4083 Beaver Dam RdCity of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA109415
Date Issued: 03/07/2013
Permit Category: ePermit
Site Address: 4083 Beaver Dam Rd
Lot: 30 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-300
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Richard Tstes E Johnson
4083 Beaver Dam Rd
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
05106/2014 09:40 Les Jones Roofing, Inc. (FAX)9528817009 P.004/011
411111* City of Eaall
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 676.6676
Fax: (661) 676-5694
Use BLUE or BLACK Ink
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For Office Use
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Permit #: 1)94k1
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Permit Fee:
Dale Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z//q //Y
Site Address: £fp s Yoi � '/08,3 '1487 &a -vert Dsth Top Unit #:
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Name: yo Peo'd 7V C.44E1 CArc.. Phone: 457- 5$V- 99?q
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Address /City / Zip: � BO 21 � 5 /NvE/Z �P�o✓d /4� /� �� �
Applicant is: Owner x Contractor
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Description of work: /cop/0j A940.--1-24,4e4-UO,-
Construction Cost: $ 9fii a?/- " Multi -Family Building: (Yes x / No . )
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Company: Ars Ta4Y Ro)F?A/6 MIG. Contact: CWi s O so
Address: 9v/ t4/ 8d TN "Meer' City: JLoatci vlrrtrA/
State: /4l4 Zip: frie20 Phone: 95A - id, 7 - a8/9
License #: 63-60 Lead Certificate #: I.4T- Yo 8 9? -/
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12
Yes
months,
If
Contractor:
COMPLETE THIS AREA ONLY IF CONSTRUCTING AifW 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:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water
Phone:
Phone:
Phone:
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CALL BEFORE YOU DIG. Cell 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. yvww.gooherstateonecall.orq
I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordlnancea and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work le 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.
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Applicant's Printed Name
Applicant's Signature
Page 1 of 3
05/21/2014 10:19 Les Jones Roofing, Inc. (FAX)9528817009 P.009/011
41/11. City of Eatan
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 676-5675
Fax: (651) 675-5694
Use BLUE or BLACK ink
For Office Use
Permit#: I7,? -5111-14
311 :s
Permit Fee:
Date Received:
Staff:
a
/`� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z/ / /JY Site Address: '1iz 5, LeD7 9, 4'O '1Ot7 Unit #:
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Name: 90 peoet ry GSE, 6Ne.. Phone: 6s/w Ffi/ 991/9
Address / City / Zip: �P O. BOX 212 5 I mi n- �e•.o✓Z .zt /I 4' 5 7 4
Applicant is: Owner Contractor
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Description of work rf 4WDQrJPt+9ed: Soma !�Ml71�P ,A/b
Construction Cost: �"' Multi -Family Building: (Yes A / No
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Company: SES �ON&3' R�OF<i✓� ,
Address: 9 1 W. 80 "7,ze � City: 444
State: kln% Zip: fr4e2 Phone: 95,2 - 70.7 - ag/9
License #: 65-0 Lead Certificate #: 4)4 410 3 9? - /
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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:
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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 Mlles. www.gooherstateonecall.Qre
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 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.
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Applicant's Printed Name
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Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155628
Date Issued:05/28/2019
Permit Category:ePermit
Site Address: 4083 Beaver Dam Rd
Lot:30 Block: 01 Addition: Diffley Commons
PID:10-20450-01-300
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Richard Tstes E Johnson
4083 Beaver Dam Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158079
Date Issued:09/24/2019
Permit Category:ePermit
Site Address: 4083 Beaver Dam Rd
Lot:30 Block: 01 Addition: Diffley Commons
PID:10-20450-01-300
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 -
Richard Tstes E Johnson
4083 Beaver Dam Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176156
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 4083 Beaver Dam Rd
Lot:30 Block: 01 Addition: Diffley Commons
PID:10-20450-01-300
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Richard E & Irene J Tstes Johnson
4083 Beaver Dam Rd
Saint Paul MN 55122--210
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature