4063 Beaver Dam Rd05/06/2014 09:39 Les Jones Roofing, Inc.
*City of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 676-6676
Fax: (661) 676-6694
(FAX)9528817009 P.003/011
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
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,aSOier 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: . f ! / Site Address: 41) 4oG3, 400 Lf EreoWED ia.4,t RaA-L) Unita#
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Name: yo P2oP42rY C-A-stE1 LNG. Phone: 65!- 5�'/ 9 i
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Description
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Cost: rp7079- 2-2Multi-FamilyBuilding: (Yes x / No _ ) . •
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Md Zip: frie27 Phone: 95 — 76, 7" 0819
License #: 6561) Lead Certificate #: ,1104-7— 4°0 37�7 - /
If the project Is exempt
from lead certification, please explain why: (see Page 3 for additional Information)
In the last 12 months,
Yes _Jo If
COMPLETE
has the
yes, date
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN9
City of Eagan issued a permit for a similar plan based on a master plan?
and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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CALL BEFORE YOU DIG. Cell 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 utilities. www.000herstateonecpi.orq
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances end 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 plans.
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
05121/2014 10:19 Les Jones Roofing, Inc. (FAX)$528817009 P.0101011
1111!Pa° City of Eaaall
Date:
3830 Pilot Knob Road
Eagan MN 56122
Phone: (651) 6755675
Fax; (651) 675-5694
Use BLUE or BLACK Ink
For Office use/ C
Permit #: ��'1(p
Permit Fee: �O
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
a //9 /# Site Address: 4/x..41.4 .400 4071 gesivEk AtIt f R_pA p Unit #:
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Name: o PeOPetrY C.AEr tNG, Phone: !06/- rte/• 194/9
Address / City l Zip: 'Po. Box 212 5 / Mien- 6�-D a 4i,h !114/ 61J-47 94
Applicant Is: Owner X Contractor
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Description of work: I�EMD wND pM
Construction Cost $ 20 550. �� Multi -Family Building: (Yes A / No
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Company: AES ,Th,v s Ru0f7i 14�^sOAJ
Address: )'iI W. tO .4777 City: utiLr7Zm✓
State: ,�n! Zip: f .V 2D Phone: 95-A-74,7-_,.78/1
License #: i6re, ro Lead Certificate #: AlA-T LID 3 VR - /
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 Cell at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoohsrstateonecell.orQ
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 plans_
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
City of Eagan
PERMIT
EAGAN
Permit Type: Plumbing
Permit Number: EA154024
Date Issued: 02/11/2019
Permit Category: ePermit
Site Address: 4063 Beaver Dam Rd
Lot: 36 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-360
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Lynn M Swanberg
4953 Beaver Dam Rd
Eagan MN 55122
(612) 232-8203
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171893
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 4063 Beaver Dam Rd
Lot:36 Block: 01 Addition: Diffley Commons
PID:10-20450-01-360
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 -
Lynn M Swanberg
4063 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