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
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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��� �
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
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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:
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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.
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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 . � �
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2014 RESIDENTIAL BUILDING PERMIT APPLICA710N ��
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Date: �I� � Slte Address: `�ISi / D �o� "T"` Unit#;
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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:
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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.
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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