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4625 Beacon Hill RdarY ot EAcinN 3795 PiRlt Kwo6 Roed Eagaa, MN 55122 , Zoning: Owner. ,'. -i?-1Qr Can Address: Sita Address: 1{ ?-'21BC8COI1 :ii. Plumber. Meter No.: Sixe: Reader No.: 1 eyras !o winPlp w&h Hw Ciry of Eeyen Ordinsnass. By Dote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. af Units: 1 i:OtiCl ?r^ _ Connection Chorye: !t 50. i.:! _ Account Deposir: _ Permit Fee: Surchorge: Misc. Cfwryes: - Totul: _ Dota Paid: _ I nsp.. CITY 0F EAGAN SEWER SERViCE PERMIT 9795 Wlc'k Knob Road PERMIT NO.: Eoilivn, MN 55122 DATE: Zoninp: No. of Units: O1NnCr: l.C'lfif; Addre55: 5ite Address: rPtiCO?', H111 z'.C, L'.': .• _ i:?°?^_oi1 i:ill Plumber. - ?{c c?' at1l reI 1i T??^ Iagree te eempfy wilh tha Ckp of EaAaa Connection Charpe: -20 Ordinaneas. Acoount Deposit: Permit Fee: Surchorge: BY Misc. Charpes: Date of Insp.: Total: Insp.: _ Dote Paid: Site ?,ddreu 401D rieacon ri111 Koad Lot 10 BI«k 1 Sec/5ub Beacon Hill Parul # 10 13500 100 Ol Nama uvowyu ?a. rai.aica vvuo%.. Addrem 18133 Cedar Ave. 50 . Erecr 11 Occuponcy R-3 Nlter ? Zoning R-1 Repoir ? Fire Zone NA Enlorye p Type of Const. Z1 Move 0 # Stories Demolish ? Length_ 41 Grode Q Depth4fLSq. Ft. Approrals Feet Nome _ llddress I hereby acknowledge that I have read this opplicotion and state that fhe informotion is correcf ond ogree to wmply with all applicable 5rote of Minnesoto Storutes and City of Eagon Ordinonces. Sipnaturc of Permittee osep Z :9 , A Building Pertnit is issued to: oll work sholl be done in accordorxe with oll , Buildiny OfHcfal Assessment _ Water 8 Sew. Pol ice Firo Enp. Plonner Counci I Bldy. Off. _ APC , Iac. Pennit Lti:i . UU Surthar9e 25.00 Plan check 141, 50 5AC 525.00 Woter ConnA So _ nn Water Meter 60. 00 Rood Unit 250.00 rotol 1734 . 50 on the express conditlon thno ond City of Ea9on Ordinonces. f CIT1( OF EAGAN 3795 Pilef Knob Road Eeyon, MN 55122 • ?? ?•.?' ? v r PHONts 434-8100 BUILDING PERMIT Reuipt Permit No. Parmit Holder Misc. Permit No. Holder Plumbinq -? L? ?t tj t1i '$3 H.V.A.C. -- 3,71 con r,c f ? 9,g3 wau w.? ? Disp. S?wer Electric WOZO`Ir6 ?+1t??4K? EIbC. -/ tS3 Infpection Date Insp. Other Footingt Foundation Framiny / ?c3 Rouyh Plbq. Rouph HVA Inwlation 43 Final Plbg. Final HVAC Final Wstsr Dxcribe Locatfon: Well " Sewer ? Pr. Dkp. n • .? s Receipt PLUM6ING PERMIT Permit No. CITY OF EAGAN Fee ' "• - . ' Fi1l rn numbered spaces S/C .?.: Type or Print legib/y Tot. 1. Date Installation Cost 3. Job Address •,l.ot ;_. - Blk. _I Tract 4. Owner 5. Contractor Lt:f:L Phone ° _. 6. Address`°'' ?.'3') -? 7. City - - State Zip B. Building Type: Residential Q Commercisl ? Institutional ? 9. Work Description: New 0Add ? Alter ? Repair ? 10. Descri6e 1 11. No. Fixtures Water Closet No. Fixtures ool/Drainfield Cess Bath tubs p Septic Tank Lavatory Softner • Shower . Well _ , Kitchen Sink . ` Urinal/Bidet Othsr Laundry Tray Floor Drains Drinking Ftn. - Stop Sink Gas Piping Outlets ., 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinanceS and codes governing this type of work. Signed : _ . , .. • x • for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt - J - MECHANICAL PERMIT CITY OF EAGAN , ?.. Permit No. - - ? rr { Fea ` j ` Fill in numbered spaces S/C Type or Print /eg/bly " Tot. ? 1. Date c?? 2. Installation Cost ri ?l.? 3. Job Address ? ;\ Lot Blk. ? Tract ' • 4. Owner 5. Contractor -. ` Phone -? 6. Address ? 7. City ? . .. . - ` State ? Zip --- _ , --,- 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel Typ???? 11. No. - ' Equipment STU • M. Ea. Forced Air No. - Equiament CFM Ai H dli - Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned : 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 Remarks Addition BEACON HILL ADDITION Lot 10 elk 1 Parcal 10 13500 100 01 Qwner-?-? Street 4625 Beacon Hill Road State Fagan, MN 55122 improvement Date Amount Annual Years Payment Receipt Date 5TREETSURF. 1 18o6. 3 200-77 9 1806.93 C007372 10-1-31 STREET RESTOR. GRADING f? g5- 1982 526,46 5g.5p 9 526.46 c007372 10-1-81 SAN SEW TRUNK 976 135.97 9.06 15 90.67 A008956 188 1FSEWER LATERAL 1 1982 3116. 346.21 9 3116.46 C007372 10-1-81 WATERMAIN *WATER LATERAL 1982 9 WATER AREA 1982 1 S.O1 22.00 9 198.01 C007372 10-1-81 Stubs 1982 9 STORMSEW TRK Z 1982 359•82 - 39.98 9 359.82 C007372 10-1-81 i *STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK ? STREET LIGHT --RDAD UNIT 250. Q0 570 5=6-83 %;ONN. - 4 O.OO BUIIOING PER. 08 sac 525.00 PARK , This requesl void 1y8?p??anths trQm 9¦ /? o! O f8V Ll o, ZI, N--2Ca/l 4M 3sgs 9 :?52•So Request Date Fire No. Roueh-in Insuoction Reuuu tl? ?Ra:?dv Nu ill NotitY Inspec- ?O D s ?NO lor When Reatly p 5-nsed Eleclrical ConVactor I herebV request inapectlan of above ? Owner elactricel work installed at: Stre,et` Atldress, Bo/x ?or Roure No. ?? p ?? ' C ity ? L7 ¢acen fl ? 4f ecuon o. Township Name or No. nnyu No. Co ny? ?L4,ol Or.cupant(PRINT) ? I ?J?ri / ? / Phone N`o. IS d f !gA l.C ? Pow r $upplfe? ? ? ? I Addrass raill.,,.- Elecvical Convactor (COmpany Name) ' lo eY fl 2'" c *4 Contracinr's License No. yl c eo - a ,, « ? ., ,r, Mailing Address (Contractor or Owner Making Installauon 0'703 9Q ,Qc3se/f s? W.sil A?I40 S5303 Authorized Signamre ont ctor Owner Makina Inswllationl Phone Number ?? 3 -?3?'7 MINNESOTA STATE BOAflD OF ELECTflICITY THIS INSPECTION pEUUEST WILL NOT Gria9s-Midway BIdB- - poom N-181 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Paul, MN 56104 UNLESS PXOPEH INSPECTION FEE IS 1.11, ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See inetructions for comoletine this form on back at yellow copV. 'Xn" SepwWork Covered by This Request *.,w EB-00001-04 W: ?'jct;' Ne% A ,ild Nap. Tyoa of Builtling Appliances Wired Equiumenl Wired woo Home Range Teniporary Service Duplex Water Heater ? Ifuqlhtinq Fixtures Apt. Building Dryer ElectNC Heatin Commercial 81dg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank f2rm tner pecify Dthnr Isoenityl t er Suco Y Other Oth,r Compute Inspection Fee Below N Fee Servica EntrenceSize # Fea Fenders/Subteaders H Fon Circuits Ad 0 to200qm s 0to30Am s .5 0to30Amn Above 200 qmps 31 to 100 Ainps 31 to 100 q y Swimming Pool Above 100_Am s Above 700_Amps Transiormers Irrigation Boons S'p Partial•Other Fee Signs Speciallnspection $ T Remarks FEE 0T 7_ .? Roueh-in t D.rte t ha ectricel ? pe Insctor, hereby th tif t h b Final ???? cer y t e e a ove ingpection hes bean ?? made. TM1In .onuaal vnitl 1A mnnlM1x Irom CITY OF EAGAN 8OOS 3795 Pilaf Knob Rmd Eagnn, MN SSI? lr ?T? PHONE: 454-8100 BUILDING PERMIT $50,000 Site Address 4625 Beacon Hi11 Road lot 10 BI«k 1 Sec/Sub. Beacon Hill parcel # 10 13500 100 Ol ? Name .Toseph M. Miller Const. z pddreu 18133 Cedar Ave. So. 9 i.cr. e1?1 a Nome_ ? ?U Address r ?:... Nome _ Address I hereby ocknowledge thot I hove read fhis applicotion und state that the inlormation is correct ond ogree fo comply wilh oll opplicoble State of Minne:ota Stoturea and City of Eagon Ordirwnces. Signofure of PermiMee -Josep? A Building Permit Is issued to: all work sholi be done in acwrdance with all Building Officiol Receipf # ?5?/di(7 Mav 6 .,, 83 Erecr U Occupancy R-3 Alter ? Zonirg R-1 Repoir ? Fire Zone NA Enlarge ? TYce of Const. V Move ? .# Stories Demoiish ? Length41 6rade ? Depth-46 Sq. Ft.- AvYrorab Fee. Assessment Woter 8 $ew. Police Fire EnO. Plonner Countil Bldg. Off, APC , Inc. pemit Ga3.VV Surcharge 25.00 Plun check 141.50 SAC 525.00 Weter Conn 45 0 - n 0 Water Meter 60. 00 Rood Unit 250.00 Tmol 1734.50 _ on fha express condition thno ond Ciry of Eagon Ordirwnces. .. This reqvest void 18 months from L - )6 7 - g, y aQ • O b A n7a q R L 1.0) & I S wea caY? ;?'l 1?4j& 41 GqI Request Dale " Fire No. flo. qh-in Insper.tion fleyuired? E]Reatly Now?Will Notily InsOeo- a Yes ?NO , tur When Neatly ? LicenseA Eleotrical Contractor Owner I hareby request insOecHOn of above electrical wnrk instailed eC Sveet Atldress, Bax or Route No. City ? er.LOn o. Township Nam. or No. Renge No. County OcCUpan? (PflINT) Phonx No. !f'iw:. l?, SZ-069 Power $upplier + AdGress Elecvical Contractor (Company Name) C??ntractoe's Licenec No. 0 C.11 h c f? Mailiny Address (COntractor or Owner Makinu Instalta i t o n ) ' y ? f ' ? K?.? Si na[uribIConl c r/Owner Making Installationl Pho n eNumber ) ? L ?+ %fS z MINNESOTA STATE eOAAD OF EIECTPICITV THIS INSPECTION HEQUEST WILL NOT Grie9s-Midwev Bldg. - Room N-791 i BE ACGEPTED BY THE STAlE BOABD 1821 Universitv Ava., St. Peul, MN 65104 UNlESS PPOPEN INSPECTION FEE IS Phone 161 21 2 97-2 7 11 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa ' See instructions for comoleting [his form on back of Yellow copV. ? r P ? ?")('" Be?w Work Covered by Thrs Request T Add Reo. Typ¢ of Builtling AoUliances Wired Equipmenc Wired Home Range Tem{mrery Service Duplex Water Heater Ligh[iny Fixtures Apt. Buildinq Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader InAustrial BIAg. Air Conditioner Buik Milk Tank F2rm Other pea v iher (Specily) ? er Sut?u y Ot er Olher Compute lnspection Fee Below q Fae ServiceEntrance5ize b iee Feetlers/Subfeetlers # Fee Circuits 0 to 200 Am s D to 30 Am s 0 to 30 Am Ahove 200 qrnps 31 to 700 qmps 31 to 100 Amps Swimmin Pool Above 100_Am s Above 100_Amps Trensiormers Irrigation Booms .SO Partial; Other Fee Signs Speciallnspection S ? F L Remarks I _ ? .w.? Riia roduest ia 18manih; ?W b n S P--c <-- 44 ay'1 S ,:?L 0 ?? ? . V'? . ., ? . S? ...'lb He Oled P+m. cz}- -- Vblust3on . Site Addpess: Slodc ? 8ec./Sub. roe' ; .' Paiti7el ?s b I 3S? o r0o o .. ,\ ? Own6ri . - ,?U ,tf AMrGW: d `' Ptrone t: ' 51- ?J Oont?caclor'i ' a??? ?? Phow :: Atch./ghg. A&bmw: . , ' ?i"ip , . ?,.. , crr?r ae? ?-: s?oi,?a. ..t.af 1 db ??+/?N oer i', r , AppLiG'1?(" Mt oe Wre9Y ;?rtlaer! ?. DIIEt 3 -/?9'rp-3 ? ;.. , ?!1"LCS q? ? ' ? ? 06rect O:oWn%Y Alber ?r ,? ? 3? .. ASSOOmmuntS ?.-- 9lemi! POliOB ram aa?.• ? ?.--?--?- ac EV. ? • ?NOW?. ; Planner - P40d VAit ? ?- ? ?. ?? ? 'sa ? ::' 4 Plaa€e for.: . , , iZtiex Homes ?+e$t inc. ;,-$6{11 Darne11 Road ' Eden Prairie, Mn. 55344 JOe MiTler Conet. 1e133 ^edar Ave, so. L?ELMAR M. SCHWANZ FSY'tningtOri,'Mri, 55124 lANOSUPVErOP ' . RNiNVW 4"*1 Uws of TtIM 5104,?4.MinMwta 4RJ? - 14M fT11t[T W. -mQX M N04EMOUNT, MiNNF30TA l6M VMqN6 617 7176p / BURVEYOR;SCERTI?ICATE. .. ? _ 4 .'/?0-¢/MB.? i ? I/ •,?`3?$ ?R'1. ? ,v P? ---- . ?p •''? 3" _ ?, ?- _-__?,_ -r ---? -?- ._._g? "Af AA 41 ,l t? - i3.w , t __,__ ? ? ?'` .1?` ,?? ? y f ??;4 ... ? ''? ??. ?P- 4. , 9?s=r? ? 4g 4 T6PNr$ . ? - ?? [l Ik'ttOt@8 9 Denotes ?3...? Denotes .w---Denotes i +i :?. ? i , aet wnod hub exieting elev3tinn proposed elevation propoaed drainaF,e ?? ?t.G1-'??•aa.9 0 ?..-.'.?O.a6?t / ! -7j ' ? C? . ? ? Proposed garage fi loor e2ev, 9ta? S-' . ?Tser, Proposed ba.aement flnor elev, I hereby certlfy that Lhis 1o a:rue ?tnci r'e c:: LOt 1^, B1ocK 1. BEAq?)N 14=LIS. ;zec:?rr31•?i;. to the, Dakota Courtty, MinneBvt.a. Dated : Jul,y 3, t U%`? yl? r , > .; O 4' 1 i ? yi ? ,764,4 ? ?\j ; ? tnp of ? / bl.ocu ??E 9 re?E?r??±nenr,t?t.; >n af rer.nrdNd )1:.at t:E?et^N1?P,- Revlsed to ahow propoaed hc>use ,3s stakeci Vi,,rch 21, i 9A,3. 1E ? ^Wta44?, u;,TL: TM; E ?". Dutexm fL. X •?,,_,_ ? ???---'- r71'@d . . ? .. . ' - :. A,- F/ceilinq area . eq. tL. x_.?____ Z?,--- fiotal onyosed•wa11 ar3a14bo?e Elaor ?? I, ??` Pttcx?t: 454-4753 ? 11? woikir,g squarc foot?y.: of ieach 'tf iY.ccn 93 is thc sAM. : i x' ql, ar le=:s than itcr,i ;11 y.• , ] • -_ ..._.? _ _ - .,_ _..._-...? ? i .. ha??P mct thn inh.cnt .rr X „' ? • ?-??I . . ::P.C GGO?i (C) 2. C?''wf?x7ovr r t:x. • • _a??? , . .. iM ?PTnA . . .. . ... • .? :... Y'01Yj.1C@i WSli AXCd :... . • • . . • •••. ? _ ?1 ?I:L•11] 1) a:ZOd (dV6i1 . . . • ••• Ri juSsl arcn . . .. ?I . tip4i). area r.tc)cc flcc•?. • ' F wa).l area auar•e flc,or....... .. ..•: .•l ?---- ;aroa al?e f)dar; Area abovc flcer, ••.. ... ? qbanl + . . - r .'. ru:slaLipn xindow ares., ..: ..•. • ^ I .? •t foandation area ahowap xic' ..........:. Dc+tnrmine "Uvnlut Qf cach wnl ? ;o?a:nellL ?? (e.g. windc.w, dcx>r., eac.i scparate ??mll aec'.ign) ?. • "U" ?.- X. 77X?L . !ftien ` ??! ??. . . ' . . x - MVa ? ? ?_ • 402-,: .??. x ov e. a U. 1ZZ- X vU•, '? q, . - ? ..?. . 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'? . :?{'',. , , ,. ?, .,,: ?... ? w.. ..- ? ?t24+vow t6tZ4 ,42.E',A c&dm ? _ ?? • 1 ? l??T' S : .,p LL'2 % k S = ; ,_. ._ ; ?:•-'? l? ?t.? 126 •, `?. ? 4 : ?? - +:? • • . . J4 . ' ?. ,, .. i4 ..;? . r}'•••? ?:.,i'; ?. ?1C?l?6s.a ezI Lf fJfj; '7E4 ?yUS ?U -1 t 11 = Z2.'?' 40 3ro-1 I I : 17.0 44-µffµtt' l73•3 t I If ~ TptAL = i7a ? D ooQ.s ? I ?. Z!• 17.$ ? -y s 4m? 0,36 H14 UUi+S LJ : ? Const? l? , Z• 3. 4. 5. 6. 1. 2. 3. a. 5. 6. 1. z. ' a. 4. 5. 6. M °NIUtffi ; - . , ,. ? . . • ??C , ? R-Valuo. 2ntcrior eir p'8. • 2. ' 3. . a, ? s. , o.i1 • G. Exterior air film Total F, ? ' " ' ' ?'? • . ? III ?- ` V ? • . . ' ? I :? _,_ • , . . . ??? . •, • ?r,- . ? •. ? 04 .' il t ? ' r J NpTE: Indicate ty". "R" value, denth a.na ? placenent ot insulation. fI ?-- .. ? .:._ . s ` ly? o! nWqup wull sres Por ? r ?. .049 :m ?, '?^," . . • . . ' ? . .Y ?°...? " .' ? . . .. i , V7l 11?• '• .X, k. ? ? IX"?,? ' e ? ??.f ? . o??l ? '? '? . ... . . -.i. ?r ?. . . . b . , , «• ' ? . ? , ?• . • . `N . • ? ;. ? i, ? • . • . ;? ?', : • . ?? • 0.61 a ,' ",?' ? ? ', ., • ; ' ' L ? ox [i1a ? Mas ??w =. ' j . . , • ,;? ? •. • ' 36 • ? ?• ? R'. ?? ??? ? ? ? . ? • • . _... I ?•.. .. . • . . ? ? . . • . . . ` =16 ? ? . . 't .. , . .• • •? . . . . •, ]?I=??? . . •' y . . _ ? ? ? v i ?. .. ' . s. .: ? .. ? ? . . . ? • . , ' ' . ? •. ? . ? . ? ?. . , • ' , . ' , • . , . • ? . w . CIN.lwt?6f/ ?r?,? 0.61 • ????? ? 1. F x.lilm ....?.-+?-w-r•-- . ?. k ' ' ' . ? ,. , • . . ; ? ' ' • , . ?, - p, 17 . ??? • ,. , . ' ? • , . ? . , . , . • .. • . ;, ? IErI'?'?E . 0.?1 y ? i• , +E, . • • ' ?. • ' • • . r?'?',? .ti •,i.:?- . • ? • ?? . . .. . .. ? . ?S? ?f 1 ? j? - . , ' . • ?! • ?? a . , . ? ' ! y ? ? = ti, a? A?. ... ? ? • . .;. ,h '. . ;.. . : r' . ; • ? ii.:? ?? ??:" . .?. ?, .. .• . . . . .. . ,? ? , • •; w "?,. ? •3 s. Ell s. ' ,???,'?;?, • ??.1. ? . ? tiu? ` 3? ` 4 • . ??????:??»7 . ? M :rJN.??. ?° ? • ? ?• . IDUL . ... • • , . ' . . • ' ? - .• . . • . ? • ? - ? ? .Y , ? ' • •' • • •. ? • . ,,.? ..? . ' ? ? i ?a•? . ' . • .' •• :. , . ??_? ? s?litional sAeees ii nwro aP+<<e jq= aetails and caleu2aticms. . ?"'" ": "-- ' • ??a . . '? .? ?e ?•' . • . . , • ? M? ? • i i???..,1:.' ? • • ? ? UP . . .r.. • . . . '', • • ..? ? • • . .t i? . ; . . . ' . ? . . , , , s ' ? • no.17 ,i. U CIN USE ONLY ? RECEIPT #: SUBD. BLL'1717 +II RECEIPTDATE: PERMfT# 713330 2000 PLUNBING PERMIT (RESIDENTIAI+) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIRES FAGH # TATAI Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet `m'rn;mum- a 100 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished "requfres MPC tIc. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if tlwelling is under construction 3.00 X = $ Underground sprinkler dexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dweiling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Suroharge 50 --> ---> ----> $ .50 TOtal --> --? ---? ---> 130.a 0 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. •--------•--------------------- ------------------------------------------•------•-------------------------------?---?-- I hereby acknowledge that I have read this application, state that the i?ormation is correct, and agree to comply wtth all applicabie City af Eagan ordinances. tt is the applicant's responsibility to notffy the property owner that the City ot Eagan assumes no liability for any damages cauaed by the City during its normal operetlonal and maintenance activities to the facilities constructed under this pertnit within City propertylright-of-wayleasement. SITE ADDRESS: soLoMON, RusSOM OWNER NAME: :? 4625 BEACON HILLL1RWVE?'.c' I TELEPHONE #: EAGAN, MN 55122 (AREA CODE) (65'I ) 994-9804 INSTALLER NAM ` TELEPHONE #: (AREA CODE) STREET ADDRESS: -'- ???????__ IzeA VEHT?/APPLIAiJCE CITY: '872i 827-^.0ee STATE: ZIP: MIHNEAPOLIB, MN 6640b L2/?J?°/!//?IAyi-? SIG NATUR?.Qy'PE RM ITTEE 5??5 g RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PIlOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction Reauiramente • 7 registered site surveys sfwwing sq. ft. of lot, sq. ft. of house; and all roofed areas (20%maximum lol cove2ge allowed) • 2 copies of Olan showing beam 8 window s¢es; poured found desgn, atc.) • 1 set of Energy Calculafians • J copies of Tree Presenation Plan if lot platted after 7l1193 • Rim Joist Detad 001ions selec6on sheet (Ndgs with 3 or less unJs) DATE P' ZL U2, SITE ADC TYPE OF APPLICANT Cedar Valley Exteriors, I?1C. tULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS Cnnn Rgp[dg M(?rann??CITY STATE_ZIP TELEPHONE CELL PHONE # FAX # -M-3?'755,-S39 6 PROPERTYOWNER Q-IIXll1'Yn I 0(Y=:bVVI,CYI TELEPHONEA04" `'1 4L3oO ----------------------------------------------------------...---------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 Ri;[.f:S 7670 C:\'CECORI' 1 MIVVB50'1'A lttiLLS 7672 (J submission type) . Residenfial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted ? Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mcctianical svstem includcs: Sewer/Water Contractor: ?<<e # ?J ?,&P R.I. Baths Phone # Phone It Fee: $90.00 Fee: 570.00 ------------------------------------------------------------------------------------------°-°------°------------------- I hereby acknowiedge ihat I have read this application, state ihat t information? rTct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r in nces. Signature of Appltcant OFFICE USE OtiLY _ Water Softener Water Heater \ o. oF Baths -- lir Conditioning Hca[ Recoven System I Z'5.Z5 RemodellRewir Requirements • 2 copies o( plan . t set of Energy Calculations for heated addifions • 1 site survey (or extenor additions 8 decks • Indirate it home served by septic system for additions VALUATION 6-7t03 . 1"?) Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updatea 4102 9- to, co 2008 RESIDENTIAL BUILDING PERMIT Date: Site Address: 4f 6.5: 1 l( ALv? ` }{' Tenant: aqJ&5_ ?----------------- ; ? j Permit N: j ? Permit Fee: j Date Received:?- ^? r ? I ? I I Staff: -________________? 'LICATION Suite #: RESIDENT/OWNER Name: ({/ 1 Phone:y?jZ?2?? Address / City / Zip; Applicant is: _ Owner ' Contractor TYPE OF WORK Description of work: -- Construction Cost: Multi-Family Building: (Yes _/ No CONTpACTOR Name: ,(` Q(1 d License#: .i???9?C?l i ? Address: ?, City: State: miv Zip: Sr'JOM Phone: GJl' -13I-L4 - ? Contact Person: KQcer) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code • Residential Ven[ilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City oi 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 Contrector: Phone: Sewer & Water Contractor: Phone: NOTE:,P/ans and supporting?docuFnerrts fhatzyou su6mTt are constdet?d ?o b? pLbfic rr?/ar?af?oi? i?orlrons at'. , the information may be classHfed as ?ron publ/c r1 you piobfde'speciffc reasoYis fhat woultl perm?t tlre ? to ; ? ?.wt?oncfudeil?8t;t?te aie trade'secrefs.. ' ,. ? , ,:; ? ?> I hereby acknowledge that this information is complete and accurate; ihat Ihe work will be in confortnance wilh ihe ordinances and codes of the City ot Eagan; ihat I undersland ihis is not a permil, but only an application tor a permit, and work is not ro start without a permit that the work will be in accordance with Ihe appmvedq?in in the case ot work which requires a review and approval of plans. x [l l01w Nue'E'" X_ ?UM, k Applicant's Printe7 Name J ApplicanYS Signalure 3 Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA176010 Date Issued:04/27/2022 Permit Category:ePermit Site Address: 4625 Beacon Hill Rd Lot:10 Block: 1 Addition: Beacon Hill PID:10-13500-01-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Russom Solomon 4625 Beacon Hill Rd Saint Paul MN 55122--270 Pcs Residential 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature