4261 Amber CtCity of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
1.aE)3j
Permit #:
Permit Fee: i0
Date Received: Lt 1D:3- t 1 /
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1V --d`/' / L/ Site Address: 3/e16 / /t»-1 &jt r- C l' Ea_ ct K M F &; j' awl Unit #:
Type of Work
Name: S'fcvr h Sc4.\��. �, Phone: (S/ ~ !`sy-702/1-/
Address / City / Zip: di(/ An -43e v- r �cto VAN g--00 /
Applicant is: > Owner Contractor tJ
Description of work: R. ei-0 aP
ov
Construction Cost: 7.-$`O0 -- Multi -Family Building: (Yes / No etc )
Company: 1
al,
t.c voS4'rvcT:
Date:
Tenant:
Citi of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK In
For Office.Use
Permit #: c:'1\r)
Permit Fee:
Date Received:
Staff:
1 � 2010 MECHANICAL PERMIT APPLICATION
V4iCI"`+6 Site Address: 4/ 4 l7
Suite #:
RESIDENT / OWNER
Name:
Address / City / Zip:
2 1% .t;. gJ11[6did Phone: 'SiA17- 7€ / 9
CONTRACTOR
Name: k /,
•
' `License #:
Address:
State: Y! r ,.
g'�
Contact: i�rt
1i1i4 iJ,4L
City: � S i
Phone: a TL"
Zip: 5911)/7
v
l Email:
TYPE OF WORK
__— New
Description of
_ '!Replacement
work: &IN �j L2OJ
Additional Alteration Demolition
_ —_
�
1,' W '-- -1 /it leek) ‘/. '//Ie2
NOTE: Roof mounted and ground mounted mechanical equipment is requited to be screened by City
Code. Please contact the Mechanical Inspector for information on; permitted screening methods.
PERMIT TYPE
RESIDENTIAL
•/Furnace
V Air Conditioner
Air Exchanger
COMMERCIAL
___ New Construction , Interior Improvement
Install Piping Processed
_
Gas Exterior HVAC Unit
__ Heat Pump
Other
___
___ Under / Above ground Tank (__ Install / __ Remove)
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge) --
$.50 State Surcharge) $ ' TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinancesnd codes of the City
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta hout a permit; that the rk will be in accordant
with a approved plain the case of work which requires a review and approval of plans.
vi2
Applicant's Printed Name Applica' ' ignature
FOR OFFICE USE
Required inspections
Under Ground
Rough In Air Test
Reviewed By:. Date:
Gas Service Test In -floor Heat' Final
EAGAN TOWNSHIP
BUILDING PERMIT
Owner
Address (present)
Builder
Address
N° 405
Eagan Township
Town Hall
Date _,rF
Wiles
To Be Used For
Front
Depth
Height
Est. Cost
Permit Fee
Remarks
Ltteleetef
LOCA ION
Street, Road or other Description of Location
Lot
,Block
Addition or Tract
A6TS.A. ISVZ"- -di
This permit does not authorize the use of streets, roads, hlleys or sidewalks
the right to create any situation which is a nuisance or which presents a hazard
general welfare to anyone in the community.
K T •�� THEEMI WHILE THE WORK IS IN P
This is to certify, that.L� . _. _� _ ,._._ 'has permission to erect
THIS PERMIT MUST B4
the abo$e described pre' e subj to the provisions of the Building Ordinance
nor does it give the owner or his agent
to the health, safety, convenience and
ROGRESS.
#45
upon
for Eagan Township adopted April 11,
Per
Building. Inspector
EAGAN TOWNSHIP
N9 962 :.
BUILDING PERMIT
Owner Eagan Township
Address (present) 41 1 61 X-1,144") Town Hall
Builder 4244e4 .o�`'''� �•
Address
DESCRIPTION
Date /—
Stories
To Be Used For
Front
Depth
Height
Est. Cost
Permit Fee
Remarks
94---2-4-
,1-.
.9
Js
5;
s! 1
LOCATION
Street,. Road or other Description of Location
Lot
Block
Addition or Tract
!o
-
,..
This permit does not authorize 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 BE ETH; PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that... d has permission to erect a
the above described premise subject to the provisions of the Building Ordinance for Ea n Tovlship adopted April 11,
1955.
upon
Chairman of Tenon Board
•
Building Inspector
CITY OF EAGAN
Remarks Cedar Grave Acquisition
AdditionCedar Grove #2 Lot 10 Blk 7 Parcel 10 16701 100 07
Owner 5Te(AVI C dt (L11L 1 (ts1 ilStreet 4261 Amber Court State
Eagan,MN 55122
Improvement
Date
Amount
Annual
Years
Payment
Receipt
Date
STREET SURF. 88S
1985
1966 95
84.46
15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL (p6
1 972
130 .0Cf
52.16
25
Paid
WATERMAIN
* WATER LATERAL
1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
U
BUILDING PER.
SAC
T j (.),.
PARK
*****************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 761
DATE: 04/17/00 TIME: 08:53:05
ID:
NAME:
STEVEN J SCHLANGEN
3210 9001 4261 AMBER CT 69.00
2155 9001 4261 AMBER CT 1.00
Total Receipt Amount:
CR126407
USER ID: JAN
70.00
***************************************
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4875
New ConshucRon Reauirement;
➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house
and rt roofed areas (20% ma lmu n lot coveraae dlowe0
• 2 copies of pis (show bean & window sizes; poured Ind. design; etc.)
➢ 1 set of energy ccsculattons
• 3 copies of tree preseivarion plan if lot plotted after 7/1/93
DATE: 1-///400
DESCRIPTION OF WORK: D<\ 4E/1OQAt 4F
Remodel/Reodr Re uirernents
2 copies cN pian
1 set of energy catcdailana for heated
1 sibs survey for exterior adclicas & decks
CONSTRUCTION COST:
S11,036t RNs INS14 f7/aJ Or /ved owes
NYez
STREET ADDRESS: i< 146 ` '%61,
C_7 , GSI/✓ /ON
LOT: 10 BLOCK: 7 SUBD./P.LD. #: C2doh' Gr0`ie
PROPERTY
OWNER
CONTRACTOR
Name: Sbao
Last First
_C7E-vexi
Street Address: 926/ glifi 67( C T
cry 6
Company:
Phone #: ((.S/) « /-70W
5 0 ry
State: 1141 20: 15/@?.�
Phone #:
(area code) •
Street Address: license # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #:
Street Address: Registration #:
City State:
Sewer/water licensed plumber (if Installing sewer/water):
Phone #: (
1 hereby acknowledge That I have read this application, state that the information is correct, and agree to wnh ail applccdAe State
of Minnesota Statutes and CRy 01 Eagan Ordinances.
Signature of Applcanl)(
1� G
Certificates of Survey Received
Yes
OFFICE USE ONLY
No
No
Tree Preservation Plan Received Yes
Not Required
BUILDING PERMIT SUBTYPES
❑ 01 Foundation 0 07 05-piex
• 02 SF Dwelling 0 08 06-piex
❑ 03 01 of - piex 0 09 07-piex
❑ 04 02-piex 0 10 08-piex
• 05 03-piex 0 11 10-plex
❑ 06 04 -pier 0 12 12-piex
WORK TYPE
❑ 31 New
O 32 Addition
O 33 Alteration
O 34 Repair
OFFICE USE ONLY
❑ 13 16 -pier 0
❑ 17 Garage 0
13 18 Deck 0
O 19 Lower Level 0
_Yar__N 0
• 20 Pool ❑
O 36 Move Bldg.
O 37 Demolish (Bldg)*
O 38 Demolish (Interior)
O 42 Demolish (Foundation)
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
21 Porch (3 -sea.)
22 Porch/Addn. (4 -sea.
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory !Mg.
O 43
O 44
O 45
❑ 46
Reroof
Siding
Fire Repair
Windows/Doors
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning
Building
Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
VW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
SAC
Valuation:
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: Sfevev G��an.. eve Phone: 6S1 114.511 -'?O L(
Address / City / Zip: 92/ 44 E7 C7 96,4a A!n% s5/ .Z
Applicant is: X Owner Contractor
TYPE OF WORK
Description of work: Rep t, Lir vvs f Rtr3rd Q D0
Construction Cost: 14(Ji 000 Multi -Family Building: (Yes / No )
CONTRACTOR
Name: Re, eview Con sTa.gcrco+. Ir.r. License#: 'a dl 1/ 077
Address: 13 0-2 _cm /4 u e n u t /V o
City: Cot Srrtys
Phone: Sad a�19-1-1I')3
State: M IV Zip: ,c6 3 O
Contact Person: V 3 r -c) j 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(,l 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 providespecific reasons that would permit the City to
conclude that they are trade secrets.
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 57EUc) 5Cf/min eli
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
O Foundation
O Single Family
O 01 of _ Plex
❑ 02-Plex
❑ 03-Plex
❑ 04-Plex
WORK TYPES
❑ New
❑ Addition
❑ Alteration
❑ Replacement
DESCRIPTION:
Valuation
Plan Review
05-plex
06-plex
07-plex
08-plex
10-plex
12-piex
❑ 16-piex
❑ Fireplace
Garage
❑ Deck
❑ Lower Level
❑ Interior Improvement
❑ Move Building
O Fire Repair
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Const.
REQUIRED INSPECTIONS
Footings (new bldg)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace:_ R.I. Air Test Final
Insulation
❑ Accessory Building
❑ Porch (3 -season)
❑ Porch (4 -season)
❑ Porch (screen/gazebo/pergola)
❑ Storm Damage
❑ 'Miscellaneous
❑ Siding
❑ Reroof
❑ Windows
❑ Egress Window
❑ Pool
❑ Ext. Alt. Multi
❑ Ext. Alt. - SF
❑ Multi Misc.
O Demolish Building*
❑ Demolish Interior
❑ Demolish Foundation
❑ Water Damage
* Demolition (entire building)- give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: Footings _Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath __Brick
Windows
Retaining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3