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4690 Beacon Hill Rd ciT OF EAGAN WATER SERVICE PERMIT S93 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, IVIN 55121 DATE: ~y Zoning: 1 No. of Units: 1 Owner: Feature B1drS Address: Site Addross: ANN 46.90 Beacon liill Road I.16 B3 Beacon Hill Plumber: Lakeville F1bj, & •tp. Meter No.: Connection Charge: 450.00 pd Size: Account Deposit: Reader No.: Permit Fee: 0' 0 pd .50 d I opree to me oply wuh 60 City of EMPE Surcharge: ~ ordimnom Misc. Charges: 63.10 pd met 4r Total: By Date Paid: Dote of Insp.: Insp.: CIT" OF EAGAN SEWER SERVICE PERMIT 3830i1ot Knob Road , P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - Zoning: R 1 No. of Units: 1 Owrvr. Fgature Rldre Address: Site Address: 4690 Ileacon Hill Rand _1fi 1i 1I9Y1[i11* B~arn~ Hi 1 j Plumber: 1-ak.eville nib? i= Htg I epw to emaoyr wkly the City of Eaton Connection Charge: 425.00 p ordineneec Account Deposit: Permit Fee: 10.00 p e Surcharge: 50 Pd BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: pis-ter" CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 f PHONE: 454-8100 , BUILDING PERMIT Receipt # To be wed for r Est. Value Date t 1 IL _ 19 Site Address - - Erect [ Occupancy Lot - Block Sec/Sub. r r ^ r T ; Alter ❑ Zoning n Parcel Repair ❑ Fire Zone Enlarge ❑ Type of Const. at Name _ Move ❑ # Stories Address i ~r r i t t Demolish p Length b •I,r,~ 1 r -r Ci t ` 4 1 ! i Phone `i _ Grade ❑ Depth 1~ Sq. Ft. Name Approvals Fees OOU Address Assessment Permit 4 U§ Water & Sew. Surcharge uv o r` r r Phone N Police Plan check W gui Name Fire SAC 1~ GO Address Eng. Water Conn. 1l y 11 i W Ci Phone Planner Water Meter J-e J Council Road Unit =71~ 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable rr~~ C State of Minnesota Statutes and City of Eagan Ordinances. APC Total 1 = 717 ~U Signature of Permittee T I " A Building Permit is issued to: + - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r` Permit No. Permit Holder Misc. Permit No. Holder Plumbing J V ✓ - /)e H.V.A.C. LIS S aAMAPS Well Water Disp. Sewer Electric oZ70~2. LlR G I.£ /s 4e q ult L&ck 13VA,61ky1f1Fqssw Other Footings `Z Inspection Date 1,6;r Foundation Framing ough Plbg. fi_T Ro ugh HVInsulation Final Plbg. Final HVAC ) Final f Water Describe Location: Well Sewer Pr. Disp. %i CITY OF EAGAN 16044 3830 P0 Knob Road, P.O. Box 21-118, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ~l I To be used for DRIX Est. Value $1,0W Date JULY 25 tg 84 Site Address 4690 EBACM HILL RD OFFICE USE ONLY Lot 1 Block 3 Sec/Sub. BRACT HILL Parcel No. Occupancy FEES Uj Name ST1rV16N A 1d11NILTON Zoning (Actual) Const Bldg. Permit 26• w WACOH HILL RD o Address (Allowable) Surcharge .50 City EAGAl1 Phone 454-6098 # of Stories Name Length 169 Plan Review SAM Depth 12M SAC, City 0 0019 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - F On Site Sewage Water Conn L UM Name On Site Well Water Meter Xza Address MWCC System x z Acct. Deposit a W City Phone City Water PRV Required SrW Permit I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agre `to comply with all applicable,6ate of Minnesota Statutes and City ofgan Ordinances. _ Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: STEM A RAWLTM Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.50 l applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 28.00 Building Official r Permit No. Permit Holder Date Telephone # k WATER 1 SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. G S Deck Final Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address `~f~~ 4Lot Blk. Tract 4. Owner F- EAR %~C p/~ 5. Contractor 1-)1eC1V&A1 ~a l / r f. Phone 6. Address ri f1i/is 7. State IA/ -Zip 8. Building Type: Residential E~ Commercial ❑ Institutional ❑ 9. Work Description: New LJ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type r°` c 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 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 Receipt f ' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot- 6131k. Tract 1 %j' 4. Owners 5. Contractor /'t' 1z'. ' - Pd /T Phone -:71~_ 6. Address 7. City h SAP L~ / State Zip 8. Building Type: Residential © Commercial ❑ Institutional ❑ 9. Work Description: New Q3 Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. - Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic 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 and codes governing this type of work. Signed:' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when n mbered and approved. Approved i z ~1 CITY OF EAGAN 464-8100 INSPECTION RJEUOR D CITY OF EAGAN PERMIT TYPE: `3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 1 1! 1 4, 00 11 0 44 SITE ADDRESS: t i = It, i{ ~t+ APPLICANT: rt'j0 PERMIT, SUBTYPE: TYPE OF WORK: , INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. } '1 F L Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH ~T PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 16 Blk 3 Parcel 10 13500 160 03 Owner Street 46 Beacon Hill Road State Eagan, MN 55122 1443 6 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 1806.93 200.77 9 1806.93 0007557 10-1-81 STREET RESTOR. GRADING Q 1982 526.46 58.50 9 526.46 0007557 10-1-81 SAN SEW TRUNK 976 ISS-97 9-06 is 90.67 A008956 3/18/80 SEWER LATERAL $ 1982 3116.46 346.27 9 3116.46 0007557 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA 1982 198.01 22.00 9 198.01 0007557 10-1-81 * Stubs 1982 9 STORM SEW TRK (O~-1 1982 359.82 39.98 9 359.82 0007557 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNTT 250.00 41223 1-31-84 WATER CONN. 450.00 to it BUILDING PER. 786 n n SAC 525,00 PARK This request v q- Il ~ U 18 months fro , w A 41L 12 L (o 3 a Lon RequeshOat Fire No. Rough-in Inspection Z3 _ be7" Yes ~ Req red? ❑ ~flcady Now Rl Will Notify InsOec- Nu for When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at. Street LAdd a,,, eox or ,No. / City 5+ ection No. Township Name or No. Rnoga No. County Occ ot(PRINT) Phone No. L.Z~s '3 Power Sup ie Address Eleclri ontmctor (Company Namel Contractor's License No. r9 2 • (V"l/9 3,9- ailing Address (Contractor or Owner Making Installation) ~y~ Aq~ Z J~/~ YrJ 'A 1s -?0_3 Authori a nature ( Contra cct/oprr//O/w~nn1ne-r Making Installation) Phone Nrindheir MINNESOTA TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-oooovoa 3 ASea instructions for computing this form on back of p yellow copy. - A 2 '"X- Below Work Covered by This Request 11) / V Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatui Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Thar Specify Other Other lompute Inspection Fee Below N Fee Service Enira nce Size p Foe FeedersrSubfeede.ra # Foe Circuits 0 to 200 Amps 0 to 30 Amts 0 to 30 Amts Above 200 Ampsl 31 to 100 Amps 31 to 100 A Swi mmin Pool Above 100Amps Above 100 -Amps Transformers Irrigation Booms Portia LOther Fee Signs Special Inspection $ TOT Remarks ~p Rough-in K to the icar ~/Cr * 'a• Inspector, hereby certify that the above pection ha s been }}I..-tl ate s Final n D /lAyvti' C [=2f /•_i~ made. This request void IS months from VV ✓ This request void ^7 y, y4Z 18 months from F- 1 A ' . ? 7 : l to ► 3.~£qt o.J ,tGI Ldie m~P)/ O . D b Request[ Oaid RReoquh i~nzlnsper.tion Ready Now ~1 Will Notify Inspec- ~-~]7 - sq Fire No. Ayes ❑No for When Ready Licensed Electrical Contractor I hereby request inspection of above owner electrical work installed at: Street Address, Box or Route No. City o 4'I l ~8- _ ecuon No. Township Name or No. Range No. County Orcopant (PRINT) Phone No. fi'Q0..~LU~- Power Supplier Address E lec cal CoLor (Company Name) Contractors License No- Mailing A dress (Contractor or Owner Making, \nsta ila tion) I L_ ~ `1 , - V V1 Authorized Signaturontractor~Owner Making Installation) Ph ne umber li -AA I u Q A C7 7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. ...i.~/ REQUEST FOR ELECTRICAL INSPECTION ER-00001-04 V ] ' See instructions for completing this form on back of yellow copy. / -11-1 ,r(, "X" Below Work Covered by This Request y ~ y~Z i f . I Naa4Addj Rep. Type of Building Appliances Wired Equipment Wired Home Yy Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Spewty Other (Specify) t ,r Specify Other Other Compute Inspection Fee Below - p Fee Service Entrance Size k Fee Feeders rSubfeeders N Fee Circuits I 0 to 200 Amps 0 to 30 qm s 0 to 30 Am s Above 200 qm is 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100 _Amps Above 100 _Amps Transtormers Irrigation Booms s- Partial/Other Fee Signs Special Inspection Remarks s r TOT FEE 8e Rough-in Dare I- th rcaI Inspector, hereby certify that the above Final Date 1 gpection has been F te ~ da. This request void 18 months from CITY OF EAGAN NO 16844 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Raceipt# e- 3111 To be used for DECK Est. Value $1,000 Date JULY 25 t9A-9- Site Address 4690 BEACON HILL RD Lot 16 Block 3 Sec/Sub. BEACON HILL OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name STEVEN A NAMILTON (Actual) Consl Bldg. Permit 26.00 o Address 4690 BEACON HILL RD (Allowable) Surcharge .50 City EAGAN Phone 454-6098 a of Stories - Length 16, Plan Review i Name SAME Depth 121 SAC, City uQ Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn W Name On Site Well Water Meter a5 WE City - Address Phone MWCC System Acct. Deposit City Water PRV Required S/W Permit I hereby acknowlege that I haver d this application nd stale jot the Booster Pump SAN Surcharge information is correct and agre o om ly. with a applicab ate of Minnesota Statutes and City of /r din - Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is is ued to: STEVEN A HAMILTON Planner Park Ded. on the expiess condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off. Copies Building Official-Lumig Of l,~.', -/,I Variance TOTAL 28.00 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob nob Road P. O. Bak 21199 PERMIT NO.: 5288 Eagan, MN 55121 DATE: 2-10-8 Zoning: Rl No. of Units: 1 Owner: _ Feature Hldrs Address: t51te Address: Y16Y 4500 Bea O Hi 17 Road 1.16 R% Beacon Hill fMumber: Lakeville Plbg & Htg N Meter No.: 3 D `d' . Connection Charge: _ 450.00 pd Size: Account Deposit: Rea No.: L~ ,3I .3 Sly ~Z Permit Fee: 10.00 pd 1 agroa to comPh, wiM she City of Eagan Surcharge: - .50 pd Ordinane& Misc. Charges: 63.00 pd mp eI Total: By Dote Paid: Dote of Insp.: Insp.: CITY OF EAGAN Np S 786 9745 P" Knob Read Eagon, MN 55112 PHONE: 454-8100 y,Wy BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $66,000 Date JANUARY 31 19 84 Site Address 4f QO BEACON _N I I I RIL Erect CX Occupancy Lot 1_ Black _3 Sec/Sub tBF Ar..nN A i 1 I Alter ❑ Zoning Parcel # ~0-~~Ci00-lEj0=1J~ -J Repair ❑ Fire Zone N - Enlarge Type of Const. w Name FUTURE DU I -nCRS _.y Move ❑ # Stories Address 15513 EOGARTO IN Demolish ❑ Length 64 -31 b city Phone - Grade ❑ Depth Sq. Ft. p Name Approvals Fees up Address Assessment Permit 8 t' Cif Phone Water & Sew. Surcharge U Police Plan check rw Name SAME Fire SAC Address Eng. Water Conn. 0 <W Ci Phone Plonner Water Meter C~n~ n~0 Council Rood Unit rr~~ -1 50 , 0 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable d lti 50 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee R1 I 1 p A Building Permit is issued to: FEATURE R1 DRS on the express condition that all work shall be done in accordaall, all opplicobie t to of Minnesota Statutes and City of Eagan Ordinances. Building Official s i I For Offce;lJse I City of Eap I Permit # 1 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: 5S Phone: (651) 675-5675 i staff: ` C Fax: (651) 675-5694 1 I 20~y08 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ©d Site Address: l~ ~Qa 14 9 D Tenant: / l Suite RESIDENT / OWNER Name: I- VtA-+ V ~1 g)>) n 1^~ Phho e: Address /City/Zip: ~i Applicant is: Owner Contractor TYPE OF WORK Description of work: Q 'fz'Oo Construction ,q Multi-Family Building: (Yes No 7 Cost: CONTRACTOR Name: License Vy j City: ~1- N State: f~ Zip: 2E_ Phone: / I - J 2-2--j S 1 ~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation 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 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 documents that you submit are. considered to be public infoimation.r.Portions of the information may be classified as non-public,if you provide specific reasons that would permit the City to ' co de that the are trade secrets. hereby a now dge that this inform n is o ete d accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; t t I derstand this is no per it ut onl an application for a permit, and work is not to start without a permit; that the work will be in accordan a ith the appr Is in th a of w which requires a review and approval of plans. x x (~~(1'7~~~ w~ A plicant' rated Name Applicant's Signature Page 1 of 3 PERMIT CITY OF EAGAN BUILDING 3830 PiloLKnob Road PERMIT TYPE: 033460 Eagah, Minnesota 55122-1897 Permit Number: 09/25/98 (612) 681-4675 Date Issued: SITE ADDRESS: 4690 BEACON HILL RD LOT: 16 BLOCK: 3 BEACON HILL P.I.N.: 10-13500-160-03 DESCRIPTION: R E R OO F BuA dtn<j,Permit Type STORM DAMAGE B,P.llding Wark Type REPAIR G'',ensus Code' - 434 ALT. RESIDENTIAL J a% i i REMARKS: FEE SUMMARY: Applicant PA-P~M;N STEVEN ~~'R~T~p~ 18950040 20139140 11583 RUPP RD 4690 BEACON HILL RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)454-6098 I hereby acknowledge that I have read th,,s_appla.oation and state that the information is correct and agree to comply with all applicable State of Mn.. Statutes and City of Eagan Ordinances. I"CY"-^-JC tom-ICJ.-!!l ~ ~ l APPLICANTIPERMITEE SIGNATURE ISSbF.Z BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN r 3830 PILOT KNOB RD - 55122 ( ~~y f n- U _f 681-4675 New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan l # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) # t energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711/93 required: Yes _ No DATE: `7 - Z I p n CONSTRUCTION COST; DESCRIPT -N OF WORK: (~~M~ AQCY~I ET ADDRESS: 4 (F1'I D CJ~C'Q I~ ~~A LOT: BLOCK: 1) SUBO./P.I.D. &-Q C^v- I Name: 4a-m I rC) n ~~~l~ n Phone In PROPERTY fast First ( _I OWNER 14 Cpq© E~taCl~n 171u Street Address: City QQ I) State: M /V Zip: Company: A Z t? 2nn~ Phone Ok ()q15 - W `-in CONTRACTOR Street Address: License 4 City BUP? /l/ VI I h State: 1A) Zip: - / ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chan+, and lot change is 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 applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: All OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 1 4=$3 B'.: IG PERMIT APPLICATION ~ OF JN lie 4 SINGLE FAMILY DWELLINGS MDLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE S"R7EYS REGISTERED SITE SURVEYS i STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CkLCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS / OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - l TRACTOR/HOMEOWNER MUST M'?IGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE t ')WED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE :.XCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS ';WO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Valu*~tion: ~.©©D Date: ul Z~ Site Address 494) (~~ABo,✓ /e~ OFFICE USE ONLY Lot Ito Block Occupancy FEES Zoning Parcel/Sub ~F sgn:__~tLL- Actual Const Bldg. Permit n?G.o0 Allowable Surcharge sv Owner /Vi}-tee is 7-01 1 of stories Plan Review Length SAC, City Address K6- D Ar,4cej ,45z,,41 Depth !z' SACt MWCC S.F. Total Water Conn City/Zip Code FLAGfln/ /J Footprint S.F. Water Meter Acet. Deposit Phone 51(~`{ - U TIP On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment P1. City water Road Unit Address PRV required Park Ded. _ Booster Pump Copies City/Zip Code _ SUBTOTAL APPROVALS Penalty Phone Planner TOTAL aS,oo Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code - Phone R CERTIFICATE OF SURVEY N 89°2Go'O0 y~(- (SL.SZ. 938 X93 a 10% 3*S N 1p F-- 3-1. -M 1 q vN / /Q / t/1 LA r. LL o I a W" ,Z- 1 Co > ~v 11 ~ M J Z N ~ ~ c J - 00 go C) v I " »a PO ~y " IA. 94• S A 3a__. v zs ~ .i ~ 94.1 t< A, ` " la, q ~ ~7 0 0 1> 1 v~ Elevations sh~,wn are existing grades and are assumed datum. to Q.` Cif OIL a A I hereby certify that this is a correct representation of a survev of: Lot 16, Block 3, BEACON HILL, Dakota Cnuaty, Minnesota, according to the plat thereof on rile and ui record. and chat I am a duly registered land survoty.ir under the lws of the State~of Minnesota. Dated this 27th day of January, 1984 gene I,. Jacobs, 0, Minn. Reg. No. 7734. OR BY GLJ SCALE - 1" = 40' C DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM. Prepared for: JACOBSON SURVEYORS Feature Builders 15513 L.-garto Lane LAKEVILLE. MINN. 55044 Hurn:ville, Mn. 35331 PHONE 469 - 4 328 b -V- Y 7?6 ' CITY OF EAGAN Include 2 sets of plans, 1 Certificate of Survey BUILDING PEPMIT APPLICATION 1 set of /energy calculations. ~(rG,aov Date 2-7/g q- Tb 0,x,.4. Valuation Be Used For ~u- -T-C---- site Address `/6 '7 0 ✓~'?pn~ 4c-d OFFICE USE ONLY Lot _ Block 3 sec./sub- Rso--ee--n L,,h~ Erect Occupancy ~ Parcel 1 I) _ S G 0 n -(j3 Alter zoning Repair Fire Zone NA, ES~large Owner: _ Type of Const t h ' ~cQ° L Move # Stories ft. Address: Derolish _ Front `7 ft. City/Zip Code: Grade Depth 30 Phone APPROVALS FEES Permit 33 / Assessments Contractor: cater/Sewer surcharge 33 Address: % 5-5_ / 7 Police _ Plan Check / (0IT -11!- 55 s37 Fire SAC says- City/Zip Coder ~Oo a" 1 Water Conn. d E~ • Water Meter (01__~ Phone Planner Council Road Unit g-,~'0 Arch./Eng.: Bldg. Off. Address: AFC City/Zip Code: - TOTAL 2') 7 S O Phone CERTIFICATE OF SURVEY N 89°Zr,.'o8 IS(..SZ 93.8 ul s ~ 6 93.5 N ,MN 1o Js_ n / m O qy. z8 9a LOT Z I ' N O N N Q J I ; ` g 0 ` 5L_0cK/~~ Q- B 3 a ao zz C 94.1 0 94 S a 41 N 5 I s j J 1 Z Q iJ / ~O Elevations shown are existing grades and are assumed datum. 4 1 V, OJT I hereby certify that this is a correct representation of a survey of: Lot 16, Block 3, BEACON HILL, Dakota County, Nli.nnesota, according to the plat thereof on file and of record. and that I am a duly registered land surveyor under the laws of the State of Minnesota. Dated this 27th day of January, 1954 Gene L. Jacobsc , Minn. Reg. No. 7734 DR. BY GL-L) SCALE - I" = 40' O DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM. Prepared for: i JACOBSON SURVEYORS Feature Builders 15513 Logarto Lane LAKEVILLE, MINN. 55044 Burnsville, Mn. 55337 PHONE 469 -4328 EXTERIOR ENVELOPE AVERAGE •U' COMPUTATION OWNER SITE ADDRESS '-/-4 9e- CONTRACTOR . F~~. 2IJ2 DATE i n 94f PHONE 5` 5-~ t ~ Determine working square footage of each. 1. Total exposed wall area ......1 _11'Z-3 7 sq. ft. X .1) ■ 2. Total roof/c.eiliml arc,± f LS".3b sq. ft. a .05 • Total exposed vall area above floor • ~22_ a. Total wail window area C2O.G6 b. Total door area z z Ae c. Total sliding glass door area d o-oz d. Total fireplace wall area.,.... e. Total wall framing area (average 10x)...,........ f. Total net wall area above floor .t3 52.02 g. Total rim joist area 9'9_T O Total c,-:posed foundation aiaa • 9 S-4 7 , h. Total foandatio. window area 2.G 2 i. Toal net foundation area above gre,e 2 Determine "U° value of each ~%x11 segment. a._ 0: X •u• C. --d O•oz X •U• - ZZcv d. x •u• • e. (90X' °u• •rt • u~9 f, N M.1) x •U. -07 4 44d g. 99.Zo X •U• -06 S 91' Z` x •u• 5f I.d 4 I. 9, X "u• • 47 • 3. '7 7:97 .............Total • t~ If item /3 is the sam2.as. or less than item i1s you have Mt thf tnt40t of SBC 6006(c)t. . Total exposed roof/ceiling area ■ i -Z .5%.5 j. Total skyliqht area. - k. Totall roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area.........., rt z5, A P Determine "U" value for each roof/ceiling segment. X nV" ■ k. X "U" ■ 1. {f LS'•~a _ X 'IU" SSG 27 4 I/.~S ............Total ' If total of 14 is the same as, or less than 02, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 13 and 44 shall not be greater than the sum of items #1 and 02. 3. 257-1 • 4. SG-z7 ■ 5q qy 1804 Melody Len 8963063 9umwille, minnows, WEP/A CO. PLAN SERVICE ED ANDERSON ARCNIT■CTU1 L De■IONINO ANO PL NWO Offiw~ 1-128.rJ1wAesd Office: 9umwille, Minnote 8964636 Use BLUE or BLACK Ink f I ~ I I For Office Use # Permit j City of EaRd~ 9c, ob I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: &!Z LQ Site Address: LIL 6 ge cr GG Tenant: 4-1 ,n K 4- T I `nom S _ ej Suite M RESIDENT / OWNER Name: `1 n n L,_ 'C .mot„ 5 V0CW S 6 Phone: X51 1 06(o Address / City/ Zip: ,y e7 o ~ecc co r\ Applicant is:Owner Contractor TYPE OF WORK Description of work: = i cd t Construction Cost: oZ) Multi-Family Building: (Yes / No CONTRACTOR Name: License#: 20(C Z S j Address: 4 (3 0 R C City: 1 t Se" " State: M n. Zip: S56 6 g Phone: (t5 ( - ) 'q I Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, 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 documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be i o ormance with t ord' nces nd codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and ork i not to start ' hou per that the work will be in accordance with the approved plan in the case of work which requires a review and appro I of ans. n a i x rAY V 6t ~DGVSG~Jy, X Applicant Printed Name Ap licant ignature Page 1 of 3 Use BLUE or BLACK Ink For Office Use, I I " I Permit 41 City Eao ~ Permit Fee: ` 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I I I Staff: Fax: (651) 675-5694 L---------------- 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: fo Tenant: Suite RESIDENT / OWNER Name: .►Sa-'"~ Phone: Address / City / Zip: CONTRACTOR Name: g c' ti License Address: t o o -t-~.~ct--•-City: State: Y- A P-J Zip: Phone: a G 3 ~ 3 Co 2 - Contact7~.---:,\ Email: C-- C-o-- c-r-S TYPE OF WORK _ New Replacement _ Repair - Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESID~AITIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures 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) St b 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.on I hereby acknowledge that this information is complete and accurate; that the work will 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 w is not to start without a permit; that the work will be in or with the approved Ian in the case of work which requires a review and approval of p s. x . L \ r.,--^•J w~a-C~ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test Gas Test Final Use BLUE or BLACK Ink ^ ` ------------------4- I For' Office Use ~i , City of Eajan I Permit 1 Permit Fee: !7 ` CJ 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 L________________~ INFLOW 4 INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite Name: Phone: RESIDENT / OWNER Address City / Zip: S Name: l~e..~ r.+~-~ ~y `v- ~•._s License G CONTRACTOR Address: I (D aA -Ct3e 6. City: G a~-► State: `-f t.-) Zip: S %J` a-3 Phone: \S ( a6 3•--3r. 9- Contact: Email: Ce PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.goi)herstateonecall.ora 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 ap lication 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 wo hich requires a review and approval of plans. xC aJe C` x - Applicant's Printed Name Applicant's Signatw6 FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA123613 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 4690 Beacon Hill Rd Lot:16 Block: 3 Addition: Beacon Hill PID:10-13500-03-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Timothy E Swanson 4690 Beacon Hill Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132658 Date Issued:08/27/2015 Permit Category:ePermit Site Address: 4690 Beacon Hill Rd Lot:16 Block: 3 Addition: Beacon Hill PID:10-13500-03-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Timothy E Swanson 4690 Beacon Hill Rd Eagan MN 55122 (612) 720-4685 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature