4658 Kingsbury DrCASH RECEIPT
CITY OF EAGAN ?3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
.i??Si.'.L`?" 8 DOLLARS
?oo
? CASH ? CHECK
FOR
?
FUNO CODE qMOUNT
Thank You
C?yb'c B Y
White-Peyere Copy
Vellow-Poating Copy
Pink-File Copy
? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
I Eagan, Minnesota 55122-1897 Date Issued: /-If,
(612) 681-4675
I SITE ADDRESS•'
•
?• ? ?,: ; ii?:'r ulc
APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. . .A
I
ParmR No. Permk HoWx Dab Telephone M
ELECTRIC
PIUMBING
HVAC
Inspeetlon Date Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GVP BOARD
FIREPLACE
d 'Yr-w'
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTI
CITY OF EAGAN ,
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ,; i ,,, ,.
i ,, r i
, t,,ll,rl 'i i 11
? PERMIT SUBTYPE:
t,oO J;,'t jr,: I r
Ihlla
I I?InI
? i:i Mnuk>, : ;t i
!
ON RECORD?^^^? ?
PERMIT TYPE:
Permit Number: 'i •' 4 ` O`,
Date Issued: ' / } I /`) 4
APPLICANT:
I,l . 1 1.1 i ,;
TYPE OF WORK:
11 I'1 RMI {'? AFtE 121UUlkl II FOt, AN'i 1 I iI li, 1i.f11 I.Ittl:t.
?
?
- - - - - - - - - - - - - - - -
Permit No. Permit Molder ^ ate ' Telephona M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dete Insp. Comments
Footings I
Foundation
Framing ?
Roofing
Rough Plbg. -
Rough Htg.
Isul.
Firaplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
*s&
I,
BUILDING PERMIT
To be used for DECK
Site Address"
Lot 10 Block
Parcel No.
' ... 'V+Y , , . . .. . . tl
CITY OF EAGAN 4$ 17726
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 t -.7 ,i I I
Receipt # ?
Est. Value 519000 Date l1P! 17 , 1990
W Name FRAMIS PI?2GEitALA
3 Address 465B KIN(:SEUBY Dit
° CitY EAGM Phone 681-1987
,a Name $NERJAC CONSTxUCTION
;i Address 1688 $iRAWBERBY HILL xD
,City AFTOII Phone 436-8517
I hereby acknowlege that I have read this application and state that the
information is correct and agree lo comply with ail applicable Stale o
Minnesota StaWtes and City of Eagan Ordinances.
Signature of Permitee '
A'' Buiiding Permit is issued to: ENLR3AC CONSTRUCTION
on the express condition that all work shall be done in accordance with al
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLV
Permit No. Permit Holder Date Telephone N
N/ATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footirgs I
Foundation
Framirg
Rooting
Rough Plbg.
Rough Htg.
Iwl.
Fireplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. inspector - Notity Plumber
Engr./Plan
Bidg. Final
oeck Fi9.
Dedc Final ?°z U /1J
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition_RF.AC:nN HTi.T. ADDTT ON Lot 10 Rlk 4 Parcel 10 13500 100 Od
Owner - Street 4658 Kinjzsbury Drive state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. b 1982 1806.39 200.77 9 1806.93 C007582 10-1-81
STREET RESTOR.
GRADING q 5 1982 526.46 58.50 9 526.46 C007582 10-1-81
SAN SEW TRUNK
* SEWERLATERAL ? 1982 3116.46 346.27 9 3116.46 C007582 10-1-81
WATERMAIN
* WATERLATERAL 1982 9
WATER AREA (Clq 1982 198.01 22.00 9 198.01 C007582 10-1-81
* Stubs 1982 9
STORMSEW TFK '2- 1982 359.82 39.98 9 359.82 C007582 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STFEET LIGHT
250.00 4 1+ 2- -8
WATER CONN. 4 O. OO It
BUILDING PER. 7811
SAC
PARK
Receipt = MECHANICAL PERMIT Permit No.
CITY OF EAGAN •
. Fee '
fill in numbered spaces S/C
Type or Print legibty ?
Tot.
1, Date -_ "?- •'7 `- 2. Imtallation Cost
?j,l?5{3 1%? • ?- !
3. Job Address `°- Lot Blk. ? Tract F?
4. Owner
'1? Phone i - : . .
5. Contractort.1,e1-0/jeAi'
6. Address ,•
7. Cityc?`r?i." fr", %?rkr f State ?% J: ? Zip F ?? 6
8. Building Type: Residential B' Commercial ? Institutional ?
9. Work Description: New Ef Add ? Alter ? Repair ?
10. Describe FuelTypei'.?t1,'rl?-Ir-
-
11
No.
? E.quinment 9TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. _ r
an
ng:
_ Boilers
Mfg,
Unit Heater _ Mech. Exhaust
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 gll ordinance5 and codes governing ihis type of work.
Signed : i'?' :X r t::'" - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Raceipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
. F? j
Frll in numbered spaces S/C ?
Type or Pr/ni legibly ?
Tot '- i
1. Date/ Installation Cost
3. JobAddress Lot ?C' Blk. .? Tract ' i
4. Owner
5. Contractor Phone
i -
6. Address
7. CitY State Zip ?
8. Building Type: Residential fl Commercial ? Institutional ?
9. Work Description: New C7J Add ? Alter ? Repair ?
I 10. Describe
I 11,
No.
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Se
tic Tank
- Lavatory p
Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Mer v
O
_
i Laundry Tray j
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 govorning this type of work.
Signed : / v;' '? ' %°?
for
Rougn F inei
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
? CITY OF EAGAN p
+. • _._ 7795 Pllet Knob Roed Eayan. MN 55122 •? ?f' ? 1
PHONE 454-8100
BUILDING PERMIT Receipt
To be wad fer SF DWG/GAR Est. Value $ 80 0011 Dote 2-25
19 1' 3
Site Addreu 4658 1?inrsbu?'k DrlVe Erect Eg Occuponcy P 3
Lot 10 Blotk n $ec/Sub. E'edCOII Hlll Alter ? Zoning R-1 Pn
Porcol # 10 13500 100 041 Repalr ? Flre Zone
UriS:lll'`E: Constructior. Enlcrge ? Type of Const. Vn
W Name .i Move ? # Stories
? ?ra? 15??'1 Clernson Ct pe,,,ol;sh 0 Length 46
Ci 'c' 55122 Phone -`j 5 4- 7 4 8 5 Grode ? Depth A-8 Sq. Ft.-
o Nome GamP Approvala Fees
?? ,,ddresy Asxssment
Ci Phone Water 8 $ew.
?W Name Phillins Flan Service Police
=Z Address 7630 W 14.ritll St. E re
ng.
?W Ci Apple Valle?? 432-2044 Po
nQr
Council
I hereby acknowledge that i have read this application ond state that gldg. Off.
the iniormation is wrrect ond ogree to comply with all opplicable APC
State of Minnesoto $totutes and City of Eagan JOrdinonces.
Sipnature of Permittee
Pertnit ?i ''•vV
Surchorpe 40.00
Plan check 1 ? 6.5 0
snC 52 5. 00
Water Conn. 450.00
Water Meter -F'5 • ? o
Road Unit
Taol 1.384.50
A 8uilding PermiM is issuad to: on the express condition that
oll work shall be done in occordance with all opplicable Stote of Minnesoto Statutes ond City of Eoqan Ordinonces.
Buildinq Official '
Permit No. Permit Holder Mise. Permit No. Holder
Plumbin9 3°t LI
H.V.A.C. 3"7(p Dr0r1Efc`5 3-7-9-3
Well
Weter
Disp.
Savrer
Ebctric DI1417(O 3-4y
IncpeMion Date Insp. Other
Footinps
Foundetion
Framing
? - / -?f
ouqh Ibp.
Rough HVAC -2-.V, ?
InwlMion
Final Plbg. - ?
Final HVAC 3y
Final
Wa"r paseribe Location:
Wall
Savuer
Pr. Difp.
r
. • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 0 8943
PHONE: 4548100
BUILDING PERMIT Re«ipt ?t L{ v??? f
Te 6e uud ier I'TN7E411/e1u. 5 1 i[(i l' Dntn IiPi? iL 6 ?y Y.4
SiteAddreas 4658 K
Lot i () Blxk 4
Parcel No. ?
:?1,V7.1 ':vl7VV
ac Name
3 Address ; 7'S PT'•tC=SF[?RY DR.
? City Phone
o Name _
?? Address
? City -
W Name
Pxu Address
? W City Phone
I hereby acknowledge thot I have reod this opplicotion ond state that
the inlormotion is correct and ogree to comply with all applicoble
Stote of Minnesota Statutes and City of Ea9an Ordinonces.
Sipnoturc of Permittea
SCO`i '1 ]
A Buildinq Permit Is issued to:
all work shall be done in accordartf e with /oll oppii
Buildinq Ofiicial
Ered p Occuponcy `.'
Alter ? Zoning
Repair ? Fire Zone
Enlarye ? Type of Const. `
Move ? # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.-
Approrals Fee¦
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. _
APC
Surcharfle '' . " ?•
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Totol
on ths expreu condition that
ond City of Eaqan Ordinancea.
Pormit No. Permit Holder Misc. Permit No. Holdar
Plumbing
H.V.A.C.
Well
Watar
Disp.
Sewer
Eleetric Q 7Sas Cj Lt.)lle- fo0 Q-0
Inspection Date Inap. Other
Footings
Foundation
Freminp
Rouph Plbp.
Rough HVAC ??
Inwlation
Final Plbg.
Final HVAC
Final
? ??f Yfr.`?'r
Water Wseribe L ation:
we11
se,w.
Pr, Oisp.
Receipt PLUMBING PERMIT Permit No.
( CITY OF EAGAN Fee
- Fill in numbered spaces S/C
Type or Print /egib/y
Tot. _
1. Date 2. Installation Cost
?`?
3. Job Address ?-' ?S 644;?Pt ? u Blk. ? Tract
4. Owner ? ; ?; ?' f?l ( 2 J! , _
5. Contractor Phone
6. Address
/
7. City L= GState Zip
%
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ? Add p Alter ? Repair 0
` 10. Describe
?
I 11.
No.
\ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
`?
- Bath tubs
Septic Tank
Lavatory Softner
?
- Shower
Wel I
Kitchen Sink
_ Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
Rough
Inspections: Date Insp.
for
Final
Date Insp.
This is your per,mit when numbered and approved.
Approved CITY OF EAGAN 454-8100
9?
cirr oF EAcnN SEWER SERVICE PERMIT
9795 Wioe Knob Roed PERMIT NO.:
Eegan, MN 55122 DATE:
Zoning: No. of Units: j
Owner:
Address:
Site Address: ? - '
Plumber:
1syree M wmply wMh Hro Ciry of Eagon Connection Chc?pe: '
Ordinaneas. Account Deposit:
Permit Fae:
Surchargs:
B CFarges:
Misc
y .
Date of Irep.: Totol:
Insp
: Dats Paid:
.
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eeyan, MN 55122 DATE:
Zoning; No. of Units:
Owrrer:
Address:
Site Addreu: _ _.. . ? - -.
Plumber.
Meter No.: Connedion Chorge:
Size: ActouM Deposit:
Reoder No.: Permit Fee: ?
I a9f" to eomPly wifh t6e Ciry of Eapan Surchorge:
?inenew• ,
Misc. Chorpes:
ToTal:
BY Date Poid:
Date of Insp.: ?nsp,;
?- ?• V (?? CITY OF EAGAN Include 2 sets of plans,
1 Certi£icate o f Survey &
• ' BUILDING PERNQT APPLICATION 1 set of erer(.Ty cal.culations.
To Be Used For Valuation Date '?
Site Address: Sa' ?s 4.., OFFICE USE ONLY
Lot 0 Block Sec./Sub. ??p
? Erect Occupancy
Parcel #: - '
-
' -13 S6-t
)-M - a u Alter
1 Zoning iC
_
_ Repai r Fire Zone
Owner: 5L-U7 7- A • ll6:2?) Enlarge TYPe of Const.
NYove # Stories
Address: Demolish Front ft.
City/Zip Code S,?
f
1 _
Grade Depth ft.
Phone #: 7
;-
!
r;1 APPRDTALS FEES
Contractor:
Assesscnents
Permit ?
Address: Water/Sewer Surcharge /
Police Plan Check
Gity/Zip Code: Fire SAC
Phone #: ?g• Water Conn.
Planner Water Meter
Arch./Eng.: Council Road Unit
Bldg. Off.
Address: APC
City/Zip Cocle:
Phone # : 'IOTAL ? ?
?
Zb Be Used For
Site Address
Lot C) Bloc}c Sec./
Parcel #: /D 1z)500
'
QZy pg EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT PLICATION 1 set of energy calculations.
?aluation Gf ) Date .;2--3TZQ'-3
??` ?ow•N ? ? ?'l lr?, ' OFFICE USE. ONLY
ub ?-- aco ;, /H /Erect ? Occupancy ' 3
----
('p O p L?'`_ j Alter Zoning -
` Repair Fire Zone
a 5Mc77o0 Enlarge 7ype of Const. ??y----- -
Move # Stories
Address: 15-67 (0L-'tS6.1 C'f ft.
Denolish Front
City/Zip Code: C* 5?,`S( 2- L Grade Depth ft.
Phone #:
Contractor: ?G'( f?tti4_ Q $
Address:
City/Zip Code:
Phone #:
Arch./Erig.: P0('rnr eI6'm, 5PrtJt C e.
AddresS: 3 145-yt, s?
City/Zip Code: 2 2-
Phcne # : 4 3 ?00 ?
APPR(7VAI5 FEES
Assessments Yermit
?4ater/SeHrer Surcharge _
Police Plan Check
Fire SAC
Eng. Water Conn.
planner Water Meter
Council Road Unit
Bldg. Off.
APc
7l?TAl. ?
„
CITY OF EAGAN NO 1772 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?p I
BUILDING PERMIT Receipt # l? ?
To be used for DECK Est. Value $1, 000 Date APR 1 7 , 1940-
Site Address 4658 KINGSBURY DR
Lot 10 BIoCk 4 SBC/Sub. BEACON HILL OFFICE USE ONLY
P8fC81 N0. Occupancy _ FEES
Zoning _
w Name FRANCIS FITZGERALD (Actual) Const Bldg
Permit 25.00
o Address 4658 KINGSBURY DR -
(Allowabie) - . $O
Surcharge .
City EAGAN Phone 681-1987 x ot srories -
12
14 Plan Review
7c
Lengih
o Name ENERJAC CONSTRUCTION Depth 14x16 snc
cic
0
?
Address 1688 STRAWBERRY HI RD
S.F. Total - ,
y
0 SAC. MCWCC
City AFTON Phone 436-8517 S.F. Footprints -
W
t
C
On Site Sewage a
er
onn
? NOme On Site Well W
M
W - ater
eter
?? AddfBSS MWCC System -
56 City PhOnB City Water _ Acct. Deposit
PRV Required _ S/W Permil
I hereby acknowlege that I have read this application and state that the Booster Pump - S/w Surcharge
information is correct and agree to compiy with all applicable State of
Minnesota Slatutes and Cit agan Ordinances. Treatment PI
Signature of Permitee ? APPROVALS qoad Unil
A 8uilding Permit is issued ENERJAC CONS R Planner - park Ded.
on the express condition t all work shall be done in accordance with all Council - 50
applicable State ol Minnesota Statutes and City of Eagan Ordinances. eldg. Oft. Copies .
Building Official Variance - TOTAL 26.00
REQUEST FOR ELECTRICAL INSPECTION 41M Ee-00001-04
' See instructions tor completing this form on back of yellow copy. W:
?'?? ? ?? ?
aw or overed by This Request . 3q ??
Nem Add Rep. Type of Buiiding Applinncxs Wired EVuipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixture:;
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm r oth?r(Sner::ty)
t er pecify t 01her
Compute lnspectlon Fee Be1ow '
H Pee Service Entrance5ize k Fee Feeders/Su6feeders d Fee Circuits
?. 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 Am )s 31 to 100 Amps d. 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms ;,SZ Partial.`Other Fee
Signs Special Inspection
Rertutrks
RouBh-in - Date
? / , the Electncal
??
? , nspec[or, hereby
rtif
that the ab
c
Final
Oate a
y
ove
inspection has been.
made.
ihisreouestvoldl8monthsirom //(±_ 4 _,Yr lJ ,
18monhsfromld q QC61'i,- -7 Cp4K
W 066176
Rpquesi Date
)
? Fire No. Rnugh- inI nspec[ion
Required?
[214eady'N6w Will Notifv. Inspec•
h
1'es ?No tor W
pn ReaAy
Licensed Electrical Contractor I heraby requestinspeclion oi a6ove
Owner electncal work installed at:
Street Address, Baxor Route No, " Citv
1
ecvon o. Township Name or No. Range N. Cowi
Occupan PRINTI Phune No.
Powe upplier ' Address
ical Con[ractor (COmpany Name) /- ? Contrar.to,'s License No,
0
?/
UgiLipg AdJress IContre tor or Owner MakinB lnstailation)
Authotized S1VnTrrrreN(Co r/Owne Making histallation) Phope Number
_
MINNESOTA STqTE BOARD Of ELECTRICITY THIS INSPECTION REDUEST WILL NOT
GrigBS-MidwaV Bldg. - Roam N-791 BE ACCEPTED BY THE STATE BOARD
1821 Universify Ava., St. Paul, MN 55704 UNIESS PROPER INSPECTION FEE IS
e... ENCLOREn.
r#`tftrtttt uf
_ Citp of (Eagan
Brpttrfmrnt o# Builbing lnsveriimt
Tbil Ccrtrficate ittued parruant to tbt rrgniumrnu of Sution 306 o f the Uni farm Building
Codr artifying that at t1x timt of iuHarue tbia ttrruture wai in campliancc witb tbe variow
ordiuanres of the City rcguluting bxilding construction or uJt. For thc following:
SF DWG/GAR? , BId6.PermitNo. 7811
Un CWdGratian
o-wn.r Tvw R3 Typ cUMw« Vn FR zonti NA umns uht.is R-1
a,m of e„oa„a Sunshine Construct -Aaa,4507 Clemson Ct., Eagan
B??a? 4658 Kingsbury Dr. t,a,hryLot 10 Block 4,Beacon Hill
B?o? May 6, 1983
. . .. .•. . . ?WT IM 11 CGMY1CIlOYf /LAC[ .
/d? `
, CITY OF EAGAN
3795 Plld Knob Road Eagnn, MN 35142 N• 7811
?
?53?
PHONE: 454-8100 -P
BUILDING PERMIT Receipt ?t
To be wed fer SF DWG/GAR Est. Va1ue $80,000 Date 2-25 _ 1983
site nddress _4658 Kingsbury Drive Erect R3
10 4 Beacon Hill ? Occupancy
Lot Block. Sec/Sub., Alter ? Zoning R-1 PD
Parcel # 1D 13500 1dO ?4) Repoir ? Ftre Zone
Sunshine Construction Enlarge ? Type of Const. Vri
ac Name Move ? # Stories
; Address 1507 CIEIIISOn Ct pemalish ? Length 46
Depth Sq. Ft.-
? cityEagan 2 Phone 454-7485 Grade ? 48
? Name SdmP Approvala Faes
,o
?t
Address
F r??...
WW Name Phillips Plan Service
_? Address 7630 W 14 5 th S t
?W Apple Valley___ 432-2044
I hereby ocknowledge 4hat I hove read this application and state that
the inlormotion is correct ond agree to comply with oll opplicable
$tate of Minnesoto $tatutes and agan Ordirwnces.
?/l
Sipnature of Permittee O •-?". ?
/1 Building Pertnit is issued to:
Assessment _
Woter & Sew.
Police
Fire
Eng.
Plonner _
Councii _
Bldg. Off. _
APC
all work sholl be done in accordonce wit oll opplicab/lq/,$l ta.._te.? -of -Minnesota Stati
Building Officiul (?Y.?A?
Permit • 0
Surcharge 40. 00
Plon check 186.50
snC 525.00
Water Conn. 450.00
WaterMeter 60.00
Rood Unit 254. ?0
Torol 1, 884.50
on tha express rnndition thm
and City of Eugan Ordinontes.
? - - CITY OF EAGAN ?T
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 8943
PHONE: 454•8100
BUILDING PERMIT Receipt #
To ba uaed ior BASEMENT FINIWVolue $ 1,200 Dote A1'RIL 6
84
19
SiteAddress 4658 KINGSBURY DR. Erect ? Occuponcy R3
Lot 10 Biock 4 -Sec/Sub._ BEACON HILL ADD Alter [y, Zoning R1
varcel rvo, 10=13500-100-04 Re
pcir
?
Fire Zone N/A
Enlarge ? Type of Const. U
rc Name SCOTT K. WOOD Move p # Stories
i 4658 KINGSBURY DR.
Address
Demolish
?
Length
? City EAGAN phone 452-8817 Grude ? Depth Ft
S
q.
.-
z
o
Name SAME Approrala Fees
?
Address Assessment Permit $ 2Q.0
?
?
f- City Phone Water $$ew. Surchorge 1• 0 0
Police Plan check
G W
Name
F,,,
Fire
SAC
i? Address Eng, Water Conn.
<W City Phone Plcnner Water Meter
, Council Road Unit
I here6y acknowledge that I hove reod this opplication and state that gldg. Off.
the inlormation is torrect and ogree to comply with oll oppiicable $ 21.00
Stote of Minnewto Statutes and City, of Eagon Ordinonces. APC Totol
Sfgnoture of Permittee
A Buildinq Permit Is issued to: TT K. WOOD on the express condition thnt
all work shall be done in accorda e with 1 uppli ble tote ' esoto Statutes and Ciry of Eogon Ordinances.
Building Officiol r
q .. 6-ty REQUEST FOR ELECTRICAL INSPECTION
a:
'`ee instiiuctions for completing this form on 6ack ot vellow copy.
"X" Below Work Covered by This Request '
EB-00001-0-0
Van'S
Adtl Rep. Type o1 Building Appliances Wired EquiVmenl WireA
r Mlome Ranye Temporary Service
Duplex Water Heater Liyhtinp Fixtures
Apt. Buiiding Dryer Electric Heatin
Commercial Bldg. Fumar.e Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mf Ik Tank
Farm Other Peci v Other ISOecifyl
iher ISUCCify Othcr Other
Compute lnspecrion Fee Below
k Fee Service EntrenceSize p Fee Fanders/Subfeeders b Pee Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Amps
Above 200 Amps' 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100__Amps Above 100_AmPs
Transiormers Irrigation Booms Partial-`Other Fee
Signs Special Inspection S
? /?
TOTA
Remarks
L
?E? ? _ il
?y
4'-) //
l d7'.
Roueh-in Dra?tF?g 1, the Ele?cn'Icel
- ( Inspector, hereby
certi
that th
a6
Final
0
??1e
?? e
ove
v
?n gction has been
g, mede.
Thls request void 18 mon s from - ?' /,
H?O ? ? ?O 's ?.?1
This request void u - 6 -8y ??,ra k O0
18 months from ? Q
A (1 '? ? fl i-; ??I0? V
Request Da1e
? '-'? Pire No. Rough- inInsVection
R u d7
?Rr.adv Now?Ni1l Notify. Inspec-
?or When R
d
es ?No ea
y
0 Licensed Electrical Contractor I hereby request inspection of above
JQI?- ner electrical work inslalled et:
Stre t Address, 6 or Route No.
? City
Q 11V6 Stsa,P
ecUOn o. ownship Nume or No. Range No. County
kA jKar?q-
Occu am (PRINT)
? iW019b Phone No.
40s2 - 41
Power Supplier AAdress
K 0 ?CL-'C' /G
Hectrical Coniractor (ComVany Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Instailation)
b,OA e-
Authorized 71rture ICO tr r Owner Makin Wllation) Phone Number
44??.?
MINNESOTq STATE BOARD OF ELECTqICITY THIS INSPECTION HEQUEST YYILL NOT
Griggg-Midway Bldg. - Room N•191 8E ACCEPTED BY THE STATE BOARD
1821 Universit??S[. Pau?N 55104 UNLESS PROPER INSPECTION PEE IS
Phn„ ENCLOSED.
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleasc complete for: Single Family Dwellings
Townhomes and Condos when permits are requirod for each unit
C) 7 / AM3
?
Date
/
?" ?? I`- 1??6 sl? y ?Z U
it #
Si teAddress I
?? A) ?
n
_
Property Owncr Vf r-/ IT 5 Telephone #( )
Contractor 15?VVl(tQv?BjZl-4_->
k, 3 ?(63aa-- ?/????1°?!-?S
Street Address City
S t a t e Zip S S 7 ? " Telephone # ( IS !?) / `7 / Q'i
__ _
The Applicant is _ Owner Contractor
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
! \
.?r n`i ?'• \
?
,c e \?
$ 50
State Surcharge
Total 1V `
$
[ hereby apply for a Residential Mechanical Permit and acknowledge that the information is c plete and accurate; that the work will
be in conformance with the ordinances and codes ofthe City ofEagan and with th ; at I understand this is nnl n
permit, but only an application for a permit, and work is not to start without a per t; t the work will be in accordance wiih ihc
?r?ved plan in the ase of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
MECHAIVICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please comptete for: commerciaUindustrial buildings
mulri-family buildings when sepazate p 'ts are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State ip Telephone # ( )
The Applicant is _ Owner _ Contr ctor _ Other
Work Type
_ New construction Und ground Tank _ Install _ Remove
_ Interior Improvement Call or inspection during installation/removal of tank
Processed Piping
Nature of Work:
I
Permit Fee $50.50 Minimum Fcc (includes State Surcharge?
I
ContractValue $ x 1% _ $ PermitFee
i
• If permit fee is $1,000 or less, add $.50
If pernut fee is over $1,000, add $.50 per
$ State Surchazge
$1,000 Pemut Fee
$ Total Fee
?
1
i nereny appiy tor a Lommercial Mechanical Yermit and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand trus is
not a permit, but only an applicarion for a pernut, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
--?-CJTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
C05011
PERMITTYPE: Bu=LorNG
Permit Number: 0 2 4 7 0 5
Date Issued: 10 r 17 r g q
SITE ADDRESS:
P.I.N.: 10-13500--100-04
4658 KINGSBURY DR
LOT: 10 BLOCKa 4
BEACON HILL
DESCRIPTION:
aildirsgl_Permit Type GARAGE/ACCESSORY
uilding W3,rk Type ApDITION
./
.?1
;
?--
,1 ?U6
? t2 2'
REMARKS:
SEPARATE PERMITS ARE REQUIRECI FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATZON $4,000
Base Fee $63.00
Surcharge $2.09
Total Fee $65.00
CONTRACTOR: - Applicant - ST. Lxc. OWNER:
BUDGET ZNSTALL & REMODEL 18944131 0005145 VIE7H DAN
5340 EGAN DR 4658 KSNGSBWRY DR
BURNSVILLE MN 55337 EAGAN MN
(612) 894--4131
I
I hereby acknnwledge that I have read this applieation and state that the
infiormation is correct and agree to comply with a11 appl,icable State oF Mn.
Statutes and C' of Eagan Qrdinances.
L
APPLICANT/P E SIGNATURE IS?,t. SI OTUR
-j
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
Jw4ldg. 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e???,??[? f energy
calcs.
COMMERCIAL :,;.,
',; _ ? ? ;? ?'` ; ,?
2 sets of architectural & struct ral plans, 2J?set
specifications, 1 copy of energy ca1cS._____
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued. •
Date Valuation of work W, Cnoo
Site Address:_ kNLrSl3LL/LGI '02
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. Q?
? Q.ILL?/l •).,W P.I.D. #
Descri tion of work: r? A'?D "D (?I0 AJ
The applicant is: ? Owner °Contractor ? Other (Describe)
Name A VFT4 ))AiQ L1?t.?21.C-- Phone
Property LAST FIRST
Owner Address ?f65R I6M61s,gc.?.?-?
STREET STE #
City State Zip
Company muQF ` `Phone? C?rG
Contractor Address 5r3 ?O License # Oo°s-lyJ Exp. rn'71- '7
City ?43LII?-7? State Zip S3T
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 ap le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT IYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition 0 08 8-Plex ?'13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck
WORK TYPf
El 31 New ? 33 Alterations O 35 Tenant Finish
IT 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
P Footing
Qf Final
a Framing
? Draintile
?B
.?a.?
?
-?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c; ty sAc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veitiac;«,: $ L? cio 0
TI
?vZ r? ?i•!7 = ZD Z IC /fo = 3, 23 Z-
?
,, , •y;,,,?:
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
91_2" x 22'_0"
FiROFaOSED
ADDITION
G
C:)0
/ fin
EXI5TfNCz DRIYEI.UAI'
AS-BUILT MEASLIRFMFNTS
? TO i"fONUMENTS
31.25' EXI67fNG a40U5E, ATTAGNrmp
? 2 5TALL CxARAGE, 4 DEGKS
2?\?3
0
{ o/,
?/
L-OT 10, 5LOGi< 4, ?EAGON N(LL
• DENotES fRON MoNUMENt PoUND
* L>EN9TE& f RON MONUMENT eET
9-
2
DR,41N,4CsE 4 ?
? UTILf7Y
EA5EMENT e
\PEfiR PL,4T u?
? o-i
?
NORt?-4
GAiRAGE ADD ITf ON
VIETN5 RE5IDENCE SCALE: 1 fNCH = 40 FEET
4ro58 KINr;;SBURY DiRlYE DRAUJN BY: KR
EAGAN, 1wiN UATE e-26-94
?Q
?
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT yt z,,5) -5,
PERMITTYPE:
Permit Number: B U I L D I N G
025484
Date Issued: 0 5/ 01 / 9 5
SITE ADDRESS:
P.I.N.: 10-13500-100-04
4658 KING56URY
LOT: 10 BLOCK: 4
BEACON HILL?
DR
DESCRIPTION:
'? :v•,.
i,
1 4 ?Y? ix .wAS+_ ¢ r?? t?3 ?{ Fg. ? F?41°'I p.??..y 1? 1
ktit pym 4r' C d.W ??k-i«?.?• j? 6 ? 88 iutl '1" &?
SD
;;".`.. .. (GAS IN5ER7)
Bui:ldi_ng;Permit Type FIREPLACE
8uilding Woer.{?,ti Type ALTERATION
? ?
« fA°?
?
?. ?
Yi '-
a.
REMARKS:
FEE SUMMARY:
Base Fea $25.00
Surcharge $.50
Total Fee $25.56
CONTRACTOR: - applicant - sT. LzC. OWNER:
FIRESTDE CORNER INC 16331042 0001068 VIETNS DANIEL
2700 N FAIRVTEW 4658 KINGSBURY DR
RO5EVILLE MN 55113 EAGAN MN
(612) 633-1092
' CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681-46T5
DATE:
DESCRIPTION OF WORK:, _ INSTALL NEW FIREPLACE: _ WOOD BURNING
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
?THER:
r.=
Q
GAS
AREA TO BE INSTALLED IN: STREET ADDRESS: ?
LOT _10 BLOCK ?
APPLICANT: (circle one only)
SUBD./P.I.D. #:
OWNER ' ?NTRACTOR
I hereby acknowledge that I have read this application and state that the information is coRect and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: ?/?L Phone #:
OWNER ?T FIRBT
Signature:
Street Address•
City: State: Zip:
FIREPLACE ?
Gqmpany:
Phone #:
INSTALLER
,
Signature: '
Street Address; License #:
City: ` ?
GAS LINE Company: A f)/?? Phone #:
INSTALLER
Name:
Signature:
Street Address•
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimney/flue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
Total:
,. ? . ?..
4i( OO 5 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
?ITY oF ?GAN 8 ?15
3830 PILOT KNOB RD - 55122
851-687-4675
New Conshucfion Reculrerrmfs CA *-l36(pq? Remodel/Reoalr ReaulremeMa
D 3 reytatered tite wrvoya showlnq sq. R of bt, aq. M. of house `-?q-flb
and g( roofed areas G!0% maximum bt coveraae allowed)
D 2 coplea Of plans (ahow becm d wlndow sizea: poured tnd. desipn; ett.)
D 1 sef of anerqy cdaAaliona
n J oopfes W hee preservaHOn plcm H lot pWtted aBer 7/1/93
DATE: 2 '" 0 v
DESCRIPTION OF WOR : -1
STREET ADDRESS. `(0 F) R
LOT: BLOCK: 4_
2 copies ot pian
1 set ot enetgy cxdculalfons for heoled adc811ona
1 sife wrvey !or exteAor addiftona dc deeka
cosr`pC `?,?? ,?00?, ?O?
.
I?"f I'1 S Q(? Phone ?05 240 Z9s
,r~ Name: V ?
PROPERTY taat Flrat
OWNER S ?m?
Street Address:
CNy
COMRACTOR
ARCHITECT/
ENGINEER
SMte:
Zip:
HENDRICKS ROOFINQ & REMODELlNQ C0.
Company. 9737JMdES.iS.V7`1 t° SflIJTH Phone
BLOOMINGTORI, It,U 65431-2e19 , (area code)
881-7274 Sheet Address: ?12,YEAR ROU D(S?ERVICB 183 _ LJCense # 20 0?Exp. ?
City
Company:_
Telephone i: (
Sireet Address:,
Cily
)
_ State: Zip:
' Name:
Regishaflon C
State: Zlp: _
SeweNwater lic:ensed plumber (if Installina sewar/waterl: Phone #:
I hereby acknowledge ihat 1 have read this applicalbn, atafe thaF ihe Infomwlion is carect, cnd agree to comPly wilh ap aPPIlooble State
of Minnesofa Stalutes and City ot Eaynn Ordinances.
Signaiure of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) -
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 03 01 of _ plex ? 09 07-plex ? 18 Deck O 23 Porch (screened)
? 04 02-piex 13 10 OS-plex 0 19 Lower Level ? 24 Storm Damage
? 05 03-plex O 11 10-plex Plbg _Y or _ N ? 25 MisCellaneous
O 06 04-plex 0 12 12-plex O 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New E3 36 Move Bldg. O 43 Reroof
O 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration 0 38 Demoiish (Interior) 0 45 Fire Repair
O 34 Repair 13 42 Demolish (Foundation) ? 46 WindowslDoors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
. _ '
.
Stucco/Stone
0
a
APPROVALS . ?
Planning Buiiding Engineering Variance
E3 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
? 36 Muki
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
Valuation: $
Copies ?Q
Total: 5/tz'(00
?
SAC Units
% SAC
?
r(I?
,? " a•'?
y
25 • 00+
0•5c1+
? 0 • 50+
20•00*+
,. , 11124
1990 BUILDING YERMIT AFPLICATION
SINGLE FAMILY DWELLINGS
CITY OF EAGAN
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
MAR 16 RECD
To Se Used For: ,DE44(- Valuation:? Date
Site Address btt
Lot IL Block
Parcel/Sub
owner Ar")Gjs
Adaress 4A Sp K ;n#,s RwtiY 'b .e..
City/Zip Code e1iLe?
Phone Lp?v -
Contractor
Address 164Y ?&MAa!/aGAAsr f.,/.??L O-Z.
City/Zip Code 4FfVn1 PK /AIn+ 55601
Phone 7 3 6-R's 1 7 co2,,
Arch./Engr. S " 4L A-5 f}& J L
. r
Address A
City/Zip Code
I r
/L 90
COMMERCIAL
/cpO OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length I2`)(, 114,
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
-??
O?
Phone #
..'T{??II-'?YOR'S CERTIFICATE *' SUNSHINE CONSTRUCTION COMPANY , - ..
`
CA
0
9 OO /
;-
a
s
'`? °o
2226 / ?
?; / L 4 T lO 9+
. ? S`?G 945? ?? ? • . / t,?? ?
?.?NOSSE 0t39 %
30? / a 0t? R
5 ?
9y,5t b6 9
Rp` ??Nt P?/?
010
? _2
• .--T-
Ag3?
s1
?
p ' ?5?9? 6-5
3 \ a" ?
?. i3?? ? ° = oia+ o
Q?; /y, ?• o o? o•m ? Q?' 1 .
? ? ( ? \ QQ/? N N/? AL? Z?
Z CURB S5Q 10\ i?D
952.8 \\
Gtl^" rn % g? 4e3s `Za26
V • ? w ' . . ?P? ?*? `9 A? J
? °0 /'
00 '? 130
? 43\
. Cp Yi 2133 A9
? tT 10
O . 3?-sA r 1 ?
? s m1y ??
.2. 9
? 1 Q 30 1 .
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 953.00 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 950.30 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 953.30 FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COt!PANY THAT THIS IS A TRUE APlD CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Block 4.• BEACOPi HILL, according to the.recorded plat thereof,
Oakota County, Minnesota. ?
AND OF THE LOCATION OF ALL BUILDIhGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR Otr' SAID LAND. IT AL50 SHOWS THE LOCATION OF THE STAKES AS SET FOR
A PROPOSED BUILDIPIG. AS SURVEYED BY P1E THIS 15TH DA.Y OF FEBRUARY. 1983.
SIGNED: JAP'ES R. H?LL, IPlC.
BY: w ?./
??
HAROLD C. PETERSON, LAND SURVEYOR
MIPlhESOTA LICENSE NUMBER 12294
PROJECT NO. 60aK / PAGE JAMES R. HILL, INC. '
83146
44?75 Pianners / Engineers / Surveyors
FILE NO.
8200 Humboldt AYenu• 8outh
FOLDER '
e Bbotnlnfltott, Mn. 65431 612-804-3029
.cSrUR'VEYOR'S CERTOFICATE.' SUNSHINE CONSTRUCTION COMPANY
•.
\
ia? 46`
??5? +9
a39
5y6 .
?
?
a26
5 y2
, 30 ?
.f- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MOPIUMENT SET SCALE: 1 INCH = 40 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 953.00 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 950,30 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 953.30 FEET
I HEREBY CERTIFY TO SUfJSHINE CONSTRUCTIOPJ C0MPANY TNAT THIS IS A TRUE APiD CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Block 4. BEACOPi HILL, accordinq to the.recorded plat thereof,
• Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDIhGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROht OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR
A PROPOSED BUILDIPlG. AS SURVEYED BY P1E THIS 15TH DP.Y OF FEBRUARY. 1983.
SIGPlED: JAMES R. H LL, INC.
BY: -
HAROLD C. PETERSON, LAND SURVEYOR
MIPiNESOTA LICENSE NllMBER 12294
PFtOJECT NO. BOOK / PAGE JAMES R. HILL, 1NC. 83146 44 planners / Engineers / Surveyors
FtLE NO. . /75
8200 Numboldt Avonu• 8outh
FOLDER gbotnlnflton, Mn. 66431 612-884-3029
.? a .
W:atirrr?cris? Coestrnetion No.
11 Cuide
lowI ' Doon Referente Out. Wall Int. V/.N Ceiling Roof
-o- I 19_ •
7.1 1 S-z Q Rooro Length Width i 1%? HeiEht 81 0" ++ ?F
arna,,... ..,a n.,,,..-r..?t.... ...a e.., II
WIAt?
et Oae• HoIfet
et yano, He. et
11!At¦ Lle"l ft
et en2t An?
q. tL
.
L'O" w0" 1 0 1
Coef. &a
i1trikGoa 2. 0
ku 1 SO
p. wal(
t esp. wall
. wall ?
or
a. 1
tal tltu. - p
quired sq. ft. ED.R. or sq. ine. W:A. Leader ere?
-1•1 ?? A%,,L, Room l.ength ?1'6' VJidth l)' (o" Height8' "
vViedews !nd n?rf-Crartirav' wnrl Aro• Width Ntlght Ne, et Llae?1 !t. Aiea
sf oa*• ef p•n* .?MU e(traek q. h.
Coef. Btu
ilttatioa ,
tu
p. wall
t esp. Wall
, wall •
qf
?. Lo L4
;al Btt1.
quired sq fG E.D.R. or Sq. ins. WA. I,eader erea
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QJ A56C\eNT l.,l. Room ( Length ?V'C1 Width?'jb" Height 8w
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Required aq ft E.D.(Y. or sq. iris. W.A. Leader area •'t?
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ceI
Total Btu. I '. "'`y
Requirnd s4. ft. E.D.R..or sq. ino. W.A. [.eadet area
;.?
- lntalation
Floor II Kiad How Applied '`:'+'
v In?al?tion
CaIliCP1l A
COpstlVttlOq t? I?O, I..?(JOD
.? Guide
+dowi ? Doora Refeteoce Out. Rlall lnt. W?N CeilinR Roof Eloor Kind How Appli
i-?lo ? Fo 19_
`•
Fl.? Room Length P'c,° Width ?•,'?," Height F1.1 j( • Room 106
W;ndn... ,n.1 .,.,i e.., II m:..a.....a a.,a f?nra--Craekaae and Arca
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IL WIEth
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?, •1 ?l? ?I (? =?.?,'303 1.3'T u
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-
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C'7. 1
I Totel Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. l.eader area I "
? F1.1 M ?1?•1 ??.?hRoom I??sth `1' b" Width l.'!e" Height 0'C
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.
,
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Floor '
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Tota1 Btu. "
Requited sq. ft. E.D.R. or sq. ins. W.A. Leader area
? Fl. T n-r ?L Room I Length '1' U' Width 5'V HeighlBV
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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: 4658 Kingsbury Dr
Lot: 10 Block: 4 Addition: Beacon Hill
PID:10- 13500- 100 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124 -0000
(952) 891 -1919
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Daniel R Vieths
4658 Kingsbury Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA085116
08/08/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136967
Date Issued:06/08/2016
Permit Category:ePermit
Site Address: 4658 Kingsbury Dr
Lot:10 Block: 4 Addition: Beacon Hill
PID:10-13500-04-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel R Vieths
4658 Kingsbury Dr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
City of Eaali Permit#:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspectionsacitvofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date Site Address: COktk?ySbCArL/ O/ 'O8y Unit#:
id_ rar;
Name: 0Gih i c-4-11 S Phone: 6 S( 3 /5 �0'��
Address/City/Zip: ("I
I g t(A-ry Or- g
� y
Applicant is: ' Owner ?Q Contractor
ype . , k
Description of work: `r (e Vii"i1 So� �
,S ( -'s e �.-- c�y & 8
Construction Cost:3300 Multi-Family Building:(Yes /No t7 )
Company: r' 1—AAA,c �`'�{ ( n Contact:Jon c.
'[ 13G
Address: ac‘c4,4,#.-fCt Si-- '- city: SEdncun f
•r4.
.�y c / /-cam 7�7
State:
///2 Zip: JU�� Phone: (F'b { 1e0117/ /7Amail:-� 4`t(-051`PO-A-k,'Sr'Ar°1,c(frit
G
License#: / Z� Lead Certificate#: a'" , 67388
If the project is exempt from lead certification, please explain why:
vtot� Sc{y I i�( lt,0!>s " z\ ,*nt_
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:
NOT ns and up®' "ng documents th t you submit are conside a.. Az' 'c information. - the
info &ton may be .i0- ton-p ie rf yo I +ide s. ific re ® s at we' tie :to do 9 e t th
trade arets ��# .... skip, ' s „: ggSf
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.citvofeagan.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.qopherstateonecall.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.
xPau( !77 y 'CP ILS x iPatil i
Applicant's Printed Name l Applicant Signatyfe
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
Permit#: /'7 4'S (C
City 0t.Eapli / s- 1
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections(acitvofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: vL U I e.-k-kLj Phone:
esid�ent/ �,
Owner Address/City/Zip: �� gl14 `fid-=' 7 (,
Applicant is: Owner Contractor
Type of Work
Description of work: Ick j'Teca F Cl). PD�t � ul
Construction Cost: (i/600,— Multi-Family Building:(Yes /No )
Company: $t -oe.. C/ AA.104✓`` Contact: l,/k (Sect 6� t°vim"&,
Address: f �� f()�� G LW City: t��l ��
Contractor n,, '�7 f _ (� 9
State/ V` ) Zip: ,-S I 07 Phone: (_¢Sc ;3G? 33S Email: c". P��"'��W��CCcS�`�v`� '� et.
License#: h� X77//�) Lead Certificate#:
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 may be-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.citvofeaqan.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.gopherstateonecall.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 w' -• a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv I of plans.
x CR('c ! '�/ J� �se-CIOi^) x 7 .4(
ApplicantlsPrinted Name A pli nt's Signat
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I J�
0(0
City o Eaau Permit#: __D (1
Permit Fee: 64-J
3830 Pilot Knob Road
Eagan MN 55122 Date Received/OF-1
Phone: (651)675-5675
buildinctinspections(cr�.cityofeagan.com < 4E, Staff: 44",
•
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: to/ (oIr7 Site Address: LIGyt ��1��'SBt�ie`/" 71 (� gAcoAi Unit#:
�SIP' 3J5 )
9
.�����`, �� Name: ,'-�/tl�/ Ui ETH S Phone: '�� y
Resident!rn t�
Owner Address/City/Zip: /til CS,i l/R l �� .
Applicant is: )C Owner Contractor
e of Work ;. Description of work: .btCK- REPAI !<; i f l TCm t i-tiAJ LQ5 i I Rnl i, ?ER f RR t(,lYp .
45. HQ 00
Construction Cost: Multi-Family Building:(Yes /No X )
Company: Sig L(= Contact: PLt;,ASE- ASSiGnJ To TE' ly,
Address: e YV1G1't l t , Ks t, rnC1 t l+ C u fn City: kt Kt'gi\I 0 UJ TN 6 1—t O V C
COntraCtOr
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
zT'.S AC -Deas l- Rb lih L1C l�>vS
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 a d support►ng documents t t rou submit are considered to be public information• Portions.,ef.tfri
in formation maybe classified asnon-public ifybd,provide specific reason+ p ®ermtt the ® wale that they
are trade secrets.
� t..
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.citvofeagan.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.gopherstateonecall.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
accordance with therapproved plan in the case of work which requires a review and approval of plans.I
x R ry V t-�4�S x V
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOWTHIS 1=INE //co �3,)-
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi `,, Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex I 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 Occupancy 'F �-- MCES System
Plan Review Code Edition I0, -0 SAC Units
(25% 100% ) Zoning 0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction i 6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath Brick EFIS
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: A\, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge A § " `"'
c '3
Plan Review
i Mk
MCES SAC ''.,11:
. 0
City SAC 7/-0
Utility Connection Charge qi
``1
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
r For Office Use
Permit#:
/SF a6
E AG A
ftmic e Permit Fee: ���•o�
VE
CE
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 SEP 16 2012
•
Date Received•h /
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675 Staff: �"�
buildinoinspections ancityofeagan.com
2
2019 RESIDENTIAL BUILDING PERMIT APPLICATION �,0 ,��
q
Date: //11'f2o1 Site Address: 'Ace Se i " 5 d v-Y Dr Unit#: G'611611
Name:
D4 it St-' Laurie V .G s Phone: 651-315-90 Y 9
R$51C1ED1tl
Oiiiner Address/City/Zip: Sa wt. '�- PEnelroa I L
Applicant is: Owner A. Contractor
Type of Work Description of work: ./t/GW Dec. iv, r'ep/4C - pod Oh - oti 644 O F hon.
Construction Cost: 4.12,a 0 0 Multi-Family Building: (Yes /No X. )
Company: 60-E-e.bt 04$ ;5 Contact: Jere-Mr Cr4 y Ard
Contractor Address: I y 03 (Z ." S F , City: Ck;ppe 14°4 Fells
State: W_ Zip: S-Y 72-7 Phone: 6S(-20 -ite mail: je to Pyr . G i-4 r A''I eiCtsyA.ni1. 60 at,
License#: S G i l I S Lead Certificate#: —
If the project is exempt from lead certification, please explain why:
�OM.t &vi14- 4kms- 178 , pis"- fru.v''t7l•'!-g / war � S .Tt•1
.
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.cltvofeaaan.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.gopherstateonecall.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 o ans.
x •_1e' "W Cray . x
Applicant's Printed Narte Applicant' ignatu
<40siri(ni5b0� Or t4./y&0ID,c .
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
— 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 — Windows Reroof — Demolish Interior
`Alteration Fire Repair Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION
Valuation 2-01J Occupancy MCES System
Plan Review ' Code Edition .A , S'' SAC Units
(25%_100% ) Zoning City Water
Census Code( RI Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction //L, Width
REQUIRED INSPECTIONS ��!
Footings(New Building) Meter Size:
Footings(Deck) ; Final/C.O. Required
Footings(Addition) r _x Final/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
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
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: , Building Inspector
RESIDENTIAL FEES
Base Fee °A6-1
Surcharge01
Plan Review
MCES SAC
City SAC
Utility Connection Charge _
1,7
S&W Permit&Surcharge D (.S — Z(,
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
' C E T C ESLIRVEYORS RtF 1 AT ' SUNSHINE CONSTRUCTION COMPANY
rll �
. � C.
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30 1
1
.__._ • DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 953.00 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 950.30 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 953.30 FEET
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Block 4, BEACON HILL, according to the .recorded plat thereof,
• Dakota County, Minnesota.
•
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR
A PROPOSED BUILDING. AS SURVEYED BY ME THIS 15TH DAY OF FEBRUARY. 1983.
SIGNED: JAME�. H II, INC.
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BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
8314E 44/75 Planners / Engineers / Surveyors •
FILE NO, 0200 Humboldt Avenue South
FOLDER '
Bloomington, Mn. 61543.1 612-884-3020
•••
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179002
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 4658 Kingsbury Dr
Lot:10 Block: 4 Addition: Beacon Hill
PID:10-13500-04-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Daniel R & Laurie F Vieths
4658 Kingsbury Dr
Saint Paul MN 55122--271
(651) 315-9049
Summit Installations Llc
2800 South Kelly, Suite 170
Edmond OK 73013
(405) 921-2701
Applicant/Permitee: Signature Issued By: Signature