No preview available
 /
     
4670 Kingsbury Dr Use BLUE or BLACK Ink For Office Use I I CiPermit +Iby of Eajan I RECEIVE? I I Permit Fee: I 3830 Pilot Knob Road 3 I 4 Eagan MN 55122 1010 1 Date Received: Phone: (651) 675-5675 I I 1 Sta: Fax: (651) 675-5694 I --ff-__ / 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: / '"v7V- j Site Address: ~1 7G' /S// 2L[.c Tenant: Suite I _ RESIDENT I OWNER Name: q,-. Phone: ~is~ 7-5'r Q ~tl Address / city /Zip: CONTRACTOR Name: j~ License Address: r'at'. ty. State: Zip: Phone: Contact: r _ Email: TYPE OF WORK -New V Replacement -Repair Rebuild - Modify Space_ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation C- RPZ / - PVB) Add Plumbing Fixtures C_ Main / Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.oro 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. X vm~n~' G . jjCZ _ X Applic Ys Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 12 elk 4 Parcel 10 13500 120 04 Owner street 4670 KinjzsbuTY DTive State FSgan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. $O 982 1806.39 200.77 9 1806.93 C007584 10-1-81 STREET RESTOR. GRADING (p 5 1982 526.46 58.50 9 • -' SAN SEW TRUNK p' 1976 135.97 9.06 15 * SEWER LATERAL 1982 3116.46 346.27 9 3116.4 -- WATERMAIN * WATER LATERAL 19$2 9 WATER AREA r? 1982 198.01 22.00 9 198.01 C007584 10-1-81 * Stubs 1982 9 STORMSEW TRK Yj ? 1982 359.82 39.98 9 359.82 C007584 10-1-81 * STORMSEW LAT 19$2 9 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 35685 WATER CONN. ' ?450•OO M „ BUILDING PEFi. T 99 5 SAC - n n PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVGD FROM AMOUNT $ I & DOLLAR9 _ ... . .__'_^ 1 oo ? CASH ? CHECK •OR FUNO COOE AIAOIINT Thank You BY ? White-Payers Copy Vellow-Posting Copy Pink-File Copy Receipt MECHANICAL PERMIT Permit No. _ CITY OF EAGAN Fee fill in numbered spaces S/C Type or Prin[ leglbly I Tot. - i . 1. Date -- / 2. Installation Cost . - „ 3. JobAddress?`b70 /J',.tv?,;ot ?G- Blk. ? Tract ± i 4. Owner-?4%r`:'?:Nii?/c . , 5. Phoner : .• 6. Address r _ 7. City<`L1EiY"ie'4kir State Zip ? J`•''? 8. Building Type: Residential LY' Commercial ? Institutional ? 9. Work Description: New,E] Add ? Alter ? Repair ? 10. Describe 11, FuelType,?? ? No. Eauioment BTU - 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 correci, 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 454-8100 1 ? Receipt ? PLUMBING PERMIT Permit No.? CITY OF EAGAN _ Fee l r fill in numbered spaces S/C Type or Print/egibly ? Tot. ' 1, Date S ? 2. Installation Cost a? • ? r;n 3. Job Address ?yLot /Z Blk: Tract 1-i i} i / 4. Owner "?Gf..?S/) / ,?* ( oiL.` 5. Contractor L ?T P?t'U l''Phone f- 6. Address 7. City State %1 J-L Zip 8. Building Type: Residentiai lEg 9. Work Description: New'g 70. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield % -?- Bath tubs Septic Tank '"' Lavatory Softner / Shower Well % Kitchen Sink _ Urinal/Bidet _ _ Laundry Tray c'fr r Floor Drains ? _ i Drinking Ftn. __- / Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 .? / BUILDING PERMIT CITY OF EAGAN T,' J 9795 Pilof Kno6 Raad Eayan, MN 55111 PHONE: 451-8100 / Te be wed 1or SF DWG/GAR Est. Value $61, 000 Siro Addreu 4670 I:inQaburv Drive Lor_12 BI«k 4 Sec/Sub. Beaccn Nill Parcel # W Nome 5une111ne l:onatruction Go. ? Addrcas 1507 Clmmeon Ct. r;fi, Tiaqan 55122 p,,,,,,_ 454-7485 o Name Oumer Z? u? Address ? .-?... .,? - Nome _ Address I hereby ocknowledge thot I hove read this opplication ond state that the information is torrect ond ogree to tomply with oll applicoble Sfate of Minnewto Statutes and City of Eagan Ordinoncet. Receipt Date t'aZ' 19 `3 Erect ? Occupancy P•-3 Alter ? Zoning '-t-1 Repatr ? Fire Zone NA Enlarqe ? Type of Const. V Move O # Stories Demolish ? Length <<s Grade ? Depth 44 Sq. Ft._ Apyrorals Fses Assessment Woter 8 Sew. Police Fire Eng. Plonner Countil Bldg. Off. APC Slpnoture of Permittee - A Buildinq Permir ts issued ro: Sunsiiine Consr_ruction Co. all work shall be done in xcordonce with all aoolicable State of Minnes( Permit )iv.vv Surcharqe 30.50 Plan check 158.70 snc 525.00 Water Conn. 450• 00 Water Meter 60.00 Road Unit 250.00 Torol $1739.50 n the exprcn condiTian Iho+ of Eapan Ordinonces. Building Officiol Permit No. Permit Holdar Misc. Permit No. Hoidar Plumbing H.V.A.C. ?(.1'II? Well Water D'up. Sawer ' Ekctric L707Q0 t? ?? ?(f.C . S"?{ ??f3 L'?E ? r,moZ 3 4-2 u ` ? ?°z-Sr 3 Inspeetion Date Insp. Othar Footings $-4-92) (,j)/?- -:le Foundation Fromin9 - - 3 Rough Pltq. . • 3 ? RouOd HVAC i5 Inwlation Final Plbg .... Final VAC 4 Final T Wate ??ibe Loeation: VYall . Sewer Pr. Diap. . . CITY OF EAGAN SEVIfER SERVI 3795 Pilot Knob Roed PERMIT NO.: Engan, MN 55122 DATE: . Zoning: No. of Units: ?- Ownee Address: Site Addi Plumber. ' 1 agrea to eompy wlfh Fhe Ciry of Eogan Connedion Charge: Ordinanqa, Account Deposit: Permit Fee: Surcharge: BY Misc. C'harges: Dote of Insp.: Total; Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Rnob Rood PERMIT NO.: Eogau, MN 55122 DATE: Zoning: + No, of Units: - , QWfl@f: Address: Site Address: 7J_KlnKbbuz'+ a;L'l,if K&L-, ,•r?•.,,. ? t ? No.: No,: a9ree W oomply with eha Ciry of Eagon Connection Charge; AccouM Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Dote Paid: 1X1' of Insp.: ?-Iq L? Ty pF EF;;,AN ` Include 2 sets of plans, {v??v 1 site plan w/elevations & s?Y-? BUIIDING PERMIT APPLICATION 1 set of energy calculations. Zb 13e Used For aluation 1101,o(16 Date Site Address q(0 -1e) " pFFICE USE ONLY rAt %a- slocx sec./sub. Erect Zl, occupancy .3 Parcel #: O l"v Sn c)6?{ Alter Zoning ? Repair Fire Zone Owner: Enlarge 7.'ype of Const. Move # Stories Address: Demolish Front ft. Gity/Zip Code: Grade Depth fr' ft. pnone # : APP12pVALS FEES Contractor: a,? CQ-? AssessmQnts PP-rmit 4-? Adciress: `' `, [4ater/Sewer Surcharqe 50 Police ? Plan Check -- Fire SAC S a? Eng, Water Conn. a,/cS1? Planner Water Meter ????l - Road Unit ,,c-A City/Zip Code: Phone #: .- Arch./Eng.. 12.-a Address : o? 0 3 - ?-- ti- City/Zip Code: C?...:2?-_ M.Y. 'Phone #: ?u, Bldg. Off. APC TOPAL I131 7:S::C) ^ ? . ? ? ? ? ?,.?..r,? I,,,??..? ? -?, ?9 '4? / oV V ?./ S Y a G???a REQUEST FOR ELECTRICAL INSPECTION ?. E8•00001-04 ?: See instructions for comple[ing this form on 6ack of yellow copy. .?.? .. ? " X"' Be/oo ork?? ?ered by 7his Request :? ? ? / ;;'- Add Hep. Type oi Building Appliances Wired Enuipment Wired Home Ranqe Temporary Service Duplex Water Heater Liyhting Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Siio Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm oiner Dec?fy cne? Isuec?tyl t er pecify Ot er Other O!lIDU[B /pSDBCIIOn !-P.B it Fee ServiceEntrenceSize # Fee Fenders/Su6feeders 4 Fee Circuits U to 200 qm s 0 to 30 Am s U to 30 Amus Above 200 Amps; 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Amps Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspectfon $ Re marks s T FEE? 1.. nr v I, tAp-Ef?ricAl 7 ector, here6y ify thet ihe above inspection has been made. Tnis repuest void 18 months from This requast void j _Ck 18 rttonths fYOm W074027_ S ?f ,. __- ==y ;3 5-7/ a /o ,oU nequest uaie Fire No. Rough-in Inspection ired? ?ReaAy Now- WiIINBtify, lnspec- I S L ?Yes ? No or When Ready ? Licensed Electrical Contractor I hereby request inspec<ion of ebove Owner electrical work installed at: Street A? d/ye?ss, ?Bo/x or Route N'o./ ? ?+ { I ?.A? • .V? ? ecuon o. I Township Name or No. ange o. C unty Occu ? IPqiNT) , Phone No. Power,$4pplier hl! Address EI •trical Contractor ICom any 4"sel _ Contractor's License No. 1 ft-I A ress (Co tractor or Owner Making Instai tion) ? ? I Authorized Signatu ntracto wne akinp Installation) v I \_. l? ! _? Phone Numbtjj? MINNESOTA STATE BQAND OF ELECTRICITY THIS INSPECTION REQUEST W LL NOT Griggs-Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 65104 UNLE55 PHOPEH INSPECTION FEE IS ei._.._ iaill aoi o'll ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . ' Sae inetructions lor completing this form on back of yellow copv. Belo?Woifc'Co?eied by This Request ?.' EB•00001-04 ?;. New Add Ra P? T Vpe oi Buildfng AppliancaS Wired --? Ec1uiPmen[ Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm r ' W o rner isper.jfy) t er Specify Other (,'ompute Inspection Fee Below - # Fee Service EntrenCe5i2e N Fee Feeders/Subfeeder5 K Fee Circuits .? i 0 to 200 qm s 0 to 30 Am s •? 0 to 30 Amps Above 200 qm??y 31 ta 100 Amps ? 31 to 1D0 qm s Swimming Pool F Above 100_Amps Above 100_Flm ' Transformers 4 Irrigation 6ooms , Partial•'Other Fee Signs Special Inspection ' $ TO L Remarks ?, ?FfE o !w Y k -t . / floueh-in • / ' Dace ? I, the irical Inspector, hereby certit thal the above Final Date y inspection has been _ 7.; ^ada. Thisreauestvoltll8montnarrom {,S This request void (L -Z ).,I>q ?l,L C ?00" 18 months from ? 073q70 ?4 fiequest Dace No. 7 RouBh-in Inypection Req ired? ?[' ?Ready Now111Wi11 NotifY. «spco- ? ,S?1- 93 yes ? No < <ar When Rcady ? Licensed Elecirical Contractor I hereby requestinspection of e6ove Owner electrical work installed at: Street Address, Box or Route No. Ci1Y 'r ection o. Township e or No. Range No, Co Occ pent IPqWT1 Phone No. Power pplief AAdre55 Ete rical Contractor (Company Name) Contractor's License No Mailing dress (Con ra tor or Owner Making Instail onl _ Authorized Signat ontractor/Owner aking Install tion) Phone 4Vnber MINNESOTA STATE BOAflD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT Grig9s-Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univargity Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS o,. ___ ?wiel 107.1111 ENCLOSED. w-rx#iftra#e uf Mrrupttnry Citp of (eagan Ervbrtmpnt nf luild'mg Jnsprrfimt Thu Cati ficate isrued purraunt to the rcqxiremrnts of Seuion 306 ot thc Uniform Building Codc nrtrfyiag that at the timc of irtrrann this struclure wdr in compliante with ehe vurioru erdinancu of thc City ngulating building conriruction os ure. For the following: u..c,,wfic,uou, SF DWG/GAR Bia,.eefftdt No. 7995 oo;uwicr rype R3 ryp con.uictim V Firc Zone NA uting or,Nn Rl o.,K„rwams Sunshi ne coasc. co Aac.1507 Clemson Ct., Eagan 8???Adduni, 4670 Kingsbury Dr. Lot 12,Block 4,Beacon Hill 1?)dX` RMw;ngSwxwL? ?a June 29, 1983 ?r Ow w cawmcuoos ruca m,s +m un?um u.s.n, . CITY OF EAGAN ? ?J .9 5 '-- , 9795 Pilot KnoA Roed Eagon, MN 5511' l?l.o PHONE: 454-8100 ? ? BUILDINCa PERMIT Receipt # To ba uaed fer SF DWG/GAR Est. Volue $61,000 Date May 5 1 q83 Site Address _ 4670 Kingsbury Drive E r O R_3 ?? ? ctuponcy Lot 7-2 Block 4 Sec/Sub. Beacon Hill - Alrer ? Zoninq R-1 Porcel # r-- 10 13500 120 04J Repair ? Fire Zone NA V Name Sunshine Construction Co. Enlor9e ? Type of Const. W M°"e ? # Stories Z ? Address 1507 Cletnson Ct. Demolish ? Length 48 Ci _Eagan 55122 phone 454-7485 Grade ? Depth 44 Sq. Ft.- p Name O^7nel ADProrala Fees ?? Address Assessment pe?it 316.00 ~ Ci Phane Woter & Sew. Surcharge 30.50 Gw Palice Plan check 158 . 00 Nome F w Fire 525.00 SAC ?Address Eng. Wnter Conn. 450. 00 <W Ci phane Plonner WaterMeter 60.00 Cauncil Road Unit 250.00 1 hereby acknowledge that I have reod this application ond state that gldg. Off. the in(ormation Is correct and agree to wmply with all applicable $1789 50 $tate of Minnesoto Statutes and City of Eogon Ordinances. APC . Total Signoture of Permittee A Buildiny Permir is issued ro: Sunshine Construction Co. an the express condition thar all work shall be done in accordcnce with all opp) o an ity of Eogan Ordinances. Building Officiol - p40?el q6..Cf0 - - - - - - - - - i ? Pem,a #. I ? bb I i Permit Fee: ? Date Received: j ? I I Staff: I I `____ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: % - RESIDENT / OWNER I PhoneA22??? -45 Name: ( Address? City / Zip: Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ?- ? r Construction Cost: Multi-Family 8uilding: (Yes No # Li C?? gL4(aq CONTRACTOR : cense Name: Address: 5GL41 I t IPIYICinC3li Ave N. M Zi - I ! `H wo er p: City: c I State: ? J t f Phone: GGI "-1.?I•"I 3JaQ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting docum?r?tsitfia?b?ou subm?t ar? cons?tlered 14 ? Pub?? ?r?fatmatron YPa?ons:of as?s=tltatwoerl,`d?erm?tt??rf?fio y u#ire?nformat?onmay;be,class?i?ed E :?l?d axe't'ra d?seaieiF?, I hereby acknowledge that lhis information is complete and accurate; that the work will be in contormance with the ordinances and codes ot the City ot Eagan; thal 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. X l Cle-e X Applicant's Prin ed Nam Applicant's Signatur Page 1 of 3 90 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ,--?-*, 3830 PILOT KNOB RD - 55122 C) ? v • r? ?? 651-681-4675 C? -?v New Conshuctlon R?vuiremenh ?? ?3077g Remodel/Reoalr Reaulremenla ? 3 reglslered site wrveys showing sq. lt. of loi, aq. ff. ot house ?--oO 2 copies of plan and go rooled arecis (20% maximum Iot coveraae allowedl 1 set o( energy calculaNons tor heated pddlflona D ? coplea of plans (show beam & wlndow sizes; poured Md. desifln; etc.) t sife wrvey for extedor additlons & decka > 1 sef ol eneryy calculaNons > 3 coples ot tree preaervalfon plan if lot plalted after 7/11/93 O? DA7E: n ( I-7I ZDclo CONSTRUCTION COST: DESCRIP'fION Of WORK: STREET ADDRESS: LOT: BLOCK: --A SUBDJP.I.D. #: Name: B?i=zQ PLl- 1nc, Phone Y: G,51- 451-D23 F PROPERTY taat Flrot OWNER Sheet Address: y?o`1U ?-11v?s(?-`r ?.h Cify %-Al-? Sfate: zip: 1-2? Company: S-2L 4?- 15,jl I o' VV I TT Phone #: (area code) conirRAcroe Stree4 Address: Lkense # Exp. Ctty State: ARCHITECT/ Zip: ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Regishatlon #: Ciy State: vP: Sewerhnrater licensed plumber (if lnstallirka sewedwaterl: Phone #: U I hereby acknowledge that i have read this applicaHon, state ttwt ihe infortnation is cortect, and agree to comply wNh ap appticable State of Minnesota Statutes and Cify of Eagan Ordinances. Y? Signafure of Appticanr OFFICE USE ONLY Certificates of Survey Received _ Yes _ No MAY 2 5 Tree Preservation Plan Received _ Yes _ No _ Not Required ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dweiling ? OS 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ piex ? 09 07-plex 151?--18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 OS-plex 0 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bldg. .. , . ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 Mufti WORK TYPE ,W?31 New ? 36 Move Bldg. 0 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish.(Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ?' 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0? # of Stories sq. ft. No. of Units C)_ Length sq. ft. No. of Buildings i Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code K3k (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 APPROVALS Planning Building ? Engineering Variance Permit Fee 116 0. S 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S1W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 'r6 d ? s d Valuation: $ 1,2Uu SAC Units % SAC . . • . G Y O R'S' C E R T 1 F 1 C A T ESUNSH I NE CONSTRUCT I ON COMPANY . ? ? . ? ?y?'s'Ty ? ov 4'g JO S?c ? . p , - S 65 °05'30"E 146. 85 - ? ? h .- 3?00 ^- X94-4.06 942.9X 9308 i 3O - - 48.33 "?-I-s - - - - ? - 7 ? T----- ' 1 IR O (af942 3? 94Z.6 _ ?.N `n- ? 22:6/$ !94 5 ?5 37.9 \?QZ ? (938 - .6) M Q? PR4POSED ' ? ? RJI/EWAY O .. N/U /?? ? ???? ?-v d942.6 O r'n O ? O ?pb(q / ?C99-.7) Mio?4?/ 26•33 !Z (g38,6) ? X443.3 ' ? I \ 4 ? • .m ? I r ?m? /?? .. , ? N 9357 io ?3°- 76°???3? -? \ ? a` 1 1 I ; Li _?.____ • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MOPIUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON M0NUMENT FOUND PROPOSED GARAGE FLOOR = 9?2.0 FEET X000.0 DENOTES ERISTING ELEVATION PROPOSED LOWEST F100R = FEET (000.0) OENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = ?1k2,3 FEET I HEREBY CERTIFY TO SUNSNINE CONSTRUCTIOP! COhSPANY THAT THIS IS A TRUE APID CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot /2 Block 4, BEACOPi HILL, accordina to the.recorded plat thereof, . Dakota County, Minnesota. AND OF 7HE LOCATION OF ALL BUILDIhr,S, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS, ua."w.r+.rwcaa?-mca -' ? -4- 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 _9 ? ? 651-681-4675 New Construclion Reauirements Remodel/Repatr Reauirements ? 3 registered site surveys showfng sq. ft. of lot, sq. ff. of house 2 copies of plan cnd alt roofed areas (20% maximum lot coveraae allowedl 1 set of energy calcutationslor heated addBfans ? 2 copies of plans (show beam 8 window sizes; poured (nd. design; etc.) t sMe survey for exterior addifions & decks ? 1 set of energy calculations > 3 copies o7a ee preservatfon plan if lot platted afler 7/1193 DATE: 7T?'?I ? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: _7 (P7D ?c ingg?jaR y ??Z . ?? &A P`) LvT: I')_ BiOCK: ?_ SUBD./P.I.D. #: &-pi- C?Prv? Name:? R.T fZAL- `1AwtC3- phone #: (p SI' ! 5d? -Ob'?O PROPERTY Last Firsi OWNER Street Address: YV70 N S.2 iz!g 1212. ? City ?Apf'-j State: loAl Zip: Company: f't?Tf ?ar1 5?A ftd; o.4' eO- Phone #: I oZ 915 -boqo (area code) CONTRACTOR ,?/ StreetAddress: ) l5? 3 k?c?p ?,?2 , License #?Z1., ?fri(? Exp. City /5 1-02 .0s ?«c- 6 State: A't f4M F}`b jFE Zip; S S 3 3 7 ARCHITECT/ ENGINEER Comaany: Name: Telephone #: area code ( ) Street Address: Registration #: City State: , Zip: •` ? Sewer & water licensed plumber (reauired for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the intormatlon is correct, and agree to comply with all applicable Siate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: f i , OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of_ plex ? QS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New 0 35 Tenant Impr - ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors C 33 Altora:icn ? 37 pemolish Bldg.* ? 41 Wnod Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION . Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI, Park Ded. Trails Ded. Other Copies Total: SAC Units Basement sq. ft. Census Cotle Main level sq. ft. SAC Code sq. ft. No. of Units sq. ft. ` No. of Bldgs sq. ft. MC/ES System sq. ft. City Water Footprint sq. ft. Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ °/a SAC . SURVEYOR'S? .? . , a ?V ? 30 . ? o 4 ?. p Z m Y +? .a s?Q X ,-h ? - '--' - ' SUNSHINE CONSTRUCTION COMPANY ? /46. 85 - - a?, - S 65 °05'30"E .}? 3000 --L,X94¢.OB 942.9X 1f`-- 48.33 - - T - - ? ,o r ? h I NI:?-5¢I7)-, _ ?a fr. 94i) s PROPOSED 25.661 C`?: ' iDRlVEW?iY o.Q / O V) Q W ? 2.00 ? 1,1942 6 I ? 'I C941 7)? ? ? $+ i 6 3.3 X I ? X943.3 ? ( 94f.7) I ? i? i ? - ---?- 10 -i-9.35 936 ?9 "I r 3o.6 5 760/p?3? r h -------? . ?S . y f? n 27 X937.9 `V ?l Cq 4P??v? o?l i 5 \ ? \ " j 93? / 105. ?r ? r? \ 1 I i f_ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MOPlUMENT SET • DENOTES I'RON PqONUMENT FDUND X000.0 DENOTES EXISTIiVG ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH = 30 FEET PROPOSED GARAGE FLOOR = C9A?2.-0 " ; FEET PROPOSED LOWEST FLOOR = FEET PROPOSED TOP OF BLOCK = FEET I HEREBY CERTIFY TO SUfdSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE APlD CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot /2 Block 4, BEACOP; HILL, according to the.recorded plat thereof, - Dakota County, Minnesota. AND Of THE tOCATION OF ALL SUILDIh?',S, IF ANY TNEREON, AhD ALL VISIBLE ENCROaCHMEN7S, IF ANY, FROP1 OR Oh SAID LAND. IT ALSO SHOWS TNE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDIPlG. AS SURUEYED BY P?E THIS 207-8 DP.Y OF APRJL, 1983. SIGPIED: JAME H LL, IP;C. n ?/,1.? ? ?+ ' BY: HA OLD C. PETERSON, LAND SURVEYOR MIPlRESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE jAMES R. HtLL, INC. 83215 2.9/? Planners / Engineers ! Sucveyors , FILE NO. 8200 Hum6olQt Avenu• 8outh 1 FOLDER , Bbatnington, Mn. 65431 812=884-302 9 i ? ? . i;? . .? , , . Cuide Congtroction No. \?'indoNZ ? poora ReTference Out. Wall Int. waH Ceiling Roof Yce--No ? -:[ce--Vo ? 19_ L Fl.I ?•??S)i1 _ Rootn L,!nRth\l,,?pu?Wid1h\U'1O11 iieightg%()u %kinde•Ne arc Doors-Crarlixo? .d A..- ? T - µ-?-. i iie.,3h[ No. of;?r.• I-=?ene tip. o: ii?hte Llneal [0. ufcrack AFea p.fl. . 1C , - - - - ? -1--- ? __?_ -- "-- ' - _- . Cocf. &a Infiitration (o O c!as3 Exp. wall z2 1N[I lS7. N'dll Inl. v:a11 Flnnr ceii. i ota! tttu. Recuired sn ft. E.D.R. or sq. ins. W.A. L.eader area m I LenRfh tllo' w;athyOd' Heightbwe" W;ndsti-s and Doors-CrackaQe and Aree I No. w'-'^ ^i+!IRht pnne No.o[ Iiehb i,lneallt. of eraek AT?I q. tt II ---- ? t-- ? Coef. Bcu lnGllration ! ? Glaia -- E:p. wall ?h'et c :p, wall LA8 Tnt. wall Floor Ceil---- (otal Gtu. Requir d~q. Et. E.D.R. or sq. ins. W.A. l.eader atte F%kvV AT* Room I Length Width`'j' ?'i?do•,ve ar.? Doors-Craetiax enii Ar.- a- No. ? ttii7in I i;P?.ght er pnne ? C yane Ye.ot 119hts Lineil[t. o! crack Arn'a eQ. [t. ' - ? I ? i Coef. Btu Infiltra:ion Glaas `- Erp. wal! ? I,Pt fEp. N'O ----- ]nt. waiJ Floor L.. kequir.d s;. (e. E.D.R or sq. ins. W.A. L,eader srcn Iasnletion Floor i??? How Applied FI -? AW Room I l.erg(hyk,V' I'L'icfth xv,..A„W. n?.Z-_c'.arlaQe and Area No. ; paWldt sDt ot Wa No. o[ lifbb ot Cratk Arc• pit. j a 4? t, Z.Z. ? Z. dn Lv Coef. Qtu [n6.itration , _ Gq ' O Glss« ? B0 50 L-I o 06 Exp.wnlllNSt"L Net exP. watl - - ? 1 W. wall Ne'r--ExJ Uu i N tZ, i C c.., Totnl Btu. I NO-.1-tS?K-L-ld_ ??'cL Z? 1 Requircd sq. Et E.D.R. or sq. ins. W.A,_Leader area I Fl.l ~ Room I L.ength Width Height I Wi...1.,..,e a-all.nra.-rearirAao and Q,rea WIAC? HelRpt No. o[ I.In.al tL dret No. of D?oe nf na" 1i[Ot• ot crack eo, fl. l".cef. Btu InlilUation ? ??-- Glaes Exp. wall _ Net ezp. wall 3nt. wail Floor Ceil. Tota1 Btu. Required aq. ft. E.D.R. or eq. ins. W.A. Leader area I ? FI., Room I Length Width Hcight Winclowx and nenr Lratka¢e and Area Na Wlcltn oI Dane Na1Qht of,pane No. of Ught• LIne.l f[. of cnck Ares sQ. it. Coef. Btu Infiltration Glass Exp. a•a1. Net exp. wall ' Int. wall ' Floor Cql. Total Btu, ft. E.D.R.,or aq. ins. W.A. Leader area t, VV , AS.H.V.f: , • ??i Cunstroction No. Gue Rekrider.ct Out. R/all Int. WaN Ceiling -s--?a ?I 19- \-Fl.i Fc vF ? Room lLcnRth -?'U'Width lAA' HeiahtA%r^I' u':nG?'.?,•??? ;.. ' Doors- -Gracka ge and Ar ea : i: :.r _ ',ine li.ht• Lineai tt. otcrack 7.rr? p.[t ??, k. Z Infi?tratioa Coef. &a G!.,se ? °JC> 2. F-xp. w,;i b Net exp. all Int. or sq, ina. W.A. L.cadcr area Roam ? Leng!hZ2. width y'(?•? Neight -- -i l. _.? 11 I I I }i4_rr,, L.xp. wa!I T?ct c ;p. Tnl. wall Floor --- Ceil. Total Btt: 1\P!lllIRd • ? ar.;i Dcors---Cracka ge and Area ?- -.. . 1 ' r.t Fo. oI " n` ?QAts Llneal ll. a( craek ATla q, tt. Coef. Btu ___.__-------_- _?3 5G \ a -- -----.. ?.?. --- 30 12 2V ir. F.,,D.R. or sq. ins. W.A. L.eader aree ? FI j (?j? Room I LenKth 1 ?'U Width IC)tU?? Ne:Bht 1?`Olj ? arci Uours-Craekave nnd Arra N. qh[ ' pn*:c , -.?ne \' fi`'_l?" :Jn. of Ilght• I LlneLl tL , otcrack Zo Arm sp, f[. 1 L i coe7`. ?? D piL Infiltration -- ---- En C) ('?axe -- J 11Ct tEp. NA.11 1 ` Z Int. wall ?UO( 0_ _Tota! E:u. Ftequired ?.;. ic, c:.DR ar sq. ins. WA I.eader orea 11 Intolation Roof Floor I F:ind HoW Appl;ed Room ] lrngth Width HeiBht And Air.l ? No. Wiate ot pane Ite16LC ot Dano No. of ?c6t• 1.?ne+i tc. of cracl[ wrea e4. (t. I C«f. Bsu Infiltrafion LA0 ?'bZ c?ass y a - Exp. wall 1 Net acp. wall [nt. wall F!uor NL 4 k4LA T . 1 fl. l91 A 1 _ ] \V;.,r1„w? a„d D?r.-Cracl•aae and Area NO. -Z A'IAth o( 9aoe -iQu IielFht of P^>+e ?Qi No- of llp6ts 1 I,!n.ei It. of erack 1'??Ci?f Area p[l. ' - `?ass `Z CoeE. . Bcu `JQ aQ `_ Exp. wall _` `O-} Net esp. wall Z. Int. wall _ Floor CeJ. To[a1 Btu, ? Reqnired sq. ft. E.D.R. or eq. ins. W.A. L,tadv aree FI•1 WZ, ZD Room I Length 1Z;I Width \?1011 Htight? Q XV;nAnwa enA nnnra_Trer?ae? anrt Qr, Na WWth ot pane Hel[bt oLOan• No. of Ilshu Linesl ft. of cnck Area? •v. ft. \ Coef. Btu Infiltration ,• LiD (4 C} Glass ? EuP. wali _ Net exp. wall Z, Int. wall Fleor ced: M Total Btu. Reqaired sq. ft. E:D.R.,or aq. ina. W.A. Leader area 1 _ -Tc-I-A - +A/L = 50 ,1-I b 2, l?ru O5!`'1 CA'I o O M S? ? ?too P of Ealan 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 6754675 Fax: (651) 675-W a?q-?o ?----------------- ? ? ; Pamlit?: ; i aeana Fee' ? i ? paDe Received: I I SaF: ? ? ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Dae: Il S sfteada.: 41?`?h Kim6S(3 oru suft r Ter?ant: RESIDENT/OWNER nam>31m 9s?-?`f- addrm r cay I z.O: wwnis: -owner TYPE'OF WORK Descripibn of wwk: S EA<t2 01'F ? ??- S I DE ? SQ ? Conatructlon CosC o? 4 Gb, c? Mu1ti-FamiN WMv: (yes-1 N0,XJ CANTRACTOR Name: L.mm #: ? Address: Phone: C'o5i • yS9-q= coWaown: Knc`Pt'1 COMPLETE THIS AFiEA ONLY fF CANSTRUCTtNG ANEW BUILDtNG NGnnesote Ffules 7870 Cateaorv 1' Minnesata RuW-= Eltergy COdE !• RoWerAw Vwdadon.Camory 1 Waw;hw • Nar &OW Code Wofthm Cdepry gudnimed : Subrdw (d subm 'lsooniype) • E^eW Emretope CdadabOrs &bnibd . 1n tho bast ta moMhs, ims tho Ciey ot Eqgan issusd a pwmit fo? a aGnilar pian based on a masta+ Plan? _Yes No it yes, date and address of mWer plan: i.icettsed Plumber: Pmm. MedwniCal Contraotor: PhOnes Sewer & water Contractor. Pltolfe: "CfBDY 4kno? ih81 tl$f WOflffWM IB COfliPiftBlld 804d8I8;VO 11161YDrk YYW dB In CW*I11101= 1'Vhh t0 ddnmum arld COtl4'9 OtU1C C1410f F.aw; mat I wdmtud ads ie rw a pertNr, ha oroy an ?on tar a p?. arw woAc is noc ao:amrt w%ha+c a pensit nffi the waic wm be m aocordmroe witfs tlre vroved plmt cf 1h@ me at work: wltieh roquees a tavleW elid ? ot PMre. . x Apocarit's Pib?ted Name AppGcanYs Si9rotute PeQe t af 3 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA097566 Date Issued: 12/28/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4670 Kingsbury Dr Lot: 12 Block: 4 Addition: Beacon Hill PID:10-13500-120-04 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 JON EAGLE 10625 VESSEY RD. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Engle Mechanical James 1v1 Ba tizal 1062 Vessel Rd 4670 hingsburv Dr Bloomington NIN 55437 Eagan NIN 55122 (92)888-771 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature "h~ ' ~ ~ ~ ~ ~~a I i _r ( ~3' 'i - t ~ ~ r PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150070 Date Issued:06/20/2018 Permit Category:ePermit Site Address: 4670 Kingsbury Dr Lot:12 Block: 4 Addition: Beacon Hill PID:10-13500-04-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - James M Bartizal 4670 Kingsbury Dr Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160777 Date Issued:04/13/2020 Permit Category:ePermit Site Address: 4670 Kingsbury Dr Lot:12 Block: 4 Addition: Beacon Hill PID:10-13500-04-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - James M Bartizal 4670 Kingsbury Dr Eagan MN 55122 (651) 231-5577 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166243 Date Issued:12/22/2020 Permit Category:ePermit Site Address: 4670 Kingsbury Dr Lot:12 Block: 4 Addition: Beacon Hill PID:10-13500-04-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - James M Bartizal 4670 Kingsbury Dr Saint Paul MN 55122--271 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature