4242 Amber DrCITY OF EAGAN Remarks
6 10 16701 140 06
Street ?1242 Amber Dr• State E2gat1AN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985 1266-95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 1304.00 2.1 2 ?< ?(G
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
I SITE ADDRESS:
• '+tli`., t:, altiJt , k !1`v'f. ? .? PERMIT SUBTYPE:
TYPE OF WORK: „l TFRAT r,)H
; , ? .I' HIN3:sOWS a."11 1,r0?tNr
INSPECTION D. . ..
-?
O
'jCORD
PERMIT TYPE:
Permit Number:
Date Issued:
14 H +. K = APPLICANT:
?l?+A? L F,R!i IIV(
?
I
Permk No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InspecUon Uate Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIPEPLACE
AIR TEST
FINAL PLBG .
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT 8.1.
BSMT FINAL
DECK FfG
DECK FINAL
EAGAN 'r'OVV1/IV SH I P
B1.0lLDIIVG PERMlT
Ownex
Addsess (preseni)
Builder ........................ Address ...............`-----------`--.._-°
DE3CAIPTiOAt
Id° 404
Eagan Towaship
Towa Hall
Daie -/-.-........... ..
Siories To Be Used For Froni Depih HeighS Est. Cost Permi! Fee Remarks
LOCATION
- a._,.? `y._?-
4?
or
?
This permit does noi aulhoriae the use of slreeis, roads, alleys or sidewalks nar does if giva the owner os his agent
the right !o creale any si3va2ion whith is a nuisance ox which presenls a hazard !o the healih, safely, convenienee and
general welfare !o anyone in the communilp. THIS PERMIT MUS Premi?e?PT70N o YheiI of I he 8vi d ng Ordinahea for Ea? Towna ,-" dapfed. - A .
This is Lo eertifp, !h ..ea_4/??ycI ??4- . upon
the aboSe described ' pril 11.
1955. ? ??? .: i
`.?( ?'?'=???L/?f/*6? - - ---'---. Per -- -- --.__'------....--°------------- ----._......._-----.._.-- ...... ........
Chairman 6?f ard Suilding Inspector
PERMIT
" ? ? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031506
(612) 681-4675 Date Issued: 02 /2 7/ 98
PROJECT NBR: ;
SITE ADDRESS:
4242 AMBER pR
LOT: 14 BLOCK: 6
CEDAR 6ROVE #2
P.I.N.: 10-16701-140-06
DESCRIPTION:
WINDOWS AND SIDING
Bui-I;dl-h'g Permit 7ype SF (MI9C. )
Bwilding'41,ork Type ALTERATION
;,' Gensus Cq;de'''434 ALT. RESIDENTIAL
c` k
r 4??
.,,
?r ?a „? ? 3
:
=
REMARKS:
FEE SUMMARY:
VALUA7ION $9,000
Base Fee $149.75
Surcharge $4.50
Total Fee $154.25
i
r
CONTRACTOR: - Applicant - ST. LzC.OWNER:
BUILDERS & REMODELERS INC 18275481 0001100 FISCHER CHARLES
3517 HENNEPIN AVE S 4242 AMBER TR
MINNEAPOLSS MN 55408 EAGAN MN 55122
(612) 827-5481 (612)454-3628
I heret?y acknowledge that I have read this-application and state Chat ths
7
inf,or,mation- is correcti s,nd ag,+°,ee,tp,
Sta'tute`s anii City of Eagan Ordirtain,c0 s;_
APPLICANT/PERMITEE SIGNATURE ISSUED eY: SIGNATURE
?R&:'m'?k MkcX'k:kCYFMYF7K?i X?7K$(?k?l(!'RkoX1k?YF$Ch'(.W.%K?k7kS.'$;?'l5?'?M:i:'M
C'tTY C;F- E'.Ai.;ANt
CAciH:1:ER9 '3 T'E.f'H:[NAi... Ni.la
UPTF.; 0207;40 71:MG..g J.''_?00:J4
I0.,
AO,Mr:;, I:rNN.1::71{ !3 i;l1f:5GS(.L§d
:4ri.p 91701 4242 llMB(::It DfC 149.i5
205 9001 4242 AASk3El; DI"; 4 ..`';Cl
'iei;a1 Rei^EiGt Amoun+„ I54.25
cROf;e,91rn
Usr:::R Ir.,: unnCv
;a***;x10 -x
A??? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
!?CITY OF EAGAN ?
3830 PII.OT KNOB RD • 66122
681-4675
New Conslrudion Reouirements
• 3 registered ake surveys
? 2 copies ot plans (inGWe beam 8 window saes; poured fid. design; etc.)
? 1 energy calculations
DESCRIPTION OF WORK: RemodelA2eoair Reauirementa
? 3 copies W tree preservation plan H lot platted efter 7/1/93
required: _Yes _ No
DATE: 2 -?2 6-9P
? 2 eoPies W plen
? 2 sila aurveys (e)derior addktons & decks)
? 1 eneigy celculations for heeted addRions
CONSTRUCTION COST;
9000. 00
STREETADDRESS: y.gy2- /9.?/fjrR 41L.
LOT: ! ? BLOCK: ?)_ SUBD.lP.I.D. #: ?eCLCkY
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: fi,rivEit C f/.vRt E J Phone tl: yJY - 34.2P
Last First
Street Address: y2 Y2 19ri,0CA pit -
City '517 tA/? State: r+*i? Zip:
Company: X,;rcoeizt t /tErve.?E?fi+J Phone#: P.a 7-s'YP /
Street Address: 3 s/ J NfNNE /?/? lvaE -r• License #
City
Company:
Name:_
Street Adc
City _
Sewer & water licensed plumber (new construction only):
and lot Change is requested once permit is issued.
// o 0
Zip:
Penally applies when address chang
I hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to compy, with all applicabl
Stste of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
State: /ia/V Zip: Ss-yo J,
Phone #:
Registration #:
State:
- Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
9K 02 SF Dwelling ? 07 4-plex
? 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New PC 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory O
? 14 Firepiace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
L? -R (I
-.o-)
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
ACCt. DeposR
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
? CTTY USE OIVLY
PERMIT #: RECEIPT DATE: 7-17 ( JI
WISID£PTIlkL M£CILARICAL PERM1T APPLICATION
crrYoF gnsatx
3830 Pu or sNoa ftn
£kHAA Idft,551 ES
651-681-4695
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 7??p-01
SITEADDRESS: ?2?r1pY/?/CJJY (/J?
OWNERNAME: rA/QVI.CS i'/Sll'PiY TELEPHONE#: iDer7I y-3(?8?
(AREA ODE)
INSTALLER NAME: YVD??'C./r SSOLAThSILLCl TELEPHONE #: Sa' y?I" -70/-7
(AREA C DE)
STREET ADDRESS: ?JU ?• I? Kl ? S? ? I D?/?
CITY: &l/{C/ STATE: ZIP:
Place a check mark next to the oermiYwork tvne --- - ""
New residential.dwelting unit under constructionand not owner/occupied -- $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
rn
l
nt
• f
u
ace rep
aceme
• air exchanger
• air conditioner ?l
• other ? UL ZOYi ,
Nature of work: W
L= ?
L ?
-
y_
s
-
Y
State Surchar e $ .50
T
otal
Reminder: Call for inspections.
. . •
A Jp k_l?
G ATURE OF PERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
CObIMERCIAL MECHANICAI. PEiM1T ?PPIICATION
C1TY OP EA6AN
3$30 MOT KNOB ftD
EAGM, i?uv ssi sE
651-681-4675
Please complete for: all commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
(AREA CODE)
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE:
Specify Nature of Work
PHONE #: -
(n2En coDe)
STATE:
_ New conshuction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greatec.
Underground tank removallinstallation = minimum fee
Conuact price: $ x 1%= $
State surcharge
TOTAL
$
(Base Fee)
calculate at $.50 for each $ 1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/Ol
y r f For Office Use (�
o y�r i a i°moo :::::/ .R-ECEIVED
Date Received: /6
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:buildinoinspectionsacityofeagan.com OCT A g 2019
J
q--141--112019RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 4P-4-fa OA- r x i .
Tenant:
�V � ede. ... _ Suite#:
Resident/Ow•ner : Name: � Phone:la ( +5-4 Et/` ,
Address/City/Zip: / 4. • . . // I 4I
Name: MILBERT COMPANY dba CULLIGAN WATER
License#: WC641376
Contractor. Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
• New ,Replacement _Repair Rebuild Modify Space
Type of Work — Work in R.O.W.
— — —
Description of work:
Water Heater
Lawn Irrigation(—RPZ/ PVB)•
x Water Softener
Add Plumbing Fixtures( Main/_Lower Level)
Description -Septic System
Description:
New
Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
60.00
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)454.0002 for protection against u"riCiergl:OraTcr utility damage, Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecalt.orq
- You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofoagan.com/subscribo.
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
a ordance with the approved pla in the ca a of work will h requires a review and approval of fans.
�I
x x
Applicant's4/11j17C--
Pr nted Name Alp. cant's Signature
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