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4230 Amber Dr ---mirNsTc N-R-C-(JRI CITY OF EAGAN PERMIT TYPE: i , kip 3830 Pilot Knob Road Permit Number: = 't Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' APPLICANT: ,,M F k n R PERMIT SUBTYPE: TYPE OF WORK: Ills INSPECTION • TYPE DATE INSPTR. F L J Permit Holder Date Telephone # 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL r-= INSPECTION RECORD T CITY OF EAOAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 'HW 1 111* 1"1 1 :11 ON 101 PERMIT SUBTYPE: TYPE OF WORK: 1t INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date- Insp. Comments Footings I Foundation Framing Roofing Rough P1bg. Rough Htg. Isul. Fireplace Final Hlg. Orsat Test Final Plbg. P1bg. inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr ~Dis~p. ! / CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove 2 Lot 16 Rik 6 Parcel 10 16701 160 06 Owner J, ~I+I 1 u .L Street 4230 Amber Dr. State Eagan,MN 55122 i i - Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 1266.95 84.46 15 1266.95 0009354 -4-84 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4290 PHONE: 454-8100 4765 BUILDING PERMIT 6(lo.. Receipt # To be used for ; a Cq_ r.;,_] Date 19 Site Address ~ Erect ❑ Occupancy ' Lot _ Block Sec/Sub. = C' Alter Zoning Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. W Name Move ❑ # Stories z Address Demolish ❑ Front ft. 3 City Phone ' i'cl 5 Grade E] Depth ft. 0 Nome Approvals Fees ov Address _ Assessment Permit ' _ UF City Phone Water & Sew. Surcharge 50 F Police Plan check FW Nome Fire SAC v3 Address Eng. Water Conn. _ Q W City 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 13.50 State of Minnesota Stotu,tes~ and City, of Eagan Ordinances. APC Total Signature of Permittee _ A Building Permit is issued to: Q s=ue 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 # Do% Immed Perwatt" _Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Flriol Footings Dote Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final t Remarks: I CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 N2 5991 PHONE: 454-5100 BUILDING PERMIT Receipt # To be used for "i'=1*,r Est. Value 4 o Date - 1-~ --7 19 - - Site Address Erect ❑ Occupancy Lot Block f Sec/Sub. Cecfar rxC3[7f'. Alter [iJ Zoning r_1 Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. Gee Nome -ib -t- Move ❑ # Stories LU z Address x . t3`:t.VP Demolish ❑ Front City 'acian Phone Grade ❑ Depth p Name Approvals Fees if-- U Address Assessment Permit - u~ city *V)! Phone 7'? Water & Sew. Surcharge Police Plan check W Nome Fire SAC Address Eng. Water Conn. <W Ci phone Planner Water Meter Council I hereby acknowledge that I hove 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: T ~4 on the express condition that all work shall be done in accordanceavith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official permit Deft Issee/ ►erantee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Dote Insp. Foundation _ Plumbing Frome/ins. Mechanical Final to -13- Remorks: 1 CITY OF EAGAN ' 3795 Pilot Knob Read Eagan, MH 55122 N2 5991 PHONEr 434-8100 BUILDING PERMIT APPLICATION Receipt # To be used for ReSi.d.inci Est value 4,500. Date Site Address 4230 PIIber Drive Erect ❑ Occupancy I-3 Lot 16 Block 6 Sec/Sub. Cdr 'eve #2 Alter [ff Zoning R-1 Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. na o: Name Dave Siebert Move ❑ # Stories na = 4230 Anber Drive Demolish ❑ Front na ff• Address ° City Eagatl Phone 454-1905 Grade ❑ Depth na ft. Pane raft Approvals Pees o Name 1 ,Q Address 3615 E. Lake St. Assessment Permit 2.50 ~ city l1S Phone 721-6628 Water & Sew. Surcharge Police Plan check tw Name Fire SAC i Address Eng. Water Conn. xG <w Ci Phone Planner Water Meter Council I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 20.50 State of Minnesoto Statut~ City of E. din . Signature of Permittee CC A Building Permit is_issu to: Pane Y on the express condition that all work shall be don in a 'ordvhc 't II applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ 47 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4290 PHONE: 454-8100 BUILDING PERMIT APPLICATION $2,800. Receipt # 5765 To be used for Garaee Addn Date April 27 . 19 7 Site Address 4230 Amber Dr. Erect p Occupancy 1 Lot 16 d Block 6 Sec/Sub. CG 2 Alter [f Zoning R1 Parcel # _ Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. a Name Dan Siebert Move ❑ # Stories 3 Address 4230 Amber Dr. Demolish ❑ Front ft. _ Grade ❑ Depth ft. city Ea¢an Phone 454-1905 Name Same Approvals Fees ou Address Assessment Permit 12.00_ City Phone Water & Sew. Surcharge 1.50 Plan check Police Name Fire SAC AddressEng. Water Conn. u1<i city 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 13.50 State of Minnesota StattZ end City, `of Ea Ordinances. APC Total Signature of Perm.---J11V1OM \~j\ A Building Permit is issued t : SieberE ---eL on the express condition that all work shall be done in ord nce with a plicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official EAGAN TOWNSHIP xp 404 ,BUILDING PERMIT - Owner JK.-...~ tel. Eagan Township Address (Present) - _ , !L Town Hall Builder Address Dale lLcC~..- DESCRIPTION Stories To Be Used For Front I Depth Height Est. Cost Permit Feel_ Remarks 17 LOCATION Street, Road or other Description of Location Lo!_ 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~B~,K PT,t)~ON T~M PREMISE WHILE THE WORK IS IN PROGRES& This is to certify, the 4 . 4.C.fc4>G - .-has permission to erect a--,;r - ..,.upon the abode described premise 'ecf to the provisions of the Building Ordinance for Eagan TownsVp adopted April 11, 1955. - - an - Per ~ - Chairman f o ,Board Building Inspector EAGAN TOWNSHIP Nq .756 J•n'- O BUILDING PERMIT Owner ....._.J..`'1!~../......~_JJ_~~._,~ Eagan Township Address (present) °z3 ...~L , Town Hall Builder Date Address I~ (`b~ DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks La- a y zObSo C/ 9f LOCATION Street, Road or other Descr_plion of Location Lo! Flock 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 KEAT 01 THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that P N:X- ..............has permission to erect a..... y upon the above describ mi ubje I to 2 rovisions of the Building Ordinance fo agan ownship a opted pril 11. 1955. ` Chairman of Tnwn Boar r d Per ."--°'----4/"----•j-'-Q B.fie!uilding - Inspector / EAGAN TOWNSHIP N° 1328 BUILDING PERMIT Owner ---L!LY.-*..~:^--~aJ.... Eagan Township Address (present) !?r...' Town Hall Builder . d C_ Dale --'°!Z- Address ------~~_......~~ti~ DESCRIPTION Sfaries_ To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION I, QL eef, Road or other Description of Location La! Block ' Addition or Tract S r 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... i1:...., ..4 u. has permission to erect a_.. the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. J Per B.-.uil .d- .in9 Ins..P Chairman of Tnwn Board - .f~..-~..- G.~:ect....-or"_` G Datc. ~~R a 77 J ~e 5UMI)MG PERMIT RPPLSCATION ADDITIO:T C Q f2 lj R ,J 17,7 2 r1P.CuL & SL^iI0I7 ^:vi?AL.'2 L5' L I U_ A M =SE `~J I u e:. II$E~IX f ' 111 TL ~'^Z~__. Q S, E t3 R T TELMM M NO.S - I o s Co?axi_ :o t _ _~q lNl r TELEPHOPTi; .TO. I*. t Iriclvd--- :?;te. plan, bui7.ding plans, and energy calculations S::i.th this app.li.cution ( n _ Signed W OFFICE USE VALUA I:o SAC - Yiz.TSR CO:iiMR T1Q!'T yaATER METER UUiLDI'G PSPJ.7T."' F"E PLi1P1 C-ETCK FLE P~APZ DMICA'1TMT FEE cTS,R TOTAL* APPHO'J3.LS: ASSBSS:';',3 iT CLZMX BUlID114G DEPT. POLICE DEiT. - DATER & SrTMJR DEPT. FM- DEPT. PARR D.rWT. _ f ~-1 Z ~l y3' - 'I n'un_t 1. L' CnT OF EAGV 3795 PILoT ma ROAD E,gws j MI,•1^1FSOTA 515122 The Council of The City of Eagan hereby grants a variance pursuant to application of nn„ christenson dated May 5, 1978 for the following purpose for 25' variance of public street setback for townhouse project on Lot 4 Buffer Hills Addition Date approved: June 20, 1978 Fees Paid: 150.00 By: "may fir" Attest: ycc J/3?, ' Clerk DATE / 7 C/ BUILDING PERMIT APPLICATION Include 2 sets of pla s, 1 site plan w/elevations and 1 set of energy calcuations. To be used for Valuation 4-5-d6) Site Address: 61 (41-le ) t ,C, t, Lot ~(p Block G Sec. /Sub. j~'Z6& O umber 41 v Owner Telephone n Address C6. 4-- Contractor Telephone Address Arch/Eng. > Telephone Address OFFICE USE ONLY Erect Occupancy Alter/ Zoning Repair Fire Zone Enlarge Type of Const. Move # of Stories Demolish Front Grade Depth A Date of Approval and Initial Fees Assessment Permit ~Aep Water/Sewer Surcharge Z Police Plan Check Fire SAC Engineer Water Connection /t la Planner Water Meter Council Bldg. Off. A.P.C. TOTAL ,~f PERMIT of /A r CITY 01F EAGAN 7~ ~f3 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021459 (612) 681-4675 Date Issued: 07/14/93 SITE ADDRESS: 4230 AMBER OR LOT: 16 BLOCK: 6 CEDAR GROVE 2ND P.I.N.: 10-16701-160-06 DESCRIPTION: ~ (SIDING) Bulldin-§ Permit Type SF (MISC. ) IBuildin,g W"ork Type NEW REMARKS: FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Total Fee $55.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: PANELCRAFT OF MN INC 17216628 0002179 SIEBERT DAN 3118 SNELLING AVE S 4230 AMBER DR MINNEAPOLIS MN 55406 EAGAN MN 55122 (612) 721-6628 (612)454-1905 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. L- - ~ APPL!~AW/PERIVIITEE ~~'Y/IGNA/E ISSUEUPSY. SIGNATURE \ - - REACTIVATE _ CITY OF EAGAN PERMIT 11 ' 1993 BUILDING PERMIT APPLICATION 2064 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date + / 0/3 R Valuation of work Site Address: 7 Z3~ ~r~rJ STREET SUITE i Tenant Name: (commercial only) IAT BLOCK SUBD. P.I.D. N Description of work: l l1 Cr The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name SI Ldf-Rr lea Phone 4~'~ - 1 q oS Property LAST ~1 FIRST Owner Address 42- Aree~~ p~ STREET STE City State /V() Zip S5/ZZ/ PvAlNoj-G(_AIrr Phone _7Z.t`9EZ~ Company Contractor Address License # 62~4 -14( Exp.~5 City ~Ly State /f4d Zip !5 u Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 BUILDING PERMIT TYPE 13 01 Foundation ❑ 06 Duplex [3 11 Apt./Lodging 1516 Bement FiOish ❑ 02 SF Dwg. 13 07 4-Plex ❑ 12 Multi. Misc. 1.17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee Valuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ~tM~t~%YF?kktYR ik>k`k~t'MYFNC~"~'o>XM"{<>rytsFh<~K~'>KXt~k7KM~Xtm~'t~t1X~k 'M CITY OF EAGAN CASHIERR S TERMINAL. N0: 808 DATE: t0/OW% TIME;. 0:5008 ID:; NAMPa MN RL!!Nn INC 321[3 9001 4230 AMBER DR 87.25 205 9001 Q30 AMBER DR 2.00 Total Receipt Amount: 89.25 CR:19E:11.E30 !.R ER ID: NANCY WYFYFXckt~kXt.1 YF~Xr Xt~Y~~%t~~tYF>R>kX~%~k~k~%a<YFkM>kyF~k4'%t~~k~a~ PERMIT CITE( OF EAGAN -3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 6 0 3 (612) 681-4675 Date Issued: 10 / 0 7 / 9 8 SITE ADDRESS: 4230 AMBER DR LOT: 16 BLOCK: 6 CEDAR GROVE #2 P.I.N.: 10-16701-160-06 DESCRIPTION: 3 WINDOWS & 1 DOOR B,irlding,~-Permit Type SF (MISC. ) liuilding WWoCk Type REPAIR census Code 434 ALT. RESIDENTIAL r~ REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2,100_ Total Fee $89.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: MN RUSCO INC 19359669 0002173 SIEBERT DAN 9901 SMETANA OR 4230 AMBER DR MINNETONKA MN 55343 EAGAN MN 55122 (612) 935-9669 (651)454-1905 I hereby acknowledge that I have'road'..this Oppliea.-tion" and 'state that the info,rma.tion is•correct and agree, 'to"comply with 611 applicablef State of Mn. Statutes-and City of Eagan Ordinance's,. APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNORE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) z 3830 PII.OT KNOB RD - 55122 b J~~d3 681.4675 ~9-~~ New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions d decks) ♦ t energy calculations ♦ f energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/7/93 required: _Yes _ No DATE: /D 4Y CONSTRUCTION COST; JI 3 oZ(p DESCRIPTION OF WORK: <l 1-~~I i dlC, ~3 / of t~S ~/1c~ 152 ~~Y ~ STREET ADDRESS: Vl-O t .i m hj P_I" kFIt1 L)k e~ LOT: I G, BLOCK: SUBD./P.I.D. Y' Q Name: Ji2b er ~-Y1) Phone PROPERTY Last First OWNER I{/a30 G Street AddCress: t/Ylb& e- ~r t y t city State: m Zip: 5 o~ Company: Y~9T( I 1 CC (1 Yl C CONTRACTOR Phone ! J~ -CI Cn ~n Street Address:g ) !la Y ua ~Y y `License # I 3 City M,n~Amu State: M I r 11) Zip: ` f5?~1 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is 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 applicabl 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 Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 9 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 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 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition 0 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 APPROVALS Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ 3,3-Q-(0 Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: A4A.- % SAC SAC Units >XM%k~'Mrf.XS%$~MM~t~CkS~Y"x.'#rn~~iSyf=#'M~;iH, r6Y,uXrRdC~CS;S~:$(Y,'$Sicm CITY OF EAGAN CASHIERS 38 TERMINAL.. NO: 692 DATE: 08/iQ/99 TIME: 0:58:24 IDS NAME: ADC-PERMITS 321.0 9001 4230 AMBER DR Was 205 9001 4230 AMBER Ill 2000 2210 9001 2035 DIFFL.E.Y RD J2505 205 9001 2035 DIFFL..E:Y RD :3.00 22tO 9001 735 CAMBERWELL %7.25 205 9001 735 CAMBERWELL 4.50 Vot l Receipt Amount: 3990:; CR i A`'.'i094 USER ID: JAN rRr,:~Xr,,m~ra>~~k~K~K>8~:~:m:1:rir~m~k;}~~F>KrFM~>k~4 X~#*~~>K>K~~c>k 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122~~-' -f~ 651-681-4675 New Construction Requirements Remodel/Repair Reaulremenh ➢ 3 registered site surveys showing sq. ff. of lot, sq. N. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations ➢ 3 copies of free preservation plan ti lot planted after 7/1/93 DATE: Y> CONSTRUCTION COST: 'e DESCRIPTION OF WORK: EMF k12 7 LCI1/YMIA STREET ADDRESS: C7 t71 F ~J J f Z- LOT- 1 V BLOCK: V SUBD./P.I.D. Name: 5~e,~t hAVI Phone 65 L] )S PROPERTY Last First OWNER L I N ~ TX~ Street Address. TX ~ q City State: !v 1N Zip: ~ J' ? Z Company:, 1 E) 196, CC>sy 10 C-LISPhone #:-t 12 -707 - 9&2 (area code) CONTRACTOR t , Aire Street Address: t2Z~3 k/i LGi l e ur' r Ucense 1)F2U/6~31 up. 3-~ City ~7U I I State: A/ I J y Zip: 55B-7 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (reaulred for new construction only): Penalty applies when address change and lot change Is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appficabl 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 Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (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 Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC g0.00 6~~ss I 1 (fx City of Eap 1 Pe mit#:_ j I I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: /j Phone: (651) 575-5675 i Stan: -L~ Fax: (651) 675-5694 1 J 2008 RESIDENT/ IAL BUILDING PERMIT APPLICATION Date: Site Address: 4~ C 1{Mr 1~• Tenant: 1 Suite Ill RESIDENT! OWNER Name: JC -4- i~ ~i e ~T Phone: 60l Li I 9' QS Address / City / Zip: Applicant is: _ Owner ~/o~ntrraac~tor TYPE OF WORK Description of work: -I L(k ~f- I~TY\h cf' IL~i W~ Construction Cast: Multi-Family Building: (Yes^_/ No~ CONTRACTOR Name: f L tense iF: "R g LN Address: 5GH• rne"~YI('iC;aA ~ N• City: ~II~Vl~~1iCX31f Cf1 ~1n State: MN Zip: 55080 Phon fle:~:Ji'-I?JI-L1&?.0 Contact Person: KOreO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoory 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J 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: ti7DT~= I°~ .v MR :',><;ot*•:vr lip 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. 1 x IL I fO'`t Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084563 Eagan, MN 55122 . Date Issued: 07/23/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4230 Amber Dr Lot: 16 Block: 6 Addition: Cedar Grove 2nd PID 10-16701-160-06 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Minnesota Rusco Daniel E Siebert 5558 Smetana Dr 4230 Amber Dr Minnetonka MN 55343 Eagan MN 55122 (952) 935-9669 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110199 Date Issued:04/26/2013 Permit Category:ePermit Site Address: 4320 Amber Dr Lot:20 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Donald E Lane 4320 Amber Dr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I Permit non City of EaRd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Ad ress: Unit M Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: Type of Work Construction Cost: ; cw-~'{o Multi-Family Building: (Yes No> ) Company: Contact: e'd Contractor Address: City: State: Zip: ' "Z Phone: ` ! z- e" J> "'Z 7 License Lead Certificate M 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 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 fora and work is not to start without a permit; that the w Y permit, P t ork 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. r Applicants- pplican s Printed Name A icant's Signature Page 1 of 3 Use BLUE or BLACK Ink r-------------------� I For Office Use � � � Permit#: �� City of E�� - ; i Permit Fe� I 3830 Pilot Knob Road Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � I Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ' Name: �C��y"f Phone: � Resider�tl ,�/ QW�gr r Address/City/Zip: �Z�d �J1tit�y' �� `��'�. Applicant is: Owner Contractor � �„�,�� T�f�}� O��1110t'k i Description of work: �✓,,,�, ' Construction Cost: �S� Multi-Family Building: (Yes /No� � Company: �. �.. Contact: ��-�� 'GOnfl'a.G�QY,�� Address: �L9 i5•��l Z��C.GI� City: _� �� State:��t Zip: r-�""�S�j2�Phone: -�1S_7-ZZl-3�m�: �- 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: IVO�E:,Plans and swpporting docutrtents that yoC�$ubmit are consitlered to be public infQrmation, Porfions af : :the information may�e.clas�ified:as rron-publ�c�f you provide specific,.rea�ons thaf would permit the�Ci�y#o ' concicra►e:t�iat_the ,ar,e�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.qopherstateonecall.orq 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 ✓ .SC� x Applica 's Printed Name Ap ' ant's Signature Page 1 of 3