4273 Amber DrINSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?• ?? :+?
? Ea an, Minnesota 55122-1897
? 9 Date Issued:
; (612) 681-4675 '
i
SITE ADDRESS: APPLICANT:
(. il ( i"• it t r?: ?
A H f'V (?R
i PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . ..
i
?
?
,
iv 3
?. . .: : ? ?'.? ?• ? ? ? 27? ??il ?.? 1 v'J I? .
, a ? N 1 .' .
? ? ? . ? ... ,? .. . . ? . . ? ? ... .. . .. . . .. ... _J
-----------------------------------------------
PertnN No. Permit Holder Dato TsNphone A
ELECTRIC
PLUMBING
HVAC
Inspsetlon Date Insp. Commenta
FOOTiNGS
FOUND
FRAMING
ROOFING
-I '
ROUGH
PLUMBING
PLBG
AIR TEST
ROUCiH
HEATiNG
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
r., ?ii...i 11,,. ADDITIQN Fer voh.a $1$ ,000 nata APRIL
Site Address 42 73 AMBER DR
Lot 15 eiock 7 SeciSub. CEDAR GROVfi 2
Parcel No.
¢ Name JOE CONNOLLY
W SAME
; Address
° 454-437$
CiN Phone
=o Name TED WACHTER CONST INC
?Q Address 4554 BI.ACKHAWK RD
? City EAGAN Phone 454-2130
11853
25 ,n 86
Erect ? Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition C; No. Stories
Move ? Length
Demolish ? Depth 24
Int Impr. ? Sq. Ft
Install ?
Aoorovals Fess
Water 8 Sew. Surcharge .7• "`
Police Plan Review 64 . 2`_
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature oi Permittee _ Total ? 75
A Building Permit is issued to: TED WACHTER CONST on the express condition that
all work shall be done in accordance with alt applicable State of Aiinnesota Statutes and City oi Eagan Ordinances.
Pemdt No. PomiR Ho1dK Oib Talephoee M
Plumbiny
H.YJ1.C. T IO ?
Elaetrle ?
Sorianer
IrupaclMn Dab Insp. Commenb
Foouny. 1
FooHnys 11
?
Foundatlon / 31 a,
Frsminq
Rooliny
Rough Plbq.
Rouqh Hty.
Insul.
Finplace
FMaI Htq.
Flnal Plby.
Bldy. Flnal
Cert. Oce.
Dsck Fty.
Dadc Frmp.
w.u
Pr. Dlap.
PERM #
RECEIPT #
DATE _
"9-
MECHANICAL PERMIT
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55121
• PHANE A5A.8100
Site Addr@ss c! ' , / ,
Lot Z,? Block
m Name
?e Addre
c City t
e r ' . ,
Nam
c Addres;9
p City Phone _j
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Otfl@f , - ti',u i r_f- /A l_,1"; .
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Other
FEES
? RES. HVAC 0-100 M BTU -$24.00
-? ? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL fi M BTU
GAS OUTLETS
COMM/IND FEE - 196 OF CONTRACT FEE - 6.00
- 1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?
J
' SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks Cedar Grove Acquisiti0n
Addition Cedar Grove #2 Lot 15 Bik 7 Parcel 10 16701 150 07
owner J?!E#1 t?%<- ^ screet 4273 A ber Dr. state Eagan,,MN 55122
Improvement te mount Annual Years Payment Receipt Date
STREETSURF. 826 1985 1266.95 84.46 15
STREET RESTOR. [
GRADING
SAN SEW TRUNK
# SEWERLATERAL 1972 1 00 52.16 2 938.88 2 4-21-7$
WATERMAIN
WATER LATERAL 1 2
WATER AREA
STOAM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC r,..
PARK
cirr oF EacaN
3795 Piiet 1Cnob Road Eagan, MH 33122
PHONE: 454-8100
N° 5199 I
BUILDING PERMIT Receipt # ?
''..?S:-n t??i? :-y?t'?7 ry?,n .?•-r ?",
Te ba usod for Est. Value ' Date 19 ?
4273 F?rrbex Dri??r ??- ..
Site Address Ered ? Qccuponcy
Lot y r Blxk 7 Sec/Sub. n???? ?'rrv- TT Alter ? Zoning Parcel # Repair p Fire Zone -
Enlarge ? Type of Const.
W Name Move ? # Stories
z Address ? xr rn", Demolish ? Front ft.
? ` ?c`?-'. ;!- r" Grade ? Depth ft.
Cit Phone
p Nome . r #nr Approvak Fees
o? Address ?r55?J ?31aC?'?"R•?!`
Assessment .
Permit -,,-?
UF T:ac-rari
Ci Phone Water & Sew. Surchcrge ?
F Police Plon check
FW Na^e Fire SAC
?? Address Eng, Woter Conn.
?W Ci ph- Planner Water Meter
I fiereby acknowiedge that 1 have read this applicaTion ond stute that Council
gld9. Off.
the intormation is correct and ogree to comply with ull applicoble
Stote of Minnesota Statutes and City of Eogan Ordinances. APC T°t°l
Signature of Permittee = ' -
?Xt7A9r?t'i '_?a ('f:R1!1?1? 1 c?
A Building Permit is issued to: - -
-
on the express condition thnt
all work shall be dvne in accordcnce arith; all npplicable Stnte of Minnesota Statutes artd
. City of Eagan Ordinances.
.4..Q' l
Building Official
I P«mit
RougMl n Finol
Dote I Insp. Dote I Insp.
Finol
Remorks:
CITY OF EAGAN N 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-e100
Receipt #
11853
4/?/lU
7obeueedtor ADDITION Est.Value $18,000 Oate APRIL 25 7986
SiteAddress 4273 AMBER DR Erect ? Occupancy
Lot 15 Block 7 Sec/Sub. CEDAR GROVE 2 Remodel ? Zonin9
Parcel No.
? I
Name JOE CONNOLLY
W
o Address SAME
Ciry Phone 454-4378
o Name TED WACHTER CONST INC
$¢ nddress 4550 BLACKHAWK RD
? Ciry EAGAN phone 454-2130
w
_ W Name
? ? Address
z
i
W City Phone
I hereby acknowledge that I have read th is application and state that the
information is correct and agree to comply with all applicable State of
Minnesota StaWtes and City of a an dina?ces.
Signature ot Permittee
A Building Permit is issued to: TED WACHTE CONST
all work shall be done in accordance with all apphcable Stat. Vusc
Repair ? Type of Const.
Addition 14 No. Stories
Move ? Length
Demolis
h ? 24
DepM
Int Impr. ? Sq. Ft
Insfall ?
AuDrovals Fees
Assessment I Permit
Water & Sew. Surcharge
Police Plan Review 64. 25
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
BIdg.Oft. 4/25/8 Tr. PI.
Var. Date I Copies
Total
- on the express condition that
of Eagan Ordinances.
Building
REQUEST FOR ELECTRICAL IfVSPECTION jV% Ee-00001-04
, See instruc4ons tor completing [his torm an back of Vellow copy.
'"X" Below Work Covered by This Request
Add Rep. TYPe ol6mlding Apphantes WireA Equipment Wired
Home Range Temporary Service
Duptex Water Heater Lighting Pixtures
Apt. Bwiding Dryer Electnc Ne2un
Commercial Bldg. Fumace Si?o Unioader
Industrial Bidg. Air Conditioner Bulk Milk Tank
F2rm ot er .peci v ??nEr lsucafvl
t Pr Suenty Other Other
Compute Inspectron Fee Below
A Fae ServiceEnhanceSixe tl' Fee Fenders/Su6leeders N Fee C?rcwfs
.v Uto200Ams 0 to30Ams 9 Oto3QAms
Above 200 Amps 31 to 100 Ainps 31 to 100 A s
Swimmmg Poal A6ave 100_Amps Above 700-<1m s
Transiormers Irrigytion Booms Partial-'Oiher Fee
Signs Special inspection $ ., TOTA
Remarks L FEE
flouBh-in
inal
I . J
((?+d
?
the Electrical
Inspector, heraby
cerbty thet the ebove
ins0acoon has been
me
This repuest voitl 18 months from
ihis equest void ? _ ? C,
JR-Mnths tram 4
0 068299 Ll!r 87
ReqvesLGate
' Pire No. RouPh-in Inspecuon
Requiretl,
.?/ Re.xdv Nuw Q Wili Notfly InsDec-
Ves ?No ?'C tor When Ready
? Lncens¢d Elec[ncdl Contractor I hereby request ins0ection ot ebove ? Owner electricel work inslalletl at:
SL¢et Atldre
s
s, Boa or Rou?e No. CitY
?'
7
'! 2 / ..? -e -7 d I A" ?
ecbon o. Township Name or o. RenBe No. Counly
?
OcCUOaM IPflINTI Phune No.
Power $uppliat ` A s
Electrical o ra tor IC mpany Nartiel onvactor's License
N
o.
C
? ?ry
?
j
?G>GrI? "
C ? O
V
MmTI Atldress ICOnvactor or Owner ing nslailabonl
?
g.itg / ?
Authonzed Si nature ontra to r f B In t lationl hone Number
o G Y
? THIS INSPECTION REQUEST WILL NOT
NESOTA STATE 90AflO OF ELECTRICITV
GriB6s-Midway Bldg. - Noom N.791 BE ACCEPTED BY THE STATE BOAXD
UNLESS PqOPEP INSPECTION FEE IS
1827 Univereity Ave., St. Peul, MN 55104
Phone 16121 297-2111 ENCLOSED.
CITY OF EAGAN T ! 14
' 3795 Pilot Kno6 Rood Eagan, MN 55124 N? 5199
PHOHF: 4548100
BUILDING PERMIT APPLICATION keceipt #
V. " ..oA f... BdSHfeY1t Bdtl Esh_ Vaiue 700• Dote 2-6 ,1979
Site Address
(.ut 15 Bbck --2
Parcel .{k
Sec/Sub. Cedar GZ'OV2 II
z Name JOS2Tt7 L. COT1ri011y
Z Address 4273 At[bPx DriVe
9 ,... Eaaan .,?___ 454-4378
? 0 Name '-cu r.uw,.ci
?? Address 4550 B1aCkY13WIC R(k?C?
? r,r,. Ea9an Phone 454-2130
Name _
Address
I hereby acknowledge that I have read this
the information is correct and agree to c
Siate of Minnesota SMtutes ond of
Signature of Permittee
A Building Permit is Issued to: Seph
oll work shall be e i? ac or ce it
Building Official
and sfate thot
all aoolicable
R-3
Erect ? Occuponcy -
R 1
Alter ? Zoning
ir
R ? Fire Zone
epa
Enlnrge ? Type of Const.
M # Stories
ave ?
Demolish ? Front N.
Grade p DePth ft.
Aeerovels Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Cauncil
Bldg. Off.
APC
Permit ?•??
Surcharge '?-
Plan check
SAC
Water Conn•
Wmer Meter
roral 5.50
JTll10LL17 on the express condition that
iwble Stote of Minnesoto Statutes ond Ciry ot Eogan Ordirwnces.
E/???? ???? SHIP
BIJILDIailG PE92fdiIT
? ?--- ?
Address
suiiae: ...-- ...... --- - - - -- -•- - - - - -- -- - -- - -- -
Address -------- ----------------------------------- ------------------- -------------------
DESCRIPTIOPI
T1° 443
Eagan Towaship
Town Hall
?-r-? ?-..--------.-.-
Siories To Be Used For Fson: Depih Height Esi. Cosi Permi! Fee Aemarks
.6?L130 ? /?.
LOCATIOW '
Sfreel, Road or oihes DescripSion of Locafion I Lo! Elock Addition or Traci
L/1',7 !'1//_ z . /.lr _
ffii_T ?fr 47 "/ ? a w_s & 7
This permii does nof auihorise the use of sireeis, roads, alleps or si3ewalks nor does it give the owaer or his agent
the sighl Yo areafe any siluaiion which is a nuisance or which pxesenfs a hazard fo the heallh, sefety, aonvenience and
genexal welfare fo anyone ia the communily.
THIS PERMIT MUST Kg_P,T THE AE SE WHILE THE WOAK IS IN PROGRES . J
This is fo cealify, lha??I. . c° ?J?O.Y?_..._has pexmission fo esect AC?_-__
.'s....__-"----- -
---.. _.upon
!he above desaribed premise subjeci !o the provisions of the Building Ord'nance Ea hip adopYed Apzil 11,
1955.
-------------------- - - -------"------------'---...--------°-------- ? -- ? -----f--?
Chairman of Town 8oard
r -
EA[3AN TOlIVNSI°IIP
MIT
Ownex
Address
Builder .
Address
DESCAIPTION
N° 595
Eagan Township
Town Hall
DaYe
.... ....... ...----".----'-
Siories To Be Used or Front DepEh Heighi Esf. Cosi Permii Fee Remarks
' ZA '- LOCATION
Sireei, Road or oiheY/Descripifon oY Locanon I Loi I Slock I ACtlUlon oi "tracf
/.S 1 -7
Z:pl
This permit does nof authoriae the use of sYreels, roads, alleys or sidewalks nor does if give the owner or his agenl
the righi to creaYe anp siiuaiion which is a nuisance or which presenis a hasard !0 the healih, safe2y, convenience and
general welfare !o an one in the com niiy.
THIS PERMIT MUST KEP O EM WHILE moiw R S
This is So ceriify, fhat . ' .. . __... _ ........_.ha------ '.'.. ._ :_ .............upon
the above dESCxibed p e ise subjec fo !he p:ov' ns ot fhe adop! d April 11,
1955. ._.._._..._____..._..___..._.._.___......_._..._. .'.._ ." _'. ' '__......-
Chairman of Town Board Suildi I pecior
EAGAN TOWNSHIP
BUILDING PERMIT
Addzess (preseni)
Builder ......
Address .....
N°
Eagan Township
Town Hall
?
Dafe .C.. ?..__-----.._C?7........
-- --
DESCRIPTION
SSOries l To Be Used For Froni Depth Height Esi, CosS Permi! Fee Remazks _
?
?
Sireef,
i
LOCATION
or
?
This/p Alif does nof aufhorize the use of sireete, roads, alleys or sidewalks nor does it give fhe owner or his ager.l
the 4i hi io create any situaiion which is a nuisance or whiah presenSS a hazazd io the healih, safeSy, convenience and
general welfare to anyone in ihe eommunily. THIS PEAMIT MUST B K/EPT Q TH RE ISE W}IILE THE WORK IS IN PAOG.?E?
This is !o ceriit ihaf.??k=-?,?y,?Y`!? ? . p _ .?'_... „(.. .__.... . . _upon
y. .P..has ermission !o ereai a?-?-_
the above described premise subjecf fo the provisions of the Building OrdinanTo?vns adopied Aprii 11,
1955. P?2
-------- _ . _ __ EC_???. ,
- __....._........___.._ .....__
/i?- -?.. .t%/......_.' .
Chairman of Town Board ' ap ing InspecYOr
DATE '2- ?'- zz
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/e evations and 1 set f energy calcuations.
To be used for "V-' Valuation
Site Address:
Lot Cr- Block Sec./Sub.
-5, 7
Owner ?/bf??y'fi` ?- Lv.v?a<F`/
Address {ya? 1-2f && 016IL- P'4-
/i In' f/J+?
Contractor %Fd yifJCffTf/L-
Address '6x/}e%k?/? 42
A*c}ii F.^.8.
Address
Parcel 9umber
Telephone - </3 71-)
Telephone
Telephone
OFFICE USE ONLY
Erect Occupancy Jr?J
Alter Zoning
Ron?ir Firn 2nna
Enlarge Type o
Move ll of 5
Demolish
Grade
Date of Approval and Initial
Assessment
Water/Sewer
Police
Fire
Engineer
Planner
Council
Bldg. Of
A.P.C.
Front
Depth
Fees
Permit
%
Surcharge /?, 4'-d
Plan Check
SAC
Water Connection
Water Meter
TOTAL
-? °
i y
1986 BUiLDING PERMIT APPLICATION - CITY OF E9GAP
POTE: ALL CONTRACIORS MOST HS LICENSED iiIYH THS CITY OF EAGAB
SINGLE FAMILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DTiELLIAGS - RESIDENTI9L
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALCULATIONS
C02MCI9L:
RENTAL DBITS FOR SALS ODiITS
OF SORVEY - CHECg iiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2t000 LANDSCAPE BOND
/ ^ ?
- a?.S
To Be Used For: Valuation C3= Date: 4
Site Address y- oZ ? J?10,4. ,( OPFICE DSE ONLY
Lot Bloek
Parcel/Sub
Owner IZI
Address y' 1)- 7 ? alt'?? 4-1?
City/Zip Code
Phone 4,5- ti - t"F'
Contractox? /.Cg(? ??rCe na?• eQ,wc_
Address 14 Vt-e?
City/Zip Code
Phone ?4 5k4- 3 U
Areh./Engr.
Address
Erect Occupancy
Remodel Zoning
Repair Type of Const ?
Addition ? # of Stories
Move Length
Demolish _ Depth 2
Int.Impr. _ Sq Ft
Install
APPEOOALS FSBS
Assessments Permit
Water/Sewer Sureharge ?.
Police Plan Review ?
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks -7
Varianee Copies
'IOTAL
City/Zip Code
Phone #
NOTSs ADDRESS&S FOR CORNEB LOTS - CONTRACTOR/HOHEOiiNER MOST DESIGN9TE flHICH ADDRESS
IS DESIHED. NO CHANGES WILL BE 9LLOWED ONCE BDILDING PEffi4LY IS ISSQED.
ZZ ?? = 1?`S-?'"T e + .
1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
ck m9
BUIlOING
030731
09/03/97
SITE ADDRESS:
4273 AM6ER DR
LOT: 15 BLOCK: 7
CEDAR GROVE #2
P.I.N.: 10-16701-150-07
DESCRIPTION:
(ROOFTNO)
Bb7IT'dYhg°-,p,ermiC Type
fiuildirig; W4r;,? Type
k41 ;Censu&.-C:ade..N:? y
s
?
? -.. , ? . .. .x ..ce ,?•s1
-m`.?
SF (MZSC.)
REPAIR
494 ALT. RESIDENTIAL
??..
?
CC? ' ? , ?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$74.75
$1.50
$76.25
$3.000
CONTRACTOR: - qpplicant - sr. LTC OWNER:
6ENE'S HOME CARE & REPAIRS 14543402 0002715 CONNOLLY JOE
2017 FLINT LN 4273 AMBER DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-3402 (612)454-4378
?
,iWa[v+
, I ?ierveby .ao.k.nowiesige thait,.T Fiave read''°L^-ht? tt'e?h?J? j???a?e u,na??
infcirmetxon'=is. c:orwect and :Aj recompkyT
J.F p ?`?' ( t? ? f L
? -SYa'tUteg ?artd Cfty O?itiGtsr?e?,??;. v
APPLICANT/PERMITEE SIGNATURE
?oI I rn?
ISSUED BY 51 TURV
?
0"1 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4,11G• 2jr
5 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construehon Reauirements RemodeUReoair Reauirement
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior addftions 8 dedcs)
? t energy calalations ? 1 energy calculatlons for heatetl adtlRions
? 3 copies of tree preservation plan 'rf lot platted after 711193
required: _ Yes No '
DATE: 2??U? 97 CONSTRUCTION COST:
DESCRIPTION OF WORK: ',rq_IR?2w
STREET ADnRESS• -?a 75 !4m1:rW ! /.?'/JG
LOT L? BLOCK 4 SUBD./P.I.D. #: ??? 264_0?
PROPERTY Name: .TFy./??? ?i??yO??v Phone #:
OWNER
Street Address: 1?-27-3
,
City: ??9Ar'^I State: /W4? Zip:
1
CONTRACTOR
Company: 4!5?4E's' /?? e??
Phone #:
Street Address: ?V17 '1".5 License #:
City: State: ?OW Zip: 525/JoZ
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer.^ed plumber (new construction onty): Penalty applies when address change
and lot change are, equested once permit is issued. 76 as
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. ?
? a
Signature of Applicant:
OPFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 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 RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 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
I
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Cor.n.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
% SAC
SAC Units
?WDI
2005 RESIDENTIAL BUILDING PERNII'f APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,r 7? 2-1L
New Construdlon Reauirements RemodeVReoair Reaui2menls Office Use Onlv
3 registered site surveys showirg sq. ft of lot, sq. R. of house; and all roofed areas 2 copies of plan Ceh of Survey Recd , _Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculalions for heated addiUons Tree Pres Plan Recd _Y _ N.
2 copies of plan showing beam 8 window s¢es; poured found design, elc. 7 stte survey for additions & decks Tree Pres Required _Y _ N
1 set of Eneqy Calculations Addiflon - indicate if ons@e sep6c system On-site Septic System _ Y_ N
3 copies of Tree Preservatlon Plan N lot platted after 711/93
Rim Jotst Detaa Oplbns selecfion sheel (build"uigs w0h 3 or less uniGS)
Date 49/ ? 5' //? d S r?
Site Address ToZ?J? Construction Cost o5 ?U
UniUSte #
Description of Work???^
Mu1H-Family Bldg _ Y _ N (41?Q LIA ??xt I.?n+ O?n ?'"
Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Q}(? (?,02,0A. 0 O"A?n L--Qpq(1 ?Telephone#((o`jl) 4_q?$
Contractor ` 1?1f1(,? Sl'hll-P,l,f'?f/1 W `)h1.l,('f1I1'\, LOCi
Address j?omavk_
State /J Al!`PoAA 0 City aJ2U-LQ-L2_
Zip -S-L-IQ? Telephone # (11?a) 9 egg_-,?j a-? D-'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheel
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mifled ,
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 approve lan in the case of work w' h requires a review and
?. ri -,:
approval of plans. I
?,Ul(?
Applicant's Printed Name Applicant's Signature `'
OFFICE USE ONLY
5ub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 EM. Ak - Multi
? 03 01 of _ plex ? 09 07-plez ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 70 OS-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolidon (Entlre Bldg) - Give PCA handout W appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding
Stucco
Stone
Bri ck
_ Fireplace _ R.I. _ AirTes[ _ Final _
_
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
b°ib,-M . . ?" 70,Yo
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered sBe surveys showing sq. ft of lot, sq. iL of house; and all roofed amas
(20%maximum lot coverage allowed)
2 copies o( pian showirig beam & window s¢es; poured found design, etc.
1 set of Energy Calculations
3 cropies of Tree Preservatbn Plan if lot platted after 117/93
Rim Joist Detail Opllons selection shcet (buildings wilh 3 or less unlts)
RemodellReoair Reauiremen4s OHbe Use OnN
2 copies of plan Cert of Survey Recd _Y _ N
1 set o( Energy Calculations for heated additions Tree Pres Plan ReCd _ Y_ N
1 silesurvey(oraddi0ons6decks TreeP2sRequired _Y _N
Adddion • indicafe if on-sfte Septic system Onstte SepUc System _ Y_ N
Date _?b / It ' / GS Construction Cost '-1.} S5 "2
Site Address ck6"A
Description of Work
Mutti-Famity Bldg
Co am It
'_ Y _ N
Property Owoer
Contractor
Address
State
Fireplace(s) _ 0 _ i _ 2
Renewal By Andersen
1920 County Rd. "C" West
Roseville, MN 55113
651-264-4777
License # 20130983
Telephone # (
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheef
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations 5ubmitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer(Water Contractor
Telephone #(
Telephone #(
Tetephone # (
N If so, 25% plan review
I hereby appiy for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is
permit; t t the work will be in accordance with the approved plan in the case of work whic •
approv of plans. 1
??.
A plicant's Printed Name Applicant's Signature
Unit/Ste #
A (?ON_ Telephone#(?Sl) Li5ci '4 3Nr
City
r------- n?,
re??u? ?r?v.i?w, and, ,
JUL 4 5 2005
?.
,
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Ak - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ?. 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units ' Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQiTIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (additian) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Srone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Re[aining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
••••.?<,s..•.i iuv .?a.?v rtia ioJ 011 4480
HCaYL?IThL H2"3llUtlHHfS11' R
.?? ?.?. .. -
rune t 2001 . .
Empn ,
3836 Pilut Kaob itoad '
F-ftM MN 55122
To Whom k May Concern:
Eidcr Jones to M&Orized to pUIl bniIding permifs fnr Renovriil by Andeisen_ Pleasc x1low
date bcyond 6/6/0 1 $OS"vice for na in Eagan. `ITtib euthorizetibn ig valid for any
to tha City. ' uAtiI a ?cnev+al by Aadcrsse+a msna= eaqtfaslY cevokes it tn wii[iag
ou=equ6ail?d'w.thmg ???b° g?ed-axpedtdoasly, aa to aoE delay in dhe prveessing of
Y sdtcr. Elc:asc caIl mc if thctc uc any qnest(ona.. I can be
conNacted at 763-502-4706.
.. _ „
I
Your itnutpdiatc attcatiott to tbls mattcr is a?arAri. 9
Sinceknly,
Ymond &XRau
ffstallation Managor
Renowa( by Antderscn CoapotativII
C'c: Karn-RTdex Tnnec
?k n?pt
yr"14?14 1,20y
Received Tihe Jun. 1. 1,01Pld
wuu
40 rllqoc,?
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
+ CVa5Cz1
,2 c%ecKs
Date J?_ / ('/ C) -T
Site Address '(J 4z- Unit #
PropertyOwner Telephoue#(6-151 ) 'i?5'l-43Tz<
Contractor (PNW r
Street Address ??i? ??Y1 ? i'Cit3' -
S[ate m JJ Zip ? ja? Telephone k(?j,?'j
Baod #: aa33o?? Expires:
The Applicaut is _ Owner ? Contractor _ Other
Add-an or alteration to existing dwelling unit $ 30.00
furnace _Additional ?Replacement _ New
air exchanger
? airconditioner
heat pump
other
State Surcharge $ .50
Total
I here6y apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undershnd this is not a
permit, but only an application for a permit, and work is not ro start without a permit; tha[ the work will be in accordance the
approved plan in the case of work which requires a review aod approval of plans. ?w
ApplicanYs Pn ted Name Applica ' ignaturefUl
1J I I
MAY 2 2 2007
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4273 Amber Dr
Lot: 15 Block: 7 Addition: Cedar Grove 2nd
PID:10- 16701 - 150 -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
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Joseph Connolly
4273 Amber Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084061
07/07/2008
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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115986
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 4273 Amber Dr
Lot:15 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Joseph Connolly
4273 Amber Dr
Eagan MN 55122
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature