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4084 Beaver Dam Rd SEWER & WATER PERMIT OFFICE USE ONLY Q OF EAGAN MITER # . PEFIMIT DATE 02 3830 Pilot Knob Rd CHIP ,� # t ? 51i 5 Eagan, MN 551 22 -1897 METEI SIZE B.P.I CEIPT# C 01.7372 DATE FEB 18, 1992 ISSUE DATE t# I': RECEIPT DATE 02/19/92' PRV ___ B0OSTER >PUMP r " 4078 401) 4084 4016 4080 VI E - DAN RI) SITE ADDRESS 4145 41 414c 1 0): : : . 41, 4151 4.15rt E'IAf q' PERMIT REQUESTED LOT 8 BLOCK 2 SEC/Stja HIFFLEY - S SEWER _X_ WATER —,TAPS APPLICANT: ADDRESS: COMM /IND ..X_ RESIDENTIAL CITY, STATE F; ZIP X NEW .___ EXISTING PHONE: Lawn Sprirrkler Meters are to be Installed PLUMBER VALLEY :. F 1 . :: s Domestic Meters • on Water Line. ADDRESS: 610, E ' -. *J L NOT be giv -n for T?eciuct Meters. CITY, STATE J :. e ZIP . 55352 492 -2 L21, , PHONE: �,.'. .. �.. - t AGREE < • 0 WITH CITY OF OWNER: THE ;'RI0TTL ,00,:INC EAGAN ORDINANC S ADDRE 4 5201 E RIVER R1 CITY, STATE F'$I E Y Mit ZIP 5 5471 F) st _ r SIGNATURE WHEN METER ISSUED t �� ,ere . ' rir . ?" c f b R P ROCESSING. CALL 454 - 82'211 FOR IN SPECTIONS . ;FOR S�, SEWER PERIINTS, COtflAC‘TEft401141EEIIING DEPT. 06/17/2014 15:05 Les Jones Roofing,Inc. �AX�528817009 P.0091020 Use BL.U�or BLACK Ink ( For OHlce U9e ^ ^� � . ' j Permlt#: ������ I C"�"� o^ ��5�`�^ I permit Fee: l0 �� � 3830 Pilot Knab Road � � Eagan MN 66122 j Dete Recelved: j Phone:(651)6755675 1 I Fax:(661)6rG.6ss4 , � 5��� � I I �____.___�_.__-----., 2014 RESIDENTIAL BUILDING PERMIT APPLICATION yc�8- yo�o-4082-yo8y-yo8��UO&� �� D� �o�-o Date: � �? Slte Address:y/ys-y/'Y�-�//y9-N/r/- y/S3-�//s'� �u.2,�q�t.t, [ozia.7tinTt�: , � , , � :�r'i•�'� j .. � n;,+•,,.,*,.�„>` �r Name: yo P�eold2ry c,�� lntG. Phone: �5!- 5"S7/- 9S'�/� -�,:�;;; � �. ;�:;.��.; � ��>.. ;.���:�d��!�'I,?,;:;,;:; F'" � '.O�y'�'�r;�'''��'� Address/Clty/Zlp: �O. �i0 k 2l 2,$ �NvdYL�xQ.nv� �sLQtJ1!�. /�N b~S�dy 9� ,,,.�;�c'. ,;�.� i'� ; -�.; �1.;: .�^4�. ;;i°�`"•'�, ''r>`' ';:i:;. Applicant fs: 0 X ���;,� .:,; ;.�;;;< wner Cvntractor ' 4'yf��:.i:�,{.,:"I..i:i'11.!•',�r^•::'`:��\ .''t,�,,,;.�'..y.,,�.1^'v,�::f�r,i',r.�l',J^a..^;:��.. d ;:;�;��. {�-� �,',`��,�.,+�;`::<>�`; pescripHon ofwork: I�E�Y101i� fFr✓4 /�CPG.4G� S//Ji�/Lr. �, �1"Y,�e��`��WQ�`It;<; � �r?`;'„� ��%"�;��:?�:� ,��,:�;`; ConstructlonCost: � �O� Multl-FamilyBuilding:(Yea x lNo� �;.,, : :.��:.,� �;; �. r;:,�, . .;:,:� � ._, „ �� � ,�'y°,-j/" �,1�'�:',:;' / � • ��° -4�; ;;;�°v'� Company: �E,S �7'0� RUOFfaIG-_ /NG Contac�C�.er s ,4N042�so�/ `°���'���::.:;',;�':,'<:;`r;�.;:;t.;,,;r;.: � .Ni.,;�� .,,�;,,�,,.,, .,.,.,ar,,,:..:.r. i���:�S.i,i�;nii1;,'iA�;P'�;d.�r��:ri,�-'"."�i; , ,,.t.: ,, ,����,, ... �areea: 9�r �v. 80�` s�a�r c�ry: ,BGa�,�.�/ !;:-;�:�'�ora�r'�a�,tQr;%;;;:: .;�;;•' .: �:l;':, ,.cp �..� ... ��d.;i�: :�,,� !;.y6�.�!„ i4',� C:F��4:. StB�A��„Zlp: .f ��D - 7- 8 9 •! ,�.�.t�' .�49.'�. �.1 : �i?s�`, .f� Phone: 9�5A 76 a / ::;�;;��� ,.,��::. M�;;;;;:;;.�::'.';°:�.,: ,;„,� >;;.; ,:;�;:; ;:;�:�:;���'�,';�+;� %;;";� Llcense#:_ �2�/a� L.ead Certlflcate#: �U�4T `e`O � 7�-/ .,. �>,>� If the proJect Is exempt from lead certification, please explaln why:(see Page 3 for additional information) COMPLETE THfS AREA ONLY IF CONSTRUCTING A NEW BU(LDING in the laet 12 montha�ha9 the Clty of Eagan Iseued a permlt tor a elmllar plan based on a msster plan? � Yes _No If yes,date and eddress of inest�r plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer 8 Water Contractor: Phone: ,... .. . , .;,,„ . .. ;��,n►,�,7�;�I r��:�n�►,°,'i�- '�rigu"��,��'rir.���i �tr���'.au,�, �,�it��ar�.µ;��i�t��r�d:f.�.,,.'�,a �'��,�.;'�:fa���.ton�JPb fb�i�����„= .. {��:i 1.7,r,';NY,. ; ,:�,. ,��.�. .,;, ,�, ,,t�vp,�,• ,..�T.,.a;:' >�.:F-'T,.�:..�. r.e,�„� r, ,^ � �.o., .F••.�., "•�=��R y�lU.O� ,� S�:h•. _:,V'�1:. +`X� ;�)� 5...•.�.'G..1 ,�.. � �ciy; ��.,�.�._�'� ,=S:ra ��V• i�,... �.c .�,k:.,,,�...... ,►fi florl..�1i�'.�•k; ��'1�ass f'�d�� .n J�� •1�`���}��.�if:�y'_ouy `vid',��s �ee��.c;i'e�s ns� a��,�vt��7'Id= �e rtl�F� <;Oi ;;f�` ,.. A q � �': Y. � .,�.� .� ,.� .�..�., .�., ,:4.:. ,.!a.:^. �. ,.r._.� ..1�� ty�`..�.:,; .F, .1' .���..n. • �r,L.,..�. :�".;: �.r•l�r., n.A. �h. 1 ;.':;s` : � . .. �t:ns, .;,.�^�dr f`. Nrn.�,�.� ,5,..�,,7.. :M .,�� w.� ..v, �� r.<:.�� y i I�� �t,, .��..,�4 ��c ti;�� :::c. l•" .�'1;%i, 1�� ,'r. M%i'r �.1. ��,y''.5:;,� �.•.��r'4. .:,, .p I;'� '.� ''hf �<Lt.��,.1:���: „E� 'i .� �,/ •n't re��:,-..pyr*M ' q�� ' ' � ;�1�� .�i+: �.� :,7rA: ":'i:��v,.. :Jy`i:...;: ;;�.,;.;:.; 't<:, ';,:. ~:,�: ..z. ?.��`n (` �'.�t •th�. d ;� i'e�s�,,;. '�.�; , .. . . .. „ .. .,.. ,,.^:. . , .: ,,,,, r 1,�1 I, X ....,,.::... , ...,. , ..� .:..� ... ,�.,:..:v.. u`..<'.� .. ..�.�F1,Y..:.:'i.4�'..,� 1':..��I .. ...�j....N N,N ,r..[i.��„._... ,.. ; �' .�.... .F.�,..,�lf.... _.... .�� :e.. .rv..x„ CA�L BEFORE YOU DlG. Cell Oophor 9tafo One Cell e1(661)46M0002 for proteCUon agelnst underground utliity damape. C8U 48 houre before you Intend to dlg to receive locat8e M underpround uUlltlee, www.aonhersteteonecau.oro ' i hereby acknowled8e lhat thle Informalton Is comptete and accurate;that the work wtll be In conforrnancs with the orcllnencee end codea of the CUy ot Eegen; that 1 underetand thle le not a permtt,but only an appllcaGon for a permit, and work le not to atan wlthout a permit; chal Ihe work wlll be In accordence with the approved plen In the caae oF work which requlree a revlew and approvel of plane. Exterlor work authorized by e building permit 199uad in accordance with the Mlnnesota 8tate Bu(Iding Code must be completed withln 180 days of permit lesuance. x GtfR15 f�,U0�2�d� � .G�a�-�' x_ __ Appllcant's Printed Name Applicant's Slgnaiure Pege 1 of 3 0211912014 12:34 Les Jones Roofing,Inc. �A�}A528817009 P.0091020 Use BLUE or BLACK Ink � ForOHlceUeeYy__�____i 1 7�'�7�i � Clt� Of ���1�I1 , Pe�,���: . R��,�9°,!��' ► �7 i � Partnit Fee: � 3830 Pilot Knob Road FEB 1 9 2014 � Date Rec�1�d: � I Eegan MN 65122 � I Phone:(661)876-66y6 I Statt: 1 Fax:(661)676-569e1 . � � �----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICA710N �� Hp'78, 4080, H08Z,ti1t�8�I. �1D8b. SI08$ ,c3�A�V�� �� a'p Date: �I� � Slte Address: `�ISi / D �o� "T"` Unit#; r�„',��p .,. .. ;.i;C:;? ..;..�;,,.�9 ':r; :� ..,:?�::..,:�;,r,�;.r`�,.;�;' ��'r��"��..���A ti�ilti ti.,.,.�,e• � Name: ,1�',Q P�oPa2ry c�.E� �n►�. Phone: �a5�— .�,5�'/ 9�/'�19 . ,.! * _ ?�� i:�'ri` ��.�.�����. ��✓r��7� ;•�;�,�,�yt'���r �:;;,�,r`` Address I Clty/Zip: ��• �OX 2l2 5 �NvE1LC�¢.o✓�r �g-i oi,h�: � 6S� 7� �� ��., ;� �,c'. . ,.. �. ;� ? �� ��"`����<,�'t""((`1� ��� Appilcant Is: Owner X Contractor a.'�t.�.=:r. ,..�....r..•.,�:..,� �`�: `;,tYN J., d'" .' ). 4i.�,,/,..�...; ,� ��r�t 1 �LLO!/� A�V,O 10E�L�..E /� � �� � �" ' '� Description of wo�C:�' G� �i ye,p��'f�.��'��;�a r��,7��,.„�'a.,•• ,a ,,, �:;�� � -�-� } Construction Cost: �S�I 7�I GI. /S Mui�-Family 8ullding:(Yes x �No� � , .;�,-..�,�. �. �.�,:Y.:,,��fi,�,�.;�'!':;r'�;�'� N �� �i'.;'g, °' ��:�,;:' L.4�� Compeny: �ES �T`oN63 RGOFln/lr /.vG ContecL•G's,ri2r s �ivD�2so :�..� ,,...w�;��„.,. ; ,, r ;,.,jf<.N "'"J�." � ',...:,:,C I�1 '°� ' ' `` ` B�oa�.r�iv�✓ .f C Ay ' � � e:L' G:�''"i�.QI��C�t�t r�f£^4,� Address_��/ �1/. SQ� .�°!� � City: . .�:�� .w� ,. M i��;���;;; ��� �� ',� ';�-ti�,�;,,:�tw�;,�;�;;'r, State:�Zlp: .�.��2D Phone: 9� �— 9 7- 8/9 "-x�� ���n ,..v. ,,. ... x�� ,�, �h,;,r:; , . . � �r�.,.. I' ;`�� _ �,��`�t'';�y�:��,;':�"'' Llcen6e#: /05'"�D Lead Certlilcate#.�t/�7'� �f o.� 7�7 -/ If the project is exempt from lead cettificat(on,piease explain why: (see Page 3 for additionel informatfon) COMPLETE THIS AREA ONLY IF CONSTRUCTING A EW BU G (n the Ia$t 12 montha,has the Clty of Eagan lesued a pertnit for a simllat'plan based on a master plan? � ^Yes uNo If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Coniractor: Phone: Sewer&Water Contractor: phone: G "i ./ V.• q Yi'7 �1 Y PrR"_ ... J �. � 1 r_N,,,�'J,�%. �;�'1: b�. ;,- ;ts,,::a�,' ��u�"r�if�:����,. .t��to;l��9� �'IJ, t.o�, f?o'� ,y�d, ,� ;, ,�.. , �.J ��. �"� ' • i ., r � ss. � • . •' ,.��, �.. .,� ,,tl�eKi./,�f�, ,: .t,�ry � •��r.l��,�:� ���' �p�;�f;►►'�o'�aP�#.�z!t�������rQ.�.��tl��.�,�J,�.tf,�►,$.; '�a.�;�u�9�,;@�'fil�4��;;�., .^�i�,�,. , ��y - {� re� �° :�,_,�,.�.�-:,• .1,--�:� . „:. �;l 5� ��� ,� �t���,��; �f ` ��, ,.,.,�. . �, �+�. �. ,.� ,, �r?�;,.. . , . �,� , -• -- � 'e , � ' 't , .� -M�416w.,L. ....5.'.. .tlF.' „�.. �.. :��.� .� . �'..,.�7. �� .. ..IJ-'-'.l_.. a... �7c,.�c.__. :.�.,�Fe.• %�. .A� Iry�.'TG� �iiii_n�� ...�.. CALL BEFOR�YOD UIG. Cell Gopher State Ona Ca11 at(e61)a64•0002 for proledlon agalnst underground ullNly demege. Ce�ll 48 houre before you Mtend to dlg to recelve Iocates ct unde�gro�d utllidas. I hereby aCknowledge thel thls Intormetlon Is complete and sccutete;thflt the WoAc VNII be In COnfom19nC8 With lhe ordlnences and codes of the Clty of Eagen;that I underaland Ihls le not a permlt,but only an eppllceNon for a permit, and work le not to slart wllhoul e pertrdt;thet lha work wI11 bo In accordence with the epproved plan In the caee olwork whlch requirea e rewew and approvel of plane. Exterlor work uuthoAxed by a building permit issued In accordence wlth the Minneeota State Bullding Code mu6t be completad within 180 days of permit 19eupnCe. x G�f-2ts �4�tD so�tl (����� .G��=��0 x Appllcant's printed Name Applicant's Stenature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA139127 Date Issued:10/11/2016 Permit Category:ePermit Site Address: 4084 Beaver Dam Rd Lot:070 Block: 04 Addition: Diffley Commons PID:10-20450-04-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Kimberly J Mitchell 4084 Beaver Dam Rd Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159800 Date Issued:01/21/2020 Permit Category:ePermit Site Address: 4084 Beaver Dam Rd 70 Lot:070 Block: 04 Addition: Diffley Commons PID:10-20450-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Kimberly J Mitchell 4084 Beaver Dam Rd Eagan MN 55122 (651) 492-9242 H2c Inc Dba Heating Cooling And Plumbing 820 N Concord St South St Paul MN 55075 (612) 791-0850 Applicant/Permitee: Signature Issued By: Signature