3904 Stonebridge Dr NCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA096798
Date Issued: 11/02/2010
Permit Category: ePermit
Site Address: 3904 Stonebridge Dr N
Lot: 4 Block: 5 Addition: Hills of Stonebridge
PID: 10-32990-040-05
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary:
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
- Applicant -
Owner:
Mark E Mattson
3904 Stonebridge Dr N
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
' M ~Av uK `J i , .
' MARK MM'fS'iN - 686-0445 CITY OF EAGAN ' J i$'~'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8100
BUtLDING PERMIT Receipt #
Tobeusedfor SF Est.value :122'000 Date ~B 75 19 91
Site Ad iress 3904 STOliEBRIDGE DR N OFFICE USE ONLY
~ Lot Block Sec/Sub.
Parcel No. ~va"~' ~"3 ~"t FEEs
PDF-- i
Zoring W Name ~A~E BUILDEft3 ~M Bldg. Permit 717.00
~ Address (AJwwaae) ~p 61.00
Surcharge
City Phone #dscories ~ ~6.0p
L8~ Plan Review
SA!!E , -~j • 104.00
o Name - snc, cih
Address S.F. Total - SAC, McwCC 650'00
Clty PhOf16 S.F. Faotprinis _ 660.00
p~ Sdo Sewage _ Water Conn
-
~W dame on si?e weli Water Meter 90.00
mg Address , WWCC.sfnte++ n°`t. o 30.00
~ W Ciry Phone c~y wetar T ~os'~ 30.00
PRV Required _ SMI Permit
I hereby acknowlege that I have read lhis application and state that the Booster PumP - S/yy ~rchwge •50
inlormation is correct god agree to comply with all applicable State of 276.00
Minnesota Statutes a CN Eagan Ordinanc,s. Treatment PI
" Road Unit 370,00
Signature of Permitee APPROVALS
A Building Permit is issued to: YEATJRL dUI LDSIlS Planner - Park Ded.
on the ezpress condition that all work shall be done in accordance with all Co+^cil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pn. _ CoP1e5 '30
` Building Otticial + Variarom - TOTAL
` '
Pwmit No. PwmM Floldw OMe TNbphorN N
WATER
SEYU~H
PLumewc . 'y 3 9/ 92
00 10/s O o a o
H.vxc. o? '
6~
ELEMIc VJ5,796
,,ap.C,+a+ nOe rulfL comn.ft
Foow+es 1 41
Fox,dation
Fnrtrrg
ROD"
R.,gh Ptg. - Q!
Pough ?+ig. - - yi ~
bw. y - g ~s
Fnpiwe / Ds
R.w ?ns. -
Find Pb9.
Const. MeMr Plbg. Inspec,lw - No6fY Plumber
ErgrlPlan
Bldg. Final r~ WZf
o.a F+9. s yz
oeck Final
Wep
Pr. Siap-
-~-1/
i
' ~
(gtrttfirafe of OX.C11pKury ,
- Citp of (eagart
harnt of wuil.ding jwrdim
T his CaWj,uate Lccued pursuan! l01he rmrwrmarls ojSachioa 306 ojlhe UnlJonu Butldirtg
('.ode certifybtg Ilra1 at !he lune ojissrtanoe tJris.struclum wecs tit avmplianoe wi1/e the aarious
ord&rmears ojtl,e Gty ngulaft building conouaro,e ar use For tlu jollowing:
tacwwmmd. SF QC,~~ Md& PhnV* tim 18737
O-r-q TM F3~M1 ZomiagDi-i-, Pn/R I tya c~„~ VN
owmd ewvm -Aema 45513 L~1N'•L?] A~2E MrMNrrr I Q
~a+GO' Il? HiT I C fR SRt~iRTTY'E
&M"i A"- 3994
, -
~
oaw,
PQST IN A OONSPN7l10US PLACE
i
f
Addree5: 3904 SIUEBRIDGE DRIVE N. Lot 4 Blk 5 Sec/Sub HIIdS OF SIQNEW=
These items were/were not complete at the time of the final inspection.
Date: 91 Yes No TnspPctnW4
Finalgrade (6" from siding) ~
Permanent steps - garage
Permanent steps - main entry f~
Permanent driveway v
Permanent gaa
5od/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the buildar the ramoval of roof test capa from the plumbing
system and the shut-off of water supply to the outside lavm faucet before
freeze potential esists. r~
Kna[o wa
White - City copy Yellow - Resident copy Pink - Contractor copy
,
SEWER & WATER PERMIT ~ OFFICE USE ONLY
~ GITX.01F E/l6AN METER #PERMIT OATE 02/ 2 7% 91
, 3830 Pilot Knob Rd. 5 t 1831
? !
; Eagan, MN 55122-1897 -CHIP * PERMIT #
' • ME7ER SIZE B.P. RECEIPT #
5~ S 4G 1 ~ ISSUE pATE B.P. RECEIPT DATE 021251 91
DATE ' -
_ PRV _ BOOSTER PUMP
SITE ADDRESS 3904 STah'EBRIDGE Dfl N PERMIT REQUESTfD
LOT 4 BLOCK 5 SEC/SUB H7LLS OF STONEBRIDGE
XL SEWER X WATER _ TAPS
APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL
CITY, STATE ZIP _X_ NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Insialled
PLUMBER: •~n- Y~~-~r--`%-! L-= Ahead of Domestic Meters on Water Line.
ADDRESS: 9174 ISAIQTI ST NE 61 Credit WILL NOT be given for Deduct Meters.
i CITY, STATE MN Zlp 55434
~ PHONE: 784-4792
! I AGREE TO COMPLY WITH CITY OF
I OWNER: FEATURE BUILDERS EAGAN ORDINANCES
' ADORESS: 15513 LOGARTO LN
CITY, STATE Bi!ItNSV; t.t.F ~d ZIP 5531.7
PHONE; 435-8443 SIGNATURE WHEN METER ISSUED
. :
i, PLEASE' ALLOW TWO WORKING DAYS FOR PROCiSSfNG.'CALL 454-5220 FOR INSPECTIONS. FOR STORM
' SEINER PERMITS, CONTACT ENGINEERiNG DEPT.
L
. ,
SEWER & WATER PERMIT OFFICE USE ONLY
~
830 Pi otfKnob Rd. MErER # PERMIT DATE 02/27/g l I
0
' Eagan, MN 55122-1897 CHIP ~ PERMIT # t i831 f
I METER SIZE B.P. RECEIPT ~ I DATE FEB 25. ] 99l ISSUE DATE B.P. RECEIPT DATE 021251 91
- PRV _ BOOSTER PUMP
SITE ADDRESS 3904 STONBERIDGE DR N PERMIT REQUESTED
LOT 4 BLOCK S SEC/SUB XItIS OF 3'f0NLB1tIDGE
X SEWER __X_ WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND x RESIDENTIAL `
CITY, STATE ZIP -1- NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~.:c ~-~-1•~-- Ahead of Domestic Meters on Water Line.
ADDRESS: ~ 9174 I3ANTI 3T !B Credit WILL NOT be given for Deduct Meters.
CITY, STATE ~~?r4- MN Zip 35434
r:
PHONE: 7a+~-~4792
I AGREE TO COMPLY WITH CITY OF
OWNER: FEATURg BUiLDERS EAGAN ORDINANCES
ADDRESS: 15513 LOGAR'r0 LE+1
CITY, STATE Kms`?It-IX !g ZIP 35317
PHONE: 435-8443 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. ~9
CASH RECEIPT .
~
CITY OF EAGAN ~
3830 PILOT KNOB ROAD -
EAGAIV, MINNESOTA 55122
;_,J ~
UATE
I
ONECEnOEO
: ? )
FIIom
AAAOUNT
d DOLLJWS
p CASH ~ CHECK
J? . . ' ' ' ~
~OII f.~ ~ ~ l'~~F ^ J ^ J I f / _ ~ i _ ,.t . • .ly,
" • 1 I _ ' '1• ~~._~'L'~ l _i.; ~ ~ ~ f .
i ~
1 /t 'i~ 1( I
FUND OBJECT AMOUNT
I
I
I
Thank You
~eY
~ ~
12294 Cla,,
ft*--F. cw,,
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issuerl:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i i •t ~ r ,
:1 ` . I UNt:.lih 1.1)HI. !?F1 W MA I{•.uM Iqt;! !
t•. rs l •,l(iNiHNlDOE.
PERMIT SUBTYPE: TYPE OF WORK:
n,: I i rl I.II ~1! f 1 f~ 1~
INSPECTION ON TYPE D.
~I1 ! Pli. f 1!'.!i; n i { 1{fl
r, PAr.ATr H frMrTS Airf ktuultrCn 1 M. nNY P1 4JMt+lN6 nR f 1 ki.ifrtr.qr 11411.r
,
L
Permit No. Pumk HokNr Dab Telsphone #
S/VY
PLUMBING I
HVAC
ELEC SJ J ~ ~ I
ELECTRIC
tnspscrion 0ow kap. Commwnb
Fooringal
Foundatlon I
Framing
FOooW9
Rough Plb9-
Rao H19•
Isul.
Fireptace
Fk1sl F11g.
Orsat Test
Finei Plbg. Plbg. Inapector - NotilY Plumber I
Cortst. Meler
~~lan
BWg. FnW
I
°ei* FV. I
DeCk Final I
I
Well I
Pr. Diap. I
I
r DATE: FEB 27, 1991
'11-41
T
RE: 3904 STONEBRIDGE DR N(FEATURE BUII.DERS)
%
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. I
I
Your Sewer & Water Permit for the above property cannot be completed #or the following i
reasons: i
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice. '
COMMERCIAL PRQJECTS ONLY: Please pay for meter at City Hall. Meter size must be i
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. ,
I
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. I
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. ~
~35 ! 8 61 Oli s
8.00
Repuest Date Fire No Rou - n InspecLOn
_ qqq dp ? Peatly Now~O'Nill Noiify Inspector
es ? No When FeadyP
licensed cornraqor ? owner hereby request inspecllon of above electncal work at:
Jab Addrass (Street Bax or qoute o) City
O i
Secbon No, TownsM1ip Name or No. Range No Co/unry
`
OCCUpan~IP T) PhOne NO
'J-?~i vwK/
Power ppher Adtlress
Elecbi mractor ICompany Na el ~ Gon~mo, /ensgNO
! 7 G'Y
MeiLn qdtlress ( onlraclor or Ownar M mg InstellaVo
C~ ~s
AuMonzed ignaWre IComractoNOwner Makmg Insta alion) P7~_ be~ ' 6 3' l/
MINNESOTA STATE OAqD OF ELECTPIQTV THIS INSPECTION REOIlEST WILL NOT
Grlggn-Mieway Bltlg. - Room 5413 8E ACCEPTED 8Y THE SWTE BOARD
1821 Unlvara0y Ave., St Paul, MN 55104 UNLESS PqOPEF INSPEGTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 I
? Soe msttucoons ior canpating this fortn on back oi yellow copy /O o3/_ C
M 44 ~P J
w 5 7 H 6 1 "X" Below Work Covered by This Request
e Add Aep. ^•TypeofBuJding ApOhancesWireO EqmpmenlWiratl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specdy)
Comm /lntlustrial Fumace
Farm Air CondiOOner
ONer (speoly) ConVactor's Remerks
Campute Inspection Fee Below:
# Other Fea p ServiceEntranceSze Fee # Circwts/Feeders Fea
Swimming Pool 0 to 200 Amps ~ 0 to t00 ps
Transformers Above 200 _ Amps e 100 Amps
SignS fmspecrorSUSeOnly. ~ l TOTAL~L^'~
IrrigaUOn Booms d J
Special Inspection
Alarm/Communlcanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rougn m oete
certfy that the above mspection has F,nai ~ p,ta
been made.
OFFICE USE ONLY
Tpis repuesi witl 18 montns Imm
17ys
a~M 20 /100
nn oa
FeQUast D-te Fve No Foug -inlnspecIion 43
RaqmretlP ? RBatly Now Laililtil NObty Inspector
lFe: ? No wnen aaaey,
licensed contractor ? owner hereby request mspection of above electrical work at:
Job Atlaless (Sireet, Box or Faule N ) G1y~Q' ^ ]
L
Secuon No ownship Name or No ange No Counry
OCtupanl(PF T) J`/~~~ Phone No
Power pher qOtlress •
Elecvw mrac~or ICOmpany N me) Confraclo icense No.
oy/ ~
Matlmg Atldress ficonlractor or Owner Makmg InslallaLOn)
7~ 7S i v~~ ~
Autbonze0 Signai IGOnVactonOwner Making Installa1)V Phone N mber /
D - lL /
MINNESOTR STATE e HD OF ELECTRICITY TMI$ INSPECTION RWUEST WILL NOT
Grlggs-MlEwey BICp. - Room S173 BE AGCEPTED BY THE STATE BOARD
1021 Universlty Ava, St Paul. MN 55104 UNIESS PROPEF INSPECTION FEE IS
Pnone(61])ea]-0BOO ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
6 9 - 100295
7 ? See mslrudions lor com0leling ihis brm an back ot yellow copy F~=
a 5 7 9 2 0 -"X" Be'low Work Covered by This Requesf ;_`.,1
ew Adt} ep-' • TypeoBwitling AppliencesWiretl EQUipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heahng
4OApt. Bwlding Dryer Other (Specity)
omm./Industnal Fumace
arm Air Condiiioner
ther(specily) Gontraclor5 Remarks.
Compute Inspection Fee 8elow'
n Other Fee # ServiceEmranceSrze Fee # Circwts/Feetlers Fee
Swimming Pool 0 ro 200 Amps ~ 0 to 100 Amps ~
Transformers Above 200 _ Amps Above 100 _ Amps
Si Jns InspeclorS Use Only TOTAL O
Irrigation Booms ,Q• G 0~/
Special Inspection
AlarmiCommunication THIS INSTALLATION MAV BE ORDEHED DIS N~lECTED IF NOT
Other Fee p COMPLETED WITHIN 18 MO T~~?
I, the Electrical Inspector, hereby Rouqn-in ~
./C a ~
certity that the above inspection has oale
been made. ~
OFFICE USE ONLY ,
Thvs repuest witl 10 monihs trom
~
G 0248
Aepuest oate 1 No RauBh~~^ ecnon Repwretl Inspe n Omar Tna ovgn.ln
(vou mu II imoacmr wnan reatly) ~ RpdEy NOw Will Non1y Inspecbr
~ z 7 J/ Yn ? No Oale ReaE
I I] licensed comractor >~pwner hereby request inspection of above electncal work aC
Job AtlCress ISVeet. 9ox or Route No I Ciry
s 1~
S !c e . < F-w.
Secuon No Townshp Name or No. Paige No. Gounry
• A.
OccupantIPRINT~ PpOnB N0,
l?_Z
Power Su her Mtlress
~i7 iG z G
Eiecmcal Comractar Company Namel Contractor's LKensa No
Madin9 40tlre551COnIraclOr Or Owner Makin9 Instalta0on,
Autnonzea SignaWre IComran a¢ing instaliauon, Phone Number
INNESOTA STATE BOARO LECTRIQTY THIS INSPECTION REOUEST WILL NOT
Grlggs-MlEwey Bldg - Poom S473 BE nCCEPTED BV tHE STATE BOARD
1821 Univarslty Ava.. SL Paul. MN 55104 UNLE55 PROPER MSPECTION FEE IS
Phone(61Y1 6C2-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION pesp-ooom7oe
p/qqq ~ SeetTStmcnons 1or completing Ihis torm on pack o1 yellow copy ~El
uV O 2 4~ H" ? "X" Befow Work Covered by This Request 0.
ewAdtl Rep. TypeoBudtling AppbancesWired EqwpmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heeting
Apt. Bwidmg Dryer Load Manegement
Comm /Industrial Fumace Other (Specify)
Farm Air Conditioner
O'ner(sUaufY) Conlracmrs Remarks:
Compufe Inspection Fee Aelow:
~ Other Fee ~ Service Enlrance S¢e FeNe rcmts/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 Amps
Transformers Above 200 _ Amps 100 _ Amps
S ig05 Inspector5 Use Onty TOTAL
~
IrngaUOn Booms yV
Special Inspecuon
Alarm/Communicauon THIS INSTALlATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn,m _ oaie .r
certify that the above inspection has F,nai ~ Date ~
been made.
OFFICE USE JNLY 1
This requesl vo~tl 18 months Irom ~ e~ I_ I-
^l~ ~i
CITY OF EAGAN No, 18737
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt #
Tobeused(or SF DWG/GAR Est.vawe $122,000 oate FEB 25 1991
Site Address 3904 STONEBRIDGE DR N OFFiCE USE ONLV
Lot 4 Block 5 Sec/Sub.HILLS OF
Parcel No. occuPancy R-3ML-1 FEES
Zoning PDR=1
w Name FEATURE BUILDERS (ACtual)Const V-N etdg Permit >»-nn
15513 LOGARTO LN Allowable ~-N
o Address ~ ~ Surcnarge 61.00
Cit BURNSVILLE phone 435-8443 Nof5lnries -
Y Length ~(1' Plan Rewew 466.00
, o Name SAME Deplh sna crry 100.00
0,04 Address S F. Tolal - SAC, MCWCC 650.00
~ Ciry Phone SF.FOOlprints -
On Srte Sewage _ Water Conn 660.00
r .
ww Name OnSiteWell - WalerMeter 90-0
n
MWCCSystem X
Address
n
a~ Q1 Waler g_ Acct Deposil 30-0
a W City Phone Y
PRVRequirad - S/WPormil 30-00
0
I hereby acknowleqe that I have read this applicaUOn and state that ihe Booster Pump - SM! Surcharge .5
inlormanon is correct a ee to comply with all applicable Slate of
0
Minnesota Stalutes a City of agan Ordinan e~ s. „ 7realment PI 276.0
r~ a
SignatureolPermitee ~~~~~Y~'~_ APPROVALS RoadUnit 370-0
n
A Building Permit is issued to: FEATORE BUILDERS Pianner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable Slate ol Minnesota SQtatutes antly yG~ry}.~ol Eagan Ortlinances. eidg. OIL _ Copies
Bwlding Ofhtial Vanance - TOTAL 3~ 450. 50
1991 BUII LICATZON
CITY OF EAGAN
SINGLE FAMZLY DWELLINGS MTLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT ZS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
FEB 2 1 RECo
To Be Used For: ~12U.u' . Valuation: ~ i. 7 Date:
. ~ a.v.6C,f.1
n
Site Address U'+ OFFICE USE ONLY
~ I 22 000 ~
Lot ~ Block S t FEES
Occupancy R-3 M-I Bldg. Permit ,170
Zoning fD R-1 Surcharge f Op
Parcel/Sub ~Cr[.~•~es ~(,~p.Q~ Actual Const Plan Review y66,0o
?'1 ~ Allowable ~/-N SAC, City /D~,DD
Owner ,T;~~~,~•LC. is of stories SAC, MWCC ~nlm ,vO
~y Length ~ Water Conn. 4;60Q0
Address ol $-'5-/ Depth 38 Water Meter 0100
S.F. Total Acct. Deposit 3 D.OJ
City/Zip Code ~~t.L(p S S3 37 Footprint S,F. S/w Permit D,Da
S/W Surcharge 150
Phone t/-3 S-~Z/y ; On site sewage_ Treatment Pl. G,00
On site well Road Unit 0 100
Contractor ~21.1~ ~~~ctxr,q,i MWCC System ~ Park Ded.
City water ? Trail Ded.
Address o,s. cdp-nu..c.- PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ILE,hQ
Arch./Engr. Bldg. Off. i C zzz 4/
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signature of ntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA I I .
~ J . ' .
G E
.2 1;X LIl~p
!o K 21 = z~0
(050 l5 = Cl I 5O
SgMr,
zIp >11 3` = ~3~
~X (z = C 6 y) .
761 X l~l= IadSy
1 S. T FL on~
d3SMT= ~
~ 6 K/6 _ ZS~
ZK`6= It,
~03'3 x 51 = 526
,
Zti~ ~~,voriL
qiZ
S r 2'/z : < I 2 )
~
~u8 x5t'
~ Z. I ~135 o(Z 1 Z2 i oOJ ~
METRO 1875 PLAZA DR.
SURVEYORS suIrE 200
INC. EAGAN, MW 55122
Certificate of Survey for: (612)452-7e50
FEATURE BUI LDERS
LEGAL DESCRIPTION: LOT 4,BLOCK 5,hILLS OF STONEBRIDGE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
S
N 34013'48" W ~02
16.00
S ~
. T0 O
• e \~g Qo ~
~rv 2 'h~ ~ oR ~ ~s
~a Q , 2
91V . ~?,y~ • p ~S
o C~nR s ~ a bL• ~
~ ~ ~ ; , - ~ o \ 903
! ~ b~~ ' o ~ 3- ~9
o
~
a,
t?1
\o
N
(Po ~~~.yq~ ~ ~ r • • 1`
c3` .qs • _ ' _ ~ _ _
F
EAGAN ENGINEERIIVG DEr'r
SCALE : I"= 40'
~ I
~ F' PoSED - F~~L K45~M~~1"r- u/~+LKoJi'
LEGENO INVERT EIFvAT10N AT SERVICE ExTENSION¦
o DENOTES IRON MONUMENT PROPOSED GARAGE FIOOR ELEVATION• o~•~
a DENOTES WOOD NU8 SET PROPOSED FIRST FLOOR EIEVATION• o 0
%ODS DENOTES EXISTING SPOT PROPOSEDBASEMENT iL00R ' °
ELEVATION ELEVATIJN
(M8~2~ DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE VERIFY ALL FLOOR MEIGhITS WITM
FINAL HOUSE PLANS
I Iwebp wrtity ihot ihis surwY.Dlon or
reporf Ma proporod by nw or unGr my ~
direct suprvision and tAaf I am a duly BrpCl*y J. $~i~(wn"Mn. Rea Na. I5235
o Reqistered Land Surveyor undM tM ,
: Laws of tM Stote of Minnosota Dat* • 21-,,g 1;,4
LIYS YLAN 5UhVwt
/a3o w. 145tn suaQ+
A
ADDtg vJNy, MN 63120 EXTERII... ENVELUPE hVERAGE "U" COt•1PUTATI 041NER
SITE ADORESS 390L+ ;P~,-~,oDn..,~ue, ~'1 . ~'1 _ Cc.r.~~n 'h~~ •
GONTRACTOR FFa-cur_~ ~~.,~cs DATE ,2-31-9% PIIONE ~f-3S-E44=3
Determine working square footage of each.
1. Total exposed wal l area a-~ ay y a sq. ft. x .I ~•hti
2. Tota] roof/ceiling area IC08 sq. ft. x .o1) I'= ~1 •~.1
Total exposed wall area above floor = 19 F'j
a. Total wall window area ~("nZ, 8
b. Total door area ~ , .
c. Total sliding ylassdoor area t4 y
d. ToQal fireplace wall area cj P,_
e. Total wall framing area (average 10%)........ ,
f. Total net wall area above floor 1 2 Z.OR
g. Total rim joist area Z Sto
Total exposed foundation area = FYy•y a
h. Total foundation window area..................... (D,3
i. Taal net foundation area above grade 7 R,ISL
Determine "U" value of each wa11 segment. a. ~lDZ.B x"U'l , S = EI,yD
b. 38 x°ull , i3 = s.a6
~ C. Uy x„u„
a. yg x°ut. Lo = ab
e•_ 1112. X if U., .v9~ = 16.ay
f. 15'tZ.OR X toUlt .O`I'b = 65.45 -
e- 7_51 LO x°u^ , 041 = lu,so
n. 6.3 X„IJ., . SS = 3.4'1
X "U„ .08z-= 141
3.......... a3ol~{,~{$......._......Total /'-E-5 26.03
If item #3 is the sanie as, or less than item #l; you-have met the intent
of SBC 6006(c)2.
I:.1'~ • . . • . ~
: Total exposed roof/ceiling area = 1 O O8
' . Total gross roof/ceiling area 1 008 .
3• Total skylight area .
k. Total roof/ceiling framingarea f 006
F3
1. Tota1 net insulated roof/ceiling area....... _ q p 17, Z
Detennine "U" value for eacli roof/ceiling segment.
j, x ,1u„
k. ?00.8 x °ul. ~oz4 = a.4a
I . 407z. x„u„ . oz z=)q.q6-~.
4 ..................I,QQS.......... Tota1 = a a a
If total of #4 is tlie same as, or less than FZ, you liave met the lntent of
SBC G006(c)i.
To utiTized ttie total envelope system method,.the values established 6y the
sum of items @3 and 04 sliall not be greater tlian the sum of itens 91 and #2,
.1. + 2.
3• + 4.
MATERIALS ' Tlterm. Resistance "R"
Exterior Air ,19
Siding Material .45
Sheathing Z,O(A '
Insulation iq
Sheetrock . y5 . "
Interior Air
Stude
Rim / P, A .
Conc. Blke. 1.7 A
. , .
~
PERMIT
11 CAT*10F EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 022882
(612) 681-4675 Date issued: 01 J 2 7/ 9 4
SITE ADDRESS:
3904 STOIVEBR.T.DGE DR N
LOT: 4 BLOCK: 5 ~
P.I.N.: 10-32990-040-05 HILLS OF STONEBRIDGE
DESCRIPTION:
B/uildingLPermit l'ype BASEMENT FINISFI
Building Wdr \Type ALTERATION
r
i `
~
~ i
~ -i
~f
REMARKS:
SEPARATE PERMITS RRE REQUIRED FOR ANY PLUMBING OR ELEC'fRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $•50
Total Fee $35.50
CONTRACTOR: OWNER: - Appiicant -
MATTSON MARK
3904 STONEBRIpGE DR N
EAGAN MN 55123
(612)221-8460
S hereby acl<nowledqe that I have react L'his application and stat:e that T.he
i.nformation is correct and aqree T.o comply with all applicable State of Mn.
~ StatuL'es and Ci,ty of Eaqan Ordinances. J
AICAN7/PER E SIGNATURE ~ IS~ ED B: SI NA ~ I~~
CITY OF EAGAN
21til1994 BUILDING PERMITAPPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date '9:~/ Valuation of work
Site Address:
STREET SUITE M
Tenant Name: (commercial only)
IAT 4 BIACK r SUBD. JI , gQ. I P.I.D. k
Descrl tion Of WOLLC' O/JSC~~~F~~/3%~ ~T~"rc ~?c~~ C<cSoT ~~v:.z Sr/tr.cS/ E«c.-ua:c
The applicant is: Owner ? Contractor ? Other (Deseribe)
w- zZ.-8~ o
Name /~1,~; so.? /d~ Phone.,~- G sz -o•-ss!f
Property LAST fIRST ^
Owner qddress .3?9c~z
rn.•F.f',.er~c
e
STREET STE p
City ~y-? State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company ~
Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this_apPlication and state that the information is
correct and agree to comply with all icable State of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant: e~'
'
OFFICE USE ONLY • ~'t +
BUILDING PERMIT TYPE
O 01 Foundation O 06 Duplex O 11 Apt./Lodging 0 16 Basement Ftnish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 17 17 Swim Pool
O 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New JR 33 Alterations O 35 Tenant Finish ? 37 Demolish
0 32 Addition 0 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y.7 y
Depth On-site sewage SAC Code ZT
APPROVALS Census unit o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site ? Footing M Framing E7 Insulation
? Wallboard )2"Final ? Draintile ? Fireplace
Permit Fee vaimcsQ,: g
Surcharge
Plan RevieN
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
~ dY~ivrlQt f -7
`
PERMIT'N CITY OF EAGAN ~ /0 lD7
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveyS, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested,-but not picked up by last working jday
of month in•which re uest is made or lot chan e is re uested once erm' 4s~issued.
Date 04_ / 09 /%Z~ Valuation of work
Site Address: _310 ~ 50)UkicC46 R_• /l &`-XCih, MN 55123
STREET ere r
Tenant Name: MC[zk~ /uCt.~/')
LOT 4L_ BLOCK J SIJBD• A'(IS SIOYIQ,UKlIX P.I.D. f Descri tion of work: Q~C~~'1 ~(~1! GQRC~. •
The applicant is: M Owner 0 Contractor ? Other (Deccribe)
Name _mC{&_~Ul'1 /WG)c. Phone /ok -
Property LAST FIRST
)),0,.
Owner Aaaress _390L/ S~Zneb2idq,12
STREET STE i
City &,4A1h State MA-1 Zip
Company Phone
Contractor Address License # Exp.
I l.;iY S*.2:e
Company Phone
Architect/
Englneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approve .
I hereby acknowledge that I have read this a plication and state that the information is
correct and agree to comply with all app ca -e State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
urriut uac unLr.
. ,
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 13 Public Fac.
? 02 SF Owg. O 06 Garage/Accessory ? 10 Swim Pool ? 14 Agricultural
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous
? 04 Multi-fam. T.H. N OS Deck O 12 Comn./Ind.
WORK TYPE
'o 31 New O 34 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish 0 99 Undefined
O 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable; lst Gl. sq. ft. Cit; Waier
UBC Occupancy K-3 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length a~- On-site well Census Code 4 3 y
Depth r~• On-site sewage SAL Code
APPROVALS
Planning Building Vt~, Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site @I Footing ? framing O Insulation
? Mallboard ~ Final ? Draintile ? Fireplace
Permit Fee N,~ v.iu.c;a,: s
Surcharge
Plan Review
License
MWCC SAC
City SAC --u -
Mater Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/M Surcharye
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAL %
SAC Units
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLoING
3830 Pilot Knob Road Permit Number: 022882
Eagan, Minnesota 55123 Date Issued: 01 7/ 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 4 6LOCK: 5
3904 STONEBRID6E DR N MATTSON MARK
HII_LS OF STONEBRIUGE (612) 221-8460
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION „ . .A
FRAMING INSULAI"ION
ROUGH IN PLBG FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBTN6 OR ELECTRICAL WORK
L
~
. ' .
, METRO .
I075 PLAZA OR.
SURVEYORS surrE zoo
~ EAGAN, MN, 55122
(6l2)452-7850
INC. Cerlificate'of,Survey for:
FEATURE BUI LDERS LEGAL DESCRIPTION: LOT 4,BLOCK 5,HILLS OF STONEBRIDGE
ACCORDING TO THE RECORDED PLAT :
THEREOF DAKOTA COUNTY,MINNESOTA
S
.N 34 ° 13' 48" W ~02
. 16.0.0 N~
,
GI~
' 61 Qsi
Q 2
9m , ti~ o s
~'e ~aAR e ~t 6~.
~ S, r ~ e A• Z, ~
>1o~_'`'
C ? (J .
%
Q3 .
cA G>> .
, <~T
tT '9SF
Sn ,~O)
. ro~
SCALE, I"= 40' I
~ ~ .
. . .
LEGEND ~PoSE9 = FULL &qSEM~~JT~-,~~(XoJf' .
INVEFT ELEVATION AT SERVICE EXTENSION-
o DENOTES IRON MONUMENT PROPaSEU GARAGE FLOOR ELEVATION • 0l0:5
o DENOTES WOOD HUB SET PFiOPOSED FIRST FLOOR ELEVATION • n o
900 5 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR . • o
ELEVATIOH ELEVATIOl1 •
DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY AlL FLOOR MEIGHTS WITH
' FINAL HOUSE PLAHS
I MrsbY cOrtlfy fhat 1 yi rrturYeY,PIan o
report ras prepand b m or under mr
direct supervision anC thai I om a duly Brodley J~.~S7iriOsmM. Rep. No. 13335
ReQ i stered L a n d S a r vey o r u n t l K f he
LaM• of IA$ Slat• ot Minnesotu. Dats- 2/tir / #f
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT # 88
PHONE: (612) 454-8100 RECEIPT # IZ
34kG1idNICA7:;_YEEtN{T~; DATE:
R~STAENTIAIi:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
>
TOWNNOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00 .
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: 1&.p6lLs
q SUBTOTAL: $ )Q.A0 .
SITE ADDRESS: ~ l~`I S7L>n~E~QQ~(y~ Z~2, Ij• STATE SURCHARGE: .50
LOT:~ BLOCK Jr SUBD. / Aiw &:o~ TOTAL: $ 27•.S D
INSTALLER: ZkJI.E,.z H7G-d-AIG d4juC.
ADDRESS: I«-// ~ Ct., u- " - SIGNATURE OF PERMITTEE
CITY: AY.Mer4)I/(/zk_ ZIP: 11,33~
PHONE tt: 6 9j -0316
COI4MERCZAT./TND,USTRTAT:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WFiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Cities Di _ gital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
:
' CITY OF, EAGAN FOR CITY USE ONLY
~ i 3830 PIIAT.RNOB ROAD
EAGAN;~ !!N 55122 I PERMIT # 7& . .
I ' PHONE:,'(612) 454-8100 :RECEIPT #-~1 ?
' y
DATE: ~
~ . ~
Ir • , • ' • . ~ :'T
PLEASE 1COM11LETE' UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERHITS ARE REQUIRED FOR EACH UNZT.
.
-
WORK DESCRIPTION
COMPLETE THE FOLLOWINGi '
N0. FIXTURES ` EA.' . , TOTAL
NEl7 CONST ADD-ON MINIMUM 15.00 ~
ADD ON SHOWER 3. 00
t REPAIR WATER CLASET ' f 3.00 V.cO
, ~ • i ~ . ' I ( ~ ~ ' A I BATH TUB 3 : 00
; LAVATORY . I , 3.00 , L a:OD
OWNER NAME: KITCHEN SINK.i . 3.00.. 3•W
SITE ADDRESS:, -?)q0L~ ';r6ne_bVLaae~. LAUNDRY TRAY3.00 3•00
iNOT TUB/SPA i~ 3.00 3- W
' WATER HEATER I 3.00 _C0
_ IAT:BIACKi Jr '.SUBD.! IFIAOR DRAIN 3.00 3-CL
I , ;GAS,PIPING OUT.
; INSTALLER: ~Cl:VlSOiPl (MINIMUM - 1) 3.00 ~ 3-CO
ROUGN OPENINC§ 1.50
r ADDRESS:C~l_Aw !OTHER
WATER SOFTENER 5:00
, CITY: Zip; ~ ' ' I Gsq,-~;1{ IPRIVATE DISP:l 15.00'' '
JU.G.' SPRINKLER4 3,00 ~
' "PHONE -C
-1GD-I
' SUBTOTAL
. ~ '`~~'l~ !ST. SURCHARGEi .50
SIGNATURE OF PERMITTEEI.
TOTAL: ~ S SD. O7
;
: ,~`6ltH~~GT?lI?j~b~7S~'R~X~:sm; ;PLEASE~COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
'MULTI-FAMILY SUILDINGS'WNEN SEPARATE PERMITS ARE.NOT REQUIRED FOR EACH
'DWELLING'UNZT.
;FEES
, CONTRACT PRICE-_-_i----
,
OWNER NAME: : 18 OF CONTRACT FEE.
I „
x . I • I, ' y i I r . ; , I ~ ` ~ ~ STATE SURCHARGE 50 FOB ' , .
~.SITE ADDRESS: ' ! EACH $1,0OO'OF,PERMIT FEE!
LOT: BLOCK _ SUBD~ ~ ~ I ~ • I " ~ ~ I $25:00 MINIMUM FEE. ' ' . . ~
E . INSTALLER:' t ' ! I ' I ; ~ ~ 'i 1 ~ ~ CONTRACT PRICE .x 18 .
r ~
~ tADDRES S , i ~ ' ' ' ' • I' ~ ~ ~ j STATE SURCHARGE $
CITYi ZIPI.i
,+II_ .4.•~i i TOTAL:
' PHONE ; '
(SIGNATURE)-
FOR: t.i .t: ~ I ~ • • . .
' ~ • CITY OF EAGAN
, , . ' ~
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
PR 1111011
Use BLUE or BLACK Ink
For Office Use �f
Permit #: /D3c L
Permit Fee: / 0.5-n
Date Received: 1./l
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name:
Address / City / Zip:
Applicant is: Owner I Contractor
Phone:57---er6 a 4/
Description of work: UZ—r�✓cr� ��2�?� (;(/‘,"-,191:=7"-)
Construction Cost: Multi -Family Building: (Yes / No x)
Company:
Address: City:
State: Zip: Phone:
License #:
Contact:
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
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; 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 • - pleted within 180
days of permit issuance.
Applicants Printed Name
plicanPs Si
plicant's Si
Page 1 of 3
'1►
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
k. Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
L4
03'7 o
Porch (3 -Season)_ Storm Damaglt;
_ Porch (4 -Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool _ Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
4a. Fireplace: Rough In _Air Test 1 Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
yo �
-40
Siding
Reroof
Windows
Egress Window
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
•Zb —1
027
w/
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
SURVEYORS
RO
IJNC.
--C-1o`i Sim -`e10 44-I035oo
Certificate -of Survey for;
- PLAZA IA
��E 200
EAGA& LW 55122
(612)452-7850
FEATURE BUILDERS
LEGAL DESCRIPTION; LOT 4 , BLOCK 5 HILLS OF STONEBRIDGE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTYI MII NESOTA
.N 34°13146" W
- 16.00
\AGN
o V1/4
•
cb
BY:
EAG N
REV! EKED
DATE: %
BUILDING l+ ' -"TIONS DIVISION
SCALE = In 4= 40'
903`
4f
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111355
Date Issued:06/19/2013
Permit Category:ePermit
Site Address: 3904 Stonebridge Dr N
Lot:4 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
Mark E Mattson
3904 Stonebridge Dr N
Eagan MN 55123
(612) 741-2335
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123214
Date Issued:06/02/2014
Permit Category:ePermit
Site Address: 3904 Stonebridge Dr N
Lot:4 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Thomas Joshua Peine
780 Iglehart Ave
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Mark E Mattson
3904 Stonebridge Dr N
Eagan MN 55123
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142554
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 3904 Stonebridge Dr N
Lot:4 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-040
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 -
Mark E Mattson
3904 Stonebridge Dr N
Eagan MN 55123
(612) 741-2335
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154454
Date Issued:03/25/2019
Permit Category:ePermit
Site Address: 3904 Stonebridge Dr N
Lot:4 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-040
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 -
Wen Jing Liu
3904 Stonebridge Dr N
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164583
Date Issued:10/02/2020
Permit Category:ePermit
Site Address: 3904 Stonebridge Dr N
Lot:4 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-040
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Wen Jing Liu
3904 Stonebridge Dr N
Eagan MN 55123
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature