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4302 Amber Dr yCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: . }a . ? ? IiNI< i4 1 1'.'t . ' PERMIT SUBTYPE: ? ? I i?,u l 1/?Fi'., f I ; - f•!Ai :! fst fii i { .4 hkM `;: '.i f'f+t:Alt: ('i IzMl F (2l 1fI 11 i oii 0 RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: ,'t I . . ;tfl F b+AM 1 Var, t:?? a ? ??? i n?G i17 17 9 196 I i1M AI}t)l1)pM I (:t l% f 11,14,1 f 111INlIf! i I fiM' st m? ? ? L_ Permit No. Parmit Holder Data Tefephone # ELECTRIC PLUMBING HVAC InspecNon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL , .. _ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: :J1i11 R i1R ? i I?pf? ?,?.•ii'Jt 'NI) PERMIT SUBTYPE: ' ; i'?:a TYPE OF WORK: ftf- :i Nlf'i IUN ( III) f i N(i". Pt' MARk 5: A'-:I 6'AIiA 1 F 1j!" 1rM i 1 1': Rf 011 I I{F iF f-h!c HNfY C 1 2f i-li 1f ill l-lOR! L RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: '.i HI (bl p i : .q{ I ti ic:i. ? a=•.r 1H?? til),11,l1 [146 0:• x!.£1fi ot, /'.-4/9h 1 11l}19A `', Anr,rrxoN (r,NkA(iE } ? ?J .....?? Permit No. Permft Holder Date Telephone 0 ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS ? FOUND ?3 ? S ? l'ovw FRAMING - 4s4{I SG,11V--f4 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIH TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL a 1 1- W ? BSMT F.I. BSMT FINAL DECK FTG DECK FINAL cirir oF EAGaN 3795 PYW Knob Rood Eegan, MN 53122 PHONE: 464-8100 BUILDING PERMIT Receipr # ?'? ?T u To bs wwd ior RE-ROOFI23G Est. Voiue $700.00 pme i?Iay 13 19 83 Site Addross 4302 Amber Drive Erect ;J2 Occupancy R-3 Lot 23 Bl«k S Ssc/Sub. Cedar Grove 2 AIter R-1 p Zoninp parcel ,# 10 16701 230 US Repoir ? Fire Zone NA Ricttard I. Lien Enlo?a ? Type of Const. V W Name Move ? # Stories ? ,??rm 4302 Amber Drive pemolt?, p Length NE r*,.EaptaA 55122 0?,,,- 454-1778 Grode ? Depth '14A Sn. Ft. cc NQme vwuca ^yprvvan rues ?p ?? ??? Assessment Permit 13.00 F Ci Phone Woter S Sew. Surcharga .50 t °C Police Plon check Nome ? W Fire SAC Address Enp. Wuter Conn. iL G Phona Planner Woter Meter Council Rood Unit I hereby ocknowledge that I have read this applicotion ond state thot Bldfl. Off. the inlormotion is torrect ond ogree to comply with oll opplicoble $13 $0 Sfate of Minnesota Sfatutes and City of Eogan Ordinnnces. ?? T?a? . Signoturc of Pe?mittee A Building Permit Is issued to: Rlchard I. L1en all work shall be done in eccordonte with?'?` ppplicqble ?S..t?et-i Buildinq Offlciol on the expreas condition 1hat end City of Eopon Ordinances. Psrmit No. PKmit Holder Miw- Permit No. Holder Plumbing H.V.A.C. w.u Water D'ap. Swwr EMctrie InWection Date Insp. Othar Footingt Foundation Framinp Rouph Plbp. Rouph HVA Inwlation Final Plb¢ Finsl HVAC Final Water Dpc?ibs Location: YVell SOwM*r ; Pr, Disp. CITY OF EAGAN Additio Cedar Owner / + ', Remarks Ceda-r Grove ACO,tisition Lot 23 sik 5 pafCel 10 16701 230 05 (?V* sitreet 4302 Amber Dr. state Eagan,m 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. "' ? 1985 1266.95 84.46 15 STREET RESTOR. GRADING 5AN SEW TRUNK .#.SEWER LATERAL 62 1972 1304.00 52.16 2 WATERMAI N *WATER LATERAL 1972 WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CITY OF EAGAN 3795 Pilot Keob Raad Eagan, MN 65122 N2 4282 PHONE: 454-8100 BUILDING PERMIT To be ussd for ? a t i Site Address 430 $1'000• Receipt # Lot -2.:3_ Blxk S Sec/Sub. _-?",C.? Parcel .# W Name _ Z 0 Address CitY - ? 0 Name _ OU < Address ? F" Ci u °C W W Nome _ ?Z _F, Address I hereby acknowledge that I have read this application and state that the informotion is correct and agree to comply with a!I opplicable State of Minnesoto Statutes ond City of Eogan Ordinances. Signoture of Permittee A Building Permit is issu all work shall be done ir Building Official Erect [a Occuponcy ? Alter ? Ioning R 1 Repair ? Fire Zone _ Enlorge ? Type of Const. Move ? # Stories Demolish p Front ft. Grade F] Depth ft. Aparovals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bidg. Off. APC Permit ' Surchorge ` Plon check _ SAC Water Conn. Woter Meter Totol 10.0() on the express ccndition that of Minnesota Stotutes ond City of Eosan Ordinancss. Pw•+t # oor. i.w.l r...x*.. Plumbing Mechanical INSPECTIOhlS OATE INSP. Rouph-In Flnal Footings Date Insp. Date Inap. Foundotion Plumbing Frome/ins. I Mechanical Fincl /-/J• 77 Remarks: CITY OF EAGAN ' 3793 Pilet Kneb Raad Eagon, MN S5723 ?7 l?l ? p 8022 PHONFs 454-8100 BUILDING PERMIT Receipt .# a -Q-t ? Te ba wad Ier RE-ROOFING En, yalue $700.00 Dnte MaY 13 I q 83 Sice Address 4302 Amber Drive Erect $][ Occupancy R-3 Lot 23 BI«k 5 Sec/Sub. Cedar Grove 2 Alcer ? ZoNnq R-1 porcel # 10 16701 230 OS Repair ? Flre Zone NA V Enlorga ? Trce of Const. W Name Richard I. Lien Move ? # Srories z Addmu 4302 Amber Drive Demolish ? Length NA Ci EaQ an 55122 phoM 454-1778 Grode ? Depth NA Sq . Ft.- ? Nome Owi1eY Apvrorals Feei iu Addren Assessmenf Permit 13.00 ~ Cit Phona Water 8 Sew. SurcFwrpe .50 GW Police Plan check Nome ? Fire SAC z Address Eng. Water Conn. Ci Phone Planner Water Meter Council Rood Unit I hereby ackrawledge that I have reod this application ond state that Bldp. Off. the inlormation iz torrect and ogree to [omply with all opplicoble $13.5? Stata o4 Minnesota Stotutes and City of Eogan Ordinonces. APC Total Sipnature of Permittee A Bufiding Pertnit Is issued to: RichaTd I. Lien; _ m fhe ezpress conditlon thnt oll wark thull be done in atmrdante with al ao?Ii? le S iwrc svFS'Statutes and City of Eagcn Ordirances. Buildin9 OfHciul ?'?'/??' i-'t ?i <',? .?, ? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNffT APPLICATION 1 set of energy calculations. RE ? - Zb se usea For Fj,u r valuation nare 5 Site Address: ?4 3 D yye%3c=jZ JjIZ OFFICE USE ONLY Lot ? Bloclc S sec. /Sub. z Erect occupancy Parcel #: 1?S Irt701 2?0 ?? Alter ? zoning ? ? Repair Fire Zone AM oaner: ee i CNfI R D 1. L/Eit! ?-?e -T? of Const. Move # Stories Address: ?3DL AmBE,e /7/Z/UE Detmlish Front //' ft. City/Zip Code: ?fll?ililJ 55 /Z2 Grade Depth -?/??-ft. , Phone # : V- .S?K - / 77,9 APPROVAI,S FEES __, Contractor: D Cr ) A) F 2 Acldress c City/Zip Code: _ Phone #= P.rch. /IIig. : Address: City/Zip Code: _ Phone #: Assessments Pennit 13,00 Water/Sev,er Surcharge ? SU Police Plan Check Fire SAC gng. Water Conn. plannpx Water Meter Council Road Unit Bldg. Off. P.PC TOTAL -F /!?• S -) CITY OF EAGAN - 3795 Pilot Knob Rood Eagan, MN 55125 N2 4282 ' PHONE: 454-8100 B I IN I A P 1gL t ? i R U LD G PE LICATION RM T P ece p .? # $1,000. To be uted ior ppYin DPrk Dote April 219_-:7_7 ste nddress 4302 Amber Dr. ___ Erett I Occupancy Lot -2.3_ Block Sec/Sub. (;<= 2 ? - Alter ? Zoning Rl Parcel # Repair ? Fire Zone _ Enlarge ? Type of Const. s Name R1Chdxd I L?eti Move ? # Stories 3 Address _ 4302 AtRt78I DT, _ Demolish ? Front _ ft. ? Cit Ea ari Phone 454-177$ Grade ? Depth _ ft. p Name SgIRP Approvals Feea ?u Address Assessment •? - Permit Water & Sew. 1,?0 - Surcharge ~ Cit Phone Police Plon check F ;1,w Nome Fire SAC I here6y acknowledge thaf I have read this aDPlication and stote that the information is correct and agree to comply with all appiicoble State of Minnesoto StotNteand City of Eo an inonces. Signature of Permitteel Eng. Planner _ Council _ Bldg. Off. _ APC Water Conn. Woter Meter Total 10.00 A Building Permit is issued fo: on ihe express condition that oll work shall be done inccor nce ith ?I applicable State of Minnesota Statutes ond Gity of Eegan Ordinances. Building Ofticial '?r- EAGAN TOVVNSf-IIP BIJILDlNG PEIaMIT oWna: ._G.?-'?"' ,?t • ........ ..._...'_....._. . LD-o -..._._._ f.... ..... .._.....__..._...._ . D_ . ........... Addresa (P=eseni) - ------------ " .... Builder .................... .------------------------ ------------ ...--.-........ ........ ...... Addtess ----- ?------------- -------- - ------------ --------- ------- _.------------ °----- - IV° 780 Eagan Township Town Hall Date ..>--..-../ .____...._._..__.__-. 19 LOCATSON Sireei, Road or oSher Descxipfion ef Loeation ? Lo! Plock I Addition or Traci - --- ? -?----- ? ----- ----- This pezmif does noi auihorize the use of s2reeis, roads, alleys or side sallzs nor does it give the awner or his agent the zighi fo create any siivafion which is a nuisance or whirh presenSS a hazard !o the healih, safefy, convenience and general welfare fo anyone in the eommuniiy. THIS PERMIT MUST SE KEP ON THE PREMISE WFIILE TfiE WOAK IS IN PROGRESS. • _- _ ? ' ....has permission to erect a. ......V-. _ _.......... . ..upon This is fo cerfifY, fhal---- ?'.. ..'. .'. _._ ?_v .....'..'_ the above descr' mise subjec?° the pxovisions of the Building Ordinance for Eagan Township adopled April 11, 1955. ?± ? ............... -...._.-.--. u.---. e.E?u„E_ ,-.---- - -- - .......v/'^'....------------------- .. Per . '-`---... 5 Chairman nf Tnwn Board Building Inspeekor w. , EAGAN TOWNSHIP BUILDING PERMIT Ownex .......f-`?•V-?---?--^'---`-°-`....a!c?:c5-x.a:................................... Address (Presen!) ---?:3 ........ 4L:7?.J.?k_:................. Suilder .... aaa:esS .. DESCAIPTION N° 1782 Eagan Township Tawn Hall Dafe .. ..-?L"?:.. ?71..?.1r. ??'...... % Stories To Be Used For Froa! Depih Heighi Esi. Cos! PermiS -Fee -- Remasks ??"`? 1 a s? G. s? LOCATION This permit does not aufhorize the use of slree2s, roads, alleys or sidewelks the sigh! !o creafe any situation whiah is a nuisance or which psesenls a hezard general welfare So anyone in the communiSy. THIS PERMIT MUST BE ,Kr?£ PTyp N-'(HE PREMISE WHILE THE WORIC IS IN This is fo aerhfy' !hal---- 1_?.:.---A!?"?v--------°°-----------..has permission fo erec the ebove described psemise subjec! !o the provisions of the Building Ordinaaee 1955. nos does it give the owner ox his agent fo the healih, safefy, conveaience and PROGAESS. ! a..'-("" ............ _upon for Eagan Towns ip edopied Apeil 11, '___._...-------' '.- :"'.`.•--. • - !?- ......... -. . ?c-' ........................ Pex '--`- -------....?i.GL-eJ._?`......??'G:'C? Gl??.r??................---- . -- Cha xman of Tnwn Board Suildin? .....Inspeclor Q, 6 . EAGAN TOWNSHIP BUILDING PERMIT Ownex ...... ? e-•- ?Y',--. ?--._---...--•-°---...--- ............. Address IPxesentl .... Z:3a-=4n ----.<----.. Suilder ...../- - ._ ................'--'--....._....------..........---.._.._---.._. Address ................. ..-..... ---..._......---'---....--"-----'---'-.--'--'-----'-•----' N° 2003 Eagen Township Towa Hall Da:e ---?? ?--?9.?y...... DESCRIPTION , 5lories To Be IIsed For Froni Depih I Heigh! Esi. Coci Permif Fee Semarka ` v LOCATION - 5ireef. Road or o2hes Deseripfion oi Locafion I Lot I Block I Adtllifon os Tract I d.3 1 5- 1 ?-° -42 --2- This permit doec aot aufhorise the use of sireels, roads, alleps or sidewalks aor does it give the owner or hLs agea! the righ2 !o creale any ailuation wLieh is a nuisaaee or whieh presenis a haaard fo the heallh, safely, eonvenienee and general welfare fo anpone in the communify. THIS PEAMIT MUST BE KEPT O-/DJT?HE PAEMISE WHILE THE WORK IS IN PAOGR?E7 S?S-. ' This is fo cerlifY. !hal----- ? .. ............._.._--_........---haspermission to erect a..... F. '?.-.---------- -- --°-... . ..._..._upoa a pied April 11. the above deseribed premise subjeet !o the provisiona of the Building Ordinanee for Eagan To,61 1955. ??..."!.-___..'-......... Pex .............._. !"...'t?'._!c-"..........-•=.•="-j....?<<i./...--'... ........................ Chairman • _' ?Tnwn Board Huflding Inspeclor Q . B ..?? ? ?x ??. BUILDIe?G P?PaMIT APPLICATIOU Date e • -/.- 9 A - ?> / LOT a 3 BLOCK 1:5--? ADDTTIOiQ ? & 9- PHRCEL & SECTZOi7 11Ut4IIER IF UAPLATTED ADllRESS OF PP.2CEL -zl 30 152, ZOi3I:TG /(',T OCCUPARTCY ? o° ESTIriiA'iED COSl• / 00 38'-r?r le ' o!%lTEn CicNA2 ij .Z LiEi1J TELEPHONE ivo. 7749 aDDRz'ss ??pZ,?/l7,gc,e COPiTRRCTOR TELEPAOL7E :10. idote^ Include site plan, building plans, and ener9y calculations with this application Signed ? OPFICE USE VALUiriIOi' / ? u v 5AC t?A':ER CO:J:iEC^20111 @7ATEk 11E:ER BUILDING PERIdIT FEE uL`RCiiF1RGE FF.f: O? PLE,25 Ce:I:CK FEE ? ? - - PARK DE17IC11TIOi4 FLE 07,.r^•R TOTAL* APPROVALS. 's1S5ESSi+IE:l"P CLERiL BUILDIIQG DEPT. POLICE DEPT. F4AiER & SEUTER DP-PT. FIAm DEPT. PARK DEPT._ PERMIT ? CITY OF EAGAN ? 3830 Pilot Knob Road PERMIT TYPE: e u i Lo z n c Eagan, Minnesota 55122-1897 Permit Number: 027686 (612) 681-4675 Date Issued: 0 5/ 2 9/ 9 6 SITE ADDRESS: 4302 AMBER DR LOT: 23 BLtlCK: 5 CEDAR GROVE 2Np P.I.N.: 10-16701-230-05 DESCRIPTION: (GaRaGe) 6uficfiWg.,Permit Type (•``¢uil.ding.l?'9k Type Geresus Cpde , . . _ .. . , .???r 9z ? , FOUNDATTON ADDITION 438 AL7. 6ARAGE 4, qy REMARKS: A SEPARATE PERMIT I5 REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATZON Bese Fee Surcharge Total Fes $99.75 $2.50 $102.25 CONTRACTOR: $5,000 OWNER: - Applicant - CLEMETSON THOMAS 4302 AMBER DR EAGAN MN 55122 (612)454-1843 ? I hereby acknowle ' dge that"2 I hay@.read t6is infprmation is cornect and •agree to°,comply Statutes and City of Eagan Ordi.nance,s., ? . ? : • , . / APPLICAN7/PERMITEE SIGNATURE application and state that trhe with ell`applicable State of Mn. :Owa SS ED BY: IGN URE? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 L?:J ? L 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construclion Renuirements RPmodeUReoair Reauirements ? 3 regislered s8e surveys ? 2 copies of plans (indude beam 8 window aizes; poured fid. design; etc.) ? 2 copies of plan ? 2 ske surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy celculations for heated additions ? 3 copies of tree preservation plan if lot platled after 7!1193 required: _ Yes _ No DATE: S' '?.(? CONSTRUCTION COST: NXN/ 6ARAGFz DESCRIPTION OF WORK: . 1130'?' STREET ADDRESS: LOT 3 BLOCK I #: /P D 5- SUBD CF&R GRDVE, . . . . C?m?T? T??°? Phone #: YS?"??y3 PROPERTY Name: OWNER ??30,2 `I"" lQIN/S?',Q ,aP, Street Address: City: F??? state: ?'"1N ZiP: $S-l ?.? CoNTw?cTOR Company: ' Phone #: Street Address: License #: City: State: Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address: City: Sewer 8 water licensed piumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 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 Applicant: OFFICE USE ONLY Certificaies of Survey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ No RECEOMLD ? MAV 2 2 9S9S ? -?-----? OFFICE USE ONLY BUILD ING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 5F Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ?% 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New o 33 Alterations ? 36 Move bl,? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5iories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: _ Basement sq. fl. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV sq. ft. Booster Pump _ sq. ft. Census Code. 13 _ Footprint sq. ft. SAC Code G/ Census Bldg _L Census Unit ? Building Engineering Variance Valuation: $ UvD % SAC SAC Units SICMA iURVEYING SERVICE5INC. n71 sanece Rwd • sw+e E• Eapm. NYmew10 55122 (612)452-3077 f?JE-W 6Al?4&C m ?EID ap x /(o 16 w.r?a ?. F?'NG? @fi?i? f3?&hl r \ ?--?. ? ?. \7'? VD ?? ?(3• ? 2 _P , 23 ? ? ? ry . . ? ? Z• ^. (? ? v,.?' ? . /`A ?,?g"?F y a5? LoT 23 re d? ;Of, / \\ TOM CLEMETSON 4342 ARBER DRIVE EAGAN, NN. 4 / ? ., 3''D ?b''? 1 ?53 yo •° ? "'^ . c,,? , ati Cq?? i y' y JX '° °yrc ,'y . \ 1ti N Scale : 1 "= 30I -PROPERTY DESCRIPTION- Lot 23, Block 5, CEDAR GROVE N0.2, according to the recorded plat thereof, Dakota County, Minnesota:?°,.,; ?,?,--8s \ X ?e /,,, ? 00 O •4 _ _?_ .s, t.?? p -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the Sta e of Minnesota. aZ:::?_344Va Wayne D. Cordes, Minn. Reg. No. 14675 _,4o CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BuILqING Permit Number: 0 2 8 2 6 5 Date Issued: 0 7/ 19 / 9 6 SITE ADDRESS: P.I.N.: 10-16701-230-05 DESCRIPTION: 43@2 AMBER DR LOT: 23 BLOCK: 5 CEDAR GROVE 2 EXISTING "ild'i'ivg Permit Type ?Bui2ding?tl,ork Type -"Census C'ode °, u- ?VE FOUNDATION GARAGE/ACCESSORY ADDITIOM 434 ALT. RESIDENTIAL ?' Lj' REMARKS: SEPARATE PERMTT REQUIRED FOR ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: I $3,000 OWNER: , - Rppllcanc - CLEMETSON TOM 4302 AMBER DR EAGAN MN (612)454-1843 I hereby acknowledge that I havg,read this applicati.an and state that the inforinati_on is corr,est and egr;ee'to oomply•w3th alk applicahle etate o# M,n. Statutes apd City vf 6agara Ord3nencea. T APPLICANT/PERMI7EE SIGNATURE ISSUED IG ATURE ? CITY OF EAGAN aPC)/_ S 3830 PILOT KNOB RD - 55122 w 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 New ConsWClion Reauiremenls ? 8 registered sfte surveys ? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; ete.) ? 7 energy plculations ? 3 copies of tree preservation plen H lot platted after 711/93 required: _ Yes _ No DATE: 7 CC DESCRIPTION OF WORK: STREET ADDRESS: LOT a 3 BLOCK rvEPt/ 64R4GE RemodelJReoair Reautrement= 30a "?P'/5icn aR yrL/y i9G SUBD./P.I.D. #: . ? QJ-? ' 2 PROPERTY Name: L ??? 01-G63J Phone #: y 5q - lF4 3 OWNER `p Street Address' `? 3o'l- City: r4601J State: N"?N Zip: SS? ? CONTRACTOR Company: ' Phone #: Street Address: License #: City: ARCHITECT! ENGINEER Company: Name: ??? ?C Zip: Registration #:. Street Address, City: State: Zip: Sewer & water Iicensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the informaNon is correct and agree to comply with atl applicable State of Minnesota Stalutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Phone ? 2 wpies of plan ? 2 site surveys (axterior addiHons & decks) ? 1 energy calalations (or healed addilions COST: / Sw 5c4t5 + FOUNOArroAJ AtacEAoY AomrZ State: Certificates of Survey Received _ Yes _ No J t c? ?? J?? Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Ouplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch o 09 12-plex ? 05 SF Misc. 0 10 _ plex WORK TYPE ? 31 New ? 33 Alterations X-32 Addition ? 34 Repair 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. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? 0 12 Multi Repair/Rem. ? ,43'13 Garage/Accessory ? 0 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/1NS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. 70 Footprint sq. ft. SAC Code o? Census Bldg Census Unit o Building _ Engineering Variance valuation: $ 3 ,0° O °k SAC SAC Units -) ? )s7 zow RESIDENTIAL PLUMBING aeRMir APPUCnTioN CIN OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651475-6675 Please com Iete for modifications to existin residential dwellin s, nate ? 1 19_ 1 U 7 Site Street Address )A-30a. 'nMNSj..E,(' >f - UnR # PropertyOvmer V_?W 1-m-Q?(N-\ Telephone#6S?) -qS? N?`I3 Contractor ?1 ? S 1' I 1 YLDI Telephone q(?pla X LQg ?I, IO?a Address 2S S . ?A-ITSA IyLkp VJ City_ CSC?Ct.Vx State_Uj?_ ZIP 5535'? The Applkant Is: _ Owner 8 OccupaM Lkensad Plumbtng Contractor SepUc System _ New ? Refurbished Submit 2 sets of plans and MPC license Includes County fee i 100.00 Per as-buitt $ 10.00 Fire Repalr (replace burtred out flxtures, etc.) $ 90.00 Triis fee a lies when extensive umbin re irs are made to a buildin . AlteraGons to existlng dwelling $ 50.00 _ Add piumbirg fixtures to main level lower level. This tee indudes installation of a uvater aoftener and/w water heater at the same time. Il yrou are insfalling ontv a water sof[ener and/or rveter heater, do not complete this section; move to the next section arni place a checkmark next to the appliance(s) you are installing. _Septic System AbandonmeM _Water Tumaround (add $138.00 if a 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacemeM Lawn Irtigation _RPZ pVB _new _repair _rebulld $ 30.00 State Surcharge $ 50 Total $ i nerepy appry tor a ResiaenGal Plumbing Pertnit and acknowledge that the infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codas; that I understand this is not a permR, but only an appUcation for a pertnit, work is not to start withart a permit and work will be In accordance with the approved plan in the evern a plan is required to reviewed and approved. L.G,fel, Applicant's PriMed Name canY 'ignature ? ?? JUN 0 5 2007 .30' ------------------ ? Eo?9tfi,c","e;USe ? j Permit#? v " `c5O j ? Permit Fee• ? Date Received: I I I I Staft: I I ----------------- 2008 RESIDENTIAL BUtLDING PERMIT Date: 10'16 '08 Site Address: A'yl?`JG; b Tenant: T D dN tk? G'N 19114'ds-I Suite #: RESIDENT / OWNER Name: j O?K ? C?.ry.Pn v Phone: q<41 - rL7 'g'3 Address / City / Zip: Applicant is: _ Owner XCon[ractor TYPE OF WORK Description of work: rc'"r v t> ? Construction Cost: 7t,f dv Multi-Family Bwlding: (YesNo? CONTRACTOR Name: -Ja vhPS jr?l -"Fvk ?.p License #: ?U1 g ?g ?Z Address: IL 7 J c9..J 4i? 0?u rk_ City: aa5"?" S State: 0l/ v Zip: -55`63 ? Phone: 6SI-o2I d-IOS8 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CetByOry Submitted Submitted (4 su6mission 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 Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be publfc information. Portions of the inlormation may be classified as nonpublic if you provide §pecific reasons thaf would permit the City to condude that tbe are trade secrets. . I hereby ackn ledge that this infortnation is complete and accurate; that the work will 6e in confom Eagan; that w d stai this is not a permit, but onty an application for a permit, and work is not accordanc wit 1 e a roved plan in the case of work which requires a review and approval of plans. x -larkt?S ? PnJ-PYf x • Applic nnted Name AppNcant's _ APPLICATION 1'-" the ordinances and codes of [he City of ithou[ a pertnit, that the work will be in Page 1 of 3 .I b? . w . . ? ZD =S?6 --?--?- f ? , ? ? a o"t ! • _,j f. , , . . '.` ? . ? ? •-. - =_ . . / . . ;? ? ? , ? { ? i ?. ? .; , ? ? ? ? ,--.------?---?--?-_`.? , ? --- - - - - - -- - . --- ? --- j-?--? -- ? . , I ? - - ?±c------ - ---?. ? O- ? G" _____ - - -- - --- -- - ? ?- ,. I w I I ? ; ? , ?-- r MR (,e MRS. R.I. L. IE)r . RES. ' ¢J'O.? NMBE+Z ,DR?vE 7- P/-? uc. /4?fM?'. ?.?5+?"r??r-?•t Fo U Iv?? T?aH