4034 Amethyst Lanei
? EAGAN TOWNSHIP
_ BUILDING PERMIT
owne: ._.....?-L-?s-?----.?:-w-S....?-s2-.s?`.?.. ?@.:..
Address (Present) ...r'?`.?.:....?.:.._??..r:.-••• ................•---...
Builder ............. '°f-'-=------••-••••----••-----•••.._--• ........................................
Address .................................. ............................................................
DESCRIPTION
N° 1833
Eagan Township
Town Hall
Dale ._-
5tories To Be Used For Fron! Depth Height Est. Cos! Permit Fee Ramarks
- h[ "4'? '& ,(?e,?3,s.•!
% / S ? 86' . -- /O ! "-?'
LOCATION
Street. Road or other Description of Location I Lot I Block I waau20n or -rracs
'7 S
<r
This permit does not authorise the use of sireels, roads, alleps or sidewalks nor does it give the owaer oz hia agen!
!he rfght !o create anp situation which is a nuisance or which preseats a hasard !o the health, safety, convenienee and
geaeral welfare to anyone in !he community.
THIS PERMIT MUST BE ICEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESB.
This is !o cerlify. 3hai..._?.G..4 c?--- „?:°?'::.`.. ?::a?.has permission to ereci a___..!?. ._....__ ^__. ?- . ........... . upon
!he above described premise subject !o the provisions of the Suilding Ordinance for Eagan wnship adop! d April 11,
1955.
e
Pez ................... ..,?.?.. _ u._..._..
--•---•---•- . _. . ...--------- • ?:J.......-.
........-- --•••- --•-• .... .... . .....................................
of Tnwn Board uilding Inspector
Q. . /.3,
EAGliN MWNJHIP
3795 Pilot Krob F.oad
5ti. Paul, Minne3ota 55111
Teleghone 454-5242
PERMIT FOR SETd£sR SERVICE CONNECTiON
DATE• ? ?,'tkq$ER "Z ° 6?
OWNE??.G?" Address J
PLUMBER A-e Z`YPE OF PIPE C?r?,???'
DESCRIPTION OF BUI7AING
Industria1l Cammercf.al { Residential
- - - -- --
MulCiple Bwelling - Na. of units
?
Location of Connections:
Connection Charge
Permit Fee
'7 ,sv
Street Repairs
ToCal 9-0 -7• S-19 Ple "Y'3/ A8'
?' li •B.
Tnspected by:
Date
Remarks:
By
Chipf Insgector
Zn consideratioa of the issue and delivery to me of the above peYmiC, I
hexeby agree to do Che proposed worEc in accordance wiCh the ru2es and
regulations of Eagan Township, DakoCa County, Minnesota
By
Please notify when ready for inspection and connecCion and before any parCioa
of the work is covered.
CITY OF EAGAN Remarks * Cedar GmVe ACQL13.sitiori
Additio CEDAR -GWVE #S Lot 17 Blk 10 parcel 10116704 170 IO
owner trdet 4034 Amethvst Lar1e State EagBrt. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 2 1967 100.00 5.00 20 P8id
SEWERLATERAL 3 1967 515.00 25.70 20 Paid
WATERMAIN
* WATERLATERAL 1972 607.00 24.28 ZrJ
WATER AREA
STORM SEW TRK 3 1974 70.00 4.66 15
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 879 - -658
PARK
,u ?.
.,?.
_ c4 of eagan
MEMO
TO: DIANE DOWNS, UTILITY BlLLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your department to begin to invofce the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
Block 3, LotS 1•11 11
Block 4, Lots 1-16 16
BIoCk 5, LOts 1-25 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 2
Biock 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
: ?
v4, ,'Q-
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
b qolle
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residentiat dwellings.
fj-os'V
Date l EtS-
Site Street Address D Unit #
Property Owner Telephone # ( )
Contractor 94- so rr 5 /" Ivo4 q Telephone #(7?,3) y7?S-oZ9?
Addre.ss 3?/0 ?',",' jirie(-- /U City Of&100A State? ZipS-
The Applicant is: _ Owner gContractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater-complete next
'J:-
,[a, V F/ dr-a,, n
section if installing these appliances). T?'/G f T?,6
,
T-ab
_Septic System Abandonment
=Water Turnaround (add $125.00 if a 518" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair Trebuild $ 30.00
State Surcharge $ .50
Total $ 671S
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
h ?
Applicant's Printed Name
Applicant's Signature
?
IIAY ? ? ?
? = 2005
6 g?g3
2005 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone # (
New Construction Reauirements RemodeUReoair Reauirements Office Uss OnIV
3 registered site surveys showing sq. ft. ot lot, sq. ft. of house; and al? roofed areas 2 copies of plan Cert of Suryey Recd - _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reguired _ Y_ N
1 set of Energy CelculaUons Addifion - indicafe if on-sifee sep6c sysfem On-sfte Septic System ` _ Y_ N
3 copies of Tree Presenration Plan 'rf lot platted after 7/1193
Rim Joist Detail OpNons seledion sheet (buildings wfth 3 or less units)
Date 0 5 I O?o
qo / O s
A Ak
? Construction Cost 12
#
ibSt
U
?ane
Site Address iq /V1
t/s _ n
e
Description of Work NIIMOCeI b0.?{Nkt?T ? 14ClMaC Y 1P.t.J lCqAI ",m bai?r0am. oe? GI
Multi-Family Bldg _ Y4N Fireplace(s) _ 0 ? _ 2
O :Dm01 ky -r(s L41 Q f' Tftitune #(a)SZ )`T1D 1' O 30 6k?
wner
Property
Contractor b? Co?A 5*TI/tC i (O/? ? L C--
Address 2 O W i S 1AY KTL° ('? kvC. I-l City e Ir1 Ai?@ l/
State M, N Zip SS 2-_37 Telephone #(`4{i3 ) Z2 `l
`-J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
. Energy Envelope Calculations Submilted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
00
S, ? ?/?s.A
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 pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan ' the c se of work which requires a review and
approval of plans.
-To nv 9, T) kri s a n _
Applicant's Printed Name Applicant' e I;?' i 6 005 I
?
Y---
OFFICE USE ONLY
Sub Types
0 01 Foundation
? 02 SF Dweliing
? 03 01 of _ plex
? 04 U2-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex
13 OS 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-piex
O 13 16-plex
O 16 Fireplace
O 17 Garage
O 18 Deck
[K 19 Lower Le el
PIbg?Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
O 23 Porch (screen/gazebo)
O 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bfdg
? 31 Ext. Ait - Muiti
? 33 Ext. Aft - SF
? 36 Mul6 Misc.
Work Types
? 31 New 0
32 Addition
33 Alteration
? 34 Replacement
O 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building"' O 43 Reroof ? 46 Windows/Doors
• •Demolition (Entire Bldg) = Give PCA handout to applicant •
Valuation Occupancy MCES System
Census Code Zoning City Water ?
SAC Units' Stories Booster Pump "
# of Units Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const •?? Width • ,
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) i Final/No C.O.
_ Footings (addition) l Plumbing
_ Foundatian / HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding Stucca
Brick
Stone
? Fireplace _ R.I. _ Air Test _ Final _ _
Windows _
_
% Insulation _ Retaining Wal l
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?l1 17
20U7 RESIDENTIAL BUILDING PERMIT AFPLICATIQN
City Qf Eagan
3830 Pilo# Kn46 Romd, Eagan MN 55122
Teiep6one # 651-675-5675 FAX # 651-675-5694
New ca=cBon Rem,ire?ts
3 re9istered si0a oveys shouYtng sQ. ft. af lat. sq• R. of itorue: and aD roofed areas
(20% fAEp(Ip9S11 W COYBfBgC BSOINEd)
1 Sails Repat 0 ProPosei3 buitdhig is to he piaced on dishirbed sal
2 copiaa ad plan shoN6ng beam 8 window sfzes; poured iound design, etc.
1 set of Energy Cdwbhona
3 oopies of Trae Pmwvabon Plen if fot platled afler 711l93
Rirn Joisl Oeleil Op6ons seledon sheet (buildings with 3 or less units)
Unnegawo mechanical venbkatlon farrn
RemadeVRenak ReuufremenLa
2 coples of plan shoMn9 tootings, beams, iOisis
f set o( Energy Calculatlons fw heated additians
1 site survey tor addiUans 8 decks
A dditiurt - irndfcate if on-sife sepfK system
m
,
?•'_ 3? ` ? ?G
Plans are consift'red oublic informatinn unlr-?iec vni, cfatn +ha?? am.o f.nAe ?.,,...,,a ....J aE
Date t
Sita Address
0 - ---
;4r,,x e 1"? ?-L_.N • -.? .7c'iLFGI GfFU LrrC rCa?Vjj.
Construction Cost $
Unit/Ste #
Description of Work ? e') ?
Multi-FamiEy Bldg N Ftircplnce(s) ? 0 _ l ? 2
Property Qwiter 1 l c- - o t s Telephone # (GSI -??- aj
--?-
Contractor ?
? '?' ?? ? i
s W)
? % l) • (a ,
Addwess
State {Jk - Cjty U4l?
Zip Zq Telephone #
COMPLETE TNIS AREA ONLY IF CaNSTRUCTING A NEW BU'iLDING
- Minnesota Rules 7670 Cateeorv ] Minnesota Rules 7672
Energy Code Category . ResideMial Vehtilatlon Catego s worcsneet •
(New J submission type) Submltted ry Submitted y Code'Workshe?t
• Energy Envetope Calculations Submitted
In the last 12 months, hps the City of Eagan issued a permit for a similar plan based on o rnaster pian?
_ Y _ N If yes, date and address af master pian:
LIc2nsed Pl,:mber
Mechanical Contracior
Sewer/Waier Contractor
7elephone.# (
Telephone # (
Telephone # (
I hereby app{y for a Residential Building Perrnit and acknowledge that Ehe inforrrEation is eamplete and accurate;
tha# the work wili be in conformance with the ordinanees and codes af the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a perrnit, and wark is not to start without a
permit; that the work wilt be in accordance with the approved p n'n the 7fwork which requires a revierv and
approvai of plans.
eZ{?/f'ja0'j ?? (6&)e
Applicant's 3'rinted Name A ti ' i fure -
I (?
DO NUT WRITE BEL4W THIS LINE
Sab Types
E3 01 Foundation
? 02 SF Dwelfing
O 03 01 af ^ piex
? 04 02-plex
0 05 Q3-plex
[7 Os D4-plex
Work T es
0 31 New
? 32 Addidon
? 33 Alteratlon
0 34 Repiaoement
? 07 05-plex ? 13 18-Plex O 20 Poal ? 30 RccessoryBldg
? 08 06-plex 0 16 Ffrreplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi
0 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea. ) 0 33 Ext, AIt - SF
0 10 08-plex ? 18 Deck 0 23 Porch (screeNgazebqlpergola) 0 36 Mulii Misc.
0 11 10-plex C] 19 Lpwer Level ? 24 Starm pamage
0 12 12-piex L] 25 Miscellaneous
0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
C] 36 Move Building ? 42 Derno#ish Foundatian CI 45 Fire Repatr
? 37 Demofi8h Building" O 43 Reroof ? 46 Wrndows/Doors
•DamolilFan (Entlrg 81dg) • Ghre PCA handout to applicatrt
DBSGj'ID#IDn: WaterDamage Yes
Valuatlon Occupancy MCES Sysfem
Pian Review 100% or 25°fo
Census Code Zoning City Water
SAC Units Staries Booster Pump .
# af tJnits Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Con5t Width
REQUII2ED INSPECTIQNS
_ Fontings(new bldg) Shcetrook
_ Footinp (deck) FinallC.4.
_ Footings (addition) FinaUNo C.Q.
_ EQUndation HVAC
_ Drain Tilc ? pther
Roof - lce & Wa#er _ Final
? Pool Ftgs Air/Gas Tests Final
-Frarning
? 5iding
S#u cco Lath Stone Lath Brick
_ Fireplace _ R.I. -A#r Test _ Final _
Windows ?
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Basfi Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permlt & Surcharge
Treatment Plant
Liaense Search
Copies
Other
Tata!
Use BLUE or BLACK Ink
r----------------- 1
I For Office Use 1
My Permitof Eajan ; Permit Fee:
I 1
3830 Pilot Knob Road l
Eagan MN 55122 Date Received: tQ 1-7
I
Phone: (651) 675-5675 i I
Fax: (651) 675.5684 1 Staff: I
1 i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address• nit
Name: IAA t•~~ fed Phone:
Resident! Cl,,
Address/ City / Zip: 1 i~1A. 55122-
Owner Applicant is: Owner r Contractor
Type of Work Description of work: l ba y : O F f- Q e m o e- hL H o U.5c
Construction Cost: c Multi-Family Building: (Yes I No
Company: v\ ( Contact: iew -9-5 A63 ej 3:6
r IN
Contractor Address: to S t-.Jea $ k- BO City:: wt -Ana t)ri ~ .
State: 61 AZ zip: 5 5 MA6 Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of
the Information may be classiffed as non-public ff you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher Stab 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.aoohersta,tegn_ecall.ora
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.
xC1iL_S'~tir~Cf'-Z x
Applicanrs Printed Name Ap Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167759
Date Issued:03/29/2021
Permit Category:ePermit
Site Address: 4034 Amethyst Lane
Lot:17 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tess Riggs
4034 Amethyst Ln
Eagan MN 55122
(850) 377-6641
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature