4643 Cambridge DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4643 Cambridge Dr
Lot: 23 Block: 4 Addition: Beacon Hill
PID:10- 13500- 230 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Lighthouse Custom Homes
14800 Galaxie Ave
Suite 102
Apple Valley MN 55124
(9523 985 -0585
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$90.00
Owner:
Paul Hovland
4643 Cambridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA084171
07/11/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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IN
CITY QF EAGAN
3834 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
I SITE AQQRESS: I , N . ,. 10 ....:E 3 ty0
,° m '4';
I PERMIT SUBTYPE:
,
i
TION RECORD
PERMIT TYPE:
Permit Number:
Qate Issued:
" APPLICANT:
TYPE OF WORK:
ER ' W`; a:b fii P['Rrc. Il
INSPECTION DA • DA
Permit No. Permk Holder Data Telephone #
ELECTRIC Qd°
I'LUMBiNG
HVAC
Inspection Date Insp. Gomments
F0471MGS ?f??/? ?
/ f,tJ
LEJ
FOUND slc?
FRAMING Z,
f
ROOFING
RDUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
7EST
INSUL A
GYPBOARD
FIRrzPLACE
FIREPLACE
AIR 7EST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
V
BSMT R,I.
BSMT FINAL
DEClC FTG
DEC}C FINAL
CITY OF EAGAN WATER SERVICE PERMR
3795 Pi Kno6 Road PERMIT NO.:
F?gan; MN-53122 DATE:
" T
Zonin
9-
- NO. ofi Units:
Qwner:
Address:
Site Address: `t? ('z?
Plumber.
•
Meter t+la.:
Connection Charge: J „..f..?l.? _ .
Size: Atcount Deposit:
Reader No.: Pe?mit Fee: 1??; •`},
1 ogroe to eamply with the Cltr of Eagan
Surchorge: .?
r
Ordinances. Misc. Charges:
Tora1:
By Date Paid:
Date of Insp.: Insp..
CITY OF EAGAN SEVNER SERVICE PERMIT
? ,.
3795 tfiot Knob Road PERMIT NO.: -
Zagan, MN 55123 DATE:
Zoning: No. of Units: ,
O1Mner: r(, - • .x ? 1.,: ?',' C{D -a: _ rLC't .E 0-cl
Address:
Site Address:
Plumber:
1 agrce to compir witfi t6e CIFy of Eagan
Qrdinoneei.
By
Dote of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge: '
Misc. CFarges:
Total:
Date Paid:
Lot _
Parce
.6c, W Clty _
i, P.O. Box 2'
'HONE: 454-8
#25,Otl0
--r
and slate Ihat the
pplica6le State of
Signature of Perm,?.?1,eQ,l???,;+?
A 8uilding Permit ,' sued to: VALUy IWESTriENTS
on the express condition that ail work shall be done in accordance with all
applicable State af Minnesota Statutes and City of Eagan Ordinances.
Building afficial
u? '
N ;-:?;? r?'??ls
99, Eagan, MN 55121 ' ? `
, . ?
Receipt #
Date .7tfL lb
;
OFFICE USE ONLY
Occupancy ? FEES '
Zoning
(Actual) Consi ,
Bldg. Permit r
252,Q? `i
(Allowabis) - Surcharge 12.50
? ot srories
Lenglh ?
Plan Review 164, t?0 a
oe rn '
P i
SAC, Ci1y
S.F. Total -
SAC, MCWCC ?
S.F. Footprints -
On Site Sewage _ Water Conn ;
On Site Well - Water Meter
MWCC System -
City Water _. Acct. peposit
PRV Required _ SNV Permil
Booster Pump - SNV Surchar e
ti
Treatment PI ?
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.Off. _ Copies
42
8
30
Variance - TOTAL
•
.
Permtt No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING Q .3 l &,qq- 1q
H.V.A.C.
EIECTRIC
Inspection Date insp. Comments
Footings I
Foundalion
Framing
Roofing
Rough PIb9•
Rough Htg.
Isul.
Fireplace
Final Hig.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final D 2?'S
Deck Ftg.
Deck Final
weu
Pr. Disp.
3795 Pibt Knob Rond Ee9on, MN 55122
. PFIQNE: 434-aia
dUILDING PERMIT
Te be uaed for Est. Value
Site Address
Lot BI SeclSub.
?y
Parcel # '?I`
Name
Address 17. `, ?'?,-)t} i?;':i.,?
+ f -177
`? -
°C Name
u?0
Addre.
? ?-?...
Name
Address
I hereby acknowledge that I hove read this applicotion and stote that
the in(ormatian is correct ond ugree to comply with oll epplicable
Stote of Minnesoto Stotutes and City of Eagon Ordinances.
5ignature of Permittee
A Bullding Permif is issued ta
oll work shall be done in occordance with oll opplicable
Building Official
Receipt #
Erect ? Occuponcy
Alter ? Zoning
Repnlr ? Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Length
G.ade p Depth Sq, Ft.
Approvals Fees
Assessment
Water & Sew.
Pol ice
Fire
En9.
Plonner
Cauncil
Bldg. Off.
APC
Permit
Surcharge
Plon check
5AC
Water Conn.
Woter Meter
Road Unit Total .? '
Coris1_.
on the express condiHon thar
2 Statutes ond Clty of Eagon Qrdinances.
Permit No. Permit Holder Mise. Permit No. Holder
Plum6in9 aR Lo ? 1Llc- G?: rE $"' L? ?
H. V.A.C. 3+ ? l '(,pvL?-D I lL'r1. {?i 8' -2fl -$ L
Well
Water
Disp.
Sewer
Electrie zOli ql µICS.\QAgEk $- l $"'rz.
Inspection pate Insp. Other
Footings g-10 -aZ (,v /}-
ti
Foundetion
Framinp
Rough Plhg.
Rough HVAC
Insulation
Final PI6g.
Final HVAC b- ??
Final
Water Describe Location:
Wel l
,
Sewer
Pr. Disp. •
, ,
_ . ;,, .,,. . ?.,. .. .._ .,.?. .... .., _._. -.. _...
, . _ R ..
PERMIT # ? 12
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
1<?f?
3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE: (
CONTRACT PRICE: PHONE: 454-8100
Site Ad
BLDG. TYPE WORK DESCRIPTION
_
Lot Block Sec/Sub
Res
New
<.: .
?
_ Mult. Add-on x
? Name 1; ?
; .
?
?
Address ? ?
? !Ui f r? S ,?
"'.? • Comm. Repair
r?
c
City
Phone Other ,
?
.
-
Name , FEES
RES. HVAC 0-100 M BTU -$24.00
c Address l-ef-, ADDITIONAL 50 M BTU - 6.00
p
Ciiy f
Phone -- ?-1: •?- °
? (RES. HVAC INCLUDES A/C ON NEW
_ CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkM1n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU $ ` APT. BLDGS. - COMM. RATE RPPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU „ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M gTU $_'0 MINIMUM GOMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other
FEE:
?
?'? '
SlC: ?' SIGN R Ti
!
TOTAL:
FOR: CITY OF EAGAN
?
CITY OF EAGAN
Addition BEACON HILL ADDITION
Qwner ?(44?y???>V -?- Street 4643
k 4 Parcel- 1_0_1_3500 230 04
- State Eagan, MN 55122
Improvement Date Amount Annuat Years Payment Fieceipt Date `
STREETSURF, " 1982 1848.67 205.41 9 1437.87 A011500 10-28-82
STREEY RESTOR,
-
71
GRADING
1982
537.84
59.76
9
415.32
A011600
10-28-82
SANSEWTRUNK 7 35.97 9.06 15 63.49 A011600 10-28-82
SEWER LATERAL ? 1982 3182.83 - 353.65 9 2475.55 " "
WATERMAIN
* WATER LATERAL 1952 9
WATER AREA 1982 202.00 _ 22.44 9 157. 12 A011600 1 D- 2 8- 8 2
* Stubs 1982 9
STORMSEWTRK ? 1982 367.77 - 40.86 9 286.05 A011600 10-28-82
* STORM SEW LAT 19$2 }
CURB & GUTTER
SfDEWRLK
STREET LIGHT
ROAU LTNIT 21+0.00 3131$ 8-1a-82
WATER CONN. 420.00
BUILDING PER. 7435
SAC 525.00
r
n
PARK
1
Receipt -- PLUMBING PERMIT Permit No.
CITY OF EAGAN _
Fee
Fill in numbered spaces S/C
Type orPrint legibly
T
t
o
.
1. Date 2. Insta?lation Cost
__
T'
,; n.
3. Job Address =?
Lot _ 8! { ,
,
??Tract ?. ' i.
4. Owner
5. Contractor
Phone ti., jc}.,4 j'n;;
6. Address 20 i i0 :iC i? `
7. City - i L, i, State Zip -
8. Building 7ype: Residential Commercial El Institutional ?
9, Work Descriptinn: New Cl` ; Add ? Alter ? Repair ?
1 10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspopl/prainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray ?-)j .x ??' ? ?L-
Floor Drains 'A
Drinking Ftn. - <?- ? -+-?
Slop Sink
Gas Piping Outleu .
12. I hereby certify that the above information is true and correct, and I agree to
comply wip all ordin,4ini??codes governing this type of work.
Signed: ?i? ` - for
Rough Fina1
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CIT1f OF EAGAN 454$100
Receipt MECHANICAL PERMIT Permi t No.
CITY OF EAGAN
Fee
Fi!l in numbered spaces S/C
Type or Print legibty Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. ? ?ract
4. Owner
5. Contractor ' Phone
6. Address
7. CitY State Zip
8. Building Type: Residential 11 Commercial O Institutional ?
1 9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
Fuel Type
No. Eauipment 8TU - M. Ea.
Forced Air No. EQUipment CFM
H
Ai
dli
Mfg. r
an
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping putlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes gaverning 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
9-7e' 1 CITY OF EAGAN I NO 19426
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # LI4L?99
7obeusedior ADDITION Est.Value $25,000 Date JUL 16 ,1991
Site Address 4643 CAMBRIDGE DR
Lot 23 81ock 4 SeGSub. BEACON HILL OFFICE USE ONLY
PafCel N0. Occupancy IL-3 FEES
Zoning
W PAUL HOVLAND
Name (Aqual) Const
n
Permit 252.0
Bldg
? Address 4643 CAMBRIDGE DR (Allowable) -
- .
12
5d
0 .
Surcharge
City EAGAN phone 452-3336 iotStories _ Plan Review 164.00
?? ?h
9 ?
o Name VALLEY INVESTMENTS oepcn 12, sqc
City
Address 2401 LEXINGTON AVE S s.F.Taai ,
V?
City MEN?OTA HTS Phone 454-5191
S.F. FootpnMS
- SAc,MCwcc
nn
t
C
W
On Site Sewage - er
a
O
r
° W
Name
on site wen
M
W
t
- ater
er
e
s? Address MWCCSysiem
??. ?p°5't
aw City Phone City Water _
PRV qequired - SrW Permit
I hereby acknowlege Ihal I have read this application and stata that the Booster Pump - SM' Surcharge
inlwmation is correct antl a9ree to comply with all applicable State oi
Minnesota Statµ"d City of Eagan rtlin ,p s. Treatmeni PI
/ APPROVALS
Sign2ture ol Permit , Road Unit
A euilding Permit suetl to: VALLEY INVESTMENTS Pianner - panc Ded.
on the express condition that all vrork shall be done in accordance with all Council
applkable State of Mmnesota Statutes and City o
jf Eagan Ordmances. Bldg. OIL Copies
?
Buildmg Ofiicial rn?
??Q{?? ? j?_ Variance - TOTAL ?+L2f. ?J
CITY Of EAGAN
3795 MIM Knob Raad Eeyan, MN 55142 N? 7435
PHONFi 451-8100 ?J
BUILDING PERMIT Receipt ?t ?3/6
Te M utad fer SP DWG/GAR Est. Volue $50 ,000 Dote AuquBt 10 , ?q 82
Sire Address 4643 Cambridce Drive E,ect 91 Occuponcy R-3
Lot 23 Blxk_ 'Q _Sea/Sub.Be8C0 Alter ? Zoning R-1
porul # I 10 13500 230 04 ' Repolr ? Fim Zone NA
N,,,,e Joseph M. M111er Const., Inc.
Aadm,s- 14115 Guthrie Ave..
P..Aaale Vallev e.___ 454-4753
A Noma OwneZ'
?? Address r ru., a..."
Nome
I hereby ockrwwledge that I hovo reod this opDlicotion and state that
the information is correct and ogree to comply wifh oll appliCOble
State of Minnesoto Stotutes and City of Eogan Ordinances.
Signotum of Permiftea
Enlurye ? Type of Const. V
Move ? # Stories
Demotish ? Length 45
6rode ? Depth 41 Sq. Ft._
ADProvals Faea
Assessment _
Woter 8 Sew.
Police -
Fire
Erg.
Plonner _
Council -
Bidg. Off. _
APC
Permit 163.OU
Surcharge 25.00
Plan check 141. SO
SqC 525.00
Wafer Conn.420.00
WMerMeter 60.00
Road Unit 240 _ 00
Total S 6Q 4.Sn
A euiidtr,y vemie ts issued ro: Jose h M. NSil]. COIlBt. IISC. pn rty atpre56 Cordition Ihnt
all work zholl be done in xcordance wlih aN oOPliwbls ote d.Minnesoto Statutes and City of Eagan Ordinonces.
Buildinp Offlciol ???1 . >A9 ?v (Q..
(Irr#ifirtt#t of (Orrupttnry
citp of Caqan
]RPEtEtYlritPtif of NItHbiltg 3T[&pPllilrii
Tbis Ccrti fiuuc issrud purrrant to tbe rquiremrnu of Sutiou 3o6 of LIX Ufl7tOmBNJI/IlAg
Code cntibing tbot at dx time of istwarut tbit smutun wsr is tomPtiarue witb ebt aa+iout
ordinarurt of tlx City regttlating bbiGling tou#rxuion or utr. For tlx f ollowittg:
UN cwwflmm SF DWG/GAR ??2n. 7435
Owlv? TY" R3 '4a?comuucuW V Ftnz NA Zomosu+mn RI
saspoh M. Miller ...18133 Cedar Ave. So., Fax
3
a}Z
Eeacon
Br
October 21, 1982
.a.. ,. . ?..«?. ?..?.
?_? t= ?? -? ??.i?_? v, ?v _ ue?oixusa.
?BI
This 1444s[ void L pZ 7j gq? ?'7 Z
T$ Wnths fmm
`"?6 4 41. ; 3z • s o
Renuest Date Fre No. Rough-in InsPection '
(7 Re0 red> . ?Ready Now? WilI Nptity In9peo-
A -// ' 6??'es nNO i? to, Whan ReadY
Licensed EIeMrical Contractor , I heraby.request inspaction,of above '
?jOwner electncel work mstallad at;
Sveet AAdress, Box or Route No. Citv "
?4 en
ection o. Township Name of No. Range No. , County?
•
Occu antlPqlNTI
?
???
1 / Phone No.
r ,
c7
ion
? ?-ons
oe /
Po r 5?/?/5P hef ?[/ '
?•lV Atldrepss? ,?y A y/y?
Electnc I C n ract IComp ny Name
?i???? Contrar,tor's Cicense No.
'rwid -a
Maihng Address (Contr tor or Owner Makin nsteilanonl fJz - p
Authonzed Sgnature ICon act ?Owner Mak g InstallaUOnl , PhoneMumber . ??-? -:-? 753 -13.:2 7
MINNESOTA STAtE BOAflD OF ELECTRICITY , - THIS INSPECTION BEQUEST WILL NOT
Grig9s-Midwey BIdY. - Aoom N491 BE ACCEPTED BY THE STq'fE BpqqU
7821 UniveryityAve., St Peul, MN 55104 " UNLESS PflOPEN INSPECTION FEE IS
PMne (6121297.2111 ENCLOSE?. 11
REQUEST FOR ELECTRICAL INSPECTION M EB-00007-03
417?e?o?? ' See instructions for completing thls torm on back ot yellow copy. L.
Covered by Thls Request 31 l'( ? Z
N Atltl pep. Type of euildmg Appliencas Wiretl ' Eqwpment Wlred
Home Range Temporary Service
Duplex Water Heater Li htin Fixtures
Apt. Bmlding Dryer Electrw Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner 8ulk Milk Tank
Fafm ther Peci v ther sUacifyl
[ er Vor,i y Offier Other
Compute Inspection fee Below
R Fee ServmeEntrancaS:ze k Fee Feeders/5ubfeetlers X Fee Circuits
! 16.00 0 to 100 Am s 0 to 30 qm s 0 to 30 Am s
101 to 200 Amps 31 to 700 Amps 31 to 100 q S
Above 200 qmps Above 700_Am s " A6ove 100_Am s.
Transrormers Remote Control Circ. .00 Partial%Other Fee
_ Signs Speciai Inspection
$
0
TOT F
a,?,ks
q 33,0 E
>
VP -
Hough-in D te
?
? 1, tha E '
? IrwvWU f
(
?(6(/ soactor, heraby
certily thai the ebove
fin,al ///?f ? Dale?r "ngpection hes bean
RI8 8.
This reQUest void
1F--h. i.-
I-A
/t S?f OFflCE USE ONLV This request wid 18 monthslrom wlidolian dole priMed in Ihie box
9
4a4) ,64,?.??-x./? O'p
* 0 4 1 6 1 9 3 L* pLEASE PRINT OR TYPE $!O
'
Req.sr po
S ? 7 RougMn inspectbn reqmred4 ? No
ou must call ?ha inspeciw whm ready? Inspecnon pher Than RougMn: ? Raudy dl Call
Dute Ready:
I, ? licensed controcror ,?I?owner hereby requesl inspection of the above eleclricol work af:
b6 Address ?Sheef, w Rwre o. Gy Zip Code
Secnw No Twmship Name w No. ange Na Fim No.
I
Co.ny
po t
oU 4ryGt Phone No
Powar Supplis Address
Ekcni
Nome)
C? W P? e.t- Conkocmr Lcense No. Masrer Lk. No. (PIan1 Elen Only)
MaiinOvnier Perfu?mi?g InsmlMnon)
J
*
Author ner Pe ming Inabllation)
g.on"
i Phone No
Y.s - 333C0
EBOOOOiA-11 8/96 gTph BOYNO COV'I - SEE INSi/iOCilONS ON BACK OF YELLOW CO W
'//1 S/5 7
41.E-19.3
REOUEST FOR ELECTRICAL INSPECTION
Fil Minnesota State Board of Elec[riciry
7821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0500
ff_ LHome Duplex Apt. Bldg. Otha 1 Naw ddn
Commercial Indushiol Form OY?-V? Remod Re ir
Air Cond. Hlg. E uip. Water lifr. Load Mgmt. Ofher:
D er Range Elec. Heat Tem .$ervice
"X° obove !he work covemd by this requesf. Enter remarks in this spoce ond on the back of the while copy an1y.
Cakulate Inspection Fee - This Inspection Requesf will not be ac<epfed without 7he correcf fee:
Other Fee R Service EnVance Size Fee ri Circuits/lecders Fee
Mobile Home Park Stall 0 ro 200 Am s 0 l0 100 Amps
Street Ltg./Traffic Sig. Above 20Am s Above 100_Amps
Transformer/Generalor INSPECTOP'S USE ONLY TOTAk _.
e
$ign/Outline 11g. Xfmr. l
)
Alarm/Remote ConMOI
$wimming Pool ? here am el al ??.alk??o dewibed harein . the dm s sa?ed
ae
Inigotion Boom Roughln Dote
eciall
$
ns
eclion
p
Invesfigp
ave Fee li iim? • omo •? `+?n
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WRHIN 19 MONTHS.
ss?
IY
4 2 444 ?a
?
3 O°°
Repuast Dete
8
? i?? Fire No. Rough-in Inspecllon
epmred>
? Reerry Now )(Will Nobry InepeUar
R
ad
+
Wh
r
?Q Yes ? Na y
en
e
IPklicensed contractor p owner here6y request inspectlon of above elechical work a
bb Atltlress (Sheet, 6ox or Rwte NoJ
,
"A
q3 Liry
D
A r ,
d Q .
Secuon No. TownshiD Neme or No. Range No CouMy
?-w-
OccuOant (PRMT) D.? Phone No
PoyiarSupPliw 'A? ff AdOress
Elaclr¢alConVactor(Compeny Name7 Convactor5 Lce?me No.
? t •
Mailpg AdOress (COnhaclor or Owner Making Inslallatmn)
30 *t- S+- So ? A s??? eo?"?,-- SSo 33
Auftnzetl Signat Co 2clorl0 Making Install Pnorie Numbar
6-5
?- --
MINNESOTA STATE BOAPU Oi ELECTAICITV THIS INSPECTION REQUEST WILL NOT
Griggs-MlOwey Bbg. - Noom 5-173 BE ACCEPTED BV THE STATE BOARD
1821 UnivareMy Ave., 5t. Paul, NN 55104 UNLESS PROPER INSPECTION FEE iS
FMne (812) 802-0800 ENCLOSED
?I 42444
REQUEST FOR ELECTRICAL INSPECTION
1? See msVUqions lor completing ihs farm on peck of yellOw capy.
X" 8elow Work Covered by This Request
a•?•.?Ai E13-00001-O8
e Add Rep. + Typeot8uiltling Appliances0retl EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electdc Heahnq
Apt Buildirg Dryar Other (Specify)
Comm./Industrial ' FUmace
Farm Air Conditloner
Olher(specAy) Contracl0r9 Remarks
Compufe Inspecnon Fee Below:
N 01her Fee # ServiceEnbanceSze Fee # Circuits/Feeders Fea
Swimming Pool O t0 200 Amps 0 to 100 Amps
I Transformers Above 200 _ Amps AGOVe 100 _ Amps
. Signs Inspecmr§ Use Only: TOTAL
s'
' Irrigation Booms 3a
? w
0
? Speaallnspecuon
larm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONJPS?
I, the Electrical Inspector, hereby Rough-in ?re . C„?SYI
D 1
cepifythat the ebove inspection has
been made. Fmei r ^ 2
T
OFFICE USE ONLY ? • `(,?
m?s reQUest voia ta monlhs irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?r?7J ??
? lI y13 5 651-681-4675 4.+.?
New Construction RauuiremeMS RemodellReuair Reuuirements
• 3 registered sAe surveys showing sq 8. of loi, sq N ot house; and all mofed areas • 2 copies of plan
(20% maximum lol caverege allowed) . 1 set of Energy Calculahons for healed addiUons
• 2 copies ot plan showing beam 8 window sizes, poured found design, etc ? . 1 site survey for ezterior additions & decks
• 1 set of Energy Calculatwns . Indipte R home served by septic system tor addNons
• 3 copies of Tree Preservation Plan if lot platled afler 711193
• Rim Joist Detail Options selectlon sheet (bldgs with 3 or less units)
DATE d' ??
JOB SITE ADDRESS_
If MUITI-FAMILY BUI
PROPERTY OWNER_
TYPE Of WORK ?
APPLICANT?
ADDRESS ?
PAGER #
AVALUATION (EXCLUDING LAND)
HOW MANY
FIItEPLACE(5) _0 _i _t _s
_ PHONE # .391'4-?sIy
ZIPCODE S_
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
i t
Signature of Applicant ,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
CELL RHONE #
Water Softener
Water Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Updated 1101
? . ? PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z LD2 N G
Eagan, Minnesota 55122-1897 Permit Number: 029702
(612) 681-4675 Date Issued: 0 4/ L 5/ 9 7
SITE ADDRESS:
4643 CAMBRIDGE DR
LOT; 23 t3LOCK: 4
BEACON HILLS
P.I.N.: 10-13500-230-09
i DESCRIPTION:
,,,, 3-SEFl50N AORCH
Bui'?.r?-?:=Pfxj" :!{,?'er..,r m'iT. 7yr?e S? PORCfi
B?ilding Wa e Type ADDITIQN
nsur• Code° ??.434 flLT. RESIDEhJTIAL
',r
- ? .i^ -mlv'll..:
''`"
REMARKS:
FEE SUMMARY:
VALUATION
$9,000
Base Fee $145.25
Surcharge ,14.00
Total Fee $150.25
CONTRACTOR:
1 ?
OWNER: - Flpplicant -
HOVLAND PAUL
4693 CAMBRIDGE DR
ERGAN MN 55122
(612)452-3336
? I
S hereby aCknvw]edge that r3 ,ha_:v* read th3s app,Ltaatipn ariri sCate that thte
°i nfia?matiah z? ?oo rre,&t aniC ag?"aeeto ?Yk-4pP7.1:4abl.a' 5?ate af 32n.
Statutes and Czty o'fEagafl QrtEihaneet.'' :
APPLICANT/PERMITEE SIGNATURE
Y "??C
I O BY: SIGNATURE
, ?? ?
?oA 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'V
• ? CITY OF EAGAN c,p
3830 PILOT KNOB RD - 55122 V/0
6874675
New Construetion Reauirements RemodeUReoelr Reauirementa
? S regiatered aite surveys ? 2 copiea oi plen
• 2 copfea oi plena (indude beam 8 window sizes; poured fid, desfgn; etc.) • 2 aile aurveys (exterlor addklons & dedcs)
? 1 energy calaletions ? 1 errorgy calalatione for heatetl additions
? 3 eopiee W tree preearvation plan ff IM platted after 7/1193
required: _ Yes _ No -
DATE: 4?/X I GI -7 CONSTRUCTION C05T: I?0??•?O
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT a3 BLOCK
3 s,CqSorl nokcrl
4-tp q-3 Clir?A 06 E
? SUBD.IP.I.D. #:
gp-4co,.t mL45
PROPER7Y Name: _ yOVC.+V0 Phone #: ?Sa- 333 Cn
OWNER
Street Address: +(043 ??-
Ciry: EA 644 State: HiL( Zip: SS?? °Z
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/
ENGINEER
Corl?pany:?°_
Name:
Phone #:
Registration #:
Street Address:
/City: State: Zip:
Sewer 8 water licensed plumber (new consWCtion onty): . Penatty applies when address change
and lot change are requested once pertnit is issued.
1 hereby acknowledge that I have read fhis application and state ihat the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No APR 0 2 1997
Tree Preservation Plan Received - Yes _ No _ Not Required BY:
OFFICE USE ONLY
,- t
BUILDING PERMIT TYPE
a 01 Foundation ? 06 Duplex o 11 Apt./Lodging a 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex II o 12 Multi Repair/Rem. 0 17 Swim Pooi
0 03 SF Addition o 08 8-plex In 13 Garage/Accessory o 20 Public Facility
ia' 04 SF Poroh o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex I? 15 Deck
WORK TYPE 3 sa?5a? I, CN o ?_? ?
0 31 New o 33 Alterations h o 36 Move
,vr 32 Addition o 34 Repair I o 37 Demolition
GENIERAL INFORMATtON
?
Const. (Actual) Basement sq.lft. MC/WS System ?
(Allowable) Main levei sq.'ft. City Water ?
UBC Occupancy sq.l,ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq.Ift. Booster Pump
Length sq. ft. Census Code. 43 Y
Depth Footprint sq. ?ft. SAC Code ? r
Census Bldg i
Census Unit o
APPROVALS
Planning Building (? I Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $ °1 oov . -
?--
lr,
?
I
SVVO. ?-
z88o. -
gzgo. -
% SAC
SAC Units
?????? --. . . .. .,.r?.... .- +.. -
Cert14'ioate for:
Centex Haoes Midueat Inc. Bk: 55/62
8601 Darnell Road 55344 ??
Fden Prairie, Mn• `
Joe Milier Const. LE
13015 Cedar ave, soDELMAR H. SCHWANZ
ppple ;ISZZBys Mn•
55124 LqNDSURYErOR
RpitMM V nOH Lawf ef T11o Sbts Of Min?L
2Y76- 146TH STREET W. - WX M XO"MOU1'IT. MINNEBOTA 060N MIONE 612 423-17M '
xrefp
l`wl.+ 9(A:4'{'
3
m
N
rs
? -ftpSUpVEYOR'8 CTRTIF? TE ? q Ita?1
?tir?
c..w.• 9os.W ?.?fl f 41 s a?°ae' ??7."1. a?.
r = 3v_
--- ? ??
1?
A ?L'%f ,
N
4d
? J• ? / o ?
N ?r
??Lq
ti
"?° ? ?rF?R ?W
s s'az•e
-re. AV.
ELM.` 9Vi!M
Scale N L'?v'1, =30 %eJ
6-91-41
I ^?
?- ??
_U•,?.,?„'???
30
?
N
?
?
?
ro
fi
I I•°.,,,P u.?
?,a,,b?. auOrNA
fuef. W?1?• 961.t1?'
Denotes propoaed grads
6 ? Denotes aetewood hubvation ,
Proposed garage floor 969 d ?
?•4 ,
proposod top of loundation °)
Propoaed basement floor °1Lv&•2 •
I hereby certity that thia ie a ttoeth ariGor"ot aox?d? p s?thont'on ?o?t 23, of, Block.4, BEACON HILLS, aCeOrding
County, Minneaota.
February 3, 1981 genctunark: Top hydrant between lote 25 and 26,
Block 30 Elevation 963.45 ft.
Revised to ahow propoeed house as staked Novembor 16, 1981.
{?GJ?sr?ta #STaK¢o lA? ?ru I?o?sE 6°1b4?1 ?1?W 1b? 196L
MINNESOTA NEGISTRATION N0.86
' '/J "??V
so
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
0 651•681-4675
New Conshucllon ReauiremeMs
> 3 registered stte suneys showing sq. H. of lot, sq. H. of house
and all roofed areas (20% maximum lot coveraae allowed)
* 2 copies of plans (show beam R window slzes; poured tnd. design; e1c.)
1 set ot energy calculWions
> 3 copies of tree preservatfon plan H IW plafted arier 7/7/93
DATE: ? ?? ?q 63
DESCRIPTION OF WORK:
STREET ADDRESS:
n br
Remodel/Reoalr ReautremeMs
2 copies W plan
1 set oi energy calculalions for heated addkions
1 sNe survey (or exterior addRions a decks
CONSTRUCTION COST:
7OoCD
LOT: Dl-,-:) BLOCK: L SUBD./P.I.D. #: v ?4,?- C C) V\-
Name:_ 6ov Phone#: Z"ZS ?
PROPERTY Lan Firn
OWNER Street Address: Lr ?_ l? ?-l ????? CIGG,(? /? r
City tGI G, G rl State:
Company:
np: ?5! 2 Z
&/z
CONTRACTOR
ARCHITECT/
ENGINEER
CUSTOM CONCEPTS CONSTRUCTION
Sheet Address: 1500 E. CLIFF RD.
BURNSVILLE, MN 55337
City
Telephone #: areu code ( )
/yIl'1/
Phone #: it?- 7 y?
(area code)
ucense # Z01YZL117 Exp, R'`[7(D
?-
Zip:
Name:
Street Address: Registration #:
City
State:
State:
Sewer 8 water Iicensed plumher (reauired tor new consfructlon onlv):
Penalty applles when address change and lo} change Is requested once permtt Is Issued.
Zip:
I hereby acknowledge that I have read this oppllcaHon, atate thaf fhe InformaHon Is conect, and agree to comply wNh all applicable
State of Minnesota Stafutes and Cky of Eagcn Ordlnances. -?//?
Signafure of AppllcanY. G?
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No MAY 0 5 lggg 1
1
Tree Preservation Plan Received _ Yes _ No _ Not Required BY: j
314 -7 1?
1999 BUILDING PERMIT APPLICATION (RESI i DENTIAL)
New ConstNCflon_Reqvtremenh
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122 <qu ? .-
651-681-4675
? 3 reglstered sHe surveys ahowing aq. ft. of lot, sq. R. 0/ house
and all roofed areas (20% maximum lof coveraae allowed)
9 2 copies of plans (show beam 3 window skes; poured fnd. design; etc.)
? 1 set of energy caiculaflons
> 3 coples of hee preservation plan N IW plafled afler 7/7/93
? S_ y . 99
'?AQ ?
Remodel/Reoair Reauirements
2 copies of plan
1 set ot energy caiculatlons for healed addBtons
7 sHe suney for exTerior addNlons S decks
DATE: CONSTRUCTION COST; o SDC???
DESCRIPTION OF WORK: 60iLA /}M ITD/1? X 7En/DEO 6Df
STREETADDRESS:
LOT: BLOCK: T SUBD./P.I.D. VA? <<
Name:go AUL Phone #: '!__?
PROPERTY Lan FlM
OWNER
Street Address:??3 C41?'&lQ6E' Q?i
city 64 Mnd stafe: /licl- zlp: SS/oZ a
?
Company: Phone #: 11
(area code)
CONTRACTOR
Sfreet Address: License # _
City
State: Zip:
i
ARCHITECT/ Q/
ENGINEER Company:??CO (lVC. Name: 11 7^0/'f K1Jk74
Telephone #: area code ((ps f)?F? ?- 0"7d ?F
Sheet Address: 3?4 3S hjr4?/Allr70i) d/C Registration #:
City _CA G? State: • ii Iip: Ss/v? P,
Sewer 8 water Iicensed plumber (reauired for new consfruction onlv):
Penalfy appiles when address change and lot change is requested once permff is issued.
( , ' `-=-= -
I hereby acknowledge thaf 1 have read fhls appllcafion, state that the informaflon Is correct, andJ agree fo comply wlth all applicable
$tate ot Minnesota Statutes and City of Eagan Ordinances. II ? ? 6(0? ';
Signature of Applicant: ? ?-P?
OFFICE USE ONLY t? ---' -' Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ?I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? I
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck . ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool JE 25 Miscellaneous
WORK TYPE
I?3 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair 0 38 Demolish (Interior) ? 42 Reroof
' Give PCA handou t to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
43.0 c)
Total: ? 4 3 . SZ?
SAC Units
% 5AC
Basement sq. ft. Census Code
Main level sq. ft. SAC Code o?
sq. ft. No. of Units /
sq. ft. No. of Bldgs a
sq. ft. MC/ES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $
-7
?l
Lfitild S / 7-6
/ U6N!S? /"? d'0-00 -
rrAO doasf- 3&xa?4 _ & v`f- a-D
66</d6? 0?? ?c ?zo = `- q-o.oo
Bs cl< "I??od 3,2 Xia
Fel", oa i6?1e xll
wne 4- 7
fa'rE,--l 40171or? t?- -7
C ? a?,S-'(
LoT co??6F-
--f--- -
- - - ?-? ? -- --- - - ? ? ?-?--- -- - - .
----- u = VI S ?, C?
---
_
- - ' ??cU ?fl? GOU? ?:A?'r. LL?LL ? L/?'IG/N/Sr?C:
. 14_4- L- fjTZ?AS Ao c1 G
' .?stirf _Gd vt G " tf/83
- j G2LGNG?: ?02GH
/ - 5"L.9Y0 A/ /fG 2Glf' /VIN
J
?tlswrca?
yyec
Sy?
yo. o=
S/Gc
/y co
( "'(.?,viT" G.a..r?c?.rclete !fs ? ?L«)
. ? ?
7
Certiriaste for: IAJk
Centex Homes Midwedt Ina. Bk: 55/62
8601 Darnell Road gK1? &Z1;g
Eden Prairie, Mn. 55344 -
Joe Miller Conet.
13015 Cedar Ave.
ppple Valley, Mn.scpELMAR H. SCHWANZ
55124 wNO sunvcvoa
RMifbrM UMM Lw/t M TM idb Of MinnMOu
2P7@ - 746TM STREET W. -BO% M posamouKT• ?emovA ?s P"mE 612 423-17N
3
_--
?? 5? .
e N I / / ?,
,
RVEYOR'8 CEt1TIiICATE T q I"
• W iG9'Ir3 -tot`14"? ? t
5 M° 3?1Z? ?• 31.
?-
y??,? ?•--
?--??-
'
'w ? / ? r °• ?/ Oi
?y
J 4.
o Z--?
+Tep lto.?
L.?J.+ 9G4: ?4
s e9
?
1• az" e. '
T6p Nra
EU-'•` 9K!!4
e
10
fi
.,
j ••vT? IuJ
Denotes proposed grade
- 69??notes exieting hlbvation
30
?
I ?
n i
-
? ,
Scale N L?h =30 ?' e?.?
O Denotes set wood u rep Proposcorti ed garage floor d9 0. ProPosed top of loundation Propoaed baeement floor 9l?C.• 2 •Blocke? SLACONyHILIS,taccordin8t?t?8riaora*d plate ?
ther?on?o?t 23t
County, Minneaota.
February 30 1981 $encYunark: Top hydrant between lote 25 and 26,
Block 30 Elevation 963.45 ft.
Revised to ahow proposed house as ataked November 16, 1981.
R?11?SF? -kSTaKEp Wtrµ µout+E M044 -ItLI.N 1toi198Z.
t'
MINNESOTA REGISTRATION NO.BB
316
;
Aggz
CITY OF EAGAN
3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHaNE: (612) 454-8100
fwg8T"m
FOR CITY IISE ONLY
PERMIT #
RECEIPT
DATE: 8 d 9'
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WFiEN PERMITS ARE REQUIRED FDR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: ?lo [l `3 C? rn G-67I a-. Y]1^
,/ m -,-o
tnm• G'?e3 g;,OCK ° SUBD. Na%x,
INSTALLER: ?4Y1y_ .trmgLv z.. e
ADDRESS: ?C_ ?
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
L WATER CLOSET 3.00
? BATH TUB 3.00
? LAVATORY 3.00
? KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FI :3R DRAIN 3.00
GAS PIPING OUT.
_ (MINIMI7M - 1) 3.00
_ ROUGH OPENINGS 1.50
02HER
TOTAL
3
3
3
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.000
SUBTOTAL
ST. SURCHARGE
TOTAL:
/5. SO .50
GO??tG?A?f??D?TRIAI.,s; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_______________________________..___---_____________-----______________---°--°°
CONTRACT PRICE:
OWNER IVAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
MDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
, O^ ....ut. .TRr.?.i ?..m ',... ,?vc
.
ie
STATE SURCHARGE a $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNAT[JRE)
CITY OF EAGAN
CITY: T-_ an vi ZIP: JrJr/o?l
w y ?I?
1991 BUILD G IT A 4CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
51-
COMMERC3AL ,
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS '
(CHECK WITki BLDG. DEPT.) 1 SET OF SPHGIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF.ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
` ?} / oa
To Be Used For: ' 7"j Valuation: p?,'7/?OB Date q p
:
Site Address 4d.13 G*'$6paQ)k;'J? OFFICE USE ONLY
Lot z 3 Block ? FEES
p
Occupancy h,'3 Bldg. Permit 25Z.00
? 11 Zoning Surcharge l2.S0
Parcel/Sub ?1-3eACP? l? ?L4 Actual Const Plan Review l ,oo
Allowable SAC, City
?, ?-p
Owner (4{,? 1/ LA-hiA # of stories SAC, MWCC
Length 3 Z.? Watex Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
? j ?''I r On site well Road Unit
Contractor V?j'L-(,?•Cl.?Na'1SSTA? MWCC System _ Park Ded.
q City water Trail Ded.
Addressa40( PRV _ Copies
r
/'? Booster Pump _
??
City/Zip Code ??jl?DD? 7T?fhft?5- SOBTOTAL
APPROVAIS Penalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address ?
City/2ip Code
Phone #
G
? /?
agrees that all work shall tie done in accordance wit1Y
(Signature of Contractor) j/
,
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Certificata for:
Centex Homes Midwest Inc. Bk: 55/62
8601 Dernell Road BK?. G2?38
F.den PraiMe, Mn. 55344 ?
Joe Miller Const. 25
13015 Cedar Ave. 3oDElMAR H. SCHWANZ
APPle V811@ys 1?It1.
55124 Lwnosuavcvoa
ppiStnM UnOV LOwa Of TM SbtS of MinMMb
3i7g - 146TH STREE7 W. - BOX M RdEMOUMT• MINMEtOTA N06t /?IONE {12 447-176/
3a
S pYEVOR'SCEATIfICATE Tep 1"
l
-ter ".•4`i 1 ?
3 ? S °36'
• o
? y - - - - = •6L ' - io
.. N ( , ? 0.?v 23?'1 8 •~
O
P' I? \ O 1? QQ O ? y ?
. i ' `c ? ?,h? •. ???- - ?? ? AA?
..top Ima Eu+.• K44 ,.Y?? f 9Y'r ?u.l
L'u.J.+ 9lfk44 ??.K6?,• ?1.'7(?A?' !? .
fuEf.t?a??°?rl.y{' y-
Denotes propoaed grade 1 1
69•db?notes existing elevation , S(',Q,IB ^. Lt'C? =i0 4J
o Denotee set wood hub
6- propossd top of loundation `??•4' •
Proposed garage Ploor 6`I d ?
Proposed basement Ploor °Xal(df• 2 •
Bloak e4y BEACON?HILI3, tac6oY'dingt?tl'??d?aorrest a ??d pls?s?th ro??o?t 23,
County, Minneaota.
February 3, 1981 $enchmark: Top hydrant betwe*n lots 25 and 26,
Block 3, Elevation 963.45 tt.
Revised to ahow propoaed house as staked Novembor 16, 1981.
REqtSar,S *STwKEO 1u tr?1 gou6e, 09A>6A 44uq 16,148L
__??a??)j'?[.?,L,?; '?"l '??I_
MINNESOTA REGISTRATION N0.88
l,?,{? cITY r ?4?1 3?L?Clu?e Z ..ti. ot piam..
1 db PTAN M/eleva
. .? ? ae ??71 •
gUIII)ING PEtd?GT 1?PPI.' DQ7
8/4/e2
tve?rtteme?_ QV` valiatian ? Dati°
'lb He lleed Fbr - U? ? ,
Sit¢ A?d?.,gg? ' 4643 JCambridge - P? ` t ?" ?
23, H1pdC 4 SlC./Sub. Beacon Hill
LOt _ -;7?---
Pai^ogl R: cDo
, C*glprp Joseph M. Mi11er Const. Inc.
???; 18133 Cedar Ave.
City/Zip Qode% Farmineton MN SSQ24
p}wg 4C 454-4753
OontracECr: ? Same
Addreses "
CiCY/ZiP Code:,
:Pha?e t: ! ? ? I ?• ?' /?
Arih-/&3• n/f)
Addresss
= 'i l ?City/ZiP. Code'' ?
,
ptow #:
y-
. '_ -
'mwt /K
xitw za?inq
Rwdr ? at Coe?-?
, 11? ?,..
71u?b pOsfpt{ _
1?8ter/8ewat
Polioe P1an QleCiC
Fire ?-
4UPI9lobet *leber
Plafufex' - ? Dhit
g?pf
APC ,
.
,
CertiPiaats Por:
CenteXHomeo Midweat Inc.
8601 Darne].]. Road 55344
Eden Prairie, Mn.
Joe M111er Const. ,
13015 Gedar Ave. soDELM/CRHWANZ
APPle' V811ey, 1''n. LANp SURVEYOH
55124
, Rp1stu0E UnO*r LaWa M Tb* SWO af MmMwU
' 4878- 116TH STREET W. - BOX M ROSEMOUNT. MINNESOTA 66066
SURVEVOR'8 CTO TIF? TE
wvr
a E..w,-eas.w ?+-41 031
3 M/ s •3e' %et.
' .b7
m . N =_
1 ? , ¢
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?
a s e4°ss'?z'n
tuW.= 94444 ?
? ? Tw• 11ua
yrep ?so.s eu4•94444
h.? I?---
X
Bk: 55/62
6K!.
M/ONE 612 423-776Y
3a
7?
o 'O
1I.-? ?
fi
i
?
U?'? ?t??'•
fi.otw?1,9b1,1k
Denotes proposed grade
? 69.64Denotes exiaLing elevation
O Denotes eet wood hub
?
Proposed garage Ploor, %69 d --?-
?
J-?
a?
?
Scale N 1.i.4, =30 %eJ
propoted top of !'oundation `5(44)'4" •
Propoaed basement floor °3?•2 •
I hereby certi!'y that this ia a triue t?d?QO?a p1a?? .nDaAotat 23,
Block 4, HEACON HILIS, accordir?g
County, Minneaota.
February 3, 1981 $enchmark: Top hydrant betwean lote 25 and 269
Block 39 Elevation 963.45 ft.
Reviaed to show propoaed house as etaked Novembor 16, 1981.
RG-VISis.4J ?STpKE? W lYN I?OVSe. rll?/'? ??'?'`•y ,??198L
I .
• i . , MINNESOTA REGISTRATION NO.86
I
sO
owc+r.?: --
? 6ST£ TOURESSs
CONTR4C'NR:
?
u
8q044 .
onTe
PfIC1NE i
9
petesminc wrorking square footage of each
1. Total cxposed wall zrea...... .. /'18 R9• ft. , x .17 n 3oZ •77
2. 1ba1 roof/ceiling area ..... 89 Z- aq. ft. x .OS m 44•l0
' Total expoaed usll area above floor
a. Rt+cal wull vindow xxaa .................................
!,. ^.zta2 do:ir arca ...... .................................
c. Total slidinj glacs docr area .........................
d. 1btn1 fizeplace xali area .............................
e. Total wall framing araa (averaqe 10%) ••••••••••••••••••
f. Total rim joict azr.o ..................................
g, Lij jf wall erea above flons ..........................
A. sloor ..........................
i. r .......................... ,
J. wsll?sw-+?r? .........................
Total expose3- foundatLon area w _ (g4
k. Total Sair.dation window area ........................... ?
1. Total net foundation area above grade .................
Detcrmine "U" valuc of ench wall sepment
(e,q, windcw, door, each deparate vnll section)
x WUN • z . u S . I
x .u- • sS _ . zo.z
C. 3g. x •u"
a. x nUx a
x ^o• .O - /2•7
x „u., .04?. • -?
9 ? .,Lz...=•52_ x --u. _ ,C47 ` - S '.SS
h.
i. _.- - x
7-
x
k. _ ?----- - x
I. _--j?4 x
.,
.
nVa .
uUn • ?
I( tCcu M3 is thc snmO ct
or' less chan itca 020 yot
lievn aiet the intent nf
SUC C•GOr) (c) 2.
-'*yDct;rior Envclopc Tvcraryu "U" Computacinn
•• • Tulal exposcJ roof/ccilii.g area s $42
m. 1bta1 skyliyht area ..................?.........
n. lbtal zoot/crilin7 framing aren (avczaqe10t)•..
.
o. Total net insulated rooF/cciling area..........
petermine "U" value for each roof/cciling segment -
m. - x ~u• - •
n. ?.2 X "U"
o. ??Z• X "U" . ?? •
ZO.O7
?l
0 ........................... 1bta1
rdyu c 4Y 4
If total of 04 is t1te same as, or less than N2, you have met the intent of
SHC 6905 (c) 1.
Alternatc 8uildiny F.nvelope Design
7b utilixP the total envelo;>e systcn method, the values established by the s•.un of
items N3 aud 44 shall i.?t Le gieater than the eum of items A1 and 02.
1. 3oZ.7-1 + z. 44•(,# .37
3. /97, Z3 +.. 2a.o1 _ Z2?o.
.?.uw.n? ?.. ... . , . , . ..
?
?II Ci+vGAL FT. E-KPo5ED
36P+ !-Yp+ zA tZ4 r$
: 36+z4+z4t 2-67
,
31o+3&+ Z4-tZ¢ t $
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?? rJ EE :
rv?l_ I :
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l''_? •-? ? ?
ll 3 .?C S =
1-0 KPoOSC?D
x8 =
?za x t) =
k? '
1C =
= /z.a
C !za
?4 L.1..
S(oS'
/oZ
Iza K I "r iZ8 '
AP,["./%
/5-87
(?.?'????J? ? ?•r[?•I ?.?'A.' { ?
( 24 7,8 = 8&4+28 ? 89
2v?4U-l11(
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,
NATi o.
1Z9
F ?{ 1
j
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F'LAQ :W 89044
WALL
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1, r?N?•?tn? film__.. ?-- --- 0.?
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f:xlrj inr nii film
-••--_.._---- 1•,?i.;i -----b.t7
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U = . v 44
1. 1n1?71r.r All /Iltn
2. _ . _. _.-
t. ' . .._..__.
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enced lleat flov ' z.
.
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, . . . .
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. • • ?. • ~ • • • • • • , • • •
• • ' ' ? • •'• '' ? • co?.y.?e'vtri .?. . ' • , . .
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?+?y?!^^:.- ??'•'^? ??J??+i4 i 1. Inslda a1Y filte
anr1????'_?_ ? ' ??? ? _ ?
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?r' • / ' ' 3. ' • '
?. ?(?(? rtm• .? •I` !' ? ? 5. Ouee:idc?ir fil?a o.17
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Y,t, ' Z ' ' _ .
.
` Y.ect flov up • ? , .•vented . 4.
. - ' ' , ? • $, Out?idc air film 0.17
. ' • • . . - Total
, TIG. ?6' . .. . . • - • • _ . ' ,
... .. _' . - ... • • ---
~ `3 ? fZJ '0 1, ineidc sir tilm 0.61
. •„ • •'/'t'J?1?1,?? ..?? • . •
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•• r..: e`• t,.r'?j~••..:' a 7
oS • /?' . ' 0. 1
•?`••%"'???"?"?'•"? S, Outside air film
?-?'!! ?•.::.., .. •.
, Total
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? ?:b?'t'C?'r`? •', peccled Sot ?1ct?ils an3 cslculations.
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. ; . ?lov up • .' . .
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?1-7o9'
3ees-RESIDENTIAL PLUMBING PeRMir aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ""l I 1-6 I b-I
d
?f.
14L
143
'
b
`-t?
1
Site Street Address
AQ,
Q
(
Unit#
PropertyOwner_ pGk,i,t,I ?6) A,t,rI Telephone# (V;[ )A(5a 333
Contractor \)O-U 5 1'' I ?V?4 Telephone #(pa ) g4? mwa--
Address ?S S• ??tst? ?,C'?RQ. ?J?.V?,?. City 3tS'6'a GlA-- State Mlv Zip ?s3Sa
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per asbuilt $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inGudes installation of a water softener and/or water
heater at the same time. If you are insfallfng onlv a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, k is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required ?review ?and approved.
7/. SC"7 I-Q.?"SGi'I a" <=v`--_
Applicant's Printed Name plicant Signature
-30. 9)
Sk-
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167159
Date Issued:02/26/2021
Permit Category:ePermit
Site Address: 4643 Cambridge Dr
Lot:23 Block: 4 Addition: Beacon Hill
PID:10-13500-04-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Paul & Ruth Hovland
4643 Cambridge Dr
Saint Paul MN 55122--271
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature