4136 Beaver Dam RdPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111363
Date Issued:06/20/2013
Permit Category:ePermit
Site Address: 4136 Beaver Dam Rd
Lot:163 Block: 04 Addition: Diffley Commons
PID:10-20450-04-163
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.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Michael A Raymond
4136 Beaver Dam Rd
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121070
Date Issued:03/12/2014
Permit Category:ePermit
Site Address: 4136 Beaver Dam Rd
Lot:163 Block: 04 Addition: Diffley Commons
PID:10-20450-04-163
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael A Raymond
4136 Beaver Dam Rd
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
06/17/2014 15:08 Les Jones Roofing,Inc. ffAX�528817009 P.0201020
Use sL.U�or BLACK Ink
� For Oifice Use^ ^ ^ ^ �
• ; Pa�,��#: �3��� ;
C��� �� ����� � Pertnit Fee: � � I
3830 Pllot Knob Road I I
Eagan MN 55122 j Date Recelved: j
Pho�e:(s��)sy�-�sy� i �
Fax:(661)675�694 . ' I SIeN: I
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2014 RESIDEN7IAL. BUILDING PERMIT APPLICATION ,
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�'i11:..!T.,�H:,I;'`';:;:;: �-,�;:; '::�;;� Licensa#: �S7o� Lead Certiflcate�i: .U.47^ �O 3 9R�-/
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If the proJect(s exempt from lead certlflcatlon,pieeae explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONL.Y IF CONSTRUCTINO A NEW BUILDING
In the laat 12 monfha,has the Clty of�agan issued a pemlit for�simllar plan based on a master plan9
_Yas _No If yes,date and address of inester plan:
Llcensed plumber: Phone:
Mechanical ConEractor. Phone:
Sewer&Water Contractor: phona:
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CAI.�,S��OR�YOU dIG, Call Gophar State Ona Ca11 at ig61)464•0002 for prolecllon against underground utllity damape. Call 48 houre
b0foro you Intend to dlg to recelve locales oi underground utllfUea. w�vw.pooherstateonecaU.om
I heroby acknaMedge that this Iniormetlon Is complete and accurete;that the work will be In coMormance wllh lhe orcllnancea and codeo of(he Clty of
Eegen; lhat 1 understand lhls le not e permlt, but only an appllcaUon for e pertnk,and wofk le nol to etart Without a permit;that the worlc wlll be In
eccordance wllh the approved plan In the caee of wak whlch raqulres a revlew and epprovel of plene.
Exlerior work authorized by a buliding permit 156ued In aecordence with the Mlnne9ota State Buildlne Code muet be completed within 180
aays of permlt issuance.
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Appllcant's Printed Name AppllcanYs 8lgnature
Pege 1 Of 3
02t19/2014 12:38 Les Jones Roofing,Inc. ffA��9528817�9 P.0201020
Use BLUE or BI.ACK Ink
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�ty Of�a��� ��������� ; � ��-���-�
� Pemtll Fee: � �
3830 Pilot Knob Road
�agan MN 66122 ��� 1 91�t4 � Date Received: i
Phone:(651)675-6676 � S�� I
Fax:(661)676-6694 . � �
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2014 RESIDENTIAL BUIL.DING PERMIT APP ICATION
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Date: � � ` 31te Address: yi 3 S' � V� a� Unit�:
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t�'��"'�;��:�>-' � �Jm�r "��'��'i Applicant is: Owner x Contrector
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If the proJect is exempk from lead certificatlon, please explain why: (see Page 3 for additional Information)
COMPLE'1'E 7HIS AREA ONL.Y 1F CONS7RUCTING A�BUILDING
In the laet 12 months�has the Clty of Eagan issued a permit for a slmllar plan based oh a maeter plan?
�Yes No IF yes,date and address of maeter plan:
L(censed Plumber: Phone:
Mechanlcel Contractor: Phone:
Sewer�Wate�Contractor; Phohe;
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CAI.I. B '�ORE YOU DIG. Call Gophar Stato Ono Cell el(661)464�OOOZ for protection againat underpround utlllty damage. Cell 48 houre
before you Intend to dig to receive(oCetas of undergro�md utlllUee. m�vw.aonherstaleonQ�all.or�
I hereby acknowtedge that thls InformaUon la compiete end accurete;thst the work will be m conforrnance wlth the ordlnences and codes ol the Clly ot
Eepen; thet 1 understend tF�e le not e permit, but onty en eppllCallon fo�a permit, and work le not to efati viAthout a permit;that lhe wortt wlll be In
eccordance wtth the epproved plan In lhe ceae of work wtikh requlrea a rovlew and approval of plens.
Exterlorwork authorized by a buliding pArmlt Isauad In accordance wlth tho Minnosota state Building Code musf ba completed wlthin 18�
days of permlt Issuance.
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Applicant's Printed Name Appilcant's 8lgnature
Pege 7 Of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159404
Date Issued:12/16/2019
Permit Category:ePermit
Site Address: 4136 Beaver Dam Rd
Lot:163 Block: 04 Addition: Diffley Commons
PID:10-20450-04-163
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michael A Raymond
4136 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:Building
Permit Number:EA172222
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 4136 Beaver Dam Rd
Lot:163 Block: 04 Addition: Diffley Commons
PID:10-20450-04-163
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michael A Raymond
4136 Beaver Dam Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature