4267 Amber DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4267 Amber Dr
Lot: 13 Block: 7 Addition: Cedar Grove 2nd
PID:10- 16701 - 130 -07
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124 -0000
(952) 891 -1919
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Kenneth A Jasa
4267 Amber Dr
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084245
07/14/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN
• , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt?
To be used for Est. Value Date ,19
?
Lot Block Sec/Sub.
Parcel No.
c
W
z
0
a
o Name_
.
? ? Address
? City _
3AAMF
OFFICE USE ONLY
' On Site Sewage Occupancy
MWCC System Zoning
- On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
8ooster Pump Length
Depth
S.F. Total
Footprint S.F.
Phone
Address
City Phone
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 Permittee _
A Building Permit is issued to: " on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks ?
TOTAL
' Permit No. Permit Holdar Date Telephone ?k
Plumbing
H.V.AC.
Electric
Softener
Inspeetion Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Qeck Final
Well
Pr. Disp.
CITY OF EAGAN
., , $830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?' "'t A.4ZA11W
PHON E: 454-8100
BUILDING PERMIT Recetpt?
To be used for Est Value Date ,19
Site Address
Lot E
Parcel Na _
a
w
Z
3
0
07 cef/c,1ti C;C1Alk {:K4VE 2NU
Name
A JJ..?....
City Phone
,p Name
19
? u Address
1- City Phone
Name
Address
Ciry Phone
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.
OF FICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ ZOning
On Site Well _ Type of Const
Ciry Water _ (ActuaQ
(Allowable)
* of Storiea
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WatedSewer _ Surcharge ?
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance - Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the expresa condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
' Psrmit No. Permit Holder Date Telephone ?
Plumbing
H.V.A.C.
Electric
Softener
Inspecrlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing n,
Roofing
Rough Pibg.
Rough Htg.
Isul. 0
Fireplace
Final Htg.
Final Plbg.
Bldg. Finai Ali, Wpx s` /
Cert. OCC.
Temp. LP
DeCk Ftg.
Deck Frmg. ?
Well
Pr. Disp.
MECHANIOAL PERMIT ?<-
?,{
RECEIPT #
? CITY O
3030 PILOT KNQB R //
F EAGAN
07AD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: "954-8100
Site Address ?" BLDG. TYPE r WORK DESCRIPTION
Lot Block Sec/Sub
Res. . fNew
?
m Name +
' Mult Add-on _
.
J Comm. Repair
?c
c Address
^ `
City Phane Other
EES
c Name RES. HVAC 0-100 M BTU _$2400
p Address ADDITIONAL 50 M BTU - 6.00
UDES A/C ON NEW
City Phone
CONSTRUCTIpN
GAS OUTLET
MINIM
M
1
Mi
-
S (
U
PER PER
n - 1.50 EA. ?
TYPE OF WORK ? COMM/IND FEE - 19'o OF CONTRACT FEE ?
Forced Air M BTU -`' APT. BLDGS. - COMM. RATE APPUES
il
B - TOWNHOUSE & CONDOS - RES. RATE APPLIES
o
er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-aN 8
; Unit Heater M 8TU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM ? . j
STATE SURCHARGE PER PERMIT - .50 ?
PERMIT PRICE GOES
Qp
Gas Piping Outlets # ?
)
BEYOND $1 p
Other
FEE?a
V
?
S/C: ?- 1
SIG E F PE ITTEE ?
TOTAL:
?? p?•S(„!
' ?; FOR: CITY OF EAGAN
:
.
?_...._.. __. ?_ . _.?? . .
_ .--_.- r
. . .
w._...?... ?„_ .._
. . . . ..,,:
_ . ,......s?t.._..>. --- --._..._?..
t CITY OF EAGAN
3795 Pllot Knob Raod Eagon, MN 55122 i., a 81112
PHOWEs 454-8100 . .
BUILDING PERMIT Receipt ?pE J r` ?--
Site Add,eu 4267 Amber Drive
Lor 13 elock 7 Sc/S,b,Cedar Grove 2nd
pamei # In 16701 130 07
Erect kl
Alter ?
Repoir ?
Enlorfle Q
Move ?
Demolish ?
Graee n
Occuponcy -
Zoning
Firo Zone -
Type of Const.
# Stories _
Length
ac Name David Dornseif
W
Z Addross 4267 Amber Drive
9 r---- rrInn i_rt Incn
°C Name Oirner
,o
?? Addrest
F r:w, d...__
I hereby acknowledpe that I have read this applicotion and state that
the informafion is wrrect ond ogree to tomply with oll cpplicobie
Stote of Minnesota $tatutes ond City of Eaqan Or?inances.
Sipncture of Permittee , ?/
' av rnee
/1 Bulldiny PermiT Is Issued to:
Assessment _
Woter 8 Sew.
Police
Flre
Enp.
Planner
Council
Bldg. Off. _
APC
oll work shall be done in accordance with oll opp? le Stote of Mlnnesoto Statutes
,. r .
BuildinQ Official _
;q. Ft.
F.e.
$ufChOrqQ s JV
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
Totol $12 . 00
_ on tha exprcss condition thnt
City of Ea9an Ordinances.
Permit No. Permit Holdar Misc. Permit No. Holder
Plum6ing
H.V.A.C.
Well
Watsr
Disp.
S?wer
m
E kctric
Inspection Date Insp. Othx
Footings
Foundation
Freminy
Rouyh Plbq.
Rouqh HVA
Inwlation
Final Plbp.
Final HVAC
Final ?T
Wmr Dsspibe Locttion:
YVell -
Sawer
Pr. D'ap.
r ??r??a?l?••i?••i?••si??_ a. 19
, U
!),q v?D 6)RtvsL=
yz(, 7 J4M b?r rDR.
Lo`r'
/
?V0 2
) lo f
-$s
?
N
?
?? . - -
? ?-?----, y y ? ?---?-.
?
2b 1 ' 4-
75
CITY OF EAGAN Remarks Cedar Grave Acquisitian
Acldition Cedar Grove #2 Lat 13 slk 7 Parcel 10 16701 130 07
Owner Street 4267 Amber Dr. State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 5 1985 1266.95 84.46 15 1266.95 C009380 9-7-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
? SEWERLATERAL 1972 13 04, O 52.16 2 P•d A006355 7-24-78 ?
WATERMAIN
# WATER LATERAL 1972
WATER AflEA
STOFiM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN.
BUILDING PER.
SAC
PARK
3
H 3 19
1
'
Request Date Fire No. Rough-in Inspection
Feqwretl7 ? eeCy Now ? Will NoLfy Inspecior
L] Ves dfJO When Re&
I Bli
l
d
i
f
b
t
i
cense
contractor O owner hereby reque st inspect
on o
a c wor
ove e
ec
r
Job Atltlress ISireel, 8ox or Route No ) City
9
YJ ? ? ?'? ?L/'GC? ?1?'
SecLon No Township Name or Na.
Range No /J
Cou LA
Occupanl(PFWT) Phone No
Power Suppher Aatlress
Elech al Canl ct Gom y Name) 5pzo,
... ConVaciork License No
v yo/
Ma?
Aptlress
?racloror wnerMaking In tallation)
?
=
`
Autnor ignaWr C nhe torl0
r Ma Installavon)
Oit
Pnone Number ` yrl
MINNESOTA STATE B D OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
Grlgqs-Midwquy Bltlg. - floom 5-113 BE ACCEPTED BV THE STATE BOARO
1841 Univerelty Ave., St Paul. MN 551pC UNLESS PqOPER INSPECTION FEE IS
Phone(6t2) 64248W ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ?"4
`??=?y
?/?p/?? G'/ol o?oC
? See mstrutlions lor complelmg tbis form on back oi yellow mpy ? p?-
X" @elow Work Covered by This Request ?i:.:??
a 31931 - ?
`
ew REtl Rep. ? Typeofewlding AppliancesWiretl EqwpmentWrtetl
Home Range Temporary Service
Duplez Water Heater Eleclric Heating
Apt. Bwlding Dryer Other (Specify)
Comm./Industrial ' Fumace
Farm Air Condmoner
Olher (speafy) ConVactorS Pemarks.
Compute Inspection Fee Below: ? D a?'?
# Other Fee # SerwceEntranceS¢e Fee # Cvcwts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps AOOVe 1 Amps
Signs Inspector5 Use Only. ? TOTAL , j.?
Irrigation Booms D
C
Special Inspection !
AlarmlCommunication E
CO
THIS INSTAILATION MAY BE ORDDISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby P0O9h-in oa?e
certify that the above mspecAOn has
been made. Fi„ai oa? ry/
?• 4
OFFICE USE ONLY
Tnis request voitl i8 monfhs Irom
***********************i******#********
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 764
DATE: 05/03/00 TIME: 15:02:09
ID:
NAME: ABC-PERMITS
3210 9001 4267 AMBER DR 125.25
2155 9001 4267 AMBER DR 3.00
Total Receipt Amount: 128.25
CR128973
USER ID: JAN
,r*******?**?**?*****x*?**?********?***?
CITY OF EAGAN jUP 15 316
, 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
` PHON E: 454-8 100
BUILDING PERMIT Receipt# MS 7
70 6e used for 3 SEASON PORCUt. Value $ 7, 000 Date .7i tT.v 8, 1 9RA ,1 g8$
Site Address 4267 AMBER DRIVE OFFICE USE ONLY
Lot 13 Block 7 Sec/Sub.CEDAR GROVE 2N OnSlteSewage _ Occupancy
MWCC System _ Zoning
Parcel No.
On Site Well _ (Actual) Const
rc Name David DORNSEIF CiryWater _ (Allowable)
; W Address 4267 AMBER DRIVE PRV Required - 7F of Storiea
0 City F.A('A? Phone_ 4$4-1352 BoosterPUmp _ Length
Depth
a
o Name SP?',' S.F.Total
.
? a Add1CSS Footprint S.F
z? City phone AppROVALS FEES
ow
W
Name Engr./Assess Permit $._ $.2_.010
W
tz
-
Address Planner Surcharge 3-SQ
i
aw City Phane Council PlanReview
BIdg.Off. SAC.City
I hereby acknowletlge that I have read ihis application and state that the Variance SAC, M WCC
informatwn is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City ot gan Ordinanc
Water Metef
Signature of Permittee
Road Unit
A Building Permit is issue o: DAVID DORNSEI Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Mmne o Statutes a Citxot Eagan Ortlinances. Parks
TOTAL +S $5.50
BuildingOffiaal _
///? / /8,Y K Y 3/c
E 72754/ij ov J ' c>9"y
Racrye Dffie `
Y Rre No. Roug -in InspeCLOn
Requrted?
6?ReatlY Now ? Will NotiN Irepeclor
R
d
?
?? WM
? Yes No n
ea
y
1Xycensed contractor ? owner hereby request inspection of above electrical work at:
.bb Adtlress (Streat, Box or Roule No ) Cih/
-i mh ? 'e XJ
Seciion No Township Name or No. Range NO County
Occupant (PflINT)
S A Phona No
-ir
Power Supplrer AOtlress
Elecin iractor Cwnparry Nama)
T Contractor5 L¢enae No.
'
'
.? C
Metlirg tlress ( Mraclor or Owner Meki InsWl tion)
L
Iw' igneWre (CamrecialOwner Ma I alla? Phone Number
3
2
MINNESOTA STIITE BOAPD OF ELECTRICR)f` ? V THIS INSPECTION REQUEST WILL NOT
GrIggaMidway Bltlg. - Poom S773 BE ACCEPTED BYTHE STATE BOARO
1821 University Ave., SG Paul, MN 55104 IINLESS PPOPER INSPECTION FEE IS
Phone(812)BC2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-m
? Sea instructions for rqmple0ng Nis form on back of yallow copy.
E? 7 2 7 5 4 `X" 8elow Wark Covered by This Request
e Atld fiep. 7ypeofBuiltling AppliancesWired EquipmentWired -
Home Range Temporary Servica
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm./Industnal Fumace
Farm ' Air Conditioner
Other (speary) Conirac[or5 Remarks
Compute lnspection Fee Be/ow:
# Olher Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee
Slvimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Above 100 - Amps
Signs Inspeelarts Use ony- TOTAL --?
Irrigation Booms
?
Special Inspection
Alarm/Communication [
Other Fee ?
I, the Electrical Inspector, hereby
f
th
b
t Ro?n;? f oe+e
i
y
cer
at the a
ove inspection has
been made. F??ai
. o
OFFlCE USE ONLV
This requesl void 18 momhs Irom
CITY OF EAGAN (J! 1413 0
, 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERMIT GARAGE PHONE: 454-8100 Receipt#
To be used for STORAGE Est Value $4, 000 Date SEPTEMBER 3 ,1987
Site Address 4'167 AMBER DR
Lot 130glock 07 Sec/Sub. CEDAR GROVE 2ND
Parcel No.-
a Name DAVE E DORNSELF
= Address SAME
? City Phone 454-1352
.o Name SAME
?Q Address
¢ City Phone
Address
City Phone
I here6y acknowledge that I have read this application and state
that the information is correct and agree to complywith ell applicable
State of Minnesota Statute and Cit o agan Ordin ces.
Signature of Permittee
A Building Permit is issued to: DAVE E ORNSEj,F
all work shall be done in accordance with alt applicable e of I
Building Official
OFFICE USE ONLY
On Site Sewag¢ _ Occupency
MWCCSystem _ Zoning
On Site Well _ Type of Const
City Water _ (Aduaq
(Alloweble)
# Of $fOf188 _-
-__
ZZj7
Length
Depth 12
S.F. Total
Footpnnt S.F.
APPROVALS FEES
Assessments _ Permit $58.50
Water/Sewer _ Surcharge 7 _ 50
Police _ Plan Review
Fire - SAC,Ciry
Engr. _ SAC,MWCC
Planner _ WaterConn.
Council _ Water Meter
Bld& Off. _ Road Unit
APC - Treatment P7
Variance _ Parks
Copies
TOTAL
on the express condition that
StE)tutes and City of Eagan Ordinances.
. CITY OF EAGAN
" 9795 Pllo! Kneb Rmd lagan, MN lSlll
PHONEa 434-8100
BUILDING PERMIT Receipt
Te 6a wad for RE-ROOFING Est, Value $500.00 pate -
?7 l?l ? 819q
(r
1G c y ?
# ',
June 24 1983
Site Addreu 4267 Amber Drive
Erect M
Occuponq
Lot 13 giak 7 5ec/Sub.Cedar Grove 2nd qlter ? Zonin9
Parcel # 10 16701 130 07 Repnir ? Fire Zone
Enlaroe ? Type of Conat.
a Nama David Dornseif µo„e ? # Srories
z Address 4267 Amber Drive
Demolish ?
Length_
Ci Eagan 55122 PhoM 454-1352 Gmde ? Depth Sq. Ft.-
p Name OWI1ex Approrob Faes
Ou Address
uI Assessment Permit
•
Cit Phone Woter 8 Sew. ?SD
Surchorge
F Police Plan check
?w Nnme
FZ
Fire
SAC
Address Erq. Water Conn.
iW Ci Phone Plonner WoterMeter
Council Road Unit
I hereby acknowledge that I have read this applicotion ond srata that gldp. Off.
the inlormation is Wrrect ond ogree to omply With all opplitoble $12
00
State of Mmnetoto Srotute nd Cih agon Or rwntts. APC .
Total
Sipnature of Pertnittee
-
av ornseif
A Bullding Permit Is iwued on tha express condition that
all vrork sholl be done in accordarxe wQb? al4op ? e State of Minnemta Statutea and City of Eogen Ordinances.
..F_elC
Building Offitial l '>'c
^
?? ,
? CITY OF EAGAN Include 2 sets of plans
1 site plan w/elevations &
BUILDING PERNIIT P,PPLICATION 1 set of energy calculations.
? -
To Be Used For Valuation !I?j)C Date
site Adaress: be: 0,1. it'L oFFzce usE orLY
Z
Lot I ;I slocx __L_ sec./sub. CE6at\ Grmk =ect occupancy
Parcel #: {C7 1(a°Io\ 13o 6 Alter ? zoning _
Repair Fire Zone
Owner:
?? /? ? Enlarge _ Type of C
1 i?0 el ;?/_ / ? /-
Move # Stories
Deiriolish Fmnt
Grade Depth _
PLICZT'2SS: _y7G ') , a? G ??;}/r
City/Zip Code: J7-?, , ,_XS?/ y Z-
Phone y S'g / 3s Z
?.d
Contractor: K
-?-
Pddress:
City/Zip Code:
Phone #:
Arch. /Eng. :
Address:
City/Zip Code:
Phone #:
APPROVAI,S FEES
Assessments ' Permit ?
Water/Sewer Surcharge s
{
Police Plan Check
Fire
Eng.
Planner
Council
Bldg. Off?
APC
ft.
SAC
Water Conn.
Water Meter
Road Unit
?
TOTAL ?? "?_
I' EAGAN TOWNSHIP
BUILDING PERMIT
O wn e: ...... ------- . --------------"..
Address (Presen!) '- -----???'+"-?` --'
........................................
Builder ......._...?d-? .........................._-------------------------- ------ ---
Address .... .--- ......................................----------------'--.............
DESCAIPTION
N° 3113
Eegan Township
Town Hall
?
Daie . ....:'._.................................
.Siories To Be Used Foz Froni DepSh Heigh! Esl. Cos! Prrmif Fael Ramarks
?,,,?,,_,_? ?y ?.,? a ? «•?. i?•s? ? ? % ?<??-?
LOCATION
5ireei, Roatl or oihen Dascripfion of LoeaHOn Loi l3lock Atldii9on ot Traei
1 /3 17 ?.--- /'?`
This permit doas no2 auShorize the use of slreeSa, roads, alleys or sidawalks nor doas it give the ownoi o= his agen!
!6e xight to ereate any sifuaYion which is a nuisance or which presenfs a hazard !o the health, safeip, eonvenienca and
general welfara 2o anpone in the eommuniYy.
THIS PERMIT MUST 8£ ?Ke£PT ON THE PREMISE WFIILE THE WORK IS IN PROGRESS.
Thfs is 2o aertify, !hel---- ...................... hespermission !o areaY a---_""---' "-._"..... .. . " • -"'_upon
p ? provisions of the Bvildinq Ordinance for Ea Townchip ad ..................
the above described remise sub'ecf !o the '?
opled Agsil 11.
1955.
--'-----'--------'-----`-. r-)J --:---a------ .......... ............?"?
Chaxn+ea-o?'r?wfrSnu?T ?... Pex ............................... guild ag"I- ole=.........?..-.......
EAGAN TOWNSHIP
BUlLDING PERMIT
Q
r/
Owner ?=
_9 , ?1/ ? J, --'f/• ?j
Address (Preseni?=Gfj?---
Builder ..-------'-------.........._'---'---'--'......'---._._........-----. .a-
Address
N° 570
Eagan Township
Town Hall
Dale -------...
5tories To Be Used For Fron! DepSh Heigh! EsY. Cosi Aemarks
? / e?+P " , S . ?"/j'$ ??G?
This permi2 does noi auihorize the use of sireeis, roads, alleys or sidewalks nor does it give the ownes or his agenl
the righf fo creaSe any sifuation which is a nuisance or which psesenls a hezard !o the healih, safeSy, coavenience and
general welfare So anyone in the communily.
THIS PEAMIT MUST 8 PT THE RE/MISE ?WcSHILE THE WORK IS IN PROGAS??/ ). r
This is !o ceriifq. Yhal..' ?Kkic,(.?..5{,----- has pesmission fo erect a.._'..^Y.•i.?4?4f .... ..........'_...__'...----- upon
the above described premise subjecS fo the pravisions of the Building Or inance for Ea a ip adopled April 31.
1955.
------------ ..._ ..................... ._....___...'_._......__- Per ...
...............
Chairman of Town Soard ' Sssi tli g InspecYOr
^ ..
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
MASTER CARD
Permii ;
No. I
Issued Issued To
Coniractor Owner
BUIIDWG
PLUMBING 3//3 8•2?- .
CESSPOOL - SEPTIC TANK ?_-
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION Z ?/;p _ ? CESSPOOL
FRAMING I ? . ?_ ? • / ?, TILE FIELD FT
FINAL
EI_ECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFlELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS
PERMIT NO.
COMPLIANCE INSPECTION REPORTS
TO BE USEG ONIY IN EVENT OF OBSERVED VIOLATIONS
!- +
DATE OF INSPECTIQN
CONDITIONS OF CONSTRUCTION AT THIS INSPECTIOfY ?
? NO EVIDENCE DF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY,
? COMPLETION Of CERTAIN IMPROVEMENTS
WILI BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE OF REINSPECTION
CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein
all signiticant conditions oLserved 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
s.
/? .
/30
SINGLE FAMILY DWELLINGS
1987 BUILDING PERhIIT 9PPLICATION - CITY OF EAGAN
INCLIIDE 2 SfiT3 OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SST OF ENERGY CALCOLATIONS
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTiiNER MQST DESIGBiATE W$ICH ADDRESS
IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERHIT IS ISSIIED.
MULTIPLE DAEI,LINGS - RFSIDENTIAL RENTAL UNITS FOR SALE Q@PIiS
INCLUDE 2 SETS OF PI,ANS, CERTIFICATE OF SDRVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATZONS
CO.MRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND
4rx9o, m
To Be Used For: ,?,? Valuation: #'65L?
Site Address yzG-? OFFI
Lot 8-Q- Block L 4
? ,p ?(?`??
Pareel/Sub ?d-' /d'l-'-' v'
Owner
Address y26 7 ?.nqr,? [lr
City/Zip Code
s- s- / l Z
Phone ?S y/ 3 S L
Contractor 0 e„ n ev^
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4k
Date: 9 2 ¢t
On Site Sewage_ Occupancy
MWCC System Zoning
On Site Well Type of Const
`
City Water (Actual)
_ (Allowable)
Il of Stories
Length ?
Depth / 2 {f
S.F. Total 2 i(
Footprint S.F.
APPROVALS FEES
Assessments Permit SB.SD I
Water/Sewer Surcharge 2.15'o
Poliee Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off a 5 Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL (a/?-
Cities Dijzi
ity Control
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Every effort was made to capture the content
from the original page.
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7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 3 I ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR C08NEH LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL pNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2
t SET OF
SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
3 ?,.----
To Be Used For: Valuation:
_,..7-?-----
Site Address `fZG 7 OFFI
Lot 1_3 Hlock _7
Parcel/Sub l Ql?,C1liJ C> >).k
Owner o!in IXaAl,s,rIr
Address G7
City/Zip Code ?F ..,,,, S,S/ 2, Z
Phone ys y? 3 5 2
?
Contractor?'?"- -
Address Q w n e_r--
City/21p CS2de----?e ??
PhonP
Arch./Engr.
r
Address
City/Zip Code
Phone
On site sewage
MF7CC system _
On site well _
City water _
PHV required _
Booster Pump `
APPROVALS
Engr/Assess
Planner
Couneil
Hldg. Off.
Variance
?te:
Oecupancy
Zoning
Actual Const
Allowable
lk of storiea
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
X5?0-7/' SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ?
SZ
3,.5-0
??;r.?7,-? _ ??S ,?r Y? = ?oPo
?
#-??la
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? 12t. ?
cirr oF EAcaN
I-%3830 PILOT KNOB RD - 55122
New ConsfiucHan Reauireme
nh 651-681-4675
Remodel/Reoalt ReaulremeMs
D J reglstered flte wneya ahowlnp sq. R of bl, eq. N. of house
and gff rOOted ar6W (217% mmdmum bt eovaraae albwetD
? 2 coples of plans (ehow Geam 4 wlntlow dzes; paured Md. design; efc.)
> 1 set of anergy cdculatlona
> J caples of tree preservaMaf plan If lof plaMed atter 7/1 /93
DATE: .S ? -P- 0 C'
DESCRIPTION OF I
STREET ADDRESS:
2 copiee of plan
1sat W energy cNCUlaMons for heated addlMons
t slte wrvey ror exteAor aadlHOna & Eecb
CONSTRUCTION COST: -*
LOT: IJ BLOCK: 7_ SUBD./P.I.D. #: liddt Gf0yej #'Y
NameCll)?r??l:S ? Phoneg: (D6I-Tb4- 1351c.
PROPERTY laet Flm
OWNER , I'\ I rI I__ 1... _ n?
Sfreef
CNy State: Lp:
Company: AtY?Q?1L1` L1? 1?I.i.?9d cOrd:MSJ?C Phone #: toL- 10-7 -(o1Sq'
(area code)
Co"TR`,CToR Sheei Address: Mire1° 2aEj(-v1e • ucense u4Lb93 Y3 Exp•a06J
aty ? urn5vi t t G state: m,cJ vp: 55 33 -7
ARCHITECT/
ENGINEER Compuny: Name:
Telephone Y: (
Sheet Address: Regishaflon C
Ci1y
State:
Sewerlwater Iicensed plumber (H inslallina sewerMrater): Phone #:
Zlp:
I hereby acknowledge lhat I have read this applicaNon, stafe that the INomwlbn is eortect, and agres to comply wNh a0 appSCable StatE
of Minnesota SMfutes and CHy of Eagan Ordlnanees.
: Signafure of ApplicanY. 6b-N4 xv oaw
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
0- 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex 0 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex O 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch(screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. 43 Reroof
? 37 Demolish (Bldg)' b 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actuai)
(Ailowable)
UBC Occupancy.
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Building
Valuation:
sq.ft.
? sq'. ft.
Footprint sq. ft.
Census Code
MGES System
City Water
Booster PUmp
PRV
Fire Sprinklered
Engineering Variance
? 31 Ext Alt - Muni
? 33 Fxt. Aft - SF
? 36 Muki
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