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,,'';;,
.
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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
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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