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4012 Stonebridge Dr SPERMIT City of Eagan Permit Type:Building Permit Number:EA128378 Date Issued:11/07/2014 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-080 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 by law in ALL single family homes . 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 - Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature CITY OF EAW Permit No:1O31r~4 ~ 3830 Pibt Kt~ob Road 1B/P Nq: _:l~i $ ~a~ ~=g~ - P.O. 80421199 Date: 11 - I. 7- 7 ~ Eegen, MN 55121 ~ Owner. ~0tt2tand ;;o. . ~ Site Addresa ae ri ge IIx S<, ?i ~ , ~ Ston~e- , ~ Plumber. "3I ey Plurnb ang ~ r ~ ~ F MWCC: 525. 0Opd ~ i Clty Chg: J, 50t'd Zonin9' F Acct Dep: p No. ot Unib: ~ Permit Fee: agre+ b com* wkh fM qty of Eaon Surcharge: • 0~ Ordlnencsa, Mfac.: BY , SEWER SERVICE PERMIT cirr oF FAaAw . 3830 Plbt Knob Road Permit No: 9235 P,O. Boxk1199 M~erNm: 7 j? Date: 11-29-g~~ Eapan, MN 55121 Reader No; S(ze; ! Owner. Date: " Ro . i ; Sfte Address; Plumber ' Conn. Chg: 525.00 d - Acct Dep: IS . a0 ~ 2oning; ' ~ Permif Fee; 10. 00 d No. of Units: ~ Surcharge; r Tr. Plgnt 180.0 agrse to co p O m 1 Y wifh the City of E~an Meter. Ordlnances. Misc,; ey 1NATER SERYICE pERM ~ - IT ~ ~ GTY OF EAGaN Permk No: 9235 Date 1-19 -8 7 3930 Ppo! Knab Road Meter hba ~ 33 Siza S P.O. Boz 21199 Reader No: a 7 7 / Eagan, MN 55121 Date: Owner.- Ro 7 m~ „ SiteAddresa:4Ql2 .S' nnphT{dop nr s iR R7 1l{, I r ! Plumber ~ r Conn. Chg: 525. QO d : Accc aep: 15. 0 fDre iggin ~ ~ Permit Fee: ZO . 0 iJE Tf~iL°-f~~Et" 1 I ; Surchargac .50 Tr. Plant 180 . 0 1W°41A4'V* *fth Me CitY aEaoan Meter. Ordlnances. Misc: BY WATER SERVICE PERM CASH RECEIPT 0 CITY OF EAGAN . 3830 PILOT KNOB*AOAD EAGAN, MINNESOTA 55122 i DATE 18 wcesivco . rwo~n ' ' ~ AMOUNT $ I a ooLLwws ~oo ~ CASH Q CHECK 1 FOR ~ ~ ' f PUND CODE AMOUNT Thank You BY ~ White-Payert CoPY N~ 71 Yellow-Pwtiny Copy Pink-File Copy BLDG. PERMIT NQ. 01-3210 Bldg. Permi t' 01-3422 Plan Check 01-3445 Surch./Adm. ! ~ 1 01-3446 SAC/Adm. 01-2155 Surcharge c1) -7 17-3860 Road Unit ' 00 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 6:ater Meter - ~ 20-2252 Acct. Dep. 20-3713 Water Permit ~ - 20-3743 Sewer Permit 79-3866 Sewer Conn. 1VG DC~ 11-3855 Park Ded. TOTAL ' ` ~ ~ ` ; CITY OF EAGAN ~ 4 ~ ~ 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt To be used for 5P DWt;/GAR Est. Value $123,000 Date ~VE~MR 17 ,19 3 7 Site Address 4U13 S1'ONEBRIIN;E DRIVE SO OFFICE USE OMLY Lot r' BloCk 7 SeclSub. HI~'L'S flF OnSfteSewape dccupancy ~3 ; Parcel No. S~NEDRI~k MWCCSystem Zoning On Site Weli (Actual) Const oc Name . Z`U ROTTLi:A1D CO II3C citv water X (quowable) Vn I z Address P. O. BOX 383 PRV Required # of Stories 3 , BoosterPump Len th A. ° Ciry: )SSEU Phone 57I-0304 9 Depth 36 I , p Name SpM,P S.F. Total ~ ~ Address Footprint S.F. ~ City Phone qPpfiOVALS FEES ~ y Engr./Assess. Permit ~ 572•~ Vj W ~ = Name Planner Surcharge 61.50 ~q Address . 286.25 `W City Phone Council Plan Review Bldg. Off. SAC, City 100' 00 I 1 hereby aCknawledge that I have read this application and state that the Veriance _ SAC, MWCC 525.00 information is correct and agree to comply with all applicable State of WaterConn. 525•00 11Ainnesota Statutes and City of Eagan prdinances..67.Q0 Water Meter Signature of Permittee _ . Road Unit 3aS.~Q A Building Permit is issued to: 1HE ROTTIA;NG C{~ IN C Treatmertt P1 180'00~ on the express condition that all wark shall be done in accordance with all appiicabie State ot Minnesota Statutes and City of Eagan Ordinances. Parks r Building Official t TOTAL ~i2 *62 2 • ~5 CASFA RECE'IPT ~ CITY aF EAGAN 3830 PILdT KNOB ROAD EAGAN, MINNESOTA 55122 /"OATE 19 R<C61VtD r /ROM . , AMOUNT & coLLwres ~oo ~ CASH ? CHECK row ' _ , ; FUND CODE AMOUNT I' Thank You BY ~ e VYhite-Payen CoPY 3 Yellow-Postinp COpy Pink-File Copy , ' ' CITY V EAGAN f 4 1~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt~ To be used for 'J~•;f"~" Est Value Y 12 3 bi~: i Date t-:`~V< s 17 ,19 ~l7 i Site Address 4v1 Si~'.-;•=c,~lzt1l~{;~; G'BtYE :W OFFICE USE ONLY - 3 7 h LLLSi L3F On Site Sewage Occupancy ' Lot Block SeclSub. MWCC 5ystem Zoning , U Parcel No. On Site well (Actuaq Const c Name :~UTYLL,NL CL; 1[dC Ciy Water (Allowable) V'I W • b PHV Required ~F of Stories z Address ~'•`.r• _ 3: City PhOne 5 ~''6 ~oster Pump Length o Depth . o Name S.F.Total ~ ~ s Address Footprint S.F. ~ City Phone APPROVALS FEES ~a Engr./Assess. Permit ~ ~~L•.'`' F Z Neme Planner Surcharge ~ ~ Address ~b . . CounCi) Plan Review ~•l J i ` W City Phone Bldg. OH. SAC. City I hereby acknowledge that I have read this application and state thai the Variance SAC, MWCC Information is correct and agree to comply with all applicable State of Water Conn. ~2'U(iMinnesota Statutes antl City of Eagan Ordinances. 6].(~3~ Water Meter Signature of Permittee Road Unit 3o'oO A 6uilding Permit is issued ta tt~1U ` Treatment P1 on the express condition that alI work shall be done in accordance with all ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL . Psrmit No. Permit Holder Date TeIephone x Plumbing c H.V.AC. , EleCtriC Softener Inspsctlon Date Inap. Commerlts Footings I ~~r4 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. & Fireplace Final Htg. . ~ ~.~f. Final Plbg. Bldg. Final ,~X.y ~ Cert Occ. Temp. LP DeCk Ftg. Deck Final Well Pr. Disp. . . s..f.-±~--~a~r~r-±rff . : <~;_-:t^'^+~.m,r~'~ . -•e~-r-~--•--•~7'.~*~ ~ j . . PERMIT li _ 90 2•j . , . • PLUMBING PERMIT CtTY OF EAGAN RECEIPT # ~ /JL- ' l 3630 PILOT KNOB ROAD, EAGAN. MN 55122 DATE: CONTRACT PRICE -i , _!~_o PHONE: 451-8100 Site Address BLDG. TYPE WORK DESCRIPTION LotBlvck 7 Sec/Sub Res. ~1,e New Mult. Add-on ~ Name Comm. Repair ' m Addressf ~ 4Af Other c City o-*1!jD &,oa+~..T_ Rhone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ~_Water Closet - $3.00 S "1I- ~ Name --k-Bath Tubs - $3.00 ~,rc~ 3 Address _*_Lavatory -$3.00 W. 'n o p City r~$p Q Phone -;I_Shower -$3.00 0 c.~ _4-Kitchen Sink - $3.00 on .-I FEES Urinali8idet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -,L__Laundry Tray -$3.00 APT. BIDGS - COMM RATE APPUES Floor prains -$1.50 L-3c---, TOWNHOUSE 8 CONDO - RES. RATE APPLIES .4-Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 -/-Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 _,~Z_Gas Piping Outlets - $1.50 ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYON $1,000.00) Well - 510.00 Private Disp. - $10.00 Rough Openings - $1.50 c SIGNATURE OF PERMITTEE FEE: 41-2 'a+ STATE S/C: , _13D FOR: CITY OF EAGAN GRAND TOTAL• 41a2. ~~i . _ . . . • PERMIT # MECHANICAL PERMIT RECEIPT # ' . CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE ~ C~ ~ PHONE: 454-5100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot Block Sed/Sub Res. ~ New ~ I ;i.. - M ult Add-on m ~ Name - ' ~ Comm. Repair ~ Address ; OUier ~ City ~ ~ Phone , FEES ~ Name RES. HVAC 0-100 M BTU - a24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW - CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS RES. RATE APPIJES ~ Boiler M BTU MINIMUM RESIDENTIAL FEt - ALL ADD-ON 8 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 OuUets # BEYOND $1,000) Other FEE , I .r- S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN • r fCer#i#ira#t of (Orrupanrg Citp of Cagan loP}tSlttm of s11Inwg jwPtftDYt This Cerllficate issued pursuant to the requirements oJSection 306 ojthe flnljorm Building Code certijymg that a1 the dne of issuanre this structure wns in contpliance witli the ?brious ordinances of 11ie City negalanRg barldiRg constrrrction or use. For tJre foJlowing.. ux Chsaficuion SF rqc/G.,R ew& ~t NolwE;?.3 . o-vn-rTYa R3 zominc n:riee R I 'nwcow V n owswof~ THE ROTTLUND CO Add. P.O.BOX 33'a, OSSEO ~ft Addmr 4012 STONEBRIDGE DR1-2fity L8, B7, HILI.S OF S'f(?NEBRIDGE i~l~ ~ • ~ - FBBRDARY 2. i 9P,8 n.,C IhAdog °ffic'i r POST IN A CONSPICUOVS PLACE UEST FOR ELECTRICAL INSPECTION ~ EB-00007-06 j 1 Sea inslmcbons lor camplatine this lorm on Eack of vellow copy. s' / ~ i '4431 "x BeloW Work Covered 6y 7his Request ",4Ana neo. Tvoe of a-m-s ApPllnncna Wired Ecuiumani Wiree Home Ranye Temporary Service Duplex Wa12r Hea[er Liqhtiny Fix[uie5 Apt. Buflding Dryei EleCinc Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr~ oeu v ~hcr ISnrr.itvl i c, Uculy Olhm Oihi;r ompute lnspectron Fee Below N Fey-Qj ServicaEntraneeSize n Fea Fyxdens/5ublexde.s b Gecwts U to 200 qm ps 0 to 30 qm ps 0 to 30 An )s Above 200 qmps 31 to 100 Ainps 31 to 100'qm s Swinming Pool Above 100_Amps Above 100_AmpS Transrormer5 Irrigation Booros Partial. Other Fee Signs $peCial InspeC[ion TOTAL F ^ RerrNrks Rough-in I, tna Elacln Insoecmr, ho~o6y certily ihnt ihe above Final D~1e ~ mspection hes been maAe. Thlsrepueat voldl0monthslrom This request voitl / n//~/Cry dJC!'/~ 18 nanths imm o~• tJ / //7 D, --7- 4 4 31.;: RNqu s~ Oaic Fre No. ouFlYne - Ins4ec ' mn / ~ - qwremd? Rrady Nuw~ll No~dy InsPec- s ?NO or When Featly ? Licenyed Electncal Convactor I nereby reQUest insoechon of abova ? Owner electricnl work installed et: Street n dress, Bo. or Route No. Cn 6W xeuon o. ownshnp N mn or o. Range No. C n~ Occup IPRIN 1 Phone No. Po S"np~ie Adtlress Electr, al ConUactor IGOrtipany N.F Con«aeLicensXq~ o. ~ (J - / Mailing AAJ,ess (Co=vaci or Owner akin lation) 1 / 'V Am nzed. .gnamre ICont /Owner Makiny InstallajinN ho • mber -,9)600 MINNESOTA ST BOAND OF ELECTHICITY THIS INSVECTION HEQLIEST WILL NOT Gruges•Midwoy da. - poom N-197 BE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ava.. SL Veul. MN 55104 UNLESS PROPEH INSPECTION FEE IS Phnnw16191669-OPOO ENCLOSED. CITY 9F EAGAN N_ 14 4 2 3 3830 Pilot Knob Robd, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~ 91 ~s BUILDING PERMIT Receiptu ~ Tobeusedfor SF DWG/GAR EstValue $123,000 Date NOVEMBER 17 19 87 4012 STONEBRIDGE DRIVE SO Site Address OFFICE USE ONLY Lot 8 Block 7 Sec/Sub. HILLS OF On Site Sewaee Occupancv R3 ParcelNo. STONEBRIDGE MWCCSystem X Zoning V- On Site Well (ACtual) Const e Name THE ROTTLUND CO INC Ciry Water X (Allowahle) Vn ; Address P.O. BOX 383 PRVRequired _ #ofStories bz ° City OSSEO Phone 571-0304 eoosterPump _ Length oepih 36 , p Name_qAMg S.F.7otal z~ v a Addf255 Fooiprint S.F. : City phone qppqOVALS FEES ww Name Engr./ASSess. Permit $ 572.5C ~ z Planner Surcharge 61. SC Address 286.25 a w City PhOne Council Plan Review LOO.OC BIdg.OH. SAC, City I hereby acknowledge that I ha e read ihis application and state that the Variance SAC, MWCC 525.010 intormation is correct and ag to comply with all applicable State ot Wafer Conn. 525.04 Minnesota StaNtes antl City o a9an rd anc ~ Signature ol Permittee Water Meter 67.00 Roatl Unit 305.00 A Builtling Permit is issued to _THE ROTTLUND CO INC_ Treatment P1 180.00 on ihe express contlihon Ihat all work shall be done in accortlance with all applicable State of Minnesot taNtes antl C of Ea9an Ordinances. Parks BuildingOFficial_G~TOTAL $2,622.25 ~ . ~OR CITY USE ONLY` . PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ S 1e2SEWER PERMIT (INCLDDE SURCHARGE) $ WATER PERMIT ( INCLODE SURCHARGE ) $ 49 $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ ~Z S •U~ $ WAC $ LO Z S-• U~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7. U~ $ 57, ll-"iJ TOTAL 79/~ ~ 7~? / 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATIO[V IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHI[V PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : / ~ /j gr/ /J 7 C I T Y O F E A A N **~F' PAYMENP OF k'F.E AT TIME pF * , ~ Arrr.IcATIoN ooFS riar oorsizwm . *t APPROVAL OF PF.RNSLT. * APPLICATION FOR PERMIT . * nNSPncriotv oF sEWM Arro/at WATEt * rusrnr.ramiONS WIIS, NOT BE SCHED-- * SEWER AND/OR WATER CONNECTION ~uLm orn'II, rmruT HAs BEm * . ; rPPxwID. * . » * P ease Print 1) PROPERTY ADDRESS : S7Con P 4 LEGAL DESCRIPTION: ` Lot Block Subdivision or Tax Parce ID ) IF E}QSPING STRCCl[)RE, DATE OF ORIGZNAL BPILDING pII2MIT ISSL'ANCE: PRESENP ZONING/PROPOSID USE: (Mbn Year 0 CO~ti4MERCIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY r7 IPIDC'STRIAL ~ R-2 DL~PLEX (ltao L~nits) f-I INSTITL*fIONAL/GOVII2M4ajp CD R-3 'IOWN?OUSE (Three + Units) ( Onits) ~ R-4 APARTh1ENT/CODIDOb1INIUM ( Units) 2) ~ I'A`'E:~.~7CL'C~ ADDRESS: CITY. STATE. ZIP: 46,,(a PxoNE: ~F9-;Z 3) • u NAME. ~ q rn~ For City Use - Plumbers License: ADDRFSS: Active CITY, STATE, ZIP: E7cPired Not recorded PHONE: MASTER LI(EDISE# St~Initial 4) •.i.i~: NAAE: /?en ADDRFSS: • CZTY, STATE, ZIP: PHONE: . 5) " ~ ' : o • a~ - o-~ ~ CONNECPION 1D CITY SEWII2 ~ CpNNEX.`rION TO CZTY WATER ~ pri'Fm . 6) • • r ~ PLEIISE HOLD APPROVFD PERMIT FY)R PICK-pP BY ONE OF ABOVE PLEASE MAIL APPROVID PERMIT 10 2 3, q, pgp~ Circle one) 7) y ~ ~ •~l/ ~ • P • I• • • JI 1 1 71 i. • ~1~7 ~ M 1 tli~ 1 11 ]I ~ .A ~ 1 " OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 PorchlAddn. (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 ? 24 Storm Damage ? 05 3-plex ? 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 Bldg.' O 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 0 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 . MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. ~ ~ Trails Ded. Other Copies ~ rotal: SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 > ~ 5-7- ~-s 651-681-4675 ZS I -1-~(a-~~ New Cons}ruction Reautrements Remodel/Reoair Reauirements ? 3 registered sRe surveys:howing sq. R. of lot, sq. tt. of house 2 coples of plan and all roofed areas (20% maximum lot coveraae allowed) 1 sei of eneigy calculallons for heated addHions ? 2 coples ol plons (show beam 6 window sizes; poured fnd. deslgn; etc.) 1 sMe survey for exterlor addMions d decW ? 1 sef ol energy calculations D 3 coples ol hee preservatfon plan it lot platted aHer 7/1 /93 ~ DATE: CONSTRU TION COST: DESCRIPTION OF WORK: STREET ADDRESS: IOT: ~ BLOCK: ~ SUBD./P.I.D. F~Cl ~`S (9-P ~`~7"JV~f IY i C`L ,e Name:/~~~ Phone N: '~SZ -Z~12 v PROPERTY Last First OWNER StreetAddress:'590O/Z ~ . City ~ s..~ State: Zip: Z~ .7 ~a/ Phone 7 ~ ~ (area code) CONTRACTOR Street Address: It730 - -10/-6 License # sf `"-C~e'Exp. City S?afekA~ zip: S S3~ z Z ARCHITECT/ ENGINEER Company: Name: Telephone M: area code ( ) Street Address: Registration City State: Zip: Sewer d water Iicensed plumber (reouired lor new conshucfion onlv): ~ PenaMy applies when address change and lof change is requested once perml Issu . Ilhereby acknowledge ihat I have read fhis applfcatlon, state thatihe Infor ati s correct n e fo comply wRh all applicabl state of Minnesota Sfatutes and CHy of Eagan Ordinancez. ~ Slgnature of Applican : ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required Section T-C Page 5 ; Replaces . rlarch 18, 1983 May 1, 1952 ' Jrir1 Z ~ CNGINEGRL•D GARAGE HEADER' ' • 16'6 X 22 in Stock , r-- , NOTG: MAXIMUrt ALLOWABLE TIE-IN SPAN 2410" ROOf TRl1SSE (650 L6S TOTAL PER LINGAL F00"C) ' 1G'G x 22" ' ~ - "•r ' ~ :i . ~ . - ~ : . J ` f,!~~!t i t`.~ . 'i AUTOMATED BUILDlNG COMPONENTS, INC. ' Coinponent Plants Kitchen Diviston - ' MillworkDivision ~!}-};it Ezcclsior,MN ~ Chanhasse., MN Lon9 Lake. MN Cheiek, WI 612/474-1111 ~ 61219J7~9060 612f473-7776 71519244867 2422 Ente,pnse Drioe_. •~rIONECR LAM1DSUqVEYOHS- CIYILCNGINECRS IMendo:aHeghts,h1N~J12Q ~ engineering. L4NOPlANNER$. IPNp$C>v[qRCMITECTS ~ ~I I612I VCpO1-1Jn1a ~ T • CertificateofSurveytor. T~(E QLUIYD_CQAlPANy I I ;i N 5 °/o 'Oo „E i 19004 5 - - • ~ 50 + ~ '10~~0 ~ I I ~ Z. H~~,J~~'~~ 01 A ~ L- I ~ iL 5I ` - - _ _ ~ ~ ~E 'J• ~ . . . d ~ ~ L 3( ~l~b 0.$) I Z/O. 33 s s.oo ~ \ ^i~'33'/S"~ ~ yo $qS? ~ ~ S ~o .Q k%AL AK,tA oF [ot = 1744"L.1 ~'0a~J~`v~ ~ . goo.o Deno/es exis}in~ Etevofron Pczor?osFD NDUS£ [L£JAT!ONS . yoo.o Ocnofes propa~d Elevol%on - ~ ~ ------Denofes DraiRa~e€Ufrl1ly Easement Lowesf F/~r F/evol~on = ~ Denoles Orqrna e Flow Arrows Top oi' 8/ocl; flevahon =,g97-4_ o penofes monument Garojia 5/ab Elevofion = 897•42 _ Bearrn~s shown are assurn ed LOT 8, BLOcK ? , Nlccs aF $TONEBRIDGF DQKOTq CDUNTY, MVA'NESOTE7 SUBJEC]' TO L'ASfd1ENT5 OFQECURD I 1 hereby certify that this st a vue and coIIc[t reDresenouon ol a tvrvey of ihe bci.-Cat vs o+ ti,r abolc tv•<' b".1 ia~ a^tl o' ih,• Np--~e,I ' bwldmqs, thereon, and all wsible enuwchmcnts, i1 anY. <<om of on saPd ia..d AS Sunvled Gy mr, in,s_Q~_ a.p. 19 / I o Sca/e : lindi = 40i2el ;,A ~ - -a 3702 n. BCa f U. s'v.~C'. l ti FE : hV 1ah91 , . 'R.OOP/CEILING • , i ~ ;1' . ~r ~ , i . • . . . . i . . ~ f~~ . ~ ~ ConsLrucl•ion ' R-Vcxluc ~ r, . 1. ~ Tnterior air film 0.61. 2. ' gZa" C~ T° f3 'F~O ~ I eS8 3. ~~~i~l~ I • 9. Exterior aii film (still ~ p .61 • Vu7T Tota1 35.00, i ~ 1 `-'O ' ' ' • ~ , V = .C~zs V.enced Heat fZow.~ - • • ' ~ ~ • up ~ ~ ~ . . ' ' . • , , ~ i . , ~ . , . FIG. AS i ~ . . ' . . • ~ . ' ~ --y~ ' • . ~T . i• . . I. Interior_air film 0.61 2. S/~~. vYT~ I~~p oS8 Ot/E2 T/CU55 ..77 ~ i 4%} • 4. E>:tcrior air film sti7~~'I ~ •i . . . - n ; Total ~ HE~t _ . . `~J `~J ~ 3 ~ • ~ • ~ . ~ . ~ ~ . , ~ • , • ~ ~ . • - ~ , . . 1 Y.enc Elow up . i , .•vented , , ' I ~ • . . • , . I . • i " ' , • ~ FIG. AC.J.... . . . r • , • . . ~ . . . ~ . . . . _F_ . . ~ . . . . i 3 ~ 5 ~ v 1. Insi.de ai.r filin 0.61 . , oS:'.•~'~"'`Y"^t~ 2• • ~t. .ti ~~~a' o.. . .1 ~ • . . • 91~IQylV~;.••':...'~..• • • fl\.\yii.~:.•~~• 4. l.~"... 1' • • . ~ 5. Outside air. film p,17 Tota1 , • ~ . 1 ; Z ` / ~ ~ . ~ • , ~ . . , . : • , ~ . • . • HOi7-bL'h'Tpp ' Notc: Use additioiial sheets •iL• more cpace is • ' needed for c1eL•ails and calculaf:ians. ~ . HeuC ' , • , ~flou up ~ . • . c , • . ' F.T.r,. :07'L•': Use ip% of opaque wall area for ~ i "Srame construction • ' ~ ~ ' Construction • ' • ~ ~ ~ /1 R-Value -~J • ~ ~ ~ ~ 1. Interior airf~ film .2. '~~L"C~-Y P 13 R 1~ ~ 0 4 S 8 . 3 3. zx(= 5-rrivS (oo$$ 9. 25;-/32 SN7'G OC~ RSIC }7ALL FEGT / a .Z ro ' ` ~f• 6: Exter.iar air film 0.17 • ~ I~ Total FIG. o1 TOPVIEftI OF v^ oOg~ FRAt1E F7I~LL ~ . ~ . ' . 1. Interior air film . 0.68 . . . ~ ' • ~ 2. • ~ ' I ~ -0 . ~ 3. FUL L ~~Gdr7 L L. ' //LSGe , 4. 2 S 3L ~ryTC~- 1'IG. li1 O ~ 5. ~/U/~(iG OVE~' FELT / o O6 6. EJCterior air film 0,17 ~ - Total 2 3, 6 Z L U1, Interior air film 'l scr c 0.618 s . 12 x _ !z'r r it 1 I.~~~ 1;..\~.~ • 1" ~c •~SB. . ~ • ; .1~ . 4. ! 25 .Z S H rV- C~ 5. "~5-- y '2 (p 6. Exterior air film 0.17 Total 2 S.O S )'\TlCiri•~~.- _ 3 , ~'f~;l ~I • p' ~ , , U_ . D S`U I.~ 'I:. • p~ `~..,~;J 1. Interior air film • tti i'~%•• ,~il. . ~ 0.68 ~ . o " . ~ . 2. /1 _ _ .I. . . . . 3. _Aa Fu2 uI NC~ KL . 9. /2''cowc. /3~oc1~ /.Lff 6. Exterior air film 0.17 l I J~ • . Total ~f.~ V II! . "~rr.-..~-~?sTk .6' ' ' r~ ~ ' i , • ~ / ~ : ; ~ ~ _ ~~r " 1((.~ ~ . •,b ` ~ , , y ' • . : ' , _ ~~1 . 113 ~ . . FIG. #4 I(1 ~ ~ ` = . . ~ ' r ~ . . . , _ . . ~ . r . _ . Total exposed roof/ceiling area ' Total gross roof/ceiling area = e!/ j. Total skylight area ~ k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area ~ Determine "U" value for each roof/ceiling segment. X uUu k. ! 1 g ,-U-- 1. X,,,,,, 4 Total = - If total of l14 is the same as, or less than (I2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 113 and 114 shall not be greater than the sum of items /I1 and t/2. i. 320-3~ + z. 3~.68 = 3S/.63 s. 29D.7q + a. . , < ~ . . , 'r ' . • . ;vr ~ ' EXTERIOR . ENVL OPE AVERAGE "U" COf-IYUTATION j - ' owNca T/ta f~] • 'r~ ~.~,b ~ sixe ADUaess .SLD416-- - JC~'1~~(1C coN~ranc~roa ~1G?m.G nn1E b07 PFIONE S~l- Determine working square footage of eucli. ~ 1. Total exposed wall area Z$S& sy. ft. x ° 2. Total roof/ceiling area 811 sq. ft. x~0Z6 = O~(D Total exposed wall area above floor °21f 9 G-- • a. Total wall window area b. Total door area c. Total sliding glass door area d. 'Potal Iireplace wall area ~ e. Total wall framing area (average 10%)................ f. Total net wall area above floor , g. 'fotal rim joist area , • Total exposed foundation area = ffi . ' " li. Total foundation window area i. Total net foundation area above grade Determine "Ui' value of each wall segment. . ' a. 2 J~ 3 X~out, .S~ _136,62 . , ~ b. 3 ~ X „u„ , 07 = 2. 6 G . . ; c . 4 to x pu„ . v = 27. 60 . . a. x „Ull . . ~ e. 2/S X „U„ 08 = /8.7( f. 1930 X.,,U„ 4o4f2 = Ig •06: , ~ g 3/2 . X „u„ 8" . h. 7 X O.U.1 ~ 1. 7/ X„u,,. 7.91 3 .........Tol'al 2 ~ If item fl 3 is the same as, or less than item lll, you have met the intent of SBC 6006(c)2. V,q L U AT IoN ;J F. ~ ~ c ~ ` . p e ~ GARAGE aox ,z= zyn Z2 x Z2 = L4- 9 zv x i z = ~css "gsm-t~ ZSx2$ = 78~I 2Zx ~4= 3oS- IUgZ X ILI = ISZSs1? Isr ~~ooR B o92 7~ Al ._..I~-~-- l1b~ kN4- qb'66'I 2'•o Ftou~y ~Sr FwoYt` I~xz= xN ~i3o ~ZZ3Ga . 1 1987 BOILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMI[.Y DWELLINGS INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER MQST DESIGAA2E AHICH 9DDRESS IS DFSIRED. NO CHANGES FIILL BE ALLOfiED ONCE BIIILDING PERMIT IS ISSOED. MULTIPLE DSiELLINGS - RFSIDENTZAL RENTAL UAITS FOR SALE OPITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECg iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STftUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND dEC'0 NOV 12 '1987 To Be Used For: $Njj~, F'qM, pWe{q„uh /Valuation: Date: 11 -i1 -V-7 Site Address O Z 5 = OFFICE USE ONLY /23000~ Lot Block r( On Site Sewage Occupancy Q- 3 PSWCC System Zoning Parcel/Sub ~hQS DP STDNC~AR[Ob(E On Site Well Type of Const City Water Fl~ (Actual) V-N Owner ~~et)trT„sWp (~,p, Jqk, ~ (Allowable) V-N ll of Stories Address P'O, 13ox Length (Z' Depth 3 - City/Zip Code QSS&:-o 6-S'3lo5 S.F. Total Footprint S.F. Phone paol~ APPR096LS FEFS Contractor Assessments Permit ~ Water/Sewer Surcharge 61,50 Address Police Plan Review 2 2S Fire SAC, City 100,00 City/Zip Code Engr SAC, MWCC S 2 10 D Planner Water Conn 1525,00 Phone Council Water Meter 6.Q7 Bldg Off `~'u 11/i~ Road Unit 305.~ Arch./Engr. >A//iL APC Treatment Pl IRO,DO Variance Parks Address Copies TOTAL City/Zip Code Phone !1 ` 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I IQ 0 I o~, I Site Street Address ~ZU I o~ S~~~ e-e~ r. d~ lJ f; v~ So~ a 1'1 Unit # Property Owner ~ P f n A~ t e f r^'N 4 h Telephone #((oS I)~Z'S D Contrector 2 SS i a?1 P17"3,. S e r° eS 'in C Telephone #(bS f)(0 8 I- 8~S 2 Address P (3- 'Rar7a City EC~v,\ State P'11V ZipSS/a2 The Applicant is: _ Owner _ ontractor _Other Alterations to existing dwelling 50.00 Add fixtures to rooms, excluding water softener and water heater s~ Lo w¢ r)e.. c` 6~ aL _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other. _ Water Softener _ Water Heat 15.00 _ replacement _ additional QLawn Irrigation System RPZ_ ne By repair _reb Id $ 30.00 State Surcharge $ 50 Total $SO• So I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYs Signature uui ~ APR 2 2 2004 By OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level 24 Storm Damage C) 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Oemolition (Entire Bldg) - Give PCA handout [o applicant Valuation ~v b~ Occupancy oe,- .7i MCES System Census Code Gl~?i L/ Zoning City Water SAC Units ~ Stories Booster Pump # of Units 19 Sq Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ Final/No C.O. Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ S[one _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows 4/ Insula[ion _ Retaining Wall 4O `t` Approved By: 5~ S~~ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 ItESIDENTIAL BUILDINC PERMIT APPLICATIO\' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 9170 U,\ ~ ~ ~(aS Telephone # 651-675-5675 FAX # 651-675-5694 C'~~J:~_ ~ p,, ~J New ConsWction Requiremenis RemodeVRepair ReouiremenLS OKce Use Onlv 3 registeretl site surveys showirg sq. ft. of IoL sq. k. of house; and all roofed areas 2 copies of plan CeA of Survey Recd Y N (20°h maximum bt mverage allaved) i set of Energy CaICUW6ons for healed addi6ons Trce Pres Plan Recd Y N. 2 copies of plan showing beam 8 window sizes: poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N 1 set of Energy Calculations Addi6on - indicate don-site septrc sysfem On-sde Septic Sysfem _Y _N 3 wpies of Tree Preservafion Plan if lot platted after 711193 Rim Joist Detail Op6ons selectlon sheet (bidgs with 3 or less units Date Construction Cost Site Address y 0) Z d "/TJN P _4 " 2(~D -S . Unit/Ste # Descrip[ion of Work /J ,Z4 9GS Pw Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 2 Property Owner V E YnJ JE}Gk 4/ Telephone #(G SI )~/S Z'- 2Fp ~I D n - s2-8~7-BZ3 ~ Contractor Address Ci[y State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 Minoesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (4 submissionlype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. licensed Plumber Telephone ) Mechanical Contractor Telephone # D Sewer/Water Contractor Telephone # ~ I hereby apply for a Residential Building Permit and acknowledge that the inforn tgtulon is curate; that the work will be in conformance with the ordinances and codes of the City o agan 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 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. ~ ZC Ae~ hvr4 9 ApplicanYs Printed Name ApplicanPs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4012 Stonebridge Dr S Lot: 8 Block: 7 Addition: Hills of Stonebridge PID:10- 32990 - 080 -07 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Expired Perm Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Total: Applicant/Permitee: Signature PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed - Applicant - Owner: Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081687 01/15/2008 ePermit cal Inspector, 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 Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4012 Stonebridge Dr S Lot: 8 Block: 7 Addition: Hills of Stonebridge PID:10- 32990 - 080 -07 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA090838 08/25/2009 ePermit 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 Issued By: Signature í ý ü û þýý üíüú ùýýúùþù ñþóúø ü âãã ÿþ þýõ úùø÷öõòêþé þþ ù÷öõ ò ÷öõòêþé þàêéôõ ë þ õñùþ þùþ ìùõ ö ïü úîù í ëõ ëþë îù þë þ ø ëþèó üêêõüþû ó ó ëü ý þõè ó ó þõ ó þ è øëç þ îù øö êþüó ëöëþè þíå äåèè ôù úù ü þæ ù å äåèãèâã æ ù ûè óûò õñð õõ ôê þ ë ãâùöô òþ âúø ü ú ôþ ý ü áàâ ßÞâ øö êü þ õõ þ ó ë þ ü ëõöê õõ øú óáþ ú ùþ öóý ü ì þè õõ é ëúü ù þþùöúü ù PERMIT City of Eagan Permit Type:Building Permit Number:EA108890 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills of Stonebridge PID:10-32990-07-080 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,987.00 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 - Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112975 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-080 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 . April Desmith Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 Cedar Valley Exteriors Inc 3369 Coon Rapids Blvd Coon Rapids MN 55433 (763) 755-2221 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use city UEap Permi t y3830 Pilot Knob Road RECEIVED Permit Fee: Eagan MN 55122 I 1 Phone: (651) 675-5675 MAY 0 5 2014 1 Date Received: I I I Fax: (651) 675-5694 Staff: I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5 Site Address: t-1 h 17- JkO n cj:~t- r c • ~J C Tenant: Y o-r rIN A L~Le~- r~ c~•-~ Suite l esident/C3wner ` Name: Vern A c k-~c Mme.. Phone: 6 5 l- `-15 Z- Z$ `LCD Address/ City/ Zip: Lto t L S Name: 5 r f~ r\ •a `I ect~, n3 *-A%. r License Contractor Address: 1$ 1 S c _ `--11 S)- v ti fl City: State: r1 Zip: .5 5 L 0 ~ Phone: b i Z- 7 2-4- 1% qck Contact: r1 r1 ll - Email: 0. n n a.. kLD l . r v r..~~\- Cv r1 New Replacement Additional Alteration Demolition Type of Work Description of work: 1- JL L (fe c-r r w r tiuN M3 6 3•U To -i 36,0 oh NOTIE: Roof mounted,and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical iifspector.for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Permit Type Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank Install / _Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) J $100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will b in conformance ,with a 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 n t to start w' ut p it; that the work will be in accordance with the approved plan in the se of work which requires a review and approval of plans. ! r x ~ Q--e,- r\ e--, c-(- x Applicant's Printed Name Applic s Sign ture FOR OFFICE USE Required Inspections: Reviewed By:. Date: Underground _ Rough In Air Test Gas Service Test fri-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA129407 Date Issued:02/09/2015 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-080 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 (651) 808-5888 Glowing Hearth and Home LLC 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164274 Date Issued:09/24/2020 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-080 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 - Lavern Ackerman 4012 Stonebridge Dr S Eagan MN 55123 (000) 000-0000 Midwest Roofing, Siding & Windows 3543 88th Ave NE, Suite 300 Circle Pines MN 55014 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170624 Date Issued:07/13/2021 Permit Category:ePermit Site Address: 4012 Stonebridge Dr S Lot:8 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Lavern & Lynell Ackerman 4012 Stonebridge Dr S Saint Paul MN 55123--163 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature