4179 Beaver Dam RdDate:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
OCA�� 2009
r
Permit #: ql 2 3
Permit Fee:
, Date Received:
Staff:
L
2008 RESIDENTIALPLUMBING PERMIT OAcP� APPLICATION
LA Site Address: L4 Vl1 //�I / a, Vt 1-1( �`
Suite #:
RESIDENT / OWNER
Name: Mac/ Prra t/ Phone: L \. M • 0610
Address / City / Zip: °La �� l
CONTRACTOR
Name: License #:
Address: Appliance Connections Inc
a
City: Shakopee1313D,
Zip:
MNnita 55Cr379ate:
Phone: 9524464803m
TYPE OF WORK
•
New Repair Rebuild Modify Space Work in R.O.W.
_, -Replacement _ _ — _
Description of work:
PERMIT TYPE
R IDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / PVB) ( Main Lower Level)
_ _
Septic System • Water Turnaround
New ,
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $136.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 ad without a p-; it; that the work will be in
accordance wit the approved plar,n the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
FOR OFFICE USE
Required Inspections.
x
Applicant's Sig
Under Ground
Rough -In
Air Test
Gas Test Final
09/27/2011 12:31 6128616267
City of Eaall
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 675-5676
Fax: (651) 675-5694
BEI EXTERIOR MAINT
orr
PAGE 02
//U/G7k-
Use BLUE or BLACK Ink
For:Ofice
Permit #:
Permit Fee:
Date Rece
Staff:
e
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9%v2/V//
Tenant:
r
Site Address: d}/%9 de-A7(/b torn 4, 419
Suite #:
RESIDENT / OWNER
Name: Sp 'it'sseW /11•74444 ,710-)B,7— ewe/0,w)/ Phone: O. -Xx7-..>'i?S
Address /CRY / Zip: Ly38 tarty Xr. % PAOBJ' cis, /'.e4, g4( '3$/`/
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: 126714.61/6 Alvn UP LACE w1^40124J
Construction Cost; It 2eoe— Multi -Family Building: (Yes A I No )
CONTRACTOR
Name: ,eS/ E.GERto,2 hinrwraogvc.E coed License ft: AuP41//3/
Address; NQS W. bot" 5172 T' City: .AblrA/Ne7PR0L. S
State: MrJ Zip: 5 $19 Phone: 6ai1" gewi -4-2y3
Contact P4uc, ft&. Email: lrt �. loee 1. cam
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
"Yes
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Watter Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit as considered: to be public information, Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45441002 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities. vwwv.00pherstateonecall.orq
I hereby acknowledge chat this Information Is compote and accurate; that the work will be In conformance with the ordinances and codas of the City of
Eagan: that I understand this is nota permit but only an application for a permit, and work is not to start without a permit; that the work will be In
accordance with the approved pian in the case of work which requires a review and approval of plans.
X c-wR-e5 ANOE '`A✓
Applicant's Printed Name
Applicant's SIgnatu
Page 1 of 2
05/06/2014 09:41 Les Jones Roofing, Inc.
Cite of 6aQau
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 6754675
Fax; (661) 675-6694
(FAX)9528817009 P.010/011
Use BLUE or BLACK Irik
For Office Ur 42.7 °7
Permit #:
Permit Fee: 1 --15r
Date Received:
Staff:
44-2°L/.S 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/( « /iy Site Address:417/
Unit #:
1-.
Name: J(0 PeOPP 7i/ E LNG Phone: las/- 5$'4/
Address / City / Zip: 'P O. BO k ZL2 /?welt. t4g 44417X; ,r/ 5rdP 26
Applicant Is: Owner X • Contractor
Description of work: ROW -PPE 4440 .e.404.4166- /f oaF- .
Construction Cost: 451/11.10r , r 9 Multi -Family Building: (Yes X / No )
Company: /F5 7 A/ T Rothe/n/67 /.vc. Contact: Ca2r: 4vvi7Jt so t/
Address: 9 4 I W. 80 City:
State; Alibi Zip: f ego Phone: 95.E - Iry 7 - afi/7
License #: .5-6 9 Lead Certificate #: 4/4r `f o .' - /
If the project Is exempt from lead certlflcation, please explain why: (see Page 3 for additional information)
COMPLETE THIS ARRA 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:
CALL BEFORE YOU DIG. Call Gopher State One Call et (661) 464-0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receive locates of underground ulllltiee. w, w.aooheretateonecas.oro
1 hereby acknowledge that this Information le 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 le not to start without a permit; that the work will be In
accordance with the approved pian In the case of work which requires a review end approval of plans.
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.
x CifttS ,4AID6I2SOA/
Applicant's Printed Name
�,.As
Applicant's Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. (FA)(9528817009 P.003/011
C!ty of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 675.6676
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: r_)
Date Received:
Staff: _
2014 RESIDENTIAL BUILDING PERMIT APPLICATIONa�`r.
Date: Z! t
Site Address: 4i7/, `fl 7,5; 4179, 4/1'3 8EWEL. Dfu 'oAD Unit#:
�'.;'�� :�'r ° ;�;��i,' .cap'`$;
'ttlr'l ' ,, '`'� .7, ''' " i
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)`'`.6,1 Q WI' ,,,, \I.
..,, ',,,..:J,1:6, , ' 4 .. l„.4
Name: A?OgA2 R-�.E 6 G Phone:
7 o P rY N (S! - ase/ f9 47",
r
Address / City / Zip: Re:)- BO u 21'2 5 /N11672Cz7?-Dvt 14, MI 63a" 74
Applicant Is: Owner X Contractor
` ry/',I�y^-
14)0 r 4,5
' f, ,.,,::••
fl) :,
'V S �d/A'
1L Description of work: EM vv -6" .44.00 Rd-PLAGE �'OA76 .OR•�AErB%
Construction Cost $ 22, 4 3 7. r Multi -Family Building: (Yes X / No )
.,_;'�
_t.r V' ,,, ";
l �•a:` tri.,
'� " '1-1." •, ;.
> ' "t hti'i for . ,. .
i; ° ;,; 4,0i- ,��`:J ''
�, 'fir 7'' r�,• k+. ,i
j' y,',.,,?,.. -4, d !Y .
Company: 3 ,TA/,5.s RGem7n//r /Nc. Contact s 4NDpLsoJ
_GNRt
Address: R K t W. gO 7N iriste'%— City: iGo NlrreDA/
State: M/ , Zip: /2e) Phone: 9:5-A- 767- 028/7
License #: 6.57:30 Lead Certificate #: JU,47 gel 5 90? - /
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
__Yes No if
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIttG
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
•i� D j- i 1 ;b,'o. 7• oxiiim .0. '4': i)i ' ' ' ? . 'f +i'> ,ail A bl jk f IVOCg .40.416g4
v pray,yylG 0,9n-1nayti J ., sS ff#%o�,Okirrl'eetra ip'11}/LO - A p( "t � 10: Oki, a Wo d&j 4"1n/l,(s a QGi?f[C�'.:¢"�
Kh'A, i' ` ! T� ,..1 :1: �r •>.'„ ileo-"Art44140.05. �10.11M6L.. .Ft IOW* .. AMA $.,.») thin.:::.'tr yFi.`..wJ :Ml:..v.,,>rF'�1i,:+d��.{
CALL BEFORE YOU DIG. Call Gopher State One CaII at (661) 464-0002 for protection against underground utiNty damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances end codes of the City of
Eagan; that I understand this Is not a permit, but only an application for e 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 plane.
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.
x GIfkiS 4AjDE25-od
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buiidinainspections(citvofeagan.com
For Office Use
Perm/it #: [ 5/1S Z
Permit Fee: Cea ' "
I ED Date Received: -1E
AUG 1e 2018 LStaff:
% 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Q
Date: 0 /�/il Site Address: / /f 7 / �,qVEX 64A1
/ / A14—(solk)
Tenant:
Resident/Owner
Contractor
Permit Type
Suite #:
Name: Cl4/3/)N /2SO.A.) Phone: 763 ' 4/Ser'-
Address
J
Address / City / Zip: `-// 7 64'41 X6, /12,(1
Name: License #: 4/C 6 V ol/
911ownw SERVICE MINE
BLAIN MN 66449
Address:
State:
Contact:
Zip:
City:
Phone: 763 4_ 77o/
l ' 2–(44) Email:
_ New /Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W.
Description of work: LG a-Ze ,/,:214)
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
/Water Softener
_ Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
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 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 0, 00
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.gopherstateonecall.orq
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.citvofeagan.com/subscribe.
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.
Applicant's Printed Name
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166973
Date Issued:02/16/2021
Permit Category:ePermit
Site Address: 4179 Beaver Dam Rd
Lot:6 Block: 01 Addition: Diffley Commons
PID:10-20450-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Chad J Anderson
4179 Beaver Dam Rd
Eagan MN 55122
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature