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4781 Beacon Hill Rd ✓ WATER! SERVICE PERMIT 3795 1*0 Knob Rood PERMIT NO: 4175 Engna, MN 55122 DATE: lon Zoning: RY No. of Units: chvner: Oldie construction co Address: Site Address: 4781 Aegean Rill Rd L8 B9 Bin 1. Ptumber: Meter No.: onnection Charge: 4ib.00 Dd Size: Account Deposit: - Itooder No.. Permit Fee: 1 1.0 pd t o pow to oom* witb Ae City of Eagan Surcharge: 0 ud Ordq misc. Charges: Total: E pate Paid: Dote, of lnsp.: Insp..' SEWER SRVICE PEMW ~ -Pllot Knob Read PERMIT Nth.: 16=20n. $5122 DATE: 4/23182 Zoning: RI No. of Units: Ownec Blilie C true* lom Co - : "row. Site Address: 4781 Beacon Hill Rd LS 19 Baa ^n+ HI Plumber. I arson LxcaVat n - 3/26/82 29376 100.+f pd 1 ogres is eon * wub `the City of Eagan Connection Charge: A15, 0 Vd Account Deposit: 14.1 pd _ Permit For. Surcharge: :fit? Rd BY misc. Charges: Datte of Insp.. Total: insp„ Date Paid: IMIDW M-- L C" ors Mft IM, &Aw&* ow E + 3' t auty svtgq aq. It, 61 tat, 9q. R. at tiWW, 40 ~dl rQG* a Y capWalmss, {~+tatcava+r~e.acwe~j ta~attr~~~~e:,. ! 24* to of Ow *0" Wft wftw atw "ured f #~ign, etr.) . 4 st4~ tads t~Ed~r~rd r 1Etrde~E~!'4~igq.A~iC~1~~ltl~~b~d ' 3 * ~ ~r~er Nya ~ bot P~MrMd atier ~11163 s f tstt.Rdtist 0" O&M nWW AW *0 3 or tags ob) , PAM V&UAWf4 we-p1 11AU:T!► Y /r l1~Yif11w 147 t 106, { T O"t !ta ~2- t fi 'a r ~j~1 b CELT, Pliowe # f 4-6 ABC TRW" , r Eta code C M3M SMA RULES 7670 CA'I'WORY i Mu+dNv%&r&,,RIjW,' 767 0 ty t Pwildenw vwidisuoY catnm 1 work~ s,(Awxted` ~Y Eriva~ape G~ ~mi4lwd , * C4nkmto Phone # b"*y*m includes: Watej Softe= lawn S 1Water Heater No. off(J. %Ws N10. Of Bats cg Ctsma cto ; Mxc sy m ittttc s: Air Conditioning Heart Recovery System :H OCT I#we y wkr w cf that t have read this appHcv#ic n, stars that the Inform Y uIrwribr- w#th of appGcobte State of lohngtsota statutes and City of Eagan ~ ru e$. OMCE USE ONLY Ce"MM" of Survey Recehed ~ Trft Peeserva*m Ptan aecei ed, tW r This request void[ 3~ ~i pl~j~l~ C (3 sL iq ~ 11-1 I T78 months V ) t " Request Date Fire No. Reugh-in Inspection -Req redsReady Now -Will Notify, Inspec- Yes ❑ No r When Ready icense Electri aI Contractor , ( 1 hereby request inspection of above Owner. i6so.Coy\4,L.i~(. 1.. electrical ork installed at: - S ~d, Bo o Rou~o, t 44!!!~ LA City Section No. / Township Name or No. Range No. Coun Occup t PRI T) Phone Noo.(~(~ /J ' P r Su tier Ad Electr t C tractor (Company Name)" ontractc;7's License No. Mailing Address (C ractor or Owner Making Installation) t3- L4 es Authorize rgnature f retractor/ M ki I stallatio Phone Number od2V MlNNESQ RD OF. ELECTRICITY THIS INSPECTION REQUEST WILL NOT - Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St, Paul, MIN 55104 UNLESS PROPER, INSPECTION FEE IS. Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-ooooi_oa T 81 See instructions for completing this form on back of yellow copy. - "X`" ow Work Covered by This Request i ! N. Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service j Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg Air Conditioner Sulk Milk Tank Farm Other (Specify) Other (Specify) Ot er Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0to100Amps 0to30Amps 0to30Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Am Above 200 Amps Above 100-Amps Above 100 --Amps Transformers Remote Control Circ. Partial; Ot Signs Special Inspection $ 150 TOTAL F E!, Remarks D Rough-in Date I_ the Electrica9 inspector, hereby certify that the above, Final ate inspection has been 2 -2 made. This request void 18 months from - This request void / ~f Z Z L-,Fr l V ~8 months frr9~ 79959 .7100 Request D e Fire No. Rough-in Inspection Requ~red7 Ready Now Will Notify. JnsPec- •'"'~~es' ❑No for When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, x or Route City action No. ownship Name or No. Range No. County Occupant (P T) Phone No., - i Pow r u p er Addre FAle-IF I EJ Go tractor any N e) Con actor's License No. al a..."" Mailing Address (Contractor Pewn "Making In ailati ' Authoriz ignatur (Co actors ner n 1 ailation) Phone Number ~ 0-3114 MINNESJAY, 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 V UNLESS PROPER INSPECTION FEE IS ' Phone (612) 297-2111 ENCLOSED. _ REQUEST FOR ELECTRICAL INSPECTION EB-00001.03 See instructions for comp) this form on back of yellow copy. f T 79959 elow Work Covered by This Reques L7/ ! New d Type of Building Appliances Wired Equipment Wired Home nge 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 Specify Other (Specify) - - Other Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders ISubfeeders # Fee Circuits 0 to 100 Amps 0 to 30 Am s 0 to 30 Amps su- 101 to 200 AagIM 31 to 100 Amps 31 to 100 Amps Above 20 mp Above 100 -Amps Above 100_Amps Tran e Remote Control Circ. Partial/Other Fe r" n Special Inspection Remarks $ TO FEE' 't A.IL T V Z Rough-in Date 1, the Electrical Inspector, hereby certify that the above Final ection has been This request void 18 months from CITY OF EAGAN N? -7155 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF MCIGAR Est. Value $63,000 Date March 26 , lg-82._ Site Address 4781 Bmc n -Hill Road Erect MC Occupancy R-3 Lot 8 Block 9 Sec/Sub. ' BeaCOHill ' Alter ❑ Zoning R-1 Parcel # 10 13500 080 04 Repair ❑ Fire Zone NA Enlarge Type of Const. V W Name Bl~ Move ❑ Stories Z z Address 6" &VeriOr CbtR , Demolish ❑ Length 41 c; Flan, phi 454-1438 Grade ❑ Depth -M-Sq. Ft. Name Omar Approvals Pees ~ .o o" Address Assessment - Permit 322. u~ ~ city Phone Water & Sew. Surcharge ~5© Police Plan check 161 .00 b &W Nome Fire SAC 525. Ci© W H Address Eng. Water Conn.420.9 - <W city Phone Planner Water Meter 60, 00 Council Road Unit 740- 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 Totol'~ State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all o bble Stat a nd City of Eagan Ordinances. Building Official _7 -51FT CITY OF EAGAN # C) f L 37" P" Knob Rood Eogen, MN 55122 ~ gt PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est Value Dote Ar^ 19 = t Site Address -_'_1 Erect 'Cl Occupancy Lot Block Sec/Sub, Alter p Zoning Parcel Repair ❑ Fire Zone a Nome Cc Enlarge C] Type of Const. - A _ .{k7n4atr~ r i.cn ; - Move ❑ * Stories Address Demolish Q Length U city Phone Grade p Depth Sq. Ft. Nome - - - i :T1, 3;- Approvals Fees Bt- u Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check r HW Name Fire SAC 3:--OZ Address Eng. Water Cann! City Phone Planner Water Meter Council Rood Unit of°' 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 • `1 State,•ivf 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 Stat'&-of-Minnesotal-statut"-end City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 8'~``kcf t l E -Za 8'Z H.V.A.C. SEA SC+arla. Z~~~2- 01 wail waiver Disp. Sewer. e~,o Electric "r'711iSl p,OL -Te-,-k 22 Inspection Date Insp. Other Footings 3-ZS~ p Foundation Framing i Rough Plbg. Rough HVAC Insulation Final Ptbg. Final HVAC r Final j water Describe Location: well Sewer E tftrotr of 'rru nr 9 Citp of eagan Ervarttartct of admitto jusprrttntc „ L. This Certificate issued pursuant to the requirements of Section 306 of the Uni form Building Cock certifying that at the time of issuance this structure was"in.compliance with the various a ordinances of the City rtpulating building construction or use. For the following: SF DWG/GAR siae earw. 7155 t r Tree A3 Typo Co n wOm V Fin,- NA zo" t Rl 11 o,~waaYearK Blilie Co nstructiorka„644 Superior Ct., Eagan 4781 Beacon Hill Rd -j..at jgt 8 Block 9. Beacon Hill Jute 1, 1982 bumbnofftm POST M A EOMPI000MS RAC[ - Y . .1. ®GOES 481 _ - 11YN0 tN U.S.A, CITY OF eAGAN Remarks Addition BEACON HILL ADDITION Lot 8 Blk 9 Parcel Owner B l i hf- Uh--A CO. Street $781 Beacon Hill Road state fi&gan,, MN, S5112 Improvement Date Amount Annual Years Payment Rsipx Date STREET SURF. 1982 1848.67 205.41 9 1643.7 A011161 6-9-82 fcET RESTOR. GRADING 19-82 537 '84. 59.76 9 478.08 `r' 72:.555 rr tr SAN SEW TRUNK 30V 1976 135-97, 9-06 SEWER LATERAL 1982 3182.83 .353.65 9 2829.19 If WATERlMAIN a WATER LATERAL 1982 9 WATER AREA $ 1982 202.00. 22.44 9 179:56 rr it * Stubs 1982 9 STORM SEW TRK g 7s 1982 367. 7 0.86 9 326.91 STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Raod Unit 240.00 #22376 3-26-82_ WATER CONN. 420.00 rr BUILDING PER. Z155 SAC rt }1 PARK ` 6IT Y OF EAGAN PERMIT Control No. 0254 3830 Pilot Knob Road ftRMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 800288 (612) 681-4675 Date Issued: 04/20/92 SITE ADDRESS: 4781 BEACON HILL RD LOT: 8 BLOCK: 9 BEACON HILL DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: RECEIPT • C018343 FEE SUMMARY Base Fee $25.00 Surcharge $.50 Total Fee $25.50 i CONTRACTOR: OWNER: - Applicant ACHTERLING GREG 4781 BEACON HILL RD EAGAN NN 55122 (612)536-4354 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE I S EDUY.- SIGNATURE l CITY OF EAGAN 1 992 BUILDING PERMff APPUCATiON UGLE & MULTI-FAMILY -2 sets of plans, 3 registered situ *vrveys# 1 copy of energy calcs. COMERCIAL 2 sets of architectural & structural plans, set` of specifications, I copy of eoergy calcs. Peffalty applies when typini of permit its, requested, but not picked up by last working day of n.h in which re oast s e lot chap a isseguested, once ermit is issued. Date P *-I ! / Valuation of work Sitar, Address: 9j ~ACorJ lye DTI T STE Tenant Name: Ggs- 6 At m Ir L f ri ion of work: C v+vs~z~,c-, ate, F The appl icant i s Owner E3 Contractor . E3 Other cowribe? Naas Phone 5 3 Propel LAST MST 4SZ - 9173 r JkwF OM W Address 4 781 Q G"CQat 91 s S 10 City State Zip s company Phone Controctor Address Licens* f Exp. . City state Zip Company Mope Archft+ J r Name Registration Address city State Zip Sewer water licensed plumber Processing time for sewer & stater permits is two .days once area as approved . I hereby acknowledge that I have read this, application acid state that the information is correct and agree to comply wit ll appl cable State of Kinnesota Statutes and City of Eagan Ordinances. Signature of Applicant: CITY OF EAGAN Include 2 sets of plans, V 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used Forff Valuation 1 3 Date Site Address 4 ~ `6 0 - ~ cCL+1 t~ l OFFICE USE ONLY I.a Block. Sec. /Sub . ' Occupancy Parcel C t>500 Alter Zoning Repair Fire Zone Owner: Enlarge Type of Const. # Stories ft. Address : Move Demolish Front City/Zip Code: Grade Depth y ft. Phone #:~L/~ / FEES APPROVALS Contractor: '7B 1 , C i Assessments Permit i Water/Sewer surcharge -a Address:- Police Plan Check / ~ City/Zip Code: Fire SAC 6,g Eng. Water Conn. %z a~,aa Phone planner Water Meter G o 4te Council Road Unit y0 Arch 'g" Bldg. Off . Address: APC City/Zip Code: Phone TOTAL -r 1 7 52 t 'L h✓ -__.,..I"7'+ '~.:...t:,.. u.,. r.~3'bv. t. ,.M,ia: _ _ - PLOT PLAN Scale inei. /D4 ! . • _ _ ~ j- ' I 11 'tt C tr 1 i :I i ~ 1 { - t 1 1 i 7 Dy .I:rr r+- + 7 + 1 1 a..r ~ - i} 't3 irk, :i ` •:j , 1La .-l -Ixr" a • r } Al ti 4 , ! !G~ - It j!` f 1' 7,17•_ t SI _ -14 Tr . t { I7{ i-{i T} 1 t L44- I: :AJ 1. j 7 Y+1 II~It Ir ; l ;t~j «a: , -Ii t. LL♦♦1,. .1 1.1 i. l - ~I to i .~V .ty- r- ..''r t i V ' e t.l: { -..,.r--.-. - t" I { I tli i1:' I t - ~ f ^i., 11 ~ t. 11.1 • ! L. • , I ~ - :.4 ~ ` r, _x ~ _xI i1 ,jar (~,1 r t~• :I• . ' r MPI LL 21 t + (1: I. -1 111 -fT ' r. 1 rf ; I; I f J 7FT 71 + .1!' to t r RI +j r-11 [~111 }='.i. ;yi- 1_-ti +1~I l:Lf •7r ~ { ~ ~ - ~ _ -r• - ' i t_7 ! r. -I, 777 , jLL i ,I f t it 4. tit i r I r ! 14- ! ! rlr { ~4 }}f.~. T 1 f 1 j ! r 01 171 70jV loc~trr n of streets, lot and proposed buildings, give lot dimensions. (L'+r CO -n0r.* _ +r!, to 7+, stAcd before appraisal is requested.) 7 . C0-N r ACTOR, _ DATEDetermine working sgli«r~e.footacgd of each 1. Tota'1 exposed wall area sq. ft, x U7 za r 2. Tota-) roof/ceiling area - - _ sq, ft. x _=05 EZ- Total exposed wall area, above floor a. fia1:a1 wall window area b. Total door area 3?, 7 7 c. Total slit inn grass door aria d. Total fireplace wall area., - e. Total wall f _ raming area (,average~l0~). f. Total net wal l area above floor 12, 03 g. Total rim joist area / % 83 Total exposed foundation area q. Total foundation window area.. i. Toal net fond . ;t u atio'n area a eve grade L Determine 1,%' value of each wall segment. a. j X ►,Ull-' :7 32 77 --u-- lel 6-5, f~ C. X PUS! r 7~ - L? ~ X I,1 1 f' • u u fluol 2.0 4/ t ",•---~._...►f Y~O.,I. X 1111/ * _ if "u t 3.. Total 17 If item #3 is the same as, or less than item #,1,'y6u have met the intent of S80 6006(c)2. .ff_ e i gmt rgg tion t 1. interior .air. Lllm 0.61 9SA 490 1. ter or air . f 1e (Vti 0.61 Vffi'P • t~11 S Total ~~3•~i4 N"14d Neat llov j up . hIG. !"1 F air file 0.61 +1. , r or a m s . Total Neoc "flow ` up zwAt • 1* i x file Q..' 24 r fam • Total ppx ~a use additional sheets If moors spe;o is • wooded for details bum calculations.` Muc ' flow up WOO ra~lr ' tic Ow4tiuction R-VO iua' i f lit, 0.68 l~ k . - - - } I 30 i.nc es soft L►xterior air film 0.17 Total. e; rIG. •1 TO,rI W Cx+' 0.68 lA.:1fMIi. 1. Interior air film .r . c~.Dl/.ail i G2 6. ixterior 64r Ulu 0.17 FAG: t3 Total /5.03 r .000 , 0 7 0.68 •.w• l• ME film • r f. 04 rr. Eels 142 herlt~. r 4. friar sir til 0.17 Total 1.t►t•asioa air film 0.68 30 40 P~ - .ice ~K - . a ;p =,i''~ i.ctaslos air film 0 ~r 17 . " ON • • ' • . f y- • . • • ~ , • , all Ali IDA* lit P20. #4 f 4~ /f.1 = ~ - NC1TRr Indiaatt type, value, depth &hd - ' t a • * placatrient of inauloticn. ` ~4 t -pS ` s r' `f. To ta exposed 'Tc,t.2 Oylight are4 k. Tora! ruuf/c.ei 1 it t framing drf-, ,aver,ine 10A~-) .:!~f 7 Totid) rtk.t lnsalated" !Determine "U" vai -te for each roof lrei'Inq spgrvrtr, 2 T' ,U . . Tat-at if total of #4 is the same aS, or less than #2. you have Met t,:he intent of S6C 6006(c)1. t Al ternOe Bu i 1 d i tag ` Velppe Design 7a ut!li2e the total envelope systgm method, values values established by the sun of hens' #3 and. #t4 sha.l1 not be +s,ter than the sum of items #1 a-)d N?. 9 k e' ;1. 2000 = P MT DUCAT M ( M ) 4113 emr cF NAGM y A :A* s wvop aq a `Of ick 0% 1 of how 2 Of pion taw as e halt as camm 1 So og WOW tdo* ➢ Rm f > 1000"+0 s W4W f0rant a w c►w pound stmes; t fix + aria 3 e cat paserwoNan plan lid SIN' 7/1l93 DAM CQNS'mucim 5( P~K3Pf OF WtNf- tit: 81.tJCC; e R?it° tts R 9~ret 7~f CNy Av~ maw ap• Sf a,.•-e iy phom.t Irk - (000 c oft) Ct Nf ti:n3R Z 6,, AACWW/ I.fgR Comfy: m Tekphom Rm 11"N"041: Sk" ss: CNY pkrmba Quaddft b7 caa*rnc -,a @ "I f hme read e appgmgor~ arms fhe# #0 6*nvwftn is =a*% +00 awft to of 1dlnrws aW CNy of micas. S~gnaf+~a o1 OFFICE t M ONLY PEC I Er +Ee Wk*n of Survey Re091ved Yes No AUG. 2 ,5 2006 TtoarPresenr ft n Received Yee No W Required _ BY.- t- oo~ 7638628199 11/09/2008 21:00 7638628199 ANDIE MUNN PAGE 01 `f - Eap - rdi i0mce Use Cat y of I Permit I I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 j Dafe Received: ZI _ j Phone: (651) 675-5675 I Pax: (651) 675-5694 t staff: I 1 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: IVOY /0 ,2ov 8 Site Address: 7 7 $ ~ 56a Q/ ? e) Tenant: Suite RESIDENT / OWNER Name: _ 12417 , f~'~„~. Phone: ~j Address ! City t zip: j __!CIQJJ hf i F !G + Y! ///~<7 ~GZ_ Applicant is: Owner Contractor TYPE OF WORK Description of work:. e f....___~~. (716F Construction Cost: goo _ Mufti-Family Building: (Yes / No ) CONTRACTOR Name: License U 3 0 Address: _ ~~jj 0, 60y- a_ State: /7)/V Zip: City: 1-217 OY'Cr - 00 Phone: ,.719 76-7- l~v Co _ Contact Person: O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minneata Rules 767fl Ca~Qv 1 Minn ESOt Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted . Submitted Category (d 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 informafion. Portions of the information may be classified as non-public if you provide specific rleasons that would permit the City to conclude that the are trade secrletS. 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 wor 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 apprOva f, IanS Applicants Printed Name Ap nt s Signature Page 1 of 3 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date l ICD Site Address `47 ) l S"> ieci c ir-, 1 1 Unit # Property Owners ti 1CC~C1 Telephone # Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146th St., 4106 Street Address _ Apple Valley, MN 55124 City State (952) 431-7099 ( ) Telephone # Bond #:3L--_-T- Expires: 1' r_Qk The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional Replacement _ air exchanger air conditioner New -Replacement other State Surcharge $ .50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ; j Applicant's Printed Name Applicant's Signature j i r El ~ 4 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If gmit fee is $1,000 or less, add $.50 $ State Surcharge If e~ rmit fee is over $1,000, add $.50 for every $ 1,000 ermit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: Receipt MECHANICAL PERMIT Permit No. t CITY OF EAGAN Fee Fill in numbered spaces S/C l Type or Print legibly Tot. ~S YuJ 1. Date 2. Installation Cost 21 (s)in F A /l! ' I I L F- g~ . 3. Job Addressi Lot CJ Blk. i Tract 4. Owner -t14 6Le- %-'L L ! Lw, 5. Contractor >~~~✓r L ' c Phonel 6. Address J~C_ ~e 7. City t State 141 Al Zip 8. Building Type: Residentiall Commercial ❑ Institutional ❑ 9. Work Description: New X Add ❑ Alter ❑ Repair ❑ 10. Describe r .a/k, rte. x .II r `L Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM a f Forced Air 3 cz~o Air Handling: Mfg, ktl r-,A'2 Boilers l=- Mech. Exhaust f Mfg. Unit Heater Mfg. Other t Air Cond. Mfg. J Gas, Piping Outlets 12. 1 hereby certify that the abq~e information is true and correct, and I agree to comply with All ordina ce9`arul codes governing this type of work. Signed : f-;s- for Rough f._ Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ ",r i"• r•1 Receipt 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. Owner 5. Contractor Phone 6. Address 7. City State Zip S. Building Type: Residential El Commercial ❑ Institutional ❑ 9. Work Description: New [7 Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool /D rai nf ield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. I 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. i Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECOPD CiTY OF AGM PS WT TYPE 3830 Pft KMb Road Psm* NuffbW. JEJ~, Mi 551E y (812)W-4676 x 09#900 .#Xt t It+ tt at1 ~ Wit) GURTYPIE: OF" WOW,..- k -l'- "VillbIr iii Purnrft IkL PAM* llot" DOW PU4 MO T _ fNAC Et,ECTfOC E conwoft Alm" F ftp+9h P14 . G Finn f3FW Test f c4rat. ilNOf Dot* Ftp. oil Do* FhW tAhil Ft: Dbp. ws city of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 1 t zolk Use or BLACK Ink For Office Use Permit #: Permit Fee: /;`. � t/ Date Received: .3/d51 f Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r3` / / Y Site Address: 4 7 ( &67.`" c l ``//i 11 / L Unit #: Resident/ Owner Name: Phone: Address / City / Zip: 44745-( 45-i i�e���•1 14(' /2 d Applicant is: Owner Contractor Type of Work Description of work: c..)ci6( /f ,-1-7,04 I ^ (l ' X /0 0 M.02Construction Cost / c—'c) Contractor • Multi -Family Building: (Yes / No Company: )014.N- W 5-L4(e2 Address: (e9dr (") 91-1-(494 Contact J Sc j„lce 6<a- 3q0-1-1 G66 City: bt, 514. M Zip: �lr Phone: .�1 .3 8-'%l�'� o State: r - License #: --72 3 '7.2,Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) V �l 19 1L-1 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 they are trade secrets. 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. 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 pefmit issued in accordance with the Minnesota State Buliding Code m comeletod within 180 days of permit issuance. x 01,, Sc . t o Applicant's Printed Name C -"J Applica Signature Page 1 of 3 4/ 7f/ c,,tir t{ ll DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool aitC441fact.- Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final x Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector .07//-11'KA' 4,6 t4 01/441 0 49 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA179396 Date Issued:10/03/2022 Permit Category:ePermit Site Address: 4781 Beacon Hill Rd Lot:8 Block: 9 Addition: Beacon Hill PID:10-13500-09-080 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Katelyn Derby 4781 Beacon Hill Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature