4679 Cambridge DrINSPE
' CITY OF EAGAN PERMIT TYPE: `"" i_ ?? 1,06
? 3830 Pilot Knob Road Permit Number: ?0 ?.1 1
Eagan, Minnesota 55122-1897 Date Issued: ``' ? ` ` ` ? ' •?' `
(612) 681-4675
SITE ADDRESS: APPLICANT:
I PERMIT SUBTYPE:
I I I :101".Tiit-1.`;
I I # i 1 ! ?13
TYPE OF WORK:
¢I f- ',; i" t* I F" 1" f Ea N
I' tr a1m € i:f 1;
::;C#'AHArF PF{?#317 f l.ih f'l 13148 d IVEy 1..1OR#;,
? ;:' r? N't A r, r'.; 1- A'i F N il A d, t l 0 t' f ! i ..!'R i f; T T Y
4 {?; , 14 t: f.Ly
l#D10:1 T (0 p4
F, °;TI:tI.Nc; r. I.?Tfd??f??.f".•?
itt' t I1 i. I f•: E t'l11 f`f^lKM l a
?
?
Permit Mo. PermEt Ftolder Date Telephone #
ELECTRIC
PLUMBIMG
HVAC
Inspectfon Date InSp. Comments
F40TINGS ( ls?? ? y„?I
?-v
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FiNAL HTG
ORSAT
TEST
BLDG FINAI
6
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ; ;, 1..
, 1,'rW;
c{k..til i.iH HF. lf
PERMIT SUBTYPE:
; ,a % ,
r 1 taA t
:CORD
PERMIT TYPE:
,,., tia Ll tt ??
Permit Number.
Date Issued:
APPIICANT:
TYPE OF WORK: Iff p.,A I R
? I I ', C ,i, i 4t?r,P '.rr.ot"ei
Peemit No. Permft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUNO
FRAMING
ROQFING
ROUGH
PLUMBING
PLBG
AIR 7EST
ROUGW
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPL4CE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TE5T
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
/?a?
S' ;! ; , J°
«?? ' ? ,' ?
?-,
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Koob Road PERMIT NO.:
Eoyan, MN"55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber. ,
Meter No.: Connection Charge:
Size: Account Deposft:
Reader No.: Permit Fee:
1 dqree to aomply wifh tha City of Eagan Surcharge:
Ordinancas, Misc. Chorges: ? ? -
Totol:
By Dote Raid:
Dote af Insp.: Insp.:
, CiTY dF EaGAN SEWER SERVICE PERMIT
3795 Pilot Knob liood PERMIT NO.:
Eogan, MN*55124 DATE:
Zonine: No. of Units: •s
Owrier: "??i3ldertAdd?ess:
5ite Address• `??;'`'i t^.ar.-?17T'Pf9r'9• _ 11 Plumber: f? ?`?L`'"?•m -
I egree to eompiy wlth the Gfty of Eagan
Ordinantet.
gy
Qote of Insp.:
Connection Charge:
Account Depasit:
Permlt Fee:
5urcharge:
Misc. Charges:
7otal:
Dote Pcid:
Receipt
?
PLUMBING PERMIT
CITY OF EAGAN
? Fill in numbered spaces
Type or Prini /egibly
7. Date 2. Installation Cost
3. Job Address
4. Owner
Permit No.
Fee
S/C
Tot.
.
5. Contractor ? r? ?'`? ? ?';' r?`..f Phone
6. Address z5
7. City `.State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Wark Description: New ff Add ? Alter ? Repair ?
1 10. Describe
I11.
Na.
5J Fixtures
Water Closet No. Fixtures
Cesspnol/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
/ Shawer Well
? Kitchen Sink
Urinal/Bidet
Laundry Tray
Q
je'r
`9
? Floor Drains , ?,
Drinking Ftn. ? -
Slop Sink
l Gas Piping Outlets
i
12. I here6y certify that #he above information is trus and correct, and I agree to
comply with all ordinances and codes gqverning this type of work.
Z , i Signed: i`-?•,'t?:? -L ?.,,?-I?E??• for
Rough Final
Inspections: Date tnsp. Date Insp.
This is your permit when numbered and approved.
Appraved 'CITY OF EAGAN 454-8100
?
Receipt C6 ; ?
.°z-
_ ` ?
:
MECHAHICAL PERMIT Permit No,
CITY OF EAGAN ,
Fee `=-
Fill in numbered spaces S/C '_--
Type or Print legibly ?- ?
Tot
?;2i
.
9. Date 3ZQ 22. Installation Gost
J;
3. Job Address Lot?? - Tract i-+
4.OwnerFEA-ruRC ACD25
5. ContractorOFf;,ti'c---A/?::-7 yTG Phone?ZJ'f--o ?2-:79 I
6. Address?9,20 C2C`-S7wpnD ? oi.t- I
7. City 5tate ;} J tJ Zip= -s?
$. Building Type: Residential El"' Commercial ? Institutional ?
9. Work Description: New 0' Add ? Alter ? Repair ?
10. Describe Fuel Type 1?/?i 6%4
?
11.
No.
? Equopment BTU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg, g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9• Other
? Air Cond.
Mfg.
v Gas, Piping Outlets
12. I hereby certify that the above infarmation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved i.: ' CITY OF EAGAN 464$100
CITY OF EAGAN Remarks
Addition $EACON HILL ADDITION Lot 17 Blk 4 Parcel 10 13500 170 04
G_'
, owner_E-'G? nLd Street 4679 Cambridge Drive State Eagan, MNt 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, rQ 82 1848.67 205.41 9 8-7
A012322
6-8-83
STREET RESTOR, i
GRADING 82 537.84 59.76 9 418.32 A012322 6-8-83
SAN SEW TRUNK 1976 135 7 9.06 15 63. 49 A01?322 6-8-8
*SEWER LATERAL 1982 3182.83 353.65 9 2475.55 '
WATERMAIN
* WATER LATERAL 19$2 9
WATER AREA '64 1982 202.00 22.44 9 157.12 A012322 ?-8-
* Stubs 1982 9
STORMSEWTRK (p51, 1982 367.77 40.86 9 286. A012322 --
*STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 34552 2-2 -8
WATER CONN. ?t50.00
?t
+r
BUILDING PER. 8
SAC
PARK
J?,- . . , ??? . . "??t?l1??I`.y,r2zJ??t"S?!^. .?
' .
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;?? .r ....y? .
? ? CITY OF EAGAN
?'?? .
? ?'???
3830 Pilot Knob Road, PA. Box 21-1 99, Eagan, MN 55121
PHONE: 454-8100 ' j ? •:
?,:, 1
?
BUILDING PERMIT Receipt # r? ?"
??
?1?? ?? ?'? ?
To be used for
Est. Vaiue Date „ 19
Site A?1?ress ? ??? ??'??? ???
3
OFFICE USE ONLY
Lot
Block See/Sub.
Parcet No. ? occuPancy - FE?s
2oning - ???.?
? Name {Actual) Canst - Bldg. Permit
? ?
? AdClf8S5 [Allowable) - 5urcharge
Q
City Phone # of Siories
?
? Length
?- P18n Review
o Name oep?n SAC, City
?? Address S.F.Total - SAC, MCWCC
? City Phone s.F. FootPr?nts -
On Sife Sewage _ Watar Conn
W W
~= N?111g '? On Site Well
MWCC S
i - Water Meter
??,
Address s
em
y
?`
aoci. oepos?t
a W Clty PhOf1e City Water - ,
PRV Requirgd - S!W Permit
( hereby acknowtege that t have read thrs appircatiort artd state ?hat the Soos?ar Pump - S/w Surcharge
intqrmation is correct and agrea io comply with all applicable State of
Minnesota Statutes and City
oi??5an drdinances. Treatment PI
?
&ignature of Permitee ' APPROVALS Road Unit
?','[??'? ? ?? Pianner --- k ?
d
P
A Building Permit is issued to; ar
.
e
ar+lhs express conditinn that all ?vork shall be sione in accordance with ali
a
li
bl
State of Mi
St t
tes
d Cit
of Ea
an O
s
t
di Council
ff _
Copies
pp
y
g
.
ca
e
nneso
a
u
an
r
ance
?
? .
Bidg, O _ ?
r
.
t?- ti.:?' .-:^y ? ..?G:-?..-i;,,.
;
Building Official
,L ?? ??
Variance
` _ TOTAL
Permit Na. Permit Halder Date Telephone #
YqATER
o-
SEWER
PLUMBING
H.V.A.G.
ELECTRIC
Inspeclion Ddte Insp. Comments
Foolings I
Foundation
Framing
Roofing
Rough PI6g.
Rough Htg.
Isu1.
Fireplace
Flnal Htg.
Final Plbg.
ConSt. Meter Pibg. Inspector -Notify Plumber
EngrlPfan
Bldg. Final `
Deck Ft9. eI MW T? /Xfe!ACV-.?3
Deck Fnal KJ 6 t ?rl
Well
Pr. Disp.
t .
3795 p{fO
BuiLuiNG 'ERMiT
Te 6a ured in* 'oF DM/ aAR C.
Name -
thi5 opplication
to tomply with
of Eaaan Ordii
all wark shaU be done in accqrdance with oll Appliooble S
8uilding pfficiol
Assessment Permit 31 C, _ on
Water & Sew. Surchurge 3f1- ?()
Police Plan check 58. 00
FirO Sf1C 525.20)
Enfl. Wates Conn.450. 0 _
Pipnner Woter Meter 60-00
Council Raad Unit 2530-00-
B#dg.Off. 2-24-83
APC Tatol 1_ f 789 _ 5L
- an the express.tondifian thnt
nesotn 5totutes and City af Eagon Ordinonces.
Permit No. permit Hofder Misc. Permit No. Hoider
Plum6ing '?d ?,,??t'??lC. L?,r(?.J
H.V.A.C.
E 3 i. t???.(?I.S ?? L?? ?
WeN
w?ee?
Disp.
Sewer
E lectric
W 2'lioo?. E??.ea rtL?r- 3-Zl ?
Inspection Date Insp. 4ther
Footings
Foundati4n
Framing
Rough Plbg.
i
Rough HVAC • JO-? ttJ
Insulation ?''-'?-, • : ?
Finaf Ping.
Final HVQC
;
Final F
5
Water descrihe Location:
wQn .
&ewer
Pr. Disp. _
CITY OF EAGAN Np ? ?BSs
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55127
PHONE:454-8100
BUIL?ING PERMIT Receipt #
To be used for DECK Est. Value $1, 000 Date MAY 17
, 1939-
Site Address 4679 RIDGE DRIVE
Lot 17 Block 4 Sec/Sub. BEACON HILL OFFiCE use oNLY
Parcel No. occupancy - Fees
?
Name ?NNETH T WONG Zoning
(qctual)Const -
BIdg.Permit ?25.00
o Address 5AME (Allowabla) .50
City Phone 454-0981 ;r of swnes
26 Plan Rewew
lbngth
F Name 5AME oepm 14 Snc,aty
?
H Address 5 F. Tolal
-
Q
•
(?,7[y Phone
S.F Footprints - SAC,MCWCC
Water Cwrn
On Sita Sewage ._
? W Name On Site Well - Wa1Br Meter
x? Address Mwccsystem -
ua Accl. Depoait
a W City Phone Ciry Watar _
R
S/W PeR^d
PRV
equireE _
I hereby ackrwwlege Ihat I have reatl this application and state thal Ihe Baosfer Pump - S1W Surcharge
information is carecl and agree to comply with all applicable State ol
Minnesota StaWtes and Ciry ot gan Ordmances. Treatment Pt
Signalure of Permitee
?
? APPROVALS Unit
Roa
d
r
?
?
AT
A Bwiding Permd is issued to: KHN7n? a Planner ? Park
Ded.
on the express condition that all work shall 6e done tn accordance with afl co"wd --
applicable State of Minnesota St tules and City of an Qrd? nces BId9.0f1 _ Copias
$25.50
Builtlmg OBicial Vanance - TOTAL
t
BUILDING PERMIT
T_ " ..._. s.. SF 17G
CIT1f OF EAWN
7795 Pilef Knob Raod Eogae, MN bS142
PHONF: 451-8100
61,000
Sire nddress 4679 Cambridae Drive
Lor 17 el«k 4 Sec/Sub.BeaOm Hi11
parcei # i10 13500 '170 641
w Name S{eil & TPrtv Wona
; Address 6436 Oliver Ave S
b G Richfield 554861-5496
g Nume Feature BUi1dP.Y'S
z ? Addren 15513 I?ogartA Ln
r... it irnc?r?llo r.r.'45L2__ dZS-Add'2
Name _
Addreu
N° 7810
.?
Receipt # -? 7 53?L_
11m. 2-25 1Q83
Erect ? Occupanq R-3
Alrer ? Zonirg R-1 PD
Repair p Firc Zone
Enlarpe ? Type of Const. Vri
Move ? # Stories L SDllt
Demolish ? Length 52
Grade ? Depth 40 Sq. Ft.-
ADVrovak Fees
Assessment
Woter & Sew.
Police
Fire
Enp.
Plonrrer
Council
permit 316 _ 00
su.crwroe 30 _ sa
Plan check 158 -00
SAC 525.00
Woter Conn.450. 00
WaterMeter 60_00
Rood Unit 2;o_nn
1 hereby ocknowladga thot I hove reod this opvlication and state ihat Bldg. Off. 2-24-83
the inlormotion is correcf rd o9ree to comply with all oPPlicoble APC I Total 1.789_Sn
State of Minnewta Sra es d City of Eo??y Or "rronces.
Sipncture of Permiftee ?? \
A Building Permil is iaued to: /h ? on the express CondiNOn Ihni
all work sholi be done in accqrdanc?with qk'qppli? le Sfate of M nesafa Statutes ond City of Ea9an Ordinonces.
Building Official OC 1?3? J? .=?
?trrtifirtttP af (Orrupttnry
titp uf (Cagan
Drpttr2mrnt n# ipuilbing Insprrtimt
Thit CMifirute itturd purttutnt ta tbt requiremrntr of Settion 306 of tlx Uniform Buildisg
Code mti f ying that w 1bt time o f irsuarae tbit crrruture war in comQGanct with tlx variau
ordinanra of tht City ngnloting Miilding ronnrxttion nr usr. For tbe follau,ing:
U.
SF DWG/GAR
7810
o?? ryn R3 rync?nm, Vn F.z : NA? z,wyo;m;a PD Rl
a„f~diq Ken & Terry Wong ?dd. 6436 Oliver Ave.So., Richf
4679 Cambrid¢e Dr. ,_.,_.Lot 17.Block 4.Beacon Hill
'x?a-r^ ?.
? o? ? Daw May 26, 1983
BUILDER: FEATURE BLDRS-.___.
This ?eqvest void J-z \
18 mon[hs fram
L? 27609.-- ?
Li-71 3qQ4S
?v-7.O 0
Pequpst Uare Fire No. Hough-In Insuecuon
R qwratl?
?Ready Now?Will NoUfy
Insper
Za ` YCS ?No ,
Ior When qeatly
? Licensetl ElecVical Contnctor
1 heraby request insOection oi ebove
aOwner electrical work installeC at-
Street Atldress, Box or floute No.
A CiN
G?
2lGe an
ecimn o. Township Name o o. anpe No. Counry
Ocu ant IPRWTI
c Phone No.
-iv Lo" n G-
Power Supolier Address
?Za/w f11
Electncal Contractor ICOmpany Namel
Convactor's License No.
u?nP,e
I
Mading Address (COntrector or Owner Mnkmg Instailation
?
'
/2S
65
D Lh?2 14ii`P sta 4141e1d SS
Au[horized Signawre ?COntractor?Owner Making Installation) -
? Phon/e Numb?eyr?'/
?/ L Y7L?MINNESOTA STATE BOAPD OF ELECTXICITY THIS INSPECTION HEaUEST WILL NOT
C+,ieea-Mitlwey Bidg. - Room N•197 BE AGCEPTEO BY THE STATE 00AflD
1821 University Ava., St. Paul, MN 66104 UNLESS PHOPEH INSPECTION FEE IS
e.___ 1-1 ?n' ".. ' " ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,?-,, EB-00001-03
? ' Sae instructions for comPleting this torm on back ot yellow copy.
?'7609 ry
"X" Br?low Work-Covered by This Request ;3(4q -lS
e AAd YAf. Type oi Buiid.np ' Ap0liances Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater ' Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Condrtioner Bulk Milk Tank
Fdrm Other Peci Y Othor ?Spenfyl
t er Suec?fy t er Other
Compute lnspection Fee Below '
N Pae ServicaEntrance5iae # Fee Faeders/5u1pfeaders q Fee Circwts
0 to100qm s 0 to30Am s Of9 Oto30Am s
D 101 to 200 Amps 31 to 100 Amps ,Op 31 to 100 q 5
Above 200 qm s Above 100_Amps Above t00?Am s
Transiormers Remote Control Circ. ,$Z> Partiaf.'Other fee
Signs Special Inspection ? TO
Remarks . /
V. LF E U
i7 u
S . \ ? •
Ltha Electrical
nspactor, hereby
certify that the above
yyspecLOn has baBn
s request voitlL A ,
n?onths fram:Xliex?, Y"
?"' •??? ?'? ??C??d7
Thts re9ues[ void Z- zy ? ? `7 pL3? ?j ?j J 7 -7
18 rronihs imm
? 329B6 '" /o < o0
Request Oaie Pire No. qoueh-?n Insvection
Required7
geady Nuw ? Will Noufy, Inspec-
?? ?Ves ?No tor When Ready
?Licunsetl Electncal Contrac[or I hereby request insoection of ebove
Owner electricel work installed at
Street Address, Box or Rau[e No.
cv1q Caw?.bc??a ??U? Cit
'cz v?
ectmn o. TownshiD Name or No. Range o. Count? ?
Occupnnt (PpINT)
E,Y? (?o VL Phone No.
w 1
Power SuD0lier C ^
L_7t Address \^ +y^\
T-"NLA ? Y ` \
Elecvical Contrector ICOmpany Namel C trector's License No.
c,?vL?'?_ o?7`[I5- a
Mailinp Address lContractor or Owner Ma mB Insxa;lavonl '
u qd c
(
,
o
AuMon d 5 i0^alure (Convactor/Owner Mebng Installavon) Phoj7 Nu?mber 9 ?q
"r t _S VW
MINNESOTA STATE BOAflD O CTRICITY THIS INSPECTION REQUEST WIIL NOT
Griqga-Midway Blde. - Room N-197 ' .' eE ACCEPTEO BY THE STATE BOARD
UNLESS
1827 University Ave., St. Paul. MN 65104 PROPEB INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
, Sge instrucnons for comulexing this (orm on back oi yellow copy.
P?132986 ?"? --7
""X"" Bejsev Wnrk Covered by 7hrs Request 3U S3 l
N Add flap Tyoa of euildine Apphences Wired Eqmpmeni Wved
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures '
Apt. Building Dryer Eleccric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peciFV tTer (SUeciry)
trZr SpCm y f er Oth¢r
Carnpute lnspecuon Fee Below
p Fea ServiceEniranCeSize d Fee FeedersAUhfeetlars # Fea Circuits
0 tol00Am 0 to30Ams 0 to30Am
101 to 200 Amps 31 to 100 Amps 31 to 100 A S
Above 200 qm - Above 100_Am s Above 700_Am s
Transtormers Remote Control Circ. ? p Partiak'Other Fee
Signs Speciallnspection
S
T
Ra"'?"`? lQ? L FEE _i
in _ OlJ
...
ftough-in Date I, t ectticel
' Inspector, hareby
certiiV thet the above
I Final D??te 'nspec4on has been
• ! '"i? de.
This re ecr v,id
18 nwnths fmm
'CI"FY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: BuiLorNG
Permit Number: 0 3 0 7 R 1
Date Issued: 09111197
4679 CAMBRTOGE OR
LOT: 17 BLOCK: 4
BEACON HILL
P.T.N.: 10-13500-170-04
DESCRIPTION:
& SSDING & WINDOWS
rmit Type GARAGE/ACCESSORY
5 ype ADOITION
4J 498 AL7. GARAGE
0 94&
?w ?
REMARKS:
SEPARATE PERMIT FOR PLUMBING WORK
CONTAC7 STATE BOARO OF ELECTRICITY - 496-9615 - RE ELECTRSCAL PERM27
FEE SUMMARY:
VALUATION $25,000
Base Fee $349.75
Plan Review $227.34
Surcharge 12.50 ;
7ota1 Fee $589.59
CONTRACTOR:
,
4
1?...:.. ..
OWNER: - flpplicant -
WONG KEN
4579 CAMBRSD6E qR
EAGAN MN
(612)454-0981'
APPLI? ITEE SIGNAT RE ISSUED BY: IGN 1
1997 BUILDING PERMIT APPLICATtON (RESIDENTIAL) ?S?g? SYj
cirr oF eacnN
8830 PILOT KNOB RD - 55122 ?
681-46T5 ?
New Constructien Reaulremenfs gemoeleURepah Reouiremen4s ?j S
? 3 regislered eite surveys ? 2 capies of plan
? 2 coples of pbns (indude beam 8 window sixes: poured ind. tlesign: etc.) ? 2 site sunreys (exterior addkiona 8 dedcs)
? 1 enargy calalations ? 1 errorgy calwlations foriheatetl additions
? 8 eopies of tree Preaervation plan H lot platted eRer 7l1/93
required: _ Yes No -
DATE: %- 3 7 -;) CONSTRUCTION COST: «`S4-7/2 47
DESCRIPTION OF WORK Aeu 3 rda/l /OqV`4?;?? G
STREET ADDRESS: 6u?tb/,t
LOT BIOCK --- ?L- SUBD./P.I.D.
?
PROPERTY Name: b.t:)nG 1?P/) phone
..?
owNeR u,. 67
Street Address: Apo Q2
City: &ja h State: L , Zip: ,?•?/ZZ ?
coNTRncroR Company: 5c,.-..& CA C....?004 IPhone#:
Street Address: License
Ciry: State: Zip:
ARCHITECTf Company: Phone #:
ENGINEER
i
Name: Registration #:
Street Address:
City: State:
Sewer & water licensed piumber (new cons6vction ony):
and iot change are requested once permR is issued.
1 hereby acknowledge that I have read this appiication and state that the information is wrrect
State of Minnesota Statutes and City of Eagan Ordinances. ^
Signature of Applicant:
OFFICE USE ONLY
CerVficates af Survey Received _ Yes _ No
Zip:
applies when address chartge
agree to compiy wkh all applipble
SEP 3 N97
Tree Preservation Plan Received ,_ Yes _ No _ Not Required
OFFICE USE ONLY ,
-- , . . ?.
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duptex o 11 Apt./Lodging o
a 02 SF Dweiling o 07 4-plex o 12 Multi Repair/Rem. ?
0 03 SF Addition o 08 &plex x 13 Garage/Accessory n
0 04 SF Porch o 09 12-plex o 14 Fireplace n
0 05 SF Misc. 0 10 _ ptex ? 15 Deck
WORK TYPE ,340
0 31 New n 33 Alterations ? 36 Move
# 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length
sq. ft. ?
Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit 17
,a,,m;cenC`J'ti` L S
Planning Building 619 Engineering Variance
Pertnit Fee
Surcharge
Pian Review
License
MC/WS SAC -
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $ ZS.,_?
% SAC .
SAC Units
CERTIFICATE OF SURVEY
V
3°
•
b ,
4 r4. SME w FEr,
o 20 40 eo
2 ?? f\ M ?o no
F
,
+
? v
LOT 17
BLOCK 4
y \ o^ ??SS L ry ?
? GAR. ?
-0
DECK
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1 /
1T 16 ?.
? \ , ry6 EXIST.`
HOUSE 3 / ? \
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6
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39 0°
000 4? ?yo;
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ry
?
I hereby certify thot this is a true and h? /10
correct representation of a survey of:
0 0 GQ.
Lot 17, Block 4, BEACON HILL, Dakota County,
Minnesota, according to the recorded plot thereof.
and that this survey and certificate wos prepared by EAGAN
me or under my direct supervision and that I om o
duly licensed land surveyor under the laws of the ???' ?i
???
State of Minnesota.
?o
BY '?? u-I-??1 11A1R'Iea'll?
DATE
Gront D. Jocobson. MN icense No. 23189 BUILDING INSP CTIONS DEPT.
Dated this 26th Doy o July, 1997
PREPARED FOR: JACOBSON
Ken Wong ENGINEERS • SURVEYORS
4679 Cambridge Drive P.O. e0x 541
Eagan, MN 55122 LAKEVILLE, MN 55044 612-469-4328
DRAWN: E,u CHECKED: GD,I BEARiNGS ARE ASSUMED DATUM PROJ: 97078.21
DATE: 7-26-97 SCALE: as SMOVna 0 - DENOTES IRON MONUMENT F.B.: 143
-63
PERMIT
CiTY"OF EAGAIV PERMIT TYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
4679 CAMBRIDGE DR
LpT: 17 BIQCKa 4
QEACON HILL
P.I.N.: 10-13500-170-04 ,
DESCRIPTION:
d?? ng Permit Type SF (MTSC.),
?
? wWork l'ype REPAIR
434 ALT. RESIDENTIAL
................
gt&' - 1&2 ?H1.?°W.A,E f?Ll? . .
A
?
"? ? ' ? , ?F agq
„
E3UILDING
@30089
05/27J97
REMARKS:
a
FEE SUMMARY:
Base FPe
Swrcharge
Total Fee
VALUATION
$137.25
4.00
$141 .z5
$8,000
CONTRACTOR: - Applicant - 5r. L pu{/NER:
PANELCRAFT OF MN INC 17216528 0002119 WONG KENNETH
? 3118 SNELLING AVE S 4679 !CflMBR7DGE DR ,
MINNEAPOLZS MN 55406 EAGAN i' MN
(612) 721-6628 (612)454-09'81
i
T ?,?re6,y 6?4*dqw
?g
e? #? m ?
9t,aErr???? ?r? L? r --Q????????'??,?.??t?=?.??,??2?x
"?: w ?s1 *ll .*t?sq s? a, ,,, f
.?i°an ua.5'T 1.v'4 s .^L,.4:.Wi..t"nm¢n?r . Y K...M. ...'a........a
,a?
APPLICANT/PERMITEE SIGNATURE ?ISVEL) BY: SIGNAT flE
CITY OF EAGAN ?/? J• dS
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsWdion Reouirements RemodelReoair Reauirementsl? 3 regislered sRe surveys ? 2 copies of plan 'i
? 2 copfes of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 slte surveys (exlerior additions & decks)
? 7 energy plculations ? 1 energy caleulations tor heated additions
? 3 wpiea of tree preservation plan 'rf lot platted afler 717/93 p
required: _ Yee No
DATE: (5-1cP0A!97 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _L?4,_ BLOCK ?
PROPERTY
OWNER
CONTRACTOR
SUBD./P.I.D. #: a"""°"` -)14fi
Name: ?Of7? /,?//Y 7 Phone Street
City; Z42??5 State:
City: State: Zip: cScS/GY/ _
Company: IPhone #:
Street Address: ?& ticense #: a??9
A/-//L/ Zip:
ARCHITECT! Company:
ENGINEER
Name:
Phone #:-
Registration
Street Address: ?
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
State: Zip:
I
Penalty appiies when address change and lot
I
is correct and
. 1 /-\
with all
/ ??-'
Certificates of Survey Received _ Yes _ No MAY 2
Tree Preservation Plan Received _ Yes _ No 'BY?
OFFICE USE ONLY
BUILDING PERMIT TYPE
. ._
0 01
W Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36' Move
a 32 Addition V34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: . /7/ a?
% SAC
5AC Units
?; .
SINGLE FAMILY DWELLINGS
MULTZPLE DWELLINGS
.:
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 21'SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATION5
1 SET OF ENERGY CALCUTATIONS 11 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED tIP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE. I
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MiIST DES
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be IIsed For: U2 CiC Valuation
-6.Q L.I
Site Address 74 7? la..+'b "'.d
Loc Block py
Parcel/Sub
i- •4GCti H l
Owner KeyncA ?. t.vdnql
Address `fL 7 9 ea?'br^,'c??E
V
City/Zip Code bt an ? dVnl ,SSA,72
Phone
Contractor _e?) w /i e r
Address ?q M 2
City/Zip Code S Rry e-
Phone ys y o 98 /
Arch./Engr.
Address
City/Zip Code
/ 7
4 9/*
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
Date:
OFFICE USE
_
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length ' ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
'E WHICH ADDRESS IS
SSUED.
RMIT HAS BEEN COMPLETED.
JAr 1 I RECtT
910
!LY
FEES
dg. Permit OC
ircharge IJ"tJ
an Review
C, City
C, MWCC
ter Conn
ter Meter
ct. Deposit
W Permit
W Surcharge
eatment P1.
ad Unit
rk Ded.
ty !
Phone #
cf-:RTir=icATr= 01= SuRv:-*_-Y
,?% YKl? - ,
9I
r;
M hN /
o ?
o m
2
LOT 17
BLOCK 4
S C30
2 p? 04 Iq .,
2?. F
1 ?6? ? a a
'' ? •r. .?
?
1 vA+? i ?
0"i
9
ELEVATICNS SHOWN ARE E%ICTING
GRADES AND ARE ASSVMED DATIIM
? 30 S
sa 5 ? , .
O Q
?
Q?
9P S
90 7
%
/ ?
'? ?
? 4 ?
? Q
?.1
B5 0
7 hereby osrLify bhat this ia a corrACt reprosemtation of a nurveq of'e
Lok 17, Blook 4, Aeaaon Ait), Dnkotn Cotmty, M7nnenoY.n, eoroe•dinr to tha
plet theraof on file end of record.
and that I sm a duly reqiaterad ]snd aurveyor ierrdef- tho laws af the 9tatT of ?Ainneanta.
& -
U (ien. L. Jacob inn. ReP. No. 7734
Dsted thie 2Erd day o}' Februrkry, 1953
DR RY GW G?A1 E- i" = 40' o UENUiF.S IRON MUN
Fr-p++r-ecl far c
Featuro P.uS Llern
16513 Logarto (,ene
Hulrneville, Minn. 5F3?7
BE,hRINGS fRF - _""FD nA7lPd
?nc ,?,?-_,.? ?.ti? t;.•,?S
1_AKEVII I E. YINN
rii,,rj F 1 la -a i, ?
;
?J-? 7 g"l O CITY OF EAGAN Include 2 sets of plans,
'?0 1 site plan w/el.evations &
5w- puj ??? BUILDING PERNffT APPLICATION 1 set of er?ergy calculations.
Zb Be Used For ..? valuation ?' c Date / 993
Site Address: y(0-7q &kJ'e- OFFICE USE ONLY
Lot L2 alorac ?74 sec./sub.
Parcel # : &LA
Uaner:
Address• (9
City/Zip Code: ?
Phone # : ?D t Sy Q
Contractor: '
Address: -i_ '' .. -, ,
City/Zip Code: Q. '}i2.,!-.
Phone #: 1?4.3 57- 'R+f LI- 3
ss-.
?g..
Addre
City/Zip Code:
Erect oocupancy - 3
Alter Zoni.ng
Repair Fire Zone
Enlarge `Iype of Const. ??.?.
Move # Stories L- ,s'p r
Denolish Fmnt y. ft.
Grade Depth p ft.
APPRUVAI.S FEFS
00
Assessments
Water/Sewer
Police _
Fire
Englanner
Council
Sldg. Off. --7,3
P.PC
Phone #:
?IEc. PFC'n.u` - kJ 3 Z-`t$ - l?v?.l.vbK?' CowwEC? z_a?2-$'3
Peimi.t -glA ?,
Surcharge 3 a -
Plan Check
SAC 2 °° -
Water Conn. SD
Water Meter Q
Road Unit ?
TCIPAL \77 1 "l , `-50
.
0
9\
`-? ?
h ?
M hN /
o ?
N o ?
2 /
CE?RTIFiC?T E-
LOT 17
BLOCK 4
\
? y?0o ?3 4 ?
Q
Q2- 0G
Q
? 92. t;ir
j 3
sOo 4C
0" i ,.
4 F \\
I
ELEVATIICNS SHOWN ARE E)(ISTING
GRADESIAND ARE ASSUMED DATUM
a ?
30
Q 4Z7
? 92 5
? ?.
? ' ' 90•)
\o
n
4v
O
o ?Q•
4 g
' VP
es u
I hereby certi£y that Lhis is a correot rspreserrt etion of a surney 'o:s
Lot 17. Hlock 4, Beacon Hill, Dakota County, Mlnnesota, accorling to the
plat thereof an file and of record.
and that I am a du'.y registered ]and aurveyor under the laws ot' the 3tste of ld4nriesote.
Gena L. JoLcobaon Rep. No. 7734
Dateci thia 23rd 3ey af February, 1983
DR BY GLJ SCALE - I" = 40' a DENOTcS InON IdGN .:n?•;";S n;E /=` ".,''tD OAiLM
Prepared far : ?
Feature Bu7.lders _A':. I?jCN ?'•_'RVciC;?S
15513 Logarto Isne '.rEVII LE, YINN. 5i:i44
IIurnsville, Ninn. 55337
, ?1 'J E ; :,9 <l S L 3
OE= SUi ?Vi.7Y
S ?Q
Oq,
26, e
(9 4 630
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complere for: stngle family dwellmgs & townhomes/condos when pemuts are required for each unit
30
Date 5 / 0jS / 0q i
SiteAddress 4679 CAMBRIDGE DR Unit#
PropertyOwner KEN S TERRI WONG Telephone#( 651) 454-0981
Cor.t:aciar RON' S MECHANICAL, INC. ?
StreetAddress 12010 OLD BRICK YARD RD City SHAKOPEE
State MN ZiP 55379 Telephune# (952 ) 445-8585
Bond #:
Expires: ` o ?
JUN 0 1 ZU04
Thc Applicant is _ Owner x Conuactor _ Other
9Y
Add-on or altcration to existing dwelling unit ? $ 30.00
? furnace _Additional 'i Replacement
air exchanger ? air conditioner _New ? Replacement ,
other
?
State Surchaige $ .50
To[al
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; thet the work will
be in conformnnce with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttds is not a
pemilt, but only an application for a permit, and work is not to stad without a pemut; that the work will be in accordance with the
approved lan in the case of work which requires a review and approval of pl n,,
lnda ?'eYhc?er o?L1?xvo?-?"
Applicant's Printed Name ApplicanYs Signal4hre
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4679 Cambridge Dr
Lot: 17 Block: 4 Addition: Beacon Hill
PID:10- 13500- 170 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
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:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Kenneth Wong
4679 Cambridge Dr
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA085148
08/08/2008
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