4687 Beacon Hill Rd
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eopan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795" allot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: . c' r 5
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of I nsp.: Total:
Insp.: Date Paid:
~ PERMIT # ,
CEO
C~iL Up~g% MECHANICI PERMIT RECEIPT #
CITY OF G'AN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7 le -7
CONTRACT PRICE: PHONE: 454-9100
Site Address BLDG. TYPE WORK DESCRIPTION
LotBlock ~ Sec/Sub
Fees. v New
Name ~'Mult Add-on
m bomm. Repair
Ta Address
c City Phone ;Pther
FEES
Name - `kN. HVAC 0-100 M BTU -$24.00
i 3 Address AADDITIONAL 50 M BTU - 6.00
O City Phone tRES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION) TLETS
ERM TYPE OF WORK CPAS OMMt/IND FEE - MINI 1%MOF CONTRACT FEIT) - 1.50 EA.
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 - 12.00
Air Cond.« M BTU $j,~ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50
PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: ~S/C: SIG ATURE OF PERMI EE
TOTAL e
FOR: CITY OF EAGAN
CITY OF EAGAN 1 4 7 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454.8100
BUILDING PERMIT Receipts
To be used for Est. Value Date APRIL 1 ,19
Site Address `i`~i7 f)i:1.07)t; ;',,LL Rl) OFFICE USE ONLY
Lot ` S Block I Sec/Sub. REAL ON 111 LL ADI) On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
Q Name CIL`U L'-:WIS City Water (Allowable)
3 Address 4687 RFACUN HILL R11 PRV Required # of Stories
o City ti~.AGM Phone 452-76 5 Booster Pump Length
Depth
o Name B-KJAMIN CGWSUCCTION S.F.Total
o < Address 5247 81 C><}HINGTI N S Footprint S.F.
City mPLS Phone 729--897A APPROVALS FEES
~ W Engr./Assess. Permit 34.00
Name 100
F W
u Address Planner Surcharge •
Council Plan Review
X W City Phone Bldg. Off. SAC, City
i hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee , Road Unit
A Building Permit is issued to: 44L
Treatment P1
n the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks -71~
• Ot;
TOTAL
Building Official-
Permit No. Permit Holder Date Telephone it
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3796 Pilot Knob Read Eagan, MN 55122
PHONES 4544100
BUILDING PERMIT Receipt #
To be mod for Est. Value Date ? 9
Site Address Erect
❑ Occupancy
Lot Black _ c/Su4, Alter ❑ Zoning
Parcel # Repair p Fire Zone
Enlarge ❑ Type of Const.
W Name Move ❑ # Stories
Z Address Demolish ❑ Length
city Phone Grade ❑ Depth Sq. Ft.
Name Approvals Fees
,o
uU Address Assessment Permit
~ City Phone Water & Sew. Surcharge
Police Plan check
WW Name Fire SAC
H
ma Address Eng. Water Conn.
iW 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
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition thni
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
A g ( 7
Plumbing p2 l C~ ll Z fqq
H.V.A.C. 3 T~ ~Tu `~M ~3 $
Well
water
Disp.
Sewer
Electric S 43Z Wh,.4LY\ "
i
Inspection Delta Insp. Other
Footings
Foundation
Framing
Rough Plbg. . f .p
Rough HVAC
Insulation f
Final Plbg.
Final HVAC
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
L Type or Print legibly Tot.
1. Date' 1f -e+Z 2. Installation Cost
3. Job Address n f} j -1 Lot Tract
4. Owner
5. Contractor ~ii-}P/C ,_yrJ/1J Phone
6. Address
7. City ' r' l I l 1 e -p, )j state Vi ju zip
8. Building Type: Residential Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
-L Laundry Tray
Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee •
Fill In numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe Fuel Type
11. No. Equipment STU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 23 Blk I Parcel 10 13500 230 01
Owner Street 4687 Beacon Hill Road State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. td 1982 1806.93 200.77 9 1806.93 0007385 10-1-81
STREET RESTOR.
GRADING 526.46 58.50 526.46 CUU7385 -
SAN SEW TRUNK 3 1976 35.97 9.06 15 90.67 A008956 3/18/80
SEWER LATERAL 3116.46 346.27 9 3116.46 0007385 10-1-81
WATERMAIN
* WATER LATERAL 1982 9
WATER AREA 1982 198.01 22.00 9 198.01 0007385 10-1-81
* Stubs 1982 9
STORM SEW TRK g 1982 359.82 39.98 9 359.82 0007385 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
21+0.00 31203 8-3-82
WATER CONN. 420.00 rr n
BUILDING PER.
SAC _ rr it
PARK
Jmr--~ If
II
4~itp of Callan
This Catifiawe iowad pwrtwsst to t& vap&eorentr of Settiow 306 of tht Uni foyer Building
We artif *g that at the tine of hose ce tbu mrw m was is cone pliaaa witb the sane
j orks"m of the City regwhedsg ba 4disg morwuien of am. For the following:
4.i wamsmkow SF DWG/GAR Md&Pa *No, 7426
R3 NA Rl
I4Pcar mdm V P"Z~ Eown wwda
O.F.W ryp
4,I ~au1 Mark & Sondra Warm 4687 Beacon Hill Rd- # Eagan`
4687 Beacon Hill Rd-Lot 23, Block l,Beacon -Hill
y' September 27, 1982
~ heel "Offidd VAL- Doe,
r
'OaT Ia A COMMKYOY, ~C[
T714-request void X(z(o 1-2.31 -SJ 41 &x 4Co~ 4trl ~ 31 (pz q
18 rgonths from 37 r C7
Dat of,, 's Request ZG Fire No. S 8 9 9 3 2
I, as tensed ectrica Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wirin installed at:
Street Address or Route No. YI AA C0-,t 4111 ~d t City
Section Township /a~ nRnge County~A1 Db TfIr
Which is occupied by 4e (,(,GIBE
(Name of Occ ant)
Is a roughin inspection required on this job? No ❑ Yes Ready Now)< Will Call ❑
Power Supplier-, ~d~/Ca~~ &r~ C Address FA9#441~
wt-0 47J 'fX Cr72z C Contract is License No.
Electrical Contractor 1661-7
(Comp /~Y Nam /C r I.
Mailing Address Ali t• ( Iectr 1 nt r ner Making This I taiiation)
Authorized Signatu e - Phone No.
(Electrical rc~ontr ~,+or Owner Making This Installation)
S 1IS~AU~? )p D(D Fit41 %'Y This inspection request will not he accepted by the
e✓ a is vu twuu ~a State Board unless proper inspection fee is enclosed.
CITY OF EAGAN
r.; 3793 Pilot Knob Road Eaton, MN 35121 N? 7429
PHONE: 434-8100
BUILDING PERMIT Receipt # ~?/0?0&
To be used for SF DWG/GAR Est, value $53,000 Dote August 3 1y82
Site Address 4687 Beacon Hill Road Erect gp Occupancy R-3
Lot 23` Block I Sec/Sub. Beacon Hill Alter ❑ Zoning R-1
Parcel # . 10 13500 230 Ol% ' Repair ❑ Fire Zone NA
Enlarge ❑ Type of Const. V
a Name Mark & Sondra Warren Move ❑ # Stories
Address Demolish ❑ Length 60
city Phone Grade ❑ Depth 24 Sq. Ft.-
a Name Oak Chase Builders, Inc. Approvals Fees
ou Address 4525 Oak Chase Way Assessment Permit 289.00
u
t' CityEagan 55123 phone 452-3083 Water & Sew. Surcharge 26.00
GW APS Plan Service Police Plan check 144.50
Name 525.00
i? Address 7668 150th St. West, Fire SAC e2n_nn
uu Eng. Water Conn.
ci Apple Valley phone 432-3363 Planner Water Meter f;n_nn
Council Road Unit 7411 On
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable $1704.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: Oak Chase Builder )d), Inc. on the express condition thm
all work shall be done in accordance with at applicable S of to tutee and City of Eagan Ordinances.
Building Official
CITY OF EAGAN N _ 14 7 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # UU QQ
lp
To be used for BASEMENT Est. Value $1,500 Date APRIL 1 19 88
Site Address 4687 BEACON HILL RD OFFICE USE ONLY
Lot 23 Block 1 Sec/Sub. BEACON HILL ADD On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name CHUCK LEWIS City Water (Allowable)
i Address 4687 BEACON HILL RD PRV Required #of Stories
3 Booster Pump Length
o City EAGAN Phone-452-7675
Depth
c0 Name BENJAMIN CONSTRUCTION S.F.Total
va Address 5243 BLOOMINGTON S Footprint S.F.
City MPLS Phone 729-8976 APPROVALS FEES
mm Name Engr./Assess. Permit 34.00
~z Planner Surcharge 1.00
X3 Address
Council Plan Review
U City Phone
cw
< Bldg. Off. SAC, City
I hereby acknowledge that I haver thi app l' ti s to that the Variance SAC, MWCC
information is correct and agre, •c 4P1 i I' able State of Water Conn.
Minnesota Statutes and City a r P e s .
O
Water Meter
Signature of Permittee
Road Unit
A Building Permit is issued to:JIFNJAMIN_ CONSTRUCTION- Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 35.00
~,91
Building Official
Thimo¢' rom rd o o/o 7 /'//0 U[Y
Request Oate Fire No. ough-in Inspection
97 e❑qurted? early Now ❑ Will Nutifv Insp¢c-
3D Ves o for Wh%efn Ready
fRLicensed Elec rical Contractor I harebv request ins Dection of abov
❑ Owner electrical work installed at:
Street Address, Box or Route o. City
Y7 crtca.~ y"LL All. -
ectrono . Township Name or No. Range No. County
J?d 1
Occupant IIP~Rj?$TI Phone No. y 75-
Power Supplier Address
Electrical Contr tt r (Company Name) Contractor's License No.
cf~2Sz
1I. i r 4G4e'-G70~f%-C- 0
Mailing Address (Contractor or O net Making Installation)
7 'W -1 c - /v-'5' f.
Author ized Sign t e lC tractor Owner Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
OrIBBs-Midway Bldg. - Boom N-191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612)642-OROD ENCLOSED.
(y//(/~~f REQUEST FOR ELECTRICAL INSPECTION EB-00001-05
~j See instructions for complati ng this form on back o7 vallow copy.
ay 87 X" Below Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equiomanl 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 Ot er oeci y the, (SneciM
t ,r Spgcify ther Other
womoute Inspection Fee Below wl.
g Fee Service Entrance Size N Fee' Feeders/Subfeeders a Fee Circuits.
0 to 200 Am s 0 to 30 Amps 0 to 30 Amos
Above 200 Amps 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100-Amps Above 100_Am
Transformers Irrigation Booms Partial"Other F
Signs Special Inspection
$ F U
Remarks 'fs TOTAL
(.p-Nd plc- ~ . O
Rough-in J6- GT~e Ithe 1 ric~
pao,
reby
h
Final Date paction has been
192 made.
This request "Id 15 month from
~6. o
This request void i/~//ry ~j 5Z
16 months from N d i3 ~ OUr
® 6 61 1 ~,7 i~~ ~o
Request Date Fir No. Rough-in Inspection
` Required?ea dy Now ❑ Will Notify Inspec-
Q'Yes ❑Nn for When Ready
❑ Licensed Electrical Contractor I hereby request inspection of above
916wner electrical work installed at:
Street Address, Box or Route No. City
U I
'a
aq( ecu on o. Township Name or No. Range No. County
OccUPdnt (PRINT) Phone No.
G 7S'
Power Supplier Address
Electrical Contractor ICOmpany Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Instailation)
y(a87 ec 'U
Authorized Signature (ontraclod Ar Making Installation) Phone Number
-7675
MIN OTA STATE 8 ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Girt s-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
P r.,,,,e inio, Ra2_nRnit
REQUEST FOR ELECTRICAL INSPECTION EB--00001-06
See inst-uctions for completing this form on back of yellow cope
66 1 9 1 Y X Below Work Covered by This Request
New AdJ Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatln
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
dd 11 ~ Farm other peG y .Ihcr IS necily)
t nr A Omer Othpr
ompute Inspection Fee Below
Al Fee Service Entrance Size h Fee Fead.rsrSubfe.dvor Fee Circuits
0 to 200 Amps 0 to 30 Amps -T to 30 Ar is
Above 200 gmps. 31 to 100 Amps 31 to 100'Amps
Sw invni mg Pool Above 100Amos Above 100_Amps
Transformers Irrigation Booms Partial 'Other Fee
Signs Special Inspection S_~^
Remarks C~'(J TOT F
Rough-in "ate I,th Electrical
Insp. tor, h by
certify t at the above
Final t j inspection hes been
G J made.
This request void 18 months from
mmnesoxa Dtate mans or -electricity
Griggs Midway Bldg. - Room N191 EB-00001-02
.1821.U.aiversity Ave.. St. Paul, Minn. 55104 - Phone 297.2111
. REQUEST FOR ELECTRICAL INSPECTION
CHECI,BELOW WORK COVERED BY THIS REQUEST 8 9 9 3 2
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ Range ❑ Temporary Wiring
Duplex El ❑ Water Heater ❑ Lighting Futures Y-Fr-_
Apt. Bldg. ❑ ❑ ❑ Dryer ~,y❑~ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace yr~~ Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
Farm ❑ ❑ ❑ List ) List
Other ❑ ❑ ❑ Otehers} Others
e ere
COMPUTE INSPECTION FEE BELLOW ffff H
Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes i
101 to 200 Amps. JKI / 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. Above 100 Amps. Above 100-Amps.
Transformers 11 Remote Control Cite. Partial or other fee
Signs 11 Special Inspection Minimum fee
Remark n TOTAL FE ,3? tm j17 'Z D
the rl~ctne he by certify e ab,~ j eEtion as beep made.
Rou n ate
!Final) Date
is request void
`aonths from
City of Eagan
Cash Receipt
Receipt Date 11/14/2007
Receipt Number 136236
OLIVER & ESTEHER JORBEDOM
DAYCARE INSPECTION
1201.4216 50.00
4687 BEACON HILL RD
Total Receipt Amount 50.00
110249 9:45:18
1
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 c4 a -9
651-681-4675
New Construction Requirements Remodel/Repair Requirements
> 3 registered site surveys showing sq. f1. of lot, sq. ff. of house 2 copies of plan
and all roofed areas I maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 coples of plans (show beam & window sizes; poured tnd. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
> 3 copies of tree preservation plan R lot platted after 7/1/93 a o
DATE: X1910 CONSTRUCTION COST: / 3 b
DESCRIPTION OF WORK: /Pa a K 9/ ~^2 7cy f~av cl ss-yam ~4 P .
STREET ADDRESS: r S>7
LOT: BLOCK: SUBD./P.1.D.
Name:_ r!4 4e 6 J Phone
PROPERTY Lost First
OWNER
Street Address:
City C107 ~~7 ~~4 J N f Q
State: /Z1. Zip:
Company: Z', r Phone CONTRACTOR (area code)
Street Address: 339a fy License # 37c" Exp.
City State: ,~2 • Zip: ~ r
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer & wafer licensed plumber (required for new construction onlv):
Penalty applies when address change and lot change is requested once permit Is Issued.
I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
1 I
Signature of Applicant. -
OFFICE USE ONLY y jcc)q
Certificates of Survey Received Yes No
I`
Tree Preservation Plan Received Yes No Not Required --J
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of\ energy calculations.
1~tka
To Be Used For S~ qw ay, Valuation ~',(}ZYp Date J~ 30,
Site Address q641 13 I4,v ems. OFFICE USE ONLY
Lot 93 Block 1 sec./Sub. Qepto Erect Occupancy
Parcel C) O 23O C7 J Alter Zoning
Repair Fire Zone
Owner: mq~zK E Sprnprc' WCL"vRw Enlarge _ Type of Const.
Address: Move # Stories
Demolish _ Front 4~d £t.
City/Zip Code: Grade Depth 2 £t.
Phone
APPROVALS FEES
Contractor: O(~k-CIasc 3~i acaS Inc- Assessments Permit
Address: y5ZS 01 Water/Sewer Surcharge
Police Plan Clock
City/Zip Code: Ccxe,a Vn SS33 Fire SAG Eng- Water Conn. c/ pD IM-
Planner Phone y52 - 3pk3 Water Meter e0o
Arch./Eng.:p S Syrv✓ ce Council Read Unit </~j
Bldg. Off.
Address: '--~6 6S r So' ST Lj APC
City/Zip Code: Lplp " 5 s 12Y
Phone y 3 Q--3363 TOTAL 10* S o
J
i 701
y~ ,O
Certificate fort Survey for:
Centex Homes Midwest Inc. Wally Hafehad
3 8601 Darnell Road 1480 Yankee Doodle Road
Eden Prairie. Mn. 55344
Sagan, Minnesota
DELMAR H. SCHWANZ
LAND SURVEYOR
W
ry Rayiatara! Under Law$ of TM State of MInM,ota
7670 - 146TH STREET W. - BOX M ROOEMOUNT; MINNESOTA 66660 PHONE 612 423-1769
J th SURVEYOR'S CERTIFICATE 0
0 o
ti o
3 0 gq . ~(0 08N/ 10 935.4 n~
&3.33 3o.70
o I 1 _1
ti ~ N ~ p,¢lu~ ~4 Duo m
N
23.33 ti
5 ` I
a 0 F M„1
o ~ 23.33 QW~~ I~ Z ~ f 1
3' .23.3 30~~
3
I h-reby certify that this is a true and correct
representation of Lot 23, Block 1, BEACON HILLS,
according to the plat thereof, Dakota County,Mn. 1
July 5, 1979 SCA N 1
o Denotes iron monument 93q.0 Proposed garage floor
® Denotes set wood hub & tack elevation.
')160 Denotes Existing Elevation 9 i.4 Proposed top of block
95oD Denotes proposed Elevation elevation.
Proposed basement floor
- be. Denotes direction surface drainage elevation.
Also showing the proposed location of a house not staked as
of this 20 day of May, 1982.
House revised June 10, 1982.
MINNESOTA REGISTRATION N0.0675 l
EXTERIOR EAIVELC?E AVERAGE "U' COMPUTATION
OWNER
SITE ADDRESS
CONTRACTOR42a- 4? dl G DATE /BrPHONEIgE-3983
Determine working square footage of each.
1. Total exposed wall area 02, g9 sq. ft. x .19 = 31X,o7F3
2. Total roof/ceiling area 94, sq. ft. x .04 -.34.&r
Total exposed wall area above floor = /G/,•O
a. Total wall window area .................1•ya.9
b. Total door area !W.9
c. Total sliding glass area qxv_
d. Total fireplace wall area O
e. Total wall framing area (average 10%).../G/.9
f. Total net wall area above floor
S. Total rim joist area or 3.3
Total exposed foundation area = d6,.'7
h. Total foundation window area O
I. Total net foundation area above grade .
Determine 'U' value of each wall segment.
a-1 -W-7 UUn ss = 7 ,
b. ~.9 X :'us; O _
c. J~•S~ X :U.. SS i7B
D. D X "U" O O
e. iG/.g X '.U" •076 = i~•3
f./Oly,B X :U':
Q /D3 3 X "U D.fr G
h. O X "U„ O = o
I- X IV, .06, Y
3 ............................................Total
If item #3 is the same as, or less than item N1, you have met the
intent of SBC 6006(c)2.
I ~
Total exposed roof/ceiling area 49
Total skylight area D
k. Total roof/ceiling framing area (average 10° 9/•~-
1. Total net insulated roof/ceiling area .......B,O,B
Determine "U' value for each roof/ceiling segment.
k. 9/ y X ';Ur' . D
1. Bad,f3 X but, .o7s a aO.G
4 .........................................Total = a 5~ 3
jor4s+'*f/ 3 y, 3 L 94t,., C Z 36.6 af olla.o/ts.
If total of #4 is the same as, or less than 172, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum.of
items #1 and #2.
1. 34pG•3 + 2. 3~.s = 3S/~•8 ~u(ry~,o~ra.
3•aP0%9 + 4. c,7S/,3 = G• 07j0`co~e.
wav..au.Go~ N~+~sQ,uw,~sec~N► - 6Z..rrje+.~~w.
.17
otic' , BB,...®o 3B o yw~ d ' ~B
ad •eve au ,GB
.L Q OCZ 14 14
G
5/1 Ar
G, o , s1
/2_ /3,/ yn ERs ,050
0 =%,ez .O7G
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND /1 SET OF ENERGY CALCULATIONS
To Be Used For: ffi 1 c Valuation: Date:
Site Address ZL~
O r_vice~ OFFICE USE ONLY
~Jf f? c1
Lot 1m Block On site sewage_ Occupancy
II I MCC system Zoning
Parcel/Sub toatnn ~1A rAt~~A On site well Actual Const
City water Allowable
Owner ~e w f PRV required # of stories
Booster Pump Length
Address y,~~~ J e g c o.. Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone c~~ - f^ APPROVALS FEES
Contractor PJ ¢ j fJ , iti ~o .f J~ Engr/Assess Permit 3 H pp
/ Planner Surcharge 1.00
Address s~- %3 .6 -50 Council Plan Review
Bldg. Off. SAC, City
City/Zip Code / Variance SAC, MWCC
Water Conn
Phone 9 - r~ Water Meter
Road Unit
Arch./Engr. e. Treatment Pl
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
{ 4
I
J i r I
I
I '`r~=- I a i a
' ~ ~~"a' t \ r vow
I n . I Fir hj ~
3 I
Rip
-ij
Y i VV
-77
d 'J 1 r14
-17
;I r I c I I (
e ~ J'r'o y
r_~
i4, 1: t
µ
l i ' j I r V ~ ~i~ a 7
,r to
I i~~,..~1 1 a • _ i - 'k.., x h _ . t.~~\ 1 -~-11 M.~~' L Y-~' ~ . d.' w ~ r,..'
l I I 1 y~ ~ tiCY i
I M'1. 1 It = r' 1
' t ~ y.- 1 " F S`I-. - J_ i.-xr ~ ,Lt j.., n Ca `t
I,''Y f i l } a , j F.+ a C• f ..1 a la `Y s st a ~N 7-?T s*I _y ir', 4r
3 1 o ¢
t_ 1 ) ( i r . ya ~`r ins t ~]~T' n A t : ' x?'z'` -<pz` 1"'r-+.}. y`.~ Lt ~ ~.A R _ s 1~. _
PLIM, t - } r.- r+ r-j-. I :i r {t- I t <~t ~ ~-i`C 1•'-SS.~ ~ ^f-+
-IL 4-011
- >
y ~_r-
ji~
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date / I ( / d -s- pp
Site Address Y6 g7 ~e2Cov~ /~d(, Unit#
ySo2 - 7G 7S
Property Owner 51, a r L e w ..5 Telephone #((o,3
Contractor AhNGR I AIQC Wr
12253 Nlt ollet Avemle 6Wb
Street Address R-1mayill City
14N 55337
( )
State filer ho oa'~ %es__~6_^~20~ip Telephone #
Bond S d S4 7 Expires: U~~ 6
The Applicant is Owner Ll Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional _L,-~eplacement - New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ 3a • S O
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 wo k which requires a review and approval of plans. /C7
y l tS~rz ~ ~
Applicant's Printed Name Applicants Signature
~2S3Z ~IS.so
2006 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.
Date ~l l ,f
Site Street Address XMI (-LA-tX Unit#
(~~Z) 0U5 ~31~ 3
Property Owner ~l1 VI I 1A/1(I ?I Telephone #
Contractor Telephone # Fj 5 ~ 161' PA 1 1
Address tG rte, ~1~[n T ~N it K~ 1 State Zip In
The Applicant is: _ Owner Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only 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
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener K Water Heater $ 15.00
- new >"1 replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
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 of Eagan a th plumbing codes; that 1
understand this is not a permit, but only an application for a permit r a thou ermit and work will be in
aC~ordance with the approved plan in the event a plan is req d to a re ie ed ahd prove' . f~ D
Applicant's Printed Name Applicant'C7 ure MAk 0 6 2006
- - - - - - - - - - - - - - - - -
z T~ I For Office Use
t
City of Ealln Permit#:
EI Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1/4rb? ?,:E1'y_ON K o I Rwi R AroAk . "N ccsl/a o).
Tenant: Suite
RESIDENT/ OWNER Name:0104ER Phone: (oTl- 397-//?/
Address / City / Zip: -I&S 7 13eAw4 iµ!// RoQ► EAwt4 , mN SS/a a
Applicant is: Owner _X Contractor
TYPE OF WORK Description of wor : N6 l/.2 5810601-95
n )
S 6%-1*7 Multi-Family Building: (Yes / N7 -
Construction Co ?/7 '
CONTRACTOR Name: 70NA514 TRu1(-=14WV License C >.37~W 3
Address: 60y~+_~AgVIWAY aj~. S E_C
City: 5.~. TKO /n&
State: /OP' Zip: S l
Phone: Contact Person: AI
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 that 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 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 rY&A
Appli ant's Printed Name Applic a'AA is Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA102323
Date Issued: 12/06/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4681 Beacon Hill Rd
Lot: 22 Block: I Addition: Beacon Hill
PID: 10-13500-01-220
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Gas Grill
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Mike DeZiel
1612 3rd Ave NE
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
DeZiel Heating & Air Conditioning, Inc. Douglas C Kiser
1612 3rd Ave NE 4681 Beacon Hill Rd
Buffalo NIN 55313 Eagan NIN 55122
(612) 719-1049
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
-..r V1 J.MV1111 1. AV 31 PIP,
2012-05-151021 » 651975 5694 P 1/2
- UUI/UUI ot
Use BLUE or BLACK Ink
For Office use T - - i
City of Ea an I Permit re:
~
3830 Pilot Knob Road I Pamlt Fee; l
Eagan MN 58122 1 I
I
Phone: (661) 675_5675 I Date Recelvcd: t
Fax: (861) 675-6694 1 1
Staff; l
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
------T~^I
Date: Site Address: 'R)4?actn
l'
Tenant
"a
Suite
r :.1' 'fdi4 Name:
Phone: ci I
Address
Name: .l 17A
License
Address: J . V
'
city.
00,
State; zip., Phone: tot,;? km'q
Contact: <no Email:
Replacement
New Repair `Rebuild ~ Modify Space Work in R.O.W.
Description of work; ; t is 1 4t 1'e
,IRESIDENTIAL
Water Heater
y~ _j Lawn Irrigation RPZ / PV8) Water Softener
Add Plumbl Fbttures
Septic System n0 Mein / ^ Lower Level
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minn 111 Water Heater, Water Softener, or Water Heater W4 Softener (includes 55,00 State Surcharge)
$60.00 Lawn Irrigation (Includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, tam Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
Vater Turnaround (add $169,00 if a 518" meter is required)
$105.00 Septic System New ($10.00 per as built) (Includes County fee and $5.00 State Surcharge)
TOTAL FEES S
GALL BEFORE YOU DIG. Can Gopher State One Can at (651) 454-0002 for protection against underground utility damage.
Call 46 hours before you Intend to dig t0 receive locates of underground utMMles. t
I hereby acknowtedpe that he information is complete and accurate; that Ltm work will be in eonforrnonco vAth the ordinances and codes of the City of
Etpo- that I Und d~htaJs 11oG~ petmit..buf ocll an appllntlonJpca-P~plt,-aqd YwrJ4-~6-r1oWv clad-rN t o-pel Mlrlhet a weric w11Fb9irr- -
accoroa7(~Lm with the approved plan in the case of work w *A requires a review and approval of plans.
X S i
Applicant's Printed Name Applicant's a re
. • ^ 1~` I~.U$E , l..J. :1~ ♦ , t R f~!r/eY ~yr 1 !i a J r I J~1b~ , f~:R~qi 1 d inip' 4 tian~ ` Under Grriiirid ~Rqu14h41 i
U -clad Tes
; Final'
2012-04-3016:40 651975 5694 _ _r)
Use BLUE or BLACK Ink
�________________�
� For Office Use �
` � Permit#: � �� I
C�t� of Ea a� ; , . b��- ;
� ����'�'��� Permit Fee.
3830 Pilot Knob Road � �
Eagan MN 55122 ���� r �Qic � Date Received: �
Phone: (651)675-5675 '� � I
Fax:(651)675-5694 � Staff: I
I �
`����������__����J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
\V ���� �oVA�A����A�C�V°
,;�`,� `�����,��� �,�;� '��`,`� Name: � �/ V' l �'' �0 I' �� C�p � S/ j 3 8 7 • j 1 � �
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� ����������`' �
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w � : ,��,,,,�� ���;�„ Applicant is: Owner Contractor
� �
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���r�y��`z ��,�,� Description of work: 0
\\\\�\�\\ ����\\\`\��\\� ��y\�\\� .
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a�� ��� � ������ ����, �
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��. ;,��,; ;�,��`��, ;�,����� Compan� Pella Northland Contact: �
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� �,� � Plymouth, MN 55447
�`�`���� `�� �" �� ��``�� Lic#BC645090 Ph. 763/745-1400 Email:
� ,�
`� �, � � ���������`��a���� tate:_ —
� t \ � �� ��\e\��
��`,�,`° ' ��\\\"`�\����`��� License#: Lead Certificate#:
�,���� � �� ,�
c ,�;.,w\,,,��,
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protec�ion against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X -�� � � � h o�, � _.�-
Applicant's Printed Name plicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150845
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 4687 Beacon Hill Rd
Lot:23 Block: 1 Addition: Beacon Hill
PID:10-13500-01-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Oliver Jorbedom
4687 Beacon Hill Rd
Eagan MN 55122
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156480
Date Issued:07/02/2019
Permit Category:ePermit
Site Address: 4687 Beacon Hill Rd
Lot:23 Block: 1 Addition: Beacon Hill
PID:10-13500-01-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Oliver Jorbedom
4687 Beacon Hill Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature