4265 Amber Dr
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RESIDENTIAL
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructionRequirements RemodeUReoairRequirements ?? v I
• 3 registeretl site surveys shovnng sq. ft of lot sq. fl. of house; and all roofed areas • 2 copies of plan
(20% mazimum Iot cove2ge allowed) • 1 set of Energy Calculations for heated additions
. 2 cropies of plan shaxing beam & window sizes; poured found design, etc.) • 1 site survey for extenor additions 8 decks
• 7 set ol Energy Calculabons
• 3 copies of Tree Preserva6on Plan rf lot platted after 711193
. Rim Joist Detail Opfions selection sheet (61dgs wiN 3 or less units)
DATE I0'u'01 VALUATION (EXCLUDING LAND) -V 7E?. 7H
JOB SITE ADDRESS L}ZC.oS Qi71 rX' (' 00\Je,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNERFranK- -t- CnIo?_YI Z-FnnqYl
TYPE OF WORK
APPLICANT
PHONE # E-I 1-1I 2f`?02
ADDRESS ZIPCODE
PAGER # CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 , -? ?? -?
(check one) - Residential Ventilation Category 1 Worksheet Submittedi D? 1 I
- Energy Envelope Calculations Submitted ? UL.? a3 20O1
_ MINNESOTA RtiLES 7672
- New Energy Cade Worksheet Submitted ?
ey--?-=
Plumbing Contractor:
Ptumbin.- Systcin Includes:
Mechanical Contractor:
N[cchanical Svstem Luludes:
Sewer/Water Contractor:
-- Air Conditioning
Hr.ll Rccovety Systcm
Phone #
Phone #
Fcc: $90•00
Pcc: $70.00
All above information must be submitted prior to processing of application.
1 hereby acknowledge that I have read ihis application, 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 7Q
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
BUILDING PERMIT APPLICATION
_ Water Soltener _
_ Waier Healer
No. of 13aths
_0 _1 _2 _3
Phone #:
I.awtt Sprinkler
No. of R.I. Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 OS-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 _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
El OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appl icant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
Footings(deck)
Foohngs (addition)
Foundation
Drain Tile
Roof Ice& Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumhing
HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ft-s _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows(new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
3795 Plkf Kweb Rmd Eagan, MN 56122 ' f1 0 1""'>
PHONE: 454-8100 : ?2"5 j
BUILDING PERMIT Receipt #
Te be ussd for R-p-RMIFTN,^, Est. Vclue 92,000 Dote - JulSr 19 , 19-33.._
Site Address Erect ? Occupancy -
Lot _12 Btock _L Sec/Sub. Cedar Grave 2zzd Alter Xp 2oning
Porcel # 10 j( IQL 19f1.()7 Repair ? Fire Zone
E
nlarge ? Type of Const.
W Name Rx?yjr?„ig=gty JySove 0 # 5tories
z
?
Address 4265 Aeb@i' L],riuQ
Demolish O
Length
CiN Rnonn S5197 phone 454?.?A?i7 Grade ? pepth Sq, FL.
O4 NCme Qt,mE+r ApProvali
,O
u? ^?r@u Assessment
~ Cit Phone Woter & Sew.
?? Police
?W Nome Flra
Address Eng,
Ci Phone Plonner
Council
I hereby acknowledge thot I have read this opplication and store that Btdg. Off.
the irrformation is Correct nnd agree to tomply wlih oll opplicabla
$tnFe of MinnPSnla Stnhdne nnA Ci*.. n4 Fnnnn C1r.l6-rae APC
Sipnoture of Permittee,
A Building Permit Is issued to: FrBn]i
oll work sholl be done in occordarxo with ell
; 8uifdinq Officiol
Permit 3z- 50
Surcharge 1 - f111
Plon check
5AC
Water Conn.
Water Meter
Rood Unit
Tptaf •, 1,3 -SLI
on the express condition thnr
State ot lyKinnesoto Statutes end Ciry ot Eogon Ordinances.
Permit No. Permit Holder Mise. Permit No. Holder
Plumbing '
H.V.A.C.
Well
Water
Disp. .
Sevwr
Electric
lnsPgcxion Date lnsp. Other
Footings
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Finel Plbg.
Final HVAC
Final
Water Dewiha Location:
Weli
$ewer
Pr. Disp. .
Parmit
Recsipt MECHANICAL PERMIt No. '
, , . CITY OF EAGAN Fes
Fid in numbered spaces S/C
J ' _ ' : ? <) TyQe or Print /egib/y Tot -
1. Date 2. Inatallation Cost ?
3. Job Addresa LotI Blk. I Tract
4. Owner
i
5. Contractor ; -e Phone
6. Address
7, City State Zip _
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add 0 Alter Repair ?
+--
10. Deaa'ibe Fuel Type
11.
No. Epuipment BTU - M. Ea.
Foroed Air No, Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mf9•
Gas. Piping Outlets
12. 1 hereby certify that tfie above information is true and correct, and I agree to
comply with all ordinancea and codes governing this type of work.
Signed : for
Rouph Fi I
Inspections: Date Insp. Date ? nsp,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
OF EAGAN Remarks Cedar Grove Acquisitioal
)n _Deds3X CrY'nVE #2 Lot 12 Blk 7 Parcel 1 n 16701 1 2C) 07
4.`` . ?? : street 4265 Amber Drive State EagansMN 55122
?''r n nn v?
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF, 1266-95 94-46 19
STREET RESTOR. -
GRADING
5AN SEW TRUNK
SEWER LATERAL 127 2 1 Q 52.16 2
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
? SIDEWALK
STREET LIGHT
? WATER CONN. ? I
9UILDING PER.
SAC
PARK
L
N 8 3 i??- ,Q? ????- w??. ?
Requ Dete
~•{J{ Flre No Raugh-in Inspectian
Reqwred'+
G Yes No
aay Now C) Will NoOty Inspeclor
When Featy'+
I hcensed contractor ? owner hereby request inspechon of above electncal work at:
Job?,a ts„? ?,. 5 ?.o.RO?I- ?
r c'?
c?.?
SecLOn No Townghip Name or No Range No Co
Occ PRINT)
i n na.n PhonB No
Power Suppber AOtlress
Ele ai Conlractw (Company ? t
?? c4r i c- Contrec?o?§ Licanse No
CAol19a
Marling Atltlr s ICOnVacbr ofr ?Owner Makmg Instal
C?
-
Aulhor etl Sign ure IC nt cto,1Owner Mekmq Inslallalion7
° Ph Number
/0-35?5
MINNESOTA STATE B RD 0 EL CTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway BIEg. - m 8E ACCEPTED BV THE $TATE BOARD
1821 Unlversiry Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTIDN FEE IS
PMne (612) 602-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB i e
?
Ili
5 4 3 8 3 See instructions lor complenng tM1is lorrn on back ol yellow mpy.
"X" Be/ow Work Covered by This Request
ew Add Rep 7ypeofBmlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Specdy)
Comm./Industnal Fumace
Farm Av Condinoner
Other (syemN) Contredor's,Remarks:
s-}c? ?_tsAA__D -??Cjr?Ch on A/C-1
Compute Inspecfion Fee Below.
# Other Fee B ServiceEnlrence Srze Fee # Cirwits/Feetler5 Pee
Swimming Pool 0 to 200 Amps 0 ta 700 Amps
Transformers Abova 200 _ Amps Abo - Amps
S19n5 InsOeclork Use Only ? TOTAL ?
Irriga6on Booms "-
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fea COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rough-in _
n Date
certi ihatthea6oveins ectionhas
N P
been made. Finai oaia 'zO "?Y
1
OFFICE USE ONLV
Tnis requesl voiE 18 montM1S Imm
cIrr oF eacaN
? 9795 Pllef Knob Raed Fagan, MN 55122 ?o $258
.
' PHONE: 454-8I00
?
BUILDING PERMIT Recelpf # _5
-tq y
To M usad far RE-ROOFING Ert. Value $2,000 Date July 19 _ 1983
Sita Address 4265 Amber Drive
Erect ? Occuponq
Lot 12 BI«k 7 Sec/Sub. Cedar Grove 2nd Alter 3(M Zoniog
p
l # 10 16701 120 07
r Repulr ? Flre Zone
a
ce
Enlorge ? Type of Const.
W Nome Frank Linnan Mo ri
# Sr
ve ? o
es
; Addrea 4265 Amber Drive Derr,olish ? Length_
b q EaQ3n 55122 phone 454-2867 Grode ? Depth Sq. Ft.-
p Name
ou Addreu Assessment Permit 32.50
u? Cit Phone Water 8 Sew. Surcharge 1•00
F Police Plan check
Uw Nome
Fw
Fira
SAC
?
,
-? Addreas Enp. Water Conn.
u
<W Ci phpry Planner Water Meter
Council Rood Unit
I hereby ocknowledge that I have read this aDDlicotion ond state thaf Bldg. Off.
the informotion is corrett and agree to comply with all opplicoble APC l $33.50
T
Stote o4 Minnewto Stotut d af Eog n O
rdy
i4nces. oto
y
?
??
J
»
'
?
?T ?wi
/r
M?A
Sipnature of Permittee
-
Frank
Lin an
A Building Permit Is issued to: on the expreu condiHOn thm
all work shall be done in acwrdonce with all oppli??
te ofi inrxwto Statutes ond
St
o Ciry of Eapon Ordinonces.
?
?
p
8uildiog Official ' ""'zS&
?_ - OWneT ADProrola Fees
CITy pg EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
? a? odo , o0
Tb Be Used For 0 Valuation Date
Site Pddress e,
<Jaamm OFFICE USE ONLY
Ivt slock ? sec./sub. 0aii(` G?COV???rect Occupancy
Parcei #_ 10 j(07c)l (o?D Ol A1ter = zoninq
Repair Fire Zone
O.mer: 41,9"7 ?Enlarge _ TYPe of Const.
M°
Address: ,v?- `re # Stories
Demolish Front
Ci.ty/Zip Ca3e: l9 _'SS a Grade Depth _
Phone # : '7 ,? 'y - 'Ae4 7
Contractor:
Ptidress:
City/Zip Code:
Phore # :
Arch. /ESzg. .
Piddress:
APPROVALS FEES
Assessments Permit 3 a? S d
?-Tater/Sewer Surcharge
Police Plan Check
Fire SAC
Eng •
Plamer
Council
Bldg. Off.
APC
ft.
Water Conn.
Water Meter
Road Unit
City/Zip Code: _
Phone # : TOrAi' 3 ? ' S C?
K P
Addsess (pri
8uilder
Addxess
EAGAN TOWNSHIP
UILDING PERMIT
- ,
N° 613
Eagan Township
Town Hall
Daie .C.?.:.?T....`...f??L?: ?--.. ...
5fories To Be Used For Fron! Depih Heighf Esi. Cos! Permii Fee Remarks _
I ? ???- - - - - ???'? ---- --" - -
This permii does not aufhorise the use of sYreeis, zoads, alleys or aidewalks nor does it give the owner or his ageni
the righ!!o creafe any sifuafion which is a nuisanae os which p:eseais a haaard fo the healih, safely, convenience and
general welfare !o anyone in the eommunily. THIS PERMIT MUST PT TFI E I E WH,ILE THE WORK IS IN PRO(GtRE //-"- This is !o cerlify, ih .. .?7?, ??..'y?.?C).has permission fo ereai ...
YLtlrtG'.:7....------ ._............_upon
!he above dsscxibed premise subjec! !0 the pxovisions of the Buildin Ordina an o?s?ip adopied April 11,
1955. . . . . _._? ,. " ?^? .
'...... _.. __ ..............._.._.'_----- .. _..._..-- _......._......_. ..._- ? __ __r`
Chairman of Town Baard ' ?,Buiding Inspector
EAGAN 1'OWN S H 1 P Na 1468
BUILDING PERMIT
Ownex ..??.-------- C'---.....?J................. Eagan Towaship
Address (preseni) :?l...l? :!^..?O_'---.....- 42-'.' :............. .... Town Hall
Buildes -!/_f- - -------- e"---1 .................... .. -------------- -
? f
/? . Address -------k??'1S -?`-- ?'...?-`- ----?--+`'= -?s.C'?-..J DaYe .... _.__ .._'.. ___._-"-
DESCRIPTION
Siories To Be Used For Froni Depih Heighf Esi. Cos! Permit Fee Remazks
? .P- b 6-z;. / 9 //, t-? 5'
u f/ LOCATION
Sireei. 8oati or oiner uescnpnan ox Locanon I i.oi I niocx i naauion or aracx
'.?--
This permii does nof auihosize the use of sfreels, roads, alleys or sidewalks nor does ii give the owner os his agen!
the righf fo create any siiuation which is a nuisance or which presenis a hasard fo the healfh, safeiy, convenienee and
general welfare to anyone in the commvaify.
THIS PERMIT MUST'BE KEPT ON,JTAE? PREMISE WHILE THE WORK IS IN PROGRESS.
."•'."__?`? upon
TLis is !o eerfify, ihaf...? , ...L.'..._N.?`.^................... as permission !o erecf a_.. ""........ .!-.. '..
'''? .
the abave described premise subjecf so the provisions of the Building Ordinance to Ea?g kTo ship adopfed April 11,
1955.
......-"---'°-----1??rt?c.e!::4.'.-"?L?`:?t.^..'i.---_..__--- Per -----...:__...- --`,---?""--?i.. ?C.f...?...._......._"'.........
Chairman of Tnwn Board Buildin Ins ecior
a ,t3 ,
d??, /4/ 6 e
`` -• " /?l a?•S li-m13k'PZ
?
?
J
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G
?
Q
3?y ph, ??
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*L.aT i,PLocK 7, Ck'/Jlm G'J2ov.F *,Z ,,k,9GAti row,?.;NiP,
?A?ioT.4 COUNTr? M?Nh'6S6Y,Q-
/.?JDi rioAv aF I-=fol icy /eo?in 24- /Olt) •S C.9f?6?f ,?1T7.ac'H,F'/)
°x ? (-/ ro q,c P?FleyW 41 f
lVecMln.'GTEri'?Id?//YN?lbo7/¢ i9T 14 ST o,t' c?s'?1??? •
? /-
R@SIDENTIAL
7 °? 1 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
u
New Canstruction Rwuiremenb RemodellReoair Reuuirements
. 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas . 2 wpies o( plan
(20% mazimum lol coverage allowed) • t set of Energy Calalations for heated additions
• 2 copies of plan showing 6eam 8 vnndow saes; poured found design, etc.) . 7 sile survey for exterior addiGons & Aecks
• 1 set of Energy CaIcWa6ons • Indicate if hane served by septic sysMm far addAions
• 3 wpies of Tree Preservation Plan d lot plafled after 711/93
• Rim Joisl De1al OpGOns selectlon sheel (bldgs wiU 3 or less units)
DATE g- 2J icz,
SITEADDRESS
TYPE OF WORK l].&r e
APPUCANT /7rCJ" .%1fi!/
STREET ADDRESS° ?I 7 /NIGv?/?
TELEPHONE #9P '71771 69JY"I CELL PHONE #
C_
MULTI-FAMILY BLDG _Y fN
" FIREPLACE(S) _ 0 _ 1 _ 2
?STATE?ZIP PPA,?
[ 0
FAX # 9JA
PROPERTYOWNER )5&1E /,?IIJ?/qrJ TELEPHONE#
--------------------------------------------------------------------------------------°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNrSO"1:1 RULES 7670 CATCGORY I MINVESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope CalculaGOns Submitted
Plumbing Contractor: __
Plumbing systcm includes:
Mechanical Contractor:
Mectianical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery Systcm
Phone #
I ?? .6o
?n? AUG 2 2 2002 ?
$70.00
--°-------°-----------°-------------------------------°-...°--°-------...---------°------------------------------°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances,?''
Signature of Appllcant Pk?e ?
OFFICE USE ONLY
Water Softcncr
_ Water Hcater
No. oF Baths
_ PtlOnf #
Iawn Sprinkler
No. of R.I. Baths
Phone #
VALUATION U 010,
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
UpCated 4102
OFFICE USE ONLY
.
? 01 Foundation ? 07 OS-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 _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire B ldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_
Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O
_ Footings (addition) .
Plumbing
_ Foundahon HVAC
_ Drain Tile Other
Roof _ Ice & Water
Framing _ Fi nal Pool Ftgs Air/Gas Tests Final
_
_ Fireplace _ R.I.
_ Au
Test _ _
Final Siding Slucco Stone
Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
l 7 O / 651-681-4675
dew ConaUUetbn ReauiremaMs
• 3 regislered site suroeys showing sq. ft. ot bt, sq. ft of house; and all roofed areas
(20% maximum bt coverege allowed)
. 2 copies of plan showing beam & wirxfow sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies ol Tree Preservatlon Plen A bt platted aRer 7!1l98
•' Hin Jolst Detall Op6ons seledbn sheet (bidgs wllh 3 or less unfts)
DATE
SITE ADDRESS
NPE OF
APPLICANT 4l /C?I/ ?
STREET ADDRESS I°??` 7 /4I (i0II?7 `/
TELEPHONE # YJ':Z ' 11`7' ?'?1?1 CELL PHONE #
fVl ri STATE MLP
Fnx a 9J`A OJEL 47G140
PROPERTY OWNER rntk GI nnG n TELEPHONE #i0j - 7 fY - x'r67
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIA'NFSOTA RULFS 7672
(J submission type) • Residential Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhacfor.
Mechanical system uicludes:
Sewer/Water Conhactor.
MULTI-FAMILY BLDG _Y
t?N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
_ Water Sof[ener ? Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths pi ?No. of Baths 2 2 Phone #
Air Conditioning ? Fee: $70.00 `J?
_ Heat Recovery System By
Phone #
I hereby acknowledge That I have read This appllcation, state that ihe information is correct, and agree to compiy
with all applicable State of Minnesota Stalutes and City of Eagan Ordinances.
?
Signature of Applicanf 06RQ, n
--_......... -...... °-----...... ......_--...... -----••-....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
?Y,? .-75
Hemodelrtieoelr ReaulremeMs
. 2 copies of plan
. 1 set of Energy CalcWationsfor heated aMlitions
. 1 site survey for eMerior adtlitbns & decks
• Intlicate A trome served by septic syslem for atltlAions
VALUATION j A'JO (2;)
OFFICE USE ONLY
13 01 Foundation ? 07 05-plex O 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 EM. Aft - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plax 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 Alteretion ? 37 Demolish (Bldg)' O 43 Reroof ? 48 WindowslDoors '
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicarH
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ FraniinS _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
P,:, qo.co
?? 7d
?-----------------
? ???? I
j Permit #: I j
? Permit Fee:
? Oate Fieceived: ro - i 9 j
I Statt_
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
? ?
? W
RESIDENT / OWNER Name:
: ?
Address / City / Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: ?
Construction Cost: ? z[p a MWti-Family Building (Yes _1 Notk)
??0
9'9 459
Li
#
CONTRACTOR cense
1
:
Name:
Address: 5G1 1 r+ IP/n(`1rW 1TV2 I U.
: S5080
vZi
t
?
'r St
(Ax)l'
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I
p
a
e:
City:
11
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Phone: (2)6I' LI Cl 9•?3;L0 Contacl Person: K(,Cffi
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submittetl
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 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:
Llcensed Plumber: Phone:
MechanicalContractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and suppor'Npg dpcumenfs thatypu Spbmlt?a?e ?a?rs?der?d tQEbe ptrbbc iRfarmaiEPpnO?Pbrpons of
sEnorr pubNC,it you provlde s?feo+6c reasons that woutd permR3he 6Ryto>' ;,
the infoanahort°may,be cfassfhed a
?
I hereby acknowledqe that this intormalion is complete and accurate; that [he work will be in coniormance with the ordinances and codes of the Ciry of
Eagan; that I undersland this is not a permit, but only an application tor a permi6 and work is not to start without a permik Ihat ihe work will be in
accordance with the approved plan in [he case ot work which requires a review and approval of plans.
X oc j X W
ppplicant's Print d Name ApplicanYs 5ig atur
i Page 1 of 3
i-----------------,
FocOffiee;Use I
, Permu tt: i ?
? /? I
? Permit Fee, .`7J • `S? I
?1 I
j Date Received:
? Starf: -?
I
2008 MECHANICAL PERMIT APPLICATION
Date: I61310 c? Site Address: `7?65 ,ChaB1E;2 ,De
Tenant:
Suite
RESIDENT / OWNER Name: ieZ/ NN ?1-/J Phone:65-/ - <16-11- a867
Address/City /Zip:
CONTRACTOR NamW72if-ffc,«.,t' A_ ATicti.z License #: l L-:Z7 5-98 L4 62,
-
?
Address/p f (oy U?/'?/C[.tioN s?-
City: _AX}STi N
> 5 State: /"W Zip; S.So33
?
Phones?-37't1/7-7 ContactPerson:
TYPE OF WORK - New XReplacement _ Additional _ Aiteration _ Demolition
Description of work: ?j ?NLsiC? ?z,v?a-Gf FkjJrJ
'NOTE Both-roofmounted anN?gcound niounied'mechanfcal_equipmeaCis requiredta '`
besere?ned;byCltyCode,?PfeasecorifacCtlie.Mectiariiea!•Inspectbr`orbne?oftke.*1`:`
-; Planners.toc idfocination on iermltted screenin o me[[iads.
RESIDENTIAL COMMERClAL
PERMIT TYPE k Interior Improvement
New Construction
Fumace _
_
?AirConditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ E#erior HVAC Unit
'
_ HVAC units musf be screened
_ Heat Pump Undet / Above ground Tank L_ Install !_ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumhin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace bumed out appiiances, ductwork, etc.) (includes $.50 State Surcharge)
`5o-Sv
TOTALFEE
$
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1°k
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permi Fee is less than $1,000, suroharge is $.50.
- If Pertni Fee is >$1,000, surcharge increases by $.50 for each =$ State SurChafge
$1,000 ermit Fee (i.e. a 51,001-S2,000 Pertnit Fee requires a $1 00 surcharqe).
g TOTALFEE
I P.2(20y dCl( nOWIEC52 tndf V1i5 InICR113tICn 6 CCrt1FIEtE dfltl accurate: that lbe wcrk will Ce m cortormance wim me oroinances ana coaes oi me ury oi cagan; mai
I understand this is net a permit bu[ only an application tar a pertnrt, and work is not m s[ah without a permi[; thal the work will be in accordance wiih !he appmved
plan m ihe case of vrork which reqmres a review and aFProval of plans
x? x
Applicant's Printed Name Applicant's Signature
FOR:OFFIGE USE ? ' : - ' . ' Reviewed=6y: Date*
<
Required Inspectioris:a; _Under Ground °= Rough In Air Test. _Gas Service.Test In-Qoor FJeat `z Fnal
Use BLUE or BLACK Ink
For Office Us I
Permit
I I
i~
City of Eap 1
7), 1
3830 Pilot Knob Road Permit Fee:
I
Eagan MN 55122 Date Received: ° Z I
Phone:(651)675-5675 I
Fax: (651) 675-5694 1 I
I Staff: I
I
- - - - - - - - - - - - - - - - J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0 Site Address:
- Unit
i ~Name: 'GW111_-~ Q~'eYy~ I~IGI{/~ Phone:
1 Resident/ i
Owner Address / City / Zip:
Applicant is: Owner Contractor
~...w..._ Description of work:
z Type of Work I a~l.r®~i `i
i q,
Construction
Cost: S. Multi-Family Building: (Yes / N )
i
rd Co~+
E i Company:
Contact: _ I C,(
Contractor Address:(~oq iftyrp . City: IIfp-+er
' i State: 0 IN Zip: 55~ Phone: (2),51 L] 9 T320
3
License Lead Certificate N)qT-
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. Port- ions 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.oooherstateonecall 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 1 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 . L--~ A A C
Applicants Printed Name x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131619
Date Issued:06/29/2015
Permit Category:ePermit
Site Address: 4265 Amber Dr
Lot:12 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-120
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Francis C Linnan Tste
4265 Amber Dr
Eagan MN 55122
(651) 454-2867
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature