4053 Amethyst LaneEAGAN TOWNSHIP
BUILDING PERMIT N•° 1$06
Owne: .-••-??..N....•-?!!-'?'ti:.•.••---..------ 4-........ Eagan Township
Address (preseni) -A-.:,- ..........?..._?=-c?... Town Hall
BuilJer .............,e4c?r.^??_...........----•-•-----.•••••---•--•---.-•-•••••••......
Address Dafe ?.. .?..?.. ? _96
•------- f-r? ?••-
-- - ----------------------------------------------------------.---------------._.......----.
DESCRIPTION
52osies To Be Used For Front I
- Depih Heigh!
-- - Est. Cos! Permi! Fee Remarks
h? ` ? ?Z.?"? ? Q a-a O °-? /e / ,Q,c.,.t-?- ?Gr?-C ?G?_...1? -
Streei, Road or olher Descripiio LOCATION
I Lo! I Block _ AddiLion or
This permii does not authorize the use of streets, roads, alleys or sidewalks nos does it give the owner or his agen!
!he righ! !o create anp siluaYion which is a nuisance or which psesents a hazard !o the heallh, safety, convenience and
gene:al welfare to anyoae in !he communiiy.
THIS PERMIT MUST BE KEP ON THE PREMISE WHILE THE WORK IS IN PROGA/ESS. ,
This is io cerlify, ihal---?--?:•-•?7.:•••••. cp-.......... ...hes permission io erec! --, ?_`..?...•--------- upon
the above described premise subject !o the provisions of the Building Ordinance for Eagan ?wnship ad"6pted April 11,
1955.
............•--?.--•; ..' .y._`_?.`.__?.'.'..:^..-• ..............°-. Pt! ................
-X?-''?. ---•--{!.d?-??-f-r••--• . ?!f?....---.......
. . .... .... . --- --•-
v Cha? an of T?,nwn?B,oard Building Inspector
CITY QF EAGAN Remarks * Cedar Grove Acauisition
Addition Lot d Blk Parcel, n 16704 04n jl
Owner Street 4053 AmethYSt Lat1e 5tate Eaqan• M 55122
?-? e rs o r)
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK y 1967 100.00 5.00 20 Paid
SEWER LATERAL 1967 565.00 28.20 20 Paid
WATERMAIN
* WATER LATERAL ?(p 1972 807.00 24.28 25 Patid
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 200.00 sss -a =-8_
PAR K
EAGErN TOWNSHIP
3795 P32ot Knob Road
5t. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S$WBR SERVICE CONNECTIOPI
DATE4 .?Z, r?Z'?
OWNER?. c?avv? ? -o
PLUMBER
NtIMBER
-
Address `)/
TYPE OF pIPE Cat-4-?j ..L??-zt?7
DESCRIPTION OF BUILDING
Industriall Commerciali Residential I Multiple Dwelling I No. of units
Location of Connections:
sy
Chief Inspector
In considexation of the issue aad del.ivery to me of the above permit, I
hereby agree tio do the proposed work in accordance with the rules and
regulations of Eagan Toi•raship, Dalcota Count , Minneso
c?a-
By -?' -/
ConnecCion Charge c;L-o'-°
Permit Fee 7•
Street Repaizs
Total
Iaspected by:
DaCe
Remarks :
Please notify when ready for iaspection aad connection and befere aoy portion
of the work ia covered.
?oz? p _ z0 -/o -- C.G•??
EAGEiN TOWNSHIP
3795 Pilot Knob P.oad
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR SAnTER SERVICE CONNECTiON
DATE: mare-h 8.„ 1968
OWNER• .P(' _clar.S:rQYe C=jt. Co.
PLUMBE Tei .l,15-.
NUMBER f .-2,3
?
Address 402r? Ane,thyrst Lane
TYPE OF PIPE Cast Iron t,
DESCRIPTI4N OF BUIIDING
Industrial Coflanercial Residential Multiple Dwelling No. of units
x ?
Location of Connections:
? '-V
Connection Charge
? c
Permit Fee
SCreet Regairs
:-?- v 7
Tota 1
Iaspected by:
Date
Reffiarks:
sy
Chief InspecCor
In consideratiort of the issue aud delivery to me of the above per.mit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Torrnship, Dakota CounCy, Minnesota
Stein, Inc.
By
P1Aase notify t-3hen ready for inspection and con*zecY_:ion and befare any portion
oi the wcrk is cavered.
EAGEiN TOWNSHIP
3795 Pilot Knob Road
St. Faul, Minnesota 55111
Telephone 454-5242
PERKIT FOR SEWER SERVICE CONNECTiON
DATE: May 20, 1968
OTr1NER: Cedax Grove Const. Co.
PLUMBEIt Steins,,, Inc.
NUMIiER 174
Address 4052 Ame2gst Lane (20-10-5)
TYFE OF PIPE cast iron
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential } Multiple Dwelling I No, of uniCs
X
Location of Connections:
Connection Charge $200.00 Pd. 5/20/68
Permit Fee 7,50 "
Street Repairs
Total 207.50 'r
Inspected by:
DaCe
Remarks:
By. Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Bagan Toclnship, Dat:oCa County, Mianesota
By Steins, Ine.
Please notify when ready for inspection and connection aad before any portiion
of the work is covered.
I I Y.
i
,
_ city of eagan
MEMo
TO: DtANE DOWNS, UTILiTY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(206 LOTS)
This memo is to inform your department to begin to invoice 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 i6
Block 5, Lots 1-25 , 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 6, Lots 1-5 5
Block 9, Lots 1-2 2
Block 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 sVeetlighting in the above {isted
subdivision.
9 ?
? i ? Llk ?
Edward J. rsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
?K?K****?**?*****?*??**?******?******?***
CiTY pF EArAN
CAaWIER: 1S TERMINAL N0: 680
DATEa 12/06/99 TIME: 15s09:49
IU a
NAME: VT5I0NS MAINTENANCE FRFE
3210 9001 4053 AMETHYST L_ 111.25
215?i 9001. 4053 AMETWS"f L 2.50
Total Receipt Amaun+.: :L13. r ?
CRi2Cl306
lJSER ID: JAN
?C?K* **?K*?K*:K*?k** **?t?k****?C*******?K*******?C
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Q CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
.? 651-681-4675
New Conttrucdon Reauirc
? 3 repbterod site surveys showinp sq. R. of lot, sq. il of house
and a roofed areas (ZO% maximum bt covanoe allowedl
D 2 copies of plans (show beam 3 window sires; poured fid. design; etc.)
D 1 set of eneryy calculadona
D 3 copies of tree presenation plan iF lot plattsd aRer 7Hf93
DATE' / °1 6 - '1 '7
DESCRIPTION OF WORK: $ J
RemodeURewir ReaulremaMs I -?
-'I
2 eopias of plan
1 set ot errorgy calwqdans for habd additlon:
1 sits survsy for extKior addMtons b decks
?
CONSTRUCTION COST:
STREET ADDRESS: q (i ?3> 157wr e ?-? ?-5 t z- ^- .
?
LOT: 'A BLOCK: SUBDJP.I.D. #: o J t 44 .5f
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name• '"-e re` 50 -" Phone #• ? S" ( ' q S?f " ?1(0 ? a
LIst Fimt
Stred Address: qUS 3 ,
City La a? State: /t't /- , Zip:
s-?-l a a
Company: L-?FrS • Phone #: ?/-k- ?-S 5^ 5? `l4 O
(area code)
Street Address:? I_ C? ? / °2 v Licenae # ? -Pw T Exp.
Crfty &v L.rSG , lt - ?' @:
m A-, -
Company:
Telephone #: ( )
Name:
zip: s-57 3 3 7
Street Address: Registration M
City
State:
Zip:
Sewer & water Rcensad plumber (new construction onMl: Telephone
Fenalty applies when addross change and lot change is requosted once permR k issued.
ehereby ecknoviAedge that I have raad this applicetion, state ihat the informatlon fa corract, and agrae to comply wMh ail applicable Strte of Minneaota Sbttes and Cit
of EaBan Onlinances. .
Signeture of Applica .
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace E3 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage O 22 PordUAddn. (4-sea.
? 03 1 of _ plex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
13 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
E3 33 Alteration 0 37
13 34 Repair p 38
GENERAL INFORMATION
Tenant Impr ? 39
Move Bldg. ? 40
Demolish Bldg.* ? 41
Demolish (Interior) ? 42
" Give PCA handout to appL
Gas Line Only ? 43 SidinglSoffts/Fascia
Gas Insert 0 44 Windows/Daors
Wood Stove ? 45 Fire Repair
Reroof
Icant for demolition permit
Const. (Actual) Basement sq. ft. Census Cade
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Pennit Fee Valuation: $
Surcharge
Plan Review
License
MCIES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VI/ Permit "
S/VU Surcharge "
Treatment PI. ?
Parlc Ded. Trails Ded. '
Other
Copies _
Total:
SAC Units
% SAC
CITY USE ONLY
L BL RECEIPT#: ?J
SUBD. CeAdr roY u RECEIPT OATE: C"b
PERMIT # *
8000 PLUMING fflMIT (R£SIDENTIAI.)
crrY og EAsAri
sgso Pu.or Kvos ftn
EAGx, MR 55122
651-881-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FerH # TOTAL
r 1^ 1 V I%G?7
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00 --
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x =
= $
$
Hot tub/s a 3.00 x
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem new/refurbiahed ? reulres MPC Ilc. 75.00 x = $ °
Se tiC S stem abandonment 30.00 x =
= $ ?
$ ?
RPZ new installaGOnlre irlrebuild 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if exisun dwenin 30.00 x = $ ?
Water closet 3.00
00
3 x
x = $ O, o0
Water heater . = $
Water softener if dweuin under construetlon 5.00 x = $
W ater softener H existin dwellin 30.00 x $
Water turnaround 30.00 x > --> 50
$
State Surchar e .50 --> ----
> --
...a .
$ 30 . SU
Total _> __- .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--•----- --------------------------------•------?
-----------------------------------------------------------------•------------ ----------------
I hereby adcnowledge that 1 have read this application, state that the informetlon is correct, and agree Go comply wifh all applicable City of Eagan ordinances.
It is the appGcant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal
operational and maintenance acfivides to the faalities oonstructed under this Dermit within City propertylri9ht-of-way/easement.
SITE ADORESS: _ PETERSOtv, PAULA
OWNER NAME: :_ 4053 AMETHYST LANE _ TELEPHONE #:
EAGAN, MN 55122 (AREA CODE)
(651)454-8672
INSTALLER NAME: TELEPHONE #:
NORBLOM PLUMBIND CO. '??? ?DE)
STREET ADDRESS-rjj&
?v ?c u-?ww
CI-?; g906 GAfiFI LvO AVE. 80UTH STATE: ZIP: -
MINNICAFULID,
SIGNA E OF PERMITTEE
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Use BLUE or BLACK Ink
F "
I For Office Use
City of EaEdn ~ Permit , I
s
iU1 I Permit Fee: 05
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: C~ I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 19-31-13 Site Address: yOIS3 Unit
Name: H6A)12 y 4- 6e1J ~ ATelZ04 Phone: 65-1- Y,57V - 'S A),7,R
Resident/
Owner Address/ City/ Zip: yd~3 .4NF_rj.1 y T
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes /No Ne
)
Company: hA1TDLbF0U CQAJ5X91JliT/d~Contact: ~Q13
Contractor Address: ~/1l 1~1.4l21 ~4N,< ~U/T~L3 city: SDVT ff 57~ I~fIUL.
State: ~ Zip: ~~Q 7-5 Phone: &Lf7~330 / 74?/
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 classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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 9D.1901 W.4Jr&,~~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121544
Date Issued:04/07/2014
Permit Category:ePermit
Site Address: 4053 Amethyst Lane
Lot:4 Block: 11 Addition: Cedar Grove 5th
PID:10-16704-11-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Henry G Peterson
4053 Amethyst Lane
Eagan MN 55122
(651) 454-8672
Antonsen Construction Inc
411 marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature