4102 Beaver Dam RdPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119988
Date Issued:01/08/2014
Permit Category:ePermit
Site Address: 4102 Beaver Dam Rd
Lot:156 Block: 04 Addition: Diffley Commons
PID:10-20450-04-156
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.
Lisa Skogen
5660 Memorial Avenue North
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 -
Thomas P Sullivan
4102 Beaver Dam Rd
Eagan MN 55122
(651) 452-5162
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
06/17/2014 15:08 Les Jones Roofing,Inc. �Afl�9528817009 P.0191020
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3830 Pllot Knob Road � �
Eagan MN 6b122 j Date Received: �
Phone:(661�67G-G67G I �
Fax:(661)6755694 . i Staff. �
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2014 RESIDENTIAL. SUILDING PERMIT APP��cATio�
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lf the project ls exempt from lead certlflcatlon, please explain why:(see Pege 3 for edditionai informallon)
COMPLETE THIS AREA ONI.Y IF CONSTRUCTINC3 A NEW BU���G
In the laat 12 months,has the Clty of�agan Issued a permit for a slmllar plan based on a mester plan�
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Sewer&Water Contractor: phone;
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CAI.I.B�FOR�YOU pIG, Cpll Goph9r Stete Oee Call at(861)b6�1-0002 for pmtecflan agelnst underground ulllily tlemege. Cel(48 h0ure
betore you Inte�d to dlg to recelve locetes of underground u11UUee, uwuw.00aharstateonecall.nra
I hero6y acknowledge Ihet thls Informelion Is camplete and accurete;lhet lhe work will be tn conformenCe With the oYdlnences end codeb of the Clty of
�epan;that I unde►stand ihls Is not e permR, bul only en appllcetlan for e permlt, end wotk ia not to etert wlUtOUt e pemtll; thel lhe work vulil be In
accordance wlth Ihe epproved plan In the case of werk whlch raqulres e revlew end approvel of plens,
EXterior work authorhad by a bullding permlt Issuad In accordence wlth the Mlnne9ota 9tate Buliding Code muat be Completed Within 180
day9 of permtt Issuance.
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Applicant's Printed Nama AppllcanYs Slgnature
Page 1 of S
02119/2014 12:37 Les Jones Roofing,Inc. �AX�9528817009 P.0191020
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Eagan MN 55122 F�� � 9 Z��(� j Date Recelved: j '
Phone:(851)675»567b I I '
Fax:(6G1)676-6694 , � Stan: i !�
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If the projecf ie exempt from lead certlflcatlon, please explaln why: (see Pege 3 for edditionel infonnation)
COMPI.ETE THIS AREA ONLY IF CONSTRUCTINO A NE1N BUII.DINO
In the last 12 months,has the C1ty of�agan Issued a permlt for a elmllar plan based on a master plan?
„_,Yee _No If yes,date end eddreas of maeter plan:
Llceneed Plumber: Phone:
Mechanlcal Contractor: Phone;
Sewer&Water Contractor: Phone;
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CALL BEFORE YOU DIG. CaN Gopher 3tete Ono Call at(661)454•0002 tor profecUon agalnet u�derground uUNty demage, Ca1148 hours
before you Intend to dla to recefve Ixetes of underpround utllltlea. www '
1 hereby acknowledae that thle Informeqon(s complete end accu�ate;that the wark wlll be In conPormance uullh lhe ordlnancee and codes of the Clry of
E9gen; thet I underetend tNe ia not a permlt, but only en eppllcatlon for e pe�mlt,and wotk 18 not lo etart wllhout e pennit;lhel fhe vuork wlll be In
accOrdenee wifh the epproved plan fn lhe case of work whlch requlias a revlew and e�pproV�l of plene. �
Exterlor Work authorized by a bullding pa�mlt 19sued In accordance wlth Lha Mlnnesota Stflte 6u11d111�Code It1Uet b6 COtllpleted wlthln 180
days of permlt 19suenco.
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Appllcant's Printed Name Appllcant's Slgnature
Page 1 013
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165483
Date Issued:11/03/2020
Permit Category:ePermit
Site Address: 4102 Beaver Dam Rd
Lot:156 Block: 04 Addition: Diffley Commons
PID:10-20450-04-156
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 -
Blair Maureen Sullivan
4102 Beaver Dam Rd
Eagan MN 55122
(651) 303-7491
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175610
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 4102 Beaver Dam Rd
Lot:156 Block: 04 Addition: Diffley Commons
PID:10-20450-04-156
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Blair Maureen Sullivan
4102 Beaver Dam Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature