4123 Diamond DrBUILDING PERMIT
Site
37" Pilot Knob Road Eagan, MN 55122 7719! 5
PHONE: 454-8100
Receipt #
Lot Block Sec/Sub.
Parcel #
a Name
W
Address 7" t t
Name C 2f ing b
,o
uU Address t:?h LBtAte'tS
Nome _
Address
I hereby acknowledge that I hove 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.
Erect ? Occupancy
Alter Q Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move p # Stories
Demolish ? Length
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment Permit
Water & Sew. Surcharge
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition thnt
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sawer
E lectric
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Final Pibg.
Final HVAC
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
3AN Remarks * Cedar Grove Acquisition
AR GROVE # 1 Lot 13 Rlk 3 Parcel 10 16700 130 03
treet 4123 Diamnnd Drive State_ Pagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 8&S 1984 1266.95 84.46 15 1266.95 0009314 8-17-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL ( (f if 1972 1,304.00 52.16 25 P
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC (r(
PARK
CITY OF EAGAN
v 7795 Pilot Knob Road Eagan, MH 55122 N9 7735
PHONES 454-8100
?
BUILDING PERMI P Receipt #
To be used for REROOFING Est. Value $1,300 riot, December 17 1992
Site Address 4123 Diamond Drive E
t
O
rec
? ccupancy
13
Lot 3
Block Sec/Sub. Cedar Grove 1st Alter ga Zoning
Parcel # 10 16700 130 03 Repair ? Fire Zone
E
nlarge ? Type of Const.
W Name A.P. Theisen Co. Move ? # Stories
Address 7668 150th St. W. Demolish ? Length
b C; Ap ple Valley Phone 432-0000 Grode ? Depth -Sq. Ft.-
Name Roberts Roofing & Remodeling Approvals fees
Address 164 Rambush Estates
H r:... R"VnYV411 o nL___ Rq
Name _
Address
I hereby acknowledge that I hove 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.
Signature of Pennittee
A Building Permit Is issued to: Robert rs Ro fing &
all work shall be done in accordance with all opplica64p_Stote of /
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit
Surcharge 1.00
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total $23.00
_ on the express condition that
City of Eagan Ordinances.
Building Official
EAGAN TOWNSHIP No 407
r, /OUILDING PERMIT
Owner -/ ............ _. - ........... :.:.......... . Eagan Township
/
Address (preseai4. ? ..f ..._.... ..... ..?. - ------.--- Town Hall
Builder ----------- .---------- GE'rL---------------- .-- -------------- --------- --- Date Ilk" i /.. J .:.-- ----------
Address ----------- ------ ----------- ------ ----------------- --
.DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cosy Permit Fee Remarks
49T3
or
LOCATION
Addition or Tract
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a 'hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BEXPT7 TFIF?P?R??E/`I??vIISE WHILE THE WORK IS IN PROGRESS
This is to certify. th fe "?J?ft? . .-....._..-hes permission to erect :.-?,?/?[c.'Cdye;±?-,sr.cQ..-_-_ .--.upon
the abode described pre is _Uht" --to the ?rovisiors of the Building Ordinance for Eagan Township adopted Anril 11,
195
1
..--- °- --.. . ! Per _....-....,-
Chaiaman o T oard Building Inspector
EAGAN TOWNSHIP
,{Q ?BUILDING PERMIT
Owner _L4S-SH.^-X1,4//.. _--?V?-,--,.,,,/6!.1,f7.-..""`.?......------------
Address (present) ..41 °?.....a1%. .-sue rr.?r.- .._ .!...._
Builder ._...-.114 -!---- ' -.-.------ . _.
Address ..... ............... .. --------- ---_-...
N° 861
Eagan Township
Town Hall
?_,-,! -6 z,
Date ...°------------ -...--
Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fee Remarks
(/ LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
{ J?
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE JXEP/T 01* THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, lha1..(!11'.?1V?. ......................has permission to erect a.._........_ .............. __....... -------------------- upon
the above described premise subject to the provisions of the Building Ordinance for E43
an Township adopted April 11,
1955.
.------ .-":-'.'_..--''---- .................... Per
--°-----' --------------------- ......-----------
Chairman of Tnwn Board Building Inspector
'1-7 a-4
P -77 CITY OF EAGAN Include 2 sets of plans,
???(((//J 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For Keroo Valuation 4 200 Date
Site Address: lla3 V PI tV £- T OFFICE USE ONLY
Lot 13 Block 3 Sec. /Sub.CEAa d- G rvu L - grect Occupancy _
Parcel #: /y 1 (? -10 D /3 O 0 Alter -?- Zoning
Repair Fire Zone
Owner: d
o' &; Sa a
Enlarge _
Type of Const.
. Move # Stories
Address: iG i??7Z Sr i_ Demolish Front ft.
City/Zip Code: /y: ?v ;,-444-y h„ x?2c, Grade _
Depth ft.
Phone #:
Contractor: ;TC ;l?,c ??c •r .,?r/-r',,,;
Address: -
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code:
Phone #:
APPROVALS FEES _
0
O
Assessments Permit ,l2 r
Water/Sewer Surcharge /
Police Plan Check
Fire SAC _
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off./ _
APC
'TOTAL ?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)j'
j Q 1 CITY OF EAGAN
3830 PILOT KNOB RD B RD - 45122 7,5
(J
651-681-4675
menh
New Construction Reauiremenls ( .71, - I LJ ??? Remodel/Repair Reaulre
3 registered site surveys showing sq. ft. of lot, sq. ft. of house .7 2 copies of plan
and g0 roofed areas (20% maximum lot coverage allowedf 1 set of energy calculations for heated additions
n 2 copies of plans (glow beam & window sizes; poured Ind. design; etc.) t site survey for exterior additions 8 decks
1 set of energy calculations
a S copies of Irae preservation plan It lot plaited after 7/1/93
DATE: - /t -C'U CONSTRUCTION COST: LI ??3i
DESCRIPTION OF WORK:
e
STREETADDRESS: I I ?3 ??Q rnoncl b?
LOT: BLOCK: 3 SUBD./P.I.D. #: CA_fl? C? v C Y U.,`-tom
Name: to r,.bh pebble 9 &rl Phone tt:
PROPERTY Last First
OWNER Wla? Diamond Sheet Address:
Dr-
city CA QQ V State: Yy V1 Zip:
Company SELA ROOFINV & R>, iu0 r WG' j ,, Phone #: qQ e6;, S- 9-0'-/6
4100 EXCELSIOR BLVD. (area code)
CONTRACTOR ST. LOUIS PARK, MN 55416
Sheet Address: m fennrn050 License # Lo 6 Exp. R-&eh kzI
City
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Zip:
Sheet Address: Registration #: _
city State: Zip:
Sewer/water licensed plumber (if Installing] sewer/water): Phone #:
1 hereby acknowledge that I have read this application, state that the Brfommation TIL: ecn gree to comply with oil applicable State
of Minnesota Statutes and City of Eagan Ordinances.
r
Signature of Applicant
Certificates of Survey Received
Tree Preservation Plan Received _.
OFFICE USE ONLY
Yes No
Yes No Not Required
1 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Reouirements
3 registered side surveys showing sq. it. of lot, sq. it of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window saes; poured found design, etc.
1 set of Enemy calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detd options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
1 set of Enemy calculations for heated additions
1 site survey for addictions & decks
Addtiion - indicate if on-sde septic system
Date --7-!
Site Address
1 Construction Cost
6F Unit/Ste #
Description of Work Fi?8k ?B NR11T
Multi-Family Bldg _ Y X. N Fireplace(s) _ 0 X 1 _ 2
Property Owner 'O
iSPi `d" /
6004, /?/? / V k jmA- Telephone # (?S?) & o -57,,6 4
Contractor 4 &f
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential ventilation Category 1 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 r- - Telephone #
,l
Mechanical Contractor r Telephone #
f:? ? ?UOc i
'j
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicants Printed Name Ao licans Signature
4-70
Dffoe UUse?ohly
GertofSuiveys$eEHy='^:? z?"?'Y'°'?Fl
TieeRgsFWAOdd1, ==`-_= fit,
De ,P25 yam:-;,,
On?ite;5eptib',Sys16gi"=?;s -_ ?.-"N
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Dock ? 23 Porch (screen/gazebo) ' ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous -
Work Types Pi-o w Ol3YJ 9 rAiUvLY? SjTW6
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
11[ 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - G ive PCA handout to applicant
Description: 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
REQUIRED INSPECTIONS
- Footings (new bldg) Sheetrock
- Footings (deck) _ Final/C.O.
_ Footings (addition) _
X FinaUNo C.O.
_ Foundation HVAC
- Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
Framing Siding
Stucco Lath
Stone Lath
Brick
?
G Fireplace RI. - _
Air Test ('Final _ _
_
-
Windows
y
7-' Insulation w o 0;0 g OfINrVir' _ Retaining Wall
Approved By: Building 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
//L ?3 /f ZO c?
qz I bh 2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: pI JCPfYI I as) D= 1( ?? bLunih9 ?OV2
Description of Work: Construct new fireplace _Gas Masonry _
Install pas insert only
Other
T6a50
Alterations to existing
- Install gas line onfv
Job address: ?'f I bl°j _ll1 C1 lCi JV (V2 Y (D Q Qr? 5 S 1 a/`of /(PdQr C7YO?fe
Lot: 13 Block: 3- Subdivision/P.I.D. CfaQr Gravy
Applicant (circle one only): Owner Contractor Permit Fee. $60.50
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: L(QY--,ot'1 '1Chard -Pho kh Phone#:
Last First
Street Address: 1-1133 l I a rron d by 1 Vk
city B O G C1 n State: rf- Zip: JCS 1 a a
Company: [-A
Street
City
State:
Company: ? A
GAS LINE
INSTALLER Street
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota IStaes and City f Eagan Ordinances.
?CUSO?t 7
Signature
Phone #:
(area code)
Zip:
Phone #:
(area code)
PERMIT# U 7 5'
RECEIPT DATE:
8008 RUID£NTIAL PLUMBING PERMIT
CITY OF FAGM
3630 PILOT KNOB RD
£AGAN, MN 551 E8
851-881-4875
Please complete for:
SITE ADDRESS:
1? R ? 0T t
?? JAN 2 8 2002
OWNERNAME:: ?IChard LQYSUYI TELEPHONE#: ?P51"(,$I-Ofa63
(AREA CODE)
INSTALLER NAME: '?R1 f har d LO?r 5a n TELEPHONE #: 6' 51- (D 81 " o663
/ I (AREA CODE)
STREET ADDRESS: ?f I o? ?I Uhflbnc? _DY? ?! A
CITY: F aqr n STATE: 1Yl Q ZIP: 'CT: 51a0`
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
Includes $40.00 County fee
Note: Additional consultant fees may apply
MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
t
t
h
ft
d $ 00
50
er
ea
ers.
wa
eners an
Adding fixtures to lower leygls or room additions, excluding water so .
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $ ,S0,50
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes o liability for any dar4ages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit (hip ity prsp rtylright-q -way/easement.
rsoxJ
SIGNATURE OF PERMITTEE 1102
single family dwellings, townhomes and condos when permits are required for
backflow preventer for irrigation system
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA122036
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 4123 Diamond Dr
Lot:13 Block: 3 Addition: Cedar Grove 1st
PID:10-16700-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Phillip D White
4123 Diamond Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129940
Date Issued:03/25/2015
Permit Category:ePermit
Site Address: 4123 Diamond Dr
Lot:13 Block: 3 Addition: Cedar Grove 1st
PID:10-16700-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Phillip D White
4123 Diamond Dr
Eagan MN 55122
(651) 249-7265
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature