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4159 Beaver Dam Rd09/27/2011 12:31 6128616267 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SEP 2 BEI EXTERIOR MAINT PAGE 01 f/o/o7Z. Use BLUE or BLACK Ink For.OfBce Use Permit tr. i 4f dad Permit Fee: Date Receive Staff: 1 0,00 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 91.24`// Site Address: '/ s, Avec Tenant: Suite*: RESIDENT I OWNER - - Name; y' L » /17~04117110 'A 4o/19,3 VWY Phone: 9.s'a — Xaa -.5s 75' Address / City / Zip: 4Y.6$ e/tY s, 04 9Y cvW✓ AM,rgaE" ,0 ,11 ...432501e Applicant is: Owner X Contractor TYPE OF WORK Description of work:'cmo& 4,142 ,e 144 GM'VOOw Construction Cost .' 20c4)— Multi -Family Building: (Yes 1~ /No , ) CONTRACTOR Name: he / EZ7E,Qiog tri grw a^ e-4,444 License #: Aho/511/3/ Address: lips i4 60"' SrkEET City: A.4tvN6 Anati • State: Mr! Zip: 5,3411 Phone: G.rz., 84./ -6."2-.#3 Contact Paul, At Email: i' G- Coes >col. avr, COMPLETE In the last 12 months, has Yes ,No If yes, THIS AREA ONLY IF CONSTRUCTING A NEIN BUILDING the City of Eagan issued a permit fora similar plan based on a master plan? date and address of master plan; Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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 CaII 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.aopherstateonecall.orq I hereby acknowledge that this information Is complete and accurate: that the work will be in conformance with the ordinances and Codas of the City of Eagan; that I understand this IS not a permit, but only an application for a permit, and worIc Is not to start wtthout 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. Applicant's Printed Name City of Eagan Eagan, PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA103238 Date Issued: 03/07/2012 Permit Category: ePermit Site Address: 4159 Beaver Dam Rd Lot: 12 Block: 01 Addition: Diffley Commons PID: 10-20450-01-120 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Heather Brockman 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 - Applicant - Owner: Mildred B Cooper 4159 Beaver Dam Rd Eagan MN 55122 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 PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA116126 Date Issued: 10/03/2013 Permit Category: ePermit Site Address: 4159 Beaver Dam Rd Lot: 12 Block: 01 Addition: Diffley Commons PID: 10-20450-01-120 Use: Description: Sub Type: Residential Work Type: Replace Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Brockman 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 - Applicant - Owner: Kathleen J Cooper 4159 Beaver Dam Rd Eagan MN 55122 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 05106/2014 09:41 Les Jones Roofing, Inc. C!ty of Eaaali 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 675.5675 Fax: (651) 676-6694 *2:2)4i r 2014 RESIDENTIAL Date: Site Address: (449528817009 P.0091011 Use BLUE or BLACK Ink For Office Use Permit 4: Permit Fee: Date Received:: Staff: 0 la I `o T15 BUILDING PERMIT APPLICATION Unit 6: Name: 5o PeOPeie7' GAGE IiVG. Phone: 4,57- 53-2/- Address r2/Address / City / Zip: !a• Bak 2i 2 5 /rnVE1z Cie -ma -110,4 Mt/ 6 74 Applicant Is: Owner x Contractor Description of work:gleig E 4yi / AV/c" Construction Cost: 0- 411, 4.57 Multi -Family Building: (Yes x / No • Company: 4E5 ZA/213" _ROlOffn/L INC. Contact: Gists av2sOd Address: Q k / (q/ go 711' City: 11.40anu le5-rbA/ State: Mii Zip: ice 20 Phone: 9SA - 76. 7 - e?8/1 License #: '57 O Lead Certificate #: I.J47' 41(03R-/ If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional 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: CALL BEFORE YOU DIG. Cali Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities. www.rtoahereteteonecalLoru I hereby acknowledge that thle 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 en application for permlt, end 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 pormlt Issued In accordance with the Minnesota State Bullding Code must be completed within 160 days of permit issuance. x G/fkrs Ait/DaSOd% Applicant's Printed Name x- Applicant'% Signature Page 1 of 3 05/21/2014 10:17 Les Jones Roofing, Inc. TAX)9528817009 P.0041011 401. City of Eaali 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675-5676 Fax: (661) 675-6894 Use BLUE or BLACK Ink For Office Use Permit #: 112- l 31 Permit Fee: 3i Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a 9 / y Slte Address: yl f17 i'/S- W /, `/U 31 1 LifAvgg. 1:7144 4.4 Rots .° Unit #: '5r'' ., • '''': , :=i at'',,. W' %•t'g ' ':*. . ,.;l Name:_5o P2tegg. c `/.f .6t LNG. Phone: '57- 5.s//• 99y� Address / City / Zip: V o. BOK 212 5 JN'- 6VZ /It/ ' 96 Applicant is: Owner XContractor 'R_ °°•°JfS1. f . :'II�y�h �('r, »i; ' ' . °_.,Nrr 1 Description of work: ft fNoi'( ,44/0 I�EPtAGE 50441. 4,40,4 SiD/4' Construction Coat: 2 LI 374. g 0 Multi -Family Building: (Yes x / No _, ? 4- ti � 4 4;�''-?;''�� " rd nlir " .,,. :.,rr r , ' �,>; r -SFr '. ,'h ,',,>a.:,epi Company: E, ffniti- /NG Contact G� s �vDE�sO� h S k?2 A4E R CtO Address: 9 Y / 144 AVM .07 -Acer" City: Jur aI u6 A/ State: 14/4 Zip: ,ff'120 Phone: 95a - 74 7 - 078/7 License #: 4,5-6r0 Lead Certificate #: 4/4 - 4/0 3 7,I - / If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes __No If Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _ Phone: Phone: Phone: `;, NRIgi;+1.40.#; lf4 01'11 ; If( h. ;Of"y�� 0.0106" c 7,810.6 `o1;iI.04 4/0#,nt3� r:, igge sOVO, ' :,M la $Yflo 't / j► a uj �J�('� PTD: f f� � as eaOr Ne e$/,(/��? iia til,,�'� tr h (400011,0 fpei:•;:;,.1:: -�."h"IW � °l., Tf I �d...'R '� *��. ���.� +"<: �i'r •`fa el�ry�' �f� ",�."`.�'fhr9d�"i"�' " �. k��Y�'�:.��� .r. '!<iJ!'i,. � . .. ,'' 1r, .. ./;,,5;:.;:::i0 ' iLY��S,IFY.,S, rT.-'i���!!Z'6T.4T� ,�i.Sc J � �4'4'� � °� ,,,,.:*.F:.. "1/21;1�4 e �:. 4: L CALL BEFORE YOU DIG. Cali Gopher State One Call at (861) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gonherstateonecall.orq I hereby acknowledge that thls Information Is complete and accurate; that the work will be Inconformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a penult, and work Is not to start without a permit: that the work will be In accordance with the approved plan In the cava 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 CH-bs 11,0672s0A/ Applicant's Printed Name Applicant's Signature Page 1 013 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 Ci tfS 4067 SaA/ x Applicant's Printed Name Applicant's Signature Page 1 of 3 r For Office Use I • y :' Iti% a �° n•. -s �,� Permit ii: /-- -7 '. _... . . / li. if 1 I.,'-, / r.r i 3 .,u y, i'. • Permit Fee: 6I`� 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(c�cityofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: w %�' Site Address4 C_' ' `r• `All'Il i/ PI, Is? Tenant: 1f\ Suite if: • +''' Name: f'A°'/(itAj / ' */1 _ ex_ l hon©: I ��L� (p Z... s , a,; .3„,.„` Address/City/Zip. ____�IM'p.1Jl ': '1---.,:. Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 Address: 1801 50TH STREET EAST Cit INVER GROVE HEIGHTS •C.o r tract at:-.:. Y • State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com .• New ^^Replacement Repair Rebuild Modify Space Work in R.O.W. Y�F�� T: e";o'f:VV,:o rk —- --- — --- — Description of work: Water Heater Lawn Irrigation•( RPZ/_PVB) y Water Softener Add Plumbing Fixtures ( Main/_Lower Level). D.escri:pti'a,n Septic System Description:_ New - Abandonment Connection to City Water from Well RESIDENTIALFEES ._.__..i_.. ....._ �.. __...._.__.. • .._....._._.__...... _._.__. __.._...._..._.. ...._.__..._...__. • $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) • $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) re $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read := $540 *Sewer&Water Permit also required for connection charges ! I TOTAL FEES $ 60'00 CALL-BEFORE YOUIDIG. Call Gopher»State Ono Call al(651)454-0002 for rotection a-ainst under r� n .ti y-.... r W......._... � p g g ou d ut lily damage. Call 48 hours before you inlend to dig to receive locates of underground utilities. www.gopherslaleonecall.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 wobslto at www.cityofoagan.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 . Fagan; that I understand this is not a penni but only an application for a permit, and work is not to start without a permit; that the work will be in a cordae e y the approved n1 e ce , of work e )icli requires a review and approv I of p ns. C . i /rt\ . t i ' x 4.- V.1„.. /------. .... 1 Applicant's Printed Name Applicant's Signature - Page 1 of_2 i