4639 Beacon Hill RdCITY OF *AGAN
3795 Pilot Knob Rosd
Eayon, MN 55122
Zoning:
Owner:
Address:
.
Site Address: n ?
Plumber:
Meter No.:
CiTo•
WATER SERVICE PERMIT
PERMIT NO.: 4-1
DATE:
. No. of Units: ?
Connection Charge:
1lctount DeposiY:
Permit Fee: '
Surthcrge:
M(sc. Chorges: '
Total:
Date Pa1d:
Reader No.:
1 egroa to eomPly wi11i NN City of Eeyen
Ordinoeees.
By
Dnte of Insp.:
CITY OF !rJ?GAN SEVNER SERVICE PERMIT
8795 Pilat Keeb Rosr PERMIT NO.:
Eogon, MN 55722 DATE:
Zoniny: . No. of Units:
Owner: •
/lddress:
$fte Address: . . , ? , • ` ? : ?
Plumber.
, ?• , .
I sgree to oow?pFy wkb tbe Ciyr of Eagow
Ordinontes.
By
Date of Insp.:
Itl:? ? r?l, },;.'
Connection Chcrge: ' /lccount Deposit:
Permit Fee:
Surcharge:
Misc. Chargcs:
Totol:
Dote Poid: -
;? _ •1 4
BUILDING PERMIT
Ts " r?A fee S. F E
CITY OP EAGAN
3795 rilof Knob Raed Eoyen,
PHONLs 454-8100
Site Addrcu
lot 14 Block 1 Sec/Sub.''eacon Hill
parce1 # t" 10 1350fY40 O1
oc Nome •,?..,...,
? ?d?? 7299
Ci Apple V,
?p
? Nume
~ Address
Ci
?°C
W W
FW Nnme
Address
I hereby atknowtedge thot I hove read this application ond state that
fhe information is correcf and ogree to comply with oll opplicable
Stuta of Minnesota Stotutes ond City of Eagon Ordinonces.
Sipnature af Pertnittee
..unwoo nergy i omes
/1 Building Permit Is issued to:
oll work shall be done in accordonce wlth all applicable Stote of Mlr
8uildinp OffiCi01
55122 ??tr 7:??3
-S '
Receipt # -
Erect $}: Occupancy R-3
Alter p Zonirp R--I
Repair p Fire Zone I4A
Enlorpe Q Type of Const. V
Move p #k Srories
1+2
Demolish ? Length
Grodo p Depth 28 Sq. Ft.
Assessment
Water & $ew.
Police
Firo
Enp.
Plonner
Counci I
Bldg. Off.
APC
Permit "'- • - "
Surchorge ` • ?
Plon check 150.50
SAC 525.00
Woker Conn450.00
Wcter Meter 60. 00
Rood Unit 25C• 00
Total $1164.50
on the express condition that
ond City of Eoflan Ordinonces.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbiny ? l? K? K pl . s1?7 `?
H.V.A.C.
r S ? ?`(b /lF 11?5 -? ?`?
wen
Watsr
Disp.
S6wer
Electrit (,? f3q? ? Q?S?-fee- ?K. 5- f0''$3
Inspection Date Inap. Other
Footings .
Foundation
Framiny
Rouqh Pitq. - 3 ?
Rouyh HVA j
Inwlation
Final Pibg
Final HVAC
Final ?
Wator Deseribe Location:
Vllell ?
Sswer
Pr. Ditp.
.,
-?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
' FiII in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost
r '
3. Job Address /Lot ract ?
4. Owner ,A !.c>r?Bd L v l
5. Contractor Phone
?r
6. Address 17
7. City State ?1 1 Zip
8. Building Type: Residential 35 Commercial 11 Institutional ?
9. Work Description: New 'o Add ? Alter O Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
i Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
f_ 51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with al4 ordinances and codes governing this type of work.
,
5igned : '-r ' > .
, for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recsipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
- Fill rn numbered spaces S/C
TyQe or Prini legibly
Tot. • -
1. Date 2. Installation Cost
3. Job Address Jt-? ? I?r' '? Tract
4. Owner a n1 ,kJ.?? 0 cA-) 1 k.' ? ?/4 .? r e s
,
5. Contractorri r. . ;/J c.J .rY7 S Phone'/t-?? - ?-
`-
6. Address i?. ?--
7. City??.L;±Z1 State /A X% Zip--=?:
8. Building Type: Residential U-' Commercial ? Institutional ?
9. Work Oescription: New -B- Add ? Alter O Repair ?
; 10. Describe
I 11.
i
uel Type ?i?% ?•? ? -
No. Eauiomeot STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
d?i
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
•-? Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
%,?
CITY OF EAGAN
w
13352
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100 BUILDING PERMIT Receipt?
To be used fbr Est. Value S `' ' 3 0 0 Date ' "?RCH 'll
- -?• Sec/Sub. ??? }iI1.L
Parcel No.
, o Name ;?:u--?xVec
v? Address
1- City ` Phone
Name
Address
City Phone
On Site Sewage
MWCC System
On Site Well
City Water
APPROVALS
Assessments
Water/5ewer
Police
Fire
Engr.
Planner
Councfl
1 hereby acknowledge that I have read this application and state Bldg. Off. _
thettheintormationisconectandagreetocomplywithallapplicable APC -
State of Minnesota Statutes and Ciry of Eagan Ordin,ances. Variance _
Signature of Permittee
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
* of Stories
Length
Oepth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, C Ity
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parka
Copies
TOTAL
tiyti
?W
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 Ordinancea
Building Officiel
Psrmit No. Permk Nolder Date TNephone *
Plumbing
fi.v.ac.
Electric
Softener
Inspectlon Date Insp. Commenta
Footings I
Footings II
Foundation
Framing
Roof ing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Oca
Temp. LP
D@Ck Ftg.
Deck Frmg. IZ7
Well '
Pr. Disp.
? -
I
a".J '#A&C/??50? .,. .. PERMIT# ?''C?!? i ?-•
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNQB ROAD, EAGAN, MN 55122 DATE: '--4---? ?
r PRICE: PHONE: 454-8100
Block / .; r_ Sec/Sub
1 G - =x-1I
BLDG.TYPE
Res. X
Mult.
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
Name P'r, U v' 1.o Xc Ir'+4 ?
Name
PE OF WORK
-ced Air M BTU
ler M BTU
it Heater M BTU
Cond. M BTU
it CFM
5 Piping Outlets #
FEE:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERfAIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMEAClAZ FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?
!
91IGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
? INSPECT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS:
' .'f +tt ??? ?IJ ii 1 1 4 4:1:
,^.r frN «i l 1
PERMIT SUBTYPE:
II I i"TF+to
fCQRD ^^s?
PERMIT TYPE:
Permit Number: ? ? •'? ? !%' •
Date Issued: /9 1
APPLICANT:
TYPE OF WORK:
001 t N(1)
?
Pormit No. Permit Holder Date Telephone #
ELEGTRIC
PLUMBING
HVAG
Ins{ection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
/
? 7+7 /i?
rp0-.
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG
FiNAt HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
CITY OF EAGAN
Remarks
ADDITION Lot 14 Rik 1 Parcel 10 1350O 140 Ol
Streec 4639 Beacon Hill ROad State Eaaan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1806.93 200.77 9 1806.93 C007376 10-1-81
STREET RESTOR.
GRAOING 1982 526.46 58.50 9 526.46 C007376 10-1-81
SANSEWTRUNK 1976 135.97 9.06 15
* SEWERLATERAL 1982 3116.46 346.27 3116.46 C007376 10-1-81
WATERMAIN
* WATERLATERAL 1982 9
WATER AREA 1982 198.01 22.00 9 198.01 C007376 10-1-81
* Stubs 1982 g
STORMSEW TRK ?$ Z 1982 359.82 39.98 9 359.82 C007376 10-1-81
* STORM SEW LAT I982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
2 0.00 35190 4-7-$3
WATER CONN. 450.00 M
BUILDING PER.
SAC 525,00
n
„
PARK
HILL
This request void _.L ?CO yI
18 mdnths From
Date o his Request D ? Fire No.
I, aLicensed Electrical Contractor Li Owner, do hereby n
cal wiring instatled at:
Street Address or Route No
Section Township
Which is occupied by
?
Q`1?3j`? g?oa?
9 3
!quest inspection of the above electri-
4(939 l3ckx.a4 %U- c"t _?(50
Range , County
Is a roughin inspection required on this job? N?- Yes ? Ready NoO Will Call ?
Power Supplier 1`-ER Address TZrq-,06tY°
Electrical Contractor Contractor's License 4=6
(COmpany Name)
MailingAddress N 11 E. CJ}.lrf-
Authorized Sigttature
or
No.
1maCtrl<al Lon[rac[or or owner making Tnls Installation)
???'?G??D ?Cp? This inspection request will not be accepted by ffie
State Board uniess proper inspection fee is enclosed.
minneSOW bm[e 60ara oT tIBCAlcliy
Griggs Midway BId9• -Room N191 - ? q EB-00001-02
1821 Uniyersity Ave.. St. Paul, Minn. 55104 - Phone 297-2117 I
R?EQUEST FOR ELECfiRICAL INSPECTION ? I 3
CHEC$ BELOW WORK COVERED BY THIS REQUEST S 99395
Type of Building New Add. ReP• Check Applianca Wired For Check Equipmrnt W' Fo[
Home ? ? El Range ? Temporary Wiring P&I
Duplex ? ? ? Wa[erHeater ? LightingFixtu[es ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating 13
Commercial Bldg. ? ? ? Fumace ? Sila Unloader ?
Industrial Bldg. ? ? ? A'v Conditionei ? Bulk Milk Tank ?
List ) List I
Other ? ? Ethers}
ere ) Othe[s}
Here
1
COMPUTE INSPECTION FEE BELOW
Selvice Entrance Size: u Fee , .FeedeisdSubfeeders: n Fee Circuits: # Fee
0 to 100 Am s. ' (0 30 Am eres 0 to 30 Am eres
101 to 200 AnLft6 o]00 Am eres 31 to 100 Am eres
Above 200 ove 100 Amps. Above 100 Am s.
Transfocmers FRemoteConirolCirc. Partial or other fee
J
Si ns Special Inspec[ion Minimum fee SS
Remazks {??
UY. 5?w1ct
TOTALFEE
I, the Electrical Inspector, hereby certify that the above inspection has been made:
(Rough-in) Date
(Final) Date
7'his request void ?
18 months from
This reuuest void Q [t
78 inonths irom
?
79
? -7 1 ? C?
Renuast Date Fire No. ?R?o?phetl?InsDectiun ?qtaAy Now [l?Will Notify, Insueo-
ves ?No lor When Featly
gLicensed Electrical ConVacmr I hereby requesl inspaction ot ebove
? Owner electrical work installed at
Address, 6ox /o?r qoute Na.
Str,e/et/(
.
?'Y
g/?Gai
/c?
3 7 ` City
..
.
ib c_
9
J
ecLOrr c. Township Nane ur No. Ranye Nu. CnuntY
Occvpanl(PRIN7) Phone No.
// 3/-esP S-191
Power SuU0lier Address
D/} f70T/P FLiPc cT?'i' /G. F/? /1 ?sjfNGTGn/
ElecVical Contractor (COmpany Nnme) Convactor's License No.
? v? .LE.5T_Fi2 r«cT.Pic.. O y/GG /
Mailing Atldress (COMracmr or Owner Makinp Installationl
1;7"E /9/I/f7J?VGT? Y
Au[horized Signature IConvac[or Owner MakinB Installationl Phone Number
1-162 - ;YyO
MINNESOTq STATE BOAND OF ELECTHICITY THIS INSPECTION REQl1EST WILL NOT
GrigBS-MiAwey Bldg. - Hoom N-797 BE ACCEPTED BY THE STATE BOARD
1821 UnivarsitY Ave., St. Paul, MN 55104 UNLES$ PNOPER INSPECTION FEE IS
Phona (6121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION a« Ee-ooooi.oa
See inslructions lor completing this form on back of yellow cnpy. Cy
U0 ? ..:
""X' . 9 P ? a r 'Covered by This Request
New 1Cdd flep. Type ot euiltling Ap0liances Wired Equinment Wired
Home X Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bld,y. Air Conditioner Bulk Milk Tank
Fafm Othar .uiici v Other (SUer.ify)
thur pecify Othor Ofher
Compute lnspection fee Below tl Fee ServiceEntrenceSize C Fee Faetlers/Subieatlers N Fee Circuits
/ ?OD 0 to 100 qm s 0 to 30 Am s ' 2?.3T? 0 to 30 Am s
101 to 200 qinps 31 to 100 qmps j . 31 to 100 qm ps
nbove 200 qmps Above 100_Am s Above 700_?+mUs
Transformers Remote Control Circ. j,50 Partial%Other Fee
Signs Special Inspection C0
?
$
T
Aertiarks 3
p AL FEE
Z `f P'7n
Rouyh-in ate r
I, the ecLical
InsVacmr, hereby
Final ( xte certify thet the above
/`, ? inspection has baen
11./iYi/,.?.,> made.
This requesI void
18 n.nnlM1< hnm
CITY OF EAGAN NO
13 3 5 2
-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E;: 454•8100
?i///?
/( 10
BUILDING PERMIT
Receipt #
Tobeusedfor DECK Est.Value $2.300 Date j"1ARCH 17 ,1987
SiteAddress 4639 BEACON AILL RD OFFICE USE ONLY
----------- ..
I?.pl 14 gbck 1 7Sec/Sub. BEACON HILL
OnSitaSewage _ Occupancy
-- - - MWCC System _ Zoning
P0ro01 No. On Site Well _ Type of Const
(ACtual)
Ciry Water
a Name JOE STOKES _
(Allowable)
W
;
AddreSS $?E # of Stories
Length
? City Phone 452-8494 Depth
S.F. Total
o Name NU-LOOK REMODELERS Footprint S.F.
,
?a Address 1 19TH AVE SO APPROVALS FEES
? City MPLS Phone 339-3519 qssessments _ Permit $44.50
??Y
WaterlSewer Surcherge
? W Neme Police Plan Review
_? Address Fire _ SAC,Ciry
?= Engc _ SAQMWCC
aw CityPhone Planner _ WaterConn.
Council _ Watar Meter
1 hereby aCknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformatloniscorrectendegreetocomplywithallapplicable APC - TreatmenlP7
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Signatute of Permittee _- l- • l
Jn-?? ??j Copias
TOTAL ?
?
A Building Permit is issued to: IWJ-LOOK '4ZEMODELE RS on the express condltion that
all work shall be done in accortlance with all 'ca State of M in spg ota Statutes and City at Eagan Ordinances.
Building Official ? K?
?j
cirr oF EncaN 7908
? --' 3793 Pilef Knob Road Eegan, MN 55122 ?7 lr .?
PNDNEi 431-8100 Recelpt # `? 75-1 rn?
BUILDING PERMIT
Te bs wed /er SF DWG/GAR Est,yolue $56,000 pafe April 7 _ 1 q 83
Sire Address 4639 Beacon Hill Road Erect EX OccupoMY R'3
Lor 14 Blak 1 Sec/Sub.Beacon Hill Alrer ? Zonirg R-1
parcel #. 10 13500 .140 Ol / Repair ? Fire 2one NA
a Nome Sunwood Energy Homes Enlarge ? Type of Conn. v
MO°° O
; Addreu 7299 Upper 146th Way West # Stode4Z
b Demolish ? Length_
? Ci Apple Valley p,,. 431-6844 Groda ? Depth Z$ Sq. Pt.-
o Na" Owner Approvab Faes
Zu
uS?
f
Nnme _
Address
1 here6y ocknowledge thot I hove read this apDlicotion ond stote that
the inlormolion is correct and ogree to comply with oll opplicuble
Stafe of Minnewta Statutes and City of Eogan Ordirwnces.
Sipnature of Pertnittee
A Bullding Permil Is issued to: Sunwood Energy Homes
?
all vrork shcll 6e done in occordante with all o Ii,cable StoM of/Iv1k
Assessment _
Water 8 $ew.
Pollce -
Fire '
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Pertnit ?ouu
Surchorge 28.00
Plan check 150.50
SAC 525.00
Water Conn.450.00
Water Merer 60.00
Rood Unit 250.00
rorol ' $1764.50
_ on the express condition th.,
ond City of Eopan Ordinances.
Buildinp Offlciul
This request voitl
/R months fmm
? 5Q85Qa./u
C ' ? C
?X
Reque t ate ? FiYe No. HouP?-??? 'nsuecunn
? InsPec-
Required? [Deeady Nuw ?H'iII Notify
? yes ?[Jo mr When keady
CKLicensed Elec[tical ConVactor I hereby reQUest insoection oi above
? Owner electrical work installed et'.
S4A3, ddass. Box Houte No.
l
Q
!/
9 H CitY
61CL
-
i
a
'
ecUon o. Townshi0 Name or No. Annee No. Couniy
Occu0tnl (PRINT) Fhone Nn.
Srok<--s
Power Supplier ? ?lddress / ?
jOi
+e9_ w? To
?"?'av C
-.
_
Elec cal ConLactor IC any Namel C??nhncm, s License No.
D1lt?Yo>-S
?
'
??
rc.
?
??
Maziliqne ?+aJress onVacmr or O ner Ma/kroB nnstailauonl
d' /? ? ?' Q?a,? G i R . 1i/tl7? Ot.CG
Autho - d S, g?at e ICOnvacmr/Ow Makiny Installationl Phone Number
?fy7- ?95
?
T ILL NOT
MINNESOTA STATE BOAPD OF ELEGTRICITY THIS INSPECTION NEQUES W
eE ACCEPTED BY THE STATE BOAHD
Gri09a•Midwey Blde. - Room N-191 UNIESS PNOPER INSPECTION FEE IS
7821 Universltv Ave.. St. Paul, MN 55104 ENCLOSEO.
Pnnnn I6t21 642-0800
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
0 See ins4actions for completinp this form on beck of Vellow coDY.
?- 5'98.5 Q "X" Be/ow Work Covered by 7his Request
New FA? fleD. TVPe of BuilEing APVlianees Wiretl EquiVmanl Wired
Home Range Teinporary ServiCe
Duplex Water Heater Liqhtiny Fintures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otne, pnci v oihor ISn?.tr.fHl
1 ,r Suecify Other Olher
fee lielow
p Fee SarviceEnfrance5ize b Fee Faeders/Subleetlers # Fee Gircuits
0 to 200 qm s 0 to 30 qm 5 0 tn 30 An )s
Above 200 qmps 31 to 100 qinps 31 to 100'A s
Swimming Pool Atwve 100_Am s Above 100_Amps
Transformers Irrigation F3oonus Partial,'Other Fee
Signs Special Inspection $ '
AL FEE
Ner.u.ks ? /r? ??
I, tha Elacbicel
Insoector, hereCy
certily thxt the above
inspBClio eBn
made. ? ?
mie repueat
This requast voitl
18 monNs from
W 41987
FequeY Da[e f Fire No. pequiretl7 nsoetlion ?QaAy Nuw Q Will Notify In40ec-
/? ?Yes A?Jvo lur When Ready
R LicenseA ElecUical Contractof I hereby requast insPection ot qbove
Owner electrical work installeC et:
Stree[ AdAress, Box or Raute Na. Ciiy
'/
"T / ? 'Y f>' ?. TT?/?? '11, 6? _ f'l -' . v
ecbon o. Township Name or No. RanBe No. County
4;?'4xv
O
ccupdnt IPflINTI Phone No.
(
Power Supplier Adtlress
Electrical ConVacmr 11Ompany Namel Co
n
tmr.tor's License No.
/t, ,i?:_/C4 LLz<f.ci? r
1
/7
Mailing Address IContractor or Owner Makinq Instaila[ionl '
1
Authori?ed Signature IConuactodOwner Makine Installatio Phone Number
? tg- '?ti -L:??!1
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION flEQUEST WILL NOT
Grig9s-Midway Bltlg. - floom N•197 BE ACCEPTED BV THE STATE BOAHD
1821 University Ave., St. Paul, MN 55104 UNLESS PHOPEH INSPECTION FEE IS
PMoa 16121297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oonn,.oa
q 1q 5-) w'
.' See instructions for comple?'mat?+'_ tmm on back OI yallow copV. -A?? ??? r "X" 8elow Work Covered by This Request
Add Reo. Tvpe ol euiltling Apalianeas Wired Equipmenl Wired
Home Ranye Temporary Service
Duplex Water Heater Liyh[iny Fixtures
Apt. Building Dryer Electric Neatin
CommerCial Bldy. Furnace Silo Unloader
Industrial Bldy. Air Conditioner BWk Milk Tank
Farm Omer onolv tner 15or.cifv1
t e uecify ther Othn:r
Compute Inspectron Fee Below
p Fee ServiceEntrenceSize # Fee Feaders/Sablenders # Fne Circuicy
0 to 200 Am s- 0 to 30 Am s 0 to 30 AmI)s
Above 200 qmpa 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_AmVs
Transtormers Irrigation Eiooms Partial•'Other Fee
Signs Speciallnspection
$
TO
Herrv?rks 2O.jl) ^ E?
]b//?i; - Ni)U?'/L
Bough-in Date
I the Ba icnl
In q hereby
it
th
t th
b
Finel ( Date
?o y
cer
a
e n
ove
ection hes been
+, da.
Thiarepuestvoidl8montlvairom w -
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
i ,FxO(??IfCE?S,6 i
? Permit#: qqg-(D j
I Permd Fee:
, l ?
? Date Received:
? StafE I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /Seaco g'115 ? /?J '
Tenant:
Suite #:
RESIDENT / OWNER Name: onnw s Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contrector
TYPE OF WORK Description of work: ?? ', ro.S-
Construction Cost a. oo ? Multi-Family Building: (Yes _ I No ?
CONTRACTOR Name: /?1.7 vLe So1? e w, ,JP License #: 26"Z S-
Address: I 6 3? e_?o /Wy
)0 5?e .?
?
Zi
?
'
? ?
?
k
p:
City:
State:
pG
i nA
_
a?r
Phone: ? S? YS^6 -DO "70 Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enefgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CatBgOry Submitted Submitted
(4 subrilission 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 plan7
_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 submif are considere`tl to be public iriformaGon. Portions of
Lhe information may be classified as non-public if you provide specifrc reasons that,would pernii? fhe,City to ',
s?
=conclu'de thatthe are tradesecrets "
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagaq 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 plansp , 17
X / (w`4-IJiJGl?o.i'l.a?? X ?-----?%?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
;
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDZNG
030705
08/28/97
51TE ADDRESS:
4639 BEACON HIIL RD
LOT: 14 BLOCK: 1
BEACON WILL
P.I.N.: 10-13500-140-01
DESCRIPTION:
(R00FTN0)
Buildind`-Permit Type
Building'Wo.nk Type
` Census Code
i
. . . .-,,,..^.
k}
?)?
y LL??...
n b f " }
REMARKS:
FEE SUMMARY:
SF (MISC.)
REPAIk
434 AIT. RESIDENTIAL
\
M ?sE
I {?`5 ?? :
? ?r?3?,.: ? ? ,f
? '" ? 'am u .::3
s z<°?°
VALUATION
Base Fee
Surcharge
Total Fee
$87.25
$2.00
$89.25
$4.000
CONTRACTOR: _ ppplicant - 5Y. Lzc OWNER:
NEARYS 14403605 2009762 STOKES JOE
g800 W 143RD 4639 BEACON HILL RD
SAVAGE MN 55378 EAGAN MN
(612) 440-3605 (612)452-8494
? hereby acknawledge .tha't i .ha3re .read?;,th3s .app1iC6ti"ian a,nd. state-that :the 'y.
information iscorrect a?nd agt?ee to aomplywith a11 appZicable-State_of-Mn. ? Statutas andGityr a'f Eag:an ,br5f;tinaAeesr
APPLICANT/PERMITEE SIGNATUFiE
Ln,11? R,o??? I m?
?IS?H" :S NAT E
9 97 BUtLDING PERMIT APPLICATION (RESIDENTIAL) 409-zS
3040S CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construetion Reauirements
RemodeUReoair ReauiremeMs
? 3 registered site surveys ? 2 copies of plan
• 2 coDies of plans (include beam & window sizes; pourad fid. design; etc.) ? 2 s8e surveys (exterior atldRions & dedcs)
? t energy calculations ? 1 energy calculations kr heated addRions
? 3 copies of tree preservation plan if lot platted after 7l1/93
required: _ Yes _ No
DATE: 4f -? 7 -,:717 CONSTRUCTION COST: _?
DESCRIPTION OF WORK: 11f a
r. /,o a tC'
STREET ADDRESS:
LOT -?f- BLOCK S Lo w
SUBD./P.I.D. #:
?
PROPERTY Name: Phone#:
OWNER ?s
yG nnsI aC4 ?
co n
?
? f///
l?
StreetAddress: 39 s r
e?o-
Ciry: ?? 5?? State: Zip: 9""000"ll
CONTRACTOR Company: N z a f y 5 Phone #: yo" 3'60s,
a 3/31159 vud• °? 710-T'
StreetAddress: ,
4,X)License#:a6° q?6 ?;? 4
" Ciry: S0 6)4 s ? State: )15?;I, Zip: S?375i'
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
5treet Address:
City: State: Zip:
Sewer & water licer.aed plumber (new construction only):
and lot change arc i equested once permit is issued.
Penalty applies when address change
I hereby acknowiedge that I have read this application and state that the information is corcect and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances. f? ????
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
CITY ?Include 2 sets of plans,
? 1 site plan wJel.evations &
?? eW //'Q,?-BUILDING PEE2MIT APPLICATION 1 set of e.nergy calculations.
?t , o U - 3
7b Be Used For ? Valuation'? Date /?n?.i ? S l q FS
Site Prldress: ??p ?j ?T ?eaC[xJ MILROp-d- OFFICE USE ODII,?-
Lot j_j_ Block Sec./5uU. 0?pfi<0W OJI Erect ? Occupancy JP.3
ParCel #,_ t D L 3 S t> c? -I-(?p ?? - r?-
Repair
O?mer: .. e s e)o W ?"?Je
Nbve
Address: Demolish
City/Zip Cocle: Grade _
Phone #: I APPROUAIS
Zoning
Fire Zone
Type of Const.
# Stories
Fmnt Y;L ft.
Depth 121A` ft.
w
Contractor: fNe??d w?.?
S
Assesssments
Pesmit ?
Address: ? L4-0w WJ. Water/Sewer Surcharge a f3-
A
'L Police Plan Check /<5p -ar:
-
-
City/2ip Code:
ll Fire
' Sd1C S7
r??6
Phone #: ?
ng.
? Water Conn. ?O
P er Water ?ter ? O ?
-
ArCh./Eh9• i1T1C11 ROad UTllt ?
r Bldg. Off.
Pddress• ApC
City/Zip Code: 'D
Phone #: TOTAL -+ ? `50/
'
.
t?i? ? JQ? ??' ?, •• J? ?•?C'•
?
-
`A Gv i 5777 .4
c,N 9» 4,
I ?
? ? epENoTES I?bM MONtlM?T.
9;6 So ? AL? ?EP?nwt A?lrjt)MEp
? 4t.A.1..E OV3c .
? \ IJ?R-TN
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o ?
0
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ed? N /,so
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0 ? ?J , cLSr ?
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i ` M? Q;\?p,QPWn 3•.o' ??F ST 954.7
? " , .+ 958. D
? ?°•' ?? , qh'.?..ry?p?l ?? 'o
I r"? cx?IsT 9 95? 3 010 e0?1? utih '? ? ? ? 95?,0
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F _ ? •/? ?33 '`, "'?'' o a'?' ? ? ? oa?•I?`4
?
l
Z sc 00
' ?? 9?0 ? ? I? o N y? 4. ? ? ?? •.coQS,o ??
) N>3°?' 9O '? S, `Ln °°"? ! ?/ V
?F.?LR.1PT1vtJ O8 „ = A( O'??/ O
!g W s,s N ?Fi ?. oa-
I.oT t4 6LV? K- t? , ?
OE4C0?1 ?111.?. ? ? `_' ?,,,yaSS,S' l? ? '?.
O?•oTA GoVIJT`r? c? ; o?? ?
M1111?IE30Ta. ?'? '
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws State of Minnesota.
Date:jmtvAdy 19098;
LeRoy H. Bo len
Registered Land Surveyor No. 10795
Split Entry //73
.?
NEAT ?ASS CAI.ZULAT10NL5 DEPARi'MENT UF INSPEGTION
Wuthentripa ?? Coosquction No. `
oon II Re(ereoa ? Out. WaU leL WA11 Ceilint Root Floor
Fl.I
Gl.w
Net esP.
lot. we0
_ nequirea p. n. au.ec a p, ins. WA Leader uea 1
I
Wmdon .ad Doon- -Gaeluge .ed Aru
U. N?!
?e MM INtN
N Y??? Mw
I?f\u
N MeY rw
M. K
1
COff. BAI
I""•t1O° 0• 0 1616
C?aw ?
Fxn. "'u 1' x 9' 6
Na esp. watl 20 6 122
Int. wep
Culaa 19' x 12'
4 22 7 1 96-
Floor 19'x 2 1- ZQ 1],rjp ?
. ou. wu.
h. ED.R. or q. iua. WA l.ader arsa
room Room I?qtQ5+6?1 Wid?A
;nd Doon.-Craek?ae ind Aee& T
I Fkidtti i
LCOO Bw
1a611r?tion
CJw X
Enp.wdl 5JL6,,X Bt n
Net esp. watl • 6 6, ji
lat. wall
CcaNg 7 2
Floor 5L6,,x 12+oH
xOYI WW 1VJb
Required a. h. EO.R a p. 6L 1V.A. Laerler .na
Top floor total HTU's 26t037
t.lbEth
NIItrWFi1P0114. AM.
Muld
lesdatioo
VfmdOMV llld D001F-CIiCk atC sOd A1to,
Nw N1Y
H N .y\i Mw N
IqtlU /w/ tl.
M One? ?n`
ft. 1?
1 I iz
c«t. e?
?v+?e 0 60
Glass 12 2 62
Ew w.u 2 'x9 l 184
Net CXP• wau 6 1032
InL wall
Ceilios ]1 ,x }.w
Flow lllx 121
row ea. eoo
R"oka w. fL E.D.A. or w. m.. aa. i...ae..ma
Top E7.1 Bed112 [inenI LeuO 10 Widih 2 Hei '
?l'iodows and Dnoee -.Craelw w and Area
?w • 1 u
ot
A iewY Aw.
p. h
1 I
T
?afil4?tloo
cjw 1
Faip. waM 221 xd1 i
N« ow....u 16 6 B
in4 wa0 „ .
Ceilioe . . ; .1OI][ T ,
floor lp ' t 120 1 5 600
Ta.l BaL 608
Requirod s4 h. ED.R. m p. mL WA Isader uea
BottA• ?asement Roomll.egth 391 wwth h I Fkitht
Wlndows aod DoorrCneka?e and Area
WNtA a Iwl /L
a_t An?
-w. K
2' 6,
1 M 18? 19?
Coef Bw
In61r:anoO
?w
54
2
2908
Exp. wall laL'X 496 42 2520
Nee eqr. wall tL42 6 2652
!06 vnll
CeBios 2!?'x 38' 912 7 3
Flow 2 'x 91 912 396-
Ta,l &u.
Apuired p, h. EDR x p6 iw. W.A. Lekder uea
Hottom floor total BTUI s 18,424
o?
HFAT IA6S CALMATIONS
Weafhentripa
Reruena
19II a,.
_
Net
wdl
m
Split Entry #'73
'AR7'MENT OF INSPECTION MINNEA
Cmwuction No. II la?d.tioe
JI Ceiliu: J Roof floor A!W Pll;t10 UM
Bm
Mw 1A??
N NM ' N?IqI
?f MM "Na ?I
IIf?4
?[ ???eY An?
M• ({,
Caef. Bw
1a61tratioq
Clw
Fsp. waU -L6ox Bt _IL
Na arp. wdl ' fi 6?
lol. wlill ;p
Ceilin` 7 ?2
Floor n n 66
wu o.u. 1Vy?
Requind p. k. E.D.R « p. iu. VM lu&r uu
Top floor total BTU's 26,037
MM.
w1 ? ? w ? Mcu go Bnu Iv c?
Ibq Mpt
e? Ns N
IIstU ?r! l
otanek Awa
A•IL
1 1 lp
CoeL Bm
1n61vatioe 14 0 60
Gim 12 2 62
ESv. wa11 2 Fx9 ? 184
Na esp. wall 6 1032
Iat wall
Ceilies 1]. lx 12J
Flow 11lx 12,
Tad &o. 800
Rapiwed w• k. ED.R. or q. ie.. a.A. f.r.dc..w
fop Fl.I Bed112 Reem,lLeegth 10l Wtldr6 2 Hwtu '
Viodow. .nd Doon-Craeka ge .nd Me.
MA ut
?? N?? M."4t
II MY
.. w?t
H/AY ... A.
p OfMt .r
". (L
? ' 126
GIsp 1
FjgawaD 221 x8I
Not wn• well 16 6 8
tet ...ll
CeJinsr 1011C _121 _.
190
F1uor r i 1 120, 5 1 -600
lau wu. 3000
Reptwed M. h. EDR a p. m& W.A. Laader arca
Botikl• Basement RoomlL.ewtth 38? Widih Fkishe
Window? aod Dnon--Cnekua aad Area ?
Na !x
M MM INt?t
?f Mw w M
1!4 wY 1L
of aeaak An?
w• K
42' 6'
1 10? 18'
^? _ Coef Btn
1e61r:?tion
?•w , 54 2 2808
Exa• wag 12L 1 x 10 1?96 2 2520
N"t esp. wall 2 6 2652
lst. MdI
Ceiling 2L'x 3' 912 7 3
F1aer p? x 9? 912
iow a?
Rqu'ved q k. ED.R. x q. iea. ?/A ader ?rea
Hottom floor total BTU's 18,921?
1987 BOILDING PERMIT APPLICAYION - CITY OF EAGAN
l
G
SINGLE FAMILY DWELLINGS
INCLDDE 2 SEPS OF PLANS, 3 CBRRIFICATES OF SDRVEY, 1 3ST OF ENERGY CALCOLATIOBS
NOTE: ADDRESSES FOR CORNEH LORS - CONTRACTOR/HOMEOSINER MDST DESIGHAYS AHICH ADDRESS
IS DESIRED. NO CH9NGfiS WILL BE ALLOiiED ONCS BIIILDING PBAMIT IS ISSDED.
MOLTIPLS DWELLINGS - RESIDENTI9L
ZNCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
RfiNTAL OHITS FOR SALE OHZTS
OF SIIRYEY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 4;yel-f" Valuation:
Site Address 2?ON 'AW?d OFFIi
Lot ?_ Block_ On Site Sewage_
MWCC System
Parcel/Sub ?( %'?-? 71t,;?a On Site Well
J f? "
Owner Z77d-)6?? City Water _
Address
City/Zip Code
Phone
?Contractor
Address a07/ ..r?T
C1ty/Zip Code
Phone Fa 3 -- p3SS
Areh./Engr.
Address
City/Zip Code
Phone #
X'k'-:=u? .n ;c-5SS
/ 197?O
ia/?r-5 ss ?s?
6PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date: 97
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stor3es
Length
Depth
S.F. Total
Footprint S.F.
FEFS
?
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
TreatmenE P1
Parks
Copies
TOTAL
PA 33?"?j??
J ? s'To,?S
?6.3? /??o,? f?/.// .Po?
oEc e
JS y ?/?vATia.?
f/E?'?,? Ag??.?sT ??cv? ??,? /••S9?o? A.ro? cAul?'?
a,?io Ja?srs i6 "o% s ?pp?TE? .ay ?,vNS?S
SdPfbreT f?FAm SET s)T /D ? ?i?+v dli+?? , cr?m?ieile0
d?' 07 ' as?/a s SE7' D.v S ?'f? .Gi?ST$,
449 O00,04, e?ra dd i Yi/ q.uooo, AoproO?.k?
t3E9m GAi?S
,L?ai<i,v? - ,Sra" /???h ,?•om ymro ara' ,Dac.EvAvF,, c;Pseca
sr.porWo/ du/?"
`
- -
- - ?o ?
t ,.
? i.
? a2 ? '
Wffiw---? J'1
2f/d $64^7 se T eAJ F"
/
?
? ?
??? PP5
?
y
y
?--------- -s - ? ? ^ _
,
4
•? A
- -
?
K?
?
60?
?
?
?
1\
i
10
.?
A// ooeol / 3 7-WEarE0
? L iY 8 / 6E4ca,.j
/U 5-6 o 1ya 4?,t
OF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55127
PHONE: (672) 454-8100
May 9, 1984
SUNWAY SOLAR SYSTEMS OF ST PAUL, INC
245 ROSELAWN AVE E
MAPLEWOOD, MN 55117
RE: ALLEGED SOLAR HTG INSTALLATIONS FOR:
BEA BLOMQUIST
Moyoi
THOMAS EGAN
JAMES A. SMITH
JERRY THOMAS
THEODORE WACHTER
Counui`demoen
iHOMAS HEDGES
Cify Atlministtator
EUGENE VAN OVERBEKE
City Clere
RON GREINER, 2095 CLIFFVIEW DR, EAGAN, MN
GARY KLUENDER, 4358 LODGEPOLE DR., EAGAN, MN
MATTHEW LANGENFELD, 738 GOLDEN MEADOW RD., EAGAN, MN
TRIEM & KIM ANII HGUYEN, 4390 BEAR PATH TR., EAGAN, MN
VERCELL & MYETTA VANCE, 4639 BEACON HILL RD., EAGAN, MN
It has come to my attention that Sunway Solar Systems allegedly
installed solar heating systems at the above referenced addresses
without inspections. This is in violation of City Code 4.03 (Per-
mits) 6.42 (Contractors Licensing) and M.C.A.R. (Mn. Code Agency
Rules) 1.1603 Solar Disclosure Statements to be provided to the
building official and the homeowner. Each of these violations is a
misdemeanor.
Take immediate steps to provide the City of Eagan with the necessary
electrical permits, heating permits and Solar Disclosure Statements
by properly licensed contractors and obtain the necessary inspec-
tions for all of the referenced dwellings or provide proof that the
installations were not of your doing. Please note that permit fees,
after the fact, are required to be doubled.
If you have any further questions, feel free to contact me.
Sincerely
?
Dale Peterson
Chief Suilding Official
DP/js
CC: Sill Akins, Electrical Inspector
Sob Wieken, Mechanical Inspector
Doug Reid, Fire Marshall
Bill Adams, Plumbing Inspector
Parcel File
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108536
Date Issued:12/14/2012
Permit Category:ePermit
Site Address: 4639 Beacon Hill Rd
Lot:14 Block: 1 Addition: Beacon Hill
PID:10-13500-01-140
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
DANIEL A LARSON
4639 Beacon Hill Rd
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111510
Date Issued:06/27/2013
Permit Category:ePermit
Site Address: 4639 Beacon Hill Rd
Lot:14 Block: 1 Addition: Beacon Hill
PID:10-13500-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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.
Window or Door:Patio Door
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Daniel A Larson
4639 Beacon Hill Rd
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179180
Date Issued:09/22/2022
Permit Category:ePermit
Site Address: 4639 Beacon Hill Rd
Lot:14 Block: 1 Addition: Beacon Hill
PID:10-13500-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Daniel A Larson
4639 Beacon Hill Rd
Saint Paul MN 55122
(952) 210-0730
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature