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4645 Beacon Hill Rd PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA082754 Eagan, MN 55122 . Date Issued: 04/28/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4645 Beacon Hill Rd Lot: 16 Block: 1 Addition: Beacon Hill PID 10-13500-160-01 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Apple Lake Heating & Air Conditioning Kyle Hansen 207 150th Street West 4645 Beacon Hill Rd Apple Valley MN 55124 Eagan MN 55122 (952) 431-4328 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. Applicant/Permitee: Signature Issued By: Signature YY ~~~ow Y a i aBd~~ VdO 'fir 'V IZZ Terfifiratr of (irrmpanry t } C IP of (Eagan b Dppar#mmt of Building Insppr#inn This Certificate issued pursuant to the re uiremews o Section 3(?6 of the Uniform Building i'` Code certifying that at the time of issuance this structure was in compliance witb the various ordinances of the City regulating building construction or use. For the f ollouring: y j Single FAmi pwg,Gara a 6249 Use choificatioo Bldg. Permit No. Occropaocy Type R3 Type comttnction y Fin 7 3 Zoning District RI UMnerofBuBdfng Centex Homes Addren 4615 Beacon Hill Ct.,Ea"an ~ B.IdiugAddnu 4645 Beacon Hill Rdta,i;ry Lot 16, Block 1, Beacon Hill ; BY, August 26, 1981 / BuildingofficW 4 ~r Date: , l ► T IN A COMS►iCU We RAC[ J ~ b.~.y vii '%y~..~'~..5.~ s =5 .~~..G...w. 1"•`~< ti ii. ',t::v.+"+..~.T'~ 2w, ~ ;.:i. CITY OF~EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. Address: Lit Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: By Date Paid: Date of Insp.: Insp.: CITY OF SAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning! No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road, P. 0. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for i Est. Value Date 5 ,19_ Site Address OFFICE USE ONLY Lot Block ' Sec/Sub. ('F "Ut"' " On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well _ (Actual) Const a Name City Water (Allowable) PRV Required # of Stories z Address City Phone Booster Pump Length Depth p Name _ S.F. Total o < Address Footprint S.F. I.- City Phone APPROVALS FEES m Engr./Assess. Permit W Name 1 , i Planner Surcharge • x ' Address U Council Plan Review a m City Phone Bldg. Off. SAC, City hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee ' Road Unit 4 A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. - - TOTAL ~ ~ ~ , Building Official Permit No. Permit Holder Date Telephone # Plumbing C~i,~ a J i H.V.A.C. Electric - j j 4 -;VC, Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. 1Q- $ Rough Htg. _ Isul. Fireplace Final Htg. Final Plbg. Bldg. Final 7 Cert Occ. Temp. LP Deck Ftg. Deck Final Well / Pr. Disp. • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 s PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name City Water (Allowable) W PRV Required # of Stories 3 Address o City Phone , ' Booster Pump Length Depth p Name S.F.Total o, c Address Footprint S.F. ~M- City Phone APPROVALS FEES CC En r /Assess. Permit VW WW Name g' ~ Planner Surcharge _ g Address Qm City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Permit No. Permit Holder Date Telephone # Plumbing H.V.KC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. ,rte Final Plbg• Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3793 Pll * Knob Rood Eegon, MN SS 12= s CIA PHONE: 454-8100 BUILDING PERMIT Receipt # j To be used for DICK Est. Value $700.00 Dote Play 13 19 33 Site Address 4645 Beacon 11111 Road R-3 Erect ;{1 Occupancy R--1 Lot 16 Block 1 Sec/Sub. F,eacon Hill Alter p Zoning Parcel * -10 1330 160 01 Repair ❑ Fire Zone NA J. silaw Enlarge Q Type of Const. V W Nome Move Q * Stories zz Address 4545 Beacon H111 Road Demolish C] Length 24 C; Eagan 55122 pl1O1e 454-4726 Grade ❑ Depth 10 Sq. Ft. c Name Owner Approvals Fees ip Assessment Permit 13.00 U~u Address F- City Phone Water & Sew. Surcharge • 50 Police Plan check Z NO^1e Fire SAC 00 Address Eng. Water Conn. iW City Phone Planner Water Meter Council Road Unit 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 APC Total 13.5 State of Minnesota Statutes and City o€ an Ordinances. Signature of Permittee - A Building Permit Is issued to: J' aw on the ex 9 press condition that all work shall be done in accordance with all applicable State of Mirnwsoto Stot City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer E lectric Inspection Data Insp. Other Footings -j Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. P t AC Water Describe Location: Well r Sewer Pr. Disp. CITY OF EAGAN 3795 Pitt Knob Rood Eagan, MN 55122 N4 6249 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value bate 19 Site Address Erect ❑ Occupancy Lot T11 ' yO& Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move p # Stories 3 Address Demolish ❑ Front ft. Grade p Depth ft. G Phone Name Approvals Fees 0 u~ Address Assessment Permit City Phone Water & Sew. Surcharge Police Plan check V~ W Name Fire SAC - GO Address Eng. Water Conn. a W G Phone Planner Water Meter Council Road Unit 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official hank # Deft Ime/ h~sittee Plumbing Mechanical fa 9/ /-~-gD ez / Cam. GL<'~ INSPECTIONS DATE INSP. Rough-In Final Footings /v/ Dote Insp. Dote Insp. Foundation ~7 Z7- ~ Plumbing Frame/ins. -,;2 6-,56 Mechanical- Final • ZS' G f' Remarks: / /-,4 ~Q •Q$~ G~~~~""a~ CITY OF EAGAN 3795 Pilot Knob Road No. Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter./Repair. Address Cost of Installation City Phone: Permit Fee Name t Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota $5123 INSPECTOR NOTIFICATION No. Phone; 454-41100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/After./Repair Address G Cost of Installation City Phone: permit Fee Name Surcharge Address e 0 V I City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official `C4 ~.PJri►zwf ~~7'~~ r't~~ PERMIT # (t Jf'~Q u'~ 3/a S PLUMBING PERMIT CITY OF EAGAN RECEIPT # vt.4 ` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: J K CONTRACT PRICE: PHONE: 454-8100 Site Address 4 , BLDG. WORK DESCRIPTION Lot Block f Sec/Sub Res. New Mult. Add-on Name Comm. Repair Address 4 - 6AC,,v , c t 1`2 42 Other m c CityL-- f1 G~ry Phone ti 4 71 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ.- FIXTURES TOTAL Name !1 r» LL Water Closet - $300 $ Bath Tubs - $3.00 3 Address ' Lavatory - $3.00 p City s Phone ` Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - S3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES.. Water Heater - $1.50 MINIMUM, - RESIDENTIAL FEE Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATUR OF PERMI7TEE FEE: '•1 0 STATE S/C: 3 FOR: CITY OF EAGAN GRAND TOTAL:.-," I~ CORRECTION NOTICE DATE: Address ' - • l_ Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct By .~iZ~'^~reti{-- __-c. _ L-_1y.7 .~.-C. :i~-~-rte 1.J -.[~Y i ~ _ i For reinspection Eagan Dept. of Inspection Inspector: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1 , APPLICANT: . 1:1 N 111 1 I 1 1 IiUF+ M!t 1 Al llf4 11 1 1 I PERMIT SUBTYPE: TYPE OF WORK: i INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. l~ Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plug. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final O~ 7 ~ Well Pr. Disp. CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 16 Blk 1 Par Owner ~u LI_ 1 - t'• Street 4645 Beacon Hill Road State___ Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 1806.93 200.77 9 1806.93 0007378 10-1-81 STREET RESTOR. GRADING 1982 526.46 58.50 9 526.46 0007378 10-1-81 SAN SEW TRUNK 3C' 1976 135.97 9.06 15 90.67 A008956 3/18/80 * SEWER LATERAL 1982 3116.46 346,27 9 3116.46 C007378 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA 1982 198.01 22.00 9 198.01 0007378 10-1-81 * Stubs 1982 9 STORM SEW TRK 1982 359.82 39.98 9 359.82 0007378 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Rd. UNIT igq-nn_ 21193 0 WATER CONN. EUILDING PER. SAC 525.00 21193 10/2/80 PARK J This request void 7 ~/~O 9^ - r/1~ G/ O months from J 0 c>< 6 618 6 >21 '-C)7) a a Rough-in Ins pert ion Request Date Fire No. I Required? Ready Now []Will Notify In"ec- ❑yes ❑NO [or When Ready ❑ Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route Nod./ City !O L(5- {]XTC C'f 1 LL 1~'1 Q!✓ ecvon 140. ownship Name or No. Range No. ounty TA k~ 1/T Occupant (PRINT) Phone No. Power Supplier - Address 6lLsz.TrL Electrical Contractor ICompa ny NameI Contractor's License No- S sL Mailing Address (Contractor or Owner Making Installation) A. A gnature ICpntr tor/Owner Making Installation) Phone Nyumber uthoriz;. 1 7 MINNESOTA ST 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 56104 Phone (612) 642-0800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION EE -000001--Os See instruct.; ns fo a~15. O _ o r'jompleti ng this farm on back of yellow copV. 0 66186 X" Below Work Coveted by This Request Hdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightingg Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other speraty Other l5uer:ilyl other Speclty Other Other ompute Inspection Fee Below g Fee Service Emrence Si.. h Fee Feeders/S.bf..d.o; a Fee cir .its 0 to 200 Alp. 0 to 30 Amps 0 to 30 Anydr$ Above 200 Amps 31 to 100 Amps 31 to 100A s Swimming Pool Above 100_Arnos Above 100_Amps Transformers Irrigation Booms Partial 'Other Fee Remyrk5 Signs Special Inspection S w`O rte( d TOT F E Rough.in I he met Inspector, hereby eniW that the above Final Oetc inspection has been - t This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 N2 6249 PHONE: 454-8100 y1 BUILDING PERMIT APPLICATION Receipt # o~ To be wed for SF DWG/GAR Est. Value 40,000 Date I n-2 , 1980-- Site, Address 4645 Beacon Hill Rd. Erect Occupancy R3 Lot___ 16 Block 1 Sec/Sub. Beacon Hill Alter ❑ Zoning R1 Parcel # Repair ❑ Fire Zone 3 _ Enlarge ❑ Type of Const. V W Name nantax Hntn P4 71BidwAnt Move ❑ # Stories z Address 4615 Beacon Hill Ct. Demolish ❑ Front 44 ft. City Eagan, Phone X5236._ Grade ❑ Depth 48 ft. 1Y Name Approvals Fees i< Address aaMe Assessment Permit 115.50 Ut' city Phone Water & Sew. Surcharge 20 _ no Police Plan check 57.75 z ~w Nome Fire SAC 52.cLf- 0n Address Eng. Water Conn. _305_ On a'° Ci Phone Planner Water Meter 6n-nn Council Road Unit 185 on hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1,268.25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: CPntav HoMQg IL2 dfdef3t on the express condition that all work shall be done in accordancce/eAVIt h all applicable ~tot~e of ~Minnneewtq Statutes and City of Eagan Ordinances. Building Official ~~Jec^/ T r - : This request void l ~00 18 months from i I C , 2 Date 2J this Request Fire No. S 9 9 3 4 5 I, asK Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wrung installed at: r l p leet Address or Route No. 4,45 Bo, ( City fixm Section Township Range County Which is occupied by CiUVR 1 (Name of Occupant) Is a roughin inspection required on this job? No ❑ Ye~( Ready Now ❑ Will CaIIV' Power Supplier kh Address fAR,NA/(Y N Electrical Contractor kcS-t- G 1 Contractor's License J.aS (company Name) Mailing Address (j G. (JA RA (E r al tr ctor.or owner )This Installation) Authorized Signature Phone No. ~Fxlgos_ (Electrica co rector or Owner Making This Installation) This inspection request will not be accepted by the C3' tl l~, [f State Board unless proper inspection fee is enclosed. mmnesota State uoara or wectnaty Griggs Midway Bldg. - Room N191 EB-00001-02 t 821 University Ave., St. Paul, Minn. 55104 - Phone 297.2111 ) CU REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 5 9 9 3 4 5 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range 16 Temporary Wiring plea C1 ❑ Water Heater Lighting Fixtures t. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ ommercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm 0 0 QQList List Other ❑ ❑ ❑ Here rs Hem COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersBSubfeeders: # Fee Circuits: # Fee 0 to 100 Amps. s„ 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above I OQ_Amps. Transformers Remote Control Circ. Partial or other fee L- Signs s cial Inspection Minimum fee $5.00 Rem TOTAL FEE 7 J ,~d 1, th t s mf r ll reby certify that the ab inspec.yio7has been made. (Ro F j Pate - T (Final) 6A 1 Le~~ - k f This request void 18 months from CITY OF EAGAN 1 21 3793 Pilot Knob Rand Eagan, MN 55142 N l~l 0 PHONEt 454-8100 BUILDING PERMIT Receipt # To be wed for DICK Est. Value $700.00 Date May 13 _ 19-L-- Site 8Address 4645 Beacon Hill Road Erect 11 Occupancy R-3 Lot 16 Block_ 1 Sec/Sub Beacon Hill Alter ❑ Zoning R-1 pawl # -i-013500 160 01 7 Repair ❑ Fire Zone NA Enlarge ❑ Type of Const. V W Name J. Shaw Move ❑ # Stories Address 4645 Beacon Hill Road Demolish ❑ Length 24 C; Eagan 55122 phone 454-4726 Grode ❑ Depth 10 Sq. Ft.- Name Owner Approvals Fees s Address Assessment Permit 13.07- City Phone Water 8 Sew. Surcharge • 50 Police Plan check uo Nome FZ Fire SAC mG Address Eng. Water Conn. i°' City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that !Ind read this application and state that Bldg, Off. the information is correct and agree to comply with all applicable 13.50 State of Minnesota Statutes and City an Ordinances. APC Total Signature of Pennittee -'s A Building Permit Is issued to: aw an the express condition that all work shall be done in accordance with all app, ble State of solo Stat City of Eagan Ordinances. Building Official CITY OFEAGAN N_ 14472 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# ---Ic To be usedfor FIREPLACE Est. Value $1,000 Date DECEMBER 4 '19_87 Site Address 4645 BEACON HILL ROAD OFFICE USE ONLY Lot 16 Block 1 Sec/Sub. BEACON HILL ADD. On Site Sewage _ Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const x Name JOE & SUSAN SHAW City Water (Allowable) z Address SAME PRV Required # of Stories ° City Phone 454-4726 Booster Pump _ Length Depth rc Name SAME S.F. Total .o Footprint S. F. u< Address a City Phone APPROVALS FEES ux Name Engr./Assess. Permit $20.50 mW t z Planner Surcharge .50 x Address aw City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Ea Orgag dinances. Water Meter Signature of Permittee -t_T Road Unit A Building Permit is issuetl to. JOE & SUSAN SHAW Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minn es Statutes and ity of Eagan Ordinances. Building Official TOTAL 21.00 CITY OF EAGAN N2 14 7 3 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454.8100 Receipt#SAA V-6 To be used for BASEMENT Est. Value $1,500 Date MARCH 25 -19H Site Address 4645 BEACON HILL RD OFFICE USE ONLY Lot 16 Block I -Sec/Sub. BEACON HILL On Site Sewage Occupancy MWCC System _ Zoning Parcel No. On Site Well (Actual) Const a Name JOSEPH & SUSAN SHAW City Water (Allowable) W PRV Required * of Stories Address 4645 BEACON HILL RD ° City EAGAN Phone 454-4726 Booster Pump Length Depth o Name SAME S.F. Total ou Address FootprintS.F. UQ City Phone APPROVALS FEES c Name Engr./Assess. Permit 34.00 mw x~=- Address Planner Surcharge 1.00 aw City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of gan ieene s. Water Meter Signature of Permittee Road Unit _ 1Z1 A Building Permit is issued to OSEP _ AW_ Treatment P1 on the express condition that all rkshallbedone in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 35.00 Building Official,J.J.l)~4~~~. tz_a 000 ss Clt❑r of Ea 8Il j Permit V I U I Permit Fee: % I I 3830 Pilot Knob Road Eagan MN 55122 - j Date Received: n cam,- j Phone: (651) 675-5675 i Statt: ( L Fax:(651)675-5694 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: DIn'"- It'S- I t ` I I Lj, Tenant: Suite RESIDENT I OWNER Name: 5 Phone: ) Address / City / Zip: Applicant is: _ Owner ,Contractor TYPE OF WORK Description of work: ~((yy Construction ~C,ost::- SCI Multi-Family Building: (Yes_/No~ CONTRACTOR Name: U!G a) nth License ilrM) L1SL4 Address: J G~1GLJ1n,,m1 (PJ~VIoriGll A)A2 N. City: r~•114 1I LKY))A-efr~n State: MIN Zip: S5M Phone: GJ1-r~I~ 1-`13J~J Contact Person: Knlren COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaory 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted submitted (d 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: y l 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 app v I of plans. l t Applicant's Printed Name Applicant's Signature Page 1 of 3 9o ao X55-8 I I City of Ea p ; Pemh#: ~cpP Permit Fee: 1 3830 Pilot Knob Road i I Eagan MN 55122 Date Received: Phone: (651) 675.5675 1 Staff: Fax: (651) 675-5694 1 2008 RESIDENTIAL f BUILDING PERMIT APPLICATION Date: OSite Address: ~'i'l4E 32yaoyoo LAJ Tenet Suite RESIDENT I OWNER Name: I. j Phone: &i,7 - ~5 7-1 Address/ . 1 Zip: Applicant is: _Owner Contractor TYPE OF WORK Description of work.. Construction Cost: Multi-Family Building: (Yes_ / N'oX CONTRACTOR Name: License#: ;0 p~1~rqq1~! a Address: } CXi h~ _ I' 1 Zip: 55 City: Ill l~]Q er State: ,~n~V Phone: -flal-g32Q Contact Person: KQ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the lest 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: 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. ciao x ~&A p e x 6m, Applicant's 7d Name Applicant's Sig.-III Page 1 of 3 PERMIT t r~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L~I N G Eagan, Minnesota 55123 Permit Number: 021298 (612) 681-4675 Date Issued: 06/25/93 SITE ADDRESS: 4645 BEACON HILL RD LOT: 16 BLOCK: 1 BEACON HILL P.I.N.: 10-13500-160-01 DESCRIPTION: ldg Permit Type DECK ,Building `Work Type NEW /Building Length 22 ~J Building Width 16 ~l j' Cv U' ~1 p rl, r ~1C `ACC HUH REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.S0 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - RADA MIKE 4645 BEACON HILL RD EAGAN MN (612)727-4501 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 41PEIT2GNATURE ISSUE BY SI NATURE . REAC T iVATE' CITY OF EAGAN oZ S S~ PERMIT # 1993 BUILDING PERMIT APPLICATION / C 681-4675 Cc§ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site curve s, (Apl Zf199yrg calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set-o` - - 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 Valuation of work 000 Site Address: I L4_5- 6eY+CzlJ I-i,~L '2oAA L~6ftT--j s /~-Z- STREET SUITE 0 Tenant Name: (commercial only) LOT (ra BLOCK I SoaD.gr=AGO'J EiilC P.I.D. N A-bVlu . Description of work: r-C. The applicant is: EI.Owner ❑ Contractor ❑ Other (Describe) Name t2M A U`Y\ l\<C.7 Phone (.?&-f` 3 / Property LAST FIRST (`nik 727-yS5( Owner Address C/(ct 's- et-'l STREET STE M City L--)q63\ State V/A Zip 5(~Z 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: ,A1 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish E3 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ~15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length _TT~- On-site well Census Code ~i3 H Depth_ On-site sewage SAC Code APPROVALS o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site .§Z Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee vatu.ston: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units NApu c(- j"j l CITY OF EAC.,N Include '2 sets of plans, 1 site plan w/elevations & BUILDING; PERMIT APPLICATION 1 set of energy calculations. To Be Used For 10W E U JW valuation ~O Date Q2 nj `6Q Site Address: 4co4S ~F - a-iA 4( , V -o, OFFICE USE ONLY LLot_ 1(o Block 1 Sec./Su1b`. Erect Occupancy 10 Parcel `JEl>CQ t~ t-t l LL Alter Zoning / a Repair Fire Zone 3 Owner: CK tAT P- X 1~0~-d ES ll~ i Enlarge _ Type of Const. move # Stories Address: 4(,,V-:; k ~EL~ 3(A e ( Demolish _ Front y=/ ft. City/Zip code: ~j►J} ~y, Lj ~(Z'Z Grade Depth ft. Phone .4 s4 ^ a ~ APPROVALS FEES Contractor: S I--U.^ Assessments 8D Permit I (5 ,SQ Address: Water/Sewer Surcharge 12-0,0 p Police Plan Check City/Zip Code: Fire SAC S Is. a(-) - 53 1 Phone Eng. Water Conn. SCS•00 Planner Water Meter (00 -00 Arch /Eng : Council Road Unit a .00 Bldg. Off Address: APC City/Zip Code: op Phone TOTAL 1 d ~~p , 2 S " J a Y4 V p L VL _C IM Homes Midwest Inc. 801 Darnell Road P~AIJ 53~ Eden Prairie, Mn. 55344 DELMAR H. SCHWANZ LANOSURVEYOR I 9i3°9 RaNtta,ad Undo, Lawa of The Slate of Minnesota JIM - UETH STREET W. - sox m ROSEMOUNT• MINNESOTA E800/ 1 PHONE O7E~ 770V'X \ SURVEYOR'S CERTIFICATE Sr 3 a nj ,~p 0 2 Top of Block 03 a mGarage Floor 956.0 _ZS N S .'b ~~Basement Floor n a~ / \ . Z M _ ~ titia ro 6 .3 opVsSti va N W V% 61 I / L o r s ~ M BLOCK .1 .d US@ ~1B/ / ~hM BRAiN 6F / \ VTICITY EASEMENTS o S 6 9 eSS \ ~ \V ~Q-/ I l v SCALE LIRU1=30~'Qe~ /SS 26 30. Denotea proposed finished grade 0 Denotes iron pipe Q Denotes wood hub I hereby certify that this is a true and correct representation of Lot16, Block 1, BEACON HILLS., according to the plat thereof, Dakota County, Minnesota Julys . 1979 LOWM00) Revised to show the proposed housevon Sept. 25, 1980. Benchmark: Centerline-Centerline Cliff Road and Beacon Hill Road Elevation 944.06 feet. MINNESOTA REGISTRATION NO.5828 CITY OF FAGAN Include 2 sets of plans, VC) 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. 9- Valuation ~+`)O O Date To Be Used For or Site Address A4 / ! 1 2brGoN la r (~Q II OFFICE USE ONLY Lot 0 Block Sec./Sub. AE1 P<< Erect ^ Occupancy Parcel (D /~50~ /~a o Alter Zoning Repair Fire Zone Enlarge - Type of Const. Owner: J F1 fl ~-i/ Move # Stories Address: Demolish _ Front 14ft. Grade Depth ib ft. City/Zip Code: Phone L4 Li - 't 7 Z f. APPROVALS FEES Assessments Permit / 3 b o Contractor _ S S L s~ Water/Sewer Surcharge Address: l 1 Police _ Plan Check SAC City/Zip Code: +1 Fire Eng Water Conn. . Phone 1 1 Planner Water Meter Council Road Unit Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: _ nrrAL Phone nes Midwest Inc. srnell Road Prairie, Mn. 55344 PL.A0 53~ DELMAR H. SCHWANZ LANDSURVEYOR Reei,lMed Unde/ Lew, 01 The Stale of Minnewb I 953 9 2070 - 100TH STREET W. - Sox m ROSEMOi1NT, MINNESOTA 00000 1 PHONE 017 4Ltve SURVEYOR'S CERTIFICATE if0 3 D D, Q ' .IP 0 2 Top of Block Io3 v mGarage Floor 95.0 a 16' n Baaement Floor ®6 \ rs a s i m i tits ~a 6` ~ / 0 J, vd tiW b55ti a / 16 f 5 Lot o Vs 'Eq~ti ` M~ Bcoc; fz Cop"~5 DRAINAGE ¢ / ~ II D \`c rry EA5EmENT5 M I ry~C ez y, 0 569°SS, 3S ~ / ,D IL ,s v/ Scale L ine ~1=3o~ee~ s ~6 30 . ~tl vDenotea proposed finished grade 44- 0 Denotes iron pipe J Denotes wood hub I hereby certify that this is a true and correct representation of Lot16, Block 1, BEACON HILLS., according to the plat thereof, Dakota County, Minnesota July5, 1979 wunoa Revised to show the proposed house"on Sept. 25, 1980. Benchmark: Centerline-Centerline Cliff Road and Beacon Hill Road Elevation 944,00 feet. Yet// MINNESOTA REGISTRATION NO. 0670 f"c~+we,~ L3vSQ uc 11 oJs ~ axt SO3, ? rj uA4J RG f G=tS Q6ncont g ILL WCOd ~~d0.r S: WILL od' STYE-oTa--ptANAc P ~.^-GAMfNfJ, 751-7 poN vSA- So,ST hlA~e~lA/S. L~Mpav\+S, F.piiiS,VAU&11 p~, t75, _ W7ZP. _~rrrLS c.ti~.vTS t'ov>+•"vn v__ Nni a _ s 4t I~ ~f A_ S` p•G p re 9 ark , F ZO" o.G. 2 ro C2~ 9, - e. h ° < = a i ' I i i i i ! f I i 1 a a L ; ~ ~4 0 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: T IVE DLA C~ Valuations 17447- Date: i)_- Lj - 7 Site Address L&LeITj R61ACi 14,LL Ad OFFICE USE ONLY Lot ~~Block On Site Sewage_ Occupancy Q ti n /1 MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) # of Stories Address 4G4g 66ACa JILL P2& Length Depth City/Zip Code E45A~ S~~z S.F. Total Footprint S.F. Phone LA 5 4 - `712 c_ APPROVALS FEES Contractor= Assessments PermitD Water/Sewer Surcharge - , Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL City/Zip Code Phone # 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN INCLUDE ,2 SES, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS SINGLE FAMIL)GSENTAL S NOTE: ADDREORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DEHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWEENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SENS, CERTIFICATE OF SURVEY CHECK WITH BLDG. DEPT., 1 SET OF ENELATIONS COMMERCIAL INCLUDE 2 ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF TIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used F Valuation: Date: 3- Zy- d` d Site Address L4C'' S 6SAC-o.~ /4(&AcQ O-FFICE USE ONLY Lot Block I On site sewage_ Occupancy MWCC system Zoning Parcel/Sub -0C (~UC~ On site well Actual Const City water Allowable Owner SaSS A-SA- SI fFl k/ PRV required # of stories Booster Pump Length Address .Cf~s g;A u~ l1,(-c 2-e Depth S.F. Total City/Zip Code LA-) -t1 ~S757•2-7-- Footprint S.F. Phone L1 S k _ y -7 -2- 6 APPROVALS FEES Contractor 5<SL Engr/Assess Permit 00 Planner Surcharge /,p a Address S/14 Council Plan Review 187 Bldg. Off. y/ 325 SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. 41(7e- 5- Treatment P1 Parks Address Copies _ TOTAL City/Zip Code Phone # ~ ago ~ ~ s a, r lei z~ -P IC r-Lit-/FCIV/L-j4d z ~r 7 r r- 1lV5TALL MECHANICAL -G C) VENTILATION c c 3 ' c~cf 2 0 ~ c"17 w o z~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 3 Telephone # 651-675-5675 FAX # 651-675-5694 r New Construction Requirements Remode[Reoair Reouirements Offce llse tan 3 registered site surveys showing sq. fL of lot, sq. ft of house; and all roofed areas 2 copies of plan t ert ofSurvey Reap Y', N (20% ma)(unum lot coverage allowed) 1 set of Energy Calculations for heated additions TtcePw,Fisn Real rY _ N'. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 6 decks TteaPces Requ7 P~.tl ^ Y ._N 1 set of Energy Calculations Addition - indicate if on-site septic system {?n~,s ~gc.Sy~e,14 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units E~ 50. U C7 Date_ ln~ Construction Cost Site Address (p 41-5- C14LCtJ hti K~ Unit/Ste # E P e-) Description of Work Qty^~ ~V A~Nd Q~I~CCWt(~1l d F W(JC~I✓/CUI~t it`5_l AS tit2C~W S - 2 Multi-Family Bldg _ Y / N Fireplace(s) - 0 ✓ 1' Property Owner Ai C-1 14E~ a~ 124- A Telephone# 41 5-1 > 6S6' ?3 / Ccsfl ZG - ej !Z Contractor 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 Telepq1#1 Sewer/Water Contractor TelepI hereby apply for a Residential Building Permit and acknowledge that thurate; 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. Akt Aad P dllia~i,4 ~ 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 ❑ 09 07-plex ❑ 17 Garage ❑ 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 ❑ r12 12-plexp Plbg-Y or- N ❑ 25 Miscellaneous Work Types (I j (~(~0'~r 14000rrh,,,, r/Zewat, ~ r / ~/L&e4c/ ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation I 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 y k)- Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) -x Final/No C.O. x 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. R.I. Air Test 7)/ Final _ Windows Insulation - ` ~ _ Retaining Wall Approved By: Building Inspector Base Fee ~l as Surcharge a . C) O Plan Review MC/ES SAC 00& 1 lu52 City SAC v Utility Connection Charge S&W Permit & Surcharge / Treatment Plant License Search Copies Other i Total Q - manes Midwest Inc. n• .arnell Road ' PI-AU 531 Prairie, Mn. 55344 DELMAR H. SCHWANZ LANDSURVEYOR I ■ Rglgaan Undo, La.ra of TM State of Minnewta 9y39 2070 - U6TN MEET W. - sox m ROSEMOUNT, MINNESOTA 56OU l PNONE ill SURVEYOR'S CERTIFICATE \ t,~ / 0 Z Top of Block 'D a mGarage Floor 0 (A ! ioqb d' n Basement Floor 7 e i \ s M E r~i, 33 'O J4 ° b55ti Va L r 1 tie ,•f / BLOCK 0 0SVS / MGM ~RAINA6F ¢ ~ o~,i ~ / 0 C / lu VTILITY 6A5EMENTS cc \s$ q~ 2 S 69`SS , ~ t v rf"7 Y/ SGALE L {Ne =144 /ss -26 30 . a Denotes proposed finished grade 0 Denotes iron pipe p Denotes wood hub I hereby certify that this is a true and correct representation of Lot16, Block 1, BEACON HILLS., according to the plat thereof, Dakota County, Minnesota Julys, 1979 1~un°a Revised to show the proposed houselon Sept. 25, 1980. Benchmark: Centerline-Centerline Cliff Road and Beacon Hill Road Elevation 944,00 feet. MINNESOTA REGISTRATION N0.0676 A 1o CAS 6NT a . 4 K D~ Y6~fs bbd FkCL Rrd S UY , ~W as 557 a z C~~Z ~f6 -P13 / Use BLUE or BLACK Ink r For Office Use ~A Permit#: [~V City of Eaing~ Permit Fee: / 7 2.3" I 3830 Pilot Knob Road Eagan MN 55122 `012 I Date Received: Z Phone: (651) 675-5675 MAC 1 I I I Staff: I Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 04\1 \10 Date: / Z Site Address: 464-5- W/J Unit Name: 91'L, /+A10 A1VfA-SjM Phone: t RESIDENT / OWNER Address / City / Zip: '~G ~~^~/~Gr4 /t-//y/ eU Applicant is: Owner `Contractor Description of work: Jee`04v_,~^ dG,f!iNG Z~r4~,c„~G 6N W 44C TYPE OF WORK Construction Cost: 000 Multi-Family Building: (Yes / No Company: 17Yf J 1! AAx Ae i~low_-; ,Ku4744/ Contact: _~;7"X-L4d A~ Z7_PW CONTRACTOR Address: City: mod` 7ti/ to ~4e-C6> State: !all zip: C-601 Phone: 612- 6 00' 6 2 6 6) License '3 6 S Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &/C7- Al-cy ek /mar 7 8 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 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; 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 57`~VVd ~u x Applicant's Printed Name Applicants Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE (-P tJ SUB TYPES ISCrICC,, N 1 Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of _ Plex _ Lower Level Pool Miscellaneous 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 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% Zoning - City Water Census Code 14 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) 4!~ Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Z63 Surcharge Plan Review G'? MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 nzex names mi.awesz inc. 8601 Darnell Road ~1 ~ 53 Eden Prairie, Mn. 55344 /vV10(D DELMAR H. SCHWANZ LAND;URV£YOR 9539 RiWatorod Undo Laws of Tlfo State of Minns,ota 2070 14TH STREET W. - Box M ROSEMOUNT, MINNESOTA QSOSS ` PHONE •13 } f SURVEYOR'S CERTIFICATE 1 D; L Top of Block's VOW 2 . a mGarage Floor 50'.-O z~ s /6,~.3 e Basement Floor n rss V% &P to BLOC; spar ` f M~ 76 s DRAI0A(rV VT IL ITY EA SE ME NT V uM a s 6~ ~ o l,~ a ScALE M L ine.L► 3a~~ ~ss a6 3 0 Denotes proposed finished grade 0 Denotes iron pipe q Denotes wood hub I hereby certify that this is a true and correct representation of Lot16, Block 1, BEACON HILLS., according to the plat thereof, Dakota County, Minnesota Jul 5, 1979 LOCA-M601 Revised to show the proposed houselon Sept. 25, 1980. Benchmark: Centerline-Centerline Cliff Road and Beacon Hill Road Elevation 944.90 feet. MINNESOTA REGISTRATION NO.0