4071 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
Construction
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Cost: rp7079- 2-2Multi-FamilyBuilding: (Yes x / No _ ) . •
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9/ i Iv, gem' i'T/Lzz'Y City: 4.404, 4<.trerMit/
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.
x GlMiS #441DE72Soo
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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•,'Sr :. L' c1 );�`:! r,,,,s ..r °i'.. i "M,,'.,l. lit�,y. •:I..$f A P }p.Qf.Q 2Fb?XRT•'v6i ,..yd.,rF9i.AI•.f Jir. k s).*q., >5101"..?...., COC' :3.., '�. tial � l''a,„i;•i. 4'G .7.' ',
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,
GiMkrs ilAiDa2SCij
Applicant's Printed Name
GAG -014( ("4”
Applicant's Signature
Page 1 of 3
07/28/2015 15:14 9529855282 DRAINPROPLUMBING PAGE 02/03
Use BLUE or BLACK Ink
�City atkali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5676
Fax: (651) 675-5694
JUL 2 8 2015
For Office Use
p./mkt /2 2 /8(n
Permit Fee: Coe9. 00
Date Received: 7— as; --/'} 1
Staff.64-0
L
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 14 -15 Site Address: 4 Di t Beau ex Pa k., 'Rd •
Tenant: Suite #:
J
Property
Owner
Name: Phone:
Contractor
Name:�ra� � � r0 (Uu.b�l k G. License CPC 000i 01
Address: eS 15 2.0414"3 - city: L ' ((e State: MI Zip: 5504*
Phone: 95241-Gqi (oQ99 Email: _ 1 r- doA tv,4501,cow.
Type of Work
i New _ Replacement Repair ZC Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work:
Permit Type
COMMERCIAL New Construction Modify Space
_
A.,_ Irrigation System a yes/ no) (& RPZ /_ PVB)
* Rain sensors required on irrigation systems
. Avg. GPM (2.. turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter,
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes _No FiushomatersYes No
COMMERCIAL FEES
$60.00 Permit Fee
Contract Value $ x .01
Minimum, includes State Surcharge
If contract value is
If the project valuation
= $ Permit Fee
GREATER than $2,010, Surcharge = Contract Value x $0.0005 = $ Surcharge*
is over $1 million, please call for Surcharge D
=s - TOTAL FEE
Following fees apply
Contact the City's Engineering
when installing a new lawn irrigation system $ Water Permit
Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ _ State Surcharge
=5 (0 0.00 TOTAL FEE
CALL BEFORE YOU DIG. Cep Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances end codes of the CO 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.
oral Lar5
Applicant's Printed Name
App ' ant's Sig
FOR OFFICE USE Approved By: Date:
Required Inspections: _Under Ground _Rough -In Air Test _Gas Test Final PRV Required: _ YesNo
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA137894
Date Issued: 07/28/2016
Permit Category: ePermit
Site Address: 4071 Beaver Dam Rd
Lot: 33 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-330
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.
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
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Aerotek
34345 Quinton Avenue
Center City MN 55012
(651) 493-8324
- Applicant -
Owner:
Jean Collier
4071 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155257
Date Issued:05/06/2019
Permit Category:ePermit
Site Address: 4071 Beaver Dam Rd
Lot:33 Block: 01 Addition: Diffley Commons
PID:10-20450-01-330
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 -
Sandra L Johnson
4071 Beaver Dam Rd
Eagan MN 55122
(612) 991-4722
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172225
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 4071 Beaver Dam Rd
Lot:33 Block: 01 Addition: Diffley Commons
PID:10-20450-01-330
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 -
Sandra Lee Johnson
4071 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