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
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.
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D EAUEK. D AM R OA b
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i818O""'°°*`'"•C'`d.
CALVIN H. NEDLUND
Bloo?ninyton, Minnrsou 55137
COPY
Land Swvayor Civil Enprnwr
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Smrpelllors rt? ? ? .cae
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DESCRIRD AS: ';; A •. f ;V.r?a-,.. ,",,.: ? ,';,; ?;'Y; Y'?,2 `"?' ?".L',,i;I.I, Ci:'.L' tai : w;371.
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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
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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