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4765 Beacon Hill Rd CITY OF EAGAN SEWER SERVICE PERMIT 3830 PilovKnob Road 6325 P. O. Sax 21199 PERMIT NO.: 83 Eagan, fA 55111 DATE: Zoning: No. of Units: Owners Feature Mrs Address: Site Address: 4765 ;acon Bill Road L14 B9 Beacon Hill Plumber: Lakeville Plumbing 10-13-83 39229 100.00 pd agree to oGM* with the City of Eagan Connection Chow: 425 _ 00 Dd Ordinances. Account Deposit: Permit Fee: 10.00 nd Surcharge: .50 ad BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Bqk 21199 PERMIT NO.: 5237 12! 7 Eagan. MN 55121 DATE: Zroni4: Rl No. of Units: 1 - Owner: Featr~ra $ZtITS. Address: site Address:. 4765 Beacon Hill Rd L14 89 Beacon Hill Plumber: Lakeville Plumbing. ' Connection Charge: 450.00 vd Meter No_.:-+ Size: fi Account Deposit: Reader No.: Permit Fee: 10.00 pd agree to ply tjie City aF Eagan Surcharge: • 50 pd Ordinance.' Misc. Charges: - 60.00 I)d Total: By r Date Paid: Date of Insp.: Insp.: 41 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Receipt # To be used for Est. Value 111 4000 Date ae 19 Site Address 476) UAsrON HILL ROAD Lot 14 Block 9 Sec/Sub. D>9=1111 RILL. OFFICE USE ONLY Parcel No. Occupancy FEES Jft i JUDITH WIIlIltlltr Zoning - S 290QO cc Name (Actual) Const Bldg. Permit - W e AddreSS MAWR HILL RD (Allowable) Surcharge ' e 5 City KAGAIIII Phone 456-9506- # of Stories - Length Plan Review Za' Name j SAM Depth SAC, City a Address S.F. Total SAC, MCWCC E City at Phone S.F. Footprints - On Site Sewage Water Conn W W Name On Site Well Water Meter W Address MWCC System z Acct. Deposit e W City Phone City Water - PRV Required S/W Permit I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City-*'4gan Oronanc s. Treatment PI 1 #1 APPROVALS Road Unit Signature of Permitee f JON o' ILIM RONNIIG) Planner A Building Permit is issued Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota St tes and City of Eagart Ordinances. Bldg. Off. Copies Building Official Variance TOTAL ; ~Se Permit No. Permit Holder Date Telephone # ?PATER SEWER PLUMBING H.V.A.C. ELECTRIC Mspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hlg. lain. FwWace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. S'2, O CITY OF EAGAN Np $5?~ 3745 Pilo Knob Road Eagan, MN 5512'l PHONES 454-8100 BUILDING PERMIT Receipt To be need for SF DWG/GAR Est, Value $60,000 Date October 13 19 83 Site Address 4765 Beacon Hill Road Erect $K Occupancy R-3 Lot 14 Block 9 Sec/Sub. Beacon Hill Alter ❑ Zoning R-•0 1 Parcel # 10-13500-140-09 Repair ❑ Fire Zone HA Thien T. Tu Enlarge ❑ Type of Const. V aae Name Move ❑ * Stories Address 7720 Penn Ave. So. Demolish ❑ Length 52 Richfield done 861-6746 Grade ❑ Depth 40 Sq. Ft. City ce Nome Feature Builders Approvals Fees o oR Address 15513 Logarto Lane Assessment Permit 1 30.00 city Burnsville Phone 435-8443 Water & Sew. Surcharge Police Plan check 156.50 585.00 Name FW Fire SAC Address Eng. Water Conn. 450.00 <W city Phone Planner Water Meter 60.00 Council Road Unit 250.00 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 1784.50 State of Minnesota Stotutss-aq City of Eogo Ordi S. Signature of Permittee w ~"e A Building Permit is issued to: Feature Build S on the express condition thnt all work shall be done in accordance wi I licobl of Minnesota St totes and City of Eagan Ordinances. Building Official a Tixj r ^""P"9~;T V -1w. _ 77 gcaRa •u 7, T-V r M , CITY OF-10 n ' ► , MS Not Knob Raiitil , .II PHONEt 4"4100 RIUILDING PERMIT Recelp~ SF TWO/GAR $60,000 df abet 13 83 TO 'mW for Est. Value i!A 4765 Hill Site Address Bacon Road Erg R-3 Lot Beacon Kill After 14 Block 9 S. Z~rft Pofcel * la-1 140-~ R"Wr ❑ Fife Zone Enlarge ❑ Type of. Canst~ oe Name Move ❑ # S 7720 Penn Ave. SO. Addr _ Demolish 13 Leagtli ffe a Ptlane Grade ❑ Depth Name Feature er Approvels 523 Logarto Lane Assessment Pest Address • Buitnaville ~ 435-8443 Water & Sew. Sufdr?o City . Police Pfpw .r °C Name Fire SAC • u Address Eng. Wad Cann. 10 City Phone Planner IARar Auie Council Road Unit t hereby,ocknowledge that I have read this application and state'that 9W®. Off. the •ir►fOrmation i; correct and agree to comply with all applicable States of Minnesota Statu City,of Eoga S. APC 7a>tof Signature of: Permitted - A building Permit Is issued to: an the O"ON Ruiz all woirk shall be done in accordance wH all bpplicoble tetaW.Statutat and City of EdgOW 4 Ouifdwo Official .,.C * , J-sue-' 71 Permit No. Permit Holster Mies. Permit No. Holder Plumbing H.Y.A.C- ~J 3 rDri `9 ( -17$3 Wen Weller DiBp. tiewrer Electric wsq*~Z E E y , Inyee6 on pate Other Footin0a Foundation Framing AA Rouullh Pft Hv ~/9 ICU Inauhtion Final Plbs Final HVAC t Final Id A Wow Deeixile Location: WWI v ~aMwr . Pr. DID. - ~ssa.~•.~~:; .ev.=+~sr: -sr-_,: a--.yrT-~..--^a.~,.ae 77 - CITY of i AN t 3M Pilot Knob Hbad, P.O. Box 21-199, Ees; PHONE• 45"100 BUILDING PERMIT ire be Used fm DECK Est. value $11800 date AUGUST 29 19. 84. Stte Address 4765 BEACON HILL RD Erect ❑ Occupancy R3 Lot 14 Buck 9 SecfSub. BEACON HILL ADD Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const, V Enlarge ❑ No. Stories -52 Name THIEN TV Move 11 Length 3 Address = H Demolish 11 Depth 20 i7 Grade 11 5q. Ft. City Phone SAME Approveh Fees Ngme Address Assessment Penni, City Phone Water & Sew. Surcharge Police Plat check W Name Fire SAC FW x3 Address Erg. Water Conn. <City [ Phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. 8/29/84 Parks the information is correct and agree to comply with ail applicable APC Total$39.50 State of Minnesota Statutes and City of Eogon Ord!Wrw es. ~ Var. Date Signature of Penmittee ' X-~ FA) A Building Permit is issued to THIEN TI on the express ca Wftea all work shag be.done in accord with oll ' bte tats }f M' nesota Statutes and City of Eagan OrAnancoL Building Offidal Y { Permit No. Permit Holder Date Plumbing H.VA.C. ' Electric Softener Impection Date Insp. Other lrootengs F®~r►detion - Freming Roush Pffm Ugh MVA Insulation Final Pft Final HVRC Final z Cert/Oax. wwater Deserilae Location: well s ltswer , r Pr. flips. k ° CITY OF EAGAN 14 5) 3 M 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for l1ASE-MF!.T REI-IOUrLEst Value 44, 00ii Date JAACARY 13 ,19 813 Site Address 4765 MACON BILL '0, OFFICE USE ONLY 1 + 4 Lot Block Sec/Sub 16'ACON HILL ADD On Site Sewage _ Occupancy R--3 MWCC System Zoning Parcel No. On Site Well _ Type of Const City Water _ (Actual) ac Name JON S .iCO.tU RUNNING (Allowable) z 4765 BEACON HILL Rb of Stories Length o Address City :ACA:.. Phone 456-96ob Depth S.F. Total Name SAttd Footprint S.F. Address APPROVALS FEES City Phone Assessments _ Permit 34.00 Water/Sewer _ Surcharge 1,00 ni W Name Police Plan Review u z Address Fire SAC, City Engr. SAC, MWCC Qz City Phone Planner Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of Eagan Qrdinances. Variance Parks Copies Signature of Permittee is f TOTAL J. 3V A Buildin Permit is issued to °ott & ,t1 UITf4 Isl};yl¢~C 9 ~ on the express condition that all work shall be done in accordance with all applicable State oT Minnesota Statutes and City of Eagan Ordinances Building Official Permit No. Permit Holder Date Telephone X Plumbing 9 9,3 1 Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. .-.~..~-T"~^a--~#~R+.'f*"„`,"'rp,~r.'f°ae'~T++IF~(j~q A~v~at'*'~~~~'~"~`'~'~"R'!~"rp..-i~sv.i•y~~1^~-s-'-,.. . PERMIT # 9' 3- PLUMBING PERMIT t^' CITY OF EAGAN REOEIPT # 3890 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHO : 454-8100 Site Addre BLDG, TYPE,, WORK ~iPVON lot Block Sec/Sub Res. New - Mutt. Add-on V Name Comm. Repair m Addres Other c city Phone( RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL Water Closet - $3.00 $ Ca .146.4 Name ~~ath Tubs - $3.00 3 Address - - V Lavatory - $3.00 O City Phone ' -V Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - 50 (MINIMUM - 1 PER PERMIT) (ADD $50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND .00) Well - $10.40 Private Disp. - $10.00 Rough Openings - $1.50 SIGNAT OFPERMITTEE FEE vv STATE S/C: `J U FOR. CITY OF EAGAN GRAND TtTAL. • CJ Receipt PLUMBING PERMIT Permit No. hl.-, i'CITY OF EAGAN Fee Fill in numbered spaces S/C i Type or Print legibly Tot. 1. Date f ~ 2. Installation Cost 3. Job Address Lot~Blk. Tract 4. Owner 1:?Q I rH 5. Contractor'? Phone 6. Address , a~.3a 7. City /..t State Zip 8. Building Type: Residential jP Commercial ❑ Institutional ❑ 9. Work Description: New.0 Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield _L Bath tubs Septic Tank Lavatory Softner f Shower Well Kitchen Sink Urinal/Bidet Other A-#r Laundry Trays Ysf/ Floor Drains T Drinking Ftn. Slop Sink Gas Piping Outlets D / U 12, 1 her *W certify that the above information is true and correct, and 1 agree to comply with 11 wd dances and Cobs t#rfs type e~ work. signed : 7 for ",*us; Final G' inspections: Dace Insp.. Dana Insp, ' ,ie lli6' au1 a~pror: 44" Roceipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill In numbered spaces S/C Type or Print legibly Tot.. 1. Date-- 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 12V 6. Address 7. City State Zip 8. Building Type: Residential Commercial O Institutional ❑ 9. Work Description: New fT Add O Alter O Repair ❑ 10. Describe Fuel Type 'A of / S 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gm. Piping Outlets h. 12. 1 hereby certify that the above information is true and aorrect, and I agree to getup V all Vdi a and codes governirkill'tilith tvpe of work.. RuirglF PIael' "040M Mite Aare +rrd a - iv A Feu' _ } CITY OFEAGAN No 14553 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # R0 J 3j To be used for BASEMENT REMODEI£st. Value $4,000 Date JANUARY 13 ~1 g 88 Site Address 4765 BEACON HILL RD OFFICE USE ONLY R-3 Lot 14 Block 9 Sec/Sub. BEACON HILL ADD on site Sewage _ Occupancy MWCC System - Zoning R-1 Parcel No. On Site Well _ Type of Const City Water (Actual) rc Name JON & JUDITH RONNING (Allowable) W # of Stories 3 Address 4765 BEACON HILL RD Length o City EAGAN Phone 456-9806 Depth S.F. Total P Name SAME Footprint SF. Address APPROVALS FEES City Phone Assessments Permit 34.00 Water/Sewer Surcharge 015 W Name Police Plan Review LE Address Fire SAC, City Engr. SAC, MWCC <W City Phone Planner Water Con n. Council Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information iscorrecta reetocomplywit ppiicable APC Treatment P1 State of Minnesota Statu and C ty of E pan r es * Variance Parks Copies _ 5(1 Signature of Permittee TOTAL 35.50 A Building Permit is issued t . JON & JUDITH RONNI G on the express condition that all work shall be done in accordance with all applicable State o Minnesota Statutes and City of Eagan Ordinances. r Building Official CITY OF EAGAN N9 9469 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4546100 ~ j[J BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,800 Date AUGUST __?_9 I 9__§_4 Site Address 4765 BEACON HILL RD Erect ❑ Occupancy R3 Lot 14 Block ---2-Sec/Sub. BEACON HILL ADD Remodel ❑ Zoning R Parcel No. Repair ❑ Type of Const. V Enlarge ❑ No. Stories ar Name THIEN TV Move ❑ Length 52 Address SAME 454-2759 (H) Demolish 1:1 Depth 20 City Phone $30-6002 (W) Grade El Sq. Ft. Approvals Fees x Name SAME ZOU Address Assessment Permit u~ City Phone Water 8 Sew. Surcharge 1.00 Police Plan check lull Name Fire SAC X Co Address Eng. Water Conn. <W City Phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. 8/29/8 4 Parks the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee !Z 1,L--CA) A Building Permit is issued to: THIEN T on the express condition that all work shall be done in accord a with al ppl'cable tote f M' nesoto Statutes and City of Eagan Ordinances. Building Official This request void 18 months from J t_ g L 1 g X q i A t-a de A ~J t'(( qoo V (o t S7n Request Date Fire No. Rough-in Inspection RR qu.red? Ready Now Will Notify Inspec- r-)- ~~i Yes ❑No tor0heirReatly Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City i~-- ection No. Township Name or No. Range No. County I. I Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. 1 Ucl _3 _L Mailing qd ress (Contractor or Owner f0laking Installation) Authorized SignaLUe (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on back of yellow copy. 0 A "X" Below Work Covered by This Request q,5D 4(_0 Add Rep. Type of Building Appliances Wired Equipment Wired Home jiie Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) ther(Specify) Other Specify X Ot er Other on1pute Inspection Fee Below p Fee Service Entrance Size a Fee Feeders /Subfeeders n Fee Circuits f (a✓ U to 200 Amps 0 to 30 Amps -5~) 0 to 30 Amps Above 200 Am is 31 to 100 Amps t 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms & Partial-"Other Fee Signs Special Inspection $ TOT FEE Remarks i Rough-in ^ w Date I, th L Inspector, hereby vE ertify that the above Final Dt~ G nspection has been made. This request void 18 months from - ' This request void/~_~j~>~' 18 months from D 66-1 Request Date Fire No. Rough-in Inspection Required? ❑Ready Now will Notify Inspec- -5 ❑Yes ❑No for When Ready ❑ Licensed Electrical Contractor 1 hereby request inspection of above iffowner electrical work installed at: Street Address, Box or Route No. Cit 7! ection o. Township Name or No. Range Nn. Cour cupant (PRINT) Phone No. OJon a,~i~~i ~~Onnl h ~Jr" ' ~d f p r ~JCO-Jt9_ pplier Address Aaces Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 Se~Jnsff"ons for completing this form on back of yellow copy. 6 6-15 6 ..X'" Below Work Covered by This Request ftAAdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unlouder Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Sj)ocifyl t .r Specify Other Olhor 777~ oFee Below p Fee Service Entrance Size tt Fee Feeders/Subteaders # Fee Circuits 0to200Amps 0to30Amps 0to30An s Above 200_Amps• 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 --Amps Above 100__._Am Transformers Irrigation Booms Partial. Other Fee Signs Special Inspection g12 D, TOTAL Remarks Rough in Gate y I the EIe • a Inspector, hereby AIN certify that the above Final ~kti'r;•~/~ .;DwiP02, if inspection has been made. This request void 18 months from This request void tD - p z- q 18 months from tit l W090424 ~o-oo Roque a Date Fire No. Rough-in Inspection Required? ❑Ready Now ll Notify Inspec- Iv Yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City action No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractors License No. 't'euq o ! . Mailin Address (Contractor or Owner Making Installation) ~r t!- '5 , /j L4) ) -~-L') e `cU Authorized Signature (Contractor/Owner Making Installation Phone Number ELI-,- 14 ~-Ll 1'4. 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55114 UNLESS PROPER INSPECTION FEE IS oa,...... ia1lj% 130-)?111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 ' See instructions for completing this form on back of yellow copy. UM 424 XI" Below Work Covered by This Request 39 3 3 C] 'ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Temporary Service Duplex Water Heater ~ tures Apt. Building Dryer Electric Heating Commercial Bldg. rnace - Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm y Other(Specify Other Specify fi O Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits v-l1aJ 0to200Amps 0to30Amps 0to30Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms Partial. Other Fee Signs Special Inspection emarks S U T T L FEE GC9 -G Rough-in Date I, the Electrical Inspector, hereby certify that the above Final Dtte j inspection has been it made. s This request void 18 months from • CITY OF EAGAN NO 17792 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,000 Date MAY 2, 19 90 Site Address 4765 BEACON HILL ROAD Lot 14 Block 9 Sec/Sub. BEACON HILL OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name JON & JUDITH RONNING (Actual) Const Bldg. Permit $ 25.00 Address 4765 BEACON HILL RD (Allowable) 50 Surcharge .50 0 City EAGAN Phone 456-9806 # of Stories - Plan Review - 0111111 c Name SAME Length Depth SAC, City 0v Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn t W Name On Site Well Water Meter ,z Address MWCC System 00 6Z Acct. Deposit q W City Phone city water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with plicable State of Minnesota Statutes and C' agan Ordinan Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issue JON & JUDITH RONNI Planner Park Ded. on the express condition t at all work shall be done in accordance with all Council applicable State of Minnesota S )rtes and City of E ajolin Ordinances. Bldg. Off. Copies Building Official ~~f<< Variance TOTAL 25.50 CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 14 Blk 9 Parcel In 11510 140_09 street 4765 Beacon Hill Road State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 5 1982 1848.67 205.41 9 1497.87 A 202 -18-8 STREET RESTOR. GRADING 1982 537.84 59.76 9 118.32 A012020 3-18-83 SAN SEW TRUNK 6 .4 A012020 3-18-83 1 Q7f, 1135-07 9.()A * SEWER LATERAL 1982 3182.83 353.65 9 2475.55 It " WATERMAIN * WATER LATERAL 1982 9 WATER AREA (t `y 1982 202.00 22.44 9 157.12 A012020 =18-8 * Stubs 1982 9 STORM SEW TRK 1982 367.77 0.86 9 286.0 A012020 3-18-83 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 39229 10-13-83 tt tt WATER CONN. 00.00 EUILDING PER. SAC n n PARK hob W ) RESI01INNT1AL p~ BUILDING PERMIT APPLICATION ~'S1'C CITY of MGM 3830 PILOT KNOT: RD - 55122 W73 e31-M"73 New Itnuhmenh • 3 repistrOd dte wren ehoOArp p. R d bt, eq .R dirwe; anr)~ rooted real • 2 apim ow • aopbe of plan *vAV ben a wkdow *M. Owed bM duok ale) • 1 set d F.n11~r QlieelaNof~e lot hlaib ad~Ola • tid of EnergyCalab&N • 1INSft"trederlore1"M 0&do* • 3 c*n of Tree Pre rvoon Plan N bt pbW dter 71U83 • ildlreM d Aonnerred by r eyeMiq breldwbne • Rim Joist DOW Optiorn rAecbn dleet (bidpt VM 3 arlace unb) DATE VALUAIQN JOB SITE ADDRESS ` IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNE i TYPE OF WORK-- ` i FIREPLACE(S) 0-1 -2 APPLICANT IA -A , PHONEi=:Gafi:~ ADDRESS f9VA ZIP CODE PAGER # CELL PHONE # FAX 8 EMy NEW RESIDENTIAL BUILDING ONLY_ PILL OUT COMPL Energy code category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Rseidw" Venttlatlon ceiag ! Worim" Submitted Energy Envelope Cakx~tioneS~u~d MINNESOTA RULES 7672 - New Energy Code WorkstwW Submlaed Plumbing Conlractor: Phone 0: Plumbing System Includes: - Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater .M No. of RI. Baths No. of Baths Mechanical Contractor: mom 0 Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/wclhw CoMroctor: Phonf:8 All above ir*nnedon nut bs submilsed prbr b ptnoeeeMb of gvft tlon. s correctold a I hereby acknowledge thatI have read this applicotion, state fh m4c_'Off_'~ gMe to coon" with ail applicable State of Minnesoto Statutes and City of n i~ r nahm a< Certificates of Survey Received Tree Preservation Plan Reoeked _ Not RequW llpdW*d 1101 4~'5p6) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 i. Q _C 651.681-4675 New Construction Reauirements Remodel/Repair Reautrements > 3 registered site surveys showing sq. ff. of lot, sq, ft. of house 2 copies of plan and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam L window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > i set of energy calculations > 3 copies of tree preservation plan if lot platted after 7/1/93 e✓ C-7 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: V- A0 DD '¢G +r~ STREET ADDRESS: Am 41' (v 5 'd"COA " Z Z LOT: I "t BLOCK. C~ SUBD./P.I.D. r~~C Q v. t~`1 1 Name: A.00D e rt &LL4'-7 Phone 4o g 1451-13612 PROPERTY Last First OWNER Street Address:__ q 7e 3- Ae.Affo x- i City 414e4A; State: Zip: 7 Z Z Company: Z e- 4~_i9 0 Er cL Ct Phone ~ -42p y20 (area code) CONTRACTOR Street Address: License # -1-d13il!VO Exp. city ul1X~S~J. ~r! State: " zip: 5332 ARCHITECT/ ENGINEER Company: Name: Telephone area code( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction onlyl: 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 applicable 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 25.00 1 1990 BUILDING PERMIT APPLICATION 0.5 0~ CITY OF EAGAN 25- ' 5 0 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: /L"900 Date: Site Address OFFICE USE ONLY Lot. Block FEES Occupancy Zoning Parcel/Sub Actual Const Bldg. Permit i Allowable Surcharge Owner U D A Q r} # of stories Plan Review I Length SAC, City Address Depth SAC, MWCC MM~ S.F. Total Water Conn City/Zip Code lu J~ Z Z Footprint S.F. Water Meter Acct. Deposit Phone On site sewage- S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment Pl. City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL L4 1A (Y Council Arch./Engr. Bldg. Off. 5 Variance Address City/Zip Code L one # z r~ CITY OF EAGAN Include 2 sets of plans, r 1 site plan Welevations & 'BUILDING PERMIT APPLICATION 1 set of energy calculations. ~o Q To Be Used For Valuation 4 _ Date C CY Site Address X765"- E CFF'ICE USE ONLY Lot Block Sec./Sub. gac~z~, ~ L~ Erect Occupancy Parcel 10-55011 -N _a l Alter Zoning Repair Fire Zone Owner: yTki'~n ""C• Tel Enlarge Type of Const. Address : ? 7 `ZG 3 n * Demolish Frontries ft. City/Zip Code: Grade Depth •'~/Q ft. Phone ` `l 6 APPROVATS FEES Contractor: ~r Assessments Permit 3 /za [dater/Sewer Surcharge d Address: S'f - - Police Plan Check City/Zip Code: Fire SAC Sa Eng. Water Conn. h~ D Phone Planner Water Meter G Council Road Unit Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL -7 ` 5 CERTIFICATE OF SURVEY F 90.6 92,g IRD. CON H11r~- 8GA S ts~ot547.w 9 R=~45 1 2,10. f o r \ a'y .96. ice' ~1 ~ 8 ~T Q ~ r .51•g0 g0 .0 tz ar t \ A N y iD A SIB y►. u~. a \ - 26 Z• 00, t a. w. ~ t Sae t t t sEo paop0 N \ pZtO 6 ~ S p I. i it ; ns of . wi are ~_Oc, ca oxisring grados an, ..I'' aSiur. .I datm-r- ~ BLOC i 1 5 ? ~ G~ ~SEM£pZ ~ \ t0. oap` h POND t -----3 N89053~33"w - 78 31' ? e r tip: rt i t?1J[ t'1is is a correct representation of a survey of: oL Jul, :A.,tck q, 'ir'ACI)N iili.L, Dakota County, Minnesota, according to the ^iat r,•,t on tiie and rf record. ~,at I :a.:; n dul% to• ;i 4t,•red land surveyor under the laws of the State of Minnesota. 1 tt day ,,f Urtoher, 1,1183 gene L. Jacobson inn. Reh. No. 7734 qr JC '_At E - I = 40' O DENOTES IRON MON BEARINGS ARE ASSUMED DATUM. JACOBSON SURVEYORS F:itur•b~~:lder, LAKEVILLE, MINN. 55044 h~:rr!~-, i i le, s?ins:. 573?i PHONE 469 - 4 328 • EXTERIOR ENVELOPE' AVERAGE "U" COMPUTATION .G.w ti . pWNER'litrt_ 1C~w~ Gto•~►~ Ttt.y.y~ I1-37 i~SITE ADDRESS y ,`8ts1c•..i~,~+:.~ oA Dr . ~Y3 CONTRACTOR FIATu u ~.-DtA-r, - DATE Aug 3 PHONE f s= d' y , Determine working square footage of each. 1. Total exposed wall area f 2 L sq. ft. x _~1 S : ~ 2. Total roof/ceiling area 1!1 Dom_ sq. ft.' * x . 0' Total exposed wall area above floor • 16`T 5 - a. Total wall window area LA. Lo be Total door area c. Total sliding glass-door area - '44 d: Total fireplace wall area ~7- e. Total wall framing area (average 10~}...:.......• L.. f. Total net wall area above floor IL q§10 g. Total rim joist area ty 4 Total exposed foundation area 3.?L h. Total foundation window area....... i. Toal net foundation area above grade Determine "U" value of each wall segment. a. 164 . to X "u" .Z be- 3N _ X "um _ I 5.7-9- C.- yy X slu" 5 Z.L d. 4.~ X "U" . 31o s . W e. 139.gt~_ X nun oaq - IZ.yS f. X nun Jos - 9-- 141 X Nun _#041 t6po he X nun i. f J.?Z x "U~ /Log 3 c IZ.gZ ....Total 7.55.33] If item 03 is the same as, or less than item 01, you have met the intent of SSC 6006(c)2. . f • • Total exposed roof/ceiling area = b0 . + Total gross roof/ceiling area = 100 :3. Total skylight area k. Total roof/ceiling framing area ....1_LD 4 1. Total net insulated roof/ceiling area....... q 4 e3 f Determine "U" value for each roof/ceiling segment. . k. 1 1 a X "U" 0 3 S_ _ 3, 8 1.X ,.U" 4........_.........1.x. ...........Total ' . c If total of #4 i s the same as, or less than • #2, you' have met the intent of SBC G006(01-. To utilized the total envelope system method, the values.established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. • + 2. 3. + 4. MATERIAI,$i Therm. Resistance .rgn Exterior Air Siding Material , 4 5 sheathe Insulation Sheetrock S Interior Air . Studs Rim f.B$ Cone. 81ks. .'L • • •ta ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN • INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY SET F N Y CALCULATIONS To Be Used For : Valuation: ~ Date: 49- -2 7, /Y Site Address: am, Ij 7(,~ jxfl tc< Hitl # • • Lot: Block: cfSect/Sub:,. Erect: Occupancy: R-3 Parcel Remodel: Zoning: -j Repair: Type Of Const: Owner: J Enlarge : # Stories: Move: Length: 22 Address: Demolish: Depth: 71~ City/Zip Code: Grade: Sq. Ft.: Phone l*t ~}}7 S `f ALA? Contractor: Address: Assessments: Permit: Z9S~ City/Zip Code: Water/Sewer: Surcharge: Police: Plan Rev.: Phone Fire: SAC: Engr.: Water Conn: Arch./Eng: Planner: Water Meter Address: Council: Road Unit: Bldg. Off.: ~ Parks: City/Zip Code: APC: n~,„~A Variance: l CERTIFICATE OF SURVEY 90•6 92,9 95.7 t1w \0-0L RD' C ACOA 160%g Al"* .9 T 8 R;g45? l 5 48- p. 96 i f w a \ 4p` ~ ~ 3?10-~ Z6~ s 0 ? N 1 1 A~ N 6+ cA t~ ~ \ iP, N ~ lop Go. g09 o+ l u ~1 - Pa005 ON 83 t.; tn, ,I.owo art y;rados \1 N w e e s ~ \ * GV- FASE~~S ~ 1 l y ORp~ I h POND l , r N89053 33'w - 7831' I firer ?r .,L•rt'.,\. thm this is a correct ropresentation of a survey of: 13I:A,")N Dakota t ounty, Minnesota, according to the plat on :ilk- anc of lc.orri. '.I,at I a.:`. .1 diil1 to.j-trrod Irind survevor unifier the laws o the State: of Minnesota. l 'z4tc: { t 'Ai att: ,fi.ly o Oc•toi,'•r, 1)83 (;cne L. Jacobson ,4&1111. Reg. No. 7734 DENOTES IRON MON BEARINGS ARE ASSUMED DATUM. ay JCI-' CAL.E - = 40~ to r - . i t JACOBSON SURVEIORS LAKEVILLE, MINN. *t5044 Jx PHONE 469 -4328 u a i ! 1 Ul t E 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, .j CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS r # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: u tion: ,ryO Date: ~ ~ fZ.AL Site Address c OFFICE USE ONLY Lot 4 Block On site sewage Occupancy -3 MWCC system Zoning / Parcel/Sub On site well Actual Const City water Allowable Owner PRV required # of stories Booster Pump Length Address Depth S.F. Total City/Zip Code Footprint S.F.~ Phone APPROVALS FEES Contractor Engr/Assess Permit ,fit/,' Planner Surcharge 4P/,• Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment Pl ter.. Parks Address Copies TOTAL 35.;0 City/Zip Code Phone # E.~t'~E55 1rV lNi~att.?5 ; 5,' f5014A4E Fi'r tiEr CLcm? oFENO4 LE AVER 20" MIN. N E" T C L E-A W, 60067 W 1 •D7"'H f • ' • H E~GNT R1 Z " AU N z z ft) r ~,Ev X05 ? 40 W NIP q n V+ R E uL 1 ~Q t I3 d ~ ~ k 71 i ' ;r n (fSTALI M! A~7lCAL V z y VENTILATICN !Y1 r'~} C ~i~`~ 1 !y C rn 713 RESIDENTIAL 3 7 5-3 S-j BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements RemodeYReuair Requirements • 3 registered site surveys showing sq. It of lot, sq. ft. of house; and all 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 hone served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 17/ VALUATION SITE ADDRESS 7GP~ 494eae-oh A// Ael MULTI-FAMILY BLDG _Y / N TYPE OF WORK ~X7'j f&>vf FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 12YOn p~` k STREET ADDRESS c 1Vhj&.Qt'. Ae. CITY STATE 04ZIP-55.1 o S TELEPHONE #661232 CELL PHONE # -FAX # 6V 137 PROPERTY OWNER &I i A'Mj TELEPHONE #&Q-68 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: - Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the inf rmation is c ec nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or a ces. Signature of Applicant 6, C/ V _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 3 I For Office Use Permit ~V City of Eap I q~ I Permit Fee:- G 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: - j Phone: (651) 675-5675 I e I Fax: (651) 675-5694 I Staff: I I I 009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U G Site Address: q-7& Is fj Au. /4. FA-6A^j M d syt 2-2- Tenant: Suite RESIDENT/ OWNER Name: hiNJ Phone: Address / City / Zip: Y~' w~r ELM ~~v~~ Applicant is: Owner Contractor TYPE OF WORK Description of work: ! V Ec^j FO~S-1V(-,J Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact 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 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 maybe 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 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 lans. X tAZ f-_ X Applicant's Printed Name Applicants S' natur Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition - Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace - Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%---) Zoning City Water Census Code y 3 ~j Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition)° Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES ' Base Feea jLTC►~ S { n Surcharge Plan Review 16 W e IZ l7 MCES SAC 'n City SAC eta.1 ~c7 t 1 S Utility Connection Charges rse j ,L~ eC~S S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 CERTIFICATE OF SURVEY 90.6 9Z,9 9 ? R°i457 i~ 5 4800- G. IT Id Vii. t 1~ ~ 370' 26 6 , ~ . e 4\ • _ 0 9p d sib c Z 7D to A -4 19.S - 26 6 l 40 A. l 909 1 tr PFLOPOSED -0 9S ON r:: ;t ii ~t. wi arv .;i.:riii}-. 1 ra,ir.~ v~ 0'C 1A D. es ,5.70 EAGAN \ s 7 501 NS REV1 EW ,D E,,SEM lp. BY., oRp' / h POND t t DA'Z'E." /Z> BUILDING INSPECTIONS DIVISION Nt39 °53 33'*w - 7831' 1,}"¢t:r•'':' •'~rt 'C tll.lt titlti is a C,t1're(-t ropresenLati;,n of a survey of: i l :l•`ik 'i, 'il::~i;`i?: 111', Dai(i)ta t outirv, mimiesota, according t'tt the p l.~ i :'v on , i l it a:1 C:. ,f recor(i. a-, : 11at i ii.:'. 1 dill\' [~':;l'•it'L"t•~I i.:ind surv('!v1'r Un.ler tiii' laws of tile State. of Minnesota. t~ f':l aC'. J.I% u,.ttt;„•c, 1'?i Gene L. Jacobson; ; lnn. Iles;. No. 7734 g~ JC CAL.E - 1" = 40` O DENOTES IRON VON BEARINGS ARE ASSUMED DATUM. JACCBSON SURVE) ORS rt~.<tlir•• i~u: iticr~• LAKEVILLE, MINN. X5044 i PHONE 469 - 4 328 Use BLUE or BLACK Ink I For Office Use ' Permit 0 Z~] ~ d j (Ion I / City o EaRd I Permit Fee: 1 3830 Pilot Knob Road I I Eagan M N 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 Z Site Address: e- Unit Name: 6 AH 3i S Phone: 61 2 3'315- RESIDENT / OWNER Address/ City/ Zip: 1765- 134mGo,g *Ic L XD Applicant is: Owner X Contractor TYPE OF WORK Description of work: s / DiN G ~c Construction Cost: 52, a ca o Multi-Family Building: (Yes /No ) Company: ;THvJ 4+ok*J Ale- Co.v57A-vvaP#At Contact: 5i3V6? CONTRACTOR Address: 807 ZAJ ST /s/(u City: lafw 10^146 ud- State: Zip: Srt~ 0-7 I Phone: 612- 900- 6 76 8 License l c, 3 6 37 J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /-1c,,w or C"J^5 L.'C iN / 1 Qv 3 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: 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. 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.goi)herstateoner-all.org 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must completed within 180 days of permit issuance. x S~igV d K7s4~ x Applicant's Printed Name Applicant' Signature Page 1 of 3 !`f V1»''9 ne - i f9.5 n s (Jrrelr-T- �� �G�� 11.4.1 W : t I Pei go5idq 6517',e./2734u14/1 P»1eA '(/2(DI FtEfijgvANyEgi'v eu .aNG sNs - C LF7CFR MUST BE ATTACHED WITH (2) 3/8" X 4" LAG SCREWS 11 WASHERS EVERY 16" )10 PDQ; 0.7; set Tc>1�CcK. WALKING SURFACES GREATER THEN 30" ABOVE AREA BELOW REQUIRE GUARDRAILS MINIMUM 36" IN HEIGHT AND DESIGNED SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH 14 o . t F'