4094 Beaver Dam RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4094 Beaver Dam Rd
Lot: 142 Block: 04 Addition: Diffley Commons
PID:10- 20450- 142 -04
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type
Comments:
Fee Summary:
Jason LaBelle
5167 Winnetka Ave N
New Hope, Mn 55428
Manufacturer
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Contractor: - Applicant -
Home Depot Plumbing Contractor - Jason LaBelle
40805 Forest Blvd.
North Branch MN 55056
(651) 645 -5040
Applicant/Bermitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.50
Owner:
Joseph D Mcmahon
4094 Beaver Dam Rd
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA082340
03/25/2008
ePermit
Line Size
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
$105.25 Use BLUE or BLACK Ink
-----------------�
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• j Pertnit#: �� V��� j
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� Pertnit Fee: �Q a� �
3830 Pilot Knob Road } , Y-��� I � �
Eagan MN 55122 � Date Received: �� � �
Phone: 651 675-5675 °;' € ` �"'` I I
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Fax:(651)675-5694 I Staff: �
�-------� --------�
2014RESIDENTIAL BUILDING PERMIT APPLICATION
_ �ate: october 3otn 20�4 s�te Add�ess: 4094 Beaver Dam Road. Eagan, MN 55122 unit#:
� �'��� ��� Joe McMahon 612-396-2374
;' Name: Phone:
� �� Add�ess�c�ty�z�p: 4094 Beaver Dam Road. Eagan, MN 55122
��
� �.'; Applicant is: Owner X Contractor
�" 2 Window Replacements into existing openings, no structure change.
}� Description of work:
��.�� -
- Construction Cost: 3,550.00 Multi-Family Building:(Yes /No X )
�:
� ,
° company: Custom Remodelers, Inc. conta�: Karli Anderson
� . � � �;
$ � � ..
`:' Address: 474 Ap0110 Drive c�ty: Lino Lakes
�� � ': state: MN Z�p: 55014 phone: �651)784-2646 Emai�: karlin.a@customremodelersinc.com
� CR001748 NAT 27064-1
� ;.' License#: Lead Certificate#:
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:
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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.aopherstateonecall.or4
. 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 Building Code must be completed within 180
days of permit issuance.
X Karli Anderson
ApplicanYs Printed Name p licant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143979
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 4094 Beaver Dam Rd
Lot:142 Block: 04 Addition: Diffley Commons
PID:10-20450-04-142
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Joseph D Mcmahon
4094 Beaver Dam Rd
Eagan MN 55122
(612) 396-2374
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179074
Date Issued:09/16/2022
Permit Category:ePermit
Site Address: 4094 Beaver Dam Rd
Lot:142 Block: 04 Addition: Diffley Commons
PID:10-20450-04-142
Use:
Description:
Sub Type:Water Heater
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Joseph D Mcmahon
4094 Beaver Dam Rd
Eagan MN 55122
(612) 396-2374
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature