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4561 Kirkwood CirCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ RECEIVEU AMOUNT $ I & DOLLARS foo n CASH []CHECK FOR ? ?%/_ ?? - I/ Thank You (/ • BY White-PeVers Copy Vellow-Posting Copyq Pink-File Copy CITY OF EAGAN ?T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1?! Q 9n2n !f PHONE: 454-8100 c/ BUILDING PERMIT Receipt # 7«(? To bo wsd /e. DRCK Esr.Value ; 501.00 Da}e 11PRIL 30 19 84 Site Addrest "?j v 1 _? L.r. Loc 3-W elook 3 se Percel No. 10 -1 715 0- c Name ; AddrE b City . C Erect ?' Occupancy Alter p Zoning Repair ? Fire Zone Enlorye Q Type of Const. Move ? # Stories Demolish ? Length Grade ? Depth Sq. Ft.- Avoroval+ Faes ? F"T' Name ?O U Address I Citv Phone Name Address City Phone 1 hereby ocknowledge thot I have read this applicarion ond state that fhe inlormation is wrred and agree to comply with all applicable State of Minnesota Stotutes and City of Eogan Ordinonces. Siqnature of Pertnittes A Building Permit Is issued to: ???•?? r pH all work shall be done in accdrdonce It oll Buildiny Official c? Assessment Woter & Sew. Police Fire Enp. Planner Council Bldg. Off. APC Permit ' '- -'. • ..' ` r? Surchorge Plan check SAC Water Conn. Woter Meter Rood Unit Totol '' 1777-0 on tha express condition thni cable,$taM pf Minnesota Statutes and City o{ Eapon Ordinances. Permit No. Permit Holdar Mise. Permit No. Holder Plumbinp H.V.A.C. Wall Water Oisp. ' Sewer Eleetrie Inspection Date Insp. Other Footings Foundation Framinp Rough Plbp. Rough HVAC Inwlation Final PI6g. Final HVAC Finsl 7 Weter Deseribe Location: Well Sawer Pr. Disp. . .. . ... . . . . . _ . _. _ _ . . _ . .. ..._ . ?. ._ ... cirr oF E?c,nN 3795 rNef Knob Reed Eeyan, MN 55122 ' PHONEs 454-8700 ?BUILDING PERMIT Receipt ?F Siro Addrcss Lot Block Sec/Sub. - Parcei # oc Name W ; Address , b Ci Phone p Name ? ?? Address _ 1- !':•., Nome _ Address 1 hereby acknowledge that I have read this applicotion and stote that the informotion is correct ond ogree to comply with all oppliccble State of Minnesoto Statutes ond Ciry of Eoqan Ordirances. Erect C3 Occupancy Alter ? Zoning Repoir ? Fire Zone Enlarpe ? Type of Const. Move p # Stories Demolish ? Length Grode p Depth Sq. Ft.- Approrala Fees ilssessment Water & Sew. Police Fire Enp. Plonner Council Bldg. Off. APC Pertnit Surcharpe Pian check SAC Water Conn. Woter Meter Rood Unit Totol Sipnature of Permittee ? l1 Buiiding Pertnit Is issued ta - ' on tM express condition thnr oll work sholl be done in ocrnrdance with oll uppliwble State of Minnesota Statutes and Ciry of Eagon Ordinances. Buildinp Offlciol Permit No. Permit Holdsr Mise. Parmit No. Holdar Plumbing `7 lo u i ' H.V.A.C. „Z $(? Cc>nLr-ol C t'(td . (l-(0 -$ 2 C?ra ?lS lz?z?-a2 {`J`f Well Wetsr Disp. Sewer ebWric wosqq%b /Hi'a.ia.tid- )-14?83 Impection Date Inap. Other Footingt /a ,? - -2 ' -? Z?, Poundation Fnminp Rouph Plbp. - W - •s.e K L? Rough NVA Inwlation vr ? .. Final PIb4 ?. ? Finel HVAC Final Water Dea:?ibe Loqtion: ? i /? O C r L' ?, ??? J 5 r.??K L [, y ?•y n i2 Sewsr .. . ?. Pr. Dftp. Receipt - MECHANICAL PERMIT Permit No. ? CITY OF EAGAN - Pee - Fill in numbered spaces S/C _ Type or Print /egibty Tot " I 7. Date 3. Job Address -? 4. Owner 5. Contractor 2. Installation Cost ?-? Lot Phone 6. Address , 7. City State Zip I 8. Building Type: Residential CI Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equioment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli r? Mfg. VV'aYNSFFCr£ ? Tz r an ng: BoilersA--GU ko f-a Mfg. - Mech. Epxhaust Unii Heater Mfg. C.31 B?1 C?`? ` C" fCl Other Air Cond. £ ` t a 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 464-8700 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ??%• `?" Fill in numbered spaces S/C • Type or Print legib/y Tot. . 1. Date %' % 2. lrtstallation Cost e 3a, Job Address •? ?' Lot Blk. Tract ?- 4. Owner i) I e2' ('.onsti^ucti?-, 5. Contractor '?ll"? ::rrv. phone 6. Address `'' 7. City '•*i f.l^ State 2ip 8. Building Type: Residential C]' Commercial ? Institutional ? 9. Work Description: New E7- Add ? Alter ? Repair ? 10' Describe 11, No. _ Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs 5eptic Tank ` _ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances ano'cvdes governing ihis 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 INSPECTIOIN RECORD -- ^^^ ^ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 ' i SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: , c.t ? Parmie No. PermR Holder Date Telephons N ELECTRIC PLUMBING HVAC InspecUOn Deb Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL /ilP CITY OF EAGAN 1 PERMIT TYPE: 3830 Pilot Knob Road ??f?11 I C??`? e I Permit Number: Eagan, Minnesota 55122-1897i Date Issued: (612) 681-4675 ? ?---`-T? , ? T??•. . ?4i ; SITE ADDRESS: APPLICANT: ? ?t? nr:f , ?;I ?': ( i . ? .,? . :y. •I PERMIT SUBTYPE: ,I TYPE OF WORK: {iF ;t fi11'C IOM I tV9 ... I11 I Y A1 17 f:Al ION HES1'!!lNi?i INSPECTION ? I' irI- ., • 1 0 i I,i. .• i iess. eo?er o ?Q s?er ? ,- f e',4 Ch aA 811 f 1 I'r i N r; N:'E.N?Ii A!/1,l /.96 r • i Permk No. Pertnit Holdx Date Telaphana i ELECTRIC PLUMBING HVAC Inspectlon Dgta Insp. Cammenb FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OflSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAI CITY Of EAGAN Remarks Addition CHES MAR EAST FIRST ADDN. Lot 3 Blk 3 Parcet 10 17150 030 03 owner str?t 4561 `* ?"k'?ircle State Eagan, MN 55122 4562 Lexington Ave. Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 82 2622.14 524.43 5 1573.30 A ' STREET RESTOR. GfiAD1NG SANSEWTRUNK 511 $] < 2 ? 1? . OQ E QQ ??J - -H3 i:'iEWER LATEFlAL J!"p .__. . . . . .. .- ._ _._ _.., . 1358.90 A011969 -4- WAtERMAIN :HNATER LATERAL 1981 WATER AREA ]_].z.OO A011969 -4-8 STORM SEW TRK ,5-a 14o.44 A011969 3-4-83 :vSTORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 240.00 33511 12-15-82 WATER CONN. 420.00 BUILDING PER. 7726 SAC 525.00 PARK WA?TER SERVICE PERMIT CITY OF EAOAN 3795 F"lot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: ':1' ' Owner: '?: •?_1:... ?4. ? . Addreu: ,. _ . Site Address: • Plumber. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Pee: I agras Fo eomply wifh !ha City oF Eaqan Surcharge: Ordinaneea Charges: Misc ' . . Total: B Date Paid: y Date of Ins : Ins : p. p. SEINER SERVICE PERMIT CITY OF EAGAN 3795 r''iot Knob Road PERMIT NO.: Eagan, MN 55122 DATE; ' Zoning: Nc. of Units: ? Owner: Cc, Address: Addr Sit ss: e e Plumber: r?^ a 1 agree Fe wmplr with Na City of Eagan Ordinaneas. . QO pci _,^ r- ,fr1-- Gonnedion Charge: ,^ Account Deposit: , Permit Fee: Surcharge: Misc. Charges: Toto?: Date Poid: CITY OF EAGAN N 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? 9020 a . ? PHONE:454-8100 ?? ?q ? BUILDING PERMIT ReceiPt # DECK SiteAddress `2-?V1 ninnvvvvL ?.in Lot-?Block 3 SeclSub. CHF.S MAR 1 Parcel No. 10-17150-030-03 of Name STEPHEN BELOKOPITSKY Z Address 4561 KIRKWOOD CIR 9 City EAGAN Phone 452-3712 o Name SAME Bu Address F City Phone ? EW Name F u? Address Q?Z„ City Phone I hereby acknowledge that I have read this oppiicotion and state that the information is correct and agree to tomply with all applicoble State of Minnesoto Statutes and City of Eogan Ordinances. Signature of Permittee A Building Permit fs issued to: all work shall be done in occo Building Officfat $ 501.00 pate 4 Erect Occupancy Alter Q Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Length Grade ? Depth Sq. Ft.- Approvals Fees Assessment Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. APC Permit a 11 . J V Surcharge • 50 Plan check SAC Water Conn. Wpter Meter Road Unit Total $ 12 . 0 0 'HEN BELOKOPITSKY on the expresS condition thot all yPpli bie t,e f Minneatutes ond City of Eagon Ordinonces. c?X?c- CITY OF EAGAN Include 2 sets of plans, • A? C/ 1 Certificate,pf.Survey & • BUILDING PERNQT APPLICATION 1 set of_ enerc3y cal.culations. '* S al ,,/ // To Be Used FoY ?EeK Valu,ationo O? Date ?yz?D $`7' Site Address : 4561 hv/!Gr/QO,O c//2CCE Ipt J,'O? Block 3 Sec./Sub. S/r Parcel #: In - l7/S'O 0 3 D r? I, owner: ac,09CN 3FL0koP1rsk y Adaress: City/Zip Code: Phwne #: 37 Contractor: Address: Gity/Zip Code: Phone #: Arch./Eng.. Ar3dress : City/Zip Code: Phone #= I OFFICE USE ONLY Erect Y Occupancy Alter Zoni.ng Repair Fire Zone Enlarge Zype of Const. Move # 5tories Demolish Front Grade Depth APPRIJUALS FEES Assessme.nts Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Permit ( - S O Surcharge Plan Check SAC Water Conn. Water Meter Road Unit TOTAL , . ..' :i . . 1 . .y.. ??a ' : . . r ' . .- ? , .. staio! p7,ffim. , ? ' . " ? JCITY OF'?+EPdN Include 2, s -1 ats plan M/elenritson. PE*aT ?MTMN . I mt of "riji •• ,?? bu??1 ?c?-1' -??•p6d Date Nov. `5 82 " ;'lb He Ueed Pbr tv?TT Veluat3or? ' - ? ; ,. SitB Add1'+eSS: 45/69_ Kirkwood Circle ; • ???Y ; Wt 3 Blodc 3 Sec./5ub. Ches Mara 1,:tEract X OOMVWACY ? - ? ' Alter Firs $oneoxw.. Pascel #: 1? ? OWr; Jose h M. Miller Const. Inc. EnIaVO Address; 18133 Cedar Ave. So City/Zip O0c']e: Farmirmton NIN 55024 pjCn@ # : 454-4753 Oontracbor: Same Address: City/Zip Cocles P!'faye #: Arc21. /FkQ • e Addsess: ? # SI?SM , Grade? ;S? l.t. 4 1? ? APPI?VAIS ?- ? Aasssaments , Aa?it d ! Water/3ewsr - Polioe plan clook P'i?ce ? - Eng. WabRt 00m. ?/a0 20"- Planner ° we?t.e Lc MeGex , council -- __._- $1clq. Of?._ a' APC (Ytjr/Zip Ooae: Pham i: ?I / / -. • . . ? 91? ? ? N' t BUILDING PERMIT. Te be wed ier SF DW cirr oF EAcaN 3795 Pilof Knob Rood Eagan, MN 55142 iHONE: 454-8100 Receipt # OQO Date _ Site Address 4561 Kirkwood Circle Lor 3 el«k 3 Sec/Sub.Chea mar E. lst Pcrcel # 10 17150 030 03 s Z ? Name Josenh M. Miller Const. Inc. Address 18133 Cedar Ave. So. 454-4753 ,o Name ?neT ? ?U Address Cif Phone WW Nome ? =Z Address 1 hereby acknowledge that I have reod this application and state that ihe intormation is correct and agree to tomply with oll applicoble Stote of Minnewta Statutes and Gity of Eogon Ordinonces. N° - 7726 Erect ? OccupancY R-3 Alter ? Zoning R-1 Repoir ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length50_ 6rode ? Depth_38__Sq. Ft.- Approrals fees Assessment _ Water 8 $ew. Police Fire Eng. Plonner _ Council _ Bldg. Off. _ APC Permit Jv.L . L)u Surthorge 28•00 Plon check1?0 - 50 5AC 525.00 Woter Conn.420 .00 Woter Meter 60.00 Rood Unit W_fl0 Toral $1724.50 Signoture of Permittee I A Building Permit is issued to: JOSeph M. Miller COII8C. , Inc. on tha expresS condition 1hnt pll work sholl be done in atcordonte with oll opplitable State of MinnesoTa Statutes and City of Eegan Ordinances. Building Officiol REQUEST FOR ELECTRICAL IIVSPECTION es-ooooi -on ? ' See instfuction5 lor completing this form on 6ack oS yellow copy. Beloow Wo'rk4Covered by This Request -339q (o Hc1C Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Indusinal Bldg. Air Conditioner Bulk Milk Tank Farm OthF, pecl y Other(SPecify) t nr SUecffy Other Other Compute Insnection Fee Below tl Fee ServiceEntrenceSize # Fee Feedars/SubTeeders tt Foe Circuits 0 to 200 qmps 0 to 30 Am s 0 to 30 Am Above 200_Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool AFwve 100_Amps Above 100_Am s Transformers Irrigation 8oorcis "j 0 Partial%OtherFee Signs Speciallnspection $ Remerks _ ? T p FEE 7_ ? Rough-in. Date 1, the Electrical a / 1/jY 1,7; Inspector, hereby certify that the a6ove I, Final /,?1? D;?le? rinspection has been . p A?? ? made. TAis feauesl void 18 months irom This request void t-? Y 18 months from W 054486 C-'3 ? B 3? c 11E s Ma r 3g C7 Y fo Request Date - Fire No. Rough-in Inspecuon Req ireA? ?ReadY Now?Will No(ifY Inspec- ? D Ves ? No tor When Ready Licensed Electrical Contractor I hareby requesi inspac[ionrof above Owner electrical work installed at: Street Address, Boz or Route No. City ecLOn o. Township Name or No. Range No. /? Coun04 ty /C a !Q. Occupant(PRIN7) a ? Phone No. e s ? Uc, ro Powh Supplier L1a Ad /Q Oe?Xec Address Electrical CoAntraator (COmpatny Nanre) ?r. ? ? Contractor'S License No. / / - cT?i? .6.?OG .q4 f /O /b10 - ailing Address (Contractor or Owner Makine Instailatior?J7?U?? G ZF?5':3 Authorized Si naWre ( ntractor?Own?r king InstallaUonl Phone Number MINNESOTq STATE BOARD OF ELECTRICITY . 7HIS INSPEC710N NEQUEST WILL NOT Griggg-Midway Bidg. - Aoom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS ok,...e ia191 "7_1111 ENCLOSED. (gtrtifirttt.r uf (Orrupttnry eitp of (Eagan BrPttrfmritt uf Builhing Jnsprritmt Tbir Catifiratt isrucd parJUqrtt to tbt requifemsntt of Sertion 306 oj the Uniform Buildin$ Codc cati f ying ihar at thc time of ittuana thit strurturt wat in compliana with thc variout ordinanas o f the Cuy ngulating building connsrution or ure. For thr following: ?cumnfi,tion SF DWG/GAR 7726 Bld`. hmdt No. omwar'nw R3 +ywcm,?um V Fi'eZme NA zanft wui<t Rl o,,,..foundlog Joseph M. Miller Addrca 18133 Cedar Ave. So. , Fa Addmw 4301 xiricwood Circl&.;ty Lot 3,Block 3,Ches Mar E. B,,; lst ?a,?;,? February 24, 1983 ? wt.: !OT IM . ?ACYW1 ?C[ LITn71N U.S.A. y1 ? ?? ??, ?)() 2007 RESIDENTIAL BUILDING PERMIT APPLICATION . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConstrucGon Reauiremenls 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverege allowed) 1 Soils Reporl if proposed building is lo be placed on disNrbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. t set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Defail OpGons selection sheet (buildings with 3 or less units) Minnegasco mechaniral ventila6on (orm RemodeVReoair Reauirements Office Use OnN 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y _N 1 set ot Energy Calculations for heated addibons Soils Report Y _N 1 site survey for additions 8 decks Tree Pres Plan Recd Y_ N Additiar - indicate if ornsife sepfic system Tree Pres Required _ Y_ N On-sife Sep6c System _ Y_ N Plans are considered public infiormafion uriless you state they are trade secret and the reason. Date/.`' / /?lJ / Site Address -/ ?? Constructian Cost `?i ?nO`OD UnitlSte # Description of Work d'((f-e007':'_ Multi-Family Bldg _ Y42s? N Fireplace(s) _ 0 (2< 1 _ 2 Property Owner J-,e4?? ,nE'd?I.SON ' Telephone #(? 7) .?07- / ?? Contractor .SC/ i V16?7n 4f'r7 Q?IJ?? in?l? Address ,S0 State 1?i J1 ? /9/16, ? Zip City .L/ /? G??1-rC'? Telephone #enV) a 3?' J??O 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING - Minnesota Rules 7670 Cateeor? 1 Minnesota Rules 7672 Energy Code Category • Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y. _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor 5ewer/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 approva] of plans. Applicant's Printed Name Appiican ig ature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03piex ? 06 04-plex Work Tvaes 0 31 New ? . 32 Addition ? 33 Alteration ? 34 Repiacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 . Windows/Doors 'Demolition (Entire Bldg) - Gi ve PCA handout to applicant D@SCflptlOll: Water Damage _ Yes Valuation Plan Review Census Code SAC Units # of Units # of Sldgs Type af Const Zoning City Water Stories Booster Pump Sq. Ft. PRV length Fire Sprinklered Width Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Fina] _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation 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 Occupancy MCES System 100% or 25% REQUIRED INSPECTIONS _ Sheetrock _ FinaVC.O. Final/hTo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath -Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector . lpytF EAGAN 3830 Pilot Knob Road Eagan, Ni9innesota 55122-1897 (612) 681-4675 PE1ZMIT PERMIT TYPE: Permit Number: Date Issued: BUILD'ING 030043 05/28/97 SITE ADDRESS: P. I . N . : 10-17150-030-03 4561 iCIF2KW000 CZR L07: 3 B!fJCKs 3 CHES MAR EAST 15T DESCRIPTION: 641cIang ? roit TypR 3px.Lcf3?tC? TYpe Wt??,k ? ? -Cor15US`:C ode .•?" "? p ? # f .R`?? ? : S ? 33 ,?._yc• I g M? j? ?? ?... ? ..A#' DFCK NEW 434 ALT. REaIDENTIAL ?3K.=4Riy?}y ? ?'??.Sa°..???0 4y`,?'p.'•}d rcx F 4 (4r m ?f?;L:_r? f [{ o-0 ? ?z {'? 'L x f i?&?% .»uYm ?`,1 "`'3 AtY ?} ? $1 v.> .a h°tPeb- a REMARKS: ? ?k%?yX%ckc%t%cXc?k?k:A?%cX??XX??c7kXo%X?Xnk?X%c7XX?XC%s%??k?X??k%«XY??c?c 9 CITY QF 1-(tt:,AN 9 (:AiH:CEI;:a 8 TEh'MINAI_ N0- 40 DATEe ? 05/2E3/97 TThiF-„ 15:37v56 IC, o NAMEe ttRLPH HANSON GpNS7hlJCT:f.(]A 3e:1.0 9001 4561 iczRf.µiOaD 50.00 2155 9001. 4561 fc.r.F,:F;wOOD o. aa sr. i_xc. OWNER: 9 0003720 PETER50N STEVE 4561 KIRKWi70D CIR ERGIIN MN (612)454-0616 the Tota.l f,eceip# Arr?o?jn+.: 50a50 ? r e 6° to c-abla -SCai.e czfi Mne a- ?plai CR07434i , . 3 -_?: z i.aSz'? ?!arar..v ?nc??' ISSUED BY: IGNATU 1997 BUILDING PERMIT APPLfCATtON (RESIDENTIAL) ? ? O CITY OF EAGAN 3830 PIL0-4685 D - 55122 -' 681 New Construction Reauirements L2emodeURenair Reouiroments ? 3 registered site surveys ? 2 copies of plan • 2 copies of plans (indude beam 8 window sizes; poured fid. design; etc.) • 2 site surveys (exterior additions 8 dedcs) ? 1 energy caiculations ? 1 energy calculaHOns for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No • DATE: -7 CONSTRUCTION COST: ? DESCRIPTION OF WORK:??"ea "c?er Lu?c, P-e.v ???+•? ? STREer ADDRESS: ye> W ( i te-k w a6c? & rz .-P SS ?? s LOT 13 BLOCK ?5 SUBD./P.I.D. a.. PROPERTY Name: Phone #: -45Y-- o4lP OWNER Street Address: CONTRACTOR ARCHITECT/ ENGINEER City: `? a v a„L State: M.kJ zip: 3 , Company: RO)r? ?"sdvt, C-ux --&--,- Phone #: q:2-3' J-0a2 Street Address: ZLI 3 ? 131 -'1?? - C. ). License #: 7?37-)-O City: Ri!n>sevno V- ,(? State: Company: l\& 0 Name: zip: 55Lk Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY fMiCEIVED Certificates of Survey Received _ Yes _ No , Tree Preservation Plan Received _ Yes _ No _ Not Required BY- ?? --? OFFICE USE ONLY -? ?. ? BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex n 02 SF Dwelling o 07 4-plex a 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex o OS SF Misc. ? 10 _ plex ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. o n 13 Garage/Accessory o n 14 Fireplace ? ,0' 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE ,d 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION 0 36 Move 0 37 Demolition Const. (Actual) Basement sq. ft. MCNVS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4 3-g Depth Footprint sq. ft. SAC Code n I Census Bldg ? Census Unit ? APPROVALS Planning Building P%jO Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units .:onat. inc. ,ar Avenue S. ??.??.1 88a58 .,ri-on, Minneaota ' 55024 DELMAR H. SCHWANZ LAND SURVEVOfi iteqiatereC Unasr Lawi of The State of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 812 4231769 SURVEYOR'S CERTIPICATE 1 ??!/ ?,1• ? Sca? e? 1 i nc? =3 0 ,o S ?v??? ??2e o°co 41 'V, r ? ??9• ; A° ? A. A. -- ? ., V --"-- p . &PR• ? \ v 't-i2oPos8'c? V. N>4o 2310 ?"W 13z•5 Proposed garage Ploor Elevation ` top of block No ? 9 3Z•`? vation ?Zq•j Ele °roposed basement Ploor elevation 9L4,4 Denotea existing elevation - ° Denotes direction of ? 93o.z Denotes proposed elevation ?surPace drainage p Denotes wood hub and tack I hereby certify that this ia a true and correct representation of a survey of the boundaries of: Lot 3, Block 3, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof aa on file and oP record in the ofPice oP the County Recorder, Dakota County, Minneeota. - Also ehowing the proposed location of a houae nob ataked thereon. -• --- ? - .. _ ,..... PERMIT CI'FY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 4561 KsaKwaao czR LOTe 3 BLqCKe 3 CHES MAR EAS7 1ST P.I.N.: 10-17150-030-03 DESCRIPTION: ??? ??"?V't? S . la4 'e; L ?'4 B aEszorNG ermit Type c?rqk Type 5F (MISC.) ALTERATION W#s VO 7 BUTLDTNG 026028 07Jls/ss ? ??m? ` r? Fkd :Pd?v M REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $124.75 $3.50 $128.25 ? ` '? £PL4?.i ?.,pt $7,000 CONTRACTOR: - aPPLioant - sT. Lxc. OWNER: ROBYS REMODELTN6 INC, DICK 18696024 0001130 PETERSON STEVEN 7205 JAMES S 4561 KTFiKWOC11] CIR RICHFIELD MN 65423 EAGAN MN (612) 869-6024 r APPLICANT/PERMITEE SIGNATURE INSYEC:'1'1ON KE(.:UKll CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026028 Eagan, Minnesota 55122-1897 Date Issued: 0 7/ 13 / 9 5 (612) 681-4675 SITE ADDRESS: P'I• N.: 1 e-a. 7i s0-0 s 0-e s APPLICANT: LQT: 3 BLOCK: 3 4561 KTRKWOOD CIR RDBYS REMDDEI.ING TNC, OICK CWES P1AR EAST 1ST (612) 869-6924 PERMIT SUBTYPE: sF (mzsc.) TYPE OF WORK: ALTERATION DESCRIPTION RE5ICITNG INSPECTION DA . .. FRAh1ING ROUGH IN PLBG ROUGH IN MTG FINAL ? ?I V:- - ?. , - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 of b?c? ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 iegistemd site surveys * 2 copies of plans (indude beam 8 window saes; pomed fid. design; etc.) i 1 energy caiculations ? 3 copies of tree presenration plan if lot platted after 7/1193 iequired: _ Yes _ No r/ oATE: Ta -- y ? ca DESCRIPTION OF WORK: -- Al,?p • ??? ? ? STREET ADDRESS: 7-1.71,?/ / 1? T2 of!'' l.P?19 & 7" LOT ? BLOCK -3 SUBD./P.I.D. #: PROPERTY Name: r-ez?? Phone #: OWNER FM¦* Street Address• CONTRACTOR ARCHITECTI ENGINEER City: 6 State: Zip: Company: A?r c- Street Address: ; City: Company: Name: ? !r Phone #: ? License #: /!?-% State: ` &?- rlp Phone #: Street Address* City: Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ? 2 copies of plan * 2 sRe surveys (exterior addi?ions 8 dedcs) ? 7 enargy caiculations iw ated addicions 6 d State: Registration #• Zip: Penalty applies when address change and lot is correct and agree?q compry with all Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ?. 01 Foundation o 06 Duplex n 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o Q$ 8-plex a 04 SF Porch o 09 12-plex ?r 05 SF Misc. a 10 _-plex woRK nrPE a 31 New A? 33 Alterations 0 32 Addition o 34 Repair GENERAL tNFORMATION Const. (Actual) (Allowabte) UBC Occupancy 2oning # of Stories Length Oepth APPROVALS 0 11 0 12 ? 13 0 14 0 15 S le Apt./Lodging ? Multi Repair/Rem. ? Garage/Accessory o Fireplace ? Deck 0 36 Move ? 37 Demolition .? . •-; 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MClWS System Main level sq. ft. City Water sq. ft. Fire 5prinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. •i Footprint sq. ft. SAC Code D/ Census Bldg / Census Unit O Planning Building Engineering Variance Permit Fee Zi? Valuation: $ Surcharge 3. S o ? Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permk S/W Surcharge Treatrnent PI. Road Unit Park Ded. Traits Ded. Other Copies Total: o?5- % SAC SAC Units 1? -,-rrller Const, lnc. - -Z?33 Cedar Avenue S. ????1 88058 Farmirst;ton, Minnesota ' 55024 ' DELMAR H. SCHWANZ LANDSURVEVOR . Repisleratl Untlsr Laws of The State of Minnesota - 2978 - 146TH STREET W. - 80X M ROSEMOUNT, MINNESOTA 56068 PHONE 612 423-1769 SURVEYOR'S CERTIFICATE /d0 ,o =30 S ?v??? ?szo ? " A . A- A. ???-- `?? ? G? ,r q? ? ' ?oPos?.D . ? ` 4uSF_ O ^i ?! ha3 Ai?4-O . 2?? Of°"W 'g3Z? .Proposed garage floor Elevation top of block 2Z? S3 o?,p?V? ? 93Z•?3 Elevation _ C)ZIi ?roposed basement floor elevation 9L9,4 Denotes existing elevation ° Denotes directiqri oY ? q;d,2 Denotes proposed slevation ?surPace drainage > .. p Denotes wood hub and tack I hereby certify that thia is a true and correct rep,resentation of a survey of the boundariea ot: j Lot 3, Block 3, CHES MAR EAST FIIRST ADDITIDN, according to the recorded plat thereof as on file and of record in the oPfice of the County Recorder, Dakota County, Minneeota. ? - - Also showing the proposed location of a house nob etaked thereon. c , nn-, Cities Digital 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. . .:._ ._._ _ ?_.- ..._. .?..?..?. i ?uu na r--s?s ; -- - - • •? E>:zi:Riuiz r%vi:.rIrr: nvi:iv+c_r•: ^u?? coMrc:TnMrt ; ? -- - ? - , ?- , ?. .. . nwrL 11/5/82 ? OWNL?t:' _Jo=en__h M Miller_ o ? nc. ? PltCk1E: 454-4753 , sI•rE. nDDi.t;s:;: 4561 Kirkwood Cirele --•--• ? coNTltnMR: ?_, osQ;1h M. -t"liller-Const. ' Determi-nc working square.footage of each aq. ft. x .17 ? - .41 1. Total cr.j?osed kall ar(ia ....•. sq. ft. x 2. Toal ioul.'/uciliug arc;i ....•• 'cotal ex}:ooed wall area above floor 3 •q • _-? ? a. Tntal, wall W1JldoM' area . . . ... .. . ... ... . . . ... ............ ................................... ... _ ?. rn . . _ „ cjJi?l' illC'.il • .. .... . I . .... . .........• ' . ' C - Ci..,., ...... c7 . . . . . 'PoCal fi.re!?Iace wali area .............. c. ToCal va11 freuniny 4ZI:4 (avcrage 10%) .• • • • • '"......... .... • , f. 7.'otal rim jois? area .............................. .... 21 ?• .?? wal]. arsa ebovc floor ...................... r. ............... ...... h. .......................... . , ..---- - ................... _ J• ?.--- wmYi'. . ....... 'Pot.il exposed foundation area = -?e4 • 60? ? .......... K. TM:11 f.o,ti:-i:iticvi wimdrw arca ................. ......... l. '.Cut.:Al not f.oundation rirea above gra e........ DoCerm.ine "U" value af each wall ceqmeat ? (e,7, window, door, each separate wall sectfon) ' a. X „t,., -3? X „u„ Z _L § C. ,ou„ . -...,....?..--- a. x „u„ = ?.8 f ? ,O L -5 ?. oea f . / .? -- 1Z?,?, a „u„ g . ? _ -- flU,l h. ,N------ ? x otutt - , i . --- --- ---- • _?------- • ;?f? itcin It3 is thc namc J' „ull WlC::s t:flclil 1tQ1Il ifli " huvA n!et this .intenl u1 X ????: :;Il,^, GGOfi (c) 2. ' , ' 1 . •-- -....?`"! ? "?- ?+ ??L??? -- ? ?i?' ? '' _ -7 AI . ? . Paqe 2 of 4 Gxt .;rior 3:nvclope Averan?: "U" Cortlj)Utdl'lOtt • Tutal exl)o.,.;ed raof/ccilinry area ? m. 7bta1 sE:ylight arca ............................ n. ToYal rnoL/c:ri] i nti 1717,1miuq r1r.na Ovcr.ilrff! lOQ.) ... --??? .. o. Total net in:culatad roaf/ceiling area......... lletermine "U" valuc for cach roof/ceiling segmertt ? X a??u r:a y 4.5 n. _. q7,4 ? 140 . 40 x ,.u„ , d 3 a. _ 4 ........................... 'Ibtal li t.otal or'114 is tiie sjune as, or less than 112, you have met the intont of S15f• (,p;?(, (r) 1. _ Altcrnat_e Buildin9 1?nvcloPe Desi n 'lb utilize the total envelope system method, the values esteblished by the s'?tn of it.em:, 113 and 04 shall noe be greater than the sum of ittyas Nl and N2. ; + 2. 3. 23) ,) + 4. 3I = ?Z• ? . , i. • . ? i ? i ? . . ?: : PLAW #k ?`?°58 t , L .. Z . ? L FT r.:jcposEo wAL, L f t?1 ? 1 ? -+-z J s s .q 4? cr? -f . Ic ? r -L . = I D ..:? r L { ? l J L L4 + I O"F- 3(p I'?J I• , . ? Y .;- I ?? I 1 ?I S)cPoSEb valALL AR..EA x, S = l?, S J?x S= S ZS ????( .0 • % X $ = s'17 / ,? aC S= I o 5'z L.LZ? r? - -- ;.-, s ? ?' ?.?? ?_ ? ?.r f .? 1 ?/ ? i?" "'_ W ? ?? ?? ? •? »,.q /S 'N Dv01 `?/?j?' 'T C,? i ?U - I - 1 q. 8 2?? I ??? ( ? JT?T - I _ ?1 , ?: h? ? - C.v d.?- ?.s' ?. q ¦ -- 4B ----- , , . U u i?5 35M4 [? ?.1\LL JV?-latir..+ Usc• 15% o?f opaque walt arca fox • , ?- ' ; irjmc canstruction ? IVALL ConstztctiOn 1. 2. 3. 4. S. 6. Exterior 1. z. 3. 4. 5. 6. R _Valuo u0.1z V• . 07 . ? ? ? • ? ? - • ' '' /i/ , ., p? ' • ?'? ' /r( • ? ?' : . I Jr, ` : • -? • • 1+ ' , InL•erior sir Eilm_ 2. ----_ ? 3. 0.17 6. Exterior air filag u= .o` 0.68 1. interior air film 2. . • 3 4. . • d . 5. ' 0.17 . • 6. Exterior air lilm Total • Z.1s . U- •4? SIJ\8 ON 'CRAOE Y • .b ? • ? ? ? ?? . ' . ? ? . . . • ?7- ,?? 1I '? • ? ? •. ' f` ? ?' ss ,,.., b • --- -? ?. • , ..• .?- ??'; . iri - ': • ' rh : • ? ? J /rl ; FIG. aa .__- --- ? • oo- x x ? • /t? ??! ? rt ' ri+ = ppTE; Indicate tyoe. "*.t" value, depth and. _ placanent of insulation.• STAN d?hnD .. • • ? . .. ' ?v ' ?aiol /ct:iLiNa •^`?Z , l? .r , ? ,, ? Vu:T ;\;.? - ..... -- -•---=??' ????;?te sl tleat F.].ow up FIG. #5 .? .,???...._-?t/c.•.. .,?-_ -- ?.?--_•?--- _ __ , ?' ???'lill': ? '.'??! - ?, --? ? j }??;,c flou uP t1- iIC t'.i ot? y? R?,va, l uo a{r 0.61 1, intcr. ?<?r film ? ; s. -L.CL r? -LL .??-. ??----?° 4. 1:X1i?Y16?1.i_- Pllln (??t? ? ?? .?O Tota1 I ?Iti s+?? C?:?? ,N VAuL f: iz 4Mt N CA 0.61 Interior air film . 2. .3 3. 7_X4 _? ? UL 4. • Total 7 U• os . .FIG. #6 • ' . _. . _ _.. .. 3 ?? ?l? ? 1,1?? Y ? , ?.' ?j•?+?, • . s? •Q-^ ,•; ?.:"•'•`?? l?^-- ?,r? r ' :.f-- . ?•. / ?- . , / . . fiO.I-CL't:TOD Hent ' eiov Ur ; ; . . . ' fir.a. 07 ? u 1. I i.dQ air fi.im 0.61 -- - - - - - - - - - - - 2. 1 3 . 4• ? - S, Outside air. film --..------ Total ? . NoCe: Use additionil sheets if niore spacO "- r.ccded for det'mels nnd ca].culaCions . : vencetl Certi#'icate Por: ° - - Joe Miller Const. Inc. ?`AJ 88?58 18133 Cedar Avenue S. Farmington, Minneaota 55024 DELMAR H. SCHWANZ LANOSURVEVOR ReqistereA Under Laws of The Stats of Minnasota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MtNNESOTA 65066 PHONE 612 423-1768 SURVEYOR'$ CERTIFICATE ?(4/ sca C '' i ? _30 q ? ei i .? . S v /'?/ 0•?.^ ? J / ?, ? i / ! /n4 ?\'9?d '?3 e? •. &F-• 4 0 ` 0 4/ wsF_ a r7 I ` \n -?, . ? •C- ? ? " ? ? 3I33 ?'??Ih ? ?? C') , ? \ N ? ?40 ? ` /A? . i • _ Z3'O ? w L n Proposed garage floor Elevation ,?3Z'? -Proposed top of block 2Z/ 53 ? v Q? ? Z? ? Elevation ?roposed basement floor elevation 9Z9,4 Denotes existing elevation 0 Denotes direction of 30Denotes propoaed elevation surface drainage ,. 13 Denotes wood hub,and tack I hereby certify that this is a true and correct representation of' a survey of the boundaries of: Lot 3, Block 3, CHES MAR EAST FIR3T ADDITION, according to the recorded plat thereof as on Pile and of record in the of'!'ice of the County Recorder, Dakota Caunty, MSnneeota. Also ahowing the proposed location of a house nois:etaked thereon. November 5, 1982. MINNESOFA REGISTRATION NO.8625 PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105783 Date Issued: 07/30/2012 Permit Category: ePermit Site Address: 4561 Kirkwood Cir Lot: 3 Block: 3 Addition: Ches Mar East 1st PID: 10-17150-03-030 Use: Description: Sub Type: e - Water Heater & Water Softener Work Type: New Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size deb larson Comments: 8815 209th st Lakeville, mn 55044 952-469-6999 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Drain Pro Plumbing Steven M Peterson 8815 - 209th Street W 4561 Kirkwood Cir Lakeville MN 55044 Eagan MN 55123--190 (952) 469-6999 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. Applicant/Permitee: Signature Issued By: Signature