antl state ihat the Variance SA0. MWCC ~550-00" inlormation is correct antl a9ree to comply with all applicable State ot Water Conn. 5$0 _ nn Minnesota Statutes antl i of E Ordr~e~cc Water Meter ~,7_ nn Signature of Permatee _ ~ Road Unit -325n0 A Builtlmg Permrt is o:_CENTE HOMES__ Treatment P1 9pLE,_gq ontheexpressco i thatallworkshallbe one in accordance with all parks applicable Stat innesota Statutes and Ciry of Eagan Ortlinances 2,648.50 T~ l TOTAL Building Official_~./.41/~~,u(._ This re9uest voitl 9~ij/!X7 18 rtqnlhs iwm J" 60 E 43087 Request Date Fire No. flouPh-rn Insuer.LOn Reqwretl~ IC]Reatly NowXWill Nntify InsPec- ~ ~ Yes ?NO toe When Reatly ~ Ucensed Electncal Convac[or I hereby re4uest inspecbon of abave ? Owner electncal work inslalled aY Street AtlAress, Boa or Route No. C~Iv y y6 n~. rid e ~Q a,.1 ecbon o. Towns~i0 Nama or No. RanBe No. Counly OccuOan[ (P7INT) Phune No. C evTvic PowelSuppli „ E+tltlress `_J awi, Elec cal Concractor ICOmD Namel Contrar,mr's Lroense No. ~e,c, 9Y)c_-_ p41935 -S Mad~n9 AQP,eas IComractor or Ow r MabnB Irereilauonl ~3 .5unm/t ~oad n? ~ M N 5543a Author¢etl Siq^ature IComractor/Owner Makmg Installavon Phone Numher /~i (C.Q -19y -31 3l MINNESOTA STATE BOAflO OF ELECTPICITY TMIS INSPECTION NEQUEST WILL NOT -^aas-Midwev Bldg. - Aoom N-191 BE ACCEPTED BY THE STATE BOABD --~~v Ave.. St Paul. MN 55104 UNLESS PPOPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os ~ See instructions loe compietinq this lorm on bock of c/5 yellow copy. E 4 3 0 8 7 "x' BeloW Work Covered 6y Thrs Request AdA .-14pe ol 8wltlfing Appliontea Wired Eqoiyment Wired Home flunge Temporary Service DuplPx Water Heater Lightlny Fixtwes Apt. 8wldinp Dryei Electric Heahn Commercial Bldy. Fumace Silo Unloader Industnal Bldy. Air Conditioner Bulk Milk Tnnk Farm 01ner per.i v Othar (Sprr.ify) t qr P~ci v thn, Othcr ompute Inspectron Fee Be/ow M Fee SarviceEniranee5ize tt F. Fextle,s/Subfeeders k Fee Cucw~s U to 200 qm s 0 to 30 qm s 10 3•pa 0 tn 30 Am s Above 200 qmps~ 31 to 100 qmps IO.OD 31 to 100 A Swimminy Pool Above 100_Amps Above 100_Am s Transiormers IrriqaLOn Booms Partial.'O Signs Special Inspectwn Nemnrks S~y1 TO L FfCE, lY L( ' Rou9h-in ~ Onte -4 C1 I. e Electn • G J Insoe , erenv artdy that tha above Final ~•~l a inspecaon has baen ~ ~ ~ /d mede. Thie reQUest ralG /B monitu irom 7 s 97-3 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 L~~ I Site Street Address ~i Q, Unit # Property Owner Telephone # Mi.P. PIPE11I0"KS Contractor -7e BODn RnAD Telephone # ( ) Address EAGAN, MN 55123 City State Zip The Applicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insiaHing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener X\ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $6 -5D I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accorda ce with the approved plan in the event a plan is required o b rev' ed and approved. ' Applic nYs Printed Name Applica t's igna ure DEC 2 82006 ~ CITY USE ONLY 7_ i ~ PERMIT J~ I ~ RECEIPT DATE: 2002 iiESIDENTI141. MECHihNICAI. i'EgMiT APi'LICATIOA crrY og $wsAx 3$80 PILOT KPOB RD EAHAA MA 55122 651-6$1-4675 Please complete for: ? si~igle far~~iiy dwaliings town omes an condos when permits are required for each unit Date: 02- SITE ADDRESS: 4D I v 54r iNwriqyIV f-Wv v , N 1 N OWNER NAME: DWV 6 f~(M~'' pT TELEPHONE b!5I -4- 9leD INSTALLER NAME: 9~ ' PaIA.Q. TELEPHONE STREET ADDRESS: Wil i-V l & itj CITY: ot pAIiL STATE: ON ZIP: r5g) Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Natureofwork:l\Q O&L E(k ~ ~QS lJ '~C'f~- lo~: 740aD State Surchar e $ .50 TOtal j~ zo - SIGNATURE OF PERMITTEE 1102 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 8008 COMMFACI1kl. M£CUMICAcI. P£AM1T APgL1CATIOR CITY UFElEfiiRN 3$30 PILOT KAOB liD EAHtU, bIN 5518E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRE5S: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE W ORK TYPE: New consffuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Woik: When dnstalling/removdng underground tank, call 651-681-4675 for inspecdion by Fire Marshal and Plumbing inspector. Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = m;n;+m,m fee Contract pnce: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNAT'URB OF PERMITTEE Updated 1/02 RESIDENTIAL 114 2 b BUILDING PERMIT APPLICATION , CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 v 651-681-4675 NawConstruction Reauirements RemodellReoalr ReauiremeMs • 3 registered site surveys showirog sq. tt. af lot, sq. fL of house, and all roofed areas • 2 copies of plan (20%maximumlotcoverageallowed) • lsetofEnergyCalculationsforhealedadditons • 2 copies of plan showing beam 8 window sizes; pou2d found design, etc.) . 1 sile survey for exlerior additions & decks • 1 set of Energy Calculations . Indicate i( home served by septic syslem for additions • 3 copies of Tree Preservation Plan'rf lot platted after 717193 • Rim Joist Detail OpGons selection sheef (bldgs with 3 or less units) DATE \ / n2- VALUATION --I cr~=G C)c) SITE ADDRESS ~jcA `3 c~nc rcticle TC MULTI-FARAILY BLDG - Y - N . TYPE OP WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT \C~~.\~~;~, • 1tiK',G~'~~~~~ ~ STREETADDRESS4q ~ Cc1c, "P,1v1) CITYL1A1L ChSTATEfYIf ZIPf5'Jll`l TELEPHONE # A9.A CELL PHONE # FAX # PROPERTYOWNERRc7,~-h TELEPHONE# qc,,'A q uleL_) COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNrSOTA RLJI,FS 7670 CA"CGGORY 1 MINNESOTA RULLS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmiHed • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water SoIlener Lawn Sprinkler Fee: $90.00 WaLer HeaCer No. of R.I. BaQis No. of Baths Mechanical Contractor: Phone # Mechanical sysLem includes: _ Air Condifioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. 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 04plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (ad(hrion) _ Plumbing Foundarion 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) _ Insularion _ Rebining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Ct CaJ 0-~ 0 ; I ~ I e 'J 2 N 4Jvl~+JrZ GL-, ~5 C c~s, Sv e S, J ~o~ 1&; ~drev il-, ;4 4c74t 5-6Ae~v(~4S< ~V. S. v~ ^a fievetice cV Ct ~o v-,(~ I ~ V V`~AS J~~GL VQC0.~C~cX /?t~ !'ICYVQv~~L'.C%~ V f~G~C~v/') SeIiVICes'J 0 WI'k-(' . z EAGM RG V EWGQ BY DATE r- - ~ BUiLDING INSPECTlOIVS DEPT. 7 6 I,J v e,V r 0 wK-Q-V INSPEQ'ION RECORD •City of Eagan , Permit Type: sunaing 3830 PII.OT KNOB RD Pennit Number: EA046143 EAGAN, MN 55122 Date Issued: 07/17/2001 (651) 681-4675 Site Address: Applicant: 4048 Stonebridge Dr S Advantech Entprs Inc Lot: b Block: 9 Addition: Hills of Stonebridge ~ 10-32990-060-09 612-328-9054 Permit Subtype: Type of Work: Porch (screened) New Description: UseBusiness: Includes Deck Footings Framing Final - No C.O. Requi.ed Improvements to home requires smoke dectectors to all existing bedrooms. Sepazate permit required for any plumbing and electrical work. _ Ca11952-445-2840 regarding electrical permie and inspection. (TZJhm) * Contractor is respansible for erosion control. * "House #s rXequired for tinal. , 1988 HIIILDING PERMIT APPLICATIDN - CITY OF EAGAN • SINGLE FAMILY DWELLINGS 51 .,5 INCLUD 2 ETS OF PLANS 3 C TIFICATES OF SIIRVV, 1 SET OF ENERGY CALCULATIDNS NOTE: ADDRESSES FOR CQRNER LQTS - CONTRACTOR/HOMEOWNER MS15T DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULT2PLE DWELLINGS RENTAL UNITS FOR SALE UNITS !k OF UNITS INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 7 SET OF ENERGY CALCU[,ATIONS CONAtERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: J/ Valuation: //00Date: p(r Site Address 1( J T u OFFICE USE ONLY Lot ~ Block ~ On site sewage_ Occupancy MWCC system / Zoning • Parcel/Sub On site well Actual Const Y1/ ( City water ~ Allowable ~ Owner PRV required _ Ik of stories Booster Pump _ Length SH Address Depth d~ ,p S.F. Total Cityl2lp Code Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit d' Planner Surcharge Address Council Plan Review 2 & 4 Bldg. Off. SAC, City Oo City/Zip Code Variance SAC, MWCC 5S ? Water Conn SSo Phone Water Meter ~ Road Unit Arch./Engr. Treatment P1 Parks Address Copies 1 TOTAL '7 T. (I City/Zip Code Phone Il • ~~1~-Zy _ ~ gG 2 v 13 ~'?X 4~~ = i zG s ~r k ~z = z z SY 9.3 r r" 2 Z,,~- I 9.3' ~ y 2 9 9.c. z,S _ zz,s ysi ~ 3 • ~ - - _ 2422 Enterprise brfve PIONEER _ uNOSUnvtron•avaencrt+EErts Mendota N¢ights, MN 55120 ; ~eng*eering•• LANOPLMlNERS-LANOSCpp[11qCHITECTS tc12' vcpo1.1/~1I ~ a Ar** Certificate of Survey for:. CEI Y TEX OWJ ~ S~'o,~ Noaru B~~A O Q-~ b $810~ ~0 T<=881•7o Y~ Q~ I ~ ~j4 6~' Ip ` • i z n-- aeP 3 b~, aN ~ ~6,. ~ 0 Q~'.1h~~ ° ~ ! z ~M l ~ a'q~o` a'41~ . hM Zxr3sC4 'A FWB - Nr, ~ ry~95o 9aN ' . . / B95• ~c`• '`i,o 1 1 v' t ,~v pa6 i AA. , eK b~' ~y • . 4bti ~ ~ ~ . {/y~ p ED ; 6' • 5 `i . .900.o Denpfes existfnQ Elevufion ~ soo.o Dtnofes prapaMd Elevot%an Lowesf Floor tlevafion =~87•~7 ------nenofes b?ronnaeNfillfy Easemenf ~ benotes DrrJrna e Flaw Arrows Tap ot Black Clevafion - 890 • 43 o Denafes monumenf G'arage Slab E/evafion = 890.10 Be4rrn1s shawnvre assurned ~ OT fD~rY~ QLOL'~? 9 ~roMiNNF-SOTA 5vatfc Las M0F o~S70ti/EBRIdGE I hereby eertify thet this Is e Irue and correet representation of a survey of the boundarfn of the ebove dSsttibed len , end of the Iawtion of ell bufldings, thereon, end sll vislble encroachmentf, If any, trom or on seid tand. As furveyed by me ehis dey o( A. SCCI~e~ r`" ° 40tid .r,~.l ,~7• d!~~,K" . ROBERT 9. ~KIC I~REO.N0.34891 . _-131_ - - . ~ . lV~2/87 EXTERIORENVELOPE AYERAGE'U'COMPUTATION CENTEX HOMES C6RPORATION . . : . MODEL #730 SQ. FT. U. ALLOWABLE 1. TOTAL EXPOSED WALL AREA 2056.578 : 0.110 : 226.224 2. TOTAL ROOF/CEILING AREA 1352.667 0.026 35.169 3. TOTAL EXFOSED WALL CALC. Total exposed wail area atrove floor 1828.750 : ACTUAL a. Total wali window area 201.590 : 0.420 : 84.668 b. Total door area 37.700 0.060 : 2.262 c. Total sliding glass door area 0.600 0.390 . 0.000 d. Total fireplace wail area 0.000 : 0.000 : 0.000 , Total exposed wall less a,b,c,d 1589.460 e. Total wall, frsming area 158.946 0.097 15.402 f. Total net wali area above floor 1936.514 . 0.045 63.748 g. Total rim }oist area 126.449 0.042 : 5.295 Totalfoundation area(Exposed) 101.334 . h. Totalfuundation window area 0.000 : 0.920 . 0.000 i. Total ne# found area above grade 101.384 : 0.123 : 12.470 TOTAL 183.845 4. TOTAL EXPOSED ROOF/CEIL CALC . . Total exposed roof/ceiling area a. 1352.667 . b. 0.000 : j. Total skylight area 0.000 : 0.000 : 0.000 . k. Total roof/ceiling framing area a. 135.267 : 0.025 : 3.380 b. 0.000 : 0.023 : 0.000 1. Total net insui. roof/ceil area a. 1217.400 : 0.024 : 29.215 b. 0 : 0.025208 : d.000 . FOTAL 32.595 ALLOWABLE 1 + Z = 261.393 : ACTUAL 3+ 4= 216.441 DIFFERENCE 44.952 EXTERIORENVELOPE AVERAGE'U'COMPUTATION MODEL #730 Total wall window area # of sq. ft. total 24x28/28 2 9.3 18.6 28xi6/16 7 6.2 43.4 28x28/28 10 10.9 109 24x32 1 10.7 10.7 12x52fixed 1 4.33 9.33 14° sidelites 2 7.78 15.56 TOTAL 201.59 Totai wail above floor lin ft heighk totai Vault Kneewalls p 4'-10 112' high walis 106 4.875 516.75 8' high walls 164 8 1312 1828.75 Totai rim joist 2x10 164 0.771 126.444 Totalexposedfoundation(8') 152 0.667 101.384 e. wali fromino 'R` U. t. intorior oir tilm 0.66 • 2. 1r-" drytrall _ 0.45 . 3. 5 1/2" sott wood 6.88 4. 1/8` Thermoply Sheathing 1.53 _ S. Alum. aiding 0.61 6. Exierior oir tilm 0.17 Total 10.32 0.0968992 •017 . i. Nei wall arta 1. interior air film 0.66 2. 112" drywall 0.45 's. insula±ion 19 4. i JR' Thtrmoply $heathing 1.53 S. A.lum 5idinq 0.61 _ , 6. Exterior air filrn 0.17 ioiol _~.4 4 0.0445633 • O'µs ltli°"lp! C11C ,r;vu6.i.ien i.. ~ C{t y, r,o6 1. 89 'rc" Thermopi~- -n*_athing 1.53 5. ui:,m. sidinc 0.61 S. E: ieriur air fi?::^ L. 1? ?otat _3. 86 G. 041 e?b • 04 i Y:° Qbc-•IF c."OOE • ..,....-._rsi^ fi:.. 6 6I':r' • •.E.'lOr cK ,jiPr, 0.17 ` } • ~~~i0 k. roai!ceilino framing. Zx~Z ~~ER a. b. ' 1. Interior air tilm 0.61 0.61 2. a.61c,~:m insulationlG. insulotion 34 0 3. 5%6" drdwall 0.45 0.45 4. 0.3 1 12" afi wd/G. 11 1!4" att %rd 4.35 14.175 5. Ey,tfrier air fiirn(stili? 0.61 0.61 Sutol 40.02 15.645 0.02498?5 0.0631114 .nsfa .o a3 . 1. net ,^40f?cBfllitQ QCEQ a. G. t. 1^LFriur air fitm G.:1 Q.61 .c,8lewri in,.;.,!aiion!G. Insuiaticm 41) 38 3. v%E" d rvy nl i 0.41; 0.45 4. Er.teriar air tilm(atill) 6.51 0.61 Tetal it.A17 :9.67 . 0.^'234931 0.0=5208 • oz 4 • O'L5 Z ~ k. root/ceilino framina p,""L wr b, /A-x-T '~•~a ' 1. Inierior air tilm 0.61 0.61 2. a.Rlomn insulation/b.lnsulation 34 27 3. 5!6" drykall 0.45 0.45 4. 0.3 112" -ft vid/b.11 1!4' afi vd 4.35 14.175 5. Er,terior air tilm{atiil? 0.61 0.61 , Total 40.02 42.845 0.0249E75 0.0233399 • ots . D=.3 rte+ "efictiline arto c. D. 1. !r.terior av fiin7 G.6 1 L.61 2. o.E~ic~arrinsulahen?C. Insulation 40 35 3. 5;R" orpwall 0.45 0.45 4. Exterior air film!5!ii'.) 0.E1 0.61 Fotal 4?.E7 :?.67 • 0.02;698'. 0.025308 .oz4 . flLSZ U7/ 09/0 1 %UN qts; 22 F:kX 651 ;5Y428^ _ . !:F,mtY: S'nept~x•a . r~ .~~j.QU'L . ' / . : 2422 Entetprlss prire 00 ~~Q unvaimvexoas.c~v~~rnw.rccm Mandota Heiyhes,MN 65129 *Btlg*@BO`i17g.. Lu+nruwhus.uNexewtrxcwnrec*t (8121681•1914 i C8ltItICBtB OI SUfYBV fQP:. CENTEX NOMES Noara Q,a b$gv o 3. 6~°.0~~ ,e,~. r.e , Aet. ~e pe- 4v . 4" ~P ~ ~ ,1 I $!^_'~sd, e" 1~~ Fy44~°~ ~ ~ ~•~.'r ~"+3A x W6 yr " / 4~9• ~ r~ .p,,Jr..e~'~ -~~~_-~p~ '~'o~"~ `~9~ ir ~L{ ~y ' ~ ~ 64 1 ' `'y~vx~~ w 4- 7iu 0 0111. ~bL w " ~p q)~~$ 77 nrM.~lx ' • 900.o i3eerpfes crj'sPrn¢ fk'vofiar: qoa~ Denofes~smnoh~+ Efevnhon oenotrs LiII-aiiicre(utrdify Easemenf tes~est ~:rMS• KlpS/?Sj,:,,; ;7,~~ penofes f?.~!ir,ur r,rv~w Arrows T p --r 9!^.k VGvc7; ::,,7 ~ _A'Y,7,, 43 a Uena}eS ~?ronumen~ vartiiob cievalion s~7~U•1D~ e earinjs shown eiro assurn ed : _ Lo7'" - ; Yi.a~~'~ ~tt1s+ oF ,~"7'O~4l~9~B00E DuaarQ G-^t~NTY ,~~.u~C9rra s~ar av ensca+ENrs arrrtcoriv W*. - I here4v eaHifY t!:ot :hh ic a tr-ie erd oorreM reprmsnestlon of s rurvey ol th¢ bcvndsrlea ot tAe s6ove dileerbad hmij, oad nl tha laetlien o~( ~osii bul41nys, thxenn, snd HI vlSlbta anerwehmenb, !0 any,;rom ai on mid IpM. da turwyed 6y me ibii_ dsy ef A.D. tv" '18~ee. 40 1& ~ ,~3• l, ~ Pdb 4 0 ' ' ' p09ER7p. ti(K L5.REO.M0.~1 ~ 3j. . . _ . . . . _ _ , , . ........1 . • APFLiCRTION FOR PERMIT :NUTE: PAYMRYr OF FEE AT TIME OF ; ; nrPLxcrMox ooES rDr cau- ; - ~ SlZ'N18 APPRG'JAL OF PII2MIT. SEW ER AND/OR W ATER CONNECTIQN ; I~~ a~ ~ ~ ~ T~ED ; C,: . . • R[!KrIL PQtFffT HHS BEEN APPROVID. : ?4iiftlt4YtSfR}yiI`tk}#ffttl#i!*1[*i(*MYe1S ~ j dty oF esician (PLEASE PRINT 1) PROPII2TY ADDRESS: QB YFJ ~1~ t~ GHi e.O~ c r LE]GAL DESQ22PTION• (o ,-(Lot BIl S vision or Tax Parce ID ) IF EXISTING STRL'CTURE, DATE OF ORIGIiVAL BUILDING PII2MIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID LSE: Q COhII'ERCIAL/RETAIL/OFFICS I:~rR-1 SINGLE FAMILY Q INDUSTRIAL F----]R-2 DLPLEX (Twn (:nits) Q INSTI2UTIONAL/GOVERDIIMENT Q R-3 TOWNHODSE (Three + Units) ( Units) Q R-4 APARTMENT/COAIDOMINIUM ( Units) 2) NAh1E: L°tw.(~X, ~or?tic$ - ADDRESS: Ch r•-' -h r~N'Goq• 3 It i r'~ CITY, STATE, ZIP: otkilo_ PxorrE:. q36- 7~33 For City Use I Pliunbers License: 3) NAME: P/ ADoREss: ga Qo ~.9 a-~ L.~q Active Ezcpired CITY, STATE, ZIP; /}'J po (T~ ~,y t Not recorde(f PHONE: ~ q- 2,Y7 ~ MASTER LICENSE #4'jJ ,AQ 6S' st Initia s e 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) s'' a o • ~e .~e EQ-69NNECTION TO CITY SEWEft Eg-1'APdNECTION TO CITY WATER ~ OTHII2 6) * TIIE GOLO COPY OF 7Y3E pERMIT WSiS, BE SEPIP DIREC'i'LY TD PUBLIC WORKS 10 FACILITATE M~'PII2 PICK-LP. ~ *k PLEASE ALIAW 1W0 WORKING DAYS FOR PROCFSSING. SOMEONE EROM TM CITY WIIS, CONTAC.T YOL IF n-IERE x * ARE ANY PROSLENLS. ~ '~***~*~:*********~*~*********~*******x**~~*~*~**+~~~*******+#***+,**+r*********************~*~~*~**~*; _ FOR CITY USE ONLY - PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ I!?,S---D SEWER PERMIT (INCLUDE SORCHARGE) $ $ / O WATER PERMIT (INCLUDE SC'RCHARGE) $ WATER METER/COPPERHORN/ODTSIDE READER $ $ WATER TAP (INCL[JDE.CORPORATION STOP) $ $ SEWER TAP $ $ I5-'U'O ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER WAC sAc $ $ TRUNK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRQNK WATER $ i oc • ~ $ WATER TREATMENT PLANT SORCHARGE $ $ " OTHER: $ $ TOTAL 9 7Z9~ ,SI~D`7~ RECEIPT RECEZPT , DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING [VO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE ( --------------i For Office Use I W49 I My I Permit i o 804q 1 I Permit Fee: ~,j 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 I yy1C~ Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: u) a Site Address: ' ~ Li~ D/'. Tenant: r " C` " Suite ~r t Name Phone: CA y " C. L(L RESIDENT/ OWNER Address / City / Zip: U Appliance Name: 14105 Rutgers St. NE License#:y`:~` i CONTRACTOR Address: Prior Lake, MN 55372 City: State: Zip: Phone: Cf2 Ik' l -17)-A 1 Contact: tA Email: TYPE OF WORK -New Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: QL- . ' „Q ` RESIDENTIAL Water Heater ti Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) - Septic System Add Plumbing Fixtures C_ Main / Lower Level) p _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5:00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ LO CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x t, - x w_ Applicant' Printed Name Applicant's , r ature FOR OFFICE USE Reviewed By: Date: Required Inspections: !Under Ground -Rough-In Air Test -Gas Test ' Final PERMIT City of Eagan Permit Type:Building Permit Number:EA144720 Date Issued:08/07/2017 Permit Category:ePermit Site Address: 4048 Stonebridge Dr S Lot:6 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-060 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 - Robert D Shepard 4048 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