4722 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4722 Beacon Hill Rd
Lot: 34 Block: 6 Addition: Beacon Hill
PID:10- 13500- 340 -06
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Quesetions regarding electrical permit
445 -2840
Ashley Orman
410 W Lake St
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Jose A A Gonzalez Rocha
4722 Beacon Hill Rd
Eagan MN 55122
Mechanical
EA089856
06/23/2009
ePermit
cal Inspector, (952)
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
'rrafr uf (Orrupttnrg
Citp of (Eagan
' -Ar. ? loPpartmm# a guilding Inspprtimt
T'bu Cr?ti ficate u.cued lrtrrjrtarrt to tbe rrguircmcntj o f Sution 306 0f the Um fom Building
Codc arti f ying that at the tme o f it.ruamt tbi.r strutturt was in cmpliaact with the variow
mrdirraruet of eJx Crty regT(Ltidb WI(lllig [MtSl1t([ItOR of flJt. For the f ollouring:
?
5501
ft: February 11, 1980
piaM o,ea., ow:
* Exterior cement work is incomplete.
rp? IM • CaMMw-YO" KA« -
•M
?
?.5.?.
CITY OF EAGAN Remarks
Addition RF.A('nN HT i.T. ADDTTi N Lot 34 Blk 6 Parcel-l.Q?1.3.5.0.A-311.A-A6
owner ?er r.j ' street 4722 Beacon Hill Road state ?
?
Ml?1 5?122
?s
?T
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. " 1982 1806.93 200.77 9 1806.93 C007594 10-1-81
STREET RESTOR.
GRADING ? 1982 526.46 58.50 9 526.46 C007594 10-1-81
SAN SEW TRUNK Y 76 135.97 9.06 15 90.67 A008956 3/18/80
*SEWERLATERAL 1982 3116.46 346.27 9 3116.46 C007594 10-1-81
WATERMAIN
WATER LATERAL 1982 Q
WATER AREA 1982 198.01 22.00 9 198.01 C007594 10-1-81
* Stubs 1982 g
STORM SEW TRK 1982 359.82 39.98 9 359.82 C007594 10-1-81
STORM SEW LAT lg$Z 9
CURB & GUTTER
SIDEWALK
STREET UGHT
WATER CONN.
o 1
BUILDING PER. igRoy
sa,c 525.00 "
PARK
OF EAGAN
C
WATER SERVICE -
PERMIT
Piloe Knob Road
S PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units:
Owner: '
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge: 'r
Size: Account Deposit:
Reoder No.:
Permit Fee: `
lf ^lf
'
..
I ogree fo wmply wifh the City of Eagan
Surcharge: ?.,:
Ordinonces.
Misc. CFwrges: ±. r
Totol:
By Dote Poid:
I Date of I nsp.: I nsp.:
F c? A OF EAGAN SEWER SERVICE PERMIT
3 Pilot Knob Road PERMIT NO.:
gon, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber.
1 ogree to eomply with !he Ciry of Eagve
Ordinances.
Connedion Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Dote Poid:
R.?
Dote of I nsp.:
inso.:
cinr oF eA"N
3795 Pilot Knob Raad Eogan, MN 55122
PHONE: 4544100
BUILDING PERMIT Receipt #
Te be used Fee Fcf- Vn I- rlerla
Site Address
Lot Block
Parcei .#
lx Nome
W
? Address
"'i11. ('nur-t
No 5501
. }9
Occupancy
ZORIR$
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
? Name ^vv--
0
i?
Address
Assessment
? Ci Phone Water & Sew.
F? .
Palice
FW Name Fire
_? Address Eng.
I hereby acknowiedge that 1 have rec
the informotion is correct and agre
Stnte of Minnesota Statutes and Ci
Signature of Permittee
A Building Permit is issued to:
oll wark sholl be done in accordonce
Building Official
cil
Pianner _
Council _
otion and state that gldg. Off.
with alI applicable APC .-.-
Ordinances.
Erect ?
Alter ?
Repair p
Enlorge ?
Move ?
Demolish ?
Fees
Permit
Surcharge
Plan theck
SAC
Water Conn.
Water Meter
I Total
- on the express condition thot
of Minnesota Statutes and City of Eagon Ordinances.
Paee?M # DaN lawd PoenMtw
Plumbin9 '7c
Mechanical ! i . /,•? - (?, ?
INSPECTIONS DATE INSP. Rough-In Final
Footings ?°- Date Insp, pate ? (rw,
Foundution Plumbin9 ;?-,po• ' B? Aff
?
Frame/ins. f"-n MecFanical
Finol
Remarks:
?
l
13
?
,?
CITY OF EAGAN .
- qp
ISM66 .
_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,
BWILDING PERMIT Receipt #
To be used for POOL Est. Value $L6+000 Date APR Q , 1991?
Site Address 4722 Di.l' ?CON ILL RD L
t 34 BI
BEA?'? tlI?
k b S
/S
b OFFICE USE ONLY
.
O
OC
ec
u 2
ParCel No. Occupancy FEES
ZHUM 6 KERRY YEiil.E zonin9 - 171 oOU
¢ Name (Actual) Const - Bldg. Permit
H
o Address {Allowable} -
h g*?
EA"N Surc
arge
City
Pha ne # of Stories
Plan Review 111.00
?TM p?? I? Len9lh ?`
Name Oepth Gity
SAC
? ? A ,
o
4 Address S.F.Total -
?
I? SAC,MCWCC
? Cily
Pho ne S.F. Footprints -
Water Conn
On Site Sewage _
?
? W
Name
On Site We11
- Water Meter
Z
Address MWCC S tem
?
-
Acct. Deposit
q W Clty Pho ne City water -
S!W P
mit
PRV Required ar
_
I hereby acknowlege ihat I have read this application and stale Ihat the Booster Pump - S!W Surcharge
inlormation is correct and agree to comp wilh
alf applicable State of
Minnesota Statutes and C;w Qf'F,agan Qrd`
? ,
anceg: Treatment PI
Signature af Permitee ???". ' ?•r f ' ?r, ? ?' `" ? ? - APPRDVALS Road Unit
A Building Permil is issuad m- CUST? Tlkw.
? POOLS
Planner
- park Ded,
on the express Condition that all work shall b e done in accordanoe with all Council -
applicable State ol Minnesota Siatutes and C ity of Eagan Ordinances. Bldg. Otf. _ Copies ?
Building Official ? - Variance - TOTAL
warER
SEWER
PLUM8INC'i
H.V.A.C.
ELECTRIC ?
Inaoectfon Oate
Plumber
Final
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, MinneSOta 5512'e
(612) 681-4675
?
SITE ADDRESS:
!
?I..?tN 111 i !
I PERMIT SUBTYPE:
TYPE OF WORK:
', ?. j-,.
I FI I
k11'A)H
(EJIWD O1.J frt.NlAr'EMfN1 )
INSPECTION DA • .,
,
5?
PERMIT TYPE: "" ""
Permit Number: 0 `.;? tj
Date Issued: ? c
APPUCANT:
i,Pa II1?1 f fil? i , . ,I .! < i!? i,! i i t!
, ! i. i.' ) '•!'. i 190.'0
?
?
PermN No. Permft Holda Dete TNephone f
ELECTRIC
PLUMBING
HVAC
Inspection Date Mep. Comments
FOOl1NG5
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING i
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAI HTO
ORSAT
TEST
BLDGFINAL ?'l9-aG /?-1'3 ?f.y.ocrwra- 1'? sc?oJo?P
? Sr. 7?'rkc
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
CITY OF EAGAN Np ?$$ss
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Cl
J, -? ? -? G-1
BUILDING PERMIT Receipt # -
Tobeusedfor POOL Est.Value $16,000 Date APR 9
Site Address 4722 BEACON HILL RD
Lot 34 81ock 6 Sec/Sub. BEA .ON H7 .. OFFICE USE ONLY
Parcel No. acupancy N-2 FEES
Zoning -
w Name THOM & KERRY YEHLE (ACtual) Consl - Bldg. Permit 171. 00
; Address 4722 BEACON HILL RD (Allowable) - Surchar
e 8.00
° City EAGAN Phone 452-4746 s ot Siories g
i>>
401 Plan Review _ nn
Length
o Name CUSTOM POOLS INC oepm 20' snG City
,
?a AddresS 601 EXCELSIOR AVE E S.F.Tolal -
?
Clly HOPKINS PhOne 933-2255
S.F.Footprinls
- SAC,MCWCC
H'ater Conn
On Site Sewage _
?
ww
Name
OnSiteWell
-
WaterMeter
s? Addfe55 MWCCSyslem _
Accl. Deposit
ew City PhOf18 City Water _ S/W Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the Boosrer Pump - S/W Surcharge
inlormation is correct and agree to comply with a{I applicable State of
Minnesota Statutes and Cit gan .
ce / Treatment PI
/
Signature ot Permitee GL APPROVALS Road Unit
^
A Builtling Permil is issued to: CUSTOM POOLS TSNC Planner - Park Ded.
?
on the express condition thal all work shall be done in accordance with all Council -
applicable Slate of Minnesola StaNtes antl City of Eagan Ordinances. Bidg. on. _ Coples
Building ORicial (yIt? ?' -4?OL_dII yyyYYY??? ?1
JJ_l?J
I \ Variance _ TOTAL 290 .00
. ,
crrr oF EaGe?N
9795 Wlot Knob Rood Eagan, MN 35724
PHONE: 454-8100
BUILDING PERMIT APPLICATION
ra be usod fe. SF Dwlq & Garage Esc. vniue 48,000.
Stte Addrpu
34 "
Lot Block
Parcel #
a Nome cen
;
b Address 46
?g
Ci
o Name Sa
a
g? na
reu _
Nome t
Address
I hereby ocknowledge thot I have rend this applicotion and state that
the infortnotion is correct ond agree to comply with all applicuble
State of Minnesotu Stotutes and City of Eagon Ordinonces.
Sfgnature of Permittee
A Building Permit is issued to: cen c H' '
all work shall be done in accordance rt I applimiJ e of_Mii
Building Officioi .C?e - /•-.C x ic •'?
$ec/$ub.
Beacon Hill Court
N4 5501
Recetpt # -??-
n,„. 11-13 1929 79
Erect $J Occupancy K.1
Alter ? Zoning Rl
Repoir ? Fire Zorre 3
Enlorge ? Type of Const. v
Move ? # Stories
Dertalish ? Front 53 fr.
Grode ? Depth 44 fr.
Aoorovals Pees
Asseument Permit 135.5
Woter & Sew. Surcharge 24.00
Poliee Plan check 67.75
Fire SAC 525.00
Eng. WaterConn. 270•00
Plonner WaterMeter 60•00
Counctl NOad Unit 75.00
Bldg. Off.
APC Total 1,757.25
on the express rnndition that
iesoto utes and City of Eagan Ordirwnces.
410, ? 0f LalaIl
3830 PHot Krrob Road
Eagan NN 55122
W40IIE: (651) 673rJ$75
FWr (661)675-6694
.. _________' ;
? j Pererotar ??6v?i ?
1 pwmit Fee:
tU7
tU7
I ?
? Date ReceiMed: ?
1 ?
I ?
-----------'
2008 RESIQENTIAL BUILDING
naft• _?-00 sM naaress:
Tenant
APPLICATION
C?5/ 86 55?
p
(-A
RESIDENT ! OVYNER P??:
Name:
2
Address ! City N Zjp: // LWQ ??? 117 0''f?
App6ran[ is: _ Owner ? Contractor .
TYPE OF WORK Des«iptlon of work: ? am L?
ConsWC6onCost???( J ARulti-Family8uiiding:(YesNa_?Ej
' ? o O
CON
fRACTOR Name: Ltense#:
MBas Design em ,
address:
Cky: ?F stings,?R?`55033 srare: zp:
Phone: Cortact Person:
COMPLETE THIS AREA ONLY IF COMS7RUG7ING A NEW BUILDING
_ Minnesota Rules 7670 CateWrv 1 Minnesota Rules 7672
ErwgY Code • Aesidembal VenNaOian Cazeguy 1 Walsheet • New Enar9Y Code Worksheet
ca"ory s„wnmed sudnmed
0 auwnission type) •energy Ernelope cala,mri«c SLibmdoea
In YAe last 12 morrths, has 4he City oL Eagan issued a permR for a similar plan based on a nmster {t1an7
Yes No If yes, date and address of mas[er pian:
Ucensed Plumbe?• Phone•
Mechanicai CoMracror: Phone:
Sewer & Water CoMrdctor Phone-
:NOTE: Plarts and suPPoofi?9'-documeFrts that ycrt wbvr+it ate twrrsldeorel #o hie Pmb1rC m/oAmattnn. PortForis tlf
the'iiifdr?re"st/oir ??r?"? 4e alas3ilted as'norrpubllc ilYoU P+?"*161601c N?ns fiiat ?iiriirld p'eiriilt the Ci[y?' Yn
concftrde'fhat.Nte arefrdde'?c+?et5: ;.
I hereby acknowledge that this iMOrmafion is complete arM accu2te; that the work will be in cordormanca with the ordinances and codes of the City of
-Eagarr, tltai 1 understand tMs is nM a permit, but only an application fm a permR, arnd wak is n t ro start without a peimi[; itmt ihe woFic vrill lre in
accordance with the approved plan in Me of xrork which requires a review ann?n
x? ?! °?. ??3 ApplicanYsTPtiiMed Name ' m's Si9nature
Page 1 af 3
CA
??1 t4cp
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwcllings & townhomes/condos when permits azc required for each unit
r? 0. s L2
Date ';'-7 / OC,
Site Add
Lh :)-'Z U
i
#
ress
, n
t
Property Owner /
Telephone # ?5s? 1;
Contractor
STANDARG MEATINQ 8 AIR CONDITIONINQ
StreetAddress 410 WE9T LAaKE-STREU
City
MINNEAPOLIS, MN 55408
State a19.R?4-2656 Zip Telephone# ( )
Bond #: Expires:
The Appticant is _ Owner ? ConUactor _ Other
Add-an or alteration to esisting dwelling unit $ 30.00
X furnace _Additional _Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Tatal $ ,? • ?
I hereby apply for a Residential MecLanical Permit and aclmowlcdge that the information is comple[e and accucate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; [hat I understand [his is not a
permit, but only an application for a pemut, and work is not to stari without a permit; ttiat the workwMt?bq,in accordance with the
appro in the case gLVork which requires a review and approval of pl
( L)CjMajn
---,
Applicant's Prinled Name Applicant's Sign ?''' i• i
, ri
?7 0 27? ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
?I -?- i.--?-5
4/? m sq 8/ 15 - A?I
U
New Construdion Reaui2menls RemodellReoair Reuuirements Office Use Onlv
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas v12 wpies of plan Cert of Survey Rerd _ Y_ N
(200% meximum lat covera3e allowed) ° i set of Energy CalculaGons for heated additlons TreePres Plan Recd _ Y_N,
2 copies of plan showing beam 8 windom sizes; poured found design, etc. i/ i site survey for addiGons & decks Tres Pres Requrted _ Y_ N
7 set of Energy Calculations Addition - irMkate 8 on-site sep6c sysfem On-stte Sepfic System _Y _ N
3 copies of Tree Preservation Plan'rf lot platted afier 711193
Rim Joisi Detail Options seleclion sheet (budd"mgs with 3 or less units)
Dste $/9 / Q? Canstructian Cost 2l0 ? 7 0b U?
Site Address i
?'{ ? 2 Z p
e A C 0, H,u Q d
'?
UniUSte ii
Descriptioo of Work 12. X I 6-
?? PGLt' 0 1 C? 0 SU r Q cV h?"'Vt {
Multi-Family Bldg _ Y. ? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner S a ? Yj A n C!-, lS? Z A?e Z Telephane #(GS 6 96 - S S 9S
Contractor I l U tj 0S l?oti S e{v OJ-0-r -, e T
Address 2? Y o
. IONU 14 S ?r ? 'I
City rt-?.S-Pviq c
State N Zip
£?f.136z
Telephane#((aSO L/ (X"6,736
GO??MPL?I?`k THIS AREA ONLY ? IF CONSTRUCTING A NEW BUILDING
, ?. ? - -
,, -.-
? ?
Mi esota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype)'-' Submitted Submitted
• Energy Envelope Caiculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master planB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
puAVIe Dogb"S '1???.i0,?
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? OZ SF Dweiling ? 08 06-plex ? 76 Fireplace ?!,- 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchJAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pltg_Y or _ N ? 25 Miscefianeous
Work Types ?istlk_
? 31 New ? ? 35 Int Improvement ? 38 Demolish Interior ? 44
?", 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46
? 34 Replacement `DemollUon (Entire Bldg) - G ive PCA handout to applicant
Valuation 22-- 0 Occupancy MCES System _
Plan Review 100% or 25%
Census Code ? 4 - Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const V('.5 Width
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test , Final
Insulation
r
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doars
REQUIRED INSPECTIONS
Final/C.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
.?'?
Approved By: ? , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3 - S64Saa0
Q??Q
/6?x ?1720
Zj??L;>
? 17LO
.
N
?.; .
i
, y
. ,
1] Road
.ir1e, ASttt, 55344
QELMAR H.:3CHWAMZ
? tJ?NDSVRY?I!PQ-..
NyNtmW UnO?r lnn o? 1'MSI?t? oi MMn?wu`
ma - usrW mRteT w. = Cp7E M RCidMDtIN?;'MUN+esoTA eeaer
?. ,
?MWHEl12?!a 's :K ..
? K
°:?. . . {
r- ?
V
y? X
., i
---_.-
+Z A
s? r
?? 7 ??..' ?-?' • ' .? ? Top° of B1oek 1?Iy`?- Ff ? y?1/?r Gar;:Lz,e Floor
BaBEment Fl oor
Penoteo propased flniahed grade
f ? I iiereby certify that this ls a true and correatr rep2"eBgntation'4P
TE?t 34, Block 6, BEACON HILL, acCOrding to the recorded,plat thereoP,
ako?a County, Nlinnenota.
j
; Dated: lttne 29, 1979
m%NC,gMARK: Top sanitary M.H. at weot intersectian of He'aiCdn ?
? H111 Road and CovinBtqn Ldne F?.BVa?AYC` •`934,9?;'e#'?• i
? ..
SURVEYOR'SCENTIflCATE -
r i3
---
??,.
i
? • GA ? ?"?',ey?i
f
1991 ?IRM 4APLICATION
G? BUI CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTBRED SITE SURVEYS - fi STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFSCATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY AYPLIES WtIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MiTST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SSEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?? ? PID < /1
To Be Used , For :
Site Address •4/z'
Lot ? Block [p
Parcel/Sub ?
Owner
Address
City/Zip Code
Phone ?
Contractor ?
Address /GI?
City/Zip Code?1L/'?j"/?!f
Phone ?-;5, -3
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy ?° ?
Zoning
Actual Const
Allowable
# of stories
gth
?th
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
,City water _
PRV _
oster Pump
??
APPROVALS
Planner `
Council
Bldg. Off.
Variance
FEES
Bldg. Permit '.?
Surcharge
Plan Review , Q
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Ilnit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
? agrees that all work shall be done in accordance with
?t re of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
ion: <A;;?Date:
1 , _ Y
OFFICE IISE ONLY
? .. • ?? K v'?'f A N ? ? . R ???? ?
a ? ?44 ! ' i t,?R j ?.
!
MIj.?1Q?08?+ -,?777
.11 .Roaid?,?R
.1ri'eMR. 55349
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"B184IA@31t FlOOT'
i, a¢os Denotee propo8ed finished 6ra4a.
? . . . ' fMldiT hereby certiYy Si,t thfe is a true and correotr u'41?i
T,r)t 34, H1OC1{ 6 BEI4CA14 HILL, according to thffi z'eaax"dt8d'
akuta Coun y, Minne,eota.
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? .ated: Sune 29, 1979
;
? Bw'1dCHMARK: Tap' Banitary't9.H. at,,,rieit'.intel?+9?
i HiTX Roa3 and CowingtiOY#
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i;s , PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu z L 01 N, s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 6 0 8
(612) 681-4675 Date issued: 1.0I24/ g a
SITE ADDRESS:
4722 HEACON I1Il.L ftD
I.OT: 34 BLOCK: 6
6EAf:ON tiILl.
P.I.N.: 10-13500-340-435
DESCRIPTION:
(wzNOOw
f3urilciin`oFpF'erm.i.r 'fype
au1"1tllt?g ?ork iype
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REPLacEMErvr)
;i= (MZSC.)
REPATR
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REMARKS:
FEE SUMMARY:
Base Fee
5ur-charge
Total iee
VAIUNTION
$74.75
$75.25
$:3,eme
CONTRACTOR: -- Flpplicant - sr. L sc. OWNER:
AMERSCAN REMQDEI_ING INC 15530020 0002406 `(EHl.6 '1-HOMAS
3700 APdNAf'OLIS LN q722 BEACQhI H7L1. fRD
PL4MOUTN MN 55447 ERGfaN MPd 55122
(eiz) 553-e020 (e1.2)688-9086
??4 • s-;J
tt 1995 BUILDING PERMIT APPL CATION (RESIDENTIAL)
iot 681-4675
New Construction Reouirements
BemodeVReoair Reouirements
? 3 registered site surveys ? 2oopies ot plan
? 2 copies of plans (inGuda beam & window sizes; poured fid. design; etc.) ? 2 sKe surveys (exterior additions 8 decks)
? 7 energy calalations ? 1 energy calwlations for heated atlditions
? 1 Vee preservation plan if lot platted after 7l1/93
raquired: _ Yes _ No ?,q
DATE: CONSTRUCTION COST: I/F/??6g
DESCRIPTION OF WORY
3 i RCET AuDRESS:
LOT _?L BLOCK SUBD.?Q ? O P.I.D. #
PROPERTY Name: ?! ?,1P I ?o?'+??5 Phone #: ?gR- R o86
OWNER ? us'?^'*
Street Address??1?????'??
City: ? State: mTJ. Zip: -,
coNrrtnCTOR Company: . M 2t` ? i? Phone
Street Add ress Anorv ajndlxl 1.,nJ License #•
ClrV'?-lr,.n,,,`i-G? YY1h/. S? ?/??
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #Street Add
City:
Sewer & water licensed plumber: _
are requested once permit is issued.
State:
Zip:
Per,afry app4ies if sddress change ar :ot change
1 hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with all
applicable State of MinnesoW Statutes and City of Eagan Ordinances. ,.
Signatu2 of Applioant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122 • '?%' ?"' ?"' •-°"
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
o05 SF M:s;,. a ''Q Mults (add:*,ior.al) n. 15 Ilprk
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
u 32 F;duitior r, 3%+ Repair ? 37 vernoinion
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Variance
Permit Fee 71, 7.S
Surcharge sU
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter ?
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: 7 •?7S'
Valuation: $
% SAC
SAC Units
SUB,ECT: VARIANCE
APPLICANT: TFIOM YEHLE
LOCATION: 4722 BEACON HILL ROAD
EXISTING ZONING: PD-Rl (PLANNED DEVELOPMENT-SINGLE
FAMILI)
DATE OF PUBLIC HEARING: JANUARY 21, 1992
DATE OF REPORT: JANUARY 10, 1991
PREPARED BY: PLANNING & ENGINEERING DEPARTMENTS
APPLICAI'ION SUMMARY: An application has been submitted by Thom and Kerry Yehle
requesting a Variance of 3' to the required 10' side yard setback.
COMMENTS: The applicant, Thom Yehle, is proposing to add living space above his
existing garage. The garage exceeds the fve foot setback by two feet; dwelling space
requires 10'. Mr. Yehle explained to staff that his house is completely finished and they
need more genera] living space. They had a pool put in and at that time did extensive
landscaping to correct drainage problems with their lot and the adjoining lot. There is an
existing drainage route between the house and the pool patio that was designed to carry a
large volume of water from the hill. The applicant feels he cannot damage this by putting
the addition there. The house meets, or exceeds, all other setback requirement. The
engineering department has reviewed this application and the proposed Variance does not
encroach into any drainage and utility easements.
If approved, this Variance shall meet all City Code requirements.
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DenAeu proposed Pinished grade "
ay
T hereby certify Lhat thie la a true and correatr T?pt
?nt 34, H2ock 6 BERCOt?i HILL, ?acaordin?r to the recos?dbF
)akuta Cuun y, Mlnpegota.
' Dated: June 29, 1979
? . . ..1'i{
' BhNC,HMARKi Top aanitary M.H. at,*+edt intsrse?l?
I Hill Road and CoViEtgt"'.I.$ne $14
. - •y
)tevised to ehow yropoeed houee Nov. S, 1979 ?^w
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BUILDING PF.RMIT APPLICATION
Inelude 2 aeta ot plans, 1sita plan w/elevallons and 1 eet of enerqy calculationa.
34 (o 4%Lv
L 8 ock Sec 5uD Parce2 Numher
1u bo use0 for 1'kl'J?A?C.., Valuation
site Aaazess: .41 a'? PA ?ll.
Owner Telephone
Addzess
OontsacLos(aVATEx "IcS M wLaT Telephone .4S?t'
Address C:T
kibwr.
Arch./Fhg. Telephone
Address
OFFICE USE
Erect
Altes
Aapeir
Fnlasgo
bbvs
flemolish
crade
Occupancy p? 3
zoning s?'(
Firc Zone
7ype ot Oonst. .
I of Stories
Front 73*j
Depth '?-
OFFICE jJSB
Dnte of Approval 5 Initial
Assesameat 4? z 11X4 zy?v
Haies/Se?+er '-?
Police
Fire
IM•
Pianner
Council
Pldg. Oft. ,
71.P.C.
FF.&4
Fermit ? rJ ? S CO
SurcharqW.
sL+w Check
snc S 1, o cl
Hater Conn.
Watcr Metor, f?0
QrOAt?U?.1s 'T 5,06
Tarnr. ? .2
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DELMAR H. SCHWANZ
LANDSURVEYON
Reqiiteretl UnOer Laws of The 5lale of Minnasota
2878 - 145TN STREET W. - 80% M ROSEMOUNT, MINNESOTA 66088
SURVEYOR'S CERTIFICATE
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!o 09/
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
70 06
New Construcdon Reauirements RemodeUfteoair Reauiremenis
3 registe2d site surveys showing sq, ft. of bt sq. ft of house; and all mofed areas 2 coples of plan
(20% niaximum lot coverage allaxed) 7 set of Energy CalcuWtions for healed additlons
2 mpies of plan shaxing beam & window s¢es; poured found design, eta 1 site survey for additions 8 decks
1 set of Energy Calculations AddHlon - iMicate ilonsite sepfrc system wft
3 copies of Trce Preservation Plan'rf lot plalled aker 711l93
Rim Jalst Detail Options selection sheet (bldgs with 3 or less units
Date ti /1llYlO/ Construction Cost q? yy9 ~
Site Address ?j o-a ??e¢,,CCTYt ?l?` l?G]• UniUSte #
Description of Work,-&?\OQ Cs uf1C\A6lJ.--)S I , WhN
Multi-Family Bldg _ Y Z4 N Fireplace(s) _ 0 _ 1 _ 2 ? 1-
Property Owner Telephone #((ps 1) (08,(9 S
RENEWAL BY ANDERSEN
Contractor 1920 COLJNTY RD. "C" WEST
Address ROSEVILLE, MN 55113 City
state 651-264-4777 Teiephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y^ N If so, 25% plan review
Telephone #(
Telephone #
Telephone #
I hereby apply for a Residential Building Permit and aclmowledge that the inform n,? ??-' -'•curate;
that the work will be in conformance with the ordinances and codes of the City o Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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.
J-1? w a ?J?enSO ? A, AQ
Applicant's Printed Name ApplicanYs Signature
vvsvd?6V'/1 24V 84.J?1 (??a (OJ D?l .?¢80
ta=rre;, ?renuuae,?e?tt
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City of Eavu -
3836 PiIot Snob Road .
Eagats, MN 55122
To Whom u May Concern:
Ffder Jottes to ??? ?? huiIding permits for Reaeewal by Attdrnsen_ Pieasa s1Iow
provide this S?ryicc for us in F,agan. 'lltist enthorlZatian IQ va(id for any
date bcyond 616101; uuti[ ar6nav,ral by Andemn MMU=
to thaCity ?y ?okea it in wii[!ne
-
I rcqueat this autliozYZation be eccepted expeditiously. as 6o
our baiiding not detay in tEce grocessing of
Pcanita aay furthcr. Plcasc caII mc If thcro aro anq qncsctons., I can Ue
CIDntacoed at 763-502-4706.
Xour immqdiaGc attoatiott to thLc matter ?S a?pr?ated. 9 . .
Sinoei,ely,
Kond R &Rau
astallation Managcr
Renowat bY Andastn Corporatiau
C:c.: KM-F.iciex 7nnea
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waru
Received Time Jun. 7. 1-07Pld
0
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
j City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
_...._._
New Consiruction Reauirements RemodellRecair Reauirements 6?eligg
3 registered site surveys showing sq. ft, of lol, sq. fl- of house; and all mofed areas 2 copies of plan Cer3 ot Suroey Recd Y? N.
(20% maximum lot coverage allowed) 1 set of Energy Calculations forheated additions Tree Pf05Plan Recd _. ?_N, 11 2 copies of pian showing beam & window sizes; poured found design, etc.
1 sile survey for additions 8 decks Tree Pres f?Eqmred ..... isetofEnergyCalculations Additron - indicateifonsdesepficsystem S3hstle5eppc5y5tem -K_N?
3 copies of Tree Preservation Plan if lot platled afler 7I1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date -7 /e,23 / 05 ?j_/ Construction Cost / qi dOQ
Unit/Ste #
SiteAddress ?7o?r /1U
Description of Work
Multi-Family Bldg _ 1' V N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?a r7 ? 3 ? 617 Zgje'Z Telephone #
.
Contractor
Lifetime Siding & Remode mg, nC. c;ty
Address [
State H2Stlofls MN 55033 Zip Telephone #(
_.<.y1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Nliimesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Sudmitted
. 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 Piumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #{
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; I understand this is not a permit, but only an application for a.pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan- the case of work,whiclLr.equires a review and
aPProval of Plans.
J ?
0.il ou
?-'
ApplicanYs Printed Name ' plicant's Signature
?"' .- -
_ ___ _ __ '_ -
Ci4y Ol LQplI i Permit #.
.. I ,.? ?
3830 Piiot Knob Road Permit Fee: ? 1T19,
Eagan MN 55122 j _ a 3 I
? Date Received: ? ?
Phone: (651) 675-5675
Fax: (651) 675-5694 j staff:
`-----------------?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: F_-)eaC Ur-) ? ?? ?? •
Tenant: Suite #:
RESIDENT I OWNER
CONTRACTOR
Name: , f U?
Address / City / Zip:
Name:
Address:
Phone:
License #: (O 1 A ? (,? - aM_
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
Lawn Irrigation Add Plumbing Fiutures
L_ RPZ /_ pV6) .' ? Main _ Lower Level)
Septic 5ystem Water Turnaround
New
Abandonment $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as huilt) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge)
TOTALf
I here6y acknowledge that this inforznatlon is complele and accurate; that the urork will be in confortnance with the ordi
Eagan; that I untlerstand this is not a permit, but only an applicatlon for a permit, and xrork is not W sWR without a
accordance with the approved plan in the case of work which requires a review and approval of plans.
X_ I lc?r?, ? S/'°r o? sP K_ X
ApplicanYs Printed Name nnnr.-a..va:.,?r.:ro .
FOR OFFICE USE
City: Eagan, MN 55123-13:19 State: Zip:
Phone:
Contact Person: El A( , S0 i e. h
New V/Repiacement _ Repair _ Rebuild
Modify Space _ Work in R.O.W.
RENTlAL
7ater Heater Water Softener
si Under:Gi
r2t tlre Mk`WeAe`hi ? D
JAN 2 2 2008
llql 6a rV