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4791 Beacon Hill RdCITY OP EAGAN .. ? 3795 Pilot Knob Rood Eogan, MN 53122 Np PHONE: 454-8100 7586 BUlLDING PERMIT Receipt # ?? sc?? To bs uted for SF E3WG/GAF2 Est. Volue $73, 000 Dote October 18 , 19$2 Site Address 4791 Beacon H].17. RDdd Erect E Occuponcy R'3 Lot 3 Block 9 SecJSub. BeaCE)Fl Hi.31 Alter ? Zoning R; pnrce! #_ 10 13500 030 09 Repoir ? Fire Zone NA v Enlorge ? Type o# Const. W Nome -'7oSt-'Ph M- ?llE-'r ?nt., II1C. Move 0 $k Stories z Address I$133 Ct'ddr AVe. So. pe,nolish ? Length= 0 ° Ci Farmin9tan Pfione 454-4753 Grode 0 Depth 45 Sp• Ft. W. Name Owner Approva9s Fees , u? Address Assessment Permit 352.00 ~ Cit Phone Water & Sew. Surcharge 36•50 ?. Police Plan check 176.40 FW Nome Fire SAC 525•00 l Address Eng. Water Conn.420. 00 u <W Ci Phone Plonner Woter Meter 60_ dQ Countii Rood Unit 240-00 I hereby acknowledge that I hove read this application ond state that Bidg. Off. the informotion is correct and pgree to comply with oll applicoble $1849•54 $tate of Minnesoto $tatutes and City of Eogon Ordinonces. APC Totol Signoture of Permittee /1 Building Pem,it is issued to: Josevh M. Mii er COriB'L". IriC. on the express condition thnt oll work shall be done in accordonce with oll opplicable'M ', of Minr?es a$nd g ly of Eogon Ordinances. "" Building Ofticiol " o ?. -..r... _ ..__ .? .. _ . .? ?? - . . w, _ „,.. w ? .. Cft- ?6F 4AGAN . •-, 8793 Pitot Knob Road Eogan, MN 53122 ` PHONE: 454-8100 BUiLDING PERMIT ReceiRt To bs used for Est. Volue Date , 19 Site Address Erect 0 Occuponcy Lot Block $ec/Sub. Atter p Zoning Porcel .# Repoir ? Fire Zone Enlorge ? Type of Const. W Name Move ? # Stories 3 Address " Demolish ? Length 0 Ci Phone Grade ? Depth Sq. Ft. o tJame Approvals Fees u? Address Assessment Permit 1-' Cit Phone Water & Sew. Surcharge ? oc Police Plan check uuiZ Nome Fire SAC ?G Address z Eng. Water Conn. <' " Ci Phone Plonner Woter Meter Council Rood Unit 1 hereby acknowledge that 1 hove read this opplicotion and state thot gldg. Off. the information is torrect and agree to comply with all applicGble Stote of Minnesota $totutes and City of Eagan Ordinonces. APC Totol Signature of Permittee /1 Buiiding Permit is issued to: on the express condition thar oll work shall be done in accordonce with oll opplicoble State of Minnesota Statutes ond City of Eagon Ordinances. Building Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?' (Z ( AC Ccy cC l?(-?- t(-( 2f- H.V.A.C. E 332 C? CO 1 Z-3 --$?- Well Water pisp. Sewer electric N,t 3(o tp ?, /?l? c? u{+L[?.. t t"Z °t -- Inspection Date Insp. Other Footings Foundation Framing Z-3'?1 Gt? Rough Plbg. Rough HVAC Insulation Finai Pibg. e,) Fina{ HVAC Final Water Describe Location: Well 1 Sewer 1Pr. Disp. : (?wrtifiratr nf COrrupttnry Citp af eagan EPpFIXttttPrif itf B1ttlbtYti3 IrispPl'tID1t This Ccrti ficatc i.rsxtd purtuant to the rcquirrments of Section 30 of the Uni fortrz Building Code crrti fying that at the time o f issuancr this strunure wa.r in com pliana with the various ordinuncc.t o f the City regulating bsritding construction or utr. For the f ollowing: SF DWG/ GAK Bas. re?t xo. 7586 u. c?r?nm CICMPMYTy? ?? ??Coastmdm-v Fin ZOnA. Nn z*n4* D,t;ct Ri a,,,,?dmdj.gJos Mi11 er ('anst eaam=I?9j ?3 rPdar Ave Sa. Far B.gdwsAd&. 47P1 RPacon kill toWit.t 3,Bl.ock 9,Beaco?t F?ill ?i Road ft„ ?,?,?.x? ?-- December 3(?, 19f?2 ?a? ? Dau: rosr - w c?qicunua ruec. -- urHow U.S.A. .a? CITY OF EAGAN Remarks Addition BgAWM HILL ADDITION Lot 3 8ik g Parcel 70 13500 030 09 owner screet 4791 Beacon Hi 11 Road state_ F.agan, MN 55122 _ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , STREET RESTOR. ' GRAOiNG 1982 ..537.84 59 76 9 418.32 A011829 1- -8 SAN SEW TRUNK 1976 135,97 9.06 1S 4 - 8-8 * SEWER IATERAL 9 - -2475 .55 +t n WATERMAIN * WATER LATERAL 1982 9 ' WATER AREA 1982 22.44 ' * Stubs 1982 F 9 STORM 5EW TRK 1982 36 77 0. 86 9 286.0 AO 2 - 8-8 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK $TREET LIGHT ROA uxzT 24o.oa 2 4o 10-18-82 WATER CONN. 420.00 rr n BUfLDWG PER. SAC 525.00 n tt PARK This requesyvoid ?18 m?on 642 L3 f B9 33??q -;7 2 so Request Qate r Fire No. Rough-in Inspection Requ ired? ?Ready Now?] WiII NotifV. Inspec- ,y ?? ? , ?Yes ? No tor When Ready- Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. '5?'7 C ity i ' z' c c J? ,. - t i ection o. Township Name or No. Range No. Couii y ? ? ? ? OccupantlPRINT , G! E? ?' ' ?/ // `+ t... G?.?;?! /` V c . ?1 0? Phone Nc. ?y,? "?/?? ? T / i,?? Powe/r ?Supp,f,i?e`r J 4-(,.d. '1 ?7 /? ??l Address Eiectri I C/?/qntractor (C mpany Name) ?? / ? Con?tr/a ctor's License No. ` ? c rCF Gary C ? I Mailing AdJress (Conir tor or Owner Making Instailatiort) ? Author' e SignaturS (Contractor/Owner Making Instaklation)l Phone Numbesr / MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUES7 WILL NOT Griggs-Midway Bldg. - Room N-791 BE:ACCEP7ED BY THE STATE BOARD 4821 University Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTIqPI FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 ? See instructions for completing this form on back oE Yetlow copy. ' 6 4 2 ? low Work Covered by Thrs Request ??? ?•? New A :Re`p. Type of Building - Appliances Wired Equipment Wired - - Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building pryer Electric Heatin Commercial Bfdg. Furnace Silo Unloader Industris{ B1dg. Air Conditioner Bulk Milk Tank Farm Otner Pecify Other (Specify) _ ther pecify iher - Other Compufe lnspection fee Below !! Fee ServiceEntranceSize # Fee - Feedecs/Subfeeders # Fee Circuits %°3. 0 Yo 100 Am s 0 to 3?0 Am s ? 0 to 30 Am s 101 to Z00 Amps 31 to 1 QO Amps t - 31 to 100 A S Above 200 Amps Above 100_Amps Above i00_Amps Transtormers Remote Control Circ. Partial/'Other Fee Signs Speciaf Inspection $ " T07 Remarks -1 ? ? ?EE ez?9 7 ? r y Rough-in 1 Date rL?o//?I . the E o a 1 n pector,. hereby certiSy tfiat ihe above Final . ?? inspection has been made. This request void f i a montns rrom ? New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°h maximum lot coverage allowed) 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted afler 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) RemodeUReoair Reauuements Offic;e Use Onlv 2 copies of plan ? Cert of 8urvey Recd Y 1 set of Energy Calculations for heated additions N3c, Tree Pses Plan Recd Y 1 site suroey for additions & decks -" Tree Pres Required _ Y Addkion - indicate if on-site septic system On-site Septic System _ Y N _N Date C7 4 / 0 J Site Address `I Cj 1 E) e4 coy-, Construction Cost ? 951t?, r 6-0 Unit/Ste # Description of Work i2#;!?;'. Zld'fr Multi-Family Bldg _ Y_,,,,N Lo,nt?; Fireplace(s) ? 0 _ 1 _ 2 Property Owner r, er' Telephone # ( ) Contractor uf""`" Address y ? y ??f ? ,? ? ? ? ? State City Se, ??? --- Zip Telephone # ( jj,?„ v - C?> ! ? C70 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy COde Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ) 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 and approval of plans. + a rr ?5?, ? ??,r-?" '~ CC??' _ ,. ?005 ?. ? X/ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-56 Wd tfo)/ ;, 67 Applicant's Printed Name Applicant's Signature ? QC OFFICE USE ONLY Sub Types " 1 ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool O 30 Accessory 81dg C] 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF C] 04 02-plex ? 10 08-plex A 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 Pibg_Y or_ N 0 25 MisceUaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ? Occupancy MCES System '- Plan Review ? 100% or 25% . Census Code Zoning City Water ,_._ SAC Units ? Stories - Booster Pump ? # of Units ^ Sq. Ft. `- PRV # of Bldgs Length -' Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ? Footings (deck) ?!L Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Ftgs ` Air/Gas Tests Final Pool Final _ ? Framing _ _ _ _ Siding ? Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ 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 'rtificate for: Bk: 59/19 ntex Homes Midwest Inc. 6?01 Darnell Road Plan No. 92081 j1?den Prairie, Mn. 55344 ' / ,ouse location & Certificate For: ? J. Miller Const. DELMAR H. SCHWANZ 14115 Guthrie AV6. LAND SURVEVOR Apple Valley, MN 55124 Registered Untler l.aws of The State of Minnesota 4-3 1-82 2978 _ 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769 SURVEYOR'S CERTIFICATE 3 93H• 9 939. 9 ? 0 PV\ TbP NkB ?MPNuR clI 12(0. ?t 5 gG.° 44 13" ? . Q '? 3a' ° t B.o 41 D' ? -?-- ---- 5 o ? K IU ? o ? ? ? P/ZO?oSE? Q ? 0 .v /aous? ? ?, D7-- Z ?, ? ? ? ? f" 0 13-61 / 4rSrr2+? I ? ? ? L ?t. r7 N v ?, ?? 9Foo' , ? , ?I N ?P Nue I ? (? Q ? ?p L? h ? L.J N .73 5 8(0° 44, ? 3N ? y33• °F ?L? ? ?939 9 TOA'' (Q q. ?_?O ??} Gea 1 30 NNB O Denotes set wood hub & tack ?39.ZDenotes existing elev. ?Denotes proposed elev. I hereby certify that this is a true and correct representation of Lot 3, Block 9, BEACON HILIS, accarding to the recorded plat thereof, Dakota County, Minnesota. Benchmark: Top hydrant by Lot 51, Blk. 6, Elev. February 2, 1981 939.18 ft. Proposed garage f3oor elev. Propoaed top of block , Proposed basement floor 93?7 . Revised to proposed house as staked April 30, 1982. MINNESOTA REGISTRO?ION N0.8625 ? CITY USE ONLY PERMIT 0? RECEIPT DATE: 2002 USIDENTIAL bIECHANICAI. PEJtMIT APPLICATIOft crrY og EheM 3$30 PILOT KR08 fiD EALsAx Mx S5122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: UG11" , + j_,,j, (??.,? - SITE ADDRESS: '+ "? ?q I 1 l?1?, 1 1 1i , I??1 , OWNER NAME: + H D Mer TELEPHONE #: ? ? &9(0I I3 INSTALLER NAME: Wohtrs &ouffiLsj(i?TELEPHONE#: qDa/q3I--709.(? STREET ADDRESS: (09?5(p V v. o?Q CITY: I ? STATE: ZIP: ? Place a check mark next to the permit work type .?..?..-----r-- ? , t,? _rL1 _) ? Add-on, modification or aiteration to existin dweiling unit ' ? - P • fumace replacement ? fl ? 3 n 9$ ?002 - • air exchanger u • air condifioner , • other c' y ?.' . _.:.. . _.- Nature of work: OL ? rL'LaQA-1-JO ha -70, ODr D BTU 80%) -?-?. - A CA Z V -70 A a 'la seE?,.1 v.cz? State Surchar e $ .50 t l T s? a o MNATLJRJ? OF PERMITTEE iro2 FlQare38: Gity/Zip Code: Yt?[? #: Arch./Eng.. Ar3dress : Gity%zip Code: Phone #: Pplioe Fire . ,. SAC ?....?-- - . gM. Watet Gcrm• ? ? Planner Water Mew ? - Council " tfii.t Bldg. Off. APC . CgrtiFicate for: Bk: 59/19 Centex Homes M3dwest Inc. i!6b1 Darnell Road Plan No. 92081 Eden Prairie, Mn. 55344 House location & Certificate For: ' J. Miller const. DELMAR H. SCHWANZ 14115 Guthrie Ave. LANDSURVEYOR Apple Valley, MN 55124 Registerod Under Laws of The State of Minnesota 4-3 1-82 2978 _ 145TH STREET W. - BOX M ROSEMOUNT, MiNNESOTA 55068 PHdNE 612 423-1769 SURVEYOR'S CERTIFICATE 3 0 939• 9 939. g ? Hk8 ?7aPNug ? v fi? ?? ?'? 12to. ?1 S 8L° ?M4 131 E 0 ?? ?o, c t a.v _?_ 4i ?. ??--- -- ? ? -- ? ? -- 5 a° ° _ ? N 6AK Zs67 q4w° I ' " ••? '? ? -? ? i 0 } 10.17 iV 0 LD-?-- 0 ?A.l? ti l3_b? ?.S ? J IQ 1 \ 1?I TvP Nue I ? ?1} ? •o •O - - S B(o?+Q.'4'? 1:5" F_ ..?F ? ?q39 9 ?3? • ? To? a?Q?. ??? 30 N`?B O Denotes set wood hub & tack 5c93g.ZDenotes existing elev. CD Denotea proposed elev. I hereby certify that this is a true and correct repreeentation of Lot 3, Block 9, BEACON HILIS, according to the recorded plat thereof, Dakota County, Minnesota. Benchmark: Top hydrant by Lot 51, Blk. 6, Elev. February 2, 1981 939.18 ft. Proposed garage f3oor elev. Proposed top of block Proposed basement floor Revised to proposed house as staked April 30, 1982. A` MINNESOTA REGISTRAfION N0.8625 ? ,?,a`?? a.,;, ?d?+? ?, ?`d?'?1?' f ?????'??t'4"?°"'*?"»?? '?" ;;!:???'"?,?s' S?',?i •. ,??.,,? E}:TERIU I: AVER1GE "U" COMPCTATION y ?? ;:,,?r? ?: ? ,........._..... .?.. - - . M ? Y., ., . . . aT%xL A/ir) V PIIONE: ? 454ti4753 _.-?---r---.---- 4i ? . . , retermir.e worki.nc; sc;vare rootagc of each Tota7. cxpused wall az4a...... sq. ft. x i.17 :?.• ?. ? 'r 2. Tba1 roof/ceiling area . . . . .. ft. x .05 _ _ Total ex?:aser', ?vall area abcave fl.oor a. Tatal wall window <?rca . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . ', ?'!rotal <oar Axea . . . . . . . . . . ..... . ..... . . . . . . . . . . . . . . . . . .? =?--- ?d? 4a0 ql;?aa doc,r azsw ........................• .? k..i . . -?---+. ?',: d `1 fireplaae wali area ............................. J? ,- ?.: ; wall friuAiiig axea-: (ayerage 10%) .... . . . . . . . . . .. . . . l; 'riw joisi: area .................................. wall area above• flaor . . . . . . . . . . . . . . . . . . . . . . .. . . ? ?ld.13 wall area Abava fIoor . . . . . . . . . . . . . . . . . . . . .. .. . . ?? z . .. - i : . , ,?. . ?va?.l area ??bavN ?flaoz . . . . . . . . . . . . . . . . . . . . . .. . . . _ wal'1 area ak+crve' floor . . . . . . . . . . . . . . . . . . . . . . . . . . Tatal expased foundation area = ,k4?±?btal f???iridation window arez?.... .. . ...... . ..... ........ 1:1''ibtal net £anndation area above grade ................. ? , Determine "U" value of gach wa.ll segment .w, door, each separate wall section) (e.g. wincl.r ?M. a. X x C: ? ?? _..?._..... ? X e . _1 -7 45? .? x x ,. ._.?,,.?.. ,.. ?. .....,....._ + • ? t - ?-- --- ??Lje? u,?u ?1:5 - -?- ,lL l, ____._..?...........?..- - 11W„ „Un a Mu» . ------------ ?. . E:. MUN ? ,,.,,?,,._,,....?,.?....,-.-.. ....?.-....?..?-?--? ? ?•' .: ?t U. w? .',? . ...,.i+..?w?.+...?...?? ?z:. ? ____---,?,...... ...._,...._....-........ ; x n LIn d2---- A^ w 1`?., y _ . ??,. 1.,.a.?1. • - ? ? ?1 ? YP item #3 is thc s.-me a:. , ar less ttwra itcm 41, Y??i hbvR met the intent of sl3C 6005 (c) 2. ?, -_- ; a . , :... ZnvaugQ; llvezaqe "U" CwPuCation i) „xw 2 of 4 ' ,..T? Total "posed rooF/ccilirx3 area = ??????i ?[.r• , s. 'lbtai skyli9ht area ...... . . ... .. ........ . ... . .. ?-!i ??`, ?.. n. tbta2 xoof/celling fram3.ng area (avoraga lOZ) . . . ?_r?,,?i ?'Yr / /'? ?? q. Tbt.nl net insu2ated zraof/ccilfnq area........... ,E . , .,e Zt ? :?.>' . Avtermine ?.U« valuc for each raof/c:eili.ng se5' :? ?,., . ....- ?? x"4" „ ..?, • . ` /j_ n. ? P5210 x '.1a" . ol O. X • 7 .? 4N,a - t ??1??•e•...•.•..••••••.•.•.• To ta 1. Ii total of 04 is the uarno as, or le.ss i:hati yau have met thc inLenL af • on 6006 tc? 1 • 111tf.t'rvato Sui.d.dlnqEnvi-.lo yL_Gc:;:,i_qn _ 'Ib utiliae thc: tatal envelopa 'systsn. mc;hcK9, the valw?s establi.shed by the ssm of iteans 43 and 14 shall not !?e yreatc?r ti,ari t.he s,vn of items #1 and M2. ? • _ ? ??.!-`?--- { 2• ? 3. 4. ? . .,ri ? .;? ?. ? -...,.,._ _ a. ? ?A{ ??_ v? a lk ?; .? : • 4 ' . ?? "? ?. ? -'*" ? ' . 'F , A ?A.l • -. ? .. FN r' FT, EXA05Ep WAL L.. ?c . ? ?; h ? ? ? , ? ?i?.?• {?,? . * ,...- 36+ 4 ? i? ?'? ? ? v+r??•?? 1 ? . 'T ??? .,.?w n? ..`. y ! ? ? ? ? ? T ir.r r, l ? . . ? Y I I? l ' N 4 ? y ;r # ".? eA ? S 5! .'1 ' ? WA I,..C.. AM- x S 1 ? .. c? 1 ?3G r F / ?-07 s ? X 19 r 1 G.. ? ? , ?.?`? •' ? , ? ? s?,??, , ? ? ,..?...,- ,., ...?.?...... ?? ?? ?? .?• i, ?? `? I X ? .? I '=5 '7 iTk;? 7A t_. 0.7 . . i 1M - ?I ! 7? r Q ? 1!, h b,lll? = ? "3? ?.:? ; Doo" ? "` ?;" ' ?? • %T8 07,.. 3 I 2 C? :' ? '? 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M ? .?,x .?" ,'{ ?? ? ? ? ? .? ? ? ? •? 3 ' . . . • •• •. . . y . h?? ? ? ? , ? # ?? • • ? • . ? • • ?? « • •. , . ??; M* additional sheots i! NorO spaCo :?;? ?+?'??>" • .. 1?1-?P•?'? • • . • , see&d tor det#iL and calculations.. M :,'? , ? .. . • ?. ,?` ,? , ?• . ?? ?• ? • . • , ,;? . . ? • • ? i3rov aP . • • ? ? . • ? ' ,. ? , •' „ . . ? ,,. ? . ..? . . • rMi• 07 ? •4 ?? • ? ?; . .F.?;?1 . • ? .. ? ?? •? ? ? • • ^ , . _ ? -?C37 C_P3 ? ?q a? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 r?t???, 91 ?q .QVv New Construction Reauirements RemodeVReoair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Read _ Y_ N (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pian Real _ Y_ N. 2 copies ofi plan showing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost 2- 01 YvIt' '"ro Site Address e'r"? J/A Unit/Ste # Description of Work M 1,06L 5=At el L/9.StG elew' 1-ur'o r,,v; ??jurS - ?e?? ? Multi-Family Bldg _ Y ? N Fireplace(s) ?0 2 Property Owner p E 11vr+'tie1- Telephone #(G,?/ Contractor ?> ,Sa er tl' Address YY 13 / City State Zip S J; 79 Telephone #(J/.2) ?"/?6'- 01,415' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) 5ubmitted Submitted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor SeweriWater Contractor Telephone # ( Telephone # ( ) 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 Sta.tutes; I understand this is not a permit, but only an application for a permit, and work is not to start 'thout a permit; that the work will be in accordance with the approved plan in the case of work which re w and approval of plans. t?? ,- ???? App icant's Printed N me Applicant's Si \ \`,. OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 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 ? 31 New ? 35 Int Improvement ? 38 Demolish Inte(or ?11 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof to 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant 6 ? ??? di) MCES S t 1 Valuation em ys Occupancy Plan Review 100% or 25% Census Code 934 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bfdgs Length Fire Sprinklered Type of Const ! Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) 402 FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water F inal Pool Ftgs Air/Gas Tests Final ? Framing? ?Q Siding ? Stucco _ Stone _ Br ick Fireplace R.I. Air Test Final ?Q Windows ? Insulation q I _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ing Inspector ?j k n?o LA) s fl/f-T FeAe a, a oV. o? nej ????P> B,.J s o2, oao, o? ? lctTY , EA6A#t , ? - 39`9?'?0t lCno? Rood ?t Uii. Mhi 55123 ? ; ?any; ? ? 'twner: oseg Mfller t,; 1?dt#??ss: t. , 5ite Address: 4791 l3eaCOA n ?s PAm?ber. MCGut4:xe MeetxB ; Meter No.. 5eze: ito r No.. 1 ogrea fia esmptp wm iiw City of `Eogee r.- Cannection Chrtrge: Accouht Depcssit: _ Permit Fee• Sctrcharge: , Misc. Chiarges:, Totalt [?ate Paid: ` I4/1$J82 32540 I agm to, comply wI& ehe City o# Eo9an Connection CFarge: Account Depb5it: _ Permi! Fee: SEIFCFIQFgC; F- By Mt3C. C.FqtgQB: " . Oaft_ t3f Jtlw: TW'OIf ` Insp.- . 1;kite Pctid: , - . . Receipt PLUMBING PERMIT ,- , Permit {Vo. ClJ? a? -- " CITY OF EAGAiN Fee = 2-- " Z- fill in numbered spaces S/C <-- Type or Print legibly Tot . 1. Date ^q?3 2. Installation Cost ! U- A J r7 {,? y1 1? c' C U?) rT t?' l? ?? ? 7r tBlk t L ddress 3. ob . o r ac 4. Owner e?r'? St4 ? cl 5. Contractor IV A, r'4?? ? Phone '94? 6. Address .< G C(? J?'? ?; ? ? c?. ?? ?i? . 7. Citv Vtlt.r f State 1.1 ?f Zip 7?"7 ? 8. Building Type: Residential ? Commercial ? tnstitutional 1:1 9. Work Description: New ? Add ? After ? Repair ? 10. Describe ?.;-?r t ? ? r+ .•` ??-?? vklr? ..;. ?? ? 11, 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. Stop Sink Gas Piping Outlets 12. I 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 : Rough 4nspections: Date Insp. for Final Date Insp. This is you( permi? wh8n, numbered and approved. Approved :?-4??.?.?' ?'': ?- .-?? , " : °'- -.._ CITY OF EAGAN 464-89? ,? - Receipt 3 332-"k MECHANfCAL PERMIT Permit No. . . CITY OF EAGAN Fee ` Fill in numbered spaces ' S/C - TYPe or Print legibly Tot . 1. Date 2. Installation Cost 3. Job Address^ .,; LotBlk: Tract 4. Owner.-.'?- 5. Contractor Phone 6. Address • ? '? 7. City,' ' State zip ' $. Building Type: Residential El- ' Commercial ? institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe Fuel T YPe 11 No. Equioment 9TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : ?- Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing #iis t.ype of work;` Signed : for ?f Aough Finai Inspections: Date Insp. Date insp. This is your,.permit wrhen numbered and approved. ApProved,?'-";'{..?A''.?-? CITY OF 6A{3AN 454-$100 ?'R?- Receipt w>U-7 ? PlUMBING PERMIT Permit No. 3 22 • CITY OP EAGAN i ? Fee %?,titi Fifl in numbered spaees S/C . 50 Type or Prini legibly Tot. 20• 50 1. Date 2. Installation Cost 3. Job Address ?Llot,,'?_Blk. ? Tract '_ I f 4. Owner 11?? 5. Contractor iC i ?:]:x'e . `echan'tca.I `ip:,^v^, Phone 469•4-33? 6. Address 20,?'3C? iiol.t t;ve, 7. City InkeyjL ie State inrl Zip 550?.?4, 8. Suiiding Type: ResidentiaV )4 Commercial O Institutionaf 0 9. INork Description: New )( Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank IL Lavatory Softner ? Shower Well ? Kitchen Sink Urinal/Bidet ` `7' 0?1ier f.. , Laundry Tray Floor Drains ? Drinking Ftn. --- Slop Sink Gas Piping Out{ets 12. t hereb)Aee tify that the above inf rmation is true artd correct, and I agree to comply upi a!1 ordi n o?les governing this type of work. Signed : ? for Rough Final tnspections: Date Insp. Date Insp. This is you'r permi? when numliered and approved. Approved •-.,._ AClTY OF EAQAIU 464-8100 ?? ' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137719 Date Issued:07/19/2016 Permit Category:ePermit Site Address: 4791 Beacon Hill Rd Lot:3 Block: 9 Addition: Beacon Hill PID:10-13500-09-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - William Homer Ii 4791 Beacon Hill Rd Eagan MN 55122 Action Heating & Air Conditioning 529 79th Ave NE Spring Lake Park MN 55432 (763) 780-0844 Applicant/Permitee: Signature Issued By: Signature