4624 Beacon Hill RdCITY OF EAGAN Remarks
Addition BEACnN HIt.i. ADDTTTON l.ot 4 Blk 3
Owner Street 4624 Beacon Hill Road
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1806.93 200.77 9 1806.93 C007395 10-1-81
STREET RESTOR.
GRADING $ 1982 526.46 58.50 9 526.46 C007 3 10-1-81
SAN SEW TRUNK 1976 135.97 9.06 15
* SEWERLATERAL 3 1982 3116.46 346.27 9 3116.46 C007395 10-1-81
WATERMAIN
* WATER LATERAL 1982 9
WATER AREA ' 1982 198.01 22.00 9 198.01 C007395 10-1-81
* Stubs 1982 g
STORMSEW TRK 1982 359.82 39.98 9 359.82 C007395 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4SO.00 37366 7-21-83
BUILDING PER,
SAC 525-00 37366 7-21-83
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3$,30.Pilot Knob Road
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 DATE:
Zonin9: ?-, I No. of Untts:
pw,wr; Joscnh ':iller Coer:t
Addross:
Stro Addross: 4624 BEACOPZ HILL RD L4 B3 Beacan Hill
Plumbsr: ' C u TC "eC`1
Meftr No.: Connection parge; 450.00 pd
Size: ACaouM Deposft:
Raader No.: Pa?mtt Fee: 10.00 pd
1glrN !e eo?plq wkb ilw Cihr ef Eeww Surcharpe: .50 nd
OrdiMaoM. Misc. Charoes; 60.00 p ci me t e r
Torai:
8y Dote Paid:
Dote of Insp.: Insp.:
I CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot-Knob Road 6066
P. O. Box 21199 PERMIT NO.:
I Esgan, MN 55121 pATE:
?Zorong: No. of Units: 1
i pw,wr 3osepn :iiller const
' Addrosx
Site /1dd,
Plumber:
I ayrN to oeyly wiN 60 CRy oi Nqes
OrdiMnees.
By
DcM of Insp.:
Co,nectia, Charge: _ 425.00 pd
Ac.aount Depait: 10.00
Pomnit FN: ?
?,? •??i
Surchwrpe:
Misc. Qwrqm
Totol; _
Dote Pald:
.<
4 i ' •
BUILDING PERMIT
9795 Pitat Keob Rcod Eagan, MN 55122 C? ???'' ?
PHONt: 454-8100
Receipt # -
Site Address 4694 Baacon Hi11..Rr1
lot /A_ BIoCk_.3._, SeC/Sub. RQarnn Hi1 1
Porce! # i n_i 35nn_n40_n3
p Name _
z?
o? Mdress
u
I hereby acknowiedge thot I have read this
the in#ormotion is torrect ond agree to c
Srate of Minnewta Stotutes and City of
Sipnature of Permitteo
A Buitding Permit is issued to:
Erect )p Occuponcy
Alter ? Zaning
?
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length5#
Grode p Depth -1..R-Sq. Ft.
Approvols Fees
Asseument
Water & Sew.
Police
Firc
Enp.
Planner
Council
Btdg.Off. 7-20-83
APC
Permit
Surchcrge 30...O0.
Plan check. 1 §(3 §().
SAC 5'5.00
Wuter Conn. (r5 0 . go_
Woter Meter 60. g(l_
Rood Unit -2 `00
Totol P. 1 q:4 4 - SA-
41-7$N, SO
on the express condltion thm
ond City of Eugon Ordinances.
oll work shall be dor)e~in accordance with all applicabla Sfote of Minnesoto
Buildinq Officiol ? iei
opplication and state tFat
omply with oll applicable
Eaqon C?rdinances.
I Permit No. I Permit Holder I Misa Permit No. I Holder I
Plum6ing
H.V.A.C.
Inspection Date
Foundation
Final
Weter
w.li
sawa.
Pr. Disq
L
Deuribe Location:
Receipt = l PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
L Fill in numbered spaces S/C •? ??
i
Type or Prini legibly ?
Tot " r • ?
1. Date 2. Installation Cost
3. Job Address ^. F%
1 __e-c3nnnn Lot ^ Bik. ri
3 Tract
T i ? 1 K-?? • ?
4. Owner ?+eG;--r:i
l?E#r ?'Gl?:otrLlCtlCr. ?
5. Contractor ?e F?t3 T-re i'E c-j'.aj416- I Phone '€, Q- : sl-2:,
6. Address
7. City "-
LG,?- State .
- - - Zip ? : ;';TV„?
??-
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
l/D
fi
C
i
ld
? Bath tubs ra
esspoo
n
e
Se
tic T
k
Lavatory p
an
r
ft
S
Shower ne
o
Well
Kitchen Sink
Urinal/Bidet
Q"the
?
Laundry Tray
Floor Drains r ,C
-' ?
n r . l! ?l
Drinking Ftn.
----
? Slop Sink
Gas Piping Outlets --
12. I hereby certity that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Rough
Inspections: Date Insp.
for
Final
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
Raoeipt MECHANICALPERMIT PermitNo. -
CITY OF EAGAN '
/ Fee
FrIJ in numbered spacea S/C
Type or Print legib/y
Tot..
,
1. Date 2. Installation Cost
3. Job Address Lot?Blk. Tract F ?
i?
t
4. Owner,
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential E] Commercial O Institutional ?
9. Work Description: New,,O Add ? Alter O Rep2ir ?
,
10. Describe Fuel Type '
11.
No.
' Equioment 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.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
INSP
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
y ;?. 4?} tit e! 69 t i ?
SITE ADDRESS: APPLICANT:
. ,, toN II! 1. 1 Ftl)
410 1I0
PERMIT SUBTYPE:
F
L
TYPE OF WORK:
t+F?;crxrt•I rI IN
kr:rnzR
kF E<noF /,, ? fIRM
,
J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inepectlon Uate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ?I
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrwiTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
' • ?795 Pllat Kae! Rmd Ea9an? MN SSI]2
PHONFi tS1-8100
BUILDING PERMIT Receipt ?
Te M mad for SF DWG/GAR ?,ya?? 60?000 pme ?7 p
jr O 0?./ 1
??1 ? / ?
? f?
49$ ?-a ? ?q 83
Siro Addrcu 4624 Beacon Hill Rd. E?t
ffiX R.?
?ooMv
Lot 4 BI«k 3 ?/S?y. Beacon Hill Alter ? Zonirp R7
Pa?? # 10-13500-040-03 Repcir ? Firc Zone N/+
???? ? Ty??f?? V
Joseph Miller Const
? Nm^e Move ? # $rories
? ??? 18133 Cedar Ave. pe,,,o?;? p Length?/_
?? Farmington ?o? 454-4753 Grude ? Depth?B__Sq. Ft.-
o Ny? Same Apyrevnla Pees
ot Addreu Asussment Pertnit 1.00
?? G P?? Woter 8 Sew. Surchorge 30.00 "
poiice Plan check 156.50
C
?W Name fire $AC 525.00
?? Addrcss Erp. Wnter Conn, 450.00
<W Ci phone Pionrror WnterMeter?sQQ ?
Council Road Unit -?"?D,00
1 hereby ackmwled9e tfwt I have read thfs uppiicotion ond state tFwt Bldp. Off. ?-20-83
the intormution is torrecf ond o9ree to comply with all oppiicable T
l ??-
Sfote of Minxwta Stotutes and City of Eagon Ordimnces. A? oto
?
???54 ?so
$ipnoturc of Permittea
A Building Pertnir i: i to: on the expres7 CondiNon Ihnt
rda wit olt applicoble St f Minnesoto $tatufes ond City of Eoqan Ordfnunces.
oll work sholl be do q
?
?
/;
8uildinp Offidal .?.,i-,,?=5
,?-4
?
This requast void O
18 rifonths trqm
W 078766
Lq I Zi3, 9EacL1n l40 1( 3-799 6
3-7.so
Request Date - Fire No, Rnueh-in i pection
Reqw? InsPec-
?Ready Now ?1'4'?,oiify
,/Q
es ?NO ,
?or When Feady
icansetl ElecVical ConVacior 1 haraby requast inspecNOn of ebove
? Owner electricel work installed ar.
Sireet Address, Boz or +oute No.
-
//'// ?°?
yG?S/ 6 Ciiv
?'
-
e4rC4 .
o en
ection o. Township Name or No. Range o. Cowrt ?q
(?.I
Ocwp' nt (PRINT)
' Phon No,
s.el - f{'7s3
.0?
Power uppl{i?ar
?Pc
` Adtlress ?
17
?Q
"
T?lC
I? 0 7
Q N
iA /
QO
Electrical Cont act r ICompany N el / Contracmr's license No.
CtR
Mailing qtldress ICo vactor or Owner Making Ins Ilationi y
,v?nsui??
Authorize Si nam (Con actor Owner Making Installation) P?e 9Ny umbe= !5 9 7?
MINNESOTq 57ATE BOAFD OF EIEGTRICITV iHIS INSPECTION REQUEST WILL NOT
GriB9s-Midway Bldg. - floom N-791 BE ACCEPTED BV THE STATE BOAflD
1827 University Ava., S[. Peul, MN 56104 UNLESS PROPEP INSPECTION FEE IS
_. ......, --- ..... ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
, See Inatruetions for completing this form on beck oi vetlow copy.
ReQW169'ork Coered by This Request
EB-OOW7-04
jj% 3 ? `t l 0
AAd flep• Type of 9uiltlin0 Applinncns Wired Equipmenl Wired
Home nye Temporary Service
Duplex Water Heater ightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. oPbrnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm Otner oaci v tner lsuacifvl
t er uccMy ther Oiher
Compute /nspection fee Belaw -
M Fee Service EnVanceSize d Fee Fenaers/SUbfaeders t! fae Circuits
Q, 0 to 200 qm s 0 to 30 qm s V 00 to 30 Am>
Above 200 qmps 31 to 100 Amps $r00 31 to 100 Am s
Swimming Pool Above 100_Am s Ahove 100_Amps
Transformers Irrigation Booms a Partial;'Other Fee
Signs Special Inspection S
3
TA
merks
Re 3• L FEE
?
37•v
flouBh-in
inal Da Le
_Zt
;ne
.
q he'eby
het the above
c.1022.
inspection has been
rFic rwnuwxt wid 18 monMa from
Sep._04108 12:10p
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDlNG PERMIT
Date: Site Address:
Tenant:
p.2
?-----------^-----
? For Otfice Usa I
j Permit #: /) J c'S ?5C/ j
? Pertnit Fee:
j Date ReoBived:
I statt: L C_ ?
APPLICATIONCfl«? C?-S-bs-
;
Suite #:
RESIDEN7lOWNER Name: gyie4f Phone:
lvd2'"' , 2-?(??{
Address i r f„ iZ.,• •
`
Applicant is: _NOwner _ Contractor
TYPE OF WORK
'r
Description af work: FCkii'?17j-lic4
Construction Cost: Multi-Family Building: (Yes No '
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: - Contact Person:
COMPI.ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Worksheet
Category suhmined Submined
(J SU6missiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a slmflar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical CoMractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submlt are consldered to be pu611c intormation. Portfons of
the information may be class/fied as non-public !t you prov3de specfflc reasons that woWd permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information i5 complete and aceurate; [hat the work will be in conforman e with the ordinances and codes of the City of
Eagan; that 1 understand ihis is not a permit, but oNy an application for a permit, and work is not t start without a permit; that [he work vnll be in
accordance with the approved plan in lhe case of work which raquires a review antl approv
i
AppliCanYs Printed Neme App n s, ignatur- $/
Page 7 of 3
? u SE P 0 3 2008
; C?
s
Se^04'08 12: l lp
p.5
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OSplex ? 16-plex ? Accessory Building ? POpI
? Single Family ? 06-plex ? Fireplace ? Porch (3season) ? Ext. Alt. - MuRI
? Ot of - Plex ? 07-plex ? Garage ? Porch (48eason) ? Ex[. Att. - SF
? 02-Plex ? 08-plex D Deck ? Porch (screeNgazebolpergola) ? Multl Misc.
? 03-Plex ? 70-plex ? Lower Level ? Starm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interfor
?. AlteraUon ? Fire Repafr ? Windows ? Demolish FoundaUon
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
PESCRIPTION•
Valuation ?? ? Occupancy 22 G? MCES System
Plan Review Code Edition `Z r SAC Units
(251/_ 100 % 4L) Zoning City Water
Census Code Storfes Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FinaUC.O.
Footings (addition) Y FinalMo C.O.
_
Foundation HVAC
Drain Tlle Other:
Roof: _Ice & Water _Final Pool: _Footings AirlGas Tests Final
1- Framing
1 Siding: _Stucco Lath __Stone Lath _Bridc
-4
-
.[ Fireplace: VR.1. ?AirTest ?Final _
Wintlows
? Insulation F _
Retaining Wall
Reviewed By: -1 ? . BWiding Inspector
RES/DENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
lltllity Connectlon Charge
S8W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Sep 04 08 12:11p
4?1 City of EataIl
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax:(651) 675-5694
p.6
---------------
? For Office Use
I Permit#:
I
? Permit Fee:
I ?
? Date Receivetl:
? Staff:
----------------
- 2008 RESIDENTIAL PLUMBING PERMIT APPI.ICA710N
l
Date: •? Site Address: c t ? Y l? - rc h' l?fr [.t ?*:r a^f ,'i'tiN SS? L?
Tenant:
Su[te #:
RESIDENT / OWNER Name: ,!- L-r1-j f ?^+' ?L-r3 ey'?e ?hone: G (Z 4*?5-91
Addre&S / Ciiy / Zip: r 4c:'`1'rs.E'ia? vvt^I SS"( Z
CONTRACTOR Name: License p:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK ._ New _ Replacement _ Repair _ Rebuild ><Modify Space _ Work in R.O.W.
Descri tionofwork: n?tvv P`PrS
PERMIT 7YPE RESIDENTIAL
Water Heater _ Water Softener
_ Lawn Inigafion ?f Add Plumbing FiMures
? RPZ 1_ PVB) (_ Main -X?ower Level)
SepticSystem _WaterTurnaround
New
Abandonment
RESIDENT/At FEES:
$50.50 Minimum Water Meater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigatioft (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
"Water Turnaround (add $736.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 S[ate Surcharge)
$90.50 Fire Repair (replace burned oui appliances, duc[work, etc.} (includes $.50 State Surcharge)
TOTAL FEES $
fh f
I fiereby acknowledge that this information is compie[e and accurate; that the work w01 be m conFormance vnth the ordinances and cades o t e City o
Eagan; Ihat I understand thi5 is not a permit, but only an application for a permi[, and rk-isrlot t Start without a permit; that the work will 6e in
accordance with the approved plan in the case ot work which requires a review and appr I of pla s.
?
x ?- -
ApplicanYs Printed Name ni's Slgna4ure
FOR OFFICE USE Revlewed By: Oate:
Required Inspections: _Under Ground _ROUgh-In _Air Test _Gas Test _Final
(Q ? 130 ' - 1005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?? 19V
New ConsWdion ReauiremenLS RemodeVReoair Reauiremenls OKce Use Onlv
3 regislered site surveys showing sq, ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cenof Survey Recd _Y _ N
(20%maximum loi coverege allowed) 1 setof Energy Calculations for heated additions Tree PresPlan Recd Y N
2 copies af plan showing 6eam 8 vnndow s¢es; poured found design, etc. i site survey foraddNOns 8 decks Tree Pres Required Y N
i set of Eoergy Calculetions Add'Rion - indicete ilon-sAe sepNc system On-site Septic System _ Y_ N
3 copies uf Tree Preservation Plan if lot plaHed afler 7/1/93
Rim Joist Defsil Options seleclion sheet (buildings with 3 or less unils)
Date ' S l/O / OS Cons
truction Cast 6S d
Site Address `
QGk.caN Unit/Ste #
?
Description of Work C
Si
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Av ?H A2( IV /? Telephone tl ( ?' ) +S 2
Contractor S . .A R(1(1FiNG ? ?EMO£E
Address LIr6, I,
4100 EXCEL9dORI-ILVD.
City
State LOUIS
. Ti, PARK, MN &16
#Ooofew Telephone #( 6'1 Z) g 7- 3- b'Q 54 ?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Eneigy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitled
. Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
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_rec}uizesa.reati? and
approval of plans. r?
tZZt (?
AppIicant's Printed ame '
?3 II '' ?:IAY ? 2 2005 ?
ApplicanYs Signa ure
,
49 6344Z
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/ 5. S_j
0Y AXBERG,DOUGLAS
Date , 4624 BEACON HILL ROA D
Site Street Address I EAGAN, MN 55122 Unit #
(851) 452-0916 ?
Property Owner ? ?Telephone # ( )
.
Contractor (612) 827-4033 Telephone # ( )
Address 2505 GARFBELD AVE. SO. city state zip
t
The Applicant is: _ Owner Y-\ Contrector _Other
Alteratlons to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and wat r ter? ?
v?tt on?
_Septic System Abandonment ?
,
1
" 5?N 1 5 2004
_Water Turnaround (add $121.00 if a 5/8
meter is requir U
Other:
_ Water Softener ? Water Heater $ 15.00
? replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repair _rabuild $ 30.00
State Surcharge $ .50
Total $ ? Jr. S?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Je-F?- ?? C) (-bl0VV\_
ApplicanYs Printed Name s Signature
S 5700
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConeWCUon Reaulremenh
• 3 regislered sile surveys showiig sq. ft of lot, sq. ft. o( Muse; and all mofed areaz
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy CalculaUans
• 3 copies of Tree Preservation Pian if lot platted afler 711/93
• Rim Joist Delail OpGOns selecUOn sheel (Cldgs wiN 3 or less uniLS) '
DATE % '
SITE ADDRESS
TYPE OF
APPLICANT
LYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS MNIWAPJJSW' INC-
CITY STATE ZIP
TELEPHONE # pAN_ 55343 FAX #
Ph/.- 92?r9669 Fmt952-9359544
PROPERTY OWNER ?D U.LAZ 0,JYA61.- TELEPHONE #
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RliLES 7679
(J submission type) • Residentlal VentilaUon Category 1 Worksheet Submitted • New Energy Code WoAcsheet Submitted
• Energy Envelope CaIwlaUons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical CoMractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Rccovery System
Phone #
Fee: $90.00
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that }he information is correct, and agree to compiy
with ali applicable State of Minnesota Statutes and City of Eagan OrdinanGes, n
Signature of Appiicanf
OFFICE USE ONLY
Phone #
_ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
_ No. oF Baths
RemodaURaoair Reauirements
• 2 copies of plan
• 1 set of Energy CaluAations for heated additions
• 1 site survey for exlerior addilions 8 decks
• IMipteithomeservedbyseptksystemforadditions
? /aS_
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-13500-040-03
DESCRIPTION:
REMARKS:
FEE SUMMARY:
PERMITTYPE: auzLozNe
Permit Number: 0 3 3 2 0 9
Date Issued: 0 8/ 19 J 9 8
4624 BEACON HILL RD
IOT: 4 BLOCK: 3
BEACON HILL
RERUOF/STORM
BuildinO'Permit Type STORM OAMA6E
qui3.ding W'a,rk Type REPAIR
FtAnsus Co:de-'?" 434 ALT. RESIDENTIAL
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CONTRACTOR: - Applicant - sr. Lzc. OWNER:
AZTEC ROOFING 18960040 20139140 AXBERG DOUG
115$3 RUPP RD 4624 BEACON HTLL RQ
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 895-0040 (651)452-0916
I hereby acknqwledge that I have read this
information is carrect and agree to oomply
Statutes and City oF Eagan qrdinances;
L
APPLICANT,PERMITEE SIGNATURE
PERMIT
application atid state that the
wa,th all applicabie State of Mn.
?
SUED BY: SIGN URE
' e 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ??U 1 CITY OF EAGAN
r 3830 PII.OT KNOB RD - 65122 ??? ?
681-4675
Naw Construction Reaui2ments
? 3 registered site surveys
? 2 copies of plans (inGude besm 8 window sixes; poured fid. design; etc.)
? 1 energy calculations
? 3 wpies of tree preservation plan H lot platted after 711/93
required: _ Yes _ No
DATE:
DESCRIPTI N OF WORK:
RemodeVRecair Reauirements
? 2 copies of plan
? 2 site surveys (axterior addkions & decks)
? 1 energy wlculatlons for heated additions
CONSTRUCTION COST; 7- L/?q z Z
STRE ADDRESS: _ 2 ` ll
LOT: ? BLOCK: SUBDJP.I.D. #: &0-C0/\" t? I(
PROPERTY
OWNER
CONTRACTOR
ARCHITEC'f/
ENGINEER
Name: H X ! IY i? Q p(5 (J Q Phone #:
Last Fint
Street Address: 4?nZq Ail l Pd-
Ciry State: Zip: ?' /k5j 2-2-
?
ie #: -9g,6 - Doq( J
License # 'Z? ? c?3q I ?tQ
CitY -6 r?nlw l`l Ik State: Zip: .?i /
Company: Phone !t:
Registration #:
Street
Ciry
State:
Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicaGon and state that the iniortnation is correCt and agree to comply wRh all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ' 49 ?
Signature of Applicant:
OFFICE USE ONLY KiLL?
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Requir
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Iot 5? Block,2_ Sec./5ub.
Paroel t: 10 13-3"0 0 r&C) 61 ^-
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Certificate for:
Centex Homea A1lduest Inc.
8601 D Plan 93035 (Revised)?
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SURVEYOR'S CERTIFICATE
VMONg 812 420.1788
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Propo9ed Lcp of block %c- i-?
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Jenotes proposed elEVation
Prooosed basement fl.oor ;/E°/ 1-7 ?-- Denotas propesed dra9nage
I hereby certify that this is a true and correct repreaentation of
Lot 4, Block 3, Br,ACON HILL, according to the recorded plat thereof,
Dakota County, Minnesota.
arne 11 R d oa
Eden Prairie, P7n. 55344
oe Mi] I.er Const.
9133 Cedar nA,?`ve. So. DELMAR H. SCHWANZ
rmington, '•111. 55024 LANOSURVEVOR
RpisbrW UnCU Lawr o1 TM Sbta Of MinnnoU
, 2878 - iCBTN STREET W. - BpX M ROBEMOUNT, MtNNE80TA 66086
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Dated: January 30, 1980
Revisecl to show proposed iiouse .1une ;, 1983•
MINNESOTA REGISTRATION NO. 8625 6/
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EX'P$RIOA ENV[:LOPF ARAGE COfMUTATION
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1?lternata euilding EnveloQe Design
Sb utilize tha totil am,loPa-SYsttl" method, the values pseabliahed bY the sum of
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I For Office Use
Permit
City of Fa
Permit Fee: r 50
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L-----------------I
2 09 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: z3 oy Site Address: c~~ t3 `"~N f-i <LL
Tenant: 17 f'eN .4_I C0(3ER & Suite
RESIDENT / OWNER Name: i ~ c~3~nR Phone: (2 2-z`7
Address / City / Zip:
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK New _Replacement _Repair _Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) L_ Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conform ce 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, an 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 ap oval o ans.
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Applicant's Printed Name Applicant's Sig ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In _Air Test Gas Test -Final
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Use BLUE or BLACK Ink
--------------,
� For OMfice Use �
I
C�b� V1 ����1t I Permit#: �_ I
�
3830 Pilot Knob Road � Permit Fee: `� �
Eagan MN 55122 I _a� _1 �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 .IUN Z Z ZO�S � Staff��f'/ �
�----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: �J� Site Address:'7Livz� ��/4-C.p/�/ L7`�l( ��
Tenant: ��.�►'�' l.l3 (�� Suite#:
x �� ` Name: ����T'_ ( � /��� Phone: ��a���-7 " T�S�
����� �� � / �
�: Address!Ciiy/Zip: ��,s����-f��o n/65�//� � ���r �lni ,S S/a-Z �
� /� �
, � � r
r �
� x
� Name: �"'a�/)`',�C�/�� License#:
� � �' Address: '��d� �i�s c�•v�5`�..1 v<. City: ��F� ����*�
' ��3���� `� '�� ,�n
� ► �'(N Zip: SS �`t e/'� Phone: � �J c�-�1`��- ���T
�' �,-� State:
,
Gontact: t�Q L Email: (��LL CF��2�4/� , �a ivj
New �Replacement Additional Alteration Demolition
, �'���'�p� Description of work: (2�C/4�.� �- l C
h
��X �� � �'���������������r �����: � ������������.
_ 'u �� �ry�������Pp!'�'`rT������ � ��� ,.3
r..,r. '_� ......., . ...e.=.,.� _ .._xT� .,�6....s x_,..,.,._S .. ,,.,....,t �.,... ....v: 9,. , xr., .t"l. .a� >r,-`
� �
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RESIDENTIAL COMMERCIAL
° � � _Fumace New Construction Interior Improvement
�p��� � �Air Conditioner _Instail Piping _Processed
� ' `� Air Exchanger Gas Exterior HVAC Unit
� � _Heat Pump Under/Above ground Tank �Instali/_Remove)
� —
� � Other
RESiDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$�,Q�� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Pefmit�ee
'If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge"
"*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
"'`*If the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and woric is not to wit ut a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x �O b F (LT �Cf LC�-/ x
Applicant's Printed Name EcanYs Signature
�����C�l���s `�� , � j� � d: � �� � 5� � f � � ..5 �; � - � r . �$.� , c�:.
� s
. ������I�+� '� � .�� '� r €� �� � + � ����� � ¢ '���"-�� �r'` �� t �,�,�a��n�'��+ r � r t �
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157016
Date Issued:07/31/2019
Permit Category:ePermit
Site Address: 4624 Beacon Hill Rd
Lot:4 Block: 3 Addition: Beacon Hill
PID:10-13500-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian Perry
4624 Beacon Hill Rd
Eagan MN 55122
(612) 810-5286
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162479
Date Issued:07/15/2020
Permit Category:ePermit
Site Address: 4624 Beacon Hill Rd
Lot:4 Block: 3 Addition: Beacon Hill
PID:10-13500-03-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Brian Perry
4624 Beacon Hill Rd
Eagan MN 55122
(612) 810-5286
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature