4669 Beacon Hill Rd, CITY OF EAGAN
3M Pilot Knob Road
P. 02?'199
?Eaga , N 55121
Zonirg: Ow;1er:
Addroas:
. :
i SltP Address.
mber:
er No.:
Size: _ r??
Reader o.? <
1 ?'p? oe?
By 1?1=7
Dcte of Insp.:
{
1
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Unlts:
tilfftnection Chorge: ?^5U . Ol?
Utl? ES?mt Deposit:
- t Fee: 1'? ?•:
i!. /`?t?rge:
Misc Charyes: -
Totol: -
_ bata Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P:-O. Box 21199
Fagan, MN 55121
Zan(np:
Owasr: -
Address:
Site /lddrcss: •? L `., - - ' : ? ? ??u ? : i 1
Plumber.
Meter No.:
a-
Reader No.:
1 pm !o onnplp wM6 tAe Ciey of Eooew
Ordiwesam
By
Date of Irisp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: '
No. of Units:
Connection Charpe: _ 4 50•00
Account Deposit:
Permit Fee:
Surcharge: t
Misc. CF,oryes: .'.
Totnl:
Dote Paid:
CITY OVEAGAN SEINER SERVICE PERMIT
3830 Pilot Knob Road
`? O. Box 21199
PERMIT NO.:
Fzagan, MN 55121 DATE: - - ''
Zoning: - No. of Units:
'
Owner: •,- :kaso i;ltirs
/lddress:
Site Addreu: -9 Ueacon kiill :.:_ tiu?aco2: iil?
'
ierke Trejich 5 E
Plumber i'> xc
1sqrse fo eomoFj with fM Ckr ef Ea9as Connectton Chorpe: 1= -° •
Ordinenees. Acwunt Deposit:
Permit Fee:
Surctwrpe:
By Misc. Chorpes:
Dote of Insp.: Totat:
Insp.: QoM Pnid:
CITY OF EAGAN
3795 Pilet Kno6 Reod Eaeen, MN 55122
PHON[: I51-8100
BU
SF/BYJG /nr r- Est. Vo,ue $E4,0010
Site /lWreu 'S li V J L.: ?. .`- l a 1 LL •??J? i?
Lot Sec/Sub. ?T:ACO'I '_-;IL:.JL,
Parcel # 2 00-01 I
ae Nome t)ak Ciic.Sc? II1C
z Address 31160 i-ashincrton D?-iv:-
Ci Phone .". .7r,? ?
p Name `-
?
u
Addreu
?
~ Ci Phoi?e
tW Nome
FW
iZ
/lddress
I hereby ocknowledge that I haw reod this applicotion ond stote that
the information is correct ond egree to tomply with all epplitoble
State of Minr?esota Stotutes and City of Eogon Ordinonces.
Sipnarure of Pertnittee
. ,,
A 8u(Iding Permit Is issued to: Oaf : C : ,s,;, u = c ers
oll work sholl be done in eccordr nce with all applicable State of Min
Buildinp Officiol --'r11 ?
N {.' O ? J a
Recelpf #
Dore DrCi:Tg':3-:F', ?7 . 19` '
Erect Q'' Occuponcy P, 3
A
Nlter ? Zoning
Repoir ? Fire 2one :
I ?
Enlarpe p Type of Const.
Move 0 # Stories
Demolish p Length "'L
Grcde ? Depth 1 ' Sq. Ft.
Approvols Faes
llssessment
Water & Sew.
Police
Fire
Erp.
Planner
Council 9 --1 0 - d? t
Bldg. Off. J
APC
Permit
7 2
$urchorge-? '? ?'
l ? ?' r; C
Plan check ?-0 1)
SAC
,) IJ.?J
Water Conn.
Woter Meter _? ? ?
?ood Unit
Total ??
on the expneu condition thnt
-sota Statutes and City of Eopan Ordinonces.
Permit No. Permit Holder MisC. Permit Na. Holder
Plumbing
H.V.A.C. 47
w.n
Water
Disp.
Sewar
Electric q2,
Inspection Date Inap. Other
FootinQt
Foundation
Freminp d;r
Rouph Plbg.
Rouph HVAC
Inwlation -3 =ۥ/
Final Plbg. uf
Finsl HVAC
Final e?-
Water Dosnibe Location:
Well
Sewer
Pr, Disp. -
i
it N
R
`- " PLUMBING PERMIT P
ece
pt
e
- _ , CITY OF EAGAN
' rm
o. T_
?-
Fee '
`
Fill in numbered spaces S/C
Type or Prini legibly ?- ?G.
Tdc.
1. Date l_ 1 J J 2. Installation Cost
/, //.: / U •
3. Job Address Lot Blk. Tract
?
4. Owner •'?f '?/// S? ? ;i?' .,
5. Contractor Phone
6. Address
7. CitY ??? ?`? i/i•Gli%? State /1 IiLi Zip J c.:G?'
8. Building Type: Residential Cl?- Commercial O Institutional O
9. Work Description: New C3?-' Add ? Alter ? Repair ?
?
10. Describe
? 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
-- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
? Gas Piping Outlets
72. 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
Receipt `'--' MECHANICAL PERMIT Permit No. `
CITY OF EAGAN
- Fee '
Fill in numbared speces S/C
Type or Prrnt /egib/y
Tot.
1. Date ' 2. Installation Cost
3. Job Address Lot Blk. Tract -4. Owner
5. Contractor - '=-Phone
6. Address
7. City - -? ' State ' - Zip
8. Building Type: Residential CJ Commercial ? Institutional ?
9. Work Description: New 17 Add ? Alter ? Repair ?
10. Oescri6e - ? ` Fuel Type
11.
No. Eouioment 8TP - M. Ea.
Forced Air ? No. Equipment CFM
:
Ai
Handli
Mfg. . r
ng
Boilers
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
Rough
Inspections: Date Insp.
for
Final
Date Insp.
This is your permit when numbered and approved.
Approved ` CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Lot 20 Rlk 1 parcel 10 I3500 200 01
Owner Street 4669 Beacon Hill Road scate Fagan. PtP11 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. (0 1806 93 200 77 9 1806,93 C007382 10-1-81
STREET ESTOR. 4
GRADING 40$5 526.46 58.50 9 526.46 C007382 10-1-51
SAN SEW TRUNK 1976 135. 97 9.06 15
j* SEWERLATERAL 1982 3116.46 346.27 9 3116.46 C007382 lb-IL81
* WATER LATERAL 1982 9
WATERAREA 1982 198.01 22.00 9 198.01 C007382 10-1-81
Stubs 1982 9
STORMSEW TRK bg ? 1982 359.82 39.98 9 359.82 C007382 10-1-81
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
-27-83
WATER CONN. 450.00
BUILDING PER. 8735
SAC n tr
PARK
?
INSPECTIUN RECORD ?C°ntr°' "°. 1272
C1TY OF EAGAN PERMIT TYPE: ou i I t+ I aIN
3830 Pilot Knob Road Permit Number: 001 138
Eagan, Minnesota 55123 Date Issued: ?? I s 5192
(612) 681-4675
SITE ADDRESS: IQT, 20 tj I OC x; ? APPLiCANT:
4669 OrA['oN NILL RD AN[IER50M-SC?DfRMAM YFIC
NEACOM Wllt (612) 881-5044 ;
?
PERMIT SUBTYPE: TYPE OF WORK: 5F aU1.11 I iiifV NEu
DE9CRIptIAM 11' xi i' 1210
INSPECTION
?r00 ? tNi, D, .
ricnM tNi: •
f NSill AT InN F"[NAI.
riRrPlArE
? ? ? ?
Pormn No. PwmR Holder Date Telephor?e t
S/IN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspaction DeM Insp. CommeMs
Footings I //. , ?+ Z
`? ,A S
Foundation
Freming
Rooflng
Rotgh Pib9-
Rouph FItg•
Isul.
Firepleoe
Flnel Htg.
Orsat Tesi
Flrtal Pibg. Ptbg. Inspector - Notify Plum6er
Const. Meter
EngrJPlsn
Bldg. Finat L
Dedc Ftg.
Deck Fnal
Well
Pf. Diep.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD^
PERMIT TYPE:
Permit Number:
Date Issued:
• ?r,?. .?H 1,?n??
PERMIT SUBTYPE:
• , F
, APPLICANT:
r'f111i I if•S .irl1l i?I;iP) I i'JI
) li ri I !. ci 4 4
TYPE OF WORK:
rd t l-)
ttliI i tt i
0.1 t O'<i
i! 1•, ! 41:' 1 ?)'j
INSPECTION DATE INSPTR. INSPECTION TYPE D.
1'l' I' I{I', I
IF
PermR No. Permk Holder Date Telephorte #
SMI
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Data Insp. Comments
Footings I
Foundaiion
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Flnel Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fnai
Deck Ftg.
7
Deck Final ?e/'
Well ?t?:f?v ?A'?L Oi? ?T.A/lLS
Pr. Disp.
This request voiA L - ? 7
18 nwnths trom •
QV 0 7_9 2 39 Cr za_,_ tt ?
Y7- s a
1 Heque?D e Fire N91. qouph-in InsVeciion
1 ??J ?fle?a}'ired? ,..,/ OReatly N. W?II Noti}y`InsDeo-
91 `/?.{f r / ??es /UNO tur Wh¢n Featly
?Licensed Elecuicpl Contmctor I heraby requast inspaction ot above
? Owner electrical work installed er
Street Atldress, Box or Route No.
Y? 6 q- x,4e0-'4
kl// w, C ity
&
ecuon o. Township Name or No. flanpe o. County
OccuOnnt 1? ?
f
ix fr5 Phone N?
? ?-
Power SuOVlier /
T llCc • Address
Electric I nn ctor `Company N?
/9TJ ? uMracto's Licrmsa No.
Q Zl ?
Mailing AA res0/ s lConlrator or OwDj* Making Inst lation) ?
1-73
Sie.ature ICo r wn
U aking Installation) Phone Number
?
MINNESOTq STATE BOAflD OF ELECTRICITV THIS INSPECTION NEQl1E5T WtLL NOT
Griggs•Midwey Bld9. - floom N-197 BE ACCEPTED 6Y THE STqTE BOAHD
1827 University Ave.. St Paul, MN 56704 UNLESS PROPER INSPECTION FEE IS
_. ......, --- ..... ENCLOSED_
-dr7/ REQUEST FOR ELECTRICAL INSPECTION •„ Ee-ooooi-oa
' Sae instruetions for completing ihis fprm on back of yellow coov.
p792?9 S?/?oz?
""X"" BeloTjWork overed by This Request '
Nam &dQ Rep. TyOe ot Builtling Appliances Wirad Equipmant Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. 8uilding Dryer Electric Heaun
Commercial Bldg. Furnace Si!o Unioader
Industrial BIAg. Air Conditioner Bulk Milk Tank
FBrrn the. peu v Otn¢, IsPeritvl
[ ier Suecily Other Othni
(.'ompute Inspection Fee Below
q Fee ServiceEntrencaSize M Fae Fexdare/Subieeders N Pen Circvits
'- Oto200qms 0 [o30Ams Om30Ams
Above 200 qm ?s 37 to 100 qmps ^ 31 to 100 qm s
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Irrigation Booms ? PartiaL'Other Fee
Signs Special Inspection i-.
pemnrks
? T(3 .?
4..
'HOUBh-in - D:te
tha lectrical
? Inspector, hereby
N?? e?tify thet the above
'Findl inspection has been
mede.
TNS reauest volE 18 months tmm
? CITY OF EAGAN N? g735
3795 Pilot Knob Raad Eogae, MN 55122
PHONE= 454•8100 A?/ J
BUILDING PERMIT Receipt # a? «
Te 6a ated br SF/DWG /GAR Est.Value $64,000 Date DECEMBER 27 1983
Site Address 4669 BEACON HILL ROAD
20 Erect C? ?cu?^n' Rl
Lot Block_ 1 Sec/Sub. BEACON HILLS Alter ? Zoning
Parcel # 10-13500-200-01 ? Repoir ? Ftre Zone N/A
.. Enloroe ? Type of Const. V
w Name Oak Chase Builders IriC. Move ? # sro.ies _
; Address 3460 Washincxton Drive pe,„oiun ? Lenyth_44
b c; Eaqan phoM 454-7965 Gmee ? Depth-A-6..-Sq. Ft.-
? Same ADPrarals Feas
p Nome
?? Address Assessment Permit $ ? 7 S- 00
F' CI Phone Wuter & Sew. Surcharga 32.00
Police Plon check 162.50
w Nome Fira SAC 'S25.00
?? Addreu Eng. Wnter Conn. 450.00
<W CI Phone Plonner Woter Meter 60.00
Council Road Unit 250.00
I hereby acknowledge thaf I hove read this apDlication ond sfote that Bidg. Off. 12 13 3
ihe inlormotion iz correct and agree to wmply with oll opplicnbte
APC ?`]
804.50
T
l
State of Minnewra Statutes and Ciry of Eagan Ordirances. .,
ota
Signoture of Pertnittea
A Building Permit Is iuued to: Odk Chase Builders, IriC. on the express condiHOn thai
oll vrork sholl be done in occor nce with cll op?icobl?Minne $totutea and
?Y Cfty of Eogan Ordinantes.
Building Official / S
K 44934
v
Repuesr Date
z-
% ire No. Rougb-in Inspection
I I {78OV Sd? _ No
?y
Reatly Now
? Will Notity Inspetlw
When ReadyP
I$licensed coniractor ? owner hereby request inspection of above elecirical work at:
Job AtlEress (/Street. Box or Route No.,
? b? -?tqGc? 4lII ??d Cify
Cr /v
Secbon No. Townshi0 Name or No. RangB No. CouMy
?,, k
¢e
o
OccupantIPRINT) Plqne No.
Power Supplier Atltlress
EIecV? sal Contractor(COmOany Name) ConVadwS License No.
JRn ?lee?riL C-/`f0 dO
Mailing Maress IConVactor or Owner Making Installation)
l T? ?,????t
;ll
aL
/1s
yoa- 5//
s?L
?
,t
L
e
AutM1o - tl Signalure iC nlranor/Owner MaNing Insta tion, Phone Number
?.ti,,,?-r,? f? s o c ?°'_
MINNESOTA STATE BORHD OF ELECTRICITY U THIS INSPEGTION REOUEST WILL NOT
Griggs-MlOwey Bltlg. - Room S-il3 BE ACCEPTED BY THE SiATE BOAFD
1821 Univenity Ave.. St. Vaul. MN 551M UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-o(oomo-oe
? See insimclons 1or completing inis lorm on back ol yellow crovY
K 4 4 9 3 4 'X"8elow Work Covered by This Request
ew Ad RO. TypeotBUiltling AppliancasWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
ONer (speci(yl Contrador5 Remarks'. ^
Cog$ eE - &„trr
Compute lnspection Fee Below:
Jl ONer Fee # ServiceEmranceSize Fe Fee
Swimming Pool 0 to 200 Amps
Transformers
Above 200 _ Amps wi
SignS Inspector5 Use Only
Irrigation Booms ?
. ,
Special Inspection
Alarm/Communication TMIS INSTAILATION MAY BE ORDERED DISCONN ECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONT ."?, (
I, the Electrical Inspector, hereby Rougn-in _ ete ? o
certify that the above inspection has
been made. F;,,ai
f oate
OFFICE USE ONLY
This requBSt vaitl 18 monihs Imm ?
4 7 OFFlCE USE ONLY This reqoest void I8 monlhs fmm validalion dak prinled in ihis 6ox.
Hr/ Hn
11111110 IIIIIIIIIIIII
* 0 4 4 3 L IIIIIIIIIIIIIIIIII????ie?'&k /.i/ /[/
? O?
3 6 7 * 'pLE E PRINT OR TYPE
Reqcen Dare
,j RagMn Inspeaion reqWred@ ? Ves a Inspection Oiher Than RougMn: eody Now O WIII Call
?Yo? m?st call the inspecb? when readyl Dme Reody:
icensed conhactor F-I owner hereby request inspection of the obove elechical work at:
Jab Address (SVeei, Box, or Naule
I? /v/w Ciy Zip Coda
$eaiJN.T.nship Nome or No Ronge o. fire No. Couny
Occ Plw ''')
Power Sop ia Addrest
Elerniml Conkocror (Compairy me1 c r Licenxe No( \
U Moshr Gc No. I%am Elea. Only)
i iig (COnha]? Owna P tng Insmlhnonl ?
V
ANlari z JdF. onro or Owne. Per(ormLg Insmllorion? Plwne No.
E600001h1 1 0796" gTpM BOAflD COW - SEE INSTRVCiIONS ON BACK OF YELLOW COPY 4? V--t-
44a-336
17 REQUEST FOR ELECTRICAL INSPECTION / :5/ .
Minnesota State Board of Electriciry
1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
t?j Home Duplex Apc Bldg. Other. " New
Addn
C mercial Indushial Form Remod I Re air
ir Cond. Htg. Equip. Wa1er Hh. Load mt p?er.
Dryer Range Elec. Heaf Temp. Service
"X" above the work covered by fhis request. Enler remorks in rhis spoce and on fhe bock of the while copy only.
Calculote Inspecfion Fee ? This Inspecfion Request will not be acceplad wiihouf the rorrect fee:
Olher Fee 8 Service Entrance Size Fee 8 Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Llg./Tm(fi< SiQ. Above 200_Am s ve Amps
Tmnsformer/Genemfor INSPECTOR'S USE ONLV ? TO L r4?{
Sign/Oudine Ltg. Xfmr. ? (/
Alarm/Remole Conlrol 2
?
$wimming Paol
I her<ethoi I in ihe el loii hemm on the dares afaad ordaecri6ed
M'I
od?
Irrigation Boom Ro„9M„ p?
Speciallnspection
Investigative Fee Final D "
THIS INSTALLAIION MAY BE ORDERED DIS NNECTED IF NOT PLEfED WITHIN 1 M N S.
? EIT1P OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ? c/? 7-75
&?93
PERMITTYPE: euiLoiNe
Permit Number: 021031
Date Issued: 0 6/ 0 2/ 9 3
SITE ADDRESS:
4669 BEACON HILL RD
LOT: 20 BLOCK: 1
BEACON HILL
P.I.N.: 10-13600-200-01
DESCRIPTION:
Bu3lding:.,Permit Type DECK
Building W'prk Type NEW
;'Building Length
/? Building Width'"
% -?
I'
?
_t
t; S
? l
REMARKS:
13
10
r
1?'.,j?o)fir U ?u??
FEE SUMMARY:
ease Fee
Surcharge
Subtotal
$25.00 COPIES $1.00
$.50 Total Fee $26.50
$25.50
CONTRACTOR: - Applicant - s7. LIC. OWNER:
ANpERSON-SODERMAN INC 16815044 0001291 WHITE RICHARD
9309 LYNDAIE AVE S 4669 BEACON HILL Rp
BLOOMINGTON MN 55420 EAGAN MN
(612) 881-5044
I hereby acknowledge that I have read this applica'tiofi antf state that'tha
infiormation is correct and agree to comply with all applicable 5tate of Mn.
5tatutes and Gity of Eagen Ordinances_
L
AP ICANT/ MITEE SIGNAT RE I SUE e SI NATU
I
REACTIVATE ?
PERMIT M
,44 `?
CiTY OF EAGAN
1893 BUILDING PERMIT
' 681-4675
? 57Z?= , v?( s
APPLICATION V
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. n
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
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 I-) Valuation of work 9nO
5ite Addresr. rlo r'?Ac?'?lca
STREET SUITE #
Tenant Name: (commercial only)
LOT ?LU BIACK ` SIIBD. -\R`.,JLV` P.I.D. N
Descri tion of work:
The applicant is: O Owner Contractor ? Other coea«;eo>
Ndme jjM Phone
Property «sT FIRST
Owner Address ?-11?t o?t .-x r???0
STREET STE 0
City State -}„J::? Zip
Company t1cs, Kl d C 5 r rx, a n . Phone )C-iy
COntf8Ct0r Address q:s 0 C? vY1 qa1o ?A UtLicense # 109 1 Exp.?
City ?\Qn Mi r,,;4?-c)n3 State V'Y) r1) Zip <-CL
Company ?=y'l,rr ??c "A?„tia Phane
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plum6er 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: - -
v
OFFICE USE ONLY
14; -?
?PE
BUILDfhI" PlERIUUT
?
..
?
n j
? OI
Foundatio
? 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
? 03 5f Addition ? 08 8-Plex
? 04 SF Porch ? 09 12-Plex
? 05 SF Misc. ? 10 Multi. Add'1.
WORK TYPE
31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
E? 15 Deck
? 35 Tenant finish
? 36 Move
, ?;• '? +.??, .
•?
"?.
?16 Baisement Finish
O 17 Swim Pool
O 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneaus
? 37 Demolish
Const. (Actual) Basement sq. ft. NWCC 5ystem
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
2oning Sq. ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Lensus Code
Depth Ic, On-site sewage Sa4??d?/? /
Lo
APPROVALS -p
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
C] Site
0 Wallboard
,0 Footing
[X Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee ..2:5--O')
Surcharge SZ,
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies j,rx?
Other
Total:.
SAC %
SAC Units
vatuetim: $
w .6
??
?
A
? MI
w ?)
` r 930•'?
-?qv pf8
?
?
?
i
?
?
atFc4; ? :
Reviaed housa laaation Bacenbsi' 129 1983
Hn erson-Soderman 612 881 5041
tifieat• or? 4525 Oak Chaee way
CHames D?idwest InC g?,gan, P{r?, 551'13
/0600116IDarn Mll R oBd
? Edea? Prwif?io. fAn., $5944OELMA-R N. SCwWANZ
,s?,qsuRw?o?s, x,rc.
• *m0p.,w u.yp, um ...n. suu a uMnwM
P.01
fiL'. -7ylf
?M ? 1r1N ffllqT N. -?D7I q ?M?. a?Mn?BD?A M01? MIONE ?t2 17M
?iW11KY61R'9 CNIIT1i1GAYE ?
.a _904,61 932.e3 .
o b.noaa o.c Rooe vaw I I --
??Drnot.es 0sistitsR eliv.
DanoteS pi'c?POped •ier.
-0' Denotsa proposed dmi
ock 1.lH?AO ?TJSSt representation
ethereof,
of I.ot certif
pa,&otM Caunty# xinneaote?
July So 1979 flptat proprfsed elevatiottu lran davelopment
. Plen.
Rovised Novembox 21, 1983 to eboarilha Iocmtion of a Px'opo6ed houee
rs stsked therson. ,
..
FeaKr A16MUu-
ammUMTA ww No. M
k-v -Lt Lp ?'a..
?? ?006 z. ? ^ • r V ? '
R°96% 05-21-93 03:17PM P001 #07
? CITY-O'F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT Control No. 19272
PERMITTYPE: B IJ T i..D tNr
Permit Number. 001.738
Date Issued: 11/05/ 9?
46e9 BeAConi H:cLL RE)
LOT: 20 E3LOCK: ].
f3GAC(71V hI.T.LL -
11'x11
'.13uildi'n.g Perm.it 'iypc;
8uilding"lWork Type
UBG Oecupancy
ConsT.rucT.ion t;ype
i
i
1?'x5'
sF floor.rzoN
NFW
R-3
V-N
REMARKS:
FEE SUMMARY:
?- C,) o a
VALUA'I'ION $9,000
Base Fee $108.00
Si.arr,harge 4,50
?_..
ToT..al Fee $112.50
CONTRACTOR: - Appiirant - s-r. Lzr.OWNER:
ANIJEFiSON-SODERMflN INC 7,8815044 0001291. WhdSTF RICHARD
9309 LYhIDALE AVE S 1665 BEACON HILL RD
BIOQMIN6TON MN 55420 EAGflN MN
(612) 881-5044
I here6y acknawledge thaY. I have read this application and statE that the
information is correct and agree to cornpl.y with all appl.i.cable 5tate ofi Mn.
StatuCey and City of a an Ordinances.
? ? L, C? (, ? J
--?, ? f l n? o n,?,? 1 m.11
APPLnICANT/PERMITEE IGNATURE --ISSUED EFY. E .
PERMIT # CITY OF EAGAN
' 1992 BUILDING PERMIT APPLICATION
19134 681-4675
)e .
OCT 2 3 RECp
1'/:.?t•el ??. 2
r
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of etiergy calcs.
Penalty applies when typing of permit is requested,-bu: not picked up by aast working uay
of month in which re uest is made or lot.chan e is re uested once ermit is issued.
Date octoter ? zs ? 1992 Valuation of work Addition .
S1tE AddP255: 4664 Beacon Hill Road
STREET _ STE /
TQndTIL Name' Richard and Bonnie White
LOT BLOCK J_ SUBp. P.I.D. N
Descri tion of work: i?;
The applicant is: ? Owner 13 Contractor ? Other (Deacrlbe)
Name Phone
Property uST FIRST
Owner
qddress
STREET ' STE f
City State Zip
Company A?derson-Soderman. Inc. Phon@ $$1-5044
C011treCtOr Address 9309 vndal Av „ue so. License # 0001291 EXp. 3 31/93
Clty Bloomington State Minnesota ZjP 55420
Company Phone
Architect/
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: ..Qt . ?, _r69,a.A'6'-,z
?
BUILDING PERMIT TYPE
? Ol Foundation O 05 Apt. Bldg 0 09 Basement Finish 0 MP%l.ric'Fac..
? 02 SF Dwg. 0 06 Garage/Accessory ? 1tg? r?
'' 4 Agr?ultural
'
'
T
'
? 03 Two family ? 07 Fireplace []
x Porch aneous
?li
tcel
1
5
? 04 Multi-fam. T.H. ? 08 Deck . ? 12 Comn:/Ind.# 03
woRK rrPE
32?_Add.i_.#±
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
? 99 Undefined
GENERAL INFORMATION
tonst. (Actuai}
II ft.
179 q.
Basement sq. ft.
MWCC System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy N 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories
Length 10
p/?I Footprint Sq. ft.
On-site well fire Sprinkler
Census Code ?
Depth iff yyy' On-site sewage SAC Code
?5"s
APPROVALS
,
Planning Building ? z 9Z Assessments
Engineering _ Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Mallboard ? Final O Draintile O Fireplace
Permi t Fee p 8, 00 Yolustian: f OOO ?
Surcharge y ,!;W
ew 1# 7K
MWCC SAC.
City SAC ????i X y? ?
Water Conn. ?--==--=-?
Water Meter
Acct. Deposit -
?67. 2j X S3 =??fG N
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
4 Certificate fors Oak Chaae Buildera
'4 4525 Oak Chase Way
y° Centex Homee Midrreet Inc Eagan, Mn. 55123
' 8601 Darnell Road 7?//¢
o Eeas Praitie. Mn., 553?+??
? M
DEiMAR H. SCHWANZ
?.a ?wno.uRv9voNs, ZA/c.
to " 11»WoN UMS lM N TM f4U oI Minnnota
x M 2M - 1411TM fT11QT N. -B01( M 11081Y0UNT. YIAWpOTA 06000 PHONE Ott 178Y
? MI
1'KJIIVEY011'ECERTIfIGTE I
? W
W
q% NQ?°1d'04".?
O?a
\4
.?
`M
M
O
z
I L 0 T 20 !.0
I B? ouc 1
?
\1
Draibnge &
utility
esssment
?--,
- - ? ?a
' :1
I o N'
«ik
?r.e
?
h ?
?
- I -? (
0 .
?J LJ
?
b
x 9'?° -f6
. -rGUR4
?
1 J144
rA ,,.
M
M
O
Iz
Xq3z.ic
?
I
I
;
IV
,.
' JCALL, 1--3
O Denotes set Mooa Aub I I
;3/eDsnotes exiating olov.
C:)Dsnot*m proposed tlov.
?0- Denotes propos*d drai,nage
I hereby certify that this la a true and correct representation
of Lot 20, Block 1. 88AC0l/ HII.IS, nccording to the plat thereof,
DakoLa Cowzty, Minnaeota
July g, 1979
llotet Proposed elavatione from development
plan.
,
Revissd Noveieber 21, 1983 to shoMrithe location of a proposed houee
as staRed thereon.
Revised house lAcation Deceeiber•12, 1983
S1eC (DOG :C) Z, v , "' . %„- _ ' ?
• /
+, Iy?
W?.
MINNE80TA RE618TN TION NO.la]8
??
- ' EXTERIOR ENVELOPE AVERAGF "U" COMPUTATION
OWNER Richard and Bonnie White
?
SITE ADDRESS 4669 Beanon Hill Road
ADD,nayJ ,
CONTRACTOR Anderson-Soderman DATE 10-28-92 PHONE 881-5044
Determina working square foot age of each. ?
1. Total exposed wall area ...... . 1?426- sq. ft. x
2. Total roof/ceiling area ...... .?3 / _ sq. ft. x ?z (o = 8
Total exposed wall area above floo r = (o
- ? ??----T
-
a. Total wall window area .................. ..........
b. Total door area ......................... ..........
c. Total sliding glass door area ........... .......... - ?
d. Total fireplace wall area ............... ..........
e. Total wall framing area (average 10%) ... ..........
f. Total net wall area above floor ......... ..........
g. Total rim joist area .................... .......... 3(o ?
Total exposed foundation area
h. Total foundation window area
............
..........
i. Total net foundation area above grade ... ..........
Determine "U" value of each w all segment.
a.
073 x itull I
b.
x ?full ?
c . X -u„ . ?lo = /9
?
d. X ?lu,l
e. ?3(. X,lul, ,
f. X .,u,.
g_ 3F x"ul.
h. X "U" _
i . 1:? q X „u., ,07 = a.o.? _
3 . ..................................... 'raTni. = J ?-
If item p3 is the samc as, or less than itcm kl, yuu havc met Che intent of
SBC 6006(c)2.
- ovcr -
?
Total exposed roof/ceiling are:i
Total gross roof/ceiling area =
4
j. Total skylight area ................................
k. Total roof/ceiling framing area .................... 21_
1. Total net insulated roof/ceiling area .............. .,7g 3
Determine "U" value for each roof/ceiling segment.
j , X nU,l _
k. x,lull
x„u„ 7, 07
........................................ TOTAL = , ? /?
If total of N4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the sum of
items M3 and 04 shall not be greater than the sum of items N1 and #2.
1. ?la _ '?S + 2.
3. . 4. 7?i ?/ = ..5ZI. 30
.
CITY OF EAGFIDT
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For Single Fam/w gar Valuation (Q 5; ?GO Date 12-12-t?3
Site Pcldress: 4669 Beacon Hi11 Rd. OFFICE USE ONLY
?
Lot 20 Block 1 Sec,/gub_Beacon Ni11s Erect X Occupancy
Parcel #: F?SC; 0 `a)-!S b? Cy/ Alter Zoni.ng
Repair Fire Zone
p,.ner: Oak-Chase Builders, Inc. Enlar9e ` TILe °f Const.
Nbve # Stories -?
Pddress: 3460 WashingLon ilrive L)eirolish Front
City/Zip Code: Eagan, iv1N 55123 Grade ` Depth y( ft.
Phone #: 454-7965 AppROVAL,q F'EEE,S
Contractor: Same
Address:
City/Zip Code:
Phone #:
Arch. /IIZg. :
Address:
City/Zip Caie:
Phone #:
z': P- g73 ?
Assessments Permit ,31?S JNt
Water/Sewer Surcharge 3a
Police Plan CheckA?"
Fire SAC
Eng. Water Conn. ySd -V
Planner ater Meter 6
Council Unit
Bldg. Of£.
APC ?
? */) .YOy - 5 O
Y
O ?
W ?
?
? M
J M
Oak Chase Builders
Certificate fori 4525 Oak Chase Way
Centex Homes Midqest Inc ?gan, Mn. 55123
8601 Darnell Road ?k 7?
Eden Praitie, mn., 559'?+?+
DELMAR H. SCHWANZ
1,AND SUR V E V OR ?'j,.7AI L•
NpIqMM UINM Laws Of T114 Stst* of MinnOsob
797t - 145TN 6TR!!T M. - BOX M IiOYEMOUNT, MINNE9DTA 96UBB PMONE 812 4134769
BUpVEVOR'S CERTIFICATE ?
q3?.?? 93z.e3
?to?N"?
?/ N 49 16 04 ?W
O ?
? I L oY 2 0 yo
? gL ouC i
?
\4)
?
M
M
oO
?
i
r
Draiha6e &
? utillty
? easement
L_ -
.,.- . i ?'d
/P,*v
110_,if Nr
I?
X
j ., ?/pLUkt.a
-r o
??
? ? I \'/1)
? { Z
? I
?
I?
?
?
?
i
I
?
I
J ?CAc?; +=3D
J
?
?
30? \J
u4?°14'08" ? /3?Lj93fv0 ? . V>2.1& ?
0 Denotes set waod hub I
O31-$Denoteil' eaLetitsg elOv. `
? Denotes proposed elev:
r Denotes propoeed Ara.Lnsge
I hereby certify that ihis is a true and correct representation
of Lot 20, Block 1, BSACON HILIS, according to the plat thereof,
Dakota County, Minnesota
July 5. 1979 Note: Proposed elevations Prom development
plan.
Reviaed November 21, 1983 Co ahatr;the location oP a proposed houae
aa ataked thereon.
Revieed house ldcation Deeember 12, 1983
? ts
MINNESOTA RE615TH TION NO. 8825
( /
.:?; .
f r:
M"r,_:.oR r11:r;.??0-?,r
a•r.E. .z ?
1.. ?tt,tai crqos,-,;, :-a11 ;?.?.a /4trv. _ s- ,_ . . / ? ?7e?•8 w--
_.._ j.. _ x
2: 1.1itat ronfjcra.:i9.7.-f ?•_-ea._.._[370i ?_ c:•. 1"'i.' X
?-
?v:.'.. eaposec? %-rall area fl(-,)r. t/&V•pe
a, 7bta1 tr^EL11 windo:e axa:,,o,
h, R?by?t`al' da?,r?'}?w?c?>oo.. ?..,.oo.
C." JVK1 CJ.?.111.:1M.) :)lC:JS do-Jr a1ea. e.?.:[?Ct:.e?:'o u.i?peGo
d. 7t*,!1 f5xeplc:e-- <Y:?l are.(aaeaccVCCrcc.. .ccO??.yv •
e. 'Ibtz_1 ta::,:.1 fra^in?7 aroz (acTa_•-?-re ?,Ct $; ,. _ .,„? . .. _ ? ? ?„. , ?,
f.:, 7.bt.:,1 n.at v?'_]. acea ai=c- fl???;_.
._.._ ...?.:<..o
9. To t i"L r1i j0?.3L a?E=3.,.ar.nneococaace_nc n,.n?_.?.?c?erec
?v'cz1 erposzO f.a.tr.yatim are:? //(i
h, Tbt?1 forrrlatton wirricx.•
1.. TOt31 7ICt fdlmddC].071 c72"F.c1 i1.boV 2
n2't@.i?S71e nU ° V&l?k? Qf EFv--}1 S:i:zl SCXr:h?..C,.
a,._ /i??•7 __. _X " iI °._._.?e_S'S
?1?.?3!!? ? :: ?) ?1-__ •?7? c ??9
C„ .3V•9 _X ?? ,,
a, x%, ty
`. -?-3?•/ ?_ x . u ° ?.._•
? U ,: -- . o4e e -?-----
n. o ----
?.
;
s a
- ?_
_ _.fS7 --
_ o
--
3.
if itEm A 3 is the sam ae, m }-e7,s t'?a- itrsi !' 1.yvu }tiZVe nc?t i:t:n in c? :` o; /?
StiC Eo05 !c) ?S911.: ??iE'?k Gde?O
SI'!'f: ADDTZSS
• ? . ,
_ ??
?1U?!'?u ?'?:. !_1'. ? J lA^I: ? ?.i:.{. ??n' 4Ef• C
-lu 7.2.''.?CJ. ?'?? . ??)1' 4i^E'i?....,:o c?.._<c..e . ?
_ ?e_ _ ?
.• . e.
• ?? . aa.e.rc: ?? D
.?.. . . .I. . ,.? ?.._?.. ._.L,? .?
('<i . ? JOJOGC[.?OpC?
aCd'CF.L':L'i:? n jJ n V:_(lr: fGi f:a.:.11 XcJ°.f Ck?:.11!1^? ss"gFd»)L
j, _D .. LF
z,. ..1•z 39 3 ______- ,? ? zi ,? ?. o? ?
G
s.,s.
_ ,?0•9
q ?'6?y G z 6BS
If tc?"-,.w. of ?i.s ;.?r? r,?•,? as;, O;' ?G?ft 'G-R4?'. Yr,;i },,_as m,.at 13,e i.nt.ant ac? SAC.' 6006 (c) le
.?
'.CC'? Ii?i .< •I .. :? ':x:t: ?. ??? ??.C; ? S•.-::i.?..'.; 7:t-:t.?. _ ? ng
».C'LJZ:.S.]
P te1 ?}7y t}12 511?3 Of ?TI1BS
n
3- 8.?'"^ J? 2.
l: _ ??B!.g Y,---- - : ?_???•s . = G? r'41
3.---??a•? .,. ?., 3?.y c ?.s,•9
,
' U73K liYlbliStl I??111uCL'k! i Certificate fort 4525 Oak Chase Way
_ Centex Homes Midweat Inc Fagan, Mn. 55123 ?'?
8601 Darnell Road
Eden Prairie, Mn. 55344
DEIMAR H. SCHWANZ
L14ND SU R V EYOR $,IA/G.
r? RMiflereA UnOO/ LAwt Ot The Sbb Of Mlnnosota
/ 7878 - 146TN STREET W. - BOX M RDBEMOUNT, MIMMQfOTA l600t PHONE $/Z 77e9
J ?
SURVEYOR'SCERTIFICATE
9s4.ez q32.03
w ? ?,Vb?toP 412pPNuB
?.... q N4qa2b v? /32.oo 93ig1 q?Q
? 300 _ X9?•96
6 5' 46• °_ o ? ?i?a?aRB
? 0
I L o 7
? o ?q3k.' 06)
' ....., o
( $L ocK 1 34 Q I I ? l?-1
?
?1 5' I N" ? N
PQvPoSEo 933'? ?' 4c V
SCl4L6; 130
?? ? GAR• y. M? -i? 'M J
cr Drainage & 13. 41
r^ utilitY q?i?' 3 v Zz.33 ?-
o easement ? - 933 7 ? a
? - o
?,q? ?IB9°16?D8" t l31 ? ib ()0
rovyu'o
? Denotes set wood hub I
9P SDenotes exiating elev.
I O Denotea proposed elev,
-*- Denotes proposed drainage
I hereby certify that this is a true and correct repT'esentation
of Lot 20, Block l, BEACON HILLS, according to the plat thereof,
Daknta County, Minnesota
July 5, 1979 Note: Proposed elevations Prom development
plan.
Revised November 21, 1983 to ahow:the location of a proposed house
as staked thereon,
r
?
MINNESOTA REGISTR TION NO. 8826 /J
%
.. /?u7rL-rc.NK •?
..-, ????.
t
FJCTERIOR EAIVEI,C°E AVERAGE. °U' COfi?IITATI0:3
04NER
SITE ADDRESS
C0NTRACT0RO-c,0'•eW.a,w lpw". DATE PHOPJE
Determine working square footage of each.
/
1. Total exposed wall area ....3/o y. g eq. Pt. 2 .19 =." y9
2. Total rooT/ceiling area .... //d y,7 sq, ft. x.04
Total exposed wall area a0ove floo'r
a. Tot al wall winCo:? area ................. f?f.t,&
b. Total door area ... ...................!X9,p,_
c. Tota2 sliding glass area .... ........-
d. Total fireplace vraZl area ...... ... a
e. Total wall franing area (averagelOf):..?•y
f. Total net wall area above floor .......... 2% ye.
g. Total rir joist area ......... ........//76?.c.e
Tcta2 exposed foundation area = 3 3 h. Total foundstion wlndow area .......... v
i. Total net foundation area above grade . 1?3•3
Determine "U': value of each xall seanent. . ?
X IOU:: •?f3 = jo?'q 9 .
b. X "U"
C. x „ZT" a
D. ? X "U:' o ? o
e. o,se X 1.U„ , o)• _ ?G•.?
f./e,s'nlf X ,tU': .o. m
9•?-6 X "U"
h. ? X :U? a ? 6
1.? X ?:UI' a2 ? -z99 3
3 ........................ .................Tota1 a 1074•.?2
If iten #3 is the same as, or less than item Y1, you have met the
intent of 5BC 6006(c)2.
,Q&W '*3 18l, a- '•/ c?> S ? e,? 4rcczP .
I
. ?/
! r!
?..
r^:
VI?
ToLal exposed roof/eeiling area = 114??l
J. iotal akylight area . ....... .... .
k. Total roof/ceiling Traming 8rea(average 10• ?/
1. ^aotal net ins?ilated roof/ceilin, area ......._ yrW&_
Determine "U' value tor each roof/ceiling aegment.
k. %/D, lLl % •`Un
1- S'9 i! 3 X ,:U?,
e5l a n
I o-;??
, 2`3,r,? •
, cy
4 .........................................Tota1
` ?/• ?
If total o: {.'a is the same as, or less than f2, you have met the
intent of SBC 6006(c)1.
:?t-•?• ,°' y ?? 6 G ?e+?- vf ? -YY. 2 o.r?zC.
Alternate Buiidirig Envelope Desif,n 5+3? ee>o6(1r,J
To utill2e the total envelope systera method, the values established
by the sum of items #3 and M4 shall not be greater than the sure.of
items ffi1 an3 #2. ,
i.9 + z. yY,? a ?/yYi
3• iPG •?- +
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CIiY OF EAGAN
9 U ? 3830 PILOT KN06 RD - 55122 Ls-- ? ? - 9 cl
657•681-4675
New Construclion Reauirements
? 3 registered sRe surveys showing sq. H. of lot, sq. H. of house
and all roofed areas (207, maxfmum lot coverave allowed)
? 2 copies ot plans (show beam 8 window sizes; poured fnd. design; etc.)
? i set oF energy calculaHons
> 3 coples oi hee preservatlon plan fl lot plaMed affer 7/7/93
DATE: ,d
DESCRIPTION OF WORK:
STREET ADDRESS:
k; 6( bLrX -
COST:
- '
mn -
LOT: -?' v BIOCK: I_ SUBD./P.I.D. #: L Q. O,.Qn.. v R; ? 1
PROPERTY
OWNER
Name: Q?J'44- ? n iJ? O'et Phone
Last Firsf
Street Address: ?bbc? ?^Al e-rQ ,
Gty e?)? State: hVWl Zip:
,/
Company: C.&v%s?` Phone #: 6SI ? /?'/?CC? MWJr
(area code)
CONTRACTOR .?n
StreetAddress:?3M????s1d--? rl '/1w?- L(cense# ?9Exp.?fX7
Ciiy State: Zip:
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Name:
)
Regishation #: _
State: Zip:
Sewer 8 water licensed plumber (reaulred for new construcfion onlv):
PenatFy applies when address change and lot change is requested once permit Is issued.
I hereby acknowledge fhat I have read thls applicatlon, state thaf the Intormatton is correct, and agr e to comply with all applicable
State of Minnesota Statufes and City of E6gan Ordinances.
{-
SignatureofApplican}; Aj--(a
i{/'/•_::- - ? tl,?
OFFICE USE ONLY ? I A ,, ,, I
?I?.??; I M@; - J
Certificates of Survey Received _ Yes _ No
IL
Tree Preservation Plan Received _ Yes _ No _ Not Required';,
Remodel/Reoair Reau6ements
T copies of plan
1 sei of energy calculations for heated addftions
1 sHe survey for exterlor addRions 8 decks
L alo BL / CITY USE ONLY
RECEIPT
SUBD. RECEIPTDATE: ?.?
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for. . single family dwellings
* townhomes and condos when parmits are required for each unit
New construction Add-on furnace
T Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: Lf( Z ( I ? __7
FEES
? Minimum Fee: Add-an/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL ZO. Scj
SITE ADDRESS:
OWNER NAME: ! v I fV__(?;- PHONE #:
iNSrALLeR NahnE: ? preferred heating & air
7643 Logan Avenue South
STREET ADDRESS: _ Richfield, MN 55423
CI.rY: Bus:866-7611 fax:866-0125
PHONE #:
ZIP:
1 e.iM? 0
SIGNATU E OF P RMITTEE
?? 9-, 0 l?o
CITY USE ONLY
L BL ?` I RECEIPT#.
SUBD. I I ;I? RECEIPTDATE:
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT ICNOB RD (\O ?
EAGAN, A41 55122 O
Please complete for: ? single family dwellings 651-681-4675 Q"
?
D townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
?ffeee GstW #
TOTAL
r?n?wnca - -
ARerations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum -1 3.00 X = $
Hpt tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System newrrefurbisFred ' roqUlres MPC lic. 75.00 x = $
Se tic SyStem abandonment 30.00 x = $
RpZ new installationlrepairlrebuild 30.00 X - $
Rough opening 1•50 X - $
Shower 3.00 x = $
on
Under round sprinkler iFdwelling is under wnstrut 3
x
=
$
Underground sprinkler ifexisting dwening x $
Water closet x $
M
Water heater x
$
Water softener if dwelling under constr x $
Water softener if exis?ng dwemng x $
Water turnaround x
State Surcharge $ 130
TOtal $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
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I hereby edcnowledge that I have read this epplication, state thet the inforrnetion Is wrred, and agree to compty with all appiicable City of Eagan - ordinanms
It is the applicant's responsibility to notity the property owner that the City of Eagan assumes no liability fur aay damages caused by the City during ft
nortnal operational and mainienance ectivkies to the faal@ies constructed under this pertnit within City propertylright-of-way/easement.
SITE ADDRESS: ' ?p -
OWNER NAME: : M(.iF??P TELEPHONE #: ? -'?/? ????/
(AREA CODE)
INSTALLERNAME: M? (VfIPY? _ TELEPHONE#: 4IXJ ??
r _ . n lAREA CODE) _
STREET ADDRESS:
CITY: ib STATE: ZIP:t2S`'L
SI NATURE OF P I EE
C1TY USE ONLY
LOT '_2L BL t PERMIT #:
SUBD. &Dc,()n 411 1 RECEIPT #:
r---
RECEIPT DATE: ? `?j--O C}
2000 MECIiANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT HIdOB RD
EAGAN MN 55122
Date• 651-681-4675
w
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL SQ M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Complete this section onlv if you are remodeline. addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
?
,-'New Alteration
Furnace
Air exchanger
$ 30.00
6.00
State Surcharge .50
Total $
Repair _ Other
Air conditioning
Other
Fee
State Surchazge
Total
IZeminder: Call jor inspections
SITE ADDRESS:
$ 30.00
50
$ 30
OWNER NAME: PHONE #: &6_7 -(OffF-
(AREA COD£}
INSTALLERNAME: l?11`?'(J?SJ1ll S? eA':?fl . C'?"'IP PHONE#: gSa`Z -S??'"IJOOS
r? ?C? l ? c (?A CODE) .
STREETADDRESS: jgU?'I 1C?V)C?
? 0 ? ,??,? ;[t ?
crTr: Sou>?? srnTE: 1`4-) z[r: S?3S?
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162860
Date Issued:08/03/2020
Permit Category:ePermit
Site Address: 4669 Beacon Hill Rd
Lot:20 Block: 1 Addition: Beacon Hill
PID:10-13500-01-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Matthew T Pagois
4669 Beacon Hill Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163000
Date Issued:08/10/2020
Permit Category:ePermit
Site Address: 4669 Beacon Hill Rd
Lot:20 Block: 1 Addition: Beacon Hill
PID:10-13500-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew T Pagois
4669 Beacon Hill Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170856
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 4669 Beacon Hill Rd
Lot:20 Block: 1 Addition: Beacon Hill
PID:10-13500-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew T & Stephanie Pagois
4669 Beacon Hill Rd
Eagan MN 55122
(651) 895-5748
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature