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