4652 Kingsbury DrReceipt MECHAI
. t • CITY
fill in nc
Type or
1. Date 3-1E-t.', 2
3. Job Address4652 Kitlt;sbilty
4. Owner 6"?i,rsDN 1171DE
L PERMIT Permit No.
IAGAN
Fee ? • n'?'
,red spaces S/C J • =?0
r leg'b/y Tot. 5. SC
n Cost '
r.
a_Bik. Tract ..
? Y N. '%LTi:R ItPC
5. Contractor 7
OD - ? i.?
Phone : ???-?j-6?nc?:
6. Address 4W37 Chic?,gJ
7. City i fp ls. State - Zip 55S07
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe L-18taU air Condit3o:linf7 Fuel Typecloctric
11.
No. Enuinment 9TU - M. Ea.
Forced Air No. Eauioment CFM
Ai
H
dli
Mfg, an
ng:
r
Boi lers
-
Mfg. - Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond. .'U'jtli
Mfg.
Gas, Piping Outlets
12. I hereby certify that tfie above information is true and correct, and I agree to
comply with all ordinances?nd codes gpverning this type of work.
?
Signed: `/ for
? Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ; ? CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ I
& DOlLARS
ioo
? CASH ? CHECK
ROR
Thank You
.
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copv
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 9 Blk 4 Parcel 10 13500 090 04
owner I (l i i u ?,in; nr? Z. !,u• ?? st,eet 4652 Kingsbury Drive State EaQan, MN 55122
Improvemeni Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1806.39 200.77 g 1806.93 C007581 10-1-81
STREET RESTOR.
GRADING 1982 526.46 58.50 9 • 10-1-81
SEW TRUNK ?p 1976 135.97 9.06 15
* SEWERLATERAL o' 1982 3116.46 346.27 9 3116.46 C007581 10-1-81
WATERMAIN
* WATERLATERAL 19$2 9
WATER AREA 1982 198,01 22.00 9 198.01 C007581 10-1-81
* Stubs 1982 9
STORMSEW TRK 1982 359.82 39.98 9 359.82 C007581 10-1-81
* STORM SEW LAT lggz . 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
1981 185.00 27744 11-10-81
WATERCONN. 1985 335.00 27744 11-10-81
BUILDING PER. 70
SAC
PARK
CITY OF EAGAN
3795 Pllet Knob Road Eagan, MN 55111 7 0 0 6
w ? • PHONE: 454-8100 '
BUILDING PERMIT
Receipt #
To be wad !m Est. Value Date , 19
Site Addreu Erect ? Occuponcy
Lot Block _ Set/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone
W Nome
z
Addreu
p Name
?? Addross
? ru., oL....._
Nome _
Address
I hereby acknowledge that I have read this opplication ond state thot
the inlormotion is correct and cgree to wmply with oll 6pplicoble
Stote of Minnewta Statutes and City of Eagan Ordinonces.
Sipnoture of Permittee
11 8uilding Permit is issued to:
oll work sholl be done in accordance with all
Building Official
Enlarge ?
Move ?
Demolish ?
Grada fl
Type of Const.
# Stories
Length
Depth Sa. Ft. ^
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Totol
on the express condition thnt
and CiTy of Eagan Ordinances.
Permit No. Permit Holdar Misc. Permit No. Holder
Plumbing 2(D? '?3' „E A2-
H.V.A.C. Z W E-?Ej (^ /2--t0-}3'
Well
Water
Disp.
Sewer
EleMrie 7'7'786 13C(? `(eC, It't3"8-1
Inspeetion Date Insp. Other
Footings /
Foundation
Framing W
Rough Plbg. ,?,?
c
I
Rough HVAC
Inwlation / ,
Final Plbg.
Final FIVAC - ? f 12
Fj
Weter Deseribe Location:
Wel I .
Savuer
Pr. Diap. i
Receipt _
I
PLUMBING PERMIT
CITY OF EAGAN
I Fill in numbered spaces
Type or Prini /egib/y
Permit No. -
Fee
S/C
Tot. ?
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address "
7. City State Zip
8. Building Type: Residential E3 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
_
_ Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
?. ? .
Receipt MECHANICAL PERMIT Parmit No.
CITY OF EAGAN ,
F
ee
? Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot 9 Blk. ? Tract '"?'COn :[].?
4. Owner
5. Contractor Phone
6. Address `'j7 Ci1iCzif;o w>.
7. City ".nneapu7:i ., State Zip 5'-407
8. Building Type: Residential 0
9. Work Description: New 0
Commercial ? Institutional ?
Add ? Alter O Repair ?
I 10. Describe «t 11 forced niT he '?.Fuel Type
I 11.
No.
" Equipment 9TU - M. Ea.
Forced Air i??? P? No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
_ Mfg.
Air Cond. Other
Mfg.
' Gas, Piping Outleu
12. I hereby
oomply
Signed :
Inspections: Date
This is your permit
Approved _
is true and correct, and I agree to
ning this type of work.
for
Final
Date Insp.
and approved.
CITY OF EAGAN 454-8100
SEVIIER SERVICE PERMIT
CITY pF EAGAN
8795 PF'e.,t Knob Raad PERMIT NO.:
Eo9an, M4 55124 DATE:
Zoning: No. of Units:
Owner.
Address:
i.'.O :.j.aG,S.n.1ST'"
Site Address: - -
Plumber. ;_ . ,.?.__._...
1 a9ree M eomPlg wllh !he Ciry of Eagon Connection Charge:
O
di osit:
Account De
r
nances. p
Permit Fee: '
Surchar
e:
g
B Char
Misc
es:
y g
.
D
t
f I TMaI:
a
e o
nsp.:
I Dote Pald:
nsp.:
CITY OF EAGAN
3795 PiI.N Knob Raad
Eagan, MN 55122
Zoning: :I
,, .----- Cen
ex Homea
WATER SERVlCE PERMIT
PERMIT NO.:
DATE:
No, of Units:
Address:
- "?????'Abur?
L^ E4 Eeaco
n llill
Site Addreu-
''
Plumber.
Meter No.: Connection Charge:
osit:
count De
A
Size: p
c
Reader No.: Permit Fee:
hor
e:
S
1 aqroa M eomply w1th !ha Ciry of Eagan g
urc
Ordinuncos. Misa CFwrges:
l:
T
Y
a
o
Paid:
D
t
gY e
o
Date of Insp.: I^SP•:
J?> -4 -700'"
CITY OF Er;GAN Include 2 sets of plans,
l c
B
I 1 site plan w/elevations &
U LDING PERMIT APPLICATION 1 set of energy calculations
T o B e Us e d For ,$ Valuation Date
Site Address: 52 ' oF'F'zCE vSE oru,Y
Lot j _- Block ? Sec: sub. %-.Erect X OccuPancY ?.?
Parcel #:
lO p•lter 2oning /
_ Repair Fire Zone 416
Owner: ?!1/2k /TOm?°S Enlarge Type of Const.
Address: NYove
Demolish # Stories
Front f? ft.
City/Zip Code:
? n
?rir
S53?y rade
Depth
ft.
Phone #: 9 y/ - ? 7f APPROVALS FEE,g
Contractor: 149
Address:
City/Zip Code:
Phone #c
Arch./Eng• •
Address: _ ? _
c.. .
City/Zip Ca3e:
Assessments
Water/Sewer
Police
Fire
EYig.
Planner
Council
Bldg. Off.
P.PC
Pesmit 3075"
Surcharge 3 a ?
Plan Check / 4a
SAC Sa,
Water Conn. 3,S'?
Water ^tieter 6,6 el
Road Unit ? ??-
Phone # : - - TOTpL * / (o -Z , S
^ REQUEST FOR ELECTRICAL INSPECTION
?l"t 1 See instructions tor completing this form on back of yellow copv.
?-?„ Y. kJ
X Be/ow Work Covered by This Request
ea-oovoi-oa
??- (.12?
A??W
?.??
New qdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fl-unace Silo Unloader
Industrial Bldg. qir Conditioner Bulk Milk Tank
Farm oirier aoc?rv oine, (Specify)
t er lSpeci(y Other Oihr:r
CO/Dput2 /iISPBf,tionhee Helow
H Fee Service Entrence Siza p Fee Feeders/5ubfeeders q Fen Circuits
0 to 100 Arn ps 0 to 30 Am ps 0 tu 30 Am s
101 to 200 ms 31 to 100 Amps 31 to 100 Am s
Ab,crae 2- L Ariu> Above 100_Amps Abuve 100_Amps
( ? 'Traristtirmeis. ?- f Remote Control Circ. Partial!'Other,Eee-
l Special Inspectinn
$
1
0
T
Renarks 37_
5 OTAL F SJ.?
Rouyh-in . ? DatP ?j I, the Electrical
, Inspector, hareby
tit
th
F th
6
Final
- ? ?
Diit
7 $ cer
y
a
ea
ove
- pection has been
5 made.
This request void
18 momhs from
This request void
78 months f"qm
T -r77861
??-7
Re ?j qi???pppst Date
1? `? ??C I
? Fire No. Rough-in Inspection
Fe uired?
?
?ReaAY Nuw Will Notifv.lnspeC-
Wh
Al
yes ?No or
en Rcady
LicensedElec[rical Contractor I herehy requestinspection ol above
?
Owner . electrical work installed at
t Address, Box or Roule No.
D City
tg-
Z
ection o. Township Name or No. Fange No. Cou ?W -
NIPVTA,
Occupant (PRINT)
? Phone No.
Y Ch
rw7
Power /S?uV'U'lier Address
Elr.ctr al Contractor (ComDany Name) ar.mr's License No.
Z
Mailing AdJress (Contractor or Owner Making Instailationl .
Authoriz d Sfgna re (C racmr/Owner Making hnstallation) Phnne Number
MINNESOTA S7qTE BDARD OF ELECTRICI7V 'TH191NSPECTION HEQUEST WILL NOT
Gri9gs-Midway Bld9. - Room N-191 eE ACCEPTED BY THE STATE BOARD
1621 University Ave.; St. Paul, MN 55104 ' -' - UNLESS PROPEH INSPECTION FEE IS
o..--- ?rsIlk 107 .1111 ENCIOSED.
??ertiftr?t?? n# (?rc???tnr?
Citp of Cagan
Drpttrtment nf Builbing 3ns.pertiun
This Ctrti ficatc ittued pur.cuuru to tbr requirements of Section 306 of the Uniform Building
Code cati fyrng that at the timc of icsuance tbiJ ctruuure war in compliancr with thc varioru
ordinances o f the City regulating building ronrt+uction or urc. For thr following:
u..cI.mranw SF DWG/GAR eiag. remiit NO. 700Fi
O=PaKYTyW R3 TTWCowWctian V FimZone TU-k ZonineDistrict Rl
OvnerotBuildin` CPntPX HOIC1E?$ Addrtag601 Pa1'I7e1 Rd. , £'C3P11 Prc
naannl- By:
? m?: January 28 1982
rca? ?w w cwnncuou? w.c[
urtcwus,n.
CITY OF EACsAN -
3795 Pild Knob Roed
' Eogen, MN 5512= Np 7006
?
• PHONE: 454-8100 -
BUILDING PERMIT Receipt
To M uwd for SF DWC?/CAR Est. Volue $Eil +, 000 Dote N nvamhar l f1 _, 19?_
Site Addreu 4652 ILwsbLry Dri ve Ered Occupancy R-3
Lot 9_ Blotk 4_ Sec/Sub. BeBCOri Hill Alter ? Zaning R-1
parcel 10-1-3-500__09Q 04J Repoir p Fire Zone NA
E
l t
T
f C v
n
orge ? ons
.
ype o
19 W Name Centax Homas Move ? # Stories
Z Addreas 8601 Darnel Road Demolish ? Length 46
? c; Eden Prairie phO11e 94 1-6671 Groee ? Depth 50 Sq. Ft.-
0°
O Name OVME'P Approvali Fees
Zu
$? Address
r,..,
Name _
Address
I hereby acknowledge, that I have reod this applicotion and state that
the inlormotion is correct and agree to comply with all applicable
State of Minnesoto $tatutes and City of Eogan Ordirances.
Signoture of Permittee
A Building Pertnit Is issued to:
all work sholl be done in accordance with all
Assessment Permit 325.00
Water & Sew. Surchorge 32-00
Police Plon check 162.5n
Fire SAC 525.00
Eng. Water Conn.335.00
Planner Water Meter 60. OD
Council Road Unit 3 g5. on
Bldg. Oif.
qpC Torol $?.?4- 50 .
on the express COndition thm
;soeWtes and City of Eagon Ordinances.
Building Official
REQUEST FOR ELECTRICAL INSPECTION ea-oooot-oa
- .d 31 ? `See?instructions for completing this form on bxck of vellow copy.
? JrD 4 0117 "X" Below Work Covered by This Request
.
NIiite AAd Rep. - 4ype ot Building ApDliancna Wired Equipment Wired
Home Range Temporary Service
Duplex - Water Heater Lightiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. )( Air Conditioner Bulk Milk Tank
Farm Othe.r SpeciW 111er(SUer7ty)
O/i
N Fee ServiceEnYrance5ize q Fee Feeders/Subfeeders d Fee Circuits
0 to200Am s 0 to30qm s 0 tn30Amps
Above 200 qmpsj 31 to 100 Amps 31 to 100 A s
Swimming Pool . Above 100-Amps Above 100_Am s
Transformers irrigation 8oorris Partial:'Other Fee
I Signs I I ISpecial Inspection ?S TOTA
Remarks iQ. rjQ ?
Rough-in Da?P I,the EI ical
?r Inspector, here6y
s A cartity that tha abova
Final ; Q`??P , ?nsoection has been
rnie
This request void
18 months lrom
e4 40117 LU9
f-34
Reque4kt Date Fire No. Requ icd7 nspection Ready Nuw E]Will Notify. Inspec-
3-14-84 ?Ves No [or When ReadY
[N Lrcensed Electrical Contractor I heraby requestinspection o/ above
? Owner electrical work insfalled at: Street Address, Box or Route No. Ciry
4652 K,i.ngsbuny Ea an
ecUOn o. Township Name or No. Range No. County
Occuvant (PRINT) Phone No,
Shenan L,i.nde
Power Supplier AAdress
Electrical Con[ractor lCompany Namel ConVactor's License No.
Ea6tan E2ec,tfc.i.c Ca. 040079-4
Mailing Address (Contrector or Owner Making Instailation)
6525 E. 170xh s .
Authorized Signature (Contraclor Ow r Makinv Installation)
. ' Phonr. Number '
MINNESOTA S1ATEBOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
1821 UniversitY Ave., St. Paul, MN 55104
Phnnw 16121 297-2111 , ENCLOSED.
?.,.e.N/?lu?,....._w.m'suy?n..,....._...?^.... _ .. .e.n.r?+m.... . _....++?... , ....x.m.+.+.. . .. ..
? Certifioate for :
Centex Homea Midwest Znc.
'8601 Darnell Road
r Sden Prairi.e, Mn. 55344
DELMaR K ssMwANz
? LAftOSUAVEVoR
, qogMMop UedN Le" N TM SIN" Of M1nMwla
? 3M - iA{TM iTREET W. -MX M IIag ONWNST. IMMSMTA N?
? Ww4aIMA'iiOIM'/VICATE
.o
1
,0r.nw
n4owiS apt,A
957.c>
s6 0 ? ? ??
39 , ?
3 s?
Q' .
?
Dated: June 18, 1979
,? -
,
• MINNESOTA REGISTRATION NO.8876
I hereby certify that thia ie a true and oorreot repredOstation of
Lot, 9, Block 4, BEACON HII.L, aaeording to tha rsaorded plot thereoP,
Dakaa County, Minnesota.
Use BLUE or BLACK Ink
r
For Office Use
4*
City of Eaali Permit#: r
31-1
Permit Fee: f/ f
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/ 14 Site Address: (5,2 Kin cis bc.'r Dr,r, Unit#:
Name: a f t t✓A)e 5 S e, I Phone: f,5 I -415d - 3
Address/City/Zip: �6 J� t�c t�z r t�t r. n (_l
Applicant is: Owner >< Contractor
14 Description of work: "Zc.,0C trlb Js.d (119 /ZO a S
ytie
Construction Cost: `& 30,OC-7 Multi-Family Building:(Yes /No )
Company: Jor-+herr'l Ex 4--P r to r..5 IUJU n G Contact:S l r i rrnin Y reJ
Contractor
Address: `11 T,rnber 2,Sr Ln S City: Goa"a-u.-Cjei Grov6
.„''',1"‘• State: AI-)Zip: S50)(P. Phone:(06 1 Z'�O S10 mail:
License#: 2°110C11 Lead Certificate#: )'J/4
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:
a. ® L/P,p-mill.! g come t ttl 1 / « a # #t%e COn d O be a. e t e mats. "®
e information ma . ®e ified as non o !c A �. 'c rea t woultld®r
. g e to
. that .. +a ...
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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi'g Code must be cJ' pleted within 180
days of permit issuance. //
x E �V
Applicant's Printed Name •plicant's Signa
Page 1 of 3