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4290 Amber DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4290 Amber Dr Lot: 25 Block: 5 Addition: Cedar Grove 2nd PID:10- 16701 - 250 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124 -0000 (952) 891 -1919 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Gerald J Larson Trst 4290 Amber Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA084064 07/07/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4290 Amber Dr Lot: 25 Block: 5 Addition: Cedar Grove 2nd PID:10- 16701 - 250 -05 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 Quesetions regarding electrical permit 952- 445 -2840 CRAIG ANGELL 12253 NICOLLET AVE. S. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Gerald J Larson Trst 4290 Amber Dr Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA092074 11/18/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State f Address Builder ......... Address ....... Stoxies To Be Use p g W, LOCAT ON Street, Road or other Description of Location I Lot Block Addition or Tract 3- 3 + r This permit does not authorize the use of streets, roads, alleys or sidewalks -nor does if give the owaer ar his agenf the right to create any situation which is a auisance or which presents a hazard fo the kealth, ' safety, convenience and general weifare to anyone in the community. THIS PERMIT MUST? PT TH ? ILE THE WORK IS IN PROGRESS This is to cerfify, fh -???d!i????4][?i.?--has permission to erect ??-? ---•----- ?----- ............... up°n ihe above described premise subject to the provisians of the Suilding rdinance for Ea p adopted April 11, 1955. -----------------•------•-----------------------•-----._..------------- ---------- -- Per ` -- - --- - ----- -- -----•-- -- -- ---- -- -- ----?r-- - - • - --- - Chairman of Town Board ng Inspectos EAGAN TOW -N S H I P o N. 65.1 ? UI ING PERMIT ? ------- , :.. .?- :._ ._ ? Eagan Township ? ie '••° ----? -- - --•- •-----??? _?.....• ------- ... Town Hall '=...e ----- • • -- -•-- ------•-- -•------- --------- ---•--•-• DESCRIPTION d Fos Fxont De th Hei hf Est. Cost Permit Fee Remarks i La5) 8llr . EAGAN TOWN S H I P N.o 842 BUILDING PERMIT Ownex •--- ........................ --'•- --- • ???"?` .- -'-----•--•----- Eagan Township Address (Present) - °?"?•-- -- • -- ............. ?? ----•- •-- Town Hall Builder - ..................................... • ---- ................................................... Date -----•--•---•--•------•-- __.._.:--•----•._ ' Address -•••.--•---••-•------ -----------• ------ ................................................ Z? 4 DESCRIPTION 5tories To Be Used For Front Deplh Heighf Est. Cost Pertnit Fee Remarks , LOCATION Sfreet, Road or other Description of-Laca3ion Lof 81ock : Addi#ion or Tx?a+ct t ? ? '-V A??? ? This permit does not suthorise the use of streets, road's, alleys or sidewalks nor does it give the owner ar his agenf 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 B£ KEPT ON THE PREMISE WHILE THE-WORK IS IN PROGRESS. , This is to certify, that................................................................ has permission to erect a.................................................... ._.. .. .upon the above described premise subject #o the psovisions of !he Building Ordi ce for Eagan Township adopted April 11, . 1955. -,? ----------••-• Per ..-• ---••--- • .......... Vqe'... A-_.._' ..--•--................... ..--•-•----•------•--•- ••----•-- ...-•---•--°----- --------- ' Chairman of Town Board Buiidin g pector CITY OF EAGAN Remarks Ced,ar Gz'OVe Acg1i7.Siti(3ri Addition Cedar Grove #2 Lot 25 g,k 5 Parcel 10 1F'J`T O1 250 05 Owner U" t` i_.i Street 4290 Ati1b0Y' Dz'. State Eag2n.,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1 1 STREET RESTOR. GRADING SAN SEW TRUNK .? SEWER LATERAL ? 2 130•OO ?,,•1 2 P?,.1C?I. WATERMAIN 3g- WATER LATERAL ? 2 ' WATfR AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDfWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ,J- PARK ?Z)u) Vn^ 7 F . . . .. . . - . . . .. rltd IM C1TY of EAGAN N2 .3778 BUILDING PERMIT Owaer ..... ..... ............ ?:.`.'..'..? ........ ..........:.. 3795 Piiot Knob Road . Minnesota 55122 Address (Presen!) ..:?-?.?.?......C?....::............................................. `::?Eagaa 454-8100 Builder ........ ....._. ......... .... ?.?.??. Dato . l °.. 23 7.Y .................................... Address .•••.r.??..? ........ ? DESGRIPTION Sioriss To U. Used For Fron3 Dep3h Height Est: Cost ' ermii Fft e A?masks' /p i ,l?? LOCATION "S-d /o Aa-c Street, Road or other Description of Location I; Lot Block Addition or Tiact S- ?- -?j This permii does noi suthorise the - use of streels, :oads, aileys or sidewalks no: does it give the ownes os hi= sysn# ` the right to creale any si2uation which is a nuisance or which presents a hasard to !he heai2h, safetp, conveniestce aad general welfare to anyone ia the community. THIS PEAMIT MUST BE yKEP? ON THE PREMISE WHILE THE WORK I3 IN PROGRESSi. This is 3o certify, that:__! ? . ???'-"d .................. has perit?ission to ereci rrf. ....?..'...?'...upoa the above described premise subject fo the provisions of ali applicable Ordinances for the City of EagaV• f ? ............................. .........:.(J......?, ......- .:......... ........ Per -•-••-••. ......... ......`.:... .... ..... . ........ ................. ... MaYor SuildinQ ,Inspecior-, ? 1 LOCATION ? OWNER qe) STRUCTURE AN LAND USED AS -4z 9 MASTER CARD z... Permit Na Issued Issued To Contractor Owner BUILDING 7, ? a PLUMBING CESSPOOL - SEPTIC TANK WELL EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items FOOTING FOUNDATION FRAMING FINAL ELECTRICAL HEATIfVG GAS INSTAILATION SEPTIC TANK CESSPOOL DRAINFiELD PLUMBING WELL SANITARY SEWER / Approved (Initial) Date . Violations Noted on Back COMMENTS: ?. _ Remarks Distance From Well SEPTIC CESSPOOL TILE FIELD FT. DEPTH OF WELL Y COMPLIANCE INSPECTION REPORTS TO BE U5PrD ONLY IN EVENT OF 085ERVED VIOLATIONS PERMIT NO. DATE OF INSPEC710N CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF MON-COMPLIANCE ? NON-COMPUANCE. BUILDER DOES NOT OBSERVEU. INTEND TO COMPLY. ? ACCEPTABIE SUBSTtTUTtONS OR ? COMPLETION OF CERTAIN IMPROVEMENTS DEVIATIONS. yyILL gE DEIAYED BY CONDITIONS BEYOND ? NON-COMPUANCE. BUILDER Wlll COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REIPlSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED ' CE RTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to ihe property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 2 a 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN •?? Q'?1 3830 PILC7!' KNOB RD - 55122 ? ^- . . . 651-601"4675 New Constnuction Reauirements RemodeVReoair Recuirements ? 3 registered site surveys showing sq. fL of 1o4 sq. ft af house ? 2 copies of pian and ail roofed areas f20°/. maxtmum lot coveraae allowed! ? 1 set of energy calculations for heated additicns ? 2 copies of plans (show beam & window sizes; poured fnd. tlesign; etc.) ?' 1 site survey for extenor additions$ decks ? 1 set of energy calculations ? 3' copies af tree preservatlon plan if lat piatted affer 7/1/93 oa DATE: 3- 3 b??T `Z CQNSTRUCTlON COST: DESCRIPTION OF WORK: 1-nu, c.+7 d STREET ADDRESS: 4,290_ Amdcr Ee ,tan IM SS LOT: BLOCK: ? SUBD./P.I.D.;#: \J -? ??-- Name: L ot-r' S or^s Phone #: Co 2• 4 s?- l 3?.?7 PROPERTY Iasc F'usc OWNER Street Address: „y o? 9 o l4,r?7krG ??- City ? y?•?n ; State• M1U Zip: Company: ve.. onT ?.1 Ph'ne #: -?o (d•? 7 St'S "'?? ?? CONTRACT'OR ? Street Address: << 47C L?cense #? b l? Exp. cicy ,???•.. ? L.?.?^? ?r??-' srae: . d?1V Zip: 5143 2, ARCHITECT/ ENGTNEER Company: Phone #: Name• Registraaon #• Street Address: City State: Zip: Sewer 8 water licensed plumber (re uia red for new construction oaiv): Penalty applies when address change and lot change is requested once permit is issued. 1 hereby acknowledge that t have read this appiica#'ron, state that the infarmation is carrect, and agree to comply with aii applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONI.Y Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No ?, . Not Required ' OFFICE USE ONLY BUILDING PERMIT TYPE ' ? 01 Foundation ? 06 4-piex ? 11 10-piex ? 16 Firepiace ? 21 Porch (3-sea.) O 02 SF Dweliing ? 07 5-piex ? 12 12-plex O 17 Garage O 22 PardVAddn. {4sea.} ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Pocch (screened) O 04 2-plex 0 09 7-plex ? 14 Apartments ? 19 Lower Level CI 24 Storm Damage ? 05 3-plex ? 70 8-piex ? 15 Lodging O; 20 Pooi ? 25 Miscelianeous WORK NPE 0 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 SidinglSofritslFascia ? 32 Addition ? 36 Mave Bldg. ? 40 Gas Insert ? 44 Windows/Doars O 33 Alteration ? 37 Demalish Bldg. 0 41 Waod Stove O 45 Fire Repair O 34 Repair 0 38 Demoilsh (interior) ? 42 Reroof GENERAL INFORMATION Const. (ActuaJ) Basement sq. ft. ? Census Code (AIIowable) Ma•n level sq. ft. ? SAC Code ' UBC 4ccupancy : Sq. ft. No. of Units Zoning sq. ft. No. `of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water , Width Footprint sq: ft. Booster Pump . PRV Fire Sprinklered " APPROVALS Planning Building Engineering Variance Permitfee Valuation: $ ' Surcharge Plan Review License MC/ES SAC ' Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trai{s Ded. Other _ Copies TotaL• SAC Units ' % SAC , PERMIT # REGEIPT DATE: USII!}E,N1IAL ]'LUMING PER+I1T AMLICATION _ Ci'i'Y'oF EAsM ` : s$so Pn.or sxoa Rn , Im g51EE ' Please complete for, A, single family dwreUings _ _ .:. ? townhomes and condos when permits are required fior each unit ? backflow preventer far irrigation system LARSON,SONYA SITE ADDRESS: 4290 AMBER DRIVE , ' EAGAN, MN 55122 OWNER NAME: (ssi) asa-isss TELEPHONE #: ` (AFtEA CODE) lNSTALLER NAME: TELEPHONE #: . (AREA COCiE) STREET ADDRESS: A??? CITY: MlNNEws? AAN ?8H STATE: ZIP: Place a check mark next ta the ermit work tvpe New residentiai dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modffication or alteration to existin dweAing unit, including: $ 50.00 • abandonment of septic system • new instailation/repair/rebuild of RPZ • lawn irrigation system • water tumaround Lv Nature of work: Septic System, newlrefurbished - $ 225.00 • inctudes County & Consulting lnspector fees • requires MPC ficense State Surcharge ?.7? ?' U5 ??50 Nut Total Reminder: Be sure to schedula inspoctions of alteratians, i.e. water heate _' I hereby adcnowledge tltat I have read tlNs apptication, state that the infomnatlon is correct, ana agree to ompiy wit, an applicable city of Eagan ardinanm. n is the appiicanYs responsibility to nodty the property owner that the City of Eagan assumes no tiability for any damages caused by the Gity during its normal operatlonal and maintenance activities to the tacilities constructed under this permit within Gity propertyfight-of-way/easnt. SIGNAT PERMITTEE Updated 1/01` PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132010 Date Issued:07/21/2015 Permit Category:ePermit Site Address: 4290 Amber Dr Lot:25 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Gerald J Larson Trst 4290 Amber Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature City of Eke 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 REG IVE MAR 0 7 2016 r Use BLUE or BLACK Ink L For Office Use Permit #: /3,S 3 L/O Permit Fee: /0'10 -(ND Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Y1G / //%,P Site Address: krnL Tenant: % 7 < e.) Suite #: ResidentlOwner Contractor Type of Work Permit Type Name: Phone: (P 6 ( —1454 —13 bq Address / City / Zip: 4 a-9 b Aril t Uu gri ' �� 1 M N 551 a a Name: `► C/ t� License #. Q 01 g'7 lit) Ci Address 3 4 0 I l�� ID r ► V'(- State: W 1 Zip: 5 `I 0(R Phone: 7 1 5- 34-g bb'1 Contact Tully Email: 0,4(.612AP e?a-ti•ne`t" _ New X Replacement _ Repair _ Rebuild — Modify Space _ Work in R.O.W. City: Description ofwork: RESIDENTIAL Water Heater 1 Water Softener Lawn Irrigation ( RPZ / _ PVB) Septic System Add Plumbing Fixtures ( Main / _ Lower Level) New Water Tumaround _ Abandonment 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, *Water Turnaround (add $; Septic System Abandonment, Water Turnaround* (includes State Surcharge) 80.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45402 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. 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 Si IA Ivi56 Applicant's Printed Name U _Q df� . �1.CJ rt/ o Applicant's Si ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinainspections at7.citvofeaoan.com Date: I — For Office Use '% Permit #: U/ 2 < �O Permit Fee: / ?D • Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION 7/22 %20 Site Address: 4i40 Amber J/14N S /Z1unit#: Resident/ Owner Name: tale 1 Carew Phone: to 5/ • 4--" 454. /3 42g0 be gan, , MN SS !ZZ Address /City /Zip: Y L%'• --✓ 1 Applicant is: OwnerX Contractor Type of Work Description of work: eReiIrOt2 f Construction Cost: Id 000 Multi -Family Building: (Yes / No. ) Contractor Company: W COn S/JJdI»1nJ Contact: LaC4 S Cart/IOW Address: e5o2. solvivia canCity: 6""`%x, !'GLI.il/.. State: Mt Zip: 5S347 Phone: g62.20%.7•email:Pairrct,(�c/nS Gnf7iN(�i/ nlRale License #: ECG g 9 g 7 4 Lead Certificate #: y --• i S `'I )(o' . a If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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. 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.citvofeaaan.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 (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confo ance 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 wo • is ,fit 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 x L uaotS CGtr ik,//r o Applicant's Printed Name Ap can s Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173251 Date Issued:11/04/2021 Permit Category:ePermit Site Address: 4290 Amber Dr Lot:25 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Gerald & Sonya Trst Larson 4290 Amber Dr Saint Paul MN 55122--200 (651) 454-1369 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature