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4657 Beacon Hill Rd CITY OF rs4GAN WATER SERVICE PERMIT 3795 Pilot knob Road PERMIT NO.: Eagan, MN 55123 DATE: Zoning: No, of Units.: Owner: i 1 ex . ^ r°: o: Address: Site Address: x 1 31Kr.: 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.: CITY OF 6AGAN SEWER SERVICE PERMIT 9795 Pilot Knob Road PERMIT NO.: Eagan, MN 5512 DATE: Zoning: r No. of Units: Owner: 11 t .r Address: Site Address: Pl umber: 1 agree to comply with the City of Eagan Connection Charge: Ordinance. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3795 Pilaf Knob Road Eagan, MN 55122 PHONE: 4MB100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot llgli. I Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Nome Move D # Stories 2 Address Demolish ❑ Length City Phone Grade ❑ Depth Sq. Ft. see Name Approvals Fees ,o uu Address Assessment Permit F City Phone Water & Sew. Surcharge Police Plan check FZ Nome Fire SAC L Address Erg. Water Conn. City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I hove 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 Pennine* 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 MEM9 Permit No. dPermit Holder Misc. Permit No. Holder Plumbing H.V.A.C. C~~~~rc,(tE? 1 20 _ 8 j Well Water Dup. Sewer Electric I Inspection Date Insp. Other Footings ',g3 ( J Foundation Framing ~ Rough Plbg. Rough HVAC~f Insulation Z~ Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. l CITY OF EAGAN Fee Fill in numbered spaces S/C ' Type or Print legibly Tot. 1. Date 2. Installation Cost f- 3. Job Address % %57 n,~nY, 1bt Tract 4. Owner 'Tor, l Ler Construction 5. Contractor "t'--x•^ :c~ ar.~ c_ Phone 6. Address in Zip 7. City State 8. Building Type: Residential Q Commercial ❑ Institutional ❑ 9. Work Description: New 4 _ Add ❑ Alter ❑ Repair ❑ 10. Describe I 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet Other / << Laundry Tray Floor Drains 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 : l + L. for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 7 - I CITY OF EAGAN ~T o 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512? jr C~Oe PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for Est. Value Date 19 Site Address Erect [3 Occupancy Lq Block____L_$ec/Sub. Alter ❑ Zoning Parcel No. Repair ❑ Fire Zone Enlarge ❑ Type of Coro. W Name Move ❑ # Stories z Address Demolish ❑ Length City Phone Grade p Depth Sq. Ft. Name Approvals Fees uV Addrer~s Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check PZ Name Fire SAC x- Address uLq Eno. Water Conn. W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I hove read this application and state that Bldg. Off, the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total 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 No. Permit Holder Misc. Permit No. Holder Plumbing H. V.A.C. Well Water Disp. Sewer Electric qql 0 Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final 7 $ Water Describe Location: Well i a - ~a lf_ * Sewer Pr. Diisp. i Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. J 1. Date 2. Installation Cost 3. Job Address Tract , 4. Owner 5. Contractor Phone SST `i 6. Address 5"/,14" 7. City r State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter 8r'~_Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply witt"ll orlinancei-And codes governing this type of work. Signed:- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. r ? s CITY OF EAGAN Fee (a Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date l 2. Installation Cost 3. Job Address +ract 4. Owner 5. Contractor I Phone r 6. Address Y f ✓ 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory - Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains 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: 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 Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address L4jj W.," Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑T Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter Q 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 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee _ Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Tract' 1 4. Owner 5. Contractor Phone` 6. Address I 7. City State I Zip 8. Building Type: Residential (a` Commercial ❑ Institutional ❑ 9. Work Description: New 0- 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 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 INSPECTION RECORD ^i CITY OF EAGAN PERMIT TYPE: r I r' I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND { FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 1 INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ' DECK FTG DECK FINAL Dv~ IG L+~1J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: i q Eagan, Minnesota 55122-1897 " Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: tI T I I ply . PERMIT SUWTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. I i - - - Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH I PLUMBING PLBG AIR TEST ROUGH HEATfNG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST + I BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG 1 DECK FINAL CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 18 Blk 1 Parcel 10 13500 180 01 Owner r Street 4657 Beacon Hill Road State Eagan, IOW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. le 1982 1806.93 200.77 9 1806.93 0007380 10-1-81 STREET RESTOR. GRADING bg25 1982 526.46 58.50 9 -S-26.46 007380 10-1-81 SAN SEW TRUNK :;O 1976 135.97 9.06 15 90.67 A008956 3/18/80 * SEWER LATERAL g 1982 3116.46 346.26 9 3116.46 0007380 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA (cg 1982 198.01 22.00 9 198.01 0007380 10-1-81 * Stubs 1982 9 STORM SEW TRK 1982 359.82 39.98 9 359.82 0007380 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT 240.00 33811 1-7-8,3 WATER CONN. 420.00 BUILDING PER, 7753 SAC 525.00 PARK jloMIMI ► . Aw- _10, Grtifiratr of wrru anr r Citp of (Eagan Al Ervarbmt of 11dlbiuo Inopprtirni This Certiticate issued prattutm to the re9ui►enaua a Section 306 o the Uniform Building Cock certifying that at the tune of issuance this uruttun was in compliance with the various ordinances Of the City regulating building construction or use. For the following: SF DWG/GAR 7753 BMA. Pemii No. , r O-AP-7 TYPe R3 'Iy1. Contertetlm v F1,.7ae. NA zoniee Diuncc Rl ~ Joseph M. Miller ~a,.18133 Cedar Ave. So., Farmift bdditAaae. 4657 Beacon Hill L,,Wti Lot 18,Block 1,Beacon Hill Road By: Februar 24, 1983 bull osrad ~ Y 7v a e"ncuoue ' '_a~ ~L._L:~2..`y'.yu - ~iF.'A4i a ~~vj~.-•uS.aT~ llTtii. h ,$Il. L- _ This request voitl -'y $L_Vt 6jE4.CC N1•~ ( ~~~y 18 months from - 3 ~,t c O lu ~ -054487 J Request Date Fire No. Rough-in Inspection Req fired? ❑ReadyNow56 Will Notify. tnspec- 1 es ❑NO for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street x or Route No. City e4ee~ Roll. 90 ecUOn o. as hop Name or No. Range No, Cou ty & Occupant IPRINT~11A Phn;T O. oroca Y~c!-4~f"753 Pow Supplier Add e, s Electrical Contractor ;Company Name) Cnntmctor s License No. ~~/eny .fYe~/~~~ y/b/0-2 Mailing Address (Contractor or Owner Making Instaila n) aosvo ~ a ~..UrcJ ~,oo ~l .~i~~ S"5303 Authorize Si ture (Contractp Ow er Making Installation) Phone Number 7s3 Asa 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 55106 UNLESS PROPER INSPECTION FEE IS or.--- Into[ lg~ 1111 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION i EB-00001-04 ' See instructions for completing this form on back of VeI IOW copy. 87 4 "X" Befoul k4vexed by This Request 3:? • Judd Rep. Type of Building Appliances Wired Equipment Wired. Home Range Temporary Service Duplex Water Heater Liqhting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. X Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other BpeClly Other specify) t rer Spec, fY Other Other Compute Inspection Fee Below N Fee Service Entrance Size k Fee Feeders/Subteedars k Fee Circuits _ .00 0 to 200 Am s 0 to 30 Amps as s' 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100---Am s raormers Irrigation Booms Par Fee Tnsf Signs Special Inspection _ Reou,rks 533.00 AL FEE 01 Hough-in J 3.. a Electrical to Inspector, hereby certify that the above Final ' f D^ spection has been 7 J -3 made. This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 ~T lr ? 8894 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for REMODEL Est. Value $1,800. Date MARCH 19 , 19--84- Site Address 4657 BEACON HILL RD. Erect ❑ Occupancy R3 Lot. rc__Block 1 sec/Sub. BEACON HIL. ADD. Alter Ij Zoning R1 Parcel No. 10-13500-180-01 Repair ❑ Fire Zone N/A Enlarge ❑ Type of Const. V M Name LAWRENCE & CHERYL KILLIEN Move ❑ # Stories z Address 4657 BEACON HILL. RD. Demolish ❑ Length_ City EAGAN Phone 454-0453 Grade ❑ Depth Sq. Ft.- SAME APprm'als Fees 0 Name ou Address Assessment Permit 29.50 t- City Phone Water 8 Sew, Surcharge 1.00 F Police Plan check fw Name Fire SAC =Z Address u~ 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 30.50 State of Minnesota Statutes and City of Eagan Ordinances. APC _ Total Signature of Permittee A Building Permit is issued to: on the express condition thni all work shall be done in accordance wit o I pplicobl of Mi nesota Statutes and City of Eagan Ordinances. Building Official This request void a- • -6 y crv 18 months from 0 S r b 7 9 7 1 , I'L Request Date Fue No. Rough-in Ins peciion Required? ❑Reedy Now ❑ Will Notify Inspec- ❑Yes ❑No for When Ready ❑ Licensed Electrical Contractor I hereby request inspection of above wnor electrical work installed at: Syt~rr//et Address, Box or Route No. City ! L S~ v~~r4Ga,~ /,fir ection No. Township Name or No. Ran a No. County 01 ~c Occupant (PRINT) Phone No. ~Awa'ENt:~ c~1 let Al ys y-~ ~s-~ Power Supplier Address I1It rlt"!Vzrt 9'GL~c'fl ii Electrical Contractor (Company Name) Contractors License No. ~ L Mailing Adddre~ls,,s (Contractor or Owner Makinp Installation) -144' G Aut or ized ignatur ( on or/Owner Making lestallatioN Phone Nu nbar MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grig9s-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 UniversitY Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 r 4 See instructions for completing this form on back of Yellow copy. r L"" 10 " Below Work Covered by This Request {([I 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 Specty they ISpecl lv) t er Specify Other Oihee Compute Inspection Fee Below # Fee Service Entrance Size # Fee FeedersrSubfeeders # Fee circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am > Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Amps Above 100_ Amps Transformers Irrigation Booms Partial 'Other Fee Signs Special Inspection $ Remarks - QFJ 0 Rough-in Oa[e I, the Electrical Inspector, hereby certify that the above Final 't1 inspection has been mads. r This reausat void 18 months from S~ ~ 1.)-~ 0 1 Y) 'S o q 5 - oL0 CITY OF EAGAN 3795 Pllef Knob Raoul! Eagan, MN SS122 N? 770 PHONEt 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $56,000 Date January 7 19-13- Site Address 4657 Beacon Rill Road Erect Occupancy R-11 Lot ; 18 Block 1 7 Sec/Sub. Beacon Rill Alter ❑ Zoning R-1 Parcel # 10 13500 180 Ol Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V a: Name Joseph M. Miller Conet., Inc. Move ❑ # Stories W Address 18133 Cedar Ave. So. Demolish ❑ Length 50 6 c; Farmington phone 454-4753 Grade ❑ Depth -3-8-Sq. Ft.- Name Owner Approvals Fees u~ Address Assessment Permit 301.00 City Phone Water & Sew. Surcharge 28.00 Police Plan check150.50 FW Name Fire SAC 525.00 UO Address Erg. Water Conn420.00 iW 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 information is correct and agree to comply with oil applicable APC Total $].724.50 State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Permittee A Building Permit Is issued to: Joseph . M. Miller ConBt. on the express condition that all work shall be done in accordance with all applicable Stott o ne otutes`and City of Eagan Ordinances. Building Official' < r i# } ~1 =1L astsi7ana CI1 . ~ ~ ~ ~'Y, f FAIGAN n w/~1 (Cod ('BI~ItX' PB'r APPLICA'1'!~i i set o! u' 760 c O Valuation Date 1.1/.8/82 'm Be.Used For USE OmY Site Address: 4657 Beacon Hi11 Rd's lot } Block t_ Sec./Sub. Beacon xillct O'Y -3 ZwAtrngg Parcel N : nir Fire Zone Fhlat9e _ TIP of Owner. Cons JoseP, h n. Miller Const. Inc. SWISS lt. A&Uvwi 18133rCedar Ave.' 50 ~ DWth Grade City/Zip Code: Farmington MN. 55024 P}lone # 454-4753 nees..ronts Pamit , 3 O ! Oontractors- -Same Waber/5awer TZ) Address: Police Plan Ch Sac City/Zip Code: Fire lister Qoee►. ~z . Phone t: Planneer vaber MOW Poaa mit Counc Atch./FYg. Bldg. of j. Address: aPc City/Zip Code: y~ a SY , Phone ~ r~ ~ - 7-Y- I I City of Ea aIl ; Permit a I Permit Fee: l t7 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675.5675 C G~ I Fax: (651) 675-5694 1 Staff: 2008 RESIDEN(TII/rAL BUILDING PERMIT APPLICATION Date: ~I Site Address: I I l~ 1 I I I d. Tenant: Suite RESIDENT / OWNER Name: aCf-7-1 5En - f)n Phone: 1 I ' Address / City / Zip: Applicant is: _ Owner ~Contraotor { TYPE OF WORK D crip' n of work: CcAr- J Construction 1 =Family Building: (Yes_/ N,o1~ -1 -T-1.2 J1 A I CONTRACTOR Name: License#: ~)0089~'1 i Address:,,, a, Ave N. City: //MCC I lck )&er' State: ("N i~ _ Zip: ~j" 5 Phone:G61_1I';1-`13!100 Contact Person: Karen COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoory 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: III 11111111IIIIIN ON ~ fff~ n' ...~?°sd: _ ic3s 11.1 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 wo~rkk which requires a review and approval of plans x f /fill n 1 LPL (`'th I&f lT . (i /f Applicant's Printed Name Applicant's Signature Page 1 of 3 ~ Fn`rONiie:Use I City of EapIl Permits 1 C~•V(J 1 Permit fee: 3830 Pilot Knob Road i Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: -----------------I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,)k Site Address: %S? 1.3,a, , jI,it 1V &AI-4 Tenant Suite RESIDENT/OWNER Name: IJL) A daw Phone: (PS-1- q51-/019 Address / City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: I20+ o } /!.t 2t, Construction Cost: tcoc) Multi-Family Building: (Yes _ / No CONTRACTOR Name: (L"~cjr_ &ft4'1 Con) ftxcfi6r-) License n: 2,W&l.9 7 i Address: Ito L-) Mru+ ,fl- CRY: state: P~- zip: Phone: clS `J'7Sb-3633 Contact Person: -Z/ 46,° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe classified as nod-public H you provide specific reasons that would permftto City tn° conclude tilat Me are trade. secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approJvveed~ plan in the rase of work which requires a review and approval of Applicant's Prinf4d Name Applica s Si nor ure Page 1 of 3 PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: FAgan, ?Ainnesota 55122-1897 Permit Number: 033466 (612) 681-4675 Date Issued: 09/25/98 SITE ADDRESS: 4657 BEACON HILL RD LOT: 18 BLOCK: 1 BEACON HILL P.I.N.: 10-13500-180-01 DESCRIPTION: R E R Do F BuTdirrg_Permit Type STORM DAMAGE Bui.lding'WQ,rk Type REPAIR Census bode'-°-~ 434 ALT. RESIDENTIAL t t, u r 2 REMARKS: FEE SUMMARY' ~R T FG Applicant 20139140 PPRA,NKR KATHLEEN 11583 RUPP RD 4657 BEACON HILL RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)452-9848 I horeby 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. APPLICANT/PERMITEE SIGNATURE UED BY SI--~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN Q fj 1 I 3830 PILOT KNOB RD - 55122 `I 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan d lot platted after 7/1193 required: _Yes _ No / t~ DATE: q p CONSTRUCTION COST; 103 77 -c DESC PTION OF WORK: R P- -(~~tt) T r) ~I Yl d JC(~}~YIQ© ' STREET ADDRESS: g&r'7 92,jL6 YI Ill //K / LOT: BLOCK: SUBD./P.I.D. { - C,O 0- V l l Name: s n n~ an k K d,.~1 / 1 Lea Phone PROPERTY ~t First OWNER "f 6 &7 aedzpf) Street Address: City F-A Ao~ n State: zip:-, li ~ 7 Company: 6-7- Phone h~- % (J CONTRACTOR Street Address: L9 ,P License# City UP~~ I ~~L T/ State: Zip: 37 e ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes - No I Tree Preservation Plan Received Yes - No Not Require ~ . - 0, PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 2 0 (612) 681-4675 Date Issued: 09/22/97 SITE ADDRESS: 4657 BEACON HILL RD LOT: 18 BLOCK: 1 BEACON HILL P.I.N.: 10-13500-180-01 DESCRIPTION: (SCREEN PORCH) Building-Permit Type SF PORCH Building W"&r-k Type ALTERATION '-Census, Code ate, 434 ALT. RESIDENTIAL V: V 43 4W 4 U REMARKS: SCREEN PORCH ON EXISTING DECK FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: OWNER: - Applicant - SPRANK KATHLEEN 4657 BEACON HILL RD EAGAN MN 55122 (612)452-9848 I hereby 'acknowied'ge that, I=°h6v r4ad9' his ~app-licat°3on and state-; that= the information is correct and agrees to oomply,with all. apptirrable State of Min. Statutes and City sof.Eagan Ordinances, V APPLICANT/PERMITEE SIGNATURE ISSUEDB SIGNATU E 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN r 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: ~/S-7 CONSTRUCTION COST: DESCRIPTION OF WORK: 5cr erl O✓ch ow If XeSA,ri ~eCK, STREET ADDRESS: -#6:57 cv n LOT Y- BLOCK SUBD./P.I.D. -r),OAf ~Ci Px, PROPERTY Name: :12 ram le- d-/\a+ ktU1-n Phone OWNER Street Address: City: 0 f o- ,n State: _ Zip: S > I a CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone D a ~ Dd 19 ame: Registration sp treet Address: ity: State: Zip: Sewer & er limr-ned plumber (new construction only): Penalty applies when address change and lot c ange are equested once permit is issued. 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. 1L Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ~ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE JC404,C~ ❑ 31 New ❑ 33 Alterations ❑ 36 Move ,~q2 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3 Depth Footprint sq. ft. SAC Code ~L Census Bldg Census Unit D APPROVALS Planning Building Engineering Variance m Permit Fee Valuation: $ d~ Surcharge Plan Review License = - M CANS SAC City SAC x Water Conn. Water Meter ~-'"r"te"""" Acct. Deposit SM Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units - PERMANENT AECOR® S C-r P° e tDf5CST' rjq 40-d.~- • eta fog peat J~c~ SG S~ OT a ;SM rY --2-K-1 vi Oro Ise 7 LIP ot pr i uvT MCORD - rtgi L~ S c i sso R- DEB n DO NOT DES 0 (k9 1' AAMU S(APL 5 Fit Certificate fors 9urvey.for: Cen-sex Homes Midwest, Inc. Joe Miller Const. Inc. `8601 Darnell Road 18133 Cedar Ave. South Eden Prairie, Minn. 55344 Farmington, Minnesota 55024 :~k a 3 DELMAR H. SCHWANZ - LANOSURVEVOR - RIVOW00 UOOM Laura of The itat0 Of WAMSOU 0 21178 - 146TH STREET W. - !OX M ROSEMO NIT, IHMNOWA GUM PHOW 612 4MI700 \ rn ley WRVEYo" CERTIFICATE w n ~ r 3 '4 5 85° ►O' 24y ~ r 5' f y~ I hl' I` n Z Ilk 0 38,0 M N 89 ° 24~ '116 ~ /3.2''0 30 pt O S9b CNWA Fwoe 94AW. F~6U. 9_roP `P'out 6~e,1, ~b p o'4 FAPP04E4 934,7 °J;ice Oentoz" sx.,s-r1t,W 6tr-J. ~.$wsEMeur FLOO1~ 6uma. . - te7 ~rG.aoS~3 tv004 401t~ ~¢►1bTES DtQEGTtow> o+ SaRFAC.~ ~AIN~t= S hereby certify that this is a true and correct representation of Lot18, Block 1, Beacon Hills, according to the.plat thereof, Dakota County, Minnesota July 5, 1979 1``11 ~e+hs~ A SMO Loa* rtO*J 0~ pvw"V- our snvcao NO42maRk. 9l 111K - MINN080TA RE619TFIATION N0.8825 D 8~'~58 / z E?;T1:i21D12 1'NVI:I.OP1.- 7,vi"N1GE COMPUTATION / may, i [)ATE 11/$/82 _ OWNER: _ PHONE: 454-4753 - SITE ADDRESS: 465_ 7 _Deac~n _ l Rd. CONTRACTOR! _Joseph M. Miller Con_t.- Inc. Determine working square, footage of each sq. ft. X_ ° - 1. Total exposcl wall area...... sq. ft. X 2. Toal iou[/~eil.iug area Total exposed wall area above floor = ~ S7 a. Tntal. wall window area 3 „l r r,rna C. docnr area d. rota I fireplace wall area e. Tol.41 :all framing alca (average 101) f. Total rim joist area 1 ZI g, ~:fc- wall. area above floor . h• rl•Y 1. WaTL'1.._}TSe'd-3~.5'DOC~}~.~0 j wtrkt Total exposed foundation area r Yotzl fmn:.lntion window area 1. tCur.al net foundation area above grade Determine "c" value of each wall segment (e.g. ...indow, door, each separate wall section) r '0540, Zo,Z -Lffu = 1 , CJ f . 't I ~I x ..U.. .0-(V g. 1Z~ X ..u.. _ QJS3 ,.u„ X .,u.. If item 113 is the samn. . j• - X 6r*less than item 81, have met the intent of 1` X "U.: 1;B^ 6004 (c) 2. 1 . d X 1.111. Z31 mntat f._.. Page 2 of 4 Pxf.;rior rnvclope Avnranc "U" Computation i i Total exposed roof/ceiling area i M. 1,ota1 sty light area ....•...........i............ ! I n. Total roof/cri ] i rnt f ramiury area (aver.a~)c lOV.) o. Total net insulated roof/ceiling area........... Determine value for each roof/coil-ing segment . x ntro m• O5~ 4.8 ri. X7(0. x X03 Total if total of' 14 is the sane as, or less than N2, you have met the intent of SIW GOPfi (r) 1. - Alternate Building Envelope Design_ To utilize the total envelope system method, the values established by the sum of item: 113 and #4 shall not be greater than the sum of items 41 and N2. 1. 3C~ I . 1 + 2. 4 ~3 3. Z31+ 4. 3 Z(oZ. t i i PLAU #k 8 ® Li N FAQ L FT, F_x.posED WALL. :..~.11✓E ~ ~ :St ' t Zs~ -1 Icy i L _ lO ~Kj5oSEA WALL. AZEA . J ur 494 ~ L..cc. l~ I K ~ S ~l~I . D X 8 = is77 FUI.I.. X S /052 x95 L - ~m ~=Y, r.~cSE GEiLrs+~Ct vV DV,l."S ill ® D OOi~S t~ - I 4F 7 t~I Il V 4B WO-~ I J/'~ I ~ Z3'9 ~ ~SM'•+ Uui+S r-; aALL Dcl:7~V.~ "~~fG~ usc`15a of opaque wall area for R_Value_ _ Construction • frame construction I 2, inches soft wood 3. 's ,p 4. .mot 0.17 EiA:;IC 6. Exterior air film Total Q•33 I y:nLL - _ U~.~Z FIG. #I TOPVILW OF 0.68 Interior air film FRAM WALL 2 p 3. ~i 4. i •L 0.17 6. Exterior air film Total FIG. #2 Ut 07 r\ -----'y ' • 0.60 1. Interio_r sir film _ L O -v RAM 2. 4 - NR- i. u` 2 0.17 Exterior air film Total =i7.1 U-A ~;1~ • - 0.68 :t ~ 1, Interior air film 2. o « ` kLL , 4. 4\ 0 ` RndC 6. tar~ox air film 0.17 ~r Tetal • 7 .13 SLAB ON 'GRADE a t\[ • • ` 10 ~ ~l~ - ~ -Ill FIG. #4 let v x x r #a , !u /lt rr = . lid NOTE: Indicate tyoe, value, depth and. placement of insulation. _ ~ 1l sTANa►,o,o Ito ok./CI:I LI NC y 'mot R-Vabls Cvn•a r ~~ct i on Intcrinr air film ( 2. 5 ~ 0. 00 3. ~OM fiLn 4. lxtrrior.`~ir D Total v~ u5E ~Iti NIT X.-- huc c, ced licat flow up FIG. Ittteri_or air film 0.61 z. uL • 3 Bxt.~~uY a Total 22. ~S 05 r I mili 011i111~111. vented flotr UP FIG. 0.61 inside air film -ide air. film att., . Total y; j j 1 z -f sPaco vote, Use additional sheets if more vo-vL'I' m needed for details and calculations i Heat i s flow up CITY OF EAUAN . - - ST L/ 1 Certificate y Survey 'S U ( BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For &'+1i r 0*. sH Valuation /~~D Date n, Site Address OFFICE USE ONLY Lott _Block_ l._ 7Sec./Sub. ~ Occupancy Parcel / D X350 y kz) - J Z Alter _ Zoning Repair Fire Zone owner: ~/}Ul=~ E sJ ~'N'Cu L 6z,~ Enlarge_ Type of Const. i Move # Stories Address: ~f S`> ✓~c I~ p Demolish _ Front 1 ft. City/Zip Code: Li?~il'Nr Ibll Grade Depth Tt. Phone U ~V✓- 5"3 FEES APPROVALS 5 C f Assessments Perni' t ~j 9• S U Contractor: T ?water/Sewer Surcharge !J v Address: Police Plan Check City/Zip Code: Fire SAC Eng. Water Conn. Phone Planner Water Meter Council Road Unit Arch./Eng.: Bldg.'Off. Address: APC City/Zip Code: _ TOTAL ~ O • S O Phone s IGO"Ix ock a ,S?-adK °'j ;^r - ui o t _ XI/11 If p-I I ~7p4 I 1 7q LI _ r t~ ark j P~ * r,., ` a r h-... y , ~ t z s, d ~ . I •f v rt1 sr~' "k r ~ x r y 11 ~ ~o ~ r dry ~ r~ ✓ K sa, rd t l ~xl M=, r a~I • ~ W c ~ i u'~ "14 L.ri ~c "3 S er ' f f ' 7 T F l x' 76. ~`i- + i §~S+ t!'~~{{'r Y 11 59 /r• I 1 1 - ~ F v i. Y; I I rdo i l r I - i I I 4L NI Le I I i @ ' I I ~ I I ~ i I i I ~I I I CL 1 I I ( I! I I I I I ~I -1---F- + I I 1 I i 1_ I 1 I, I ~ I I I I I I~ I I I I I I ~ ~ a i ~ I i I i I I I ~ ; I I I I ~ I I I 'I I I! I I I I i ~ I i I I I ~ I I 'i ~ i t ) I I I ; i I I CL-1 I AL I I I I i I .I II j I ; I,I, ®A ! I i t I I i I I I i I i I I Use BLUE or BLACK Ink For Office Use p j Permit I 1 1 i fE City of a I Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 RECEIVED i I Fax: (651) 675-5694 JAN 13 2012 ' stat_ _ _ _ ! 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unites Name. it/~ lI y e, a Phone: RESIDENT 1 OWNER Address i City I Zip: 7 s Applicant is: Owner Contractor i~~%v►'~i~~1R°f S / s~ TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No ) Company: Contact CONTRACTOR Address: City: - State. Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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, data and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S 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 they are trade .secrets. CALL BEFORE YOU DIG. Call Gopher State One call at (651) 454-WW2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities i .rq 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 w uric which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code raust completed within 1811 days of permit issuance ,602"s, AvP9 ~c n X Applicants Printed Name Applicants Signature Page 1 of 3 O NOT WRITE BELOW THIS LINE 2,2-7 e`1 SUB TYPES _ Foundation _ Fireplace _ Parch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building I WORK TYPES {G. r .G ~1~1^'''~1« Ul'n~ I-!%r1~ JJ)1'i, - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior Alteration's _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuational u Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 1000/0 ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction - ~ E6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 4- Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath Brick Fireplace: -Rough In -Air Test -Final Windows r, Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock } Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3