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4710 Beacon Hill Rd Use BLUE or BLACK Ink I Office Use , I , I Permit I I , City of EaV I Permit Fee: iEN5 3830 Pilot Knob Road Eagan MN 55122 I Date Reece` iv d: Phone: (651) 675-5675 i Sta Fax: (651) 675-5694 _ _ _ _ _ _ _ - - INFLOW & INFILTRATION PERMIT APPLICATION Plumbing I Sewer & Water Date: /00('0116 Site Address: q!7/D'& Tenant: Suite Name: Y11~ rJ I '~1 Phone: RESIDENT / OWNER Address /City /Zip: 0 Roa-LbA ddl 'ry) Aj AJ Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: 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 $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *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:cityofea-gan.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.-gogherstateonecall.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 view and approval of plans. x ~b~s 46A46,J x Applicant's Printed Name A4pa?~' sSignature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF KAMAN WATER SERVICE PERMIT 3795 pnot Knot Rood PERMIT NO.: Bogen, MN 55122 DATE: Zoning: No. of Units: Owner: 1 * Address: Site Address: a€ -c o- 4' ' - Plumber- Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I come to amply with the Gay of Eagan Surcharge: Ordinance. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pica? Knob*Rood PERMIT NO.: Eagan, MH 5512 DATE: Zoning: No. of Units: Owner. - c::t c , "311 < - > r oi~ Address: Site Address: T -.c!co~ i Plumber: ' 1 agree to eomPlq with Hie City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN ~.r 3795 PIM Knob Rood Bogen, MN 5513! : 7818 PHONBI 454.8100 BUILDING PERMIT Receipt # i To be used for SF DWG/GAR Est. Value $56, 000 Date March 18 19. 3 Site Address 4710 Beacon Hill Ruad R-3 Erect ~ Occupancy Lot 31 Black 6 Sec/Sub. Beacon Hill Alter Zoning I?-1 10 13500 310 06 Zoning Parcel # Repair ❑ Fife Zone of Name Joseph M. Miller Const., Inc. Enlarge ❑ Type of Const. V W Move ❑ # Stories Address 18133 Cedar Ave. So. Demolish ❑ Length 50 city Farmington Phone 454-4753 Grade ❑ Depth 38 Sq. Ft. Chmer Approvals Fees o Nome =u Assessment Permit 301.00 u°U Address 28.00 ~ City Phone Water & Sew. Surcharge Police Plan check150.50 rZ Nome Fire SAC 525.00 ~ii'I Address Eng. Water Conrft , f1 - OII <W city Phone Planner Water Meter64.00 Council Road Unit 2? . 00 I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 51764,50' State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee Joseph M. "Miller Const,', Inc. A Building Permit Is Issued to: on the express condition thnt all work shall be done in accordance with all applicable State of Minnesota Stgtutes and City of Eagan Ordinances. Building Official ~__r Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?)?j S MC~gU~I' f ~3 H.V.A.C q lyK+ CE Well Water "P. Sewer Electric S Inspection Data Insp. Other Footings Foundation Framing 443 Rough Plbg. Rough HVA T~ Insulation Final Plbg. S 1S~ X3 W Final HVAC .2S->✓ G„ a Final -ZS-- u> Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. ' CITY OF EAGAN Fee ' Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date 2. Installation Cost 3. Job Address i L 1Lot 'k i BIk. Tract 4. Owner i =-rr Constructir;-- 5. Contractor -~-c Phone :n Qrry r i LLc, ci )L4' 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ❑ Institutional ❑ 9. Work Description: New a. _ Add ❑ Alter ❑ Repair ❑ 10t Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield i Bath tubs Septic Tank Lavatory Softner ! Shower Well Kitchen Sink Urinal/Bidet Other i 1 Laundry Tray 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 ordinanaps-anfIlcodes 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 I Receipt, MECHANICAL PERMIT Permit NO.- CITY OF EAGAN ~ Fes 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 8. Building Type: Residential C3 Commercial ❑ Institutional ❑ 9. Work Description: New O Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Eauioment 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: l r4.. 3830 Pilot Knob Road Permit Number: ' I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 kt 1 If APPLICANT: 104 It If It I , I . . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. IL Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS i FOUND j FRAMING I ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I I ~ 1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT- PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # S/w PLUMBING A HVAC ELECT ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing ~~17 c Roofing Rough Plbg. Rough Htg. 13 'ova Isul. `f Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final well Pr. Disp. 80Z M~- ~tjY'~e.~Y~. ^~6m,:-~~I '~i'yMirtw' - '~q~~.. +q~'w ~y~ a~go.~`•~~~ yam-' ~~~M 1~► ~ 3 ~xt1F2$ :s445.µ w'ffi~~"~~ a1,~'~ ®t~~1tS~''2 ,i I_-'cic'~~ ¢~~~1-c aP_ c1 3'Q _ ;r v_, r ~v ocL, •TSs ~ ` ~ ti4--= r _ _Ti~'4^~~i'~"°~~..~S'~ ~F t i `itp of (Eagan Departmml of 16ixi[ding Inspprflan Thu Certificate issued pursuant to the requirements of Section 306 of the Uniform Building ' ► Code certifying that at the time of issuance this structure was in compliance with the variottl ordinances o f the City regulating banding construction or use. For the following: ff u. cmwnua. SF DWG / GAR nl4 Pmnie Nw 7848 N ~ O-V-7T'1e R3 1ypCMIUMUM v FM7 - NA UnftMuict Joseph M. Miller Adw„„ 18133 Cedar Ave. So., Farmi. i ¢j owukesaa.4710 Beacon Hill Rdu hyLot 31,Block 6,Beacon Hill By: 1983 eu~ otrw;.4 Date: May 24, t ►pr _ w eora'icuoua tuc~ Y~ CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 31 Blk 6 Parcel 10 135nn 31f) 06 Owner Street 4710 Reacon Hill Road State Eagan, NN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. N 1982 1806.93 200.77 9 1806.93 0007591 10-1-81 STREET RESTOR. GRADING 1982 526.46 58.50 526.46 0007591 10-1-81 SAN SEW TRUNK 7 9.090.67 A008956 3/18/80 .1976 13~, *SEWERLATERAL 1982 3116.46 346.27 3116,46 0007591 10-1-81 WATERMAIN WATER LATERAL 1982 9 WATER AREA ^4 1 82 1 .O1 22.00 9 198.01 0007591 10-1-81 * Stubs 1982 9 STORM SEW TRK ~j 1982 39.98 3S9.82 0007591 10-1-81 STORMS EW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD T 250.00 -14845 3-18-83 t+ t+ WATER CONN. 450-00 13UILDING PER. 848 SAC PARK s~~o/5 aos~yr c~ 0 2 5 3 3i. a - Request Del re No. Rough-In InpsecU n Required Inspection Other Tha ougM1-In ,O G (You mu call inspector when ready) ❑ Reatly Now.4Will Notify Inspector ,,,~cc Yes ❑ No Date Reatl I ❑ licensed contractor "JDwner hereby request inspection of above electrical work at: Job Address )Street Bo o.) City /D 2~eon i l $ecbon No. Township Name or No. Range No. County cc PRINT) L Phone No. Power Supplier Address Electuca Contractor (Company Name In I/ Contractor's License No. Mailing pctor or Owner Making Installation) X (Ili Amhor as ignature on aaou O.vn r Mai g Instdllalipof - Phone Number A4 0 MINN OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigg Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)6a2-0800 ENCLOSED. 3/10,0 REQUEST FOR ELECTRICAL INSPECTION Ee-oooot.o p T ► See instructions` for completing this form on back of yellow copy, _ CV Q,t~s 513 "Y Below Work Covered by This Request •a New Ad Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor§ Rem1 •Compute Inspection Fee Below: I S Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Ola. Amps Signs - Inspectors Use Only / TOTAL ,50 Irrigation Booms N[1'(v O Special Inspection v Alarm/Communication THIS INSTALLATION MAY BE ORI ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS.. ` I, the Electrical inspector, hereby Roughin certify that the above inspection has r ,r been made. Final 1, ate OFRCE USE ONLY This request vo,d 18 months from This request void 18 monthsifr L 31 $ le 1 I~£@ Co n 3 S Z$ b $ P " b Date ,o/f this Request /7/1/2-79 1, as 2 (Licensed Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Qn J / Street Address or Route No. y716 Aclcon ~Cd City EQ 4 tr Section Township Range County woo ro 44 Which is occupied by J M aLlzx CffL4tnI4.:ii` -/EYE (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes* Ready Now 11 Will Call Power Supplier r/ I( (JTLI G.f g° g1G Address:lxkM KG~1`0y Electrical Contractor Contractor's License No j (Company Na~me-)L Mailing Address ~(yJ 7~ I~,G_ -?T- N / ~1 YJ2~~ Mn . 5~3cr3 ctricalfjonJf, actor or Owner 4a~hThis 111ndddtall Ion) Authorized Signature ~Ele ~~p,a i Phone No. 753 7 (Electrical contractor or yn+er Making This Installation) This inspection request wi8 not be accepted by the JA' 1-2 u ~ O „ State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity w ,1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 jS 2 $ REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST S (iJ Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer Electric Heating Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ pLList pLList o her ❑ ❑ ❑ Herters Herers~ COMPUTE INSPECTION FEE BELOW 111 Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. I&M 0 to 30 Am res 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes .Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5. Remarks TOTAL FE I, the Electrical Inspector, hereby cerjif3 ;that t e +iP n has been made. (Rough-in) ✓ f P Date (Final) i ~J} Date '7 This request void 18 months from CITY OF EAGAN No 7848 3795 Pilot Knob Road Eagan, MH 55122 PHONE: 454-8180 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est.Volue $56,000 Date March 18 1983 Site Address 4710 Beacon Hill Road Erect R-3 31 6 Beacon Hill 0 Occupancy Lot Block See/Sub. Alter ❑ Zoning R-1 Parcel g 10 13500.310 06 Repair ❑ Fire Zone NA V sr Name Joseph M. Miller Coast., Inc. Enlarge Type of Const. Move ❑ # Stories Address 18133 Cedar Ave. So. Demolish ❑ Length 50 CI Farmington Phone 454-4753 Grade ❑ Depth 38 Sg. Ft.- o' Nome Owner Al Fees Su Address Assessment Permit 301.00 t- Ci Phone Water 8 Sew. Surcharge 28.00 G Police Plan checkl50.50 Nome ~Z Fire SAC 525.00 ai Address Eng. Water Conr/tSh. n(1 <W City Phone Planner Water Meter 60.00 Council Road Unit 250.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable $1764.50' State of Minnesota Statutes and City of Eagan Ordinances. APC Tonal Signature of Pennittes A Building Permit Is issued to: Joseph M. Miller Const`J, Inc. on the express condition that ali work shall be done in accordance with oil opplicd", Is to at Minnesota St and City of Eagan Ordinances. Building Official i F----------------~ I Forotfice L(s~e Permit City of Ea~a~ I # I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651)675.5675 Fax: (651) 675-5694 staff:. 2008 RESIDENTIAL BUILDING PERMIT APPLICATION C G`r ^ h ' y J~. Date Site Address:'-/ Tenant: J u h Q. 'v' S Suite p RESIDENT / OWNER Name: D-41 P h S 2 i` Phone:L/ Address / City / Zip: L~ 7 l ® 6 e 0- C Applicant is: Owner X Contractor R 11 '2 ` Luc / TYPE OF WORK Description of work: R , 5 0- 1 Construction Cost: Odd I Multi-Family Building: (Yes / No CONTRACTOR Namq/"-% ~ r ,,~L T-F (73 r- V'-,-1 License Address:/rylS O Q1 A C7 ~1,~ City: States `e Zip: 570 (7 Phone: Contact Person: / (C ` Tk J~l\ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 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 Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of the information may be'classified. as non-public it 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 approved plan in the case of work which requires a review and approval of plans- Applicant's Printed Name Applicant's Signature Page 1 of 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements Remodel/Repair Reoulrements offici use onN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Celt of Survey Recd ` -Y _N (20% maxknum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan. Redd. _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc, 1 site survey for addftons & decks Tree Pres Required ` _Y _ N' I set of Energy Calculations - Addition - indicate ifonstte septic system On-site Septic System':: _Y -N 3 copies of Tree Preservation Plan If lot platted after 7/1193 Rim Joist Detat Options selection sheet (buildings with 3 orless units) ,p Date / 24 / Construction Cost r Site Address 4-1 le) FI~Cp~ 1\p<~ Unit/Ste # MJA Description of Work T)tc, II__- Multi-Family Bldg - Y J~, N Fireplace(s) - 0 _L( 1 _ 2 Property Owner 5ns,3 FOL,",rA*W Telephone # t27S ~S7oJ? Contractor .4tz P Address City State Zip Telephone # ( ) 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 (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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. do;,34 "s4;.j QA.0"--le Applicant's Printed Name A icant's Signature OFFICE USE ONLY Sub Types ' t ❑ 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 - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 1V/, 8 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 Interior ❑ 44 Siding 0--~'32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "0emolition (Entire Bldg) - Give PCA handout to applicant Valuation 0,-,rv Occupancy MCES System 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. y/ Footings (deck) ~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 - Brick Fireplace _ R.I. -Air Test -Final - Windows _ Insulation _ Retaining Wall ` Approved By t J~S:- 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 D Homes i 55344 Plan No. 88058 ' 6t/oA? ~Darnell Rd Road ~tl~ ~ n Prairie, Mn- Miller Construction 18133 Cedar Ave. So. DELMAR H. SCHW 44' Mn. 55n24 LANoSURVEYOO,- Farmington, RwirtNW UnE*/ Laws Of Thra Slat. of MihMwta PHONE 6114'x}1766 1875 - 746TH STREET W - BOX M ROSEMOUNT, MINNESOTA 66066 SURVEYORS CERTIFICATE r I SCALE: 1 inch * 30 feet %a Denotes proposed einished grade _l DZ ,fi-Denotes proposed drainage 7 / 8Z' r6 - 30.00 L , Z r °_3g.oo OSE rN -r-= - nil H zz L r. ~N N i f, 3 0.67 - - 1 me & utility o, Draina .V I Peo~osEO 33 a easement ~r^ 1 N ~?I f Qi ~N //ttts£ NN ~ Pit COD IIF _ I~~Ol~ Jb7 /Z 949 S~Z - S6-OS E =go. I 'e1 33. D Proposed garage floor elev. Proposed top of foundation ~Y c Proposed basement floor and hereby certify that this is a true dto thecrecorded ePlat ithereof, =tor Lot 31, Block 5, BEACON HILL, according Dakota County, Minnesota. ,-tor house RDated: June 29, 1979 evised February 18, 1983 to show the location of a proposed Zeside thereon. C03 this "ill be f~ MINNESOTA REGISTRATION NO.5626 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I' ^o Site Street Address 'h Lc r n. 1 oL Unit # Property Ownernit~ "Z IlP~ 4-6) Telephone# Contractor 11 Telephone # ( ) Address City State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. ffLou are rnstaffing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name p I s ignature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 J~ Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date /O A& Unit # Site Address Y7/0 jcewea"> /J.y4- W o Property Owner ellee7 ,X`qs Ako Telephone#(lpS~ )~i73 SS-03 Cuntractor 42~TC Street Address ~lLS~ S• City AC1rn3V'/Cr State Zip S$3" Telephone# (q7Z-) 7V 4-'S2alz) Bond y9j'6 Expires: !V4-/0 S I The Applicant is Owner ,"o Contractor Other - I Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ air exchanger p air conditioner -New /k Replacement other ' I $ 50 State Surcharge I Total ( $ OCT 13 2004 I 1 hereby apply for a Residential Mechanical Permit and acknowledge that the info lion is complete and acct _ tee; that the work will be in conformance with the ordinances and codes of the City of Eagan and with th rata eS; that understand this is not a perm t, but only an application for a perrrtit, 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. Applic is Printed Name Applic is Signature 4c;ia~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 0 t/- ( 9' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Ofgcduse 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas 2 espies of plan G`eA of urvie`X- - ry_"N (20% maximum lot coverage allowed) 1set of Energy Calculations for heated additions Tree -Pres.PlanRecd _Y _N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Q(9 Required Yet , N I set of Energy Calculations Addition - indicate if on-site septic system '09:11 SepWlem 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units 1 6al Date /.1 6/ o t_/ Construction Cost V Site Address, q-~ I o B e a, co n L Unit/Ste # Description of Work 141 L,,CC. cr- ~ulru7~ 19. 71.j A. Multi-Family Bldg _ Y el,- N Fireplace(s) e0 - 1 - 2 Property Owner'JD11 µpk er\ S+ Q: n Cher y L f 1 c S (C b Telephone # ( 6"S L ) L/ S L) - g r^7 Contractor /V\ r r-k l T~ E wok l 1 r e 5- Address I0 A ~u c } lrrti~ City :rhVer Ct- ravr- Zvi ff State Al Zip SO 7 7 Telephone # (651 ) 1-1 0 1-9 Q 6 6 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/Water Contractor Teleph U u; APR 2 6 2004 I hereby apply for a Residential Building Permit and acknowledge that the i ation is comp] curate; that the work will be in conformance with the ordinances and codes of the ity of Eagan and the Staiteof MN Statutes; I understand this is not a permit, but only an application for a pem 'k y art 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. Mrc~& 0.<<-.Tk-Ir et„okL Applicant's Printed Name Applicant's Signature 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 - Multi ❑ 03 01 of-plex O 09 07-plex 'R 17 Garage `{a 22 Porch/Addn.(4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 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 Interior ❑ 44 Siding X 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 IZ _3 MCES System Census Code 3 IV zoning P City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const _V_ Width REQUIRED INSPECTIONS ~Q Footings (new bldg) _ Final/C.O. Footings (deck) ~p Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof -40 lee & Water JV Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco -Stone -Brick _ Fireplace _ R.I. _ Air Test _ Final - Windows Insulation _ Retaining Wall Approved By: Wl Building Inspector Base Fee ~~t!I~ ~ ~`r Z ~ X ~ 7. ~ z 0773 ~G, ~ alai 14i'® ry Surcharge Plan Review Z ouCi1~/o Z Y, 1 S• = S7bO MC/ES SAC City SAC d Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 71 ate for: ~n r x Homes Midwest Inc. tfDarnell Road en Prairie, Mn, 55349 Plan No. 88058- Q/Oq;D Miller Construction 18133 Cedar Ave, So. DELMAR H. SCHWANZ Farmington, Mn, 55024 VINO SURVEYORf, kI4. Reaiatered Under Laws of The Stab of M1nne14Sta 2878 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA S'6065 PHONE 612 423.1768 SURVEYORS CERTIFICATE - J SCALE: 1 inch a 30 feet ~q3j6 95s Denotes proposed Binished grade 111 _ -r--Denotes proposed drainage I ~ 30 00 ~~l , 0 3R: op S $z - r6 _ 22 14 U N 1 u f G f e67 'v' I 7.Zj Drainage & utility 3 ~N easement p M ~j`~ o dGsE (r 1 ( N f I N y 1 10 93° M 40 ~o - -M, Proposed garage floor elev. 2> , Proposed top of foundation 933.¢ Proposed basement floor 930.{7 I hereby certify that this is a true and correct representation of Lot 31, Block 5, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. Dated: June 29, 1979 Revised February 18, 1983 to show the location of a proposed house thereon, BY OAT T ~qp~ r MINNESOTA REGISTRATION NO. 8625 2000'R/2610N 11:05 Ali P.001/004 iXTER{OR ENVELOPE AVERAGE ',U!',COHPUTATION ter. 7a'~11^I! CONTRAC(OR: L fi T`A~ wJd ~t ice. DATE s 2-X10 I PHONE: DETERMINE WORKING SOME FOOTAGE OP EACIls 1. TQTA1. EXPOSED HALL AREA.. ~°1- aq ft x 11U't 11 1 w ^i k, 2. TOTAL ROOF/CEILING AREA 2`•t8 sq ft x "U11 .026 3." TOTAL EXPOSED HALL AREA CALCULATIONS: Total exposed wall area above floor 2_0 1%,o aq ft a) Total wall window arsai glared,,... • _.J.'1a ~ aq ft x 'lull a~ 1"7~..~~ ~ pi ~;"'-•1 r.,,`.~ glaxod sq ft x 1lu11 b) Total door area y- _ aq rt x "U" 0 Total sliding glass door area; glared....., 14 2- sq ft x "u" _ -C,~ glazed...... aq ft x I,U,I 1) Total fireplace wall area aq ft x Ilul! 41) Tata) wall framing area (Average 10x) , , Ta aq ft x nun i) Total not wall area above floor (Insulated)....... aq ft x "U" ~ 1)Lt -j* g) Total rim Joist area...., - " ~ 1n aq ft x "U" _ 113 r Total foundation area (Exposed)....... ha Total foundation window area I) Total not foundation I' ;pl. area above grade.:...... 1`h • 1;1 3, fq'Nf t x 1 U11~ [J I TOTAL a) thru 11 . 3L 17 4 If Item R3 Is the a 2 HOAR 1.16008 A ame'As. or less th and o. en Item NI, you have met the intent of aS•~!i) , • Page 1• injnr {9r1' ,}4)iti.biy.,.:..1, •,1:0: 1r fle'1}.~,.•.ti i. 7 20044'R/26410N 11:05 AM P. 002/004 A: TOTAL EXPOSED ROOF/CEILIIIG CALCULAT1011S. Tote] gxposed roof/calling area....,... 1 Lqe,. aq ft J) Total skylight ~raa....... s sq ft x "U" A!'K M) Total roof/calllnq framing 3,2 area (Avarane 10X)...... sq ft x "U" 1) 'Total not Insulated y u• roof/celling area....... tILj, sq ft x "U" a 3 4. TOTAL J) thru 1) l If toted of 04 Is the tame as, or less than 02, you have met the Intent of 2 mcmi i.i6008 A and O. ALTERPIATE OUILD111G ENVELOPE OESIGII To utilize the total envelope system method, the values established by the sum of Items /3 and 04 shall not be greater than the sum of Items /I and 02, 3• 2-i7~~ + 4.b1`~ 5,3 y C E R T I F I C A T 1 0 N 1 hereby certify that I have calculated the O'U" factors and 11I1" . values harelip and that the bulldlnq hero described meets or exceeds the State of Minnesota Energy Conservatlon Act. 4q ns t *Ura (Date)-~ Page: 2 2004/,APR/26/MON 11:00 AM ?.003/004 _ COIISTRUCTIOn R VALUE WALL FRAHING SECTION: 1 Interior alr film O Rq t2 8 voC A 3 t ns e3 in t Wood' b ' ~~--(5 6 xtar or a r m TOTAL R r , WALL SECTION (INSULATED) I Interior air film O q 2 c !R 1 5 ~ •U A Exter or a r TOTAL It « .?.3.3•p U- 1/R Rlti JOIST SECTIOtI; 1 Interior air film n.69 • h Exterior a r m n, y FOUNDATION INSULATION REQUIRED: TO R . Min, R-5 on entire wall OR U . I/R ■ a,n• Min. R-10 down to frost depth D p.. " n FOUNDATION SECTION; At A , I Interior air film n Aq a. --{2 _ i •A A • a..r ~^"--{11 Exterior a r m q• / a: (S TOTAL R - u- 1/R $LAD ON GRADE La dy ILA Heated Slabs; ,'n • A, 1 !r Minimum R - 0.5 Q; •t••q; n slabs; lv• U "ad ' P rq,~,d Minimum R - 6.2 Q • . ' ' d. d t, fI Page 3 ~Z004/~APR/26/M0N 1106 AM P. 004/004 CONSTRUCTION R VALUC! CEILING SECTION (INSULATED): 1 Interior air film n F' z IUD 4 4 Exterior air film still . I TOTAL Rg~p~~ . ~-•C - U - 1/11 low 1 rJ CEILING FRAMING SECTION: 1 'Interior air film O,f1 AIR VENTED 3 FLAW 4 Interior air m^ st 11 O.hl 5 10(2- Inches 'soft wood ~ll TOTAL R ~~Iq U - I /R - ---`3 CEILING SECTION 0 115ULATEO): ^ysadrsb ~1' Interior air film n.Rl 2 T Exterior a r m st n. 1 FUTAL R U - 1/R is C' 2 5 CEILING FRAMING SECTION: I• Interior air film n,bl VENTED x 3 - 4 Exterior air film st 1 n. 1 5 'inches soft wood TOTAL R - U - 1/R 4. 5 I Inside air film n.61 j 4 ( 5 Outside a r film n. T TOTAL R U 1/R _ Pagp 4 CITY or mkcpx iwlude 2 Mb;of plane i ~j 1 site PTM w/w.a-" c PE*= i1PPra~TI~ etas «+.~'7or ""t IIFC- V~.-j C20.r coo Tb He Used Valuation ~Y Site Address: OoesQsra.9 .r tot ~1 BIOdC g67 SW-ISub. i SwAng / AltW Parcel 3, c o ~ litr ~ Wat"' TYPs *awl _jMN AQdtws ~e/ suds DeP~ 3S ter. .Y~1CGilc' .L fiJ✓ SS a city/zip Code: . APPEwnTS S3 Phone ,y~ 2 Tw9mLt ; hmL mntraamx leatet/samer P Cho*~-- AddresS: Police WC ' Fire city/zip Codes : Em wstsac ' Planter llaloet 1llstOr (Ole Cmwcil ofd- nrch./eng,,;:. AM Aadtees: City/Zip Codee Tvm Phoris ~s ~ Certificate for: Centex Homes Midwest Inc. - N01 Darnell Road en Prairie, Mn. 55344 Plan No. 88058 - Al1,0 ;V Joe Miller Construction 18133 Cedar Ave. So. DELMAR H. SCHWANZ Farmington, Mn. 55124 LAND SURVEYORJ„ZV4, Rpistmed Under LaW$ Of TM StUU Of Minn to 7878 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 88888 PHONE 812 428.1788 sURVEYOR'S CERTIFICATE " SCALE: 1 inch * 30 feet %s Denotes proposed einished grade ~9?~:6 -y---Denotes proposed drainage 30, oo ~ Z 9197 I E N N MR \ O Drainage & utility 1 ~i f'eo~asEa 3 x easement d M I ~ o N I ~ N I ~ l a / j I l 176., 40 I~ IS~/Z. - - - I SBZ-S6-oBE 949 ' Proposed garage floor elev. ~3~•1?% Proposed top of foundation X33.4 Proposed basement floor 930•~~ I hereby certify that this is a true and correct representation of Lot 31, Block 5, BEACON HILL, according to the recorded'plat thereof, Dakota County, Minnesota. Dated: June 29, 1979 Revised February 18, 1983 to show the location of a proposed house thereon. f i MINNESOTA REGISTRATION NO. 8625 //;n n Wl J 858 - t:STt;!_lO1i 1'yVhl,r)Pl: AVtau~GF. "tl" f'OMI'L'TATION J..r-._rr SITE noDrl:Ss: - 1)etermi.nc working square.footage of each sq. ft. x .17-= 1. Tr,Cal cr.I~osc•4 1-A l- arl.a...... --J_ 2. Toll too[/ccil.inq area - sq• ft. x .05 Total exl%osed wall area above floor 157 a. Total. wall window area c 1. : ':,r :.ral floor ar ail d. Total fi.repiace wall area ~3 c. '1'ot,ij. +:.111 frairiny ar,Ca (average 102) f. Total rim joist area ZI g, wall. area above floor i - - wa iT'a7Ct T3e56vC~72aor 1' - - Welt Tot:+l e>:posed foundation area / Y 5 L. Sr,tr+l fo'll:.latiOn window area rea above grade , 1. '.Cur.+l 110t foundation a pctar-mine "l;" value of each wall segment (e.g. window, door, each separate wall section) a. 3 q x „N„ b E 2 _ .52_ x .,,,.l zo . S - C~ Z . _ C ----a.~o ..u.. ,1,_ - .qp+ d. x lull 0 Hull g- Z 4-. ..u., _ X ..N.. i. - - If .item J!? is the same. J - - X dr' les^ than item 41, hav" met the intent of x !M~ 0006 (c) 2. Page 2 of 4 A.-; l;•rior RnveloPe Avrranc "U" Computation v1~ Total rxt)osed roof/ceiling area = ! M. Total skylight area n. Total rnof/c,•i.liI'll Cramiug arra (avcragr. 10%)... c. Total not inc:ulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment _ x Total _-2 4 if total or il4 is the s;une as, or less than N2, you have met the intent of SHr• 60;~r, fr•) 1. Alternate Building FnveloPe Design_ p2. t sim of grsystem eat r than the et values shall envelope of itemst #1 and it.vm::1 3 Zand h 04 total 1. 3C~1 1 + 2. d~ 35v. I I 3. Z 3I-,-I + 4. I 6..102. I r PLA W *k g~s8 Lwe-A L FT, EkposEb WALL l_~G IC 244 3 5-424-j- 5 1 c LILL I +Ib+3(p I'J1.5 C-yj5oSED WAS AZEA ZS is77 ►"-uLL x a ~ 1052 . {GCSE to C.•EI l..I~1Ct ~#S + Lo` .q74 'N DV,l!: Doo+ ?q = rte I I 1 - ~I~ I - 39. ~ Z3.9 ~ FSM~+ Uui+S L~1 ul1LU pLt,.l♦u.... !'1 "B- use 15% of opaque va11 area for a-Value _ Construction a frame construction 2. 3, ihP soft' 04 4. - .6 Z. S• i o- 0.17 It,tiIC 6. Exterior air film - Total a• 33 o:ALL V'002- FIG. M1 TpPVmt OF Interior air film 0.``68~e FPAt1E HALL 2. N k r 3. Sys Jt {l A~_O 4. 2.4 t .(AIL 6. Exterior air film Total (f}, 1 FIG. N2 n Interior air film 0.60 . L-- ~O 3. i 4. 2 ,!Lfs-C t=~ 0.17 fa, 6. Exterior air film Total I(#.4•Z. ~I >i • A. 1. Interior air film 0.68 2. O ~~e'•. o 4. 0 ` Rout 6. Exterior air film 0.17 ,n. w r 'L 13 y : i Total , 1 ; l SLAB ON GRADE - V , 1 7 6 (r FIG. 44 r<< ° a`rrr us /r Lz; z ril r ~r~ - NOTE: Indicate tyre, "4° value, depth and. - • , « placement of insulation. 1. - St AND:AiZO • ItrX''r /Ci>ILTNG R-Val uc \ t. i OTI Intcrinr air f.ilrn s. LoyJiJ -LdS~L of r, t. ;A1 ` alit l~ d, I:xlrrior. ,rir fiUn (_ail]) '31.50 "X, ~`J i T N i N V AuLT use to sAn CR-=so) tr C,I l.C /l l n l1C,lC fLON j up II` FIG. JJJ~~~ 0.61 1, Itrterior air film Ly. t _ uL- _ _ ;'i~ q turi.ur air fzlm ~ j : - Total 22. 15 ^ r" S ` 05 1.01 1I r '1624 vented floll 'T FIG. tl6 - . 0.61 r-t nsi-de air filrn 9..p^r air. film :r-,.•':'%r/~_'<. 5. Urtsidc • i Total Gte: Use additional. :beets if more P3C0 No FO;I-4'L't;7i'D - r.cc,led for d.aadls and cal.culaiions. Rent floe Up ° 5 "0aa N 6 ~ 1994 PLUMBING PERMIT (RESIDENTIAL). CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES=AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 - LAVATORY 3.00 - KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaLcty. he 20.00 U.G. SPRINKLER - home under coast. 3.00 ALTERATIONS - to c&ting 20.00 Eft WATER TURN AROUND 20.00 STATE SURCHARGE .50 `TOTAL: A// , SITE ADDRESS: ~~7~1--' D ~r~ e atl / ~d OWNER NAME: ~IaiJa.<•~Cia INSTALLER: ~a v v ADDRESS: S<a M t CITY: STATE: ZIP CODE. . PHONE 6 ) y SIG TU OF PERMI TEE 5 73a~ 90 RESIDENTIAL BUILDING Q m -11- r WC4_V 0 kA- - Permit Application City Of Eagan wo' 5 ► W °O~~ a:nc~ -1 r% 3830 Pilot Knob Road, Eagan Mn 55122 351 Telephone # 651-675-5675 FAX 4 651-675-5674 New Construction Requirements RemodeVReoair 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 _ Cart 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 saes; 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 / 2 Construction Cost - Site Address y7/ I 17 6 L14 Qaad Unit/Ste # Description of Work jt4 5 If rA l a fA O,S~ 1Y @ C~ (/~Li/~ }fir .^Pf/)lQ (P P/t7 fU/1 a z9al Multi-Family Bldg _ Y CZ ~N( Fireplace(s) _ 0 X 1 _ 2 Property Owner 10) _L/I 1 I f~li~ L" S~f 1 k Telephone # Contractor Fl'ye 51,dQ Pa✓7~~1 /Vo010- Address 39-5r) U.) V f (i 4 City (/V N 51/ f • #10 . State zip 2Telephone 75;-9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 s u es 7672 Energy Code Category . Residential ventilation Category 1 Worksheet D MAR1 D D N En r1111 Code Worksheet (J submission type) Submitted 6UbMitt dJ Energy Envelope Calculations Submitted Licensed Plumber ~f / f~_ By Mechanical Contractor AY'LS i~ILe PAd-/7<11Y Telephone#(qA 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 approv f plans. < < 01 Appltcant's Prime ame , Applic s Signature V0(vl` ffois''i PERMIT et/ 6~ ~-1 CITY OF EAGAN 3830 Pilot knob Road PERMIT TYPE: B U I_ L. D I .,5 Eagan, Minnesota 55123 Permit Number: 0 2 2 9 9 5 (612) 681-4675 Date Issued: 0-1/23/94 SITE ADDRESS: 4710 BEACON HILL RD LOT: 31 BLOCK.: 6 BEACON HILL P.I.N.: 10-13500-310--06 DESCRIPTION: B,wilding,-'Permit Type BASEMENT FINISH wilding tilrk Type ALTERATION ~IM1 k c ate;., } ! QOQ 00 (a (U n REMARKS: FEE SUMMARY Base Fee $35.00 Surcharge X60 Total Fee - $35.50 CONTRACTOR: OWNER: - Applicant HOHENSTEIN JON 4710 BEACON HILL RD EAGAN MN 55122 (012)681-4603 I hereby acknowledge that I have rear) this app+lic,4tion and state that the information is.correct and agree to comply with all applItabla State of Nn'. Statutes and City of Kagan'Ordlnances. ►Bf R AT I APPLICANT/PERMITEE SIGNATURE ISSUED : SIGNATURE CITY OF EAGAN , i G /'L;fu) JU 95 1994 BUILDING PERMIT APPLICATION 681-4675 I- . ~ 18 199'i SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date a / It / Qy Valuation of work Wb Site Address: TlA.coJ An Rd STREET SUITE # Tenant Name: (commercial only) LOT 31 BLOCK (V S'UBD. $e&Cp//j P.I.D. # Description of work: S Mr riSµ- The applicant is: 10 Owner ❑ Contractor ❑ Other (Describe) Name "eA)S+e;.J T6JJ Phone 191-4603 Property 'AST FIRST toll - 6467 Owner Address A710 ae&Lw1 All lid STREET - STE # City env State /YIN Zip 4rjaa Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: 41 PERMIT \CITYOF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 029191 (612) 681-4675 Date Issued: -3 0'/ 0 8 / 9 6 SITE ADDRESS: 4710 BEACON HILL RD LOT: 31 BLOCK: 6 BEACON HILL P.I.N.: 10-13500-310-06 DESCRIPTION: (WINDOWS) B6ildin"g,,,yPermit Type SF (MISC.) Building ~brk Type REPAIR ''Census Code-~'', 434 ALT.`RESIDENTTAL i a, i q I REMARKS: FEE SUMMARY: VALUATION $1,800 Base Fee $56.75 Surcharge $.90 Total Fee $57.65 h CONTRACTOR: - Applicant - ST. LTC OWNER: RENEWAL BY ANDERSEN 14307255 2004063 HOHENSTEIN JON 1700 BUERKLE 4710 BEACON HILL RD WHITE BEAR LAKE MN 55110 EAGAN MN 55122 (612) 430-7255 (612)454-8514 T hereby`ackriowled`ge that I have read'this applicatiirn and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances„ nc RK~,~ J nk APPLICANTlPERMITEE SIGNATURE ISSUED VY: S~16NATIJRE CITY OF EAGAN~'1 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements RemodeVAeosir Reouiremerda ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7!1!93 required: Yes _ No ' DATE: `II G CONSTRUCTION COST: A 770. DESCRIPTION OF WORK: L~{' W lows % h ~20~+ z l ✓rf~i Cam ~e- n e wh~c°"a STREET ADDRESS: X71 0 13 1~4' t~ ~oQ°~ LOT BLOCK SUBD./P.I.D. A _ LA Elm PROPERTY Name: oh S~~ n y O1 Phone M OYYNER `M Street Address* 8710 aP aom h/W 'eOC`,-J City: J~_7ct //tilnJa H State: ~A_ Zip: ~sl a CONTRACTOR Company: ieeigfWa( ~v ~~r4e1, Phone#: Street Address: I7a) &Ac' License ~d i~O (ac3a City: W L)le- L eL State: 14W Zip: SS110 ARCHITECTI Company: A) /A77 Phone ENGINEER Name: Registration # Street Address City; State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information ' correct and agree to comply with all applicable 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 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 \ Please complete for modifications to existing residential dwellings. Date _q 1 S / Is Site Street Address L/071 d e,.C 0~J Unit # Property Owner <&) t f IGWK~I ~I Telephone # (461) 415'1,4~ Contractor 1ZQ IT Telephone# ( ) Sqj%*. Address City State Zip The Applicant is: 16-owner _ Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: i i I Water Softener A Water Heater $ 15.00 C replacement _ additional Lawn Irrigation System RPZ- new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 1 hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is re ired to be reviewed and approved. / qq A cant's Printed Name Applicant's !Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097338 Date Issued: 12/08/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4710 Beacon Hill Rd Lot: 31 Block: 6 Addition: Beacon Hill PID:10-13500-310-06 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Jon D Hohenstein 1920 County Road C West 4710 Beacon Hill Rd Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature For Office Use _ - - - - - - - - - - - - - - - - City of Eapn I Permit I I 3830 Pilot Knob Road I I I Date Received: I Eagan MN 55122 L - Phone: (651) 675-5685 2011 ZONING PERMIT APPLICATION ✓ Please submit a set of scaled drawings with the application. PROPERTY Site Address: 1/71D B Q c o--J Name: To , J1 lQ "~Q) ~ Phone: c~l C~ I II CONTACT Address: L O e,-._Q,04 , City/State/Zip: Applicant Signatur . ❑ Retaining Wall <4 feet ❑ Driveway Other: Yvt -e TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ❑ Fence I Description of work: j V's ~ y ` PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks,~etc. Approved: C Date of Approval: (I j C3iI I Staff.~ l Required CorrectionRevised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved: Yes / No Date of Approval: Staff: Required Corrections: Revised Plans Approved: Yes / No Date of Approval: Staff: COMMENTS i, G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications 1. Darnell Road Plan No. 88058 n Prairie, Mn. 55344 8e Milder Construction DEi.MAR H. SCHWANZ 18133 Cedar Ave. So. Farmington, Mn. 551124 LAND SURVEVORf, VL Rwist•rW Under Laws of The State of Minnesota PHONE d12 423.1769 2979 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55066 SURVEYOR'S CERTIFICATE • SCALE: 1 inch * 30 feet gs$ Denotes proposed einished grade ..q----Denotes proposed drainage ye- 40 ~30 VJ0 N / f jG 467. - I ge & utility P,~Pos~.~ 33 o asement ~M Co o.oo _F9, oo _ M - _ 1 187 /L je Z-S'•h-D8 949 'go, v e) Proposed garage floor elev. u of foundation 933 • Proposed top "Y c Proposed basement floor 930•~~ this is a true and correct representation of f, I hereby certify that to the rec --tor Lot 31, Block 5, BEACON HILL, according Dakota County, Minnesota. for Dated: June 29, 1979 bruar 18, 1983 to show the location of a proposed house Revised Fe y Zeside thereon. in co' (go this is •iI1 be -All MINNESOTA REGISTRATION NO. 8625 r i Use BLUE or BLACK Ink r________________� I For Office Use � ' � Permit#: I ���� j Clty of ����� � � � � Permit Fee:� � 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � � Phone: (651) 675-5675 I I Fax: (651)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLIC�4TION Date: �����' �' Site Address: �� /��� ✓�'��'C;D✓'" �' ' �� ��� Unit#: . J , � / < Name:l,�l f'�:'.S�C,� � �/�� �?s�.l°?1��� Phone: Reside:nt/. ,% J / 'OWneC ` Address/City/Zip: ���� /-=>�-�'!'�%�"� ��"�'l% �l ' Applicant is: Owner / Contractor Type of Work pescription of work: -2 ��`� �rc1 ti- ' � 7G�'� Construction Cost: � ���� Multi-Family Building: (Yes /No� Company:�} �� .�io^,S��Y;�G'�'1l>i�' �[.,� Contact: fi/LJ�� ��1�✓t�� J Address:(�� / /'�pm�f� �U� City: l"-���� Contractor ,�/ state��z�p: �"��-v Phone�C'��I��/'7�-����3E a;�`�� G�n�7�i^.�o�r��, ��c;��j ', c:; ' License��L-��LO�v t� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE;P/ans and supporting documents that you submit are considered to be public information. Portions of the informafion may be classified as non-public if you provide specifi`c reasons that would permit the City to `� conclude that they are tratle secrefs. 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.qopherstateonecall.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 must be completed wi in 180 days of p rmit issuance. x � �'i ✓�v-� �,, %�.,.t 7�"C-L����. � X � G-- G2����> ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 s � � �' Use BLUE or BLACK Ink �------------------ � For Office Use � ' RECEIVED I Permit#: ` � `�' S-7� ; o � j� � ��� O� ��f��� � Permit Fee: UJ . � I 3830 Pilot Knob Road Au6 � � ���� � (l I Eagan MN 55122 � Date Received: ' ��� 7 j Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I �---------------- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � � Date: ��c���` r �/ Site Address: "7'����� +U'f-"�'�-�� i'�// ��"� Unit#: j/ ---,% /, Name:(��� �r�z`'.��1 C) � �l�tiv� /`�Qa"�.5�lt�ri Phone: Resident/ � � ,�� �� Owner Address/City/Zip:�� � ,�-t?Ci C'��, lZ/ Applicant is: Owner X Contractor Type of WOPk Description of work: 4 t �c.c_� !� f�='�� ���� Construction Cost: / �.t'ti Multi-Family Building:(Yes /No ) �� Company:�� � C.UI�STI''L,tG;�l�� �L � Contact:l3�✓� /C��Ist/� � � � � ,� i / Contractor Address: �,C�J� � ;�,/�����.� /IG�'� City: ��/�� ��- � ��� State;��Zip: �✓�2 � Phone:����.�ClI�� ~'�E ai�������'k��4�� Z.G��� �� �� �..�'r"'� ' License#:��G ��� ��� Lead Certif cate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additionai information) �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are consitlered to be public information. Portions of the information may`be classified as non-public if you provitle speci�c reasons that would permit the City to : conclutle that the 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._qopherstateonecall.ora 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 must be completed within 180 days of pe mit issuance. � �/ / X �'✓��. � - /�2. -�'v✓�, �- 1 ` `-�.� _, ; ' �,,� ApplicanYs Printed Name ApplicanYs Signature Page 7 of 3 � � � ����/t� ����� � �1��/ ��. ���s�� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Firepiace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Muiti) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior � Alteration _ Fire Repair � Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ��U •� Occupancy ��-G MCES System Plan Review Code Edition ',�u7 0'+��(3C.- SAC Units (25%_100%�) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction"� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Fina� Siding:_Stucco Lath _Stone Lath _Brick Insulation � Windows '�i►��►'� Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge �1 Plan Review �v ����'�� �� O � MCES SAC ,� �� �ti�,�.,�;��.��'^� City SAC «`" Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#:�� 4�'��� I�� Clty of ����� � Permit Fee: � �`�I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax: (657)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date:� �/��� �s Site Address:_���(,� �1 t�C�v h ���I /�� Unit#: ;"��.�' / / J, ) � ^. Name:,�'�h�'�v/ 1"7��I�U '��A�n T�"�hP�""�r�., Phone: ���� _ -7 ��,�, ���. Address/City/Zip: � / �� ���1 �l 7 ���f ��>�C�r-t+� � � � l;. Applicant is: Owner �,Contractor � � � �� Description of work: �'�`,S�Gf� ��� O� �tlS� � ��Q,�r 4��� ;, ;; Construction Cost: Multi-Family Building: (Yes /No ti� s�f�3'� ; Com an �� �j'1 G1 / �� Contact:/ ,Ji h w��l�Z. r a ���7 p y' n/ �� � �l���� //'J� y C�/�� � �!" ��������, ; Address: '}�..G�'r �� Cit : ����� £� .- /�� �/ � � �� � r. ._ ������ State:/�� Zip:��� Phonet,�S��r����mail:f7/�'TC,rIr�S�i�ucf�an�LG � crx� G v� � �� � �. ' - License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �����:�d��?��`��3►r�����`�t�`y't7�'���"���►�'���r?������� ��Q���'` ; ��������C=�����������������'����a -�` � ��f �t��`�s�� � `$ .S �.� �yy �'� r � � .. :_ ...,.�, ��.`�,„ .,;'�.,,�., :�_,. .. ,�:i,, : .. '�.., .. ,: � �� �r,��,�� � � 3 a , ��� a 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.qopherstateonecall.ora 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 I 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 must be completed within 180 days of permit issuance. �/ 11 , x f�� vi 1, G . /�lp�.�✓o lti� X �� � Applicant's Printed Name Applicant's Signat re Page 1 of 3 r For Office Use J�/° /r 1 j / //C/" C C Permit#• E AGA N �.• ••r• v V Permit Fee: [(/ 0 - Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: bu i ld inoinsgection secitvofeaoan.com I 2019 RESIDENTIAL 7 1PLUMBING PERMIT APPLICATION G Date: • l Site Address: 1© QC,C.C'&U ( 1 �0�� Tenant: 6SIJ ' - 1(A)S4-Qi Suite#: Resident/Owner' Name: 1 '\S W ���1 Phone: G;51---;g5-7 Address/City/Zip: L471 6 C�,-v id-+I/I ,71Sa4��r 0:,sQ /MA)SJ 1 Name: License it: Address: City: rya State: Zip: Phone: Contact: Email: Type of Work —New Replacement —Repair —Rebuild —Modify Space _Work in R.O.W. Description of work: / .Water Heater Lawn Irrigation( RPZ/—PVB) Water Softener Add Plumbing Fixtures ( Main/—Lower Level) Descri Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.0 ater Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 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.qopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 und- - and this is not a permit, but only an application for a permit, and work is not o start without a permit; that the work will be in accordance w' the ap.roved plan in the case o -quires a review and approval of pla 41/,'Apf n is P,rintyed Na71.4 Ap; ant's Signature Ai`[-�",��•J Page 1 of 2 EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinainspectionsacityofeaaan.com SEP 17 1u19 r For Office Use Permit #: Permit Fee: /sfD ?t Date Received: 9-) 3 - /� Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: 7 Name: JO h tOL16115"VeA 11 Phone: Address / City / Zip: 4, (O Ze&coYI Rill itot CA041141 �U N Applicant is: Owner k Contractor Description of work: ejile 10L Oki' ,,k. /k.. boailrePs Yea G nT3 Construction Cost: Multi -Family Building: (Yes / No x ) Company: KKAT CA)rrifriAtin an LLC Contact: K'i n Tut.i-LI,v 0h Address:' . • X 2-1 rte^ City: State: kW Zip:56O LO Phone:661 " 412- ZZZYmaii: License* (C 7 (p (c (c Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aopherstateonecall.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; at the work will be in accordance with the approved plan in the case of work which requires a review and apprpval of plans. x 1[eJt YITuitw a ltil Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Garage _ Single Family Multi 01 of _ Flex Deck Lower Level `7/7/t7 DeA O 14 it %) _ Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New _ Interior Improvement _ Addition _ Move Building Alteration Fire Repair Replace k Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% 1/) Census Code #of Units / # of Buildings Type of Construction r6 / _ Siding Reroof Windows _ Egress Window is -8.698 Exterior Alteration (Single Family) Exterior Alteration (Multi) M iscellaneous Accessory Building Demolish Building" Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy .7I2' MCES System Code Edition SAC Units Zoning nig City Water Stories Booster Pump _ Square Feet PRV Length Fire Suppression Required Width REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings _Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 73 H7 0« )2,95° Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161742 Date Issued:06/11/2020 Permit Category:ePermit Site Address: 4710 Beacon Hill Rd Lot:31 Block: 6 Addition: Beacon Hill PID:10-13500-06-310 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Jon D Hohenstein 4710 Beacon Hill Rd Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature