4152 Beaver Dam Rd
~1~a, ~1~4 ~~tla~, ~14~, g15a, X152 v~rr ~aurn ~
101 6'7 IZU,6t C,"We BLUE or BLACK Ink
I For Office Use
Permit GQ
n o n
J_`6- City Ol EQ
Qll Il I S
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
L-----------------
2013 COMMERCIAL BUILDING PERMIT APPLICATION - 12 UY1 t tS
Date: '1 d17 Site Address: yv
gvCr are.
Tenant Name: Coe ftj 0,1 (;,.,1 ko+nt$(Tenant is: New / i`-, Existing) Suite
Former Tenant:
a
Name: D;MtN C.or%ho.,s ;L \j%kk&s ot^j !~gCL,& "S Phone: AS*A- 4 3 a- 817 9
Property Owner Address/ City /Zip: ?b D42X N>3 et ho\)V% (of?
Applicant is: Owner Contractor
Description ofwork~eac- Oicr Qnc- (,oo~ a!, C1~rar 5 .vh Ct ^'C`
Type of Work
Construction Cost: b~~q
Name: O T License \J .C~ 1 t et
a a Address: ~Aojv lee, o•vL City: q 10!5C_ 0jV%A-
Contractor
State: M ~J Zip: ';J5'0(~sn Phone: !Tcs-l - 21 ;L` ~ 9 (as
o~`J . G.of1
? Contact: LG-► Email: ~f j kd V ek( e, 6
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
a 2
Contact Person: Email:
Licensed plumber installing new sewer/water service: _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 y
conclude that they 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.got)herstateonecall.org
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.
x Lc~j_ I o V x - r}nu. -
Applicant's Printed N e Applicant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4152 Beaver Dam Rd
Lot: 12 Block: 4 Addition: Diffley Commons 2nd
PID:10- 20451- 012 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Sandau Construction
12605 Creek View Avenue
Savage MN 55378
(952) 403 -9100
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Joann G Clark
4152 Beaver Dam Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$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 with all applicable State
Issued By: Signature
Building
EA079879
09/19/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4152 Beaver Dam Rd
Lot: 012 Block: 04 Addition: Diffley Commons 2nd
PID:10- 20451- 012 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit r equirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Joann G Clark
4152 Beaver Dam Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA088471
03/17/2009
ePermit
cal Inspector,