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4611 Beacon Hill CtCITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 6 Blk 1 Parcel In 1100 n6p nl owner- bLu+d ` 1=irt ;) ( C; I- ., Street 4617 Reacon Hi 1] C'ourt State Eagan, bP,V 55122 Improvement Date Amount Annual Years Payment Receipt Date , STREETSURF. 1982 1806.93 200.77 9 1806.93 C007368 10-1-81 STREET RESTOR. GRADING 526.46 58.50 526.46 C007368 10-1-81 SAN SEW TRUNK 99.73 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA c.( • • 198.01 C007368 10-1-81 ,4 STORMSEW TRK 7 1982 . 82 39 • 359.82 C007368 10-1-$1 STORM SEW LAT . 74 • 713.74 C00736$ 10-1-$1 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit ? 35.00 2012 - ? i/ -4/80- WATER CONN. 305. 11 BUILDING PER. 82 -- 1 1 - - - - s,ac 25.40 It PARK C?rrfifirtttP af (Orrupttnry. Citp of (Cagart Ecvttrtmritt uf Builbiitg 3itBprrtimi Thij Certi fitatt isrucd pursuarrt to tht scqxiranenu o/ Sectian 306 of the Uniform Building Codc certi f yi»g that at tix iirne of istusttut ihil structurc wut in com pliuntt with the vuriout ordinunres of tix Ciq rcRulatrng building constrrution or u.rr. lror eht /ollouhng: u,e claidk.um SF DWG s,aF. reFftt No. 5982 Oc-P-Y TYPe R3 TYW Cautructlort V Flre Zona - 3- --R-- OrnerofBuBdiM Centex Homes, „adrcm 4615 Beacon Hi11,Eagan /,2 ? By. -10 i -._. 10-9780 ?T IN • COMNMCUWf ?c¦ lI1Mt.iM u.S.A. CITY OF EAGAN 3795, 141ot Knob Road Ea1qan, MN 55122 Zoning: Owner: Arlrlrper WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Site Address: Pl-F.ar• Meter No.: Size: Reader No.: 1 agros M complr wifh fhe City of Eagan Qrdinanees. R? Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Totof: Date Paid: Dote of Insp.: CITY 0 f EAGAN 3795 kilot Knob Raod EoSf,n, MN 56122 Zoning: Owner: Address: Site Address: Pfumber: _ 1 egree to wmply with the City of Eogon Ordinanees. By Dute of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: P1o. of Units: Connettion Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Pald: CITY OF EAGAN . 3795 Piloe Knob Road Eagan, MN 55122 N! 5982 PHONE: 454-8100 BUILDING PERMIT ReceiPt # To be nsed hr Est. Value Date , 19 Site Address Erect [1" Occupancy ????r": a.• ? ??k"'Sec/5ub. - ? Alter ? Zoning parcel # Repair ? Fire Zone Enlarge ? Type of Const. V W Nome Move ? # Stories Z Address ' Demolish ? Front 5 3 ft. 3 ? Ci Phone ? Grode ? Depth 6!!?? ft. ? Name Auurovals Fees 0 0? Address Name _ Address Stnte of t Signuture A Building all work sh Building 01 I have read this opplication ond state that and agree to comp?y with all appiicable es ond City of Eogan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Counci I Bidg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Permittee ? nit is issued to: on the express condition thnt 3e done in nccordonce with cll npplicable State of Minnesoto Statutes and City of Engan Qrdinances. Perndt Dah laaed PQneMtaa Plumbing - _ Mechaniwl ?9? ? ? - ? ? ?r .,• J , INSPECTIONS DATE INSP. Rough-In Flnol Footings j Z, Date Inap. Date Insp. Foundation Plumbing Frame/ins. -02 C7 Mechanical Final ? Remorks: . , ' . cirir oF EAGAN 3795 Pilef Knob Road No. Easem, Mlnnesota 55122 INSPECTOR NOTIFICATION ptione: 494-8100 R EQU I R ED BY LAW ' PERMIT FOR ALL INSPECTIONS Dote: Receipt No .. Site Addrcss: ' ? 1 i?t?eCUri Single I Residentiol Lot Block SublSec. Multi Res., Comm./Ind. I '..'lt@X '?OIP^s Nome _ ... ,. New /Alter / Re air p . Address Cost f In t ll ti ? o s o o on City iI] ??T'8?1"1Q? ? S11. Phone: ?•/ l ._: C.??-'? " 2?1 permit Fe ? e Nome Surchar e ` ? g Address 4637 Chic ' T'13 ' :.1J; . Cit Y Phone: Totol This Permit is issued on the express condition thot Minnesoto Stotutes ond City of Eagon Ordinances. oll work shall be done in acwrdance with all appliwble Stote of Building Officiai .. .\ p ?r. Date: CITY OF EAGAN 3795 Pilot Knob Road Eogon, Minnesota 55122 Phone: 454-8100 PERMIT No. ?. ° 35S Receipt No.: Single I Site Address: 461-1. Dpnou1 M-2,1s aaa t r? c Lot Block ? Sub/S ._'? 1 H?.11" f f T:teX Hrvm.9 Name New/Alter. /Repoir / 3 Address ? P? ? Cost of Installation O _ ` r'•,'7'. 'tc"ifS1.? 94?-cG7? City Phone: Permit Fee C'?S1T-RV?"dTl . ? Name Surchorge . g Address 1474 r, e ? ? ° _t. ?, , ? _ ? . •? ^ ? : City Phone: Total This Permit is issued on the express condition that oll work sholl be done in accordunce with all applicoble STute af Minnesota Statutes ond City of Eogan Ordinances. Building Officiol ?uo. ? 35 CITY OF EAGAN 3795 Pilof Knob Roed Eagon, Minnasota $5122 Phowe: 454-6100 _ PERMIT Date: Site Address; 4611 B@RC0I1 Hill Cit. Lot Block $ub/Set. Be8QOY1 Hil1 Centex Honea Midwest INSPECTOR NOTIFICATI4N REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: $ingle I Residential Multi Res., Comm./ind. I N°^x New/Alter./Repoir. ? l?fil ? ; Address . . . . Cost of Instollotion City Phone: Permit Fee Name $urtharge r g Address City Phone: . Total This Permit is issued on the express condition thot all work shell be done in uccordcnce with all opplioable Stote of Minnesota Stotutes and City of Eagon Ordinonces. Building Officiol !?- arY oF Er?GAN 3795 PNo Kwob Ra.d Eogon, MN 55122 PHONEs 434•8100 BUILDING PERMIT Receipt llECK _ To !e wed fer ,-rRT. F1J vnpru c Est. Value 1? 3?p Dote Site Addreu 4611 Beacon Fiill Court Erecr 7?- Occu on )g p cy Lot 6i_ Block 1 $ec/Sub. ?3eacon Hill Alter Q Zonirq (P,D,) 2-1 pnrcel IS a3500 060 Ol Repair 0 Fire Zone 711L E V nlarye ? n Type of Const. Nome Dave Gil:nore Move 0 # Stories W ; Address 4611 Roarnn 14i 11 t'.nur Demolish p Length14X12 porch b G r. phone 452_7$99 6rode ? Depth-3X12_Sq. Ft.SIgxJL ? N ("W -eT Approvais Fees ?o ome v? Addrest u`+ Nume ?W u? /??rOS3 d3uZi r:... ?--- I hereby acknowledge thet 1 heve read this opplication ond stote thnt fhe information is oorrect ond ogree to comply with all opplicable State of Minnewta Statutes and City of Eagon Ordinoncqs. J, !, ' I - Siqnoturc of Pem?ittee ? A 8ullding Pe?mit is issued to; oll work shotl be done in oac Buildirq Official with oll Assessment Water 8 Sew. Police Fira Enp. Planner Council Bldg. Off. ^PC ?' '•G Permit jts •5U Surcharfle 1.50 Plan check SAC Woter Conn. Woter Meter Rood Unit Taal $40.00 on the express condition thnt and City of Eapon Ordinances. --- _ _ '? ----?.??- --- Parmit No. Permit Holdar Misc. Permit No. Holder Plumbinp H.V.A.C. Well Watar Disp. Sswer EleCtric Irqpection Date Inap. Other Footinqt Foundation Framinq Rauyh Plbg. Rough HVA Insulation Final Ptbp. Final HVAC Final Water Describe ocatio w.n G3? ,P3 , . s.wa. Pr. Oisp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fea Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost ,Z„ , . 3. Job Address 4. Owner 5. Contractor Phone 6. Address?''G% 7. City_ i,-? . ? ? State Zip ~ ?" • 8. Building Type: Residential 0 9. Work Description: New $ 1 10. Describe 1 11. Commercial ? Institutional El Add ? Alter ? Repair O No• Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with al) 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 INS CITY OF EAGAN i ---3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: l! Tt? !'i iPJ ?I1 t I I N RECORD PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: °"" ` w ` , APPLICANT: ut i b l:' f Ft'?!, i14 1 4 TYPE OF WORK: f31[t111iliy W (1040 IAl.i0 lf)7 F?F Pnrk 1-1r,t:RTYT )nN (FtOUf: irai;} ?I ,i 1146 PermR No. Permit Holdar Date Telephono N ELECTRIC PLUMBING HVAC InapecUon Deta Insp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOAHD FIREPLACE FIREPLACE AIR TEST FINAI. PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL 00 This request void 18 monttis from ? 84922 Dat o this Request Fire No. I, aicensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: x 4,? /'? &-Z? A/„_y[? ?et Address or Route No. 4?? ?t- W, City A? ?ection Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Y s Ready Now ? Will CaCW Power Supplier F&P- 9-0 Address R90f1Jsl-Vi"' Electrical Contractor ??U?, e-L''G1k +C' Contractor's License No! 7?M Mailing Address I ::?, , (- (\ L-' • (cEl c/Rric I ontractor or Owner Making 7nls Installation) QC}? ??? Authorized Signature -I ` l?Y?..._ ??;..1 Phone No. L` / (electrkal Contractor or Owner Making Tnis Instanation) ????E 5 C.e? ?a QC P V This inspaction requesi will not be accepted by the State Board unless praper inspection fee is enclased. mmnesoca state noara oT tiectncity ^ .. ? Griggs Midway Bldg. - Room N191 , 1827. Universiry Ave., St. Paul, Minn. 55104 - pFwne 297•2111 ? ? REQUEST FOR ELECTRICAL INSPECTION CHECK $ELOW WORK COVERED BY THIS REQUEST EB-00001-02 84922 Type of Bullding New Add. Rep. Check Appliances Wved For Check Fquipment Wired Foi Home ? ? Rangc Tempoxary Wuing ? plex ? El Water Heatei Lighting Fixtures co t. Bldg. ? ? ? Dtyec Electric Heating ? Commercial dldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditioner Bulk MIlk Tank ? Fa[m List List ) [hex O o °o ? p HeierS? p } Heie?sl COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee :v: Feedecs840fee46fs: A,#1,1 1 ?_ ee 1:: Cucuits: # Fee 0 to 100 Am s. 0[0 30'' erES i`: `':? 0 l0 30 Am eies p' b.W 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres JL(V Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Ciro. Partial or other fee 51 ? Signs Special lnspection Minimum fee $5.00 Remarks ? ry TOTAL F J ? ? I, the Electrical Inspector, hereby (Final) This request void 18 months from has been ade Date Date l? ' BUILDING PERMIT CITY OF EAGAN 3799 Pllet Knob Road Eegan, PHONEs 454-8100 nECx MN 55112 N° 8099 Receipt # L, Te 6a uwd 4er SCREEN PORCH & Est. Va1ue $2 300 Dare .Iune 3 19 83 Sita Addreu 4611 Beacon Hill Court Erect g$ Occuponcy R-3 I.or 6 B!«k 1 _Sec/Sub: _ Beacon Hi11 Afrer p Zoninq (PD) R-1 Parcel # r'1-0- -13500 060_01 ? Repoir ? Flre Zone NA Enlarge 0 Type of Const. VR w Name Dave Gilmore Move ? # Srories z Address 4611 Seacon Hill Court Demoiish ? Length10x12 porch City, Eagan 55122 phane 452-7899 Grode ? Depth $x12 gq. Ft. deck w rlame Owner Approrala feea 6 O u Address Assessment Permit I 3850 ' 0 ? ri... o?...,e Water & Sew. Surcha rga 1•$ Gw Police Plan check Nome ? Z Fire SAC Address u Eng, Wofer Conn. ? <W ci phone Plonner Water Meter Council Road Unit 1 here6y ack`wwledge thaf I have read fhis opplicofion and state Mwf Bldg. Off. the in(ormotion is correcf and ogree to comply with all oppliwble AP l $40.00 T State of Minnesota $fotutes an City of gon rdinances. ? oto Sipnnture of Pertnittee - 4 4i ave i more A Bullding Permit Is issued to: on the express condition ihnr oll work shall be done in occordonce with all opp' of otutes cn d City of Eagon Ordinonces. Buildinp Officiol ^"' n?? ' This request void 18 months from 40? . 1. 70634 Date o this Request R [, as!'Licensed Electrical Contractor 00wne , do hereby requ`st inspection of the above electri- cal wirirg installed at: G(Q fj 1tl-?y-N t 4,L(,L S et Address or Route No. ?? L` City eh6h" ?n Township Range County W PfIcZAt Which is occupied by Is a roughin inspection required on this job? No ? Yes Ready Now ? Will C? Power Supplier 1? f Address _ J P?kri' Electrical Contractor Contractor's License No? kLO (COmpany Name) n Mailing Address _ 1411 ? ?• ?(.?[ F? ?, t)1i94l l/1 L(.L , Authorized ? , -,,, No. `111-) ?Ss (Ele/?tCrltal Conhactor or Owner Making Thii Instailatlon) S???ppp pAT?p ? BOrns /?.? RD COPY This inspection request will not be accepted by ibe d . Sta[e Board unless praper inspeetion fee is endocad. Minnesota State Board of Electricity 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 'REQUEST FOR ELECTRICAL INSPECTION CHECIC BELOW WORK COVERED BY THIS REOUEST /yDe o ' R 70634 Type ot BuAding New Add. ReP• Check Appliances W'ved Foc Check Equipment Wired For Home CK, ? ? Range I'vi Temporary Wiring ? Duplex ? ? ? Water Heatet Lighting Fixtures ;01- -Bldg. ? ? ? Dryer Electric Heating ? mercial Bldg. ?? ? F Silo Unloader ? Industrial Bldg. ?? ? piti 14 Bulk Milk Tank Farm rp O List hers? Other ? Fle[e COMPUTEINSPECTION FEE BELOW. Sewice Entrance Size: u Fce 1 1 Feeders&.Subfecdecs: # Fee Circuits: x Fee 0 to 100 ?Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Am s. 31 to 100 Amperes 31 ro 100 Am eres Above 200 Amps. 1 1 Above 100 Amps. Above I00 Amps. Tcansformeis RemoteConttol Circ. Partial or other Cee Signs Special Inspection Minimum fee $5.00 Remarks i . TOTAL FEE I, the Electrical Inspector, hereb ? fy t above i ection has been made.. oZo--x+ ' (Rough-in) Date r ?" f (Final) Date ?0- y?'i This request void 18 months from MODEL #534 CITY OF EAGAN 3795 Pilof Kno6 Rood Eagan, MN $3124 PHONE: 454-8 f 00 BUILDING PERMIT APPLICATION Te 6e uted for SF DWELLING Est. Value 48,000 Site Address ---- ............ .-.... .,,,. Lo`E?6 -? giock - 1. I 5ec/5ub. Beacon Hill Parcel # w Nome Centex Homes Midvicest z Address 4615 Beacon Hill Ct. o EaPan. Mn_ 55122 G52_524h o Name _ ? ?U Address Name _ Addrea I hereby acknowledge that I have read this aDPlication and state that the information is correct ond agree to wmply with oll applicable State of Minnewta Statutes and City of Eagan Ordinantes. N4 5982 Receipt # Erect Alter []L ? Occupancy ?- } Zoning ..- Repalr ? Fire Zone Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front ft. Gmde ? Depth ft. Approrals Feea Assessment - Water & Sew. Police - Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit ? Surcharge Plan check SAC _ 55 nn Water Conn. 3()5 nQ Water Meter ti nn Rood Unit l R5__.ePf1n Toral 1,302.25 Signoture of Permittee I A Building Permit is issued to: CBIIt2x I30ID@S M7C1W2S1', on the express condition ihat oll work shull be done in occordonce wifh oll opplicab?tote of Minnesot Stafutes and Ciry of Eagan Ordinonces. Building Of4iciol '?? ?.,Z/ 411? City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I (D - a aDa ----- -- ? F&_Qffice U_se I j Permit #: ? Permit Fee: 6D, ?O ? ? Date Received: _?_ j I Staff: I ---- -----' 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 14 L-0 6 I Se?/1 " , 1 lCi-• Tenant: Suite n: RESIDENT / OWNER Name: ???3 w ??Q_,? lL5L?7 Phone: Address / City ! Zip: ? ? ? 21fQ,c[YZ 7^} ? 1) 0-4-. Applicantis: _Owner X_ Contractor TYPE OF WORK ? Description of work: 7 ?L Q'? ,5 ? 64 A v? ? ConstructionCost: Multi-FamilyBUilding;(YesNo CONTRACTOR Name: AS-1 24 License #: QC2LQ QCD `c.t a ?1 Address: )qLel "7? T1.J? 1?1 City: State: ryvl Zip: L'Y. S y'ag Phone LAS•-)&R-E3&A?S Contact Persorr. St L1L'.QJ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (V Submission type) • Energy Envelope Galculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _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 ot the inlormation may be c(assified as non-public if you provide specific reasons th8t would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; Ihat 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 onty 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. 4? L?_?e? x c ?oQ ? t -c 0"-t"12 X() AppRicanYs rmtoZhName ApplicanYs Signaturb.. Page 1 of 3 PERMIT CITY OF EAGAN 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 (612) 681-4675 BUIIDING 031040 10/30J97 SITE ADDRESS: 4611 BEACON MILL CT LOT: 6 BLOCK: 1 BEACON HILL P.I.N.: 10-13500-060-01 PERMIT TYPE: Permit Number: Date Issued: DESCRIPTION: (ROOFING) rmit Type nk, Type SF (MISC.) REPAIR 434 ALT. RESIDENTIAL suiaainy° wd, Eshsus Code a , . . . , ? ? 7s y J ? ,r'?s'" t_t? REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 r CONTRACTOR: _ pppl3cant - sT. Lzc OWNER: QUALITY CRAFT CONST 18950414 2900635 CARLSON KATHY 570$ 143RD ST W 4611 BEACON HILL CT APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 895-0414 (612)681-9641 S hereby acknowledqe that' l have"'r6a`d'thfs? a,pplicatinn and staGs- x'hat, the , information is correct and'agree to 'cvmply°with ?2;? app'13crai?l,e -Stat?a o<¢ hln,< ? Statutes and_ C1ty af Eaga.n Ordinanoea'_ APPLICANT/PERMITEE SIGNATURE - "f55UE : lE l SfBNATUFIE 31040 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $A• ?Jr CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Constructian Reauirements RemodeVReoair Reaui2ments ? 3 registered ske surveys ? 2 copies of pian ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 sde surveys (exteriar additions & deeks) ? t energy calculations ? 1 energy plculations for heated atlCitions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: ? CONSTRUCTION COST: 11 3? ??• 00 --' - DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER 14(P ll BpLbC6Yl ti l ? i C UTAy-4- SUBD./P.I.D. #: Name: 12_O,YISor"? ?4l?4 Phone #: Loa 1- q(pq I Street Address: 4 6 11 &a-Ul Lk Ct City: _ Ea? State: n'1tJ zip:_ 55 ] 2 2 Company: QuaIN-Eu CYa?'-l- (anSdYucla'1 phone#: StreetAddress: 5'108 04'Jrd &t- W License#:-aOOD 6 8 SZ- City: ApplP Va?ltx, 5tate: IMIJ Zip: S 12 Company: Name: Phone #: Registration Street Address: City: State: Zip: Sewer & water licer.ned plumber (new construction only): and lot change are iequested once permit is issued. Penalry applies when address chanoe I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all appiicabla 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 *******?****?********************?????? CITY OF EAGAN CASHIER: JS TERMINAL NO: 894 DATE: 04/10/00 TIME: 09:13:41 ID: NAME: KATHLEEN & JAMES CARLSON 3210 9001 4611 BEACN HLL 60.00 3430 9001 4611 BEACN HLL 1.75 2155 9001 4611 BEACN HLL 0.50 Total Receipt Amount: 62.25 CR125726 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAG14N 3830 PILOT KNOB RD - 55122 851-881-4875 ?.X k New Conshucflon ReaulremeMS Remodel/Reoalr Reauiremenb > S reyLafered sNe wrveys Showinq aq. tL of tof, aq. e. of house and 91 roofed areaa (2D% mmcimtan IW covemae allowetlf > 2 copies of plmn (show 6eam & wlndow slzes; poured (nd. tledgn; etc.) > 1 aef 0/ eneryy cWCWaNOnS > 3 coples of hae preservaXOn pian If lot plaMed alter 7/1 /93 DATE: ?'J -2I -4'6 Name: Phone ilf: Wat Firat DESCRIPTION Of WORK: ^ ?-Z STREETADDRESS: 1!v/! LOT: & BLOCK: I SUBD./P.I.D. A: PROPERTY OWNER COMRACTOR ARCHITECT/ ENGINEER ,?- 7-1 - `i ln v l Sheet Address: t?&ll CRy _? ?-YrJ Sfate: Zlp: Company: Phone !i: (crea code) Sheet Address: Llcense # Exp. Cliy 2 copiea of plan i sei of anergy calculaHOiu for heated addiflons t sife wrvey for exteAor adtliHOna 8 decb CONSTRUCTION COST: State: Company: Name: Telephone M: ( ) Sheet Address: ReqlstraHon #: citY State: Sewer/water licensed plumber (N installina sewerhvater): Phone #: ZIp: Zlp: I hereby acknowledge Ihaf I have read lhis applicatbn, siate lhat 1he infortnation is cortecf, cnd agree to comply with an applicable Sfate of Minnesota Sfalutes and Cify of Eagan Ordinances. Signature of Applicant: : Certificates of Survey Received OFFICE l1SE ONLY Yes V No ' iYim 3 U Tree Preservation Plan Received - Yes - No C?' Not Requfred /6 ._. t OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 af _ plex ? 09 07-plex )< 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 5torm Damage 0 OS 03-plex ? 11 10.plex Pibg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demoiish (Bldg)* ? 44 Siding Bt 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair C3 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building 5 T 4r!fJ Engineering Variance 7 Valuation: ? a .-?-? ?/T! I ? 31 Ext. Alt - MuRi ? 33 6ct. AR - 5F ? 36 MufG ? 6 0,6? a SAC Units % SAC ..omes Midwest Inc. Darnell ttoad pLAN ?3? Eden Prairie, Mn. 55344 . -.:DEI,MAR H. SCHWANZ LANO:URVEYoa awlq.,.(I une., L.wt cf 7n. Sut. ci M;nn.wl. 7078 - 146Tt!_4TREET W. - BU]( M ROSEMOUN7, MINNESOTA 66088 PNONE 612123•17K SURVEYOR'S CERTI FICATE ???N f//LL SCALE: 1 inch - 30 feet ' CDa,e 7? o Denotes iron plpe - - Benchmark; Centerline- , , ?,?o,oo ql?q centerline Cliff Road and ',?-5?-39-Z3 Beacon Hill Road ex 944,00 ft ` - y3? I hereby certify that tnss o is a true and correct representation of a survey ,b of the boundaries of Lot 6' Block 1, BEACON HILIS, Dakota County, Minnesota ? ___ ` !2•0: -y?- , ? ? s February 22, 1979 Z' - Q Indicates propoae ? v P/LoPoSfD, I M \ ? elevation. ? ? y? NDNSE /AR N c' Top of Block / 5s N_ , aarage Floor \A / `'c?-c``• f?- Baaemont Floor _ c @ ?? ;, 's.? ? liE?ti D ' ? C , •. . .. .. F, '-i rfQlj LoT 6 , BLOC,? ? \ o ,?- 9041i?A6E AND uTic)TY eASE,ncN , / 04 a ? `IL 589-26-OBE /• ? `;`: ?' , , , ' i ? .., Revised: March 2, 1979 MINNESOTA REGISTRATION N0.8875 ? Revised house type May 29, 1979 R@y1HB(j hnnRP tlrnn 4? gVT ? CITY OF EAGAN Include 2 sets of plans, II'? 1 site plan w/elevations & • BUILDING PERMIT APPLICATION 1 set of enerqy calculations. e f Zb Be Used Ebr -PEE?PaTC?y- Valuatian 3?00 ? C?CO Date Site Pddress q(pli Nw('nn 1-1 A C-f, oFFzce usE onrLY i,ot Co siocx ( sec./sub. &xer,n j4ct ( Esect ? OccuPancy - 3 Parcel #: Alter Zoning P-D Repair Fire Zone Own(Rr: ati e, \yr,6 Y'P - Enlarge _ Type of Cbnst. Move # Stories Address: ?? Dernolish Front 10K?z d`c?- ft. City/Zip Code: 6-t Grade Depth gx ?Z ft. phone #: ys ?7 iR q 9- ContractAr: Address City/Zip Phone #: dL-0 AJ??c-- Arch./Eng.: .50.VhQ. A.S ,tl"• Address• City/Zip rodP- Phone #: APPROVALS FEES Assessa??ts Permit ?4ater/Sewer Surcharge > ---r -- Police Plan Check ' Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. ??? ? APC -+qO, oo / srtificate for: Jentex Homes Midwest Inc. ' 8601 Darnell Road pZ?qN ?3?f Eden Prairie, Mn. 55344 DELMAR H. SCHWANZ _ 959. )t LANOSURVEYON RpifUreC UnOer Laws of The State 01 Minneiota 2976- 116TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66088 PHOHE E72 4211769 SURVi ?WGO•41 y/L L Cou,e7- 0 ? r )z.o ? m?` o a 0 /3Z_a3: \q I ?/LofDS£D NoN sE :YOR'S CERTlFICATE SCALE: 1 inch = 30 Peet • Denotea iron pipe Benchmark: Centerline- centerline CliPP Road and Beacon Hill Road a 944,00 ft I ?b !+_ ? ? o N Z? I hereby certify that this 3 is a true and correct L ? representation oP a aurvey of the boundaries oP Lot b, Block 1, BEACON HILIS, _ m Dakota County, Minnesota February 22, 1979 ? GAR. °-X Q Indicatee propo e levation ? ?q_ ly??'s_ Top oP Bloak ? ? V \ p,K?S?in? (3arage Floor - 6 .a Basement Floor q"? -'to ? r ruv y LoT 6 , BLOL,? ? \ h/ r- l7QAiNA?E Au? uriciTy ?flsE,r,E,v T , / DL 04 _ g ? ? Revised: March 2, 1979 MINNESOTA REGIS`TRATION N0.8825 ? Revised house type May 29, 1979 Revised }In11Ap tvnia T..1.. i L t 04l1 -- ? >? '"---? _ _???L __?????L?f?. ?.,--___YG?/?----- __-- -_ ____ --- -/?'., «:<.---i,ir - ?, ? ? E -- ? ?, ? a ( i:_ --_-- , , !-= ? l a?_?_ ---' ; ; ?? ? ? ! , -- -? ----- - ; ; , ;- --- -- ; ? ?, ; --, j ?... - . ? _ - _ - - - , - - . - --_- i . -; ,o ? T - .-- ?? -,-, ?-- -t---- , -- - _ _ ? _ ? -!-- - - ? ? _t ? ? ? ? - ? ' ? ? ?_- ? ; ? : ---- --- _- _ '-- - - ? - -- - - - - , - - - -? -- -- -- ? _ -- - - -- - -- ? _ ? i ? •_ ( 1 ?-- ? `- '- - - ? _ wT ?Qb] ? , I r --•-- - } -- ? - ?- ?- ? ? - - +- ' _ ? I ? ? , ? - ? i _I _. ??.? ? -- - - -- ? ` -- - ' , f co I Q_ ,- _ ?- - ' - ? . ? ? -- j ? i- I ?- {- - - - - - L i - - - - ? i _? ? - j ? - .... --;-- __I__ l ---. I I I I ? I ,? I . ? I ? I 1- I I ? I ? I ? -,- i ? i ? ? I { I I , t I ? ' -- _- ? - i -- - ' - --• - ? . ? - i - _. - 1 - - ? - - - - - ? ' -- - -+-T--?- '--i---.?.. ?- . i .,. -' ?_ _ I . _ I I ? _ -- - - - - - - - - - - -- - ? ? . . - ? ? i I .e , . . . . .r .. . ... , . ....:?. r. . ..... CITS' OF EACIAN Include 2 sets of plans, p 1 site plan w/elsvations & BUILDING PERMIT APPLICATION 1 set of energy calculations. / Zb Be Used ForDWCCl..1 q(,, Valuation 46,b0o Date 7/22/e O Site Address:4(e(I \i]E IVl\ ?t?.C? \,"C OFFICE USE ODII.Y ?Lot,_(O Block ? ? sec./sub./C? Erect )( Occupancy Parcel # : %v-ACA 1J ?-41 Alter ZoninS Repair Fire Zone 3 , Owner: 1 Enlarqe Type of Const. l/ Move # Stories Address: Deelish _ Front ,h 3 ft. City/Zip Code: Grade Depth y ft. rhone a: 4 54 - S? 3 co APPROUALS FEES Contractor:Qk"c14'TEX F1UFdE5 MkOWM?Assessmnts .? y DPermit 1 *3135O Pddress: Water/Sewer Surcharge 24.Ob Police Plan Check (.Z ."i5 G-tY/ZiP Code: Fire BAC 19213.Oa Phcne #: En9 • Water Conn. 3p g.00 Planner water Meter bO.Od Arch. /Eng. : Council Roed Unit 1 S 5.00 Bldg. Off. Pddress: ppC City/Zip Code: Phone #: TOTAL ?36a.2c; r? u r 1 L-A Certificate for: Centex Homes Midweat Inc. ? 8601 Darnell Road Eden Prairie, Mn. 55344 DELMAR H. SCHWANZ 959, * lNNOSURVEVOR RpisUntl UnEer Laws of Tno State of M innomta 2978 - 146TH ETREE7 W. - BOX M ROBEMOUNT, MINNESOTA 6608! SURVI BW4V fi"/G L Cou,tT , a= S?_ 3q. z 3 \ 'o M^? ?b /y ? ? a ?.ro ? NoH s? ? YOR'S CERTIFICATE I SCALE: 1 inch m 30 feet I o Denotes iron pipe Benchmark: Centerline- centerline Cliff Road and Beacon Hill Road - 944,00 ft I hereby certify that this is a true and corre¢t representation of a survey of the boundariea of Lot 6, ? Block 1, BEACON HTLIS, m Dakota County, Minnesota 1 GAIC. pCRN y34 iMONE 61=123-77N February 22, 1979 Q z21diCAtiBB elevation ? ? N ? Top of Blook (}arage Floor - 6 •a Baeament Floor \ \ s/ GoT 6 , BLOCk / \ ?/ r- L?A/NA6f AND uT/L/Ty G`f15E.nE1?T ? / , ? 41 M / I ? 00 ? ? - ? Revised: M3TCY1 L, 1979 MINNESOTAREGIS`TRATIO Revised house type Ma.y 29, 1979 Reviaed houBe type dulv 16. 1980 I (,. , , N0.8845 - ; <. ? OF 3830 PILOT KN08 ROAD. P.O. BOX 27199 EAGAN, MINNESOTA 55121 PHONE: (672) 454-8100 Dear Eagan Resident BEA BLOhqNST Mara DATE: August 21, 1985 npnensEGw JAMES A SMI7H JEfK7Y THOMAS ADDRESS: 4611 Beacon Hill Ct.nKooorsE wncHrerr c?Nn+emoe.: LEGAL DESCRIPTION;lLot 6 -Blk.l '4,,,s,H,°G CRY EU WENE VAN OVEROEKE Beacon Hill Add. cxy c?M RE: RIGfIT-OF-WAY/SOULEVARDS - CITY PROPERTY It has been brouqht to the attention of the Public Works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY Subd. 1. Obstructions. Zt is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without fiYst having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such, permit, and taking precautionary measures for the protecti6n of the public. An electrical co=3 or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this sqction shall be a separate offense and punishable as such. ' SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Right-of-Way, No buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. . The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAI( TREE. .. THE SYMBOI Of STRENGTH AND GROWfH IN OUR COMMUNITY : ' r - s RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THS OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions' that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, r William A. Branch, Superintendent Public Works Department WHB:jbd ! Rocks on the boulevard S 3g `. v RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConstruMion Reauiramenta . 3 registered sita surveys shawing sq, ft. of lot, sq. fl. of house; and all raofed areas (20% mazimum IIN coverage allowed) • 2 copies oF plan showing beam & window sizes; poured found design, etc.) • 1 set of Emqy Calculations • 3 copies W Tree PreServation Plan if lot platted after 711193 • Rim Joist Defsil Optians selection sheet (bldgs with 3 0r less units) DATE SITE ADDRESS TYPE OF WOR APPLICANT SELA ROOFING & REMODELING, INf: MU LTI -FAMI LY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 ? ut5?& C ( (i-r'-<-v C'.o,?f- ST. LOUIS PARK, MN 55416 1 STREETADDRESS I 004 959 CITY STATE_ZIP TELEPHONE #CoI7 'V3 CELL PHONE # FAX # PROPERTY OWNER ??+?' /? lQ.-?S6Y) TELEPHONE # 96 c(L -----°------------------------------------------------------------------------- ----°--------- COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RliLFS 7670 CATEGORY 1 M (J submission type) . Residential Ventilation Category t Worksheet Submitted • p? *eA 4d .i_'kksE • Energy Envelope Calwlations Submitted ? .IUi 3 R 2002 Plumbing Contractor: _ Plione # Plumbing system includes: _ Water Softener _ lawn Sprinkler y --- ees- , _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Mec6anical system indudes: Sewer/Water Contractor: _ :1ir Conclitioning Heat Recovery Sys[em Phone # Phone # Pee: $70.00 --------°----------°--°--°---------°---• -°-•--°----------°-------------°------------°-------° ------------------ I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordynances. n /, .- / Signafure of Applicant OFFICE USE ONLY - -?() - O Z ?s 7 aJ- RemadeURanair Reaufrements . 2 copies of plan • 1 set of Energy Calculalions for heated addifions • 7 site survey for eztenw addifiom & decks • IndicaM if home served hy septic system far additions VALUATION t -1 (d Z C7 I 0- ?- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 `w RESIDENTIAL BUILDING PERMIT APPLICATION ?3 ( a q CITY OF EAGAN ? 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Canstruction Reauiremenis RemodellReoair Reouirements • 3 registered site surveys showing sq. R. of lot. sq, fl. vf house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculalions Ior heated additions • 2 copies of plan showing 6eam & window sizes; poured found desgn, etcJ . 1 sAe survey for extenor additions & decks • 1 set of Energy Calculations . Indicate if home served 6y septic system for additions • 3 copies of Tree Preservation Plan if bt platted after 71V93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE I 'O VALUATION NO, 3aS$?'? StiE ADDRESS 4t(1 I I ??uo_C1SYV ? i 1tI, COl3'(? MULiI-FAMILY BLDG _ Y o N TYPE OF WORKan.dn il1ntt.p_ tnTiAJI,-j L, C?.D?6o.CCk FIREPLACE(S) _ 0_ 1_ 2 v'•hyl S:c1;r.oJ. APPLICANT kjl\A • E\Q`cr?s. 71 QAQ-1I` 'S.+t??}C 1V? ?'f.\?t.S STREET ADDRESS Cnbb GTY PrF?Q$4G. STATE&f_? ZIP 30339 TELEPHONE #193-9I9)A8aELL PHONE # FAX # PROPERTY TELEPHONE# (pgf•CQ,31,9C9qI ------------------------------------------------------ ----------------------------------------- COMPLETE THIS SECTION fOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ \-[IVNESO"1'_\ 12liI.ES 7670 CA"1'EGORY 1 ?II L?,I? (d submission [ype) . Residential Ventilation Category 1 Worksheet Submitted • e ?VO?cs • Energy Envelope Calculations Submitted ? 12 2002 JUI_ Piumbing Contractor. -------------------?--------- Phone # Plumbing systcm includes: Watcr Softencr I.avni Sprinkler Watcr HcaCcr _ No. oF R.I. Baths No. ol"Baths Mechanical Contractor. _Vlcchcmical sy=slcm includcs: Air Condiuoniiig _ T-Icat Recovery Svstem Sewer/Water Conhactor: Phone # P'cc: $70.00 I hereby acknowledge that I have read this application, state that the'nformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r inances. SignaTure of Applica OFFICE U5E ONLY Phorte # Certificates ot Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 i installed Siding andlWWMsPOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales lecated at 660 Mendelssohn Avenue rlorth, Golden V311ey, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30'h day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 3S? day of fV1lb`f , 2002. a c p 4E David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`h day of May, @? Notary blic in for the Stat of eargia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and instailed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll free (800) 79•DEPOT . `e RESIDENTIAL BUILDING PERMIT APPLICATION 4 CITY OF EAGAN --r? 3 I l 3830 PILOT KNOB RD, EAGAN MN 55122 657•681-4675 New Cons[ructbn Reouiremenis • 3 registe2d sde surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas (20°k ma+imum lot coverage allowed) • 2 copies of plan showing beam & windaw sizes; poured found design, etc.) • 1 set of Energy Calculations . 3 copies of Tree Preservation Plan if lot platted aRer 711/93 . Rim Joist Detail Opfions selection sheet (61dgs with 3 orless unAs) DATE ?-?ulu -? RemodeURepair Reauirements • 2 copies of plan . t set of Energy Calculatlons for hea[ed additions • i site survey tore:tenor additions & decks . Indiwte i(home served 6y septic system for additions VALUATION ?M4? SITE ADDRE55 yCfll j?P-4CA'C\5 'Ai11 CUU(t'. MULTI-FAMILY BLDG _Y )?N ? . ,. . _ . . TYPE OF WO FIREPLACE(S) _ 0 _ ] _ 2 -o.M:Si-+nc? c?.vY.?rof ? APPLICANI?jt'f?l?•IZOrnA.?2?k "SxwS1o,11ec? Sa1eS STREET ADDRESS 3P00 C000 uCITY I?kltCnn?.. STATECY..ZIP 50339 TELEPHONE #?{v3`?l a"1•`6?01((ci CELL PHONE # FAX # PROPERTYOWNER "1g.,n l..W1SON___) TELEPHONE# IOSI `?D?J' /??I ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNtiSO'I'A RUL1iS 7670 CATGCORY 1 ? (d submission type) • Residential Ventilation Category i Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includcs: Mechanical Conhactor: Vlcch.mical systcm includes: Sewer/Water Contractor: _ Watcr SoCtcncr Watcr HeaCer No. oC Baths Air Coudiuoning _ Hcat Rccovcry Systcm JUL 12 2002 Tee: $90.00 Tcc: $70.00 ---° -----°----- °------ • -------°--- °-------°--------------^-- °-------------- °-° - ° ---- °-------------------------- I hereby acknowledge ihat I have read this ppplication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinances. Signature of Applic OFFICE USE ONLY _ Phonc # Lawn 5prinklcr No. of R.I.13aths _ Phone # Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ? Installed Siding and%yffff"sPOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney_aze limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30d' day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WIT'NE3S WHEREOF this Limited Power of Attorney is executed this 30'*4 day of IVthl , 2002. "- ?) c ? k4? David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30°' day of May, ? Notary blic in for the Stat of eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT 411? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ) Lr) 't) C)Cl-J a --------- --- n_ _.? ? For (71fce Use ? I ? Permit#: ? i Permit Fee: ? Date Received: I ? I I Staff: i I ' I ------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ?(,?'?.? ? , _f?[',?.?/? ? i' ? ? C>? • Tenant: Suite #: RESIDENT/OWNEfi Name: :Tfr? (:6,4Yy7 Phone:L/St Address / City / Zip: 4(y) I BC Li c]n -F-? ; A (A- Applicant is: _ Owner V_ Contractor - TYPE OF WORK Description of work: Construction Cost: ?u, ?0 Multi-Family 8uilding: (Yes NoX-) CONTRACTOR Name: ?"? 'T- License w. ?^?y??,p c??GY Address: /q?12f C4::-_,2YJ f 7Ci ?y J?.?G City: A(C. State: ln_ Zip:?SL`-'L Q Phonel j? 7 Yi ?•?p ? Contact Person: "STL ? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (V 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 tf yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting documents tha( you submit are cdnsldered to be public irrformation. Portians of the Informatlon may be classified as non-publlc I/ you provide specific reasons that would permit the Cery to conclude that the are trade secrets. I here6y 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, 6ut 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. X Applicant's PrinteaN me ApplicanYs Si n ture Page 1 of 3 City of Earn 3Q Pilot Knob Road Agan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED IAN 31 NU Use BLUE or BLACK Ink For Office Use Permit #: W Permit Fee: Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION Please submitlf two (2) sets of plans witth allcommercial applications. /�'(�' Date: C 1-'30-- 1- Site Address: (-tU1tI C/ea.COn 14;111 0k-• "� f 1 ;J(Jl g. ��.,�./ ( CuP Tenant: �(i►� � Kat1/11 l SO Suite #: Resident/OwnerName: (I rn 5 ° Ca,V',son Phone: all I -q(041 Address / City / Zip: qVJII con W l I' &F.. pn\i () -\ ' T Name: it T/ / Ii, i dill 1 % icense #: (/t Address: W5�� D�I/� /V City: State: V Zip: gc6 Phone:4 05/ 7-70 -agog Contact: &(%%e 0 eue 6O,Uel Email a n 1l V ge ew pe 9mai 1 (Oa Type of Work A New Replacement Additional Additional Alteration Demolition Description of work:. and /17 r I QiL�ii /,FIs ( 10,4 'r NOTE: Roof mounted and ground mounted mechanical equipment required ta. be r by City Code. Please contact the Mechanical Inspector for information on permi ted screening me#wds. Permit Type RESIDENTIAL Fumace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / Remove) n ,/p� !I ��y� X Other ii vac yen) / /3X _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge) _ $ (� 95 c 00 TOTAL FEE $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ TOTAL FEE 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start w o 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. x(--501enP Ut.. Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed By: Date:; Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 116 -p-t< Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: C' ' -' /.L/ Site Address: 54// 2 4co 7) 4/, Tenant: J Suite #: Name: /S /,t 7^%t / CA r ISS C' Phone: 65/— 61/— %‘ Address / City// Zip: Name: .5, 12,,o ed An h9,�j //7 //V( License #: !7S 7/V Address: /602 —,27.7-2 L4/VC NiJ City: CEDi) r Phone: 263" 4/35/- SS -e5/ Contact: //i i r%c /J "iff Email: New XReplacement Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System AcG /73.9);) /3, 7X .+DhS Mk h") rXt A New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 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; t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1 x /9/1// _ficy7AD Applicant's Printed Nime FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: 4111/' City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 2 3 2014 Use BLUE or BLACK Ink For Office Use Permit #: oq- Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: f Unit #: Name: SM and kediti (L- /3Di') Phone:+/ 6`' W/ r W Address / City / Zip: 01 geGiC-O it /4/7 Applicant is: Owner Contractor Description of work: ANY? atd Cie p [ace ka- ' ' kyX/ItS- K I " / ri P ' // Pry Construction Cost: 34 t9 C2-0 Company:/4 V Address: /f '' M State:N/7 Zip: y Z License #: 19G V9 Z Multi -Family Building: (Yes / No T %!'l�� e Contact: i sr/5 1"7yTri r Phone: City: 61904 T rafri..4-CdK & ' 6P/ • Oa Lead Certificate #: A% ?`7'i, he project is exempt from lead certification, please explain why: (see Page 3 for additional information) kg t T1) 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 aster plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plan the informal d supporting documents that you submit are considered to be public n may be classified as non-public if you provide specific reasons that Ivo 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. www.gopherstateonecall.orq 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 permit issued in accordance with the Minnesota State Building Code m -t be ompleted within 180 days of permit issuance 61.1 Applicant's Printed Name x Apld#1"cant's Signature Pagel of 3 (0II moon *11c DO NOT WRITE BELOW THIS LINE 0o'13 SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition X, , Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25%_ 100% )J) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool 16t -if fl Interior Improvement Siding Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7\1/ Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building 0001 _ 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 Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: , Building Inspector 161,-161* )-(40k» L(1 0 2000 / _ 1‘ iD"age 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160280 Date Issued:02/27/2020 Permit Category:ePermit Site Address: 4611 Beacon Hill Ct Lot:6 Block: 1 Addition: Beacon Hill PID:10-13500-01-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - James M Carlson 4611 Beacon Hill Ct Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165088 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 4611 Beacon Hill Ct Lot:6 Block: 1 Addition: Beacon Hill PID:10-13500-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - James M & Kathleen S Carlson 4611 Beacon Hill Ct Saint Paul MN 55122--270 Your Home Improvement Company 23823 67th Ave St Cloud MN 56301 (320) 230-9182 Applicant/Permitee: Signature Issued By: Signature