4711 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4711 Beacon Hill Rd
Lot: 2 Block: 7 Addition: Beacon Hill
PID:10- 13500- 020 -07
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
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
PERMIT
City of Eaan
- Applicant -
Construction Type:
Owner:
Philip L Bulgach
4711 Beacon Hill Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA081434
12/12/2007
ePermit
?
ciTr F EAGAN
3795 Pilot Kaob Road +
Eogqn, MN 55122
2oning:
Owner,
Address:
Site Address:
Plumber:
Meter No.:
Ci-•
Reader No.:
I ogree to eanply wifh tbe City of Eagan
Ordinnnoes.
ey
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connettion Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Dote Paid:
ci ?AN „ SEWER SERVICE PERMIT
3795 Pito+ Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
eaa.e«•
Site Address:
Plumber: _
1 egree to comply wllh the City of Eagan
Ordiaantes.
By
Date of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Chorges: -
Totol:
Date Poid:
K CITY OF EAGAN
• • 3795 Pilot Knob Rand Eagan, MN S5722
. PHONE: 454-8100
BUILDING PERMIT Receipt #
N4 5574
?
19
Site /lddi
Lot
Parcel #
- Block Sec/5ub.
W I Name
3 Address -
0
c" Nome
0
z
Addre:
? r?...
Name _
Address
Erect ? Octuponcy
Alter ? Zoninq
Repoir ? Fire Zone
Enlcrge ? Type of Const.
Move ? # Storles
Demolish ? Front ft.
Grade ? Depth ft.
Aoorovols Fees
Assessment -
Water & $ew.
Police
Fire
Eng.
Plonner
Counci I
Permit
Surchcrge
Plan check
SAC
Water Conn.
Water Meter
I hereby acknowiedge thot I have read this application ond state that gldg. Off.
the informotion is correct ond ogree to comply with all applicable AP? Total
State of Minnesota Stotutes and City of Eogan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in accordnnce with oll applicnble Stote of Minnesotn Statutes ond City of Eagan Ordinances.
Building Official
POMk # oah Iwd PoMittM
Plumbing
Mechanical
0
INSPECTIONS DATE INSP.
RaupF-tn
Finol
Footings oate insp. Date Inip.
Foundation Plumbin%
Frame/1ns. Mechonical /?Sa
Final
Remorks:
o`
?
CQoa--? ??L- ?p?
.w?ot/?
0,5
-?,o i??
c?
1f _iU _gv ?c. ??C??, ? ?r?-???..??
r`: . ??; <•.,..? ,?? ra.'' . . '?' CITY OF EAGAN
3795 Pilot Knob Road
• Eagon, Minnesota 55122
P6one: 454-8100
PERMIT
Dote: Receipt No.:
Single
Site Address: 471:?F°? ':{ 12 Residentiol
No.
x
Lot ' Block 7 Sub/Sec. Be$Con Hi].1 I Multi Res., Comm./Ind.
Centez Homes ?a??west
Name rrf??'
/Re
air
New/Alter
.
p
.
; Address ?f,(`' T?,a,yr,t, `?
Cost of Installation
O •?; ,
City Phone: Permit Fee .
Name i'-aY Welter Fr't,f?. Surcharge
?
0
?
? Address r.()r t',hica7o ^.vel
e
? City ' Phone: Total
This Permit is issued on the express condition thot oll work shall be done in accordonce with all appliooble State of
Minnesota Statutes and City of Eogpn Ordinances.
Building dfficial
No. 1) 54
cirir oF Uc,AN
3745 Pilot Knob Rood
Ea9en, Minnesote 55122
Phone: 454-8100
? SOfter.e PERMIT
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
Dote: {`iY 15, 1'7)"' Receipt No.:
Single
$ite Address: ? BAt;C07: Residential
Lot ? Block ? Sub/Sec.
Name `1'hoI_:- .
? Address
?
Ciry Phone: `52-73`"3
Nome
.
?
R Address
New/Alter./Repoir. Cost of Instollotion
Permit Fee '
iSurchorge
? City Phone: ? Totol
This Permit is issued on the express condition that all work shall be done in accordance with oll oppliooble Stote of
Minnesota Stotutes ond City of Engan Ordinonces.
Build'+rtg Offtcial
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-467
?5 I
i i' I 4' 0.r-116-Vi' I
' SITE ADDRESS: APPLICANT:
? i t ?;1 ;?r i1N ?i i t ? ,;, ,, ??:•: t r?,.
PERMIIT WATXPE: TYPE OF 1NORK:
INSPECTION D• . D•
F
L
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING Z 7
J
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
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
OECK FINAL
. ?
' CITY OF EAGAN
' ? • 3795 Pilot Knob Reed
. Eogan, Minnesota 5S 1 22
Phone: 434-8100
PERMIT
Date:
Site Address:
Lot
4711 Beacon F_ill Rd.
Block Sub/Sec
•-i i : Y
acon Hill
Name
? Address
City Phone:
Name
.
r
; Address
e
0
u , .
Gty Phone:
This Permit is issued on the express condition that all work shall be
Minnesoto Stotutes und City of Eagan Ordinonces.
I2/12/79
Nc
571,
i 7n' ,
Receipt No.:
Single
Residentiul
Multf Res., Comm./Ind.
New//11ter./Repoir. Cost of Installation `
Permit Fee
SurcFarge
Total
done in xwrdance with oll opplicable State of
Building Official
CITY OF EAGAN Remarks
Addition RFAGON HTI.I, ADDITTpN -Lat 2 Blk 7 Parcel 10 13500 020 07
OwnerTh?'?4`? Street 4711 Beacon Hill Road State Fagan* bIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Ul(? 1982 1806.93 200.77 9 1806.93 C007601 10-1-81
STREET RESTOR.
GRADING (p?? 1982 526.46 58.50 9 6.46 C007601 10-1-81
SAN SEW TRUNK 30` 1976 135.97 9.06 15
* SEWERLATERAL -4 1982 3116.46 346.27 9 3116.46 C007601 10-1-81
WATERMAIN
WATER LATERAL 1982
WATER AREA 0 g 1982 198.01 22.00 9 198.01 C007601 10-1-81
* Stubs 1982 9
STORMSEW TRK bg? 1982 359.82 39.98 9 359.82 C007601 10-1-81
STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 17089 12 12 79
WATER CONN. 270.00 it 't
BUILOING PER.
sac „
PARK
(Itrtif irtt#t uf (Orruvttnry
Citp of (Eagan
Drpo#m.enf af luildin.g ittsperfum
Ti6i.r Certi fitatt uatrtd prrr.rmatu to t& rtqtrirnanul of Sation 306 of tfx Uni form Brdilding
Codc artifring thwt at tht timt of issxaxct tbi.t structurt was rn cont pliancc with tix variou.r
ordiuaxtu o f rfx C;ry ngularing bxild;ug conn.ucriox or xse. For iix /o!louhng:
5574
Rl
IOtT IM A CeNY1CYpy? ?G[
This reque void 18 months from
Date of this Request ?-67 S 17988
I, as O Licensed Electrical Contractor ? Owner do reby reque?s,t? msp c?on of the above electri-
cal wiring installed at: p?o`? ,6 '% 4?.LO'?"' ?6/
S t Address or Route No. l,,`G. {?j/ City m?
on Township Range County Nr +
K'hich is occupied by
Is a roughin inspection required on this job? No ? Ye ` Ready Now ? Will CaNd-
Power Supplier ? Address ! RiYM6 7`i'
Electrical Contractor ex?- Contractor's L,icense NVS
(COmpany Name)
Mailing Address _?? E: • C?Lrr- -M.
Authorized Signature
or
tvo ?`10-53`UJ?
(elx[ncal contractor or Owner M]king 7hls InstallaHOn)
5V(n1 tl E ROG'il?D This inspection request will not 6e accepted by 1he
ll 0 State Board unless proper inspection fee is andosed.
Minnesota State Board of Electricity
1404niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
? R?QUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED SY THIS REQUEST S qpp
Type of BuildiV New Add. Rep. Check Appiiencea W'v For Check Equipment icad m
Home ? ? Range Temporary Wiring ?
Duplex ? ? Water Heater Lighting Fixtu[es
Bidg. ? ? ? Dryer ? Electric Heating ?
meicial Bldg. ? 0 ? Fumace Silo Unloader ?
lndustrial Bldg. ? ? El A'v Condi[ioner ? Bulk Milk Tank ?
Facm ? ? ? List List
Other ? ? ? p
HehergI Herets?
1
COMPUTE INSPECTION FEE BELOW
Se[vice Entrance Size: # Fae Feedecs&Subfeedeis: # Fee C¢cuits: e Fee
0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am etes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eces
Above 200_Amps. ? Above ]00 Amps. Above lO?Amps.
Transformers ftemoteConholCtirc. Pariialorotherfee
Signs Special lns ction Minimum fee $5
Remarks
TOTAL FEE
?--? „ A . V
?p. s
I, the Electrical Inspector, hereby certify
(Finai) //°i ?/?r ?
This request void 18 months from ` ??
been ma
e
e ?-?? ?'
cirr oF E?kcaN
• + 3795 %lot Knob Road Eeesn, MN 55722 N2 5574
PHONl: 4548100 . ?G
`??
BUILDING PERMIT APPLICATION aeceiot
# 7 -
-
To 6e umd for SF Dw? e. & Garaae Est. Value ?l8 000 Dote ?p /I 19__?9_
Sire Address 4711 Beacon Hill Rd. Erea Occuponcy R3
Lot 2 81«k 7 Sec/Sub. Beacon Hill Alrer ? Zoninq Rl
10 12500 020 07 Repair ? fire Zorre III
Enlarge ? Type of Const. V
W Nome Centex Homes Midwest Move p # Stories
z 4615 Beacon Hill Ct.
qddress
Demolish ?
Front
53 ft.
? Ea
_
gan,
Grode ?
Depth
44
.
ft
Ci Phone
c N Same Aovroveh Feei
o ame _
& Address
Nome _
Addreas
I hereby ackrawiedge thot I have read this application ond stote that
the information is correct and agree to comply with uil applicable
Smte of Minnewta Statutes ond City of Eogan Ordinances.
Signature of Pertnittee
A Building Permit is issued to: Cf
oil work shall be done in accordance with aIl
Buildirg Official 11
Asse55ment _
Water & Sew.
Polite -
Fire
Eng.
Plonner -
Council -
BId9. Off. _
APC
Permit 135.50_
Surcharge 24• 00
Plan check 67.75
SAC 525.00
Water Conn. 270.00
WMer Meter 60.00
Rd.Unit 75.00
Toml 1157.?5
_ on tha express condition that
and City of Eagan Ordinances.
AECORD OF COMPLAINT
Date -tM ?5 100
Complaint takcn by
Type of buDding
Name
Address
L,egal description .
Phone number I W3 I 1 hn I "
Action taken L19,1117- Q?Ul ,r O Gt?
y
Commenu
_?'i i m -3'' TD t? ?L
Signature
t U ?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdian Reauirements RemodeVReoair Reauiremenls Office Use Oniv
3 registered site surveys showing sq. ft of l04 sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculatrons for healed additions 7ree Pres Plan Recd . _ Y_ N',
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey faradditlora 8 decks TreePres Required _Y _N
iselofEnergyCalculations Addition-indicateAonsi7esepticsystem OnaiteSepticSystem _Y _N
3 copies of Tree Preservation Plan'rf bt platted after7M193
Rim Joist Detail Options selectian sheel (6uildings with 3 orleu units)
Date J61\,p / ?57 Construction Cost 1 Sl9 3S °-°
Site Address y?- 11 ?0.COV1 ?\ A Oii?,A. Unit/Ste #
Descriptioo of Work
Multi-Family Bldg _ Y _ N
Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ?A", Telephone#([pSl) 14gi" `!'lO
Contractor Renewal By Andersen
Address 1920 County Rd. "C" West
Roseville, MN 55113
State 651-264-4777
License # 20130983
City
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(JsubmissionType) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # ( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 iri the case of work which requires a review and
Troval of plans.
tA
ApplicanYs Printed Name
2005
?vrvr.SVVi 1uV SL.p? - Y
rnc. tod atl 446U ?ryhL ??`@l(UtStG7ifll' - .
re ??
. ?.?,.
3836P.jtcttruoj;xoad - ,
P-agaa,lvai 55122 '
. To WBom 7c Map cotcern: .
EIder 7ones is authoriz¢d tA
F1dcrlones to providc PriIi huiId?ng pemft forRanewa3 bY qndeism Plcasa ulIow
tfiis scivicc far qs in Hnaa. 'Mis eudiaFizaEivn is vaIid foY any
datc bcyond 61610 I: cmtil a?g?j ?yy
_
to the City ??n ? ?F?lY revaIms it fn writing
I reqnest this authorizatean be a ? -axpeditiouslY, - '.
ovr bailding PomLits emY ?? a! tU aot detay in thn F??sy?ng af
?cr. PEcasc caIl mc if 66cro anc any qnculona.. T can Txi
r ?? ? ?63-St?2-q.7Dry. :
Your Immoiatc sttcnttou to tfs matter is I?Mmnr,&A a •-
Siuceialy,
vnd R ltau
astatlation Manager
Renowai bY Aadcracn CorPoratzun
C'c.: TCara F,Ide;t Tnnea
h,? ?
To UU
ReceivedTi-me Jan. 1. 1=07P}d
6 92?Z $30.5 a
' 2005 RESIDENTIAL MECHr?1VICAL PERMIT APPLICATION
!G``???
? aC City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address `"1 -I i,` ? P 0_0 oY1 ? 1 1 l KC Unit #
Propecty Owner i?)vkQe_ vn Telephone # ( (pSI ) ??l 0 y _SC2,
Contractur
?
\ ene
StreetAddress ? v IVk- City
?v10?0.
State ? 1v Zip SS3 Cff Telephone #063 ) 7FO'6(09 ?
Bond #: Expires:
The Applicant is _ Owner X Contractor _ Other
Add-on or alteration to existing dwelling uoit $ 30.00
furnace _Additional _Replacement
' air exchanger
airconditioner _New XReplacement
other
State Surcharge $ .50
Total $ 3 6' ?v
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will
be in conFormance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; 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 die work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
-9-,cy(" W3't-t- ?i'!\
Applicant's Printed Name Applicant's S ature ? jUPJ 0 ) 200?1
I I I
S5 9? ? RESIDENTIAL 0"?16
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWction Reauiremenls
• 3 regislered site surveys showing sq. %, of lat, sq. fl. of house; and all roofed areas
(20% marimum lot coverage allowed)
• 2 cropies of plan showing beam & window saes; poured tound design, etc.)
• 1 set of Energy Calculations
• 3 copies o1 Tree Preservation Plan'rf lot platted after 711193
. Rim Joisl DeWil Optbns selec6on sheet (bidgs vnth 3 or less units)
DATE l,2j&7,-
RemodellRaoair Reauiremanh
. 2 copies of plan
. 1 set af Energy Calculations for heated additlons
• isitesurveyforexterioreddiUons&decks
• Indicateifhomesenedbysepticsystemforadditions
VALUATION
SITE ADDRESS +1 uzmrtn ??O f-6• MULTI-FAMILY BLDG _Y `! N
TYPE OF WORK ?11? 1 (26 hfiffATA, ¢(`WXl raaaL9.:? FIREPLACE(S) _ 0-/1 _ 2
APPUCANT ryIA-vLl/ I/tti111'I Ce?A (i t I.UY 1 lP lU
STREET ADDRESS ??7g? ?At?_? CITY I(I?- STATE?ZIP?
TELEPHONE # Q'IZ``?O• (?1?iXCELL PHONE # FAX # LN2 `W_=1_
PROPERTYOWNER?( TELEPHONE# l.Q01'4111AIQ-O
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 MINNCSOTA RiJLES 7672
(J submission type) • Residentlal Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __ Phone # ___
Plumbing system includcs: _ Water Soflener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. BaYhs
No. of Halhs /
Mechanical Contractor: V?/Iphone # 1 0.
Mechanical system include s: Air Conditioning (??'7,??? 'Fee: , $70.00
_ HeaC Recovery Systeih CCT •° 7 7?"?
Sewer/Water Contracior: Phone #
I hereby acknowledge that I have read this application, state that the informatio correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga rdinances
`in i-----
Signature of
OFFiCE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
FERMIT
CITY OF EAGAN
3830 Mlot knob Road
Eagan, Minnesota 55122-1897
(672) 681-4675
SITE ADDRESS:
P.I.N.: 10-13500-020-07
DESCRIPTION:
REMARKS:
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
BUILDING
033467
09/25J98
PERMIT TYPE:
Permit Number:
Date Issued:
4711 BEACON HILL RD
LO7: 2 BLOCK: 7
BEACON HILL
REROOF
Buildin.g,Permit Type
Etei33,ding-blg,rk Type
?ensus Code'?--?
f
..c .- ._. --
l+l?' ?
r',.v
FEE SUMMARY:
?±??T erTnR - npplicanr - S1. L11'. EwI-0"fT
A`L"PeeRft'OT.T'PTIVG 18950040 20139140 LC ANDY
11583 RUPP RD 4711 BEACON HILL RO
BURNSVIILE MN 55337 EAGAN MN 55122
(612) 895-0040 (651)454-5119
? I hereby acknowledge that I have read th[s a,pplicat,ion and stats that the
information is corrett and agree ta ctrmpl,y with alJ: appl3cable 5:tate pf Mn:
5tatutes and City ot Eagan prdinanGes,
L
? APPLICANT/PERMITEE SIGNATURE ISSUED eV: SIGNAT E
I
2998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN p,
3830 PII.OT KNOB RD - 55122
681-4675
_.7New Construction Reauirements
? 3 registered sde surveys
? 2 copies of pians (inGutle beam & window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 wpies of tree preservation plan if lot platted after 711/93 -
required: _ Veg No
DATE: q - ZC - (i ?
DESCRIPTJk7N OF W
?
STREET ADDRESS:
RemodeVReoair Reauirements
? 2 copies M plan
? 2 sita surveys (exterior atldkions 8 decks)
? 7 energy calculaUons for heated additions
CONSTRUCTION COST; [2 l0 2.. 5?q
LOT: ?- BIOCK: ? SUBa./P.I.D. #: Lt-c?- L C?^n m(i
I `( n d
Name: LA Phone #:
PROPERTY Lasc Fvst
OWNER ?
, `711
Street Address: ?-t 8a (,}
(abn 14ill e
City ? 6)r "1 ? 6r P I' S State: Zip:
Company:??? ? Phonc #: a16-6D'7`C)
CONTRACTOR
Street Address:
License # zoL
??
.
Ciry C3 ?11??5' State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that 1 have read this appliCatlon and state that the information is
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
Penalty applies when address ehang
and agree to Comply with all appNcabi
if'_ttaL``
? -,
?:7 ^.? .7:i'•,n.: 1. i ??O-^,C
DELMAR H. SCHWANZ
LANDSURVEVOR
Reg71UrW Untler Lbws af 7Pka $tels a1 MinnnOta
$978- 116TH STRE@T W. - BOk M qpSEMOUNT, MINNESOTA 65088
SURVEYOR'S CERTIFICATE
;_'- - -- - -?---- 7 ?,
Y. ?
.i
a
? I
PNONE 812 423-1768
_`??,.i?%s: cl •
QO 90.00 28?33 -- ? '?GCtQ i ?
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MINNESOTA REGISTRATION N0.8625 .
t??oo?L?` ?34
nnTS `'I V 1 ?
DUILDING PF.RMIT APPLICATIOA!
Inc2nde 2 sets oi plana, 1 site plne w/elevationa and 1 set of energy calculationc.
To be ttsed for ?r Valuation 4 Vi ? 0 0
site Addreas;
,
Lo L Bl? o k ISe?? uD 64?k` Pa`rcel Number 1.4 pa d O 7
I/
Owne= Telephone
Acldrest
ContsactosZF."TE%. MES WIQWE%lephone 45Ar` SZzJL
AMress CT.
.
Rbinphonc ; Z
Arch./Mq.
Addrasa
OFFICE USE
Ereci
Alier
Repair
FYtlazqs
Fbva
nemolish
Grado '
Occupancy
?aning _
Fire Zone
Y`ype o! Oonst.
0 of Stories
Front
Oepth
OFFZCS USS `
Dnte of 7 roval s Initial
Aaaeasmeat ? /_4/`?/79
ldatar/Sewas
Folice
Fire
planner
Gbuncll
Bldq. Ofi. ,
A.P.C.
FF:ES
Pezmit
surctArge-..
rLan Check
SAC
Hater c'onn. 71 ?. O<
4lnter Meter cec t s?
TO'PJ1), i (
r-? L 8L CITY USE ONLY
SUBO. ? Q?_ c??, 1--?-r" I I
RECEIPT #: ? ;I { ? ? , ?
RECEIPT DATE:
PERMIT #
1999 f'LUM$INfi PEiMIT (RESIDENTIi4L)
crrYoF EAcu
3830 PaoT xxos Etn
EAsnx, MR 551 EQ
(651)6$1-4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXT[tRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GeS i if1 OutlEt ` minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC lic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dweliin 30:00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Waterturnaround 30.00 x --- _ $
State Surchar e .50 --> ---> ---> $ .50
rotar --> --> ---> ---> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------•---•------------------------------------- ------------------------ --------------••------------ ----------
I hereby ackrrowledge that i have read this appliptlon, sfate that the informatlon is cortect, and agree to comply with all applirable City of Eagan ordinances.
It is the applicanPS responsibility to noGfy the property owner that the City of Eagan assumes no liability for any damages pused by the City during its
normal operetional and maintenance activitles to the faaliGes conshvcted under this permit within City property/right-of-way/easement.
SITE ADDRESS: C/! l- &tC? )?7Z,(- FfX
OWNER NAME: : (
INSTALLER NAME:,
STREET ADDRESS:
cirv:
TELEPHONE #: ( Z 322-
(nRe,a cooe)
TELEPHONE#: CO?2/
(AREA CODE)
S7ATE: / "? ^ ZIP: -?4?
SIGNA7URE OF
Alk? uin. lty 4? ?apIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESFDEI
Date: ? 22 0$ Site Address:
------------------
? Foroifica u ' ? i
j Permit#:
? Permif Fee: c?
? Date Received: i
I I
i I
I StaH: ?
i
)UILDING PERMIT APPLICATION
r _i?e_2.GOrl 4 ' It K-D
RESIDENT / OWNER Name: Wd DLl' a0. ? Phone: kS I`(957' 61,-10
Address / City / Zip: y Z1 k C7C-Ci-L? ht' ?? ep
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: I'G0..Y OTi- K-3zP
Construction Cost: 10? LOo .°O Multi-Family Building: (Yes _ I No X)
CONTRACTOR Name: ? Z?[.C Kao? nc ¢?s?ru-c_{-?ary License #: ZD !'J91 ?C7
Address: LH OS 4412? il?
Ciry: `!Z'in Pbu'k State: MN 2ip: 55`f'-+3
Phone: 'VD3''JIS-0930 ContactPerson:trn.?c.'nas
COMPLET£ THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaon 1 Minnesota Rules 7672
Energy Code . ResideMial Ventilation Cffiegory 7 Worksheet • New Energy Code Wwksheet
CBtMJory Su6mdted Su6mitted
(4 submiSSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issuBd a permit for a simFlar plan based on a master planT
_Yes _No If yes, daTe and address of master plan:
Licensed Plumber: Phone:
MBChanical CoMracfor: Phone:
Sewer & Water Contrector: Phone:
NOTE: P/ans and supporting documents that you aubmlt are constdered M tre pubiic Intormafion. PortPOns of
the iMormation may be classffied as Flon pu4lic if you provlde specllic reasons thaf would pemilf the City to
co?rClude that the are trade Secrets.
1 hereby adcnowledge that this iMormation is complete antl accurate; that the work will be in conformence with the ortlinancces and codes Of the City of
Eagan; that I und¢rstand this is not a permit, but only an application for a permit, arM vrork is (roi to start without a permd; that !he wodc will be in
accordanqe xith the apprwetl plan in ihe case of work which requires a reviBw and approval of plans.
x i x I n- ?_ r ? ?...,,.-•-•- -•-
Applican Printed Name ApplicanYs ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146247
Date Issued:10/16/2017
Permit Category:ePermit
Site Address: 4711 Beacon Hill Rd
Lot:2 Block: 7 Addition: Beacon Hill
PID:10-13500-07-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher J Semsar
4711 Beacon Hill Rd
Eagan MN 55122
(612) 298-3667
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177068
Date Issued:06/14/2022
Permit Category:ePermit
Site Address: 4711 Beacon Hill Rd
Lot:2 Block: 7 Addition: Beacon Hill
PID:10-13500-07-020
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:
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 -
Christopher J & Kristine A Semsar
4711 Beacon Hill Rd
Eagan MN 55122--270
All Around Property Preservation Llc
2265 Wayzata Blvd
Long Lake MN 55356
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179170
Date Issued:09/21/2022
Permit Category:ePermit
Site Address: 4711 Beacon Hill Rd
Lot:2 Block: 7 Addition: Beacon Hill
PID:10-13500-07-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Christopher J & Kristine A Semsar
4711 Beacon Hill Rd
Eagan MN 55122--270
All Around Property Preservation Llc
2265 Wayzata Blvd
Long Lake MN 55356
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature