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4191 Amberleaf Tr07 $34 4 46 7 Requ t aie ? Fire No. ?gh-In I qection R u' ed ct en ready) gh •I Inspection Other ThaOf 0 Ready Now ll Notify Inspector Yes No Date Read I %licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Slreet, Box or Ro te No.) 1 4-Ar T Section No. Township Name or No. Range No. Occupant'(P I ) ' ? Phone No. upplier Addre55 Ele 'cCpntrac r (C a Name) Contractor's Li se o. l V T Mailing Address onlra or Owner Maki Insta fion) . X C- a, honz 5 nature (Contrectod0 er Ma ing I sta on) Phone Number Phone&(8 2) 642-?0800 R?auSMNB 51041CITY 111111111111111111111111111111111111111111111 E?NICLOSED?D BR INSP?TONB?E OT ? REQUEST FOR ELECTRICAL INSPECTION Ee?-oSo?ovai-os :?'See instruclions forcrompleting this lorm on back ol yellow copy. J?yw? ?/ y /? • p?g,? ? X" Belaw Work Cavered by This Request u?y Ne Add Rep: Type of Building Appliancas Wirad Equipment Wired Home Range Temporary Service Ou lex Water Heater Electric Heaiin Apt. Building Dryer Load Management . CommJlndustrial Furnace O#her (Specify) Farm Air Conditipner Other (specriy) Contractor's Rsmarks: 4 Compute lnspection Fee Below; Lv??w aLt # Other Fee # Se Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 00 m s 0 to 100 Amps Transformers Above OD Amps Above 100 Amps SignS Inspector's Use Only: TOTAL Irrigation Booms a S ecial Inspection AlarmlCommunication TH6S 1NSTALLATfON IVIAY 6E O CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH . I, the Electrical Inspector, hereby Rough-in Da e certify that the above inspection has been made. Finai aee OFFICE USE ONLY This raquesi vaid 18 months from CO , . ? . . • . .?? ?. ? . . ? ??? .,?? .? ? ? 1:.? -R?.F ?.\.?I?? .. . ?? R71 R?!IV?1 •,y? ?711?L?71. i' ? C' y a#!•? RJI ? . ? UgaR,??56122-189? ($12)681-4676 ' . , a? ?P? l , ? fil rr??.?. , . .? r . " .. . . . ?. `? `` 44 pJ4eF Ft: t AF rw i tarr:.?e???,w a?rar.. GONSI' ,?.. .'? ; POOaf f 2:1 L , RERW SUBTYPE: ?- TYPE OF VOlW: ;? r ?• ?? ? ?;? F ?Ahl:itlii ` N sc0 G:A:r.t'uN . f I kt ol'? Ac:U ? J ? t) iUM ' i N : F' 1 EI f i ft t:) t f t, IJ I N 14tt3 r' Ar 1 4' I, fi f,? . f" i# R i. W t'i..Hk (7O1C'KWAY {::XfAwrYTl?i{3 ? ?? • - P+w?Wt Mw l?al? Nold?r EI?M '?hoM. s { ELOGTOG ? f - ,. . _. .. . ,. FCLM 74 .?. fACFM ., _ 4 , WOUGH . ?. ?.. ZA. i ?? k- ? kq ? F : Y'....'• . .. . ? -. ._ . . .,? ? _ . . . . FKAL HM ? QWV mft I ?7 smaili. ? `MIiK i T YGV?1 ? • ? ??? . . DWK fHR ??? ? 5;T . Address 4 1 A'i AMRF:Ri FoF TR Zip 5512 3 Lot s Blk 1 Sub uo0NEY THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTIDN. Date: / a g Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) v? Permanent steps (main entry) i: Permanent driveway Permanent gas , Sod/Seeded grass t, •'` Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy -? ' C1TY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I a N. e 10--64560-040-01 DESCRIPTIaN: PERMIT 4191 AhiBERLeAF TR Lqi`: 4 BLOCKt 1 ROqiVEY PERMIT TYPE: Permit Number: Date Issued: 5 F DWG NE W R - 3 lJ -1 V-N R-1 74 54 1 3,246 ;Ea$ tl? d^?Y? t^I3?.:'au. et? " Rt'b REMARKS: 5 & W PLBR - QUTCKWAY EXCAVATZNG FEE SUMMARY: tl P'I LUI"1TIOIY Base Fee $1,362<25 Plan Ftevisw $476079 Suroharge $97.50 SRG $850.@0 SAC % 100 5AC Units 1 5ubtatal $2,785.54 CONTRACTaR: LUNI7GREN BROa CONST 14731231 935 E WAYZA7'A BL.VD WWYZATA MN 55351 $.L 95g 0'U YJ MTSCELLANEOUS Total. Fee 6e0qa,f7y a 0-3195 BuzLDING 026368 09/i2/s5 ffL*a4 E36 u?Ei ?e_E??u ?EU ? A? a 1 $92,50 ----------------------------- $4,679e04 OWNER: - Rpplicant - LUiVDGREN BROS CQNSi" 935 E WAYZATA BLVD WAYZA`I'A MN 55391 (612)473-1231 ? ?-,?,? 1 t'h ?- APPLICANT/PERMITEE SIGNATURE ISSU?r6 : Si TURE -- INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: g uILDING 3830 Pilot Knob Road Permit Number: 026368 Eagan, Minnesota 55122-1897 Date lssued: 09/12/ g5 (612) 681-4675 SITEADDRESS: P . I . N 10`64560-040-e1 LQT: 4 BLOCK: 4191 RMBERLEAF TF2 ROONEY PERINIT SUBTYPE: SF DWG ? APPLICANT: LUNDGREN BR05 CONST (612) 473--1231 TYPE OF WORK: ?EW INSPECTION FC3i]TINGS D. . FaUIVDATxCIN .A FF2AMTNG F?QilFTNG TNSULATION FIREPLACE RQEJGH IN PLBG ROUGFi Zh! HTG FI.NAL PLE3U FIIUAL REMARKSe 5 & WPL8R - QUICKWAY EXCAVA7IIVG . CITY 4F EAGAN t?, ? f??, ` 3830 PELOT KNOB RD - b5'122 1995 BUiLDING PERMIT APPLICATlON (RESIDENlTIAL) 681-46TS ? 3 nsgistered s#e surveys 4 2copies of plan * 2 copio of ptsns (fnGude heam & window sim; pauned fnd, d9sign; etc.) 0 2 site sunreys (eMeriar additic)ta & dedcs} ? 1 energy calwlations " ? 1 errctrgy calculadpna for hem6sei addlfkans ? 3 oopies af tree rvation lan if lot platted aRer 7f1193 roqu?eed: Yes No DATE: ? CQNSTRUCTION COST: DESCRIPTI4N OF WORK: STREET ADDRE3S: LOT ? BL4CK SUBD.lP.1. D. #: AW.x dl/z Y A?. PROPERTY Nam ? &.-4f /-PMane #: OWNER Str /wr eet ddress• ? F Gi State: Zip: tve4;?- CONTRACTQR Company: PhOne #: Street Addre . License #- City: State: Zip- ARCHITECT! Company: Rfione #F.NGIFlEER Mame: Registration #• Street Address- City: State: 2ip: Sewer & water lioensed plumher: ??. Penatty applies when address change and !ot ch8nge are requesfied once pemi s issued. I tereby acknowledge that I have reatf this application and state that the informa#ian is oor?e? and agree to eamply wi#? all 2?pplicable State of Minnesota Statutes an?{ City ofi Eagan Ordinanc?es. ?"? f? A Signature of OFFICE USE DNLY Cerdficates of Survey Received Tree Presenration Plan Reoeived Yes 'r s ?No 7 ???????? A?G 2 ? 1995 --------------- ?g . °! OFFICE USE ONYLY BUfLDING PERMIT TYPE 0 41 Foundation o 06 Duplex o 11 6p,-'-02 SF Dwelling a 07 4-plex o 92 0 43 SF Addition ? 08 8-plex o 13 a 04 SF Porch o 09 12-ptex o14 0 05 SF Misc. 0 10 = ptex 0 15 WQRK TYPE ,,:,pL31 New ? 32 Addi#ion 0 33 Alterations 0 34 Repair GENERAL INF4RMATI4N Const. (Ac#ual) (Allowable) UBC Occupancy Zoning # af Stories Length Depth Apt./Lodging o 16 Baseme t?Finish? .; MuIti Repair/Rem. a .;??:7r;Swim:; p^oC,s Garage/Accessory .,4l ?0r P?Ubl?- ?acility ; Fireplace o -?21: ;,?iscel?aneous ? Deck ?' . ? • , ? 36 Move ?? 37 Demolition z, Z4!5- .. MC1WS"?System . 21 City Water, ? Fire Sprinklersd „ ? PRV ? Booster Pump ? Census Code. 2 S SAG Code @ Zs ?•? 5+°'?,S ; ? Census Bldg Census Unit Engineering Variance -? BasemeErt sq. ft. T Ela Main Ievel sq. ft. -r sq. ft. 9-1 sq. ft. ? 8anr sq. ft. 71/ sq. ft. SY Faatprint sq. ft. APPRDVALS Planning Building . ?. ._ ? . ?'_P?•= ?'a o/ ? ? Permit Fee Valuatian: $ Surcharge Plan Review License MCNVS SAG City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S1W Sureharge Treatment PI. Rvad Unit Park Ded. Trails Ded. ather Copies 1"otai: °k SAC SAC Units rmr. Z 11 9 Z5C ?? 32- I sr ? ? 3dlG = Zw ' ?? x Y9 = 1, 9?r ?G. 33 ? ?•? '" ? ?? A41'- I y x? ~?y Z Z??lc 2°S ' 3,< I Z ? )4, ? Ca.x'z K y . /y s? Z? 3? `- ?Z? s z y f Z? gof? x5?'. ? i - = r?ffi Zz?? 3 .33 ? g ?`7f Aa ? , • ,? ? • ? _ pfdNnaA ang?ne? e?r *4 ** wao wRvEroes • crvn. e14aEEAs LAiVD PGANN6RS. lAkqSC?PE A3iCtH1E03 2422 Enterprise Orive Mendota Meights, MN 55120 (612) 681-1914 FAx:e81-9488 625 Hlghway 14 N.E. 81aine. MN 55434 (612) 7e3-18e0 Fax: 7$3-isg3 Certi#icafe af Survey for: _?.UNDGREN 6R?JS. CO NST.. ?NC. I 4191 AMBERLEAF TRAIL l,qDG- b? LLJ ?? 5 i ?? I r J (L 1 4a. z? ? l 4 t/1 1 pW 0.-4 N? ? ? 3 1? 0 co `- a¢ z 0 N,'? ? ?.9 x I3M 5 i1 h ,??- ? ` y0& °?'? BENCH MARK T4P OF PIFE -/G 973,5 EtEV.=912.67 904.5 i 33 ? ~?'91?. ? ? ? 513.4 /? !? ? 913. ?S ! .? r f ? 1 7p 1 ??l 1+ -C •?d o ? I 1 ?- -?. 1 908. "~ x ~ ?-.?.. _ N80037'41-w 911.13 ? ? i ? ? 9ENCH MARK 7QP OF PIPE ELEV.a917.$4 ?K Ai 7 ; • 4o 1j) i? 14. Q. ?? t? ? 25 e taC) II _tS-o NaTE; PRQPOSED GRAOES SNAWN PeR GRADiNG PLAN aY; PIONEER pROPOSEO HOUSF ELEVATI9}N kc7T'E: 8t11LDiNG DIMfNS10N5 SHQNM ARE FOR HORRflMTAt AFID VER1iCAl LOCATION 4F STRUCTURES ONLY. SEE ARCi-UTECNAL PLANS FOR BUIIOING AND LOWEST FLOQR ELEVATION: ?_.._ FouNDATiON aIMeN510ks. jQp pF BI.OCK ELEVATION: NOTE: N4 SPECIFiC SDlLS INVES1iGA110N HA9 6EE14 CONPLElED ON 7k15 lOT BT TI1E / SURIIEYOtt. tKE SuITa6EUTY (?F SOitS TO SUPppRT 1'ME SPEGFIC HOUSE . GARAGE SLfIB ELEVATION: PROPOSEO IS NOT THE IRESPONSiBIUTY OF THE SURVEYOR. N07T: TF{IS CERTIFICA7E DOE5 hOT PURPURT TO SHOW EASEMENTS dTWER THAN X m.da dENQTES EXlS11NG Ei.EVA714N THOSE SHOWN ON TFIE REC4RQED PLAT. ( 000,00 ) pEN07E5 PROPpSED EIEVATION NUTE: CON7RAC70R MIIST WRIFY DRI4EWAY DCSIGN, -- ---- DENOTES DRAIMA6E AND U'SlLITY eAS£MENT - ? DENaTES dRAIMAGE FLO'N DIRECTION KQl`E: BfARINGS SFfOWN ARE BASED ON AN ASSUMED DATUIf ?-?----- OENOiES lAONUMENT ----9- pENdTES OFFSET HfJB YVE HERE9Y CERTIFY TO LUNDGREN 8R05. CONST., INC. THAT TMIS IS ATRUE AND CaRRECT REPRESENTATION OF R SURVEY OF THE BOUNDARIES OF: LQT 4, BLaCK 1, RaoNEY AQaIIIoN DAK03A COt3lVTY, MII4IVESOTA !T D4E5 NOT PURPQRT TQ ShtOW IMPROVEIUENTS OR ENCHROACHMEN"f'S. EKCEPT AS SHOWN, AS SUR1/EYED BY ME QR UNDER MY pIRECT SUPERVISi4N THIS 41?i OAY OF AIfGUST, 1995. 51GNED• PIOKEER ENCINEERING P.A. SCALE : i INCH - 30 FEET ,. . .,r,, _,, .._..,_......._ f? 94322,11 SVYIi John C. Larsan, L.S. Reg. No. 19828 ti E?? ..?- r tAT? . _...,?. _ : -. :.. .._ ? •?? ? ? ? \ \ \ ? ? ? ? g oo' ` ?4.OC ?? I U a i 9106 c?s ' v r cL ?r ?•'a, ? y ?V C -? 'f/- ' 3 JI a ?R A"Y ?._ ?o ? s. se 916.0 T6'd w ? ? y m ., W CJ W J N ? ? r ? ? a ? W M. ci ?-- N ac . L4T SURVE`( CHECKLlST F9R RESIDENTIAL BUILD3iNG PERMIJAPPLIgTION PROPERTY LEGAL• DATE OF SURVEY: -.4,4 ZA LATEST R'E1flS10N: DOCUMENT STANQA$QS e I"" 0 Registered Land Surveyor signature and company M 0 O + Buildtng Permit Applicant ? C 13 • Lagal description Z3--'C3 D 0 Add1'e5s Q?c] 0 • Nartlh arrow and scale 0--' 0 0 1'1 + Flousa iype (rambier, walkaut. split wlo, spln entry, lookout atc.) 0 3 ? + D(rectional drainsge arrows with slope/gradtent 96 0 -??" - o • Proposecl/e?sting sewer and water serrrices & invert etevetion ? ?" ? ? ?o o • . Street nama • Drnreway Ei.WATIONS astln ? ? • Sewer service a a • Properhr comers M-14 0 M---? a 9 Top of curb at the drlveway o • Elevatuons of any existing acljacent homes Provago ? • Garage floar Cr'a 13 • Frst floor &'? o + Lowest exposed elevatlon (waikoutMrindaw) M-'C) o ? o • Property comers 0 Front and rear of home atthe foundatore PONDING ASE4 rif aoolicahlel - ? Er*"I7 • Easement One o CKa ? NWL ? tY a • Hwc. - D Z' o • Pand # designatlon , . o Ci---*'o -? Emergency Overtlow Elevelan DInnENSIorvs ?o o Cl' 0 0 • Lot tinesBeerings 8 dimensions , ? ¦ Right-of-way and street width (ta back af curb) (3 o • Proposed home dinensions Including ariy prcpased decks ovefiangs greater than Z , . porches, etc. (t.e. all s#ructures requieing permanent footings) ? o E3 * Show all easements of record and any Gity atiUdes with3n those easements ?? ? • Setbaclcs of proposad structure and sideyard setback of adjacent eyds#ing s#ructures ? a?' ? • Retaining wall requlrem?nts, i ? Reviswed: ? Nam / te ? Juiy 1995 ? ?.? ? C ? '.'. .....? , ?.,-', \,? 8.8? 9''LT S- 0+ 5 D ? ? {NV=901.90 ? . ?? ?`- ,CS=911.90 5 - ., MH STA, 4+ ? , ? ? r ? •? . - - ?. i Uc?? M! ? .._ •.? • . t -J+ao 4 { i •, . ('? ?`.1 a .?'i'•,??w?:gTi T E'NY=904.V? es=914.61 '~-.. MH STA. 3+ MH -'' ' ? ? 3 8 95 LT , -. ?..._ . 1 -? ? 1 ? ? - 1 ----?------ ? • ? E ? I f 1 L _- 1'V.7,1% ? MH STA. 2+21 9.02' LT 2 ? ; s=1+67 w=0+12 ; IN V =004:89- 905.10 ; CS=Q! 4.49- 915.10 29.2 L -------- --------------------------- ------------------------------------ ? S=0+82 $j.s'. ? ; INV=901.3fi ? CS=911.36 W.98, .aa.r UNDERGROUND POINER CONDUtT 42.5' -?" UNDERGROUND IRRIGAi70N CONDUIT I ? ? ?__---- EX `t STA. 0+42:b MH MH STA. 0+04 ? r?- X?ti75.0' ? •t? ? ., 1\ Ole v;x ?? , 1,, ............ : .:.... ....... :?:=:??st4.?a.?.? :::::::::::: :::::::::::::::::: ? . :::: ? ?? ... . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . :::? ::::::: . :::::. ;.:::::9?3.54: . . . . . . . . . . . :::::::::::.:::::::;;::;::::::::: " : ?a:80 ?H :B ' ± ::::::::::::: :::::. ?::::. . ..... ..... ::' ::::::::?.:::::: ::' ::::::::::::: ::::: ; : .....:... :.: . ::::::::::::::::::. . ::: GR ::: : ::::::::::::. :: ? ?2. ? . ADE:. : :: : : ? 8 ? ::::::::: • :: :. . ??::::?:::::::' :: : _:: :::: : :::::::::::?. ?+:::::'::: . :: ' ... 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I'lO01` 1'tie uxD rurweRS. **** 2422 Enterprise Drive Mendota Heighis, AAN 55124 , CM aqNMM (612) 881-1974 FA?i: 881-9488 MWAPEAJtO°METS 625 Mighwoy 40 N.E. etoine, MN 55434 (612) 783-4880 FAx:783-1883 TREE CERTIFICATION ----.•--?--?eef ti -ea ? ?-; LUNDGREN BROS. CONST., ING. ?.??! 0 ?' ' ? LOCK 1, R04NEY ADDITIQN 4? ? 4t91 AMBERLEA TRAIL, EAGAN, MINNESpTA (DAkOTA COUNTY) E a?V?WEY --?- . FEA,1GAN F4RESTF?Y DiV'S1 pR T??E ? vIEW??, i I ; ? I 1 • - ? ?? ?Ar E 0 ? Pratective Tree ? ? ? " Fence F, ? ? PG? ? ? 4G3.a \` 91 x 3.9 ? PG4.5 ? ? G ¢ • 1 ? ? j•? ? l ` X ? . 013 4 ? 73A . f 21 ? ? ?•?f / / / 3 ? H 213.3a$ ; `j ? v Wl ?j 680 ? G X / ? 7? a ? .. ¦ ? ?u? ' R• ?? f zV ? r / ? G a fi7 0 0 I ? r ? ?. ? 91 K 3 678?, ? ? L , ?? 1 jaq 5 ''? Q I g ? t ` tu?' GG -? p I ?! Q *M L °09 `N ? -- 'r 670 14 • X °1G.E "/ ? Q •% _...?? ? ? ta.X -?7i ?15.t3 ?R cr ti?E r Y ? ; P « ' i v . 3 o,1 . ? x 2 ,9 ? SIGNIFICANT TREES #870 SC' POPIAR (Sqve) 0671 t5' REp pqK TRPL (Remave-Wffn f880 11" WHRE OAK (Swe) " Fd' POPLAR (Sove) P 17 RED OAK DBL (Renove-W/Sn 15, ot House) J732 15 WHffE p/U( (Removs-W/fn 115' pf Hpub) G i(f BIRCH (Saw) N 17• CHERRY (Save) 45` at Houee (p g' Red Oak (Remove- 0872 1d WNRE OAK (Remove-Hawe) [?877 8' WHffE OAK (Remove-Dead)] +734 lr yMrrE OAK (Save} I 1d' YYHRE OAK TRPL (Sahre) ?mR)] ?875 t5" AEO OAK (Ramove-Houn} 17+2 ? CHERRY ?0?) " J i1?' POPLAR (Sare) [R B Rm OAK (Rammro- Ile76 Ig' '?? OAK (Remove-Houee) A 10 POPIAR (itemow-Wouse) [ g la' pOPLAR (Remove-Decd)] K 2d' RED OAK (Savs) StumP)] ' #877 15 WHITE OAIC (Remare-Wrn ' C te RED OAK (Ramavs-Wfin L ld WHrtE WUi OBL (5wa) A1 ttl' WHITE OAK [78L (Scve) rREE sUMMMY 15 ot Houee) 0676 1tl' RED OAK (Save) 13' aP Houee) D 1Y' WHffE Q4K (Remaw-Moueb) N t4" WH17E Ov11C (Saw) SlgniRcanl Trees - 27 (10DX) ' #878 B' REp OAK (Save) E 1d' RD OAK (Ramova-House) 0 10' POPLAR (3ove) Slgntlfeanl IYeea Saved - iB (59.2X) I hereby certlfy that thla plan waa praparad by me or under my direct supervlslon atrd that I am a duly rogtetaed Landscape Archksct under SlgniNcunt Traee the Ipws Of ths State o# Mlnneeota pamoved - it (40,ex) SIGYVED: PIONF.ER ENGINEERING, R.A. Nota: [] Not Inctuded in ereu summory BY: d DATE fieraea Heg an R e Na 20 SIGlJAtU E pF OYMNER ATE 94322.11 k ?UrlDGR(n BROS' EXTERIOR EN1IELOPE AvERAGE U COMPUTATION CONSTRUCTION INC. T Site Address /H/ l?Lot!-?B1ock_L R & U Factors 935 E. Wayzata Blvd Opaque Walls wayzata Wal l Frami ng Areas Minnesota55391 Ceiling Insluation Area (612)473-1231 Gei 1 i ng Frami ng Area Rim Joist Masonry Wall Windows Dflors Skylights 1) Lower Level (Basement) Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Exposed Black Window Area Sliding Glass DoQr Door Area R ??.x (ul ? x (u) ?-? x (u) ? ? (U) x (u) X (U) ?-? x ( U) To ta 1 U .043 .09 .023 .Q27 .a4 .459 .35 .31 .55 .043 = -0g ` ? .04 = ? .I32 = .35 = ? .35 = .31 = ? ? ?r f • ? . . + ? ??????? ? ??oi 2) First Or Main Floor COiVSTRUCTIC7N Total Exposed Wall Area INC. Opaque Wali Area Wood F'rame Area Rim Joist Window Area 935 E. Wayzala Blvtl. S1 i di ng G1 ass Door WaYzata Minnesota55391 Doar Area (612)473-5 231 3) Second Floar If Two Story Total Exposed 14all Area Opaque Wa11 Area Wood Frame Area 41i ndow Rrea Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight ( u ) .043 = 6e X (LS) .09 = /210 x (u) .04 = (U) .35 = -2- x (u) .35 X (U) .31 TOt3l I? ? / X (U) .043 = x (u) .os = x (U) .35 = x (U) .35 - X (U) .31 = 7ota1 ? X (U) .027 = ??,7 X (U) .023 = ?( (t!) .55 = ? Total 52 _ T ?? ?????? ??OS CONSTRUCTION iNc MINNESOTA U FACTORS Total Exposed Wal l Area o? ZL;---X MINNESOTA U FACTORS Totai Exposed Ceiling Area zvi3ae' X .Q26 (A) T4ta1 935 E. Wayzata Bivd. Wayzaia T tem 1 ,+ i tem 21l#,,+ I tem 3? + Item 4?=?o? Minresota 55391 (812)473-1231 If Total Of Items 1-4 is L.e55 Than Ttem (A), Buildiny Complies With SBC 6006 (C)s C1TY USE ONLY ' L ? BL / RECElPT SUBD. DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6$1-4675 Please compfete for: ? single family dwellings ? tawnhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL , Jf10Wef . 3.[70 X Water Clflset " 3.00 x Bath Tub 3.00 x 3 = C'(cl-v Lavatory 3.00 x 5- S. C/b Kitchen Sink 3.00 x " - Laundry Tray 3.00 x ? _ ?-?f? • Hot Tub/Spa 3.00 x Water Heater 3.00 x Z- Floor Drain 3.00 x . 1 Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.54 x - Water Softener 5.00 x - Private DiSpOSaI * Dakota Cty. license 20.00 = U.G. Sprinkler * home under canst. 3.00 _ Alterations * to existing 20.00 - Water Tum Around 20.00 STATE SURCHARGE .60 TOTAL SITE ADDRESS: ? Am OWNER NAME: rl;1 l•... [NSTALLER NAME: STREET ADDRESS: A02 C1TY; STATE: ZT: PHONE #: ( r,j2) CITY USE ONLY L BL RECEIPT #: SEJBD. DATE: 1995 PLUMBING PERMfT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNdB RD EAGAN, MN 55122 (612) 681-4875 Please complete for: ? all commercial/industrial buifdings. ? multi-family buildings when separate permits are n-at required for each dwelling unft. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1 % STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: lNSTALLER: ADDRESS: CITY: STATE: ZIP: - PHONE #: SIGNATURE: APPLICANT ClTY OF EAGAN A/C?t? CI7Y uSE ONLY 1. ? BL RECEiPT #: SUB DATE; ?,`? ?'? 1995 MECHANlCAL PERM[T (RESIDENTIAL) CiTY OF EAGAN 3850 PlLQT KNQB RD EAGAN, MN 55122 . (612) 687 -4fi75 Please complete for: ; single family dwellings ? townhames and condos when permits are required for each unit New construction ? Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FF.ES ? Minimum Fee: Add-on/Remadel (exis#ing residence only) $ 20.04 ? HVAC: 0-100 M BTU Additional 50 M BTU 24.00 ? Y, Z) --&$0 12 _cx:D ? Gas Outlets (minimum vf 1 required @ $3.40 each) (v, °O ? State Surcharge .50 T4TAL SITE ADDRESS• OWNER NAME: LLV?L 'k-3 PHONE #: INSTALLER NAME: h ?- fv, STREET ADDRESS: ?-- CITY: STATE: ZIP: PHONE #: SrGIMUKE OF-PE "TTEE-____ cinr use oNLY L BL SUBD. RECEIPT #: DATE: 1995 MECHAMIGAL PERMIT (COMMERGIAL) CITY OF EAGAN 3830 P[L4T FCNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? a!i commerciallindustrial buildings. ? multi-family buildings when separate permfts are pQt required far each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR 1MPRQVEMENT DESCRIPTION OF WORK: FEES: •$25.00 minimum fee 2t 1% of cantract grice, whiehever is greater. • Processed pipirtg - $25.00 ? State surcharge of $.50 per $1,000 0€ oefmit fee due on all permiis. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) ENSTALLER: ADDRESS: CITY: STATE: Z1P: PHONE #: SIGNATURE: SIGNATURE 4F PERMITTEE CiTY INSPECTOR CITIf U3E ONLY L ? BL ?w RECEIPT #: SUBD. . DATE: 1996 PLUMBlNG PERMIT (RESIDEMTIAL) CITY OF EAGAM 3830 PiLOT KNOB RD EAGAN, MN 55122 (612) 681-467v Piease complete for: ? single family dwellings ? townhomes and condos when pennits are required #or each unit FIXIURES EACH N-0. TQTAL Shower 3.00 x - Water Cfoset 3.00 x - Bath Tub 3A0 x = Lavatory 3.00 x - Kitchen Sink 3.00 :t = Laundry Tray 3.00 .c Hot TublSpa 3A0 x = Water Heater 3.00 ;c = Floor Drain 3.00 x - Gas Piping 4utlet * minimum -1 3.00 x ? Rough Openings Water Softener 1.50 5.00 x = x Priva#e Disposal * uakota Cty. ncense 65.04 = (new and refurbished systems) U.G. Sprinkler * home under consf. 3.00 - Alterations * tu ex€sting 20.00 = Water Tum Around 20A0 STATE SURCHARGE . TOTAL SITE ADDRESS: OWNER NAM , AOW W&W iNSTALLER NAME: 70f' &W ?? STREET ADDREGS CtTY: PHONE #: ( ` ?v;VK1?rs. ,?r? j ? y3848so 6 V6'6d--6 W - " r oFFicE usE oNLY L BL RECEIPT #: SUBD. QATE' 1998 PLUMBING PERMIT (GQMMERCIAL) GITY OF EAGAN 3830 P1LOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please cornpiste for. ? all commercialrindustrial buildings. • multi-famity buildings when separale pemiits are ]Z4t required ior each dwelling unft. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD QN REPAIR DESCRIPTION OF WORK: IS WATER METER REflUIRED? ,_ YES _ NO. IF SQ, PLEASE PROVIDE TNE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERa TO BE INSTALLEE}? _ YES _ NO. FAlLURE TO PROVIDE THIS tNFORMATION WILL RESUL7' IN A DELAY Of MAETER ISSUANCE. WILL YOU BE INSTAl.L1NG A METER FOR A FUTURE U.Cv. BPRINKLER SYSTEM? - YES _,,,, NO. IF SO, YDU MUST APPI.Y FQR A SEPARATE U.G. SPRINt:LER PERMtT. FEE: $25.00 minimum iee or 1% of contract price, whichever is greater. State suroharge of $.50 per $1,000 at Rmtfee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAE. 51TE ADDRESS: TENANT NAME: STE. # QWNER NAME: IN3TALLER: ADDRESS: CITY: r ` ST4ATE: PHQNE #: 51GNATUFtE: Z1P: APPLtCANT UFFICE USE ONLY METER SIZE: " DATf: INSpECTOR: 2000 gUiLDIhiG PERMIT AP'PLIGATION (RESIDENTIAL) cinr oF EAGAni 3830 PILOT NCNOB RD - 55922 651-681-4673 NL2?r Construcfian Raauirements T3A %?q RemodellRenak RtgUkMtnis > 3 reQiatered slte wrveys showing aq tt. st ioi: :4.1t. ot house 7-d I ° GC) 2 cooes oE plan and ?t raofed areas (ZQ%_maxlmum lat coveraae gtlmwed) ? 2 oopies cf pfans (show beam & vrkndcw sizas; paured tnd. desigrt; atc.) D i tet of energy calcu1a11ons 4 3 copies of iree prsservatian piadt K bt pkd1scl afiar 7/1J93 oATE: -7 - r !2 - c?, f]E5CR1P'CEON OF W4RK: E-L" STItEET ADDRESS: `J I`1 i tYY ULU.X C4T: ? BLOCK: SUBQ,/p.l.D, #: 1 30101 energy c:alculnlions for hscdsd addMans 1 affe wnrey fa sxtortor addftns & dscks coNSrRucrIoN casr: I m a co muffl-famlly bidg., how many uMis? Name: I Phone #: PROPERTY ?aat Firat OWIVER ?{ OwhL_r -''I ???, '' 4 Street Address: t ?? ? ?fc& C ? . Cliy _';?7_ aQ State: 1 Y11 v Iip: •? ?12- r_?? Company: Phone #: Horizon Exteriors (orea COde) GONTFIACTOR 1333 Larc Irtdustrial Blvd. Burnsville, M!V 55337 Stre9t Addl'eSS:_ (612) 890-3900 Lice? # C7- EXp. city srota: ARCHITECT! ENGINEER Company: Name: Telephone #: ( ) Sh69t Address: ReglstrGHon #: ZiP: Cify State: Zip: Sewerlwater licensed plumber (if irrstaillitka sewer&aterl: Phone #: ( 1 1 hereby acknowledge that ! have read fhis applicxtion, atate tho# the Ink?rm rn ia correcF, and agree !o mply wHh allapplicable SkAs of Minnaaota Stahrtes ancl Ciiy of Eogan Ordinances. Signature of Applicant: Certifir,ates of Survey Received 7ree Preservation Plan Received OFF1CE USE ONL.Y YBS MO Yes No Not Reqaired A ?` _. =Z1 4FFICE USE QNLY 8UILDING PERMlT SUBTYPES p 01 Foundatian p 07 05-plex ? 02 SF C)weiling O 08 06-ptox ? 43 Oi of _ plex C! 09 07-piex 0 04 02-plex p 10 0$-plex ? 45 03-plex ? 11 14-plex ? 06 04-piex ? 12 12-plex WORK TYPE ? 31 New C] 32 Addition ? 33 Alteration Cl 34 Repair E3 13 16-pfex p C1 17 Garage 0 ? 16 deck C] O 19 Lower Level 0 PI6g Y or _ N C7 13 20 Pool L] 21 Pnrch (3-sea.) 22 ParchlAddn. (4sea.) 23 Porch (screened) 24 Storm Damage 25 Misceilaneous 30 - Accesscuy Bldg. 13 35 Move Bldg. p 43 Reroof ? 