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4341 Beaver Dam RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4341 Beaver Dam Rd Lot: 23 Block: 3 Addition: Meadowlands 1st PID:10- 48050- 230 -03 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: Walker Roofing 2274 Capp Rd St Paul MN 55114 (651) 251 -0910 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: Khalil Jor Dan 4341 Beaver Dam Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA080973 11/08/2007 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 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 Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4341 Beaver Dam Rd Lot: 23 Block: 3 Addition: Meadowlands 1st PID:10- 48050- 230 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Walker Roofing 2274 Capp Rd St Paul MN 55114 (651) 251 -0910 Total: Applicant/Bermitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. Owner: Khalil Jor Dan 4341 Beaver Dam Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: al (i.e. debris that could block vent openings) and $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA084067 07/07/2008 ePermit 18 months from` 9 2 ? 6 (? ,9 R 7 Date of this Request ci I, as OLicensed Electrical Contractor El Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ?EA 2 1J a M Ci A0 ("tyc, Section Township Range County Which is occupied by---' NJ -7) L. Is a roughin inspection required on this job? No ? Ye?W Ready Now Q Will Call 0 ,?-? ? Power Supplier _ I??c?,,; ?,-? .. t,},? Oddress , `? L r% DElectrical Contractor ?"rJ F- ???-? Contractor's Lice ?o l? l r? (C,ornPany Name) /I I Mailing Address 36 K -?v` s;; ? t ? c? , b (ElectricyU Con r ctor or Owner Making This In4ta11ation) Authorized Signature ''- r Phone No. S ???? (Elect cal Con actor or Ow er Making This Installatfon) ? r ? CopYThis inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION Cr?ECK BELOW WORK COVERED BY THIS REQUEST l 7'34Xa R 792?6 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace f$ Silo Unloader ? Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Other ? ? ? p HeieIS? p HerersI COMPUTE INSPECTION FEE BELOW Senice Entrance Size: # Fee FeedersBcSubfe.eders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres . 101 to 200 Am s. 31 to 100 Am res 31 to 100 Am eres ?. Above 200 Amps. Above 100_Amps. Above 10Q_Amps. Transformers Remote Control Circ. Partial or othes fee S' ns Special lns ection Minimum fee $5.00 Remarks , . -r'i • I, the Electrical Inspector, hereby cer t th c' has been ma ?? + y (Rough-in) Date (Final) Date This request void 18 months from CITY OF EAGAN ' 3795 Pilot Knob Road Eagen, MN 55122 N2 5506 PHONB: 454-8100 BUILDIN G PERMIT APPLICATION Receipt # f4?- -2-3 - To bs used for SF Dwlg & GaY'age Est. Value 40, 000. ppte _ 11-14 __ 1979 Site Address 4341 Beaver Dam RUad Erect :MC Occupcncy R3 Lot 23 Block 3 See/Sub. Meadowlands Alter ? Zoning Rl pomar # 10 48050 230 03 Repair ? Fire Zone 3 E l T f C t V n crge p ype o ons . W Name Zac?unan Hoires. IriC. Move ? # Stories 3 Address 7760 Mitc?ll Road Demolish ? Front A 56 ft. o Ci 937-9520 Eden Prairie P Groae ? oePrh 24 ft. hone ? ?t Address Assessment t" Ci Phone Wa1er & Sew. ? Police W Nome W Fire R? Address Eng. W Ci Phone Planner Councll ( hereby ccknowledge that 1 have read this a plication cnd stote thnt gldg. Off. the informction is correct andpgires to GOMPly with oll applicable tate of Minnesotc Statutes.,dr?d ' Engan Ordinonc . Ncme Sam Approvuls Fees o . APC . Signoture of Permittee - ' 1? '? ` u f A Buiiding Permit is issued to: Z? Hc[ne Inc. oll work shall be done in ucco?dan witrt+. all appl able Sta? Butlding Official ?s= L ? ?_, ?• - c Perrnit 1-1:) . JV Surcharge 20.00 Plan check 57.75 SAC 525.00 Wcter Conn. 270.00 Wuter Meter 60 . 00 ?toad Unit 75.00 Totcl r 2 .25 on the express condition that Stotutes and City of Engan Ordinances. ??,-? .? f { - '??" , .,;,?? .? ? - : crty ew mum , "! 874! Mle! ICnoti Retd ihgei4,' MM lii#'32 P"OIEt 4544110 ' ' e???e pmmrr , To 4 104 c+oe g?c.Vatus 40 C 0 0- sta Ad" 4341 1;(.A-Ivnx nar Rc.? l.ot B b o c k 3 Sec/Sub. '' c 3 forosl ? 13 4PO50 230 03 _ ,{ . Wame ? ,??,.?'L S. InC. ? Addra?? l I?Dxd ? - _..len _ e __ 937- p N011'IB _ Addi'ESS Nome ?a meawo * r ? . ,v-?-,d Erett ? tlmpartY Alter [] I"6np Repoir [] Fin Zoar _ Er'Wg° 13 Type c«f nnow t] Swdos Demoliah 13 Fror* IA APPM"ft ?11f Fla 1'11'1R wOt' & Serv. 2n. Su?; PoUce Pbn .t, _ -?`?*• ; ,?':?, Fire Erq. W'aut - ? Pionrer .? Couruil .. I fiembjr atkrawiedge thcrt 1 have read ifiis aQplicution +dr?d stote that B : ? the ihtorn+estron is ?rreet and. egree to aomply with oli applicable ? Starte aF J4Ainr+esat+a- 5totutes tind Gty of Eagon ardinonces. APC TtMI?l? Signaivra of Pscrrrittee . i? ? ? - •', ? -•'? -' c1 m E ta"Y?S ' .T_''?C.' . A Bullding Permit ia tawnd fa - oll vrurk sfiat{ 6a? done in amordonae w[Nt ail appliaable State af AAiraiesoM,SM04fts tead A00y soF OL"ni1 CIffleal : ? ;: : ;.,..- . fl: ' op • ,-• -,? Pkumbing 29 Mechanlcal 1 7 D INSPECTIONS DA7E INSP. Rqph.in Final Footings ? Q. Date Imp. D?e M?. Foundotion plumbing Frame/ins. ??? .. µ???ical ?T Finoi Remorks: ?. - . a.. ?• , '-71A TIN^. Dore: PERMIT cInr oF EA"N 3795 Pilot Keob Road Ecgan, Minnesoto 35122 Phone: 454-8100 Site Address: ; 31+ I ?'ave? Dam ut r" Block Sub/sec. _-k1eadowlan3s I Nome naCt1I1i8Si YfOf1E8 Address No. 1676 17403 Receipt No.: 5ingle V I Residentiol Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation Ciry Phone: Permit Fee 9r•ry' ,. Nome -`?`? ' • "?eZt'F'r Surctwrge .50 . ? Address -n?_- City Phone; ? Tatal ??.5(1 This Permit is issued on the express condition that all work shnll be done in occardance with oll opplicebte State,nf Jvlinnesota Statutes ond City of €cgan Ordinonces. Building Officiol CITY OF EAGAN 3795 Pilot Knob Rood ?. _= =y Eagan; Minnesota 55122 . `+ " ' • P6ane: 454-$100 PLUMB ING _ PERla11T N a. 1571 12r4/79 16986 Dote: Receipr ivo.: I _ 4 341 S?av??' Ddm Rd._ Site Address: Single Residential I? Ix ? ?meadOG1IaI3ds k 3 S Lot 23 Bl b/S mm /I ltl R s C M i?d ? _ oc u ec. . e ., o u . . lACHMAN HO:tiiES INC. I P7etnz ? Name /Alter /Re air N . p . ew ir ? Address Cost of Instaffation ? ? Eden Priarie,MN 20,40 City Phone: Permit Fee l1 _ Y Budget Plbg. .50 i Nome - Surchorge ? ? Address e V Eden P_-airie,10I ,. 1 20;50 City Phone: Taro! This Permit is issued on the express conciition : thot all work shall be done in accordanae ' vrath all applicable. Stnte of AAinrtesotd Statutes and City of Eagnn Qrdinances. . ? i ' - ? 8uilding fieial _ j - µ?:?^ ?i°?„-?/?'.`bR°'+' i a''R 1?. } ?•?' Af,^e? 5' at '- 'OF EAGA?`Np ? SEW?ER ?SE ;i 95 Pilot Knobi+ Rood, PER'M ?Eogon, MN 55122 DATE: Zoning: RII _ No. of Units: Owner. 7RChfiFlz] EioIIZCB! Address: Site Atldcess: 4341 zeati'eY DA!7: Rd L23 B3 MPlumbe?: F4Ltcllf.et x`ltLn]`iing 11/14M 16E7s 100,00 pa ?? . 1 agree`to eomply with the Cily of Eagan Connection Chorge> , 414, _ ff?1 t%A . " , . Ordina'.ncea. Account Deposit:. ? Bv Date of Insp.: , , .. Permit Fee: 10•06,'Dd Surchorge: ' •50 Dd • 'i Misc. Charges: Total: ' Date Poid: ?a? i3'dMf+: ?QF?` EAGAN?, a WAT?ER, ?SER?VI,CE ?PERMIT4,, ????? ??"? ' ; :5 Pilot •Knob Road' PER'Iv"I?IT NO.: •-??s;p' MN 55122 ` :.agon DATE: 110 il 1 /714 , . Zoning: A J. No. of Units: 1 , t: ? •, ?. L_.. Owner: - . :- y - LIwV4W?c. . . Address: Site Address• ?h?.t n_..... n,...., na _.. _ _ - --- • .,-. . ,. .. « ...,..._ ...? Plumber: i I Connection Charge: . ! s??` Meter No.: osit: t De A Size: p ccoun it Fee: P Reader No.: erm r e: h S I ngree to eomply with the City of Eagon g urc e r es: Ch Mi Ordinonees. g p sc. tal: T o I g Date Paid: Y Date of I nsp.: r ! (? CASH RECEIPT u CITY OF EAGAN i 3795.PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 I DA7E 1 g R6CEIVED % FFiOM AMOUNT ; - ? . . I . .. . - .J g DOLLARS 1 oo I ? CASH ? CHECK .,? FOR.?f/? 'I Thank You ? ? ?° ?'• BY ? ? White-PeYers CoPY Yellow-Postin9 CoPY Pink-File Copy V49ft,? TiON irECORD. .; CtTY OF EAGAN PERMtT w'PE: ;v?r c?c) xN +? ' 3630 Pilot Knob Rvad . Permit fVUmbpr 0 2 '? ? 41.k Eagan, Minnesota 55123 - Date Iswati. (412) 681-4675 SITE ADDRESS: ? 1401; .13 H k u R. t. ; APPLICANT: Ct 4 1 t: t'A41 F t: [ iAM R1.! hl ti L 1„ !q #.' I. it t) Y - ` PE?MIT SUBTYPE: _ TYPE 4F WORI?•. . ` , Nr.w oY??? ? ? ?? ?NAI I I .. ?a ? .. ? . . ? . ' ?_.. PWmt po. ANOW& MNlw r,um tbWeeM # ,...?. Faa?lny? ! Faautaiicn ? / ? Rouo P44 . Rough? phpkm ?TM FirW Rbp. Corist. Mew EnWJPI&n Bidg. pnii Dedc Pg.. Dedt Fillal WeY Pr. Di9p. 67 P!g. kwwut - No* P?xnAer ? at+B t/G?' +k CITY OF EAGAN Remarks Addicion MesacuTana let AAAittor Loc 23 eik A Parcet 10 48050 230 03 Owner Ai'` Lx,' IY t04`1 E4 i? !47 street 4341 Heavex' Dam Rond State Eagan• MN 55122 I Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. mp. ? 1589.99 ---158.99 1589.99 C005559 10 15 80 GRADING SAN SEW TRUNK ?.' 1970 77.95 3.12 25 * SEWERLATERAL $ 05402 6 6 80 WATERMAIN * WATER LATERAL 9 WATER AREA 1973 95.27 6.35 15 STDRMSEW TRK 1971 282.92 14.15 20 141.52 g 1 2 * STORM SEW LAT 1981 * services 1981 CURB & GUTTER SIDEWALK STREET LIGHT Ro d Uni 75.00 16673 11 14 79 WATER CONN. 270.00 11 1 t BUILDING PER. jt5rng it SAC 525 00 11 ?f PARK . This requtst void 1-8 mont4s from lf 3-f-ll ?R 79297 Date af this Request_ , _C -2 ? I ??/ I, as )'.icensed Electrical Contractor?er, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ??? ?? irfa? f i2 LAM 14 City -? GPA'j Section Township Range County ' G"A Which is occupied by f2r? Sf?? AN ? r ) ? .?,?- ?-- T?T(N am`e o-i Occu ant) Is a roughin inspection required on this job? Noi)? hWOW Ready Now El Will Call 11 Fower Supplier U i t`? ? L6 L T C`- Address ?" f=? K? r ti G 7 G W Electrical Contractor Contractor's Licen?? (Company Name) Mailing Address V`V 3 L A -4 t., ._ - w c 4A 1 / A t i D,( (Electri Copt,[actor or Ow r akin9 T is Instal ation Authorized Signature Phone No. f (Electrical C ntractor ot O ner Making This Instaliatlon) ??? ?o ? C^PY This inspection request will not 6e accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board ot Efectricity 1954?University Avg..rSt. Paul, Minn. 55104-Phone 645-7703 e?..-0 i FQ?R ELECTRICAL INSPECTION ?y,? ??LOW WORK COVERED BY THIS REOUEST ! 7-e 41/ R 79297 ?Type of Building Ncw Add. Rep. Check Applian ces Wired Foi Check Equipment Wired For Home ? ? ? Range ? Temporazy Wiring Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Other ? ? ? o Heiers? HehergI COMPUTE IN3PECTION FEE BELOW Szrvice Entrance Size: # Fee Feeders$Subfeeders: # Eee Circuits: # Fee 0 to 100 Am s. / .-a'-0 11 0 fo .Q Am res 0 to 30 Am eres 2:C-to 101 to 200 Am s. 31 to 1 rlmperes 31 to 100 Am res Above 200 Amps. _,-1D(L- Amps. 11 Above 100 Amps. bigns lnspection Minimum fee $5.00 Remazks 1: 2 A ?v'7 ,• `? ` ?2 •`??, ? , .,) O ? r TOTAL FEE u rl C`"Y? ?..) ?? ...;? r}?e+rA ? ?- • l? I, the Electrical Inspector, hereby certify that the above inspeCction has been made. (Rough-in) Date (Final) Date This request void 18 months from CITY OF EAGAN ' ? ??? " BUII,DING PEFd?1.IT APPLMATION Zb Be Used For Valuation Site Address k ZAt ?-Block '? Sec./Sub. Parcel # : /v - l.' ?'?• _ - ? ? Owner: Address: '7 City/Zip C.ode: Phone #: Contsactor: ? Address: City/Zip Code: Phon,e # : . Arc:h./Eng. . ? Address: city/ziP coae: Phone #: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date OFFICE USE ONLY -?,- OccupancY Erect - i ? - Alter Zoning Repair Fire Zone Enlarge - Zype of Const. t/ Move # Stories Dgrolish Fmnt SG ft. Grade Depth ay ft. APPR(7VAIS FE ES Assessments i?P?/; ? ? Pezmit OF / / -s taater/Sewer Surcharge a0 Police Plan Check -5' 7 Fixe ? ? ?k5 - Enq, Water Conn. :P 70 Planrber Water Meter L; 6 -?" Council Road Unit Bldg. Off. APC TOTAL i ?4 ; ?? ?, `'s, ' ? ??' ? I ,? •? ,-? ? ?? ? . ?- • ??J /?? ?: ?n , , ti czz•3 ', ?as 70) MAP OF P9 ?, :R?y m ?- .q . M ? R?.....IY?,?....... F'N ddE . a tached For legal E'ulleer Zachmen Homes Inc. Loc 23 eik. 3 Addition MFADOGULAND ?i Addres5: EncnN M,cLs House Name BRIARU/dDII 19-6Z 4-3 4-1 B EA UE/t D AM R 014D H au s e S ty 1 e 68V T ENTR Y 5- eawRsf ' B Sq.Ft.House $65F- '# sq.ft.Gar!r'6' -Cicy: EHGRN , 1"11 NN - M ^ - --- i FIELD NOTES GAJ Power ples P Low Areas Show Iocation of ineters X Telepone poles T Highest Point Private well NP Larger Trees? NORTH Private septic systemAfO ' Public water YES Public sewer YES Natual gas 'YES L.P. GasND Culvert requiredNO . Curb cut requiredAlD Sewer $ Water stubbed in YCS Driveway surface (G' 81T ASPNALT Front yard setback 3 0; Sideyard setback 5'14 lD J`?INN Att. Gara YES Garage left right ; Local Inspector City vf EHGEN ' Name pPtLE PETFRSON DDUG RElD Phone -f 5-4- B 10 10 LOT DETAILS 'size width 79.09- 8'5--a0 Size depth t2s• 93 - 131•S6 Approx. S. F. of lot ?GTo ? High point Power Poles NnnE - Telephone poles uaHe Underground YE,S Larger trees f? Street = Elev. S 79• G Lot corners go. 3- 7?• C High point g g3, a _ Low point Gutter or Ditch Local Electric Co. -- _ Name NS P f`P1 Rl1I NtT01Y - . Phvne 507 - 3'4 7 57.621 . 'Local Gas Co. Name -PFOPLfS A1RT LAS ft??tn?t?Ton Phone 't G 3- 7 1Z1 riser $ a) Stoops ( ) _ Decks $ b) Sidewalk _ s.f - ? Driveway s.f. $ Parking Paa s.f.$ Curb Cut & Permits $. lawn steps f $. c) Finish Grade ? d) Black Dirt F, landscaping- Sod s.f $ el UnderQround Util Fu $ I I ? i ? ? 1 ? f 13. 3 ?•O _?f r- ? 1 X SEs,a l ? ?3 . ? ? 43 4! A I ? ? I ? BS?o !3 ? Z,,,, i 71 ? ?. ? ? ti ? q• - - ? 8s?.o ?I 1 . -- 79.a,- - -? ? ?t6 13 EAUER. 0 Hl) R OA b TOTAL ?- . . •tAC CHARGE $ . _ater charge $ . -Park charge $ . - ? , ' • ' ... . - ' • • DIRECTIONS TO SITf,: ? • ' • ?. , . ' . uo?w ,os . ? ? 1• ? ................:..:. i. ..................... 3 ............... . .. ? ?-----. to ..._... t ? ...... to ....... t e ...-.??.r ! ? • ...... s. - ?:,.»? ..... ....... ........ .. .. .. . . ... ............ & .. ,.,., t ..... .. ro .. . s ? . . . ?o .... . ? I ? o... as. c?? •?.-??• { • Y. 1 OMAttae.rt oP aoa.Rar.?[ - • . . _.. .r . ... __ ? _ . 4 1,1" .. CI rY O1= EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ITE ADDRESS: P.I.N.: 10-48050-230-03 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4341 BEAVER DAM RD LOT: 23 BLOCK: 3 MEADOWLANDS Bttilding=: Aermit 7ype DECK Building Work 7ype NEW ck-3 Lil o BUILDTNG 024706 1@/11/94 REMARKS: FEE SUMMARY 8ase Fee $30.00 COPY .50 5urcherge $.50 Total Fee $31.00 5ubtotal $30.50 CONTRACTOR: OWNER: - App1 i c a n t - ENGLE MELRQY 4341 BEAVER DAM FtD EA6AN MN 55122 (612)232-4093 i 1 I hereby acknowledge that I have read this application ancf state that the informati.an is carrect and agree tn comply with all applicab1e State of Mn. Statutes and Gity of Eagan Ordinances. L I ?a?a. &UA I P LICANT/ RMITEE SI TURE ISSUED B: SIG TURE??- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L U T: 23 s La c K: 3 APPLICANT: 4341 BERVER DAM Rp ENGLE MELROY MEADOWLANDS (612) 232-4093 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW BUILDZNG 024700 10/11/94 INSPECTION ., . .A FQOTING5 FINAL 1- -1 I .. ` CITY CfF EACAN ' 1994 BUILDlNG PERMIT APPLICATICIN 681-4675 4_31,W m;td 10-I 1 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur ?, gy calcs. . ocT a 7 ?9a COMMERCIAL 2 sets of architectural & structural pl ns, 1 set of specifications, 1 copy af energy calcs. -----------'--- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date lo Valuation of work Site Address: g ue r?cL rn RQct el , STREET 3tJ1Tl 0 Tenant Name: {commercial only} LOT BLOCK ? SUBD. P . I . D . o Descri tion of work: :r_G'r_ The appl i cant i s: ? Owner ? Contractor ? Other (Describe) t Name f=ne te, Me rDu 2,4 aC y hane Property IAST FIRST Li/, 7- Owner A d d r e s s 43 q- I A& v- e r L?n n STREET STE 0 City ?ce ?ccState IY741 Zip 6-61 T Company PhQne ContraCtor Address License # Exp. City State Zip Company Rhane Architectl Engineer Name Registration # Address ' C9ty State Zip Sewer & water licensed plam6er . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state tha`t the informat9on 1s correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OfFICE U'SE ONLY BtJtLDNO RERMIT TYPE 13 OI Faundatian 0 02 SF Org. . Cl 03 SF Addition E3 04 5F Porch 0 05 SF Misc. W4RK TYPE O 06 Dupl ex 0,07 4-P1 ex 13: 08 6-P.i ex o: 09 i 2-PIex 1110 Nulti. Add•l. M, 31 Mew O 33 Ai terrttlvna, ? 32 Addition ? 34 Repair- QENERAL INFORMAT1ON Const. (Actual? (Al l owabl e IyBC' accupancy Zoning # of Stories LengLh Depth "'-'- APPROVALS C! 11 Apt. /l+t?tgi nq ? 12 Mful ti . Mi sc. ? 13 6arage/A+ccessory 13 14 F i rep] ac+t C[ 15 Deck CI lfi Basomt Finish 13 17 Swim Dat?1 [] 18 Comm./ind. O 19 Com./Ind. Misc. 0 20 pubiit Fac111ty E3 21 Miscellaneous Gi 35 Tenant'ffn#sh D 37 Deo1ish , 0 36 Move F" . . . . ? . 8asemerit sq. ft. lst ?1. sq. ft. Zr?d f1. sq. ft. Sq. Ft. total ? Footprint 5+q. ft. Qn-site wel) . .?".`` +dn-site sewwage Planning 8riiltting `Engineering ?ar€artce ..? RECIUIRED INSPECTIOIdS` ? :Site ?'6oti'n9 O Wallboard ?Final D Frami ng ? Draintile MwCC Systea City Water PRY RequirOd Bc,oster Rump F1re SprinkTer Censws Code SAG Code ? Census i61dg Gensus Unit c? _, ..?.. - `Assessments 0 Insulation O, Fireola+ce Pormi t Fee v?ta.?ia? Surcharge Plan Review l9cense MIdCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit SJW Surcharge Treatment P1. Road Unit Park Ded. Trails Ued. Copies .5? Other Tvtal: SAC 96 SAG Units $ ? • ed for te9a1 MEA00l?1/LANO 23 Etk. 3 Addition E^`wN OViiLs Add res 5: 4-3 4-/ BEAUE/C DA1`i RDt4D evitder, Zachman Homes Inc. Hous e Name 8R / fjR LUDD,D ?9- GZ House Style ,S?VT EiVT'RY Se?w?t- 1 Sq.Ft.House $65F-- ' 0 sq. ft.Gar'. -^,icv! FHGRN , MlNN • M FIELD NOTES GAJ Power ples P Low Areas Show location of ineters x Telepone poles T Highest Point Private well l1tP Larger 3'rees ? NORTH Private septic systemNO ' - Public water YES - Public sewer YES ' Natual gas. YES L.P. GasNO Culvert requiredND . Curb cut requiredJUp Sewer & Water stubbed in Ylrs Driveway surface lG• BIT ASPHALT Front yard setback 3 0; . Sideyard setback 3'? /0 M/NN Att. Gara YES ., . Garage left right g$t 3 Local Inspector asi•3 ` - city of EHGEN 13ame p1tLE PETERSON DDUG RElD Phone 4 S4 - S 10?0 i ? LOT DETAILS 'size width 79.a9- aS•oo Size depth 12S• 93 - 131•5'G ppprox. S. F. of lot f°Td High point Power Poles NonF - ? hone oles tuo?e I 2z=? "?.N . Telep p ? . ? Underground yFI Larger trees f1 . ?.. . `3s - I Street = Elev. $ 79• G M I.: 13,d't84.0 13 J . ? Lot corners go• 3- High point g g3. a Low point Gutter or Ditch Local Electric Co. '• _ Name NSP rIiRtf11VGTO11 Pbvne 5'07 - 3'R ? 3.G 21 : . 'Local Gas Co. Name -PFOPLES NAT GAS ?ARrnn?ron . Phone st 6 3- 712-1 i ' $ ser a) Stoops r Decks • $ b) Sidewalk _ s.f - $ Driveway s.f. ? Parking PaU s.f. $ - Permits Curb Cut & ? ? !2 a3?o D? ?I 3 . --- )9.0'= - . ft I .i o? ? 1 $?x?,, J lawn steps - c) Finish Grade d) Black Dirt F, landscaping Sod s . f $ e) Underground Uti16? _ TOTAL ?r ,?AC CHARGE . $ , ater charge ? -Park charge pIRECTIONS TO SITg: -? 43 41 , . . . . • . . D EAUEK. D AM R OA b . ? • .? '- . ? ? . . . . uae? ro. n.. ,.v. - ? ?.c.o•, • 1 ...................:. i. ....._...»...»..... 7.........» .. •.:»....10 ..»... t • ...... t0 ....... 1 O r..iw.rr KW , ? ??t31 i ? ! ?! r !J1 ..... ....... .?. .. .... ... i O.? Y11 i• . ... ........... a........ ,........,r t. ...lO...«..? •.. .10 . ~? - 1;-2 •D1-eab r . U. f, pr.at..l•+t a•caKV?nK i818O""'°°*`'"•C'`d. CALVIN H. NEDLUND Bloo?ninyton, Minnrsou 55137 COPY Land Swvayor Civil Enprnwr - -? ? Smrpelllors rt? ? ? .cae ? Jor No. _ "rEY roR: DESCRIRD AS: ';; A •. f ;V.r?a-,.. ,",,.: ? ,';,; ?;'Y; Y'?,2 `"?' ?".L',,i;I.I, Ci:'.L' tai : w;371. - • - - -- -- 85 00 " ea se,?rr en t5 a? ? ?r,,3 _I I ;._ ? , i ,., . . .__ ? .. f s.. ? gararfG /1ao r ` GC'!'cti!? aJ' ? a rroc•?s -- -? ? ? ' . ? Y ? - 7 1. o 9 . t ? ? _- . 0 ? DAM Ra?.a ? BFAVER ?. CERT Ilr ICATE QF SIIRVEY I hereby certify that on Isurveyed the proper[y described above and that che above plat is a correCC representation of said •urvey. ?f Calvin H. Hedlund, Minn. Reg. No. 5942            ÿú û  ú þýý  ü ü     ûýý ïòï ëþ  þþâ     îÿþþ ü  þýø  ùø÷öõó  Þ  ó öõß   õó  Þ  â ùÜâ öõâ ø ù  ßøë÷ áëßøë÷ ùÜ áßÛï ù ß  ý   Ùýý üáßùæûúâßþþ ý îýî  ëôñóùÝè óÞðåéÿéîÿ ÷û  ùø  ôçåéãéã  öñõ ø ôó õõ  øë÷òøö ä Û   é éçýýîþî ê  ëá ø  êâßþþ û  âß ñýð îýî  ÷ö   ê    õõ       ë      ëõö  õõ ÷ù   â  ù ø  ïö û     é õõ è ëù ø  øöù ø  PERMIT City of Eagan Permit Type:Building Permit Number:EA114288 Date Issued:09/13/2013 Permit Category:ePermit Site Address: 4341 Beaver Dam Rd Lot:23 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-230 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Melissa Weaver 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 - Khalil Jor Dan 4341 Beaver Dam Rd Eagan MN 55122 (651) 261-3582 Nmc Exteriors & Remodeling 15 - 1st Avenue South Buffalo MN 55313 (763) 684-1662 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use C'2J Permit • #: i y'1 -- i� '� of Eaaall Permit Fee: 76 . t 3830 Pilot Knob Road () / r,,a Eagan MN 55122 , � si Date Received: i---;41--a3"I i 4, Phone: (651)675-5675 C. 4} Fax: (651)675-5694 Staff: n-1 L- J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION �/ Date: -- �5/00I7 Site Address: L/3q/ /3&,'e-' Dav., p Unit#: \,,..\ I k Lei,' l /' ��;�� �� � : Name: �f �Ct✓°+ dt_ , I Phone: (�f't'�f9 / -"3 5�5 a fit Resident / / j� ` Address/City/Zip: L `i ( /3 ✓'€-r' Da w ori@r _*�� 1 4, • Applicant is: Owner x Contractor o � 11A Description of work: rr�r� rrr�j �, J" 4 rG�� ` i • , , , Construction Cost: '.7, S2, i ?3 Multi-Family Building: (Yes /No /t ) L,Ill ..0Vvv Res�r� rdv Nark-- L`',,, skr�v►-. Company: Contact: 4.1 Co0°' Address: 7'? " N 4VQ- /l/ City: � .�l M'tde�'► ntractor .. State:MA) Zip: 56 L1 cl/ Phone: ¶g -8/1- �-63 SEmail: 11'1'i1-l "F r1y t`ep t''r%e'®L"-N M�. ; License#: 13GDO tot I Lead Certificate#:/U —4:2- I '7 2 -a If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA 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: Fire Suppression Contractor: Phone: (VO Plans a sup•ortincg docu_`ments,tha you subrrttt are car sid ¢ tobbe publ/c for tion ® ..;ns of the i formati ay be Cassr�edas non publi ,yorr provides ilk re 1 t oulda Zerm--the i oto ,. conclude: :.,, they s'tlE'trade W.:, \ �`a,. -A CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 forprotection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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. hat 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 C••• `'t •=completed within 180 days of permit issuance. / xAk..... z_.:',,,,,,vsoto, ,,,,, ,,!,......„........., x _'_,,,„0.1.0.4rAeray.k. ... Applicant's Printed Name - '-5'-ailr's S' nature` /- Page 1 of 3 04 L z-.1_ Li ' 6(.>q u C, o_--- 0 O NOT RIE BELOW THIS LINE / /11 -7z-/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) At Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration it Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation /t O45 Occupancy ,Z QL • / MCES System Plan Review Code Edition Ad iy SAC Units ..-- (25% 100% / / Zoning pQ City Water � Census Code ,I1 Stories Booster Pump 4/ _ #of Units I Square Feet PRV #of Buildings I Length Fire Suppression Required — Type of Construction 174 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 0, Final/No C.O. Required Foundation Foundation Before Backfill y' HVAC_Gas Service Test Gas Line Air Test 47i. Roof: i-Ice&Water At Fin ' Pool:_Footings _Air/Gas Tests _Final Framing 00 Minutes V1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 4 Insulation Windows 1 Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls - . Erosion Control Shower Pan Other: Reviewed By: :-j ) , Building Inspector RESIDENTIAL FEES Base Fee /0 tt f 7 - Surcharge Surcharge Plan Review 4771-=4 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 May 22 2017 07:39AM HP FaxPerfection Heating 6517773252 page 2 Use BLUE or BLACK Ink a"' For Office Use t of Eaaii t Clt I i �Z �tl � '''. �E>: Permit tkY �� CO (C 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 lltI 2120 6 Phone:(651)675-5675 Date Received: 5-Ag-I 7 Fax: (651)675-5694 Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercialnnapplications. Date: S)94 ( r'7 Site Address: u 3 /( LS e aWe' bC:11 VI_ Tenant: Suite#: { �5 ' Name: a ident/O ner Phone: s4;, ;. Address I City/Zip: 4e ik.''':11.111:11!-Tgliti.;;11111� , � Name: Per�r.P c1,14 � a L33 } A.r License#: (VI6 001i a�- , k ontr,tor Address: 1-7-70 ly f\ c \ A-'-t... City: (\4 a t r.J chi._ 4 , i State: ✓46_) Zip: 1 a 4 Phone: 69 '''t• -11 7 • 7t#7-O i ^ /�� " x r , Contact: LTeAJB J 1A1.4141.4...4 �, :r : y , Q Email: rA»►t /ham �lPr��-14 ).... J O,$ ? Feil 4 � New Replacement Additional Alteration Demolition CCcolvn i ype� f or Description of work: r la r ,' , `i'u r-r. , . Orli nt SS`s $ f '2%1:11.i.:40%. z r .2 "0, #0 , —*40 �`, .0 a-, ANS _C 40.:";� .^t.1 4 �'� • ,,.. ':i iS. s"1 1 z' ' .:: lead . t � h a);nsFect riff lnf "atlonn� � t ( QQ r<` 3,:. :1 ! �7 1`� � r�,�`� .r .nen ��. v `-.3-. P ..K r< (JAI* `x w 3 s n t ' ' � RESIDENTIAL COMMERCIAL �> it/ , Furnace New Construction Interior Improvement \ F ..EL}A 13E tt ii4Pe :t }n x, _Air Conditioner _Install Piping _Processed tf E',,,`._ -,zr tet,,t _Air Exchanger Gas 4 f ,x, ,� _Exterior HVAC Unit Y .r. t , ` _Heat Pump _Under/Above ground Tank ( Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ (QO TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 and approval of plans. x 'P,v,lu,‘424 w p ,lam- x Applicant's Printed Name Applicant's Signatu ,e cS��F n,.y.,.C'k ki�� x. i ��. t. y{S .:�f' 1 y! 7:s .}.e. :,'t};+.;-• ,k.yc �1 t �1 TI d P ttCtn$ r�{yyS y�y @ Y Ii5. .T : S z4.14 tat�r,7 s...t 3 ,u i z,c{ $t g r Y�} �0 g sS F zw;>x^"'z iAs`yt s ?�,: .. f Y, �.`,� `a., ort • ., x. .... .,x..7.�+.... ... +:,..' {{ ,. �w. ,'*' ,...,tt...w%.x., „QQ. .0��3�i^'.th:�.,�,L�.. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142805 Date Issued:05/19/2017 Permit Category:ePermit Site Address: 4341 Beaver Dam Rd Lot:23 Block: 3 Addition: Meadowlands 1st PID:10-48050-03-230 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Khalil Jor Dan 4341 Beaver Dam Rd Eagan MN 55122 Plumbing West 23248 Walden Ave. Hutchinson MN 55350 (320) 587-0300 Applicant/Permitee: Signature Issued By: Signature