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4743 Beacon Hill Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084410 Eagan, MN 55122 . Date Issued: 07/17/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4743 Beacon Hill Rd Lot: 4 Block: 8 Addition: Beacon Hill PID 10-13500-040-08 Use Description: Sub Type: e-Reroof Construction Type: Work Type: New Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: New Life Contracting Inc. Andrew I Flocchiru 2478 Hillwood Dr E 4743 Beacon Hill Rd Maplewood MN 55119 Eagan MN 55122 (651) 274-6943 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087691 Eagan, MN 55122 . Date Issued: 12/08/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4743 Beacon Hill Rd Lot: 4 Block: 8 Addition: Beacon Hill PID 10-13500-040-08 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 3130/09 Per Dave at New Life, they pulled this permit by accident. Homeowner did their own siding. The City did not pass the roof permit for this house because the siding was not finished. New Life agreed to do the siding but the homeowners refused to allow New Life to do this. New Life cannot get the roof passed until the siding gets finished Homeowner will not pay New Life for the new roof because it has not passed inspection. Tom M. will talk to Dale S. regarding the situation. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: New Life Contracting Inc. Andrew I Flocchiru 2478 Hillwood Dr E 4743 Beacon Hill Rd Maplewood MN 55119 Eagan MN 55122 (651) 274-6943 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT X795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: ''s? RC~~cn~. ;t{ >rt: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: - _ C• r Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: I nsp.: CITY. dF EAGAN SEWER SERVICE PERMIT 3yj95 Pilot Knob Road PERMIT NO.: _ Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge:'' , Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: _ Total: Insp.:__ Date Paid: - CITY OF EAGAN 3795 P1W Knob Road Eeges►, MN 55122 N2 5362 PHONE: 454.8100 F BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Nome Move ❑ # Stories Address Demolish ❑ Front ft. City Phone Grade ❑ Depth ft. Name Approvals Fees 0 u~ Address Assessment Permit city Phone Water & Sew. Surcharge m Police Plan check W Norrke RFire SAC u'3 Address Eng. Water Conn. <W City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official pwMIt # pate Imed P" "t" Plumbing -10.79 Mechanical q_1S _ 1 ~QR~. INSPECTIONS DATE INSP. Rouglrin Final Footings - Date Insp. Date Insp. 7 77 . Foundation Plumbing Frame/ins. a 9 q - ~'y 7~ Mechanical Final Remarks: r i ' CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. n r 9--10--79 ]SF77 Date: Receipt No.: 4743 geamn RUI - Single I :r Site Address: Residential 8 Beamr. ; 7.i' i. Lot Block Sub/Sec. _ _ Multi Res., Comm./Ind. Name New/Alter./Repair • 4~- 15 RrAacm 1'i? i C57ttrt c Address _ Cost of Installation C ,Y_3yffi1 -52-92- City Phone: Permit Fee I`fDT1Z- I ;'fit i - '~!1 Nome Surcharge "745 So. T-k*-,ert '72-d1 P Address c City Phone: _ TotoI This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGANr~Rr3rICx,. SIP Rr,rr•r,~ 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 150 9-25-79 1593 Date: Receipt No.: 4743 Beacm Hill rb&! Single IX Site Address: Residential 4 R Fxa3oCJ}'1 F3111 Lot Block Sub/Sec. _ Multi Res., Comm./Ind. cmtex Bares Nome New/Alter./Repair. 4E 15 BEN307xi r!i11 CrUrt 3 Address Cost of Installation 454 City Phone: Permit Fee Ray Welter Hneti w- , 5n e Surcharge a .r,37 P Address e _ City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 11 44 Eagan, Minnesota 55122-1897 Date Issued: ` f (612) 681-4675 SITE ADDRESS: , :1 APPLICANT: it I 1 1 kD ; PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. F L Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING lal4 kr-,, q,F ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL t • r jdIII CC(.Y 1 'ry«.: f~+4•~L `'i 1T'^,'~_S'~~~"^S__ ar.T1: ~L'4'~~_ ~ ~t - _ 1•` r= w ertifiratr of (Orrupaury of Cagan Ervartmmt of NuOtng jmWrrtion -d This Certificate issxed pxrsxant to the repirenuats of Section 306 of the Uni form Buildixg k d Cads ce►ti f ring that at the time of issxaxce this stmaurt was in cost phanct with the varioxs ' a ~ ordinance of the City stgxlating 6vlrildixg constrxctian or use. For tJx following: SF Dwlg & Garage s 5362 i UwCbmMkm*=- EMS. No.- I Oowpfty 7y" R3 ,yp. ca..uucm. V Fin. 3 Zooft Dswiee ikau d n.rare Centex Hanes e&W. Eagan, M i : 4743 J~eaaon Hill Rs ry Eagan, M y~ ' 1919 -1 DAN: - ~~'a~v M~f IM A COMlIWDIN RAC[ ~'C.i.\"~5.;: i i*'.+:~ly:-+t.-r1.j r - . _ ~~~~1~.'lti' r~Z ~ r ~ _~.1~ a• . ..rv~.si L ~ j LITMOIN V.S.A. 7-• CITY OF EAGAN Remarks Addition BEACON HILL ADDITION Lot 4 Blk 8 Parcel in 11sno 04n o$ Owner faia-,1 Street 4743 Beacon Hill Road State Eagan, MN 55l 2 l Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. $ 1982 1806.93 200.77 9 1806.93 0007609 10-1-81 STREET RESTOR. GRADING 526.47 58.50 526.46 0007609 10-1-81 SAN SEW TRUNK 1976 1 S-S - 97 9-06 is 99.73 7 SEWER LATERAL g3 1982 3116.46 346.27 9 3116-46 CDO76a9-- 10-1 -Ri WATERMAIN * WATER LATERAL 1982 9 WATER AREA b 1982 198.01 22.00 9 igg-01 C007609 '10-1-81 * Stubs 1982 9 STORM SEW TRK 1982 359.82 39.98 9 359.82 CO-G76OR 10-1-81 * STORM SEW LAT 1982 9 CURB & GUTTER SIDEWALK STREET LIGHT road WATER CONN. 270-00 11 BUILDING PER. to SAC i i PARK months from ✓G ~ 83 Date of this Request R 97413 75 ~1gI 1, aCO Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: U~ ((~~J~~ ~~**pp!! ^^..I Street Address or Route No. City *m Township Range County D05-0i 1ES Which is occupied by CUITE9k. (Name of Occupant) Is a roughin inspection ~required onthis job? No ❑ Yes;gL._ ~R~eea~dyNoow~ ❑ Will CaUcK 1/dUiVi Power Supplier °t T kA- Address ~ n ~POI~ W4A3067 Electrical Contractor CLECTA-t~ Contractor's License N(company Nam Mailing Address L. CL-1W JW%t/L(~ ( IActn I co ctor or Owner Making This Installation) Authorized Signature Phone No. no (Electrical contractor or owner Making This Installation) t^~~J VE WARD COPY This inspection request will not accepted by the ~1 State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity G D &'3 1854 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR_ELECTRICAL INSPECTION 'R 97413 'CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring ❑ Duplex ❑ ❑ Water Heater Lighting Fixtures C59 n u 0 Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ mercial Bldg. ❑ ❑ ❑ Furnace ~ Silo Unloader ❑ strial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm List List 'rk Qtiters~ Other ❑ El El 2thers~ _j, ere mere 111111 COMPUTE INSPECTION FEE BELO Service Entrance Size: # Fee a '$brs: # Fee Circuits: # Fee 0 to 100 Amps. to Am eres 0 to 30 Amperes 101 to 200 Amps. '"'I to 0 Am eres 31 to 100 Amperes Above 200 Amps. ove 100 Amps. Above 100_4fee'Wf Transformers Remote Control Circ. Partial or other Signs Special Inspection Minimum fee $ Remarks TOTAL FE I, the Electrical Inspector, hereby certify t a ab i c4ion s been r (Rough-in) ~ to / 6 - 7 9 (Final) l~c~ ~Cn„tit> ite 7 This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5362 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF DW19 & Garage Est. value 48,000. Date 8-15 19-19- Site Address 4743 Beacon Hill Road Erect Occupancy R3 Lot 4 Block 8 Sec/Sub. Beacon Hill Alter ❑ Zoning Rl Parcel # 10 13500 040 08 Repair ❑ Fire Zone 3 Centex Hanes Midwest Enlarge ❑ Type of Const. V W Name Move ❑ # Stories Address 4615 Beacon acon Hill Court - Demolish ❑ Front 53 tr. b Eagan 44 ft. City Phone Grode ❑ Depth p Name Same Approvals Pees oU Address Assessment Permit 35.5 u~ City Phone Water & Sew. Surcharge 24.00 Police Plan check 67.75 ww Name Fire SAC 525.00 t-w u0 Address Eng. Water Conn. 270.00 <w City Phone Planner Water Meter 60.00 Council Road Ut. 75.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correq''i7'si d~ agggg$y~~~[a to comply with all applicable APC Total 1,157.25 State of Minnesota Statu s dof Eagan Ordinances. Signature of Permittee dwest A Building Permit is issued to: Centex Hares on the express condition that all work shall be done in accord a it IIII ap nwfnwf b State of Minnesota Statutes and City of Eagan Ordinances. Building Officiale: ( ski PERMIT CITY OF EAGAN 3830 -Pilbt Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 033134 (612) 681-4675 Date Issued: 09/03/98 SITE ADDRESS: 4743 BEACON HILL RD LOT: 4 BLOCK: 8 BEACON HILL P.I.N.: 10-13500-040-08 DESCRIPTION: ffi~ REROOF/STORM DAMAGE Buffi10 JUK§ mPerrrit Type STORM DAMAGE e,61-Ad ng U k Type REPAIR C'en-~sug to(fe~ 434 ALT. RESIDENTIAL i r~ - re " c m"l. ~ ~ arott ic" a2,ffiIs 511 4.w ffifJ f ~"Uo- St?" I@~ •'i~ Iffi~ flt 48ffi 2915 A$3tt ~i G& & ffi3~ TM&3j 4 -VP REMARKS: FEE SUMMARY: C"R M" I M I TS CONST App1113987290 20142417 O OOKESR THOMAS 16540 KENRICK LOOP/STE 8 4743 BEACON HILL RD LAKEVILLE MN 55044 EAGAN MN 55122 (612) 898-7290 (651)452-4803 T h rsb; aeknowladge 'that h'ave'i-ezfd this opp.licartion an4 state ' f t " kt r c)rma`tinn is cofrect arisif Mgree,to comply Vt'- all°.:apPii=~abt at a 14n t t~#tes arid, G2ty ,ts.f Eaga i! Drdlrtan, -..gym. , _ , Owe APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) K CITY OF FAGAN 3830 PILOT KNOB RD - 55122 q-3-q8/ 1 3 q 681-4675 New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window saes; poured fnd. design; etc.) # 2 site surveys (exterior additions 8 decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan H lot platted after 7/1193 required: _ Yes _ No DATE: q - I CONSTRUCTION COST; DESCRIPTION WORK: ~oo~'k n n -I I~Larlm d ni dYl(A ty- S DDRESS: Ww, Z'--con 4-.,1. R~ LOT: BLOCK: SUBD./P.I.D. V E' a CG h Name: t 7l nny r, nn(i Q~ { 0-rises' i . Phone ~rJ a- q2) 03, PROPERTY Last First OWNER Street Addcress: c rCL City ( (nf\ State: _4L_ Zip: 15 l ZZ Company: C-C C 4(y Phone q ~ C - 7 LOL Q CONTRACTOR Street Address: P n V o o m r3 License # -7 Q 1' t{ ;t Ll t \ p city CA j\ 1 ~ Jl P State: 9 I l Zip: S S U Ll ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 00 ",6_, OFFICE USE ONLY Certificates of Survey Received Yes _ No Tree Preservation Plan Received Yes - No Not Required Certificate for: Centex Homes Nidwest Inc. 8601 Darnell Road Eden Prairie, Tim, 55344 DELMAR H. SCHWANZ IANOSURVEVOR Registetad Undo/ L4w1 Of The Slate of MinnH to 2878-,116TH STNEET W. - BOX M ROSEMOUNT, MINNESOTA 55688 PHONE 612 423.1769 \\r" SURVEYOR'S CERTIFICATE.&6 I 17- r. L 1, z I s5.1 j D f_ 1 ff '1 W I0 4--__ ~5b pti 7 10.00 1 m Q i ~ I ~~I, I~ . SCALE: O f 1 inch - 30 feet 53J LSZ.S~ ,,Ll- I~ ®IGf70 BENCHMARK: Top hydr7,_ni / between lots 4 & 5f Elk. 3 Elev.- 957.43 •9 Top of Block Garage floor") 9:7 / Basemont floor G~FA;,Y,kz R,vO . / . rf ot /ZZ. 7-7 7 7 5 Gti k4mraLX I hereby certify that this is a true and correct representati>n nf' a1ik3E Lot 4, Block 8, BEACON HILL, according to the recorded plat thr,r::nf, Dakota County, Minnesota. Dated: June 11, 1979 Revioed to shore proposed house 8-8-79 r ~ MINNESOTA REGISTRATION NO. 8625 f~• \f N~ooEL 534 EuLv .h v S. DATE (42 44V CO.1 1 BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for ~kat'&E v`alluation 4 O O O Site Address. 4 C3ElaC.o ~1 t1i ~.1.. Lot Block See,/Sub,. Parcel Number of2-~ e) S Owner Telephone Address ~1 ContractorCu iT EX +10KE S ~A%*VAL Velephone 4 54 - 6116 ~o Address 'AGIS vsr- FNZ Litt-L cT, Ela~o~.l~ CAIN. Arch./Eng. Telephone Address v OFFICE USE Erect x Occupancy Alter Zoning Jf/ Repair Fire Zone Enlarge Type of Const. Move 0 of Stories Demolish Front Grade Depth OFFICE USE Date of Approval & Initial FEES Assessment ff~ CL /~7S' Permit , 3S • C D Plater/Sewer Surcharge- Z b 0 Police rlan Check Fire SAC Z S. O Eng. Hater Conn. Z~ QQ Planner Plater Meter Council 3oa.0 SN 15.00 Bldg, off. A.P.C. TOTAL PERMIT #V 3 RECEIPT DATE: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 8830 PILOT KNOB RD E4flAN, MN 5512E 651-681-4695 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, baackfflow preventer for irrigation system SITE ADDRESS: 1+I]Ilo5 ~7~C.(.t.( on M i I Road (&5/ , ,/p/~ 2 OWNER NAME:: C. DI/eW broo®,S TELEPHONE / / g903 (AREA CODE) INSTALLERNAME: wcrlott)m ?`[L& M6i d TELEPHONE (a1Z'g27- 4'-'053 STREET ADDRESS: 2.°105 caarf'le.Id (AREA CODE) CITY: AA p 16, STATE: M IJ ZIP: 55L409 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: _ water softener water heater $ 15.00 State Surcharge $ 50 Total $ l S .50 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City proper[ /right-of-way/easement. SIGNATU E PERMITTEE 1102 Use BLUE or BLACK Ink r For Office Use n Permit#: City of EaRd rmit Fee: r I Pe I v 3830 Pilot Knob Road ~W/1~ I Eagan I Eagan MN 55122 CV ~ Date Received: ~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Id -17 t Site Address: ~17zd eacm k1 Unit M Name: 00AL16r,1 Phone: RESIDENT / OWNER Address / City / Zip: -117V3 OyaC 4, UC Ad Applicant is: Owner Contractor TYPE OF WORK Description of work: 4-a5Ft?CacQ Construction Cost: Multi-Family Building: (Yes / NC:- Company: Y"'1 Contact: iV,6kUld CONTRACTOR Address: /QIPt~N~E' lC N ~0~ City: State: Zip: ! n37 Phone: 952 ` 76 7- ~dR ~P License Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ICAt Guth 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 their 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.popherstateonecall.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 be completed within 180 days of permit is uance. x QM196-ok x Fd4 Applicant's Printed Name Applica 's Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office Use rn I j Permit DZ J" 3 j City of Eap I I I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 RECEIVE Date Receive I I Phone: (651) 675-5675 I Staff: 4 ")L I Fax: (651) 675-5694 MAR 2 9 2012 I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V2 :6 2, Site Address: 7 _I q 3 Bee, Lrn Unit Name: --,f Phone: 6-5-1- / S 2,--59F RESIDENT i OWNER Address / City / Zip: cc~ / 0 Applicant is: X- Owner Contractor - -s; ^ Description of work: !s1 l G L / k TYPE OF WORK yell r Construction Cost: 2 qe Multi-Family Building: (Yes Nol ~....,._.,..._...........~......:Company: C ntact: / i-0-P\1 CONTRACTOR Address: ity: tQ 112P 6 State: Zip: Phone: i License Lead Certificate #-1 11 If the project is exempt from lead certification, please explain why: (see Page 3 for addl''al information) 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 they 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.aoi)herstateonecall.ora 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 be completed within 180 days of permit issuance. x I I l~v'I Vic ' I x Applicant's Printed Nam Applicant's Signature Page 1 of 3 1D-3 63~ 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 -ajl~2J d SAC Units (25%_ 100%4) Zoning 44 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction r (Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ~C Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock ~I Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee / Surcharge 64- Plan Review MCES SAC City SAC v Utility Connection Charge ~L9 S&W Permit & Surcharge / S Treatment Plant X/ " Copies TOTAL Page 2 of 3 Certificate for: Centex Homes Midwest Inc. ; ;F 8601 Darnell Road , Eden Prairie, Mn, 55344 DELMAR He SCHWAN 5 LANDSURVEYOR a Registered Under Laws of The State of M.nnesota 2978 145TH STR-CET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769 r „ SURVEYOR`S CERTIFICATE,,'';;, . 1411 qC ~d , 14- 1 V v U i 7,p I t rn ~ SCALE: IIr f n try 1 inch .3-, f~et C, $E t? 5 5j f 00 BENCHMARK: 'fop hydrant I , # between lots 4 ~w 5, Blk, 8 - / f Elev, 957,48 f ! N 1 mop of block Garage floor ! \ 4 Basement f I i5 IZZ, Z7 s ` I hereby certify that this is a true and correct representation of bat 4, Block 8, BEACON HILL, according to the recorded plat the-reof, Dakota County, Minnesota. Dated: June 11, 1979 ROvised to show proposed house 8-8-79 MINNESOTA REGISTRATION NO. 8625 PERMIT City of Eagan Permit Type:Building Permit Number:EA117160 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 4743 Beacon Hill Rd Lot:4 Block: 8 Addition: Beacon Hill PID:10-13500-08-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Timothy Ophoven 4743 Beacon Hill Rd Eagan MN 55122 (651) 336-4550 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119364 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 4743 Beacon Hill Rd Lot:4 Block: 8 Addition: Beacon Hill PID:10-13500-08-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Timothy Ophoven 4743 Beacon Hill Rd Eagan MN 55122 (651) 336-4550 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168535 Date Issued:04/23/2021 Permit Category:ePermit Site Address: 4743 Beacon Hill Rd Lot:4 Block: 8 Addition: Beacon Hill PID:10-13500-08-040 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 - Alyssa A Tste Ophoven 4743 Beacon Hill Rd Eagan MN 55122 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178824 Date Issued:09/06/2022 Permit Category:ePermit Site Address: 4743 Beacon Hill Rd Lot:4 Block: 8 Addition: Beacon Hill PID:10-13500-08-040 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: 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 - Alyssa A Tste Ophoven 4743 Beacon Hill Rd Eagan MN 55122 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature