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4257 Amber Ct CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5896 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name r ~ Move ❑ # Stories z Address Demolish ❑ Front ft. 0 Ci Phone Grade ❑ Depth ft. s Name Approvals Fees ~F ou Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check ~W Name Fire SAC ua Address Eng. Water Conn. iW City Phone Planner Water Meter Council 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: ` on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official remit # DO% Wood Pemlifee Plumbing Mechanical INSPECTIONS DATE' INSP. Rough In Final Footings Date Insp. Date insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: CITY OF EAGAN Remarks Cedar Grave Acquisition Addition Cedar Grove #2 Lot 8 Blk 7 Parcel 10 16701 080 07 Owner Street 1257 Amber D~ C-- State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 65 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1 0 2.1 2 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. t~ BUILDING PER. SAC PARK PERMIT # ' t p n MECHANICAL PERMIT I~ / ✓r I CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block T, ' Sec/Sulp as. New j Name Mutt Add-on ` Address Comm. Repair I , - Other c City Phone F Name " - FEES RES. HVAC 0-100 M BTU -$24.00 c Address 1 -T : '7 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC p City Phone C ONSTRUCTIONUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Bailer M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00 $ STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE- S/C: SIG E _ E TOTAL: ' FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 141+ i ra 1"' (612) 681-4675 SITE ADDRESS: APPLICANT: fJi IIFLI ie I { ! IVti 1f 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. 1 sl•,.1 I! I 1 I J Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L This request void~~ 18 months from r'J bf'L~ E 5170 13 Rxquest Dale /~~i~ Fie No, R qurteC>Insue cdon geady Now QWill NalHy Insper.- r~~ - 5r o~ ❑Ves No for When Ready I~ icensed Electrical Contractor 1 hereby request inspection of above ANOwner electrical work installed at Street Address, Be. or Rome No. C.1y o d i3 7 (f~e ec too NO. Township Name Or NO. Range o. County Oee Pant (PRINT) Phone No. °v -(f Power Supplier Address D-e6 Y Elec Contractor ompany Name) Contractor's License No. V& Mailing Addr s (Contractor or caner eking Instailauon) .1 Authorizetl ig a ure (Con ractor Owner Making Installation) "'bane Number / < --4 2 THIS INSPECTION REQUEST WILL NOT MINNES TA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs •Mi ey Bldg. - oom N•191 UNLESS PROPER INSPECTION FEE IS P1621hone16 Univers St. Paul, MN 55104 y 1!,t ENCLOSED. 121 600 REQUEST FOR ELECTRICAL INSPECTION EB-00001-`06 See instructions for completing this form on back of yellow copy. E ' 517 ,.X.. Below Work Covered by This Request tn4Addj Pep. Type of Building Appliances Wired Equipment Wued Home Ranqe Temporary Service Duplex Water Heater Lighting Fixtwes Apt. Building Dryer Electric Heatut Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other (Specify) 01hei Is nou fyl [ .r peu v Other Ocher lompote Inspection Fee Below # Fee Service Entrance Size it Fee FeedersrSubfeeders # Fee Circuits U to 200 Amps 0 to 30 Amps O to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Above 100_Amin Swimming Pool Above 100 Amps Transformers h}igation Booms Partia6 Other Fee Signs Special Inspection s Remarks dJZ TOTA D•oCi Rough-in Date I, the Inspector, hereby certify that the above Final •e.~~ 'inspection has been made. This request void 18 months from CITY of EAGAN N.2 4053 BUILDING PERMIT r 3795 Pilot Knob Bond Owner . ~ Eagan, Minnesota 55122 Address (present) r-~.~--..~.... ~/~...(:-!A y 454-8100p ? r~/ Builder -f1 .-CQ . Q .J- f.Ez Data Address . .Y.'L..P... ~...1. DESCRIPTION Stories To Be Used For Front Depth Haigh! Esl. Cos! Permit Feel Remarks 36 LOCATION Street, Road or other Description of Location I Lo! Block Addition or Tract was) . ,@ ( g 7 ce"4' This permit does not authorise 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, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON T NE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that-.7_,,t .......................has permission to erect a2 ~e..?.~1 .L1:5^!4»r.: upon the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan 'l~j. .e Per ....F.:.: a Mayor Building Inspector PERMIT NO...:.II^!-.. Eagan Township Dakota County, Minnesota Date ll....:....1._.._.. Application fox Building Permit Type of building or work contemplated. Circle correct descriptions. Residential Commercial Industrial Other Alter Repair Install Move Wreck Other Build Enlarge Dimensions_...L.Il../~.. V Cost Details or remarks...... La'l U~V.t_ .ld..Y- - Location Number Street Between whale cross streets Siao Est. Valuation Lot Block Addition Rearrangement or Tract Owner ...1...~._Q...(~~._.....~? Address Contractor ( Add: ess U.1..,f.~..L The undersigned hereby makes application for a permit to $ do work as herein specified. agreeing to do all work in strict Total fee collected. accordance with the building ordinance adopted April 11, 1955 by the Eagan ownship Board of S rvisors. Permit fees are not ~ refundable s Signed EAGAN TOWNSHIP 4 BUIL'DIN'G PERMIT N° 2833 Owner x~,./..-.... i.....T v -=a Eagan Township Address (present) ...X 5`7 - G-"-"~•--... Town Hall Builder Date - 7i.. Address DESCRIPTION Stories To Be Used Fos Front Depth Heigh! Est. Cost permit reel Remarks LOCATION S•Sa Street, Road or other Description of Location I Lot Block Addition or Tract 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, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that..... !.../1.~.c...~ ~ ....................................has permission to erect a..-~.................-.................................. .upon the above described pre use subject a the provisions of the Building Ordinance for agaE n Township adopted April 11, 1955. e X:it.z ......-Q`~" Per Chairman of Town Board Building Inspector 16 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 Valuation ~'/O d0 U Date .)u-We aSy f q Yo Site Address: 4a57 Amber C'F OFFICE USE ONLY Lot ? Block 7 sec. /sub. Cedar C,r~ve'F Erect Occupancy Parcel Alter Zoning/ Repair Fire Zone Enlarge _ Type of Const. Owner: J&WLdS 2.:For"OVV - Move # Stories Address: Demolish _ Front ft. Depth ft. City/Zip Code: Eo_c~,~ YN;„ti ~S Grade -4S 4- 2 L / APPROVALS FEES Contractor: ~ 0-r P- Assessments Permit Water/Sewer Surcharge Address Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn. Planner Water Meter Arch./Eng.. 10'0 /J C°. Council Road Unit Bldg. Off. Address: APC City/Zip Code: lar Phone TOTAL ° j13Ze ~a 30 f i3 ~ C CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5896 PHONE: 4548100 ~---~j BUILDING PERMIT APPLICATION Receipt # / To be used forScreen Porch Est. Value 1.000.00 Date • 11ne 95-, 19--80- Site Address 4257 Amber Ct. Erect ff Occupancy R3 Lot .__8 Block y Sec/Sub. Cedar CTOVe 2 Alter ❑ Zoning Rl Parcel # Repair ❑ Fire Zone _ III Enlarge ❑ Type of Const. V z Name •Tamac R_ Tjornhnm Move ❑ # Stories z Address Same Demolish ❑ Front 18 ft. ° City Eagan 55122 Phone 454-2864 Grade ❑ Depth 12 ft. Name same Approvals Fees 0 ouu Address Assessment Permit b. VU ~ City Phone Water & Sew. Surcharge' Name Police Plan check vw none Fw Fire SAC i~ Address Eng. Water Conn. <W Ci Phone Planner Water Meter Council Road Unit hereby acknowledge that I have read this application and state that Bldg. Off. 6/25/8 0 the information is correct and agree to complyyyui~ all applicable APC Total 6.50 State of Minnesota Statut a City of Q a(Ordlnances. Signature of Permittee 61ie A Building Permit is issue to: James R. T,jornhom on the express condition that all work sholl be done in accordance with all applicabl State of Minnes a Statutes and City of Eagan Ordinances. Building Official /~rp~ - EAGAN TOWNSHIP No 669 UILDING PERMIT Owne -.r-.- . - Eagan Township Address (present) - - . Town Hall Builder Address DaY%! /.~7..' DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost LOCATION Street, Road of er Description of Location Lot Block Addition or Tract This permit does not authorise 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_IC~PI THEE-WHI~LE^ THE WORK IS IN PROG~~~g/g i This is to cesfify, that ,~L? permission to erect upon the above describ pre "se sub'e io the ovisions of the Building a ce to ip adopted April 11, 1955. J~ .!fYC!--r.--.-_?~'.~~°-_ _ Per G fff~~~ _ _ _...-P--.................._.. Chairman o Town Board Ba" ector r EAGAN TOWNSHIP N° 1251 BUILDING PERMIT Owner b/~!... Eagan Township Address (present) ..^-r...t~.--.-.-....-._ Town Hall Builder .T' Ae...... / Date ..°7J..........GJ Address ..UZ1Cy.....:% ~~--a---------- ° O DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location --I Lott Block ' Addition or Tract 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 THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.12'OG---<<'Ct°P has permission to erect upon the above described premise subject to the provisions of the Building Ordinance for Eag To dopied April 11, 1955. /........g.:.'"rC9 . Per t.,L-....Y+y. ----r'ua~. Chairman of Tnwn Board Building nspector g'G W N i fo, ELKO CONSTRUCTION CO. 2100 WEST BROADWAY MINNEAPOLIS, MINN. 55411 ' ~v r/~U `1771 E L~ 17 4.? S ~ S ~/°~50243 ~ .~t~~ Till aptwMR 776.M40 PLAT OF SURVEY : I . ' OF PROPERTY OF-._ T?~~?e-s _ F _ lornfjoi~? DESCRIBED 43 FOLLOWS. ? _~rQve- /Y- 2 7--- - - 1V-°¢~ SCAL[' 1 INCH = 4fO FRET T. J. WELCH, RE61sream SURVEYOR 701 EAST 5x5 STe(rr• ST PAUL. MINN. 55105 V r use / / V. % IA- . s s~ 1 GO c~ CERTIFICATE OF SURVEY I berebr mlify that on I eanered the property deoeribd above old that the abme This Survey h mthds t71t1usMlq for First /t&mi plat in a correct representation of wM server. Sty 11~s R halt Assn. e/ ft. Fad. hna ms ne! qua mthcd as Ntit is Serrty , J / /mot! of p for marisdis r rPasts etdy. i a a S Q~ ~2s -7 j-7 F Date Customer Phone No. Address Size MASTER CARD LOCATION y/G S, 10- C-6 a t4l OWNER STRUCTURE ND~~~ X ~Q LAND USED AS ssued To Permit No Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ NO EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ❑ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ❑ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS sa PERMIT CK-M m CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE. B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025210 (612) 681-4675 Date Issued: 03/09/95 SITE ADDRESS: 4257 AMBER CT LOT: 8 BLOCK: 7 CEDAR GROVE 2ND P.I.N.: 10-16701-080-07 DESCRIPTION: (SIDING & TRIM) 4uildiri-g,Permit Type SF (MISC.) (Building Work Type REPAIR rt cr, a : r r~ - REMARKS: FEE SUMMARY: VALUATION $8;000 Base Fee $99.00 Surcharge $4.00 Total Fee $103.00 CONTRACTOR: - Applicant - ST. LI OWNER: BEISSEL WINDOW & SIDING CO 14516835 000645 TJORNHOM JAMES 153 E THOMPSON AVE 4257 AMBER CT W ST PAUL MN 55118 EAGAN MN (612) 451-6835 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,Mn. Statutes and City of Eagan Ordinances. PPLICANT/PE IITEE SIGNATURE ISSUEO, BY: IGNATURE - + O CITY OF EAGAN /t 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured find. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 1 tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST G cam DESCRIPTION OF WORK: T~u y - Tom'. 1 STREET ADDRESS: LOT BLOCK SUBD./P.I.D. C,OPl/31l &taz. Zyl T-, I PROPERTY Name: n u en e Phone OWNER " T FAST Street Address 22'S-2 4m 4-)er City: E~ a State: 141V Zip: CONTRACTOR Company: I,)e r sS~ / 0"A,) ~ 5-`,J, nG Phone Street Address: IS3 E 72.d. osz-- License P~ City: )4, ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi (Misc.) ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 Multi (additional) ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units F-F6 %O ~ ffce~lJse I I Permit#: V j I 4 City of Ea p Permit Fee: d~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 L4~ -7 C L i Staff: 7--------------- 4LO Q2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U Site Address: A md,-Eg Tenant: Suite RESIDENT / OWNER Name: I I1~ r ~~t= f) P,,~ Phone: Address / City / Zip: z S L+ y~ r ~ Applicant is: Owner - Contractor TYPE OF WORK Description of work: 1~0-, ~z S'~t Construction Cost: Multi-Family Building (Yes No CONTRACTOR Name: 'e".!:,c(--l zo s y r Z Address: Ic, u City: F,/t T~t\ VIV%. i ~~7(6K-) State:: !1/~ Zip: bZ Phone: 1,LZ-?~-3~ -*ontactPerson: AA1 Kam- RSCHEC COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _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 the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conforman w the o ance n des of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t to itho er ork will be in accordance with the approved plan in he case of work which requires a review and approval l a~nsx x Applicant's Printed Name App !cant's Signature Page 1 of 3 2012-04-2411:13 » 651975 5694 P 6/6 y*W 12L .Ur- yr O{J\vr% nm v For Office Use 03 City of Eagan I Permti: Permit Fee: 3830 Pilot Knob Road. Eagan MN 55122 Date Received: t Phone: (651) 6TS-5675 i staff: Fax: (651) 675.611" L---------------- , 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date. )0 t Site Address: "`las~ rlyyt~}Q~_ Tonant: Suite 0: RESIDENT I OWNER Name: ~'b m `N Phone: L2 q d X01 Address / City I Zip: 1'ItiQ GLjL-Vg' CONTRACTOR Name: s \&IIf e I U&101 V1 ~ License n G2I as S. Suibn Address; City: State:_ Zip; S5 35.Q Phone: UC tie 8(o9 14 ld a Contact: as n Email TYPE OF WORK New _„T Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Dsscri on of work: PERMIT TYPE RESIDENTIAL _ Heater Water Softener Water Lawn Irrigation RPZ I O PVS) Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $65.00 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $5.00 State Surcharge) $35.00 Lawn irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abando0ment, Water Turnaround' (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 518" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $05.00 Fire Repair (replace burned out appliances, ductwork. etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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. &~W:oopherstateonecail.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 on 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. Appllcanre Prtnted Name Appilca ignature FOR OFFICE USE Reviewed By: Data: Required Inspections: Under Ground __Yough-In Air Test Gas Test Final 0- i ~ PERMIT City of Eagan Permit Type:Building Permit Number:EA115914 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4257 Amber Ct Lot:8 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-080 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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 $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 - Kimberly K Henry 4257 Amber Ct Eagan MN 55122 Shingle Creek Construction 333 Washington Ave N Suite 300 Minneapolis MN 55401 (612) 524-7066 Applicant/Permitee: Signature Issued By: Signature