4365 Beaver Dam RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4365 Beaver Dam Rd
Lot: 20 Block: 3 Addition: Meadowlands 1st
PID:10- 48050- 200 -03
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Restoration Resources
6850 Shingle Creek Parkway, #C -175
Brooklyn Center MN 55430
(763) 561 -2698
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Reroof & Siding Construction Type:
Census Code: 434 - Occupancy:
Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
No siding was done on this job, even though permit was pulled. CE 5/25/2009
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
$132.75
$3.00
$135.75
Owner:
Ardell J Davis
4365 Beaver Dam Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA085153
08/08/2008
ePermit
This request vgid 18 months from
?
f ??y?'
,
„?. 'R5,7458
Date of this Request
I, as ? Licensed Electrical Contractor O Owner, do hereby request inspectio4 of the above electri-
cal wiring installed at: j
Street Address or Route No.?_` City
Section Township Range Couno.
? . -
Which is occupied by ?2 J
.? (rvame ot vccupanq
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call
Power Suppli?z?lc Address
Electrical Contractor < < ?' t4- ? ,? • l.?''? ,?? I%-? % ?? ?? ????
? _ Contractor's License No.
(Company Name)
Mailing Address ?i,?l . n: -
? (Electric?ai Contractor or Owner Making This Installation
Authorized Signature ? ? --?/r'?; 4 Phone No:
(Electrical Contraetor a6 ner Mak(ng This Installatlon)
??'?" ?? (o y This inspectian request will nnt be accepted by the
State Board unless proper inspection fee is endased.
Minnesota 5tate Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?7 g9,.V
J#EfQUEST FOR ELECTRICAL INSPECTION ? R 97458
CHECK?3ELmW WO1?K COVERF,D BY THIS REQUEST f//C`
Type of Building New . Rep. Check Applian ces Wired F r Check Equipment Wired For
Home ? ? ? Range Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Au Conditionez ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? p
Helersj Qehers?
n
COMPUTE INSPECTION FEI?BELOW
Service Entrance Size: Fee Feeders& Subfeeders: # Fee CSrcuits: # Fee
0 to 100 Am s. 0 to 30 Am res ?. /-.L 0 to 30 Am eres
101 to 200 Am s. 31 to' ' m s' " 31 to 100 Am eres
Above 200 Amps. Abo s. ?? ' Above 100 Amps.
Transformers Rem Co Partial or other fee,:; m
Signs Special Ins ection Minimum fee $5.00
Remarks
d y?_ ? ? TOTAL FEE ?
I, the Electrical Inspector, hereby cer?hat ?ie ?a_, p on has beenma e. s
(Rough-in) -'t'"t',''..? Date
? ;? E
(Final) ct,
';Qate ?-
I, =lr-- _ e e
This request void 18 months from
«
CITY OF FJIGAN
3795 Pitot Knob Rand Fagan, MN $3123
ANOMEs 454-8100
BUILDtNG PERMIT APPLICATIQN
Td ba ased for SF Dwlg & Garage Esk. Velue
Stte Address 4365 Beaxer Dan Raad
Lor 20 B1ock 3 Sec/Sub. ?l?rids
Pa,ce, # 10 48050 200 03
a IVome ZaCYllTk'ln HOTCteS, IriG.
z Add? 7760 Mitchell Roa.d
rai.ri-e -
Citv Phone
°L Name
0
Address
Citv Phone
Name _
Address
uildinp O#fielcl 40,000.
I hereby acknowledge that I have read this npplicatian ond state that
the inforenction ':s correct and ree to eamply with all applicable
State of 144inrsesota Statute it }?f Eagon Ordirm?s.
Signafiure of Pertnittee :??'?'J; A Building Permit is issued to:
Za Hc?ne? Tnc.
all work shall be done in occorcl with :Qll a,ti ME,,
B
Na 5505
Receipt f " e,- ?-..?-.
Date t 9 79
Erect Xnt Occupanay ••'
Alter ? Zoning R1
Repalr ? Flre Zane
Enlarge ? Type csf Const. v
Move ? # Stories
DemoEish p front ?? ft. 24
Grc:de ? Depth ft.
Appravals Fees
Assessmerrt'
Woter & Sew.
Police
Fjre
Eng.
Plonner
Councii
Btdg. Off.
APC
Permit 11J ? JV
SurcFsarge 20.00
PEan check ?
SAC
Water Conn. 00
.
Water Metgr 60• 00
Roa.d Urut 75.00
Total 1,123.25
on the express candition that
53atutes end City of Eagan Ocdinances.
101knuffir??e jaf COrr?paury
tftp of (Eagan
Brpttttmrnt of lixitbing Insprrtinn
Thit Certi ficatt is.ruad purauant to the requisements of Section 306 of the Uni form Building
Code ccrti f ying that at the tinae o f istuanct thi.r ttructure wa.c in cmrapdiance with the various
ordinancer o f the Cit y rrgulating building construction or use. For the f odlowing:
Ux Cyyi{catiap SP DMIGAR Bldg. Pemrit No. 5505
?
?p?Y ?'PQ ? '.h..'P?e . .?ala coo?slt?mc.ri?o.a iwJauGO eT ,,.. v Fire Zon?e C? zo?t u•o?g Distri ?ct ?7?..?
O+vnerofBuOding n.. ?tn? Addrcss` 77VO t?? r??¦•. ,?1 PrE
Bullding Addrcex 4365 Beavow Dmn Loceliry / / •
oeah, 4-aw
o,? ? 3-25-80
?
roet iN A wnsrIcuous ruee
OGOES 48A LITMOIN U.S.A.
C!'fY siF EAGAN
3!'95 Pikk Kiot? 16oad legsw, MN !?:`I20
? NtOM3 41"1aO
.
Ta bm vsd f9r '' SF? :I'Avl? & mrage Est. Vake 40, OOn ]:1
. ` - A M:
---- -
sft Address 4365 Bearoer Dan ltoaul
L*t 20 6lock 3 Seclse+b ?, keAowllrAd.S
Pamel # 10 48050 200 1113
Nome ZaCtmm FiQC1e3 , IILC.
? AAd - -
°G Wcrnt _
z?
q? Address
r:«..
Name _
Address
{ hereby ack"Udge ehnt I hove :sead this opplico#im nr?d state S4nt
the infvrmotion is cornect and..,t?r? ?+o ply with all crpp?li?a
ardir?o?Ees.
Stote of Mi?u?va Stotut? cmb C3tsf fb0
StgnOture of P4w+t8ftte ,,! E-? L? ?V
° A BWldirlg Penir* 1s Fsetad to: ,, InC. -
work slu,lr.be:oohs? *,
? ,d,.,. ,? _ _....o.. . ..
r. Bkitklhtg OFPfioid - ? - ` -
., . .?t:? ??R ?'?:? ??,. ? s?a.:..• L s ` ,'.?i',
Er+ect?' ?
'
Alter R
s'
!pininp• - --
Repoir p F3ri Fowea
E,iarge 0 -r,W 4 C.OL
AMve C3 ? 5ftfin ......_..._.?
Demolish [p froM
z
Grade 13 DepW:.-,-:,
Woier & Sew. $wwlwvd-?
Poliae !!Ip? ?+
Fiio ? - ? .+..?.. ?
Eno. . 'Wokw:C40
Plcrmer
c,oundr -
eW vff. .._.,
AK
?.-
"
hrwM ? pnft I.rnkN.
Rlumbing
Mechonicai I ,3D ?D ?
" 7y5 2
INSPECTIpN$ DATE INSP. ' RougMln iiewl
Footings Dote irup. Do+a kup.
Foundation Plumbing Add?
Frome/ins. -I • $'f7 MecFwnical '.JF
Final
Remorks:
. J?
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9
. CITY OF EAGAN
'"tif:? "'E^ DE,;?-? 8795 Pilot Knob Road
Eagan, Minneaots 55122
Phane: 454-8100
A - -i PERMIT No.
.. n
Date: Recei pt No.: 1'
Single -. I
Site Address• '.lf?!iVQ.' Residential
•
Lot Block Sub/Set. Multi Res., Comm./Ind.
' IEn
Name New/Alter./Repalr. ; Address
Cost of Installateon
o City Phone: Pennit Fee r -
Name Surchorge
?
? Address `? ? ~'`1 ???! r':? , -rr• , . ',-? _
0
V , « . . ? r, • r. n r.
City ' . Phone: . Total -
This Permit is issued on the express CondiYion that all work sholl be done in uccordonte with ell applicable State of
MinnesoM Statutes and City of Eagan Ordinonces.
Building Official
?
< i .
f?
' PLUA'tB ING
12/4/79
PERMIT
Dn+e-
ti+p a??rp??• 4365 3eaver Dain Rd.
Lor 24 Biock 3 sub/sec.Meadoialands
Zachman Homes Inc
.. L
No. ;; 1572
Receipt No.: i 16886
Single
ResidentiaF
Multi Res., Comm./Ind. ?. ?
Name • NEW
New/Alter./Repair
`
; Address Cost of Instollation '
O
Eden Prairie,AIN 20.00
City Phone: Permit Fee
,
Eudget Plbg. .50
Name Surchnrge
.
?
P Address ?
e , 0
u Eden Prairie,tIN 20.50City Phone: Total J
This Permi.t is issued on the express conditionthdt oll work shall be done in accordance witti' all uppliwble State -of
Minnesoto Stotutes and City of Eagen Ordinances.
?r
, Building Officicl
CITY OF EAGAN
°3795 Pilot Knob Rood
Eagan, MlnnesoM 55122
Phone: 454-8100
-
c????,s?'E??aN? ,
?
s,?u,M? sE,u?r;cE
3795?Rilot'?Kn?ob?+?Rnod?"` ?
l,a1N 55122 ,
Eagon, DATE
,
Zoning: . ? -_P Na. af? Units
Owfler: : ?.??]m&i:t ???3ti? _ • _ .
Address.
Site Address: 4365' ?'if3aYeX-Dam lZt? L20 03 IfektdOPL"
Plumbers ' Budw;et Flutltbii1f,
, 111I4/.79 16672 ,p?
I agree to comp[y witb the City of Eagan Connection Chorge: 4264 00 'id '
, s
Orvdin6nces. Atcount beposi#:
Permit Fee: 7 f?1 _ f?4'? 4iit
. 5urchorge•
.
t
By MESC tharges:
Date of Ensp Totai
?A-c'
3 .. _
-- .
.?4? ?esti
EA?GAN` `:;- - -
'
F W?p??
Ci
?
. 2965
a
37? 3'Pifat lCnob, Road PERMIT NO.:
Ei-dan, Mld 55122 bATE: t. .
?
Y???
Zoning:
No. o# Units:
°
T?nT„+nan
ner
O
w
.
Address:
5ite Address: Ia??S i?tasrtta-? Ttan: ?d '?? R'?..
Plumber: BLtdg+?t Tlu3Y&?itF;
Meter No.: Gonnection Charge:
Size: Account Deposit:
kr3 . ?i p-d
Reader No.: Perm,it Fee:
1 ngree to Coenply with the Citar of Eugan Surcharge: ^-?----r--.-?'--
? `j4 iL
?4 ue tot
prd+nanees, Misc. Charges:
Total: . '
B
' Date Paid:
Y
Date of lrtsp.: - Insp.: .
. - -- - - --------- -----
?
CASH RECEIPT ? i
CITY OF EAGAIV ?
3795 PILaT KNOB ROAD
EAGAN, MINNESOTA 56122
DRTE-- 1 9
er.ceIven
? FRONI ^ . ? .
?
AMOUNT
i
a ooLL,nRs
IDO
? CA5Fi , ...Q.GNEGK !
I I
r
I R
? Thank Yau . . .
B Y ? f1 . I
Whiie-Payers CoPY I
Yellow-Posting Copy
Pink-File CoPY f
a .
.' ' } •
f "
irOii ,e
_ ?.
r ,e
CITY OF EAGAN Remarks
Addition Meadawland lst Addition Loc 20 Bik-`-3 Parcel 10 4s050 900 nl
owner iF?(?, ????I `, Street 4365 BP?IVet DAu? RDad i State Eaqmtl, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR.; j; mp. 1589.99 5158.99 10 1589.99 C005558 10/15/80
GRADING
SAN SEW TRUNK g 3.12 25
* SEWER LATERAL 3156.58 C005401 -676780-
WATERMAIN
x WATER IATERAL 0
WATER AREA 1973 95.27 6.35 15
STORM SEW TRK -=, 1971 282.92 14.15 20
STORM SEW LAT
1981
lO
* 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00
WATER CONN. 270. OO 'f
BUILDING PER, #SSUS i? t
SAC
n
n
PARK
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-?? 0
New Construction Reauerements RemodeURepair Renuirements
3 registered site surveys showing sq. 8. of lot, sq. ft. of house; and al1 roofed areas 2 oopies of plan C,?rtaf??utue? ? _Y N
(20% meximum lot caverage allowed) 1 set of Energy Calculations for heabed atltlitions Tree PreS P1ari R?d Y
2 sopies of plan showing beam R window sizes; poured faund design, etc. 1 site survey for addiiiors & decks i#J
1 set of Energy Calculetions Addrtion - indicate if on-site septic system laii=sifo Sep'#ic ?ys?sm _ YN
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date ? I ZIP I? Construction Cost
Site Address Unit/Ste #
Description of Work
Multi-Fatnily Bldg _ Y_ N
Fireplace(s) _ 0 ^ 1 _ 2
Property Owner Telephone # (-? I-q)
Contractor
Address A,1 elA?-?'??? ? City
State Zip -32'? Telephone # (AV
GOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7470 Catego rv 1 Minnesota Rules 7672
EneFgy COde Category . Residential Ventilaiion Category 1 Worksheet • New Energy Cade Worksheet
0 submission type) 5ubmitted Submitted
. Energy Lnvelope Calculations Submitted
Have you previausly construcfied a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanicaf Cantractar
SewerlWater Contractor
Telephone # (
Telephone # { )
Telephone # (
I hereby apply for a Residential Building Permit and acknflwledge that the information is complete and accurate;
that tlie work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
r-
?i?`?
Applicant's Printed Name
G ?
Applicant's Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF f3welling
O 03: 01 of _ plex
0 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
0 33 Alteration
? 34: Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 Ofi-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
D 10 08-plex ? 1$ Deck ? 23 Forch (sereen/gazebo)
0 11 10-plex ? 19 Lower Level ? 24 Storm Darnage
Cl 12 12-plex Pibq-Y or_ N? 25 Miscellaneous
Valuation
Gensus Code
SAC Un its
# of Units
# of Bldgs
Type af Const
_ Footings (new bldg)
_ Footings (deck)
? Footings (addition)
Foundatian
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy ?
Zoning ?
Stories _
Sq. Ft. _
Length _
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stane _ Brick
_ Windows
_ Retaining Walt
Approved By: , Building inspector
Base Fee
Surcharge
Plan ReView
MC/ES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
0 33 Ext. Alt - 5F
? 36 Multi kVlisc.
0 35 Int Improvement ? 38 DemoEish Interior ? 44 Siding
? 36 Move Buiiding ? 42 Demofish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doprs
RDemolition (Entire Bldg) - Give PCA handout to applicant
, ' . , . . . , . , . __ . y .' . . .
.. . _' : . .'
O• . . . ..
_ r. rFICE. USE'ONL`? ¦ ..
,-- . .
,pe ,..
. . .
0 01 Foundatian o 07 o?iex u 13 1?x - ? ?, ?
? ' '? ?
? ??ry ???
O 02 SF Dwelling 0 08 D6-plex Q11 F
rePlace ,
0 21 Pvtch J3-sea.) Cl'. :
31 : 1 id, Alf ? Mttl#i .
CI 43 0i o#_ piex C] 09
LJ 04 07-plec CI -17 Garage ' C] 22 Pcrctt/Addn. 13.
, 33 ,:rEd. Aft- Sir":; .
02-plex D 10 08•Gw? 1$ . Deck
? . ? 23 Porrh'(scresred) p 36; MA "
0 05 03-plex p 11 .1p.plex Q 19 Lcrwet.Level CI 24 Storm:Damage -
C] 06 04-plex CJ 12 12-plex.` : Rfbg Yor_ N Cl 25 MaWEaneous -
0 39 New
)if 32 A
nti
t 0 35 !n# trrpmvement 13 38 Q@rt7otisi? (IRftivr)
e
c
an 0 36 Move BIt?, 0 _42 DwnolM
tFouhds?tlon} ? 45
r
[7 33 ANeration ? 37 L3emoft {81d9Y' ? 43 ReroO ., '
? 34 Replat?m?t#
`D?aNtton ?EMirek B ,
W,? ? - t? ?-I?nddier.?i'??car??
Vatuatron ,?..,...
parmy
Occu
C
'
`
--? M
/ES
5Werrt
Census Gvde
Zcning , ?.?....?...?.
SAC Units 't
_ .
? ories
S
? ?: ?terPump , . , ,
Albr. of Units Sq. ft
PRV '
.
.
Nbr. of Bldgs 4/ .
Longth ,
`:Fire 5prtir?[?erecl -?------
' .
"TyPe or const w;atn C?.? .?. ...?: . '
' REQUIRED INBAEC-TtONS
1Foofings (new bldg) .
:7/ Fvatings (deck) Fia".0.
Footings (addi4on) .1? Fiut?lNa C.O. :
Foundation Flimbing - ,
Drain Tile HVAC . .
Rvof ? Ice & VVater
? t3ther,
? Franung
.
_ Fireplace ? R.I. AiF Test ?
F'n'al Poat
?? •'?ir/Gas T+?
Sidiog Stwca Stonc
Insuladon
Appro,?ed sy ln? '
??? Fee ----
Surcharge
Pl . , '
C?.
?Q ??
2rt G 1(
an Review .
. ,
.
,
MC/ES SAC ?--..... -?
.
C4 mc ; . ,
Wate1' Suppfy S St4rage .
S&W Permit & Surcharge
Treatment Ptant ,
? °
Plurn#ing Perrnit n •
tutechanical Permit
.
Licene 5earch . _:.
Ccspies 1y ,
Other °
Tota1
. __
..
. ,. ..
:. ::
...._..?,
CALVIN H. HEDLLIND
„and Surrryor /. ; CFvei Eepinwr C(OPY
?
SArve ar`s 6edificate
4818 nw.+oow L.k. c,.a.
Btoomireolon. Mlnnesota 56137
Bsd-20dQ
14e NO.
SURVEI+ fOR: Zac ?.man ' iome s
QESCRIkQ AS: LOt 20, 5-1.e3c;C 1, MEP..iX3P:i.A:+?D FIRw'_" AdDZTIO_"i, C'].ty oi FaQL:Z,
L??:x*_-.•M-nn-sota, a.na res,-rvino the eas•.ments oF re.7caz1:.
No ? ?` N
95. 00
1 ? I
I ?
YJ
-- - -_._ ?
5 'dratnc?,?C dod uli/lI?
eqsernerlf5
?
, A_,?T
foP of 6104k
, , bsr?+t , ?/da? = R / . ? ?
ga«rpc. tG~
dreinaye arrows -=-=
/Q r (JT/ ?i?T/
;ij..
`
CGStr+lr,C n &
it'f IIr ICJI?E OF S IJRYEY •`!?
I hereby corti y that on I•urveyed the property described abave
snd chat the abovt plac ia a carrect representation o# said survey,
f- .
I?
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?---- 77- ..?.. ?? ? '? ? ,,
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8 5 . oo ? ? --?
Calvin H. Nedlund. Minn. PLeg. Nc. 5942
! CITY OF EACAN Y..?'1 j
BUILDING PIIRNIIT APP ON
Zb Be Used For valuation
Site Address: 41 zV-, J).4-m .?
"M
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy calculations.
Date
OFFICE USE ONLY
I,ot ,?. ( . B1oCk Sec./Sub. -I??? ?
Parcel # : / ^ -- ? -T
Repair _
Owner: '? '' • ? YY .% ??e -
Nbve
Address: ' r?I e>L Dennlish
City/Zip Code: Grade Phone #: ?2 -5 7j^L C? APPROVALS
ContractAr: 5,4 /-?? ---e--
Address:
Gity/Zip Code:
Phane #:
Arch. /En9-
Address:
City/Zip Code:
Phone #:
OccupancY 3
Zoning --
Fire Zone
,
'Iype of Const. LOI
# Stories
Front Sf, ft.
pepth ,2ft.
FEES
Assessments Pexmit 4r.9
Water/Sewer Surcharge a.12--11
Polioe Plan Check
Fire SAC
Eng, Water Conn.
Planner Water Meter ? --?
Council Road Unit ? S
Bldg. Off.
APC
Z+OTAL ? ? ? - ?
. ? ?
? ? ? ?f ?
<<- ? -? .
??? ??,- -
? -.. - ..
,"' ,,,,?,
Fprm F ,
(R•v. a.ti MAP OF P''
u?a? artic. -- -•-?=,
. See attached for lega1
Lo[ 'ZD Eik. 3 Addltion
Address:
`t-3 G S A EA UElC
MFADDU/ tA N,D
EACAN hlltLi
DAM R0HD
•Licv- EAGRIV . MINN ? so
._°?'./.
Lullder Zachman Homes Iryc.
House Name WpOp hrt/,f S7' 5 6-
Hause Sty1e SPIjT ENT/t_y ,
# Sq.Ft.House $ j? et f sq.ft.Gar.?j
FFELD NOTESCgj Pawer ples P Low Areas
Show location af metersX Telepane poles T Highest PQint
Private well NP Larger Trees? NORTH
Private sep'tic system ND " Public wa'ter YES
Pubiic sewer YES
Natual gas YES
L.P. GasND Culvert requiredND
Curb cut requiredlI0
Sewer F, Water stubbed in YE5
Driveway surface jG' 81T HSPOALT
Front yard setback 3 pf
Sideyard setback 5-4 ra M1NN
Att. GaraES
Garage le t xight
Local Inspector
City of EHGEIIi
Name DflLE PE7FR50N, DDUG ftElD
Phane 4- 5-4 - F! 0 O
LOT DETAILS
'size width 8g-00 - 9Svo Size depth 135-.35'- 111• 13, ?
Approx. S. F. of lot 1, G66
High point
Pvwer Poles aAnE -
Telephone poles ua?E
Underground V Larger trees ' .
5treet - Elev. $ 19I -5"
Lvt corners
High point -
Low pQint
Gutter or Ditch
Lacal Eiectric Co. ' _
Name A?S P 1"P1P1`fllYGT0I1
Phnne 5-07 - 3 $? 57.621 .
-Local Gas Ca.
Na7me -PFOP?S ??'T G?1.? FARMfhlGToA
?PhonetG3-7J2 1 '
a) Stoops { ) _riser $
Decks $
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b) Sidewallt $
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Driveway s.f. $
Farking Pad s-f- $ -
Curb Cut $ Permits $. .
lawn steps # s
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c) Fina.sh Grade $
d) Black Dirt & landscapzng
Sad s.f $
e) Undexground Uti1 !'93 $
TOTAL ? ?-
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AC CHARGE
- $
?
ater charge $
_
-Park Gharge $ .
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^ C A LV I N H. H E D L l! N D 4619 Owrl4ok Laka Cird•
COPY BloonninOtoa. Minn?suto 65437
Land Surv?yo? ? Clril Enar»?r
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CER? IIr ICJITR (3F SIJAVEY
I hereby certify that aa %•' I surveyed the property deacri.bed •bove
and that the above pla[ la a corroct repreaen[s[lon of said aurvey.
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Galvin K. Hedlund' Minn. Reg. Na. 5942
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117334
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 4365 Beaver Dam Rd
Lot:20 Block: 3 Addition: Meadowlands 1st
PID:10-48050-03-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Justin Rockow
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Ardell J Davis
4365 Beaver Dam Rd
Eagan MN 55122
Ins Construction
5350 157th St N
Hugo MN 55038
(763) 670-4856
Applicant/Permitee: Signature Issued By: Signature