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4255 Amber Ct EAGAN TOWNSHIP N° 613 U I LDIN G PERMIT Own ~ a Eagan Township Address (present / ~ Town Hall Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract vTi This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience' and general welfare to anyone in the community. THIS PERMIT MUST PT TH E I WHILE THE WORK IS IN PROGRE i This is to certify, t -has permission to erect .e.~'~._'... ..................upon the above described premise subject to the provisions of the Buildin Ordana an 6 sh-ip adopted April 11, 1955. er Chairman of Town Board u ding Inspector EAGAN TOWNSHIP BUILDING PERMIT' 1202 Owner ?sent) • . Eagan Township Address (p C_ ' Town Hall Builder' Date r DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION j Street, Road or other Description of Location ( Lot Block ' Addition or Tract '7 '7 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent j the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS I This is to certify, that- ....--._has permission to erect a .._._....upon the above described prise subject to the provisions of the Building Ordinance for Eai Town opted April 11, 1955. & Per Chairman of Town Board uil -Inspector CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar rlgnire #2 Lot 7 Blk 7 Parcel 10 1 701 070 07 Owner lk-f C' Street 4255 Amber-Dr c}- State EagaU MN 55122 4.Q Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 5 1985 1266.95 84.46 15 1266.95 0009360 9-5-84 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 130 52.16 2 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY USE ONLY PERMIT 14 G 6 H RECEIPT DATE: O - C) RSIDENTIAL MECHANICAL PUNU APPLICATION CITY OF ll:AG. Iv 3630 PILOT KNOB RD 1EAGM MN 5512s 651-681-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: r-36 OWNER NAME: Jwaskt &VdMu") TELEPHONE (AREA CODE) ` Z+I~15 INSTALLER NAME: I V\.I/~A U~ r1(-IC TELEPHONE #:FJ I 415 (AREA CODE) STREET ADDRESS: 1C w t "P "1 " L"Ilk' ~ 4e_ CITY: STATE: kw ZIP: ✓ 5l'Z Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air condi ions • other Nature of work: State Surcharge 1 r_ 11 $ 50 Total AUG 6 2001 X0.5(7 Reminder Call for inspections. 13y TTEE ' I L)Vt Updated 1/01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMERCIAL MEC NICAL PFJa IT "PLICATION CTf Y OF EEB:N 3830 PILOT KNOB RD EAGI4N, MN 551 s$ 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) , TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE M - (AREA CODE) CITY: STATE ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank - Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Tinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 ~3o _ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # `651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ` 2 copies of Man showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% 'maximum lot coverage allowed) t set of Energy Calculations for heated additions Soils Report - Y _ N 1 Soils Report if proposed building into be placed on disturbed sal 1 site survey for additions & decks Tree Pres Plan Recd - Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required Y N 1 set of Energy Calculations On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7i1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Winnegascq mechanical ventilation form Plans are considered `public information unless you state they't re tree secret and the reason. Date Construction Cost J~ Site Address d~~ /7fYY h,, ~y Unit/Ste # Description of Work t~o r) ©c.✓ 0i Multi-Family Bldg Y CN) Fireplace(s) 0 1 - 2 Property Owner ~l ~iY1~ Telephone # (9~ eFS6SX 10 Contractor Address 7V z2fl city State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted to the last 12 months, has the City of Eagan issued a permit for asimilar plan based on a master plan? _ Y N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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.. Applicant's Printed Name Applicant's Signature I~ By DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace' 0 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_plex 0 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt-SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. 05 03-plex 0 11 '10-plex' 19 Lower Level ❑ 24 Storm Damage 13 06 04-plex ❑ 12 12-plex ❑ 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 *Demolldon (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation a a • Occupancy C MCES System Plan Review 100% or 25% 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) _ Sheetrock - Footings (deck) _ Final/C.O. _ Footings (addition) ew Final/No C.O. Foundation HVAC _ Drain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/Gas Tests -Final )00 Framing _ Siding _ Stucco Lath - Stone Lath -Brick Fireplace R.I. Air Test Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector -------------------------------=a--------------------------=----------------------------------------------------------------------- Base fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge: S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Ankh- I For Office Use 53 City of EI Permit#: I Permit Fee: l (J 3830 Pilot Knob Road < ~ (S I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I C Fax: (651) 675-5694 I staff: 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: F` L S -^O O Site Address: Tenant: Suite RESIDENT / OWNER Name: pig? ~~4 rr Phone: FS -2- 3 5Z/ I Address / City / Zip: S /JZ~-seC ~"f Applicant is: Owner Contractor TYPE OF WORK Description of work: ~ez C°~'~5~ G ~•zi° Construction Cost: g Multi-Family Building: (Yes No 'X CONTRACTOR Name: TIL°n-.a S 5c-4 *J7'2- C-15T License '2,613 15~ <1 S Address: $ Li 2a OTT-4s,'- '~7. 1 City: V rl*e) ^ Ge State: k.A-) Zip: S7E3 7Z Phone: ~SZ cl4' a ~t~ fro Contact Person:° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 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 the ` are trade secrets. 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. x 7-4 CJ~Q S ; C 4 bE ~'t`z x 4 c~ Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office Use I I I Permit#: j City of Eadfl I MAR 0 5 2010 r I Permit Fee: l I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -5`1 d Site Address: 41 5:5 A-"4-e-(1 4 Tenant: Suite RESIDENT / OWNER Name: % h 2 t~ Lt i f' Phone: qS 2 ~tG - 5 z / Address / City / Zip: ! Z- 5~5- ,L, <z-,P, ~[-t<k S 5/ 'Z -Z Applicant is: Owner V Contractor TYPE OF WORK Description of work: C2 4 1,~ ~Sti V4 i 'E~ Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: :n is k,..., G S ~ S "T2 (c< c_S ` PLC License UC SS Address: 3 V10 City: r- r,g" C~ I State: W Zip: Phone: .57 Z " If - Contact: Email: C OA X17 -,Clq4 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 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 the 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.gopherstateonecall.org 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. x x rlza,~ Applicant's Printed Name Applicant's Signature Page 1 of 2 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 Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION J"/o00 Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%Zoning City Water Census Code Stories _ Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction 40 IV16 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) - Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final V Windows Insulation 7° Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: ^2' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review A41, lL MCES SAC 4 - City SAC f~ Utility Connection Charge V S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA103141 Date Issued: 02/28/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4255 Amber Ct Lot: 7 Block: 7 Addition: Cedar Grove 2nd PID: 10-16701-07-070 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Mark Sullwold 1420 Third Avenue West Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: lolinnesota Plumbing & Heating Diane K Shirk 1420 West 3rd Ave W 4255 Amber Ct Shakopee NIN 55379 Eagan NIN 55122 (952) 445-4444 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108939 Date Issued:01/25/2013 Permit Category:ePermit Site Address: 4255 Amber Ct Lot:7 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-070 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:dean Kamrath 13791 jonquil ln n dayton, mn 55327 612-205-6060 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Diane K Shirk 4255 Amber Ct Eagan MN 55122 Adam's On Time Plumbing & Water Heaters LLC 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113902 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4255 Amber Ct Lot:7 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-070 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 . Jeff Thomas 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 - Laura M Vanguilder 4255 Amber Ct Eagan MN 55122 Schwieters Exteriors Remodeling 8383 Sunset Rd NE Spring Lake Park MN 55432 (763) 795-8496 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use 1DCity of Eaall ::::e: I 0 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: g Name: LG �) \ �� ) 1 .`� Phone: -9(1/-1-9 [‘ to a rid'r„ Address/City/Zip: -2/ZS-3---- 4/-7-? ▪ $ `' Applicant is: X Owner Contractor .7 Description of work: '2 � l' a:x net)) Type of Wore Construction Cost: j,Q Le 0 C) Multi-Family Building: (Yes /No ) Ici .x Company:`'.n� \r t r(�1 r1 Contact: �, h : Address: 27(06 ,D›,;,.. nd ci- C-CAJ1..47 City: ▪C+ontr - State: f"'"/vO "� Zip: S-- -(:)3( Phone:��,--Lick q14,96Email: License#: q>C 244 ? 9 -7 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: ', z Omit are O sideree a"'6 ' ,3e :.'"*.'1.4*. 't® "Cirt'ionsxof DTE `dans and supporting d• ��� hat w �public z the information ma 7,1'1e cla' r e• as non-• • r` you provr` p .cress•ns that woul rm a City to , ,„ 4 conc! ®e thatffie Sze m t 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.00pherstateonecall.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 ust b, C. pleted within 180 days of ermit issuance. x "Pt'��� � xCApplicant's Printed Name Ap, icants Signatur-a Page of 3 t For Office Use Ø4IS Permit#: / 52 47702', 4.01Permit Fee: ! ( ' 1/7 l©.--/18 I�7_ Date Received: Cid.7, /1?'U (�J 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (� (651)675-5675 1 TDD: (651)454-8535 I FAX: (651)675-5694 - f Staff: buildinginspectionsCa cityofeagan.comEp tl I L J 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9/27/2018 Site Address: 4255 Amber Ct Unit#: Name: Leslie & Todd VanGuilder Phone: 952-935-9669 1 Resident/ owner Address/city/Zip: 4255 Amber Ct Eagan, MN 55122 4 a.,\ I X 1 Applicant is: Owner r A pp Contractor �� �, 0�� Bathroom Remodel - See drawingfor more information Type of WorkDescription of work: Construction Cost: `I'7,500 Multi-Family Building: (Yes /No X ) Minnesota Rusco Cail Alama Company: Contact: y C n r Address: 5010 Hwy 169 New Hope o t actor City: t MN 55428 952-935-9669 . Caily@minnesotarusco.com Y State: Zip: Phone: Email. i i CR002173 NAT21315-2 i License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: i 1 i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: : 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 i Fire Suppression Contractor. Phone i NOTE:Plans and supporting documents that you submit are considered to be public information. ;Portions of the information maybe 1 classified as non;public iff 'ou rovide s.ecific reasons that would•ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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 lans. XAliyah Leier X 4 Le.,:e4., Applicant's Printed Name Applican Signature • /S-,,??4 DO NOT WRITE BELOW N'-' E OW THIS LINE ������ SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) 4e Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior 1. Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 4, Valuation /...M____, Occupancy 2kG^/ MCES System , Plan Review Code Edition kj ' SAC Units (25% 100% ) Zoning A -1 City Water �" Census Code 113k Stories "' Booster Pump r #of Units I Square Feet '" PRV #of Buildings I Length -- Fire Suppression Required Type of Construction -------P-- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/ No C.O. Required Foundation Foundation Before Backfill ,' HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS ik Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: g2 -- , Building Inspector RESIDENTIAL FEES 24ei'', .......0 0- Base Fee 23 r Surcharge Plan Review 1/2 ±.- MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant CopiescAQ .07:\ 1.-7 ) TOTAL Page 2 of 3 For Office Use t C F spa Permit ✓ , APermit Fee: t.Pa Date Received: 1 'j+ ' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1,,i't (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.corn L7_, 2018 RESIDENTIAL PLUMBING PERMI��T�, A,�PPLICATION Date: /()/111 ,. /1.? Site Address: 4�c ;)' f � .4c,-, Tenant: -uite#: Rest tttlC?Ht#� 1` Name: V. .2 K).„/„.-J }( .Clh l/ UGt/YC„ Phone. z , Address/City/Zip: _, .D.�''1'YA..2_-i mi Name: t --►� k- , civYl'l...Ut:$, License#: (1,( ) 9 i Contractor Address: i)t4 i+ 1 AJ )41. }Z.X. ) F— �< City:t l�.. _Q1 t9-rL_...? State: Frit('`I Zip: 56<.o I i Phone: '1(.( -_c S'lo <5 l%- e -i-l-eSL 1 Conta �" ' i �' ', k l<mail w,./11G�. ' 9 Type of W©rk New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: _...At 24,„i2 J 3"1.L1,- RESIDENTIAL N.-9- . ♦ r` Water Heater 1 - Lawn Irrigation( RPZ/ PVB) Water Softener Permit Type / Septic System Add Plumbing Fixtures( Main/ Lower Level) New Water Turnaround } i Abandonment --.4 RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround (add$280.00 if a 3/4”meter is required) I $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 106;OLP) i CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 h'urs before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will bei 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 w'rk is not to start wit : permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval .f plans. x £Eiv'/V/5 . 66/)bE a x _ :..� Applicant's Printed Name A:p Want's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground' Rough-in Air Test ' Gas Test sFinal Meter Related-Items:, Meter Size Radio Read' ` Manometer , Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177448 Date Issued:07/01/2022 Permit Category:ePermit Site Address: 4255 Amber Ct Lot:7 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-070 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Leslie Todd & Laura Marie Vanguilder 4255 Amber Ct Eagan MN 55122 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature