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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 G P?ERMIT ? ° ?2 ER? YIC E ATER S # , ,, , , 2 , ?,? , f Pil K ob Road PERMIT n ` g ? IiAN $5122 ea DATE: R, I I Z i of Units: No 1 ng: on . _ . Owner; ZaC118iAfl lioII+PA Address:. ' 43° 1. IieavGr. Dan- Site Address: ::oad I,18' a3 , lle adowiancl ? Plumber: ' ?;udmt PIut, hln; .. CuT',.? ' ?d , 3.n.5 . C!O , . Meter No.: , Connecfion_ Charge: Si Acoount Deposit: ze: _ Reoder No>: • • Permit Fee: 1 agree M eomply. with the City of-Eagon • Surcliorge . Ct'r e • ?`? •?'`? ??' Ordinanees; • g s: Misc. " "Total: BY. ; Date: 'Paid: ? ? I?tnsp, ?2 , .?}E??.;r_x5',a'?` Xx'-d..}'-'1,?,?}'??' '?, ?. 4 1;??"4Y:,.???y??;-?'_??"???•. ,y ?:s . .i'?'.-'v!' ' Vi¦ 1 7dr iRVA/1 - ,y. ?! s?,,,a `-,?, f- r? ?Ti ???wf ? R?P? W'?j ? ?1'?If. ,g? ?r lLDI'1?O PE?l17' To be wed ie. SF Dwl e 39,000.00 I+. bcft ; ^ f .., _ _??.6 " Ske Addre? 4381 Beaver D?m Road ?c ? ?? L o t ?? s? c k 3 s e c /s u a. ?t`?eedcnv tucer p zCM11,14??,..?...?' Parcel # 10 48050,180 03 Pioair Fru Zwo Enlarge 0 '1yxw of,E3oed, ?. ? ec Nome ?'BCht'?SII ?3 TI1C. ' `ldbwe 13 S?rio - ' ? ? 7760 ?,6itche2l Roa?d ' ` nwmris, p Fnfte ? . E en . r e, • Grode p c? ? ? c - Name 58me APpro"b Z Address s Assessmerit & S W Pomft • m'19•5P '$?ercl?wrr e cilv - - ew. ater Rclice g - - Pkn ? Name Firo SAC y t • , Address Fng. y ow ? , • O p? Paormer Cauncil __ _- ? .?- ? -•----<?:.? 1 hereby ocknowledgs Yhat 1 howe read this appliwtion a+d stote thor - ? gl?. p{?. '/ ?/ ?u om 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??: ? ?v ? '-9u?q 4fflsinl ' . •_ . . . , : ,. . .. .. . wr' • e , r . ....,?i? - ? 0 kmftd Wumbinp ?' . N+lodinnitx?I ? tNSP[iC'irONS DnTE ttqSP. Itwwh-h+ pwa Footi 8 = ? ? ? lrwp. Do. ??. Foundotion PhKrtibin0 Frtsna/ins. ?iricd v? t Rsnnarks: O : ; BUILDiNG P To be used for Site Address Lot-1 a Block ParCel No. W iJame- o Address o Name- z? Address u a F Ub Name ? z Address ?z City - 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 ?i Police Plan Review ? Fi SAC I re E Water Conn ng. : ? Phone e Pl ter M # r W ann r A e e - I Council ROad Unit , r Ithatlhauereadthisapplicationandstatethatthe $ ?Idg. Qff. ? ?? .? ? Tr. PI. Iand agree to comply with ali applicable Siate of I d Ciry af Eagan Qrdinances APC Parks 50 , ?: ar. Date Cai pe . $? ? ? Tatal • 3' 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 H.V.A.C. E?e1dc BoMlNisr 6nsp?e?Op Gi" 1 L'p113A1mu A FooNwpf 17 FourtdelFan Frartdxp N?alln? ROugh P". Rou9h Htg. 4nsu1. Fir*we PA?al NI?. FtMI P". Bldjj. Fha,yt ? Clft. tkw. Oatk Ffg. DeCk Frmg. WeN iocalbn: Pr. Dlmp.. . ? 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 . 113fl -6,„,/, '-' ,,3-‘ P ( LribLI? ._ 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 IPage 2 of 3 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