4183 Beaver Dam Rd05/06/2014 09:41 Les Jones Roofing, Inc.
Cite of 6aQau
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 6754675
Fax; (661) 675-6694
(FAX)9528817009 P.010/011
Use BLUE or BLACK Irik
For Office Ur 42.7 °7
Permit #:
Permit Fee: 1 --15r
Date Received:
Staff:
44-2°L/.S 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/( « /iy Site Address:417/
Unit #:
1-.
Name: J(0 PeOPP 7i/ E LNG Phone: las/- 5$'4/
Address / City / Zip: 'P O. BO k ZL2 /?welt. t4g 44417X; ,r/ 5rdP 26
Applicant Is: Owner X • Contractor
Description of work: ROW -PPE 4440 .e.404.4166- /f oaF- .
Construction Cost: 451/11.10r , r 9 Multi -Family Building: (Yes X / No )
Company: /F5 7 A/ T Rothe/n/67 /.vc. Contact: Ca2r: 4vvi7Jt so t/
Address: 9 4 I W. 80 City:
State; Alibi Zip: f ego Phone: 95.E - Iry 7 - afi/7
License #: .5-6 9 Lead Certificate #: 4/4r `f o .' - /
If the project Is exempt from lead certlflcation, please explain why: (see Page 3 for additional information)
COMPLETE THIS ARRA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_Yes ^No If yes, date and address of master plan:
Licensed Plumber: Phone;
Mechanical Contractor: Phone:
•
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call et (661) 464-0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receive locates of underground ulllltiee. w, w.aooheretateonecas.oro
1 hereby acknowledge that this Information le 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 le not to start without a permit; that the work will be In
accordance with the approved pian In the case of work which requires a review end 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
�,.As
Applicant's Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. (FA)(9528817009 P.003/011
C!ty of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 675.6676
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: r_)
Date Received:
Staff: _
2014 RESIDENTIAL BUILDING PERMIT APPLICATIONa�`r.
Date: Z! t
Site Address: 4i7/, `fl 7,5; 4179, 4/1'3 8EWEL. Dfu 'oAD Unit#:
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Name: A?OgA2 R-�.E 6 G Phone:
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Address / City / Zip: Re:)- BO u 21'2 5 /N11672Cz7?-Dvt 14, MI 63a" 74
Applicant Is: Owner X Contractor
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1L Description of work: EM vv -6" .44.00 Rd-PLAGE �'OA76 .OR•�AErB%
Construction Cost $ 22, 4 3 7. r Multi -Family Building: (Yes X / No )
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Company: 3 ,TA/,5.s RGem7n//r /Nc. Contact s 4NDpLsoJ
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Address: R K t W. gO 7N iriste'%— City: iGo NlrreDA/
State: M/ , Zip: /2e) Phone: 9:5-A- 767- 028/7
License #: 6.57:30 Lead Certificate #: JU,47 gel 5 90? - /
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 BUILDIttG
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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Kh'A, i' ` ! T� ,..1 :1: �r •>.'„ ileo-"Art44140.05. �10.11M6L.. .Ft IOW* .. AMA $.,.») thin.:::.'tr yFi.`..wJ :Ml:..v.,,>rF'�1i,:+d��.{
CALL BEFORE YOU DIG. Call Gopher State One CaII at (661) 464-0002 for protection against underground utiNty damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org
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 e 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 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 GIfkiS 4AjDE25-od
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166755
Date Issued:02/02/2021
Permit Category:ePermit
Site Address: 4183 Beaver Dam Rd
Lot:5 Block: 01 Addition: Diffley Commons
PID:10-20450-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Maureen A Cannon
4183 Beaver Dam Rd
Saint Paul MN 55122--211
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171433
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 4183 Beaver Dam Rd
Lot:5 Block: 01 Addition: Diffley Commons
PID:10-20450-01-050
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 -
Frank D Dierberger
4183 Beaver Dam Rd
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178501
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 4183 Beaver Dam Rd
Lot:5 Block: 01 Addition: Diffley Commons
PID:10-20450-01-050
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Frank D Dierberger
4183 Beaver Dam Rd
Eagan MN 55122
(651) 207-4989
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature