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4659 Kingsbury Dr-- - R emarks Faddition BEACON HILL ADDITION Lot 22 Blk 3 Parcel 10 13500 220 03 owner street_ 4659 Kingsbury Drive State Eagan, MNt 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ^4;: 1982 1806.93 200.77 9 1806.93 C007563 10-1-81 STREET RESTOR. GRADING ' 1982 526.46 58.50 9 526.46 C007563 10-1-81 SAN SEW TRUNK '?D" 976 135.97 9.06 15 90.67 A008956 18 8 * SEWERLATERAL 1982 3116.46 346.27 9 3116.46 C007563 10-1-81 WATERMAIN * WATEF LATERAL IJHZ 9 WATER AREA 1982 198.01 22.00 9 198.01 c007563 10-1-81 I * Stubs 1982 g STORMSEW TRK 1982 359.82 39.98 9 359.82 C007563 10-1-81 ? STORM SEW LAT ly$? 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD USIT 25 .00 35150 ' 4-6-83 WATER CONN. 450.00 BUILDING PER. SAC n u PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT $ I & DOLLARS ?oo ? CASH r-1 CHECK FOR • JWhiYe-Payera Copy Yeliow-Posting Copy Pink-File Copy Thank You ?°? BY Receipt ? - - MECHANICAL CITY OF V I Fill in numbered spaces TYpe or Print /egibly 1. DatW • ? ? 2. Installation Cost 3. Job Address' Lot , -?'- i 4. Owner Permit No. Fee S/C Tot. _ Tract 5. Contractor '- ' Phone 6. Address ? 7. City State Zip 8. 8uilding Type: Residential `Q Commercial ? Institutional ? 9. Work Description: New a Add ? 1 10. Describe I 71. Alter ? Repair ? _Puel Type ' No, Equipment 9TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: - Boi lers Mfg. - Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - ! for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,6100 'z ' ? PLUMBING PERMIT Permit No. Receipt CITY OF EAGAN Fee ' ? Fill in numbered spaces 3/C Type or Print legibly Tot. 1. Date ?.; 2. Installation Cost ' ? C ? C:_,-,• . 3. Job Address ;"- - Lot :'.t: Blk. ? Tract iIL? 'R OOt•ISTRUCTZ( O i . , . wner 4. 1 . 5. Contractor'c'i?'TF??; '4RCa.A•":ICAT. Phone !:-i , o-j!n 6. Address ''?"• :?.iLT A?l? 7. City Ln`:I-;'Tfi.,- ? State 0.4Lj:7" Zip rt4)!ii, 8. Building Type: ResidentiaF 11`' ComrtS2rcial ? Institutional ? 9. Work Description: New O`- Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Ctoset No. Fixtures Cesspool /Drai nf ield _L Bath tubs Septic Tank Lavatory Softner i Shower Well ? Kitchen Sink Urinal/Bidet Other Laundry Tray - Floor Drains ? Drinking Ftn. ; Slop Sink Gas Piping Outlets 12. I hereby certify that the above inforfnation is true and correct, and I agree to comply with all ordinances artd caileIi goveming 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 ? , BUILDING PERMIT cirr oF EAGAN 7795 Nlof Knob Road Eegan, MN 55722 iHONE: 454-8100 ' Receipt # '..`. Slte Addrcss `"'-" ^+ugeioury urive Lot 2 2 Biock 3 See/Sub. Beacon Hill j Parcel # 10 13500 220 03 oc Nome Joeeph M. 14iller Con Z Address 18133 Cedar Ave. 50. 9 Fsrminatnn GS Erect zi Alter p Repoir 13 Enlarpe p Move p Demolish ? Grade 0 Occuponcy .. 2oning ?? ` Fire Zone PIA Type of Const. V # Stories i ,,,,,,,, 41 Nome 'jwuer wpprovals sp ? Addreu Assessment ~ Cit Phone Woter & Sew. Police ?W Nome FIro lu 30 Address Enp, <W CI phone Plonner Council I hereby acknowledge that I hova read this applicotion ond state that gldp. Off. the intormotion is correct and ogree to comply with all applicoble APC Stote of Minnesota $tatutes ond City of Eagan Ordinonces. 5q. Ft.- Fees Permit LZSb.VU Surcharqa 25.50 Plon check 14 3. 00 SAC 525.00 Water Conn4 Water Meter ? Road Unit M=- Totol Sipnature of Permittee I osep 1 . . er onst. Co. A Building Permit fs fuued ro: on ths expreas conditlon thnt oll work shall be done in accordonce with oll applicoblQ.StaM of Minnesota Statutes ond City of Eoyan Ordinancea. 8uildinq Offlclal Permit No. Wrmit Holder Mise. Permit No. Holder Plumbin9 H.V.A.C. SS t'C" Z7-$3 Wdl Water Disp. Sawer eklefti° $ 7525 t' aw1 9[.c -l 7- Inspection Dete Insp. Othar Footings i Foundstion Freming Rouqh Plbp. •z 7 8'j yv Rough HVAC 4PIb o_ Descrihe Location: E t 3830 Pil BUILDING PERMIT ItIA-4-4 riTV n[Z ?0? PHONE:45 F?e tt Sn Lot 22 Block 3 Sec/Sub. DUCOl1 HI'LL8 Parcel No. W Name MAR, '$?A, VFTSRRnN ; Address LfiS9 Yi*1G.RAL1pY DR 0 City RkcAu Phone 681,4%S ,o Name SAMH ?Q Address U¢ City Phone ? Ww Name ? _z' Address I <W I City Phone 1 hereby acknowlege that I have read Ihis application and slate that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ! . Signature of Permilee A Building Permit is issued to: PSAfIK A PETERSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Official ? I rit .M .. .. . P . .Y . T iAN -199, Eagan, MN 55121 ? IOD Receipt # Dafe- APR 16 , ??_ OFFICE USE ONLY Occupancy _ FEES Zoning _ (Actual) Const _ Bldg. Permit 3 . oO (Allowable) - Surcharge 1.?0 # of Stories _ Length _ Plan Review Depth - ' SAC, City S.F. Total - SAC, MCWCC S.F. Footprints _ On Sile Sewage _ Water Conn On Sile Well - Water Meter MWCC System _ City Water _ Accl Deposit PRV Required _ S/W Permit Booster Pump - SNJ Surcharge Treatment PI APPROVALS Road Unil Planner - park Ded. Council BIdg.INf. _ Copies Variance - TOTnL 98 • 00 Permit No. Permit Holder Date Telephone # WATER SEN/ER PLUMBING H.V.A.C. ELECTHIC Inspeetion Date Insp. Comments Faotings I Foundation . Framing Rooting Rough Plbg. Rough Htg. Isul. Fir lace ?' Final Htg. 10, Orstat Test Final Pibg. PI6g. Inspecfor - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoninp: No, of Units: Owner: Address: Site Address: Plumber: I ayree ro eompir with Nro Citr of Eagon Connection Charge• Ordinancat. By Dete of Insp.: I nsp.: Account Deposit: Pertnit Fee: Surcharge: Miu. Charpes: Total: Dote Poid: ciTr oF e..cnN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: MN 55122 E DATE: egae, Zoning: No. of Units: `osenh ?'iller Owner „-. -* - . Address: Site Address: Plumber: 4 _ N M Connection Charge: ' eter o.: Si Aaount Deposit: ze: Reader No.: Pertnit Fee: I aqree te eomply Wftb the City of Eayan Surcharge: O Charyes: Misc rdinanea. . Totai: Date Paid: gy Date of Insp.: Insp•-. ,. , ? ? . .? , CITY r ?! • ?,'?' (' BITIiDING PENCP AP'PLI( •. ._ .??F i ?I C'nt .r? „ ? l)eed valuat3on Irycwae s .ets;ot.pla?s. 1 dt?s p?an w/e?l0vaitions i,, ? I set Or epes+9Y ??1'',culations" _ - •? , naee Rb .??• ` ?., Site Address e ? C? tw CI?II.Y ?+.? ; Iat oV Blodc ? ?z SHC. ?'?iBl" ? ??"''7 a 13 Sr?o?'O c'? ? - gise Za?e Paroel A : - ? BraazVe i°?r ---- qwo uf Oon . aN1rAr: . Mon ?.?. ? i+. Addrlqi Glade City/2ip Oode: }? ?? a 1 rf?a? *i ,. .._ _ , oontracear Address: J-4:K CitY/ZiP Code:? .? ? Ptro[ye t : Arch. AM . . AdBress: City/Zip Qode: Phcw t: ? ?. ? ; ? psi weiber/SeWar li Plan G'heck oe Fo Fire sAC • WDttB?t 00[??• Sp ? ? Plamr?er ? C7oundl ? Aoad [7hit „ s18g. of . ?-5- ? APC ------------------ , '1??191L ?? ?"c'?. ± . . :? :, ? ' ? ;. ,,. ? ? / ? ??? ?? ? ? ?'?? ???? Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL INSPECTION CHEtK BtLOW WORK COVERED BY THIS REn[ iF.ST ?SgS'$ ? 7 ? 91, Type of Building New Add. Rep. Check Applian ces Wired Fox Check Equipment Wited Fot Home ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryei ? Electiic Heating ? Commercial Bldg. ? ? ? Fumace ir Silo Unloader ? lndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm List List Othei ? ? ? pehels# fl Qereers# x COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Citcuits: # Fee 0 to 100 Amps. 0 to 30 Am eres 0 to 30 Am etes ,t,Sd 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100_Amps. Above 100 Amps. Transformets RemoteConuolCirc. Partialorothetfee Sd Signs Special Ins ection Minimum Fee Remarks TOTAL F E,R,f -Jb 3• 4 l, the Electrical Inspector, hereby certify that hasbeen nrade:1 n.,4s C', 1-81:1- (Final) This request void 18 months from This request void 18 months1f L aa L 33 ? 13F_ato?? _ - b!-?° u 3s?s g 3z Sc? Date of this Request ? - 02 7 - ?? 5 9 O?' D I, as ?1 Licensed Electrical ConUactor ? Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. S tr<? City&4;'3rt Section Township Range Couniy f3?? Which is occupied by Is a roughin inspection required on this job? No ? Yes IV Power Supplier leQ??P Address _ Electrical Contractor (Company Name) Mailing Address Q20 3 40 , ? (Elec_U(cal Contractor or Owner Maki Authorized Signature Ready Now ? Will Call gr 10420....s?? 4, Y/eo ia -? _ Contractor's License No. dsote-, , 03 ng This Installa on) Phone No. 753 `13 27 (Electrical Contractoi or Ownef Making Thls InstallatiOn) This iMpection request will not be accepted 6y the ?_?: ?? ?? U?C??? ( ??? State Board unless proper inspection fee is enclosed. C?rrtiftrtt#t'nf COrruparcry ; Citp of ?agan Ervttrtmrnt nf Bitilding 3njWrrtiun > This Crrti ficatt issutd purauant to the rcquirementt o f Sat:on 306 of the Uni form Building ...,.,,?, ? , Code artifying that at tbc timc of ir;uarue thir strnaurc; wa,-'. :c:n c:ompliann with the variour ordinantrs of the City rrgulating burld:ng toiuf+uttion os ute' iFor tbr followrng: UwCt+mlintim_ .$DWG'/GAR ?adr.mmtNo. 7900 Ocamwuc I r Tra ' R3 'ryw coa.wcnw V"' FiR ?.,.. NA z,n;nq n;.N?t Rl .°, e.. _. 'o,.mw orema„.s Joseoh M. Miller Aad. 18133 Cedar Ave.So:, Farmir Biie?Addras 4659 Kingsbury Dr. LIMILryLot 22,Block 3,Beacon Hill euaak8omaw n,«: June 29, 1983 !? - _.. . . . !aT 111 A CONOlCYW. r4 [ \:?:. . . ' . ' -. BUILDING PERMIT Te ba wed fer SF Site Address Lot 22 Parcel # - a IName Joseph M. Miller Const. Co. ? 18133 Cede.r Ave. So. Addreas ,Farmington 454-4753 o Nome _ u? Addreu ? ??... Name _ Address Phone I hereby acknowledge that I have read this opplication and stote thot the information is correct ond ogree to wmply with all opplicobla Stote of Minnewto Statutes and City of Eagan Ordinances. Signature of Pertnittee A Building Permif is issued to: Jose olI work sholl be done in accordonce with Buildiriy Offtciol f CITY OF EAGAN ?T. ? 7900 9795 Pilot Knob Raed Eogan, MN 55122 l?l PHONE: 454-8100 Reteipt # ??J 5i? GAR Block 3 Sec/Sub 10 13500 220 03 Drive Beacon 000 Erect gg Occupancy -1 ' Alter ? Zoning R-1 Repoir p Fire Zone NA Enlarge ? Type of Const. V Move Q # $tories Demolish Q Length 41 Grade ? Depth 46 Sq. Ft.- Approvab Fees Assessment Permit 286.00 Water & Sew. Surchar9e 25 . 50 Police Plan check 143.00 Fire SaC 525.00 Eng. Water Conn,4?0• QI Plonner O Woter Mete 25? O Council Rood Unit Bldg. Off. APC Totol $1739.50 . Co. on fhe express condition that isota Stotutes cnd City of Eogan Ordinances. , . CITY OF EAGAN Np ' 8 9 O 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 7o be used for BASEMENT FINISH Est. Value $1, 500 Date APR 16 , 1991_ Site Address 4659 KINGSBURY DR Lot 22 Block 3 Sec/Sub BEACON HILLS . OFFICE USE ONLY P8fC01 N0. Occupancy _ FEES Zoning _ W Name MARK A PF.TF.R40N (ACtual) Const eldg Permit 35.00 ; Address 4659 KTNGRRURY DR _ (Allowable) - . 1 p Surcharge _ n0 City EA(;AN Phone 681-065 # of Siories _ Plan Review Length _ o Name SAME Depth SAC Cit Z AddfBSS - S.F. Total - , y Clty Phone S.F. Footprints _ SAC, MCWCC ? On Site Sewage - Water Conn W W Name on site weu 'w - Water Meler ? ; AddresS MwCC System - ¢z Acct Deposit `W City Phone crywater _ . . . PRV Required _ S/W Permit I hereby acknowlege that I have read this apptication and state that the 8ooster Pump - S/W Surcharge information is corred and agree to comply with all applicable State of Minnesota Statutes and City ol Eagan Ordinance . TreatmentPl Siqnature of Permitee ?rd APPROVALS Road Unit A Building Permit is issued to: MABK A PETERSON Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable Stale of Minnesota Statutes and City of Eagan Ordinances. Bidg. Otf. _ Copies ??A D,r l fYI.,N Building Oflicial (11_.r Variance - TOTAL 36. 00 4 REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-oe / /? j ? See inshuctions for completing Ihis form on back of yellow copy. H??(?,_? 7 ')C' Below Work Covered by This Request ew Add Rep. Typeof8uilding AppliancesWired EqulpmeniWired Home Range Temporary Servica Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speciiy) Comm.llndustrial Fumace Farm Air Conditioner Other (specity) Conirector's Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector5 Use Only: TOTpL - Irrigation Booms ?J 30,t sv Special Inspection Alarm/Communication THIS INSTALLATfON MAY BE ORDERED DISCONNECTED IF NOT Othei Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Final . oaie ? - OFFICE USE UNLV ? .- This request voitl 18 monlhs from ' . a //40/V/ 38427 RequeSt ?ale ? - Fire No. Rough-in tnspedion . R uired? ? Ready Now ?Nill Notily Inspector When Ready? 4- p '? 16 - I? Yes ? M. I p licensed contractor Pi.owner hereby request inspection of above electrical work at: ,bb Adtlress (Street, Boz or Route No.) 4 l? ? £AG?M1 i 4-65`1 K?•vGS?vRY Section No. 7ownshiD Name w No. Renge No. ?unty Occupant (PRIM) Phone No. PETF?2SON 6 A . ARK Power Supplier Address . Electrical Conuaclor (Company Name) Contractor§ License No. Mailing Atldress (Comractor or Owrrer Makinq Installation) - ¢ l? ' . • g ?N s??ar ??s r AulOOrized JA ure (Go?+traCt or?Owoer Makjpp allation) . Phone Number /? s?J -o65?'L. MINNE807A ATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT - - GHggs-MlOway Bldg. - Room fr173 . BE ACCEP7ED BV THE STATE BOARD UNLESS PROPER INSBEC710N FEE IS 1l21 UnMarsiry Ave., St. Paul, NN 55106 Ptwne (612) 642A800 ENCLOSED. W --/v 3 2005 RESIDENTIAL BUILDING PERNII'C APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 Telephone #( New Conshuction Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. oi lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20°k maximum lot coverage ailowed) 1 set oi Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for addilions 8 decks Tree Pres Required' '- _Y _ N t set of Energy Calcuia6ons Add'rtion - indicate i/on•site sepfic system Onsde Septic Sysfem _ Y: _ N 3 copies oi Tree Preservation Pian H lol platted after 711193 Rim Joist Detail Optians seiection sheet (buildings with 3 or less unils) Date ?7 ! o5- ad Construction Cost 4S46 0? Site Address K/ NGS /,3U 2y /,/41 VE- UniUSte # Description of Work ?flO[?O96E, F rSTin% L!JlN0(7Jr(i S 00025 F41-L £1?Y?Rtdl2 / Multi-Family Bldg _ Y? N Fireplace(s) _ 0 x 1 _ 2 Property Owner IVR QV, ? r./ ff 3 nE Fc2 S?? Telephone #(( S( ) 6$1 2-- Contractor Address C'ity State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 • Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Su6mitled Have you previously constructed a building in Eagan with a similar planZ _ Y _ N if so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? ?? (ro Telephone # ( ) Telephone # ( ) 1 hereby apply for a Residential Building Permit and acknowledge 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ZKA,?!< A JOFFf2sd? z???"??j?- Applicant's Printed Name Applicant's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi O 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reraof ? 46 Windows/Doors ? 34 Replacement •Demolidon (EnNre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsGuction Reauirements RemodeURepairReauirements 3 registered site surveys showing sq. ft of tot, sq. ft. of house; and all roofed areas 2 copies of plan (20°k maximum lot mverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, elc. 1 sile survey for addiGons & decks 1 set of Energy Calculatlons Addition - indwate ifon-sAe septic system 3 copies of Tree Preservabon Plan'rf lot platted after711193 Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units L? ? I D S -1 1 ??t- c"??C9= Oflice Use Onfv Cert ot Survey Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic System cr? Date Z / Q-3 Construction Cost ? ?UQ Site Address 4 6, 5 j u,hre st3Lny 0(1- UnitlSte # Description of Work /)eC I< Multi-Family Bldg _ Y')< N Fireplace(s) _ 0 X 1 _ 2 PropertyOwner eV I R211 A I 'FT?ldSc?.? Telephone # (6 s1 ) r- £rI ` C1C, SZ Contractor S s t ?_ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code.Worksheet (Jsubmissiontype) Submitted Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 14gg)l- A - PF(-,g2 S o7y) Applicant's Printed Name App nt's Signature ,. , OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 0 i of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous Work Types ? 30 Accessory Bidg ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ?T 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish, (Foundafion) ? 45 Fire Repair ? 33 AlteraUon O 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation pC), ° Occupancy l-z ? MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const v? Width Footings (new bldg) '>O Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plucnbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By ,iiG" l , Building inspector .•tificate for : Q?,Rp 140. 89044 ,oe Miller Construction 18133 Cedar Avenue South Farmington, Minnesota ? 55024 DELMAR H. SCHWANZ I LANOSURVEYORd, IT1C• ReyiflwW Undor l.sws 01 Tho StAtO 01 Minnocota 2878 - 146TH STREE7 W. - BOX M ROBEMOUNT, MINMESOTA 66M PFONE 012423'170 ? SURVEYOR'S CERTIFICATE ??3•5 Garage f loor elevatlon ? cQ le ? 1 ti3?g_ Top of block elevation -??•?' `n8.o T°p I t.ou I?o•7 Basement floor elevation ? Eua,:qyg,g V? \ /?\\ s ? . Top leoa) •\ .?' _ .?? \ ?366 , Top Wo ?io \ ? ' Qt,W?A ? s? F?.w?•?95l.8 o Denotes iron pipe 36 • ? IL I?-0 \?/ ?3O•o ??' Monument 1jG? ?o ? Denotes setback monument qSZ.o Denotes exiating elevation 9yLA Denotes proposed elevation Denotes direction of surPace ? drainage EAGAN R V 'E BY '?? 12*A? DATF ISI-W• =9*..'t ?•? ?V ? I he??b?WPt KQRPOAQEffa true and c6rrect representation of a survey of the boundaries oP Lot 22, Block 3, BEACON HILL, according to the recorded plat thereof, Dakota County, 1Minnesota. Also ahowing the proposed location of a houae not ataked thereon. Dated: March 3, 1983, MINNESOTA H fiISTRATION N6.8625 1991 BUILDING PERMIT APPLICATION SINGLE FAMILY DWELLINGS ? MALTIPLE DWEL INGS COM1fERCIAL 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 WQRKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS I5 DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDZNG PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ??°? ? f To Be Used For:^?o0q? Valuation: ? Date: ^ Site Address 4,(o57 xiNGSBURy //R OFFICE USE ONLY Lot 9-? Block _,?_ Parcel/Sub bqqf[m ? Owner ? Address ? SF K?NGS,6(//2'Y iQ City/Zip Code 4:?4G.qAJ S512Z ? Phone (PSl-a6S2. Contractor 0-0-%A4 L Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Putnp _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit a7a ? 5urcharge e.f?ea Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit 5/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL . E9s? t)e'-c?--?-- agrees that all work shall be done in accordance with (S gnature of Contractor) all appiicable 5tate of Minnesota Statutes and City of Eagan Ordinances. • Cartificate for: ? • Joe Miller Construction ' 18133 Cedar Avenue South Farmington, Minnesota 55024 DELMAR H. SCHWANZ LANDSURVEVORg, ynC• RaqiftorW Untlu Uws of Tbe State of MinnefoL 2878 - 116TH STREET W. - 80X M ROSEMOIlNT, MINNESOTA 660ls PLRN tao. M64+ 1Uq,t,t(,polr PNONE e12 429-178• I SURVEYOR'SCERTIFICATE 953•5 Garage floor elevation 953'q Top of block elevation 1 ?0 , Top IP.o?? 9rt0.7 Basement £loor elevation ? . ToP lpaQ \ EA-61.-95Zro p Denotes iron pipe Monument ?io \ 36 • \ s? a ? ..---- r ? ?? ? ?? GP+a ? . q Denotea setback monument 152.D Denotes existing elevation - 951A Denotes proposed elevation Denotea direction of surface ? drainage / ? /io ? Top 1904 'a.6Y.t9Slm ? .? / o 3 N????, 'N 1b?p l E0'U p,, a?,?f•? ?? ?.sd• =9?1+.'I ? I hereby certify that this is a true and c4brrect representation of a survey of the boundaries oP Lot 22, Blxk 39 BEACON HILL, according to trie recorded plat thereof, Dakota County, Minnesota. plao showing the proposed location oP a house not ataked thereon. Dated: March 3, 1983. :MINNESOTA fi ISTRATION N0.8625 11 Cities Di?1ta1 r Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. _;?.. , .....-.?.......: ,....,,.?? ,?.. : . .?,?.? ..?_ . ? ,. - ?! R.• ' ? ?.n . .?. ---7- -- .{fp . . P ?? ,? ?.. ?.,??,?•.nn i I(?1I EXTr:atoR Q?$Rt lose h m MIiler Cenat__-_._._._-? aiTS AWREs ,: ----- ? ? 1...? rtu I?D r .apN'l9WC7?DR: ' • ; . 'A . . .? . . D.WL ?3'3 p'tr,Nt:: 454-4753 k'- :squarc foota.4': of each Dc:tcam.Lr.L' wor ? .) - ft. x .. rea ll qoz =&------- 17 S -"'- 1. .... a Total cxPosed wa OS a • -_ 44 ??' tt. x . 2. 'ibal roof/ceiliny area .....• . Total oxposed Wall area abnqt! floor ? ? . . . ... . • . . . . •. ... ' ..1? ' w i nciow r. cr.a ..... . ... wn1. a t ' : : _ a. . a ... ..... . .... M . ti. R„«:i1 ::;,,v ,rna ..................... ........ d?-- C' TOu11 u1L:illl.? yl..::a i?iJC2 :3Yt'u . ... . .... . . .. . . .. .. . .. . . d xotal iir?z!%Tar,r- wali arca ........ . .... , ^""_ e• ... ...... Total k?ali fr:uni::J area taver-i -:'? t. , .......... Tutal rija jui?:t er<.r? ...... .. . . .. . .... . .. • • • dYeB :?\'C: f iC•`,'r . ... . Y?AI 1 ? g' A. . . . . . . . . . . . • ? W:l?.l area i?i7U?'Q :IUOT'.... .......... . .. ... _.?..- . 1, , .?•?.---• area above f.loor.............., . rrall . . . ..... .. ... . ? wal l area ??bovc: i lc??r . . . . . . ....... j e•: o•:daf ian arua = ___?! • Total er,?, .o.- ? • i-: . ^ k Tbtal fc>•ir.dation window ar.ea............. ............... . ... . 1. Total net foundation arca aboue y> >Lic ...... ..... Determine ^U" v::luc: of i?ach Ma] 1:ci.ki'nenti , (e.g. a?indcw: door, c.ch separ??,_c ?.?all sect.irni: •x ? . W:+• M b . 3L•_L. X C. ?. x X e. ??to 41, x 9 • ?T_.s.c-- Y O,1P ? e =='MWff- V • Nu11 ? V - wV.. _CL . IL- .?.- ."' ---- x "U" ..._?-'----- i. _,_ ? .----• .... 7 • _-= ----- Y. }.. __..._ x ' - : Q---° l.t 0%, .---- -- _ ' *-- -- -_` ?•?- . ? ,*7 n x( i.tcm t!3 ic thc sa"W .. oY les:s than itCr.i ;I.l, •; ? Iwvq mct thti int-.rnt 01 c?l'.^ GGO(, (c) 2. t{???i*„4 `???.1.? ., •?...?In .MY:?A??i... . Etwe1?1 Av?a9e "V" C???CSo1l I : y?: !? : 1 ,','4 I ? ? ; ; Altc:r»ate &iltdiny Envelo.Q Ds1,,'?? _ &t b ntiliz e the total 4i1YolOpO eYgtaa metbod, the valucs established by tho 9-0 Of '1 itpa {; and No shall tat m 4reater than the su:u of items 81 and 02• ? . i 2. _?,_.. ' • ?- °?'d'? •? ? 3• + 4. _,_, +?„?_ ' • ' S ,,? y? ? }•? . 1•.•4 ' . F 9?ht-to? {jt•`?( .7 " p'•??? ?' . ..: ' y •e ;', • .. ?'?;Y. ;e. . • r,.tl?, . ? ?.. r ...?..:?r , w?..••, "yi?o' s or a • ;::•.; : Total erposed roof/cciiir.3 area • • .?: ., , . dglW ::.?btal qht area ............................ r,?? •.• ? ;Vceilin9 lxatain9 area (ave3za90 101) .? .:sptal ? . •• ? aA, ' !/cCitir.q nrea......... .'ro?'.:??,''?iit? ?hsulaLed soo ' " D?tasmine "0" valuc for aaah roof/ceilin9 se9"nt _ x O?tq YI • Y ?. _ .._ ....?-..? x „u" n. • -- ' x „U., w o. .? 4 ........................... 4U1C-1 If toCal cf 04 is the skme use or losr Lha:? N'.:', Y011 ttieve met thP intent of ggC 60a5 (c?) 1. ougAL. FT, Ec.pOSEO l. =1 Z$ 14t, z4 t- 3&.r.3 fi 24 =113 Pc..A +J *V 81aAA WAt,L ?Vl..L1 .% ?tz4t?.t6+z4 -"12? VvLl. 2. ?-?- ??R..IEPI.A4E = t? 11?°t : 12 ? WALL. ARE;A : . '?LOck ; 1 Z? x X Rw , ,Q '-' x , Le. ?_?t..I ;tZB ie LL?Z % -- ? -: - . . ? Z? ., ?,; .. k8 v 41 ? ? ? =?4 s?? OS$°` ?. - v A ow ; i2& s?? .. ? - p.r.' p,4po3E.b ?t L1UC{ z4 k3G. 0 &&4 w DvU5 lb , ,. , ?y . ,, .. , ,. ,x. , ;. ? . A . . 40 -11i? =zz. z ? ,y&-1 1): ?2.0 ? 73?14???? ??? . 16 a:>•a ( ? ?h'f I Q DES . 1 -4 = Qa-O U L)i +-5 ? A 6 ??,. _._._... _ . _,._. _ :.- ?.;.. -,. WALL 8OC'1'2c)N8 •? ls? ol?apaquo wall sYea for , ?? p?tt?rction A?eI/'??/•y??l. R-Valuo Con s t? I " ' • • l. t? :'._."_ , ? 2. 3, inches soft wrx+?1 4. - S. s. o. i76. ExCer? ia` Iilm qbtal.lL e?. L7 . o v iA AlJL? i. Zs 3. 4. 5. 6. V ? .047 ?I ? i ? ? fiG. 03 . •'? ? u. • • o . + •- ? ? ? ? ? ? . L .. Pln I . x. ? 3. 4. s. 6. 1;xtorsar •1i ?•?" 'POtal ?: ?, ? •? eir filrn O.Ge 1. Intcrio_ --' 2. • 3. ?,_,.._.....- 4. 5. 0.17 gxterior air film Total • • , ,. • • ? ? ?? •' , ? . A'?f*? l? ? . ', , . ~ .. • ?.? ' ??r ' '' ?' : •.' ?? ? = • ? °. . , = I ?' ?' • ?tr ' it? • • ? : ? ?; /rl . ?- ? •? ? Fxc. #a rt? ?s '• ° ,'i?? ? '? - MOTE: Indicate ty"# "V value, depth and placeiaent og in9ulation. . . ,,.. - ... : ,,,.? „?, ? .,:.;, • , . •? ?? . . . • ?.K ' . ; ? Vslao QMNtstlCiSoA : ?; • ? . ? ? • .. . .. . • ,?,? ; ,?-ty , . . . . •, . • . : ?' , • ? . . , ; . , . ? , • ' ? ,. w , . ,?:. ? . ?. • ' • .?, '•.:, i.,..-, , ? ?. , ??,' • • . ''?,. . PAA*" i !?? • • 0.61 sis t3+w s. . . , . . . • a. ? • ?,; • ? . . . • , , . ?, . . , , . . . . ? . . . , .. . s j? :' ?? p ? ? . ' ?, ? '? •?V? . j: i . . ? ' . ?r ' • ' • . . . i • ' • • ; . . • • . ,? '' I • ? ? ' . ? . ' ? • ? . ? . 11/? ? • . • • • ? •' ? ? • CIA?lrvt??*/ Ii?. Q 6l R, . . • side ai?s lila? :.. • . .• Me• ' i• y . • 30 • ? • • , ?? • ?? 1 pntsid?t •ir tiles ?? . . , .• . . • .. - , . . : . . • . . F?? f • 0. ?1 ' :., • a ; iilu _ - • . ? ;?. •i• ,. ' . • . .' M . N . ? • q .. ? ? ? • ? . s? ?. ; .. . ,' ? ?• ' . !.r . . ' . . ,?' .. • '?. ?•, • ' • :? . . .. `', '7.. ?• a. . :-:..- • ' 00 163 ;? ?.??., • ? i. ?:. . . .?.. • a7. !. ?.., •. ' • . ?+rK'• ' . 4 i • • '•• •' ' tilA ;:•?? ? s . . . . sO • ?? ? :??rN??? ... . ?t??sis • C?l , • . . . ? . , ••• •.• • . • • '? . ? ? „ ' • •• • • ? • ' so apaen potcs Q? additionwl zf?eets t! mo , • • : • • ' •' • ' caleu2ativns - ' ? ' ?i• .?Lt;I'" .' • : • . ----- ?? tos . . . ? • . ?. . , ? . , ?' ?• . ?, ?•C ?• . . . .. • . ? , . ? . . ? . C , . . fLow ep ' '.;• ' . . . ? . . .. • . - • ? •?? •'. t? , • • :.4 : . • no• +7 ' . . , • . . ???i.?.?yri • • • RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4";C'1ct --- New Construction Reauirements RemadeUReoai[ Reauiremenls Oifice Use On1v .- 3 registered site surveys showing sq. ft. of bt, sq, ft. o( house; and all roofed areas 2 copies of plan Ced ot Survey Recd ' (20°k maximum bt coverage allowed) 1 set of Energy Calculations for heated addiGons Tree PreS PWn Recd 2 copies ot plan showing heam 8 window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Ener9y CalaWtions Addilion - indicate if an-site sepBc system _ On-site Septic System 3 copies of Tree Preserva6on Plan if lot platted afler 711/93 Rim Joist Defaif Options seleclion sheet (bldgs with 3 or less units Date -1Z / ? / OS' Construction Cost Site Address 7'W J?9 (.A.-G' (./ L? Unit/Ste # Description of Work - ? ? Multi-Family Bidg _ YN FYreplace(s) _ 0 _ 1 ^ 2 PropertyOwner I t/? ? ?e k6d ii Telephone # ?J ,1r? p, l -n (Q 5 ?- Contractor C? 1J` 1x0V(l_+0AS//j V Address io w ?1!??? v pribG7(.?- S City ld crf7'?//7G State U?P Zip Sh' G ,/ Telephone#(??? r3k7-ZS1Y COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code Category • Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN start without a it, and work is not to Statutes; I understand this is not a permit, but only an appFiiz permit; that the work will be in accordance with the approvase of work which requires a review and approval of plans. ,i,w JCh tl I n.s ApplicanYs Printed Name Signature ' OFFICE USE ONLY Sub Types Q 01 FoundaUon O 07 05-plex ? 13 96-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex O 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 5torm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 ReplaCement •Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Fookings (addition) , Foundation Drain Tile Roof Ice & Water Final _ Framingi _ Fireplace , R.I. _ Air Test _ Final Insulation ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit &_Surcharge Treatmenf Plant License Search ' Copies Other Total Building Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4659 Kingsbury Dr Lot: 22 Block: 3 Addition: Beacon Hill PID:10- 13500- 220 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Exterior Innovations 9635 Humbolt Ave S Bloomington MN 55431 (952) 884 -0814 Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $90.00 Owner: Mark A Peterson 4659 Kingsbury Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA084447 07/17/2008 ePermit al (i.e. debris that could block vent openings) and 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:Plumbing Permit Number:EA153620 Date Issued:01/08/2019 Permit Category:ePermit Site Address: 4659 Kingsbury Dr Lot:22 Block: 3 Addition: Beacon Hill PID:10-13500-03-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Peterson 4659 Kingsbury Dr Eagan MN 55122 (651) 681-0652 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171201 Date Issued:08/04/2021 Permit Category:ePermit Site Address: 4659 Kingsbury Dr Lot:22 Block: 3 Addition: Beacon Hill PID:10-13500-03-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Peterson 4659 Kingsbury Dr Saint Paul MN 55122--271 (651) 681-0652 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature