4177 Amberleaf Tr- _ _ I
' CITY OF EAGAN PERMIT TYPE: .
? 3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued:
i (612) 681-4675
' SITE ADDRESS:
i t: iti f4 F4 !' H l t: /i f I{'
? 3tilliNt Y A4301. I t(IN
? PERMIT SUBTYPE:
[
? Pf"MARVS : i?I AN RE VTf;IJT f1 BY 30V Vpl E"S
APPLICANT:
r r, ?.? ti :? r„ • v, w; ?, .
TYPE OF WORK:
J .. F C?i.{A Fii)
n?F I i
,
, . ...
.
' '
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Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROQFING
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
DOMESTIC
METEA
IRRIGATtON
METER
FLUSH
MAINS
CONDllCT1V1TY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG 1j y??
7 v ?
DECK FINAL -217?g
1 q
'
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
? (612) 681-4675
? SITE ADDRESS:
! ?? {
I I hf
r +?Nfi`
I PERMIT SUBTYPE:
TYPE OF WORK: ?i 11,U
INSPECTION D. . D.
{ M? '. ? ?? 11 ? ?! i? I ? (?. f 1? '.
?;?r?lt?li l?? t 1 t;i ; stt!t.fl ? f1 , •
i I ra?,t
( iri MARY'., ',t•41 J'I II1410 N -FI AN11t17 E•1 iiii
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PERMIT TYPE:
c, :t • t .
Permit Number:
Date Issued:
APPLICANT:
rk . , , ? , • .. ?? . ? ii?l ? 1
• l t, l' ? +a ', 1. .' i l
Perm7t No. Permit Holder Date Telephone K
ELECTRIC db
PLUMBING . ?I ?? ?? Je'-?o9y
HVAC ? ?? ? 3 QO D
Inapection Date Insp. Commente
FOOTINGS
FDUND
FRAMING 13
ROOFING
ROUGH
PLUMBING
d7 Zb
PLBG
AIR TEST ![ !(
ROUGH
HEA NG
?G G
?
r 17- g
?
?
GAS
TESTSVC
rS6'?
iNsuL
? u--!
GYP BOARD
FIREPLACE
FIREPLACf
AIR TEST
FINAL PLBG
?
?
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
?
S?-
2 V 0-2 4 4?5
/?
O`? FF1C?'USE?? Thrs reqvesl void 18 monMSlrom vaLdotion daro prinln?ox.3T
7 {0
i
PLEASE PRINT OR TYPE LA
R.qwsr poh Rough-in inspe non reqwrcd2 es p No In:peclion OtherThan Rough-In 0 Ready Now ?J?Jill Call
,,_ i$'q? ?You muzt coil Me nnspetlor when add ??e Ready.
I, licensed mnhodar ? owner hereby request mspection of }he obove eledncal work at
lob Pddress (Stmef, 8ox, or Roule No ) Gry Zip Code
n:? ay)j:)Inuja? l ?
Section No Township Name or No Range N. Fim No Counry
1 ?
po?a'ml Phone N.
Wnd
Pa»erSupplier Address
`
ElMncol ConfraMr (Company Noma) Contradar Lcense No Mmkr Lm N. (Plant Elac1 Only)
anneiL .(-, ' t r m q
Mailing Pddress (CanVOCtor or Owner PeAoiming Insmllonon)
4C8p_tzXzj Auv-- rJ BreoK-1 n:F&,L mii 554y3
Authonxed KSig?n.a,lu?re_ ?(Conlrodor or Owner Pedorming Insbllanon?
3 7 lC?U,r)?? - Phane No.
5bbq ^^
-~" -
EB-OOOOlA-10 6/95 STATEBOAfiDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOW
IIII I11 II I I? IIII II II I( I III III II REOUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
1821 University Ave., Rm. SY28, S).? ul, MN 55104
s 0 2 8 0 2 4 4 5 s Phone (612) 642-0800 0 9 ?
Home
Duplex
Apt Bidg.
Other: ?
ew dd
An
Commercial Industriol Farm Remod Re air
? AirCond. Hig. Equip Water Htr. Load Mgmt Othei:
D er Ran e Elec. Heot Temp Service
'k' above fhe work covered by this requesL Enter remarks m fhis spuce and on fhe back of the whife copy only.
Cal<ulate Inspxhon Fee - iha Inspechon Request will nol be accepted without fhe rorred fee:
ONier Fce iY $ervire Enharice $rze Fee # CirniAs/Feaders Fce
Mabile Home Park Siall 0 to 200 Amps 0 0 to 100 Amps
Sfreei Lig./Troffic Sig. Above 200 Amps ove Amps
Tfans{Ofiner/Genefaiof INSPECTOR'SUSEONL L ?
$ign/Ouiline Lig. Xfmr.
Alarm/Remote Conhol =
$wimming Pool
?hol I ms eded 1he
sM1 '
?bd
Irrigotion Boom Rough-In Dok !O!
?
$
ecial Ins
echon
p
p
Invesfigative Fee Final
THIS INS7ALLATION MAY BE ORDERED DISCONNE ED IF COMPLETED WITHIN YB MONTHS.
319 ?V 1 O ? OFFI E UpSE O(?NLY This reqveet voi 18 monsf?m validanon da? pnnted /in-thts 6?0x n?
? 7/7 1610
PLEASE PRINT OR TYPE
Reqoest D.I. Rough.in inspenion requved a ? Inspenion Othcr Thon Rough-In U?Keady Now El Will Call
13- 113- (You musl coll Ihe mspedor when ready) Dote Ready
I, Wicensed mnhador ? owner hereby request inspedion of fhe above eledrical work al
Jab Pddress (SIrcM, Box, or Raute No ) Gp Zip Code
q I'7'7 Amh.er-
Section No Tawnship Nam<or No. Ronge No. Fire N. Counly
Omupom Phane No
PawerSuppLer Address
E.U.(AG
ElecMCOI Convocror (Company Name) ConrroWr Lanee N.
Maxkr La No. (Plam Elen Only?
'surinza .l?i Ol S Am?l 9
Mailing Addresa (Canlrador or Owner Pedarming Insmll0an)
- ,) mQ 554LI3
hulhonzed Sigiwrorc (Conkacror or O.mer PeAorming Insrollnean) Phon< No
S {rYl/YYI DQ. ?-?O
EB-OOOOIA406/95 STATEBOARDCOPY-SEEINSTRUCTION50NBACKOFYELLOWCOPY
I II I II II I I II II I II I II I I?'? I?? MEn?esota StatOe B ardEof ERcCA? NSPECTION
181M University Ave., Rm. 128, St. Paul, MN 55104
* 0 3 1 9 6 7 8 9 * Phone (612) 642-0800 Q?f??f 9(y
Home 1 1 Duplez Apt. Bldg. Olher: New Addn
Commercial Industrial Form Remod Re air
AirCond. H}g Equip. WaMr Loa gm. er:
D er Ran e Elec. at Tem . Service
"X" above ihe work covered 6y this reqvest. En e ce and on the 6ock of ihe white copy only.
Colculate Inspecfion Fee - 7his Inspection Request will not be accepfed without the mrrecf fee:
Other Fee it Service Emrance $ire Fee # Circuils/Feeders Fee
Mobile Home Pork Stall 0 fo 200 Amps ? 0 to 100 Amps
$ireef Ltg./(mHic $ig. Above 200 Amps Above 700 Amps
Transformer/Genera}ar INSPECTOR'S USE ON TOTAL
Sign/Ouiline Ltg. Ximr.
Alorm/Remo}e Control
L pX-O?D
$wimming Pool i hireb aro
hn otion de:«ibed h«arn on the dofe.:t ied
Irriga}ion 8oom Rovgh-In /
? ?b
S
ecial Ins
ection J
p
p
Imestigative Fee
? ` /
F?nal
-
TFIIS INSTALLATION MAV 6E ORDERED DISCO COMPIETED WITHI 1 M, THS.
AddiC55 . 4177 AMBERLEAF TR ZiP 5$12
LAt ll $]k 1 $llb ROONEY
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ? ,5 'i? Yes No Inspector.
Final grade (6" from siding) _
Permanent steps (garage)
Permanent steps (main enhy) x
Permanent driveway
Permanent gas x
Sod/Seeded grass
TraiUcurb damage
Parch x
Basemen[ finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the sfiut-off of water suppty to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 6814645 before working in righaof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-64560-110-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4177 HMBERLEAF TR
LOT: 11 BLOCK: 1
ROONEY
Ge.0 (a a3? (
BUILDING
028272
07(26/96
DESCRIPTION:
r " '?___,?
B'u1?ldin-q, Permit Type
jSuilding W'ork Type
°-UBC._Aceupancy,,
Cortstruetioti l`ype
?. Zoning t
8ui:l:ding Lenqth r--',r,
f, ? Suilding Width
?Bu3.I;d?n,g.°stor,i,es, ,
;..., 3"-•;5`gu.are Fe`et ,f.
SF DWG
NEW
R-3 U-1
VN
R-1
7s
42
2
2,603
101 1 - FAM. DETACH
REMARKS:
S&W PLUMBER = ELANDER PLBG.
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Li.c. Search Fee
Subtotal
VALUFiTYON $255,000
$1,662.25
$831.13
$127.50
$900.00
100
1
$5.00
$3,525.88
MISC FEES $1a923.50
Total Fee $5,449.36
CONTRACTOR: - Applicant - 5T. Lrc.OWNER:
LUNDGREN BROS CONST 14731231 0001413 LUNDGREN BROTHERS
935 E WAYZATA BLVD 935 WAYZATA BLVD E
WAYZATA MN 55391 WAYZATA MN 55391
(612) 473-1231 (612)473-1231
?
I hereby acknowled,g:e ?hat S: have read this,application and state that the
informetian i's'correct'anti-agr'ee to.comply.?3th=a11'°appll ceMl,e State.pf Mn.
Statutes and City of Eagan Ordinances.
..- ` _
APPLICAN PERMITEE SIGNATURE . ISSUED : SI ATUfiE
3830 PILOT KNOB RD - 55122
-?= ' 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? a -7,;), 681-4675
New Conslrudion Reauirements
? 3 regislered sile aurveys
? 2 copies of plans (indude beam & window sizes; poured tnd, design; etc.)
? 1 energy calculations
? 3 wpies of tree preservafion plan H lot platted aRer 7/7193
required: _ Yes No
RemodaVReoair Reavirements
s4 q9, 3'p
?
? 2 copies of plan
? 2 stte surveys (exterior additions & decks) r?
? 7 energy caleulations for heated additions
DATE: CONSTRUCTIaN COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
%
LOT ?I BL
PROPERTY Name:
OWNER
Street
City:
SUBD./P.I.D. #:
Phone #: 473- L
coNrttacTOrt Company: ' Phone #: _
Street Address; " License #:_
City: State: Zip-
ARCHITECT! Company:
ENGINEER
Name:
Phone
Registration
Street Address•
City:
Zip:
State:
Sewer & water licensed plumber: NIYAAA ? kmh . 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
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received /e's
Tree Preservation Plan Received ? Yes
No AaLoe
N
o .
is correct and agree to comply with all
l 'L State: nz) Zip: ????
BUILDING PERMIT TYPE
1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
2 SF Dwelling
4 ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 M iscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
,_ . - • . .
WORK TYPE
w"31 New
? 33 .,... .
Alterations
36 , .._. •
Move , .
? 32 Addition ? 34 Repair 37 Demolition. . •'•'.
GENERAL INFORMATION ", •
Const. (Actuaq v N Basement sq. ft. 1('r-3 MC/WS System
(Aijowable) VN Main level sq. ft. 1991 City Water X
UBC Occupancy ,• R- 3 U - t z"d sq. it.Y ••, • z 014. .• Fire Sprinklered
Zoning R-1 sq. ft. PRV
# of Stories ?- ' • ,, •' ..sq: ft. Booster Pump
Length sq. ft. Census Code. 10I
Depth :: • . 4a• a3' Footprint sq. ft. 2C-0 3. -• SAC Code I_
. ' . w / 5.'}? • - Census Bldg i
Census Unit ?
APPROVALS
?lanning Building pwrg Engineering Variance
Permit Fee Valuation: $ 25S, vrx;;?
Surcharge
Pian Review
License
h?
Sz" 26. zs =
+3 F?
MCNVS SAC ' I`(
City SAC v
Water Conn.
Water Meter
Acct. Deposit ZS - °Sp
S/W Permit
S/W Surcharge z° K 13 = zc.o
.9??
Treatment PI. ?
Road Unit 4S
Park Ded. 3? x c, s _ 234
Trails Ded. y - ?d
Other - "r K Is. zs = Z,/
C.OP10S -
` :r
?' ;
. C rFMT _ ? (e
.
. .
d
17 93 9L ?edsy
= ?02 zzz
Total: z 33 +? 5 z =
1-7
i4
% SAC z k 3 4il
SAC Unlts L . ?z
8 x' _
- 1R1?
8 x S.$ ; V?l
, .. ?.
2422 Enlaiprisr, Diive
.% Mendola tl,lqhls, MN 55120
* PIONEER (612) 681-1914 FAX:681-9488
* lnNO Sl)liv[YORS • CINL ENGiIlEERS
* engineering IAHD PUWIERS• LANOSCAPE Mif,NIlECTS 625 Highway 10 N.E.
* * ? * Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of survey tor: LUNDGREN QROS. CONST. INC
4177 AMBERLEAF TRAIL
(e'`v Io S89°55'41 "W
898.0 13.32 47.50 893.1
0L
;°??
°"?F??? 11
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c esz.S?
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-
?Om --?:-?---%--4 - -------N ?
S91'7 --DRAINAGE & UTILITY
S8M1°0?550o7"W ?oo?? ? EASEMENT PER PLAT-='-'_?
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--- , o J-
-- 6 c
_
,o ??0- o 1% s?
898.5 `
% s^?i 901. h ?
o
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INV.=897.7_---' ? ,I?' ? i ?
i 55 L9 ?>5/
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7
172.52
12
'-BENCH MARI(
TOP OF PIPE
ELEV.=905.03
?
c
EAGAN
REd1EW E0
DATE? ?
RFVr ;=., ,i ?EPT.
NOTE: PROPOSED GRADES SHOINJ FER CRnCING PLAN BY: PIONEER
NOTE: BUIl01NG DIMENSIONS SIIOWN ARE FOR HORIZONTAL ANO VERTiCAL LOCAiION
0F STRUCTURES ONLY. SEE MCHIiECTUAL PLANS FOR BUILDINC AND
FOl1NDATION DIIAENSIONS.
NOIE- NO SPEqFIC SOIlS INVESTIGATION HAS BFEN COMPLETEO ON THIS LOT BY THE
SURVEYOR. 1HE SUI7ABILITY OF SoILS 70 SUPPORT THE SPECIFIC FIOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF TH[ SURVEYOR,
PROPO$EDJi91lSEEJ EVATION
LOWEST FLOOR EIEVATION: 81?( '2, ('
TOP 0F BLOCK ELEVATION:
GARAGE SLAB [LEVATIOn!:
NOIE! THIS CERTIFlCAiE DOES NOT PURPORT TO SHOW EM1SEMFNTS OTHER TIIAN X 000.00 DENOTES E%IS11NC ELEVATION
T1105E SIIOWN ON THE RECORDED PLAT. ( 00000 ) DENOiES PROPOSED ELEVATION
NOIE: CONIRACTOR IAUSi VERIFY ORI\'FWAY DESIGN. ---- DFNOTES DRAINAGE ANU UTILITY EASEMENT
--?- OENOTES DRAINACE FLOW DIRECTION
NOTE: BEARINGS SIIOVM ARE BASED ON AN ASSUMEO DANlA -?- OENOTES MONUMEN7
-B- DENOTES OFFSFi IIUB
WF. FIEREBY CERTIfY TO LUNDGREN BROS. CONST., INC. TIIAT TFIIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF TfiE BOUNDARIES OF:
LOT 11, BLOCK 1, ROONEY ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SI10W IMPROVEMENTS OR ENCIiROACHMENTS, EXCEPT AS SFIOWN, AS SURVEYED OY ME OR
UNDER MY DIRECT SUPERVISION TFIIS 2ND DAY OF AUGUST, 1995.
S GNED: PIONEER ENG EERI , P.A.
SCALE : 1 INCFI = 30 FEET ?.
i7 94322.10 SW1< John C. Larson, L.S. Reg. No. 1982?
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
eext? ?
PROPERTY LEGAL: 'ALZ,
? ? ?
DATE OF SU . ?
LATEST RE1/ISION:
m DOCUMENTSTANDARDS
?
B?0 • Registered Land Surveyor signature and campany
?0 ? • Building PertnR Applicarrt
QlW'0'6 0 • Legal description
p<3 ? • Address
GI? q ? • North arrow and scale
?? ? • House type (rembler, walkout, split w/o, split entry, lookout, etc.)
?
o ? • Directional drainage arrows wiMi slope/gredient %
?
B' ? ? • Proposed/ebsting sewer and water services & invert elevation
f3??7 ? • Street name
B? ? ? • Driveway
ELEVATIONS
Eastlna
?Y ? • Sewer service (or Proposed)
? • Propetty comers
? VO • Top of curb at the driveway
?? ? • Elevatlons of any exasNng adjacent homes
Proposed
Ge'o ? • Garage floor
6'0 0 • First floor
r3101o ? • Lowest exposed elevation (walkoutAMindow)
rrJ-'?? o • Property comers
[YD ? • Front and rear of home at the foundation
PONDING AREA fd aodicable)
? Oro'?O • Easement line
a C3--'O • NWL
? O"? • HWL
O L'9?g • Pond # designatlon
? [??? • Emergency Overtlow Elevation
DIMENSIONS
? • Lot IinesBearings & dimensions
?? ? • Right-of-way and street width (to back of curb)
o? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (i.e. all structures requiring permanerrt footings)
diitles within tthose easemerds
Cit
f
d
d
?? ? • any
y u
recor
an
Show all easements o
B-'O ?? • Setbacks of proposed sUucture and sideyard setback of adjacent exasting structures
? GI/? • Retaining wall requirements, if any
Reviewed:
January 1996
crtAMiaaeieLoovrsnrt.Fn+
5H L 3-3F3f?
7-0 i I 99b 3- 25p, t FPp11 P[ pf ICEk F_?IG I NEER I IVG 681 91188
P !i
i
.0.. _ ..... ___......-.._raw. . _ .
iti6l'''` " AM RPPROVED
?
- SITE SuRvEY TRE
Certificate
qEvO?+EwED Fopa? jg?,,, BLo(
PREw?7ERVp Y1?Oltl 4177 AMFSERLE.4F
COMPLIANCE ONLY
?:
13.32 47.60
-- .43 t3 .LLo3 ?
' 2422 Entarprise Oriv¢
, Mondotom H•?•eighy(5, MN 53y12?0? -so
t?M.'?N9vERR??_PV?IWGW{W! ! C672, VSlil?•IpM04 r f'q.MQW1-9YVp
.. ... . ..._ . .. .. . . . .. .....-.... ... .. . . .. ... ... .n.... . ...
matMUps. ?.wpyG?pt.waa? i B25 .. Highwoy 1p hLE.
Bloine. 41N 55434
;(612) 763-18eq Fax: 783-1sss
CER TI F! CAT10N
for LUNDGREN BR05. :ONST. iNC.
1 AMBERLEAF (ROONEY ADD}TICiN)
IL EAGAN. MINNESOTA (DAKOTA COUNTI)
3., 172.52
tio 1 ' ,
90 i ".aq
•.S? ??r?g?.?' ?. .
.
? C
#?54
? t
$8.52
b
?
SERVICE
IivV_-897.2---' ? .
`-
903. 4
SIGNiFiCANT `TREES
903.7
899 2
- - - -°:jw..?.._ _... - ? 3
?Za-dRAINA•& IITILITY ?
EASEMENT PFF2 PLAT---..'?z- ?
? •.?
\ ca'
a ?j866 \
• #86 7
Tnue Presvrvateon ? •?
? Fencb k?_
q?8G5 ?
e?,i3g•3???,,,y?
? .
x 8sa.s
?
?k
?rMAN f
?
REvlET
Bv ___z
DBl9US9ON
I
AFEU aa
ar
xa' wnn. Oak
wnw. Oak
Q
er sO1` Remove..
s,a..? ? ?:e o'?'a? ?;? s:
17 .
ren
rw+ro. oxc sovo
saw aar
r aaa odk smw
13
R-ea oaec
su ta n.s Oak (464) sa.
1,T
Mhlta odc w
CApO Ra+wrrs/In18 or houae
S7
23'
ibd Oak
Red Oak
Rurwwd Oriar Ao 4/`i/iM]
RwmAnrm-evWwa
1ar
l3Y
11' Wad Oak
Wd Ook ..aw
? p?
A
B
tl'
P!'
P. 8rch (e'?M)
P. groh y
Svwro
RwnoaV-ab[veway
8M7 11' ttl1dW Ouk
faaA Oak C?) wmno?a-w/In 13• ef lwuw
Rwno?.Mr/fn 13- d hou? C
ro 1S
,r P. ?rM
? ? c,
,? tewMwro?-houso p?
???
,?
,m ? o?
a c? ,s• a „a,.. .
ae
' oa Oak
f
e.d Oak
w.r?+ewd prbr ?o°a/b/ae}
td V*L%p Oak SpyO
[ ] AOt I/IOIYdOd in tIY mflNMq?y
1 hereby eM11y thaL this plqn wos propereq by me or undef my OYect
aupuvloion and thot 1 am a tlWy req4tsred lmtAaoope ArMkect unASr
tne bMa of the 3tete of Minnesotv
51CNED: PIONEER ENQNMRING,
c?..
er:_-=-?ale.?-u.?-? wA.e:
1 RIEL. .TUMMWaR1
'fYaqB reavCl 4-r2 l (6p7C
Tra,?s r+amoved 01 (407L
TotcN troes 2? (t00
CITY OF EAGAN
TREE PRESERVATION REQUIREMENTS
All appliccmts of approved Tree Preservation Plans are responsible for the following:
• Required tree protection fencing shall be installed and inspected by the City Forester
prior to the beginning of grading and/or tree removal. Tree protection fencing shall
be in compliance with standazds set forth on the Tree Fencing Plate (attached).
• All tree protection measures shall remain in place until all grading and construction
activity is terminated, or until a request is made and approved by the City Forester.
• No encroachment, grade change, construction activity, filling, compaction, trenclung,
or storage of materials shall occur within the fenced tree protection area.
• No change in soil chemistry due to concrete washout and leakage or spillage of toxic
materials, such as fuel or paint, shall occur within fenced tree protection areas.
• Any oak trees pruned between April 15 and July 1 shall have cut areas sealed with an
appropriate non-toxic wound sealant immediately. Any oak trees wounded during this
saine time period shall be properly pruned and sealed similarly.
o,?7 "TE'EU ? 2X?'` ?/oopP r?
fiidJRlk!. OP ?vEf-aw farr HEIOHT. MuI. ?4,.0 0••
.5r1ovJ FErlv? ry lDeAw( low.-tt,p
Al' rttf,' p'? NITN ?7 EfefC or?
r.a.rlo 9o 7?(tt?I.irie
iZ7 ar3 TF+E IA'(E?lor of: ferl?.
F?yEh?g Ih AiTh'(GFFL?? 'fo Poy?y yy1rF4
E 111VIL.AN? rzrlf?U
?
h?A rl
hr1 ov,/
F e rI.c,,E
Tf2?? riMmN& ,
ELEVLtTIOf`I dO ?jY.ALPi
681 9488
7-02.- ? 996 3. 25P14 FR01 l P I GPIEER EPIG I NEER I NG 68 7 9,188
T? ?*
* PIDNEER
? engineering
P. 2
Civd Engrneers • Land Planner5 • land Surveyrns • ldndsr.apa Archltects
9 April 1946
ReCOnfirmed July 2,1996
Mr. Gregg Hove
City of Eagan
3501 Codchman Point
Eaqan, MN 55I22
?eviScd "7?3??6
RE_ Lot 11, Block 1, Rooney Addition (Ambezleatf)
Eagan, Minnesota (Dakota County)
Dear Mr. Hove:
This letter is regarding the status of signific:ant trees that are
present on Lot 11, Block 1, Rooney Addition (Amberleaf)_
During a site visit on April 9, 1996, the follolaing significant
trees (as listed on the Grading and Erosion Coiitrol Pian prepared
by Pioneer Engirteering and dated 6/8/94) were located. Those
significant trees are listed below a2ong with their selected status
(to be saved or removed):
#852 28" White Oak (save)
#853 23" White Oak 4&WMt (ReftoV&0
#854 20" Paper Birch (save)
#855 13" White Oak (save)
#856 13" Red Oak (save)
#857 13" White Oak (remove-witltin 15'
#858 18" Red Oak (save)
#859 18" Red Oak (remove-house pad)
#2860 11" White Oak (remove-witl'iin 15'
#861 11" Red Oak {remove-witliin 15'
#862 16" Red Oak (remove-witltin 15'
#8b3 19" Red Oak (remove-hou::e pad)
[#864 24•' ited Oak (removed pr:i.or to
#865 16" White Oak (save)
#866 19" Paper Birch (save)
#867 23" Red Oak (save)
#868 23" Red Oak (save)
#869 19" Red Oak (save)
1#879 17" Red Oak (remaved pr:i.or to
#880 23" Aed Oak (remove-driveway)
A, 8" Paper Birch (save)
B 8" Paper Birch (remove-dri.'T?way)
C 13" Paper Birch (remove-hour;a pad)
CD 12" Red Oak-tpl (dead)7
o£ house)
of house)
of house)
of house)
4/9/96J)
4/9/96J)
2422 Enterprise Drive • Mendota Heights, Minnespta 55120 •(612) 881-1914 • Fax 681 •9488
625 Highway 10 N.E. • Blaine, Minnesota 55434 •(67 2) 783-1880 • Fax 783-7883
r
7-0+- I 995 3- 25Pt 1
581 9488
FP.O? 1 G! OP IEEP, EP.IG I PJEER I NG 6b 19aa8
page ?.
lot 11, block 1
Amberleaf tree cert.
C 3 not included in the tree summary.
P. 3
Trees A,B,C and D were observed and their locat:ioas noted on April
9, 1996. These trees were not on the Grading ::ina Erosion Control
Plan dated: 6/8/94.
All trees identi€ied on the Tree Preservation Plan wsre observed to
be pzesent and in good health except tree #858•,ahi.ch is ha].f dead,
trees #864, #870 and #893 which had been removed prior to the site
visit and tree D which is completely dead.
Polyethylene laminate tree protectzve fence (4' hi_gh) wiJ.1 be
instalied outside the dripline of a21 signific.ant trees to be
pz-eserved {preferably a radial distance from the: trPe's trunk of 1'
for Qvery caliper inch} prior to any grading o,• eonstruction. in
additivn, a 12 Lo 16 inch wood chip mat will be p].aced over the
zoots of tree's 852, 853, 855, 858 and 865 t:,, help reduce soil
compaction xn that area.
The ground layer within the lot boundary <ippeared qenerally
undisturbed. Lundgren's site supervisor has been asked to minimize
excavation for the house foundati.on and retair.iing walls and when
it's necessary to sever tree roots, to cut the rooY.s vertically for
a clean cut, not horizontallp which may puZl anc' r.ip tna roots. If
these construction practices are utilized, it :i _s anti.ci.pated that
future gradzng will have a minimal affect on th? signi.ficant trees
to be preserved on the site.
If you have any questions, please call me at 631-1914.
ainc r ly,
? 1
Theresa Hegldnd,
encl/
C. Pat Marohn, B:ad Gaeri.ng Lundgren Bros. Const.
Paul Thomas, John Larson, Pioneer Enginee,•ing, P.A.
f.. .
LunQ??(11
°RO5' EXTERIOR ENVELOPE AUCRAGE U COMPUTATION
CONSTRUCiION
INC
Site Address/?/,'?G!%'?*?f; !; ? '"j ??? t?- LotBlock ?
R & U Factors
935 E. Waynla Rlvd. Opaque Walls
Waymia Wal1 Frami ng Areas
n4innr.sola55s9t Ceiling Insluation Area
(612)473 1231 Cei 1 i ng Frami ng Area
Rim ,loist
Masonry Wall
Windows
Doors
Skylights
1) Lower Level (6asement)
Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Rim Jaist
Exposed [ilock
Window Area
Sliding Glass Door
Door Area
R U
.09
.023
.027
.469
.35
.31
11
/?'?-'72G r ,y
j-
X (U) .043 = /l./1 Z.
X (U) .09 -7C
X (U) .04
X (U) .132
(p?-- X (U) _35 = ?-?
- X (U) .35 = '--'
X ( U ) .31
= --'
Total 5 , /o
.. :.
LunD(jR(n
BRO5' 2) First Dr Main Floor
coNSraucnoN
INC Total Exposed Wall Area
Opaque Wall Area
lJood Frame Area
Rim Joist
Window llrea
935 f W,y,;,ia I;iv(i
w,pia Sliding Glass Door
Minnesnla55391 Door Area
(612)473-1231
3) Second floor If Two Story
Total Exposed lJall {Irea
Opaque Wall Area
Wood Frame Area
Window Area
Sliding Glass Door
Door Area
4) Total Ceiling Area
lJood Frame Flrea
Opaque Ceiling Area
Skylight
11? `-4X (U) .043
I ? G? X (U) .09
? X (U) .04
CA ?`4X (U) .35
Z/ -7
X (U) _35
3f
C/ x (u) .31
Total
.043 = ? /
X (U) .09 =
?,SCJ X (U) .35 =
X (U) .35 =
X (U) .31 =
//4
Total -
X (U) .027 =
X ?
?
(U) _ -023 = .?? ? ?
X (U) .55 = -
Total /Z /j
?
u •? J'
CONSTRUCTION
iNC MINNESOTA U FACTORS Total Exposed Wall llrea
MINNESOiA U F1ICTORS Total Exposed Ceiling
Area X .026
(A) Total = ??/1?-73
935 E Wapla Rlvd
Wayiala I tem + I tem 24?,Ie- -'.? f I tem 3???• I tem 4?? / J?
Minncsola 55391
(612)473-1231
If Total Of Items 1-4 Is Less Tlian Item (A), E3uildiny Complies With
SBC 6006 (C)s
L I I BL I CITY USE ONLY
SUBD.
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_Zf New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: ffi/O(?5??/9Q/o
s?
? 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)? /a.
? State Surcharge .50
TOTAL g-D
SITE
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT#: 6,3774
DATE:
FEES
OWNER NAME: LO PHONE #:
_I f
INSTALLER
STREET
s
CITY: 5'qdw9f STATE: /7n ZIP: 5-5.37R
PHONE #: (?/? ) A95?BDD5
.
$TG QA2.oi ? ?ITT??
CITY USE ONLY
L BL
SUBD.
RECEIPT
DATE:
1996 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 = required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee gtr 1% of contract price, whichever is greater.
* Processed piping - $25.00
? State surcharge of $.50 per $1,000 of gg[mjt fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (iMPROVeMeNrs oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
SIGNATURE:
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
L I? gL / CITY USE ONLY RECEIPT 910 v
SUBD. uDATE: 9
?-
1996 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
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
G8S Piping Outlet " minimum -1
Rough Openings
Water Softener
Private Disposal * Dakota cry. iicense
(new and refurbished systems)
U.G. Spfinkler " home under const.
Alterations * to existing
Water Turn Around
EACH
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
1.50 x
5.00 x
50.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
SITE
/ 7 7 .?v, Ae
I z [o71
z
5
/
/
?-
?
?-
?3
TOTAL
3 00
00
/ p0
?o
!5°?
3
3 ??
3 a.0-
3 °=
?
.sD p
?? --_
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: ,SA
PHONE #: (
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 687-4675
Piease complete for: ? all commerciaVindusUial buildings.
? muiti-family buildings when separate permits are IIQt 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 pertnits.
CONTRACT PRICE x 1%
STATE Sl1RCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: SIGNATURE:
OFFICE USE ONLY
METER SIZE: ' DATE:
STE. #
STATE: ZIP:
APPLICANT
INSPECTOR:
GIIY C1F E.4i.;nN
CA rH3'.I::ii- ,?;a T::;MIN(31_ Iy('F,^, 683
D A l"f. e Qf, •'Cfi.; r TM.-; i r:f. 0% 90
T*;-
NL?i4i.L' IL:i;Pi
32M 9001 Wi' FiM}:i1=F:_!ti:Af' `.iC).OU
205 W1)j 077 AMz,ri;i.Enr- 0.50
t
TO'1:7.L Iifi?r:E?:trrF, A;votan;;a P0.5p
f:Fi1:193253
U:3E42 ;Yi: JF7N
PERMIT
CITY OF EAGAN
3830 PilotXnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLorNG
Permit Number: 032146
Date Issued: 0 6 J 0 3/ 9 8
SITE ADDRESS:
4177 AMBERLEAF TR
LOT: 11 BIOCK: 1
RQONEY ADDI7IQN
P.I.N.: 10-64560-110-01
DESCRIPTION:
Buildi'ng Permit Type DECK
?uilding?Work Type NEW
? Gensus Code"?. 434 ALT. RESIDENTIAL
?
3 ,
i 4
?
REMARKS:
PLHN REVIEWED 8Y JOE VOLES
FEE SUMMARY:
Base Fee $50.00
Surcharge
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
KELLOGG J. EDWARD
? 4177 AMBERLEAF TR
EAGAN MN 55123
(612)452-6553
I hereby acknowledge that I have, read th3s application and state that the
- information iscorrest anti egree,to.camply'.with_a11 applicable St_ats of Mn.
' Statutes and City of Eagan Ordinances.
L J
?APPLICANT/PERM EE SIGNA 16WEL) : blb?ATURE
1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
? ?"-? 3830 PII.OT KNOS RD 68122
681-4675
New ConsWction Requiremerrts
? 3 registerad site surveys I
? 2 copies of plans (inUude beam & window s@es; poured fnd. design; etc.)
4 1 energy calwlations
? 3 wples of tree preservation plan M lot platted after 7/11/93
required: _ Yes _ No
DATE: 5 - ;t -i - 9 $
RemodeUReoair Reauiremants
? 2 copies of plen
? 2 sRe surveys (exterior addRlons 8 dedcs)
• 1 energy Calculatians for heated addRions
CONSTRUCTION COST; 4,600
DESCRIPTION OF WORK: ^DECIC
STREET ADDRESS: y 1?? l4 v-'`8e2 Le?qF r"mL
L?AT: ?. ? BLOCK: ? SUBD./P.I.D. #:
Name: ?E-L-?.c?GG ? T• Eb WRrLp Phone#: '4501 G553
PROPERTY First
OWNER
Street Address: c,
?1 I-I -? Ilkmg e2
L"F?iL.
City EAQ /4rO State: M.r-J Zip: 5S1d,3
Company: lf)"?+jC.2 Phane #:
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHIT'ECT/
ENGINEER Company: ' 6V.+ N£r2 Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new constructian only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applicabon and atate that the infortnation is carrect and agree to Comply with all appiicabl
State of Minnesota Statutes and City af Eagan Ordfnances.
Signature of Applicant:
OFFICE llSE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? OZ SF Dwel(ing O 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
?1 New O 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Mufti RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
?15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License'
MCMIS 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 s a ? •,?t ' i -
SAC.Units . ?
, ? z..?..... ...? ..,......,aar
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
?
Oi
r
?
Valuation: $
2422 Enterprise Orive
? ** Mendota Heights, MN 55120
* PIONEEFI L,,,,o SUa,SroRS • ?L ENCINW,S (612) 681-1914 FAX: B81-9488
? en neer n UNDPUNNERS• ?,o?,?E,RC,I,EC,S
? ? e 625 Highway 10 N.E.
* * * 8laine, MN 55434
i` (612) 783-1880 FAX:783-1883
Certificate of survey for: LUNDGREN BROS. CONST., INC.
4177 AMBERLEAF 7RAIL
C$??,ol
898.0 13.32
0
?
asa.s
901.4
43.13
S89°55'41 "W
47.50 893.1
589"R5'41"W
40.P0
--?- ??? -
to
GQy \
cp
toa 7-
1 0 ? \?
o 1
OD W
o tO 1
3
f
SERVICE
INV.=897.2-
???Z ?
903.4
<
oL?sy?
55
..,.2•S /
-? ?---)(--
891.7
? AO
c@
\
90.1
172.52
C 88Z.5?
-F?= -------? 'L?
Y-DRAINAGE & UTILITY ? .,
EASEMENT PER PLAT----e` S S
?
000
\ c? ?
toxiq ? 1 \\
g
?.8
?
? I
?
> asa.s
X ?
?
899.2 ?
12
BENCH MARK
TQP OF PIPE
ELEV.=905.03
2006 RESIDENTIAL BUILDING rExMiT arrLicaTionr ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
'!'elephone # 651-675-5675 FAX # 651-675-5694
New Construchon Renuirements
3 registered site surveys showing sq ft of lot, sq. R of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Repod if proposed 6uiltling is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found desgn, etc.
1 set of Energy CalculaUons
3 copies of Tree Preservation Plan if lot platted aker7/1193
Rim Joist Detail Oplions selec6on sheet (bmldings wilh 3 or les5 units)
Minnegasco mechaniral ven6lation form
RemodellRepair Reauirements
2 copies of plan showing foofings, beams, joisGs
1 set o( Energy CalcWalions for healed addihons
1 site survey for additions & decks
Addition - indicate if on-site sephc system
? o
0
H
??
I 2-? f
Offce Use Onlv
Cert ofSurveyRecd _Y _N
Soils Repod - _ Y _ N
Tree Pres Plan Recd _ Y _ N,
TreePresRequired _Y _N
On-site Septic System _ Y _ N
Date
Site Address ?/i 7 7 ,/ 06
_
/ Construction Cost Y'dJ 0 00
?7715` 1XA;1 UniUSte #
Description of Work I'CI'A( ^/r7c' d zno, i?g_ L E?FL
Multi-Fanuly Bldg _ Y_ N Fireplace(s) _ 0 k 1
Property Owner AILl. v /)Ll S s FL. L= Telephone # (gs2' ) ? ?? - 34 3 3
Contractor Fiy?EN?'T /'t°MF /MpI¢??E?fE?LT S ? //?C .
Address $o$'Qj "C
State /U/1/ 4441AF- C/R-GLF City 1DOL)GI,e?
Zip 5757/ Z Telephone #4Jr/) 3OLF' 74?P5E?0
Be- zo5 e-I 1147 fFO .zz) 101? y1-0018080
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted 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 ?Jfl\1 2 J 2nns Telephone #(
Sewer/Water Contractor UC?( Telephone #(
I hereby apply for a Residential Building Permit and acknowiedge 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 perniit, 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 ofplans.
`?ivr ? rEn??-T
Applicant's Printed Name
? F
Applicant's gnature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex K 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)4 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DesCription: WaterDamage_Yes
Valuation 9)0__ Occupancy R-3 MCES System
Plan Review 100% or 25%
Census Code Zoning ?- ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y/3 Width
_ Rootings (new bldg)
_ Footings(deck)
_ Foohngs(addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
?D Insulation ? l
Approved
Base Fee
Surcharge
Plan Review
MC1ES SAC
Ci[y SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
A FinaUNo C.O.
14 HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retainmg Wall
Building Inspector
f _* f ee_
2006 RESIDENTIAL PLUMBING PeRmiT APPLicaTioN
CITY OF EAGAN
I 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
4.?. ?P_
Date 1 2- / 2 ' / ou co
Site 5treet Address A m3 e 2 ?? N-1-- 7R Unit #
Property Owner Telephone #(l=5 1) yG 31l4 3 S
Contractor Telephane # ( )
Address City State Zip
The Applicant is: x Owner _ Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing f[xtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
? Other: weT
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
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 be/re?viewed and approved.
(,..? l? L cL i,_
Cj,
ApplicanPs Printed Name ApplidanYs Signature
r-O
7q?5/3
2007 RESIDENTIAL BUILDING rERMiT nrrLICnTrorr
City Of Eagan
3830 Pilot Kncb Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVuctlon Reumremenis
3 registered site surveys showing sq iL of lot sq. ft. of house; and all roWed areas
(20% maumum lot coverage allowetl)
7 Soils RepoR if proposed building is W 6e placed on disNrbed soil
2 copres of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculafions
3 copies of Tree Preservadon Plan ii lot plai[ed after 771l93
Rim Joist Detail Opfions selection sheet (buildings wilh 3 or less units)
Mnnegasco mechanical ventilaEOn form
DD
RemodeURenair Reouiremenls Dffice Use OnN
2copiesofplanshowiigioo4ngs,beams,joisis CedofSunreyReW - _Y _N
1 set of Energy CalcuWGOns for heated additions Shcs Repdi =Y _ N
isitesurveyforadditlons&decks TreePresPlanRecd _Y _N,
Add"rtion-indicafeAoo-sResep6csystem TreePresRequired _Y _N
OMSiteSepticSystem . _Y _N
....{.i:.. vnii cfaYc thpv arP trade secret and the reason.
1'16n5
??"?
S
`
Date Construetion o
1
Cost l
SiteAddress ti? ?? ? m?t??Pu ? ?/r ? UnitlSte tS
Description of Work ? e/'o 11 Y J„ ?<-,ti
Multi-Family Bidg _ Y_N Fireplace(s) _ 0
'?+?UM
O ?vLS? Telephone#(G,V ) yc?? yy?l
wner W
Properfy
tor
t
C °?^?,
rac
on
Address /
(7?fS 1L4 CiTy -?- G
State ItIAl Zip 5 SJ7j Telephone#Q i! ) US?J 5 0'L ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I M.innesota Rules 7672
Energy Code Category , Residential Ven6lation Category t Worksheet • New Energy Code Worksheet
(J 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
Mechanical Coniractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and ?
that the work will be in conformance with the ordina
Statutes; I understand this is not a,permit, buY only an
permit; that the work will be in accordance with the apl
approval of lans. ?
I I -,-
Telephone #(
Telephone #(
Telephone #(
Twledge that the information is complete and aecurate;
and codes of the City of Eagan and the State of MN
ieation for a permit, and wark is not to start without a
?% ulan in the case of work which requires a review and
Applicant's Printefl Name
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvaes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 LowerLevel
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous ? 35 Int Improvement ? 38 Demoli9h Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolitfon (Entlre Bldg) • Give PCA handout to applicant
DBSCrIptlOfl: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bidg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice& Water Final Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
R.I.
Air Test
Fireplace Final _ Windows
_
_
_
Insulation _
_ Retaining Wal]
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 D5-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-Plex
Building Inspector
,SSao3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681 •4675
New Construction ReauiremenH
• 3 regLstereE sAe surveys showing sq tt. ot lot sq fl of house, antl all roofea areas
(20% rnaximum iot wverage allowed?•
. 2 copies ol plan showing 6eam 8 window srzes; poured found desgn, etc.)
. 1 se[ of Energy Calculanons
• 3 copies of Tree Preservatan Plan if lot platted aRer 7!1193 . Rim Joist DetaJ Options selection sheet (Eldgs vnlh 3 or less units)
DATE //S/6-2'
Water Soltener
_ Water Heater
No. oFBadis
SITE ADDRESS ?f l 77 f1 m le4 leaG /rau-l MULTI-FAMILY BLDG _ Y?N
TYPE OP WORK ADb??? ?I FIREPLACE(S) _ 0_ 2
APPLICANT I rl"tY/1/ Gi C.DI ?g??
l.?(?,c.Pl (/
STREETADDRESS .?- .?v CITY SiAiE/?ZIP ?7`30
TELEPHONE # tWO' CELL PHONE # 612- -W _Zf f95; -, fii -d°yKV i?
,
PROPERTYOWNER E Kf?t ?[)!I Q TELEPHONE#65/" ys°Z' 6513
COMPLETE POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ }[[NKN:SC)"l'.\ RGLL:S 7670 C:1"C4:G012T I N[INYESO'C.1 RUL1:S 7672
(-J submission rype) • Residenhal VenUlafion Category 7 Worksheet Suhmitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculahons Submitted
Plumbing Contractor:
Plumbiug system includcs:
Mechanical Contractor:
Mcch.uiic.il svstcm indudcs:
Sewer/Water Contractor:
Air Condilioning
- Hcat Rccovcr}' Systcm
Phone
Fee: $90.00
I hereby ocknowledge that I have read this application, state that the information is correct, ond agree to comply
with all applicable State of Minnesota Stotutes and City of Eogon Ordina
Signature of Applicant _
OFFICE liSE ONLY
RemodellRaoair Reauiremente
. 2 copies of pian
• i;set of Enerqy Caiwlauons for heated additions
• 1 sAe survey for extenor addi6ons d decks
. Indicate if home served hy septm syslem for addAions
VALUATION? 1 ? DPQ
P}IORL' #
I-icm 5prinl:ler
No. of R.I. Baths
Certificates of Survey Received ^ Tree Preservation Plan Received - No[ Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Muiti
? OS 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 (Intenor) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `UamoUtion (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
_ Foorings(new bidg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation ffypC
_ Drain Tile Other
Roof _ Ice & Water _ F inal Pool _ Ftgs
Air/Gas Tests Final
_ Framing _ _
Siding Stucco Stone _
_ Fireplace _ R.I. _ Atr Test _ _
Final _ Wiadows (new/replacement)
_ Insulation _ Retaining Wall
P,pproved By
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
Building Inspector
Total
a
i
; "_"____'""'"'_
0+77
"'"'""_'""____"""
5?6+8i
INV-896.7
? CS-901,0
7
HYDRANT --?
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-90' BEND -
GND. EL. 900.0
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(_ _%'l l 7% I 1 V
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H111 = 895.8 `%
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WL = 894.0
• ?? ?i i
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-} ? a INV=899.35
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1-6'-22 1/2' BEND
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5 ?
AIH ? STA. 49.+59
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? 1-6' G.V.
?
BENCHAIARKS
M Ifb
? . ?
a!E IS FF:F.T
?c NOTE:
L0T5 10, 11 k 12 MAY REQUIRE
PRIVATE GRINDER PUTAPS.
T.N.H.
AIONG DIFFLEY ROAD
EAST SIOE OF WATER TON'ER
EL. = 990.38
T.N.H. SW OUAD
DIFfLEY ROAD k DANIEL DRIVE
EL. = 978.51
'""'___""""'___'""'"'" __"'____^ ?
S=1 +59''`\
----' INV=897.2 ?•,
CS=903.0 ?.
HYDRANT
6'-90' BEND
GND. EL. 903.0
TNH. EL. 90
5=0+93
IN V=896.9
CS=90J.5
? AIH ? STA. 6+72
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- 9-•'? o 25 ?n
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INV=gg6.9
73.4' CS=906 3
? 8' x 8" TEE
8" x 6' REDUCER
42.1 ' -?
? NOTES:
1. SANITARY SEriER SERVICE WYES ARE
STATIONED FROIA DOVMSTREAU MANHOLES.
2. ALL SANITARY SEWER SERVICES SHALI
BE 4' P.V.C. (SOR 26).
3. WATER SERVICES ARE 3' UPSTREAM FROId
SANITARY SERVICE.
4. ALL WATER SERNCES SHALL BE 1"
(T1'PE "K") COPPER.
5 AlL D.I,P, WA7ERMAIN SHALL BE CLASS
52 UNLESS OTNER`MSE NOTED.
6. EXTEND SERVICES 15' PAST PROPERTY LINE
925
920
15.78' ? 906.20
MH RE=906.5 RE-89§A-
EXISIING
? 8 BLD-1;-d7- 6 BLD=i&:36-
'
CROUND
? 11.46•
902.10 I 10.39
902.32
MH RE=9+32:09
I
uFl RE=-862,6
? 7 BLDa4--?'-7
9 BLC=6.36- ?
5.87' I
4o I
PROPOSFD GRADE
I
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(,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131713
Date Issued:07/02/2015
Permit Category:ePermit
Site Address: 4177 Amberleaf Tr
Lot:11 Block: 1 Addition: Rooney
PID:10-64560-01-110
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
William J Russell
4177 Amberleaf Tr
Eagan MN 55123
Window Geeks LLC
1200 Center Pointe Curve
Mendota Heights MN 55120
(612) 315-1481
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173877
Date Issued:12/09/2021
Permit Category:ePermit
Site Address: 4177 Amberleaf Tr
Lot:11 Block: 1 Addition: Rooney
PID:10-64560-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Kevin Vincent Heinz
4177 Amberleaf Trl
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature