3960 Stonebridge Dr N . . . . ~
~ CiTY OF EAGAM Permit No: - Date:
3830 Pilot jCnob'Road B/P No: Date: 31--}{~7
P.O. Box 21199 Eaqan, MN 55121
j Owner. " r rgad .s.~
Site Address: .
~ Plumber:
Zoning* " I {
MWCC:
! City Chg: t ~ No. of Units: ,
; Acct Dep: 1.0,. 1 sgroe io comply with the Cily d Es9an
~ Permit Fee: 1n - 00 Ordinances. ~
~ Surcharge: St1
i '
Misc.: BY
1
SEWER SERVICE PERMIT
~:ir~t~rr:~?._- _ - -
. .
CITY OF EAQAN ~ Permit No: bate: 2-11--3 S
3830 Pflot KAob RoA Meter No: Size: ~
P.O. Box 21189 ' Reader No: Date:
Eagan, MAI 55121
, .
i Owner. ra~_~~'• '=-v
~ SiteAddress: f
Plumbei-
Conn. Chg: 2 5 • C. 1? Zoning:
Acct. Dep: No. of Units: ~
Permit Fee: ~ '
Surcharge: •50 I agree to comply wRh the City of Eagan
Tr. Plant 14;; . `L' Ordinances.
Meter. ~i 7 . !
, Misc.: BY
WATER SERVICE PERMIT '
. : .
CfTY OF EAGAMs. Permit No: Date; 2 11-5 8
3830 Pilot K+?ob Roid Pleter Na ~ 4.~L,-~? 3,? 5ize: ~
P.O. Box 21189 Reader Na Date: ~
Eayan, MN 55121
Owner. L' ! r,,, : ` '
Site Address: 1) . 4 _--r.~'=ri- , ~f.}
PtumbBt~' ~;_;>r
. ~
517 9
Conn. Chg•
Acct Dep: O.µQMi Ur,nit~;
Permit Fee: f ' g C21~ 10~.;~ ~
tL,
Surcharge: L~d~iti ~ iJ mp~fy wHh tha City of Eagan
Tr. Plant
Meter. 6 7 _ b t!'11
Mfsc.: B
WATER SERVICE PER
CASH RECEIPT
CITY OF EAG,AN
3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
vDATE 19
,
/v~~ AMOUNT
s
~
' s oo~~wws
ee
? CASH [3,iCHECK
~
C./~ i ~ ~C ry' ~,1 • f v ~ - i
I FUNO G [ AMOUNT
; Thank You . '
B r II
1171 White-Payen CoPY
Yellow-Po:tiny Copy
Pink-Fila Copy
I
CITY OF EAGAN •t ' ;
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt# ~ i
`To be used for f%r :?WG/GAR Est. Value g~~ ~()00 Date NOVEMBER 16 ,1967
Site Address 3960 ST()NEBRitXiE Dh NG OFFICE USE ONLY
t:3
`ot 16 Block 5 Sec/Sub.HILi.b UF OnSkeSewaye Occupancy
L
a STONEBRIDGE MWCC System k Zoning
Parcel No; On Site Wetl (Actuai) Const vn
a Name aRANfl ()AKS L`EVE{. CO Citywater ~ (Allawable) vQ
, i Addfe 4521 SO }lAY I.AKE RU PqV Requlred ~ of Stories S~
ss
%Booster Pump Length
~ City ~AG~ Phone 452~-~81b7 32
depth
A?ame S.iE 694-3601 S.F.Total
~
i, o~ Address Footprint S.F.
u
~ P. City Phone APPRpVAL3 FEES
En r/Assess. Permit s 465.00
W Name g'
Address Planner Surcharge 44•50
~ ~ W Clty PhOne Councll Plan Review 232.50
BIdg.Off. 5AC,City 100•00
I I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 525.00
information is correct and agree to comply with all applicabte-Sjate of WaterConn. _ 525.00
Minnesota Statutes and Ciy of Eagam O=dinancer,
Water Meter 67.04
Signature of Permittee ~d`~~.~~;y1 ~.a'r? ~ `
Road Unit U(?
A Building Permit is issued to: GRAI'iD QAK.S DEVEL CO Treatment P7
on the express condition that all workshall be done in accordance with all
i applicable State of Minnesota Statutes and Gity of Eagan Ordinances. Parks
Building Official TOTAL ~2,444.00
~ CASH R EI PT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 i
RCCEIVtD ,
FROM
AMOUNT
ADOLLARf
~oo
0 CASH q CHECK
~ I 1 7I
FOR I i I l.• ` . .
. I
PUND CODE AMOUNT
Thank You
BY
'2 White-Payers Copy
Yellow-Postinp CoPY
Pink-File Copy
BLDG. PERMIT N0. I L~~'lJ
y I Ir I r-
C_) f I.) ~ C_` J I`I l~ l"~ ,,t J~tr.~
01-3210 Bldg. Permit 00 ;
~
01-3422 Plan Check
A1-3445 Surch./Adm. I-SCI
~1-3446 SAC/Adm. -3
01-2155 Surcharge
17-3860 Road Unit C~
20-2275 SAC Li ; ) -76 20-3865 Water Conn. ~-~:%'1'•.~ c~G i
20-3868 Water TrmL.
20-3716 kater Meter
~
20-2252 Acct. Dep. I
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
,
~
TOTAL
~ ~IT~°""
gY OF EAGAN '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt~
To be used for Est. Value Date ` ,19 ~
Site Address "''-b~' , " it' OFFICE USE ONLY
Lot BloCk Sec/Sub. U.6 Vk On Site Sewafle , Occupancy
! . _ MWCC Syatem Zoning
ParCel Na On Site Well (Actual) Const
; vt) CitY Wetef y(AllOwable) y~
c Name
W ' PRV Required ~ of Stories
o C ~ress phone 4~ + ' ~ter Pump Length ~
Depth
a Name ~ ~~3`~dl S.F.Total
0
o ~ Addreg$ , Footprint S.F.
V ~ ~'ity ~ Phone APPROVALS FEES
~ W Engr./Assess. Permit . } • `
F = Name Planner Surcharge 44'
_ - Address
Phone Council Plan Revlew
a= City
~ W Bldg. Off. SAC, City t(G•
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525,
information is corcect and agree to comply with all applicabte State of Water Conn. J~
Minnesota Statutes and Ci of Eagan Ordinances.' ~
Water Meter
Signature of Permittee Road Unit
A Building PermH is issued to: • 5:J~' ~ Treatment P7
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official__
~ Permit No. Pormlt Molds? Date 12
TeIephone ~r Plumbing
I H.V.AC.
Electric
Softener
InspeCtlon Mte ],no
Commsnt!
Footings I %n Footinga il
Foundatfon
Framing Roofirtg
Rouoh Plbg. Rough Htfl. Isul.
Fireplace
Final Htg.
Final PIb9.
Bldfl. Final ~
Cert Oca
Temp. LP
Oeck Ftg.
DeCk Finel
Well
Pr. Disp.
p r~ , < PERMIT # 7~.fv ,.,.e .
MECHANICAL PERMIT
• ' CITY OF EAGAN RECEIPT # ~l
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE w i
CONTRACT PRICE PHONE: 454•8100
Site Address - gLDC,, T1rpE WORK DESCRIPTION
Lot Block S
Res. New
~ Mult Add-on~ Name Comm. Repafr
Address - Other
c Ciry Phone - -
, FEES
Name t RES. HVAC 0-100 M BTU - a24.00
c Address l ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C aN NEW ,
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE
ForCed Air BTU APT. BLDGS. - COMM. RATE APf UES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater = - M BTU - REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: Z' SIGNATURE OF PERMITTEE
TOTAL: . r , .
FOR: CIN OF EAGAN
. . . ~ , :yj ;
PERMIT #
PLUMBiNG PERMIT Q
CITY OF EAGAN RECEIPT #
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: _
j CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ,LCc Block Sec/Sub Res. X New ~
Mult. Add-on
~ 4ame Z' - Comm. Repair
.9 Address ~ Other
c Ciry , 7o. e,Ld -f • P h o n e RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
Name _ Nlater Closet - $3.00 ! Qr E 0
~ '7_Bath Tubs - $3.00 e-, L
c Address ~LLavatory - $3.00
p City Phone ~Shower - $3.00 Q
,_Ki?chen Sink $3.00
FEES • _ _ _ _ Urinal/Bidet -$3.00
COMM/lND FEE - 1%-0F CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPUES --/-Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES _/-Water Heater -$1.50 j,sG
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $2U.00 --/--Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ApD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYO 1,000.00) Well - $10.00
, Private Disp. - $10.00 . ~L
L-Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: 'S'~~~
s-.' th
~
(lerttftrafe u# Orrupanry
titp of Cagan
lgcparatrttt of UldWg JwPrt'tmt
This Cerli, ficate issued pursu" to the requirements of Section 306 of the Unifornt Building
Code certifying tlrat at the time of issuance ihis stsucture wns in compleance wuh the various
ordinances of the GYty regeilating building corrstruclion or use. For ihe follawing:
vsc a.oifi.uon `t M?iAZ ew%. eamit rw. 14,4:0
Tra ~ ~ iR ] T~ ~`:2
o,ym dani (':ZALD dAiS M~- 00 Add,.. 4521 S9aY LW` 8D. LrX'~±N
ayMngAddrm 396P0 SICHFIV1AA. Dl:-i11'L"~ y L16• A5• I11Ll,0OF .7?.MEM-1Jlz''.-
Daee: Asi~t..-,., 20. E: 819F
&uldro6 Officql
POST IN A GONSPICUOUS PLACE
_
• . CITY OF EAGAN N_ 14420
, 3830 PiLot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt ~--I q 0 -7 ~
L
To be used for SF DWG/GAR Est. Value $89.000 Date NOVEMBER 16 87
Site Address 3960 STONEBRIDGE DR NO OFFICE USE ONLY R3
16 5 HILLS OF OnSiteSewege Occupancy
Lot Block SeC/Sub. MWCCSystem X Zonin R
Parcel No. STONEBRIDCE - g Vn
On Site Well (ACtuap Const
a Name GRAND OAKS DEVEL CO Cirywater X (Allowable) Vn
3 Address 4521 SO HAY LAKE RD PRV Requiretl _ n oi Stories 58
o city EAGAN phone 452-8167 eoosfer aump _ Length
Depth 32
. o Name SAME 894-3601 S.F Total
o Q Address Footprim S.F.
: City Phone ppppOVALS FEES
W Name Engr./ASSess. Permit $ 465.0(
w
~i Planner SurCharge 44.5(
i- Address
az City Phone Council PlanReview 232.5(
a W BIdg.Off. SAC, Ctly 100.0(
I hereby acknowletlge that I have read this application and te lhat the Variance SAC, MWCC 525.0(
inlormahon is correct and agree to comply with all applicable ta e of Watei Conn. 525.0C
Minnesota StaWtes and City of Eagan O?dinanc
~ ~ WaterMeter 67.0C
Signature of Permittee Roatl Unit ifl S., p(
A Building Permrt is issued to: GRAND OAKS DEVEL CO Treatment P1 180.OC
on ihe express condihon t hat all work shal I be d one in accordance with all
applicable State of Minnes a StaNtes and Qty-pt Eagan Ordinances. Parks
'
BwldingOfficial TOTAL $2,444.0C
/S-•~r ~
~
~(N'lry , ~ ' ,
1987 BIIILDING PERMIT APPLICATION - CITY OF CAGAN
SINGLE FAMILY DWELLINGS
INCLUDC 2 SEfS OF PLANS, 3 CERTIFICATES OF 5[JRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiNER MIIST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - AFSIDENTIAL RENTAL [JNITS FOR SALE UNIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK UIITH BLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
CO?fMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIOPdS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: SF Valuation: 000 Date: 11-12-87
Site Address 3960 Stonebridge Dr.No. OFFICE USE ONLY
Lot 16 Block 5 On Site Sewage_ Occupancy R3
MWCC System ? Zoning R -I
Parcel/Sub Hills of Stonebridge On Site Well Type of Const
City Water r/ (Actual) V-F/
Owner Grand Oaks Development (Allowable)
I! of Stories
Address 4521 So.Hay Lake Rd, Length ,5g
Depth 32
City/Zip Code Eagan 55123 S.F. Tota1
Footprint S.F.
Phone 452-8167 or 894-3601 Ardy Parish IlPPROVALS FEES
Contractor same Assessments Permit b 5,00
Water/Sewer Surcharge 1414.50
Address Police Plan Review 2 3 2,50
Fire SAC, City 00.00
City/Zip Code Engr SAC, MWCC 2.0O
Planner Water Conn 5 2 5,00
Phone Council Water Meter 69•00
Bldg Off ll I(o Road Unit .DO
Arch./Engr. APC Treatment P1 180,OD
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone 1l
A Ii E{ . C i D l I E I
11
2:C=Xl'Elti.[OR LNVELOF'F AV[=FiAGE 'U' L'OI`11''L1THT].C1N
QGRaIVD OA1.:3 DEVEI.OF'rIEN'I" COMI=AIVti'
51
b I I°IOUEL .7 AREA l.J VALUE U X AREA
7~
01
9:11AX TNIUrI al_LOWLD BY CODE
lp:
i. 1 I TO'fAL WALL AREA 2294 .17 309.98
12;
13I TD"fAL ROOF AREA 952 .05 47.6
141
151 T'07'AL ALLOWED 437.58
1&ACHIEVED
171
1E3 : WALL AREA
141
20:WINDOWS 222 .5 ill
21 :DOORS 40 .077 3.08
«I:iLIDL= GLASS :9 .48 1E3.72
23IFIREPLACL _;o .25 7.5
241WALL FF+AME AREA 229.4 .041 9.4054
25IRIM Jf]'f.Sl' 124 .0436 5.,4064
"<b I F'L"iUIVD FIBOVE GFtADE 84 . Cr7E6V 6. R5'76
27 I PlEI' WAI.L AF;F_A 1525.6 .0370 57.66768
^ E3 I
291 l'OTAL WALL 219.,2391.
. ot
311 Fi017F AREA
321
331St::YLITE 0 0 i>
341 FIOF FRAh1E 95.2 .032 3.0464
3F.~i i NET ROOF 856.0 .0227 19.44936
361
=71 l"OTAL ROOF 22.49576
: si
39! 1"0"fAL ACHIEVED 241.7048
nu,
41 :I°IARGIN l:hl EXCE35 OF CODE 19P.8452
421
43I"/. Mr1RG1P1 .LN L"XCEGS 44.75642
Thiz reuue_' /n~//9 ~
.
~~n ~hs~ d
962 /(S~ iK S iV,,//s oF.Sr~~,el:,~/e
Request Ua~e Frte No. Rou h-in In C~
e4urred~ suer.~ian
?Readv Nuw arWill Nnldv Inspec-
~as ?Nn to~r Wpen Featlv
~ Licensed Elec~ncal Convactor
? Owne~ I heraby ~equest ins0ection ol above
electncal work install
Ced aC
Street Address, Boa or Route No. ty
.39~
ecvon o. Township Name or No. flange No.
CaVmy
Occ~/u/Ant (PpI^NT) Phone N
~r~ 1~y !
~..~1 ~i
Power SupoM1er
Atltlress
~aKo ~r7G 7-0/0
Elecmcal Contracto, ICO oany N.imel
~ / Contrar.tor's Lmenye No. '
Mailing AtlJress ICOntmcior or Owner Makinp Insta ilatmnl '
llw /3 -
I AuNori ed $iAnature I onVa ~tor wner Fkmy hislallauon)
PM1Unt Nvmber
MINNESOTA STATE BOAND OF ELECTflICITY TM
G~IS INSPECTION qE~UE51 WILL NOT
~e9s-Midwey Blde. - poom N-791 BE ACCEPiED BY THE STq7E BOARD
1821 Uni-ers'tv Ave., SI. Peul. MN 55100 UNLESS PFOPER INSPECTION FEE IS
'hone (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
Ir Sea instructions lor comoleting this lorm on beck ol vellow copv.
6 2 "X" Below Work Covered by 7his Request
c.da Neo. •voa ot ewiaine AGpliantna Wvee Equiunieni Wired
Home Ranye Temporary Scrvice
Duple.x Water Heater LiyhUny Fixtuies
Apt. Building Dryei Electnc HeaLn
Cominercial Bidy. Fumace Silo Unloeider
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm Omri peci v .1h, Itinec,Jvj
t .r ucufy ther Oihp,
ompute lnspection Fee Below
p Fee ServiceEntrencaSue tt Fee Fexders/SUblextlers > Fe¢ Cvcuils
U to 200 Am 5 0 to 30 Am s fZ 34.G17 0 to 30 An o5
Above 200 qi~~py, T~E 37 to 100 qinps 31 to 100 Am s
Swimmmg Pool Above 100_Amps Above 100_A~npS
Tranytormers Irrigation Boonis Partiab'Olher F
Signs SUeciallnspecbon
Xema.ks $ C~- TOTAL F
r Q
Roueh-in , •11fd . the Electn
~nsoactoq herab'
~ rtdy thet the . bove
Final f7 , nspecUOn has been
mede.
TNSraquesi voiElBmonthsimm " ' °
-IL
.
SURVEYOR'S CEFiTIFICATE GRAND OAKS DEVELOPMENT CO.
# 472
PROPOSED ELEVATIONS SH041N 41ERE N
TAKEfJ FROh1 THE DEVELOPP1ENT PLAPI
fOR NILLS OF STONEBRIDGc, PRE-
PARED BY PIONEER EN6INEERING AND
LAST DATED 3-26-87.
I ~
~ i.
~ _3, 9s /O8 00 /
~ n •
3.SJ S~2o30'
LLJ 00 pe 1
~ Z NI ~
--y~~~s.~g
Q 0 ~:'r• .i:.;.'ri.'z' 24.00 ~ ~ `
Z M o°° ~
I PROP,OSEDIo,~ Q/a Q~ I \ A ~
r;..ORIVEWAY.,, N N ^
"'.q, i... .~4.0
-at~l p 8.0 p I
~O I rj W
LLJ t(j ~ 66 a ai °o ~
~ ~ 9 qZ ~o
p
I ~ 32.00/ O
ry~ ~ .p G
10
~
1~ \ 0 -t k 1~
o
a. 1111111171111111111111111
O q ~\.06-' ~~-32.06-~ .
170.00 S86°30'00"E l9UZ•T
I \ ~
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 912.1 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 904,4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 917-,5' FEET
WE HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 16, Block 5, HILLS OF STONEBRIDGE, according to the recorded
plat thereof, Dakota County, Minnesota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
oJR~•r~
~~i ~ir.u n 6Y ME OR Ui tv~ °I h ~;DEP, "Ni ~ Dii'{EC? .^iui^-EnV1iu v~ TNi i 2 v
T!a AY^vF,j OVEi~~~j2,i3a7
.
7 71 7
SIGNED: A S . LL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
m o m~~ o ~ - D~ D James R. Hil I, inc.
o'T' o N~ D m'= Z PLANNERS / ENGINEERS / SURVEYORS
r~ z0 m ~ J = m
' Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
0
UNDERGROUND SPRINKLER SYSTEM
PLUMT3ING 3'ERMIT
Date: Receipt # Cls8 7a'
Date ~/~9/
Permit # /(p
_ Commercial: $25.50 + water tap if reyuired. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
~ Existinit residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plu bin permit, WAC, and water treatment
plant fees.
3 (C~~ J~GrL~~2/USf=
(Address to be sprinklered)
Installer Name: 1,4/" lin-C
Phone ld 733 <;/g-
~ ~
Street Address: ,L~~6 7 4:~2F
City, State, ziP: 29 ~ (A L g KG S S 3 7 a-
!
Owner Name:
Street Address:
,
Phone
Irrigation Contractor: S G V q V. J
~
Phone
~-3- 92 7G
1,011,6
I hereb acknowledge that I have read this application and state that the information is
corre 7t,~ a ree to ply~l applicable City of Eagan Ordinances
~
cc: Engineering Department (commercial only)
APFLICATION FOR PERMIT *MTE. pp'Y~Nr OF E'M AT TIME OF ;
. ; nrecacaTTaa ooes rzm corr ;
STSIVIE APPACJAL OF PII7MIT. ~
SEWER AND/OR WATER CONNECTION = INsem'ION oF mqER A.a/ox vATm
icasrara.r,rxoris Wma. Nar ae scfnoi.m ;
• . • ~ l!NPIL PFIIDIIT HAS B@] ApPROVID. ~
a
ciEy of eagcan
(PLEASE PRINT
1) PROPERTY ADDRFSS: .~~Ifo/~ ~STo tJP ~/27 c~/cr•P n~~ ~
T,FY;AT,DESCRIPTION; 10'7- ,6 l~~Oh'/C
~Lot B ock 5 ivision or Tax Parcel ID ~
IF EXTSTING STRL'CTRJRE, DATE OF ORIGINAL BUILDING PERMCT ISSL~ANCE:
Mbnt Year
PRESENT ZONING/PROPOSID LSE:
Q COMMERCIAL/RETAIL/OFFICE 1:;9R-1 SINGLE FAMILY
Q INDC'STRIAL ~ R-2 DLPLEX (3+oro L'nits)
Q INSTITL'TIONAL/GOVEEtrIMENT ~ R-3 TOWPII-IOOSE (Three + Onits) ( Units)
Q R-4 APARTMENT/COPIDbMINIUM ( . Lnits)
2) NAhIE:
ADDRESS:
CITY, STATE, ZIP: . ^i .--44 ~ 1liJ ~
PHONE: 'a T-
/ For City Use
3) Ki NAME: Vti .liL Pl rur~ es Iacnse:
ADDRESS: ~pired
CITY, STATE, ZIP; .J~ Not recordec
PHONE: p~f G/~ MASTII2 LICENSE # U r) ~7_~J St Initia
4)
NRME: ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) :i4 .i. a, ~ ai:
CO~NI.CTION 'IC) CITY SEWEE2,f;z-~-J-CONNECTION TO CITY WATEE2 O QTHER
1 °
6)
****~~*~****+~~*****+*******+****..*~***~******~+*****+*~******x****:.*x**************************,r.+~
THE GOLD COPY OF THE PII2NffT WILL BE SENP DIRFX.TLY TD PiIBLIC WORKS 'IU FACILITATE t+IEI'ER PICK-UP.
PLEASE ALSAW ?WO N70RItiP7G DAYS FOt PROCESSING. SOP9EONE FROM TfM: CITY WILL CONi'ACI' YOiJ IF MiERE *
ARE ANSt PROSI,IIMS.
ir* * * * * * **'k* *Yr** ***YtYt ****4 *]k********:k Yt****#**** ***'y
1
.-FOR -CITY USE ONLY PERMIT # ISSDED
1,=f~
Pd w/Bldg. Permit FEES:
$ $ So SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 50 WATER PERMIT (INCLUDE SC'RCHARGE)
$ -7, O U $ WATER METER/COPPERHORN/OC'TSIDE READER
v
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / 5 O U ACCOONT DEPOSIT - SEWER
$ $ U ACCOC'NT DEPOSIT - WATER
$ $ wAc
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TR()NK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /3 L1`J. 0 C) S 54 DU TOTAL
79o 3 8117/
RECEIPT RECEIPT
DOES LTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
E] YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC
Q
ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION, LIST AS A CONDITION.
SUBJECT TO THE FOLLOWZNG CONDITIONS:
APPROVED BY:
TITLE:
DATE:
<F-~-o . (7-7)
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
. City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdian Reauirements RemotleVReoav Reauirements Office Use Onlv
3 registered site suneys showing sq. ft of lol, sq ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N
(20 % maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated adtlitlons Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 8 window sizes; poured found tlesign, etc. 7 site suney for addi6ons 8 decks Tree Pres Required Y_ N
1 set of Energy Calculations Adddion -mdicate i/on-sde septic system On-site Seplic System Y N
3 copies of Tree Preservatlon Plan if lot plattetl after 711l93
Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units
Date ' I 2 / 14 / 04 C,on`struction Cost Sl _C,0• '-n2)
SiteAddress °j9(00 31-~~,b,&,66ks- 4~.. N Unit/Ste #
Descriptioh oT Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~7wov~ -6EZ;~ C4t,'t( Telephonefik((pS/ ) US - W
Contractor biz&,'e!
Address City
State Zip y 7 Telephone 27% O'~'r-O 2
I~1 F9I(~ fl T '1 i1'F-il
II~l DEC ~S~L>nL'J ndL
COMPLETE THIS AREA ONLY IF CONSTRUCTING *iNEW BUILDING
- Minnesota Rules 7670 Catew ~By =~Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
submission type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone J
Sewer/Water Coniractor 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 star[ without a
permit that the work will be in accordance with Yhe approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name Applicant's 3ignature
1
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ PinalMo C.O.
_ Footings (addition) _ Plumbing
Founda[ion HV AC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
7reatment Plant
License Search
Copies
Other
Total
~
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
L
Use BLUE or BLACK Ink
Office Use
Permit#: -7(/,y
Permit Fee: az) "t
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
K Plumbing / Sewer & Water
Date: 772‘ 206 Site Address:3'?CO c`aar-ahyr. IV°✓i
Tenant: a-74' LtC
(_ c7 a /Yl , 9 �T (4et QS LC Gke74
Name: Phone:
Suite #:
Address / City / Zip:
(14-44j-00'
License #: , 5 T C 9—"Al
Address: /00"3i Ly ' City: /�/Ml4& 434
State: 771V: Zip: ,) 5-0 2 V. Phone: G s7 Yc.3 7 y3V-
Contact: f k) Email: cr. SQA r
r
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work:�/�jt rfu Br 1. iti7("-
FEES
$60.00 1 Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.comlinflow, or City Hall at 3830 Pilot Knob Rd.
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.gooherstateonecall.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 requir-: a review and approval of plans.
x >1
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135657
Date Issued:03/29/2016
Permit Category:ePermit
Site Address: 3960 Stonebridge Dr N
Lot:16 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Church Of St Thomas Becket
C/O Thomas M Kommers
3960 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:Mechanical
Permit Number:EA166840
Date Issued:02/09/2021
Permit Category:ePermit
Site Address: 3960 Stonebridge Dr N
Lot:16 Block: 5 Addition: Hills Of Stonebridge
PID:10-32990-05-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Ch Of St Thomas Becket
3960 Stonebridge Dr N
Eagan MN 55123--164
(651) 683-9808
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature