4267 Diamond Dr
EAGAN TOWNSHIP
BUILDING PERMIT
Address (preset il???.zJ---Z._.. J? -i
Builder .___......---. .
Address .... ._ -..............................
..
N° 614
Eagan Township
Town Hall
Dar/??
Stories To Be Used For Front Depth Height Est. Coa! ermit Fee Remarks
10
LOCATION
••r••?•• Lox z1ock Addition or Tract
A"t
This permit does not authorize the use of streets, roads, alleys r 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, safely, convenience and
general welfare to anyone, in the community.
THIS PERMIT MUST T TH REWASE W/gC ILE THE WORK IS IN PRO E?S($?
This is to cesfify,. th has permission to ere _
ct ..._._._uPon
theabove described P;, ise subject to the provisions of the Bui 'ng, rdinance Moions adopted April 11,
1955
...... ........ Per ___... .' ..................
._..
Chairman of Town Board ?
EAGAN TOWNSHIP
BUILDING PERMIT N° 1741
Owner ........... ............ ...... .. ... ..............'... Eagan Township
Address (present) ... .0.-. 7........?tr..- -.- :...:z...... .. ? Town Hall
Builder ........ . .' ..------------------------------ ....-------- ----------- .---- .... Dale . .................
Address ----------------- .............................-'-----.......................................
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permi! Fee Remarks
// v LOCATION
or
/.)-18 1 C/,-,b a.
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 BEPT/,OWN THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that..--C? ....1/?...--?.........:'-....................has permission to erect a....-.-. ......... .. upon
the above described premise subject to the provisions of the Building Ordinance for gan To ship adopted April 11,
/J ? ?
1955.
..61.x".-4-y......
-....._... Per --'-----....... 45-......
Chairm of Tnwn, Board Building Inspector
Q
Site
..:0
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
RECEIPT #
DATE:
6-27-88
BLDG. TYPE WORK DESCRIPTION
Address jU--KJ? a u ?,
City E:ayari
Name JiCk hui.3
a Address 426' Diafauiiu Dc.
O City Layan Phone 454-1iS8
TYPE OF WORK
Forced Air i , M BTU
Boiler M BTU
Air Cond.
Vent.
Gas Piping Outlets #
Other
2 rru M BTU
CFM
FEE:
S/C:
TOTAL:
Res. x New
A
Mull Add-on
Comm. Rgpair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) j
12.OU
SIGN F P I E
FOR: ITY OF EAGAN
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: o 'j
' f
(612) 681-4675
SITE ADDRESS: APPLICANT:
ri ;r fits i i .i.
PERMIT SUBTYPE:
L
TYPE OF WORK:
R F P A I I
HVt .r fl I P f 111N 10-1, 0(+1 11; 1 ofrM OAMArrl
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks Cedar Grove Acquisition
Addition pp?? Cedar Grove #2 _ Lot 12 Rik 8 Parcel 10 16701 1,20 08
Owner l:'??' treat 11267 Diamond Dr. State Fa.cran,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 88 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 060 1972 1304,00 52.16 25 1 Pal d
WATERMAIN
WATER LATERAL 1272
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellRepair Requirements office lka Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cer[ot5urvey Recd - _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd ! _Y _N:
2 copies of plan showing beam & window sizes; poured found design, elc. 1 site survey for additions & decks Tree Pres Regmred N
l set of Energy Calculations Addition - indicate if on-site septic system on-..91WRptie 501em
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Date I A /
C
es Construction Cost
^
Site Ad-dre
ss-- 4 a t0 / e.,(JLtirlt%9M kkU / Unit/Ste #
Description of Work f['? /YK C 1 )
Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 _ 2
Property Owner ??L`1Qlfr ?ta g?'{'J, lJl?PII? Telephone # (65,/
t
Contractor
Address 414 6
State City
Zip J1J? (J Telephone #'6p. 'Lt0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 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
N? 11o '
Have you previously constructed a building in Eagan with a similar plan? _ Y - N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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
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.
Applicant's rintedName Applican' Si ature DEC 22 77 9005 UD
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
X76 cr°
New Construction Requirements Remodel/Repair Requirements Office Use OnN
3 registered site surveys showing sq. It of lot, sq. It of house; and all roofed areas 2 copies of plan _ Cad of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design. etc. 1 site survey for additions & decks Tree Pres Not Regd
1 set of Energy Calculations Addition - indicate it on-site septic system - On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date
Site Address Construction Costal
UniUSte #
Description of Work Gf/Y
Multi-Family Bldg _ Y Yzi_ Fireplace(s) 0 _ 1 _ 2
Property Owner /
Y- // /A
J? Telephone # (Lf ?/j
Contractor
Address
State / Cityke5lt
Zip,!??4/&-? Telephone #V14__2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 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
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
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. i''1 R
if IW&Lt 1
Applicant's Printed Name Applicant's Signature
L
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 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 Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 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) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
- Footings (deck) Final/No C.O.
- Footings (addition) _ Plumbing
- Foundation HVAC
- Drain Tile _ Other
Roof - Ice & Water _ F inal - Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing - Siding _ Stucco
Stone
Fireplace _ R.I. -Air Test - Final - _
Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
12- 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jost Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel[Reoair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate ff on-sife septic system
4 --]C) oD
Office Use OnN
Cart of Survey Recd _Y _N
Soils Report _Y _N
Tree Pres Plan Reed -Y -N.
Tree Pres Required _Y _N
On-site Septic System - _Y _N
Date 6 / /411"/
Site Address
/? rfl Construction Cost
m w D?,,.?e Unit/Ste #
Description of Work 1 9C,SP1'17per S aKSS
Multi-Family Bldg - Y X N Fireplace(s) 0 2
Property Owner S4 ?VC<US Telephone N
Contractor O
!7C/wP
P--
Address
State 14 /I/ so city
Zip Telephone # g,2v1'-1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 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
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
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
ap val of plans.
r -1v
? lel 2
Appli is Printed Name
Applicant's Si afore
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 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
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage _ Yes
Valuation 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
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace R.I. -Air Test -Final
Insulation
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
Final/No C.O.
_ I VAC
Other
Pool _ Figs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
a-9
-3
?q?qz
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Requirements RemodeVReoair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. it. of house; and all roofed areas 2 copies of plan _ Cart of Survey Reed
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam ii window sizes; poured found design, etc. I site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate f on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan d lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
D 7
C
' S G
ate /
h
-
e t
.
Construction Cost
l
) 14 y
Site Address / i UnitlSte #
ya6? p;dwtgnc{ br
Description of Work
Multi-Family Bldg _ Y l?LV Fireplace(s) _ 0 - 1 - 2
Property Owner Telephone # 6U455 b
Contractor
Address Cit
State Zip Telephone # ) > 0
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateaorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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
permit; that the work will be in accordance with the approved plan in the case of work rni rec a rear d
approval of plans.
-Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
- Fireplace - R.I. - Air Test - Final
Insulation
Width
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Building Inspector
17 4//
L 6 x G
ZZ /
d
5
SC >/n
?k?Yr-
i /
PERMIT
CIT! OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16701-120-08
PERMIT TYPE: BUILDING
Permit Number: 032959
Date Issued: 0 8 / 19 / 9 8
4267 DIAMOND DR
LOT, 12 BLOCK: 8
CEDAR GROVE #2
DESCRIPTION: REROOF/STORM DAMAGE
Buis nvPermit Type STORM DAMAGE
Byxlidang°o rk Type REPAIR
errsus Cdde434 ALT. RESIDENTIAL
Al m
n'
gainm gi iv+ iii i-F -? r ate
.t 3JJ tm nF hi. M :w
s '„yam psi 41 r 3
REMARKS:
FEE SUMMARY.
fCLTC'7?TmFZN'G _ npplicanc - z) i. LIL. (?W?J?
18950040 20139140 BZJL1"HURIS DICK
1444 CLIFF RD E 4267 DIAMOND DR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 895-0040 (651)454-1758
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 L1261-1
681.4675
New Construction Requirements Remodet(Reoair Requirements _
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: 2 / CONSTRUCTION COST; 10
_?' ??cJT r °J? blZjYl .rta?2
IP NOFWORK:
DES :TADDRESS:
J 9? n e
STR I
2 ?
LOT: a BLOCK: ?C)
SUBD.IP.LD. #:
Name: V (? U 99 _ Phone #: 1 77 O
PROPERTY Last First
OWNER l ? ?7
Street Address: -14 zCo 1 D o_xyno r2 - D to 1 ?j
City (_t ac n State: I I l I y zip: `--'5I
z 41E-C D Y; ?rl?t Phone #: O J- 6 V 7D
CONTRACTOR Street Address: / T q-7 ?&E ILI W License # ZD Lr?Q dy?
City 0 E f) >E! n 6 y, I l ? State: M(u Zip: 66 c5?3 7
ARCHITECT/
ENGINEER Company:
Street
City
Phone #:
Registration #: -
State: Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes - No
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 - plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
USC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 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
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
M
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCMIS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124969
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 4267 Diamond Dr
Lot:12 Block: 8 Addition: Cedar Grove 2nd
PID:10-16701-08-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Beth Chu
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 -
Dawn E Stevens
4267 Diamond Dr
Eagan MN 55122
Cvc Construction Llc
9722 78th St S
Cottage Grove MN 55016
(612) 685-5765
Applicant/Permitee: Signature Issued By: Signature
.. . . .. . .. .. ' �y � _ .
Use BLUE or BLACK ink
' ---------
� For Offtce Use j
.
• ��� 2 � �ot4 � � ��80 �� �
� Ity of �a�a� ; Permit#: �
� � Permlt Fee: lYT/� � I
3830 Pilot Kn'ob Road �
Eagan MN 55122 . I Date Received: / �n a�7-!�
Phone: (65'!)675=5675 � d, „
� I
fax: (651).675-8694 � Stafl:_ �f� i
' . . . ��������� �`����J
2p14 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site addresa:
V Tenant: 3uite#:
^ �c*:,' �,f� t f�� .,.
� �
- ������°��� ��� . Name:1�.0�ZJ'� S�e�/P�l-s �hone: �Sr� v��0 �CO.s'
'�ResidenfJOw�ie�r ,
,� aN 9
��'��s,"*� �„ . .�; � Address+City/Zip:���� A1cZt�4nlY' �r.
�f �:
� � ��� � ����°"�' 'Milbert ompany Inc dba Cullign Water WC643176
��
„� �� Name: ucense#:
� � -��a 5�� � ` Ada�esg: 180150t. Street Ea.st �;�,: Inver Grove Hgts.
� Contracto,r
�` �`�.��� � � stace: .M N z�p: 55077 Pho�e: 651-451-2241 �
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"� �� ��� Yc � _New 1\i Rep�acement Repair Rebuild _Modify Space Work in R.O.W.
Type of°Wo �— — — —
��` x� � Description of work:
'� ��`� �� RESIDENTIAL
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, "�����` ,�.� � Water Heater
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�� �,�'` �Water Softener
� ,�� Lawn IRigation�RPZ/_PVB)
�ermi�T p :� �
�� ' Septic System Add Plumbing Fixtures�Main/_Lower Level)
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"� �• � Wa4erTumaround
� . '� . _New
�� �'� "� Abandonment
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RESIDENTIAL'�F�ES
$60'i00`Vllater Heater;`VVater Softener,or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 L`awn irngation:(includes$5.00 minimum State Surcharge)
$60:00 Add.'Rlumtiing�Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
'VVater Turnaround{add$200.00 if a 5/8"meter is required)
�115 00 Septic SVstem New($10:00 per as built)�ncludes County fee and$5.00 State Sutcharge) r �
TOTAL FEES S �
� CALL BEFORE.YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
. Call 4&tiours'b�fare`you intend to dig to receive`locates of underground utilities. wvvw.4opherstateonecall.ora
I fierebq ackhbwledge that this informa:ion is complete and axurate;that the work will be in conformance v�ith the ordinances and codes of the City of
' Eagan;::thaC l'undersYand:this is not a permk, but only an application for a.permit, and work ls not to stan without a pertnit;that the work will be in
accordance:with[:ttie.apptoyed plan in the case of wotk which requires a review and app I plans.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135647
Date Issued:03/28/2016
Permit Category:ePermit
Site Address: 4267 Diamond Dr
Lot:12 Block: 8 Addition: Cedar Grove 2nd
PID:10-16701-08-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Dawn E Stevens
4267 Diamond Dr
Eagan MN 55122
(952) 240-1103
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature