4731 Beacon Hill Cir
C '1f OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood 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:
1 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
•1795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to Comply With the City of Eagan Connection Charge:
Ordinance. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N°_ 5679
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Address Erect ❑ Occupancy
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
cccc Nome Move ❑ Stories
3 Address Demolish ❑ Front ff.
Grade ❑ Depth ft.
City- Phone -
p Name Approvals Fees
ut Address Assessment Permit
city Phone Water & Sew. Surcharge
b ~ Police Plan check
P!W Name Fire SAC
Y~ Address Eng. Water Conn.
aW City Phone Planner Water Meter
Council
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
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
c--1
i
PwwM # Do% IMMW tMisWee
Plumbing 79Q 7-
Mechanical / - O
VE-
INSPECTIONS DATE INSP.
Rough-In Final
Footings Date Insp. Date Insp.
Foundation _ Plumbing
f2 2~
Frame/ins. Mechanical
Final /0- 3<
Remarks: a V
Pim • - o~,~", ~
IO -3140 3 30
J
CITY OF EAGAN
8795 Pilot Knob Rood
Eogen, Minnesota 55122 INSPECTOR NOTIFICATION
No. Phone: 454-8100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.: 19t - .
_ 31 Beacon Single I
Site Address: Residential
Lot Block Sub/Sec. JonTxy 11%3'`.C Multi Res., Comm./Ind.
Name -fir. ; hor pson Homes
New /Alter./ Repair
Address 11712 Hopkins Crossroads
O Cost of Installation
City .inn etonks., ' n. Phone: 544-733" Permit Fee
Name Surcharge
g Address
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
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122 INSPECTOR NOTIFICATION
No. Phone: 454-8100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.,
r - Single
Site Address: :COI: i : 1 Residential
Lot Block 1 Sub/Sec. JohnIiy Cake Multi Res., Comm./Ind.
Name h ore son t 'o,' es New/Alter./Repair
Address ]-712 Eopki^.-, Crsr~ .
Cost of Installation
i rnetonka, i:1.
City Phone: Permit Fee
Name Surcharge
Address +t'37 Chi Ca o Ave.
e
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
Lt~~ BSclz
CITY OF EAGAN
3795 Pilot Knob Read
Kogan, Minnesota 55122 INSPECTOR NOTIFICATION
No. Phone: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
Single I
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter. /Repair
Address Cost of Installation
City Phone: Permit Fee
` Name Surcharge
Address
V -
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
F- - ----------INSTECTI[ON-R-ECURIY-------------
CITY OF EAGAN PERMIT TYPE: • I l i +1 rl3830 Pilot Knob Road Permit Number: ° 6 '
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
t + t 1. r is ~ , t• !
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
F
L -
r
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 3XZ s f g i~/¢
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
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
✓CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
11111 IN I;. ~ r
PERMIT SUBTYPE: TYPE OF WORK:
~iltl. 1 f~ II I; i, I flll'
. rlla INSPECTION 11 I II I. I I:,
N1; kA l 1 I't PM 1 1 F I;I~ I I I I- F++It ANY I' l MCI; I Nil 410111,4.
J
Permit Holder Date Telephone
17 4% SEWER/
WATER
PLUMBING
HVAC
Inspeetlon Dante Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
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
CITY OF EAGAN Remarks
Addition ,J.O WE Rrn(%P ADDI'j'MN Lot 17 Bik 1. Parcel 10 39800 170 01
Ownerk l a r: r t, alt Street 4731 BeaCnn Hill ri rcl a State_Eagani MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 393 14 91 - M is 21 44 C1105880 14-1 S.-IRD
* SEWER LATERAL Z! 1981 4126.45 825.29
WATERMAIN
* WATER LATERAL 1981
WATER AREA -5; 7 198 0
STORM SEW TRK e? 1981 670.68 134.14 5
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 5679 --18456 41i~jgo
SAC g 0() 18456
PARK
This request void -4 171S I Sit ~y ( Xco~ ~o r/
18 months ftbm UU Dated, this Request I SJ Fire No. S 84957
1, as Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at:6 22 e pQc&I j p`
et Address or Route No. -I 7J , bu_ ~J~ , City t'_/V
ion Township Range County 'm
Which is occupied by tJ loi rd -~rY5ct-j
(Name of Occupant)
Is a roughin inspection required on this job? NOD Yes Ready Now ❑ Will Calk4
Power Supplier ~rQ Address FAgt,,,AIJ! ,JOrJ
Electrical Contractor / 0 L Contractor's License No. ' ~r
(Co
MaihngAddress l~ mpany%ame) L
(Electrl I C tractor or Owner Making This Installation)
Authorized Signature GG Phone No.
(Electrical C tra or or Owner Making This Installation)
((J (1 ' ~~!0 This inspection request will not he accepted by the
u L iJ State Board unless proper inspection fee is enclosed.
mmnesota crate war, or eiecTncity
Griggs Midway Bldg. - Room N191 I W EB-00001-02
5
yREQUEST FOR IELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 5 8 4 9 5 7
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ Range ❑ Temporary Wiring 0
Duplex ❑ [-J Water Heater ❑ Lighting Fixtures
pt. Bldg. ❑ ❑ ❑ Dryer Electric Heating
ommercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑
Farm ❑ ❑ ❑ List List
others Ethers
Other ❑ ❑ ❑ Here Here
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: * Fee Feeders&Subf F Circuits: 1F Fee
0 [0 100 Amps. 0 [0 3 er 0 to 30 Am eres
101 to 200 Amps. 31 to 1 e 31 to 100 Am eres
Above 200 Amps. Above 1 A s. Above 100 Amps.
Transformers Remote C rol Circ. Partial or other fee 9ti.3
Signs Special lns ection Minimum fee
_
Remarks
TOTAL FE
I, the Electrical Inspector, hereby certify Sl the abpve jnsgection has been madK. J
(Rough-in) ¢¢,~Date
(Final) _ /vi Date
This request void
18 months from
CITY OF EAGAN
5795 Pilot Knob Read Eagan, MN $3122 N4 5679
PHONE: 454-8100 Of js~
BUILDING PERMIT APPLICATION Receipt # 15
To be wed for S/F Dwla/Gar. Est. value 75, 000.00 Date A , 19~Q_
Site Address 4731 Raannn Hi 11 C1 _ Erect )C7 Occupancy R3
Lot 17 Block 1 Sea/Sub. Johnny Cake Alter ❑ Zoning Rl
Parcel # Repair ❑ Fire Zone 3
Enlarge ❑ Type of Const. V
of Name Orrin THompson Homes Move ❑ # Stories
Z Address 1712 Hopkins Crossroad Demolish ❑ Front 50 fr.
City Phone Grade ❑ Depth 34 fr.
p Name Approvais Fees
oS Address same Assessment '11201 Permit 177-00
u~ city Phone - Water & Sew. Surcharge 37 _ 50
t-~ Police Plan check R R _ 50
Name Fire SAC 52S _ n0
~ nn
Address Eng. Water Conn. 305 _
C W City Phone Planner Water Meter F O- n n
19
Council Road Unit 185.0(
1 hereby acknowledge that I have read this application and state that Bldg. Off. 4/4180
the information is correct and agree to comply with all applicable APC Total 1378. DD
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is Issued to: Orri on Homes on the express condition that
all work shall be done in accord w ieattle State o innesoto Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PE[tIyIIT APPLICATION 1 set of ene Vy- salculations.
To Be ed For Res+oemc e Valuation 75i Date P1na 19 } 19 fAb
Site Address: 4'131 3Enco►a uiU6 C%. (rh0gef.SO6s) OFFICE USE ONLY
Lot l'l Block Sec./Sub. SoHNNy cNwe Erect Occupancy
R1 Alter Zoning
Parcel Repair Fire Zone 4
Owner: Enlarge _ Type of Const. ✓
Move # Stories
Address: Retolish _ Front ft.
City/Zip Code: Grade Depth 3 y ft.
Phone APPROVALS 3/ FEFS
Contractor: ORRIN THOMPSON HOMES Assessments-PO/a0 Permit
a Division of U. S. Home Corporation Water/Sewer Surcharge 3 7 _
Address: 1712 +IePKINSGRGSGROAe Police Plan Check
City/Zip Code: MINNETONKA, MINN. 55343 Fire SAC ~9:9
Eng Wa
Phone 599.9133 d Mean- ~0 =
Planner Water Meter Cr+
h'/Eng.: Council Road Unit
Bldg. Off.
Address: APC
City/Zip Code: 22 7
Phone (ol
j
For Office Use
Permit
✓ 1
City of Ea~aR
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675.5694 1 Staff: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6
h 1_/Z08 Site Address: /Jc"to
Tenant: Suite
RESIDENT / OWNER Name: b" A R+rt~ (/~/;~vyt /Phone: 6s-/ - 681 `i.3/8
Address / City / Zip: 1/7-7/ /7C4c no, CrIcle
Applicant is: -Owner Contractor
TYPE OF WORK Description of work: YCa tout 4-."de-
Construction Cost: OaC3 Multi-Family Building: (Yes I No >C
CONTRACTOR Name: C!F 1,~' cu Lac,. License#: X03`IY/6_7
Address: ay/~ /l 7N S~ Z
City: ~JrASJ.I(c State:VlOt^ Zip: SSA 37
Phone: Contact Person: /e,l
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 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:
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 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 permh, and work Is not to an 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 a
44 44,
Appli nt's Printed Name Ap re
Page 1 of 3
X61 ~4 sl
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 0
i
a
Please complete for modifications to existing residential dwellings. n d%r_, 2001
Date! 1 C~ 1 y
Site Street Address
a v~ Unit #
Law
Property Owner _?)r1 m ~Akw j I Telephone # I WO to I - IN q
Contractor , . C (j ~Wjj~)A COI DOk Telephone # (71G) a&- gc9 (O-7
Address o 1 City i 0'Yl State-:_ Zip _jo r te
The Applicant is: - Owner 1 contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. if you are installing onfv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
ac ordance ith the approved plan in the event a plan is required to be reviewed and approved.
1 im Scl~o b -e,r
Applicant's Printed Name Applicant's Signature
6 2004 RESIDENTIAL BUILDING PERMIT APPLICATION a
City Of Eagan n~
3830 Pilot Knob Road, Eagan MN 55122 /
Telephone 4 651-675-5675 FAX # 651-675-5694 / D Z'y
New Construction Requirements Remodel/Repair Requirements Dtrrce~V40 W
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Gertdf S0ey Recd .Y N
(2)% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Trae Pres Platt Rebd Y I?f
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Trae Pres Retg(aed Y Id
1 set of Energy Calculations Addition - indicate ff on-site septic system omits SepligS4jstem X N
3 copies of Tree Preservation Plan it lot platted after 7!1/93 _ n
Rim Joist Detail options selection sheet (bld~gls wilh 3 or less units (ll///A`^(("_ ye
Date ID ZS / 04 Construction Cost SOU
Site Address 4a~T_l?i~(A C~YI N L 1 l 1 Unit/Ste #~17_
Description of Work
Multi-Family Bldg _ Y _ N / Fireplace(s) - 0 _ 1 _ 2
Property Owner ByA l~l(~ 1 `~~~p[(~/~ Telephone # ( V I ) (0 8 ) 3- 1 8
Contractor ryb~'+1 ✓ bYL~ ~VL~ ~~l LYl 1446!> \N_ !l )t i ~ P 19 W"I
Address city i,V VI'\yk
State t5i t wt W Zip S ~bO Telephone # 4-1D -1 1S0
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. D
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor By 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 ❑ 15 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Multi
❑ 03 01of_plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn.(4-sea.) ❑ 33 Ext. Arc - SF
❑ 04 02-plex ❑ 10 08-plex X 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-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' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacements •Demol tlon (Entire Bldg) - Give PCA handout to applicant
Valuation / U y t7 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 V- 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 - RI. -Air Test -Final - Windows
Insulation ~J - Retaining Wall
Approved By: L Building Inspector
Base Fee
Surcharge n l / ,lG n Z>
Plan Review
MC/ES SAC v'
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PHA3T KNOB RD - 55122
~-n (651) 681-4675
New Construction Requirements RemodeUReoair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window saes; poured find. design; etc.) ♦ 1 she surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No
DATE: AOL( Ch g , `CRS CONSTRUCTION COST:
DESCRIPTION OF WORK: ~0.52V~Q uL`~ 3 ~1v~~ SIn
STREET ADDRESS: 3I &Q RICO Y~ t G`f c f l
LOT: F1 BLOCK: SUBD./P.I.D. y(l `y~ Vl C 0A-J2
Name: \~V~I~~ 1 47f~O y~ L 11S~u Qy` l Phone
PROPERTY Last First
OWNER
Street Address: '71 3 t-~Q f OVA t
City 5aGGW\ State: Zip: 5St
Company: Phone
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicaw
State of Minnesota Statutes and City of Eagan Ordinances.)
Signature of Applicant: t
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 --Alex ❑ 15 Deck
WORK TYPE
31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~13G/
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units 2
Zoning sq. ft. Census Bldg d
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: s Z
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: 0 -7
% SAC
SAC Units
CITY OF EAGAN
PAT}:'w 03/09./99 '1'WU 1_02021.
Soli
300 9001 4731 BEACON HI.!.. 60.00
31.55 9001 4731 BEACON klIL 0.50
3420 9001 Wli :F?F.i:ACON HI L. 0.K
300 3001 4731. BEACON HIL 1..00
Totm! Receipt AmaunW: 61..75
W03 7 09
USER ID: NANCY
:1':4;:~?k~F:kYK:.`~.?Ky6~#:MT:W?Y?k:1(NCW?K7k:4"3tYC?XAF`$:?k7Y ~#:>~>~.a',S~k7~Xn)kYF7K
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: El U F. I.. 1i I ra G
Eagan, Minnesota 55122-1897 Permit Number: m 3'4 6 2 3
(651) 681-4675 Date Issued: Pr 3 ; !A 8 J 9 9
SITE ADDRESS:
3:1 `-ACnr= 1 1:11 1, 1"r,
I_Q T: I7 B(.0CK 1-
'J) III! N Y C Kr- i>Trr-;_
11.I.N.: 'L0--39ct0G1 -:L707 ,;j
DESCRIPTION:
1r,!CL(J0F.5; FIREPLACE
t31 d7ra2#7P:"arm.("C 7yrcrP L'A5E4Litdl I'LiVSSH
B,Vildtno bWb~,k Type AL"IEIPA1"100
en~u6 Cade 434 At-'r. ht 57-uSIli TTAI_ -
r,
~r 1V"~. $l- 1 7S ( 4 tt~ tf
REMARKS:
P :N rt_",":r£_!,)rC : Ili vI'll E rtIi 1.1=r-.
PER h7"i. PI:R111 R.L0J.1 RE F1 1-CR ANY Pt.UIli B:I. N(i W0R`n
LAI_I- (51.°} 4AS 7B~i ~D .,L.. n I1I 111,4 L L(:112T (,NI icF2 hi) 'I' d11i0 t1511 PECi IONS
FEE SUMMARY-
Base 1=ae 1;60 _00 COp IE5 0.25
SI_, rr..ha rqe t1: ..5C4 T.otat rge T
sl.IbCotal `ft~v?CONTRACTOR: OWNER: Apr'.L
K7:OWL-LL r3leT1)N
_ :1731. NL-ACt0N I-!I L.1, CIR
ElaGAYd P4IJ X5122
(EiSl ljEi l-',L 3'7B
I hereliv ar.knowledcye that 1 have ,-pad this aoolication and state that the
:'.ntornlrClon is C.orr-eCl :_n{:t agree to COUIP1.i7 wAth.. all app.t e<-rbJ State oY Mn.
6,.atui.es anr! C;.uv oT Ea9?n. Ordlnance-~.
1~-VGA. T~.~CI..P / I X67 1
APPLICANT/PERMITEE SIGNATURE SUED BY: SIGPIC UREE ~T
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 6 7 7
(612) 681-4675 Date Issued: 10/14/98
SITE ADDRESS:
4731 BEACON HILL CIR
LOT: 17 BLOCK. 1
JOHNNY CAKE RIDGE
P.I.N.: 10-39800-170-01.
DESCRIPTION:
REROOF
~w
B~Lrf 4iM-4,,PPermit Type STORM DAMAGE
Y4,11,ding LOrk Tvpe REPAIR
1 Can's-w C68'e'' 434 ALT. RESIDENTIAL
. g- n
-x
wamg+.,, 4°xi. sex} €nt~.°;aiaT
~E.I4ta
s v
yo
isua z ita 2 le.s': g m € r. "919, 1 AF „.¢epy M i s g3 4 d Eif n s. "te say 5 a. s
REMARKS:
FEE SUMMARY-
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HORIZON ROOFING 18903900 20012795 KIDWELL BRIAN
1333 LARC INDUSTRIAL BLVD A731. BEACON HILL CIR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 890-3900 (651)681-1318
Z -4rody a ltcttwled 1e tnat T nsve, read << has alZp a t an end! sta s ~h t G
( St1 Lt1 s -anctE Cats ez_, E~g2tF4 ftrd`zr an s 'ti:
APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-I CITY OF EAGAN
J 3830 PILOT KNOB RD - 55122
6814675 } o - 1 ~-4 -5
New Construction Requirements RemodeVReoair Requirements
♦ 3 registered site surveys ♦ 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 711/93
required: -Yes No
DATE: I ^h - b CONSTRUCTION COST; (1/ Tj r
DESCRIPTION OF WORK: Y n'8'Ib
STREET ADDRESS: 4-131 Y1 w 0 ~
LOT: BLOCK: 1 _ SUBD./P.I.D. c _
Name: h dwd) A f t Phone ~P O 1 J3
PROPERTY Last First t ,
OWNER Street Address: 47?)) (56!aLn I t" ~~l/t/U4 -7
City ( State: Zip: ~S! Z U
Company: 4 Y )Y } n N 4 ,i& Phone Mb l b J l0 o
CONTRACTOR
Street Address: ,2'~5 ~J (3- (L) (t llaC . I X t3P < License # 2T)L, 7 z / 9 kV
City ~Slt t 0 State: YkL-A- Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
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 1` IjJ
ll
Tree Preservation Plan Received Yes No Not Required
SEA BLOMOUIST .•I
_ THOMAS
MAYOR C CITY ADMINISTRATOR HEDGES
~1 y-I.'C EUGENE VAN OVERBEKE
THOMAS EGAN CI , 1 Oi , ~GAN
MARK PARRANTO CITY CLERK
JAMES A. SMITH -L:C1t.
1 THEODORE WACHTER ;,{6~ 9794 PI T. KNOB ROA0% a":
1 - COUNCIL MEMBERS '4~' `1
EAGA .'MINNESOTA
1 50122 4~
t RHONE 4L~l00 '
September 9, 1981 Afr
111 ~f
RANDOLPH & KAREN KOHN
4731 BEACON HILL CIRCLE
EAGAN M 55122
Re: Project 262, Beacon Hill Addition Street and Utility Assessment Notice
Dear Mr. & Mrs. Kohn:
Previously, you were forwarded a notice of final assessments associated with Lot IV
iB1ock-l;,-Sohnny_Cake-Ridge__Additicn-for the installation of streets and utilities.
Please disregard this earlier notice as our files indicated that these assessments
have been Paid under Project 283 by U. S. Hares Corporation under Receipt No.0005835.
We apologize for any confusion that this previous notice may have caused and hope
that this letter gives you the proper assurance that there are no additional assess-
meets associated with your lot for the installation of streets or utilities.
Sincerely,
omas A. Colbert, P.E. _
Director of Public YJorks
TAC/jac
THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
CITY USE ONLY 1 !
LOT 1-7 BL rr~~~~ PERMIT
SUBD. J U nn u 6'Aa ln~ 1 L{ 101 RECEIPT F' `I 3 g
a
RECEIPT DATE: 7-f 3
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MR 55122
.y ~
Date• ! 7 - CO 51-681-4675
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo 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 remodeline, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
^ X New _ Alteration _ Repair _ Other
Furnace Air conditioning
Ik' 65 DAN XC03(p
- Air exchanger Other
Fee $ 30.00
State Surcharge 50
Total 30.5
Reminder: Call fori~nspections I'
SITEADDRESS: `pX731 R,,~j_CQlU W 1 I Ca~/!~~
OWNERNAME: AOL-re4ii /f ( dW ~(I PHONE &5_ - (pg/ I,318
' / / (AREA CODE)
INSTALLER NAME: ~~l SVe/ (L ) lez, ~ y~Q C PHONE 95.2 S5l/-000.5
(AREA CODE)
STREETADDRESS: agy '-~Ihnd_a ~SL./C( fi/_ S.
CITY: S(r,( A' ,A Q , STATE: k_~A j zip: 55375
r
%
I911GNXTURE OF PERMI EE
2006 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
Date alb l u1 l D ~
Site Address l 7 3x1 ~c4L o , ✓ L I P Unit #
Property Owner / r G Telephone # (S, S b$
Contractor La c,. .//e 'VI J_ /-1 r ✓
Street Address L C h A y. G v~ City a
State Zip ~S r Telephone # (qS ) ~~1e ' S d~ K
Bond Expires:
The Applicant is Owner Contractor
2006
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional /Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ J n S `o
I hereby apply for a Residential Mechanical Penn it 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 with the Mechanical Codes; 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 jd plan in the case of work which requires a review and approval of pla
Applicant's Printed Name --"Applicant's Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA093915
Date Issued: 05/12/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4731 Beacon Hill Cir
Lot: 17 Block: I Addition: Johnny Cake Ridae
PID: 10-39800-170-01
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Gas Grill
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Eric Bruckmueller
3992 Pennsylvania Avenue
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Bruclanueller Plumbing Inc Brims F Kidwell
3992 Pennsylvania Ave 4731 Beacon Hill Cir
Eagan NIN 55123 Eagan NIN 55122
(61)686-6696
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106446
Date Issued: 0812212012
~it~ of 110R Permit Category: ePermit
Site Address: 4731 Beacon Hill Cir
Lot: 17 Block: I Addition: Johnny Cake Ridge
PID: 10-39800-01-170
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Stove
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Karen Meyer
4731 Beacon Hill Crcle
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner: - Applicant -
Brian F Kidwell
4731 Beacon Hill Cir
Eagan MN 55122
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.
Applicant/Permitee: Signature Issued By: Signature
2012 I%f -J2:40 V l =v1I I". .I,. 1 W Vl>'7 651L975~MXMI r - A 1111 II'I l I.1-'Y rl"Q I I""P1/2'
-09-25
urea owe or tsLAGK Ink
I Fvr Office Uso
Permit it:
City of Eatan I I
I Permtt Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received;
Phone: (661) 575.5675 l I
Fax: (661) 675-6694 l Staff: I
L------------------i
21012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Data: r a Site Address: ~Jl ~l 1 11 o
r
Tenant Suite #
Phone:
Name: o l00
Address / City / Zip: Z:)
Nerve: 0 License
Address:
Y.
,
State: Zip: cZ pre
Contact: CZY) Email:
' New _Replacement _ Repair -Rebuild Modify $Paos _ Work in R.O.W.
y Descrl on of work: 1
ofn
\ '
' RESIDENTIAL
Water Heater
Water Softener
`A Lawn Inlgadon RPZ / 4PVB)
Septic System Add Plumbing Fixtures ( Main Lower Level)
Water Turn
New around
rr :c, ar::r• Abandonment
MIRK
RESIDENTIAL FEES:
$60.00 M(nIMUm Water Heater, Water Softener, or Water Heater V Softener (includes $5,oo state Surcharge)
$60.00 Lawn Irrigation (includes $6.00 Slate Surcharge)
$00.00 Add Plumbing Fixtures, ~tlE~ystem Abandonment, Wader Turnaround" (Includes $5.00 State Surcharge)
'Water Turnaround (add $189.00 if a 518• meter is required)
$106.00 Sebtic SytijaM New ($10.00 per as bulk) (includes County fee and $3,00 State Surcharge)
TOTAL FEES S
CALL BEFORE YOU DI t3. Call Gopher State One Call at (651) 45"002 for protection against underground utility damWe.
Call 48 hots before you Intend to dig to receive locates of underground udlgles. II
I hereby adm Wedpe fhal this information is complete and accurate; Mat the work wsl be in conformance vAth the 06nanoea and cedes of Ina City of
Qwn- octl~e~tJ.appiicatioa Aoc a.per~gItrvaAd ~wrk j~ ~yi it: -
aoe64ance vAth the approved plan in Iha case of work which req(Ares a review and approval of plano.
x asco ..aon x -
Appllearlt's Printed Name Applican gnature
F4R OFE UsE a Rail ot6 9y'I' :,f 11 , `tiDpte ;s
77 7 7
Fiequtispictlo Urnler 13 Oki'ttl _.:Rtiflglt-(n: f11j:•1®st Gad hest :',Fin I ' ' ` '
9016:4 0 65 r 975 5694
paw f 1 s~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149384
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 4731 Beacon Hill Cir
Lot:17 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-170
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles A Meyer
4731 Beacon Hill Cir
Eagan MN 55122
(612) 670-4686
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150619
Date Issued:07/17/2018
Permit Category:ePermit
Site Address: 4731 Beacon Hill Cir
Lot:17 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Charles A Meyer
4731 Beacon Hill Cir
Eagan MN 55122
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
RECEIV :)
9 p JAN 09202°
For Office Us
��" i i °*• :::e.
E AGA N
iaa (di
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsa,cityofeagan.com
7,144.`,p
2020 RESIDENTIAL BUILDING PERMIT APPLICATION ,3\
tilt
1/9/20 4731 Becaon Hill Circle �
Date: Site Address: Unit#:
Name: Chas & Karen Meyer Phone: 612-940-3303
Resident/ 4731 Beacon Hill Circle, Eagan, MN 55122
owner Address/City/Zip: g
Applicant is: Owner ✓ Contractor
Description of work: Bathroom remodel
Type of Work $14,775
Construction Cost: Multi-Family Building: (Yes /No 1 )
Company: K2 Bath Design Contact: Dan Viehman
Contractor
Address: 2010 East Center Circle City: Plymouth
State: MN Zip: 55441 Phone: 763-245-80 Email: dviehman@k2bathdesign
License#: BC638895 Lead Certificate#: NAT120063-2
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-•ublic if ou•rovide s•ecifrc reasons that would•ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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 ithout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv tans.
XDaniel Viehman Vtoz)h""cidv.,
Applicant's Printed Name Applicant's Signature
DO UOT WRITE BELOW THIS LINE �73 g�- , C ,� ` 57 *
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
TAlteration _ Fire Repair __ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 949_09
Occupancyi, MCES System
Plan Review Code Edition � SAC
.i ,. 1 (5 Units
(25%_ 100%y ) Zoning ( 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
XFraming 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
XInsulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
/1-7
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 6/°
Q ,
Plan Review 606v�'"
MCES SAC �6�""
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant pil )1011 )
Radio Meter Read
Copies (6Ac
TOTAL
Page 2 of 3
E For Office Use
o o + r
:::::ee
,„, E AG N
:
JAN 0 9 2020
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 l TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspectionsCa)citvofeagan.com
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/9/20 Site Address: 4731 Beacon Hill Circle, Eagan, MN 55122
Tenant: Chas and Karen Meyer Suite#:
Resident/Owner
Name: Chas and Karen Meyer Phone: 612-940-3303
Address/city/zip: 4731 Beacon Hill Circle, Eagan, Mn 55122
Name: K2 Bath Design License#: PC 638895
Contractor
Address: 2010 East Center Circle City: Plymouth
State: MN Zip: 55441 Phone: 763-245-8042
Contact: Dan Viehman Email: dviehman@k2bathdesign.com
Type of Work —New ✓ Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work: Remodel Bathroom
Tankless Water Heater Lawn Irrigation( RPZ/—PVB)
Standard Water Heater
DescriptionAdd Plumbing Fixtures ( Main/—Lower Level)
p Water softener
Description: Move shower controls
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 with the approved plan in the case of work which requires a review and appy I of plans. __II
Daniel Viehman r
x
Applicant's Printed Name App !cant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172014
Date Issued:09/13/2021
Permit Category:ePermit
Site Address: 4731 Beacon Hill Cir
Lot:17 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles A & Karen S Meyer
4731 Beacon Hill Cir
Eagan MN 55122
(612) 940-3303
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature