4241 Amber DrCITY OF EAGAN
?.?...__ Cedar Grove
?
?,JccC?..?e
Remarks Cedar Grove Acqu3.sition
Lot 4 Blk 7 Parcel 10 16701 QlLo o?
?treet 4241 Amber Dr. stete Eagan,IJ+r 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 88-'; 1985 1266.95 84.46 15 1266.95 C009258 8-21-84
RESTOR.
GRADING
5AN SEW TRUNK
# SEWER LATERAL ?? ?2 13 .0 2.1 2
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. +r !
9UILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
I
BUILDING PERMIT
Receipt #
NQ .. 12l?9
6- 3 1 ?ij
To beusedtor 3-SEA PpRCii Est. Value $7 y 5UU Date JU:ir: 16 , 1g 86
SiteAddress 4241 AidBE12 Jit Erect ? Occupancy
Lot4 Block 7 Sec/Sub. CEDAR (+ROL".: 2igRmodel ? 2oning
Parcel No. Repair ? Type of Const
Addition EJ{ No.Stories
°C Name +A• '4IaLLL Move ? Length I'd 10
3 Address SAr?'-% Demolish ? Depth
a Int. Impr. ? Sq. Ft
City Phone Instafl ?
o Name A??TTn RNt'i.C]S[IRF.S APProvals
=
?°, i Address 1? LiRV2 T fI?. .?','r
~ City S`r T.()it7l&0&Ag}Z 922-ti545 Assessment
Water & Sew.
?
F W Name J20--1575 Police
Fire
u ? Address
W En
9•
Ciry Phone
i Planner
Iherebyacknowiedgethatlhavereadthisapplicationandstatethatthe Council B?d
6/11/3
Off
information is correct and agree to compfy with a1! applicable StaEe of .
g.
Minnesota Statutes and City of Pagan Ordinances. APC
Signature of Permittee Var. Date
Permit qv o. jv
Surcharge 4.00
Plan Review
5AC
Water Conn.
Water Meter
Road Unit 7r. PI.
Copies
7otal
A Building Permit is issued to: r'ATZO ""?NCLaSURi:2i on the express condition that
all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ?.
, ''
I I Parmk No. PsrmR Hold" Dato TNephone N
IPlumWnp
1N.V.A.C.
IEhetrit
Solfener
Inspection DsN Insp. Commsnb
Foo8ngsl
Footlngall
Foundation
Fnminy
RooMnq
Rough Pibg.
Rouqh Htp.
Imui.
ffrep4ste
FMN Ht9.
Finsl Pibp.
Bldy. Finsl
CoA. Oce.
Declc Ftq.
Deck Frmg-
YYNI Descdbe Locatlon:
i Pr. Wep.
CITY OF EAGAN A' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?v - 12129
PHONE: 454-8100 Gj-? ,
BUILDING PERMIT
Police
Name 920-1575 Fire _
7obeusedfor 3-SEA PORCH Est.Value $7.500 Date JUNE 16 1986
SiteAddress 4241 AMBER DR Erect ? Occupancy
Lot 4 Block 7 Sec/Sub. CEDAR GROVE 2NIDemodel ? Zoning
Parcel No Repair ? Type ol Const.
Addition ? No Stories
l
a Name M. WIDELL Move ? Length--lu_
S?E Demolish ? Depth
; Atldress I
I
? S
Ft
o nt
mpr. q.
.
city Phone 454-3369 install ?
a Approvals Fees
o Name PATIO ENCLOSURES
$a Address 6219 CAMBRIDGE ST Assessment
? cityST LOUI$hK 922-6545 Water&Sew.
?a
W W
F 2
U?
sw
a
Address
Phone
Receipt g
Planner
Permit ? oo.D v
Surcharge 4.00
Plan Review
Water Conn.
Water Meter
I hereby acknowledge ihat I have read this application and state that the
informafion is correct and ag{e to c ply withO applicable Siate of
Minnesota Statutes and Ciry a Ordi ?es.
Siqnature of Permitl ee L ?'?'`?"`a
A 8uilding Permitis issued to: PATIO ENCLOSURES
all work shall be done in accordance with all applicable State of MinnQ$o
Council Road Unit
Bldg. Off. 6/11/86 Tr. PI.
Var. Date Copies--$7275 ?-0-
Tota1
Stamtes
on the express condition that
an Ordinances.
8uilding Ofhcial 1/?
r
EAGAN TOWlVSHIP
BUILDING PERMIT
-_ • , _ ?.
Owner . . _ .. ?c%/.? . ??!g?5-t?._. /
(??, '-
Address (Preseni) .._ _..- .,... y.'/"?•?u"'?
Builder ---............ ----------- ?
....
Address ...................... ....
..._ ----......_...-- . -...--?-----....---. ._......
' DESCAIPTION
N° 405
Eagan Township
Town FIall
-?:
Date . ..idL7C_../_r??._....._.-.
$dtlS1BS To Be Used For Fron1 Depfh fIeighi Esl. Cosf l PermiY Fee Remarks
? _
?.
'A?
or
LOCA1`ION
This permit does not authoriae She use of slreeis, zoads, h13eys or eidewalks
the righlSO crea2e anp sifuaiion whieh is a nuisance or which presenis a hszard
general welfare !o anpone in ihe commuiiiip, ,
THIS PERMIT MUST B^ K$PT THE MI WfiILE THE WORK IS IN
This is !o oesiify, lhat?4?'rc2;::??,?/?-L?i./has permissian !o erec
the abo e desczibed pre °e subj lo the provisiona of the Building Ordinanc6
19b5. . •=- - ;% " ? %? Y??
.. .?.._??_.. .... - Per
or
aor does i3 give the owner oc his ageni
30 the heailh, safefy, aonvenience and
PROGAESS•.?
_:..?.....__.....upoa
£or Eagan Towash'p adopfed Ap:il 11.
................g..._...p.'...._...
? Chairman o ow a34d Buildin Ins ecior
EAGAN TOWNSHIP
BUILDING PERMIT
oWna: . ? rC• '2?r,.??c-?
. -P. --.................. ........................... .._.............
Addreu (Present) --??? ..... 4'",--.`,-`"....h9<".:...............
Butlder
Address
DESCRIPTION
11T° 2523
Eagan Township
Towa Hall
nate .... J/L?..>.l .......................
Siozias To Be Used For Fsonl Deplh Heigh! Esf. Casi ermii Fee Remarke
? ? ? ??rSG? A
LOCATION
Slreel, Roed o: olher Deeeripfioe of Loca!!on I Lo! Block Addilioa or Traoi
'Y I
-7
This permit does not authorise the use of slseels, roads, elleye ox sidewalka
the righ2 fo creafe aay siiualiort whieh is a auisanee or whieh presenls a hasard
general walfare !a anpone in the eommuniYy.
THIS PERMIT MUST SE KEPT ON,THE PAEMISE WHILE THE WORK IS SN
Thia is !o ces3ify, the2...?k:...".;W............................ has pezmIssion !o erac
the abave deaeribed premise subjeei !o the psovisiona of the Suilding Ozdinanee
1955.
nar doee it glve ffie owaer or hk agent
!o the healtd, safelp, coaveaience and
PROGAESS. .
! a....-7.[-!^="£=`.?.. ........ -..._upoa
for Eagaa Towns6ip adopfed Apzil 11.
........-°---°------°- • °..?a.--- -?.^ _°-°--.........--. Pe: ....._.....--------.?`.n".:?.....(l...f.?_.?._...-'...--:° ................._....
Chairn of Tnwn Board_B -,,tt Building Inapecior,
EAGAN TOWNSHIP
BUILDING PERMIT
- - ----=^""- ......:--.....a'`1uC?
owoe= ---.
.."----'----'---.........--------'-'
Address (Presen!) ..?..?.?.?.?f?./....._???......?-"
•-.......................
Builde= ........... . ...............
Addseas
N° 2414
Eagan Towaship
Town Hall
Dale ---?`-••?O?j•-7.......................
Sioriea To Be Used For FronS De fh Ha1gh! Esl. Cost esmi! Fea Remarks
;,*..?.?.?, .za- as9 a s+-°.? ? Z . °° s' '.i,
SfiBBi, R096 0! OIhEL DesCilpllOH Of LOCBIloif I LOi CIOCB ACQ1I10n OL TleCt
I s{ 7 1 6c-e?' -Z
This pesmii does aot aulhorize the use of alreele, raads, alleps or sidewalks nos does it give the owaer or h[s aqent
the righ! !o eseaYe anp situsiion which is a nuisance or w6ich preseals a hazard !o the heal2h, safelp, eonvenience aad
genesal welfare !o anyone in the communilp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This ia !o eerlifp. lhat... 72'7..=-_.......... .............. haspermiasion !o arect a.... Afm?._..??y ..c....?....,.?.?{.y.?..__-"......._upoa
the above deseribed premise subjec! !o the provisions of the Building Ordinanee for Eagan Town ikh p e?opled Apsil 11,
1955.
\ 1? / . i-'--N`.t"'..."'."' ............. Per .................... ......?.._...?._
Chatr n of Tnwa Board'?e ? SuSldin Ins eclor
HA40r,q pRiv?
g'9"
1zo,
#
30
RS ?9 a
/30,
MfivR/CE F W/pEi.t
YOR yr ,?o." oR
sr P,P.. /h?W*e.
l,or 31 ,94-ocn 7 C,h-AfR 64000 H.2
)F,? 0f1N Toi.+NJN/P/ pm(b77? ?O,vwTY, /ylNAe
00?? 6j i
?
MASTER CARD
w IOCATION
OWNER
..
STRUCTURE AND G A Q? G?
LAND USED AS '
?
r ,
?
Permit
No.
Issued Issued To
Contracfor Owner
BUILDING y? ? 202, 7
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER I
y
Items Approved
(Initial)
?Date
R ar s
Distance From Well
F00TI NG
?'_ •-
?
SEPTIC
FOUNDATION ? CESSPOOL
FRAMING TILE fIELD FT.
FINAL
ELECTRICAL ?
-
HEATING
? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK I
OAA&e
CESSPOOL
DRAINFIELD
PLUMBING
WELI
SANITARY SEWER
?^- Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS '
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
?
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUGTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPUANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTKOL.
? REINSPECTION REQUIRED
DATE OF REINSPECTION
V
REINSPECTION REVEALED
CEflTI FICATION -1 certify that I have carefully inspectad the a6ove in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLSarved 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 propeny inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOR
OATE
?v a'
HOTS: A[.i.
1986 BOILDIAG PEfM 6PPLICATIOA - CITY OF EAGAN
MOST BH LICSBSSD NITH THS CITY OF EAGAN
SINGLE FAHIILY DTiELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOI.TIPLE DWBLLINGS - HESIDENTIAL 6MAL QdITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRYEY - CHECg iiITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMRlLRCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2v000 LANDSCAPE HOND
C?s'??.? -3-sP?sm.?
To Be Used For: Valuation: Date: gor? /E%' "-J?76
Site Address Awvla-c ICE OSE ONLY
-
Lot ? Block
2 Erect ? Oceupaney
?
?
a Remodel Zoning
f C
t
T
Pareel/Sub
-
/o w Repair ons
ype o
Addition ? # of Stories
?
Owner Move _ Length .?
Demolish Depth
Address .d1x?c.2 Dee' L1G Int.Impr. _ Sq Ft
Install
City/23p Code 6;WFp1A1
Ss?oa ?-
Phone ?/.S?/?3369 APpROaALS ??
Contraetor Assessments Permit
' Water/Sewer Surcharge 4 ° 00
Address %,?/9 C??oinbe.`?? S? • Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off6- . Treatment P1
Areh./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone Ik
?
NOTE: ADDFESSSS FOR CORNEH LOTS - CONTRACTOR/HOMEOBNER tlQST DESIGNATfi WHICH ADDRESS
IS DESIRID. NO CHANGES iiILL BE ALLOiiED ONCS BDILDING PEHMIT IS ISSOED.
o
jok
.?
J?
O,le???
'ill
911
r?r
p?
?f
.? ,
. _. . , ._ ,. . ? ,
Y1y/ ,am6?.c AK ?
EA Sq,?, n,?M1; e"s ?a2 ' j
dsy 33cY;---- --i
GATO NX:tQSUFiE3, BiO. ?
Qy? 325C CkMARID6E 87. ?
Bi. LOUI8 PAR1C. 'sAN 5-04118 ?
822-8G<6, 92'.'-1578
\????\ \ \
u?o -?rrF6°q.oxd-
I
?/ R.TSdcF iy?o
So;sf"
? ?,i. .?. ?.
'25'
b r,
N?
I'
6- f.c..i,Fu1.:?y - Yr?Y f:.f? s?f,'i? ?,rC.?.f? ?? ; ? _ ! i
1
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- -
,
; , ? - ? ? ? ? : ..1 r ? r- .:;..'_?:?.i - -- r? - • - ? -
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RFAR
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?
?"'M?lt?("9?;8%k:t%?'%f ?C#.'KYd?f m%?:i?:Y?:Y,.9FX;?;; 'M?k%t?9F)I( KM$'>X?M*#
CSTY (:;F' P(-tf.:AN
l:F1SHSl:?fi: :7S PF:kt4:[NAl_ hdt); 61.99
IJt•1Tu:a 0£3!13/99 't':I:M'E: i.1e0606
(TI ;:
rtAM.r:.; Ar-•imx rntIE trac cn..
':3r':i.U 9001 424:I. (1ML'L.:h LIR ia.1..,i:".S
'r'_!..`.i"i 90(t.l. 4241 6aM13L.Fi )7R 2.50
6
Tql:a:l Fieceipi. Amourrl::; ii3„0;
I;Fi 19.'c5 :S•'I. H
IJSFI: .f Dc :If•iN
I i3 ?s 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?....I ?- ? 3830 P1 55122
651-681-4675
New Construcfion Reaulremenfs Remodel/Reoair ReauiremeMS
? 3 regisfered sMe surveys showing aq. H. of lot, eq. (f, of house 2 copies of plan
and gll roofed areas (20% maxlmum lof coveraae allowed) 1 aet of energy calculations tor heated addkions
? 2 coples of plans (show beam 6 window stzea; poured fnd. design; etc.) 1sNe survey lor exterlor addHlons a decks
? t set of enagy cakulatlons
D 3 coples W hee preservafion plan M bt plaifed a(fer 7/1/93
DATE: ' 9 z
DESCRIPTION OF 1
STREET ADDRESS:
CONSTRUCTION COST: -7', yo Q' 9 0
LOT: __a BLOCK: :I_ SUBD./P.I.D.#: (-)-, 14-otiA, Cf1'G1\/-<-- -D--
Name: L-e VU.S p? Phone #: ? 5!- L 83 -U yR
PROPERTY LOn Fi'st
OWNER Street Address: yayi Amb.e/7 e2q .
city state: A N' zip: SS
Company: A --C x Phone #:
(area code)
CONTRACTOR °1-6 dy2?X -7 3100
Sheet Address: j ?L License # Exp•
CIfY State: )I`)`1/v. Zip:.Sf?
ARCHITECT/
ENGINEER Company: Namr.
Telephone #: area eode (j_
Street Address: --?- Re`g,istration
C ffy State: Zip:
Sewer 8 water Iicensed plumber (reaulred for new conshucflon onNl:
PenaHy appiles when address change and lot ehange fs requested once permR Is Issued.
I hergby acknowledge thai I have read this applicaNon, state that the IMormallon is cortect, and agree to comply wfth ail applicabl
S?ate of Minnesota Sfatutes and CfFy of Eagan Ordinances.
Signoture of
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
No
_ 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. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair 0 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee -i?. ?)-57-
Surcharge D._
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: I ? "?) . -l
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
SAC Units
% SAC
L 1 BL I
4
sueo. ?:?Fr?ar ?rnWe.
CITY USE ONLY
RECEIPT #:
) 33n`?fo
RECEIPT DATE:
f
PERMIT #
2000 PLUMffiING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, D41 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
r?vr? m ?e
oerM #
TOTAL
r9nK?nu
Alterations to existing dweiling - minimum fee
Describe: - -' -
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet "minimum- 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished ' requfres MPC lic. 75.00 X = $
Septic System ahandonmant 30.00 x = $
RpZ new instaliation/repairlrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construdion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater - - -3.00 x = $
Water softener If dwalling underconstruction 5.00 x = $
Water softener if existing dxrelling 30.00 x = $
Water tumaround 30.00 x $
50
State Surcharge .50 -> --> -> $ .
70ta1 $
Reminder: Cail ior inspections oi atterations, i.e. water heaters, water softeners, etc.
---------------- -------------------------------------------------------------------------------•----------------•-----------------
I hereby acknowledge that I have read this appli - p6on - , state that the infortnation is corteG, and agrea to wmply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no Iiabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit wilhin City property/rightof-way/easement.
SITE ADDRESS: 72yl 48?? mw " " " /' Z
OWNER NAME: : TELEPHONE #:``O? -l/y?
(AREA CODE)
??
INSTALLER NAME: TELEPHONE 5
(AREA CODE) ?p
STREETADDRESS: ? ??PKS }° l ?
CITY: STATE: ZI
SIGNATURE OF PERMI EE
13042
For Ctticc Lase
Permit
City of Eaall
41
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
1 Staff:
Fax: (651) 675-5694 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5)-" l Site Address: ''~i y ye
Tenant: Suite
RESIDENT / OWNER Name: Phone: 637 `1S-d L1O I
Address / City / Zip: 0
Applicant is: Owner Contract
TYPE OF WORK Desc it tion of work: r€ J-(904
Construction Cost: 4'7j 5 Q Multi-Family Building: (Yes / No
CONTRACTOR Name: R 6C. C License ao(69 JAS 3
Address: ACftO rum l l2o c~( 5 /OC2
2
City: r__ State: M&) Zip: rr53-7
612- 5-3a q5 -q
Phone: `[5?. 7C)7 6Q 5 Contact Person: t
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
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinanc s 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 o start without a p it; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ans.
x ^'l CGN elVIR~ x
Applicant's Printed Name Applica Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157143
Date Issued:08/06/2019
Permit Category:ePermit
Site Address: 4241 Amber Dr
Lot:4 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Steven Leet
4241 Amber Dr
Eagan MN 55122
(952) 217-6068
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature