4381 Beaver Dam RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4381 Beaver Dam Rd
Lot: 18 Block: 3 Addition: Meadowlands 1st
PID:10- 48050- 180 -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:
Restoration Resources
6850 Shingle Creek Parkway, #C -175
Brooklyn Center MN 55430
(763) 561 -2698
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Bermitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Jose L Mendez
4381 Beaver Dam Rd
Eagan MN 55121 -2276
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA084436
07/17/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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P?ERMIT ?
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ob Road PERMIT
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ea DATE:
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i of Units:
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on . _ .
Owner; ZaC118iAfl lioII+PA
Address:. '
43° 1. IieavGr. Dan-
Site Address:
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Plumber: ' ?;udmt PIut, hln; .. CuT',.?
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Connecfion_ Charge:
Si Acoount Deposit:
ze: _
Reoder No>: • • Permit Fee:
1 agree M eomply. with the City of-Eagon • Surcliorge .
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Misc.
" "Total:
BY. ; Date: 'Paid:
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Ske Addre? 4381 Beaver D?m Road ?c ? ??
L o t ?? s? c k 3 s e c /s u a. ?t`?eedcnv tucer p zCM11,14??,..?...?'
Parcel # 10 48050,180 03 Pioair Fru Zwo
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1 hereby ocknowledgs Yhat 1 howe read this appliwtion a+d stote thor -
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de informotion is eerrect ond ogree ta compiy witfi cdl a?p?plicaale
Sftt+e of Miraiesato Sbotutes arid City of Eogbn Ordnanc.ise.'
APC
Td+al ?
- StrAturc of Permitfiee
ABuildie+g Permit is issued te: _.,Z.8t-13mn' H"38 T?e 0000
a! vraok shaN be dane in aocorsJar%e ayith Q apDli? S!? aAf Menn?a Sta?ut?e$ c?red ? i?i ftmwt??: ?
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To be used for
Site Address
Lot-1 a Block
ParCel No.
W iJame-
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Iherebyacknowlsd
information is eorre
Nlinnesota Slatutes
Signature of Perm
CiTY OF EAGAN , .
; 3830 PilotlCnob Roed, P.O. Bax 21-199, ESgar?, MN 551211M. PH4NE: 45+4-81a0 I ?MlT Receipt #
Esc veiue S1, 272 oate JUNE l;a .19 96
?
,383. B&AVRR t3:7lJr1; RL) Erect 11 K}ccupancy
1-3 Sec/Sub, -M1f3ADONTAtdn. S14ernodel ? Zonin!3
, Re[>air ? TyF3e of Gonst .
Addition 0 No. Stories.
"? 3?WARG P gELUR 11I Move ? Length
? DemoEish ? Depth
Int lmpr. 11 Sq. Ft
T Phone 452-32$3 Install 11
- 3; TNRR APprovals Feaa - - -
? Assessment Pormii $22• Q0
Phone ? Wx#er & Sew. SurCharge 1.00...,.
??¦u?n
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Police
Plan Review
? Fi SAC
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E Water Conn
ng. :
? Phone
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ter M
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Ithatlhauereadthisapplicationandstatethatthe $
?Idg. Qff. ? ?? .? ?
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Iand agree to comply with ali applicable Siate of
I d Ciry af Eagan Qrdinances APC Parks
50
, ?: ar. Date Cai pe .
$?
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to: $D?iARU I? HF?.LEFi III on the express cwditivn thM '
?ccordance with all appl3cahle State o1 Minnesot$ StatuEes aind Giiy af Eagan t)rdinanees.
A Building Permit is issw
all work shall be done in
Bufilding 4fficia!
r.rmn Mo. PIMFM NNda D.ft ru.phon. S
PlmnbEng
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INs??CTIoN RECc?RD
CITY OF EAGAN PERMIT 7`YPE: ' Ow 11- DI NG
3830 Pilot Knob Road Perrnit Number:
Eagan, Minnesota 55122-1897 Date Issueci: •?/? g J? ?
(612) 681-4675
SITE ADDRESS: N . ? 1 0T.480GO -)'?O 03
`- , APPLICANT:
1. t11' r t. R ? i.. t1t: 6t ; i
43 8.l tttAitl.K OAM 141)
i+lf'di4.itstlt A00". ..1.»;'T f F,11'? 466•'6668
PERMIT SUBTYPE: TYPE OF WC)RK:
?t? ( PI I ?,?: , ) REPAIlt
Ott;r.Orp tI nN tRorfPTMO1
Pwmk Na Pwrnit Holder Daw Teiephone #
ELECTRIC
PLuMBNu
HVAC
mspwvon nab 1N"16 coWA"Wft
FOOTINGS
FOUND
FRAMINQ
ROOFING
RdtiOH
PWMBINt3
PLBCi
AIR'FEST
ROUCaIi
i1EATWG
t3AS SVG
TEST
INSl1L
GYP BOARD
FIREPLACE
PtREPLACE
AIR TE81' .
FINAL PLBt3
FlNAL HTR
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
?
DECK FTG .. ?
DECK FINAL
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
N° 5847
Receipt # / J7
ro be used for SF Dwlg/Garage Est. volue 39, 000 . 00 Dore MaY 29 , 19 $0
5ite Address 4381 Beaver Dam Road Erect ? Occuponcy R3
Lot 18 Block 3 Sec/Sub. Meadowlands Aiter Q Zoning R1
Porcel # 10 48050 Zso 03 Repair ? Ftre Zone - III
Enlarge [] Type of Const. V -
Nome Zachman Homes Inc. Move ? $k Stories -
W
z
3 Address 7760 MitChell Road Demolish p Front _ 56 ft.
o Eden Prairie,N
93 -9520 Grnde ? Depth 21? ft.
one
ci
p Name S2me Approvala Fees
.
?F
uv Address
?- r:?,
Ncme
Address
1 hereby ocknowledge thot 1 hove read this application and stote that
the information is corred and agree to Comply with oll applicuble
Stote of Minnesota Stctutes and City of Eogan Ordinances.
Signoture ot Permittee
A Building Permit is issued to:
oll work sholl be done in acco
Building Officiol
Assessment ou
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bidg. Off. 5 5 $0
APC
Permit
Surchurge 19.50
Plan check 56.50
snc 525.00
Water Con3.05.00
Wuter MetetiS.Q• 00
Road Unit1$5 . 00
Tatai 1, 264 . . 00
on the express condition that
Statutes and City of Eagan Ordinances.
C?
CI.'TY pF EAGAN Include 2 sets of plans,
?{ I
1 site plan w/el evations &
BUIIDING PERNBT APPLICATION 1 set of ene.rgy calculations.
a,&- crs
'Ib Be Used For I Valua.tion oll,3 Date `1 =3A('
5ite Address: ? 3$ 8e?e.Q. p?v.,, ?• OFFICE USE ONII.Y
Lot s1oGk 3 Sec./Sub.'('Q1e.,aPnv??a,,o5Erect _,X OccupancY
Alter Zoning /
Parcel #: gepair Fire Zorie
Owner : z Ac r, ?, Enlarge Type of Const.
Nbve # Stories
Address :~11? c?> DemDlish Front ft.
City/Zip Cbde :?8 2t-, Grade Depth ? y ft
Phorve #: `? 3'7 - 9 SZK? ?- APP%7VAIS FEES
contractor:
Address:
Gity/Zip Code:
Phone #:
Arch. /Eng. .
Address:
Gity/Zip Code:
Phone #:
,;-? . ...: 3
d
Assessments Permit JJ3
Wat,er/Sewer ?
Suz'charge ,.19 ?
Polioe Plan Check
Fire SAC v? S
gxg, Water Conn. 6S
Planner Watex Meter 60
-
Council
Bldg. Road Unit / f,-T-
?1-
APC
id
3 3, (? 96
?'? 6? e-,,
.
(IrxtiffiratP ,af (?rru?tt?r?
. Citp of (Eagan
igppttrhrcent nrf Builmng 3wr.ctimt
Tbis CMifitatt issutd puurtuant t0 tbt ftquirtmcntt of Seaion 306 of thc Unifo?Yn Building
Cadc ccrti f ying that at the ti;ru o f i.uxarxe thit rtvucture war in corn pliann witb shc varioru
ordirruntu o f tbe City rrgulating Wldrng con,rttructios or xsc. For thc follauring:
u,.chxdacwm SF DWG/G'AR. alat re,nuxo. 05847
o-?r'Yae- R3 ?yw c?+? v Fue z. I I zmft nmdd -- Rl
Zachman Homes „am,,, 7760 Mitchel2 Rd.,Eden Pr.
4381 a er Dam RdMeadowlands
_ ... -. . by--- 9`4- 0
; !'YW IM A ODMMICYCYf /LACi ' . .• . ' - ' .
o0oaa ?8l - - - - .' - -
LITMOIN U.S.1?.
CITY OF EAGAN Remarks
Addition MeaecWland ist Addition Lot 18 Bik 3 Parcel U) 48U50 180 03
Owneri.CL;t;,; t'. 1' ''V- ??' ?? ??' Street dMU geAVe7C DA1R Itodd State EAq3fl, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. 111p. 1589.99 158.99 10 1589.99 C005561 0/15/80
GRADING
SAN SEW TRUNK -"?
1970
77-95
? SEWER LATERAL • - "
WATERMAIN
WATER LATERAL
WATEF AREA 1973 95.27 6.45 15
STORM SEW TRK " 1971 282.92 14.15 20
* STORM SEW LAT
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 305.00 19127
BUILDING PER. S Z9 80
sAC 19127 5 29 80
PARK
. ..
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4381 BEavER oaM Ro
LOT: 18 BLOGK: 3
MEADQWLANDS 1ST
P.I.N.: 10-48050-180-93
C2,o 55 /17-j
BUILDING
027268
04/09j96
DESCRIPTION:
5F (MZSG.)
REPAIR
434 ALT. RESTOENTIAL
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
7otal Fee
v+aLuArInN
$74.75
$1.50
$76.25
$3,000
CONTRACTOR: - Applicant - ST. LzG.OWNER:
MOSER CONS7, M J 14555888 0002668 GRESETH DERONN
847 19TM AVE N 4381 BEAVER DAM Rp
S ST PAUL MN 55075 EAGAM MN
161.21 455-5888 (612)454-6393
I hereby acknowledge that I have read this applicatiQn and state that the
informatinn is carrect and agree 'Co comply with al1 applicable atate of Mn.
? Statutes and City of Eagar? qrdinances. -
APPLICANT,'PERMITEE SIGNATUAE
Yj
ISSUED B : SIG ATUR
CITY OF EAGAN
19[2 ti 3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
nts
f
R
i
R
eou
reme
eea
r
New Constnx:tion Reauhements RemodeU
? 3 registered aite surveys ? 2 c:opies of plan
? 2 oopies of piana (indude beam b window aizea; poured fnd. design; etc.) ? 2 site sunreys (exterior additions & dedcs)
? 1 energy cak:ulationa ? 1 energy calculationa foF heated additions
t 3 copies of hee proservation plan iF lot plaBed aRer 7/1193
roquired: _ Yes _ No p?
DATE: Z1 - 7' g b CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 413 F
LOT BLOCK 3 SUBD./P.I.D. #:
?
#
Ph
PROPERTY one
:
Name• .
OWNER RReT
Street Address
City: State: M l'? Zip: .s/
?
.. 3(31I97
A'i 0- 11^ d5?A ??Nsj` Phone #: ySS- S? ?6
CONTRACTOR Company:
Street Address: Y417 10/1-? 4v? Nb License #•
?
City: sd sf` G??9?1 t State: Zip.
ARCHITECTI Company: Phone #•
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip'
Sewer 8 water licensed plumber: . Penatty appties when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this applicafion and state that the information is correct and agree to cvmply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certiflcates of Survey Received
Tree Preservation Plan Received Yes
No
No
Yes
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation a Ofi Duplex
a 02 SF Dweliing o 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Pocch o 09 12-plex
0 05 SF Misc. 0 10 = plex
0 11 Apt./Lodging o
0 12 Multi RepairlRem. o
0 13 Garage/Accessory o
a 14 Fireplace o
0 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facitity
21 Miscellaneous
WORK TYPE
a 31 New o 33 Alterations
a 32 Addition o 34 Repair
GENERAL lNFORMATION
0 36 Move
0 37 Demolition
Consf. (Actual) - Basement sq. ft. MCNVS System
(Allowable) Main levei sq. R. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. R. SAC Code
Census Bidg
Census Unit
APPROVALS '
Planning Building
Engineering Variance
7?.
Permit Fee 7 Valuation: $
Surcharge /
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Pennit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai: (o ?
% SAC
SAC Units
CITY OF EAGAN ?
"` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? 1213 9
PHONE: 454-8100 ? ,? ?? S?
B+?JILDING PERMIT Receipt#
To be used tor DECK Est. Value $1 ? 2 7 2 Date JUNE 18 . ? g 8 6
SiteAddress 4381 BEAVER DAI?l' RD Erect ? Occupancy
Lot ?-8 Block 3 Secisub. ME???ANDS 1STRemodel ? Zoning
Repair ? Type of Const
Parcel No. Addition ? No. Stories
°C Nam EDWARD P HELLER III Move ? ?ength 10
W e
S?E Demolish ?
Depth
o Address Int Impr. ? Sq. Ft
City Phone 452-3283 ?nsta?? ?
o OWNER Approvals Fees
?¢ Name
Address Assessment Permit $ Z 2- ? ?
'- City Phone Water 8? Sew. Surcharge 1. 00
? ? Police Plan Review
? = Name Fire SAC
? a Address Eng. Water Conn.
d W City Phone Planner Water Meter
Councii Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 6?1??8 Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordin c APC Parks
?? ???(,? ? Var. Date Copies ' ?
5ignatureofPermittee ? 1-?"?% c- / ? Total $23.50
A Building Permit is issued to: EDWARD P HELLER I I I on the express condition that
all work shall be done in accordance with all applicable State of innesota Stat es an 'ty of Eagan Ordinances.
Building Official ?, 9 ???'d-?7?-J
1986 BIIILDIHG PERtlIT iPPLIClTION - CITY OF F.AI
BOTB: ALL CONTRACTORS MQST BS LICEASSD WITS TSE CITY OF EAGAN
3INGLE FAMIILY DWELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
M[JLTIPLfi DWELLIN - RESZDENTIAI, aENTAI, DNITS FOa SILS UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHEC[ WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMRCIAt.
INCLUDE 2 SETS OF ARCHITECTURAL & S
1 SET OF SPECIFICATIONS AND 1 SET
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For Valua
Site Address
Lot fig 0 Block
Pareel/Sub
Owner "t„j A? n I?) - f/ei/Pr --Z?
Address V?,$ I Rea v? ,z 7,4 m
City/Zip Code `W6R?! S? / Z Z
Phone - 3 2 83
? Lv ri --P-
Contraet
TRUCTURAL PLANS,
OF
1,,-P'7 2 a Cr"b
tion: -49L4E
Erect ?
Remodel
Repair
Addition
Mone
Demolish
Int.Lnpr.
Install
Date:
Oeeupancy
Zoning
Type of Const
# of Stories
Length 74?F-
Depth 777-
Sq Ft
APPROVALS FEES
Assessments Permit 2 F,
Addre City/Zip Cr?n?.:??-?? - • •
Phone
Areh./Engr. '-
Address ?
City/Zip Code -
Phone #
Water/Sewer Surcharge
Poliee Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off, r, Treatment Pl
APC Parks
Varianee Copies
?OT9L
NOTE: ADDRES3ES FOR CORNER LOTS - CONTRlCTOR/HOMEOWNER MDST DESIGNITE WHICH ADDRESS
IS DFSIEED. DTO CHANGES WILL Bfi lI.LOWED ONCE BIIILDING PERMIT IS ISSOED.
OC)
.. .
i2 7z . 00
.
.
na'G
?
?
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105004
Date Issued: 06/20/2012
Permit Category: ePermit
Site Address: 4381 Beaver Dam Rd
Lot: 18 Block: 3 Addition: Meadowlands 1st
PID: 10-48050-03-180
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
Comments:
952-445-2840
Dayna Gardner
505 RANDOLPH AVE
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Bonfe's Plumbing & Heating Dean Ruiter
505 Randolph Ave 8735 Ivywood Ave S
St Paul MN 55102 Cottage Grove MN 55016
(651) 228-9071
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
Use BLUE or BLACK Ink
of ESC For Office Use
�. •";;'; Permit#: 1
0c Permit Fee: P-')-
'°<`a's` Date Received:// -/7
3830 Pilot Knob Road I Eagan MN 55122 RECEIVED
Staff:
Phone:(651)675-5675 I Fax:(651)675-5694
buildinginspections@cityofeadan.com f
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f d —` 7 Site Address: Unit#: 71-7
Name: e '1/ KV-S 0 Le PVA A.-C hone:
Resident/
Owner Address/City/Zip: -k I— V Ro- e 1- �`dovv \(
Applicant is: Owner < Contractor
Type of W of Ic Description of work: '�C.`��"✓ O e 1
Construction Cost: \-7 0 0() Multi-Family Building:(Yes I No x )
Company: o �} v ti 'd `�- tie)�e I I ,Contact. t A. >d 0
Contractor Address: \7) i i 3 -el'�C' o e City: A-PP l e �1 i L P y
State:M-,- Zip: �r7 I\Li- Phone: IDf v'/O1l Email: �t & Pard by rf I ct it-9 •l u•r'1
License#: ( 7 l S 4 4 7 Lead Certificate#: {v 4 '� l c5 4-6 (�
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:
NOTE:Plans and supporting documents that you submit are considered to be pubic 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.
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.cityofeagan.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.gopherstateonecat g
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 ap• • = if plans.
x ^C c e�j 7C b x di
Applicant's Printed Name A. . .rr s Signature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE
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*
_ 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 ' t , Occupancy MCES System
Plan Review J Code Edition - e, SAC Units
(25%_100% O Zoning PL City Water
Census Code ll�� Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ttit5, Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) 1( Final/No C.O.Required
Foundation Foundation Before Backfill HVAC—Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
)( Framing f, 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
( Insulation Windows
_ 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: 2 ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge1
Plan Review V .'" �/
MCES SAC i�
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies 114
TOTAL till9 , D
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146998
Date Issued:11/30/2017
Permit Category:ePermit
Site Address: 4381 Beaver Dam Rd
Lot:18 Block: 3 Addition: Meadowlands 1st
PID:10-48050-03-180
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Kitchen Remodel - includes gas line
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 -
Dean Ruiter
4381 Beaver Dam Rd
Eagan MN 55122
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature