3992 Stonebridge Dr N
CITY OF tAGAN Parmlt Na: 11 - 7-.g g
~ 3840 Pllot Knob Aoao :Meter Date:
P.O. Box 21199 No: Size:
~ Eayan, MN 3g121 Reader No: pateac '
Owner. Tilsen '.?omes
Site Address: 3992 Stoileb ~;3 ~ r~ gr ~I 9~~ ~
Plumber. q • f
S ~ ,p
Conn. Chg: 55c1. ric?p,9 ;~Swanson
AccL Dep: ~.5. iltln~ onmg: Rl
Permit Fee: - . ~f1p~; NQ• of Units: 1
Surcharge: .50
Tr. Plant ~04 . OCPd ~ ayree to comply with fhe ol Eagsn
Meter. A7 Ordinances. ~
Misc.: B
Y
WATER SERVICE PERMIT
w+-.,..aw,_..
CITY OF EAGAN , Permit No: Date: 11-7 -8 g !
3830 Pllot Knob Rwd' ~ieter Na. Size:
P 0• BOx 211" Reader No: Dete:
Eaqan. NL• 561 Z1 ,
Owner. TiLsen ttowes
SiteAddreas: 39tj2 Stanebridsve ih 14o LIP Sf Hi1.ls of
Plumber =ao: `>A. Paul pZumtrinQ/ SCahririyp
Conn. Ch Zonln `~`~ansoc~ F~
9: g:
Acct Dep: No. oi Unlts: -
Permit Fee: p
Surcharge: po I aqrss to comply with tht CHp ol Ea9sn
Tr. Plant " ' p Ordinancea.
Meter. 67 . 0OnrT ,
M Isc.: By?
WATER SERVICE PERMIT
CITY OF EAGAN ~~Permit No: _ Date: t n~?4`~Q
` 3830 Pilot Kno~b RoBd B/P No: Date:
P.O. Box ;1199
I Eaganc MN 55121
`s
Owner. rt ; ~;e.i7 T?a~:ies
SiteAddress: "9921,itanebridge Dr Na L18116 `_:ills of :*n-
GI `St. ?Fili2 ?Plurcbfnrj (`PtIA Qvnnann I'ri't;e
Plumber.
MWCC: 550. 00pd Zoning• _L
CitY Ch9: ! 00. 00pd No. of Units: i
Acct Dep: I 4•~~n"`~ I agree to comply with the Cfty of Eagan
Permit Fee: I~" •
Ordinances.
. SOpd
Surcharge:
Misc.: BY
SEWER SERVICE PERMIT ~
r
CASH RECEIPT
*'CITY OF EAGAN 3830 P1LCYl' KNOB ROAD
• EAGAN, MINNESOTA 55122
DATE 19 '
RECEFWD ~
FnoM -
AMOUNT
8 DOLLARS
,w ~
p CASH 'Q CHECK I
I
I
FUNO OBJECT AMOUNT
Thank You
BY
Whlbe-PeyareCqpy
' : . . _ F. Yellow-P08tlng CoPY
Pink-Hle Capy
-
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BIJILDING PERMIT Recefpt ~
To be used for SP Di3G/GK8 Est. Value 4104.000 Date OC'rQBER 24 ,19Le ;
~
Site Address 3992 STO"WIDCR DJt N OFFICE USE ONLY ~
5 Y On 5ite Sewape Occupancy
Lot I 4 Block ~ Sec/Sub. ~~1
MWCC System x 2oning
Parcel No.
On Site Well (Actual) Const Y-N
City Water X (Allowable) V"N
m Name TYLS$31 *3?.$S, iNC
W PRV Required * of Stariea
z Address bZl S 5Nidi.L+lNsi
o ST PALiL Phone 59t3-5'~,1 Booster Pump Length 52'
city
Depth 451
a Ivame WE S.F. Total
O
~ < Address Footprint S.F.
~ Cit,M Phone APPR4VALS FEES
En r /Assess. Permit • ~
yVj W Name g ~
~ = Pianner Surcharge 52.00
z - Address
U= PhOnB Council Plan Review
~ W City Bldg. Off• SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 350 •00
information is Correct and agree to compiy with all appiicahle State of waterConn. 5S0•00
Minnesota Statutes and City of Eagan Ordinances. T
Water Meter
Signature of Permittee
Road Unit M40
A Buildin Permit is issued to: f 1~S L +~~Z~++ I ~c ~0~1.
9 Treatment P1 ~
on the express condition that all work shall be done in accordance with all ~
applicable :,late of Minnesota Statutes and City of Eagan Ordinances. Parks x, 73~. ~ j
8uilding Official ~ TOTAL
~
1
,
CASH RECEIPT ~
- ~ CITY OF EAGAN
~A 3830 PILOT KNOB ROAD
EAGAA, MINNESOTA 55122
DATE 19
WCE~
AM«,NT : ~
~ -i
a oou.nRs
'
? CASH ~Q CHECK ~
r
,M
- - ~ ,
_ ~ ; I , , ( . ~ ' ~
`-i> •,,i
, . I , 1.-• ~ ~ , ~ ~ ' ~ ~ ,
FUNO OBJECT AMOUNT
tJ, _ ~t-'- C LU
GU "7 I ~ ~ v
(J~ ~4~~
~
y1
a
Thank You
BY '
y whne-aaram coPY
Yelbw-Poatln9 coPY
Pink-Fila Copy
• • CITY OF EAGAN I~~o C4 N a~~
3830 Pllot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt *
To be used for Est Value s1tti4.t)Oi7 pate ~T~~~'r "t~
Site Address nSror '°13 11 Y&Z OR K OFFICE USE ONLY
b On SRe Sewaye Occupancy
Lot Block b SeC/Sub. TU ~ MWCC System X Zoninp pD R" 1
Parcel No. y_.K
On Site Well (Actual) Const
a Name 7'II.Sr~' Ii:C Ciry Water X (Allowable) V--N
W ~ r~ M F - PRV Required * of Stories
= Address ~--7 ?~x'--+1+t~
0 City `?Ax'L Phone 698-5501 Booster Pump Length 32 1
Depth 451
Name S.F. Total
.o
~ ~ Address . Footprint S.F.
~ City Phone APPROVALS FEES
~ CC Engr./Assess. Permit 5i•~%•
W Name
W
' Z Ptanner Surcharge
Address 4 ~ t,~•
t
u W City Phone Council Plan Review 100.
Bldg. Off. _ SAG City
"
I hereby ecknowledge that I have read this application and state that the Variance SAC, MWCC '~w'C ~
information is cortect and agree to comply with all applicable State of Water Conn. 5 '
Minnesota Statutes and City of Eagan Ordinances. r Waler Meter 6? •
Signature of Permitlee
,_--r-~ ' Road Unit 335.
A Building Permit is issued to:___ T I L&Eh '~~9s,-- NC ~ Treatment P1 ~4•
on the express condition that all work shall be done in accordance with all Parks
applica6le State of Minnesota Statutes and City of Eagan Ordinances. ,
TOTAL 7BuildingOfficial--
l
Psrmit No. Permit Holder Date TNephone I
Plumbing ~ Cl
,-2
H.V.AC. c' S 3 s 1114
Electric ; ' or
Softener
Inspeetlon Dote Insp. Comments
Footings I 49 s u/~
Footings II
Foundation
Framing
' Roofing I
Rough Plbg. 2 g ~ Q~
~
Rough Htg
Isul.
Fireplace iic-
Final Htg. ,,s Q /.fc Zh~SI'y ~d c~v?~ir
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. "o~.
Deck Final
wen o -.4 sff~ ~xf3 ~ o
Pr. Dfsp. j N - 0 I
~
(Itrtifirafit af Orrupanry
titp of (eagan
gPpwbliFtii of llth)bv JwPtttDt[
This Certificate issued pursuant !v 1lre requirieneents of Section 306 of the Unijorin Building
Code cerhfying lhat at the ttme of issuance thrs structure was in compliance with tlte various
ordinances of the City regulating building construction or use. For the following.•
~
use a.w&Rbw SF DWG/GAR eag. Permit rb. 15779-
0oc,p.ncr rype R3/*M l zomog n'sv;« PD/R 1 ,ym coau. VN
o.neror eWaing TIL9QV HOWS. Ilc. Add,.. 627 S. SIMI.IlZ, Sf. PAUI.
3992 = IR. N. L,,j;h, _L 18, E6, tILi.S OF SICINERIDGE
- ~
NUVEMEER 13, 1989
euilding
POST IN A CONSPICUOUS PIACE
PERMIT # ' 1' '
' • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KMOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address - • ~ f<~ 4?f BLDG. TYPE WORK DESERtPT10N
Lot Bloek ~ Sec/Sub Res. New -Ln4-
Mult. Add-on
~ Name : ' Comm. ` Repair
to Address Other
c Ciry!7.'T Phone 7- G3 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
~Water Closet - $3.00 $ t
~ Name - Bath Tubs - $3.00
3 Address :~::Lavatory - $3.00
p City Phone ~ Shower - $3.00
~ Kitchen Sink - $3.00 -
FEES Urinal/8idet - $3.00
COMM/IND FEE - 146 OF CONTRAC7 FEE --Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES TFloor Drains -$1.50 -
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 TWhiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.04
BEYQND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STA7E S/C:
FOR CI7Y OF EAGAN GRAND TOTAL•
, . _ ~a- s.. :-Y-rr--•- , .....~.v.-. ~--r.w++..~ sw ,
PERMIT #
, MECHANICAL PERMIT RECEIPT # ~ ~ ~
CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE iaovember 16, 19 2 8 ~
CONTRACT PRICE 2'300. OC PHONE: 454-8100
Site A vess 011e r e BLDG. TYPE WORK DESCR ON
Lot Biock SeclSub J New ~
.(71~ .t/' ,
y Name 1-4 endab e HBdt !l' dl1 Mult Add-on
'a Address 2619 Goon Rd ds 3 V. Comm. Repair
c Ciry COO;t Rapids Phone 15 -5 t Other
Name 7 lsen Homes FEES
~ RES. HVAC 0-100 M BTU - $24.00
c Address 3632 Gershwin ADDITIONAL 50 M BTU - 6.00
O Ciry raAdl' Phone 777"'420 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiWIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
FOrCed Alr 01D, 00~ M BTU 24.90 APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # Lf;,rna-co- 50 BEYOND $1,000)
Other
FEE ~5. JJ 1 n~
S/C: ~ IGNATURE OF PERMITTEE
TOTAL• ~ - •
FOR: CITY OF EAGAN
INSPECTION RECORD~^~~~~
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. " s•"'
Eagan, Minnesota 55123 Date Issued: !
(612) 681-4675
~ SITE ADDRESS: I:i APPLICANT:
s f,
t~ !I f 1 I:; i~l '31~nN1 f~t~ I Irt~t t r. 1. ~ •.~1 ~ I~~
PERMIT SUBTYPE: TYPE OF WORK:
~ ; i I; r~~ i~
INSPECTION DA • DA
I 1 N fl I
I
i
Etf htfli,l r'1 I iti'0111 1'f I'Mf 1 1 ii.l +tiI i r t tI t ili~ t;N"` ? I l1 11, i f r',1 ii+1i;1,
F-
- - - - - - _-f _ . - - . --J I
~
Pem,it No. Parmit Hoasr oaee relepr,one #
S!W
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspeetion Date Irtsp. Comsnsnts
Footings I ~~~Qlq[~ ~
I Foundation
Framing lv ~ ~
I Roo8n9
Rough Plbg.
Rou9h Htg.
Isul.
FirepleCe
~ Final Htg.
OrsatTest
Finel Plbg. Pfbg.lnspector - Natifll Plumber
Const. Meter
ErgrJPlan
' Bldg. Final g 2?
Deck F,9.
Dedc Final 0
Weli
Pr. Disp.
I
. ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 lrj770
BUILDING PERMIT PHONE: 454•8100 Receipt u ~~7 ra
~
7o be used for SF DWG/GAR Est. Value $104,000 Date OCTOBER 24
Site Address 3992 STONEBRIDGE DR N OFFICE USE ONLY
O
Lol 18 Block 6 Sec/Sub. STONEBRIDGE n Site Sewage _ Occupancy R-3 M-:
rnwcc system X zonin9 PD R-1
Parcel No. On Sile Well V-N
_ (Aclual)Const
Ciry Water (Allowable) V-N
a Name TILSEN HOMES. INC
W PRV Requiretl # ol Stories
z Address 627 S SNELLING -
~ Boos[er Pump _ Length 5~
City ST PAUL Phone 698-5501
Depth 45'
¢ Name SAME S.F Total
0
o a AddreSS Footprint S.F.
V
m
City Phone AppROVALS FEES
~ En r/ASSess. Permit 588.00
uw Name 9
~ i Planner Surcharge 52.00
x - Address
~i Cit PhOne Counal PlanReview 294.00
aw Y Bldg ON. SA0.City 100•00
I hereby acknowledge ihat I have read Ihis apphcauon and state that the Vanance SAC, M WCC 550.00
intOrmabOn is Correct antl agree to Com h all apphCablC State ol Water Conn. 550.00
Minnesola Statutes and Cdy Eaga rdi nces. Water Meter 67.00
lfi _ \
Signature of Permiltee _ Road Umt 3Zrj-.00
A Building Permit is issu d to:_ SEN_HOMES ~_INC_ Treatment P7 _20-k,00
ontheexpressconditionthatallw shallbedoneinaccortlancewithail
applicable 5[ate of Minnesota Statutes a-ynyd,Cpiry of Ea9an Ordinances Parks
BwldingOfLCial~ TOTAL 2e73o•~o
~
p' BLDG. PERMIT NO.
~1 ~.ri72 % t4e
,%01-3210 idg. Permit Qn
01-3422 Plan Check C~C~
101-3445 Surch./Adm. 7~L
01-3446 SAC/Adm.
01-2155 Surcharge 2/~
75-3860 Road Unit ~ 4 J/-- , / 0~~
20-2275 SAC f`~
20-3865 Water Conn. z26?
20-3868 Water Trmt. z219
20-3716 Water Meter 117
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. f'~~ 0()
28-3855 Park Ded.
TOTAL
Th; ea.e= ,o d/a-a 8-S~ s~ 993
°fl
JSTtr~'4 6 L 17,i3~ 4te~6 P71
Request Da.e Fim No. pqup~-in Inspection ' Inspec-
:f~ ` . Re9 «ed? HeaaY Now~Will Nolilv.
C~J Yes ?NO tor When fleady
~ Licenscd lec« rcal Convactor ~~F013v fequest inspection ol above
? Owner electriwl work ineialled a[:
$Ireet AAAress, Box or Route No. City
S e . Ea
ectmn Townshi0 Name or N Y e No. Count
Occuuant IMINTI one Na.
SE~c.: [0 t 777" D 9/3'
ro.oer sunv~~e. naa.ess .cl3v0 o'Lo2p • _
QR~D e ~ ' ~
Electriwl Convactor ICOnpam Namel Cantracmr's License No.
~
ilmg AdJress O
IContrac[or or ~w/mer Lb4fn, listailationl
g E.IV•.-YE' ~ ' .f! Z. N/!1. •~$_Au ori Siglature I on[ tor/Owmer ki~g 1 ~Ilation) Phone N~vnper
>tCQ "C?i~ AmIlt,
IN iq'S ATE eOAOF ElECT111C1T11 THIS INSPECTION NEUUEST AILL NOT
Gri -1Ai~wr BIAg. - N-191 U ACCEPlED BY THE STAIE BOARD
1821 Unive s~~Y Ave., St. Peul, YN 55104 UNLESS PROPEN INSPECTION FEE IS
Phore 16121 29],2111 ENCIOSED.
. REQUEST FOR ELECTRICIIL IWECTION ~E/B-00001 '04
r 4nek ol yollow copv. n
f ' Soa i.tractims b rnvpleling lhis fom on
0~ y]2
~ 4 7 54 6 "x" Be,o.. Work Coveied by 7his Request
' Hea aea: rvwo oi au:iaioe wwro.c.n wi..a ea.tone.., ai.ea Home Range TenMrary Service
Duplea YYater Hmier lightiny Fixtwes
Apt. Building Dryer Electric Hea[m
Conmercial Bldg. Furoace Silo Unlu:fAer
Industrial BIAg. Air Carditioncr &dk Milk Tunk
Farm ~ltua q'ci olner ISUCrity1
t .r SuccdY Othet Oth¢,
ompute lnspection Fee Below
p Fee ServiceEaftmnee5ize Y fae Feaders/5ubieetlers C Fee Ci¢uw~s
15.O'tl Uro200 Amps 0 to30A 7 51. Otn30Am
Above 200 A - 31 to 700 Amps .(y 31 to 100 A
Swimming Poo l Above 100_I1mps . Abow~ lOD_nrt4~s
Transiormers Irtigation Boons Par[ial:Oth
Sigis Special Inspection 5
OT FEE/ ~n
Rerterks ~ ~~~v
NouBh-in ( Date) , the Elec[n~l
cert Y llw lha ibove
Final ~ Datc i~pectim has been
~ppa
ild~ ~epuast voitl 18 monUS Irom
5-~a 31154 --5 co u
N 02533 g v°`'
Aeauest Oete im Na R h-In InpsecLOn RepmreO Inspaction Olher TM1an RougO-In
~ ~ u m~uXaf call ingpetiw when reaCy) ~ Reatly Now ~ Wiil Notity InsOaclor
J ~ pu Yes ? No Deta Reaa
I p licensed comractor ?V owner hereby request in5pechon ot above electncal work at:
, 1
JoC FOtlress (Slr¢at Box a, Rome No ~ Qry 'e-4
. Q•~ ~ ~~7ry
Secuon No Township Name or No Range No County
OccuDaniIPRINTI Phone No
...~c1,~1 c. ula:~ 6868~/6
Power Suppiier - AtlOress
.D/*KoT~ EIFcT~~'~
Eieancal Conlraaor IConoany Name) Comractor5 L¢ense No
MdiLn9 Atltlres5lCONrOtlOe or wn¢r Makvy Inslallawn)
;?C~Ctlv? .s'7b,j6Ba.•o4E i N •
Aumonzetl Sgnaw, flGori r, wnei Making I lallalion) P~one Numbar
6 S 88 6
MINNESOTA STATE BOAq OF ELECTRIQTY THIS INSPECTION REOl1EST WILL NOT
Gtlgge-MlEwey BIOg - Ro m S173 BE AGCEPTED BV THE STATE BONFD
1821 Unrvarsily Ave.. St Pe I. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vlwne (611) 603-0800 ENCLOSED,
.c ^ REQUEST FOR ELECTRICAL INSPECTION S, °`"•=`'~~'lesooooioe
q 1-~
v13 • 0- Sea instmnians for wmpletmg this form on beck ol yellow copy v
0 5 3 3 - ~"X" Below Work Covered by This Request
ew JA&Re~. TypeofBmlding ApphanteSWrted EquipmentWiretl
Home Temporary Service
Duplex Water Heater Electric Heating
Apt Builtling Dryer Load Management
Comm.llndustrial Fumace Other (SpeCify)
Farm Air Conditi0ner
Aaclf Q Comraaors RemaBs
Compute Inspecfion Fee Below:
N ONer Fee 8 ServiceEntranceSze Fee # CvcwtslFeeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 700 _ Amps
SIgf15 , Inspeclor§ U5a Only. C TOTA D
Irrigation Booms
Speciallnspection ~
AlarmlCommunicahon THIS INSTALLATION MAY BE OR.E D PISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONT
I, the Electrical Inspecror, hereby RoucIn-m oai ,
certify that the above inspection has F,oai oa, ~
heen made.
. ~
OFFICE USE ONLV
This reQUest wW 18 months Irom
1988 BOILDING PERMIT APPLICATION - CITY OF EAGAN
. F
SINGLE FAMILY DWELLINGS f ~ ~ ~ L?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FON CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 11 OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPIIMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
4 1989
To Be Used For: 'b (J Valuation: 104~Oo0~ Date:
Site Address v~ I OFFICE USE ONLY
Lot lF, Block lo ~Z. ~On site sewage_ Occupancy -3 M-
~ M41CC system ? Zoning PI) R- I
Parcel/Sub }AILLS 07- STO*1E~L~~E. On site well _ Actual Const V- N
City water ~ A1lowable 1f_ P~
Owner 't-,L-SEy AOMES ,'ING PRV required Ik of stories
Booster Pump _ Length ~
Address bZ-t SOJT Sw1 EL.LI U(y Depth
S.F. Total
City/Zip Code S[. pqvL- 5Sll(o Footprint S.F.
Phone 69$-55Q1 APPROVALS FEES
Contractor "'r~~.SE~.1 k~ornECEngr/Assess Permit Jr88~C)0
Planner Surcharge 52' 00
Address Council Plan Review y,0 U
Bldg. Off. .-12-I ICYZ1 SAC, City / DO,OD
City/Zip Code Variance SAC, MWCC 550, 00
Water Conn 5 ,DO
Phone Water Meter 6 ,00
Road Unit 3,zs,00
Arch./Engr. Treatment Pl D OD
Parks
Address Copies
TOTAL
City/Zip Code
Phone ll
VAI-uaTIo , .
GARAC~~
3aX zz - 6~ v
2?tx y = G o>
~
~50 XI'~=g760
z~sri?
Z2~c 13 = 286
C( X 3~i = 3 2
Zo X28'= 56a qx /o =
~
9~e x ~3 = ~ ~ ti 3~
I~s F~~,,,+2
q32~~
Z r'D FL.'- °YZ
1 03 3z~!
• Tj~ SEV fIr~HE, ~Nc.
f30 8 E '1iB#/.a~
65
E i7 CiNE£i~ING ~~HSi1L7iH6 EHG1HEf~lS.
PIAHHEBS ond lA}i0 SllRVEYO!!3 gcd~L II~
COMPANY, INC. PAf,E
L 1C00 EA_7 146LS 5-,AE=7, BpAH_cVlL-`-, WtHHE_OTa 123377 pH 4=2-ep00
C~rz~Z}'z ciz~e o~ 4sz~ e c
LOT /B, BLOCK 6, N/LLS OF ,$TO^1EBR1406E,
pAKOTA COUNTY, M/NNESDTA
939-.?) DENa7ES EXIST/NG ELEV•4T/ON
Oqoz, o) pENOTES PROGOSED EL-EI//1 T/ON
/~q~'~ /ND/CA7E5 D/Rc'CT/DN OF
° SURFACC 92A1A1,+6c
F/N/SHED 6A946c' FCOOR ELEf/AT/oN'
30' FROnIT gu/LD/NC-
~ SETBfJ~ "L //UE " - F _ ,
. ~ .
~ ~ ~ . •i
Q~ 01 6
0 36 ~9g\'o ~ v v L._• ,
scAr,~ : 30, tiv
ry.<-
o° 7
Gl1\Tcis71.`~±~
~ 2 ~ so ~ 9oa \ Lz-
/
l894%9>
tt/
-%V(
,
\U J,7
\
~y~i% ~?S o~ = \ \ ~ TR ~ O ~ ~ l l b l~°~
\J y ^
NIJ~ / nV o
v /
6'~ \ OKA//JA6E A/?D
07-/Ll7Y EASEMENT
I her:by car:ify that thin ia a t:'se and ecr:YCt nprtaaatatiafl af a tgAct of
ljnd a: ahom'and deseribed he:afln.• Aa praparad by mn on this ~/9
T
~COf3E.~ ~ 19 B8 .
Hinn. 1tEg. - v ~
- -t • ._tr. bvi'_=_::~ ' -ric t~:,li~ac?on)
. •.~o ::.°i1y dcrclling C7wner_L~ I S LO~-~ 'b H1LL5_tzF ~NEB.$1b0' . r
~ Site Rddress
..t.i ractoi_Tt~ggNL_1A0M.gg~_yniG. Date 10- 1 S- 8£i Phone
L1NEAL FT. OF
EYPOSED Idf+1.L 2(P *'L!a Za + + +_XI$_~4. above grade= 21 1 U• U Sc1 . FT.
9 , .Z0.I ~.TOTAL EXPOSED WALL AREA SQ. FT.
6S+b_Sa~b.3x 2(03.`7 G37 2za.~3-r3.5xC)-- lr _
OPAQU:_ b:Ai.L CU;tSTRUCTION: "U" Value X area y~
-i91•9 ~ ~~~1+4l~.. ~ob8.~4+~a y 4+~C
X sq. ft. zo~(U~TA)
_ Sas~c rr_RAMF_- vJALL OU3 1 sq. ft. 1-1Fa3.2 --(U) (A)
Pe:ai: :..~rer, e "U" X sq. fL. _ (U) (A)
;ro' S9.ll~Q6TT'c B~m~% ..Ulr ly X sq. ft. 1L1.(a (U) (A)
actachcc . "U" A sq. ft. (U) (A)
"U" X sq. ft. _ (U) (A)
"U" X sq. ft. (U) (A)
WINDOWS: "i!" l':.LUE A AREA ~.,J~NDOWS 5 PAtiO LbORSI'WE!}7HER SH~ELD_
i r
C21^ 161(3vag,(} CQ~~yjeni~?r 2
11 k: C31 - 2oxS9" _sq. ft.
i@ czl - 16"k3Z= n I C21 - z.4x 5R', 23 ~59. fc.
CI_I - 29"x SS" = 22 Ao sq. f t.
Ctl - 2o" x5o" _ (..9 sq. ft.
I " Clt - 2p'x3l4 - S•O sq. ft.
~ C CH- 28x3b" _ 1'4.0 'sq.~fft.
~ " r--~z~ . zu xa~ ~ 64,
Makc 6 ecpe fi sq. ft. _ (U) (A)
CASEME.NT°~ (1.cl),lEQ!~}: sq. ft. ° 149.1 = SS•$ (U) (A)
,„C' X sq. ft. _ (U) (A)
"U" X sq. ft. _ (U) (A)
DOOhS: "U" value X area t~)ODQS, Cq°s7LE,CyP(TF_
Makz & Type I
3_ XA t~.13 k sq. ft. 2p.0 "2.(o (B) (A)
~ e 28 x6a "U'' .13 R sq. ft. 2.3 (U) (A)
"U" X sq. ft. _ (U) (A)
PA-rlO 'boOR ~lUll .Cj(o X sq. ft. 40•O = 1g•~ ~U) (A)
TOTAL (U) (A) VALUES I loc).E) TOTALS 211k4.4 sq. ft. ~(09.~j (U) (A)
DIVIDED BY TOTAL WALL AREA -41 1q,q ' AVG. U
AVERAGE "tl" .17 or less for 1& 2 f.amily dwellings
.22 or less for all other buildings
CONSTRUCTION FRAMING R-Value
1.
2• ~SO~uC~ .lal , 3• ~32~ B~~Ta~~,SNflA-rN - 2.Ob .
4. ~q.oo
7 5• ~~_P_S ~ M • U 6
6.
22. C)1
-z-z.9-7
.
".~L AREA: - -~~~9.0 - - sq. it.
ail refercnce _ "C" , p25 X sq. ft. jp(.-q,p_ Z,b,_7_ (L') (r,)
from _ "Ll" X sq. ft. _ (U) (A)
+[tached sheets _ "U" X sq. ft. _ (U) (A)
Describe openings "li" R sq. ft. _ (U) (A)
in roof "U" X sq. ft. _ (U) (A)
TOTAL (U) (A) VALUES TOTALS JpfoQ.p sq. ft. 2k>~(U) (A)
DIVIDED BY TOTAL ROOF/ ~ob9.~ ~O2y~
CEILING AREA
AVLRAGE "U" .OS for ventialated roofs
.10 for all ocher construction
ROOF/CFILIt2G: R-value
1._Q_~tT-~~flE A1R i~-
'-•~.Ns~_~~_u~~ 3S-Q4_ '
3.-~y_ PS~J_N_\ •
4.
6.-- 39•30 = p~..S
NOTE* _erage "L" values as calculated above do not meec the EnL*g.: Gode Requirzments,
tn_ "Hlcernate Envelope Design" as outlined in SBC 6006 (g) map be used. AdditiQnal
vav 6e used to show calculations.
,
PERMIT
~ CITY Qf~ EAGAN PERMIT TYPE:
3830 Pilot Knob Road e U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023261
(612) 681-4675 Date Issued: 0 4/ 11 / 9 q
SITE ADDRESS:
3992 STONE8RI06E OR N
LOT: 18 BLOCK: 6
HILLS OF STONEBRIDGE
P.I.N.: 10-32990-180-06
DESCRIPTION:
(DECK INCLUDED)
Bullding'Permit Type SF PORCH
Building Wo,rk Type NEW
,
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $7.000
Base Fee $90.00 COPIES $1.00
Surcharge $3.50 Total Fee $99.50
Subtotal $93.50
CONTRACTOR: OWNER: - Flpplicant -
ULRICH JOHN
3992 STONEBRIDGE DR N
EAGAN MN 55123
(612)541-1472
I hereby acknowledge that I have read this application and state that the
information is oorrect and agree to comply with all applicable State ofi Mn.
StaI and YCL a gan Ordinances.
I
-t (?1
APPLICANTlPERMITEESIGNATURE ISSUEDB: IGPATURET 1
INSPECTION RECORD
CI F EAGAN PERMITTYPE: euzLoiNs
3830 Pilot Knob Road Permit Number: 023261
Eagan, Minnesota 55123 Date Issued: 0 4/ 11 / 9 4
(612) 681-4675
SITEADDRESS: LoT: 18 BLOCK: 6 APPLICANT:
3992 STONEBRIDGE DR N ULRICH JOHN
HILLS OF STONEBRIDGE (612) 541-1472
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DE3CRIPTION (DECK INCLUDED)
INSPECTION D. . DA
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIREO FOR ANY ELECTRICAL WORK
F
~
L
~ CITY OF EAGAN
13141 1994 BUILDING PERMIT APPLICATION
681-4675 r.02 0 6 19,`i4
C'aftd s ~ 4- 0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: i) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 9.~
site Address: t-E,6Q,oCaE 01P_ N,
STREET SUITE #
Tenant Name: (commercial only)
LOT I C~ BIACK Ic> SUBD. }4;Il$oF SIONEC311Ao4e P.I.D. #
Descri tion of work: 0E. Q C_ L- L
The applicant is: WOwner ? Contractor ? Other (Describe)
Name ULa-l'crf Joh~1 Phone 686•80116
Property LnsT FIRST W, Sy/•1117a
OWn2r pddress 3994 ~S7'CjEt32~iQ4E .D2 IV
STREET STE N
City E4 64-~ State Mn1 Zip ssl~3
Company Phone
COntl'aCt01' 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 Ive read this application and state that the information is
correct and agree to comply all ap licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY or
.y,
:•.R .R G
BUILDING PERMIT TYPE
~ 'a. ~,s"w
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
,0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ja 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORKTYPE Porcti c,..bec(c
p 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 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
Depth On-site sewage SAC Cade
APPROVALS Census Undt 6
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site P'footing B Framing [R Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee veiua:;m: $
dOO
Surcharge
Plan Review r YU
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
~ . • TL NtvHES IIC.
fl0 B E ~i8¢~ o~
CMHS11LTtH0 EH61NEf4S. ~
ENGiNECi~ING PLANHEAS and LAHD SURVEYOQS I'
pq6E 6~
COMPANY, INC.
IC00 E1lST I4601 5-4RE=7, BUAN-"L=°-. UlHHE:OTa !=n7 PK 4'-2'S06C1
C4ff rZ Z
Acrize_ 0
I
LOT /B, BLOCK 6, ylLLS DF ,5'TOrUEBR1,066,
. pAKOTA COUNTY, M/NNESOTA
CB3e,?) DENOTES EXIST/NG ELEV•47-101V
(9oz.o ) L)ENOTE$ PROGD$t"D EC£i/471ON
/q~'~ ~O. /ND/CATES DIRECTiOn/ OF
SURFACt D,eA~NgE'~
9°Z•a3 = FiN/SHED 6AKA6~ FLOOR ELEI/AT/ON'
•
30' FRONT BuiLO/NC-
~ 9E79AG 4~ L /NE
O 3~36 ~9A ~ e _
y• q' lQ Z
• Q 0 o° a ~~9 ~ ~ R,~ ~ ~
\ ~ ~0 nzBF\ '~3 ' R- _ . .
-77Z' ~9~ ~ e~ 9, s i ?
a/ ~r J 6s=
J~
QV4
(89¢9/
o ~
41/ v\ /0/ 200 \~y \ `~ilS
~
l\j
F<PE-,~ \ ~ _ DRA/NA6E AND
UT/LITY EASEMENT
(B94:~
Sheraby cartify that 2h3s ia a t:'se and ecr:^eet rspr=nantitioa of etgstr-t of
land as eho+m':nd deee:ibed heraon.• As prapared by mn on thiA /q-r" daf of
OcTCgC,z , 19 B8 . .
Xinn. Reg. K6o
V r
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN
~ 75e3 3830 PILOT KNOB RD - 55122
651-687•4675
New Cons}ruction Reaulrements Remodel/Reoalr Reauirements
? 3 reglsfered sNe fUrveys showing fq. tt. of lot, sq. fl. of house 2 coples of plan
and ~II roofed areas (207, maximum loi eoveraae all4wed) 1 sef of energy calculaflons for heaTed addNlonf
? 2 coples ol plans (show beam a window stres; poured Ind. design; efc.) 7 sMe suney tor exterlor addRions 3 decks
D 1 set of energy colculations
? 3 copies ot hee preservatfon plan 6 lot plaMed aHer 7/1/93 ~
DATE: 1991 CONSTRUCTION COST: 6~
DESCRIPTION OF WORK: ReCD O SC' i
STREET ADDRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D. u CS~I~
Name: Phone t9rs ~ ~ lOB 6
PROPERTY Last Fint
OWNER '~-rfCl~ '7tO~ebC~~['C~ GC~
Street Address:
CNy ~Gt G 0.o State: I" 6 nZip: ~119 ~
Company: Phone#: r9?a _MS' 0D4D
(area eode)
CONTRACTOR Street Address: License #a2 3p,
city Sv k Q state: fy~~ zip: SS 3~ 7
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Stree't Address: Registration k:
City State: Zip:
Sewer 6 wafer Iicensed plumber (reautred for new conshudion onlvl:
Penalfy applies when address change and lot change Is requested once permM Is issued.
I hereby acknowledge ihat I hove read thls appl(cation, state that the Information Is conect, and agree io comply with all applicabl
Stafe of Minnesota Statutes and CNy of Eagan Ordinances.
SfgnoFure of Applicard:
OFFICE USE ONLY
~
Certificates of Survey Received _ Yes No
Tree Preservat+on Plan Received _ Yes _ No ~ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage
? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 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 Demofish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning 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 Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MGES SAC City SAC
Water Conn.
Water Meter ,
Acct. Deposit .
SM/ Permif
S/W Surcharge '
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CTTY OF L"•'FlGAN
C;aS!i'f.F.ic JS T(cRh'IW.L tQ0 770
UAl'ca 01/01/97 T7i E': 1.2e::8, 12
IU.
:1R1:Eu AZTCC I`tL'01'=?t.G G cnNsrr,u:TIC-N
3210 '?r)0; 3992 STL'NEBDG D 181.25
005 9001 3332 S1'0N'=YiG Li 5.00
2219 3OC}i 4762 WNITE O(d?t i.El:l.r5
i 1°i 3,3G'. 4762 I=IIi.T.Tc Q(a": S.Ot]
72' 0 3001 3604 WLidUTPEE D 05,.25
Z;.:'S 3001 3664 W7NTil'Ft'='= D 5.0
3210 9001 M46 '_'I_i;F:qf: I.J; 32025
055 '^.OJJ. 1546 Lil_KNiP( 'Ct 00
3210 9001 860 S4.IBF':-RRY ! N 14..0
2155 3001 860 S'.1IiREf'1;7 LN 2.50
cKW;Y r,:z: r.rNrTN_",-
USE:; -np "AN A: M-'iNUF
...':c; ;,:;;c:,;;al;,c:c8'M'.t':,:.i.":;'• . , . ...,Xt.,.A"::':ft
CGAT.i tdU1'..
C1 rv cF Er-.rAN
C;as,,::Erc 39 ,ERMCNP1. NCe 770
DAr., 09iM.i39 rin7 T: 38:13
IPs
P'PPi"c: f AZTEC iti0C'TING & C7NS".RL^TiGN
3210 SCD1 7:]2 ^a.IUL Plti DR 153.25
055 90C5: 7S° SAK WD Ui; 4.00
Toyal. 'iecezip'. P.ma,n:.a i.,103.07,
C9115cS i
WR TD: 5AN
o.::Y,:...;:(Y.::YY„Y,O~ . .':Y,r:n':. . : . : •F;o>:::. ':>yY,:" . ;;PF)k7:(
APFLICATION FOR PERMIT iNUTE= pA1T¢NP OF FFFE AT TIME OF ~
. ~ APPLICATION DOES NJT COC}- :
• SfI1Vf'E APPRGJAL OF PFItMIT. `
ii• ~
e.,..
SEWER AND/OR WATER CONNECTION : I[1SPFSTION OF SESdR ND/OR WATFR ;
I[1S1'A[SATIONS WIIZ [.VC 8E SCIMUI.ID ~
f7N1'IL PFRMIT HRS BFEIi ApPROVID. '
~ ~ •~~w~ttit~~~a
:dtV oF eaga. n
~
(PLEA.SE PRINT
1) PROPERTY ADDRFSS: r ~
r•Fr;Ar• DESCftIPTION'.
Lot B ock S ivision or Tax Parcel ID
IF EXISTING STR[:CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE:
Mont Year)
PRESENT ZONING/PROPOSID USE:
Q COhIIhQ2CIAL/RETAIL/OFFICE ~ R-1 SINGLE FANIILY
Q INDT-ISTRIAL E-:1 R-2 DUPLEX (3WO Onits)
Q INSTITUTIONAL/GOVERNMENT Q.R-3 TOWNII-IOL~SE (Three + Onits) ( Units)
Q R-4 APARTMENT/CONIDOMINIUM ( Units)
2) ~ NAME=
ADDRESS: /T-
CITY, STATE, ZIP: ,I~Z( ! T ~?I G ~ ~ ~/~!/S~ IO
PHONE:
For City Ose
3) N11ME; iC~ Jl%? /4 N SO/ X Plisnbers License:
ADDRESS: zG( /9
Actired Exp CITY, STATE, ZIP: I~ No recordec
~r,v~ a
PHONE: ~ 7~ G•3 MASTIIt LICENSE #
3(7 Sta Initial
T-
a ~ e .
NArE:
ADDRESS:
CITSt, STATE, ZIP:
PHONE:
5) w • m t i ~ au STORM SEWER PERMIT - CONTACT ENGINEERING
N
NECTION 'IC) CITY SEWEE2 CO[V~CTION ~ CITY WATEF2 O TAPS
ACO
.
6) rM[eLle
*ir******#***********~*****ir*******rt******k**************1***rt******************* ******Yr*#*******rt*i
~ TIIE GOLD COPY OF THE PII2MIT WILL BE SENP DZRECIZ,Y TO PUSLIC WDRKS TD FACILITATE METER PICK-L~P.
,*t PLEASE ALTAW 1WD WORKING DAYS FOR PROCFSSING. SOMEONE FROM 7M CITY WILL CONI'ACf YOU IF 7gIERE
* ARE ANY PROHLFMS.
'~*r++~*~******+**+******~*rt******,r**:rr,t*+***+****+*t**~+***,r*****r*******~**r*++**+***r*t+**r*~*+ty
FOR CITY USE ONLY .
PERMIT # ISSOED .
/JO ~J1 '
Pd w/Bldg. Permit FEES:
$ $ 10.5-D SEWER PERMIT (INCLC'DE SURCHARGE)
$ $ 10•s D WATER PERMIT (INCLUDE S[.'RCHARGE)
$ 7'Q --e) $ WATER METER/COPPERHORN/0UTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ IS•O"~ ACCOONT DEPOSIT - SEWER
$ $ ~~•G~ ACCOUNT DEPOSIT - WATER
$ ~ S D• 0~ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ p~D L/$ WATER TREATMENT PLANT S[iRCHARGE
$ $ OTHER:
$ / 4--z) $ O"z) TOTAL
S-~ Z YP~O
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISS[.~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SCiBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ~~7
~
LOT-11 BLOCK LP SUBD./J" A ~:{Zd7~P~~iv
RECEIPT # ~P,5S DATE 10J-) A&
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
~ Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: 399oz 5..~,~i.e•~~ ti.
Installer.
Owner ? Plumber,Zr
Street address:
City, state & zip code: phone G/L - S'S3- 9o`~G
Owner Name•
Street address:
City, state & zip code: Phone U~'~~o~„?
Irrigation contractor, if different than installer: ?~FS ~"'°i'~y sL'r"`~'`'~~
Telephone#: (~11 -
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Applicant' signature Title
Approved by: Date:
PRV ? Yes ? No New service ? Yes 0 No
Meter Size & Cost
i
fees due: 0?~ Calculated by:
7 ~
c1~pP~l/.a¢c{~--~ 7,~'D^/'-~
q% "
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit jl required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover inctallation of backflow preventer.
$50.50 water permit fee only if new servic i in talled
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 oer connection - WAC.
$396.00 ner connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. if gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
seroice lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-1675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Email: planningc citvofeagan.com
L
For Office Use
Pe
it #: /(Y30
Date Received:
2011 ZONING PERMIT APPLICATION
✓ Please submit a set of scaled drawings with the application.
-(1 .fba_ C k-1 s.d.ea ,itt.-;-tf /,n.("its f QJSD
/n,&L __ ctGceso 7 vfrzrcf t.:, t'- r`t �ciirepi-coir C / #� C'um a -i SF, efc.,
n 1`L Cecliy+4Lvr=e_ 1 S a t' c1-Zect -fo YN.s?L`e
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4/23/2006
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Email: planning aC�.citvofeagan.com
2011 ZONING PERMIT APPLICAT
✓ Please submit a set of scaled drawings with the application.
Site Address: 3 1c . - 34..0
Name: 4/.4
Address:
For Office Use,e�j/`�
Permit #: / 008 v I
Date Received:
L
ON
City/State/Zip:
Applicant Signature:
0 Retaining all <4 feet
❑ Patio
idewalk
Description of work:
�nveway
Sport Court
Fence
0 Other:
Face ove ager s ore ani zo ing, blufFzone sets acks e
Revised Plans
Approved: Yes 1 No Date of Approval: Staff:
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t `j'""'� Use BLUE or BLACK Ink
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� � I
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� Permd Fee: LI1�. ('}� �
3830 Pilot Knob Rnac! � i
Eagan MN 55122 RECEtVEp i Date Received:�� �
Phone: (651)675-5675 � statf�,S� �
Fax: (651)675-5694 ��r O � ZO�S !________________�
2015 RESIDENTIAL PLUMBING PERMIT APP ICATION
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Site Address�� �
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Tenant: Suite#:
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�k a41{'�+'+�� �� . . /, /j,�n � /
��'� �� �� ' Address/City/Zip: � � � /� !��"'V � �
� '� � • Milbert Cornpan� Inc dba Gulli an Water C6413 76
� " .�� ,�p ;r Name: s" g License#:
F�`�'�° � Address: �1:801 50`� St East c�ty: Inver Grove Hgts.
Cont a 'tQt�
�� � � �`�' Mn 55077 651-451-2241'
'� State:
��,� � � Zip: Phone:
`�� William R Milbert
�`���.�,g ��� � �� Contact: �� Email: � � � �
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��� T„�j/pe O�V1�Q • —New �Replacemc nt _Repair _Rebuild _Modify Space _Work in R.O.W.
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Description of work:
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�� � RESIDENTIAL �
. �-� . Water Heater
�` �,Water SoRener
Lawn Irrigation(_,RPZ/_PVB)
, t�ermi TYP�
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�'� Septic System Add Plumbing Fixtures�Main/_Lower Level)
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New Water Tumaround
� ��s�,�� .�.� �. � .w � r',i�ancionmen3 �
� RESIDENTIAL FEES:
$6Q.O�W2!�f I"�Q3tA!',4^�ate�Sc�ff�nec, Qr l�l��ter Heatsr arz�SoftenRr(inclu���$5.0�Sta:e S::,charge)
� $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Sur�harge)
"Water Tumaround(add$200.00 if a 5/8"meter is required)
y tem New($10.00 per as 6uilt)(includes County fee and$5.00 State Surcharge)
$115.00 Septic S s � O O
TOTAL FEES$
CALL...BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage.
Call 48 hours before you intend to dig Co receiVe locates of underground utilities: www.aopherstateonecall.ora
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
, .�agan;that I understand this is not a permit, but only an appiication for a permit, and work is not to start without a perm(t; that the work wili be in
accordance with the approved plan,in the case of work which requires a revievu a��approval of plans.
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- ApplicanYs Printed Name ApplicanYs Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164291
Date Issued:09/24/2020
Permit Category:ePermit
Site Address: 3992 Stonebridge Dr N
Lot:18 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-180
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 -
John Tstes C Ulrich
7957 Joshua Tree Ln E
Scottsdale AZ 85250
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature