4628 Beacon Hill RdCITY OF EAGAN WATER SERVICE PERMIT
3793 Pilot,-Cnob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner. f'oi•.str u•±_
Address:
Sice Address:
Plumber:
I
? Meter No.:
Connection Chorge: - -
' Size: Acoount Deposit:
Reader No.: Permit Fee:
1 agrae to caeply wi16 Hhe Ghr of Eeyon Surcharge:
' 0?dinonces. Mix. CFarpes:
Total:
By Date Paid:
Date of Insp.: - ,
? Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
379,11 PUoM1Kneb Rooa PERMIT NO.:
Eagon, MN 55122 DATE:
.,,._ .
Zonin9: No. of Units:
. 11.:_C' (ORs tI"UC'--
Owner:
Address:
Stte Address: ' - - ?;,•- , i i ? . , . - ? . ? `.
Plumber. " ' .
1 eorN h eonpir wkh !be Citr ef Eaqan
Oedinanas.
Connedion Chcrge: .'
AcoDunt Deposlt:
Permit Fee:
Surchorpe:
Misc. Charpes:
Total:
Dote Paid:
eV
Dote of Insp.:
Receipt?- -?
I u
1. Date `
3. Job Address
4. Owner
5. Contractor
6. Address
7. CItY
MECHANICAL PERMIT
CITY OF EAGAN
Permit No. _.r ' - Fee
S/C
Tot. ?
Fill in numbered spaces
Type or Prini /egibly
?
/ 5
.. r_ .•' 4• K?.? t-Ci ' 7'i`--' ( (i .
LotBlk. 3 Tract
.,
f y ?.<r
• ?..? .
,. ,
. , Phone
?
State Zip ` -
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New.il Add O Alter ? Repair ?
10. Describe Fuel Type ; ?_ '"•
11.
No.
! Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. - r
ng:
an
Boilers ? F
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and Codes governing this type of work.
Signed : , for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit'when numbered and approved.
Approved CITY OF EAGAN 454-8100
n
1
Receipt ,? PLUMBING PERMIT Permit No.
CITY OF EAGAN - • ;
Fee _
Fill in numbered spaces 5/C j
Type or Prini legibly , - `
Tot.
1. Date 2. Installation Cost
3. Job Address ? Lot " Blk. _3 Tract
4. Owner
5. Contractor ? ?Phone
6. Address 7. City State Zip' '
8. Building Type: Residential ?Commercial O Institutional ?
9. Work Description: New 2' Add 0 Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $pftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : . • `` for
Rough Final
Inspections: Date lnsp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
???
•? - ? -
q'•
. ?
BUILDING PERMIT
55122 Receipt
To b, ?ted fe, SF DWG/GAR Est. Value $64,000 Date Plarch 16 _, 19 Site Addrcss - 4628 Beacon tIi 11_ :toad Ered Occuponcy --It 3
Lot b Black _3 Sec/Sub. BeaCOn Hill /11ter ? Zoninp 7z-1
poroei # 13 13500 060 03 Repatr ? Fire Zone b;A
cinr oF EAcAN
3795 Pilet Knob Road Eogan, MN
PHONEs 454-8100
aWe Nome _
= Addross
.
0
u?
?
Address
Gt1-
Nome _
/lddress
I hereby acknowledge that I hove read this opplicotion ond stote thot
the intormution is correct and agree to comply with oll applicoble
State of Minnesoto Stotutes and City of Eagon Ordinances.
EnlarQs ? Type of Const. V
Move ? # Stories
Demolish ? Length_4.L_
Grade ? Depth 4,? Sq. Ft.
Approvals Fee•
Assessment
Woter & Sew.
Pol ice
Fire
Eny.
Plonner
Councl I
Bldg. Off.
APC
Permit 375_ (]( i
5urchorfle 32 IIP
Plon check 1t' 9 _ 50
$qC 5? 5 _ flfl
Water Connl?SgT{}y-
Woter Meter.69. 00_
Rood Unit 250 . (17
Totcl $1804.50
Sipnoture of Permittee I
/1 Building Permit Is issued to: Blilie Construction on the express tondifion thrn
oll work shall be done in occordonce with oll applicobli State of Minnesoto Statutes ond City of Eoqan OrAinonces.
Buildiry Official
Pormit No. Permit Hoider Misc. Permit No. Holder
Plumbing
H.V.A.C. 3s?? ScaA, 3
W.ll
Water
Disp.
Sewer
ElM•ic w o sQ 8' fla 1C'Ec ?. ?I (? 8' 3
Inspection Date Insp. Other
Footings
Foundation
Freminy ? -?2743
Rouah Plbq,
d
Rouph HVAC ?
Inwlation
Final PI6y. Z4/,qv
Final HVAC JI8,3 611,
Final
wat?r OesviM Location:
YYell
Sswer
Pr. Disp. ?
? ', ' , •_ ?'? .
PERMIT # -?
. PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ? /5 y
3830 PIIOT KM08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address CCA, N tL
Lot -? Block Sec/Sub
i
m Name
?
ZSk I 111L '
Address
c Ciry ' Phone
?
fij
Name
; Address ILJ-
p City
Phone •' - ?-- '
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Oa
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNAT?IRE OF P?,AMITTEE
?
-
i t?
BLDG. TYPE ` WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING:
NO. FIXTURES TOTAL
I_Water Closet - $3.00 $
Bath Tubs - $3.00
? Lavatory - $3.00
_LShower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1 .50
Water Heater - $t 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: `' FOR: CITY OF EAGAN GRAND TOTAL• "
? .?.,.r.?.
CITY OF EAGAN
3830 Pilot Knoti Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for - -?- Est. Value = 1+?' ?,?
Site Address '.,ILL FiL
Lot Block ? Sec'Sub. BLACOt; v I LL -
Parcel No.
¢ Name SON
W
3z: Address
0 City Phone
, o Name
00 Q Address CT
F City Phone 825--2ZJ(
Name -
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: :?:?+?T-•??v
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
N - 161414,5
Receipt # Date . 19
OFFICE USE ONLY
Occupancy - FEES
Zoning -
(Actual) Const - Bldg. Permit 36• %L"
(Allowable) - Surcharge ? • ? `"
# of scories
Plan Review
Length
Deplh - SAG City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
Accl. deposit
City Water _
PRV Required _ S'W Permit
Boaster Pump - g:W SurCharge
Treahnent PI
APPROVALS Road Unit
Planner - Park Ded.
Councii -
B? Off. _ Copies
3 ? '
Variance - TOTAL
? Permit No. PermR Holder Date Telephone #
WATER
SEWEF
PLUMBING ?'.>?.?r
H.V.A.C. '
ELECTRIC ' 00?
Inspection Date Insp. Comments
Footings I
Foundation
Framing -
RooHng
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngclPlan
&dg. Final
Declc Ftg. 40
C
Deck Final Ca
Well
Pr. Disp.
z - ?
BUILDING PERMIT
10675
Receipt #
To be rw/ 1er ' Est. Value Dore 19
Site Addreas Erect ? Occupency
Lot Block
Sec/Sub Remodel
? Zoning
Psrcel No. .
Repair ?
Type of Conat,
Addkion Q No. Stories
Name
? Move ?
ll
D
h ? Length
emo
s Depth
?
? Addres$ Int Impr. ? Sq. Ft.
City Phone Install ?
?
Neme
'
. Approva It FNs
gu A??? Asseument Permit
? Cirv :.? pi,o.,a ? Woter b Sew. Surcharge -
Poliu
Name Fin
Addresa Eng,
City Phone Planrnr
I hercby ocknowledge thct I hew read this applicotion ond store tFwt
tM information is torcect and ogree to comply with all applicuble
StoM of Minnesoto Stotutes and Ciry of Eagon Ordinances.
Siqnofure of Pertniftea
A euildiny Pem,ir Is issu.a ro:
oll work shalt be dorw in occordonce with dl applicoble State of Mlnnesoto
Buildirq pffiNol '
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-5100
Countll
BIdg.Off. APC
Var. Date
Plan Review
SAC
Water ConR
Water Meter
Road Unit _
Tr. PL
Partcs _
I Copies
Total
on tM expnss corditbn thot
ond City of Eoqan Ordinances.
0 Pwmit No. Pwmk HoWer Date ToIsphone ?
Plumbirq
H.kA.C.
ENetric
Sohwwr
InWection Date Insp. Othw
Footlnga 1 -31X
Footings II
Foundstlon
Framing YJZ&
Rooflng
Rough Plbg.
Rough Htg.
Insul.
Finplace
Final Htg.
Flnel Plby.
Final
Cort/Occ.
WatK Wseribe Loeation:
WNI
3ewer
Pr. Disp.
CITY OF EAGAN Remarks
/addition BEACON HILL ADDITION Lot 6 Blk 3 Parcel 10 13500 060 03
Owner street 4628 Beacon Hi11 Road State Eagan, MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ?^ 19 2 1806.93 200.77 9 1806.93 C007397 10-1-81
STREET RESTOR.
GRADING 1982 526.46 58.50 9 526.46 -C-O0-7-3-97 10-1-81
SANSEWTRUNK 1976 135.97 9.06 15 90.67 A008956 3 18 80
* SEWERLATERAL 1982 3116.46 346.27 9 3116.
46
0073 7
10-1-81
WATERMAIN
* WATERLATERAL 1gg2 9
WATER AREA (y 1982 198.01 22.00 9 198.01 C007397 10-1-81
* Stubs 1982 9
STORMSEW TRK 1982 359.82 39.98 9 359.82 C007397 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK I
STREET LIGHT '
0 I 250.00 34808 3-16-83
WATER CONN. 450.00
BUILDING PER.
SAC ?r n
PARK
ls Smw?jclr,.o,pn,a
1?.41`?36
?. w
e9u?l Date Fire No_ RougMin Itispection
iretl?
InsPec-
Vrn-dy Now ? Will Nulity
- JE - .? es N. ,
tar When Reatly
icense0 Elechical Gonvacmr 1 hweb
? repuest inspection of above
Owner slectriol .vk imwlled a2_
SVeei Addr¢ss. eox or Rouce No.
8 ?ACdc?J 7`0?? ? C ity
/?
Ion Ta?hip Naote w No. - lianpe No. Gw y
Occapant IHIINi) - Phore No.
Pawer Supplia Address
Electrical Convactor IGOnpa,ry. Name)
?/yt,?.J•+J /?? Caniractor's Licr,nse No.
C7 ;T
W i Address (Cantractor ar r Makinp Ircstailationi
4 y
AuNprrsed 5i6 mre ( o[raclw/Owner Makinq I.bllation) Phone NumOer
YINH?OTA 5'fp1E ppqRp IEG7RIC ,THiS INSPECTION REQIIEST W ?l NOT
GrimsaliA?sr Bldp- - N-791 M ACGEPTED eY THE STAIE BOARD
1ffi7 Univarsiiy Ave_. SI. Paul, YM 551d UNlE55 PROPER INSPECTION FEE IS
q? 1612) Zy72?1? ENCLOSED.
REQUEST FOR ELECTAICAL INSPECTION Ee-ooooi.oo
•,?? ?? , See ioshuctio'c (or cdipleting14i m m back of Yellav eopY:
11036 "x-- Be,ow•Wo,k ,, ?""e'e.i 6y This Request
dd 11sn. Troa o1 BuiMino Aenl:em..s wbd Equioment Wired
I 1 I I Duolex 1 I Water Heater 1 I Liuhtinu Fixtures 1
lo
• Fee ServimEMnMeSize b Fee Feeders/Subieadcrs R ice Gircuits
Om200 Atrips 0 to30 Anyx
°
Om30Am5
Ahove 200 qmps 31 to 100 Artqs 31 to 1 DO A
Savimmirg Pool Ahove 100_Mips A6ove 100_Am s
Tramimmers Irti4ption BowrF Partial•'Other Fee
Signs Special Impection
OSkL FEE
jti.i n ?8 !d CC ?C '
qpuph-in ? Date a
, ffi n
l
Inspector, hereby
°Q iiv that the wbovo
Firul ? Date pection has bean
.de.
111b ap?l yai018 mmtls Imm
?//4/?,q 9// 9 1?7-
IE 95887L&
AJ' `
,
Request Dflte A Fre No. FougRin InspecHan
R u
e ' ,y?,
ReatlY Now W?1NT
Nobly R
?
?or
tl
e
? N. en
ee
Y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Slreel, Bat w Route No.) r
6 as - City ?
Sectlon No. Towivship Name or Na. Rgng¢ No. Counry
I?J
Occupant(PRINn
/4 1' t C6i A N?{e2SoN Phone No.
?{S'f • BSo?
Power Suppller qdp,aes
EleUncal CoMraaw (Company Name) g? ? Contrac[or§ Licen Q o.?
Malling Adtlress ( tractor or Own Making Iristallafion) ?
14.3r- cJ__r? yGt.?,? .?3
ANhorrzeG Signature (CoMrecbr ner king Installetlon) Phone Number
? R9A5 - ,?.?o0 6
MINNESOTq STATE B($ND O ELEC7flICffV iHi$ INSPECTION REOUEST WILL NOT
Griggs-Mltlway Bltlg. - Room S1]3 BE ACCEPTED BV THE STATE BOARD
1821 Univereily Ava., SI. Paul, NN 55f06 UNLESS PROVER INSPECTION FEE IS
Phone (612) 602?0 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION esn0001 u7
? See instructions i2iwmpleliap Mis toim on beck of yellow copy.
2' 958 8 7 X° Below Work Covered by This Request
ew Add Rep. TypeotBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm ' Air Conditioner
aner (soec,ry) CqrMreclor5 Remarks:
Compute Inspection Fee Below:
# O[her Fee # Service Entrance5ize Fee - # CircuitsiFaetlers Fee
Swimming POOI 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr? Use Ony: TOTAL ?
Irrigation Booms ?
c
Special Inspection 7 O ?0
Alarm/Communication v
O[her Fee ?
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. poughin
Final
oa? ` ?7 `
OFFlCE USE ONLY
This reyues ?ie 18 momma rrom
. » CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for BASEMENT Est. Value $1,500 Date G
Site Address 4628 BEACON HILL RD
Lot 6 Block 3 SedSub. $EACON HILL
Parcel No.
wlName MITCH ANDERSON
0 ? Address 4628 BEACON HTLt. RD
City EAGAN Phone 454-9504
o Name TICKNER CONSTRUCTION
Address 1700 NOKOMIS CT
? Ciry MPLS Phone - 825-2276
r
ww Name
?a Address
Mw CityPhone
a
I hereby acknowlege iha[ I have read this application and state that the
information is correct and agree to comply with all 4appfic State of
Minnesota Statutes and Ciry,e an Ordinane Signamre ot Permitee
A euilding Permit is issued to: TICKNER CONSTRITCTTON
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Occupancy
Zoning
(ACtual) Const
(Allowable)
# af Sroiies
Length
Depih
S.F. Total
S.F. Foolprints
On Site Sewage
On Site W ell
MWCC Syslem
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
eldg. Oft.
Variance
N4 16135
?/M
`". 1989
__
OFFICE USE ONIV
FEES
Bldg. Permit
Surcharge
Plan Review
SAQ City
SAC,MCWCC
Wafar Conn
Waler Meter
AccL Deposit
SIVJ Permit
S!W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
36.00
1.00
37.00
CITY Of EAGAN N? 7841
-+ 9795 Pllot Kno6 Raed Eogan, MN 55122
PHONEt 454-8100
BUILDING PERMIT Receipr # va`?'DV?
Te N ond ier SF DWG/GAR Est Value $64,000 Date March 16 19 83
Sira Address 4628 Beacon Hill Road E R-3
rect g] Occuponcy
Lor 6 Blak 3 Sec/Sub. Beacon Hill qlter ? Zoning R-1
parcel # 10 13500 060 03 Repotr ? Fire Zone NA
V
rc Name Blilie Construction Enia.pe ? Type of Const.
MOVB O # Stories
644 Su erior Ct.
p
? Addreu Demolish p Length 41
c; Eagan 55123 phom 454-1438 Grade ? Depth 48 Sq. Ft.-
p N OWn2Y Approrals Fees
oma
oG Addrats
V Assessment permit 325.00
?
G Phone
Woter 8 Sew.
Surcharye 32.00
?p Police Pion chetk 162.50
Nome
i-z
Fire
5AC 525.00
?Z ?r8m
Erp.
Woter Conn.450 _ (1(1 .
<'" Ci Phone Plonner Water Meter 60- nn
Countil Rood Unit 250.00
I hereby acknowledge that I hove read ihis opplication and stote that gldg. Off.
the informotion is torrect and ogree to comply with oll npplicable 5?
$1804
State of Minnesoto Stotutes and Ciry of Eogan Ordirwnces. APC .
Tofal
Sipnature of Pertnittea
A 8uilding Permit is issued to: Blilie Consttuction on the express eondition thm
oll work sholl be done in ocmrdance wifh oll opplic
a
b tate of Mi ? soto St tr,e nG Ciry ot Engnn Ordinontes.
,.
?
Bullding OiHtiol
This reques[ void -3-1
18 rnonNs fmm
9 40593
L(Q t 637 BL_a-coY\_ W.a'l( 3II (o-l (
/'?' 0 V
Bequest Date
I I Fire No. Rouph-in Inspection
Raqwred?
EjROatly Now C3 W, II Notify InsPec-
?Yes ?No - t.r When ReaOy
Licensed Elecvical ConVactor I heraby requestinspactlon ot ebove r .
Owner electrical work inetelled eY
Sveef Ad ress, 9o r F e No. - f,
? City
?- .fvG 1 L...?J
ecuo o. Towns ip Name or No. Ranee a County ;
Occu nt (P 1 T) •. ?
S Phone. No.
Po er up . ier Addres
l?
icel Contracto ny Name)
1 "". ' t . A .. -?
L3\ 14?_
=
J C?o\n ecmr's?+. L7icense No.
V ? ?
__
? ,
Mailin AdJrass (COn rector Ownar Making InstailatioN/?
?? ? ? ? ??
~
:
? . VC ?-?.i, 1 ? L
Authorized Si re C tractor Owner Makin nstall tin I Phone Number
. < \
MINNESOTA ?p OF ELECTflICITY / 7HIS INSPECTION HEQUEST WILI NOT
r•'^qn-Midw Bldg, - Room N-791 BE ACCEPTED eV THE STATE BOAXO
k^t. Peul, MN 65704 UNLESS PPOPEP INSPECTIDN FEE IS'
ENCLO4En. .
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-03
TS 4 0 5,c 1 ' Sae instrvctions inr eompletin9 Ihie form on beck of yellow copy. ?-. ?/ .
'"X"" Belark Covered by This Request -`i C0 7 I
N Add Pep. Type of 8uiltling Appliancea WireA Equipment Wired
Home Range Temporary S'ervice
Duplex Water Heater Lightin Fixture
s
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm t er oeci v r ISUer.ityl
[ er SUeci y Ot er O e
Campute lnspectioii Fee Below - / • I'" , - ! / "
# Fea Servie
[ # eadors/Subtoadere Fee Circuits
Otol o30Am s Oto30Am
101 t to 100 Amps 31 to 100 Am s
Ab = ove 100_Am s Above 700-Am 5
Tns moteControl Circ. artial%Other Fee
SignS cial Inspection J
g
<
Ramarks A FEE ?
flough-in . Date I, wel - Inapectoq heraby Final Deta carti(v that the nbove
oectian hes baen li
( L ' s de.
Tnic rr ecr vnid
18 months hom
This reques[ void. q-1 ?
18 rtqmhs fmm
Iff' 40598
Lc? /S3 c? ??
4 -2?Sq«co
3s zz3
„.
Hequest ate a
V Fire No. Rnueh-in Inspection
Neqwretl7
?Ready Now ill Notify, soec-
'
? ? +?es ?NO _ ? r Whon F tl
roEnsed EIeG[rical Conlractor I hereby request inspection of above
? wner electricel work instelled at
Streat Address, ox or ovte No. City
? .? e
ec ion o. Tow shi p Name or No. Range o. Cour t
Occu anFl RIfiTI --
- Phone No.
I' j
er OOIi
n G
' '_ Addr. ?s { n p ? ?
Q?? 1
jA_ IX.? `??lJl' ' ?l ,
EI - al C nVactor ?r^?^any N mel
t.s?z-?. C tractor's liconse No. .
Meiling Address ICoMra r or wnr Maki
e B [?sta lationl
AuMOriz iBmature ( ontractor/0 a a' g stallatioN Phone NumCer
L?'
- -- - -
MINNESOTA BOABD OF ELECTRICITY THIS INSPECTION HEQUEST WILI NOT
Grigpg-MidweV Bldg. - Noom N-791 8E ACCEPTEO 9Y TME STATE BOAND .
1821 University Ave., St. Yaul, MN 55106 UNLESS PXOPER INSPECTION FEE IS
nh..... 1812129].21t1 . ENCLOSED.
REQUEST fOR ELECTRICAL INSPEC710N EB-00001-03
n?74 0 5.? 8 ? Sea instructions br completing this form on back ot yellow copy. ?
X'" Belocv Work Covered by This Request . 1 1 J?'522-3
Atld Nep. TvPe of Buildine Aooliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building ryer Electric Heatin
CommercialBldg. Fumace SiloUnloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
F2nn t er Pen y [har ISpecityl
t er Uccity [her . Othar
Compute Inspection Fee Be/ow
k fee ServieaEntrence5iae ft Fee Feeders/Subfeetlars N Fee Circuita
0 tot00qms 0 to30Ams ' + 0 to30Am
101 to 200 Amps 31 to 100 Amps 1 to 700 qm s
Above 200 qm s Above 100_Am s Above 100_Amps
Transformers Remote Controi Circ. Partial%Other Fee
Signs Special Inspection $ ?•? T
Reme rks
Rough-in
Findl ?}J? ? ? /?-
? W?'V/yt+t+a'..?
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Drte
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Inapector, hereby
?a ti fry thet the xbove
inspection hes been
medB.
This reQUest vaid
78 moMhs hom ?
CITY OF EAGAN N! 10 6 7 5
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721
PHONE: 4548100
BUILDING PERMIT
-SEASON P
Receipf #
$7,700 On,e JULY 31 Iq 85
SiteAddre» 4628 BEACON HILL RD
Lot 6 alock 3 Sec/Suh. BEACON HILL
Pareal No.
5 Narime MITCH ANDERSON
; Address SAME
b City Pnone 454-8504
o Name PATIO ENCLOSURES
?u Addmg 6219 CAMBRIDGE
? City ST LOUIS PWhane 920-1575
tW Nmne
?? Addresa
.wc uZi City Phone
I hereby ocknowladga that I lava read thia application and state tFwe
the intormction is corcect and ogree M wmply with oll opplicable
Stuts of Minnesoro Stotutas and C'itVq Eog Or ' s.
Slpnotum of Permiftes ?
A Bullding Permif Is issued ro: PATIO ENCLOSURES
all work sholl be dona in occordonce pplimbla Stofe of Mir
Buildirq Officiol ""
Erect ? Occupanty
Remodel ? Zoning
Repeir ? Type of ConK.
Adtlition 11 No.Storiea
Move ? Length
Demolish ? Depth
Int tmpr. ? Sq, Ft.
Install ?
Apyrma4 Fess
Asseument Permit $ 6 8. 5 0
Water 8 Sew. Surcharge 4.00
Police Plan Revlew
Firo SAC
Enq. Water Conn.
Plonnar WaterMeter
Couneii Roed Unit
Bldg. Off. 7 3 0 8 5 Tr. PL
APC Parks
Var. Date Copiea
Total $ 7 2• 5 0
an ths eaprets cadiflon IMt
Iso otut,qs ond City oi Eapan Ordlnonces.
Partni[0:
I ?
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3830 Pilot Knob Road , t pate pece;,,ed: l 00
Eagan MN S5122 "
Phone: (651) 6755675 i statr: ?
Fax: (651) 675-5694 I ----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
nMe:
7enaM: sutteC:
RESIDENTlOWNER r,ame: tCS?-as??-85b?
Address / City / Lp:
Appi'eant is: _ Owner -LConhectcr
TYPE Of WORK Desaiption of work: I fA12 QL F`'
Co?struceon C?t: 551 ?. S? Muld•Family Bui?ing: (Yes _ / No ?
coNrRAcroe r,a„a: vilrvl Lice„sex:
?
adaress: A-AO
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c;?,:?jjU...'Y&2f' srace:.M? ?ro. -'-1-
Phone: ca5i 4`.__ ?`i.ISao ConW Ponon: Knm'1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesots Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . aesideimd vordation.Cmegan 1 wal?heet .?• New Energr Code wafatrees
ca"ory Suunbad SuEnriUed
(J submisslon type) • E^er9v EmisioPB Cak.uta6an Submiued .
In ths lest 12 montho, has tha City of Eagan Issued a ponnk for a simllar plen based on an"ster Pisn?
_ves _No if yes, date and address of master plan:
Licensed Plumber: Phone: I
Mechankal Contraotor: Phone: .
Sewer 8 wuer comracror. Phane:
I nerelry ad=wletlge tlW tlds 6dumallon is COmplete-and acauffie: Em4 tlo wak vAQ ba In rnnbtmanCB vdtlf tlis orcLrmioBS atiu aotles of 90 Glqr ar
Eagan; tha[ i wMerstantl thi6 ii rot 0 pOrtnIL bY[ ONy 2n appkmiOn tot 8 permh, eM work iS rot 10StBR wUfout a pennt GW tlro wdk will Oe in
accwdence with Cie ePProved Wen in the case a1 woAC whieh reqxes a reuiew and approval of DIam .
x N1 - &MYV\?,LCA
ApplicaM's Printed Name
x ,?- ?G/VWYYI??
ApPlicanYs Signalure Pege t of 3
nr ?'.,! }L-jic
1989 BIIILDING PfiRMTT APPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLING3 I? Ir)" 1
?J
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt 9DDRFSSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M03T DF.SIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE B[IILDING PEAMIT IS ISSOED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE i1NIT3 # OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SORVEY - CHECH WITH HLDG. DEPT.v 1 SET OF ENERGY
CALCULATIONS
COMAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
A=*?? luation: 1,r'ol9? Date:
Site Address
Lot ? Bloek ?
Parcel/Sub ?.pnr?sn I,?,Q)
Owner f?1?1p6ritio
Address A 2j 056&/3 0 I (,L 9D
City/Zip Code 6t6fuj
Phone
Contractor i a
OFFICE USE
Oecupancy
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
?i City water
Address P?dl! b?ibn'11?J v! • I PRV required _
?` Booster Pump _
City/Zip Code lhPes? M?+ 6;6W/ /
6PPROV9LS
Phone ? as W-76 Planner
Meh./Engr.
Address
City/Zip Code
Phone B
Council
Bldg. Off.
Variance
Couneil
41-?'?
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOT9L
3G.°D
NOTE: Sewer & Water Permit fees and account deposit fees will be ineluded in the building
permit fee. Processing time For sewer and water permits is txo days once a lioensed
plumber has applied For a permit at City Hall.
'00*141 o 6 7 r
1985 BUILDING PERMIT APPLZCATION - CITY OF EAGAN
To Be Used For:.3Seft&?O R Rch Valuation: ? Date• 7-G?
Site Address: q6 ;,a ?CF{Co?J ??? ?c?. OFFICE USE ONLY
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
_ ?7 ?
Lot : 4
Parcel p
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
Block,5-- Sect/Sub ?rect
? Remodel
Repair
?1
Owner mi TC?t /
Ndr'?o^j Addition
Move
Address ?(o ? ?
?jE?o,?-/
?{ F-? 1\CV • Demol
ish
Int.Impr
Install
City/Zip Code 1/lst1
Phone Us1-/-
Contractor A'F"o Give.l6?v/2r?
Address
City/Zip Code
Phone 920 ?S 7s
Arch./Engr. 9711pu6
?
Address
City/Zip Code
? Occupancy
_ 2oning
Type of Const
x # of Stories
_ Length I S
_ Depth 13
i Sq Ft
APPROVALS FEES
Assessments Permit Co8 '?
Water/Sewer Surcharge t}.=
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council d Unit
Bldg Off'? Treatment P1
APC parks
Variance Copies
iOTAL
Phone.#
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PATIO ENCLOSURES, INC:
621£ CAMBRIDOE ST.
ST. LOUIS PARK, MN 55416
922-8545, 920-1575
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` - , ` PATIO' flrCLOSURES, INC.
,. , 821£ CAMBRIDdE ST.
8T. LOUIS PARK, MN 55416
822-8545, 9204575
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/? CITY OF EAGArI Include 2 sets of lans,
?`a coco > 1 site plan w/elevations &
:LDING PEF2MIT APPLI TION 1 set of energy calculations.
Valuation 0
site Address: Z-1 /?,2 $8 €aeQin 4 i l a
Lot Block ? Sec./Sub.
Parcel #: ?D 13 Soo oCQO d 7a
Owner:
Address:
City/Zip Code:
Phone #:
Contractor:
Address: City/Zip Code: &L S'S l 23
Pnorie # :
Arch./Ehg.
Address:
City/Zip Code:
Phone #:
ODc? Date 3- /" 3
OFFICE USE ODII.Y
Erect ? ` OccuPancY
Alter Zoning le/
Repair Fire Zone A/Q
Enlarge Type of Const.
Move # Stories
Demolish Front y/ ft.
Grade Depth .C? ft.
APPROVALS FEES
Assessments Pexmit
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water.Meter
Council Road Unit
Bldg. Off. -
P.PC
ZOPAL
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. 1Aust show location of streets, lot and proposed buildings; give lot dimensions. (l ot corners n?,d I,;.
' nre to o4e xtake(i before uppraisal is reques[od.)
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112051
Date Issued:07/25/2013
Permit Category:ePermit
Site Address: 4628 Beacon Hill Rd
Lot:6 Block: 3 Addition: Beacon Hill
PID:10-13500-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Mitchell R Anderson
4628 Beacon Hill Rd
Eagan MN 55122
(651) 454-8504
Justkyle
3966 Riverton Ave
Eagan MN 55122
(651) 230-6016
Applicant/Permitee: Signature Issued By: Signature