4634 Kingsbury DrCITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 5 Bik 4 Parcel 10 13500 050 04
owner screec 4634 Kin sbury Drive state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ^ 1982 1806.93 200.77 9 1806.93 C007577 10-1-81
STREET RESTOR.
GRADING - 1982 526.46 58.50 9 • 10-1-81
SAN SEW TRUNK
* SEWER LATERAL ^? SJHZ 3116.46- 346.27 9 1--8
WATERMAIN
* WATERLATERAL 19$2 9
WATER AREA 19$2 198. 01- 22.00 9 • 007577 10-1-$1
* Stubs 1982 g
STORM SEW TRK ?g, 1982 359.82 39.98 9 359.82 007577 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 4188 1-28-8
WATER CONN, 420.00 ft IT
BUILDING PER. 7777
SAC n n
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE_
weceiveo
FROM
AMOUNT
? CASH
FOR
Th?anok?You
BY
19
1 $ 17
? CHECK
DOLLAR9
1 aa
White-Payers Copy
Vellow-Posting Copy
Pink-File Copy
Receipt . - ? '.
?) - ?r
PLUMBING PERMIT Permit No. - -,
? ?
CITY OF EAGAN .
Fce
Fil1 in numbered spaces S/C
Type or Print /egib/y
Tot.
7. Date ?/?1'?9 2. Installation Cost
3. JobAddres4%?Vi Lot ? Blk. ? Tract
4. Owner
5. Contractor ICAT, Phone ?9'3 P'
6. Address 10'? 30 IIOLT AVF
?r
7. City 1 t,,i;:;JILL State ? Zip
8. BuildingType: Residential U,: Commercial•? Institutional ?
9. Work Description: New Q: Add ? Alter ? Repair ?
10. Describe
11.
I
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
?
- Bath tubs
Septic Tank
Lavatory Softner
_L Shower Well
?
' Kitchen Sink " -
_ Urinal/Bidet Other •.:? -.
Laundry Tray ' ,74,-,D '
Floor Drains
? Drinking Ftn. - ' " -
_L Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ocdinances an4 codes governing this type of work.
Signed : '- -''-j I ? '1 ,'?1 ? ` for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fi/l in numbered spaces
Type or Print/egibly
1. Date 2. Installation Cost
!.
3. Job Address'. LotBlk.
4. Owner 5. Contractor Phone
6. Address l
7. City : State Zip
8. Building Type: Residential fl' Commercial ? Institutional ?
9. Work Description: New=[7 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
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 I agree to
comply with all ordinances and codes governing this type of work.
Signed: - - , - --
for
Fiough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Permit No. <
Fee
S/C
Tot '
Tract
S ,
BUILD1NCa PERMIT
Te 6a wed ie.
CITY OF EAGAN
3793 rilef Knob Road Eoyan, MN 55122
PHONE: 454-8100
;ar
7
SiM Addrcss
Lot Block Sec/Sub.
Parcel .#
W Name
; Address
`
ok-
o I Nome
?
?? Address _
I- r':•.,
I hereby acknowledge that 1 hava reod this applicotion and stote that
the information is correct and agree fo tomply with all opplicable
State of Minrresota Stotutes and City of Eagan Ordinonces.
77(7
Receipt #
Dote
, 19
Erect ? Occupancy
Alter ? Zoninp
Repolr ? Fire Zone
Enlarye 0 Type of Const.
Move ? # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.-
Asussment _
Water 8 Sew.
PoIiCG
Firo
Enp.
Plonner -
Council _
Bidp. Off. _
APC
Permit
SurcFarge
Plan check
SAC
Water Conn.
Water AAeter
Road Unit
Totol
Sipnoturc of Pertnittee I
,. .
A Bullding Permit is issued to: on the express condition thm
olI work sholl be done in accordunce wlth oll appliaoble State of Minnesota Statutes cnd Ciry of Eayan Ordinonces.
Buildinq Offlciol
Parmit No. Permit Holdsr Misc. Permit No, Holder
Plumbin9 3Z,? (c AAX-6)C(,1-f-e- 3$-f3
H.V.A.C. o??S OM ib ?d t Z 7-9
Wdl
Wrter
Disp.
Sswsr
Electric w v sySoD Mi c??QN[? ???G 2-1$'-$',3
InapaMion Date Insp. Other
Footings
.
Foundetion
Framinp
Rouph Plh4 -7 * i?
Rouph HVA
Inwlation s ? -
Final Plbg.
Final HVAC
Final
Water Dneribe Lowtion:
Well .
Sewar
Pr. Disp. ,?
CITY OF EAGAN SEVNER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55112 DATE:
Zanin9: No, of Units:
pwner; 1o5['Dl' 1• `i ? 1CT ('.ons? ^?;ct. i0*1
Address:
Site Addreu: `?' ,"i? y.?,?,rs• ',? r; , ? r
Plumber: `c??.• _. {Cr±
1 agree ro ewnpy wieh eha Cieq of Eagan Connection Charpe: ??..00 ^
Ordinencat. Account Deposit:
Permit Fee:
Surcharpe:
By Charpes:
Misc
.
Dote of Insp.: TWaI:
Insp.: Date Paid:
WATER SERVICE PERMIT
CITY OF EAGAN
K
b R
d
3795 Pil PERMIT NO
:
no
oe
ot .
Eagan, MN 55122 DATE:
Zoning: No. of Units:
n
r
- '
O - ,
:
w
e
Address:
Site Address:
Plumbe?
Meter No.: Connection Chorge:
osit:
count De
A
$ize; p
c
Reader No.: Permit Fee:
Ci
f F
h
h
l
i rchor
e:
S
ry o
agan
y w
f
I
a
1 o9ree M aomp g
u
Charges:
Misc
Oedinaneaa. .
Total:
Date Pcid:
gy
D
f I Ins
:
nsp.:
ate o p.
?C1TY
pNLiilLwi s rr?
Zb 8e Ueed Fbr -New hat valuation _
Sit@ .Ac3ds+eSS: 4634 Kingsbury Dr. % --
IAt 5 BlOCk 4 Sec./Bub•
Paroel #: IO ?3Sd? OSO d
OwrArs Joseph M. Miller Const. Inc.
AddIress= 18133 Cedar Ave. So.
Cfty/Zip Oode: Farmington MN. 55024
,
; phow #: 454-4753
;' .
omtraebor: Same
. Addres•
'
?ty/Zip COde'
.
PhcIB #:
ArC]1./SrXJ. S
AOaress%
City/ZiP Oo3e:
P!?one N:
It1C1udB'2ssftiOf:Pl"• ? 1 sits pIan w/*evat3aut i,
anl?cu4la?ians ?
I «t of arNLV
?Date
n?rrr?, t1? ?Y , . ,
? ?
?
?
C? ?
? ?
? ?
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?
?
?
?
• REQUEST FOR ELECTRICAL
`See instructions for completinF
""X" Bel"ow WMovoered by 7his Request
INSPECTION ,?-„ Es-ooooi.oa
?:
this torm on back of yellow copy.
3q u7?
l+dd Rep. Typeof 8uilding Applinnces Wir¢d EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Lfyhtiny Fixtures
Apt. Building Dryer Efectric Heatin
Commercial Bldg. Fumace Silo Unloader -
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm Othei Specify Ocher (Sper,ifyl
t erl5pecify ther Other
ComDute Insoection Fee Relnw
!t Fee Service Entrence Size # Fee Feeders/Subfeeders # Fae Circuit5
/Q, 0p U to 200 Am 5 0 to 30 Am s ?'l. 0 to 30 Am s
Above 200 qmp5 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100 Amps
' Transformers Irrigation Booms •,$'p Partial% 0 er Fee
Signs Speciallnspection ?
$ T
? ?J a
AemTrks 3 P;K F
RouBh-in . " 'i .
14,
d? Date
[
???/' I, the Electricel
In
t
h
6
or,
spet
ere
y
tif
th
t th
b
Final n
C?te/
? cer
y
e
e A
ove
inspection has been
'
? ? f?' ?° made.
,
_
ThisreQUestvoldl8monthsirom !.' .. ? 0
_a
This request void .Z,-(D
18 months from
W054500
Ls t3y, 98Q con
?yy 7?
Request Oate Fire No. Rough-in Inspection
Re
qu} red7
?Ready NuwWWill Noli;iy. Inspec-
p?i ?
?1'es ? No tor When Ready
? LicenSed Elerirical Contractor 1 hereby requestinspection ot above
? Owner electrical work installad ar. Sireet Address, Box or Rnute No. City
?? s1
?
?
6 ?a en
v?
?,
,
5
ecuon o. Township N me or No.
jf? Range No. Count
Q
Occupant (PRINT) ?? / ? ? /
%
'
/
'
?
46
i Pho?
0 /h
?/
L
G?$
vc 7o
0
0
/
Powe^r Supplrier J
?6i Q Q c Address
/
Electrical Contractor (Company Name)
? ' /,G'?t ?l?c. r?•?ic ?c Contrar.tor's License No.
y/!o
ailing Address IContractor or Owner MakinP Installation) ?
6 3 9 0 / ZG? ?o ?Ce /1'I?.?
Authoriz Snature (Contractor/Owner Making Installation) Phune Numher
MINNESOTA STpTE BOAflD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1827 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
o1 ___ 1.11, oo, 1.11 ' ' ENCIOSED.
Xkrrt'tfi.rtttt nf (Orrupttnry
Citp of (Eagan
el- „ ?
EP}tFll'ttltPrif 0f llttldtltg 32t8.pPC#tRri
Tbi! Certificate isruul purrrtant to the rcqranmentr of Sution 306 of the Unifor+n Building
Codr arti fying that at the time of ittuancc thit rtructart wat in tmnpliance with the variout
ordinarues o f tix City ngulating building corsn+uctian or uJr. For thr fallowing:
u..cbAdamom SF DWG/GAR BIaa.eenTdt NO. 7777
O=wWr TYve R3 TYP cm.?nan V Fin Zone NA u" w?t Rl
awm p?Mding Joseph M. Miller Addna 18133 Cedar Ave. So., Far
4634 KinQSburv Dr.._ ,.._Lot 5_Block 4.Beacon Hill
1?& ? March 30, 1983
BuiWftOtRdil g? Doa: .
MtT IN A COMMKUW? lMCf
OBI LItNOIN Y.S.A.
CITY OF EAGAN
9795 Pllef Knob itood Eagan, MN 55I22 NO 7777
? PHONE: 434$100 -
BUILDING PERMIT ReceiPt
To be wed fo. SF DVYG/Gar En.volue $57,000 Date January 28 iq 83
$iM Address 4634 Kin gsbury Drive
Erea
?
Occ?POr,cy R-3
5 4
Lot Blotk Set/$ub. Beacon Hill Alter ? Zoning R-1
Parcel # 10 13500 050 04 Repoir ? Fire Zone NA
Enlarge ? Type of Const. V
rc
W Nome Joseph M. Mi11eT Const., InC. Move ? # Stories
; Address 18133 Cedar Ave. So. pe,r,ous?, ? Length 52
b Farmineton
Ci
Phone
454-4753
Gmde
?
Depth 38
Sq. Ft.-
a Name Owner Approrals Fees
i
0? Address
Name _
Assessment _
Water 8 Sew.
Police
Fire
permit JV4. VU
Surcharge 28.50
Plan check 152. 00
snc- 525.00
Woter Conn420" no
Water Meter 60 • 00
Rood Unit 240.00
?, Address
Eng, _
<W Lity Phone Planner _
Council _
I hereby acknowledge thot I heve read this applicotion ond state thot gldg. Off,
the informotion is correct ond ogree to Comply with all applicoble APC -
$tate of Minne:ota Statutes and City of Eogan Ordirwnces.
Signoture of Permittee
A euudiny Pe.R,ir ts issued ro: Joseph M. Miller COriSt. ? ]1
all work shall be done in accordorxe with oll applicable Stg4
'of Mirine oto qh
Twal $1729.50
on the express tondition thni
e of Eegan Ordinances.
Building pfficial
T
R
S
I
qacheny`-
Robfing & Siding Inc.
• j 89T Hwy S
? Lake Elmo MN 56042
LiCfnSe #7596
Tel (65h) 484-19-6 Fax (651) 482-8377
October 30, 2006
To Wb.om it May Concern: PjNfv 17- ?670CAS
Tacheny Roofing only did 7 total square bf siding at the address of 463.4 KinQSburv Dr. Eag=
Mn 55122. We are not responsiblc for other part of the bome. The area we did is where tb.e
porch is and the back of the garage. Zf ? have any questaons please contact us at 651 48414b6.
Regards,
Tacheny Roofing & Siding, Inc.
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan sfwwing beam &window sizes; poured found design, etc.
1 set of Energy Caiculations
3 copies of Tree Preservation Plan 'rf lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilalion fortn
RemodellReoair RequiremenLs
2 copies of plan showing footings, beams, joisfs
1 set of Energy Calculations for healed addifions
1 srte survey for additions 8 decks
Add'rtion - indicate i/ on-site septic system
7elephone # (
/ ?
Date `,0 /?/ Construction Cost s, dQ?
Site Address 4(o-?;H ip?k?S A Ul2 `? D12 • Unit/Ste #
Description of Work DLC kNWT (G\)
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner M A 6s g-- 0?41?4 Telephone # (G ? I ) l{ 2-0
Contractor ?ao{z Cc?^^jOqv?Y
Address
State hk12GW ?'Cvb ?
Zip t;SG-17 City
S W?t? ?.pGm Hi«H7
Telephone #(aS1) ?32-Z 31? Exfi 16?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submissiontype) Submitted Submitted
. • 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ,
,
Mechanical Contractor .? '
? ?f I JU. „
Sewer/Water Contractor
difice Use:Oniv
pfSurveyRecd 1" _N
Cm
TreePres.Plan Recd Y
TreePresRequired Y? N
On?ite"SepticSystem ,; Y =N
Telephone # ( )
Telephone # [ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with flie ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
M ? ,k L ?2 vow
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dweiling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
J( 18 Deck
? 19 Lower Levei
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Muiti Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Buiiding ? 42 Demolish Foundation 0 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCrlptlOfl: Water Damage _ Yes
Valuation ?-au,q Occupancy MCES System ?--
Plan Review /d/' 100% or _ 25% •
Census Code ? Zoning City Water ?
SAC Units " Stories ? Booster Pump -
# of llnits - Sq. Ft. PRV i
# of Bidgs Length & Fire Sprinklered -
Type of Const ? Width /L
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
? Footings (deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O.
_ Foundafion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding
Stucco Lath Stone Lath Brick
_ Fireplace _ R.I. _ Air Test _ Final _
Windows
_ Insulation _
Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Uti{ity Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totat
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
Building Inspector
----- ??--??-------
;entex Homes Miawest Inc. FL,p.O 93037 FI.-tY .
8601 Darnel2 Road
. 'Eden Prairie, Mn. 55344
Survey Fors
Joe Miller ConstructioDELMAR H. SCHWANZ
18133 Cedar Ave. S. lANDSUFYEVOR?$ I17C.
Farmington, Minnesota RpicterW UnEor Lawc of TM State of Minnnota
55024 2978 - 74BTH STREET W. - BO%.M ROSEMOUNT, MtNNESOTA 86068 PMONE 812 4231789 ?
SURYEYOR'S CERTIFICATE .
w d.
Cale ti In?
? (1?td?Denotes pro sed finiah elevation
Denotes direction of aurface
drainage
G? 1 37
?' p 31.12 - ` ??ii s o
S..
? ?
_?? ?
lb
_ ?' J I ? ' 13.00 ? / (
? r= v i?
?A, M Q sf
_7 o ? I 3
? ,?i ? ?? cQ ?° ?y ? ? _
-
co
J
d-
I o
_._ Proposed garage floor O
Elevation ?
?'??•?'__.. Propoaed top of Block -
Elevation A,Denotea iron pipe mon. (
Proposed basement floor ?
Elevation 13 Denotes wood hud
r? ;VA.eDenotee existing elevatitn
I hereby certify that this is a true and correct representation o£
Lot 5, Block 4, BEACON HILL, according to the recorded plat thereof,
Dakata County, Minnesota.
Dated: June 18, 1979
Alao showing the proposed location of a houBe not staked thereon.
Revised this 30 day of November, 1982
? MINNESOTA REGIS ATION N0.8625 _
?
.- • • -
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWction Reauiremenls RemodeUReoair Reauirements O(fice Use Onlv
3 registered site surveys showing sq. ft ol lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calcula6ons (or heated additions Tree Pres Plan Recd
2 wpies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for additions 8 decks _ Tree Pres Not Reqd
1 set of Energy CalculaGons Addi6on - irrdicafe i/on-sfte septic system _ On-site Septlc System
3 copies of Tree PreservaGon Plan if lot platted after 7l1193
Rim Joist Detail Op6ons setection sheet (bldgs with 3 or less units
Date Lq-/ 05 / QLo Construction Cost ? ?ow
SiteAddress q,U3? U"MIQul,w ?1?. . Unit/Ste #
Description of Work
Multi-Family Bldg _ Y2?, N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (?q ) ??ll/ ? ?'"? d?CJ
Contractor ES4 h
Address -? City 1 4, E I?
State Zip L Telephone # (? S)) ? ? LI^ ! L?lY?O
, _, v (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rul"es 7670 Cate2orv 1' Minnesota Rules 7672
Energy Code Category
• Residential VenGlation Cate o 1 Worksheet New
•
(J submission type) 9 ?' Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calcufations Submitted
Licensed Plumber
Mechariical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to 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.
7c) . od
IU M T u ? - *Akl/? a ?
Appl?cant's Printed Name Applic nYs Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - G ive PCA handout to applicant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length ?
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Poo] _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ 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
RESIDENTIAL
BUILDINC PERMIT APPLICATION
S CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-689-4675
New Construction Reauirements RemodeVRepair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window s¢es; poured found design, eta) . i site survey for eulenor additions & decks
• 1 set of Energy Calculafions . Indicate iF home served by septic system for additions
• 3 copies of Tree Preservafion Plan if lot platled after 711193
• Rim Joist Dehail Options selec6on sheet (bldgs with 3 or less unils)
DATE 67 '2-7'9 2" ALUATION 4 qi 0D`O` r?
SITE ADDRESS 1163q
TYPE OP WORK /?,o?a? Wi?vws
APPLICANT 9e
STREET ADDRESS Xi+?44r?
TELEPHONE # 6R'US6-9q2-0 CELL I
MULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0_ i_ 2
O \QLsz
,A?ve CITY C-"-fv% STATEXI/V ZIP SSi2 2
'HONE # FAX #
PROPERTY OWNER N4`"? Me??rr?
TELEPHONE# o?.V'Y?"6'-9Y2n
------------- ---------- ------------------------------------- --.................................
COMPLETE THIS SECTION FOR "NEW" RESlDENT1AL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RCTI.ES 7670 CATI;GORY 1 MINNE5U1'A RULES 7/672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted . iVew Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
_ Water SoCtener _
Water Heater
No. of Batlis
Air CondiUoning
Heat Recovery System
Phone #
Sewer/Water Contractor: Phone
---------------------------------------------------------------------------------------
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information Loyo?d-aorggleAbmply
with all applicable State of Minnesota Statutes and City of Eagan O' an ?
_a'?kgnotureof Applicant ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4J02
_ Phone # .
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 91dg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacsment •Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tota I
Building Inspector
RESIDENTIAt
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3530 PILOT KNOS RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodellRepair Requirements
• 3 registered site surveys showinq sq. ft. of lot, sq. ft. of house; and all roo(ed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculalions (ar heated additions
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc J . 1 site survey (or extenor additions & decks
• 1 set of Energy Calculations . Indicate if home served hy septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711?93
. Rim Joist DeWil Options selection sheet (hidgs with 3 or less units)
DATE 4 • MSt\a • O2?
SITE ADDRESS
VALUATION Lb, St 0 0 /
TYPE OF
APP
MULTI-FAMILY BLDG Y N
? FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 6aM WCn _"MWLI. CITY'PC?'`0.Y1iC?,_ STATE(B ZIP 60339
TELEPHONE # +63 •S9)-WOrC,ElL PHONE # FAX #
PROPERTYOWNER'Ir0.{1l, Ynj,.'4r_6 TELEPHONE# (OSI • VSZD' 7q;)O
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[INNESO'1'r1 RiJI.liS 7670 CA"Fl:GORF 1 vIINNE501'_1 RIILES 7672
(V submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Ptumbing Contractor: _____ _______________ Phone #
Piumbing system inciudes: V4'ater So[tener I.awn Sprinkler Fee: $90.00
WaCcr Heater \o. oC R.I. 13aths
NO. Ol'B1Cl1S ?
Mechanical Contractor: Phone #
Ulcchanical systcm includcs: Air Condilioning P'cc: $70.00
HcaC Recovcry Sy'stcul
Sewer/Water Contractor: Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the int rmation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City oP Eagan Ordi nces.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFIC& USE ONLY
? 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
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Levet ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof , ?, 46 WindoWSlpoors
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant
Vatuation Occupancy • 'MClES System
Census Code Zoning • . City Water
SAC Units Stories Baoster Pump
Nbr. of Units 5q. Ft. . '. PRV ' •
Nbr. of Bldgs . Length ' Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Fbotings (new bldg) _ FinaUC.O.
Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
r k
Installed
Siding andlIM&RspOWER OF ATTORNEY
oFcoBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
attorney-in-fact and do
name, place and stead
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
authorize and grant said attorney-in-fact for me and in my
the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 30th
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this
3n'? day of M/h`f , 2002.
David . z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May,
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galieria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
CT.1'Y 01= 1?:A('Ah:
CASI3:l:f::R" Jc`a` 'IF.R.NINAI._ NOt 607
ilAi°:;° 176t26/99 TTM(:.^ 11:0007
IDw
h!FaNsE:a . XSR.T_AN E;Ai...0I4 CONS71iU(;'T'D.W
;:321.(] =;(StJi 4t,31 I.:LNGwBUI;Y l.:l.i.c;'i
215i5 9001 4634 K7:NG,tiB1.JRY c?,.'::i'iJ
,,
7«F,a:C I{ec'eir.it Amt:,t;ni;; ii.'sai5
1,W592i
l.;S!:i:l; O; .I Afi?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4-I ?j5
? Vl CITY OF EAGAN t 13.-7
!b-I 3830 PILOT KNOB RD - 55722
651-681-4675
New Construcfion Reauirements
? 3 registered aHe surveys showing sq. ft. ot loi, sq. ff. of house
aod all roofed creas C20r°6 moximvm lot coveraae allowed)
? 2 copies of plans (show beam 6 window sizes; poured fnd. design; etc.)
? 1 set of energy ealculations
? 3 coplee of hee presenaNOn ptan if lot platted affer 7/1/93
DATE: Oo Z2 (0 / ql
Remodel/Reoair Reauiremenis
2 copies of plan
7 se1 oi energy calculations for heafed addRfons
7 sRe survey for exferlor addHions 8 decb
CONSTRUCTION COST: N39Z ?
DESCRIPTION OF WORK: 4 - R
STREET ADDRE55:
LOT: ?
?
s, &?w'./ ]:>/`
BLOCK: ? SUBD./P.I.D. #:
Name: e,v-+ Phone #: ?fa5!
PROPERTY Lad Firn
OWNER
StreetAddress: 71Z3? k?`a?s!.?? OY.
City G4C,64 State: Zip: Sr?1? Z
, gr,&AA,
Company:'J?','*ki h A/ou-) Phone #: faSi 322 - 7?Z.Z.
(area code)
CONTRACTOR
Street Address: 9355' etPP+-? I S Q ? sr, a1 License #A0i9il'o"LL5 Exp, 00
City ?o ?me vno,ti,s t' • State: 13'I N Zip: S'So(e?
ARCHITECT/
ENGINEER Company: Nome:
Telephone #: area code ( ) Stree't Address: Registration #:
City State• Zip:
Sewer & water licensed plumber (reauired tor new constructlon onlv):
Pdnaly applles when address change and lot change ts requested once permN is Issued.
i hereby acknowledge that I have read this application, state thaF the informatlon ts cortect, and agree to comply with ali appltcabl
Ylate ot Minnesota Statutes and City of Eagan Ordinances.
5lgnature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
`e\1
AUG t 6 r r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
,
? 31 New ? 35 Tenant Impr -? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
t
SAC Units
% SAC
Certificate for:
• •Centex Homes Midwest Inc. 9303r7 F?UP
8601 Darnell Road
Eden Prairie, Mn. 55344
Survey For:
Joe Miller conatructiopELMAR H. SCHWANZ
18133 Cedar Ave. S. LANDSURVEVOfY'S It'tC.
Farmington, Minaesota peg+•e.rw une., L.w• at Tn. st,te of M,nn.+o1+
55024 2078 - 116TH STREET W. - BOX.M R08EMOUHT, MINNESOTA 56088 PHONE 617 423-1769
SURVEYOR'S CERTIFICATE
7> o , Cale N
.?Denotes pro?iaed finiah elevation
?
Denotes direction of aurface
drainage
? ?p
38.
? ???•= a .
?-! n
O?
S $.V a)
oi 1
?
? ? -? ?3?b ? -? J ., `'- ? ?.
?A' Qos?a+?
?-
,
Q
d? _ 39??`h(
30 ? 73,
?
,_-_Proposed garage £loor S 75° p
Elevation 3
3,??4 '+__ ._Proposed top of Slock
Elevation *?Denotea iron pipe mon. I
propoged `basement floor
Elevatian EI Denotss wood hud
Denotes eXisting elevati?n
I hereby certify that this is a true and correct representation of
I,ot 5, Block 4, BEACON HSLL, acaording to the recorded plat thereof,
Dakota County, Minnesota.
Dated: June 18, 1479
Also ahowirg the propoeed location of a houge not ataked thereon.
Revised this 30 day oP November, 3982
:
MINNESOTA REGIS ATION N0.8625
4f
{ ?c,? i , „a... , •a?,.:.?,,,;4 ,a .? . _ P?ys "1 0? d
II y. , { , ? Y ' . . :' . ._ ..y.i • .
§A? y ; Q
"p?? COMPC''n7'TON ? ? I
-?f } '? s EXTERIOR ENVCLOPi. AVE[tl1GE
---
??
DnTL . gz? -
OWNERs ? -
` 4634 Kiik'sbury Dr. PIIONE: 454-4753
? ,$#TE. ADDRE:SS s
' t;70NTPA=R: ?
Ostexl.ne working equarq footage of each ,
i? Y, ,17
?+a?. expopeai????i ar}z r.,,,??,. ?,.c?E?,._ sq. tt. ?
? N
M?r 8q• ft. x .OS
? . ? ,?. ?TQd1 i0ot?b', ?? ?}??I} ?? ? ? • ' l?? 3 ? l 1 „ 1 . ?i? ? i•. (' ' • '
:
L? ?.i '` ? 1 ?--.. E •?,? ( tl i? :' S
wull are va.,above f loor
?'' . ,;•t? ? ? ???',;`+;-.'
,, r :._._?• . .... l?A
..... r?$r
a. Totrxl-wall wic?dow area? ....................
...........:..................
Tote.i tloox exraa ' , . . . . . . . . .
Rbtal slidinj gisss doVF area .................... ....
; ? • .._
ti ..................
d, 7'otsl fireplace wali area ........... 170
...•:
e. Total wall framing area (average 10i) .............
f. Tbtal rim joiet area .................................
n[E'r h? .............
g. all. area above flour. ............ , ?3?
-
h, w17.1 area above floor ..........................
i. ? wall area above f.loor .......................... - -
aall area above floor ..'.......................
J. ,
; .
= _
?. Total exposed foundation area _19!1
k. 5bta1 fo?u:dation window area............•••• •........
!i . . . . . , . . . a .
1. Total net four•dation area above grade ........
+',..
1
petermine "L"' value of each wall segment
(e.g. wirrdow, door, each separate wa11 section)
?
' A c
, g, 1'W X „Ull ? .7G7 ° ?..?..?..---•?- . .
X qUlr ? 55 a i ?
.
r t.. c. 4? . x nVn •_.?--- ..._., Z9!L
d. - X Mull - ° ?...-------
r
??i e. ^ 1 -10 g
19 ? x,.?„ . 04 I m ???
• f. .
9 ??0 X ltU„ .0444 =
? . ?
t x „ull _
h.
4 X ??on ^ _?-- ° -
f i.
lf item #3 is the same a:s.
?.
J. XolUli or less chan item #1. You
s )iave met tlte tntent of
600b (c) 2.
, ----
? ., ' , ?.. e ..•?.. .,. 11111 .4-1 . . '' .32,:.1_
.
- ; ? Page 2 of 4
• Lxterior EnvQlope Average "U Computation
ToWl exposed roof/ceiling area
m. 'Potal:skylight area ............................
n. Total roof/ceiling framing area (averagc
o. Total net insulated roof/ceilinq area...........
Determine "U" value for each roof/ceiling Segmeitt
, .
. X pUn -.--
m. -
n. ? o$ g :a2'7
o. °f -1O g 'lUll Z_`--
9 ........................... Sbtal Z?-Z
If total.of ;k4 is the same as, or less Lhan #2, you have met the intent of
' SBC 6005 (c) 1.
Alternate Suilding Envelone Design _
1b utilize the total envelopa'system method, the values established by the s••.im of
items if3 and #4 shall not be greater than the sum of items N1 and #2.
1. 32s??.4 + 2. S3. =
, s _ 2 + 4. _ _ 24 Z "]
,
;
?
yy
? -
+
T?..1??G ? ? l I -t 2 (a + 3 'b ?Zla4 "J + C.Q
. ?
?:U LL ? i? ??s+3 = 14%
;
. FuLl.2
1Z 1 Ni = ? 14'
F . ?Q't . FT, ?l??05ED
' 3Lbc IL', 13g K , S -
X 5 =
I
1?uLL
? X.
I??
'
Fu L..L Z ; - k S =
C / I
i 1
i pf
?
., ?
W A i..l.. Ariz.E.A
&g
5 ?0
? ?Zs
JAI
,
To tA L?
? 5 apt ?
¦ w DwlS
; .
?i
Z43(n
za4 b
f to 3ca
?1l48
i
' k 5 ?-
?
?
EKp05e?D GEILIUq ?88? 2z.5kL??5= ld"?
?
rt" I i I 48
32
li ? $
2-1
CE?
ZO
? D o0?5 ?
Z° ?
Za ?$
¦ ?AT ( D ?? . ? .
1 0 ,Qi1
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fL/
OF,,SH4 vL1 i-I-S C1J I
i v
' . _... ? . . .
. ?
Rp(yr/CEILI:IG • . .
.
R-Val%lc
? , ; . ? f.'on••_t' ?_!,_t{ ' , `'_
: ? ' ' • r i_ Interior .ii? ti:^+--=- _ 0.61 .
Q ?111111
; .. ? ? 2.
qp.oo
?; ??,?.??Y?'/7 ?c+? ? ? ? ? ?t e ??n.? IJ ? ?
j:x (still)
tc__ f itn
? sotal
? .........1.-- , . • .
? _. ._---?--?- . . V ! . 0?3 •
? . , . , .
? . . . .
. ? ?
? ? • ' r??? `r • ? ? •
. • 0.61
? , • ' 1. Interior air Pi1Q
' gest i].ov 2, '
eated
? . ' or aiL ?iln Z-' '
. • .•• ,. 4. Exter Total 3?. ? S
: : .. , .
' IIG. i5? ? . , ,` . ? ? ` •?Z? . " ,
• ? . • • ~ • ? • ' . ? •
. ' ? ? . . , ' • • •
• . ? . ? ?/?T? ??r..
? . ? • t oAw y?A 0.61
1. Insi a.ir f3I?? .
2. '
' 3. -____------- -'_
? q _ _
Out_.---idc ----,- D . 17
? ? Jir f.tl•,
Total
? . . • ' • ? .
0.61
; ? ' • 1. Tn..?_, 1`ai•Z 4ilm
I • 2. ?
. • • =?vsattd -
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? ew ??Q1i??;r 4? f i lm O•
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-?----_ Total
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.
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4634 Kingsbury Dr
Lot: 5 Block: 4 Addition: Beacon Hill
PID:10- 13500- 050 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Capstone Bros. Contracting
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882 -8888
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
$90.00
Owner:
Mark R Meffert
4634 Kingsbury Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA087019
10/21/2008
ePermit
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172266
Date Issued:09/22/2021
Permit Category:ePermit
Site Address: 4634 Kingsbury Dr
Lot:5 Block: 4 Addition: Beacon Hill
PID:10-13500-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Mark R & Carla S Meffert
4634 Kingsbury Dr
Saint Paul MN 55122--271
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature