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4016 Stonebridge Dr S11,111. City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: "OD Date Received: Staff: / L 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /�/ !! Site Address: OI 6 ST b i4 `e-- \02.. Tenant: Suite #: RESIDENT /OWNER 0401-I•S CIA- I &Si— t'SG-7a.7€ Name: �.� C� Phone: `�'�-- Address / City / Zip: `t D 1(O S f b i•re i3r"-t °c ,t- bel" v°t` 81-k / CONTRACTOR Name: -U4`) Ckrv.. c41 P 1 c....,t, c xi— e— License #: 5-c 13 a- P ni Address: 331,11 3 . 141 / ii C City)seww t 50 h1 I1,7 - 3/ ll State: W` J Zip: S-19 I Phone: crj'7 — �,X,3.3 - 2 9 I Contact: 11 0 >ipEmail: TYPE OF WORK New K Replacement Repair Rebuild X Modify Space Work in R.O.W. _ Description of work: . Twh 4 5t,c) 0 I d d °`t-tA., �a-..� / rlib,c,...__ PERMIT TYPE RESIDENTIAL S 1-00 .4-s4.5 �-�� w2S Water Softener Water Heater A Add Plumbing Fixtures (X Main / Lower Level) _ Lawn Irrigation (_ RPZ / PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app of plans. x l 0 10e -m-.7— Nall Applicant's Printed Name f x Applicant's Signature 411° City of kap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: Site Address: C.� J ` w.w \C Suite #: RESIDENT/OWNER Name: Pek. f IChele 44.R.511 Phone: 667 -r t)r Address / City / Zip: "lc' / 6 . 563 +-c b RJ5t N Niue 5, i Eaey,4„c/ Applicant is: Owner )( Contractor TYPE OF WORK Description of work: cti .moo (lir., {fir:: Construction Cost: /iC0 Multi -Family Building: (Yes / No k ) CONTRACTOR Name: + uCi" <4Qu TA -Pc. License #: 2O 3 $1 2`1Y i Address: 2-401 8f41.L C,Rce . IkW,\ City: Ck✓ic.{,»+k-IFSp/✓ State: Altj Zip: 5-5-311 Phone: ( (Z.) 615-- 56I66 Contact: at C/ :4 `, Email: <4=5/4,C Skft e�q M ✓I -i 1- Ce• COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDINGDD' the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to,be public information Portions of the information may be classified as non public; if you provide specific reasons that would permit the City to': conclude that they are trade, secrets _.,_. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi nces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start withermit; that the work .'II be in accordance with the approved plan in the case of work which requires a review and approval of plan x Applicant's Printed Name x Ap • icant's Si • ature Page 1 of 3 City of Eagan PERMIT EAGAN Permit Type: Plumbing Permit Number: EA154072 Date Issued: 02/15/2019 Permit Category: ePermit Site Address: 4016 Stonebridge Dr S Lot: 9 Block: 7 Addition: Hills Of Stonebridge PID: 10-32990-07-090 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 - Applicant - Owner: Peter S Marshall 4016 Stonebridge Dr S Eagan MN 55123 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation — Fireplace — Porch (3 -Season) Storm Damage Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior i Alteration_ Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3a90 Occupancy ,7>?G -' 1 MCES System Plan Review Code Edition 27 SAC Units (25% 100%_// Zoning A-/ City Water Census Code /13L, Stories — Booster Pump # of Units -- Square Feet • PRV # of Buildings Length �^ Fire Sprinklers Type of Construction r/is Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) L. Final / No C.O. Required Foundation Ab HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests _Final AC. Framing Siding: _Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test Final Windows „ Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:% , Building Inspector r RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 57 - ht o it & Page 2 of 3 1 t;3~' S date: . CITY OF EAGAN Parmit No: 3830 Pllot Koob Ropd B/P No: Date: ~ i--17-- i P.O. Box 2496 . ' ;7 ' ~ Epan, MN 55121 Owner. r•,,. ; , ~ : n ;,-~z ~ Site Address: 4016 St id e 12r " f ,,tanc_*- i ' . ~ Plumber. Cai1 e u:ab fng ~ MWCG: 52 ; :tiZonfng• 4 I:.I J•' l~.i pc! No. ot Unita: City Chg: i I Acct Dep: 15.~orct I sqns to compy? with t!~ Clt~? af Eagan Permit Fee: L'~ " I , v1e. OrdlnancN. ` Surcharge: ' y j Misc.: ~ SEWER SERVICE PERMIT _ . . :.e... ..«--r~wr-+~.s-Y-~. . CITY OF EAGAN Permit Na. 9236 11-I9-87 ~ ~ 3830 PNot Knob jtoa~ Meter No: Det6: Sfze: { P.O. Box 211$9 ' Reader No: ~ D~ Eayan. M" 55121 ~ Owner. Rottluud Co, ~ , SiteAddress; 4026 StonebridQe Dr. So L9 37 itti. ..c ct ~ Plumber Dallev _p2utabina br2d~e ~ Acct Conn. Chg: 5?5.~'~?Pd Zonin RZ ~ IS.Odnd a ~ Dep:- 10.00pd No. of Units: 1 I Permit Fee: ~ Surcharge: _ • S0pd 1 aprse to comply wRh tM CNy of Eagan ( Tr. Plant - i 8 0•00pd Ordlnances. Meter. i jMisc.: By i ' WATER SERVICE PERMIT - - CITY OF EAGAN Permit Na Detec i 1-19-~7 3830 PNot Krrob Roai M~r No: SiZ~ ,S- P.G. Box 211~' Reeder Na &3 Eagarr, MN 85121 1 ~ Owner. Rn t t lund Co. SiteAddress: ~±016 Stonet~ridve Pr So T 9 R7 tiii i r i Plumber V 1Ze , Stonp- Conn. Chg: - S . OOpd W Acct Dep: 15.0 I NOCOl UhWes 1i ~ ~ Permit Fee: 10.0 Surcharge: , 5,111 , -CTft1C - GAS EtC. i Tr. I lant 180.02E ~O~,~~ wffh Ihe Gh of Eagsn Mee I E Misc : cpl~ ; ~ WATER SERVICE PER i I OF EAGAN r . . 3830 Pilot Knob Road, P.O. Box 21-199, Esgsn, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt ~ ' iC•+`,`; ;P Il`b,it: V r' i+c}. i! ~ To be used for Est Value Date ,19 c„•; r',7;E Dit S(', Site Address - OFFICE USE ONLY 7 Ili ILL" 'r'' On Site Sewaqe Occupancy Lot Block Sec/Sub. R MWCC System Zoning T- Parcel No. On Site We11 (Actual) Const ~n ;di'•-TI.I?•. Cl :Ni; CiryWater X (Allowable) a Name W . ~ PRV Required 4k oi Stories ; Address. ~ . i ,4 Booster Pump Length ° City Phone Depth , p Name S.F. Total 0 4 Addfess Footprint S.F. ~ City Phone APPROVALS FEES ~ W Engr./Assess. Permit ' ~ t~• ~ W Name Planner Surcharge _ z Address ~ ~ W City Phone Council Plan Review Bldg_ Off. SAG City I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC information is correct and aqree to comply witn all applicable State of Water Conn. Minnesota Statutes and City of Eagan prdinances. Water Meter Signature of Permittee Road Unit 3~~•' 1 t ~ i.: :,u ~ ~t,, t~.'~ A Building Permit is issued to: i.J Treatment P1 on the express condition that all work shall be done in acco?dance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official , Permit No. Permit Molder Date Telophone ~ Plumbing : - H.V.AC. Electric Svftener InspecHon Oate InsP• Commenb Footings I Footinps II Fnundation Framing Roofing Rough Plbg. Rough Htg. Isul. ~ Fireplace Final Htg yY C. FinalPlbg. `/G-S , Bldg. Final Cert. Oca Temp. LP Deck Ft% Deck Final Well Pr. Disp. .y1 I 01trfif irafr of (Orrupanry titp of tagan 18QrwbuPId D# Ufttq JwPtYiDIt I This Cerlificate issued parsuant w tlte requiremenls oJSection 306 of the Uniform Building Code certifying that at the time of issuance this slructure was in compliance with the various ordinances oJthe Crty regulating building corrstruction or use. For tke fo!lowing: U. Owid=. a DWG/W eua. re,a~l No. 1f+!?22 omvpanq TYoW R3 Zomg aurrc 'rYve c°°'r +h ownadapwq 1.~ RaTTS. M W DC Add„v, P.0 . 8(~"i 383.OM &W&n AMms '+Olb STONEBRID17. 19, 87, iilII.S UB SlOEWJM i 12, { 988 ~ ast . Ibuldwt OftW POST IN A COrPICUOUS PI.ACE ~.J ~s . . . . ' " " . . . . . . 'r` , . , , . S' _ , . , PERMIT tf ' PLUMBING PERMIT ~ C,' ~ ' CITY OF EAGAN RECEIPT ii 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '~_57 / CONTRACT PRICE PHONE: 454-8100 Site Address ~ BLDG. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. New X Mult. Add-on &j Name Comm. Repair ~ Address Other c City `i-~ e.1-1 ,I Rhone ` - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES OTAL Name r:~.Water Closet - $3.00 - C ~ _.,~Bath Tubs - $3.00 c U ~ Address -,-Zlavatory - $3.00 O Ciy [:f"~,~ n Phone 4_Shower -$3.00 n _~/_Kitchen Sink - $3.00 - % ~ o FEES Urinal/Bidet - $3.00 COMM/INO FEE - 1% OF CONTRACT FEE --/_Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES _yL_.Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. fiATE APPUES _~/_water Heater -$1.50 -n; c- MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 2 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 BEYONp $1,000.00) Well - $10.00 • ~ = Private Disp. - $10.00 __;~_Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: ~ FOR: CITY OF EAGAN GRAND TOTAL• ''Y t? 1 _ . ; - ~t • . . . - , - PERMIT # MECHANICAL PERMIT ] (r Cr- , CITY OF EAGAN RECEIPT # j 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE CONTRACT PRICE - - PHONE: 454-8100 Site Address BLDG, TY E WORK DESCRIPTION Lot Block > -~ec/ ub Res ~ New ~ Name Mult Add-on Comm. Repair ~ Address c Clty Phone I FEES Name ' RES. HVAC 0-100 M BTU - a24.00 ; Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air L.d4; l-' '-)M BTU APT BLaGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater- - M BTU REMODEL$_ - 12.00 Air Cond. M BTU MtNIMfIM COMMERCIAL FEE - 20.00 - Vent CFM STATE SURCHARGE PER PERMIT - ,50 (AOD $50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # , BEYOND $1,000) Other $ FEE - { S/C: -•ti~ SIGNATURE OF PERMtTTEE TOTAL• ' ~FOR: CITY OF EAGAN , . : . . . . . 9- 9= S!~ ~ u-a a D. -s ~ewa?,..~oat.~.~~~a~~ I . ! ~-(YJs Ct~-W . 7G~~~~~....._?~~C!'tSZ.~ - G~ (J ~ _ ~ . . . . CITY OF EAGAN 13 J 5 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for LO6MNT Est. value $1 s~ oate APRIL ZS 41 Site Address 4016 Sl+O!lSSRIDQE D!t S Lot 9_ Block _L Sec/Sub. 1i1[.1~ O! OFFICE USE ONLY Parcel No. _ q'i'011e ~iDf3B Occupancy _ FEES Zoning ¢ Name PHlL1P L C/IaViTt'9 w (Adual) Const BIdg.Permit =35.00 ~ Address S~ (aiowat~) - surc?,arge 1.00 City Phone 4~d743 r or scories _ Lwgth Plan Review ~o Name ~ 126-r991 oepcn = snc. city ~ Address S.F. T°W SAC, MCWCC City Phone !%.F. Footprinis _ pn gite Sewage Water Conn tW Name d, sice weli - water Meter Address MWCC Systw,, i W Clty PhOne City Water _ Acct. Deposi PRV Required _ SrW Permit I hereby acknowlege that I have read this application and state that Ihe 8ooster Pump - Sryy Surcharge inlormation is correct and agree to coly with all pplicable State of Minnesota Slatules and City of E ap O ~n s. - Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permil is issued to: rHl P CA#t1ETTE Pta,,,,er - park ped on the express oondition that all work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies $jb Building Official Varience - 70TAL ~ s PNrt-At No. Pxmk No1dK Cw TMwphorr # WATER SEWER PU1A181NG H.Y.A.C. ~CTRIC 3b 5 ti,P.m,o„ o.ft 111-a. cwwnwds Foatings I FouWation Frw" sz 9~ s ~ling Rough Plbg. Fiagh Htg. ls,i. 5 2 9 S' FH6PIeCB Final Htg. Orstat Test Final Pibp. Plbg. knpeclor - Notily PkHnber Const. Meter ErgrJPlan Bldg. Final Dec,ic Fty. Dedc Fnel wen P?. oisp. INSPECTION RECORD ^ CITY OF EAGAN PERMIT TYPE: ;-I! I I III r+~, 3830 Pilot Knob Road Permit Number. t% +r;+i Eagan, Minnesota 55122-1897 Date Issued: : j t+ (612) 681-4675 j f N t41 i:'~~~p H•1A E,. SITE ADDRESS:;• APPUCANT: I kt• t!I-,I PERMIT SUBTYPE: TYPE OF WORK: ! r . ~ , i f ! ~ . ! ! • ~ i %~i i1 I , . , i , I INSPECTION 1A • D A V I I ~ ~ I Parmit HoFder Date TNephona M PLUMBING HVAC Inspectlon Oata Insp. Comments FOOTIMGS FOUND FRAMING flOOFING ROUGH PLUM8ING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ' FIREPLACE ~ AIR TEST FINAL PLBG FINAL HTG I ORSAT I TEST ~ BLDG FINAL DOMESTIC METER I IRRIGATION I METER I FLUSH I MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ~ CASH RECEIPT ~ CITY Qr EAGAN 3830 PILOT KNOB ROAD •EAGAN, MINNESOTA 55122 • ~ ~ . DATE I ~ 19 , R[CEIYtD , 1 FROM AMOUNT $ I 4 DOLLARi ~eo CASH [ICHECi( 1 _ i FVNG CODE AMOUNT Thank You BY ~ White-Payers CopY Yellow-Postinq Copy Pink-File CoPY BLDG. PERMIT N0. ~01-3210, Bldg. Permit ' I ~ f Q1-3422 Plan Check ~ 01-3445 Surch./Adm. 01-3446 SAC/Adm. S ! 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 7 ~ 20-3865 Water Conn. J O ~ i 20-3868 Water Trmt. 20-3716 kater Meter ; 20-2252 Acct. Dep. 20-3713 Water Permit ~ ~ 20-3743 Sewer Permit 79-3866 Sewer Conn. ~ 11-3855 Park Ded. TOTAL - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt ~c To be used for SF UWG/C1lH Est. Value $ ~000 Date NUVDtBER 17 .19 0 Site Address 4016 STONEBRIDGE Dn SO OFFICE USE ONLY x3 9 7 ::ILLS 0F On Sfte Sewage Occupency Lot Block Sec/Sub. Parcel No. S F F.1 DG MWCC System ~ Zoning ~ On Site Well (Actual) Const THE ROTT'UiNU C() iNG Clty water (Allowable) Vn oe Name = Add?ess P. O. box 383 PRV Required ~k of Stories ~ Booater Pump Len th ° City U$S ~0 Phone 5 7 -Q 0 9 Depth ' , p Naihe 5AME S.F. Total ~ ~ Address Footprint S.F. City Phone APPROVALS FEES 1- c Engr./Assess. Permit a 521 . ~ ~ W Name Address Planner Surcharge Council Plan Review ---U' 75 WW City • Phone 1~.~ • Bidg. Off. _ SAC. Clry I hereby acknowledge that I have read this application and state that the Variance _ SAC, M WCC 523•00 infortnation is correct and ag?ee to comply wit all applicable State of Water Conn. 525.00 Minnbsota Statutes and City of Eagan Ordinans. S ~ Water Meter 67• W Signature of Permittee Road Unit 305.UU A Building Permit is issued to: ~TflE RUTTiA. Np_(iU INC Treatment Pt _ 180.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Pgrks TOTAL Building Official_ ''a?537.~ s 0 33625 Fequest 0ale Fire No Aough-m Inspectiw r4 C, ~ Reqwretl? ? Reatly N. VKII NoOty Inspector C ? Yes ? No When Reaay9 K I C~ licensed contractor owner hereby request inspectwn of above elechical work aC Job Atldress (Slreel, Box or Route No ~ Ciry O/ S ~v N Sectron No TownsNp Name or N. Ranqe N. Counry OccupaN (PRINT) Phone No x Q4 /l / _ r ~ F-PYY PowerSupplier Atltlress Elecmcal ConVactor ICompany Namel Gonlractor's Licensa No Mailing qtltlress IConVactor or Owner Making Ins[allation) ~ Auchorrzed Sgna (C ratl , wne daki alla~ Phone NumOer ~ ~ ~ y3 MINNESOTA STATE OAR F ECTflICITY THIS INSPECTION REOUEST WILL NOT Grigge-Mltlwey Bldg - Room 1]3 BE ACCEPTED BV iHE STATE BO0.F0 1831 Universlty Av¢, St Peul. MN 55ID9 UNLESS PFOPE9 INSPECTION FEE IS Phone(61Y) 642-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION °'"•=°'a~ ee-ooom-o7 141YUQ~` No See inshuclions for completing this form on back ol yellow copy ~I209C ~i J ~ ~^ri 2 5 ~ X" 8elow Work Covered by This Request ew Adtl Rep TypeoFBmltling AppliancesWued EqmpmentWired t 1HOme Range Temporary Service Duplex Water Heatei Electric Heating Apt Building Dryer Other (Specily) Comm./Industnal Furnace Farm Air Condihoner Other(specdy) Comractor's Remerks, 846 EErn04 r FiNisr{ Compute Mspecnon Fee Below # Other Fee # SermceEn[ranceS¢e Fee # Qrcwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A 00 _ Amps $19f15 Inspector5 Use Only ~ TOTA~ ~ ~ Irrigatwn Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Ofher Fee COMPLETED WITHIN NTH r I, the Electncal Inspector, hereby Rouqn-in ~i'"N/ ? cerllfy that ihe above inspection has F,,,ai oa~a been made. 11-5 OFFICE USE ONLY Tnis requesi vortl te momhs trom This rn4uest void 1 ~hs ! om 8~ D 74,43n,C5 I;,~~1~, r7 Re.quese Uate ~ FireNO. Pouph-u IoSVectron ~ ~ R 4 Re[I~ ?Ready Now ill Nolify Inspec- Yes ?NO %or Whe.n Raotly ? licensed ElecVical Convacmi I hereby reQUest ins0action ot ebova ? Owner electrical work installed at. SV e,[ ddress, Bon or Raute No. - C'tY ~l r ecunn o. owns ip Name ur No. RanB~ No. Coun y Oc nt IPRINT) Phone No. Power SupUher P.tld~ess Ele cal Cnn[raccor (COmpany Na Contr lmens o. ~ ~ Mailin A ess ICOnVa' or or Owper M g Instailauonl Auth zed-ig ature (C r ctor/Owner akine Installationl Phone umbe~ + n~ U MINNESOTA ST BOARD OF ELECTHICITV THIS INSPECTI AEQUEST WILL NOT GrigBS-Midway tlg. - Haom N491 BE ACCEPTED BY iME STqTE BOARD 1821 Univarsitv Ave., SL Pnul. MN 55104 ~NLESS PflOPEfl INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ~ ee-o~oooi-os p~ c~ y yl / y^/~ ~ See insvuctions for completing this brm on bock ol vellow capv. ~ / 0 7'-F 4.3 L 'X" Be/ow Work Cavered by 7his Request ome Rariye Teinporary ServiCe Motilptit~Add AeO. T yOe ol BmIC.nO AOOliontea WveE Enuiunient Wired Duplex Water Healer Liqhtny Fixtme5 Apt. Bmlding Dryei Elec[nc Het+lin Comntercial Bldy. Fumace $ilo Unlonder InAuStrial Bldy. Air Conditioner Bulk Milk Tbnk Farm Otnni aeei v Oinm cilY ONe, Other e lnspecuon Fee Below p Fee ServiceEntrance5ae b Fee Fexdets/Subleeders b Feo Circwts 0 co 200 Am is 0 m 30 Am ps 0 to 30 An ) Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swinming Pool Above 100-Amps Ahove 100 AmpS Transtormers IrrigatiOn BoomS Partial. Ot r "ba Signs Specialinspection S/ TO AL F pem~ r ks ~ Pough-In Date ma th h ---erabv erbly tM1al 1M1e above Final soeclmn has been ae. ffile raQUesl volO 18 monlhs Irom ,h,s ,aq.e=~ vo,d~~~~/.~ ~o o 18 nwnths lrom ~ D 7 4 4 41Q 12 Renuest D.U. Fire No. Rquph-~n InsVenion Reqmretl~ QNeaAy NuArWill Nuuly InsUer.- >0 YCS ?No Inr Whcn NeatlY ? 4censed Electncal Convactor 1 hereby reqaest mspection ot above ? Owner electncol work instelled at- Sv e V.d ess, Bo or oule No. • G N ~ 0- ~ BGlmn O. TOwnship Nume Or No. Ranpe No. Coun 11 Occ nt IP T) Phone No. Powee Supplier Address Ele' cal Conuac[or (CQmpany Nune) Cmitrar.to,*s License No. a 1,r p- i,:)z ~ LP~i~ i: - Marling AQdJress ICOn[ractor or Oyvner akinp Installauonl ,v 3 , A honced SiBnature IConvacto?Owner Ma4iny Ins~ollaliun Phone Number MINNESOTA STAT ApD OF ELEC1flICITY THIS INSPECTION flEDUEST WILL NOT Greges-Midway Bldp. - Noom N-191 0E ACCEPTEO BY TME STpTE 60AflD 1821 Universitv Ava.. St, PAUI. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. CITY OF EAGAN N° 144 2 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT ` PHOhiE: 454-8100 Receipt ~ + O 9 Tobeusedfor SF DWG/GAR Est.Value $106,000 paSe NOVEMBER 17 19 87 Site Address 4016 STONESRIDGE DR SO OFFICE USE ONLY Lot 9 Block 7 Sec/SubHILLS OF On Site Sewage Occupancy R3 . STONEBRIDGE MWCC System X 2oning R-r- PercelNO. OnSiteWell (ACtual)Const Vn a Name THE ROTTLUND CO INC Cirywater X (nllowable) Vn 3 Address P• o. boX 383 PRV Repuired _ # ol Stories 66 ° City OSSEO Phone 571-0304 BoosterPUmp _ Length DeDth 52.33 , o Name SAME S.F.rotal o a Address Footprint S.F. U : City Phone pppROVALS FEES Engr./Assess. Permit ~ 521.50 Name ~ i Pianner Surcnarge 53.00 Address 260.75 aw City Phone Council PlanReview BIdg.Off SAC,City 100.00 I hereby acknowletlga Iha[ I have read Ihis application and stale Ihat ihe Variance SAC, MWCC $25.00 information is correct and a a to comply with all applicable State of WaterConn. $2$.00 Minnesota SlaNles and Qry Eagan O inanc s. Water Meter 67.00 Signature of Permiltee ca. ROad Umt _3-05-. OO A Bwlding Permit is issued to _THE_E201.'"CLUND CO-IN 7reatment Pt 180.00 on ihe express condiLOn that all work shall be done in accordance wrth all applicable State ot Minnesota tatutes antl CityEagan Ordinances Parks TOTAL $2.537.25 BuiltlingOfficial v CITY OF EAGAN N2 18950 • r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8700 ? ~ BUILDING PERMIT Receipt # I -3 o ~ To be used for BA5GMENT Est. Value $1, 500 Date APRIL 25 19 91 Site Address 4016 STONEBRIDGE DR S Lot 9 Block 7 Sec/Sub. HILLS OF OFFICE USE ONLY ParCel No. STONEBRIDGE Occupancy _ FEES Zoning w Name PNILIP L CAaUETTE (pdual) COnst - Bldg Permit ~35.00 ; Address SAME (Allowabla) _ 9 1.00 0 City Phone 454-8743 a of Siories _ Surchar e Length _ Plan Review ~o Name SAME 726-4951 oepm - sac. ciry 0,¢ Addfess SFTOtaI - SAC.MCWCC Clfy PhOf1B S F. Footprinis - F On Site Sewage _ ~'~'ater Conn °w Name on sne weii ~w - Water Me[er x~ AddfBSS MWCCSystem a W City Phone Ciry Walar _ Acct. Deposit PRV ReQuired - S/W Permit I hereby acknowlege that I have read this application and state Ihat ihe Booster Pump - S/W Surcharge inlormation is wrrect antl agree to co ply {ith all p icable Slate of Mmneso[a Statutes and Ciry of in Ces 7reaiment PI SgnaWre of Pertnitee APPROVALS Road Umt A Buddmg Permn is issued to: PHI P „ UETTE Planner - park Ded. on ihe ezpress condtlion ihat all work shall be tlone in accordance with all Gouncil apphcable State ol Minnesota S afutes and Cdy o~f) Eagan Ordinances BIdg.Ofl Copies TOTAL 436.00 Bmlding Official Vanance S 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion ReauiremenGS RemodeVftePair Reauirements OKce Use Onlv 3 registe2d site surveys showing sq. k, of lot, sq. R of house; and all roofed areas 2 cropies of plan Cert ot Survey Rerd", Y~ _ N (20°h maximum lotcoverege allowed) t set oi Energy Calculahons for heated addilions Trce Pres Plan Reoi ; 'Y' _N, 2 copies oi plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks ~Tree Rres Required - Y_~N lsetofEnergyCalculations Addition - indicafedon-sdesepticsysfem On-sil@SepticSysfem,,,_mN 3 copies of Tree Preservation Plan if lot pWtled afler 717/93 Rim Joisl Detail Oplions selection sheet (bldgs with 3 or less un'As Date -5_ O~ Construction Cost 7-5-0. v 0 / r Site Address ~16r .s~/u e~ UniUSte # Description of Work / G'a Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Zyc 11-19x,, L Telephone # (,(S 6YO"' 72 J r Contractor SELA ROOFING & REMODELING, INC. Address gm i.0UI5 PARK. MN 55416 City State ID #0001060 ZiP Telephone 6(Z ) ~l 7 3-e L) `f D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW Eiii 1 - Minnesota Rules 7670 Cateeorv 1 _ Minnesot ~~ales 7672 Energy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submission type) 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 # ( J Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to 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. Li 7i (/,r/~`~/NNe~ ~ . ApplicanYs Printed Name ApplicanY ignature % OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? QS 03-piez ? 11 10-plex ? 19 Lower LeveV ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 W indows/Doors ? 34 Replacem2nt 'Demolition (Enlire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) _ FinaVNo C.O. Footings (additioo) _ Plumbing Foundation _ HVAC Drain Tile Other Roof ]ce & Wa[er Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace R.I. Air Test Final Windows Insulation _ Retaining Wal! Approved By: , 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 ' • • . ~ 1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLODE 2 SETS OE PLANS, 3 CEHTIFICATES OF SQItVEY, 1 SET OF ENERGY CALCOLATIOAS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOH/HOME05iNER MQST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDZNG PERMIT IS ISSIIED. MULTIPLE DSiELLINGS - RFSIDENTIAL RENTAL i1NITS FOR SALE [TBIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQEtVEY - CI3ECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP1lfERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: $61, Valuation:~ Date: 4u~Fj.b.~Nrq Site Address 10lb STbJ9:0R.IQQ5 k2LU6 ' /oG Ooo- OFFICE USE ONLY / ' Lot C( Block On Site Sewage_ Oecupancy R~ 3 MWCC System ? Zoning P-1 Parcel/Sub NIU..5 DF 5,13D„)f~pOn Site_Well Type of Const City Water ? (Actual) V-N Owner T}{k, Rpj7'E,unlp ep, gNt_ , (Allowable) V-N I/ of Stories Address CD, f3U' X~'~" 8 3 Length Depth 523T City/Zip Code OSSL;3'~ S~T3b9 S.F. Total Footprint S.F. Phone s~r -a 3vy APPROBALS FEES Contractor Assessments Permit SZ 1•SU Water/Sewer Surcharge S 3.00 Address Police Plan Review 26D. 7FS- Fire SAC, City /o a.ou City/Zip Code Engr SAC, MWCC S 2 5,00 Planner Water Conn 525 lo0 Phone Council Water Meter 67, 00 Bldg Off ',/-Ij Road Unit 305,00 Arch./Engr. Sj9nj~ APC Treatment P1 /490,~ Variance Parks Address Copies TOT9L City/Zip Code Phone # VA L u qT I oN GARAGE ZI X (2= 25L 23 X23 = 5~. `]et x i2= 93~1Z ~ox yy _ ~320 ro x 3L = ~'2r~ 16yUK~y= 22960 fsr F~ooR 3s~r 16 yo "13 I668 ia5 -7 a`~ ' I ~ 2422 Enterpr ;e p, . ~ I * PIONEER ~=:_ocuv~=cvo•+s.crv_L v.aiaeras 4lenaota Hr•qhn. NN 65170 l I * engineering,. L °~°°L^NN«.L ^.4~, ^°r ^FCH$ TtL rS ~6t21681 1914 * -l- Certificate of Survey for. TN? L KS 0_TJ_ LM0 ~OMYAN1 ~ \ i j\11. ,9. ~ MI OvII OC I Q, o20.67~ , r91, , i 79-67 , • ~ ,z.o I 69 v: ~ ~ ~ i y I i I 'J S/ 1 \6n5i ~ I mO,I ~ ,v !90. 04 =4.-so V) I 5~ /o "00 "E ~ 51 - I ,o I ~ ;oTAL ~oT A2EA _A,7344 ry~'r y~ I ~ goo.o Denples exr'stlnQ Elevufion PaovosEO NousE ErQa ;;orv, i . 900.0 Dcnoles proPoMd E/evotron ` - Deno/es Drar~aje jutilily fasement lowest F/oor Eleva/~on _ qenofes Orpmage Flow /lrrows Top oi' 8/oekE/?vahon=_,~,: Z 3__ o Denoles monument GarOg,' Slab Elevofi'on = ha& 8 e4rinis shawn are assurned ~ LOT 9, BLOcK 7 ,PiLcs oF STO~IEORIDGE ! QAKOTA COUNTY, MIti'Nl $UBJECr 7p EASEMENTS OFQEfURD I hereby-tertrfy that thn is a aoe anA corrFn tePme~tanon ol s sanev ol 14+ twun<:a• ei ol ;t•¢ abo:e r' `,,.prq a~A~ /p^A c! ;nr io,a: uddingy, thereon, and all visi6le ennoachmen;a, J anV. J'om ot ni sa,d luntl tis i~•~,.}~-f by m'. 'n s' of b . ~ ~Y.~9~ _ 4 D. tn~~ Scale~ 1,~ 6_ 401`1~d Hl'.i F3 S'K i~ ~ S 4tG '~J,. !)1 L . ~ 3 p EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER ~ f.SZ_ SITE ADDRESS ~n( `n S~NC ~ifl~C~ ~111~ ~ CONTRACTOR DATE N-!(- 87 PHONE Determine working square footage of each. , 1. Total exposed wall area sq. ft. x.//1 = 2f,Le~ f 2. Total roof/ceiling area sq• ft. x~0z6 Total exposed wall area above floor = (7-7(0 a. Total wall window area l!•`,~o v b. Total door area c. Total sliding glass door area ~9s61- , d. Total fireplace wall area - e. Total wall framing area (average 10%) 1)-Te;) f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = 5i~{ h. Total foundation window area i. Total net foundation area above grade `77_ Determine "U" value of each wall segment. i a.D117.~o gelU,l .33 3Yi.R ~ b. X°~~U~~ . o U^7 = 2a6c~ C. z 9. ~ XflU,l d X $lU„ e. I 2-7. 3 X"U" ~.0'9 7 = I leU~ f. //V&o/ g nul, <oyz ° '-{4NIy g. / 69~„ U X„U„ , Uq, U=r::,~`i Z t, /2; XflU,l , 5 S = G~ 6 C-) i. 72 g iiU,, n076 ~J o41 3 ......................................Tota1 = ~Cl~~~j U If item 1! 3 is the same as, or less than item 111, you have met the intent of SSC 6006(c)2. • : 2' Total exposed roof/ceiling area = • Total gross roof/ceiling area j. Total skylight area Cn k. Total roof/ceiling framing area (t.~v... 9`X 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ceiling segment. j x ,lull . y41 = ?eGy k. xIOu,, o 627 z ~ 6 I. X "U" .025 38.7_O 4 Total 13.1f'7 If total of 114 is the same as, or lesa than #2, 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 I14 shall not be greater than the sum of items lll and l12. 1. 20 2ec7~ + 2. y2.s~ _ ~~~~eSU 3. IG Ie~sO + a. '~3°y7 C • ~ - " , ~ ROOP/CEILING ~ • ! ~ ' ~ ' Const•ruclion ~ R_Val~tc : y.- . • ' . Intcrior air film . O.G1. . I~~ 2. "ET/ S" G, Yp 13 RD o SS 3, 13LCw.v i.v5vt- 3~.oU l ' j}I 4. Exterior air film (still 0.61 , y~~,~ll~. I~~ 111 • Total 3~Tfogo. • . ~ ~ , ' • , ~ . V,- •025 • • . ~ Venced Heat ELow•~ • ' , • i . . . up ~ ~ . . ~ j• i . ' ~ ~ , ~ i ; • ' i . ~ ~ ~ , ~ ' . . , ~ , . i „ , • , . FIG. AS , ~ • . 1 . . Interior.air film 0.61 , ~„~.~...~.~,~y-~n.;~'^_'•-C.L~/.n-.,,^RR_c~rn~,ea~ 2. S C~YP QD a5'S 3. i,vSvL ovE2 ,aus5 3y • i 4., Exterior air film (still) ~ . r . . . , Total. 3~,-7y i i l~~ 1U~L , v = -7 , /'iilll , I ~ ' • • ~ ' . ; • `LJ `~J ~ 3 4- ' ' ' - ' . ~ ' ' ~ ' . ' • , Henc F1ocJ up. •vented ' • I • . , ,FIG. A6~..1 . ' . . • ~ , ~ . . . - : _ • • • • . - . . 3 i~ I v ~ti 1. Inside air filin 0.G1 2. . , . 4. p::r;.=.~-~1'.;: • ~ ' S. Outside air film 0. 17 • . . ~ Total . < ~ I ~ ~ _ • , . . I . ' ~ • ~ , , ' ' ~ ~ , . • . j ' _ . N0:7-~I.tr' "TED ' Nolc: Use add'ztional sheets •iE more cpaco is i needed for datails and calculat•ions. I ' ~ HenC . , • . ~ . • . . . ~f1ow up . . . . ~ , . ~ ' F..T,r,, ~07 i : . , • . • ~ i . _ ' • `WHLL SLC1'lUic, , Yuye S'~oI 9 ITE: Use 10% oE opaque wall area for' izame construction Construction ` t"•t_' . , , 'I ~ . • R-Value Interior airfilm ' 0.68 2. '~IL~C~-YP f3 R17 cf S . .3. 1K(7 STl~6S ' ~onrfg.. ~SIC ~ a • 9. 2S/32 SHT~ 200l~ ' . ' . 7nLL ' .4-~ . ' S. 5/GV.fib UvE/z FEtr / 6 2 ro 6: Ecterior air film 0.17 • Total S" FIG. n1 TOPVIEf9 OF eO~Z ' : • FRNSE ItALL ' , . . , l. Interior air film 0.68 . . , . . : , . 2. 3. Fl/LL _it/L.~r4_: -~.ti5~ ~ r ----~7 4. Z S~3L ' S/-1TCr 2 dC~ ' 7?IG. 02 ~ . ' S. S/A'lliG ~ ove~e Fe~-r- / 01 6 ~ I~~,Q 6. Exterior air film 0.17 Total 2 3i C. Z" ti od'~ 2 U ' 1, Interior air film 0.6e, ls«_~ - , L tiezal l.~~l ~i ~ 2. 12 x_ tzr rn . ~ ~-;-`r'~,~~, i•-O s. .$g - ~r ~ ~=.LI • . . 9. 2 5 2- s H,-~ Z o~~ ' , s. siai.v~ c>v~rc •r-~z~- / a'z (Q, I (•:,,~n N • • . . ' 6. Exterior air film 0.17 Total 2 S•O S U o.' -QJ o `t ,t p Interior air film 0.68 2• _2-// .~•~iSI~C. tJ0 I . . ,2~ 3, F(l2 R I N 9. /2O.wC/~LOC(c- ~~LFSJ ; 5. . 6. Exterior air film 0.17 1Total /3e/3 r• • : I v s0' ~o r. ` u ' . „ • . ~ , r . r` ~ ( rr~ ~ ~ . ••~r_~~s~~ _ , . , , 41 ~ . '•6 ~ ~ ' l (ll - 113 ~ tA- _X ~ ~ y'~ 5 0 4~~X6-D, v' 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN APR 2 2 ~ SINGLE FAMILY DWELLINGS MIJLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUS-T- HOW A LICENSED PLUMBER. 9-{wet \ ~1 To Be Used For: Valuation: Date: r! `I - ~ Site Address 1/'q& N OFFICE USE ONLY Lot ~ Block -7 7 ~ FEES Occupancy A - ~ Bldg. Permit 3y`,C0 Zoning Surcharge /,v u Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner ~/-fDUE7/~6 # of stories SAC, MWCC Length Water Conn. Address ~~d~/ .~}~/(~~G f/~l~/ DQ S• Depth Water Meter S.F. Total Acct. Deposit City/Zip Code 4-A6,adJ ~ria3 Footprint S.F. S/w Permit S/W Surcharge Phone '7J 7-0 /~3 /~~lp y9ri On site sewage_ Treatment Pl. ~ On site well Road Unit .,.,..,..act... r.R,Trr c ~~rom _ pa,-U pprt. City water _ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. flS e/zs.y/ Variance Address City/Zip Code Phone # agrees that all work sha11 be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. PERMIT CIT~OF EAGAN 3s~o dot Knob Road PERMIT TYPE: guz LoznG Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 6 9 (612) 681-4675 Date Issued: 0 6/ 2 6/ 9 8 SITE ADDRESS: 4016 STONEBRIDGE DR S LOT; 9 BLOCK: 7 HILLS OF STONEBRIDGE P.I.N.: 10-32990-090-07 DESCRIPTION: , . CHIMNEY REPAIR B~a3lding,Permit Type STORM DAMAGE Building Wo.rk Type REPAIR rCensus Code ~ 434 AIT. RESIDENTIAL ~ ~ t , ,r . Y ,z . r . _ REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. l.IC. OWNER: MARK FISCHER CONST INC 14700838 20038310 MARSHALL PETE 2407 BRZDLE CREEK TR 4016 STONEBRTDGE DR S CHANHASSEN MN 55317 EAGAN MN 55123 (612) 470-0838 (612)686-7278 I hereby acknowledge that T have read this application and etate that the information is correat and agree to compl,y with all applicabl2 Sta e of Mn. P~7 n' - Statutes and City of Eagan Ordinances. L- __j 1 APPLICANTlPERMITEE SIGNATURE \ BY: SIGNAT lzslol98 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD - 65122 681-4675 New ConstrucYion Reauirements RemodeVReoair Requirements ? 3 registered site surveys ? 2 copies oi ptan ? 2 copies of pians (inGuOe beam 8 window saes; poured fnd. design; etc.) ? 2 site surveys (exlerior edditions 8 decks) ? 1 energy wlculations ? 1 energy wlalatlons for heated addkions ? 3 copies of tree preservation plan H lot platted after 7l1/93 repuired: _ Yes _ No DATE: ~o I I~ IC~l CONSTRUCTION COST; D06- DESCRIPTION OF WORK: S~nWm bci~nt~AeD, I GC~a.~o ~R e-(k,_u. ~ STREET ADDRESS: a OT: l BLOCK: 1 SUBD./P.I.D. Name: (np.ftUVA Phone#: 6yo' 921T? PROPERTY L%St Pirst OWNER Street Address: `-b Li;. 5}oi+e. 10 ~~n , Ici~ ~ City Co.4 lA,J State: V1k, Zip: Company: Mrtl.~ SfVqo DV~ Phone k: L(1& 6&3Y CONTRACTOR Street Address: 2`iJ'\ ~a~, ~ License N 2,00-'~43ta Ciry ~"Jvy,'0*f State: Zip: 15no ARCHITECT/ ENGINEER Co any: ~ Phone / Name: Registration Street ddress: Ciry State: Zip: Sewer & r licensed piumber (new construction onry): . Penalty applies when address chang and lot ch nge ' requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all appliqbl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ? Tree Preservation Plan Received _ Yes _ No _ Not Required 1 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling C] 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool CJ 03 SF Addition ? 08 8-piex O 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch O 09 12-plex O 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move O 32 Addition ? 34 Repair O 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code - Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1l Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units i x CITY OF EAGAf~ ; ~ ~F~ ~~TIM F * * apPRovar, oF rmruT. * APPLICATION FOR PERMIT * * . * INSPDL'J.ZON OF SUM ADID/OR T+ATM * y TISSTATSATTONS WIIS• A]OT BE SC7m- * SEWER AND/OR WATER CONNECTION *ULID 0NfII, PII2NIIT HA.S BEFN * * taePFtavFn. * ~ • - - • k****,.*****,.*.,,.*~*****..:***.#****~," P ease Print 1) PROPERTY ADDRESS: /a p/G S y/ ,on P 43 /L2~qe- S c9 u LEGAL DESCRIPTION: 11,o ~ -rj QL C. 7 /L.LLS pN S.s~,c,~~ . (Lot/Block Subdivision or Tax Pazcel ID ~ e9c . IF F.]CISTING S1RUCIL7RE, DATE OF ORIGINAI, Bi,'ILDING PII2P7IT ISSL'ANC.E: PRESENP ZONING/pROPOSID C'SE: [D COAPERCIAL/REl'AIL/OFFICE ~ R-1 SINGLE FAh1ILY rl IND"~STRIAL ~ R-2 DL~PLEX (TrA Onits) rl INSTIIL]TIONAI,/GpVMIW= ~ R-3 4OWNiO0SE (Three + Units) ( Cfiits) . Ej R-4 ApARTMENr/CODIDOMINILTM ( Units ) 2) 1~~ NAME:_~- /TL~-~~ ~u.vmbina D TtL' ADDRESS:~ E/C CITY. STATE, ZIP:~'p ~4-2 PHONE: 3) For City Use - Plumbers License: ADDRES5: Active CITY, STATE, ZIP: ~ ExPired Not recorded PHONE: MASTER LICENSE# St-aTf Initial 4) • i i~• NAP1E:~~.~ n c~ I . ADDRFSS: CITY. STATE, ZIP: PHONE: 5) ° : o • ys - a~~ ~ CONNECI'ION TO CITY SEWII2 ~ CONNFJ[TZON M CITY WATER ~ pTEM . . 6) 1110~~- ~ PLF,ASE HOLD APPROVF9 PEE2MIT FY)R PICK-C~P BY ONE OF F1BOVE - i [~J PLFASE MAIL APPROVID PERMIT 706. 3, 4, ABOVE I ~ (Circle one) M /l i 7-~> ' 7• Y' I: ~ ~ Ine 1 M Ny~ I • I' N ~Y QJ~ ~ Id4. r p• 1 A 1 1 ~I ~ ~I • ~ . FOR CITY USE ONLY ~ PERMIT # ISSUED 3 ~ . Pd w/Bldg. Permit FEES: • $ $ /O ' S--D SEWER PERMIT ( I[VCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC1RCHARGE) $ r~ / $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ( iJ -D-o ACCOUNT DEPOSIT - SEWER $ ACCOC'NT DEPOSIT - WATER $ WAC S (O Z' SAC $ $ TRUNK WATER ASSESSMENT $ S TRONK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRU[VK WATER $ Ito •f.')-D S WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S I3 •OO S ~D TOTAL Z RE E PT RECEIPT DOES UTILITY CONNECTION REQ[)IRE EXCAVATION 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 / /9 S 7 ~ ~ ~b1~~?,, 450.66 2007 RESIDENTIAL MECHANICAL rEUMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complere for. single family dwellings & townhomes/condos when permits are required for each unit Date__~oQij Site Address ' ~~~~C~,Qi • ~ Unit # Property Owner Telephone k(~7Jr~ O~ l~ ~ d Contrector l~-f Ab v)(/1 h~j~ Street Addresa City ~ XV' State Zip ~~,D5 Telephone # I ),229 _ 92QO Bond Expires: The Applicant is _ Owner ~Contractor _ Other Fire repair (replace burced out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling uni[ $ 50.00 V furnace _Additional KReplacement _ New air exchanger ~ airconditioner heat pump other State Surcharge n $ .50 Total $ 0, S I hereby apply for a Residential Mechanical Pertnit and acknowledge that Ihe information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, bui only an application for a permit, and work is no[ [o start without a permi[; that the work will be in accordance with the approved plan in [he case of work which requires a review and approval of p/t ns. ~Ea"v7,4 DOnQh _ bl1AC~ LoujfjiL==~ Applicant's Printed Name ApplicanYs Signature City of kali Date: 5rpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 1 E© j i[V7E SEP 2 2009 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 61:-(- Site Address: 4 40 t 6 5Nv to c D is X12 So ,�1� Tenant: QA 1NJ S\..a.q RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: 'kW_ t 1 S \\P\ Phone: (c;) 6 116 0 g Address City Zip: 6 5V-..kie.le.ck e OQ -it. SO Applicant is: Owner Contractor Description of work: Construction Cost: Multi Family Building: (Yes No)( Name: -kvc# 5 "c t�S T)JC. Address: 240 Q�� CRe e k PA City: C\r.t et/ State: AAA.' Zip: S'S r) Phone: GtZ- `t R66 Contact Person: V ►`Wr-- f� 5C License 21 3g'12 g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer Water Contractor: Phone: Phone: NOTE Plan t he informatio p orting documents that yor submit are cconsidered to be public information. r e'classi'fied as nonpublic if you provi odic reasons that would pe conclude that they are trade secrets Portions ;o the City to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conforma Eagan; that I understand this is not a permit, but only an application for a permit, and work is no accordance with the approved plan in the case of work which requires a review and approval Appli ant's Printed Name Permit 9 `'15'4 Permit Fee: Date Received: en Staff: Suite the ordinances and codes -the rt without a permit; that.,tl work will Use BLUE or BLACK Ink SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25 100 Census Code of Units of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice Water Final Framing Fireplace: _Rough In _Air Test y Insulation Meter Size: Reviewed By: f1,, RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Pool Miscellaneous Final Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building give PCA handout to applicant Occupancy *l r..s MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Sheetrock Final C.O. Required Final No C.O. Required HVAC Other: Pool: Footings Siding: Stucco Lath 7( Stone Lath _Brick Windows Retaining Wall: Footings Backfill Radon Control Erosion Control Building Inspector Air Gas Tests Final Final Page2of3 U> ,3 o Z 31 22 V 120 \o 0 2 3' 6 �33� Sep 29 09 07:17a 41 PlO 2472 E nt I:I pi •se D. .e NEER MencoldHP.qhrs VIst :-512o 1 A.:. Z.! M.4 C Y 0 rf 1- Alt .eaffe aur... enginering.. -..-..................s• i Vs*: ;:cai 952 470 0838 Certificate of Survey for: 40& 7%.:TAIL Co)" AREA -T. 4 90o.o Denoks eristi10 Elevofion t( Denotes propa6d Elevation Drainage 1 Easement Denotes fa/nage neW grrOWS o Deno/e montimeni 13earils shown are assumed LOT 9 2 BLOCK 7 y DAROTR COUNT', MINNESOTA SUBJECT 1 herebio--certav that cms ig true and tor•yer rertireier-ornon or s‘ovry *I oh. Ou•ta,ngs, thereon, and all vtjJ ncroschmenm. If any f.orn ta 4 1,„f A s ScaM 'PC -F•cr [G11 881 14 0 _r, TLUND Cr) A4 PA IV Y 10% k QAe 952-470-0838 p.1 iI 1- 9$" i td o .croppu A. 9 2.t, TzL, PROPOSfp 1-10LISE EIS MIONS Lowest floor Eteria fiat) Top o Elevailon Carag chi? elevation ILLS OF 4,9TOWEBRIOGE TV EASEMENTS OF RECORD bounda• eh Or a r ii CiiI1 „ir: er 1:hr 'MC Ct. pt u by mr t. A Of A D. 1912_ At? lc rt c e 1 aes.* -7 2 59eo 9 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4016 Stonebridge Dr S Lot: 9 Block: 7 Addition: Hills of Stonebridge PID:10- 32990 - 090 -07 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - 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 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Peter S Marshall 4016 Stonebridge Dr S Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA079572 08/31/2007 ePermit ÿïï ÿ þýý ûùûü úýý üîúþú äó éþü ñäää þýö þýüûúùî ùò ýûúù ûúùÜ î ùáøß ù ò ý òñíýùú ð þïý î ôù ìô ëëôôú ïý ô ü ô êòëôú÷éýôý ü ùù ý ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù Üø ó ëóô þã ë êàþü þ â ãöñ ãöñ áäßääà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA107376 Date Issued:10/09/2012 Permit Category:ePermit Site Address: 4016 Stonebridge Dr S Lot:9 Block: 7 Addition: Hills of Stonebridge PID:10-32990-07-090 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: 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 - Peter S Marshall 4016 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:EA145023 Date Issued:08/21/2017 Permit Category:ePermit Site Address: 4016 Stonebridge Dr S Lot:9 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-090 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter S Marshall 4016 Stonebridge Dr S Eagan MN 55123 (952) 894-8500 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164815 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 4016 Stonebridge Dr S Lot:9 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-090 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 - Peter S Marshall 4016 Stonebridge Dr S Saint Paul MN 55123--163 (952) 261-7399 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature