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4622 Kingsbury DrReceipt PLUMBING PERMIT Permit No. , CITY OF EAGAN • Fee ! ?- ` fill in numbered spaces S/C Type or Print legib/y Tat 7. Date z 31, L9 '3 2. Installation Cost F - ' 3. Job Address 1`"i22 Kj=`GS ".T'±'i Lot 3 Blk. ? Tract ;i 4. Owner 5. Contractor ;c G(I,.TRE 49CIIAATICA.L 5`.: ZV. Phone «9-4:??V' 7. CitY L.A.:: :.'ILi, State ? `T Zip 8. Building Type: Residential 13"A' Commercial ? Institutional ? 9. Work Description: New 0: Add ? Alter ? Repair ? 10. Describe 1 11• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield i I_ Bath tubs Septic Tank Lavatory Softner I Shower Well - ? Kitchen Sink _- ? Urinal/Bidet Laundry Tray Other i 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: tor Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4545700 Receipt - MECHANICAL PER! CITY OF EAGAN Fill in or Print 1. Date 2. Installation Cost 3. Job Address Lot_ 4. Owner ; . , -, - Permit No. ' Fee S/C Tot. ? / Tract 5. Contractor Phone 6, Address 7. City . State Zip L+ 8. Building Type: Residential C1 Commercial ? Institutional ? 9. Work Description: New £7 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai Handli : Mfg. _ r ng Boilers - Mfg. - Mech. Exhaust Unit Heater _ Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed: "?------ foi Rough Finai Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 BUiLDIN6 PERMIT CIT7 OF EAGAN ` 3795 Pilof Koob Raed Eeyan, MN 53122 ?? ? PHONE: 454•8100 ? F ? , Receipt Te M wed fer SF TIWr/GAR Est. Volue 957_000 Date T„no R , 19-a3_ Siro Address 4622-yiu-aabury-Drive Erect ? Occurwncy R 3 l.ot _3..._ Blxk _4 $ee/$ub. Beacon Hill Alter ? Zonin9 R-3 Parcel # I9 1.35L0 030 04 Repoir ? Fire Zone A- a W Z ? O Z uV ? t- Enlarge ? Type of Const. v Name Joao?h" ?S Mil7.ar--Co??e' T?-.?-- ^^ - Move ? # Stories Address 13133 rafja= A`xoc,. Demolish ? Length_39 CiHFax'minet,?? Phor+e_4SL,-4753 Grade p Depth--4,,6-Sq. Ft.- Name nureT Approvala Fees ? Name _ Addreu I hereby ocknowledge that I have read this application and state that the inlormation is correct ond ogree to wmply with all applicable State of Minnesoto Statutes ond CiTy of Eagan Ordinances. Siqnature of Permittee A Building Permit Is tssued ro: Jospeh M. Miller all work sholl be done in accordorxe with oll ouolicabb St Assessment Water & Sew. Police Fira Enq. Planner Council Bldg. Off. APC ., Inc. of Minrxsoto Statutes ond Permit 3[14 _ nfl Surcharye 28 50 . Plan check i ?z0 SAC'5,15.90 Water Conn.¢50.?(!). Woter Meter..{0.0G}_ Road Unit ?59?,9n^.r. Totol $+59 on the express wndition thni y of Eopan Ordinances. Buildinp Official --"'? . ? Pormit No. Parmit Holder Mix. Permit No. Holder Plumbing 3SqZ Akt`p ll lrQ t0 - Zy - H.V.A.C. tD'(7- ,i Wsll Watar Disp. Sawer Elect.;c ?070$0 •a?,?a ?c?. ?-ze-ss kmo ZL 1Xj%dlanQcC1 1I 30 83 Impection Date Insp. Other Footingt Foundation Framing z Rouph Pibg. 4or Rouyh HVA Inwlation Final Plbp. 7-2 tda Final HVAC Finai Wahr Dsseribe Location: Well Sevuer . Pr. Diap. CITY OF EAGAN Remarks o.ddition BEACON HILL ADDITION Lot 3 RIk 4 Parcel 10 13500 030 04 ? owner - st,eet 4622 Kingsbury Drive State EaPan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. rqV 1982 1806.93 200.77 g 1806.93 C007575 - 10-1-81 STREET RESTOR. GRADING 1982 526.46 58.50 9 • 7 5 10-1-81 SAN SEW TRUNK * SEWERLATERAL .,53 1982 3116.46 346.27 9 3116.46 C007575 1-1-81 WATERMAIN * WATERLATERAL LJHZ J WATER AREA 1982 198.01 22.00 9 198,01 C007575 10-1-81 * Stubs 1982 9 STORMSEW TRK n2j 1982 359.82 39.98 9 359.82 C007575 10-1-81 * STORM SEW LAT 19$2 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 36258 6-8-83 WATER CONN. !}rj0. 00 BUI LDING PEFi. $116 sac 525.00 PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED FROM 19 AMOUNT $ I & DOLLARS ?oo ? CASH []CHECK ?OR ? j WMite-PaYers Copy \./ Vellow-Posting Copy Pink-File Copy T You ? BY \1 CITY OF EAGAN SEINER SERVICE PERMIT 3795 Ptlat Kneb Read PERMIT NO.: Eagan, MN 35124 DATE: ZO"ing' No. of Units: ' _. O wner: Address: , Sire Addreu: Plumber: ?°Y" LO C0111PIY WIM HM City O{ FAAf10 CA1f11@CfI0I1 CI10IgB: Ordinanees. Ac.count Deposit: By Dote oF Insp.: I nsp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Z?ing; R 1 Owner: ?o9CF:1 : eT oR Addrcss: Site Address: L 622 K3 sb Piumber: c •u Te _ eC Meter No.: Size: Reader No.: I °ome M eomPly wilh fha Ciry of FAyen Ordlneecp, By Date of Insp.; PertnM Fee: Surcharge: Miu. Ghorges: Total: Dote Pald: WATER SERVICE PERIWIT ? PERMIT NO.: DATE: ' -- . ? No. of Units: Connection Charge: 50• 00 Pd Account Depesit: Permit Fee: 10.00 pd Surchorge; . SC nc' Misc. CFwrpes: 0UNO pd .?m@te2' Total: Dote Poid: Inso.:- CITY QE' EAGAe1 rocln3s 2 rft af plws, i 1 sits pSan M/elwatioen & . ? met at am19Y '??wiaw- ? ' • `' ??.e?t? : , 1b Be ITSec] F+. V81Ueti0n y DabB S1t+E Addr2S8: ,??°? ?Cer??s'b;.?r b('• Q!'Tt'E m QIIaY ;?-? . ; •. Lot ...? Blodc Sec./:?hab.?? ?+ect 'OF t, Pat?oel #: D3p O Alber ? ? TIP v[ oxwt, Q?rrtiers ,, • JddreM: , - ?? aPttk City/Zip Oode L''?.•,•??'°??`- .S.SD? rhcQ #1 ? oontraceor: Address: city/zip Code• . Ptione i : Arch. .. . 1Ar3rrsrxs; City/"t.ip doc]es " Vwm ?i ? wi??•? ? ?..?% J 1:?? ? i? r ? waber/geas'r ? ?? ?8:, °} Poiiae _ Plan Cl?eclt i s'a: ? M Fire 8iC . ? ??. • V`a ? Planner ?ab?,lyat?er m o . ? Oouuicil usit at Cs7J ?.. • , ; .. - B18g. O€? --- ? ? APC .. `-,... }? v ? ? ?hN ' 1 / . . . . - . u.: . ?. ? ? ?? ?. REQUEST FOR ELECTRICAL INSPECTION E8-00001 -04 ' See instructions for completing this form on beck of Vellow copy. ,070800 " " Below Work Covered by 7his Request 7 3 ?j J? a?! New Add ReD. Type o( Bullding Applinnces Wired Equipmanl Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatir. Commercial Bldg. - Fumace Silo Unloader Industrial Bldg. Air CoRditioner Bulk Miik Tank Fdrm Other peciFy OtherfSoeciiyJ t er SVeci(y Other Other CO/DUU1B InSUBCI/On FP@ BP.IOW N Fee Sarvice EntrenceSize k Fee Feeders/Subfeeders # Fee Circuits 0 8 0 to200Am s 0 w30Am s 47 ,Sb Oto30Am 5 Above 200 Amps; 31 to 100 Amps 31 to 100 Ai s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms e .612 Partiai-"Other Fee Signs SUeciai Inspection "? Remarks TAL bEE 1. }_ 7 _ni4 ?) ? Rough-in I Dat , ? ?? ?, the EI cal nspeClor, h0,eby ? CAItIfY f?1AI ShB dbOVD 'I Final r ' D/rjeinspection has been ; y' made. Thin rwnuwat vniA tA monlRs fmm .? .-,s request void 7-/Z(p L 3 ( gq j '?j?3 18 months from WQ7-0800 3.;? •SCs Requesi Uate Fire No. Rough-in Insuection Requfr . ?Ready Nuw ?II Notify Inspec- 8 ?No es tor When Ready ?censed Electncal Contractor I hereby request inspection of above ? Owner - electrical work installed at: Street Address, Box or Ro,ut No. ?6 o2 ?% - lV L s6 City F e v n e Gt Q O ecuon o. TownshiD Name o No. Range No. County 6I ?O . pant (PRINT u- ' / ? Phone No. y? ? V ' y7 5 3 Q r ! e:. : PoweL Supp Ierr y7r+ )? Addre?s!s'?? Electrica Co yactorA (Company Na e) ' ?/ , Contr ct/or's L' 6ense No. 41 ? ? ?? lQfI F Q SGG `?Ir?r?? ?t? MailinB A.ddress IC ??? o?n},?( ?c,tor or O??y/qer Makin`g InslaJ,ilatAionl y Q '?4 0 ? t? .S l7' a' 90/?L? . NW 7 Auth riz d SiPn re (Co ractor?Owner aking Instaliation) Phune Number MINNESOTASTqTE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILI NOT Griggs-Midwey BIdB. - Hoom N-791 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 55106 UNLESS PROPEH INSPECTION FEE IS u?___ 1c1o1 on, n,,. ENCLOSEO. CITY OF EAGAN *T . . 3795 Pilot Knob Roed Eegan, MN 55122 lr ? 8116 PHONE: 454-8100 ? BUILDING PERMIT ReceiPt To ba wed for SF DWG/GAR Est Volue $57,000 pOYe June 8 _ 19 83 Site Address _ 4622 Kingsbury Drive Erect ? ?cuPancy R-3 3 4 Beacon Hill Lot Block 5ec/$ub. Alter ? 2oning R-1 Parcel # 10 13500 080 04 Repoir ? Rre Zooe NA V Enlarge ? Type of Const. W Name .Toseph M. Miller Const., Inc. Move ? # Srories = Address 18133 Cedar Ave. SO. Demolish ? Length 39 c; Farmington phorve 454-4753 Gmde [I Depth 46 Sq. Ft.- p Nome OwneY Approvals _ Fees ? ?U Address F? r:... Name _ Address I hereby ocknowledge that I have read this opplication nnd state thot the inlormotion is correct ond ogree to compty with oll oppiicable State of Minnesoto Statutes and City of Eagon Ordinonces. $ignature of Permittee -:-?ospe ] A Bullding Permit is issued to: all work shcll be done in acwrdnnce with ull Assessment _ Water & Sew. Police Fire Eng. Plonner - Council _ Bldg. Off. _ APC ., Inc. Permit av? . vv surcnarga 28.50 Plon check 152.00 SAC 525.00. Water Conn. 4S(1. f1f1 Water Meter 60. 00 Road Unit 250.00 Totol 81769.50 on the express tondition thm Statutes and City of Eagon Ordinances. Buildinq Officiol ntQUEST FOR ELECTRICAL INSPECTION , See instructions for completin9 this form on back oi yellow copy. tn? 07 8 8 2 Z ?/?308'3 "X" Below t?oik Covered by Th s Request ? EB-Q0001-04 $Zo/ 717 A48 Rep. Type o1 6uilding Appliances Wired Equipmen[ Wired Home Range Temporary Service Duplex Water Heater 10 Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Siio Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecify ther ISpcr.ifyl t er Suecffy Other Other c,ompute insnectJOn Fee 8elow N Fee Service Entrence Size !t Fea Feeders/Suhfeeders # Fee Circuits U to 200 qm s 0 to 30 Am s 10-0 0 to 30 Am s Above 200 Amps' 31 to 700 Amps 37 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms PartiaL'Other Fee Signs Special Inspection /? Rertv?rks .KAt...?.?...1? ?_':...eL _ i TOT EE''?? ?i:a o-lf+]? ftough-in 1, the al InSpector, hereby tif th h Final DJ?'lE??_c at c ter y e above ispectio?? has 6een ?/? ? made. ihin rwauest voitl 18 montRS fmm This request void 8mFnt(75 trom3 r 6 ? ?? ?¢?.e.?-?? ? • ? ? `l 9 1W078822 ?il3o J?3 ?aa.oa Request Date ' ;;v - 13 1 Q - Fire No. 1 Rough-in InspecUOn Required? ?Ready Nuw- gJ411i'lI Notity Inspec- t h " ?s [I Na or W en Ready twrl icensed Electrical Contractor t hereby reques1 inspection of a6ove ?.Owner electcical work installed at: Stree ax or Ro CitV ection o. Township Name ur No. ange No. o Occupant (PRINT) Phone No. ower u plier . Add ss - Electr I ntr cto (Company Name) ont act r's License No. Mai ing AAJre s(C/Q' ntractor+o?r wn`er mp In/g taila o 9 Authorized Si naVure(Conr or/o ner Making instali- ionl Phone Nu bei MINNESO A STA7E BOARD OFeL;CTRICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Noom N-791 BE ACCEPTED BY THE STATE BOARD 1827 University Ave., St. Peul, MN 55704 UNLESS PROPER INSPECTION FEE IS? u1 ___ Ic, o? Ie, n... ENCLOSEO_ ' -Cea°'f;lficate f'or: ' _ Cvntex Hnrses M:idweat 7nc. Plar, E1601 Darnell Road 93033 (FLdFPSn UJf?ucoJ ? 2den PrsiriE, Fin. 55344 ?K (a3??7 Joe N[ll]?er Const. '" 18133 Cesar ave, so. QEI.MAR H. SCHW101NZ Farr.rington, Mtl. 55024 L,qNDSURVEVOR-5, /AIt. RpittaraE UnOar Laws of The $tsts of Minnesota 2979 - 146TM STpEET W. - BOX M ROSEMOUHT, MINNESOTA 68068 PHONB 612 423-1789 I $URVEYOR'S CERTIFICATE 61q Top I+?B Top 1¢0'X1 ? aLJW:9409•53 E?.??,=91?????` .? -rop leoa ??a s,EJ ._?e1.5 ,?''? !? 84 3 K;? w i j U, oc? 30 30. 0 4Cv.33 6 o ' • ? ( 0 /o ? ? 22,W7 pe?lv6 , ?o.?'? f 4 Q , ?` k, QA(f ? W4 { I < , ! ?\ q-1 21 ' ?1 l i Qb ?54.`??' 3o zs ?v ? To IRe.t ?6? % ?6 33 ? ? t ? ' GG f 63 b P ?'r rop ?to ra 96k? E..,? .= 965.i5 ? Top le.ok1 ? ?? l Q ProPoaed garago f'loor ?J ? 9 65.8 Propoacd top of foundation Propo?ed baoement f loor 9?Z.? ?. ?I 1'roPosed floop at wf?lkout 9?6.?..__._ ? ?-- Denotes propoaed drainage G9 Denotes proposed Piniahed grade. q Denotes setbac:k enonument 9(o4.7_Denotes existing elevation I nereby certify that thts is a true and cc,rreet repreaentati.on of I,ot 3, Block 4, FIEACON HII,L, according to the recorded plat i,Yteiyeof, Dakota County, Minnesota. Dated: June 1$, 1979 Revised Dec. 17, 1992 to ahow proposed houme. Reviaed on thie 1.4 day of March, 1983 to ahow a proposed houae No.9L)?38 not staked thereon. Revised: April 2', 1983 etaked hse and elevation. RE,Grr4ti•F Uo-tcF ?1R+t 2b , 1`)$` . !' AI , ?? _ j?,}.y, .. ''. ? ' •,; ?/?1 ?? l / i ? MINNESOTA REGISTRATION NO. 8825 /? . /3I4 r r : J / Z PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085165 Eagan, MN 55122 . Date Issued: 08/11/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4622 Kingsbury Dr Lot: 3 Block: 4 Addition: Beacon Hill PID 10-13500-030-04 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Rybak Brothers Construction Kevin M Doyle 2206 East 117th Street 4622 Kingsbury Dr Bumsville MN 55337 Eagan MN 55122 (952) 405-8871 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137846 Date Issued:07/26/2016 Permit Category:ePermit Site Address: 4622 Kingsbury Dr Lot:3 Block: 4 Addition: Beacon Hill PID:10-13500-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - Kevin M Doyle 4622 Kingsbury Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137847 Date Issued:07/26/2016 Permit Category:ePermit Site Address: 4622 Kingsbury Dr Lot:3 Block: 4 Addition: Beacon Hill PID:10-13500-04-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kevin M Doyle 4622 Kingsbury Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167923 Date Issued:04/02/2021 Permit Category:ePermit Site Address: 4622 Kingsbury Dr Lot:3 Block: 4 Addition: Beacon Hill PID:10-13500-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kevin M Doyle 4622 Kingsbury Dr Eagan MN 55122 (651) 325-8506 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171932 Date Issued:09/08/2021 Permit Category:ePermit Site Address: 4622 Kingsbury Dr Lot:3 Block: 4 Addition: Beacon Hill PID:10-13500-04-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Kevin M Doyle 4622 Kingsbury Dr Eagan MN 55122 (651) 325-8506 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature