4736 Beacon Hill RdCITIf OF EAGAW WATER SERVICE PERMIT
3745 Piit Knob Road PERMIT NO.:
E3gan, MN 55122
DATE: „
Zoning: No. of Units:
Owner: _
Address:
Site Address: -
Plumber:
Meter No.: Connectlon Char9e:
Size: Account Deposit:
Reader No.: Permit Fee:
1 egroa to eompfp with fhe Cify of Eogan Surchorge:
Ordiwanaes. Misc. Charges:
Totei:
BY Date Paid:
Date of Insp.: Insp.:
I CITY OF EAGAN
3795 Rilot Knob Rood
Edgan, MN 55122
Zoning: --
Owner.
Address:
Site Address: 4 7, 3f-,
Plumber: ? n?1 agrce to wmply wiH+ the City of Eagon
Ordinances.
By -
Dote of Insp.
I nsp..-
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
eacoL "c:, f.35 BC; beacon f?ill.s
Connection Charge: _ r? ? • 2 0 •)d
Acmunt Deposii:
Permit Fee:
5urcha rge:
Misc. Churges:
Total:
Date Paid:
. , ? CITY OF EAGAN
3795 Pllet Knob Roed Eages, MN 55122 N! 5345
PHONEs 45/-5100
BUILDING PERMIT Receipt #
To bs osed For Est. Value Dat e , 19
Site Address ? ' ? ? ? ' ?'• Erect p Occupancy
Lot Block ' S ec/Sub. ff ^ Alter p Zonlnq
porcel # Repoir ? Flre Zone
E
l t
f C
T
n
orpe ? ons
.
ype o
oWc Name Move 0 # Stories
3 Address Demolish ? FronY ft.
o rt.., o?..,..., Grade rl Depth ft.
ae
Z
°b
ul
?
C
Nome _
Address
I hereby acknowiedge that I I
the infortnation is correct o
$tate of Minnesota SMtutes
Signoture of Permittee -
A Building Permit is issued ta
all work sholl be done in acci
Building Officlal
this application and state that
to comply with all applicoble
of Eagun Ordinances.
with cll
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Percnit Surcharge
Plan check
sac
Water Conn.
Water Meter
Total
on the express condition that
Stote of Minnesota Statutes and City of Eoqan ardinances.
Pamit # paM Ifa? PWNIffM
Plumbin9 g'(,S - 75 Cj .6Il,) 2- l4 /J
Mechanical S ! - (? -
INSPECTIONS DATE INSP• Raqh-In Flnal
Footings Date Irup. Date Irup.
Foundation Plumbing
?
-
Frome/ins. Mechoniml .?. ?
Fincl
• ? CITY OF EAGAN
• 3799 Pilot Knob Road
Eagan, Minnesota 55122
Pbone: 454-8100
PERMIT
Dote:
8-IS-79
Site Address: 4736 Beacan Nill RW
Lot Block r Sub/Sec.
P-eacm Vil l
"IP
T:?C TZQS"E'_4
Nume
°e Address ??? ?) geaCDT' T7A1'
?
.4 '_ y _ rl^ :t 1:
City _ Phone:
t',eT1Z-RVc3.*1
Name
.
?
Address ' i 74 S- So. Tk]txar-t
e
o
City _ Phone:
This Permii is issued on the express condition thot oll work sholl be
Minnesota Statutes and City of Eagan Ordinunces.
No. 143I
i rj,,tn
Receipi No.:
Single
Residential Y.
Muiti Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee
Surcharge
, ^t - n
Total
done in accordunce with all applicable Stote of
Building Official
• ' CITY OF EAGAN
. 3795 Pilot Kno6 Road
Eogon, Minnesoto 55122
Phone: 454-8100
PERMIT
Date:
4736 !3--?. FIii3 W%at?
Site Address:
Z: .
Lot
?
Block _
13C-aQxl I7111
Sub/Sec, _-
`?rt'X liC7[:1d.S hZlQA%-es#:
Name _
F'IP?3?sJn fbt:
c Address
3
City Phone:
Name
.
0
? ,a.- 17 '-I 'A•.',ftn
+ Address
C
? . - , . F . . ... , , ,
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota $tatutes and City of Eagan Ordinonces.
OCtIIY-MCN AIR R'E1Q(r=
No. 1579
I_625r
Receipt No.:
Single I
Residential }
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instoflation
Permit Fee
, . ,..,
I Surchorge
Total
done in accordance with aff appiiwbfe Stafe of
Building
No. ` 78
P
Date: . .
'ir?'1 C021
Site Address: '
LOt a/ ?BlOCk c/' Sub/Se,
Name 'A liisrt Sciiul
r ? PT. P
? Address 3 "
?
City
Nome '
.
? Address "7 G a 7_
City '1.
This Permir is iuued on the express t
Minnesota Statutes ond City of Eogon ?
cirY oF EAGAN .
3795 Pilot Knob Read
Eayen, M1nnesota SSIU INSPECTOR NOTIFICATION
Phem: 454.e100 REQUIRED BY LAW
, FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiai
Phone:
New/Alter./Repoir. Cost of Installation
Permit Fee
Surcha rfle
Mo
.50
Phone:
Total
ion that oll work sholl be done in accordcnce with all applicoble 5tote of
Buildinq Official
Receipt 'r' MECHANICAL PERMIT Permit No.
? CITY OF EAGAN
Fill in numbered spaces S/C '
Type or Print leg/b/y ? j
Tot.
1. Date 2. installation Cost '
3. Job Address Lot ` -Blk. Tract ?
?
4. Owner ?
5. Contractor : Phone ?
?-r--
1 7. CitY State Zip -
8. Building Type: Residential P"' Commercial ? Institutional ?
9. Work Description: New ? Add Q'? Alter O Repair ?
10. Describe << ? Fuel Type
11.
No, E_quinment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
Handli
:
Mfg. r
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
`-
Gas, Piping 0utlets
12. i hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Fi al
Inspections: Date Insp. Date? Insp.
This is your permi.t when numbered and approved.
Approved CITY OF EAGAN 454-8700
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS: ? +Jr .
+ ? +, ?? II f t 4 I?i)
i:l ri? ??iv II 1 1(
PERMIT §,UBTYPE:
I
I
ON RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
. ? APPLICANT:
t if r MN I Nr:
c ? ! , ? ? . I F, r, :' Ft
tiu I , it I Nei
a.#N6?4 5
Hf112r /q6
TYPE OF WORK: ,-,I rT aA'r 11) N
. . I . !: ; ; 1'!: ,I[i CN/i/`;t1FFi11;/iAf1A
? . z?.
_4
Permit No. Permit Holde? Date Telephona *
ELECTRIC
PLUMBING
HVAC
inapection Dat* Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
FIOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
A?;
INSPECTIUN RECO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
I (612) 681-4675
' SITE ADDRESS: `F:FA(. ufd 1111 I
? :',? +a?I lS I S i
PERMIT SUBTYPE:
I I 'IF 1NFi
PERMIT TYPE:
Permit Number:
Date Issued:
1 :11 1 , 1 ,I N ,
81:5 q/ryf
pn / I t /97
sn°?-•?`?" 3 C. "l (lt APPLICANT:
•
RO ,1 , . '',,! . ;.
( It> 1 ._' ) 8 `.+0 .-:i!30 N
TYPE OF WORK:
AI iYKRI 1 111
CiF" ;Cf+iP'F7t1N RUFtOf1f
Permft No. Pem?it Holder Date Telephone /
ELECTRIC
PLUMBING
HVAC
Inspection Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I_
BSNff FINAL
DECK FfG
DECK FINAL
Eirtttp uf (Orrupttnrjj
Citp of (Eagan
tment uf Nuilding JnBpPrtiLm
Tbis CMi ficutt fstucd pursuutlt to the rtqutrtmerttt of Srction 306 of the Uniform Building
Code cntif ying that at the timt of Issuanct tbis ttructurc was in comQliancc witb thc variout
ordinaruet o fiht City regulaittg btrilding tonstrttction ot utt. For the f o!lou7ng: ..
SF DWG B,d`. h,mit xo. 5 345
the c,.mc,num ?
R3 v ?._,W 3 ? ie.nW?n
By: 11-20-80
Ppf7 IM A ?V?? ?«
CITY OF EAGAN
Addition BF.ACON HILL ADDITION Lot 36 BIk 6 Parcel 10 135n0 360 06
ownerl{), ??s G?? ?'t.'=: ' street 4736 Beacon Hill Road State Easan7-MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1806.93 200.77 g 1806.93 C007596 10-1-81
STREET RESTOR.
GRAOING 1982 526.46 58,50 g 526.46 C007596 10-1-81
SAN SEW TRUNK 1976 135.97 9.06 15 09 74 008101 9177179
*SEWERLATERAL 982 3116.46 346.27 9 3116.46 C007596 10-1-81
WATERMAIN
*WATERLATERAL 1982 9 I
WATERAREA ZJSZ 19$.01 22.00 9 198,01 C00759() 10-1-81
* Stubs 982 g
STORMSEW TRK 1982 359.82 39.98 9 359.82 C007596 10-1-81
*S70RM SEW LAT 1982 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
uest void 18 months from
:R 97404
Date of this Request
1, a?Licensed Electrical ontractor Owner, do/ /hereby request inspection of the above electri-
cal w?in'n installed at:
S t Address or Route No. q1lb IwlvOi City hv????
?n Township Range County I"( ? N
Which is occupied by tY-'MtL>
. (Name ot Occupant)
lk a roughin inspection mquired on this job? No ? YesM Ready Now ? Will CalbO,
Power Supplier NC1 U Rq Address OG9tY1'`g4t ???10pVt
Electrical Contractor_ BELL E<LCIF-Lr,- Contractor's License Nd` .k?00-7
(COmpany NameI
? n ,?A??
Mailing Address ? C ?i ?F" ? yi, IG.L W vi LL&
(
octrl -I G tra or Owner Making Thls lnslallation) ? No.
Authorized Signature O 6? '??a
Phone
(Eiectvlca ntfactor or Owner Making Thls Installatlon)
????? o(DARD Q(DPV Thisinspectianrequestwillnotbeacceptedbythe
State Board unless proper inspection fee is enclosed.
' Minnesota State Board of Electricity
? UniversFty Ave., St. Paul, Minn. 55104-Phone 645•7703
REQl7EST FOR ELECTRICAL SNSPECTION
CHECK BEkOW WORK COVERED BY THIS REOUEST
R 97404
T?pe of Building New Add. Rep. Check Appliances Wired or Check Equipment Wired Fot
Homc ? ? Range 'Cemporary Wiring ?
Duplex ? ? ? Water Heatei Lighting Fiutures eW-
Bldg. 0 ? ? Dryet ? Electric Heating ?
metcial Bldg. ? ? ? Fumxce CFdL Silo Unloader ?
Industrial Bldg. ? ? 13 Ait Conditioner ? Bulk Milk Tank ?
Farm
?
? List List
` Other
?
?
? ptheis
Here ? ".,
`-? pthers
HeTe ?
COMPUTE INSPECTION FEE BELOW r-.>
Service Entrance Srse: # Fee Feeders?S'" _ Ms: n Fee #
* Fee
? 0[0 100 Am s. tes eres
101 [0 200 Amps. 10 m ies etes
Above 200_Amps. A100 Amps. Amps.
*
Transformers RemoteControlCirc. fee
Si ns Special Ins ection 5.00
Remazks E0Cb
1
,6
.
I, the Electrical Inspector, hereby r y th abpve inspection has been a?---?
(Rough-in) ???•,( ) Date ? -• 7 7Z
(Final) ?a-Date (?2
This request void 18 months from
Thisra9uestwitl ?Ig?y - ?a( 4-3o
IB montM1s from
A 0.527_.0?`3yL34°, Bo`° I-hk.?4•?c?.._.
uN?-i1 ?(?.,,+ Neau?red? lluaJ, Nuw Q Wi11 Notity Inspeo-
?/ ?Yes ?NO lor WMnReaAY
? Licensed Electtical Commclor 1 hareby repuest btspmction of e6ove
? Owner electrieai work imtellsd at:
Sblec't Atldress, Box or Route No. Q (? City
`'/ ? r? ?? L
G
)7
'
ecu n o. Towmshlp Name m No. ange No. . Cwm
"
Occupunt IR1tINT c?aG? l 1?
?l?l 7?7u_LF Phdne No_
Power Supplid Atltlress . .
Electncal Contractar (Crnpany Narre) Cq? ar.tw's Licntise No.
Mailinp Addtess ICOnvacTOr or Owner NakinO lmtailationl
?
AuMorized SiBnawm (Connac x+rer Makinp Instellatian) Vhone N?r
p , ai - 3!1e
NIqNE50Tp BpqRD Of ELECTRICITY THIS INSPECTION NEQIiFSf i1LL MOT
Gripps-Midway Bldp. - Ibom N-797 BE ACCEFfED 9\' iNE STA7E BOAND
1827 Un:wnitr Ava_. SL Peul. NN 56104 UNLESS PROPE9 INSPEC710M FEE IS
Phorw 18121 297-27 7 7 ENCL0.SEU.
tEQUEST FOR ELECTRIGAL IWECTION E?'00001''.
ppp??? , o nm[ructiqrs far wmpletim tAin form m beck of Yell.
eoDf. 4
Be/ow Work Covered by 7his Request
Troe ot BuiWina Aoolisnces NirW Eqwipment 6ired
p Fea ServieeEnleoae3ize i , Fee Feede,s/Subteeda?s tl Fee Circuib
Um20? 0 tn30Am 0 to30 Artlos
Ahove 200 Amps 37 to 100 Amps 31 to 100 Auw
Swimmin Pool Above 100- Above 100_A
TransfwmerS Ini tion BooRS Partial-'OMer Fee
Signs Special Inspection SIO.ho
emarks 7?
?:.ri / 0 •OO
flouph-in ?nte 1. Ur Ehc ieal
I?oxmr. trnebr
??? tt°t We a0ove
Finel O: te
?r- imOecifm Ims Eean
f
/lq ?
oBde.
T1ds'Wuest roMlBmantlslmm (/V/ w/c'?{-vOLJ
, crrir oF EAc,aN
? 3795 Pilot Kno6 Road Eogan, MN 55722 NR 5345
? YhONE: 454-6100
BUILDING PERMIT APPLICATION $48,000, Receipt .# S G'
To 6e uted for SF DwLg,. Est. Value DateAUg 3 1979
Site Address 4736 Bnacon Hill Hd Erect ?X Occupancy R3
Lot 36 giock 65ec/Sub. BeacOn Hi113 MAlter ? zonin9 Rl
Purcel # /??d,v340-OC RePOir ? FireZone3
Enlorge ? Type of ConstV
w Name Move ? .# Stories
; Address Demolish ? Fmnt 46 ft.
b
CI Phone Grade ? Depth 50 fr.
a Name Centex Homes Aporovals Feea
o? Addre 4615 Beacon Hill Ct. Assessment_
u? n
V
aga
Ci
Phone Water & Sew.
? Police -
w Nume
F
?Z ire
? Address Eng
?
aW CI Phone .
Pianner_
Council _
I hereby acknowledge that I hove read this application and sTOte that gldg. Off. -
the information is correct ond agree to comply with all applicoble
State of Minnesoto Stotutes and City of Eogan Ordinances. APC
Signature of Permittee -
A Building Permit is issued to:
all xrork sholl be done in acco
Permit 137.7U
SurcFwrge 24•00
Plon check 67.75
SAC 525.00
Water Cann. 230•00
WoterMeter 60,00
Rd Unit 75.00
Total 115 7. 2 S
on the express condition that
Statutes ond City of Eogon Ordinances.
Butiding Official
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
i
? Permit#: ?
? PermdFee:
I ?
? Date Received:
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / . e Site Address:
Tenant:
Suite #:
RESIDENT I OWNER Name: ?0114?1a? Phone:
?
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: -?A/i Ij62
c-+
Construction Cost: Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: License#: z3/ 3wJ
Address: 6?'Z02 ?aL
City: ate:M121 Zip: ??23
Phone: 3?eq _gZ? Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Ener9Y Code Worksheet
Category Submitted Submitted
(4 suhmission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
5ewer 8 Water Contractor: Phone:
r.` NOTE: Plans antl suppoiting;docvments lfiat yoU sulimif are consideied fo be putilic r"nformatiori:'11jPOrfions of
= e'infor?aLnn rtiay be classifietl as zwn, pabhe;ffyou provrale spegrfic reasans that would permif the Ciiy
_fh
doncTude fhat'fhe " are trade scscrets.
I hereby acknowledge that this infortnation is complete and accurate', that fhe work will be in confortnance wRh the i nces and codes of the City of
Eagan; that I understand this is not a permit, but only an appliwtion for a permit, and work is not to start wi . ouP- ermrt; thaY-the-w will be in
accordance with tRe approved plan in the case of work which requires a review and approval of plans./?
x /'11G/L (??LlGyy?l4?l/ x i[
Applicant's Printed Name ApplicanYs Signa
Page 1 of 3
2005 RESIDENTIAL BUILDING PERMI'C APPLICATION
City OfEa an
g
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694 4
New ConsWCtbn Reauirements
3 registered site surveys shmvirg sq. ft. of l06 sq. ft. of fwuse; and all roofed areas
(20% maximum lotcoverage allowed)
2 copies of pian shawirg beam 8 windaw skes; poured found design, elc.
1 set of Eneyy Calculatlons
3 copies of Tree Preservation Plan'rf Wt platted afler 7/1193
Rim Joist Detail Oplions seleclion sheel (huildings with 3 orless units)
RemodebReoair Reauirements ? Office Use Onlv
2 copies of plan CeA of Survey Recd _ Y_ N
7 setof Energy Calcula6ons for heated addNons Tree Pre9 Plan Recd _Y _N,
is'desurveyforaddNOns&decks TreePresRequired ?. _Y _N
Addition - indirate Non-site sepNc system On3ite Septic System _ Y_ N
Date 6 l /?4 I? Con structionCost ?T'000-00
SiteAddress 0 7.?6 ,Q2cctoi2 G7i11i&1 UnitlSte#
aH A7nr ss?'aa
Description of Work ?O?I" ,?Jea-svr? /?orG?+ l7ff d"Y p/ Aot.-SG
Multi-Family Bldg _ YI N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner di?l 15odu-g6bi 4t- Csclhy ,de,,c,. Telephonek(637) 6$& ' g5 R-O
Contractor ? er? C0?2strcc?G'iax ???G?llo?? /•`c9 ?T?'/orha.z /?%art?erof?
Address /7.SS livs ?Aµt ( q_ City e63;ga n
State /n/l Zip ?j ,i /r2 a Telephone # Q.-r/ ) ,s0 7- yo 9 ?
/aS/- 99fw' 1070
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Calegory t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I herehy apply for a Aesidential Building Permit and acknowledge that the information is complete and accurate;
thaf 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 '
OFFICE USE ONLY
Sub Types
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex O 12 12-pleX Plbg_Y or _ N ? 25 MiScellane0us
Work Types
? 37 New ?
)K 32 Addition O
? 33 Alteration ?
? 34 Replacement
Valuation (} , U"
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const V Ni
_ Footings (new bldg)
_ Footings (deck)
Y Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Width
REQUIRED INSPECTIONS
Final/C.O.
? Final/No C.O.
Plumbing ? 1f???r
? ?-rvAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: ?4. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cay sAc
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4
? 30 Accessory Bldg
? 31 EM. AIt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
•Demolition (EnGre Bidg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
?'I -??Slf'YJ
?k ?0?1w -
M7 x ry = _//9 3V
.ficate f:rrY
, D'?
,itex Homes Y:rlwest Inc.
601 Darnell ?4oad `
;
Eden Prairie, ?:,^.. 55:3k4
OEIMAlR H. SCHWANZ
L.ANOSUpVEYON
iipisi&rW UrWU tswf W T)N StaU oY Minn?bta
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7978 - 146TH STREET W. - BOX M At?'BEMUUTI7, MfNNE50TA 5506E PHONE 812 9211789
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I hereby certify tha,t this is a true and correct repP`ZSentation oi' ?.ot 36,
Block 6, BEACON HILLS,. according to the Fla' thereof, DaY.ota County,.Minneso>..a
July 5, 1979
}'evisPd *?) sho;c proposed house 7-25_79
Revised house August 2, 1979
MlNNESOTA REGISTRATION N0.8625-!?-
Pamit Number
RFScheck Compliance Certifcate
2000 Nfinnesota Fnergy Code
REScheck So$ware Veision 3.6 Release 2
Data fileiiuue: UntiUed.rck
PROJECT TTTLE: Addition
COL/NTY: Dako[a
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Farnily
WINDOW / WALL RATIO: 0.33
DATE: 06115105
DATE OF PLANS: 6115105
PROJECT DESCRIPTION:
Fow season porch
DESIGNER/CONTRAC T OR:
Aspen Contcudion aud Remodeling
COMPLTANCE: Passes
Macimum UA = 51
Your Home UA = 41
19.6% Better Than Code (UA)
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Pefim B-Val R-Value u:FaaoI ?
Ceiling l: Raised ar Energy Truss 147 44.0 0.0 3
Wall 1: Wood Frsme, 16" o.c. 392 19.0 0.0 15
Window 1: Above-Gcade:Vinyt Frmne:Double Pane with Low-E 90 0.140 13
Door 1: Glass 40 0.140 6
Floor 1: All-Wood JoisUTruss:Over Outside Air 147 38.0 0.0 4
Proposed and Maximum U-Fador Averages
Proposed Maximum
Average U-Fador Allowed U-Factor
Abova-Grade Windows and Glass Doors 0.140 0.370
Includes Fwndation Windows > 5.6 82
COMPLIANCE STATEMENT: The pmposed building design desaibed hae is consistait with the building plans,
specifications, and othea calculations submitted with the permit application. The pmposed buiiding has been designed to
med the 2000 Minnesota Energy Code requiianents in RESchedc Vasion 3.6 Release 2(6rrnerly MECchack) and to
comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Builder/Designm-a%z?.?%a ?.? Daze
?? y
RFScheck Inspection Checklist
2000 NTinnesota Fnergy Code
REScheck Soffware Version 3.6 Release 2
DATE: 06/15/05
PROJECT TTTLE: Addition
PLAN REVIEW AND INSPECTION ISSUES
This list ofitems may be help5il for Plan Reviewers and Building Tnspectrns to use as a guide for enbrcing the Minnesota
Energy Code. The items apply to Crroup R, Division 3 Oaupancies, ono and twafimily residential dwellings. The
itans mazked with ` apply only to detached ona and twa6mily residential dwellings.
PLAN REV[EW ISSUES
FOUNDATIONINSPECTION
[] Sundation wall insulation R-5 minimum
[] bundation iasulation extends from top ofwall down to top ofthe 6oting
[] exterior Sunda[ion insulazion is oovered by a protective coating finish
CONCRETE SLAB OR UNDERSLAB INSPECTION
[] slab on grade peaimeter insulation R-5 minimum
[] slab insulation erctcrtds from top ofslab to design frost line or top of8oting
[] IIoors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[] avaage U-value is 0.37 macimum f>r windows and glass doois (excludes fiundation windows)
[] window U-values consistent with building plan and REScheck CeRificate
[] window and door areas consistent with building plan and REScheck CertiScate
MECHr1NICAL VENTILATION ISSUES
[] residential mechanical ventilation system provides adaquate ventilation per code requiremarts"
[] fiunace efficiancy is consistent wit6 REScheck Certificate or building plan
[] protection against exceasive depressurization is installed per code requirenwts;
ENVELOPE INSULATION FOR PLAN REVIER'
[] interior basement insulation R-5 minimum (ifno exterior insulation)
[] ceilings with attics R-38 minimum or consistent with building plan and REScheck CertiScate
[] wall fiaming aod insulation level is consistent with bu'rlding design and RESchedc Catificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
[] wind wash bazrier installed at attic edge
[] exterior wall comecs framed so that insulation can be installed a$er exterior sheathing is installed
[] intersections ofintaior partition walls and exterior walls &amed so that insulation can be installed bdween the
partition and exterior sheathing aHer exterior sheat6ing is installed
[] gaps between framing less than ono-halfinch are eliminated by seruring framing togdher or are insulated at the time
ofassembly "`
[] all paie[rations between amditioned and unconditioned spaces made priar to framing iospection are sealed •
Interdar Air Barrier
[] all 5re stops aze air sealed
[] pipes, duds, wires, equipment and IIues and chimneys through the intesior air bamer are sealed
[] a sealed continuous interior air barrier is installed on the warm side ofthe buiTding envelope at ceilings, walls, and
floorrim joist azeas'
[] air bazrier behind tuh and shower is sealed and proteded
[) recessed light 5xtures are seated
Envelope Insulateon
[ ) basement insulation R-5 minimum
[] wind wash bazrier on wall separating house and garage is sealed
[] loose Sil insulation is prevented from entering the eaves
[] insulation on skylight sbaSs and walls exposed in attics is suppofted on the unconditioned side
Attic Insulation
[] attic access panel insulated to R-38 6r ceiling panel and R-19 6r wall panel
[] attic cazd attadied to frmning near access opening
[] notification ofattic R-value and date ofinstallation posted near building pennit iospedion card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Departmeut ofPublic Service Infonnation Ceater az 651-296-5175 or 1-800-657-3710.
MODEL'#53$ ELEV. "A"
?>A?
nnrE 7/25/79
BUILDING PF.RMIT APFLICATION
Include 2 seta of plana, 1 aite plan w/elevations end 1 set of energy calculations.
1U be used for HOME
Site Addresc; 4736 BEACON HILL RD.
36 6 BEACON HILL i.'.).
LaL Block Sec ub
Vaiuation 4R Qp.n
Parcel Number /p 1-s5-eQ ? (e) zq('
owner
Rddress
Contzactor
Addrese _
ArcA./Enq.
Address
Telephone
Telephone 4;4 9236
Telephone
OFFICE USE
Erect
Alter
Repaii
Ihlargs
Mbve
Demolish
GYddB
Occupancy IC3
2oning
Fire Zone 3
7ype of Oonst.
9 of Stories
Front 1/(Q ,
pepth Sro ,
OFFICE USE
Date of proval 6 Initial
Assessment (/. y_]. ? ?179 --
WatBI/SCweI
Police
Fire
fng.
Plannez
Oouncil
Aldg. Off.
A.P.C.
FF.ES
Permit 13.5,50_
SurctlarqaT
rlan Check
SAC
Flater Conn. 9?n nn
trlater Fteter rn nn
Aoad trnit "7S_ nn _
TOTAT. 1 1 57 _ 7S
?? •
?e"Cif'ic?Ce . . 4
, • ? Z
' Centex Homes Inr. ?
8601 Darnell .. `-
: den Prairi:., ^ .. ;=144 - I
OELMAR H. SCHWANZ ?
lA'..'. '.?V[YOQ
Repi*teroG Ur¢. ,. c.r> ar TRa 4ieta of Wlnntwtl ?
1 I
? 2878 - 146TH STREET W. - BOX M RM,'EtdM•NT, MfKMESOTA 55068 PHONE 812 6231788 t) i
r j ,1/r k/ SURdEVOA'SGE4iY1FICATE
1 n? ?
:?cale- 1 inc? 30 iE ou
0
` ? ° ?' /?'F'-`?, ? . ,G'ir:t?,e r. •in*_._'r.. I
ti?•. ?? ? ?^?'/ / M ?J` i? .
r / . //tn \
• ?-? ?? ? • ? ? ?j/? ,? ?o ? ? ?
-`>' \ ?, ,1 ^t:t•Y? :r?,, • „
[0 ;o ? }3:?;n7r,.-aj •r. t
? 0? ? ? ?w i:.t{ .`• .? s •;' L'1, i ? .
o:' iseic:,n :
.?: ? ??? ` ..1?,«, `?`, -? ? N.(??J'r.7?• !b.
----
- ,, -.
I hereby certi£y that this io a true aitd -orrect reprpsentation of Lot 3?.
Block 6, BEACON HILLS, according to the i'iat thereof. Dakota County, ',::nn .•, ,
July 5, 1979
Er.vi;,ed to shoze prop,)aed hou: e 7-2:-7 ,
• Revl3ed houoe Au6ust 2, 1979
. ?
,l'?.,i: ?'? • • ?,
MINNESOTA REGISTRATION N0.8625
PERMIT
?so ?oOF EAGAN PERMIT TYPE:
PermitNumber: BUILDSNG
Eagan, Minnesota 55122-1897 030782
(612) 681-4675 Date Issued: 09/11/97
SITE ADDRESS:
4736 BEACON HILL RO
Lp7: 36 BLOCK: 6
BEACON WILI,
P.I.N.: 10-13500-360-06
DESCRIPTION:
REROQF
rmit Type SF (MISC.)
rp8 Type ALTERATION
434 4L7. RESIDEN7IA1.
sa a;?,
?? a?Oa? ik
?'sLwW' C.
im, ?r ? sx
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
7ote1 Fee
$$7.25
$2.00
$89.25
$4,000
CONTRACTOR: - ,qpplicant - sr. Lrc OWNER:
QORIZON ROOFING' 18903900 2001279 PERSA KATHV
1398 LARC INDU5TRSAL BLVD 4736 BEACON HIII RD
BURN5VILLE MN 55337 EAGAN MN 55122
(612) 890-3900 (612)686-8520
? ^I Ner0 know;
1 r?
APPLICANT/PERMITEE SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
` CtTY OF EAGAtV
3830 PILOT KNOB RD - 55122
681-4675
New Canstruetion Reauirements RemodaUReoair Reauirements
? 3 registered sfte surveys ? 2 copies of plan
• 2 copies of pWns (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (extaAor add(tionb & decks)
? 1 energy calculafions ? t energy wlculatians for heated atldRions
• 3 copies of tree preservatlon plan rf lot platted aRer 7/1 /93
required: _ Yas _ No DATE: y-2p I0- 2 7 CONSTRUCTION COST
DESCRIPTION OF WORK:
STRF,TzT AODRESS:
LOT '56 BLOCK
PROPERTY Name: Ae7,PiQ,
OWNER Phone #: _ Z3?? ?
StreetAddress• y736 6Pqcn!?2 1-11?? /I7J'd
City: L G9o? State: Zip:
coNrRqCTOR Company:
? Phone #:
Street Address: ?? av(kcense #: 9
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licer.-,ed plumber (new construction only): . Penalty applies when address change
and lot change are ? equested once permit is issued.
I hereby acknowledge that I have read this applicaGon and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances: -
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu x Lo z N G
028683
Eagan, Minnesota 55122-1897 Permit Number: 8 g/ 2 7/ 9 6
(612) 681-4675 Date Issued:
SITE ADDRESS:
P.I.N.: 10-13500-360-06
4736 BEACtlN HTLL RD
LOT: 36 BLOCK: 6
BEACON HILL
DfSCRIPTION:
SIDING/SOFFSTS/FACIA
Permit 7ype SF (MISC.)
?BU3;3.Pig"?ork Type ALTERATION
a?Geti°?t,€i rCti??`-?a. 494 ALT. RESIDENTIAL
A?'; ,,.
, . . . .._.??. .,,, .. _. ..
?? w ? a
.mau a2i Fwaa ."' "?`6'?: tC n .v?°??
k?"
?'g x?z- ? ?
REMARKS:
FEE SUMMARY:
Base Fee
3urcharge
Totel Fee
VALUATION
$162.25
5.00
$167.25
CONTRACTOR: - APplicant - sT. LIC
PANELCRAFT OF MN INC 17216628 0002179
3118 SNELLING AVE S
MINNEAPOLIS MN 55406
(612) 721-6628
?T her4,by
infar?iat;
stzrtutes?
?... . ?_. ?... _ ,
APPLICANTlPERMITEE SIGNATUFE
$10,000
RNTN CH WILLIAM
4736 BEACON NILL RD
EAGAN MN
(612)686-8529
ISSUED
CITY OF EAGAN /
1996 BUILDING PEaMIT APPBCATION (RESIDENTIAL)
681-4675
New ConsWction Reauirements gg ????? o?air Re_nuirements
? 3 registered ske surveys 4 2 copies of plan
? 2 copies ot plana (include beam 8 window sizes; poured fM. design; alc.) ? 2 sile surveys (exterfor addfions & decks)
? 1 energy calculations ? 7 energy celculatlons tor healed additions
? 3 eopies of tree preservation plan H bt platled after 717/93 -
required: _ Yes No n p DATE: R' 0?I-6?& CONSTRUCTIaN COST: i"' b?•?
DESCRIPTION OF WORK: *??Ol f-t>1 Cl I Y)U -:)Uf' Li t--t-c.c5c,r ?-<---
STREET ADDRESS: q-7369 ?e Q GD J? N l I I P 1 D CZ CC
LOT V ? BLOCK ? SUBD./P.I.D. #:
PROPERTY Name. ? q `? C----?dnone #:
OWNER
- y-7 e
Q
c n ? I I ?
c
t?OC1C?
-
Street Address -
City: E aga-n State: rnn Zip:
CoNTRACTOR
}Q?'1PIC'XGI,F4 °'
Company:
MN• Phone#:
-1a?-lo?°Zg
SD 10 Street Address: 31 I R SY12.I I i f lq A S License a l 7 q
+4= 138G
City: M i(IYIP_!I OOI i S
State: I`ul N. 55406a
Zip:
ARCHI7ECTl Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
Signature of Applicant: &
OFFICE USE ONLY
Certificates of Survey Received
_ Yes No
TDe r m Am
,li /&/ - P5J
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE,
o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Pianning
Basement sq..R.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?• .
Permit Fee
Surcharge
Plan Review
L'+cense
MCNVS SAC
City SAC
iNater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: 83• 00
I (to7. a5
% SAC
SAC Units
L dC0 p? CITY USE ONLY
BL ? ,
RECEIPT#:
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, NA7 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
--------
FIXTURES ---------
EACH -----__--
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
?Yater Heater 3.00 x
Floor Drain 100 x =
Gas Piping Outlet " minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under construdion 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Spfinkler "forexistingdwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
SD
TOTAL o2? ?
------------------------------- - ------- ----------------------------------------------
I hereby acknowledge that I have resd Mis applicstion, state that the informstion is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operetional and maintenance activities to the facildies constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: /rA
OWNER NAME:
INSTALLER NAME: //w O/Dd7.?l1 ?umai.,/G TELEPHONE #:
STREET ADDRESS: ??00 L?m?'u? O2 ?ZTc 44G
CITY: STATE:
/
SIGNATURE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
RESIDENTIAL
BUILDING PERMIT APPLICATION
1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenls
• 3 registered site surreys showiig sq. R. of lot, sq. fl. ot house; aM all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & windaw sizes; poured found design, etc.)
• 1 set of Energy Calculations
. 3 copies of Tree P2servation Plan if lot platted afler 711193
• Rim Joisl Detail Options selection sheet (hldgs wtlh 3 or less units)
DATE ? -?? U L!
JOB SITE ADDRESS 3 a
IF MULTI-FAMILY BUILDING, H
PROPERTY OWNE ?
TYPE OF WOR I e ?
APPLICANT ?rSSe( f^l,.
ADDRESS A03L O?'1E_c(,4A
PAGER #
FAX #
1147Cu.v
;MANY UNITS?
?v Tfl
. r 1 iyo R?
+1e ?t 5??? n
CELL PHONE #
-? 17), ?5
IIP CODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT C011
Energy Code Category MINNESOTA RUI.ES 7670 CATEC:OR
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing 5ystem Includes:
Mechanical Contractor:
Mechaiucal System Includes:
Sewer/Water Contrector:
Air Condilioning
HeaL Aecovery System
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#6?7 YSI Grlrj'
Phone #
Phone #
R 1 ? 2002 ?
Fee: $90.00
Fec:
$70.00
All a6ove information must he suhmitted prior to processing of application.
I hereby acknowledge that I have read this applic6tion, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of E Mnces. .
Signature of Appiica
Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _
Updated 2002
MINNESOTA RULF,S 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener I,awn Sprinkler
Water Hea[er No. of R.I. I3aths
No. of Baths
RemodeVReoair Reaufrements
. 2 copies of plan
• 7 set of Eicergy CalculaUons for heated addBions
. 1 sRe survey fir ea4erior additions & decks
. Indicate'rf Iwme served by septic system foraddiGons
O?
VALUATlON b ?? ?