4071 Amethyst Lane#7_ // -,5
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
NUMBER I'I0
OWNER: _ a e- - Address 5'a 9f 27ez1?Z .
PLUMBER -?? TYPE OF PIPE DESCRIPTION OF BUILDING
Industrial) Commercial( Residential 1 Multiple Dwelling I No. of units
Location of Connections:
Connection Charge 0-00_9 s!/?/4r
Permit Fee Street Repairs
?-o
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit,
hereby agree to do the proposed work in accordance with the rules and
regulations of Ragan Township, Dakota Coup y, Minnesota
By
I
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ... '"-t • C .. ..........
Address (present) ------- .... -
Builder --------------------------------------------_------...--------...------------------------------
Address ...................... .----------------------------------------- -.............................
DESCRIPTION
N? 1781
Eagan Township
Town Hall
Date -19-Cstories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
l??.+-r moo, `? AV
LOCATION
Street. Road or other Description of Location Lot Block Addition or Tract
7
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health. safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON T E PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that... ,.--- ".:....... -------------has permission to erect a.... +............. -upon
the above described premise subject to the provisions of the Building Ordinance for EaTownshi adopted April 11.
11aea
'-? --------•--1--.:...1=' .......
........ ! ._'` Per ............. ...... "......
Chair an of 6
Board Building Ins ector
G -
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition C.Ei)AR GROVE #k5 Lot -7 BIk U Parcel 10 16704 070 11
Owner -'/i Street 4071 Amethyst Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 U 1967 100.00 5.00 20 Paid
SEWER LATERAL 196 565.00 28.20 20 Paid
WATERMAIN
* WATER LATERAL 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK a 3'J 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 753 - 5-10-68
PAR K
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N! 6093
PHONE: 454-8100
BUILDING PERMIT
To be used for Receipt #
Est. Value Date 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
LU Name Move ? # Stories
z Address Demolish ? Front ft.
Ci Phone Grade ? Depth ft.
Approvals Fees
Name
Address
u Assessment Permit
U Water & Sew,' Surcharge
city Phone
Police Plan check
H
FW Name
Fire
SAC
u? Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off. _
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit # Date lased Permlttw
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings 9-;2:z-lb Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final lj>•'7,3
t 4Z,
Remarks ?? * Q O gyp/ `?
J
l
Time lam . `30
WHILE YOU WERE OUT
M- 22L&i?
of
Phone ?? 3 T o- 3 4
Area Code Number Extension
TELEPHONED E CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTSTO SEE YOU URGENT
I RETURNED YOUR CALL
Message 'Q 7/
a
j? AMPAD 23.000 50 SHT. PAD
?i EFFICIENCY® 23-001 250 SHT. DISPENSER BOX
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
To be used for GARAGE ADDN.
Site Address 4071 Ame thy'sf Ln .
Lot 7 Block _1-1 Sec/Sub. Cedar Grove
Parcel # rc I (C -1 o'( V'7+"
W Name James & Jill Body
3 Address 4071 Amethyst
9 r:w. Eagan. Mn ok...,e 454-6725
Name Game
Zo
Address
H r;+.. phrw
Name
Address
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit XXti i'YM1 8- O(
Surcharge 2.5(
Pion check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statut and City A Eagan inane APC Total 2(lr,
Signature of Permittee
A Building Permit is iss to: Jame & S 1 Bod on the express condition that
all work shall be done accordance with allgpplicpble State of Minnesota Statutes and City of Eagan Ordinances.
N2 6093
Date 6-1: , 19 t5U
Erect ? Occupancy R3(m)
Alter ? Zoning Rl
Repair ? Fire Zone
Enlarge k Type of Const. V
Move ? # Stories
Demolish 0 Front 11.5 ft.
Grade ? Depth 36 ft.
Approvals Fees
5,000
Building Official
2/7)T
l' (, C' C? ?
1-,
CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For a t - 1l Valuation f/ z Z) Date
Site Address : Xf,I c ,„ t 1-. Al SOFFICE USE ONLY
Lot 7 Block Sec./Sub. PErect Occupancy
Alter Zoning
Parcel #: Repair Fire Zone
-r - '? Enlarged- Type of Const.
Owner: -f Move # Stories
Address: Yr z / .4 t L1 11 ?'5 Demolish Front ft.
City/Zip Code: Grade Depth Z6 ft.
Phone #: 1 - 16 7 . c APPROVALS FEES
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code:
Phone #:
Assessments Permit _
Water/Sewer Surcharge a„
Police Plan Check
Fire SAC
Eng. Water Conn. _
Planner Water Mete
Council Road Unit
Bldg.
APC
TOTAL 6 -s---
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city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING 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 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 16
Block 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
Block 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15
208
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
yd-
Edward J. rsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
0 ,"
New Construction Requirements Remodel/Repair Requirements
3 registered she surveys showing sq. fi, of lot. sq. ft. of house; and all roofed areas 2 copies of plan C of:Suroey l cd '
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Trek t're'.s Ptafr :
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pct s R u s e d X -s 1
1 set of Energy Calculations Addition - indicate if on-site septic system Orrsrle-Septip tem EI
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date l 1 -3 / 05 Construction Cost
Site Address L D S A M Unit/Ste #
Description of Work (R-c- roo-r-i,no,
Multi-Family Bldg - Y N Fireplace(s) 0 ,,,_,_ 1 - 2
Property Owner 11 T\rY 0 be rl
c 1 -111 i)
Telephone # (-P 1 1)
C L
C S ?
ontractor -
Address City
State Zip Telephone # ( )
j07
is ^'1
4 Iljti
COM?LETHIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Miuiries taR es 7670 Category 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
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 review and
approval of plans.
Applicants Printed Na e Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plea ? 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) ? 36 Multi Misc.
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
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) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
Roof lee & Water _ Final - Pool Ftgs _ Air/Gas Tests -Final
_ Framing _ Siding _ Stucco - Stone - Brick
Fireplace _ RI. - Air Test - Final _ Windows
Insulation - Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit
Ron
City of EaRd
Permit Fee: lP
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 /i Site Address: 4/0 7 Unit
Name: MA ule & 6 , Gh gr Phone:
Resident/ t
Owner Address / City / Zip: eiD Applicant is: Owner contractor
Type of Work Description of work: ,r,
Construction cost: 4" 14 Multi-Family Building: (Yes / No
Company: 11-3 . Contact: 46ve
Address: ~~l/ ~ grAn 4LP City:
Contractor
State: ,~p,,►Zip: ~'1~ D~/ Phone: t 477
License
PL.
8 t 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I 1~5 j v e
COMPL TE THIS AREA ONLY IF NSTRUCTING 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 x
Applicant's Pin d Naroe Applicant's gnature
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