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4675 Beacon Hill Rd CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road Box 21199 PERMIT NO.: , ION 55121 DATE: Zoning: No. of Units: Owner: i ` Addl`ess: a Address: 1 1 r . C+ ' r No.: 3 Connection Charge: Size: Cr' I local lAftunt Deposit: Reade► o.:/ 7 'Y Tiit Fee: I elm to ' AS rcharge: ordlao Charges: al: BY Date Paid: Date of Insp.: - - Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box _21199 PERMIT NO.: , Eagan, WIN 55121 DATE: r Zoning: ' No. of Units: Owner: 15 Address: Site Address: >e:~ _ . J m i L2 j 31 iin; -0:1 i Plumber. ~ r • Mater No.: Connection Charge: 4 r'~. "y Size: Account Deposit: 1 Reader No.: Permit Fee: 1 pros to @on pay Whit the City of Eeyon Surcharge: oriinenom Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road~~~ 1 P. O. Box 21199 PERMIT NO.: Eagbn„4N 55121 DATE: 1 - 7- > Zoning: ' ill No. of Units: 1 Owner: Oak Chas- _ 1Lrs Addkss: Site Address: 4075 Beacon Hill Rd L21 131 8eaco:l mill Plumber: leierke h ^ f. 1227-;ij 4,'~v. i 1 ogres to comply witr the City of Eagan Connection Charge: 423.00 pki Ordineness. Account Deposit: Permit Fee: • 00 Surcharge: .50 BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3796 Pilot Knob Rood Eagan. MN 661n r PHONE: 464.8100 BUILDING PERMIT Receipt # To be used for' '?r T~~r n T Est. Value Date L` 19 ' ?",ICON HILL '?D. Site Address Erect Occupancy ' 1 LI ACON 1!7LI P1 Lot Bl Alter ❑ Zoning Parcel #l - Repair ❑ Fire Zone (:T1•;-CI,? cT' I3LD^:3 . INC. Enlarge ❑ Type of Const. oc Name Move ❑ # Stories z [.tn.SiI I:7r7C I DR. r 2 7 4 3 n z Address Demolish ❑ Length -777 City i~C:1 I Phone 154-796 3 Grade ❑ Depth Sq. Ft. Name ST.: Approvals Fees Q uu Address Assessment Permit '279 Do t- City Phone Water 8 Sew. Surchorge Police Plan check' -0 ~W Name Fire SAC - 7 o0 L Address Eng. Water Conn. 4 0 Q Ci Phone Planner Water Meter ' no Council Road Unit 2 f I hereby acknowledge that I have read this application and state that Bldg. Off. 11 22 3 the information is correct and agree to comply with oil applicable APC Total ` 744. 50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: L on the express condition that all work shall be done in accor0me with o11 apq.kcgble State of Minnesota Statutes and City of Eagan Ordinances. Building Official ` - Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3.9 O 7- ~Z.) H.V.A.C. ~(/p f Well Water Disp. Saver Electric 0 Inspection Date Insp. Other Footings 11 Foundation Framing Rough Plbg. Rough HVA 6y Insulation 67 4'9 Final Plbg. Final HVAC Final r Water Dewibe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee --'20 C• Fill in numbered spaces S/C _ Type or Print legibly Tot. -:5-v SU . 1. Date - `l 2. Installation Cost / ) " G 3. Job Addre' 7s C'3t f X w /L~ Tract 14_1 11 4. Owner C Tilt- e-w o-7 S' 5. Contractor ~ 07iv Phone 6. Address 7. City State I✓ Zip C 8. Building Type: Residential Q~ Commercial ❑ Institutional ❑ 9. Work Description: New'L7 Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet 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. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and/codes s governing this type of work. Signed : { i .f for 1 .1 L Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost Pik, 3. Job Address L -1 - lTract 4. Owner 5. Contractors Phone 6. Address - v 7. City l State Zip 8. Building Type: Residential C1 Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EAGAN PERMIT TYPE: to 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 c: t. ; . F 0 i t.'1 SITE ADDRESS: , it i , i. 1 ,,t APPLICANT: F,N H l 1. l R1) i%1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE /OG FIREPLACE k u AIR TEST FINAL PLBG FINAL HTG ORSAT - - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 + t +i < f APPLICANT: tl t t l Ho PERMIT $UPTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. F L Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING O ,v •7 1 O L-AIPAOZ2~ 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK fTG DECK FINAL INSPECTION RECORD control No. Q ~ 3 8 CITY OF EAGAN PERMIT TYPE: e~~rH 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: tore 21, B t O C x - 1 APPLICANT: 4676 N!`AC001 11 .f 1.1. RD HAsTl R WORKS tit AC•UN Fits it, PEMlT TYPE OF WORK: NEW -y INSPECTION TYPE DATE INSPTH. INSPECTION TYPE DATE INSPTR. 0$$1 11 tit) No rINAI NPMAPK':: Ptr t IP't M 1we 1JI)f lA' x 18' UFCK e Permit No. Permitt Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Rooting Rough Plbg. Rough Mg. Iaul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Wfify Plumber Cont. Meter EngrJPlan Bldg. Final •l /-O/o Deck Fig. (I - f C Deck Final Well Pr. Disp. t CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 21 Blk 1 Parcel 10 13500 210 01 Owner street 4675 Beacon Hill Road State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date , STREET SURF. (Qg 1806,93 0007383 10-1-81 1806,91. 200.77 9 STREET RESTOR. GRADING $ ' 1982 526.46 58.50 9 526.46 0007383 10-1-81 SAN SEW TRUNKd 1976 135.97 9.06 15 90.67 A008956 3/18/80 * SEWER LATERAL 1982 3116.46 346.26 9 3116.46 0007383 10-1-81 WATERMAI N * WATER LATERAL 1982 9 WATER AREA $ 198.01 22.00 9 198.01 0007383 10-1-81 * Stubs !1982 STORM SEW TRK S 1982 359.82 39.98 9 359.82 0007383 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT RQAn ifNIT 2;0-00 40568 12-27-83 WATER CONN. 450.00 11 ii BUILDING PER. 8737 SAC 525.00 PARK This request void Z - ;k,7-Q 7 q/700 18 months from W 079229 L L1 7• 0 Request a too No. Rough-in Inspection Regmred? Ready Now Will Nolifv. InsPer.- r 7j Pes No mr WF,en Ready 1~( Licen ed Electrical Contra or I hereby request inspection of above o Owner electrical work installed at. Street Add 4 Boa or Route Non City J 7~ ✓~j c` ecLOn Township Name or o. Range No. Coun Occupant 1 PRINT) Phone No. Power Sup Dlier Address C. _0 ~1. E ctrical Ceptr' for IComPany Name) , Con actor's License No. a_j$.14 A"j c-! C L 2 Mailing Address (Contractor or Owner M ag Installat onl ~f ~o Ga .3 Aut igriature (Contractor r m ing Ins talla[i 1 Phone Nu e THIS INSPECTION EGUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs•Mldway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St- Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS ENCLOSED. r, .Z r o 7-_ REQUEST FOR ELECTRICAL INSPECTION ES-00001-04 w: V~Up ~(3J=~''~ ' SeQQe instructions for completing this form on heck of yellow copy. / Re o(w or Lovered by This Request N.V Add Bap. Type of Building Appliances Wired Eqo4arne.t Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then pem y Olher IS pacify) t eri pacify Other othn, Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/SUbfeeders # Fee Circuits 0 to 200 Amps Oto 30 Amps Oto 30 Amos Above 200 qm ps 31 to 100 Amps o° 31 to 700 Am s Swimming Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms gp Portia L'Other Fee Signs Special Inspection TO Remarks Liz-! Rough-in ( Date I, he caries) Inspector, hereby certify that the shove Final inspection has been made. Thi_e fnnuest void is months from CITY OF EAGAN 0 8737 3793 Pilot Knob Rood Eagan, MN 33122 PHONE: 434-8100 { BUILDING PERMIT Receipt # '^~1J To be used for SF DWG/GAR Est Value $52,000 Date DECEMBER 27 . 19 3 Site Address 4675 BEACON HILL RD. Erect )b occupancy R3 Lot 21- Block I Sec/Sub.BEACON HILL Alter ❑ Zoning R1 Parcel #(--10=13500=210=017 Repair ❑ Fire Zone V/A Enlarge ❑ Type of Const. W Name QAK-CHASE. BLDRS _ INC _ Move ❑ # Stories z Address 3460 WASHINGTON DR. #204 Demolish ❑ Length 38 City EA,AAN Phone 454-7965 Grade ❑ Depth' 46 Sq.Ft.- Name SAMF. Approvals Foes 0 ou Address Assessment Permit_ 289.00 Ug City Phone Water &Sew. Surcharge 26.00 F Police Plan check 144.50 Uw Name Fire SAC 525.00 ~Z ue Address Eng. Water Conn. 450.00 iW city Phone Planner Water Meter 60,90 Council Rood Unit 75()- 0 1 hereby acknowledge that I have read this application and state that Bldg. Off. 11 /22/8 the information is correct and agree to comply with all applicable APC Total $1, 744.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: OAK-CHASE BLDRS. INC. on the express condition thm all work shall be done in ac~coreonce/with all a able State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4ta AC f!% ' 4P --For-- Offic-e-Us-e ~ -7 / I City of Ea~aIl I Permit# ~I}/V~ / j Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675.5675 lr ~a_ Fax: (651) 675-5694 1 Staff: -~r 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Data: '7730-019 Site Address: 4In74~_ je4~,LQv. M1( a Tenant: Suite RESIDENT/OWNER Name: w,i Phone: Address / City / Zip: A75- E ec.t Ln,, H i, l eg X45 A AJU !;r Applicant is: Owner -A Contractor TYPE OF WORK Description of work:AA r-C - roo f Construction Cost: 7 Poo Multi-Family Building: (Yes / No .4-I CONTRACTOR Name: L1</,44io-_,ce Ci S~6>r 4 AU-1, License Address: a,` Ol a-If?~ ! IC)q City: Inr-A 4 V'( I Ut State: MA) Zip: Phone: f l~'q CS: ) Contact Person: d1j6LA @-''✓" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet New Energy Code Worksheet Category Submitted Submitted (J 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 if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in(( the case of work which requires a review and approval of plans, x /c~e~vt~ tMS x Applicant's Printed Name Applic is Signature Page 1 of 3 GAS WORK ORDER 1082 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 Minneapolis, MN 55408 651/772-2449 6 HEATING 612/824-2656 & AIR CONDITIONING A Blue Doe' Service Co. EQUIPMENT INFORMATION LAST ~ A,{ F"IRST TYPE ADDRESS MAKE CITY 54~;gi ZIP /ZZ MODEL U),64- 0 oaL107G A HM PH WK PH SERIAL 700 14 6 ~Igll TECH K, DATE /a /2 z /oa INPUT DOC) ORSAT TEST RECORD C02 7, % METERED INPUT (p /o " Cfh CHIMNEY TYPE 02 % LIMIT SETTING-Q` ° FLUE SIZE In. CO % PILOT OUTAGES ` 4,~ / seC CONNECTOR SIZE In. NET STACK TEMP _30';- ° TOTAL CHIMNEY INPUT ©(o. © btuh CITY USE ONLY LOT 7c ~1 BL II PERMIT Lf 1 -L 0C f I SUBD. ILQ C-d V~ C ~ I RECEIPT RECEIPT DATE: I Cl 0 y 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGM 3850 PILOT KNOB RD EAGAN MN 55125 Date: / J 651-681-4675 Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeline, adding to, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New ~P Replacement _ Other X Furnace 7 _ Air conditioning Air exchanger Other Fee $ 30.00 State Surcharge 50 Total $ 30•.50 Reminder: Call for final inspection. Dn J SITE ADDRESS: q6 -7 Z~ OWNER NAME: G C' W~ PHONE#: lO -ham/-9 y3 (AREA CODE) INSTALLER NAME: PHONE RAE - _ (AREA CODE) _ STREETADDRESS: ttt)r: _.?L="tL 1t7f3~2•i~Y CITY: STATE: SIGNATU DEC 2 8 znoc R.. PERMIT CITY OF EAGAN 3830P]o16<n&Road PERMIT TYPE: BUILDING Eagan ~Minnesota 55122-1897 Permit Number: 0 3 3 4 8 0 (612) 681-4675 Date Issued: 0 9/ 2 5/ 9 8 SITE ADDRESS: 4675 BEACON HILL RD LOT: 21 BLOCK: 1 BEACON HILL P,I.N.: 10-13500-210-01 DESCRIPTION: R E R O O F BU ,k Tfig;,Permit Type STORM DAMAGE B ilding Ute-xk Type REPAIR a~1*en5:s Code''x ea 434 ALT. RESIDENTIAL r rc 6 E s. " .a'dR p 4maY § t4 ya}gS f3P§' a I41 g E &I$ ~@ S J k y§tpt?R415d p. 'mt4: e z ss§i aa-,F ~ma!~P % .§slm_ `c REMARKS: FEE SUMMARY: TRKTIg9,G pp 18950040 20139140 PA"QNER: BUCK 11583 RUPP RD u4675 BEACON HILL RD BURNSVILLE 'MN 55337 EAGAN MN 55123 (612) 895-0040 (651)681-9434 1. hePebj adknQwledqe-tf" tr have rr64 t. h i appLio tion`a,nd st Ce: `ltai the Tl armai ion =is cdPrect and agreO to c6mp, Y"w - all applicable State*of, hn, tatutes• and City c Eagarx"„Ar,dinanc"es, r= APPLICANT/PERMITEE SIGNATURE I ED BY. SIGNATURE' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) a CITY OF EAGAN 3830 PILOT KNOB RD - 55122 `C 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; 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: q 21-T3 CONSTRUCTION COST; p5 7495.60 DESCRIPTION OF WORK: c) pm QQ! STREET ADDRESS: LOT: a\ BLOCK: SUBD./P.I.D. l CGn1 4 l I Name: C L l JX 61) (I ,L- Phone PROPERTY Last irs OWNER Street Address: -q 162e a C lO n I7I / / City6 State: Zip: 676/ Z.2 Company: 7F_4-irl~o V~ Phone L16 CONTRACTOR / a" .L!3-!? 60 Street Address: I ~1 Z , cQ1 p Q~ ,1~ License # 26 city State:J n& Zip: ~ ,3c 7 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (clew construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No j I'l, I IJ L1 i Tree Preservation Plan Received Yes No Not Required I PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 2 6 6 (612) 681-4675 Date Issued: 0 6 / 17 / 9 8 SITE ADDRESS: 4675 BEACON HILL RD LOT: 21 BLOCK: 1 BEACON HILL P.I.N.: 10-13500-210-01 DESCRIPTION: mwi1oairrPermit Type FIREPLACE ulld>ng "iprk Type NEW v- C-ensusG ode, 434 ALT. RESIDENTIAL wP a ~c nT. fl 9 i ' 6m l 'ibI •dV ' idip = z. w~I L ew ;_u a 9 ` } ¢'m"':!% m t g aJi 3 ai iI81 i'K Y~ iii £4 ffi £V $F( i9u w`4t ~a xx r REMARKS: CHIMNEY/FLUTE MUST BE INSPECTED BEFORE CONCEALING FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 DAY BUCK 3850 W HWY 13 4675 BEACON HILL RD BWRNSVILLE MN 55337 EAGAN MN 55123 (612) 890-0758 (612)681-9434 I h.erebyacknowledge th4t, S tiaue read"tHis fappli at$an `dnd sta° tFt~t the. 3nFormation= as cori^eot and 'a'gre'e' to' O-Dmply~ --th ai- ap(Zlica(sle to `e :if hlr 21, i S'ta'tutes and; Clty o Fag;i tli d`ir8nces, APPLICANT/PERMITEE SIGNATURE I SUED BY SIGNAT E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 f DATE: ~(Il in oC h 7 E- PERMIT FEE: $50.50 DESCRIPTION OF WORK: Construct new fireplace Alterations to existing Install Baas insert only Install eas line only Other JOB ADDRESS: S &eaLcokl LOT: '7-' V, BLOCK: SUBDIVISIONiP.I.D. APPLICANT (circle one only): OWNER CO A~CTOR 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. lf g~~//77 Name: QU 4 13 fit G V Phone k - PROPERTY Last First OWNER Signature: / Street Address: Q 2~. Ijeawt l I o k)aZ city C( r~ Y1 State: P-A/ I Zip: Company: Pi V, a ~ePhone FIREPLACE r INSTALLER Signature: p~ /~~~~y Street Address: g iT ((/rw License # +20 y 7 ~1 City u 1^ to S U r 6 State: R/ V • Zip: Company: Ail Phone GAS LINE INSTALLER Signature: Street Address: DC~C~~~ JM I Z N8 PERMIT Control No. 0238 CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Permit Number: 000258 Eagan, Minnesota 55123 04/15/92 (612) 681-4675 Date Issued: SITE ADDRESS: 4675 BEACON HILL RD LOT: 21 BLOCK: 1 BEACON HILLO DESCRIPTION: Building Permit Type RES. ADD/PORCH Building Work Type NEW UBC Occupancy., R-3 Building Length. 12 Building Width 10 r r ~i - - REMARKS: / RECEIPT M G ~~l INCLUDES 10' X 10' DECK FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge $2.00 Total Fee $65.00 C0NTRP ~OR: - Applicant - OWNER: A T WORKS 18316675 DAY WN 8400 NORMANDALE LAKE BLVD 4675 BEACON HILL RD BLOOMINGTON MN 55437 EAGAN MN (612) 831-6675 (612)636-6456 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 Mn. Statutes and City of Eagan Ordinances. ✓ ~L R- t c L d ' A RMITEE E SIG URE I UED Y: SIGNATURE PERMIT s _ CITY OF EAGAN y, 1992 BUILDING PERMIT APPLICATION f p ~FCo 681-4675 SINGLE & MULTI-FAMILY 2 sets of;plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made r lot change is requested once ermit is issued. Date T / 7 / Valuation of wor ©a Site Address: ~L7!~ Qe4r'On 11%j STREET STE ■ Tenant Name: { < < 14 t'Vl . LOT 21 - BLOCK suw. ~CRCf~Yl~~1 P.I.D. IN Description of work: PCB C G The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name t tea y✓1 Phone t/o gl -4y3 y 4 NC Property LAST / FIRST V36 _V S Owner Address 7 j i3 e6cyf I L l LoXe - 931-4675 city _6( Q STREET State 8TE M I Zip fJ `J Company l~I R S ~ & (A) p Phone ~;3 i - 66 Z Contractor Address b.•b k k 0.~ License n # Exp. City D~Mt ~X~ C)0 State I Yl n 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 1} applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: JLYJ vrrwc aiac v~~r.r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ O6 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace 11 Res/Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 31 New ❑ 34 Repair ❑ 37 Demolish 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy-3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance RE1y1 ARKS : SGR EtiETJ Pa acH~ REQUIRED INSPECTIONS ALSO 1 o x rv t>CcK ❑ Site W Footing ❑ Framing ❑ Insulation CI 1.41. !board P Final ❑ Draintile ❑ Fireplace Permit Fee 63.Do Vatwt;aoe s 4000' Surcharge, Plan Review f License 0 )4-i2 = I XZS~ MWCC SAC City SAC ac o Water Conn. l ° o Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Bed. Copies Other Total: SAC % SAC Units (-THIS IS NOT A SURVEY) - INSPECTION DATE FILE NOB22-34106 LEGAL DESCRIPTION LOT 21, BLOCK 1, BEACON HILL, COMMONLY KNOWN AS 4675 BEACON HILL RD , I t 1 i I I I F I. . ' ' I I I I I I I ! I I I j I I i i j I I I I I I ~ ~ I r I ~ ~ I I I ~ i ~ j I I ~ I , i 1 7 I j 3 j I ! I I i ! I ~ I I. ~ ! i , 1 j I , 1 j! i I l i 1, I ,I 1 I` r j I i i _ I 11 I i ! I I I ' i i I I ~ ; I I I I ~ i i I ' ~ I I I I fiC i I I II ~R~ I j i I I. I I a ! I i G I I j I I I I I I I I I i ' ~ U i I • ( I I 1 I I ~ i i~ I i. I I V i i I I { ~ I + I j~ i i I I I l 1 . I l i i I I ~ I I I Il 1 1 ~ ~ I 1 I I I I I 11-. t I I ' I l I j I j I ~ I j ~ I I~ I I I ( f I I I I i i I I I I I ~I I I I I ? I I ~ I l I ' r I I~T_ l l I Arno I r 1 1 I l I i I i l l I l i I ttI I r i~ I I~i- I -I i I 1 I I E i i t I l I j I 1" ' ( f! I I I t I The Information relating to the dimensions shown on this ashiblt are based upon the recorded plat or map in the county records. The locetlon of immove- ments is based on an Inspection of the property and is not based on measurements. The liability of issuing agent and the company as to information Con- . tainsd herein is limited to that contained on endorsement CLTA term 118 131181• Form 2758 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. +G o.,r -91 To Be Used For Single Family Valuationo C e, Date November 18, 1983 Site Address: 4675 Beacon Hill Road OFFICE USE ONLY Lot 21 Block 1 Sec./Sub. Beacon Hillj&Erect X OccuPancY Parcel -gyp 0. Z-f 0 Alter Zoning _ Repair Fire Zone A Enlarge - Type of Const. Owner: Oak-Chase Builders, Inc. Move # Stories Address: 3460 Washington Drive 9204 Demolish _ Front $ ft. Grade Depth ///0 ft. City/Zip Code: Eagan. MN 55122 Phone 454-7965 APPROVALS FEFS Contractor: same Assessments Permit o~8 Water/Sewer Surcharge a Address: Police Plan Check City/Zip Code: Fire SAC o96- Phone Eng. Water ~ Planner Water Meter y Council Road Unit Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: Phone Tam /i ~'~V ' S U Certificate fors Oak Chase Builders d. Centex Homes Midwest Inc 4525 Oak Chase Way Z. 8601 Darnell Road Eagan, Mn. 55123 Eden Prairie, Mn. 55344 a DELMAR H. SCHWANZ 11• LANDSURVEYOR w RegiStWeO UndW Laws Of Tba State Of Minnesota l Z 2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66088 PHONE 612 4231769 M I' SURVEYOR'S CERTIFICATE ~ i~ ti 934.68 934 ~ 1,p V% ~y jo1NNB TnPNNd ( I 0¢ w 13 93z.~ ~ti/ 93~. ro ~'1 /0' ~0 T21/* 22.67 ~L acK L 23.47 w q yA N ,t (A V) Drainage & t^ utility M ti o I easement 24 35 4g6 _ o 0 k 3 ooq alp . I N 6 q ' 1(o OQ IV t1 131. L) 933 g8 93S 9S 934.63 I rolp/IN8 -yp#do O Denotes set wood hub Proposed ga ge floor p Denotes iron pipe elevation i 9r I hereby certify that this is a true and correct representation o;' L6t'321, Block 1, BEACON HILLS, according to the plat thereof, Dakota County, Minnesota 94o.Z Denotes existing elevation July 5, 1979 Denotes proposed elevation Revised November 14, 1983 to show the location of a proposed house as staked thereon. MINNESOTA REGISTRATION NO.8626 P c a Q/~Yv a`~p S EXTERIOR ENVELCPE AVERAGE 'U' COII?PUTATION OWNER SITE ADDRESS CONTRACTOR DAM PHONE Determine working square footage of each. 1. Total exposed wall area sq. ft. x .19 - qy,,7 2. Total roof/ceiling area sq. ft. x .04 ° 3 Total exposed wall area above floor y a. Total wall window area b. Total door area c. Total sliding glass area rea a d. Total fireplace wall area e. Total wall framing area (average 10%)... o f. Total net wall area above floor ........iyLe.e g. Total rim Joist area Total exposed foundation area = 140 1 J1 h. Total foundation window area . I. Total net foundation area above grade . ad Determine "U' value of each wall segment. a. x "U" = y b. s/l ~r X "U'l 0 91 D.X "U" D = O f. X „U': e~a/7 1~ A. G h. ;0 X ;'U' a o I. X 1;U1, w 3 ............................................Total a/G.7 If item #3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. ctn --il,3 is .9J Lm ~<3 Y 9 OIZAi`1 5430 GooG Ccj X Total exposed roof/ceiling area J. Total skylight area o k. Total roof/ceiling framing area (average 10% 9y.e 1. Total net insulated roof/ceiling area eyrG,o Determine 11U' value for each roof/ceiling segment. J. a x Uu;: c, o k. y O X -'U" X .;U1, 4 ..Total = ~3•L If total of k4.is the same as, or less than #2, you have met the intent of SBC 6006(c)l. o9n,# y (17? 3,4) L'Clev, -J, .2 ` G Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items N3 and #4 shall not be greater than the sum.of items S1 and 92. l._3YL,2+ 2. 99,&- 3 8?,3 ..2iA,7 + 4._,73, _ "3 p Cc-)y0,3) ~c 3) 7 r 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan AIN 55122 Telepb one # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoalr Requirements 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks l set of Energy Calculations Addition - indicate ff on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Mirmegasco mechanical ventilation form - 00 Date / (ap Construction Cost Site Address y CD~ 5 1~ ~Cd Iy l n Unit/Ste # Description of Work ~~~1~ /~Qp r Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ I _ 2 Property Owner tl~)1, tC1 Yri U Telephone #k5/) RENEWAL BY ANDERSEN Z Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 5511$ City State 651-264-4777 _ Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category I Minnesota Rules 7672 (,l submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 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 Telephone ) Mechanical Contractor Telephone ) Sewer/Wafer 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 ' the case o k which requires a review and app al of plans pplicant's Printed Name Ap cant`s Signature -VVdf 4V Vt 11LU - t t&.JV i r(ty rod D/t -~4tfp lf8L1~~`lfrs ~1°@iCUfSI(~`$S14 r el RWAM~~ - = June 7, - - - off,--- - 3836 Pilot &toU Road Eagan, MAT 55122 - To Whom Ft May Concern: Eiderlones is alt&Elder'ones to odO tthh to P-U big Knits forRena date beyond 6161 1 iis sec far us to . 7Ttis aud~os32aEionfig vend fyrow to the City_ ' wadi aOriedrai by ~dGtsan managar ey mvoIo~s ft in writing I request this authoftation be - te. our buff ding any fuithaar. Please flously, 8.4 to not daisy to rho papi ttg of r contacted at 763-502-4706_ cln ~ if tficic arc anY VOW 9M. I caa be Your in mpdiaie attention to:i& matter is aid SinoeYdy, - - - . i - R Y Manager Renewai by Anderson CorM atiun C'fi:arn_Fide~ Sc~ne~ Recaive~ Tuna Jun. 7. 1 07PU Use BLUE or BLACK Ink se Frtaff ce ' w u r 1111 City of Ea Permit Ed ~ Permit Fee: --`~°o 3830 Pilot Knob Road 01 49 Eagan MN 55122 I Date Received: 1 11,4 Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 AUG 0O(E I_ INFLOW & INFILTRATION PERMIT APPLICATION Xv-, Plumbing I Sewer & Water Date: 1 Site Address: Tenant: k ,J Suite Name: -Phone: C9 L `~T RESIDENT / OWNER Address / City I Zip: fJ Name: License Address: City: ( ` ( e r CONTRACTOR 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: t t+~ DESCRIPTION A k 1. FEES $55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applicatio r 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 o o IOW i requires a re ie nd approval of plans. x x xJhW ~ - Applicant's Printed Name Ap icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128169 Date Issued:10/28/2014 Permit Category:ePermit Site Address: 4675 Beacon Hill Rd Lot:21 Block: 1 Addition: Beacon Hill PID:10-13500-01-210 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. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William Day Jr 4675 Beacon Hill Rd Eagan MN 55122 (651) 681-9434 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /1(SA Permit #. / /0 I I1 r '"•� Permit Fee: / �' `�' I Date Received: °"3-1 _]"f _1 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 —/ - J 7 Site Address: 7075— //4 £'o Resident/ Owner Address / City / Zip: '/4, 73— .?m„4' //JI L /4 e,46.4.-) i'.$ / z Name: Gi/i, /AA -7 Unit #: y Phone: 45-f-.Fg 7-55'167z/ Type of Work Contractor Applicant is: Owner / Contractor Description of work: a/3% /�Z7" 0 F 149.0Fi",i,, ne 1744 ' Construction Cost: 6 (Cs VD Multi -Family Building: (Yes / No V ) Company: /irk Lp&E alzi G"1', Contact: /'?i cCG- G!Z -4:746 -- 7 7 ZZ Address: Z4ZS 2O'`"'Av -,t) City:/7/Icy.,-)ArrilZ State: -Zo Zip: S`5- 9Y Phone: 4/Z-676-'7 7c ail: • Cdh* License #: lTLr3'3"/Q/ 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: NOTE: Plans and supporting documents that you submit are considered to be public utforrnation. Portions of the information may be classified as non-public if you provide spec is reasons that would permit the City to 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. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecali.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; 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. x ki iewA FL s ,'// '' x �7.� ‘CG Applicant's Printed Name Applicant's Signature Page 1 of 3 2/4,-75' % X60,4 4(1( D FOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wali DESCRIPTION Valuation Pian Review (25%_ 100°/yn ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior improvement Move Building Fire Repair Repair 3a470 Uf3 Porch (3 -Season) Porch (4 -Season) — Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water `Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: I DtAA iY1 i k 11h Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building — Siding Demolish Building* Reroof Demolish Interior Windows — Demolish Foundation Egress Window — Water Damage *Demolition of entire building - give PCA handout to applicant ,r(2 -- ? 2-- i MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required 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 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 Copies TOTAL /9D r4r 1A 2 d. o c) 5.2 Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142010 Date Issued:04/11/2017 Permit Category:ePermit Site Address: 4675 Beacon Hill Rd Lot:21 Block: 1 Addition: Beacon Hill PID:10-13500-01-210 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement 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 - William Day Jr 4675 Beacon Hill Rd Eagan MN 55122 All Pride Plumbing Inc 21977 Heidelberg St NE Stacy MN 55079 (651) 775-0545 Applicant/Permitee: Signature Issued By: Signature