4298 Beaver Dam RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4298 Beaver Dam Rd
Lot: 19 Block: 2 Addition: Sun Cliff 1st
PID:10- 72975- 190 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Jeremy A Ellis
4298 Beaver Dam Rd
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA084679
07/28/2008
ePermit
- Applicant -
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
h all applicable State
******************?********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08J14/00 TIME: 15:11:21
ID:
NAME: NORBLOM PLUMBING CO
3212
9001
1904
S POINTE
T t;
30.00
2155 9001 1904 S POINTE T 0.50
3212 9001 4298 BEAVER DAM 3a..00
2155 .9001 4298 BEAVER DAM 0.50
3212 9001 3542 COACHMAN R 30.00
2155 9001 3542 ,COACHMAN R 0.50
3212 9001 4134 BLUEBRRY K 30.00
2155 9001 4134 BLUEBRRY K 0.50
Total Receipt Amount: 122.00
CR135779 , .
USER ID: JAN
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TJRiR'iA, 1MONSM922 - . - . . ? .; `.?r
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OlAIPIER NAME: . ? (mf) 45&0W TEUIPbQIV?'?
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1?1&TR1.C:ERNAAA£: (?'.? z-
STREET ADaRES9:
CI1'Y: AJJl!
This request void 3- ?'? g u ?,???? d•b o
18 months from /
q q157s
Request Date
J Fire No. Rough-in Inspection
Repuired7
?'Fieady Now Q WiII Notify. InsPec-
tor Wh
R
d
?Yes No en
ea
y
lyLicensed Electrical Contractor 1 here6y request inspection of a6ove
? Owner electrical work instalied at:
Street ddress, Box or Route No.
? ?'2-t? &
? ?
! City /
?Ml
! }
i,.. /t.
.
ection o. Township Name or No. Range No. County
Ay -19-,
Occupdnt (PRINT)
4
4 Phone No.
,
.
? 4.-?,
Power Suppiier
o4eeq 9 /-,-- Address
le?qz^
Ele rical Contractor (Company N el
- Contractor's License No.
Mailing Address IContract r or Owner Making Instailationl
-
Authoriz d ignature Contrc /O nar Making Insta ation)
f??' Phone Number
MINNESOTA STATE B01CRD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612! 297-2711 ENCLOSED.
3ST FOR ELECTRICAL INSPECTION „ ee-ooooi.o?
? ' See iostructions for completirm this iorm on back of Yallow copy.
1
A I •'"X" Below Work Covered by This Request ?
Add Rep. Type of Buiiding Appliancea Yrired Equipment Wired
Home Range Temporary Service
Duplex Water Neater Lightiny Fixtures
Apt. Bui Iding Dryer Etectric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci y Other ISuer.itvl
t er Suecify Other Other
ompute lnspectron Fee Below
# Fee Service Entrance Size t! Fee Feeders/Subfeeders ii Fee Circuits
0 to200Am s 0 to30q s 0 to 30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_AmpS
Transformers Irri tion Booms Partial•'Other
Signs Speciallnspection $
TOT L EEE
Remarks , a
in
v
Rough-in DaSe I, the Electrical
C Inspector, here6y
certify that the above
Date
Final inspection has been
dthfa request void 18 montha from
this request void .3 {.-1-l' 1?,37 •??
18 rtpnths trom
A 46 578 z S0AJ C4..1 FF l(s
liequest Date
3 ?? ?z / Fire No. Rough-in Inspection
Required?
?Ready Now ll Notify, Inspec-
tor Wh
R
7 [? Yes ? No en
eady
K Licensed Electrical Con2onctor I hereby request inspection of above
Owner + eiectrical work instalted at:
Street Address, Box or Route No. City
1.2 / ?yA'tJ e, Coloi. I ..?
ection o. Township Name or No. ange No. County
Occupant (PRINT) Phone No.
a 4 fT E3 ?'`t=?f
Power S plier Address
EI, tric I Contractor (Company Name) Contractor's License No.
c) ? L
Mailing Address (Contrac or or Owner Makinp Instailation)
Aut ized ign ture (Contra 1or O ner aking Insta tion) Phone Num er
? ?? ?
MINNESOTA STATE BOAR OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldgt - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55704 UNLESS PRdPER INSPECTION fEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-oooo??oa
, See instructions for completing this form on hack of yellow eopy.
"X" llelowv Work Covered by This ftuest
lje4 Akid Rep. Type of Building Appliances UYired Equipment Wired
4 ' Home Range Temporary Service
Duple • Watar Heater Lighting Fixtures
Alpt. Building Dryer Electric Heatin
M Commerciai Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bufk Milk Tank
Farm Other SPeciFy Other (SUer.ify)
t er Specify Other Other
Compute lnspection Fee Below
tf Fee ServicefntranceSize p Fee Feeders/SubfBeders # Fee Circui[s
/Q,yC. U to 200 Am s 'D 0 to 30 qm s 0 to 30 Am s
Above 200 Ampsl =v 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100-Amps Above i0o_Am s
Transiormers irrigation BoorrFs Partial•'Ot Fee
Signs Speciallnspection
n
TOTA
EE
Remarks (
?
>
r
Rough-in • Date ?, ihe H
Inspector, hereby
certify that the above
' Final ?tq-? inspectian has 6een ?
made.
Tlnis reeuest void 18 months trom
ir
CITY OF EAGAN WATER SERVICE P ?
3830Pilot_I?nok,Road ?? '
P.%O. Box 2719 PERMIT NO.: 3-15=84
'Eagan, J)!IN 55 V DATE: ?I
Zoning: -L??-1 - No. of Units:
Owner.
Addross:
Site Address:
Plumber.
Meter No..
Stze;
Reader No.:
I egres te eomolp wilb lhe City of Eogen
OrdtpeneM
ev
Date of Insp.:
?.onnecnon t,narge:
15.00 Deposit: 00
.
Permit Fee: !?F
.50
- ?
. -?
Mlsc. Charges: ii
Totai:
Dcte Poid: ?
Insp..
j?
CITY OP'EAGAN SEWER SERVICE PERMIT
3830 Pilat Knoli Road 6534 "
P. O. BoK 21199 PERMIT NO.:
Eagan, MN 551'1 DATE: 3-I5-84 li
Zoning: 1 No. of Units:
Ownor: Stt,phat1 Nmes
Address: °
Site Address: 4298 Begvcr Dan Raad L19 B2 Sun Clfff lst
`
Plumber:- WeIIZeI Mech I
3-6-54 41636 10000 • ?'a
1 eyroe to eempy wNh !be Cilp of Eogan ' Connection Chorpe: 425.00 pd !
?
Ordinan?n. Atwunt Depoait: 15.00
P
10
00
Pem?it Fee: .
p °
Surcharge: I
BY Mise. Chorqes: $
Dcte of Insp.: Totcl: !i
Insp.: Date Pald:
'!
? _ .. ,. ?. - ..-..??.--=--?.x.-..-- ,.> ..?-Q. _.......-...-.....,?
CITY OF EAGAN ?Q ?8??
?., 3830 Pi{ot Knob Rqad, P.O. 8ox 21-199, Ea?n, MN 55127 •
• PHC?NE: 4548100 ?
BUILDING PERMIT Receipt
_ te 6. .,.d for SF DWG/GAR Est, yal„e, $ 71, 0 0 0 pte MARCH 6 1 q 8 4
- ?.
site ddress 4298 BEAVER DAM ROAD Eroct ?j Occupcr?cy R3
Lot ?9 Black 2 ceds?b. SUN Ci,IFF 1S'1' Alter ? Zoning Rl (PD)
Parcel No. 10-72975-?.90-02 Repolr ? Fire Zorro N/A ,
STEPFiAN IiOI?'IES Enin?pe ? Type of Cortst, V
14340 PILOT KNOB RD Move ? ,? Stories
ixg Neme
c??APPLE VAL. Phone 423-3322 ??ish p I..cngth 46,
p Depth ?.?L,'?q, F?.
Approvoh Fees
F Name S?ME -- -
?U Address
? City Phone
Nane _
Address
City _
Phane
Assessment
Water 8 Sew.
Police
Fire
E+D•
Pionner
Counci I
Permit -_tii.14,,?35Q 8
Surchor9e :5
Plan check 173.00
SAC 525.00
Water Conn. 4 5 0. 0 0
Woter Meter 63.00
Road Unit._.-Z6Qs00
1 hereby acknowledga thot i hcve rocd this application ond state thot Bidg. Off.
fhe informotion 1s corceet ond ogree to comply with nll opplicoble ?1'?'? .r,0
Stcte of Minnesotc St?utes and City of Eogon Ordinnnces. APC Totol
5lpnoture of Permittee ,.?
A Bullding Permit is issutd W `?, -?`'•-'1 1?,--?`z`;,?c r r--GG?.? on the exp?as coriciitinn thwr
pll wasrk sholl be done in accordonee?9ith oll opplieablr;Stota of Mirynesoto SMtutes ond City of Eagan Ordknonom
BuNdiv Offieiol
L . . . . .. . . ','?? ?r . . . : ? `?.
. _ . _ ... ..... .? .,_._. f......_....i
Pwmit NM. Prrmk Hotdor Mira Penoit No. HohN?
N"mbi"9 1 GtJC ?T
ILvJLc. 7 a 8
wo
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avn 3 a '
sma
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3?•?
memom om kw o&..
P..fA?r
Y -
fuawMMbm ?t?
FFU"W N6
Final FtY11C
F+nd ?' •m. ? ya
wd„ n..m.r. Lacedon: .
?
?
swm.
Ift DWP.
PCtSUlDtNG PCR4lIT ? ._ Pern?it Na.
Ct7'Y t)F EAGAN _ee a?Q 00
r Fi!! In rwmberecr xpacw S/C ?
Type or Prlnt legibly Tot ...7 a.Sd
' f. Date 3 ? 2. Installation Cost
S a
$. ,lob Address ?? 8?`idP?' 6•?n??ot ? / Bik. ? 7ract
#.. Orrtiu ^J7'C,C,V? "+`YN
? /
;- ?. Contracto?r Gflell2Cl M«h? Ph one Al5•2- /SIoS
Address 34 00
?. 7., City State M^? Zip SJ /2Z ?y
Builcking Type:. Residential & Commercia! ? Institutional ? t
:'; $. VVctrk Description: New [Y Add O Alter ? Repair ?
s?•°
Fixtures
¢?? , WMC Ckd8'I
? Plath wr,s
Lswatary
SF?c??naar
r
f??' .• iQbdon Sink
; . ..
„ a
No. FiXtUreg
e??/Drainfieia
Septie tank
Softner
? - Well
???
?
e
W
?
?
Pe
MECHAMtCAL PfRMIY
?
c
i
? rmit No
GlTY OF EAGAN ? Fse $ 20.00
? fill in numbesed spaces SfC
;,50
Type or Print legibiy TOIL $ 20. 54
'
7_ Date 3-29-84 2, lnstallatian Cost
?
?
? ' -' J = ' J.. f
3. Jab Address 4298 Beaver
cBtk. C14,
t
Lot 'Fract ?-i
4. Owner 8teph-Ars EiOsnes, Ir?G. .
5. C.ontractar K1eve Heatinq & A/C Inc. Phone 941-4211
6. ,4ddress 13075 Pioneer Z`rai2
7. City Edest prai rie State M3.rsn.es6ts . Zip 55344 .
$, Buiiding Type: Residential AD Cammercial 13 Institutiona! 0
g. Wprk [)escription: New Add 0 Alter GI ; Repaar 0
'IQ. Describe idew hotise hE!atfTSg Fuel Type i3att}rsl G4a
11.
?.
?
IVo.
? Eauiament 8711- M. Ea,
Farced Air LMUIOX MOdI3I tVa. Equipment CFM
:
Air Handlin
Wg,Gj21p3E-$2, 82,000 B g
Boilers x Ventitng
Mfg' Mech. Exhaust
llnit Heater
Mf9- tchen hood. 2 batth
far19
Other
Air Cand
W9.
? Gas, I?iping 4utlets Furr?ac? Iy
Reaipt NECHANICAL PERMIT Psrnnit No. ` •}i `??_,,, ?
?- ` I? CITY OF EAGAN FN
F Flll in num6ened a?sces g/? . 50 A
??
Type or Prinf legiblY T+d1. 5 5_ 5D ?
1. Date 4-19-85 2. Installstion Cost s 1665_02 ,._
3. Job Address 4298 Beavmc DaeLotBlk.
,
4. Owner mike Anx%dWm S. Contractor Kleve Heatinct i A/C Inc. Phone 941-4211
6. Address 13075 Picaser TraiS ?
7. City Eden r°rafri+e State !°iinnesota Zip 55344
8. Building Type: Residential M Commercial O Institutiorrat O
9. Work Oescription: New ? 4Vdd0= Alter k) Repair ?
10. Dascribe Add H,/C ta eiciating hcuse Fuel Type ElectxiciLv
11.
No. Eauioment BTtJ - M. Ea.
Forced Air No. Eouioment CPM
Air Hsndlings
Mfy.
Balers
Mfg. Mech. Exhaust
Uflit HB8L8f
Mfg. Other
I Air Cond. Leniwx il;x3el -
Mfg. Rs16-31I - 2? Tons
Gas, Piping Outlets
12. I hereby cartify that the above informetion is true and correct, and 1 ayres to
comply wit?ail ordlnances and codes governing this type of work.
S'igned: ?ifor
I*ugh . Fi 1
Inspections: Oate Inap. Date?? InsP• ?
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
z ;d
?
C1TY 4F EAGAiV ,
P. Q. BOX 21-199
EA6AN, MINME T 55121
e c rE ?-.
t9
,'? nRCaveso
AMOUNT
J
f U?.24fu_P .8? DOLLARS
? f o 0
E) CASH `Q-Ct9'ErGK
.. ?
FUNO -- CODE AMOUIVT
,/
` 1L?
_...-__.....r /r`.
` 1S
/ _ ._.
U
ii?i3-7Thank ?
h... C. - _ ?
W11ita-Peyan Oopy
? YeNow-Poaxino t7apyr: .
Piwk-FiFe!CoqY
CITY OF EAGAN Remarks UIV" t ?-,) -?J t
Addition MN CI'IPF 1St' Lot 19
owner - sYreet 4298 BLAVBA
Blk 2 Parcel -19MMM
ft-
DAM ROAt? state AN lT 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1970 690.05 69.01 10
STR E ET R ESTO R. gli 19$1 20$0.40 203.04 iQ 1218.2 C0087$7 5-4-84
GRADING
SAN SEW TRUNK 197V 76.54 3.06 25 30.64 C008757 5-4-84
SEWERLATERAI 2 974 44.21 2.95 S 11.$7 C00$7$7 5-4-84
* Sover Later$i s 1981 4419.74 441.97 14 2651.86 c008757 5-4-84
WATERMAIN
*WATER LATERAL 1981 1
WATER AREA lb 1973 93.5 .24 15 18.79 C008757 5-4-84
STORM SEW TRK 1971 322.29 16.11 20 96.75 C0087$7 5-4-84
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
- !
WATER CONN. 450.00 if of
BUILDING PER. 8870
SAC u t1
PARK
' CITY dF EAGAN WATER SERYICE PERl1AiT
,M0 Pilot.*km%b Roed 5345
P. O. Beox 21799 PERMIT NO.:
Eagan„MN 5v?`f21 oATE: 3-15-84
Zonin9: Fi 1 No. of Units: 1
Owner: _ Stept-ian Hoines
/lddron:
5t Addrcas: 429$ ueaver Daui Road L19 BZ Sun Cliff lst
t,,,,ber; Wenzel Mech
Meter No.: ?? 3 Connection Chorge: 450.00 pd
Stze: qcoou„t peposit: 15 . 00 pd
der No :[@? 3- mnit Fee: 10.00 pd
?°' t°eo'- '?t?i ?•?AS ??'nrge: .50 pd
Ctwrges: 63.00 nd meter
Or?wenas.
i:?=???'ni? I:
? ? •- ? e ? B!( E f-1 ?Na
gy e'' o Dot+e Paid•
Dote of Insp.. v- Irnp.:
R CITY OF EAGAPI N• ? 8870
? 3830 Pi(ot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ?G,
To be uted foe SF DWG/GAR Est. Vclue $ 71,000 pate MARCH 6 , jq 8 4
site Address 4298 BEAVER DAM ROAD
Erect
?j
Occupnncy R3
19 2 SUN CLIFF
Lot
Block Sec/Sub. 1ST
Alter p Zoning Rl ( PD )
Parcel No. 10-72975-190-02
Repair p
Fire Zone
N/A
V
Enlar9e ? Type of Const.
ac STEPHAN HOMES
Name Move Q # Stories -
Z Address 14340 P ILOT KNOB RD. per„olish p Length 4 6'
City APPLE VAL. phone 423-3322 Grade ? De
th
' k
45 t
F
p
-
- q.
t.
, o Name S?E Approvols Feea
H
?? Address
r City _
?Wa!!! Name _
Phone
Address
City Phone
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Council
I hereby acknowledge that I have read this application ond state that Bldg. Off.
the information is correct ond ogree to comply with oil applicable APC -
State of Minnesota Statutes and City of Eogan Ordinances.
Permit ? 3 4A - 00
Surchcrge 35.50
Plnn check 173.00
SAC 525.00
Water Conn. 450.00
Woter Meter 63.00
Road Unit 260.00
Totoi $1,852.50
5igncture of Pe?mittee I
/1 Building Permit is issued to• on the express condition thnr
oil work shall be done in otcorda% e h all op ' State of Minnesota Statutes and City of Eogan Ordinonces.
Building Officiol ,?, -t g.t'a-l+.L J
VY-7 ? GTTY O?' FAGAN TncZude 2 sets of plans,
1 Gertificate of Snrvey•&
. ^
BUILDING PERMIT APPLICATIQN 1 set of energy calculati.ans.
/j 0 0t7 Tb Be Used For Valuation Date
Site Address &ilm OFFICE USE ONLY
Ibt ? Block. .? SeC./Stib. scr- t OccuPancY
Parcel # : ( j U - 62.,,Alter Zoning
Repair Fire ?one
Owner: Enlarge `I'ype of Canst.
Nlove # Stories
Address:
City/Zip Code:
Phane #_
Gbntractor:
Address: 2113 City/Zip Code: ?
??-
??-
--Phore #: .x3 -3?.? ?--
Ar'Ch. /tn[J. .
Address:
City/Zip Code:
Phone #:
I3emolish Front ft.
Grade Depth ? f t-
APPRONTALS F EES
Assessmen.ts Pernit
iqater/Sewer Surcharge 3e ?
po?ice Plan Check 17-3
Fire SAC ' S?
Eng. water Conn. //4'p aO
P3.anner Water M,eter ; -
C;OUI1C11 Road Un-t '? ra 6
----
Bldg, Off.
AFC
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A LL 8 G AKtNLh A"UMED
o pE1Jor" I014 M0Ul#MMf
LaT f 9 ? V6oW-Jr- w-)
,uu 4c.IFF lcticur
ADbtTIoN, OAK.OTA-.
CDVI•tTY, MlA11JE+oTa
I hereby certify that this survey was prepared by me or
under my direct supervis3.on and that I am a duly Registered
Land Surveyor under the laws of the Statp of Minnesota.
Z??
LeRoy . Hohlen 10795
Registered Land Surveyor No.
?
? 2/$4
' C I'I'Y OF EAGAN
/
` AFPLICATIQN FOR PERMIT
- SEWER AND/OR GdATER CC3NNECTION
' (PLEASE PRINT)
PRDPERTY ADDRESS: 47qA Raaarar. Ttam Rd
T.TY;AT. ??IPTIpN: r.o _ 1 1oc,k 2 Suncli.ff
(IAC:,/81ock/Su,bci3.yv'?sa.on or T'aX Parcel I.D. Number)
.rF i:+Ll??Y.+•1 Sli.=:E, n??'+ :i^ y•7T?•r?-ir? ^r•71,. _.""'?
? FEF?•SIT I=;::......_..
:.'e?
PRESMU -_,l'NI?:/PR0I'4SED tISE: E7 R1 SINGLE FAMILY
E3 Rz 2 DrrnLEX (TWD t.NYTS )
E3 R- 3TO&EMSE (TUIEE: + UNITS ) ( UNITS )
13 R 4 APARZMV'.C/CMIDQMIlN2[}M ( UNITS }
`
p CCRMERCTAL/`RETAIZ,fOFFICE
G IMT35TRIAL f
Q 3NSTITUTICNAS.fGC1VIIZIZEUr
2) RpPLICANi+ PLEASE PRFNT )
NAME: STEPH-AN CONSTI2UCTION
AD1?RESS: 14340 Pilot Knab Rd
CSTY, STATE, ZIP: Apple Va]:l.ey, Mn 55124 -
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3) PU.AKBER NAIVE: PLEASE PRINT) FQR CITY USE ONLY
PiUNSERS LICEMSE:
ADuREss:
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CTTY, STATE, ZIP, 3600 KENPEEBEC aFiIVE, EAGAIV, N11NN. 59122 ? Expired
[?] Not of . ecord
PLUMBER LICENSE # 001445M2 4
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5) INOICA'1'E WHICH PEFtMIT TS BEIW, P;EQJESTIID;
Ej CDiqNECTION TC] CITY SEZrIER
(D G`OMpC`PTON M CzTY WA`I'ER
a' C7II'EiM (PIEAS£ DESCRIBE)
b) ]SIDZCNTE QNM:
PLF'.ASE FiOID AFPRdVID PERMIT FY)R PICK-UP BY ONE OF ASC7CTF
PLF'ASE MAIL AI'PROVED FERKIT ZO 1, 2, ?34' 4 ABOTE
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7) SI&NAT[1RE: QATE:
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F O R C I T Y
PERMIT # ISSUED
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U S E O N L Y
SEWER PLRMIT (I:IGLGDE SURCHARGE)
WATER PEW"IZT ( Ii+TCLUDE SURCI3RRGE )
WATER METER/CQPPERHlJRN/OUTSIDE READER
WATER TAp ( INCL(3DE CORFURATION STOP )
SEWER TAP
ACCOUNT DEPQS IT - SEWER
ACCOiJNT LIEPOSTT - "GIIATER
WAC
5AC
TRUIITF{ WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNR SEWER
LATERAL BENEFITJTRUNK WATER
4THER
TOTAi,
AMQUIVT PAID/RECEIPT
DC,}ES UTZLITY C(]NNECTI(3PI REQ[3IRE EXCAVATION IN PIISLIC RTGHT pF WpiY?
YE5 IF YES, THEN R"PERMTT FE?R WdRK 6JITHIRI
PUSLIC ROADWAY" MCiST HE ISSt1ED BY THE
? NO ENGINEERING t]IVTSIQIaL. LTST A.S. A CCl-NDI-
TION.
SUBJECT TO THE FOLLOWING CpNpITTONS:
APPRQVED BY : --?? = `. • ?
TITLE.
DATE
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TotalBw.
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200
7 RESIDENTIAL PLUMBING PERnniT APPUCaTiorv
? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete fvr modifications to existinq residential dwellinqs.
-Date
Site Street Address ?3?- 6!919 41'?,X Z4t22 pl Unit #
Property Owner Telephone # (4g;s4
?
Contracto Telephone # (9'.:5A c990?-l??S'S3Q
Address c ity, ;qw,q,js-,& c State_ rJ Zip ?"
The Applicant is: Owner & Occupant ? Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a plies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to . main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
insta/ling onlv a water soffener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_WaterTurnaround (add $136.00 if a 5/8" meter is required) '
Other:
XWater Softener _ Water Heater $ 15.00
,
_ new _1X replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ? , CJ
I hereby appfy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accorda e with the approve lan in the event a plan is required to b reviewed and app ved.
f?? ? ApR 0 9,2007
Appticaht`s Printed Name / Apoficatt's Signature
2007 RESTDENTIAL MECHANICAL PERMIT APPLICATION
- City Of Eagan
.• 3830 Pi1at Knob Road, Emgan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
C) .
? .--
CJA-?-?
Date?_/??
Site Address 1 39 <? 1,y??Y_ _r Unit #
Property awner Telephone # (?? ) ?;V7:?
Contractor
Skreet Address 9 E t
Stat City _N? `
Zip ?20 Telephone # (?.?? ) ?? ~? ? UC1?
Sond #: Expires:
The Applicant is Orvner ? Contractor Other
Fire repair (replace burned aut app6iances, ductwvrk, ete.) $ 90.00
This fee applies when extensive mechanacal repairs are made to a building.
Add-an or alleration to existing dwelling unit $ 50.00
? furnace _Additionai -YReplacement Nevw
air exchanger
X air conditioner
heat pump
ather
State Surcharge 5 $ .50
Total ? !5LSD
I hereby apply for a Residential Mechanica.l Aermit and acknowledge that the information is complete and accurate; that the work will
be in canformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applioation for a permit, and wark is not to start without a permit; that the work will be in aecordance with the
approved plan in the ease of work which requires a review and approval of pl ?
4
Lwc
Applicant's Printed Name Ap i ant's Sigrtature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135600
Date Issued:03/25/2016
Permit Category:ePermit
Site Address: 4298 Beaver Dam Rd
Lot:19 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-190
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Jeremy A Ellis
4298 Beaver Dam Rd
Eagan MN 55122
Craftmasters Remodeling Inc
2495 Maplewood Dr, Suite 314
Maplewood MN 55109
(651) 757-4100
Applicant/Permitee: Signature Issued By: Signature