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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 Z4 e Nf. r. : Z3 t? . .? d? c % o ' 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