4289 Amber DrSPEC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
0a1: l;i;Wif ,? ? (I N 1-i
PERMIT SUBTYPE:
! I ! -1 1 1 w,!
II 'IAI
TYPE OF WORK:
FHRM I <<#% ;
PFtZN471 RF1lt1iR1'.i') ?rllfi I:I.Ft°TR1CAI (•lnft+
?
ON RECORD
PERAAIT TYPE:
Permit Number:
Date Issued:
J\t 1" b(? ir . y? ?.
941 f 11a : APPLICANT:
t,:.i.> ??,,e. ?..???,?
Pern?it Na Permit Holder Date Tolephane #
ELECTRIC
PLUM8ING
HVAC
Inapection Date Insp. Cumments
FOOTINGS
klifl
4' 2 ,4'
FauND
FRAMING
ROOFING
ROUGH
P4UMBING
P48G
AIR TEST
RQUGFi
HEATING
GAS SVC
TEST
INSUL
GYP BOAFiD
FIREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLPG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
fil
CITY OF EAGAN Remarks Cedar Grove Acefaisition
Addition Cedar ?'iT'04E #2 Lot 1? Blk 7 Parcel 10 16701 189 0'7
Owner?2?? b)Street 14289 Amber Dr. State Eagan}MN 55122
c%-
Improvement Oate Amount Annual Years 5 Payment Receipt Date
STREET SURF. 8O- 'v v ?
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL (We 1972 1304-00 2. 1 2 Paa.d
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN. v M' i
BUILDING PER.
SAC 'J
PARK
g 0 9 7 3
7 ?S 5a-
Reques[ ale
? ?? ? Fire No Rough-inlnspec4on
Reqwred?
? Ves XNO
?eatly Now r? Will NoM1N Inspeclor
When RBatly'+
Icensed contractor D owner hereby request inspecUOn oi above electncal work at:
Joo Atlaress ISireet Box or me Na ?_
?
?
?l-a £? mber ? ?
Section No TownsM1ip Name or No Range No
Oc tIPRINT)
?r Phone No
v
Powar Su L qtltlress
Elec i Gonvac?Gompany Name)
.??r, C Irector's Lmense
Roll a
Matlmg AtldlrIomractor o(r ?Owner Mya?king Ins[ tionl ?
Au; r?ed $i naWre Co vactorpwne: Maainq I stallanon?
a Phone N er
?o -3s ss
?n
MINNESOTA STATE Ol D OF EGTPICITY THIS INSPECTION REOl1EST W ILL NOT
Griggs-MiEway Bltl - oo ]3 BE ACCEPTED BY THE STATE BOARp
1821 Univerelty Ave., . Peul. MN 55104 UNLE55 PROPEF INSPECTION FEE IS
Phone (611) 642-0800 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION
6 9 7 3, See inshuclmns Sr completm'2j tnis form on back ol yellow copy
"X" Below Work Covered by This Request
?i ea-oooai-oa
? ??'3 /DloB''l"3
ew Add Fep TypeofBwlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bmiding Diyer Othec(Specity)
Comm /Indusirial Fumace
Farm Air Condi6oner
Other (specdy) Commc[or5 marks IA-? /n
?.Or?CV? on , 1 L `J
Compute Inspechon Fee Below
# Other Fee # SermceEntranceSize Fee # Cvcutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Atwve 200 _ Amps Above 100 _ Amps
Signs Inspecmr5 Use Only TOTAL Q
S
Irriqahon 8ooms /,? . ? l s
Special Inspechon
Alarm/COmmumcation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rouqn-in r oate
certifythattheaboveinspecllonhas
been made Finai ? ??? Q•
OFFICE USE ONLY
This request voi0 18 months irom
(9 --7, C, G,'? yk 1
CORRC??TMN M070CE
•Address
Owner/Agent
Ord nance Nos. and Corrections - Correct By
DATE:
Site
Te
d.:..L ,3(0 0I/f0 k?d W.G_
For reinspection
°
Eagan Dept. of Inspection InSpBCtOr:
3795 Pilot Knob Rd.
Eagan, Minnesota 55722
454-81 Dept.: ? ? `V Q 3¢
???>001?e__. 1l- .?'n'a9«a-?? / ? !o
EAGAN TOWNSHIP
? BUILRING PERMIT
Addxess (pxese=sA?', --T.../..G'_?.'V27'1P7 1 Illd'<+"-
Builder -------- -- - ------......------------?---------- --
Address ----- ---------'----°---._._.---------------- ---°------- --------
DESCRIPTION
N° 516
Eagan Township
Town Hall
Dake
...-- .----... --- ?
Siariesl To Be Used For
- Froni
-- Depih Hei4hi
-- Esf. Casf Permi! Fee Remarks
???E1^?? ' ??D,?/)G? T ??`? --
x LOCATION
or other Descripfion of Location
f/
or
This permit does no! a oriae the use of siree2s, roads, alleys or sidewalks nor does it give the ownec ox his ageni
the righf !o cxeale an ualion which is a nuisance or which presenSs a hazard io the healih, safely, convenience and
general welfare io anyone in ihe cvmmunity.
THIS PERMIT MUST 8 PT THF?.RE SEc WHILE THE WORK IS IN PROGRES!?S/"`
This is fo ceriify, kha ...I. ???!?igQh-haspermission !o erect t_????i7(?lt?? upon
the above described remise snb'ec! fo flie ?
P ] provisioneot the 8uilding Ordina e aga?.? n adopied April 11,
1955. -- . ,
-'_- • ,
Per
Ch--air----m---ano-----.f T._ ---_._own ---Soard ---'-----.. --_..._.... ... _.'' ?
-' . ._..... ? ?} Building? ior
EAGAN 'i'OlNN S H I P
BUILDING PERMIT
Ownex/ -7-----'-3
Address (preseni)
Builder ----------------------- A''"..'.--
_"-----'---'-----------"-'-`---' -------`----------
Address ---------------------------------------------- ......_..------°------------.."""-----'
DESCRiPTiON
N° 722
Eagan Township
Town Hall
Dale
5iories To Be Used For Fronf Depfh HeigLf Es2. Cosi Permii Fee Remarks
r A Ao rba?=
!i LOCATION
Sireei, Road or olher DesevpSioa of Locziion I Lof I Rlock I Addition or Trac!
?
This permif does noS aulhoriae the use of streefs, roads, alleys or sidewalks noz does it give the ovifier or his agenf
the right io create any siiualion which is a nuisance or which presen3s a hazazd So the healih, safeip, conveaience and
general welfare !o anpone in the communify.
TFIIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRE55.
This is lo cerfify. !hal --------------------------------------------- ------------------ has permissian So exect a-------- ...................................................... upon
the above descxi pzem' subjec!??Q !he visions of the Building Ordinance for Eagan Township adopied April 11,
1955.
" .......... .. . ------- - ...... _.._..._:...4!..5....?.... Per --.....---..-'-_....---.__...----------..---------- .......-----------'------'....."'°--
Chairman oi Tnwn Board Building Inspeefor
PERMIZ'
-l? CITYOF EAGAN
3830 Pilot Knob Road PERMIT7YPE: euzLoTNe
Eagan, Minnesota 55122-1897 Permit Number: 0 30 a 5 G
(612) 681-4675 Date Issued: 0 5/ 2 3/ 9 7
51TE ADDRESS:
4289 AMBFR D2
LQTa 18 BLOCK: 7
CE0A4 GI3OVE SECt7ND
P,T..PI,a 16--167Z 1,--7BPs-957
DESCRIPTION:
Permit Type
f?rk Typc
?
I-J'
. (5.
? • Y YP ?? L'" 'f
-^Akr o: F.>yn'Mr ? yii??"xw ?,: •"'`? 4iu.?ia ri°.wra:z
P,?
REMARKS:
',fcPARATE PERMIT REQUIREp 1=0R ELEC7RZCRL 6JORKZ
GARAGE/ACCcS50RY
niEw
Asa nGT, GARAGE
FEE SUMMARY:
vaLuArroN
$A3YVA0VI.
QaGe Fee
Plari Reviaw
Sui°charge
Total Fea
$199 .7s
$1_9.8!!
?--I gw_5 9) -
$3ufi' 0 9
CONTRACTOR: OWNER: - Applicant -
MrcuL L uM GREr
, 4289 AmecR D a
eA??4ra M N
(61'12)a54-5755
?
i c +. r _,
? hcneby+ kt) mwla,d?9?
?ca ?sh?p
? a?ifarta??ztrt?>>?? ??rEgec?? ?€f? i?e?
?n
° StaCiillr?;?rr? i"q8 n an- s?: ' - `
E
L . ' . ._ ?.. .a.a... -? .v??a - .... . E._o-a..e-. ... ?v..?x .E ...T-.... ?.. _`
.V..,L'i2 d ? L .2 Lr
G ,IjAP7UAN ANT/PERMITEE SIGNATURE ISSUE : SIGNATURE
CLTY UF r:.acaN
CASHIEk: 15 TF_FMINAL N0: 72
DAYFa 051?3l97 11:Mf: 15:06:51
IU:
NAML`? GfiFF_G(]RY C MI;CIJLLUM
:320 900:1 42$9 AMHF:R IiR 199.75
3422 9001 4289 AMBER Dfi 129.£34
21.,5 9001. 42E!7 F1MEtFR Lifi 6.50
a
'fo+.al F2ereip+, Amuun+,: 336.03
CRfI i 4c 5G-
USfR ID: JAN
. / 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 56122
681-4675
Naw Construdion ReaulremeMS RemodeURenair ReauircmeMS ?
? 3 registered site surveY$ ? 2 copies M plen
? 2 mpies of plane (include beam 8 window sam; poured fid. design; etc.) ? 2 site surveys (exlerior addRione 8 Eedcs)
? 1 energy celculations ? 1 enargy ealwlations tar heated eddkions
? 8 copies of tree prexrvation plen M lot plattetl after 717/93
requlred: _ Yes _ Na -
DATE: Sr 16' q 7 CONSTRUCTION COST: 3 6 ao 0 Qo
DESCRIPTION OF WORK: ??? ?? C? 6`w-?A-R F
STREETADDRESS: YAlk? an"b?r (j ?-
?
LOT ? BIOCK
10-1 SUBD./P.I.D. #:
C cd?
PROPERTY Name: ?-}y t? Phone #: ySY -.?7S?S?
owNeR
Street Address:qa? ?mb ef
City: EAd lk n/ State: Zip: 5 S Id-a--
coN7w?crott Company: 5'E-M e- Phone #:
Street Address: License #:
City: 5tate: Zip:
ARCHITECT/ Company: 5a-rA-C- Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): . Penally applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and siate That the infortnation is corteCt and agree to comply with all applicable
State of Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ?pY 2 01997
Tree Preservation Plan Received _ Yes _ No _ Not Required _r-?ldAAJk? m
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
n 02 SF Dwelling o 07 4-plex
a 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 _ plex
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
,P`11 3 Garage/Accessory o
? 14 Fireplace ?
0 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
WORK TYPE
,e('31 New o 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
a 36 Move
0 37 Demolition
Const. (Actuai) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. Cfty Water _L
UBC Occupancy sq. ft. Fire Sprinklered ?
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. yss
Depth Footprint sq. ft. SAC Code O/
Census Bldg
? Census Unit (L_
APPROVALS I
?
Planning Building l? Engineering Variance
o ocs. ?-'
Pertnit Fee I'`1 y?,s Vafuation: $ 13,
Surcharge / , sv
Plan Review i z s. SK x 2y 14I = 12
, .?-
License
MCNVS SAC
City SAC
Water Conn.
Water Meter ,
Acct. Deposit k
S/W Permit
SMI Surcharge tj
Treatment PI. ? `^+
Road Unit
Park Ded.
Trails Ded. L4-, c? vv4 t?
Other
Copies
rotai: 3 3l0 . 0 9
2 o °
To - I?oJ
?
%SAC oIG fo??ago..
SAC Units
h" f v ?
? 1 ? • ?w
' ?r
A L.
2
. K4
*4-
.? i
•?'? 34 7?
., ?
h rt
.
, ??.
•,r..
b`? '?.
*
_4k
?l.• -,
17 00000
i '
?y
°
.v,
?
?- .r-
`• 3? , 04O 4
?. •
?
.r v ? 1
?
.Q??
ka, ez- F6F _
?
Z S
.ti
Zo
1
Zj
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r. :
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t?
.
.?
d?
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As\
-2, 16 r ?- .2, .
? _
?? ?-C, Y
?
/
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL
5 0? ? CITY OF EAGAN L? ??
? 3630 PII.OT KNOS RD - 66122 ?A
681-4675 ,S?GR?"l
New Construction Reauirements
RemodeVReoair Reauiremenffi ? aI4,qA`rE-'
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window saes; poured Md, design; etc.)
? 1 energy calculatlons
? 3 eopies of tree preservation plan H lot platted after 7H193
required: _ Yes _ No
DATE: 3 - a ? - 9,9
2 copies of plan
2 Site surveys (exterior addftions & dedcs)
1 energy alwlaGOns for healed addkions
p czCONSTRUCTION COST; dOD-
DESCRIPTION OF WORK: ?-Jc, o f-
STREET ADDRESS: Z71,--? Z?M h p? vg.
LOT: ?I IBLOCK: 1 SUBD./P.I.D.#: (..AG/U y?O"?I/?C?'?? ?
Name: ??U??1.1'j CrRc?'l's- Phone #: y.?y - 5255
PROPERTY 1.ast First
OWNER
StreetAddress:
City State: ?`n) Zip: .f5?1 c?- ?--
G
Company: Phone ?2 -
CONTRACTOR
Street Address: ,f-/,C L z?A? ?a License #J?) o° S??Q a 7
City ?D State: Zip:
?-
ARCHIT'ECT/
ENGINEER Company: Phone k:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed piumber (new construction only):
and lot change is requested once permit is issued.
Penatty applies when address chang
I hereby acknowledge that I have read this application and state that the inTortnation is corred and agree to compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received - Yes - No - Not Required
OF'FiCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition 'r?'-,-34 Repai;
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ?I- 21 Miscellaneous
? 15 Deck
? 36 Move
G 37 'JemoGtion
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq, ft.
Footprint sq. ft.
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
Valuation: $ ? D <yo- Gu
Building _
d??9 z ?'?4
°k SAC
SAC Units
4§" Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 Fax: (651) 675-5694
? Foi'Officeillse?y I
j Permitlt:
? Permi[ Fee:
? Date Received: ? j
I StaN:
I ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 fS I og
Tenant:
Site Address: 44.99 R i or;V¢-
Suite
RESIDENT! OWNER Name: Ir- ? q_0 r? M e Cikll uM Phone: 651- f(S ?/ - 5`1S5
Address/City /Zip: y2 8 9 lTNn??r pr Faaar M/J SS 12Z
Applicanl is: _ Owner 2-< Contractor
TYPE OF WORK Description ot work: ?2'? Koo ?IJ,?'
Construction Cost: ?7 ?• ??a Multi-Family Building: (Ves No ki
CONTRACTOR Name: VR PKtOdkta-? d gzl04?5License#: 2063050?2
Address: 12-5Z.2. L?F`e Lo C V C}
City: n P P?- VQ`??? _ State: (Y4' " Zip: SS ? Z ?r
Phone: 452 - 29 Z- 4S 34 Li Contact Person: ()ow?Gtv?. CWnR
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenhal Venfilation Category 1 Worksheet • New Energy Gode Worksheet
Category Submitted Su6mitted
(4 SubmisSiOn type) • Enerqy 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: P/ans and supporting documents that you submi? are considered, to be public inlormation.',Portfons of
'
the information may be cfassified as non-public !f you'provfde specific'reason§ that would_ permitthe City to
condude that the . are trade secrets:- '
I hereby acknowledge that this information is compiete and accurate; that the work will be in contortnance with the ordinances and codes of Ihe City oi
Eagan; that I understand Ihis is noi a permit, 6ut only an application for a permit, and work is not to stan vrithoul a permit; ihat Ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval ol plans.
x RoMA)V 01A80 x 12E?
Applicant's Printed Name Applicant re
Page 1 of 3
Use BLUE or BLACK Ink
A Am. NEML r - - - - - - - - - - - - - - - -
I For Office Use
I
l~
I
City of Ea CID ; Permit#:
I CC I
I Permit Fee: 05-a~ I
3830 Pilot Knob Road I ¢
Eagan MN 55122 Date Received: 1 9 /1 O
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /i9 -/g-/,? Site Address: W 9 4~~r Unit
Name: _ GLy0_~/ A/Ca Cpl GL. t7? Phone:
Resident/ g ~
Owner Address I City I Zip: %2 P~ A~iC~iQ'~~'.U/ ~ S~f 2 Z
Applicant is: Owner _e - Contractor
Type of Work Description of work:
7
Construction Cost': ! r' Multi-Family Building: (Yes / No )
Company: V R A i,44fs Contact: aL_ - Z` Y -2Q~J
Contractor Address: 4 City:
~P
State: P//Zip: <-72y Phone:
License 30,0k~ Lead Certificate
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:
S[!th:enformation wer & Water Contractor: Phone:
Plans and supporting documents that you submit are considered to be public information. Portions of
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.gopherstateonecall.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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co st be completed within 180
days of permit issuance,
x VIZZ /d-/-"oaa i _e U
x
Applicant's Printed Name Applica s i ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121847
Date Issued:04/16/2014
Permit Category:ePermit
Site Address: 4289 Amber Dr
Lot:18 Block: 7 Addition: Cedar Grove 2nd
PID:10-16701-07-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Gregory C Mccullem
4289 Amber Dr
Eagan MN 55122
(651) 454-5755
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature