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4689 Kingsbury DrR i t PLUMBING P MI ? 3 ? P ece p ER T ermit No. CITY OF EAGAN Fee fill in numbered spaces S/C ?? Type or Print /egibly Tot. .., • ? i-,. ,•?;. 1. Date 2. Installation Cost ?+ '? ?j ? 3. Job Address oy Blk. / Tract 4. Owner 5. Contractor 11 rEWpTER COC?UT?0????? [? 6 702 Excelsier 1!ve. E. 6. Address n, ,, , Wa-iai'u 7. City State Zip 8. Building Type: Residential/19 Commercial ? I nstitutional O 9. Work Description: New"25. Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool /D rai nf ield _ Bathtubs $e ticTank Lavatory ? p $oftner _ 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 information is true and correct, and I agree to comply with all ordinances and codes governipg this type of work. - Signed: ??_.,_. _ -/ for Rough -? Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces S/C ? Type or Print legibly Tot. 1. Date 2, Installation Cost % I 3. JobAddress' _ t Blk. Tra Lo ct 4. Owner ? - r ? / _ I 5. Contractor.---,? CPhone 6. Address 7. City State i ` Zip I 8. Building Type: Residential ? Commercial ? 9. Work Description: New ? Add ? Alter)!? 70. Describe 11. Institutional ? Repair ? Fuel Type No. Fpuipment BTU - M. Ea. Forced Air No. EQUipment CFM Ai H dli Mfg. r an ng: Boilers - Mfg. - Mech. Exhaust Unit Heater Mf9• Other - ? Air Cond. ? _ Mfg. Gas, Piping Outlets l _ ? 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 AGAN 454-8100 ?c . ?- 05??a? q A??c- ro. o0 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RFCEIVED FGf]Y .. ?/? AMOUNT $ I Q DOLLARS ? too ? CASH ? CHECK FOR FUND CODE AlAOUNT Thank You `' B Y White-Payen Copy Vellow-Posting Copy Pink-Fila Copy CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 17 Blk 3 pa6I 10 13500 170 03 Owner ? Street 1 State Eagan, MN 55122 4689 Kingsbury Drive Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. . 1982 1806.93 200.77 9 1806.93 C007558 10-1-81 STREET RESTOR. GRADING o 1982 526.46 58.50 9 526.46 C007558 10-1-81 SANSEW TRUNK 1976 135.97 9.06 15 90.67 A008956 18 80 * SEWERLATERAL --3 1982 3116.46 346.27 9 3116.46 C007558 10-1-81 WATERMAIN * WATER LATERAL LJHZ J WATER AREA ? 19$2 19$.02 - 22.00 9 198.01 C007558 10-1-81 * Stubs 1928 9 STORMSEW TRK (p? ? 1982 359.82 39.98 9 359.82 C007558 10-1-81 * STORM SEW LAT 19$2 J CURB & GUTTER SIDEWALK STREET LIGHT Ro n't 240.00 33020 11-16-82 WATER CONN. 420.00 11 ti BUILDING PER. 7641 SAC n n PARK Receipt iCHANICAL PERMIT Permit No. CITY OF EAGAN Fee 7l in numbered spaces S/C ype or Print /egib/y ? Tot. 1. Date 2. Installation Cost ' r 3. Job Address ;! %-:-- Lot ; Blk. Tract 4, Owner 5. 6. Address Phone 7. City State Zip ' 8. Building Type: Residential'$ Commercial ? Institutional ? 9. Work Description: New'Q Add ? Alter ? Repair 0 10. Describe Fuel Type' 11. No, Eauipment BTU - M. Ea. Forced Air No. Equipment CFM Ai dli H : _ Mfg. Boilers r an ng Mech Exhaust Mfg. _ . 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 454-8700 BUtLDING PERMIT GAR CITY OF EAGAN 3793 Pild Keeb Roed Eeyan, MN 55122 PHONEt 454-6100 GO.O0i^, Site Addreu Lor Block Sec/Sub. Parcel # . c Name . W ; Address b Ci Phorx ,p Name ? OU Address Receipt * Eroct ? Occupanry . Alter ? Zoning Repalr ? Fire Zone Enlarye p Type of Const. Move O # Stories Demolish ? Length Grade ? Depth Sq. Ft.- Apyrovala Fees Assessment Water 8 Sew. Police Fire Eny. Planner Councfl Permit Surcharpe Plan check SAC Wuter Conn. Water Meter Road Unit I hereby ackrwwledge thot I hove read this application and state that gldg. Off. the infoimotion is correct and agree to comply with all applicoble Stote of Minnesota Stotutea ond City of Eagan Ordinances. APC Total Sipnature of Permittee A Building Vermit is issued to: on the exprcu wnditian thn+ all work shall be done in occordance with oll applicable State of MinnesoW Statutes and City of Eopan Ordinoncea. Buildinq Officiai Permit No. Permit HoltNr Miac. Permit No. Holder Plumbin9 1-7-U3 H.V.A.C. zJ?6 ?J ? tb PLF n-5 -3?$3 Wdl Water ? Disp. Sswer elM.ic w?lst?oz E??. ?le-e? ?r ?t ?Sz C t wos43oa /I Infpection Date Insp. Other Footingg Foundstion Fnminp _? - RouphPlbp. Rouph HVAC ? ? Inwlation Finsl Pibp. ?.?.? Final HVAC )_? w Final ? w.a. wa«ibe Luoaeioo: VVsll • • Savwr Pr. 0isp. ' i - Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legib/y Tot. ? - 1. Date 2. Installation Cost 3. Job Address /1G ' Lot 17 Blk. ? Tract r` 4. Owner lj 5. Contractor -z Phone 6. Address ?. ? 1... , 7. CitY ? State Zip - B. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 1 10. Describe 1 11. No. - Fixtures Water Closet No. Fixtures Ceupool/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. I hereby certify that the above information is true and correct, and I agree to oomply 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 CITY OF EAGAN SEINER SERVICE PERMIT 8795 0tlat Knob Reed PERMIT NO.: Ea9on, MN 55122 DATE: Zoning: No. of Units: Owner: Addreu: Site Address: rr T.1' ?4 ; ?,• ?.?'.. Plumber: caVt? ` I eyr" to eompyr wNh tM Ciry of Eagan Connedion Charpe: Ordinaeeas. AcwuM Deposit: Pertnit Fee: Surcharpe: BY Misc. Chorpes: Dote of Insp.: Total: insp.: Date Paid: CITY OF EAIiAN WATER SERVICE PERMIT 3795 iilot Knob Rosd PERMIT NO.: Eagan, MN 55722 DATE: Zoning: No. of Units: OVR1Bf:- Address: Site Address: ` T 17 11" Plumber: ? Meter No.: Connection Charge: - '' Size: Account Deposit: Reader No.: Permit Fee: 1 agrae to comply wilh fhe City of Fagsn Surchorge: OrdI^ance+. Misc. CFarges: Totol: BY Dote Paid: Dote of InsD•: Insp.: This request void 1??/ q 18 monthg from ? ? ri ''•Qir? Ffi9 'Request, q ' ate Q?] _ l a°'"' Fire No. RouOh- inInspeciion B q ired? Yes ?No ?ReaAy Now Will NntifV. Inspec- 'ar When Ready Licensed Electricai Contractor I hereby reVUast inspection ofabove Owner - electfical work installed at: Street A dress. Box or Route No. City ection o. Township N me or No. Range rp. Coun Or,e,vyexa.tlP?INT) .? Phone No. . Po er upplier --?- Address Elcal Contractor (Comp ny N me) L/ic?ense No. 1?1??? . Iling AJ? - ontrac r Owner eking InStailaYonl 't. -54 AuthorizeU"S1pna {Contract /Owner Making Installation) ? Phone Num er -Z3 (-fi. MINNESOTA STqTE BOARD OF ELECTRICI.TY . THIS INSPECTION REQUEST WILL.NOT Griggs-Midway Bldg. - Room N.191 8E ACCEPTED BY THE STqTE BOAHD 1921 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE iS Phone (612) 297-2111 ".. - ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eu-uooui-oa ' See instructions far completing this form on back of yellow copy. M45802 ???'=`2'e`lo°v? lKork Covered by This Request j3O?5 N Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex " Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Afr Conditioner Bulk Millc Tank Farm Other peci Y Other (SUer.ify) t er SUeCi(y . Olher Other Comaute InsDection Fee BP.lOW Y Fea Service Entrance Size # Fee. Fcretlers/Subfeeders sl Fae Circuits 0ta100Am s 0to30Am s a- 0to 30Am s 101 to 200 Amps 31 to 100 qmps 31 to 100 qm s Above 200 Amps Above 100_Am s Above 100_Amps Transiormers Remote Control Circ. Partial?Other Fee Signs Special Inspection S T Remarks Rough-in inal / . /!3 J ( Date ate ? y ??? ?/7 I, th cal Inspector, here6y ye.?rtify that the aboVa "pgc[ion has been made. This request vOid (/L.l< 1^/11 ?Y`i@.L/ - 18 months from . . REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa v: ' See instructions for completing this form on back of yellow copy. `•? 059 302` ?=?E=.'-Selbiar-Work-Eover etl by This Request AAd Rep. Type ol Building Appliancus Wired Equipment Wired IM- , Home jyj Range Temporery Service? Duplex Water Heater ' Lightinq Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tanl< [?..., O r SPPCtr9t _. A i Other lSUCCifv1 CIlO!! FB@ N Fee Sarvice EntranceSize q Fee Feeders/Subfeeders t! Fee CirCUits 0 to 200 Am 5 0 to 30 Am s ? to 30 Am s Above 200 qnlpy, 31 to 100 Amps g!!> 31 to 100 Ar s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial,'OYher Fee Signs Special Inspection S ,? OTAL?FE?1 Rertwrks ? D e 1 'J?/ Rough-in ? qqq D te ?? k 5 I, the Elecbicel Ins ct r h b , pe , ere o y tl( ce th t th b Final p_ 1e ' r y a e a ove O ?=J . ., ` `? ? Q inspection has been d ? ma e. This reauest void 18 months from This request void 18 months (rom Vl0 59302 L.11 ? 133, 'b?c- cor` 4( 11 33`6' 3-7 sqjso Request Dat?i .. ? 7 No. Rouyh-in Insper.tion R quired7 Ready Nuw ill Nutify. Inspec- ? l Wh _ - ?es ? No or en Ready Licensed Electrical Contractor I here6v requestinspection of above ? Owner electricai work installed at: Stree Address, Box or Rou e . Cit , )r ? C=_ ection o. Townshiv Nartle or Na. Rang o. ow r IP I T) Phone No. er $uppli r AddreSs ?lectrica C ntrfctor om?N me1?- ??? ?? ? L Contrac r1's License No. /l 1 iling Address (COntrac r or wner Makin ailation) ? I S " S .. - Authon a u?e (Contractor/Own r aking Installation Phone Num6ar MINNESOTA STATE BOARD_dF ELECTRICITY THIS INSPEC71pN REQUEST WILL NOT Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED BV THE STqTE 80ARD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS ..?__. ,-,..s-..,... ENCLOSED. (wrrtiftratr af (Orrupttrcry titp of eagan lgrpttr2mrtct n# Builbing 3nspertinn 1'hif CcrHficatc itsued purruant to tbc reguirenunts of Section 306 of the Uniform Building Codr eati f ying tfiat at the time of itruarut thit Jtruttun waf rs com pliancc witb the varioyr ordinannr of t!x City rcgulating building ronrt+uction or Hir. Far the f ollouringr SF DWG/GAR em&.ee? No. 7641 un a.mrcauoo omwmrzYw R3 1Yrcw.uwuon Vn Fi?eZone NA zoN. lmmn PD Rl p?ofpupdft FParirra xitildPrG Ad4v= 15513 Logarto Lane, Burnsv ??Add? 4689 Kingsbury Dr. RyLot 17,Block 3,Beacon Hill By: March 4, 1983 ftam,qofficw wie: pT IY A ?? . ?ei'_?._ ??-? ?- . ?, ? ? ?-" ?"' _._.? -- I LIinO?NU.S.w. CITY OF EAGAN 9795 Pibt Knob Rood Eagan, MN 55122 PHONB: 454-8100 BUILDING PERMIT N° 7641 Receipt Te be uaad For SF DWGIGAR Fst. Volue $60 r000 pate NOVBmbEI 16 _ 1982 Site Address 4689 K3ng7bury Dt'1ve Erect ? ccuponcy O R-3 Lot 17 81otk 3 Sec/Sub. BeaCOII Hill Alter 0 tPD R 1 Z oning parcel .# 10 13500 170 03 RePOir ? Fire Zone NA Enlorge ? Type of Const. VA w Name Tom S Darlene Horvath Move 0 .# Stories ; Addreu Demolish ? Length 52 b Ci phone Grade ? Depth 40 Sq. Ft.- Ncme Feature Buildera ApPro.ols Fees ,o ?? Add.ess 15513 Lo?arto i.ane Rnrnnvi 1 1 ss e?___ G ZS?.A44 R t- r-:... Nome _ Address Assessment Permit 313.00 Water 8 Sew. Surchorge 30.00 Police Plan check 156.50 Fire SAG 525.00 Eng. Woter Conn. 420•00 Planner Water Meter 60. 00 Council Rood Unit 240.?Q 1 hereby acknowledge that I have read this applicotion and state thot gldg. Off. the intormotion is correct ogree to comply with oll opplicoble APC Totol $1?4?i.50 Stote of Minnesota Stot es a City of Eoga Ordi nces. Signcture of Pertnittee A Building Permit is issued to: Peattl e Buildera on tha expreu condition thaT oll work shall be done in occordance with oll oppliwble State of ' nesoto Statut ond City of Eagan Ordinonces. BuBding Official ? ?????} tp REQUEST FOR ELECT" INSPECTION w: ?- Ee-oocoi c. , ' See inatructions tor c: this yorm on back of yellow copy. . -- " - A , ? ? ? ? 9A 'x- Be/ow W Covered by This Request r ' i_Addl Rep.1 Tyoe of Building 1 Appliances Wired ' fquipment Wired r Home Ranqe Temoorarv Service ? Water L I I I LOmmercial Bldg. Furnace 1 1 Silo Unloader I Industrial Blda. Air Conditioner Buik Milk Tank ? A Fee Service EntranceSize q Fee Feaders/Subfeeders # Foe Gircuits U to 200 Am s 0 to 30 Am s d 0 to 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 A S Swimming Pool Above 100_Am s Above 700_Am s Transiormers Irrigation BooRi,s Partial-'Other Fee Signs Special Inspection $ TOTA? Ne?rks a - c6 - Nough-in Date 1, iha E rical Inspector, here6y ` certif that the ab v Flnal ? 'le y o a inspectiOn hag been made. TAis mpuest velA 18 montha fran This request wid ?? 18 nqnths trom i ?P l I> A 092726 L1--) Acl 3 A,,,„, A-( I s cs) Requesf Date / 4 4 Fire No. Rouph- inInspection Required7 f eady Now Q Will Notify Inspec- la! - ' -?3 ?ves ?No tor When Ready ?LiCemed Electrical Cmitrector • I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. ' City -416?191r, ection o. Township me or No RTnge o. Counly i? Occupan (PRINTI Phoae No. Puwer Supplier . Address Electrical CoMracto om n C ntraclor's License No. + ' MailinB Address (Contrector or Owner Ma ng Installa[ion) [t ?-?"? A AujteA?ed Signalur ctor Owner Making Installation) Phone Number MINMESOTp STi4TE BOARD OF ELECTflICITY THIS INSPEC710N qEQUEST Will NOT Griggs•Nidwey Bldg. - Room N•797 8E ACCEPTED BV THE STATE BOARD 1821 University Ave., Si. Paul, MN 55704 UNLESS PROPEH INSPECTION FEE IS pbm 1612) 297-2111 . ENCLOSEO. ,, ?. ?? ? ? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/el.evations & . BUILDING PERMIT APPLICATION 1 set of energy calculations. Sv- b.r- To Be Used For AA' Valuation AV, 00 o Date ?ic*7J-- i S 191s? Site Address: '-f b31,7 • J?t,?-H,,.u n?-1 OFFICE USE ONLY I.ot ? Bloc]c 3 sec./sub. ",ec,n Erect ? Occupancy Parcel #: l0 (35 c) p l7 C) O? Alter Zoning A/ - ' Repair Fire Zone (?mer: Enl'arge Type of Const. ? ? Move # Stories / P,ddress: Demolish Front City/Zip Code: . Grade DePth ft. Phone #: Contractor: Jh.1LO-.eti'-? Address: I SS-I 3 - -7.?? City/Zip Code: ST S 37 Phone #: 'j- 3 S-$ ?f 43 Arch./Eng.. Address: Gity/Zip Code: Prwre #: APPFtOUAiS E'EES Assessments Permit Water/Sewvr Surcharge Polioe Plan Check Fire SAC Eng. Watex Conn. ? rJ _ Planner Water Meter Council Rpad Unit Bldg. Off. ' APC TOTAL 0%Srf?' - 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN J'? 3830 PILOT KNOB RD - 55122 v u v 651-681-4675 Reauiremenls ? ? Copies o} plan DATE: DESCRIPTION OF WORK: If multi-family bldg., how many unlts? INDICATE THE FOLLOWING EQIDiPMENT YO BE REPLACED AfdD BY WHORA: _ Plumbing _ Homeowner gr Contractor Name _ Mechanical _ HOmeowner or Contractor Name *'Note: If somebody other than the homeowner is pertorming plumbfng or mechanical work, they mustapply for appropricrte permit, Only Iicensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: 46 0 ? A6, /16 S a0 CONSTRUCTION COST: LOT: 17 BLOCK: 3 SUBD./P.I.D. #: / ?.Q 1!Yl 1? I I Name: ? Cl 6u<f?i- lCM4FfL Phone #: PROPERTY Last Fir51 OWNER Sheet Address: City EAG14 A) stare: COMRACTOR Company: S'6:?k F Street City '( `(f/f ° /wN zip: s`sfac9--0-71i Phone #: (area code) Llcense # Exp. State: Zip: I hereby acknowledge that I have read this application, state that the intormation is correct, and agree to comply with all appGcable 5tate of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) p 17 Garage ? 22 PorchlAddn. (4-sea.) ? 18 Deck ? 23 Porch (sCreened) ? ? 19 Lower Level ? 24 Storm Damage Plbg _Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (AI lowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV ? 31 Ext. Alt - MuRi ? 33 Ext. Alt - SF 36 Mutti 7?3 ("" 2006 RESIDENTIAL MECHANICAL PExMiT ArrLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required For each unit 96-66 Date I p / U / n Site Address -I oi Unit # Property Owner Telephone # ( ? 5i ) tS t- 13tU Contractor O'CONNOR ONE HOUR 1904 VERMILLION STREET Street Addr? C?? gpSTINGS, MN 55033 State Telephone # Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional V Replacement P&?51 E w 7 _ air exchanger r ? air conditioner n C T 17 2006 heat pump other State Surcharge $ .50 T t l 3U 5U o a I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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. ss.; ?UwY?,ti?r,C'/ . Applicant s Printed Name A ant'? Signature II .v ? W N O M tn O M m o M O z 9 ?D 0 m cD 3 N Q -N tn 0 1`- Z CERTIFICATE N g6° 10 30'1 E- 136. 86? ?.- 91 0 (P Elevations shaovn are existing grades and are assucied datum. I hereby certity that this is a correct representation of a sursey of: .a o ay ^?0 / G? qh'? OF SURVEY qo'?I a -? o N ? U? M u a ? 40 Z f? ? ! ' N t9 o 1 0 N Z ? 1 Cli Lot 17, Blocl: 3, Besaoa Hill, Dakota County, tdinn°sota, e.ccording to the plat thereof on fi le and of r eccsd. And that I am a duly registered land seu-veyor uader the laws of the State o£ L!innesota. Gene L. Jacobsoit/ Minn. Reg. No. 7734 Dated this llth day of November, 1982 IDR. BY GLJ I SCALE - I" = 4d 1 o DENOTES IRON MON Prepared for: Feature Huilders, 15513 I,ogssto 7ane Burnsville, 1.fn. 55337 BEARINGS ARE ASSUMED DATUM. JACOBSON SURVEYORS LAKEVILLE, MINN. 55044 PHONE 469 - 4328 &"7-J_7' . ?`' Priil• 1,.lPS PLAH SERViv"E PHILLIPS PLAN SEKVIt:r ? = --:;' - - -, - - • ' ' ? . EXTERIQR ENIFELOPE RVERA6E "U" COMPl1TATI0N '-"' '?? ?• =.' ? -• `? : . . . .. . OWNER ' .?97 l)nA?.* 1 1- 3 Z C, ?_ . . ,; :.?: . ... .., ._. . .. . .. - __ -,;._? : . SITE_ ADDRESS r?'j ?..,e? : - . CONTRAGTOR a r_ L-a41is DASE I (-3-!B-7? PHONE S- Determine working square footage of each. 1. Total exposed wall area ...... I? ?2 ??1Z sq. ft. x •}g a? 2. Total roof/ceiling area ...... 1 I p0 sq, ft. x •04 =? Tota7 expased wall area above floor = ?6ti S•Z a. Total walt window area ..................:........ {Log,Io : -- b. Total door area ................................. 3s c. Total slidirtg glass"doar area .................... d: Total fireplace wall area ........... .....'....... Z e. Total wall framing area (average l0A)...:........ ,!o f. Tatal net wall area above floor ................. IZ 59.124 g. TotaT rim joist area ............................ 1,44 Total exposed foundation area h. Total foundation window area ..................... i. Toal net foundation area above grade ............ Qeterrine "U" value of each waTl segment. a. 1 !aq . to x n. 3a x C. 4y x a. 24 x e. I 39.9Ia x f. ? ZM. lo'A X 9• lya x „V „u„ '12ji = S.z$ „uli '5 = ZZ l, u st , 3 lo = g, Lo q .,?„ ,089 = ?Z.yS „u" , 0 5 = !oZ .9 8 "U?f .,%l R = L03 tD ? h. X "U" i . ??3.7 Z x °ult , 511.?9 = 3•ci5 3 ........:..............Z.....Total = Z55. . IT item :'7'3 is tnz san:e as, or less than it=m al, you have rat tne intent of S5C 6005(c)2. / f, / • • Totat exposed roof/ceiling area a:,f 00 - Total gross roof/ceiling area = Il0 O '. " .3. Totai skylight area ........................ --- .? k. Total roof/ceiling framing area ............ It Q 1. Total net insulated roof/ceiling area...... . 990 Determine "U" value for each roof/cetling segment. __. • ,: .. . . .. X loull k, I-i a Xltu,t . Q 3 5 -= 3, B5 7. G?l O x"U" , 03 = ZcM7 4.................. 1.1OO........... Total = 3,5 If totat of #4 is the same as, or less than 02, you have met tfie intent of S6C G006(01. . - - . , 7o utiltzed the total envelope system method, the values.established 6y the . sum of items #3 and #4 shall not be greater tfian the sum of itens $1 and #2. ' ?'. . -.. + 2. 3, + 4. _ MATERIALS. ? Ezterior Air 5Sding Materia2 SheathiYsg Insulation - SheetroCk Interior Air StuQs Rim Conc. Blks. Therm. gesistance "R" ,y5 ? .?_ . ?l 5 , bb 4 38 1;8a 1•Za- •.• T S fiii:? tip ? ?. .., . . ??..,'I'. . .b?t . , . .. _;.,•`.7.Y n' rI ?? ? , .? ?... _..,..,? ? t _?_Yi_ ? ._., ? S.? - . ??..i, 1.?•.'?,._ . _.i; '?';`q1 OY'._., I.;''11iCi:?y":1 ?? " . _ . ,.... _pi. ..; ? _,. r. '_'rC'?.-.?.l'_.3,. ... : n . . . .. ;. .?,.. ......._?.._ '.??l ,. •• 'r.r -.r.. r n r ...? .?. .i•....,..?? ':?.....i'L ..?F?r';!. r:'?.f.t" ;,1'..... [1?'' ?.'..:J;.i ???f.??_} ?. ?_{41?r'• ?'?,?;??i) ?,?..?_.? ?! n(I.), SO ,['.'".(.I _:;(?1??Ij_ ? rf ., {)..3.1I i!_.t.G..DU''.t _.x:,D 'r .. ,_.. ? , .? ........_ . .. . . . ??......si .,....? ...;. ? ... , . . .:'?.1... . .. .... ...._... _'. , , "• r".'' . . "}-r .?.t:: .Jsi1". :. r' L . jN.. U . 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 ? 651681-4675 Date: C? Description of Work: i, Conshuct new fireplace _Gas Masoruy _ Alterations to existing ? Install pas insert only _ Install gas [ine on[y Other Job address: " ? Lot: 17 Block: ? Subdivision/P.I.D. #: ?fUC? Applicant (circle one only): Owner ?ntracto? Permit Fee: $60.50 Name: Lf C? 1A i r P Phone #: PROPERTY Last J First OWNER `?, f? J?n Street Address: v' ln?? L?? City ?a /L State: Zip: Company: hone #:/?? FIREPLACE (area code) INSTALLER Street Address: <?? 3-C) City State: ? Zip: Company: Phone #: (area code) GAS LINE INSTALLER Street Address: City State: Zip: ' 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 Statute nd City of Eagan Ordinances. Signature I J ..? , OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 39 Gas Line ? 40 Gas Insert ? 41 Wood Stove , RESIDENTIAL BUILDING PERMIT APPLICATION ?- CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 `S- New Construction Reauirements RemodeURepair ReauiremeMs . 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas . 2 cropies of plan (20% maximum lot coverage allowed) • 1 set ot Energy Calculations for heated additions • 2 copies ot plan showirig beam & window s¢es; poured found design, etc.) + 1 sile survey for exterior additions & decks • t set of Energy Calculations . Indica[e if home served by septic system for additlons • 3 copies of Tree Preservation Plan if lol platted aRer 711193 • Rim Joisl Detail Options selection sheet (61dgs with 3 or less units) DATE CU - ? ? ` 4 Z. VALUATION SITE ADDRESS MULTI-FAMILY BLDG - Y _ N TYPE OF WORK 7f F_ ? ?vo F FIREPLACE(5) _ 0_ 1 _ 2 APPLICANT STREETADDRESS I?SB,S?t'DrNd.4/? ?3/vD? s0tT l3d CITYEaENI??sv?egf STATE141V ZIPcSS3ylo TELEPHONE # 5?V -97'Y-S034? CELI PHONE # Fax # Fsa -57y-fa'sy PROPERTYaWNER M.4AGL L Rqv,n TELEPHONE# &:0,y42 -Bl 16 ----------------------- ------------------------------- --------------------- -------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULT.S 7670 CATEGORY 1 MINNESOTA RLJLk:S 7672 (v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning HeaC Recovery SysCem ree: $90.00 Phone # Fee: .'a7Q.00 Phone # II II I?Pn 1r JUN 2 0 2002 ---------------- -............... ------------------------------------ ----------------------- -------------------- I hereby acknowledge that I have read this application, state that the information is c ct, and ogree to corr?ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I 5ignature of Applicant ?? ? ?, OP'P'ICE USF, ONI.Y Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 Water SoFtener , Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg [3 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration • ? 37 Demolish (Bldg)" ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement `Oemolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES 5ystem Census Code Zoning City Water SAC Units Skories Booster Pump Nbr. of Units 5q. Ft. PRV Nbr. of Bidgs ' Length Fire 5prinklered Type of Const ' Width , . REQUIRED INSPECTIONS _ Footings (new bldg) _ Fina1/C.O. _ Footings (deck) _ FinaVNo C.O. . _ Footings (addition) _ Plumbing Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Finaf _ Windows (new/replacement) _ [nsulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & 5torage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total SgaNA PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernuts aze required for each unit #ls-..so Date 3 / y / 0 '?? Site Address ?? ?? `? Lt ? -1 ? ?? ? ??1 • Unit # Property Owner Q -l7"e, Telephone #ILO ?)?? ? a-?"( p 41 Contractor Address -??d u-t City LCLIC(? ? State Zip ??1 D l LO Telephone The Applicant is _ Owner Contractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater ? re l m t dditi , 15.00 p ace en a onal State Surcharge $ .50 Total $ i nereby apply tor a Kesidenhal Ylumbing Permit and aclmowledge that the inforniation is complete and accurate; that the work will be in confomzance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that i understand this is not a pernrit, 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. ?(?(? C? ?1 ????'il • ? Applicant's Printed Name icant's ignature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139488 Date Issued:10/25/2016 Permit Category:ePermit Site Address: 4689 Kingsbury Dr Lot:17 Block: 3 Addition: Beacon Hill PID:10-13500-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (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 - Paul W Kimani 4689 Kingsbury Dr Eagan MN 55122 (651) 285-5955 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147845 Date Issued:02/09/2018 Permit Category:ePermit Site Address: 4689 Kingsbury Dr Lot:17 Block: 3 Addition: Beacon Hill PID:10-13500-03-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Paul W Kimani 4689 Kingsbury Dr Eagan MN 55122 (612) 285-5955 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157850 Date Issued:09/11/2019 Permit Category:ePermit Site Address: 4689 Kingsbury Dr Lot:17 Block: 3 Addition: Beacon Hill PID:10-13500-03-170 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 - Paul W Kimani 4689 Kingsbury Dr Eagan MN 55122 (651) 285-5955 Trinity Exteriors Inc 10179 Crosstown Circle Eden Prairie MN 55344 (952) 920-9520 Applicant/Permitee: Signature Issued By: Signature