3991 Amethyst Lane. ?
Brigettas
No sever conneation or permit ie required on 11-4-59
therefore there is a oredit of j207,50. This is on
Cedar Grave Utilities. The other vacant lote on Gedar
Grove vtilities aree Lota 12,131,14 & 15 3n Block 4, C.G. 5
and these will not require either connection or permit
ehargee but will require building permit8 of course.
If you have any questionsl please aa11.
Alyce
Lt
?
,-
EAGAN TOWNSHIP
BUILDING PERMIT
owne: ..l,?L?t?-Rti ,e?G4-?-?:=r.c •
.......
Address (P:esent) ..--?-----........................... ---•
Builder ....................................... -.................. ........................ •-.--......._.
Address ................ ................. -....................... .....................................
DESCRIPTION
N° 1823
Eagan Township
Town Hall
Date ........................
5iories To Be LTsed For Fron3 Depth Heighi Est. Cosi Permit Fee Remarks
ir
LOCATION
Sireei. Road or other Descripiion of Location i Lot Block Addifion or TracY
Thia germit does not authoriae the use of streets, roads, alleps or sidewalks nor does it give the owner or his aqent
the righ3 !o create anp situa2ion which is a nuisance or which presenis a hazard Yo the healih, safety, conveaience and
geaeral weliare !o anyone in the communi2y.
THIS PERMIT MUST BE KEP ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to ceriify. lhat....l:-:._ ? :..?4:x?:?.•••----•-----••••-------.has permission io ereci a.--••• ?••..? •°---:E.'F --•••...._....upon
the above described premise subject to the provisions oi the Building Ordinance for Eagan T:?nship ado ted April 11,
1955. J
-
•••- - • /???.?. _?• „ •----••--..._......•--. Per ------ ---••...•-.J?. ; :•`:`-----•••? =Y.
•c-••------...-••••-•-
-• ••. ... _:•• •••--• ....................•--•-•••-•--...•---....
Cha? man o .........
f---.--•- Town Board Building Inspecior
c: ,6
,
EAGAN TDWNSflIP
3795 Pilot Kxiob Road
St. Paul, Minnesota 55111
Teleghone 454-5242
PERMIT FOR SWER SERVICB CO1VNECTxON
DATE:
?- ---?--
OWNEFt
PLUMBER ' r
AESCRIPTION OF BUILUING
Industrial` Commaerciall Residential j Niultipie Dwelling I No. of units
Location of Connections:
Street Repafrs
ToCa 1 7. Inspected by:
Date
Remarks:
A'UA4B^R ,? c '5-
Address / 3-3 i q? y?u.vlt •-? y ?fLt?? ?.
?. .a
TYPE OF PIPE
Conaection Charge .2 --> a• n? p`?
x,-?' ? r
PermiC Fee ''
By ?r...
Ghief YnspecCor
In consi.deration of the issue aiui delivery to me of the above permit, I
hereby agree to do the proposed work in accordanee with the rules aucl
regulations of Eagan ToiJnship, Dalcota Courlty, 14innesata
gy Jk'?' J",-Ue-
--
Z
Please notify when ready for inspectian and coanecCion ani before aay portion
of the work is covered.
CITY OF EAGAN Remarks * Cldar Grave Acauisition
Addition, C!lRnAR G`RUVE 05 Lot 1 Blk S Parcel 111 11670+1 Qln 65
Owner /11'/Lj%? Street 3991 Amethvst Lane State Eagan, N'N 55122
-7 1/1 t2/
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 2
1967 ?.
00. DO •
5.00
20
P2t1C1
SEWER LATERAL 196 525.00 26.20 20 P j.
WATERMAIN
* WATER LATERAL ? 1972 607.00 24.25 25
WATER AREA
STORM SEW TRK -7 1970 70.00 3.50 20 +u.?, !
STORM SEW I.AT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 835
-
-.7-8 68
PARK
If
?
_ ciiy of eagan
TO: D1ANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 239 1993
MEMO
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
Block 3, Lots 1-11 11
Block 4, Lots 1-16 16
Block 5, Lots 1-25 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 2
Block 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 1,5_
208
The City is currentiy being bilied by Dakota Electric for streetlighting in the above tisted
subdivision.
Edward J. rsc t
Sr. Engineering Technician
cc: Mike Foertsch
:,
EJK/je
PERMIT # `? V U U 3
RECEIPT DATE: - - ')?
8002 RUIDENTIAL PL[TbI$1NG f'MM1T AMLiCA'110N
cWoFEAsAN
3830 PaoT xxos ltn
E11eAA. MN $51 Es
651-661-4675
Please compiete for:
SITE ADDRESS:
OWNER NAME: :
single family dwellings, townhomes and condos when permits are required for
backflow preventer for irrlgation system
?
o ? 9 ? D dM
MAY 0 6 2002
p;t. S ?
TELEPHONE #: 6 0 TOJ w /t)2a
(AREA CODE)
INSTALLER NAME: N 0 rlOI d Y1r1 ` 1UXWA61 !?6 TELEPHONE #: 4033
STREET ADDRESS: za d,5 (Zlarf ctd AvtAyf,e- 'fjQ wvtj (AREA CODE)
CITY: AAp tS. STATE: M? Zlp; 5SI40$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.40
includes $40.00 County fee
Note: Additfonal consultant fees may apply .
y'
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and waier heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installatioNrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditionaL• _ water softener ? er heater $ 15.00
State Surcharge D $ .50
MAY _
Total $ I $ .s0I hereby acknowledge that I have read this appli d n, state that the informaUon is correct, and agree to comply with all appNcable City of Eapan otdinances. It
Is the applicent's responslbility to nodfy the property owner that the City of Eagan assumes no liabiliy for any damages caused by the Cily during its normai
operetional and maintenance activities to the facilities constructed under this pertnit within City propertylright-of-way/easement.
SIGNATU F PERMITTEE 1l02
4vjr e-'-'
2006 RESIDENTIAL BUILDING PExNtiT APPLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVuc6on Reauirements Remodel/Repair Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas 2 copies of plan showing footings, 6eams, joists
(20°k maximum lot coverage allowed) 1 set of Energy Calculatlons for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & dedcs
1 set of Energy Calculations Addition - indicate i/on-site septre system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
(Nfice Wse Oniv
Cedof SurveyRecd _ Y _ W
Tree Pres Plen Recd _ Y_ N.
Tree Pres Required Y_ N
Oo-site Septic Syslem ? YN
-1F (P - lA 01JCJ? - C? w
Date v aJ
Construction Cost
Site Address t UnitlSte #
S1?
Description of Work S7'Gf' , f f J'L(' C4, 2a,5'6y-) ropYY7
Multi-Family Bldg _ Y?(N Fireplace(s) ev0 _ 1 _ 2
Property Owner FQ s 5lcry) Telephone # ( (v5 l) Wg" 23 q 5
Cuntractor oyy11
Address City rxQ y)
State ? Zip S 5 f ? / Telephone # ((QS /
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
(4 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 plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
perrnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
c1 a n?,?-??e.ma.c.???- o
>Applicant's s Printed Name Applicant's Signature ,1 2006
?
?,
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
0 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex
0 20 Pool
*P 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demalish Interior ? 44 5iding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bldg) - Give PCA handout to applicant
D@SCI'IptlOtl: Water Damage Yes
Valuation ? floO-o,Q Occupancy ?-? MCESSystem
Plan Review 100% or 25%
Census Code
Zoning ?.
City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length 12 Fire Sprinklered
Type of Const y 13 Width 15-
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) Final/C.O.
,)Q Footings (addition) fa!3'( 10 FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Ice & Water
Roof $ )'° Final Pool Ftgs Air/Gas Tests Final
-
? Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_
_ Insulation / _ -c Retaining Wall
Approved By: UPIPI
ing Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I S K IZ?'C*^.0 0 200,00
I r •
•
0
E1IEVit
BY
C) ATE: ?tC?(o(o
BurLDING 1rdSPECTI&NS DMS1aN
??-?- ANDI-I
3e/cI l flOV?Hys7" CANt;
N, N)N
q2I
3y'
'f5 -
qRr
\_ J
F.eMCe'
?Mt--T,qysr LAA E
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105833
Date Issued: 08/01/2012
Permit Category: ePermit
Site Address: 3991 Amethyst Lane
Lot: 1 Block: 5 Addition: Cedar Grove 5th
PID: 10-16704-05-010
Use:
Description:
Sub Type: e-Reroof, Siding & Windows/Doors
Construction Type:
Work Type: Reroof, Siding, Windows/doors
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
BL - Base Fee $12K $221.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $12K $6.00 9001.2195
Valuation: 27,424.00
Total:
$227.25
Contractor: Owner:
- Applicant -
Capital Siding & Windows Andrew J Fossum
9673 Wynstone Dr 3991 Amethyst Lane
Woodbury MN 55125 Eagan MN 55122
(651) 578-9205
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112548
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 3991 Amethyst Lane
Lot:1 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
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 -
Andrew J Fossum
3991 Amethyst Lane
Eagan MN 55122
(651) 229-1386
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112661
Date Issued:08/21/2013
Permit Category:ePermit
Site Address: 3991 Amethyst Lane
Lot:1 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Moore
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew J Fossum
3991 Amethyst Lane
Eagan MN 55122
(651) 351-2922
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature