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4095 Beaver Dam Rd' WER; & WATER PERMIT OP EAGAN Pilot K,i�b Rd. Erman, MN 55122-1E97 t LUMBER: VVt PL t{ESS: -610 010i:vt CITY, STATE :I¢ MAN AN 492-2121 Lawn Sprinkler Meters are to ; be Instal.ed Ahead of Domestic Meteon Water Line. Credit WILL NOT be given Deduct Meters. TEE . RQITL1 5201E RIta 574-0104 ATURE WHEN: T R1 SitED OR iNSPEC:t NS. FOR STO i p City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA107790 Date Issued: 10/29/2012 Permit Category: ePermit Site Address: 4095 Beaver Dam Rd Lot: 28 Block: 01 Addition: Diffley Commons PID: 10-20450-01-280 Use: Description: Sub Type: e -Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 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 by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: BARBARA A GEHLEN 4095 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 City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA112142 Date Issued: 07/30/2013 Permit Category: ePermit Site Address: 4095 Beaver Dam Rd Lot: 28 Block: 01 Addition: Diffley Commons PID: 10-20450-01-280 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Barbara A Gehlen 4095 Beaver Dam Rd Eagan MN 55122 (651) 686-2973 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 05/06/2014 09:40 Les Jones Roofing, Inc. C!tyofEaaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675-6675 Fax: (661) 675-5694 (FAX)9528817009 P.0051011 Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: Dale Received: Staff: a 40 4_25ait r - - q 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 7 Date: /,51 Site Address:'f05'S o 4 0 F4ve7 Unit#: 11 , yJ'. r>},r'Y l� +, 1j ' ,L •''' - '�1 ` ' 4 - - .4. Name: 'o PeOPP2rV a4+12.6 t nes.. Phone: 457- ssr/- 991-/q r Address / City / Zip: Re), Bok 24 2 5 /rn.' 6,--0v4 7444 , 6 -Cr' 74 Applicant Is: Owner X Contractor ',I.� .. `' � .!, •ep` 1 ; / 1...kJLlO// Description of work: E 1,1140 /t- EPI.Ar� f Construction Cost -- // 3YC/��/� , 71 Multl-Family Building: (Yes A /No ___.) • ;r io )4,„;) , I '. ©. ° 4,i_(', .0A' N �?;�► '� f44, ,; 0 , / Company: les ,ToA/E5 RGt�ff,✓ /Ale.. Contact: Ci -/R.4 s 4%4672s0,J Address: 9'i/ 14/. Q4 77/ Qi 'T" City: L.GR�lct vll�- , State: Md Zip: .fre2D Phone: 9'SA - 76 7 - a8h License #: 4,5-6,0 Lead Certificate #: .I141- `/0 3 7.? - / 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: 9'� 7Ab € fj r 1� 1 , �.J/i J" ' 0 ���9 -� �1 ,s' ! 1 ' 0 • r ,11-tO t.4, Wit1,e, 1 �r ao yut,,i' .� A :J '41; 'ir'1r u J ° 4 " - yN , ,y j'o ' F1,v �� r ���j,1Q� �f o 001 °XS�oiC ' - c / 1- gla a r fl1...,o o �e1 ,��ppa � °,jj�r ;4fti',��,c°t , et 64. �1�1' L.lR .1 1; °i. °tl( to :l a 1 o I e �;' � ,c N�!./ R� r ,o'l I �• Y�• a 7 �%:���. e o 1 � T%�r'�° •i. a •% q � S' J r ;1-,•- CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you Mlend to dig to receive locates of underground uUlitles. www.000herstateanecaiI.ora 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 plana. 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 Cues ,4NDa'cA/ Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. TAX9528817009 P.008/011 City of Eaau 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-5676 Fax: (661) 675-5694 . • Use BLUE or BLACK Ink For office Use Permits,: /2zTh(3 Permit Fee: -11r Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z1/7/Y. Site Address: Yogi.S Yo/9.4/03 1764&1672-% aoe-A Unit #: ,;', '' ' ,' ;;: tv ,":�R0�� �i tl; .' 's^ j tli. ". e..„, -,0!s..„ < `� ' =2 !, '' ! Name: 90 P2oP42ry c-A-eE 6Nc.. Phone: /S7- 5$7/ 99'/ Address / City / Zip: 'Po. Bok 2.►- 5 /NvpLC7�e-ov.L 1i1h A/ 65-x7 9 Applicant is: Owner X Contractor �er- ' 4 .' �f41, A�,, ' '1."'`''' " .1 ' .'' 1 Description of work: FNIQIJE A'iJL) E> E SE iti / Multl-Family Building: (Yes A / No ) Construction Cost $'21i ?41 to • r, i 21.66, = .+` °, Y >; `fit t ° r (' i 4;,b1 (1ptlL•••':-; ry . „. , d .x , '1111;',°141';'1,4..."'''' ' ``'; i;SAF".f:t ^ ! 1,,..4;1,,,5 :;.,,::?;,, j � �,, r,; Company: Ars ,TaNg3 RGtorrm/b /NG Contact Cheer s r Or�Lso City: TDA✓ Address: 911 W. 80 s�-/ 7 - �C �b State: ASA/ Zip: fr4`2D Phone: 95A - ib 7 - 978/9 , T .7 License #: �O.-�o41 Lead Certificate #: �U� 0 2 ^`)fir 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 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: y� f %�1 i (y y{/ �y {( ., 97`1 :T /,a trS. �l' ;Ili�.. .,*oha#yc .�.. /�A/�5 , °j e. wfiliflrifV• ALiori, PQ;1,V' ," •,b,, '° 1.1'. �' .. f!J' P j0h , ,, a: 6' : iEi�'7'figotpleo , I ' -, do t;in3` `hero . ,fid, .t,� f:t.,e It4 o;4, 4 F eAd k;ft..w,'a"_ .4.7. '" :' W , �r.„ '4q '21 •F, . .' . 040141. 41 t, .)464,00...'. �i ..-,, ti Atot.,* :.. �t;�, 0:4e" „t ', z' -. %.:i...,41 CALL BEFORE YOU DIG. Call Gopher State one Cali at (861) 464-0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities. w uooheretateonecall.orq 1 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 Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work wtll 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 CH -kis 4ND QA/ Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA132289 Date Issued: 08/04/2015 Permit Category: ePermit Site Address: 4095 Beaver Dam Rd Lot: 28 Block: 01 Addition: Diffley Commons PID: 10-20450-01-280 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - 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: Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 - Applicant - Owner: Barbara A Gehlen 4095 Beaver Dam Rd Eagan MN 55122 (612) 325-5988 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