4626 Beacon Hill RdCITY.OF EAGAN WATER SERVICE PERMIT
3830 Filot Knob Road
P. O. Gax 21199 PERMIT NO.:
.Eaoan, MN 55121 DATE: - '
Zaaiiny: No. of Units: ?
pw„er; F?.ature 61?rs
Address: _
Site /lddress:
Plumber. _
AAeter No.: _
Size:
Reader No.:
Iagroa co comPy whh tM Ciry ei Eaqan
Ordinonoss.
By
Dote of I nsp.:
Connection Charge: 450.00 pd
Atwunt Deposlt:
Pern,?t Fee: 11.00 ; d
Surcharge: .50 >)d
Misc. Clwrfles: 63.00 pti :aot.r'r
Totol:
Dote Paid:
Inap..
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
a ? J. Bdc 21199 PERMIT NO.:
gan, MN 55121 DATE: ' '-
?.
Zorerq: No. of Units: i
pN,ner;
/lddrcss:
Slte Address-
Plumber:
1sqm fo aaeolp wilh !he Citr af Esge•
OrdiwentN.
By
Dote of lrrsp..
ConnecNon Chcrys: 425.3U
AccouM Deposit: i,
Pertnlt Fee: i
Surchorpe: , i
Misc. Charpes: I
Total: I
Dote Paid:
. . . _ ,.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
n nt, i.
To be used for DECK Est. Value $1 9000 Date 19 1
Site Adc?[ess ""&v aora%wen aaw. aU
Lot ? BIOCk SeC/Sub. OFFICE USE ONLY
P3fC81 NO. Occupancy - FEES
W
Name ?D ?ICK" Zoning
(Actuaq Const
-
Bldg. Permit
?s??
Address (al°"iable) - h . ?
? 455
5473
FAW Surc
arge
-
City
PhOtle # of Stones plan fieview
o
Name ?R? ?S??I? Length
oepin
?
snc
city
,
Q
O Address S.F. 7otal _
U
? City Phone S.F. Foolprints _ SAC, nnCwcC
Water Conn
?
On Site Sewage
_
¢
o
W
W Name on sae wen
_
ater Meter
W
?? Addr@SS MWCCSystem -
<W
City Phone
City Water
_ ? Deposit
S/W P
tt
PRV Required - erm
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appiicable, S)8!.9 of
Minnesota Statutes and City of ;sgart 0r¢inaifCes?- _---•-. / Booster Pump - g/yy Surcharge
Treatment PI
Signature ol Permitee
ZARD4K C0lISTRWTION
A Building Permit is issued to: APPROVALS
planne,
- Road Unit
Park Ded.
on the express condition that ali work shall 6e done in accordance with all Council ?
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official I Bldg. Otf.
Variance _
- Copies
TOTAL _
?
Permit No. Permit Holder Oste Telephone #
WATER
SEVYER
PLUM8ING
H.V.A.C.
ELECTRIC
Inspsetion Date Insp. Comments
Footings I
FotMdation
Freming
Hoofing
Fiou9h PIb9-
Rou9h Fttg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspecta - Notity Plumber
Ergr./Plan
BIOtj. Final
pedc Ftg.
Deqc Fnal
weii
Pr. Disp.
CITY OF EAGAN ? 8844
jr :?
3830 Pilot Knob Road, P.O. Box 21-19 9, Eagan, MN 55121
PHONE: 454-8100
BUILDING PER -/
MIT ReceJpt
Te M ?d Mr= ING FAJ; D[,LG d GejjPVale $62,000. Dare 2-23- 84 19
SiteAddresa 4626 $EACAN HTI.I. Rn_ Erod
El OccuponCy_ It 3
Lot 5_ Block I SeclSub. BEACON HI I.L ^lt,,
? Zoning R 1
Parcel No. 1 fl- l 1 50(1-(150..0 'i Repair ? Firo Zone
Enlarfle ? Type of Const.
W Name Move ? # Stories
; Address . QemoNah ? Length_52_
Z? City R1ikAISV71.Mne R94-4$94 Grode Q Depth Ilq. Ft.
o Name FEATUKE BLDRS. Approvals Fees
u? q-ess. 15513 LozaOtO Ln Assessment Permit .319.
City fiurnsv 111 e Phone 435 $443
r Woter 8 Sew. Surchorge 31.00
Police Plcn check 159.50
FW Nef'1e Firo SAC 525.00
?? Address E?g. Water Conn. 450.00
tW City Phone plan?r WoterMeter 63.00
Council Road Unit 260.00
I hereby ackrawledge ihat I have reod this opplicotion and state thaf B?? Off.
the informcfion Is correct and ogree to comply with oll opplicable
Stote of Minnesota $tatutes ond City of Eagan Ordinonces. i80?.5?
APC Totol
5iprwturo of Permitfee
A Building Permir is issued to: 'P1,AI1t:E $ILDRS. on the express rondition thn+
all work sholl be done in occordarxe with all ppplicable Stote of Mfnneaofo $totutes ond City of Eapan Ordinances.
Bulldinp Officiol
ermit No.
P Permit Holder Misc. Permit No. Holder
Plumbing
J s
i
?
H.V.A.C.
Wsll
Water
DKp.
S?vver
Electric }} ?7?, L?,, ?,r? ? 3 0 ? Q • ?
Inspection Date Insp. Other
Footinqs
oundation
Fnminq
Rough P16p. . .y `y .?
Rough HVA
Inwlation
Final Plbq. c
Final HVAC S
Flnal
Wabr Describe Location:
YVell J
Sewer
Pr. D'up.
Receipt,,/
PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
Fi!l in numbered spaces S/C i;
Type or Prin t legibl y To? 1 •_; . J
1. Date_ 2. Installation Cost
3. Job Address L o t ? Blk. ? Tract ct
4. Owner
5. Contractor Phone :i=• f?'
? ?
6. Address
7. Cit i'
Y State ? i: Zip
8. Building Type: Residential VI
9. Work Description: New B
10. Describe
11.
Commercial ? Institutional O
Add O Alter ? Repair 0
No.
. Fixtures
Water Closet No. Fixtures
Cess
ool/Drai
field
Bath tubs p
n
Se
tic Tank
? Lavatory p
Softner
_L Shower Well
Kitchen Sink
Urinal/Bidet Other ?P 1/l•' '= r
? Laundry Tray ?; .
-? ?, ,
/ Floor Drains ? l
a
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that tiie above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : Y?.n for
-T
Raugh Flnal
Inspections: Date Insp. Date Insp.
This is your cmit when numbered and approved.
Approved Q-t <.??-L-z t? •-- -- CITY OF EAGAN 454-8100
?
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN .
Fee
FiIJ in numbered speces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner fj7UiP? /,jLQWS.
5. Contractor Phone
6. Address "
7. City State Zip
$. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New El Add O Alter ? Repair ?
10. Describe
11,
Type ???` f
No, Equinment STU - M. Ea.
Forced Air No. Eauipment CFM
A
Mfg. ir Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mtg, Oth
Air Cond. er
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition RF.AC:(lN HTT.i. Al1DTTTON Lot 5 Blk 3 Parcel 10 13500 050 03
owner =- streEt_- 4626 Beacon Hill Road State Eagan, tiLN 55122
Improvement Date Amount Annual Years Payment Receipt Date
? sTREETSURF. 1982 1806.93 200.77 9 1806.93 C007396 10-1-81
STREET RESTOR.
GRADING fp, l 1982 526.46` 58.50 9 526.46 C007396 10-1-81
SAN SEW TRUNK U 197
SEWERLATERAL ? 1982 3116.46 346.27 9 3116.46 C007396 - 10-1-81
WATERMAIN
* WATERLATERAL 1982 9
WATER AREA 1982 198.01 22.00 9 198.01 C007396 10-1-81
Stubs 1982 9
STORMSEW TRK g? 1982 359.82 39.98 9 359.82 C007396 10-1-81 ?
* STORM SEW LAT 19$2 9
CURB & GUTTER
SIDEWALK '
STREET IIGHT
WATER CONN. 450.00
BUILDING PER. 8844
SAC n n
PARK
CITY OF EAGAN WATER SERVIGE PERM17
3830 Pipt Knob Road 5324
. P. O. Box 21199 PERMIT NO.:
2-29-84
EaSan, MN 55121 DATE:
Zoning: Rl No. of Units: 1
p,,,m,. FEature Bidrs
Addrcss:
1
ite Addreu: 4626 n_a..,„, M 1 Rd L5 B3 B88C^* Hi 1
?Wumber. LakeVille Plbe
Merer No.: ??6 ILa.3 Fla. canmcrian ao.9e: 450.00Rd
siu: cr
I Reod No.: ?
1 agroe ts wmplY whh Mr Ciry of Eagan
Ordinanaa.
By '?
Dafe of Insp.: °
ACCOUnt Deposit:
Permit Fee: 10 _ 00 pd
Surcharpe: SO pd
Miac. CMroes: 63.00 mStt
Total: _
Dote Paid:
' - ? CITY OF EAGAN ?•
? 8844
3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan, MN 55127
PHONE: 454-6700
BUILDING PERMIT Receipr #
To M uwd FerSING FAM DWLG & GAVValue $62,000. pO1e 2-23- 84 Iq_
SiteAddress ????? B&A.!'f1N HTiT RD Erect M Occupancy R 3
Lot5-Block I Sec/Sub. RFACON HT1.T. A1fe, ? Zoning pI
Parcel No. 1 fl_1 iSDQ.(ISn-fl'i Repoir ? Fire Zone v_
Enlarge ? Type of Contt.
rc Name Move ? # Stories
; Address .
b Demolish ? Length.52_
City RTIRNCi7T1AFFpne $.Q['-ARqh Gmde ? Depth 7$q, Ft.-
o Name FEATURE BLDRS. AoYrorals Feea
?? Address 15513 Logaatm Ln
? C;ty Surnsville pnone 435 8443
wW Name
?
x?Z Address
u
?W City Phone
1 hereby ockrwwledge thot I have read this application ond stote that
the informofian is correct ond ogree to comply with all applicable
State of Minnesota $totutes and City of Eagan Ordirances.
Auessment _
Water 8 Sew.
Police ?
Fire
Eng.
Planner _
Council _
Bldg. Off, _
APC
Permit '"'•vv
Surcharge 31.00
Plan check 159.50
snc 525.00
Water Conn. 450.00
Water Meter
0
63.0
Road Unit 260.00
Total 1807, 50
SiBnoture of Permittee I
A Buitding Permir is issued to: FEATURE BILDRS, on the express cordition thnt
oll work shall be done in occordonce wiih ull uppliwble StaM of Minnesoto Statutes ond City of Eagcn Ordinoncex
Building Official
This request void
78 rtwnths irom
A .2 r;o.,cI n 2
z- 15- If y ????.Q) yJ s a Z,
L5, T>3,94A-r-o+J}Ill.l.#Op_ /o.oo
Rpnuest Ozte Fire No. Rough-in Inspedion ?
Nequ?red?
FeaAY Now
l Will Notify Insoer.-
?
ye5 ?No IOrWhenReatly
?Licensed ElecVical Conuactor I hereby requast inspecfion of above
? Owner electncal work installed at
Sveet Address. Boa or Houte No. City
Q 11?--?
eclmn o. Township Name ar Nn. flanGe No. County
OccooantlPRINTI Phnnx No.
Power Supplier Adtlress
Electrical Con[rac[or ICOmuany Name) Con[rar,tor's License No.
Q
Oa
' ON l(
G3 -4
e
?
. o
Mailing dress ICOnvactor ar O er Makinu InsfailatioN
_
755
Authorized Sipnature ICOntrec[or?Owner Making In siallationl hone Number
f43Ca-g8°14
MINNESOTp STATE BOAqO OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Noom N-191 gE ACCEPTEO eY THE STATE BOARD
1821 University Ave., St. Peul, MN 56104 UNLESS P0.0PEH INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
Ly REQUEST FOR ELECTRICAL INSPECTION r« ee-ooooi:oa
' See instructions for completing this torm on back oi vellow copy. ".
!
"X" Below Work Covered by This Request
Add Rep. Type ot Builtling Appliancns WireE Equipment WireA
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. 8uilding Dryer Electric HeaLn
T Commercial Bldy. Fumace Silo Unloader
InduStnal Bldg. Air Conditioner Bulk Milk TSnk
Farm omer spe600 om, fsundiv)
? er Sueci?y Other Oihor
Compute lnspection Fee Below
N Fee ServicaEnbanceSize p Fee Fenders/5ublexders K Fae Circuits
0 to 200 Am s 0 to 30 qm ps 0 to 30 An! Ps
Above 200 qmps 31 to 100 Amps 31 to 700 qm s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irriyation Booms
, Partia6'Other Fee
Signs SpeciallnsUection $ T
Remarks O; O F/EE^
V
HouBh-in Dme ?, the clri
( Inspector, hereby
certify that tbe above
Final Date ?Q ??speetion has been
?/(p Q mede.
fhls reaueat rmd 18 monltu IroT
7his repuest void ' r` Q
18 months from ??1 ?,p ?
A 472r,F L5,?3
Reques[ Date
/
? Fire No. FbuAh-in InsOertion
Reqwred7
Iteatly Npv ?II Notify. Inspec-
?
[ur Wh
n fl
a
Ves ?No .
e
ea
Y
Licensed Elecvical Contmctor I hqreby reVUest inspeciion of above
Owner electrical work imtelled at
Street Address, eoz or Rnute No. GtYy^c?'
ecu n o. Townshiu Name or No. Ranue No. Counry
Ocr,u t IPpINT/ p-
' Phune No_
?fUf.
?
Po er Su'pli¢r Address
Elec[rir onVactor (Company Namel ConVactor 5 License No.
Mailing AdAress ICOnVac r or Owner Making Instailationl
?`4
#
?D
mvFU
Authorize nam (ConVactod wner Making Insullation) Phone NtvnOer
Lie .? C /14
zll?
MINNESOTq STqTE BOAPD OF ELECTRICITY THIS INSPECTIOM NEQUEST VILL NOT
GriB6s-Midway Bldg. - Room N-191 BE ACCEPIEO BY T7E STATE BOAXO
7821 Universiry Ave., St. Paul, MN 66106 UNLE55 PIIOPEP INSfECT10N FEE LS
Phone 1612) 297.2111 ENClOSED.
'I G REQUEST FOR ELECLIACA?f INSPECTION IE?I0°°°''0°
J ' Sae insaructions for completir§ ihis }orm an back of Wlloir cuYY- 4' -3a $A
A ?, 72b6 "'X" " Below Work Covered by This Request ?
?AAd Rep- TyoeofBuilainn AoolianceeNired Equipmen[Nired ?
Water
al
oner
N Fee ServiceEntrence5ize 8 Fee Feeders/5ub(eeders # fea Circuits
i7C.I 0 to 200 qm ?s ," y-? 0 to 32A m s 0 to 30 Am
A6ove 200 qm ?s 37 to 100 Amps 31 ta 100 A
Swimming Pool Above 100_Am Above 100_A174-
Transiormers Irrigation Boorrs S"L Partial:'O ee
?S'9^s Special Inspection $ ?Z dwjiTO L,FEE ?J/
Nemarks I Ky J f
i ,
flouBh-in Date
?' he Becvieel
? ?
J ?oactar. Aereby
rtiry thnt tM above
Final P_ eh?C eypKtion has bcen
Mis repuest vaitl 18 monthe fmm
BUILDING PERMIT
To be used for DECK
Est.Value $1,000
Site Address 4626 BEACON HILL RD
Lot 5 Block 3 SeGSub. BEACON HILL
Parcel No.
w Name TODD ERICKSON
o Address 4626 BEACON HILL RD
City EAGAN Phone 456-5473
o Name ZARBOK CONSTRUCTION
g4 Address 3119 JOYCE CT
? City EAGAN Phone 688-2686
?W Name
? ; Address
?5 City Phone
I hereby acknowlege that I have read this application antl state that the
inlormation is correct and agree to comply with all applicable S} of
Minnesota Stawtes and City ot E?g3p,Ornce?. /
SiqnaWre of Pertnitee J ?? C
a euilding Permit is iss ad to• ZARBOKiGDN TRUCTION
on the ezpress condition thal all work shall be done in accordance with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
BuildingOtficial 'A-MJ??7?!??, ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-6100 G
Receipt #
Occupancy
Zoning
(ACWaq ConSt
(Allovrable)
k orstones
Lenglh
Deplh
S.F. Total
S.F. Footprints
On Sire Sewage
on saa wen
MWCC Syslem
City Waler
PRV Required
Booster vump
APPROVALS
Planner
Council
Bldg. Ofl.
variance
N° 18858
I "L ?jcQ
, 19 91
OFFICE USE ONLV
FEES
1..41.
12'
Bldg. Permit
Surcharge
Plan Review
sac, City
SAC,MCWCC
Water Conn
Water Meler
AaL Deposit
S!W Permit
S/W SurCharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
25.50
51 0 ? I PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are requued for each unit
Date 5- // 02J
Site Address /??? (1J &6,?A/7 AjCA Unit #
Property Owner ? mtl?'zl O'n Telephone # 65/)
Cnntrsctor
Address 57 ?? (37'C IJZl City \X)/ 1
State Zip ()/ Telephone # (l?i? c`XJUJ -Q(JIL(J ?
~l
The Applicant is _ Owner
Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of pians and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Altcrations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
? Water softener _ Water heater $ 15.00
?
?(J replacement additlonal
50
StateSurcharge .
Total $ 1"5,-
- ?`-
I hereby apply for a Residential Plumbing Pernvt and acknowledge that thel`iAl6rmation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, bu[ only an applicarion for a pemut, and work is not to siart without a permit; that e work will be in accordance with the
approved plan in the case oF work which requires a review and approval of pl .?
. j?? 4?/???? .??
ApphcanYs Printed Name plicant s ture
-?OO ??I?2'3
# 40$05 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 9q.2S
I
3830 PILOT KN B RD - 55122
851-681-4675
r a wOaerea me wrveYa rwwinfl w. a a W. .a. rt. a nane
and 21 roofetl ar6as f7076 rtwxlmum bt eovamae allowedl
D 2 eoples of Wam (ahow beam & wlntlow dses: Pouretl fnd. deslpn; s1c.)
D 1 Wf Of 6flBfpy CdqdGMpIK
D J Coplea d hee preservatlon plan fl lol p1oMW cRer 7/1/99
DATE: S- SLO (D
DESCRIPTION OF WORK:
SiREETADDRESS: `t YZ2,n Uti.G
LOT: ?J BLOCK: ? SUBD./P.I.D.
Pr,on? ? " LLSC (-? 0 Z3
Name: e
PROPERTY taat Flmi
(1
OWNER
s copies d plan
1set ol enerpy cdadallons for healetl adc5flona
t sire wrvey 1or e)lenor addnioro &decka
COST:T? O. `-' 0
,
l L?
n
Cly , State:hq N)
meef
l Z-2i
1EL
ZIp.
. Company-??.tL'?a Phone A:
(area code)
cor?rRncTOR C Z O 113 Z z.-) (o
Sheet Address: llcense ? Exp. 3 31 p
CHy,hOD (Yl ?f\ (1fh_a State: Zlpls''li ?
ARCHIiECT/
ENGINEER
Teiephone C (
Sheet
Name:
ReglshaBon Jf:
CHy l State: Zip:
Sewerlwaler licensed plumber (if Installina sawerhvater): Phone #:
I hereby acknowledpe that I have read Mis applicaMon, state Mal lhe infomwtbn is cortect, nd apree b compy wNh aG appBcable Slade
of Minneeoto Siahites and Cily ot Eaqan OMinances.
Signalure of Applicanh 0
OFPICE USE ONLY
Certficates of Survey Received _ Yes _ No ' HAY Q
Tree Preservation Plan ReCelved _ Yes _ No _ Not Required ?
. ?
1991 BUILDING«P IT VICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
q?e ; -Date:
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET DF SPECIFICATIONS
1 SET OF ENERGY CALCUlATI0N5 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. -NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: A fCG Valuation:
Site Address 446,60firJ ?li/ ?d
Lot ? Block ? F
0
Pazcel/Sub &cOrJ
Owner 7-6 (`/C/ /".?KKSQ?
Address
City/Zip Code 6cvj
Phone y 4 ' J'5(
Contractor 1"'7Azl?p,C. LUNJ'/?GC//c?
Address 5w_ To(fCri
City/Zip Code
Phone ? ?O c? 6?6
Arch./Engr.
Address
City/Zip Code
•Phone #
(Signature of Contractor)
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories ?
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. j?s v,5-9?
Variance
:
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL .
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
%..oERTIFICATE OF SURVEY
?q
r 94 • o
94 3-
!UtIQ
i
I 93•Z ??. q u 3 ?, i ?
?y p8? tiGq?NV jCil,
/ f.
a, ? y so se tt-
29..94 ? 3 g 33 ? v?LOT ? ? ? /
? \ gs L.O G K D u / !d
N,\??
N
Elevations shown are existing R3 ?@ ? Q
grades and are assumed datum. ?••? N-1/J
•\ i
I hereby certify [hat this is a correct representa[ion of a survey of:
Lo[ 5, Block 3, BEACON }iILL, Daku[a County, Yinnesota, according to the plat
therenf on Etle and of record.
and that I am a duly registered land survnyor under [he laws of the State oi Minneso[a.
?
Deted this 21st day of February, 1984 Gene L. Jacobson, nn. Reg. No. 7-+
/
IoR Br GW SCALE - 30 o OENOTES IRON MON. ,8E4RINGS ARE ASSUMED DATUM.
Prepared for:
Feature Builders JACABSON SURVEYpRS
.
15513 Logarto Lane LAKEVILLE, MINN. 55044
Surnsville, M!i 55337
? PNONE 469-4328
CITy pg ? cl 2 sets of plans,
? icate of Survey '&
? BUILDING PERffT APP ? I energy calculations.
'
, Date
h"'-
Used For
To Be e;06^e !-cr-?,? . Valuation
Site Address 11(2.7 -A&o.' e n f?CK?' ??_ Gc? d OFFICE USE ONLY
Iot _15:-_ Block .? Sec./Sub. 94e,4-? Erect _ Occupancy
-
Parcel #: S Bv ? DS 0- 63 Alter Zoning
Repair Fire Zone
Enlarge Type of Const. )
Owner: !
Nbve # Stories
Fldrlress: % R ?- ??i?yl De?nolish Fnont ft.
City/Zip Code:
Grade ft
Depth .
4
c
Phone #: -
*
R
T 4 FEES
.
APPROVALS
Contractor: ??s?nt'
?aater/Se,rer Pexmit / o
Surcharqe - 3?-
Pddress: police Plan Check ?S T
City/Zip Code: e). r,? 0?2 'hra^i 5?5'33"7 Fire
? zS4
r?iy Water Conn.
Phone #: 3 ?- ? th`F3 planner Water Meter 63
council Itoad unit ZGD
Arch./EE1ng•: Bldg. Off.
Address: APC
City/Zip Cade: _
=AL h 9o1-sd
Phone #:
CERTIFICATE OF SURVEY
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Elevations shown are exis[tng ? Q
grades xnd are assumed datum. _••? ?/f /
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I hereby certiEy that this is a correct representa[ion uf a survey oE:
Lot S, Block 3, BEACON HI4L, Dakota Coun[y, Kinnesota, according to the plat
thereof on file and of record.
and that I am a duly regigtered land surveyor under the lavs of the State oi Minnesnta.
Dated [his 21st day of February, 1984 Gene L. Jacobson, nn. Reg. No. 7-7T?
DR. BY GI.J SCALE - I" = 30 o DENOTES IRON MON. ,BEARINGS ARE QSSUMED OATUM.
Prepared for:
Feature Buildecs. '
15513 Logarto I.ane
BurnsvLlle, P4N 55337
' . . . .. . ... ... :.:;. ?...' ,. ;..y.. . .....:.
JACOBSON SURVEYQRS
LAKEVILLE, MIN N. 55044
PHONE 469 - 4 328
_ FiiiI:LIPS PLAN S'r.iSViCE - ' - --.•.?- _ • ---
-, EXTERIOR ENVELOPE AVERk6E "U° COMPUTATION
.
? . + OWN;ER (F-L IL 4 lt?
;_: :..:.. :.. .-. .. _ ??} •
- .?SITE ADDRESS
CONTRACTOR DATE PNONE
Determine working square footage of each.
1. Total exposed wal l area ..... I G f 2- CI Z? sq. ft. x .1 S° y.3
2. Total roof/ceiling area .... 1100 _ sq.• ft. x .04
Total exposed wall area above floor = tT S -Z
a. Totai wall window area ..................:....... I lo9.lc -
,- b. Totai door area ................................. ? 8 '-
c. Total sliding glass-door area .............
'.......
e. Total wall framing area (average?lC%) ............ . I_?9.910,
'
f. Total net wall area above Tloor ................. 12 59.l04
g. Totai rim joist area ............................ ' 14 4
Total expos>d foundation area = ?i3•`7'2- ?
h. Total foundation window area.....................
i. Toal net foundation area above grade G 3,'l?
Detersine "U" valu= of each wal] seyment
a. 1 LnCl c.o X"lJlt G3
b. 3? X%lull S.ZIL
X iv, r
i 7 = ZZ
d. X ?.v
X ??U" 12,y5
r. 1? J? lo? X "U" ,05 = loZ.9s
9. x ,.U,t
h. --- X ',ull --
;. G3,`7Z _ x "u" , yL-,`i
- 3 ........:..............I.9?z:92......ro=zi
rT li.°_;il F*3 1$ ffl° SZm°_ d5, OY' l°_SS than lt_iIl c1, ,}'Oll hdV2 Gl°ti. ?C° inL°i?t
oi 53C 6005(c)2.
J • •
Total exposed roof/ceiling area
• Total grass roof/ceiling area
_. j. Tote1 skylight area ........................
.. k. Total roof/ceiling framing area ............ II D
1. Tatal net insulated roof/ceiling area....... 990
Determine "U" value for each roof/ceiling segment.
_.. ,:.... ._ ... X [auto ?--
k. aX„U„ . 03 s = 3, 85
, I . -1'IV xstUn I 0? L'f, I
4 .................1 ?OO...........Total = 33,?'
If total of #4 is the same as, or 7°ss tf,an #2, you have met the intent of
S8C G006(c)1. . • • .
?.
To utilized the total envelope system method, the values estabiished 6y the
sum of items #3 and #4 shall not be greater than the sum of itens 11 and R2.
. '.• _ .. + 2. _
3, + 4. _
MATERIALS Therm. Resistance
Eztarior Air
siding Haterial ,4 5
Sheathi'ng _-S_
Insulation -- 12
Sheetrock ,H S
Interiox eir
Studs y' 35
P.im
Conc. Bl?:s. I,Z.g
-
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 30-56
City Of Eagan ii?4?oS ?"
3830 Pilot Knob Road, Eagao MN 55122 .yu: s?-° ?
Telephone # 651-675-5675
Please wmplete for single family dwellings & townhomes/condos when peanits are required for each unit
Date
Site Address Unit #
Property Owner Telephoue # ( ' " )
Contractor !AM
--
MAMPKIMA
" ?
Street Address 8 _ ? 0 Wenrivorth A
...;
.
?_
City
State ,
?95M 881'9000 Zip Telephone # ( )
Bond #: Ezpires:
The Applicant is _ Owner _ ConVactor _ Other
Add-on or alteration to eaisting w mg unit
J6L. /" ?L ?sa $ 30.00
?
fumace -Additional Replacement _ New
air exchanger
i
diti
Z
a
r con
oner
-
heat pump
other
State Surcharge $ 50
$ J/? 4yo
Total
I hereby apply for a Residential Mechanical Pemut and acimowledge 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 with the Mechanical Codes; that I understand this is not a
permit, but oNy an applicauon for a permit, and work is not to stari 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.
' SEDGWICK HEATIkG & AIR CONDI?'-,"r, LLC' ?
Applicant's P ed "me MN ,Applicant's Signature
(952) 881-9000
o° ?S??ma??rM
a3fo=T2
HEATING AND AIR CONDITIONING
8910 Wentworth Avenue South ^ Minneapolis, Minnesota 55420 ^ Telephone (952) 881•9000 - Fax (952) 881-4491
November 29, 2005
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Attention: Heating Permit Department
RE: 1829 Walnut Lane
On November 02, 2005, we applied for a permit for a furnace replacement at the above-
referenced address. This was paid for with our Check No. 11190.
This job has been cancelled and Sedgwick Heating & Air Conditioning will not be
performing any work here.
Kindly issue a refund of the permit fee.
Thank you,
>
?& ? G`I
Thomas B. Sedgwick
Vice President
TBS/mk
Enc.
-k"? An?i, ?, _ e Lt,o ?t M?vt.
I 1 V -ti
4o
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-
??a??z?f.'r<aG ??ro c?cn- car?nG avi
?
SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG JOBNO. ?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD
AODPESS 46'A 6wov' kI 1\
OCCUPANT ?+Gl1/??YE? y 1 I Vk.ll?C ?
SOLDBY ?=
MAKE b INAS' F
SERIALNO. ? ?o -l I- Zy ?',
CITY & `6) a ' `
OWNEF «???k I (V
INSTALLED BY ? ? - - L 4 MODEL GU' ° 4 V 3C'\ 6- O -M INPUT ? 6 o a ?
THEF
VALV
LIMIT
LIMIT
FAN;
PILO"
IGNITION MODEL ? .7 A
PILOT TIMING ?„0 "7 ?
PRESSURE PERCENTCOz `
?
^
INPUT CFH PERCENT Oz
? Q
STACKTEMP. pERCENTCO
NT SIZE
E OF LWEfi
LWER SIZE
FlLTEFS: SIZE 4?f/j a QIVUMBER ?
WIRING ?L-r
..??
TEST TAG
LIGHTING INST.
DA7ETESTED U ?
COMPANYTESTING s c-a-` " - ?
NAME OF TESTER ?FORM 235 (REV. 11185) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPV - CITY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115508
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4626 Beacon Hill Rd
Lot:5 Block: 3 Addition: Beacon Hill
PID:10-13500-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jarrod Stenzel
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 -
Lynn M Mauch
4626 Beacon Hill Rd
Eagan MN 55122
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature