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,
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' .?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