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4786 Beacon Hill Rd q1=0FIVED U40 BLUE or BLACK ink FEB 17 2011 / l 1 For Office Use----------! 1 I I ~ Permit ~ I of i Eajan l { e 1 ` Q Permit Fee: J" 0 c) I 3830 Pivot Knob Road t Eagan MN 55132 1 Date Received: I Phone: (651) 675-5675 1 Staff 1 Fax: (651) 675-5694 20'1'1 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S-- 1 ( Site Address: Tenant: Suite RESIDENT/ OWNER Name: Phone: I - °zt S a - 3133 Address t City / Zip: c CONTRACTOR Name: ~A e-x y i okN I") . S e- r. i c-a j i " License Address: ll U o 0~*- a a/ 2 city: Z74-z' State: _L/V Zip: S -S 2 Phone: 9 t & g I~ g 2 S'L Contact: l " ' he- S J,i') -k- Email: C°J h e,p.r 1 c>. ri 6 r.~ . ed rti TYPE OF WORK _ New _ Replacement Repair _ Rebuild _ Modify Space Work in R.O. II__ Description of work: U6 &KRC-22 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ t _ PVB) Add Plumbing Fixtures (-Main Lower Level) Septic System Water Turnaround New - Abandonment ~yt J r~ I u R FEES: $55.00 mum 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 Tumaround* (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 f e e and O O S State Surcharge) C 1~ $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ co L CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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 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 EL,,-) ~V~ 5(z.i►)14z-- x Applicant's Printed Name App icanfs Signature FOR OFFICE USE Reviewed By: Date: Required inspections: Under Ground Rough-In -Air Test Gas Test Final This request void 18 months from ( t'"-- 7/ Z' Ic j(,o( W-0( '31 t q 1 W-27485 `V-7ta0 Reques 7) t Date Fire No. RRegghedn?lnspection Ready Now Will Notify. Inspec- 'a/) S ~ yes ❑ No Ator When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or oute No. City ection No. Township Name or No. Range No. Co it Occupant (PRINT) Phone No. Po r Supplier - - 'Address - Electrical Contractor (Company Name) Contractors License No. r 04,q ton a Mailing Ad ess Contractor or Owner Making Installation) Authorized Signat ontractor/Ow r akingilnstallation) Phone Num r MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION„ EB-00001-03 See instructions for completing this form on back of yellow copy. 27485 ► ""X"" Below Work Covered by This Request f Z New Add Rep. Type of Building Appliances Wired Equipment Wired Home 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 t r Other (Specify) Other Specify t r Other Compute Inspection Fee Below # Fee Servi ce Entra nce S iz a # Fee Feeders /Subfeeders # Fee Circuits Oto100Amps Oto30Amps Amps 0to30 101 to 200-,Ampl-:" 31 to 100 Amps 31 to 100 Amps A Above 100_Amps Above 100:_--Am s Tr i&n Remote Control Circ. Partial/Other Fee Si Special Inspection $1-401 TOT FEE Remarks 534 ,7r 00t Rough-ih at - I, the a .y,~ spector" h certify th Final - - Date in mad s This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 NG 8969 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for DECK Est. Value $1,600 Date -_APRIL 12 119-84-- Site Address 4786 BEACON HILL RD. Erect Occupancy R Lot 4 6 Block 6 Sec/Sub. BEACON HILL Alter ❑ Zoning Parcel No. 10-13500-460-06 Repair ❑ Fire Zone Enlarge ❑ Type of Const. Name TERRY CLEVELAND Move ❑ # Stories z Address 4786 BEACON HILL ]RD- Demolish ❑ Length City Phone Grade ❑ Depth Sq. Ft. KEN'S CONST. Approvals Fees o Name ov Address 340 E. 152ND ST. Assessment Permit $ 2 6 . 5 0 u~ City BURNSVILLFphone 435-2030 Water &Sew. Surcharge 1.00 F Police Plan check WW Name Fire SAC F u3 Address Eng. Water Conn. <W City Phone Planner Water Meter Council Rood 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 O $tote of Minnesota Statutes and City of Eagan O di ances. APC Total Signature of Permittee A Building Permit is issued to: KEN S on the express condition that all work shall be done in accordance with-a*13 tcab t • of✓m e _ to Statutes and City of Eagan Ordinances. Building Official t~ E ` i t y CITY OF EAGAN • 3795 Pilot Knob Road Eagan, MN 551220 7387 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SP DWG/GAR Est. Value $601000 Date July 12 _ 19 82 Site Address 4786 Beacon Hill Road Erect ® Occupancy R-3 Lot 46 Block 6 Sec/Sub. Beacon Hill Alter 0 Zoning R'1 Parcel # 10 13500 460 06 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V W Name Sunshine Construction, Co. Move ❑ # Stories 3 Address 1507 C1eMSOn COUrt, Demolish ❑ Length 58 o Grade [I Depth 30 Sp• F Ci Phone 454-7485 t• Name Owner Approvals Fees 0 313.00 oU Address Assessment Permit U~ city Phone Water & Sew. Surcharge 30.00 t- Police Plan check 156.50 FZ Nome Fire SAC 525.00 Address Eng. Water Conn. 420.00 -k City Phone Planner Water Meter 60.00 Council Road Unit 240.00 I hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable $1744.5Q State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: SlAnsbine Con on the express condition that all work shall be done in accordance with oppli ble to of Mi of es and City of Eagan Ordinances. Building Official . i R't— + t sr scat"f~a3itaLaN±F ~A iiic~ ~Y7Bi~tygt '-M.'~''ra.4.__ ~.rrtifiratt of Orrupaury a ` SLitp of Cagan ~ ~ E ` D epartmPut of NuOing 3mWe time r '4 i ~ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building "E r s . Code certifying that at the time of issuance this structure was in cm pliance witb the various gt" I ordinances of the City regulating building construction or use. For the following: 7 ~ Use Cladticatim SF DWG/GAR Bldg. Perms N..__238 O-VanarType R3 -Type Caas fl- Fee, NA zooDau~cs R1 l~ n.nc.of WAabsSunshine Construct-Add., 1507 Clemson Ct., Eagan , A 4786 Beacon Hill Rd Lot 46,Block 6,Beacon Hill,", October 14, 1982 f M/T ~M A eohsweuoua MA ms mGOf$ 4B1 CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 46 B1k 6 Parcel 10 13500 460 06 Owner 517 i + Street 4786 Beacon Hill Road State Fagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. {E' 1982 1848.67 205 41 9 1643.27 A011580 10-20-82 STREET RESTOR. GRADING 1982 537.84. 59.76 9 478.08 A011580 10-20-82 SAN SEW TRUNK 3 1976 135.97` 9.06 15 72.55 A011580 10-20-82 * SEWER LATERAL 1982 3182.83 353.65 9 2829.19 " " WATERMAIN * WATER LATERAL 1982 9 WATER AREA j' 1982 202.00 22.44 9 17 9 . 5 6 A011580 10-20-82 * Stubs 1982 9 STORM SEW TRK (y^ 1982 367.77 0.86 9 326.91 A011580 10-20-82 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 #30871 7-12-82 WATER CONN. 420.00 if it BUILDING PER. SAC 525.00 it it PARK i ' J CITY OF EAGAN Include sets of plans, 1 Certificate of Survey, & BUILDING PERMIT APPLICATION I set of energy calculations. To Be Used For G Valuation j f Date Site Address ;7,5z-6 OFFICE_ USE ONLY Lot i',4-:Block Sec./Sub. Erect t Occupancy Parcel Alter Zoning _ Repair Fire Zone Owner: Enlarge Type of Const. Move # Stories Address: j-~Demolish Front ft. City/Zip Code: r'~x U Grade Depth ft. Phone APPROVALS FEES , Contractor: » s Assessments Permit Water/Sewer Surcharge Address: Police Plan Check-~- City/Zip Code: Fire SAC Eng. Water Conn. Phone # : Planner Water Meter Council Road Unit ' /fig' ' Bldg. Off. Address : APC City/Zip Code: / Phone 'DOTAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE -INSPTR. INSPECTION TYPE .DATE INSPTR. 3--1~ If ~ Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I I Foundation Framing Roofing, Fough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. I Deck Final Well Pr. Disp. r------------------ I For Office Use . ' ; City of Ea Permit r) I I Permit Fee: l U` 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I - - - - - - - - - - - - - - - - 008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C1\ Site Address: Tenant:o 9 Suite RESIDENT / OWNER Name: ` io 6l) 1- Phone: Address / City / Zip: F6 0104 ~1// k ell/ I Applicant is: Owner _~~Contractor TYPE OF WORK Description of work: ' `C© P Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: UQ f /~rl License Address: 70k0. rm of !Z 5,51,r C C;~ 4 City: N y( State: Zip: Phone: 1 10( P 3C) Contact Person: d ,'l .5 0~4 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 information. Portions of the information may be classified as non-public if you provide specific reasons th would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th 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 i out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva f plans. Applicant's Printed Name Appli t s ign to Page 1 of 3 M42_ RESIDENTIAL BUILDING _fS Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 il~ I (f f 02> Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date i / 40/ / 03 Construction Cost coo Site Address ~7 7N P6A Unit/Ste # Description of Work 1-( l Q~,2c y~ ~j e~ Multi-Family Bldg _ Y N Fireplace(s) 0 2 Property Owner 9 AP4 ~ Telephone # (65V ) c~ SZ ^ 513 ~ Contractor NO 1MLe Address 4~6oC( ~y Vvio, Le , Sir--, city F:A ontn(w 11 State rpj . Zip Telephone # (1~2) 60)6, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 s l s 672 Energy Code Category TS j 1 C , _t`1 nr 6e ¢ Worksheet 0 Residential Ventilation Category 1 Worksheet L (4 submission type) Submitted I Subrr~il^e~d, • Energy Envelope Calculations Submitted Licensed Plumber Tdlephone # ( ) ti Y Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name icant's Signat App OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 80 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace x 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition / ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant ❑ 34 Replacement Valuation Occupancy MC/ES System Census Code L Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const y A) Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco - Stone _ Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall T Approved By G... , Building Inspector Base Fee fir} Surcharge C?~~f Plan Review MC/ES SAC J 9 q o = 71 City SAC Utility Connection Charge ~'0Q S&W Permit & Surcharge " - Treatment Plant License Search S Copies Other Total EY®R'S~ CERTIFICATE SUNSHINE CONST ON COMPANY i6 Off. a 00 0 16 7-1 V6 911 o R FgsEMFNr Ns o h~ jOFRY ' e o \ gt' 376 ' f A \ ' /936.2 3p 931 Q /10 ou /0 -371 SO 1 1~ : O / la 3 ~A37.3 ~ 1 ~a of I I GAR. N ~i- ?a3 ti ,off t,yJ o o *9.y1. ~O J 83T2 r . / 936.1 x O P 936,1 o DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 939.1 FEET 0 DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = 931.5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 938.9 FEET (000.0) DENOTES PROPOSED ELEVATION I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 46, Block 6, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS 8TH DAY OF JULY, 19826 SIGNED: JAMES R. HILL, INC. / HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK ! PAGE JAMES R. HILL, INC. 82165 22/75 Planners / Engineers / Surveyors FILE NO. 8200-Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3029 3 ..z , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 025190 (612) 681-4675 Date Issued: 03/03/95 SITE ADDRESS: 4786 BEACON HILL RD LOT: 46 BLOCK: 6 BEACON HILL P . I . N 10--13500--460-06 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LID. OWNER: MEDALIST HOMES 18981174 0002461 HOBOT RAY 1278 COUNTY ROAD 42 4786 BEACON HILL RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 898--1174 (612)452-3133 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED IEV. ~ ~NA SIGNATURE A-, CITY OF EAGAN 3830 PILOT KNOB RD - 55122 "1q0 1995 FIREPLACE PERMIT APPLICATION 681-4675 1 DATE: 1 ee-~ 5 DESCRIPTION OF WORK: INSTALL NEW FIREPLACE: WOOD BURNING GAS - INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: - oL e. r~+ STREET ADDRESS: 7 8 l LOT BLOCK SUBDJP.I.D. ~tAi i ~ APPLICANT: (circle one only) OWNER T TOR 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. PROPERTY Name: -av kat A Phone a .3 3 OWNER UST FIR&T Signature: Street Address Q(fC°" --W U City: State: 1M 0 Zip: FIREPLACE Company: o Ue 4- S' E4 i e 6J&" Phone 117 INSTALLER Signature: Street Address: License City. ~v A GAS LINE Company: ( 4- ~ h Q Phone $6^247-5-5 INSTALLER Name: ~AJ Signature: Street Address 11-2 City: C bo Z ~ State: IM A ` Zip: Z J CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : FIRESIDE CORNER INC ADDRESS : 2700 N FAIRVIEW ROSEVILLE MN 55113 LOCATION 4786 BEACON HILL RD RECEIPT # / DATE CR 33817/NOV 7, 1994 REASON FOR REFUND JOB WAS CANCELLED TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITY ACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: BUILDING PERMIT 3210-9001 $ 25.00 1 declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. I: Ddlill, '.z ~ 2xvngA 12/12/94 Signature ' Date • PERMIT --A_ CITY OF EAGAN ~ G ' 3830 Pilot Knob Road PERMIT TYPE: B O I L I N G Eagan, Minnesota 55123 Permit Number: 024831 (612) 681-4675 Date Issued: 11/07/94 SITE ADDRESS: 4786 BEACON HILL RD LOT: 46 BLOCK: 6 BEACON HILL P.I.N.: 10-13500-460-06 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 ROBOT RAY 2700 N FAIRVIEW 4786 BEACON HILL RD ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)452-3133 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED B : SI OIAT R CITE'' OF.EAGAN 1994 BUILDING PERMIT APPLICATION,- 681-4675'- SINGLE & MULTI- AILY 2 sets of plans, 3 registered site surveys, 1. copy of energy, _ calcs. C RCIAL 2 sets of architectural-A structural plans I set of specifications, I copy of energy talcs. Penalty applies: I) when ermit is typed,` but note picked up by last working day of month in which request is made, ) address is changed or 3) let change is requested once permit Wag. .1 Date , / . Valuation c~ C?b fl work Site Address: ~ f \ 't1 STREET SUT1E Tenant Name.- 4c rcial' only} 10, The appl icant t s: 0 Owner Wbntraotor 0 tither to*acru*) Name.;" . c~ Fhone1 } Property. ~ FTREt Owner Address - city state z i A company N- f>fv Phone ORb Corft etor Address Up,~..,. Ci 1 ~1~-~-- State p Company Phone Arehi +W E nm Nam Registration Address City State ZIP ION Sewer A water licensed plumber Processing t1ve for sewer k water-pernits is two days a»c+e drea.has een`approved. l hereby acknowledge that I have read this app litation and state that the information is correct acid agree to comply with all applicab a State of Minnesota Statutes and City bf Eagan Ordinances. Signature of Applicant: 7,,: . A / CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. d - To Be Used For'll Valuation O d Date Site Address 12(""T OFFICE USE. ONLY Lot q ~ Block Sec./Sub. Erect Occupancy Parcel . r)~ 1®0 Alter Zoning R, Repair Fire Zone A - - C 'e"l- - , c v- Enlarge Type of Const. _ Owner : Address: # Stories Demolish Front City/Zip Code: ~ti S'S i 1 - Grade Depths ft. "Phone APPROVALS FEES Contractor: Assessments Permit / 3 - Water/Sewer z Address: ~r .aater/Sewer Surcharge Police Plan Check _I S6 City/Zip Code: Fire SAC _j-a-s" Eng. Water Conn. '-1 a 0 Phone " Planner Water Meter 60 Council Road Unit Arch./Eng.: ~ L. al- ,emu Bldg. Off. Address : / C t> Y • APC City/Zip Code: ,L- ~f 5 3~"7 Phone i{3 2 TOTAL -7 1 z SURVEYOR'S CERTIFICATE SUNSHINE CONSTRUCTION COMPANY 0 751 / \ \ O Fq FMF~ F $ ` N f > 66603T \ ~qT 9 9" 6 /0" 9376 9y¢6 6\ (0 p tS~ \ OI ~q`/ ` \ 7 4 e O I POSED I /4.938.2 937.E PHOi SE ~O 4 O` / . t; 937.3 ~roi~ ti' 2 4 / \ o IG' R1 .oQ ~y2 ,,e \ O ✓ 93j2 936.} X O P i 936.1 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET - • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 939.1 FEET ❑ DENOTES WOOD STAKE PROPOSED LOWEST FLOOR = 931.5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 938.9 FEET (000.0) DENOTES PROPOSED ELEVATION I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 46, Block 6, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS 8TH DAY OF JULY, 1982. SIGNED: JAMES R. HILL, INC. f! t ~ BY : ~zl~~ HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82165 22/75 Planners / Engineers / Surveyors FILE NO. 8200-Humboldt Avenue South FOLDER Bloomington, Mn. 65431 612-884-3029 Weathtnt* Guido Constriction No. Inialatiatt 1ivindows Doors Reference Out. Wall int. WaN Ceiling Roof Floor Kind How Applied Fl.I a~NIN Room Length y1 e" Width Height ('V' F1.1 Room Length Width Height Windows a Doors-Crackage and Area Windows and Doors--Gackage and Area width Height No. of Lineal fL Area Width Height [NjE L.inl ft. Area No. of pane of pane lights of track q. It. No. of pane of pane of crack p: ft. " t ""N Coef. Btu Coef. Blot Infiltration LAC) O O Infiltration Glass lv0 po Glass Exp. wall Exp. wall Net exp. wall ` Net exp. wall Int. wall Int. wall Floor Floor Cell. Cjrj C,,N. Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader area oom Length y'p" Width "b" Height ti"p " F1.1 Room I Length Width Windows and Dom--Crackage and Area Windows and Doors--Crackaget and Atea Width Height He. o Lineal L Area width Haight o of Heal ft: Arai - No. of pane of no Iltrhts of oraok tR. Nor pane •t pane lights of .reek . it. 1 i~tt Coef. Btu Coeq lamtration b Z. O Llfiltration Glass 5p Glass Exp. wall Exp. wall Net exp. wall %N%qL 05 Net exp. will In wall lat. wall Floor O Floor Cell. Ceil. Total Btu. It 0,7 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area P 1 r Room ILengthI~`lotl Width Height blo" 171.1 Room ILength Width Height Windows and Doors-Crack age and Area Windows and Door s--Crackage and Area Width Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, No. of pane of,pans lights of crack sq• ft. Coef. Btu Goef. ~ Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall } Net exp. wall Int. wall Int. wall now 35 Cl Floor Cell. Cell. Total Btu. z"as Total Btu. Required sq. ft. EDIL or sq. ins. WA. Leader aru Required sq. ft. E.D.R..or sq. ins. WA. leader area Weatherstrips RME7 Construction No. Inialation Guide Yindows Doors Reference Out. Wall Int. Waft Ceiling Roof Floor Kind How Applied Fe;=No- s-- o I Yes--No 19- % F1.1 L, Room Length %t,:' t. " Width , Height 9' a " Fl.I 1, p Room Length \ ' ' width 9`~" Height ' s Windows and Doors-Crackage and Area Windows and Doors--Crackage and Area Width Height No. of Lineal IL Ana Width Height No. of Llaoal it. Area No. of pane of pane llshte of crack sq, (L No. of pane of pace lickla of crack sq. ft. Cocf. Bta Cocf. Btu Infiltration y t 4a 64 Infiltration Glass 40 `tea Glass 5 St I fism Exp. wall O b Exp. wall " Net exp. wall Net esp. wall Int. wall Int. wan floor floor Cell. l C,.7 \Z Total Btu. Total Btu.. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i Fl.1 >7u Room Length Width k,` p„ Height FLI q-r Room I Length 1 o` U " Width to.. Height Windows and Doom-Crackage and Area Windows and Doors, -Crackage and Area Width Height No. of Lineal ft. Area width Height Na of Lintel ft. Area No. of pane of pane lights of crack p, tL No, of pane of pane Itgkts of crack ek. ft. cl 2-v) a Coef. Btu Coef. Infiltration \ Infiltration Glass 20 0 SU O Glass Exp. wall Exp, wall Net exp. wan 1 b Net exp. wall kA 0 Int. wan Int. wall Floor Floor Cell. Cell. Total Btu. Z'Z Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1• V► o Room ) Length lam' V' Width 1 ' b" Height 43' 0" \ Fl•1 \T Room i Lengthcl I U" Width t 'o" Height ' " Windows and Doom-Crack age and Area Windows and Doors-Crackage and A. Width Height No. of Lineal (t. Area Width Height No. Of Lineal ft. Area No. or pane of pace lights of crack sp, ft. No, of pane of pane lights of crack sq. It. Gxf. Btu C>'ef. Btu 1- 1 Infiltration c b bb infiltration \ Glass `,0 Glass S 0 Exp. watt Exp. wail 1 C} Net tip. wan Net exp. wall 225 -4--jS-IS Int. wall Int. wall Floor Floor Cell. Zt y 4 Cell. lob 4 U Total Btu. _Total Btu. Required s.). ft. E.D.R. or sq, ins, WA Leader am Required sq. ft. E.D.R,,or sq, ins. W.A. Leader area -TnAs,~, _ q?,012 ~Vlt\- CITY OF EAGAN 37" Pilot Knob Road Eason, MN $5122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Volue Date 7' i 12 19 Site Address AC"' L-1 1- 11 L " Erect Q Occupancy M ~ Lot Block Sec/Sub. Alter ❑ Zoning Parcel # i Repair ❑ Fire Zone Enlarge z• ❑ Type of Const. f..., r°.xc ) . W Name ` Move [3 # Stories Address cr lirt Demolish ❑ Length y' Ci ` + Phone Grade ❑ Depth i, Sq. Ft. Name Approvals Fees u~ Address Assessment Permit: } ~ city Phone Water & Sew. Surcharge r Police Plan check r.. ~W Name W W Fire SAC n Address Eng. Water Conn. ? r' , <W City 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 APC Total i a'` • Y State of Minnesota Statutes and City of Eagan Ordinances. 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 VHX.A.C. 2C~ZVrj LQFtiuj~1~ 42- 'b ~ Ytq A 7, 3o^ 9'Z-w Z74 fa f Inspection Date Insp. Other Footings 7 //L Z L4), Foundation Framing Rough Plbg• d Rough HVAC Insulation Final Pibg. Final HVAC Final yy_ Water Describe Location: Well Sewer Pr. Disp. , - ~ v a ..y r^~e..-„ ='.*i:+~^~ta~sr: .,n~ eaa-•~e.csneswaw~n Repeipt:30q'g-) ~-3 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C z a Type or Print legibly Tot. ec% e 1. Date "`tJ` 2. Installation Cost 3. Job Address '±'-Z ~t?p~ f/Lotqla Blk. Tract , 4. Owner C9✓. `7 'i 0 ` .Yf D rC~. 5. ContractorzG2 /~-P / Phone .mac a 6. Address ~i 7. City Z State ZIp 8. Building Type: Residential-t& Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures h Water Closet Cesspool /Drainfield f _ Bath tubs Septic Tank 2 Lavatory Softner -L 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 witq all ordinances and codes governing this type of work. Signed : for Rough f T Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved Ll-;c;";, a 7. ~ CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No f p CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly ; Tot. 1. Date 2. Installation Cost 3. Job Address' f f,y,. Lot Blk. tG' Tract 4. Owner ej ; 5. Contractor ~F _r`~ ~r fl s ~ Phone 6. Address 7. City i r r State 1 f/" Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New tr Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type ~t t> I 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg, Boilers Mfg. Mech. Exhaust 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 orOinangep 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 4: a . CITY OF EAGAN O $f1' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # r To be used for NECK Est. Value $1,600 Date APRIL 19 84 Site Address 4 7 8 6 BEACON HILL RD. Erect Occupancy l2 Lot 46 Block 6 Sec/Sub. BEACON HILL Zoning Parcel No. 10-13500-460-06 Alter C] Repair ❑ Fire Zone ~'FRRY CLFVEI,A.N?J Enlarge C] Type of Const. Move # Stories w Name 4786 BEACON HILL RD. z Address Demolish ❑ Length City Phone Grade ❑ Depth Sq. Ft. oc KEN"S CONST. Approvals Fees ~p Name 340 ~ op Address E ~ D ST. Assessment Permit ~ u City B U'RNSVILL~hone 435--2030 Water &Sew. Surcharge 0 Police Plan check 9w Name Fire SAC f uZ Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. 0 the information is correct and agree to comply with all applicable nces. APC Total State of Minnesota Statutes and City of Eagan Or "1 4 Signature of Permittee J2_z - t - A Building Permit is issued to: Kx SCC1,S~ on the express condition that Ordinances. all work shall be done in accordance with all op icablCate` f twtotuteso.nd City of Eagan Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C_ Well Water Disp. Sevver Electric Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer p O Pr. Disp. t PERMIT 4t 4 MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: =rte CONTRACT PRICE: PHONE: 454-8100 Site Address 'cs ;BLDG. TYPE WORK DESCRIPTION Block Sec/Sub Res. New L Name Mult. Add-on a Comm. Repair 9 Address co Other City Phone". FEES Name L ` 1 RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City t& z Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.06• Air Cond. !L M BTU $ l X MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - , 50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: S/C: 3 SIGN ATUFI F 1 E TOTAL: f 2:L FOR: CITY OF EAGAN ' CITY OF OVAGAN WAVER SERVICE PERIL' 379S Knob Rood PERMIT NO.: 4269 Sogfin. MN S5122 DATE: t 2 Zoning: PI? No. of Units: ~ Owner: Sunshine njQ=rlun Address: ^ Site Address: 4786 Bann All Rd Lb6 A6 ea _ nt t11 Pturnher. a8me Meter No.: Connection Charge: 420,00 1Vd Size: Account Deposit: Reader No.: Permit Fee: 10,00 :pd - i to a*=* Wilb the City of Eagan Surcharge. • O pd Q.dfnoas. Misc. Charges: 60.OQ Totot:- By Dote Paid; Date of .[nsp.: insp.. CITY CF EACu4N SEWER SERVICE PEWff 3795"tPitot Knob. Roe4 PERMIT NO.: 5200 Edgon, MN 55132 DATE: 7/14/82 Zoning: IUD' Sunshine No. of Units: Owner: shine cemstruction Address: Site Address: 4786 Beacon Hill Rd. IA6 B6 Bestotl FIi Plumber: "Me 7/12/82 30871 100.W pd I e9ree to O0m* with the City of Eegon connection, charge: 425s Ordinate, Account Deposit: Pennit Fee: - 10,00 Surcharge: Qd ey- Date of Insp.: Mite: Insp Dote Paid. s ~ 4 ' Cse L UE cn' LACK Ink ,F - i of Eap l e p~ 1 Pean'jt Fee: 3330 Pilot Knob Road Eagan N 55122 Date Received: Phone: (851) 575-5875 i 1 1 Fax: (551) 875-5094 ! via f: ZN? 201 RESIDENTIAL BUILDING PEA T APPLICATION Da te: /Of. 7 13 site Address -7-z r Tenant: Suite Air ; ~C~ti~E f &7 f~S/) Bona( ~~-3 133~ / s Address / City ! Zip: L{7 ed✓f~ Applicant is: Owner Contractor T""?`-E OF WORK Description of work: G Jt ¢Od Construction Cost: 0 0 0 f Multi-Family Building: (Yes 1 No CONTRACTOR Name: J ct'/G17VA-)II-4in q+C'~o~7~{~f 7 Address: r State: Zip: ~SWC" k/O Phone&522 Contact: FJ ~ST~-V Emai1: l _ a 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'e' ._.Yes _No if yes, date and address of master plan: Licensed Plumber: Phone:, Nlecha`;nical Contractor: Rhone: Sewer & Water Contractor: Phone: A10 Ptaris and suppo ~Ung documents that you submit are .considerey =r tapz; ~ the inforinaticn may be class fied ac rcn,-pubji :f yols prm,,ide specific reasons =rs~t t-~ ,3 , L.'a cf-fY A~.L REF®R~ YOU UiG. Call Gopher State One Call at (851) 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 in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applic--fion for a permit, and work is n~ o tart without a permit; that th e work v, ii he ir. cordance with th.- approved plan in the ca e of -w c ;vhich r.-Gd s a r- few and -pprovat elf', s g~ X PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123158 Date Issued:05/30/2014 Permit Category:ePermit Site Address: 4786 Beacon Hill Rd Lot:46 Block: 6 Addition: Beacon Hill PID:10-13500-06-460 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Raymond Tstes W Hobot 4786 Beacon Hill Rd Eagan MN 55121 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175468 Date Issued:04/05/2022 Permit Category:ePermit Site Address: 4786 Beacon Hill Rd Lot:46 Block: 6 Addition: Beacon Hill PID:10-13500-06-460 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Robert L Jr & Kirsten J Carter 4786 Beacon Hill Rd Eagan MN 55122 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature