4167 Beaver Dam RdCity of Eagan
PERMIT
41' City of Eaa
Permit Type:
Permit Number:
Date Issued:
II Permit Category:
Mechanical
EA105115
06/26/2012
ePermit
Site Address: 4167 Beaver Dam Rd
Lot: 9 Block: 01
PID: 10-20450-01-090
Use:
Addition: Diffley Commons
Description:
Sub Type:
Work Type:
Description:
e - Furnace & Air Conditioner
New
Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$55.00
$5.00
0801.4088
9001.2195
Total:
$60.00
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
- Applicant -
Owner:
Beth C Johnson
4167 Beaver Darn 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: Plumbing
Permit Number: EA107638
Date Issued: 10/19/2012
Permit Category: ePermit
Site Address: 4167 Beaver Dam Rd
Lot: 9 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-090
Use:
Description:
Sub Type: e - Water Heater
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Dan Clough
3880 Willowwood St
Prior Lake , MN 55372
952-447-5761
Fee Summary:
Valuation: 800.00
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed
$5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
- Applicant -
Owner:
Beth C Johnson
4167 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.
City of Eaaali
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 676.5675
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 6:
Permit Fee:
Date Received::
Slaff: 0 la
I `o T15
BUILDING PERMIT APPLICATION
Unit 6:
Name: 5o PeOPeie7' GASEj l/vG. Phone: 4,57- 53-2/- 99471
Address / City / Zlp: 'P. !a. go k Zt 2 5 /Pv Cie -ma -s5 z o Mt/ g 74
Applicant la: Owner x Contractor
Description of work:gleig E 4yi / AZI/c"
Construction Cost: 0- 411, 4.57 .1
Multi -Family Building: (Yea x / No •
Company: 4E5 ,Tim/63. RODffn/erl. /.vc. Contact CiVIZI s dE+72SOd
Address: Q k / (q/ go TA'
City: 140a1.6ele5-Tn.t/
State: 14/4 Zlp: ice 20 Phone: 9S2 - 76. 7 - e?8/1
License 6: rio.5-60 Lead Certificate #: AlAr 41(03R-/
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 (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.uoahereteteonecall.a[st
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, 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 permit Issued In accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
x G11215 Ait/DaSOd%
Applicant's Printed Name
x-
Applicant's 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) 675.6676
Fax: (661) 675-5894
Use BLUE or BLACK Ink
For Office Use
Permit#, l .12. 61 31
Permit Fee: 3i
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a 9// Site Address: yl f17 i'/S- W
/, `/U 31 1 LifAvgg. 1:7144 4.4 Rots .° Unit #:
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Name:_5o P2tiegg. c
LC. Phone: 5.s//• '57- f94/7__
o. Box 212 5 / NE42 6VZ /It/ ' 94
Address / City / Zip: Rv
Applicant is: Owner XContractor
'R_ °°•°JfS1. f . :'II�y�h �('r,
»i; ' ' . °_.,Nrr 1
Description of work: ft fNol�E ,44/0 I�EPtAGE 50441. 4,40,4 SiD/4'
Construction Cost: 2 LI 374. g " Multi -Family Building: (Yes x / No _,
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Company: E, ffniti- /NC- Contact G� s �vDE�sO�
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Address: 9 Y / 1N, AVM .07 -Acer" city: ,fe .t/
State: MA/ Zip: ,ff'120 Phone: 95a - 9(0 7 - 078/7
License #: 4056 t0 Lead Certificate #: ,11,47-4/0 3 7 - /
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
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:
,NRIgifitAX ; lf4 01'11 - 4 ; /1fi h. ;Of"y�� 00106" c 7,810.6 `o1;iI.04 4'I1 S);nt3� r:, 11676 iso f ,IPPIU,M
-�h tt 00110 fpel1 la $Yflo 't / j► a uj �J�('� PTD: f f� � a eatir Ne e$/,(/��? tie til,,�'� tr
W Z °l.,n 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'� � °� 'A: .. 1.. Ts... �4 e �:. It: L
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utlllUes. www.gooherstateonecall.orq
I hereby acknowledge that this 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 permit, 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 GEfkls 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 CM-kls nitiPORSQA/
Applicant's Printed Name Applicant's Signature
Page 1 of 3