3988 Stonebridge Dr N
f -..xr'...:
4 CITY OF EAGAN Permit No: 1)4 +x Date: - I2-I6-97
~
; 3830 Pilot Knob Road ~g/p Nw 7'13; Date:
~ P.Q. Box 21199
~ f Eagan, MN 55121 ~
I Owller t; and Qg o J
( Site Address: 393; SLanebrid e Dr. No 117 136 fdi118 uf
Plumber._ 0a1~~~" i itiriuinp, Ster_ebri.i~r ~
MWCC: Zoning-
City Chg: d No. of UNts: 1 ~
~
~ Acct Dep: - d i
Permit Fee: 1()• 0,01"-t I agrea to comply with Nhe City e} Eagan
~ Surcharge: • Ordi^ene°a. •
~ Misc.: !
i By ~
I SEWER SERVICE PERMIT '
~
~ _ -
CITY OF EAGAN Permit No:- 9192
Datec 12-16-t17
3830 PNot Knob Road .~~r INk; Size:
P.O. Box 21199 Resder No: Date:
Eagan, MN 55121 i
Owner. Craad Oaks .
Site Address: 3988 Stonebrid e Drive Mo . 1 s o
Plumber. Vslleg. Plunzb ing Stoue r;-e
Conn. Chg: 5 2 V; 00nd Zoning: ?'1
; Acct Dep: 15 .04pd No. of Units: 1 ~
Permit Fee: 10.44od
Surcharge: • S00 1 spree to comply wlth the City of Esgan
` Tr. Plant 180,0024
O?dinances.
Meter.
i Misc.: gY
, INATER SERVICE PERMIT
CITY OF EAGItN Permit No: pate: 12-16-87
3830 PIIp) Knob Road •Meter 4~2 ~?S 9/ Size: a/p•~
P.O. Box 21199 Reader No: ~P 9f~ Date: 9.7_
Eayan, MN 55121
Owner. Grand Oaks
Site Address: 3988 5tonebridge Ilrive No L17 E TLit s o
Plumber Valle Plumb Stone r ge
_ . -
10
Conn. Chg: 525.0(? c, r .~pyp~ulll:t~~. R1
Acct Dep; 15. fl al~; ' ~ ]
Permit Fee:
Suroharge: .5011 ~
Tr. Plant ~9 o comply wlth ihe City M Eagan
Ordlna es.
Meter. 901.,ti^ , r
Misc.: _ gy
WATER SERVICE PERMIT
! BLDG. PERMIT N0.
01-3210 B dg.~Permit
~01-3422 Plan Check
n
01-3445 Surch./Adm.
i 01-3446 SAC/Adm.
01-2155 Surcharge
I
= . ;
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
r
20-3868 Water Trmt.
20-3716 Water Meter
j
20-2252 Acct. Dep. ~
i
20-3713 Water Permit ~
20-3743 Sewer Permit i
79-3866 Sewer Conn.
11-3855 Park Ded.
a l r i"• ~ ~ ~
TOTAL
~ CASH RECEIPT ~
.
fiITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' dATE
MtCt1ViD , . , i ~ '
RIIOM _ ~
- f AMOUNT
.
&-DoLLwRs
,se
? CASH GC] CHECK
r -
F- ~
I . , ~1. . . %
i
; i
rVND CODE AMOUNT
Thank You .
SY t
11. Vlfhite-PsYen CoDY
YNlow-Postinp Copy
F'ink-File CopY
~ CASN RECEIPT ~
.
`CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, M I N N ESOTA 55122
. DATE 19
, . wuccivcn
PROM - .r ~ _.!~-i~ I ~~1? l ' ' L./~=~ /'.,.y_ L..~. ti;
AMOUNT $ ~ / I CJo
~ ooLLww~
7
? CASH ? CHECK
~ ~LC-,LJ (~t~ C'L.¢-~/ /I.E:,- / - I ~ - •
/ - / ~ ~cJ !L` ? ~ ~C..~ ~ ~ ~ t.: 4... L-t~'
rUND cor)(IE AMOUNT
.I
~
Thank You
BY
i~ 38~ White-Payers CopY
Yellow-Postiny Copy
Pink-File Copy
PERMIT 0
PLUMBINO PERMR
CITY OF EAGAN RECEIPT N
- =90 PILOT KNOB ROAD, EAOAN, MN 55122 DATE:
CONTRACT PRICE ' PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Mult Add-on
@ Name l' Comm. Repair
~ Address Other
c Ciy Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWINO:
NO. FIXTURES TOTAL
Name Water Closet - $3.00 s
Bath Tubs - $3.00
c Address '
3 ry
Lavato $3.00
p City _.._'Phone Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool -$3.00 -
MINIMUM - COMM/IND FEE - a20.00 Gas Plping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD a50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE SIC:
FOR: CITY OF EAGAN GRAND TOTAL:
. . . . .
, t? G~ ~ CITY OF EAGAN . 113 y '
E~ y~~v ~iot Kr~~.~toad, P.O. Box 21-199, Esgan, MN 55121 I
(~-iF+ 5 ta1tion) / PNONE: 454-8100
BUILDING PERMIT Receipt# `
To be used for Est Value ' `.Y . Li:?oJ Date 7
Site Address IONEB't 1 ol _:0 OFFICE U8E ONLY ~
LS UF STUt. c,- On Site Sewage Occupancy Lot BIOCk ' S8C/Sub. MWCC System ~ Zoning ~
bk 1 U(;t
Parcel No. On Slte Well Type of Const
City WatBr ^ (ACtuBQ Vii
a Name '.)."JEi CO (Allowable)
W 1 Y L-1K~. riD ~ of Stories
3 Address Length
b Ciry Phone 42~'6 Deptn 3~ . 5
S.F. Total
. q Name Footprint S.F.
o~ Address APPROVALS FEES
5.
~ City Phone Assessments _ Permit W
Water/Sewer _ Surcharqe
~ a Police Plan Review ~
W W Name -
~ Z Fire _ SAC, City
s- Address ¢ Z Engc _ SAC, MWCC
~ W City Phone Planner _ Yvates Conn. 1
Council _ Water Meter
I hereby acknowledge that I have read this application and atate Bldg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable APC - TreatmentPl ~
State of Minnesota Statutes and City of Eagan Ordinancea Varlance _ Parks
Copies
Signature of Permittee TOTAL A 8uilding Permit is issued ta ~ on the express condition that
all work shall be done in accordance wlth all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Pormit Nolder Oate Telephone ~F
Plumbing cz
I H.V.A.C. 9~/1Co 1_,~,~
Electric %
Softener
Inspectlon Date Insp. COmments
Footings I
Footings II
Foundation
r,aming
a
Roofing
Fough Plbg. D i~ 6r - D
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Plbg. _ 7
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
w • •
i
(Itr#if tratr uf (Orrupanry ~
. tirp of (tagan '
gpparhnnf o# Iuieimg iwtrtwn
T7ru Certificate rssued pursuant to tJte requirements of Section 306 of the Uniform Buitding
Code cenifying that a1 the time of i.ssuance thu slructure was in compliance with !he various
ordinances of the City regulaling building construction or use. For the following.•
ux c,.ffirwi,. SF I7G1G/GAR e4. Fkn~ No. 14136 •
pccupaocy Type R3 Zouiog D'nmci Ri TYK Cow. Vtl
owr" Or sn"~ GP" OAKS 1)E,UFZ,OD. Add. 4521 S. HAY LM RD, FAGAN
, BwldM Ad&= 3988 SiUNERIDGE I7R ND Lo-ifty L 17, B6, HIIIS C&' SMNMIDGE
n., _ .TMIAM 24. 1989
~
POST IN A CONSPICUOUS PLACE
. ,
..ir.
, , . . _ PERMIT #
. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ~0
CONTRACT PRICE ` e 7 r: c~ PHONE: 454•8100 -71 Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec Su Res New
L. Mult Add-on
m Name Comm. Repair
Address Other
c City
'R Phone `FEES
~ Name L RES. HVAC 0-100 M BTU - a24.00
c Address ~1.= ADDITIONAL 50 M BTU - 6.00
p City ~~•;,z t Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS.(MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPIE OF iNORK GOMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU UU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unft Heater M BTU REMODELS - 12.00
Air Cond_ M BTU MINIMUM COMMERGIAI FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ~>T' BEYOND $1,000)
Other
, `
FEE 'f~. i 1 i~ ' 4' l~' 1
S/C: SIGNATURE OF PERMITTEE
TOTAL•
~ FOR: CITY OF EAGAN
, • . ' PERMIT ~c~-
PLUMBING PERMIT RECEIPT #
CITY QF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN SS122 DATE:
CONTRACT PRICE: PHONE: 454-8700
Site Address =v BLDG. 7YPE WORK DESCRIPTION
Lot L~.W;=_ Block SeciSub Res. New X
14. Mult Add-on
~ Name Comm. Fiepair
j Addres5 - Other
c City ~ Phone y FiES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name _ I Hlater Closet - $3.00
~Bath Tubs - $3.00 ~ -
# Address Lavatory - $3.00
p City t Phone Shower - $3.00
~Kitchert Sink - $3.00
FEES UrinaliBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES I Floor Drains -$1.50 ~ TOWNHOUSE 8 CONDO - RES. RATE APPLIES J-Water Heater -$1.50
MINIMUM - RESIOENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20_00 1_Gas Piping Outlets - $1.50 'STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10.00
Private Disp. - $10.00
; : • L_~~ ___~_Rough Openings - $1.50 '
SIGNATURE O PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• v~
rniv eanest yooe/'7 '78~•3~
19 monchs hom
D 213. U
Reques~ Date Fn¢ No. Rouph-in Inspecuon
/O' Re9wretlI O E) Readv Nu vi~t Will NotifV Insoeo
~ es No tor When Readv
~ Licensetl Electncai Coinrnctor I heroby request inspectian ol above
? Owner elacvical work mstalled ac
$treet Address, Box or Roate No. Uiv
~-i & ~S' 57` ~6 -1C ~ r!c/,,~z -~r'. CC~ -Q- /7
eclion o. Township Name or No. qange No. Caunty
OccuG t IPRINTI Phone No.
r~ ~irl~ S~5`Z- 6,q3V
Puw Supvber Address
~
Electncal Convaclo, ICompa V Namel Contracmn's License No.
-
M;~ilinp dJress (Contrac[or or Owner Makiny Insiuilavonl
767S_ ~ /3-
Auchon od Signa~uru IContr wr nm MakmB Ins~allationl Phone Numbcr
MINNESOTA STpTE BOqND OF ELECTNICITY TMIS INSPECTION qE4UEST WILL NOT
Griges-Midway elde. - Room N•191 BE qCGEPTEO BY THE STqTE BOAHD
1821 Univers,vv Ave.. St. Peul, MN 55100 UNLESS PHOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/p/&/REQUEST FOR ELECTRICAL INSPECTION es-aoooi-os
0 See instiuctions lor comoleting Ihis form on beck ol va ~
I llow coov D~l 3-N Below Work Covered by 7his Requesf
Ne,A aee xao. rvoa ol BmlEme nuniionc,. rvi,ee Enu'ument Wired
HUme Fanye Teniporaiy SCrvice
Duplex Water Heaier Liqhtiny Fieimes
Apl. Bwldint~ Dryei Bectri~ Heatin
CommerCial Bldy. Furnace Silo UnbadCr
Industrial Bldy. Air COnditioner Bulk Milk Tank
Farm Oihe~ pa~.I v Oih",r ISm;nifvl
~ . uccrtv Othar p~hw
ompute lnspecuon Fee 8elow
Y Fee ServiceEnvanco5ize b Fee ixxdars/Subleedurs b Fce Cucwcs
( 2.DU 0 to 200 qm ps 0 to 30 Am 5 0 tn 30 Am p
Above 200 qmps 31 to 700 qmps 31 to 100 qm s
Swimminy Pool Above 100_Ainps AAove 100-Ampti
Transrormers Irrigation Booms Partial.'Other Fee
Signs Speciallnspecuon 5
Rearks ~ TOTAL E
PouBh-in ? D~~ie
I, ~he Ele '
l f' /i~.f ~nsoecm.. nerony
cerbly ~hat ~he abovo
I Final ~
O'11e y sauoction has bean
AX4
~a.
TNa repuast voiE 1B montlu Irom
MODEL HOME - NO C.O. liNTIL CITY OF EAGAN
_ 14136
PLANNING 3830 Pllot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 Np
APPROVES. ' PHONE: 454•8100 -I I~ 1
BUILDING PERMIT Receipt# ---I
To be used for SF DWG/GAR Est. Value $89,000 Date SEPTEMBER 8 19 87
Site Address 3988 STONEBRIDGE DR NO OFFICE USE ONLY
17 6 HILLS OF STONE- OnSiteSewage Occuoancy R3
Lot BIOCk Sec/Sub. MWCC System X Zoning
ParcelNo. BRIDGE pnsiteweu ryueorconst
CitY Water X
(ACtuaQ ~
a Name GRAND OAKS DEVEL CO (Allowable)
W # of Stories
3 nddress 521 SO HAY LAKE RD Len9th 8-
0 City EAGAN phone 452-8934 Oeptn 36_5
SlSE S.F. Total
, o Nam6 Footprint S.F.
zi~
oQ Address APPROVALS FEES
ti City PhOnB qssessments _ Permit $ 465.00
~ s Water/Sewer _ Surcharge 44. 50
W w Name Police _ Plan Review 232. 50
~
x -i Address Fire - SAG City • O
uc Engc SAC,MWCC 525.00
aw City Phone Planner _ WaterConn. --52-5-.0-0
Council _ WaterMeter 67.00
n
I hereby ecknowledge ihat I have read this application and state BIdg.Off. _ Road Unit 305.0
thattheinformationiscorrectandagreetocomplywithallapplicable APG _ TreatmentPl 180.00
State of Minnesota Statut@'s and City a/gq~an Ordmances. ~nce _ Parks
Copies
Signature of Permittee~ 1K,; TOTAL
A Building Permit is issued to: GRAND Oit/.S D EL CO on ihe express condition that
all work shall be done in accordance with all ap ' te of Minnesot atutas nd City of Eagan Ordinancea
6uilding Official
~ p 1987 BOILDING PERNIIT 9PPLICATION - CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS 13 G~~
?
INCLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY C9LCOLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiNER MQST DESIGPAYE AHICH ADDRESS
IS DESIRED. NO Cf39NGES WILL BE ALLOWED ONCE HQILDZNG PERMZT IS ISSQED.
MULTIPLE DHELLINGS - RFSIDENTIAL RENTAL iTPiITS FOR SALE UHZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECH RITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COh41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Mo,W }{orHp_ s'•n5~e ~,I.tlDwe.~liny V
To Be Used For: , Valuation: 159,vO6~ Date: ~ o
Site Address i/r- ~.(O. OFFICE USE ONLY
Lot Aa Block LO On Site Sewage_ Occupancy pl-3
, MWCC System L,,- Zoning
Parcel/Sub s&*-~Q6r1 dL~` Q., On Site Well Type of Const
~ City tiJater (Actual) V-nl
Owner 4~~V+r?"D (Allowable) 11_0
# of Stories
Address Length 58.0v
r ' Depth
City/Zip Code S.F. Total
Footprint S.E.
Phone ~S-L bml 3~ APPROVAIS FEES
Contractor Assessments Permit yG S,AQ
Water/Sewer Surcharge yy,yo
Address Nay c..k Police Plan Review zSZ,SO
Fire SAC, City tD0-00
City/Zip Code rn} /t,--'4' Engr SAC, MWCC 52 S~ DO
Planner Water Conn 5'z5-60
Phone Council q 7 Water Meter b D
Bldg Off ~ q g Road Unit 305•00
Arch./Engr. APC Treatment P1 lFJb.00
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone 7i
' S U R V E Y 0 R' S C E R T 1 F 1 C A T E GItANU OAKS UCVELOPt1[N'f CU.
'
po,d5CP~ PROPOSED HOUSE ELEVATIOtJS
V
SHOIJN ARE PER GRAIJD OAY.S
DEVELOPMENT C0.
\y
Q ~ t'`?a /Q `I ~ I •
`O O'J•J r~~~'~~~~~.,,~'~7~ ' 3j' ~ . .
! y~ ~ TI~}i+y • ~ @p~ O~
F.~i'{bA ~ 1 pp
O0
~ i~~ s`' 20q`~• :i~ ~o
3o
~u Q .c O
, ~
0,0. q ` ~1~ 5E0 c'a,,, \ 01.
~ \1 \
1 \
3~ qQj`5 y ~ /
/ ` \ \ ao ~O 0.O O `
.,9/ LOT 1711
i
-a ,
~L -c , •
REVISED 9-15-87 62 L- ' i•..~
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE; 1 INCII = 30 fEET
• UENOTES iRON MONUMENT FOUND PROPOS[DrGARAfE FLOOR - 9o(e•S fECT
.X000.0 DENOT[S EAISTiNG ELEVATION PROPOSCD LOWEST F100R = gcqe,,g f[FT
(000.0) DENOTES PROPOSEU ELEVATION PItOPOSCU TOP Of ULOCK = q o&.9 FE[T
I HCRCOY CERTiFY TO GRAND OAKS OEVELOPMENT C0. TIIAT TFIIS IS A TRUE AND COR(iECT
REPItESENTA710N 0F A SURVEY OF TIIE DOUNUARIES OF:
Lot 17, Block 6, HILLS OF STONEBRIDGE, according to the recorded
_ plat thereof, Dakota County, Minnesota. (THIS LEGFlL CESCRIPTIOPI
4lILL BECOPIE VALID UPON FILIIJG OF THE PLAT HILLS OF STOPlEBRIDGE.)
AflU OF TIIE LOCl1TION OF A PROPOSE(l dU1LDING. IT DOES NOT PURPORT TO 5110W IMPROVEPIEPlTS.
OR [WCROACIIMfN'CS, IF ANY, TIIEREON. AS SURYEYED UY h1E, OR UNUER MY DIRECT SUPEIlVI51Ul•I,
TIIIS 3RD D(1Y OFsEysEagee, 1981.
PROPOS[D LOT CORNER ELEVATIONS SIGNED: JAMES R. IIILL, IMC.
SH041N WERE TAKEP7 FROPI THE D[VELOP- h1EIJT PL/1N FOR HILLS OF STONEBRIDGE,
PREPARED DY PIONEER ENGINEEP.ING,APID
LAST DATED 8-26-87. DY;
IIAROLD C. PETEIISUN, LANU SUftVEY01i
• P1INN[SOTA LICENSE N0: 12294
hAOJECT NO. -BOOK / PAOE JAMES R: I'IILL~ INC.
87498 a,) -7 /1 -7
planners / Engineers / Surveyors
FILE NO. •
8200 Humboldt Avenue Boutlt
' FOLDER eloomineton,Mn, 56431 012-8e4-3020
• , H ~E~ „ _ „ n E. ,
i,
=1f:Xl"EI;.T.OFi [=NVI_LOF'F_' AVLki=iL=,l_: 'IJ' COIWF='U7'AT:[pN
4; GRf,IVi7 OAk:;; UEVCL(7F'I°IEN"I' LOMf-'ANY
51
b I MOliLI_ J AIzEF-t LJ VALUE L.1 X r1(;;EF-1
%I
~I
911°IAXIMU!'I AL._LOWI'_D PY CCJDE
lo;
J. 1 I TCiTF1L. WALL ARf-_A 2294 .-t-7' +»i3,753 Z S 2.3 y
12: .006
1.31 I'0"f(aL FiOUf= F1f(EA 952 '45' SAW, Z 14 , 75
141
151 • TOl"F,l_ OLL_OWED 437.50 7.6I ACI-1:[E'VF:ll
17:
YU: WALL AREA
iYl
20; W I iWDOWS 222 .5 111
21 I DODRS 40 .077 3.08
221SLIDL GLASS 39 .48 tG. 7:?
IFIfiEF't_ACL i,o .25 7.5
24 1WAL.L FFiAI`1E i;fiEA 229.4 .041 9.4054
25IkSM j(7f5;1" 124 .0436 5.,14064
20F OUND AHOVE GFiADE 84 .0769 6. a5'i'b
27 I P1El' WAL.L F-11if=A 1525.6 .O;'70 SJ. faci7b£d
281
291 l'Ol'Al_ WALI. 215'.::34J.
=U1
311 F•:t70F AFik=F7
= 2i
031uk;YLITC G p O
'_41R00F f=RAI`1E 95.2 .032 =..OASA
551 hIET ROOF E356. ts .0227 1'~'. 44~"tv:6
3hl
37 : TOTHL ROOF 22. 49576
=81
34 : l'UT'AL ACHIG.VE.D 47 .73~4
44 ;
41 :I°IARGIPd 7:IU kXCESS OF CODE >42 ~4
~7<I
43I"/. I°,hGIIV :[I~I EXLE;:iS 56 '
1999 @UILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 n~ n
~ 657-681-4675
1
New Constructlan Reaulrements Remotlel/Reoalr Reaulremenls
9 3 registered sNe surveys showing sq, fl. of lot, sq. H. of house 2 copies of plan
and all rooled areas (20% maximum lot coveraae allowed) 1 set ol energy calculailons for heaied addHions
2 copies of plans (show beam d window sizes; poured fnd. desfgn; etc.) 1 sNe survey tor exferior addNions 8 decW
7 set of energy calculations
> 3 copies of tree preservatlon.plan H lot plaHed aNer 7/11/93
DATE: _ Sl 15 CONSTRUCTION COST:
DESCRIPTION OF WORK: R6U 6 S-7LOr/3'1 LJ~'f ~J79 0 1°.
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D.
Name: 49-49G.9C /UI)j kilf t / A Phone#: v5~-b~~
PROPERTY Last FIrst
OWNER Street Address: A^ icGP 3/ c'S E Sio/1~,' L7' c,,e, 4I- i
.
City jF ?q ss State: Zip:
Company:S Z / eG K60~' ell 6 Phone
(area code)
CONTRACTOR Street Address: ! //5g3 ifU lez License # +2013p1qO Exp.
~
city JJ u/"/15 lJ state: zip: ~~J .3J z
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer & water Ilcensed plumber (reauired for new constructlon onlv):
Penalty applles when address chonge and lot change Is requested once permft is Issued.
I herehy acknowledge that I have read this applicatlon, stcfe that the Informatlon Is conect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordfnances. q
Stgnature of Applicant: V ( A7q1 )u
OFFICE USE ONLY Mj~ ERC+ IVED
Certificates of Survey Received _ Yes _ No MAY 19 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required IBY:_____
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level X 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Irflpr l ? 39 Gas Line Only , 43,Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg ? 40 . Gas Insert--•'? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) J& 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (AcTual) Basement sq. ft. r ~ ' ~ ' rr Census Gode.j
(Allowable) Main level sq, ft. SAC Code
UBC Occupancy 1! 1 • syq. fty; ~ ; . - -No:.of Units
, ~ .
Zonmg sq. ft. No.'of Bldgs
# of Stories ' sq. ft. MC/ES System
Length • ~ sq. ft. City Water'
Width Footprint sq. ft. Booster Pump
PRV
. . . • • • "Fire Spririklered
APPROVALS ~ ~Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MGES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
APFLICATION FOR PERMIT iNOM= pA)MENr OF FFE AT TSME OF ~
; aeec.xcaTTaa ooes taorr coN- ;
SfI1[T1E ]1PP[iGi7N. OF PESiPIIT. SEWER AND/OR WATER CONNECTION Ir~seBcr~or~ oF s~Ea nNn/ars w~+Tea I[1i17~Li1TIONS WIIL IAT BE SCmOI1~D ITNPiL PII2PIIT HAu BEQ4 ppPROVID. (PLEASE PRINT
Dm)-Cltv0Fczaqqn
1) PROPIItTY ADDRFSS: J 9 g~ ~fi~.t~n. 8~ f d a G !JG /U o~1.~
i FY;AT DESQtIPTION; 4o<!X / 1111~s af STo~ e,r~
Lot B oc Su vision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PII2MIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COhIINIItCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY
Q INDLSTRIAL R-2 DUPLEX (3tao Onits)
Q,INSTI7[;TIONAL/GOVERNAIENT Q R-3 TOWNHOCISE (Three + Units) ( Dnits)
Q R-4 APARTMENP/COPIDOMINIUM ( Units)
21 NAME: ~ ADDRFSS: . c~ ~ •
CITY, STATE, ZIP:
PHONE:
/ For City Use
3) NAME= vQ t Lo - f,.~, UM h] .U Plumbers L~cense:
ADDRESS: ~ K Active
/ \ Expired
CITY, STATE, ZIP: .~b ~-~1a -U _ ,AA -j "535 I Not recorded
PxorrE: y92- ~ la I rAsrm LzcENsE # a o1']-M(; sta rn~it~a~
4) ~ " •
NAME: 4'Ra
ADDRESS: .3 S S~f' ,rJ c~ e
CITY, STATE, ZIP: lit'0 AlY m ,AJ 3
PHONE: '~/?:;2 -d r/`-LrI
5) s a •an
'J~JSNNECTION 'IC) CITY SE,WER CONNECTION TO CITY WATER a OTHII2
6) ZM
**********************************************k**************************Yr*************************Y
* THE GOLD COPY OF THE PEE2NffT WILL BE SENP DIRF7('1Z,Y TO PCBLIC FURKS 'IU FACILITATE METER PIQC-OP.
*k PLEASE 11LIAW 'IWO FARKIAIG DAYS FOR PROCFSSING. SOMEONE FROM TEIE CITY WILL CO[SfALT Y(x) IF 74IQ2E ~
* ARE ANY PROBLEMS. +
~
***********4*****************************t*************************************************t******'y
.-FOR -CITY USE ONLY -
PERMIT # ISSUED
y.2 9 z Pd w/Bldg. Permit FEES:
$ $ ~c SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL}RCHARGE)
$ 7,C~D $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ('1 o $ ACCOLNT DEPOSIT - SEWER
S ~S $ ACCOUNT DEPOSIT - WATER
$ ' WAC
$ C z s~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ N/O 'oC~ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I ~2-7 ,0O $ TOTAL
-7
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL}BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: /~~-E~-x•J Jd L«
TITLE:
DATE :
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3988 Stonebridge Dr N
Lot: 17 Block: 6 Addition: Hills of Stonebridge
PID:10- 32990 - 170 -06
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Keith J Becklund
3988 Stonebridge Dr N
Eagan MN 55123- -164
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090346
07/27/2009
ePermit
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.
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