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4719 Beacon Hill RdPERMIT 'Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: -- Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT X/95 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: 1 Owner: Address: Site Address: 4719 Beacon Fill beacon Pill _ Plumber: 'h "ln I agree to comply with the City of Eagan Ordinances. 100.00 pd Connection Charge: 425 00 "4 Account Deposit: Permit Fee: Surcharge: - Misc. Charges: Total: Date Paid: By Date of Insp.: Insp.: _--- CITY 9F EAGAN WATER SERVICE PERMIT 37.93 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: - Connection Charge: 11 Size: _ _ Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Dote Paid: Date of Insp.: _ Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date Site Address C Erect "? Lot Block Sec/Sub. Alter ? Parcel # Repair ? 19 Enlarge ? LU Name Y_ Move ? Address Demolish ? 0 r Name _ 0 u1 Address Name - Address 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. Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC N2 5417 Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Total Signature of Permittee _ I A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pannlt # Date Inued PWMI" u Plumbing /cf fs x ZS -79 Mechanical / L, 0 c? (\ - b INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing 00,7-5-,>7 Frame/ins. Mechanical ^-?D Final Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PLI7}' MIN G PERMIT Date: S`-gteaiber 25, 1979 Receipt No.: Single Site Address: 4719 Beacon Hill Drive Residential Lot 4 Block 7 Sub/Sec. Beacon Hill No. 1488 x new Name Centex Homes New/Alter./Repair c Address Cost of Installation 39 O City Eden Prairie Phone: Permit Fee 2 ? . 0n Name C'.enz Ryan Plumbing & `ieating Surcharge .50 14745 South Robert Trail Address e 0 u Qcooe: .ount 5506!? >C. ;'1 City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official HEATDr. U-6-79 Date: Site Address: Lot 4 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT 4719 Beaaaai Hill Aoad Block Sub/Sec. _?? f Till Name Centex Hanes MidAIU-St 4615 Beacnn Hill C in ICU Address O " City Phone: 4 54 52 Name l'.ay 4elter Heatirc ddr 4"37 11-d ? cam '1'q?l?Ii'.]P ess V 7.; r City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 1& 4 Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee Surcharge Total . done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 WATER CONt'!'. 12/20/79 Dote: Site Address: 4719 Beacon fill Rd. Lot Block Sub/Sec. Donald Hayder Name Address Satre Eagan City Phone: Comers Soft Water Name $ '3801 California F Address e 7x1_ 136, City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. PERMIT 316 No. 17198 Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Installation Permit Fee 5.00 Surcharge • 50 Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122' (612) 681-4675 PERMIT TYPE: ' 111 1it Nc; Permit Number: Date Issued: o o SITE ADDRESS:1? I N ' t 110..13b00-040--f! 1 01 - 4 BLOCK t'-At ON 11.11 1 Itn ril-A('fN Hit 1 r)RK5 i RI' f?nni- [III[-' TO f,'1 t1I?M 1)AMAiiI L y APPLICANT: (&I2 K9h-Hf4f? P PERMIT SUBTYPE: TYPE OF WORK: AIR f:,I, I I i t4i Fr 1` i. (If. IF Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 3aslsQ ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Al 'IN ItII I I.U irI; I ! I PERMIT SUBTYPE: I I ,.. I I NI. 1 1 ' „ III Al ION .CORD PERMIT TYPE: Permit Number: Date Issued: 4 131 W4 . APPLICANT: TYPE OF WORK: I<< ; ? I"I I1'rI ? I1I I . INI I IItfI II) 1 1, AM I Hit I INAI Permit No. Permit Holder Date Telephone A SNV PLUMBING HVAC ELECTRIC ELECTRIC inspection Data Insp. Comments Footings I I J?c9l?Zj Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (o 4' 1982 1806.93 200.77 1806.93 C007603 10-1-81 STREET RESTOR. GRADING 5'5 1982 526.46 58.50 9 526.46 C007603 10-1-81 SAN SEW TRUNK 1976 135.97 9.06 15 99 - 71 Aon8jog 9127179 * SEWER LATERAL 1982 3116.46. 346.27 9 3116.46 C007603 10-1-81 WATERMAIN * WATER LATERAL 1982 9 WATER AREA (G?' 1982 198.01 22.00 9 198.01 C007603 10-1-81 * Stubs 1982 9 STORM SEW TRK &52,- 1982 359.82 39.98 9 359.82 C007603 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 15924 9/17/79 WATER CONN. r/ 525.00 fI BUILDING PER. -14 t SAC 270.00 15 24. 9/17/79 PARK QIiertifiratr of (Orrupanrg (itp of Cagan iurpar#utent of Nuilbing Insptrfinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF Dw1g./Garage Bld& Pam* No. 5417 R3 V III . _ Z: RI ., By: 12/28/79 na: POET In A COMMICUOUN nAQ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 f ?i 3830 PILOT KNOB RD - 55122 -C O 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE JOB SI IF MULTI-FAMILY BUI PROPERTY OWNER TYPE OF WORK APPLICANF3 PAGER # 0.o v T T, III ? a ? ?tIU RemodellReoair Requirements • 2 copies of plan IR- V_ • 1 set of Energy Calculations for heated ad( • 1 site survey for exterior additions & decks NG, HOW MANY UNITS? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths Fee: $90.00 No* of B< _ 1 Mechanical Contractor: h KJ Phone # 4P'100 -077 Mechanics System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application all applicable State of Minnesota Statutes and City of I Signature of -IL ?-tLrj c l&EPLACE(S) - YES _ NO PHONE # _SL' b ?-onn the information is Certificates of Survey Received - Tree Preservation Plan Received - and agree to comply with Not Required - Updated 1101 CITY OF EAGAN t 3793 Pilot Knob Rood Eagan, MN 55122 N2 5417 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # Site Address Lot 4 Parcel # SF Dwlg & 19 Beacon Block Sec/Sub. 10 13500 040 07 68.000. Erect $'[ Occupancy Alter ? Zoning 3 Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories 53 Demolish ? Front ft. Grade ? Depth Approvals Fees e: Name Centex Hanes Midwest Ad ss 4615 Beacon Hill Ct. agan 44- Name _ ?? Address ~ Ci 4 p t „?,w Name _ t _1. Address 1 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 Permittee - A Building Permit is issued to: all work shall be done in acco Centex He ?s Midwest ia2e with,all olicoble State of, Assessment - Water & Sew Police - Fire Eng. Planner Council Bldg. Off. - APC Permit iv". ..., Surcharge 34.00 Plan check 83.25 SAC 525.00 Water Conn. 270.00 Water Meter 60.00 Road Unit 75.00 Total 1,213.75 on the express condition that Statutes and City of Eagan Ordinances. Building Official This rest void 18 months from ?c re?c ore s , 17929 Date of this Request "t ly l a I, ast<icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: 11 &k as Address or Route No. X 1 lei dcrs _u _ City ,0 Section Township ,? f L . _ Range County DwIlzi Which is occupied by C..c'Itic jot (Name of Occupant) a roughin inspection required on this job? No ? Yes, Ready Now ? Will Cal Power Supplier Address FA(t " Electrical Contractor Contractor's License NAW_ 1(company Name) Mailing Address 4W Ct_Vt tt.tc' I rical c ntractor or owner Making This installation) Authorized Signature Phone No. 00 - (Electrical Contractor or Owner Making This Installation) BMW W ?® This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. RAM t Minnesota State Board of Electricity 3VS University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION GHECK BELOW WORK COVERED BY THIS REQUEST iGssB S 1192 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Weed For Home ex ? ? ? ? Range Water Heater Temporary Wiring Lighting Fixtures Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bldg. Farm ? ? E] ? ? [j Air Conditioner List Bulk Milk Tank List ? Other ? ? ? po Herersl Hereers COMPUTE INSPECTION FEE BELOW Service Entrance Size: u Fee Feeders&Subfeeders: s Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL F (E •oe? I, the Electrical Inspector, hereby ceA4-wat j. i n has been (Rough-in) Date (Final) e??': ` - ) Date This request void 18 months fro t 5 6 ?? X9 ?cV Request Oale Fire No. R gh-in Inspection Required? y{ ''eady Now 0 Will Notify Inspector s C, No / ` When Ready? I icensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No.( / city /4 4"' (/ Section No. Township Name or No. Range No, County Occupant(PRINTI Phone No, Power Supplier Address 12cl? /17 Electrical Contractor (Company Name, Contractors License No. i '/ a c/r'cz 69 C . i c -t o Mailing Address (Contractor or Owner Making Installation) 2S F /FS+: c.' /r?' 542 Authorized SI tore (contra or'Owner Making Installation) Phone Number r J I Y6? 'Trs-as- MINNESOTA STATER nRD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway BI Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602.0800 ENCLOSED. t t REQUEST FOR ELECTRICAL INSPECTION "P "qA Ee o00phoe p//p ? See instructions for completing this form on back of yellow copy. 5 2 9 3 6 "f' Belo Work Covered by This Request $? LYaC e Add Repr Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: T O CJ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps "ir Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL S Irrigation Booms o•??? Special Inspection Alarm/Communication THIS INSTALLATION MAY B DER! DI gNNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby tif th t th b i i Rough-in £. r 'e ete cer y a e a ove nspect on has been made, Final D to OFFICE USE ONLY This request void to months from City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL Date: 9115 Site Address: 7 ' / Tenant: ---------------- Fwolfi-ce use (n Permit #: LS W Permit Fee: Date Received: I Staff: V - J BUILDING PERMIT APPLICATION 9' Ream R . Suite #: RESIDENT / OWNER Name: Phone: ?p fl ^?jr2 ?/7? Address J City / Zip: Applicant is: _ Owner Contractor TYPE OF WORK n Description of work: ? D 010 - .S (t? 11 G1JFe a s TT Construction Cost: l uT/ V U • Multi-Family Building: (Yes _/ No CONTRACTOR Name:nom.6f0 i(72' 1,5 .,_ AJCLicense#: 2) ?(o JC -t? 9 5 2db Address: qwyLe AL.- SzuJz / j ? City:-z6la State: IVAjzip: ?? c7a Zj Phone: - Jatsm J? ntact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted S ubmitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _Yes _No It yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the will n conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora it, and is not to start without a permit; that the work will be in acco rdfn ce with the approved plan in the case of work which requires a review nd approval plans. x App ant's Prints Na x ppli ht's %nature ZZ Pane I of 3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 1 O . d 0 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Big" 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan C S ''' i ` . (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks iJ 1 set of Energy Calculations Addition- indicate ifonsite septic system 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / / 6 Construction Cost -Z/' MO Site Address C ? / 9 ??E' DICGy. !d r ?! /? , Unit/Ste # J d [ Description of Work 1re n,o " p0 b' \ DUL ' V Multi-Family Bldg - Y ..N 1 ? Fireplace(s) 0 - 1 - 2 Property Owner / LTA64D.r ex All cVff 0 Telephone # (d 7) X 152 /7'7 Z Contractor L a l tpey# E c?Pe-eUl?S /? / Address A > 33G !V ?ix [ 4'Ll/ r. GU Ac.' City t7 crf State vt Zip 7~?H Telephone # (657) 6'75;- 3LI24 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" 3 Reroof ? 46 Windows/Doors 11 34 Replacement *Demolition (Entire B g) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) - Final/No C.O. Footings (addition) - Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick Fireplace _ R.I. Air Test -Final - Windows Insulation _ Retaining Wall Approved By: Building Inspector ------------------------------- Base Fee --------------- ---------- 70? ?_C -------------------------------------------- -------------------------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL ?i BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 J!7 7 , Z S 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detad Options selection sheet (bldgs with 3 or less units) DATE /0VALUATION SITE ADDRESS , 1 MULTI-FAMILY BLDG _ Y cir TYPE OF WORK i FIREPLACE(S) - 0 - 1 _ 2 APPLICANT J%(55 e / Wial,/A) S/d! STREET ADDRESS/6,-75- f/J4/e CITY w?STATE$&#'ZIP 5__S2'/_ TELEPHONE # 667 W 73f CELL PHONE # FAX # PROPERTY OWNER .?A/11l° /44 ydeA/ - TELEPHONE # COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY _ Energy Code Category _ MIINNE.SOrl'.\ RUI.ES 7670 CATEGORY 1 MINNESOTA RL"LES 7672 (ti submission type) • Residential Ventilation Category I Worksheet Submitted • New ne?E gy,CodeWOr`ksheet Submitted • Energy Envelope Calculations Submitted C CT 1 2002 Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of, Signature of is correct, and agree to comply I OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Latin Sprinkler '8,, _ _Fse__ 590-00_ No. of R.I. Baths Phone # Fee: 570.00 Phone # Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 PERMIT CITY OF EAGAN 3930 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 032814 08/07/98 SITE ADDRESS: 4719 BEACON HILL RD LOT: 4 BLOCK: 7 BEACON HILL P.I.N.: 10-13500-040--07 DESCRIPTION: REROOF ermit Type a,rk Type 5 -?5x 3'sr. ?. STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL s5 g= 3t€'til V't IY -'a ?i iIftN CFII , Q1M 6I s 5 Fd + . it kw REMARKS: REROOF DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: AZTEC ROOFING 18950040 20139140 HAYDEN BARB 1444 CLIFF RD E 4719 BEACON HILL RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 895-0040 (651)452-1142 ead this app11oatign aii s stair:; bit 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ^ C/ New Construction Requirements RemodeVRepair Requirements 9 ? 3 registered site surveys f 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: DESC IPTION OF WORK: PQ F C?O? - c,31 S EET ADDRESS: t i -I q a fato h i- CONSTRUCTION COST; 0, ,/ LOT: 'A BLOCK: SUBD./P.LD. #: ` O?- C c - 14&,A CU V-- Name: bo--p-b _0-A i•` o Phone#: !?®r1 Z -/ ??Z PROPERTY Last First OWNER _ I i n f Street Address: `I f / " / L:)EaLQ/J &.144 F-W City La___ b State: Zip: 22 Company:- EL 7 €C Roo f l Phone#: 1 ) '(J ©?t) CONTRACTOR Street Address: OA 7 CI/ License # City f f? __ V.. !t ?? State: zip: ;2_i r337 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies. when address chant I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes _ No Tree Preservation Plan Received - Yes - No - Not Required CI?'Y O'F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 021557 07/23/93 SITE ADDRESS: 4719 BEACON HILL RD LOT: 4 BLOCK: 7 BEACON HILL P.I.N.: 10-13500-040-07 DESCRIPTION: 20 16 (ff Ji HL 11 REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee CONTRACTOR: BROTEN DESIGN & BUILD 7664 142ND ST W APPLE VALLEY MN (612) 891-3875 (DECK INCLUDED) rmit Type SF PORCH rk Type NEW CV, R-3 Building Lengt Building Width VALUATION $171.00 $111.15 $8.00 $290.15 $16,000 Applicant - ST. LIC. OWNER: 18913875 0005768 HAYDEN DONALD 4719 BEACON HILL RD 55124 EAGAN MN (612)452-1142 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply, with all applicable Stimte of Min. Statutes and City of Eagan Ordin<ancee. 'APPLICATITMERMITEE SIGNATURE f.llf1.11 6'01111)a ISSUED B SIGNATURE* REACTIVATE - CITY OF EAGAN PERMIT C I ECIEEVED 1993 BUILDING PERMIT APPLICATION $21015 J 2 0 1993 681-4675 .SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. 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 / / Valuation of work /3 I GC • °?' Site Address: 'f7i9 1 L Gib j K(LL l J STREET SUITE U Tenant Name: (commercial only) LOT BLOCK SUBD. vo cQh .1! P.I.D. # Description of work: Trum,) O&c-IC- The applicant is: ? Owner D Contractor ? Other (Describe) Name lq_Ayr` eIj D G uy Phone f/4.. Property LAST FIRST Owner Address 47 1 6&nco i) d i tc 40, STREET STE U City &JA State AIVL_, Zip Company SKc 7Elo OE3/ts4 f 6L)tt-o Phone ((?3s7S Contractor Address 4&j /4-1 Cr. CID. License #fYU\, "761 Exp. [ City A. I). State 40. Zip e-:Tt -4 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: l/? !mac o (.? LL_ OFFICE USE ONLY BUILDING PERMIT TYPE > : , ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 04 SF o ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. isc. ? 10 Multi. Addl. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE "31 New ? 33 Alterations [3 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. Fire Sprinkl er Length U- , On-site well Census Code y V Depth On-site sewage SAC Code 1 APPROVALS k Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ALSO .a&CK ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintil e ? Fireplace Permit Fee /R1,00 valuation: Surcharge S, oo R i Pl o QCN ? an ev ew License p2 p y.16 = 3 a X o MWCC SAC -t City SAC Water Conn. lea Water Meter ?D D ?-- Acct. Deposit S/W Permit S/W Surcharge j / J C / Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units I. fC. . ca1c arc': I,ex Homes Midwest Inc. d60,1 Darnell Road Plan 538 Eden Prairie, Mn. 55344 DELMAR H. SCHWANZ LANG SURVEYOR R«iWIW Una& Laws M TM SYb Oi MinM"Ws an - MOTH WMEET W. - Box M RO6EMOUNT, MINNESOTA 666M PHONE $12 422-17= EURVEVOR'E CERTIFICATE sl ao Z IPoRC:' ?`sC ti' wTf ? _. MI '? t 27.p0 -.l + 1 nJ rv 0? (V; 22.U . 1 r; ?- -??JF ao.o7 SCA:,E: 1 inch - 30 feet 37Z Denotes Proposed Pinished Grade B=YC}ThMK: Tot hydrant between lots 4&5, Blk. 7, Elev.- 939.63 Top of block Garage floor a3?.i Basement floor I her t;; certify that this is a true and correct representation of Lot 4, '.lock 7, BEACON HILL, according to the recorded plat thereof, Dakota County, Minnesota. Dated: May 3^, 1979 Revised to show proposed house Sept. 6,1979 MINNESOTA REOISTRA ION NO.1626 3Z. 0 SF BUILDING PERMIT APPLICATION DATE 1 /4/-79_ Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for A 0t -'t E- Valuation (o? i 6 o CD Site Address: 41 t 9 jEAC4 ? LL QD. 4 !7 "v3EACC 4 (LL Lot Block See,/Sub, Parcel Number oi4 C)7 Owner Address Contrac Address Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Date off Approval & Initial Assessment 011. 1 y/79 Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Telephone 454-Sa3C0 OFFICE USE Occupancy X3 Zoning Fire Zone Type of Const. >f B of Stories Front Depth FEES Permit fc,(o ?S0 surcharge---._...-...__ .. 3.%O slain Check SAC , 24+.OC Water Conn. Water Meter ?p4OC TOTAL Arch./Eng. Telephone Address Certificate for: Cortex Hor3z ,)'-":3t 8601 Darnoll Roe.f. Eden Prairie, :`.r„ 5A-14 DELMAR H. SCHWANZ LAND SURVEYOR ReGRlefeo Under Laws of The Stale of Mmnesola 2876 - 146TH STREET W. - BOX M ROSEMOUNT, MI NESOTA 58088 SURVEYOR'S CERTIFICATE 51 Z7oD - 1 N L ?I r. p o PHONE 612 4231788 V f). 4s Zt.0 17 ac.ca 3CALr: 1 Inc_? 30 f ct l?1 '7Z IDonotcu Propo:;c'c. G . 6c -v :.,r :, J ..-lv la>lt?itiK: Top I!y3PC71w k: £.,.:on ',;t" 4. '. .??. T) of block floor °3?•? Y?'_':. ent flour I % 1 cr ar ,,'rt .. ?i5'J tl t ._:1C i-- is 6. ic;t /l r'17C,S 1. Y321 X)N !C-.'y 2", 1)79 ??'?'? (s to Lo Dr J')(;EE!C nou.- o SC?,'_ :, ; L _J ! •j • MINNESOTA REGISTRATION NO 8623 CITY USE ONLY ?7 ?f 3l g'3\ LOT A_ BL 1 RECEIPT #: ?' IQ) 0 +I Q SUBD. 2Lnv1 ?['l l RECEIPT DATE: I ?? 10 1 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (? 114q1 (651) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New X Replacement Repair - Other Furnace _ Air conditioning Air exchanger, i.e. Vanee system, etc. Other Reminder. Call 681-4675 far inspections. $ 30.00 State Surcharge: 0 Total: $30.5 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: 012-0242w PHONE #: ?- JSJFORMS BLDIMC•CII PERMIT (RES) - 1999 STATE:ZIP: ?n? Y1on Zv-, a SIGNATUI?j PERMIT-TEE -7 3515 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. f. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection shoot (buildings with 3 or less units) Minnegasco mechanical ventilation form 7W -1C) no RemodellReoair Requirements Office Use Only 2 copies of plan showing footings, beams, joists Ced of Survey Reed _Y - N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _ N 1 site survey for additions & decks Tree Pres Required Y:- _N Addition - indicate if on-site septic system On-site Septic System -Y - N Date / Construction Cost L? Fa) Site Address Unit/Ste # Description of Work Il Multi-Family Bldg _ Y N a Fireplace(s) 0 _ 1 _ 2 Property Owner Telephone # ((awn y 5 -l? ?Z Contractor Address City State Zip 53 Telephone # (tos /) 45-/ _ Oo fl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months. has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved.plan in the case of work which requires a review and approval of plans. ?p ?t C-lG vn e ./? Applicant's Printed Name 1 Applicant's Signature CENTER HCMi -s MIDWEST, INC. CONSTR r Area JeflCON I?l?L Q g t Block Lot ct 4615 Beacon Hill Court, Eagan, Minnesota55122(S12j Mortgage: Conv. T??? ?t-?C?i1? (,6 •i-_tJ Address f)1L1_ ?: /'7 7 ruv Ins. Conv. (.FJHAJ VA Buyer t. _? ) 1Dt Base Price Plan 1-10 Phone ` k q2-- Elevation C Possession Date OPTIONS AND EXTRAS: p( L iO iTr vNi IU t, tZ L rt EW. ql"rlL 3cFT'Wcf. >v r2. s r z c- ?7 yFI2 L t : 8'1' FO L,JR FEe- + - - j 2r P LA-C E` d YL? (D R A f) If / N-S v L. A-5-7 0 tJ '10 3 r ?r C e t I r, c /.?k"CT/trL 2AOV-70 1'-'? i2r1=t g-x) e- tL Range: Gas $lectri_c Dryer: Gas Electljc Dishwasher: ?h-:es No Disposal: 17_ s No Buyer/Date V Buyer/Date Acctg: (2) Construction/White Sales/Yellow Buyer/Pink PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137469 Date Issued:07/06/2016 Permit Category:ePermit Site Address: 4719 Beacon Hill Rd Lot:4 Block: 7 Addition: Beacon Hill PID:10-13500-07-040 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 - Barbara A Hayden 4719 Beacon Hill Rd Eagan MN 55122 (612) 310-9956 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature