4334 Diamond Dr
Use BLUE or BLACK Ink
For Office Use
Wan I Permit#:
I ~j
City of Ea-7
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
Phone: 675-5675
(651) I Staff:
Fax: (651) 675-5694 L---------------
INFLOW & INFILTRATION POVIT APPLICATION
Plumbing / Sewer & Water
S J
, Date: Site Address: ~ ~✓/~~9C1~~~A ~1~~ /7~~ k
Tenant: ~kAat1 Suite
Name: 2 G~ Phone:
RESIDENT / OWNER
lf}YYIOG~' 1J ~/f ,9~v /Y!
Address/ City/ Zip: ~Saaj-z
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work:
DESCRIPTION
FEES
lJ
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE U
*Permit fees will NOT be reimbursed by the City of Eagan.. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.gopherstateonecall.org
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 w ich requires a review and approval of plans.
x l1.M Arglwe~ x Ls ~ ,91UW A--
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE: 1 I 1 11 1140
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: • % +i 1
(612) 681-4675
SITE ADDRESS: APPLICANT:
S 1 : 1 i-1
PERMIT SUBTYPE:
TYPE OF WORK:
N1 I!
I Bill
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
/?
Deck Final 9
Well
Pr. Disp.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at y33 D%u?? D?-
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
When corrections have been made, please
call 454-8100 for inspection.
Date 9/;')/g,?-/
Inspector City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR GROVE #4 Lot 22 Blk 8 Parcel 10 16703 220 OR
Owner i (A In j. LL `. Ga,l I We' b; i Street 4334 Diamond Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1 304.00 52.16 25 PA i ti
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
PERMIT
Address ____.--- ---------
DESCRIPTION
N° 922
Eagan Township
Town Hall
Date '_ ? E'
Stories To Be Used For
---- --- -- Front Depth Height Est. Cost Permi Fee Remarks
_
ASS N
LOCATION
- Street, Road or other Description of Location Lot Block Addition or Tract
2 3 - - 6
A& 16 ?
'
,.29- r?•-?.1
z/
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 B,E? KEPT ON THE PREMISE ?W"HILE THE WORK IS IN PROGRESS
This is to certify, that- .-Gi- 11._160A ?-(..&-`: &e.t..has permission to erect u on
the above described premise subject to the provisions- of the Building. Ordinance for Eagan Vo' wnship adopted 'April 11,
1955.
?f__'_+_(*;'Q.?.'."!f:??......__.... Per _.w.:-7 .__...... ,.
77 u
Chairman of Tnw Bo d u' ign Inspector
`.
EAGAN TOWNSHIP
BUILDINGQ PERMIT
Owner ........... ... . /-. r.?.?.(....
Address (prese tj) ...3_'3........ 'yUSI. .ncl»??'-! ?..
Builder ---------- (...i.l? ---''---._-----------------------
Address ...........'--._-_...°---------------------------- ------
DESCRIPTION
N? 1009
Eagan Township
Town Hall
Dafe _7.l?
Stories To Be Used For Front Depth Heigh! Es
t. C
ost Permit Fee Remarks
p
d-V
O
V LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
?7 i I 'Y rl 7
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 KEP ON THE PRISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that -........ .. ........................................has permission to erect a............... ............... .---..... upon
the above described premise subject to the provisions of the Building Ordinance for Eag Towns p adopted April 11,
1955.
................. ......... . ... ----- . ..... .......... Per
Chairman of Tnwn la Building In pecios ........................
e r
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 023851
Eagan, Minnesota 55123 Date Issued: 06/09/94
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 22 BLOCK: 8
4334 DIAMOND DR BREWERS KENNETH
CEDAR GROVE 4 (612) 454-5267
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FINAL
L
I
?O? RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit
-030,
Date,
Site Address `? X33'/
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lea
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3 ,.,,
i
#
t t
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Property Owner k n?? -Arer,-) Sj Telephone # (6p 5l) q5 - ,5g26
Contractor ) Cl
Street Address (26260 ?/
S ? [ SM J?
City U5
tI
State M 0 ?j
Zip S? (00 ,
p
Telephone # ((sl ) ?2 ]7d - O Ty7-ao
Bond #: Expires:
The Applicant is - Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
_ air conditioner _ New _ Replacement
other
State Surcharge $ .50
Total $ 3-0'S6
I hereby apply for a Residential Mechanical Permit and acknowledge that the tion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan an with a Mechanical Codes; that I understand this is not a
p u, u[ only an appucanon for a permit, and work is not to start with emut; that thk Will be m accordance wim the
ppr plan ht the cameo wgrkw equires a review and approval of pl Aplicant's Printed NN/amed// Applicant's Signature
'n`
?j3?S 1 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
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)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan If lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE `7 -1 S-0-1,
JOB SITE ADDRESS 4Y J-1 ?f 411 H m?vO
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF
?o
-55\ -
\&_SA "bNG4--
Remodel/Regair Requirements
2 copies of plan
I set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
cu
VALUATION ?u S / -
d NawRyX33'
0 1 2
54A$
APPLICANT Sx JSSe 1 Co!? u ?A? io nl PHONE# SS!' 6Y1-y331
ADDRESS 6J'Y 7-,-, syce4 led?J S?.xte 16 9 5} AL I- 19W?' ZIPCODE 55115E
PAGER # CELL PHONE #
FAX # 421-6 5'r- x-37!
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RIJLES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
_ Phone #:
Iawn Sprinkler ree: $90.00
No. of R.I. Baths
Phone #
ree: $70.00
Pho
nr?17ps f? 1ffl F? n
I hereby acknowledge that I have read this application, state that the inform
with all applicable State of Minnesota Statutes and City of Eagan Ordin/anc
Signature of Applicant
e
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
rill 1.
L L 5?D 2flR
JJ
on is correct, c eLe o comply
v
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 2002
OFFICE USE ONLY
? 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 y<17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 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
JZ- 3 eplacemen 'Demolition (Entire Bldg only) - Give PCA handout to applicant
V
l
ti
( O ?C MC/ES S
t
a
ua
on ccupancy ys
em
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs T
T 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 _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. -Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
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
Approved By Cs -,Building Inspector
-) 9?_ k ILI = 1/, b??
`- PERMIT C? ?y0y
CITY OF'EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: B U I L D I N G
023851
(612) 681-4675 Date Issued: 06/09/94
SITE ADDRESS:
4334 DIAMOND DR
LOT: 22 BLOCK: 8
CEDAR GROVE 4
P.I.N.: 10-16703-220-08
DESCRIPTION:
Building-.Permit Type
Building Work Type
i
? j
DECK
NEW
REMARKS:
FEE SUMMARY'
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
BREWERS KENNETH
4334 DIAMOND DR
EAGAN MN 55122
(612)454-5267
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
CN _/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
c
ISSU DBY: TURE
CITY OF EAGAN
QC 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered ite surveys, co of energy
calcs. i 1994
COMMERCIAL 1 se of
2 sets of architectural & str tyG§.l p1jU ,
.
specifications, 1 copy of ene
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
?/"
Valuation of work 0466 ?! 14e_9 ?'
Date 6 _7'
/
Site Address:_ Y33 !,I?J,(/9rnd,,! J)/\ • ?/f9/97Y M,41.
STREET SUITE #
T ant Name: (commercial only)
LOT BLOCK $ SUBD.
d
" G P.I.D. #
Ce
/tr
rD?C
i
Description of work: er- L 0,,C //0 trS2
The applicant is: X Owner ? Contractor ? Other (Describe)
Name and is P&Z-ve EA Phone I/S - X269
Property LAST FIRST
Owner
Address q D%A-malyd Or,
Or,
STREET STE #
City f_)UAzy State Zip .5_57-2-2
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber (S/K LO. )?45 ?F/r?tta/yB iyrf/e72' Processing time for
sewer & water permits is two days once area has been appr ved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Addl. 13, 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0'31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code _(Ilyel
Depth On-site sewage SAC Code ?i
Census Bldg i
APPROVALS Census Unit ?-
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Building
Variance
D Footing
,0 Final
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuatim: $
SAC %
SAC Units
PERMIT #
L? 51 (P3
RECEIPT DATE:
MID JfrIALPLUMBING PERMIT APPLICATION
crrYO EAeAN
3850 PILOT KNOB RD
R,t?GM, NIN 5512E RN
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow, preventer for irrigation system
4334 DIAMOND DRIVE
S-a-01
I C I l n? I 11! I? I
MAY 0 1 2001
KEN BREWER TELEPHONE #:
(AREA CODE)
KLAD21 MECHANICAL
CONTRACTORS, INC. TELEPHONE #: (952) 890-4868
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS: 12409 COUNTy ROAn 411
CITY:
BURNSVILLE
STATE: MN ZIP: 55337
Place a check mark next to the hermit work tune
New residential dwelling unit under construction and not owner/occupied $ 90.00
x
_
Add-on, modification or alteration to existing dwelling unit, including:
$ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
`-
• lawn irrigation system Fflz
• water turnaround J10 U'e'r
Nature of work: REPAIRS DUE TO SMOKE, FIRE OR HEAT
Septic System, new/refurNshad - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ 50.50
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
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 no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
TURE OF PE EE
Updated 1/01
'Too City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
#: ?`tJ 3 5' j
Permit
I Permit Fee:
Date Received:
I I
I Staff: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Zz D Site Address: f331 hlAy ov
Tenant:
Suite #:
RESIDENT / OWNER SJt_ t E Phone: b s-1 -y S ys-.,.? E'
Name: <
'. //
3 3 -? r r 1w o. ?1] A ie -
Address /City /Zip:
Applicant is: Owner K Contractor
TYPE OF WORK Description of work: ;? - R80 >=
Construction Cost: 4 DOD - OD Multi-Family Building: (Yes _I No
CONTRACTOR Name: ?r9 nx??T? /c7?5 License #:
S 7
?
)
`70
- A-
.
0
rT
Address:
t
City: C-4S 7-PI-L-) -State:/7-)1,,j Zip:,S J Vo d-
Phone: ?3 S3 o5 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • 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?
_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 yoit,submit are considered td "be public information Portions of"
the information maybe classified as non=public rf you provide specific reasons that would permit the City to '
`? ? conclude'tfiat the .are trade se"crefs
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 ofgirts?.
x J 1 E?/E ?jo?Z x C_
Applicant's Printed Name Applicant's Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117006
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4334 Diamond Dr
Lot:22 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-220
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth V Brewers
4334 Diamond Dr
Eagan MN 55122
Hartland Builders Corporation
2000 Old West Main St, Suite 346
Red Wing MN 55066
(651) 327-2071
Applicant/Permitee: Signature Issued By: Signature