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4682 Beacon Hill Rd Use BLUE or BLACK Ink F----------------- I Eorbffice Use j1 j Permit 1 1 City of EaEdfl I l Permit Fee: C/M. 061 3830 Pilot Knob Road 1 I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: --'----------------J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1 J~ 13dG Phone: RESIDENT / 7~Z T1-e ~n OWNER Address /City /Zip: L~ J'! ( t~U Applicant is: Owner Contractor TYPE OF WORK Description of work: &_..S It CLZ Construction Cost: :5 pe>0 Multi-Family Building: (Yes / No~c_) Company: ?en-i^ yl rAV- C-1- G"ItViv Contact: 7N-,e\ -01-e_r CONTRACTOR Address: L661 1.0-cICom-CM& City: ~6~- State: A N Zip: -2 2 Phone: 9r. I ' License _Zd 3 `1-5-77? Lead Certificate Does this project require Lead Remediation? ❑ Yes C~ViVo (see Page 3 for additional information) If no, please explain: 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: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 forprotection against underground utility damage. 11 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci 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 rt without a pe Eagan; that I understand this is not a permit, but only an application for a permit, and w14: rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvax ~1M<i lc. lC/1 x Applicant's Printed Name Appli nt's Signature Page 1 of 3 Use BLUE or BLACK Ink t-----------------, I C. i For Office Use S. o u J i 'Permit q001 City of Eajan z Permit Fee: 5 0~ l 3830 Pilot Knob Road i I Eagan MN 55122 ° i Date Received: Phone: (659) 575-5675/~ Fax: (651) 575-5694 C 1 l'rl J 6 i off: 1 rrw-ww wwwww wow wwwJ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: to !J ck C-0 I-%,- A1111 e Tenant: Suite RESIDENT / OWNER Name: ~ 1 Phone: f,. S/- So g - E000.7 Address / City / Zip: toga 6- c c c , i I ( E ax Mu S&I Qla CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK - New - Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.WI. Descri on of work: G I cJ~f? 7r Clam PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation C_ RPZ PVB) Add Plumbing Fixtures Main / Lower Level} Septic System Water Turnaround New _ Abandonment TV) Y' a 4 ; o 1-N D'r" RES FEES. 55.00 Min" um Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ _SS- Gy CALL BEFORE YOU DIG. Cali 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.go2herstateonecall.org 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. 1. ? 1..? :::~2 - / I ) x Applicant's Printed Nance plicant's Signature FOR OFFICE USE Reviewed By: Date: Requlmd Inspections: Under Ground Rough-In _Air Test Gas Test Final CITY OF EAGAN WATER SERVICE PERMIT 3795 pilot 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- I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 5795. Pilot Knob Road PERMIT NO.: 111igon, MN 55122 DATE: Zoning: No. of Units: Owner: 01 sr Address: Site Address: nn ~ti; 1 Plumber: I agree to comply with the City of Eaton Connedion Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3795 P90 Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for Est. Value Date 19 Site Address Erect ,(3 Occupancy Lot Block Sec/Sub. Alter ❑ Zoning - Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. Z Name Move ❑ # Stories Address Demolish ❑ Length city Phone Grade ❑ Depth Sq. Ft. W Name Approvals Fees zF ti Address Assessment Permit ~ city Phone Water & Sew. Surcharge Police Plan check ~W Nome Fire SAC u0 Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition thrn all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3a(f ([C]~ ~f l z-)q , j H. V.A.C. T l l / Well Water Disp. Sower Electric W059-33g !yD EUCi z-!e $3" C~f~/►~ wos13-7 t (l it A-z3is3 Inspection Date Insp. Other Footings Foundation Framing ,2V.P Rough Plbg 2 2 Rough HVAC Insulation Final Plbg. $ NJq Final HVAC ~J Final i Describe Location water well Z Sewer Pr. Disp. fieceipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. _ 1. Date 2. Installation Cost 3. Job Address Lot~Blk. Tract- 4. ' f Owner 5. Contractor .4 . = ( ✓ Phone 1 '7 6. Address 7. City 'C C State Zip 8. Building Type: Residential [l Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter O Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bldet Other Laundry Tray r Floor Drains ! j Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : r ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt.'-- MECHANICAL PERMIT Permit No. CITY OF EAGAN .r : Fee Fill in numbered spaces S/C Type or Print legibly Tot. ~i 1. Date • 2. Installation Cost 3. Job Address'. Lot_yHlk. 3 Tract ' i l f 4. Owner,' R f r 5. ContractorL_ i r' 1, • y Phone 6. Address - i r - 7. City 1"~ State Zip B. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New 'K) Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets I 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. a Signed: 1 • for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 `E /~-/740 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN VY; i lg' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address F fr r i BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. L New D Name Mult. Add-on X 6 Address Comm. Repair S City Phone Other Name FEES CD Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Cond. M BTU i~ STATE SURCHARGE PER PERMIT - Air 50 Vent M B (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEEL, S/C• SIGNATURE OF'PERMI EE 7 TOTAL: i 11 FOR: CITY OF EAGAN o,~Ya~~ 1°p'r` aY "q~` . ;L _•~'ai` Xtir_-~c;_~r -FC,;~ 1C1-0-Z S-W- ..`t T.ertifiratr of (Orrupaury : Citp of (Eagan ' Orpm m t of Building 3narprumt This Certificate issued pxrstutnt to the repirements of section 306 ot the uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: ' SF DWG / GAR Mg. hrmit No. 7766 ~ t r~ 0-w-)TM R3 T"OCOMUUCUM V Fire Zen, NA ZMMDuvkt Rl ofAd 01-Berg Const. X6400 131st St. Ct., Apple Val: 0~ dim Nddl wetwnrw 4682 Beacon Hill L..rcr Lot 15 , Block 3 , Beacon Hill " Road ' a orear 8K- Diu: June 8, 1983 -lap CITY OF EAGAN Remarks Addition DEACON HILL ADDITION Lot 15 Rik 3 Parcel 10 13500 150 03 Owner Street_ 4682 Beacon Hill Road State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , 1982 1806.93 200.77 9 1806.93 0007556 10-1-81 STREET RESTOR. GRADING 1982 526.46 58.50 9 526.46 c 007556 10-1-81 SAN SEW TRUNK 1 7 135.97 9.06 15 90.67 * SEWER LATERAL 1982 3116.46 346.27 9 3116.46 0007556 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA (p 1982 198.01 22.00 9 198.01 0007556 10-1-81 * Stubs 1982 9 STORM SEW TRK 1982 359.82 39.98 9 359.82 0007556 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Road 24o.o0 68 1-18-8 WATER CONN. 420.00 r BUILDING PER. SAC ~t n 5P5 nn PARK S/g REQUEST FOR ELECTRICAL INSPECTION EEB-000011-en6 Ilt See instructions for completing this form on back of yellow copy. / ✓~Or v'C 4 * 57 --X" Below Work Covered by This Request Ney, Add Sep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm x 01hei peel v D11u11 Isnsufyl t er Speai Y thin other ompute inspection Fee Below a Fee Service Entrance Size h Fee FeedersrSubfeaders a Fee Circuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100-Amps Above 100_A mps Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspection s Bemirks TOTAL F FJ~ Hough-in Dare R, - 1, the Elec Inspector- hereby certify that the above Final inspection has been V gC a made. This request void 18 montlie from This request void Z- b Lit; ~ ~ 3 J OfC~CO/~ y-l ~0' Ob 18 months from YJ 0.5.9338 Requ^st Date Fire No. Rough-in Inspection CJ p ~e~ a R qu retl? ❑ ❑Ready N-wVWill Notify.Inspec- D K3 Yes No for When Ready ❑ Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Boz or Vg No. City 41.E `aa, Z C? o" ttti R1 ection No. Township Name or No- Range No. Cowuy ~Q Oce ant (PRINT) Phone Nn. (oi Bsr ~n5~ Po er Su ppliiener Address L~ EI trical nVactor (Company Namel Contractor's License No. /4LO6 Mailing dress (C ntractor or Owner Making Installation) Authorized na to ontractor/Owner eking Installation) Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be.. N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS o.___ gat or o00 -I ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION { EB-00001-04 r: 'See imtruc[ians for completing this form on back of Vellow copy. Croi- 338 p "X" Below Work Covered by This Request 3113 ev, Add Rep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Spe,;,fv) Omer (soecify) t er $pe<;Ity Other - Other Compute Inspection Fee Below N F e,, Service Emrsnce Sine H Fee Faders/Subfeeders d Fee Circuits 0 to 200 Am s 0 to 30 Amps 0 to 30 AM DS Above 200 Amps) 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amjs Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection T AL FEE Remarks Rough-in Date 1 t Foal Inspector, heroby certify that the above Final Dote L inspection has been _l/_al made. This reauest void 18 months from This request oidz-z3 9Eaeoh I7 f Ftgq l7 18 menths from W05.9371 sgtso Request Oote fire No. Rough-in Inspection flegw red? Ready Now Will Notify Inspec- Yes ❑NO ter When Heady Ibl Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City ecUOn o. Township Name or No. Range Mo. Co Occupant IPRINTI / Phone No. PdL2 C.J(,Q~Yl1 Powerr Supplier Address vim' 7T Electrical Contractor (Company Name) Contractor"s License Mailin ddress (Contractor or Owner Making Installation) -75-S- t7GYi S XJ L3 Authorized Sig ore (Contractor Ow er Making Instaflationl ne Number o:1 234- ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ~-I m-. I- ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04 ftib- ' See instructions for comalatina this form on back of veil" coati. 05371 "X-' Below Work Covered by This Request 3 V Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater i Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ether 45pecf fy) t r Specify rl Other ompute Inspection Fee Below e Fee Service Entrance Size H Fee FeedersrSUbfeeders a Fee circuits O to 200 Am - O to 30 A s '7- 5 ° O to 30 Am Above 200 qmu 31 to 100 Amos 31 to 100 Am s Swimming Pool Above 100_Am Above 100_Amps Transformers Irrigation Booms r ° Partial-'O Signs Special Inspection Remtrks S e3J T A F Hough-in r Oate 3 I, the Electrical Inspector, heroby - certify that the abov- 4,410 e Final Dales inspection has been n~ 4) 7-:L/ made. This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N4 776G • PHONE: 454-8100 ~ ` BUILDING PERMIT Receipt # ?~%(c To be need for SF DWG/GAR Est. value $68,000 Date January 18 19_2a3 Site Address 4682 Beacon Hill Road Erect R-3 Lot 15 Block 3 Sec/Sub. Beacon Hill Alter Occupancy `y ❑ Zoning R-1 Parcel # 10 13500 ISO 03 Repair ❑ Fire Zone NA 01-Berg Construction Enlarge ❑ Type of Const. V W Name Move ❑ # Stories z Address 6400 131st St. Ct. Demolish ❑ Length 54 Ci Apple Valley phone 432-8079 Grade ❑ Depth -3&-Sq. Ft._ o Name Approvals Fees 337.00 uS Address Assessment Permit F CI Phone Water 8 Sew. Surcharge 34.50 Police Plan check 168 . 50 Ia. Name Fire SAC 525.00 15 Address Erg. Water Conn420. 00 CI Phone Planner Water Meter 60.00 Council Rood Unit 240.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the intormation is correct and agree to comply with all applicable APC Total $1785.00 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: 01-Berg Constru- ion on the express condition thm all work sholl be done in accordance with all app~icab a Stote% in a and City of Eagan Ordinances. Building Official A' o- - ~ This request void L"/~/G~ 7aG 18 months from 7+ O ® 4 5 5 } cis es ~ y ep r' ti. A`j-1. Requec[ Uate Fire No. Rough-in Inspection 1~ Required) JaReady Nuw ❑ Will Nify Insaec- 5-7-87 ❑Yes No ¢x Whoten Ready [.Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed et: Street Address, Box or Route No. City 4682 Beacon Hill Rd. Eagan ecUOn o. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. John Machen 452-7490 Power Supplier Address NSP St. Paul Division 825 Rice Str., St. Paul Electrical Contractor (Company Name) Contractor's License No. Total Electric, Inc. 039842 4 Mailing Address (Contractor or Owner Making Instailation) 1537 92nd La. N.E., M ls., Mn. 55434 Auth ri ed Signature (Contra t /Owner ly~king llati on) 1 Ph nne Number 786-8484 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OBOO ENCLOSED. RESIDENTIAL BUILDING , 7- Permit Application City Of Eagan 1"` 4 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 New Construction Requirements Remodel/Repair Requirements Once Use Onlv 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sires; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if onsde septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units a e Date 3 / ?_9 l _a~ Construction Cost ($2S-00, Site Address 1`' G Q o2 4 e/~ f o hJ /1771:,11 / ` Unit/Ste fi Description of Work CZ) r1_7_ AV, I'S ~^/T' Multi-Family Bldg - Y N Fireplace(s) _ 0 _ 1 - 2 Property Owner r"p 1L K() LL- L 16 t✓ Telephone # (d.V ) 1e/0 s ' g ~S Contractor (_.!•GS / O/+l ®c.2-°/~7 d due! C2.S- Address 012-, city 1 iwYi ~ l y, T State Zip Sr D / Telephone # ((oV 7 $ 4J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber r, Telephone ) Mechanical Contractor L1 r 11 1 ?M1 V~ Telephone ) Sewer/Water Contractor t 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. PT ~ F- Z, /2 ~ - c Applicant's Printed Name Applicant's Signature CI•TI OF EAGAN Include 2 sets of plans, r\it` 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For 5V Dw~ LG4c-Valuation _2~ ~ ~,./JQO Date j- Iq Y3 Site Address: ( 2 jjE; r;~ ILL L k-D OFFICE USE ONLY Lot j5 Block 3 Sec. /Sub. <tU i:LLL Erect x Occupancy 3- Parcel j8 [ SOU (SC) C) j Alter Zoning gyp/ Repair Fire Zone Owner:" Enlarge - - Type of Const. Move # Stories Address: Demolish _ Front ft. City/Zip Code: Grade Depth 3R ft. Phone APPROVALS FEES Contractor: C3 fjE 6 C_6i.JST Assessments Permit n Water/Sewer Surcharge 3 y Address: (400. 13) S i Police Plan Check - e/2 Q ty/Zip Code: fl L E YFI LU Fire SAC - n Eng. Water Conn. y~0 Phone Planner Water Meter Arch. /Ehg.: Council Road Unit Bldg. Off. Address: APC City/Zip Code: ~~o~ Phone TOTAL A S~•~' f A H Q J J H z \t! N. ~O 1G~ - 34 ro ~ JO 2 J ~ 36 (L34 936..0 - - - - - ~EAC6Q- --RS LL- - - - - EXTERIOR ENVELOPE AVERAGE "U• COMPUTATION OWNER SITE ADDRESS L~, Rsa REACzti N?~L F ref 1)13 CONTRACTOR t -13LFI& Co 4S 7. DATE PHONE 43Z' Q 0?9 Determine working square footage of each, 1. Total exposed wall area .....,sq. ft, x ,11 Q t~a~ 2. Total roof/ceiling area 0 5-1 0 Cl sq. ft, x .05' Total exposed avail area above floor s (8S?.~D a. Total wail window area / 0!'.72 b. Total door area 7.g r c. Total sliding glass door area a o.nsr d. Total fireplace wall area,,.,... e. Total wall framing area (average 10%)...,..,.,.., f, Total net wall area above floor rr&- g. Total rim joist area jj o Total cXr)osed foundation aiea % (f S-6 h, Total foundation window area...,. i, Toal net foundation area above grace to S SL Determine "U" value of each m ll segment. X "U" 5'-047 b, X "U" . r3 q .91 c. 4 D•OZ X Dun - Z-7. 0/ d. x „U" s Z;-o l e. -.t qf_ 80 x "U" - /-z f,. l3GS.ra _ x "U" .07 s 9S-rs h. X ..U• i , 7 x "U ° A7 IF X0.8! 3 . .............f 9th: ..,..........Total s If item 13 is the same as, or less than item il, you have met the intent of SBC 6006(c)2. Iota) exposed roof/ceiling area = t O SY- D D j. Total skylight area. . k. Total roof/ceiling framing area (average 10%),,, 1, Total net insulated roof/ceiling area ...........p' (L- Determine "U" value for each roof/ceiling segment. J X null , k. X "V11 • 1, 10 1 pd X "UH -O 4 S`P.~........Total a t If total of d4 is the same as, or less than 02, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 13 and 44 shall not be greater than the sum of items Il and 02. 1._2( 07 + 2.u~Z•SS78GZ 3. + 4._ f2.S~' X93-73 1804 Melody Lane 8963063 Burnsville, Minnesota WEPJA CO. PLAN SERVICE ED ANDER50N ARCHITECTURAL OE8IGNING AND PLANNING Office: toed 07'eL,0ay g /-;iA4C 1129 n'ff RAad Office: Burnsville, Minnesota 8964636 I F~r,[~se I 41~ City of Eap i Permit# l I I I 7) 1 Permit Fee: I 3830 Pilot Knob Road I IF If, Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 stars'. --------I 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: d~, z. E- ' \ uDr7 (A'i Z- Tenant: Suite RESIDENT / OWNER Name: C-H-L~ Lam- Phone: 6'5 _ 4-0 5--, yb Address / City / Zip: `7 6 z ~3 e-NCcIN w L L- 2-I I CONTRACTOR Name: f~ License Address: .~vi. City: ~~~~Rt ~ State:M'y ' Zip: 157) -Z-c:D Phone: 667 1 Contact Person: TYPE OF WORK New fRRepl_acceemment A Additional Alteration -Demolition Description of work:. NOTE: Both roof mounted and ground mounted mechanical equipment is required to be soreened by City C6, Please contaet the Mechanfcal'Inspector or one of the Planners 'for information on ermittediscreen - methods. % iii; PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction - Interior Improvement _ Air Conditioner _ Install Piping Processed _ Air Exchanger _ Gas Exterior HVAC Unit Heat Pump Under/ Above ground Tank Install/_ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE 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 he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x N::>e L~ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE, Reviewed By Asa.H ; n Date Required Inspections -Under Ground gi, -Rough In = Air Test Gas Sernce Test In floor Heat _Final i 1,01 l ( --,Exterior,, C VASCMening lnspechon,w . ~ i i t,4 . r Office, U Use For ~C ASS , _ I Y.. . City 0f Eaall pJuly 2 2 zoos Permit#: 1 I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 j I I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694. 1 Staff: I L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `1 1 1 Site Address: _ Kao Lee Tenant: 4682 Beacon Hill Road Suite Eagan, MN 55122 RESIDENT /OWNER Name: 6514288554 hone: Address / City / Zip: CONTRACTOR Name: l" 3RRLOM PLUMBING Co License 01P Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: Aolm TYPE OF WORK _ New 'X_ Replacement _ Repair _ Rebuild - Modify Space _ Work in R.O.W. Description of work: vve r Ili aw PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / _ PVB) C_ Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water 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 $165.00 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) TOTAL FEES $ 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 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 Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Offica U- I I of Ea Permit City I Ed I I Permit Fee: 3830 Pilot Knob Road I I I Eagan MN 55122 J(~L► 1 Date Rec4da: I Ph one: (651) 675-5675 l I Fax: (651) 675-5694 1 Staff: I 2011 MECHANICAL PER IT APPLICATION Date:5T ((Z~ )-0a 1 0 (~Siite Address: &ncry`" Tenant: 1J1~ Roe- Suite RESIDENT / OWNER Name: we I-ze- Phone: Address / City / Zip: PC 06_f_ Jq"~> PP-10- 601IN? 44k- SS c j CONTRACTOR Name: W S t ~ 000t " A [ e- License f/V1ot P2 L ~-e Addres~s: ~ n C-it~y: tm- 0. Statel' I" ' ~ Zip: Phone: l0Ia' cp (-a 757 Contact: Email: t ~kl e (S CQ W) TYPE OF WORK New Replacement Additional Alteration D molition Description of work: S NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 f4willb on against undergro damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o call I hereby a knowledge that this information is complete and accurate; that the woconf an with th ces and codes of the City o f Eagan; t I and stand this is n mit, but only an application for a permit, an f to st wit ut ; t t the work will be in accordance with th roved plan in the e o s a review and approval of x t 'P \ Appli nt s Printed Name Applic nt's Signature FOR OFFICE USE Reviewe By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink ----------------- For Office Use f �-y Permit#: /City o1 Ea Ed� FCOVED I P ca°P' rmi F : V e t ee 3830 Pilot Knob Road I I Eagan MN 55122 JUN o ��16 Date Received: �' (-P Phone: (651)675-5675 I I Fax: (651)675-5694 1 Staff: I I I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � A� Site Address: Unit#: .- Name: �f yi F-e(- Phone: Address/City/Zip: o Applicant is: Owner t�_ Contractor Description of work: lxo? G�GG•� S`�t�,,c �1SrSh`c Construction Cost. AV, d Multi-Family Building:(Yes /No ) Company: S/'hS f eyS�Y y�1`1 G t-t �L Contact: _51,0 k+ CQn � a Address: City: lend State: /I Zip:�SO(o Phone: License#: �fp 3�64 Lead Certificate M If the project is exempt from lead certification-iication, 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: ans a`nporting+cc�raw ments' ou sub t ort}�ons rmat��n ma ssified �f�on publicf � �> �ft they' ter to 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.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x Applicant's Printed Name Ap cant's Signature Page 1 of 3 141 ` � PC/ /� 93 9 -- DO NOT WRITE BELOW THIS LINE 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* 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 /` 0 Valuation Occupancy MCES System Plan Review Code Edition k " SAC Units (25%-100%Xj Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1 j Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 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 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick 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 Base Fee f Surcharge /�f Plan Review / MCES SAC rl City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant r Copies / TOTAL Page 2 of 3 P � i A J i•t "Al LU 36 i9C6h)- LL- PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145409 Date Issued:09/08/2017 Permit Category:ePermit Site Address: 4682 Beacon Hill Rd Lot:15 Block: 3 Addition: Beacon Hill PID:10-13500-03-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William J Dinter 4682 Beacon Hill Rd Eagan MN 55122 (218) 208-8435 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159252 Date Issued:12/04/2019 Permit Category:ePermit Site Address: 4682 Beacon Hill Rd Lot:15 Block: 3 Addition: Beacon Hill PID:10-13500-03-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William J Dinter 4682 Beacon Hill Rd Eagan MN 55122 (218) 208-8435 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature