4295 Amber Dr
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'=EAGAN _TOWNSHIP o ?
. N- 628
RUILDING FsMIT
?'?'? ?_ _ , __ .. .. .
?W ?- -- -° :_ •° ._ , Eagan Townsiiip
. / f, . - •
Address (Present . _ ? ..... .-•• -•: •• -.-•. -.-__ •• - _ ?' ???' _u Town Hall
? .
Builder --•-••'- -•-----•. .. _ ...... -
,
Datef.f .-- -f`-?"- --•--- ?? ••--- ._
Address ....... -•--°------- -•--•--• --- - . ---- ----..•- ---••-•°
DESCRIPTION . ?
Stories To Be Used For Front Depth Height Est. Cosi: Permit Fee Remarks
?%" . LOCATION -
Sireet, Road or othes Description of Location Lo! Elock Additioa or Tracf
This permii dces not authorize the use of. slreets, ro'ads, alleys or sideWalks nor does it give the owner oz his agent
the right to create any siiuation which is a nuisance or which preseats a haaard to the healYh, safeYy, convenience and
general weifare to anyone in the communitp. `
THIS PERMIT MUST PT THE? MI H E THE WORK IS IN ? PRO RESS?
This is to certify, #ha???'.??-??LL'=!?'9'GiC? ?as permissiom to erect - --- '
..- ? - ----• ------upon
? Zhe above deseribed premise subject to 3he grovisions of the Building rdin#nce for Eava?ownsh' adopfed April- 11.
?y* 1955 •
•-•-- ------- -° --•-._ . _ Per
- . -
------ --- ------- - - -- - s-- --•--•-•--------•- -•--
Chairman of Towh 8oard ding Inspector
a? .? , . . .
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EAGAN TOWN S H 1 P o
N. 868
BUILDING PERMIT
Owner ........ 6'1? .*`..?"'s-"••-`•-J- • Eagan Township'
Address (Present) ...... ............... .. .•----.. ..._...4. ?l `_ Town Hall
Builder ......................... -----•--- ........................................................... ?Z Date .............. ...... .............•-
Address .... .-------------------------------- ..........••--••--•-----•--._.-•-• •--------•----•----
DESCRIPTION
5tories To Be Used For Front Depth Height Esf. Cosi ermii Fee Remazks
' eXd
s-- k -tE o LOCATIO -04a-v
S3reet, Road or oiher Descripiion of Localion I Loi Block Addifion or Tract
This pe:mi3 does noi suthoriae the use of streets, roads, alleys or sidewalks nor does it give the owner or his ageni
the right to create any situation which is a nuisaace or which presents a hazard to the health, safefy, coavenience and
_ ,..a
geriorat•.w,elfare to anyone in the community.
THIS PERMI"t"MU&T B£ .KE.V T? ?M-F.AEA? TH?r-?!'i?'i?°€?•?,¢PROGRS
This is 3o cextify, that.. a'-- ! ?- s! •-- - ----.................................. has permission to erect a........... -•• ............ ... ........................ up°n
!he above described premise subject to the provisions of the 8uilding Qrdinance for E n Towns p adopted April 11,
1955. ?o ? ?
' ?' ?Gfi?.?
............................... .... -- -... -------•--- - ..Q? Per ........... :- -•• -•- •- -----._.. ._...,???.'??'?t?r....................
.. _ Chairman of Tow Board Building Inspector
?
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CITY OF EAGAN Remarks Ced'ar GrOVe ACq11.151-b10ri
Addition Cedax Grove #2 Lot 19 Bik 7 Parcel 10 161T01 199 07
oWner 6fxi'? ?;lPt1?,?3y?. ?i?3?`.?r:street 4295 Amber Dr. scace Ea ari,MN 55122
Improvement Date Amount Annual Years 7,5 Payment Receipt Date
STREETSURF. 8 86 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1304, 52.16 2
WATERMAIN
* WATER LATERAL 972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ?
BUILDING PER.
SAC , {; r
PARK
i y, ? ? ezx,,O? Z
Request Date Fire No.
. Rough-in Inspection
Required?
?/Ready Now p Will Notify Inspector
C Yes /No When Ready?
/licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Street, Box r Route No.)
?
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? ? City .
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Section No. Township Name or No. Range No. Gounty
Oc upant(PRIN T I Phone No.
Power Suppli Address
Electncal Con act r(Company Name) Contractor's License No.
tiiwl -e c ;, 1el
MaJin ss (Con ctor or net, Making Installatwn)
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Authorized Sign ut6-hCo tractor/Owner Makin nstallation) .
1 Phone? Nujmber - ?r
r
MINNESOTA S TE B? D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway B gi? ? Room S-173 -f !!! BE ACCEPTED BY THE STATE BOARD
aul, MN 55104 UNLESS OPER INSPECTION FEE IS
Phone (612) 64 ? Av OOSt. P ENC
I6
REQUEST FOR ELECTRICAL INSPECTION
J ,? See instructions tor completing this form on back of yellow copy.
`X" Below Work Covered by This Request
ee-ooooi-oa
??.?
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks .
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL s'/'
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NQT
Other Fee
ONTHS.
COMPLETED WITHIN 181
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
OfFICE USE ONLY
This request void 18 monihs from
T . ` . }?ru <';c,• : ? v a g ? ;.?,? t ar ?I„?e ? j'?`"t4.? 07
?
' . ?'? ??? q, '??` $` ?t.g??"g 4
.. ,
. 3 ?red ?
reg' ftNiiig 4 ft Of K ?• ?: t? .
SUM*
. 2
, :
'
(20% maxiinum lot couer?e aibw8?i} i set crf ?+ Cat?i1? tr hmted addiii4
• 7cmpies of pian showing beam & wrirttiou sizes, pourei found deskgn, etc.) . 1 s(te su(vey tar exterW adftons & 9a*s
• 1 set of Eneigy Cak;ulations . Intlicate rf home served bY septic system for addWuns
. 3 copies of Tree Preservation Plan ff bt p4atted after 7/1/93
. Rim Joist Detatl Options selection sheet (bldgs with 3 or less units)`
DATE 1/ALU44C?N
JOB SITE ADDRESS q29-5-- I`rmSfe- oUIL t_A4?°444.)
?
IF MULTI-FAMILY $UILDING, HOW MANY UNtTS?
PROPERTY OWNER 1 V M
,
TYPE OF WORK 6"0neA(--F_ aht?rT/oy?',4- ?oq &(Sr'"44IR
LACE(S) 2
APPLICANT E +1'IWXO kl PHONE# 44)I C'XPY47
ADDRESS AM!&?k_ betve.?T . ZIPCCIDE
PAGER # GELL PHONE #' ? ? ? 9y C) 7693 -FAX #' &S`I 9t
NEW RESIDENTIAL BUILDING ONLY- FIiL QUT GQMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes: '
Mechanical Contractar:
Mechanical System Includes:
MINNESOTA RULES 7670 CATEGORY ?n_?,?
Residential Ventilation Category 1 Worksheet Su r?i ed
- Energy Envelope Calculations Submitted ?I r,
, ;, . ott a aoa
, N' 1
MINNESOTA-RULES 7672
- New Energy Code Worksheet Submitted ?
?r -
Phone #:
Water Softener " Lawn Sprinkler ; Fee: $94.00
Water Heater -- No. of R.I. Baths
Na of Baths
Phone #
Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
AU above information must be submitted prior to processing of application.
I hereby acknowledge that1 have read this application, state that the informatian is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signature of Applicapt ?W%W- IF E I/m. j?? I -A??
Certificates of Survey Received Tree Preservation Plan Received ot Required
- - - Updated 1/09
.?? Of-{ .? tl tr?? 7e S^ t #Y o
005 03-plex E:! 91
1C}lplex 0112' ? i?
0 24?? C?itd? ?f=
,l
? 06 04-piex 13 12 12-piex Pfbg_„_Y or N C1 25 ttAiisceganeous `
O 31 Plew O 35 Int impravement 0 38 Demolish (interiar) 13 ' 44 Siding
32 Addition CI 36 Mave Bldg. 0 42 Demolish (Foundatian) 0 45 Ffre Repair
? 33 Aiteratlon ? 37 Deinotish (Bldg)* 13 43 Reroof ? 46 WindotivsfC7oors
0 34 Replacement/? °cs *Qemotitlcrn (Erttire Bidg only) - Give PCA handout ta appticant
Valuation a Occupancy MC/ES Systern
Census Code 'q3g- Zoning City Water
SAC Units ^ Stories l Bcroster Pump
?
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs " Length 0 f f Fire Sprinklered
Type of Const Width
` REQUIRED 1NSPECTt4NS
_ Footings (new bIdg)
.? FinaUC.O. '
Footings (deck) X FinaUNo C.O.
? Footings (addition) PluYnbing
? Foundahon HVAG
_ Drain Tile -,. '
Roof .„? Ice & Water X Final - C}ther
? Framing Pool Ftgs Air/Gas Tests _ Final
Fireplace - R.I. --Air Test -Final
-
' Si '` Stuceo Stone '
?
Insulation Windows (new/replacernent)
---- -- - --- - --
-
--
-
-- Approved By Building inspectnr
??.? ?_a_?..__-----_-_-- - - --
-
-
Base Fee ?
-
19 -S ,,.,? -
- - -
-
(,..
121-ioU £ C r? f S To-,
?--
Surcharge
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a Re
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77
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MC/ES SAC
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itY SAc
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Water SPPIY & Stora9e
,
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai `? . ,
-?, -- .
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
-2 / /
? EAGAN, MN 55122 PERMIT #
-?
P PHONE: (612) 454-8100 REGEIPT #
DATE :
. . ... ..
:_. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EAGH UNIT.
------------
-------------------------
WORK DESCRIPTION ------- --------------------------------------
FEES _
NEW CONST ADD`-0N MINIMUM $15.40
ADD -0N ? HVAC 0=100 M BTU 24.00
REPAIR ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME :
SUBTOTAL• $ 15io-O
SITE ADDRESS: liD. ?i STATE SURCHARGE: .SO
LOT : BLOCK SUBD : TOTAL : $ S ? S t?
IN S TALLER : STANDIIRQ NEAT0 m AtR muDmR46 tn
r
41 0 1,NEST U1KC :. ? REET i
ADDRES3: MINNEAPOLIS. WA 55408-28W ° SIGNATURE OF PERMITTEE
? ?
'
^^'
•- ?i?
?/ 3 ? f ? ?/ ?
CITY: ZIP:
PHONE #:
PLEASE COMPLETE THIS PORTION FOR ALL' COMMERCIALjINDUSTRIAL BUILDINGS,
. .. . ......... ......... . .. . .
...
APARTMENT BUILDINGS, AND MIILTI-FAMILY BUSLDINGS WHEN SEPARATE PERMITS AR.E-
NOT REQUIRED
- FOR EACH DWELLING UNIT.
,.,.
---------------------
-
----
-- -- - -
CONTRACT PRICE: _..
-
-
FEES
OWNER NAME: 1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
" PROCESSED FIPING = $25.00
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRIGE x 1$ $
ADDRESS: STATE SURCHARGE $
CITY: ZIP: '
TOTAL: $
PHONE #:
_ (SIGNATURE) , -
FOR:
CITY OF EAGAN
,
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
• � Permit#: `�/� �
I
C�°y O` ���"`� I Permit Fee: �� �� �
3830 Pilot Knob Road c�, �
Eagan MN 55122 � Date Received: / �� � �
I
Phone: (651)675-5675 I �
Fax: (651)675-5694 � Staff: I
� I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J I� � �� Site Address: ���5 ���✓' �`'' Unit#:
Name: ��10'�� L..s Oa�� Phone: b��-��2� 0� ��
Resident/ �Z�� ���� �
Owner Address/city/zip: `"
Applicant is: �Owner �Contractor
' Description of work: �'�S�-�
Type of Work-
��„ SS2�1 .
Construction Cost: �i�' Multi-Family Building: (Yes /No�
' Company: ���kL�' '������1� Contact:
; Address: ���°t��-rF�4'�b�' ��{> �Uf�.���^�t��VCity: ��n��9�'
Contractor
' State: ��� Zip: J�3�°� Phone: b��-��6�� Email:
,. ,..
, ; License#: �(,�03�3� Lead Certificate#: ��°'� ��� ���"�
Ii 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:
N(3TE:Plans and supp'ort�ng documen,ts;fh�t yaer submit are cp�rS+alered t�be�publr�informatiarr. Portions Qf
the infarmat�on''ritay�ti�ciassrfAed°as nQn-pubJic,"rf�,�r�il�provide sp�cific re�scins tha�°would perrri�fi the City to
`= 'Con�lude that#l��• ;,are frad��ecref�.- `
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.caopherstateonecall.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.
x � �1�1 I�� wt�l�`z:�- x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
C!tyofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JUN 1 0 2016
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 -3-) 00'
Permit Fee:
Date Received:
Staff
2016 MECHANICAL PERMIT APPLICATION
❑ Pleasek u /
submit two (2) sets of plans with all commercialapplicationn&
Date:l 16, Site Address: '�lo /3 14,444),- ) r1
Tenant: Suite #:
Resident/Owner
Name:
Address / City / Zip:
Phone: 61) ." e,
arm 114 IV ` 2
1 License #: Aggaqi})-q/
It City: 6i(4/
•s j ??fS-
Con actor
Name:
Address:
tiA444,_ Arc.
State: IYYV Zip: 637t
Contact:
Chi
Type of Worl
Phone:
Email: /'h/Cy
ketd-
New Repl cement Additional Alteratio
Description of work: ,/ (A -U— _ -f
Demolition
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
/ RESIDENTIAL
V— �mace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
_ Install Piping ^ Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank (_ Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank installationtremoval, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
7 CO TOTAL FEE
Contract Value $ x .01
=$
_$
_$
Permit Fee
Surcharge
TOTAL FEE
0..
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances aryd 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 k will be in accordance
with the approved plan in the casof work which requires a review and approval of plans. c.
Applicant's Printed Name
x
Ap • icant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By'
Underground Rough In Air Test Gas Service Test In -floor Heat
HVA
Date
•
Final
C Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141934
Date Issued:04/06/2017
Permit Category:ePermit
Site Address: 4295 Amber Dr
Lot:19 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-190
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 -
Christopher A Walker
4295 Amber Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature