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4793 Beacon Hill Rd SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. b 3 ~-C 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS Y79-3 ve' o LGO//+.) /N~,LL d~'va CITY ej OCCUPANT ~yyu. t ~/~'I rG!'J t' L O c// ~V /7 OWNER A Pft SOLD BY INSTALLED BY MODEL coy rV 3'6 g -0-70 MAKE `E hppvi 6k~c (0) NO. VV L/ T ! INPUT (A2' r ti.L1 I ' THERMOSTAT /9 c3 VENT SIZE 4t( VALVE ^ TYPE OF LINER i-✓ • (i LIMIT LINER SIZE LIMIT SETTING FILTERS: SIZE"j (e /"o X~ NUMBER FAN SETTING WIRING/ PILOT TYPEI(~Y TEST TAG IGNITION MODEL I_1 • LIGHTING INST. PILOT TIMINGC j DATE TESTED PRESSURE • PERCENT C02 COMPANY TESTING INPUT CFH lb~ PERCENT 02 STACK TEMP. ,s f~ PERCENT CO NAME OF TESTER FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY l r 70 004 RESDDEN tr TI I Il\TG PERMIT APPLICATION ~ 3J b City Of Eagan 3830 Pilot Kaob Road, Eagan W 55122 _--~`ele fi©iie# 65X= F 67 56'75=-=--.FAX# 651 675 5694----- - - hfew ConsfnicfioKp Re ufrements 3 registered sife surveys showing-sq. ft of lot sq. ft of house; and all roofed areas RemodWIMR oe it Reouirem nts - (20% maximum lot coverage allowed) 2 copies of plan 2 copies of plan showing beam & Window sizes; poured found design, etc. [ set of Energy Calculations for heated additions 1 set of Energy Calculations i site survey W additions & decks 3 copies of Tree Preservation Plan if lot platted 'after 711M Rim Joist detail options selection sheet (bldgs with 3 or less units Addrti°n -1°dfcate if on-site septic system Date Site Address Construction Cost TTnit/Ste # Description of Work Multi-Family Bldg _ y N / Fireplace(s) Q _ 1 2 Property Owner Telephone # ((gSI) `19C) Contractor C:IQ Address 2(~ State Cif3'~J\1LS~%1~~JL _AA ~A Zip CJ51 Telephone # ((mil) Z C9 L-1 ` IL-1 -I --I COMPLETE THIS AREA AILLY.J. CONSTRUCTING A NEW BUILDING Energy Code Category r Minnesota. Rules 7670 Cate 'o .1 0submission type) * Residential Ventilation Cafe9'ory. 1 Worksheet - Minnesota Rules, 7672 Submitted New Erjergy Code Worksheet Energy Envelope Calculations Submitted submitted lave you previously constructed a building in Eagan with a similar 2 "ee applies, plan . _y _N 5% plan review 1 icensed Plumber Telephone C lechanica! Contractor Telephone # ( Eby) 200¢ ewer/Wafer Contractor . Telephone iereby apply, for a Residential Building permit and acknowledge that the information is complete 'and accurate, -It the work will be in conformance with the ordinances and codes of the Ci of E Mutes; I understand this is not a agars and the State of MN pe ty rMit, but only an application for a permit, and work-is not to start without a _mut; that the work will be in accordance with the approved plan in the case of work )roval ofplans. which- requires a review and OTC O` ` T~s a )plicant's Printed Name plicant's Signature- ~vr~d+sv.e :tzv ab.vv rna 104 all. g • 4tia ~~~'ht, ~~~~1t~7tfP[ X49 UU real Suns 20o1 City of&gan3836 Pilot Knob Road Eagan, MN 55122 ' To Whom it may Con . y corn: Elder Jones is authorized to p` n building permits for Renewal by Felder Jones to provide this P:6icc for us Fxggan date beyond 6(6101; until a Xcnewal by Andman ' his Atcdazsan_ Please sdtow duthatizadon is valid for any to the City. MWIRM eXPfeWY revokes it in wining I request this authorization be accepted-e.xpeditiously, as to not deli the our building Paunita any fux&cr. Please caU me If th= arc y in pnv~essirtg of ,sclona. I can Uo contacted, at 763-502-.4706.Y gae Your itntnolate attention to this matter is a pre-m&ation Manager Renewal by -Andmon Corporation ('c.: Ks~ra..F.lcfiE:r Tnne~ - - aN ti. NCART M1n~ ur ~orunKSia„ ha. ar zons Received Time Jinn. 7. 1~07PM 1 CITY OF EAGAN Include 2 sett of plans,. a 1 site pTen w/ elevations & BUILDII,+ PEI MT APPLICATIC tq ' i set of anWW 4=1culati ons- To Be Used For Valuation Date 612(82 Site Address: 4793 con Hill CMCE USE CII.Y Rd. w Lot '2-- BloCk SGC.AUb-Bryarnn Hi 1 1 Erect 3 1 t Alger zMtM K( Parcel 3SOO Oa O U Repair TAM Of _ 44a-,- Enlarge AM Of cons{y, Owner: „TngPp M Mi 1 bPr C=nrt - Innr- r4" 0 Stwl" inr rr • Address: 1 / 1 1 5 t-h r i c A `ro - 1~{ •+'r/r Depth City/Zip Code: ~TT, O ply M~' _ viiAiC Phone a5 1. - i. 7 5 1 J APPROVALS Pd=it Same Asses9atlCrit, C7oaztracbor. Svxcharge~ aAddress. Water/Sewer P / Police City/Zip Code: Fire SAC Eng Wets Conn. p j • Phone Planner Water Meter Council Road Unit #PO Arch. /En9.: Bldg. Off. Address : APC M.----- City/Zip Code: Phone Certificate for: Centex Homes Midwest Inc. Plan 93035 8501 Darnell Road Eden Prairie, Mn. 55344 Joseph Miller Construction 14115 Guthrie Avenue DELMAR H. SCHWANZ Apple Valley, Mn. 551'21 4 LAND SURVEYOR Registered Under Laws of The State of Minnesota 2878 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 68066 PHONE 612 4231766 SURVEYOR'S CERTIFICATE 30 IM T S 85° • *3s; F_ sr u.3o - - '3'8.33 ~ n~•. fir- (f5A0 IS ► _ __-__v. ~ 38,33 sop o \ o d _ I I No Q PA n,• N t %1PA ID w 9?r9 124.41 S {q' ► 3 ` So m ~ g32. l 92,3 Denotes existing elevation ~q Denotes set hub i 3V21 C'3_.Y Denotes IQ N ~ I~C~ proposed elevation & tack SCQ s-y Denotes direction of drainage I hereby certify that this is a true and correct representation of Lot 2, Block 9, BEACON HILLS, according to the recorded(",:plat thereof, Dakota County, Minnesota. February-2, 1981 )41.C) Proposed garage floor elevation °14~ Proposed top of block elevation d13a,0 Proposed basement floor elevation Also showing the location of a proposed house this 25 day of May, 1982. VIJ MINNESOTA REGISTRATION NO. 8625 low Certificate for: Centex Homes Midwest Inc. Plan 93035 8601 Darnell. Road Eden Prairie, Mn. 55344 Joseph Miller Construction 13115 Guthrie Avenue DELMAR H. SCHWANZ Apple Valley, Mn. 55124 LAND SUR V EYOR Rpistered Under Laws of The State of Minnesota 2078 - 116TH STREET W. - SOX M ROSEMOUNT, MINNESOTA 66088 PHONE $12 423.1769 SURVEYOR'S CERTIFICATE 30 Q 38A• I S 85• ' 3g F- 13~ ~e.~13 1 I 0 h F ~-.0-_1 I dEl% s o o 'P V) WET W3040 -6- T"- If so o 'A. Lt(i.4y + S 13" E 932• -AMID m Q~ 92 Denotes existing elevation B1 Denotes set hub • =30 i~e~ Denotes proposed elevation & tack Denotes direction of drainage sC4 I hereby certify Alat this is a.true and correct representation of Lot 2; block 9, BEACON HILLS, according to the recorded(;plat thereof, Dakota , County, Minnesota. February-2, 1981 oAI.Q Proposed garage floor elevation o)rj,g, Proposed top of block elevation 038.0 Proposed basement floor elevation. Also showing the location of a proposed house this 25 day of May, 1982. X MINNESOTA REGISTRATION NO.8625 DEVELOPER'S CERTIFICATION Lot: Block: Subdivision: MA HJU This is to certify that \)M MIUX-~ ePt! has complied with the Seller's requirements necessary to obtain Seller's approval for a building permit. This Approval is by Seller only. Builder must comply with all city requirements and must secure his own building permit. Approved by Seller-., Sienna Corporation: By ut oriz Agent Date Accepted by Buyer: By Date ~ ~y 4940 Viking Drive Pentagon Office Park Minneapolis MN 55435 /hi?r .R7c_IROR 1'czy 4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 4: 1 ~35 k'n bWNER s DATE 3 1 0 - Z. ,SITE;ADDRE$$s ~ k PHONE: FfCl~i'1R1bC'jbR s ,s . ~oE M 11,4£r~' 0e ,rte working squarq footage of each • .TpUl expo adl at sq. ft. x .17 Off ~ijj "Ni ,~*Taa zoos/ are l D~1P4 sq. ft. X .05 A / It area above floor w 1 LQ~I $ Ix 0 a a..'ibtal-wall window ArOa.;,,.: /2-0 p h otal door 'itra ' : h c.' To tal slfdin4 gas doper area d.''tbtal fireplace wall area ' e.'"Total wall framing area (average 10%) 170 f. Total rim joist area I a q. wall. area above floor........... / 3~(Z h. wall area above floor X i. wall area above floor s. j. wall area above floor... d 1 Total exposed foundation area. _ k. Total. foundation window area.......... 1. Total net foundation area above grade Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a. 12O X "u" C. AD X 00V ZZL "N d. X null X stuff e. 1-70 is f. 14 I X ,.v„ r. 9. 133o - X „ul$ 049 h. X „u,. a X :l if item #3 is the same as? X "U" _ . r , or less than item #1.: you )iziv,- met the intent of u u k. X U - - S)3C 60063 (c) 2. 1~ ( X ,lust s'1, c5 j1j r ,f..i v J, ".'Exterior Envelope Average "U" Computation Page 2 of 4 Total `exposed 'roof/ceiling area m. Total skylight area n. Total roof/ceiling framing area (averages 10%)... ~foe~~ o. Total net insulated roof/ceiling area........... 9'70 Determine "U" value for each roof/ceiling segment M. - X ;IUgl n. 108 X .,U" :r-> 7 Z,q o. 70 X oU" . OZ3 2Z .'S 4 . Total = Z If total.of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design i 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 • 324.4 + 2. S 3.q - 3-7 A, 3 3. 2l+ 4. 2$.Z 242."7 H .y. 3s PLA 3o t II'. W FLA L FT EXPOSE Q WALL $LQGk2:1 2~-x.38+ZCQ 3 + o = 138 '~.IJ ~E• 1 14 Z to + 3 'Z> 4-ZIP 4 7 + \N 0 ~:U L L. III ~ 8+3 = 14 k FULL2 fi?. I M sa. PT, FKPOS.Pb WA LL AP-EA SLOC.K. ; ► 3s X 4MEE' X 5' 15 10 W o ►~ag = ~Izs I:vLLI JAI X .e FU L.U Z % k f3 = - F. P, ~~Q,~t. ~1C 05~.D G~IL(1.,1 ~88~ Zz.Sk~~~S= Io~B I W D WIS 1~ Doors t~ 24 3(o rl-W i I I <{g 3° Z° 38 I Z8 ~S a I~~ a4 3Z. Z S I ► Z`I ?ATIO DDS 'go 120 X35 H4 U ICJ I -f-5 ■ ItOOF/CEILING r R-Value • 1~' t r'' 1. interior _•ti 0.61 ~J 3. 4. Exterior air: film (still) Total • 1. Interior air film 0.61 rated Heat flow 2. UP 3 • 4. Exter or air iln~ TstiLl) Total 15- toA. yrit✓Cri 0.61 ~rr,•.•.}~+",r..]."' _.'1~t=''''=•,._s~ aa.s'`_~ 1 _ Inside %4,r f i ltn 3. • S. outside film 0.17 Total 0.61 3 ¢ 1. Insid~ a air film 2 Beat flow up- • Sweated 4. • . . $ outside air film 0.17 • • ~ Total VIC. •b 1. inside air film 0.61 3 5 2. .Y 3. .~,~•~.••''-'`"`5. Outside air film 0.17 ,r;-~1'• - Total • •otc: Use additional sheets if more space i_ btQ:J'QL't:T~D peeded for details and calculations. . Meat - floe up FIG. !7 4o. Y ? L I t) I ID I t..: i u~ r i film (l _17 Z 7, to ~ I,i. ~ - II FIG. 81 T011V11"! c1f' l • 1nt•or i(or it f i.l.n2 0-.68 WAIJ, FI~Xfl 4. - y~ - 6. Fx t-or. i or -air f i lm_ _ 0.17 't'otal Z Z . C1 I'M H?. _(nt erioi nt tOm 0.11 -(~1 '1'c+L,; l "~q 3tv. i ,Y sl 0.0 3 - l a _ 0.1 IL . 04 and 1 Nt'/65/4/P7'5 9// aao,, 610 i ~ ca'© Request Dat9.~r Fire No. Rough-In Inppection Required Inspection Other Th n ough-In JU(~/~ C (Yo 11 inspe or hen ready) ~ Ready Now Will Notify Inspector 7 4/ 1 Yes No Date Read 10 licensed contractor r/(pwner hereby request inspection of above electrical work at: Job Address S eet. Box No.) City a. ?,e ec,<~n 1~1 i 11 4), Section No. Township Name or No. Range No. County Occupant (PRI T, -r Phone No. ,~nwl F71 0 OI i n Power Supplier Address Electrical Contr ctor (Company Name) CoMractor5 License No. 0V'0 ~p s- '0 w l1 K Mailing A dresMILD tor or Owner Making Installation) vC' Authorized Sig~ture o orl ner ki Ins gtion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY " THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 oT- BE ACCEPTED BY THE STATE BOARD 2827 University Ave., St. Paul. MN 55704 QA A- UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. % 1- a '5L'6 REQUEST FOR ELECTRICAL INSPECTION ~E ee-ooo ► See instryictions for completing this form on back of yellow copy. N 6 r~ 5 j X' Below Work Covered by This Request t ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner . Other (specify) Contractor's Remarks: Compute Inspection Fee Below: Am # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 106'Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOT/ Irrigation Booms f C, • ~ Q- Special Inspection i Alarm/Communication THIS INSTALLATION MA ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date r~ 7 been made. 7 OFFICE USE ONLY This request void 18 months from - - o ~5 4 4 8 a r~9r. ,4,Q, c i9o Request Date ire No. Rough-In Inpsection Required Ins ection Other Than Rough-In 8-13-94 (You must call inspector when ready) [ Ready Now ❑ Will Notify Inspector ❑ Yes No Date Ready I I$licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 4793 Beacon Hill Rd. Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Mitch Floding Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Roehning Electric CAO 1557 Mailing Address (Contractor or Owner Making Installation) - 14811 Endicott Way Apple Valley,Mn. 55124 Autgtored Signature IContractoriOMdne Making stallatignl Phone Number 423-4328 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 2ES 0000, ► See instructions for completing this form on back of yellow copy,, oG N 5 4 2 8 Below Work Covered by Thrs Request, ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: Wiring for C. T. setup # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 20.00 Transformers Above 200 Amps - Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 20.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD M~1%6CONNECTED IF NOT Other Fee COMPLETED WITHIN 181 ONTHS. t, the Electrical Inspector, hereby Rough•in Date certify that the above inspection has Final ate Y been made. OFFICE USE ONLY This request void 18 months from This request void ~~Cf p1~~ q t ~V 18 months from 7//,5 ~zt 2'6437 Request Date Fire No. - Rough-in Inspection Regwred? ❑ Ready Now L~J,(,(~,°ilLNotify. Inspec Yes No ror When Ready Licensed Electrical Contractor I hereby request inspection of above - ❑ Owner electrical work installed at: - - Street Address, Box or Route No. J City © ection No. Township Name or No. Range No, Cour y Occupant (PRINT . Phone No. l1t~~~~ ~AS4AQC,4) 6.A Po r Su~pPplier/ Address "Electrica( ntractor Company Name) Contractor's License No. Ma' it Address (C tractor or tyner Making lnstailat'on) ow /a, Aut ed Signatu ( o tractor/Owner Maki Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 See instructions for completing this form on back of yellow copv.. X26437 Below Work Covered by This Request 301 7 Q New 4d,d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heat in Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) ther Specify Other Other - Compute Inspection Fee,Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits /4',06 0to100Amps 0to30Arr s 2 0to30Amps 101 to 200 Amps 31 to 100 Amps dx- !t) 4d 31 to 100 Amps Above 200 Amps Above 100_Am s Above 100_Am s Transformers Remote Control Circ. _-SrO Partial." Other Fee Signs Special Inspection $ ,q/~ TOTAL F Rerrgirks I.-% AA Rough-in t' Date 1, the oooOnspector. hereby certify that the above Final ( /fJ" tion has been made. 4~ This request void 18 months from - - CITY OF EAGAN _ 3795 Pilot Knob Road Eagan, MN SSIU N9 73G4 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $58,000 Date June 22 19_82_ Site Address 4793 Beacon Hill Road Erect [I Occupancy R--3 Lot 2 Block 9 Sec/Sub. Beacon Hill Alter ❑ Zoning R-1 _ Parcel # _ 10 13500 020 09 Repair ❑ Fire Zone NA ❑ - W Name Joseph M. Miller Const., Inc. Enlarge Type of Const. V Move - ❑ # Stories 3 Address 14115 Guthrie Ave. Demolish ❑ Length 52 ° 2 apple Valley Phone 454-4753 Grade ❑ Depth 38 Sq. Ft. oe Name Owner Approvals Fees o - op Address Assessment Permit 307.00 _ u~ City Phone Water & Sew. Surcharge 29.00 _ Police Plan check 153.50 _ FW Name Fire SAC 525.00 Water Conn. 420.00 Address Eng. u( <W City Phone Planner Water Meter 60.00 - Council Road Unit 240.00 _ 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. - the information is correct and agree to comply with all applicable APC Total $1734.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: `lave h M. Miller st., Inc. on the express condition that it all work shall be done in accordance with all applicable State Of innesota tatutes and City of Eagan Ordinances. - Building Official A~MNZ I Permit No. /Permit Holder Misc. Permit No. Holder Plumbing 3 Ar-GLk ot-e- 7 'r r7 H.V.A.C. 3 Corr4r0' Well Water Disp. Sewer Electric tozug3-7 J►1ic p ~ ~G 7•(S Inspection Date Insp. Other Footings dy-1'd Foundation Framing" Rough Plbg. . J Or i I Rough HVAC Insulation 7/- in Final Plbg. •x. W Final HVAC Final Water Describe. Location: Well , Sewer Pr. Disp. i "UN y . 1 Y.- 7 KsFi ~~li+~~n~n~)3~vfAq-0`y ~v2tsyta4►tsss c I ~`►~Y~ Sa1 r~.~C'skt.~.~~SsY~Lr~#.'•7Y~~~1.`~tt~i`~A'in~xrl~r. m~.a ,u'~~® -`sf '~iR~:`' r + - - 3 " mss? s. a'. s ~cV C. 4w~' 9c s mc~ r., rb Wrtiffirat r of ("rrn am 1~ F Citp of (Eagan ~ a Department of Inilbing Jnopprtion ~I This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building _ v;I Code certifying that at the time o issuance this structure was in compliance with the various t ordinances of the City regulating building construction or use. For the following: I, 7 364 U. c6.r ti SF I)WG/GAR Bldg. eermic No. ~QJ l OwnpancY If w R3 Type Cowbuction V Fire Zone NA Zoning District RI O'nwofOuRdng o-SeAh M. Miller A4d., 14115 Guthrie Ave., Anple V a~ N Bwd*Add., 4793 Reacan Hill Rdt~.uty Lot 2.BZock 9, Beacon Hill ^ \ y? BY August 27, 1982 Q~s•~! )o a-~ Budding Off w vat'*: AL t. - - /OeTy M A CONGMCUMt M Ce ? POOR g~a t' R, A1 di'aWe"` 4&Ea tom. '~~N' ®.;oES oBi LITNON U.S.N. CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 2 Blk 9 Parcel 10 135nn 020 09 Owner L~ty {ti v~ Street4-793 Beacon Hill Road State Eagana MN 55122 Improvement jDate Amount Annual Years Payment Receipt Date STREET SURF. 1848.67 205.41 9 1643.27 A001411 9-8-82 STREET RESTOR. GRADING.? 537.84 59.76 9 478.08 11 SAN SEW TRUNK 3! 72.55 * SEWER LATERAL 1982 3182.83 353.65 9 2829.19 IT WATERMAIN * WATER LATERAL 1982 9 WATER AREA 1982 202.00 22.44 9 179.56 IT to * Stubs 1982 9 STORM SEW TRK 1982 367.77 0.86 9 326.91 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 130660 6-22-82 WATER CONN. 420.00 it BUILDING PER. 7364 SAC PARK fi Certificate for: Plan 93035 ' Centex Homes Midwest Inc. al 8601 Darnell. Rod n 55344 Eden Prairie, Joseph Miller Construction AR H. SCHWANZ 1,4115 Guthrie Avenue DELM Apple Valley, Mn. LANE) SURVEYOR 55124 R.gist.r.d UnA.. L &W$ of The StitS of Minnosots 1769 2878 - 118TH STREET W. - BOX M ROUMWNT. MINNESOTA 86088 PHONE 612 423- SURVEYOR'S CERTIFICATE s I 3o 0 38~ IZp. S 85° 16 35 E Y y, ".33 to p ti . - 15,00 IS, IWAS 9 J !~I `'`o`~ v I to r. N J ----4- ~ WET ~ ~ m - ( ,C r i ( LA~10 ` -LLL- 0A - 11- its '~yej, 124.41 S 84 44r 3" 30o a u l~n~~z 9Z .3 Den ' 93?• elevatrn 110 IM Denotes set h b o~es existing & tack O ~QZ Denotes proposed elevation `'Z Denotes direction of drainage SC4 erti tTiat this is a true and correct representat nDof Lot .2 I hereby c according to the recordedCP , block 9, BEACON HILLS ` County, Minnesota. 1 proposed garage floor elevation 2 1981 l elevation February , proposed top of block Proposed basement floor elevation g3a.o 1982. the location of a proposed house this 25 day of May, Also showing ..INNFSOTA REGISTRATION NO. 8625 ~~~-r ~ yr[ f 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Re air Re uir ments ff n ( C/ ~y 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y -N (209/o maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 90i Pres Plan Recd Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks r,/ ----,Tree Pres Required Y N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System Y - N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date oA / - / U S Construction Cost 11, ~C Site Address y 712) Unit/Ste # Description of Work 3 Cat, glaf4Q& Multi-Family Bldg _ Y - N Fireplace(s) _ 0 2 Property Owner NA C-\,\ Telephone # ((o 5)) (o$ 8 - ? 96 1 Contractor ~iG~ C2orts~-ruC;oyi Address !7y J X zj I l Ln city A p p~ r• `)e,1 ~e~_ State t~3 Zip 5 YbZy Telephone # ((QIZ) -(or R3 ' R COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category _ Minnesota Rules 7670 Cate w Minnesota Rules 7672 • Residential Ventilation Cat V k eq • New Energy Code Worksheet (4 submission type) Submitted 1 j Submitted • Energy Envelope Calculati -Submitted In the last 12 months, has the City of Eagan issued a permit a similar plan based on master plan? Y T N If yes, date and address of mast pla ~ `J Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /W ~n K A Applicant's P Anted Na e Applica Is Signatu e OFFICE USE ONLY . Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant l Valuation = ( Occupancy MCES System Plan Review 100% or 25% r Census Code_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ' Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. ~c Footings (addition) Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge r Plan Review ; r MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r 2045 RESIDENTIAL MECIIIANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55I22 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomesicondos when permits are mpired for each unit Date Site Address unit # Property Owner Alkh VZa&na ~ Telephone - Contractor SEDG K HUT-ING & AIR CONDITIONING L LC 6910 Wentworth Ave Stj Street Address Minneapolis, MN 55420 City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner ✓ Contractor Other Add-on or alteration to existing dwelling unit 36.00 furnace `Additional Replacement _ air exchanger air conditioner New Replacement other 4K644"444&4 - State Surcharge 50 106 Total $ '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 Mechani l 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 t approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's fgnature Z~10.ad 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Gad of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 09 / _q / 05 Construction Cost Site Address _ 9293 D EACO)-l ~ ILL RD, Unit/Ste # Description of Work S i D" C-, Multi-Family Bldg - Y ~N Fireplace(s) _ 0 L,41 - 2 Property Owner TGf,E-ZL JULIE- F1_0 D1 AJ6 Telephone # 7 96S Contractor S LT Address L 3 F _EAC0A) /-f ILL Q2, City State &A ~ Zip 7S/a2 Telephone # (Z51) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature z { 2005 RESIDENTIAL MECHANICAL PERbUT APPLICATION City~ 3830 PRot Knob Road, Eagan MN 55122 Te phome # 651-675-5675 Please c o"Vkbs for: single family dwellings ktownhon condos wheti pamift arerequ6red for each unit Pal t~~ t trait Ske AAddress Property Owner Contractor own Gi rcaat ►ddreas M8' r#h Me. k:MN 56420, ' Tetepbone # ti"txte Expires. The Appikant is owner V' Contractor _ Eater Add-on or aitertntion to exkthm dwaing anif ' F, D $ 3©•O(t W rn Addlitional, -ReMa nmt d ? (}Q v` air mhanger air:oondMoner heat Pump other StateSureharge $ Ott 't`otal J hereby apply for a RasidentW Mechem Peed and acknowledge that the infOrrnation is Cff1' plete and data; that ft work Will be in c00fimm tce with the bmUnancea and c€sdf of the City, of Eapn and with, the Mechanical Codes; d-o I ~,wd; tus 4, a permit, tit:t only an appli€ation fnr m:pmnit,; acid work is not . without a permit; t1m the work will he is acomfma~ Wi * to. ; approved Marti In the case of work which requires a review and approval.of plans. 10 1"! A; Applicant's Signature ► AVS. (952) 881-9000 2045 COMMERCIAL MECHANICAL PERMIT- APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 5 22 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date 1 / Site Street Address Unit Tenant Name (if applicable) Previous Tenant Flame Property Owner Telep4ene # ( } Contractor' t~ t1 Street. Address n4*0 t e$ 0.:Ct1#V1,tX113#f i state Zip ,'•~j~~c9l,~~ ~ Bond " Expires: The Applicant is Owner Contractor Other Work Type New Construction Underground Tank install Remove "s Interior Improvement Install Piping `Processed ,_,_,_Gas Nature of Work: **When instaltinglremovfng underground tank, call for inspection by Hre Marshal Snd Plumbing inspector Permit Fees: 57650 Underground tank installation/removal 556.56 Mkrnrrrm (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee State Surcharge If Wagj fee is less than $1,000, add $.50 If gap& fee is more than $1,000, surcharge is $.50 far every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurates, that work will be in conformance with the ordinances and codes of the City of Eagan and with the I chwdrAl 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 actor with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatura- 9 A WT8 QOM. Approved By: Inspector Date: evA r1bowirieW ON8 Required Inspections: T U.G. _ R.I. r Air Test _ Gas Service Test ) 'r, Final r----------------- I For Office Use ~ City of Ea~,, Permit#: I 4 9.. . I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: l~ Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6-18-6? Site Address: ~ 793 13EACoN Hl Tenant: Suite RESIDENT / OWNER Name: /LlLrifH F:-L-00 IAJ6 Phone: CSC 7 05 Address / City / Zip: 97G 3 P 1= ACCA) ff/"L P-D ' Applicant is: _,zL Owner Contractor TYPE OF WORK Description of work: ~<E F)LAcW 6 BR i6Lc. W Ll-t4 S-r4A) I✓ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 5raF License Address: City: State: Zip: Phone: Contact Person: 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 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. -0,2401 X 1jjj-611EzL FjoDl1V6 X Applicant's Printed Name Applicant's Signature Page 1 of 3 Amm I - I ForOfliice Use Permit 411>1 City of EaEd~ ~ I I Permit Fee: 1 I 1 3830 Pilot Knob Road Eagan MN 55122 + Date Received: Phone: (651) 675-5675 I Staff: f I I Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING P IT APPLICATION Date: MX_ Site Address: Tenant: Suite RESIDENT I OWNER Name: ^ Phone: Address /City /Zip: Applicant is: Owner 'C Contractor TYPE OF WORK Description of work: "'M1^t.P- Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: -el lz-~Y% ^ License Address: O'"~',°I r u~ tt City: __State: Zip: 4z;:S4l.Q J W l a Contact Person: j 11S - Phone: Lt?A ' 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 ap of ns. Applican Printed Na a Applicant's Signatu Page 1 of 3 t ' Receipt i r 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 _ LotBlk. Tract 4. Owner 5. Contractor i Phone 6. Address 7. City State a y Zip I 8. Building Type: Residential BJ Commercial ❑ Institutional ❑ 9. Work Description: New [d( Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Eguipment CFM A Forced Air Air Handling: L 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; t fot Bough Fjpal Inspections: Date Insp. Date Insp. This is your permit when umNared and approved. Approved ' - E -CtTY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. ! CITY OF EAGAN -4 "?v Fee Fill in numbered spaces S/C= Type or Print legibly `(Tot.' 1. Date 2. Installation Cost 3. Job AddressVl: ( Lot G?"~ Blk. ~ Tract 4. Owner \ 5. Contractor Phone NU C1 6. Address 410 ~6 7. Cit ' State _Zip B. 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 1 Shower Well Kitchen Sink Urinal/Bidet Other w r- Laundry Tray Floor Drains - , C.. 1 Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply i all or ' es governing this type of work. . Signed : for Rough Final Inspections: Date Insp. Date Insp. ° This is your permit when numbered and approved, a Approved 12a-l' ITY OF EAGAN 46"100 crry o "m WATER SERA- PewTi 3745 i of Knob Road PERMIT NO:: $270 , i. 71 1.1m Ilsono, MN 58122 DATE: Zoning: PD No., of Units: Owner: Jtaa$ph Miller Construction Address: :Site Address: 4793 EeacosiG Hill Ad U B9 loam Hill pk"be, McGuire rutchanical mew No.: Connection Charge: 62 0 * 00 pd Size: Account Deposit: Reader No:: Permit Fee: " F i to comply vAb the City of Eogen . Surcharge: th'+""aiam Misc. Charges: - 60.00 pd sev Total: sY Date Paid:. Date of tnsp.: insp.: Cr1`Y CW11At1M SCR SERVICE PERMIT R'YW- Kaob Road _ PERMIT -NO.: 1 5201 - v Easan;~MN 55122 DATE: T125/$ Zoning: PD No. of Units: Owner: *2Ql "14 Millor Zonstiuct itm Address: Site Address: _ 4793 8eacoa Hill Rd 12 B9, $atcamSill 6/22/82 34660 14 ?:4 pd 1 to 00np1f Wl* the CRY of Eagan Connection Cho,~ 425.44 lid Account , Dej:"t: 1 Y , 6 Permit Fee: 1%'06 pd Surcharge: yd, By Misc. Chorg" oate of Imp.: Total: ! r►gP• Cote Paid: ' PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096632 Date Issued: 10/22/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4793 Beacon Hill Rd Lot: 2 Block: 9 Addition: Beacon Hill PID:10-13500-020-09 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Mitchell O Floding 2700 N. Fairview Ave 4793 Beacon Hill Rd Roseville MN 55113 Eagan MN 55122 (61)633-261 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 01/24/2011 MON 12:41 FAX 612 822 5408 Al's MAAt:er Flumbimg U002/002 CC's ~ 5 ~ fyq 16 Use BLUE or BLACK Ink I 7 of ~ Ea an , Pemtlt#: I City , i I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Racelved: I Phone: (651) 675-5675 I staff: t Fax: (657) 675-5694 INFLOW & INFILTRATION PERMIT APPLICATION Y' Plumbing I Sewer & Water Date: ,+l Site Address: 'l H/13 Gil'ih l/~' ~ i Tenant: Suite 5~~ ~0 Oar v1 0 r Phone: Name' t RESIDENT 1 OWNER Address / City! Zip: r cH /t rt/ u' Name: Zola - d- License y4f Z )5T14;/- 4'ff Address: F/ City: __L.~r11r'r~u CONTRACTOR / State:.4p: Tel Z/ Phone: 'd 3x9 Contact: lr~ r Emall: PIX NG (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other. T Other: DESCRIPTION Description of work; i FEES $55.00 / Each (Includes $5.00 State Surcharge) TOTAL FEE $ 'Permit fees will NOT be reimbursed by the City of Eagan, if you plan to submit U1 repair costs for - reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd. j I CALL BEFORE YOU DIG, Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage. Gall y 48 hours before you intend to dig to receive locates of underground utilities, www.oooherst0toon201l.orn 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 7 7 be in accordance with the approved plan in the case of wo which requires a review and approval of plans. x J x'~ Ap Ilcant's Prln d Nam pl nt's ignature u;r ~ ytC ` 'Y i ~9 r yp k. •a, "a;A~t,~v'ak" , a,,,;,; Fek+ 1„~ > l .I►iii ,iii '~''r;+~' ' ~I~~ jC ~iR~ ~ r} 3~'.~i:Ot~l~~~#~~~':; ~~`~,,r, • .v., {]+f " a'~~t~";"~;`;s:?""~f~ V~~~' ~ r S ' ~ ti , l~ rr ~v v r i i , ;;7~)! r~.` : F.. i s~~ t~ ; k ; t, , Ia i t evie ed By t P a ltitl1111 ~##ffyy • , i ' fit. ~qq~ r ••`+c~ F ~ ~ ~ r Requ dlMspeatia~l~;, ,".~ElntlerCrourfd~?.al.,, ot~gti~I~k(„,.,,thilil nitr,..;; Y G,:;;:;:;.::? .••tytt ~S,,,rtta t,Pf „t{ukW;ik,u?ti {MSttGt Crt,, "Mu kt,"•, 'Ol k 6; s~Cit ' ti i For Office Use �+ a " • I as ••• :::: •• E AG N : I v � Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 { Staff: buildinginspections aa,cityofeagan.com L SEP 1 9 29/9 1C-4 69 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "1 )C7 -10 Site Address: 1 7 q3 4c.0,•, i( Kee . Unit#: 3 4 �: Name: LA l r �.4- h'1 r�'C.t'1 r 1.o cnnr h Phone: 65 !-a 3 v ' (3 IlktitAtk Address/City/Zip: II 7 Ge 4 cow\ /-fir i i r'-41.4 s- To a % Applicant is: Owner contractorpi) co`7 U I p Descipption of work: f L` �"� `e �'� I '�� i'1 e t" Y -x i construction Cost: 4 t of 0 0 Multi-Family Building: (Yes /No L Company: P R6 Vis,a v". 0._<-3\-\. 5 Contact: 141 2.L (rN P Ke Address:17'3 I Q 4 4 C 44 4 vi N3 C ' I City: E 4 4 440, +�J 6-1 State:VIA Zip: S / 3 Phone: kif 5-a-s Gv7 mail: IVI e 1 X19 c 1<eq L.0 64^S 4S ,, lue b License#: JO S`/ Lead Certificate#: 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: O 'rij as # ere !fait ssbm`are der # off rrrrati `tea la ! �e t , u de � , ink -:C11.44:041**, om ' 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.cityofeagan.comisubscribe. 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.gooherstateonecall.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. x 111-e. rA � � x w 1'`t-e Applicant's Printed Name Applicant's Signature . 117 6( 3 ii3e_4 c"v �DO NOT WRITE BELOW THIS LINE /j 067 SUB TYPES ,-I I (� 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 _ Repair _ Egress Window _ Water Damage Retaining Wall `Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 4 356't, -- Occupancy .LRG- ( MCES System Plan Review Code Edition 4 Z4)/5- SAC Units (25%_ 100%t ) Zoning ? D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction i1/!j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: _ Footings (Deck) Final/C.O. Required _ Footings (Addition) _ ia Final/No C.O. Required _ Foundation ' HVAC Gas Service Test Gas Line Air Test _ Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing Drain Tile _ Fireplace: Rough In Air Test _Final Siding: Stucco Lath __Stone Lath _Brick r Insulation Windows _ Sheathing Retaining Wall:_Footings_Backfill_Final _ Sheetrock Radon Control — _ Fire Walls Fire Suppression:_Rough In_Final _ Braced Walls Erosion Control ,/ Other: ?viewed By: / c3�y/ i""/c-/ 7/ , Building Inspector ESIDENTIAL FEES Base Fee /C;Ye it e n4- �trR O owe Surcharge / 7 S 5 g - "-- Plan Plan Review ll MCES SAC 4V d.C. O a City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153289 Date Issued:12/06/2018 Permit Category:ePermit Site Address: 4793 Beacon Hill Rd Lot:2 Block: 9 Addition: Beacon Hill PID:10-13500-09-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Mitchell O Floding 4793 Beacon Hill Rd Eagan MN 55122 (651) 238-6493 Nybo-peterson Company 6606 E 280th St Webster MN 55088 (952) 461-2749 Applicant/Permitee: Signature Issued By: Signature