4610 Kingsbury DrCITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 1 elk 4 Parcel 10 13500 010 04
0wner1aU)VPi'„^!. K(,4, Ci'li' Street State EaQan, MN 55122
4610 Kingsbury Drive
Improvement Date Amount Annual Years Payment Receipt Date
' srReersuRF, IAV 1992 1806.93 200.77 1806.93 C007573 10-1-81
STREET RESTOR.
' GRADING 1982 526.46 58.50 g 6. C007573 10-1-81
SAN SEW TRUNK 3
* SEWERLATERAL y 1982 3116.46 346.27 9 3116.46 C007573 10-1-81
WATERMAIN
* WATER LATERAL 19$2 9
WATER AREA 1982 198.01 22.00 9 198.01 C007573 10-1-81
* Stubs 1982 9
STORMSEW TRK ? Z 1982 359.82 39.98 9 359.82 C007573 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 23869 3-24-81
WATER CONN. 335.00 2 869
BUILDING PER. 6567
sac 525.00 23869
PARK
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
, APPLICANT:
,
TYPE OF WORK:
UIli?.IN+
al.?ftl'H
INSPECTION D. . .A
I I':PIlIiiK":` 1011(1FiNri '' 11IIN6 F H':.E'IA !?:OF'fTC`i IJINtIfItJ5; I) l)f1i'ti
Pertnlt No. - Permlt Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InapecUon Date Inap. Cemments
FOOTINGS
FOUND
FRAMING
ROOFING 71 _?j-?
T i
(??
)? w
'
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECE1vED
AMOUNT $ I
? DOLLARS
foo
F]CASH [] CHECK
FOR
Thnank You
p?^ ?- - B Y \
1
White-Payers Copy
Yellow-POSting Copy
Pink-File CoPY
.•... CITY OF EAGAN ( p r,?
?- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12A`} .' v
PHONE: 454-8100 -
BUILDING PERMIT Receipt# j
'
To be used for pOOI' est. value $10 rU 00 Date AUi,UST 20 19 86
i
SiteAddress 4610 KINGSBURY Df2 Erect ? Occupancy r`3 I
Lot 1 Block 4 Sec/Sub. AEACON HILLS Remodel ? Zoning ii
o Name CUS9(OM POOLS INC
?< Address 601 E EXCELSIOR AVE
Citv HOP. KItt15hone 933-2255
u¢
W W
?_
u?
¢ W
<
I hereby acknowledg
information is correct
Minnesota Statutes a
Signature o1
Repair ? Type of Consi
Addition ? No. Stories
Move ? Length 37
Demolish ? Depth Q
Int. Impr. ? Sq. Ft
Install ?C
A uorov als Fess
Assessment Permit v ? v • ? v
Water 8 Sew. Surcharge 5.00
Police Plan Review
_ Phone Planner
Council
ethat I have read this application and state thatthe gldg. Of
and agree to comply wiih all applicable State of
nd Ciiy of Eagan OrOinabqes. APC-
CJST0M POOLS IPiC
A Building Permit is issued to:
all work shall be done in accordance with atl appFicable State o( Min
Var.
SAC
Water Conn.
- Water Meter
- Road Unit
cu? a Tr. PI.
Parks
Copies----
Total ?zs? 5u
_ on the express condition that
of Eagan Ordinances.
Building Otticial
PermN No. WrmN Holdar DaN 7NSphone N
Pluqnbiny
H.V.A.C.
ENe4k
Soflenar
Impeetlon Dale losp. Commonb
FooNngs l
B
FooGnpsll
FoundaUOn
Fnminp
Rootin9
Rouyb Pibp.
i
Rouyh Hty. PsI. ' -?
IMYI.
Flreplacs
Final Hly.
Final Plby.
Bldy. FMaI
Cert. Oec.
? G7f?G
Doek Ffy.
Doek Frmp.
Well
Pr. DisP.
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
,
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2, Installation Cost
3. Job Address Lof Blk. Tract
4. Owner '
5. Contractor ?- ? Phone
6. Address "
7. City ' i- State Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New b Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drai nf ield
_ Bath tubs Septic Tank
Lavatory Softner
_ Shower Well
_ Kitchen Sink
_ Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and 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 CITY OF EAGAN 454-8700
CITY OF EAGAN t
' •_• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t? ??
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SCRF=EC-1 PORCcist value $s• 8A a Date JUNF; 13 19 86
SiteAddress 461101 KINGSBURY DR
LotI? elock 4 Sec/Sub. B'r.ACON HILLS
Parcel No.
¢
W Name j+AE2s2Y LICHTI
; Address SA14E
° City Phone 454-62U5
o Name SAi`•1E
=
$ ¢ Address
~ Ciry Phone
Erect EIK Occupancy
Remodel ? Zoning
Repair ? Type of Const.
AddiGon ? No. Stories
Move ? Length 16
Demolish ? Depth I?
Int. Impr. ? Sq. FL
Install ?
Assessment
Water & Sew.
Police
Name Fi
re -
Address E
ng.-
City Phone Planner
I hereby acknowledge that I have read this application and state that the
inlormation is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
"?,-______•-----_ _-
Signature of Permittee
Permit ;?4q •Z)v
Surcharge 2.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Bldg. Off. 21 il/ a Tr. PI.
APC Parks
Var. Date Copies!?47 . UU
TOtal
A Building Permit is issued to: j"ARR Y LICH 1 I on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
,
q I v«mM No. I v.rmic How« I DMa I Tei.Pnon. K 1
•ba
Dal*
Plby.
HiQ.
Final
Oec.
Flp.
Fmg.
Dlap.
?
? CITY OF EAGAN ?
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, N1N 55121 -
PHONE: 454-8100
BUILDING PERMIT Receipt
Te MGwd fer Est. Volue Date 19% 5
- -
Site qddren ' Erect 0 Ocapancy
Remadel ? Zooin
i
:3i
Lot Blxk - ?/Sub. g
.-; :<"'
•' = ---,::
pepair ? Type of Conrt.
Parcel No.
Enlarge ? No. Stories
Move ? Length
= Name Demolish ? Depth
? Address Grede ? Sq. Ft.
City Phone J ' y {Install ?
<t
? Ayyrovala FNs
Name .
?
?? Address Assessment Permit 7
f
?
? City Phone Woter 3 Sew. Surchorge
Police Plan Review
G
W Name Fin SAC
xg Address Enp. Wafer Conn.
?W City Phone Planner WaterMeter
Council Road Unit
I hercby ockrowladfle that I haw road this applicotion cnd srote that gldg. Off. 5.'2 Parks
-
the inlormotion is wrrect and ogree to comply with oll opplicabla A? Total "?
Stah of Minnesoto Statutes a?d City of Eaq on Ordinancas.
Vac Oate
Sipnoture of Pertnittee
A Buildiny Pennit Is issuad ro: on tM exprass conditlon tho+
all work sho11 be dona in accordanee with oll applicable Stote of Minnesoro Statutea and City of Eaqan Ordinances.
Buildirq Offidal
Permit No. Pamk Holder Dota Tele hona np
rnH.V.AA-.C.
a
a
Softener
Irqpsetion Date Insp. Othar
Footinpi
OAp
Foundation
Frsminp
RooTing
Rouph Plbq.
Rouyh HVA
InwlaNon
Final Plh¢
Final HVAC
Final
Grt/Occ.
Winr awibe Loeation:
YYell
Sawer
Pr. Disp.
CITY OF EAGAN
? 3795 Pilot Knob Rood Eagan, MN 55122
PHONE: 454-87 00
BUILDING PERMIT Receipt #
N4 6567
To ba uaed for Est. Value Date , 19-
Site Address Erect ? Occupancy
Lot Block Sec/Sub Alter p Zaning
.
Parcel # Repair ? Fire Zone
E
l t
T
f C
n
arge ? ype o
ons
.
W Name Move ? # Stories
; Addre ss Demolish [] Front ft.
0 Ci Phone 6rade ? Depth ft.
p Name
F
?? Addres
?- r;a, DM....e
Name _
Address
I hereby ackrawledge thot I have read this cpplicotion and state that
the informotion is torrect and ogree to tomply with all applicable
State of Minnesota Stotutes and City of Eagon Ordinonces.
Fees
Water & Sew.
Police
F1re
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit -7
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with oll applimble Stme of Minnesota Stotutes and City of Eagon Ordinances.
Building Officiol
Pennit # DeM luued PGnniMw
Plumbin9 j f'/
-
Mechanical s/_ /?.-rl ?v
35s , o _ i
--
? , - -
INSPE IONS DATE INSP. Rough-In Final
Footings Date Insp. ate Inap.
Foundation Plumbing 1 ? ' )
Fra ins. Methanical
Final
Remarks:
- • CITY OF EAGAN
3793 Pilof Knob Road
No. Ea9an, Minneseta 55122 INSPECTOR NOTIFICATION
Phene: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote:
Site Address:
Lot Biock SublSec
BEr1aDt1 F'.f ll
Name
.
Address
?
City Phone: '
?
Name ?
p.
L
? Address
City Phone:
This Permit is issued on rhe express condition thot all work sholl be
Minnesota Stotutes and City ot Eagan Ordinances.
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
New/Alter. / Repoi r
Cost of Installotion
Permit Fee
Surcharge
Tota I
done in accordance with all applicoble State of
Building Officiol
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print legibly T
t
o
.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip _
8. Building Type: Residential (7 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
I 10. Describe , Fuel Type
I 11
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
ndlin
:
_ Mfg.
Boilers r
g
a
Mfg. _ Mech. Exhaust
Unit Heater
Mfg.
Air Cond. Other
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
? • Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
• App?oved CITY OF EAGAN 454-8100
(gert'tfirtt#r rf (Orrupttnry
Citp of (Eagan
Brpttx#mrnt n# Building Jns,pprtiun
Tbit Certi ficate islued purtuant to the reguiremenu of 5ettion 306 o f the Uni forns Building
Code ccrti fying that at the time of irruanu thic nructure was in compliance witb tbe variour
ordinaace.r o f the City rcgul.ating building connruction or ure. For the follourng:
uxc,.mf=tim SF DWG/GAR B1dg.PemritNo. 6567
OccupamyTypeR3 TypeCwavuctionV FireZona A ZoningDistrict RZ
Owoer
4.
??...,..s?....... ?y?
.N%??:??? p6T IN A
Add?
Hill
BY
D.te Sune 18, 1981
PLACE
mG0[9 9&l
l!TXOIN 1?.5.4.
CITY OF EAGAN
3795 Pi:ot Knob Road
Eoyan, MN 55122
Zoning;
Owner:
Address;
Site Address:
Plumber;
1 agree to rnmply wifh fhe City of Eagan Connedion Chorge:
Ordinanees. Account Deposit:
Permit Fee: '
Surcharge:
BY Mi
Ch
sc.
arges:
Dote of Insp.: Total:
Insp.: D
t
P
id
o
e
a
:
SEWER SERVICE PERMIT
PERMIT NO.:
DqTE: _
No, of Units:
No.:
W comply wifh fhe City of Eagan
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee: -
Surcharge:
Misc. Charges: -
Total:
Date Poid:
. . CITY OF EAGAN N 12486
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512
PHONE:454-8100 c? ?J
BUILDING PERMIT Receipt# J
To be used for P?OL Est. Value $10 ,0 0 0 Date AUGU ST 20 19 8 6
SiteAddress 4610 KINGSBURY DR Erect ? Occupancy R3
Lot 1 elock 4 Sec/Sub. BEACON HILLS Remodel ? Zoning
Parcel No. Repair ? Type of Const
Add't' ? N St '
W Name MR & MRS LARRY LICHTI
3 Address SAME
° 454-8205
City Phone
o Name CUSTOM POOLS INC
?¢ Address 601 E EXCELSIOR AVE
? Ciry HOPKINyrehone 933-2255
?Q
F W Name
_z
? ?y Address
a W City Phone
I hereby acknowledgetha I have read this ap licat n ndstatethatthe
information is correct a ree to compl i II pplicable State of
Minnesota Statutes an rf Eagan Or in
Signature of Permittee
i ion
Move ? o. ones
Length 37
Demolish ? Depth IQ
Int. Impr. ? Sq. Ft
Install IR
Aoorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. $/20/86
APC
Var. Date
Permit ?°1 . J"
Surcharge 5.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Copies 85.50
T.N?
` CUSTOM POOLS INC
A Building Permit is issued to. on the express condition thet
all work shall be done in acco dance with a cable State of ne tatutes and Ciry oT Eagan Ordinances.
Building Official
d
CITY OF EAGAN -
" '- 3830 P,ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 - 12120
PHONE: 454-8100
' BUILDING PERMIT Receipt # ? J
7o be used ror SCREEN PORCHEst. value $3 r840 Date JUNE 13 t9 86
SiteAddress 4610 KINGSBURY DR Erect L? Occupancy
Lot 1 Block 4 Sec/Sub. BEACON HILLS Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
10`1 Name LARRY LICHTI Move Length SAME Demolish ? Depth 1§
Address Int Impr. ? Sq. Ft
Ciry Pnone 454-8205 instalt ?
o Name SAME Approrals Pees
=
$
Address Assessment Permit $44.50
¢
~ Ciry Phone Water & Sew. Surcharge 2.00
? ¢ Police Plan Review
F = Name Fire SAC
Q Z Address Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bidg.Off. 6/11/86 Tr. PI.
information is correct and agree co y with all applicable State of
Minnesota Statutes and Ci o ? APC Parks
Var. Date Copies - 50,
Signature of Permittee Total $47.00
A Building Permit is issued to: LARRY LICHTI on the express condition that
all work shall be done in accordance with all lic Ie
State o
f Minnes ta S s and City o( Eagan Ordinances.
v
?
Building Otticial
,
? .
CITY OF EAGAM No 102] 9
? • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M_N?512J, ///
PHONE:454-8100 (?/? g? /
BUILDING PERMIT Rece?pt # `
Te 6e w&d 14r DECK Esr. Value $700 pOte MAY 23 , 19 85
SitaAddrest 4610 KINGSBURY DR Erect [R Occupencv
Lot 1 elock 4 Sec/Sub. BEACON HILLS Remodel ? Zonlny
Parcel No. Repair ? l`ype of Conrt.
Enlarge ? No. Stories
LARRY LICHTI Move ? Length
= Neme S?E Oemolish ? Depth
Addresa Grade ? Sq. Ft.
? City Phone 454-8205 Install ?
Z1 Neme SAME
8u
Address
?- City Phone
Name _
Addreas
City _
Phone
1 hereby oekrrowledge thaf I have read this opplicotion ond state that
the inlormotion is correct and g e to co? ly with all applicable
Stota of Minnesoto Statutes f pan Or na ces.
$ipnaturo of Pertnittee
A Buifding Permit Is issued to: LARRY LICHTI
all work ahall be done in acco?dance with #M applicable tote q, N
Fees
Assessment
Water S Sew.
Poliu
F1m
Eny.
Plonner
Countil
BIdg.Off. 5/23/g
APC
Var. Date
Permit +'i-3 .uu
Surcharge .50
Plan Review
SAC
Water Conn.
Water AAeMr
Rood Unit
Parks
Totel
on the exprest canditlan Ihot
Statutes ond City of Ea9an Ordinances.
Buildlnq Offieiol
minnesota State F3oartl of Electricity Griggs Midway Bldg, - Room N191 EB-00001-02
.._7e1 University Ave., St. Paul, Minn. 55104 - phane 297•2111
REQUEST FOR ELECTRICAL INSPECTION a ?I'? ?° 33553
CH?CK B?.OW R'QItK COVERED BY THIS REnUEST
Type of Building New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wired For
Home ? ? ? Range Temporary Wiiing ?
Duptex ? ? Water Heater Lighting Fixtures
t. Bldg. ?? ? Dryer Electric Heating ?
meicia181dg. ? ? ? Fumace ? Silo Unloader ?
ndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Othec
? ?
? Otheis
Here f pthers
Here
COMPUTE INSPECTION FEE BELOW
Seivice Ent:ance Size: # Fee FeedersBcSubfeeders: # Fee Circuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres )
101 to 200 Am s. 31 to 100 Am etes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformets Remote Control Circ. Partial ot other fee t 410
Signs Special lns ection Minimum fee $
Remazks
^ ?
TOTAL FE
I; th : t' s= r, eby cettify t ?t e ^ab i eition has been ma`de/
(Rtii .::. ) .. X/ /?? iic?ta ? a #- Ji".
This request voic
18 months from
This request void B'f', ? ?
] 8 months from ? 3Z\00
Date o this TFequest 31 l(Q ? ?? Fire No. ? 355 3
1, asLLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wmng installed at:
Street Address or Route No. ??o ?qN(35v4?! City "( _
ision Township Range County ?++fv
Which is occupied by
• - ---- •
Is a roughin inspection required on this job? No ? Yespkl Ready Now ? Will Cal1CS(
Power Supplier Ah Address 1 N!'tll
Electrical Contractor I?:L[- kLk(5*4- Contractor's License ANS
(Company Name)
Mailing Address lqf i
Authorized Signature
a.
No.
(Electrical E6ntracior or Owner Makin9 This Installation) I
? 4 This inspection request will not be accepted by the
??LnI ? O??ID Opw State Board unless proper inspection fee is enclased.
CITY OF EAGAN
3795 Pilot Knob Rocd Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
N° 6567
Receipt #
To be used for SF 122?GAR Est. Value 61,000 Dcte 3-24 , 1931.-
Site Address 4610 Ki ngsburv Dr Erect )ff Occupancy R3
Lot 1 Block 4 Sec/Sub. Beaoon Hlll Alter ? Zoning Ri
Parcel # 10 13500 010 04 Repoir ? Fire Zone NA
E
l T
f C
t V
n
orge ? ype o
ons
.
? Name CL'Y1teX HCYTLS Move ? .#' Stories
; Address 8601 Darrie1 Rd• Demolish ? Front 49 ft.
b Ci Eden Prairie ;fi5on44 941-6671 Grode ? Depth 44 ft.
ApprOYGlS F889
OU
u?
f
Address
City _
Name _
Address
I hereby acknowledge that 1 have read this application and state that
the information is correct and agree to compiy with oll applicable
Stote of Minnesota Statutes ond City of Eagan Ordinances.
Signature of Permittee
Water & Sew.
Police
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 156.00
Surcharge 30.50
Plan check 7$.00
SAC 525.00
Water Conn. 335. 00
Water Meter 60-00
Road Unit 185.00
Total 1 F369 _ S0
A Building Permit is issued to: CenteX HCoeS M]-GlqESt on the express condition that
all work shall be done in occordance witFy ail gpplicabg,State of Minnesoto Statutes and City of Eagan Ordinances.
Building Official
REQUEST FOR ELECTRICAL INSPECTION f EB-00001.04
III, See instructions for completing this form on backol yellow copy. //? /??
4 6 6 ??X'" 8elow Work Covered by This Requesi ?Q ,1`"
Add Rep. Type ot Building Applionces.Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader -
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oinrr oeci v tner Isner,fiyl
t r.r pecify Other Other
Cnmpute lnspection Fee Below
k F0e ServiCe EntrenCeSiie # Fae Fexders/5uh(eeders U Fee Circuits
0 to200Am s 0 to30Am s Oto 30Am s
Above 200 qmpy 31 to 100 Amps 31 to 100 Am -
( o Swimming Pool Above 100_Amps Above 700_Amps
Transformers Irrigation Booms Partial- Other Fee
Signs Special Inspection S TOTA
Remarks
?
L E.c
2
HouBh-in Date 1, the EI ri
• . 'q??j InspectOr, hereby
? certify tMt the above
Pinal Date inspection has been
C?. U?,? ? mada.
TNa requesi YOIa ltl montf181mm
This repuest void 4/
16 mpnths from 1p ?o
C - 314 6 6
ReqB`est Date Fire No. ReQghedn_Inspeclion ?Ready Now ?Will Notify.lnspec-
' ?Yes ?No «r When Ready
Licensed Electrical Contractor 1 hereby request insvection of ebove
? Owner electricel wurk installed at:
Street Address, Box or Route No. City
O
ecUOn o. Town hip N e or o. ange No. nty
Occupant (PRINT)
a
! oqe No.
?/{-
?
!
?i a•?.r
!6b
4
-
ower upplier Address -
Ele i CoMractor ompany Name) Contractor's License No.
ir?a) 3 ? e*
a/iling Address (Con actor or Owner MakinB Instail
a onl
L[° CO O
.
Authorized SiBn re ( ntrac r/Owner king Installation) Phone Number
K7INNESOTq STATE 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone f8121297•2111 ENCLOSED.
Thfsrequestvoid ?%7'7?(a
78 months from
o 0 8 763 8 t,_ c..«:r,
Request Da '
1 Fire No. Rough-in Inspection
R quired?
eady Nuw Q Will Notify, InsPec-
c, 2?! w, eS ?j tor When Ready
U Licensed Electrical Contractor I hereby requesiinspection of above
? Owner electrical work installed at:
Sireet Address, Box or Route No. City
?
?
,
ecuon o. Township Name or No. Range No. , County
4D Al oY iq-
Occupant(PqlNT) Phone No.
Power Su Iter Addres 1
Electric Co tractor ICompan me) ontractor's License No.
IS - b T U ?
Mailing Address (Cont or.?o/r' ?Owner Making Instailation)
Z-> ?Pa V 0 ?./ \I9_,E1 ,
Authorized S110t re IContractor Owner Making Installationi Phone Number
MINNESOTq STATE 90ARD OF ECECTRICITY THIS INSPECTION REQUEST WILL NOT
GrigBS-Midway Bldg. - Room N•197 BE ACCEPTED BV THE STpTE 80ARU
1821 University Ave., St. Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone I6121297-2111 ENCLOSED.
jCU/? /,?'L REQUEST FOR ELECTRICAL •INSPECTION Ee•ooooi:os .
r o????? See instructions for completine this form on back of yellow copy.
Below Work Covered by Thrs Request
Nev4 Addj fi'ep. TVPe of Appliences Wifed Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt Building Dryer Electric Heatin
Cr?mmercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank :
Farm Olher Peci y Other (SDC'cifyl
t er pecify Ot er Other
ComDute lnsoecbon Fee Belnw
M Fee Service Entrance Size # Fee Feeders/5ubfer.ders b fee Circuits
0 to 200 qm s 0 to 30 Am s / 0 to 30 Am s
Above 200 qiiips 31 to 100 Amps 31 to 100 A s
Swimming Pool Abave 100-Amps Above 100_Amps
Transformers Irngation Booms ,.j O Partial-'Other Fee
Signs Speciai inspection 'YY„t?.. .
Rerrmrks 42:7s
n
nr,tJ.
A
/?/)_G(J)
Roueh•in Date
1, the E c1r'
Inspector, hereby
certif
that th
b
Final (
' 1/? ICA
? y
e a
ove
inspeceion has been t
? ? meda.
Thiarequestvoidl8montRafrom (/?'
f
. ?? CS'PY OF EACY+N Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For & J Valuation (a kb7C1 D Date Zd
site Address: 'y /p ;v r,, oFFICE vSE OPII,
Lot Block ? Sec. /Sub. ?? Erectg_ OccupancY ?
Alter Zoning
Parcel # : / ; 6279 0<_ Repair Fire Zone
Enlarge 7ype of Const.
Owner: C..ehfLX ?DYYIeS Move # Stories.
Address: Dar e/ Demolish Front ft.
_
Grade Depth ft.
CitY/ZiP Code: ?cLes? &iv.-
Phone # : 9<11-- 6671 APPMvPL.s FEES
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng.. _
Address:
City/Zip Cocle:
Phone #:
Assessments Permit 1,5G
Water/Sewer Surcharge 36 -tP
Police Plan Check e9
Fire SAC
gg, Water Conn.
- 33s
?
planner Water Meter G 0
Council Road Unit /F6-F,
Bldg. Off.
APC
mrAL / 3 69 . 5-d
------------------
i
j Permit #:
I ? I
i Permit Fee:
? Date Received: j
I ?
I Staff: I
I
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: e--'-) ia i,{ /15F/C Su ite #:
l Ph
RESIDENT ! OWNER one:
Name:
Address / City / Zip: % ' 21 _
Applicant is: X_ Owner _ Contractor
TYPE OF WORK Description of work:
?i' I W
.t
Construction Cost: Multi-Family Building: (Yes / No ?
CoNTRACTOR Name: f5.R1,1V45 />' 5 Z:2INI/?" License #:
?
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Veniilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission typ2) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
MOTE: Plans and supporting qlocuments that you submit are considereai to be pu6tic inforiation. Partions of
fhe mformation may,be classlfied as rion-pubftc,if you provPde 'specifiic reasons lhat wvuld permit tJ'ae Gify #o
? .," concIudexhaf 1he ; are ?trarle secrets.
I hereby acknowledge that this informafion is complete and accurate; thal the work will be in conformance with the ordinances and codes of the City of
Eagan; 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
X??" IJ4 ?? ,-?
ApplicanYs P mted Name
1 of 3
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fainily Dwellings
Townhomes and Condos when permits are required for each unit
IT ?
Date -3 C) 3
Site Address (_0 Unit #
Property Owner Telephone #(?5h q5 Gf - 3a a ?
Contractor
Burnsville Heating , nc.
Street Address 12481 Rhode island Ave. So.
99690,
State Zip
c;ty
Ryz ?-i ?ob5
Telephone # ( ) ? ?
The Applicant is _ Owner 1_?Contractor Other
Add-on, modifcation or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
? air conditioner
-
other MAIS 4 5 ???n•? ?
''?
.
----------
State Surcharge -..?. --
$ .50
Total 56
I hereby apply for a Residentiai Mechanica] Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of pl ns.
?N ?1, A. ( _ A - ?1 ??'Lti lC 1 ?? ?.
ApplicanYs Printed Name licant's Signatu&j
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. commerciallindustrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection du ring installationlremoval of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
ContractValue $ x .Ol% _ $ PemutFee
• If pernut fee is $1,000 or less, add $.50 =:1 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pemrit, and work is not to start without a pernut; 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
Applicant's Signature
Approved By: , Inspector Date:
CTTY qF EAGAN
CASHIEha J5 TERMTNAL N0: 93
PATF_o 04/23/97 TT.MGe 14c45e31
IDn
NAME s LARRY V RAMEY
321D 3001. 4610 KINGSE;UFY 224.75
2155 9001. 4610 F:INGSBUhY 7.50
To+.al Receip+. Amoun+,$ 232e25
CfiO72813
US6k IIi: JR3N
4? - . ..?
C17Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: Bu xLp r N r
Permit Number: 029847
Date Issued: 04/2g/g 7
4610 KIN6SBURY DR
LQTs 1 BIOCKe 4
BEAcoN wzLL
P.I.N.: 10-13500-010-04
DESCRIPTION:
ermit Type
q.!",.k TY P e
_ J
`
5F (MISC.)
REPAIR
434 ALT. RESIDENTIAL
?' ?=' S"?` P?,f
? ?' w ?x."?s..x 5wm'" ?E7 "'a °??;??$ R?t' i.a ,?1? a.e{3 ?
REMARKS:
ROOFING STDING f=ASCTA 5pFFTTS WINl70W5 DOOftS
FEE SUfVIMARY:
VALUATION $15,000
Base Fee $224.75
Surcharge $7.50
Total Fee. $232.25
CONTRACTOR:
.
? I` hQreby ackr+o'Wle"'d gt' e'
5Catutes.and,City of Eag,an t}.rdan,
?._ .. . APPLICANTlPERMITEE SIGNATURE
OWNER: - Applicant -
ftAMEY LARRY
4510 I<TNGSBURY DR
EAGAN MiV 55122
(612)432-0600
ISSUED BT: SI(3PdATUR
997 BUILDiNG PERMIT APPLICATION (RESIDENTIAL) .$ Jj2.?f
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675
New Conatrudion Reauirements
? 3 registered site surveys ? 2 copies of plan
• 2 coDies of Plans pndude beam & window sizes; poured fid. deaign; etcJ ? 2 site surveys (exterior eddftions 8 dedcs)
? 1 energy celculations ? 1 energy calculations ior heated eddkions
? 3 copfes of tree preservation plan if lot platted aRer 7/1/93
required: _Yes No ?
DATE: _eLiq CONSTRUCTION COST: -- ??? DQViv
DESCRIPTION OF WORK:
STREET ADDRESS: ,/
LOT BLOCK
(0) 1'? - 5OZI
PROPERTY Name: Lelev Phone #: (& ?32
OWNER
Street Address:
City: 0A.g,gL( State: IIIAI_ Zip:
CONTRACTOR Company: !!5ig/f"le5- A5 i&kAEFV7- Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
? City: State: Zip:
Sewer & water licensed piumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
1 hereby acknowledge that I have read this appGcation and state that the irrformadon is correct and agree to comply with all appticable
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Signature of Applic
_ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
D 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. ? 10 = plex
.'rLeTiK?i e»
0 31 New n 33 Afterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth •
APPROVALS
Planning
OFFICE USE ONLY
0 11 Apt./Lodging o
? 12 Multi Repair/Rem, o
n 13 Garage/Accessory o
? 14 Fireplace n
? 15 Deck
0 36
a 37
Basement sq. ft.
Main level.sq. ft.
sq. ft.
sq, ft.
sq. ft. . . .
sq.ft.
Footprint sq. ft.
?, .
. ?? ? .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee G?;?q. ?5
Surcharge 1,50
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .
Total: a3 .a s
Valuation: $
Move
Demolition
% SAC
SAC Units
? ,. ?. ?..
CertiPicate Por:
Centex Homea Midwest Inc.
8601 Darnell Road
Eden Prairie, Mn. 55344 '
?
DELMAR H. SCHINANZ
LANDSURVEVOR
fieqistsrsA UnOar Laws o1 The Slata ot Minnesota
2978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068
I SURVEYOR'SCERTIFICATE
I
s o`ir'28..u? 1 ioo.3o
?
30 -
Q
J
O!I
N
?
J
? N
? ?
-,A w
0
0
0
M
?
3
'Itt
?'1 p
?
e
M
7 /-oT
t OR AiNAtrE g[Dc-K 4' I
? 1 vrI e? I rY
6E,ostnI E^ITS I
,
I ? -}
?Z Fo .?.0 /y.o7
pRoPosED?539) P\
? /-1ou 56 ?
GA,¢.
l ?
, ?32.0 24.0
_ ,?
L
?
? a
7?
I f f• 04ER?ANG ?
?
& t /oa. o?.?
PCAN 7-39
PHONE 672 423-1769
I
I
, - !
?
0
M
M
?
? V
Qu
? Denotes set wood hub
cp.
oa .>
h? O Indicated propoaed
Q elevation
m Top of Block
r
? Basement Floor
Garage Floor 974,,0
()74.'f.(o 1.7s-NOTfr$ ?/XST?vJli
`O
G U •
Kj N sa KV Dc:;?E :
I hereby certiPy that this ia a true and correct representation of
Lot 1, Block 4, BEACON HILL, according to the recorded plat thereoP,
Dakota County, Minnesota.
Dated: January 28, 1980 BENCHMARK: Top hydrant at end of Beacon
Hill Court Elev. - 963.13 ft.
Revised to show proposed houae March 19, 1981.
? . MiNNESOTA REGISTRATION N0.8625 ?
1 .
lyooo/ o )? ;P 9**
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
_ ?
;, $ 7?. - ?
To Be Used For: ?ecK- Valuation: Date:
Site Address: ?(DIZ? ??p??,??,?? ??K•
Lot: ? Block ?- Sect/Sub
Parcel # ?
Owner L H 22 ?1 L, Le- (y -I)
Address Lf(fl 10
City/Zip Code ?-
Phone 4---C4 -8yo j
Contractor -?) e ((-
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Erect ? Occupancy
Remodel Zoning
Repair Type of Const
Enlarge 4t of Stories
Move Length
Demolish Depth
Grade Sq Ft
APPROYALS
Assessments Permit
Water/Sewer _
Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bld ? SParks
APC Treatment P1
Variance
TOTAL
50
.
E
Y
1986 BQILDING PER!!IT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTOHS MOST BE LIC6ASSD iIITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OF ENERGY CALCULATIONS
M[JLTIPLE DWELLINGS - RESIDSNTIAL RENTAL IIMITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHEC.[ fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
c,? ? 3Q ?
To Be Used For• .scf'EQi• Z''n Valuation:
5ite AddresA6kC7 119Q?IQ6?.? OFFICE OSE
Lot I Block I Erect X Occupaney
Remodel Zoning
Parcel/Sub Repair _ Type of Const
Addition # of Stories
Owner r r G Move _ Length
??? Demolish Depth
Address ?' k 1J??1S?IA_1`? Int.Impr. _ Sq Ft ?
Install
City/Zip Code zoJ AVJ SS! -4 -
Phone 2..0 ? APPEOQALS FEES
-c
Contraetor J'Q Assessments Permit
Address Water/Sewer
Police Surcharge
Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Metar
Phone Council Road Unit
Bldg Off --/J?-? Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address YOTAL
City/Zip Code
Phone #
Date: (-\9 ('8 ?G
NOTE: ADDEESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGFS WILL BE ALLOiIED ONCE BDILDING PERMIT IS ISSIIED.
?? ?? ? = Z'?? ? `? ?_- ??? ?
Cities Digital uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
'? f;? ?l i tj- i.P' ?ti• y?a h Z i. ? Y . . . ? . . . ' .
y<fs c. 2t?+?t?, i o . . :x
`i5 }
f ? i's:? ? 4xh. V. ?? J ?a. r 4 4.M.??S ,:'.LI.+} v..it 'YL tll?'i . ?.1•. .lt?".
. %, kCN 1"?
?tt{rfN 7+ F.(t i Z S 4 :^a ?'?tE ??p,;?+E?'?i! a 3?T ?? Xa n ? ?? ?
y 1? °qt 4?y
{ F
E?
'?
?CI
1fi?
?
4?"
?'
'
?
?
? ? ?
'
?
'? ?
?fk h'
n??A9 }?
.
y
?
? ?t Xk
?
,?? .
} ! y? ,
?
.?y ?
Y ..
? y?
h / .{
? l °6 ^a/
t
7
? .,?N
;_.
? t`
1
ry . ?
E
.
?. +f ??
}.
.y
a
. . .
Yn Y . . . ?.
V 'S?f
?
1 , r? r • t - .
' k ,
Ef,? t 5,,.? ? 7 ? ? .d
t? .k? . F °^ 1 r .. s < fi .
'
'
-•'
'
' , ,? . ?,c ;,:
,
?-=-t ^...f `
6 ? ? it t
??? ?
,
?
??
.?
l,y
? . ,
.
_
?
V
,
?
IF%
??
;Y t 1 { 1 -1 k ,`
? , ,•??
} •
2 « ..
y f "
? .?nW a ??} ? _1t.3 Y` f.
S?L??
?
^
)
{V?
i
? I'
lr
I
k?
??
'
'
?
f
C ?? u f
.'v?'{l ' . '
'
}
Q .y?+y?
L
?
1
h
Y1.P41%?µ 4.??di ?yy?1 ?
?,_ p
ij4
' ? i
`
' '
?Z ? ''
rR ?;a? ??F'P. ? i
? 4 ?
'
•
?
,a3.
?
Ip,
?f t
b
??
1t
?
? Y..?
.
Y' S? 1
1
?
p
*
_r
? V'? 4
y
)? ? ?yy
eT.? 5 1
.51 3 f
. Y
?
n0.
r
?
?
'1}
u
-
(? r,n s
' ?*L
hdF?
r ..?
?
r'rt 7?eT t
??,.
7 ?^ol
e k. ? ?,,,? r i yM
?? R?+l
;
(
?
?
„ ?
,
i
t .?
. ? t
?
t
_
`
t' + ? r
m.;,
??,'" i •
z
?
?
} p
' ? ???
r
.
.,. , . .
•d._ ` , y..
.y
•
x ?
M"?nt
S U
3
?, S.
`
12
rv
:..t
?
`
Y`
k
.?" 1
A
,c
UW
M'/
i
?
.
a
- ? .. r . .:,. ' -.
k,
?'?.•? F
;?
.y ? ?
? ?
a
7
,
1 1?} ?
?_ t
,,
,
i,
'f's.
.? ?i .}a,
'?t6,f; ,. 1/ti
??,$'
?i_ br
C
, W
1
?
y. C?,
G 4 a
`? k
?
t
3J.?4.*t
?
?f"'4
Si .4• -• '
.
t 5 •?vx
? 1
.
?
^?u •; n . . , . r _ . 4„ °y
^
c t 9
?:?'P? •
' . ::
i f ?! ?•
. '. ' .. . r
,
5
. .. `
£ '., ?? >tw .J'•?e? , . . . . . . . . , ' .
`F
? . ?
?
`
*
4 1
.4?rJ?. t??t 7}.?
?2YTS \ r
.{7?^\IE [d+i+?i.
t )+?'
?. .e .,. . ....e g 3i`??° A ?444
At1?.c.ir??.Wfi?:,...nSM6'?b.'.aG+.?'_?:.:?rt??t.?a,
, • ,
NOTS: ALL
qJ24
1673
1986 BIIILDING PERFIIT APPLICATlON - CITY OF EAG9N
MUST BE LICENSSD iiITH THE CITY OF EAGAN
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE Di1ELLIAGS - RESIDENTIAL RENTAL OIfITS FOE SALE IINITS
INCLUDE 2 SETS OF PLANS, CBRTIFIC9TE OF SIIRVSY - CHECR KITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COPMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BON
To Be Used Fo
Site Address
Lot I Block 4-
Parcel/Sub ?ES
Owner N,tc,. ^'- k"A'a-i2" LLa?-^r-i
Address 4??? V???????n--? -?c-
City/Zip Code L??c?,??-wi, 1'?rJ -.
Phone 4544=?Z-os-
Valua
?
Contractor l?.t?sc?e,??cs,?'-?.?e?
Address Lel E. e?2- &Vcs-
City/Zip Code Or'-Qt?Qs,
Phone q33 - -Z2?g 5
Areh./Engr. til,=-kstzx
Address ?Jl kL
City/Zip Code ?-?b&'
Phone 4F
(A&
(,gosmj Date:
?
' OFFICE IISE OPLY
Ereet _ Oceupancy ?
Remodel Zoning
Repair _ Type of Const
Addition # of Stories
Move Length ?
_
Demolish ? Depth ?
Int.Impr. Sq Ft
Install ?
APPROVAIS FEFS
Assessments Permit 460,75-c
Water/Sewer Surcharge 5-1
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off 6)64-1 - Treatment P1
APC Parks
Varianee Copies
TOTAL
NOTE: ADDaBSSES FOR CORNER LOTS - CONTRACTOR/HOIiEOiiNER MOST DESIGNATE AHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BUILDING PERMIS IS ISSQED.
•. ,° r rt.
;...,?_
_..:T
.T?:._ .
i
???I?NI??.l??CSOL_-
?
Q..Ll o K?LzS't3??`1 ?-,
?U?.?, ?'C???1?s???fi.
r? . _ ?. - • :o.?_ _ . -- .------ - -? - yo
. . . ••-=- __. _I
IF,
. ?
,
,
,
?
,
: t „ = Zo-,o "
,
,
.?
.,
?
?
?
,
?
,
?
1
?
i
STAKE"OUT " `?'
QECZ fLEVAT/ON PLYNT
19-1'• 37 =1 ?6u?DE SraxE
I 11? I ?-.5,vrfr r
Neyk
A. AUDW 24• ex,rA oursiar AcruAc
COOC G/MENS/QVS, rae woer sAatf
$. SfLKT ACTUHt PQx qE(.R fLfYFTtlN
fOL fXCFVAT'G[ TD FOLLpW, qLL
aEilN 0/MENStl/YS NAf &?Sf0 dV 7Y/S 9YA7.
R/M AAGL£
-L/Mf[ NO[Off
iaEe
338.
3=3? I-CI19LV. STEEG
3-5g?
. 2
sECrioN A A
HALf SCNLF
1T Ib TN[ p(yppt6qLLM Oi lNE &JILOFR TO
11?YL WENtlOwS. ORAOL3. OATNS. EtOPE! ? WD
fN[TV {TMIDNiCB TO MCET NL LOC4 lUIlD111G
C00(E ANO NWRATIDN! WtVIMG JWROICf?DW.
saiow "u eunnmc cous Arm aer+uto?.
?
36
1
M?-
f, _ 7-
Nf9
? T£! LAYE
R.lP P/M AN6LE r-•?i , GALY. ITEfL WNLi
j-
6 3 SIDF VIE W
_--
I
8?2•. ?? (r-0• ?.-?• ? I'S9N0 MI1YNNUM
2
5?)"-?---6=0"--?------ 15=0" l0=6"
37=1 "
Enyineer's md epplias m suN wNl uruclum.
Dlmeroiom meat N.S.P.I. raidential mrdards.
OS 6 ST,FA/GH7 JNEfTS
O 10 [U,eYEO JHEETI
AAEA - 630 SQ. Fr.
PER/MfTEC - % F7.
rOeuM[- 23,500 wlJ,?[lYiP1W•)
l9=1"
4 y1 CO?
: .5~ s
?S
t - '
As Mw3712si
C
r° Ulttl ? ?.
nM[ll W ? swwon ?
?, slv7 ta r o?:NO r
O,te, ?GrStE? ?Ct +
?Srp,y>?t' llp?µt
? NSPI "TYPE 11"
.' '.. SAN
PqN£L
SJfIZ .116Vtt. .- ? . .
%ewnn 8psdfiwtiom, Loal Codn and N.SP.t. Strdrdt.
. __?. _ ?;:.... . . _ .... _..._..
!b diwnp 6oeA m hs urd uNsf mwdn9 DMM EquiPmi Mwm?
Follow dl IocN Wildiny oodst aid rMuleti?
IGep pool ryilsd with mbr n all timm. Cwmk froW W ta winewizimp
P?"keL
PAiCOFAB e e 0 ?
HI-RATE SAND FILTERS
PF SERIES WITH MULTIPORT VALVE
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
PF-35 331/2" 16" 18" 251/2" 271/2" 9" 20„
PF-50 331/2" 16" 22" 291/2„ 311/2"' 9„ 20"
PF-100 373/4" 22" 30" 387/8" 417/8" 133?8" 247/8"
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
PF-35 851mm 406mm 457mm 648mm 699mm 229mm 508mm
PF-50 851mm 406mm 559mm 749mm SOOmm 229mm 508mm
PF-100 959mm 559mm 762mm 987mm 1064mm 340mm 632mm
PF SERIES WITH PVC BACKWASH VALVE
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM.
PF-35 331/2• 16" 18•• 251/2„ 31/4•? 11•
PF-50 33i/2,• 16" 227• 29112 •, 31/4• 11•
PF-100 373/a,? 22?• 3??• 3?1?2?5?8•. 153?8••
MODEL ADIM. BOIM. CDIM. DDIM. EDIM. FDIM.
PF-35 851mm 406mm 457mm 648mm 83mm 279mm
PF•50 851mm 406mm 559mm 749mm 83mm 279mm
PF-100 959mm 559mm 762mm 953mm 194mm 391mm
?
">CLEAR TG REMOVE COVER
I??A1M
_ _ _RFISED
i -.
?;
wnsrE
I
I
A i
?c
7}C 19imM
vu4v 191uM
N TURX F
I
? E
i
7?? I
C DIA. 19FMx ?
? E5?
REMOVE VALOVE
PF SERIES SKID MOWNTED WITH
MULTIPORT VALVE AND PUMP
MODEL A DIA. BDIM.
INCHES METRIC INCHES METRIC
PF-35 w/42 H.P. RPZ-590 18" 457mm 28" 711mm
PF-35 w/lh H.P. RPI-591 18" 457mm 28" 711mm
PF-35 w/?a H.P. RPZ-590 18" 457mm 28" 711mm
PF•50 w/1/4 H.P. RPZ-590 22" 559mm 32" 813mm
PF-50 w/?'a H.P. RPI-591 22" 559mm 32" 813mm
PF-SOw/1 H.P, RPZ-590 22" 559mm 32" 813mm
FILTER DATA
FILTER '
FLOW TURNOVER IN (HOURS) FILTER MEDIA
PEA GRAVEL WITH SAND
MODEL AREA RATE
6 8 10 12
PEAGRAVEL* SAND**
Sq.Ft. M2 GPM Liters Gallons Liters Gallon5 liters Gallons Liters Gallons Liters Pounds Kgms Pounds K9ms
PF-35
1.8
-
.167
35
132
12,660
47,918
16,800
71,158
21,000
79,485
25,320
95,636
40
18.14 60 .
-
65 Z7•ZZ
Zg;48
PF-50 2.6 .242 52 197 18,720 70,555 24,960 94,474 31,200 118,092 37,440 141,710 BO 36.28 120
'
1 50
44
417
100
379
36,000
136,260
48,000
181
600
60
000
227
100
72
000
272
540
120
43
54
Z
80 R20_?
? , , , , , . ?
Pea Gravel size i/a to 114" dia. 3.17mm to 6.35mm
**Sand size .018 to .022 particle size .45mm to .55mm particle size 2/22/7e
S"CLENR TO kEMOVE COVE0.
1r.m
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA122699
Date Issued:05/16/2014
Permit Category:ePermit
Site Address: 4610 Kingsbury Dr
Lot:1 Block: 4 Addition: Beacon Hill
PID:10-13500-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Ali Ansari
4610 Kingsbury Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
. . . �r-----------------�
I For Office Use �
I �/�/ �
U14 Ol L� �11 j Permit#:
Y � � � �a �
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I f
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � �0 lj Z�1 S� Site Address: ���� �6n'1 S��-f� �!'��C�. Unit#:
�
�. � �� �C�(` � � . Phone: c��r� 2�7 �_�1 l7
� � � � \ Name: ` v1SO.r�
` �.'S�t�#3t� � � ' l 1�
��1���� ��� Address/City/Zip: �'I �a �U t1�Jl.�S�U�t� �j'r.r c
� �
�v e � '� �, Applicant is: � Owner Contractor
���� ,�
T��4f� � Description of work: �G^f)�e� �� '
\ � ��
� � �,:; ` Construction Cost: Multi-Family Building: (Yes /No�
���
� ��
� �� ;��� .• Company: Contact:
��e Address
�����"�C+�tc�� C�ty'
��� �
� ; ��0 State: Zip: Phone: EmaiL
`\\ �
� � �
�� `° ' ;, , .;:� License#: Lead Certificate#:
tf the project is exempt from lead certification, please explain why: ',
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�tQ7��t� s a�d ���r�`�ri����t�en���y \��������+t�� � t±�.���� �.��r �. �n���'
��,�r��r���rc�►z�r�y'��,�las`s�����ts�or��rb������t���€�l�r e�trn,��#h���jr��°� ���� �t,�tr�
� � � � @ :��� �� � - �� � ��e ,�
' ��i` . �.::, ? . ..� �G/#�G�E�.�+'��`� +� �, .,, ���Cf+9'tS .� .� �..
� , �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qoqherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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.
Exterio�work authorized by a building permit issued in accordance with the Minnesota State Building Cod st be completed within 180
days of permit issuance.
x l G'l/'!� F"�lU >���.� X ..
ApplicanYs Printed Name Appli a s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150867
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 4610 Kingsbury Dr
Lot:1 Block: 4 Addition: Beacon Hill
PID:10-13500-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
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 -
Ali Ansari
4610 Kingsbury Dr
Eagan MN 55122
(651) 983-5251
Carstensen Construction, Todd
7575 Walnut Curve
Chanhassen MN 55317
(952) 470-1540
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156081
Date Issued:06/14/2019
Permit Category:ePermit
Site Address: 4610 Kingsbury Dr
Lot:1 Block: 4 Addition: Beacon Hill
PID:10-13500-04-010
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 -
Ali Ansari
4610 Kingsbury Dr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature