4680 Cambridge Dr, TNSPECTION RECORD
CITY ()F EAC;AN PERIMIT TYPE:
3830 Pilot Knob Road Permit Number:
I Eagan, Minnesoka 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: w OT% 9
4 6 00 C AP1 E3 RIC3OEOk
PF A!: ON t! 11, L
??, r ?? 0 ?a r.? +i Cantro! hJo.
PERMIT SUBTYPE: ?
ailx
e01s r€
0a;r03 /92
APPLICANT:
V A N t:. L (.? fi Af'T
T'1P'PE OF WORMC:
NEW
INCt.UDInrG DEcN
I)r-ry#;RTF?T70N
INSPECTION
; r?rl i t h#6 .A INSPECTIOUTYPE
dFIFbh1:CfAU BA
?C NSU I. A 11014 fIN A 1_
r
? i= s a
? P'erm Et No. Ferrnft Htr6der Date Teloptuo." 41
??rJ
PLUMBfNG
f I
HL'AC
?
,
ELECTAi,?'.
ELECTRiC i
6nspectEart Qaie tvts,p. Commn.nCs
F'c:c,firresl i
FAUrrodstion
,
?
Fram€eg ?? ? ??,., ?
i
FtoGfing i
!
Rr,ugh F!6g.
Rough Hqg,
Is¢al. _
Fireplacp
L- r
FinalHig. C..,/ v
/
Orsat Tesf I
FdralPltvj. ? PC+ag.lnspo-jvr-Notify?lumber I
Consl. Meter
Engr.fP?an
BIctg. F-fr,al
deck Etg.
DE:'`i. FIRaI
WelI
Pr. C}isp.
7- ?..?.?, ,.-,
? CITY OF EA+GAN
3830 Pilat Knab Road
I, Eagan, Minnesota 55123
(612) 6$1-4675
SITE ADQRESS;
???0
Of AC£1t1 iflL!
INSPECTICIN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LOT : 9
CANR ft 11) 44F DR
PERM?' ??BTYPE:
OLpCI(t .5 APPLICANT:
F?,R wf: txRA f= °f
TYPE OF WOR1C:
Cantral No. 1`1
twcr A 1, 0 A wri
00_???16
00/;l7lg;c"
pI..TERATI'I;tlV
R F-- S1 01144,11
DE St';ft i'P710"
` INSPECTION D, "PECTfONTYPE R.
i
?
i'
I
I
I ?
PermEt hla. PermGt Halder DaEe Felephone #
5NV
PLUMEING
HVAC ?
ELEGTRIC
ELECTRiC
Inspection Date Insp. CommenCs
FGCiINgS I
Faundats€an
Framing
?Roofing I
Flaugh Htg. !.? z1 ?
9suL
Fi:ep-:ace J
I
Fir,21 Htg.
I
Orsao Tast
Final FBbg: Plbg_ trrospectpr - NGtifiy Pltsmher
Cernsi. Me&ar
E[tge.iVlan
BBdg. Firal
LieCk Ftg.
Deck Fina9
lMell
Pr. Disp.
,??...
TI
CITY OF EAGAN
3830 Pilot Knab Rdad
Eagan, Minnesata 55122-1897
(612) 681-4675
' SITE ADDRESS:
I ,
t ?
A 14. It t`e i t1 f:"t f.
PERMIT SUBTYPE:
I Y I'1. ? i k$ 00 P.6 ta 11 1 64
PERMIT TYPE:
Permit Number: ;'' • ? ?j ?`` ? ?`
Date Issued:
APPLiCANT•
?•
TYPE (JF WORK:
mfl,j
LI. 4M l;'J fl
}' F 0 f 'S i
?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
t1VAC
Inspectian Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFINCa
ROUGH
PLUMBING
PLBG
AI R TEST
ROUG1-1
HEA71hIG
GAS SVC
TEST
INSUL
GYP 6QARD
FIREPLACE
V
FIREPLAGE
AIR TEST
FINAL PLSG
FINAL HTG
ORSAT
TEST
BLQu FINAL .
BSMT R.I.
BSMT FiNAI
DECK FTG
DF_CK FINAL
CITY OF EAOAN WATER SERVICE PERMIT
3795 Pilot4Xnob Road PERMIT NO.: "114
Eagon, MN 55122 DATE:
Zoning: No. of Unlts: ?
Owner: .: c._ .. ? . Gc??. .. .: ?.? t?t -1 ,_ ...
Address:
!?':;?" a^..a?::'>rictF e
Sita Address: ' _r,z--??:•?: T.9 B5 Ee ncon Eiil ls
Plumber:
Meter No.: Cannection Chorge:
Sixe: Acoount Deposit:
Reader No.: Permit Fee:
1 agree to aompiy wifh the City of Eagon Surcharge:
Qrdfnoncet. Misc. Charges: . , _
Totol:
By Dote Paid:
Date of Insp.: Insp.:
SEINER 5ERVICE PERMIT
crrir oF EaGaN
3795 PilcwKnob Road PERM{T NQ.:
Eo&n; MN 53124 DATE:
Zoning: ` No. of Units: ,
Owner: ..?, _ ,. . _. - ,?
?. ... ? .
t: _i.•
Address:
5ite Address:
Plumber:
:
f Ee 'L
Connection Charge?
un
g
l ayme ta comply wilf? fhe CitY o ?
• '
• ;'
.
-
Account Deposit: "
Ordinanees.
Permit Fee: 7771, , ,
Surcharge: _ ,.,1, -.
By Misc. Chorges:
Date of I nsp.: Tata?:
Dote Puid:
BUILDING PERMIT
Site Address _
LOt ?
Parcel # -
W WamB _
; Addrcss
b
Ci
Name _
cin oF EAGaN
379S Plld Knob Raad Eogen, MN 55122 Receipt #
Est. Value Date 19
Erect
Q
Occuponcy
L; tiCOn ll=_'-_ Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Mova ? # Stories
j• `; ?, -1_?1:`.: ,'? Demolish p
Grade ? Length
Depth
5q. Ft.
~
Address Assessment
~ Cit Phont Woter 8 5ew.
?
Police
Nome Flre
Addross Enp
.
<W Ci Phone Planner
Council
I hereby acknowledge that I hove reod this opplicotion and stote that gldg. Off.
the inlormotion is correcr and qgree to comply with all applicable
State of N4innesota Statutes and City of Eagon Ordinantes. ^?
Siynoture of Permittee
Permit
Surcharge
,
Plan check ?
SAC
W ter Conn.
Water Meter `
Road Unit
Total
A Building Pertnit Is issued ta: '- ?-7 j ".,• on the express condffion that
oll work shell be done in occordunte with all opplicable State of Minnesota Statutes and City of Engon Ordinancea
Buildinp Officiol
Permit Na Permit Holder Misc. Permit No. Hoider
Plumbing a(ol Wl??rc -7-$?
H.V.A.C. bJER e-(- 1( -3 -a
w.u
Water
DiSp.
Sawer
electric -r
Inapection Date Insp. pther
Footings 4/-?
Foundation
Framing
Rough Plbg.
Rough HVA f!
Inaulation
Final Plbg,
Final HVAC
Final - I ?
Water Dasai6a Laeatfon:
Well .
SeW6? 4 .
Pr. DitP- .
CITY OF EAGAN 9851
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 • :? , ,
BUILDING PERMIT Rrceipt
-- ?- ----? •-- BASLe'JiEI4T J'FsAd[YA.Za'!t 16 ,a 85
468'b CA1"1EiRT,;J'C',.E,; Erect ? Occupancy
Site A f°y?``?':' 's I"
?
' Aemodel ? 2oning
Lot - - - - .
- -?
- Sec/Sub.
- - - Repair ? Type of Const.
Parcel No.
Enlerge
?
Na. Stories
Move ? Length
W Name Demolish ? Oepth
,
; Address
Grade
?
Sq. Ft.
b City Phone 4 S Y ?W R 1 Instali ED
Zo Name
u? AddrE
F Citv .
Name _
Address
CitY -
Phone
1 hereby atknowledge that I have read this cppliwtion ond stote that
the inlormotion is correct and ogree to comply with aH opplicable
SroM of Minnesota Stotutes and City of E4gan Ordinonces.
5ipnoture of Permitres ' ;
775 77 :',..1t:? '.; i !`:
h Buildin9 Permit Is issued to:
oll work shalt be dane in occardonce with all npplitabte 5tafe af Mir
Bulldinq Officiot
Assessrtmnt
Woter & Sew.
Police
Fire
Ee+g.
Planner
Council
BIdg.Off.
APC
Var. Oate
Permit `P a u . a v
Surchorya
Plan Review.
SAC
Water Conn.
Woter Meter
Road Unit
Parks
Total
1
on fhs express tor+dlNon thai
5tatutes ond City of Eopon Ordinances.
' Psrmit No, Psrmit Holder Date Telaphone #
Plumbing
W.V A.C.
Electric
Soitenar
Inapection Date Insp. Other
?ootinps
Foundation
r
p
Rouqh HVAC
Inwlation /? .
Finsl Plbp.
Final HVAC
Final
Cert/Ooe.
Water Describe Loca ia
Well
Sewer
Pi. Dbp.
_ -. . .? -,?. . .
`
Re ceipt PLUMBING PERMIT Permit No. e
CITY QF EAGAN "
Fee -
Fill in numbered spaces S/C
Type or Print legibly
T
ot. -- -
1. Date 2. Installation Cpst f G-3? v'
3. Job Address br1<)c?L? -? Tract ?.
4 t __. _ _._
? E'CI
O
?
? •
. wner
y tC
SaI
5. Contractor Al + I Phone
6. 1 ??i
Address /GO 1?-? t/? '
7. t
City ?6 • S'? 1?f? u 1 State i t rl? Zip
j -
8. Building Type: Residential L?7 Commercial ? Institutional ?
I 9. Work Description: New ? Add ? Alter ? Repair ?
Descri be
I 11.
I
No. Fixtures
Water Closet Np. Fixtures
Ces
l/D
i
fi
ld
Bath tubs spoo
ra
n
e
ti
S
k
T
Lavatory ep
c
an
ft
S
Shower o
ner
W
ll
Kitchen Sink e
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 correct, and I agree ta
comply wiior all ordinarices and c6des governing this type of work.
t
5igned :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. - ?,.
R.eceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
:.?
Fes
Fill in numbered spaces S/C
Type or Print legi6ly ?
Tot.
1. Qate 2. Installation Cost ' `??'?' • r," '
iri
3, Job Address 80
Tract
4. Owner ? _ . ' i i _ . ,. -
11.
5. Cantractar ? . , "' -. •--' `•f. Phone
6. Address :37 Chic;?.gr)
7. City State i `:. 2ip ?.lf;.fi7
8. Building Type: Residential El Commercial 0 Institutional 13
9. Work Description: New 0 Add 0 AI#er ? Repair ?
10. Describew Fuel Type
1 11•
No.
1 Equinment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping dutlets
12. I hereby certify that'the above information is true and correct, and I agree tn
comply with all ortiinances and codes governing this type of work.
5igned : for
Rough F i na l
Inspections: Date Insp. Date Insp.
This is yaur permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt -??PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee -
FiJI in numdered spaces S/C ?
Type or Print legihly Tot -
1. Date 2. Installation Cost
r
3. Job Address Lot -? Blk. Tract
4. Owner
5. Contractor Phone `
~ ., .
6. Address
? -
7. CitY State ? Zip ?
8. Building Type: Residential :0 Commercial ? Institutional ?
,
9. Work Description: New 0 Add ? Alter ?
10. Descri be
11.
Repair ?
No. Fixtures
Water Closet No. Fixtures
C
l/D
Bath tubs esspoo
rainfield
S
Lavatory eptic Tank
Softner
Shower Well
Kitchen Sink
Urinal/Bidet O
Laundry Tray ther.
Floor Drains
Drinking Ftn. - -
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type o# work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks /'f-,U-/'
AdditionBEA('•ON HILL ADDITION _ Lot ` 9 Rlk ?
Owner _f?dYI (' ??.-rVF V i GK '(L Street 4690 f'amhri dgP nrivP
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1982 1848.67 205.41 g 1643.27 A010792 12-9-81
STREET RESTOR.
GRADING 1982 537:84 59.76 9 •
981
-
-
SAN 5EW TRUNK 135.97
9.06
15
.
1
1-9-
*SEWERLATERAL ? ? 1982 3182.83 353.65 9 2829.19 12-9-81
WATERMAIN
• WATER LATERAL 1982 9
WATER AREA (Og' I9$2 202.00 22.44 9 179.56 12-9-81
Stubs 1982 9
STORM SEW TRK (OC'l 1982 367.77 40.86 9 • 12-9-81
STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1981 185.00 27259 10-13-81
WATERCONN. 1981 335,00 27259 10-13-81
BUILDING PER. 6922
sac 1981 525.00 27259 10-13-81
PARK
CITY OF EAGAN
7795 HIM Knob Raod Eagan, MN 55124
PHONE: 454-8100
BUILDING PERMIT
T. ti. ...,n ". SF D{
000
Sim Address 4o6u uamvriaKe urive
Lot 9 Block 5 5K/5„b. Beacon Hill
Parcel # ?10 13500 090-05-)
a N,,,,, JOSeAh M. Miller
? qddress 13015 Cedar Ave.
<•_„__. _ ici iaco
o I Nome O7ner
Z?
u? AddreA
Nnme _
Addren
I hereby acknowledge that I Mve read this application and state thot
the information is correct and agree to comply wirh all applicoble
State of Minnewto Stotutes und City of Eopon Ordirwnces.
Sipnature of Permines
A Building Permif is iuued to:
oll work shall be done in occordonce with
N° 6922
Receipt
October 13 o 81
Erecf Occupancy R-3
Alter ? Zoning R-1
Repair ? Firc Zone NA
Enlarge ? Type of Const. v
Move p # srories
DemolisM ? Length 6
Gmde ? Depth _-4-6-Sq. Ft.-
Approrah Faes
Assessment _
Woter & $ew.
Pollce _
Fire
Erp.
Plonner _
Council _
Bldg. Off. _
APC
Permit ?o7•?
Surcharge 26.00
Plan check 144•50
snc 525.00
Water Conn.335.00
Woter Meter 60, 00
Rood Unil 185.00
T,t,i %1564.50
, on the express candiTion thnt
and City of Eognn Ordinances.
Buflding Officfol
C?rxtifirtttr uf Mrrupttnry
Citp of eagan
Brpbrimrnt nf t?uild'ntg 3nsprriimt
Thit Ccrti firate isrued Purtuant ta tbe requiremenu o f Sertian 306 of the Uxiiform BuiWing
Codc urtifyrng that at the time of irruarae thu ttrurture was in comQliance with the varioHr ,
ardinarueJ of the City rrgxlating buiWing mnnrrutian or use. For the folloudng: ?
SF' DWG/C',AR
U. Clamfic?Y? Bidg. Pemut No.
rt
OwvpuwyTypc R3 typeCmstruchon V Firc2on T ? lau, wnct Rl
a,M,orB;,,,,,n,e ?7oe Miller cbnst. ma. 14115 C1xthrie Ave.. P.?nle
BwldineAddrm 4680 C`37nbZ'ldge ?7Y'.c,-A,YLt_4.rn «' r-,T?aamn Hill
- ` „4?? sr
B,w,;,,eo,?,, Dbvember 24 i9?i
?Af iN w CCHeRCUWf ??AC[ u5e
CITY OF EAGAN No 9$5 f
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700 p
BUILDING PERMIT Receipt #
Te M wed fe. BASEMENT REMOq?Fka,Ue $9800 Date_JANLTARY 16 1985
4680 CAMBRIDGE Erect ? Oacupancy
SiteAddrese
BEACON HILL
t f g 61oek 5 Sec/Suh
L Remodel ? 2oninq
.
o Repair ? TypeofCOnst.
Parcel No. Enlarge ? No. Smries
Move ? Length
TED FREDRICKSON
W Nema Demolish ? Depth
? Address SAME Grade ? Sq. F}.
Crcy rnbne 452-8182 In:tan ?
S?E AOYrovala Fsee
o Nama Assessment permif $$0•50
? Address
?
Water 8 Sew. Surcharge 5.00
City Phone
Pollce Plan Review
Name Fire SAC
x0 Address Enq. Water Conn.
?W City Phone Planner WaterMeter
'
' Rood Unit
Council
I hereby ackrwwledge thot I hme read this application and stote that eldg. Off. 1 9 8 5 perks
the intormation iz wrrecf and ogree to comply with all applicobla APC Total $ R 5
5(1
$tah of Minnesoto Stot s and City of Eagnn Ordmonces.
? _
Ver. Date
oIz '?'14?
$lynoture of PertniMea
h Bulidirg Permit is issued ro: TED FREDRICKSON on ths express tonditlon thot
oll work sholl 6e done in accordonce with ollp,q?pplicoble St f Minnesota Statutes and Ciry o+ Eogan Ordinancea.
Bu{Winq OffiNol
This reques[ void !O?/? L- ( ?? J)`CICCJ il T-7 ? U I
T,g 47 q 7, So
m675
Reques[ Date
?Q
1?-1
81 Fire No. Novuh-in In.v'per.uon
HequueA?
?Reaay Nuw?Will NnutY Inspec-
for Wh
R
-
9 ;?Yes ?No en
eady
.?CLicenseA Elec[rical ConVac[or , I hereby request msoection of abov,
? Owne, electricel work mstalled at: '
Sveet Address, Box or Route Na Cify
4680 Cambridge Eagan
ecbon o. Township Name ur No. Bange No. Counry
Dakota
Occupant IPflWTI Phone Nn.
? Joe Miller
'Power Svpplier Address
OS Dakota Cty. Farmington
Electncal Contrac[or ICOmpany Namel. . Contractor's Licenae No.
O.B. Thompson Eleatric Co. A.¢0602
MaJrng AdJress IConVactor or Owne, Makinp Instailationl '
12201 Mt Blvd., Mtxa 55343
Authonzad Sig [u ICOnttadod(lEVne, M g Ins la ' nl Phune Number
933-252?
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION HEQUEST WILL NOT
Griggs-Midwav Bldg. - Room N•191 -`BE ACGEPTED BY THE STqTE BOAXD
1821 Univarsitv Ave.. St. Peul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
ow...,e 1a11% vn? i»? ENCLOSED. ,
REQUEST FOR ELECTRICAL INSPECTION r%. ee-ooom.oa
, See instructi.ns Im cdmpfeLng.?his torm on back of yellow copy.
?' -6'7 5 ?i 7 ?"
""X'" Below Work Cavered by This Request 'IV -7 c2?1
New Add ilao. Ty'pe oi Bwlding Applmnces Wrted Epmpment WireA
Home XX Range • Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Bwlding Dryer Electnc Heaun
Commercial Bldg. Furna(;22
0 Silo Unloadei
Industnal Bldy. .
Au Condinoner BLdk Milk Tank
Farm Other . P ? Y OUmr (Snecrtv)
t nr Speci y Other Othur
Compute lnspection Fee Below
k Fea Servica,Entl?ne ` ae q Fee Feedeis/5ubfuaders M fee Qrcuits
Q IIV' 0• i , R??s 0 to 3U Am?s 1 2•0 0 to 30 Am s
tq s 37 to 100 qrnps 31 to 100 Am
?Ve? UU-Amps Above 100-Amps Above 100_Am?s
?'ranstonners Remote Contml Circ. • Partial%Oth
Signs Special Inspcctfon
$
Remarks
00
48.
TOTAL EL?7.j
`
B
Rouph-in / Oate
"
I, [he Electrical
? ?l
v Inspecbq bereby
Final
? certi/y that the nbove
( cLOn hes been
? matle.
This request vnitl v(,./I ?? r
18 months fiom
??-
Coaoso3 I
J 4?( L ?i,C9 ,Q 5 ,$ o0
Requesl Date Pire No Rough?in Inspechon
?
R
? Raady Now ill NMAy Inspectw
k ? e?qw.?
W?es GNO WhenReeEy7
t u licensed contractor [aeWner hereby request inspection of above electrical work at:
Job AOdress Btreat. BoK or Rou(e Na I Gty
Y CAA16R E k
SecLOn No Township Name or No Rang¢ No CouMy
Occupant (PqINT) Ptipne No.
Tc?) ?dljd
Power Supolier qpyr?
I D Ko7R C-Lcc.
Eleqrical Convactor (COmpany Name, CorNacMrS L¢ense No
Matling Atltlress IGOnirector or pwner Making Installalion)
G
Authorrzetl SignaWre (Conhgctor/Owner Making inslallauon) Phone Number
--- I 5!Te_L_-?
MINNESOTA STATE BOARO Oi ELECTPICITY
GrlggsMiAwey Bltlg. - Room S1T!
1821 Univereily Ava.. Sf Paul. MN 55104
Pirone (612) 642-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTEO BYTHE STATE BOARO
VNLESS PqOPER INSPECTION FEE IS
ENGLOSED
$' / rf REQUEST FOR ELECTRICAL INSPECTION '?'"`?a, ea.ooam-ae
w ?? ? See in5huclions lor cromplenpg ttiis form on Oack ol yellow cOpy A???ev?O? 3
.?
G "X" Below Work Covered by This Request ?•m.
ew Adq Rep TypeofBudding AppliancesWired EquipmerrtWiretl
Home Range Temporary Service
Duplex Water Heater Electnc HeaUng
Apt. Building Oryer Other (Speaty)
Comm.llndusinal Fumace
Farm Air Conditioner
01her (spepHl ConVactor's Remarks' '
Compute Inspection Fee Below:
# ' Other Fee # ServiceEnirence S¢8 Fee /i Qrcuits/Feeder5 Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
' Transformers Above 200 _ Amps Above 100 _ Amps
• Si9ns msaecror§ usa omy. " 7p7qL
Irriqahon eooms 3
' Special Inspection
AlarmlCOmmunicauon THIS INSTALLAI'ION MAV BE ORD REfYDT ? N?CTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electncal Inspector, hereby
certify that the above inspection has
been made. Rou9n-m
Final ? 4
oa?a ?
OFFICE USE 9NLY •
Tnis request voia 18 monins trom 3 ?^clfAJ`O/V./ 1V/'1?c ?
_J .
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
?
Naw CansVuctlon ReauiremeMa
• 3 regislered si0e surveys showing sq. ft. of lot sq. R of house; and all roofed areas
(20% maximum lot covemge allowed)
• 2 copies of plan shovnig beam & vrindow s¢es; poured MuM desgn, etc.)
• 1 set of Energy Calculatiwis
• 3 copies of Tree Preeervation Plan H IW platled aNer 111f93
• R'vn Jast Oetaa Options selection sheet (bldgs wBh 3 w less unts)
DATE
SITE ADDRESS
TYPE OF
- /- az
04a 7s
RamadaVRealr Reauiramenb
. 2 wpiw af plan
. 1 set of Energy Calculations for heated additb?
. 1 srte survey for aleriar addilians 8 decks
• Indicate'rf home served by sepfic system Mr addifiom
VALUATION
L.'r- It
MULTI I FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING, INC. j
APPLICANT 4100 EXCELStOR BLVD.
STREET ADDRESS ST. LOU'n ?nto50 _CITY STATE ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTY
(f"?S Gl a.'?+-
TELERHONE# YG Z - G-7 -7 S
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RIJLES 7670 CATEGORY 1 MINNFSOTA RLTLES 7672
(J submission type) • Residential Ventilatlon Category 1 Worksheet Submit[ed •? New r _
• Energy Envelope Calculations Submitled D_ I? ?? ? I Il
? I OCT ? 12002
I ?I
Piumbing Contractor: _ Phone # uu _
Plumbing system includes: _ Water Softener _ Lawn Sprinkler' BY Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths i
Mechanfcal Conhactor.
Mechanical system includes:
Sewer/Wa1er Contractor.
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of MinnesoTa Statutes and City of Eagan Ordinances. /J
Signature ot Applicant
4OFFICE USE ONLY
Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uvdatea 4102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
SF (MISC.)
ALTERATION
PERMIT
? Control No. 0953
PERMITTYPE:
BuiLoiNG
Permit Number: 001266
Date Issued: 08 / 17 J 9 2
4680 CAMBRIDGE DR
LOT: 9 BLOCK: 5
BEACON HILL
?--? RE-SIDING
-'Buildin,g Permit Type
% Building-Work Type
.,
.
,
-,
?
?
,--
f
REMARKS: *"00,)OV45_
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00
Surcharge $2.50
Total Fee $74.50
CONTRACTOR: - Applicant - ST. LI OWNER:
PANELCRAFT 17216628 000217 FREDRICKSON TED
3118 SNELLING AVE S 4680 CAMBRZDGE DR
MINNEAPOLIS MN 55406 EAGAN MN
(612) 721-6628 (612)452-8182
I hereby acknowledge that I have read this application and state that the
information is oorrect and agree to comply w3th all applicable State of Mn.
Statutes and Citp ofi Eagan O,rdinances. I
L -
91?, ? m IJ
APPLICANT/PERMITEE SIGNATURE ?SSUE B. SIGN TU
PERMIT # CITY OF EAGAN I s q J•ffD
REACT-
IRL
1992 B
UILDING PERMIT APPLICATION
681-4675
SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. I
COMMERCIAL 2 sets of erchitectural & structural pl,ans, 1 set of
specifications, 1 copy of energy calcs:
Penalty applies when typing of permit is requested, but not pickedjup by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work ?f5?, DO O 00
I
SiteAddress: ?17?(C? r 140-?(Z„• i
57REET ?Ij I SUITE +!
Tenant Name: (commercial only) I
LOT __?.___ BIACIt ?_ [!IBD. ? nn P.I.D. N
Descri tion of work:
The applicant is: Cl Owner Can ractor ? Other (oee«ice) I
Name Tj?P ? Phone ??--0107?
Property LAs, F,RST i
Owner pddress ?AM F, I
STREET I STE /
City r 5tate Zip
Company?qr.elcruS=l- Phone "72-1- 46`25
COntf8Ct01' Address License II Exp.
City State '
? Zip
Company Phone
Architect/ ,
Engtneer Name Registr'ation A
Address ,
City 5tate I
I Z;p
Sewer 3 water licensed plumber I, Processing time for
sewer 6 water permits is two days once area has een approved. ?
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 MinnesotalStatutes and City of
Eagan Ordinances.
I Signature of Appl i cant: ?/,?? _.???li ?
K
y
. _ , . PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: auzLozNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 7 7
(612) 681-4675 Date Issued: 0 8/ 2 7/9 6
SITE ADDRESS:
4680 CAMBRIDGE DR
LOT: 9 BLOCK: 5
BEACON HILL
P.I.N.: 10-13500-090-05
DESCRIPTION:
..
G A S
xBuilding l?g.r,,k Type NEW
?
?.?
;',?' d'?
uildin't}?Permit Type FIREPLACE
Censas Cae 434 ALT. RE3IDENTIAL
._? ? 3s•.s 1 ? K'i
REMARKS:
;V
*Lc; ???°c???i.i+z.? ?
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.00
$.50
$25.50
CONTRACTOR: - ,qpplicant - sT. LIC.OWNER:
HEAT-N-GLO FTREPLACES 18900758 0002960 FREDRICKSON TED
3850 W HWY 13 4680 CAM6RZDGE DR
BURNSVILLE MN 55337 EAGAN MN
(612) 890-0758 (612)452-8182
? I hereby aeknowledga thaVi T ha'e, rg?id tMx?s a{zpliqat?-an aetd state Ghpt t-k?
infnrmation is ?corroct aiiil ag'r?'e to comp?.y ui'th a2l appl€eabi'e State of Mn.
Statutes a n d City of E a g a n Ordinances.
;
? . .. --. _. _
APPLICANT/PERMITEE SIGNA7URE ISSUE V: SIGNATURE
CITY OF EAGAN
V7-1 3830 PILOT KNOB RD - 55122
? 7996 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK: M INSTALL dF}p( FIREPL.ACE: _ WOOD BURNING
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
AREA TO BE INSTALLED IN:
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
/NtoAr
-Acm/'t li-ct e4?o wv-or?.-?N4t14
) / 5 A/O tw.) .a
STIjEET ADDRESS: `-& 8 0 C'km t3K 1c) ct ? ea
.C' J.Q,
/ q jt
? LOT / BLOCK -5? SUBD./P.I.D. #: 7
APPLICANT: (circle one only) OWNER CONTRACTOR
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: '?YJ9P'a-lc','-- 507t Psa?2aa ?Ti?b Phone #: 45 - L -81 S Z
w. hU.
Signature:
Street Addressq6 8 atevq 6?? 0 c,? ??-
City: &x? 4 /j State: Zip: ?,7ZZ-
/?? BQo-v?S6
Comnanv!`-??16? ?/Zdv/t2' [?i,?.?-Phone #: 6 13 -2.51l
Signature:
Street ddress39sb 'w "1%?Y License #•
Cityr:Dti4,4:5 YL l-C?fig' OJN State: A Zip•-?T337
Company•
Name:
Signature:
Street Ad(
City: -
State:
as S?
,K GAS
Phone #-
Zip:
C-y
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4680 CAMBRIDGE DR
LOT: 9 BIOCK: 5
BEACON HILL
BUILDING
001176
08/03/92
DESCRIPTION:
I a._ INCLUDING DECK
; Buildlng Permit Type SF PORCH
; Building`,Work Type NEW
! !
.,
,
Lrn
Y ? ,l
REMARKS:
C dZUlClI
FEE SUMMARY:
VALUATION $9.000
Base Fee $106.00
Surcharge $4.50
Total Fee $112.50
CONTRACTOR: - Applicant - ST. LICOWNER:
PANELCRAFT 17216628 0002179 FREDRICKSON TED
3118 SNELLING AVE S 4680 CAMBRIDGE DR
MINNEAPOLIS MN 55406 EAGAIV MN
(612) 721-6628 (612)452-8182
I hereby acknowledge that I have read this application and state that the
information is correct and agree ta comply with alliapplicable 3tate of Mn.
Statutes end City of Eagan Ordinances.
?
Control No. 0895
??-?-- -?.?°,??-? r --
APPLICANT/P M? EE SIGNATURE A SUED Y: GNATU E
PERMIT # -
REACTIVATE _
lilt
CITY OF EAGAN 4 11 z,r)
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COFR7ERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs. ,
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work I L. G c c)
Site Address:_ nirllie.?x, ?
STREET SUtiE A
Tenant Name: (commercial only) •
TAT BIACR j SUBD. P.I.D. N
Descri tion of work:3 5(--c,? Po;2cr4 ?r' ctr;_ .z.D r
The applicant is: 0 Owner 0 Contractor ? Other coes«ine)
Name _F/? e.7>Ficr?So/J Phone `/
Property LA57 ?IRS,
Owner aadress _4-?'80
STREET STE k
City State >liL? 2ip
Company lhkn.LLU;?F! Phone r -
Contractor Address 3118 License N "i?'../'. Exp.
City State 11-71 ./ Zip
Company Phone
Architect/
Engineer Name Registration 8
Address ?
City State Zip
SeMer 3 water licensed plumber . Processing time for
sewer 3 water permits is two days once area has een approve .
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 5tatutes and City of
Eagan Ordinances.
Signature of Appl icant:
? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundatian
? 02 SF Dwg.
? 03 SF Addition
p 04 SF Porch
? 05 SF Misc.
i?o rc4?thCk
WORK TYPE
[Z 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
O 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
0 15 Deck
O 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable) •
UBC Occupancy
Zoning
?' of Stories
length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst. Fl. sq. ft.
2nd fl. sq. ft.
Sq. Ft. total
Footprint Sq..ft.
On-site well
On-site sewage
Building
Variance
0 Footing
E] Final
Yeluatim:
?
0 Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/N Permit
S/N Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
E1 Frami ng
? Draintile
0
I (rk/Z ,l- ys-_ EG ya
??
? 1§,B1*nt Finish
O 17 Swim Pool
? 18 Camm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
0?-???' ??S`? ? 6L
. c CITSt ?' EAG Include 2 seL...
1 site plan w/eleva4..,
BUIIDING PERMIT APPLICATIGN 1 set of enexqy calculations.
Tb He Used For Valuatian 6 G 0 Date
Site Address: . .d?0 LZ'l OF'FICE USE CNII8
Lot ? si«x . L?sec./sub. rX- OcaVancy ,?Q3
Parcel # a--0 3 700 D Q 0 S ?ir Fi?re Zone U A
Enlarge ` Type of Canst. ?
Owner: LGCL!G mwe # Stori.ee
Addl'e33: Fzo11t I?/G t•
?el Grade Depth ft.
City/Zip Code:
Phone #: APP%JVALS FEES
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng. _
Address:
Assessnents
Water/Sewer
Poliae
Fire
En1•
Planner
Council
Pexmit ;? ;
Surcharge
Plan CheCk
SP,C '
Water Conn.
Water Meter
Ftoad Unit
e
City/2ip Cade:
Phone #: TOTAL %C L??O? c ??
Certificate for: '
Centex Homea Midweat Inc.
8601 Darnell Road
Eden Prairie, Mn. 55344
Joe Miller Const.
13015 Cedar Ave. so.DEIMAR H. SCHWANZ
ppp16 Va118ys Mn. LANOSURVEVOR
55124 qpistsrh UnCer L+ws of Tha 541O of Minnewt&
2878 - 146TH STREET W. - 80X M ROSEMOUNT, MINNE80TA 88088
/ 30 / SURVEYOR'SCERTIFICATE
, -rov ?,.,2e
939 ?B
x
ynz ?
? 4" atiC
933.?
( T ?% <
93z
W
tJ'
4!Q
f}c.os
PHONE 872 423-1789
1 ;n4 _ 4,044
? ¢a? v ?s µ? ??•? ?-?.
?u? q93 ? rz? ? Hst° 931.9 \? `?6g o
d!,
o
4t
4
?E??? ? 1i9•/ ' ?
932.es
aw 44
Proposed finiahed garage Ploor
?4?•r_ .
57 .
Denotes existing elevation F
Denotes proposed elevation
D Denotee est wood hub
?
?
?
?
4?
/ w
\?? nx` ? Benchmark: TOP eva tion n963e45eft,lots 25 and 26, Blk. 3
El
reco ded plt thereof,nDako at 9?
e5y BEACON HILLS,taccoing t oethed correct a
Block ?
County, Mi.nneaota.
February 3, 1981 18, 19
Revised to ahow proposed house as ataked :Aug?)?7t /
Revised elevations Auguat 31, 1981.
MINNESOTA REGISTRATION N0.8625
? .?943.94 JCQ?'??
? .??. ?uTkL%TY - -
EftE ME 7 `??es? _
r - ?
\
S ? \
4Y •
Y
3
N
N
.
Q
U
?
?
'- EY,TERIOR GNVIiIAPT•, AVE:RAGE "U" COMP(:T1ITION
{? ?< ?. ,•, ; . ? i,;?.. ?
:P: ,o °' n?,_•? , ? Au 31 ' 1981
Joseph M..Miller Construction Inc. . DnTE ' g
;AITE ?jMgESS: 4680 Cambridge --- PIIONE: ' ???$Q03
rwiCrox: =9 ? Lt? R
QON M _ 1? ? 7. ? ?
? .
? I
; Detenaine workir,g square fuotayc of,each
' i J • : '' ? I
Total exposed wall area...... )977 -S s4• ft. x .17
1. 'ibal roof/ceiling area ...... sq. ft. x .OS
. Total er.posed wall area above floor
=s a. Total wall wiiulow area ................................
? ?. Total lo:,r arca ..........• ........................... ?
c. aotal':,li::ina glass door azea ........................
d. Total fiicplace wali arca .............................
a. Total wall frauning area (avera9c 10;.) ..................'
f. Total rim joist area ................................
9• N T Msll area zbove Lloor ..........................'I?
h, w1J1 area above floor ..........................
i, wall azea above f.loor .........................:;1 ?Y.
j, rall area above floor ......................... .!
Total exposeu Loundation area
?
k. '.btal fairdation window erea ...........................1, ?+-
?
Total net founflation area above gracle ..................
- y? Determine "L"' value of each wa.ll seqment
-' (e.g. windcw, door, each scyaraCC wall sdc`..ion)
a• x ,?U"
x "u°
x "U.,
c. ,
e
d. ? X .1u.. . J --'---" -
e. _ I67 _ y O.U„ , !Z = to
e. /37 ,; „u„
-- x ?lu,l
. g.
12R-4
h. _ g "u,. ---
;
;
. X "U., _ ? ?
i. __--- - ------ = -
-- -- ' '
_^?-- •---..'. Tf item It3 i.9' thc samn ar..
j 8 Ou° or less than itcm 41, Yun
huvn mct thi• ,.inl'cnC oP
}•' --'---` X "U' --_' i 5R^ G(i0r, (C) i2.
I. x „u„
4hftxl ° ?? ` X' ' I
? ,,.. .... ., _
i
Total exposed roof/ceilinq area 6 4 j '•w?'
*Y,11ght area ............................ ?,.
c 10e)... ?
" •ng framing area (averaq
' qd roof/cciling u?ea.,.........?#?" '
tA l
?k
?
...
,h}?
?. •,?,
„
?irie-",U" value fpr each roof/ceLlf . •,,, ?
?
? ?
?
?
, Lr m.
? K, ??U? ??.? ^ . '
.
n .
'
'•-? ..... X
U OZ. •-- -` - ' .
i' ?
,
M? ^
?? 0 ?
X
.
.yr r
?
i
?
?? ,
-, F
- i
?4 .......a ? ? . ':'.? •
..•. Tvtdl
...............
?
? ?",If Lotal
?' ou havelmet !?e intenC of
of 'N4 is the same as, or less thfln M2. Y i ?
'
...
;
c p7?. ??'
J
;
t
`
rc)?,1•
,
y
.yl? V 7?i .¢ .
!"
,,;,?, • 1 ?
A1lernate Buildinq Envelope Desi4n
?
?,dp?Y a t9tal'envelope'syslem mdChod, the value
than the sum of ik?a Rii and t2.
not be greater
. , "r.t`r
?
5 + 2.
, i
,
? te' y !
2 .
I
a
,.
_
'
?
??
`
3. + 4. .
?
?
•
A
.
J. y .?.
? ' ?{ 1?
? +
I. .
II ? •
?
??4a il
?µ
I
{ ' 'I
4
?} II
. I
•
j I
volope Average "U" Computation
I
? I
? II ?I xv? ?r.• -,
1 ? ..' T.?Mro n
' S
?
? I 1
I 9
h.. -,
i
i
of
I
I I .
I
I
I ?
1
I I?
?
?;I,,°.???? I?_' • . I' . . ,? ? ? -
?ini4'?• '.?i' ). I' I ` .r!?L, A!U,?
FT.
14 38+ 10 , ?? te3? t ° •r i
38fi 1o
-' I~ • ' ??
? ?
.l:..a I ' ?Y? ?? , .. ?N ??'S?1 ?ti'.•?1??N ?ni^+ ?.{,?? , <.
'aXi' '???:? t-,«'?•-+,.+ "v?•?
5? . PT, SkpOSeD WA l.C,.; /4R,"It?
K S ir 43 S.
??.ik? ?i? rI?(?`f??_/I.•C?'?? ? I_
46 = •-- ? ?, :. ; __ ? ? ?' ?? ?
?, I ? . ?j?; ?? ,,..Y;; "??.,,,? , i .G'?_;::3;.e •:".:.. gA}5.4+?,? . ??._ t ? i. .
t': I,. -p G?, • 'r ,? ?..las.??? .-,?. -???. ?? '?'??
S
?ok'
?
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I37 K I ` /37
r ?.
ToTA L
. ??
.?
Ft, EKPaSE.D GEIUUC?
WD'NU5
?:? ? ? ?; Z ? ? 3 ';?•I ? ?? ?zo 3g `;?.
TO 3 ?0 ? ? .zo
b /
? ?9 40 1 I l I ' ¦ 1? '?
? r.r
140 4..
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. ¦?Sh'1, u U1+5 '.
, - - ?.
12, VD 1 5
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`':'?'li ':•a 'r,??::. I:_ , 4- "?`r ."t'?.',?' to»,-:.; -
,t^ "'a•` w+
Outs?idcoir film ?j?r;f?'f ' i
g? ??? • ,'r `. f..C?'f?'s?' ;I''''I`I,?,? . ?. ..?.I , ?. ,6•`` ??I
• ,? ? ? ? ? 4' • 1. Tnslde ais t'lm ? ??? • I?
r?l'3? ` ? ??";_,_ ..?,' , • ? ?? . ?;?? .t? ?i, ??? ; !it '
?r:?"?i ?i????? ''k.??.,?,,:'t,2r? , LI s , . ?,. ?s: ?• ,• ? ? 'I
fkl
Outside air
„? ? ?. • •: i. Ilotab air film ... I• '. . o?a?. ;,;
2-
?,?: . ;. .• • ,??, . . . ., ;
?f.?$ 1 •'N 4? ' I ?6.17 i !E
Outside air Ei2m
TO , i4
?? • ??. , ??
. ' • h ' ? ??'•, .C ,I ; r
:. ?
LO
,' .
I?t•
'.? . ?' i ,..?'•': . ?
+?? ? ? ' ? • ' Ibte: Ose additionali!Bf?e?e4?
ae d' ils d?d ,, ?
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:•
, ? . - , • , ??? ? . . ?
I
F?i. #7? :?„ ?
i
,T! ,"
?i1ALG SECTiONS
? ,fs? 15? of opague wall aren Lor
'?: ',?'lsamo construction
Construction R-Vatuo
1. t?L}Q ??F?m O.G4
2. k . C? p
3, ? inehes sofr. Wood
a. s,y SNtkTN1PLG GZ
s. SiOIN4
6. ExterJor nir film : 0.17
_ Tota1 6.305
u•.iz
1.
s.
3.
4.
s.
6.
Interior air film 0.68
G
? " `IPBD
3fz." ?Ncul.. I1,0_0
2.04,
Exterior air film 0.17
Tota? ?4,°J a
07
1. Interior sir film O.C+?
ZVA 2. 1_l. DO
I 'Bq
3.
e. tsz SuIrLA?HIN ' <2
5, sio?u4 •
6. Exterior air fi1M 0.17
'Avrai j4p .42
U=.N '0
1, Interior air film 0-68
2.
. 3.
?SO N C _6 LOC_VC _ .l.^L
. 4.
5.
•6. Exterior air film 0.17 ,
Tota? Z,i3
v - .47
N 'GRADE
s • r
• ? a
. ?
?j=%I I ? „' • . ? •
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:
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FIG. #4 I(l .6• ' '•
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NOTE: Indicate ty,oe, "?t" value, denYh and. _
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WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
Q CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULATIONS
To Be Used For• 7aluation-'? IJ`-''
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L=-?L'/??Lkr E,E
Site Address: y?,?? (',?,,, ,?,•?/R?
Lot:?&
Blockc S Sect/Sub:
Parcel #:
Owner:
Address:
City/Zip Code:
Phone #• -?
-(??tL)5?= x/YZ
Contractor-. ??NcIYJ: r G 3Ui ?
Address: r=& yv (',a?7'7/AU1d3 e
City/Zip Code: ,4 A?
Phone #:
Arch./Eng:
Address:
City/Zip Code:
Phnna$e
CONTRACT RS MUST BE LICENSED
f w4r/
40 Ke _ Date:?:Sa,` :k
• •
Erect: Occupancy:
Remodel: Zoning:
Repair: Type Of Const:
Enlargc: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.: ? 4
APC:
Variance:
Permit: 30.50
Surcharge: S,s
Plan Rev.:
SAC:
Water Conn:
Water Meter
Road Unit:
Parks:
? 85, 5 U
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Block: H>
Subdivision: $FAeZDN HIlA.?S
This is to certify that .JCE MIu'? T-CM
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
Accepted by Buyer:
By
I. P4L)r--r-- 40.CR Is 15(?T 10 ApPPENPtI-.
2• UCiNr( 6eo?pE eLe4RnCN ACT Re41'- oP twee.
4940 VikiRg Drive
Pentagon Office Purk
Minneapolis
MN 55435
(612) 835-2808
Certificate for:
Centex Homes Midwest Inc.
8601 Darnell Road - - ' '
Eden Prairie, Mn. 55344
Joe Miller Conat.
13015 Cedar Ave, so.DELMAR H. SCHWANZ
App18 V8116ys Mri• LqNOSURVEV0f3
55124 qeqstereC UnCar laws of Tha Stata of M.nnasota
2978 - 146TH STREET W. - BO% M ROSEMOUNT, MINNESOTA 55088
i 1n0 I' Yl ? ? 933.1
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SURVEYOR'S CEHTIFICATE
14
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B?? ?50
PMONE 812 423-7789
SC4le
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932.bg ? ?-0---E sm. ?3 E,ftE MEKT W e5T _
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Proposed finiahed garage floor
17.
94 Denotes existing elevation F
Denotea proposed elevation
O Denotes set wood hub
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Benchmark: Top hydrant between lot8 25 and 260 Blk. 3
Elevation 963.45 ft.
3
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I hereby certiPy that thia is a true and correct representation of Lot 9, ?
Block 5, BEACON HILLS, according to the recorded plat thereof, Dakota
County, Minnesota.
February 3, 1981 ;
Revised to show proposed house ae ataked Aug PtP8, 1 ?
Reviaed elevations Auguat 31, 1981.
I MINNA REGISTRATION N0.8625 ?/-