4637 Beacon Hill Rd? ci=Y :oF rAaAN WATER SERV ICE PERMR
3795 Pilof Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning; No. of Units:
Owner.
Address:
Site Mdress: ' _ eBCOr
Plumber. - 'c K:.ti,
.
Meter No.: ,.
.
Connection Chcrge:
Si2e: Account Deposlt:
Reoder No.; Permit Fee:
1 ayree to wmply wieh t6t Cihr ef Eagon Surchorge:
Ordinana?. Mist. Chorges: '
Totol:
By Date Poid:
Date of Insp.: Insp,;
cir: -OF ?AGAN SEVUER SERVICE PERMIT
8795 Pifo! Knob Rood PERMlT NO.:
Eogan, MN 55122 DATE:
Zaning: No. of Units:
Owner. ,- - -,;' ?' - e• r•
Address:
Site Address: 'R1
Plumbee
1 agree to oomply wiM the Ciry of Eagon Connection Charge:
Ordinaeees. Account Deposit:
Permit Fee:
5urchorge:
BY Misc. Chorges:
Dote of Irisp.: Total:
I^Sp.: Date Poid:
BUILDING PERMIT
Te be uMd fo. SF llFi
3795 Piet
OF EAGAN
toad Koyow, MN 55122
IE: 4S4.a100
Receipt #
$57,000 Data AR
'z" !? i? ??
. ? ? •
-?--<ig%
Site Address neaccn 11 i t:o8a Erect ? Octupanty R-3
Lot Blotk T_ Sec/ Sub. f'eacon Hill Nlter ? Zoninp R-1
Porcel #_ IO 13J40 130 Ol a Repolr p Fire Zone -\'A
E
l v
T
f C
,t Na,,1e `?unwood L:ner gy Homes' n
arfle ? ype o
onst.
S
W Move ? torfes
#
Z
? ,?? _ 1299 Lpper 146th Wa.y Weat pe?,ol;sh p Length 52
r;t„ Apple Valley p h_ 431•-6844 Grode ? Depth 40 5Q. Ft.
°C Nome
z°
ou Addre
u?
? ri.,,
Nome _
Address
? 1 hereby acknowledge that I have reod this application ond state that
the iniormafion Is correct and ugree to comply with oll applicable
Stote of Minnesota 5tatutes and City of Eogan Ordinances.
' Signoture of Permittee
Sunwood Energy Hames
/1 Bullding Permit is issued to:
all work shall be done in accordonce with oll opplionble 5tare of M1+
i Buildinq Officiol
Asseument
Water & Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off.
/?PC
Surchorge 28.50
Plan check 152 . 00
SAC 525.00
Woter Conn,450. CO
Woter Meter 60, 00
Road Unit 2 50 . Ofl
Torol 517h9- 50
on the express tonditlon thno
Stotutes and City oF Eogon Ordinonces.
Permit No. Parmit Holder Misc. Psrmit No. Holder
Plumbiny 4,., / I C-.. ('7-$-3
H.V.A.C. 5 Y'O?L?&`S S- `83
wau
Water
p
Disp.
Sawar
e?•?? G13q?5 r ?1¢, c{-13-+Fs3 C ?
w c3Q 4 0 e ' -t3
Impeetion Date Infp. Other
Footings ?5-
Foundation
Froming ?
Rough Plbq.
Rougohi HVA
Inwlation
Final Pibg.
Final HVAC
Final
.
Water Dosaibe Locatfon:
VYsll .
S?wer
P?. Disp• -
. i
Raceipt PLUMBINGPERMIT PsrmitNo. -l'? ? -"
CITY OF EAGAN • ?
Fee l
Filf in numbered spaces S/C ?
Type or Print legib/y Tot.
1. Date 2. Installation Cost ?
., 1
3. Job Address ,;d j;iLotil-=• Blk. Tract ?
- j 4
4. Owner ?,?, , ??; • f?? L r?f-;. 0, 4e t'f :?i--
i -
5. Contractor Phone
r
:"
6. Address
7. City ' State Zip
8. Building Type: Residential F7 Commercial O Institutional ?
9. Work Description: New E7 Add O Alter O Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
1 Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other ' ?
•r i '
? Laundry Tray .
Floor Drains
Drinking Ftn.
Slap 5ink
j 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.? -? r
CITY OF EAGAN
Fee ? -
Fill in numbered spaces S/C
TypB or Print legibty
Tot. -?? = ??•
1. Date 2. Installation Cost
3. Job Address ?? 3?
Tract
i
4. Owner ??_G.'t! l.vOa1J ?/v!'/'Gtj ai! 1 C.--T
5.
6. Address ?
7. City?
5 ?
State Zip -?--?-? y y {
8. Building Type: Residentiaf tJ-- Commercial ? Institutional ?
9. Work Qescripiion: New 9- Add O Alter ? Repair ?
1 10. Describe
1 11.
Fuel Type?f?'
No. Equjpment 8TU - M. Ea.
Fprced Air No. Equipment CFM
Air Handling:
Mfg,
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 oYl ordinances?rd codes governing this type of work.
Signed: i ?'??>!' `?y>t,rv .-
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ,, - CITY OF EAGAN 454-8100
INSFECTION RECORD
CITY OF EAGAN PERMIT TYPE: ;;" I t IIsNIV
3830 Pilot Knob Road Permit Number. }i
Eagan, Minnesota 55122-1897 Date Issued: i' , •'"`
(612) 681-4675
SITE ADDRESS• ? ' ? " ? ? •? ? ? - Rr ?. , '.. `
•
! .. : ? A1' ntj 1i l 4 1 R{)
.:? ,1? ?,rt il 1 i t
PERMIT SUBTYPE:
,,,;.
, APPLICANT:
TficllM('NFfM .ttiM
t t; !.' 1 ty Ft r, 'M i1.'
TYPE OF WORK:
0 411 i Mi,•,
f E td A 1
ra i i.a
?
?
--
Permit No. PermR Holder Dete Telephone #
ELECTRIC
PLUMBING
HVAC
inspecdon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
l,vt)
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE: ' "
3830 Pilot Knob Road Permit Number: 4
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? 1
SITE ADDRESS: APPLICANT:
:i •.? ??ij I? ! I 1 „ ? .' ? ; i?. NN?i@ • , ,?
r`..
PERMIT SIIB;TYPE:
TYPE OF WORK:
l? U i'Aii
Rf 1?Utll
til':(V it'1iuN
f t N ti
F
L
?
Permlt Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PL6G
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
Addition EACC
Owner
Remarks
kDDITION Loi 13 eIk 1 Parcel 10 13500 130 Ol
i-sifoe?f = 4637 Beacon Hill Road state F1g,gn_ MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, g? 1$06.93 C007375 10-1-81
STREET RESTOR.
GRADING 1982 526.46 58.50 9 526.46 C007375 10-1-81
5AN SEW TRUNK _,p 90.67 A008956 3 I8 80
* SEWERLATERAL '3 1982 3116.46 346.27 9 3116.46 C007375 10-1-81
WATERMAIN
* WATERLATERAL 1982
WATER AREA 1982 198.01 22 198.01 C007375 10-1-81
* Stubs 1982 g
STORMSEW TRK &g Z 1982 359.82 39.98 9 359.82 C007375 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
RQAD UNIT 250.00 35191 k- -8
WATER CONN. 450•00 t? t?
BUILDING PER.
SAC 505
00
u
„
PARK .
This request void L.ji (_3 ?_+J ?/?OfQCcsYI l?? (l ^? O i
] 8 months from ,7- ? $, po ?
Date of this Request Fire No. ?S 99336
I, a?Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal ?inng installed at:
Street Address or Route No
Section Township
163-7 W%co,,3 kl,u. k. c?igty,6??
Range County?l Jf-kWl
Which is occupied by L tNaw? "K-S
(Name of Occupant)
Is a roughin inspection required on this job? No ? Ye?l' Ready No*-t& WiK£0%
PowerSupplier 1A Address
Electrical Contractor t' ??TP_-'- Contractor's License N007
Mailing Address
.?. _ ..__ . . _ ..._. ..._....., .......---°-°-°•
Authorized Signature Phone No.
II11 4 (Elect?COnfractor or Ownef aking Thls Installatlon)
S (? `t?, ?{ ? i:3'CARD ?('??M This inspection request will nat 6e accepted by the
u w u ?Lls ?v 61 State Board unless proper inspection fee is enclosed.
minneso[a a[ace ooara or n eccncicy .
Griggs Midway Bldg. - Room N791 EB-00001-02
7821 1 1^:..arsity Ave., St. Paul.Minn. 55104 -Phone 297-2171
? "Rl!]UEST FOR ELECTRICAL INSPECTION , g9336
CHECK $ELOW WORK COVERED BY THIS REQUEST A ?
Type of BuOding New Add. Rep. Check Appliances Wired For Check Fquipment Wired For
Home ? ? ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Water Heatec ? Lighting Firztu[es ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating . ?
Commerdal Bldg. ? ? ? Pumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? pList
ehels? pList
?s?
Other ? ? H Hehe
COMPUTE INSPECTION FEE BF.LOW
Service Entrance Size: u Fee ceders&Subfeedecs: # Fee Cvcuits: # Fee
0 to 100 Am s. ro 30 Am eres 0[0 30 Am e[es
101 to 200 Apr , 3 0 100 Am res 31 to 100 Am eres
Abave 200 ' R tWeve 100 Amps, Above l00 Amps.
Tcansfoaners . RemoteControlCiic. Partialorotherfee v
Signs Special lns ection Minimum fee $5.00
Remarks
1-?- TOTALFEE
I, the Electrical Inspector, hereby certify that the above inspection has heen made
(Rough-in) Date
(Final) 0 f Date ?-? This request void ,
18 months from
31J- 917 [Z OyFFlCpE!',U"[? S,/E?/ ONLY This requesl void 18 monMs (rom mlidatbn dak pnnted In Ihiz b ??
/ `? 'S?
ali
PLEASE PRINT OR TYPE
Requesf Dule Roogh-in inspMion reqvired2 PYm ? No Inapeclion OtherThon Rovgh.ln. d Reody Now DI Will Call
?
?_? (`lov muzf wll the Inspetlor when ready) ?ak Reody:
I, licensed wntractor ? owner hereby request inspedion of the above eledriml work at:
Job Pddress (Street, Box, oyRoote No.) Ciry Zip Code
Section No. Tawnship Name or No. Range No. Pire No. Counry
Occup ?
Phone No.
'
/
.J 7?fu:?{ S ?•:,s
?, .- C. y
??
Powe upplier Pddress
Elechi o"Tlmdor (Compony Name) e No.
Conhador J<ms Maskr Lio No. (Plant EIecL Only)
C ,
Mailing "ross (Confmdor or Owner Performing Insmllafion)
" i 7 7Z-- zXWn-S, dqv " 2
g -Nrc (Confimtlor or P dorming Insbllarian)
Aothorixad $i PFwne No.
?
??
EB-OD00 A-10 6195 STATEBOARD COW-°°"i-"-?0NBACKOFYELLOWCOPV
I?I III?I I 1I I I Jp I I I II I II ?I II REQUEST FOR ELECTRICAL INSPECTION 4
Minnesota State Board of Elechicrty
1821 * 0 3 1 3 9 1 7 7* phone (612)s? A?ve80,OR ???? ?. Paul, MN 55704
?
Home Duplez Apt. Bldg. her:? New Addn
Commercial Indushial Farm Remod Re ir
Air Cond. H}g. Equip. Water Hir. Load Mgmf. Ofher:
D er Ran e Elec. Heat Tem . Service
"k' above the work covered by thi?s r+equest. Enfer remarks in ihis space an n the back of the white copy anly.
C'L?' J.?C /?+-t N t^. G9--Q, .
Calculate Inspecfion Fee - 7his Inspeciion Requesf will not be accepted wifhouf the corre<f fee:
Olher Fee 8 $ervice EMrance 5¢e Fee ? Circuih/Feeders Fee
Mobile Home Pork $tall 0 fo 200 Amps 0 fo mps
Street Ltg./Traffi<Sig. Above 200 Amps Above 100 Amps
Transformer/Generafor INSPECTOB'SUSEONLY / ? - OT.A
Sign/Outline Lig. Xfmr.
? O
Alarm/Remote Control Lf
Swimming Pool i hereb ?aro ?km ? e ei SIon de:cnbed he.ain on the dme.:t
Irrigation Boom Ro?ghln ook i
Special Inspecfion ?
Investigative Fee
/
te
?
&Yj
THIS INSTALLATION MAY BE ORDE DI CO NECTED F NOT COMPLETED WITFiIN ON tHS.
CITY OF EAGAN
° 3793 Pilo! Kno6 Rmd Eogan, MN 53121'
PHONE: 454-6100
BUILDING PERMIT
SF DWG/GAR
Receipt #
N° 7907
Jn5 J 9/
$57,000 Date
Site Address vo3i aeacon nill xoaa
Lot 13 _91nck. 1 Sec/Sub. Beacon Hill
parcel #, 10 13500_ 130 Ol J
0! Name Sunwood Energy Homes'
z Address 7299 Upper 146th Way West
Ci Apple Valley phm 431-6844
,o Name OWUer
F
?u Addreu
~ Ci PFwne
uw
Nume
?w
?? Address
<'Z" Ci Phone
1 hereby acknowledge tbot I hove reod fhis opplicofion and state thof
the information is correct ond agiee to comply with oll opplica6le
Sfate of Minnetota Sratutes and City of Eogan Ordinonces.
Signoture of Permittee
A euiidiny Pem,it ts issued to: Sunwood Ener y H es
ull work shall be done in occordance with all vppNy` IaJ 5}ry of?4ie
Building Official ?? ?dLa%r?L
7 ,,, 83
Erecr $p, pccuponcy R-3
Alter ? Zonirg R-1
Repair ? Fire Zone NA
Enlorge ? Type of Const. V
Mave ? # Stories
Demolish ? Length SZ
6rade ? Depth O Sq. Ft.-
Aporovolt Fees
Assessment -
Waler 8 Sew.
Police
Fire
Eng.
Planner ._.
CAUncil _
Bldg. 0{i. _
APC
Permit ?V4.VV
Surthorge 28.50
Plan check 152.00
SnG 525.00
Water Conn 450 . OQ
Water Meter 60 . 00
Road Unit 250.00
Total S1769•50 ,
` on the express condifion thnt
and Ciry of Eogan Ordinances.
This .aQues? void ?-f 7 0 SZZ_s18pwnths (nm
r
/D?0c)
Fequest Ddte Fire No. RnuPh-in Insper.lion
??'/_ry 7 Req ?wreA? IAReatly Now ? Wirll Nolity InsVac-
e `7 Ves KNO I& When Ij?ady
LicenseA ElecVical Con[rar.tor I hereby requast inspaction ot above
? Owner electrical work instelled et:
Street Address. Boz or Route No. Q
N637 165-1?4-0 ~ /T /// 4L /CON?O City
9-/96/9?
eclion o. Township Name ur No. Fanqe No. C
ou
n
ry
/
?
?
/
<Hf'/70T?4
O
ccuu nt IPPINT?o Phone Na.
ti,?'.AL ?
F
Power SupPliar Address
O?r•???? c-
Elechical Conhactor (COmpany Name) Conlractor's License No.
?F i3?- - F? ? r? y l
Mailinp AdJress IContractor or Owner Makine ?ns[allationl
Author ed SiHnature IConunctor/Owner Making Installationl
? Phone Number
Y63 ` pY
.
C
MINNESOTA STATE 90AND OF ELECTHICITY THIS INSPECTION HEQUEST WILL NOT
Griges-Midway Blde. - Room N•191 BE ACCEPTEO BV THE STATE BOAND
1827 Univareity AVe., St. Peul. MN 66104 UNLESS PHOPEN INSPECTION FEE IS
NCLOSED.
Phone (612) 297-2111 E
REQUEST FOR ELECTRICAL INSPECTION ,?-„ EB-00001-03
p See instructions tor complating this torm on bnck of yellow copy.
?r9 ?p5 ? ..
eow Work Covered by 7his Request -35
ZZS
Add Pep'. Type of Buildiny AOPliances WirAd q???Pmen
Home Range Temporary Service ?
Duplez Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
F2rm Othrrt peci v ther (SUer,ify)
[ u SVecily Other Oiher '
Compute lnspection Fee 8elow
U Fae ServiceEnLenceSize H Fea Feeders?SUbfeeders tl Fee Circuits
0 to 100 qm s 0 to 30 qm s 0 tn 30 Am s
101 to 200 Amps 31 to 100 qmps 31 to 100 Am
Above 200 qinps Above 100-Amps A6ove 100_AmPs
Transformers Remote Control Circ. Partial-'Other Fee
Signs Special Inspection
S
?
TO
RF:marks ?OrS r?
flnuph-in
Final r./11 Onte
Dane .; I, Ihe chical
Inspecbq hereby
certify tfint the ebove
inspeclion has been
mede.
This request void
18 nionths hom
Th„,,reauestvoid
18 nwnffis from
W' 13n90
3S4o-79
a 7 . Sb
Fequest Date
? f (? Fre No. Rauqh-in Insoection
Required7
?RUatly Nuw WWill NoLily, Inspec-
?
??? ? C' 1?Ves ?NU [or Wh..n ReadV
? Licensed Electrical Con[nctor 1 h¢reby rnquast inspection of abova
? Owner electrical work inslalled nY
SVeet AAdress, Box or Foute Na. C11v
y b S 7 f/, « 1757 G stti
ecLUn o. Township Naine or No. RanUc Nn. County
77
Occupnnt(PRINT) Phoue No.
Fv E,ec- y el-el
Power SupPlier Atldress
O fIUT?/9 FLFG ?l?k'/?J//r/GTOiv
Electrioxl ConTracmr lComDanY Namel ConVdcmr's License No.
.13.. S'?i-2 Ft.?'??--P.?- ?v/!. G %
Mailing AdJress ICOnV:mmr or Owner Makine Instaila
ti
oN
/
/
Authon' ed Signature IConvacmr/Owner Makiny Insiallationl Phone Number 5 5
?ry-.-( -3, 75/ rju
MINNESOTA STATE BOAflD OF ELECTNICITY THIS INSPECTION qEQUEST WILL NOT
Griggs•Midway Bldg. - Room N•191 BE ACCEPTED BV THE STATE BOAND
1821 Univarsity AVa., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnne 16121 297-2171 ENCLOSED.
REQUES7 FOR ELECTRICAL INSPECTION ?
See instructions ior completin this torm on back of yelluw copY.
.13? 9 00 q ?.._
""X" Below Wark Covered by This Request ,
EB-00001-03
Bw Atld flep. Type of Buildin9 Appliances Wired EquiOment Wired
Home '1( Range Temporary Service
Duplex Warer Heater Lighting fixtures
Apt.Building Dryer ElectricHeatin
Commercial Bldg. Furnace Silo Unloader
Indus'trial Bldg. Air Conditioner Bulk Milk Tanlc
Farm ome. oeufv Dihor 15pedfyl
[ er Specify. Othor Othee
Compute lnspectian Fee Below -
# Fee ServiceEntrance5ixa k Fee Feflde?slSubteatlers 11 Fee Cncuits
) ?00 0 tn 100 Amnc 0 in 30 Amn, v?' .'r. S?% 0 to 30 Amnc 11
I I I i U1 to 200 Amns 1 I 131 to 100 Amns 1/ I.r.. a/o I 37 to 100 Amus I
Sipns Special InsUection $-J TO FEE
Aemarks ? d'(
Rouph-in (
n Da[e
?-/f,.0
InspectorC'lereby
certity thet Slie above
Final /
? E..f. k;. DriteJ,
,i inspection bas hean
made.
This reauesi vaid
18 months trom
CITY OF EAGAN
3795 Pilet Knob Road Eagen, MN 55122 N2 6566
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Receipt #
To be osed fo. SF DGVG/GP.R Est. Volue 73.000 Date 3-24 , I$1
Site Address 4637 Beacon Hill Rd
? OcCUpancy
Erect ?
Lot 13 Block BeaWn Hll1
1 Set/Sub qlter ?ning ?-
.
10 13500 130 Ol Repoir ? Fir Zone
Parcel # -
z Name l:til]Lec nULCS 1l1
Z Address 8601 Dar?nel Rd.
o Eden Prairie?
p Name _
F
?? Address
? rtr..
Name _
Addrew
I hereby acknawledge thot I hove read this application and state thot
the Informofion is correct and agree To comply with ull opplicable
$tote of MinnewM Stotutes and City of Eagon Ordinances.
Enlar e ? Type f Const. U
Move #' :ties Dem
ish Fro48 ft.
,.Grod Dep42 ft .
ororal Feea
Water & $ew.
Police
Fire
Eng.
Planner --
Coun[il _
Bldg. Off. _
APC
Permit
Surcharge 36.50
Plan check 87.00
snc 525.00
Water Conn. 335.00
WoterMeter 60•00
Rood Unit 185.00
Totol 11402. 50
$ignature of Permittee I
A Building Permit is issued to: Centex jjgmeg M}c6iegt on the express condition iFwt
oll work shall 6e done in accordance with pll appliwble_Stpte qf Minnesota Statutes and City of Eagun Ordinances.
Building Official
?- qdfc0
2008 RESIDENTIAL BUILDING PERMIT
Date: Site Address: J ?Q") / ?• /? ?? ?
Tenant:
,??'/#o &
; ---------------- ;
j Permit #:
I I
? Permit Fee: ?
? Date Received _ j
I I
I Statt: I
I - ________________'
PLICATION
RESIDENT 1 OWNER
Address / Ciry / Zip:
Applicantis: _Owner _y Contractor
TYPE OF WORK I Oescripiion of work:
Canstruction Cost:
CONTRACTOR I Name:
Phone:
Suite
Multi-Family Building: (Yes_/ No
License#:
Address: IneMorICIi {w- tU.
City: IU&VL*er State: i i?Zip: G0080
Phone:(2?J1 '-I'] I•? ;LO ContactPerson: T?(Wen
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqory 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
1 hereby acknowletlge that this infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I underetand this is not a permit, 6ut only an application tor a permit, and work is not to start withoul a pertnit; that the work will be in
accordance with the approved plan in the case oi vrork which requires a review and approval of plans.
= C????] (
x
Appiica?ted ame ApplicanYs Signatur
Page 7 of 3
-?5o9N
2006 RESIDENTIAL PLUMBING PERMrrAPPLicaTiorv
CITY OF EAGAN
3830 PILOT !(NOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
41 S, so
oate
Site Streee Address Tl„ 3:z IbQac
?
o Unit #
PropertyC)wner J?pr?n,? Telephone# ( )
Contractor Telephone #
Address__ a.71$ rVie41hT(p st. Ciq,6nn,n kn?? State A4N Zip SSWO?
The Applic:cant is: _ Owner V"Contractor Other
Septic Syslem _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
u Per as-built $ 10.00
Alterations to existing dwelling
$ 60.00
_ Acid plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softener and/or water
heater
do not
,
complete this section; move to the next section and check the
appliance(s) you are installing.
?
_Septic System Abandonment SEQ 1 l?0pg
_Wate:r Turnaround (add $130.00 if a 5/8" meter is required)
_Other:
_ WaterSaftener Water Heater
$ 15.00
new -Zreplacement
_ Lawn Irrigation ,RPZ _pVB _new _repair _rebuild $ 30.00
State Surcharge
$ 50
Total
$ /S SD
I hereby apply for a Resitlential Plumbi P
ng ermit 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 ttiis 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 inrith the approved plan in the event a plan is required to be reviewed and approved.
&.l _ 6-avt ? jl_'
AppiicanYs Printed Name ApplicanPs Signature
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan; Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
PermitNumber: 033463
Date Issued: 09 /25/9 s
SITE ADDRESS:
P.I.N.: 10--13500-130--01
4637 BEACON HILL RD
LOT: 13 BLtICK: 1
BEACON HILL
DESCRIPTION: R E R no F
Bui?i?.n Q Permit Type STORM DAMAGE
B,?iJding A,* rk Type REPATft
0'eTti?(t% CO434 ALT. RESIOENTIAL
et' R?
R? ?%I?[
d2
C
e @F
?
'k I s ?
V
n"n&iw t 3F?6 ,? s 32 P'?'M ?d. P&s:'w
3 I ?
E??'. ?'vb.5G
? sa
?f? ? 5A L ".y ? g&siRi£
re v ? 3 f ?ry
REMARKS:
FEE SUMMARY:
APPLICANT/PERMITEE SIGNATURE h56UED BY: SIGNATUR?
1998 BUILDING PERMIT APPLICATION (RFSIDENTIAL)
CITY OF EAGAN
7 I 3830 FII.OT KNOB RD - 55222 ???
6s1_?7g y
New Construction Reauirements
• 3 registered sRe surveys -
• 2 copies of plans (inGude beam & window sizes; pouretl fitl. design; etc.)
? i energy ealculations
• 3 copies of tree presenation plan 'rf lot platted after 7/7193
required: _ Yes No
DATE: 2r Z I ' 611
DESCRIPTION OF W
STRE T DRESS:
RemodeVReoair Reauirements
?.?
? 2 copies at plan
? 2 site surveys (exterior adEitions & Aecks)
? t energy calculations ior heated adddions
CONSTRUCTIQN C05T; 3 O
LOT: _?) BLOCK: I SUBD./P.I.D. #: faQ_Q CQn-\,_ « I1i
PROPERTY
OWNER
CONTRACTOR
ARCH[TECT/
ENGINEER
Name: {?] om n -J Dk(U Phone #:
Lac[ Firs[
Street Address: q( 2LZ 95;01011)h 17 / /I ?
City ?2 a Y,\ State:
Street Address:
f)
cicy ssace:
Company:
Name:
Street
City
State:
Zip:
Phone #: 2 `7 • 5- -00 'y- 0
License 1 4/C J
ZiP: Z?33 f
Phone #:
Registration #: _
Zip:
Sewer & water licensed plumber (new construction only): . Penalry applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coaect and agree to mpiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. _#_ /J
Signature af Applicant OFFICE USE ONLY
I' ,(
Certificates of Survey Received _ Yes - No III{? -
Tree preservation Plan Received _ Yes - No _ Not Require?u
L/J? gL / CITY USE ONLY RECEIPT #:
SUBD. ? ?,?C1 DATE: I °2
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Fioor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
SITE ADI
OWNER
INSTALL
STREET
CITY: ?
TOTAL ?
? gL'v?Pn,?, ?d -
1`a `! ).JC'
STATE:
ZIP: SO6
PHONE #: (& /)- ) 4023-37 3
P„ger 98C?J -4Qv2?
? CLTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-13500-130-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
HILL RO
1
4637 BEACON
LOT: 13 BLOCK:
BEACON HILL
ckMI
BUILDING
026068
07J25/95
DESCRIPTION:
Buzidi:ng ;permit Type pECK
Building Wor.k Type NEW
r'
\
,
.
..i
A .,..? ...F "..? ._. . .
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 7ota1 Fee $31.00
Subtotal $30.50
CONTRACTOR:
OWNER: - Flpplicant -
7HOMPSON JON
4637 BEACON HILL RD
EAGAN MN
(612)686-9842
I hereby acknowledge that I have read this applioation and state thet the
infiormation is correct and agree to cnmpty with all applicable State of Mn.
StatuCes errd Ci,ty of Eagan Ordinances. ?. J
aA,t - . • % flCqlo
61- APPLI ANT/PERMITEE SIGNATUR ISSUED e SI TUR
?1l
CITY OF EAGAN
1995 BUILDING PERMIT APPBCATION (RESIDENTIAL) Cp
681-4675
New Conskuetion Reauiremerrts RwmerfeL??eoair Reauirements
? 3 registered site wrvsys ? 2 eopks of plen
? 2 copiee of plens (induda beam 8 window sizes; poured fid. Qesign; etc.) ? 2 site survays (e#erior aEdRions 8 dedcs)
? t energY calp+laong ? 1 energy celculetions Mr heated additions
? 3 oopks of troe preaervation plan it bt plaUed after 7/1l93
roquirod: _ Yes _ No
DATE: -7-6"95- CONSTRUCTION COST: 4a DOC)
DESCRIPTION OF WORK: J e ?
09TREET ADDRESS: jl?
LOT B_ BLOCK SUBD./P.I.D. #: ? 0,Q
PROPER7Y Name: 191rn.fXor'1 J2,nn?'Ver /Jon phone #: (aU -28'`ra
OWNER * MI*
StreetAddress•
City: t?a?ctl-) State: YYllO Zip:
CONTRACTOR Company: Phone #:
Street Address: License #-
City: State: Zip•
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby adviiowledge that I have read this application and state that the informatlon is co ct and agree to comply with all
appiicable State of Minnesota Statutes and City of Ea9an Ordinances. . /Z11-
Signature of Applicant: ?l
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No J U L 2 0 1995
Tree Preservadon Plan Received Yes No
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0 oENorrES iRoW MoNUN1UT
I hereby certify that this survey wae prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of e tate of Minnesota.
Date+J?uuwY 19it9t;
LeRoy H. Bohlen
Registered Land Surveyor No, 10795
- - - `r Ex?S? 977,8
?5 9'i7.b
?
64(7q07 CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evations &
BUILDING PERMiT APPLICATION 1 set of energy calculations.
Zb Be Used For Valuation Date
site Address : Ll 6 3 7 8ea cvj 9i ll?oA- a ? o?'zCE u,
Lot I3 Block ? Sec./Sub. Erect '` Occupancy
_____-- -- -------- Alter Zoning
Parcel #` 10 13 5 P o . l3 O o( J P?•r Fire zone
??: SLFina ,4S .he%H1
Address:
City/Zip
Phone #:
Code:
Contractor: SuNWoDa ?n.,,.? S
Address: ?i
City/Zip Code:
Phone #: q
Arch./Ehg.
Address:
City/Zip Cocle:
Phone #:
Pal
Enlarge 7ype of Const.
Nbve # Stories
Denolish Front ? ft.
Grade Depth O ft.
APPROVAIS FEES
Assessments
Water/Sewer
Police
Fire
Bldg. Off.
P.PC
Pexmit
Surcharge
Plan Check l? ?'-
SAC
water conn. yso
Water Meter
Road Unit gd-a --av
TarAL Cl (X9 t50
Ar'?l?1983
E OfII,Y
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0 oENatES sRom NtoWUMENT
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Regietered
Land Surveyor under the laws of e tate of Minnesota.
Dateij?uuw 19i09t3 'e '
LeRoy H. Bohlen
Registered Land Surveyor No, 10795
_Doi
FffAT LOSS
?
WutAentrips
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Are.
int.
Split Entry #73
'ARTMENT OF IN$PECTION
Gndtictioa, No: '
?,ryuuw p. n. 41l.R W q. 10a. W.A. Llader uta
Fl. Kit.+RrDin Room Leyt6 19' Widt6 12! Hasbt 8?0??
'Pfmdo?n and Doon-Cnektie and Ms* •-
Big
31'x 51
1
191 x 12
'x 2
h. ED.R. or r
^oom Room I
¦ed DootF-Cn
? r?niB I
'
Mw Id1A
?f Nw0 M?f??1
et M?? Na
IY\M 1.
«:neY An?
A. t4
Coef. Bw
In611ra1ioa
Glw
FYp. wdl 'abnx gt u
Net exp. waU 44 • 6 6
Inl. wall
Ccilin` 7 2
Floor t m n
f OlU IXW 1?56 I
Required p. h. ED.R a q. mL W.A. lwader .na
Top floor total BTO's 26.9037
Fl.I
ImuLtios
?i
Windows and Doon--Cnckage and Ana
-
Nw wu
of w L.
y?a
af N w. a
li«N ..? tr
*9 aeM\ ??..
AL
1 1 1
Coef. Bm
6wtration 14 0 60
Close 12 2 62
Exa w.U 2 ' x9 1 184
Plct tap. wall 6 1032
ln4 wall
Ceiling lllx 12.1 921,
Floor lllx 121
?
Ta.! Btw 900
Repied w. h. ED.R or .q. m. w.A. ?..d?..K.
top F1d Bed'#2 RoosI lsnQt6 10? W;dt6 2 lleW4 ?-
Wmdom and Doors-G?ekaae and
wu. > U.« n. ...
Mw ?f N el NM \4 ot n4N q. f1,
inuballse
GIW
Ew? 22Ix8I
Na•xw? 164 8
lnl. wal? t
CLaNa lO'X 1Z' 8
F1aor 10 t 1 600
low mu. 60tl
ReW'ved q. h. EDR m p, m& WA Lader area
I BotiF1. BasemenL RoomlLeo9t6 39 I Widih p, ? Heiglu
Wiodowa and Dmn-Cr.ek.w .nd Ar?.
Na
?f rN ?:4 1
?t wr S. r
Iy?u .wi eL
M
ILwck A.
". O.
-
2' 6,
1 18? lg?
Coef. BW
InfJt:?tios
CI\Y . 2 2"
Exv well 1?I , r x 1 , i j t496 !?2
Nat ay. wdl 6 2652
lot. w&ll
Ewing 2L'x 3' 912 7 3
Floo+ 2 'x 91 912
t Obl OitL
_ Rpuired p. h. ED.R, x w. inL W.A. Le.der •re•
Bottom floor total BTU'e 18,921?
oar
rEAT L.ass cai,anAnoNs
Wnlhenlrips
Referma II Out.
19_
i
..n
&u.
ired p. (t ED.R. or
Kit.+4Di.n Room
edew. .?d n-__ ,
Are&
A.
?n
Split Entsy #73
PARTMENT OF INSPECTION
Coostruction Ma.
Va11 4?7ie? Roof Floor
n
Mw N?\
?e MM Hf?t
H N?? ?.•
IM?u ?,
?! ?nay _
. ry,
1
YaY
?O?vi4eO TO .
CJw
?N'? 31?x BI 3
Nn esp. watl
20 t1224
te? ?vaU
19' x 12 1 22
Floor 19 x 20 Zp uTjp -
?OYI IXY.
ReQuired p, N. ED.R. m
F1-IBathroom Room
Wiadmm and Doon-4
I naig6t I
Mw NN?A
?f Nw6 NNjp?
?f N., a
11f\4 ?r
N aUb N?
w• f1.
cA.r. ew
CJw
Eip.waU 516nX Bl n
Net eap. wdl • 6 6
let. wdl ;?.
`
Ceilin` 7 102
Floor t u t n 66 4 1
,«u aU. 1056 II
Required p. h. EDR a q. iee. W.A. La?r .ra
Top floor totel B191's 2t5x037
?!!?
lawdatioa
n
w muv.n 6 0111 uw ?racu ge wa A Poa .
Mw 1W{!
A • 1.1s\t
N b Ma"
14hu w1
Mana4 1?N
.K
1 1 12
Coef. 8tY
14 0 60
Gku 12 2 62
EXP..+.u 2 fx9 1 184
Net emp•w&U
JM 6 1032
ICt. MaII -
CeJing llix 12'
Floer 1 i i
Ta.l Bto. gpp
Raquired sa k. E.D.R a p. mo. WJ1. L.4
Pop F?.I Bed??2 Row.llsyth 101
%0
Wmdows aod Doon--Gitekar asd Mee 2
Heyld '
Mw Idt\
?fr?? Up?.
?t wr a?f
1y?Y ?r R.
N e?u? An?
. f1,
'
In5luuim
Glw 1
Exp. wag 221s6 1 -i7-6
Nd ow•wall 16 6 B
lot. wap
cedine 10'x 12'
Floor 10'x 1
"lolal dM. 608
RW" w• N. EDR «q. mL WA Lwdar aeea
Bot$1• BasemenL Roomlleegt6 39? a? 2L? ?sht
Windovn and Deorr-Craek..e .nd AR.-T
N?. ts
?f ?aN ?4 1
?f MN P. tl
1 OY Mw L
M?r?ak a?
w• ?I.
L2' 6'
1 18' 191
_ L cftr ea,
1a61t:?tiea
?•" 54 2 2808
Ea waD iai, 'x 496 42 2520
Nat esp, wall 2 6 2652
Int. wdl
Cedag A Ix 3' 912 7 3
RO°' 2 ' X 9' 912
,ow Ot..
R.wvaa .a rt. Eu.R. x p. i... wr?. L..dc..K.
Bottom floor total BTU's 18,921?
1-?`C)""
2006 RESIDEN7IAL PLUMBiNG PERMiraPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
?? ? 1 ?_
?
??
?
Date
?
/? ?[
/
?
_
nit#
SiteStreetAddress i??7
P Telephone #(pS/
62
Property Owner
w
? 0/0 ' f? Telephone #
Contractor
City U/ j- State'??) Zip
Address
The Applicant is _ Owner ? Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
New
Septic System fee
Includ $
_
_ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. If you are installing onl a water soffener and/or water
heater, do not complete this section; move to the next section and check the
? appliance(s) you are installing. -
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meier is required)
Other.
? Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _,PVB _new _repair _rebuild $ 30.00
$ 50
State Surcharge
$?
Total
is Pnn,nio ta anri ar.curate: that the
I hereby apply for a Residential Plumeing rermic ana acrcnowicuyc ti [a< <t lu 11 11?1 I II - --.1-- --- -- -
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
accord ce with the approved plan in the event a plan is required to be viewed and approved.
-T
Ap ic Ys Printed Name Applic nt' Signature
City of EapIl
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
i ----------------,
i ?
7 ?
j Permit #: ?
?
? Permit Fee: ?
I /-2 -/I I
? Date Received:
i scarc i
L ----------------?
2008 MECHANICAL PERMIT APPLICATION
Date: 1?' U"Y? Slte Address:
4637 Beacon Hill Road
Tenant: Dennis & BrnnkP S;lva Suite#:
RESIDENT/OWNER Name: Dennis & Brooke Silva Phone:651-687-9909
Address/Cify/Zip: 4637 Beacon Hill Road Eagan 55122
CONTRACTOR Name: Ron's Mechanical Inc License#:
Address: 12010 Old Brick Yard Road
City: Shakopee State: MN ZiP; 55379
Phone: 952-445-8585 ContaclPerson: Linda
/
TYPE OF WORK Replacement _Additianal _Alteration _Demolition
-New
Description of work:
&'}...J, kH.?
RESIDENTIAL COMh1ERC/AL
PERMIT TYPE Interiorlmprovement
NewConstruction
Z
_
Fumace _
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
'
_
HVAC units must be screened
Heat Pump , Under / Above ground Tank (_ install /_ Remove)
Other " When InstallingKemoving tank(s), call fw inspection by Flre
Mflrshal and Plumbin In or
RESlDENTIAL FEES:
$50.50 inimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifC fBpdif (replace burned out appliances, ductwork, etc.) (includes $.50 State SurCharge)
(Dn
$ W •?? TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contrect Vaiue $ z 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permlt F@g is lesa then $1,000, suroharge Is $.5a.
- If Permit Fgg is > 37,000, surcharge increeses by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$7.00 surcharge).
$ TOTALFEE
i nereby acknox7edge tnal t0is information is complete and accurete; Ihat the mrk will be In conformance with the ordlnances end cotles af the Ciry af Eagan; that
I understend Ihis is not a permi6 but only an applicalion for e pertnit, antl work is not lo slart with?ut a permit; ihat the work will be in eccoMance Wth the approvetl
plan ir, the cese of work which requires a review and epproval al plans.
t
x ),11'1dQ A-,UY1QmCje'it/ x
Applicant's Printed Name Applicant's Sign t re