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4681 Beacon Hill Rd Use BLUE or BLACK Ink ---------------i For Office Use ~ I City of Eajan I Permit I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 RECEIVED i I Fax: (651) 675-5694 I Staff: 3, EC 12010 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 2 O Site Address:. 4 (0 8 iG(( 6lewd-_ Tenant: T-fi U& Suite Name: Phone: - o r1 RESIDENT /OWNER Address / City / Zip: 21i((.i/~A 1h1kQ_onLd Name: V4AMI&09B,~~_ License 1 r' N Address: City: CONTRACTOR ~ll WI-115D State: M'v Zip: Phone: - 0 t(1 Contact: A a~ FinaiL Q~ T1Y1 - ~,(,virwl PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: DESCRIPTION FEES - K-b w , $50.50 / ach (includes $.50 State Surcharge) TOTAL 11711=11=t , *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances 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 with permit; that the work will be in accordance with the approved plan in the case of work wh' requires a v. and p al pl s x x Ap licant's Printed Name Applicant's Si ature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF EAOAN WATER SERVICE PERMIT 3795 Pflot Anob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: i - - Address: Site Address: `li' 1 T. n r r n i is f 'y_~ F'L`k q11 B , { ' ? Plumber: eier'- ^ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordlnences. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 874 Pilot knob Road PERMIT NO.: Eagan, MN 35122 DATE: Zoning: No. of Units: 1 Owner: n.. , Address: Site Address: F 1 c >tiun il' Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances, Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN C yr 3795 Pilot Knob Road Eagan, MN SS12Z 78 J PHONEt 454-8100 Y BUIVQS G PERMIT Receipt # I To used for SFDGTG/GAF. Est. Value $54,000 Dare ?March 21 _ iy `i3 Site Address 4661 Beacom Hill ?toad Erect jar Occupancy 1 3 Lot Block 1 Sec/Sub. Beacon Hill Alter ❑ Zoning R--1 Parcel # 10 I L. x;0 220 Olt Repair ❑ Fire Zone NA Enlarge p Type of Const. V nc Name r,-j-se guilders, Inc. W Move p # Stories zz Address 4525 Oak Chase Wav Demolish p Length 52 C; Fagan 55123 Phone 452-3033 Grade p Depth ;8 Sq. Ft. Name ntrriPr Approvals Fees A Assessment Permit 95 . jO Address ~ city Phone Water & Sew. Surcharge 27.00 _ Police Plan check 147.50 a VW Name Fire SAC 525 .Oi1 uG Address Eng. Water Connlas.Q.j]O- <W City Phone Planner Water Meter 61) 00 Council Road Unit 950 QQ I hereby acknowledge that I have read this application and state that Bldg. Off. the information City t of Eagon Owiih rdinalncesplicoble State of Minnesota Statutes and APC Total $1754.50 Signature of Permittee A BuildingLermit is issued to: 0ax Chase Builders, Inc. on the express condition that all work shall be done in accordance with all applicable State_pf_Mnnesoto Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. older Plumbing 33t"i fYIZ~ r1 H.V.A.C. t7 lJl co -s g-3043 Well Water Disp. Sawer Electric (allt~t~(OZ w y-Zl` Inspection Date Insp. Other Footings Foundation Framing 4 Rough Plbg. -aJ [ J Rough HVA Insulation Final Plbg. Final HVAC Final c Water Describe Location: Well Sewer Pr. Disp. e- LIY7 Lj #Cl PERMIT # /&0'0v~ /~~vlSto PLUMBING PERMIT 'rte CITY OF EAGAN RECEIPT # N 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: I 1-~~~ 'le CONTRACT PRICE: PHONE: 454-8100 Site Address 1 j -y f7,> BLDG. TYPE WORK DESCRIPTION k 1-41111JI&L, Block Sec /Sub Res. New j Mult. Add-on - y Name Comm. Repair Address Other C City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name I Water Closet - $3.00 $ Z72 -Vcs j c Address - Bath Tubs - $3.00 Lavatory - $3.00 p City ~ a^~raZ Phone 41S.4-5.52S I Shower - $3.00 7 Kitchen Sink - $3.00 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES , Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1 50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10-0N, Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN P / 87 GRAND TOTAL- r } CITY OF EAGAN 11760 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t 4 PHONE: 454-8100 J BUILDING PERMIT Receipt # PLACE Est Value $2,500 Date APRIL 19 36 To be used for a IRI Site Address 4681 BEACON PILL RD Erect ❑ Occupancy Sec/Sub. BFACON HILL Remodel ❑ Zoning % Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories W Name GLEN DOWNES Move ❑ Length 4681 BEACON HILL Demolish ❑ Depth o Address Int. Impr, ❑ Sq. Ft. City Phone 454-5575 Install Ex o Name H h b L AS-ON RY Approvals Fees c Address 911 ii 47TH Assessment Permit 538 50 City MPU Phone b24-0015 Water & Sew. Surcharge 1- U Police Plan Review F = Name Fire SAC Address Eng. Water Conn. W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. information is correct and agree to comply with all p 7pi 7 e State of Minnesota Statutes and City of Eag$n Ord' ces. APC Parks Var. Date Copies v Signature of Permittee x /,f % Tota IMAS AIRY A Building Permit is issued to: HILL 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 Date Telephone M Plumbing H.V.A.C*. Electric Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing Rooting Rough Plbg. Rough Htg. Insul. Fireplace ` S Final Hig. Final Plbg. 81dg. Final Cert. Occ. Dack Fig. Deck Frmg. Well Pr. Disp. I Receipt ?C~ PLUMBING PERMIT Permit No. - CITY OF EAGAN i Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Dater 2. Installation Cost c U 3. Job Address',-,;7- L Tract ; 4. Owner ,7 f1 rc t' I-JA + c R I- rZ S 5. Contractort ---A 7 /~ZVne/ Phone 6. Address s J/) TiC 7. City ~ n , State' /fit p / Zip. 8. Building Type: Residential &2`11 Commercial ❑ Institutional ❑ 9. Work Description: NewAa Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank ,y J~ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray - T 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. ce./.=L~~ Signed : /Z for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt,' it MECHANICAL PERMIT Permit No. CITY OF EAGAN l Fee O 3 Fill in numbered spaces S/C Type or Print legibly Tot.. 1. Date 2. Installation Cost 3. Job Address Tract 4. Owner 5. Contractor. Phone 6. Address 7. City State Zip 8. Building Type: Residential El Commercial ❑ Institutional ❑ 9. Work Description: New ❑ 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 wr°• ,W~„~ . gyp.- Aso- Z f 9 MMAVA. A, W-IzM- a ` _ C~~rttf~rtttr ~f (~rr~t~ttrtr,~ Citp of (Eagan 11rpartatmt of ludbing Inaprrtinn f y This Certificate issued pursuant to the requirements of Section 306 of the Uniform wilding - Code certifying that at the time of issuance this structure was in compliance with the various K; ordinances o the City regulating buildia construction or use. For the ollowin of $ f 8' r SF DWG/GAR 7851 Uee CJmfiatim Bldg. Pemrt No. OoapMaey Type R3 TYFG Comei°etion V Fire zone NA Zoning D"b ct Rl ow~efs°e.ung Oak Chase Bldrs. ~4,1,4525 Oak Chase Way, Eagan , 4681 Beacon Hill Rd...,,I,,Lot 22,Block 1,Beacon Hill ` . By: B,:wft omc;.t Date: July 1, 1§83 (4}yAI IViT IM A COMePlcU e ► cz a&@► w~.. ..agmr ,.mrm, ~~y y~lt fir! ,gym. CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 22 Blk 1 Parcel 10 13500 220 01 Owner Street 4681 Beacon Hill Road State Eagan, MNI 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 1806.93 200.77 9 1806.93 0007384 10-1-81 STREET RESTOR. 526.46 C007384 GRADING 1982 526.46 58.50 9 10-1-81 SAN SEW TRUNK 135.97 9.06 1 67 SEWER LATERAL 19 2 3116.46 346.27 9 3116 10-1-81 .4 6 WATERMAIN WATER LATERAL 9 2 9 WATER AREA $y 1982 198.01 22.00 9 198.01 0007384 10-1-81 * Stubs 1982 9 STORM SEW TRK 1982 359.82 39.98 9 359.82 0007384 10-1-81 STORM SEW LAT 19 2 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 34878 -21-8 WATER CONN. 1450.00 ~f n BUILDING PER. 34878 SAC 5.00 PARK l This tl reu,st void 18 moonths 1,,,rao ~-l larl(0 ReRUfst tc Fire No. Rough-in Inspection Rep top [:]Ready Now Will Notify Ins Ono` { % Yes ❑ No r When Ready Lice ed Electrical Contractor 1 hereby request inspection of above ❑ Owner _ electricals work installed eT Street Addr ss, Box or Route No. - City ecuor u. Townshiu Name or No. flange No. Ca o i 4 Occupant 1 NT) / - Phonn Nn. s~ ; i ltGS Po~W~e~J Supplier Address //~v LAG j//C.N~/ :.X_0TA 4"1 Electrical C tra for (Comp ny Namay Contractor' License No. Mailing Address (Contractor or Owner along I t I onl or¢ed' Rnature (Cq~j trac Owner Ma g stallationl hone Number tz' MINNESOTA STATE BOAR F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - om N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Aye., St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS Phone 1512) 297-2111 ENCLOSED.- 4L6 REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 See instructions far completing this form an back of yellow copy. C`d42 u:. X" UOMNPWrk Covered by This Request 353q No, Rep. 1 Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldq,. < Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel V Other (Specify) the r. Sped y Other Other Compete Inspection Fee Below k Fee Service Entrance Size N Fee Feedws/Subicnoers p Fee Circuits 0 to 100 Amos 0 to 30 Amps :2 0 to 30 Arn s 1 Ot to 200 Amps 31 to 100 Amps 31 to 100 Am Above 200 Amps Above 100 -Amps Above 100_Amps Transformers Remote Control Cite. 6L Partial~Other Fee Signs Special Inspection $ ~"l- T `F E Remarks ; ~r Rough-in OilegQ~ h el O"o rspactor, hereby cart ify that the above Final t ' i action has bean .c. This request void - 18 months from - This request void l f ,~D 4J~ / ~/1~ 18 months from 44342- -,4 x . lac Request Date Fir No. Rough-in Ins pant ion J ~f x Requ netl? ❑Ready Now ❑ Will Notify, Inspeo- t1/ZG Yes ❑NO for When Ready ❑ Licensed Electrical Contractor 1 hereby request inspection of above $Owner electrical work installed at: Street Address, Box or Route No. City 091 ( tic T DA.-7 F~o A+J action No. Township Name or No. Range No. Com ~ffl Occupant (PRINT) Phone No. -sue .+s4 Power Supplier Address, r 77,qr-1Xn 61ax mh/ /45_s /v l4/y jVA) /tn J - Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Iustallationl Author ignature ntraclor/Owner Making Installation) Phone Nu~mb~er~~''1 ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave-, St- Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. I . 1-V -6 ncuutbi f-UR ELECTRICAL INSPE-CTTCM - ES-00001-04 1 See instructions for comUleting this form on back of Yellow COPY. .49q77 4 4 342-- '"X' Below Work Covered by This Request Wev Add R Type of Building Appliances Wired EquiUment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric HeaOn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then Deci v Iher IS Per.ity) t .r PecifY the, Other ompute Inspection Fee Below e Fee Service Entrenc a Size # Fee Feeda,srSubfeedars # Fee circuits 0 to 200 Amp; 0 to 30 qm s 0 10 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amps Transformers Irrigation Booms Partial 'Other Fee Signs Special Inspection Remarks 9 TOTAL F D6 J rt f Rough-in Oate ~rt ♦ I, the r ric nspectorEle , hereby Final Certify that the abova Date action has been ♦ 9l This request vOld 18 months from 0~1~- to EC~z t ! cIn . /O . Ra ughin Ins rtion No Regmetl? tlv NoQ Will NotifyInspec- ❑Veo Ipr When Read, al Contracr 1 hereby request inspection of above electrical work installed at: F'. dddress, Boa or Route No. City /6 E ectmn . Township Name or No. ange No. County Occupant (PR1ND Phon No. Power Supplier Adtlress Electrical Contractor ICompany Name) Coatt,.,.t/oar's license No. °-z/ Mailmg Address (Contractor or Owner Making Instal ation) 15/O 4 '5 J :56 Author. ignature (Contra,,.., vve* k'ng 1 tallaliun) Phone N lber i7~-. THIS INSPECTION REQUEST WILL NOT MINNES STATE . BD# D OF ELECTRICITY r igBS- way Bldg. oom N-191 BE ACCEPTED BY THE STATE BOARD 1 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS no 15191 RA9-nROO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00000/1-066 _ 0 See instructions for completing this form on back of yellow copy. ® 5'O 3 81, ' x Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing. Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm that pecrty thor lsnnniHl t er SUecrfv Other Other lompute Inspection Fee Below p Fee Service Entrance Size a Fee Faeders/Subfeeders IX Fee Circuits 0 to 200 Am s 0to 30 Amos 0to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps SW immi ng Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial. "O ee Signs Special Inspection , errs rks FF . )rjl TOT ~E 0 1/&! Hough-in Date 1. th Elect 1 Inspec . hereby certify that the above Final ate 'nspaction has been made. This request void 18 months from CITY OF EAGAN NO 117.6 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # /~y / -?-z C-' To be used for FIREPLACE Est Value $2.500 Date APRIL 8 19 86 4681 BEACON HILL RD Site Address Erect ❑ Occupancy LQt 22 Block 1 1 Sec/Sub. BEACON HILL Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const Addition ❑ No. Stories Name GLEN DOWNES Move ❑ Length 4681 BEACON HILL Demolish El Depth o Address Int. Impr. El Sq. Ft Ciry Phone 454-5575 Install IN o Name HILL MASONRY Approvals Fees u0 Address 911 W 47TH Assessment Permit $38.50 city MPLS Phone 824-0015 Water &Sew. Surcharge 1.50 Police Plan Review F i Name Fire SAC c= Address Eng. Water Conn. 4 W City Phone Planner Water Meter Council Road Unit - I hereby acknowledge that l hive rea this application and state thatthe Bldg. Off. Tr. PI. information is correct and agree to omply ith all a py Is State of Minnesota Statutes a d iry, Ea n Ord' nces APC Parks J Var. Date Copies Signature of Perm, a Total ~ HILL MASONRY. A Building Permit' issued to;f on the express condition that all, work shall be done in acCdrdance wit a applica 1 t =0a Statutes and City of Eagan Ordinances. Building Official V i CITY OF EAGAN 9795 PHot Knob Road Eagan, MN 55122 ~T l~l? 7851 PHONE: 454-8100 BUILDING PERMIT Receipt # d-2 To.ba and far SFDWG/GAR Est Value $54,000 Date March 21 _ 19 83 Site Address 4681 Beacon Hill Road R-3 Erect Occupancy Lot 22 Black 1 Sec/Sub. Beacon Hill Alter ❑ Zoning R-1 Parcel # ~-f0 13500 220 01-7 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V a: Name Oak Chase Builders, Inc. Move ❑ # Stories zz Address 4525 Oak Chase Way Demolish ❑ Length 52 City Eagan 55123 Phone 452-3083 Grade ❑ Depth 38 Sq. Ft._ Name Owner Approvals Fees ~U Address Assessment Permit 295.00 CI Phone Water 8 Sew. Surcharge 27.00 Police Plan check 147.50 GZ Name Fire SAC 525.00 ua Address Eng. Water Conn.450.f1(1 <W City Phone Planner Water Meter _5.0_.9.0_ Council Road Unit 250-00 1 hereby acknowledge that 1 hove read this application and state that Bldg. Off, the information is correct and agree to comply with all applicable APC Total $1754.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature tof Permittee A Building Permit is issued to: - Oak Chase Builders, Ina. an the express condition thin all work shall be done in accordance((~,v(V'ith all agplitfble,~St-at-4.nE-Minnesota Statutes and City of Eagan Ordinances. Building Official /~"ei R-;.t >r[ - , - - - For Office Use ( ] ~ City of EapIl j Permit#: Z 1/T~7~ j 3830 Pilot Knob Road Permit Fee: C (/n Eagan MN 55122 j Date Received: / j Phone: (651) 675-5675 Staff: _ G Fax: (651) 6755694 1 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: "Ipc~ I ~a2uL6 Yi fT ' I I as Tenant: Suite RESIDENT/OWNER Name: TobLASk" V!s,,L ie Phone:L,oI-9gZ-7 Address / City / Zip: Applicant is: _Owner y- Contractor TYPE OF WORK Description of work: I~ -V:pq Construction Cost: I d's ab " Multi-Family Building: (Yes _ / No\4__j CONTRACTOR Name: hILW 1P)CkA-1CY<' License Address: Zz50 lw"YuS 6ym'. w#ZI0 City: f,~1 utc-0- State: MN Zip: 55303 Phone: i(83'~- 2333 Contact Person: f t L c:+ 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 Fagan Issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. 'Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 approve~dr plan in the case of work which requires a review and approval of ns. x I O&I 1 1l L1~ V1 x Applicaf 's Printed Na e' Ap li s Ignature Pane 1 of 3 ~s- '0170 RESIDENTIAL BUILDING / Permit Application 4tu-~ City Of Eagan S/Z310-S 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cad of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date JS l l '9J7 Construction Cost 3, 806. Site Address QP/l3Go>./ t4/Y~ unit/Ste # Description of Work ioeGek Multi-Family Bldg _ Y N Fireplace(s) _ 0 - 1 _ 2 Property Owner R2:!~ Y/)Bp~pr Telephone # ( ) Contractor Address p _ ~4?c City ~RVdi_- State &/V Zip Telephone # (95j- L/9a - 31'70 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A lict's gnature MAY 19 DD3 By OFFICE USE ONLY . , Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Mufti ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex @0 18 Deck ❑ 23 Porch(screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous Work Types e 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 00 0 Occupancy MC/ES System Census Code X13 Y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length 1 Fire Sprinklered Type of Const_ Width 12 REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. ~O Footings (deck) ~D Final/NO C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total " 1.7 0>' 1.y CertiiiCat@ `fol* • e s4` ~s I, eXFt6m Midwest Intl Oak Chase Bu! lders ` 4525"Oak Chase. Way 03 ; •Darriel Roil Eden Prairie l . IAn. 53~~14 'Eagan; Minnesota • 55123 ' DUMAR i . CHWANZ w tan ?'a 1~ 1U1111111a~* w. -1011 M V• W 1RNMi.wa . A ~ ►lION! 012 43776Y W ? t~ ! ~77 N ~e &t 4k W N L Or o J 5.ca1~.• o M to . Q,~ 1 0 a kill -4 '7777' "-~roopossd game no-br.elevatin I < Proposed top' 6 1ook elevati n Proposed ba*6i*nt floor ielevalion4l"". I hereby certify that this.is,a true and correct representation of Lot 22,.B.lock 10 MACpx R2LLS.'accOrding to the plat thereof, Dakota {otmat~►, Nn• c July .-19?9 ~enotea oxstin6 elevation Denotes-pibposed elevation ,])dnotss setback monumen a tes :direction oi' 'srface drainage 1-Revised, 1( day of 1M~ to shots the location of a propose:nOt staked a rfi era x 4 :Y C i.~ E.AGA N F.G 4 i• E'71 ,Y ' w.~ v f $ [y +ay ~y ` 1SW x ~ YTG NSPECTI 5 e1 Mo neb Lti N No CIS 7 4 Y n f ° qS'h''"' ~MY~"s~la'. x`A'.. •.i~{Ni~.~~x.+X+irit~~~'S.L33F.FX~~~Yi~r;€N(~n..~.~F"..~l~S{R. Y.1'~iVUNntYu' . ~{iRl~ ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 " New Construction Reauhements - Remodel/Repair Reauiremenh 3 registered site surveys showing sq. ti, of lot, sq. it. of house 2 copies of plan and all roofed areas 2200% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks ➢ 1 set of energy calculations 3 copies of tree preservation plan R lot platted offer 7/1/93 y DATE: l < K 9 CONSTRUCTION COST:: DESCRIPTION OF WORK: 7e-4, °~`D~ O dyyer e CY c P Y/ STREET ADDRESS: LOT: a BLOCK: SUBD./P.LD. P (5 i Name D~ev k d f ~°t Phone Jsa PROPERTY Last first OWNER T~~! ID-1-1-11 w Street Address: 6, P. ID-1-1-11 City Egaj~j State: Atto Zip: Company:! ! H~ ` suz (n p : Phone (area code) CONTRACTOR 3 Street Add~re/ss: -7 - 7 Te;7 ~~+2 ac/ License # 3' 7,~O Exp. 00 City ll~y State: lily/ _ Zip: J n v~~ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only l: Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all appiicabl 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 1 -7 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For f 6a✓z Valuation O n Date ,7 - 9 - F,3 Site Address: ({(Qgf peae.n 401 Roj OFFICE USE ONLY Lot -'D Block Sec. /Sub. f3eaco k~t0 Erect _ Occupancy 11C3 Parcel #E-r~_1-~.SoO_oto__o_~J Alter Zoning l(/ Repair Fire Zone Owner: CAW-CHAst Bu,LjceaY. Inc Enlarge _ Type of Const. Move # Stories Address: tiSzS COW CkASe wA Demolish _ Front ft. City/Zip Code: LTA,,, 55 rz3 Grade Depth 3 Lr ft. Phone Lis 2- - 30g3 APPROVALS FEES Contractor: Oht- CHasc gu+We, the Assessments Permit 2 9cJ- ' Address: Se.~e water/Sewer Surcharge o?-7 Police Plan Check y 7 City/Zip Code: Fire SAC 5-a Phone Eng. Water Conn. y,~0 Planner Water Meter Arch./Eng.: S Council Road Unit 19?~0 Bldg. Off. ,Z-,O_g3_ Address: APC City;/Zip Code: Ivu+a 6mre - Phone td 0 - 086 _ TOTAL Certificate fort Certificate for: Centex Homes Midwest Inc Oak Chase Builders Z 8601 Darnell Road 4525 Oak Chase Way 4 Eden Prairie, Mn. 5534+ Eagan, Minnesota a 55123 DELMAR H. SCHWANZ I M LAtiotURVEY00,,9'~- r RMM'i'M Wwtw t= of TM$tib M Wi we 2878 -1Li8'N 6%tIHRET w. - ~86f N. NgA'NNB PHONE 612 4234768 z MI CK*W1CATE' V~j IV ~LoT z1 t- Q o 91- aGK r~ v 'R- U60 50 N $9~ 16~ of ti 111) ~o. "lProposed garage floor elevati n Proposed top of block elevati n Proposed basement floor eleva ion I hereby certify that this is a true and correct representation of Lot 22,.Block 1, BEACON HILLS. according to the plat thereof, Dakota County, Mn. July 5. 1979 ' Denatta'existing elevation Denotes proposed elevation Denotes setback monuments 9~enotes direction of surface ~ drainage 1 Revised th3:s 10 day of February., 1"3' to show the location of a proposed 1 wise not staked thane, mRNNESOTA REGISTRATION NO. 8628 f ; { E$TERIOR ENVELOPE, AVERAGE `U' COMPUTATION OWNER SITE ADDRESS CONTRACTOR ~f G'a L~Qi~ DATE PHONE Determine working squam footage of each. 1. Total exposed wall area /ice. y eq. ft. x .14 2. Total roof/ceiling area f~Y O sq. ft. x .04 Total exposed wall area above floor _ / a. Total wall window area IJ 3,W ` b. Total door area c. Total sliding glass area d. Total fireplace wall area O e. Total wall framing area (average 10%)... /;;P/- f - Total net wall area above floor E g. Total rim joist area i Total exposed foundation area . .~•7 i h. Total foundation window area O 1. Total .net foundation area above grade . Determine "U" value of each wall seEment. a: f¢ x e U ` 55 J. C. X V: X IIUI! O G fX tcUi:. g. iG~• X ttU' h. o X °'U' G G 3 .............................................Total If iten #3; is the same as, or less than item al, you have Met, the intent of SBC 6006(c)2. OCC~ s r3c Gc~~ ~c L, Total exposed roof/ceiling area 0 Total skylight area O k. Total roof/ceiling framing area*(average 1. 1. 'a^otal,net Insulated roof/ceiling area`....... Determine "U` value for each roof/ceiling segment. 1.fPa X ^U', 4,........ .Total . If total of t4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Desirn ks To utilize the total envelope system method,,.the values established r, by the sum of Items #3 and #4 shall not.be greater than the sum of `Y items #1 and 92 1. 3as • + 2. 35 S/ 8 7 //7 1986 BUILDING PERMQT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For:/ i45cAir~ ~YE~~/U/ Valuation: 0500 Date: Site Address OFFICE USE ONLY Lot-Block t Erect Occupancy Remodel Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owner ~~RJJJ 00 wN~s Move Length Demolish Depth Address Int.Impr. Sq Ft Install X City/Zip Code ' ~4AI Phone y5-~'S5V7~ APPROVALS FEES Contractor lk4k5eAla'/ Assessments Permit 38 Water/Sewer Surcharge Address L/ Police Plan Review Fire SAC City/Zip Code Sy 0 `j Engr Water Conn Planner Water Meter Phone 7&-> a - Oo /5 Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. Vp 7 (0 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION 30~ 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- / q,/ Site Address f Q CBY) ( (t I Unit # Property Owner Telephone # ((V ~ 1) Contractor 51ANUAKU H Street Address 410 WEST LAKE StMET City MI I , State 812Zip Telephone # ( ) Bond Expires: 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 p C~ ~ $ .50 ~~1 Total APR 0 12004 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 1'~ echanical C t I understand tlris is not a permit, but only an application for a permit, and work not to start witho t; that the or ill in accordance with the approv plan in the case of worch requires a revie and approval of L Applicant's Printed Name Aptgnat re PERMIT City of Eagan Permit Type:Building Permit Number:EA130003 Date Issued:03/30/2015 Permit Category:ePermit Site Address: 4681 Beacon Hill Rd Lot:22 Block: 1 Addition: Beacon Hill PID:10-13500-01-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William R Menigo 4681 Beacon Hill Rd Eagan MN 55122 (763) 227-0790 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature