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4103 Beaver Dam RdCity 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 EA077774 05/16/2007 ePermit Site Address: 4103 Beaver Dam Rd Lot: 25 Block: 1 Addition: Diffley Commons PID:10-20450-250-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952-445-2840. equirements should be directed to Mark Anderson, State Electrical Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 - Applicant - Owner: Marvin A Willy 4103 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 SEWER & WATER PERMIT. CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 QICFICE USE ONLY PERMWDATE o3 / Z5 PERMIT # 12634 SIDE B P RECEIPT # -Ui 7Q 56 )A FE B P. RECEIPT DATE '03/25/0 SITE ADDRESS 4103 BSA A LOT 2S BLOCK 1 SECfSUB DIFFLEY PANS APPLICANT: ADDRESS: CITY, STATE ZIP PHONE PL=UMBER: AO SS: tTY, STATE PHONE OWNER: T ADDRESS: 1rY, STATE P RAAITREQUESTED SEWER JL WATE# TAPS /IN© X _ RESIDENTIAL NEW .._... EXISTING Lawn Sprinkler Meters are to be Install Ahead of Dorneatio Meters or Wear Lir Credit WILL NOT be given tor DeductMete L AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES 05/06/2014 09:40 Les Jones Roofing, Inc. C!tyofEaaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675-6675 Fax: (661) 675-5694 (FAX)9528817009 P.0051011 Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: Dale Received: Staff: a 40 4_25ait r - - q 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 7 Date: /,51 Site Address:'f05'S o 4 0 F4ve7 Unit#: 11 , yJ'. r>},r'Y l� +, 1j ' ,L •''' - '�1 ` ' 4 - - .4. Name: 'o PeOPP2rV a4+12.6 t nes.. Phone: 457- ssr/- 991-/q r Address / City / Zip: Re), Bok 24 2 5 /rn.' 6,--0v4 7444 , 6 -Cr' 74 Applicant Is: Owner X Contractor ',I.� .. `' � .!, •ep` 1 ; / 1...kJLlO// Description of work: E 1,1140 /t- EPI.Ar� f Construction Cost -- // 3YC/��/� , 71 Multl-Family Building: (Yes A /No ___.) • ;r io )4,„;) , I '. ©. ° 4,i_(', .0A' N �?;�► '� f44, ,; 0 , / Company: les ,ToA/E5 RGt�ff,✓ /Ale.. Contact: Ci -/R.4 s 4%4672s0,J Address: 9'i/ 14/. Q4 77/ Qi 'T" City: L.GR�lct vll�- , State: Md Zip: .fre2D Phone: 9'SA - 76 7 - a8h License #: 4,5-6,0 Lead Certificate #: .I141- `/0 3 7.? - / If the project 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 9'� 7Ab € fj r 1� 1 , �.J/i J" ' 0 ���9 -� �1 ,s' ! 1 ' 0 • r ,11-tO t.4, Wit;R 1 �r ao yut,,i' .� A :J '41; 'ir'1r u J ° 4 " - yN , ,y j'o ' F1,v �� r ���j,1Q� �f o 001 °XS�oiC ' - c / 1- gla a r fl1...,o o �e1 ,��ppa � °,jj�r ;4fti',�� t , et 14. �1�1' L.lR .1 1; °i. °tl( to :l a 1 o I e �;' � ,c N�!./ R� r ,o'l I �• Y�• a 7 �%:���. e o 1 � T%�r'�° •i. a •% q � S' J r ;1-,•- CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you Mlend to dig to receive locates of underground uUlitles. www.000herstateanecaiI.ora 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 plana. 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 Cues ,4NDa'cA/ Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use � Permit #: / ' G/ 0/ Permit Fee: /Ds -Q5 Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1(0 3 ('Fetli€v- Qm (C Q Unit #: Resident/ Owner Description of work: j•-e)Abv-Q kcN 0t3 C4kf iQf is- (k5+0 C r eft ! 42w46,1/4'f' vs) dIVGA V Construction Cost: 600 Multi -Family Building: (Yes / No')( ) Company: 0 4- 12s'S + YeArv, (gc`S` Ex l'es4WContact: /\ N f 0%1 d' r1..-1 Address: 4 7% J� t-�P,f f"d+� u)l) i City: ii, (IJ SS e6 State: 4 �I . Zip: 5.--.5-3 C? Phone: ?6 3) /LIZF -) (/ Email: QY,'(Q I1\0 rrN di-tSPctMd• CV wr License #,FC 6Z-9907 Lead Certificate #: NAT 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 nonpublic if you provide specific reasons that would permrt the City:to cone 'e that the, T are trade secrets; 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin • Code must . mpleted within 180 days of permit issuance. x �cn �Sr-ud Applicant's Printedame x Applicant's Sig atur Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. TAX9528817009 P.008/011 City of Eaau 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-5676 Fax: (661) 675-5694 . • Use BLUE or BLACK Ink For office Use Permits,: /2zTh(3 Permit Fee: -11r Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z1/7/Y. Site Address: Yogi.S Yo/9.4/03 1764&1672-% aoe-A Unit #: ,;', '' ' ,' ;;: tv ,":�R0�� �i tl; .' 's^ j tli. ". e..„, -,0!s..„ < `� ' =2 !, '' ! Name: 90 P2oP42ry c-A-eE 6Nc.. Phone: /S7- 5$7/ 99'/ Address / City / Zip: 'Po. Bok 2.►- 5 /NvpLC7�e-ov.L 1i1h A/ 65-x7 9 Applicant is: Owner X Contractor �er- ' 4 .' �f41, A�,, ' '1."'`''' " .1 ' .'' 1 Description of work: FNIQIJE A'iJL) E> E SE iti / Multl-Family Building: (Yes A / No ) Construction Cost $'21i ?41 to • r, i 21.66, = .+` °, Y >; `fit t ° r (' i 4;,b1 (1ptlL•••':-; ry . „. , d .x , '1111;',°141';'1,4..."'''' ' ``'; i;SAF".f:t ^ ! 1,,..4;1,,,5 :;.,,::?;,, j � �,, r,; Company: Ars ,TaNg3 RGtorrm/b /NG Contact Cheer s r Or�Lso City: TDA✓ Address: 911 W. 80 s�-/ 7 - �C �b State: ASA/ Zip: fr4`2D Phone: 95A - ib 7 - 978/9 , T .7 License #: �O.-�o41 Lead Certificate #: �U� 0 2 ^`)fir 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 BUILDING 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: y� f %�1 i (y y{/ �y {( ., 97`1 :T /,a trS. �l' ;Ili�.. .,*oha#yc .�.. /�A/�5 , °j e. wfiliflrifV• ALiori, PQ;1,V' ," •,b,, '° 1.1'. �' .. f!J' P j0h , ,, a: 6' : iEi�'7'figotpleo , I ' -, do t;in3` `hero . ,fid, .t,� f:t.,e It4 o;4, 4 F eAd k;ft..w,'a"_ .4.7. '" :' W , �r.„ '4q '21 •F, . .' . 040141. 41 t, .)464,00...'. �i ..-,, ti Atot.,* :.. �t;�, 0:4e" „t ', z' -. %.:i...,41 CALL BEFORE YOU DIG. Call Gopher State one Cali at (861) 464-0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities. w uooheretateonecall.orq 1 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 1 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 wtll 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 CH -kis 4ND QA/ Applicant's Printed Name Applicant's Signature Page 1 of 3