700 Stonebridge Cir
cm? oF EacaN
3830 P! Permii
bf Knab No: 1
PA=box27199 R~d B/PNo: a78E~ Date: IO-IZ_Lg
E~an, MN 55121 y ~ Date:
Owner. .?o~ t2pnd -
, 46
SiteAddress: Stng
Plumber. n rid$e ~~,r - ,
115
s o~
MWCC. SSO 11 ~ Stoaebridg~~
,p~ d
City Chg: IOp. ~ Zoning.
Acct pep: ZS.O °I ~
; Permit Fee; ~Pd No. of Units:
Surchar i
p~
ge: . I agree b comP1Y wlfh the
Misc.: Ordlnances. CitY Of Eagan ~
ey ,
. SFEWER SERVICE PERMIT
I
I
,
CITY OF EAGAN Permit Na
3830 Ptlot knob Road ~
P Box 211gg Meter No: Date;
Eapan, MN 55121 Retder No: Size.
~ Date: i
E Owner. T+io =tlun d
' Site Address: 70~) g - j
f Plumber VmII 1~ a Ld * ~
i Conn. Chg: 55~. 0pd
i ~
' Acct Dep:_ 1 5,0Ebd Zoning: F~
~ Permit Fee. 1 ~.,)~,No. ot Units: ~
f SurChar e: 1
' 9 .5p d
~ Tr. Plant ZOk ,0!) f ~ a9?'" to com 1 I
' Meter. P r with the Cyy oi Eagan
i
' Orainancss.
, Misc.: 1
; By ~
L WATE_R SERYICE PERMIT ~
. . - _ .
38 Q OF EAGAN
p filot Knob RQ Permit No: q'
P.C. 8Ox 2119 ad MeterNo- 9
~aoan, M!y 5S?y Reader No: ~a ~~!o Oate:
7 _ Size:
Owner. s
Site qd aate: - ~
P1ufi dresg;
~r ~
Conn. Ch9.
Acct Dep:
Permlt Fee: zoning;
Surcharge; No, of
Tr. Prant Units:
Meter. ~ a9rea fo co
Misc.: _ Dance~, mP1Y wlth the CMY o/ Es
9an
warE 8Y 1~a*
R SERVICE pERM1T
~
i
CASH RECEIPT
.
~ . CITY EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
t
DATE
rcr~rr~o ` ~ i ~
~ l
AMOUNT S ~ ~ • j ~
, d DOLLARS
iao
O CASH CHECK
,d,
l
FUND 08JECT AMOUNT
~I
I
I
Thank You
BY - `
~ LNNte--Paywe CoPY
Yeibw--PoatYq Copy
PWA--Fie Copy
CITY OF EAGAN
"Y' 4?
3830 Pitot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8/00 ~ ~
BUILDING PERMIT Receipt~
To be used for SP UiiG/G!?R Est. Value $106,OW Date OCTOnEx 3 ,1 g ~8
Site Address 700 STOMEBRIAGE Cja OFFICE USE ONLY
On 3Re Sewaye Occupency °"3 F"'1
Lot a Block 7 Sec/Sub. WIDGIZ MWCC Syatem X Zonlnfl PD ~ - ~
Parcel No.
On Site Well (Actual) Const v"i•
oc Name Ta BOT11.i111D CA City Water X (Allowable) V-}t
W PRV Required * of Stories
z Address p o iox 333
-
° C+ry a55B0 Phone 571--0304 ~~ter Pump ~ength
Deptn ~'?8'
=a Njame SANE S.F.Total
O ~ Addfess Footprint S.F.
u
a
Citjr Phone APPROVALS FEES
W a Nem2 Engr./Assess.. Permit 594'
14ddress Planner Surcharge 53,'
0Z Cit PhOne CounCil PlanReview ~6i,
c W Y
{ eidg. on. snc. ciry 2 40. C:
I herebY acknowledge ihat I have read this application and state that the Variance SAC, MWCC
iniorme'tion ia correct and aqree to comply with all applicable State of WaterConn. 550•0~
Minnesota 5latutes and City of Eagan qrdinances. ; ~7
• ~ , ~ ~ , Water Meter
Signature ol Permittee
Road Unit 325.00
A Building Permit is issued to: nF RQ'TTi!U?rD _CO Treatment P1 204.00
on f he.express condition that all work shall be done in acCOrdance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinancea. Parks
TOTAL 7406uilding Ofticial , _ ~ • ' ~
. .
REACTIVA'£ED FOR DECK 6/23/89 CITY OF EAGAN •
gOBERT~Ai'PAS ~ ~`r'!'«
` 454-825~ ~pilot Knob Rosd, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-81 00
BUILDING PERMiT Receipt
To be used tor 3F r%`+~~~~,Ak Est Value Date 0(F0B.ER 3
Site Address 70n sjQt''gERI3{;E u1N OFFICE USE ONLY
LOt BIoCk ~ SeC/Sub. $'I`t3 n On 5ite Sewage Occupancy P!3 rs- ~
MWCC System X Zoning Pr Ji' '
Parcel No. On Site Well
(Actual) Const
a Name K " ,.r1 CitY Weter X (Allowable) ~'rl
~ ;
W ; ~PRV Required #r of Stories -
Z Address J L-'X a r ~
; Booster PumP Length '
0 City VSSBI) PhOne 571-0304 DePth
.0 Name S.F. Total
~ i Address Footprint S.F.
~ City Phone APPROVALS FEES
c Engr./Assess. Permit .174,'
~
yVj W Name 53~
~ = Planner Surcharge
Address
~ W City Phone Council Plan Review lal.?
Bidg. Oft. _ SAC, City ~
I hereby acknowledge that I heve read this application and state that the Variance SAC, MWCC s 'C"
information is correct and agree to comply with all applicable State of Water Conn. 5 50. C^('
Minnesota Sfatutes and City of Eagan Ordinances. ~ f~~,
Water Meter
Signature of Permittee Road Unit 13 5 • 0t ,
A Building Permit is issued to: 4Or!LtIt?G CO Treatment P1 2Qt?•~'+`
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 2~'
Building Official
Psrmit No. Permit Holder Date TeIephone s
Plumbing ql)
.
H:v.aC. </5 O
Electric
Softener
Inspectlon Dat* tnap. COmments
Footings I
Footings II
Foundation
Framing
v-
Roofing
Rough Plbg.
Rough Htg 11 '1 jk Aw ! iwt t t r?wl
Isul. r,
Fireplace
Final Htg.
Final Plbg.
, Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final 410
Well G~ -
I Pr. Disp.
f~~rfi#~r~t~ uf C~rru~~tnr~
titp of eagan
18ppl'friiPltf D'~ guflaTrig JtiS}iPtZiDTt
This Cenif+cate issued pursuant to the requiremenu of Section 306 of rhe Unifornr Building
Code ceru, fying rhat at the ame of rssuance this structure was in compliance with the warious
ondinances ojthe Crty regulating building corestruction or use. For the following:
U. SF ;;W/GAk eft. rmwINm 156 72
ZbnivgIDiM~ M n.? T,~r-. VN i
Ow-M d&Gdm IHE RDTftM cC). ,ddm P.O. BCW.383. ew
Ruilclim ,+dd„ 700 src~JTZE •.~sZ rA, s7, FMIs Cr sTccOatuDGE ~I
,
lf,"MkM 16. 19M
Wadini Official
PO5T IN A CONSPICUOUS PUCE ~
1
_ ` ~ i
rPERMIT #
' PIUMBING PERMIT ~ • ;T'
' CITY QF EAGAN RECE~PT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESC" TION
Lot ~ Blocl~' 7Sec/Sub Res. r~ New
- - ~ Mult. Add•on
m Name - Comm. flepair
m Address Other
c Ciry ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURfS TOTAL
Name -~-Water Closet - $3.00 ~
` _1-Bath Tubs - $3.00
# Address ~Lavatory - $3.00
p City Phone ~Showee - $3.00
~-Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE I-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES al Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 ~ Whirlpool - $3.00
MINIMUM - COMMIIND FEE -$20.00 ~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
BEYOND $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•
.4...,~...-r._. . ~ _ _ _ . .
PERMIT #
~ L~ w?+- MECHANICAL PERMIT
v, CITY OF EAGAN RECEIPT #
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHOHE 454-8100
Site Addyess - F ' ~ Z- gLpr,,, TypE WORK DESCRIPTION
Lot Block Sec/Sub R~ New "
'u Mult Add-on
m Name ~rti~ Comm. Repair
~ Address 2 t- Other
~ city -Goiden-YaNe~r-I~°
~ .
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone ''(RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MiNIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK C U, COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU ~ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Hester M BTU REMODELS - 12.00
Air Cond. - M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Ouriets # . \ BEYOND $1,000)
Other ~ .
FEE :
S/C: 'L SlGNATURE OF PERMITTEE
TOTAL• • 1 `
FOR: CITY OF EAGAN
INSPECTION REC4RD
CJTY OF EAGAN PERMIT TYPE:
t~3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
ra 1 a
SITE ADDRESS: 1li+ 4 H 1. M y: - APPLICANT:
Itl~ir f.TR ~~:s: ~
.''ri~. •ii ,1;:H i i;lil's I
PERMIT SPJPTYPE: TYPE OF WORK:
INSPECTION . D,
~ . ~ ,
f F ~
~
Permit Holder Date Telephone M
PLUMBING
HVAC
~ Inapaction Date Insp. Commenta
I FOOTINGS
~
FOUND
FRAMING
ROOFING ~D~~Q • ~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE •
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HvpROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
i
BLDG. PERMIT NO. 1 S(C 7 ~
~ ai~,..~~ ,i: s~~~~.~~,
01-3210 Bldg. Permit
~013422 Plan Check GD
013445 Surch./Adm. ~ 0(
~ 01-3446 SAC/Adm. Sd
t01-2155 Surcharge
. 75-3860 Road Unit
20-2275 SAC
~ JSC
20-3865 Water Conn.
~ 20-3868 Water Trmt.
1) 20-3716 Water Meter
20-2252 Acct. Dep.
g 20-3713 Water Permit
r 203743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL ~ U ~
~ CASH RECEIPT •
CITY OF EAGAN
' . 3830 PILOT KNOB ROAD
EA AN, MINNESOTA 55122
y DATE CAO
19 ~
~
uEC[rvEO ~
r.n~u AMOUNT
U
DOLLARS
? CASH ? CHECK
ran
7oo
FUND OBJECT ANOUfPfJ
So
~
~
S > u
/ U CJ G
Thank You
BY
Whit-Paye Copy
NO 88108
Yelbw-Pasmg opy
Pmk~Ae Copy
rnis mnumsi vo,d
ls n,ontns rrom ~ U }
E 47200 Requ Ua.e 7 ~ Fire No. R~ouuh-ii n5V ?er.[ion ~qeady Now ill Nobly InsDec-
6 es No [ar When Ready
? Licensetl Elecvical Coi4rncto, I hereby request inspeetion oi ebove
? Owner elecvicol work mstalled ot:
Svee Address. Boa or om No. Cftv R /
cl~on o. Townshup Name or No, ge No. C.
Occ nt (PpINT) Phune No,
Pow SuVP~ieAr Address
C~/~ w
Elecvi al Contractor lComua a 1 Cnnir,sto~'s License No.
.
i inOAddr~s IContr for or Owner Makm smilauonl
athonzc gn lure IConlr odOwner/Making ~itioll;ll h~onc Nyumber
MINNESOT ATE BOARD OF ELECTHICITV TMIS INSPECTION REOUEST WILI NOT
GrIggs-May Bltlg. - Hoom N-197 BE ACCEPTED 9Y THE STATE BOAND
1821 Un. varsitv Ava.. St. Pxul. MN 5510E UNLESS PflOPEfl INSPECTION FEE 15
Phone f6121 642-OBOO ENCLOSED.
~o ~~REQUEST FOR ELECTRICAL INSPECTION r. EB-00001-06
See mshvctians be completing this form on bnck
E ~L O ol yellow copy. ~
"X" Be/ow Work Covered by Ihis Request
Atl.fleO. TYDa ol Builclm0 APOlmncna Wrted Equiument Wved
Home Range Tenqwreiy Service
Duplex Water Heater Liqhtiny Fixtuies
ApL 8wldmg Dryei Electri~ Hea[inc
Commeraal Bldy. Fumace SiW Unlunder
Industrial Bldg. Air Conditioner Bidk Milk Tank
Farm Otnm aeci v 1hor Isne,nlvl
t n Succi y Ihc, Oth.r
ompute Inspection Fee Below
b ee Service Entrance5ixe tl Fea Fexders/Subfaxaers u Fox Circw~s
0 to 200 qm ~s 0 tu 30 Am ns a 0 to 30 Am ~
Above 200 qmps 37 to 700 Amps 31 [a 100 qm s
Swimming Pool Abave 100-Amps Abave 100_
Transmrmers Irrigatron Eiooms Pnrtial.'Ot Fee l
Aem~r4s Signs SVecial InsUection S~~ TOTAL EE
P ~
flough-in Date I. the
Inspector, heroby
cerbfy Ihst the above
Final D:it inspection has been
I 'e2 mede.
Thia reduesl vo10 18 montM Irom
E /67679 ~Fy~~
Repuest oate ire No. oug -in Inspecton
Req rzeaP ? ReaEy Now Witl Nolity Inspetlor
es ? No When Ready7
I p licensed contraclor ? owner hereby request inspection of above electrical work at:
Job Atldress (SVeel, Box or Route No ) Q~y ^
w
. Counry
Sadpn No. Township Neme or No. 70
Occupant(PFINn Phone N.
PowerSuppber ' Atlaress
Electnwl CoNredor (Compnny Nama) ConVeclor5 4cense No.
Supr~sz C'fY'I
Mai6ng AtlGress (COnhaclor or Owner Making InStellabon)
AiJQ- 00 l.S nl 5 5 U
ANhorizetl SigraWre (COntretlaIOvner Makirg Installauon) PMrre Number
MINNESOTA STATE BOAflO OF ELECTHICITV THIS INSPECTION REOUEST WILL NOT
Gdgga"Mltlway Bldg. - Room 5-193 BE ACCEPTED BVTHE STATE BOAPD
1821 Unlvereiry Ave., St. Vaul, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
Ghone(61Y)662-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ~ ee-000014)7
~ ? See insVUClions for mmpieliig Ihig lorm on back oi yellow mpy
E 6 7679 "X" Be/ow Work Covered by This Request
ew tld Rep: Type of Building AppliancesWired EquipmentWued
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building , Dryer Other (Specify)
Comm./Industrial Furnace
Farm 'I AvContlitioner
0lher(specity) . Convactor5 Remerks:
Compu(e Inspechon Fee Below# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abova 700 _ Amps
Signs Inspaclorg use only TOTAL
Irrigation Booms
Special Inspechon
AlarmlCommunication ' s9~
O[her Fee •
I, the Electrical Inspector, hereby Aa'9h-in oeie ~G
certify that ihe above inspection has F~~i oa
been made. ' -
OFFICE USE ONLY ~
This request void 18 months imm -
~CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15672
+ PH O N E: 454•8100
BUILDINGPERMIT ` Receipt# 73 -"3(cCi'
Tobeusedfor SF DWG/GAR Est Value $106,000 Date OCTOBER 3 ,798$
Site Address 700 STONEBRIDGE CIR OFFICE USE ONLY
Lot 4 Block 7 Sec/Sub. STONEBRIDOE On Site Sewage _ Occupancy R-3 M-1
Parcel NO. MWCCSystem X Zomng PD R-1
On Site Well _ (ACNaI) Const V-N
a Name THE ROTTLUND CO Cirywater (Allowable) V-N
s Addre55 P O BOX 383 PRV Reqwretl _ u of Stones
~ Cdy OSSEO Phone 571-0304 BoosterPUmp _ Lengih 54'
Deplh 4$'
a Name SAME S.F Total
0
oa Addre55 FootprintS.F.
U¢ City Phone pppROVALS FEES
°w Name Engr./ASSess Permrt 594.00
ti Planner Surcharge 53.00
Address
~ City Phone Council Plan Review 297.00
aW Bidg Oif SAC,City 100•00
1 hereby acknowledge that I harve read ihis appl¢ahon and state that the Vanance SAC, MWCC 550.00
mformahon is correct and agifee to comply with a11 apphcable State of water Conn. 550.00
Minnesota Slatules and C(((ity o&agan rdin ncest
Water Meter 67.00
Signature of Permittee Road Unit 325-Q0
A Buildin9 Permit is issueld to- THE_RQTTLUIVO_CO Treatment Pt _204.90
on fhe expresscondi4on that all work shall be done in accordance wrth all
applicable Slate of Mmnesota S.tatuftes qa~n,tl, C~.ity of Eagan Ortlinances Parks
Budding OfhcialA TOTAL 2,740.00
I ` ~
1988 BUILDING PERN~IT APPLICATION - CITY OF EAGAN .
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTftACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE5S
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOA SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP 2 8 1988
To Be Used For: h ~o Valuation: ~ Date:
Site Address l~fvwe0/`'c4'- /0&000 - OFFICE USE ONLY
p H~IIS oF STONE-
Lot Block ~ On site sewage_ Occupancy
T ~ior'E MWCC system v Zoning PD R-1
Parcel/Sub On site well Actual Const V-N
~ City water J Allowable V-N
Owner ,o //~~rffirx~ r''j, PRV required _ Ik of stories
n Hooster Pump _ Length SH'I d"
Address /?.6? A:gX Depth yf3'-N
S.F. Total
City/Zip Code Footprint S.F.
Phone I- O,nDW APPROVALS FEES
Contractor -E>Atd~T Engr/Assess Permit 59L1.0.)
Planner Surcharge 53,00
Address ~ Council , Plan Review Z9'1.00
Bldg. Off.~jlr1 Z9 SAC, City IOD,Cho
City/Zip Code oa~ptP Variance SAC, MWCC 5'00
Water Conn 550 • o ~
Phone ~ Water Meter 6r1. oD
' Road Unit , 25 oo
.DD
Areh./Engr. Treatment Pl 0,4
Parks
Address Copies
I ~
City/Zip Code TOTAL
Phone # lz(~p[p
VAWATION
,
GA'RA;-~
~
12xZoc au~
Z~KZ2
~
~2`~k~y = 1n13G
~ z x Z 2. = ZG q
`-~K2 (Y)
J2v~ax1 3=
~
) Yr,~ ~Z
1 ~Xyq= 5yy
zrvD J=cw,a
z L )e .~3~
Lr L)
~
D X~4 = IY3 0
/osyuz
2422 Enterprise Diive
# PIOeNEER LANOSURV[YORS- CIVIIENGIN[[RS Mendota Heights, Mrd 55120_
enfllneerl lnry•• 1.11NOPl~NNER3•L/1Np5C~PE~RtHITECTf
~ f6121681-1914
Certi(icate ot Survey for: THERQT TL V/V O COMPAI y Y
.
.~3 r3•,h
~ 9 B>
i ~
50, Ob
e ~ Fi, ~
• ° N' ~~~fe \
~ i ~ a•
as.ss
x ~ o
J" 2
W
~qcr • ~ , z, ~ °
?
r-"- 46.53 e1
J~
475 p
b Q
N 89
q G ~O'pO '~`BSi.
3
7. ~z
N o ao''~ " ~
• 900.0 Denoles exiWino flevufion PO70PUSEO NUUSf ELEUA7lONS
. yoo.o Dcnoles propaMd Elevation
------DenolrsOrai~~4~ejufililJ Eas[menf LoweSfF/oorflevalion =__81ti.3 _
Uenoles DtzJuia eFlow /arrows Top of'elockE"/evahori : 9c7~~__
o Deno/es monclmGttf Ciur01e 5/afi E/evafiol) ~ ~GT.
Be4ritis showrt orv assurrled
LOT 4 , BLOCK -7 114ILt_5 _ OF STONEBRIDGE
DaKOTq COUNTY, MiNNESOTA $UBlECT 7D EASEMENTS OFQFCORD
1 hevrby certily thel [hlt If a Vue and con«ct ieprefemnlion ol s.urvey ol the Aound.vies ol the nbove dP ri6ed lau id o thn bcatinny,{~~1~y.yI
6uildbogf, thoteon, and all viiible encroachmentt, i/ any. Irom or on said land Af furveyed by me this~day ol A.D. 1~3'l11_,
JCQIC ' rfn ~ plltt
p 1 II2 07 ~f0 PoBER P.51-_~RE~.Nn.laanl
• u,`~-~~ .
' EXTERIOR ENVELOPE AVERAGE "U" CC:!PUTATION
oWNER rHE RoTTLuAp ca /N G.
SITE ADDRESS LOT Z gIOGY~ ! W1L.LS OF S7D1J£I3KlD
CONTRACTOR DATE PHONE
Determine working square footage of zach.
1. Total exposed wall area 217-2 sq, ft. x./// = 324. 6 J
2. Total roof/ceiling area /795? t;q, ft. x r026 _+-4 4„7S
Total exposed wall area above floor = 2 h l Z
a. Total wall window area
b. Total door area
c. Total sliding glass door area $0
d. Total fireplace wall area k/
e. Total wall framing area (average 10%) ........::=J~ ,
f. To[al net wall area above floor
g. Total rim joist area 2 12?.
Total exposed foundation area = $ 2-
h. Total foundation window area ~
i. Total net foundation area above grade Z'
Determine "U" value of each wall s_-,,ment.
a. ~~p g 'lU„ oS~/ _ ~'%6U
b. 4/ X„U,,. 1017_;, 36
c. 10 g -U- ~f ~ = 3Go~5U
d. ~ g ~lUll
e. Z3S X'lUll o$ 7 ==n 7 1
f. z/yD X llU,, <6~
g• Z X'PUll ~1)z4D = 4s".7z
h. X ~lUll t/ = 1r'
i. 42 Z. gIIUII ~ J7cr~~v = la, 7-3
3 ......................................Tota1 ' 7
S~21
J`1
If item I1 3 is the same as, or less than item /I1, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area = I~J 9 ~S
j. Total skylight area / y
k. Total roof/ceiling framing area /C -1
1. Total net insulated roof/ceiling area iH 7
Determine "U" value for each roof/ceiling segment.
j. / y X „U„ , y2. _ 5 8 $
k. /07 x ?lull ,,D27 = Z~$
i. /j67Z „u„ S DU = ~Y 3
4 Total = O.
If total of #4 is the same as, or less than 112, 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 !14 shall not be greater than the sum of items #l and Il2.
1. 329,89 + 2. -/.7~
3. -2 55-1 3L/ + 4. Sdo~l/ =~~OO~~~J
, W,i.,_
u7'L: Use,lOi qf opaque wall area for
. trame construction . ' •
Const~ n
• ~ J . - ~ R-Valuc
l. Interior air~film ' .
2• 'ZLCn-YP 0 68
f3 R i7
, 3 S
. , 3. 1 u~ ST~p S
%SIC ~ K.~ . 9. 2 S/32 S HTC.
VALL ' . 5. $/GY~fiCs UV E/G FEGT / a 2(o
6: Exterior a±r film 0.17 •
~ . .
Total
FIG. II1 TOPVIEI9 OF
PRAlSD S7nLL o0g-7
' . 1. Interior air film 0.68
. . ~ • 2. ~1"C>.t'P 132 D
T~ ' . . 3 . FC/L L Gd~ ~ ~ ' /ti54G / % bU
9. 2 S/32 SrYi~ 2 OG '
i?TG. ii2 I . . . ,
~~-----^--:--0 5. 51 GY-liG o V E,p F EL-r- ) e 1 6
6. Exterior air film 0.17
~ •-----~s) Total 23,6Z'•
~
: .~i •
~ o0`f Z
~ ~~I I U ' 1, Interior air film
iSGr L_.~ 0.68
'
)e: al 2.
00
, r~r,f('~~ ~I"U_+ • 3 ' 2 x _ 2'r .r n ~'}y
I;~~~~'-=;.~i.~~~.~f,li• ~O•bS
4. , 2 S/3 2 = H TC, 2 a0~
5. S/O/.riC> c'J
~•;1• A a • . - /e2~
T. ,6. Exterior air film 0.17
1TICr i• C,~ ^ • 3 f Total 2 S.O ~
il ~~'p~~='~ ~ . • , O `I-U
. u • : ' ~ , U=
I.~_~ •i:• F ~~:J . . .
1. Interior air film 0.68
,~,,,,1 U' 2•
_ . /.fiSVC. UO
3. 2A Fu2 R i rr C~
4. /2~~COwc~ 13 COCfL /rZ6
5.
6. Exterior air film 0.17
Tota1 13,1
3
~ U•-' . r r ~ = %~i~ ~ • k •6 , ~ ~ ` -
~ ~ /r / . r- • •~6 ` ~ .
/I ~ ~ ! . . ~ • • ~ , ' '
Y " . ^ , , 6 . ~ I!1 =
4I3 FIG. • • . / '
If 9
~y y . ` ~ . • I!~ k ~ ~ _ ~ p` ~ /~I
• fT - .O ` . c~ ~ ' . !cf ~ ' Y, x -t
Roor/CEiziNC . '
~ . .
• , . . ~ .
ConstrucLion ! 1 R-V.11uc
.
1. Intcrior air film ~ . 0.61
3 2. s/g^ vr ~ r3 c_C> o sg
3. RLOwN /NSC/L
4• Exterior air film (still 0.
' ME!T ToCal
3C(ogC]
.
. 1L ' L L~D °vzS
Vented Heat Elow ~ • ' ~ ~
up . .I ,
~ . ,
. . ,
i
FIG. $5 ' .
~ • . ~ ' .
' , , ' , . . . . . .
1. Interior air film 0.61
.,o,_•r..._a,,_..,u~:+~.~ ~>-r~- ~.c+.~n~.ea _r, YT~
2. r~V2~ o s~
3• Of/C-/L YlGUSS , ' ~~I ,~l '
4., Erterior aii film (still)
. r'
• • . 'rotal 3(o~-7~f
Y ~ ~ I . II ~ _ ~ ~f ~ • . . , U = ,oz~
---r •
~
\ . `~1J `~J 3 4' • . . ~ ~ ~ • ~ ~ ~ . .
f , . . .
1 Y.eac flosr up • -vented . • ~ .
. , .
• , FIG. A6.~..i... • , . .
• . . . ~
. : ^ - • - .
3 FO, 1. Inside air film 0.G1
•-~o.l:.t
• ,1;.~ ,at .v, °ss-r.. i: 3. ' . .
• : 0~...93~:.~;;..,:.:.... j~:
a [ v 4.
~ .
• • : ' 5. Outside air film 0. 17
• Tota1
. 1 ; 2 ~
. : , . . . ' . . .
• tiO.J-b'~iTE~ ' Notc: Use additioiial sheets •if more space is
, • ' ~ needed for details and calcu2atians.
~ . Heat ~ ' .
' . ~ ~flov up ~ . . •
~ 4 • . . . • ~
' F. ,T.r,. 47 ~ ' . , . . .
PERMIT
'tCITP~F EAGAN PERMITTYPE: BurLozNs
38 Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 4 4 0
(612) 681-4675 Date I ssued: 0 9/ 2 3/ 9 8
SITEADDRESS: »e STONEBRIDGE CIR
LOT: 9 BLOCK: 7
HILLS OF STONEBRIDGE
P.I.N.: 10-32990-040-07
DESCRIPTION: T.O. & REROOF
Buzlding Permit Type STORM DAMAGE
Building~Wo.rk Type REPAIR
,Census Code' ~ 934 ALT. RESIDENTIAL
~
%
,
, .
REMARKS:
FEE SUMMARY:
WVM"CTON5TR INC PP 119434357 9232L c. iQ~IVER RITA 10525 FLORIDA AVE S 700 STONEBRIDGE CIR
BLOOMINGTON MN 55438 EAGAN MN 55123
(612) 943-4357 (651)
Z hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all app].icable State of Mn.
SL'atutes and City ofi Eagan Ordinances.
L ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATLIRE -
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• ' CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 q_ a 3-~ 8
rt ~ 681-4675
New Construction Re4uirements RemodeUReoair Requirements
? 3 registered site surveys ? 2 wpies of pian
• 2 copies of plans (include beam 8 w(ndow sizes; poured tnd. Cesign; etc.) ? 2 site surveys (erzterior adCitions 8 decks)
? 1 energy ralwlations ? 1 energy calculations for heated additions
? 3 wpies of hae preservabon plan if lot platted after 7/1l93
required: _ Yes _ No
DATE: q Ia~1q R CONSTRUCTION COSi, ~-k-'T O O•
DESCRIPTION OF WORK:~i~e S~oCs~
~ ~
STREIT-Al RESS.+bD ~~orLe~\c~,a ~~rCS1 0 _
LOT: L~ BLOCK: SUBD./P.I.D. ~A I Y ~ 6 ~
rlr~
Name:~ 1 e.~Y e f \ Phone
PROPERTI' Lazt First
O WNER ~
Sheet Address: ~n C-~)~C~o v~Q~ C~ a e ~K-"C 1 P
Ciry State: Zip:
J/31IQ°' ~
Company:l
CONTRACTOR
Street Address: \O C~Q"5~ aM ~P 7P~ License # C{ Q`?
City ~VD State: Zip~ )-3--1
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new consVuction ony): Penalry applies when address chanc
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicat
Sfate of Minnesota Statutes and City of Eagan Ordinances. 2~
Signature of Applicant'
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservahon Plan Received _ Yes _ No _ Not Required
Y.
OFFICE USE ONLY •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 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 ? 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: $
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
. °/a SAC
SAC Units
1989 HLTILDIFG PERMIT APPLICATION
CTTY OF EAGAN
Li 6 4q Q')
SINGLE FAMILY DiiELLIBGS NQLTIPLE DHELLINGS COME4EBCIAL
2 SEfS OF PLiNS 2 3ETS OF PLANS 2 SETS OF AACHIYECTUHAL
3 HEGISTERED STTE 5DRVEYS BEGIST6RED 3ITE SUHVE2S - & STROCTQAAL PLANS
1 SET OF ENEflGY CALCS. (CHECg WITH HLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENEBGI CALCS. 1 SET OF ENERGI CALCS.
MULTIPLE DWELLINGS RENT9L ONITS FOA SALE IIAITS f OF OBITS
BOTEs ADDAESSFS FOR CORNER LOlS - CO8TAACfOABOlEOHNEA MOST DESIGNASE iiHICH IDDAFSS
IS DFSIRED. BO CHANGES AILL BE bId,OHED ONCE BOILDING PERMIT I3 ISSUED..
SEHER 6 WITER PERMIT FEES APD ACCOONT DEPQ6IT F6ES LTZL,L HE IPCLIIDED WITH THE BOILDINa
PERMIT FEE. PAOCESSING TIME FOR S£WEA AAD WATEA PERMITS IS Ti10 DAYS ONCE A PERMTT HAS
BEEN CAMPLETED INDICATING A LICENSED PLUlBEA.
PENALTY APPLIES WHEN: PEEiHZT IS NOT PAID FOH IN S9ME MONTB IT IS HEpUESTED.
` LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSOED.
~C, ~ ~J// 21 t9~
To Be Used For: Valuation:~ Date: 6 ZI 4
SSte Address 700 5-la~ byl~ OFFICE 05B OF1.Y
Lot 4 Block 7 Oecupancy FEF.S
2oning
Pareel/Sub,k4,Q& ~q-x~ctAe Aetual Const Bldg. Permit N L
Allowable Surcharge
Ormer kO 6-6?-l PI~p~3 ! of stories Plan Review -
Length 12 X~ Z SAC, City
Address 700 Sa~ Depth ,29 1/1, x14 SAC, MWCC
S.F. Total ifater Conn
City/Zip Code r4,u , N1N 55 I 2j Footprint S.F. Nater Meter
Acet. 4t5 On site sexage S/i? Permitsit
On site vell _ S/A Sureharge
Contractor MHCC System _ Treatment P1.
City vater _ Road Unit
Address PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code SOHTOTAL
iPPA04AI,S Penalty
Phone Planner lOiAL
Council
Arch./Engr. Bldg. Off. ~6~22
Varianee
Address
City/Zip Code
Phone #
t .
i~* ,lr* • ~ 42422 Enterprise Drive
IONEER ndata Heightt, MN 55120
1A~+0 wwv[rOAf. cIvll [NGM[[R!
eng * eering \AMO hIWN[R!/ - L•Nwc.sc ARcMi*crn 12) 681 •1914
I***
, Canificateo}survey,o,: TNF ROTTLUND COMPANY
~ ~I~ S~~'+c~~ ~•CG.__ .`.l N047H
80 I
t r, r3.
I • '
\ pti
~ ~3~ • ~ ~ , ~
3
~
~ • - i
) mS~.C.• F r- ~
)q~, U ~ ~ ~ ~7 - ~ I
~ ~ ySM • 1 ~ / / n
7N
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OO
a ~ - . +y - a75• 9~~ f°
N sQ•j' 3~~~'~ ~ab~__~~:=--~G~-:,-i.-.
. ~ ~ , _~C-P : 7
.
-
1 ! 3~~ 'f8~~ Gf-
p4 SGi~ ~ "~^-j- . t ~-;-_..',_i';
~.O OC Pxisfin¢ flevofion • FRODOSfD NOUSE ctEVATlONS
tnoles propcNd Elevolion Lowest Cloor Elevah'on i
ptno/cs Ori~t~a~e E u fi l!ly Easemen f ,
- Denotes Draina e Flnw Arrows Top or 8lock Elevafion l
GorOlz slob Elevotion =
o ptnofrs monum tnf ~
g earrn~s shawn ore assurn ed
LOT 4, BLOCk 7, NlLcs .oF $TOtiIEBRlDGE ~
QaKOTA COUNTYp MINNFSOTA SUBlEC7" TD EAS£MENTS OFRfCORD . I
I AtlnOY anily IMI ID4 Ba INO " COrtfCt /'WMnU1.0~ OI f, Wnfy OI lwo bOV16&1,h OI thtlbOVE CtYn D e d V M. a M o l t ne ~oca: an ol oil
pyildyp. thRepn. \M NI MiO11 ~~ROiC~~AH, -t any, IiOT d M Y4 lyb. As fYMyfd D? AN 111,1 d&Y af A.D. 19-. I
sCa'le' P26 = 40 ,!ld
' AGBCA T B. SrnICw L.S. NCG. h0 14691
•IiC F]T •
APFLI~CATIUI~ F-OR PERMIT :NOTE: pAYMr OF FEE AT TIME OF
. ; neeLIcraIoN ooEES rxrr corr ~
SfITST1E APPR('iJAL OF PII7FIIT. ~
SEWER AND/OR WATER CONNECTION : INsem'IaN oe sMiER a,rn/oa w,TEe ;
r ; irisrnLCalzocis wu.c r,or ee scMUuD ;
[![7I'IL PQtPIIT WiS B@1 APPROVID. ~
~~r •:~~~~~:f~:te~~reW~~»f~~.~~~~~~~~~~~~
CotV OF CC1qtor9
I PLE7ISE PRINT
1) PROPERTY ADDRFSS: l b~ S+. _.L..: d~. C:~c
i.FY;AT DESCRIPTION' . y 7 214 .c bn:J tLot B ock S ivision or Tax Parcel ID )
IF EXISTING STRCCT(JRE, DATE OF ORIGINAL BUILDING P~..['2MIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q C06MlERCIAL/RETAIL/OFFICE ,=Vf R-1 SINGL,E FAMILY
Q INDUSTRIAL E-3 R-2 DL~PLEX (Two Cnits)
Q INSTIZVTIONAL/GOVERNMENT Q R-3 TOWNHOOSE (Three + C'nits) ( Units)
Q R-4 APARTMENT/COAIDOMINIOM ( Units)
2) N11ME: v•.~i~_ P(y;
-
ADDRESS: _l,iu ~ncc e L.
CIT'Y, STATE. ZIP:
PHONE: 4 S~•>
For City Ose
3) '•10~'; NAME: Plumbers License:
ADDRESS: Active
F.xpired
CITY, STATE, ZIP: Not recordec
PHONE: MASTII2 LICENSE # Sta InitiaT
4)
NAME: Ro l+t._
ADDRESS: - 13ox 7c1
CITY, STATE, ZIP: G•, sC.. •
r
PHOIVE: S 7 f~ U} V•f
5) a• ai• • ou . i o~
~ CONNECTION TO CITY SEWEft ~ CONNECTION TO CITY WATEF2 O QTfIER
6) ~~i:Tm r~;...~:.,~ _ ?1 .N'Z_ ~
:r~:t,t:r*t+*r*+******r*+****t**:t~**,r*****~,tr~+*,r~*x***+:t+**w~,t,r*+**~*~~t+*****r*~+*«**t+~*********+~**>
*
*k '1'HE GOID COPY OF 2HE PERL~IIT WILL BE SENP DIRECPLY TO PUBLIC WORKS TO FACILITATE METER PIQC-UP. ;
; PLEASE ALL,OW 74ip WpRKIA7G DAYS FOR PROCESSING. SOAfEONE FROM TfIE CITY WILS, CONrACf YO[) IF TEIERE ;
* ARE ANY PR08LENLS. t
,~***a~**,r**:*******r*w**~,r*~*****,r**+*,t**+*r**r***~,r****~**t******w**+t+rxr***+++*+*****,t++**rr,r*+++;
. `k
F'OR CITY USE ONLY PERMIT # ISSOED •
Pd w/Bldg. Permit FEES:
$ $ lD S U SEWER PERMIT (INCLUDE SURCHARGE)
$ $ IO ' y D WATER PERMIT (INCLUDE SC'RCHARGE)
$ 7•O-U $ WATER METER/COPPERHORN/O[:TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATZON STOP)
$ $ SEWER TAP
$ $ ~`7 •(.YjJ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
s SG • ~`z~ $ wAc
$ r, JQ) • U~ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
S c GV,D-7) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S I~~~'!J Z~ $ TOTAL
RECEIPT RECEIPT
DOES UTILZTY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK [VITHIN PUBLIC
ROADWAY" MLST BE ISSUED BY THE ENGZNEERING
ID NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
! '
r.o
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:01,0Y' CJA j i rrl 00
Description of Work: Construct new 5replace _Gas _Mesonry _ Alterations to existing
_ Insta112ar insert onlv Install eas line onlv
Other
Job address:
Lot: ~ Block: Subdivision/P.I.D. &
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
~'/9
Name: l VO'{~ b PY [I ~ 1 C }''k Phone It:
PROPERTY aSTt -First
OWNER Street Address: ~D C) SyONP Y/I^4,o L'/Y'GIC°
City 1,_ 0A~ State: Zip:
Company: L,2 tSt'fYP eOvnNr//Y/1id jei^P1'lp`Phone#:
T- (area code)
FIItEPLACE I
INSTAI.LER Street Address: 6
? ~
t~ ~ r~r c ll P_ s~: ~ ZiP:
~,ri r~
Company: Phone
(area code)
S/i
GAS LINE
INS7'ALLER Street Address: ~1
~ Ciry State: Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of E~ Or ' ances. ,
Siguature " ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New O 33 Alumtions ? 39 Gas Line ? 41 Wood Stove
? 32 Addition O 34 Repair O 40 Gas Insert
GENERAL WFORMATION "
Census Code 434
SAC Code Ol
REIVIARICS
Chimney/flue must be inspected before concealing.
1
PERMIT # qS i a~ RECEIPT DATE: ~ I-I -D I
//~Sq~ 11 S
SP
REsWENTIAL PLUM$uve PERMrr APPltcATtox
60 c?N oF EA8,4x
3830 Pu.or xxos ftn ~
F-nsax, MN 55122 651-6$1-4675
Please complete for: > single family dwellings
: townhomes and condos when permits are required for each unit
9 backflow preventer for irrigation system
SITE ADDRESS: ~rCVC
OWNERNAME:: CVnrt3 1C'1C~P~~ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE q,r--", Q"~iI- 9
c E & S~NS (AREA CODE)
STREETADDRESS: _ G!15 17th
Hopkins, h1ii 55343
CITY: STATE: ZIP:
Place a check mark next to the ermit work t e
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
~ Add-on, modification or alteration to existinq dwelling unit, including: S 50.00
• abandonment of septic system i _r~
• new installation/repair/rebuild of RPZ
. lawn irrigation system ~OV 1 4 1001 I~
• water turnarcwid ~
Natureofwork~~~CtC'P. l~.YlA-(~( IA~fJ ~3` I
i
Septic System, new/refurbished - $ 225 00
• includes County & Consulting inspector fees
• requires MPC licanse
State Surcharge $ 50
Total
Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc.
I hereby acknowledge Ihat I have read lhis application, state Ihat the information i orrect, antl agree to comply with all applicable Gty of Eagan ordinances. It
is lhe applicanCS responsibility to notify the propeAy owner that the City of Eagan sumes no li ' a mages caused 6y the Gry dunng its normal
operahonal antl maintenance activrties to the facilities constructetl under this permi within City prop ght-o6way/easement.
I NA OF PE TEE
Updated 1/01
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City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /, In
Permit #: l D 3 Lib T'
Permit Fee:
Date Received: �}'2-3" I a
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date h9 I l {3 Site Address: r\ Q Cj-f eb(
RESIDENT
OWNER
Name: R f t <(-`CA nor X C
Address / City / Zip: CL(ill) C kOr
Applicant is: Owner jContractor
Ciamde Unit #:
Multi -Family Building: (Yes _ / No (/ )
Company:
Address: af.I.3 LL \ f
State(NC) Zip: \C)' )
License #:
' Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting docu
etre information may be classified
that you submit are considered to be public
_ non-public if you provide specific reasons that wi
conclude that they are trade secrets.
tion:
city
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.gopherstateonecall.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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
e gii‘hy
Ap licant's Printed Name
icant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138877
Date Issued:09/23/2016
Permit Category:ePermit
Site Address: 700 Stonebridge Cir
Lot:1 Block: 1 Addition: Kieffer
PID:10-41700-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Schumacher
700 Stonebridge Cir
Eagan MN 55123
(515) 333-9222
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature