4175 Beaver Dam Rd09/27/2011 12:31
6128616267
41,1/1` City of Eta
Date:
3U0 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-6675
Fax: (651) 675-5694
SE
BEI EXTERIOR MAINT PAGE 05
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Use BLUE or BLACK Ink
::mi
Permlt Fee:
Date Recel
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Tenant:
Site Address: Cif 2 13e91/e7Z "4W '.1:1
_ Suite fl:
RESIDENT I OWNER
TYPE OF WORK
Name: ya ie..assot "e40;60-fries/7— G'oftp°faY Phone: 7F J.Ps? ~.5375
Address / City 1 Zip: 64%4 erne Awsr ,4"A uc'AY troy /whets'/ow J3399
Applicant is: Owner X Contractor
Description of work: REntove A>vo £EP'4 wr,vooNJ
Construction Cost: # Multi -Family Building: (Yes yc l No _)
CONTRACTOR
Name: E/ E21O,e hi�,v�vrE _644eA. License #:.PDdy//3/
Address: goy W. bo -mi Six - City: ,Mavvc `+s
State: kid Zip: , 19 Phone: (0/7.-8(ol--G243
Contact: PAUL. M. Email: strQ afoedAFri . C
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 nonpublic if you pllovide 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.gopherstateonecall.orrt
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 le 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 pians_
camas owe on/
Applicant's Printed Name
Page 1 of 2
05/06/2014 09:41 Les Jones Roofing, Inc.
Cite of 6aQau
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 6754675
Fax; (661) 675-6694
(FAX)9528817009 P.010/011
Use BLUE or BLACK Irik
For Office Ur 42.7 °7
Permit #:
Permit Fee: 1 --15r
Date Received:
Staff:
44-2°L/.S 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/( « /iy Site Address:417/
Unit #:
1-.
Name: J(0 PeOPP 7i/ E LNG Phone: las/- 5$'4/
Address / City / Zip: 'P O. BO k ZL2 /?welt. t4g 44417X; ,r/ 5rdP 26
Applicant Is: Owner X • Contractor
Description of work: ROW -PPE 4440 .e.404.4166- /f oaF- .
Construction Cost: 451/11.10r , r 9 Multi -Family Building: (Yes X / No )
Company: /F5 7 A/ T Rothe/n/67 /.vc. Contact: Ca2r: 4vvi7Jt so t/
Address: 9 4 I W. 80 City:
State; Alibi Zip: f ego Phone: 95.E - Iry 7 - afi/7
License #: .5-6 9 Lead Certificate #: 4/4r `f o .' - /
If the project Is exempt from lead certlflcation, please explain why: (see Page 3 for additional information)
COMPLETE THIS ARRA 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. Call Gopher State One Call et (661) 464-0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receive locates of underground ulllltiee. w, w.aooheretateonecas.oro
1 hereby acknowledge that this Information le 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 le not to start without a permit; that the work will be In
accordance with the approved pian In the case of work which requires a review end 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 CifttS ,4AID6I2SOA/
Applicant's Printed Name
�,.As
Applicant's Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. (FA)(9528817009 P.003/011
C!ty of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 675.6676
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: r_)
Date Received:
Staff: _
2014 RESIDENTIAL BUILDING PERMIT APPLICATIONa�`r.
Date: Z! t
Site Address: 4i7/, `fl 7,5; 4179, 4/1'3 8EWEL. Dfu 'oAD Unit#:
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Name: A?OgA2 R-�.E 6 G Phone:
7 o P rY N (S! - ase/ f9 47",
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Address / City / Zip: Re:)- BO u 21'2 5 /N11672Cz7?-Dvt 14, MI 63a" 74
Applicant Is: Owner X Contractor
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1L Description of work: EM vv -6" .44.00 Rd-PLAGE �'OA76 .OR•�AErB%
Construction Cost $ 22, 4 3 7. r Multi -Family Building: (Yes X / No )
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Company: 3 ,TA/,5.s RGem7n//r /Nc. Contact s 4NDpLsoJ
_GNRt
Address: R K t W. gO 7N iriste'%— City: iGo NlrreDA/
State: M/ , Zip: /2e) Phone: 9:5-A- 767- 028/7
License #: 6.57:30 Lead Certificate #: JU,47 gel 5 90? - /
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
__Yes No if
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIttG
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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Kh'A, i' ` ! T� ,..1 :1: �r •>.'„ ileo-"Art44140.05. �10.11M6L.. .Ft IOW* .. AMA $.,.») thin.:::.'tr yFi.`..wJ :Ml:..v.,,>rF'�1i,:+d��.{
CALL BEFORE YOU DIG. Call Gopher State One CaII at (661) 464-0002 for protection against underground utiNty damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances end codes of the City of
Eagan; that I understand this Is not a permit, but only an application for e 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 plane.
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 GIfkiS 4AjDE25-od
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
IP1' City of Eaan
Permit Type: Building
Permit Number: EA141592
Date Issued: 03/21/2017
Permit Category: ePermit
Site Address: 4175 Beaver Dam Rd
Lot: 8 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-080
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: One Window/Door
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation $500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
- Applicant -
Owner:
Frank M Wisnew Tste
4175 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
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA151601
Date Issued: 09/04/2018
Permit Category: ePermit
Site Address: 4175 Beaver Dam Rd
Lot: 8 Block: 01
PID: 10-20450-01-080
Use:
Addition: Diffley Commons
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
- Applicant -
Owner:
Frank M Wisnew Tste
4175 Beaver Dam Rd
Eagan MN 55122
(651) 452-6880
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:Plumbing
Permit Number:EA168534
Date Issued:04/23/2021
Permit Category:ePermit
Site Address: 4175 Beaver Dam Rd
Lot:8 Block: 01 Addition: Diffley Commons
PID:10-20450-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Frank & Ruth Tste Wisnew
4175 Beaver Dam Rd
Eagan MN 55122
(651) 452-6880
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature