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4116 Beaver Dam Rd 06/17/2014 15:08 Les Jones Roofing,Inc. �Afl�9528817009 P.0191020 Use BI.U�or gI�ACK ink ' � ForOfflceUOe--^----^^� . ' j Permit#: ����� j �i Gity of �a�an � Permlt Fee: � I 3830 Pllot Knob Road � � Eagan MN 6b122 j Date Received: � Phone:(661�67G-G67G I � Fax:(661)6755694 . i Staff. � �..-.�______________J 2014 RESIDENTIAL. SUILDING PERMIT APP��cATio� y/ov-�f/o� -ylo�-y/a6-yloP- �}�/e �y�i2- 5�// Date: �O � � SlieAddress:y//�¢//8�� �ZD—y/.� $� �t �. Unit#: "' :•�'>.::::::..:... ::1�-� �, 'V . �.'y d��.:1':.�'r.i i.:.:'.'. -_: i`. ;.'�'':',,,;:�`=;c-. �"s� �� Neme: �/o p2a�e�2ry ��-�,E, 6NG. Phone: �si- ss-� 9qvq •.� ��'�,��.:.�;-,:.,,;:,e:,.:::,;; �;,`�;,�?��'s�+d�,j��>.;:;;';.; � ;,.:;,',������";��Vlln�r.';;:;i: ;:,A'..:,- Address/City/Zip: �D• BD u 212 5 /NVEl2�7+�.0✓� z�/1�/ 6Sd� 9(o .. ,.;t::.,: ...,:. ,. ...... .,�,�:'�.•;-;,r',�:'.;��•�:,_;= ;:` �,;� ��' �;, , `',� ;;, � Applicent le: Owner X Contractor �,:...�`,�;,iS,,i• •.��f,;(,.,r.,�..)..',;;7;� (� `E�`a": , +.i,i;�:r.l;. �., . • '. �,;::��;`��:���:�;°" .' .�,,' ,�>�.; Desc►iptionofwork• ��iLfl�_!� f�l1l!) ��pGf!-G� J/L�//✓C7`� '<�'�Yp�Q�of:�l1(,.o'r�_:;;�. _�:, �. � '•<r�'`�� �� :?;'?��,;;;;;; Construction Cost: '2 �� Multi-Femlly Bullding:(Yes x /No_� ��,,:��:;: ..:� .,:,.. :;;. �•� '•i;�,��.`�"��;��;:;� ;�r>��:-�;�,.; / .;a,,,.`',.;,., ` ;?:1 � ":;:: Company: �E',S �ToN63 RaDf<�+//r /�vG Contact:C�.s.a.r s ,4,�0�-so,�/ ,-.� ';c;:''�;: ':,��i"•,�F,?, �� � � �ir' z,' `_ � '`r'' ;,. .1� Address: 9�l l W. �D� S'i"R.�'7'" City: ,BGO�vu,r.v�i-�b�✓ �cb�`k�ai�XAP;;, �;•':;cc,:<:��;.;; :;r%` ::<,;•• .', e.. �'�<c'f .;:s'�;``;;�<;;'';','si:. ''���- State:_ �I�/�Zip: ,�.�'�20 Phone� 9'S.� 7�0 7-�8l9 �;� ,;...,<;;�.,�� �`;;;,::'+'� ��t"'�.��," ` ;�,o, `� ';`�:, License#: �.S7o0 Lead Certlficatell: .UA-T �O 3 7.7 —/ `:�'', ;;-�,���,:: lf the project ls exempt from lead certlflcatlon, please explain why:(see Pege 3 for edditionai informallon) COMPLETE THIS AREA ONI.Y IF CONSTRUCTINC3 A NEW BU���G In the laat 12 months,has the Clty of�agan Issued a permit for a slmllar plan based on a mester plan� _Yes ^,No If yes,date and address of master plan: Llcensed Plumber; Phone: Mechanlcal Conuactor: Phone: Sewer&Water Contractor: phone; �:t. . . .,.,�,�,:.�..., � �,�. � ,.,, ,.,�,. .,�.:- . .,.. ,,.� , �:,,, �� ,;Q •, .::�a.s< �.,.s�,: ,a "�` at'��:,ou:�sub ►fii�" ��ti� 'il'!'e�retl�"a;6'`� t]'G'll w�llf�"o. ��.,.�::,. "►.. '.s3Of1::;: ,::>. , , ., ,!�. ��, ,pl�Q,��i" �FUlty��., �.�, �.►i. �, .�� �., �.,� ,... a. ;�:,.,.i�,,.,,;,:.,�i.1 . ... Y n . /] .,.:••i.. , .. . . �.r .y%•.;,,.t.,.�r.'",� ..,..,.��;•�.�,,.u,r�,..r.,��: ',T..,;^. 7tli.o�r;i;:; �.i,;..,��: -'�it, .`7;��irpr!..� .��.,.....; t . �p., ,. � 4: , ,, � , ,a. ir:�.`^ ,. ;., ' ,.. :,J,;,• �,,..,;i.•n,. ., y „ ... ��;,;.t. �irt,o .�.t�n' � ,� a�'t � e un- .rr�j' :�f: u: vlde;s �QI ��. .ri's?t�':at�. ��l!{'�'�;,.e°- ;t(/e,�►c`�to-';�-:'- .!t�,,..,, .� .�,: ,,,,.!f�.,.Y,!�. .,�;,�t�'..:+�L:�;�. ,� .v,�� ,,,Y::4�,p',. ,.,p. fl.�;�Q ,,�1... ..t�,,., � �1�, .,�.. �: �. n �F.,,� ,.v, ;a;. q g, d:1 a, ,.�t 1_ ��" �. ,;i�,�r.µ;. �., �� ti�a:'�.ra�. ,,1 ,'.�i1r4�. afC+n'.. O.,.r9:;... ,ci7?q:;h: i�i:" '��� 5�1,,.'�.6.�,5'�6:1,`i^� c;*..'i.,, <<�.'�C"�;r'.^..:_ ,n., R�'�' .r�i� ..:1• y�� �1✓..l.`r,.:;r..:J::\;' �:i;.. •!�;.. :,�' :i?'. - ,-i,i U�8'�f ',f,.,�..4•�I �`� ,=5 !�� ,�},.,::.�, �'�.,:?.: .;a ,, ;�.,,.. :_���:. ;�: ._. :.,� pn,� d" , ;.� ., ,. .. ., .. ,.,,, :,:,:-..;,;._:.,:�.„5,.,t,..;,;,,- ,. ���� .,E.� ..,� > . . .. ...., .... �lla�,,..,_. ,. ._�........ .....��.. ..�:.�. CAI.I.B�FOR�YOU pIG, Cpll Goph9r Stete Oee Call at(861)b6�1-0002 for pmtecflan agelnst underground ulllily tlemege. Cel(48 h0ure betore you Inte�d to dlg to recelve locetes of underground u11UUee, uwuw.00aharstateonecall.nra I hero6y acknowledge Ihet thls Informelion Is camplete and accurete;lhet lhe work will be tn conformenCe With the oYdlnences end codeb of the Clty of �epan;that I unde►stand ihls Is not e permR, bul only en appllcetlan for e permlt, end wotk ia not to etert wlUtOUt e pemtll; thel lhe work vulil be In accordance wlth Ihe epproved plan In the case of werk whlch raqulres e revlew end approvel of plens, EXterior work authorhad by a bullding permlt Issuad In accordence wlth the Mlnne9ota 9tate Buliding Code muat be Completed Within 180 day9 of permtt Issuance. X CµQ�s ��u0�2sa�l X ���� G��:��° Applicant's Printed Nama AppllcanYs Slgnature Page 1 of S 02119/2014 12:37 Les Jones Roofing,Inc. �AX�9528817009 P.0191020 Use BLUE or BLACK Ink iFor Offlce Uso---------� . � � ��� Pertnil#: �-r..- ti �. 1 � �I � �ty o a�an �������� � , Pe�«Fea-� �a�� � ����� 3830 P11ot Knob Road � � ' Eagan MN 55122 F�� � 9 Z��(� j Date Recelved: j ' Phone:(851)675»567b I I ' Fax:(6G1)676-6694 , � Stan: i !� �___________^^���J 2014 RESIDENTI/�L BUILDING PERMIT APPLICA71oN y,oo, �.o�,�io y, yiob,y.o 8, �..o ef- �ate: � ` Site Address: �// //f/4// �! 0 S+iaA ���M�Unit#: ,,,,: .; .��..,.., .. ��,,�,,.,�,.. �.. : 4�;, r �1..�. �. .c `7p:r,i'Yi'.•-.'o:Y. ;,�i=�;;:r;qfw:�;u;,�.> .,,:,,;,�,�,�F: c.. Phone: sr�/- 99v� ,,,;;;,,;,,, . ,�;,::��„���,� :�:�° Name: yo P2oP�ry ��rz,E. i n► 6��-» ,� � �:��o -�: ,�; . '''.�I�r.. `,`Y�`Q�.. f Ja ?'<_..,. �v� � ��"'.•'".'. °';;,-��Q;�����,•�%-,;,��, Address/City/Zlp: R O. �o x 2�2 5 /Nv�C�.a✓r �o,�,�rs:_�r/.� _ 5� 9 G� ,�.,, �5,, � ,, :.,>,�� i`'�;r�1�1;r.�r�,'����°' `" ,%"''',: n �d°?� �Y '- �'"'`�"�'-:?%`x-' AppI1C8l1t IS. Owner X Contractor 3�. ,:,.�e;::+a_ �`i�� ��:�'='�a�,.,u. .�, :;� ..;....,;,.;.,,.�,..,'` i��� � . ... ;J 4" :r��'�"r,'�',N�� '1...i;f`C� � �'�'t,":v-!;i!;�i,�."`t+,y ��: <2"�` D68Cf�p�017 Of WOf�C: /6�/�D V�? �'/� �C�'� 00�' y�x'r�(�A�Q�'^ ,.b�`IS�^=; � xry'tl!4YA�r'' i.�:T „j'Jni.'�C�� J '(/ i,� �,^M;,::;� .,<�'`�;`:,;.�, Construction Cosr �y g�3, ✓ Muld-F�mlly 6uilding:(Yes X /No� ?�r� r.: -,,.... . .,..,�;��:�;:....�_-��; .... ��'r`' ,;;��` t �;,' +�, -� � �' �;.`,7.;ti,.,:r: �1`�. �.,,,.�y ,,. , ;>:: 6 • �,� :°x?'� ';y,, Company_ �E',S �TQ�/�' RODfnllr /ivG Contsct:GsrR.�s ,�Nar�-so� �� k�. it;ya� ,�,;�n<�.�. �',�.��:. �.,�i3��;�-,,�>-: Jg;�.,,!` =,s:. ,�;�,.� � �;: A.� ,y �� o� � � / f�i,,r�;St> ,d� j i+ i'e'�;���'�'"? I�I.�Cif98S: 9�� � �d� �'°Tlc.FG/ �:�b/. �GOQ?�L.tA/�b/V ��'�������;�/����a�:�;� - '��,"'•"":'g2pi ,+��S�r�!q••1?u;y ��;: ` `i�z�•�R�!``"`�'. wr'i Stete:�Zip: .�.f^4�20 Phone� 9'SR- 76 7-a?�'!� ;,,�g^`F'`'.�uy;,, . � ..;'�,; ' . f7 :�}..�?' :Y' �.,.,,�,�. '�;,�;; �:. a� ,w.. �t�,.laa f��� �•1�.' dJ'>;'�d��"!F�f l�o: / - h::?js�,,,�r'.:'��:����P�r,�c�a�.:�e� �,�;jsS� LICA1190#: _4P�10� �9dd C.@I't�nCQ��: ��� �O.y 7!r—� If the projecf ie exempt from lead certlflcatlon, please explaln why: (see Pege 3 for edditionel infonnation) COMPI.ETE THIS AREA ONLY IF CONSTRUCTINO A NE1N BUII.DINO In the last 12 months,has the C1ty of�agan Issued a permlt for a elmllar plan based on a master plan? „_,Yee _No If yes,date end eddreas of maeter plan: Llceneed Plumber: Phone: Mechanlcal Contractor: Phone; Sewer&Water Contractor: Phone; �1' 1Pr' 1 V I ' N �� I'G ��t O�r ,:;Py1�11���ea►� 'p'�it""t1�, '�"'d'�'[im r�s "���' �l '"c�'�}p,li � 'I Ir� o aY�l��'P "." { �j� t �,. ,����.,,,��' f�'i%; I� • , . :�' ����' � �t �, , �►�t�`Q'f`' ,;,A�, i � ?! g� ..�1 .�1 'di ,j S�.' r •1. .✓".' ;t r,.r r�� ���"L'C'�'C.,.,j� �.aG:�'�Ai,,.;�:Y�yS��P � •�l rr i �.�!'• �.e i(,�1�12`;�f�y0�I1 lk�}q �l, e�r+.�',.�(l.�?;,�,1?I'5.�1�1 ;,,s��,xri�'l.���. ! ��y���_�:,�SAI�/.11,��,,t�., �(��'�a!''a'�n '��� �°4,t��J^ '"f t :�, ���,.. �� � �. �..� ,,�, � ��.:, ��, , ��1��"!,��:p���� b� ,t ,.fw (��p/�{J� �.! I v � C�. K'M"`� �.n����Y�'.�~.�xl.;E�"�� �Z"'°U, 'rL..1 6''� ,'.4��1i� .��17.� y '��� �, � ��:^. �.p.�: �' '.�.�c-,>..Ix,b?"' .h*y�t:�a�`p�����j��;'"�.(i4� 4n /: �a.Nl. ..(.��1� 7", Y e � ..T.!I:..�� '.i{�.�. �.•�,'4 - �Q4 1�.�.. 11'Yk 7 II:il1L�.LGIa I; L.. ..�.1:.'.���� l�:-.�1. r.I:.��J. �A CALL BEFORE YOU DIG. CaN Gopher 3tete Ono Call at(661)454•0002 tor profecUon agalnet u�derground uUNty demage, Ca1148 hours before you Intend to dla to recefve Ixetes of underpround utllltlea. www ' 1 hereby acknowledae that thle Informeqon(s complete end accu�ate;that the wark wlll be In conPormance uullh lhe ordlnancee and codes of the Clry of E9gen; thet I underetend tNe ia not a permlt, but only en eppllcatlon for e pe�mlt,and wotk 18 not lo etart wllhout e pennit;lhel fhe vuork wlll be In accOrdenee wifh the epproved plan fn lhe case of work whlch requlias a revlew and e�pproV�l of plene. � Exterlor Work authorized by a bullding pa�mlt 19sued In accordance wlth Lha Mlnnesota Stflte 6u11d111�Code It1Uet b6 COtllpleted wlthln 180 days of permlt 19suenco. x Cµ,e�s �4MDEQsa,�/ x��5��� .GG�=� Appllcant's Printed Name Appllcant's Slgnature Page 1 013 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152755 Date Issued:10/30/2018 Permit Category:ePermit Site Address: 4146 Beaver Dam Rd Lot:009 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-009 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 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 - Matthew R Fitzke 4146 Beaver Dam Rd Eagan MN 55122 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173441 Date Issued:11/12/2021 Permit Category:ePermit Site Address: 4116 Beaver Dam Rd Lot:151 Block: 04 Addition: Diffley Commons PID:10-20450-04-151 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 - Kenneth Tobin 4116 Beaver Dam Rd Eagan MN 55122 Apollo Heating & Air 6510 Hwy 36 Blvd N Oakdale MN 55128 (651) 770-0603 Applicant/Permitee: Signature Issued By: Signature