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4175 Amberleaf Tr INSPECTION RECORD ; CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I.Pt! 10114 r,7. 1 i :Sl1. 1 j' PERMIT SUBTYPE: TYPE OF WORK: 4ilil, I 1 i IN I INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. f I~ f Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVG TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT 8.1. BSMT FINAL DECK FTG DECK FINAL I1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: „Ml.i I i ,%r lit PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR, l Permit No. Permit Holder Date Telephone it ELECTRIC PLUMBING HVAC Inspection 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 l-- ORSAT TEST Dl-DG FINAL i- !,MT R.I. I BSMT FINAL DECK FTG DECK FINIAL . INSPECTION RECORD M CITY OF EAGAN PERMIT TYPE: I Is 1 14 1 '3830 Pifot Knob Road Permit Number: r Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I,+1 R I ~ i; I rli 1 i o:: 1!1 r iii t I :IL I, i,i I; rJ j PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. I J ral, II I Permit No. Permit Holder Date Telephone N 4 9 - ELECTRIC g cJD RLUMBING Q~ ~'S` HVAC 4 /9 S p O QY'-0c0 Inspection Date Insp. Comments FOOTINGS jig FOUND ll FRAMING ` l ROOFING ROUGH PLUMBING fiS PLBG AIR TEST ROUGH HEATING GAS SVC TEST p ® 30 INSUL GYP BOARD ! FIREPLACE !~~(qS FIREPLACE fJ~ 30 5 3D ~-S C ~5 Q AIR TEST r FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 440 5 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 4175 ANBEFIEAF TRAIL Zip 5512 3 Lot 12 Blk I Sub ?zoor>E'St THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 10105 95 Yes No Inspector: arjl Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681.4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy OM6=278 Ill R est Date Fire No Rough-In Ins Ilion Requlr t33.6 cban Other Than Poughdn 3 - - 9 Yo It call inspectors LI n ready) Ready Now ❑ Will Notify Inspector Yes No Reaa I A licensed contractor ❑owner hereby request inspection of above electrical work at. Job Address (Street. Bas or Route No.) City 1-15 o. Sacllon No Township Name or No Range No. County Occupa (POINT) Pho o. Power Supplier Address to esq. E_L.~L_C_ . Electrical Contractor (Company Name) Contractor's License No. Mailing Address (ContrgplOLALQwnQrtM@,kCg InistalCrion,NC. CA0039t 31C0-«5TH ST. VV. FUTN. NN Authonzed Signature (C n actor%Owner meng Instellaeoe0I 10 Phone Number I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.128 III BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION ae-ooool-os - • Q 0, See instructions for completing this form on hack of yellow copy i 9S6 3 - ? kJ 5 "X" Below Work Covered by This Request. , 9 7 Ne Adfi Rep: "Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (spenly) contractor's Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 t Yo Amps Transformers Above 20 -Amps Abo ove 100 -Amps Signs inspector's use Only TOTAL 5 O Irrigation Booms ~Q_ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough re Date certify that the above inspection has Final oap~ been made. !%b"v OFFICE USE ONLY This request void 19 months from -P -1116 C, - , 9421 Ree Date fire No R agh-In spe~4on Re retl In echon Othar Than ,h-In n (You mus mspeclo nen ready) Ready Naw ill Notily Inspector a7 Ve ❑ No Date Ready I li ensed contractor ❑ owner hereby request inspection of above electrical work at: Job ddreess{s (Street, Box or Route No) Qty Section No Township Name or No Range No t OccupaW (PRINT) Phone No -f Su alter Address Elec al C nt tnctor~COmpa ame) c tractors Lorene No Mailing Address (Contractor or O er Makmg Ins Oilab n L- f Authorized Stgnatur Contra ctorlOwner Meking Installation) Phc a Number MINNESO STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5-128 I BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St Pau], MN 55100 II I I I I I I !I II UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION si.- /EMS-00001-09 rx,(% I p T rf' ► S. mslrucpens In, compelling this form on back of yellow copy ~ "X" Below W_ ork Covered by This Request s,;t Ne Add Rep. Type of Building pplla.~ s Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (spectly) Contractor's Remarks Compute Inspection Fee Below. L`'` r)IA # Other Fee # Servl nuance Size Fee # ClrcultslFeede Fee Swimming Pool 10 to mps 0 to 100 Amps Transformers Above 20 -Amps Above 100 -Amps Signs Inspectors Use Only ^ TOTAL Irrigation Booms 7 \ Spacial Inspection l~ Alarm/Communication THIS INSTALLATION MAY BE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby Rough in wle ,~,y certify that the above inspection has Final Date !G~ been made. L OFFICE USE ONLY This request void 1B months from CITY OF EAGAN '~~f1 4 3830 PILOT KNOB RD - 55122 / 16114996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 _ New Conviction Recuirements RemodelfReoak Recuirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 8 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree p rvation plan If lot platted after 7/1193 required: Yes _ No 'J DATE: -SJ ~ " lS CONSTRUCTION COST: -3 DESCRIPTION OF WORK: STREET ADDRESS: LOT -12- BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER "aT Street Address* City: State: Zip: 22 423 CONTRACTOR Company: Phone ~J Street Address: &License #:_Z City: State: Zip' ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer a water licensed plumber. ' Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the info tion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received es No ~Ittl; .J I Tree Preservation Plan Received ✓ Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE X31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) / Basement sq. ft. 1, 7~y MC/WS System (Allowable) ^i Main level sq. ft. Boy City Water o~ UBC Occupancy 2- a / a sq. ft. Y.?7 Fire Sprinklered Zoning sq. ft. PRV # of Stories z~ ss~r- sq. ft. Booster Pump Length sq. ft. Census Code. Depth v° Footprint sq. ft. z, 7 b f SAC Code Census Bldg 600f, Census Unit / APPROVALS 1(k / S f~ Planning Building Engineering Variance Permit Fee Valuation: $ ZZyo~ Surcharge Plan Review License SFfs~ eay MC/WS SAC C Z" 3a z/ City SAC Cer 2v iz Zy ~zp o.ss~ C z Ly > - Water Conn. 3&)c 35- Water Meter <-7 76y X.s= Acct. Deposit / K g B S/W Permit y6 z u° 1 SM/ Surcharge 33X /y Treatment Pl. /S-sx 3 y/ 5~"tL `N Road Unit ~Jj09 ~SY= /g.sKia.s = z.3 ~Go Park Ded. Trails Ded. ' Other OJ z Copies 3 ~19 lb. 17 99~n pry Sz x~~ (y.sx 30.67 _ 37s Z K /Y %SAC ~'ir.s x7•~3~=~ 9~~ 5 SAC Units -r- ~vo ie 5'37,x .sv ~ ss~ g~ = zZ3 Gay 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 2 5 7 8 4 (612) 681-4675 Date Issued: 06/16/95 SITE ADDRESS: 4175 AMBERLEAF TR LOT: 12 BLOCK: 1 ROONEY P.I.N.: 10-64560-120-01 DESCRIPTION: Building`' Permit Type SF DWG Building Work Type NEW ~USC Occupancy',, R-3 U-1 Construction Type V-N Zoning R-1 Building Length 83 Building Width 40 Building stories 2 Square Feet - 2,785 L.1 A REMARKS: S & W PLBR - QUICKWAY PLBG FEE SUMMARY: VALUATION $224,000 Base Fee $1,507.25 MISCELLANEOUS $1,892.50 Plan Review $527.54 Total Fee $4,889.29 Surcharge $112.00 SAC $850.00 SAC 100 SAC Units 1 Subtotal $2,996.79 CONTRACTOR: - Applicant - ST. LIC. OWNER: LUNDGREN BROS CONST 14731231 0001413 LUNDGREN BROS 935 E WAYZATA BLVD 935 E WAYZATA WAYZATA MN 55391 WAYZATA MN 55391 (612) 473-1231 (612)473-1231 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 Mn. Statutes and City of Eagan Ordinances. A LICANT/PER I E SIGNATURE ISSUED BY. JIGN URE OFFICE USE ONLY L BL RECEIPT M SUED. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for; P all commercialtindustrial buildings. multi-family buildings when separate permits are IlQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee•or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ]permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: CITY USE ONLY L f~~ BL ~ RECEIPT* SUBD. DATE: ~S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 2 = a ov Water Closet 3.00 x = 12-ICO Bath Tub 3.00 x = (o0 Lavatory 3.00 x _ Kitchen Sink 3.00 x Laundry Tray 3.00 x 2- _ "c> Hot Tub/Spa 3.00 x = Water Heater 3.00 x 2 ='`fl Floor Drain 3.00 x_ _ ;av Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x _3 _ .S Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~ LI-7 j6~2- SITE ADDRESS:Y~ LLI 75- OWNER NAME: INSTALLER NAME• !~L STREET ADDRESS: CITY: STATE: ZIP: PHONE 2) qY5 Yb? z -SIGN CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are 1]Qt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee 2[ 1% of contract price, whichever is greater. Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR L /,t _ BL CITY USE ONLY RECEIPT SUBD. DATE: s 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date:- FFFC ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) (0.cc_-3 ► State Surcharge .50 TOTAL SITE ADDRESS: 4`Ic-b P(my)e~\e6 2 OWNER NAME: C~C~ Q~t p t~ tlQ f ZS PHONE INSTALLER NAME: L~ STREET ADDRESS: t D4 & CITY: GQ STATE: ~s1 ZIP: l PHONE (lol'L)~-l l lJ i J IIrrSS ill) P.02 2422 Enterprise Drive 4enmW01F Mendoto Heights, MN 55120 (612) 681-1914 FAX:6Q1-8486 ng IA"D PLAMN° 4' MDR ARaxaen 625 Highway 10 N.E. Blaine, MN 55434 * * 'f (614) 7e3-1ees FAX: 793-1se3 Certificate of Survey for: LUNDGREN BROS. CONSTRUCTION, INC. '4175 AR13CRteAF 794)L BENCH MARK TOP OF PIPE l0 ll E~ EV.-902,27 S, 110 r *~901. 900.4 ~To¢G I `O~2 'Sic 9011.0 O~ I W X03 ~r ~F" g 902.0 903. 3A. %Di Y` d~ /AL O 12 903.4 s A ryp~ ; ; U3 ~~~4D 6' r~'L 1 10 ~4 a w T I 10 i t^p0 g .off 900.6 O YT ' 902.2/ SGO.G) 1 G 00/ ~ 902.4 l \ o rot 3 T 1 4 j 0 X10' NO. _ N 4~ 1 .rte /f~ *~01. :5 "6tbRM1 beillmse- cots a ED ti-A, d 10 1 / Q ~3 9 5.1 y p ~ R E V I E W E D Cu~N ~~ING D~ O MARK 903. TOP OF PIPE ELEV. -901.54 I 3Y NOTE: PROPOSED GRADES SHOWN PER GRADING P , PIONEER " PROPOSED HOUSE ELE1(ATLON_ NOTE.' BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: / OF STRUCTURES ONLY. SEE ARCHITECHIAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: NOV-- NO SPECFIC SOL$ INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: Gl _ PROPOSED I$ NOT THE RESPONSIBIUIY OF THE SURVEYOR. NOTE, THIS CERTIFICATE DOES NOT PURPORT 70 SHOW EASEMENTS 07HER THAN N 000.00 DENOTES "Sma ELEVAMCN THOSE SHOWN CN THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVAMCN NOTE CONTRACTOR MUST VERIFY DAKWAY DESIGN. - - DENOTES DRAINAGE AND UTUTY EASEMENT DENOTES DRAINAGE ROW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM T DENOTES MONUMENT ----a DENOTES OFFSET HUB WE HEREBY CERTTFY TO LUNDGREN BROS, CONSTRUCTION, INC, THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF., LOT 12. BLOCK It ROONEY ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR U DER MY DIRECT SUPERVISION THIS 17TH DAY OF NAY, 1995. ~.c ,"r,✓-6 S ~G• ~1Qi'=' ~~e'Ur'-~' SI ED: PIONEER E CINEERING,]P.A. .SCALE : 1 INCH 30 FEET 1037 94322.04 John C. Larson, L.S. Reg. No. 19828 R-96% 06-08-95 10:46AM P002 #08 LOT s?RVEY Cx*ECR?.IST FOR RESIDENTIAL BUIL=CATS 0- ~ROQ RT TMA?,,: Date of Survov~ ~s- Ile 1A~D D R^gistered Land Surveyor signature ana company n •L'.i.. 'e.`.mit f; QZ7! f !',.BJ.'~t rVE 13 arrow and bar scale L?' J 0 • Y':n tvp~; (~,imbler, t,alkout, split ss710, split entry, 0,1b D drainer-,- arrows with slope/gradient p ~,,ewer and water services D~ 0 5t •w t Rt,. D Q liw .v"'aY ~~i~ATTOyg Fl--O D S awe- service D 0 Lot corners /0 Toys of curb at the driveway Y 0 Elevations of any existing adjacent homes - / Vrene e d 9 D 0 Garage floor 0 0 First floor 1~D 0 Lowest exposed elevation (walkout/yindow) 0 ope?ty izornars 0 D Front and rear of home at the foundation ynyp IN1 %R 'ri3 Lie anDlicab! D pY D Easement line C9' 0 - Yv Wil U L~ 0 Y"WL 17 1r 0 rand # designation D L' - ergency overflow Elevation !L ~MVN erTt!?T9 Z-- 12 D Lot lines 0 0 night--w---way ?end street «idth (to hack of curb) 1J L Rropar hrj,*!e di-lansions including ary pro=Nosed dears, overhancs grater t3ian 21, p7rches., c-c. (i.e. all str^actLz-es re ruiring permanent ^tings) 9~D D snow a_'':. easemen•" of record ana :;ny city utilities within ;.`nse easements Tr, D Q Setbacks o° pro7osed structure and setback of adjacent existing hom D !7i8' 'R taininq :E, rents, if any Reviewed: G October 1992 / I 11 ^ i 10 12 MH STA. 6+58.74_ II V - i~ 102 67.76 LT a. A I LEAF ?NLJ 1 C33~h STA. 678.81: - - - 10LT I i 13 see I ~ ' ~ ` III 17 ! 14 ; i , 16 / lam. ::::::.:::_.:::..::::.:............,..................il CB 'RE=905:54: \Q03' BLD-5.04 . . MH :RE=W400: 102 BLD=4.4p PR . RE=900.00' 54" D OPOSED ORADE ( . 101. •BL•D ~ .55 t94 -12° . . RcP 5 I.....2"RCP ..:::......0. 63y ' CL••:.5,® 2.63% .d a" 0p• :.:...::.:.::..::.:...:.:.::.::.::::a . Ch rn 00 00 co: n n f~ y 7 . z z :.::z z z..... L-r1 \7r 11 V of \T S=1+59 5=1+55 - , INV=897.2 INV=897.2 CS=903.0 CS=902.0 t HYDRANT 895.8 M STA. 6+16 6"-90' BEND 894.0 r~ 7;' 180.32 LT GND. EL. 903.0 *"I 10 ~i S=0+83 INV=896.9 i y CS=903.5 S=1+42 d MH STA. 6+62 INV=896.5 6 32.95 LT - CS=905.21 Iv 12 ----------S= +36 ' IN V=898.35 CS=908.35'; ; I n. 0 25 150 2 1/2- BEND 9 8 - STA. 4+91 v GRAPHIC SCAL.f 8.89 LT 1-6" G.V. 13 S=1+82 ^ INV=896.9 ~L__~~___ j< CS=906.3 8" x 6" TEE 8' x 6' TEE I 1-6" G.V. ; SEE LEFT NOTES: 1. SANITARY SEWER SERVICE WYES Ai STATIONED FROM DOWNSTREAM MA 2. ALL SANITARY SEWER SERVICES SF BE 4" P.V.C. (SDR 26): BENCHMARKS A WATER ~FRVICFS ARF 3' IJPSTRFA MH ' RE=908.5 MH RE=956.1 5LD=1 6 183LD=10.35 MH RE=902.0 a BED= 9..:.:..... g BLD=8.36... . PROPOSED: GRADE'. PROPOSED:::. !IN: GRADE : -73.5': MI ' ~4.. COVER ~z bt! 6 D.I..P.. CC. 52 tY M. 165'--8" D Imo.- CL.52 ®.0.... . 64 3.".PVC pVC . 26.:.:::: SDR 2S LiN ® 0.44% . 2_2x.4. x 8' 40%. .[NSULAIION . LAY IN' OPPOSITE r DIRECTION......... . .:....it..:................. in Lri . T It 1W~ • • 1^ /o /yam (xi m I /Vy0• COL M . M - . it CITY PROJECT owiER LUNDGREN BROS. PRO,:ECT SHEET 2 c CONSTRUCTION R00NEY ADDITION P.05 2422 Enterprise Drive * Mendota Heights, MN 55120 * 11111,10NININIrN Une eMvtN"9 . aVL DIONr01A (612) 881-1914 FAX:681-9488 * snp ncer n® we nAkVM6 CUOSOW AACwW's 625 Highway 10 N.E.' * Blaine.' MN 55434 * * (612)'783-1880 FAx:783-1883 ;ems , 'TREE CERTIFICATION Certificate for; LUNDGREN BROS. CONSTRUCTION, INC. LOT 12, BLOCK 1, RO Y ADDITION (AMBER LEt ) ~,s 8Tf1j COON , MINNESOTA \ NIA 10 SCALE : 1' f ;A) ~a a r .f ,972 e74''s OT KI-16 ~~r- ,t ~•FU e V 7 , SITE ISU EY at TEE o~~ t tM 8 5.' REY ~ 0 I 7 r Y. d ad 10 101 ji~r` 1®LIAPIC'> N i ;J. I t ~ (~b~ Praiecljvj Tree r 141 ~ 1 " ~.e 87 ~ad~ BrL TREE SUMMARY Pave Tred i SIGNIFICANT TREES . 47- Z4 Fence 13 TREES REMOVED 5 &I.r 10 _v o - 'IssawZd T~/ 89` SIGNIFICANT TREES fc'~A.a,re tkr, leee_IY_-UM OW 0E1e0 -f"ILLY OFM # W/W-WM PAD) J671 It IIED'oAl4roeL.(aatov¢ taSnr oEA6) A t NRM (SAME) I lean it tam wii E-tioenY DPAO) a tY OEM ("t:--11014 fe:7 It In aK (RE "-4omy am) C - if tMRai (6AVE) ' ~ ~ . C +a~a i~ci!m.ovc;,(s t?M o t ttltKSt (awl. . , 6 !G H?6 it ISO.0 K'WK--1w4.. E if wme aA« tsAVA_.~_ ~ Iare it 1Net6 l1vi.(IO7pVL<tD' FOW W= PAD), .~I 11- W OAK _ , (Re3AO~r,<te~rwolt r:,atsE PAO) fW ft RED OAK_(1Z IDIC-W/ A10115E'PiiD)µ'a ,TO~t OIDtlM (NFl!OK=ORNIIYA1~~' ..',:c': . t,: f 7ma av wrote uvi: (tafwa>rwh±iausc wb))= K.'t eA11ttE air (SAVE-twt+f /6117 10' On OAK (SWO I id *n ow (swrJ fees it *ft OAK. Wo j it WWM WX (4AYE) 1 hereby certify that this plan was prepared by me or under my direct supervision and that I am a duly registered Landscape Architect under the laws of the State of Minnesota SIGNED: PIONEER FrJGINEERING, P.A. BYcy'~itlid1? ~cs' DATE: Cam. BLS--95 l.~ . g Theresa Hegland. RLA . No. 235 „2;r; *?.?.,;M;• - SIGNATURE 0 LUDGM B ROS. EXTERIOR ENVELOPE AVERAGE U COMPUTATION CONSTRUCTION INC Site Site Address I~5 l~rnherlPaL Lo4~r 0ckj_ R & U Factors R U Opaque Walls .043 935 E Way[ala Blvd Wayzala Wall Framing Areas .09 Wnesola55391 Ceiling Insluation Area .023 (612)473-1231 Ceiling Framing Area .027 Rim Joist .04 Masonry Wall .469 Windows .35 Doors .31 Skylights .55 1) Lower Level (Basement) Total Exposed Wall Area Opaque Wall Area X (U) .043 = ~I.3 Wood Frame Area i X (U) .09 Rim Joist p X (U) .04 = Exposed Block X (U) .132 Window Area X (U) .35 Sliding Glass Door X (U) .35 = Door Area X (U) .31 = Total 5 lle2 Lun®GR(n BROS. 2) First Or Main Floor CONSTRUCTION Total Exposed Wall Area 159 3 INC _ z q Opaque Wall Area ~.S X (U) .043 = / 1 Wood Frame Area X (U) .09 = 9, Rim Joist X (U) .04 = Q~ l~~22~ Window Area a?4 -7X (U) .35 = L/ /~J 935E Wayzata Blvd I Wayzata Sliding Glass Door ' X (U) .35 Minnesola 55391 Door Area X ( U ) .31 (612)473-1231 Total ~7 O l0 3) Second Floor If Two Story Total Exposed Wall Area Opaque Wall Area M3 3 X (U) .043 = Wood Frame Area X (U) 09 = ~cl 'f Window Area (U) .35 Sliding Glass Door X (U) .35 = Door Area X (U) .31 = Total 4) Total Ceiling Area Wood Frame Area X (U) .027 Opaque Ceiling Area 162 JX (U) .023 Skylight X (U) .55 = Total , `7/°2 a LUDGRE BROS. CONSTRUCTION Z INC MINNESOTA U FACTORS Total Exposed Wall Area 3 w~ ~7( .11 = C~ 2- MINNESOTA U FACTORS Total Exposed Ceiling .026 Area X - (A) Total ~ J 935 E Wayzata Blvd Wayzata Item 1-!50/O~2* Item 2 9 O& Item 3/540-Z-Item 4 Minnesota 55391 (612)473-1231 If Total Of Items 1-4 Is Less Than Item (A), Building Complies With SBC 6006 (C)s PERMIT e05*12jr CITY OF EAGAN 5lek1i(a 3830 Pilot Knob Road PERMIT TYPE: B I L O I N G Eagan, Minnesota 55122-1897 Permit Number: 027681 (612) 681-4675 Date Issued 05/24/96 SITE ADDRESS: 4175 AMBERLEAF TR LOT: 12 BLOCK: 1 ROONEY P.I.N.: 10-64560-120-01 DESCRIPTION: Buildirg"Permit Type DECK ;Building Wbx,k Type NEW `Census Coder- 434 ALT. RESIDENTIAL a a gREMARKS: FEE SUMMARY. Base Fee $45.00 COPY $.50 Surcharge $.50 Total Fee $46.00 Subtotal $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: GOETZ CONST THOMAS 18519258 0003478 LIPINSKI PAT 9030 11TH AVE S 4175 AMBERLEAF TR BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 852-9258 (612)454-8711 I hereby acknowh dg.e that Z have read this.applicat,ion and-state that the information is cprre,c-t and, agree, to_comply- with- all,applicable State of Mn.,' Statutes and City.-of Eagan Ordinances. SU ~ B APPLICANT/PERMITEE SIGNATURE ISSUED B S~I.'(NA R rn CITY OF EAGAN 3830 PILOT KNOB RD - 55122(` C~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Remodel/Repair Reouirements ♦ 3 registered site surveys t 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: MRS Z, MCI CONSTRUCTION COST: aSoe DESCRIPTION OF WORK: t7gr r~ STREET ADDRESS: LOT _1 BLOCK SUBD./P.I.D. PROPERTY Name: L ia°,,4K' Phone zL$'71 1 OWNER u T riRer Street Address, '11'75' Amdw l vs 1yfr,I City: PAC-n.) State: Zip: 5512 t CONTRACTOR Company: Phone #:t-92cs~ Street Address: _cb!o I t~~1RtSG License # City: State: Mn-) Zip: 55S,-12n ARCHITECT/ Company: Phone # ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change am-. change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: X~ OFFICE USE ONLY =2co Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY R BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex /-15 Deck WORK TYPE ,,dOR31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. f/~Y Depth Footprint sq. ft. SAC Code o/ Census Bldg Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ~n Total: % SAC SAC Units P.02 2422 Enterprise Drlw * Mendota Heights, MN 55120 1L~rll!!A We 91NMYOP9 • pNT [dNFLPS (612) 681-1914 FAX-Gal-9480 7'"o 1a Ixm PLAHNEHi. Mo LML Np4 ECTA 625 Highway 10 N.E. 2* Blaine. MN 55434 (612) 763-1860 FAX: M-1883 CerSurvey for: LUNG REN BROS. CONSTRUCTION, INC. 14175" AA RLEAF 794)L BENCH MARK TOP OF PIPE ELEV.=902.27 / av i~ 10 ~ ' I N (1 i x f~~RiE9 O 901. Yo0 SO D,4 A4G i'%~7 901.0 ~T o>3 W 902.03 \ 51 OeO LOA 903.3 g0i 1 y 12 I O 9133.4 L' o boa GF L` I 0 10 501 p~~Qu~, N X11°I I1 9`p ti•~= 'l N lP 1L / 900.6 903. 1 o~ oo f 902.`2, j 71 I w AI J 16`6iV 902.4 ^ jjd' 1$06 N CY i 01. X953 ''`~~b1bRh 66 W6 R.orl ED 0 113; v o~ yr o 'B ~L ~ y6 k H l:e f 4 1` `~a RK GDEPT. 9 5.1 qaS~ REV 1 \N E I) PAGAN MARK 903. TOP OF PIPE ELEV. =901.54 I dY NOME PROPOSED GRADES SHOWN PER GRADING F40NE.++•^-"" PROPOSED HOUSE EL VATNON NOTE BUODNNG DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: ~p~• OF STRUCTURES ONLY_ REF ARTTU7EMAL PLANS FOR AUUING AND FOUNDATION DMENSONS TOP OF BLOCK ELEVATION: ypG NOTE NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON INS LOT BY THE • S SURVEYOR. THE SUITAMUTY OF SOILS TO SUPPORT THE SPECIFlG HOUSE GARAGE SLAB ELEVATION: ~6G• PROP05ED IS N07 THE RESPONSICIUTY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO 511OW EASEMENTS OTHER THAN % 000.00 DENOTES 03STNO ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( ODO,DO 1 DENOTES PROPOSED ELEVATION NOTE CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -r- OCNOTES MONUMENT ^-'•El DENOTES OFFSET HUB WE HEREBY CERTIFY TO LUNDGREN BROS. CONSTRUCTION. INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF F THE BOUNDARIES OF: LA BLOCK 1, ROONEY ADDITION NTY. MINNESOTA T PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR DIRECT SUPERNSION THIS 17TH DAY OF MAY, 1995. 1 5' Y 4• , S - CINEERIC,] P.A. 1 INCH = 30 FEET BY: 04 John C. Larson, L.S. Reg. No. 19026 r ii, nla❑-i'~ ICI -1 i. n1A I'UU_' IUnI CITY OF E-4KAN 1 rl;rr.:':P; Ic 'fi't hl, t~~.o. 900 ~'I7"; ::+1x41 Lia l.I.AI" 7.I]0 21 900J !U'17A ItiE,-.r:•~i iii; A~iiG~Ji1'I•: mod:. `.~1~ ':;P' ?rt i~4?iJf y ~:~°'~,'>9ti kdF;:t7F5~'r:N:$ ~ 'Y,::. °•t ~~a -Y>rvY.'%!:. ~ ,.1<,kn;:%rM PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032094 (612) 681-4675 Date Issued: 05/26/98 SITE ADDRESS: 4175 AMBERLEAF TR LOT: 12 BLOCK: 1 ROONEY ADDITION P.I.N.: 10-64560-120-01 DESCRIPTION: B}~ ldkng. Permit Type DECK Building--Work Type ADDITION ,.Census Code ==.o, 434 ALT. RESIDENTIAL 7 fi 4 0.;111 REM4FK§: REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 Appitcanic CONTRACTOR: QiWPTRSxI _ PATRICK 4175 AMBERLEAF TR EAGAN MN 55123 (612)454-8711 I hereby acknowledge that I havW` read this applL.ca:t~ion.arid state thd~'t: e - information is correct and agree to, comply, ,irith al=i° appllpa,ble ~tate'.,4fMri~:~Statutes and City of Eagan Qrda,n-anres:.- APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) l~ CITY OF RAGAN J 3830 PrLOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No _ DATE: CONSTRUCTION COST; DESCRIPTION OF WORK:: A D 0 OA) 7-c) (fX /s-T,,r✓ j d 61c 4••r136'Q-L(5-a0l- 7n4iL_ STRE TADDRESS: L-117 S- BLOCK: SUBD.IP.I.D. M Name: Ll /O/IV rS Ill P47-y-, I C Phone 6 /oZ 7 S / ' ~7 j r PROPERTY Last First OWNER Street Address: L//75-- 4Ml36✓2ct,~vF 77,2m) r_ City C -4cAn) State: W Zip: Company: S~ rYL 6 Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Soon d, Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply 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 Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move 4 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code 01 Census Bldg I Census Unit _ 0 APPROVALS Planning Building Alrl"2:~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAAN r3o ~ 3830 PILOT KNOB RD, EAGAN MN 55122 154 651-681-4675 New Construction Requirements Remodel/Repair Requirements 4" 1 + • 3 registered site surveys showing sq. ft. of loo sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) • 1set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • l set of Energy Calculations . Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan g lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE g III Ao1I 02 2 VALUATION UC) SITE ADDRESS ,5 ✓ MULTI-FAMILY BLDG _Y ,(N TYPE OF WORK_ FIREPLACE(S) _ 0 _ 1 - 2 APPLICAN li" I CITYu,SVI Ike STATEhlnZIP~ STREET ADDRESS TELEPHONE #1095-9 Z-'66 CELL PHONE # FAX # -S'75- 7`7/11 PROPERTYOWNERTa I IaIY~ TELEPHONE#_ P1 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) . Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths (r I? (1 I ll r~, I'I I I I i' Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning l' Fee: '$70-.00J - Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Ea an rdinances. Signature of Applic t r -A 0 P 9 e 4. ~ _r_._________~_ OFFICE USE ONL Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing - Foundation _ HVAC - Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test _ Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total it CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I, ! lL1L, I~ slt l duly sworn and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at 4175 Amberleaf Trail and legally described as Lot 12 , Block 1, PID #10-64560-120-01. A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: -7 2007 - _A < r Owner's Signature Imp ~n r Subscribed and sworn to before me this day of ~-~ir,t/I , 2007. U Notary Public I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family Dwelling was recorded at the County Recorder's Office on 2007. 2 LIE A. STR!D By: PUBLIC - MINNcSOTA [Q~NOTARY My Canmissia~ 5_; "3 Jan.31, 2010 Its: THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 Bldg Insp/Forrns/Certification of Kitchen Facilities d 9 M 0 N s .g Kapj > o .i* c 0 o a U o v " V 'L Tom c~ ~0$dm U "A cax Oco y C) w ~0 U tV ~ ~ma to `°aA8 ~m ~YEx ~ BsNr°-~ dg°= Yp~Lp N 0 oo0m LL C) CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I, a sh; duly swom and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at 4175 Amberleaf Trail and legally described as Lot 12, Block 1, PID #10-64560-120-01. ~Dph~aL ~~I }(D w A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: C1' 7 , 2007 A i n.c~t L Owner's Signature Subscribed and swom to before me this day of 2007. U Notary Public I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family Dwelling was recorded at the County Recorder's Office on February 27th 1 2007. JULIE A.STRID By: Joel T Beckman NOTARY PUBLIC-MINNESOTA J My Commisslon Er;ires Jan. 31, 2010 = Its: County Recorder THIS INSTRUMENT WAS DRAFTED BY: ~n City of Eagan Community Development Department L v D 3830 Pilot Knob Road Eagan MN 55122 I,' `l Bldk4spF6tnSsYCrtification of Kitchen Facilities ~~-oc, 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan } 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq ft. of lot, sq ft of house, and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window sizes, poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y _N 1 set of Energy Calculations On-site Septic System _Y _N 3 copies of Tree Preservation Plan it lot platted after 7/1193 Rim Joist Detail Options selection sheet (bu dings with 3 or less units) Mmnegascomechanical ventilation form Date r~ / /1 / 0 7 Construction Cosf~r . • G) Site Address 41 ?S- 4m 3&r,44 T T:24 1 L Unit/Ste # Description of Work ~rr~'d*I dr /~ji4Sc~l7'7d'/i Multi-Family Bldg Y ~N Fireplace(s) _ 0 - I ~2 Property Owner A4 4VO JO O1011"CIC-r Telephone # (6S-1 q-97/1 Contractor - 57 64-l- / W 6W ZdL- 104-i/ r'^'lgi yn Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv I _ Minnesota Rules 7672 Energy Cade Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • 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? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. 1'0,47- q~d ✓O C' /0/ A-q-j e ~ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 POrcWAddn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ~Y 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation 3, Dom. 0 Occupancy -12'3 MCES System Plan Review _ 100% or 25% Census Code 3j Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) Final/No C.O. Foundation ~O HVAC _ Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace rL R.I. ?-Air Test Final _ Windows Insulatioon/ _ Retaining Wall Approved / Building Inspector - Base Fee Surcharge Plan Review FIAT Pee- MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total - yy5 ~ ~S~ y7a 7 --76 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please`complete for modifications to existing residential dwellings. i 07 1 '79, l Date Site Street Address 41175 ^&4666~qe 7,e,4i L Unit # Telephone # (G!Z) 72-D-79100 Property Owner ( ) Contractor AJj_FA1ZCL A/ Telephone# ,cJ $~/2/ Address /7!O /9ZEl(.gNDE~(' /P~ City X47 a,#t/ State Zip The Applicant is: _ Owner XContractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes 1Cou 00 ty fee .00 Per as-built $ 10.00 $ 90.00 Fire Repair (replace burned out fixtures, etc.) $ 50.00 Alterations to existing dwelling Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. 2 II , - -Septic System Abandonment R Water Turnaround (add $136.00 if a 5/8" meter is required) , - MAR 014,100-1 Other: Water Heater $ 15.00 _ Water Softener - new _ replacement Lawn Irrigation _RPZ _PVB -new -repair rebuild $ 30.00 $ 50 State Surcharge S~ so $ Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to reviewed and approved. ( ,frlfZ Applicants Printed Name Applicant's Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA075727 Eagan, MN 55122 . Date Issued: 10/31/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4175 Amberleaf Tr Lot: 12 Block: 1 Addition: Rooney PID 10-64560-120-01 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Tim Eng 122 West 3 St Hastings, MN 55 033 651-454-5698 teng@haleycomfort.com Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195 BL - Base Fee $2K $69.00 0801.4085 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Haley Comfort Systems Patrick G Lipinski 122 West 3rd St 4175 Amberleaf Tr Hastings MN 55033 Eagan MN 55123 (651) 437-0338 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r------------------, I For Office Use I ity ~Of 1 Ea in Permit#: 1 1 I Permit Fee: ~5, ~S I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: ® 3 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ite Address• Unit Name: Alp w-4kx, Phone: Resident/ K V 'f - Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: ` Construction Cos Multi-Family Building: (Yesyi / No Company:f Contact: f V_ c "S Contractor Address City: State: Zip:y Phone: License 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: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information 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 a4Stat Exterior work authorized by a building permit issued in accordance with the Mig Code must be completed within 18 0 days of permit issuance. x x Applicant's Printed Name A re Page 1 of 3 Application for Permit for finished Basement for: 4175 Amberleaf Trail Eagan MN 55123 Pat and Jo Lipinski Scope of work: 1) Install Gas fireplace in concrete block enclosure Work complete with permit 2) Add Small Kitchen bar area see attached drawing. Waiver on kitchen sent to county recorder 3) Add extra electrical service panel. Work complete with permit 4) Add additional lights and outlets 5) Drywall entire area 6) Plumbing work for Kitchen are to be complete by Wenzel Plumbing 7) Floor to be carpeted Please feel free to call with any questions Pat Lipinski H 651-4548711 C612-720-7900 0o w. CO -63z A4Q w we Lia c�4 , c -E LU qtW O aw$H O ° o 2= a 11071` CO W U LL 0 CD 115 Goo CDLU U' Z: LU z • CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FABLILY DWELLING I, -k4 -0.4.-k; s1t , duly sworn and under oath, certify that I am the Owner of the ame-fainly detached dwelling as deed m Section 11.03 of the Eagan City Code located at _4175 AmberleafT ail and legally described as Lot 12 , Block 1, PID #10-64560-120-01. A bring permit application has been wed on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above- cf a ced dwelling, or a portion there4 -to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities- to be installed under the building permit are fir the sole purpose of _providing cooking and food service facilities for private Ott of guests by the property owner at the dwelling. I acknowledge that the Fagan Zoning Code p+ohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the budding pexmit is not for the purpose of providing .a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: / 7 , 2007 Owner's Signature Subscribed and sworn to before me this 7i -day of thrt L1' qd'ut‘ Notary Public 2007. I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Fainly Dwelling was recorded at the County Recorder's Office on , 2007. JULIE A. STR?D NOTPRYPUBUC-111116ESOTA ftyCata i a .t x.31:2410 %��.%i N./1111I11Ill//3! THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 By: Its: Bldg insp/Fonns/Certifcation of Kitchen Facilities AB 03tl30M0 NHOM 0 c 33 031310100 31V0 0 c X MO6v'1 1V101 1VIli91VV 1d1O1 44. • TTSt P91 (1S9 r m Z • 21 i A r. zo• �n 2‘.* 0 y IIA - C :n rn n m0 rA NOL.Y00113WVN a04 1 N CO Q) z ..1, rt. N. R., -i J— PRICE 1 AMOUNT AB 03tl30M0 NHOM 0 c 33 031310100 31V0 0 c X MO6v'1 1V101 1VIli91VV 1d1O1 44. • TTSt P91 (1S9 r m Z • 21 i A r. zo• �n 2‘.* 0 y IIA - C :n rn n m0 rA NOL.Y00113WVN a04 1 N CO Q) 111 A > p 0 s n ?3 A 0 3 C O. n 7 C7 0 dq r O O 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA125479 Date Issued:07/24/2014 Permit Category:ePermit Site Address: 4175 Amberleaf Tr Lot:12 Block: 1 Addition: Rooney PID:10-64560-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Patrick G Lipinski 4175 Amberleaf Tr Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA133220 Date Issued:09/29/2015 Permit Category:ePermit Site Address: 4175 Amberleaf Tr Lot:12 Block: 1 Addition: Rooney PID:10-64560-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Patrick G Lipinski 4175 Amberleaf Tr Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172059 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 4175 Amberleaf Tr Lot:12 Block: 1 Addition: Rooney PID:10-64560-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Patrick G & Joanne L Lipinski 4175 Amberleaf Trl Eagan MN 55123--149 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature