Loading...
4055 Beaver Dam Rd41‘111 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r PIA 0 14 1011 Use BLUE or BLACK Ink For Office Use Permit #: J Q LPL/4i Permit Fee: 171��� Date Received: // 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (,(4f2o(Z Site Address: 4055 &mac ' Name: VSe-3A1A. Phone: Address/City/Zip: 465 geklecik. R7( MA 55112 Applicant is: Owner Contractor Description of work: 'Kt Construction Cost: 142C20 Multi -Family Building: (Yes / No ) Company:O44M )=, OI i l rt C Contact: 46,14 � — Address: 1 `Z jL1ru� City: State: W1 Zip: S54 Phone: License #: 1,C)52 Cad ( —274—3(((,� Lead Certificate #: Nkt " {O 1 3 I If the project 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. 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.aooherstateonecall.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 approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. iL((kik( Siwe Applicants Printed Name x Applicar}R's Signa re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation W. Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction _ Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final 4r Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Siding Reroof Windows _ Egress Window I 0 thq/ 110 c 642ft✓et Oct.-% F _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy LA, MCES System Code Editiontr %0, 5) SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Final TL Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Pool: _Footings Air/Gas Tests - Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings — Backfill _ Final Radon Control Erosion Control , Building inspector Gas Line Air Test Final Brick RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL letfolq l Page 2 of 3 City of Eagan PERMIT 41' C!tyofEaa Permit Type: Permit Number: Date Issued: II Permit Category: Plumbing EA105013 06/20/2012 ePermit Site Address: 4055 Beaver Dam Rd Lot: 37 Block: 01 PID: 10-20450-01-370 Use: Addition: Diffley Commons Description: Sub Type: Work Type: Description: e - Fixtures New Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Courtney Monson 15535 Medina Rd Plymouth, MN 55447 763-473-2267 Fee Summary: Valuation: 1,946.00 PL - Permit Fee (miscellaneous) Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Sabre Plumbing Heating & A/C Inc 15535 Medina Road Plymouth MN 55447 (763) 473-2267 - Applicant - Owner: Barbara A Kromrey Thomas 1421 Appaloosa Tr Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 07/11/2012 10:42 Les Jones Roofing, Inc. *2110 City of Eaftau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6754694 TAX)9528817009 P.004/004 Use BLUE or BLACK Ink For Office Use /, / } Permit #: v- __ Permit Fee: ! 4( 7 Date Received: 7'1( /(Z Staff: 1l `7 2012 RESIDENTIAL BUIWMG PERMIT APPLICATION 7/ft f /. Site Address: *WS- `}OSx !3P.VEQ, DAM ROAD Unit#: J :RESIDENT/ OWNER Name: yo PQOP(a72rf Coi-a$ /N4 Phone: (ACP -13-2i" 99Y9 Address / City / Zip: PO. 80l( 2125 1N vEn. Gr124/0 fielt.otrs, its/ JYio 7 4' Applicant Is: Owner Contractor TYPE OF WORK Description of work: Remo V E 4AIo 1R PL -A -CE l7EcoP44r1 tIE 13,4-N P Construction Cost: 1-000,62-5-'--Multi-Family Building: (Yes / No CONTRACT• OR �It Company: L65 JONrS PoDPfNGi /me- Contact 04114S,04114S, Address: �1 ii( W. gel City:: &DOM <Nb ID" Phone: f5 - a.2/- 22 State: MAI 5Zip: 5920 4" / License #: (PC4 e VII / / 111 Lead Certificate #: A//¢7~- yo37a'-/ 52:8'11 s" If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) in the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit fora similar plan based on a master plan? yes, date and address of master plan: ^No Llceneed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: . NOTE: Plans andsupporting;docum;ents that you:submit are considered to i,e:pybl/c Information: Portions.of the information maybe claaslfled as nonpublic. if you provide specific.readonslhat:woUrld penrrltathe Cltyto cone/ude,ti ntthey. areitradesecrets. CALL BEFORE YOUQJG. CeII Gopher State Ona CaII at (661) 464-0002 for protection against underground utility damage. Cali 48 hours before you Intend to 019 to receive locates of underground uUllties. www.000herstateonecall.orq 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. end work le 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 piens. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit leauance. GttAts A1-NDERSorJ Applicant's Printed Name x Applicant's Signature Pagel of 3 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 9-18-91 OFFICE USE ONLY METER # PERMIT DATE 12/04/91 CHIP # PERMIT # 12411 METER SIZE B.P. RECEIPT # C 15423 ISSUE DATE B.P. RECEIPT DATE 09 /17/91 PRV BOOSTER PUMP SITE ADDRESS 4055 Beaver Dam Road LOT 37 BLOCK 1 SEC/SUB DIFFLEY COMMONS APPLICANT: The Rottlund Co. ADDRESS: 5201 East River Rd. CITY, STATE Fridley, MN zip 55421 PHONE. (612) 571-0304 PLUMBER. ADDRESS: CITY, STATE PHONE: OWNER: Valley Plumbing 610 Creek Lane Jordan, MN (612) 492-2121 ZIP 55352 PERMIT REQUESTED X SEWER X WATER TAPS COMM/IND _X_ RESIDENTIAL _X_ NEW EXISTING Lawn Sprinkler Meters are to be Installed d of Domestic Meters on Water Line. WILL NOT be giv; foc,Deduct Meters. %j,`,d, g:., I AGRE TO C DM • WITH CITY OF The Rottlund Co. EAGANORDI ANCES ADDRESS: CITY, STATE PHO E- PL TW'OO/RZINrDA S kin4OCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. - 5201 East River Rd. Fridley, MN ZIP 55421 (612) 571-0304 SIGNATURE WHEN METER ISSUED 05/0612014 09:39 Les Jones Roofing, Inc. 41,Ib6City otBap 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 675-5676 Fax: (651) 676-5694 Date: Z19 (FAX)9528817009 P.0021011 Use BLUE or BLACK Ink For Office Use Permit ft; s: 'ti Permit Fee: Date Received: Staff 91; 2014 RESIDENTIAL BUILDING PERMIT APPLICATION T Site Address: 1404cy047 '10671 `ioSS- BE.44/04. AM ki)AD Unit 0: Name: yo P2oP42TY 4eE tAle-. Phone: 657 -_,6 -,s -z/ ?9'i Address / City / Zip: Ro., Bo )4 212 rc / jji r v1r 44" 6S57 ?4 Applicant Is: Owner x Contractor Description of work: gbili3OPS. %Wet 711.4e --S / 0C -"P Construction Coat: $ Tr, 2‘0. 3 Multi -Family Building: (Yes X / No J Company: I5- /11E3 ROOffst/,6 Ave.. Contact Char. �Q-ruDazro� Address: girl W. $O r SrR'r. City: ,Br.Ogad-auefrrea/t/ State: _Nin! Zip: J,412D — Phone: 952 - 76 7 - ,28/9 License #: '57p Lead Certificate 0: 4'4-i `eo 9'J,? -/ If the project 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 end address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: • r%57i�V`: _ ,e_ ._e .. 11•i r 9�, rr e°(lo �/,(1.411:/,1;74:1', ( , ii°i ,7 ' iJ�,:14/1"4";;;/.:1i-14%.: % I 1;wr y iy� Flr°{6,-/r yo'rc,77 f Y' M�.fi-- j�7T1iy e R�/ir rA4yam''"7-er ' e,,4y ,,— , CALL BEFORE YOU DIG. Call Gopher Stat. Ono Call at (661) 484.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utIllUes. ywnrw.noaheretateonecall.orq 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 thie le not a permit. but only an application for a permit. end work Is not to start without a permit; that the work will be In accordance with the approved plan to the case of work which requires a review and approval of plane. Exterior work authorized by e building permit leeu.d In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x c/i-eAS 4A10672s O/ Applicant's Printed Name xm .,. Applicant's Signature Page 1 of 3 05/21/2014 10:19 Les Jones Roofing, Inc. (fAX)9528817009 P.0111011 1111016City otBaaQa�n 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 676-5676 Fax: (651) 675-5694 Use BLUE or BLACK Iflk For Office Use Permit #: Permit Fee: Date Received; Staff. 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0, 9 / Site Address: 4042 1-1041 '4o5j, Y05S & 4VEIL DIM RAD Unit #: i''';'!".1',�` �0•iw „ ,M; a,�. � /�?,; :', • i�' :. ;; .1g''', ,,.,4, • ;. �v°' o 667- Yrz/ f9.4/11 Name: yp PeoPa2ry C�.& 6 /VG. Phone: , Address / City / Zip: p o• 6o k 212 5 /NvEgt Ciz-ov4oh 44' 63-2479 Applicant Is: Owner _X__ Contractor r '•Y 4'�f' - , `j (', IiRh 4' � �I: 'l .•�� + Description of work: REMo Vt •• 41V0 4 1 OM E c ► I,& V £2M'4- Construction Cost: *-2°j /34' r Multi -Family Building: (Yes A /No. ) I,. -2 " "n:2' v _''r, ,,til1 ;.� % .Q RC'• • ,aC^rdf j � ,4, m .; . a:,k_,':;1i.rya ti :, ,;��i'' ' y' , ` ,,-;:":_ Company: 1 5 7'A/ R 2AAlE- /NC. Contact: cw s �Q-ivD472sod i Address: 91/ IN. ') 771 sib City: "Goa?c 'A6-T0A/ MAIzip: ,r 4'2D Phone: 975 1- 76 7 - a8/7 State: }c�i p License #: k_91, D Lead Certificate #: ,v4r `/o g 7.Q - 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, .Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Iesued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: a r w /Ofi1 -'•;r,/ sr`oij�Of 'i, I� nio h ioptm ti\ t yyrr��j^ 1;,;!',1.2-'2''..y.' ,•Y.'I�d��.M1�N1P / -�✓• V N 1'•' .m'Y� 0101,0:5:0.0001.1"' w J• W / 9vN • al'Q<...w'.7„,,,,,,,,i,„..,;,,,, •.1 :i5 ��/74,0)sAth y t " 0 i0 vreitt aTeito;;b uGG"']yq�rt .. tiO '°r(I f1'`..„..,;, ZY f Y RSti 7' k"''r J {�,,,yyNC7+,r '�'•Y R• �. M s7 ween �f,). c� a", u;� ,v aIM , �"IWcttu/ emf'ifl a (rx ��ot`,1'i .< 1 . " Qui►K{ y y� St t p'o - ;. , 1",s,,. y', "N JJ,,�� le,s1 ° °-V'e'•,';: Yia 7 y ,�W.,,�14�.�:a3r:h �l M� �,�t..��� ,'�..�..\, _[L�ro. ,p "f'r.. .v r .. : J. . ::,. %a''t`r,�.: �"�..k. n CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. www.aooheratateonecall,org 1 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 a permit, and work is not to start without a permit; that the work will be In accordance with the approved plan in the Case of work which requires a review and approval of plans. Exterior work authorized by a building permit Ieeued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x CN-k,S 4AID SCA/ Applicants Printed Name x Applicant's Signature Page 1 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Building Permit Number: EA145759 Date Issued: 09/25/2017 Permit Category: ePermit Site Address: 4055 Beaver Dam Rd Lot: 37 Block: 01 Addition: Diffley Commons PID: 10-20450-01-370 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Residential Additions, Alterations Zoning: Square Feet: 0 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: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: John Keprios 4055 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