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4066 Beaver Dam RdCity of Eaftall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For.Offir e;_u Permit #: 616 Permit Fee: 16721 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION K06? , tlob ', �t0(v6, 4068 8 ave 444-A4OAo Date: /0/20`/00 Site Address: 191`61 ZDQj ZQQZ, 2Qo9 0/14-26D Ciw44T Tenant: Suite #: RESIDENT 1 OWNER Name:Z P/ZOPe7 rY (-- 4 %L Phone: 65/- ss'/- 9? 4/9 Address / City / Zip: U, &'i 2125 lit VE1Q, Gum- J17b/1Ts, /t/I d 55-0 76 Applicant is: Owner X- Contractor TYPE OF WORK Description of work: Qicy'll/(01/e ADVO / E‘79/4114 &4&'b icor Construction Cost: it 21,0 01.) J Multi -Family Building: (Yes / No ) CONTRACTOR Name: 13E1 EX TE3- (012 MAI NT. CDR P License #: 20c2 I/// 3/ Address:pp q0 s vV . 6a STi2Eer' City: Aft/f//t%eEllJGl ,1' /n State: NJ Zip: 5S4/g Phone: & / 2 - Eta/ - 62%'3 Contact: PA -(4L H. Email: /f/ACm be -44M - Co' i COMPLETE In the last 12 months, has __Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit fora similar plan based on a master plan? date and address of master plan: _No 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 thee`are trade secrets. CALL BEFORE YOU DIG. can 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.gopherstateonecail.oro 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 accordancenc�with the approved�plan in the _case/of work which requires a review and approval of plans. 62/6els -4,v e5%efox/ Applicant's Printed Name Applicant's Signature Page 1 of 2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA076888 03/07/2007 ePermit Site Address: 4066 Beaver Dam Rd Lot: 47 Block: 4 Addition: Diffley Commons PID:10-20450-047-04 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952-445-2840Josh McGuire 605 12th Ave S Hopkins, MN 55343 952-931-9676 joshmcguire@benfranklinplumbing.com Fee Summary: Surcharge -Fixed ME - Permit Fee (Replacements) $0.50 9001.2195 $50.00 0801.4088 Total: $50.50 Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Carlos B Sabo 4066 Beaver Dam Rd Eagan MN 55122 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 Applicant/Permitee: Signature Issued By: Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694. Permit #: Permit Fee: 40..50 Date Received: 1 Staff. L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 115 0 0 Tenant: Site Address: Kimberly Sabo 4066 Beaver Dam Road Suite #: RESIDENT / OWNER pagan, MN 55122 Name: 6512697975 ,ne: Address / City / Zip: CONTRACTOR Name: NORBLCIM-PLUMBING_C0l. License #: O P (57.4 PrY1 Address: (612) 8274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 q� Phone: Contact erson: � I�rn TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ , Description of work: r09j Wafer heat PERMIT TYPE RESIDENTIAL 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 $165.00 if a 5/8" meter is requi'I ed) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 Je i' Vorbi oy Applicant's PrintettName OFFIC dor A., cant's Signe ure EWER & WATER- PERMIT Tlt OF EAS :•::3830 Pil©t Knob Eagan, MN 551221897 DATE B P. RECEIPT DATE 12/12/9 SITE`ADDRESS-19 200; oT _ 13LOOK SECftatJB . APPLICANT 04 - ADDRESS: cs ADDRESS:r � Rom CITY, STATE Oridleyr PHONE 571-0304 i ltMBER; Vt ley . 't;PERNJT REQUESTEQ EWER W TER TAP '`COMM/IND ._ s Stt El t :h'NEWI .EXISTING Spo bo #nom pater Link 0611712014 15:05 Les Jones Roofing, Inc. TAX)9528817009 P.0071020 Date: CityofEaaau 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use Permit ft: Perot Fee: Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 1.1/4.2 -0:4p!- the g-4008 f3 0.4M PO/lb 6'117 fSite Address: /99t- 07o401- 2 06 2 - 000 G -e {,Ew Ceev-r Unit X: `s ;"`.` -K -'' ; , :Vldin / ;`.._' ``• Owneir y ; : r' 41 o; > r; "' :.. ;�;.,;' Name: yo PeoP42rV c,4-eE 6nrc.. Phone: 657- re/- 99'471 I Address / City / Zip: 1).0. 13o X 2 t *12 S /Nv oi'L ' 24 _4246,/n)_4246,/n)/Lfsd Applicant is: Owner x Contractor , Fs=•; , kt :?,,1 c,. k'; '; Description of work: j� 040IPE' .4/1/0 if P(444' S; 40/6k. Construction Cost: ' 19,523. Multi -Family Building: (Yes x / No �� r'ht-5Company: ,r': `,`:' a.'� Fy �;f': .,���,`• : ''!�;1.`:> "iE Cdt ttactof :;, : ,'�,. '�,;.�;�.," .�,,; t Contact: G�24 s Y ,%J a�-50A1 �� (7,%,4453-(7,%,4453-ROt/J{/i►/� /41G.'Fi Address: / 9iiW. 8A m sr2 �" City: ,Oar-.t�r_r�.t/ State: kill Zip: Jf4120 Phone: 95.1-- 76 7 - 078/9 License #: �.S‘.5-6Q Lead Certificate #: WA -1-'i03' •? - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date end address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: , r 4 :a' =0,1? 10..b ifialddi .,:r• 4.11►i'f 0:016740.4.0#;.0410.0401040110/[6;(1•001#00%!1'47,00,04•0 '>� ''-. :,7:'��;PL �< ri(�!. ;.A,.Q,t#r�9, .., .,m .;�., :,.. �`�' d':5,4` �::� iNy �i;If "' � .I�t•t;r a. ar + r ,� t e forth .'t oit ia`.;be;tl' 's 'Y7y/ye'c�as'./1an,. u ,Okirriff �ou� ptovid�s/r ecific:rea,cn 'tha t>.wo(-, et ,;e:lit�th ,, .,1 i' �'k �. 71, 7I• �•, .:q.il�`f fM,,. .���..,. r.� � ,yl specific • �Se i. �ai��':•' t �•: •fit, ��.J 1�,+Arf h�'c� r.. :: y�J;,. •;.4',i,','!4, -�-.;. 1•.' �� ,cr. ;:�. �:. 'r'itilr�"cath �tN � 5 � 1:.''':!;-,‘!,;'.*''_, '1::,�'.. .;,,A.... CALL BEFORE YOU DIG. Call Gopher State Ono Call at (661) 464-0002 for protection against underground uUllty damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. yvww.000herstateonecall.orq 1 hereby acknowledge that this Information Is complete end 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 etart 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 ba completed within 180 days of permit Issuance. x C#Mis 441D 2s'OA/ Applicant's Printed Name Applicant's Signature Page 1 of 3 0211912014 12:33 Les Jones Roofing, Inc. TAK)9528817009 P.0071020 4111‘ City of Earn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-6676 Fax: (661) 676-6694 . RECEIVED FEB 1 9 2014 Use BLUE or BLACK Ink For Office Use Permit#: [IPC( l 33 Penult Fee: Date Received: State. 2014 RESIDENTIAL BUILDING PERMIT APPLICATION qc$ , //64 1066 4 068 Beni/621AAM .Q4© /7 Site Address: /9`8 Aopd, 2002, Soar ITL rifGo GpuAJT Unit#: J Name: 70 PeoPPry GA-,zE, 1' ark...Phone: 657 5Y'/- 99y€7 Address/City/Zip: BO. Bok 212 5 /NvECo✓t 44z.Ay 6 74, Applicant is: Owner X Contractor Description of work: g6h OVE,4Wb t 'OOP °411214-irs- . DDOR—. Construction Cost: 3 8j 6'342 Multi -Family Building: (Yes X / No ) Company: .4 ,5 72N45 ROAA//6 /NC- Address: NG Address: 9 Y l W k0R~ State: M/4 zip: Xi%I2b License #: .-/ JO Contact: c a,Fier s A-,vDAZ.soAl City: icoa?t.tNGri3A/ Phone: 95,2 - 7(0 7 -.078/7 Lead Certificate #: 4147 `to / If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional Information) 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: Mechanical Contractor: Sewer & Water Contractor: ` ' f Ol tn, fry "Jag/ t,. ,ctiYhie :( iY�t f{ (`sr1/p�1' ri�fr'a:...: ,he 10 I, r. al.:.'zi-n rXftM"'Is�i. ,�„ .n�?l_!II�041Jr te1 R:y'.Y... Phone: Phone: Phone: a1.41 14.111 c'^� 3.1 iM .w� l 7,r, CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaU 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that thls 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 thls 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 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 G1f,Cis liatrDe2sod Applicant's Printed Name x (��GGl` •1��e%?G�eG� Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164887 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 4066 Beaver Dam Rd Lot:047 Block: 04 Addition: Diffley Commons PID:10-20450-04-047 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Kimberly Marie Sabo 4066 Beaver Dam Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature