4788 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4788 Beacon Hill Rd
Lot: 47 Block: 6 Addition: Beacon Hill
PID:10- 13500- 470 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Softener
New
Water Softener
Meter Size Meter Type Manufacturer
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Thi Rasachak
4788 Beacon Hill Rd
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA092121
11/23/2009
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
6565.5
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
3o-s-6
Date _& / !3 -.9I ?
Site Address Unit #
.
Property Owner
Telephone #
Contractor
Street Address 410 WEST LAKE STREET city
MNNEAPWS, 2999
State 812-04-2M Zip Telephone # ( )
Bond #• Expires:
The Applicant is Owner ?Contractor Other
Add-on or alteration to eaisting dwelling unit $ 30.00
? furnace _Additional Replacement
air exchanger
air conditioner _New \Replaeement
other
Il ? r
lJ
n
State Surcharge JUN 2 4 ZO04 $ .50
E ,
Total
$
I hereby apply for a Residential Mechanical Permit and acknowledge that the inforniation 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 derstand this is not a
pernut, but only an application for a permit, and work is not to start without a 't• t the work ' ccordance with the
approved plan in the case of work w' quires a revie and approval of pl
a<4ti6.;1
Applican' Printed Name Applicant's SignaAw4
This re4uest void 7 (?? ?
18 months from 1 t t
?.i
W 27451 y Z. 10
Request Date Fire No. Rough-in Inspection
R
red?
nRedy Now [AOlill Notify, lnspec
? No
%es
or When Ready
icensed Efectrical Contractor t hereby request inspection of above
Owner - - electrical work insialled at: . .-
Street Address, 6ox or Route No. Ciiv
-) -iiB S Ae. rt 1??? ,? aif
ecnon o. Township Name ar No. Range Nu. County
O ant (PRiNT) ? Phone No.
Powe Suppiier Address
a! Contractor {Company Name) ?
EI 2
? Contractor's License No.
l r C.'-,
c,
Mailing ddress (Contra?cto?r. or Owner Making Instailation)
l
?
?
??
?`-
_ 1?.6 ?-.?_? f
,.?
f ? ?-_'2 •,
?„
C'
Auiharized ture (Contrac or Viner Making tnstaitation) Phone Number
V/ t_ 1U_1kL'1 (_14713b -
MINNESOTA STATE BOARD OF EtECTRICiTV THIS INSPECTION REQUEST WIIL NOT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1827 University Ava., St. Paui, MN 55104 UNLESS P,ROPER INSPECTION PEE IS
Phone i612) 297.2111 ENCLOSED.
REQUEST FOR ELECTiiICAL IIVSPECTION EB-00001_0,33
W27451 0 See insiructians for compieting this form on back of yeilow copy.
X""84#.Yow-ork Covered by-This Request
Ne Add ReR. Tvpe of Buitding Appliances Wired Equipment INired
Home Range Temporary Service
Dupiex Water Heater Lightitig Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unloader
indiistrial S(dg. Air Ccnditioner Bulk Milk Tank
Farm o f -? - oiher (Sueaify)
ther Specify Ot
--- (?CJS?1'?.,..• Other
;compure rnspecuon ree tseiow
# Fee ServiceEntranceSize # Fee Peeders/Subfeeders # Fee Circuits
0 to 100 Am s 0 to 30 Am s .... 0 to 30 Am s
101 to 200 Amps _Jjjhgp 100 qmps ( e' 31 to 100 A s
Abave 200 Amps Ab 100- Amps Above 100_Amps
Transtormers et, te Control Circ.
O x Partia4/Qther
Signs %JW6al Inspection $ OT
?
Remarks AL F E?
O?
Rough-in
inai
?
Da
?' ••
Date
?Slye Eie
ctrical
inspector, Mereby
certify that the above
inspection has been.-
, This request void ' • • ?'i,-? ' 78 moMhs from ?
\
This re4uest void
18 months from • ? ` ?
T 8%15450
MINNESOTA STQTE BOARD Of ELECTpICITY THIS INSPECTIO(V REQtJEST WiLL NdT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTELI BY THE STATE 80ARD
1821 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
no-Lone (612) 297-2711 ENCLOSED.
Reques'f Date Fire No. Rough-in Inspection
/ Q R q ired? QReady No Will Natify, Inspec-
'?' es E]No tor When Ready
icensed Electrical Contractor 1 herebv request inspection of above
Owner electricai work instailed at:
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
T 0 "51 'j4 5 a, See instructions for compteting this form on back ot yeliow copy. t`--
XBe'low W'ork Covered by This Request 3,0 (o??-
?
ew Add Rep. Type of Building Appiiances Wired Equfpment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Oryer Electr;c Heatin
Commerciai Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Buik Miik Tanl<
Farm Other pec?fy Other (Sperify)
ther (Specify Other Other
Compute Inspectron Fee Below
# ' e ServiceEntranceSize q Fee Feeders/Su6feeders # Fee - Circuits -
- Otol00Am s 0 to30Am s . 0ta30Am s
c 101 to 200 Amps , 31 to 100 Amps 31 to 100 Am s
Above 200 q ? Above 100_ Am ps Above i OO-Amps
Transform ' Remote Control Cire, t,!Y"[D Partial/Oth
Sign Speciai inspection $ .-
'Remarks OT FE
? /'! 1
lw v
i ` 1.w .
Rough-in Date
1, the Electncal
. inspector, hereby
if
Final
?te j?
? ??? cert
y that. the above
' spection has been
This request void wim
18 months from
CITY OF EAGAN 374b Pilot Knob Rood Eogon, MN 53122 N? 7361
PHONE• 4S4 81Q0
BUILDINCy PERMIT ' Receipt
To bs used for SP nWGf?"*AR Est. Value $61,000 Dote `?une 21 .?. 19 ?2
Site Address 4788 Beacbn Hi12 Road Erect X$ Occupancy R-3
Lot 47 Block 6 Sec/Sub. BeaCdn H$I1. After p Zoning R'"1
Parcel # 10 13500 470 06 Repoir p Fire Zone ?
oc NQme Stltishirie Cb21$ tStlCtiOIi
W
3 Address 1507 Ciemson GbWCt
b c; Eaqan 55122 Phone 454-7485
°C Name ?er
,o
Address
?- ?:.., oL___
Nome _
Address
i hereby acknowledge that I have read this opplicotion and state that
the infovmotion is correct and ogree fo comply with oli applicable
Stote ot Minnesoto $totutes and City of Eogan Ordinances.
Signature of Permittee
/1 Buiiding Permit is issued to: su
nll work sholl be done in occordance with oll
Enlorge ? 'fype of Const. v
Move p # Stories
Demolish ? Length 44
Grode ? Depth 4-8Sq. Ft.
Approvols Fees
Assessment _
Water & Sew.
Police
Fire
Enp.
Plonner ?
Council
Bldg. Off. -
APC
Permit ?.L°•''jU
Surchorge 30.50
Pfan check 158•04
SAC 525•0Q
Woter Conn. 420 - 40
Woter Meter 60 - 0Q
Rood Unit 240•d?
Toto{ $1749.50
on the express condition thar
and City of Eogon Ordinonces.
Building Official ?,?1 -
CITY QF EAGAN Remarks
Addition BEACON HTLL ADDITION Lot ` 47 Blk 6 Parcel 10 13500 470 06
OWner ?)iktma (?), o Street 4788 Beacon Hill Road $taYe Eagan,MN 51;122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1982 1848.67 205.41 9 1643.27 A011503 10-6-82
STREE7 RESTOR.
GRADING 1982 537.84 59,76 9 478.08 A011503 10-6-82
SAN SEW TRUNK 1976 13597 9.06 15 72•55 A011503 10 - 6- 8 2
* SEWER LATERAL 1982 3182.83 353.65 9 2829 . 19 A011503 10-6-82
WATERMAIN
* WATER LATERAL 1982 J
WATERAREA ? 1982 202.00 22.44 9 179.56 A011503 10-6-82
* Stubs 1982 9
STORM SEW TRK 1982 367.77 .86 9 3 2 6. 91 A011503 10 - 6- 8 2
* STORM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 # 6-21=82
WATER CONN. 420.00
BUILD{NG PER. 7361
SAC 11 t?
PARK
1999 BUlLDING PERMIT APPI.ICAT10N tRES1?ENTlALI
3732
? crry oF Mc" ?
3830 PtLOT KNl3B Rti - 55122
651-681-4675
, .
> 3 tlgist+er+ed sffs suneys showMg sq. M. rsf Wt, atl. ft. af house
and gj aaoisd areaa (=,?fmum lot,overoae alorad)
? 2 copies of plans (shofur bedm & window sizes; powred fnd. deaign, +e#c,)
,> 1 se# o# aneryy cakutationa
?3 caprea of lres prexervaditm pion I bt ~ effm 711/93
DATE:
. ,
DESGItIPflON 4F WORK: fOr"T,
STREU acDREss: j,???401?cj
7
LCT; BLOCK: ? SUBD./P.I.fl.
?+
Nome: `.&/?G Phone#: L??f'?ac?'?-??2.4
1°'RQPER?Y LW FM
4YYNER
Streo# '?1?? ?`4re? Address: i
C#y State: Zip: t 2-
company: /t a. rt'- Cg-vs? Fhorte #:
(cusa coda) C4PITRACTOR ..,.
Stre?t Address: 4?i'sle ? Liconse # Ep.
Cify &ir-:f Zip:
ARCHITEC1'/
ENfisiNLER Gomptrny: Name:
'Ee1ephssne #: Qresr code S#reet Addresa: It+?gWratiort
City State• Z1p:
Swww & watsr itcensed plumber tr}ftg ,.?'.Ilw conft,ctton Otvl:
Panalty appias when address change cmd M# change is requos#ed cnce permi# Fa Iss
I t?ereby laclcnawiedge tha# 1 have ?od this appNccticn, sfiate ihat ttte iMorma#ton ? c , and ee to carnpty with al aw
? S#aW ryt AUnnesola Stahfts ond Ci#y of Eagan Ordirances.
?EIVED s??,?,« ?,,p,ica?:
AUG 16 1999 aFFSCE UsE OrvLv
i o# Survey Receiv Yes No
Tree Preservation Plan ece sd Yes No Not Required
i _
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evations &
BUILDING PE.RMIT APPLICATION 1 set of energy caleulatians.
To Be Used For - Valuation Date 7 /
Site Address: y;7,ff- - J?"
Ipt ? Block (a Sec./Sub. Erect ?
Parcel #: ! ?-• ?.(?.F.e? 1c? ?'?5 c? ?E7? e1?Alter
? Repair
,cw?.?.,.?, ??..?..?-•-•`. (,0- Enlarge
Owner:
Nbve
Address : % S o 7 Demplish
City/Zip Code: ?,? S'Si2 Z Grade
OFFIGE USE NLY
occupancy 3
Zoning
Fire Zone
Type of Const. ?
# Stories
Front ZY- ft,
Depth ft,
r
?
Phone #: 75??5 APPROUAIS #FEEIS
Contractor: Assessments _
P,ddress : ?r
Gity/Zip Code: `r
Phone #: "
., q
« t,
Arch./En9•-
Adc3ress: -;'.C 3a .?GitY/Zip Cade:
' Phone # : yj 0 -- Z v yff 0!
WaterfSewer
Police
Permit
Surcharge ?Q ZZL
Plan Check jj--a ==
SAC S6- -4-V
Wa-ter Conn. yg6 i
Water Meter 4p ?
Road Unit
Fire
Eng.
Planner
Council
Bldg. Off. APC
- F??`?i,i?
TOTAL ? ? ? 50
e:tE,G? L, E"L17LEL-.?
?SURVEYOR'SCERTIFICATE "'suNSHiNE coNSTRUCTioN co.
N
Cy?--? ?
6EACON
?
M I
IX 938.1
-- - 4 =
939 .0
' N
?
NIL L-
RpqQ
937.7
>3024 455•28 \
,
X937,5 \
X937.9 `r . pROP
939 9 ? -_1 o` ?RVF SFD ?l \
-1,1??,'A: X93g,8 K'4y
rl? I Mi2.o
N
?? N.GAR-? .
X939.2 938.6
?..? rn 4.0? /
? al / 7o
o pR /5'0 X93 /?
935.7 NQU?SED p m ?• ?,Y-
?e ? P °?o
400 /N
\V 934 s
632.2
a
93
.,
- ' o ? LOT 47 °
? /,
w? ,?
?
0
?
I 7,7 co ,
? co
2P;
? 5
I J
I AJ 4 ?s ?
g18.3 X ?? n X918,3
N/4°02 ?'?4- -?.
/o,#
SCALE: 1 INCH = 40 FEET
O DENOTES IRON MONUPIENT SET PROPOSED GARAGE FLOOR = 940.0 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED LOWEST FLOOR = 937.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUNDATION = 940.5 FEET
I HEREBY CERTIFY THAT THIS IS A TRUE P.NO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
Lot 47, Block 6, BEACON HILL, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE
ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. IT ALSO SNOWS THE LOCATION
OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS
1ST DAY OF JUNE, 1982.
SIGNED: JAMES R. hILL, INC.
G/ ?, {{{jjj yq
6Y :
HAROLD C. PETERSON, LAND SURVEYOR
MINiVESOTA LICENSE NUMSER 12294
PROJECT NO. BOOK ! PAGE JAMES R. HILL, INC.
82152
22/73 Planners / Engineers / Surveyors
FILE NO. 8200 Humboictt Avenue South
FOLDER Blootntngton, Mn. 55431 612-884-3029
,
? iiEAl' LOSS CALCULATIONS DEPARTMENT OF BUIIDINCS
- -
Weatherstrips A.S.H.V.E. Construction No. ? Insulation
'
Guide ---
Windows + Doors Reference ? Out. Wall lnt. Wall Ceiling Roof Floor Kind `How Appiied ?
I?I 1'es-- No i ?'es-No 19__^__
.-
-
= _ ? - ?--_-_ -- --: - - .-- -=_----- = --.-- ------___._
??,-,.^Width Height ? :'.'G
2 FI.1 Room ? LenKth b'U Widih ji,-cD HeiKht ?.•-t. ? I F1,1 Room ? Lcn?,th :,
I ? ?--' (
I Windows and Doors-CrackaRe and Area Windows and Doors--Crackagc and Arca
\?'I,Iti,
1?( {'?n• firiKht
.?4 l-ne I???. uf
1i1(hIV I.II?r:?l !t.
of rfh, k AfPa
11q ([.
15 "2- oe,,,
Coef. Btu
In6ltration C,Fj 'z 4 si?.r-.
GId33 ?Gy "C(J(,,;?
F.xp. wall
? Z.1 C. --
Net exp. wall
Int. wall
Criling
Floor
Totaf Btu. ?] c "'o
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
? FI.! Room Length WidtF? Height +
? Windows and Doorr-Crackage and Area I
No, Wtdth
of OAne Hefiht
o[ pine No. o[
llthes Llneat tL
ot erack Are•
?q, ft.
I
Coef. Btu
In6ltration
Glaas
Exp. wall
Ntt exp. wall
lnt. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ina. W.A. l,eader area
F1.1 Room I Length Width Height
Windows snd Doorr-CrackaAe and Arce I
No. 9Vleth
ot Dan• Helsht
i of pans No. ot
Il?htv Llneal tt.
ot crack Are•
aQ. tt.
Coef. Btu
lnfiltration
Glaia
Exp. wall
Net exp. wall
Int, wall `
Ceiling
Flaor
Tota! Btu.
Required sq. ft. E.D.R. or aq, ina. W.A. Leader area '.
No. R'Idli?
nf pane Ite?ght
of D-.n4' No. ot
IlKhte .I.fneel tl.
of rrack Ate•
ey tt.
2 z ?- ?? GL- .
Coef. Btu
Inhltration
Gl8b1 L?'
Eacp. wa I l
Net exp. wall
;'<.?.•
??
31 ?
Int. wall
Ceiling
Floor
Tota) Btu.
Rcquired sq. ft. E.D.R. or aq. ins. W.A. l.eader area 1
FIJ Room ( L.ength Width Height
Wint3ows and Doors---Crackaxe and Area
No. . Wldth
of pane Heteht
of yane No. ot
llg ht? Ltne?t [t.
o! cra ek Area
eG. tr.
Coef. tu
In6lttation
Glaaa
Exp. wall
Net exp. wa11
lnt. wall
Ceiling
Floor
Tota! $tu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
ct I R.,.,r„ 1 t-noth Widch Heighc
- --,
Windows snd Doors-Craekage artd Arta
No. Wldth
ot DKn• HiIlfht
ot Oane No. o!
llshts Llneal It.
of crsek Area
$p. tt.
Coef. . Bta
lnfiltration
Glnsi
Eup. wall
Net exp. wall
Int. wall
Ceiling
Floor
Totat $tu.
Required :q. ft. E.D.R. or sq. ins. WA; L.cackr area f
?
I
AEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS E
Wcatherstrips A.S.H.V.E.I Construction No. ? Insulation ?
Gu?dc
?i Windows Doors Reference ? Out. Wall Int. Wall f:eiling Roof Floor Kind How Applied _
-1'es-No I 1'es-No 19.- I _------ ---- - -- ---- II _?.? ? --
FI.( i'"- -'-Room, L?ngth ?p. ?. W?dch Height .`?.•-?•_'. •y FI.1 f?!.:•,, i„ - Room 1 Length I'. •`j Width 1?'J Height ?'C
?.r_.? .-
..i --
?WindoN•s and Doors-Crackage and Area Windows and Doors---Crackage and Area
---
\e. \\'I,ttt,
nf Pan? 1{r?Kli\
.?t t•anr 5.., uf
IiKhla Linral 1t
nf er.i,-k ATrg
rp ft.
Coef. Btu
1n61tration
Glass 40 J'5 n(,,r7
F.up. wal! '?. --
Net exp. wall
Int. wall
CcilinH
floor
Tota1 Btu. b +
Required sq. ft. E.D.R. or sq. ina. W.A. Leader area
Fl•1 ?4T4 Room ( Length Width y(?. Heigfit 5• Q
Windows and Doors--Crackacte and Area
No. WIatA
ot DA!@ He16ht
ot pane No. o(
II[At• Llnea) tt.
ot crack Area
sQ. tt.
Coef. Btu
lnfiltration
Glass
Ecp. wall
Net exp. wall
Int, wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ina. W.A. Leader arca
2. F1.1 Gj 0 !;! c„{ Roem ( l.ongth ; 2' 3 Width Height
Windows and Doors-Crackaae and Area ?
No. Wldth
ot pan• Helght
of psne No. ot
Ilsht• Llnaal [t.
ot craek Area
sQ. tt.
Cocf. Btu
Infiltration ? ?
Glaes „
Exp
. wall
Net exp. wall ? (a
Int, wal! '
Ceilin8 Al
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A._Leader ana
.ir'j+6koes
Ne. Wldth
of pane HeiKht
o( punn N?- ot
?IKhle 1.1nra1 }t.
o! trark Are•
eq tt.
?-
coef. stu
1n61tration
Glass
Exp. wall
Net exp. wall '"??? to l 2(„c'?
Int. walt
Ceiling ?.4
Floor
Total $tu. ??GL
Required aq. ft. E.D.R. or sq. ina. W.A. l.eader aren
2 F1.1 ! L Room I L.ength W;dch Sc?---., Height ?-(
v1;.,a.,wt and Deers-Craclta¢e and Area
No. Wldth
ot yan• He16ht
ot Pane No. ot
11[ht• Llnerl tt.
o[ craek Arew
sq tt.
Coef.1 tu
1n51tratioo 01+
Glaas
Exp. wall
, _.
Ner ezp. wall l?r1 V R35 L
lnt. wa!!
Ce(lios HL L 30 Z
Ftoor
Total Btu.
Required aq ft E.D.R. or sq. ina. W.A. l.eader ares
r?ot1, ? 2-G*1 Widch (,Height 85•1
? - --? v '._.._ -
Windows and Doors--Creclcage and Area -
No. R Idlh
ot pans He1sAt
ot Dane No. o!
Ii`At• Llnu! tt•
ot craek I Area
SC. tt.
z o 2 ?- 3L ? ? 32
Coef. Btu
Infiltration
Class
Exp, wall
Nct exp. wall
InE. walf
Ctiling
Floor
7-Total $tu.
?? ?? Required aq. ft. E.D.R. or sq. ins. W.A. l.eader area
y23 O9
. .
2000 BUILDING PERMiT APPLICATION (RESiDENT1AL)
CITY OR EACAN
3830 PILOT KNOB RD - 55122
851-681-4875
I W 5'D
Cal (cd OlI b
HM
> 3 re"red site wrveys ahowing sq, (L ot lot. a% ft. ot house 2 coptes ot plar?
and 29 rooted areas (20% maAmtan lot coveraa_e dlowed? i set ot ensryy ccdculations tor hected addHtons
? 2 copiea ot pkins (ahow beam & wlndow sizes; poured (nd. dealgn; etc.) t site wrvey tor extedor addttlona & decka
? t aet or enaroy cdculatlona
? 3 copies ot hee preservaMon plan K lot plaited after 7/i/93
DATE: t? - /e/ - (I? ? CONSTitUCT10N COST: 156g
DESCRIP't'ION OF WORK:
sntEEr AuuREss: Z47 99• AeOLCo;O-
LOT: BLOCK: L SUBD./P.I.D. #: bu?Q_17? ? ?TLL+ _nn
Name• ,,?Q?.S'?c.c1'?adc ?,?i' . Phone #:
PROPERTY Lcat Flrst
OWNER
Sheet Addreas:,_ ??-
C1ty A 1117 . State• 00tyoc/ - Zip: 5- ltiZ
. Company: Phone #:
(area code) .
GOMRACTOR
Sheet Adcra4s: License # Exp•
Ciy Stcte:
ARCHITECT/
ENGINEER
Company:
Telephone #: ( )
Zip:
Name:
Sheet Address: Registrcflon #:
C{ty
Sfote• ZiP:
Sewer/water licensed plumber (if irstal ina sewer/water): Phone #: (
t hereby acknowtedQe ttwt 1 have read fhls application, atate that the lntormafbn is coffect, cu?d agree to comPhr wfth cN appBccbte State
of MinneaoM Stahitea and City of Eagan Ordinances.
/
Siflnature of Appliccnh
OFFICE USE ONLY [RRF_,,CCEEjVM
Certificates of Survey Received Yes No ' 1
, AUG 14 ZQQQ
;
Trse Preservation Plan Received Yes No Not Required `
???o
OFFICE USE ONLY
,
BU1LpING PERMIT SUBTYPES
? 01 Foundatian ? 07 05-plex 0 93 16-plex O 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.)
0 03 01 of _ piex c3 09 07-plex Q 18 Deck ? 23 Porch (screened)
0 04 02-plex 13 10 OS-ptex ? 19 Lower Levet ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg Y or _ N ? 25 MISCeAaneous
? 06 04-plex O 12 12-piex O 20 Pool ? 30 Accessory Bidg.
WORK TYPE
jgl 31 New
O 32 Addition
' 13 33 Alteration
? 34 Repair
O 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bidg)* O 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0(..,.
No. of Units
No. of Buildings ?
Const. (Actual) ?
(Allowabie) JW
UBCQccupancy ko--3
Zoning 21I
# af Stones
Length
Width
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPR4VALS ?
Planning Building
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/V1t Permi#
S!W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Gopies
Total:
SAC Units
°!o SAC
0 31 Ext. Ait - Mufti
? 33 Ext. Ait - SF
? 36 Mufti
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $
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-JRVEYOR'S: CERTIFICATE ' SUNSHINE CONSTRUCTION C0.
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SCALE: 1 INCH = 40 FEET
O DENOTES IRON MONUP1EN7 SET PROPOSED GARAGE FLOOR = 940.0 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED LOWEST FLOOR = 937.3 FEET
X000.0 DENOTES EXISTING ELEVATIQN PROPOSED TOP OF FOUNDATION = 940.5 FEET
_ I NEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REP RESENTATION OF A
SURVEY O F THE BOUNDARIES OF:
Lot 47, Block 6, BEACON HILL, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY THEREON, AND ALL VISIBLE
ENCROACHMENTS, IF ANY, FROM OR ON SAID tAND. IT ALSO SNOWS THE LOCATIQN
OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS
1ST DAY OF JUNE, 1982.
SIGNED: JAMES R. HILL, INC.
sY :
HAROLD C. PE7ERSOIV, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK ! PAGE JAMES R. NILL, INC.
82152
22/73 Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER B{oomington, Mn. 55431 612-884-3029
Afthh.
r----------------- I
Cit of Ea an ; Permit #:
Y 0
I Permit Fee:
3830 Pilot Knob Road t ?
^ I
Eagan MN 55122 ? Date Received:? ? v I
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: ? l
I
- - - - - - - - - - _- - - - - _J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l9 ,o?J . ov Site Addre s• ? LS ?? 41-4 e0"'o-Q
- (. 1 t/ ` ,).._ ._
Tenant:
RESIDENT / OWNER I Name: _T_1XA_
TYPE OF WORK
CONTRACTOR
Address / City / Zip:
Applicant is: Owner _?L Contractor
Description of work: X II,AA'?,1? o oA,-;
-Q'
Construction Cost: ? ? ? ?? - 0:1
Suite #:
?l . Phone: ICaS I) (o $ ?'30?? ?
Multi-Family Building: (Yes / No ?
License #: 11 q O
Address:
City:
Phon
Contact Person:
State:/)') " Zip: 1,5sv I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaory 1 Minnesota Ru4es 7672
Energy Code • Residential Ventilation Category 1 Worksheet `• New Energy Code Worksheet
Category Submitted Submitted
(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 If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanica! Contractor:
Sewer & Water Contractor:
Phone:
Phone:
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with ihe ordinances and codes of the City of
Eagan; that 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 approv lan in the case of work which requires a review and appr va f plans.
x X
ApplicanYs Printe)d Na e AppliCa ' SipnatuLe
Page 1 of 3
2008 RESIDENTIAL BUILDING PERMfT APPLICATION
Datel Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Ownsr Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR -0:7 -1
Name: ? .2 License #: 2?_??`?
^.,.
.?_
Address: lr
E????
State:y? ZipY'?
Phone.zz? 0'Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CBtegory Submitted Submitted
(4 SubmiSSion type) • Energy Envelope Calculations Submitied
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
IVOTE: Plans and supporting documen#s that you submit are'considered fo be public informatron. Portions of '
fhe information may be c%ssified as non public +f you prowide specitic reasons that wvuld permit the City to
conclude that the ' are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 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 't the app ved plan ' e case of work which requires a review and approval of pl
?
X
ApplicanYs Printed ame pplican ' gnature
Page 1 of 3
F < ? .,?. ,.'a"^`?^'6lY, T+ i -+.•:v.?ro--+^ '„1*%''n n+ ++-.rw . . .
`- fdTY OF KAt?AN WA''ER SERVIM PI
`"4793 PHot Keab Raod PERMtI' 1V0.: _...?.?..?.
Eason, MN 55122 DATE:
Zcmin9= No: of Units:
C)wner: - ??.#hlIIf'- COi1t8tI'ttC'Cj3II Co., II2C
Addr*ss: 25Q7 C].emson Ct
5ite Aad.ess• 4788 Bear.on AiIl Rd L47 Bb Bear.an
: Plumtier: 0IMl6
Meter hto. Connection Chttcge; .?.,..'
Size: Account Depusit:
ReQder No.: Perrrsit Fee;
, 1 aem ta con+p1Y wINt lire City o# Ea9r?n Stuchnree:
?new lVtFsc. thorsges:ntt*L-
'Catol: #Y taots Pai€!:.
Pa!e af Irsp::
,
?__ . .. .. ?. . _ . .... , u_ ._n . _::ti?`_...
? cjnr of EaGaa SE1NER SEitVia
wI799 Mat 1Cnob R*W PERMIT NO.:
si"". MN S5122 DATE:
zo^'ng: R"' I
No. of Un'rts: -
` pw„e,.' Sunehine CamsCruct ion fo, Inc
k`
AddresS: 1507 C1eMeCeit G`t
R Site Address: _ 478$ $2.aC032 11:L11
RLt 7A7 36 B48
Phm?ber: $000
"?88 b ftm* Witb th8
Citr of gosa,
Connect;cm ChQ+ge,
Accaurrt taeposit: '
? Pem-At Fee:
SurchOrge: *-
r?
PY
Mi
c
C:h
,
s
argez
?.` fleft of 1nsp?: 7'otot: s=??
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g ? ?
Dae Ptld: . .,?...
.
5162.
Receipt ' PLUMBING PERMIT Permit No.
'7 CITY OF EAGAN Fee 2'1;
Fill in numbered spaces S/C
? Type or Prini legibly Tot. ?0
1. Date 2. Installation Cost
?'7?' ?` y? n , • x ?, l?' r ?! .?;?cr :' ; s:t
3. Job Address.? Lot f Bik. ?i Tract ?~F ,!
....-•- f f,) ?
4. Owner....
5. Contractor?41 Phone ?,? -• ?? ?"?°
J
,
6. Address '4-
7. City ? °cg '??f't:??` ' State Zip
8. Building Type: Residential I6 Commerciat O Institutional ?
9. Wosk Description: 1Vew )6 Add O Aiter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
CesspooiJDrainfietd
Bath tubs Septic Tank
Lavatory Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other ? k
Laundry Tray
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above 'snformation is true and correct, and I agree to
comply with all ordinances and codes g verning this type of work.
Signed : ?G0?`?r' ' 144? tor
Rough Final
Inspections: Date insp. Date Insp.
Thit is your ermi?inrhen numt?ered and approved.
Approved tl s-",,,CITY OF EAGAN 454-8100
Fieceipt MECHANtCAL PERMIt Permit No -''c ) rF 4?
' CITY OF EAGAN ,
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot. • ?
1. Date 2. Installation Cost
3. Job Address tot?Bik. ?- Tract ±? t
r
4. Owner
5. Contractor f.--??'. :•c , Jf' Phone
6. Address
,
7. City State Zip
8. Buitding Type: Residentiai [3r" Commercial ? Institutional ?
9. Work Description: New Q' Add ? AI#er ? Repair ?
10. Describe Fuel Type 11.
No. Equi m?en_t 9TU • M. Ea.
Forced Air No. Equipment CFM
A
Mfg. ir Handling:
Boifers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I nereby certify that the above information is true and correct, and 1 agree to
comply with;etl ordinan?,;es and codes governing this type of work.
< r Signed
for
Rough Final
Inspections: Date Insp. Date insp.
7his is your permit when, numbered and approved.
Approved CITY OF EAGAN 454$900
':?-? _
CITY OF EAGAN
3695 Pilot Knob Rood Eogan, MN SS122 .` ',' `'• ; ?
PHONE: 454•8100 `
BUILDING PERMlT Receipt #
To be used for Est. Yolue -?. ., Dote T'tJ'- 2- 19
?
Site Address 3 i ,
Erect Ej,
Qccuponcy •i
Lot Block $ec/Sub. Aiter ? Zoning
Pcrcel Repuir ? Fire Zone
Enlorge ? Type of Const.
oe Name 7 ` Y Move ? .# Stories
; Address °-t Demolish ? Length °
b Ci phone ?1' " Grode ? Depth Sq. Ft.
lx
o Name ,• Approvats Fees
uu Address
?- r:...
Phone
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit
Surchorge 3
?' • ? r
Plan check
,
SAC
Water Conn. `? ? ?? • ?' ?
Woter Meter -
Raad Unit
Name _
Address
I hereby ocknowledge that I have reod this oppiication ond state that
fhe information is correct and agree to comply with oit oppiicobte
StoTe of Minnesota Stotutes and City of Eogon Ordinances.
Totol 7',! `'' • 5.2
Signature of Permittee ?
4 ? -- ,
A Buildin Permit is issued ta ` ?tt? ?:`.r!f??r,;•i;.. >r.
9 on the express candition ttat
all work sholi be done in accordance with all opplicable State of Minnesoto Stotutes end Ciry of Eogun Ordinonces.
8uilding Official
Permit No. Permit Hoider Misc. Permit No. Hoidec
Plumbing Aa J6 10, t??? ? ?1?-
H.V.A.C. ?j0 D1rOklQ/L?.S
Well
Water
Disp.
Sewer
Electric T$S?{'jU gQ ? E?EC? (?-2l $Z-
!(} Z??Sf << ?? '+??o.?$Z
Inspection Date insp. Other
Footings (o?-$ 2 {,v
Foundation
Framing
Rough Pibg.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Final ?
Water Dascribe Location:
WeII c'
Sewer .
Pr. Disp. "
C.T.TV t?F F.::El(:i11N
t::ASH:I:I::.F1:: ..7..??a 1"I:::RM1:Nflt_ N(3u 87i
11ATE;: 0£3/17f99 'T':i:MEn 0W?.?,"'.';s.:).
II? -.
NAMf.:; A7'T'ti::C F'tt:ICl1=:f.Nt, %; f'ONSTRt.lC:'T'i:C)i+!
3210 9001
205 9001
'.:;i:?i.(:l 9001
?i.'..'.'i`; 9001
3C:0 900.t.
205 9001
3t:ltx"i t..OlNTi::.R GL.N :{.39. fyJ
3888 [::ANTf:::l; GE...AE 3.50
47Ei#3 IwF:::i a+'.::C.3N E-}I_i... 1 2".'i . 05
4788 l-II...I... 3.00
Wi 1. F:'Oi'J.xi WYNJ:'i::: 209„25
Wi. PiJi•!.T..i W''r'NDE: (°,„t:]".,)
7c?'N a.t Rece:i.pfi tarni5urit p 48t:,.2;
CR05534•
Usr::.R 10u ;aaN