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4179 Amberleaf TrCITY OF EAGAN PERMIT TYPE: "' "`' I '-r"; 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 11+4i i:' l i Ai 11; ?+715 t r ?01 PERMIT SUBTYPE: fsirl1 TMr)S I I - ;tn1 TYPE OF WORK: ftF S4 h E i' I L IlN FRAM f NG Rf MliR?C`i _ A wi PAFtAi't I' f-'P p11 i iti RFUt)II1,I? Ii F i+ti ANY b'1 0 i fP tI;A! 41taFiK }•i AH I+t Vii 6,lt 1-1 KY M fKl' FtAti0 t. ? aF z_: ( 6 A . E ti f I )v UF CK ) ? ? ??? Permit No. Permlt Holder Date Telephone # ELECTAIC PLUMBING HVAC Inspscdan Dab Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTQ DECK FINAL 3 ,(y 7/,/ ca ? RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road . Permit Number. Ea an, Minnesota55i22-i897 9 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , . ? r; , , ,u? , . i ? •,?t i PERMIT SUBTYPE: ; TYPE OF WORK: INSPECTION .. oii A!'IY L' 1 f 1", (;? i 0 F41 (1R F?t ttMFi 1 h1(i IJ1rf2! r Permit No. Permit Holder Date Telephono N ELECTRIC ? ,0,5O pLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ? PLBG AIR TEST RpUGH HEATING GAS SVC TEST INSUL /Y GYPBDARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLpG FINAL BSMT R.I. OSMT FINAL DECK FfG DECK FINAL ? . CIT OF EAGAN • PERMIT TYPE: ' 3830 ilot Knob Road , Permit Number: •?, t I• Eagan, Minnesota 55122-1897 Date Issued: .. ?'•(612) 681-4675 SITE ADDRESS: ' w 100 `' ?; i f? i ??iy ?: ??.? r ?,. ,?;.?ei ?•i ? i;I ti. . . . I PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: INSPECTION .. . D• 5 F '. . ? _ .. . ? w .... ? . ?. ?. .. ?. .. J L Permk No. Permlt Holder Date Telephone M ELECTRIC . 16 93' ? PLUMBING HVAC Inapectlon Date Insp. Comments FOOTINGS FOUND ??Sr ,?;?? '?? ? ,/' • Q_ K'11 vOl7.? FRAMING ROOFING ROUGH PLUMBING P"Y PLBG AIR TEST W k ROUGH HEATING GAS SVC TEST INSUL ?y GYP BOARD FIREPLACE !?? fIS 171 FIREPLACE AIFi TEST FINAL PLBG / FINAL HTG ORSAT TEST ry Z ? BLDG FINAL dl/ 2 ? BSMT H.I. BSMT FlNAL DECK FTG DECK FINAL ? Add[ess 4179 p,rMr.u,EAF rxnu, Zip 5512 3 Lot _I? BIk i Sub RoorEr THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECITON. Date: 9 Q?, Yes No Inspedor: 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 shuboff of water supply to the outside lawn faucet before freeze potential exisu. 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 0 3 409 1 19 ,SG/./ YO {o 7 5 9 * D lo '6 Q7?001?" 6 ReQUesj? ate ?„/ Fve Na Ro?agbn Inspe?tion Reqm tl (YOU mus? tl inspector w reatlyi ? Inspectian OlherThan Raughln or ? Reatly Now ill Notlfy Inspect l(/? ? Ve No Da[eReatl Ilicensed contractor ? owner hereby request inspection of above electrical work at Job Adtlress(SVeel, Bo? Raute No) ? Ciry Seclion No Township Name or No 1 Range No C?j.n.?ty ??? ?Le l,LL?1? Occ pant(PRINT) t? Phone No. P ? Su pher ? ' ??1? Address i Elect I Gomractor,(Company Name, Contxctois License No M g Adtlress nCOn rector or ,?er Maki g i allali ? ? ? hNOO zed iqnaNre (Gonlra OriOwn Makmg Installa0onl ' l? Phone Number MINN OTA STATE OARD OF EIECTRICITV THIS INSPECiION REQ EST WILI NOi Griggs-Mitlway BIOg. - Noom &128 I I I I I ? I II I I I I BE ACCEPTED 9V THE STATE BOARO 1827 Unlverelty Ave. St. Paul, MN 55104 I I I I ? UNlESS PROPER INSPECtION FEE IS Pbone(612)642-0800 ENCLOSEO oi?? ?i? l??Ct REQUEST FOR ELECTRICAL INSPECTION -4'€m^z ?, 'EB?00001- 0 9 ? 4 r/ ? See insimttions ior completing this brm on back of yellow rooY "X" Below N?ork Covered by This Request b / ? ? ?1q /?y9Q [p ?T';?e?:±, Nei Aad Rep. " Type of Building Appliances Wired . Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding Dryer Load Management Comm./lndustrial Furnace Other (Specif ) Farm Air Condrtioner Olhar (spemly) Gonlradois Remarks- Compute lnspec[ion Fee Below. # Other Fee t! Service Entrance Size Fee # Circuits/Feaders Fee Swimming Pool 0 to 200 Amps ( 0 to 100 Amps Transformers Above 200 Amps AbQt e 700 -Am s SI n5 Inspector's Use Only TQTAL IrrigationBooms ?j S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE O RED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rough-in certiry that the a6ove inspection has been made. F??ai oa?e / OFFICE USE ONLV This mqoest voitl 18 months irom 00- 9 n ,C/o 131Reques! Dn;e fue No Rou Inspe r n Reqmretl Inspechon ONerThan qough-In I 1 ?VOU must call i penor when reatly) [_] Reatly Now o-V4tll Natlfy Inspedor / 1:1 Yes ? No Date Reatly I T icensed contractor ? owner hereby request inspection of above electrical work at Jab Atltlress Blreet, 9ox or Route No ) LEA F T/t.d/L Cny '?5A?.IAJ SecOOn No I Tovvnship Name or No Ranps No Co t y ?A?drX OccupanltPR16'T) 4 Ad;-1??AV II PM1One o ?-?3l9G Pomer SuppLer Address Elecmwl Comretiw (Company Name) ConUnctor's Lwenso No d 2 Meihng Atltlress Cantray ror or Owner Mnkin Inslellahon) ??/ Ioc??c? W? 57-• ,p Auth z a Sr9nature fCOn todowner Ivlaking InstallaLOn) Pnone Number MINNE EQUeST WILL Gr ggsSMitlwayTBlATE tlg B ROARD oom 5?-128ECTRICITY IIIII Vlu IIIII Illil NVI IIIII IIIII ?IN ??I IIIII BE ACCEPTEDI BV THE STATE BOA ?T 1821 University Ave. St. Paul, MN 55109 0 0 9 9 0 5 0 7* UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED 1116, REQUESY F67MTRICAL INSPECTION Po- See insVUCeons tor cornpletmg tMS fortn on back oi yellow mpy n rr 4 an rl n "X" Below W01i by This Request r . .,,? EB-00007-09 @.a. Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /lndustnal Furnace Other (Specii ) Farm Air Conditioner Other ispeniy) Conlrado: s Remarks Compute Inspechon Fee Below. '60,560,5wr ` " 5x # Other Fee # Service Entrance Size Fee X CvcuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove Amps Signs insPecrors use onry OTAL IrrigaUon Booms ? Special Inspection Alarm/Communication THIS I ALLATION M BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 MON I, the Elechical Inspector, hereby Rouqn-in . oet certify that Ihe above mspection has been made. Final i oag, OFFICE USE ONLY Th5 r=yu=5t vaa 18 manihs Irom EACiAN Cf1Y COUNqL MINUTES; NOVEMBER 27, 1096 PAl3E 6 Ed Fuller, 2860 Hlghridge Terrace, Indicated Mat he spoke to John OToole and Maric Remick end they Indicated they had not been notifled that they would be assessed for this. He expressed disappolrrtment thet his nefghborhood was only gNen four days to mouru any opposlGon to this. He understands, however, tlW they wUl have another chance to exqxess opposkton at the flnal assessmerrt hearing. Gus Zuxaro, 2841 Htghridge Tertace, esked why Hayes Addkion IsnY belng assessed for stortn sewer Ilke they are. Dlrector of PuWlc Works Coibert responded that Hayes AddlUon Is induded in the assessmerit area Mark Hanson added that the Wnk area assessments for both Hayes and Delosh Addition w01 be piclced up through the developmern agreemerrt. Mark Ribar, 1454 Sarthrldge Avenue, Indicated that ffi the InfortnaUonal meeting, a thlyd optlon was discussed which waa to do nothing. That was not preseMed as an optfon tonight No one at the InfortnaUorrel meettng was- in favor of being assessed for something that was necessary for a developer to proceed. The developer wpl make money off af these Iots. He asked whether doing nothing is st01 a viable opUon. Dkecta of Pudic Works Colbert responded that doing nothing Is always an option on any proJect He rated the adion requested by the Counc9 b to approve, modiy or deny thts pro)ed based on fts meritss. H nothing Is done and the developmerrt proceeds, there will be increased surface water runoff whlch wpl result In addRiorml erosbn to the raviw ft needs W be detertnined whether that Is an acceptaWe altemaUva Mayor Egen then tumed the discussfon back to the CouncH. CouncAmember Hunter rroted that thb Is an dd area of town. There have been some quesUwiable engineering practlcea In the past when the orlginel u[qicies were ins[alled and that needs to be researched and taken into axourrt. The Counc9 tr(es to be falr to everyone wlth Vunk assessments. They are standard rates, but people shouldnY have to pay twice, so It nseds to be researched. He walked both ravines and R le obvlous that there are eroslon pro6tems there tlhet need cotrectlon. If the CouncG does nothing, and turther eroslon occu?s, In the future, resfdents vvlll demend actlon and posslWy aue Uie dty. ft has happened beFore and he doesnY waM to see It heppen here. He tavors proceeding wlth thls proJect Counc9member Awada concurred, noting that even wlthout this developmeM, there are erosion problema that need to be addressed. Councnmember Hurrter added that due to early and voc;al support by residerns, the Cky came up with an InnovaWe technique to solve thfs problem and It wBl save rtaney. He thanked the residents for voicing their opiniona eady. Hunter mwed, Wachter seconded a motion to dose the public hearing and approve Project 689. Aye: 5 Nay: 0 - NAHIlWCES, WNDGREN BROTHEfiS CONSTRUCTIOM ? Community Deveiopment Director Reichert gave e ataff report Mayor Egan then opened the publb hearing to erryone wi.ahing to speak. DavkJ Hlnners, oF Lundgren Brothers ConstnicUan, tu0ed CounC9 appraval. Theresa Alberto, 4189 Amberieffi Tra6, noted tlmR when they purchased their lot, g was represerrted to them that this is haw the private shared driveway would be. She feels emergency vehidea could get in there wlth Ifttle dHflculty. The.people along this road never irKend to treat thls as a public road. The cukie-saC on Ambelleaf Traq IS Otdy 2425 feet Wide. There being no one elsa wishing to speak, Maya Egan tumed the disctmbn beck to the CounW. Coundlmember Waclder eaked what type d trees waWd be lost with the wlder driveways. Dfrec•.ta of Pudic Waks Colbert Identified the trees as oek Vees CW wouid be dassgied as slgndicatU. Wadrter moved, Awada seconded a malon to-approve varlancea to allow the access road an LoC10. Block 1, Rooney Addition, to. be nanowed to 16' for eRPrwdmately 30' to preaerve trees; to allow the acoeas road On lot 15, Block 1. RooneY Addltloii to be narrowed to 16' fOr aPProximatelY 50' to preserve trees; end FAfi11N CfTY COUNqL MINUfES; NOVEMBER 27, 19B3 PApE 8 to allow tlre access road on Lot 6, Block 1. Rooney Additlon W be rwrrowed to 16' for the flrst 100' oft Amberleaf Tre9. Aye: 4 Nay: 1(Hunter opposed.) VARIANCE, RON BROPHY Communiry Development Directa Refchert geve a staff report, noting there Is a discrepancy as to what the actual setbadc Is on this property. The survey says he has a 20 foot setbacl4 but the owner measured R to be oniy 18 feet According to the city, he doesnY technfcally need a vartance; however, tlie appllcant wanta ensure what he Is doing Is legal and wonR cause problems (n the tu[ure. Mayor Egan then opened the puWic hearing to arryone wlshing to speak. Ron Brophy, the appllcard, urged CouncO approval, rroUng the IaR Is undersized and the house wasnY put In the dgM place according to the survey. He indicated that IF there Is any opposkion in the audlence, he Is wllling to wlthdraw his request for a varlance. Mayor Egan then tumed the discussion back to the CouncO. Hurrter mcved, WacMer seconded a moUon to approve a 1.5' variance to the requlred 10' side yard setback for Lot 14, Blxk 3, Meadowland 1st Addklon. Aye: 5 Nay. 0 ' > ..:...m PRWECT 65eR, WATERVIEW ADDI110N Dlrector of Pudlc Works Colbert gave a stsff report and reviewed Ure Public Works Comrnlttee recommendation, thet being that 30% oF the proposed assessmeM be Ievied wlth a postponemerrt for atry addiUonat remalnder to be cdlected at the tlme of connection, if that ever occurs, to each of the IndNidual properry owners. Doug Johnaon, 4775 Dodd Road, noted he disagrees with the cilys opinion on Ure Iswsuic wtth the people to the north, but they accept lhis as an adequate compromise. Some discusslon fdlawed. Awada moved, Wachter aeconded a motlon to approve the Mal assessment roll as modffled for Projed 688R. Aye: 5 Nay: 0 TRAPP POINTE, PRNATE STREET TRANSFER Dtrector of PuWlc Works Colbert gave a stafF report and reviewed the recommendatlon of the Public Waks Commktee, wh(ch Is tavorable consideratbn of this request with a structural overlay on the streets to bring ft up to city starxlards; the non-conforming two wdsting sueet IIgMs be replaced with a singNar street Iight to meet clty sTandards tor both 6luminaflon and aetbacM, a dratnage easement be dedicated W the city W handle the runoif of whet wAI be future pudic right-of-way: arxl that the ProPertY be ProPertY described through a cenificate of survey and conveyed to the City. He noted that thetr represeMatlve, Dale Huber, Indiceted he could not be at thls meeUng, but he understands the conditions, and would Iike tlie opportunity to evatuate the costs asaoctated witli these cprbRbns and revlew them with the affected P?ePeRY owners W detertnlne whether he would sNl Ilke to praceed. CouncUmember Hurrter noted there are three addltbnal condRions: obtain a legal descxiptlon; dediWe the right-of-way, end replace the street Itghts. He asked wFfat 'approprlate rightof- way Is as stated in the condlUons. Dlrector d Public Works Colbert responded It would be 60 feet wlth a compareble minimum 10' badevard around the adde-sac. It was recommended by the Ciry Attomey to klentBy UW as a specific condMlon • Htmter moved, Awade aecaded a rtwNm to approve the transFer of the Trapp PaiMe prNate cwide-aec to puWic rlgM-0i-way wlth the fdlowing conditians: 1. Nonccrdortning street lIgnffi be repaced and rel«atced to cny standarda 2. The structurel sur(ace be brougM up to a 9-tan standard whh a IIgM rMl and oveday aix;ording to dly standatda 3. A dratnage essemeru be dedicated to the Chy. -? LA/) gL / CITY USE ONLY RECEIPT #: 1? SUBD. DATE: 6P 11 95 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -{675 Please compiete 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: Q?J- (5)(C)-q17 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 1 ? Gas Outlets (minimum of 1 required @$3.00 each) "/ . 60 J ? State Surcharge .50 TOTAL ?A ? SITE ADDRI OWNER NA INSTALLER STREET AC c CITY: ? PHONE #: °4 ?! `6\ ZIP: i?,?i11L- PHONE # 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 IIgt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: - $25.00 minimum fee pl 1% of conVact price, whichever is greater. 0 Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ag= 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: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR CITY USE ONLY L ? BL _L RECEIPT #: (J 05 SUBD. 6?? / DATE: 0?6 95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES 8hvvvar Water Closet Bath Tub Lavato .ry Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum - 1 Rough Openings Water Softener Private Disposal " Dakota Cty. license U.G. Sprinkler * home under const. Afterations * to existing Water Tum 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 20.00 3.00 20.00 20.00 NO. ? ?- -?Z- ? ! z / 2 ? TOTAL -3-. v o ,oo 6 ?a N ,o? ' ,ao 3, aa -T. -01E> 3,? G,o'ZI 6.?a ? a7-- STATE SURCHARGE .50 TCTs'QiL 4.2- s-r& SITE OWNER NAME INSTALLER NA STREETADDRESS: S 9? ?i Tt' ??co<' 22' CITY: /a STATE:? ZIP: PHONE #: L SUBD. BL OFFICE USE ONLY RECEIPT #: DATE- 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for. ? all commercial/industrial buiidings. ? multl-famiry buildings when separate permits are a4S 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 ggnnii fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE F.CCRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: ciTV: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT INSPECTOR: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CKO 34778' ?a? 4 6UILDING 025415 04/21/95 SITE ADDRESS: 4179 AMBERLEAF l'R LOT: 10 BLOCK: 1 ROONEY P.I.N.: 10-64560-100-01 DESCRIPTION: Biuilding"-Rermit Type Buiiding Wo`r-k Type i? UBC Cccupanoy'"--, Construction Type Xpning Building Length Builciiog_ Width - ? • Building stories ..,S?uat;s Feet ?...., ?r 5F DWG NEW R-3 M-1 V-N R-1 82 80 2 3,331 ? _.?. _. . _ u? ?a' ..... y'3??.'5;? .. , ...... , ?- REMARKS: 5& W PLBR - ELANDER PL66 S--&-W I1EB,: E E R N B-E;?P E 96 " FEE SUMMARY: VALUATTON Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $2,832.40 $239,000 MISCELLANEOUS $1,892.50 Total Fee $4,724.90 CONTRACTOR: - qpplicant - ST. Lzc. OWNER: LUNDGREN BROS CON5T 14731237 0001413 LUNDGREN BROS 935 E WAYZATA BLVD 935 E WAYZA7A WAYZATH MN 55391 WAYZATA MN 55391 (612) 473-1231 (612)473-1231 I I hereby acknowledge that I have read this application and state that the information is correet and agree tio comp]:y with a11 applioable State of Mn. Statutes and City of Eagan Ordinances. AP ICANT/PERMIT SIGNATURE $1,126.00 $731.90 $119.50 $850.00 100 1 $5.00 ???f I 1 11? ISSUED BY?IGt I1 QATU?a /il °1?- J iNSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 $ITEADDRE$$: P.I.N.: 10-64560-106-01 LOT: 10 BLOCK: 1 4179 AMBERLEAF TR ROONEY PERMIT SUBTYPE: SF DWG APPLICANT: LUNDGREN BROS CONST (612) 473-1231 TYPE OF WORK: NEW BUILDSNG 025915 04/21/95 INSPECTION FOO7INGS D. . FOUNDATTON .• I FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - ELANDER PLBG ?-- S & W,PLBR - ELANAER Pl6G - , ? , )S4106 CITY OF EAGAN 3830 PILOT KNOB RD - 55722 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) :±-=AD 681-4675 New Construcfion Reauirements RemodeUReoair Reouirements ? 3 registered ske surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window saes; poured (nd. design; etc.) ? 2 site surveys (eMerior addilions 8 tlecks) ? 7 energy wlwlations ? 1 energy calculations for heated addftions ? 3 copies of tree pres?rvatlon plan if lot platted after 7H193 required: ? Yes _ No -7?; DATE: 3- 7iZ - qS CONSTRUCTION COST: ?` /?v DESCRIPTION OF WORI STREET ADDRESS: LOT C) BLOCK PROPERTY Name: Phone #: OWNER Street Address City: State: Zip: COMT-?+.aCTOR Company: J, m('Ji?rYI 6I?U?-5 - Phone #: 47.?1? 3? Street Address: ?'!3S E WG+-l/L.C License #: 22 - 31 q5 City: I,?)O.1 ( 7.0.t?-- State: MA)_ Zip:S539f - ARCHITECTI Company: , Phone #• ENGINEER Name: Registration # 5treet Address• City: State: Zip: Sewer 8 water licensed plumber. l YL.f.I lY-UAY161k1\zf?1L- . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiipGon and state that the information is correct and agree W comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ? OFFICE USE ONLY ?: ? 1 ;,"•?? Certfiptes of Survey Received Yes _ No Tree Preservation Plan Received ZYes _ No , I OFFICE USE ONLY , y w BUILDtNG PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish A 02 SF Dwelling o 07 4-plex ? 12 Muki Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE ,?54 31 New o 33 Alterations ?° 36 Move 0 32 Addition o.. 34 Repair ? 37 Demolition GENERAL INFORMATION • Const. (Actual) ? Basement sq. ft. yb Z MC/WS System ? (Allowable) N Main level sq. ft. Z, Isa City Water o< UBC Occupancy oe-3 *-r aAoArz sq. ft. J? 3y'/ Fire Sprinklered Zoning - / sq. ft. PRV # of Stories 2/S.,r ' sq. ft. Booster Pump Length BZ sq. ft. Census Code. ID/ Depth Footprint sq. ft. 33/ SAC Code ? Census Bldg / g c 12 w Census Unit i APPROVALS ' $4?? Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies x jr` - Total: y,? z7.oa = /ofs % SAC •sXiS.67Xiv.G7 = /93 ' SAC Units L ?§i- i?y valuation: $ 2 3 t?,o 0 0 ? SrF R. ?- pzis = 3$ i9x 5z.nt = 9^io ?y r r8 mc ' S!3 r....+•?•f X ,y _ i9b .sKry.07Fir.67= 193 <sxd -- Z y< l Z }L ???. l-- - ?-, z Ki5 x 3s k 2- x 29 - / ds/y ?---- ? /,96 x2 .s= z 9 y3° C,2 Zs? 33 ` ?'? ? oyrr?b_= 7 ? ? / n? 2422 Entetprise Drive '? 7F IAentlalo Heighla, AAN 55120 ? PIOMNR¦R1 (312) 881-191# FAX:881-9488 * urm sx,ewne • aw o+?r?rns ene neer ng L"110 R""KS*S• I.W$0"°' "fld'RM 625 Highway 10 N.E. * .k 8laine, MN 55434 * ? * (812) 7e3-Ieeo FAx:7e3-Iea3 Certificate of survey tor: LUNDGREN BROS. CONST. 179 BER4EAF TRAIL ? n?a,?°=`?,?9a3 \ L.OT 12 6 M a?`,b ? LOT 11 g04°4b 29 E 172•72 ? eoao I ? A 9A 1406 e5g,O7rW f++r U. WATER LN6 I? r,BAg, ?.?9• ???•? 60.00 p' o 0, a cE u umit( &_24.ad,o1 ?C?Ni PER? V4 ?9 -• sa1i3,Sl?K ?SpN. SkWElt LWE . t (? 0 89&I i? ? c 1 ? ?^ ?? `?? ?T-' •. ? 90 S04°4Q'29"E 121.11 0" l.e ci q ---4SE?ICE 1 tF so s irN=esxz V0 Qq 7 w ' ? a? ig? ? LQT 9 ? N uP 89 a IIraorip' S?a,IrFGAcc A.t I0bic e 099.1 ?899t46 , 99.8 M 897.70 jgo,W A c i + N xesaa d¢ aLAn40 Po "40k..) 6- 0 c4119-ejr I Vjff'2. l h! I I" 6 A4.O'?a IAJ ? ?? /? P Co no ? ?J Cc kJ „-6I 'TFt L IIw LOT 10 KwL=s94.0 6-A-9 o??l C Q'c A,nl ?? iteuA¢. HWL2895.8 +w ?a4o,rjv.j .? ? ? ? . to ?t7'e.! r ?, '% `•?, ?' F ? teviijrQ.10r- ? 8 ? 1?7 a arJ A c.K?o%Jvr- PEWi Ff?' 9232 \S0183,3'58"W LOT 7 ?GAN DEFT. ReOPvsn Cxaocs aHorM rm auowc vun er: r40xmr aaraERIre N01E: 9UqAM10 DIAEN"S SHONN ARE FOR HOPoZONTAL 7WD VtR7ICN. \OOAIIp! pF SiqUCNNE6 ONLY. 6EC ApppliCtyti OWtS fGR BURDINO 1iMD Fpl1N0AMIN DIYEIVSION4 NOTE: f7011TRACTOR LtUSY MOtliY p1UVCNAY OE9CN. nmF: no srEanc svns m.csncAnax HAs MN caMYW aa mis LOT 9Y 'ME SURVCYtM. 1H¢ SUITABNTY OF SOII$ M SUPPPR7 IHE SPfdFlC HOU$E PROPOSfD 15 NOT 1ME RfWpi&91U'!Y OF ME &1HYEYOR. x rac.w bcro,es Ex'stlnq ElewtEcn f DOaoO ) Denotes Propose0 Elevotlon , Denotes Droinoge .k Utility Eosement ---?- Denotes Oraindge FlOw Dlractlon f Denotes Monument ?- penotea Offat! Hub PROPOSW-JHQUSE ELEy4%1JQU- Lowest Floor Elevotlon: 7op of Block Elevatlon: grl71, Garcqe Slob Elewtien: ?v '• g WE HERE9Y CERTIFY 70 LUNDGREN BROS. CONST. THAT 7HIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY pF THE BOUNDARIE5 OF: LOT 10, BLOCK 1, ROONEY ADDlTION pAKOTfi COUNTY, MINNESOTA IT DOES NOT PURPORT ?0 SHOW 1MPROVEMENTS OR ENCHROACHMENTS, EXCF.P7 AS S1101VN, AS SURYEYED 8Y ME OR UNOER MY DIRECS SUPERNSION 7HI$ 14rH QAV OF fE9RUAftY, 1995. REVISEO HOUSE 3•17-95 ? ?^ 30 • PS -Pr Dyr, s. B1GNE0: ;' f'IONEER FNCiNCERIMR. P.A. /iEV/ttD g-31-9? ; ?y?`'?y ??-?-. ' .., . . // Jdv? C. larsoa'Nn. 1987A L1?7 M iHIS CER11PICAtE DOf$ NOT PURPORT TO SNOW CASEYfN75 OTHER TMAN 1N4SE SNOWN d1 THE RECONpkO PLAT. SCAIE _ 7 INCH = AO FEET BENUUCS 9iovN ARr Ag5uu[o v.i u. - I rI ..s?. m I V. G Nlrv LOT BIIRVEY CHECRLIST FOR RE6IDENTIAL BOILDiNG PERMIT PPLICATION pROPERTY LFrAis c Dit• of Hurveys ?z DOCIIMENT 9?rptananna ?/?7/ 9r '* , C?rr?o,.JS• i 6?gs- ? ? 0 • 3 Ragistered Lend Surveyor aignature and eompany?!/LFt- L1 B -t?Y D C] D • • Sullding Permit Applicant ? Legal description L9' D D • Jlddress S--t D 0 - - North nrrow andbar acale House type (ramblar, walkout, cplit w/o, Qplit entry, 13 • lookout, etc.) J D • DirectSohal dra3nage arrows with slope/gradieat t. D • . Proposed/exictSng sewer and water services Streat hame H? 0 17 • Driveway ZLEVATSONB ?? ? • Exiet3nv Sewer serviae ?0 ' J7 • Lot corners l3 - Top of curb at the driveway n n • Elevations of any existing adjacent homes E) V 13 ? Prooosed Caraqe floor n ? 0 • First floor n ? D • Lowest exposad alavation (walkout/vindow) t ?D 0 • Property corners ? n D • Front and rear ot home at the foundation ? El _ PO SNf3 aREA9 t{ t xp.+i tcnbla 1 Easement line 0 0? D D 17 NwL ?D • • xwL Pand N desiqnation n 13 • Emergency overtlow Elevation 2<13 ? • DIliENB20118 Lot lines ??EI 0 • Right-of-way and street width (to back of curb) ? D D • Froposed home dimensions including any proposed decks, overhangs gzeater than 31, porches, etc. (i.s. all structures requlrinq permanent footings) ff n n ? show all desementc of record and any City util3tSes within ?- those sasements ? n a ? SetDacks of proposed structure and setbnck of adjacent ,3 NL1 • existing nomes Retaining r+?a requi5ements, if any Revierred: Octobar 1992 ._.?. . ; .:` i A rLi?V 1./ 1;1i V_..,..:: , rk !. I 1_X r.? -------?---- ` - ` " ?-?- , i . 1 _ . ' , i• '. ? . , , • ; ? •' .? '? y . . , - - - - - - - - - - - - - - S=1+55 ---- 10 ? fNV=897.2 ; . ` . ?? . '% ? l.. ? C5=902,0 ?-1WL = $951.$ M , ,, W4, 'l80:32 --Lfi.- _ ; ; .. i'DRANT` . ? \ i?fWL = 894.0 >. +? .. , , ? g [Min 'qa* B?? -.Wetbnd- 1 0'?"::. . ? ? dD.'f.i.. 900:d.? 4? --- ' _ - ? . .c . ? ? ' ??; +' ?' ;. . q' -v {? ?'Sz=1+42 H AS LOCATED. j ??••? iNY, ;?96:5 , ; . -----_ =- -$=o+3s"T ,----- cs-sa5:2t IN1/-°8" ' ? aOFS I?QT`?GUARA?1"fiP? - nraTrnr ';?a ? : - 1-8°-22 1 5?.? MH ?j STA. ? 4 ?. . ? ' 'F UTILIT Y L?3CATI0 A... 1 7HI8 I ?SA 15. FC1, EVASI ?S- A ON . R RPOSE? A? ,?,IldG; t ..SHOULC? 1/E.,?,1?-Y T?1 v hIE SITE: ? ._ ?.. . ;, --- -----------------r^-r"-?`' S=7+59,, aNV=BS7.s CS=903.0 - HYDRAI+1. ? 6"-90` BEND GND. k1. 903.9?' ,.- ?':i',; ? ' 5=0±8 1NV=896. - CS=903 * - ---12 t G.V. t ' ? 3 S=1+8 INV-896 CS- 90fi --S" x 6" TEE y.. ? . ---- --? f`= - _ .?L- .-`_ i _ .,•,,- , ;?-'. __- , ' rb1?, X'L`¦ ?C ` ^; 1 -?? i i7 V G f ? ?-6" -GrV., ` 1 = ' SEE {,£FT, NOTES: .. :::::.::::::::.. . . ::? . ::::::: :: : :.: :: : ::. : ::::.: :.. : 915 .. . . . . . : :: :: : .. : ? ...... ........ .... ....... .... ::::: : . :. .... ... . ... . .... ?.... ............... ,:::::::i.. :?-:?ai? `E=?os.??? :::::.:::::?:::::::...:::..::?:: ... :.. . 6LD=1 . 5'-?:: .:::::: ? .:....... RE=?oz.oo:::: . : ? : : : : : : o- : : . : : : : : . : : : : : : : : : : : : . : : : ..: :Mt+: ==so2 : 910 : . . . . . . . . . . . . . . . . . . . . . . . . . ? ? : . ?u?=?.ss. . .....::.....::: .:?::.:...._.. ;n-?.?s?? :::::: ::::::??:::::... ..,.......... _ : :.: : . PRfPflSEQ GRADE: : : ? : : : : : : : ' : : . . . : : : : OSFJI . . . . . : : : : . . . ? : : ' : : : . : . . . . . . . : .. : ?:::::::::::::::::? ::::: ?:::::? :::: :::: : ::: ::? 905 . . .. .... . ........ . . . , ..... .............. . ............ ::,. :.::::? :::::::::::::..:::: ::. :z.5':?iiv:`:::::=:::: ::::::::::::?::: _:;....... . _ ...: ::::::::.. :::::::::::??::. .... . ................. ... . ;covER :..... ::....... : ..:: ... ?.. . . .. . 900 • :.::.: :'?:..?... " . . .. ............... ?6,; P.52' ? ':?.,:.... : ::..-?.::'::::: - ............. ??; : :?Y,Ad ... . . . . . . . . . . . . . . . . . . . . . . . : . • . : : : : : : : :: : : : : : : : : : : : :: :: : : . : : : : :: : : : : : : . . . .? c??°? e?? ??GAN bags WT 0? `A, i ' . . . . . . . . . . . . . . . . . . . : : : : . : : : : : : : . : : : : : : 895 ? : _ . . . . . . . . . . . . . ' : ACCLInA0Y- :0V UY10TY 1O ATE0??3?-:: : :.: : : : : 84: llIV: :FT.: . : .: : : : : : : : : : ? ' : : : : : . : : _ . ' .• t0f?Si? ?L??tA'YtbfUS,. ?T?iFS ?DAF. IS?FO?: : : : : : :?t :4': :? :8?: .: : . . . . ... . . . . . . . . . . . . . '. . 1 +dEJR?4"A'1-ib??3 ? - PliFiP05ES? :At'?D? WSULAZ)OtJ: . : : : : : . : : ' : : : : . - . . . . : sr ?.F??,r,>'•V?? t:c?ikCa TT'$liOO L•.D: .j u5 EAY 1N, ]O?POStTE: 890 . . : . . : : : . . . : : . . : . :.. . . . . . . • ..: .:": .::::::".:.:: --::q'iii7;. ....;:.:.:,..w ......:cD :...: : ' ' :SCAIE: :..:: .. ....... ax .:..'. ..::::....; ::':.1m .........:.....:: .a(1 . ,..... ..._ .....---oDad..._:... ........ ..... . .. ....... :. ;n .....:.....p " ... p. . ............. ... q '. .. .. .. ..... ? ,..:......... ...::> : -': ':::: " : ::: : "::::: ? ? , t .. . . : . . . . `.:.. ::::: ::.:.:::":: ...: ?, . ..... .... .:' :.............. - .. t"=50' ....: .............. . .... ... ..., . . . .........- ... , ............ . • _ .,: .• .. • CITY PROJECT . -L . . #94 * i, ** ^ PIONEER * eng neer **?* LAND PIANNCRF. UNpSCAFE ARCHIlECtS 625 Nighway 10 N.E. Blainr, MN 55434 (812) 793-1880 FAX:783-1883 TREE PRESERVATION PLAN - LOT 10, BLOCK 1 RQONEY ADDITION, EAGAN /0 05g 906 0 ? Q I ? 0Q"7"W HYO. ? I n No8 88 ?• ?-• - - ! J g,.e, '_ w Q ? pRA1 A PER FL T9? . ' (95 EAS MEN LINE l •- ?= R o e - IASAK SAN. SEWER 9054% f961 1'1 oe'sRO .? 902 498AC Ir ? -J <<1 ?.3 9 -? ? ? 12.1 .11 a I ?, s ?PRO„ ?.? 5? $04p40 29nE m 898.j? a v?p .? aRl ?AEd ?' ro SERVICE ? 9oi.e iNV=eszz V ? 11 „ I 9$S 89% 3.pb ?? ----? e[xw u?n?( m? ? I ? m j y ?? or ncM ?[F J? ? N V1 ? . T Etrv?nw . 902_50 N +o' o eo e? ' ? s1 v+ '??I s + i O ? i ?l GARA ? h L OT g O N? ? tp 3 I o JJ JJ I ? s ? ? I J 899.1 15, 899.1 8 .45 ? ? A RY m ?. ? . ? e?lb ? ?$ ? i ? A^? 1 5 ' e ved _ 29.6% N N `i ???6 4e 7.7o ^? does not in lude partially N??}w?' ?' i l?mp'?r ?? ??? BU??ad trees, rees removed ??'W ,,.z4 SE, - prior to 3/1 /95 or trees #805?'? Ress.3 5+77 ot fVM1apR TqE moved fo shared ,? f>F?EJe'EF?l6?7'ION riveway) C?iPLBc?W? ? LOT 10 20% tree r moval/lot W allowable r city ordinance ? #975 ILO • ?? \'? ? (0 Scale: 1" = 40' !P ?807 `, '?? ; '?? z sos ? ?WET; L A N D 8 PER'PLAT LOT NAMEC:5i" ii DATE 9- ??/'?f ??' #974 ? 10 i REG. NO. 2?120 Z81 EpeA? ???STRV D8l9lSION ? 92.32 ?S 01 033'58"W Existing Trees "??g? 0 I LOT 7 7 #604 - 30" White Oak Save ?? - #805 - 14" Birch Save ROG ' aAT$/15/95 # #807 - 8" Cherry Save - (some limb damag ? `Sl?+ "?r T-CwLI ' #80& - 14" Elm Save r t o 3/ 15 / 95 i?reta ?acc (,?,L? #810 - S" Cherry Save ? --- -.- . -- -- - ? #811 - 8" Cherry Save #844 - 24" White Oak Remove - House pad (limb damage) #845 - 21" White Oak Remove - House pad d-" #846 - 22" White Oalz Remove - ^a-1 4aLl??T)oad '' #64 ^' -??- rd k . ? a - $848 - 9" Red Oak Remove - House pad #849 - 32" White Oak Save - (some limb damaqe) #850 - 23" White Oak Remove - House pad #851 - 10" Red Oak Remove - Dx-iveway #886 - 17" White Oak Save #888 - 25" White Oak - t?FT #974 - 18" White Oak Save #975 - 14" White Oak Save -(some limb damage) #976 - 10" Birch Save #977 - 6" 8irch Save fl978 - 10" Birch Remove - House pad 2422 Cnleipri?r Ih Mendolo Ileiqhls, MN 9S120 LWD SURYETORS • GM. ENCINCEPS (812) 861-1914 FAX:881-9488 -- - - - odz?? nn P.01 * PtONEER ? eng? te?ririg M ch 16, 1995 (Revised: 3/2.2/95 Civil Englnoem • l.arxl Pmnrwre • t.antl Surveyora • Lendscape Amhiteata per Gieqg Hove, City Farestez) Mr. Gregg Hove City o£ Eaqan 3830 Pilot Knob Road Bagan. Minnesota 55122 RE: Lot 10, BlocK 1, Roonep Addition (Lundgren Hrothers Construction) Daar Mr_ Hove: This letter is reqarding the status of siqni£icant trees that are present on Lot ip, Slock 1, Booney Addition. Duxi.ng a site visit on March 15,1945, the following siqnifiaant trees (as Iisted on the Rooney Addition Final Grading and Eros3on Control Plan dated 6/8/94) were located. Those significant trees are listeH below alonq with their selected status (to be saved or removed.) #804 - 30" White OaR Save (some limb aamage) #805 - 14" Birch Save #807 - 8" Cherry Save - (some l.i.mb damage) #808 - 19" Eim Save #?B^ '8u H'4 9 l R d G1951 [ - e e t evieve #810 - 8" Cherry Save 4811 - B" Cherry Save #844 - 24^ White Oak Remove - House pad #845 - 21" White Oak Remove - House pad #846 - 32" White - - Oak Remove -a - Aouse Pad 9F; -_ -?t-'=s'- ? p:}47 #848 - 4" Red Oak Remove ..,? _ ,= - House pad #844 - 32" Whi.te Oak Save - (eome limb damage) #956 - 23" White Oak Remove - House Dad #851 - 10" Red Oak Remove - Driveway ? QLM40! #886 - 17" Wriite Oak save 0888 - 25" White Oak Save #974 - 18" White Oak Save #975 - 14" White Oak Save - (some limb damage) #976 - 10" Birch Save #977 - 8" $irch Save #978 - 10" Birch Remove ^ House pad Note: Trees 1974 -#978 were not on the Final Gradinq and Erosion Control Plan dated 6/8194. pri"" t 3-1 s ?vr 2422 Enterprise Drive • Mendota Heighrs, Mlnnesota 66120 • 1812y 981-7974 - Fax 681-9486 625 Highway 10 PLE_ •&alne, Mlnnearna 55434 •(812) 783-1880 • Fex 783•1$$3 LODGQE11 BROS' EXTERIOR ENVELOPE AVERAGE U COMPUTATION CONSTRUCTION iNC L?-.h? LotGliBlock? Site Address ? ) R & U Factors Opaque Walls 935 E Wayzata 8bd Wall Framing Areas Wayzaia Minnesota55391 Ceiling Insluation Area (612)473-1231 Ceili ng Frami ng Area Rim Joist Masonry Wall Windows Doors Skylights R u .043 .09 .023 .027 .04 .469 .35 .31 .55 1) Lower Level (Basement) Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Exposed Block Window Area Sliding Glass Door Door Area 9 7& 2X (U) .043 ?,? at -- ?0 X (U) .09 2 = ?J - X (U) .04 = ? X (U) .132 7!O X (U) .35 = ??, ?O ---' X (U) .35 31 = - = X (U) . ?? ?2 Tatal LUnDGREn BROS' 2) First Or Main Floor CONSTRUCTION Total Exposed Wall Area INC Opaque Wall Area Wood Frame Area Rim Joist Window Area 935 E Wayzata Blvd wayza!a Sliding Glass Ooor Minnesota5539i DOOr Ared (612)473-1231 3) Second Floor If Two Story Total Exposed tJall Area Opaque Wall Area Wood Frame Area Window Area Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight ?x (U) .043 X (U) .09 X (U) .04 35 a (U) .35 = X (U) .35 = X (U) .31 = Tota l 8S? 9 1311 X (U) .043 x (u) 009 = ? X (U) .35 = ? ? 2 X (U) .35 -? X (U) .31 = Total ?Ov / l ?-- x (u) .027 _ /9?L 6 X (U) .023 = L?H, 7F? X (U) .55 = rotal SD,S ? . ` ??????E11 BROS. CONSTRUCTION ?/p?/ 11 = U!OX ll A ? J _.?G•4Z62 iNC MINNESOTA U FACTORS Total Exposed . rea / Wa . MINNESOTA U FACTORS Total Exposed Ceiling ?? /? 026 = JrCo 2? Area a (A) Total = Jr0 ??i ? 935 E Wayzata Ltlvd wayzara Item 1 7,4.2+-Item Item 3_d?,I/+ Item 4,SO, ?de? tvUnnesoia 55391 (612)473-1231 If Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With SBC 6006 (C)s , , , i„O L /D BL CITY USE ONLY RECEIPT #: ?? SUBD. DATE: 2I ?/ 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 whtin permits are required for each unit FIXTURES EACH ?Q Shower 3.00 x = Water Closet 3.00 x / - Bath Tub 3.00 x - Lavatory 3.00 x Kitchen Sink 3.00 x Laundry T'ay 3.00 x - Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c = Floor Drain 3.00 Gas Piping Outlet ' minimum -1 3.40 x = Rough Openings 1.50 :c = Water Soffener 5.00 x = Private Disposal ` Dakota Cty. license 65.00 (new and refurbished systems) ,4J.G.--Sprirlkler ` er const 3.00 = Alterations ` to extsting 20.00 = c• v? STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: a??" INSTALLER STREET ADDRESS:Z -720/' , ?00 f4UE 641 CITY: STATE: ZIP: PHONE #` (6f? g l= ,-??( SIGKA I UKE UP FERMI `\ OFFICE USE ONLY L , BL _ RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CI7Y OF EAGAN 3830 PIIOT lCNOB 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: f/? CONTRACT PRICE: ,•? T , - WORK TYPE: NEW DESCRIPTION OF WORK: ADD ON _ REPAIR IS WATER METER REQUIRED7 _ YES l NO. IF SO, PLEASE PROVIDE THE FOLIOVUING: WATER FLOW: GPM. ARE FLUSHQMETER:i TO BE INSTALLED7 _ YES FAILURE TO PROVIDE TH1S INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES (NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: ? TENANT NAME: OWNER NAM INSTALLER: STE. # ADDRESS: CITY: STAT . / //? ZIP: ?? / PHONE #: SIGNATURF: AP rLIC ? OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number. Date Issued: BuzLoxNG 028929 09/90/96 SITE ADDRESS: P.I.N.: 10-64560-100-01 DESCRIPTION: 4179 AMBERIEAF TR LOTe 10 BLOCK: 1 ROONEY Bu&ldTWg,F Permit Type PrG;i]ti;i::mg, `Wq,rk Type aEAe n:s 0 _., ?. A°' ? s 1,.vE v?'em .CB?? i ? ?$ R4N I BASEMENT FSNTSH ALTERATION 434 ALT. RESIDENTTAL 1ai: 71k l fi F:u?:? h8 4'4?? ^?Q i9 .r'??. ?? FS .i?° t r? REMqSF?CS?ATE PERMITS F2EQUIRED FOR ANY ELEC7RICAL tlR PLUMBING WOf2K FEE SUMMARY: Base Fee $50.00 SurcMarge $•5 m Total Fee $50.59 CONTRACTOR: - HpplicanL - 51. Lll.. [?{?/?pp HENJUM & ASSOC. STEVE J 14546199 0006065 LR'?'HENI%AYER JACK 4263 SUNRISE RD 4175 AMBERLEAF TR EAGAN MN 55122 EAGAN MN (612) 454-6199 (612)452-3196 F I hi?reby acskn;Qwlok :.thris.ap.p,k1trat ?bn a-r ? •: info-Hmatian"_ia 0.pr,,reqt a€iagi"ee? ?A csc?7npFy ?.za????'?ilu aqpl? Statu•tes 40 ,y/aFagafl ?rdz n a neas.?`;' L" -. .t r?/-,_.m.?,j. z. ?,/^`4 .ti..'? ?tate that ;th? 4345;tdte '6 a >wX?t:?(,?-1;1F?c;$;RW.?t?Y?n.'X,f:k+.'KM?XMi;:?'*Jp?ya k,l:k?*M?4;?R>g?"rkW.:*: r..TrY of kAr;nN cnS!iri-Ov S Ti:a;MrNN N;a. 30 tiA'i"., 09/30!96 7i.Ml?',. L..`'.,A3c0fi ?B „ NA t'i?-r 57F:vEPd ;i I-IFNJL?M 32tr:, 9001 4179 r,MOr:f,i..Enr 50.00 2155 9001. 079 AMt{f:it!_E:Ad (]„'ap 'rnC,:a I. f.rRr_ elp'I: Alnt)uY\i; ^ 50, 5f3 CF't(1i'7f:'.f (D Us;l=P .I.D: NAr+CY `?Y(,?'rN;'k'?Y.?rYnW.k'(YF?X1X'?yF.?Y'n'?F'N•>??:?%k?YF?F'.'f•YFn(?: t'd(Yl;? t'9F.16?9F CITY OF EAGAN S 0 3830 PILOT KNOB RD - 55122 ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? 681-4675 New Construdion Reoufremenls RemodeVReoair Renuirements (' ? 3 registered sRe surveys ? 2 cropies of plan ? 2 copies of plans (include beam d window elzes; paured fid. design; elc.) ? 2 site surveys (ezterior addRions & decks) ? 1 energy celculetions ? 1 energy calculations tor healed additions ? 9 capies ot tree preservation ptan M bf plaqed after 7/1/93 requlred: _ Ves No DATE: IqLP CONSTRUCTION COST: ?? DESCRIPTION OF WORK: STREET ADDRESS: LOT I ? BLOCK SUBD.lP.I.D. #: PROPER7Y Name: 'C ??t'fC '^ "°?" "M Y' Phone #: ?.52-31Cj'(p OwNER ue. Street Address• ` ? k?9 rne* ?? Tr-A I ? City: MAO A-A/ State: zip: 7-3 In1_?/? 6{ (Ctlq CONTRACTOR Company: v U, i1,1 U+t^ IL(?5qr1 ?Wr Phone #: Street Address: &e1 rl?F (?C License #: ?9065 City: State: RA/ Zip: 55 'es ARCHITECTI Company: .'SArYl2 Phone #: ENGINEER Name: Registration #: Street Address, City: State: Zip: Sewer 8 water licensed piumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have 2ad this application and state that the information is coryzL?ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. // „ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received ?vyi 6Pr-? U-4f `fm i ?- _ Yes _ No Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-piex 0 05 SF Misc. ? 10 = plex WORK TYPE 0 31 New .ef 33 Alterations n 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging 0*? 16 Basement Finish 0 12 Multi Repair/Rem. ? 17 Swim Pool 0 13 Garage/Accessory o 20 Public Facility 0 14 Fireplace ? 21 Miscellaneous 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq, ft. sq, ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building W3 Engineering Valuation: $ MC/WS System ? City Water Fire Sprinklered PRV Booster Pump Census Code. q?,i/_ SAC Code Census Bidg 1 Census Unit _0 Variance . „ . % 5AC SAC Units 1-10 GITY OF EAGAN 3830 PiloCKnob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4179 RM6ERLEAF TR LC17; 16 BLOCK: 1 ROONEY P.I.N.: 10-64560-100-01 DESCRlPTION: s,; - - eii -y : _TyI '_?x£i5 ea. ? "? o u' amNw?-'. m, Isiz? t?{ «? ???i; xw6''?'r € 1?`? ? vaia4 ?,€ -,°'° ?-+..?§ BUILDING 031862 04J27/98 REMARKS: A SEPARATE PERMI7 IS REQUTRED FOR ANY ELECTRICRL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: (GAZEBQ & DECK) Permit Type MISCELLANEOUS Ghr,k Type NEW ?•??;;,,a. 434 AL7. RESIDENTIRL VALUA7ION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: - Applicant - ST, LIC OWNER: GOETZ CON57 THOMAS 18519258 0003478 LACHENMAYER JACK 9030 117H AVE S 4179 AMBEftLEAF TR BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 852-9258 (612)452-3196 I her:eks? ?a'kr?ii+,? rS ? J a. a ---- - APPLICANT/PERMITEE SIGNA R oua A r1 I rnt? 'ISSUED Y: SIGNATTIR?- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT RNOB RD - 55122 681-4675 New ConsWetion Reauirelments RemodeVReaair ReouiremeMs ? 3 regiatered site surveys ? 2?pies of plans (include beam 8 window sizes; poured RM. design; etc.) ? 7 energy plwiatlonsi, ? 3 eopies ot tree praservation plan if IM plaCed after 717/83 reqwred: _Yes _ Nc DATE: ft.R? (L- [71 \gag ? 2 oopies of plan • 2 site aurveys (exterior add'Rions 8 deckS) ? 7 energy calalations for heated addilions CONSTRUCTION COST; IeI4,000 DESCRIPTION OF?WORK: _ PF-CK -t GAZtiT3o STREET ADDRESS: L-1?Z9 A?.rsc2 L? T?t? LOT: BLOCK: SUBD./P.I.D. kfftoa 1, Name:I-ACk4L rnwa ,0c2 SAc?. Phone #: 4/Sz- 3l9 Ca PROPERTY 1.est Fiat OWNER ? a Street Address: '`IIrI Y ??n.!,U2 L sG-E '}9L Ciry E4e, ,q.U State: AW. Zip: 61123 /4'357 Company: T c,s?+ s 61ofn (ac.57?2ucM v Phone k: 3?T742S?d CONTRACTOR Street Address: License # 317? City 3tate: Yk?l/ Zip: <,??2 O ARCHITECT/ ENGINEER Company: Phone Name: Street . Registration #: City' Sewer & water licensed piumber (new construction ony): and lot change is requested once permit is issued. 2ip: Penalty applies when address chang I hereby acknowledge that I have read lfiis application and state that the infarmation is correct and agree to compy 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 Plaii Received Yes No State: OFFICE USE ONLY BUILDING PERMfT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling q 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE -b-- 31 New ? 32 Addition ?.."lo ? .?; ,. ?• ,? ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous JBr 15 Deck c -12 Ft3o 0 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolkion GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq, ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building s+?3 MC/WS System ? City Water / Fire Sprinklered PRV Booster Pump Census Code. 4r3 -4 SAC Code 01 Census Bldg I Census Unit o Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 1 + nk SP?PC? 4 s ; f ' `% ? AC Unfts Valuation: ??IZGC?v l? $ S. cnoU, - f2 0U, r 3, y Nv. - 4 q ,("lo. ? P.02 2422 fnterprlso Drive X'* IAendota Heighf9, MN 55120 (612) 881-191* FNG881-9488 ** • -w-* 4t * Certific4te of Survey for: ",=n= LoT 11 139.(a1 P1?8°5g?Q7'W -- 47.8? ? ` ?rb ??, u9) u ? ?+8 ? p Y ?? . "'"DSG""` AfdiTt`"' 625 Highway 10 N.E. Bloine, MN 55434 1(612) 70--18e1D F,uc:783-Iaa; LUNDGREN BROS. CONST. 0 LQ7 12 179 BERL.EAF TftAIL G1 / '04°4e29"E 122.72 tA9060 $04°4Q'29"F- 121.11 1a, bl6 w? o ? --?sERViCE ? 7 IhN.=897.2 ? ? ^?. ffMM YAlK UY ? b'..ZO.g ?T y [uv?naa:??59 ? F ""? LQT 9 4 ? f'rtod1 nL S , r rcacc At `---??"? ?•?? s) 1-°N40, ?? W sS?Y%y.[ ?"4`_ x89s? ?' LOT 10 i? , x...J KWt=894.0 HWL•895.8 . ? ? ? ta-;O„ o? t A?b1 t_A7'?y '--, --- ? Je n.,LA o,40 I'o 110 k.a F 0 tA•r4-. 6 A4iT.? l..l t tn rv.,y,d C.c 6J tTu TtF L ? ('?fri.J ( #"' q,,) ra ti. k euAt.. LI A PO)Tld...I 104TC0 y'/ /Z?/ 9 ? A/ ;s?t ?•tr s f) :iit? ?. ? 8 dl ? 9232 S01 03958"W ? LOT 7 FROPO5t0 fitAOES SHOYM PUI GRADY+C PW1 8Y: MONEER EH41N¢InMc NOTE: BUM1nHQ 01AEH90NS SNOMN ApE FOR HOltlZONiAI AND 1fniIGV. LocAnpn OF SINIlC7UqES ONLY. 6FI MGIITC'ChJAL KApS FLM BUIIlMNO 111D FOUHDAhON DWENSION3 N01G CONlRAC7IXt AN151 Vl7ECY pPoVFNAY OE91CN. NOIE: NO SPMFIC SPLS MtS11CAOON HAS BEEN COMPlE1E0 ON 1NI5 LOT 8'! AE SURYCYOR. THE SUITABN7Y CF SqLS 10 SUPPORT THE SPECIf1C HOUSE PROPOSFD k$ NOT IME RESPONSEIUN OF THE SURYEYqt x ooa.m Denotes Exl7tin9 Elewtlon ( 000.00) Denotea Proposed Elewllon ..-. - , Oenotes Dra(noge dc Utility Eosement ? Denotes Orainoge Fbw plrec[lon t Denotes Monument --E3 - Qanoiea Otteet Hub -?IF N n "J Ar L-K-ov.T-- W By F ? pr ri.A?t'_ LAC:.A-IN' 1?P4Gli4LI:2tilItiG DEPT. TtIS GER1KItAK DOEq HOT PuRPOttl To sHpW fASELENTS OTHER n1AN iNqSE SHOWN ON THE RECIXtOtO VLAT. SCALE : 7 INCH - 40 FF£T BEARINGS yIOWJ ARp A$SU41E0 p?RH2U.?..LE???] QI?L towest f"loor Elevatlon: S-ZB• i 7op of Block Elevatlon: /rl 7e, Goraga Slob Hlewtien: 20519 Wp HEREpY CERIIFY TO LUNDGREN BROS. CONST. THA7 7HIS IS A'fRUE AND CORRfCT REPRESENTATION OF h SURVEY OF THE BOUNDARIES OF: LOT 10, BLOCK 1, ROONEY ADDITIQN pAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHRppCHMENTS, EXCF.PT AS SI1O15'N, AS SURYEYED BY ME OR UNDER MY OIftECT SUPERVISION 7HI$ 14TH pnY OF fEGaUAi2Y, 1095. BEVISEO HOUSE 3•17•95 ; 1 ' R£VISC S- 3a - ?f ' P r SICNfO: i f'I(X'lEER FNCINEF.RIN':. P.A ..._?._v.._.-__`.......__ - . T ' " . -- . w -Ib;? 111-11-95 fll tci`nI Pnri-? nI , k8c?c?Y?C?C?:%??CNt?:?y??:X?%<8t ?Y??k:Y. ?CS<? ?c?c?Ck?t?K:t?%t %?>kMX?a: %t>R C7:Ty nF F:FlC;AN CAaHTFkg S TEF:M7:iQAl.. NQ? 733 Y_161TE: 04i27/919 7It'lE: f.WO205 I Ii e NAMcc 71-!CIPtAS L GOETZ 300 9001 079 F§MREFit..EAF 93.75 205 9001 079 !1MBERLEAF 2.50 0 Tu`,al. Fierei.pt Amrnunkg 102„25 CRU30`;fi? USER ID: N61P!C:ti' RESIDENTIAL S? S?Cp a? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstruMion Reouiroments • 3 registered site surveys showirg sq. ft. of lot, sq. ft. af hause; and ii,I roofed areas ? (20% mazimum lot coverege allowed) • 2 copies of plan showingl heam & window sizes; poured found design, etc.) 'v • lsatofEnergyCalculations • 3 copies of Tree Preservation Plan if lot platted after 7l1193 • Rim Joist Detail Oplions sel tion sheet (61dgs with 3 or less units) ? DATE ?/I 1 6 C?' SITE AD TYPE OF J) `? TELEPHONE# `0(J51' /`?2 `-? STREET ADDRESS ' TELEPHONE # QSL? PROPERTY PHONE # ? FAX # q?"?5r COMPLETE FOR "NEW" RESI BUILDINGS ONLY Energy Code Category _ MINNESO"I'A RULr:S 7670 CA'I'EGORY 1 MINNESOTA RUI.N:S 7672 (d submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submllted Plumbing Contractor. Phone # ?,,: r? Plumbing system includcs: _ Water Softener _ Lawn Sprinkle'r0 r??" ? Fee: ? Water Heater No. of R.I. Ba?tki SEP 1 9 2002 No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditionir? Heat Recovery System I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of E?f Signature of ? OFFICE USE DRESS MULTI-FAMILY BLDG LY 0 WORK , FIREPLACE(3) _ 0_ 1_ 2 RemodeVReoair ReauiremeMs . 2 copies M plan • 1 set of EnergY Calculatlons for heated addNOns • lsitesurveyforentenoradditions8decks • Indicate if Iwme served 6y septic system for addNOns VALUATION NJI, ? ?? ?'°' Phone # .3L o as' Fee: information is correct, and agree? comply ,:------ . ., n A . 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 ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 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 (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 Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED IN5PECTIONS _ Footings (new bldg) _ FinaUC.O. _ Fooriugs (deck) FinaVNo C.O. _ Footings (addition) _ plumhing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Rebining Wall Approved 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 Total Building Inspector øíø ð þýüýû ÿþüþü ûÿÿ úù ðÿ êáê ÿ ø úùø ÷ÿÿç ýÿå ÿ ö ø ÷ÿõÿ ÿ ÷ç ýÿå ÿ Ùÿ ÿüý üÿÿ ý÷ÿ ñ ÿë ÿñÿ îùÿ ÿÿôý ÿ ûúýÿþÿ ý ÷ÿ ûæíã ááá ôþ ÿ ñçÿÿæðÿ÷ýÿñÿ ãâèèá ÷û ú îý üÿçàÿâèíèí öõ øôó ÷÷ý üÿ ÿïýî ýîÿñý ÿ õÿßÿúáíñùÿ ÿýòø ßÿôõþýüýôõáí æíãáê îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ Use BLUE or BLACK Ink F----------------- I For Office tJs(e~ I Permit ) D O Clty of Eap ; Permit Fee. ; 3830 Pilot Knob Road I / I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 ; Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/12/13 Site Address: 4179 AMBERLEAF TRL Unit g Name: JOHN R & KATHRYN I LACHENMAYER Phone: 651-452-3196 Resident/ I 4179 AMBERLEAF TRL, Eagan MN Owner Address / City / Zip: Applicant is: Owner X Contractor Type of Work description of work: Re-roof I Construction Cost: $1 1,350.00 Multi-Family Building: (Yes / No X 1 Select Evergreen Jim Company: Contact: Contractor l Address: 1200 Centre Point Curve STE 200 City: Mendota Heights ; State: MN Zip: 55120 Phone: 612-290-5230 BC20547260 22743-1 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. 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.oooherstateonecall.oro 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code be completed within 180 days of permit issuance. James Wiles x x Applicant's Printed Name n Signature Page 1 of 3 4AN 3830 PILOT KNOB ROAD. EAGAN,, MN 55122-18.10 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX; (651)675-5694 .bulldinginspecllonsPcityofeaaan com For Office. Use Permit #;. ✓ I I I I � I Permll Fee:4 I l I �1 _ate Received: I I I Staff: i DEC 0 4 ?0i-------------- - 201 RESIDENTIAL PLUMBING PERMIT APPLICATION 1111 r Date: .r Site Address: Tenant: ey fokw , ..^ w l Suite #: u�i ^f�U 1rr,`t+ '_ �. S.k 1 Name: 1..1� ( Address / City / ZID: Name: MILBERT COMPANY dba CULI_IGAN tA/ATrp Address: 1801 50TH STREET EAST State; MN . Zip; 55077 no: ,n License #; VVC641376 City; INVER GROVE HEIGHTS :Phone; 651-451-2241 Contact; BILL MILBERT Email:loria,abas@culligan4water.com New Replacement Repair Rebuild Modify Space _ Work In. R•.O.W, Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New _X Water Softener Add Plumbing Fixtures (_._ Main./ _ Lower Level) Water Turnaround Abandonment l RESIDENTIAL FEES: $60,00 Water Heater, Water Softener, or Water Heater and Softener (Includes Sta.te:Surcharge) $60,00 Lawn Irr.igatlon (Includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes State .Surcharge) 'Water Turnaround (add $280,00 If a 3/4" meter Is required) G $115..00 Septic System New (Includes County fee and State Surcharge) TOTAL FEES .$ 6 0.00 �C_ALL BEFORE YOU DIG, Call Gopher SfatQ One Call al (651) 454-0002 for protection against underground utllily da� r7iags, Call 4-8 h vara be'(re you Intend to dig to receive locates of underground utilities, www,goi)herstatconecall orn o You may.subscrlbe to recolve an electronic notification from the City of proposed ordlnances by signing up fo.r an email update on the city's websito at www,cilyofeagan comisubscribe, I horeby acknowledge that this Fnformatioo is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cit of Eagan; that I understand this Is not a permit, bu only 80 appllcallon for a permit, and work Is not to start without a permll; that the work will be In accordance with the�tl proved plan In the case of w rk whl roquires a rovle�v and approval of p n , x ' aM ) Appllcant's Printed Name x PERMIT City of Eagan Permit Type:Building Permit Number:EA177040 Date Issued:06/13/2022 Permit Category:ePermit Site Address: 4179 Amberleaf Tr Lot:10 Block: 1 Addition: Rooney PID:10-64560-01-100 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Justin Hoover 4179 Amberleaf Trl Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature