4718 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4718 Beacon Hill Rd
Lot: 33 Block: 6 Addition: Beacon Hill
PID:10- 13500- 330 -06
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
David W Larsen
4718 Beacon Hill Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA086263
09/23/2008
ePermit
cal Inspector,
I WATER SERVICE PERMIT
C
I ITY OF EAQAN
I
Ir? 37?
Pilot Knob Road PERMIT NO.:
'*Ecgon, MN 55122 DATE:
Zoning: No. of Units:
Owner: -
Address:
' Site Address:
Plumber:
Meter No.: Connedion Chorge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 egree to aomply with the Citr of Eogan Surchorge:
Ordiaanaes. Mfsc. Charges:
Totul:
By Date Puid:
Date of I nsp.: I nsp.:
CITY,pF EAGAN SEWER SERVICE PERMIT
3793 Pilot Keob Road PERMIT NO.:
"Eagan, MN 55122 DATE:
Zoning; No. of Units:
, Owner, 1. ; c.
Address:
Site Address:
Plumber:
1 egree fo eoenplr wM6 fhe City of Eogon Connection Charge:
Ordinaneea. AccounY Deposit:
Permit Fee:
Surchorge:
BY Misc. Charges:
Dote of Insp.: Totol:
Insp.: Date Poid:
r ?
BUILDING PEI
To re uted For ?
Site Address Lot Block
Portel #
oe Name
W
Z Address 4'
O T?'A rr
CITY OF EAGAN
3795 PileF Knob Road Eagaw, MN 55122
PHONE: 454.8100
Receipt #
Fii
of Nome
Zo
?5 Addreu
I hereby acknowiedge that I have read this application ond stote that
the informotion is correct ond agree to wmply with oll opplicable
State of Minnesoto Statutes and City of Eogon Ordinances.
N°_ 5913
Erect ? Occupancy
Alter ? Zoning
Repair 0 Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front h.
Grade ? Depth ft.
Aoorovols Fees
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.?
APC
Permit •. ,
5urchorge 10
Plan chec k 5 F'7 5
$14C `, . .'(a
Woter Conn.
Water Meter
Road Unit
Tota I
Sigrwture of Permittee ?
A Bullding Permit is issued to: on the express condition that
all work shell be done in acmrdance with all opplicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
PKwk # OsM Iwiw ??ewMfw
Plumbing 7 Q , - f ? ?Q
Mechanicol G 7--2e -,?C l.?
INSPECTIONS DATE INSP. Rough-In Firwl
Footings Dore ln:v. Date 1na.
Foundotion Plumbing ?
Frame/ins. , - ?• ? ?? Mechanicol
Final ??)
Remarks:
ciTr oF EAcaN
3795 Pilot Knob Reed
, Eayen, Minnstota 55122
No. Phoe.: 4544100
1 "'?? PERMIT
Date: 7-3!).-`;^
-
Site Address: Ljec^?COII 'dZJ_ ,
'
Lot ? j Block G Sub/5ec. .?,
:C;:it@X Fx:i:@s ..iv!.;@9t
Name
4615
? Address
?
City
Name
p?
? Address
Hill Gt.
Phone:
Htg. G0.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: 2 02 12
Single
Residential '
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instollation
Permit Fee
Surchorge
20.00
5 0'
? City , . Phone: Totol This Permit is issued on the express condition that all work shall be done in accordance with oll appliccble Stote of
Minnesoto Stotutes ond City of Eogan Ordinonces.
Building Official
.
No.
ctrr oF EAGAN
3795 Pllot Kno6 Reed
Eogan, Minnesota 55122
Phene: 454-8100
PERMIT
Dcte: 'l-14-80
Site llddress:
lot Biock Sub/Sec. ?l
Nome t. r-rit@X :iOmP.:? "? C?t+: P'; ;
?
?
Address 15, -?,?aCO'1 1' 111 '",t
'
?
City ,. :?
`'ucran, '.. .
Phone:
Nome '"'-72 R,Ya?]
.
?
yy Address '745 S. Rober t Tr1.
V
City ?:7s '11' r1'. ' ,I . ..J_ ..
Phone:
This Permit is issued on the express
Minnesota Stotutes and City of Eogan condition thot all work shall be
Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
$ingle
t'
Residential L
Multi Res., Comm./Ind. I
New/Alter. / Repai r
Cost of instollotion
_i .
Pe?mit Fee Surcharge Total done in cccordance with all applicoble Stote of
Building
INSPEC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, , , ,, ? ( t ! RI?
PERMIT SUBTYPE:
:coRn
PERMIT TYPE:
Permit Number: " N f' t' 1-i
Date Issued: ' ?? .1 0' 1 '
APPLICANT:
i;'J 1 tl
, ?. 3 .• ? . . . rt!,:i'•
TYPE OF WORK:
1,41 w
Permn No. Permn Holasr oale TeMphona #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dab Insp. Comments
Foatings I
Foundetlon
Framing
Rooflng
Rough PIb9•
Rou9h Ht9.
Isul.
Fireplace
Fnal Hlg.
Orsat Test
Final Plbg. Plbg. Iropector - Notiy Plumbe?
Const. Meter
EngrJPlan
Bldg. Flnal
Dedc Ftg.
N GT?OtiI '
Dedc Final ?
weu
Pr. Diap.
- ^- i INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? a ? ?•.
SITE ADDRESS:
I , ,? ?1N tf i I I
10 rii.ilN fi f 1 t
PERMIT SUBTYPE:
TYPE OF WORK:
nE 1?:ckiNl t(IM
INSPECTION .. . ..
1 -,
P .: ?
_ f
L . ?
APPLICANT:
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING /o ,,9 , 0e 17
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSRT
TEST
BIDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
caNOUCrivrn
iEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
6?C,Orr\- 14A11?? ?
(terfifirtttp uf (Orrupttnry
Citp of (Eagatt
Ee,pttrtmpnf nf Building Infiprr#irnt
Thu Ccrtificatc iuxed Purluant to the rcqrrirrmrntr of Section 306 0/ tix Uniforne Building
Code urti f ying that at the tinu o f 1S.t1lQfJCQ 1h1J S117t[!f[fC 1UQ.f Jlt [Ofli pl1QnCf tUtlh lIJC variour
ordittanctt o f the City rtgulating briilding connructioa or urc. For the follou7ng:
uN
au: 9-19-80
.a., ?? ^ ?N..,CUa. ..,,C.
uT.
CITY OF EAGAN Remarks
Addition BEACON HILL ADDITION Loc 33 B1k 6 Parcel ln 13snn g,3n 06
Owner(lvf(???t^(,•_;1,? ?hrti`•[?Street 4718 Beacon Hill Road state Eaaan,?I SS1?2
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ` 1982 1806.93 200.77 g 1806.93 C007593 10-1-81
STREET RESTOR.
GRADING ` ZJSZ 536.46 58.50 9 • 10-1-81
SEW TRUNK '
?'SEWERLATERAL 1982 3116.46" 346.27 9 3116.46 C007593 10-1-81
WATERMAIN
WATER LA
TERAL
IJ
82
9
WEA
ATER
A'
1982
198,01
22.00
9
198.01
C007593
10-1-81
Fi
S
Stub 1982 g
STORMSEW TRK ? Z 1982 359.82 39.98 9 359.82 C007593 10-1-81
STORM SEW LAT I982 J
CURB & GUTTER
SIDEWALK
STREET LIGHT
HT
Road Unit 185-00 1969-9 712180
WATER CONN. OS OO
6UILDING PER.
te
n
SAC
PAR K
l ti
..W?E? ?5?l
?
CITY
oF ?c,Anr ?o ?; I
BUILDING PII2MIT APPLICATION
ZU Be Used For 9W E(.C.l1K C, valuation
sire AddreSS: 41196 V?EecdI.? u?i I _ 'Q
t,ot _3_&_ slocx (o sec./s,ab.
Parcel #: 'Q)£4GDN "i1.L
owner: CEwTE1C "pN1ES WOWEST
Address:4lal5 ZE6Ca*1 Wu,. GT.
city/zip Code: SA.`o N I ?A%1{I4.
Prwne #: -4 S 4- S 13 (e
Contractor:CE.l,1TEX ACKES M%DW£ST
Address:
City/Zip Code:
Phone #:
Arch-/EY'i4. .
Pddress:
..
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date tW24/8d
1. OFFICE USE ONII,Y
l 3
Erect
y oocupancy -
.__
Alter Zoning
Repai.r Fire Zone
Enlarge 'Iype of Const.
Move # Stories
Demolish Front ft.
Grade Depth ft.
P,PPROVALS FEES
Assessrents
Water/Sewer
Police
Fire
Ehq.
Planner
Council
Bldg. Off. _
APC
Pexmit IIS.raO .
Surcharge 2p,00
Plan check S 7.l 5
SAC 5ZS.00
Water Conn. 305.00
Water Meter te0.0 O
RDad Unit l Py 5.0 C
City/Zip Caie:
Phone #: 'iC7PAL
This request void ??? ?' V 4 ? a o? a 8
18 months from
?>,
Date of this Request_? Pire No. S 7 2 0 u2
!, a Licensed Electrical Contractor DOwner, do hereby request inspection of the above electri-
cai n g instailed at:
reet Address or Route No. City?
ion Township Range County M-ar
Which is occupied 6y
Is a roughin inspection required on this job? No ? YeOnf?eady Now ? Will Cal +
Power Supplier U? Address
Electrical Conhactor eC fCi ? F tC Contractor's License N.`5? 1
(COmpany Name)
Mailing Address ? q e • ? ?L-1
EI rf ontractor or Owner aking Thls Installatlon)
Authorized Signature ' Phone No. ??
O?? This inspection request will not 6e accepted 6y the
D (('
=? uv l5 State Board unless proper inspectian fee is enclosed.
minnesota State Board of Electricity .
Griggs Midway Bldg. - Room N791 . n?
" EB-00001-02
1821 University Ave., St. Paul, Minn. 55104 - phone 297•2111 ?6' /+
'R?QUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REQUEST 72082
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired Foi
Homc ?
? ? Range Tempoiaiy W'ving
?
Duplex ? Water Heater Lighting Firztures
t. Bldg. ? ? ? Dryer ? Electtic Heating ?
mmercial Bldg. ? ? ? Furnace Silo Unloader ?
Indus[rial Bldg. ? ? ? A'v Condition ? Bulk Milk Tank ?
Farm ? ? ? List List
Other 0? 0 p
HehcTS? Heie15?
COMPUTE INSPECTION FEE SELOW - -'?-XQ
Service Entmce Size: # Fee Feeders?.Subteeders: Cucuits: # Fce
0 to 100 Am s. 0 l0 30 Am res G; . 0 to 30 Am eres ?.W
101 [0 200 Amps. 31 to 100 Amperes ` j 31 to 100 Am eres L NdD
Above 200 Amps. Above 100_Amps. Above 100 Amps.
Transformers RemoteControlCirc. Paitialoro[herfee
Signs Special Inspection Minimmn fee
Remarks
?
TOTAL F v ?
I, the Electrical Inspector, hereby th bo0e inspection has been made.
(Rough-in) Date 7 ?a?a ? -
(Final) Date / - aZ /'° -
This request void
18 months from
CITY OF EAGAN
3795 Pilot Kno6 Raud Eagan, MN 53122
PHONE: 4548100
BUILDING PERMIT APPIICATION
re ba u.ed +orSF Dwlg/Garage esr. volue 40,000
Site Address 4718 Beacon Hill Rd.
33 B03cori FLill
6
Lot Block
5ec/Sub.
Purcel #
rc Name Centex Homes Midwest
w
3 Address 4615 Beacon Hill Ct.
° a Eagan, MN Phone 454-5236
o Nome Same
?
?Q
AAClB55
?
Ci Phone
?
Nume
I hereby acknowledge thot I have reed this applicotion ond state that
the information is correct ond agree to camply with all applicable
State of Minnewta Statutes and City of Eogan Ordinance:.
N? 5913
Receipt # S 5& 5?7
00 Dote TLV l i 9_-jQ
Erect ?E] Occupancy 8.3
Alter ? Zoning Rl
Repoir ? Fire Zone IIT
Enlmge ? Type of Const. - V
Move ? # Stories
Demolish ? front 42 ft.
Grdde ? Depth 48 ft.
Apprmola Fees
Assessment --
Water & Sew.
Police
Fire
Eng.
Planner
Councl l
BIdg.Off. 7/1/80
APC
Permit 11/.lv
Surcharge 20.00
Plan check 57.75
snc 525.00
Water Conn. 305.00
Water Meter 60.00
185
00
Road Unit .
Tmol 1,268.25
Signature of Permittee I
A Building Permit is issued to: a on the express condition that
cll work shall be done in accordonc 'th 11 ap i ble State of?esoto Statutes ond Ciry of Eagan Ordinances.
Building Officlol ?? (vto ?
"? PERMIT
CITY OF EAGAN auz?ozN?
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 0 3 3 419
E?gan, Nknnesota 55122-1897 ?a
(612) 681-4675 Date Issued:
a ('a-? (?
SITEADDRESS: q?is BEAGON HILL RD
LOT: 33 BLOCK: 6
BEACON HILL
P.I.N.: 10-13509-330-06
DESCRIPTION: R E R o o F
Bu,i?Ld""3:hg._, Permit Type STQRM DAMAGE
B,tiilding`fiJca,rk Type REPAIR
?ensus Code >., 434 ALT. RESTDENTIAL
,'
?,
i ?',E3 ?f, ? ,l?
?:f , _ , ???, .d
REMARKS:
FEE SUMMARY:
?2TECRffQO'FZNT? - HPP1118950040 20139140 ?A?N?R' oavio
11583 RUPP RD 4718 BEACpN HILL RO
BURNSVILLE MN 55337 EAGAN MN
(612) 895-00N0 (612)222-8585
( I hereby acknowledge that ? have read this appl9.cation and state zhat the " 1
informaCion is correct and agree to comply with ail applicable State of Mn.
Statutes artd City of Eagan Ordananees.
? „. .. _. __. , .. _ _ ?
APPLICANTIPERMITEE SIGNATURE
?.?-?.?,. ?? l?
ISS BY: SIGNATURE ?-
33?11?
New Construction Reauirements
CITY OF EAGAN
3830 PII,OT KNOB RD - 65122
681-4675
RemodellReoair Reauirements
q74y
? 3 registered site surveys
? 2 copies of plans (inGude beam & window saes; pouretl fnd. tlesign; etc.)
? 1 energy ealalations ? 3 copies of Vee preservatian plan iF bt pWtted aRer 711193
required: _ Yes _ No
DATE: 'f - I I - "I 0
DESCRIP710N OF WORK:
? 2 copies of plan
? 2 site suneys (ezteNOr adddions & decks)
? 1 energy calwlationa for heated addkions
CONSTRUCTION COST; ljj0I Z . ,?33
STREET ADDRESS: 14:ji8 R96.C' pj? 9I I I PA V
LOT: 33 BLOCK: j SUBD./P.I.D. #:
Name: LQ-?grr, n (J= Phone #:
PROPERTY 1.ast First
owxEx Street Address: q7 [ R' RPI11'ndl
r I I P,&
CONTRACTOR
ARCHITECT/
ENGINEER
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
City ('UQ6,n State: Zip: ff5I2Z
Street Address: ? , r-012P [ &
ciry 4eUP-4 ),1 YI `/E-
Phone #:
Name: Registation #:
Street
City
Phone #: 2 T`-7!'1^6 U ? D
_ License # 2o
State: _M/u Zip: 6-53" i 7
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penaily applies when address dsang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is cortect and agree t compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number
Date Issued:
c?d a s ??y
? is
BUILDIM?
ezesss
05/07J93
SITE ADDRESS:
P.I.N.: 10-13500-330-06
4718 BEACON HILL RD
LOT: 33 BLOCK: 6
BEACON HILL
DESCRIPTION:
Building.Permit 7ype OECK
Building Work Type NEW
Building Length
Building Width
? ?.. . _ ? . I?_
24
12
REMARKS:
FEE SUMMARY:
8ase Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
IARSEN DAVID
9718 BEACON HILL RD
EAGAN MN
(612)222-8585
I hereby acknowYedge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot Mn.
Statutes and City of Eagan Ordinsnces.
APPLICANT/PERMITEE IGNATURE 'ISSUED Y: IGNAT RE
REACTIYATE G3ECENEDD CITY OF EAGAN
PERMI'F # MAY 0 4 1993 1993 BUILDING PERMIT APPLICATION
- ---------- ----- 681-4675 50,
C"O
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation af work
Site Address: Ll 7 1'? o2acon 1401 RJ• 'G1?t U?
L
STREE7
? SUITE /
C'f1df5L NAllle: (C6TI1i1181'lldl V%liy)
IAT L BIACK ? SUBD. ? P.I.D. N
Descri tion of work: e
The applicant is: VOwner ? Contractor ? Other (oescr;be)
Name Lx'('S-e? Dc.")ir'9. Phone k?noaa
Property LAST FIesT 222 -XSr?
Owner Address , l'I t 5S (_?eI4: n
STREET ' STE M
City State M?A Zip 55/? ?
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
/
`
Signature of Applicant:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
E3 04 Sf Porch
? OS SF Misc.
WORK TYPE
E431 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
? 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
F 15 Deck
? 35 Tenant Finish
? 36 Move
?
7 0' •
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length Do
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
Footing
Final
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler ?
Census Code
SAC Code
C?s+?3 Bl?? . ?
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee 2,51 o1) v.iuac;on: $
Surcharge ?
Plan Review
License
MWCC SAC -
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded. ,
Copies
Other
Total:
SAC %
SAC Units
ihoiur: ?H??98' M?.dweet : nc , 1?=]?3Kle1'1
?len Pr?if?'Mn: ,55
? 344
?
•?
R
DEIMAO H. ScHwANI . ? . .? .
• I'1. , i. . . ? .. . .
iANO suWvEion
iNhl 6TpElT BOX'M ROE¢MOUNT. MiNi+eeotA Mbes ?HANE !12 0*140 . ?. . . . ?'?:'
. . . . , , .. . , ' - . ,k„
BURYEVOR'$CERTIFICATE ' .
? ? . 1 ? + J ..?.,,,,, '?1 : • "
Wy ?? • -`-- ' ' '
\ . ? ? . ? (M t? hY ys.
i;'.
,(7
v '. . J Q' ' - ?o ?[ ?y Q . . : ' ' ?,? : ? L_. e ? .',
V : ?J? ? N
Dralnage
taseintnt Ir???•:
?
ki,r 41
L ........
«
G c / . /3 ,. , ---__ - ` • ; r , ?.7. ? Q?:a ;
.
SCpL.B! 1 incsH s 30 feet
,' ,• ' • 3 ?.
. ?.}.l . ?E.r.fOT25 PhsbeszD ??•,?sNno Gtnro? . ' ?`-?„?? ":y
?. 'T'a+ c?'`'?S`oc.K , F3?aCHtha¢.K?'.To?+ , ?al,?Tae?t Mt-?, °4
' ?aaaca.+t: ?u??c `??v 0 ' 4r `?s. S.trdacrsrn?aGi' o? '?3?i.cow ? a
? W4u: ?tear, " G>',`o??c.?roH ;,Lxu+?
C-..ooe. ? • ? , ?, i
BRs? M ? ??' , i •
'+'.? . •? - ? ? . ? . .. , ? a'i.>
? I hcreby, certify. that thia is a true and corireet rep'rese?itation?of
T,ot 33* Hioek 6, BEACON HITL, acccmdinq to trie recordei9`'$1at bheresof,
• DAkoh County# Minftetota.
' ? ? :^f r at k-?_".
? ..? Detedt June 29, 1979
IZPV1bF?0. to .:.5.10.+? ` twe PavvoeRC 14ousn_ BC73't?.',?'`+'a?cs ? ?? ?. • ?'M
?
x ? ? -. , • ' . . .? ' ,j?
d ..
; . y ...' ' - . . ' . ? .,;z.
E . r, ?i .1 . . ' .. . ? S . . ,?. ? . .2 •
6 ff j •;?
f
( ? .+Jn F S
i ?r?y ?'y ?Y ? :.
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DELMAR H. SCHWANZ
LANDSUAVEVOA
qpistaM UnGef Law, of TM State Of Minna,soU
711178 - 146TX BTpEET W. - BOX'M ROSEMOUNT, MINNESOTA 68088 PMONE 873 423-1788
SURVEVOR'SCERTIFICATE ,
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I hereby certify tha.t this is a true and correct repreceiitation of
Lot 33, IIlock 6, BEACON HILL, according to the recorded plat themof,
Iktkol3 County, 1+linnesota.
Drtted: June 29, 1979
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MINNESOTA REGISTRATtON NO. 8625
?
For Office Use
-7- Permit
City of Ea an
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Y71 & 4C a~u A h L
Tenant: Suite
RESIDENT/ OWNER Name: / & V' L 4 /L JrD Phone:
Address / City / Zip: J 7/0 U e A)
Applicant is: Owner Contractor
TYPE OF WORK Description of work: j ! J o ft'// S
Construction Cost: n Do O
Multi-Family Building: (Yes / No
CONTRACTOR Name: ( 1V2L) L-',t eel< i NCicense 2i Z2 (7Y~
J/
Address: rX D J P"-/co/fio/
City: State: y?,
o X) Zip:
Phone: J~1 `Jf' 3/ (m 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
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 they 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 wit ut 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 s.
X ~(i 4- an / l I yell, X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162096
Date Issued:06/26/2020
Permit Category:ePermit
Site Address: 4718 Beacon Hill Rd
Lot:33 Block: 6 Addition: Beacon Hill
PID:10-13500-06-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Jason R Rohde
4718 Beacon Hill Rd
Eagan MN 55122
(507) 313-0333
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175043
Date Issued:03/09/2022
Permit Category:ePermit
Site Address: 4718 Beacon Hill Rd
Lot:33 Block: 6 Addition: Beacon Hill
PID:10-13500-06-330
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Jason R Rohde
4718 Beacon Hill Rd
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177371
Date Issued:06/28/2022
Permit Category:ePermit
Site Address: 4718 Beacon Hill Rd
Lot:33 Block: 6 Addition: Beacon Hill
PID:10-13500-06-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason R Rohde
4718 Beacon Hill Rd
Eagan MN 55122
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature