4259 Beaver Dam Rd...11s from / ??? ?
5 45926
Date of this Request_ N?+,
I, as O Licensed Electrical Contractor 130wner, do hereby request.inspection of the above electri-
cai wiring installed at: _'T ;?-_-
1 %
Street Address or Route No. `!.1 "? % i ; <- . ? < ( : ? ??. '; ? City?=iT
Section Township Range County
Which is occupied by ??:- :-,•. i ?r .r;
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes,)2? Ready Now g Will Call O
?
Power Supplier j?-? }; . 1~`? ? f. • f Address
Electrical Contractor ' ? " ? ?°!? <r. f- _? • Contractor's License No: ?
(Company Name)
i Mailing Address
(Electric Con tor or Qwn Makir(g This Installation)
Authorized Signature Phone No. '?;. ?) (Elec rical C tractor or O er aking This Instailation)
5???? ??? ? C?py This inspectian request will not be accepted by the
State Board unless proper inspection fee is endosed.
Mirtnesota State Board of Electricity
1954Lniversity Ave., 5t. Paul, Minn. 55104-Phone 645-7703
. REQUEST FOR EI.ECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
? QRy/R
Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wired For
Home ? ? Range Temporazy Wuing ?
? +plex ? ? Water Heater ? Lighting Fixtures ?
Apl. 81d? ? ? ? Dryer
? Electric Heating ?
Comrafrcial Bldg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other
?
?
? p
Aeiers?
Qehers?
H
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Am . 0 to 30 Amperes 0 to 30 Am eres
101 to 200 Amps. r] 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs s ection
Specialln Minimum fee $5.00
Remazks TpTAI, FEE.
I, the Electrical Inspector, hereby certif at th dnspection has been, ma3ie.
(Rough-in) Date
(Final) --E-
This request void 18 months from -- --
' CITY QF EAGAN
3793 P[Io! Knob Raad E,cgan, MN 55122
• PHQNE: 4544100
BUILDlNG PERMi7 APPLICATIQN Reccipt
To be und for sF I?wlg & Garage Esr. Value 46,000. pate
N2 5 519
A?
11--29 _, 1979
sire 1+ddress 4259 ?aver Dmi Raad Erecr ? o?upancy R3
Lot 5 Biock 1 SeclSub. Mead?land Alter ? Zoning Rl
Parcel .# 10 4$050 005 Ol Repair ? Fire Zone 3
Enlcrge ? Type of Const. v
oc Narrse Z3Cr]I11311 HCSTtE'_S I71C. ----- Move ? # Stories
Z Address 7760 Mit[be1l Road Demolish ? Front 62
i?.
? Ci Eden Prairie Phone 937-9520 Grade ? Depth 26 K.
p Name 5? ApProvals Feea
ou Assessme 3 79 permit 130.50
Acldress
V 23
40
? Ci Phone W4ter & Sew. .
Surchorge
- Police P[an check 65.25
?W Nome pire 5pC 525.00
X9 Address Eng. Water Cann97[] _(](1
a? Ci Rhone Ptonner WaterMeter.6iQ..?._
Council ? Rnarl T7ni t- 7S _ f1f3
l here6y acknowledge that i have rec3d ti)is applicotion and state thnt gldg, pff. 1126 79
the in#ormotion is correct and agree to y #? ?
?
? 1.148.75
?ota#
State of Mirsnesota Statutes and ?ity of gon ce
5igneii'ure of Permittee,
A Buifding Permit is issued to: ?a HCTi2s ` G• on the expr+ess corsdition that
ate a#_Minnesotu Statutes and City of Eagan Ordinances.
aII work shcll be done in accordance wtt ? appllicabC
o
Building Offitiol
C. Ir, VT . ? . , . •
37!'fi POo! Krrsi Rasd toik 04 55122 ?
'? ?? ? • - PIiCNE: 45"140
& iviomb l1RMIY Reoew # - -
T! Me esd f," CT' DWlq & , GaxaK"4 Est. VoFue
. :' , }y._
, .
? , ? -
4259 Heaves I1a[neRoac Erect OODU pon
co
Lot BloCic See/Sub. Alte'r p ? ?{
? Parem ? 10 4105o 015 n1 _ Reva?r ? FIMe ? ?
pi
Erfiaree ? Ty.
Nome Zt?•r.nan F4aTps Inc. Move , p ?E stm*s" ?
?
ress 77CO *'.tchell Roac'
Add
Demoliah p Frr,int
937°9520
I?rasx'ie ? p
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llt"C-
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~ P?sv?
Cf Water & Sew.
Palioe
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°C Nanne Fire
a? Addrass Erg. ''?Veda
d W i PhdrK Pituuaer
COIX1Ci? ?- i
, 1 hereb9r ocknuavled?ye that I have Fead this applica_t? ond state tfiat
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Mechanic4l (0 7
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INSPECTIONS DATE l?-In
Ra Find
Footings q
Date Date Mrp.
Foundafion Rlumbing oe
Frome/ins. MecfianFoal ' . _
Finel
Remarks:
2? ?s- f?? f??er?•?c?
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aTr oF EA"N
3795 Pilot Knab Road
Eagan, Mianesota 55122
P6one: 454-8100
17 t.TIP-dr PERMIT
Date: 1l4/ 8f1
Site Address: ???? BeaVeT U9", Road
Lot ' Biock i Sub/Sec. _ ?feadowlands
Name ??C?UIlSSl KOmnB fLIIB,
c Address 7760 tfitcliel.I
?
City 'c;ae7] 't'i`8ix iE= ? 11IN
Phone•
Name F'8?V ?i, Wc?ltE?T' F±F_.. --
No.
1 r•^.it?
Receipt No.: d '
Single (
Residentia l
Multi Res., Comm./ind. I
New/Alter./Repoir. ?
Cost of InstallMion
Permit Fee ?r Surchorge
? Address
0
City Phone: - Totai
This Permit is issued on the express condition that oil work shall be done in accordante with cll applicable Stcte of
Minnesoto Stotutes and Ciiy of Eagon Ordinonces,
Building Official
?EAGAN Z`
?K,?,nob? Road f
?
9N55,.1Z2,-
uT?_?
:.
,.. - -- ? :...._
•m
?
a Meter No , ' ,
, +.
` Connection, Charge
?:Accourit,Depo?sit
,Reeder No.: ` -? i Permit Fee -
1 agrewto eomply*itfi the Cily oCEagan ' Surcliarge
Gedinnncesr. r '1Vlisc._ Chorgest;- ,.
B d ?'' nr
,
D
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Ddte' of Insp ,Insp ,
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t?
d.` .a .y?f?.E!,
CITY OF EAGAN
3795 Piloe Knob Rood
Eugan:.MN 55122
Zoning; R?T
.?? Owner:
Address: _-
• Site Address: 4254 1
Flumber.: BadEet
11/29/79 16861
1 agreertaoompiy with the City of, Eagan
Ordinonees.
By
Date of Insp.:
I nsp.:
? SEWER. SERFVICE..,
RERMIT NO:::.-':'- ?
D'fCTE:
No..of`Uni'ts:_ ,
'nman Tnr " .
. ' Y • •.
mt !%.r,
1 . ?l
?,• ,':,
?Connettwn,Ckurge
1 "A"'?e +:
? ••
,,
Acco,unt ? Ueposit.
.
?
.
?? ,
*?,?
- ' ?
'-.i? s•. - --zti
i.
.
. .
Rermit
Surcharge:
- Misc.-'Gharges'
.
,
Totoli ?
• ?
_ Dote Paid: ?
;•;,;
--?-?_
a ? CITY OF EAGAN
..i ' 8795 Pilot Knob Road
Eogon, Minnesota 55122 _
Phone: 454-8100
PLUMBINC' _ pERMIT No. 1569
12/4/79
Dote:
Receipt No.: 16886
Single I x
Site Address: 4259 Beaver Dam ROdd Residential
Lot 5 Blockl Sub/Sec. _ M@ddOw13IId8 _ Multi Res.; Comm./Ind. I
Name Zachman Fiomes 1riC. oir
New/Aiter
/Re 2axag.' NeW
.
p
3 Address 7760 Mitchell Rd. Cost of Instoliction
O
City Eden Prairie phone; Permit Fee 20. Ol 4
Name Budget Plbg. Surthurge .50
?
P nddress 6420 Flying ClOUd Dr.
?
?
Eden Prairie, S53Pa
C;
T
.
30
ry
one: otal
This Permit is issued on the express condition that oll work shull
be done .in accordonce, with ail z?r
applicub,le $tcte of
Minnesoto Stotutes and City of Eogan Ordinonces.
Buiiding Officicl
' . . . . . . . . . '
- . ' . - . . . . . .
„ - . ... . ",.Y 4 . ...
, ... s l :.: ?dt . er c. £..: ..
F y ??
r y. CORRECTI4N NOTICE
Addr,ess
P7ft tA L.?•°-?--__.
Owner/Agent Address
Ordinance Nos. and Corrections - Correct By
P
??. .
1?
.-
DATE:_,? ' ,-7
Site Name ,
Telephone :
For reinspection
Eagan Dept. of Inspection InSpeCtol':
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100 Dept.: _
vw
VIOLATION ,
Eagan Building Codes,,.---- .
Address: &ge?t? ?
?
BLDO.: MECH.:
SEWER &
PLUMBINQ: WATER:
Remarks:
/ -ole?? Z`,
o?Q i r ??'a?.
Inspector:
Coli 454-8100 for Re-inspeation.
" =,.,?? .:?,a.?ag-' . . - s.e.-.. . w .r ? +r?+a ra?..?t,?'"C S.°?p'r?"?":g?Rl
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3?85 PIL?T KNOB ROAD '
EAGAN, MINNESOTA 55122
?_ ?,
? ? . DATE - f?r.? . ? '?J ?y'? '.?T
nwra i' ?
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- ? AN90UNT -, $
?; ' j c'% . ? ? ]S
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?`f ` ,, ? . , ? , , ? c .!. % Cc DOLLARS
?oo
? CASH , _ _?-£IYECK
Thank You ?? ? ..??=; ??sJ? ?
l./? ? ?'?1 DY ? ' ?.?.;,` ) '?
r i ?
?d t? ? ???? \ -
" YVhite-Peyen COPY
Yallaav-Postinp Copy
_ , _.. ??in1,?Fita. ???
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rb7r :% ?.,1 ;- ,?? ? ? , . I.i
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CITY OF EAGAN Rema
Addition NAgdowl8*+d lat AAAitien Lot 5 eik ? Parcel 10 48050 005 01
Owner?,)= ii';% , Street 4259 BeaVe=' Llaut ItOad State_ E393ri, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR, mp. ??/ . 158.99 1589.99 C005554 10 15 80
GRADING
SAN SEW TRUNK i 1970 77.95 3.12 25
SEWERLATERAL 3156
58 3156.5$ C005396 6 6/ 0
-
WATERMAiN
? WATER LATERAL IQRI
WATER AREA 7 .27
STORM SEW TRK 1971 282.92 14.15 20
* STORM SEW LAT
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16861 11129179
WATER CONN. 270.00 It it
BUILDING PER.
it
ti
SAC
"
1
PARK
C:CTY f.1F F:AGAN
CA`:il-I:I:L.f; n JS TF::FiMTNAl.. NO;, . r G•1
DA'1'E'a 08/25;99 TTMC:: 03 e:1.`?::I.i.
TTi ?
? NAMEy ?tN:r.cHT CONSrRUCTION De::S:ccN TNc
;3i'.'.:1.0 9001 4•2 ;.'i3 1CiL:.f•1VGIti l.IAfi4 523. (.)5
34•30 `a(]i.:]i. 4•259 BFAV1":R UAM C),.c?5
,:34Rf'? 9001 4259 ]?EAV{::.R X.IAM ' ..?r' u Jc]
GJ.r.!! 900:1. 4•259 IAEi'Y+VI':F'ti Dt•11-1. 19e4.110
TCat%:,1. ReCe:i.pi', A!rrt]+.t.Ylt e
CR:l. J.`:?8'r.,c3
u??r:?, tr+., .7AN
>k?k?"?:??K%n?r,t%!?'JF'??KXC?<?'??kY??????<1d?Yi:7k?AY>?.??m?K?k%•??Xy6
1999 BUtLDING
??? I 1??
PERMIT APPLICATION (RESlDENTIAL)
crrv oP EacaH
3830 PILOT KNQB RD - 55122 g S? ? • ? ?? 9
851-6814875 C.?..?a.? ? • a-3
D 3 MpktKed sife swvays dowtng sq. fl. of 101. sq. M. d house
and gl roofed areas (20% tmum Id eoveraoe aNowed)
D Z copies oi plans (shovr beam i window sites; poured fnd. design: Nc.)
D 1 sO of ener9Y cakulaNons
D 3 COpks W h'eq prei(enaHon pian f lOt pioMed Gfkw 7/1 /93
DATE:
DESCRIPTION OF 1
STREET ADDRESS:
2 toPiMs of plan
1 ted vf aneW edculailoin tat healed vMNbns
1oft turvey for exhtlor addMww & dseb
CONSTRUCTION CflST:
LOT: BLOCK: SUBD./P.I.D. #: 1 Y LA A Cal- L11 a Y\n,1L. '
Narne: cu44 Phona #: 6ki/)
t?
PROPEttTY tcst ftnt
4WNER
Street Address:
ch,, state: zip: ,?sraa
Company: il O^ s , Phon* ?F: ? ?K `??1D
(orea code)
C4NTRACTOR Sfreet Address: ` L, 2 tJc4nse # 2" ap, 3? ao
cny A14VwL11t6 staw. U zip: 553,16
ARCHITECT/
ENGINEER Company: s2w-e- Name:
Telephone #: area code ( ) StredF Addresa: RephiroHor+ #:
City - Statw. Zip'
.Sswer & wafer Ik*naed p{umbar (recuired for new conxfructlon onlt):
o PefwNy appUes when cddreas chan9e dnd lot change is requested once perrtilF Is 1ssued.
1 hereby ocknowledge that 1 hove raod lhis appUcaHon, sFate fhat Ihe infonnollon b carect, and aurse b comply wllh d{ appNcabi
StoFe af Minnesota StaluFea and Clty of Ea9an Ordinances. ?
Signaturo of Appdccrnf:
OFFICE USE ONLY
CerMiCates of Survey Received Yes No
Trce Pa+eaervartion Pian Reosi+ed Yes M° Not ??? t a? -?t'? `?
.r'
. ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation 0 06 41plex C] 11 10-plex O 16 Firepiace C3 21 Porch (3-aea.)
0 02 SF Dwelling 0 07 5-plex 0 12 12-piex O 17 Garage 0 22 Pordh/Addn. (4-sea.
0 03 1 of _ plex O 08 6-piex ? 13 16-plex gi 18 Deck 0 23 Porch (screened)
O 04 2-plex . 13 09 7-plex O 14 Apartmerrts O 19 Lower Level 0 24 Storm Damage
O 05 3-plex O 10 8-plex O 15 Lodging O 20 Pool X 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/SoffitslFascia
O 32 Addition O 36 Move Bidg. 13 40 Gas Insert 0 44 Windows/Doors
p 33 Aiteration [] 37 Demolish Bidg.* 0 41 Wood Stove 0 45 Fire Repair
0 34 Repair 0 38 Demolish (Interior) 0 42 Reroof
* Give PCA handaut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
? BasemeM sq. ft. Census Code
(Allowabte) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units f
Zoning sq. ft. No. of Btdgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width FootpriM sq. ft. Booster Pump
PRV
Fire Sprinklsred
APPROVALS
Planning Building ? Engineering Variance
Permit Fee a3.d Vatuation: $srrid c,?
Surcharge
Plan Review
License
MCIES SAC ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Qed.
Other
Copies TotaL SIE? a - a1-8-
.
?
?
SAC Units
°!o SAC ? .
100
a . . . -
a9? ?..- t.? . •n.
CALVIN N. NEDLUND COPY
L..,a s,.I,,.ro. a.OI EnornMt
. ..r--?
?
wRVEr roR:
DESCRIGED AS.
4819 OrMl0" lrl* C.IfGl•
9looimngqa+. Mennmoca 55437
sss zoso
Smrileilortfs G Lrti icate
1OB No _ - ' -
-- - - -- - , ? ']5 OJ i - - - - -
T t cA SEMEr.?
i (
O ?f1'
A
Iti 136-
? . i
? ? i ? t ??? , . • ? ?oP o+ BLecK
? Bsr^T FLooq
G ak F_ooR •
? I- - ? - -, - _ ? ,
` ?s.oo
- - - --- - -- -- -- - _ , .. .
a
w
t3EAVER URM
RoA D
CER217ICl?TE OF SUAVEY
I hereby certify [ha[ on I•urveyed che proper[y deacribed above
and thac the above plat i• a correct cepresentacion of said •urvey.
Calvin H. Nedlund. Mtnn. Reg. No. 5942
, CITy pF EAGAN ??A-f ?nclude 2 sets of plans,
site plan w/elevations &
BUILDIlQG PE1?T APPLI9Zset of energy calculations.
Zb Be Used For Valuation Date
site Aaaress ' o?IcE vsE
Lot ? BlOCx / Sec-/Sub• rr, > c.?ect `?__ xcupancY
gAlter Zoning /
Paroel #: !,
? epair Fire Zone 3
Owner: ?=-Enlarge 'I?ipe of Const. L-'
?? # Stories
Address: Dennlish Front ft.
City/Zip Code : a2z" f' / .,C3rade Depth ? ? f t .
Phone #: ,
% ? i ?
-? AppRpVpS,S F'EF5
Contractor: ? -,
Address:
City/Zip Code:
Phone # :
?--?
Ard1. /Eng • • ?_,
Address:
City/zip Code:
Phone #:
AsseSSments ' Permi.t /30
raatPx/sewer Surcharge 3
Police Plan Check
-
Fire SAC ?
gg, Water Conn. aL70 ?'"
Planner Water Meter
-
Council _Poad Unit g ?
Bldg. Off.
APC
?
i
ToFrAL ! 7 1-1
ONL
//- ?z ;?`1)
Y ~ Y v
f
-
61?
f
-- -- " ??;
, ?.
-- - -- ; r ? `.
` - - ;?
? ? ??? •r __ ;
l(? "
!
/
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)--
/
1 •
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'?-
,•o?''°°'``a`•`"`'•
? CALVIN N. HEDLl1ND "
Bloon„nyco?+. Mlnnesou 55437
Land Survqror ??'? Ctvil Enpnwr e88 2080
COPY
- ? SAffrelylors G? 10/ NO.
XT ?
suIvEv roR:
DESCRIBED AS:
?-- -- --I -- -- -- ---? ;
k 115.00
- - - - -- - - ? _ _
i oP o-? Bt?oG K ' . - .
BSMT FLoDR
+ G aR F-ooR
DR X, N A,-,EAFZ Rd,n/ S-'-"
- -- -- - - , ? - ---75 OO ?
iiTL I T t ERSE!A E K'
? ??
i
'dooel ?; I I
L ? ? M ~I
i, -
t 11-v- f
BERV?R u?M Roa?
CERTiFICA7E OF SUAVEY
I hereby certify [hat on 1•urvcytd [he property described above
and that the abovo plat i• • correct represencation of said survey.
Calvin N. Nedlund, Mlnn. Reg. No. 5942
-?
Fo, Office Use C i
ty of Eapn Permit
I
Permit Fee: 0
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: q j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 Site Address:
Tenant: ~ a u t ~ / 02t Suite
RESIDENT /OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 ' //F L&I 1PLl1) x ilk/ 7
Applicant's Printed Name Applicants Signature
Page 1 of 3
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105175
Date Issued: 06/29/2012
Permit Category: ePermit
Site Address: 4259 Beaver Dam Rd
Lot: 005 Block: 1 Addition: Meadowlands 1st
PID: 10-48050-01-005
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Valuation: 7,500.00
Total:
$60.00
Contractor: Owner:
- Applicant -
Golden Valley Heating & Air David W Rud
5182 West Broadway 4259 Beaver Dam Rd
Crystal MN 55429 Eagan MN 55122
(763) 535-2000
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117202
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4259 Beaver Dam Rd
Lot:005 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-005
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 .
Tony Hardy
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 -
David W Rud
4259 Beaver Dam Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
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For Office Use
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SEP 19 2018
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD: (651)454-8535(FAX:(651)675-5694 Staff: :�
buildinginsoectionsCa2citvofeauan.com L '"'
2018 RESIDENTIAL BUILDING PERMIT APPLICATION C6 c6'
Date: 9/19/2018 Site Address: 4259 Beaver Dam RdUnit#: \*0
Name: Dave/Zip:and Mary Rud Phone: 651 302-2396
Resident/ 4259 Beaver Dam Rd
Owner Address/City
Applicant is: X Owner Contractor
Addition (familyroom) & deck
Type of Work
Description of work: Home dd
Construction Cost: Multi-Family Building:(Yes /No X )
Company: self Contact:
Contractor
Address: 4259 Beaver Dam Rd City: Eagan
Phone: 651 302-2396 Email: daverudl l @gmail.com
State: MN Zip: 55122
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
734/14., ,„i r 9 '?x
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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that wouldpermlt the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.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; 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 Dave Rud x �y
Applicant's Printed Name Applicants Signature
go NOT,WRITE BELOW THIS LINE )`"51 (3 4 Vet O -, P is---- D-Ftp
SUB
TYPES
_ Foundation , Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
,) 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*
3= Addition — Move Building _ Reroof _ Demolish Interior
_ Alteration , Fire Repair _.__ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 37 oaa Occupancy ,2'plA.-1 MCES System
Plan Review / Code Edition o.G/�j' SAC Units
(25% 100% KZoning ,/�A City Water ----
Census Code AY 3 y Stories ) Booster Pump —
#of Units / Square Feet 3,5",2. PRV
#of Buildings ' Length /li Fire Suppression Required --
Type of Construction r.13 Width .1..7.
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
a Footings(Deck) Final/C.O.Required
bkit Footings(Addition) k'- Final/No C.O.Required
Foundation Foundation Before Backfill ,t HVAC_Gas Service Test Gas Line Air Test Hood
ie Roof: ice 13< ater . Final Pool: Footings Air/Gas Tests Final
at Framing V30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Y Air Test _Final Siding: Stucco Lath Stone Lath Brick_EFIS
InsulationWindows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
3• Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,�� ,Building Inspector
c
RESIDENTIAL FEES 4St*gpy ,rile/ 7e4 357-0@ 7WO 1.G 7"-
Base Fee , "'hi,Z
Surcharge /- /t' ti,to fZ i2.Wait•i# 1/0 11/0 olo/t q gav eb
Plan Review 3 54. l
MCES SAC Pit G k 3 4 4 0 Q � ✓ ..0d
City SAC
Utility Connection Charge 3 C 9Pg.
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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BEAVER DAM RoAa
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ERT 17!CATS OF SURVEY
I hereby cattily that on I surveyed the property described above
and that the above plat is a cort+tc rept' t.
Calvin K. Hedlund, Mimi. Reg_ No. 5942
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Perri Fen /515 O D �(
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3830 PLOT KNOB ROAD I EAGAN.MN 55122-1910
(651)575-5675(TDQ: 0651)4544535[FAX (6551)675-5894 + Ste
b no iOn1Y'9fttail rl•GO n . ---- --
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date; -3'1 Site Address: „ •
' rIL # Pof
Tenant t3�im#k.
T
Resiidenl�0+wnsr Name: Day'V r Phone: 45/ 304; e ,39
Address/City/Zipc .mem, T ! &el 1.f1r d
Nwee: . . 1 0.1 . * L • #: PY 0(,08'SC
•Contractor
Address: 1 ► ...41 _. Ci y: rl or L
Stow IAN zp 5337 Phone: q5/- ,3 7 7q
Contact , Email /i J 1, t — ri
Type of Work _ New _Replacement Repair Rebuild _M od'1y Space _Work in R.O.W.
Description of work: (3�, G [11.t?St Ot Q_ S ��Cj� " '�11ru f r i
Water Heater
Lawn Irrigation t ,RPZ t_PVB)
Water Softener
DescriptionAdrx Pkenoing Fixtures Main t_Lower Level)
Septic System
New Description:
_Ananoonment ..r.—Connection to Cily Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener. or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adcing or removing yrpang(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$116.00 New Septic System (includes County fee and State Surcharge)
360.00 Connecting to City Water from Wer +5390 for Meter and $190 for Radio React =$540
'Sewer&Water Permit also required for connection charges
TOTAL FEES 3
CALL BEFORE YOU Oa. Call Gopher State One Call at(651)48441002 for proteznor against t.ntsor round 0114 damage. Call se hoes be ore ye*
iA1aed10 dg.o retrieve IC CMS Of underground utilities. iwr.v r. orar�.Hr.94nece l.Or4
You may subscribe to receive an atectronle notlecation from the City of prcpaaod orelnonCell by Signing up form ernal update on the Cttyll
websites at werfi,c1ttgteacianternitubscrleg.
i hereby ativiawiedge that Oa inforrnator e corrplEte grid ax::rat ha1 the•Acrk ,,,iI to in coati: mance with the traumas an zoom of ale Cty of
E.acan. that I :ttxno
ter5tand this is t a pernr, but only an application for a sernt s^si smirk st
rk is not art wrt7 t pwrk
errnz; that ire owill be in
9ocitiance with the apprtris0 plan Irt the case c work rd:clt regwre$a tewew aro app-Oval Ot It
Applicants Printed Nam* A, *s'
'age 1 of 2