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4082 Beaver Dam RdSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob fid. Eagan, MN 55122-1897 OFF:,CE USE ONLY PERMIT DATE 02/19/92 # 17544 512E B P ,RECEIPT # C 011372 B.P. RECEIPT DATE 02/19 /.92 PRV •..,_ t3O0$TEI3 PUMP PERMIT REQUESTED _X SEWER WATER X_ RESIOENTIA — EXISTING __TAPS APPLICANT: ADDRESS. CITY, STATE PHONE- _ TAPS HONE PLUMBER: ADDRESS:' CITY, STATE PHONES VA 610 Jo 492-2121, ZIP 5552,, kler Meters are to be linstatled Domestio Meters on Water Line. L NOT be giv n for Deduct Meters. E WHEN M R ISS#JE0 t%R POR, PROCESSING. CALL 45442211 FOR INSPECTIONS. ERII G DEPT. , f' City of Eagan PERMIT 41' C!tyofEaa Permit Type: Plumbing Permit Number: EA105501 Date Issued: 07/17/2012 IIPermit Category: ePermit Site Address: 4082 Beaver Dam Rd Lot: 069 Block: 04 Addition: Diffley Commons PID: 10-20450-04-069 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Greta A Gustafson 4082 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 C!tyofaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CCT242E2 Use BLUE or BLACK Ink For Office Use/7s7 9 Perit#: Permit Fee: / v� (-/- Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION t �/�C °\it, 10/23/2012 4082 BEAVER DAM RD,EAGAN MN 55123 Y j_/ Date: Site Address: Unit #: �9 A13 Phone: 612-396-3286 RESIDENT 1' OWNER Name: GRETA GUSTAFSON Address / City / Zip: 4082 BEAVER DAM RD,EAGAN MN 55123 Applicant is: Owner X Contractor Description of work: KITCHEN REMODEL Construction Cost t�frG 37 i W 15- C` Multi -Family Building: (Yes / No X ) Company: CREW2 , INC Contact: Address: 2650 MINNEHAHA AVE State: MN Zip: 5 5 4 0 6 Phone: License #: BC318 3 6 0 Lead Certificate #: BRIAN MARSHALL City: MINNEAPOLIS 612-276-1672 NAT -26342-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) HOME WAS BUILT IN 2007&AAl+- 1q 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: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and s l I documents that �rotr submit are cot .,ri rr� the information trtay be classified as n+ty rblic r �roa f conch t tat they are 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 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. Phone: Phone: Phone: x BRIAN MARSHALL Applicant's Printed Name x Applicant's Signature Page 1 of 3 Z ae-cc i f Q/ l DO NOT WRITE BELOW THIS LINE `zf I 01RS4 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition ' { Alteration �i '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 Framing Fireplace: Rough In Air Test Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 1 Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Sheathing Sheetrock Reviewed By: Z Siding Reroof Windows Egress Window 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 06/17/2014 15:05 Les Jones Roofing, Inc. (FAX)9528817009 P.0091020 Date: C!tyofEaaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 6755675 Fax: (661) 616.6694 (01/1 Use BLUE or BLACK Ink For Office Use 1'-3 Permit Fee: o, Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION yo78- yo9o-4082— yogi/ -yo8e. -1/off 41,401 Site Address:WC- 4I47- yq9-N/r/- y/S3 - •//55- D Pig ,1q t AZ, e2 1:tnit #: : 'U'' ', '" Oti• 't `" ` ° ::, Name: yo P oP rY 411 I.Arc-. Phone: 45!- Fill- ?9',/ f Address / City / Zip: P O. 13o k 2t 2 5 / N1, L &Q.nvx 466 6.4371P 9 4 Applicant is: Owner X Contractor ' e ''. : '„ ' -? % � ,;` "` Description of work: R -F -440P, A-40 4.0444.4- -574/A/4-; Construction Cost: t 26/070. Multi -Family Building: (Yea A / No ) ' -' ` '' 1r•{' • .,� t ' ; : ora ,, . ` lrrA • .. ; !v, 4' ::Fs 'State: • : .' „' :- Company: if5 ,ToN6 RGIOFht/G- /NC-- Contact CW ,er s AUDEAso#J Address: I 1 9Y 4 $D n` hazer - City: ,BGoaue r -ra.t/ kid Zip:,fr42 Phone: 9SA_ 767- aelY7 License #: 4.5-6i Lead Certificate #: N,4r `10 9 2-I -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 COMPLETE THIS AREA ONLY IF CONSTRUCTING A JIEW 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: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 0 ,fle .....i'.0,-t,11: :.inil.:.,r..., ..._ fnr..^ ". `sy9;7• S,,l, :,ilt, # Q' !ts 1`41/9:R��iir'Me"- t; ,4 e. s..�..� . jr r 4h7fo ii iiiiim.a's.k V'1a:ssf'ecf n�c- it it', rwyy.u1p vdd,s �.eof,ic;ess<nsa� kw:l' a ip FCi •. .(op` t*„'tJyy;? ., ,t<:.-''i.<,,,.,�)-,4sy! �,?i�, .:: .d6(`kt1;%thed �. .;st r, ,yT'h?Jrae';,*,'Y:".'. .:`� .. ':, F.^hc CALL BEFORE YOU DIG. Cell Gopher State One Cell at (661) 464-0002 for protection against underground utility damage. CeU 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 1 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 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 Cii-4f5 /¢M0 2sd/J Applicant's Printed Name Applicant's Signature Page 1 of 3 0211912014 12:34 Les Jones Roofing, Inc. ff AX)9528817009 P.0091020 Date: cep of Eaaau 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 676-6676 Fax: (661) 676-6694 . RECEIVED FEB 1 9 2014 Use BLUE or BLACK Ink For Office Use Permit #: / —2 -CS Permit Fee: VO.7 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ,� / 110'78, 4080, 14082,MC�84/, gab, 4108$ 8�412 V — DA" a0 a/iI�'�� Site Address: Unit #: 4,� ,..•)h4 nj] ii. Y�/�,ti,,,,.t,e. .'�W-::,,.:;;;;,v. At .,.tt . 21,, 7%.:''((,1. it Name: 9p PeOI4 7-V C• 41,Er tNG. Phone: 65/- 55—/ ??4'1 Address / Clty / Zip: 1'6- DO k 212 S / live- - (x+e o✓4r -217‘76///3;Aid 6S 2 4 Applicant Is: Owner x Contractor 71:1„,'„711,,1; rd.. :. ..; y .1j4• r►�t '� ' • -d D ,140 ,D ICt ..� /t t� Description of worki�' Ali Construction Cost: 059, 7q9, / $ Multi -Family Building: (Yes A / No • S IV; r' 2i,: ` 4.,,, L :41 . f C :^.4 , •1 1 . ; `teL� G „6:) flus tAAr f 1 11,t.R .; �' ',11.4 ;A1,4;::; 'r, 4w. ;>n. ,.v. ,,. .. "c/�� ;. d� .,`4'”' .))..... :' !` Company: SEs T2,v 3 ALei Em/� /AX. Contact Cs,roar s ,vo672so Address: 94i / W $Q m .-47./ City £ a'cd rTZ M/ State: At/ Zip: .�.�'/2C' Phone: 952 — 74 7 - 018/9 License #: 4P�4o� Lead Certificate #: 4.'47" '10 3 9R -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIhpING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, data and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: .';1-11.0.04.11/4* ; L: .f' Itlr`eal ' M �f$ry L :1 .'. $ .�':. �� L...46041"4 -) L.. y•.•41 ).-b... ...�:� �a4frcl�ra � ., .. �. �.i l��`;,,,.P •i'7 1 Jtl' Y r>7 PrR` I � - d �:j t ,�. ) :, :4 �. i � 4 :r'>;,�' "Wsuo` r rs - �3:toi]� 9 hila tot F?o', '} ` t �� q � � . �St, l�� a cep• F.� jf% 0I;,l or , P pg, _altgol vptaticip ',g,gf_ io#9,M�. tfl►` .';p[�/yT 0,40.9,p191r . ikkf . .. ^ i�. ' `� J•, `/,({y(. �p .,(. p�JP� y� �rN•;iYA �.: �- ,.'.. Y � iTA,),,,i;!�r' IF �f y �M„.',ins 7. ''.e.4e4V..c te1� . rN . i t1l kkai riON .� Y !'. .i•i:. ,� 'I'+'6 P ff .. ilr I'.. A. .� .. ��1�f. Tu. e�th >~. ►� .�.:. �....��r.�A.:. ../ . ..A.\ . ._Tntl y�lf.l •</11�'1'��-4�h�F . tl CALL BEFORE YOU DIG. Call Gopher State One Call at (861) 464.0002 for protection against underground utility damage. Call 46 hours before you Intend to dig to receive locates of underground utilities. whymmlicoadrangrama I hereby acknowledge that thls 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 le not to start without a permit; that the work will bo in accordance with the approved Alen 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 GEf-2tS 410672soA/ Applicant's Printed Name x ' . G�CgGzswF`" Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA165703 Date Issued:11/16/2020 Permit Category:ePermit Site Address: 4082 Beaver Dam Rd Lot:069 Block: 04 Addition: Diffley Commons PID:10-20450-04-069 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Greta A Gustafson 4082 Beaver Dam Rd Eagan MN 55122--211 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature