4629 Stonecliffe Dr
~ INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ci irr-F rin
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
r . S?r.S~°x'~
~
~ . ~ . . . . . . . ~
L
Permit Holder Date Tele e k i
PLUMBING I
HVAC
Inspection Date Insp. C mments
FQOTINGS IJC'~ I&-19 - C/ YT&
FOUND k2~~
I
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AlA TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 4699 sraM!2.= Dpjve 7 Zip 5512 3
IAY 6 BIIC S $lll) PTNFIRF.f' PASS 2Nf)
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6 from siding) ~
Permanent steps (gazage) v
Permanent steps (main entry) t/
Permanent driveway
Permanent gas ~
Sod/Seeded gtass if
Traillcurb damage
Porch ~
Basement finish
Deck
Please verify with the builder the removal of roof test caps fmm the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Cantaa engineering division at 681-4645 before worldng in righbaf-way or installing underground sprinkler system.
White • City Copy Yellaw - Resident Copy Pink - Contrector Copy ~
J,
WRL`ttftCRt¢ 0f CCCltpQriCv
%it4 of Cfagan
~oachugat of e.Ramg ami~vecnon
This Cenificate issued pursuarst to the requirements of the Uniform Bui(ding Code
certifying that at the time ojissuance lhis structure was in compliance with the variaus
ordinances of t5e Ciry regulatirtg buildirsg consrrvction or use. For the followeng:
uxaia~ua.:SE BWg.Peemn NO. Z'JQFQ
Oec F-y Type R~[] I ]ming Di~ R I Typc Cons~ VN
o. ae.Mog LIINXM-BRO1M5 t na~ o'35 F TaeUere ursm~ tirMeTn
emmmg A~ 4699 S7YA17Ff tudiry 14, RS" PARS
l `
POS71N A CONSPICUOUS PLACE
House heating test record CenterPointa
fnergy
~
Owner I~C1 e Corrtrols Cornersion
h,vq'
Address~Jrp77Apt~ ~ 7hermosta[ Heatplug Vents¢e /~L /
Qt Ql-1 Ualve Kmdof6ner/size
Heaf loss Oate h[g mst hd X 6 Lmi[ Draft hood I/~C~ /v rll-IRegulator
Soldby Centeri'oint Ener~ Lrmrtsetting Fdters SrzelG71(~ / Number /
Installed by CenterPoint EnPrgy Fan semng Chimney location: nsrde Outsrde
Electncal workby CenterPoint Enerqy Pdoitype Chimneyconstruchon ~-vty1 7
Heat type: FA3 Space heater Pilot make Wrnng ! Test tag V
Gas pne by Pilot model L+9hnng Insi x Date tested 1~ 5y/e
i
Unrt heater Other Pilot hmmg Company testm nterPoint Ener
Pressure Hifire / Lo fire Tester's nam - ~fl
Gas design
Make ModelJYA (/~~6 ~rcent COz 51 l I
Serial no ~W L~p/ /~`}.S~j ~j Inpu[ CFH V I Percent Oz ! rp~`~j ~
lnput Stack temp ~G 6" Percent CO
~i'7L
002006Cen[erPOm[Energy Form235 Rev.6/O6 ID-61663
~,G ~ ~a S~ ~ _F_g[Clifice,llse - - - - - - - - -
~
I
qTo"' ~ Permit#:
CitCy of Eap
I Permit Fee: l' l~ • 57D I
I
3830 Pilot Kno6 Road f i
E2gan MN 55122 j Date Received:
Phone: (651) 675-5675 ~ n
FaX: (651) 675-5694 I StaH: ~ j
-----------------J
2008 MECHANICAL PERMIT APPLICATION
Date: q~-5 ~ 03' Site Address: D12 (Vr-
Tenant: Suite
RESIDENT / OWNER Name: S h~ Lt~-4 9rL~'t t~ Phone:P.~s 9 9y -7 -.z2
Address / City / Zip: LA aIL .Sko?ep- i:j(7 - G..r` m'N 5l~l U'
CONTRACTOR Name: CENTERPOINT ENERGV License#:
Address:9320 EYERGREEN BLYD SUITE B
Ciry: COON RAPIDS State: MN zip: 55433
Phone: 763-757-6202 Contact Person: JOANN ZINKEN
TYPE OF WORK - New !c Replacement _ Additional T~ Alteration Demolition
Descriptfon of work:
NOTE; _Both roof mounted and 9. round moonted mechanicat e9uiPment is re9aired1to,': ` be screened 6y City Code. . Please contacf the R9eahanical In§peetor or one of the
Planners for informafion on ermitted screeoin methods. ~
PERMIT TYPE RESIDENTIAL COMMERCIAL
?Fumace _ New Construction _ Interior Improvement
?Air Conditioner _ Install Piping _ Processed
_ Av Exchanger _ Gas _ EMerior HVAC Unit
' HVAC units muffi be screened
_ Heat Pump Under / Above ground Tank L_ Install Remove)
Other " When installing/removing tank(s), call for inspection hy Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIfO f8polf (replace burned out appliances, ducrivork, etc.) (inClUdes $.50 State SurCharge)
$ SO • S C~ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 7°/a
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Pennit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$1,OOQ surcharge increases by $.50 for each State SufChafge
$1,000 Permit Fee (i.e, a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that tlhe work will be in conformance vrith the ordinances and codes of the Ciry of Eagan; that
, I understantl this is not a permit, but onty an application for a pertnit, and work is not to stad witho t a permit; that the work wiil be in j ce vnth the approved
plan in the case of work which requires a review and approval of plans.
x JOANN ZINKEN x
Applicant's Printed Name A IlcanYs Sfgnature
FOR OFFICE USE eviewed : ~ Date:
By
Reqwred Inspegtions:. . UnderGround Rough In"_Air Test Gas Service Test In-floor Heat `Final
!~~~,Y J\ 2006 RESIDENTIAL PLUMBING PeRMira,PPUCaTIoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings. V2
Date o 21 `8oq FRAZEE, DAVID ~IpR 0 3 20~6
Site Street Address 4629 STONECLIFFE DRIVE Unit #
, EAGAN, MN 55122
(651) 994-7227
Property Owner ielephone # ( )
Contractor NorL-21 (Nn P1,(,(,f'nbll'1C1 Telephone#((D1Z)
Address 2q05 C7ar-fie(d av. sD, cIty YY1p1s stace(Y'! N ziP1~54OB
The Applicant is: ~ Owner V 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. !f you are Installing onlv a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment _Water Turnaround (add $130.00 if a 5!8" meter is required)
Other.
Water Soft=ner y Water Heater $ 15.00
_ new ~ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50 i
Total $
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 t start without a permit and work wili be in
accordance with the approved plan in the event a plan is required b rei w and, pproved.
77-
ApplicanYs Prin d Name Appiicr t's Signature
~%%:~c~c~~Y$c~iYFdY?KY„YFAtB:XC~tXiXc~~;wYF.~X~X~rt MA~.°R . M~i ~nYl.X(7;(
c:crv c1F ~
~ r~~a~:~,ar~
cFlSHc.-_R. 13 7r:RrsIr~AL Nae 9u.e
nnTrr WoWS rrnG; ir:,:07a37
IUa
NAt1E:: I._(.INIJ(.,FiI.::N E;fif:)S COtd<,al TNC
i?2t.'~f-, 9001 4629 ^a7C1NF'CLTF''G' 4v792.60
TO1:;d.I. neCP_ipt Amr.r.,nt : 4,732.60
CF?(')37955
Usr:R iD: NFNr.v
\`~CITY OF EAGAN PERMIT
BUILDING
""3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 6 9
(612) 681-4675 Date Issued: 10 / 01 / 9 8
SITE ADDRESS:
4629 STONECLIFFE DR
LQT: 4 BLOCK: 5
PINETREE pASS 2ND
P.I.N.: 10-57661-040-05
DESCRIPTION:
Bui'ldirl'g>Permit Type SP DWG
Building W'ork 7ype NEW
U
BG qccupancy-,r R-3/U-1
/'Construction Type VN
2oniny R-1
~ Bq3lding Length 65
Building Width 66
Buiiding stories 2
qa~are Pee,t 1,523
CBa~°~~is Code._,1~~" ~ 107 1- FAM. DETRCH
i
. .
REM~~" :REVZewEO BY BSLL ADAMS. pRV REQUIftED.
S&W PLUMBER:
FEE SUMMARY:
VALUATION $196,000
Baee Fee $1,274.00 MISC. FEES $1,692.50
Plan Review $828.10 Total Fee $4,792.60
Surcharge $98.00
SAC $1,000.00
SAC % 100
SAC Units g
5ubtota] ~ $3,200,10
Cp~ RA('TOR: - aPPticant - sr. Lic. OWNER:
LUNl7~RE~T BR05 CONST 14731231 0001413 LUNDGREN BROS.
935 E WAYZATA BIVD 935 E WAYZATA BLVD
WAYZATA MN 55391 WAYZATA MN 55391
(612) 973-1231 (612)473-1231
, I hereby acknvwledge that T have read this aRplicaCion an,d state that the
infoWmation is correct and agree to compky with a12 applica6le StaCe pf Mn_
Statutes and City of Eagan Ordinances.
~
A
' A LI ANT/PERMITEE SIGNATUFE --'ISSUED BY SIGNATU RE
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
!
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF F+A.GAN
/ 3830 PII.OT KNOS RD - 65122
cI G y ~
681-4675 J -1 ot a . ~O
^ ~ o
NewConstrudionReauirements RemodeUReoeirReauirementsC,~
? 3 registered site surveys ? 2 copks of plan
? 2 copies of plans (inGude beam & window sfzes; poured fid. design; Mc.) ? 2 site surveys (axterior adOdions 8 deeks)
? 7 energy eelculations ? 1 energy calaletions for heated addkions
? 3 copies of tree preservation plan if lot platted after 711193
required: _ Yes No
DATE: C) I I2 I20 CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREETADDRESS: ~JIUYLQ~',ll-W-DY'tVe
LOT: Ll BLOCK: ~ SUBD./P.I.D.#: i'W-tYe-e C2~
Name: Phone
PROPERTY 1wt Fust
OWNER
Street Address:
City State: Zip:
Company: r A W. Phone 473 -03 ~
CoNTRACTOR
Street Address: License 1/ ~ 413
City State: mN Zip: S~J~"l ~
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Sheet Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): t I CA . Penalry applies when address chang
and lot change is requested once pertnit is issued. S_q i,,q ~
t hereby acknowledge that I have read this application and state that the infortnation is coRect and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant ~ ~ ~ ~
OFFICE USE ONLY RECEIVED
Certificates of Survey Received = Yes No
Tree Preservation Plan Received _ Yes V No _ Not Required BY~ ~
OFFICE USE ONLY •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O11 Apt./Lodging ? 16 Basement Finish
-M:02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Misceilaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
,U( 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) .1/ DDgasement sq. ft. I6a3 MC/WS System
(Allowable) Main level sq. ft. I 54A 3 City Water
UBC Occupancy sq. ft. I(c9 Fire Sprinklered
Zoning _XZL sq. f~ r 92 PRV
# of Stories ;;z_ sq. ft. Booster Pump
Length l c 5 r sq. ft. Census Code.
Depth ~l(o, Footprint sq. ft. SAC Code t~)_
Census Bldg
Census Unit
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge ' 22~'yS vU•
Plan Review ~ lq l,0
License 1 S?~ x SY B~Z~ ? S/z
~ y~~ AC l5'~9x Sy°G 7 9 32c
WaterConn. C 5 Z ~ p 7Z
Water Meter
Acct. Deposk
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
REVISIONS BY
.
~
" GQ^ M
W\ I f uL~ Vd E 1~~~
I / _
~'.!;o 9
!NG INSPECTiGPJS' . :._PT.
^ I ~
~ W u I
I ~ I S I z ~
!
fo
fe-~J~v~'~
N89°29'27"E 193.65 w ED DENOTES PROPOSED DRIVEWAYS Or' 1
/ 932J ix .;40 W <
953 X x e37 z 56.00 X 31.00 ~ ~ Z Q DENOTES SANITARY MANHOLE p~ }
~ O
F ~ DENOTES ITYDRANT W o
~ 7 ~ (93~ ) 9s2 0^ so.a3
DENOTES CATCH BASIN
co p~
93I9% ^ W^ ~:~i.; ~ €
co ~ ~9~4 g 19 31.0 ~ 5 DENOTES SANITARY SEWER
~ x x I x 936.2 x
Z W DENOTES WATERMAIN ~ ^
~ 5 4Y ~ s~~ z ` I 22.ss O ST DENOTES STORM SEWER
6.0%
O's
9347 ~ ~ 22
q ' p % 951.9 X 932 2 O
lf~
ol 04 m o 932 2 ~ SdcW SERV z 3
O ! M c°1 L~i x N i ELEV = 92~0 ~~,p
~ / O + 0 4 ~ O W 5_. ~ ~'Y3 9~5'
w
0 931.3 x n a ~ 932.1v I ~ 0 I ~ _
O r 9337 % ~ ~ ~ f ~
X 9326
0
(934_01
Z - - - - - - - -CD ° e30, x 931 -0 - -1 ao- (40
~(927.9) Propoaed Top of Foundation Elevatlon=936.67 z
(9376 ) 56.00 x 928.331.00 / s`y Proposed Gamge Floor Elevatlon= 935.0 V1 p
p > " BENCHMARK ~ Proposed Lowest Floor Devation= 928.79 ~ li
N89 29 27 E ELEV - 929.35 204.50 ,
~ o
60 O Denotas Iron Monument Q Q Ix ~
+ 910.0 Denotea Exiating Elevation V d~ ~
~ +(910.0) Denotes Propoaed Elavation ~ ~ z
~ r Denotea Direction of Surtace F a W
V ~ I Drcinage lx py
V A
z
I hereby certify that thia ia a true and correct representaGon a
1 ~ of a survey of the boundaries of:
LOT 4, BLOCK 5, PINEfREE PASS 2ND ADDRION.
DAKOTA COUNi1', MINNESOTA DRAWN
Md the location of all buildings, 'rf any, thereon, and all visible BDR
encroachments, if any, from or on said land. As surveyad by CHECKm
me this 77th day of August, 1998. G.R.G.
8-12-98
SC /GL~s /e.•~-..O DATE
SCALE
Gary R. Gertnond 10-W
Licensed Land Surveyor, Minn. Lic. No.24764 J08 N0.
5402-359
f LOT SURVEY CHECKLIST FOR RESIDENTIAL
UILDING PERMIT APP CATIOrh~L~~
~
PROPERTY LEGAL: ~7~?1
DATE OF SURVEY:
> tATEST REVISION:
t; DOCUMENT STANDARDS
a °z ~
p---o ? • Registered Land Surveyor signature and company
aw*~ ? • Building Permit Applicant
&~'p ? • Legal description
? • Addrass
t3~ i? ? • NoRh arrow and scale
M- ? ? • House type (rambler, walkout, spl'rt w/o, split entry, lookout, etc.)
Vlb.? • Directional drainage aROws with slape/gradient %
? ? • Proposed/existing sewer and water services 8 invert elevation
p-~-p ? • SVeet name
? • Driveway
ELEVATIONS
Existin
EY ? ? • Sewer service (or Proposed)
? 0 • Property corners
p i• Top of curb at the driveway
? ~r ? • Elevations of any ebsting adjacent homes
Prooosed
2[--'0 ? • Garege tloor ,
p-'11 ? • First floor .
[a-'o ? • Lowest exposed elevation (walkouUwindow)
Er-'o ? • Properry corners
~p ? • Front and rear of home at the foundation
PONDING AREA Cf aoolicablel
? Ek"~o • Easement line
? [7/ ? • NWL
? ? • HWL
? p'? • Pond # designation
? 0--10 • Emergency Overtlow Elevation
DIMENSIONS
Ca~O ? • Lot IinesBearings & dimensions
Ce1'~ p ? • Right-of-way and sVeet width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
p~ ? ? • Show all easements of record and any Cily utilities within thase easements
? O • Setbacks of proposed sVucture and sideyard setback of adjacent exdsting structures
? a'~-Cfi • Retaining wall requiremen 'f any
Reviewed: ~ - / Date
Name
January 1996
auwlwereLocaae.rr FM
. DF VoNSH I PZe-
l_l~lf'It~G~~~i
EXTERIOR ENUELOPE AVCRAGE U COMPUTATION
COfiSfRlICIION
Si Ce Address lj/4l~,l"1!~/} Lot~alock 5
i
R& U Factors R U
935 L. Wayzala Itlvd Opaque Walls ,043
-
Mymia Wall Framing Areas .09
n9iuur.sola55391 Ceiiing Insluation Area .023
(612)-1731231 Ceiling framing Area ,027
Rim .loist .04
Masonry Wall .469
Windows .35
Doors .31
Skylights .55
il) Lower Level (daseinent)
ITotal Exposed Wall Area ~
Opaque Wall Area ~ X(U) .043
Wood frame Area X(U) ,pg
Rim Joist jA x (U) .Oh
Exposed Block l[a X (U) .132
Window Area - ~ X (U) .35
Sliding Glass Door X (U) .35
Door Area X (U) .31
To ta 1
, . . ~ ,
l.11nDGREf1
IBRO"'' 2) First OrMain Floor
COI,ISiRUCIION ~ ~ /
Total Exposed Wall 11rea l`"~ l
INC
U X (tl) .043
Opaque Wall Area 40
lJood Frame Area - tf X(U) .09 = m•~O
,Rim ,loist X (U) .04 = ~•~C
935 1- W1p11131vd. Window Area X (U) .35
Sliding Glass Door ~d X (U) .35
Way1111
Mwni:sola55J91 Door Area X(U) .31 =~a
(fi 1 2)4 73-1 23 1 To ta 1
3), Second Floor If Two Story i
Total Exposed IJall Area
Opaque Wal l Area X(U) .043
Wood Frame Area ~.v7f X(U) .09
Window Area X(lJ) ,35 = tY l~1
Sliding Glass Door ~ X (U) .35
Door Area ~ X (U) .31 =
7ota1 1~IO.l!
i ~
4)ITotal Ceiling Area
Wood Fraine Area 110/~O~X (U) .027
Opaque Ceiling Area X(U) .023
Skylight X (U) .55 =
Total Y
' . .L
WnpGREn
sROs.
coivsraucuoN
iNC MINN[SOTA U FRCTORS Total Exposed Wall Area~" OO X.11
MINNESOTA U FACTORS Total Exposed Ceiling
~ Area X .026 =
I (A) Total = "_L~i • ~
9:55 E. Waytala Dlvtl
~ ~y,/
Wily/~~ia I tem 1~._ + I tem 2 ~~lX I tem I tem 4~/ J'eo
Minnr.sola 553!11
~ (612),173-1231
If Total Of Items 1-4 Is Less Than Item (A), Buildiny Coinplies With
SBC 6006 (C)s
I
y~~ U CITY USE ONLY
BL 1 RECEIPT 1e05917
SUBD. _ ~n? RECEIPT DATE:
1999 PLUIVI$INF PERMIT W.SIDENT'iAL)
crrYaF EAs,ax
S$SO PILOT KNOB itD
f AfikN, b1N 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x _3
Water Closet 3.00 x 3 = S p g
Bath Tub 3.00 x Z - ~ UU
Lavatory 3.00 x _12,'
Kitchen Sink 3.00 x 3~=
Laundry Tray 3.00 x 7- = 3°-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3°=
Floor Drain 3.00 x 1 = 3°-
Gas Piping Outlet ' minimum-1 3.00 x I
Rough Openings 1.50 x _3
Water Softener ~ for dwellings under conSWCtion 5.00 X =
Water Softener ' for exisfing dwelling 30.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ` for exisGng dwelling 30.00 =
AlteYations " to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished syslems)
Private Disposal Systems ` Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 681-4675 far inspections of water heaters,
water softeners, alterations, etc. e-o
TOTAL
• - • - - • - - • - ° •
Ihereby acknowled9e that I have read this appliption, sfate that the infortnafion is mrtect, and agree to comply with all applipble City of Eagan ordinances.
It is the applicanl's responsibility to notify the property ownerthat the Ciry of Eagan assumes no liability for any damages pused by the City during its normal
operational and maintenance activities to fhe facilitles constructed under this pertnit within City propertylright-of-wayleasement.
SITE ADDRESS: /_f 7-/~
OWNERNAME: G/i[ vc I"
lNSTALLER NAME: TELEPHONE
STREETADDRESS: -S!F/
CITY: Sd~~Gc.l7/?.<~ STATE: "IWIZ/ ZIP: -rS,S'7
SIGNATURE OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1999
L.. •,'y~ L ~ CITY USE ONLY RECEIPT
SUBD~ RECEIPTDATE:
PERMIT #
1999 PLUM$IN6 PEfiM11' (ftESIDENI7lkL)
crrY oF KAsaN
ssso Pu.or xxoa Rn
ejtsnrr. MN 5512E
(651) 6$1,4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellm under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ .50
TOtdl $ -50
Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
• •
I hereby acknowledge that I have read this appliqtion, sfate that the Infortnatlon is cortect, and agree to comply with all applipble Ciry of Eagan ordinances.
It is the applicanPs responsi6ility to noGfy Me property owner that the City ot Eagan assumes no liability for any damages pused by the City dunng its
normal operetlonal and maintenance achvities to the facilities consVUCted under this perznit within Ciry property/right-of-way/easemenl.
SITE ADDRESS: 4~~q cS~'a/1 C Glr~~[ Dr
OWNERNAME:: 3~hZiI4 ~f Fraze.e TELEPHONE#: (051 qq(I"7,A;~7
(AREA CODE)
INSTALLER NAME: ,.Sa-VVIf. TELEPHONE
(AREA CODE)
STREET ADDRESS: 4629 JtnYleC,l i~
CITY: ~a p ctyl STATE: ZIP:
SIGNA7URE OF ERMITTE~
ti CITY USE ONLY I I I~
RECEIPT
;jJBjD. B'C~ RECEIPT DAT.F :
- PERMIT t!
~
1999 PLU14IBiN6 PE{14IIT (RE.StD£1vTIAW
CITYOFf.AfiAN
S$SO PILOT KNOB RD
£RfiatN, MN 55 ] 2P
(651) 691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backtiow prevenier Por unoerywui.u syrinnro,
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - i 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 . x = $
Privale Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
F2PZ new installation/repair 30.00 x = $
Rou h o enin 1:bU x = $
Shower 3.00 x = $
Under round s rirk'er if dwreiling is urder cori;tructon 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
lNat°f SnN9n?r if dwellinq under r,onstruction 5.00 X = $
Water softener if existin dwellin 30.00 x
Water turnaround 30.00 x $
State Surchar e .50 $ 50
Total $ , y
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
- -
-
-
-
-
-
-
-
- n-,-state-
- is-
I -hereby acknowledge thaf I have readthis applicatio-
-con-ect, -and-agree-
- that the information-
- to -comply-
- with -all applicable City of Eagan ordinances-.
It is the applicanCs responsi6ility to notlfy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
norr,ei operetionai and maintenance activiLes to tne facilities wnsWcted under this permit wiMin City properry/right-of-wayleasement.
SITE ADDRESS:
OWNERNAME:: j0/2~2 t=61 /,QI/!el TELEPHONE#:
(AREA CODE)
lNSTALLER NAME: 1'tA-ng- L'r, TELEPHONE 4~5-r
STREET ADDRESS: Jkol Sa (AREA CODE)
CITY: _t„z~,y~ (1-y+~?-v p'"-¢ STATE: r n~ ZIP: 0
SIGNATURE PERMITTEE
.
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 04/24/00 TIME: 11:26:47
ID:
NAME: DAVID OR SHELLEY FRAZEE
3210 9001 4629 STONCLIFF 181.25
2155 9001 4629 STONCLIFF 5.00
Total Receipt Amount: 186.25
CR127179
USER ID: JAN
-'-'-'Liki+++aisilaaa.baa.n.aa..eaaJ.n.a.L..
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ f
AqOq 10 CITY OF EACAN ~k. z5
3830 PILOT KNOB RD - 55122
e51-681-4675 C~I~e~I
New consm~non'aeauireme~m Remodei/Reoalr ReaulremeMa / I efk 111fISa~) ~
l
> 3 reylttered tlte wrveys ahowlnp sq. 8. of M. aq, fl. of house 2 caples of pian
and gfi roded areas (TOX maximwn l01 coveraae allowedf 1 set of energy calculaHOns tor heatetl atltlitlons
> 2 coplea ol plana (ahow beam & wlndow sizea; poured fnd. design; etcJ 1 alfe wrvey lor exfedrn addlHans & decb
n 1 sef ol enerpy cWculaHOna
a 3 coples of hee Preaervallon plan il lot dctled cfter 7/I/93
DATE: -)-t) (1 n slif~,~~CONSTRUCTION COST: 4 ~J ~C~~O r 00
DESCRIPTION OF WORK:
SfREET ADDRESS: 4 Zq S ~'1C l' II '~TC Y
LOT: ~ BLOCK: SUBD./P.I.D. I n C"I Ye C I' Q S S ;-h q
~
Name: ~-rae -David+she(~P,onaC 16S1 -qILt-Ta,-~ -7
PROPERfY laM Rrsl
OWNER Sheet Addreas: Y"07-1 l~~?~ C ~ 6 t"~( LYv
CNy F State: a-
Company:~~ Phone
(area code)
CONiRACTOR
Sheet Address: IJCense Y EW
Cly State: Zip:
ARCHITECT/ Name:
ENGINEER Comparry:
Telephone Jf: ( )
Sheet Address: Regishatlon M
C11y Stafe: ZiP:
Sewedwater licensed plumber (If installina sewerfwaterl: Phone L~
I hereby acknowledge Ihat I have read this appiioatbn, atate thaf Ihe fMomrotbn is cortecT, and agree to comply wNh a0 appiicable Stale
of Minnesota Statutes and City of Eagan Ordinancea.
Signalure of Applicanh ~ zha° ' ^
1 OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pfan Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 OS-plex ? 13 16-plex ~ 21 Poroh (3-sea.) ? 31r Ext Ait - Muki
? 02 SF Dweiling ? 08 06-plex O 17 Garege ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ;K 18 Deck ? 23 Porch (sCreened) ? 36 Mufti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
O 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
1( 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
O 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
* Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings T- Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ~
(Aliowable) ? Main level sq. ft. MC/ES System
UBC Occupancy ~ e,21ijf- sq. ft. ~2:/ 0 City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
13 Stucco/Stone
APPROVALS
Planning Building ~ d2 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review p
License ~;~a~-a "
MC/ES SAC ,~'9 '7
cicy saC
Water Conn. ~1~~~ G ~
Water Meter
Acct. Deposit
5!W Permit
S/W Surcharge
Treatment PI. x
Park Ded. ,
Trails Ded. ~
Other
Copies
Total:
SAC Units
% SAC
Lli
M CZ3
~ M CO J
- N89029'27"E 193.65 ~
9.',2.i ~ 3<4 0
X y=- = 56.00 X 3t.00 ~y Z
co ' & O) 932.a 0.33 ` =Tz.-~3 O
~...:"'3 1.Q
tr~ 5' 93F.2 r ~ < Lri
~p.G~ z2.s9 ~ ~ Q ; • % c(j
.6.O.a
00 i ~93t s)
~ p >5~ - w 22
N
n
N
c, t I rn ^ ` _ I
p / „f ~ ~ o S~.w seRV t'')
0 ~ N . zLEV = 92 0 n
0
d ~'=r ;3z ~ ! ~ . ~o - . ? ! , o ~
~ ~ `o -1 ao a
- - ~.r~J(9-34 ~ GO J C!?
a r 'n "
;9:7 (92i 9)
56.00 x 928.331.00
~
N89°29~27"E 9'~ 5 204.50
so
. ;
I
_ ! r
C[TY U5E OYLY
LOT ~ BL 5 RECEIPT#: AOS7~7
SlI[3U. RECEIPT DATE:
1999 MECHANICz4L PEftMIT (RESII}ENTIA1.)
C11'Y OF EAcfiRN
S$SO PILOT KNOB it?
ERfiAN MN 55122
~
nate: 7 z (651) 691-4675
s ~ 9
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U 30.00
ADDITIONAL 50 M BTU 6
~ ov
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
V~'i ~
• TOT.AL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement _ Repair _ Other
_ Furnace _ Air conditioning
_ Air exchanger, i.e. Vanee system, etc. _ Other
Reminder: Call 681-4675 for inspections. $ 30.00
State Surcharge: .50
Total: $30.50
SITEADDRESS: /ye~K &/~f-
OWNERNAME: Ge4 rLeliLz-dr ~/PS Go-.iS%, PHONE#:~/~-5~7~
INSTALLER NAME PHONE
STREET ADDRESS:
CITY: 5TATE: ,WA? ZIP: ~f-? > /
SIGNATURE OF PERMITTEE
JS/PORMS ULD/MECH PERM[T (I2GS) - 1999 .
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APFFtOVED BY , INSPECTOR
1999 MEcHAxIcAL PERmrr (coMaaEtteIAL)
C11'Y oF £ASRN
3$30 PILOT KNOS RD
EA6AN, MN 55122
(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: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (S.50 per $1,000 of~cmut fee due on all pemuts.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY OF EAGAN ,
CASWIER: 1S TFkMINAI N0: 669
DATE: 12f15133 TIME: 12:13:23
IU:
NAME: SHEILEY R. FFAZFE
3210 3001 4623 STONECLIFF 6(].00
3430 3001 4623 STONECIlF'F 0.25
2155 3001 4623 STCINECLIFF 0.50
Y
Total keceipt An,ount : 6p. -ri
CRJ.21.305
USER IL+: JAN
ktk~~F~kkc X~#c~~X***~%#?k#~ ~K**X~ YF~k#~t~%~7~~C~~ ~#YF~FX~~X~K~k
- Ad
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4875 c;
NewConeWetlon Reauhements RemodelRteoalrReauiremeMa
D 3 regislered ske surveys showing sq. $ of b4 sq• tL M housa 2 copfes M plan
and ji(I rooted areas (20R maimum lot caveraoe albwad) 7 set of energy caialattone Por heated addiGane
D 2 coptes of plans (show beam 8 window sixas; poured fnd daslgn; eh.) 7 site survey Por axterar addidons 8 decks
D 7 set of energy calculations
? 3 copies of tree preservation plan H lot pWttad aftar 7H193
DATE: ~ t) .7t, - q I CONSTRUCTION COST:
DESCRIPTION OF WORK: ::E1 fl iS Y 1 bQSemeY1-~
STREEfADDRESS: ~ Sfone,c/i~~r'~
LOT: ~-4 BLOCK: S_ SUBDJP.IA.
Name: Y'Q Z2P 5he lf -ev I~ Phone#:
PROPERTY last First C~/l Cv '~0 lj~b
OWNER
Street Address:_ Zq ci~pYl P c 11~ Dl-
City e~I~?~ 5tate: /l ~ _ Zip: ~~i / r~ 02
Company: gLC,1'"VLQ,! r~,n1') Phone#:
(area code)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
7elephone M ( )
Street Address: Registration
Ciry State: 21p:
Sewer & wahr Ifeensed plum6er (new wnsWCfion onlvl: Telephone
Pgnalty appltes when address change and bt ehange is requeated onee permit Is iasued.
I hareby acknowledge tlut I have rad tliis applicatlan, state thffi the informatan ro cortect, and agree to compy wHh all applica6le State of MinnesoTa Statutes and CR
Mfagan Ordinances.
Slgnature ofApplleaM: ~~/Ll.vr •~.P_i
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree PreservaGon Plan Received _ Yes _ No _ Not Required 14D
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex 0 OS &plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ;K 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool p 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition O 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
~ 33 Alteration ? 37 Demolish Bldg " ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Aflowable) R,7,-J I Main level sq. ft. SAC Code tJf
UBC Occupancy ~ sq. ft. No. of Unks 3
Zoning sq. ft. No. of Bldgs 1
# of Stories - sq. ft. MC/ES System
Length ` sq. ft. City Water
Width Faotprint sq. ft. Booster Pump
PRV
Fire 5prinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNU Permit S/W Surcharge '
Treatment PI.
Park Ded. 'r
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1,
I~ ? Q
¢ U,Y J V G . . 41
_
Q~ 4i Gi ki 4i
? O p=.~ ~~c ~40
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
e. ,u 4p MAKE CHECK PAYABLE TO: ELANDER MECHAiNICAL
ADDRESS: 591 CITATION DffiVE
~pcao~' SIIAKOPEE, MN 55379
~
LOCATION: 4629 STONECLIFFE DR P.I.D./LEGAL: LT 4 BL 5 PINETREE PASS 2ND~ 1
- -
' RECEIPT #/DATE: 122517/1-21-00 VALUATION: `
REASON FOR REFUND: DUPLICATE PERMIT PERMIT
TYPE OF REFUND:
Electrical Pertnit 3211-9001 $
Plumbing Pemvt 3212-9001 $ 30.00
Mechamcal Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (Ciry) 3866-9379 $
SAC (Admm) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Peanit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
WaterTreatment 3868-9220 $
Surcharge 2155-9001 $ .50
Utiliry Acct Ovetpayment 2250-9220 $
Cur6 Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
Other $
TOTAL $ 30.50
I declare under the penalees of law that this account, claim, or demand is just and that no part of it has been paid.
,~A C v~ ~,l January 21, 2000
DATE
SIGNATURE 2I-60
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single famity dwellings & townhomes/condos when permits are required for ezch unit
Date
Site Address Unit #
Property Owner Telephone # (65/ ) 99Y' 7a ~),7
Contractor JL~"6V .S PP-f/A-,.SS/UAVA"C- f ~.U/rY166J/I`ll(~
StreetAddress o)f J~J( e( CiTy
State Zip J S Telephone #
Bond Ss~-Ct) Expires:
The Applicaot is _ Owner v Contractor _ Other
Add-on or alteration to existing dwelliog unit $ 30.00
furnace _Additional _Replacement
' air exchanger
airconditioner _New _Replacement
other ~ l i•%l ~ 10AC Ce/ (L
f
State Surcharge $ .50
Total $ l
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 ofp~
~ n~
'
ApplicanYs Printed Name ApplicanYs ignature ~
~I I SEp 2 k 2005 Ji
1BY
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove'*see below
fnterior Improvement _ Install Piping _Processed `Gas
Nature of Work:
**When installing/removing underground tank, caJl for inspection by Fire Marshal and Plumbing lnspector
PBrmiG F¢¢S: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1°10 PermitFee
• If pe rmit fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is
not a permit, hut 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.
ApplicanPs Printed Name Applicant's Signature
Approved By: , Inspector Date: ~
2006 RESIDENTIAL BUILDING PERMIT APPLICATION 1P)6/
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~Uq3, CJ'~
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenis RemodellReoair Reawrements Office Use Onlv
3 regislered site surveys showing sq. tt. of lot, sq. tt. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ced af Survey Recd _ Y_ N
(20°b macunum lot coverage allowed) 1 set of Energy Calculabons for heated addibons Tree Pres Plan Recd Y_ N_
2 copies of plan showing beam 8 window sizes; poured (ound design, etc, 1 sile survey for adtldions & decks Tree Pres Required _ Y_ N
1 set of Energy Calculations Adddion - ind'kate it on-sife septic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan Alot plattetl afler 711193
Rim Joist Detail Options seledion sheet (bwldings with 3 oriess unHs)
Minnegasco mechanical ventilation form 02 ' 0 ~ C~G~
Date I / 0-~ 5 / 0 & Construction Cost ~ 55 i OX
Site Address 41o2q S-lrbneCl 4-c DVivc, Eaqun, M N 'J' rJ12`z UniUSte #
~
Description of Work Kikc,hen Re rno~ e l
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 V/ 1 _ 2
PropertyOwner '/Q~~~ ~ ~~~~~f q NC{ Qf, Telephone#((C~3 I ) Clq4 -
Contractor R
Address city Nay+h-Field
State 1\1 Zip 6, Telephone # (al ) (D(0 3-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate,gorv 1 Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submiqed
• Energy Envelope Calculafions Submilted
In the last 12 months, has the City of Eogan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master pian:
Licensed Plumber Telephone )
Mechanical Contractor Telephone #
Sewer/WaterContractor Telephone#~ )
I hereby apply for a Residential Building 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 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
ermit; that the work will be in accordance with the approved plan in the case of wor •~it~s1~ ~ g and
approval of plans. D LI U ~
JAN 2 9 2008
Applicant's Printed Name ApplicanYs Signature ~
gy a
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bidq
'79~_ 02 SF Dweliing ? 08 06-plex ? 16 Firepiace O 21 Porch (3-sea.) ? 31 E#. Alt - Mu
? 03 01 of _ plex ? 09 07-piex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex ? 25 Miscellaneous
Work Tvpes (G VZ°r~, V" 0 6 1!~L
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
0 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
D85CI'IplI0I1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or _ 25%
Census Code L L Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const va_ Width
REQUIRED INSPECTIONS
_ Footings (new 61dg) _ Sheetrock
_ Footings (deck) FinaVC.O.
_ Footings (addition) ~ FinaUNo C.O.
_ Foundation ~ HVAC
Drain 7'ile Other
Roof _ Ice & Wa[er _ Final _ Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
X. Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cty snc ~~,jfvt~j~p,z L
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant _
License Search ~
Copies
Other
Total
I Fqr,'Offce'Use ~
I ~
4b~ ~
C1}Uy Of n LLLpn ~ Permit#
~
I Permit Fee~~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received I
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 I Staff: ~
L
2008 RESIDENT)AL PLUMBING PERMIT APPLICATION
Date: Y Site Address: ST,5VL.Q a-p4p__ .f
Tenant: Suite
RESIDENT I OWNER Name: Phone:
Address I City / Zip: qi ;29
CONTRACTOR Name: License
Address: Y ~ ~Y
City. ~Inl~iSnv~ State:~j( _Zip:
Phone: SD (-a(oZ,-~D~'7 Contact Person: RUI o1- (600
~i
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuiltl v Modify Space _ Work in R.O.W.
Description of work: ~94 g3'
PERMIT TYPE RE5IDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (indudes $ 50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($1 D.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repaif (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this informaYion is complete and accurate, that the work will be in confortnance wRh 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 wdh the approved plan in the case of work which reqwres a review and approval of plans.
x I a PD
ApplicanYs Printed Name ApplicanYs Signature
FOR OFFtCE USE , Reyiewed.By , Date: ` Required fnspections: UnBer Ground Rough In `=_Air Test : Gas Fest ='_Final :
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4629 Stonecliffe Dr
Lot: 4 Block: 5 Addition: Pinetree Pass 2nd
PID:10- 57661- 040 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Topside
6140 Morgan Ct
Minneapolis MN 55419
(612) 869 -1177
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$90.00
Owner:
David M Frazee
4629 Stonecliffe Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA083963
07/01/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4629 Stonecliffe Dr
Lot: 4 Block: 5 Addition: Pinetree Pass 2nd
PID:10- 57661- 040 -05
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Topside
6140 Morgan Ct
Minneapolis MN 55419
(612) 869 -1177
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
David M Frazee
4629 Stonecliffe Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA085484
08/21/2008
ePermit
Use BLU or BLACK Ink
gain. r - - - - - - - - - - - - - - -
I For Office Use I
I
City o1 Ea in Permit#:
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 15- 3 Site Address: 4 60-1t Sow c l t me / J r Unit :I'',
Name: gv S~e (61~ Phone:
Resident/ 1,
Owner Address / City / Zip: Sar,~ aS oLL8ve_
:
Applicant is: Owner Contractor
Type of Work Description of work: coom.
Construction Cost: 5~ 000 Multi-Family Building: (Yes / No
Company: L q (&(nod t EX4~-00(3 Contact:
~
i Address: ~63 Ave- City:
Contractor q
State: Zip: SS 31 1 Phone: S _1450
[ License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional informatio )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING l
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would; permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damag . Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an nodes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X I Z77 /,faz e x
Applicant's Printed Name Applicant's Sig ature
Page 1 of 3
O OT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation: _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of _ Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~0w- Occupancy Qc MCES System
Plan Review Code Edition A -A? SAC Units
(25%_ 100%Z) Zoning n -l City Water -
Census Code Stories Booster Pump e-
# of Units ! Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation -it HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
_it Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES Ila O Aa
Base Fee a~
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109582
Date Issued:03/20/2013
Permit Category:ePermit
Site Address: 4629 Stonecliffe Dr
Lot:4 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures, relocate vanities & Shower in Mstr Bath
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:redo master bath, and half bath
Rick Carty
1701 221st Ave Nw
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David M Frazee
4629 Stonecliffe Dr
Eagan MN 55122
Rick's Plumbing Inc
1701 221st Avenue NW
Cedar MN 55011
(763) 753-1935
Applicant/Permitee: Signature Issued By: Signature
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Use BLUE or BLACK Ink
For Office Use
41,111 Permit#: /115/(-77 � .
City of Eaali Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspections(a�citvofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: / /�i' ?1 � .I & Phone: 6‘5--/
Resident!
ow or Address/City/Zip: I'7"b7 S7 '7?
Applicant /COntractor is: Owner
/,
Description of work: /e(J'2 �7Z 1QC� 4(/ir}t S '// -• -.e
ork
co &o <
Construction Co multi-Family Building:(Yes /No )
Company:l�-�f,�L=�s d t . Contact$Z ,1-2—nVt-- -
ti Address:/��b '(/ 77 ,E City. J
State//1/ Zip �/t P : --�'/77 Email � ��Q�P711/�1i C!flP OJ�S,(b
License#:5 C 02 S3� —Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Plansd supporting documents tha uubm�t �� `� ,�zuo Porton •
infor ation rna ® :classif aIs non-public yo provr • reeaso khat--4:;
d pe;° • co + at h
are rade secret*, x
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; t understand t.'. is not a permit, but only an application for a permit, and work is not to startwithout a permit; that the work will be in
accord- ith the ap• oved plan in the case of work which requires a review and approval of plans.
pplican s Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154936
Date Issued:04/18/2019
Permit Category:ePermit
Site Address: 4629 Stonecliffe Dr
Lot:4 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Frazee Family Revocable Trust
4629 Stonecliffe Dr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173405
Date Issued:11/10/2021
Permit Category:ePermit
Site Address: 4629 Stonecliffe Dr
Lot:4 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-040
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 -
Christopher J Stokka
4629 Stonecliffe Dr
Eagan MN 55122
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179196
Date Issued:09/22/2022
Permit Category:ePermit
Site Address: 4629 Stonecliffe Dr
Lot:4 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Christopher J Stokka
4629 Stonecliffe Dr
Eagan MN 55122
Schwickert's Tecta America Llc
330 Poplar Street
Mankato MN 56001
(507) 387-3101
Applicant/Permitee: Signature Issued By: Signature