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4647 Kingsbury Dr íøú þýýüÿûúûúø ÷üüýý í öæýþ íäá äîíä þý ÿþýüûúÿùø ÷ýüûöõ ûúÿùø ôÿ ûóòÿó ñÿþð ûïîíì ý îíë ðóúïûó ìêîéëéëë ó÷ ÿñ úèêîééíî òñ ðï ûû âÝüÿóþ ùá öüð íí÷ á ñõüäãà þÿü ÿ çðöîîääã ðöîîíííã ïîíìãã ñþüõ ñ ñçñ ûû ññæó óûüõñûûþ æð ÿ øüæ å é ûûßó ÿ ÿü ÿ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I I" 3830 Pilot Knob Road Permit Number. ''`'"' ' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 I SITEADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .A 1 i 1? I E 3? I:, . za Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Foaings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector- Notiry Ptumber Const Meter Engr./Plan Bldg. Final Z Deck Ftg. Deck Final Well Pr. Disp. ? ?-- ^ ^--- INSPECTION RECORD - ^ ^ ^^ I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: • ' ` ? :!?, ;tili{?', le!? ' PERMIT SUBTYPE: r,ri. ni r APPLICANT: V 4 i nP MN TNI TYPE OF WORK: I r I ronI I ;tF'MAPtF:S: S7D7Nr, S01'FfT FAc?f..lA TR'CM s04111 lli'Rci ? Permlt No. Permit Holder Date Telephone M ELECTRIC PIUMBING HVAC Inapactlon Data Insp. CommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ? ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. BSMT FINAL I DECK FTG DECK FINAL pdA? I r-- INSPECTION RECORD ` I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ? "?!'?t• ? II (612) 681-4675 I SITE ADDRESS: APPLICANT: : PERMIT SUBTYPE: TYPE OF WORK: i 1iHATfO1y I 4<+I llt,fl t+j I I I! IP1/if Pertnit No. PermR Holder Date Telephone A ELECTRIC PLUMBING HVAC Inapeetion Date Inap. CommenU FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ?.? FINAL PLBG FINAL H7G ORSAT TEST . BLDG FINAL . BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecerveo FROM AMOUNT $ I R OOLLARS ,oo ? CASH ? CHECK FoR 151 3- &a&q&+4jI Thank You ?o- - BY White-Payen Copy " Yellow-Posting Copy Pink-File Copy CIT Y OF EAGAN Remarks I Addition BEACON. HILL ADDITION Lot 24 Blk 3 Parcel 10 13500 240 03 _ Owner 16'','?-?-.. ...street 4647 Kingsbury Drive State F.agan, NIlV 55122 _ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. A 1982 1806.93 200.77 1806.93 C007565 10-1-81 STREET RESTOR. GRADING (p?j 1982 526.46 58.50 9 • -- SAN SEW TRUNK 1976 135.97 9.06 15 90.67 A008956 3 18 80 * SEWERLATERAL 1982 3116.46 346.27 9 3116.46 C007565 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA 1982 198.01 22.00 9 198.01 C007565 10-1-81 * Stubs 1982 9 STORM SEW TRK ?v 1982 359.82 39.98 9 359.82 C007565 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT 185.00 21194 10/2 80 WATER CONN. 30$.00 21194 10/2/80 BUILDING PEA. 62 SAC PARK ,. - . • cirY oF EAcaN ' 3795 Pilot Knob Road Eagan, MN S5722 N2 6250 PHONE: 454-8100 BUILDING PERMIT ReceiPt # -- To be umd for Est. Vol„a Dntr 19 Site Address DI'. Erect p Occupancy Alter ? Zoning Repair ? Fire Zone _ Enlorge ? Type of Const. Move ? # Stories Demolish ? Front k. Grede ? Depth h. Aoorovois Fees Lot Blxk Sec/Sub. Parcel # ix Name i 3 Address :-52}F, f :?.. D1. ..a ? Nome ,o ?? Addre, Name _ Address I hereby acknowledge that I have read this appiicotion and state thet the information is correct and agree to comply with all applicable State of Minnesoto Statutes and City of Eagan Ordirances. Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit _ SurcFarge Plan check SAC Woter Conn. Water Meter Rood Unit Total i ] Signoture of Permittee I A Building Permit is issued to: ? on the express condition that all work shall be done in accordance with cll applicable State of Minnesota Statutes ond City of Eagan Ordirwnces. Building Official POMIf # Dah Ismd PerNtMo Plumbing aC /` Mechanical //' ?.PO ? (?l ?• • ? _ ? , INSPECTIONS I DATE INSP. RwqMln Finol Footings Date Insp. Date Inp. Foundation Plumbing Frame/ins. Mechoniwl e_ Final Remarks: CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number. I ?an, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: ?;, r, :• a s.t ?,,; +.: ; APPLICANT: 464! K.TN65ftUNY ftR NElii;(?N N:fl -L PERMIT SUBTYPE: TYPE OF WORK: rr,dA ?b ?10-to 7 5 1 Permii Holder Date 7elephone p PLUMBING HVAC Inspection Uate Insp. Commenls FOOTtNGS FOUND FRAMING ROORNG ROUGH PLUMBING PLBG AI R TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT ?EST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST 8SM7 R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN SEWER SERVILE MERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner; _ Address: Site Address: ? Plumber: 1 agree Fo eomply with the City of Eagan Connection Charge: Ordinanoes. Account Deposit: Permit Fee: Surcharge: By Misc. CFwrges: Date of Insp.: Insp.: Total: Oate Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilof Knob Road PERMIT NO.: Eagan, MN 55122 DATE: ' Zoning: No. of Units: Owner: - Address: Site Address: -r ' r` Plumber: Meter No : Connection Charge: . - Size: Account Deposit: Reoder No.: Permit Fee: I ogree M eomply with Yhe City of Eagan Surcharge: Ordinaneea. Misc. Charges: R.. Dote of Insp.: Total: Date Paid: CITY OF F.aGt71Jv ?? Include 2 sets of plans, VAQi)£ (. ?, ?1 site plan w/elevations & BUILDING PERMIT APPLI TION 1 set of energy calculations. Zb Be Used For -DWE L(- 1 t-A (o Valuation G8, nOc? Date 112 3/8 ? site Address: 4(,!?rj oFFICE vSE ONLY Lot _14t- Block ? Sec./Sub. Erect ? OccuPancY Parcel #: YDEACA *l L. Alter Zoning 7 . Repair Fire Zone 13 ,Enlarge Type of Const. (/ Owner: ? NJpve # Stories Address: LL, ? Deirolish Front SY1 ? __ ft. ft. City/Zip Code: ??(o p}??r_'?'J???2. Grade DePt11 36 _ Phone # : " ,s A - a -?2? 6n APPFtOV11LS FEE-S Contractor: Rddress: City/Zip Code: Phone #: Arch./Eng.: _ Address: City/Zip Code: Assessments c? Water/Sewer Police Fire Eng• Planner Council Bldg. Off. APC Phone #: Permit r sa. So p Surcharqe 99.0 Plan Check `i (O ,'Z S SAC a52S.b0 Water Conn. Water Meter (00.00 Roaa Unit lF3S.OC? ICYPAL % 31) 1 11 5_ . , r `Tert'tfiratr vf (Orrupanry (Eitp of (Cagart Vrpttrfinent itf Vuii?tittg 3tiiivrrtimt Thrr Ceirtificate iaaued purtuant to tbc requiremrnts of Sertion 306 of the Ur:iform Building Code certrfying tbat at tbe trmc of iuuancc this ttructure wus rn compliance wit6 tbt vuriour ordinunas o f the City rrgulating brulding ronttrtution or use. For the f o!lou7nb: SF DWG/GAR 6250 Um Classficstim B14g. Pemtit No. Omipam.yTYP. R3 TYPe Cmawctian V FircZOnl 3 ZoningDktnct Rl pwner of BWlding Centex Homes Addrev 4615 Beacon Hill Ct, Eagan 4647 ings ury , , acon iI?- Bwidin¢ Addwa Locality _&-CQ _.???,-? ? 12-18-$0 euaaNeoffou wu: _ ?... _ .,.. ;?..:. .y, ••.• M?T IN A CONi?ICIIOYf MC[ .. . ` - --- ----------- i Fflr??? i j Permit #: ? Permit Fee: q ?` ? Daie Received: I Staff: (? ? I I ` _ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ro "-`!oo SiteAddress: 4` 7 ?)(Z' 64-613? Tenant: Suite #: RESIDENT / OWNER Name: A?z Phone: Address / City / Zip: OL 4SWG,? Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: ri'?()? Construction Cost: Multi-Family Building: (Yes ! No ? CONTRACTOR Name: License #: Sl'ya V Address: 2)j^ /7 i2% City: State: 0' Zip: Phone: 2-7 Contact Person: ? r'"? T)_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Resideniial Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission typ¢) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE; Pians;andsupportinq ciocumerits that_y`ou'sutirriitare,consideredxo be pcrblic information:,,Portions of ' #he intormation may be classified as non-publicif you provide speCifiC reasons tirat wouJtl permit 1he City#o. ? conclude':tiiat the :iaretrade.secrets. I hereby acknowledge ihat this information is complete and accurate; that the work will be in contormance with the ordinances and codes of the City of Eagan; that I un is is not a permit, but only an application for a permit, and wor ' starl without a permit; that the work will be in ;ancc wit ihe approv plan in ihe case ot work which requires a review and approv of plans. X 's Printed Name ApplicanYs Sign ur Page 1 of 3 id%, ?- nr. .'..?..?..?;:e.1....1,•.1 :3 1.1:.?„ ...-..d??..:_Iln ?. -..?._ .. :.? ..? «.?._? .:...I.. ?._ ' , .' 0 'J.I 6 . • ' ' '. ? P.. ..? ., ...._ h,., i • ? ' ....: ? ? .. ?. 1':I?i ..... •.. ? ? I t ::.'.....i? 1" 1 I \. ' ? ( :; .:..vl.. 32:1H.' `:7(:Iil:i J.Fr , 2 ::i 11 ?:?!::. ?. ...1 ... :. ...... . . . ?. ? t' 1? ?'\? ?.•?: '_'"il { ... , 1_,I_? ..... ... _. .. .:1...1 k. ... I"?. ` "'? J 19:3 •:4t .,i... i f•':t ` . l:? ! jt.N r PERMIT _CITY OF EAGAN ? 3830 Pilot Knob Road PERMIT TYPE: s u z Lo z tv c Eagan, Minnesota 55122-1897 Permit Number: 030957 (612) 681-4675 Date Issued: 10 / 13 / 9 7 SITE ADDRESS: 4647 KZNG56URY DR LOT: 24 BI.pCK: 3 BEACON HZLL P.I.N.: 10-13500-240-03 DESCRIPTtON: sF (tnzsc.) REPAIR 434 ALT. RESIDENTIAL saL wa i?*?Na.? .i? ? a?Wm4 ?'??r?? ? ??"a?:a 0:4 1?*`?. wz ,s,? gce R3p. S? P.r: v .? 3 `e?'.s?,x.s *x ..,.p !-wW REMARKS: SIDING 50FFI7 FASCIA TRIM SHUTTERS FEE SUMMARY: VALURTTOM $12,060 Base Fee $187.25 Surcharge $6.00 Total Fee $193.25 CONTRACTOR: - Applicant - ST. LIC OWNER: PANELCRAFT OF MM INC 17216628 0002179 WEHR TOM 3118 5NELLING AVE S 4647 KINGBBURY flR MINNEAPOLIS MN 55406 EA6AN MN 55122 (612) 721-6628 (612)454-4167 , APPLICANT/PERMITEE SIGNATURE Loa bal.M -fS50ED BY?SIGNATURE' V 9 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 01-f 3830 PILOT KNOB RD - 55122 681 -4B75 New Conatruction Reauirements RemodeVRenair Reauirements $11 iCo .zff ? 3 registered site surveys ? 2 oopies of plan • 2 copies of plans (inGude beam 8 window sius; poured fid. design; etc.) ? 2 site surveys (exterior edditions & dedcs) ? 7 energy calculations ? 1 energy ealafations for heated addttions ? 3 copies of tree preservation plan iF bt platled efter 7/1l93 requfred: _ Yes _ No ? DATE: CONSTRUCTION CQST: DESCRIPTION OF WORK: STREET ADDRESS: LOT A4 BLOCK PROPERTY Name: ? I o ?Q. V)?(N Phone #: Li OWNER ,,,.. Street Address: ?LVI City: State: ? Zip: CONTRACTOR Company: Phone #: oc?? Street Address: License City:ftQl5 State: ml T ARCHI7ECT! Company: Phone ENGINEER Name: Registration #: S?i-eet Addrass: City: State: Zip: Sewer & water licer•aed plumber (new construction only): . PenaKy applies when address change and lot change are iequested once perrnit is issued. I hereby acknowledge that I have read this application and state that the information is corrend agree to comply with ail appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: jDauft?,-, OFFICE USE ONLY Certificatesaf Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required 15 SUBDJP.I.D. #: ??a I, R j BUILDING PERMIT TYPE 0 01 Foundafion o 06 Duplex jf 02 SF Dwelling o 07 4-plex 0 03 SF Addition a OS 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 _-plex WORK TYPE 0 31 New o 33 Alterations ? 32 Addition av 34 Repair GENERAL INFORMATION Ccnst. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 17 Apt.lLodging o ? 12 Multi Repair/Rem. o * 13 Garage/Accessory o ? 14 Fireplace n 0 15 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. ' sq.ft. sq.ft. Footprint sq. ft. Planning Building a, 't 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System ' City Water Fire Sprinklered PRV Booster Pump Census Code. 5AC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM! Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ?S- Valuation: cr) % SAC SAC l3nits ...... ?:rd :y? ;?vi•?.`d:- '.1i?i . ? i:!{k`.>Y??( ? ? ?.iu7? .':l;}?I?,+i?? :',. "?''!?'?;' ? .? CITY :.1!:' ;r 1'ti' ?I ?-.::.`?., . ? . -t,r,il?•ri_•_?rt ?..r•,-..,r:.,.c:.???.,, r, . ?..?. ? ? ? ?.?r.? .?.. ? -.., ::.nPi;.fvrc. i-?;=..,, . . . , .. rk:,.! . . ...?: 1?' 1.?.:. i ?... ! /.1.i ') !.( l ..??1 1? N ... 1 II') ? :.? I:?. ?? .. ) ..?? . g TT.. . _ .? .- ?? N. "'?;. ip.. _ ?t r....;. ?.. . .q?..J r? '?? I'i?... .. 5217 c:,C?r)'l. 464r' 4{ I.N'.;SBt. . Y °;"':`_: 9001 4647 ;.ING`ryW!'i`.' : :„??., 9001 '._ r._' -? ? . t•???-?? ;.: ? ,:,?;? ...,. rt •.. .i. ,.s..: ?,?_ r,r?,l-, „ s ? )?crr r.?rV ..:?..!?.?.?. ......7,! •.r.'r L?.?...7.] ? ? R:??l]?nr.,-?1?. ? .?. ?.:?.+. c.... `":?..!?_! 700 ?. ......?.:i:.?.?- ...... . ?(lr?r;i,?o.?.f? n.. W.90 IY?i?._ . . . . ... . . . ? rw. q;[3w) _ ? i ....... . :.A)q .'".. FERMIT ? CITY OF EAGAN PERMIT TYPE: '•-3830 Pilot Knob Road B U I L D T N G Eagan, Minnesota 55122-1897 Permit Number: 032264 (612) 681-4675 Date Issued: 0 S/ 16 / 9 8 SITE ADDRESS: 4647 KING58URY DR LOTa 24 BLOGKs 3 BEACON HILL P.I.N.: 10-13500-240-03 DESCRIPTION: SQFFIT> FASCIA, TRIM Permit 7ype SF (MISC.) Wprk Type AL7ERA7IpN 434 pL7, RESIDENTSAL RP61 £ wF? ?4 I 5b +.t?sti. ? sat?st"r«i? ee?' ?? ?"'• It3ag y?y i6?^ +?Ftci?$ @ x1$ ,QSaN?°a4 h$ %& i e?rsta REMARKS: FEE SUMMARY: vaLuArIaN $1,300 Base Fee $43.00 Surcharge .65 Total Fee $43.65 CONTRACTOR: - Applxcant - s7. LIc OWNER: FANELCRAFT qF MN INC 17216628 0002179 WEHR TQM 3118 SNELLING AVE S 4647 KING58URY 1]R MINNEAPOLZS MN 55406 EAGAN hIN 55122 (612) 721-6e28 (612)464-4167 APPLICANT/PERMITEE SIGNATURE IS UED BY: 32 264 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???- ? CITY OF EACiAN 3830 PII:OT KNOB RD - 65122 681-4675 New Construction Reauirements RemodeVRepair Requirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window saes; poured tnd. design; etc.) ? 1 energy calalations ? 3 copies of tree preservation plan if IM platted after 7/1/93 required: _ Yes No DATE: (O'" F- RS ? 2 copies of plan ? 2 site surveys (exterior additions 8 dedcs) ? 1 energy calculations for heated additions CONSTRUCTION COST; 12- /-/ (-/ `CO DESCRIPTION OF WORK: SDrI -/" FiaSG CL 4-ri r1') STREETADDRESS: "I (Py-7 KirIUsbLl-rq Qri Ve, ,.rOT: U BLOCK: 3 SUBDJP.I.D. ?fA C v0 Name: W e, h r 1 bm Phone -i 51'f - "? 107 PROPERTY test Fint OWNER !_ ?}-'-( ! 7 I/ I?, 5treet Address: ? 1U_ 1? I_ Y?D?SIJ _ LkrAI D r ive, City ? Qq a,/7 State: mN , Zip: 5!517,2- Company: PQ.11e, I C,raF"F' or "n Phone #: Z,? CONTRACTOR y?C n Street Address: Sh e- 1t Ivi Q f 1? License # City rvij 11l1 eUD1r5 State: rmn Zip: 55? 0(0 ARCHITECT/ ENGINEER Company: Naane• Street Ciry , State: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY V(1? #! D?? Phone #: Regis+sat:or, "': Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE E3 01 Foundation ? 06 Duplex O 02 SF Dwelling ? 07 4-plex 0 03 SF Additian ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE 0 31 New 0 -33 Aiterations ? 32 Addition M/34 Repair GENERAL INFORMATION O 11 Apt./Lodging ? 16 Basement Finish O 12 Multi RepaidRem. O 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous O 15 Deck SOFFI?? FQ_SG CL ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq.ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharpe Plar. Revietiv License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotai: y 3. 6s Valuation: $ • ?3 oD- O? % sAc SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4647 KINGSBURY DR LO7: 24 BLOGK: 3 BEACON HILLS PERMIT TYPE: Perrnit Number: Date Issued: BUILDING 022009 @9/20/93 P.T.N.: 10-13500-240-03 DESCRIPTION: _ (3-SEA50N) Bu-ild'ing,Permit Type SF PORCH B?uilding 'Work Type NEW • (",iiBC t7ccupah?cy? R-3 ,??t Buflt?ing Length, 16 8uilding Width 12 . J r ., l' a ?-^-r q l r"'^ } C ?- ?"'y 1 4 ?????.?? J?? REMARKS: FEESUMMARY VflLUATION $9,eee Base Fee $108.00 COPZES $4.00 Surcharge $4.50 Total Fee $116.50 Subtotal $112.50 'PQTIO'"E1VCQ0'SURES INC npp1115251494 0001676•WE?R'ER' THOMAS 5120 CEDAR LAKE RD 4647 KIN6SBURY DR ST LOUIS PARK MN 55416 EAGAN MN 55122 (612) 525-1494 (612)454-4167 ? I hsreby aeknowledge Chat I have read this appli,cataion artd state that fihe ? information is carre:ct and agree to comply with all appli:cabYe 8tate of tAn. Statutes and City af Eagan Qrdinanaes. _ APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE '-- . .. - - - - - - -- ? 199? CITY OF EAGAN - UILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date o°I / °4 / 93 Valuation of work -- ? RECEIK-01 Site Location: A 1o,L4 4 STREET ST Ni?p 124W2?p?3 e? ? Tenant Name: LOT ? BLOCK -3 SECT/SUBD.??_ACo,: 6(7, Q *iI.D. # Descri tion of work: - The applicant is: Owner O Contractor ? Other (Deseribe) Name b3e;4P ?4c>M1L?iS Phone J45'4-LAI(o1 Property LAST F1RST Owner Address 46"'1 STREET STE N City State `M13 • Zip SSlaa- Company ? c? Cr?cr ?>s? 92?-c Phone ATIO ENCLOSURcS. INC Contractor . Address 5120 Cedar Lal<e Rnari License # o?14o74P St. Lpuis Park. MN 55416 City (612) 525-1/-q4 State Zip Call co e i .? 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 af Eagan Ordinances. Signature of Applicant: 0 55 61-j:xt - j89 7 $?4??0 CM -?? , BUILDING PERMIT TYPE 0 01 Residential 0 02 R. Garages ?04 Two-family $4 0 05 Multi. Dwellings OFFICE USE ONLY 0 06 Conmercial 0 07 Industrial 0 08 Public Works 0 09 Utility 0 10 School ? . ,? , ?- ..z .. , ? 0 11 Other Structure 0 12 Demolish ? 13 Fireplace ? 99 Undefined WORK TYPE )(4VNew 31 0 91 Addition 0 92 Alterations 0 93 Remodel 0 94 Repair 0 95 Tenant Finish 0 96 Move 0 99 Undefined TYPE OF STRUCTURE ? Stt . Q?- 0 101-01/20 1 Family Res. 0 214-30 Other Shelter/Board 0 102-03/22 1 Family attached 0 318-30 Amusenent/Rec. 0 103-02/21 2 Family (duplex) 0 319-30 Place of Worship 0 104-10/23 3& 4 Family 0 320-40 Industrial 0 105-10/23 5 or more Family 0 321-30 Non-Res. Pk. Gar. 0 213-30 Hotel/Motel 0 322-30 Service Station 0 323-30 Hosp./Institution GENERAL INFORMATION 0 324-30 Office/Bank 0 437 Alt./Add. Non res. 0 325-30 Utilities 0 438 Alt./Add. Res. Garage 0 326-30 Schools/Ed. 0 645-50 Dena 1-Fam. 0 327-30 Retaii/Rest./Vhse. 0 646-50 Demo 2-Fam. 0 328-30 Other Nonres./Sheds 0 647-50 Dena 3 8 4 Fam. Non bldg. Structure 0 648-50 Dema 5 or more Alt./Add. Residential 0 649-50 Demo Other Length MWCC System Occupancy ? Depth m City Water Zoning Sq. Ft. ? PRV Required Const. (Actual) On-site sewage Booster Pump (Allowable) On-site well Sprinklers # of Stories it APPROVALS Plannin9 Building Assessments ? Engineering Variance REQUIRED INSPECTIONS ? 5ite EKFooting ?raming ? Insulation ? Wallboard YFinal ? Draintile ? Fireplace SAC Calculations: Deseription SAC X % snc un;eB M, , ....._-- - - -- -------_-??,,_? ,- _.... ..,...`o 1114RGDN ?U„u. 'Nuaa 53tv 8601 Darnell Road Eden PraiMe, Mn. 55344 . ? ' DELM/1R H. SCHWANZ LANOSVRVEVOR qNlstMW UndN Lawt o/ TM StNe o! Minnoaota 21178 - 14iTM tT11EET W. -!OX M q0{[MqJNT, MtNNESOTA 06M NIOkt st= 4wim 8URVEYOR'S CERTIFICATE Garage Floor L o7 2 4-? . ? ? . 3 ? a i 5 ?v .. kA nRAiNAvE I? ? ? L) rI <<TY S Top oC Block Basement Floor , . ?.v\ 7 V ? 0 0t n `FV ?0 r ZP a " tiv / ` ?w 56AI-E ; I `= 3D ' Denotes proposed Pinieh grade % ? Denotee wood Hub ?o. ,ry ?- , / ? ? : ? Qar J? ? ? ? / ti I hereby certify that this 1a /true and cO ect represantation of Lot 24, Block 3, BEACON HILI3, according ?fi the recorded plat theravl, Dakota County, Minneeota. Dated: January 23, 1980 Reviaed to show the proposed house location on Sept. 25, 1980 Benchmark: Top hydrant between lots 16 & 17, Blk. 1, Elev.- 944.01 MINNESOTA REG16TRATIOH MIO. U26 r.? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 (GAS ZNSERT) ermit Type FIREPLACE '4?k Type ALTERA7ION 434 ALT. RESIDENTSAL OXo 3Al 73S BUZLDTNG 927196 03/26/96 SITE ADDRESS: 4647 KINGSBURY DR LDT: 24 BLQGK: 3 BEACQN HILL P.T.N.: 19-13500-240-03 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee Surcharge Tatal Fee PERMIT PERMIT TYPE: Permit Number: Date Issued: ? ?bq19'.vd? tdY?:.T ??-wa? ??$?i .14 Al $25.@0 $25.50 '°a$^l?P AR?`:#I81 ? ¢[= ?'.S L' '4 ?31$ ?sa1P . CONTRACTOR: - A p p 1 i c a n t- STATEWSDE GA5 SERVICES 144771$5 3342 BALSAM ST SW PRIOR LAKE hIN 55372 (612) 447-7185 APPLICANTlPERMITEE SIGNATURE OWNER: WEHR 70M 4647 KINGSBURY DR EAGRN MN 55122 (612)454-4167 ??, I ? K`?? 1h ISSUED BY: SIGNAThRE T CITY OF EAGAN ililc 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: -s b.b Iq.6 DESCRIPTION OF WORK: _ INSTALL NEW FIREPLACE: _ WOOD BURNING _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE ? OTHER: ? 42ff,ff o ,/K. GAS ? AREA TO BE INSTALLED IN: 22?i? STREET ADDRESS: ///L,e LOT BLOCK _g APPLICANT: (circle one only) SUBD./P.I.D. #: OWNER CONTRACTOR 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. PROPERTY Name:Ll? Phone #: ys `51-5'l6"7 owNER ?. pRV Signature: Street Address• ?Ly-7 City: >? State: /y,? Zip: y5?/.Z ?_ FIREPLACE Company: ? r?..? fsz???=S Phone 71?-? INSTALLER Signature: Street Address: 3?%? /????a ?i?.??? License #: City: -/ Z-o,e State: %r Zip- -??3 GAS LINE Company: Phone #• y5'7- 7/0 ? INSTALLER .. Name: ? Signature: 2` -r Street Address- y ????'`'• Zip:SS?7? City: State: A? OFFICE USE ONLY BUILDING PERMIT TYPE a 14 Firepiace WORK TYPE 0 31 New ? 32 Addition 0 33 Alterations 0 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. ? FEES Permit Fee Surcharge Other Copies Total: ?-? . 1999 BUILDING PERMIT APPLICATION CITY OF EAGAN ? j L{ ot 0 + 3830 PILOT KNOB RD - 55122 ? 651-681-4675 New Construction Requirements ? 3 regtStered site surveys showing sq. fr. oflot, sq. ft. ofhouse and alf roofed areas (20% maximum lot covereae allowed) ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 set of energy caiculations ? 3 copies of tree preservation plan if lot platted after 7/1193 DATE:, DESCRIPTION OF WORK: ,lCs -Z"D/IV ?? - (RESIDENTIAL) 3- -?-L - ? I Remodel/Reoair Reauirements ? 2 copies of plan ? 1 set of energy calculations for heated additions ? 1 site survey for exterior additions & decks CONSTRUCTION COST: ?- r/V\. STREET ADDRESS: ? LOT: BLOCK: ?J SUBD./P.I.D. #: ? f- Name:_ Phone PROPERTY F;,si OWNER " Stmet Address:_:-/--/4/? %? --------- Citv State: ___? ?? . ----- Z'P: Company:_? 11CC[?'=-_??' Ph one ?l: CONTRACTOR ?y Slreet Address:__`?? Licens Exp. __?, Ciq•?i???`_Lr? State: ?? ?-- Z'p' l??--- ARCHITECT/ ENGINEER Compaziv: N Slree[ City Phone #: Registrauon #: 5tate: Zip: Sewer & water licensed plumber (reauired for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the informa ' is co rect d agr comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican . OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ? i t ' I NAR 20 ?995 'liced Not _? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea) ? 03 1 of _ plex ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Resoof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MClES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Permit Fee Surcharge Plan Review License MCIES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Valuation: $ Totai: SAC Units SURVEY001'S CERTlFICATE Garage Floor `?LZ•? Top oC Block ?? j?? S J a .2 Baaement Floor Lo?,??-` 6,a.. ? e-, ? ? OCx o . o A ? x (o4A ?RAiNAVE ? /lP7 UritoTy, 4? n ? ? a 5 ? q. ? ? ? os n Ia' h a`? t? 4p ?? •f •? ? \O ?q $CAt-6 30' ? 67 Denotea propoeed finish graci? ?y •? ?o ?? - Denotes wood Hub ?• ? I hereby certify that thia is /true and c ect repxesentation of Lot 24, Block 3, BEACON HILI3, aacordirag ?the recorded plat tkeerenY'a Dakota County, F9innesota. Dated: January 23D 1980 Reviaed to show the proposed house location on Sept. 25, 1980 Benchmark: Top hydrant between lots 16 & 17, Blk, 1, Elev.- 944.01 PERMIT City of Eagan Permit Type:Building Permit Number:EA153807 Date Issued:01/23/2019 Permit Category:ePermit Site Address: 4647 Kingsbury Dr Lot:24 Block: 3 Addition: Beacon Hill PID:10-13500-03-240 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Nancy Mellon 4647 Kingsbury Dr Eagan MN 55122--271 (612) 803-8262 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature r • For Office Use a 1 i # '11jV > (-° , Permit#:I. iE AG A N • �, Permit Fee: ECEIVE Date Received: 1- 6"' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 MAY 0 1 2020 Staff: .7611 buildinginspections(o.cityofeaaan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 10, c_,.._(, N.\.e_ 4 - ‘N,.) Phone: 6/2.-7....4-z_4-il-( Resident/ Hip 7 owner Address/City/Zip: Ac.,&\--q- .--1 i,.., _---,- (t. OtU iit Applicant is: Owner s'-' Contractor I'D �e-;60)Gik it' , f Type of Work Description of work: 1c- _\..- „0., (l.,=;v----k P Construction Cost: SLSLS Multi-Family Building: (Yes /No ) ) Company: c , IAAeilrn- ...,-( c`v--j Contact: \s-11� 4Ae_-.-cc-e-r- Contractor P Address: 23-2-277 IN CL -� R-L�i.-- ' ._so l-- City: �Astcu1c AA-4.J6�( 5� - State: i't/l� Zip: 5-5-)9 qPhone: ��3-3�t 4 Email: (1,-)t(--` @- 1(- 9 c°"' u` L`L"` License#: X— 3 ic-t -4L. Lead Certificate it: b( Z--(.0 'L — ( If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accords ce with the a proved plan in a case of work which requires a review and approval of pla . x JuiC�E S x Applicant's Printed Name Ap ant's Signature DO NOT WRITE BELOW THIS LINE q �qui-) rcr iv D v to � � � SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) ik Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation S OOO. J Occupancy VL–I, MCES System Plan Review fIC Code Edition TO24, MSC. SAC Units (25% 100% ) Zoning T-D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V1 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings (Addition) IC Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final ' /1c Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS )C Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan __ __..-- Other: Reviewed By: c.45---'1'' --" , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161246 Date Issued:05/14/2020 Permit Category:ePermit Site Address: 4647 Kingsbury Dr Lot:24 Block: 3 Addition: Beacon Hill PID:10-13500-03-240 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Nancy Mellon 4647 Kingsbury Dr Eagan MN 55122--271 Schmitz Plumbing & Heating 20440 Hughes Ave W (651) 216-9199 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161273 Date Issued:05/15/2020 Permit Category:ePermit Site Address: 4647 Kingsbury Dr Lot:24 Block: 3 Addition: Beacon Hill PID:10-13500-03-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nancy Mellon 4647 Kingsbury Dr Eagan MN 55122--271 Schmitz Plumbing & Heating 20440 Hughes Ave W (651) 216-9199 Applicant/Permitee: Signature Issued By: Signature