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4795 Beacon Hill Rd Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use Permit City of EaEd I I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I I Staff: Fax: (651) 675-5694 L -----------------I INFLOW & NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: d Site Address: Tenant: Suite Name: u~' r r rK C_ Fj5-f Phone: CCU! °`Z RESIDENT / OWNER Address / City / Zip: q 9 e" }-CP, ! 3 G-~ Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: i "1,8) Description of work:-/ 0,5 ~f} L. f P "o t~ 2V xt.e DESCRIPTION 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.cityofeagan.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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x (6 M, t L x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083832 Eagan, MN 55122 . Date Issued: 06/26/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4795 Beacon Hill Rd Lot: 1 Block: 9 Addition: Beacon Hill PID 10-13500-010-09 Use Description: Sub Type: e-Reroof & Siding Construction Type: Work Type: Reroof & Siding Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Tony Poetz Fee Summary: BL - Base Fee $6K $132.75 0801.4085 Surcharge - Based on Valuation $6K $3.00 9001.2195 Valuation: 6,000.00 Total: $135.75 Contractor: -Applicant - Owner: New Exteriors by SMA Inc Wm C Feigal 10701 93rd Avenue Nortb, Suite E 4795 Beacon Hill Rd Maple Grove MN 55369 Eagan MN 55122 (763) 315-8900 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 This request void 18 months from v c Q~~~ t t(( ~ j ` c 1 sc~ t 0CD quest Date Fire No. Rough-in Inspection 5W ill r'~"3-19-1982 d? []Ready Now ~4 "ill Notify Inspec XNYes ❑No for When Ready Licensed Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route No. City 4795 Beacon Hill. Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Joe Miller Power. SupPl ier Address Dakota Cty. Ftarmington Electrical Contractor (Company Name) Contractors License No. O.B. Thompson Electric Co. ,A40602 Mailing Address (Contractor or Owner Making Installation) 12201 M tonka Blvd,. Mtka 43 Authorized Si ate (Contractor/Awner ng In it on) PhNumby r 9 -251.1 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 (612) 297-2111 ENCLOSED. ,r• 0001 03 rq■ REQUEST FOR ELECTRICAL INSPECTION EB-0 v~ 5 14 See instructions for completing this form on back of yellow copy. i y 7 "X•" Below Work Covered by This Request _ 13.) ~ New Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range 5-00 Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. g Furnace 2.50 Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tani, Farm Other Sped v Other' (Specify! Other Specify # # Other' Compute Inspection Fee Below # Fee Service Entrance Size # Fee F.eeders/Subfeeders #t Fee Circuits - CG 10. 0 to 100 Amps 0 to 30 Amps 2 0, 00 0 to 30 Amos 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100--Amps Above 100_._._Am s Transformers Remote Control Circ. -50 Partial "Oth Signs Special inspection g Q TOTAL ~ Remarks Ron Caples Rough-in Date 7 1, the Electrical On- nspector. hereby certify that the above Final Date, spection has been This request void 18 months from - CITY OF EAGAN N~ 7117 3795 Pilot Knob Road Eagan, MN 55122 PHONEs 454-8100 ) n BUILDING PERMIT Receipt # To be used for SF DW-/GAR Est. Value $53,004 Date ~brch 4 lq 13 Site Address 4795 Beacon All Road Erect [ Occupancy R-3 Lot 1 Block 9 Sec/Sub. Beacon 141 Alter ❑ Zoning R-1 Parcel # 10 13500 010 09 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V 19 W Name Joseph M. Miller Const. , Inc. Move C] # Stories z Address 14115 Guthrie Ave., Demolish ❑ Length 50 Ci Va Phone J! 5[+_t}]j3 Erode ❑ Depth __38 Sq. Ft. at Name Owner Approvals Fees zp Assessment Permit 29 ou Address U~ Z~ 50 Water & Sew. Surcharge City Phone Police Plan check 146-00 wW Name Fire SAC 525.00 u3 Address Eng. Water Conn33~_ <W city Phone Planner Water Meter 6~ _ Council Rood Unit 85 _ ffl~ I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City bf Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with ols appli le State of Min a Statutes and C' of Eagan Ordinances. Building Official - CITY OF EAGAN J 9795 Pilot Knob Rood Eagan, MN 55122 s PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter Q Zoning Parcel # Repair ❑ Fire Zone Enlarge Q Type of Const. W Name Move Q # Stories Address Demolish ❑ Length city Phone Grade ❑ Depth Sq. Ft. a Name Approvals Fees 0 u' Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check °C Name F z Fire SAC Y X, Address Eng. Water Conn. <W Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee 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 Permit No. Permit Holder Misc. Permit. No. Holder Plumbing 1-7 q(p r 3- H.V.A.C. << rlcal~li r Well Disp. Sewer Electric (A O ( ( L D'• (3, h,, t, ~L 3`Zt~ Inspection Date Insp. Other Footings Foundation Framing ~j.d.~t ~r( Zi Rough Plbg. (2 AJA Rough HVAC Insulation Final Pibg. • f• Z Final HVAC .ag. Final Water Describe Location: Well Sewer Pr. Disp. t M» ,Vo- ' lit ' (Urfifiratt of (~rr~ ~t~tr Cit of (Eagan Prpartmrnt of uilbing Insprdim 6,f This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildin g g Code certifying that at the time of issuance this structure was in compliance with the various . ` ordinances of the City regulating building construction or use. For the following: 3,1 .SF DVr,/GAR 7117 U" ch"i&Ati.0 r(I Ooaupanty Type 1V Type Cosstrwd n y Fite Zwte ltlt i Zouin6 Disaict D ' Own«of Joseph M. Miller „ 14115 Guthrie Ave., Apple Am. 4795 Beacon 'Pill Rd to u Lot 1„ B o k 9 a Beacon Bill ~ BY: E B>o Date: April 29, 1982 • T Iw A eoWwlcu & • ce ®~oES <eLIThO1N U.S.A. CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot l Blk 9 Parcel 10 13500 010 09 Owner Street 4795 Beacon Hill Road State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt - Date STREET SURF. 1982 1848.67 205.41 9 164-1.27 Aniia68 5-10-82 STREET RESTOR. GRADING 1982 537,84 59.76 9 478.o8 SAN SEW TRUNK 1976 135.97 9.06 15 72.55 .3, C * SEWER LATERAL 6'$ 1982 3182.83 353.65 9 2829.19 WATERMAIN * WATER LATERAL 1982 9 WATER AREA 1982 202.00 22.44 9 179,56 * Stubs 1982 9 STORM SEW TRK ~>qZ~ 1982 367.7-7- 0.86 9 '126.91 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 #29082 3-4-82 WATER CONN. 335.00 BUILDING PER. SAC 525.00 PARK CI Z' Include 2 seta Of Plana, n a~ Ct'1a & a lev ti t i l 1 site P~n w/e ( of BUILDING PERMIT APPLICATION T set of energy c Al cul.aticmZb Be Used For N ~ f Valuation Date _jL j j, / R-~ OF'FIC U-SE MY Site AddreSS: 4795 Beacon Hill. Road 3 Lot 1 Block 9 Sec. /SUb. ~t-a c nn Hi 1 1 Erect occupancy Alter 7AMM Parcel # J c1C:> to c ~ Repair FirO Zone Enlarge' TYPO Of OOMt. r QdP1$r: josenh m- Mi 11 er Cn,n~; t ,~Tn''.- - ommINK +Y . 13r„„-u t h r i a A yp_. - - Grade .r.+ Depth . City/Zip Code: Anrnle Valley 55194 APP IS Phone 454-4753- Pertni Assessments Qontractor. Sam,Surchuge Water/Sew*x ~ Address : Police Plan Check s,~c City/Zip Code: Fire Water Conn. 13 .3 Phone banner Water Meter Council Road Unit 7 F~ ' Arch./Eng.: Bldg. Of . Address: ARC - City/Zip Code: ~ ~ (U ( S C Tom Phone C r"71 7 PW U~ . 5.ryt DEVELOPER'S CERTIFICATION Lot: Block: Subdivision: HILL. This is to certify that L C04 has complied with the,Seller's requirements necessary to obtain Seller's approval for a building permit. This Approval is by Selzer only. Builder must comply with all city requirements and must secure his own building permit. Anproved.by. Seller., Sienna Corporation: By uth on gent Date Accepted by Buyer: By Da to 4940 Viking {,give Pentagon ©ff re Park Minneapolis MN 55435 /w111l 92C '3{2110 , Ceptificate for: ` S~ -7~ ~ Centex Homes Midwest Ine 8601 Iarnell Road Eden Prairie, Mn. 55344 Joe Miller Const. gq37'4 LMAR H. SCH WAN Z 14115 Guthrie Ave. Apple Valley, Mn. O SURVEYOR u 55124 Re9ist•i.C U a•. uw: or ins.:oU qDp' p - t 2®78- 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66068 1789 _ _ ~k SURVEYOR'S CERTIFICATE Cove NG►T 3o q'~'° ~ C~ N ~ A N E ` 0 ~ 49, 85 5870 44 ~ 13" ~ gfi~ + ,A 6410 to uirr 943.E 0 13 7,7 h M ''"`79.2 940. -1 I0, y .j 3 N 3~ 77 .9 I N ~ C1C Ae'~y I ; ~ N Z ° 936 ks/ / 0 cl / , ! U~ ~0 L 30 0 qR tr s2 120.7? S 85 ° Sg' 35 E 9399 Q InCi1= rooZ.a. 4rp S~a'e 1 9 39.6 I hereby certify that this is a true and correct representation of Lot 10 Block 9, BEACON HILLS, according to the recorded plat thereof, Dakota County, Minnesota. f Denotes proposed elevation February 2, 1981 CJ Denotes set iron PiPO ?#7.o Denotes existing elevation 9~o•S 9~•8- • Garage Floor Elev. Top of Block Elev. • 939, G Benchmark : Top hydrant at Lot 510 Basement Floor Elev. Blk. 6. Elev. - 939.18 ft. Revised February 129 1982 to show proposed house as staked thereon. MINNESOTA REGISTRATION NO.8625 Ake 1 Ci`l'Y t EAGAN WATER MV'ICE PEMT 3795'Aict Knob Road PERMIT NO.: 4155 >ffoodii, MN 55122 DATE: ` Zoning: PD No. of Units: Owner: Joseph Miller Construction Address: _ Site Address: 4795 Beacon Hill Rd L B Beacon Plumber: Kirtp s (Nielson lb~; Meter No.: Connection Charge- 33Size: Size: Account Deposit: 66 Pd ' Reader No.: Permit Fee:' . i 50 pd f l agree to oomply with the City of Lagan Surcharge: • bu.juu (I motet` E Ordiaances. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: Ct7Y O EA"N ' SEWER SERVICE PERMIT 37" 'PRot Knob Rood PERMIT NO.: 5088 F"am, MN $5122 DATE: 4/207$2 Zoning: PD No. of Units: Owner Josegh Miller Construction Address: ,Site Address: 4795 Beacon Frill red Li B9 Kearns Kill Plumber: - Pia~tty_$ K1cca {Nielson p1g) 3I4J82 29082 1001, 00 Pd [agree to annoy the City of Began Connection Charge: A25.00 vd 4 oa Account Deposit: - Permit Fee: I~i_tlQ? Surcharge: L 6d SY Misc. Charges: Date of lnsp,: Total: tnsp.: Date Paid: Receipt c:~ - PLUMBING PERMIT Permit No CITY OF EAGAN Fee . Fill in numbered _ spaces S/C i Type or Print legibly Tot. _ 1. Date 2. Installation Cost ! 3. Job Address j`~Fr • tLot Blk. -1 Tract 4. Owner j J 1 r~ f= 5. Contractor Phone 6. Address 11 / l1-' Fr ; r 7. City State/,. Zip. ` 8. Building Type: Residential l commercial ❑ Institutional ❑ 9. Work Description: New f Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank -t Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray I 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 numbered and approved. Approved i t z CITY OF EAGAN 454-8100 At C. PA Receipt IVIECHANICA-IMMIT Permit No CITY OF EAGAN Fee _ Fill in numbered spaces sic ' Type or Print legibly Tot. ~ - 1. Date 2. Installation Cost 3. Job Address Blk. Tract 4. Owner 5. Contractor' Phone 6. Address' { 7. City State _ Zip 8. Building Type: Residential 171, Commercial ❑ Institutional ❑ r 9. Work Description: New Add ❑ Alter ❑ Repair ❑ ~ e 10. Describe Fuel Type " 11. No. Equipment BTU - M. Ea. No. Equipment CFM f Forced Air Air Handling: Mfg, t Boilers Mech. Exhaust i Mfg. Unit Heater r Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ` - CITY OF EAGAN 464-8100 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126522 Date Issued:08/28/2014 Permit Category:ePermit Site Address: 4795 Beacon Hill Rd Lot:1 Block: 9 Addition: Beacon Hill PID:10-13500-09-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Wm C Feigal 4795 Beacon Hill Rd Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature