4739 Beacon Hill RdCITj' OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: '
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner; _
Address:
Site Address: _
Plumber:
Meter No.: Connection Churge:
Size: Account Deposit:
Reader No.: PermiY Fee:
1 agree to eomply with the City of Eagon Surchorge:
Ordinnnces. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
..iY?r oF EAGAN SEWER SERVICE PERMIT
3795 Pilot Kaob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units: ?
Owner: _
Address: Slte Address: _ - •
Piumbcr:
I agrea to eomply wrth ths City of Eogon
Ordinanees.
Rv
Dote of Insp.:
I nsp.:-_ -
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Total:
Date Paid:
CITY OF EAGAN
-? 3830 PIIOt KrlOb Roed, P.O. BOX 21-19P r.:y
I BUILDING
Sile Adiress
Lot Block
Parcel No.
W Name
3 Address -
o _..
, o Name _
?¢ Address
? Clty _
U¢
W W Name _
=Z Address
P6
Phone -
Phone -
p W I City Phone
I hereby acknowlege that I have read this application and state that Ihe
iniormation is correct and agree to Comply with all appiCable y4tate of
Minnesota Statutes and City of Eagan Ordinancps.
Signature of Permitee ?`-
30Hr SlAM
A Building Permit is issued to:
all
17955
CE USE ONLY
pccupancy - FEES
Zoning - ;117600
(Actual) Consl - Bldg. Permit
•
(Allowable) - Surcharge
# of Stories
fl-
i
Pl
R
Lengih an
ev
ew
Deptn 14 sac, cty
S.F. Total - SAC, MCWCC
S.F. Footprints _
On Sile Sewage _ Water Conn
On Site Well - Water Meter
MWCC 5ystem -
Acct. Deposit
Ciry water -
PRV Required _ S!W Permil
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Fbad Unit
Planner - Park Ded.
Council
? Off. _ Copies
?
Variance - TOTAI
'.
Permit No. Permit Holder Oata Tebphone #
WATER
SEVYER
PLUMBING
H.V.A.C.
ELECTRIC
Mapsction Date Insp. Comments
Foolirgs 1
Foundation '
Freming
Roofing /?/o (? % CU
Rougn PIb9.
Fiagh Htg.
Isul.
FreplaCe
Fnal Htg.
Fnal Plbg.
Const. Meter P1bg. InspeClor - Notily Plumber
Ergr./Plan
Bldg. Final
Deck Ftg.
Deok Final
Well
Pr. Disp.
• CITY OF EAGAN
^• 3795 Pilot Knob Road Eagen, MN 55122
PHONE: 4544100
BUILDING PERMIT Receipt #
To be used for Est. Value Date
Site Address
Lot
Parcel #' -
W Name
3 Addre
0
p Name _
?
?u Address
Name _
Address
( hereby acknowledge that I have
the information is correct ond a
State of Minrkesota Statutes cnd
Signoture of Permittee
A Building Permit is issued to: _
all work shall be dane in occordar
Building Official
this application ond state thot
to comply with all applicable
of Eagun Ordinarrces.
Erect ?
Alter ?
Repair ?
Enlarge ?
Move ?
Demolish ?
Grade fl
N2 5416
?e
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Fees
Assessment
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bidg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Wnter Meter
Total
on the express condition that
e with oll opplicable Stote of Minnesota Statutes and Ciry of Engan Ordinances.
PensM # OeM (aued P?MtN
Plumbing t.( ?,s - Z S?? q
Mechanicai
INSPECTIONS DATE INSP. Rough-In Finai
Footings ? Dote Insp. Date Insp.
Foundation Plumbing
Frame/ins. Q 2(0-7 /'7 f Mechanical
Finol
Remarks: ?,??? ? ??-
?'
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1
(612) 681-4675
? SITE ADDRESS: ? t4 1? ?
I li
;; ?? npl 1111 1
A l i i N N I{ t
I PERMIT SUBTYPE:
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
3 t,I rir ?
Il
APPLICANT:
TYPE OF WORK:
. . , , , ! '.±
II ?1 1 Nf4•. I ' I 1 1 tiranI
1311 t t l1 1 p?1
e1J<a7
i?+lild
aiU•nrR '
(kP:F'lAr:t liCNf )
Permk No. Parmit Holdsr Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Msp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL f
A.Dv P?j.Fj? •? ?w ovat"
??' ?'
: •
• .
(Ur#i#trate uf (Orrupanry
Citp of (Eagan
Drptttttmi nf BuilDing ins.ptrtinn
u Certificatc iasued pursxarrt to tbc rcqurrewwwu of Sation 306 of the Uniform Building
iC urtif ying thut at the tinc ef ismaAa tbit .unKture was in cmplianct with the variotu
inaACes o f the Citr stgxlating bxilding coASitrmtion or urc. Fw the f ollowing:
SF Dwlg/ Garage -„_ _r „_ 5416
AAAi
.t .*. . i?..
jzydig ?2/15/80
°na.:
**Temporary post on deck**
Idn IM • GOIMMqMp ?lAt[
4a
? CITY OF EAGAN Remarks
Addition-- BEACON HILL ADDITION Lot 3 RIk 8 Parcel ln 1?5n0 U30 08
Owner ?11? 5Ld street 4739 Beacon Hill Road state Eagan,MLii SS122
J
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1982 1806.93 200.77 9 1806.93 C007608 19-1-81
STREET RESTOR.
GRADING {G?S 1982 526.46 58.50 9 2. 6 C007608 10-1-81
SAN SEW TRUNK 301
* SEWERLATERAL ?j 1982 3116.46 346,27 9 -3116. 4-6 ?- -
WATERMAIN
* WATERLATERAL I982 9
WATER AREA 1982 109,02 22.00 9 198.01 C007608 10-1-81
' * Stubs 1982 9
STORMSEW TRK 1982 359.82 39.98 9 . C007608 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 270-00 1 9
/17
/79
BUILDING PER. 5,416 1
ii
,
SAC ? r
PARK
I
CITY OF EAGAN NG 17955
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # C /? _ U00
Tobeusedfor PORCH Est Value $10,000 Date JUNE 4 1990
Site Address 4739 BEACON HILL ROAD
Y
BEAvON HILL
3
8 OFFICE USE ONL
Block
SeGSub
.
Lot
P8fC01 NO. Occupancy _ FEES
a
Name JOHN STACK Zoning
(AcNal) Const _
- Bldg. Permit
117.00
W
o $AME
AddfBSS Allowable)
(
- Surcharge 5•00
City Phone 452-2666 (W) xoi stones -
P?an Review
]
$
Length ,
_ .
p Name $A? 452-3181 (fl) DeDth ?[? SAC, City
,
o? AddreSS S.F.TOtal -
SAC
MCWCC
U 4
,
Clty Ph0l12
S.F. Pootprints ,
-
S Water Conn
On Site
ewage -
Name OnSiteWell - WalerMeter
Ful
Adress MWCC S stem
-
i
l ` qcp. Depos
t
City Phone C'ty Wa' -
i
d SNJ Permit
PRV Requ
re -
I hereby acknowlege ihat I havp, read ihis application and 5tate t al the
? Baoster Pump - SMI Sumharge
intormation is correcl and ?eeto ompl with all.a,?p? le
ate oi
?
Minnesota Stalutes and C of E ga rdin
ces. Treatmem PI
Signature ol Permit9e ? APPROVALS Road Unit
A Buildinq Permit i5 issue to: .1OHN CTA^g Pla^'»f - Park Ded.
on Ihe ezpress condition that all rk shall be done in accordance with all Council -- 3.00
applicable State of Minnesota St t tes and City of Ea a Ordinances. gldg, pfi, _ Copies
?
61 Building OHicial
?'_ Variance - TOTAL 125.00
(> '99 r' 2
2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please 6omplete for: single family dwellings & townhomes/condos when permits are required for each unit
_W -? o.se,
Date (.J3 l oOq l a
Site Address 97 > I oo :m I T?? Unit #
Property Owner 54-iteX Telephone # ((a5/
"1 a
ContraMor 0 -
S
e
Add
tre
t
ress City
State / / / ? • Zip ??.?i Tetephone # (?S? ) ?°?' e70?(?
Bond #: Expires:
The Applicant is _ Owner ?ntractor _ Other
Add-on or alteration to existing dwelling unit
' i. $ 30.00
a?furnace
_Additional ?lacement ; ?
'
air exchanger
_-??,airconditioner L
_New eplacement
-__- - ?
other
State Surcharge $ 50
Tatal $
I hereby apply for a Residential Mechanical Permit and acknowledge that
be in wnformance with the ordinances and codes of the City of Eagan 7
, ut onty an application for a permit, and work is not to start wrt
apyro d plan in th5py ol work jvhlc? requires a review and approva?
€info ation is complete and accurate; that the work will
with e Mechanical Codes; that I understand this is not a
ut a ermit that therm?qrk will,be in ap¢ordapce with the
pplicant's Printed Name ?ApplicanY's Signature
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
p.I.N.: 10-13500-030-08
DESCRIPTION:
PERMIT
PERMITTYPE: eurLozNs
Permit Number: 0 3 0 3 4 2
Date Issued: 0 6/ 3 0 J 9 7
4739 BEACON HILL RD
LOT: 3 BLOCK: 8
BEACON HILL
?(REPLACEMEN7)
6u'ildiny- P e r m i t Type
Building W0.rk Type
r`Census' Cade `'? 434
t?? . . . . . .. , N'-?
'_".;,u{..': -? •( _?.?.>...
15
?
DECK
REPAIR
ALT. RESIDENTTAL
`V F',
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPIES 12•25
Surcharge $.50 Total Fee $52.75
Su6total $50.50
COPITRACTOR:
?
OWNER: - Applicant -
STACK JOHN
4739 BEACON NILL RD
EA6AN MN 55122
(612)452-3181
i hereby ecknowledge that 2`have 'read'this
information- is correct and agree to comply
Statutes anel City'oF Eagan Ordinanees:.
I APPLICANT/PERMITEE SI A RE
aippiicatia'n ar,d state that the-
with aii applica4le State of Mn.
J
ISSUED eYi IGNkTUflE I I,
! - ;- i? " 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 161•1§
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
887-4675
New Construetion ReaulremeMs $etnodeVRanair Raouirements
? 3 registered site surveys ? 2 copies of plan
? 2 coples oi plana (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site aurveys (exterior addRions 8 tleeks)
? 7 energy alculations • 1 energy caloulaticns for Mated aCEftions
? 3 copies of tree preservetion plan if IM platted aRer 711/93
required: _Yes _ No ? OATE: CONSTRUCTION COST: 0 ?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT A_ BLOCK
D_ECe 4z-ti 1
y -L39 ,9LA(Ao1-) N/z L e6,4 O
6 SUBD./P.I.D. #:
PROPERTY Name: .?7A?IC ???f? Y ???1( pnone#:
owNeR
StreetAddress:47 31 ALA(-Dd) Y! L L eDiJ_b
City: L N6 A a'-1 State: Zip:
CONTRACTOR Company: 1= L? Phone #:
Street Address: ---- License #: -----
City: ?- State: - - Zip:
ARCHITECTI Company: 13Lq Phone #:
ENGINEER
Name: Registration #:
Street Address:
Ciry: State: Zip:
Sewer 8 water licer.oted plumber (new con5truction onty): . Penalry applies when address change
and lot change am , equestedonce permit is issued.
I hereby acknowledge that I have read this applicaUon and state that the infortnation is correct and
State of Minnesota Statutes and City of Eagan Ordinances. ?-11//
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Ye5 _ No _ Not Required
to comply with all applicable
RECEIVED
JUN 2 4 1997
BY:
-: . . L
./?i r- t I t.?p.d .
?
j jrair ? P'3 s?tq I
/ -
;; - DEIMAR H. SCHWANZ
LANDSVRVE'/OR . . . .
. ReO?finy VnEb Uw& or Tne Sble or Mm?noloL ? . - .
?
?
. I 2976?- 146TH fiREET W. - BO% M ROSEMOUNT, MINNESOTA 65080 PHGNE 612I211789
?SURVEYDR'SCERTIPICATE'.;,, ? . ? ? .
,4 ' . ? . . _ . . : . - , ..
SCAL 1'-fnc:i = 3;t t•ret
t?!\' ? , i-. • ?
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MPiNE tiOtA Pf r.•STu4T10N NO 96?5
/
.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[JLTIPLE DWELLINGS
COMMERCIAL
l/
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
////w??? ?1O?1o?00,
To Be Used For: ?""?ea%&1'I f Ut laluation: Date:
" Site Address q 73 q r Ph. C$'!1 ??/ fg
??-
Lot ?.3 Block ?
Parcel/Sub ? ??ofj N 1ct
Owner J p k? IJ 5 i??,? .
.Address ?7?j ? ,JeCQ<C?-?? JN( ? ? (L-?!
City/Zip Code FG ci,,
Phone ? 3 ?- ° J
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
,S-31-`7d
OFFICE USE ONLY
FEES
Occupancy o0
??1
-
Zoning •
Actual Const Bldg. Permit
Allowable Surcharge -.?
# of stories Plan Review jp--I-dk?
Length 18 SAC, City
Depth /y SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
City water _ Road Unit
PRV Park lled.
_
Booster Pump _ Copies 3,00
SUBTOTAL
APPROVALS Penalty
Planner TOTAL ia.?.
Council
Bldg. Off.
Variance
ro
. ... . ?. . . .._. ...
11.irr.?l1 F.o aci
!'r•atr.or,. P'ri. q
i
DELMAR'kl. SCHWANZ
LAN0 SVNVFVOA
R epiq?rb UnE01 l.wl OI 1 F- SI'1f OI Mmn?tOb '
?
i 2978 - 146TH EtREET W. - BO% M ROSEMOUNT, MINNESOTA 65088 PMGNE 817 123-1789
(
? SURVEVOR'S CER7IFICATE
: CAI.`.: 1:fIC1i = 3;1
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v
CITY OF EAGAN
5795 Pilot Knob Read Eagan, MN 55122
PMONE: 454-8100
BUILDING PERMIT APPLICATION
ro be u.ea fo. SF Dwlg & Garage Est VO1Ue 61,000.
N? 5416
Receipt .fk -4?-4-
Dote 9-R- 17 . t y 79
Site Addre 4/.iy l3EdCOI1 rilll R11.
Lot ? Blxk 8 Sec/Sub.
Porcel # 10 13500 030 08
a Nome C211t.2X HQ[I2S Midn2St
i Addre 4615 Beaoon Hill Ct.
3 u
Eagan --454-5236
p Name _
?
?U Address
Name _
Address
I hereby ocknowledge that I have reod this applicotion and state thot
the information is wrrect and agree to comply with all opplicable
$tcte of Minnewto $totutes and City of Eagan Ordirances.
Erxt U Occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Mave ? # Srories
Demolish ? Front 49 ft.
Grode ? Depth 44 ft.
Approvala Fees
Assessment -
Water 8 Sew.
Police -
Fire
Eng.
Plonner -
Council _
Bldg. Off, -
APC
Permit 15b.UV
Surcharge 30.50
Plancheck 78.?0
SAC 525.00
Water Conn..270.90
Woter Meter ' 60, 0
Road Unit 75.00
Toral -1,50
Signature of Permittee I
A Building Permit is issued to: CentP]{ HQS12Sr St on the express conditlon that
oll vrork shall be done in acwrdance 7t all applimble S te of ?M-in?nes??otutes and City of Eagan Ordirances.
Building Officiol ,-l.r ? .. _(.tt=Y??_\
.t
1?opEL ? 5 3 5
YS'-? \0
SUILDIWG PFRMIT APPLICATION
D.q1o 1l
Include 2 sets of plans. 1 site plan w/elevations and 1 set of energy calculations.
To be used for Valuation (01,00 0
Site Addrest: A-1 169 k?CATy ?•?u+ `w •
3 e) %f qCo t1 Nk1 Ll.
Lot Hlock See. Sub. Parcel Number 13 &)n Q-go pg'
pcanet Telephone
Address
'
E UT 6/ hone atSA'
le
WOWM
1' (a
Contractos
` e
p
\
?
Addrese INC&CAN Q Z'
.
L._
11rch./Eng. Telephone
Address
OFFICE USE
Erect ? Occupancy 3
-
?
Alter Zoning /t°
/
Repair Fire Zone 3
Ehlarge Type of Const.
Move # of Stories
Demolish Front s?/9 7s
Grade Depth "1'y
OFFICE USE
Dateof Approval & Initial FEES
? CC
%S(O
Rssessment Pezmit
---,__-_ -_. .
?-?c-
7v
?Q
Water/Sewer Surctearge _
.
4
Police Pl.an Check 0
7156
Z ?
Fire SAC _
En9. Hater Conn. 2.76 .00
0O
`0
Plannet 47ateY MetGr •
00
'
Gtouncil QQk0 W,IT 15.
Pldg. Off.
A.P.C. TOTAT •
Certificnte for:
- -4 Centex Homes A3dwest Inc.
8601 Darnell Road
s Eden Prairie, h".n. 55344
,
?
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.,
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DELMAR H. SCHWANZ
lANOSURVEVOR
RpittuW UnEar Uws ol The 54ta of Mcnnasob
7878- 146TH STREET W. - BO% M H08EMOUNT, MINNESOTA 56068
SURVEYOR'S CERTIFICATE
?
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PMONE 612 423-1789
? SCAI.F.: 1 inch = 3) fret
?r
LOi ?
i:
;1i sE ,, r.? r
? ?- -
if
?.?
3?-'IJC El. A-K: ??77 !'.J"I :S.Y
bet-.-wcn i•AL? +
c:lc.'V. '4^7.43
Top Z)f Fl )c't? -- --
U
F,iscn^nt fl,)or
, - -- - -
I ;
Revised to 3hoa propoo::d 11. ,-, ?.
I ?..; ot3ked thia 11 ciay if
? ^J
I hereby certl.'y ticet t;ilr, :.
true find cDrr:.ct rr.pr.?cr°nt,:.t: on .?? Lot 3, i11nck 3, 1 ;t1C'It: HIi.I„ :rr:
to the ree,>rden a'•at thc::?f,
Cnunty, i"lnnf•sota.
D3ttc:: .71ttC 11, :- '7'J
a. ?
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MINNESOTA HEGISTRATION N0.8625
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PERMIT # "? I121- () ? RECEIPT DATE:
2002 RUIDENTIAL PLUbI$INfi PE$MTT APPLICATION
CITY OF £AcfiAeN
3830 Pu.oT xxos Rn
EAflAN, MN 551EE
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
, backflow preventer for irrigation system
SITEADDRESS: 475"1 b(,,dCDn ( I tGt 9 i
OWNER NAME: : _ ? U.i a, Jahn TELEPHONE #: L( 60 q021'' 31 O I
(AREA CODE)
INSTALLERNAME: ?Vorlo'bm FtU.vNA61?6 TELEPHONE(012"9 2-7 "' z-f d'33
STREETADDRESS: 2ojC)5 S(AREACODE)
?' 1M.vIf.I,C. O I.-}'yl
M1`1 ZiP; 55L40$
CITY: AA ?J IS. STATE:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWEILING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter it needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
I
ReplacemenUadditional: _ water softener X water heater $ 15.00
State Surcharge $ 50
Total u 7 9F--
I herebyacknowledge that I have read this applicatlon, state that the information is correc[, and agree to wmply with all lica?Witybf Wagdn?dfdin s. It
is the applicanPs responsibiliry lo notify lhe property owner that the Ciry of Eagan assumes no liabilityfor any damag used by the City during it mal
operelional and maintenance activities to the facilitles constmCted under this permit within City property/right-of-way/ asement,
SIGNF\T14RE OF PERMITTEE 1102
-7051o
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(S-7o ."x:)
New Consiruction Reouiremenis RemodeVReoair Requiremenls 6ff[e8 f75z Orlbi
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all mofed areas 2 copies of plan Cer! vFSwveq Recd ?. Y,_„t?
(ZO% mazimum lot wve2ge allawed) 1 set of Energy Calculations for healed additians FFCePres Pko Rerd _Y „N'.
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks FreoPres Require d .,',`? .?k]
1 set of Energy CaIcWaGons AddRion - indicate rf orrsde sephc system Dmsite 58pGG System . .'_ YN
3 copies of Tree Preservation Plan if lot platted aker 7l1/93
Rim Joist DMail Options seleclion sheet (buildings with 3 or less units)
Date 9 l;?
Site Address I 0S
? C?C<Cu(1 411 I ConstruMion Cost 10,000
zo?',j S C 94t?1 UniUSte #
Description of Work ---) 1 A t !??
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 2 ?
PropertyOwner JOhr, r??_an-( ??(? L Telephone#((os() ?{?2 3? 0?
Contractor ? YQ1a? /?CY i???C.L?-?? ?-e y vl,CxJ?? 1?? (_,p
Address c7
State _ 0"1
llw City (-a.Lwt
Zip Uu Telephone#((Q(Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimiesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Enveiope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand Ehis 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 acwrdance with the approved plan in the case of work which requires a review and
approval of plans.
r(-Y)L CGL (' (/lCti v- l t?) (-)
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
r �
For Office Use L►/��! �'//
Permit#: j tT " 1 tc
4,10. City of Eakail N/ Permit Fee: /l Z("
��+
3830 Pilot Knob Road
Eagan MN 55122 NOV 2 7 2017 Date Received: //' 7 /7
Phone: (651)675-5675
buildinginspections(a)citvofeauan.com Staff:
32017 RESIDENTIAL BUILDING PERMIT APPLICATION C` 1t
(11QDate: it �7 i 7 Site Address: lf13L Oe 01v1 Rill f1 j E' � Ok
b5'l22. Unit#:
Name: tor- Kope I Phone: ‘012-1123-38-62,Residentl � NI � �Q
Owner Address/City/Zip: 4739 �e QCo V1 9a ����55122,
Applicant is: Owner Contractor
T pe of Work Description of work: lie c K ?d a
Y
Construction Cost: ti 1° (3°C Multi-Family Building: (Yes /No
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
u/i..r/iv 77
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:
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 they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeadan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 st-rt 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.
C of V\o 1)e I x
Applicant's Printed Name Applica it's gnat
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /11 (0 `(
SUB TYPES 4039 9 2r� C/''") jotill kOI
Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi)
Multi ,. Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
_
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace i Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
cry
Valuation 3Goo Occupancy ,ZfZ.G -% MCES System
Plan Review Code Edition ,p/f SAC Units
(25%_ 100% t/) Zoning r i City Water --
Census Code IV 4/ Stories Booster Pump —
#of Units / Square Feet — PRV _
#of Buildings I Length Fire Suppression Required —
Type of Construction 7 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ,i Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES -5G �, /`
Base Fee -i `2----- C�
Surcharge
Plan Review 5 7 --
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies ,j x .a?S = I.2c
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157841
Date Issued:09/11/2019
Permit Category:ePermit
Site Address: 4739 Beacon Hill Rd
Lot:3 Block: 8 Addition: Beacon Hill
PID:10-13500-08-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent Miller
4739 Beacon Hill Rd
Eagan MN 55122
(612) 806-6971
Murza Construction Llc
8208 125th St
Savage MN 55378
(612) 226-9038
Applicant/Permitee: Signature Issued By: Signature