37 Demolish (Bldg)* p 44 Siding ?38 aemolish (Interior) Q 45 Fire Repair 13 42 Demvlish (Foundation) p 46 Windovwsiavors * Give PCA handout to applicant for demolition permit , GENERAL iNFORMATION SAC Cade Na. af Units No. of Buildings Const. (actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MiSCELLANEOUS 1NSPECTiQNS ? StuceolStone APPRC3VALS Planning Building Engineering sq. ft. sq. ft. Footprin# sq. ft. Census Code MC/ES System City Water Booster Pump PRV fire Sprinklered Vaciance Permit Fee Valuation: $ Surcharge Plan Review License MCIES SAC City SAC ' Water Conn. Water Meter Acct. Deposit S!W Permit SfW Surcharge Treatrnent PI. Par1c Ded. Trails Ded. Other Copies Total: SAC Units % SAC 0 31 Ext. AfR - Muffl 0 33 W. Alt - SF ? 36 Muiti ?J RESIDENTIAL BUILDINC PERMIT APPLICAT1aN CITY QF EAGAN 3830 PILOT KNOB FtD, EAGAN MN 55122 651-689•4675 New CDnstru4tion RlqUiroments • 3 registered s+?e surveys showing sq, (1. of ;ot, sq. ft. of house; and all roofed areas (20°k maximum IOt COVeraig9 alIOWed) • 2 capies of piart showdng beam 8 window s+zes; p4ured lound desgn, etc.). . 1 set of Energy Calculatipns + 3 copies of 1'ree Preservation Plan if lal plaaed aRer 711/93 . Rim Joist Detad 4ptions seiecoon sheet (blags with 3 ar less units) QATE ?/ -/'5-- 0 2 ..? cj ? ?? C, ? RemdeNRlpait ftevuirsm6nlt, • 2 copies of pian . ! set oT Energy Calculations for heated additions . t siTe suroey fw extenor additions 8 decks • Indicate :f home setved oy septic sysfem `or additians VAIUATI4N SITE pDDRESS Ze O?6 ' MUi.Tf-FAMILY BLDG Y? N TYPf OF WORK---._?? PIREPIACE(S) ?± 17 ;_ 1_ 2 APPLICANT r STREET ADDRESS Ce.1 l??' ?.?'i ve CITY 0? ?. STATE N?..?ZIP TELEPHONE # 7&3~ 717-Z3Z7CELL PHOhIE # ,S.?7- ?q9r• ilb? fAX # 769-717--2301! .e--?-- ? PROPERT`! QWNER o a. 6 I'( ? A TELEPH?7ME #?y?! "'????.? ---------------------------------------------- _----------------- _......... .-------............. COMPLETE THIS SEGTIQN FQR "NEW" RESIDENTiAI BUELDlNGS ONEY Energy Cads Gate9orY _ 1+[LNwE:SOT:I RtILES 7670 C:lTEG()HY L 4iINNCS[a'1".k RC'I.1 5 7672 submission type} • Residential VenNlaUan Gategary 1 Worksheet Submi4ted + 7"1 . Energy Envelppe Ca?culations SuBmiKed ?_ r1 ? JU? 15 2002 Plumbing Contractor: Phone # ? u Plumbing system includes: _ Water Softener Lawn Spnint?ler By Fee: $90. ?Vater Heater Na. of R.I. Bath No. af Baths Mechanical Cpn1'ractor. Phnne # Mccl7-uucal svstcm includcs: Air Conditioniii:; Fre: $70.00 Heat Rccoven• Scstem Sewer/Water Contracfor. Rhone # -- I hereby acknowfedge that f haae read thi5 application, state that the informcsti ' carre , agr ? fio camply with all applicabie State of Minnesota Statutes and City af Eagan Ordin es: w 5lgnature of Appllcant 4FFICE L SE'Oti L GertiFicates of Survey Received Tree Preservation Plan Received _ Not Required _ "'" updatea 4102 QFFICE USE ONLY 0 01 Foundation 0 07 05-plex 0 13 18-piex p 20 Ppol 0 30 Accessory Bldg 0 02 5F pweiling ? 08 06-plex ? ifi Fireplace O 21 Porch (3-sea.) CJ 31 Ext. Ait - Multi 0 03 01 of _ plex ? qg 07-plex 0 17 Garage p 22 PorchlAcldn_ (4-sea.) 0 33 Ext. Akt - SF CI 04 02-plex ? 10 48-plex O 18 Deck CI 23 Parch (screened) CI 36 Multi d 05 03-plex p 11 1 Q-plex ?19 Lower Levei 0 24 Storrn Damage Cl 06 04-piex p 12 12-plex Pibg_Y ar_ N 0 25 Miscellanevus ? 31 New O 35 Int Impravernen; p 38 Demolish (In#erior) ? 44 Siding ? 32 Addition ? 36 Move BIdg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (61dg)* O 43 Reroc7t ? 46 Windows/Doars ? 34 Replacement ;QemolPtion (Entire Bldg only) - Givg PGA handout to applicant ValuatioR Occupancy MCIES 5ystem Census Code Zoning Giry Water SAC Units 5tories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, af Bldgs Length ? Eire Sprinklered Type af Canst Width REQUiREQ INSPECTIONS - Footings (new bldg) FinaLC.O. - Footings (deck) FinalfNo C.O. _ Footings (addition) _ Plumbing ? Foundarion HVAC _ Drain Tile Other Roaf _ Ice & Water ? Final _ Poal _ Ftgs _ AiriGas Tzsts -Final _ Frarning _ Siding Stucca _ Stane ? F'ireplace _ R.I. _ Air Test _ Finai _ Windaws (newJreplacement) _ Lnsulation _ Reraitiing Walt Approved 8y Builcfing Inspector _ ----- - ------ __ Base Fee Surcharge Plan Review MC/ES SAG City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total `--I 13l 0 2005 RESIDENTIAL BUILDING PERMYT APPLICATION City Of Eagan 3830 Pilat Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,4 ,c).00 X\ lm - ?P_? , (?("' New Consdruction Reauirements RemodellReoair Reauiremer??s Offiio Use Onlv 3 registered site surveys showing sq. ft. of Iot sq. ft. of frouse; arrd d roofed areas 2 oopies of plan Cerl of Survey, Recd _ Y_ IV (20% maximum lot coverage allowed) 7 set of Energy Calculations for heated sddifrons Tree Pres Plan Recd _.Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey #or addi#ions & decks Tree Pres Required Y_N 1 set of Energy Calculations Addffion - indicate if on-site septic system On-ab Seplic System ` _ Y_ N 3 copies of Tree Preservatian Plan ii lot platled after 711193 Rim Joisf Detail Options selecfion sheet (buildings with 3 or less units) Date /a 1?_ 10 ? Construction Cost ? Site Address ?Mf 1???? -r&! / Unit/Ste # Description of Work k (-( C(-?? ?6ww? Multi-Family Sldg _ Y ?[ N f ?'ireplace(s) _ 0_ 1 _ 2 Property Owner c? 4? 46 ` La- ? ?oCoE? (o 0- I Af1Td Telephone # ( (a5_J ) ?$$, °!37 Contractor CdNS^fT ?Nc , Address 11961 /?I ? u-NvE AA City 51A Vve State Zip Telepbane# ( (o!Z) (pSS,,0/ZV(? COMPLETE THIS AREA ONLY IF CQNSTRUCTING A NEW BUILDING - Minnesota Rules 7570 Categorv 1 Minnesota Rules 7672 Energy Code Category .Residential Veniilation Category 1 Worksheet ? • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Caiculations Submitted In the iast 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of mpsfier plan: Licensed P'lumber Mechanical Contractor Sewer/Water Cantractar Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residentia] Builcling Permit and acknowledge that the information is complete and accucate; that the work will be in conformartce with the ordinances and codes of the City of Eaga.n and the State of MN Statutes; I understand this is not a perinit, but only an application for a perrnit, and work i?s not to s aut a permit; that the work will be in accordance with the approved plan in the case of work which re and approval of plans. &'j Co ' Applicant's Printed Name Apprcants Signature OFFICE USE ONLY Sub Types ? 01 Foundation 0 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bidg A 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi O 03 01 of _ plex O 09 07-plex 0 17 Garage C] 22 PorchlAddn. (4-sea.) 0 33 Ext. Alt - SF 0 04 02-p[ex ? 10 08-plex ? 1$ Deck ? 23 Porch (screenlgazebo) 0 36 Multi Misc. 13 OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Darnage ? OB 04-plex ? 12 12-plex Rlbg_Y or _ N ? 25 Miscellaneous WorkTypes ????'?'? t rl ?J ?,?`,?t?G?? ? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 5iding ? 32 Addition L] 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 16- 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 WndowslDoors ? 34 ReplaCemeni •Demolition (Enkire Bldg ) - Give PCA handout to appllcant Valuation ?0&_o Qccupancy MCES System Plan Review 100% ar 25°fo Census Code 2oning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. ? PRV # of Bldgs Length Fire Sprinklered Type of Const Wid#h RE+QUIRED INSPECT'IQNS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? Final/No C.O. - Foatings (addition) ? Piumbing Foundation ? HVAC Qrain Tile Qther Rouf Ice & Water Final Poo] Ftgs Air/Gas Tests Final ? Framing _ Siding _ Staacco _ Stone _ Srick ? Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector - ------------ Sase Fee Surcharge ?1j64-j Plan Review MC/ES SAC City SAC ? Utility Cannection Charge ?- -, S&W Permit & Surcharge Treatment Plant License Search Copies Other Total .---] + r 2005 RESIDENTIAL BUILDING PERNIIT APPLICATIQN I 1? rJ? City Uf Eagan 3830 Pilot Knob Rvad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?A 10 o0 New Construckion Repuiremenis RemodeURepair Requiremenls offi?jbe o11y 3 registeretl site surveys showing sq. R. of lot sq. ft. of house; and all roofed areas 2 copies of plan 0-00 QUftusy?e? Y N. (20% maximum lot caverege ailowed) 1 set of Energy Cakulations for heatad addibons T[? P€esPl?n R?uud ?`l N; 2 copies of plan showing heam & window sizes; poured fOUnd design, etc. 1 site survey far additions & decks T[?°?'M R0q0ited 1 set of Energy Calculations Addition - indkate if on-stte septic system pn=0e:;Seplid Sys?em?: Y `N 3 copies of Tree Preseroatian Plan if lol platled after7I1193 Rim ,loist Delail Opfions seiection sheet (buildings with 3 or less units) Da#e 12/ / (f / " Construc#ion Cost Site Address W L? ? NiIMAU.Y -OHl.+ UnitlSte # ?? i I-) Description af Work t0 `J??-!•' ?N<7 Vj5.''k'I VIFP Gj-%)Z) Multi-Family Bldg _ Y K N Fireplace(s) _ Q k 1 - 2 Property Owner contractor _ Address _ State "???L? ??"'? Cs3?")?c'?•?? Telephane # ( Q (Z) Fireside Hearth&Home 14399 Huntington Avenue Savage, MN 55378 952.736.7761 License #20512060 !lephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672 Energy Gode Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?1 submission type) 5ubmitted Submitted . Energy Envelope Ca4culations 5ubmitted In the last 12 months, has the City of Eagan issued a perrnit for a similar plon based on a master p€an? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephane # ( Telephone # ( Teiephone # ( I hereby apply for a Residential Building Perrnit 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 fihis is not a permit, but only an application for a permit, and work is not to start withaut a permit; that the wark will be in accordance with the approved plan in the case o?ork which requires a review and approval of plans. City , Applicant's Printed Name Applic t's Signature OFFICE USE ONLY Sub Types 0 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex C] 04 02-plex ? 05 03-plex ? 06 fl4-plex Work Types 0 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const ? 07 05-plex ? 13 1 fi-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/,4ddn. (4-sea.) 0 10 08-plex ? 1$ Deck 0 23 Porch (screen/gazeho) 0 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miseellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi 0 33 Ext. Alt - SF ? 36 Multi Mise. ? 35 Int Improvement ? 38 Demolish Interidr O 44 Siding 0 36 Move Building 0 42 Derriolish Foundatian 0 45 Fire Repair ? 37 aemolish Building* ? 43 Reroof 0 46 Windows/Doars "Oemolitivn (Entire 81dg) - Glve PCA handout to applicant Qccupancy MCES System 100% ar 25% Zoning Stories Sq. Ft. Length Width City Water Bvoster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Foatings (new bldg) ? FinallC.O. _ Footings (deck) Fina.1lNo C.O. _ Pootings (addition) ? Plumbing _ Foundation HVpC Drain Tile Qther Roof _ Ice & Water _ Final ? Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ 6tucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wa11 Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utiliky Connection Charge S&W Perrnit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION ? CfTY OF EAGAN 3830 PfLOT KNOB ROAD, EAGAN MN 55922 651-67505675 Please complete fnr rnodifications ta existing residentiai dweflings. Date Site Street Address Uni# # Propsrty Owner Telephone # { ) ? . Contractar Telephone # Addr1ess ' ?..? :,,.,•? : Gi#y t r ,. Stat? w- Zp a The Applicant is: _ Owner Contractor _Other Refurbished Submit 2 sets of plans and MPC license includes County fee IVew Septic System _ _ $ 1(}O.UO Per as-built $ i O.flQ Alterations to existing dwelling $ 50.00 1Adck plurnbing fixtures. This fee inelucies installatiore of a water softener and/ar water ? heater at the same time. Jf you are installfng onlv a water softener and/ar wafer heater, do not oompiete this section; move to #he neact section and check the appliance(s) yau are instaliing. -Septic System Abandanment ?Water Tumaround (add $130.00 if a 5/8" rneter is required) Other: Water Sufteraer Water lieater $ 15A0 _ new _ replacernent Lawre Irrigation _RPZ _PVB _new irepalr ?rebuild $ 30.00 State 3urcharge $ •50 Tatal $ . ? ?- - 1 I,araF,.. nnrtl„ fnr ? RQCiAontial DG irnhinn Pprmit anrl arknnw{arlne that fhe $nfDrnatlotl iS COCT1p1e t8 ant? aCCUI"dtB; that the . ..?..,....? f,.r.J ---•°..__. . ._..._...a . _....._ _.._ __.-------- - - - - - work will be in conformance with the ordinances and codes of the City af Eagan artd i'he plumbinQ cades; that E understand this is not a permit, but only an application for a permit, wor4c is not to s#art wri#hout a perrnk and work wiEf be in accardance with the spproved plan in the event a plan is required to be reviewed and approved. ' -, .-?.'-?='-?-- Applicant's Prited Narne Applican?'s Signatu?re 2006 RESIDENTIAL PLUMBING PERnnir aPPUCarIoN CITY OF EAGAN 3830 PILOT KNOB RDAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. Date ' Site Street Address Ii I f tTJ' i 11; vI (" t I Unit # "-j l ? • ? _ . ? Property Owner ?Ji ",1 Telephone # ( ) ,? I ? ? ?? ? f • rt t C hone # (763) Tele rac or or . Address ?''C ? S , , Clty p State Zip The Applicant is: _ Owner VContraator _ Other Septic System _ New _ Returbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures. This fee includes instailation of a water softener and/or water heater at the same time. ff you are instal/fng on a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonmerrt _Water Tumaround (add $130.00 if a 5!8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new f replacernent Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total 1 hereby apply for a Residential Plumbing Permit and adcnowledge that the informaUOn is compiete ana accuraie; mai une work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is nat a permit, but only an application for a permit, work is not to start without a permit and work will be in acoordanoe with the approved plan in the event a plan is required to,be reviewed aqd approved. ?'`% .? ? ' ? ? ApplicanYs Prin Name Applica?s 5ign ture 2007 RESIDENTIAL MECHANICAL PERMiT ArPLicATioN City Of Eagan 3$30 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes(condos when permits are required for each unit -.1 lr, Date Site Address vnit # Owner Pr'o ert ?" 00_. ( U?/ Telephone # ???? 6?&'7_77 0 p y VILLE H?ATING & AJC, 3NC. Contractor BURNS Street Address 3 Suite 120 City aw5Y! 8, ? o State Zip Telephone # ( ?--} P5 vQ d Bond #: Expires: h The Applicaut is Owner _X Contractor Other Fire repair (replace burned out appGances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50•00 _ furnace ?Additional ?eplacement New air exchanger ? air conditioner heat pump other State 5urcharge ? '50 t l T a o I hereby apply for a Residential Mechanica] Permit and acknowledge that the information is complete and accurate; that the warlc will be in conformance with the ordinances and codes of the City af Eagan and wi e hanical C • t?at I understand this is not a permit, but only an application far a permit, and work is not to start withou a pernvt; at the ork wi 1 'n ?cq?at? ?i?ttit}7t? D approve n in the case of r ich requires a review and approval of pla s. ? I? ? I? 1J l5 6 2007 Applicant's Printed Name A icant's Signa re 411? City of Eakan 3830 Pilot Krtob Road Eagan MN 55122 Phone: (651) 575-5675 Fax: (651) 675-5694 ti D 0D Q 2 2008 ?_ -._-----_-,..._.....___- ? FpF Q0WQst ? ? Permit #: I Permit Fee: ? • ? ? [ `? • o?-- I ? Date Received: ? I Staff: I L ------------T ----I 2008 MECHANtCAL PERMir APPLicaTIoN Dete: d c? r7 O ` 39te Address: ?Z/ g / 4, 6 -?u/Pa.z r ? Tenant: %_?_X4t rv ?,?Q y f?r y? Suite #: RESIDENT I OWNER Name: Phone: f? ?64 Address / Ciry I Zip: CQNTRAGTOR Name: 8URNSyILI.E hfEAT!!VG &AIC, INC. License 3451 W. Burnsuille Parkway Address: ,,.,;,,, 120 City: B4i1°I'lsvill9, MN 55337 Sta#e: Zip: Phane: 151?kl? V 600,?'_' Contact Person: TYPE OF WORK NeW V Replacement Additional Alteration Demolition Descriptian af work: N6"T,E:. B!Eith FOQfItTEttinifod at?d ???.tf?/ iYf4k?#'??d !?f???ktE?,?l i?Wp1178lIf ?S mqtfl?8t?' 46,. bescrTeerted by Ciiy G'iode. J?I?se C?tr???t' ? J{?eG?`rat??? +?rs;pe? o?' one +?f ??te Ptanrrers fi?r ?#orrt???ari. ?r? r?mi? s?re?? Ineflrr?d?.. ' PERMIT TYPE RESIDENTIAL CaMMERCIAL ? Fumace New Construction Interior Improvement Air Conditioner i tnstall Piping Processed Air Exchanger Gas Exterior HVAC Unit " NVAC uni3s must be screenad _ Heat Purr3p Under 1 Above ground Tank lnstall 1_ Remove) ? _ Other *` When installing/removing tank(s), call for inspection by Fira Marshal and Plumhin 1ns ctor RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing uni# (includes $.50 State Surcharge) $90.50 Fire rBpcllr (replace burned out appliances, ductwork, etc.) (includes $.50 Sta#e Surcharge) $ GV-? 0 TOTAL FEE COMMERClAL FEES: $70.50 Undergraund tank installatRon/removal OR Contract Value $ x 1% $50.50 Minimam (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,400, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.54 for each =$ State SurCharge $1,000 Permit Fee (i.e. a$1,001-$2,Od0 Permit Fee requires a$1.Od surcharge). $ TOTAL FEE .????•.?r a?????••?=?yw ????? •f ??? ????•,iiiinLIurI ls wmpkecrs ano accurate; mat me wonc ?nnn oe in conrormanee u+nm me oramances ana coaes at tr?e city or tagan; tnat I understand this is not a permit, but only an appiication for a permit, and work is nof to start withou 't; thaf the work wil6 be in accordance with the spproved plan in the case of work whi requires a review and approval of plans. x C?t??Cs?.:? ?o c? x Applicant's Printed Narrte Applicant's Signature FOR OFFiCE USE Reviewed Ry: ['kaatet Requiced Inspectior?C _Llnder Ground _ RougFi in Air Test Gas Service Test In floor Heaf Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4191 Amberleaf Tr Lot: 004 Block: 001 Addition: Rooney PID:10- 64560- 040 -01 Use: Description: Sub Type: e - Fixtures Work Type: Replacement Description: More Than One Floor Meter Size Meter Type Manufacturer Comments: Fee Summary: Contractor: Northridge Plumbing 6960 Madison Ave W #10 Golden Valley MN 55427 (763) 591 -1550 Kathy Baack 6960 Madison Ave. West Suite 10 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Roger D Griffith 4191 Amberleaf Tr Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA077657 05/08/2007 ePermit Line Size 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116554 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4191 Amberleaf Tr Lot:4 Block: 1 Addition: Rooney PID:10-64560-01-040 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 - Roger D Griffith 4191 Amberleaf Tr Eagan MN 55123 Steve Booth Construction 11401 Meadow Lane NE Blaine MN 55449 (612) 685-9246 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------- I For Office Use l ; Permit#: 30 p //J� City of Evan Permit Fee: I` of 3830 Pilot Knob Road Eagan MN 55122 I Date Received ( _ Phone: (651)675-5675 I I Fax: (651)675-5694 1 " 7 �"'`j�j I Staff: I '., i b v /2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date:A ` ` Site Address: C�l f�{?�J�•r C TA1 Unit#: Name: .r�a�rt,�1/t Tam 10 ✓1 Phone: Resident/ Owner` Address/City/Zip: '7-� 3 Applicant is: Owner Contractor T ype of Work Description of work: . GUG� � � vJ�-e_ ca n yk— l5 -_ Construction Cost: l U� Multi-Family Building: (Yes /No Company: Contact: Contractor Address: 122,77 .I Jicolle.-� kiU� S- _ City: fior is y 1 a State:d A; Zip:� Phonel q��73 �C�gEmail:T/P(&) License#: (✓ U Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING = In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE.Plans and supporting documents that you submit are considered to be public information. Portions of the information naay be classified as non-public if you provide specific reasons that would permit the City to l� conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x � _ Applicant's Printe ame Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration (Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof — Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 41 9 Occupancy :Y-V C– i MCES System Plan Review Code Edition VAn 2a I.S SAC Units (25%_ 100% Zoning P–1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: >o Footings (Deck) Final/C.O. Required Footings (Addition) _O Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:— Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: �L �� I� , Building Inspector RESIDENTIAL FEES Z o` X t e l' 3 ` Base Fee L xv Surcharge Plan Review X J,,-> STFN;R wry J MCES SAC 01 55 F% City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 �( G46L tnterpnse Urive ��/ Mendota Heights. MN 55120 �lD111iidla JC / . (612) 681--1914 FAX:681-9488 LAND SURVEYCR9 • cm ENCdNEERS * e ginaimr nq LAND PLANNERS. LANDSCAPE ARCHIIECTS 625 Highway 10 N.E. ,k * Blaine, MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: _LUNDGREN BROS. CONST., INC. 4191 AMBERLEAF TRAIL E �` � Ld yf 51 )ATE _.__. ... = 6DEn �a S� a- 0 Z O yF�jsr Z ,°w ` s 7 04S 2�.\ 29 911.1 BENCH MARK 9 .9 N' - 913.8 TOP OF PIPE X 904.5 i'�o� G• ELEV.=912.67 to Io 3 4 ;.�/ I 43.33 _00/ 191J. ` �h 913.4 913.3 2s / _ o 00 z 2 00 / `a) /Q� a-O 04 . h4.0p Z4�..�``' 300 r O Z 5 \� .� ^� /8.00 ^C7� /� 908. -3 00 0 ` ~ x ' Q/vim 25 Ng�°37 41 aw 1 10 m / 911.13 S0,33 1 917.0"�cc f1 4') 915.1 I 52,16 26.58 II � 916.0 25 � I /-',-o 2 BENCH MARK 4 TOP OF PIPE ELEV.=917.84 NOTE; PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER PROPOSFD HOUSE ELEVATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION C� (� 2 OF STPUOPURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST ~LOOK ELEVATION: L) FOUNDATION DIMENSIONS, ( 7 TOP OF BLOCK ELEVATION: NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR, NOI'$: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN x 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT, ( 000.00 ) DENOTES PROPOSED ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. -- — DENOTES DRAINAGE AND UTILITY EASEMENT —3 DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM —4— DENOTES MONUMENT $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO LUNDGREN BROS. CONST., INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4, BLOCK 1 , ROONEY ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4TH DAY OF AUGUST, 1995. SIGNED, PIONEER ENGINEERINNNG P.A. SCALE . 1 INCH s 30 FEET 1037 94322.11 SWK John C. Larson, L.S. Reg. No. 19828 To "d PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156030 Date Issued:06/13/2019 Permit Category:ePermit Site Address: 4191 Amberleaf Tr Lot:4 Block: 1 Addition: Rooney PID:10-64560-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Roger D Griffith 4191 Amberleaf Tr Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature