4766 Beacon Hill RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4766 Beacon Hill Rd
Lot: 42 Block: 6 Addition: Beacon Hill
PID:10- 13500- 420 -06
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Quesetions regarding elec
952- 445 -2840
Jeff Sammon
122 West 3rd St
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Artie Bledsoe III
4766 Beacon Hill Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA087143
10/28/2008
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OFA!N WATER SERVICE PERMIT
3795 Pil b Road PERMIT NO.: 4067
"n?MN 55122 DATE: 12 /9 /8I
Zoning: ?IY No. of Units: 1
Owner: 5uttFShine ConstruCtitx? _
Address: - - -
Site Address: 4766 BeBCOTI H311
Plumber: same
Meter No.:- Connedion Charge: 33$•00 Dd
Size:
Reader No.
1 agree to eomply with the City of Eagon
Ordinanees.
By
Date of I nsp.:
Account Deposit:
Permit Fee: 10• 00 Pd
Surcharge: .50 pd
Misc. Charges: 60• 00 Ad IIeler
Totul: _
Dote Paid:
I nsp..
crrY oF
OaN SEWER SERVICE PERMIT
?
3795 Pilot Knob Rood
Eargan - MN 53122 PERMIT NO.: 5001
DATE: I219181
Zoning: RYtI No. of Units: 1
Owr1er; Sunshiae Cdnstructior,
Address:
Site Address: 4766 BeaC4I2 Iaill Rd L42 BEl-BBaCOn Hill
Plum6er: samQ
12l7l81 1-0043 100.00 pa
1 agree to comply with fhe City of Eagan Connection Chcrge:4751nR *+?
?
Ordinonees. Atcount Deposit:
Pem,it Fee: t n nn .,A
Surcharge: 5n ^,4
By Misc. Charges:
Date of Insp.: Totcl: ?
Insp.: Dote Paid:
- -? , CiTT AW-LWAN
w. . ? .?. :M NO Km? Rmd a,.o, Mw Mn I?o 7 ??29 . . :
PFIf?l: 454-6100
BU1LDtNG PERMIT POCOlpt
14.ir w/ far `P ")T'r/w'1R W. VOlue ~571 1'00 pm@ r
. E'CO-qTfxP.2' 7 fa _81. .
Stte Address 1L 47EC) 1?e10011 i'iIl 1?saad Erftt Y&Y CwLwney
Lot '12 Bloek r
Sec/Sub. T5e1cx)*t
Alter p
7onino R-1
Paroel # 7.^ 135n(' 420 0C Repoir p Fire Yone
Enloi+pe ? Typo oi Conme.
W ? _ SLmslhim "'J?'t9t'1'Lx"tio'1 Cb, move p Swes . ..
? Addroas 1)07 r1r'I:tiS?Jli Cb11Jx't,
Demolieh ?
L.e"O a-
ci T:a= 55122 Phom- 454-748 i Grode ? Depdh
?
o N? ?katter Aw"?
, ., .,
$u ?mn Assessment P4nnit .
?
?
G Water b 5ew. Surcho?e .« '?.
.
Phone ?
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a
Polioa
Pkwti dlr?
? W N°''e Firo $AC
8 Z A?t#+en
Enp.
<"' Rl,one
-Cft Plonntr •ViA'+?f?p'?,?? •
Council Ra"
1 hereectcnowl
by ed9e thot I hove reod thts applicotion ond atote that
g??. ?. -- - ?
•? ,
the infmmptibn is wrrect ond ree to comply with all applicobla
Sta+18 a# UilkIneapff'Sfof`u4e&.,1 ity Eopan Ordinonces. APC ? -
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KL ?f
Sk"ha1'! Cf PRnhift6Q ,
•
a]I1..g}31i3G ?]31`3t l'tl('??OR Cb.
/1 oulldr?g P.etmiT Fs issued to:
oll we& oW1'6e done in eucorda with oll qpplicoble State oF Mln ubm O+d Cgy '111-f,
$YF1dina OffCial "h+47 „?faw ?+(4? i ?e?4??•Mier 'f ?i
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?\E
Parnat Na PRmP! Holdw Mac. Psrmk No. Holdar
Ptumbing
H.V.A.G ? ? iflo o'lP ?L3
wa?r Well
DisP.
S?war
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-1 ow?.?So i L t c
Irspaetion Dste Insp. Other
Foatinyo ?
FoundoRloa "
rnmie?0 -
nough Hv l dJ ?
uaulstton / - .
Finil Mbjj.
fWil NVAC
Ada/
VW&~W name on
1AiiN ,,G,f ?? r;
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?? ?? powt IN
VMOPEAGAN - Fee , f10.V' ,
Ffrr In nurr,b~ spaces 9tc
? Twe or PrPnt la#ibllr Tot. I ?C)
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2. Installation Cvst
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I.ot?Bl'k. Traaet ?
4ob AddwA
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? ? .. ?rr f?? JF i i J / ?! -.(?. ?niw //rf./?? ?7L?. ?'S ?? ? ?-?? ?r,%TYPc fts3decttial ff' Ganwnercial 13 frrstirbuftmai E3
"? Dwoomm: Rlew 16 Add 0 A,iter O Repa.ir E3
:
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Describe
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CossporrlfDraWMefd
?i+? 7ant?
-WOR -
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. ?;,.. .,??'"?.'-• .F•?+y"KFS??k?:?.SFtC`-'.',:-T.:,'"?j.`.? g..yc?yyc T."
w?aC?i?'. ?'?? ?? ?. ? CITY OF EAf'ap?N
? Fili i,n mt#bere+o?vam S1C 1 U
7y1?e or Prmt ' ?k* TO t.
2. Instatlatwoe, c€rst-/ 7
La??911k. ? Trat
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E17l'. Z/5??C P'i.
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? ?/ -
f P' ?iti,,6',E S.te i3'1 N Zi=?`'?y?
nG.. .
? fimUiliST1tpe: Pl@ddERltIt1A Ef/ COmI'17emIal O ffPnh"o" 0
?_ . .
?Work descripticm: fdew 9"" Add O Alter 0 Repair E3
?,c . .
¢.
, ..
? ?? amdh9 ??te17'??AP?' ?
No. f-Aiijamm,t STU - M. Ea. ,{V,o. EciuioWnt CFM
Air NO. _ .
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IN SP
C1 ! f ?F EAG'AN E, C'Ili DN .
y• .
Y
Pilt? Knob Rc?ad
• `-?11, MWmS0'CS 55122'1$97 9/96
(612) 681-4675
I". I ; ?7 , .. 10 .t3l'k (1ri -
SlTEADDRESS: Q .a T (4 " iO
AMICAM.
4 I+, ?, El E' A i' 1) IV I i.! 1 1. tr il PA Nk L Cii AFT 01' IF K t N G
Ei t.; /1 I o1+! i4 f 1 I f fi 1 r: } f?1_. f; 6:?' 6 .
fERM SUBTYPE:
TYPE OF YOWs . `
r:??" Ff??I?i:N Ml:1l: ,y
iit: "CH r??t low • t ???,? ,? ?:,c???:'? ....,a . ?;
? h nM t Nc;
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n t.??A R n1t i'f 12tar t r% ka 0111Pr l? FOR nNY ,U1.UC.fi'OicAl. 'WbOk
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lqtl?t.f?iCi
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7'Q8T
BL6Gi
OW'f Ptl.
8$?fTF?+U1L
OECIC FTti
??tw
rr
DEpC FINAL
a
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f
?
(?wr#tfira#r ,af tOr.r?panry
Citp of (tagan
Drpttrfineni uf Buiibittg Jasprr#im
Thi.c Certificatt iatutd purtuant to tbt requircments of 5ectinn 306 of tbt Uni form Building
Code ctrti f ying that at tbe ti»u n f issuantt tbi.c structure wa.r in cmnplirtnu weth the variout
ordittanus o f the City rcgulating building conttruction or sut. For the f ollowi»g:
UaeChaificatim SF DM/GAR BIdg.PomvtNo. 7029
«w? ?? R3 Ty? Caw„ucfim Vn Fire Zonti rIA Zonft D.tdd P%I
o,„,orswab,sSunshine Cbnstruc1507 rIemson f't., T'acran
B„ad*Add., 4766 T'earon Hi 11 S,nt. 42,Rlnc1- 6,rnacon Ni
January 22. 1982
x
Ou0e3 aB, - lli„0IN I.S.A.
cInr oF EAoaN
k . 8795 Pllot Kaob Roaa Eogan, MN 35122 Np - 7029
PHONEs 454-8100
BUILDING PERMIT Receipt # '/
??_5 _2
Te be tasd fer SP DM/CAR Est. Value $57i000 Dote D ecmbp-r 7 _lq 81
S1te Address _ 4766 BEaoor1 Afll ROad Erea ? Occuponcy R-3
Lot 42 Bl ock 6 Sec/Sub. BeaOn A311 Aiter p Zoning R 1
Parcel # 10 13500 420 06 Repoir ? Fire Zone NA
?
Enlorge p 7ype of Const.
W Nome SL1n-'?'LM ??LStSL'?C't1011 Q7. Move Q # Stories
a
? Address 1507 Clem3M 001Wt? Demolish ? Length 58
Ci Ea cidI1 55122 phone 454-7485 Grode ? Depth --U_ Sq. Ft.
N OWnLr Aporovals feea
o ame
?
?? Address
?- ?-?...
Nome _
Address
Assessment _
Water 8 Sew.
Pal ice
Firo
Eng.
Plonner
Council
i hereby acknowledge thot I hove read this opplication and state thct gldg. Off.
the intormction is correct and %ree to comply with all opplicable APC
Stote of Minnesot tatu niry o? Eagon Ordinances.
Sipncture of Pe?mittee S-liv- T J`"??..-
A$uilding Pertnit ls issued to: ~unsbixm
all work shall be done in cccordnn with oll
Building Officiol ?
Permit -3V't . VU
Surcharge 28.50
Plon check 152•00
g,qC 525.00
Water Conn. 335 F 00
Woter Meter 60_ n0
Road Unit i g5 _ nn
Totol 1589.50
CO' on the exp?ess condition that
a-Statutes ond City of Eagan Ordinances.
Request 15ate
6-29-95 Fire Na. Rou -In Inspecllltin Required
(You rYeSl inspector?wh Noready) Inspection Other Than Rough-In
Dat?e neady Now ? Will Notrfy Inspector
I[Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Streel. Box or Route Na.)
4766 Beacon Hill Rd Ciry
Eagan
Section No. Township Name or No. Range Nv. County
DAkota
Occupant(PRIN'n
Artie & Patricia Bledsoe Phone No.
432-8807
Power Supplier Address
Electrical Contractor (Company Name) CoMractor's License No.
Cit View Electric CA00384
Mailing Address (CoNractor or Owner Making Installation)
1145 Snelling Ave No St Paul, Mn 55108
Aulhonzed Sig ure (Contractod0 ner Making Installation)
. Phone Number
659-9496 A'STiTE G? ?MlTdwa Z-0 ? S oo u28551041CITY IENCLO ED OP EH INSPECTION PoEE ST
;EQUESToFOR EP E CTRICA?L bNSP?ICTcON
y '7C" Below Wolk Covered by This Request
4??a? 0?
Nev Add Hep. ?1`ype of Building Appliances Wired Equipment Wired
x Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Specify)
Farm Air Conditioner
Other (specify) Conh t r s:
P6??613-Wire Three Season Porch
Compuie lnspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 1 1 0 to 100 Amps •
Transformers Above 200 Am s Above 100 Amps
S19tiS Inspector's Use Only: TOTAL
Irrigation Booms 40•50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE13qD DISCQNN ECTED IF NOT
Other Fee COMPLETED WITHIN 18 Ni0 HS. '{
I, the Electrical Inspector, hereby I
Rough-in ( Date
certify that the above inspection has
been made. Final
• ' ??/
OFFlCE USE ONLY
This requ6st void 18 months from
This requast void ? t `, '"} ° I + V? q7 ( ? Q
T18 mr?nths from L?C ?- ( 4 ? l 4
67451
Request,,'3ote' - Fire No. Rough-in Insper_tion
Heqwred7
?Ready Now,jaWill Notffy Inspec-
12'^2?G-1p /$? )Mves ?No tor When iieady
:aLicensed Electrical ContracMr . I hereby request inspection of a6ove
? Owner elecirical wark installed at:
Street Address. Box or Route Nv. Citv
4766 Beacon Hi11 Raad ?gan
ecuon o. - Township N.ame or No. ange No. County
1a.dota
Occupant (PRINT) Phone No.
Sunshine Con.structinn
Power 5upplier Address
Dakata Ct . Famington
Eler,vir,al Contractor ICampanv Name) Contractor's License No.
0. B. Thom son Ei,ectric Co. A40502
Mailfng Address (Contraetor or Owner Making instailation)
12201 Mtka.P,].vd. li, hTtka. 55343
Authorized Sign re [ConYractor Owne
? r Ma" Insta ti 1 Phone Number
...a...?
! e; ? r.
Q a ,
iV11NNESOTA STATE BOARDSOF ELECTRICITY FJ THIS INSPECTION RE4LIEST WILL NOT
Griggs-MidwaV Sldg. - Roort? N.191 BE ACCEPTED BY THE STATE BQARD
-
UNLESS PROPER INSPECTION FEE IS
7821 llniversity Ave., St. Paul, MN 551D4
o?___ 1e?1i -?-? o??? ENCLOSED.
? REQUEST FOR ELECTRtCAL INSPECTION EB-00001-03
?! : • ` v+;_
T y? ? See instructions for cumpleting this form on back of veliow copy.
"X'" Be/ow Work Covered by This Requesi
.
e Add Rep. Type of Building Appliances Wired Equipment Wired
Lx- Home
3n
L
Range .QQ Temporary 5ervice
Duplex Water Heater Liyhtin Fixtures
Apt. Building Dryer 2,50 Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Mfik Tank
Farm Other spec ify orhF:r (Sne,-itv)
tlx:r (SpecifY Other pthrr
Cnmpcde lnspection Fee Be/ow
# Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee CircWts
0 to 100 Am s 0 to 30 Am s • 0 to 30 Am s
UG12.0 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Ahove 200_q Above 100_Am s Above 100_Am s
- Transformer§. ' Remote Control Circ. -50 Partial Other Fe
F T Special Inspection $
Remarks JJT4
Sf D. 47 ? TOTAL F
Rough-in -,
Dat`''
'J , the Elactrical
? /.L.0,?f-# nspector, hereby
cartify that the abave
Final ^)F,?;' Dl?t? ? i spection has 6een
.T ? ?.
f yA
Tf11S fl_'OUP.Ai VOId ' 18 months trom
This request void
18 months from iz Z6t
T 67438
?
.?' / r`r v
?
L.? Z i P?? t .??aC ?? v, g?? l( r
0`$3 i -7
RequcsYrr)aie F,re No. Rough-, n Inspectinn
Hequired?
Ready Now [] Will Notify Inspec-
12-201981 6&L!s ? Nu tor When Ready
]M Licensed ElPCtriCal Contractor I hereby request inspection of a6ove
? Owner electrical work instailed at:
Street Address, Box or Rnute No. City
4766 Beacon Hill Road Eagan
ecuon o. Township Name or No. Range Nn. County
Da.kot a
Oecupant (PRINT) Phone No.
Sunshine Construction
Power Supplier Address
Da.kota Cty. Farmington
Electrical Contractor ICompany Namel Contractor"s License No.
O.B. Thompson Electric Co. A40602
Mailing AdJress IContractor or Owner Making Instailation)
12201 Mt1r' aB1vd. , Mtka, 55J43
Authonzed Sig.' ture (Contractor/ wner Making In Z% ion)
5
?E?lVy?r?ts'?r+
MINNESOTA STATE BOARD OF ELECTRICITY w THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-191 8E ACCEPTED BV THE STATE BOARD
UNLESS PRUPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
pti,,,,e tgl2i 297_9111 ENCLOSED.
? REQUEST FOR ELEGTRICAL INSPECTION EB-00001-03
?j ?[' ' See instructions for cbmplletinv,this form on back of yellow cnpy.
?JQ Q
:'X" Ralnw wor.k Cavered by This Requesi , -1
Nevy Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm ocne. pecirv Oint,r (suer:ity)
thur Speci yi Other Other
Lompure inspection ree Belaw Tem dw• Uervlce
k Fee Service Entrance Size N Fee Feedars/Subfeeders N Fee Circuits
- 0 tol00Am 0 to30Amps 0 to30Am s
101 to 200 Amus 31 to 100 Amps 31 to 100 Am s
Above 200 Amps Above 100_Am s Above 100_Amps
Transformer • Remote Control Circ. Partial Othe
Signs 5pecial Inspection $ 10-r.,0 TOTAL F ElQ.
Remarks . r J,eff D. /
Hough-iR`
. D,ale
. I, the Electrical
- Inspector, hereby
certif
that th
ab
Final e
ove
Y
inspection has been
mede
.
inis request voin .. . -. . ._ . .. ?. ,. _ .. . ?
18 mmnths frum
ClTY OF EAGAN Remarks
Addition BEACON HI LL ADDITI ON Lot 42 R1k 6 Parcel 10 135Q 420 06
Owner ??jjf. M F?. Street 4766 Beacon Hill Road state Eagan. MN 55122
Improvement Qate Amaunt Annual Years Paymsnt Receipt Date-
STREETSURF. 1982 1848.67 295.41 9 1643.27 A010915 2- -82
STREET RESTOR.
GRADfNG 1982 537.84 59.76 9 4 8.08
SAN 5EW TRUfVK -?0 1976 135.97 9.06 15 72.55 11
*SEWER LATERAL 1982 3182.83 353.65 9 2829.19
WATERMAIN
*WATER LATERAL 19$2 9
WATER AREA 19$2 202.00 22.44 g 179.56 Er n
* Stubs 1982 9
&TORM SEW TRK 1982 367.77 _ 40.86 S 326.91 ee t?
*STORM SEW LAT 19$2 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Uni 1981
WATER CONN.
BUtLDING PER. 7029
sAC 1981 - - 1
PAfl K
L
CORRECTION NOTICE
D AT E : ! -
Address &O-<'--e-,
Owner/Agen
Owner/Agent Address
Ordinance Nos. and Corrections - Correct By
- 3
Site Name
Telephon
?
- Z 1-
? -
4,
!
??i?itt".'?i4 f ?(o"L...6`? 'i? /?C"u•.'t- ?i??1+ fvll f?s%c?"?:?f?'K? ?d[.i?z.-? ? ?S/P ?-?/? ?-
For reinspection
Eagan Dept. of I nspectlon
37 MinKnob Rd.
agan, n s-ota 55122
454-8100
Inspector:
--d
Dept.:
? _??CC) ay10 ?
? - -------------- i
? Pemwc #:
Ci of Eato
? I PeffnitFee•
383U Pilot tCnob Road - ?
Eagan MN 55122 paw Received: i
Phone: (651) 675-5675
-----------------a
Fax: (651) 675-5694 I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
0at8: ...? 3DS s? ??? 4-710co a&Aq,-?-r3 I-?ty- ecA D
suits #.
Tenant:
RESIDENT / OWNER Name:?.?ka-r Pr,one: (P-?1Sa-b73C?
AMrm i cay / zO:
qppiicant is: amer Contractor
TYPE OF WORK Description of wodc: J?+?"?- c??F'?' 4` i2'?- ?eX?k'- ??c ? 33 `-"?'?
. Construction Cost: `+, f769 , 0 Muw-Family Buitd(ng: (Yes / hlo Z'L
` Ucense
CONTRACTOR Name:
?
??:
cRY: state:Zip: s5t?.
Phone: CO`'J1 ' "i 1M• "I 3P.0 Contact Person: 1?Q
COMPLETE THIS AFtEA ON Y IF CONSTRUCTING A NEW BUtLD1NG
Minnesota Rules 7670 teaorv 1 ?Minnesota Rules 7672
Energy Code • Residendal vermlaaon caftory I worksheet • New [-nergy cade woricsneec
Caggpry Submiaed Submitted
(4 subRiwsion rype) • Energy Envetope Cakwlatiw-s Submitted
In the last 12 months, has the City of Eagpn issued t pennil for a 8lmilar plan bastd on a master Plen'?
Yes No If yes, date and address of master plan:
Licensed Plutnber. Phons•
Mechanicai Ccntraatar. Phone•
Sewer & water Comractor. Phooe•
?`p} v '., PK
'', ??'::e ?'?;Y°•'y%°,@yi.
rt nereby aGkrsowled0e that this iMomsaUon is oomplete and erccuraDe: that the work wpi ha in coMonnanCe with the oidinances arxi oodes of the Gty ot
Eagan; that t undmVacW this is not a permR, but only an application for a permit arid work is not to -stert wiftut a permR; thW the wak wi9 bs ia
accordance wim the approved pien in the case ot wwk wtuc:h requkes a review and approval of plans.
x ti? • C?YYt i'1'1 ??C? x?'Y? - ?..?
AppiicanYs Printed Name Applicant's Signature
I Page t of 3
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4766 BEACON HILL RD
LOT: 42 BLOCKz 6
BEACQN HILL
P.I.N.: 10-13500-420-06
1? o ?
w i-o l L"?'
surLoxNG
025845
05/19/g5
DESCRIPTION:
(INCL DECKS)
Building,Permit 7ype SF PORGH
Buildi,ng Wiark Type NEW
REMARKS:
A SEPARATE PERMIT 15 REQUIRED FqR ANY ELECT'RICAL WQRK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Subtotal
$174.75
$61.16
$6.50
$241.41
$11,00@
COPY $•50
Tata1 Fes $241.91
CONTRACTOR: - Applicant - 5T. LIC.? QWNER:
PANELCRAFT OF MN INC 17216628 0002179 BLEqSOE ARTrE
3118 5NELLING flVE S 4766 BEACON HZLL RD
MINNEAPOLTS MN 55406 EA6AN MN 55122
(612) 721-6628 (612)452-8807
I
j
I hereby acknowledge that I have read thi.s appTicatitrn and state that the
infinrrnatian is correct and agres to cnmp.ly wa.th all app,l.icabl:e State af Mn.
5tatutes and City of Eagan 9rdinartces.
I
AP ICANTIPERMITEE SIGNATURE
,,
t&u
r
ISSUED B: SIG URE t
. •IL
., CITY tIF EAGAM
3830 PILOT KN(1B RD - 55122
461995 BUfLDiMG PERMIT APPLICATION (fiES1DEN71AL)
68'1-4675
* S registrred site wmIrs ? 2 pqplos M Oar?
* Z capiu of plans {indude heam 8 vrirdow sizes; pOUrod fnd. dssign; eft-} ? 2 sb surrreys (rexfewW addikcm m daft)
? 1 emrgy akulotkns ? 1 eneW cakWaum fbr hoiftd OdOWaU
? 8 Capies af tree pnrsarvation plan it ini ~ iifler 719193
nquio& _ Yee _„ Na Sz2
DAT
E: _ 6 7/1 ?` GONSTRUCTit)N CC)ST:
DESCRIPTiON OF WdRK: X?z ?riasiui
STREET ADQRESS: ' Ln+gk t???d.) u•!=L 'va
_ ?._ _ .. LOT ? BLaCK SUBR.IP.1.L1. #:
PROPERTY Name: Piuti!nem
UWNER u" FM
5treet Address:.:5? 1-W//6I-
?'ilty: $tatB: ?f zip'
cONTRACTDR Campany: ,„f-e-?tdET . RFoue
Street Address: Licerse #;
City: 111PI._S _ atate:..,?.?.»_....,_ zin'
ARCHITECT/ Cprt'tpaily: PhDw #'
ENGINEER
Name: Registratian #•
Street Address•
City: State: ?.,,_,..,,.....,, Z?•
Sewer $ wa#er licensed plumber. Pwaty appHss whm eddr"s chartge W?d RA
chenge are requested once parmit 1s issued.
I hereby acknowledge that I have read this opplicatian and state that the ittfarmeEion IS tonec# Wnt! ageeS to odmplY vfth al
applicable S#ate csfi Minnesota StMutes and CiEy af Eagam Ordinances.
Sipnature of AppHcant:
aFFIce use oNu.v REC1????D
Ceff"tes of su,vey Received Yes No JU N 0 7 1995
Tree Preservation Pian Receiveci Yes ? No -- -
oFFicE usE QNLv
BUILDING PEi?'tMIT TYPr:.
o 01 Foundafion o Ufi Duplex
0 02 SF UweHing r3 07 4plex
0 03
' SF Addition
0 o 08 8-plex
ON-, SF Porch o 09 9 2-piex
a 05 SF Misc. a 10 --plex
WORK TYPE
a 31
4 32 New
Additi a 33
4 Alterati4ns
0; on u 3 Repair
GENERAL INF4RMATtOM
Const. (4ctuaf)
(Allowabie)
UBC Oocupancy
Zoning
# af Staies ?
?
tergth
DeRth
APPROVALS
13 91 Ap#.ILodging o
o. 72 Multi RepairlRem. o
o 13 GaragefAcDmssary o
0 14 Fireplace ?
6--z-a5 Deck
0 38 Move
a 37 L7emolfticm
, ??. i. • .se
18 ?asemnf Firiish
17 awim Poo[
20 Pubtic Fadli#y
21 Miscmllansous
Basement sq. ft. MC1WS System
Main levei sq. ik ? City Water ?
sq. ft. ? Fu* Sprinltlered
sq. ft. ? PRV
sq. ft. Booster PUMp
sq. ft. ? Census CWe.
Faotpricrt sq. ft. SAG Code ?f
Censua Skig r
Cemus l#nk =
Ptanning ? Building ? Engineering ? lfwionce
Permit Fee Valuation:
Surcharge
Rlan Review
License
AIlCIWS SAC
Ciijr SAC
Wa#er Conn.
Water Mefer
Acxt. Deposit
S7W Permit
SIW Surcharge
Treatment Ri.
Raad Unit
PaEk Qed.
Trails Decl.
Other
Copies
Total:
&GH
x
JZ?
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?
% SAC
SAC Units
AVEYOR'S. CERTIFICATE
SUNSHINE CONSTRUCTION, INC.
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SCALE : 1 INCH = 30 FEET
O DENOTES IRON MONUMENT SET
? DENdTES IRON FOUND
:(000.0) DENOTES'PROPOSED ELEVATION
XO00.0 DENOTES EXISTING ELEVATION
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PROPOSED('GARAGE FI,OOR= 939.1 FEET
PROPOSED LOWEST FLOOR= 931.6 FEET
PROPOSED TbP OF FOUNDATiON= 939.4:FEET
I hereby certify that this is a true and correct_representation of-a survey of the-- -"
-- boundary af : -- - - _' , .
Lot 42, Block 6, BEACON HILL, according to the recorded plat thereof
Dakota County, Minnesota. '
And of the location of all buildings, if any thereon, and all visible encroachments,
if any from or on said land. It also shows the location of the stakes as set for
a proposed building. As surveyed by me this 30th day of November, 1981.
SIGNED: JAN,ES R. HILL, INC.
v
Y: C.,
B
7 P_z?_
Harold C. Peterson, Land Surveyor
Minnesota registration Number 12294
PROJECT NO. I 600K / PAGE I JA M E S R. H 1 LL, I N C.
81239 22 Planners / Engineers / Surveyors
FILE NO. ?42
8200 Humboldt Avenus South: .
FOLOER Bbomington. Mn. 65431 612-884-3029
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t? jI'?' i ?•? ?? . ?. .'r , `? '?S'?, .?K ... ?? ~
F?`-a+?'"' ?i?'???s???+ .,,?s-..'?,.?'L«?'"?;'`-•?•' ,... . , . , _r .
, '2 L: '? +i.. ??.?.._:•,;sw 'a?1^_!'?[., v? +4k•i.' ? ?'°.. ;r.,,?.. `^`'. .-w• ,Y..9':
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CITY OF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
M
Al 4 BUILDING PERRMIT APPLICATION 1 set of energy calculati.ons.
To Be Used For ?..? Valuation ? 0 Date %J _ iI/
Site Address : ?j 7 ? ? ?.?-. , `?e!-•?X (Z cc OFFICE U SE ONLY
I,ot r/Z Block ? Sec./Sub. ? Erect v Occupancy "
t4zd v(° Alter Zoning --
Parcel # :
Repair Fire Zane
? • ?
Owner: Lo- Enlarge 'Iype of Const. ,?r---
1 Move # Stories
Address: 156?_ Demolish Front b? ft.
r Grade Depth 2 ft.
City/Zip Code:
e J7sl L z-
Phone #: 5 s APPROUALS FEES
Contractor: ,?,?,..,,?.?..R (.,6,,.0.?M.. ?.,?: ?-?- Assessments Permit
Water/Sewer Surcharge "
/
Address: I- c? Police Plan Check
City/Zip Code: Fire SAC O
.?
- ?g. Water Conn. '" C3
Phone #: 7
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y
planner
Water Meter
Council Road Unit
?h.?g.:
-? Bldg. Off. ?
Address: « APC City/Zip Code: '
Phone # : " ''? ??, _ ( ? t Sd
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I:SURVEY01496. CERTIFICATE '?
SUNSHINE CONSTRUCTION, INC.
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SCALE : 1 IATCH = 30 FEET
O DENOTES IROI3 NiONUMENT 5ET
le DENOTES IR(7N FOUND
:{000.0} DENO'TES PROPOSED ELEVATION
XO00.0 DENOTES EXISTING ELEVATION
PROPOSED('GARAGE FLqOR= 939.1 FEET
PROPOSED LOTnEST FLOOR= 931.6 FEET
P120FOSE[? mOF QF FOUNDATiON= 939.4 FEET
I hereby certify that this is a true and correct representatioa of a survey of the
bounc3ary of:
Lot 42, Block 6, BEACON HZLL, according to the recorded plat thereof
Dakota County, Minnesota.
And of the location af a11 buildings, if any thereon, and all visible encraachments,
if any fram or on said land. It alsa shows the location of the stakes as set for
a proposed building. As surveyed by me this 30th day of November, 1981.
SIGNED: JANES R. HILL, INC.
BY: ?
Harold C. Feterson, Land Surveyor
Minnesota registration Number 12294
PROJECT NO. BOQK I PAGE JAMES R. H i L L! I N C..
81239
22/42 ?'lanners / Engineers / Surveyors
FILE l+?O, 8200 Humboldt Avenud 5outh:
FoLQER Bbomington, Mn. 55431 812-684-3029
}
411
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F _J-HF-AT LOSS CALCUtATIONS DEPARTMEN'f OF BU[LD(NGS
Weatherstrips A•S•f{.V.E. ( Construction No. ? Insulation
G
id _
Wmdows
lloors u
e
Reference i
Out. Wall
lnt. Wall
Ceiling
Roof
Floor
Kind
How Applied
_ I
1'rs-No Yes-No 19_ _
-
'---' -x' RoomI Length Lc. Width ??„i•(? Height
F1.1
V ? :J r
v~Roo?ngth !;•?? Width
F1.1
1.°r'J Height ?
Winduws and Doors-Crackage and Area ? Windows a»d Doors--Crackage and Area
" WIdtb IlriKhl Pu ut 1.in r4 1 it Arrw
10. of pao• .?? p:?n.• I.Khtr cd rrw k sQ tt. WWth Hr?Kht No. at I.Ine&l tt. Area
No. nt Dane uf Vun» IlKt?t• at ?rarr A'1 tt.
4-+
Coef. Btu
1n61tration ZZ '5 C'
Glass zO 'j3
Fxp. wall x -
h'et exp. wall • I41,. (0 Z.
lnt. waU
Ceiliag Z
Floor
Towl Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. l.eader area
Z, Fl.I ?,A1' Room L.enBth 1'L-'J Width =
Windowe and Doom--Crackatte and Area
No. W1otA
of pans Hellrht
of pan• Na o[
11sA1• Llneal ft.
at eraek Area
W. ft.
I
I
Coef. Btu
'
In5ltration
Glaas
Exp. wall
Net exp. wall Z
lnt. waI!
Ceiling 'e •q' ?
Floor
Total Btu. ?.?
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
-2. Fl. C:I 0 t;..:r Roam I Length 12 •:? Width Height Fj -0
Windows and Doo»---Craclcage and Area
No. WIatA
of pan• Helght
of Dwns No. of
Ilghts L1a*at !6
of eraCk Are4
sC. [t-
AS' • . . ' .
Coef. Btu
lnhltration s5t;
Glass
Exp. wall n1 -?
Net exp. wall
Int. wall
Criling .7 .
Floor
Total Btu.
Required ay. ft. E.D.R. or aq. ins. WA. Leader area i
I Coef. Btu
lnhltration '%
..?•.
Glais .'„o
F.xp. wali 2 ?o "_
Nee esp. wall '?+O 40 1
Int. waU
cti1iRg
Floor
Total Htu.
Required sq. Et. E.D.R. or sq. ins. W.A. L.eader ana
Z F1.1 V1T'L}? !Room I L.ength '•, ?' 7 Width iC>- ?. Height P_
Wi tldoart •nct Uoorb-a.raexa ge ana nre¦
No. VYldth
oi pan• Hettht
of pans No. ot
tlgbu Lfneal !t.
of eraek Ana
p tt.
2 O •J ?? ?.,.
Caef. t?
Lnfiltratioo
Glass 1 ? 5 :. 40?`7
Exp. wsll
Net e:p. wal! k2_-)L
lnt. wail
Ceiling
Floor
Totel Btw F4E
Required sq. ft. E.D.R. or sq. ins. W.A. Geackr are?
}1,1 UqI6' Room 1 L.ength Width 1'L- ? Neight ?
V/...L,.... ...A TUCIrS-..C.aeicave snd Area
Na Width
et W?ns HqItht
of van* No. of
ltshts Llnea! tt.
of eraek Are•
W. «•
Zo U ? 3L.. V 32
CoeE. B?
Infilcration
Gtau
Facp. wsll
Net exP. wsll v 7
lnt. wall
Ceiling
Ftoor
Tata! $tw `" ?
Reqaired w. ft E.D.R. or sq. ins. WA. Leader srea
rH "
Eq.T LOSS CALCULATIONS DEPAR'IMFNf OF $UILDINCS
Weatherstrips A.S.H.V.E. ? Construction No.
Cuide
Windows Doors Reference j Out. Wall lnt. Wall Ceiling
1'es-No I Yes-No 19_ ?--
2. FlL k'. Room I Length ? Width 'C,- Hcight ?•-c?
Win ows and Doors-CrackaRe and Area ^I`
1o
nf pan• IlCIl[Ill
-.1 vanr N- of
tiKht, I.IIICJI It
of frH, k AMa
p7 ft.
Coef. Btu
Inhltration 41 S S 2 2 5 a
Giass • ?,S ' QQ
F.xp. wali Z.I C.. ?
Net exp. wall
lnt. wall
Criling
Floor
7'oeal 8tu.
Requirrd sq. ft. E.D.R. or aq. ins. W.A. L.eader area
F1.1 Room I L.ength Width
Windows and Doors---Crsckaae and Area
Na. Wldth
or prns Helght
of psne No. o!
t{ght• Llneal ft.
o! erack Area
W. !l.
Coef. Btu
Infiltration
C.lass
Exp. wall
Net e:p. watl
Jnt, wall
Ceiling
Floor
Tota! Btu.
Requircd sq. ft. E.D.R. or sq. ins. W.A. Leader ana
F1.1 Roorn I l.ength Widtb
W;ndoMn and Doorr-Crackaae and Area ?
No. VY{dth
of yan• HoSaAt
of pan* Ne. ot
tlthu Llnoal !t.
o[ crack Area
p. tt.
Coef. Hta
Infiltrstioa
G1ass '
Facp. wall
Ntt e:p. waU
lnt. wsll
Ceiling
F loor
Tetal gtu.
Recuired sa. ft. E.D.R. ot sq, ins. WA. L.eader area
Insulation
Roof I F7oor 11 Kind I How
? Fl.( Room I L.enxth ^Width'„1j -:7 Height''S.
WitldOwf an[f uoors- a,racxa ge ana nrea
No. Wldlh
af Dana llr?Khl
of i-zliP No. Of
itKhte IJnerl tl.
ut rra,k ArCa
4.3 tt•
2 2
2 ? '•: o. ! ?
Coef. Btu
Inhltration
Gtass
Exp_ wall
Net e:p. wall r
Int. waq ? ??-' ?C.?? `???
Ceitiog
Fioo? G v 3 32%'
Tots! Btu.
Required sq. ft. E.D.R. or sq. ine. W.A. l.eader area
Fl.l Room I Length Width Height
Wtndowi and Uoois--i.racxa ge ena t+rea
Na WIQth
of pan* Helxht
of Wne No. ot
tlcht• Ltneal tt.
ot craek Area
eO• «•
u
Infiltrstion
Glau
F-cp, wall
Net e:p. wall
Int. waIl •
Ceiling
Floor
Totsl &u.
Requircd sq. h. E.D.R. or sq. ina. W.A. Leader area
K. 1 . Room l Length Width Height
W:ad.?v.. .nd Deors-.Craekaae ana Area
Na i6tD
ot paes Height
of pan* No. of
llght• LlnSal !t.
of erack ArGa
W. !t.
Coef Bci
Infiltration
C1as.
Exp. waU
Net aqP. wall
jrtt. wa!! •
Geiling
Floor
? Total &u.
...
Requited W. ft. E.D.R. or sq. ins. W.A. Ltader acea
,..
IN- . . 1V
L•1?
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MIMVESOTA 55121
PHONE: (612) 454-8100
Dear Eagan Resident :
BEA BIOMOUIST
tiara
DATE : August 21, 1985 t?W,4s cGnN
JAMES a SMinH
JERRY 1FIOMAS
ADDRESS : 4766 Beacon Hil l Rd THEODORE WACHTER
c«,rno nnerrbe.s
LEGAL DESCRIPTION: Lot 42 - Blk 6 THOMASHEDGES
cnr aan+anrn«
EUGENE VAN OVERBEKE
Beacon Hill Addition cnvcW«
RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
r
CITY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY
Subd. l. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, qoods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such? permit, and taking precautionary
measures for the protecti6n of the public. An electrical co::
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such. '
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-way without approval by the Council. ,
The public right-of-way or boulevard is that area from the curb
to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
THE IONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR C4MNNMIY
« e'
T • .
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damaqe to your structure and also to our snow removal
equipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60 DAYS OF THE DATE OF THIS LERTER.
After that time, you will be subject to the fines as stipulated
in this ordinance. '
The City of Eagan cannot accept any responsibility for damage that
may occur to those obstructions` that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
1
William H. Branch, Superintendent
Public Works Department
WHB:jbd
1
.
Rocks on the boulevard
7 70-2-7
2007 RESIDEIVTiAL PLUNfBitVG PERMiT APPLIcArIoN
CLTY 4F EAGAN
3830 PILC3T KN(3B ROAD, EAGAN MN 55122
651-675-5675
Piease
Aete for rrodifications to existing residential
Date 3 / 0-7
5ite Street Address Li / 6 b
t?X,a? Ri.
Property Owner T d- c•"1`?``/ Q?`??SQ E'_
Unit #
Telephone # (4 Sl } ?'{ ?74 - d 7,3?
? r-
Contractor u m 4+? .?... ,n L. Telephone # ( 6.) 1) ?G 3 1 70 i i
Address ?N lil ;.<; Ci#y 1'?vt' ?n C ??rc ?i StatelL?,,,' Zip 5SC%,!
ff? The Apptacant is: _ Ouvner 8 flccupant ? Licensed Ptumbing Contractpr ?
? Septic System _ New ? Refurbished Subrnft 2 sets of plans and MPC {icense 1fncludes Counfy fee ?
? $ 100.00
Per as-built $ 10.00
?
Fire Ftepair (reptace burned aut #ixtures, e#c.) $ 90.00
This fee appties when extensive plumbina reoairs are made ta a buildina. ?
Alterations to existing dweliing 1 $ 50A0
? Add plumbing fixtures to main level lower level. This fee includes ?
instalfatton of a water so#tener and/or water heafer at the same time. !f you arse ?
instaltfng on/v a water saftener and/or water heater, do not complete this section; ?
moue to the next section and place a checkmark nsxt to the app{iance(s) you are ?
irasia#ling.
_ Septic System Abandonment ?
_ Water Tumaround (add $136.00 if a 518" meter is required) I
_ O#her: j
_ Water Softener 1?1 Water Heater ? $ 15A0
new replacement ?
_ Lawn lrrigatian _RPZ _PVB _new _repair _rebuild 30.00
Sfiate Surcharge y $ _6fl
Total j $
I hereby appiy for a Residential Plumbing Permit and acknowledge that tt?e information is complete and accuraie; that the
work wiil be in conforrnance wifh the ordinartces and codes of #he Ciry ot Eagan anrJ the plumbing codes; that I
unc'terstand this is not a permit, but only an appiicatian fior a permit, woric is not to start without a permit and wark wi{t be in
aceordance with the approved p#an in the event a plan is required to be reviewed and approved.
.,
?3Applicant's Printed Name Appficant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109164
Date Issued:02/13/2013
Permit Category:ePermit
Site Address: 4766 Beacon Hill Rd
Lot:42 Block: 6 Addition: Beacon Hill
PID:10-13500-06-420
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Artie Bledsoe III
4766 Beacon Hill Rd
Eagan MN 55122
The Fireplace Guys LLC
1000 E. 146th St, Suite 101
Burnsville MN 55337
(952) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109260
Date Issued:02/25/2013
Permit Category:ePermit
Site Address: 4766 Beacon Hill Rd
Lot:42 Block: 6 Addition: Beacon Hill
PID:10-13500-06-420
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Artie Bledsoe III
4766 Beacon Hill Rd
Eagan MN 55122
The Fireplace Guys LLC
1000 E. 146th St, Suite 101
Burnsville MN 55337
(952) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139760
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 4766 Beacon Hill Rd
Lot:42 Block: 6 Addition: Beacon Hill
PID:10-13500-06-420
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Artie Bledsoe Iii
4766 Beacon Hill Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
. Use BLUE or BLACK Ink
For Office Use
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Permit Fee:
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$ 18►+0 Date Received: d" -/
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I Fax:(651)675-5694 L.
buildinginspectionst citvofeaean.com t
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: yi1 W (p 'Bea ( Oy1 141 a e.d Unit#:
Name: VI 05€sok O\ 0\ G. G-'l�7,Y'(\ckY'' Phone:C(Q5t ) $ ' (o Oab
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.. Address/City/Zip: Lifl(P w ?Grcarn 1--(AC:. 6S\a�
Applicant is: Owner Contractor
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�� ' Description of work: rp I. 'l�� , C •/� &6 0 IN �" ���1 h
nKI e�
'. Construction Cost �0 10 W Multi-Family Building:(Yes /No ) 4-'I
-0/)VCom Company: ()et. U '/7� Co .Cdv5� Contact: � Q ( 49.-&9- ��q){
Address: "nJ IQ- )\'O"klcln.'p t', t) , 7 City: tvt4C� 'Q.--
State: }.(Nt Zip: 6-5t40 Phone:6�1K MMEmail: ir,n 41 R (4
41 V �+,--l r tw i
License* �� L1�7 q Lead Certificate#:��
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE: andsu.p{�py . ctmr j i dto e-
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You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.00pherstateonecall.orq
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 approvedpplan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
_ - 447 (Q� C-, 4-4(.5 0i47 /36
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace —
Porch(3-Season) ` Exterior Alteration(Single Family)
4 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex _ Lower Level _ Pool — Accessory Building
WORK TYPES
_ New _ Interior Improvement Siding — Demolish Building*
_ Addition Move Building — Reroof _ Demolish Interior
Alteration Fire Repair _ Windows — Demolish Foundation
Replace T Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION /
Valuation F 0 o 01Occupancy MCES System
Plan Review Code Edition A' .) r K SAC Units
(25%_100%4 ) ZoningDI City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
T
Footings(Addition) u Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final 1 Pool: Footings Air/Gas Tests Final
Framing iv 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick T EFIS
i( Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: I2.. , Building Inspector
RESIDENTIAL FEES
Base Fee 410
Surcharge (1 -", i tA, \I'
Plan Review fr
MCES SAC yl (..A ( '
City SAC t
Utility Connection Charge I 1
0p
S&W Permit&Surcharge . 2 t�
0
Treatment Plant Copies (":-/eP;.46011Pialti)°
1"" 00 oTOTAL V3 iv eel I
V Page 2 of 3
For Office Use
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66c11—
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(&cityofeaoan.com L
C� 2018 RESIDENTIAL PLUMBING PERMIT,(/ APPLICATION
Date: �"J/ ' Site Address: L/ 7v b 6C)� ✓/� //-Sc
Tenant: Suite#:
4711 1.14471.11-
4'14' Name:Name: 61)Z Y�'rirl Phone:
got /Y' /
*j-dent/ r
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Address/City/Zip: 11 7F� �
�C CamIX 1�� R(.1
Name: 1"ya3C -67
e � /9/.44/671, License#: PC.6932"6
Contractor
Address: tpt�6 c_
City: 1/\--t'
,4,17
... State:/"d Zip: .S gCc Phone: L 2. Coq 7
Contact: r�c A, < Email: �sr--7d y,-7/Aer ,r//ATrywir'/
C
New Replacement Repair —Rebuild —Modify Space Work in R.O.W.
1'1 411 T 1� �work — / —
Description of work: �,� I a' i /E /'CC. ✓/I k7'a
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
# 'ermit Type: !7/ Add Plumbing Fixtures(A Main/_Lower Level)Septic System
4.41
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 rt without a . it; that the work will be in
accordanc with the approved plan in the case of work which requires a review and approval of plans.
/1/1(,4xo
Applicant's Pfinted "ame Appli 's Signature
� 411 ,,
FOR OFFICE U r
� � ���� R@VleWed1 '4'44$ Date.
RequiredI sections 7 �`Under� roun d fac t to Atr Test st nal
Meter:Re ated Iterrts 11 a -r Sim _ i- Read : •_ ..
t .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177411
Date Issued:06/29/2022
Permit Category:ePermit
Site Address: 4766 Beacon Hill Rd
Lot:42 Block: 6 Addition: Beacon Hill
PID:10-13500-06-420
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 -
Moises & Sylvia Guzman
4766 Beacon Hill Rd
Eagan MN 55122
(651) 212-1987
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature