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4648 Cambridge DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4648 Cambridge Dr Lot: 3 Block: 5 Addition: Beacon Hill PID:10- 13500- 030 -05 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Sue LaMeyer BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA085806 09/04/2008 ePermit ?---?-e? :--? . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 . . . . ? ?.?._?--,. . SPECTION RECORD PERMIT TYPE: k1! : + +t I r1i, Permit Number; `•,7 ? ? °' '` `' Date Issued: o'''' I SITE ADDRESS: , „ I ; i, , I :.? e ,',r.,,t;k I 11 h F: t.tNr j ?{; ,a1 1 1 rd I i I I I I PERMIT SUBTYPE: ` r r.,rj 1 . i ? i. 1 f I•' 111+9 1,01i 1 I:C MARh- `• = It0 0 ?"i t., l-.! 1 pJ1I O1•! !ZF I't f1'.1 Nil: N f TYPE OF WORK: nI iI i?F?! 1(,h! R' i N A t , ? ,- ? APPLICANT: 0e I:i `.'! 4 0 h11lj?1 1 i Permit No. Permit Holder Qate Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspecfion Date Insp. CommerHs Footings I Foundation Framing Raofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final weli Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 , (612) 681-4675 SITE AQDRESS: I li14 PERMIT SUBTYPE: , ,a,i , PERMIT TYPE: Permit Number: Date Issued: APPLICANT• . ?iJa IIl i:.i ." i i I ! lit f7ljifi f? 1'114 (i l,'1 J1:11..6091. TYPE OF WORK: (11. "1'Jt t 1' I I 1)!+! fiti ? a r? ? r?c? C-- I I R{ E-' A I {; LJI 01.11'41:-i f /? I Wt M10i? ? Permit No. Permit Nolder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECf{ FfG DECK FINAL CITY OF EAGAN ? WATER SERVICE PERMR 3795 PiPoe Knob Rood PERMIT NO.: ' EaqaN, MN 55122 DATE: Zoning: -` No. of Units: I O1Mn2r: '1-1 'ift,.vG Address: SiteAIdre$5:-- ? ''+C? l 1i,l3iC•:r-y i Plumber: Meter No.: Connection Chorge: '? ? ?? • f "' '>t' Size; Acwunt Deposit: Reoder Na.: Permit Fee: , ? dgroe to wmply with fhe City of Eogon Surchorge: Oedinanaes. Mist. Charges: Total: BY Date Paid: Date of Insp.: lnsD,; CITY B* EAGAN SEVUER SERVICE PERIIAIT 3745 Pilof Knob Rood PERMIT NO.: r -. , • , . Eagon, MN 55122 DATE: ? Zoning: - No. of Units: ? Owner: - - -- ?' ? _ ` Address: Site Address: !' ` c: •-1, - ? ? ;?. : - ?.??-?-:? F1 j. ; Plumber: I ogree to eomplg with fha Ctry of Eogoe Ordinonees. By Duta o# Insp.: r ?. Connection Charge: Atcount Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Dare Pnid: A" BUILDING To be used foi Site Address ? Lot 3 Blocl Parcel No, W Name _ ? address _ ? City ? Name ? .a ? a Address _ ? City ` Name _ Addreps City _ I here6Y acknowledae that I 5ignature of Permittee A Building Permit is iss ion and stafe that the II appiicable State of ._- ?STQH i/QMES' on that ali work shall be done in accordance with all nnesota Statutes and City of Eagan Ordinances. ? .'- ... . . .. ...»v. ... . ,. ??.. : . . a..,..,.. V" : . .:..: .... .... .: . . . .. . ... :... ? .. :..: .... . . . . ... .:.._. . ._ CITY OF EAGAN ' 3838 Pilat Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHO N E: 454-8100 PERMIT Receipt # Est.Value Date ;,:;AY 3 ?19 Phone Sec/Sub. OnSiteSewa9e MWCC System On Sita Well Clty Water PRV Required 4„ ; .» 7 Booster Pump Depth Occupancy Zoning (Actual) Const (Allowable) # of Stories Length S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bidg_ Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Raad Unit Treatment P1 *'X*s ' . '.' TOTAL ? ?? , Permit No. Permit Holder Date Telephone # Plumbing HAI.a.C. 9 9,36, ' .?;?L, s? Electric Softener Inspection oate Insp. Comments Footings I , E, " Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. sl ?? Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP • Deck Ftg. Deck Final Well Pr. Disp. p . . . ' rcnrni i ..-- . • • . ?. , ; , ? MECHANICAL PERMIT RECEI l PT # CITY aF EAGAN ? ? 3830 PILBT KNOB ROAD, EAGAN, MN 55122 OATE: - , CONTRACT PRICE: PHONE: 454-8100 &4? , gite Address BLDG. T1fPE WORK DESCRIPTION LotBlock S ?: ,? , ,_ Sec/Sub • ? Res. x New ` , 1 ? ? Ile - A•Suf??e.`' Name ?rt' ,? c: Mult. Add-on °-' Address Comm. Repair Oth c City Phone er Name iG 4,..T FEES RES. HVAC 0-100 M BTU -$24.00 c Address ? ADDITIONAL 50.M BTU - 6.00 ?-p - city - - -_ --?=Phone '? 'if j •? ?' ? (RES: HVAC INCLUDES A/C ON NEW CONS7RUCTION) ? GAS OUTLETS MINIMUM 1 PER PE M1 1 5 EA ( - R T) - . 0 . TYPE OF WORK COMM/INQ FEE - 1% OF CONTRACT FEE ! Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Bo11 r TOWNHOUSE & CONDOS - RES. RATE APPLIES e M BTU ? MINIMUM RESIQENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cand. M BTU $!? ° r MINIMUM COMMERCIAL FEE - 20_00 Vent CFM STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 SJC IF PERMIT PRICE GOES Gas Piping OuUets # $ BEYOND $1,000) Other g FEE .°r. -.-....d__ S/C: a SIC,°iNATURE OF PERMITfEE TOTAL '" : .. ,.? . FOR: CITY OF EAGAN , .? BUILDING PERMIT CITY OF EAGAN 3795 Pllot Knob Road Eagan, MN 55122 PHONEs 434-8100 Receipt ? 41-IL Est_ Value DntP 19 Site Address Erect p Occuponcy Lot Block' Sec/Sub. Alter ? Zoning Parcel # Repair p Fire Zone l E T f C arge n ? ype o onst. W c o Name Move ? Q # Srories ? Address ? Demolish Q Length ria„ -Grode ? Depth Sq. Ft. o Name _ ? u? Address ?:... Address _ ?aacoan wn, Woter & Sew. Police Fire Eny. Plonner Countil Permit Surchorge Plon check • 5AC Wnter Conn. Water Meter Road Unit I hereby acknowledge thot I have reod this epplication ond state that gldg. Off, fhe informotion is correct and ogres to comply with oll opplicable 5tate of Minnesaro 5tatutes ond City of Eagon Ordinances. APC Totol Sipnoture of Permittee A Building Permit is issued to: on the express condlt{on thoi oll work shall be done in otcordente with oll applico6le Stata af Minnesoto Stafutes ond City of Eaqan Ordinonces. Buildinfl Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing Ll k.,-) h (?- H.V.A.C. 7-7 -O"Z- wen Water Disp. Sewer Elactric (A) 097a 6P-(( -rZ- 7-l «0Y OWA?.. r Inspaction Date Insp. Other Footings Foundation Framing ? ough Plhg. 7 + r ?/ ? ?. ?"?' (r?r1. t Rough HVAC Ad ? ?.L. - -?S ? - A,r & Insutation . q f Final Plbg ? ;?.? 'i>Z[f?!.=c.?• T Final HVAC W Final ? a"a YVetar ??ibe Location: Weil Sawer • Pr. Disp. Receipt I Cc PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prira legibly Permit No. - Fee ' s!c Tot. 1. Date 1A` 2. Installation Cost C36- C-n,j 3. Joh Address c9ms?'/& €Lat?? Tract l(rC- 4. Owner /??.t1i?J ? ? TT? u Phone 7 5. Contractor 6. Address/7CJv .)r14 6)4x-i / -'+"'Z Z-3 ??i r ? 7. City State md; Zip >> / 2/ 8. Building Type: Residential ? Commercial ? Institutinnal ? I 9. Work Description: New l;K/ Add ? Alter ? Repair ? , 10. Describe L fi -fi? f?y?n? I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner 2, Shower Well ? Kitchen Sink Urinal/Bidet Other ? Laundry Tray ? Floor Drains Drinking Fm. Slop Sink Gas Piping Dutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all.o inances and,codes gQVerning this type of work. ; Signed : for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ' CITY OF EAGAN 454-8100 Receipt ' MECHANlCAL PERMIT Permit No. CITY OF EAGAN Fill in numbered spaces Type or Print legi6ly Fee s/c Tot. , - ? 1. Date ' 2. Installatian Cost IYJI 3. Job Address Lot Tract ?4. Owner r?_ ? 5. Contractor Phone 6. Address l ,' " J . . 7. CitY State 2ip ? 1 t_' S. Building Type: Residential 4a Commercial ? Institutional ? 9. UVark qescription: New b; Add ? Alter ? Repair ? ? , 1 . 10. Describe ~ ti-, ;f..+? = aFuel Type - -? I 11. I Na. ? Equipment g TU - M. Ea, Forced Air No. Ectuioment CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other Air Cond. ? Mfg. Gas, Piping Qutlets 12. I hereby certify that the above infarmation is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : _ for Rough Final Inspections: Qate Insp. Date Insp. This is your permit when numbered and approved. Approved _C17Y UF EAGAN 454-8100 CITY OF EAGAN Remarks Addition BEACON HILL ADDTTION 3 5 Lot Blk Parcel ' Owner "? ( i`.i ?"s 6", t -? street 4649 C:amhri dge nrive State F.agan, MN 55122 Improvement Date Amount Annual Years ;;j .ayment Receipt Qate STREETSURF. jJ$Z 1848,67 205.41 9 ' r STREET RESTdR. GRADING 19$2 537.84 , 59.76 9 ? SAN SEW TRUNK ry , " *SEWER LATERAL 19$2 3182, 83 ° 353.55 9 WATERMAIN *WATER LATERAL 1982 g WATERAREA (Olg 1982 202.00 " 22.44 9 * Stubs. 1982 9 STORM SEW TRK (p4? 1982 367. 77 f 40.86 9 f";? . *STQFiM SEW LAT 1982 ' g CURB & GUTTER SIDEWALK STREET LlGH7 ROAD UNIT 240.00 # WATER CONN. 420.00 BUILDING PER. SAC 525-00 f t n PAR K , CITY OF EAGAN N2 14 9 3 0 3830 Pilot Knob Road, P.O. Box 21 •199; Eagan, MN 55121 p?i I I, 1 BUILDING PERMIT PH ONE: 454-8100 ?f Receipt # C) 1`? _ 7o be used for ;CK & •SEASON PORCH Est Value $5,000 Date MAY 3 ,19 88 Site Address 4648 CAMBRIDGE DR Lot 3 Block 5 Sec/Su6. BEACON HILL Parcel No. a Name RON & LINDA HOLT 3 Address 4648 CAMBRIDGE DR o City EAGAN phone 454-5257 o Name ALLIANCE CGSTOM HOMES oa Address 11248 UTICA AVE S U? City BLOOMINGTON Phone 881-5897 723-2581 ?Q ww W Name F iza Address aw City Phone I hereby acknowledge that I hav e ap 'c ' n and s that the informa[ion is conect and agr t pl 1 all appli e State of Minnesota Statutes end Ci[y t r ces. Signature of Permittee A ewlding Permit is issued to: ALI CE CUSTOM HOMES on the ezpress contlition that all work shall be done in accordance with all applica6le State ot Minnesota Statutes and City of Ea9an Ordinances. Building Official . -? OFFICE USE ONLY On Site Sewage - Occupancy MWCCSystem _ Zoning On Site WBII _ (ACtuel) Const Ciry Water _ (Allowable) PRV ReQuired _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVAL5 FEES Engc/ASSess. Permit 66.00 Planner Surcharge 2.50 Council Plan Review Bidg. OR. SAQ Ciry Variance SAC, MWCC Water Conn. Water Meter Roed Unit Treatment P1 rxncsc 1.50 TOTAL 70.00 CITY OF EAGAN 3795 Mlet Kneb Reed Eegan, MN 45123 PHONE= 454-8100 BUILDING PERMIT Receipt # Te M aad for $F DOCrAR Est. Value $90, 000 Dnre N? 7222 - °2y 4 , lqAL Site Addreu "a ?arrbridge DriVe Erect ? Octuponcy R 3 Lot 3_ Bloek 5_ Sec/Sub. BeaCn NH-11 Alter ? Zoning R 1 Parcel # Il? ?-3? 0? ?? Repair ? Fire Zorro ? Enloroe ? Type of Canst. V ?7L1 &?n?3 ?lt W Name Move ? # Stories z qddreu 1700 Fota Oaks Rd.,#223, pe„iolisti ? Length 63 c; FaW 55121 p,?,,, 454-5257/293-4711 Groee ? oePtn M Sq. Ft.- p Name Home$ & Owner ApVrovab Fees V?< Address Assesunent Permit • 45 ? ' Cit Phone Water S Sew. P l SurcMrga • k 20?0 Pl h ?? ?? ?S ?Z Name o ice Firo an c ec SAC 525.00 _? ?feu 1300 Etki?? 413v. S?.te 100, Em, Warer Conn.420.00 ?W Ci CO, CA phone 95825 Plonner WaterMeter 60•00 Council Rood Unit M0.00 1 hereby ackrwwledge thot 1 have reod this application and state tMt Bidg. Off. fhe inlormofion is correct ond ogree to comply with oll upplicoble AP? Tma? $1894.50 State of Minnesoto Statutes ond Cify of Eogan Ordinonces. Siprwture of Permittea A Building Permit Is iuued to: Ron Holt & C8 Hwp-S ?a sxpress condiHon Ihn? nll work sMll be dona in otwrdonca with all a ' bl St of Mip Sto Oes n of Eogan Ordlnances. Buildinp Officfol ti.. I t This request voidSJ' 18 monlhs Irom 0 E 2 0 6 2 7.l,3 I-q,l .oA.0X'7I.-- dkF ? ja o 0 Request Date l q p Fire No. Rooph-in InsOect'on d7 R eatlV Now '] WiII No1rtY InsPec- [ Wh o ?Ves or en Ready ESl.censed Elec[nCal ConVactor I hereby reQUeat inspection of ebove ? Owner electricel work inslallad at Sveet Address, Box or Floule Na. YbYB C4i+'iBRtnlak Pf?lvC C.tv ' 647".) = ship Name or No. Nenee o. Counly , 0jjKO Dq OccuUant PqINT) ' ?o^j HoL-7 Phone No. y5 y- s?as' Power Supplier Adtlress Electrical Conlraclor ICompany Nsmel Convar,tor'S License No. , (9&,44e?r?4 = c, 6 Mailmp AdJress (Conuactor or ng Instailatmn) E?4G?4N c w 0 iQ ' 3R nl Vhr`' Ss^la? ,.v r Y o AiIi- Author d$?gnatu e IC nva O C •i? r Makine Installabonl Phone Numbe, 5.?. y r e.?. , MINNESOTA STATE 80AflD OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT GriB9s-Madwey BItl9• - Room N-191 BE ACCEPTE? BY THE STATE BOANO 182 7 Universitv Ava.. St. Pnul. MN 55104 UNlESS PROPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. S.L?j?'g REQUEST FOR ELECTRICAL INSPECTION y ee-ooooi-os ? ' Sea instraetioos for comoletine this form on back ol yellow covR E'2 0-9-2 r• "'X" Below Work Covered by 1his Request „ AAtl flep. Type oi BuilEing Applmntea Wirod Equiunient Wired Home ftange Temporary Service Duplex Water Heater LighUny Fixtures ApL BmIAIng Dryer Electnc Hefltin Commercial Bldy. Fumace Silo Unluader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm otnrr peu v 0111e, ISnecilvl 1 r $uecify ther Othcr FPP BPIOW !1 Fee Sa,viceEnirenceSiza H Fee Fexders/Subfeatlers H Fnn Circuits U to 200 Amps 0 to 30 Am s 0 to 30 nm s Above 200 qm?s 31 to 100 qmps 37 to 100 qm s Swimmmg Pool Above 700-Amps Above 100-AmPs Transtormers Irngation BoomS e,4U Pdrtial-'Other Fee aemvrks Signs Special Inspection TO L FEE Final cerlAy thet the abo% inspaction has been .aa. mb repuest vola Tpis request void y5? ?{ 18 morgp.;from - -? l T 71704 L3,r85,.BEaco? {?-,'f( 31aaa s7,oo Fxquest Da?CCC (J O Rre No. RouPh-in Ins?iertion Re9 neci? ?Heatlv N.uw Will Noutv Insoec- or Wh R Yes ?NO en eadV ? Lmensed Elerlncal Contractor I hereby request insoecfion ot ebove Owner eleMncal work installad at Str et Ad dress, Boa or Rou te No. y C rt p p I ?U d/?M'/CI ? ? ? CJ?? ? ?/ w ? a Gi'yT'V ecbon o. Township Name ur No. Range No. Cowi1 y A .' ' ?d-t-A- oe??? ?fl "' o ( T '?157 P?S o - R tA IT Y Power Supulier Atldress ;; ?? P-lR,? / w?a 7-V,J Electrical Convactor (COmpany Name) unvar,tnr's License No. 0 Mailin0 AAJress (COnVacmr or Owner akme lnstaila[ion) • ? l?(7 V ?? ?n..'Z.. S L Authonzed a[ure 1 vactor/ wn Meikiny Inslallationl Fone Number Z9'i •- MINNESOVq STATE BOP.flD OF ELNCTNICITY THIS iNSPECTiON XEQUEST WILL NOT Griggs -Midwav'Bldg. = Noom N491 gE ACCEPTED BY THE STATE BppflD . UNLESS PROPER INSPECTION FEE IS 1821 UniversitY A.ve., St Paul, MN 55106 - __., ra», vw,ii,I ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-ea T 7?. ? See instructmns tor completing lhis form on bxck of yellow copy. ? ? ? "'X'"?e1ow ork Covered by This Request .j o2c? N Add Hep. Type of Bmlding Appliances WireE Eqwnment Wired Home Range Temporary Service Duplex Water Heater liyhnn Fixtures Apt. 8wlding Dryer Electnc Heaun Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Btdk Milk Tdnk Farm Orher peci v ind. ISUenFy1 ther SGeufy pther Othrr Compute lnspectlon Fee Below d• Pee ServicaEntrenceSize V Fee Faedars/Svbfeetlnrs N Fea Circuits 0 to 100 Am s 0 to 30 Am s 1C? Q to 30 Am aIO 107 to 200 Amps 31 to 100 qinps 37 to 100 Am Above 200 Amps Above 100_Amps Above 700_Am>s Transiormers Remote Control Circ. i Partial.'Other - Siyns Special InspecUOn TOTA QQ Reninrks L FE S7? Rouyh-m ? ? Date __ c Y?" _ C y ?e ?? ihe Elec[n<nl ?specbq hereby certify that the above bspectiun has beeh ae This re9uest void ? )? ??? 18 months from L ?? This request voitl 18 mon[hs from ( ( W°-b g7$ L3 fequest D te t Rre No. qough-in Inspectmn Requrtetl? ?Ready Now9Will NotAV ???sPec- ' I ?p ? ?? ?Yes ??No tor Whep Ready %.Licensed EIecVical Contractor I hereb re y quest inspeclion ot above ? Owner electrical work installed at: et Atldress, Box or Route No. City - %y$ CA?tiBWIYbe DMJE EIaG@N ection o. TownshiD Nzme or No. Nange No. County Dr?"m Occu nt (PFlINT) Phone Na. a it.s ' Power SvpVlier vxch Address ' Elactr cal Convacmr (COmpany Name) ' ? Contractor's License No. Z g5'LS A ??-i- F+.=?Sc ?-?- - 3 Mailing AdJress lContracmr or Owner MaWng Instailationl f911 E. CuFf P-t1?C ' Author¢ed Sie?a re 1 ntrac[or/Owner Mabng InstallaLOnl `? • Phone Number ? g`'iJ•5S° MINNESOTq'STATE BOARD OF ELECTRIGITY THIS INSPECTION qEQUEST WIIL NOT OriB9s•Midwey Bldg. - Room N.181 . BE ACCEPTED BY THE STqTE BOAHD 1821 UnivereitV Ave., St. Paul, MN 56104 UNlESS PNOPEP INSPECTION FEE IS pM fAill Iy77111 ENCLOSED. REQUEST FOR ELECTRIGAL INSPECTION ' ,?., EB-00001-03 7$? See instmctions lor completin9 this form on beck of ?? ? V.1IOW COpy. ..relow Work Covered by This Request_ Z-7 New Add Nep. TVPe ot Bwlding App nces Wired Equipment Wired Home Range Temporary Service Duplex Apt. Bwlding Commercial Bldg. Water Heater Dryer Fumace Liyhting Fixtures Electric HeaLn Silo Unlozder Industrial Bldg. Air Conditioner Bulk Milk Tank ' Fclrm Ot er pea y Ihei ISpecifyl 1 r SpeCi(y Other Other Compute lnspection Fee Below ' k Fea ServmeEnbanceSize G Fae Feadere/SUbteetlers d Fee Circwts 0 to 100 Am s 0 to 30 Am s 0 to 30 Ain s 101 ta 200 Amps 31 to 700 Amps 31 to 100 Am s Above 200 Amps Above 700_Am s Above 100_Am?s Transiormers RemoteControl C Partial%Ot Signs Speciai Inspeciion T Remarks ,?? ,? ? ?? OTAL FE fl6ugh-in Oate ' 1. the Electncal ' Insoecmr, hereby certdy that the xbove F?nal Date ins c[ion has hean , .F tle. This ec? anu? 18 nronths from 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Constructron Reauirements RemodellReoa'v Reauirements Ofice Use Onlv 3 registered site surveys showirg sq. @. of bt, sq. ft, of house; and ?II roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% marzimum lol coverage allwred) 1 set of Energy Calcula6ore lor heffied addilbns Tree Prea Plan Recd _ Y_ N, 2 copies of plan showing beam 8 wirMax srzes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Required _ Y_ N lsetofEnergyCalculafwns Addnion - 'uxlicateifon-sitesepGcsysfem On?stteSep6cSystem _Y _N 3 copies ofTree Preserva6on Plan Hlot platted after7NAJ3 Rim Joist Defal Optlons selection sheet (buldings with 3 or less unils) ?y Date I ? i Construction Cost SiteAddress [?Am9n/4l U(.C A/1! . UniUSte # l 11b.'Fi" DescripGon of Work 1"j5TkL- (,9j} Multi-FamilyBldg 1'`y _ N Fireplace(s) _ 0-? 1 _ 2 Property Owner `?? Telephoue # ((o Q Contractor - Address - --????Cic) 4015 City 51II114 C_ State 1NA? Zip S"'; j?? Telephone#(°.:J)7t//- .3?y COMPLETE THIS AREA ONLY IF A NEW BUILDING - Energy Code Category Minnesota Rules 7670 Cateeorv 1 Minnesota-Rules 7672 - ?? - - ?- ?Code?W submission rype) • Residenfial Ventilation Category 1 Worksheet • New Energy. (J Submitted Submitted r• ? 5 ??? • Energy Envelope Calculations Submitled 4'? !rl ?rw? In fhe Iast 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? C r 2 3nDy ? r? I _ Y _ N If yes, date and address of master plan: k ,. 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 applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the approv plan ' the c e f work which requires a review and approval of plans. ' ) o1? ) '?Crl?1r? ApplicanYs Printed Name Appli Ys Signature . 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot 1{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeUReoair Reauirements 3 registe2d site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% ireximum lot coverqqe allowed) 1 set o( Energy Cakulatbns for heated addifions Trce P_P,??Re`?' 2 copies of plan showing beam & window sizes; poured found des?n, etc. 1 site survey for additlor?s & dedcs ??R???.?N' ? 1 set of Energy Ca?ulations AddR'ron - indicate il on-site sepfic sysfem ?te5epf- ?y 3 wpies of Tree P2servation Plan if lot plaried afler 711193 Rim Joist DeNail Options selection shcet (bldgs willi 3 ar less units ? Date ? / /5 / !L ? Construction Cost Site Address K(ov X / C?9M, Q/t!c< <-t ol'. Unit/Ste # Descrip[ion of Work o? u.,. ,fu.o y ? ( MWti-Family Bldg _ Y"? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner p('eN t4 h.jA i -r, Telephone #( Gs7) ?{j??"??57 , Contractor e e 1 ? ?GiJ ?! -? rw ? Address 16 S 00 CitY (4,15P State /hi1/ Zip 45'S71 Telephone#(6y7) ckl7 -Gf COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the inform urate; that the work will be in conformance with the ordinances and codes of the City f n'IN Statutes; I understand this is not a pernut, but only an applicarion 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. ? ??rn ../ / ' A e sl?c1L. Applicant's Printed Na e ApplicanYs Signa e r - - S§ E P 1 0 a 'on is complete and a CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 WINDOWS JENTRY ?.? Building'-1-F,ermit Type Building Wo`rrl? Type i ? s PERMIT TYPE: Permit Number: Date Issued: CRq°lz ,, BUILDING 026393 09/14/95 SITE ADDRESS: 4645 CAM6RIDGE DR LOT: 3 BLOCK: 5 ? BEACON HILL P.I.N.: 10-13500-030-05 , OESCRIPTION: DOORS SF (MISC.) REPAZR ?i y"1 c REMARKS: FEE SUMMARY: Base Fee 5urcharge Total Fee PERMIT VALUATSON $149.75 ?4.50 $154.25 $9,009 CONTRACTOR: - Applicant - sT. l.xc. OWNER: NEW VIEW REMODELING 14216091 0002838 HOLT RON 16116 ENCHANTED DR N 4648 CAMBRIDGE OR ANDOVER MN 55904 EAGAN MN 55122 (612) 421-6091 (612)454-5257 S hereby aok'nowledge that Z„hatve Y.'ead this application and state that Che informatiat? ze ccrrrea`C'a;nd•ag?"ee to compLy with alj applScable State af Inn. SCatutes and City, ofi`Eagar? qrdinances. ? L. .. _. _. . . __ ? ?f APPLICA?ERM? ITEE'SIGNATURE ISS D B'IGN RE CITY OF EAGAN i0q3995 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4875 Naw Construdion ReauiremerAS RemadeVRepefr Reeuiremenfa ? 3 rspisleied srie wrveys ? 2 wpies of plan ? 2 copies of qans (indude Oeam 8 window saes; pouied fnd. desipn; etc.) ? 2 sfte surveys (exterior addklons 8 dodcs) ? 1 snerpy CWWtations ? 1 energy calculaGona Mr heated additions ? 9 uples of Cee proservat'an plan N bt platted after 7/7/93 mquued: _ Yes _ No ; DATE: y-I q' 15? CONSTRUCTION COST: DESCRIPTION OF WORK: ..I41 h 1,/ 4(''?.?e'CP'+Ph1 STREET ADDRESS: '70 ta rqMhrl?iAP ?? Lq?n v", ?.5 ? LOT ?A BLOCK SUBD./P.I.D. #: ,JLL{dYddlL?????? PROPERTY Name:? Phone OWNER `"" Street Address- ??6 C?a)zir City: k??'iaam State: Zip: 3S1..2? CONTRACTOR Company: klc°?l ?/r Pw A'e.r,gCLj1„!5 Phone #: 421 ' Street Address: ? ?l6 jf,nc k),qh-f ej 4?r /1/U License #: 9L3Y City:r"Lr!/ ?State:.SS?iy zip. ARCHITECTI Company: Phone ENGINEER Name: Registration #Street Address- City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penally appiies when address change and lot 1 hereby acknowledge that I have read this appliqtion and state that the infortnation is cortect and agree to comply with all applicable State of Minnesota Stawtes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received No _ Yes Tree Preservation Plan Received - Yes - No 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 50 CIT,? oF EACM 3830 PILOT KNOB RD - 35122 I 851-881-4675 ?'Allel g-B-Oo New CanthucMon RaaWromenh Rertade VReoalr Reaulromenh M'6 > S reyftered fite wiveYS ahowiny tq. ft of bf. aQ. fl. d houee 2 coPies of plan and gp roofed areaa (40X mmdmum tof covemae allowed? 1 set of anergy cdcWaBau lor heated addlHana ? 2 coplea of plana (ahow beam a wlndow slus; poured hxi. design: efc.) 1 s8a wney tor exfedor addldons R decks ? 1 !et of en9tpy cNeWCAIaH > 3 coples of hee preaervadon plan H IW plaHed afler 7/1/93 ? DATE: 9'7' Da % CONSTRUCTIONCOST: DESCRIPTION OF WORK: lai"GaL a4DD/% /d/?l - STREET ADDRESS: C'.9rr )3x / v?r ))/Z1 //r LOT: BLOCK: N/' SUBD./P.I.D. #: STz9 tv.?l 4Z/4,1 Name: o [. Phone t: ?/- ?? - •S ? ? PROPERiY ?twt FIM OWNER Sheet Address: vd ??r C A?`/ l3lZ J?/j J7?Yl v/i City /Z,4 G.3.?. State: Zip: ?S / Z v . Company:?f?iz' /NO Phone #:(a ea code) - ?N CONiRACTOR Sfreet Adckess: i`] 6llzoN e"}///z fg • ilcense M?_ExP• ?°? Ll CItY f/?/!//?/1 b?oi//S /f/??•??1 State: /?//?/ Zip: fa'i? 2 ? ARCHITECT/ ENGINEER Company: Name: TelephOne #: ( ) Sheet Address: Regishalbn #: Gty Stcte: Lp: Sewedwater libensed plumber (N 1nstallina sewedwaterl: Phone #: (_--J I herebY ackrwwledye Mql I have read Ihis aPPlicWbn. *fe Nwt fhe MfomwHon Is cortecl, and agree to compy wHh a0 app6eable Sfafe of Minneaota Stalutes and CMy of Eayan Ordinances. ? -x;P, Sfgnafure of Certificates of Survey Received -ZYes Tree Preservation Plan Received - Yes OFFICE USE ONLY No _ Na -? Not Required AUG - 7 /? OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation O 07 OS-plex O 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? OS 08-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) O 03 Ot of _ plex ? 09 07-plex pr 18 Deck O 23 Porch (screened) ? 04 02-plex ? 10 OB-plex O 19 Lower Levei ? 24 Storm Damage ? 05 03-piex ? 11 10-plex Plbg _Y or_ N ? 25 Misceilaneous ? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 Ext. Ak - Muki O 33 Ext. Alt - SF O 36 Muld p 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition 0 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ?°34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code (9 L # of Stories sq. ft. No. of Units _L Length sq. ft. No. of Buildings / Width Footprint sq. ft. Const. (Actual) -71-e Basement sq. ft. Census Code ? (Allowable) 5- Main levei sq. ft. MC/ES System UBC Occupancy -11 3 sq. ft. City Water Zoning p-7 sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? StuccolStone APPROVALS Planning Building ? Engineering Variance Permit Fee Surcharge Plan Review License MC/ES 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: $ SAC Units % SAC , ' ?.i-..' . . •j '• '??rWY: ?• . . i., i?' . _ . . . . .- , ?EYOR'S CERTIFICATE ? ? 30 %107.0 %106.9 T.C. / O O I W O co Cl) ?W m 3 Cc OD -N I ? 0 0, x104.4 %104.3 ? 30 7.c. ? I 1 L_ (.. 1 ?'%-,oa.xN 89°38'32"W "30.00 30A0 --?Xf09. r-- ?1--- i-? 10 ( /-x e.so x s i .?• Ib % ° / '_°• 'w.. RONALD HOLT .) L_ 140.00 --? -108.0 _ U7 DRAINAGE AND UTILITY EASEMENT PER PLAT s- 112.1 1 b O OD I ? w//"o° 0_ xLOT I x ?P(1SEO 3.67? / M ? 1 m I o . 3 RIVHWAM' m ? "? Ik G zz.oo x 7 - - Q.00U)- \ 30.00 %103.7 X107.1 h N 89°38 32"W 140.00 -? I ( n Lf L_ .. I B.M.: INVERT OF SANITARY SEWER MANHOLE OPPOSITE LOT 1, BLOCK 5. ASSUMED ELEVATION = 100.00 O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND ? DENOTES WOOD STAKE X000.0 DENOTES EXISTIN6 ELEVATION (000.0) DENOTES PROPOSED ELEVATION 0 3 xOD N N 0,^ V/ N SCALE I" = 30 PROPOSED GARAGE FLOOR = 107? FEET PROP05ED LOWEST FLOOR = I 00,3 FEET PROPOSED TOP OF fOUNDATION = ioS.o FEET I hereby certify that this is a true and correct representation of a survey of the boundaries of: - c Lot 3, Block 5, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me this 2 2NO day of April, 1982. SIGNED: JAMES R. HILL, INC. ---?_ ? APPROVED FOR SIENNA BY: CORPORATZON Harold C. Peterson, Land Surveyor Minnesota License No. 12294 BY= ROSERTS AACHITECTS DATED THIS DAY OP 198 _ PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82138 22 /60 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bbomington. Mn. 55431 e12-884-3029 M r /``.kCITYr& EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ildin"cl Permit Type SF (MISC.) ilding ?lork Type ALTERATION C Occupency?, R-3 PERMIT BUIL?UINi/5 021275 06/21/93 SITE ADDRESS: P.I.N.: 10-13500-030-05 4648 CAMBRIDGE DR LOT: 3 BLOCK: 5 BEACpN HILI DESCRIPTION: ? O'l ? ?."J ?/ ? ONTM C?J L7Lf REMARKS: DOOR S WINDOW REPIACEMENT FEE SUMMARIF Base Fee Surcharge Lic. Search Fee Total Fee VALUATION -A. PERMIT TYPE Permit Number: Date Issued: $9,000 $108.00 $4.50 $5.00 $117.50 CONTRACTOR: - flpptiaant - sT. u[: OWNER: NEW VIEW REMODELING 14216091 0002838 HOLT RON 16116 ENCHANTED DR N 9646 CAMBRIOGE DR ANDOVER MN 55304 EAGAN MN 55122 (612) 421-6091 (612)454-5257 iL I hereby acknawledge tMat Z have read tMis application and itate Chat the infarmation is correct and ag•ree Lo campl,y w3th all epRli-cable State of Mn: Statutes and City of Eagan Ordinances. --- ,-?//j?/- APPLICANT/PERMITEE SIGNATURE fl.oue R.o,.uL?_ ISSUED B SI ATUR REACTIYATE _ PERMIT?# :c. 21 alt CITY OF EAGAN 1893 BWLDING PERMIT APPLICATION 681-4675 SINGLE 8 MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. 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. Date Yaluation of work Site Address: ?I6yg 0c"ri"44P n? ? ----- STREET J SUITE / Tenant Name: (commercial only) IAT , ?_ BLOC& SUBD. ? ?r?.?` g/??..?x P.I.D. M ' Descri tion of work: l / j ENj.f S? The applicant is: ? Owner Contractor 0 Other <oesortbe> p Name P ^ 4n ?+ Phone '115q ?52 Property usT FIRST Owner pddress ?6w ebirs?YdSP Di STREET , $TE # City 44495:?4 State I"1e!/ Zip 5,15 Ipa Company J/QL,/ I/iPUi r°'?a je\iv+K Phone ?/' '??l 1/ 1j Contractor Address ,Ifjf16 F"AAu+ej Of- !1/U License ?' . City -Ahix?ft, c^NNl State ,(?v? Zip .S33gV Company Phone Architect/ Engineer Name Registration # Address City State ZjP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and a9ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE ? OI Foundation ? 02 SF Dwg. 0 03 SF Addition 0 04 SF Porch Ik 05 Sf Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Ouplex ? 07 4-Plex ? 08 S-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Mutti. Misc. ? 13 6arage/Accessary ? 14 Fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move . Const. (Actual) Basement sq. ft. MWLC System ` (Allowable] lst F1. sq. ft. City Water UBC ?ccupancy ? 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 ? Depth On-site sewage SAC Code APPROVALS o Planning Buiiding Assessments Engineering Yariance REQUIRED INSPECTiONS ? Site ? Footing IK Framing O Insulation ? Wallboard .Final / ? 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 Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units - V.trti«n: s 9aov =' , ? ? r? ? '16.B3?Silll,g?t 1s!n1?s'h O 17 Swim Poal O 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous O 37 Demolish , ;. CLAIM VOUCHER - REF[1ND REQUEST CITY OF EAGAN CLAI?fANT ASPEN ELECTRIC ADDRESS 7675 WEST HIGHWAY 13 SAVAGE. MN 55378 Location Receipt No./Date Reason for Refund Type of Refund 4648 CAMBRIDGE `L3. B5. BEACON HILL 83983/5-23-88 TOB C. NCEtLED Electrical Permit Plumbing Permit Mechanical Permit Surcharge Water Connection Permit Sewer Connection Permit Account Deposit Utility Account Over-Fayment Other: 01-3211 $ 18.00 01-3212 $ 01-3213 $ a1-2155 $ 20-3713 $ 20-3743 $ , 20-2252 $ 20-2250 $ $ $ TOTAL $_ 18.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has heen paid. JULY 8, 1988 Signature Date 8?98? NeQUest Date Rre No. Rouph-in Inspecvon Re iretl> .+..C" ?ROady Nuw i,rrvill Nutdy InsOec- Sl Yes ?NO T ror When peatly P Licensetl Eleclncal ConVactor 1 heroby request inspecbon of abave ? Owner electricel work installatl at: Street tltlress, Box or Rou No. Gtv ? ecbon o. Township Nama or No. nee No. Coum Occuoantl PR NTI n Phone No. I M // / ? Pawe Suppli r Atldress Electrical Contractor I Compa Namol ? `' ? Contmclor's s ense No. .??e n y ?, , e_i? Mading A dress (COnvactor or O ner MakinB ?? tailau 1 J ? ?- ._s G t i: Aut o,zed Signatu? IConv tor OxN( r Making Installationl ? - Phone Num/b7er 41 MINNESOTq STATE BOAPD OF EIECTflICITY THIS INSPECTION XEQUEST WIIL NOT Gr,gBS•Midwey Bltlg. - Room N•791 BE ACCEPTED BY THE STATE BOA0.D 1821 Univars.tv Ava.. St. Paui, MN 55100 UNLESS PAOPER INSPECTION FEE IS Phone(6tZ)642-0800 ENCLOSED. REQUEST FOR ELECTHICAL INSPECTION ee- oooi- s ' ?°? See mslrucltons tor co/npleting nhis form on beck ol yellow copy. ~$? 9 E 1133.9 "X" Below Work Covered by lhis Request Nive AAd Reo. TVOe of Builamg ApOiia.cee Wired Equipment Wued Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8wlding Dryer Electne HeaUn Cortxnercial Bldg. Furnace Silo Unloader InAustnal BIAg. Air Conditioner Bulk Milk Tenk Farm Otnw Peci v O?hcr 15roantyl t er uecrty Ot er nth.r ComPUtelnsuecuon fee Below p Fea ServiceEnhanceSize B Fee Fendars/5u1cleaders M Foe Grcurtg , co U to 200 Am s 0 to 30 qm s to 30 An! Above 200 qmps, 31 to 100 Amps I 37 to 100 A s Swinwning Pool Above 100_Am Above 100_AmUs Transiormers Irrigation Boonis ParnaL'Other Fee L ema Irks ISignS I I iSpecial Inspectron I5 ? '`g_.? TOTAL FEE i pouBh-in Dine 1, the Elecbicnl Inapecfoq hereby i e Fnal D^te inspectwn has been I ryae. mb repuest voiC 18 monlha irom v REQUEST FOR ELEf TRICAL INSPECTION ? , See instructiongfor qQlt .thgrEK'is form on ha9}404ow copy. "?X" Below Work Covered by This Request a EB-000 0 S& 9S? law? Now Add fle0. Type of Building Appliarices Wired EquiUment Wired Home p.h Raiige Temporary 5ervice - Duplex Water Heater Lightiny Fixtures Apt, Builclinc3 + 'Dryer Eleetrii: Heatui Commercial Bldg. -:77 Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm = Otnte, necirv C?tner (sui',:ify) ther Specify 01her Other ompcrte lnspectian Fee Below , Jf Pee ServiceEntranceSize t! fee Feedersl5ubfeeders # Fee Circuits ,c::I6 0 to200Amps 0 to30Am s 25,r30 Oto 30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Acn s Above 1()0-AmPs Transformers Irrigation Booms PartialOther Fee Signs Special Inspection $? k ,TOTAL FEE Remerks ? Rough-in A. theEleatrical - 'InsDector, here6y - certify thai the above Final Date inspection hes 6een _ made. This request vold 18 months from This request voi 1. d?- !' months trom E 1. ? 3 -q ,/? 7 Request Date ` ? rue No. Rough-in tnsVer?%ora'' Re , red,? ' ?Ready Nuwill Notify_ Inspec- lor When Ready ? Yes .?, ?Nn ? Licensed Electrical Contractor I hereby request inspection of above. . ? Owner electrical work installed et: Street ddress Box or Rou,fe No. U ? --•t?.? r CitY am Zg? n ecuon o. Township Name or No_,,, ange No. Coun Occupant (P INT) Phone No. ' Pow r Supplr Address • ':=? ? 2.?:? ? r? ?Y1 Glectrical Contractor (Comp y Name! Contractor*s ense No. ? ailmg ddress (Contractor or 0 ner Making Instailati ?? ? Au rized Signat (Cont tor/O t4p r Making InstalAation) Phone Number m - 3,? (: , _ MINNESOTq STATE 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOt Griggs-Midway Bldq. - Ronm N-191 ' BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St_ Peul. MN 65144 UNLESS PROPER INSPECTIdN FEE I5- Phone l612) 642-0800 ENCLOSED.___ _??_ czTY oF EAcAN • ? BUILDING PERNIIT APPLICATION Include 2 sets of plans, 1 site plan w/el.evations & 1 set of energy calculations. To Be Used For .5F AW' C-cA? Valuation'O?, Q'0 d Date site Aaaress: ?104S ???s.eia? aei?? oFFzcE vsE oras Lot '2- Block 5 sec./5ub. lSesco.J f-1/et Erect occupancy Parcel #: ll? ???liV 7J??? Alter Zoning °A' I- ? / Repair Fire Zore Owner: Enlarge _ Type of Const. JG / Move # Stories Pddress: 17ev /?u2 Of},CS ,4-6 ?ZZ3 Demlish Front ft. City/Zi?, ?ode: E<}C?.q-r.? SSjz/ ?ade Depth 3 8" / ft. Pr1o? #?? ?s4 - szs? w ?q?- ??r J APPROVAIS ?s ? Contractor: ?Q? ?C,ntiF..a Address: City/Zip Code: Phone #: Arch./Eng.: c.'4PP 4y"E'S Address: 13om ETff.9P WA`? Su1Tr lm City/zip Ca1e: 9582? ? Phone #: ffi Assessments Water/Seaer Police _ Fire ? Planner CouncilBldg. Off. APC / Pernut 4V3_ Surcharge Plan Check 6 ? SAC LS?oTi.S Water Conn. Water .Meter Road Unit T07'AL Isj4-(sn- SURVEYORYS CERTIFICATE RONALD HOLT L_ J I ? '??-IoaexN 89°38'32"W 140.00 -? I X„z., ao . If x iozo x 106,9 r.c.' 30.0 0 ao.oo _Kloe.2 x1oe.o ?? p 9.50 x; \\ 5 ? I W Q I o. ?R $ m ww `? DRAINAGE AND UTILITYGI 0 g o EASEMENT PER PLAT c-• ? ? ? ? W o o W/ -> 3 I i o. " ? cc` - I ° °?' ° a ° - mo ?? x xLOT % ? ? ?N I ol ? _ ? I N Q N x ?_ ? I N I V 0' POBE` C 3.%7 O o? j m ? N ?m 3 IVEWAY ?x ' / o ? yo° I?5 1 =$ai x 62z.oo x 7 - 1o ? x 104.4 x 104.3 -- 30.00?- ? - 30.00 - XIOb.7 XI07.1 ?1 x 30 T0' ??'o ?-`?b+ N 89° 38 32" W 140.00 ? ? ?? B.M.: INVERT OF SANITARY SEWER MANHOLE OPPOSITE LOT 1, BLOCK 5. A55UMED ELEVATION = 100.00 O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND ? DENOTES WOOD STAKE X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION BOOK / PAGE I hereby certify that this is a true and correct representation of a survey of the boundaries of: - Lot 3, Block 5, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me this 22ND day of April, 1982. SIGNED: JAMES R. HILL, INC. ---- APPROVED FOR SIENNA BY: CORPORATION Harold C. Peterson, Land Surveyor Minnesota License No. 12294 BY' ROBERTS AFtCfSITECTS DATED THIS DAY OF ? 198_ PROJECT NO. 82138 FILE NO. FOLDER N SCALE 1 = 30 PROPOSED GARAGE FLOOR = 107•G FEET PROPOSED LOWEST FLOOR = 100?3 FEET PROPOSED TOP OF FOUNDATION = ioq.o FEET JAMES R. HILL, INC. 22 /60 Planners / Engineers / Surveyors 8200 Humboldt Avsnue South Bbotnin8ton, Mn. 65431 812-884-3029 : ? . : ???:•?,'? ? ? . • ., .. , DEVELOPER'S CERTIFICATION Lot: 3 Block: S Subdivision: mp4Gl4 WU- This is to certify that rc*-i? W?x has complied with the Seller's requirements necessary to obtain Seller`s approval for a building permit. This Approval is by Seller only. Builder must comply with all city requirements and must secure his own building permit. Approved by Seller-, Sienna Corporation: By Accepted by Buyer: By . ' I. cozF` mP- mrT' tx'.,p IS ?T Zb P??f.. , (2s?R-T) Is ?T C?T €?`t1P`'( WPL?IF• d?? 4940 Vkrng Drive Penragon Offire Park Minneapo(is MN 55435 96121835-2sas ._ _ _. .. . ? cAPP PromES ? C? eVAOISPaovLcrs ciorrwmr Location " 0 Winter design dry-bulb Degree days heating REQUIRED VALUES Walls Roof/Ceiling Floors over unheated spaces Heated slab on grade UW . /,? Ur Uf R ? The Design Data stated above is based on the 1977 ASHRAE Handbook of Pundamentals. The Required Valaes stated above are based on the ASHRAE Standard 90-75. Any deviation from these values required by your local huilding inspector will have to be submitted in writing to Capp Homes by the building inspector. R M 1042 i II DESIGN DATA (D ? • cAqpp HomES 4D C-vansPrwacs9c•ra romvarn Uo Calculation For Floor Line Table F-1 Floor Areas Sq. Ft. 1. Gross Floor Area rp ? 2. Framing Area (Afr) Line 1 R Table F-4 I Q 4- • 2 3. Cavity Area Line 1 X Table F-4 4. Other (Specify) 5. Other (Specify) Table F-4 Framing And Cavity Ratio Joist 5 acin Eraming Ratio Cavity Ratio 12" 0.13 0.87 6 0.10 0.90 24" 0.06 0.94 TabLe F-2 Floor Calculations Source of Thermal Resistance Floor Materials Heating Winter R-Values Framin Cavit 6. Outside Air Film ? 7. Exterior Finish 8. Framing (? O aouq ? ?,rj(p 9. Cavity Insulation 10. Cavity Air Space ???40 a 1? oM?n?.•,, C? R\ r „ ' 11. Decking 12? ? ?(p'Z, 2 12. Floor Finish W 25 t,23 13. Inside Air Film Z 2. 14. Other (Specify) I i?'j3 -rj3 15. Other (Specify) 16. Total Resistance (Rt) Sum of Lines 6 Thru 15 ?5,?3 ?(?,41 17. Ugr (Framing) 1/Rt (Framing Column) ??, ? 18. UG (Cavity) 1/Rt (Cavity Column) .a0?.? Table F-3 Summation of Transmission Values For Floor Source U-Value From Lin Area From Line U-Value X A Framing -rj Line 17 10 .Z Line 2 29?- Cavit Line 18 °13 • Line 3 5?.q24s Other 1 R Line 4 Other 1 R Line 5 Total Ao = Sum U X A= -[03• a53 _ U° Floor = Sum of (U-Values X Correspondin Ao g Areas) RM 1150 0 ckqpp HOMES GD EVA/75PRDOUCTSCOlY)PRnY ?o Calculation For Roof/Ceiling Customer : hi?L- V Line Table R-1 Roof/Ceiling Areas Sq. Ft. 1. Gross Roof Area Q 2. Sk light Area 3. Roof Vent Area 4. Other (Specify) 5. Net (Opaque) Roof Area Line 1- Sum 2 Thru 4 6. Framing Area (Afr) Line S x Ta61e R-4 g I.d 7. Cavity Area (AC) Line 5 x Table R-4 Number : Tahle R-4 Framing and Cavity Ratio Frame Spacing Framing Ratio Cavity Ratio 12" 0.13 0.87 0.10 0.90 24" 0.06 0.94 Table R-2 0 a ue Roof/Ceiling Calculations Heating Source of Thermal Resistance Roof/Ceiling Winter R-Va lues Materials Framing Cavity 8. Out ide Air Film 9. Exterior Finish 10. Outside Sheathing 11. Framing !z k(y ou F 12. Insulation t IR,0 13. Cavity Air Space 14. Interior Finish 11 15. Inside Air Film • ' 16. Other (Specify) 17. Other Specify 18. Total Resistance (Rt) Sum of Lines 8 Thru 17 2?• `? ?'23 19. Upr (Framing) 1/Rt (Framing Column) I 03?8 20. Uc Cavity) 1/Rt (Cavity Column) Table R-3 Summati n of Transimission Values for Roof /Ceilin Source U-Value From Lin Area From Line U-Value X A Framing p(?, 19. 1,p Line 6. ?, q?p g Cavit ine Skylight Line 2. Roo Vent P ine Other ine Other Line Total AO Sum U X A= 2 Uo RooP/Ceiling = Sum of (U-Values X Corresponding Areas) = ZLa ,OZ?S Gross Roof/Ceiling Area (Ao) ?'jl O RM 1150 0 - . • 0 ckqpp HOMES vD Evpns PFKxx,cTScon?pRiw Uo Calculation For Roof/Ceiling (??j-?- Line Table R-1 Roof/Ceiling Areas Sq. Ft. 1. Gross Roof Area 2,2 ?J 2. Sk llght area 3. Roof Vent Area 4. Other (Specify) 5. Net (OVaque) Roof Area Line 1- Sum 2 Thru 4 2 2 g 6. Framing Area (Afr) _Line 5 x Table R-4 7. Cavity Area (Ac) Line 5 x Table R-4 Customer : kU(I"(' Number d?- Z"-741(08 Table R-4 Framing and Cavity Ratio Frame Spacing Framing Ratio Cavity Ratio 12" 0.13 0.87 6' 0.10 0.90 24" 0.06 0.94 Table R-2 0 a ue Roof/Ceilin Calculations Heating Source of Thermal Resistance Roof/Ceiling Winter R-Va lues Materials Framing Cavity 8 Ou si e Air Film 9. Exterior Finish 10. Outside Sheathing 11. Framing 12. Insulation ((.-IGj ?br?5c aS ?q,b 13. Cavity Air Space 14. Znterior Finish s e OG ? 15. Inside Air Film ??02 ,(02 16. Other (Specify) 17. Other Specify 18. Total ftesistance (Rt) Sum of I.ines 8 Thru 17 G 19. Upr (Framing) 1/Rt (Framing Column) ?? 4` 20. Uc Cavity) 1/Rt (Cavity Column) Table R-3 Summati n of Transimission Values for Roof Ceilin Source U-Value Ftom Lin Area From Line U-Value X A Framing ?0G4I Line 19. Line 6. Cavit , Q ne 20. ine p Skylight 1 R Line 2. Roo Vent R ne Other R ne Other 1 R Line Total Ao = Sum U X A= 12 ?Z3 Uo Roof/Ceiling m Sum of (U-Values X Corresponding Areas) =1Z.ZC 6 Z3 a.?38 Gross Roof/Ceiling Area (Ao) 22 Qj RM 1150 0 .? . , ? 0 Uo Calculation For Wall Line Table 4-1 Wall Areas Sq. Ft. 1. Gross Wall Area (Ao) 2. Window Area (A ) Ob,2 37 Door Area (A? 4. Other (Specify) 5. Other (Specify) 6. Opaque-Wall Area (Aop) Line 1- Sum 2 thru 5 .q{ 7. E'raming Area (Afr) Line 6. X Table W-4 Q I1 8. ' Cavity Area (Ac), Line 6. % Table W-4 0 ClqpP Homes (D evArts vRonucTs cUmasrrn Table W-4 Framin and Cavit Ratio Stud S acin Framing Ratio Cavity Ratio 12" .22 .78 o' .20 .80 24" .15 .85 Table W-2 Opaque Wall Calculations (Framing and Cavity) _ Source of Thermal Resistance all Materials Winter Heatin R Values Cavit Framin ?Other 9. Outside Air Film 10. Exterior Finish 11. Outside Sheathing ? ZII ?Icr-e:?x 12. Framing dou ir 2x69 ?p.?j 13. Cavity Insulation sx) 14. Cavity Air Space . 15. Interior Finish I/z" eetrcc-V- A 16. Inside Air Film 17. Other (Specify) 18. Other (Specify) 19. Total Resistance (Rt) Sum of Lines 9 Thru 19 I O,2 ? 20. Ufr (Framing) 1/Rt (Framing Column) 21. Uc (Cavity) 1/Rt (Cavity Column) ` ?044-7 22. U (Other) 1/Rt (Other Column) Tahle W-3 Summation of Transmission Values For Wall Source U-Value From Lin Area From Line U-Value X A Framing pq 7 q Line 20. Line 7. 2 0- /q 3 Cavit [E '7 ne ne 4-72-7 Other ne 22. ine Other R L ne Windows q R N 3po ,2 Line ? Doors R 5 2, ine ? Total = AO um U X =O, 05'j , Uo Wall = Sum of (U-Values X Correspondin2 Areas) = -20?9?•,y ?.?Q ?? Gross Wall Area (A ) ?,? Zp ? a 1988 BUILDING PERMIT APPLICATIQN - CITY OF EAGAN " 11 I4G30 3INGLE FAMILY DWELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 4 i : NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE ALLOWIiD ONCE BDILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL T7NIT5 FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO[+AfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 3- SEasoN R7RcH ? 17F-c,K - To Be Used For: Site Address 0%41? Lot 3, Bloek S & STRUCTURAL PLANS, SET OF ENERGY CALCULATIONS Valuation: s00d =-" Parcel/Sub gF„mw Wi `{ Owner (?OHJ ? L\NflA YtO? ` Address p1(AB CArn4imbE T>2iy6 City/Zip Code On site sewage_ M4lCC system _ On site well _ City water _ PHV required _ Booster Pump _ Phone 464` S 2G-?-' I APPROV9LS Contraetor F1?110.v?c.E u.l<'tm?m lebwLt5 Ehgr/Assess Planner Address W-ZQ$ U'F'\[1Q KVE. 5, Couneil Bldg. Off. 2 City/Zip Code e j541Variance Phone Be ?- Arch./Engr. _ Address City/Zip Code Phone 0 1 /ti'Sa? Date: 9 Oceupaney Zoning Aetual Const 911owable # of stories Length Depth • S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC, City SAC, M4TCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOT9L 6,00 2 , .su )..5v 90.00 11 -7se,.,soro Po2cH i z)c I y- 16 c 1??o :: 3 3G o rq 3?, a u 6ti•tiU+ 2•'jUF 1•5U+ 7U•Uo * , • . .; .Ar..?! ?.OT? ? -?- ;- ? -- ? ? - - -? - --- - - - ? t -F + --;--t - , i - - r-j - t ? -- - ? ?- - '? I ?-r -------- - *--- - - -- 80; ------ - ? ; ?---r t ?- ? T-F - . -- I ' ' + T ' - i I f -fi - ? - i- -4- T ? --}--- - --1 - } ' --- -; - • -, - ? '-- - f'? --i _ , i -? i i - t? . - i t i -- . -?- ? I ? i - - , -- r-- t --' ? + ? - ? - - --F ? ? t ? -* ;- ? -- - - -I ? I i r _ . - - - -.-. .- -?? ? , ---?- - - ? t ? - - - - ? -=-?--- - - ? f ?- I ? ?__' - ' ' _-_-_ _' ' ' ___'__-' ' ' ___ ' _ ' _"_ " ' '__ '' __--•-?'_"' ?_ -_i_ ._ ,-__- _'?- I • ?-kA li- --? ? Y-- ? - - - - ?- - - ? - - ---- ' - ? ' ' ' , + - .- ? '--?--- ? - -' - 1 - *- 4 - ' - ?- i---- ? ? - ? '--- L ---`--? - _- I? ? I -- 1- -}- ; -r- '-'- ? -- -? ,t -? ? y r ???.'-.- -- t--r- ? ?--1- --t - ?----- ? ?? ? , -? -I--?- i -?-- -f ? -,-- +-- ? ? ----- I ' Y I i - -- --'- `---- -- -?- ? - -?=- ? -?-?' ' - -- : - ' : --T- - - ? - Y ? .- - ?-' . - 4 ?- ? ? _?- - ? . ' ? I ? I ' ' II I I II ?y -,- , I I ? ? ? ? ? I I I ? , -i ? - j ?? - -? l- ? - ? ' - -- -- ? ? -?-- i ;- . ;--- -1 I-}-' -? ?- -? -r ? , - ? -?- r- , i 4 I i --?. . r---- 1 ?-?-? ---`- - ? -, ---? - - - I - - ? • ? I , i ?- -? i ; ?? : ? ? ' ? ?. - `- -- 1-- ' - +- i -?-?? - -? ? --? ?- - - - - , ?' ? ? -? - -t--?- T-?--?---?-??- ? -C--j-- ±-??-t- ?--i --- ? - • --r--i-7--t-- - -I i , -?-- , -;--? - ? ?-- ? - ? r - --!_-?-._ -;-?- -? - -= - ?- -? - - -- - ? - ? I -- {- -- - ? ' ; ,.. SURVEYOR'S CLATIFICATE 'RoNAIo C4?17 30 x iozo x ioss' C. / ? O I ? 0 OD OW • ?0: 3 ? 0 N Q N ?V O U) C X104.4 %104.3 ? 30 i.C. 10 , (?) _1- 1") I N L_ .. I L _ I ioaeXN 89°38'32°W 140.00 N-' - JOAO -' X10y. 4108.0 tn ? 9.50 O x? \\5 ;y?L x ? .?' Io $ m a `? DRAINAGE AND UTIUTY? O SCALE 8°- EASEMENT PER PLAT c-? 30 I o W i U, W / o p ? ? a O N o o ?o m; ?XL 0 T ?x °° o i N X 3.6!- ?m3 N DPOSED ? ? I o 0 VEWAY? m ?? "' IX N .??.x G ° ? :2.Oo x > ? 30.00 - X105.7 %107.1 v1 x N 89°38 32"W 140.00 -? . BOOK / PAGE B.M.: INVERT OF SANITARY $EWER MANHOLE OPPOSITE LOT 1, BLOCK 5. ASSUMED ELEVATION = 100.00 O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND ? DENOTES WOOD STAKE X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROP05ED ELEVATION ?t PROPOSED GARAGE FLOOR = 107-6 FEET PROPOSED LOWEST FLOOR = 100-3 FEET PROA05ED TOP OF FOUNDA7ION = I o'W. o FEET I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 3, Block 5, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed 6uilding. As surveyed by me this 2 2MD day of April, 1982. SIGNED: JAMES R. HILL, INC. BY: Harold C. Peterson, Land Surveyor Minnesota License No. 12294 PROJECT NO. 82138 FILE NO. FOLDER APPROVED FOR SZENNA CORPORATION BY: ROBERTS ARCHITECTS i DATED THIS DAY OF i 198_ JAMES R. HlLL, INC. 22 /60 1 Planners / Engineers / Surveyors 8200 Humboldt Avsnue South Bbomington, Mn. 55431 812-884-3029 ? 2005 RESIDENTIAL MECHANTCAL PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 ??D ?j> Please complete for: single family dwellings & townhomes/condos when permi[s are required for each unit Date IU / _Jj_ / 9,5' SiteAddress &7d Jb Unit# O hone # Tele Property wner p Contractor SEDGWICK HEATING $ A!ft CONDRION!NG LLC' 8910 wtr,.._,nn ve,?n Street Address Minneapoii.:, i0N 55420, Cyty (95 State Telephone# ( ) Bond #: Eapires: The AppGcant is _ Owner f? Contractor _ Other Add-on or atteration to eaisting dwelling unit $ 30.00 fumace _Additional _Replacement _ New air exchanger air wndiiioner heat pump L/ other ? PwAe- State Surcharge $ .50 $ D • SD Totai I hereby apply for a Residential MecUanical Permit and aclmowledge that the information is complete and accurate; tPtat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permi; but only an application for a permit, and work is not to stazt without a pennit; that the work will b in accordance with tha approved plan in the case of work which requires a review,and apprwal of plans. SEDGWICK HEATING & AIR CONDITIOPd!NG LLC g?n ?nia,r,?,orYh Ave ", Applicant's PrintefkNMe3',is, h1N 5542u Applicant's Signature (952) 881-9000 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Pr vwevecl DEC 0 61013 Use BLUE or BLACK Ink For Office Use �j� Permit #: 11 _ L 0()V. Permit Fee:U0 QC) Date Received: L� V/' Staff: 2013 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: /9-4‘`.6_ Site Address: Tenant: Suite #: Name: 1�d� c -Q- Le 0_ 1A-- Phone: t;'S t "." y 1 ^ _t 2S 5 Address / City / Zip: 4 \p' kfid 7r - r 'St 22 - Name: 5" - 9a) -r2- P� un.� Cr Q-ite-esf1%.t° . License #: M Pj 00331 2 - J Address: Address: OL 10 byLtA-C- kir- _ City: 231 State: 1N4(\-) Zip: S"5-100iit .S Phone: t \ 7, --?A---9 2-c) D Contact: kVA; ., ; mail: avt New X- Replacement Additional Alteration Demolition Description of work: 1Gee.-rote¢cLa4 iL-61czce—Cit i J�LV!�l kFurnace -' Air Conditioner Air Exchanger Heat Pump Other RESIDENTIAL COMMERCIAL New Construction _ Interior Improvement Install Piping — Processed Gas Exterior HVAC Unit _ Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 Permit Fee Surcharge* TOTAL FEE 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. Applicana Printed Name Li/ v9/ Lv17 arta 17: 1 r r.HA City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 12 r ta,IVVG/ Var Use BLUE or BLACK Ink For Office Use Permit roc: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j f ( Site Address. L4 0.0 wrid Dr Unit #: - �77,u ,s �� a .- , "r__..;;; , ;—v fi 4 ie,��t;a F h Name: Address Applicant Description P Construction }i) 12-1)0 Phone: / Cily ! zip: IkAg CLUYOLICr or EotU 1Tt- 'X122 is: Owner X Contractor of work:` i ' `f 11 1 t I :� l� , �, 'i l_� A .. I if Cost: 15 ex., -1.6D Multi -Family Building: (Yes_ / No X ) "'r ,�, x -L 7.';''''': -• „ Company: Address: State: et,o2_ Contact: SI ,ctai &i t 21� h1LIY1 taha'l�- P_ City: ,I [ tW_ U 5 M4J Zip: 5540(p Phone: -4154 Liconso #:. ;90' "61.,X Lead Certificate #: HPI -- At,J2 1 If tho project is exempt from lead certification, please explain why: (see Page 3 far additional information) HMV? IM 14 inn i°�u_ TO lqa In the last 12 months, _Yes _No If Licensed Plumber: Mechanical Contractor; Sewer 8. Water Contractor: COMPLETE has the yes, date THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING City of Eagan issued a permit for a similar plan based on a master plan? and address of master plan: Phone: • Phone: Phone: Phone: r �y '4c .ai i o c f 2zr- , -t4., �. , ' 4 p •�' f ° r + ire ,fie ' G T"J r3 ^ °-"'i tg 1 r,� r s r , v it• � o . �r W p.�9 rM Pl f M ,,,I. F uii CALL BEFORE YOU DIG. Call Gopher State One Call al 1651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwwwQpherstatuonecall.ury I hereby ackrwwlecJyu that this inlorrnalion is complete and accurate; that the work will he in conformance with the ordinances and codes of the City 01 Fagan; that I understand thls Is nota porrnil. but unly an application for a permit, end work is not In start without a permit; that the work will be in arrnrdanre with the approved plan in the case of work wldch requires a review and approval al plans. Extorlor Work authorized by a building permit issued in accordance with the Minnesota State Building Code must be complotod within 100 days of perrnit issuance. Ap• plicant's Prl ed Name Jkf AIL Ap• plicant's Sigi tura Page 1 of 3 evkQej. 11/VS/4V17 aLil 17:1Q rP.A V7/ VL U(n48 Cozmhndle pr - DO NOT WRITE BELOW THIS LINE l /c5g3 SUB TYPES Foundation Ni Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition )( Alteration Roplaca Rotaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool n prior Improvement Move Building Fire Repair Repair U REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final 'f2 Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final 1 C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Tesi Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath __Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 019 04pv Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120022 Date Issued:01/10/2014 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Fixtures:tub,tub faucet,toilet,lav. Alex Barna Po Box 188 Fee Summary:PL - Permit Fee (miscellaneous)$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 - Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 (651) 454-5257 Sowada And Barna Plumbing PO Box 188 Cedar MN 55011 (763) 444-0292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132775 Date Issued:09/02/2015 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - 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 - Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature ' Use BLUE or BLACK Ink �� r————————————————� � I For Office Use � I '� �� LL� VFO j Permit#: �.�� l�i C �� G ei�,, � � �G� I Permit Fee: . J � _ I 3 8 3 0 P i l o t K n o b R o a d g � � Eagan MN 55122 �� 1 2 1 A w � Date Received: ��""(� � Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: I � I ___——_______��_J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l a�'�r� Site Address: ` 6 �� ''" �� ` Unit#: �� k� � �+ �` �2�n �- cr J ��4 �d�� Phone: ��/�y�'- �.2�.� ; � Name: � ��, � � Address/City/Zip: �6 �0 ��r14n �/'j e�.P �►�_ �-, � : ��.: J �� :"'' Applicant is: Owner �Contractor P �� a��`" � Descriptionofwork: ��°''��'� � ✓V�S`�� `��1�'�� ° / Construction Cost: �'� � Multi-Family Building: (Yes /No� ) „ �� , �y�� , f > � �� ` ` �� f�-tE'�z Cd.. C P�il - �i(2�?d!-�-`f'�'e'T �, � ; Company:�./1.l`lh�i f� � Contact: �� '� �� >�� ; "; Address: J� � �t�C�l!','� �� City: t�� dGl�r' ��I'/rC ��,� £�'�''o' state: �� . .�S`�l� .�S'1�2�'l-7lX�J �%i✓ �✓ �'.�+da`�f��oi.� y ,��;�� ip• Phone• EmaiL��S: �.: � �, �;. " �7 Gd N„ License#:__/V�r �� Lead Certificate#: If the project is exempt from lead certification, please explain why: ' J 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: Fire Suppression Contractor: Phone: �� r � �I�� t�� r�e � ��r�r�o r��,�� a�,� .;'�S ##�. ��?�l�� r ��7��i�' a �.,,,/�� `..°>..: ,,,,./;+,.,, . � . �. rv" .:,�;r' .�i +k��#} ��` i; � y�y� � �. � , s �"'> �Ci� +�; �,,,,�� 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.gapherstateanecall.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 p�an 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 must b completed within 180 days of permit issuance. x (-a G�-ac GC8 2L, �'� X CS '��" Applicant's Printed Name Applicant's Signature Page 1 of 3 `�`�yg ��j1��j�� dGG�� " DO NOT WRITE BELOW THIS LINE � �� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior � Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION � Valuation . �� Occupancy � '�(..f � MCES System Plan Review Code Edition f�Y.1 - �` SAC Units (25%_100%�) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) � Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control �, Other: Reviewed By: _ � �_, Building Inspector RESIDENTIAL FEES Base Fee � Surcharge � � ,�. Plan Review � t"�t '��'"'` MCES SAC �✓ �� t� �� City SAC �� Utility Connection Charge O �/ � ,�. � �� S8�W Permit�Surcharge �� i � Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133512 Date Issued:10/19/2015 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 Preferred Plumbing 6400 High Point Trail Prior Lake MN 55372 (952) 447-5761 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r -' For Office Use :t:Clty of E� a� . 3830 Pilot Knob Road 7 Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 ‘,0 Fax: (651)675-5694 APR 1 8 2017 Staff: cit. I lael, 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 9 �- Name: d„�. � ��diec,�� I'� Phone: 0-5-1 41 � 9 2.Jr�31 Resident/ g y� Owner I Address/City/Zip: if& U C� Y.� C di fr Applicant is: X Owner Contractor Description of work: Ki Type of Work I Construction Cost: 361 Cie-6 Multi-Family Building: (Yes /No ) Company: - 4'( C.c/1.ft' ct _Lf\( , Contact: i v l Contractor Address: I'3 Li I S t n j 4G/1 Rol, City: tO ld q Orr1 Ct 1 State: PI Pi Zip: S c 0 Phone:6(2- 7 f Ot jcDE _ 4 vn. 3 el Coc"fre / r' , 4c License#: .36 41 7 Lead Certificate#: �J If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 their.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.gopherstateonecall.orq 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 must be completed within 180 days of permit issuance. x Ale 5 19-ft/ �`t t^i1S o�1 x -- Applicant's Printed Nae Aip I' ant's ign ure Page 1 of 3 DO NOT WRITE BELOW THIS LINE /2/2—Z 5-S SUB TYPES Cp� j �r" br:a@ kL Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) to Single Family Garage _ Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level Pool Accessory Building WORK TYPES New /v Interior Improvement _ Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION _ Valuation r� 2t)=.0 Occupancy 1-- " ) MCES System Plan Review Code Edition iii/( Z'-;tc SAC Units (25%_ 100% ) Zoning 7) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ,o Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final )o Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS ?rs Insulation 161 Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: TC+w\ )/) ' 11 , Building Inspector RESIDENTIAL FEES '=' )"' 5,/ Base Fee / 59 Surcharge �1 r � 1{-`47 e / /4;1.927- Seu°) Plan Reviewt. R..tems. MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142326 Date Issued:04/26/2017 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142327 Date Issued:04/26/2017 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Ronald E Holt 4648 Cambridge Dr Eagan MN 55122 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168086 Date Issued:04/08/2021 Permit Category:ePermit Site Address: 4648 Cambridge Dr Lot:3 Block: 5 Addition: Beacon Hill PID:10-13500-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Ronald E & Linda E Holt 4648 Cambridge Dr Saint Paul MN 55122--278 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature