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4617 Kingsbury DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permii Number: Eagan, Minnesota 55123 Date Issued: ? o ?"t (612) 681-4675 SITE ADDRESS: APPLICANT: , PERMIT SUBTYPE: TYPE OF WORK: 1! 1 1 1 ? ; INii" I I I t .,?,ihlNIi 11 ra.tllAi(fiN I I I ?"rE- iA j I 'I; iranI kl hlt4f:K`.: A',f I'!'okA (F ('f I:WII ! I', {,rE 4411 1 i!1'D 3 471 ANJ1` { 1 Y ? tl:1I RI IluV;? ? Permit No. Permit Holder Date Telephone M SIW PLUMBING HVAC ELECTRIC Q?/ ??o7•S? ELECTRIC Inspection Date Insp. Comments Footings t or Foundation Framing ? ?719 ? Roofing Rough Plbg. Rough Htg. Isul. sl./ T 0- ? Fireplace FGe /S Qk' ???! %i7y' ? / C/f.t??necs /?a'e nrrr Final Htg. Orsat Test Final Plbg. Plbg. inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final well Pr. Disp. Receipt - ' p/ MECHANICAL PERMIT CITY OF EAGAN I Fill in numbered spaces I Type or Print leqib/y Permit Na Fee S/C Tot. - 1. Date 2. Installation Cost 3. Job Address 'Lot Z?BIk. .` Tract 4, Owner 5. Contractor ? Phone 6. Address 7. City State Zip 8. Buiiding Type: Residential ? Commercial ? Institutiortal ? 9. Work Description: New E7 Add ? Alter ? Repair ? 10. Describe 11. Fuel Type _ No, Equipment STU - M. Ea. Forced Air No. Epuipment CFM Ai H dli Mfg. r an ng: - Boi lers Mfg. - Mech. Exhaust Unit Heater ? Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the a6ove information is true and correct, and I agree to I comply wiih all ordinances and codes governing this type of work, Signed : for _. ._.... , Rough Final Inspections: Date Insp. Date Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ? -, c. CITY OF EAGAN Remarks Addition ?EACON HILL ADDITION Lot 29 plk 3 Parcel 10 13500 290 03 Owner Street - 4617 Kingsbuxy DTive State Eagan, hW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?g 1982 3 200.77 9 1806.93 C007570 10-1-81 STREET RESTOR. GRADING $=? 1982 526.46 - 58.50 9 526.46 C007570 10-1-81 SAN SEW TRUNK ?' - 90.67 A008956 ZH HO • SEWERLATERAL 1982 3116.46 346.27 9 3116.46 C007570 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA 41 1982 198.01 22.00 9 198.01 C007570 10-1-81 * Stubs 1982 9 STORMSEW TRK b, v 1982 359.82 39.98 9 359.82 C007570 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Road it 240.00 34o87 -- _ I WATEF CONN. 420.00 BUILDING PER. 7768 SAC n n PARK I I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ aeceIvso FROM AMOUNT $ & DOLLARS 1 ao ? CASH ? CHECK FOR FUND CODE p1A0UNT ThanMk You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy -, -' ? - CITY OF EAGAN 3830 PllOt Knob Roed, P.O. BOx 21-199, Eegen, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# ' To be used for Est. Value Date ,19 Site Address Lot Block Sec/Sub. _ Parcel No. H s Name W 3 Address ° CityPhone , o Name _ ?IDE 0 < Address ? City Phone U¢ ?y W Name F W _ z. Address `W City Phone 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 ot Eagan Ordinances 3ignature of Permittee OFFICE USE ONLY On Site Sawage _ Occupancy (Allowable) of Stories Depth SF. Total Footprint SF. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Potice _ Plan Review Fire SAC, City Engc SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment Pt Variance Parka TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Holder Dets Telsphons ? Plumbing H.V.A.C. E lectric Softener Inapection Date Insp. Commanh Footings I Ilsb/fl Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. lf ZS c, jp Well ` ? yc- ? ? ..?w„? i si? - -? Pr. Disp. ? F MECHANIGAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PRICE SiteAddressl? '40l1 uI1gSALiZy Lr. Lot ^ 1 Block Sec/Sub I ? Name ICerbert ller y Address s"'e ? ' c City Phone- I N8R1@ °?iu+urti?...?v.v ,a.v. a ?v.?.. 3 Address 4030 ;;eau ?'??uellr. p City Lagan Phone 452 ' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. !I Vent Gas Piping Outlets # i Other M BTU M BTU M BTU 2 ton M BTU CFM FEE S/C: TOTAL• PERMIT# / %r? ? -?/' RECEIPT # 'r-? G2 ` ' DATE: TYPE WORK DESCRIPTION BLDG . tR N ew es. M Add -on ult R i r Comm. epa Other INC. FEES RES. HVAC 0-100 M BTU -$24.00 2775 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 1% OF CONTRACT FEE - 6.00 - 1.50 EA. ' MINIMUM - RESIDENTIAI FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 12,00 STATE SURCHARGE PER PERMIT - .50 (ADD $.SO S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 12.•JO SIGNATURE OF PERMITTEE / FOR: CITY OF EAGAN BUILDING PERMIT CITY OF EAGAN 3793 ?Ilef Knob Rood Eayan, MN 55122 PHONls I54-8I00 Site Address Lot Block Sec/Sub. p Name i? OU Addreu F r-:... ?--- Address 1 hereby ackrrowledge that 1 have read this opplicotion ond state that the information is correct and ogree to comply with oll applicoble 51ute of Minnewto Stotutes and City of Eogon Ordirwnces. Recelpt # f Assessment Water 8 Sew. Police Fire Erp. Plonner Council Bldp. Off. APC O 0 ? ? ? O Zoning Fire Zone Type of Const. # Stories Length Depth Sq. Ft.- Permit Surcharye Plan check SAC Water Conn. Woter Meter Rood Unit Tota I Signoture of Permittee ? A Building Pertnit is issued ta '. . - • . ? . . . .. . on the exprcss condition thot all work sholl be done in accordance with oll opplicobla State of Minnesota Statutes and Ciry of Eagan Ordinances. Buildinfl Officiol Parcel # Repair Enlarye W Name ? Move ; Address Demolish b [i*., w..,... •t,?"i4-•l i ??., Gmde Permit No. Permit Holder Misc. Permit No. Holder Plum6ing 3a I A%z G? M z- I(p -t3 H.V.A.C. ?jqSlO d ? 2- - Wall Water Disp. Sewar EleMrie (J ?S4 Y l l (?c? 4?, b? FC 2' ??' -?3 ' Inspection Date Insp. Other Footinps W Foundation Freming . _ Rouph Plbg. Rouph HVAC _ Inwlation ? Finel Plbg Finel HVAC Final Water D"cribe Location: VYell Sewer ? . Pr. D'np. ? SEVIIER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Kneb Rwd PERMIT NO.: Eagan, MN 35122 DATE: Zoning; ' No. of Units: . _. , Owner: _ Address: Site Address: Plumber. 1 agres fe semplr wkA Nw Cih' of Eayan Ordineeces. By Date of Insp.: I nso.: Cannectlon Churpe: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dcte Paid: cirr oF E,e,CznN WATER SERVICE PERMIT 3795 Pilet Knob Roed PERMIT NO.: Eagan, MN 55122 DATE: Zaning: No. of Units: Owner: Tr ir iLt' .' Address: Site Addreu: C I Plumber: MMer No.: Connedion Charge: Size: Actount Deposit: Reoder No.: Permit Fee: 1 e9rse ro wmyly w116 !M Ciy of Eagan $urcharge: Ordinaneer. Misc. Charges: Totol: By Dote Poid: Date of Insp.: Insp.: , CITY OF EAGAN N? 13 5 6 0 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 °?3 ? ? ? BUILDING PERMIT Receipt# To be used for DECK Est. Value ?8?? Date M?Y 4 ,19 87 Site Address 4617 KINGSBliRY DR OFFICE USE ONLY Lot 29 Block 3 Sec/Sub. BEACON HILL on Site Sewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Well _ 7ype ot Const City Water _ (Actual) ? Name HERB MILLER (ailowabie) W Address S? # of Stories 3 Length ? City Phone 452-5551 Depth S.F. Total , p Name TED R Footprint S.F. ?Q Address 8010 W 107TH ST AppROVALS FEES ? City BLAINE Phone 944-2264 Assessments _ Permit 17.10 U¢ WatedSewer Surcharge .50 y? W Name Police _ Ptan Review ? z ' _- Address ? Fire - SAC, City aW Clty Phone Engc Planner _ SAC, MWCC WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thatthefnformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL ?? A Buiiding Permit is issued to: TED R ?„y?-,? r on the express condition that all work shall be done in accordance with all a?pplic?a jI tafe of Mi esota Statutes and City of Eagan Ordinances Building Official l.?C.?' ?? ?. ? J s C?n#ifiratr Af C?rru?ttnr? Citp of (eagan 15 ErpttrfmPnt nf .+?uilding Jn.?{rrr?imt Tbis Certificate itsutd pursuant to the rcquiremtntt o f Section 346 o f the Uni f ortn Building Codc nrti f ying tbat at !hc time o f iuuance thit atrurture wa.c in com plrunct with the variout mdinanccs of the City rrgularing building conttrurtion or urr. For the follaving: u.. caveircanon SF DWG / GAR Bldd Permit No 7768 R3 V NA R1 Ck=WmT Type TyWCmftNC1i011 flR7?ll, ZOIIIIIg?IfVltt o„M„fftfldins .Toseph M. Miller Aaa,n, 18133 Cedar Ave. So. , Farm B„adin-Aad" 4617 Kingsbury Dr. L.,,bryLot 29,Block 3,Beacon Hill ?b!1_?x UiLJ..A-?a/\? . By: March 29, 1983 euaam,ornaid P-P_ m«: .o., 1, . ?. .. ?d1 ' ' 4Tr?0iMII.S.P. CITY OF EAGAN 3793 Pilot Knob Rood Eagan, MN 35722 N9 7768 VHONE: 154-8100 BUILDING' PERMIT To be wed fo. SF DWG/GAR $ite Address `''11i "lilg?uuty Lot 29 Block 3 Sec/Sub.. Parcel # 10 13500 290 03 rc Nome Joseph M. Miller Const., Inc. ; Address 18133 Cedar Ave. So. ° ,Farminjaton 454-4753 p I Nome Owner ? ?? Address 1- r:... n. Ncme _ Address 2? 141 4T Receipt # pare January 20 1983 Erect [N Occupancy R-3 Alter ? Zoning R-1 Repoir ? Fire Zone NA Enlarge ? Type of Const. v Move ? $k Stories 1 Demolish ? Length 50 -• Gmde . ? Depth 38 5q. ft.- Avororals Fees Assessment . Water & Sew. Poiice Fire Eng. Plonner Council Bldg. Off. APC Permit /-yo.kiu surcnorge 27.50 Plan check 149. 00 SAC 525.00 Water Conn420. 00 Water Meter 60. 00 Rood Unit 240.00 I hereby acknowledge that I have read this opplicotion and state that the iMOrmoNon is correct and agree to comply with all applicable $fote of Minnesota Stotufes ond City of Eagan Ordinonces. $ignature of Vermittee - A Buildin9 Permit is issued to: __ JOSOph M. Miller CO11St all work shall be done in accordarKe with all opplim Stote of Mi e? BuHding Official Est. Value $55,000 Drive Beacon Hill Totoi $1719. 50 _ InC. on the express condition thni Statutes ond City ot Eagan Ordinances. l 7his request void 16 rrwnths from w ' 054499 L 9?9/ '9 3 i B8acati 4 <' (1, 3 y 4 7(o. 3s , eo Request Daie Q+ ? 1 2 /? ' Fire No. Rouph-in Inspection ReU red? - - ?ReadY Now?Will Notify InsVec- ' ' ' ? G? Yes ? No tor When Re a dy Licensed Elec[ncal Conbactor I herehy request inspection of e6ove ' Owner eieCtricel work installed et: Street Address, 8ox or oute No. 6/7' /i 9 l P Cfty l csL? 4 s4 0,0v , e? '., edion o. Township Name r Nn. Range No. Ooty ? OccupantlPRINTI Phone No. Al -All 53 Poweni Supplier ?/QG 'AA1, 0- Address Electncal Contractor (Cry^ pany Name) / Co/nt?ractor's Licr,nse No. 7I??G 'Z ailing Address (Cont ctor or O/wner Makinp Insta'Iatlon) ?. O 3Q6 5 J'?. iLJ Author'ze Signature ntr ctor?Owner Making Installationl Phone Number ? 7.? 1/ c.l QL % MINNESO7p STATE BOARD Of ELECTHICITY THIS INSPECTION REQUEST WILL NO7 GrigBS-Midway Bldg. - floom N-791 eE ACCEPTED BY THE STATE 90ARO 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS oti??e fRI71 747??111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See insiructions for completing this torm on back of yellow copy. ? ,.X ' Be Q5 low ork?4 nvered by This Request ?..p EB-OOW7-OQ ar ?307 (0 AAd Reo. 7ype ot 8uilding Appliances Wired Equipmenl Wirei7 Home Range Temporary Service Duplex Water Heater ' Lightiny Fixtures Apt. Building Dryer ElectricHeatin Cominercial Bidg. Furnace Silo Unloader Industrfal Bldg. Air Conditioner Bulk Milk Tank Farm Othrr Speci y Othtr(SPer.ifY) t er SVecify Other 01her Lompute lnspection I-ee eelow tt Fee ServiceEntrenceSize # Pee Feaders/5ubfeeders # Fne Circuits -QO 0 to 200 qm s 0 to 30 Am s U -6 0 tn 30 Am s Above 200 qmp5, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Am s Transformers - Irriyation Boorc?s Partial-"Other Fee Signs Special Inspection ' Remarks ?' S5 _E L w Roueh-in Da1e I,the Electrical r 1?1?i?'3 Ingpeclor, heraby tif th t h b Final D'ite 9 S S ?? ? cer y a t e a ove inspection has been d ma e. fhlsrepueStvoltll8monthsfrom - ? " - - ? -r % $'(??rSTHA REQUEST FOR ELECTRICAC iNSPECTION E13-00001-09 10- See insimctions for completing [his form on back of yellow copy. 0 0 61 63 5 XX" Below Work Covered by This Request Ne A* Rep. '" Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specity) Farm Air Conditioner Other (speCify) Conlractor's Remarks', Gc? / r? ? Po.?G?-? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuR Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transtormers Above 200 Amps Ab ve'1-00 I Amps SIgnS Inspectors Use Onry. OTAL ? Irrigation Booms Q 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ED DISCONNECTED IF NOT Other Fee jt COMPLETED WITHIN MONT f I, ihe Electrical Inspector, hereby R°°yn-in n ? oate, O6 ceriify that the above inspection has been made. Final Date w OFFICE USE ONIV I This request void 18 mon[hs irom ? . . 0 0 1 6 3 5 9/.-,P9, 43 Req?est Date /? (') ? ? 7 Fire No. Rou h-In Inspection Required ' Inspection Other Tha ough-In (YOU t call inspector when ready) ? Ready Now Will Notify Inspector Yes ? No Date Reed ??? IYlicensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Street, Box or RoUte Na.) ? / t ry C:j, Section No. To?+vnship Name or No. Rangc N, ? Oc?RINT) I Phone No. Pawer Supplier `?? Lfr -`^ Adtlress Elactrical Conva (Company Name) r Con[ractor's LiCense No. Mailing Adtlress (Contru tor or Owner Making Instelle'on) - ? a Aufhorizetl Sign ture (Contractor/Ownzr Making Installation) ? Phone ?N/u?mber r ggsMitlway STATE S tlg B Room SF?ZB OR ECTRICITY ??I II III 111111 I IIN IIII III II II IIIII THIS PI FT G1827 Ilnivefsity Ave., St. Paul, MN 55104 UNLESS POER INSPECTION EE S i Phone 16721 642-0800 ENCLOSED. ra:. .. ?._ u. ,:.?..: . .. r •??? ????D crrsror Ea?. PE*= APPLICATIQi •• `? ? 0.40 Val t3on Lw]ude 2,mets{of 1 Sibs plan w/elr I mt cf enst+gy a patis ?lans. ? ?? ? 'lb He tised Fbr F . ??mY _ i ` Site Acid=+ess e - •. ? ?[ 35 ? ?_ slodc 3 sec. Es?act / \ ?PwY Alter 3`_'? ?nJ Paroei #: ?D i0 O z4b o- P' g?r ire ZOnB ? ,-'- . ?' '. ? pe of Sbo?el? ? .- onrier. . i Addrows. . City/Zip Oocle Phpw #: g , Oontracbor s AsSM=srkts ? ? ; ., Mbter/5eaer ..... .,_ Pian CTleck pyddt+ess: Poliae ,r SAC So? '" ''+ : CitYlZiP Co(?e: rire Waber O=. Eng- Phcne t: " Planner _ ?? ecl tlr?i.t yo - Of ?- Arch./6yy.• Bldq. . - Addrese: cih+/zip ooaec i: , , . Pham , . s? ? ?? ._ ?/7( Q? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcfion Reauirements RemodeVReoairReauiremeMs 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy CalculaUons for heated additions 2 copies of plan showNg beam 8 wiridow sizes; poured tound design, etc 1 site survey for additions & decks 1 set of Energy Calalations Addfion - indlcate 7/on•sde septic system 3 copies of 7ree Preservation Plan H lot platted afler 7/1193 Rim Joist Defail Options selection sheet (bidgs wiffi 3 or less unifs ? 170 '?' ? nf Sii?s!E?+ ' ? 14w res ?la ???? ? ?z? Date 6a Construction Cost SiteAddress VI..cd ,40 U Y lq ./ JJY, _ UnitlSte # Description of Work ?-Cci v -n? ? 1^t V' 0 0`k CL ALA t G v 1 Multf-Family Btdg _Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #( ) ? ? ? ? Contractor W `"'I o 01 7 _ iN`. L /?. • ? Address ?t( () ?, (} a 3 ??ln rr?o v? L City State M n-' ZiP Telephone #(763) y SS _2Y g? Z g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaUon Category 1 Worksheet • New Energy Cade Worksheet (4 submissiantype) Submltted Submitted • Energy Envelope Calailations Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge 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 the State of MN Statutes; I understand this is not a pernut, but only an applicarion 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. S c TT VO i 1 CS Applicant's Printe. ame Appffcaxt's ignature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New 0 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building• ? 43 R&oof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg ) - Give PCA handout to applicant ?O Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool Ftgs _ Air/Gas Tests Final _ Framing Stone _ Brick Siding _ 5tucco _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows _ Insulation _ _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector g,qo?Cc) City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 9Vs 09 ?----------------- ? I j Pertnit #: `7 I ? Permit Fee: ? ? Date Received: ? j i stafl: ? C9v i I ?...-------__-------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: --;7 Cf IC)3 Site Address: `! l0 I"T ?cCAs Wr V KJr. Tenant: Suite #: RESIDENT / OWNER Name: ?111<s S,Jl )1-ET?,?_ Phone: V)? (lC?? ?Cji Address / City ! Zip: Applicant is: _ Owner \)Inontractor TYPE OF WORK Description of work: Construction Cost: q r?,? . C90) Multi-Family Buiiding: (Yes _ / No ? CONTRACTOR Name: Qi7 AQ(1 Ucense #: dv??g LISL4 Address: a0? 1 ffif MrX' IGo ANC 14 • City: ? lluxt+er State: ???zip: S?M Phone: t251 "'13I• rl 3JtIJ Contact Person: 1?nre11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code ?. Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted subnined (4 submission type) • Energy Envelope Celculations Submitted In the last 12 months, has the City of Eagan issued a permlt 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 Contractar; Phone: ?„l . °? ?` ? -SVY ` ? ?c.`'a`g?i .. . . , , a? - ` - ?' ?• ? + ?.r v ?r.+...? . . ? ..: . a . .a.. I hereby acknowledge that thls information Is camplete and accurate; thaz the work will be in conformance with the ordinances and codes of the City oF Eagan; that I understand this is not a pertnit, but oniy an application tor 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. , 1 X b4?ti-?? n1r.. L-? n &- X Applicant's Printed Name ApplfcanYs Signature Page 1 of 3 ' CITY OF EAGAN PERMIT c;kmg-0 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 7 9 5 (612) 681-4675 Date Issued: 10 / 31 / 9 4 SITE ADDRESS: 4617 KINGSBURY OR LQT: 29 BLOCKa 3 BEACON HILL P.I.N.: 10-13500-290-03 DESCRIPTION: uilding,-.Permit Type uilding Witxk Type onstructian 7yPe , .% SF ADDITIQN NEW V-N r? t-' ? -, L1 u REMARKS: fl SEPARATE PERMIT IS REQUIRED FOR ANY ELEC7RICAL WORK FEE SUMMARY: VAIUATIOM $13,000 Base Fee $144.00 Plan Review $93.60 Surcharge $6.50 Tota1 Fes $244.10 CONTRACTOR: - Applicant - 57. LIC. OWNER: TIMBERWORKS BLDR5 INC 16860911 0006352 SQUIRES PHILLIS 829 TROTTERS f?IDGE RD 4617 KING56URY DR EAGAN MN 55123 EAGABN MN 55123 (612) 686-6911 (612)683-9946 I hereby acknowledge that T have read this application and state that the , infarmatiQn is carrect and agree to camply with a12 applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SI NATUR ? ISSUEDBjSI??TUFE ??- 141945 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ? izK 1 ?} SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, 1 copy f energy calcs. ?;y i 12 ?,`?4 COMMERCIAL 2 sets of architectural & struct al_p,Laris J1 set o specifications, 1 copy of energy ca c. -" Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 9 % 0 Z Valuation of work ?si s?D ` ? Site Address: 7 klti16?!!2?x ?4C?i4?? ?/J,J• STREET f?? 'SUITE # Tenant Name: (commercial only) LOT ? BLOCK SUBD. t P.I.D. # 1??1 _ L,c9.o2n.ac Descri tion of work: IDOF"?0 F?t'/S A.6 4DE4Ac 40D SF450,J ¢?o6,7.r. The applicant is: ? Owner GK6ontractor ? Other (Describe) Name J"!'ki2? Pf?1?us'. Phone laL$3- 995?(0 Property LAST '' FIRST Owner Address _ hl6/'7 STREET STE # City 1c4G?9.?? State ?i?• Zip Company __77,*W8P?og.lcs ?'ci?,?s .??-• Phone 4666^C75711 Contractor Address _ 829 -?orrvo=?S iar_a- /Zz. License # zW6Exp. 3 p-f City State ?1411!16? Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?- ///401?04,fs l?,s.?- aX ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundatian ? 02 SF Dwg. a 03 SF Addition O 04 SF Porch ? 05 SF Misc. WORK TYPE ,4 31 New ? 32 Addition ? 06 Duplex 0 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace C] 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) ? lst F1. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site g2l-Fo.oting ? Wallboard 0-Final E?-Framing ? Draintile 7> 7 a .i;,Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Vettiati«,: g 13, ooo lep x/3 = z3 yx s-y = iZ, 6s4, ? 16"'Base6ent Finisfi O 17 Swim Pool 0 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units . • ?-? .-GiI'ic3te i'or: • entex Homes Midwest Inc. 8001Darnell Road Eden Pr•ai.rie, Mn. 55344 jrtLPicate for: Joe Mi11er Conat. DELMAR H. SCHWANZ 1t3133 Cedar Ave. 3. Farniington, Minnesata lANO SURVEVOR I S Inc. 55(124 qe9islered Undu Lawa o} The SUIO of Minnowta I2978 - 146TN STREET W. - BOX M ROYEMOUNT, MINNE80TA 86088 ? ? SURVEYOR'S CERTIFICATE T rJ171. 3-f -ev ? 38 ?5;L A) 13Q.00 r-_- _-- -- -T? - ... a Oa Ct b?- ? I ? Zv ? 97`l ? ? ..I Rb$4X ? `? , li -r aa' - ?-?w?'9G?'lb - N 8 9' 3 g' 3?."w . ? x ?y69. i4 To/ . _48rage floor Elevation ?,? ?3._Top of black Elevation Basement f looe Elevation 130, DD? 4 q7o. a 4 To", s."w RAO 68018 B,r. . los/ Z S PHONE 972 423-7709 I ,. ??.""ae , _ . o ? ? 4 ? Oo O1 J v) i ? _? I `n ? 3 `A 7 1e Z t,,?l X 9675 T? ?8 3D SC 7.4 Denotea exiating elevation Denotes proposed elevation 0 Denotes iron pipe monument 0 Denotea aet setback monument Der?otes direction oP surface c .?^ drainage. I h.ex•eby certify that thia is a true and correet representatlQn Qf I,ot 29, Slock 31 BEACON HILIS, aacording to the recorded plat thereof# nalcota County, Miiinesota. , llated: January 23, 1.980 Also shoting the proposed }}ouee ap staked thereon. Revised thia 3 day of JanuAry, 1983, MINNESOTA REGISTRATION N0.8626 ?J . ' Owoer conaactm 51to Addrin LNVELBPE AVERAGB `U' CO1NPVl'A'l'[ON Date ----? 4431.- ? MSSE ° i,rX. ::??5 1) Totat Exposed waA Ana -, 4-Sv sq. fk .11 =4.9.,C-P 2) Total FVoW Avaf/Ctfling Soo sq. fL .026 =?s .a Wall Calcplaiim Totat w'udm Area Total Dopr Arep Total Glass Door Araa Total Fireplace Area Total WaA Franniqg Area Net Insu]ated Wall Area Total Rim Joist Area Total Foimdafion Area Tatal Foundatiaa Wiadaw (04 sq. f. 046 sq. ft ... 40 ._. Sq n- pp? sq. it. z.q sq. ft. sq. it sq, ft. n4oi- sq. ft. hLar 4 $. 3) Toral .35 = ?? • -D7 = f 35 = 36 = i .09 = ? •? .043 w .OM1 .14 35 , 5S 4 tf itam 3 is the same as, ot less thaa item i, you have met t6e inYent of 2 MCAR 1.160M A and Q. Raaf/Cailiag Calcalation ToW Skylight Area MrA.- sq ft 35 Total Roof/Ceffing Framing 8o sq R.Om6 =*• l Nat IASalated Roof Asea 17.ow sq. t't. 15 •% 4) Total 17.R If item 4Js tbe same as, or less t6an item 2, yoa have mt the ieteat et Z MCAR 1a60M A ana o. Alternatc suflding Pm?elope nesign Ta utffirae the total eavelope system method tbe sum of itema 1 and 2 shaII be greater tboa the sum of ftams 3 anyd 4. 1) 45• -g- +23 -a-o, 8 3) fxy.4+4) 17 •9 ? E•09 I htreby ccrdfy tbat tbe bwlding hece dcscdbed meets or acaeeds the state of Mianesota F.nerjV Cosstrvstfon Acc. , ? ?? ' . ? ? 1987 BUILDING PERhIIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLITDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SST OF ENERGY CALCQLATIONS HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGftATE WHICH ADDRESS IS DESIRED. NO CHANGBS WILL BE 9LLOWED ONC6 BIIILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL DNITS FOR SALE [JNITS INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SII&VEY - CHECK 1dITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAi. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: Site Address ?617 ??i?5 S r/? W,r ?C Lot ? Block-3 n I??-( Pareel/Sub ?sw? ? ? ? ?7? Owner 0 4,v ? V''l5 ?? Address ?? Khf,s ?juL-y ?Q. City/Zip Code ? ??-- zPhone L{ ? 2- S S?? Contractor ? (;- o 111?'-w?--?- Address ?? I D l,l) .( 0 705'/ City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 4t On Site Sewage MWCC System _ On Site Well _ City Water _ APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee 10 .? r7' b (J I Occupancy Zoning Type of Const (Actual) (A1lowable) # of Stories Length Depth S.F. Total Footprint S.F. FESS Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? -;---°- ? i , - ; ---- . ---- ; _. v r,s9r? 770 4 u ; ? S``? -i,?,5 if ?: ? .? n•"?v? „i? '?.?G? 1/ ? C-04,-? 7 `r y L 4 0 ?- -e-e ?y ? w5-v r . ? x • -- -----?? ?.. i ? . ??'( C"i-f% 2?" ??; ? o I ??, l? ,, d ??.'?1 n ..{? ? G-L ? 'r. Ga -?1'./ , '{4?? L2 1?' . ?. ?'? r I {1..1CL . ? ? ?j- ? r'? ' - `::-r -// ?.? -2- Xlo .3o i4 :?i ? ? Certificate i'or: - 'Centex Homes Midwest Inc. . 8601 Darnell Road Eden Prairie, Mn. 55344 CertiPicate for: Joe Miller conat. 18133 Cedar Ave. S DELMAR H. SCHWANZ . Farmington, Minnesota u+NOSURVevon's Inc. 55024 Re9iiteretl UnEer UW7 01 ThO State O/ MianltOta ?2978- 146TH STREET W. - 80X M ROBENIOtlIIT, MINNE60TA 66089 SURVEYOR'S CERTIFIC?4TET 972.?s ??.. o.-. ? ? ??°?N 8 q 3s r5;;L AI 13a.00 - 9733 - - 20.? Q W IZP ? 0 ? ? - V 7:/ o ?- l? r= 5' ?7•3 S,?Pw SR'3$'3?."+N ' IF969. t4 To? s.ra- ` )73.1fI Qarage floor Elevation C)y$.q Top of block Elevation 9?0.7 Basement flooe Elevation ? ?? ----'?'-%- l30'? OD? 4y,o,o 9 To/?A,*.r PA+3 88058 Bk.6!Y 2r PNONE A11 423-7789 I .1? IF. i°P G ? . Ib ? ? Q Z 10 J ? ? rt ( 'Z ¢ (A . 7.s 12 i CQIeN1+^?` S n` 7.1 Denotes exiating elevation . Denotes propoaed elevation 0 Denotes iron pipe monument Pi Denotes set aetback monument Denotes direction oP surPace c' ? drainage. I hereby certify that this is a true and Correct representation of Lot 29, Block 3, BEACON HILLS, according to the recorded plat thereof, Dakota County, Mi.rinesota. bated: January 23, 1980 Also shoting the proposed house as staked thereon. Revised this 3 day of January, 19830 MINNESOTA AEGISTRATION N0.8626 + _....?....?......:.?.,?^:,...?..::. . ...... ,.. ..?^'-,. . .. .._ . 0i PlI L' s VI. Y E}:Tl;._l UR I?NVI:1.?)PP: (:VL•'IbIGF] "U" COMI'I;7'ATIUN ~- ? •- '. ?? DnTL i _-------- owwLii: --- ° - ` 4617 Kingsbur Dr, P110t-IE: __454-4753 S1'1'i: ADJi21:SS: -`- COWTRIIMR: , nceerminc workinq square,footaqe of each ? • 3oi,4i sq. f t. x .17 _111 1. 7'r,l:al cr.l?osc?cl ?:??zll arca...... _ 05 R ? U ? ? sq, ft. x . 2. 7bal iaul'/?e:liug arca ...... Total exposed wall area above floar = ?S7 a. Tota]. wall wind-om, area ...........................•..... ' .r?i .t'?r ;?Yea .................................. d0i/r ilYl'il . . . . . . . . . . . . . . . . . . . . . . . . ' C. . ? . ? . • d. 'POt:al fir.e+?iace wali arr.a ...... ................ ., ? . ' e. 7'oC.il ?rall frzuniny axca (avelage 10'L) . . . .. . ...... .... ...... f. '?'otal rirn joisl. araa .............. ........ q, ....... 12K I ? o-;al]. area above iloor .........:.....::.. _ -f i?r.. .. ..... ........ , . . . . . . . . . . . . . . . . . . . . . . . : . . . , _-_-- - .............. .. J • _ _"__ wt+2':Y ? .. .... 'pot;il e>:pose3 foundation area -_ ? .?. .... ? 1:. :tl f.crn:i.iti.on win(lrw ar.or1....................... ... 1. 'Pur'*tL nct f.oundation area above gra e .............. Urtcrniint! "C" value o£ each wall segment (e,q, orindow, door, each separate wall sectfon) ' a. ? ? 2, .? X O„ll = --- - -r • ? Zi X llull ?-S -- _ ? (vx „u„ c. f. jx „ul, of x „o„ 9. _ - --- , h. ;; ?lUll X ?full i . _ _. - - -----' if? is tha same i >; "U" Cha:t item ifl, Y? ] • --_-_--..?_ -` huvA meC Y.hu intenl c:r K ;15,^. GGOf, (c.) "l. "___--- . :y ?' ? . - , 1 . _.. __.?,/"ia ,?",.'. _.. }? '1"„ ? ???-- ?_.. . City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4617 Kingsbury Dr Lot: 29 Block: 3 Addition: Beacon Hill PID:10- 13500- 290 -03 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 4,000.00 Contractor: Home Depot at Home Services, The 5169 Winnetka Avenue North New Hope MN 55428 (763) 367 -9740 Applicant/Permitee: Signature PERMIT City of Eaan Smoke detectors are required in all sleeping rooms prior to final inspection . When wall studs or ceiling joists are exposed, hard -wired detectors are re quired. Battery operated types are acceptable if the wall/ceiling finish (i. e. sheetrock) has to be removed to install a smoke detector. Siding: Whe n installing ventilated soffit material, remove existing soffit material (i. c debris that could block vent openings) and take steps to ensure maximum v entilation into attic space. Windows/Doors: If BL - Base Fee $4K Surcharge - Based on Valuation $4K Total: - Applicant - Construction Type: Occupancy: $97.25 $2.00 $99.25 Owner: Phyllis A Squiers 4617 Kingsbury Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA075376 10/05/2006 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 with all applicable State Issued By: Signature ò ÿ þýüýû ÿþüþü ûÿÿ úñùé íÿý í ÿ ø úùø ÷ÿÿö ø ÷ÿ ö ø ÷ÿðÿ÷ýÿ ÿ ÷ ÿ ÿááÞ÷ý Ûü úëý ÿçÿÿ ÿ ç êôÿîýîýßÿÿ ôÿý÷ ûôõáê êêê ý ÿçÿÿââáèèá ÷û ú îý üÿý ÿéýýââèíèí éýýè öúõ øôó ÷÷ý ÿ î úëÿ êôÿîýîýßÿáêïü ù ôÿý÷ ôõáêþýüýôõ æêãêê îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ PERMIT City of Eagan Permit Type:Building Permit Number:EA138903 Date Issued:09/26/2016 Permit Category:ePermit Site Address: 4617 Kingsbury Dr Lot:29 Block: 3 Addition: Beacon Hill PID:10-13500-03-290 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - Phyllis A Squiers 4617 Kingsbury Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151585 Date Issued:09/04/2018 Permit Category:ePermit Site Address: 4617 Kingsbury Dr Lot:29 Block: 3 Addition: Beacon Hill PID:10-13500-03-290 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Phyllis A Squiers 4617 Kingsbury Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature