4666 Cambridge DrCfTY Qh EAGAN WATER SERVICE PERM
?795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
' Zonin : .?: _`
? 9 ?' '
- No. of Llnits: 1
Qwher:
Address:
Site Address' ?''L' Tf H.`i -BaaC= 5ill
Piumber: - xr? x,;
Meter No.: Connection Chnrge: -" r' •'' ? nt'
Size: .,ccount Deposit:
Reader No.: Permit Fee:
1 ogrea to eompiy with tl+e Ciry of Eugan Surcfiarge:
Ordinanees. Charges:
Misc :>`i • - - r'?'•C. ~'r
.
Toto1:
By Date Paid:
aate of Insp.: Insp.:
CITY OF EAGAN SFVUER SERVICE PERM17
-t795 Pilot Knob Road PERMIT NO.: -?
Eagon, MN 55122 DATE:
Zoning:
No. of Units: 1
Owner. 1?y ?",'«•.:?????'i+,?.
Address:
Site Address:
Plumber:
' `• i . .... -..-? g r?;-, ?, ??
1 agrea to tanpfar witfi fhe Citr of Eogan Connettion Chorge: `+^ >- t't:^
Qrdinences Account Qepasit:
.
Permit Fee:
Surcharge: - -
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
?.? ?,,.; _ . . w, .. .. . - .
? -- ?°-..._??' . .?:? _•: ?.. ?? , .?? -: ?- . S.s4.?: :.?, -'?;:... ,y?. . ? . .. .. .. .
CITY OF EAGAN ! -
- - 3795 Pilot Knob Rood Eagnn, MN 53122 ?
BUILDING PERMIT
51te Address _
LOt
Parcel # -
W Name _
Z Address
? Ci
? IVome _
,a
?? /lddrass
5
on
c?
Receipt .#
Erect ? Occupanq .
Alter ? Zoning
Repoir ? Fire Zone
Enlurge ? Type of Const.
Move ? # Stories
Demoiish ? Length
Grode ? OeAth Sq. Ft.
& Sew.
Permit
$urchorga
Plan check ? .
UW Nome
Fire
SAC '
?? /lddress En Woter Conn
p. .
iW Ci Phone Plonner Water Meter
CAUnCiI Road Unit
I hereby acknowledge that I have read this application ond state that gldg. Off.
the informotion is correct and agree to tomply with all opplicoble
Stcte of Minnesoto Stotuies and City of Eogan Ordinantes APC Tofal
.
Sipnature of Permittee
? /1 Buifding Permit is Issued to: on the express condition ihni
? ell work shall be done in accordonce with nll opplicobls Stote of Minnesota Statutes ond City of Eagan Ordinantes.
Buildir?fl pffic(al
Permit 1110. Permit Holder Misc. Permit No, Holder
Plumbing
H.V.A.C.
Q `!O ^ $
Well
YVater
Disp.
Sawer
Electrie
T34p3 bvk-??cL--,
Inspection Oate Insp. Other
Footings
Foundation
Framing _ ?.
Rough Plbg. C
Rough HVAC .td. G
Insutation
Final Plbg,
Finel HVAC
Final
Water Dsacribe Location:
11Ye11
Sewer ?
Pr. Disp.
CITY OF EAGAN _. ; :. ?51N9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
L,?C/ ?J?.?..-
BUtLDING PERMIT FREE STAN[) PHONE: 454-8100 Receipt# ??? ?
Te 6e wad Foe ?
FIREPLACE Est.Value ?
$1.000 bore C)CTOBt.R 2_, 1g-SiteAd 4666 CAMBRIDGE DR Erect IL Occupancy R3
Lot ec/Sub. BEACON HILL ADD Remodel ? zonin9 RJL
Parcel No. Repair ? Type of Const, v
Enlarge ? No. Stories
W Name WILLIAM C WALTER Move ? Lengtn
? Sj?j??;
Address Demolish ? Depth
City Pnone 452-4438
Grade
?
Sq. Ft.
? Approrols Fees
,o Name
ou Address
u
Assessment
Permit `
50
? City Phone Woter 8 Sew. Surchnrge •
?
w Police Plan check
Name Flre SAC
,-? Address Erp. Water Conn.
U
tW City Phone Planner Woter Meter
Council Road Unit
10/1/84
I hereby atknowiedge that I hove read this opplication and state thot Bldg. Off. Parks
rhe Iniormafion is correct and ogree to comply with all applicoble APC Total
State of Minnesota Statutes and City of Eagan Or
dinances.
/
Sipnature of Permittee ?"?"?"? ???: • + ? _? ??? `.?? Var. Date
11 Building Permit {s issued to: WILL'IAlt-I CWAL $R on the expres3 conditinn thai
qll work shall be done in accordonc wit1J all?ppplipA ble S te I`?..',y.f,?•,•
-"' J
•1
°
.,?CiL ??-,sota Stotutes ond City of Eayan Qrdinances.
. ?
:
µ?
?
;
?
BuildinQ Official _ - ? _.
. ?.?_,i i ?.v
-
Permi# No. Parmit Hotdar Date
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp• Other
Foatings
Foundation
Framing ?
Rough Plbg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final
Cert/Qcc.
Water Descrihe Location:
YVell
Sewer ?
Pr. Disp.
Receipt
PLUMBING PERMIT
CITY OF EAGAN
Fi!l in numbered spaces
Type or Print legib/y
. ...- ! ?
Permit No. ;
Fee ?
S/C ?
Tot. ? -w) j
,
1. Date • 2. Installation Cost ?
3. Job Address Lot Tract
4. 4wner
/
5. Contractor ' Phone :
6. Address 7. City State Zip
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New [T Add ? Alter ? Repair ?
C 10. Describe
1 11•
No.
? Fixtures
Water Closet No. Fixtures
Ce
o
l/Drai
field
I Bath tubs n
ssp
o
Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
} Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
Si ned :
9 for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY aF EAGAN
Fee .
Fill in numbered spaces S/C '
Type or Print legib/y Tot ?
r?
1. Date 2. Installation Cost c.--
, . ?.
3. Job Address ? ( /i-- 66? Lot - Tract
4. Owner y" ' '=??'--?^" ?•Ga????Q/i
5. Contractor Phone ?''f `• `? r,?, r. `
6. Address
7. City State Zip
8. Building Type: Residential C?r y Commercial ? Institutional ?
9. Work Description: New ?Q` Add ? Alter O Repair 0
10. Describe Fuel Type
No. Eauioment STU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg.
Boilers
' - g
Mfg. Mech, Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
'
j Gas, Piping Qutlets
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 of work.
5igned: fnr
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 6 Blk 5 Parcel 10 13500 060 05
Owner1J,)f1;,Ji''4,)"? I kLC - Street 4666 Cambri dge T1ri ve 5tate Eagan. MN 55122
&1049 1ljy4n1 E'iC P;l ?ntn; i I ., __'. )
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (p$' 1982 1848.67 205.41 9
STREET FiESTOR.
GRADI.NG 1982 537.84 59.76 9 478.08
SAN SEW TRUNK 3 1976 135..97 9.06 15 72.55
*SEWER LATERAL 19 z 31$273 353.65 9
WATERMAIN
WATER LATERAL 1982 9
WATERAREA 1982 202.00 22,44 J
* Stubs 1982 9
STORM SEW TRK (p?-, 1982 367.77 40.86 9 326.91 C00773 -8
STORM SEW LAT J
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1981 185.00 26299 5-17-81
WATERCONN. 1981 335.00 26299 8-17-81
BUILDING PER.
sac 1981 525.00 26299 8-17-81
PARK
, - -. -+
BUILDING PERMIT
$ite Addreu 4°W ?
Loe 6 al«k 5
CIT' OF EAGAN
7795 illet Kno6 Reod Eayan, MN 55122
PHONE: 4548100
Beacon Hill
Parcel # _
s Nome ??uc,1C?y W1134S"LL1:41V11
? naareu 9649 Upton Resd
,-;w Bloomington ,,,,,,,_ 881-4666
o Name _
H
?U Address
f r:...
Nome _
Address
1 hereby acknowledge that I hove read this opDlication ard stote t4rot
the inlormation is correcf und o ree to wmply wirh oll opplicoble
State of Minnewto Statute?oyQ Cli/`gf?Eqgn?Ordim
nces.
Sipnoture of Permittee ? 1-•?'.
A Building Permit is issued to:
oll work shall bc done in accordance/vPfi oll a 1'mb State of Mir
Buildiny Official ?A/ 1?i.tfL- ? f.Ln T
N° 6820
Receipf # ::,,) (- `'Z,9 ?
Erecr 0 Occupancy R-3
Alter ? zoning R-1
Repolr ? Fire Zone
Enlorga ? Type af Canst. VA
Move ? # Sfories
Demolish ? Length64
Gmde ? Depth --2A-Sq. Ft.-
ADprorali foes
Assessment _
Woter 8 Sew.
Police -
Fire
Enp.
Planror _
Councfl _
Bldg. Off. _
APC
Permit 3U1•vU
Surctwree 28.00
Plan check 150.50
snc 525.00
Water Conn. 335.00
WoterMetar 60.00
Raad Unit 185_00
7oral $15 _ 50
_ on the expresf cordition thni
ond Ciry ol Eapnn Ordinances.
? ? l o' ?lo AA -? lli ?V A?A•` C?_ r. oa`i iii i i, , ), J' i? 1? % Io " '?
'Al,???Y}tBTfriiPlif Df
/ J
%
--??Tbii=Cniifitatt,iurrcd pmrtxqnt to tbe nqtartiatntt ef Sertron 306 of rbe Uaifnriii=Bnrld'mgl
::•. _Codr iiitr' f yisg tbat at tlx tinu o f isruaxu ebu'stridtWrc iucf in cariiplianca'witb tlx vanoru
i: o:iiinsrura of "the Cuy ngulating brdlding conrtrraaon er rirr. Fer tlx /ollowis8:,
% ?
-"u,eci?r?.uoo SF'°:I7G,TJ/!',?1Rd5e _68201? <\=
9666" Caat'briflge' ti yb,Bbi, ,+Jeaom` tutt ?l=
/ ? I D" V
mEIngOlBdd /l?n
? p i ? ?? i (9 F? AVe t ??A aA\ V V?? -
sn
" CITY OF EAGAN N9 9559
3830 Pilot Knob Road, P.O. Box 27•799, Eagan, MN 55121
GrC/ ?5C/
BUILDING PERMIT FREE STAND PHONE:4548100 Receipt # /? f
re ea maa 1e. i'IREPLACE Est.vaiue $1.000 Dare n(`mnRF.u 9 _, iq--84
sitaa?dcess_ 4666 CAMBRIDGE DR E,ect ?cj oc?„pe„cy R3
Lot 6elock 5? ?eclSub. BEACON HILL ADD Remodel ? 2oning ,Rl-
Percel No. Repeir ? Type of Conat. V
Enlarge ? No. Stories
9Name RIILLIAM C WALTER Move 0 Lenqth
; A?ras SAME Damolish ? Depth
b City Phone 452-4438 Grade ? Sq. Ft.
Phone
Assessment
Water 8 $ew.
Police
Firo
Enp.
Plonrrer
Councll
hss
Permit +'4 v.vv
surcFwrqe • 50
Plon check
SAC
Wnter Conn. •
Wcter Meter
Road Unit
1 hereby ocknowledqe ihot 1 have read fhis appiication and state fhat gldg, p{{, 1 O/LI parks
fhe informotion is wrrect and ogree to eomply with all appticable APC Totel $20.50
State of Minnesoto Statutes ond City of Eagon Ordinances.
?? !???„? .? ?n?? Var. Date
Sipnoturo of PermiMee `w"?"? ""?
A Building Pennif Is issued to: • ths expreas conditlon 1ho+
oll work sholl be done in accordanc wit ol ppla 5 te i ?ewta Stotutea and Ciry on ot Eapon Ordinances.
l
Neme _
Address
City -
Phone
Neme _
Addresa
City _
Buildirq Offidol
. . .
? ALL CONTRACTO MUj/ T BE LICENSED WITH THE CITY OF EAGAN
? INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
?.-c? /"?•d.`ny Q SET OF ENERGY CALCULATIONS
To Se Used For: lx"r$??u. c.e valuation: ?Icao me Date: !-Z ?7- F7`
Site Address: oz-
Lot: ja Block: J?S ct/Sub:
Parcel #:
owner : U/; !(i a h, C (,Ucr? /f-e `
Addi-ess: Y(oCG
City/Zip Code: 2-caqa?
Phone #: v5Z-5-
Contractor:
Addx-e s s :
City/Zip Code:
Phone #:
Arcks. /Eng:
Address:
City/Zip Code:
Phnnc$•
Erect: X
Remodel: _
Repair: _
Enlarge:
Move:
Demolish:
Grade:
I AYYROVALS ?
• ?
Occupancy: ?Z3
Zoning: R-I
Type Of Const: _?$ Stories:
Length:
Depth:
Sq. Ft.:
Assessments: Permit: 20.?
Water/Sewer: Surcharge:
Police: Plan Rev.:
Fire: SAC:
Engr.: Water Conn:
Planner: Water Meter
Council: Road Unit:
Bldg. Off.: Parks:
APC: aD .Jr Q
Variance: ? ___
X1 t? ? AS ?. ry «no
This rer?uest void /-
18 months from ?l[O 33
Dater" ?f/fiis Request /Fi,e No. T 3 4 9 4 0
I, as Ckicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal widng installed at:
Street Address or Roi
I
Section Tow
Which is occupied by
Is a roughin inspecf
Power Supplier ?j
Electrical Contractor_
Mailing Address -4
Authorized Sienature?
s 3
N v
Phone No.
{ei?yonVatror ar UWnYB1 Maklnq Is Install8tlon)
??f??? ????D ???? This nspection request will nat be accepted 6y ffie
[J State Board unless praper inspection fee is endosed.
n r^quirel on th?job? No ? Yes ? Aeady Now ? Will Call?;
Y VI Cltl41f1411Y
Griggs Midway Bldg. - Room N791
? 1827 University Ave., St. Paul. Minn. 55104 - PFwne 297•2111
"REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
EB-00001-0
?(033
T 3494
Budding New Add. Rep. Check Appliancp W¢ed For Check Equipment Wired Foi
? ? ? Range ? Temporary Wiring ?
rDumex ? ? ? Water Heater ? Lighti ng Fixtures ?
g. ? ? ? Dryer ? Electric Heating ?
rcial Bldg.
? ? ? ? Fumace ? ' o Unloader t ?
Industrial Bldg. ? ? 0 Au Conditioner ? Bulk Milk iank 11
Fazm ? ? ? Lis[ [
Other ? ? ? ?eh?ers
COMPUTE INSPECTION FEE BELOW q /
Seivice En4ance Size: ar Fce Fcedus&Subfeeders: # Fce Ci[cuits: # Fee
D to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 ro 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformecs RemoteControlCuc. Pariialorotherfee
Signs Special Inspection Minimum fe
Remarks
?OTAL
I, the Electncal Inspector,jhece6y ceT?ify that the above inspection has been l1ad? `
(Roagh-in) ? / I ? I f i?? ` Date
(Futal) -?l-b'?
This request void 18 months from
`?'[4 LIP.t $S BEacan {??` ( ? ?f ?l ?J--
This reques void ---- -?-?
18 months from
Date of his Request F;re No. T 3 4 9 4 3
I, as icensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal wmng installed at:
Street Address or Route No.
Section Township
Which is occupied by? V1-JX-C%!--\- L? 'I
? (Name ot OccuOant)
ls a roughin inspection re uired on this job? No ? Yes ? Ready Now ? Will Call
!
Power Supplier Address
?-- 4?08
Electrical Contractor - a
?'?-- Contractor's License No. _
Company Name)
MailingAddress o-Q6 tii1.t ?3?
I (Ele tr7<a ontl t w Making Thls Installatlon)
Authorized Signature Phone No. c?FU
' (EI ontroctor or Ownel N)fiklng Thl nstallatlon)
STATE BOARD COry This in pectian request will not be accepted 6y the
State Board unless proper inspeetion fee is enelosed.
wnc. ky
Griggs Midway Bldg. - Room N191
_14111.1niversity Ave., St. Paul, Minn. 55104 - Phone 797-2711
REQUEST FOR ELECTRICAL INSPECTION
CHF!'K BELOW WORK COVERED BY THIS REOUF.ST
EB-00001-02
T 349 3)
Type of Building New Add. Rep. Ch¢c1c pppliances Wved For Check Fquipment Wirod Fot
Home ? 0 Range 1211 Tempotazy W'ving ?
Duplex ? ? ? Water Heatec ? 6ighung Fixmres ?
Apt. Bldg. ? ? ? Dryec Eiectric Hwting ?
Commercial Bldg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. ? ? ? A"v Conditionec ? Bulk Milk Tank ?
Fazm ? ? ? List
1 List
Othei ? ? ? ' p
}
Hehetsl p
Heiers?
COMPUTE INSPECTION FEE BELOW
Service Enlranu Size: # Fce 1 1 Feedersd Subfceders: # Fee C'ucuits: u Fee
0 to 100 0 to 30 Am res ?S 0 to 30 Am eres
101 to 200 : iawi m to ]00 Amperes 31 to lOD Am eres
Above 200 Am s ove ] 00 Amps. Above 100 Amps.
Transformers + emote Control Ciic. Pactiai oi othec fee
Signs Special lnspection Minimum fee S5.
Remarks
,
TOTAL FE
?j
- / ' ,
I, the Electncal Inspector, hereby at tDleF/aL ?ns e'on has be
(Rough•in) ce «'?j Date
(Final) , ) Date
This request void
18 months from
? , CITY OF EMGAN " Include 2 sets of plans,
r•? ?U 1 site plan w/elevations &
BUILDING PERrffT APPLICATZON 1 set of energy calculations.
7b Be Used For ,-. Valuati`on Date
Site Address {p fwbf E.. 4 c i pFFICE USE ONLY
rart?e Block d= 3 So ? oGpo ??? ?/ rEeCt ltex ???, l3
Repair Fire Zone
Owner: .e ' r C o 1'? c ou Enlarge 7.ype of Const.
Address: t'bve # Stories 1
/? Danolish Fmnt ft.
City/ZiP Code: 4]?Gb.n 55"jw Grade Depth ft.
Phone #: ??/ f1o66
avvxYnlnr C FF'F'S
Contractor:
Pddress:
City/Zip Code:
Phone #:
P,ddres?..
City/Zip Code:
Phone #:
Assessments
?4ater/Seaer
Police
Fire
II'i4 •
Planner
Council
Bldg. Off
APC
Plan Check
SPG i
Watex Conn.
Water Meter
Road Unit
Zvr? 4. I _58"g', _S'c
O
Wesley Construction ,
Survey for Lot 6 Block 5 Beacon Hill
Elevationsi exist 4?
proposed 1::M2,7
6po
b?b
, --? _ __.
A Dunn & Curry Communiry
? , ^..•F?
q. ,. • i.l , T ? ? . .
! DEVELOPER'S CERTIFICATION
Lot: 6
Block:5
Subdivision:?? KA&
q
This .is to certify that
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, Dunn $ Curry Real Estate Management, Inc.:
By
Accegted by Buyer:
By
,
4940 Vking Orive
Penwgon Office Park
Minneapolis
MN 55435
(6I2) 835-2808
r .?-
? , . .!'t?'..'
i$N?.Ya, . ? . ... t . ,ti..a . j' _ ?-vvi 3 ? ?. ? :?i?v,? LV.. _? S"m( tV,v¢a?' _ ? : i ?; , 3? ^ ' y , .
Ci r y A?{(?WV?,[ 4J? (y/?t/?
J 2 S A?Af? ,l ^'
t / ?!/f"? ???-? C/G/'/liv,???//•? ? ;? . Y
Y
CON.C4tPt7??, ? ,?_'^'f±'i•i =. , : DAU I'?.W?i?f
? ? . . ?- . ? . -. " ' ?'?? f I•+
De?erm?ne ng square fobtaga of :eaeh
Sf
expdsed wal l area } .??DJ?? sq ft ,c,
77
2 ?Ta;a# ronF?s??tin? ?area,?? ??.??y? ;sq ? fC xt
pf ' ' n? 4 ? n I fi
tdtd?'?eX}?iQSC1Y? W#?afiT adga above fi'IoRM
a: Totr?l walt ?diRdaw area
b. x1l ' f?f101" t31'ed ; ` " n a-? ? ?a ,s , c +
t ? ? . , ? ti v 1 . ?i ??', ? '* rt??'l j ? < ? , 43' ? 4 s
, c: Tot4l°Slid+ng.g7ass ctdor xr?a'; = T a ?? • ?? ?,s? .4?
Q. T,ota,l fireplace ?ra11 8rea .• • ?,L?,?'?? ,, ?, ,t:?,.?'?,? t` -? ? ? .,
doa ;b
iotal wall fr?amin9 ?'
f. T?tBI nct Gra17 °area'abdve floor
" 9. TO'Q?j 1'?3R1 JOI,St dl"d: ' - .. ..
.... . . . .
." ? T6talezpp ed foundatton are?
, h. Tt?tal`fpuridat9nn W7d1d?V'81?'CT.' • . .
? 'i. Toat net founda[ion ar.aa dbcve gr?rde , , `'?-T"?"} "',:• < ?k.+
, . , . ? . . ? ? ? i • e F '"???t ? a ? ? a? ' ?'?
? ?,Determine "U" .value ofeach. ?ratl segme?it
? F
r?_. ' " ? t' . ':. . ?_. 1 .?.. (.: ' .r , "?J?. : ? Q •?Y' ?7P
b•_?7,? x .,U„ , 123
. . ? c, ?g u„ ? S?? = ,_ ?G•?d?.:_,. ??:
'a. -- X „?„
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e x ,u?,
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Y
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. , ,?,, x : „U11
, --.-- - ..- --?=- . t ?
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3. .... . :.`.:. ToCa}
Tf item 43 ts.t?ersa.me 85, pr.'' 1 Ps5 ?thaR item, hi, yaii havc met t,hetinxen?
of SBC 60AW)2:
s ?
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?Fr ?4
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ab t4.???.??:.?.?m -..?..?-??...,..g? L -..
2.
• 3', inrhe•s sott ,.?n. " ` ?, ,
M? A•
6: EYtEY?r fllsp 17
`..FIIJ?M18,.t?lAL;, l. Inter3 = aix $11m
. I:
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6
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Yw'_ ye? L) Y` . l? ?AC ??^' _ d? f'"y 4;?Y
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RESIDENTIAL q S I ? 5
BUILDING PERMIT APPLICATION ?
CITY OF EAGAN ;
3830 PILOT KNOB RD - 55722
657-681-4675
lew Conshuction Reouiremen(s
3 registered sHe surveys showing sq. R. of lot, sa fl, of Fwuse; and II roofed areas
(20% ma:imum lol coverege allowed)
2 copies of plan showing beam & window sizes; poured Mund design, etc.)
1 set of Energy Calculatlons
3 topies of Tree Preservation Plan if lot plffiled after 717/93
Rim Joict Deta7 Optiore selectlan sheet (Wdgs with 3 or less units)
)ATE C)[-1 110 J 10
IOB SITE ADDRESS
F MULTI-FAMILY BUI
'ROPERfl OWNER
YPE OF WORK ?
kPPLICANT j??
4DDRESS
'AGER #
JG, HOW MANY UNITS?
?
RemodellReoairReauirementa ,
• 2 copies of plan i
• 7 set of Energy Calculalions for healed additions
• 1 site survey for exlerior addiGOre & decks
. Indicale if Mme served by septic system for additiore
VALUATION
CELL PHONE # IG,J I-?.'? I'
CtN i i ? -t 0-vYA
Phone #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RiJI.ES 7670 CATEGORY 1
(check one) - Residential Vantilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone #:
Plumbing System Includcs: _ Water Softener _ Lawn Sprinkler
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Confractor:
Mechanical Syslem Includes:
Sewer/Water Contractor:
FAX #
' Fee: $90.00
?
Fee: $70A0
Phone # !
\II above information must be su6mitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
sll applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Stgnature of Applicant on}
;ertificates of Survey Received _ Tree Preservation Plan Received Not Required _
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(S) 0 ZI _2 3
_ P? N?# 6S I- V. ^ 4?(?
or ` .r-?
ZIP CODE ?J?
S I _
Updated 1101
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156627
Date Issued:07/10/2019
Permit Category:ePermit
Site Address: 4666 Cambridge Dr
Lot:6 Block: 5 Addition: Beacon Hill
PID:10-13500-05-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
William C Walter
4666 Cambridge Dr
Eagan MN 55122
(651) 248-8032
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature