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4314 Amber DrCITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 N cia i , 1 c:, SITE ADDRESS: APPLICANT: #2 PERMIT $USTYPE: TYPE OF WORK: :tiLTEltAl' Tn N , , 1?r wnor. . .. . .• I . , ?, 1, ? ' .?3 ?S.tl1? :'fi - - - - -- - - ------ _J Permk No. Permit Holder Date Telephone #t ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING " a?a7 7'.36' 9V 1 ? Gi r J ?r• ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL F3SMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Addition lot 21 Blk Amber Dr. 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1266.95 84-46 15 STREET RESTOR. GRADING SAN SEW TRUNK OEWER LATERAL 1304.00 52. 16 21 WATERMAIN WATER LATERAL 1 2 WATER AFiEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. (( 6UILDING PER, SAC PARK REQUEST FOR ELECTRICAL INSPECTION k?'15 ?.6 4? See ins?mctions lor rompeLng ihis form on back oi yellow copy "X" Below Work Covered by This Request ?°°"`-N,? ee-00001 .08 / 971;013?7 ew Adtl Rep. TypeoBUildmg AppliencesWiretl EqmpmentWired Home Range Tamporary Service Duplex Water Heater ? Electric Healing Apt. Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Ottier(specdyl Contracmr's Remarks. Compute Inspeciion Fee Be/ow: # Other Fee # Serv icaEnlrancaSrze Fee # Feeders Circwts/ Fee Swimming Pool 0 to 200 Amps mp 0 to 100 A s Transformers Above 200 _ Amps Above 100 _ A.P. Signs Inspecror5 Use Only. ?. ? TOTAL S? ' Irngation Booms /J )5 Special Inspecuon Alarm/Communication THIS INSTALLATION MAV BE ORDER SCONNECTED IF NOT Other Fee , 5p COMPLETED WITHIN 18 ? 5 8 64 K ? /O 7G S ? ? fleque Dale q Fire No. ROUgh-in Inspeclwn Reqwretl'+ 0 Ready Now ?WAI NotAy Inapector _g _ q a ? Ves No WhenFeaM7 I? licensed coniractor ? owner hereby r uest ins tion of above electrical work at: Job ACtlress (51reet. Bov or Rouie No I Qty 4314 Amber Dr. Eagan Section No Towns Name or No enge No. uMy Dakota upaat (PRIM? Phone No Dave Norbe 452-2978 Power SupOlier Atl ress S.P oc 3 00 Maxwell Ave. Ne ort MN 55055 ElpMncal CWb or ICOmpan Name ConV6Clor9 License No Cor gan Ele tr 0 39549 8 MaiLng AtlEress IGOnlraciW or Owner Mabng Installatron) P.0 Box 475 Rosemount, MN 55068 Aulho z tl ignaWre IConVactoupw Making talletwn) ^ PM1One NumEer ` Cl, 42 -11 1 MINNESOTA STATE BO0.RD pF CTpICITV THIS INSPECTION REQUEST WILL NOT Gtlggs-MlGway, 81tlg. - Room 5193 BE NGCEPTED BY THE $TATE BOARD 1821 Univarslty Ava., Sl. Peul. MN 55100 UNLESS PROPER INSPEGTION FEE IS PMna (612) 6a2-0800 ENCLOSED i//01A K. 5872 RE?UEST FOR ELECTRICAL INSPECTION ? See msimctions for complennq inis lorm on back of yellow wpY "X" Be/ow Work Covered by This Request 60 79543 e Adtl Rep 7ypeofBUildmg AppliancesWiretl EquipmeMWved Home Range Temporary Service Duplex Watar Heater Elec[ric Heating Apt. Budding Dryer Other-(Speciiy) Comm.llndusinal Furnace Farm Air Conditioner Other (syttdy) GOnVactor5 Remads Compute /nspection fee 8elow: # Other Fee # SarviceEntranceSize Fee # Circmts/Feeders Fee Swimming Pool o to 200 Amps 0 to 100 Amps Translormers A6ove 200 _ Amps Abov Amps Si9f15 lnspeclor5 Use Only AL yro IrrigaUOn Booms -- Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee 50 COMPLETED WITYiIN 78 MONTHS. I, the Electncal Inspector, hereby t Rough-in oate certi y that the above inspedion has been made. F,,,ei 43 oam OFFICE USE ONLY This reqoest witl 18 monihs Irom K 1 8 7 2 i°7??3 9/8? 9? ,?.?? ,65 C?' Can.. ,/Jr?- #? yg ?o 19 flequesl Da e Fire No RougM1-in Inspechan ReqwreE'+ >jieatly Now 0 Will Noefy Inspectrn 9-17-9 2 ? vas wneo Reaayz I2 licensed contractor Ej owner hereby request inspection of above electrical work at. JoD Adtlress ISVeet Bav ar qoute NO 1 CM 4314 Amber Sday Dr. Ea an SecUOn No Township Nama or No Range No CouMy Dakota Ocwpant (PRINT) Phone No Dave Norberg 452-2978 890-5135 Pawer Suvvlier Aatlress N.S.P. Red Rock 3000 Maxwell Ave. Newport, MN 55055 Electncal ConVactor (GomOany Name) COnVattarS L¢ense No ? &a Corrigan Electric 0 39549 8 Mailing AtlOress IGonVaaor or Owner Makmg Installenon) P.O.,Box 475 Rosemount, MN 55068 Autwr Signature iComr c a?pwn Making Installatmnj PM1One NumOer ` ? 423-1131 MIHNESOTA $TATE BOR OF EIECTflIC1TY THIS WSPECTION REOUEST WILL NOT Gr19ga-Mitlwey Bldg. - Hoam St]J 6E ACCEPTEO BY THE STATE BOARD 1821 UnlveraNy Ave.. SL Paul. MN 55100 UNLESS PFOPEF MSPECTION FEE IS PMne (612) 642-0800 ENCLOSED EAGAN TOWNSHIP , zBUILDING,- ERMIT Ownkc-L. - ?-- Address (Preseni) --"'.----?.` Builder --... _...._........_..L.'..`:-5.----c-.x_..-............. ..-----........__ ... Address ..... - - ---- --------------- -------- ---------------------- ----- ..... ------------ ----- 7]F.CCATPTTnN N° 693 Eagan Township Town FIall Daie_..__...L... .?._ ..___..__ Sfories To Be Used For Froni Depih Heigh! I Esi. Cosi jPermii Fee Aemarks - i ?^ ? __ LOCATION or ofher Description of Locatian I i.ni .' or Traci ?_-=- This permii does no1 aufhorize the use of slreels, roads, alleps or side alks noz does it give the owner or his agenf the righi to create any sifuation which is a nuisance or which preseais a hazard io ihe heal2h, safeiy, convenience and general welfaxe fo anyone in the eommunify. - THIS PERMIT MUST IC PT ON T?HE P EMISE WHILE THE WORK I5 IN PROGRES$. This is !o ceriify, ih ..._.,. `t?r ..G..:?..._.. has permission !o erecY V . ....._."_....._.._ . ._ P u on the a6ove described pxemise suhjecf io the provisions of the 8uilding Or ' a nship adopfed' April 11, 1955. . . .. .. ........ ---- _.........__.._ P?r . . ...... ........ _.'_ _...._._.... Chairman of Town Board u? ding Inspeclor ? EAGAN TOWNSHIP M 1.154 BUILDING PERMIT Ownex - ... ... .... ......... ?--......---------. Eagan Township ..- Address (P=eseni) Town Hall Builder ...?.......?.9.r.r.-A..:.-----.-- (!a ........................... > ? j6 ? - -- '- Date ......................... Address y................... .......... ......._------------- ? -- _ DESCRIPTION 52osies To Be Used Fos Froni Depih Heighf Esi. Cos! Permit Fee Remasks ` LOCATION SSreei, Road or ofher Descrip2ion of Location Lo! Slock Addition or Traci o°i( .1- G?/-'#Z This permit does not authorise the use of sSraefs, roads, alleps or sidewalks nor does it give the owner ot his agen2 the righilo creale any situaYion which is a nuisance or which presenfs a hazard fo the healfh, safefy, convenience and general welfaxe !o anyone in the communify. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. ..'-'......... This is !o eeriify, ....._..----- ....?!?!r.?.: __......._.....has permission !o erect a----- .? ... .............. ....... upon the ebove dsseribed pre se subj ! io the pxovisions of the Svilding Ordinanee for Eagan wnship ? dopied April 11. 1955. ? ............. Per .............. ............ ........ ............................ .. ..._ _......___ _ ............./..?.`?.`..".r'.-?....r...._`:'?'?......_... Chairman o Tnw? $pard ? Building Inspecior j3 CLAl11 VOUCIIER - REFUFI4 RLQUf.S'f C1TY OF F.hGAIi CLAl!ihIJT CORRIGAN ELECTRIC /DnRESS P•0. BOx 475 ROSEMOUNT, MN 55068 l.ocation Receipt No./Date Reasen fcr Aetund Tcre: o[ Reiund Q /3o?t2 4314 AMBER DRIVE L21 B5. CEDAR GROVE J2 107635-9/9/92' PER ELErTRICAL CONTRACTOR'S RE0I7FST- DUPLICATE PERMIT Electrical fermit Tlum6ing Permit Tlechanical Permit Surcharq? watpc Connectlon Permit Sewpr Connrction Permit Account Deposit Utility Account Over-?'nqment Other: 01-3211 S 15.00 01-3212 $ 01-3213 S 01-2155 S 20-3713 S 20-374J S ? 20-2252 S 20-2250 S ' S S ?oTAL S 15.00 1 declarr under the pPnnltiee of law that tltis aceount, clalm or demand is Just and tliat no par[ of it aR been naid. 9/30/42 Ici nature Date xk$; ?FW >$::,:W !X?? k! i?tk(k??XY:k??'(%F9dW k?F?X ? X? ?(M#:Y• ??' i;;>k?Y• k';'l.#'?". ? r.;r.rv oF KFlrAN CASH:(k_:R;: ':; 1'L:f•:MTtdAL NUa 5E? DAiE:; 07r28/97 1':CNG:1 9.:°reM.i.('_ ?Ua ?,r..MC ; DAV7 D i, r!131::75F.ItG, 2115 9001 QiA r,MCti;(t DR I..C1rt 'r',I:-'II. NiC,?_??;?y?y?. ?ilY?Oi.:l. e (,?,.r:l t . ?. : i4 f;Fi f.l i'9(i4l is I JSIi: Fi .I.F) e NpipJf„',v ` CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 5 2 8 (612) 681-4675 Date Issued: 07/2$ /9 7 SITE ADDRESS: 4314 AMBER DR I.OT: 21 BLOCK: 5 CEDAR GROVE #2 P.I.N.: 10-16701-210-05 DESCRIPTION: REROOF 1m 6.uYldin? Permit Type Ouilding?G#grk Type f? %'Census Code p'a I . 0 SF (MISC.) AL7ERATION 434 RLT. RESIDENTIAL °' C'?; r?'a i t? ,.¢? '?;+; - ? E??... ? ? EJ; REMARKS: FEESUMMARY: vALuArioN $2.000 Base Fee $62.25 Surcharge $1.00 Total Fee $63.25 CONTRACTOR: OWNER: - "PP NORBERG 4314 AMBER EAGAN (612)452-2978 icanL - DAVID DR MN 55122 I here6y acknowledge that I have readthis applYcatiari and state that the infqrmation is correct-an,d- a9,ke'e_,.;to,n oamply'.:.tihtithn"'al]:- app 1-i?aJ?j a SGtttg =,rf aM,n Statutes and City ofi Eagan Ordinances. ' / c APPLICANT?ITEE SIGt A E v` ISSUED BV: IGNATUF $?,? as ????QI997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Q CITY OF EAGAN 3830 PILOT KNOB RD • 55122 681-4675 Nefr Construction Reauirements 8emodeVRenair ReauiremeMs ? 3 registered site swveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fid, design; etc.) ? 2 site aurveys (exterior edtlidona & decks) ? 1 enargy calculations ? t energy calwladons for hee[ed addkions ? 3 eopies of tree preservation plan H lot platted efter 7/1/93 required: _Yes _ No - DATE: zZ JUL CONSTRUCTION COST: ?? ?• DESCRIPTION OF WORK: _ RFf GA-?E ?00? ?SL inJC?r STREET ADDRESS: t J 1 r fT 1 -' v ? r`-? LOT C--/ BLOCK 5 SUBD.IP.I.D. #: ? ?S2-Z f 7? PROPERTY Name: Phone#: OWNER Street Address: City: C677q R-Al State: M N Zip: 5 S/ Z Z CoNTRACTOR Company: Phone #: Street Address: License #: Ciry: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.5ed plumber (new construciion only): . Penalty applies when address change and lot change are iequested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. )? ( „G Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt.ILodging ? 0 02 SF Dwelling o 07 4plex o 12 Multi Repair/Rem. o 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 0 04 SF Porch o 09 12-plex o 14 Fireplace a ? 05 SF Misc. ? 10 _ piex ? 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building „? - 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 Bldg Census Unit Engineering Variance Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units CITY USE ONLY PERMIT #: ! I/ O6 RECEIPT DATE: y/D -D/ USMENnAl. MECiRARICiA. PERMff AP'PLIL'ATI0R C17'Y OF £A6m 3$30 PII.OT KAOB iiD E48AA MA 55122 851$$1-4875 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: `G ii, SITE ADDRESS: OWNER NAME: TELEPHONE 6,51 4SZ-Zq7C5 (AREA CODE) INSTALLER NAME: RnC1ULQ,? 1\ K_?t?-? LS'E1?] TELEPHONE #: -?? (AREA CODE) STREETADDRESS: au`Qr:)_I?'rJ??S',"W •? P-v' 1,4?ax CITY: STATE: N'? ]i ZIP: Place a check mark next to the ermit work t e ,?50raA -o5C55 7 New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on tion to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ ,`J?• i? Reminder: Callfor inspections. ? •'J c,?, SIGNAT E OF PERMYTTEE ? Updated 1lOl CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: CiOMMERCiLAL M$CiH"CiA. PERhj? ?ffldCiATIOR C? oF EA6LAN 3$30 PILOT KNOB gD EkHAN, bIN 55 ] EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENAN'1' IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TI'PE: New construction _ Interior Improvement _ Processed Piping Specify Nahue of Work PHONE#: - (AREA CODE) STATE: ZIl': Install U.G. Tank Remove U.G. Tank When installing/removing undergraund tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Conhactprice: $ xl%=$ (BaseFee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol ------------------ ? j Pertnrt#: I D ? ? Permit Fee: . ? ? I I ? Date Received: ? I ?nJ ? I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /-t7 3--Cd Site Address: y3? ? A PI Tenant: Suite #: RESIDENT / OWNER Name: 0-- Lt S Phone: 6-5V 12a Address / Ciry / Zip: Al, b,-.? A y ` Applicant is: _ Owner ntractor TYPE OF WORK Description of work: r 0 0 A? -? No ? ildi Y B es ng: ( u Construclion Cost: - Multi-Family CONTRACTOR Name: v-S v? C U License #: Address: ? at7 7" -U /"?lPC?y' ?? ? v`? i d! i° ?l v L"'l h/ State: Zip Cit ? y: Y Phone: 77-6 ? 3 ?? ???T Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 _ Energy Code • Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Suhmitted In the last 12 months, has the City of Eagan issued a pertnit for a simitar plan based on a master plan? _Yes _No If yes, date and address of master plan Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting documenfs that you submit are considered to be public information. Portions of ' ' the City to . the information may be cla"ssified as non=pu6lic if you provide'specli±c reasons that would permit conclude that the are trade secrets+ - I hereby acknowledge that this information is complete and accurate; that the urork will be in conformance with the ordinances and codes of the GITy of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n to start without a permit; ihat the work will be in accordance wilh the approved plan in the case of work which requires a review and approval of pla . X X Applicant's Printed Name Applic nt's ignature Page 1 of 3