4143 Beaver Dam Rd05/06/2014 09:41 Les Jones Roofing, Inc. (FAX)9528817009 P.0081011
40* City of Eatan
3830 Pliot Knob Road
Eagan MN 65122
Phone: (661) 675-5675
Pax: (651) 676-5694
2 5-o vr 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For Office Lisa
Permit #: I f) 9 Off
Permit Fee: (iAg
t Pl
Dale Received: 5) R1
Staff:
Date: - /Y Site Address:
Air
rt
sati,111 �, , r.h;� , ,� y nc%14
/S
F.
o,aD Unit #:
Name: yo P20p42TV colieer t NG. Phone: 667- 5r'/- 99'vq
Address / City / Zip: 1:1,0 -
Applicant
O.Applicant Is: Owner X Contractor
Description of work /e -g4101/' Ael4' cteoire 00f
Construction Cost: 90 93V,
Company: Ars 122P /6T R •'ffnl/r /.vc.
Address: 9/i W. 7p m "TA e
Multi -Family Building: (Yes X / No )
Contact Cs{2r s -i4-1111272-soA/
State: Mi.) Zip: fr'E20
License #: 45-60
City: ,084Ga -vz 1/
Phone; 9SR — 76 7 - arp/ 7
Lead Certificate #: NAT- `iv 3 9.7 - /
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, hoe the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date end address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One call et (651) 464-0002 for protection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities. www.noohers(gteonecaltora
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 end approval of plane.
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 G/f-krs f4JtfD672S'CA/
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
05/21/2014 10:18 Les Jones Roofing, Inc. (FAX)9528817009 P.005/011
11111/11‘ City of Eapli
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 676-6676
Fax: (661) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: l 22.1
Permit Fee:
Data Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION '46 "'
Date: /199 V Site Address: Y'l39,'h`F3, 't/97� H/S/ &4UE72 riM►at— 2 - Unit ft;
L z..
,:4,t ,�., . ,
���; ,1
, �`p-- `'� . F `,
�yNnl, � � oz:
.1 `+Y'�e''
.e•Vf: ""r
Name: yp P2aPeW1'Y G 4-eEi 6NG.. Phone: 457- 5,-4/- 99yq
Address / City / Zip: 11.0. BD k 212 5 / N 472 CTR -41/4 4 Mt/ 5S -a, 74
Applicant Is: Owner X Contractor
; ,e';ofi" aO$ 4.'4 .
At a , „ ,. � r
Description of work: 1EMoM A+ND 1R�pcACE SoM& A'td{ / iAI9
Construction Cost 4 21j 2:27 r Multi -Family Building: (Yes x / No )
..,.
�f U �Ji..`.Y
: '" �: At ' i,: �
g',,0,0060 '1 ''t ;�1Z
. Ear
;,N,,,,, X -', �' ' .;i ",
;!:;.r ,,,. 't ';', Y �i,;
Company: .ht -5'4'63' itaa/Vlr /NG Contact Ci/, 4,v'L
iesoA/
"I -
Address: 9K 1 W. gel ,L City: Aoa.�rrz) t/
State: Nin/ Zip: f,1� '20 Phone: 9'SA - 74, 7 - a2t?/7
License #: 657,4 Lead Certificate #: .U,47 `to S 9R /
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 aimiler plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
"W'K Y � f C Y" Oa' W r In �
4744,0-A (aw ' f tiff fain :71d'ood4 61010 %66J 'rt ' 6j1Wi0l,4�.:,, ,b ,4@ P gl `ir"l t1 fe . A'► 4q ff,\
'-ifi rqn r a`,! f�holta i.��,ttiptr ffissp. P:46,1! yQopeol�e `e -s i+irifi `0:04,0at-.' yt> /d=; tg„i,,1 g .rtk
(r 1,..t,:.:6, -.,,,,AL e � 5',„‘ a . iAYw%�,�i"3...e�s� ``�,Q�OI!Iil�l�0��..i.. � ..��5��.. ?k4.• ����1 a:6..,�...ro?:,..'i�..;....,rt"'..,..,� , •t,•.� .',
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protecUon against underground utility damage. Cell 48 hours
before you intend to dig to receive locates of underground utilities. www.aooheratateonecalkora
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 en 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 G/fkfs /I0ERst7,l/
Applicant's Printed Name
Applicant's Signature
Pagel of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA130517
Date Issued: 04/29/2015
Permit Category: ePermit
Site Address: 4143 Beaver Dam Rd
Lot: 16 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-160
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.
Applicant: Heather Winn
21210 Eaton Avenue
Fee Summary:
ME - Permit Fee (Replacements) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
- Applicant -
Owner:
Terrance Dunnigan Sr
4143 Beaver Dam Rd
Eagan MN 55122
(651) 698-1100
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
IP1' City of Eaan
Permit Type: Building
Permit Number: EA132177
Date Issued: 07/29/2015
Permit Category: ePermit
Site Address: 4143 Beaver Dam Rd
Lot: 16 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-160
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
- Applicant -
Owner:
Terrance Dunnigan Sr
4143 Beaver Dam Rd
Eagan MN 55122
(651) 698-1100
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