4625 Cambridge DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4625 Cambridge Dr
Lot: 26 Block: 4 Addition: Beacon Hill
PID:10- 13500- 260 -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:
Krech Exteriors Corporation
5866 Blackshire Path
Inver Grove Hgts MN 55076
(651) 688 -6368
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Peter V Hines
4625 Cambridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084347
07/16/2008
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4625 Cambridge Dr
Lot: 26 Block: 4 Addition: Beacon Hill
PID:10- 13500- 260 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Peter V Hines
4625 Cambridge Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA086894
10/15/2008
ePermit
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.
Issued By: Signature
cirr aF EaGaN WATER SERYICE PERMIT
3795 P)lor Knob Road PERMIT NO.: ;
Eagom; MN 55122 DATE:
Znriin
9: ?
No. of Units:
Owner. ;?r ("On.ga
Address:
Site Address ic72r T::7",??y?,
Pfumher:
Metar No.: Cannection Charge: ` ' ?'-?'•;' ,
Size: _ Account Deposft:
Reader No,. Permit Fee:
1 agree to eompfy with the City of Eagan Surthnrge: ?'-
Ordinnnaes. Misc. Charges: <`•''?? 7 ?" -
Total:
$Y Dote Paid:
Dote of Insp.: insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 tsilof Knob Rond PERMIT NO.: -
Eagon, MN 55132 DATE:
Zoning: No. of Units: ?
incr•;..,i_ q1 r-Y "'c :; . L
Owner;
Address:
Site Address• • .r? ?a?nhr'L,f'r's i
r
Plumber:
1 ngreo to eompfy with the City of Eagan Connection Charge:
Ordinanaes. Account Deposit:
By
Date of Insp.:
Permit Fee: '
Surcharge:
Misc. Charges:
Totol:
Data Paid:
. w _ , ,.:. ._.?. . . ? ..._. v..? ._ ,. . .-. , ,. :?. ?
CITYOF EAGAN
3795 Pltot Knab Rood Eagon, MN 55122
PHOlIE: 454-8100
BUiLDING PERMIT izece;pt #
To be uaed fa.
Est. Va l ue Dnte
- -
Site Address ??
!.? c'+ L: ?.' x
Erett '13;
Lot BI . k Sec/Sub. Aiter ?
Porcel # Repoir p
Enlorge ?
lx Name
W _=':'° t .:?I. t•IZ3.l?S: C'?:,r?. :.
Move p
3 Address pemolish []
? b Ci ` ° '-'• ` Pho?te S .?; Grude ?
m
p Nome APProrals
U? Address Assessment
~ Cit Phone WoYer & Sew. -
F PoliGe
W W Nome
F- Fire
z
r,
Address
Ens
? z
a"'
i ,
Plonner
_ Phone
...,??.,
I hereby ocknowledge that I hove read this appiicotion and state that 81dg.
the informnfion is eorrect nnd ogree to camply with all applicable
State of Minnewta StAtufes and City of Eogan Ordinances. APC
Signoture of Perrnittee
A Building Permit is issued to:
oll work shall be dane in accordance with all opplicable State of , Minnesota `.
Building Official
Occuponcy
Zoning
Fire 2one
;ype of Const.
# STories
Length *
Depth Sp. Ft.
Permit
Surchorge =--
Plon check .`'
SAC
Wuter Conn.'
Water Meter '
Raad Unit
Total --
_. on the express conditlon thnr
City of Eagnn Ordinances.
Permit No. Permit Holder M+sc. Permit No. Holder
Plumbing
H.V.A.C. p A ro
Well
Water
Disp.
Sewer
.
"
Eteceric t.L) -3(0(0 3t> ?liol?A?4??.LE?c 14-20QS2 .
Inspeetion Uate Insp. Other
Foatings
Foundatiah
Framing 0, L10
Rougn Plbg. d -10 ?2 tJ
Rou¢h HYAC
Inwlation
Final Plbg,
Final HVAC
Final
Water Deseribe Location:
VYell
Sewer .
Pr. Disp. , r .
?
Receipt ?`-
•:.t
PLUMBINC PERMIT Permi# No.
CITY OF EAGAid
Fee '
1. Date 3; j?g2,,:) 2.
r
3. JobAddress'25
4. Owner tT:;, ,AJ 11c:r C:c
zumhered spaces
)r Print legibly
allation Cvst
??.
Lot
s/C
Tvt. s ?
?4Tract 1 ,
5. Contractor 'e`;v.i7-c'?c?. Phone
6. Address
- 7. City i??=7 P 1 r?- StBte ?,,_Zlp . r
.- . __ . .:
i $. Building Type: Residential Cammercial ? Institutional ?
f
? 9. Werk Description: New 11., Add ? Alter ? Repair ?
?_ 10. Describe
11.
No. Fix#ures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs tic Tank
Se
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/8idet Other
Laundry Tray ,
Floor Drains ?
Drinking Ftn.
51np Sink tn
Gas Piping Outlets -
.-
`
1 12. I hereby certify that the above information is true and correct, and I agree to
comply wiroh all ardinances and codes governing this tyqe of wark.
x
?-
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and appraved.
Approved • CITY OF EAGAN 454-8100
Receipt -
1. Date
3. Job Address
I
:CHANICAL PERMIT Permit i11o.
CITY OF EAGAN
Fee
fIl in numbered svaces S1C
ype ar Print legi6/y 7at. - I
. Installation Cost
Lot Tract
V ` 1
4. Owner o~A `' ` 1\e Y ?_ '? ns'.
5. Contractor Phone ?-
6. Address
7. City ? State ; Zip
S. Building Type; Residential Commercial ? lnstitutional 0
9. Work description: New Q- Add ?
10. Oescri be
11. No, Equipment 9TU - M. Ea.
Forced Air
Mfg.
Boilers
Mfg.
lJnit Heater
Mfg.
Air Cond.
Mfg.
Gas, Piping Outlets
Alier ? Repair ?
_Fuel Type
Equipment CFM
Air Handling:
I Mech. Exhaust
12. I hereby certify that the above information is true and carrec#, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : far _
Auugh Final
Inspections: Date Insp. Date Insp.
This is yaur permit when numbered and approved.
Approved CITIf 4F EAGAN 464-8100
CITY OF EAGAN
Addition
Parcel
hINI 55122
Improvement Date Amount T Annual ?r Years Payment Receipt Date
' STREETSURF, 1 1982 1848.67 20 5.41?` 9 1437.87 A011 04 12-8-82
STREET RESTOR.
GRADING 1982 537.84 59.76 9 418.32 A011 04 12-8-82
SAN SEW TRUNK 1976 135.97 9.06 15 63.4 A011704 12-8-82
*SEWER LATERAL 19$2 3182.83 353.65 g 2475-55
WATERMAIN
*WATERLATERAL 1982 9
WATERAREA ? 1982 202,00 22.44 9 157.12 A011 o4 12-8-82
*'Stubs 1982 9
STORMSEW TRK (p ? 1982 367.77 40.86 9 286..05 A011704 12-8-82
*STORM SEW LAT jJ$z 9
CURB & GUTTER
SIDEWALK '
STREET LIGHT
R 240.00 '32294 - -82
WATER CONN. 420.00
BUILDING PER, 759
SAC 525-00
n
n
PARK
BUILDING PERMIT
Te 6a utod for 5F D
Sife Address
Lor 26
cirr oF eaGAr+
9795 Pile! Knob Rood Eagan, MN S312$ N? 7554
PHONE: 454-8100
Receipt #
Sec/Sub. BeacOn Hiil
Erect Ik Occuparxy R-3
Alter ? Zoning R';
Repair ? Fire Zone NA
Enlarga ? Type of Const. v
Move ? # Stories
Demolish ? Length 52
Grade ? Depth 38 Sq. Ft.-
Approwlt F•es
Porcel # ? lU 195U0 Z60 04 )
rc Name Joaeph M. Miller Conat. inc.
9 z Address 18133 CEdaY Ave.
g Nome
?
uy Addre.
f ??...
Nome _
Address
1 hereby acknowledge thot 1 hove read this apDlication ond stote that
the inlormotion is correct ond agree to comply with oll npplicoble
Stute of Minnesoto Statutes and City of Eagon Ordinances.
$Ipnoture of Permittee
A Buiiding Permit Is issued ro:
oll work shall be done in accordarxe wlth all
Assessmenf -
Woler & Sew.
PaLce -
Firc
Erp.
Plonner _
Councll -
Bldg. Off. _
APC
Permit jV1•vv
Surchorpe 29•00
Plan check 153.50
SAC 525.00
Water Conn420.00
Woter Meter 60.00
Road Unit 240.00
Taol $1734.50
T*e on tha express condition thm
ond Ciry of Eagan Ordinonces.
Buildiny Officiol
(gtr#ifirtt#r nf (Orrupttnry
Citp uf (ieagan
:,,? Btrartnrni n# luitding Is;rnriimi
Tbir Cnti firate ruatA pmrnaet m tbt rtqairrmrntt o f Satiox 306 0f tbe Uni/arm Baildiag
Code a+ti(ying tbat at dx timr a j iJruarue ehit ttrurtu+e wru ia cmn plianu with tbr vasiwu
ordinawa of tbe City ngxlating bralding aonnrurtian w ux. For tbe following:
Un Chmifidm SF DWG/GAR ?4?a?INo. 7554
omvm,Tyw R3 *rrc?m. V m.z? NA z«awoll? Pl
? J sr:
November 26, 1982
.o.. M . ? ?
Tni< <ea??,ci yona ¢ ??QL6/? H ? ? (
12:mpnMs from
N `36630
3 ;;z S co (o
?a,sd
Rt D te /? FrE No. Rou Yh-in Inspectwn
/4? (f Req iretl7 Heatly Nuw ?Will Notrty Inspec-
?NO Ior When Ready
V J? es ?
u Licensed ElecVroal Convactor I heraby request ins0ec[ion oi abova
? Owner electncel wark inslalled nt:
Stree Addrass, eos or ou[8 No
'a?6bc? City
xz-a P17
ecUOn o. Townshi0 Name or No. Range o. - Count y
p /CO ?
Occu (PRINT)
e Phone No.
Power 5y?/p1lie,{r??i ??
?i?.L ac'tG?/G AdtlressA..
O.(A1'/N M .
Elacvical Cnnvactor (Compa y Nam I 1
1Pc?4c ?t ?G
. 101f 414 Convactor's License No.
C//6/d - ?
Mading Address (Contr tor or O er Mak ng Instaila[ion)
?..?y. ?
o? 0 3?/6 esa 5. Gc/ ?,?a
TFAuthed St IConvac or/Owner Making Ins[allaLOnl hone Number_/ ?
^Jvr'3 0.
MINNESOTA STATE eOANO OF ELECTRICITY " THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlwey BId9• - poom N-191 gE ACCEPTED BY THE STpTE BOAflD
MN 55104 ' UNLESS PPOPEH INSPECTION FEE IS
?821 Universiry Ave., St Paul, ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?- E8-00001-03
See instructtans tor compieting this farm on back of yellaw cupy. /?
VJ 3-6 63 0 ?
""X"" Below Work ,C`gvered by This Re.ques! . ,3? S t0 ?0
N AEd Neo. Type of BuilAing Appliances Wnetl Equipmenl Wired
Home ftange . Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. 8uilding Dryer Electnc Heatin
Commeraal Bldg. Furnace ' Silo Unloader
Industnal BIAg Air CondiTioner Bulk Milk Tank
I Farm Othar TS-P.777- Othpr(SVer.ify)
t er peci y t cr Other
Com ute lnspection Fee Below
N Fee ServicaEntranceSize k Fee Feedars/5ubfeeders W Fee Qrcuits
I Q. DO 0 io 700 qm s 0 to 30 qm s • ? 0 tn 30 Am s
107 to 200 qmps, 31 to 100 Amps 31 to 700 A
Above 200 qm s Above 100_Amps Above 100 Amps
Transiormers Remote Control Grc. Partial%Other Fee
Signs SpeciallnSpecLOn $
:3 3
Rerturks AL FEE
,
,,
Rough-in alo
!?[ ? ?pncel
sOector, hereby
certify that the above
F?nal D?t ? {nspec[ion has been
metle. This repuest vmd
18 months from L
..?.?„' ? r ? ? l ' {, •2 1
CITY C['' FXM'1 `2wltde $ srtle Of p3Arli?
1 sib pLn w/e2snt.iaM i
?IN(, PEWOT A4'PI.ICA'!'?N ,? Me a? ??s1??t ?-
..
• ; '3 F O'w?( GaT' Valtatjan ?? q/i?lfl2
p?
,.
To Be VO+
gite ]&Ipggs " mbridee ??? V ?
Iot ? Blpc k 4 .• SeG./Sub. RParon Hi 11_
?Paz+eel.f: '?0 ?3So o ZtocD C4 +•
7 h'N M'71 fnnct_ inr
;Owrier:
18133 Cedar Ave.
?city/Zip ODcw; Parmington MN. 55024
?hOM 454,-4753
?tract=.; Same
Addt+ess:
CitY/ZiP
Pt?aie #:
'p^c]t. /IItq: .
?Address:
crr= tm CM
-3
EL+eCt ??
Altar
LE -? ?9 :•,
i :
? t.
zYPs O?x? :.' .r .
D?nDl? nmb
?.?" p?? 3SS. •
Ostde 1 '?
p?pp?7{inL?R .
°?-
As8se8MW"
iPater/geww ?-- Pla? Q?ec?t
poltae ?-19:s._ <.
?? ?
Planffer
11Md [1lnit
Bld4-
APC ;CYh'/ZiP Ooc]ea
, ,..a
`Pltone /e ? ? ? - ?
Certifica*.e for: •
Centox Howeb Midv+eat Inc.
8601 Darne-al Road '
Eden Prairihe, Mn. 55344 j
8-27-81 CertiPi6ate Fors '
Joe M.tl1er construction DELMAR H. SCHWANZ
18133 CEd3r AV2. S0. LANDSURVEVON
FarmingtOn,. Mn• • 55024 aeqisterWUna11rLawfolTMStiUaf M17innOs0ta
2978 - 746TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 85068
SURVEYOR'SCERTIFICATE
rovN.,.a ? 993•5_
I?^
V,
0
0
?
9?I
q j2,3 S 89° 3 6' Zz
?] ?^ - - - -
a
?`" - - - -
3 51 972.7 ? n.33 -i
N a Q a ?-r?
N
I ?? 97a 9 ? -- `-
?
I ?
.,j q69ue? 9 q
?
? S 89°3A'3L"C
• Proposed Finiehed garage Yloor , 974.ri0.
9??,cr:HSnotes eaisting elev.
De tes roPosed elev•
?
N
=a
O
N
?
qli
sz/g6
S2101 0
PHONE 872 4231789
30
?
'9 U) 992.06
?
r
01
- ? 1
0
OD
a
c?..e6
30
Q no p
Denotes set wood stake. Propoaed baeement Ploor -?77-1•-7-3 ?• ?
?-- Denotes proposed drainage
Proposed top of foundation f744.
r
in'? °3o ?eak
ey Beertify EACON HILLS,taccording t o e the g recorreet corded plat thereof?n Dakoat 26,
Block 4
County, Minnesota.
February 31 1981
Revised Auguet 27, 1981 to show proposed building location (not staked)
Revised August 31, 1981 to ehow house as staked and exieting elevations.
" Revised to show new house and elevation September 10, 1982. '
1,
MINNESOTA REGISTRATION N0.8625 I
?l
? N
q?Z.? I1?11
6 ?
O --? I Z
q?ti ? o
Certificate for:
Cent!px Homes Midwest Inc.
.8501 Darnell Road
Eden Prairie, Mn. 55344
8-27-81 Certificate For:
soe Miller construction DELMAR H. SCHWANZ
18133 Cedar Ave. So. LpNDSURVEVON
Farmirrgtbn, mn.. 55024 RpistereE UnUer Lawt of Tbe SbU of Mlamsofa
2878- 146TH STREET W. - BOX M ROSEMWNT, MINNESOTA 88088
>Z/`f6
If-UN # 93a>s-
PHONE Bt] 473-1789
q727s SURVEYOR'SCERTIfICATE 30
rov H,cs ? 993•57 ?.?
cJ12,3 S S9° 39,?SZ` 1 11,00eY ??l2 Q?jX? ..1
uR tn - _ ?8. 3,?- " 10 ' J
;4?)Oj .?
'730
F 2z.33
u ? N U N
0 I `? 9?09 ?-- gyt•? IMW C Vw'
N ? 3.o q i?.? La
N ? i
o
??O 3s. 33 q?? ? p O '?
i 9 9
?j ?9 g? ?-? ol '3D,? 1 aD Q
?4
9?1 S L-? to? N_
?-3&:
? 6 S 99° 3A' 3L? E 1'?fi.00 191.44 Proposed Finished garage floor `?74`+0.
Denotes eaisting elev. 30 "Q Denotes proposed elev.
p Denotes set wood stake. Proposed basement Ploor 27-1-.73?'. ?
Denotes proposed drainage Proposed top of foundation
p
,nj? _3o keLk
I hereby certiPy tha.t thie ie a true and Correct repreaentation of Lot 26,
Bloek 4, BEACON HILIS, according to the reoorded plat thereoP, Dakota
County, Minneaota.
February 3, 1981
Revised August 27, 1981 to ehow proposmd building location (not staked)
Revised August 31, 1981 to ahow house aa etaked and exl8ting elevationg.
Revised to show new house and elevation September 10, 1982.
;
.i
MINNESOTA REGISTRATION NO.8625 C I
- AEXTERTOR E4VP•.LOPF AVEtiAGE "U" COMPl7TATI0N 4P ! 303S ?
, . '" • i
OWNER: DATL ?J- I 0' SZr
SITE ADURY.SS: PIIONE:
C6NTiU1C'NR: JO,ft„TM%L-uE2. peterminc wor.kin9 square footage of each
l. 7'otal cxposed wall area...... ?1D6 sq. ft. x .17 329,9
2. Toal toof/ceilinq area ...... 107f5 s4• ft. x .05 ° ?•°? ' '
Total axposeB wall area nDove floor = Roq'S
i
a. Total wall wlndow area ................................. ? 2A
ti.. ,otal. Aonf Area .......................................
... ;o?al clidina gi:.ss doar area ......................... 40
d. 'Potal Lireplar.e wali area .............................
e. Total aiall fraining area (averagc 10i) .................. 1?0
E. Total rim joisl: area .................................. !4 I
g. r;all. axca Ebove iloor ..........................
h. wa]1 area above floor ..........................
i. wall area aUove f.loor .......................... _
j. wall area above floor ..........................
Total exposeS foundation area °
k. Total fo,tndation window ar.ea ........................... --
1. Total`net £our.dation area above grade ................. (ft
Determine "U" value of each wall segment
(e.q. windcw, door, each separate wall section)
?
a. !20 X "U" .5-rv ?o?o
-'-?---
tJ. ' "?B ' x nUll •?5'...', a Z?. f""'_
C. 40 x „u., .5y a ?.yi.
' d. Y. 1. U., _ c -
e, Y uUu • ?'1 ° ??q
f, 19 t x„U„ .041 9 ! 330_ r „U" . o4g = _ !sQ•?
.?? •
?
i
,.
n.
?
,.?..
i. x ,.u,. ?
Tf item B3 is the same ab,
j. X uVu s
or less than
itcm #1. YoU
` Iir,ve alet the intent c>f.
; k x ???,: ° .. 5UC 6005 (c) 2.
3. Ir°? x ..U,. , 4-J_
?r., r, ? •. 2-? _':X _
-? -.- tTr,=#7 ?, . ' . • ?? __ -- - - - - ?- 4Q -
?
.. . .
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
lew ConstruNion Reouiremeirts
3 regislered sile surveys showing sq. N. of lol, sq. ft. of house; and all roofed areas
(20% maximum lat coverage allaxed)
2 copies of plan showing beam & wiiMow sizes: poured found design, etc.)
1 set of Energy Calculalions
3 wpies of Tree Preservatbn Plan A lot platted afier 711193
Rim Jaist Detail Options seledion sheet (bldgs wAh 3 or less unils)
)ATE VI d 4OI 0
10B SIiE ADDRESS/ 24 I
F MULTI-FAMILY BUILDIN?'z,,H4
'ROPERTY OWNER
'YPE OF WORK ?2710
kPPLICANT
4DDRESS 3a? W
'AGER #
1 l 3.-7 15
RemodellReoair Reauirements
. 2 mpies of plan '
• 1 set of Energy CalculaGons for heated additions
• 1 site survey for extenor additions & decks
• Indicate if home served hy septic system far additions
V
F J l'_, Am nVrr e- -?-
MANY UNITS? I
RuO, (3,-)
FIREPLACE(S) _0 _7 _2 _3
-*I
CELL PHONE # 6Y5? ? G-) FA,X #
1-
PHONE #
P CODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RiTI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbfng Contractor: Phone #:
Plumbing System Includes: _ Waler Softener Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths '
Mechanical Contractor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovcry System
Sewer/Water Conhactor: Phone #
?
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that ihe information is corre Y nd agree ith
iII applicable State of Minnesota S tatutes and City of Eagan Ordinances.
Slgnafure of Applicant
;ertificates of Survey Received _ Tree Preservation Plan R eived _ ot Required _
Updaled 1I01
2004 RESIDENI'IAI. BUILDING PERMIT APPLICATION
City Of Eagan ??
?Y4U ? 3830 Pilot Knob Road, Eagan NIN 55122 ', ?? d. C? U
Telephone # 651-675-5675 FAX # 651-675-5694
Date o' -S?/ 1`a / O y
Site Address 'y?C??? b// j1Z Construction Cost ?O'?'?i• ?
oY i"%' O UnidSte #
Deacription of Work f?-
Multi-Family Bldg K Y _ N FSreplace(s) _ 0 _ 1 12
-
Property Owner Pq-? Telephone # ((Q1a ) 717I
?vp
Contractor (0/tiC?c100d5 y`Qyi7 o CL
Address 9C?0? E' / J/oosr.r h]?on /
State 1
`?c?.¢?o.l/ /eoi. City 4ppm,S..4 /t ll
Zip ?? Telephone # (?02) ?Sg? sSS?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
• Residentlal Ventilation Category 1 Wor9csheet
(J submission type) Submiued
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
euiLoiNG
Minnesota Ru1es 7672
. New Enerqy Code Worksheet
?i Submitted
N If so, 25% plan review
Telephone` # (
Telephone,I
Telephone',i ? ?
? 0 L'J
I hereby apply for a Residential Building Permit and aclnowledge that the info ation is complete and jaccurate;
that the work will be in conformance with the ordinances and codes of the Cit Stale of MN"
Statutes; I understand this is not a pernut, but only an appiication for a permit,?!iand work is not to start without a
pernut; that the work will be in accordance with the appmved plan in the case o$ work which requires a review and
approval of plans.
,???____ ?- ? G•?,.??? ?,s?
Applicant's Printed Name ApplicanYs Signature ??
1? D? 2006 RESIDENTIAL BUILDING rERMrr arrLicnlzoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reauirements 3 registered site surveys shaxing sq. fl of lot sq. ft of house; and atl roofed areas
(20% maximum lot mverage alloxed)
1 Soils RepoA N pmposed building is to be placed on dislurbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set of Eneigy Calculatlons
3 capies of Tree Presenation Plan if bt platled after 71V93
Rim Jdst Deteil Optiore selection sheet (buildings with 3 or less uni5)
Minnegasw mechanical ventilaBon tortn
RemodaVReoair Reauirements 01fiae Usa OnN
2 copies of plan shrnving footings, beams, joists Cet o( Survey Recd _Y _N
isetNEnergyCakulatbiaforheatedadditiore SoilsReport , - _Y _N
1 sde survey for addNOns 8 dedcs Tree Pres Plan Recd -,_Y- _ N
Addition - indiceteNon-sdesepticsystem TreePresRequired , _Y _N
Omsite5epticSystem _Y _N
Date d tp Construction Cost
siteAaaress L? ?
Jt_ ??S0,dx.
•7- () r?_lj?Uniuste #
Description of Work
Multi-Family Bldg _ Y y N Fireplace(s) _ 0,? 1 _ 2
Property Owner Telephone # ( )
Contractor k2 r
le-
I" v?
?
Address (?
?[! -
S/ ? ? Sl?z , tf
•
? _ City_??
,
r
State /?. ?
/
Zip Telephone#(/(y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672
Energy Code Category . Residential Ventiletion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil 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 stazt 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 Signature
2006 RESIDENTIAL MECHANICAL rERMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for:,; single family dwellings & townhomes/condos when peanits are required for each unit .3(2-6c-)
Date _L__ / y / 0 ?
Site Address 'Y6 2:9' yL, Unit #
PropertyOwner 14Ac 7ne,r Telephone#(?SL)
ANGELL AIRE, INC.
Contracfor
MP155337
BU?tISVIIIB
Street Address . cih,
state faX: 952-748?1202 Telephone # ( )
Bond#: 73 Expires: 9 Zo / °7
The Applicant is _ Owner Contractor _ Other.
Add-on or alterafion fo exisfing dwetting unit $ 30.00
?C furnace _Additional ?C Replacement _ New
air exchanger
? air conditioner
--
_ heat pump _ - ,
? - - _ - ,,
other
-
.- ? ?
State Surcharge u
?-1
$ .50
$ 3e, ,p-o
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case oF work which requires a review and approval of plans.
F- ;# OL4.s n L?--?-
Applicant`s Printed Name Applica s Signature
71?qa4
2006 RE'?'.' IDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAld MN 55122
: ` • ??' 4 4?': 651-675-5675 I
Please complete for modifications to existing residential dwellings.
Date_/Z_ //?,7?
/
Site Street Address S' /?M Z /.z ,, &lee ?,p / //e-
Un1t #
Property Owner Telephone #??/}
Contractor Telephone #
RAdress City _ 5tate1w Zip?-7
The Applicant is; _ Owner X.Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwetling $ 50.00
_ Add piumbing fixEures. This fee includes instaliation of a water sottener andior water
heater at the same time. df you are 6ns#a!ling oniv a water soflener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 rF a 5/8" meter is required)
Other:
? Watet Softener
Water Heater
_ $ 15.00
_ new ? replacertrent
_ Lawn Irrigation _RPZ _pVB _new _repair `rebuil6 $ 30.00
State Surcharge
$ .50
Total
$
I hereby apply for a Residentis! Plumbing Permit and k
ac nowledge that the infarmetion 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 perm(t, but oniy an application for a permit, work is not to skart witfiout a permit and work wiil be in
accordanc ith the approved leq in the event a plan is required to b viewed and approved.
ApplicAnt% Printed Name
Applicai Ys Signature
t 4" .
Clty 0f EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
04.1S ?'s&°--
------------------
??on?e --
j Permit #:
i Pertnit Fee:
? Date Received: j
? starr:
-----------------
2008 RESIDENT{AL BUILDING PERMIT APPLICATION
Date: /S D Site Address: ql0 2S GA lu $fE-1 D(n C' 1? rz •
Tenant:
n/ S
Suite #:
RESIDENT/OWNER Name: _PeT'E dEiNS Phone: (/„sl) 4.f6-0863
Address/City/Zip: yloZ.r Lkk0M8R1Al.i£ bR • ? ErtartrJ, N11J
Applicant is: >< Owner _ CoMractor
TYPE OF WORK Description ofwork: 6U0VA1_ bF E,c?Sr?Nti OECIL , GoNST?t?cnoN oF A NE1J Z*-C,?L
pNi0.,tagsu0.FA?£ FR.at?'r6N"rM' Pc "Ne.W 06ct-rN4 AND PAIL
Construction Cost: ?? /O, a00 Multi-Family Building: (Yes _ I No 7C ?
CONTRACTOR Name: I'S RE cl{ Ep TIM-i o9. S License #: 20 5 59 27 y
Address: .5-85-8 gLRek5 w0.jE PPrTrI
City: / ?J VrK. e?20?-e' */6iyTS State:,UAJ_ Zip: SS-D 7(o
Phone: BR -(Q 36 B Contact Person: 8 i 4t, KAt CAN i poLIt,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residen[ial Ventilation Category 1 Worksheei • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permR for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Llcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: P/ans and supporting documents that yau submit are, consldered to be pubUC lntoiittation. PortMns o/ '
the lnformation may be classifled as non?pubNc !f you piovide spec'itic reasvns that would pernti! the Clty fo .
; conclude that the asa dade secretm g,I hereby acknowledge that this information is complete and accurate; that the work will be in confwmance with the ordinances and codes of the City of
Eagan; Ihat I understand this is rrot a permit, 6ut only an application for a permit, and work is not to slart 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.
X ?ov14 CU7-r-„A) h X
ApplicanYs Printed Name AppllcaM's? a ure
% Page 1 of 3
DO NOT WRITE BELOW THIS LINE
' SUB TYPES
? Foundatlon ? OSplex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plez 0 Fireplace ? Porch (3-season) ? Ext Alt - 9AWfi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? OS-plex X Deck ? Porch (screeNgazebolpergola) ? Multi Misc.
? 03-Plex ? 16plex ? Lower Level ? Storm Damage
? 04•Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interlor Improvement ? Slding ? Demolish Bullding'
? Addi[ion ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Wlndows ? Demolish Foundation
? Replacement ?f ? Egress Window ? Water Damage
' Demolkion (eMire Wiilding) - give PCA handou[ to applicant
DESCRIPTION:
ValuaUon Occupancy MCES System
Plan Revlew Code Edition SAC Units
(25qo_ 100% ? 2oning City Water
Census Code Storles Booster Pump
# of Units Square Feet PRV
# of Buildings Length Flre Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck) (30"04(G
Footings (addltion)
Foundatlon
Drain Tile
Roof: Ice & Water Final
X Freming
Ftreplace:_R.I. _Air Test _Final
Insulation
Sheetrock
FInaUC.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Sfding: _Stucco Lath _Stone Lath _Bridc
Wlndows
Retaining Wall
Reviewed By: 1? . Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Heview
MC/ES SAC
City SAC ? ??,/n 0-00
Utlllty Connectlon Charge ??V?'N /' (I!`?^s? ?A'd'?+?•
S&W Permii & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112924
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 4625 Cambridge Dr
Lot:26 Block: 4 Addition: Beacon Hill
PID:10-13500-04-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
Peter V Hines
4625 Cambridge Dr
Eagan MN 55122
(651) 456-0863
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156514
Date Issued:07/03/2019
Permit Category:ePermit
Site Address: 4625 Cambridge Dr
Lot:26 Block: 4 Addition: Beacon Hill
PID:10-13500-04-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter V Hines
4625 Cambridge Dr
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179470
Date Issued:10/06/2022
Permit Category:ePermit
Site Address: 4625 Cambridge Dr
Lot:26 Block: 4 Addition: Beacon Hill
PID:10-13500-04-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Peter V Hines
4625 Cambridge Dr
Eagan MN 55122--271
(651) 356-0076
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature