4181 Amberleaf Tro 7281 ?
? ?
o
Req est Da Fire No. ough-I ection uired
?}? (Yau,jnus inspec when ready)
i Inspaction Other Than Rou In
? Ready Now ill Notify ector
Q`
?, te Read
I 011?censed contractor ? own ereby request inspection of above electricaE wor
Job Address (Streei, Box or Rauts No.) City
SacFion No. Township Name or No. Renge No. CouMy
OcCUpa (PR3NT) Phone N0,
Power uppfier
aT?'?'?? • Address
Electrical Contracror (Company Name) Conirector's Licen se No.
` Crrr_s F1_FCTn1r,, ttaC. GA40381
l
Mailing Addr S(Confrae) r' Owner Makirlg n
a io
„?-J`1;i0
Authorized\gnature iContractor/Owner king InstallatiQrN Phone Numher LESS sh2 9? M12 fi42 08E OOBg oom SMroB 810 FCfTY 1 11111111 1111111111111111111 ???I ????? ETHIS NC OS PROPIER INSPECTIONF EE pT
REQUEST FOR ELECTRICAL INSPECTION E B-0000 1 -o
? See instructions for completing this form on back of yellow copy. 9
(1w,5? ?
X Below Work Covered by This Request
Ne d Rep. lType of Building -Applian es Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ecify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O ' 0 to 100 Amps `
Transformers Above 200 Amps Ab Am s
SI nS Inspector's Use Only: TAL
Irrigation Booms
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
th
h Rough-in Datyz- .?
y
cert
at t
e above inspection has
been made. Final Date
OFFICE USE ONI.Y
This request void 18 months from
a' y7?`?
0
1 I 014 ?
1
9
?
9 r I
7
Re est Dat
`
?- Fire No. ough- Inspectio equired ion Other Than Rough-In
In 50
-
?/ 7 c
9
? (You# cal'r.i?; or when ready) ady Now ? Will Notify Inspector
R.
2
J Yes ? No Date Read
Ilicensed contractor ? owner hereby request inspection of above eleotrical work at:
Job Addre s(Street, Box or Route No.) Ciry
1 l \
Section No. Township Name or No. Range No. Cou _
Occupant INT)
Aze? Phone No.
?
23 413/
Po er Su plier
CA-2, 4? Address
Elecidca
Ct w(Com any Name)
Contractor's Liceose No.
n
a- 4
o YC 7
Mailing A ress (Coniractor or Owner Making Installation)
O &.-'
Authorized Si na re(Contractor/Owner ng Inst ion) Fiffone Number
&?-iu
MINNESOTA STATE BOARO O ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgga•Midway Bldg. • Room S-128
? IW NIII ? ?i I III I IIII IIN I I IIII I IIII III ? I BE ACCEPTED 8Y THE STATE BOARD
I??
1821 Unlvereity Ave., St. Peul, MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone f6121 842-0800 FNCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
l?l? EB_oooa, o
jib, See instructions for completing this form on back of yellow copy.
;%.
"X" Befow Work Covered by This Request ``?.,;?;;w..••y
Ne AUd Rep. Type of Building Appliar•les Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contractor's Remarks: Q
Compute Inspection Fee Below: a 30- ? Y
# Other Fee # Service Entrance Size Fee # Circuits/Feeders i F
Swimmin Pool 0 to 200 Amps , t7'* 0 to 100 Amps
Transformers Above 200 Amps Abo 00 Am s
SI 11S Inspector's use Only: TOTAL
Irrigation Booms ? 7 Q• ? z
S ecial ins ection ?
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
if
h Rough-in o?ig.-1 r?
?? 1
y t
cert
at the above inspection has
been made. Final Dale
?y
OFFICE USE ONLY
This request void 18 months from
INSPECTION RE+?'ORD
CITY C)F EAGAN+I PIERL*TY'PE: I0Mt?IN++
3830 Piicrt I{nob Road Permit Nurnber: 01.1 Ht, 2
F:agan, Minnesota 55122-1897 pate Issued:
(612) 681-4675
SITE ADDRESS: ARPLICANT':
ll.I ?9 AMk3f:F+! f:A1= t 17 fif)F 1`1 6014 si'Y tHi)MW;
RE311NC"Y
PEWT SUB? ? .• ? TXpE OF WORK:
. [MF` ;?:R YPT CoM t OAZt11$? A pEt.K 8
F TNAi. `
frr?nPK?=;: A ?;UPARArl Prs;"ll, ts RFaur?EO ro" ANr ri.fc rols:Al uoRk , =X
PLAN RFvxF«t_ti faV atKF aAttr.K
,.
Permit Np. Permit Noltler Date 7elephone M
S/W
PLUMBIIVG
HVAC P ? (Xv € ? G qj"
ELECTRIC
ELECTRIC 00(pQI ? ? CG>saLe..t . ? +QV `?l / I ?
Inspection Date Insp. Corsiments
Foatings I
Foundation
Freming
RoofirEg
Rough Plbg. _ 4Af
Q-N
Rough Ntg.
7
Isul. ?? cks ?y
Fireplace
Final Htg.
G
rV
Qrsa1 Test
Final Plbg.
-2,0.G?
/J - G-
Pfbg. InspeCtor- Notily Pfumher
Const. Meter
Engr./Plan
Bldg. Final
4
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
Address 4181 AMRF.RT F.AF TRATf.
. ,
Lot 9 Blk 1 Sub ?'Y
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 4Pa?'f , j Yes No Inspector: r,(J
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) V/
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage
Porch
Basemenk finish v
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineeting division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
Zip 5512 3
.
? CIT Y?? EAGAN
38?ilot Knob Road
,agan, Minnesota 55123
- " (612) 681-4675
SITE ADDRESS:
P. I. N.: 10-5 4 5?0-09 0-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4181 ,aMsERLEAF -rR
LOT: 9 BLOCK: 1
ROOM1IEY
'-/? 3
BlJILDThlG
025159
02/27/95
DESCRIPTION:
SF DWG
NEW
R-3 M-1
V-N
R-1
79
46
2
2,711
tV oF czagan
REMARKS: .
s r w PLsR - ELANn?? PLBG
FEE SUMMARY:
VRLUATIAN
Base Fes
pian Rsview
Surcharge
SAC
SAC %
SAC Units
Subtotai
$.f, p 1T! 1.J Y!
$7'15.98
$116.@0
$85F1.00
10@
1
$2,783.48
$232,000
Mzsc?LLANEous
7ota1 Fee
a. s9z.5e
$4g V f w7 s 7 V
CONTRACTQR: - Applicant - ST. LIC. QWNER:
LUNDGREN BRQS CONST 14731231 0001413 LUNDGREN BRQS CtINST
935 E WAYZA"fA BLVD 935 WAYZA7A BLVp
WAYZATA MN 55391 WRY2ATA MN 55391
(612) 473-1231 (612)473 mm1231
„ ? o,?;.?.• :::.:.._
v. °?' . ? .s... _ .,,e?.??.. . _?.' - .:?....._?E ....,,.? .?,;,?, Pd?'? ?,,.......: .
.......: ..... ::__ .......,
__?. m . ...,. . , o
..... ... ?.... .... . _ ,.. ......_..., NMM..??aN" ee?a-...?:.....,,. ..?a....,W:.
APPLIGARlTlPERMITEE fGNATURE I U Y: G ATU E
--
- - -- -- _`?l? 7 ['1 T1T !'f T T !\ 1\ T 1l ?1 !'1 !\ T1 T1
?
?
?
?
CITY OF EAGAN
8830 PILOT KNOB RD - 55122
4995 BUILDING PERMIT APPLlCATION (RESiDENTIAL)
68i-4675
3 rogistarod eite swvsys
2 oopiss W plans (lndude beam 8 windaw sWw, Puund fna. design; etc.)
t snerpy calcwiatians
3 oopiss ot Iros praservaUai plan if lot ~ aRer 7/1/93
raqWrod: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: To.
LOT BLOCK
PROPERTY
OWNER
CONTR/1CTOR
a?
??? G 0. q?
wjv.Z-.2z.
? 2 copies af plan
? 2 sibe aurvep (exbsriot additlons d dgdu)
? 1 ene?gy calc:uktions for Ieated addMm
CONSTRUCTION COST:
SUBD.IP.I.D. #: ?
?
Name. - L J.,?roS zv?f Phone #: 417 3 -/Z ?
_T
LW I ? .
Street
5
c'r#y: State: ? zip• S5 Y2 321
Company: ?• ? ? ? . rh? Rhone #:
Street Address: Lieense
ARCHITECT!
ENGMIEER
City: State: ZIP'
Company: Sa.M6, 0-5 'OLu4- Phone
Name: Registrraition #•
Street Address-
City: State: ? Z'tp'
Sewer & water licensed plumber. daj4ev c," n- Penaity applees wlon eddrm Chanp and lot
change are requested once perrnit is issued.
I hereby acknowledge that I have read thls appNcabon and state that the informabon is correct and apree to oarnnply wilh ah
applicable State of Minnesota Startutes and Cityt of Eagan Urdinances.
Signature of ApplicaM:
?._,.
OFFICE USE ONLY EpVED
Cer6ficates of Survey Received Z Yes No
?a1w ??, ?955
Tree Preservafion Pian Received Z Yes No
BUILDINC3 PERMIT TYPE
OFFICE USE ONLY
a 01 Foundation o 06 Dupiex o 11 Apt./Lodging o 16 Basement Finish
d:i/-02 SF Dwelling o 07 4-piex o 12 Mufti RepairlRem. 0 17 Swim F'ool
0 03 SF Addition o 08 8-pkx o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex a 14 Fireplace o 21 Misoelianeous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
pG31 Alew o 33 Alterations a 36 Mvrre
0 32 Addition o 34 Repair o 37 Demotitan
GENERAL INFORMATlOM
Const (ActuaQ Basement sq. ft. 970 MC/WS System
(Allowable) Main level sq. ft. 4000.1/ City Water
UBC Occupancy - M-i aq. ft. ?- Fire Sprinklered
Zoning sq, ft. PRV
# of Stories z/a:?.T- sq, ft. ? Booster Pump
Length 75;_ sq, ft. Census Gode.
Depth "(16 Footprint sq. ft. ? SAC Code ?
u15?WP e Census Bldg
K??o;p ?nsus Unit /
APPROVALS
Pianning Building ? Engirteering Variance
?
?
PeRnit Fee Valuabon: $ Z 3Z" Q oa
Surcharge
Plan Review
License
MCNVS SAC
City SAV
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SIW Surcharge
Treatment PI.
Road Unit
Par1C D@d.
Trails Ded.
Other
Copies
l Sf Fv.a. .
ZXd - A,
3 r. y 7
l? x (PY
Z x S?s = !?6
Isx Y / = !?'s
?qwrs l K P ?c 7 = ?$
z, vo Z/ X? yp:101 :Zl?:'
Z??..
..?.-.--
Z,? Ap
i7xSP ' Asa
2 y4' f 0
isxy i : Grr
<3.srK9) ? 1.3Z>
O37
3 >
S// xrSy
?
l3 S?T•
?--
/
Mr
Cm?r* . 'ez x Z x
LOX 3L
L x za
.I3
2, oo S'
s <2t, >
l, 4 7 x!o /s=
?yv
Total:
% SAG
SAC Units •
?
W •??h
2 '30, 442
•?..._._
= 6 ?1d
= yo
. s
= z
------------
ol 7 ?6 =
'l e, 99L
i
** *
P. 02
2422 Ent ?ise Driw
?tandata F?qh{e. Mp $5120
(692) M--11114 FI1X61111-4MM
uwa RuWS.s, w+oaaMC ArtwcrxM 625 Htg?vna94034
N.E. Bldinc.l?N Q12) 7LTt-1NO FAX-MANS
Certificate af Survey for: LUNpGREN BRO'??'. CONST.
4181 AMBERi.EAF 1RAil.
$?1?f•7 ~??3+????
1 103.
1g tqo3?o?
?.,.. ? ?- ?.. ,,,? 9C7q•
15
.?
PA??? PE L
?
? r "" ? ? ? z . 31
? ?s?-W 9? LOT 9 ,
m ? y-
1dv0
B?9 4 X -f Q 7
^!
N??
i ?1 1
? ?? ,??. • G ? .66 ? i 1
?°'`°?'
V? px,? J
Atv
??? ,
?0_12
4at•I
i. 7
(l? -0 {5
5 • .'.• ?. Y-. -?- ?
? ;toR{11?WAY 10A?c ?- ?
???, ? r=- ' ?.•' ..
WA7
pROPp8fD GflADES SFIOMM PER CRAORtG RlM B
MOIE: BoLONKi ONIENSIONS 9MNM ARE FOR HOIpIONTAL l41O MlR71CrLL
LOCATION OF SwC1lJRES 01LV. SM AWCHtIEC11lAL Pt.N48 F'aR Bl1DIND
MID FOUNDAIlQN OIMEHSIOM
NBTEe CC?CiOR WST 1iERIPY DRIYENAY OE51GN.
NaIE: ND SPEdFIC SdL9 (NVE$'WAIM HAS KM DMU'ntO GN TFi19
LOT BY TW SURVE't'Git THr #W7ABqiTY CF SErIS lO 5UPP0ltT 1lIE
SPEpF1C HOlJSE PROP06ED IS NOT TH£ RESRfRMtITf OF 'ff1E StlRVEYOR.
x dao.oo Denates Existing Elevotton
( ov4,00 f pendtes Propmed Elewtion
denokes Qroinage de Utliity Eosament
r:ACxtiLN -1404 U
G DEPT.
'tFNS CEWfiFmTE OOES HOT PwR1' TD BkDM "UMTS
0nm tHMI 1FI0m SNaMM CH 7w RER?lP? PaJIT.
'rst.'AI.E i 1 INCH m 30 FEEf
eUtwOS sHOIN naE aMn+so
.,PROP49ED HDUSE ELEVABON_
Low+ms# Floor E7mvatton: ._Spy--p
Top of B1odc Elavctttnn:
?lJ
,t 9O z- 3'
? ?
?
oj
? ??4•r r-??/?1
jV+?
?
?
? '
??? - 1?OP ? RON
Ei.EV- 90 3: T ?
§06C• 0
Sa ?• ?
.. •.
? ? _?•?,
.'. '
. •, ? ?44
* P?ONEER
* engineerin
? g
* 4 *-X
P. ea
CN11 E-nulnasra • Land Plo,r?nem • lantf 9urvoyam • Landscape qreNtscts
February ?. 1495
(Revised:February lp, 1995 per Gregg Hove, City Forester)
Mr. Gregg Hove
City of Ee?gari
3834 Piiot Knob Raad
Eagsn, MN 55122
RE: Lot 9, Black i, Rooney Addition (Lundgren Hrothers Coashvction)
Aear Mr. Hove:
This3etter is regarding tlie status cf siguificant trees thst ac+e preseat on Lot S. Block 1, Rcoaey
Aadition.
During a site visit on Febivary 7, 1995, the fvllowiag aigii$ewt trses (s: I{sced oa the Rcwney
Addidan Final Grndtng and Eroaion Caatrol Plan dated 6/8l94) wen kmated. Those fttiBmt
trees are listed below etong wlth their selected statua (to be sared or removed).
#70$ - 10" Red Oak
#710 - 24" Red Oak
#793 - 15" White Oak
'
#795 - 10" Rad Oalc `
#7% - 12N wWce Oak
#797 - 24" Whits Oak
#798 - 17" White Oak
T?799 - Z2N rYILIJC Vi{A
#800 - 12" White paic
#801 - 8" White Oak
#802 - 10" White Oak
#803 - 22" White Oak
#883 - 25" Red Oak
#884 - 2-22" Red Daks •
#885 - 24" White Oak
(Remaved - R.O.W. constnuction)
(Removed - R.O.W. constnutioq)
(Save)
(Save)
(save)
(Remave - house psd)
(Remnve - house pad)
(Remave - house pad)
(Removcd - R,O.W. construation)
(Save)
(save)
(saYe)
(Save)
(Save)
(Save)
All trees identifiad on the RoopeY Addition Final Grading a,nd Etocipn C;ontrpl Flan dald 6l8194
were observed to be present and ia good heaith except for tree #'s 708,71aA 800 whteb were
apparent2y removed duting R.O.W. construction Those tcees ir? dw list a?bowa thit are markad with
art asterisk (') amm incflrrectly id@ntiiicd on the Roonmy Addition Fixtai GradinS and Eroskn
ConCroi Plan's SigQificaut Tree list dated 6/6/94; the correct Idcutification for chose tms Is listed
2422 Ente?prise Drive • Mendota Heights, Minnesots 65120 • jo12) 681-1914 a Fsx 881-"8$
625 Nighway 10 N,E. • 61sir», Minnesote 55434 •(812) 783-1880 4 Fox 783-18$3
P. 03
above, The grvund layer aithin the boundaxy shovrs some si=as of cii:furbatioe u tjV4 tmcks
thmugh the center of the lot are prmnt ?t appeera this disqubasce 3s due tv utlllty can$traetica
near [r.o notth prcpcriy line. Na apparent damge to eny aignificant tcee9 wU oaused by thiGS actian.
Tlle house has been sta&ed and raugh grading has not 3ret takea piace, protective tree fence wiii
be instaHed outside the driptirre of significant trees that are to be prmmed prior ta Wtp raugh
grading. Also, ar?Y damased limbs of trees that am to be saved will be reaaoved pcior t4 April
15,1995 in order to prevent the occurrence of oak wjlt dlsease. ptuaing of tree #k883's roots to
driveway excavation UWts at the time of driveway consttvctiou (as oppassd to ka?ving fhe caots to
die back natumlly) may inct+ease the trees chances of survival.
If you have aqy queetions, p1tese csll me at 612-681-1914.
Z,-
4-;? AL.-O
Theresa Heg?aud, RLA
TAH/jrh
encl!
V
cc:' Brad Goerinq or Pat Marohn, Y.undgren Bros. Construction
Paul Thomas. Pioneer Engineerinq,P.A.
John Larson, Pioneer Engtneering,P.A.
?
.
13 •
0? 0 •
F.
D •
ti'G 0 •
?0 0 ? •
go, +
0 •
0 ?
U-' 13 0 •
V 0 Q •
o .
LO?T BURifZY C8EC1tLI8T 1PCR REBIDZWIAL
HII2LDIlQG PZRKIT
MPZRTY Ll•G7iiL=
Date ot iurvep s
pacmmErrr annAgDS ' -f
Reqistered Land Surveyor signaturs and ewapany
Suilding Permit Applicant
Legal descaciption
!?ddreas
North arrow and bafscal!
House type (ramblar, walkout, ipiit w/o, split *ntry,
lookout, etc.)
Dirsctionai drainage arrowa vfth slopaJgradirr?t 4.
. Propossd/*xiating sowsr and watsr sarvicsa
8treet namo
Drivevsy
Sewar servf co
Lot aorners
Top ot curb at the driveway
Elevations of eny existing adjacent homss
r '
?0
? 0 • Gsraga floor
0
0 0 • Firat floor
O?,D D • Lowsst exgosed elovation (walkcut/window)
??D
D p • Property corners
?
? O 0 • Front and renr of home mt the foundation.
?D
0
? PQNDING ]?REAS (if aapiieablg)
Z '°ant line
WL
0
v
0 .
•
N
SwL
L7 L3??p • Pond # degiqnation
Q 0/ D • Emerqsrlcy Ovsrtlow Elevation
? D
0 ?2M?B3?if8
- Lot linss
?
?I 0 • ltiqht-vl-way and stroet wiclth (to back of curb)
_
? 0 p • Proposed boms dimer?sions fncluding any propQS*d docks,
overhanqs qreatir than 21, porches, stc. (i.o. ail
structur*s requirir?q permnnsnt footfnqs)
?0 0 • Show all ssssments of recora and any City utilit3,ss within
those essemsnta
f?C D • Setback.s of proposed structure and aetback of adjacent
existing hmas
0 Retaininq wal ir nts, it any
Revf swscl:
October 1992
?
S=O+ST + ?
-
' - - -- -------
?
t
4V=896.7 .
-- ---
-------5 =1+___55__-- ?
V? ;
:5=901.0 ,
,
INV=897.2 '; ';
40? CS=902.0
HWL =
895•8
M
? STA. 6+1 fi HYDRAN7
g"_ gp• 8
NVItL = 894.Q % ? 7,' 180.32 LT GND
EL
HYDRANT
6"--94' 6END
, 0 .
GND. EL. 900.0' ,
.
?.. _ _ -_-`- ?` t` • . l ? .r+ y _ / ?
5=4+73
IV
898.5
?
S 900
0 S-1+42 MH ? STA. 6-
.
,
MH AS LOCATED ? ? •?? , 1NV=896.5 6 32.95 LT
9 ; ,__- -------?=0+36 ? .- _
-- C5=905.21
12
,
INV=898.35
MH AS LOCATED CS=908. 35 ';
1-6'-22 1/2' BENQ
------------------------------------
---------___--------------------------?- MM ? STA. 4+91 ? ? - -
5 8.89LT
r .
MH ? STA. 4+53
8" x E
? .? ?
`
' •
THE CITY OF EAGAN D. NOT GUAR l'
S _ • ?r????. {
`
??. ? _
--
THE ACCURACY OF UT . LO T N
AND/OR ELEVATtONS. THIS TEE
tNFORMATION PURPOSES 0 1-6" G.V. ??
PERfiONS U?ING IT SHO? E .
INFORMATION ON THE SITE. . ? ypTES; •
i. SANITARY =.
STA 71CNED
-s, . _..__ ?4-.s' ?. +'.r . . . . . . . . . . . . , . . . . .
? f y .. ? n ? {,•ry??,y? .R p'?` 1? 4? . . . . . . . • . ? . . . . . ? . : . ., . . • . . . . . . . . . . • . . . . . . . : " . . . • . . . .
r ????3t''4?a??F???? :.?-i i" . . . . . . . . . . ' . • . . . . . . . . . . . . ? . . . . . . . . . . . . . . . . . . . . . . . . . , .
. . . : y . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . .
:±r?.M {? "!? At$,i.??`-?i'"',M,'S•,?T`?? A??? ' . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? . _ . . .1 . - .
???A? • a ?ii-? ? ?-? • .'? . : ' ' : • . . . • . . . . . . . • . . ' . . . . . . . • . . . . . . . . ? . . . . . . . . . . . . • . . . . . . . . : . . . . . • • ' .
Rq?^? r'.st4 ?:??C'? ? •
fl?"9d .'?i + -_. r 0' •- ' . . . . . .
y.?•? ?:; ??. . _ THE CJTY DF EAGAN D0`8 f Vr GUAN'ANTEE . . . . . . . . .
: : THE ACCURACY. '0F• U`fILITY' 'LOGAt14NS . : : : : : : : . : : : : : : . :
: : : : AND/Of?ELEUATIa?15: '?MIS :DAT? -I8.?FOF1 . : . . . . . : : ' :.: . . . . . . . . . : . . . . . . . . . :
? •BE???y.? : • . . . . . . . . . : : : : ? : : : : 1Nt-ORMATIUN PURF?UOEs : . :ONLY . . . : . : ? : : : : : : : : : : : : : : : : :
...
. . . . . . ? .MH. ? ?
- - • ? - ? •- • . . . . . PERSONS U,?ING SHOULD ?1lE??FY -TH? . . . . . . . . . . . . . . . . . . . . . . .
.......... ?MH f?iE=910:Z?? :::
. . . . . . . . . . - 4 $LD=1 5.58: INFORMATION ON THF--?ITE: . ..
:::::::: .??: : ? ..... .. :::.::::::?.:::::::.:::.:::::::: ? 4..: $L:D=i5:?8::::?
....... ....... MH RE-=90?.03 ::::::::::........................ ........ ,.......................
......:. :..... 5 Bi..D=14:1 ?2 ::::: .:...:.:: MH. RE=9bE
::?::::: ::: :EX1SI1?tG.: =1
:.:.. :.-:: ::::. :::::.:::: .::::::::.....
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: : : : : : : : : : : : : .: : . . : : ?Rt}I?N ..... ? . . . . : : : . . :
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::::: :::: ::': :: .: :. ::: :.:::::::::::: . 7.5', Mit?.... :: ::GFu
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. . • . . . . : . . ; ? 86?--8? ? P•1? "SI?R_ ?5 ' O: ?',40A_: . : . : : : .: : 10?'.-$." : F:VC. - 4?
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:
JOL *
* PIam
*4t * 14t *
W. DAKTM•
2422 Enterpriee iWw
Mandoto Nsigbtm. NN $31$n
(912) 681-1914 FJIXr061-04e6
ur+ nwmuw. u.+wwe wiwfteu E26 HIgftray 10 N.[.
` g0oine. WV 35434
(02) 763-1lltl0 f AX M-1883
TREE PRESERVATION PL.AN
LQT 9. BLOCK 1. R04NEY ADQITfQN
S80023'18"'? I r?
84?17? ?o.?t? iLJ
`. \
*1103 7& f. 1
1s
niN, ?no Unurr ,ly
? f????IjSFyENT PER PIAT -.•ty,?
?
':°' LOT 0.70e . ?? ?
-
ol .
? Q,{
01
m yrt?•7,' * ----- ?i r ?
892 ? x 4IN77, o r? .
•?• ?.o M?
• ' y 5- ? 1 ?
h? .p 8' • iA { ? + ?.. •d L
O ?4 O 1 1
?- l ?y?q{
tji. --__E1? OF1UN,f
q04
EA?3AN FtJREST Y DtY1SN`
?? .? 1
±J 7640- 3)
6
FA. c
_ 1
REVIEVf-D 708
?
oe s ?-yg?•p7'g 94.73
o
:.z
BY e ? ?
?g?Rt
? AtL
AF
oATE A
?
?
-Tka,
r ? r?.•? ` EXISTINd T REES?
#708 - lv".xea Oak
#710 - 29' itea aek (Remowd - R.O.W. cmtcwotbu)
(Removed - RO.W. ucnshuctlou)
#743 - 13' white oak ' (Save)
#795 - lO" Aod Oak ' (Save)
0796 - 1Z' Whlte Oak (Sare)
•797 - 2d^ Wh{te Oak (Rsmow - Hauee psd)
IM198 - 17" Witite Oak (RemOVe - how Paa)
6794 - ?.Z" Wttite Oak (Remove - bouw pad)
• NSQO - 12" Whitt Oak f Renuowd - R.O.W. contiruotbu)
0801 - 8" Whita Oak (Save)
#e02 - 10" whice Oak (S.n)
M803' - 22" WhiOs 48k (Sive)
#883 - 23° APG! QRIC (St{R`.)
IF884 - 2-22'Red Oets • (5are)
R885 - IA" White oak . ?
(8aae) 1
1
PRQTECTIYE TRIM !°MK`iE
raEE S1#NWaRY
?...??....?.?.._
Hame " LL4? 28 3% RGMW#K% d4ri not Inehrds
Date 2 . 9-475 nt«a.a 2WO aw S•co Mwaaky POWUry trees romov" tw t-0
Rs$ Na Z:5r"'j Z.D . 2096 Ailowenl* Mnwval (
Sr.vie: 1 inch - 40 feet
11; iYI AAt9'1M . . . ,..... ... . ..,. ......?. ....? ._ _.__....?._........?.. . . ..
P.OZ
?* *- -1K
PIOl'VEER
? englineHrlng.
Civil Engln9ere ' Land Plannera - Lnnd 9urveyas ' Landaotpe ArrhItqCls
Februaxy 7, 1945
(Revised:FebruM 10. 1995 per Gregg Hove, C[ty Foreste0
Mr. Gregg Hove
City of Eagen
3830 Pilat i{nab Road
Eagan, MN 55122
M- L.ot 9, BEack 1, Roaney Addidan (Lusedgreaa Bn?Chers COnatwti°n)
Dear Mr. Hove:
Thfs.jetter is regardi,ag the status af signiHcant trees that are nresent an LQt 5, Hlack 1. ItocrmY
Addltfon..
During a sit+e visit an February 7, 1445, the followitlS eigmficant traea (es llst?d Qn the RwnQ'Y
Additian Flaal Gradm8 and Erasian Control Plan dated 6!$l44) ware loented. Those sige0icant
trees are fi,sted belaw along wtth thek selected status (ta be saved or remvved).
#708 - 10" Red Oak
#710 - 29" Red Oak
#793 - 15" White Oak •
#795 - 10" Rad Oak •
#796 - 12" WhiLe pc
?k
l?797 - LY~ ?
f?
wiL? OtitC
4798 -- 17" White Oak
#799 - aaN wbtte Oak
MoD - iaN white oak
#801 - 8" Wtube Oak
#802 - 1Q" WhttE Oalc
#803 - 22" White Oak
#883 - 24" Red dek
?L?
#884 - 2-22* Red Qa?i ?
#sss - 1a^ whice aek
(Removed - R.U.W. construction)
(Remcryed - R.Ci.QiT. cmistructian)
(Save)
(Save)
(5ave)
(Remave - house pad)
(Remove - housa pad)
(Removc - house pad)
(Removed - RU.W. constnrction)
(sawe)
(Save)
(Save)
(Save)
(Seve)
(Save)
A,Ji trees identified on the xooney Addition Finnl Grading and ErasEon ContKOl Pisn dated 6/8I94
arexe abserved to be present and in good health except £or tree Vs 708.710,& 800 wWch viere
appsrendY tecnoved durun8 R.O.W. construction. Those treea In the liat above that are rnarkad arith
en asterisk (*) were iitcorrectiy identified on the Rooney Addltfon Finat Gradhig and Erostcm
Contiol Ptan's 5ipMcant Tree list dnt6d 6/8/94; the correct identiBCation for tb,ose tree6 is 1lstad
2422 Enterprise DrIvo • Mendate Meights, Minnesota 55120 •{84Z 6$1-1914 • Rax 881-9488
625 HighwaY 10 N.E. • 8laine. Minnesat8 55434 o (612)7$3-10b • Fax 783-1883
P.03
abovo. Tha ground tnyer wittun ttte boundery shows some signs of distwcbanca aS tirc tracks
tb,.cough the center of the lot are pre9ent- xt appears this dishirbanec is due GQ utitity eo»struction
near the narth pKOrieKY Une. No appannc damaga to any signfflcant treea was oausod by this dction.
The hbuse has been 3taked and rotigh grading has not yet taken place. Protecdve tree feslye Will
be iristalled outside the driptine of si$nificant trees ftt are to be preserved prior to any rough
gradtczg. AtsB, anp c2aampd llrtrbs of vees tizat are to be a$ved wili be removed prior to Apa
15,1993 ir? acder to prevent the oceurrence of oak wilt disease. Pcvzwng of tree #883's raota to
drivearep excavaticrn limits at the tir,ae of driveway construction (as oppased ta leavtn,g thg roote ta
die baek AatutaliY) maY incsease the trees chances o£ survival.
If you have any questions, please caq me at 612-681-1914.
SiUcet ,
CA ,,c..-
7herese Hegtaitd, R.Z.A
TAN/jrh
encl/
cc:? Brad Gaerinq or Pat Marohn. Lutdqren Bras. Ganstruction
Faul Thomas, Pioneer Engincering.P_A.
John Larsan, e3.oneer En.gir?eering,..P.A.
? . . .
,
?? ????(?
??OS EXTERIOR ENUELOPE AVERAGE U COMPUTATION
CONSTRUCTION
INC. ? / J
Site Address l? S?-??•?- Lot Block ?
R & U Factors
935 E. Wayrata Blvd.
Opaque Walls
Wayzata Wall Framing Areas
Minnesota55391 Ceiling Insluation Area
(612)473-1231 Cei 1 i ng Frami ng Area
Rim Joist
Masonry Wall
Windows
Doors
Skylights
1) lower Level (Basement)
Total Exposed Wall Area
Opaque Wa11 Area
Woo d Frame Area
Rim Joist
Exposed Block
Window Area
Slidin3 Glass Door
Door Area
R U
.043
.Q9
.423
.027
.04
.469
.35
.31
.55
_?oFro
X (U) .043
X (U) .09
X (U) .04
x (U) .132
40 X (U) .35 = 30. ?
X (U) .35
X (U) .31
T
t
l j??
o
a
f -
?UTIDGR(n .
BROS' 2) First Or Main Floor
CONSTRUCTION
(NC Total Exposed Wa11 Area
.
Opaque Wa11 Area
Wood Frame Area
Rim Joist
Window Area
935 E. Wayzata Blvd.
wayrata S1 i di ng GT ass Door
Minnesota 55391 Doo r Area
(612}473-1231
3) Second F1oor If Two Stary
Total Exposed tlall Area
Opaque Wa11 Area
Woad Frame Area
Windaw Area
Sliding Glass Door
Ooor Area
4) Tota1 Ceiling Area
Wood Frame Area
Opaque Ceiling Area
Skylight
?C
? X ( U ) .043 =
2?'X (U) .09 -
2 x (u) .04 = ?•.??
X ( li ) .35 =?
x
(u)
.35 r?
= ss'
X (U) .3I = //, ;7O
,-o ta, / rf 3
l/ ?? x ( u ) .043 _
X (U) Q9 = 11,7
X (!1) .35 - IV,
„ X ( U ) .35 =
X
Total
(U) .....-.-
.3I
??
?/.1,q.' X (U ) .027 = .3? V
/ ?& (U) _ .023 =
X ( U ) .55
=
To ta l _?A-17
??????f 11
BROS.
CONSTRUCTION
irvC. MINNESOTA U FACTORS Total Exposed Wal l Area
MINNESOTA U FACTORS Total Exposed Ceiling
Area 1&?i(0 X .026 ; (A) Total
935 E. Wayzat-a Blvd.
wayzata I tem 1?1/0' + I tem 2/ 24f? + I tem 3// Al, .r + I tem 4 4= 11,/ *7/ ?
Minnesota 55391
(612)473-1231
If Total Of Items 1-4 Is Less Than Item (A), BuiTdiny Complies With
SBC 6006 (C)s
CITY USE ONLY '
L 8L RECEIPT #:
SUBD. aATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY C!F EAGAN
3830 PILOT KNBB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail cammercial/industrial buildings.
? multi-family buildings when separate permits are nM reqraired
for each dwelling unit.
DATE: CQNTRACT PRICE:
WORK 'i YFE: NtW CiaNSi rcliCTiOiv 1N i ER,OR fMPROVEMFiVT
DESCRIPTION OF W4RK:
FEES: ?$25.U0 minimum fee gC 1% of can#ract price, verhichever is greater.
? Processed piping - $25A0
? S#ate surcharge of $.50 per $4,400 of Wmd fee due an all permits.
CQ1'JTRACT PRICE x 1 °lo
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OViNER PIAME: T'ELE?FiO?lE
TENANT IVAME: {IMPROVEMENTS DNLY}
INSTALLER:
ADDRESS: --
CITY: STAI`E: ZtP:
PHDNE #:
SIGNATURE:
SIGNATURE tJF PERMITTEE CITY lNSPECT4R
! 1 j ?
CITY USE ONLY
L ? BL ? RECEtPT
SUBD. DATE:
1995 MECHANIGAL PERMIT (RESIDENTIAL)
GlTY 4F EAGAN
3830 PILOT KNQiB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on fumace
Add-on air conditioning Fireplace conversion (to existing fireplace)
Qate: 4_0A_q0
FEES
? Minimum Fee: Add-an/Remode! (existing residence aniy) $ 20.00
? HVAC: 0-9 00 M BTU 24A0
Additional 50 M BTU 6:00
? Gas Ou#lets (minimum of 1 required @ $3.00 each)(5) IFJ-CaD
? State Surchacge .50
TOTAL
S1TE l3DDRESS: 41 ??ff,&
OWNER NAME:
1NSTALLER NAME:
STREET ADDRESS: k
CITY:
PHONE #: _0'
PHQNE #: `,1 _....r?l
.
STATE: ZIP: ? q
. ?
L BL CITY USE ONLY RECEIPT #:390-'L
suBO. ?? DATE: -d1 7 F5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwetlings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 2 = ° ?
Water Ctoset 3.00 x
Bath Tub 3.00 x „2._ _ , o 0
,
Lavatory 3.00
00
3 x =? _ o 0
Kitchen Sink . x
Laundry Tray 3.00 x
Hot TublSpa 3.00 x =
Water Heater 3.00 x Z - , o0
Floor Drain 3.00 x •0 °
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings 1.50 x t
Water Softener 5.00 x
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 -
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ?2-' Dio
SITE ADDRESS:
OWNER NAM
FNSTALLER N
STREET
?
?
CITY: 5?4, a STATE: ZIP:
PHONE #: ,?<--
e
ITTEF-
L BL
SIIBD.
OFFICE USE ONLY
RECEIPT #: --•
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commerciaUindustrial buildings.
? multi-family buildings when separate permits are nM required for each dweliing
unit
DATE:
CONTRACT PRICE:
WOKK `i r rt: Ntvlf GOiva rRiiCi iON- AGG Oni RtFAiR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOAAETERS TO BE INSTALLED? YES NO.
FAtLURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Ren3ld fee due on all permits.
CONTRACT PRICE x 1 %
STATE SURCHARGE
TOTAL . SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
STE. #
CIN: ' STATE: ZIP:
PHONE #: SIGNATURE:
_ APPUCANT
OFFICE USE ONLY
I METER SIZE: " DATE: INSPECTOR:
^ J? 1
CLAIM VOUCHER - REFUND REOVEST
CITY OF EAGAN
MAKE CHECK PAYABIE TO : CITIES ELECTRIC INC
ADDFiESS : 3100 225TH ST. W.
FARMINGTON, MN 55024
__________??_________________________________?=__________•___?________-
LOCATION 4181 AMBERLEAF TRAIL
Lq. Bl, ROONEY
RECEIPT # / DATE 4/ 1 q/ q 5 0-126-281
REASON FaR REFUND PER CONTRACTOR' S REQUEST-THEY ARE WIRING THE SERVICE ONLY
• TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ So . o0
PLUMBING PERMIT . 3212-9.001 $
MECHANICAL PERMIT 3213-9001 $
SURCHARGE 2155-9001 $
WATEA CONNECT(ON PERMIT 3713-9220 $
SEWER CONNECTION PEAMIT 3743-9220 $
ACCOUNT DEPOSIT 2252-9220 $
UTILITYACCT OVER-PAYMENT 2250-9220 $
' CURB BOX DEPOSIT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 a
WATER USAGE CHARGE 3711-9220 $
OTHER: $
S
3
TOTAL $ 50.00
I declare under the penalties vf law that this account, claim or demand is just and
that no part of it has been paid.
(P ,., 9b-7?
? 06/20/q5
Dato
Si9n turo
? a
April 24. 1995
City of Eagan
Box 21199
3830 Pilot Knob Road
Eagan. Minnesota 55123
Attention: Bill Atkins
On April 10, we took out a permit for 4181 Amberleaf Trail
for $70.50. We will not be wiring the house but wired the
service only. We will need a refund of $50.00 for this
permit #0-126-281. since the wiring of a 200 amp service cost
is $20.50.
Thanks!
? O BL / CITY USE ONLY RECEIPT #: D?q j-,7
7 I
SUBD. RECEIPT DATE: !V 7,% ? F
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQ108 RD
EAGAN, M 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x 1 =
Water Closet 3.00 x l =
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under constrodion 5.00 X =
Water Svftener ' for existing dwelling 20.00 x =
U.G. Sprinkler ` for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations " to existing residence 0. 4 =
Water Tum Around . 0 =
Private Disposat System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems " abandonment 20.00 =
STATE SURCHARGE .50
TOTAL (DL 4 ' S (1
. ---------------------------------------------------------------------------------------------------------------------------------------------
1 hereby adcnawledge that I have read this application, state that the information is correct, and agree to comply with all applicable Gity of Eagan orcfinsnces.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
noRnal operational and maintenance activities to the facilities constructed under this pennit within City property/right-of-wayleasement.
SITE ADDRESS: 91$ ) A nS -e- r I e . 9 Tr ` d
OWNER NAME:
INSTALLER NAME: `? ? ?? WC- `01 TELEPHONE #:
STREET ADDRESS: ??r, fu 1 1?? r
CITY: T. C? . P- It, N $Su 1I STATE: ZIP:
1'h'r`- 4j,-t-7-
SIGNATURE OF PERMITTEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
INS'CTION ?ECORD
ft () 11, t) xM?
C!'f'1( 4F EAGAN PEFMT TYPE: 0 3 14 7 3 ?
. r r3830 Pilot Knob Road P'srmft Numbor?
Eagan, Minnesota 55122-1897 De? Iss?d: 01,1124 / s? r?
(612) 681=4675 . .
SITE A[?DRESS: 9 BLa CXs i APPLICANT:
AMF3E`.R,1 #'Af iO 411r'T7. Cti#45'f 't"htOidA';
s Rt11imf' Y ( tti ?. :r ? $ !"s 2- 92Ey f! '
PE? I?N7'. ?t1?3TYP?: . T1??P'E CyF W?JRK:
?r i. ? f r ?s 14 ai ???ntxr??
F RA1I.1 Nci iWSi9 I A T It)W
ft0 tifal4 'EN P l.t`at+! f .1'N#'4k.
t?P'MARk a: ,=iF.PARA TF PEFtM1] T ftEOtllPIFEfl Fi31Z A!OY Pi,4lMlEPT.MA .WORi( . t'Ai.t 446--284* I;F'GAN#1ING
t t.EC'1"#t:lCAl P!"R141"1` ANta T1N?'?PFCTIONS. PLAN #i'PVIfW?D OY Mf.[KE: F3ARCK
Pertnit No. Permit Holder Date Telephone #
ELECTRIC
PLUM8ING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING 7?2/?-
l ?
ROOFING
ROUGN
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIMG
GAS SVC
TF_ST
irvsuL 71??
cvQBOaRo
i=lfiEPi_,4CE
FIREPLACE
AI R TEST
FINAL PLBG
?F;NAL HTG
t?RSAi
I TtST
I
I BLDG FihAL
f
? BSMT R.I.
-
_ _ _ -
3A4,3 U+pb /t ?A«<s s
---
Ml r tNl L
rp's
--
(I OFG'?_ '-fG
i-----
?
? Jr{;.:r-iNAL
?--- -- --
,
?-- --
-
I
--?
i
---- __..-- ------------?
i
---- -- ------
?
i
---?-------°- -----
?
--
?k?+c?E:?-?i ?r'?k.;?;:{:.#;?;k:??:?k?4;.?;:{;fe,-#1'!.Y;b'?'?k.?,t?{t??•?Rc?7k?:.{;?¢..#:v<?pC?ky(,.
C:C1"Y O!= EAt:;AN
('(-)t:}?4 .[ I:-f.;" c° T:E:NA L N 0761.
C:,ATE„ 02/20!98 TTMEe 14 a0%30i
W.
N"MF c '?"f IOi"fiS l... t:'OE:;TZ
',r'W 900a 4•l.8:':. AMT;ERl...EAf-" 5(:).00
2155 900i 4181 ;",Mr:;c-Rl..i:::AF• 0.
. ,:. . .. _
f;J'I:,rt?. it;1::?(?+f_?.!.?..??. F11YFi.1'.1?'??I;,", 5(.)a?.??0
r?i.??i?{::??..?,;i ? ?
LM{-'I:;' Uo NAN(.Y
? CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031473
ez/2e/se
SITE ADDRESS:
4181 AMBERLEAF "fR
LOT: 9 BLOCK: 1
ROONEY
P.I.N.: 10-64560-090-01
DESCRIPTION:
BASEMENT FINI5H
ALTERATIQN
434 aLT. RESIDENTIAL
N.?? d??? F?-
? .>
.., a
...
REMARKS:
SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING
FLECrrzTrai PFRMTT aNO INSPECTIONS. PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY: Base Fee
Surcharge
Total Fee
CONTRACTOR:
G0E7Z CONST TMOMAS
9830 11TH AVE
BLOOMrN6TON MN
(612) 852-9258
$50.00
$.5@
$50.50
- App].icant - 5T. LIC
18519258 0003478
S
55420
OWNER:
JOHNSQN CRAIG
4161 AMBERLEAF 1"Ft
EAGAN MN 55123
(612)452-9830
I hereby acknowlsdge that I have' read thi# appl.ica:t1o.n and stA ?v 'thaC tI
.i;nformation is carrsct anci ,agree tco 'c'i;? t? 1?.??#??
,
5.tatutes and City of .Eagan 0rdi nand*.rs.
? . _...
APPLICANT/PERMITEE SIGNATUR ISSU BY: SIGNATURE
.
31 Li''? 3 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAG" .
3830 PII.OT KNOB RD - 55122 ?
681-4678 0
Nsw Construction Reauirements RemodeUReoair Reauimmarrts
? 3 ropistered site surveys ? 2 copks of ptan v
? 2 copies of piana (inGude beam 8 window s¢es; poured fnd. dssiyn; Mc.) ? 2 site surveys (exterfor additions d decks)
? 1 energy calculations ? 1 enerpy cakulations for heated addlUons
? 3 copies of trse preservation plan if lot piatted alter 7l1193
roquired: _ Yes _ No
DATE: I9. I r P? CONSTRUCTION COST; lAdd0
DESCRIPTION OF WORK: 0V?9zr,ra:,7-
STREET ADDRESS: ?-
LOT: ! BLOCK: SUBD./P.I.D. ee4
T
Name: JG".c.sr.? r'rC'A1 ro Phone #: sZ- ?g3C?
PROPERTY Last Firsc
OWNER
Street Address: 11/R-1 /421,5;2 L 91f-7 772tz 1-
City Ziff AI&e State: I'?1?tJ Zip: 5-S7 2.3
?oef2
Company: ?.Vr4 "
n.Z Crtj 77k&e_nt,,j Phone #: _ 8S1 --F2 SV
CONTRACTOR
Street Address: 9v-% i/ *?:? f So. License #.3'CZR`
City Af,a,"cft,, _ State: AW Zip: ,S'SN20
ARCHITECT/ L
ENGINEER Company: L.cw?[Q? ?2a,S• ?.?,c.cra.?l C•?G Phone#: "L ?- 12.3/
Name: Registration #:
Saeet Address: r 3?- 61.rKrz9rv4 /3,-?O
Ciry State:
k-A-'
Zip: ,SS3 t- 1
Sewer & water licensed piumber (new construction only): . Penalty applies when address d?ang
and lot change is requested once permit is issued.
1 hereby acknowledge that i have read this application and state that the information is cort+ect and agree bD comply with all applicabl
Stste of Minnesota Statutes and City of Eagan Ordinanc.es.
Signature of Applicant
OFFICE USE ONLY
CeKificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
?..
? • ? y ?.?
BUILDING PERMIT TYPE
O 01 Foundation O 06 Duplex
0 02 SF Dweliing O 07 4-piex
0 03 SF Addition 0 08 8-plex
O 04 SF Porch ? 09 12-piex
O 05 SF Misc. 0 10 = plex
WORK TYPE
El 31 New ?"3 Alterations
0 32 Addition O 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
O 11 Apt./Lodging Basement Finish
? 12 Multi Repair/Rem. D 17 Swim Pool
? 13 GaragelAcxessory ? 20 Public Facility
13 14 Fireplace O 21 Miscellaneous
0 15 Deck
O 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
_ sq. ft.
Footprint sq. R.
Planning Building /lAa,
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Depasit
S/W Pennit
S/W Surcharge
Treatmerrt PI.
Park Ded.
Trails Ded.
Other
' s S.oa
r s? I AC Units
OFFICE USE ONLY
MC/WS System ?
City Water ?-
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg /
Census Unit v
Engineering Variance
Valuation: $
•
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 944
DATE: 04/03/00 TIME: 13:31:42
TD:
NAME: BRiAN & PATTI SMITH
3210 9001 4181 AMBR LF TR 60.00
3430 9001 4181 AMBR LF TR (}.25
2155 900I 4181 AMBR LF TR 0.50
Total Receipt Amount: 60.75
CR1255a9
USER ID: JAN
L.LLJ.J..L.LSL.4.I..L 11.4 4, 4, ?4i 4. 4. -4 .1. 4. .1 * 40 10 . *. . . .
?c?r?t
2000 BUtLDING PERMIT APPLICATIaN (RESIDENTiALI
,.
" CITY OF EAGAN
?-( C( 3830 PILOT KNOB RQ -5512z
651-681-4875
tiew con:tre,cnort Reaureme?,t? R r` -.-?)
> 3mgIstsred sitf survsys stiowlnq aq. ft oi W. sq. ff. of hauae
a,d gfi roofesl areaa t20% rncaft= U cavenaa diowe?
> 2 coples of pwns (show baam a vrlndow sixes; paured fid. deslgn; eic.)
> 1 set Of ertet9y cdctA+dilone
D 3 caples of iree preservailon pbn It ipt plalt4d aftr 711/93
DATE: Z-??YZCJ O
2 coqiea oi picm
1 sat of energy cdc,"ans ror haated adcHnns
i aife survey for oxterlor addlBona & clecks
CONSTRUCTION C4ST: ? O()Q 0
DESCRIP'ft4N QF WC3RK: 12-a-d f0-9- c?
STREET ADDRESS: `Y/ II X/W `? h Q " r ' /lpc* F ,/
LOT: ? BLOCK: I SU6D./PJ.D. #(:
Nome: Ry"/,(Ur) imvne #:1? Sl g?i `/ ? S5
PRoPEaTv ?t FIW
OWMER
Sheet Address: t2,7 ,6-a. ?'l t4
• City ?SZ4!r,cn State: /7`?!!'l Zb:
,
. Campany. ?'' t/7 1?- C
-U h.5 ? PhOn6 #: ?_ '? Ef yJr'YR
(area cade)
CONTRACTOR
Streef Address:s-? Po License #Qb_??-?? ExPs???2 ?
Clty a'iS:c nStcre: a2 s? Zfp:
ARCHITECT/
ENGlNEER Gompany: Name:
Telephono #: (
Shset Addresa: RagisiraNon
City State: ZiP:
Seweslwater licensed plumber (H instsilirg sewtr/waterl: Phone#= L--J
I hereby acknowledge that i have reod this appliccaHan. state that the intomwlion ia c:orfecf, and agse fa camply wilh aR opplcWe StatE
of Minne$ota Statufiea and CMy ol Eogan OrdtncnceiL l
?
Siqnafura ot Appltcant: ?
OFFICE USE QI?iLY
? ?
Certificates o# Survey Rewived Yes No
Tree Preservation Plan Receivad Yes No Not Required `?
OFFICE USE 4NLY
BUILDING RERMIT SUBTYPES
? 01 Foundation [3 07 05-plex ? 13 16-plex ? 21 Parch (3-sea.) 0 31 Ex#. Att- Mutd
C] 02 5F Dwellng o 08 06-p1e3t ? 17 Gardge ? 22 RorchlAddn. (4-sea.) 0 33 ExE. Alt - SF
? 03 01 of _ plex 0 49 a7-ptex .1? 16 Deck [] 23 Porch (screened) ? 36 Muki
? 04 42-plex 0 iQ 08-plex ? 19 Lower Levei 0 24 Storm Damage
p 05 03-plex E3 11 10-plex pibg _Y or _ N C) 25 Miscelaneous
p 06 04-plex ? 12 12-plex ? 20 Pv01 E3 30 Accessoty Sidg.
waRK TrPE
b?' 31 New ? 36 Move Bldg. CI 43 Re'oof
? 32 Addition 0 37 Demolish (Bldg)" ? 44 Siding
0 33 Alteration ? 38 Demo3ish (interior) p 45 Fire Repair
p 34 Repair 0 42 Demolish (Faundation) C! 46 Windows/Daors
" Give PCA handout to applicant for demalitifln permit
GENERAL INFORMATION
SAC Code 6 1 # of Stories sq- ft•
No. of Units Length sGl- ft-
No. af Buiidings R Width • Footprint sq. ft,
Gonst. (Aetuat) Basement sq. ft. Census Cade 14.q _?.
(Aiiowable) Main levei s+q. ft. MCfES System
UBC Occupancy sq. ft. City Water
Zoning " sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 S#uccoIS#one .
APPRUVALS
i&
Planning g a Enginee
uiiding ring Variance
Permit Fee 1 6 0-S ?
Surcharge
Plan Review
Lic.ense
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Qeposit
SNV Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ro#al: ? 6 a7 s
Valuatian: $ f , 20n _
SAC Units
% SAC
I ** *
*P10,4mm
* O ? ?
* * * *
1a3.1s
4181 AMBERLEAF TRAIL
S8o623•i8,v?
?
?
e14 7
(_e94•7)
?p
`: T
I
B ". 9
T"
A
BENCHMA?K
TOP OF' IR4N
+?.EV=9ox-7y -
CQrtificate of Survey for:
ov.
Ig ^0444 44
4K"G*t
?7--12
sa6•f
txO ILRvE`rok9 • pv0. E1NaNM
wo Purwen. kmoao+rc #Xut=
9
y- r c?U-9 .1,
2422 Enterytise Drive
Mendota Helghte. MN 56120
(612) 681--1814 FAX:681--9406
625 Hlqhwvy 10 N,E.
etcine. MN 55434
(812) 783-11NQ FAX:783-1N3
(9a? ao) I l l
9o4-z--
?,
?
,e
I??R PL?A7?y?Ii?s
?
?
P. 02
,c ?6,z. 3
e
? ?ya4
1
i404
? ?
r
?
W dpa
?
-- VgNCliMARK
^ ELEV?F 4a ? 7 i
?
??dG•'S,?
?ia ?• ?
?Z4,
???w •
\
mHassE °
1 `
? ia ? ? ? ?.66 ?? ; `
7 p g c_ 'l L'11 po
p•: c?;•)' / ?o!• 1 y5
? aPOS
-? ' . ?• ' 1>
o ' • '•'- '' ' -
?"'• - u, /? * `G2???„_?/"?1? i i %I
/`11V1 ?•? - ----'- '"r?_
Mr+?r' ? ? ? r-`
aaoPOSm cRaaES st+orM PEt aRAwxtc r?.A?t e
NoM eu+LaNa oIMaSoNa sHOwN ARE FaR rafnzoNTw uNw vMcA.
LOGATm OP 31RUC1URES OH.Y. S6F MCHtiEC7UAL PI.ANS FOR BYIWING
AND FOUNUAnG1N DIMEN910ft
NOTE CONTRI.C70H YUST VERIPY DRIYENAY OESION.
N07E NC SpECIFIC S91L8 INVE611GA11a1'1 HA5 6EE7d DOIdPlt= ON 1HI3
LOT BY IHE SUpEYaR. TM! SUITABWiY OF' 9O4S TO SUPPdtT 1NE
S'EdFlC HOUSE PROPOSrtC 15 NOT 7HE RESPO1iSOlIlY OF 1HE SURYEYOR.
x oao.oo Denotas Existing Elavotion
( ooo.oo y Denotes Proposed Elevation
Denotes Draina4e at Utility Eosement
A" A_.d---- C*I-.u TS'--LI-_
L.UNpGREN BROS. CQIVST.
'Mis oatMcr?TE aoES Hor vuRMr To sHOw EASua+rs
o,t+Fe smnN niose simba on tHe RECpOW PuY.
scaLE : , INCN - 30 FEET
BEARING9 SHOWPI AAE AS5U11fD
nananem HDUSE E1 FVAT10P1
Lowes# Floor Elcvat9on:
Ss, RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction ReauiremeMs
• 3 registered site sunreys showing sq, ft, of lot, sq, ft. of house; and d roofed areas
(20% maximwn lol coverage aAowed)
• 2 copies of plan shawing beam 8 window sizes; poured found design, etc.)
. 1 set oi Energy Calculations
• 3 copies of Tree Preservation Plan 'rf lot platted after 7I1193
. Rim Jast Detail Options selection sheei (61dgs with 3 or less units)
i
DATE g-, ? • ?,?_..--
51TE ADDRESS
TYPE OF
APPLICANT
STREET ADDR
C47 /,S-, as--
RemodeYRmir Reaulrenwnft
. 2 copies of plan
. 1 set of Eneigy CWculstim for heated additions
. 1 site survey ior exterior addiUons & decls
. Indicate if home served by septic systern for aslditions
VALUATIOlVI&_L'
?IJ,511 1121
MULTI-FAMILY dLDG Y ?N
FIREPl.ACE(1 _ 2
TELEPHONE # f-,%-? "?a"ELL PHONE # FAX #
PROPERTYOWNERPazr; m Lf h TELEPHONE#/?,.,5
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 MINNFSOTA RULES 7672
(4 submission type) • Residential VentilaUon Category 1 Worksheet Submitted • Mew Energy Cvde Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
- Air Conditioning
- Heat Recovery System
Fee: $90.(}0
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces
Signature of Applkant
---------_..._.___?.._?.......r?__.......?._......_---___--_.._._.......?............_._ -----
OFFICE USE ONLY
Y Water Softener
_ Water Heater
? No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
?
0 01 Foundation
O 02 SF Dwelling
0 03 01 of _ plex
0 04 02-piex
0 05 03-plex
O 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex O 16 Fireplace
O 09 07-plex ? 17 Garage
0 10 08-plex 0 18 Deck
0 11 10-plex ? 19 Lower Level
0 12 12-plex Plbg Y or _ N
13 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
O 23 Porch (screened)
? 24 5torm Damage
? ' 25 Miscellaneous
0 30 Accessory Bidg
? 31 Ext. Alt - Multi
0 33 Ext. Aft - SF
0 36 Muiti
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement *Demolltian (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MGlES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTI4NS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) plunibing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Fratning Siding Stucco Stone
_ Fireplace _ R.I. _ Air _
Test _ Final Wind.ows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
---------- ------ -------- ----------- ------------------------- ----------- ----- ----
Base Fee
Surcharge
Plan Review
MC/ES SAC "
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
k4(vj MECHANICAL (RESIDENTIAL)
Permit Application 423P -
Cit y Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
? 79" /
_? / 1
Date
A
L419 Unit #
Site Address
# (
l
h
T
Property Owner one
e
ep
_
Contractor
12481 Rhode Island Ave. So.
Street Address M N 55378-1122
Zi City
hone #
Tele
State p p
The Applicant is Owner Contractor
Add-on, modifcation or alteration to eristing dwelling unit $ 30.00
\v
_ fumace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
$
v
Total ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the inforno,ation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understa.nd 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 wluch requires a review and approval of1plans) r! 1 ?_ ?_
I? ? \AWb 1w)
Applicant's Printed Name (Plficant's Si ture
MECHANICAL (COMMERCIAL)
Permit Applicafion
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits aze not required for each dwelling unit
Date / /
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
_ Newconstruction UndergroundTank _Install _Remave
_ Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Mlnimum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Permit Fee
• [f permit fee is $1,000 or less, add $.50 ? $ State Surcharge
[f permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and,iodes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
\ C?? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?
City Uf Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please aomplete for: single faznily dwellings 8c townhomeslcondos when percnits are required for each unit
Date I o J/7 / 05-
Site Address Unit #
o
PropertyOwner r °i y
2 ` 13
Tele hone # ?-fS 0 1
P ??? )
?9tltt??t2r---__-_ _i?-?-?-?- - - --??---- __..,._..._.._..^__Y__....._ -.-.....?.?...--R- -__ _. _.. . --_
Street Address li?S 3 IF-
State /A .1J Zip SS3 3 7 Telephone #(c1S":2a 7 Y(e ? 5''to 0
Bond #: -S-26 5- S 1- 7 Eapires: _ A'1° s'
The Applicant is Owner ? Contractor Other
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional R placement New
air exchanger
air conditioner
)c heat pump
other
State Surcharge $ '50
s 3 0, 5'0
Total
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and vodes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work wlrich requires a review and approval of plans.
Applicant's rinted Name Applica Signature ?1
?
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate pennits are not required for each dwelling unit
Date / /
Site Street Address ilnit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
.s„
?-
,__ __to_r. .. .-..------?---
Contrac
?'--""^-^---------
--__.ti_ .- - - - -------- - --?.-_- _ _. ?_ _ _
Street Address City
State Zip Telephone # ( )
Bond #• Egpires;
The Applicant is Owner Contractor Other
Work Type
_ New Construction Underground Tank _ Install _Remove **see be/ow
_ Interior Improvement _ install Piping _ Processed _Gas
Nature of Work:
I"*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector
Permit Fees: $70.50 Undergound tank installationlremoval
$50.50 Mini»eum (includes State Surchnrge)
or
Contract Value $ x 1% _ $ Permit Fee
$ 5tate Surcbarge
If eP im.t fee is less than $1,000, add S.SU
If peMit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed
$ Total Fee
I hereby apply for a Commercial Mechanical Pernvt and aclrnowledge that the inforniation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, 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
Approved By:
Applicant's Signature
Inspector Date:
Required Inspecdons: - U.G. - RI. - Air Test _ Gas Service Test _ Infloor Heat _ Final
-i ' 2- QSq
2006 RESIDENTIAL BUILDING rERMiT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Deqil Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
0 -?O. 00
RemodellRepair Reauirements Office Use Oniv
2 copies of plan showing footings, beams, joists ? Cert of 5urvey Recd _ Y_ N
1 set of Energy Calculations for heated additions ? C) Tree Pres Plan Real _ Y_ N,
1 site survey for additions & decks Tree Pres Required _ Y_ N
Addition - indicate if on-site septic system On-site Septic System _ Y_ N
?
Date Construction Cost
Site Address 4-? Z/) ?Ae6k Li?-AF UnitlSte #
I'N
Z:;?
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) 0 _ 1 _ 2
Property Owner V_ -r!'?'?+ Telephone #
Contractor I??? WV??? L'w
Address A ?
City 1'?'
State N pu Zip ?J Telephone #&7- f7/-3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
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
Sta.tutes; I understand this is not a permit, but only an application for a permit, and work is not to start 'thout a
permit; that the work will be in accordance with the approved plan in the case of work w??e?g' w and
appro of plans. - ? L?'
? pN 1 ??2406
App cant's rinte Name Applicant's Signature
"y
DD NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
0 02 SF Dwelling
? 03 01 of _ plex
? 04 02-piex
? 05 03-plex
0 06 04-plex
Work Tvues
? 31 New
0 32 Addition
? 33 Alteration
? 34 Replacement
DeSCPIptiOn: Water Damage
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
-0 35 Int Improvement O 38 Demolish Interior ? 44 Siding
O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
0 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation U06, O-
Plan Review 100% or
Census Code r`
5AC Units
# of Units
# of Bldgs
Type of Const \( lr3
25%
Occupancy ? MCES System
Zoning TZ City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace R.I. Air Test Final,
? Insulation ? ? .
Approved By:
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
ilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant .
License Search
Copies
:.
Other
Total
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-piex ? 17 Garage 0 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 11 10-plex "47n 19 Lower Level ? 24 Storrn Damage
? 12 12-plex ? 25 Miscellaneous
0,17 ree
---7- 2-0 v 9
2006 RESIDENTIAL MECHANICAL rExMiT ArrLICATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for: single family dwellings & townhomeslcondos when permits are required for each unit
,?L 30.5 0
Date ?_ / ?? I (G
site Adaress4-181 ?mb7u_ J,fA "? Unit #
v
Property Owner Telephone # ( )
Contractor t? d '(11 {?-? ? •T
2 L; ;
Z Y?Jj q
,, Cit
Street Address ?,4 y
State Zip c??Z . Telephone # (q5Z
Bond #• Expires:
The Applicant is Owner Contractor Other
1
Add-on or atteration to existing dwelling unit $ 30.00
furnace _Additionai _Replacement New
air exchanger
air conditioner
_ heat pump
other,, 1!A S?7 ?C)0 gi- t? iz Nl, d ?Ji i
$ .50
State Surcharge
$ -3 O .'I? 0
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinanGes and codes of the City of Eagan and with t hanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start withou per that the rk will be in accordance with the
appra?d plan in t11e case of work which requires a review and approval of ans. ,
; i n i r?
App icl ant's Printed-5ame Applicant's Sig
2006 COMMERCIAL MECHANICAL rERMiT APPLrcATroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove **see be/ow
interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When insfalling/removing underground tank, call for inspection by Fire Marsha/ and Plumbing Inspector
PeCmit Fees: $70.50 Underground tank installation/removai
$SOSO Minimum (includes State Surcharge)
OC
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
Ifpermit fee is less than $1,000, add $.50
If vermit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Approved By:
Required Inspections:
ApplicanYs Signature
, Inspector Date:
U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4184 Amberleaf Tr
Lot: 14 Block: 1 Addition: Rooney
PID:10- 64560- 140 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Quesetions regarding electrical permit
952- 445 -2840
Scott Lofgren
5708 Upper 147th St W #102
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:
Lundgren Bros Const Inc
935 Wayzata Blvd E
Wayzata MN 55391
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA087954
01/12/2009
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120116
Date Issued:01/17/2014
Permit Category:ePermit
Site Address: 4181 Amberleaf Tr
Lot:9 Block: 1 Addition: Rooney
PID:10-64560-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Nathan Reynolds
4181 Amberleaf Tr
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127725
Date Issued:10/14/2014
Permit Category:ePermit
Site Address: 4181 Amberleaf Tr
Lot:9 Block: 1 Addition: Rooney
PID:10-64560-01-090
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Nathan Reynolds
4181 Amberleaf Tr
Eagan MN 55123
(651) 285-2008
Pineview Builders Inc
2201 Lexington Avenue N, Suite 100
Roseville MN 55113
(651) 489-3696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174662
Date Issued:02/09/2022
Permit Category:ePermit
Site Address: 4181 Amberleaf Tr
Lot:9 Block: 1 Addition: Rooney
PID:10-64560-01-090
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Giridhar V & Padma Nadella
4181 Amberleaf Trl
Eagan MN 55123
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature