4666 Stonecliffe Dr RESIDENTIAL
BUILDING PERMIT APPLICATION
. CITY OF EAGAN G~ v-I O_ U~
j~~ ~Y( I C~ ~ 3830 PILOT KNOB RD - 55122
T 651-681-4675
v~
New Construction Renuiremants RemodallReoair Reouiremems
• 3 registered site surveys showing sq. fL of IoC sq. A. of house; and all roofed areas . 2 copies of plan ~ ~~-~-t "(J 1
(20°k mauimum lot coverage allowed) • 1 sel of Energy CalcuPations fir healed additions ~
• 2 wpies of plan showing 6eam 8 window sizes; poured found design, etc.) . 1 site survey farextenor addi6ons & decks
• 1 set of Ene~gy Calculations . I~icate if home serveU by septic system for additbns
• 3 wpies of Tree Preservatbn Plan'rf lot piatled after 717193
. Rim Jaisl DeWil Options selection sheet (61dgs wi[h 3 or less unitsj
DATE I Z-~~7~0 ~ VALUATION
JOB SITE ADDRESS y666 S~Ohec~,~{~~ v~; y Q Laya.~, S S-/ZZ
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER ~3r~~e 9~~hy~ ~~~;c~
TYPE OF WORK_ ~nt .s~i ~al F~ 01'C h4S2/Nrn ti~ FIREPLACE(S) X 0_ 1_ 2
APPUCANT !J?'?Ge 4 /7~xe ~o a~~oL'~ PHONE#
ADQRESS . ( ~a-~ie ~ ZIP CODE
PAGER# CELLPHONE# (b~~) 33Y-7g~~ FAX# ~iSl-68/-8'O/,S`
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check oney - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbu~ 5ystem Includcs: _ Watc:r Sohener I.awn 5prinkler Fee: ~90.00
Water Healer No. of RL I~a(hs ~
No. of I3aths
Mechanical Contractor: Phone #
Meehanical System Inclucles: _ Air Concliliocung i.. ~ I~ i n1',I'ee: .Si70.00
_ HeaL Recovery Systeiu ~ ' " ~ ~ ~
'~-2,c~ 1`I , ,
Sewer/1Nater Contractor. ~ Phone # ~ "
All above information must be submitted prior to processing o: application.
I hereby acknowledge That I have read this application, state that the information is correct, and agree to comply
wifh alf appficable State of Minnesota STatutes and City of Eagan Ordina ces.
SlgnatureofApplicant ~r~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY
? 01 Foundafion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 1D OS-plex ? 18 Deck O~ 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex qy 19 Lower Level ? 24 Storm Damage
~
? O6 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
/ ~
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to appticant
Valuation ~,~9(!fa'~ Occupancy MC/ESSystem
Census Code v~i
~ Zoning City Water
SAC Units (~f Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs ~ Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) ~ FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation X HVAC
Drain Tile T
~ Roof _ Ice & Water f Final - Other - - -
Framing Pool Ftgs Air/Gas Tests Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Y Insulation _ Windows (newlreplacement)
7'
Approved By T Z , Building Inspector
Base Fee
Surcharge ~ L ~.i~W-U~ ~
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ Address 4 6 6 6 s c o n e ~ i i f f e D r Zip 5512?
IAt 3 Blk Z Sub Pinetree Pass 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector: '
Final grade (6" from siding) E/
Permanent steps (gazage) ;J
Permanent steps (main entry) j,/
Permanentdriveway
Permanent gas V~
Sod/Seeded grass
TraiUcurb damage
Parch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisu.
Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL ~.a..~ ~ ~
BUILDING PERMIT APPLICATIO ~ ~ r~
~n~j - ,
CITY OF EACAN D ,!J ~ ~
~ 3830 PILOT KNOB RD, EACAN MN 55122 ,IUf ~ 5 z~OZ ~
651-681-4675
NewConsiruMionReouiremeMS RemodellRe airR uira ts
. 3 regWerad site surveys shorririg sq. ft. of IoL sq ft of house; and all roofed areas • 2 wpies of plan
(20%mauimum lot coverage allowed) . 1 set of E~ryy Calculahons for heated addAions
• 2 copies ot plan showing beam 8 vnndow sizes; poured fouiM desgn, etc ) . 7 site survey for exlenor addi6ons & decks
• 1 set of Energy Calculations . Indicate d home served by septic system for addnions
• 3 copies of Tree PreservaUon Plan'rf lot platted after 7/1/93
• Rim Joist Detad Options seledion sheet (hltlgs with 3 or less units)
6~
DATE S'o Z VALUATION ~ Z(
SITEADDRESS ~ll~~ ~P c 71"O1`UL-C~I~-~ ~('lV-e.~ MULTI-FAMILY BLDG _Y _N
TYPE OF WORK~P~a~ l~a. ~tra~ i a d~G ~ e , ~~cs FIREPLACE(S) _ 0_ 1_ 2
~v ~'l~ST t~t1 Co c.u~~ac,u5
SELA ROOFING & REMODELING.
APPLICANT 4100 EXCELSIOR BIVD.
STREETADDRESS iDaoooio o CITY STATE_ZIP
TELEPHONE ~IGl2-`623~~D~{(z CELL PHONE # FAX #
PROPERTYOWNER UC.Q ~ ~Zo~c c~ TELEPHONE# ~g~ `
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~IINNESOTA RULES 7670 CA1'EGORY 1 MINN~SOTA RUI.LS 7672
submission type) . Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _ Phone #
Plumbing system includes: _ Water Softener _ L.awn Sprinkler ree: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: Air Condil~oning Fee: $70.00
Hea~ Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 08-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 Ext. Alt - SF
? 04 02-plex 0 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Oemo~ition (Entire Bldg on~y) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Foocings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Ptumbmg
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~~~~~~~~~~*~k~~~~~~~~~~~~*~~~~~~~~~*~~~~
!'TTY OF L=:FlGAt~?
CA:;HTGf"t~ S T4_FM.T.PlAL N0= 8i5
DA'iE~ Q4/Of3/93 TZM'L-": tS~°iC,e.P:,;
II+ r
f~AME^ l_UNT.iGRI:.N NR!7S CONt;f Ct7
21,`.i5 9001 4~E,Fz ~,rnr~Fr..i_tF~F 103.50
22~2 9E2?C} 466r'.. 57C1NIi::CL.LI'f 30.f1I7
374;3 5?2c Ij 466E:, BTON~CI...:I:f'F SOvOD
3i 13 3r c t~ 4t26E, i~TCtNEL'L7:F'F' .,U.00
L~tt66 "J37J 46E,t °;'[CiNE:~~I._IFF" 100,0O
37:t6 `3i3%4O 4;E,(, ,T(JNFCI_.:f.FF 114,(l0
:~5~.,~ ~LLO p'EiFY6 ~TONE:CI_SFP- 46H_DO
3f3Er,5 _')~'~(l h66t=, ,TONF:CI_7:F F' c3c..:,,.C10
2.c'i'S 3c?20 4t~;F, ,TC?i~F~'LZFf" iy~]3_7.50
34qe, '?G!7:1. 466E~ STONf_ri._?:Ff' L0.'30
Cf;i.Ob~.r:>i. r..o~nrr~UL.
I..ISF:Ii TI1c i~Flt~CV ~:C)ie~'I'TNUF'
~?X~X~~kk~76~~kk~~%~k%~#~m?%:8&, m±Yh~>Y~a't%t~?kWm:{:~k~%F~k~X~t~k~k
a~?X~X~k~~~~~Nc~c%~~k~~~~kk~~~:~~~~Mre*~~c~eM r~Ntl:NUr
C.T.TY C3F f-_Ar..,~N
CA::iH:I:I:::R: ::i 1'Efii~lTNAI._ NCl^ $'i":~
~A7E: 04!f?~/S39 Tf.MF~ i`ir,5tis:~5
IL!
NFlPiE~ I_LlNDGRFN kI~US Cf~NST CO
34c2 90f)~. 4t6tir 5701~FC~.T.Ff-
1.,!J7~.46
3c'.:L? t)L701. 466r~ Sl'QNI=CL:f.F'F ~.yE~S4.,`.i.°r
1'01.~1 l"tecei.pt AtYi47S!71'I;: ;`i,.'_';2L-.5t
CF :I. i7i:, i.8:1.
i_151-:R TTI. t~ANCY
~F%c>R~k~F ~F?K %~X~~Xk~~k~W %:~.~~%c~X~#~ #X~M ~X~WM ~ k~ ~ ~~k # ~k X~X~
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ~
, ' CITY OF EAC}AN
3830 PII.OT KNOB RD - 55122 ~j t / ~ 7
S' I ~ (651) 681-4675 ~ - (
New Constrvction ReauiremenGs~ RemodeURecair Requirements ~
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; paured fnd. design; etc.) ? t site suneys (exterior addkions & dedcs)
? 1 energy calculations ? 7 energy calculations for heated additions
? 3 copies of tree preservation plan ii lot platted aRer 7/11g3
required: _ Ye No
DATE: ~ / g CONSTRUCTION COST: ~~~0,
T ~
DESCRIPTION OF WORK: _
~
STREETADDRESS: ~ li~ (o ~~C~ /L~~~-/ _ ~/FC~ ~Y
~OT: ~ BLOCK: ~ SUBD./P.I.D. ~/V~~~/ ~ ~
/
~ Name: Phone
PROPERTY Last First
OWNER
Street Address:
Ciry State: Zip:
~'S 9
/ ,
Company: C~ (~(./U~~~~/V • Phone !k: y ~ r~
CONTRACTOR ry~~ ~
y ~~~T~ ~J, , ~
Sveet Address: ~ , ~x~~(~- License !f L~_Exp.°~
Ciry W/ / ~~~T/~ State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction oniy): ~ . Penalty applies when address
ch~nge and lat change is requested once permit is issued.
~ I a, y ~-f ~ 9
I hereby acknowledge that I have read this application, state that the info tion i correct, and agree to comply with all applicable
St~te of Minnesota Statutes and City of Eagan Ordinances. .
Signature of Applicant: '
, ~
I~1~
OFFICE USE ONLY ~
Y,1 j~/~ ~ 7 i'^:, ~ ~
Certificates of Survey Received Yes _ No u1l ~ I
l1
Tree Preservation Plan Received _ Yes _ No Not Requir d
OFFICE USE ONLY , ~
~ ,
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
~
Const. (Actual) ~ Basement sq. ft. I"1 `C3 Census Code ~ ~ ~
(Allowable) 1~( Ma~ level sq. ft. 1~73 SAC Code ~
UBC Occupancy Z~-~/ sq. ft. I~foo Census Units I
Zoning ~acYL- sq. ft. ~t
~ Census Bidg
# of Stories ~ sq. ft. MC/ES System
Length ~ sq. ft. City Water
Width ~ Footprint sq. ft. ~ Booster Pump
PRV
Fire Sprinklered
APPROVALS ~
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ 2~ ~~"1 ~1 ~
Surcharge
Plan Review ~
License ~7y'~j X f ~ = '1-~~ ~t~'~-
C ty SACAC l 1~ 3 X~~' _ ~ 74 Z~
Water Conn. ~I
Water Meter ~~~00 J~ 5'-J' = e~'~ D~
Acct. Deposit w
S/W Permit (0~12 X( f~ - P I~ 6'72
S/W Surcharge
Treatment PI. = 2~'~~ ~
Park Ded.
Trails Ded. •
Other
Copies ~ ~
Total:
% SAC
SAC Units
- ~ U
~~~n~~~~r~ ~
EXTERIOR EPIVELOPE AVERAGE U COMPUTATION
cnr~sraucnoN ,
INC. ~ ~~N~Tirl-~ ~
Site Address y(o (p~ ~~~CJ/t~~G/~i~~ Lot~ Bloc~ ~S ~r,~
R
B~Factnrs R U
Opaque Walls .043
E w~ iiwd.
ly,~,~ Wall Framing Areas . •pg
Mt~s~nda55x~i Ce111ng InsluaCian Area _ p~ .(yZ~
~T~~ Ce11 i ng Frami ng Area Y ,~j'
R1m Joist .04
Masonry Wa1T ~ . Q~
Wi ndows , ~jr i
Doors .31
5kylights .H5
i) Lower Level (Uasement)
Total Exposed Wall Area ~ ~
~ Opaque Wall Area ""/Z~'~ X(U) .043 = 7i~i'~
Mood Frame Area ~ X (U) .09 = ~~2
Rim ~ofst ,~id~l'S X (U) .04 =
Exposed Block '1 g ~ _^~j~
~ Wi~dow Arep ~f ?'u X(U) .35 a ~ ~i•~
. Slidinj 61ass ~oor (U) .35 =
Door Area ~ R (U) .31 = ~
Total
I
. ~
~
i
L~If1pGR~fl ~ ~
a~~" ' 2) First Or ,Main Floor
I
COPISIRUCIION ~1 ~~i/J
Total'Exposed Wall Area ~i~/ ~ ~
INC.
Opaque Wall Area ~~.Q~
~ X(U) .043
lJood Frame Area , ~~7~ X(U) .04 =
Rim Joist ~~1~•~X (U) .04 =
Wi ndow Area ~JDlP• ~ X( U) . 35 = I O .4
~s w~ymu, ui~d.
w;~yt~i~ Sliding Glass ~oor ~ ~ X(U) .35 = ~
Mimx:cWa5539~ Door Area X (U) .31 = ~ ' ~
, T ~ ~
(fi 12)773-1231 To ta 1 ~
3) Second Floor If Two Story
Total Exposed Wall Area
Opaque Wal l Area ~_II X(U) .043 =~T (i'~
Wood Frame Area X(U) .09 =
Window Area I~~?X (U) ,35 = 5~•~
Sliding Glass Door+ ~ X (U) .35 =
Door Area ~ X (U) .31 = ~
7ota1 IO~/'•5
4) 1`otal Ceiling Area ~
Wood Frame Area X(~) .,,rB2`j
Opaque Ceiling Area ~ I~(/ X(tl) ~ Z
Skylight ~ X (U) .55 ~
Total a ~0'~
- ' =~-'~i
~ r~~
, - ~ . ' ~~,~.~o~fi~
L~#nDG~EI~ ,
RRC~S.
CONSTRUCTION I ~ I ~ ~t
iNC. MIN~NE50TA U FACTOftS Total Exposed Wall Area~ X.11 I
MINNESOTA U FRCTORS Total Exposed Ceiling
Area 1 ~I ~ X ..026
(A) Total ~•'j
~.15 WaynLi 61+n1.
W~'~13 Item 1{,~?'~+ Item 2~~+ ICem 3 ~~~'2 Item a'T'?~' ~
Miiummq 553~J I
~
(612N73-123I
~
If Total Of Items 1-4 Is Less Than Item (Aj, Buildiny CompTies With
SBC 6006 (C}s
I
r
I
I
~ , LOT SURVEY CHECKUST FOR RESIDENTIAL
' BUILDING PERMIT APP ATION 22~~'s '1 '
PROPERTYLEGAL' ~~~~~x~ ~r,L,L_,~ r
DATE OF SURVEY J
U
~ ~ LATEST REVISION: 3
d N
.-'J >
d y
~ n ~ DOCUMENTSTANDARDS
6 Q
N
Q Z E
; Registered Land Surveyor signature and company
4 ? Building PermRApplicant
~9 ? • Legal description
~ ? ? • Address
~ ? ~ North arrow and scale
rYJ ? House type (rambler, walkout, spfd w/o, split entry, lookout, etc.)
• Qirectional drainage arrows with slopeJgradient %
~y~ ? • Proposed/e~assting sewer and water services & invert elevation '
? o • Street name
~ ~ • Driveway
~ ? • Lot Square Footage
ef ? o • Lot Coverage
ELEVATIONS
Exis'n
~~a ? ~ Sewer service (or Proposed)
a' ~ Property comers
~ • Top of curb at the driveway
c-~ • Elevations of any e~dsting adjacent homes
Prooosed
~o ? • Garege floor
~ a ? . First floor
~c ? • Lowest e~osed elevaEon (walkouVwindow)
ca~o ? • PropeRy comers
r~ • Front and rear of home at the founda6on
PONDING AREA (it audicable)
? ~o • Easement Gne
? c~a . NWL
? • HWL
? c~~ • Pond # designatlon
? e' ? • Emergency Overflow Elevation
DIMENSIONS
? a • Lot 6nesBearings 8 d~mensions
? • Rightct-way and sVeetwbth (to back oi curb)
a~o ? • Proposed home dimensions indu~ng any proposed decks, averhangs greater than 2', porch~, etc.
(i.e. aQ structures requfring permanent footings)
~o o • Show aN easemenfs of record and any Cily utTiEes within thosa easements
~ • Setbacks of proposed sWcture and sideyard setback of adjacent ebsting sUuctures
? a~ ? • ReWining waN requirementa, H an
c~ ~ ~o
Reviewed:
e ~ te
March 19BB
cru~oovar.rt Fw .
. ._r. . ~ re . . ~.~.~~v`.r.~".~. 'A` '
~e _
- ~ - _ 1~1ASIONS BY
-
-
• ~ _ • * rer 3-1~- 5~
~
' BENCFIMARK
~ ELEV = 917.39
sio.s
198 22 x , ~~po LEGEND
\ 6~OZ 0~. QS DEN07E5 SlWITARY MANNq.E
~
~ ~~s ~S DENOTES ITYDRANT `
~0~623~w % ~
Jo ti,~~ F` ~ DENOTES CATCH BASIN ~ ~"'s
\ cF
j ~ Rqi
N S ~IOTES SANITARY SEMIER
A~~ 7 9~1.3 ~ ~ fasf & ~ ~~3~ `fla, W DENOTES WATERMAIN
/ ' `r"''£Nrnu~Y! k ~ ~ sT oao~s sro~ s~t ~h ~
(931.1) 3 0~ ~ 0.5 X ~ X 915.6 ~ ~ ~ ~QrO~$ ~ M/WHaE a~
931. i~ 6 ~ x fZ4 X20.5 9 X 5 C+ 1~e\ ~~0~$ $~M
X ~ ~ ZS a' S0 lRpd~fi' 'Q`S` •
~ / 11 N $ N O~ 1 ~ ~ s,o., SETBACKS ~Iy~
Y 1~3X~4 Y~~ ~ J x N j~~
93°.e ~ ~ ro$ a 3 0 MIN. FRONT YARD SETBACK = 30' ~
~o\ ~ ~ _ ,o x p~ MIN. SIDE YARD SETBACK = 5'. 15' BOTH SIDES v~ g
923.0 ~J 4 ~ ~ ezz.e szz. 5~~o MIN. R E A
R Y
A R D S
E T B A
q C = 1 5'
~ 13 ~ ' I ~ ~ W ROOF COVERAGE ~
~ ZS X
~ r~~37%~ o w~ sza.s 1, ~ ~ ROOF AREA = 2641 SQ. FT. ~.f
N .NP ~O 2 'c~r ~ r ~ r ~cr r soe.s , LOT AREA = 223471
p~ ~
p as.< ~ 6
~ sa, o ~ 9~ -f R O O F C O V E R A
C~ = 1?
9
6
N ,O a° / ' x _ ~
~
C3~ ~~ry 2~ x
N s~.~s 927 5 Z~g.30 ~ r~
x 's n Proposed Top of Foundatbn Elevatlon= 934.75 Q' O
~ 933.5 x.3~•45 934.7 o59f'`C W
g Propo~a ca?~oge floor EI,roGon- saa.s t~
O ~933 8~ EXISTING HOUSE 57 P~°posed Low°at Floor Elevotion° g2g,~5 O~ Z~
' ~W ~W
ZT (n n + 910.0 Denobea ExiatingnuElevation UE] ~
, - 1 ~ : `~1 , _ +(910.~) Denotsa Propoaed ~evation C~ ~ A Z ~
~ ~ I - ~ N ~ ~ ~ Denotiea Diroetion of Surfoce i-i ~ z O
m ~°G .A~ li _r' ~ratnage F a~ U
y - _ ~ ` ~ . . . .J 9~0.o u,,,otes so~~ sswe~ sarvice ~ a
~ -J//~/ ~ 9-- - I heroby cxrtify that thla ie a true and comect ropreeeritaHon
tatl
~ of a survey o# the boundarks of: ~ ~
LOT 3. BLOCK 2. PINETREE PASS 3RD ADDrt10N
60 OAKOTA COUNTY, UINNE50TA ORAWN
r . ~ ~ . ~ . Md the location of cI1 buiWinge, if ar+y. thsrson. and all visible ~ -
O t~ ~~'~i~ encroochmer~ls, lf any. from or on said land. Aa surveyad by CF~t~CED.
_ . J : _;J~ T! ~I~f ~~1 ~l Of ~011U • ~9~.
~ DAIE=r:
~ ' 1-11-~'~, ,
SCALE`.
~ Gary R. Gertnond 1'=30' `
Licenaed land Surveyor. Minn. Lic. No. 24784 ,~pg NQ"',
2
. . . . . _ . . -
. . ~ ,
- - _
.
. _ _ _
CITY USE ONLY C~
L 3 gL ~ d RECEIPT ~ /
SUBD. lJ_L.+~•~i._~ ~~j, RECEIPTDATE: ~
Ycrn~, 31~2.3 ln
1999 ~LUM$1Nfi ~'~EiiMIT ffi~SIDENTt~EL)
crrr oF ~ae~v
3$SO PlLOT KNOB ftD
£kfiAN, MN 5512E
(651)6$1-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventerforunderground sprinklersystem
FIXTlIRES EACH # TOTAL
Bath tub $ 3.00 x 2 = $
Floor drain 3.00 x 1 = $
Gas i in outlet ` minimum - i 3.00 x Z = $
Hot tub/s a 3.00 x ~ _ $
Kitchen sink 3.00 x I = $ 3--
~ 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 ! _ $ S~b
Shower 3.00 x 2- _ $ o0
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Watercloset 3.00 x 3` _ $ /S°-
Waterheater 3.00 x Z- _ $ pO
Water Softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ .50
Total $
Reminder. Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
I~hereby acknowledge that I have read this application, state that the information is correct, and agree to wmply with all applicable Ciry of Eagan ordinances.
It is the applipnPS responsibiliry to notify fhe property owner that Ihe Ciry of Eagan assumes no liabiliry for any damages caused by Ne Ciry during its normal
operational and maintenance activities [o the facililies construded under this permit within Ciry property/rightof-wayleasement.
SITE ADDRESS: ~o S~o~2 G/`f'~~ ~ /
OWNERNAME: ~K~C~t 6/~S ~osvST,
INSTALLER NAME: /Ti(Cc ~c /yaoi /GTPG~.CAK ~ C d- L TELEPHONE 6~~ -yyS'~6
STREETADDRESS: SZ~~ L~ ~Q.~i'd~? U/lv~C
CITY: SGt d~~.p/Ii~~ STATE: Z~P: ~5~3
~Cy`~'iG ~i4~'~
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
C[TY USE ONLY
LOT BL ~ RECEIPT / ~ /
SCBD. ~GUy RECEIPT DATE: ~ 9~~
1999 M~Ci~IANIC~L ~~iiMIT (R£SID~NTI!!L)
CTIY OF £tkfiAN
3830 fILOT KNOB RD
£RfikN MN $51 YE
~ (651) 681-4696
Date•
Complete this section onlv if you aze 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 6.00
• Gas outlets (minimum of one required @$3.00 ea.) C{ ~ L
• State Surcharge: .50
• TOTAL: Y~ ~
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
Remiiider: Call 681-46~5 jar inspections. $ 30.00
State Surcharge: . 50
Total: $30.50
SITEADDRESS: ~(p~(p ~j'vnE~~~
O~VNER NAME: ct h / O-S S T, PHONE k: 6~l '~7~^~d
ItiSTALLER NAME: fi[Q v~~o Q n( C~~ PHONE ~j ~ Z~~~~ 76 ~d``
STREET ADDRESS: S~~ ~ y~ y-~~-y~
CITY: _S 64-~t~P~~ STATE: f!°/' ZIP:
SIGNA'fClRE OF PERMITTEE
J$-FORMS BLD;MECH PEfLbI1T (RES)- 1999
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 ~~ctiakrt[cttL ~[rr (coh?H[~RC~~?L)
CITYOf £AfiAN
3930 PILOT KNOB RD
~kfiAN,1NN 551 EE
(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 ~R $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $ I,000 of permit 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
CASHIER: JS TERMINAL NO: O11
DATE: 03/31/00 TIME: 12:55:45
ID:
NAME: RW OR NANCY HENNEBRY
3210 9001 4666 STONCLIFF 6~.00
3430 9001 4666 STONCLIFF 0.25
2155 9001 4666 STONCLIFF 0.50
a
Total Receipt Amount: 60.75
CR125488
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacaN
~ 3830 P~651-881-48 5- 55122 ~ (o~ ~
New Cauhuctlon Reaulremenh Remotlel/Reoalr Reaulremenla J v~
? 3 reglafered We wrveys ahowln9 sq. lt ol bf. ~q. H. of house 2 coptes of plan
anC gJ~ roofed areaa l20%, maxlmum lof covemae allowetl) 1 aet of energy oalculaHOnt for heafed adtlillons
a 2 coples of plans (show beam & wlndow sizea; poured Md. tlealgn; etc.) 1 site wrvey for extedor addlHons R tlecks
> 1 aet oi enerpy calculallons
> 3 copies ol hee preservatlon plan Il lot plaMetl afler 7/1/93
DATE: - 3/ r~~~ CONSTRUCTION COST: ~ p o UG
DESCRIPTION OF WORK: !7/= cw' i/o.v
STREET ADDRESS: ~CC ST ~iL C c i= i iz
~J ~
LOT: ~ BLOCK: SUBD./P.I.D.
Name: /Z i~ N 13,e ~ ciZ ~9NN Phone u: ~S/- 6d'/- 7~~~
pRQpERjy lasf Flrsf
OWNER , •
Sheet Address:!~~ ~ G ~T~~i~z c a~ ~=i= ~>iL ~~'r
. Ciy 1~ A6,9.w State: ~~~«i Zip: s~S ~z ti.
. Company: ~rfi~ ~>/r~~/: A~v~~ ~ooi2 l~ PhoneS: 6/y -~?D ~~v
iv'
(area code)
CONiRACTOR 3~ ~ ~
Sheet Address: / l~ 3 Z `~z~.v .5a ~rr i~ - Lfcense s~S~ Exp.
Ctly (/~/d•Y n Gav~rr Hr.'~~~~;
s Stale: .~O.ci Zip: _S~
~ 7 7
ARCHITECT/
ENGINEER Company: Name:
Telephone U: ( )
Street Address: RegfsfraHon
Cly State: Zip:
SewerAvater licensed plumber (H Installina sewer/water): Phone
I hereby acknowledge ihat I hwe read this applkaFbn. sfafe Ihaf ihe InfortnaMon is ~rtect. and agree lo comply wMh ab apPAcable State
of Min~iesota Statutes and CNy of Eagan Ordinances.
1
' Signalure of Appqqanh G~c~~`~~~
~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY '
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti
? 02 SF Dwelling O 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ~ 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-piex Plbg _Y o~_ N? 25 Miscellaneous
? 06 04-plex O 12 12-piex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
~ 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demotish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORM/~TIQN
SAC Code ~ # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) ~n!~ Basement sq. ft. Census Code ~
(Allowable) 5•~1 Main level sq. ft. MC/ES System
UBC Occupancy fZ • 3 sq. ft. City Water
Zoning ~L• I sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~ ~
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit '
S!W Surcharge '
Treatment PI. ~
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
' . , r r ~ t~ns~ars ev
rer 3-/~- $
~
' BENCHMARK
~ ELEY = 917.39 ~
970.5
19$ 22 x ~~o LEGEND
6~ 0~' ~ SQ DEN07E5 SANITARY MANHOI.E 'z ~
Z~pw ~ ~ ~ ~CPy ~ DENOTES ITYDRANT ~ q ~
p~Fj~ `r ~ J ~ ti~ f
~ DENOTES CATCH BASN
,o c,6~ Fj1 RA/iy,q ~O S OENOTES SANITARY SEWER
9 37. 3 51' £
q~M~ ~n ~a, W D E
N O
T E
S W
A
T E
R N A IN
x / r~ fNT VTY k~ ~ ~ sr DENOTES s'~A1 SEwER ~
923.7 ~ _ a ~
(931.1) x ~ x 915.6 ~ ~ DENOTES STORAI MANHOIE ~
sai.i ~p 6~ ~ e Xos 9z s x s .('a,,~ ~t~ ~pe\ n DENOTES STGFtM APRON ~ i
x / 10 ~ ~~o k f~~o~~ 'SS
< ~ ~ ^ " ~N o ~ ~ ~ 9XO., SETBACKS W~
93u 7~ ~'y
sao.e 1\ ~1 ~ o ~J ~ MIN. FRONT YARD SE7BACK = 30'
~ ~ N~ ~ g N x 9Z2 p~ MIN. SIDE YARD SEiBAqC = 5, 15' B07H SIDES fn g
923.0 ~ ~ i~ ~ 922.8 g~° M I N. R E
A R Y
A
R D S E
T B A q C = 1 5'
3~ \O 13 ~ Z~ I ~ ~ w ROOF COVERAGE ~i
D ~ (P ~%i% o m ~ 924.5 , ~ ~ ~ a .
1~ , ~3.7 / w~ 1 ~ m ROOF AREA 2641 SQ. FT. '~~f~ ,~°m~
N~~O 2'c~i~ ~ N ~ r ~ ` 909.8 LOT AREl1 = 223471
pcT W o / ~ a p.%~!%. ~ sX,.i k` ~ ROOF COVERAGE = 12R
!+O h~" ' ZZ i
X }
~ 9 ~
°'s 57.ts 9z~.5 Zpg.30 ~
~ 933.5 X 31.~ 934.1 • ~ ~P~ Top of FoundaHon ~evaNon=934.75 ~ O
~ 933.6 X p 579°59 ~$~w ~p,,~a~~o..~a~ ca?~. ax.s t~w ~
~93g g~ EXISTINC, HOUSE ''`~W~ F~00~ dOYQt~Ol1= 928.7.r1 z~
~ ~
I ~ - - z
Z - o Denotsa Iron Alonument aW„ E-~ ~
rn ~ ~ ~ -J J + 910.0 Denotee Exiatlng Elevation ~ ~ ~
0 : +(910.0) Derwte~ propopd EJevaUon U 8 A Z~
^ i. ~ : ~ fi i . ~
~c• '4, : ~ , , ~ ~
` J m ' -f DeeroEes Diroetion of Suetace I-i ~ z O p
r -
~ D _-__L ~ 9'.,. _ Y~ ato.o p,n,tes s~a~iry sswer servics W a a[~
~6~~~~%~j / e.i d
~ ~ ~ , ~ D of~
t v a
y a
i Ub
~bo
ndort
S o~f.~ and cortsct ropreeer~tatlon
- - I QAICOTA ~
~ MI NFSOTA PASS 3RD ADDRION ORANN
fip
And ths bcalion of oU build'u~gs. if any~ lheroon. ad aU visiWe ~
~ r et~ctoochmerds, M arq. from or on aatd lard. As auneysd by CHEd(m
T ~ me this 1th doy of Janu . 1999. GRG
~1~J ,
~ DA7E ,
1-11-98
~ ~ .
~ ~ Ga?Y R. Gem~ond 1'~30'
, Licsneed Land Surveyor, Minn. Lic. No. 24784 ,108 N0.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4666 Stonecliffe Dr
Lot: 3 Block: 2 Addition: Pinetree Pass 3rd
PID:10- 57662- 030 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
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 -
$90.00
Owner:
Anne E Rodich
4666 Stonecliffe Dr
Eagan MN 55122 -2755
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA086978
10/20/2008
ePermit
al (i.e. debris that could block vent openings) and
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
Use BLUE or BLACK Ink
---------------,
� For Office Use I
� a� � ��1-,3� �
}� ���� Permit#: l i
�� i
3830 Pilot Knob Road JUL D 6 1015 I Permit Fee: �O � OO i
Eagan MN 55122 I .- �
Phone:(651)675-5675
� Date Received:� " LO ` �� �
I �
Fax:(651)675-5694 � Staff:�S� j
. .�����������������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 6/24/15 Site Address: 4666 STONECLIFFE DR, EAGAN, MN 55122
Tenant: Suite#:
r
_
�.�
�'� � � ������ � STEVE STROMBERG Phone: 651-247-9492�
��Slt��t1��1Nli�r�rE°��� Name:
u=� �
; � �° � "� Address/City/Zip: SAME
� „;� r _ xr��� Name: K&S Heating, Air Conditioning & Plbg LLC�;cer,se#: MB5216 �
�
� ` �� �_ � � ��, address: 4205 Hwy 14 W c�ty: Rochester
�ontracfic�r �..
- „r�;" � ����r ; State: MN zip: 55901 Pnone: 507-282-4328 � � � �
; �
G_ d �
����«� t;�"a������� cor,tact: Heidi Brown Ema;i: h�brown@ksheating.com � � � �
` - New XX Replacement Additional Alteration Demolition
� _ _
°�� � �� �
��, _
Ty�e�;'�Nol�k: t� Description of work: ��
� F���[�{37�n}��'�f�t�nt�ii an�[����tC�rrt�un�ed�it�i`��h�n�c�f equ�pm�ttt i�r+sqtri�e�#o;be�scr�ei���`r�i �� �
�. `` a��q�9�_C �_ �dd� .`PI�a�+�con#���t�e 1fA��anit�k�pe�tor f+���r�f�rrmatitst��an;��r��t����l "��Vi�:"��i�g met�c������,^�
. ..� �_ �� �� »�. .s= . , �� __ � . : _— -
�= s
— „r��° �;�
- ���u RES/DENTIAL � COMMERCIAL
� ,i � ;�� _ ,� __ � XX Fumace New Construction �Interior Improvement
���x � � � — —
r� � � XX Air Conditioner � _Install Piping Processed
� f'erm�,Type": ,��� —
_ �,r'� ����a � _Air Exchanger Gas Exterior HVAC Unit
a���u�� — —
= u�a� ��,y � ��� _Heat Pump _Under/Above ground Tank �Install/_Remove)
��, � = ' �E � ; Other �
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 6�.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge'
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"""`If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
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 Rick Keehn � �,,��
Applicant's Printed Name ApplicanYs Signature
FQRO�FI��US� �i ; - n PI _ �a�� ��
r�i a,
Required�Tn�p��rort� �r����` Re�e�nr�����r = t _ - a �
r ������°P�l�i��:t�c�round ����P Rouc��,i�r fiit`'T���, �, � � � ��, 7
� ��r ,G�<< � E�� � 6� �� � ,�gE
� �t� _ ��ti � Gas a�rVice;'"F'est � Itr�f(oorH� .� � �m�ld,��« HVA�`�c� , � �„��
40/1
City of Eau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use i��/
Permit #:// =' ! `�(
Permit Fee: " C
Date Received:
Staff:
2 1 16 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 646 E `,7,r-:/ rf-` 127,
Unit #:
�..
Residenil
Q1111��f� �
Name: ( /-(7711 L i /ci Phone: 07 i % c 7G�
1CC �f '�
Address /City /Zip: / 7� r , , 5 ��
Applicant is: Owner Contractor
{moo
,; �
�Jeo •
Cyt
Description of work: � i � (�C)Ct/ � � /l(f �� �,� � � ec/ /c/077
(
/ �},
/4. l (V1 l gelsn
Construction Cost: 3 00 Multi -Family Building: (Yes / No X )
�
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Pian end sup docum is it you sub r r ns Iered to be •�lic info - n. Po ns of
the information ma • e classified a non- bJ�c ff �r • ; • i o de pec r c # at mr d • . mu l e fy to
conclude t y are trade se
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil,9tng Code must b completed within 180
days of permit issuance.
x 1/ /7 Stie/ 43 CEJ c ff
Applicant's Printed Name �J
plint' nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164109
Date Issued:09/18/2020
Permit Category:ePermit
Site Address: 4666 Stonecliffe Dr
Lot:3 Block: 2 Addition: Pinetree Pass 3rd
PID:10-57662-02-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Eric E Eilertson
4666 Stonecliffe Dr
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165644
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 4666 Stonecliffe Dr
Lot:3 Block: 2 Addition: Pinetree Pass 3rd
PID:10-57662-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eric E & Lucille Rose Eilertson
4666 Stonecliffe Dr
Eagan MN 55122
(612) 432-8404
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature