4688 Cambridge Drcirr oF EacAN WATER SERVIC6 PERMIT
3795 Pilot Keo6 Road PERMIT NO.:
,
Eagan, MN $5122 DATE:
Zoning: - No. of Units: ?
Owner:
Address:
Site Address: `-
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I ugree ta eomply w11fi fhe City of Fagon Surchorge:
Ordinanees. Misc. Charges: -
Totol:
By Date Paid:
Dote of Insp.: Insp.:
tirY`aF E,,,GAN SEWER SERVICE PERMIT
3795 Pilot Knob Rond PERMIT NO.:
Eagan, MN 5512 4 DATE:
Zoning: No. of Units:
Owner: ' ' -- " ! - -
Address:
Site Address: ,' 7'r 'i
Plumber:
;` 100. 00
1 agree ta eomply witfi the City of Eagon Connectlon Chorge: <<? ?`•?'? Tr"
,
Ordinoneee. Acwunt Deposit:
Permit Fee: ?-,, - r??- - -
Surcharge:
By Misc. Charges:
Dute of Insp.: Totaf:
Insp.: Date Paid:
.. ,. •,? ; -,,,...- .? ? „ ,,..? ?-.?:t.-?..:.....- ,.?? ...?_. ?_r.. ,?» .- .
CITY OF EAGAN
,. , 3795 Pilef Knob Raod Eogan, MN 55122
' PHONE= 454-8100
BUILDING PERMIT Receipt #
ST•'
61,000
5(te Address
Erect
?
Occupancy
Lot BI rl c Sub. Alter p Zoning
Parcel # Repair ? Fire Zone
l T
f
- `" En
arye p ype o
Cqnst.
ae Name
.
" Move ? # Stories
Z Address -_ c•2
?, ?7~, ?^?` r
?? Demopsh ? Length
? r;f... Fn 55122 a.,,... Grode ? Depth Sq. Ft.
°C Name ,_? . ,: i,-•_ . . . . . _?.. . .:_ ?.., ?, ss_
? o r, -, r ?l')- - . ` ?' - ? ,,r,J
oAddress . _? (.,
.• ?_
.-.1'! oL...._
Name
St w
1 hereby ocknawledga that I hove read this applicotion ond state that
the information is carrect ond agree to comply wifh all opplieoble
State of Minnesota Statutes and Ciry of Engan Ordinonces.
Signature of Permittee
/1 Bufiding Permit is issued to:
oll work shall be done in accordonce with ull opplfcable
Building Official
Assessmerrr
Woter 8 Sew.
Police
Fire
Enp.
Plonner
Council
91dg. Off,
APC
5tote of Mlnnesoto Stututes ani
Permit
Surcharge
Plan check
5AC _
Woter Conn.
Water Meter
Rood Unit
Total
on tha express condition thnr
y of Eagan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
r ??!CJ,""j
H.V.A.C.
vt9
'7-21
?
Disp.
Seuver
Electric
------------
.?
Ingpaction Date Insp. Other
Footings ?
Foundation g?`?p •?
Framing
- ? ;
<
Rough Plbg. ?
Rough HVAC ?
Inwlation
Final Plbg. &J61
Flnal HVAC f
Final
Water Describe Locetion:
Well
Sewer . ?
Pr. Qisp. '
.?, t.. ' . w . ?r'" " i. . .
. -R. - . . - . .- .. . . . . .. .
- .
,.. . . .
.
CITY OF EAGAN
-` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ;
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for `FORM & D= Est. Value $8,O?O Date JUr1 2 7 , 199,
Site Address AN$ CAMBRIDGE AR
OFFICE U
SE QNLY ?g
Lot Block 3 Sec/Sub. SUCON Hi1.LS
Parcel No. occuPancy - FEEs I
W
Name ?VIg F?? Zoning
(Actual) Const
-
Bldg. Permit
99"? I
o Address 408 GAMxDCE OR (Allowable) - 5uroharge 4.00
, Clty F-4"N Phone 4$4"7136 # oi Stories _ I
Plan Review
Langth _ {
d Name ?'? Depth - SAC, City ?
z U
o
Address
S.F.Totai
- `
. Q
GIty Phone
S.F. Faatprints SAC,MCWCC +
?
W W
dme
On Site Sewage
On Site Well Water Conn
W
M
t
_?
Address
MW CS stem - ater
e
er
D
i
A
!
a W City Phone City Wa3bq?,_' - cct.
epos
t
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and st2te that the
i
foftn
ti
i
r
t
t
o eaoster Pump - SN11 Surcharge
n
a
on
s C
r
ec
and agree
a comply with all applicable Slate of
Minnesola Statutes and Cily of Eagan OrdinanCes. Treatmenf PI
Signature of Permitee APPROVALS Road Unit
'
il Buildirtg Permit is issued to DAYID P!?SNM
Planner
-
Park Oed.
on the express condition that all work shall be done in accordance with all Council _
; appiicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff. _ Copies
4 Building Official Variance - TOTAL 103.00
?' . , :. . :. . .. " -. . . . : . . . . . . ,,
Permit No. Permit Holder Date Telephone #
WATER
SEWl?R
PLUMBING
H.V.A.C.
j
ELECTRIC
Inspection Date Insp. Comments
Footings i
??
?L
Foundation ?'. .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui. 2
Freplace
Final Htg.
Orstat Test
Final Plbg. Plbg. lnspectar - Notity Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Dedt Ftg.
Deck Final
WeIF
Pr. Oisp.
CITY OF EAGAN Remarks
Addition RFAf'.f1N NjT,T. AilT1TTTQN Lot ?ik" '-`??W?4?? -5 `'l Parcel 1o 13500 110 n$
owner 5treet 4688 Cambridge Drive state Eagan, MN 55122
1569 Covington Lane
Improvement Date Amount Annual Years Payment Receipt Date ?
STREETSURF. (690 1982 1848.67 205.41 9 1643.27 A011476 9-30-82
STREET RESTOR.
GRADING 19$2 537 ,84 59.76 9 47$.0$
SAN SEW TRUNK 1976 135.97 9.06 15 72.55 of 11
*SEWER LATERAL ? 1982 3182.83 353.65 9 2824 . 19
WATERMAIN
*WATER LATERAL 1982 9
WATERAREA 1982 202,00 22.44 Q 179.56 n n
* Stubs 1982 9
STORM SEW TRK ?+gZ 19$2 3E77.77 Q.Q. $6 9 326.91 ?? ?
*S70RM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREE7 LIGHT
WATER CONN. 420.00
BUILDING PER. 7378
SAC n n
PARK
Rar.eipt ? J PLUMBING PERMIT F
CITY OF EAGAN
Fill in num,bered spaces
Type or Print legibly
1. Oate 2. Installation Cost
i
?
3. Job Address Lot ?
? ,..
4. Owner
nit Na. - i °{ f
Fee
SIC
Tot.
?.
5. ConVactor ? /&12 f'? Phone ` -
6. Address ?/?f .j Jd . '? _ ;l?c? , -?? /f?',--=)• k _ , -
7. City i,.tJi State Il +,?U
8. Building Type: Residential Commercial O Institu
1 9. Work Description: New 13
10. Describe
11.
-/fyzF
_ZiP
?ional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs $eptic Tank
? Lavatory Softner
Shower Wel l
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the abave information is true and correct, and I agree to
comply witfi all ordinances and codes gaverning this type of work.
Signed: for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is yaur,permit when numbered and approved.
Approved,?-=-" ClTY OF EAGAN 454-8100
Receipt MECNANICAL PERMIT Permit Na
CITY OF EAGAN
Fee
_.?_ . Fill in numbered spaces S/C
Type or Print legibly Tot
1. Date 2. Installation Cost '
3. JobAddress Lot ?-Tract
??-- I
4. Owner ' I
5. Contractor _ /f lC /_?! Phone
6. Address
7. City State Zip _
8. Building Type: Residential 0 Cammercial ? lnstitutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No, Eauiument STU - M. Ea,
Forced Air Na. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type uf wark.
Signed : for
Rough F inal
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$900
CITYOF eAGAN
„ 2795 Pilet Kno6 RrS,' Ee9an, MN 551=2
PH6Nl+: 454-8100
BUILDING PERMIT
Receipt #
N° 7378
??V1
Te !a wed fee SF DWz/GAR Esf. Value 61,000 Date 7-1 19 $2
Site Address 45 88 c'anbridc3a Drive E
t R-3
O
mc EK ccuponq
?aoon Hlll
Lot 11 BI«k _ 5 Sec/Sub. Alter ? Zoni? I?1
parcel #. 1I _
0 13500 110 05 Repoir ? Firo Zone NA
- ? ^- - ?--' - _ -' ' V
Enlarpe ? Type ot Const.
W Name Dd12 & Lvnn Fashant Move ? # Stories
? Address 1541 N Gre2liwood Ct pemolish ? Length 49
p Eaa an 55122 phona 454-7136 Grode ? Depth-A4_Sq. Ft.-
N 0d?C (hd
SE BUl]
dC
'YS IT1C AoVrorola Faea
.
.
..
0 ame
o? Aadre:: 4525 Oak Chase Way .
u
? ri.,. Eaaan 55123 eL___ 452-3083
?w Name. APS Plan St?rvirn
Ho Addrea 7668 150th St W
sW I?,_. AwDle Vallev 55124 432-3363
I hereby acknowledge that I have read this aODlicotion ond state thot
the inlormation Is correct ond ogree to comvly wlth oll applicable
Stata of Minnemta Stututes and Ciry of Eapan Ordinnnces.
Slpnoture of PermiMee
A Building Permit is laued to: _
oll work sholl be done in accordance
Bulidiny Officiol
Asseument Permit 316.00
Warer & Sew. Surchorge 30.50
Police Plan check 158.00
F;re SqC 525.00
Enp. Water Conn.420.00
Vlonner Worer Meter 60.00
council Rma un;t 240.0171
Bldg.Off.
APC Total l ,749 _ 5p
on the expresf condition thnt
Minnesoto Stotutes ond City of Eayan Ordinances.
(Iprfifirat.e a# (Orrupanry
Citp of eagan
lorprtucent of Buitding Jnsprrtinn
Tbir CMi fi[Rtt irJ#ed pMY7#qtft t0 t116 1[qN/ftRJ[plJ Of Sation 306 of t!x UniJarm BuildiRg
Cade urti/7dag tbat at dx tiins of iunamt tbit urunrsrt wru in complirtnce witb tix va+imu
ordinanru of tlx CiRr ngmlating building tonn+ratian w uu. Far tix following:
SF DWG/GAR
' 7378
??gc?
R3 Bld{.h?tNa.
?
V
?.
omwvTyP• F.ue
7n.cmn?me z?so?.
alWdiDale & LYnn FashantMd.I541 N. Greenwood Ct., Eaga.
uft„d&m 4688
B Cambridae Dr. L..;,yT?* 11 Block S,Beacon Hill
,
'
b ? y:
i
7-a, Seo tember 23, 1982
D'AA Offil d 49 ikL a,,,
?ItAnr. flak rFfAAA aviran_r?a?s^t94k Chase Way, Eagan
9 n.
, CITY OF EAGAN N 0. 19346
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PNONE:454-8100
Receipt #
Tobeusedfor PORCH & DECK Est.Vaiue $8,OD0 Date JUN 27 , 1991
Site Address 4688 CAMBRIDGE DR
Lot 11 Block 5 SeGSub. SEACON HILLS
Parcel No.
11 w Name DAVID FASHANT
3 Address 4688 CAMBRIDGE DR
° city EAGAN Phone 454-7136
a Name SAME
g? Address
City Phone
w Name
,
?? Address
aw City Phone
I hereby acknowlege ihat I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City ol Eagan Ordinanc?e,s?.
SignatureofPermitee `-'? ?'+ ??k-V1Vl
A 8ullding Permit is issued to' DAVID FASHANT
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ortlinances.
BuiWing Ofticial
OFFICE USE ONLY
Occupancy _ FEES
2aning _
00
99
(Adual) Const .
_ eldg. PermA
(Allowable) - Suroharga 4.00
Y 01$tOn85 -
Len9th _ Plan Rewew
Deplh - SAC, Ciry
S.F.Total - SAC, MCWCC
S.F. Foatprinls -
On Sile Sewage _ H'ater Conn
On Sile Well - Watar Meler
MWCC System _
Acct. Deposil
City Water _
PRV Reqwretl _ SNJ Permit
Booster Pump - yyy Surcharge
Treatmenl PI
APPHOVALS Road Unit
Plannar - Park Ded.
Council _
BIdg.Olt. _ Copies
Veriance - TOTAL 103.00
. ' / 5' eZ-
/7J / 9.450 CL I
,1 '42798?«,6_. - . . ?,
Fe9uast Oat§,_
CO ne No R?oug retl'napection
ves ? No
o
? q?Y? I?Tettor
I i] hcensed contractor 6 /& owner hereby request inspection of above elecViral work at:
Joo Adtlress IStreet Box or ute No.)
5?1v88 m 6r(' d £ • Pry
Seclion No TownsM1ip Name or Na Renge No COUnry
Om DPRINTI
uioQ ?asliqn? Phone No
Power SuDplier AJtlress
Elxmcai ontracmr (company Name)
vnFVwnE?? Comranw§ License No
Man?ng daress ( ?actor or Owner Maxrng instailat?on?
OJ
Aufionzed iqnaW IConV ori Mexin n ion?
140 Phone Number
YS' - ? 3
MI ESOTA STATE 80 fl0 OF LECTRICITY
Gngq¢-MlEway Bldg. - floom S113
1811 Ilnrversity Ave. 51 Poul. MN 55106
Phane (812) 645-0800
THI$ INSPEGTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PRDPEF INSPECTION FEE I$
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION A ee.aoomoa
y? $,A
See i,vuceons Inr complenng this form on back of yelbw copy
'
"X" Below Work Covered by This Request
J42798
ew Adc- Rep. Typeof8uildmg ApphancesWVed EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. 8uilding Dryer Other (Specrty)
Comm./lndustrial Furnace
Farm Air Conditioner
OIOer(W.,ty) ConVettor§Remarks 3
Seqso7 or
Compute Inspection Fee Below:
# Other Fee # ServiceEnlrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps ove 100 _ Amps
Signs InsvWor's use ony: TOTAL p
Irrigahon Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDEflED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rouqn-m
. oa? p?Z?r?
?
certify that the above inspection has
been made. F,nai
OFFICE USE ONLV
This reQUest voitl 18 montbs Irom
This request void (1??? ? ? ? ? ?•?? $C0.C6 y? ?r?l? 11 18 onths from ' t
_6973 `- -- - ?lq L
Beq t Dat?
? p
y?
? Fire No. Roup
RehreA-m?Inspection
qui
Ready Now [] Wt11 Noufy Insaec-
«?
Wh
R
?
Q
pL ?Yes VNo r
en
eadV
_
Lice ed Electncal Contrnctor I hareby requeat insDection'oi above
? Ownar alectrmal work instellod at: .
Stddress, Boz or Route No.
4d,,amrSe,? c- Z,
? City
Sqttion o. Township Name ar No. RanBe o. Cownty,
Occup PRINTI u!? ? Phon¢ No. Z ^ a43
z?
Po upplier
J? Addres
t-re`ct? I nt ctor (CompanV Na 1L / • Contrec hr's Lice)nae No.
A7^? 7?C ?{?'?
Madine A dr ss IConvactor ar Own r Makine Instailabonl )
`J M
4/5
,
r .
ignature ( ntrect Dw r k? Instaltation) Phona NumC I
MINNESOTA STATE B X ELECTRICITY ' TNIS INSPECTIDN REQUEST WILL NOT
Griqqa-MiEwaY BItl9• - p N•181 . BE ACCEPTED BV THE STATE 90ARD
1821 UnivarsityAve., St. Peul; MN 56104 UNLESS P0.0PER INSPECTION FEE IS
ew..... lxl 21 2ez9tti ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-OOOU1-03
7AJ ..:
.? J'?
r?1 69 3 ' See instruction5 fOf Cu'?laling this form on back of yellow copµ . /?, CJ.?
?W W!K. n/IVB/Bli h?'^S R@QUBSi _.. ' 31(0
?A +dmd qpolinncas Wired Equipment Wiretl
R8119E Terimporary Service
Duplex Water Heater Lhtng Fixtures
Ap[BwlAng urye Electric Heaun
n Commercial Bldy. Furnace Silo Unluader
Industnal 81dg. Air Conditioner Bulk Milk Tank
Farm tner peci y ther Isuecifvl
t r.r ppCi/Y Ot CI
OlhP,!
??n?puie rnspecrion ree Cerow ---
N Fe0 SBfvIcBElltfBnCBSizB ?F Few Rnndom/CuM1funiio.a tl coe r.__...._
I]u GG,ppl 7 u7 to 2UU Amps 31 to 100 Amps S- OCV-31 to 100 Amcx
on
Rouyh-in
1, the mel
r Fj.3a ?naaec,o,, na,aby
Finol
f
w
?
?
1e
cerbfy thatthe above
e
, !
?
..(/ insoection hes been
18 ,,on[hs from u
?9 -7 ?3 RESIDENTIAL BUILDING
Permit AppGcation
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
A 1L4-2.Z 5'
New ConsWction Reauirements RemodeVReoairReauirements Otfce Use OnN
3 2gistered site surveys shaxirg sq. ft. of bt sq. R. of house; and II rooted areas 2 copies of plen CeA of Survay Real
(20% mazimum lot coverape albwed) 1 set of Energy Calculatlons for heated additlons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, eta 1 site survey for addiUons 8 decks Tree Pres Not Reqd
lsetofEnergyCalculations AddNion-lndicateifon-sdesep6csystem _OnsiteSeDticSysfem
3 copies of Tree Preservation PPan if lol platted aiter 7M193
Rim Joist Dehail Options selection sheet (bldgs witli 3 or less units
Date -(a - /jr - / 3
Site Address y(D g55L?4j1 /C?onstrucGon Cost 6/06
Mh/? ,-j,,? (J S? UnidSte #
`f
Description of Work Te-0? A,o t/-6??
A r/ C_a ?C'? P/Y G 0.f/? OI n
Multi-Family Bldg _ Y?N _
Fireplace(s) _ 0_ 1 _ 2
Property Owner Ll p F-m J2. C ? 4 ?- Telephone # (03f)
Contractor e I - J?t
Address
State N• (/ - CiTy v 1-'S
Zip -L-L57! / Telephone#(rp'?)
?--r-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilahon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone #(
Mechanical Contractor ?I? u i?, , n• .rnni Telephone #?
Sewer/WaterContractor Telephone#(
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance, with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name ApplicanYs ignature
-- ? ? ?
1991 BUILDIN ERMI AP ICATION, "- - °
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMIQERGS?AI;;
.:
2 SETS OF PLANS 2 SETS OF PLANS .2?SETS'.0 F?ARCHITECTURP,L .-
3 REGISTERED SITE SURVEYS REGISTERED_SITE SURVEYS -` ?6 ?STRUCTU??I:;"PLANS;-
1 SET OF ENERGY CALCULATIONS .? ... ?
(CHECK WITH BLDG. DEPT.). ?1'SET OFi$?PE?I;FICAT;IONS:
,
1 SET OF ENERGY CAP:CIIlATIONS ,..
?
= SETbAF??ENERGY. CALCSr
`:,,2
# OF RENTAL UNITS
# OF' FOR SALE UNITS'' ?':W,';; `"''°•
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT"PICRED- UP°BY'IA51?,?-WORKFLNG DAY ~` .
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS IS?SUED. .
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST'
DESIRED. NO CHANGES WILL BE ALLOWED ONCS,BUILDING PE]
Occupancy
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS`ONCE'A,PERMET'HA
PERMIT MUST SHOW A LICENSED PLUMBER.
-} ?Opo
To Be Used For: {??F? llLi!(J Z)t?I-Valuation:
Site Address y6ge
Lot il Block !?- ?-
Parcel/Sub -AD,2t,lrn-9.A
?
Ownex
Addless 7(?'7 ?p C-Ars P P. Cj !'
City/Zip Code C_ ct ci/, ?S jZ2--
Phone ?S~ /? "? !?? •??
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
_ 'Date=: _
OFF3CE U$E" OP
Zoning '
Actual Const
Allowable r<
# of stories
Length
Depth '•
S.F. Total
WHICIi?ADDRES,S;°IS
iU,ED..
'G
' FEES'st ?i, ` .?.
g. Permi?t;,?,.3
:harge.,?;.
n Review?"?!L, _
? 'S.?T'ir.,,'? _ ,
ez-Cona?..
er :Metern
euos'rist',.. :' . _ .
FootprinC S.F. %vi 'PermiV9?J.,•4' ;<_ ,
• ``S?`'.SuYChaige`.t
On site sewage_
On site well
MWCC System _
City waEer
PRV _
BoosEer Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
?rRoad, Un•it
'.%Park^ Ded.,
' drail Ded:
-bSUBTOTAL .
;?P@n,alty,
, -^:Lo:t-,Change.
:TOTAL
City/Zip Code
Phone #
agrees that all work shall ,b`.e 'done in, accorSaffce. w'ith
:.? ,.
(Signature of Contractor) ' - :
all applicable State of Minnesota Statutes and City of Eagan OYdinances. .
-?.`
? i
.
. ?V IL
+i ' n .: a. . • . _ dV ? ?, n
`:? ? ? - •? N • ? ":. ... . . :?
m _•f. ? + .`? m .s ° '.'t' J'_ ' ir
, . v,.: ?i ?, . . • ... .' ??? .ee as.. ,. ' e.; e•: e:n, ...:. .? ,. . ? r „ .:e inrs. ...A .zm - - .a.??.
J]lYC. ? 3NOM) ,:I ?i ,I{L ?? ? , ±y y _ = _ ?4.yt yi"Y[w '•_>Op
? ? :v. - : m ?Y n ?? u .? ? _ ' o 'I o "I? 1_ s` ? q,C "' :!:e ° u ..4 °• •??? . u .. r?. , ? O.
?I . ? ? ? ? . , ? _ .." ' • ? 'r, ?
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CITY OF EAGAN
BUZLDING PEfNLTT APPLICATION
'Ib Be Used For S'i tihte Pw., 1y •4(0a?Valuation
S1tE PLIdL25S 11(Ogsr l-K7"42f0y,; 1/riv-Q
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
4?? /, 600 Date lo - 30 ' g -;L-
Lot l l Elocac -?- sec./sub. b3Qu"µ;1l
Paroei #: lo= t3Sw= ti-1o = a? )
Oaner: aL? A( Ll?tn -Fa5rlAviT
Address: 1 SL-ll "o G,r¢o.,W-eaS P+
City/2ip Code: 8ago.. 1?'?n 5?t2'Z
Phoae #:
Contractorc ?k- Ctl?r Qu? w'Q(S A lhc
Pddress: ?-1? 2S O?k (k(lqSe W"
citY/zip coae:. L%A&ck.t M„ -'&5k23
Phone #: 30 S3
Arcfi./F?xJ.. ANS AR, SZnncr
Address: -166 w it?o"0 SOr u) .
City/zip Code: 4192le ?A mn SY174
Phone #: L432 - 3363
OFFICE USE ONLY
Erect A Occupancy
Alter Zoxung X"/
Repair Fire Zone
Ehlarge _ 'Iype of Const. 7Z"
Nbve # Stories
Demolish Front ft.
Grade Depth ft.
APPE2(7VAiS F' EES
Assessments Pesnti.t ?-
?4ater/Seaer Surcharge 3p 1=?-' ,
Police Plan Check /,5-? =
Fire S? ?'>'? ?
glq, Water Conn. a ?
Planner Water Meter
Council RAad Unit 2 'elo ?
Bldg. Off. 1. _fd - p- q
A.FC
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2C)TAL ? ? 7 /- 3`a
Certificate for:
Ceptex•Homes Midweat Inc. Bk: 57/17
.8601 Darnell Road
Eden Prairie, Mn. 55344
Wally Hafstad
oak chase Buildera DELMAR H. SCHWANZ
4525 Oak Chase W3y LANOSURVEVOR
Eagan, Mn. 55123 Reyis eCUnEerLawtofThe StabofMinnasoU
2878 - 146TH STREET W. - M R08EMOUNT, MINNESOTA 66088 PHONE 872 423-1788
RZ4.?
SURVEYOR'S CEqTIFICATE
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I hereby certiPy that t is a true and correct
Block 5, BEACON HILIS, ac rding to the recorded
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set iron
found iron
set wood hub
existing elev.
proposed elev.
top of £oundation 926.5 .
repreaentation of Lot 11,
plat thereoP, Dakota
County, Minnesota. Benchmark: Top hydrant between lota 14 and 15,
February 3, 1981 Block 61 Elevation - 921.25 ft.
Revised to show proposed house as staked April 6, 1982
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MINNESOTA REGISTRATION N0.8625
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105990
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4688 Cambridge Dr
Lot: 11 Block: 5 Addition: Beacon Hill
PID: 10-13500-05-110
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Window Concepts MN Lynn R Fashant
990 Lone Oak Rd #114 4688 Cambridge Dr
Eagan MN 55121 Eagan MN 55122
(651) 905-0105
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109431
Date Issued:03/08/2013
Permit Category:ePermit
Site Address: 4688 Cambridge Dr
Lot:11 Block: 5 Addition: Beacon Hill
PID:10-13500-05-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:1
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Lynn R Fashant
4688 Cambridge Dr
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109431
Date Issued:03/08/2013
Permit Category:ePermit
Site Address: 4688 Cambridge Dr
Lot:11 Block: 5 Addition: Beacon Hill
PID:10-13500-05-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:1
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Lynn R Fashant
4688 Cambridge Dr
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121546
Date Issued:04/07/2014
Permit Category:ePermit
Site Address: 4688 Cambridge Dr
Lot:11 Block: 5 Addition: Beacon Hill
PID:10-13500-05-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lynn R Fashant
4688 Cambridge Dr
Eagan MN 55122
Spotless & Seamless Exteriors
8715 Jefferson Highway North
Osseo MN 55369
(763) 428-1111
Applicant/Permitee: Signature Issued By: Signature