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4714 Beacon Hill Rd Use BLUE or BLACK Ink r-----------------I l For t~ifi~e tlse I i ~C i F €~ermii ix: ~ t City of Eap RECEIVED l I Permit Fee: 3830 Pilot Knob Road i Eagan MN 551za SEP 13 2010 ; Bate Received: Phone: (651) 675-5675 I l Staff: l Fax: (651) 673-5694 L-_- 2010 RESIDENTIAL ~PLUMBING PERMIT APPLICATION Red Date: _ f o Site Address: Lf~ /'7 Ike- 5-n^ Tenant: Suite '?of- ant/ RESIDENT 1 OWNER !Name: Phone: Address/ City/ Zip: L47 J tf c.~+ A,11 juCONTRACTOR Name: B .S,, d-j'' 4- a-J-. License S"i 'QA' Y'" Address: . SI-1- City: na,41, -sS P. &I j State: Zip:0 8 ~t Phone: ) - ~I~i° - 4 3 Contact: llyr;1r1 Email: TYPE OF WORK -New A -Replacement -Repair _Rebuild _ Modify Space , Work in R.O.W. i Descri lion of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn lrrigation Add Plumbing Fixtures C_ RPZ / _ PVB) L- Main i Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES. $50.50 Minimum Mater Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S~ TOTAL FEES $ 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.clogherstateonecall.org 1 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 wMiout 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 ns. X ✓17Y'1 an ! +N'y5in x ` Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test _Final W.1 EAGAN WATER SERVICE PERMIT Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No, of Units: Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: - Total: BY Date Paid: Date of Insp.: Insp.: F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: a t 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 Insp.: Total: Insp.: Date Paid: ' CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date: 12/12/79 Receipt No.: Single Site Address: 4714 i a rt. ri r i 1. ? 1 TIC . Residential ry r Bacon ±i 1 Lot ` Block Sub/Sec. _ Multi Res., Comm./Ind. Name ;'enter:; OrtrS Midwest New/Alter./Repair Address 1615 Beacon Hill C't. r Cast of Installation _ City - L' ag 7n Phone: 5 2 permit Fee 20.00 Nome T'Iav Welter 11tg. Surcharge Address 46 37 Chicago, n •n 0 -F, City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3796 Not Knob Road Eagan, MN 66123 N2 5426 PHONE: 454-8100 BUILDING PERMIT Receipt # To be and for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. j at Name Move ❑ # Stories 3 Address Demolish ❑ Front ft. b city Phone Grade ❑ Depth ft. Name Approvals Fees ,O u6 Address Assessment Permit _ f' city Phone Water & Sew. Surcharge Police Plan check NJ Nome Fire SAC ua Address Eng. Water Conn. <w city Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official permit # Date Imed larmittae Plumbing Q Mechanical . _1a, 5 1?9y1 / -A 72 4z-AlU -A 41e INSPECTIONS DATE INSP. Rough-In Fled Footings Date Insp. Date Insp. Foundation Plumbing o~~ 1 Frame/ins. -7 Mechanical Final 80 1 Remarks: 1i~~/-fO 4'" 0 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 1490 Date: `ep~enber 25, 79 Receipt No.: 16034 Single .714 3elC) iIi Ikoac` Residential Site Address: r' .4ectCrrYa Lot Block Sub/Sec. Multi Res., Comm./Ind. Name' New/Alter./Repair 3 Address Cost of Installation O ~ z( City .;<<sv ~Mx Prairie Phone: Permit Fee ? J - _rl Name _ l nbinp h .9'..1•;x, Surcharge 0 15 ° - 1 Address :,ourh Robert r:1 0 V City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-6100 REQUIRED BY LAW ~CFTLN~'. PERMIT FOR ALL INSPECTIONS Date: `le 2 r 19 Receipt No.: Single Site Address,: Residential I Lot - Block Sub/Sec.~~ Aulti Res., Comm./Ind. Name New/Alter./ Repair Address Cost of Installation City 3Il' Phone: Permit Fee Name Asa,- - .d . Surcharge Address .7 3EM V3S?' City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official SPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 4) o (612) 681-4675 SITE ADDRESS: I I APPLICANT: ! I r I ;,rr1.,. f i I III N I PERMIT SUBTYPE: TYPE OF WORK: I I I ;.I r.iI INSPECTION 111•.MI I It1 UIIIVII If Permit No. Permit Holder Data Telephone # S/W PLUMBING HVAC ELEC / ~ ~ Ofl ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing V 3 Roofing Rough P1bg. '3 Rough Htg. ~3 rJO Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. L _ CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 32 Rlk 6 Parcel in 11x00 320 06 Owner b)1)(:, + )u~~ Ti. Li i Street 4714 Beacon Hill Road State Flan- MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 1806.93 200.77 9 1806.93 0007592 10-1-81 STREET RESTOR. GRADING ' 1982 526.46 58.50 9 526.46 0007592 10-1-81 SAN SEW TRUNK 1976 97 O 15 90-67 A009956 slig/go *SEWER LATERAL (C 1982 3116.46 346.27 9 3116.46 0007592 lb-l-81 WATERMAIN *WATER LATERAL 1982 9 WATER AREA 1982 198.01 22.00 9 198.01 0007592 10-1-81 * Stubs 1982 9 STORM SEW TRK L 1982 359.82 39.98 9 359.82 0007592 10-1-81 *STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Rand Unit 75 on --LO/76/79 WATER CONN. 11 11 BUILDING PER. 5496 11 SAC 270-00 16044 10126,179 PARK e Y. ~ s • ws '4TT ~•,..~fi,,.~°4a~~ ~y.~.lr!'e,>„y,~►.• ~,,r~r~... y~• ° Trrtifiratt of (Orruvaury Citp of pagan C{, Eeparimmi of Wi ilbing Insprriion YII i f This Certificate issued pursuant to tbt requirements of Section 306 of the Uniform Building T Code certifying shat at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or ust. For the following: SF Dwlg/Garage 5426. i' Us CWtlO~fim > &d&Pemtiv No. O¢np Tree Type Cm>W y RmZa 11 Z Mrv tno RI . aa.amaa Centex Homes I(idwesAj 4615 Beacon Hill Ct.,EaganR ~j 4714 Beacon Hill Rory L32 B6 Beacon Hill y Dale S. Peterson/jlr -74/80 Btdwnp OllfrW 0.t e. r cw..nc ~'.e~~.+.~3.~..:~ _:Yt~c..~~•.a't,.L--'R.v-~-'.~--T~- -:_a~:vr._a .:~-~c~a3~~.... Fp ~ ,1 ~I 0 2 4 1 / 3a l3 CrV~ Request Dale. / Fire NoF. Rough-lrv lnpsec6W R uh,1en Inspection Other Than oug'i / _ (Yau m call inspector wh ready) ❑ Ready Now III No81y Inspector Yea ❑ No Date Read I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job A tlress (Street Box or Route No.l City 7 o L Q✓1 Section No. Township Name or No. Range No. County Oc t PR) / Phone NO. will "Vs-S Power Supplier T(~ Address Elect cal Con!ractor ICOmpany Nam I Contractors License No. C4 .1 gcriers IGontractor or Owner Making Installation( Aulh Signature IC vactonOwn r Ma'ain s!allaf I Phone Numbe 7~-ryo I,j-- 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 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)6A2-0800 ENCLOSED. 9 REQUEST FOR ELECTRICAL INSPECTION E6-00001.4)8 /O • W See instructions for completing this form on back of yellow copy f E, II,I`1511 /~o~ 7Apt. "X" Below Work CQrvered by This Request ' y4I ~.ti Type of Builtlng Appliances Wired Equipment Wired e Range Temporary Service lex Water Heater Electric Heating Building Dryer Load Management m./industrial Furnace Other (Specify) Air Conditioner aluecllyl Contractor's Remerks'~ ~p Compute Inspection Fee Below: e~ Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs , Inspector's use only: TOT .S~ Irrigation Booms YG,~o O Special Inspection AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NT S. I, the Electrical Inspector, hereby Fough-in F Date Certify that the above inspection has F;n, Date been made. OFFICE USE ONLY This request void 1e months from This request void 18 months from JC~ Date of this Request S 17941 1, ] Licensed Electrical Contractor ❑ Owner, hereby re ueA st inspectioy of the above electri- cal "Win'hginstalled at: IF -3 __'7, J Street Address or Route No. 6VJ~ U 4, City QuAt-1 •tion Township Range County (car Which is occupied by < Mhu (Name of Occupant) Is a roughin inspection required on this job? No ❑ YeCEr,-_ Ready Now ❑ Will CaWK Power Supplier Address Re , R7gtw f lzi~ Electrical Contractor ` s 1 NV- Contractor's License NP3 r a, f (company Name) Mailing Address I~VLi f.• C-Liff Pp-, ~viuc- le r cal Co tractor or Owner Making This Installation) Authorized Signature Phone No. v' (Electrical Contractor or Owner Making This Installation) S f,~ M 00,2211 ry OPU This inspection request will not accepted by the (~j ~J O State Board unless proper inspection fa is enclosed. r - Minnesota State Board of Electricity -,,-19U University Ave., St. Paul, Minn. 55104-Phone 645-7703 7 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST S- -17qdl ;Other e of Building New Add. Rep. Cheek Appliances Wired For Check Equipment Wired For e ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ lex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ mercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ strial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ ❑ ❑ ❑ List List C1 ❑ ❑ Qtehe sf . Oehers} COMPUTE INSPECTION FEE B Wfffff?. 1 Service Entrance Size: # Fee on&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. - to 30 Amperes 0 to 30 Amperes •1101 to 200 Amps. 1'to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above IOQ-Amps. Transformers Remo[e Control Circ. Putialorother Signs Special Ins tion Minimum f $5.00 Remarks 1 TOTAL I, the Electrical Inspector, hereby certify the vvr'mspection has been ~.2Z(p•C~ (Rough-in) Date (Final) % ~Date -r~ ' Y This request void 18 months from CITY OF EAGAN 3795 PBot Knob Road Eagan, MN 55122 N2 5426 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt ~]To be used for SF Dwlg & Garage Est. Value 58,000. Date 9-26 i9 '79 Site Address 4714 Beacon Hill lmad Erect $l Occupancy Lot 32 Block 6 Sec/Sub. Beacon Hill Alter ❑ Zoning Rl 10 13500 320 06 3 parcel # Repair ❑ Fire Zone CP11 L HORIeS S Enlarge ❑ Type of Const. V W Name Move ❑ # Stories z Addre 4615 Beacon Hill Court Demolish ❑ Front 50 tr. City gan Phone Grade ❑ Depth 36 fr. p Nome Salve Approvals Fees o~ Address Assessment Permit Phone Water & Sew. Surcharge 29.00 Police Plan check 76.25 Ww Name 525.00 t w Fire SAC 270.00 X3 Address Eng. Water Conn. <w CI Phone Planner Water Meter 60.00 Council Road Unit 75.00 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 APC Total 1,187.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Centex Harms St on the express condition that all work shall be done in accordance w' II applica tote of Minneso Statutes and City of Eagan Ordinances. Building Official - Fo"Olfioe-Use I n; City of Eapa j Permit#: I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: y Phone:-(651)675-5675 I Fax: (651) 675-5694 - i Stall: -I - 2008 RESIDENTIAL BUILDING ~~PERMIIT~~ APPLICATION Date: Site Address: ff `{Z(y r 4t- Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: ''-I7 i Applicant is: -Owner Contractor TYPE OF WORK Description of work: (Z. Construction Cost: yr Ew . ✓ Multi-Family Building: (Yes No CONTRACTOR Name: hum 2 C~~> License Address: 2(0 F/r~T City: State: Zip: Phone: 65/ a 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 (J 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 e that ythev ou are trade eereTseasons that would permit the City to conclud > 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 of to 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 o plans. x ` ~RrnaS li L".5-j x Applicant's Printed Name Applicant's S' e Page 1 of 3 -----------------I Abbk- I ForOftk Was I City of EaIlaIl Permn#: I Permit Fee: ! I 3830 Pilot Knob Road I Eagan MN 55122 Daze Received: j Phone: (651) 675.5675 Fax: (651) 6755694 i Staff" 2008 RESIDENTIAL BUILDING PERMIT APPLICA _ I I ~P 0 5 2088 Date: Site Address: 4-1 i ~ 7, -Ir-k I l Tenant: C )l-l~V Yy` SVY t ` -Sul RESIDENT / OWNER Name: ` / ~ Phone: Address/ City/ Zipi~ n I'm l~l! l- '&+Z~ Applicant is: -Owner Contractor ! o "#~T~ Y7;~-+~d ~i reel ~ `I wi TYPE OF WORK Description of work: 'k > g t L'I Y1e + Lz lh S i Construction Cost; 0 Multi-Family Building: (Yes No ) CONTRACTOR Name: Address: ~11c~/`~ ~l ~C II ~~[~j L BIC ) City: L~ 1/}15y /I Sttaattl Zip: Phone: CA oC ~4 ~Cbntact Person: L UL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaory 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Workshest Category Submitted Submitted (,r 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: Nb E. Flans aazt sup trrrhn1d6btrf4e 'VAt; t+&r =r rrs a if Au8i1rG fin( tlwn °r, the'rr!/ormatlon niaay t,a,cl~, r7¢d as r/r~ yn PUS w H~ Y~~ A ~v#W'!!p y~ at l •lfrdt lydrrrd aemi~~tl =cr r6 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 wioout a permit; that the work will be in accordance wlith~ ft approved plain in the owe of work which requires a review and approval of pl rr€ F~~J rt- AppllcarWs Prlnted.Name ppllcent s 3 g Page 1 of 3 l II it j i~r1! nA n^ Fot'gK ,)!se City of Eapn I Pe mit# I I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: J~^ II Phone: Address / City / Zip: `{-7(`I Potc«✓ (6- 16? Applicant is: -Owner J Contractor TYPE OF WORK Description of work: L-Rf J1~r d I Construction Cost: Yr az ` Multi-Family Building: (Yes No r CONTRACTOR Name: ) v wZ License Address: p -Z\a`( E Aa Vrrrr rv City: ~1 State: !`-ej Zip: 5205-y- Phone: (~~f ads-Ta Contact Person: Ji)-k 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 (J 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 docriments that you submit ar'e considered to` be public information.,: Portions of, ;r? w the rnfonnatron maybe classffied as non public"if you'provrdespecrfic reasons that would permit the City o '...'conclud '~il4k 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 rk-i'; 'fi3 o art wi errnd; that the work will be in accordance with the approofvved plan in the case of work which requires a review and app at of plans. x~M ✓ r~ x Applican's Printed Name Applican' ature t's S Page 1 of 3 L) RECORD OF COMPLAINT Date: 7116/60 Type of Building: X Residential _ Apartment _ Other, Name: Ken Grogg Address: 4714 Beacon Hill Rd Phone number: 612-845-4249 © 651-686-7182 Other Complaint: Damage estimated around ? Foundation Wall collapsed, foundation wall not supported by anything. 6 to 8 feet of mud is covering basement . Comment: Waste Management (Wed) Action Taken By: Mandy Boudreau RECORD OF COMPLAINT Date f D u J Complaint taken by Type of buildinng/ Name '-r ~ ~tpC®~/ ff~~ L 2 Address - / 71 Legal description Phone number 05) - (off ` 71,6Y Complaint FL(+)WA-eq' am e~ L26 7W or VHE zboepe 13GOWKI -Al -&Ai Wmk f l ra 4 7716 /fob /s '5TtUCt)AL UlVt A-, . /,bM6 0ZMrVf-P 63 VAC*720 Action taken lV'or ~oL' ~f1s /Nsy~c~ Comments Signature -t-I3 RECORD OF COMPLAINT Date Complaint taken by Type of but7ding -I`r Q Name \ h~ G y a S f Address 1-4 -1 1 y C b v~ I t C'J Legal description C~ W e Q U 1L~Q i Phone number Complaint Action taken Comments Signature LOT: BLOCK: (.1 SUBD./P.I.D tw~ C in ~ ~~i t 1 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) , f CITY OF EAGAN "Y-~s S-U C) 3830 PILOT KNOB RD - 55122 651-681.4675 l , . p U New Construction Requirements Remodel/Repair Requirements ➢ 3 registered site surveys showing sq. R. of lot, sq. ft. of house 2 copies of plan and all roofed areas (2007, maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) i site survey for exterior additions L decks ➢ 1 set of energy calculations ➢ 3 copies of tree preservation plan 9 lot platted after 7/1/93 ➢ Rim Joist Detail Options selection sheet (buildings with 3 or less units) ~y DATE: r CONSTRUCTION COST: rlb~6 DESCRIPTION OF WORK: If muff! 4amily bldg., how many units? STREETADDRESS: 7~ 1,/ 1 ~~1Y1 (rrt ( - Name: MfA.Ltx t'i lily Phone ln) I -lf/~~r i PROPERTY Last Fiat OWNER qr?~Y pld621 / l~~ Street Address: City Gw::~` State: YV~ Zip: SS~Gi Company: y&[ r Phone (area code) CONTRACTOR /T Sheet Address: ! • E r License # Exp. 3 ~Ir City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone Street Address: Registration City State: Zip: Sewertwaterlicensed plumber (ifinstalling sewerlwaterPhone#: 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 Orrddina ces. p I Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required L BL CITY USE ONLY n 1( 1~, I RECEIPT#: SUED. &a -C() RECEIPT DATE: 1 _ PERMIT# ~I b I A D1.-ti's a, 4 2000 PLUMBING PERMIT ( IDENTIAL) ) CITY OF F.AGAN r, I I l J 3830 PILOT KNOB RD IlAvf 11~.// EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations testing dwelling - minim m fe $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished 'requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x - _ $ State Surcharge 50 $ 50 Total Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - - - - I hereby acknowledge that I have read this application, state that the intonnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Z SITE ADDRESS: V 7 141 /0 • S s i-Z OWNER NAME:: K CNN F`-~ J 672 O dpop TELEPHONE* to s~ g16 7/9Z (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: CITY: ST IP: S ATURE OF PEF M TTEE P1.n DELMAR H. SCHWANZ J LANDSURVEYOR R"iftered Under Laws of The Stet. of Min nasop 2978 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 812 4231788 SURVEYOR'S CERTIFICATE r a 3G.;a ` o ZS !N I c :'r1lnx~e :;:'!f11t t - ~i z a I - en )i. ~ropo~etl flrilshed £-r,ade I 'p )J' !':lCk Garage floor Basement- floor tiel~^ rr.rk: Top of hydrant between lots 4 and Biock 1 Eicw.ti )r- ?3',.63 ,,^cet '.~i(' .2^,i .f C)I'2'°r•: I'.•prE:; E't~'_:- l'. n 'a.. ')r' . ' L,n~ .I- :,Pc -)rc.l:ti, ? the n r :•drn nl"I r' ?+evl^er? to t1r)ou proposed house Sept. 19, 147.? MINNESOTA REGISTRATION NO. 8626 F,jW ~o D ~ ~ 5 3 Co rv, DATE \ 112, 1 BUILDING PERMIT APPLICATION Include 2 sets of planar 1 site plan w/elevations and 1 set of energy calculations. To be used for "CD " E Valuation 5 a)o o 0 Site Address: 4 T~>F-QCD t4 aA Lr 3~. Co 6F- AC.o tq k, v Lot Block See Sub. Parcel Number g J35G~p 3g-0 0(,, Owner Telephone Address r rontractor £6. rEy, 0" - INAITTelephone 41-54- S -Z3 Address Arch./Eng. Telephone Address OFFICE USE Erect Occupancy Alter zoning Repair Fire Zone Enlarge Type of Const. Move H of Stories nemolish Front x n Grade Depth OFFICE USE Date of Approval 6 Initial FEES Assessment 1l. ~ ~74 Permit ~ 5a'S Water/Sewer Surcharge 2- Police rian Check 7 G,31 Fire SAC Eng. Water Conn. 21Q_ QO Planner Water Meter Oouncil ~OAi1 Ufl%,r ~S.00 Bldg. Off. A.P.C. TOTAL F PERMIT C1*Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022801 (612) 681-4675 Date Issued: 01/03/94 SITE ADDRESS: 4714 BEACON HILL RD LOT: 32 BLOCK: 6 -ff BEACON HILL P.I.N.: 10-13500-320-06 DESCRIPTION: B,ulldin2dt Permit Type BASEMENT FINISH Building Work Type ALTERATION G Cc, SEPARATE ELECTRICAL & PLUMBING PERMITS REQUIRED FEE SUMMARY: Base Fee $35.00 Surcharge 0 Total Fee $35.50 (9KT;~AFTgp - Applicant - ST. 'I C- OWNER: hIE IMPROVEMENT 14730450 0007845 STRAUSS STEVE 1870 W WAYZATA BLVD 4714 BEACON HILL RD LONG LAKE MN 55356 EAGAN MN (612) 473-0450 (612)452-1080 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPL NT E E (GNAT E Is~suE/~ Y. SIGNATURE r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G . 3830 Pilot Knob Road Permit Number: 022801 Eagan, Minnesota 55123 Date Issued: 01/03/94 (612) 681-4675 SITE ADDRESS: LOT: 32 B L O C K : 6 APPLICANT: 4714 BEACON HILL RD TRIPLE D HOME IMPROVEMENT BEACON HILL (612) 473-0450 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE ELECTRICAL & PLUMBING PERMITS REQUIRED ~.ut REACTIVATE _ CITY OF EAGAN PERMIT # 19WBUILDING PERMIT APP 681-4675 V L z 'J I © J S~ DEC 3 0 1993 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su 4t 6, orgy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change 1_s requested once permit is issued. Date 30 & acv'" //Valuation of work Site Address: 4191zf !3 acv'- 1,20aig STREET SUITE M Tenant Name: (commercial only) ~r n n LOT ? BLACK sasD.~ {{{/j/ Y.I.D. N Description of work: The applicant is: ❑ Owner a Contractor ❑ Other (Describe) Name - ST 6~tisS ,-%r,/e_ Phone z/Sz -iod'O Property LAST FIRST Owner Address 47/ A ah AILOrt' STREET STE Y City AI c7r State 1Y/r~ Zip 5'512-z Company " Phone 1173-6gfS o Contractor Address /d'70LVI &VAIT A7-,4 jO/Jd License #~.P . City .4 ea State A-22 Zip SS3S C, Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apppPlication and state that the information is correct and agree to comply with licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican . CITY USE ONLY / L ✓ ~ BL ~ RECEIPT zut SUBD. ~'Oa'17Y) i I RECEIPT DATE: rv-" -dd PERMIT # 2ooo PLumame Puma (fi£SIDENTIAL) CITY OF i:AfiAN 3830 PILOT KNOB RD EAGM, MN 55122 651-6$1-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished requires MPC lic. 75.00 x = $ Septic System abandonment 30,00 x = $ RPZ new inslatlationirepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ O - Oo Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x = $ State Surchar a .50 > > > $ .50 Total - > S O.50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - 1 hereby acknowledge that I have read Nis application,state that-the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and main . 'ties in the.fa "rr structed_uoder_ttusse it within City property/nghlaf-of SITE ADDRESS: GROSS, KENNETH OWNER NAME:: 471° BEAGON HILL ROAD L TELEPHONE EAGAN, MN 55122 (AREA CODE) (851) 686-7182 INSTALLER NAME: TELEPHONE DBA VENTCO/APPLIANCE INSTALLERS (AREA CODE) STREET ADDRESS: JIM QARfI iD ZIP: CITY: MINNEAPOLIS JUN 0 5 2000 $Y.`_ SI E OF PERMITTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) \ CITY OF EAGAN I CJ\ 3830 PILOT KNOB -55122 / t 75 75 651-681-4675 Requirements ~.7`p ➢ 2 copies plan (,Jj C 7 S t.u-tn~ c, DATE: CONSTRUCTION COST: l U U G DESCRIPTION OF WORK: S~EN If multi-family bldg., how many units? INDICAT HE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: Plumbing Homeowner or Contractor Name - Mechanical Homeowner or Contractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: 7 7/~ /`4~cOd N /L &-,C,- 4 -6 IFfl 6AI I Mn// S S /Z Z LOT: ~J BLOCK: _ o SUBD./P.I.D. C 02) 1~ t-~4 l Name: 6r4 0 67 G ~CCNN t 7~ Phone 0: G S/ 61; ~o '1 S Z PROPERTY Last First OWNER Street Address: f-1 C-A-CO (J r c L Q D City t- A- &A ! State: M N Zip: Ss / L Company: Phone 0: (area code) CONTRACTOR Street Address: License 0 Exp. City State: Zip: 1 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. Sign of Applicant ,~14 A ~ '4(7~ ; - "o N--/ \4 ~ 6 JUL 2 5 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) `r CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Construction Requirements RemodeUReoair Requirements i # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 1 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No DATE: g R CONSTRUCTION COST: 1 EY DESCRIPTION OF WORK: STREET ADDRESS: q-? f / EP OLa N W11/1 A!d' C~Cc nJ MAJ. LOT: BLOCK: SUBD./P.I.D. ZQ ck C 0 t I I Name: l9 VOQg ktn Phone 4: US/- (ocf(aF/ PROPERTY Lwt First OWNER r~ ~ 14;1( Street Address: ~l ,l1 U &.a CO~il ~cY City ~G GQ /u State: Zip: Ss / a Company:_ 1 2 fe C- l~ Oo i l r1 r3 0QPJSt . t Phone ~l / 2 - ~~J dOt{6 CONTRACTOR p Street Address: I l S ~3 'P -10 0,1-- License #,D 3 / cep Exp. City 3 Li rnl.C i Me State: IP iu Zip: 5 S 3J' 7 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): 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. Signature of Applicant. - JIrJ - OFFICE USE ONLY I j Certificates of Survey Received Yes No I Tree Preservation Plan Received Yes No Not Required Use BLUE or BLACK I ' For Office Use City Permit#: /.4/ /‘-( -14.1" jow(v'' y Of l Eapil Permit Fee: ` / 3830 Pilot Knob Road _ Eagan MN 55122 Date Received: / Phone: (651)675-5675 t • _.o. buildinginspections(a citvofeagan.comStaff: r / 2017 RESIDENTIAL, BUILDING PERMIT APPLICATION Date: 1O /4 I ) Site Address:in 1 J f C coy) kti LL p ra , Unit#: �'\� \ S et Name: c ►� ` Phone: &dent) 1 14 6 C C CYC ' n LL P D Q )g Address/City/Zip: y Applicant is: Owner )(Contractor Tytie of Work Description of work: �y v tC 0}- g ��, l A \N C. 1✓ i f LA f i`'\�Jnnl d . V w : Construction Cost: ( lj Q 0 Multi-Family Building:(Yes /No ) t '.!:2'444 '� Company: V/tl(�� )\9\ `�J'z�V�"• CO� Contact: v _\J C ntractOr Address: 127:11 \. \ C 0\ r`C '\ I `v t . City: B V\- Y Y `tst � ) I f State 1 V Zip: J Phone1.5Z ' (0 Mfr il: )t1Y. VAC vt.. JC ---• CCYll , � License#: SC5 I AI) 1S 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: NOTE:clans and supporting doc -, iiiha4gu submit are on ere d to be public Inl rmation ''o �r: ,;,i information maybe classifieds no . °ii it u provide specific m he d ®4 e Ci11:1:...•4,e . z are tradexsecret .,::, 19 t,: , - t„4„7„,,,,,t,ii,. , , w. .. x t_ FiF ... 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.citvofeagan.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.00pherstateonecall.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 1\1461\1 rikV-1-1-VM W--- xn,/401 /W'/77/12//f/fe- Applicant's Printed Nameli ant Si9n - Page 1 of 3 /�� 7 CO'1 ` i, O —1NOT WRITE BELOW THIS LINE / '?l`f ' - SUB TYPES _ 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* IX 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 4,1 Valuation Le V Occupancy �., MCES System Plan Review Code Edition 04 ti4 41 lf SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ii Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: C Footings (Deck) Final/C.O. Required Footings (Addition) V Final/No C.O. Required Foundation Foundation Before Backfill dr HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing X 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 x Shower Pan Other: rt 414 Reviewed By: , Building Inspector" I 1' RESIDENTIAL FEESi Alt �' Base Fee A 4,1,41 Or Surcharge i Plan Review 14)tIl MCES SAC City SAC Utility Connection Charge ;24/(47X `-7 2, 90 S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • 1 L . ? r, .r--,n7 I. .st ', /q&/Z/ ' r", 1" i ri►' . rl . 3 i s P1 In D.3,, 1 Ili 414.:'i � �� l l7/`/& cab ti-i i t Cf DELMAR H. SCHWANZ LAND SURVEYOR ! Registered Under Laws of The State of Minnesota I j 2678- 146TH STREET W.- BOX M ROSEMOUNT,MINNESOTA 56068 PHONE 612423.1766 I / CAP"P. SURVEYOR'S CERTIFICATE /)/1 P� I / I -.`„may'+ _—of "_�' �- ✓��c'»..�,�_ — . ; ci:!.",„5 , t,-% 0 ,-,-,,,x-Ve . --- _.:4, 4 ' t', I 0 :'r >1n rhe & 's' tilt:, , e:1 5 Crleri t. • 1L4 AI ` 5 ---__. \ 1' �- /(Cf, a3r )t.,-;,-; aropose3 finished grade I ... _.-- T. •p -if H1—>e r Garage Floor Basement floor Cf':,ri•s.rk : Trip of hydr_rit betwE..en lots 4 and J, 13,ock / E1ev ;.tj )r- ?3 .f. 63 feet `)' ''''I �' � a'r't : :•�� th ;- +• t+ •, . ..C:,.i is to/n.4. anti C )rr'er': r'•'prese,tt'_: : .r: j4' C :I,: ..in• i. • i f• _..r., ?ire rt.Lrij t.:. i toe rl'C''•rdea p1ti% ±''...»r. :1' , , i f int . 'V F.. ' `�etr1 Zeri to :`riga proposed house Sept . 1 c, 1 ;7-3 /' . 1 r - MINNESOTA REGISTRATION NO.BUS