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4284 Amber Dr eef C44 HOUSE HEATING TEST RECORD ~J'~ ' ADDRESS y7~7 _APT. FLOOR CITY SUBURB OCCUPANT Va;vi!A Fier Ko v i OWNER HEAT LOSS DAT HTG. INST. S- 11 SOLD BY ~.)QV 14 'UA C. INSTALLED BY Electrical Work B . Y e4Ii,+(YLA Gas Line By TYPE OF HEAT GA FA' Ve-'-HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE VL+ MAKE OF BURNER Model ?r. CAVr.5 -Lo 6 6 Model - Serial Z.~ !1 AdoCo~j~j Max. BTU Rating INPUT -Jp ID MAKE OF FURNACE Model CONTROLS THERMOSTAT ipy Heat Plug Vent Size Valve 61 & h .S KIND OF LINER SIZE NONE Limit Lj--d 1Y/t- Draft Hood _ Regulator Limit Setting 2- 0 ! 40 Filters Size2v)( L~ Number Fan Setting Chimney Location Inside N C- Outside -bi C Pilot Type e-t Chimney Construction P1]C, Pilot Make Pilot Model 14 ~ 7, C, C, I Smoke Bomb Wiring _ Pilot Timing _ Draft ✓ Test Tag N! L.W. Cut Off Door Pressure ✓ Lighting Inst. ✓ Pressure. Percent CO 8 Date Tested q _ C, - A 2 ?J 26nF Input CFf ~q0 Percent 02 Company Testing P_ Stack Temp. / 719 Percent CO - Name of Tester Form 235 Use BLUE or BLACK Ink I For Office Us I Permit City ofEajan ~ Permit Fee: v v I 3830 Pilot Knob Road Eagan MN 55122 201111 Date Recei ed: _ L Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: j 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name:., c' vv C>~ e: Address / City / Zip: h CONTRACTOR Name: License Address: City: cE c A-1 State: ZZ Phone: C Contact: Zi Email V TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ! NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furrnna _ New Construction _ Interior Improvement i,C r Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank C__ Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ X1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agal u derground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.no=0 1 hereby a knowledge that this information is complete and accurate; that the wh rdinances and codes of the City of Eag n; t t I u erstand this is not a permit, but only an application for a permit, ait; that the work will be in accordance with he pprov d plan in th of 'ork which requires a leview and approval o/ A li ant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,000 Date J UWE 14, 1989 Site Address 4284 AMBER DRIVE Lot 26 Block 5 Sec/Sub. CEPAI; C1WE 2NV OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name I.EWI3 DONNA 31f?Ri.rvV1.TZ (Actual) Const Bldg. Permit LU SAME (Allowable) ' o Address SAt4T; (Albwable) •tU Surcharge City Phone 452- 502 i # of Stories Length Plan Review ZF Name SAI,.E Depth SAC, City 00 a Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn Fw Name On Site Well Water Meter = MWCC System Uz Address Acct. Deposit aw City Phone City Water PRV Required S1W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 1.E~iIS & Lt7K1;A. SK.iiKOVI Planner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies Variance TOTAL ; J~ • 30 Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. lG Deck Final y O Well Pr. Disp. CITY OF EAGAN Remarks- Cedar Grove Acquisition Addition Cedar Grove #2 Lot 26 Blk - Parcel 10 16701 260 05 Owner Street 4284 Amber Dr. State Eagam,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. b~S 1985 1266-99. 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK 1- - * SEWER LATERAL 1304.00 52,16 _A005086 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, P. 0. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for GA"CE Est. Value ;9.0m Date SAPTIMA 22 ,19 EE Site Address 4144 A1iM W OFFICE USE ONLY Lot 26 Block 3 Sec/Sub. CED" GROVE 2ND On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name LEWIS II2MVIT,Z City Water (Allowable) i Z Address SAME PRV Required # of Stories ' Booster Pump Length - c City Phone 452-5027 Depth 249 o Name i'L•STER!d CONSTRL=1014 S.F. Total o i Addres Footprint S.F. City Phone APPROVALS FEES a Engr./Assess. Permit 93.00 W vW Name Z5 Address Planner Surcharge <W City Phone Council Plan Review Bldg. Off. _ SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to.. WESTUN b NSTRUCTION Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL 102.501 Building Official_ -.1 Permit No. Permit Holder Date Telephone is Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final . Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN N9 16643 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # Cy ~ 1-I7 9L] To be used for DECK Est. Value $1,000 Date JUNE 14, 1989 Site Address 4784 AMBER DRIVE Lot 16Block 5_ Sec/Sub. CEDAR GROVE 2ND OFFICE USE ONLY Parcel No. Occupancy FEES Zoning X Name LEWIS & DONNA BERKOVITZ (Actual) Const Bldg Permit 26.00 o Address SAME (Allowable) Surcharge • 50 City Phone 452-5027 #of Stories - Length Plan Review o Name SAME Depth SAC, City o u< Address S.F Total SAC, MCWCC City Phone S.F Footprints - On Site Sewage Water Conn ow Name On Site Well Water Mater MWCC System ua Address Acct. Deposit aw City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable Sate of Minnesota Statute n 61ly of Eagan Ordi ces. Treatment PI Signature of Permi[ea APPROVALS Road Unit A Building Permit is issued to: LEWIS & DONNA( BE OVI Planner Park Ded. on the express condition that all work shall be done in accor ce with all Council applicable State of Minnesot tatutes and City of Eagan Ordinances Bldg Ott Copies Building Official ~k~- Variance TOTAL $26.50 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N? 15646 PH O N E: 454-8100 BUILDING PERMIT Receipt # 53 -7 Lo I ~-i To be used for GARAGE Est. Value $9,000 Date SEPTEMBER 22 _19_88 Site Address 4284 AMBER DR OFFICE USE ONLY Lot 26 Block 5 Sec/Sub. CEDAR GROVE 2ND On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actuap Const Name LEWIS BERKOVITZ City Water (Allowable) Address SAME PRV Required # of Stories t o Booster Pump Length 24 City Phone 452-5027 24' Depth o Name WESTERN CONSTRUCTION SF. Total ou Address 4301 HWY 7 Footprint S. F. City MPLS Phone 920-8888 APPROVALS FEES W W Engr./Assess Permit $ 98.00 Name 4.50 w Planner Surcharge r 4za Address - am City Phone Council Plan Review Bldg Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comp y^ all ap i ble to of Water Conn. Minnesota Statutes and City of Eaga rd' es Water Meter Signature of Permittee - Road Unit A Building Permit is issue to WESTERN-CONSTRUCTION- Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota S tutes and Ci/Eagaan OO_tl_nances Parks Building Official - TOTAL 102.50 S' EAGAN TOWNSHIP No 661 -BUILDING PERMIT r~ Owner - _IY~Lf1 r- -L - Eagan Township Address (present) ...`~7:4C.•L:'K:-. Town Hall Builder C'SL.L L_ ~G~ I........... . :G-r~"~ f~i Date/ Q.-~ - -.._'...__~.d..........._. Address ---1-~G4'.` DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks LOCATION Street, Road or /other Description of Location Lo! Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE ONNTT / XRE*ISE WHILE THE WORK IS IN PROG S. - i This is fo certify, that -ldflit • . -~~~Qj',f~..~has permission to erect ~f=----- --9 ...................................upon the above described premise subject to the provisions of the Building Ordinance for - wnship adopted April 11, 1955. r' P~r ✓ Chairman of Town Board But spector EAGAN TOWNSHIP No B WILDING PERMIT OwnerQ~ .--T-"" Eagan Township Address (present . . . . Town Hall Builder .Cf-.._ Date . Address DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks y4m LOCATION Street, Ro or other Description of Location Lot BIc~ Addition or Tract pe mii does not authorize She-use of clreeis, roads, alleys or sidewalks nor does if give the owner or his agent t right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST C P N P MAI WHILE THE WORK IS IN PRO RESrS~. This is to certify, ihaf_ .-..has permission !o arect,¢...~..------ 4'E4.L!~!' ° ....................upon the above described premise subject to the provisions of the Building dinance f Tow hip adopted April 11, 1955. rd . - / - - - - . Chairman of Town Board ip ing Inspector • 1988 BUILDING PERMIT APPLICATION.- CITY OF EAGAN 11-P 9/cc SINGLE FAMILY DWELLINGS S `p INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS :DTI SEP ~ i To Be Used For: GARAGE Valuation: ~ODate: 09/16/88 Site Address 4284-AMBER DRIVE clooo- OFFICE USE ONLY Lot cY W Block S On site sewage- Occupancy M- I n ~ n MWCC system Zoning R- I Parcel/Sub c a On site well _ Actual Const Y-N City water Allowable J-N Owner LEWIS BERKOVITZ PRV required _ # of stories Booster Pump Length 2T Address 4284-AMBER DRIVE Depth 24' S.F. Total - City/Zip Code 55122 Footprint S.F. Phone 452-50 o APPROVALS FEES Contractor WESTERN CONSTRUCTION COM Engr/Assess Permit q3- Planner Surcharge N.50 Address 4301-HIGHWAY #7 Council Plan Review 55416 Bldg. Off. 4 J 9/Z1 SAC, City City/Zip Code MPLS, MINN Variance SAC, MWCC Water Conn Phone 920-8888 Water Meter Road Unit Arch./Engr. Treatment Pl Parks Address Copies TOTAL City/Zip Code Phone # V A L(.tl~T ION 4284-AMBER DRIVE WESTERN CONSTRUCTION COMPANY SOB SHEET NO LOU BERKOV ITZ OF WESTERN CONSTRUCTION COMPANY CALCULATED BY 452-5027 DATE 4301 Highway 7 MINNEAPOLIS, MINNESOTA 55416 CHECKED BY DATE_ SCALE 1%'~i~~t=l? N~ul GgRp6E~ to 1+005r L~~ FRoyr .CoB~ . 9rr/E azAVD"-l A5. Tf1L OLD t-Ai4A&6 1969 BUILDING PERMIT APPLICATION lll«</// Ul CITY OF EAGAN '~IIN 12 1999 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTES ADDRESSES FOR CORNER LOTS - C0HT2kCT0R/H0MEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. i LOT CHANGE IS REQUUES/TED/ NCE PERMIT IS ISSUED. eFo0. o:6 To Be Used For: G Valuation: Date: / f5 Site Address A1Y)l-05ed- Z) OFFICE USE ONLY Lot A 6 Block Occupancy FEES - / Zoning Parcel/Sub ;en/ v / V ~ Actual Const Bldg. Permit Z L Allowable Surcharge se Owner G£~l5 it/\~ 1CO U 1 1 •9 of stories Plan Review Length SAC, City Address q/"-8 )"'Se' der Depth SAC, MWCC CC S.F. Total Water Conn City/Zip Code G~ 4 S /c~ Footprint S.F. Water Meter Acet. Deposit Phone t 5 S U On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment Pl. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL S Council Arch./Engr. Bldg. Off. t]~-~1/I4 Variance Address City/Zip Code Phone '2_6 J CITY USE ONLY L-064 BL RECEIPT SUBD. (326&4t -16(' e- 4t'Z_~ DATE: ~~3 f 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = AWatefiwHe'ater 3.00 x _L = O.aO Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~Q sd SITE ADDRESS: 5- OWNER NAME: ewe~~/~ dz INSTALLER NAME: zn/iJfy_e STREET ADDRESS. V-) CITY:T t( L- STATE: ZIP: ss "~3 PHONE SI CITY USE ONLY L _ BL RECEIPT M SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are ngA required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: APPLICANT CITY OF EAGAN l :F,,or~0fiicg~t1§e l I c Perm City of Ea~aa j R# I Permit Fee: C 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j I I Phone: (651) 675-5675 Fax: (651) 675-5694 staff 2008 RESIDENTIAL BUILDING PERMIT APPLICATION F fir Qf Date: ~5 Site Address: 15 Tenant: Suite RESIDENT/OWNER Name: Phone: Address / City / Zip: 4L361J t n^ b~ dr Applicant is: - Owner X Contractor TYPE OF WORK Description of work: Construction Cost Multi-Family Building: (Yes No CONTRACTOR Name: License Address: ~7G IG'y^ " °P d`h City: S_, State: 71 ,71J Zip: SS// `,4 Phone: I(GSl)o467,~` 3i 3o Contact Person: 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 (4 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 ainon-public if you provide' specific reasons that would permit the City't Al~ 7t;-,concludedhatthey are trade secrets::'wa 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114391 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 4284 Amber Dr Lot:26 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-260 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Lewis D Berkovitz 4284 Amber Dr Eagan MN 55122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140482 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 4284 Amber Dr Lot:26 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-260 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)$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 - Lewis D Berkovitz 4284 Amber Dr Eagan MN 55122 (651) 452-5027 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140482 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 4284 Amber Dr Lot:26 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-260 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)$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 - Lewis D Berkovitz 4284 Amber Dr Eagan MN 55122 (651) 452-5027 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170749 Date Issued:07/15/2021 Permit Category:ePermit Site Address: 4284 Amber Dr Lot:26 Block: 5 Addition: Cedar Grove 2nd PID:10-16701-05-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Lewis D & Donna Berkovitz 4284 Amber Dr Saint Paul MN 55122--200 (651) 452-5027 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature