4185 Amberleaf Tr
e lv
Re u st ate
1-5 1 Fire N . ough-In spection R
(You fhu t insYlect
es red
hen ready)
No Ins ection Other Than R ugh-In
Ready Now ill Notity Inspector
Dete Read
I sed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Ro No.)
S
" I 7MA
I City
Eas&n_ - - - -
Section o. Township Name or No. ? Pangsf No. C ?
(PRINT) Phone No.
P Su
UaAtsl, pptler
?
Address
?
s
ti
EleMTLJ? r actor ampany Na
?
e e No.
Contractor's Lfcen!
Mailin ess C tor or Owner Making Installati
AazSignature (Contractor X?y Ilalion)
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1821 h, 'Y e(61T2 642 OBOOS oP m 5MN855 04'C17Y? ?I II I? ?I ?(IIII II III II III IIIII ??I?I II ?I? (I? EUNLESS NC OSED OPER NSPEC? ONF EE ST
h ??
P
REGIU
q
EST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. LTI, 4?'/9S "X" Below Work Covered by This Request
Ne Add Re . Type of Building 'Kppliance-s Wired Equipment Wired
Home Range Temporary Service
Du lex ater Heater Electric Heating
Apt. Building ryer Load Management
Comm./Industrial l urnace Other Specify)
Farm Conditioner
Air
Other (specify) ConireMor's Remarks:
Compute Inspection Fee Below: L_?_u yA ,
# Other Fee # Servi ntrance Size Fee # Circuits/Feeders Fee
Swimming Pool ( 0 to 0 mps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Am s
Si nS Inspecror's Use Onry TOTAL
Irrigation Booms 6 ' 7 _ SD
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH$
I, the Electrical Inspector, hereby Rough•in
L
r ??J
certify that the above inspection has
been made. F'"al Date
OFFICE USE ONLY
This request void 18 months from
CqEW
7777 1 .1- 71+
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Address 4185 AMBERL•FAF TRAII., Zip 5512 3
Lcrt ' ' i Blk 1 Sub RoomY
THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THF?.. fINAL INSPEGTION.
Date: / 7 S Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?-
Permanent steps (main entry) 1 ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish VI"
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 engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
,
? • CtTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.s 10-64560-076-01
DESCRIPTION:
Base Fee
Plan Review
Surcharge
5AC
SAG ?
5AC Units
Subtotal.
BuiJ.ding..;Permit Type SF DWG
BuildingW?d;rk Type NEW
'C1BC Qccupano}t;; R-3 U-1
Gans'truction Tyj?=V VN
Zor?ing R-1
8ui::]:ding Ler?gth 86
Bui7.dirig Wisith 42
Sq wA r e, Fe q'?. . ?- 2, 6 5 6
Mo4 0 5 ?. a-
suzLnrNG
026141
08/03/S5
REMARKS:
FEE SUMMARY:
VALUA7ION
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4185 AMBERLEAF TR
LQT: 7 BLOCK: 1
ROONEY
$1,497.25
$524.04
$111.00
$650.00
100
1
$2,982.29
$222, 0(80
MISC FEE5 $1z892.50
Total Fee $4,874.79
CONTRACTOR: - Applicant - ST. LIC.
LUNDGREN BR05 CONST 14731231 0081413
935 E WAYZATA BLVD
WAYZATA MN 56351
(612) 473-1231
L
1
?? n - Jim
Nam
ISSUED B SI ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U T l. D I N G
3830 Pilot Knob Road Permit Number: 026141
Eagan, Minnesota 55122-1897 Date Issued: 08f03/ 95
(612) 681-4675
SITE ADDRESS: P.I. N.: 1 e-6456s-a 70-01 APPLICANT:
LOT: 7 BLOCK: 1
4185 AMBERLEAF TR LUNDGREN BROS CON5T
ROONEY (612) 473-1231
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOp7ING5 D. .
FQUNDATTON ..
FRAMING ROOFING
NSULATION FZREPLAGE
OUGH IN PLBG ROUGN IN HTG
FTNAL PLBG FZNAI.
F-
L>
OWNER:
LUNDGREN BROS
935 E
WAYZATA
(612)473-1231
WAYZATA BLVD
Mhl 55391
cati an and stal»e tat
T hereby ackncawlsdge that,I have read tkt3:s apip..li
information is cvrrect and, agree' ta carnpl,y with aI1 applicab?.0 t?ite a?? ?ld.'
5tatutes and City bf Eagan t7rdipances.
A15 PLICANT/PE M EE SIGNATURE
-
e . cITr oF EaGaN
?
3830 PCL4T KN4B RD - 55122
? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675
? 3 registered site surveys
i 2 copies of p4ens (indude beam & window s¢es; poured fnd. design; atc.)
? 1 energy calCUlatiors
? 3 wpieS Cf tree preemstion plan if Iot platEed aiter 7/1/93
requ[rea: , Yes ____ No
DATE: Cc
DESCRIPTION OF W K:
STREET ADaRESS: Zyjd'E!d&Aj
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY
owNER
Name:
"L,
LAS;
coNrRAcroR
ARCHITECT!
ENGINEER
NST
Phone #:
S#reet Address, --- - -
City:
Campany:
Street Address:
City:
State:
Company: "
Phane #:
I Name: Registration #*
Street Address*
City; State: Zip:
Seuver 8 water lieensed plurnber: Penalty applies when address cfiange and lot
change are requested onoe permit i' ued.
I hereby acknowledge that I have read this applicatio and state that the in tion is carrect and agree ta camply with al1
applicable 5tate of Minnesata Statutes and City of Eagan Ordinances. ? ? ],I
Signature ef Applicant:
OFFICE USE ONLY L? ?C t ? vLCV
?
Certificates of Survey Received s No 19 1995
Tree Preservation Flan Reoe9ved Yes No - "' -?
? 2 copies of pler,
i 2 site swveys 4eftriar additions & dedcs)
* 1 enarpy calculations for heated additions
cosr:
Zip:
Phone
License 1443
? Zip' ?
aFF1GE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? Ofi Duplex ? 11 Apt./Lodging o 16 BaSement Finish
J?r, 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Additian o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facilityr
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 29 Miscellaneous
0 05 SF Misc. 0 10 --plex ? 15 Deck
WORK TYPE
c?- 31 New o 33 Alterations o 36 Move
? 32 Addition 0 34 Repair o 37 Demolition
GENERAL lNFQRMATlON
Const. (Actual) - ^?
(Alfowable)
UBC Occupancy . -3 -i
Zoning ?- /
# af $taries 2 w d?s?T.
Length
Depth ?
APPROVALS
Basement sq. ft.
Main level sq. ft.
2 % sq. ft.
sq. ft.
sq. ft.
sq. ft.
Faotprint sq. ft.
?
Z SG
e " K?
?-7
"
qo
Enaineerina
Planning Buiiding
Permit Fee Valuatian: $
Surcharge
Plan Review
License
MCIWS SAG
City SAC
Water Conn. ?go
1JVater Meter 29' x rY
Acct. Deposit 3 x 6 = 2 `?
S/W Permit 3 z? f =/r 7
SIUV Surcharge 5-z
2 JC 2!i '
Trea#ment PI..
Road Unit
Park Ded.
Trails Ded.
Other
Gopies
Total:
% SAC
SAC Units
!at
?
/
/
Variance
8s ^-7 -
/ ct -_ l1 $
< «°}
4X
3Z_ :
Z ? z° - y?
ry?
37,? ?-y 7"?
2-G rx
2. )(
rr z
? rS-k z z?
iv >
MC/WS System
City Water
Fire Sprinklsred
PRU
Booster Pump
Census Code.
sac eade
Census Bldg
Census Unft
, or • , .
; -? • . .
. j ..
?. LunDGR(n
BROS. EXTERIOR ENVELOPE AUERAGE U COMPUTATION 'CONSTRUCTION ?? p?
INC.
Site Address Lot-lB]ock_L
R& U Factors R U
Opaque Walls 043
935 E. Wayzala Blvd. .
Wayzaia Wall Frami ng Areas ,pg
Minnesota.5Z1 .^,,Cei 1 i ng Insl uati on Area M-?-+- .023
(612)473-1231 Cei 1 i ng Frami ng Area .027
, Rim Joist .04
Masonry Wall
, .469
Windows .35
Doors .31
Skylights .55
1) Lower Level (Basement)
Total Exposed Wall Area 4-57v
Opaque Wall Area X (U) .043
Woo d Frame Area X ( U) .09
= o? /?D
Rim Joist ' X (U) .04 = -
Exposed Block X (U) .I32
Wi ndow Area ?.5r X ( U ) .35
. Slidin3 Glass Door ?Q X (U) .35 = o? ?
Door Area X (U) .31
Total lvD, ??
? . .
•
"
.
.
.
..., • • . .
.
. LurIDGR(n
BRC)5.
2) First Or Main Floor
CONSTRUCTION
Total Exposed Wall Area
INC
.
Opaque Wa i 1 Area X (U ) .043 = Q?Q?
Wood Frame Area X (U) .09 = ???--
Rim Joist X (U) .04
Window Area 3o??X (U) .35 = 113• 7?1'
935 E Wayzata Blvd
.
Waynta Sliding Glass Door COO X (U} .35 = ? f
Minnesata 55391 ? Doo r Area X ( U) .31 =12, _53(O
(612)473-1231 To ta 1
3) Second Floor If Two Story
Total Exposed tda] 1 Area
Opaque Wall Area ? X (U) .043 = ???40
Woo d Frame Area 145, X ( U) .09
Wi ndow Area _LgSL X (U) .35 =
Sliding G1ass Door X (U) .35 =
Door Area
X
(U)
.31 -.--
=
To ta 1 ,3 7,/3
4) Total Ceiling Area- or?
Wood Frame Area X (U) .027 = ??/.3
Opaque Ceiling Area / 70 7 X (U) .023 = 3?, Zb
Skylight ----- X (U) .55 = ?--y
Total ?? 35
.? ? • • ? { ? )
' LU/ 'DGR(n
BROS.
CONSTRUCTION
irvc. MINNESOTA U FACTORS Total Exposed Wall Area L1031X .11 = 4114/-4?/,?
MINNESQTA U FACTORS Total Exposed Ceiling
Area X. 026 =? f. 3 2-
(A) Total 5-0
935 E. Wayzata Bivd.
wayzara _ I tem + I tem 2,qd?0, I tem' 313 313 + I tem 4??i 3 =llel4ll Z...
Minneseta.55394.--,,
(612)473-1231
If Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With
SBC 6006 (C)s
. ? . ? ,? ? 9 ?- ?
?.
FPIONL¦E??? ,. ` L.AN11 il'RvlftiFS • CMI. ENCINEERS
T aa+ : _. a_s •.n .n- -?'?
? en? f1et?8N'?n g . uWo PL.+i.•r:, AuuscAaE nRCwTEcTs
# ** ?
2422 Enterprise Drive
Mendoto Heights, MN 55120
(612) 681--1914 FAX: 681-9488
625 Highway 10 N.E.
Bioine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: -LUNDGREN E3ROS. CONST.
4185 AMB£RtEAF TRAIL
?
N89°55'41 "E 905.1 209.16
919.3 .,. 52.47 37.17 _
`? ? - ? 63.00
r--_.__------, S
5? DRAINAGE ANO UTILITY x 909.6 N OLg9 P
I EAS?!?fNT PER PLAT ?OG ? o r ?()L ?qy-d
-va
2.8397b,o
. g 3
j`? -BENCHMARK
TOP OF IRON ?
QD ?i?`' 1_ s? o
916.3 LEV=899.91 .
? ? x ?, w, o??v 0• 1.4
s I 7 /913.t x89 .5 ?
ao-???.?3' . ?10
M ? ? \ti?,? W
v oQ
p ? o?? ?
Z , o . y?2 -o• , , ?-'? ?
X b1? ?
/914.5 910.1 t(li PER GRADING p[wAY `? o M j
:
915.8) 905.8 ,`, • ___?.?,. ? \ - z EDGE OF WETLIvQ
?.? ? ••? '?,^7?? .? ,'3Q2tia_ ? 899.7 PER PLAT
` ; I5•- ? 4s.o8 - ? ,? °?o
S84015'481 E 124.60~ ? ? •?,
?
BENCHMARK 206.36 02. a ?;5 4
70P OF IRON SERVICE
ELEV=906.29" INV.=896.71
?
4 y.?
U
6
Rf V1 WEQ
3Y, _
,?ATe ?'7
NOTE; PROPOSED GRADES SI10WN PER GRADING,PIAN BY; PIONEER
NOTE BUILDING OIMENS-015 SHOWN ARE FOR HORI20NTJU. AND VERACAL IOCA710N
OF STRUCTURES nNLY. SEE ARCH1TECiUAL PIANS FOR BUIIaNG ANO
FOUNDATION DIMENSIONS.
NOTE: NO SPECiFlC SOILS iNVESTIGATION HAS BEEN COMPLETED aN TH15 tOT BY 1NE
SURVEYOR. THE SUITABIUTY OF 501LS TO SUPPORT THE SPECIFlC HOUBE
PROPOSED IS NOt 1`iE RESPON5191LITY OF THE SURvEYOR.
DatO?___._
EA.GAN
_ PROPOSED HOUS`_' ELEVATION
LOWEST Ft,00R ELEvAT10N: I GJ• Ca
TOP OF BLOCK ELEVA710N:
GARAGE SLAB EI.EVATION:
NOTE: THIS CERTIFICATE ClOES NOT PURPORT 70 SHOW EASEMENTS OTMER THAN x 000.00 DENOTES EkIS71NG E'.fVqT10N
THOSE SNOWN ON TME RECOROEO PIAT. ( 000.00 ) OENOTES PROPOSED E:.EYATION
NOTf: CONTRACTOR lAUSI VERIFY ORIVfWAY'pESIGN. --- - DENOTES DRAINAGf AN0 U11lITY EASEMEN7
--- DENOTES DRAtNnGF F;.Ow OIRECTIOnt
NOTE: BEARINGS SKOWN ARE 8ASE0 ON AN ASSUMED DATUM --r--?- OENOTES MONUMENT
-f.?- DENO7E5 OfFSET HUB
wE HEREBY CERYiF'Y TO I.UNOGREN BROS. coNST. YHAT THIS tS A TRUE AND CoRREC'f REPRESENTAnON OF a
SuRvEY OF THE eOuNoARIES OF:
L4T 7, BLOCK: 1, ROQNEY ADDITION
OAKOTA COUN7Y, MINNESOTA ;
IT DOES NOT PURPORT TO SNOW -IMPROVEMENTS OR ENCHROACHAAENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNOER MY aIRECT SUPER1/VSiON 7NIS 287H DAY OF JUNE, 1995. r--•\ A .
SCALE : 1 INCFI = 44 FEET,
94322.07 BJM
.el
PIONEER EN31NEERI G, P.A.
?--..?-?-
J6hn G. Larson, L.S. Keg. No, 1
i0'd
, U• LOT SURVEY CHECKLIST FOR RESIDENTIAL
• ? BUILDING PERMIT APPLICATION
o
-W+ N
PROPERTY LEGAL:
W V W
? Q
DATE OF SURVEY:
m LATEST REVISION:
t4 p ?
a x s
DOCUMENT STANDARDS
? ? • Registered Land Surveyor signature and company
? • Building Permit Appiicant
? ? • Legaldescription
?
?P
- • Address
:
C
3
?
0 0 0 North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
W-113 o • Directional drainage arrows with slopelgradient °r6
2---0 0 • Proposedlebsting sewer and water services & invert elevation
o UP` 0 • . Street name
? • Driveway
ELEVATI4NS
Existina
2-'0 ? • Sewer service
9--"-o ? • Property comers
a-,13 O
' • Top of curb at the driveway
? Wo""
O • Elevations of any existing adjacent homes
Pronosed
2--'13 ? 0 Garage floor
o
;)CSI - First floor
:
O • Lowest exposed elevadon (walkouUwindow)
O • Properiy corners
?o 13 • Front and rear of home at the foundation
V" o ? PONDING AREA rif aoplicablel
• Easement line
? ? ?
?o O • NWL
• HWL
? 9// ? ? Pand # designation
? el ? • Emergency Overfiow Elevation
DIMENSIONS
0' D ? • Lot IinesBearings 8 dimensions
o Ca''r0 ? Right-of-way and street width (to back of curb)
G--'? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent foodngs)
? • Show all easements of record and any City utilities within those easements
r
0 SY • Setbacks of proposed structure and sideyard setback of adjacent existing structures
o o • Retaining wall requirementsifany ?/
Reviewed:
Juty 1995
' a!
S=1+82
N V=896.9
CS=906.3 ?
?
?
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,
t
i
2' BEND
, CL 52
906.3
,
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< < i 5=a+81 +
iN Y=896.7
i ; CS=901.0 ?'.
?
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HYDRANT
; s~-so• BENND
? ?
? GND. EL. 900.0
? - ------ _ _
? ? +_ ?? ---- - ---- ---- --- ?-
S=0f73 - - - ---+_
- ? ? INV=896.5 ;
CS=900.0 ? AS LOCATED ?
?
C . ? s
--.- '
,? j i • . `-L_-
? ; MH AS LOCATEO ?
?-___--------------- -------------------,
i ••,• •. •••••
.?
l ` HYVL = 895.8
r NWL = 894.0
? / ''-fxisting / ?
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r
,
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---
,-?--? "-?---S=0+3fi
INV=898.35
CS=908.35
?
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NOT AN A? C
-
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LOT 7. BLOCK 1. I
REVIEWED FOR'"W£RLEAF TRA
PRESERVAt10N
COMPLIANCE N Y TREE
SIGNIFl
SIG. TI
S ALE : 1° = 40' SIG. 71
A?raximota Ipcvtion ?f
p posed retaining wa
-A ?? 83
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Protcctivea Tres Fenae
6
SIGNIFICANT TREES
8s? i?' WHRE QAK DBL STUAtP-REIApVEp PRIOR TO 7/12/85) e 1
atS ? wrirre w?c oa1, 7
1
a
? B -REMONED ppiOR TO 7/12/95) ?
15 t
y?iC CN£RRY ?V? 4 t
?9fi 2C' WHfI'£ OAK TRPL REMOVF? PRIOR TO 7/72/95 O
?ti? I? w?+rt[ orx
t4 ld YYNRE QM( OUAD ncuovoD nnron ro 7 rsQfs63
REM PR1pR Tp 7/12/95) •,
12 1
zs t Y w+?rrE wic S,avE 1
3
828 t d w?ertE oluc Snv¢ 14 1
827 1?' WNRE OAK gAVE 13
.28 17 WHITE QMC OBL VE
D29 WHtiE OAK 08L SAVE ij t
030 1? YVHiTE OAK DBl -REIAONCp pRWR 1'O 7/12/95 16
as? aor w?irrE awc oeL
' sruW-?o P?oa ro 7/12/95 19 1
?32 11
WHfTE OAK DBL
• STUUIP?-?pyED PRIOR TO 7/12/93 20 1
1
WHffE pAMC pgL
3 11 5{EM(p-REMpyEp pRIpR TO 7/12/93 2t
?IS wHrtE pu?1? pg?, 22 7
1C WHIrE Q?K
SA
6 1? RED OAK 1
24
037 t2" WHITE OAK OBL SA 25
638 7 4' MMRE OAK p6L
' -W/IN 15' OF 48
39 11
WHfTE OAK
40 !f' WHITE WK REiIOVE-WlIN T5' OF
W/
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g ?
00L
1 td WMI7E pNt OBL REGOVE-
IH 15
OF MOUBE
?IAOVE-Nf/?1 15' OF NOUSC 2
.
20 1.
842 t ' WHfIE pAK p61,.
?3 7?
T REMON6-W/ 1N MdUSE PAD
3 ?;
WHI
E OAK pBl
'
i?M -W/IN HOUSE P/Ip ?
BLACK CHpRRY
7 8 SAVE
T 1? OAK
3 7
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OAK
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is
F REIreOVC-1K 1?f MOUSE PAD
s>
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?
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w/
it
t?o I hereby eertify that thia plar? was propored by me or under my diroat
aupsrvlslon ond thet ! om a duly regTstered Londscope ArchitsCt under
the lows of the Stale of Minnesoto
SfGNEb: P?%WEER ENGItEEir. P.A.
Theresa
"(,(- DA7E: 7- /
\
? g
OAK R£YOVE-W/IN HOVSE PAD
OAK REMOVE-i?r ?WUSE PAD
CkAK
/IN HOUSE VAD
REYOVE?
OAk 7RPL w? NOU3E PAD
-
POP ? 7
w 1AW
OAK REn10VE-W/ IN HOUSE P/10)
I
MIC StUMP-REltovEO PmaR r0 7/12/9S)
OAK
E
OLACN CHBRRY
RR &D P? so 7/12/95)
rEM
OAK y?)
R
? H Qt1AD ElA6YE-ORIV?WA
REMOVE_ORNEWA
RED dVC OBL (SRVz
?
pp,K QU/?p 12/9S)
$Tl1MP-REMOVED RIOR 70 7
BtACK CHERRY 84
pAK VOL S?iU -REMOVED PR10R TO 7/tZjSS)
? REMWED VRIO?i TO 7/IR/98)
?!
?I?IR
WMTE
OAK DBL M
I
SA
S
.
OAK A
S
OAK SAVE
-7( tO tqS -- R'?iv? y OTAITUS
uJiC'?uC1blh) '1??•?
SI I17U OF O ER A
2422 EnterprisG Drive
Mendota Neights. MN 55120
• GIN1_ INdNEER3 (812) sei ^-19t 4 FAX: 881-9?ea
NpZC4PE RRCMfiG(:T9 ?
625 Highwoy 10 N.E.
8lplne, MN 55434
1(612) 783-1880 F/1X:783--1883
RTIFfCATlON
LUNDGREN QRpS. CONSTRUCTION
>NE:Y ADDIT1bN (AMBERI.EAF)
EAGAN, MINNESOTA (DAKOtA COtJN7Y)
cmr usE oNLY p?a
L ? BL / RECEIPT#: 9d r
SUBD. ? DATE:_ LA921
1995 PLUMBING PERMET (REStDENT1AL)
CITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and eondos when perm+ts ars required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 2r = ?_ crf?
Water Closet 3.00 x
Bath Tub 3.00 x 2-
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x cro -
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x Z- _ ?•uz? •
Floor Drain 3.04 x f = 3_ v u-
Gas Piping Outlet * minimum -1 3.00 x ?- _-&W-
Rough Openings 1.50 x 3-
Water Softener 5.00 x =
Pfivate Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under canst 3.00
=
Alterations * to exist,ng 20.00 -
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
S q. [rp .
SITE ADDRESS: 411,6S A`+? tc/?`l
?
OWNER NAME: /- Co,??
INSTALLER NAME:
STREET ADDRESS: C; ??-d.^' "'? ,
CITY: ? ? 40M-,- STATE: M,-V - ZIP: ?S 3 ?9
PHONE #: ( ), 4I,Y.5'- `! 6 9 Z ?
OFFICE USE ONLY
L BL RECEIPT #: "
SIIBD. aA7E:
1995 PLUMBING PERMIT (COMMERCiAL)
CITY OF EAGAN
3830 PILOT KN4B RD
EAGAN, MN 55122
(612) 681-4676
Piease complete for: ? a11 commercial/inclustriai buildings.
? multi-family buitdings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT RRICE:
WORK TYPE: NEW COMSTRUCTIQN ADD ON REPAIR
DESCRlPTiON OF WORK:
1S WATER METER REQUIRED? _ YES _ NO. IF S0, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHDMETERS TO 8E INSTALLED? ? YES NO.
FAILURE TO PROVIDE THIS INFORMATION'WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU 8E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YE5 _ 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
$1,004 of pgand fee due an all permits.
CONTRACT PRICE x '!%
STATE SURCNARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
4WNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
?METER SIZE: 11 DATE: INSPECTOR:
L BL / CITY USE ONLY
SUBD.
RECEIPT #: ?/0(
DATE:?? 5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB 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 Add-on air exchanger, i.e. Vanee system, etc.
Date: ?L C"/
4#
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00 (Z ?
? Gas Outlets (minimum of 1 required Qa $3.00 each) ?? 1160
? State Surcharge .50
TOTAL 40 . tO
SITE ADDRESS: ? ?? ? ?? ? ea? Tv-&' \
OWNER NAME: ke PHONE #: ? ?1
III,
tNSTALLER NAME:
d
STREET ADDRESS:
GTY: STATE: ZIP:
PHONE #:
SlGGRATURFE 01?7RMI=
CITY USE ONLY
L BL RECEIPT #:
SUBD. OATE:
1595 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
.
Piease compiste for: ? ali commerciaVindustrial buildings.
? multafamily buildings when separate permits are njQj required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee gr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Wjmd fee due on alf pennits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TQTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTAILER:
ADDRESS:
cn-Y:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
STATE: ZI P:--
CITY INSPECTOR
C;TT`r C1C EAGAi'a
rF'It:7HIER°n 13 i ErtiM.1.IC1••1{... t\O'n 999
DA'TE;t 03/ i. "a.".:"9 "T' ;:P'il:: c W't) : 48
?'D;,
NAMr_ : f.iLLIf:.ri r..1.RE'•::iIDE;? ?NQ
3r.:E.(7 3001 405 AMBl-RLEnF s:,0nC.'0
?g.'=j, 9001 085 AMT:tERl..E1I::' 0.50
'F1.1. ... ?. ' (:tf'??? "r.'x pt i? 11,; ^ I???... ?t:-. 60.50
Tl.!
r. Kn,g. 27'?
taSE::R 7 T) ;, Ni1NrY
A
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034745
Date Issued: 03/19/1999
Site Address:
4185 AmberleafTr
Lot: 7 Block: 1 Addition: ROONEY ADDITION
Description
Sub Type: Fireplace
Work Type: New
Description: Gas
Census Code: AdditionBsmt fin/Decks/Porch
UBC Occupancy:
Construction Type:
Zoning:
SqWe Feq:, 6
F? £?Jr;
Remarks: Reqi:ires Air Test.
Chimney/flue must be inspected before concealing.
Fee Summary:
State Surchazge - Fixed
Permit Fee - Fixed
0.50
60.00
$60.50
Contractor: - Applicant -
? FIRESIDE CORNER INC St. Lic.:
2700 N FAIRVIEW AVE
? ROSEVILLE, MN 551130000
' 6126331042
Owner:
Duane Jurgens
4185 Amberleaf Tr
Eagan, MN 55123 651-686-0287
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.
Applicant/Permitee: Signature
PERMIT
- Ot -A-, CO)gL
ued By: Signature
1999 FIREPLACE PERM[T APPLICATION
C1TY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Date: ham/? (.a thligg
Description of Work:
?
Construct r ewltreplaee
Install g,as ansert onlv
Other
Alterations to existing
Install gas line onlv
LJob address: l ? ,t.??
/11
Lot: ? Block: ? Subdivision/P.I.D. #: ? ?6YLA 1,,, ???
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
PROPERTY
OWLNER
FIREPLACE
INSTALLER
Ott ftyle Phone #: 01- ?Q -Qvp
Name:
Last First
Street Address:
City /s State: MAI Ir Zip: ? ?~3
Company: ? - w, QPhone #:
. -a _ 1 -.5
Street Address:
City t A ?`.YL\,S (1?; State:
Company:
GAS LINE
INSTALLER Street Address:
City
State:
zip: -sl- 3 ?
Phone #:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable Stat of Minnesota Statutes and City af Eagan
Ordinances. ? ? /I A,?Zl /) .
- •i?.
Signature _-----__.._ .. 1'
MAtt I 9 1999
G?
f ?
OFFICE USE 4NLY
BUiLDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
13 31 New ? 33 Alterations
13 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
PERMIT# ".? , 'is ---, -?,
RECEIPT DATE:
2002 MID$NTI*1. PLUbBING PERNEIT APPL1CATiON
crrY oF EALGArt
3830 PIMr xiQaB gn
KkcsM. MN 551$2
e51-6$1-4675
Please complete for: single family dwellings, tawnhomes and candos when permits are required for each unit,
backflow preventer for irrigation system
JEJRGENS, DUAt3E
SITE ADDRESS: 4185,4nnBERLEqF TRaiL
EAGAN, MN 55123
OWNER NAME: : (651) 686-0287 TELEPH4NE #:
(AREA CODE)
1NSTALLER NAME: TELEPHONE #:
• (AREACUDE)
STREE7 ADDRESS: (612) Q??-?rv
tn33
-^var
?ITY: ZsoS WFiBD avE. so. S7ATE: ZIP:
MINNEAPOLrSf ?N 554VD
_ SEPTiC SYSTEM, new/refurbished (requires two sets of pfans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additianal cansultant fees may apply
• MODIFICATIONIALTERATI4N T4 EXISTING DWELLIMG UNIT, INCLUDIMG:
_ Adding fixtures ta lower levels or room additions, excluding waker softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation syS?em
X A
V ?
water heater
ReplacemenUadditional: _ water softener ? $ 15.00
State Surchar9e
, $ .50
Totai
I herebyacknowiedge that I have read this application, state ihatthe infarmation is correct, and apreeto complywith all applicable Cityof Eagan cxdinances. It
is the applicanYs responsibiliiy to notify the property owner that the City of Eagan assumes no liabflity for any damages caused by the City during its normal
operational and maintenance activities to the facilities oonstructed under lhis permit wit 'n ' property/rlght-of-way/easement.
SI NATURE dF PERMITTEE 1/02
RESIDENTIi4L
BUILDING PERMIT APPLICATI4N
CITY OF EAGAN
3$30 PILOT KNQB RD, EAGAN MN 5,?' 722
651-681-+4675
!{S!!It CGtlatructlon Heauir?emeMs
• 3 reglstered slle suneys showing sq. f. of bt, sq, fl. ot house; and I rcded area • 2 oopW of plan
(20% maxfrnum toi caverage alloweo 1 set oi Enargy Calculefions for heated addiliam
• 2 cnples ot plan showhg beam & window sizes; poured found design, etc.) i s[ts sunrey fsx extedor etlditions fl deck?
• i set of Energy Cak?Wilons 3;['Z'? • Indk.aie if hane served by septic system hsr eddlFlnns
• 8 oopies af Tree Presanvatlon Plan I bt piatted after 711/93
. Rim Joisi Deiail OpUOns saleclian sheet (bldgs wtth 8 or fess unb)
DATE 5- - - c) 2- VAIUATEON fD
/ ?..
SITE ADDRESS MULTI-FAMILY BLDG ,?Y ?N
TYPE QF WORIC ? f. Oo FIREPLAGE(S) _ 0_ 1_ 2
APPLICANT P ?_U8UaAA (0 9.S
STREET At3DRESS "N.,,19(o WAC 4ltl (ol(WAL?CI'IYfr?l rA ? Yq1-f?STATE &/ke_ZIP S'??
TELEPHQNE #q 52-8 9 l - `$L 52- eELI PNONE # FAX #
PROPERTIf OWNER ? W&Tn? PnU S TELEP1+oNE # l? s1 r ? ??;?$?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR R EH RESIDENTIAL BUItDINGS 4NLY
Energy Gode Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESQTA RUI.ES 7572
(?l aubmission type) • Residential Vantilation Categary 1 Worksheet Submiftad ? New Energy CQde Woftheet Submitted
• Energy Envelops Caiculations Submitted
Plumbinq Coniractor:
Flwnbing system includes:
_ Water Saftener
? Water Heater
No. of Baths
Phane #
Lavvn Sprinkler
No. af R.T. Baths
Mechanlcal Contracbr:
Mechanical system itncludes: _ Air Conditioning
? Heat Recovery Systern
sewer/water Contractor:
I hereby acknow3edge that I have read this applicatian, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signaiure of Applicant
Fee: $9{}.00
Phone #
pnone# p?C?.. . .
MAY
2 2 2002
OFFICE USE ONLY
__?X M- -- - -
iS CO1'f8C1', Ct •••-°rEe t4 GOR1ply
Gertificates of Survey Received - Tres Preservation Pian ReCeived _ Not Required _
upaatea 4102
OFFIGE USE ONLY
0 03 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool 0 30 Aocessary Bldg
C3 02 SF Dwelling E3 08 06-plex 13 16 Fireplace 0 21 Pot'ch (3-sea.) 0 31 Ext. Ait - MuRI
0 03 01 of _ plex ? 09 47-plex 0 17 Garage C] 22 PorchJAddn. (4ses.) 0 33 Ext. Ait - SF
13 04 02-plex 13 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
13 05 03-piex 0 11 10-plex ? 19 Lower Level 0 24 Storm pamage.
0 06 04plex C] 12 12-plex PIbg-_Y or_ N 0 25 Miscellaneous
0 31 New 0 85 Int improvement 0 38 Demolish (Interior) Cl 44 Siding
0 32 Addition 17 36 Move Bidg. 0 42 Demolish (Foundatian) 0 45 Fire Repair
..E3 33 Alteration 0 37 Demolish (Bldg)* 13 43 Reroof 0 46 UVindnwslDoors
0 34 Replacement `Demolitian (EnNre BIr1g only) - Give PCA handout ta applicant
Valuation accupancy MC/ES Syatem
Census Code Zoning City Water
SAC Units Stories 9oas#er Purnp
Nbr. af Units Sq. Ft. PRV
Nbr. of Bldgs l.ength Fire Sprinklered
Type of Const W idth
REQUIRED iNSPECTIONS
_ Foatings (new bldg) FinaUC.O.
_ Footings (deck) Fina11No C.Q.
_ Footings (addition) _ Flumbing
_ Foundation HVAC
? Drain Tile ? Uther
Roof - ice & Water _ Final _ Pook _ Ftgs r Air/Gas Tests -Fita1
_ Framing Siding Stuceo Stone
r Fireplace _ RI. ? Air Teat _ Finat - -
_ Windows (newMeplacement)
_ Insulation _ Retatning Wall
Approved 8y , Building Inspectar
Sase Fee ' «
Surcharge
Plan Review
MCIES SAC
City SAC
Water SupPly & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Perrnit
Lioense Search
Copies
Other
Total
-2045 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcdon 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 pian showing beam & window s¢es; poured faund design, etc.
1 set of Energy Calculations
3 copies of Tree Presenration Plan 'rf lot platted after 711l93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
RemodeUReaair Reauirements
2 copies of plan
1 set of Energy Calculations for heatad additions
.1 site survey for additions & decks
Addrtion - indkate if on-site sepNc system
' 3.2 . (o G
.
OFfice use Onlv
Cert of Survey Reod _ Y_ N
Tree Pres Plan Real _ Y_ N.
Tree Pros Required _ Y_ N
On-site SepC?c $ystem _ Y _ N
Date.-QE_ / Os- Construction Cost ??r6o 120 Q
Site Address Unit/Ste #
Description of Work ? SE'qs-d/V 1'7d 41
Multi-Family Bldg _ YY N Fireplace(s) Ix 0_ 1 _ 2
Property Owner ?/JA A/iE _ 10"?5A/S' Telephone#(a( ) 1,g6-D7,97
?
Contractor 6 ? £ L ?
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted 5ubmitted
. 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
SewerlWater 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
Statutes; 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 re and
approval of plans. •, ?;?>,';' ?..
41 nl?
Q-kipplicant's Printed Name pplicant's Si
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex 0 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireptace & 21 Porch (3-sea.) O 31 Ext. Ait - Muiti
? 03 01 of _ pfex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level . O 24 .Sform%Damage
? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous
Work Types
P 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof O 46 WindowslDoors
? 34 Replacement "Demolltion (Entire Bldg) - Gtve PCA handout to applicant
Valuation //,000,00 Occupancy 1Z -3 MCES System
Plan Review 100% or 25%
Census Code Zoning ? City Water
SAC Units Stories Booster Pump
# of Units
PRV
Sq. Ft. -z S-7
# of Bldgs Length 1 y, Fire Sprinklered
Type of Const X/ Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) Zo Final/No C.O.
Zo Footings (addition) ?o-vr _ Plumbing
Foundation HVAC
Drain Tile Other
Final _ Pool _ Ftgs _ Air/Gas Tests
Roof
Ice & Water Final
_
_
? Framing _ Siding _ Stucco _ Stone _ Br ick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_
-?a Insulation _ Retaining Wa11
Approved By: ? ? , Building Inspector
Base Fee ?j? $44" v?,- eo&?-W Surcharge Z 5 z Sg /-,-, e " 1C !z/D. o?= X'i 0 $0 '0°
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4/-?
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Bloine, MN 55434
(612) 783--1880 FAX: 783-1B83
ertificate of Survey for: LUNDGREN BROS. CC)N5?.
4185 AMBERLEAF TRAIL
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NOTE: PROPOSED GRADE3 SHOWN PER CRADIN6-PLAN BY: pIONEER
NOTE: BUILDING QIMENti01tS SMOwN ARE FOR HOR120NTAL AND YERiICAI IOCAT?ON
OF STRUCTURES nNLY. SEE aRCH(TECiUAI PLANS FOR BUIIDING ,4N0
FOUNDATION DIMENSIONS
NOTE: NO SPECIFIC SOIIS INYfS11GAT10N kAS BEEN COMPlE1EU ON TMtS LOT BY iNE
SuRVEYOR. THE SUITA61UTY OF 50IL5 TO SUPPORT THE SPECIFlC HOVSE
PROPOSEU IS NOt 17iE RESPONSIBILITY OF iHE SURVEYOR.
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LOWEST FLOOR EIEvAl10N: ?G;J• Cm
TOP OF BLOCK ELEVATION: ?'34 I
GARAGE SI.AB EI.EVATIOh:
NOTE; T1i15 CERTIFlCATE GOES NOT PURPpRT TO 9HOW EASEMENTS OTMER THAN X 000.00 DENOTES EkIST1NG E'-EVATIOfV
THOSE SHOWN ON THE RECOROEO PLqT. ( 000.00 ) DENOTES PROPOSED E:.EVnTtON
NOTf: CONTRAC70R MUSI 1/ERIFY ORIVfWAY'pESIGN. --- -- DENOTES ORAfNI?GE Ati0 UT1UN EASEMENT
--_-1-- DEN07E5 DRAINAta'F F;,01Y DIREC7)ON
NOTE: BEARINCS S1{OWN ARE 8ASE0 ON AN ASSUMED DATUM ---t---OEkOTES MONUM6NT
---$-- DENO7E5 afFSET HU@
WE HEREBY CERTIF'Y TO LUNOGREN BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTA770N OF A
SURVEY OF THE BOUNOARIES OF:
LOT 7, BLQCK- 1, ROQNEY ADDI11ON
OAKOTA COUN'f'Y, MINNESOTA
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IT QOES NOT PURPOR7 TO SHOW -IMPROVEMENTS OR ENGHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED @Y ME OR
UNDER MY DIRECT SUPERVIS{ON TIi1S 287N DAY OF JUNE. 1995. r-•. e
SCALE : 1 INCH = 44 rEET ,
94322.07 9JM
2422 Enterprise Drive
Mendotc Heights, MN 55120
(612) 881-1914 FAX:681-9488
20 6.-3sv, /goz. o
SERVICE
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PIONEER EN3(NEERI C, P.A.
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John G. Larson, L.S. Reg. Na, t
)?AGAN
T 0 •d
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126586
Date Issued:09/02/2014
Permit Category:ePermit
Site Address: 4185 Amberleaf Tr
Lot:7 Block: 1 Addition: Rooney
PID:10-64560-01-070
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 by law in ALL single family homes .
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 -
Duane Jurgens
4185 Amberleaf Tr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168220
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 4185 Amberleaf Tr
Lot:7 Block: 1 Addition: Rooney
PID:10-64560-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Duane & Mary Jurgens
4185 Amberleaf Trl
Eagan MN 55123--149
(651) 686-0287
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171142
Date Issued:08/03/2021
Permit Category:ePermit
Site Address: 4185 Amberleaf Tr
Lot:7 Block: 1 Addition: Rooney
PID:10-64560-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Duane & Mary Jurgens
4185 Amberleaf Trl
Eagan MN 55123--149
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature