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4099 Beaver Dam RdCity of' Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Foc, PK**se Permit #: 9 171 '16: Permit Fee: $ n 0 Date Received: Staff: L 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a `l t b Site Address: `-(b 9 9 O EA- V E72 DAM ROAD Tenant: Suite #: RESIDENT/ OWNER Name: 7o GFI~S5rr'?q pt. 4f -(i ]VIt'f( Phone: Address / City / Zip: 6 LI 3 $ CIT`( W. P uw y t'bt1V A-I.Q„E /VtAJ 5S 3 qq Applicant is: Owner Contractor TYPE OF WORK Description of work: REM OVE Itivp rep LA -GE W INDc-1-i Construction Cost: a Z Ooo — Multi -Family Building: (Yes / No ) CONTRACTOR Name: 5El E-VirRk.o R. MA -I g -r-. Co?J License #: 2 0.2, '111 3( Address: (-10S- W. C0114 SMELT City: t NNE% i Ll 5 ,! State: / i Zip: S Y t{ t9 Phone: (? (Z - 24,1- 6 V13 Contact: PQ-tm- M , Email: 1 WC?) +0 er li«t . Cpm COMPLETE In the last 12 months, has Yes No 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: 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 wouldpermit the. City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orci 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 x CK 421 s 4 oc z.so' Applicant's Printed Name x 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 EA091519 10/08/2009 ePermit Site Address: 4099 Beaver Dam Rd Lot: 26 Block: 01 Addition: Diffley Commons PID:10-20450-260-01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding elec 952-445-2840 Diane Moyer Home Energy Center cal permit requirements should be directed to Mark Anderson, State Elec cal Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Home Energy Center 2415 Annapolis Lane #170 Plymouth MN 55441 (651) 766-6763 - Applicant - Owner: Joy D Maugans 4099 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 'SITE ADDRESS P �g LOT 26BLOCKuB APPLICANT: ADDRESS: CITY, STATE PHONE;,, PUJMSER. V PSG ADD $S• C 610 '. LN Ci+� Yr:STATE "l .i l;J F IVE 49-2 23 MINER THS' tQ DDRESS: 01 ER #TY, STATE 'PVTy E. 304 PRY T B#70STEF PUMP PERMI"f REG SEWER X fi COMMFIND XNEW 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, Wit1,e, 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',��,c°t , et 64. �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 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 City of Eagan PERMIT 411' CityofEaan Permit Type: Mechanical Permit Number: EA141464 Date Issued: 03/15/2017 Permit Category: ePermit Site Address: 4099 Beaver Dam Rd Lot: 26 Block: 01 PID: 10-20450-01-260 Use: Addition: Diffley Commons Description: Sub Type: Residential Work Type: Replace Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 0801.4088 Surcharge -Fixed $1.00 9001.2195 Total: $60.00 Contractor: Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 - Applicant - Owner: Joy D Maugans 4099 Beaver Dam Rd Eagan MN 55122 (651) 675-0184 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA152328 Date Issued: 10/10/2018 Permit Category: ePermit Site Address: 4099 Beaver Dam Rd Lot: 26 Block: 01 Addition: Diffley Commons PID: 10-20450-01-260 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 - Applicant - Owner: Joy D Maugans 4099 Beaver Dam Rd Eagan MN 55122 (952) 846-9582 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. Applicant/Permitee: Signature Issued By: Signature