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