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4131 Beaver Dam Rd05/06/2014 09:41 Les Jones Roofing, Inc. 4016 City of Eaaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 676-5676 Fax: (661) 675-5694 42oeir ff AX)9528817009 P.0071011 • Use BLUE or BLACK Ink For Office Use Permit II: ` Permit Fee: 1k'J J50 Date Received: b I I Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: II/471/y Site Address: `fl2 y Yi S D .... Unit #: J c41. __ .. , , ' a ' a ' °��;� o•;� "��7. , `` ,cI'• • • .'"' A ;' , •r' ( Name: yo PYeOPPT`/ G4I?Et I. NC.,, Phone: 657-' Sii/- 99'-/9 Address Applicant / Cit / Zip: 'P O. BO 2 / v v y p: � 12 5 N E�2. �o .x [�t11� /Lli(/ d'� 9 � Is: Owner X Contractor +y„` T. - y -A ,; \i„:�? .. g ",;r I. 'Ate .., 1, 40,0 ',r Description Construction ��pp ,,pp of work: _XF41e) A-4/1"A-4/1"/�0O G6 4 pop Cost: $ 5/4 93$, �� Multi -Family Building: (Yes x / No ) ti” ", :j,, Xa '?NH. by (• • e YI' '"4' ^# i ` ^ 'f'\ `r ; `, J t ��,. yy ' � ' Company: Address: State: SES v6S Roof/fur- //VG Contact: C�,F� s 4 6Fzso tQ Q / W. PO �'l"/L T"' City: ,Bcoe evG-7-,/t/ /(/Irl Zip: ..1./412( Phone: 9'SA Iry 7 w 02811 License #: 4.3-6,o Lead Certificate #: .1.44T °i0 3 7,7 -I 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 Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE has the yes, date THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING City of Eagan Issued a permit for a similar plan based on a master plan? and address of master plan: Phone: Phone: Phone: 'll Y i v' 1 ��1r co©I r ) �` 0 0 0 y +9 Y J .I ' ( ���f' 7� I� ,,,'!*-1.''''' . alt i 7 L l .iW 'ji o 64i ° Y%y�, .. r, c ° `rr ° a JI )e eY A1. �L Jjfy){ny 1 .:. T� e�� 6 9�i �/ i� i 1 r 6,�,{,f� I P `Sj )1.: : a Q IYA1 ° ) C a o ° r( ( � ° s ^.0 , r °aY�'� a ° t; sL 1 1, c Airr d, . a % r k_k`.;• `' { 'VI. eY �e f., o W )� ! 1ji., .1 'f 0�i1P.41 �••l 1• %�° ° o/ 1 y' Y:• I I� �1/' r-,u�/ � �^ � Y <, ,'--. ,, �. i. ,1. CALL BEFORE YOU DIG. Cell Gopher State One Call 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.000herstateonecalLorh 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 GthIX CiRIS 4MD6iso, Applicant's Printed Name x rk . I'' Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. (FAX)9528817009 P.0061011 '�"S'11‘" City of Eta] Date: 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675.6675 Fax: (651) 676-6694 Use BLUE or BLACK Ink For Office Use Permit 8: 2-151 3 j Permit Fee: Z3L_ Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATIONcby`>''' 2! 49//r. Site Address: `/123, 4//1.7 '1/3/, v/W Q.,vEx_ 12Q,40 Unit it: • • . ' , ' ; 1 y . -ix, rtT O ner' ,t, f , Sa 'Ya. , v '".. .. ,.��� � Name: 'o PeOPe27-`' GAeE LNr✓. Phone: 457 r$7/- 99470q Address / City / Zip: Bo. Bo3 2 '' 2.5 /�n_GE-o✓d r4h' 1g4/' v' 6 74 Applicant is; Owner X Contractor it 54 L@ � .•o, ,�A r ;;°3 ;. Description of work f MOvE 4i'V AnJo MF s -P 1:i4/4"; Construction Cost: d / r, 2. 6 6 • Multi -Family Building: (Yes A I No. ) ;�;v,,,,• .,' .s,. ,,,, ,. 1 �Era�'� � li' ••r ll. o. r�It I, :,., (f � l+• `gypp:,?' . ,'t"s1(,s" ;gin, ('t'`•''s ,1'; ' . ,' Company: SES ,TaNF.3 RQpori/1t hue_ Contact Gs,424 s 44872s0 77/ Address: /tit 14/ Rd ,fr" t"�' City. JGOGY1cclN6TbA� State: /4/4 Zip: „f,�4r2a Phone: 9'$ - 76 7 - 528/7 License #: ('5752.) Lead Certificate #: 4/A47 4/O 3 9,? - / 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: ,7-.' hg's :13 OlVi ry "', b`lijit a T,''cbl"t'�sl�°l.nn.a � 6,11 ` 1 11.49J� eiim `f ,f;,‘,,,y,.1 t' f" �7 ^`Y' '', IV q 1.1 cal tR""4r4 e eS'S1fl d,bi tl Ilr' mo b' � � rid „ J �5' ,� tvOo 1:01.�,J� t;"8. % 19-0;t, ' �i 'rr'��CC��C . �A � y��:,R►�R�JIG�,.t� "�R1Qt�i��6 �'"M"�F�� �R 1.+�. , . ,�%i '7, ,• 0 �4, � .- .:�V'r ' ., :' 1;itiil. R'e, .c �/�+ • i� i ..44.. !�s�,r 040, 14 ', � ., „enty t a . _ M_ .,... �: -irS,t , Iy�� CALL BEFORE YOU DIG. Call 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. www.gopherstateonecall.org 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, x C/# I& fin/D672s0d Applicant's Printed Name Appllaan at rnuwu IN1anw Applicant's Signature Page 1 of 3 Page 1 of 3 City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA130040 Date Issued: 03/31/2015 Permit Category: ePermit Site Address: 4131 Beaver Dam Rd Lot: 18 Block: 01 Addition: Diffley Commons PID: 10-20450-01-180 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: One Window/Door Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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 by law in ALL single family homes. Fee Summary: Valuation: 500.00 BL - Base Fee $500 $40.00 Surcharge - Based on Valuation $500 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 - Applicant - Owner: Arlene M Halvorson Tste 4131 Beaver Dam Rd Eagan MN 55122 (651) 454-1732 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 City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA153348 Date Issued: 12/11/2018 Permit Category: ePermit Site Address: 4131 Beaver Dam Rd Lot: 18 Block: 01 PID: 10-20450-01-180 Use: Addition: Diffley Commons 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 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 - Applicant - Owner: Arlene M Halvorson Tste 4131 Beaver Dam Rd Eagan MN 55122 (651) 454-1732 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:EA171334 Date Issued:08/11/2021 Permit Category:ePermit Site Address: 4131 Beaver Dam Rd Lot:18 Block: 01 Addition: Diffley Commons PID:10-20450-01-180 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Nancy Anderson 4131 Beaver Dam Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature